<div class="xtend"><a id="pl.1.1"></a><var>1.1</var>CONFERENCE COMMITTEE REPORT ON S.F. No. 800<br />
         		
         <div class="xtend_ce"><a id="pl.1.2"></a><var>1.2</var>A bill for an act<br />
            		
         </div><a id="pl.1.3"></a><var>1.3</var>relating to human services finance and policy; appropriating money for human <br />
         		<a id="pl.1.4"></a><var>1.4</var>services and health-related programs; modifying various provisions governing <br />
         		<a id="pl.1.5"></a><var>1.5</var>community supports, housing, continuing care, health care, managed care <br />
         		<a id="pl.1.6"></a><var>1.6</var>organizations, health insurance, direct care and treatment, children and families,
         <br />
         		<a id="pl.1.7"></a><var>1.7</var>chemical and mental health services, Department of Human Services operations, <br />
         		<a id="pl.1.8"></a><var>1.8</var>Department of Health policy, and health licensing boards; establishing a license <br />
         		<a id="pl.1.9"></a><var>1.9</var>for substance abuse disorder treatment; authorizing transfers; providing for <br />
         		<a id="pl.1.10"></a><var>1.10</var>supplemental rates; modifying reimbursement rates and premium scales; making <br />
         		<a id="pl.1.11"></a><var>1.11</var>forecast adjustments; providing for audits; establishing crumb rubber playground <br />
         		<a id="pl.1.12"></a><var>1.12</var>moratorium; authorizing pilot projects and studies; requiring reports; establishing
         <br />
         		<a id="pl.1.13"></a><var>1.13</var>a legislative commission; making technical and terminology changes;amending <br />
         		<a id="pl.1.14"></a><var>1.14</var>Minnesota Statutes 2016, sections 3.972, by adding a subdivision; 13.32, by adding
         <br />
         		<a id="pl.1.15"></a><var>1.15</var>a subdivision; 13.46, subdivisions 1, 2, 4; 13.69, subdivision 1; 13.84, subdivision
         <br />
         		<a id="pl.1.16"></a><var>1.16</var>5; 62A.04, subdivision 1; 62A.21, subdivision 2a; 62A.3075; 62D.105, subdivisions
         <br />
         		<a id="pl.1.17"></a><var>1.17</var>1, 2; 62E.04, subdivision 11; 62E.05, subdivision 1; 62E.06, by adding a <br />
         		<a id="pl.1.18"></a><var>1.18</var>subdivision; 62M.07; 62U.02; 62V.05, subdivision 12; 103I.101, subdivisions 2, <br />
         		<a id="pl.1.19"></a><var>1.19</var>5; 103I.111, subdivisions 6, 7, 8; 103I.205; 103I.301; 103I.501; 103I.505; 103I.515;
         <br />
         		<a id="pl.1.20"></a><var>1.20</var>103I.535, subdivisions 3, 6, by adding a subdivision; 103I.541; 103I.545, <br />
         		<a id="pl.1.21"></a><var>1.21</var>subdivisions 1, 2; 103I.711, subdivision 1; 103I.715, subdivision 2; 119B.011, by
         <br />
         		<a id="pl.1.22"></a><var>1.22</var>adding subdivisions; 119B.02, subdivision 5; 119B.09, subdivision 9a; 119B.125, <br />
         		<a id="pl.1.23"></a><var>1.23</var>subdivisions 4, 6; 119B.13, subdivisions 1, 6; 119B.16, subdivisions 1, 1a, 1b, by
         <br />
         		<a id="pl.1.24"></a><var>1.24</var>adding subdivisions; 144.05, subdivision 6; 144.0724, subdivisions 4, 6; 144.122;
         <br />
         		<a id="pl.1.25"></a><var>1.25</var>144.1501, subdivision 2; 144.551, subdivision 1; 144A.071, subdivision 4d; <br />
         		<a id="pl.1.26"></a><var>1.26</var>144A.351; 144A.472, subdivision 7; 144A.474, subdivision 11; 144A.4799, <br />
         		<a id="pl.1.27"></a><var>1.27</var>subdivision 3; 144A.70, subdivision 6, by adding a subdivision; 144D.04, <br />
         		<a id="pl.1.28"></a><var>1.28</var>subdivision 2, by adding a subdivision; 144D.06; 145.4716, subdivision 2; 145.986,
         <br />
         		<a id="pl.1.29"></a><var>1.29</var>subdivision 1a; 146B.02, subdivisions 2, 5, 8, by adding subdivisions; 146B.03, <br />
         		<a id="pl.1.30"></a><var>1.30</var>subdivisions 6, 7; 146B.07, subdivision 4; 146B.10, subdivision 1; 147.01, <br />
         		<a id="pl.1.31"></a><var>1.31</var>subdivision 7; 147.02, subdivision 1; 147.03, subdivision 1; 147B.08, by adding <br />
         		<a id="pl.1.32"></a><var>1.32</var>a subdivision; 147C.40, by adding a subdivision; 148.5194, subdivision 7; 148.6402,
         <br />
         		<a id="pl.1.33"></a><var>1.33</var>subdivision 4; 148.6405; 148.6408, subdivision 2; 148.6410, subdivision 2; <br />
         		<a id="pl.1.34"></a><var>1.34</var>148.6412, subdivision 2; 148.6415; 148.6418, subdivisions 1, 2, 4, 5; 148.6420, <br />
         		<a id="pl.1.35"></a><var>1.35</var>subdivisions 1, 3, 5; 148.6423; 148.6425, subdivisions 2, 3; 148.6428; 148.6443, <br />
         		<a id="pl.1.36"></a><var>1.36</var>subdivisions 5, 6, 7, 8; 148.6445, subdivisions 1, 10; 148.6448; 157.16, subdivision
         <br />
         		<a id="pl.1.37"></a><var>1.37</var>1; 214.01, subdivision 2; 245.4889, subdivision 1; 245.91, subdivisions 4, 6; <br />
         		<a id="pl.1.38"></a><var>1.38</var>245.97, subdivision 6; 245A.02, subdivision 2b, by adding a subdivision; 245A.03,
         <br />
         		<a id="pl.1.39"></a><var>1.39</var>subdivisions 2, 7; 245A.04, subdivision 14; 245A.06, subdivision 2; 245A.07, <br />
         		<a id="pl.1.40"></a><var>1.40</var>subdivision 3; 245A.11, by adding subdivisions; 245A.191; 245A.50, subdivision <br />
         		<a id="pl.1.41"></a><var>1.41</var>5; 245D.03, subdivision 1; 245D.04, subdivision 3; 245D.071, subdivision 3; <br />
         		<a id="pl.1.42"></a><var>1.42</var>245D.11, subdivision 4; 245D.24, subdivision 3; 245E.01, by adding a subdivision;
         <br />
         		<a id="pl.2.1"></a><var>2.1</var>245E.02, subdivisions 1, 3, 4; 245E.03, subdivisions 2, 4; 245E.04; 245E.05, <br />
         		<a id="pl.2.2"></a><var>2.2</var>subdivision 1; 245E.06, subdivisions 1, 2, 3; 245E.07, subdivision 1; 252.27, <br />
         		<a id="pl.2.3"></a><var>2.3</var>subdivision 2a; 252.41, subdivision 3; 253B.10, subdivision 1; 253B.22, subdivision
         <br />
         		<a id="pl.2.4"></a><var>2.4</var>1; 254A.01; 254A.02, subdivisions 2, 3, 5, 6, 8, 10, by adding subdivisions; <br />
         		<a id="pl.2.5"></a><var>2.5</var>254A.03; 254A.035, subdivision 1; 254A.04; 254A.08; 254A.09; 254A.19, <br />
         		<a id="pl.2.6"></a><var>2.6</var>subdivision 3; 254B.01, subdivision 3, by adding a subdivision; 254B.03, <br />
         		<a id="pl.2.7"></a><var>2.7</var>subdivision 2; 254B.04, subdivisions 1, 2b; 254B.05, subdivisions 1, 1a, 5; <br />
         		<a id="pl.2.8"></a><var>2.8</var>254B.051; 254B.07; 254B.08; 254B.09; 254B.12, subdivision 2; 254B.13, <br />
         		<a id="pl.2.9"></a><var>2.9</var>subdivision 2a; 256.01, subdivision 41, by adding a subdivision; 256.045, <br />
         		<a id="pl.2.10"></a><var>2.10</var>subdivision 3; 256.969, subdivisions 2b, 4b, by adding a subdivision; 256.975, <br />
         		<a id="pl.2.11"></a><var>2.11</var>subdivision 7, by adding a subdivision; 256.98, subdivision 8; 256B.04, <br />
         		<a id="pl.2.12"></a><var>2.12</var>subdivisions 21, 22; 256B.056, subdivision 5c; 256B.0621, subdivision 10; <br />
         		<a id="pl.2.13"></a><var>2.13</var>256B.0625, subdivisions 3b, 7, 20, 45a, 57, 64, by adding subdivisions; 256B.0659,
         <br />
         		<a id="pl.2.14"></a><var>2.14</var>subdivisions 1, 2, 11, 21, by adding a subdivision; 256B.072; 256B.0755, <br />
         		<a id="pl.2.15"></a><var>2.15</var>subdivisions 1, 3, 4, by adding a subdivision; 256B.0911, subdivisions 1a, 3a, 4d,
         <br />
         		<a id="pl.2.16"></a><var>2.16</var>by adding subdivisions; 256B.0915, subdivisions 1, 1a, 3a, 3e, 3h, 5, by adding <br />
         		<a id="pl.2.17"></a><var>2.17</var>subdivisions; 256B.092, subdivision 4; 256B.0922, subdivision 1; 256B.0924, by <br />
         		<a id="pl.2.18"></a><var>2.18</var>adding a subdivision; 256B.0943, subdivision 13; 256B.0945, subdivisions 2, 4; <br />
         		<a id="pl.2.19"></a><var>2.19</var>256B.196, subdivision 2; 256B.431, subdivisions 10, 16, 30; 256B.434, subdivisions
         <br />
         		<a id="pl.2.20"></a><var>2.20</var>4, 4f; 256B.49, subdivisions 11, 15; 256B.4913, subdivision 4a, by adding a <br />
         		<a id="pl.2.21"></a><var>2.21</var>subdivision; 256B.4914, subdivisions 2, 3, 5, 6, 7, 8, 9, 10, 16; 256B.493, <br />
         		<a id="pl.2.22"></a><var>2.22</var>subdivisions 1, 2, by adding a subdivision; 256B.50, subdivision 1b; 256B.5012, <br />
         		<a id="pl.2.23"></a><var>2.23</var>by adding a subdivision; 256B.69, subdivision 9e; 256B.76, subdivisions 1, 2; <br />
         		<a id="pl.2.24"></a><var>2.24</var>256B.766; 256B.85, subdivisions 3, 5, 6; 256C.23, subdivision 2, by adding <br />
         		<a id="pl.2.25"></a><var>2.25</var>subdivisions; 256C.233, subdivisions 1, 2; 256C.24, subdivisions 1, 2, by adding <br />
         		<a id="pl.2.26"></a><var>2.26</var>a subdivision; 256C.261; 256D.44, subdivisions 4, 5; 256E.30, subdivision 2; <br />
         		<a id="pl.2.27"></a><var>2.27</var>256I.03, subdivision 8; 256I.04, subdivisions 1, 2d, 2g, 3; 256I.05, subdivisions
         <br />
         		<a id="pl.2.28"></a><var>2.28</var>1a, 1c, 1e, 1j, 1m, 8, by adding subdivisions; 256I.06, subdivisions 2, 8; 256J.24,
         <br />
         		<a id="pl.2.29"></a><var>2.29</var>subdivision 5; 256J.45, subdivision 2; 256L.03, subdivisions 1, 1a, 5; 256L.15, <br />
         		<a id="pl.2.30"></a><var>2.30</var>subdivision 2; 256P.06, subdivision 2; 256R.02, subdivisions 4, 18; 256R.07, by <br />
         		<a id="pl.2.31"></a><var>2.31</var>adding a subdivision; 256R.10, by adding a subdivision; 256R.37; 256R.40, <br />
         		<a id="pl.2.32"></a><var>2.32</var>subdivision 5; 256R.41; 256R.47; 256R.49, subdivision 1; 260C.451, subdivision <br />
         		<a id="pl.2.33"></a><var>2.33</var>6; 317A.811, subdivision 1, by adding a subdivision; 327.15, subdivision 3; <br />
         		<a id="pl.2.34"></a><var>2.34</var>609.5315, subdivision 5c; 626.556, subdivisions 2, 3, 3c, 10d, 10j; Laws 2009, <br />
         		<a id="pl.2.35"></a><var>2.35</var>chapter 101, article 1, section 12; Laws 2012, chapter 247, article 6, section 2,
         <br />
         		<a id="pl.2.36"></a><var>2.36</var>subdivision 2; Laws 2013, chapter 108, article 15, section 2, subdivision 2; Laws
         <br />
         		<a id="pl.2.37"></a><var>2.37</var>2014, chapter 312, article 23, section 9, subdivision 8, by adding a subdivision;
         <br />
         		<a id="pl.2.38"></a><var>2.38</var>Laws 2015, chapter 71, article 14, section 3, subdivision 2, as amended; Laws <br />
         		<a id="pl.2.39"></a><var>2.39</var>2017, chapter 2, article 1, sections 1, subdivision 3; 2, subdivision 4, by adding
         a <br />
         		<a id="pl.2.40"></a><var>2.40</var>subdivision; 3; 5; 7; article 2, section 13; proposing coding for new law in <br />
         		<a id="pl.2.41"></a><var>2.41</var>Minnesota Statutes, chapters 62J; 62K; 62Q; 119B; 144; 144D; 145; 147A; 148; <br />
         		<a id="pl.2.42"></a><var>2.42</var>245; 245A; 256; 256B; 256I; 256N; 256R; 317A; 448; proposing coding for new <br />
         		<a id="pl.2.43"></a><var>2.43</var>law as Minnesota Statutes, chapters 144H; 245G; repealing Minnesota Statutes <br />
         		<a id="pl.2.44"></a><var>2.44</var>2016, sections 13.468; 147A.21; 147B.08, subdivisions 1, 2, 3; 147C.40, <br />
         		<a id="pl.2.45"></a><var>2.45</var>subdivisions 1, 2, 3, 4; 148.6402, subdivision 2; 148.6450; 245A.1915; 245A.192; <br />
         		<a id="pl.2.46"></a><var>2.46</var>254A.02, subdivision 4; 256B.0659, subdivision 22; 256B.19, subdivision 1c; <br />
         		<a id="pl.2.47"></a><var>2.47</var>256B.4914, subdivision 16; 256B.64; 256C.23, subdivision 3; 256C.233, <br />
         		<a id="pl.2.48"></a><var>2.48</var>subdivision 4; 256C.25, subdivisions 1, 2; 256J.626, subdivision 5; Laws 2014, <br />
         		<a id="pl.2.49"></a><var>2.49</var>chapter 312, article 23, section 9, subdivision 5; Minnesota Rules, parts 5600.2500;
         <br />
         		<a id="pl.2.50"></a><var>2.50</var>9530.6405, subparts 1, 1a, 2, 3, 4, 5, 6, 7, 7a, 8, 9, 10, 11, 12, 13, 14, 14a, 15,
         15a, <br />
         		<a id="pl.2.51"></a><var>2.51</var>16, 17, 17a, 17b, 17c, 18, 20, 21; 9530.6410; 9530.6415; 9530.6420; 9530.6422; <br />
         		<a id="pl.2.52"></a><var>2.52</var>9530.6425; 9530.6430; 9530.6435; 9530.6440; 9530.6445; 9530.6450; 9530.6455; <br />
         		<a id="pl.2.53"></a><var>2.53</var>9530.6460; 9530.6465; 9530.6470; 9530.6475; 9530.6480; 9530.6485; 9530.6490; <br />
         		<a id="pl.2.54"></a><var>2.54</var>9530.6495; 9530.6500; 9530.6505.<br />
         		<a id="pl.3.1"></a><var>3.1</var>May 8, 2017<br />
         		<a id="pl.3.2"></a><var>3.2</var>The Honorable Michelle L. Fischbach<br />
         		<a id="pl.3.3"></a><var>3.3</var>President of the Senate<br />
         		<a id="pl.3.4"></a><var>3.4</var>The Honorable Kurt L. Daudt<br />
         		<a id="pl.3.5"></a><var>3.5</var>Speaker of the House of Representatives<br />
         		<a id="pl.3.6"></a><var>3.6</var>We, the undersigned conferees for S.F. No. 800 report that we have agreed upon the <br />
         		<a id="pl.3.7"></a><var>3.7</var>items in dispute and recommend as follows:<br />
         		<a id="pl.3.8"></a><var>3.8</var>That the House recede from its amendments and that S.F. No. 800 be further amended <br />
         		<a id="pl.3.9"></a><var>3.9</var>as follows:<br />
         		<a id="pl.3.10"></a><var>3.10</var>Delete everything after the enacting clause and insert:<br />
         		<br />
         		<a id="bill.1.0.0"></a><div class="xtend_ce"><a id="pl.3.11"></a><var>3.11</var>"<b>ARTICLE 1</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.3.12"></a><var>3.12</var><b>COMMUNITY SUPPORTS</b><br />
            		
         </div><br />
         		<a id="bill.1.1.0"></a><a id="pl.3.13"></a><var>3.13</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 144A.351, subdivision 1, is amended to read:<br />
         		<a id="pl.3.14"></a><var>3.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Report requirements.</b> The commissioners of health and human services, <br />
         		<a id="pl.3.15"></a><var>3.15</var>with the cooperation of counties and in consultation with stakeholders, including
         persons <br />
         		<a id="pl.3.16"></a><var>3.16</var>who need or are using long-term care services and supports, lead agencies, regional
         entities, <br />
         		<a id="pl.3.17"></a><var>3.17</var>senior, disability, and mental health organization representatives, service providers,
         and <br />
         		<a id="pl.3.18"></a><var>3.18</var>community members shall prepare a report to the legislature by August 15, 2013, and
         <br />
         		<a id="pl.3.19"></a><var>3.19</var>biennially thereafter, regarding the status of the full range of long-term care services
         and <br />
         		<a id="pl.3.20"></a><var>3.20</var>supports for the elderly and children and adults with disabilities and mental illnesses
         in <br />
         		<a id="pl.3.21"></a><var>3.21</var>Minnesota. Any amounts appropriated for this report are available in either year of the <br />
         		<a id="pl.3.22"></a><var>3.22</var>biennium. The report shall address:<br />
         		<a id="pl.3.23"></a><var>3.23</var>&#160;&#160;&#160;&#160;(1) demographics and need for long-term care services and supports in Minnesota;<br />
         		<a id="pl.3.24"></a><var>3.24</var>&#160;&#160;&#160;&#160;(2) summary of county and regional reports on long-term care gaps, surpluses, imbalances,
         <br />
         		<a id="pl.3.25"></a><var>3.25</var>and corrective action plans;<br />
         		<a id="pl.3.26"></a><var>3.26</var>&#160;&#160;&#160;&#160;(3) status of long-term care services and related mental health services, housing
         options, <br />
         		<a id="pl.3.27"></a><var>3.27</var>and supports by county and region including:<br />
         		<a id="pl.3.28"></a><var>3.28</var>&#160;&#160;&#160;&#160;(i) changes in availability of the range of long-term care services and housing options;<br />
         		<a id="pl.3.29"></a><var>3.29</var>&#160;&#160;&#160;&#160;(ii) access problems, including access to the least restrictive and most integrated
         services <br />
         		<a id="pl.3.30"></a><var>3.30</var>and settings, regarding long-term care services; and<br />
         		<a id="pl.3.31"></a><var>3.31</var>&#160;&#160;&#160;&#160;(iii) comparative measures of long-term care services availability, including serving
         <br />
         		<a id="pl.3.32"></a><var>3.32</var>people in their home areas near family, and changes over time; and<br />
         		<a id="pl.4.1"></a><var>4.1</var>&#160;&#160;&#160;&#160;(4) recommendations regarding goals for the future of long-term care services and
         <br />
         		<a id="pl.4.2"></a><var>4.2</var>supports, policy and fiscal changes, and resource development and transition needs.<br />
         		<br />
         		<a id="bill.1.2.0"></a><a id="pl.4.3"></a><var>4.3</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 245D.03, subdivision 1, is amended to read:<br />
         		<a id="pl.4.4"></a><var>4.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicability. </b> (a) The commissioner shall regulate the provision of home <br />
         		<a id="pl.4.5"></a><var>4.5</var>and community-based services to persons with disabilities and persons age 65 and older
         <br />
         		<a id="pl.4.6"></a><var>4.6</var>pursuant to this chapter. The licensing standards in this chapter govern the provision
         of <br />
         		<a id="pl.4.7"></a><var>4.7</var>basic support services and intensive support services.<br />
         		<a id="pl.4.8"></a><var>4.8</var>(b) Basic support services provide the level of assistance, supervision, and care
         that is <br />
         		<a id="pl.4.9"></a><var>4.9</var>necessary to ensure the health and welfare of the person and do not include services
         that <br />
         		<a id="pl.4.10"></a><var>4.10</var>are specifically directed toward the training, treatment, habilitation, or rehabilitation
         of the <br />
         		<a id="pl.4.11"></a><var>4.11</var>person. Basic support services include:<br />
         		<a id="pl.4.12"></a><var>4.12</var>(1) in-home and out-of-home respite care services as defined in section 
         <statute_ref>245A.02</statute_ref>, <br />
         		<a id="pl.4.13"></a><var>4.13</var>subdivision 15, and under the brain injury, community alternative care, community
         access <br />
         		<a id="pl.4.14"></a><var>4.14</var>for disability inclusion, developmental disability, and elderly waiver plans, excluding
         <br />
         		<a id="pl.4.15"></a><var>4.15</var>out-of-home respite care provided to children in a family child foster care home licensed
         <br />
         		<a id="pl.4.16"></a><var>4.16</var>under Minnesota Rules, parts 2960.3000 to 2960.3100, when the child foster care license <br />
         		<a id="pl.4.17"></a><var>4.17</var>holder complies with the requirements under section 
         <statute_ref>245D.06, subdivisions 5</statute_ref>, 6, 7, and 8, <br />
         		<a id="pl.4.18"></a><var>4.18</var>or successor provisions; and section 
         <statute_ref>245D.061</statute_ref> or successor provisions, which must be <br />
         		<a id="pl.4.19"></a><var>4.19</var>stipulated in the statement of intended use required under Minnesota Rules, part 2960.3000, <br />
         		<a id="pl.4.20"></a><var>4.20</var>subpart 4;<br />
         		<a id="pl.4.21"></a><var>4.21</var>(2) adult companion services as defined under the brain injury, community access for
         <br />
         		<a id="pl.4.22"></a><var>4.22</var>disability inclusion, and elderly waiver plans, excluding adult companion services
         provided <br />
         		<a id="pl.4.23"></a><var>4.23</var>under the Corporation for National and Community Services Senior Companion Program
         <br />
         		<a id="pl.4.24"></a><var>4.24</var>established under the Domestic Volunteer Service Act of 1973, Public Law 98-288;<br />
         		<a id="pl.4.25"></a><var>4.25</var>(3) personal support as defined under the developmental disability waiver plan;<br />
         		<a id="pl.4.26"></a><var>4.26</var>(4) 24-hour emergency assistance, personal emergency response as defined under the
         <br />
         		<a id="pl.4.27"></a><var>4.27</var>community access for disability inclusion and developmental disability waiver plans;<br />
         		<a id="pl.4.28"></a><var>4.28</var>(5) night supervision services as defined under the brain injury waiver plan; and<br />
         		<a id="pl.4.29"></a><var>4.29</var>(6) homemaker services as defined under the community access for disability inclusion,
         <br />
         		<a id="pl.4.30"></a><var>4.30</var>brain injury, community alternative care, developmental disability, and elderly waiver
         plans, <br />
         		<a id="pl.4.31"></a><var>4.31</var>excluding providers licensed by the Department of Health under chapter 144A and those
         <br />
         		<a id="pl.4.32"></a><var>4.32</var>providers providing cleaning services only; and<br />
         		<a id="pl.5.1"></a><var>5.1</var>(7) individual community living support under section 256B.0915, subdivision 3j.<br />
         		<a id="pl.5.2"></a><var>5.2</var>(c) Intensive support services provide assistance, supervision, and care that is necessary
         <br />
         		<a id="pl.5.3"></a><var>5.3</var>to ensure the health and welfare of the person and services specifically directed
         toward the <br />
         		<a id="pl.5.4"></a><var>5.4</var>training, habilitation, or rehabilitation of the person. Intensive support services
         include:<br />
         		<a id="pl.5.5"></a><var>5.5</var>(1) intervention services, including:<br />
         		<a id="pl.5.6"></a><var>5.6</var>(i) behavioral support services as defined under the brain injury and community access
         <br />
         		<a id="pl.5.7"></a><var>5.7</var>for disability inclusion waiver plans;<br />
         		<a id="pl.5.8"></a><var>5.8</var>(ii) in-home or out-of-home crisis respite services as defined under the developmental
         <br />
         		<a id="pl.5.9"></a><var>5.9</var>disability waiver plan; and<br />
         		<a id="pl.5.10"></a><var>5.10</var>(iii) specialist services as defined under the current developmental disability waiver
         <br />
         		<a id="pl.5.11"></a><var>5.11</var>plan;<br />
         		<a id="pl.5.12"></a><var>5.12</var>(2) in-home support services, including:<br />
         		<a id="pl.5.13"></a><var>5.13</var>(i) in-home family support and supported living services as defined under the <br />
         		<a id="pl.5.14"></a><var>5.14</var>developmental disability waiver plan;<br />
         		<a id="pl.5.15"></a><var>5.15</var>(ii) independent living services training as defined under the brain injury and community
         <br />
         		<a id="pl.5.16"></a><var>5.16</var>access for disability inclusion waiver plans; and<br />
         		<a id="pl.5.17"></a><var>5.17</var>(iii) semi-independent living services; and<br />
         		<a id="pl.5.18"></a><var>5.18</var>(iv) individualized home supports services as defined under the brain injury, community
         <br />
         		<a id="pl.5.19"></a><var>5.19</var>alternative care, and community access for disability inclusion waiver plans;<br />
         		<a id="pl.5.20"></a><var>5.20</var>(3) residential supports and services, including:<br />
         		<a id="pl.5.21"></a><var>5.21</var>(i) supported living services as defined under the developmental disability waiver
         plan <br />
         		<a id="pl.5.22"></a><var>5.22</var>provided in a family or corporate child foster care residence, a family adult foster
         care <br />
         		<a id="pl.5.23"></a><var>5.23</var>residence, a community residential setting, or a supervised living facility;<br />
         		<a id="pl.5.24"></a><var>5.24</var>(ii) foster care services as defined in the brain injury, community alternative care,
         and <br />
         		<a id="pl.5.25"></a><var>5.25</var>community access for disability inclusion waiver plans provided in a family or corporate
         <br />
         		<a id="pl.5.26"></a><var>5.26</var>child foster care residence, a family adult foster care residence, or a community
         residential <br />
         		<a id="pl.5.27"></a><var>5.27</var>setting; and<br />
         		<a id="pl.5.28"></a><var>5.28</var>(iii) residential services provided to more than four persons with developmental <br />
         		<a id="pl.5.29"></a><var>5.29</var>disabilities in a supervised living facility, including ICFs/DD;<br />
         		<a id="pl.5.30"></a><var>5.30</var>(4) day services, including:<br />
         		<a id="pl.5.31"></a><var>5.31</var>(i) structured day services as defined under the brain injury waiver plan;<br />
         		<a id="pl.6.1"></a><var>6.1</var>(ii) day training and habilitation services under sections 
         <statute_ref>252.41</statute_ref> to 
         <statute_ref>252.46</statute_ref>, and as defined <br />
         		<a id="pl.6.2"></a><var>6.2</var>under the developmental disability waiver plan; and<br />
         		<a id="pl.6.3"></a><var>6.3</var>(iii) prevocational services as defined under the brain injury and community access
         for <br />
         		<a id="pl.6.4"></a><var>6.4</var>disability inclusion waiver plans; and<br />
         		<a id="pl.6.5"></a><var>6.5</var>(5) supported employment as defined under the brain injury, developmental disability,
         <br />
         		<a id="pl.6.6"></a><var>6.6</var>and community access for disability inclusion waiver plans employment exploration services <br />
         		<a id="pl.6.7"></a><var>6.7</var>as defined under the brain injury, community alternative care, community access for
         disability <br />
         		<a id="pl.6.8"></a><var>6.8</var>inclusion, and developmental disability waiver plans;<br />
         		 <a id="pl.6.9"></a><var>6.9</var>(6) employment development services as defined under the brain injury, community <br />
         		<a id="pl.6.10"></a><var>6.10</var>alternative care, community access for disability inclusion, and developmental disability
         <br />
         		<a id="pl.6.11"></a><var>6.11</var>waiver plans; and<br />
         		<a id="pl.6.12"></a><var>6.12</var>(7) employment support services as defined under the brain injury, community alternative
         <br />
         		<a id="pl.6.13"></a><var>6.13</var>care, community access for disability inclusion, and developmental disability waiver
         plans.<br />
         		<a id="pl.6.14"></a><var>6.14</var><b>EFFECTIVE DATE.</b>(a) The amendment to paragraphs (b) and (c), clause (2), is <br />
         		<a id="pl.6.15"></a><var>6.15</var>effective the day following final enactment.<br />
         		<a id="pl.6.16"></a><var>6.16</var>(b) The amendments to paragraph (c), clauses (5) to (7), are effective upon federal
         <br />
         		<a id="pl.6.17"></a><var>6.17</var>approval. The commissioner of human services shall notify the revisor of statutes
         when <br />
         		<a id="pl.6.18"></a><var>6.18</var>federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.3.0"></a><a id="pl.6.19"></a><var>6.19</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 252.41, subdivision 3, is amended to read:<br />
         		<a id="pl.6.20"></a><var>6.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Day training and habilitation services for adults with developmental </b><br />
         		<a id="pl.6.21"></a><var>6.21</var><b>disabilities.</b> (a) "Day training and habilitation services for adults with developmental <br />
         		<a id="pl.6.22"></a><var>6.22</var>disabilities" means services that:<br />
         		<a id="pl.6.23"></a><var>6.23</var>(1) include supervision, training, assistance, and supported employment, center-based <br />
         		<a id="pl.6.24"></a><var>6.24</var>work-related activities, or other community-integrated activities designed and implemented
         <br />
         		<a id="pl.6.25"></a><var>6.25</var>in accordance with the individual service and individual habilitation plans required
         under <br />
         		<a id="pl.6.26"></a><var>6.26</var>Minnesota Rules, parts 9525.0004 to 9525.0036, to help an adult reach and maintain the <br />
         		<a id="pl.6.27"></a><var>6.27</var>highest possible level of independence, productivity, and integration into the community;
         <br />
         		<a id="pl.6.28"></a><var>6.28</var>and<br />
         		<a id="pl.6.29"></a><var>6.29</var>(2) are provided by a vendor licensed under sections 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref> and 
         <statute_ref>252.28, <br />
            		<a id="pl.6.30"></a><var>6.30</var>subdivision 2
         </statute_ref>, to provide day training and habilitation services.<br />
         		<a id="pl.6.31"></a><var>6.31</var>(b) Day training and habilitation services reimbursable under this section do not include
         <br />
         		<a id="pl.6.32"></a><var>6.32</var>special education and related services as defined in the Education of the Individuals
         with <br />
         		<a id="pl.7.1"></a><var>7.1</var>Disabilities Act, United States Code, title 20, chapter 33, section 1401, clauses
         (6) and (17), <br />
         		<a id="pl.7.2"></a><var>7.2</var>or vocational services funded under section 110 of the Rehabilitation Act of 1973,
         United <br />
         		<a id="pl.7.3"></a><var>7.3</var>States Code, title 29, section 720, as amended.<br />
         		<a id="pl.7.4"></a><var>7.4</var>(c) Day training and habilitation services do not include employment exploration,
         <br />
         		<a id="pl.7.5"></a><var>7.5</var>employment development, or employment support services as defined in the home and
         <br />
         		<a id="pl.7.6"></a><var>7.6</var>community-based services waivers for people with disabilities authorized under sections
         <br />
         		<a id="pl.7.7"></a><var>7.7</var>256B.092 and 256B.49.<br />
         		 <a id="pl.7.8"></a><var>7.8</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.7.9"></a><var>7.9</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.4.0"></a><a id="pl.7.10"></a><var>7.10</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[256.477] SELF-ADVOCACY GRANTS.</b><br />
         		<a id="pl.7.11"></a><var>7.11</var>(a) The commissioner shall make available a grant for the purposes of establishing
         and <br />
         		<a id="pl.7.12"></a><var>7.12</var>maintaining a statewide self-advocacy network for persons with intellectual and <br />
         		<a id="pl.7.13"></a><var>7.13</var>developmental disabilities. The self-advocacy network shall:<br />
         		<a id="pl.7.14"></a><var>7.14</var>(1) ensure that persons with intellectual and developmental disabilities are informed
         of <br />
         		<a id="pl.7.15"></a><var>7.15</var>their rights in employment, housing, transportation, voting, government policy, and
         other <br />
         		<a id="pl.7.16"></a><var>7.16</var>issues pertinent to the intellectual and developmental disability community;<br />
         		<a id="pl.7.17"></a><var>7.17</var>(2) provide public education and awareness of the civil and human rights issues persons
         <br />
         		<a id="pl.7.18"></a><var>7.18</var>with intellectual and developmental disabilities face;<br />
         		<a id="pl.7.19"></a><var>7.19</var>(3) provide funds, technical assistance, and other resources for self-advocacy groups
         <br />
         		<a id="pl.7.20"></a><var>7.20</var>across the state; and<br />
         		<a id="pl.7.21"></a><var>7.21</var>(4) organize systems of communications to facilitate an exchange of information between
         <br />
         		<a id="pl.7.22"></a><var>7.22</var>self-advocacy groups.<br />
         		<a id="pl.7.23"></a><var>7.23</var>(b) An organization receiving a grant under paragraph (a) must be an organization
         <br />
         		<a id="pl.7.24"></a><var>7.24</var>governed by people with intellectual and developmental disabilities that administers
         a <br />
         		<a id="pl.7.25"></a><var>7.25</var>statewide network of disability groups in order to maintain and promote self-advocacy
         <br />
         		<a id="pl.7.26"></a><var>7.26</var>services and supports for persons with intellectual and developmental disabilities
         throughout <br />
         		<a id="pl.7.27"></a><var>7.27</var>the state.<br />
         		 <br />
         		<a id="bill.1.5.0"></a><a id="pl.7.28"></a><var>7.28</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 256B.0625, subdivision 6a, is amended to read:<br />
         		<a id="pl.7.29"></a><var>7.29</var>&#160;&#160;&#160;&#160;Subd. 6a. <b>Home health services.</b> Home health services are those services specified in <br />
         		<a id="pl.7.30"></a><var>7.30</var>Minnesota Rules, part 9505.0295 and sections 
         <statute_ref>256B.0651</statute_ref> and 
         <statute_ref>256B.0653</statute_ref>. Medical assistance <br />
         		<a id="pl.7.31"></a><var>7.31</var>covers home health services at a recipient's home residence or in the community where <br />
         		<a id="pl.8.1"></a><var>8.1</var>normal life activities take the recipient. Medical assistance does not cover home health <br />
         		<a id="pl.8.2"></a><var>8.2</var>services for residents of a hospital, nursing facility, or intermediate care facility,
         unless the <br />
         		<a id="pl.8.3"></a><var>8.3</var>commissioner of human services has authorized skilled nurse visits for less than 90
         days <br />
         		<a id="pl.8.4"></a><var>8.4</var>for a resident at an intermediate care facility for persons with developmental disabilities,
         <br />
         		<a id="pl.8.5"></a><var>8.5</var>to prevent an admission to a hospital or nursing facility or unless a resident who
         is otherwise <br />
         		<a id="pl.8.6"></a><var>8.6</var>eligible is on leave from the facility and the facility either pays for the home health
         services <br />
         		<a id="pl.8.7"></a><var>8.7</var>or forgoes the facility per diem for the leave days that home health services are
         used. Home <br />
         		<a id="pl.8.8"></a><var>8.8</var>health services must be provided by a Medicare certified home health agency. All nursing
         <br />
         		<a id="pl.8.9"></a><var>8.9</var>and home health aide services must be provided according to sections 
         <statute_ref>256B.0651</statute_ref> to <br />
         		
         <statute_ref><a id="pl.8.10"></a><var>8.10</var>256B.0653
         </statute_ref>.<br />
         		<br />
         		<a id="bill.1.6.0"></a><a id="pl.8.11"></a><var>8.11</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 256B.0625, subdivision 31, is amended to read:<br />
         		<a id="pl.8.12"></a><var>8.12</var>&#160;&#160;&#160;&#160;Subd. 31. <b>Medical supplies and equipment.</b> (a) Medical assistance covers medical <br />
         		<a id="pl.8.13"></a><var>8.13</var>supplies and equipment. Separate payment outside of the facility's payment rate shall
         be <br />
         		<a id="pl.8.14"></a><var>8.14</var>made for wheelchairs and wheelchair accessories for recipients who are residents of
         <br />
         		<a id="pl.8.15"></a><var>8.15</var>intermediate care facilities for the developmentally disabled. Reimbursement for wheelchairs
         <br />
         		<a id="pl.8.16"></a><var>8.16</var>and wheelchair accessories for ICF/DD recipients shall be subject to the same conditions
         <br />
         		<a id="pl.8.17"></a><var>8.17</var>and limitations as coverage for recipients who do not reside in institutions. A wheelchair
         <br />
         		<a id="pl.8.18"></a><var>8.18</var>purchased outside of the facility's payment rate is the property of the recipient.<br />
         		<a id="pl.8.19"></a><var>8.19</var>(b) Vendors of durable medical equipment, prosthetics, orthotics, or medical supplies
         <br />
         		<a id="pl.8.20"></a><var>8.20</var>must enroll as a Medicare provider.<br />
         		<a id="pl.8.21"></a><var>8.21</var>(c) When necessary to ensure access to durable medical equipment, prosthetics, orthotics,
         <br />
         		<a id="pl.8.22"></a><var>8.22</var>or medical supplies, the commissioner may exempt a vendor from the Medicare enrollment
         <br />
         		<a id="pl.8.23"></a><var>8.23</var>requirement if:<br />
         		<a id="pl.8.24"></a><var>8.24</var>(1) the vendor supplies only one type of durable medical equipment, prosthetic, orthotic,
         <br />
         		<a id="pl.8.25"></a><var>8.25</var>or medical supply;<br />
         		<a id="pl.8.26"></a><var>8.26</var>(2) the vendor serves ten or fewer medical assistance recipients per year;<br />
         		<a id="pl.8.27"></a><var>8.27</var>(3) the commissioner finds that other vendors are not available to provide same or
         similar <br />
         		<a id="pl.8.28"></a><var>8.28</var>durable medical equipment, prosthetics, orthotics, or medical supplies; and<br />
         		<a id="pl.8.29"></a><var>8.29</var>(4) the vendor complies with all screening requirements in this chapter and Code of
         <br />
         		<a id="pl.8.30"></a><var>8.30</var>Federal Regulations, title 42, part 455. The commissioner may also exempt a vendor
         from <br />
         		<a id="pl.8.31"></a><var>8.31</var>the Medicare enrollment requirement if the vendor is accredited by a Centers for Medicare
         <br />
         		<a id="pl.8.32"></a><var>8.32</var>and Medicaid Services approved national accreditation organization as complying with
         the <br />
         		<a id="pl.9.1"></a><var>9.1</var>Medicare program's supplier and quality standards and the vendor serves primarily
         pediatric <br />
         		<a id="pl.9.2"></a><var>9.2</var>patients.<br />
         		<a id="pl.9.3"></a><var>9.3</var>(d) Durable medical equipment means a device or equipment that:<br />
         		<a id="pl.9.4"></a><var>9.4</var>(1) can withstand repeated use;<br />
         		<a id="pl.9.5"></a><var>9.5</var>(2) is generally not useful in the absence of an illness, injury, or disability; and<br />
         		<a id="pl.9.6"></a><var>9.6</var>(3) is provided to correct or accommodate a physiological disorder or physical condition
         <br />
         		<a id="pl.9.7"></a><var>9.7</var>or is generally used primarily for a medical purpose.<br />
         		<a id="pl.9.8"></a><var>9.8</var>(e) Electronic tablets may be considered durable medical equipment if the electronic
         <br />
         		<a id="pl.9.9"></a><var>9.9</var>tablet will be used as an augmentative and alternative communication system as defined
         <br />
         		<a id="pl.9.10"></a><var>9.10</var>under subdivision 31a, paragraph (a). To be covered by medical assistance, the device
         must <br />
         		<a id="pl.9.11"></a><var>9.11</var>be locked in order to prevent use not related to communication.<br />
         		<a id="pl.9.12"></a><var>9.12</var>(f) Notwithstanding the requirement in paragraph (e) that an electronic tablet must
         be <br />
         		<a id="pl.9.13"></a><var>9.13</var>locked to prevent use not as an augmentative communication device, a recipient of
         waiver <br />
         		<a id="pl.9.14"></a><var>9.14</var>services may use an electronic tablet for a use not related to communication when
         the <br />
         		<a id="pl.9.15"></a><var>9.15</var>recipient has been authorized under the waiver to receive one or more additional applications
         <br />
         		<a id="pl.9.16"></a><var>9.16</var>that can be loaded onto the electronic tablet, such that allowing the additional use
         prevents <br />
         		<a id="pl.9.17"></a><var>9.17</var>the purchase of a separate electronic tablet with waiver funds.<br />
         		<a id="pl.9.18"></a><var>9.18</var>(g) An order or prescription for medical supplies, equipment, or appliances must meet
         <br />
         		<a id="pl.9.19"></a><var>9.19</var>the requirements in Code of Federal Regulations, title 42, part 470.<br />
         		<br />
         		<a id="bill.1.7.0"></a><a id="pl.9.20"></a><var>9.20</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 256B.0653, subdivision 2, is amended to read:<br />
         		<a id="pl.9.21"></a><var>9.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For the purposes of this section, the following terms have the <br />
         		<a id="pl.9.22"></a><var>9.22</var>meanings given.<br />
         		<a id="pl.9.23"></a><var>9.23</var>(a) "Assessment" means an evaluation of the recipient's medical need for home health
         <br />
         		<a id="pl.9.24"></a><var>9.24</var>agency services by a registered nurse or appropriate therapist that is conducted within
         30 <br />
         		<a id="pl.9.25"></a><var>9.25</var>days of a request.<br />
         		<a id="pl.9.26"></a><var>9.26</var>(b) "Home care therapies" means occupational, physical, and respiratory therapy and
         <br />
         		<a id="pl.9.27"></a><var>9.27</var>speech-language pathology services provided in the home by a Medicare certified home
         <br />
         		<a id="pl.9.28"></a><var>9.28</var>health agency.<br />
         		<a id="pl.9.29"></a><var>9.29</var>(c) "Home health agency services" means services delivered in the recipient's home <br />
         		<a id="pl.9.30"></a><var>9.30</var>residence, except as specified in section 
         <statute_ref>256B.0625</statute_ref>, by a home health agency to a recipient <br />
         		<a id="pl.9.31"></a><var>9.31</var>with medical needs due to illness, disability, or physical conditions in settings permitted <br />
         		<a id="pl.9.32"></a><var>9.32</var>under section 256B.0625, subdivision 6a.<br />
         		<a id="pl.10.1"></a><var>10.1</var>(d) "Home health aide" means an employee of a home health agency who completes <br />
         		<a id="pl.10.2"></a><var>10.2</var>medically oriented tasks written in the plan of care for a recipient.<br />
         		<a id="pl.10.3"></a><var>10.3</var>(e) "Home health agency" means a home care provider agency that is Medicare-certified.<br />
         		<a id="pl.10.4"></a><var>10.4</var>(f) "Occupational therapy services" mean the services defined in Minnesota Rules,
         part <br />
         		<a id="pl.10.5"></a><var>10.5</var>9505.0390.<br />
         		<a id="pl.10.6"></a><var>10.6</var>(g) "Physical therapy services" mean the services defined in Minnesota Rules, part
         <br />
         		<a id="pl.10.7"></a><var>10.7</var>9505.0390.<br />
         		<a id="pl.10.8"></a><var>10.8</var>(h) "Respiratory therapy services" mean the services defined in chapter 147C.<br />
         		<a id="pl.10.9"></a><var>10.9</var>(i) "Speech-language pathology services" mean the services defined in Minnesota Rules,
         <br />
         		<a id="pl.10.10"></a><var>10.10</var>part 9505.0390.<br />
         		<a id="pl.10.11"></a><var>10.11</var>(j) "Skilled nurse visit" means a professional nursing visit to complete nursing tasks
         <br />
         		<a id="pl.10.12"></a><var>10.12</var>required due to a recipient's medical condition that can only be safely provided by
         a <br />
         		<a id="pl.10.13"></a><var>10.13</var>professional nurse to restore and maintain optimal health.<br />
         		<a id="pl.10.14"></a><var>10.14</var>(k) "Store-and-forward technology" means telehomecare services that do not occur in
         <br />
         		<a id="pl.10.15"></a><var>10.15</var>real time via synchronous transmissions such as diabetic and vital sign monitoring.<br />
         		<a id="pl.10.16"></a><var>10.16</var>(l) "Telehomecare" means the use of telecommunications technology via live, two-way
         <br />
         		<a id="pl.10.17"></a><var>10.17</var>interactive audiovisual technology which may be augmented by store-and-forward <br />
         		<a id="pl.10.18"></a><var>10.18</var>technology.<br />
         		<a id="pl.10.19"></a><var>10.19</var>(m) "Telehomecare skilled nurse visit" means a visit by a professional nurse to deliver
         <br />
         		<a id="pl.10.20"></a><var>10.20</var>a skilled nurse visit to a recipient located at a site other than the site where the
         nurse is <br />
         		<a id="pl.10.21"></a><var>10.21</var>located and is used in combination with face-to-face skilled nurse visits to adequately
         meet <br />
         		<a id="pl.10.22"></a><var>10.22</var>the recipient's needs.<br />
         		<br />
         		<a id="bill.1.8.0"></a><a id="pl.10.23"></a><var>10.23</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 256B.0653, subdivision 3, is amended to read:<br />
         		<a id="pl.10.24"></a><var>10.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Home health aide visits.</b> (a) Home health aide visits must be provided by a <br />
         		<a id="pl.10.25"></a><var>10.25</var>certified home health aide using a written plan of care that is updated in compliance
         with <br />
         		<a id="pl.10.26"></a><var>10.26</var>Medicare regulations. A home health aide shall provide hands-on personal care, perform
         <br />
         		<a id="pl.10.27"></a><var>10.27</var>simple procedures as an extension of therapy or nursing services, and assist in instrumental
         <br />
         		<a id="pl.10.28"></a><var>10.28</var>activities of daily living as defined in section 
         <statute_ref>256B.0659</statute_ref>, including assuring that the person <br />
         		<a id="pl.10.29"></a><var>10.29</var>gets to medical appointments if identified in the written plan of care. Home health
         aide <br />
         		<a id="pl.10.30"></a><var>10.30</var>visits must may be provided in the recipient's home or in the community where normal life <br />
         		<a id="pl.10.31"></a><var>10.31</var>activities take the recipient.<br />
         		<a id="pl.11.1"></a><var>11.1</var>&#160;&#160;&#160;&#160;(b) All home health aide visits must have authorization under section 
         <statute_ref>256B.0652</statute_ref>. The <br />
         		<a id="pl.11.2"></a><var>11.2</var>commissioner shall limit home health aide visits to no more than one visit per day
         per <br />
         		<a id="pl.11.3"></a><var>11.3</var>recipient.<br />
         		<a id="pl.11.4"></a><var>11.4</var>&#160;&#160;&#160;&#160;(c) Home health aides must be supervised by a registered nurse or an appropriate therapist
         <br />
         		<a id="pl.11.5"></a><var>11.5</var>when providing services that are an extension of therapy.<br />
         		<br />
         		<a id="bill.1.9.0"></a><a id="pl.11.6"></a><var>11.6</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 256B.0653, subdivision 4, is amended to read:<br />
         		<a id="pl.11.7"></a><var>11.7</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Skilled nurse visit services.</b> (a) Skilled nurse visit services must be provided <br />
         		<a id="pl.11.8"></a><var>11.8</var>by a registered nurse or a licensed practical nurse under the supervision of a registered
         nurse, <br />
         		<a id="pl.11.9"></a><var>11.9</var>according to the written plan of care and accepted standards of medical and nursing
         practice <br />
         		<a id="pl.11.10"></a><var>11.10</var>according to chapter 148. Skilled nurse visit services must be ordered by a physician
         and <br />
         		<a id="pl.11.11"></a><var>11.11</var>documented in a plan of care that is reviewed and approved by the ordering physician
         at <br />
         		<a id="pl.11.12"></a><var>11.12</var>least once every 60 days. All skilled nurse visits must be medically necessary and
         provided <br />
         		<a id="pl.11.13"></a><var>11.13</var>in the recipient's home residence or in the community where normal life activities take the <br />
         		<a id="pl.11.14"></a><var>11.14</var>recipient, except as allowed under section 
         <statute_ref>256B.0625, subdivision 6a</statute_ref>.<br />
         		<a id="pl.11.15"></a><var>11.15</var>(b) Skilled nurse visits include face-to-face and telehomecare visits with a limit
         of up <br />
         		<a id="pl.11.16"></a><var>11.16</var>to two visits per day per recipient. All visits must be based on assessed needs.<br />
         		<a id="pl.11.17"></a><var>11.17</var>(c) Telehomecare skilled nurse visits are allowed when the recipient's health status
         can <br />
         		<a id="pl.11.18"></a><var>11.18</var>be accurately measured and assessed without a need for a face-to-face, hands-on encounter.
         <br />
         		<a id="pl.11.19"></a><var>11.19</var>All telehomecare skilled nurse visits must have authorization and are paid at the
         same <br />
         		<a id="pl.11.20"></a><var>11.20</var>allowable rates as face-to-face skilled nurse visits.<br />
         		<a id="pl.11.21"></a><var>11.21</var>(d) The provision of telehomecare must be made via live, two-way interactive audiovisual
         <br />
         		<a id="pl.11.22"></a><var>11.22</var>technology and may be augmented by utilizing store-and-forward technologies. Individually
         <br />
         		<a id="pl.11.23"></a><var>11.23</var>identifiable patient data obtained through real-time or store-and-forward technology
         must <br />
         		<a id="pl.11.24"></a><var>11.24</var>be maintained as health records according to sections 
         <statute_ref>144.291</statute_ref> to 
         <statute_ref>144.298</statute_ref>. If the video is <br />
         		<a id="pl.11.25"></a><var>11.25</var>used for research, training, or other purposes unrelated to the care of the patient,
         the identity <br />
         		<a id="pl.11.26"></a><var>11.26</var>of the patient must be concealed.<br />
         		<a id="pl.11.27"></a><var>11.27</var>(e) Authorization for skilled nurse visits must be completed under section 
         <statute_ref>256B.0652</statute_ref>. <br />
         		<a id="pl.11.28"></a><var>11.28</var>A total of nine face-to-face skilled nurse visits per calendar year do not require
         authorization. <br />
         		<a id="pl.11.29"></a><var>11.29</var>All telehomecare skilled nurse visits require authorization.<br />
         		<br />
         		<a id="bill.1.10.0"></a><a id="pl.12.1"></a><var>12.1</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 256B.0653, subdivision 5, is amended to read:<br />
         		<a id="pl.12.2"></a><var>12.2</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Home care therapies.</b> (a) Home care therapies include the following: physical <br />
         		<a id="pl.12.3"></a><var>12.3</var>therapy, occupational therapy, respiratory therapy, and speech and language pathology
         <br />
         		<a id="pl.12.4"></a><var>12.4</var>therapy services.<br />
         		<a id="pl.12.5"></a><var>12.5</var>(b) Home care therapies must be:<br />
         		<a id="pl.12.6"></a><var>12.6</var>(1) provided in the recipient's residence or in the community where normal life activities <br />
         		<a id="pl.12.7"></a><var>12.7</var>take the recipient after it has been determined the recipient is unable to access outpatient <br />
         		<a id="pl.12.8"></a><var>12.8</var>therapy;<br />
         		<a id="pl.12.9"></a><var>12.9</var>(2) prescribed, ordered, or referred by a physician and documented in a plan of care
         and <br />
         		<a id="pl.12.10"></a><var>12.10</var>reviewed, according to Minnesota Rules, part 9505.0390;<br />
         		<a id="pl.12.11"></a><var>12.11</var>(3) assessed by an appropriate therapist; and<br />
         		<a id="pl.12.12"></a><var>12.12</var>(4) provided by a Medicare-certified home health agency enrolled as a Medicaid provider
         <br />
         		<a id="pl.12.13"></a><var>12.13</var>agency.<br />
         		<a id="pl.12.14"></a><var>12.14</var>(c) Restorative and specialized maintenance therapies must be provided according to
         <br />
         		<a id="pl.12.15"></a><var>12.15</var>Minnesota Rules, part 9505.0390. Physical and occupational therapy assistants may be used <br />
         		<a id="pl.12.16"></a><var>12.16</var>as allowed under Minnesota Rules, part 9505.0390, subpart 1, item B.<br />
         		<a id="pl.12.17"></a><var>12.17</var>(d) For both physical and occupational therapies, the therapist and the therapist's
         assistant <br />
         		<a id="pl.12.18"></a><var>12.18</var>may not both bill for services provided to a recipient on the same day.<br />
         		<br />
         		<a id="bill.1.11.0"></a><a id="pl.12.19"></a><var>12.19</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 256B.0653, subdivision 6, is amended to read:<br />
         		<a id="pl.12.20"></a><var>12.20</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Noncovered home health agency services.</b> The following are not eligible for <br />
         		<a id="pl.12.21"></a><var>12.21</var>payment under medical assistance as a home health agency service:<br />
         		<a id="pl.12.22"></a><var>12.22</var>(1) telehomecare skilled nurses services that is communication between the home care
         <br />
         		<a id="pl.12.23"></a><var>12.23</var>nurse and recipient that consists solely of a telephone conversation, facsimile, electronic
         <br />
         		<a id="pl.12.24"></a><var>12.24</var>mail, or a consultation between two health care practitioners;<br />
         		<a id="pl.12.25"></a><var>12.25</var>(2) the following skilled nurse visits:<br />
         		<a id="pl.12.26"></a><var>12.26</var>(i) for the purpose of monitoring medication compliance with an established medication
         <br />
         		<a id="pl.12.27"></a><var>12.27</var>program for a recipient;<br />
         		<a id="pl.12.28"></a><var>12.28</var>(ii) administering or assisting with medication administration, including injections,
         <br />
         		<a id="pl.12.29"></a><var>12.29</var>prefilling syringes for injections, or oral medication setup of an adult recipient,
         when, as <br />
         		<a id="pl.12.30"></a><var>12.30</var>determined and documented by the registered nurse, the need can be met by an available
         <br />
         		<a id="pl.13.1"></a><var>13.1</var>pharmacy or the recipient or a family member is physically and mentally able to <br />
         		<a id="pl.13.2"></a><var>13.2</var>self-administer or prefill a medication;<br />
         		<a id="pl.13.3"></a><var>13.3</var>(iii) services done for the sole purpose of supervision of the home health aide or
         personal <br />
         		<a id="pl.13.4"></a><var>13.4</var>care assistant;<br />
         		<a id="pl.13.5"></a><var>13.5</var>(iv) services done for the sole purpose to train other home health agency workers;<br />
         		<a id="pl.13.6"></a><var>13.6</var>(v) services done for the sole purpose of blood samples or lab draw when the recipient
         <br />
         		<a id="pl.13.7"></a><var>13.7</var>is able to access these services outside the home; and<br />
         		<a id="pl.13.8"></a><var>13.8</var>(vi) Medicare evaluation or administrative nursing visits required by Medicare;<br />
         		<a id="pl.13.9"></a><var>13.9</var>(3) home health aide visits when the following activities are the sole purpose for
         the <br />
         		<a id="pl.13.10"></a><var>13.10</var>visit: companionship, socialization, household tasks, transportation, and education;
         and<br />
         		<a id="pl.13.11"></a><var>13.11</var>(4) home care therapies provided in other settings such as a clinic, day program, or as <br />
         		<a id="pl.13.12"></a><var>13.12</var>an inpatient or when the recipient can access therapy outside of the recipient's residence; <br />
         		<a id="pl.13.13"></a><var>13.13</var>and<br />
         		<a id="pl.13.14"></a><var>13.14</var>(5) home health agency services without qualifying documentation of a face-to-face
         <br />
         		<a id="pl.13.15"></a><var>13.15</var>encounter as specified in subdivision 7.<br />
         		<br />
         		<a id="bill.1.12.0"></a><a id="pl.13.16"></a><var>13.16</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 256B.0653, is amended by adding a subdivision <br />
         		<a id="pl.13.17"></a><var>13.17</var>to read:<br />
         		<a id="pl.13.18"></a><var>13.18</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Face-to-face encounter.</b> (a) A face-to-face encounter by a qualifying provider <br />
         		<a id="pl.13.19"></a><var>13.19</var>must be completed for all home health services regardless of the need for prior authorization,
         <br />
         		<a id="pl.13.20"></a><var>13.20</var>except when providing a onetime perinatal visit by skilled nursing. The face-to-face
         encounter <br />
         		<a id="pl.13.21"></a><var>13.21</var>may occur through telemedicine as defined in section 256B.0625, subdivision 3b. The
         <br />
         		<a id="pl.13.22"></a><var>13.22</var>encounter must be related to the primary reason the recipient requires home health
         services <br />
         		<a id="pl.13.23"></a><var>13.23</var>and must occur within the 90 days before or the 30 days after the start of services.
         The <br />
         		<a id="pl.13.24"></a><var>13.24</var>face-to-face encounter may be conducted by one of the following practitioners, licensed
         in <br />
         		<a id="pl.13.25"></a><var>13.25</var>Minnesota:<br />
         		<a id="pl.13.26"></a><var>13.26</var>(1) a physician;<br />
         		<a id="pl.13.27"></a><var>13.27</var>(2) a nurse practitioner or clinical nurse specialist;<br />
         		<a id="pl.13.28"></a><var>13.28</var>(3) a certified nurse midwife; or<br />
         		<a id="pl.13.29"></a><var>13.29</var>(4) a physician assistant.<br />
         		<a id="pl.13.30"></a><var>13.30</var>(b) The allowed nonphysician practitioner, as described in this subdivision, performing
         <br />
         		<a id="pl.13.31"></a><var>13.31</var>the face-to-face encounter must communicate the clinical findings of that face-to-face
         <br />
         		<a id="pl.14.1"></a><var>14.1</var>encounter to the ordering physician. Those clinical findings must be incorporated
         into a <br />
         		<a id="pl.14.2"></a><var>14.2</var>written or electronic document included in the recipient's medical record. To assure
         clinical <br />
         		<a id="pl.14.3"></a><var>14.3</var>correlation between the face-to-face encounter and the associated home health services,
         the <br />
         		<a id="pl.14.4"></a><var>14.4</var>physician responsible for ordering the services must:<br />
         		<a id="pl.14.5"></a><var>14.5</var>(1) document that the face-to-face encounter, which is related to the primary reason
         the <br />
         		<a id="pl.14.6"></a><var>14.6</var>recipient requires home health services, occurred within the required time period;
         and<br />
         		<a id="pl.14.7"></a><var>14.7</var>(2) indicate the practitioner who conducted the encounter and the date of the encounter.<br />
         		<a id="pl.14.8"></a><var>14.8</var>(c) For home health services requiring authorization, including prior authorization,
         home <br />
         		<a id="pl.14.9"></a><var>14.9</var>health agencies must retain the qualifying documentation of a face-to-face encounter
         as part <br />
         		<a id="pl.14.10"></a><var>14.10</var>of the recipient health service record, and submit the qualifying documentation to
         the <br />
         		<a id="pl.14.11"></a><var>14.11</var>commissioner or the commissioner's designee upon request.<br />
         		<br />
         		<a id="bill.1.13.0"></a><a id="pl.14.12"></a><var>14.12</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 256B.0659, subdivision 1, is amended to read:<br />
         		<a id="pl.14.13"></a><var>14.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For the purposes of this section, the terms defined in <br />
         		<a id="pl.14.14"></a><var>14.14</var>paragraphs (b) to (r) (s) have the meanings given unless otherwise provided in text.<br />
         		<a id="pl.14.15"></a><var>14.15</var>&#160;&#160;&#160;&#160;(b) "Activities of daily living" means grooming, dressing, bathing, transferring,
         mobility, <br />
         		<a id="pl.14.16"></a><var>14.16</var>positioning, eating, and toileting.<br />
         		<a id="pl.14.17"></a><var>14.17</var>&#160;&#160;&#160;&#160;(c) "Behavior," effective January 1, 2010, means a category to determine the home
         care <br />
         		<a id="pl.14.18"></a><var>14.18</var>rating and is based on the criteria found in this section. "Level I behavior" means
         physical <br />
         		<a id="pl.14.19"></a><var>14.19</var>aggression towards self, others, or destruction of property that requires the immediate
         <br />
         		<a id="pl.14.20"></a><var>14.20</var>response of another person.<br />
         		<a id="pl.14.21"></a><var>14.21</var>&#160;&#160;&#160;&#160;(d) "Complex health-related needs," effective January 1, 2010, means a category to
         <br />
         		<a id="pl.14.22"></a><var>14.22</var>determine the home care rating and is based on the criteria found in this section.<br />
         		<a id="pl.14.23"></a><var>14.23</var>(e) "Complex personal care assistance services" means personal care assistance services:<br />
         		<a id="pl.14.24"></a><var>14.24</var>(1) for a person who qualifies for ten hours or more of personal care assistance services
         <br />
         		<a id="pl.14.25"></a><var>14.25</var>per day; and<br />
         		<a id="pl.14.26"></a><var>14.26</var>(2) provided by a personal care assistant who is qualified to provide complex personal
         <br />
         		<a id="pl.14.27"></a><var>14.27</var>assistance services under subdivision 11, paragraph (d).<br />
         		 <a id="pl.14.28"></a><var>14.28</var>&#160;&#160;&#160;&#160;(e) (f) "Critical activities of daily living," effective January 1, 2010, means transferring,
         <br />
         		<a id="pl.14.29"></a><var>14.29</var>mobility, eating, and toileting.<br />
         		<a id="pl.14.30"></a><var>14.30</var>&#160;&#160;&#160;&#160;(f) (g) "Dependency in activities of daily living" means a person requires assistance to
         <br />
         		<a id="pl.14.31"></a><var>14.31</var>begin and complete one or more of the activities of daily living.<br />
         		<a id="pl.15.1"></a><var>15.1</var>&#160;&#160;&#160;&#160;(g) (h) "Extended personal care assistance service" means personal care assistance <br />
         		<a id="pl.15.2"></a><var>15.2</var>services included in a service plan under one of the home and community-based services
         <br />
         		<a id="pl.15.3"></a><var>15.3</var>waivers authorized under sections 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092, subdivision 5</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, which <br />
         		<a id="pl.15.4"></a><var>15.4</var>exceed the amount, duration, and frequency of the state plan personal care assistance
         services <br />
         		<a id="pl.15.5"></a><var>15.5</var>for participants who:<br />
         		<a id="pl.15.6"></a><var>15.6</var>&#160;&#160;&#160;&#160;(1) need assistance provided periodically during a week, but less than daily will
         not be <br />
         		<a id="pl.15.7"></a><var>15.7</var>able to remain in their homes without the assistance, and other replacement services
         are <br />
         		<a id="pl.15.8"></a><var>15.8</var>more expensive or are not available when personal care assistance services are to
         be reduced; <br />
         		<a id="pl.15.9"></a><var>15.9</var>or<br />
         		<a id="pl.15.10"></a><var>15.10</var>&#160;&#160;&#160;&#160;(2) need additional personal care assistance services beyond the amount authorized
         by <br />
         		<a id="pl.15.11"></a><var>15.11</var>the state plan personal care assistance assessment in order to ensure that their safety,
         health, <br />
         		<a id="pl.15.12"></a><var>15.12</var>and welfare are provided for in their homes.<br />
         		<a id="pl.15.13"></a><var>15.13</var>&#160;&#160;&#160;&#160;(h) (i) "Health-related procedures and tasks" means procedures and tasks that can be <br />
         		<a id="pl.15.14"></a><var>15.14</var>delegated or assigned by a licensed health care professional under state law to be
         performed <br />
         		<a id="pl.15.15"></a><var>15.15</var>by a personal care assistant.<br />
         		<a id="pl.15.16"></a><var>15.16</var>&#160;&#160;&#160;&#160;(i) (j) "Instrumental activities of daily living" means activities to include meal planning
         <br />
         		<a id="pl.15.17"></a><var>15.17</var>and preparation; basic assistance with paying bills; shopping for food, clothing,
         and other <br />
         		<a id="pl.15.18"></a><var>15.18</var>essential items; performing household tasks integral to the personal care assistance
         services; <br />
         		<a id="pl.15.19"></a><var>15.19</var>communication by telephone and other media; and traveling, including to medical <br />
         		<a id="pl.15.20"></a><var>15.20</var>appointments and to participate in the community.<br />
         		<a id="pl.15.21"></a><var>15.21</var>&#160;&#160;&#160;&#160;(j) (k) "Managing employee" has the same definition as Code of Federal Regulations, <br />
         		<a id="pl.15.22"></a><var>15.22</var>title 42, section 455.<br />
         		<a id="pl.15.23"></a><var>15.23</var>&#160;&#160;&#160;&#160;(k) (l) "Qualified professional" means a professional providing supervision of personal <br />
         		<a id="pl.15.24"></a><var>15.24</var>care assistance services and staff as defined in section 
         <statute_ref>256B.0625, subdivision 19c</statute_ref>.<br />
         		<a id="pl.15.25"></a><var>15.25</var>&#160;&#160;&#160;&#160;(l) (m) "Personal care assistance provider agency" means a medical assistance enrolled <br />
         		<a id="pl.15.26"></a><var>15.26</var>provider that provides or assists with providing personal care assistance services
         and includes <br />
         		<a id="pl.15.27"></a><var>15.27</var>a personal care assistance provider organization, personal care assistance choice
         agency, <br />
         		<a id="pl.15.28"></a><var>15.28</var>class A licensed nursing agency, and Medicare-certified home health agency.<br />
         		<a id="pl.15.29"></a><var>15.29</var>&#160;&#160;&#160;&#160;(m) (n) "Personal care assistant" or "PCA" means an individual employed by a personal <br />
         		<a id="pl.15.30"></a><var>15.30</var>care assistance agency who provides personal care assistance services.<br />
         		<a id="pl.15.31"></a><var>15.31</var>&#160;&#160;&#160;&#160;(n) (o) "Personal care assistance care plan" means a written description of personal care
         <br />
         		<a id="pl.15.32"></a><var>15.32</var>assistance services developed by the personal care assistance provider according to
         the <br />
         		<a id="pl.15.33"></a><var>15.33</var>service plan.<br />
         		<a id="pl.16.1"></a><var>16.1</var>&#160;&#160;&#160;&#160;(o) (p) "Responsible party" means an individual who is capable of providing the support <br />
         		<a id="pl.16.2"></a><var>16.2</var>necessary to assist the recipient to live in the community.<br />
         		<a id="pl.16.3"></a><var>16.3</var>&#160;&#160;&#160;&#160;(p) (q) "Self-administered medication" means medication taken orally, by injection, <br />
         		<a id="pl.16.4"></a><var>16.4</var>nebulizer, or insertion, or applied topically without the need for assistance.<br />
         		<a id="pl.16.5"></a><var>16.5</var>&#160;&#160;&#160;&#160;(q) (r) "Service plan" means a written summary of the assessment and description of the <br />
         		<a id="pl.16.6"></a><var>16.6</var>services needed by the recipient.<br />
         		<a id="pl.16.7"></a><var>16.7</var>&#160;&#160;&#160;&#160;(r) (s) "Wages and benefits" means wages and salaries, the employer's share of FICA <br />
         		<a id="pl.16.8"></a><var>16.8</var>taxes, Medicare taxes, state and federal unemployment taxes, workers' compensation,
         mileage <br />
         		<a id="pl.16.9"></a><var>16.9</var>reimbursement, health and dental insurance, life insurance, disability insurance,
         long-term <br />
         		<a id="pl.16.10"></a><var>16.10</var>care insurance, uniform allowance, and contributions to employee retirement accounts.<br />
         		<a id="pl.16.11"></a><var>16.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2018.<br />
         		<br />
         		<a id="bill.1.14.0"></a><a id="pl.16.12"></a><var>16.12</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 256B.0659, subdivision 2, is amended to read:<br />
         		<a id="pl.16.13"></a><var>16.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Personal care assistance services; covered services.</b> (a) The personal care <br />
         		<a id="pl.16.14"></a><var>16.14</var>assistance services eligible for payment include services and supports furnished to
         an <br />
         		<a id="pl.16.15"></a><var>16.15</var>individual, as needed, to assist in:<br />
         		<a id="pl.16.16"></a><var>16.16</var>(1) activities of daily living;<br />
         		<a id="pl.16.17"></a><var>16.17</var>(2) health-related procedures and tasks;<br />
         		<a id="pl.16.18"></a><var>16.18</var>(3) observation and redirection of behaviors; and<br />
         		<a id="pl.16.19"></a><var>16.19</var>(4) instrumental activities of daily living.<br />
         		<a id="pl.16.20"></a><var>16.20</var>(b) Activities of daily living include the following covered services:<br />
         		<a id="pl.16.21"></a><var>16.21</var>(1) dressing, including assistance with choosing, application, and changing of clothing
         <br />
         		<a id="pl.16.22"></a><var>16.22</var>and application of special appliances, wraps, or clothing;<br />
         		<a id="pl.16.23"></a><var>16.23</var>(2) grooming, including assistance with basic hair care, oral care, shaving, applying
         <br />
         		<a id="pl.16.24"></a><var>16.24</var>cosmetics and deodorant, and care of eyeglasses and hearing aids. Nail care is included,
         <br />
         		<a id="pl.16.25"></a><var>16.25</var>except for recipients who are diabetic or have poor circulation;<br />
         		<a id="pl.16.26"></a><var>16.26</var>(3) bathing, including assistance with basic personal hygiene and skin care;<br />
         		<a id="pl.16.27"></a><var>16.27</var>(4) eating, including assistance with hand washing and application of orthotics required
         <br />
         		<a id="pl.16.28"></a><var>16.28</var>for eating, transfers, and feeding;<br />
         		<a id="pl.16.29"></a><var>16.29</var>(5) transfers, including assistance with transferring the recipient from one seating
         or <br />
         		<a id="pl.16.30"></a><var>16.30</var>reclining area to another;<br />
         		<a id="pl.17.1"></a><var>17.1</var>(6) mobility, including assistance with ambulation, including use of a wheelchair.
         <br />
         		<a id="pl.17.2"></a><var>17.2</var>Mobility does not include providing transportation for a recipient;<br />
         		<a id="pl.17.3"></a><var>17.3</var>(7) positioning, including assistance with positioning or turning a recipient for
         necessary <br />
         		<a id="pl.17.4"></a><var>17.4</var>care and comfort; and<br />
         		<a id="pl.17.5"></a><var>17.5</var>(8) toileting, including assistance with helping recipient with bowel or bladder elimination
         <br />
         		<a id="pl.17.6"></a><var>17.6</var>and care including transfers, mobility, positioning, feminine hygiene, use of toileting
         <br />
         		<a id="pl.17.7"></a><var>17.7</var>equipment or supplies, cleansing the perineal area, inspection of the skin, and adjusting
         <br />
         		<a id="pl.17.8"></a><var>17.8</var>clothing.<br />
         		<a id="pl.17.9"></a><var>17.9</var>(c) Health-related procedures and tasks include the following covered services:<br />
         		<a id="pl.17.10"></a><var>17.10</var>(1) range of motion and passive exercise to maintain a recipient's strength and muscle
         <br />
         		<a id="pl.17.11"></a><var>17.11</var>functioning;<br />
         		<a id="pl.17.12"></a><var>17.12</var>(2) assistance with self-administered medication as defined by this section, including
         <br />
         		<a id="pl.17.13"></a><var>17.13</var>reminders to take medication, bringing medication to the recipient, and assistance
         with <br />
         		<a id="pl.17.14"></a><var>17.14</var>opening medication under the direction of the recipient or responsible party, including
         <br />
         		<a id="pl.17.15"></a><var>17.15</var>medications given through a nebulizer;<br />
         		<a id="pl.17.16"></a><var>17.16</var>(3) interventions for seizure disorders, including monitoring and observation; and<br />
         		<a id="pl.17.17"></a><var>17.17</var>(4) other activities considered within the scope of the personal care service and
         meeting <br />
         		<a id="pl.17.18"></a><var>17.18</var>the definition of health-related procedures and tasks under this section.<br />
         		<a id="pl.17.19"></a><var>17.19</var>(d) A personal care assistant may provide health-related procedures and tasks associated
         <br />
         		<a id="pl.17.20"></a><var>17.20</var>with the complex health-related needs of a recipient if the procedures and tasks meet
         the <br />
         		<a id="pl.17.21"></a><var>17.21</var>definition of health-related procedures and tasks under this section and the personal
         care <br />
         		<a id="pl.17.22"></a><var>17.22</var>assistant is trained by a qualified professional and demonstrates competency to safely
         <br />
         		<a id="pl.17.23"></a><var>17.23</var>complete the procedures and tasks. Delegation of health-related procedures and tasks
         and <br />
         		<a id="pl.17.24"></a><var>17.24</var>all training must be documented in the personal care assistance care plan and the
         recipient's <br />
         		<a id="pl.17.25"></a><var>17.25</var>and personal care assistant's files. A personal care assistant must not determine
         the medication <br />
         		<a id="pl.17.26"></a><var>17.26</var>dose or time for medication.<br />
         		<a id="pl.17.27"></a><var>17.27</var>(e) Effective January 1, 2010, for a personal care assistant to provide the health-related
         <br />
         		<a id="pl.17.28"></a><var>17.28</var>procedures and tasks of tracheostomy suctioning and services to recipients on ventilator
         <br />
         		<a id="pl.17.29"></a><var>17.29</var>support there must be:<br />
         		<a id="pl.17.30"></a><var>17.30</var>(1) delegation and training by a registered nurse, certified or licensed respiratory
         therapist, <br />
         		<a id="pl.17.31"></a><var>17.31</var>or a physician;<br />
         		<a id="pl.17.32"></a><var>17.32</var>(2) utilization of clean rather than sterile procedure;<br />
         		<a id="pl.18.1"></a><var>18.1</var>(3) specialized training about the health-related procedures and tasks and equipment,
         <br />
         		<a id="pl.18.2"></a><var>18.2</var>including ventilator operation and maintenance;<br />
         		<a id="pl.18.3"></a><var>18.3</var>(4) individualized training regarding the needs of the recipient; and<br />
         		<a id="pl.18.4"></a><var>18.4</var>(5) supervision by a qualified professional who is a registered nurse.<br />
         		<a id="pl.18.5"></a><var>18.5</var>(f) Effective January 1, 2010, a personal care assistant may observe and redirect
         the <br />
         		<a id="pl.18.6"></a><var>18.6</var>recipient for episodes where there is a need for redirection due to behaviors. Training
         of <br />
         		<a id="pl.18.7"></a><var>18.7</var>the personal care assistant must occur based on the needs of the recipient, the personal
         care <br />
         		<a id="pl.18.8"></a><var>18.8</var>assistance care plan, and any other support services provided.<br />
         		<a id="pl.18.9"></a><var>18.9</var>(g) Instrumental activities of daily living under subdivision 1, paragraph (i) (j).<br />
         		<a id="pl.18.10"></a><var>18.10</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2018.<br />
         		<br />
         		<a id="bill.1.15.0"></a><a id="pl.18.11"></a><var>18.11</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 256B.0659, subdivision 11, is amended to read:<br />
         		<a id="pl.18.12"></a><var>18.12</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Personal care assistant; requirements.</b> (a) A personal care assistant must <br />
         		<a id="pl.18.13"></a><var>18.13</var>meet the following requirements:<br />
         		<a id="pl.18.14"></a><var>18.14</var>&#160;&#160;&#160;&#160;(1) be at least 18 years of age with the exception of persons who are 16 or 17 years
         of <br />
         		<a id="pl.18.15"></a><var>18.15</var>age with these additional requirements:<br />
         		<a id="pl.18.16"></a><var>18.16</var>&#160;&#160;&#160;&#160;(i) supervision by a qualified professional every 60 days; and<br />
         		<a id="pl.18.17"></a><var>18.17</var>&#160;&#160;&#160;&#160;(ii) employment by only one personal care assistance provider agency responsible for
         <br />
         		<a id="pl.18.18"></a><var>18.18</var>compliance with current labor laws;<br />
         		<a id="pl.18.19"></a><var>18.19</var>&#160;&#160;&#160;&#160;(2) be employed by a personal care assistance provider agency;<br />
         		<a id="pl.18.20"></a><var>18.20</var>&#160;&#160;&#160;&#160;(3) enroll with the department as a personal care assistant after clearing a background
         <br />
         		<a id="pl.18.21"></a><var>18.21</var>study. Except as provided in subdivision 11a, before a personal care assistant provides
         <br />
         		<a id="pl.18.22"></a><var>18.22</var>services, the personal care assistance provider agency must initiate a background
         study on <br />
         		<a id="pl.18.23"></a><var>18.23</var>the personal care assistant under chapter 245C, and the personal care assistance provider
         <br />
         		<a id="pl.18.24"></a><var>18.24</var>agency must have received a notice from the commissioner that the personal care assistant
         <br />
         		<a id="pl.18.25"></a><var>18.25</var>is:<br />
         		<a id="pl.18.26"></a><var>18.26</var>&#160;&#160;&#160;&#160;(i) not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br />
         		<a id="pl.18.27"></a><var>18.27</var>&#160;&#160;&#160;&#160;(ii) is disqualified, but the personal care assistant has received a set aside of
         the <br />
         		<a id="pl.18.28"></a><var>18.28</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>;<br />
         		<a id="pl.18.29"></a><var>18.29</var>&#160;&#160;&#160;&#160;(4) be able to effectively communicate with the recipient and personal care assistance
         <br />
         		<a id="pl.18.30"></a><var>18.30</var>provider agency;<br />
         		<a id="pl.19.1"></a><var>19.1</var>&#160;&#160;&#160;&#160;(5) be able to provide covered personal care assistance services according to the
         recipient's <br />
         		<a id="pl.19.2"></a><var>19.2</var>personal care assistance care plan, respond appropriately to recipient needs, and
         report <br />
         		<a id="pl.19.3"></a><var>19.3</var>changes in the recipient's condition to the supervising qualified professional or
         physician;<br />
         		<a id="pl.19.4"></a><var>19.4</var>&#160;&#160;&#160;&#160;(6) not be a consumer of personal care assistance services;<br />
         		<a id="pl.19.5"></a><var>19.5</var>&#160;&#160;&#160;&#160;(7) maintain daily written records including, but not limited to, time sheets under
         <br />
         		<a id="pl.19.6"></a><var>19.6</var>subdivision 12;<br />
         		<a id="pl.19.7"></a><var>19.7</var>&#160;&#160;&#160;&#160;(8) effective January 1, 2010, complete standardized training as determined by the
         <br />
         		<a id="pl.19.8"></a><var>19.8</var>commissioner before completing enrollment. The training must be available in languages
         <br />
         		<a id="pl.19.9"></a><var>19.9</var>other than English and to those who need accommodations due to disabilities. Personal
         care <br />
         		<a id="pl.19.10"></a><var>19.10</var>assistant training must include successful completion of the following training components:
         <br />
         		<a id="pl.19.11"></a><var>19.11</var>basic first aid, vulnerable adult, child maltreatment, OSHA universal precautions,
         basic <br />
         		<a id="pl.19.12"></a><var>19.12</var>roles and responsibilities of personal care assistants including information about
         assistance <br />
         		<a id="pl.19.13"></a><var>19.13</var>with lifting and transfers for recipients, emergency preparedness, orientation to
         positive <br />
         		<a id="pl.19.14"></a><var>19.14</var>behavioral practices, fraud issues, and completion of time sheets. Upon completion
         of the <br />
         		<a id="pl.19.15"></a><var>19.15</var>training components, the personal care assistant must demonstrate the competency to
         provide <br />
         		<a id="pl.19.16"></a><var>19.16</var>assistance to recipients;<br />
         		<a id="pl.19.17"></a><var>19.17</var>&#160;&#160;&#160;&#160;(9) complete training and orientation on the needs of the recipient; and<br />
         		<a id="pl.19.18"></a><var>19.18</var>&#160;&#160;&#160;&#160;(10) be limited to providing and being paid for up to 275 hours per month of personal
         <br />
         		<a id="pl.19.19"></a><var>19.19</var>care assistance services regardless of the number of recipients being served or the
         number <br />
         		<a id="pl.19.20"></a><var>19.20</var>of personal care assistance provider agencies enrolled with. The number of hours worked
         <br />
         		<a id="pl.19.21"></a><var>19.21</var>per day shall not be disallowed by the department unless in violation of the law.<br />
         		<a id="pl.19.22"></a><var>19.22</var>&#160;&#160;&#160;&#160;(b) A legal guardian may be a personal care assistant if the guardian is not being
         paid <br />
         		<a id="pl.19.23"></a><var>19.23</var>for the guardian services and meets the criteria for personal care assistants in paragraph
         (a).<br />
         		<a id="pl.19.24"></a><var>19.24</var>&#160;&#160;&#160;&#160;(c) Persons who do not qualify as a personal care assistant include parents, stepparents,
         <br />
         		<a id="pl.19.25"></a><var>19.25</var>and legal guardians of minors; spouses; paid legal guardians of adults; family foster
         care <br />
         		<a id="pl.19.26"></a><var>19.26</var>providers, except as otherwise allowed in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>; and staff of <br />
         		<a id="pl.19.27"></a><var>19.27</var>a residential setting.<br />
         		<a id="pl.19.28"></a><var>19.28</var>(d) A personal care assistant is qualified to provide complex personal care assistance
         <br />
         		<a id="pl.19.29"></a><var>19.29</var>services as defined in subdivision 1, paragraph (e), if the personal care assistant:<br />
         		<a id="pl.19.30"></a><var>19.30</var>(1) provides services according to the care plan in subdivision 7 to an individual
         described <br />
         		<a id="pl.19.31"></a><var>19.31</var>in subdivision 1, paragraph (e), clause (1); and<br />
         		 <a id="pl.19.32"></a><var>19.32</var>(2) satisfies the current requirements of Medicare for training and competency or
         <br />
         		<a id="pl.19.33"></a><var>19.33</var>competency evaluation of home health aides or nursing assistants, as provided by Code
         of <br />
         		<a id="pl.20.1"></a><var>20.1</var>Federal Regulations, title 42, section 483.151 or 484.36, or alternative, comparable,
         <br />
         		<a id="pl.20.2"></a><var>20.2</var>state-approved training and competency requirements.<br />
         		<a id="pl.20.3"></a><var>20.3</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2018.<br />
         		<br />
         		<a id="bill.1.16.0"></a><a id="pl.20.4"></a><var>20.4</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 256B.0659, is amended by adding a subdivision <br />
         		<a id="pl.20.5"></a><var>20.5</var>to read:<br />
         		<a id="pl.20.6"></a><var>20.6</var>&#160;&#160;&#160;&#160;Subd. 17a. <b>Rate for complex personal care assistance services.</b> The rate paid to a <br />
         		<a id="pl.20.7"></a><var>20.7</var>provider for complex personal care assistance services shall be 110 percent of the
         rate paid <br />
         		<a id="pl.20.8"></a><var>20.8</var>for personal care assistance services.<br />
         		<a id="pl.20.9"></a><var>20.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2018.<br />
         		<br />
         		<a id="bill.1.17.0"></a><a id="pl.20.10"></a><var>20.10</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 256B.0659, subdivision 21, is amended to read:<br />
         		<a id="pl.20.11"></a><var>20.11</var>&#160;&#160;&#160;&#160;Subd. 21. <b>Requirements for provider enrollment of personal care assistance provider </b><br />
         		<a id="pl.20.12"></a><var>20.12</var><b>agencies.</b> (a) All personal care assistance provider agencies must provide, at the time of <br />
         		<a id="pl.20.13"></a><var>20.13</var>enrollment, reenrollment, and revalidation as a personal care assistance provider
         agency in <br />
         		<a id="pl.20.14"></a><var>20.14</var>a format determined by the commissioner, information and documentation that includes,
         <br />
         		<a id="pl.20.15"></a><var>20.15</var>but is not limited to, the following:<br />
         		<a id="pl.20.16"></a><var>20.16</var>&#160;&#160;&#160;&#160;(1) the personal care assistance provider agency's current contact information including
         <br />
         		<a id="pl.20.17"></a><var>20.17</var>address, telephone number, and e-mail address;<br />
         		<a id="pl.20.18"></a><var>20.18</var>&#160;&#160;&#160;&#160;(2) proof of surety bond coverage. Upon new enrollment, or if the provider's Medicaid
         <br />
         		<a id="pl.20.19"></a><var>20.19</var>revenue in the previous calendar year is up to and including $300,000, the provider
         agency <br />
         		<a id="pl.20.20"></a><var>20.20</var>must purchase a surety bond of $50,000. If the Medicaid revenue in the previous year
         is <br />
         		<a id="pl.20.21"></a><var>20.21</var>over $300,000, the provider agency must purchase a surety bond of $100,000. The surety
         <br />
         		<a id="pl.20.22"></a><var>20.22</var>bond must be in a form approved by the commissioner, must be renewed annually, and
         must <br />
         		<a id="pl.20.23"></a><var>20.23</var>allow for recovery of costs and fees in pursuing a claim on the bond;<br />
         		<a id="pl.20.24"></a><var>20.24</var>&#160;&#160;&#160;&#160;(3) proof of fidelity bond coverage in the amount of $20,000;<br />
         		<a id="pl.20.25"></a><var>20.25</var>&#160;&#160;&#160;&#160;(4) proof of workers' compensation insurance coverage;<br />
         		<a id="pl.20.26"></a><var>20.26</var>&#160;&#160;&#160;&#160;(5) proof of liability insurance;<br />
         		<a id="pl.20.27"></a><var>20.27</var>&#160;&#160;&#160;&#160;(6) a description of the personal care assistance provider agency's organization identifying
         <br />
         		<a id="pl.20.28"></a><var>20.28</var>the names of all owners, managing employees, staff, board of directors, and the affiliations
         <br />
         		<a id="pl.20.29"></a><var>20.29</var>of the directors, owners, or staff to other service providers;<br />
         		<a id="pl.20.30"></a><var>20.30</var>&#160;&#160;&#160;&#160;(7) a copy of the personal care assistance provider agency's written policies and
         <br />
         		<a id="pl.20.31"></a><var>20.31</var>procedures including: hiring of employees; training requirements; service delivery;
         and <br />
         		<a id="pl.21.1"></a><var>21.1</var>employee and consumer safety including process for notification and resolution of
         consumer <br />
         		<a id="pl.21.2"></a><var>21.2</var>grievances, identification and prevention of communicable diseases, and employee <br />
         		<a id="pl.21.3"></a><var>21.3</var>misconduct;<br />
         		<a id="pl.21.4"></a><var>21.4</var>&#160;&#160;&#160;&#160;(8) copies of all other forms the personal care assistance provider agency uses in
         the <br />
         		<a id="pl.21.5"></a><var>21.5</var>course of daily business including, but not limited to:<br />
         		<a id="pl.21.6"></a><var>21.6</var>&#160;&#160;&#160;&#160;(i) a copy of the personal care assistance provider agency's time sheet if the time
         sheet <br />
         		<a id="pl.21.7"></a><var>21.7</var>varies from the standard time sheet for personal care assistance services approved
         by the <br />
         		<a id="pl.21.8"></a><var>21.8</var>commissioner, and a letter requesting approval of the personal care assistance provider
         <br />
         		<a id="pl.21.9"></a><var>21.9</var>agency's nonstandard time sheet;<br />
         		<a id="pl.21.10"></a><var>21.10</var>&#160;&#160;&#160;&#160;(ii) the personal care assistance provider agency's template for the personal care
         assistance <br />
         		<a id="pl.21.11"></a><var>21.11</var>care plan; and<br />
         		<a id="pl.21.12"></a><var>21.12</var>&#160;&#160;&#160;&#160;(iii) the personal care assistance provider agency's template for the written agreement
         <br />
         		<a id="pl.21.13"></a><var>21.13</var>in subdivision 20 for recipients using the personal care assistance choice option,
         if applicable;<br />
         		<a id="pl.21.14"></a><var>21.14</var>&#160;&#160;&#160;&#160;(9) a list of all training and classes that the personal care assistance provider
         agency <br />
         		<a id="pl.21.15"></a><var>21.15</var>requires of its staff providing personal care assistance services;<br />
         		<a id="pl.21.16"></a><var>21.16</var>&#160;&#160;&#160;&#160;(10) documentation that the personal care assistance provider agency and staff have
         <br />
         		<a id="pl.21.17"></a><var>21.17</var>successfully completed all the training required by this section, including the requirements <br />
         		<a id="pl.21.18"></a><var>21.18</var>under subdivision 11, paragraph (d), if complex personal care assistance services
         are provided <br />
         		<a id="pl.21.19"></a><var>21.19</var>and submitted for payment;<br />
         		<a id="pl.21.20"></a><var>21.20</var>&#160;&#160;&#160;&#160;(11) documentation of the agency's marketing practices;<br />
         		<a id="pl.21.21"></a><var>21.21</var>&#160;&#160;&#160;&#160;(12) disclosure of ownership, leasing, or management of all residential properties
         that <br />
         		<a id="pl.21.22"></a><var>21.22</var>is used or could be used for providing home care services;<br />
         		<a id="pl.21.23"></a><var>21.23</var>&#160;&#160;&#160;&#160;(13) documentation that the agency will use the following percentages of revenue <br />
         		<a id="pl.21.24"></a><var>21.24</var>generated from the medical assistance rate paid for personal care assistance services
         for <br />
         		<a id="pl.21.25"></a><var>21.25</var>employee personal care assistant wages and benefits: 72.5 percent of revenue in the
         personal <br />
         		<a id="pl.21.26"></a><var>21.26</var>care assistance choice option and 72.5 percent of revenue from other personal care
         assistance <br />
         		<a id="pl.21.27"></a><var>21.27</var>providers. The revenue generated by the qualified professional and the reasonable
         costs <br />
         		<a id="pl.21.28"></a><var>21.28</var>associated with the qualified professional shall not be used in making this calculation;
         and<br />
         		<a id="pl.21.29"></a><var>21.29</var>&#160;&#160;&#160;&#160;(14) effective May 15, 2010, documentation that the agency does not burden recipients'
         <br />
         		<a id="pl.21.30"></a><var>21.30</var>free exercise of their right to choose service providers by requiring personal care
         assistants <br />
         		<a id="pl.21.31"></a><var>21.31</var>to sign an agreement not to work with any particular personal care assistance recipient
         or <br />
         		<a id="pl.21.32"></a><var>21.32</var>for another personal care assistance provider agency after leaving the agency and
         that the <br />
         		<a id="pl.22.1"></a><var>22.1</var>agency is not taking action on any such agreements or requirements regardless of the
         date <br />
         		<a id="pl.22.2"></a><var>22.2</var>signed.<br />
         		<a id="pl.22.3"></a><var>22.3</var>&#160;&#160;&#160;&#160;(b) Personal care assistance provider agencies shall provide the information specified
         <br />
         		<a id="pl.22.4"></a><var>22.4</var>in paragraph (a) to the commissioner at the time the personal care assistance provider
         agency <br />
         		<a id="pl.22.5"></a><var>22.5</var>enrolls as a vendor or upon request from the commissioner. The commissioner shall
         collect <br />
         		<a id="pl.22.6"></a><var>22.6</var>the information specified in paragraph (a) from all personal care assistance providers
         <br />
         		<a id="pl.22.7"></a><var>22.7</var>beginning July 1, 2009.<br />
         		<a id="pl.22.8"></a><var>22.8</var>&#160;&#160;&#160;&#160;(c) All personal care assistance provider agencies shall require all employees in
         <br />
         		<a id="pl.22.9"></a><var>22.9</var>management and supervisory positions and owners of the agency who are active in the
         <br />
         		<a id="pl.22.10"></a><var>22.10</var>day-to-day management and operations of the agency to complete mandatory training
         as <br />
         		<a id="pl.22.11"></a><var>22.11</var>determined by the commissioner before enrollment of the agency as a provider. Employees
         <br />
         		<a id="pl.22.12"></a><var>22.12</var>in management and supervisory positions and owners who are active in the day-to-day
         <br />
         		<a id="pl.22.13"></a><var>22.13</var>operations of an agency who have completed the required training as an employee with
         a <br />
         		<a id="pl.22.14"></a><var>22.14</var>personal care assistance provider agency do not need to repeat the required training
         if they <br />
         		<a id="pl.22.15"></a><var>22.15</var>are hired by another agency, if they have completed the training within the past three
         years. <br />
         		<a id="pl.22.16"></a><var>22.16</var>By September 1, 2010, the required training must be available with meaningful access
         <br />
         		<a id="pl.22.17"></a><var>22.17</var>according to title VI of the Civil Rights Act and federal regulations adopted under
         that law <br />
         		<a id="pl.22.18"></a><var>22.18</var>or any guidance from the United States Health and Human Services Department. The <br />
         		<a id="pl.22.19"></a><var>22.19</var>required training must be available online or by electronic remote connection. The
         required <br />
         		<a id="pl.22.20"></a><var>22.20</var>training must provide for competency testing. Personal care assistance provider agency
         <br />
         		<a id="pl.22.21"></a><var>22.21</var>billing staff shall complete training about personal care assistance program financial
         <br />
         		<a id="pl.22.22"></a><var>22.22</var>management. This training is effective July 1, 2009. Any personal care assistance
         provider <br />
         		<a id="pl.22.23"></a><var>22.23</var>agency enrolled before that date shall, if it has not already, complete the provider
         training <br />
         		<a id="pl.22.24"></a><var>22.24</var>within 18 months of July 1, 2009. Any new owners or employees in management and <br />
         		<a id="pl.22.25"></a><var>22.25</var>supervisory positions involved in the day-to-day operations are required to complete
         <br />
         		<a id="pl.22.26"></a><var>22.26</var>mandatory training as a requisite of working for the agency. Personal care assistance
         provider <br />
         		<a id="pl.22.27"></a><var>22.27</var>agencies certified for participation in Medicare as home health agencies are exempt
         from <br />
         		<a id="pl.22.28"></a><var>22.28</var>the training required in this subdivision. When available, Medicare-certified home
         health <br />
         		<a id="pl.22.29"></a><var>22.29</var>agency owners, supervisors, or managers must successfully complete the competency
         test.<br />
         		<br />
         		<a id="bill.1.18.0"></a><a id="pl.22.30"></a><var>22.30</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 256B.0911, subdivision 1a, is amended to read:<br />
         		<a id="pl.22.31"></a><var>22.31</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br />
         		<a id="pl.22.32"></a><var>22.32</var>&#160;&#160;&#160;&#160;(a) Until additional requirements apply under paragraph (b), "long-term care consultation
         <br />
         		<a id="pl.22.33"></a><var>22.33</var>services" means:<br />
         		<a id="pl.23.1"></a><var>23.1</var>&#160;&#160;&#160;&#160;(1) intake for and access to assistance in identifying services needed to maintain
         an <br />
         		<a id="pl.23.2"></a><var>23.2</var>individual in the most inclusive environment;<br />
         		<a id="pl.23.3"></a><var>23.3</var>&#160;&#160;&#160;&#160;(2) providing recommendations for and referrals to cost-effective community services
         <br />
         		<a id="pl.23.4"></a><var>23.4</var>that are available to the individual;<br />
         		<a id="pl.23.5"></a><var>23.5</var>&#160;&#160;&#160;&#160;(3) development of an individual's person-centered community support plan;<br />
         		<a id="pl.23.6"></a><var>23.6</var>&#160;&#160;&#160;&#160;(4) providing information regarding eligibility for Minnesota health care programs;<br />
         		<a id="pl.23.7"></a><var>23.7</var>&#160;&#160;&#160;&#160;(5) face-to-face long-term care consultation assessments, which may be completed in
         a <br />
         		<a id="pl.23.8"></a><var>23.8</var>hospital, nursing facility, intermediate care facility for persons with developmental
         disabilities <br />
         		<a id="pl.23.9"></a><var>23.9</var>(ICF/DDs), regional treatment centers, or the person's current or planned residence;<br />
         		<a id="pl.23.10"></a><var>23.10</var>&#160;&#160;&#160;&#160;(6) determination of home and community-based waiver and other service eligibility
         as <br />
         		<a id="pl.23.11"></a><var>23.11</var>required under sections 
         <statute_ref>256B.0913</statute_ref>, 
         <statute_ref>256B.0915</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, including level of care <br />
         		<a id="pl.23.12"></a><var>23.12</var>determination for individuals who need an institutional level of care as determined
         under <br />
         		<a id="pl.23.13"></a><var>23.13</var>subdivision 4e, based on assessment and community support plan development, appropriate
         <br />
         		<a id="pl.23.14"></a><var>23.14</var>referrals to obtain necessary diagnostic information, and including an eligibility
         determination <br />
         		<a id="pl.23.15"></a><var>23.15</var>for consumer-directed community supports;<br />
         		<a id="pl.23.16"></a><var>23.16</var>&#160;&#160;&#160;&#160;(7) providing recommendations for institutional placement when there are no <br />
         		<a id="pl.23.17"></a><var>23.17</var>cost-effective community services available;<br />
         		<a id="pl.23.18"></a><var>23.18</var>&#160;&#160;&#160;&#160;(8) providing access to assistance to transition people back to community settings
         after <br />
         		<a id="pl.23.19"></a><var>23.19</var>institutional admission; and<br />
         		<a id="pl.23.20"></a><var>23.20</var>(9) providing information about competitive employment, with or without supports,
         for <br />
         		<a id="pl.23.21"></a><var>23.21</var>school-age youth and working-age adults and referrals to the Disability Linkage Line
         and <br />
         		<a id="pl.23.22"></a><var>23.22</var>Disability Benefits 101 to ensure that an informed choice about competitive employment
         <br />
         		<a id="pl.23.23"></a><var>23.23</var>can be made. For the purposes of this subdivision, "competitive employment" means
         work <br />
         		<a id="pl.23.24"></a><var>23.24</var>in the competitive labor market that is performed on a full-time or part-time basis
         in an <br />
         		<a id="pl.23.25"></a><var>23.25</var>integrated setting, and for which an individual is compensated at or above the minimum
         <br />
         		<a id="pl.23.26"></a><var>23.26</var>wage, but not less than the customary wage and level of benefits paid by the employer
         for <br />
         		<a id="pl.23.27"></a><var>23.27</var>the same or similar work performed by individuals without disabilities.<br />
         		<a id="pl.23.28"></a><var>23.28</var>(b) Upon statewide implementation of lead agency requirements in subdivisions 2b,
         2c, <br />
         		<a id="pl.23.29"></a><var>23.29</var>and 3a, "long-term care consultation services" also means:<br />
         		<a id="pl.23.30"></a><var>23.30</var>(1) service eligibility determination for state plan home care services identified
         in:<br />
         		<a id="pl.23.31"></a><var>23.31</var>(i) section 
         <statute_ref>256B.0625, subdivisions 7</statute_ref>, 19a, and 19c;<br />
         		<a id="pl.23.32"></a><var>23.32</var>(ii) consumer support grants under section 
         <statute_ref>256.476</statute_ref>; or<br />
         		<a id="pl.24.1"></a><var>24.1</var>(iii) section 
         <statute_ref>256B.85</statute_ref>;<br />
         		<a id="pl.24.2"></a><var>24.2</var>(2) notwithstanding provisions in Minnesota Rules, parts 9525.0004 to 9525.0024, <br />
         		<a id="pl.24.3"></a><var>24.3</var>determination of eligibility for case management services available under sections
         
         <statute_ref>256B.0621, <br />
            		<a id="pl.24.4"></a><var>24.4</var>subdivision 2
         </statute_ref>, paragraph (4), and 
         <statute_ref>256B.0924</statute_ref> and Minnesota Rules, part 9525.0016;<br />
         		<a id="pl.24.5"></a><var>24.5</var>(3) determination of institutional level of care, home and community-based service
         <br />
         		<a id="pl.24.6"></a><var>24.6</var>waiver, and other service eligibility as required under section 
         <statute_ref>256B.092</statute_ref>, determination of <br />
         		<a id="pl.24.7"></a><var>24.7</var>eligibility for family support grants under section 
         <statute_ref>252.32</statute_ref>, semi-independent living services <br />
         		<a id="pl.24.8"></a><var>24.8</var>under section 
         <statute_ref>252.275</statute_ref>, and day training and habilitation services under section 
         <statute_ref>256B.092</statute_ref>; <br />
         		<a id="pl.24.9"></a><var>24.9</var>and<br />
         		<a id="pl.24.10"></a><var>24.10</var>(4) obtaining necessary diagnostic information to determine eligibility under clauses
         (2) <br />
         		<a id="pl.24.11"></a><var>24.11</var>and (3).<br />
         		<a id="pl.24.12"></a><var>24.12</var>&#160;&#160;&#160;&#160;(c) "Long-term care options counseling" means the services provided by the linkage
         <br />
         		<a id="pl.24.13"></a><var>24.13</var>lines as mandated by sections 
         <statute_ref>256.01, subdivision 24,</statute_ref> and 
         <statute_ref>256.975, subdivision 7</statute_ref>, and also <br />
         		<a id="pl.24.14"></a><var>24.14</var>includes telephone assistance and follow up once a long-term care consultation assessment
         <br />
         		<a id="pl.24.15"></a><var>24.15</var>has been completed.<br />
         		<a id="pl.24.16"></a><var>24.16</var>&#160;&#160;&#160;&#160;(d) "Minnesota health care programs" means the medical assistance program under this
         <br />
         		<a id="pl.24.17"></a><var>24.17</var>chapter and the alternative care program under section 
         <statute_ref>256B.0913</statute_ref>.<br />
         		<a id="pl.24.18"></a><var>24.18</var>&#160;&#160;&#160;&#160;(e) "Lead agencies" means counties administering or tribes and health plans under
         <br />
         		<a id="pl.24.19"></a><var>24.19</var>contract with the commissioner to administer long-term care consultation assessment
         and <br />
         		<a id="pl.24.20"></a><var>24.20</var>support planning services.<br />
         		<a id="pl.24.21"></a><var>24.21</var>(f) "Person-centered planning" is a process that includes the active participation
         of a <br />
         		<a id="pl.24.22"></a><var>24.22</var>person in the planning of the person's services, including in making meaningful and
         informed <br />
         		<a id="pl.24.23"></a><var>24.23</var>choices about the person's own goals, talents, and objectives, as well as making meaningful
         <br />
         		<a id="pl.24.24"></a><var>24.24</var>and informed choices about the services the person receives. For the purposes of this
         section, <br />
         		<a id="pl.24.25"></a><var>24.25</var>"informed choice" means a voluntary choice of services by a person from all available
         <br />
         		<a id="pl.24.26"></a><var>24.26</var>service options based on accurate and complete information concerning all available
         service <br />
         		<a id="pl.24.27"></a><var>24.27</var>options and concerning the person's own preferences, abilities, goals, and objectives.
         In <br />
         		<a id="pl.24.28"></a><var>24.28</var>order for a person to make an informed choice, all available options must be developed
         and <br />
         		<a id="pl.24.29"></a><var>24.29</var>presented to the person to empower the person to make decisions.<br />
         		<br />
         		<a id="bill.1.19.0"></a><a id="pl.24.30"></a><var>24.30</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 256B.0911, subdivision 2b, is amended to read:<br />
         		<a id="pl.24.31"></a><var>24.31</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>MnCHOICES certified assessors.</b> (a) Each lead agency shall use certified <br />
         		<a id="pl.24.32"></a><var>24.32</var>assessors who have completed MnCHOICES training and the certification processes <br />
         		<a id="pl.24.33"></a><var>24.33</var>determined by the commissioner in subdivision 2c. Certified assessors shall demonstrate
         <br />
         		<a id="pl.25.1"></a><var>25.1</var>best practices in assessment and support planning including person-centered planning
         <br />
         		<a id="pl.25.2"></a><var>25.2</var>principals principles and have a common set of skills that must ensure consistency and <br />
         		<a id="pl.25.3"></a><var>25.3</var>equitable access to services statewide. A lead agency may choose, according to departmental <br />
         		<a id="pl.25.4"></a><var>25.4</var>policies, to contract with a qualified, certified assessor to conduct assessments
         and <br />
         		<a id="pl.25.5"></a><var>25.5</var>reassessments on behalf of the lead agency. Certified assessors must use person-centered <br />
         		<a id="pl.25.6"></a><var>25.6</var>planning principles to conduct an interview that identifies what is important to the
         person, <br />
         		<a id="pl.25.7"></a><var>25.7</var>the person's needs for supports, health and safety concerns, and the person's abilities,
         interests, <br />
         		<a id="pl.25.8"></a><var>25.8</var>and goals.<br />
         		<a id="pl.25.9"></a><var>25.9</var>&#160;&#160;&#160;&#160;Certified assessors are responsible for:<br />
         		<a id="pl.25.10"></a><var>25.10</var>(1) ensuring persons are offered objective, unbiased access to resources;<br />
         		<a id="pl.25.11"></a><var>25.11</var>(2) ensuring persons have the needed information to support informed choice, including
         <br />
         		<a id="pl.25.12"></a><var>25.12</var>where and how they choose to live and the opportunity to pursue desired employment;<br />
         		<a id="pl.25.13"></a><var>25.13</var>(3) determining level of care and eligibility for long-term services and supports;<br />
         		<a id="pl.25.14"></a><var>25.14</var>(4) using the information gathered from the interview to develop a person-centered
         <br />
         		<a id="pl.25.15"></a><var>25.15</var>community support plan that reflects identified needs and support options within the
         context <br />
         		<a id="pl.25.16"></a><var>25.16</var>of values, interests, and goals important to the person; and<br />
         		<a id="pl.25.17"></a><var>25.17</var>(5) providing the person with a community support plan that summarizes the person's
         <br />
         		<a id="pl.25.18"></a><var>25.18</var>assessment findings, support options, and agreed-upon next steps.<br />
         		<a id="pl.25.19"></a><var>25.19</var>&#160;&#160;&#160;&#160;(b) MnCHOICES certified assessors are persons with a minimum of a bachelor's degree
         <br />
         		<a id="pl.25.20"></a><var>25.20</var>in social work, nursing with a public health nursing certificate, or other closely
         related field <br />
         		<a id="pl.25.21"></a><var>25.21</var>with at least one year of home and community-based experience, or a registered nurse
         with <br />
         		<a id="pl.25.22"></a><var>25.22</var>at least two years of home and community-based experience who has received training
         and <br />
         		<a id="pl.25.23"></a><var>25.23</var>certification specific to assessment and consultation for long-term care services
         in the state.<br />
         		<br />
         		<a id="bill.1.20.0"></a><a id="pl.25.24"></a><var>25.24</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 256B.0911, is amended by adding a subdivision <br />
         		<a id="pl.25.25"></a><var>25.25</var>to read:<br />
         		<a id="pl.25.26"></a><var>25.26</var>&#160;&#160;&#160;&#160;Subd. 3f. <b>Long-term care reassessments and community support plan updates.</b><br />
         		 <a id="pl.25.27"></a><var>25.27</var>Face-to-face reassessments must be conducted annually or as required by federal and
         state <br />
         		<a id="pl.25.28"></a><var>25.28</var>laws and rules. Reassessments build upon all previous assessments conducted and include
         <br />
         		<a id="pl.25.29"></a><var>25.29</var>a review of needs and services to identify any changes. Reassessments provide information
         <br />
         		<a id="pl.25.30"></a><var>25.30</var>to support the person's informed choice and opportunities to express choice regarding
         <br />
         		<a id="pl.25.31"></a><var>25.31</var>activities that contribute to quality of life, as well as information and opportunity
         to identify <br />
         		<a id="pl.25.32"></a><var>25.32</var>goals related to desired employment, community activities, and preferred living environment.
         <br />
         		<a id="pl.25.33"></a><var>25.33</var>Reassessments allow for a review of the current support plan's effectiveness, monitoring
         of <br />
         		<a id="pl.26.1"></a><var>26.1</var>services, and the development of an updated person-centered community support plan.
         <br />
         		<a id="pl.26.2"></a><var>26.2</var>Reassessments verify continued eligibility or offer alternatives as warranted and
         provide <br />
         		<a id="pl.26.3"></a><var>26.3</var>an opportunity for quality assurance of service delivery.<br />
         		<br />
         		<a id="bill.1.21.0"></a><a id="pl.26.4"></a><var>26.4</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 256B.0911, subdivision 4d, is amended to read:<br />
         		<a id="pl.26.5"></a><var>26.5</var>&#160;&#160;&#160;&#160;Subd. 4d. <b>Preadmission screening of individuals under 65 years of age.</b> (a) It is the <br />
         		<a id="pl.26.6"></a><var>26.6</var>policy of the state of Minnesota to ensure that individuals with disabilities or chronic
         illness <br />
         		<a id="pl.26.7"></a><var>26.7</var>are served in the most integrated setting appropriate to their needs and have the
         necessary <br />
         		<a id="pl.26.8"></a><var>26.8</var>information to make informed choices about home and community-based service options.<br />
         		<a id="pl.26.9"></a><var>26.9</var>&#160;&#160;&#160;&#160;(b) Individuals under 65 years of age who are admitted to a Medicaid-certified nursing
         <br />
         		<a id="pl.26.10"></a><var>26.10</var>facility must be screened prior to admission according to the requirements outlined
         in section <br />
         		
         <statute_ref><a id="pl.26.11"></a><var>26.11</var>256.975
         </statute_ref>, subdivisions 7a to 7c. This shall be provided by the Senior LinkAge Line as <br />
         		<a id="pl.26.12"></a><var>26.12</var>required under section 
         <statute_ref>256.975, subdivision 7</statute_ref>.<br />
         		<a id="pl.26.13"></a><var>26.13</var>&#160;&#160;&#160;&#160;(c) Individuals under 65 years of age who are admitted to nursing facilities with
         only a <br />
         		<a id="pl.26.14"></a><var>26.14</var>telephone screening must receive a face-to-face assessment from the long-term care
         <br />
         		<a id="pl.26.15"></a><var>26.15</var>consultation team member of the county in which the facility is located or from the
         recipient's <br />
         		<a id="pl.26.16"></a><var>26.16</var>county case manager within 40 calendar days of admission the timeline established by the <br />
         		<a id="pl.26.17"></a><var>26.17</var>commissioner, based on review of data.<br />
         		<a id="pl.26.18"></a><var>26.18</var>&#160;&#160;&#160;&#160;(d) At the face-to-face assessment, the long-term care consultation team member or
         <br />
         		<a id="pl.26.19"></a><var>26.19</var>county case manager must perform the activities required under subdivision 3b.<br />
         		<a id="pl.26.20"></a><var>26.20</var>&#160;&#160;&#160;&#160;(e) For individuals under 21 years of age, a screening interview which recommends
         <br />
         		<a id="pl.26.21"></a><var>26.21</var>nursing facility admission must be face-to-face and approved by the commissioner before
         <br />
         		<a id="pl.26.22"></a><var>26.22</var>the individual is admitted to the nursing facility.<br />
         		<a id="pl.26.23"></a><var>26.23</var>&#160;&#160;&#160;&#160;(f) In the event that an individual under 65 years of age is admitted to a nursing
         facility <br />
         		<a id="pl.26.24"></a><var>26.24</var>on an emergency basis, the Senior LinkAge Line must be notified of the admission on
         the <br />
         		<a id="pl.26.25"></a><var>26.25</var>next working day, and a face-to-face assessment as described in paragraph (c) must
         be <br />
         		<a id="pl.26.26"></a><var>26.26</var>conducted within 40 calendar days of admission the timeline established by the commissioner, <br />
         		<a id="pl.26.27"></a><var>26.27</var>based on review of data.<br />
         		<a id="pl.26.28"></a><var>26.28</var>&#160;&#160;&#160;&#160;(g) At the face-to-face assessment, the long-term care consultation team member or
         the <br />
         		<a id="pl.26.29"></a><var>26.29</var>case manager must present information about home and community-based options, including
         <br />
         		<a id="pl.26.30"></a><var>26.30</var>consumer-directed options, so the individual can make informed choices. If the individual
         <br />
         		<a id="pl.26.31"></a><var>26.31</var>chooses home and community-based services, the long-term care consultation team member
         <br />
         		<a id="pl.26.32"></a><var>26.32</var>or case manager must complete a written relocation plan within 20 working days of
         the <br />
         		<a id="pl.26.33"></a><var>26.33</var>visit. The plan shall describe the services needed to move out of the facility and
         a time line <br />
         		<a id="pl.27.1"></a><var>27.1</var>for the move which is designed to ensure a smooth transition to the individual's home
         and <br />
         		<a id="pl.27.2"></a><var>27.2</var>community.<br />
         		<a id="pl.27.3"></a><var>27.3</var>&#160;&#160;&#160;&#160;(h) An individual under 65 years of age residing in a nursing facility shall receive
         a <br />
         		<a id="pl.27.4"></a><var>27.4</var>face-to-face assessment at least every 12 months to review the person's service choices
         and <br />
         		<a id="pl.27.5"></a><var>27.5</var>available alternatives unless the individual indicates, in writing, that annual visits
         are not <br />
         		<a id="pl.27.6"></a><var>27.6</var>desired. In this case, the individual must receive a face-to-face assessment at least
         once <br />
         		<a id="pl.27.7"></a><var>27.7</var>every 36 months for the same purposes.<br />
         		<a id="pl.27.8"></a><var>27.8</var>&#160;&#160;&#160;&#160;(i) Notwithstanding the provisions of subdivision 6, the commissioner may pay county
         <br />
         		<a id="pl.27.9"></a><var>27.9</var>agencies directly for face-to-face assessments for individuals under 65 years of age
         who <br />
         		<a id="pl.27.10"></a><var>27.10</var>are being considered for placement or residing in a nursing facility.<br />
         		<a id="pl.27.11"></a><var>27.11</var>(j) Funding for preadmission screening follow-up shall be provided to the Disability
         <br />
         		<a id="pl.27.12"></a><var>27.12</var>Linkage Line for the under-60 population by the Department of Human Services to cover
         <br />
         		<a id="pl.27.13"></a><var>27.13</var>options counseling salaries and expenses to provide the services described in subdivisions
         <br />
         		<a id="pl.27.14"></a><var>27.14</var>7a to 7c. The Disability Linkage Line shall employ, or contract with other agencies
         to <br />
         		<a id="pl.27.15"></a><var>27.15</var>employ, within the limits of available funding, sufficient personnel to provide preadmission
         <br />
         		<a id="pl.27.16"></a><var>27.16</var>screening follow-up services and shall seek to maximize federal funding for the service
         as <br />
         		<a id="pl.27.17"></a><var>27.17</var>provided under section 
         <statute_ref>256.01, subdivision 2</statute_ref>, paragraph (dd).<br />
         		<br />
         		<a id="bill.1.22.0"></a><a id="pl.27.18"></a><var>27.18</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 256B.0911, subdivision 5, is amended to read:<br />
         		<a id="pl.27.19"></a><var>27.19</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Administrative activity.</b> (a) The commissioner shall streamline the processes, <br />
         		<a id="pl.27.20"></a><var>27.20</var>including timelines for when assessments need to be completed, required to provide
         the <br />
         		<a id="pl.27.21"></a><var>27.21</var>services in this section and shall implement integrated solutions to automate the
         business <br />
         		<a id="pl.27.22"></a><var>27.22</var>processes to the extent necessary for community support plan approval, reimbursement,
         <br />
         		<a id="pl.27.23"></a><var>27.23</var>program planning, evaluation, and policy development.<br />
         		<a id="pl.27.24"></a><var>27.24</var>(b) The commissioner of human services shall work with lead agencies responsible for
         <br />
         		<a id="pl.27.25"></a><var>27.25</var>conducting long-term consultation services to modify the MnCHOICES application and
         <br />
         		<a id="pl.27.26"></a><var>27.26</var>assessment policies to create efficiencies while ensuring federal compliance with
         medical <br />
         		<a id="pl.27.27"></a><var>27.27</var>assistance and long-term services and supports eligibility criteria.<br />
         		<br />
         		<a id="bill.1.23.0"></a><a id="pl.27.28"></a><var>27.28</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2016, section 256B.0921, is amended to read:<br />
         		<a id="pl.27.29"></a><var>27.29</var><b>256B.0921 HOME AND COMMUNITY-BASED SERVICES INCENTIVE POOL.</b><br />
         		<a id="pl.27.30"></a><var>27.30</var>&#160;&#160;&#160;&#160;The commissioner of human services shall develop an initiative to provide incentives
         <br />
         		<a id="pl.27.31"></a><var>27.31</var>for innovation in: (1) achieving integrated competitive employment,; (2) achieving integrated <br />
         		<a id="pl.27.32"></a><var>27.32</var>competitive employment for youth under age 25 upon their graduation from school; (3) <br />
         		<a id="pl.28.1"></a><var>28.1</var>living in the most integrated setting,; and (4) other outcomes determined by the commissioner. <br />
         		<a id="pl.28.2"></a><var>28.2</var>The commissioner shall seek requests for proposals and shall contract with one or
         more <br />
         		<a id="pl.28.3"></a><var>28.3</var>entities to provide incentive payments for meeting identified outcomes. The initial requests <br />
         		<a id="pl.28.4"></a><var>28.4</var>for proposals must be issued by October 1, 2016.<br />
         		<br />
         		<a id="bill.1.24.0"></a><a id="pl.28.5"></a><var>28.5</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2016, section 256B.4913, subdivision 4a, is amended to read:<br />
         		<a id="pl.28.6"></a><var>28.6</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Rate stabilization adjustment.</b> (a) For purposes of this subdivision, <br />
         		<a id="pl.28.7"></a><var>28.7</var>"implementation period" means the period beginning January 1, 2014, and ending on
         the <br />
         		<a id="pl.28.8"></a><var>28.8</var>last day of the month in which the rate management system is populated with the data
         <br />
         		<a id="pl.28.9"></a><var>28.9</var>necessary to calculate rates for substantially all individuals receiving home and
         <br />
         		<a id="pl.28.10"></a><var>28.10</var>community-based waiver services under sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>. "Banding period" <br />
         		<a id="pl.28.11"></a><var>28.11</var>means the time period beginning on January 1, 2014, and ending upon the expiration
         of the <br />
         		<a id="pl.28.12"></a><var>28.12</var>12-month period defined in paragraph (c), clause (5).<br />
         		<a id="pl.28.13"></a><var>28.13</var>(b) For purposes of this subdivision, the historical rate for all service recipients
         means <br />
         		<a id="pl.28.14"></a><var>28.14</var>the individual reimbursement rate for a recipient in effect on December 1, 2013, except
         <br />
         		<a id="pl.28.15"></a><var>28.15</var>that:<br />
         		<a id="pl.28.16"></a><var>28.16</var>(1) for a day service recipient who was not authorized to receive these waiver services
         <br />
         		<a id="pl.28.17"></a><var>28.17</var>prior to January 1, 2014; added a new service or services on or after January 1, 2014;
         or <br />
         		<a id="pl.28.18"></a><var>28.18</var>changed providers on or after January 1, 2014, the historical rate must be the weighted <br />
         		<a id="pl.28.19"></a><var>28.19</var>average authorized rate for the provider number in the county of service, effective December <br />
         		<a id="pl.28.20"></a><var>28.20</var>1, 2013; or<br />
         		<a id="pl.28.21"></a><var>28.21</var>(2) for a unit-based service with programming or a unit-based service without <br />
         		<a id="pl.28.22"></a><var>28.22</var>programming recipient who was not authorized to receive these waiver services prior
         to <br />
         		<a id="pl.28.23"></a><var>28.23</var>January 1, 2014; added a new service or services on or after January 1, 2014; or changed
         <br />
         		<a id="pl.28.24"></a><var>28.24</var>providers on or after January 1, 2014, the historical rate must be the weighted average
         <br />
         		<a id="pl.28.25"></a><var>28.25</var>authorized rate for each provider number in the county of service, effective December
         1, <br />
         		<a id="pl.28.26"></a><var>28.26</var>2013; or<br />
         		<a id="pl.28.27"></a><var>28.27</var>(3) for residential service recipients who change providers on or after January 1,
         2014, <br />
         		<a id="pl.28.28"></a><var>28.28</var>the historical rate must be set by each lead agency within their county aggregate
         budget <br />
         		<a id="pl.28.29"></a><var>28.29</var>using their respective methodology for residential services effective December 1,
         2013, for <br />
         		<a id="pl.28.30"></a><var>28.30</var>determining the provider rate for a similarly situated recipient being served by that
         provider.<br />
         		<a id="pl.28.31"></a><var>28.31</var>(c) The commissioner shall adjust individual reimbursement rates determined under
         this <br />
         		<a id="pl.28.32"></a><var>28.32</var>section so that the unit rate is no higher or lower than:<br />
         		<a id="pl.28.33"></a><var>28.33</var>(1) 0.5 percent from the historical rate for the implementation period;<br />
         		<a id="pl.29.1"></a><var>29.1</var>(2) 0.5 percent from the rate in effect in clause (1), for the 12-month period immediately
         <br />
         		<a id="pl.29.2"></a><var>29.2</var>following the time period of clause (1);<br />
         		<a id="pl.29.3"></a><var>29.3</var>(3) 0.5 percent from the rate in effect in clause (2), for the 12-month period immediately
         <br />
         		<a id="pl.29.4"></a><var>29.4</var>following the time period of clause (2);<br />
         		<a id="pl.29.5"></a><var>29.5</var>(4) 1.0 percent from the rate in effect in clause (3), for the 12-month period immediately
         <br />
         		<a id="pl.29.6"></a><var>29.6</var>following the time period of clause (3);<br />
         		<a id="pl.29.7"></a><var>29.7</var>(5) 1.0 percent from the rate in effect in clause (4), for the 12-month period immediately
         <br />
         		<a id="pl.29.8"></a><var>29.8</var>following the time period of clause (4); and<br />
         		<a id="pl.29.9"></a><var>29.9</var>(6) no adjustment to the rate in effect in clause (5) for the 12-month period immediately
         <br />
         		<a id="pl.29.10"></a><var>29.10</var>following the time period of clause (5). During this banding rate period, the commissioner
         <br />
         		<a id="pl.29.11"></a><var>29.11</var>shall not enforce any rate decrease or increase that would otherwise result from the
         end of <br />
         		<a id="pl.29.12"></a><var>29.12</var>the banding period. The commissioner shall, upon enactment, seek federal approval
         for the <br />
         		<a id="pl.29.13"></a><var>29.13</var>addition of this banding period; and<br />
         		<a id="pl.29.14"></a><var>29.14</var>(7) one percent from the rate in effect in clause (6) for the 12-month period immediately
         <br />
         		<a id="pl.29.15"></a><var>29.15</var>following the time period of clause (6).<br />
         		<a id="pl.29.16"></a><var>29.16</var>(d) The commissioner shall review all changes to rates that were in effect on December
         <br />
         		<a id="pl.29.17"></a><var>29.17</var>1, 2013, to verify that the rates in effect produce the equivalent level of spending
         and service <br />
         		<a id="pl.29.18"></a><var>29.18</var>unit utilization on an annual basis as those in effect on October 31, 2013.<br />
         		<a id="pl.29.19"></a><var>29.19</var>(e) By December 31, 2014, the commissioner shall complete the review in paragraph
         <br />
         		<a id="pl.29.20"></a><var>29.20</var>(d), adjust rates to provide equivalent annual spending, and make appropriate adjustments.<br />
         		<a id="pl.29.21"></a><var>29.21</var>(f) During the banding period, the Medicaid Management Information System (MMIS) <br />
         		<a id="pl.29.22"></a><var>29.22</var>service agreement rate must be adjusted to account for change in an individual's need.
         The <br />
         		<a id="pl.29.23"></a><var>29.23</var>commissioner shall adjust the Medicaid Management Information System (MMIS) service
         <br />
         		<a id="pl.29.24"></a><var>29.24</var>agreement rate by:<br />
         		<a id="pl.29.25"></a><var>29.25</var>(1) calculating a service rate under section 
         <statute_ref>256B.4914, subdivision 6</statute_ref>, 7, 8, or 9, for the <br />
         		<a id="pl.29.26"></a><var>29.26</var>individual with variables reflecting the level of service in effect on December 1,
         2013;<br />
         		<a id="pl.29.27"></a><var>29.27</var>(2) calculating a service rate under section 
         <statute_ref>256B.4914, subdivision 6</statute_ref>, 7, 8, or 9, for the <br />
         		<a id="pl.29.28"></a><var>29.28</var>individual with variables reflecting the updated level of service at the time of application;
         <br />
         		<a id="pl.29.29"></a><var>29.29</var>and<br />
         		<a id="pl.29.30"></a><var>29.30</var>(3) adding to or subtracting from the Medicaid Management Information System (MMIS)
         <br />
         		<a id="pl.29.31"></a><var>29.31</var>service agreement rate, the difference between the values in clauses (1) and (2).<br />
         		<a id="pl.30.1"></a><var>30.1</var>(g) This subdivision must not apply to rates for recipients served by providers new
         to a <br />
         		<a id="pl.30.2"></a><var>30.2</var>given county after January 1, 2014. Providers of personal supports services who also
         acted <br />
         		<a id="pl.30.3"></a><var>30.3</var>as fiscal support entities must be treated as new providers as of January 1, 2014.<br />
         		<a id="pl.30.4"></a><var>30.4</var><b>EFFECTIVE DATE.</b>(a) The amendment to paragraph (b) is effective the day following <br />
         		<a id="pl.30.5"></a><var>30.5</var>final enactment.<br />
         		<a id="pl.30.6"></a><var>30.6</var>(b) The amendment to paragraph (c) is effective upon federal approval. The commissioner
         <br />
         		<a id="pl.30.7"></a><var>30.7</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.25.0"></a><a id="pl.30.8"></a><var>30.8</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 256B.4913, is amended by adding a subdivision <br />
         		<a id="pl.30.9"></a><var>30.9</var>to read:<br />
         		<a id="pl.30.10"></a><var>30.10</var>&#160;&#160;&#160;&#160;Subd. 7. <b>New services.</b> (a) A service added to section 256B.4914 after January 1, 2014, <br />
         		<a id="pl.30.11"></a><var>30.11</var>is not subject to rate stabilization adjustment in this section.<br />
         		<a id="pl.30.12"></a><var>30.12</var>(b) Employment support services authorized after January 1, 2018, under the new <br />
         		<a id="pl.30.13"></a><var>30.13</var>employment support services definition according to the home and community-based services
         <br />
         		<a id="pl.30.14"></a><var>30.14</var>waivers for people with disabilities under sections 256B.092 and 256B.49 are not subject
         <br />
         		<a id="pl.30.15"></a><var>30.15</var>to rate stabilization adjustment in this section.<br />
         		<a id="pl.30.16"></a><var>30.16</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.26.0"></a><a id="pl.30.17"></a><var>30.17</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2016, section 256B.4914, subdivision 2, is amended to read:<br />
         		<a id="pl.30.18"></a><var>30.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the following terms have the <br />
         		<a id="pl.30.19"></a><var>30.19</var>meanings given them, unless the context clearly indicates otherwise.<br />
         		<a id="pl.30.20"></a><var>30.20</var>(b) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.30.21"></a><var>30.21</var>(c) "Component value" means underlying factors that are part of the cost of providing
         <br />
         		<a id="pl.30.22"></a><var>30.22</var>services that are built into the waiver rates methodology to calculate service rates.<br />
         		<a id="pl.30.23"></a><var>30.23</var>(d) "Customized living tool" means a methodology for setting service rates that delineates
         <br />
         		<a id="pl.30.24"></a><var>30.24</var>and documents the amount of each component service included in a recipient's customized
         <br />
         		<a id="pl.30.25"></a><var>30.25</var>living service plan.<br />
         		<a id="pl.30.26"></a><var>30.26</var>(e) "Disability waiver rates system" means a statewide system that establishes rates
         that <br />
         		<a id="pl.30.27"></a><var>30.27</var>are based on uniform processes and captures the individualized nature of waiver services
         <br />
         		<a id="pl.30.28"></a><var>30.28</var>and recipient needs.<br />
         		<a id="pl.30.29"></a><var>30.29</var>(f) "Individual staffing" means the time spent as a one-to-one interaction specific
         to an <br />
         		<a id="pl.30.30"></a><var>30.30</var>individual recipient by staff to provide direct support and assistance with activities
         of daily <br />
         		<a id="pl.30.31"></a><var>30.31</var>living, instrumental activities of daily living, and training to participants, and
         is based on <br />
         		<a id="pl.31.1"></a><var>31.1</var>the requirements in each individual's coordinated service and support plan under section
         <br />
         		
         <statute_ref><a id="pl.31.2"></a><var>31.2</var>245D.02, subdivision 4b
         </statute_ref>; any coordinated service and support plan addendum under section <br />
         		
         <statute_ref><a id="pl.31.3"></a><var>31.3</var>245D.02, subdivision 4c
         </statute_ref>; and an assessment tool. Provider observation of an individual's <br />
         		<a id="pl.31.4"></a><var>31.4</var>needs must also be considered.<br />
         		<a id="pl.31.5"></a><var>31.5</var>(g) "Lead agency" means a county, partnership of counties, or tribal agency charged
         <br />
         		<a id="pl.31.6"></a><var>31.6</var>with administering waivered services under sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>.<br />
         		<a id="pl.31.7"></a><var>31.7</var>(h) "Median" means the amount that divides distribution into two equal groups, one-half
         <br />
         		<a id="pl.31.8"></a><var>31.8</var>above the median and one-half below the median.<br />
         		<a id="pl.31.9"></a><var>31.9</var>(i) "Payment or rate" means reimbursement to an eligible provider for services provided
         <br />
         		<a id="pl.31.10"></a><var>31.10</var>to a qualified individual based on an approved service authorization.<br />
         		<a id="pl.31.11"></a><var>31.11</var>(j) "Rates management system" means a Web-based software application that uses a <br />
         		<a id="pl.31.12"></a><var>31.12</var>framework and component values, as determined by the commissioner, to establish service
         <br />
         		<a id="pl.31.13"></a><var>31.13</var>rates.<br />
         		<a id="pl.31.14"></a><var>31.14</var>(k) "Recipient" means a person receiving home and community-based services funded
         <br />
         		<a id="pl.31.15"></a><var>31.15</var>under any of the disability waivers.<br />
         		<a id="pl.31.16"></a><var>31.16</var>(l) "Shared staffing" means time spent by employees, not defined under paragraph (f),
         <br />
         		<a id="pl.31.17"></a><var>31.17</var>providing or available to provide more than one individual with direct support and
         assistance <br />
         		<a id="pl.31.18"></a><var>31.18</var>with activities of daily living as defined under section 
         <statute_ref>256B.0659, subdivision 1</statute_ref>, paragraph <br />
         		<a id="pl.31.19"></a><var>31.19</var>(b); instrumental activities of daily living as defined under section 
         <statute_ref>256B.0659</statute_ref>, subdivision <br />
         		<a id="pl.31.20"></a><var>31.20</var>1, paragraph (i); ancillary activities needed to support individual services; and
         training to <br />
         		<a id="pl.31.21"></a><var>31.21</var>participants, and is based on the requirements in each individual's coordinated service
         and <br />
         		<a id="pl.31.22"></a><var>31.22</var>support plan under section 
         <statute_ref>245D.02, subdivision 4b</statute_ref>; any coordinated service and support <br />
         		<a id="pl.31.23"></a><var>31.23</var>plan addendum under section 
         <statute_ref>245D.02, subdivision 4c</statute_ref>; an assessment tool; and provider <br />
         		<a id="pl.31.24"></a><var>31.24</var>observation of an individual's service need. Total shared staffing hours are divided
         <br />
         		<a id="pl.31.25"></a><var>31.25</var>proportionally by the number of individuals who receive the shared service provisions.<br />
         		<a id="pl.31.26"></a><var>31.26</var>(m) "Staffing ratio" means the number of recipients a service provider employee supports
         <br />
         		<a id="pl.31.27"></a><var>31.27</var>during a unit of service based on a uniform assessment tool, provider observation,
         case <br />
         		<a id="pl.31.28"></a><var>31.28</var>history, and the recipient's services of choice, and not based on the staffing ratios
         under <br />
         		<a id="pl.31.29"></a><var>31.29</var>section 
         <statute_ref>245D.31</statute_ref>.<br />
         		<a id="pl.31.30"></a><var>31.30</var>&#160;&#160;&#160;&#160;(n) "Unit of service" means the following:<br />
         		<a id="pl.31.31"></a><var>31.31</var>&#160;&#160;&#160;&#160;(1) for residential support services under subdivision 6, a unit of service is a day.
         Any <br />
         		<a id="pl.31.32"></a><var>31.32</var>portion of any calendar day, within allowable Medicaid rules, where an individual
         spends <br />
         		<a id="pl.31.33"></a><var>31.33</var>time in a residential setting is billable as a day;<br />
         		<a id="pl.32.1"></a><var>32.1</var>&#160;&#160;&#160;&#160;(2) for day services under subdivision 7:<br />
         		<a id="pl.32.2"></a><var>32.2</var>&#160;&#160;&#160;&#160;(i) for day training and habilitation services, a unit of service is either:<br />
         		<a id="pl.32.3"></a><var>32.3</var>&#160;&#160;&#160;&#160;(A) a day unit of service is defined as six or more hours of time spent providing
         direct <br />
         		<a id="pl.32.4"></a><var>32.4</var>services and transportation; or<br />
         		<a id="pl.32.5"></a><var>32.5</var>&#160;&#160;&#160;&#160;(B) a partial day unit of service is defined as fewer than six hours of time spent
         providing <br />
         		<a id="pl.32.6"></a><var>32.6</var>direct services and transportation; and<br />
         		<a id="pl.32.7"></a><var>32.7</var>&#160;&#160;&#160;&#160;(C) for new day service recipients after January 1, 2014, 15 minute units of service
         must <br />
         		<a id="pl.32.8"></a><var>32.8</var>be used for fewer than six hours of time spent providing direct services and transportation;<br />
         		<a id="pl.32.9"></a><var>32.9</var>&#160;&#160;&#160;&#160;(ii) for adult day and structured day services, a unit of service is a day or 15 minutes.
         A <br />
         		<a id="pl.32.10"></a><var>32.10</var>day unit of service is six or more hours of time spent providing direct services;<br />
         		<a id="pl.32.11"></a><var>32.11</var>&#160;&#160;&#160;&#160;(iii) for prevocational services, a unit of service is a day or an hour. A day unit
         of service <br />
         		<a id="pl.32.12"></a><var>32.12</var>is six or more hours of time spent providing direct service;<br />
         		<a id="pl.32.13"></a><var>32.13</var>&#160;&#160;&#160;&#160;(3) for unit-based services with programming under subdivision 8:<br />
         		<a id="pl.32.14"></a><var>32.14</var>&#160;&#160;&#160;&#160;(i) for supported living services, a unit of service is a day or 15 minutes. When
         a day <br />
         		<a id="pl.32.15"></a><var>32.15</var>rate is authorized, any portion of a calendar day where an individual receives services
         is <br />
         		<a id="pl.32.16"></a><var>32.16</var>billable as a day; and<br />
         		<a id="pl.32.17"></a><var>32.17</var>&#160;&#160;&#160;&#160;(ii) for all other services, a unit of service is 15 minutes; and<br />
         		<a id="pl.32.18"></a><var>32.18</var>&#160;&#160;&#160;&#160;(4) for unit-based services without programming under subdivision 9:<br />
         		<a id="pl.32.19"></a><var>32.19</var>&#160;&#160;&#160;&#160;(i) for respite services, a unit of service is a day or 15 minutes. When a day rate is <br />
         		<a id="pl.32.20"></a><var>32.20</var>authorized, any portion of a calendar day when an individual receives services is
         billable <br />
         		<a id="pl.32.21"></a><var>32.21</var>as a day; and<br />
         		<a id="pl.32.22"></a><var>32.22</var>&#160;&#160;&#160;&#160;(ii) for all other services, a unit of service is 15 minutes.<br />
         		<a id="pl.32.23"></a><var>32.23</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.32.24"></a><var>32.24</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.27.0"></a><a id="pl.32.25"></a><var>32.25</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 256B.4914, subdivision 3, is amended to read:<br />
         		<a id="pl.32.26"></a><var>32.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Applicable services.</b> Applicable services are those authorized under the state's <br />
         		<a id="pl.32.27"></a><var>32.27</var>home and community-based services waivers under sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>, <br />
         		<a id="pl.32.28"></a><var>32.28</var>including the following, as defined in the federally approved home and community-based
         <br />
         		<a id="pl.32.29"></a><var>32.29</var>services plan:<br />
         		<a id="pl.32.30"></a><var>32.30</var>(1) 24-hour customized living;<br />
         		<a id="pl.33.1"></a><var>33.1</var>(2) adult day care;<br />
         		<a id="pl.33.2"></a><var>33.2</var>(3) adult day care bath;<br />
         		<a id="pl.33.3"></a><var>33.3</var>(4) behavioral programming;<br />
         		<a id="pl.33.4"></a><var>33.4</var>(5) companion services;<br />
         		<a id="pl.33.5"></a><var>33.5</var>(6) customized living;<br />
         		<a id="pl.33.6"></a><var>33.6</var>(7) day training and habilitation;<br />
         		<a id="pl.33.7"></a><var>33.7</var>(8) housing access coordination;<br />
         		<a id="pl.33.8"></a><var>33.8</var>(9) independent living skills;<br />
         		<a id="pl.33.9"></a><var>33.9</var>(10) in-home family support;<br />
         		<a id="pl.33.10"></a><var>33.10</var>(11) night supervision;<br />
         		<a id="pl.33.11"></a><var>33.11</var>(12) personal support;<br />
         		<a id="pl.33.12"></a><var>33.12</var>(13) prevocational services;<br />
         		<a id="pl.33.13"></a><var>33.13</var>(14) residential care services;<br />
         		<a id="pl.33.14"></a><var>33.14</var>(15) residential support services;<br />
         		<a id="pl.33.15"></a><var>33.15</var>(16) respite services;<br />
         		<a id="pl.33.16"></a><var>33.16</var>(17) structured day services;<br />
         		<a id="pl.33.17"></a><var>33.17</var>(18) supported employment services;<br />
         		<a id="pl.33.18"></a><var>33.18</var>(19) (18) supported living services;<br />
         		<a id="pl.33.19"></a><var>33.19</var>(20) (19) transportation services; and<br />
         		<a id="pl.33.20"></a><var>33.20</var>(20) individualized home supports;<br />
         		<a id="pl.33.21"></a><var>33.21</var>(21) independent living skills specialist services;<br />
         		<a id="pl.33.22"></a><var>33.22</var>(22) employment exploration services;<br />
         		<a id="pl.33.23"></a><var>33.23</var>(23) employment development services;<br />
         		<a id="pl.33.24"></a><var>33.24</var>(24) employment support services; and<br />
         		<a id="pl.33.25"></a><var>33.25</var>(21) (25) other services as approved by the federal government in the state home and <br />
         		<a id="pl.33.26"></a><var>33.26</var>community-based services plan.<br />
         		<a id="pl.33.27"></a><var>33.27</var><b>EFFECTIVE DATE.</b>(a) Clause (20) is effective the day following final enactment.<br />
         		<a id="pl.34.1"></a><var>34.1</var>(b) Clauses (21) to (24) are effective upon federal approval. The commissioner of
         human <br />
         		<a id="pl.34.2"></a><var>34.2</var>services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.28.0"></a><a id="pl.34.3"></a><var>34.3</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2016, section 256B.4914, subdivision 5, is amended to read:<br />
         		<a id="pl.34.4"></a><var>34.4</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Base wage index and standard component values.</b> (a) The base wage index <br />
         		<a id="pl.34.5"></a><var>34.5</var>is established to determine staffing costs associated with providing services to individuals
         <br />
         		<a id="pl.34.6"></a><var>34.6</var>receiving home and community-based services. For purposes of developing and calculating
         <br />
         		<a id="pl.34.7"></a><var>34.7</var>the proposed base wage, Minnesota-specific wages taken from job descriptions and standard
         <br />
         		<a id="pl.34.8"></a><var>34.8</var>occupational classification (SOC) codes from the Bureau of Labor Statistics as defined
         in <br />
         		<a id="pl.34.9"></a><var>34.9</var>the most recent edition of the Occupational Handbook must be used. The base wage index
         <br />
         		<a id="pl.34.10"></a><var>34.10</var>must be calculated as follows:<br />
         		<a id="pl.34.11"></a><var>34.11</var>(1) for residential direct care staff, the sum of:<br />
         		<a id="pl.34.12"></a><var>34.12</var>(i) 15 percent of the subtotal of 50 percent of the median wage for personal and home
         <br />
         		<a id="pl.34.13"></a><var>34.13</var>health aide (SOC code 39-9021); 30 percent of the median wage for nursing aide assistant <br />
         		<a id="pl.34.14"></a><var>34.14</var>(SOC code 31-1012 31-1014); and 20 percent of the median wage for social and human <br />
         		<a id="pl.34.15"></a><var>34.15</var>services aide (SOC code 21-1093); and<br />
         		<a id="pl.34.16"></a><var>34.16</var>(ii) 85 percent of the subtotal of 20 percent of the median wage for home health aide
         <br />
         		<a id="pl.34.17"></a><var>34.17</var>(SOC code 31-1011); 20 percent of the median wage for personal and home health aide
         <br />
         		<a id="pl.34.18"></a><var>34.18</var>(SOC code 39-9021); 20 percent of the median wage for nursing aide assistant (SOC code <br />
         		<a id="pl.34.19"></a><var>34.19</var>31-1012 31-1014); 20 percent of the median wage for psychiatric technician (SOC code <br />
         		<a id="pl.34.20"></a><var>34.20</var>29-2053); and 20 percent of the median wage for social and human services aide (SOC
         code <br />
         		<a id="pl.34.21"></a><var>34.21</var>21-1093);<br />
         		<a id="pl.34.22"></a><var>34.22</var>(2) for day services, 20 percent of the median wage for nursing aide assistant (SOC code <br />
         		<a id="pl.34.23"></a><var>34.23</var>31-1012 31-1014); 20 percent of the median wage for psychiatric technician (SOC code <br />
         		<a id="pl.34.24"></a><var>34.24</var>29-2053); and 60 percent of the median wage for social and human services aide (SOC
         code <br />
         		<a id="pl.34.25"></a><var>34.25</var>21-1093);<br />
         		<a id="pl.34.26"></a><var>34.26</var>(3) for residential asleep-overnight staff, the wage will be $7.66 per hour is the minimum <br />
         		<a id="pl.34.27"></a><var>34.27</var>wage in Minnesota for large employers, except in a family foster care setting, the wage is <br />
         		<a id="pl.34.28"></a><var>34.28</var>$2.80 per hour 36 percent of the minimum wage in Minnesota for large employers;<br />
         		<a id="pl.34.29"></a><var>34.29</var>(4) for behavior program analyst staff, 100 percent of the median wage for mental
         health <br />
         		<a id="pl.34.30"></a><var>34.30</var>counselors (SOC code 21-1014);<br />
         		<a id="pl.34.31"></a><var>34.31</var>(5) for behavior program professional staff, 100 percent of the median wage for clinical
         <br />
         		<a id="pl.34.32"></a><var>34.32</var>counseling and school psychologist (SOC code 19-3031);<br />
         		<a id="pl.35.1"></a><var>35.1</var>(6) for behavior program specialist staff, 100 percent of the median wage for psychiatric
         <br />
         		<a id="pl.35.2"></a><var>35.2</var>technicians (SOC code 29-2053);<br />
         		<a id="pl.35.3"></a><var>35.3</var>(7) for supportive living services staff, 20 percent of the median wage for nursing
         aide <br />
         		<a id="pl.35.4"></a><var>35.4</var>assistant (SOC code 31-1012 31-1014); 20 percent of the median wage for psychiatric <br />
         		<a id="pl.35.5"></a><var>35.5</var>technician (SOC code 29-2053); and 60 percent of the median wage for social and human
         <br />
         		<a id="pl.35.6"></a><var>35.6</var>services aide (SOC code 21-1093);<br />
         		<a id="pl.35.7"></a><var>35.7</var>(8) for housing access coordination staff, 50 100 percent of the median wage for <br />
         		<a id="pl.35.8"></a><var>35.8</var>community and social services specialist (SOC code 21-1099); and 50 percent of the median <br />
         		<a id="pl.35.9"></a><var>35.9</var>wage for social and human services aide (SOC code 21-1093);<br />
         		<a id="pl.35.10"></a><var>35.10</var>(9) for in-home family support staff, 20 percent of the median wage for nursing aide
         <br />
         		<a id="pl.35.11"></a><var>35.11</var>(SOC code 31-1012); 30 percent of the median wage for community social service specialist
         <br />
         		<a id="pl.35.12"></a><var>35.12</var>(SOC code 21-1099); 40 percent of the median wage for social and human services aide
         <br />
         		<a id="pl.35.13"></a><var>35.13</var>(SOC code 21-1093); and ten percent of the median wage for psychiatric technician
         (SOC <br />
         		<a id="pl.35.14"></a><var>35.14</var>code 29-2053);<br />
         		<a id="pl.35.15"></a><var>35.15</var>(10) for individualized home supports services staff, 40 percent of the median wage for
         <br />
         		<a id="pl.35.16"></a><var>35.16</var>community social service specialist (SOC code 21-1099); 50 percent of the median wage
         <br />
         		<a id="pl.35.17"></a><var>35.17</var>for social and human services aide (SOC code 21-1093); and ten percent of the median
         <br />
         		<a id="pl.35.18"></a><var>35.18</var>wage for psychiatric technician (SOC code 29-2053);<br />
         		<a id="pl.35.19"></a><var>35.19</var>(11) for independent living skills staff, 40 percent of the median wage for community <br />
         		<a id="pl.35.20"></a><var>35.20</var>social service specialist (SOC code 21-1099); 50 percent of the median wage for social
         and <br />
         		<a id="pl.35.21"></a><var>35.21</var>human services aide (SOC code 21-1093); and ten percent of the median wage for psychiatric
         <br />
         		<a id="pl.35.22"></a><var>35.22</var>technician (SOC code 29-2053);<br />
         		<a id="pl.35.23"></a><var>35.23</var>(12) for independent living skills specialist staff, 100 percent of mental health
         and <br />
         		<a id="pl.35.24"></a><var>35.24</var>substance abuse social worker (SOC code 21-1023);<br />
         		<a id="pl.35.25"></a><var>35.25</var>(11) (13)  for supported employment support services staff, 20 50 percent of the median <br />
         		<a id="pl.35.26"></a><var>35.26</var>wage for nursing aide rehabilitation counselor (SOC code 31-1012 21-1015); 20 percent of <br />
         		<a id="pl.35.27"></a><var>35.27</var>the median wage for psychiatric technician (SOC code 29-2053); and 60 50 percent of the <br />
         		<a id="pl.35.28"></a><var>35.28</var>median wage for community and social and human services aide specialist (SOC code <br />
         		<a id="pl.35.29"></a><var>35.29</var>21-1093 21-1099);<br />
         		<a id="pl.35.30"></a><var>35.30</var>(14) for employment exploration services staff, 50 percent of the median wage for
         <br />
         		<a id="pl.35.31"></a><var>35.31</var>rehabilitation counselor (SOC code 21-1015); and 50 percent of the median wage for
         <br />
         		<a id="pl.35.32"></a><var>35.32</var>community and social services specialist (SOC code 21-1099);<br />
         		<a id="pl.36.1"></a><var>36.1</var>(15) for employment development services staff, 50 percent of the median wage for
         <br />
         		<a id="pl.36.2"></a><var>36.2</var>education, guidance, school, and vocational counselors (SOC code 21-1012); and 50
         percent <br />
         		<a id="pl.36.3"></a><var>36.3</var>of the median wage for community and social services specialist (SOC code 21-1099);<br />
         		<a id="pl.36.4"></a><var>36.4</var>(12) (16) for adult companion staff, 50 percent of the median wage for personal and <br />
         		<a id="pl.36.5"></a><var>36.5</var>home care aide (SOC code 39-9021); and 50 percent of the median wage for nursing aides, <br />
         		<a id="pl.36.6"></a><var>36.6</var>orderlies, and attendants assistant (SOC code 31-1012 31-1014);<br />
         		<a id="pl.36.7"></a><var>36.7</var>(13) (17) for night supervision staff, 20 percent of the median wage for home health <br />
         		<a id="pl.36.8"></a><var>36.8</var>aide (SOC code 31-1011); 20 percent of the median wage for personal and home health
         <br />
         		<a id="pl.36.9"></a><var>36.9</var>aide (SOC code 39-9021); 20 percent of the median wage for nursing aide assistant (SOC <br />
         		<a id="pl.36.10"></a><var>36.10</var>code 31-1012 31-1014); 20 percent of the median wage for psychiatric technician (SOC <br />
         		<a id="pl.36.11"></a><var>36.11</var>code 29-2053); and 20 percent of the median wage for social and human services aide
         (SOC <br />
         		<a id="pl.36.12"></a><var>36.12</var>code 21-1093);<br />
         		<a id="pl.36.13"></a><var>36.13</var>(14) (18) for respite staff, 50 percent of the median wage for personal and home care <br />
         		<a id="pl.36.14"></a><var>36.14</var>aide (SOC code 39-9021); and 50 percent of the median wage for nursing aides, orderlies, <br />
         		<a id="pl.36.15"></a><var>36.15</var>and attendants assistant (SOC code 31-1012 31-1014);<br />
         		<a id="pl.36.16"></a><var>36.16</var>(15) (19) for personal support staff, 50 percent of the median wage for personal and <br />
         		<a id="pl.36.17"></a><var>36.17</var>home care aide (SOC code 39-9021); and 50 percent of the median wage for nursing aides, <br />
         		<a id="pl.36.18"></a><var>36.18</var>orderlies, and attendants assistant (SOC code 31-1012 31-1014);<br />
         		<a id="pl.36.19"></a><var>36.19</var>(16) (20) for supervisory staff, the basic wage is $17.43 per hour, 100 percent of the <br />
         		<a id="pl.36.20"></a><var>36.20</var>median wage for community and social services specialist (SOC code 21-1099), with the <br />
         		<a id="pl.36.21"></a><var>36.21</var>exception of the supervisor of behavior professional, behavior analyst, and behavior <br />
         		<a id="pl.36.22"></a><var>36.22</var>specialists, which must be $30.75 per hour is 100 percent of the median wage for clinical <br />
         		<a id="pl.36.23"></a><var>36.23</var>counseling and school psychologist (SOC code 19-3031);<br />
         		<a id="pl.36.24"></a><var>36.24</var>(17) (21) for registered nurse staff, the basic wage is $30.82 per hour, 100 percent of <br />
         		<a id="pl.36.25"></a><var>36.25</var>the median wage for registered nurses (SOC code 29-1141); and<br />
         		<a id="pl.36.26"></a><var>36.26</var>(18) (22) for licensed practical nurse staff, the basic wage is $18.64 per hour 100 percent <br />
         		<a id="pl.36.27"></a><var>36.27</var>of the median wage for licensed practical nurses (SOC code 29-2061).<br />
         		<a id="pl.36.28"></a><var>36.28</var>(b) Component values for residential support services are:<br />
         		<a id="pl.36.29"></a><var>36.29</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.36.30"></a><var>36.30</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.36.31"></a><var>36.31</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.36.32"></a><var>36.32</var>(4) general administrative support ratio: 13.25 percent;<br />
         		<a id="pl.37.1"></a><var>37.1</var>(5) program-related expense ratio: 1.3 percent; and<br />
         		<a id="pl.37.2"></a><var>37.2</var>(6) absence and utilization factor ratio: 3.9 percent.<br />
         		<a id="pl.37.3"></a><var>37.3</var>(c) Component values for family foster care are:<br />
         		<a id="pl.37.4"></a><var>37.4</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.37.5"></a><var>37.5</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.37.6"></a><var>37.6</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.37.7"></a><var>37.7</var>(4) general administrative support ratio: 3.3 percent;<br />
         		<a id="pl.37.8"></a><var>37.8</var>(5) program-related expense ratio: 1.3 percent; and<br />
         		<a id="pl.37.9"></a><var>37.9</var>(6) absence factor: 1.7 percent.<br />
         		<a id="pl.37.10"></a><var>37.10</var>(d) Component values for day services for all services are:<br />
         		<a id="pl.37.11"></a><var>37.11</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.37.12"></a><var>37.12</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.37.13"></a><var>37.13</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.37.14"></a><var>37.14</var>(4) program plan support ratio: 5.6 percent;<br />
         		<a id="pl.37.15"></a><var>37.15</var>(5) client programming and support ratio: ten percent;<br />
         		<a id="pl.37.16"></a><var>37.16</var>(6) general administrative support ratio: 13.25 percent;<br />
         		<a id="pl.37.17"></a><var>37.17</var>(7) program-related expense ratio: 1.8 percent; and<br />
         		<a id="pl.37.18"></a><var>37.18</var>(8) absence and utilization factor ratio: 3.9 9.4 percent.<br />
         		<a id="pl.37.19"></a><var>37.19</var>(e) Component values for unit-based services with programming are:<br />
         		<a id="pl.37.20"></a><var>37.20</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.37.21"></a><var>37.21</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.37.22"></a><var>37.22</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.37.23"></a><var>37.23</var>(4) program plan supports ratio: 3.1 15.5 percent;<br />
         		<a id="pl.37.24"></a><var>37.24</var>(5) client programming and supports ratio: 8.6 4.7 percent;<br />
         		<a id="pl.37.25"></a><var>37.25</var>(6) general administrative support ratio: 13.25 percent;<br />
         		<a id="pl.37.26"></a><var>37.26</var>(7) program-related expense ratio: 6.1 percent; and<br />
         		<a id="pl.37.27"></a><var>37.27</var>(8) absence and utilization factor ratio: 3.9 percent.<br />
         		<a id="pl.38.1"></a><var>38.1</var>(f) Component values for unit-based services without programming except respite are:<br />
         		<a id="pl.38.2"></a><var>38.2</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.38.3"></a><var>38.3</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.38.4"></a><var>38.4</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.38.5"></a><var>38.5</var>(4) program plan support ratio: 3.1 7.0 percent;<br />
         		<a id="pl.38.6"></a><var>38.6</var>(5) client programming and support ratio: 8.6 2.3 percent;<br />
         		<a id="pl.38.7"></a><var>38.7</var>(6) general administrative support ratio: 13.25 percent;<br />
         		<a id="pl.38.8"></a><var>38.8</var>(7) program-related expense ratio: 6.1 2.9 percent; and<br />
         		<a id="pl.38.9"></a><var>38.9</var>(8) absence and utilization factor ratio: 3.9 percent.<br />
         		<a id="pl.38.10"></a><var>38.10</var>(g) Component values for unit-based services without programming for respite are:<br />
         		<a id="pl.38.11"></a><var>38.11</var>(1) supervisory span of control ratio: 11 percent;<br />
         		<a id="pl.38.12"></a><var>38.12</var>(2) employee vacation, sick, and training allowance ratio: 8.71 percent;<br />
         		<a id="pl.38.13"></a><var>38.13</var>(3) employee-related cost ratio: 23.6 percent;<br />
         		<a id="pl.38.14"></a><var>38.14</var>(4) general administrative support ratio: 13.25 percent;<br />
         		<a id="pl.38.15"></a><var>38.15</var>(5) program-related expense ratio: 6.1 2.9 percent; and<br />
         		<a id="pl.38.16"></a><var>38.16</var>(6) absence and utilization factor ratio: 3.9 percent.<br />
         		<a id="pl.38.17"></a><var>38.17</var>(h) On July 1, 2017, the commissioner shall update the base wage index in paragraph
         <br />
         		<a id="pl.38.18"></a><var>38.18</var>(a) based on the wage data by standard occupational code (SOC) from the Bureau of
         Labor <br />
         		<a id="pl.38.19"></a><var>38.19</var>Statistics available on December 31, 2016. The commissioner shall publish these updated
         <br />
         		<a id="pl.38.20"></a><var>38.20</var>values and load them into the rate management system. This adjustment occurs every five <br />
         		<a id="pl.38.21"></a><var>38.21</var>years. For adjustments in 2021 and beyond, the commissioner shall use the data available
         <br />
         		<a id="pl.38.22"></a><var>38.22</var>on December 31 of the calendar year five years prior. On January 1, 2022, and every two <br />
         		<a id="pl.38.23"></a><var>38.23</var>years thereafter, the commissioner shall update the base wage index in paragraph (a)
         based <br />
         		<a id="pl.38.24"></a><var>38.24</var>on the most recently available wage data by SOC from the Bureau of Labor Statistics.
         The <br />
         		<a id="pl.38.25"></a><var>38.25</var>commissioner shall publish these updated values and load them into the rate management
         <br />
         		<a id="pl.38.26"></a><var>38.26</var>system.<br />
         		<a id="pl.38.27"></a><var>38.27</var>(i) On July 1, 2017, the commissioner shall update the framework components in <br />
         		<a id="pl.38.28"></a><var>38.28</var>paragraphs (b) to (g) paragraph (d), clause (5); paragraph (e), clause (5); and paragraph (f), <br />
         		<a id="pl.38.29"></a><var>38.29</var>clause (5); subdivision 6, clauses (8) and (9); and subdivision 7, clauses (10), (16), and (17), <br />
         		<a id="pl.38.30"></a><var>38.30</var>for changes in the Consumer Price Index. The commissioner will adjust these values
         higher <br />
         		<a id="pl.39.1"></a><var>39.1</var>or lower by the percentage change in the Consumer Price Index-All Items, United States
         <br />
         		<a id="pl.39.2"></a><var>39.2</var>city average (CPI-U) from January 1, 2014, to January 1, 2017. The commissioner shall
         <br />
         		<a id="pl.39.3"></a><var>39.3</var>publish these updated values and load them into the rate management system. This adjustment <br />
         		<a id="pl.39.4"></a><var>39.4</var>occurs every five years. For adjustments in 2021 and beyond, the commissioner shall
         use <br />
         		<a id="pl.39.5"></a><var>39.5</var>the data available on January 1 of the calendar year four years prior and January
         1 of the <br />
         		<a id="pl.39.6"></a><var>39.6</var>current calendar year. On January 1, 2022, and every two years thereafter, the commissioner <br />
         		<a id="pl.39.7"></a><var>39.7</var>shall update the framework components in paragraph (d), clause (5); paragraph (e),
         clause <br />
         		<a id="pl.39.8"></a><var>39.8</var>(5); and paragraph (f), clause (5); subdivision 6, clauses (8) and (9); and subdivision
         7, <br />
         		<a id="pl.39.9"></a><var>39.9</var>clauses (10), (16), and (17), for changes in the Consumer Price Index. The commissioner
         <br />
         		<a id="pl.39.10"></a><var>39.10</var>shall adjust these values higher or lower by the percentage change in the CPI-U from
         the <br />
         		<a id="pl.39.11"></a><var>39.11</var>date of the previous update to the date of the data most recently available prior
         to the <br />
         		<a id="pl.39.12"></a><var>39.12</var>scheduled update. The commissioner shall publish these updated values and load them
         into <br />
         		<a id="pl.39.13"></a><var>39.13</var>the rate management system.<br />
         		<a id="pl.39.14"></a><var>39.14</var>(j) In this subdivision, if Bureau of Labor Statistics occupational codes or Consumer
         <br />
         		<a id="pl.39.15"></a><var>39.15</var>Price Index items are unavailable in the future, the commissioner shall recommend
         to the <br />
         		<a id="pl.39.16"></a><var>39.16</var>legislature codes or items to update and replace missing component values.<br />
         		<a id="pl.39.17"></a><var>39.17</var>(k) The commissioner must ensure that wage values and component values in subdivisions
         <br />
         		<a id="pl.39.18"></a><var>39.18</var>5 to 9 reflect the cost to provide the service. As determined by the commissioner,
         in <br />
         		<a id="pl.39.19"></a><var>39.19</var>consultation with stakeholders identified in section 256B.4913, subdivision 5, a provider
         <br />
         		<a id="pl.39.20"></a><var>39.20</var>enrolled to provide services with rates determined under this section must submit
         requested <br />
         		<a id="pl.39.21"></a><var>39.21</var>cost data to the commissioner to support research on the cost of providing services
         that have <br />
         		<a id="pl.39.22"></a><var>39.22</var>rates determined by the disability waiver rates system. Requested cost data may include,
         <br />
         		<a id="pl.39.23"></a><var>39.23</var>but is not limited to:<br />
         		<a id="pl.39.24"></a><var>39.24</var>(1) worker wage costs;<br />
         		<a id="pl.39.25"></a><var>39.25</var>(2) benefits paid;<br />
         		<a id="pl.39.26"></a><var>39.26</var>(3) supervisor wage costs;<br />
         		<a id="pl.39.27"></a><var>39.27</var>(4) executive wage costs;<br />
         		<a id="pl.39.28"></a><var>39.28</var>(5) vacation, sick, and training time paid;<br />
         		<a id="pl.39.29"></a><var>39.29</var>(6) taxes, workers' compensation, and unemployment insurance costs paid;<br />
         		<a id="pl.39.30"></a><var>39.30</var>(7) administrative costs paid;<br />
         		<a id="pl.39.31"></a><var>39.31</var>(8) program costs paid;<br />
         		<a id="pl.39.32"></a><var>39.32</var>(9) transportation costs paid;<br />
         		<a id="pl.40.1"></a><var>40.1</var>(10) vacancy rates; and<br />
         		<a id="pl.40.2"></a><var>40.2</var>(11) other data relating to costs required to provide services requested by the <br />
         		<a id="pl.40.3"></a><var>40.3</var>commissioner.<br />
         		<a id="pl.40.4"></a><var>40.4</var>(l) At least once in any five-year period, a provider must submit cost data for a
         fiscal <br />
         		<a id="pl.40.5"></a><var>40.5</var>year that ended not more than 18 months prior to the submission date. The commissioner
         <br />
         		<a id="pl.40.6"></a><var>40.6</var>shall provide each provider a 90-day notice prior to its submission due date. If a
         provider <br />
         		<a id="pl.40.7"></a><var>40.7</var>fails to submit required reporting data, the commissioner shall provide notice to
         providers <br />
         		<a id="pl.40.8"></a><var>40.8</var>that have not provided required data 30 days after the required submission date, and
         a second <br />
         		<a id="pl.40.9"></a><var>40.9</var>notice for providers who have not provided required data 60 days after the required
         <br />
         		<a id="pl.40.10"></a><var>40.10</var>submission date. The commissioner shall temporarily suspend payments to the provider
         if <br />
         		<a id="pl.40.11"></a><var>40.11</var>cost data is not received 90 days after the required submission date. Withheld payments
         <br />
         		<a id="pl.40.12"></a><var>40.12</var>shall be made once data is received by the commissioner.<br />
         		 <a id="pl.40.13"></a><var>40.13</var>(m) The commissioner shall conduct a random validation of data submitted under <br />
         		<a id="pl.40.14"></a><var>40.14</var>paragraph (k) to ensure data accuracy. The commissioner shall analyze cost documentation
         <br />
         		<a id="pl.40.15"></a><var>40.15</var>in paragraph (k) and provide recommendations for adjustments to cost components.<br />
         		<a id="pl.40.16"></a><var>40.16</var>(n) The commissioner shall analyze cost documentation in paragraph (k) and, in <br />
         		<a id="pl.40.17"></a><var>40.17</var>consultation with stakeholders identified in section 256B.4913, subdivision 5, may
         submit <br />
         		<a id="pl.40.18"></a><var>40.18</var>recommendations on component values and inflationary factor adjustments to the chairs
         <br />
         		<a id="pl.40.19"></a><var>40.19</var>and ranking minority members of the legislative committees with jurisdiction over
         human <br />
         		<a id="pl.40.20"></a><var>40.20</var>services every four years beginning January 1, 2020. The commissioner shall make <br />
         		<a id="pl.40.21"></a><var>40.21</var>recommendations in conjunction with reports submitted to the legislature according
         to <br />
         		<a id="pl.40.22"></a><var>40.22</var>subdivision 10, paragraph (e). The commissioner shall release business cost data in
         an <br />
         		<a id="pl.40.23"></a><var>40.23</var>aggregate form, and business cost data from individual providers shall not be released
         except <br />
         		<a id="pl.40.24"></a><var>40.24</var>as provided for in current law.<br />
         		<a id="pl.40.25"></a><var>40.25</var>(o) The commissioner, in consultation with stakeholders identified in section 256B.4913,
         <br />
         		<a id="pl.40.26"></a><var>40.26</var>subdivision 5, shall develop and implement a process for providing training and technical
         <br />
         		<a id="pl.40.27"></a><var>40.27</var>assistance necessary to support provider submission of cost documentation required
         under <br />
         		<a id="pl.40.28"></a><var>40.28</var>paragraph (k).<br />
         		<a id="pl.40.29"></a><var>40.29</var><b>EFFECTIVE DATE.</b>(a) The amendments to paragraphs (a) to (g) are effective January <br />
         		<a id="pl.40.30"></a><var>40.30</var>1, 2018, except the amendment to paragraph (d), clause (8), which is effective January
         1, <br />
         		<a id="pl.40.31"></a><var>40.31</var>2019, and the amendment to paragraph (a), clause (10), which is effective the day
         following <br />
         		<a id="pl.40.32"></a><var>40.32</var>final enactment.<br />
         		<a id="pl.40.33"></a><var>40.33</var>(b) The amendments to paragraphs (h) to (o) are effective the day following final
         <br />
         		<a id="pl.40.34"></a><var>40.34</var>enactment.<br />
         		<br />
         		<a id="bill.1.29.0"></a><a id="pl.41.1"></a><var>41.1</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 256B.4914, subdivision 6, is amended to read:<br />
         		<a id="pl.41.2"></a><var>41.2</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Payments for residential support services.</b> (a) Payments for residential support <br />
         		<a id="pl.41.3"></a><var>41.3</var>services, as defined in sections 
         <statute_ref>256B.092, subdivision 11</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, subdivision 22, <br />
         		<a id="pl.41.4"></a><var>41.4</var>must be calculated as follows:<br />
         		<a id="pl.41.5"></a><var>41.5</var>(1) determine the number of shared staffing and individual direct staff hours to meet
         a <br />
         		<a id="pl.41.6"></a><var>41.6</var>recipient's needs provided on site or through monitoring technology;<br />
         		<a id="pl.41.7"></a><var>41.7</var>(2) personnel hourly wage rate must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.41.8"></a><var>41.8</var>Minnesota-specific rates or rates derived by the commissioner as provided in subdivision
         <br />
         		<a id="pl.41.9"></a><var>41.9</var>5. This is defined as the direct-care rate;<br />
         		<a id="pl.41.10"></a><var>41.10</var>(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.41.11"></a><var>41.11</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.41.12"></a><var>41.12</var>to the result of clause (2). This is defined as the customized direct-care rate;<br />
         		<a id="pl.41.13"></a><var>41.13</var>(4) multiply the number of shared and individual direct staff hours provided on site
         or <br />
         		<a id="pl.41.14"></a><var>41.14</var>through monitoring technology and nursing hours by the appropriate staff wages in
         <br />
         		<a id="pl.41.15"></a><var>41.15</var>subdivision 5, paragraph (a), or the customized direct-care rate;<br />
         		<a id="pl.41.16"></a><var>41.16</var>(5) multiply the number of shared and individual direct staff hours provided on site
         or <br />
         		<a id="pl.41.17"></a><var>41.17</var>through monitoring technology and nursing hours by the product of the supervision
         span <br />
         		<a id="pl.41.18"></a><var>41.18</var>of control ratio in subdivision 5, paragraph (b), clause (1), and the appropriate
         supervision <br />
         		<a id="pl.41.19"></a><var>41.19</var>wage in subdivision 5, paragraph (a), clause (16) (20);<br />
         		<a id="pl.41.20"></a><var>41.20</var>(6) combine the results of clauses (4) and (5), excluding any shared and individual
         direct <br />
         		<a id="pl.41.21"></a><var>41.21</var>staff hours provided through monitoring technology, and multiply the result by one
         plus <br />
         		<a id="pl.41.22"></a><var>41.22</var>the employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (b), <br />
         		<a id="pl.41.23"></a><var>41.23</var>clause (2). This is defined as the direct staffing cost;<br />
         		<a id="pl.41.24"></a><var>41.24</var>(7) for employee-related expenses, multiply the direct staffing cost, excluding any
         shared <br />
         		<a id="pl.41.25"></a><var>41.25</var>and individual direct staff hours provided through monitoring technology, by one plus
         the <br />
         		<a id="pl.41.26"></a><var>41.26</var>employee-related cost ratio in subdivision 5, paragraph (b), clause (3);<br />
         		<a id="pl.41.27"></a><var>41.27</var>(8) for client programming and supports, the commissioner shall add $2,179; and<br />
         		<a id="pl.41.28"></a><var>41.28</var>(9) for transportation, if provided, the commissioner shall add $1,680, or $3,000
         if <br />
         		<a id="pl.41.29"></a><var>41.29</var>customized for adapted transport, based on the resident with the highest assessed
         need.<br />
         		<a id="pl.41.30"></a><var>41.30</var>(b) The total rate must be calculated using the following steps:<br />
         		<a id="pl.42.1"></a><var>42.1</var>(1) subtotal paragraph (a), clauses (7) to (9), and the direct staffing cost of any
         shared <br />
         		<a id="pl.42.2"></a><var>42.2</var>and individual direct staff hours provided through monitoring technology that was
         excluded <br />
         		<a id="pl.42.3"></a><var>42.3</var>in clause (7);<br />
         		<a id="pl.42.4"></a><var>42.4</var>(2) sum the standard general and administrative rate, the program-related expense
         ratio, <br />
         		<a id="pl.42.5"></a><var>42.5</var>and the absence and utilization ratio;<br />
         		<a id="pl.42.6"></a><var>42.6</var>(3) divide the result of clause (1) by one minus the result of clause (2). This is
         the total <br />
         		<a id="pl.42.7"></a><var>42.7</var>payment amount; and<br />
         		<a id="pl.42.8"></a><var>42.8</var>(4) adjust the result of clause (3) by a factor to be determined by the commissioner
         to <br />
         		<a id="pl.42.9"></a><var>42.9</var>adjust for regional differences in the cost of providing services.<br />
         		<a id="pl.42.10"></a><var>42.10</var>(c) The payment methodology for customized living, 24-hour customized living, and
         <br />
         		<a id="pl.42.11"></a><var>42.11</var>residential care services must be the customized living tool. Revisions to the customized
         <br />
         		<a id="pl.42.12"></a><var>42.12</var>living tool must be made to reflect the services and activities unique to disability-related
         <br />
         		<a id="pl.42.13"></a><var>42.13</var>recipient needs.<br />
         		<a id="pl.42.14"></a><var>42.14</var>(d) For individuals enrolled prior to January 1, 2014, the days of service authorized
         must <br />
         		<a id="pl.42.15"></a><var>42.15</var>meet or exceed the days of service used to convert service agreements in effect on
         December <br />
         		<a id="pl.42.16"></a><var>42.16</var>1, 2013, and must not result in a reduction in spending or service utilization due
         to conversion <br />
         		<a id="pl.42.17"></a><var>42.17</var>during the implementation period under section 
         <statute_ref>256B.4913, subdivision 4a</statute_ref>. If during the <br />
         		<a id="pl.42.18"></a><var>42.18</var>implementation period, an individual's historical rate, including adjustments required
         under <br />
         		<a id="pl.42.19"></a><var>42.19</var>section 
         <statute_ref>256B.4913, subdivision 4a</statute_ref>, paragraph (c), is equal to or greater than the rate <br />
         		<a id="pl.42.20"></a><var>42.20</var>determined in this subdivision, the number of days authorized for the individual is
         365.<br />
         		<a id="pl.42.21"></a><var>42.21</var>(e) The number of days authorized for all individuals enrolling after January 1, 2014,
         <br />
         		<a id="pl.42.22"></a><var>42.22</var>in residential services must include every day that services start and end.<br />
         		<br />
         		<a id="bill.1.30.0"></a><a id="pl.42.23"></a><var>42.23</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 256B.4914, subdivision 7, is amended to read:<br />
         		<a id="pl.42.24"></a><var>42.24</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Payments for day programs.</b> Payments for services with day programs <br />
         		<a id="pl.42.25"></a><var>42.25</var>including adult day care, day treatment and habilitation, prevocational services,
         and structured <br />
         		<a id="pl.42.26"></a><var>42.26</var>day services must be calculated as follows:<br />
         		<a id="pl.42.27"></a><var>42.27</var>(1) determine the number of units of service and staffing ratio to meet a recipient's
         needs:<br />
         		<a id="pl.42.28"></a><var>42.28</var>(i) the staffing ratios for the units of service provided to a recipient in a typical
         week <br />
         		<a id="pl.42.29"></a><var>42.29</var>must be averaged to determine an individual's staffing ratio; and<br />
         		<a id="pl.42.30"></a><var>42.30</var>(ii) the commissioner, in consultation with service providers, shall develop a uniform
         <br />
         		<a id="pl.42.31"></a><var>42.31</var>staffing ratio worksheet to be used to determine staffing ratios under this subdivision;<br />
         		<a id="pl.43.1"></a><var>43.1</var>(2) personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.43.2"></a><var>43.2</var>Minnesota-specific rates or rates derived by the commissioner as provided in subdivision
         <br />
         		<a id="pl.43.3"></a><var>43.3</var>5;<br />
         		<a id="pl.43.4"></a><var>43.4</var>(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.43.5"></a><var>43.5</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.43.6"></a><var>43.6</var>to the result of clause (2). This is defined as the customized direct-care rate;<br />
         		<a id="pl.43.7"></a><var>43.7</var>(4) multiply the number of day program direct staff hours and nursing hours by the
         <br />
         		<a id="pl.43.8"></a><var>43.8</var>appropriate staff wage in subdivision 5, paragraph (a), or the customized direct-care
         rate;<br />
         		<a id="pl.43.9"></a><var>43.9</var>(5) multiply the number of day direct staff hours by the product of the supervision
         span <br />
         		<a id="pl.43.10"></a><var>43.10</var>of control ratio in subdivision 5, paragraph (d), clause (1), and the appropriate
         supervision <br />
         		<a id="pl.43.11"></a><var>43.11</var>wage in subdivision 5, paragraph (a), clause (16) (20);<br />
         		<a id="pl.43.12"></a><var>43.12</var>(6) combine the results of clauses (4) and (5), and multiply the result by one plus
         the <br />
         		<a id="pl.43.13"></a><var>43.13</var>employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (d), clause <br />
         		<a id="pl.43.14"></a><var>43.14</var>(2). This is defined as the direct staffing rate;<br />
         		<a id="pl.43.15"></a><var>43.15</var>(7) for program plan support, multiply the result of clause (6) by one plus the program
         <br />
         		<a id="pl.43.16"></a><var>43.16</var>plan support ratio in subdivision 5, paragraph (d), clause (4);<br />
         		<a id="pl.43.17"></a><var>43.17</var>(8) for employee-related expenses, multiply the result of clause (7) by one plus the
         <br />
         		<a id="pl.43.18"></a><var>43.18</var>employee-related cost ratio in subdivision 5, paragraph (d), clause (3);<br />
         		<a id="pl.43.19"></a><var>43.19</var>(9) for client programming and supports, multiply the result of clause (8) by one
         plus <br />
         		<a id="pl.43.20"></a><var>43.20</var>the client programming and support ratio in subdivision 5, paragraph (d), clause (5);<br />
         		<a id="pl.43.21"></a><var>43.21</var>(10) for program facility costs, add $19.30 per week with consideration of staffing
         ratios <br />
         		<a id="pl.43.22"></a><var>43.22</var>to meet individual needs;<br />
         		<a id="pl.43.23"></a><var>43.23</var>(11) for adult day bath services, add $7.01 per 15 minute unit;<br />
         		<a id="pl.43.24"></a><var>43.24</var>(12) this is the subtotal rate;<br />
         		<a id="pl.43.25"></a><var>43.25</var>(13) sum the standard general and administrative rate, the program-related expense
         ratio, <br />
         		<a id="pl.43.26"></a><var>43.26</var>and the absence and utilization factor ratio;<br />
         		<a id="pl.43.27"></a><var>43.27</var>(14) divide the result of clause (12) by one minus the result of clause (13). This
         is the <br />
         		<a id="pl.43.28"></a><var>43.28</var>total payment amount;<br />
         		<a id="pl.43.29"></a><var>43.29</var>(15) adjust the result of clause (14) by a factor to be determined by the commissioner
         <br />
         		<a id="pl.43.30"></a><var>43.30</var>to adjust for regional differences in the cost of providing services;<br />
         		<a id="pl.44.1"></a><var>44.1</var>(16) for transportation provided as part of day training and habilitation for an individual
         <br />
         		<a id="pl.44.2"></a><var>44.2</var>who does not require a lift, add:<br />
         		<a id="pl.44.3"></a><var>44.3</var>(i) $10.50 for a trip between zero and ten miles for a nonshared ride in a vehicle
         without <br />
         		<a id="pl.44.4"></a><var>44.4</var>a lift, $8.83 for a shared ride in a vehicle without a lift, and $9.25 for a shared
         ride in a <br />
         		<a id="pl.44.5"></a><var>44.5</var>vehicle with a lift;<br />
         		<a id="pl.44.6"></a><var>44.6</var>(ii) $15.75 for a trip between 11 and 20 miles for a nonshared ride in a vehicle without
         <br />
         		<a id="pl.44.7"></a><var>44.7</var>a lift, $10.58 for a shared ride in a vehicle without a lift, and $11.88 for a shared
         ride in a <br />
         		<a id="pl.44.8"></a><var>44.8</var>vehicle with a lift;<br />
         		<a id="pl.44.9"></a><var>44.9</var>(iii) $25.75 for a trip between 21 and 50 miles for a nonshared ride in a vehicle
         without <br />
         		<a id="pl.44.10"></a><var>44.10</var>a lift, $13.92 for a shared ride in a vehicle without a lift, and $16.88 for a shared
         ride in a <br />
         		<a id="pl.44.11"></a><var>44.11</var>vehicle with a lift; or<br />
         		<a id="pl.44.12"></a><var>44.12</var>(iv) $33.50 for a trip of 51 miles or more for a nonshared ride in a vehicle without
         a lift, <br />
         		<a id="pl.44.13"></a><var>44.13</var>$16.50 for a shared ride in a vehicle without a lift, and $20.75 for a shared ride
         in a vehicle <br />
         		<a id="pl.44.14"></a><var>44.14</var>with a lift;<br />
         		<a id="pl.44.15"></a><var>44.15</var>(17) for transportation provided as part of day training and habilitation for an individual
         <br />
         		<a id="pl.44.16"></a><var>44.16</var>who does require a lift, add:<br />
         		<a id="pl.44.17"></a><var>44.17</var>(i) $19.05 for a trip between zero and ten miles for a nonshared ride in a vehicle
         with a <br />
         		<a id="pl.44.18"></a><var>44.18</var>lift, and $15.05 for a shared ride in a vehicle with a lift;<br />
         		<a id="pl.44.19"></a><var>44.19</var>(ii) $32.16 for a trip between 11 and 20 miles for a nonshared ride in a vehicle with
         a <br />
         		<a id="pl.44.20"></a><var>44.20</var>lift, and $28.16 for a shared ride in a vehicle with a lift;<br />
         		<a id="pl.44.21"></a><var>44.21</var>(iii) $58.76 for a trip between 21 and 50 miles for a nonshared ride in a vehicle
         with a <br />
         		<a id="pl.44.22"></a><var>44.22</var>lift, and $58.76 for a shared ride in a vehicle with a lift; or<br />
         		<a id="pl.44.23"></a><var>44.23</var>(iv) $80.93 for a trip of 51 miles or more for a nonshared ride in a vehicle with
         a lift, <br />
         		<a id="pl.44.24"></a><var>44.24</var>and $80.93 for a shared ride in a vehicle with a lift.<br />
         		<br />
         		<a id="bill.1.31.0"></a><a id="pl.44.25"></a><var>44.25</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 256B.4914, subdivision 8, is amended to read:<br />
         		<a id="pl.44.26"></a><var>44.26</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Payments for unit-based services with programming.</b> Payments for unit-based <br />
         		<a id="pl.44.27"></a><var>44.27</var>services with programming, including behavior programming, housing access coordination,
         <br />
         		<a id="pl.44.28"></a><var>44.28</var>in-home family support, independent living skills training, independent living skills specialist <br />
         		<a id="pl.44.29"></a><var>44.29</var>services, individualized home supports, hourly supported living services, employment <br />
         		<a id="pl.44.30"></a><var>44.30</var>exploration services, employment development services, and supported employment support <br />
         		<a id="pl.44.31"></a><var>44.31</var>services provided to an individual outside of any day or residential service plan must be <br />
         		<a id="pl.45.1"></a><var>45.1</var>calculated as follows, unless the services are authorized separately under subdivision
         6 or <br />
         		<a id="pl.45.2"></a><var>45.2</var>7:<br />
         		<a id="pl.45.3"></a><var>45.3</var>&#160;&#160;&#160;&#160;(1) determine the number of units of service to meet a recipient's needs;<br />
         		<a id="pl.45.4"></a><var>45.4</var>&#160;&#160;&#160;&#160;(2) personnel hourly wage rate must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.45.5"></a><var>45.5</var>Minnesota-specific rates or rates derived by the commissioner as provided in subdivision
         <br />
         		<a id="pl.45.6"></a><var>45.6</var>5;<br />
         		<a id="pl.45.7"></a><var>45.7</var>&#160;&#160;&#160;&#160;(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.45.8"></a><var>45.8</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.45.9"></a><var>45.9</var>to the result of clause (2). This is defined as the customized direct-care rate;<br />
         		<a id="pl.45.10"></a><var>45.10</var>&#160;&#160;&#160;&#160;(4) multiply the number of direct staff hours by the appropriate staff wage in subdivision
         <br />
         		<a id="pl.45.11"></a><var>45.11</var>5, paragraph (a), or the customized direct-care rate;<br />
         		<a id="pl.45.12"></a><var>45.12</var>&#160;&#160;&#160;&#160;(5) multiply the number of direct staff hours by the product of the supervision span
         of <br />
         		<a id="pl.45.13"></a><var>45.13</var>control ratio in subdivision 5, paragraph (e), clause (1), and the appropriate supervision
         <br />
         		<a id="pl.45.14"></a><var>45.14</var>wage in subdivision 5, paragraph (a), clause (16) (20);<br />
         		<a id="pl.45.15"></a><var>45.15</var>&#160;&#160;&#160;&#160;(6) combine the results of clauses (4) and (5), and multiply the result by one plus
         the <br />
         		<a id="pl.45.16"></a><var>45.16</var>employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (e), clause <br />
         		<a id="pl.45.17"></a><var>45.17</var>(2). This is defined as the direct staffing rate;<br />
         		<a id="pl.45.18"></a><var>45.18</var>&#160;&#160;&#160;&#160;(7) for program plan support, multiply the result of clause (6) by one plus the program
         <br />
         		<a id="pl.45.19"></a><var>45.19</var>plan supports ratio in subdivision 5, paragraph (e), clause (4);<br />
         		<a id="pl.45.20"></a><var>45.20</var>&#160;&#160;&#160;&#160;(8) for employee-related expenses, multiply the result of clause (7) by one plus the
         <br />
         		<a id="pl.45.21"></a><var>45.21</var>employee-related cost ratio in subdivision 5, paragraph (e), clause (3);<br />
         		<a id="pl.45.22"></a><var>45.22</var>&#160;&#160;&#160;&#160;(9) for client programming and supports, multiply the result of clause (8) by one
         plus <br />
         		<a id="pl.45.23"></a><var>45.23</var>the client programming and supports ratio in subdivision 5, paragraph (e), clause
         (5);<br />
         		<a id="pl.45.24"></a><var>45.24</var>&#160;&#160;&#160;&#160;(10) this is the subtotal rate;<br />
         		<a id="pl.45.25"></a><var>45.25</var>&#160;&#160;&#160;&#160;(11) sum the standard general and administrative rate, the program-related expense
         ratio, <br />
         		<a id="pl.45.26"></a><var>45.26</var>and the absence and utilization factor ratio;<br />
         		<a id="pl.45.27"></a><var>45.27</var>&#160;&#160;&#160;&#160;(12) divide the result of clause (10) by one minus the result of clause (11). This
         is the <br />
         		<a id="pl.45.28"></a><var>45.28</var>total payment amount;<br />
         		<a id="pl.45.29"></a><var>45.29</var>&#160;&#160;&#160;&#160;(13) for supported employment support services provided in a shared manner, divide <br />
         		<a id="pl.45.30"></a><var>45.30</var>the total payment amount in clause (12) by the number of service recipients, not to
         exceed <br />
         		<a id="pl.45.31"></a><var>45.31</var>three six. For independent living skills training and individualized home supports provided <br />
         		<a id="pl.46.1"></a><var>46.1</var>in a shared manner, divide the total payment amount in clause (12) by the number of
         service <br />
         		<a id="pl.46.2"></a><var>46.2</var>recipients, not to exceed two; and<br />
         		<a id="pl.46.3"></a><var>46.3</var>&#160;&#160;&#160;&#160;(14) adjust the result of clause (13) by a factor to be determined by the commissioner
         <br />
         		<a id="pl.46.4"></a><var>46.4</var>to adjust for regional differences in the cost of providing services.<br />
         		<a id="pl.46.5"></a><var>46.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.32.0"></a><a id="pl.46.6"></a><var>46.6</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 256B.4914, subdivision 9, is amended to read:<br />
         		<a id="pl.46.7"></a><var>46.7</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Payments for unit-based services without programming.</b> Payments for <br />
         		<a id="pl.46.8"></a><var>46.8</var>unit-based services without programming, including night supervision, personal support,
         <br />
         		<a id="pl.46.9"></a><var>46.9</var>respite, and companion care provided to an individual outside of any day or residential
         <br />
         		<a id="pl.46.10"></a><var>46.10</var>service plan must be calculated as follows unless the services are authorized separately
         <br />
         		<a id="pl.46.11"></a><var>46.11</var>under subdivision 6 or 7:<br />
         		<a id="pl.46.12"></a><var>46.12</var>(1) for all services except respite, determine the number of units of service to meet
         a <br />
         		<a id="pl.46.13"></a><var>46.13</var>recipient's needs;<br />
         		<a id="pl.46.14"></a><var>46.14</var>(2) personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.46.15"></a><var>46.15</var>Minnesota-specific rate or rates derived by the commissioner as provided in subdivision
         5;<br />
         		<a id="pl.46.16"></a><var>46.16</var>(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.46.17"></a><var>46.17</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.46.18"></a><var>46.18</var>to the result of clause (2). This is defined as the customized direct care rate;<br />
         		<a id="pl.46.19"></a><var>46.19</var>(4) multiply the number of direct staff hours by the appropriate staff wage in subdivision
         <br />
         		<a id="pl.46.20"></a><var>46.20</var>5 or the customized direct care rate;<br />
         		<a id="pl.46.21"></a><var>46.21</var>(5) multiply the number of direct staff hours by the product of the supervision span
         of <br />
         		<a id="pl.46.22"></a><var>46.22</var>control ratio in subdivision 5, paragraph (f), clause (1), and the appropriate supervision
         <br />
         		<a id="pl.46.23"></a><var>46.23</var>wage in subdivision 5, paragraph (a), clause (16) (20);<br />
         		<a id="pl.46.24"></a><var>46.24</var>(6) combine the results of clauses (4) and (5), and multiply the result by one plus
         the <br />
         		<a id="pl.46.25"></a><var>46.25</var>employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (f), clause <br />
         		<a id="pl.46.26"></a><var>46.26</var>(2). This is defined as the direct staffing rate;<br />
         		<a id="pl.46.27"></a><var>46.27</var>(7) for program plan support, multiply the result of clause (6) by one plus the program
         <br />
         		<a id="pl.46.28"></a><var>46.28</var>plan support ratio in subdivision 5, paragraph (f), clause (4);<br />
         		<a id="pl.46.29"></a><var>46.29</var>(8) for employee-related expenses, multiply the result of clause (7) by one plus the
         <br />
         		<a id="pl.46.30"></a><var>46.30</var>employee-related cost ratio in subdivision 5, paragraph (f), clause (3);<br />
         		<a id="pl.47.1"></a><var>47.1</var>(9) for client programming and supports, multiply the result of clause (8) by one
         plus <br />
         		<a id="pl.47.2"></a><var>47.2</var>the client programming and support ratio in subdivision 5, paragraph (f), clause (5);<br />
         		<a id="pl.47.3"></a><var>47.3</var>(10) this is the subtotal rate;<br />
         		<a id="pl.47.4"></a><var>47.4</var>(11) sum the standard general and administrative rate, the program-related expense
         ratio, <br />
         		<a id="pl.47.5"></a><var>47.5</var>and the absence and utilization factor ratio;<br />
         		<a id="pl.47.6"></a><var>47.6</var>(12) divide the result of clause (10) by one minus the result of clause (11). This
         is the <br />
         		<a id="pl.47.7"></a><var>47.7</var>total payment amount;<br />
         		<a id="pl.47.8"></a><var>47.8</var>(13) for respite services, determine the number of day units of service to meet an
         <br />
         		<a id="pl.47.9"></a><var>47.9</var>individual's needs;<br />
         		<a id="pl.47.10"></a><var>47.10</var>(14) personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.47.11"></a><var>47.11</var>Minnesota-specific rate or rates derived by the commissioner as provided in subdivision
         5;<br />
         		<a id="pl.47.12"></a><var>47.12</var>(15) for a recipient requiring deaf and hard-of-hearing customization under subdivision
         <br />
         		<a id="pl.47.13"></a><var>47.13</var>12, add the customization rate provided in subdivision 12 to the result of clause
         (14). This <br />
         		<a id="pl.47.14"></a><var>47.14</var>is defined as the customized direct care rate;<br />
         		<a id="pl.47.15"></a><var>47.15</var>(16) multiply the number of direct staff hours by the appropriate staff wage in subdivision
         <br />
         		<a id="pl.47.16"></a><var>47.16</var>5, paragraph (a);<br />
         		<a id="pl.47.17"></a><var>47.17</var>(17) multiply the number of direct staff hours by the product of the supervisory span
         of <br />
         		<a id="pl.47.18"></a><var>47.18</var>control ratio in subdivision 5, paragraph (g), clause (1), and the appropriate supervision
         <br />
         		<a id="pl.47.19"></a><var>47.19</var>wage in subdivision 5, paragraph (a), clause (16) (20);<br />
         		<a id="pl.47.20"></a><var>47.20</var>(18) combine the results of clauses (16) and (17), and multiply the result by one
         plus <br />
         		<a id="pl.47.21"></a><var>47.21</var>the employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (g), <br />
         		<a id="pl.47.22"></a><var>47.22</var>clause (2). This is defined as the direct staffing rate;<br />
         		<a id="pl.47.23"></a><var>47.23</var>(19) for employee-related expenses, multiply the result of clause (18) by one plus
         the <br />
         		<a id="pl.47.24"></a><var>47.24</var>employee-related cost ratio in subdivision 5, paragraph (g), clause (3);<br />
         		<a id="pl.47.25"></a><var>47.25</var>(20) this is the subtotal rate;<br />
         		<a id="pl.47.26"></a><var>47.26</var>(21) sum the standard general and administrative rate, the program-related expense
         ratio, <br />
         		<a id="pl.47.27"></a><var>47.27</var>and the absence and utilization factor ratio;<br />
         		<a id="pl.47.28"></a><var>47.28</var>(22) divide the result of clause (20) by one minus the result of clause (21). This
         is the <br />
         		<a id="pl.47.29"></a><var>47.29</var>total payment amount; and<br />
         		<a id="pl.47.30"></a><var>47.30</var>(23) adjust the result of clauses (12) and (22) by a factor to be determined by the
         <br />
         		<a id="pl.47.31"></a><var>47.31</var>commissioner to adjust for regional differences in the cost of providing services.<br />
         		<br />
         		<a id="bill.1.33.0"></a><a id="pl.48.1"></a><var>48.1</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 256B.4914, subdivision 10, is amended to read:<br />
         		<a id="pl.48.2"></a><var>48.2</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Updating payment values and additional information.</b> (a) From January <br />
         		<a id="pl.48.3"></a><var>48.3</var>1, 2014, through December 31, 2017, the commissioner shall develop and implement uniform
         <br />
         		<a id="pl.48.4"></a><var>48.4</var>procedures to refine terms and adjust values used to calculate payment rates in this
         section.<br />
         		<a id="pl.48.5"></a><var>48.5</var>(b) No later than July 1, 2014, the commissioner shall, within available resources,
         begin <br />
         		<a id="pl.48.6"></a><var>48.6</var>to conduct research and gather data and information from existing state systems or
         other <br />
         		<a id="pl.48.7"></a><var>48.7</var>outside sources on the following items:<br />
         		<a id="pl.48.8"></a><var>48.8</var>(1) differences in the underlying cost to provide services and care across the state;
         and<br />
         		<a id="pl.48.9"></a><var>48.9</var>(2) mileage, vehicle type, lift requirements, incidents of individual and shared rides,
         and <br />
         		<a id="pl.48.10"></a><var>48.10</var>units of transportation for all day services, which must be collected from providers
         using <br />
         		<a id="pl.48.11"></a><var>48.11</var>the rate management worksheet and entered into the rates management system; and<br />
         		<a id="pl.48.12"></a><var>48.12</var>(3) the distinct underlying costs for services provided by a license holder under
         sections <br />
         		
         <statute_ref><a id="pl.48.13"></a><var>48.13</var>245D.05
         </statute_ref>, 
         <statute_ref>245D.06</statute_ref>, 
         <statute_ref>245D.07</statute_ref>, 
         <statute_ref>245D.071</statute_ref>, 
         <statute_ref>245D.081</statute_ref>, and 
         <statute_ref>245D.09</statute_ref>, and for services provided <br />
         		<a id="pl.48.14"></a><var>48.14</var>by a license holder certified under section 
         <statute_ref>245D.33</statute_ref>.<br />
         		<a id="pl.48.15"></a><var>48.15</var>(c) Beginning January 1, 2014, through December 31, 2018, using a statistically valid <br />
         		<a id="pl.48.16"></a><var>48.16</var>set of rates management system data, the commissioner, in consultation with stakeholders,
         <br />
         		<a id="pl.48.17"></a><var>48.17</var>shall analyze for each service the average difference in the rate on December 31,
         2013, and <br />
         		<a id="pl.48.18"></a><var>48.18</var>the framework rate at the individual, provider, lead agency, and state levels. The
         <br />
         		<a id="pl.48.19"></a><var>48.19</var>commissioner shall issue semiannual reports to the stakeholders on the difference
         in rates <br />
         		<a id="pl.48.20"></a><var>48.20</var>by service and by county during the banding period under section 
         <statute_ref>256B.4913, subdivision <br />
            		<a id="pl.48.21"></a><var>48.21</var>4a
         </statute_ref>. The commissioner shall issue the first report by October 1, 2014, and the final report <br />
         		<a id="pl.48.22"></a><var>48.22</var>shall be issued by December 31, 2018.<br />
         		<a id="pl.48.23"></a><var>48.23</var>(d) No later than July 1, 2014, the commissioner, in consultation with stakeholders,
         shall <br />
         		<a id="pl.48.24"></a><var>48.24</var>begin the review and evaluation of the following values already in subdivisions 6
         to 9, or <br />
         		<a id="pl.48.25"></a><var>48.25</var>issues that impact all services, including, but not limited to:<br />
         		<a id="pl.48.26"></a><var>48.26</var>(1) values for transportation rates for day services;<br />
         		<a id="pl.48.27"></a><var>48.27</var>(2) values for transportation rates in residential services;<br />
         		<a id="pl.48.28"></a><var>48.28</var>(3) (2) values for services where monitoring technology replaces staff time;<br />
         		<a id="pl.48.29"></a><var>48.29</var>(4) (3) values for indirect services;<br />
         		<a id="pl.48.30"></a><var>48.30</var>(5) (4) values for nursing;<br />
         		<a id="pl.48.31"></a><var>48.31</var>(6) component values for independent living skills;<br />
         		<a id="pl.49.1"></a><var>49.1</var>(7) component values for family foster care that reflect licensing requirements;<br />
         		<a id="pl.49.2"></a><var>49.2</var>(8) adjustments to other components to replace the budget neutrality factor;<br />
         		<a id="pl.49.3"></a><var>49.3</var>(9) remote monitoring technology for nonresidential services;<br />
         		<a id="pl.49.4"></a><var>49.4</var>(10) values for basic and intensive services in residential services;<br />
         		<a id="pl.49.5"></a><var>49.5</var>(11) (5) values for the facility use rate in day services, and the weightings used in the
         <br />
         		<a id="pl.49.6"></a><var>49.6</var>day service ratios and adjustments to those weightings;<br />
         		<a id="pl.49.7"></a><var>49.7</var>(12) (6) values for workers' compensation as part of employee-related expenses;<br />
         		<a id="pl.49.8"></a><var>49.8</var>(13) (7) values for unemployment insurance as part of employee-related expenses;<br />
         		<a id="pl.49.9"></a><var>49.9</var>(14) a component value to reflect costs for individuals with rates previously adjusted
         <br />
         		<a id="pl.49.10"></a><var>49.10</var>for the inclusion of group residential housing rate 3 costs, only for any individual
         enrolled <br />
         		<a id="pl.49.11"></a><var>49.11</var>as of December 31, 2013; and<br />
         		<a id="pl.49.12"></a><var>49.12</var>(15) (8) any changes in state or federal law with an a direct impact on the underlying <br />
         		<a id="pl.49.13"></a><var>49.13</var>cost of providing home and community-based services.; and<br />
         		<a id="pl.49.14"></a><var>49.14</var>(9) outcome measures, determined by the commissioner, for home and community-based
         <br />
         		<a id="pl.49.15"></a><var>49.15</var>services rates determined under this section.<br />
         		<a id="pl.49.16"></a><var>49.16</var>(e) The commissioner shall report to the chairs and the ranking minority members of
         <br />
         		<a id="pl.49.17"></a><var>49.17</var>the legislative committees and divisions with jurisdiction over health and human services
         <br />
         		<a id="pl.49.18"></a><var>49.18</var>policy and finance with the information and data gathered under paragraphs (b) to
         (d) on <br />
         		<a id="pl.49.19"></a><var>49.19</var>the following dates:<br />
         		<a id="pl.49.20"></a><var>49.20</var>(1) January 15, 2015, with preliminary results and data;<br />
         		<a id="pl.49.21"></a><var>49.21</var>(2) January 15, 2016, with a status implementation update, and additional data and
         <br />
         		<a id="pl.49.22"></a><var>49.22</var>summary information;<br />
         		<a id="pl.49.23"></a><var>49.23</var>(3) January 15, 2017, with the full report; and<br />
         		<a id="pl.49.24"></a><var>49.24</var>(4) January 15, 2019 2020, with another full report, and a full report once every four <br />
         		<a id="pl.49.25"></a><var>49.25</var>years thereafter.<br />
         		<a id="pl.49.26"></a><var>49.26</var>(f) Based on the commissioner's evaluation of the information and data collected in
         <br />
         		<a id="pl.49.27"></a><var>49.27</var>paragraphs (b) to (d), the commissioner shall make recommendations to the legislature
         by <br />
         		<a id="pl.49.28"></a><var>49.28</var>January 15, 2015, to address any issues identified during the first year of implementation.
         <br />
         		<a id="pl.49.29"></a><var>49.29</var>After January 15, 2015, the commissioner may make recommendations to the legislature
         <br />
         		<a id="pl.49.30"></a><var>49.30</var>to address potential issues.<br />
         		<a id="pl.50.1"></a><var>50.1</var>(g) (f) The commissioner shall implement a regional adjustment factor to all rate <br />
         		<a id="pl.50.2"></a><var>50.2</var>calculations in subdivisions 6 to 9, effective no later than January 1, 2015. Beginning July <br />
         		<a id="pl.50.3"></a><var>50.3</var>1, 2017, the commissioner shall renew analysis and implement changes to the regional
         <br />
         		<a id="pl.50.4"></a><var>50.4</var>adjustment factors when adjustments required under subdivision 5, paragraph (h), occur.
         <br />
         		<a id="pl.50.5"></a><var>50.5</var>Prior to implementation, the commissioner shall consult with stakeholders on the <br />
         		<a id="pl.50.6"></a><var>50.6</var>methodology to calculate the adjustment.<br />
         		<a id="pl.50.7"></a><var>50.7</var>(h) (g) The commissioner shall provide a public notice via LISTSERV in October of <br />
         		<a id="pl.50.8"></a><var>50.8</var>each year beginning October 1, 2014, containing information detailing legislatively
         approved <br />
         		<a id="pl.50.9"></a><var>50.9</var>changes in:<br />
         		<a id="pl.50.10"></a><var>50.10</var>(1) calculation values including derived wage rates and related employee and <br />
         		<a id="pl.50.11"></a><var>50.11</var>administrative factors;<br />
         		<a id="pl.50.12"></a><var>50.12</var>(2) service utilization;<br />
         		<a id="pl.50.13"></a><var>50.13</var>(3) county and tribal allocation changes; and<br />
         		<a id="pl.50.14"></a><var>50.14</var>(4) information on adjustments made to calculation values and the timing of those
         <br />
         		<a id="pl.50.15"></a><var>50.15</var>adjustments.<br />
         		<a id="pl.50.16"></a><var>50.16</var>The information in this notice must be effective January 1 of the following year.<br />
         		<a id="pl.50.17"></a><var>50.17</var>(i) No later than July 1, 2016, the commissioner shall develop and implement, in <br />
         		<a id="pl.50.18"></a><var>50.18</var>consultation with stakeholders, a methodology sufficient to determine the shared staffing
         <br />
         		<a id="pl.50.19"></a><var>50.19</var>levels necessary to meet, at a minimum, health and welfare needs of individuals who
         will <br />
         		<a id="pl.50.20"></a><var>50.20</var>be living together in shared residential settings, and the required shared staffing
         activities <br />
         		<a id="pl.50.21"></a><var>50.21</var>described in subdivision 2, paragraph (l). This determination methodology must ensure
         <br />
         		<a id="pl.50.22"></a><var>50.22</var>staffing levels are adaptable to meet the needs and desired outcomes for current and
         <br />
         		<a id="pl.50.23"></a><var>50.23</var>prospective residents in shared residential settings.<br />
         		<a id="pl.50.24"></a><var>50.24</var>(j) (h) When the available shared staffing hours in a residential setting are insufficient
         <br />
         		<a id="pl.50.25"></a><var>50.25</var>to meet the needs of an individual who enrolled in residential services after January
         1, 2014, <br />
         		<a id="pl.50.26"></a><var>50.26</var>or insufficient to meet the needs of an individual with a service agreement adjustment
         <br />
         		<a id="pl.50.27"></a><var>50.27</var>described in section 
         <statute_ref>256B.4913, subdivision 4a</statute_ref>, paragraph (f), then individual staffing hours <br />
         		<a id="pl.50.28"></a><var>50.28</var>shall be used.<br />
         		<a id="pl.50.29"></a><var>50.29</var>(i) The commissioner shall study the underlying cost of absence and utilization for
         day <br />
         		<a id="pl.50.30"></a><var>50.30</var>services. Based on the commissioner's evaluation of the data collected under this
         paragraph, <br />
         		<a id="pl.50.31"></a><var>50.31</var>the commissioner shall make recommendations to the legislature by January 15, 2018,
         for <br />
         		<a id="pl.50.32"></a><var>50.32</var>changes, if any, to the absence and utilization factor ratio component value for day
         services.<br />
         		<a id="pl.51.1"></a><var>51.1</var>(j) Beginning July 1, 2017, the commissioner shall collect transportation and trip
         <br />
         		<a id="pl.51.2"></a><var>51.2</var>information for all day services through the rates management system.<br />
         		<a id="pl.51.3"></a><var>51.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.34.0"></a><a id="pl.51.4"></a><var>51.4</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 256B.4914, subdivision 16, is amended to read:<br />
         		<a id="pl.51.5"></a><var>51.5</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Budget neutrality adjustments.</b> (a) The commissioner shall use the following <br />
         		<a id="pl.51.6"></a><var>51.6</var>adjustments to the rate generated by the framework to assure budget neutrality until
         the rate <br />
         		<a id="pl.51.7"></a><var>51.7</var>information is available to implement paragraph (b). The rate generated by the framework
         <br />
         		<a id="pl.51.8"></a><var>51.8</var>shall be multiplied by the appropriate factor, as designated below:<br />
         		<a id="pl.51.9"></a><var>51.9</var>(1) for residential services: 1.003;<br />
         		<a id="pl.51.10"></a><var>51.10</var>(2) for day services: 1.000;<br />
         		<a id="pl.51.11"></a><var>51.11</var>(3) for unit-based services with programming: 0.941; and<br />
         		<a id="pl.51.12"></a><var>51.12</var>(4) for unit-based services without programming: 0.796.<br />
         		<a id="pl.51.13"></a><var>51.13</var>(b) Within 12 months of January 1, 2014, the commissioner shall compare estimated
         <br />
         		<a id="pl.51.14"></a><var>51.14</var>spending for all home and community-based waiver services under the new payment rates
         <br />
         		<a id="pl.51.15"></a><var>51.15</var>defined in subdivisions 6 to 9 with estimated spending for the same recipients and
         services <br />
         		<a id="pl.51.16"></a><var>51.16</var>under the rates in effect on July 1, 2013. This comparison must distinguish spending
         under <br />
         		<a id="pl.51.17"></a><var>51.17</var>each of subdivisions 6, 7, 8, and 9. The comparison must be based on actual recipients
         and <br />
         		<a id="pl.51.18"></a><var>51.18</var>services for one or more service months after the new rates have gone into effect.
         The <br />
         		<a id="pl.51.19"></a><var>51.19</var>commissioner shall consult with the commissioner of management and budget on this
         <br />
         		<a id="pl.51.20"></a><var>51.20</var>analysis to ensure budget neutrality. If estimated spending under the new rates for
         services <br />
         		<a id="pl.51.21"></a><var>51.21</var>under one or more subdivisions differs in this comparison by 0.3 percent or more,
         the <br />
         		<a id="pl.51.22"></a><var>51.22</var>commissioner shall assure aggregate budget neutrality across all service areas by
         adjusting <br />
         		<a id="pl.51.23"></a><var>51.23</var>the budget neutrality factor in paragraph (a) in each subdivision so that total estimated
         <br />
         		<a id="pl.51.24"></a><var>51.24</var>spending for each subdivision under the new rates matches estimated spending under
         the <br />
         		<a id="pl.51.25"></a><var>51.25</var>rates in effect on July 1, 2013.<br />
         		<a id="pl.51.26"></a><var>51.26</var>(c) A service rate developed using values in subdivision 5, paragraph (a), clause
         (10), <br />
         		<a id="pl.51.27"></a><var>51.27</var>is not subject to budget neutrality adjustments.<br />
         		<a id="pl.51.28"></a><var>51.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.35.0"></a><a id="pl.52.1"></a><var>52.1</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 256C.23, is amended by adding a subdivision <br />
         		<a id="pl.52.2"></a><var>52.2</var>to read:<br />
         		<a id="pl.52.3"></a><var>52.3</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Culturally affirmative.</b> "Culturally affirmative" describes services that are <br />
         		<a id="pl.52.4"></a><var>52.4</var>designed and delivered within the context of the culture, language, and life experiences
         of <br />
         		<a id="pl.52.5"></a><var>52.5</var>a person who is deaf, a person who is deafblind, and a person who is hard-of-hearing.<br />
         		<br />
         		<a id="bill.1.36.0"></a><a id="pl.52.6"></a><var>52.6</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 256C.23, subdivision 2, is amended to read:<br />
         		<a id="pl.52.7"></a><var>52.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Deaf.</b> "Deaf" means a hearing loss of such severity that the individual must <br />
         		<a id="pl.52.8"></a><var>52.8</var>depend primarily on visual communication such as American Sign Language or other signed <br />
         		<a id="pl.52.9"></a><var>52.9</var>language, visual and manual means of communication such as signing systems in English
         <br />
         		<a id="pl.52.10"></a><var>52.10</var>or Cued Speech, writing, lip speech reading, manual communication, and gestures.<br />
         		<br />
         		<a id="bill.1.37.0"></a><a id="pl.52.11"></a><var>52.11</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 256C.23, is amended by adding a subdivision <br />
         		<a id="pl.52.12"></a><var>52.12</var>to read:<br />
         		<a id="pl.52.13"></a><var>52.13</var>&#160;&#160;&#160;&#160;Subd. 2c. <b>Interpreting services.</b> "Interpreting services" means services that include:<br />
         		<a id="pl.52.14"></a><var>52.14</var>(1) interpreting between a spoken language, such as English, and a visual language,
         such <br />
         		<a id="pl.52.15"></a><var>52.15</var>as American Sign Language;<br />
         		<a id="pl.52.16"></a><var>52.16</var>(2) interpreting between a spoken language and a visual representation of a spoken
         <br />
         		<a id="pl.52.17"></a><var>52.17</var>language, such as Cued Speech and signing systems in English;<br />
         		<a id="pl.52.18"></a><var>52.18</var>(3) interpreting within one language where the interpreter uses natural gestures and
         <br />
         		<a id="pl.52.19"></a><var>52.19</var>silently repeats the spoken message, replacing some words or phrases to give higher
         visibility <br />
         		<a id="pl.52.20"></a><var>52.20</var>on the lips;<br />
         		 <a id="pl.52.21"></a><var>52.21</var>(4) interpreting using low vision or tactile methods for persons who have a combined
         <br />
         		<a id="pl.52.22"></a><var>52.22</var>hearing and vision loss or are deafblind; and<br />
         		<a id="pl.52.23"></a><var>52.23</var>(5) interpreting from one communication mode or language into another communication
         <br />
         		<a id="pl.52.24"></a><var>52.24</var>mode or language that is linguistically and culturally appropriate for the participants
         in the <br />
         		<a id="pl.52.25"></a><var>52.25</var>communication exchange.<br />
         		<br />
         		<a id="bill.1.38.0"></a><a id="pl.52.26"></a><var>52.26</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 256C.23, is amended by adding a subdivision <br />
         		<a id="pl.52.27"></a><var>52.27</var>to read:<br />
         		<a id="pl.52.28"></a><var>52.28</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Real-time captioning.</b> "Real-time captioning" means a method of captioning <br />
         		<a id="pl.52.29"></a><var>52.29</var>in which a caption is simultaneously prepared and displayed or transmitted at the
         time of <br />
         		<a id="pl.52.30"></a><var>52.30</var>origination by specially trained real-time captioners.<br />
         		<br />
         		<a id="bill.1.39.0"></a><a id="pl.53.1"></a><var>53.1</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2016, section 256C.233, subdivision 1, is amended to read:<br />
         		<a id="pl.53.2"></a><var>53.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Deaf and Hard-of-Hearing Services Division.</b> The commissioners of <br />
         		<a id="pl.53.3"></a><var>53.3</var>human services, education, employment and economic development, and health shall create <br />
         		<a id="pl.53.4"></a><var>53.4</var>a distinct and separate organizational unit to be known as advise the commissioner of human <br />
         		<a id="pl.53.5"></a><var>53.5</var>services on the activities of the Deaf and Hard-of-Hearing Services Division to address. <br />
         		<a id="pl.53.6"></a><var>53.6</var>This division addresses the developmental, social, educational, and occupational and <br />
         		<a id="pl.53.7"></a><var>53.7</var>social-emotional needs of persons who are deaf, persons who are deafblind, and persons <br />
         		<a id="pl.53.8"></a><var>53.8</var>who are hard-of-hearing persons through a statewide network of collaborative services and <br />
         		<a id="pl.53.9"></a><var>53.9</var>by coordinating the promulgation of public policies, regulations, legislation, and
         programs <br />
         		<a id="pl.53.10"></a><var>53.10</var>affecting advocates on behalf of and provides information and training about how to best <br />
         		<a id="pl.53.11"></a><var>53.11</var>serve persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing <br />
         		<a id="pl.53.12"></a><var>53.12</var>persons. An interdepartmental management team shall advise the activities of the Deaf and <br />
         		<a id="pl.53.13"></a><var>53.13</var>Hard-of-Hearing Services Division. The commissioner of human services shall coordinate <br />
         		<a id="pl.53.14"></a><var>53.14</var>the work of the interagency management team advisers and receive legislative appropriations <br />
         		<a id="pl.53.15"></a><var>53.15</var>for the division.<br />
         		<br />
         		<a id="bill.1.40.0"></a><a id="pl.53.16"></a><var>53.16</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2016, section 256C.233, subdivision 2, is amended to read:<br />
         		<a id="pl.53.17"></a><var>53.17</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Responsibilities.</b> The Deaf and Hard-of-Hearing Services Division shall:<br />
         		<a id="pl.53.18"></a><var>53.18</var>(1) establish and maintain a statewide network of regional service centers culturally <br />
         		<a id="pl.53.19"></a><var>53.19</var>affirmative services for Minnesotans who are deaf, Minnesotans who are deafblind, and <br />
         		<a id="pl.53.20"></a><var>53.20</var>Minnesotans who are hard-of-hearing Minnesotans;<br />
         		<a id="pl.53.21"></a><var>53.21</var>(2) assist work across divisions within the Departments Department of Human Services, <br />
         		<a id="pl.53.22"></a><var>53.22</var>Education, and Employment and Economic Development to coordinate the promulgation
         <br />
         		<a id="pl.53.23"></a><var>53.23</var>and implementation of public policies, regulations, legislation, programs, and services
         <br />
         		<a id="pl.53.24"></a><var>53.24</var>affecting as well as with other agencies and counties, to ensure that there is an understanding
         <br />
         		<a id="pl.53.25"></a><var>53.25</var>of:<br />
         		<a id="pl.53.26"></a><var>53.26</var>(i) the communication challenges faced by persons who are deaf, persons who are <br />
         		<a id="pl.53.27"></a><var>53.27</var>deafblind, and persons who are hard-of-hearing persons;<br />
         		<a id="pl.53.28"></a><var>53.28</var>(ii) the best practices for accommodating and mitigating communication challenges;
         <br />
         		<a id="pl.53.29"></a><var>53.29</var>and<br />
         		<a id="pl.53.30"></a><var>53.30</var>(iii) the legal requirements for providing access to and effective communication with
         <br />
         		<a id="pl.53.31"></a><var>53.31</var>persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing; and<br />
         		<a id="pl.53.32"></a><var>53.32</var>(3) provide a coordinated system of assess the supply and demand statewide interpreting <br />
         		<a id="pl.53.33"></a><var>53.33</var>or for interpreter referral services. and real-time captioning services, implement strategies <br />
         		<a id="pl.54.1"></a><var>54.1</var>to provide greater access to these services in areas without sufficient supply, and
         build the <br />
         		<a id="pl.54.2"></a><var>54.2</var>base of service providers across the state;<br />
         		<a id="pl.54.3"></a><var>54.3</var>(4) maintain a statewide information resource that includes contact information and
         <br />
         		<a id="pl.54.4"></a><var>54.4</var>professional certification credentials of interpreting service providers and real-time
         captioning <br />
         		<a id="pl.54.5"></a><var>54.5</var>service providers;<br />
         		<a id="pl.54.6"></a><var>54.6</var>(5) provide culturally affirmative mental health services to persons who are deaf,
         persons <br />
         		<a id="pl.54.7"></a><var>54.7</var>who are deafblind, and persons who are hard-of-hearing who:<br />
         		<a id="pl.54.8"></a><var>54.8</var>(i) use a visual language such as American Sign Language or a tactile form of a language;
         <br />
         		<a id="pl.54.9"></a><var>54.9</var>or<br />
         		<a id="pl.54.10"></a><var>54.10</var>(ii) otherwise need culturally affirmative therapeutic services;<br />
         		<a id="pl.54.11"></a><var>54.11</var>(6) research and develop best practices and recommendations for emerging issues;<br />
         		 <a id="pl.54.12"></a><var>54.12</var>(7) provide as much information as practicable on the division's stand-alone Web site
         <br />
         		<a id="pl.54.13"></a><var>54.13</var>in American Sign Language; and<br />
         		<a id="pl.54.14"></a><var>54.14</var>(8) report to the chairs and ranking minority members of the legislative committees
         with <br />
         		<a id="pl.54.15"></a><var>54.15</var>jurisdiction over human services biennially, beginning on January 1, 2019, on the
         following:<br />
         		<a id="pl.54.16"></a><var>54.16</var>(i) the number of regional service center staff, the location of the office of each
         staff <br />
         		<a id="pl.54.17"></a><var>54.17</var>person, other service providers with which they are colocated, the number of people
         served <br />
         		<a id="pl.54.18"></a><var>54.18</var>by each staff person and a breakdown of whether each person was served on-site or
         off-site, <br />
         		<a id="pl.54.19"></a><var>54.19</var>and for those served off-site, a list of locations where services were delivered and
         the number <br />
         		<a id="pl.54.20"></a><var>54.20</var>who were served in-person and the number who were served via technology;<br />
         		<a id="pl.54.21"></a><var>54.21</var>(ii) the amount and percentage of the division budget spent on reasonable <br />
         		<a id="pl.54.22"></a><var>54.22</var>accommodations for staff;<br />
         		<a id="pl.54.23"></a><var>54.23</var>(iii) the number of people who use demonstration equipment and consumer evaluations
         <br />
         		<a id="pl.54.24"></a><var>54.24</var>of the experience;<br />
         		<a id="pl.54.25"></a><var>54.25</var>(iv) the number of training sessions provided by division staff, the topics covered,
         the <br />
         		<a id="pl.54.26"></a><var>54.26</var>number of participants, and consumer evaluations, including a breakdown by delivery
         <br />
         		<a id="pl.54.27"></a><var>54.27</var>method such as in-person or via technology;<br />
         		<a id="pl.54.28"></a><var>54.28</var>(v) the number of training sessions hosted at a division location provided by another
         <br />
         		<a id="pl.54.29"></a><var>54.29</var>service provider, the topics covered, the number of participants, and consumer evaluations,
         <br />
         		<a id="pl.54.30"></a><var>54.30</var>including a breakdown by delivery method such as in-person or via technology;<br />
         		<a id="pl.54.31"></a><var>54.31</var>(vi) for each grant awarded, the amount awarded to the grantee and a summary of the
         <br />
         		<a id="pl.54.32"></a><var>54.32</var>grantee's results, including consumer evaluations of the services or products provided;<br />
         		<a id="pl.55.1"></a><var>55.1</var>(vii) the number of people on waiting lists for any services provided by division
         staff <br />
         		<a id="pl.55.2"></a><var>55.2</var>or for services or equipment funded through grants awarded by the division;<br />
         		<a id="pl.55.3"></a><var>55.3</var>(viii) the amount of time staff spent driving to appointments to deliver direct one-to-one
         <br />
         		<a id="pl.55.4"></a><var>55.4</var>client services in locations outside of the regional service centers;<br />
         		<a id="pl.55.5"></a><var>55.5</var>(ix) the amount spent on mileage reimbursement and the number of clients who received
         <br />
         		<a id="pl.55.6"></a><var>55.6</var>mileage reimbursement for traveling to the regional service centers for services;
         and<br />
         		<a id="pl.55.7"></a><var>55.7</var>(x) the regional needs and feedback on addressing service gaps identified by the advisory
         <br />
         		<a id="pl.55.8"></a><var>55.8</var>committees.<br />
         		<br />
         		<a id="bill.1.41.0"></a><a id="pl.55.9"></a><var>55.9</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2016, section 256C.24, subdivision 1, is amended to read:<br />
         		<a id="pl.55.10"></a><var>55.10</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Location.</b> The Deaf and Hard-of-Hearing Services Division shall establish <br />
         		<a id="pl.55.11"></a><var>55.11</var>up to eight at least six regional service centers for persons who are deaf and persons who <br />
         		<a id="pl.55.12"></a><var>55.12</var>are hard-of-hearing persons. The centers shall be distributed regionally to provide access <br />
         		<a id="pl.55.13"></a><var>55.13</var>for persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing <br />
         		<a id="pl.55.14"></a><var>55.14</var>persons in all parts of the state.<br />
         		<br />
         		<a id="bill.1.42.0"></a><a id="pl.55.15"></a><var>55.15</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2016, section 256C.24, subdivision 2, is amended to read:<br />
         		<a id="pl.55.16"></a><var>55.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Responsibilities.</b> Each regional service center shall:<br />
         		<a id="pl.55.17"></a><var>55.17</var>(1) serve as a central entry point for establish connections and collaborations and explore <br />
         		<a id="pl.55.18"></a><var>55.18</var>co-locating with other public and private entities providing services to persons who
         are <br />
         		<a id="pl.55.19"></a><var>55.19</var>deaf, persons who are deafblind, and persons who are hard-of-hearing persons in need of <br />
         		<a id="pl.55.20"></a><var>55.20</var>services and make referrals to the services needed in the region;<br />
         		<a id="pl.55.21"></a><var>55.21</var>(2) for those in need of services, assist in coordinating services between service
         providers <br />
         		<a id="pl.55.22"></a><var>55.22</var>and persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing,
         <br />
         		<a id="pl.55.23"></a><var>55.23</var>and the persons' families, and make referrals to the services needed;<br />
         		<a id="pl.55.24"></a><var>55.24</var>(2) (3) employ staff trained to work with persons who are deaf, persons who are deafblind, <br />
         		<a id="pl.55.25"></a><var>55.25</var>and persons who are hard-of-hearing persons;<br />
         		<a id="pl.55.26"></a><var>55.26</var>(3) (4) if adequate services are not available from another public or private service
         <br />
         		<a id="pl.55.27"></a><var>55.27</var>provider in the region, provide to all individual assistance to persons who are deaf, persons <br />
         		<a id="pl.55.28"></a><var>55.28</var>who are deafblind, and persons who are hard-of-hearing persons access to interpreter services <br />
         		<a id="pl.55.29"></a><var>55.29</var>which are necessary to help them obtain services, and the persons' families. Individual <br />
         		<a id="pl.55.30"></a><var>55.30</var>culturally affirmative assistance may be provided using technology only in areas of
         the state <br />
         		<a id="pl.55.31"></a><var>55.31</var>where a person has access to sufficient quality telecommunications or broadband services
         <br />
         		<a id="pl.56.1"></a><var>56.1</var>to allow effective communication. When a person who is deaf, a person who is deafblind,
         <br />
         		<a id="pl.56.2"></a><var>56.2</var>or a person who is hard-of-hearing does not have access to sufficient telecommunications
         <br />
         		<a id="pl.56.3"></a><var>56.3</var>or broadband service, individual assistance shall be available in person;<br />
         		<a id="pl.56.4"></a><var>56.4</var>(5) identify regional training needs, work with deaf and hard-of-hearing services
         training <br />
         		<a id="pl.56.5"></a><var>56.5</var>staff, and collaborate with others to deliver training for persons who are deaf, persons
         who <br />
         		<a id="pl.56.6"></a><var>56.6</var>are deafblind, and persons who are hard-of-hearing, and the persons' families, and
         other <br />
         		<a id="pl.56.7"></a><var>56.7</var>service providers about subjects including the persons' rights under the law, American
         Sign <br />
         		<a id="pl.56.8"></a><var>56.8</var>Language, and the impact of hearing loss and options for accommodating it;<br />
         		<a id="pl.56.9"></a><var>56.9</var>(4) implement a plan to provide loaned equipment and resource materials to deaf, <br />
         		<a id="pl.56.10"></a><var>56.10</var>deafblind, and hard-of-hearing (6) have a mobile or permanent lab where persons who are <br />
         		<a id="pl.56.11"></a><var>56.11</var>deaf, persons who are deafblind, and persons who are hard-of-hearing can try a selection
         <br />
         		<a id="pl.56.12"></a><var>56.12</var>of modern assistive technology and equipment to determine what would best meet the
         <br />
         		<a id="pl.56.13"></a><var>56.13</var>persons' needs;<br />
         		<a id="pl.56.14"></a><var>56.14</var>(5) cooperate with responsible departments and administrative authorities to provide
         <br />
         		<a id="pl.56.15"></a><var>56.15</var>access for deaf, deafblind, and hard-of-hearing persons to services provided by state,
         county, <br />
         		<a id="pl.56.16"></a><var>56.16</var>and regional agencies;<br />
         		<a id="pl.56.17"></a><var>56.17</var>(6) (7) collaborate with the Resource Center for the Deaf and Hard-of-Hearing Persons, <br />
         		<a id="pl.56.18"></a><var>56.18</var>other divisions of the Department of Education, and local school districts to develop and <br />
         		<a id="pl.56.19"></a><var>56.19</var>deliver programs and services for families with children who are deaf, children who are <br />
         		<a id="pl.56.20"></a><var>56.20</var>deafblind, or children who are hard-of-hearing children and to support school personnel <br />
         		<a id="pl.56.21"></a><var>56.21</var>serving these children;<br />
         		<a id="pl.56.22"></a><var>56.22</var>(7) when possible, (8) provide training to the social service or income maintenance staff <br />
         		<a id="pl.56.23"></a><var>56.23</var>employed by counties or by organizations with whom counties contract for services
         to <br />
         		<a id="pl.56.24"></a><var>56.24</var>ensure that communication barriers which prevent persons who are deaf, persons who are <br />
         		<a id="pl.56.25"></a><var>56.25</var>deafblind, and persons who are hard-of-hearing persons from using services are removed;<br />
         		<a id="pl.56.26"></a><var>56.26</var>(8) when possible, (9) provide training to state and regional human service agencies in <br />
         		<a id="pl.56.27"></a><var>56.27</var>the region regarding program access for persons who are deaf, persons who are deafblind, <br />
         		<a id="pl.56.28"></a><var>56.28</var>and persons who are hard-of-hearing persons; and<br />
         		<a id="pl.56.29"></a><var>56.29</var>(9) (10) assess the ongoing need and supply of services for persons who are deaf, persons <br />
         		<a id="pl.56.30"></a><var>56.30</var>who are deafblind, and persons who are hard-of-hearing persons in all parts of the state, <br />
         		<a id="pl.56.31"></a><var>56.31</var>annually consult with the division's advisory committees to identify regional needs
         and <br />
         		<a id="pl.56.32"></a><var>56.32</var>solicit feedback on addressing service gaps, and cooperate with public and private service <br />
         		<a id="pl.56.33"></a><var>56.33</var>providers to develop these services.;<br />
         		<a id="pl.57.1"></a><var>57.1</var>(11) provide culturally affirmative mental health services to persons who are deaf,
         <br />
         		<a id="pl.57.2"></a><var>57.2</var>persons who are deafblind, and persons who are hard-of-hearing who:<br />
         		<a id="pl.57.3"></a><var>57.3</var>(i) use a visual language such as American Sign Language or a tactile form of a language;
         <br />
         		<a id="pl.57.4"></a><var>57.4</var>or<br />
         		<a id="pl.57.5"></a><var>57.5</var>(ii) otherwise need culturally affirmative therapeutic services; and<br />
         		<a id="pl.57.6"></a><var>57.6</var>(12) establish partnerships with state and regional entities statewide that have the
         <br />
         		<a id="pl.57.7"></a><var>57.7</var>technological capacity to provide Minnesotans with virtual access to the division's
         services <br />
         		<a id="pl.57.8"></a><var>57.8</var>and division-sponsored training via technology.<br />
         		<br />
         		<a id="bill.1.43.0"></a><a id="pl.57.9"></a><var>57.9</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2016, section 256C.261, is amended to read:<br />
         		<a id="pl.57.10"></a><var>57.10</var><b>256C.261 SERVICES FOR </b><b>PERSONS WHO ARE </b><b>DEAFBLIND </b><b>PERSONS</b><b>.</b><br />
         		<a id="pl.57.11"></a><var>57.11</var>&#160;&#160;&#160;&#160;(a) The commissioner of human services shall combine the existing biennial base level <br />
         		<a id="pl.57.12"></a><var>57.12</var>funding for deafblind services into a single grant program. At least 35 percent of
         the total <br />
         		<a id="pl.57.13"></a><var>57.13</var>funding is awarded for services and other supports to deafblind children and their
         families <br />
         		<a id="pl.57.14"></a><var>57.14</var>and at least 25 percent is awarded for services and other supports to deafblind adults. use <br />
         		<a id="pl.57.15"></a><var>57.15</var>at least 35 percent of the deafblind services biennial base level grant funding for
         services <br />
         		<a id="pl.57.16"></a><var>57.16</var>and other supports for a child who is deafblind and the child's family. The commissioner
         <br />
         		<a id="pl.57.17"></a><var>57.17</var>shall use at least 25 percent of the deafblind services biennial base level grant
         funding for <br />
         		<a id="pl.57.18"></a><var>57.18</var>services and other supports for an adult who is deafblind.<br />
         		<a id="pl.57.19"></a><var>57.19</var>&#160;&#160;&#160;&#160;The commissioner shall award grants for the purposes of:<br />
         		<a id="pl.57.20"></a><var>57.20</var>&#160;&#160;&#160;&#160;(1) providing services and supports to individuals persons who are deafblind; and<br />
         		<a id="pl.57.21"></a><var>57.21</var>&#160;&#160;&#160;&#160;(2) developing and providing training to counties and the network of senior citizen
         <br />
         		<a id="pl.57.22"></a><var>57.22</var>service providers. The purpose of the training grants is to teach counties how to
         use existing <br />
         		<a id="pl.57.23"></a><var>57.23</var>programs that capture federal financial participation to meet the needs of eligible
         persons <br />
         		<a id="pl.57.24"></a><var>57.24</var>who are deafblind persons and to build capacity of senior service programs to meet the <br />
         		<a id="pl.57.25"></a><var>57.25</var>needs of seniors with a dual sensory hearing and vision loss.<br />
         		<a id="pl.57.26"></a><var>57.26</var>&#160;&#160;&#160;&#160;(b) The commissioner may make grants:<br />
         		<a id="pl.57.27"></a><var>57.27</var>&#160;&#160;&#160;&#160;(1) for services and training provided by organizations; and<br />
         		<a id="pl.57.28"></a><var>57.28</var>&#160;&#160;&#160;&#160;(2) to develop and administer consumer-directed services.<br />
         		<a id="pl.57.29"></a><var>57.29</var>(c) Consumer-directed services shall be provided in whole by grant-funded providers.
         <br />
         		<a id="pl.57.30"></a><var>57.30</var>The deaf and hard-of-hearing regional service centers shall not provide any aspect
         of a <br />
         		<a id="pl.57.31"></a><var>57.31</var>grant-funded consumer-directed services program.<br />
         		<a id="pl.58.1"></a><var>58.1</var>&#160;&#160;&#160;&#160;(c) (d) Any entity that is able to satisfy the grant criteria is eligible to receive a grant
         <br />
         		<a id="pl.58.2"></a><var>58.2</var>under paragraph (a).<br />
         		<a id="pl.58.3"></a><var>58.3</var>&#160;&#160;&#160;&#160;(d) (e) Deafblind service providers may, but are not required to, provide intervenor <br />
         		<a id="pl.58.4"></a><var>58.4</var>services as part of the service package provided with grant funds under this section.<br />
         		<br />
         		<a id="bill.1.44.0"></a><a id="pl.58.5"></a><var>58.5</var>&#160;&#160;&#160;&#160;Sec. 44. <b>EXPANSION OF CONSUMER-DIRECTED COMMUNITY SUPPORTS </b><br />
         		<a id="pl.58.6"></a><var>58.6</var><b>BUDGET METHODOLOGY EXCEPTION.</b><br />
         		<a id="pl.58.7"></a><var>58.7</var>(a) No later than September 30, 2017, if necessary, the commissioner of human services
         <br />
         		<a id="pl.58.8"></a><var>58.8</var>shall submit an amendment to the Centers for Medicare and Medicaid Services for the
         home <br />
         		<a id="pl.58.9"></a><var>58.9</var>and community-based services waivers authorized under Minnesota Statutes, sections
         <br />
         		<a id="pl.58.10"></a><var>58.10</var>256B.092 and 256B.49, to expand the exception to the consumer-directed community <br />
         		<a id="pl.58.11"></a><var>58.11</var>supports budget methodology under Laws 2015, chapter 71, article 7, section 54, to
         provide <br />
         		<a id="pl.58.12"></a><var>58.12</var>up to 30 percent more funds for either:<br />
         		<a id="pl.58.13"></a><var>58.13</var>(1) consumer-directed community supports participants who have a coordinated service
         <br />
         		<a id="pl.58.14"></a><var>58.14</var>and support plan which identifies the need for an increased amount of services or
         supports <br />
         		<a id="pl.58.15"></a><var>58.15</var>under consumer-directed community supports than the amount they are currently receiving
         <br />
         		<a id="pl.58.16"></a><var>58.16</var>under the consumer-directed community supports budget methodology:<br />
         		<a id="pl.58.17"></a><var>58.17</var>(i) to increase the amount of time a person works or otherwise improves employment
         <br />
         		<a id="pl.58.18"></a><var>58.18</var>opportunities;<br />
         		<a id="pl.58.19"></a><var>58.19</var>(ii) to plan a transition to, move to, or live in a setting described in Minnesota
         Statutes, <br />
         		<a id="pl.58.20"></a><var>58.20</var>section 256D.44, subdivision 5, paragraph (f), clause (1), item (ii), or paragraph
         (g); or<br />
         		<a id="pl.58.21"></a><var>58.21</var>(iii) to develop and implement a positive behavior support plan; or<br />
         		<a id="pl.58.22"></a><var>58.22</var>(2) home and community-based waiver participants who are currently using licensed
         <br />
         		<a id="pl.58.23"></a><var>58.23</var>providers for (i) employment supports or services during the day; or (ii) residential
         services, <br />
         		<a id="pl.58.24"></a><var>58.24</var>either of which cost more annually than the person would spend under a consumer-directed
         <br />
         		<a id="pl.58.25"></a><var>58.25</var>community supports plan for any or all of the supports needed to meet the goals identified
         <br />
         		<a id="pl.58.26"></a><var>58.26</var>in paragraph (a), clause (1), items (i), (ii), and (iii).<br />
         		<a id="pl.58.27"></a><var>58.27</var>(b) The exception under paragraph (a), clause (1), is limited to those persons who
         can <br />
         		<a id="pl.58.28"></a><var>58.28</var>demonstrate that they will have to discontinue using consumer-directed community supports
         <br />
         		<a id="pl.58.29"></a><var>58.29</var>and accept other non-self-directed waiver services because their supports needed for
         the <br />
         		<a id="pl.58.30"></a><var>58.30</var>goals described in paragraph (a), clause (1), items (i), (ii), and (iii), cannot be
         met within <br />
         		<a id="pl.58.31"></a><var>58.31</var>the consumer-directed community supports budget limits.<br />
         		<a id="pl.59.1"></a><var>59.1</var>(c) The exception under paragraph (a), clause (2), is limited to those persons who
         can <br />
         		<a id="pl.59.2"></a><var>59.2</var>demonstrate that, upon choosing to become a consumer-directed community supports <br />
         		<a id="pl.59.3"></a><var>59.3</var>participant, the total cost of services, including the exception, will be less than
         the cost of <br />
         		<a id="pl.59.4"></a><var>59.4</var>current waiver services.<br />
         		<a id="pl.59.5"></a><var>59.5</var><b>EFFECTIVE DATE.</b>The exception under this section is effective October 1, 2017, or <br />
         		<a id="pl.59.6"></a><var>59.6</var>upon federal approval, whichever is later. Notwithstanding any other law to the contrary,
         <br />
         		<a id="pl.59.7"></a><var>59.7</var>the exception in Laws 2016, chapter 144, section 1, remains in effect until the exception
         <br />
         		<a id="pl.59.8"></a><var>59.8</var>under Laws 2015, chapter 71, article 7, section 54, or under this section becomes
         effective, <br />
         		<a id="pl.59.9"></a><var>59.9</var>whichever occurs first. The commissioner of human services shall notify the revisor
         of <br />
         		<a id="pl.59.10"></a><var>59.10</var>statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.1.45.0"></a><a id="pl.59.11"></a><var>59.11</var>&#160;&#160;&#160;&#160;Sec. 45. <b>CONSUMER-DIRECTED COMMUNITY SUPPORTS BUDGET </b><br />
         		<a id="pl.59.12"></a><var>59.12</var><b>METHODOLOGY EXCEPTION FOR PERSONS LEAVING INSTITUTIONS AND </b><br />
         		<a id="pl.59.13"></a><var>59.13</var><b>CRISIS RESIDENTIAL SETTINGS.</b><br />
         		<a id="pl.59.14"></a><var>59.14</var>(a) By September 30, 2017, the commissioner shall establish an institutional and crisis
         <br />
         		<a id="pl.59.15"></a><var>59.15</var>bed consumer-directed community supports budget exception process in the home and
         <br />
         		<a id="pl.59.16"></a><var>59.16</var>community-based services waivers under Minnesota Statutes, sections 256B.092 and <br />
         		<a id="pl.59.17"></a><var>59.17</var>256B.49. This budget exception process shall be available for any individual who:<br />
         		<a id="pl.59.18"></a><var>59.18</var>(1) is not offered available and appropriate services within 60 days since approval
         for <br />
         		<a id="pl.59.19"></a><var>59.19</var>discharge from the individual's current institutional setting; and<br />
         		<a id="pl.59.20"></a><var>59.20</var>(2) requires services that are more expensive than appropriate services provided in
         a <br />
         		<a id="pl.59.21"></a><var>59.21</var>noninstitutional setting using the consumer-directed community supports option.<br />
         		<a id="pl.59.22"></a><var>59.22</var>(b) Institutional settings for purposes of this exception include intermediate care
         facilities <br />
         		<a id="pl.59.23"></a><var>59.23</var>for persons with developmental disabilities; nursing facilities; acute care hospitals;
         Anoka <br />
         		<a id="pl.59.24"></a><var>59.24</var>Metro Regional Treatment Center; Minnesota Security Hospital; and crisis beds. The
         budget <br />
         		<a id="pl.59.25"></a><var>59.25</var>exception shall be limited to no more than the amount of appropriate services provided
         in <br />
         		<a id="pl.59.26"></a><var>59.26</var>a noninstitutional setting as determined by the lead agency managing the individual's
         home <br />
         		<a id="pl.59.27"></a><var>59.27</var>and community-based services waiver. The lead agency shall notify the Department of
         <br />
         		<a id="pl.59.28"></a><var>59.28</var>Human Services of the budget exception.<br />
         		<a id="pl.59.29"></a><var>59.29</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.46.0"></a><a id="pl.60.1"></a><var>60.1</var>&#160;&#160;&#160;&#160;Sec. 46. <b>CONSUMER-DIRECTED COMMUNITY SUPPORTS REVISED BUDGET </b><br />
         		<a id="pl.60.2"></a><var>60.2</var><b>METHODOLOGY REPORT.</b><br />
         		<a id="pl.60.3"></a><var>60.3</var>(a) The commissioner of human services, in consultation with stakeholders and others
         <br />
         		<a id="pl.60.4"></a><var>60.4</var>including representatives of lead agencies, home and community-based services waiver
         <br />
         		<a id="pl.60.5"></a><var>60.5</var>participants using consumer-directed community supports, advocacy groups, state agencies,
         <br />
         		<a id="pl.60.6"></a><var>60.6</var>the Institute on Community Integration at the University of Minnesota, and service
         and <br />
         		<a id="pl.60.7"></a><var>60.7</var>financial management providers, shall develop a revised consumer-directed community
         <br />
         		<a id="pl.60.8"></a><var>60.8</var>supports budget methodology. The new methodology shall be based on (1) the costs of
         <br />
         		<a id="pl.60.9"></a><var>60.9</var>providing services as reflected by the wage and other relevant components incorporated
         in <br />
         		<a id="pl.60.10"></a><var>60.10</var>the disability waiver rate formulas under Minnesota Statutes, chapter 256B, and (2)
         <br />
         		<a id="pl.60.11"></a><var>60.11</var>state-to-county waiver-funding methodologies. The new methodology should develop <br />
         		<a id="pl.60.12"></a><var>60.12</var>individual consumer-directed community supports budgets comparable to those provided
         <br />
         		<a id="pl.60.13"></a><var>60.13</var>for similar needs individuals if paying for non-consumer-directed community supports
         <br />
         		<a id="pl.60.14"></a><var>60.14</var>waiver services.<br />
         		<a id="pl.60.15"></a><var>60.15</var>(b) By December 15, 2018, the commissioner shall report a revised consumer-directed
         <br />
         		<a id="pl.60.16"></a><var>60.16</var>community supports budget methodology, including proposed legislation and funding
         <br />
         		<a id="pl.60.17"></a><var>60.17</var>necessary to implement the new methodology, to the chairs and ranking minority members
         <br />
         		<a id="pl.60.18"></a><var>60.18</var>of the house of representatives and senate committees with jurisdiction over health
         and <br />
         		<a id="pl.60.19"></a><var>60.19</var>human services.<br />
         		<a id="pl.60.20"></a><var>60.20</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.47.0"></a><a id="pl.60.21"></a><var>60.21</var>&#160;&#160;&#160;&#160;Sec. 47. <b>FEDERAL WAIVER AMENDMENTS.</b><br />
         		<a id="pl.60.22"></a><var>60.22</var>The commissioner of human services shall submit necessary waiver amendments to the
         <br />
         		<a id="pl.60.23"></a><var>60.23</var>Centers for Medicare and Medicaid Services to add employment exploration services,
         <br />
         		<a id="pl.60.24"></a><var>60.24</var>employment development services, and employment support services to the home and <br />
         		<a id="pl.60.25"></a><var>60.25</var>community-based services waivers authorized under Minnesota Statutes, sections 256B.092
         <br />
         		<a id="pl.60.26"></a><var>60.26</var>and 256B.49. The commissioner shall also submit necessary waiver amendments to remove
         <br />
         		<a id="pl.60.27"></a><var>60.27</var>community-based employment services from day training and habilitation and prevocational
         <br />
         		<a id="pl.60.28"></a><var>60.28</var>services. The commissioner shall submit all necessary waiver amendments by October
         1, <br />
         		<a id="pl.60.29"></a><var>60.29</var>2017.<br />
         		<a id="pl.60.30"></a><var>60.30</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.48.0"></a><a id="pl.61.1"></a><var>61.1</var>&#160;&#160;&#160;&#160;Sec. 48. <b>TRANSPORTATION STUDY.</b><br />
         		<a id="pl.61.2"></a><var>61.2</var>The commissioner of human services, with cooperation from lead agencies and in <br />
         		<a id="pl.61.3"></a><var>61.3</var>consultation with stakeholders, shall conduct a study to identify opportunities to
         increase <br />
         		<a id="pl.61.4"></a><var>61.4</var>access to transportation services for an individual who receives home and community-based
         <br />
         		<a id="pl.61.5"></a><var>61.5</var>services. The commissioner shall submit a report with recommendations to the chairs
         and <br />
         		<a id="pl.61.6"></a><var>61.6</var>ranking minority members of the legislative committees with jurisdiction over human
         <br />
         		<a id="pl.61.7"></a><var>61.7</var>services by January 15, 2019. The report shall:<br />
         		<a id="pl.61.8"></a><var>61.8</var>(1) study all aspects of the current transportation service network, including the
         fleet <br />
         		<a id="pl.61.9"></a><var>61.9</var>available, the different rate-setting methods currently used, methods that an individual
         uses <br />
         		<a id="pl.61.10"></a><var>61.10</var>to access transportation, and the diversity of available provider agencies;<br />
         		<a id="pl.61.11"></a><var>61.11</var>(2) identify current barriers for an individual accessing transportation and for a
         provider <br />
         		<a id="pl.61.12"></a><var>61.12</var>providing waiver services transportation in the marketplace;<br />
         		<a id="pl.61.13"></a><var>61.13</var>(3) identify efficiencies and collaboration opportunities to increase available <br />
         		<a id="pl.61.14"></a><var>61.14</var>transportation, including transportation funded by medical assistance, and available
         regional <br />
         		<a id="pl.61.15"></a><var>61.15</var>transportation and transit options;<br />
         		<a id="pl.61.16"></a><var>61.16</var>(4) study transportation solutions in other states for delivering home and community-based
         <br />
         		<a id="pl.61.17"></a><var>61.17</var>services;<br />
         		<a id="pl.61.18"></a><var>61.18</var>(5) study provider costs required to administer transportation services;<br />
         		<a id="pl.61.19"></a><var>61.19</var>(6) make recommendations for coordinating and increasing transportation accessibility
         <br />
         		<a id="pl.61.20"></a><var>61.20</var>across the state; and<br />
         		<a id="pl.61.21"></a><var>61.21</var>(7) make recommendations for the rate setting of waivered transportation.<br />
         		<a id="pl.61.22"></a><var>61.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.49.0"></a><a id="pl.61.23"></a><var>61.23</var>&#160;&#160;&#160;&#160;Sec. 49. <b>DIRECTION TO COMMISSIONER; TELECOMMUNICATION </b><br />
         		<a id="pl.61.24"></a><var>61.24</var><b>EQUIPMENT PROGRAM.</b><br />
         		<a id="pl.61.25"></a><var>61.25</var>The commissioner of human services shall work in consultation with the Commission
         <br />
         		<a id="pl.61.26"></a><var>61.26</var>of Deaf, Deafblind, and Hard-of-Hearing Minnesotans to provide recommendations by
         <br />
         		<a id="pl.61.27"></a><var>61.27</var>January 15, 2018, to the chairs and ranking minority members of the house of representatives
         <br />
         		<a id="pl.61.28"></a><var>61.28</var>and senate committees with jurisdiction over human services to modernize the <br />
         		<a id="pl.61.29"></a><var>61.29</var>telecommunication equipment program. The recommendations must address:<br />
         		<a id="pl.61.30"></a><var>61.30</var>(1) types of equipment and supports the program should provide to ensure people with
         <br />
         		<a id="pl.61.31"></a><var>61.31</var>communication difficulties have equitable access to telecommunications services;<br />
         		<a id="pl.62.1"></a><var>62.1</var>(2) additional services the program should provide, such as education about technology
         <br />
         		<a id="pl.62.2"></a><var>62.2</var>options that can improve a person's access to telecommunications services; and<br />
         		<a id="pl.62.3"></a><var>62.3</var>(3) how the current program's service delivery structure might be improved to better
         <br />
         		<a id="pl.62.4"></a><var>62.4</var>meet the needs of people with communication disabilities.<br />
         		<a id="pl.62.5"></a><var>62.5</var>The commissioner shall also provide draft legislative language to accomplish the <br />
         		<a id="pl.62.6"></a><var>62.6</var>recommendations. Final recommendations, the final report, and draft legislative language
         <br />
         		<a id="pl.62.7"></a><var>62.7</var>must be approved by both the commissioner and the chair of the Commission of Deaf,
         <br />
         		<a id="pl.62.8"></a><var>62.8</var>Deafblind, and Hard-of-Hearing Minnesotans.<br />
         		<br />
         		<a id="bill.1.50.0"></a><a id="pl.62.9"></a><var>62.9</var>&#160;&#160;&#160;&#160;Sec. 50. <b>DIRECTION TO COMMISSIONER; BILLING FOR MENTAL HEALTH </b><br />
         		<a id="pl.62.10"></a><var>62.10</var><b>SERVICES.</b><br />
         		<a id="pl.62.11"></a><var>62.11</var>By January 1, 2018, the commissioner of human services shall report to the chairs
         and <br />
         		<a id="pl.62.12"></a><var>62.12</var>ranking minority members of the house of representatives and senate committees with
         <br />
         		<a id="pl.62.13"></a><var>62.13</var>jurisdiction over deaf and hard-of-hearing services on the potential costs and benefits
         of the <br />
         		<a id="pl.62.14"></a><var>62.14</var>Deaf and Hard-of-Hearing Services Division billing for the cost of providing mental
         health <br />
         		<a id="pl.62.15"></a><var>62.15</var>services.<br />
         		<br />
         		<a id="bill.1.51.0"></a><a id="pl.62.16"></a><var>62.16</var>&#160;&#160;&#160;&#160;Sec. 51. <b>DIRECTION TO COMMISSIONER; MnCHOICES ASSESSMENT TOOL.</b><br />
         		<a id="pl.62.17"></a><var>62.17</var>The commissioner of human services shall work with lead agencies responsible for <br />
         		<a id="pl.62.18"></a><var>62.18</var>conducting long-term consultation services under Minnesota Statutes, section 256B.0911,
         <br />
         		<a id="pl.62.19"></a><var>62.19</var>to modify the MnCHOICES assessment tool and related policies to:<br />
         		<a id="pl.62.20"></a><var>62.20</var>(1) reduce assessment times;<br />
         		<a id="pl.62.21"></a><var>62.21</var>(2) create efficiencies within the tool and within practice and policy for conducting
         <br />
         		<a id="pl.62.22"></a><var>62.22</var>assessments and support planning;<br />
         		<a id="pl.62.23"></a><var>62.23</var>(3) implement policy changes reducing the frequency and depth of assessment and <br />
         		<a id="pl.62.24"></a><var>62.24</var>reassessment, while ensuring federal compliance with medical assistance and disability
         <br />
         		<a id="pl.62.25"></a><var>62.25</var>waiver eligibility requirements; and<br />
         		<a id="pl.62.26"></a><var>62.26</var>(4) evaluate alternative payment methods.<br />
         		<br />
         		<a id="bill.1.52.0"></a><a id="pl.62.27"></a><var>62.27</var>&#160;&#160;&#160;&#160;Sec. 52. <b>RANDOM MOMENT TIME STUDY EVALUATION REQUIRED.</b><br />
         		<a id="pl.62.28"></a><var>62.28</var>The commissioner of human services shall evaluate the random moment time study <br />
         		<a id="pl.62.29"></a><var>62.29</var>methodology for reimbursement of costs associated with county duties required under
         <br />
         		<a id="pl.62.30"></a><var>62.30</var>Minnesota Statutes, section 256B.0911. The study must determine whether random moment
         <br />
         		<a id="pl.62.31"></a><var>62.31</var>is efficient and effective in supporting functions of assessment and support planning
         and <br />
         		<a id="pl.63.1"></a><var>63.1</var>the purpose under Minnesota Statutes, section 256B.0911, subdivision 1. The commissioner
         <br />
         		<a id="pl.63.2"></a><var>63.2</var>shall submit a report to the chairs and ranking minority members of the house of <br />
         		<a id="pl.63.3"></a><var>63.3</var>representatives and senate committees with jurisdiction over health and human services
         by <br />
         		<a id="pl.63.4"></a><var>63.4</var>January 15, 2019. The report must provide recommendations for changes to payment <br />
         		<a id="pl.63.5"></a><var>63.5</var>methodologies and functions related to assessment, eligibility determination, and
         support <br />
         		<a id="pl.63.6"></a><var>63.6</var>planning.<br />
         		<br />
         		<a id="bill.1.53.0"></a><a id="pl.63.7"></a><var>63.7</var>&#160;&#160;&#160;&#160;Sec. 53. <b> REPEALER.</b><br />
         		<a id="pl.63.8"></a><var>63.8</var>(a) Minnesota Statutes 2016, sections 144A.351, subdivision 2; 256C.23, subdivision <br />
         		<a id="pl.63.9"></a><var>63.9</var>3; 256C.233, subdivision 4; and 256C.25, subdivisions 1 and 2, are repealed.<br />
         		<a id="pl.63.10"></a><var>63.10</var>(b) Minnesota Statutes 2016, section 256B.4914, subdivision 16, is repealed effective <br />
         		<a id="pl.63.11"></a><var>63.11</var>January 1, 2018.<br />
         		<a id="pl.63.12"></a><var>63.12</var>(c) Laws 2012, chapter 247, article 4, section 47, as amended by Laws 2014, chapter <br />
         		<a id="pl.63.13"></a><var>63.13</var>312, article 27, section 72, Laws 2015, chapter 71, article 7, section 58, Laws 2016,
         chapter <br />
         		<a id="pl.63.14"></a><var>63.14</var>144, section 1; and Laws 2015, chapter 71, article 7, section 54, are repealed upon the <br />
         		<a id="pl.63.15"></a><var>63.15</var>effective date of section 44.<br />
         		<br />
         		<a id="bill.2.0.0"></a><div class="xtend_ce"><a id="pl.63.16"></a><var>63.16</var><b>ARTICLE 2</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.63.17"></a><var>63.17</var><b>HOUSING</b><br />
            		
         </div><br />
         		<a id="bill.2.1.0"></a><a id="pl.63.18"></a><var>63.18</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 144D.04, subdivision 2, is amended to read:<br />
         		<a id="pl.63.19"></a><var>63.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Contents of contract.</b>  A housing with services contract, which need not be <br />
         		<a id="pl.63.20"></a><var>63.20</var>entitled as such to comply with this section, shall include at least the following
         elements in <br />
         		<a id="pl.63.21"></a><var>63.21</var>itself or through supporting documents or attachments:<br />
         		<a id="pl.63.22"></a><var>63.22</var>(1) the name, street address, and mailing address of the establishment;<br />
         		<a id="pl.63.23"></a><var>63.23</var>(2) the name and mailing address of the owner or owners of the establishment and,
         if <br />
         		<a id="pl.63.24"></a><var>63.24</var>the owner or owners is not a natural person, identification of the type of business
         entity of <br />
         		<a id="pl.63.25"></a><var>63.25</var>the owner or owners;<br />
         		<a id="pl.63.26"></a><var>63.26</var>(3) the name and mailing address of the managing agent, through management agreement
         <br />
         		<a id="pl.63.27"></a><var>63.27</var>or lease agreement, of the establishment, if different from the owner or owners;<br />
         		<a id="pl.63.28"></a><var>63.28</var>(4) the name and address of at least one natural person who is authorized to accept
         service <br />
         		<a id="pl.63.29"></a><var>63.29</var>of process on behalf of the owner or owners and managing agent;<br />
         		<a id="pl.64.1"></a><var>64.1</var>(5) a statement describing the registration and licensure status of the establishment
         and <br />
         		<a id="pl.64.2"></a><var>64.2</var>any provider providing health-related or supportive services under an arrangement
         with the <br />
         		<a id="pl.64.3"></a><var>64.3</var>establishment;<br />
         		<a id="pl.64.4"></a><var>64.4</var>(6) the term of the contract;<br />
         		<a id="pl.64.5"></a><var>64.5</var>(7) a description of the services to be provided to the resident in the base rate
         to be paid <br />
         		<a id="pl.64.6"></a><var>64.6</var>by resident, including a delineation of the portion of the base rate that constitutes
         rent and <br />
         		<a id="pl.64.7"></a><var>64.7</var>a delineation of charges for each service included in the base rate;<br />
         		<a id="pl.64.8"></a><var>64.8</var>(8) a description of any additional services, including home care services, available
         for <br />
         		<a id="pl.64.9"></a><var>64.9</var>an additional fee from the establishment directly or through arrangements with the
         <br />
         		<a id="pl.64.10"></a><var>64.10</var>establishment, and a schedule of fees charged for these services;<br />
         		<a id="pl.64.11"></a><var>64.11</var>(9) a description of the process through which the contract may be modified, amended,
         <br />
         		<a id="pl.64.12"></a><var>64.12</var>or terminated, including whether a move to a different room or sharing a room would
         be <br />
         		<a id="pl.64.13"></a><var>64.13</var>required in the event that the tenant can no longer pay the current rent;<br />
         		<a id="pl.64.14"></a><var>64.14</var>(10) a description of the establishment's complaint resolution process available to
         residents <br />
         		<a id="pl.64.15"></a><var>64.15</var>including the toll-free complaint line for the Office of Ombudsman for Long-Term Care;<br />
         		<a id="pl.64.16"></a><var>64.16</var>(11) the resident's designated representative, if any;<br />
         		<a id="pl.64.17"></a><var>64.17</var>(12) the establishment's referral procedures if the contract is terminated;<br />
         		<a id="pl.64.18"></a><var>64.18</var>(13) requirements of residency used by the establishment to determine who may reside
         <br />
         		<a id="pl.64.19"></a><var>64.19</var>or continue to reside in the housing with services establishment;<br />
         		<a id="pl.64.20"></a><var>64.20</var>(14) billing and payment procedures and requirements;<br />
         		<a id="pl.64.21"></a><var>64.21</var>(15) a statement regarding the ability of residents a resident to receive services from <br />
         		<a id="pl.64.22"></a><var>64.22</var>service providers with whom the establishment does not have an arrangement;<br />
         		<a id="pl.64.23"></a><var>64.23</var>(16) a statement regarding the availability of public funds for payment for residence
         or <br />
         		<a id="pl.64.24"></a><var>64.24</var>services in the establishment; and<br />
         		<a id="pl.64.25"></a><var>64.25</var>(17) a statement regarding the availability of and contact information for long-term
         care <br />
         		<a id="pl.64.26"></a><var>64.26</var>consultation services under section 
         <statute_ref>256B.0911</statute_ref> in the county in which the establishment is <br />
         		<a id="pl.64.27"></a><var>64.27</var>located.<br />
         		<a id="pl.64.28"></a><var>64.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.2.0"></a><a id="pl.65.1"></a><var>65.1</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 144D.04, is amended by adding a subdivision to <br />
         		<a id="pl.65.2"></a><var>65.2</var>read:<br />
         		<a id="pl.65.3"></a><var>65.3</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Additional contract requirements.</b> (a) For a resident receiving one or more <br />
         		<a id="pl.65.4"></a><var>65.4</var>health-related services from the establishment's arranged home care provider, as defined
         in <br />
         		<a id="pl.65.5"></a><var>65.5</var>section 144D.01, subdivision 6, the contract must include the requirements in paragraph
         <br />
         		<a id="pl.65.6"></a><var>65.6</var>(b). A restriction of a resident's rights under this subdivision is allowed only if
         determined <br />
         		<a id="pl.65.7"></a><var>65.7</var>necessary for health and safety reasons identified by the home care provider's registered
         <br />
         		<a id="pl.65.8"></a><var>65.8</var>nurse in an initial assessment or reassessment, as defined under section 144A.4791,
         <br />
         		<a id="pl.65.9"></a><var>65.9</var>subdivision 8, and documented in the written service plan under section 144A.4791,
         <br />
         		<a id="pl.65.10"></a><var>65.10</var>subdivision 9. Any restrictions of those rights for people served under sections 256B.0915
         <br />
         		<a id="pl.65.11"></a><var>65.11</var>and 256B.49 must be documented in the resident's coordinated service and support plan
         <br />
         		<a id="pl.65.12"></a><var>65.12</var>(CSSP), as defined under sections 256B.0915, subdivision 6 and 256B.49, subdivision
         15.<br />
         		<a id="pl.65.13"></a><var>65.13</var>(b) The contract must include a statement:<br />
         		<a id="pl.65.14"></a><var>65.14</var>(1) regarding the ability of a resident to furnish and decorate the resident's unit
         within <br />
         		<a id="pl.65.15"></a><var>65.15</var>the terms of the lease;<br />
         		<a id="pl.65.16"></a><var>65.16</var>(2) regarding the resident's right to access food at any time;<br />
         		 <a id="pl.65.17"></a><var>65.17</var>(3) regarding a resident's right to choose the resident's visitors and times of visits;<br />
         		<a id="pl.65.18"></a><var>65.18</var>(4) regarding the resident's right to choose a roommate if sharing a unit; and<br />
         		<a id="pl.65.19"></a><var>65.19</var>(5) notifying the resident of the resident's right to have and use a lockable door
         to the <br />
         		<a id="pl.65.20"></a><var>65.20</var>resident's unit. The landlord shall provide the locks on the unit. Only a staff member
         with <br />
         		<a id="pl.65.21"></a><var>65.21</var>a specific need to enter the unit shall have keys, and advance notice must be given
         to the <br />
         		<a id="pl.65.22"></a><var>65.22</var>resident before entrance, when possible.<br />
         		<a id="pl.65.23"></a><var>65.23</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.3.0"></a><a id="pl.65.24"></a><var>65.24</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 245A.03, subdivision 7, is amended to read:<br />
         		<a id="pl.65.25"></a><var>65.25</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Licensing moratorium.</b> (a) The commissioner shall not issue an initial license <br />
         		<a id="pl.65.26"></a><var>65.26</var>for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult <br />
         		<a id="pl.65.27"></a><var>65.27</var>foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter <br />
         		<a id="pl.65.28"></a><var>65.28</var>for a physical location that will not be the primary residence of the license holder
         for the <br />
         		<a id="pl.65.29"></a><var>65.29</var>entire period of licensure. If a license is issued during this moratorium, and the
         license <br />
         		<a id="pl.65.30"></a><var>65.30</var>holder changes the license holder's primary residence away from the physical location
         of <br />
         		<a id="pl.65.31"></a><var>65.31</var>the foster care license, the commissioner shall revoke the license according to section
         <br />
         		
         <statute_ref><a id="pl.66.1"></a><var>66.1</var>245A.07
         </statute_ref>. The commissioner shall not issue an initial license for a community residential
         <br />
         		<a id="pl.66.2"></a><var>66.2</var>setting licensed under chapter 245D. Exceptions to the moratorium include:<br />
         		<a id="pl.66.3"></a><var>66.3</var>(1) foster care settings that are required to be registered under chapter 144D;<br />
         		<a id="pl.66.4"></a><var>66.4</var>(2) foster care licenses replacing foster care licenses in existence on May 15, 2009,
         or <br />
         		<a id="pl.66.5"></a><var>66.5</var>community residential setting licenses replacing adult foster care licenses in existence
         on <br />
         		<a id="pl.66.6"></a><var>66.6</var>December 31, 2013, and determined to be needed by the commissioner under paragraph
         <br />
         		<a id="pl.66.7"></a><var>66.7</var>(b);<br />
         		<a id="pl.66.8"></a><var>66.8</var>(3) new foster care licenses or community residential setting licenses determined
         to be <br />
         		<a id="pl.66.9"></a><var>66.9</var>needed by the commissioner under paragraph (b) for the closure of a nursing facility,
         ICF/DD, <br />
         		<a id="pl.66.10"></a><var>66.10</var>or regional treatment center; restructuring of state-operated services that limits
         the capacity <br />
         		<a id="pl.66.11"></a><var>66.11</var>of state-operated facilities; or allowing movement to the community for people who
         no <br />
         		<a id="pl.66.12"></a><var>66.12</var>longer require the level of care provided in state-operated facilities as provided
         under section <br />
         		
         <statute_ref><a id="pl.66.13"></a><var>66.13</var>256B.092
         </statute_ref>, subdivision 13, or 
         <statute_ref>256B.49, subdivision 24</statute_ref>;<br />
         		<a id="pl.66.14"></a><var>66.14</var>(4) new foster care licenses or community residential setting licenses determined
         to be <br />
         		<a id="pl.66.15"></a><var>66.15</var>needed by the commissioner under paragraph (b) for persons requiring hospital level
         care; <br />
         		<a id="pl.66.16"></a><var>66.16</var>or<br />
         		<a id="pl.66.17"></a><var>66.17</var>(5) new foster care licenses or community residential setting licenses determined
         to be <br />
         		<a id="pl.66.18"></a><var>66.18</var>needed by the commissioner for the transition of people from personal care assistance
         to <br />
         		<a id="pl.66.19"></a><var>66.19</var>the home and community-based services. When approving an exception under this paragraph, <br />
         		<a id="pl.66.20"></a><var>66.20</var>the commissioner shall consider the resource need determination process in paragraph
         (h), <br />
         		<a id="pl.66.21"></a><var>66.21</var>the availability of foster care licensed beds in the geographic area in which the
         licensee <br />
         		<a id="pl.66.22"></a><var>66.22</var>seeks to operate, the results of a person's choices during their annual assessment
         and service <br />
         		<a id="pl.66.23"></a><var>66.23</var>plan review, and the recommendation of the local county board. The determination by
         the <br />
         		<a id="pl.66.24"></a><var>66.24</var>commissioner is final and not subject to appeal;<br />
         		<a id="pl.66.25"></a><var>66.25</var>(6) new foster care licenses or community residential setting licenses determined
         to be <br />
         		<a id="pl.66.26"></a><var>66.26</var>needed by the commissioner for the transition of people from the residential care
         waiver <br />
         		<a id="pl.66.27"></a><var>66.27</var>services to foster care services. This exception applies only when:<br />
         		<a id="pl.66.28"></a><var>66.28</var>(i) the person's case manager provided the person with information about the choice
         of <br />
         		<a id="pl.66.29"></a><var>66.29</var>service, service provider, and location of service to help the person make an informed
         choice; <br />
         		<a id="pl.66.30"></a><var>66.30</var>and<br />
         		<a id="pl.66.31"></a><var>66.31</var>(ii) the person's foster care services are less than or equal to the cost of the person's
         <br />
         		<a id="pl.66.32"></a><var>66.32</var>services delivered in the residential care waiver service setting as determined by
         the lead <br />
         		<a id="pl.66.33"></a><var>66.33</var>agency; or<br />
         		<a id="pl.67.1"></a><var>67.1</var>(7) new foster care licenses or community residential setting licenses for people
         receiving <br />
         		<a id="pl.67.2"></a><var>67.2</var>services under chapter 245D and residing in an unlicensed setting before May 1, 2017,
         and <br />
         		<a id="pl.67.3"></a><var>67.3</var>for which a license is required. This exception does not apply to people living in
         their own <br />
         		<a id="pl.67.4"></a><var>67.4</var>home. For purposes of this clause, there is a presumption that a foster care or community
         <br />
         		<a id="pl.67.5"></a><var>67.5</var>residential setting license is required for services provided to three or more people
         in a <br />
         		<a id="pl.67.6"></a><var>67.6</var>dwelling unit when the setting is controlled by the provider. A license holder subject
         to this <br />
         		<a id="pl.67.7"></a><var>67.7</var>exception may rebut the presumption that a license is required by seeking a reconsideration
         <br />
         		<a id="pl.67.8"></a><var>67.8</var>of the commissioner's determination. The commissioner's disposition of a request for
         <br />
         		<a id="pl.67.9"></a><var>67.9</var>reconsideration is final and not subject to appeal under chapter 14. The exception
         is available <br />
         		<a id="pl.67.10"></a><var>67.10</var>until June 30, 2018. This exception is available when:<br />
         		<a id="pl.67.11"></a><var>67.11</var>(i) the person's case manager provided the person with information about the choice
         of <br />
         		<a id="pl.67.12"></a><var>67.12</var>service, service provider, and location of service, including in the person's home,
         to help <br />
         		<a id="pl.67.13"></a><var>67.13</var>the person make an informed choice; and<br />
         		<a id="pl.67.14"></a><var>67.14</var>(ii) the person's services provided in the licensed foster care or community residential
         <br />
         		<a id="pl.67.15"></a><var>67.15</var>setting are less than or equal to the cost of the person's services delivered in the
         unlicensed <br />
         		<a id="pl.67.16"></a><var>67.16</var>setting as determined by the lead agency.<br />
         		<a id="pl.67.17"></a><var>67.17</var>(b) The commissioner shall determine the need for newly licensed foster care homes
         or <br />
         		<a id="pl.67.18"></a><var>67.18</var>community residential settings as defined under this subdivision. As part of the determination,
         <br />
         		<a id="pl.67.19"></a><var>67.19</var>the commissioner shall consider the availability of foster care capacity in the area
         in which <br />
         		<a id="pl.67.20"></a><var>67.20</var>the licensee seeks to operate, and the recommendation of the local county board. The
         <br />
         		<a id="pl.67.21"></a><var>67.21</var>determination by the commissioner must be final. A determination of need is not required
         <br />
         		<a id="pl.67.22"></a><var>67.22</var>for a change in ownership at the same address.<br />
         		<a id="pl.67.23"></a><var>67.23</var>(c) When an adult resident served by the program moves out of a foster home that is
         not <br />
         		<a id="pl.67.24"></a><var>67.24</var>the primary residence of the license holder according to section 
         <statute_ref>256B.49, subdivision 15</statute_ref>, <br />
         		<a id="pl.67.25"></a><var>67.25</var>paragraph (f), or the adult community residential setting, the county shall immediately
         <br />
         		<a id="pl.67.26"></a><var>67.26</var>inform the Department of Human Services Licensing Division. The department shall may <br />
         		<a id="pl.67.27"></a><var>67.27</var>decrease the statewide licensed capacity for adult foster care settings where the physical <br />
         		<a id="pl.67.28"></a><var>67.28</var>location is not the primary residence of the license holder, or for adult community
         residential <br />
         		<a id="pl.67.29"></a><var>67.29</var>settings, if the voluntary changes described in paragraph (e) are not sufficient to
         meet the <br />
         		<a id="pl.67.30"></a><var>67.30</var>savings required by reductions in licensed bed capacity under Laws 2011, First Special
         <br />
         		<a id="pl.67.31"></a><var>67.31</var>Session chapter 9, article 7, sections 1 and 40, paragraph (f), and maintain statewide
         long-term <br />
         		<a id="pl.67.32"></a><var>67.32</var>care residential services capacity within budgetary limits. Implementation of the
         statewide <br />
         		<a id="pl.67.33"></a><var>67.33</var>licensed capacity reduction shall begin on July 1, 2013. The commissioner shall delicense
         <br />
         		<a id="pl.67.34"></a><var>67.34</var>up to 128 beds by June 30, 2014, using the needs determination process. Prior to any
         <br />
         		<a id="pl.67.35"></a><var>67.35</var>involuntary reduction of licensed capacity, the commissioner shall consult with lead
         agencies <br />
         		<a id="pl.68.1"></a><var>68.1</var>and license holders to determine which adult foster care settings, where the physical
         location <br />
         		<a id="pl.68.2"></a><var>68.2</var>is not the primary residence of the license holder, or community residential settings,
         are <br />
         		<a id="pl.68.3"></a><var>68.3</var>licensed for up to five beds, but have operated at less than full capacity for 12
         or more <br />
         		<a id="pl.68.4"></a><var>68.4</var>months as of March 1, 2014. The settings that meet these criteria must be the first
         to be <br />
         		<a id="pl.68.5"></a><var>68.5</var>considered for an involuntary decrease in statewide licensed capacity, up to a maximum
         of <br />
         		<a id="pl.68.6"></a><var>68.6</var>35 beds. If more than 35 beds are identified that meet these criteria, the commissioner
         shall <br />
         		<a id="pl.68.7"></a><var>68.7</var>prioritize the selection of those beds to be closed based on the length of time the
         beds have <br />
         		<a id="pl.68.8"></a><var>68.8</var>been vacant. The longer a bed has been vacant, the higher priority it must be given
         for <br />
         		<a id="pl.68.9"></a><var>68.9</var>closure. Under this paragraph, the commissioner has the authority to reduce unused
         licensed <br />
         		<a id="pl.68.10"></a><var>68.10</var>capacity of a current foster care program, or the community residential settings,
         to accomplish <br />
         		<a id="pl.68.11"></a><var>68.11</var>the consolidation or closure of settings. Under this paragraph, the commissioner has
         the <br />
         		<a id="pl.68.12"></a><var>68.12</var>authority to manage statewide capacity, including adjusting the capacity available
         to each <br />
         		<a id="pl.68.13"></a><var>68.13</var>county and adjusting statewide available capacity, to meet the statewide needs identified
         <br />
         		<a id="pl.68.14"></a><var>68.14</var>through the process in paragraph (e). A decreased licensed capacity according to this
         <br />
         		<a id="pl.68.15"></a><var>68.15</var>paragraph is not subject to appeal under this chapter.<br />
         		<a id="pl.68.16"></a><var>68.16</var>(d) Residential settings that would otherwise be subject to the decreased license
         capacity <br />
         		<a id="pl.68.17"></a><var>68.17</var>established in paragraph (c) shall be exempt if the license holder's beds are occupied
         by <br />
         		<a id="pl.68.18"></a><var>68.18</var>residents whose primary diagnosis is mental illness and the license holder is certified
         under <br />
         		<a id="pl.68.19"></a><var>68.19</var>the requirements in subdivision 6a or section 
         <statute_ref>245D.33</statute_ref>.<br />
         		<a id="pl.68.20"></a><var>68.20</var>(e) A resource need determination process, managed at the state level, using the available
         <br />
         		<a id="pl.68.21"></a><var>68.21</var>reports required by section 
         <statute_ref>144A.351</statute_ref>, and other data and information shall be used to <br />
         		<a id="pl.68.22"></a><var>68.22</var>determine where the reduced capacity required determined under paragraph (c) section <br />
         		<a id="pl.68.23"></a><var>68.23</var>256B.493 will be implemented. The commissioner shall consult with the stakeholders <br />
         		<a id="pl.68.24"></a><var>68.24</var>described in section 
         <statute_ref>144A.351</statute_ref>, and employ a variety of methods to improve the state's <br />
         		<a id="pl.68.25"></a><var>68.25</var>capacity to meet the informed decisions of those people who want to move out of corporate <br />
         		<a id="pl.68.26"></a><var>68.26</var>foster care or community residential settings, long-term care service needs within budgetary <br />
         		<a id="pl.68.27"></a><var>68.27</var>limits, including seeking proposals from service providers or lead agencies to change
         service <br />
         		<a id="pl.68.28"></a><var>68.28</var>type, capacity, or location to improve services, increase the independence of residents,
         and <br />
         		<a id="pl.68.29"></a><var>68.29</var>better meet needs identified by the long-term care services and supports reports and statewide <br />
         		<a id="pl.68.30"></a><var>68.30</var>data and information. By February 1, 2013, and August 1, 2014, and each following
         year, <br />
         		<a id="pl.68.31"></a><var>68.31</var>the commissioner shall provide information and data and targets on the overall capacity of <br />
         		<a id="pl.68.32"></a><var>68.32</var>licensed long-term care services and supports, actions taken under this subdivision to manage <br />
         		<a id="pl.68.33"></a><var>68.33</var>statewide long-term care services and supports resources, and any recommendations for <br />
         		<a id="pl.68.34"></a><var>68.34</var>change to the legislative committees with jurisdiction over health and human services
         budget.<br />
         		<a id="pl.69.1"></a><var>69.1</var>&#160;&#160;&#160;&#160;(f) At the time of application and reapplication for licensure, the applicant and
         the license <br />
         		<a id="pl.69.2"></a><var>69.2</var>holder that are subject to the moratorium or an exclusion established in paragraph
         (a) are <br />
         		<a id="pl.69.3"></a><var>69.3</var>required to inform the commissioner whether the physical location where the foster
         care <br />
         		<a id="pl.69.4"></a><var>69.4</var>will be provided is or will be the primary residence of the license holder for the
         entire period <br />
         		<a id="pl.69.5"></a><var>69.5</var>of licensure. If the primary residence of the applicant or license holder changes,
         the applicant <br />
         		<a id="pl.69.6"></a><var>69.6</var>or license holder must notify the commissioner immediately. The commissioner shall
         print <br />
         		<a id="pl.69.7"></a><var>69.7</var>on the foster care license certificate whether or not the physical location is the
         primary <br />
         		<a id="pl.69.8"></a><var>69.8</var>residence of the license holder.<br />
         		<a id="pl.69.9"></a><var>69.9</var>&#160;&#160;&#160;&#160;(g) License holders of foster care homes identified under paragraph (f) that are not
         the <br />
         		<a id="pl.69.10"></a><var>69.10</var>primary residence of the license holder and that also provide services in the foster
         care home <br />
         		<a id="pl.69.11"></a><var>69.11</var>that are covered by a federally approved home and community-based services waiver,
         as <br />
         		<a id="pl.69.12"></a><var>69.12</var>authorized under section 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092</statute_ref>, or 
         <statute_ref>256B.49</statute_ref>, must inform the human services <br />
         		<a id="pl.69.13"></a><var>69.13</var>licensing division that the license holder provides or intends to provide these waiver-funded
         <br />
         		<a id="pl.69.14"></a><var>69.14</var>services.<br />
         		<a id="pl.69.15"></a><var>69.15</var>(h) The commissioner may adjust capacity to address needs identified in section <br />
         		<a id="pl.69.16"></a><var>69.16</var>144A.351. Under this authority, the commissioner may approve new licensed settings
         or <br />
         		<a id="pl.69.17"></a><var>69.17</var>delicense existing settings. Delicensing of settings will be accomplished through
         a process <br />
         		<a id="pl.69.18"></a><var>69.18</var>identified in section 256B.493. Annually, by August 1, the commissioner shall provide
         <br />
         		<a id="pl.69.19"></a><var>69.19</var>information and data on capacity of licensed long-term services and supports, actions
         taken <br />
         		<a id="pl.69.20"></a><var>69.20</var>under the subdivision to manage statewide long-term services and supports resources,
         and <br />
         		<a id="pl.69.21"></a><var>69.21</var>any recommendations for change to the legislative committees with jurisdiction over
         the <br />
         		<a id="pl.69.22"></a><var>69.22</var>health and human services budget.<br />
         		<a id="pl.69.23"></a><var>69.23</var>(i) The commissioner must notify a license holder when its corporate foster care or
         <br />
         		<a id="pl.69.24"></a><var>69.24</var>community residential setting licensed beds are reduced under this section. The notice
         of <br />
         		<a id="pl.69.25"></a><var>69.25</var>reduction of licensed beds must be in writing and delivered to the license holder
         by certified <br />
         		<a id="pl.69.26"></a><var>69.26</var>mail or personal service. The notice must state why the licensed beds are reduced
         and must <br />
         		<a id="pl.69.27"></a><var>69.27</var>inform the license holder of its right to request reconsideration by the commissioner.
         The <br />
         		<a id="pl.69.28"></a><var>69.28</var>license holder's request for reconsideration must be in writing. If mailed, the request
         for <br />
         		<a id="pl.69.29"></a><var>69.29</var>reconsideration must be postmarked and sent to the commissioner within 20 calendar
         days <br />
         		<a id="pl.69.30"></a><var>69.30</var>after the license holder's receipt of the notice of reduction of licensed beds. If
         a request for <br />
         		<a id="pl.69.31"></a><var>69.31</var>reconsideration is made by personal service, it must be received by the commissioner
         within <br />
         		<a id="pl.69.32"></a><var>69.32</var>20 calendar days after the license holder's receipt of the notice of reduction of
         licensed beds.<br />
         		<a id="pl.69.33"></a><var>69.33</var>&#160;&#160;&#160;&#160;(j) The commissioner shall not issue an initial license for children's residential
         treatment <br />
         		<a id="pl.69.34"></a><var>69.34</var>services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this
         chapter <br />
         		<a id="pl.69.35"></a><var>69.35</var>for a program that Centers for Medicare and Medicaid Services would consider an institution
         <br />
         		<a id="pl.70.1"></a><var>70.1</var>for mental diseases. Facilities that serve only private pay clients are exempt from
         the <br />
         		<a id="pl.70.2"></a><var>70.2</var>moratorium described in this paragraph. The commissioner has the authority to manage
         <br />
         		<a id="pl.70.3"></a><var>70.3</var>existing statewide capacity for children's residential treatment services subject
         to the <br />
         		<a id="pl.70.4"></a><var>70.4</var>moratorium under this paragraph and may issue an initial license for such facilities
         if the <br />
         		<a id="pl.70.5"></a><var>70.5</var>initial license would not increase the statewide capacity for children's residential
         treatment <br />
         		<a id="pl.70.6"></a><var>70.6</var>services subject to the moratorium under this paragraph.<br />
         		<br />
         		<a id="bill.2.4.0"></a><a id="pl.70.7"></a><var>70.7</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 245A.04, subdivision 14, is amended to read:<br />
         		<a id="pl.70.8"></a><var>70.8</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Policies and procedures for program administration required and </b><br />
         		<a id="pl.70.9"></a><var>70.9</var><b>enforceable.</b> (a) The license holder shall develop program policies and procedures necessary <br />
         		<a id="pl.70.10"></a><var>70.10</var>to maintain compliance with licensing requirements under Minnesota Statutes and Minnesota
         <br />
         		<a id="pl.70.11"></a><var>70.11</var>Rules.<br />
         		<a id="pl.70.12"></a><var>70.12</var>&#160;&#160;&#160;&#160;(b) The license holder shall:<br />
         		<a id="pl.70.13"></a><var>70.13</var>&#160;&#160;&#160;&#160;(1) provide training to program staff related to their duties in implementing the
         program's <br />
         		<a id="pl.70.14"></a><var>70.14</var>policies and procedures developed under paragraph (a);<br />
         		<a id="pl.70.15"></a><var>70.15</var>&#160;&#160;&#160;&#160;(2) document the provision of this training; and<br />
         		<a id="pl.70.16"></a><var>70.16</var>&#160;&#160;&#160;&#160;(3) monitor implementation of policies and procedures by program staff.<br />
         		<a id="pl.70.17"></a><var>70.17</var>&#160;&#160;&#160;&#160;(c) The license holder shall keep program policies and procedures readily accessible
         to <br />
         		<a id="pl.70.18"></a><var>70.18</var>staff and index the policies and procedures with a table of contents or another method
         <br />
         		<a id="pl.70.19"></a><var>70.19</var>approved by the commissioner.<br />
         		<a id="pl.70.20"></a><var>70.20</var>(d) An adult foster care license holder that provides foster care services to a resident
         <br />
         		<a id="pl.70.21"></a><var>70.21</var>under section 256B.0915 must annually provide a copy of the resident termination policy
         <br />
         		<a id="pl.70.22"></a><var>70.22</var>under section 245A.11, subdivision 11, to a resident covered by the policy.<br />
         		<br />
         		<a id="bill.2.5.0"></a><a id="pl.70.23"></a><var>70.23</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 245A.11, is amended by adding a subdivision to <br />
         		<a id="pl.70.24"></a><var>70.24</var>read:<br />
         		<a id="pl.70.25"></a><var>70.25</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Adult foster care bedrooms.</b> (a) A resident receiving services must have a <br />
         		<a id="pl.70.26"></a><var>70.26</var>choice of roommate. Each roommate must consent in writing to sharing a bedroom with
         <br />
         		<a id="pl.70.27"></a><var>70.27</var>one another. The license holder is responsible for notifying a resident of the resident's
         right <br />
         		<a id="pl.70.28"></a><var>70.28</var>to request a change of roommate.<br />
         		<a id="pl.70.29"></a><var>70.29</var>(b) The license holder must provide a lock for each resident's bedroom door, unless
         <br />
         		<a id="pl.70.30"></a><var>70.30</var>otherwise indicated for the resident's health, safety, or well-being. A restriction
         on the use <br />
         		<a id="pl.70.31"></a><var>70.31</var>of the lock must be documented and justified in the resident's individual abuse prevention
         <br />
         		<a id="pl.71.1"></a><var>71.1</var>plan required by sections 245A.65, subdivision 2, paragraph (b), and 626.557, subdivision
         <br />
         		<a id="pl.71.2"></a><var>71.2</var>14.For a resident served under section 256B.0915, the case manager must be part of
         the <br />
         		<a id="pl.71.3"></a><var>71.3</var>interdisciplinary team under section 245A.65, subdivision 2, paragraph (b).<br />
         		<a id="pl.71.4"></a><var>71.4</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.6.0"></a><a id="pl.71.5"></a><var>71.5</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 245A.11, is amended by adding a subdivision to <br />
         		<a id="pl.71.6"></a><var>71.6</var>read:<br />
         		<a id="pl.71.7"></a><var>71.7</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Adult foster care resident rights.</b> (a) The license holder shall ensure that a <br />
         		<a id="pl.71.8"></a><var>71.8</var>resident and a resident's legal representative are given, at admission:<br />
         		<a id="pl.71.9"></a><var>71.9</var>(1) an explanation and copy of the resident's rights specified in paragraph (b);<br />
         		<a id="pl.71.10"></a><var>71.10</var>(2) a written summary of the Vulnerable Adults Protection Act prepared by the <br />
         		<a id="pl.71.11"></a><var>71.11</var>department; and<br />
         		<a id="pl.71.12"></a><var>71.12</var>(3) the name, address, and telephone number of the local agency to which a resident
         or <br />
         		<a id="pl.71.13"></a><var>71.13</var>a resident's legal representative may submit an oral or written complaint.<br />
         		<a id="pl.71.14"></a><var>71.14</var>(b) Adult foster care resident rights include the right to:<br />
         		<a id="pl.71.15"></a><var>71.15</var>(1) have daily, private access to and use of a non-coin-operated telephone for local
         and <br />
         		<a id="pl.71.16"></a><var>71.16</var>long-distance telephone calls made collect or paid for by the resident;<br />
         		<a id="pl.71.17"></a><var>71.17</var>(2) receive and send, without interference, uncensored, unopened mail or electronic
         <br />
         		<a id="pl.71.18"></a><var>71.18</var>correspondence or communication;<br />
         		<a id="pl.71.19"></a><var>71.19</var>(3) have use of and free access to common areas in the residence and the freedom to
         <br />
         		<a id="pl.71.20"></a><var>71.20</var>come and go from the residence at will;<br />
         		<a id="pl.71.21"></a><var>71.21</var>(4) have privacy for visits with the resident's spouse, next of kin, legal counsel,
         religious <br />
         		<a id="pl.71.22"></a><var>71.22</var>adviser, or others, according to section 363A.09 of the Human Rights Act, including
         privacy <br />
         		<a id="pl.71.23"></a><var>71.23</var>in the resident's bedroom;<br />
         		<a id="pl.71.24"></a><var>71.24</var>(5) keep, use, and access the resident's personal clothing and possessions as space
         permits, <br />
         		<a id="pl.71.25"></a><var>71.25</var>unless this right infringes on the health, safety, or rights of another resident or
         household <br />
         		<a id="pl.71.26"></a><var>71.26</var>member, including the right to access the resident's personal possessions at any time;<br />
         		<a id="pl.71.27"></a><var>71.27</var>(6) choose the resident's visitors and time of visits and participate in activities
         of <br />
         		<a id="pl.71.28"></a><var>71.28</var>commercial, religious, political, and community groups without interference if the
         activities <br />
         		<a id="pl.71.29"></a><var>71.29</var>do not infringe on the rights of another resident or household member;<br />
         		<a id="pl.71.30"></a><var>71.30</var>(7) if married, privacy for visits by the resident's spouse, and, if both spouses
         are residents <br />
         		<a id="pl.71.31"></a><var>71.31</var>of the adult foster home, the residents have the right to share a bedroom and bed;<br />
         		<a id="pl.72.1"></a><var>72.1</var>(8) privacy, including use of the lock on the resident's bedroom door or unit door.
         A <br />
         		<a id="pl.72.2"></a><var>72.2</var>resident's privacy must be respected by license holders, caregivers, household members,
         <br />
         		<a id="pl.72.3"></a><var>72.3</var>and volunteers by knocking on the door of a resident's bedroom or bathroom and seeking
         <br />
         		<a id="pl.72.4"></a><var>72.4</var>consent before entering, except in an emergency;<br />
         		<a id="pl.72.5"></a><var>72.5</var>(9) furnish and decorate the resident's bedroom or living unit;<br />
         		<a id="pl.72.6"></a><var>72.6</var>(10) engage in chosen activities and have an individual schedule supported by the
         license <br />
         		<a id="pl.72.7"></a><var>72.7</var>holder that meets the resident's preferences;<br />
         		<a id="pl.72.8"></a><var>72.8</var>(11) freedom and support to access food at any time;<br />
         		<a id="pl.72.9"></a><var>72.9</var>(12) have personal, financial, service, health, and medical information kept private,
         and <br />
         		<a id="pl.72.10"></a><var>72.10</var>be advised of disclosure of this information by the license holder;<br />
         		<a id="pl.72.11"></a><var>72.11</var>(13) access records and recorded information about the resident according to applicable
         <br />
         		<a id="pl.72.12"></a><var>72.12</var>state and federal law, regulation, or rule;<br />
         		<a id="pl.72.13"></a><var>72.13</var>(14) be free from maltreatment;<br />
         		<a id="pl.72.14"></a><var>72.14</var>(15) be treated with courtesy and respect and receive respectful treatment of the
         resident's <br />
         		<a id="pl.72.15"></a><var>72.15</var>property;<br />
         		<a id="pl.72.16"></a><var>72.16</var>(16) reasonable observance of cultural and ethnic practice and religion;<br />
         		<a id="pl.72.17"></a><var>72.17</var>(17) be free from bias and harassment regarding race, gender, age, disability, spirituality,
         <br />
         		<a id="pl.72.18"></a><var>72.18</var>and sexual orientation;<br />
         		<a id="pl.72.19"></a><var>72.19</var>(18) be informed of and use the license holder's grievance policy and procedures,
         <br />
         		<a id="pl.72.20"></a><var>72.20</var>including how to contact the highest level of authority in the program;<br />
         		<a id="pl.72.21"></a><var>72.21</var>(19) assert the resident's rights personally, or have the rights asserted by the resident's
         <br />
         		<a id="pl.72.22"></a><var>72.22</var>family, authorized representative, or legal representative, without retaliation; and<br />
         		<a id="pl.72.23"></a><var>72.23</var>(20) give or withhold written informed consent to participate in any research or <br />
         		<a id="pl.72.24"></a><var>72.24</var>experimental treatment.<br />
         		<a id="pl.72.25"></a><var>72.25</var>(c) A restriction of a resident's rights under paragraph (b), clauses (1) to (4),
         (6), (8), <br />
         		<a id="pl.72.26"></a><var>72.26</var>(10), and (11), is allowed only if determined necessary to ensure the health, safety,
         and <br />
         		<a id="pl.72.27"></a><var>72.27</var>well-being of the resident. Any restriction of a resident's right must be documented
         and <br />
         		<a id="pl.72.28"></a><var>72.28</var>justified in the resident's individual abuse prevention plan required by sections
         245A.65, <br />
         		<a id="pl.72.29"></a><var>72.29</var>subdivision 2, paragraph (b) and 626.557, subdivision 14. For a resident served under
         section <br />
         		<a id="pl.72.30"></a><var>72.30</var>256B.0915, the case manager must be part of the interdisciplinary team under section
         <br />
         		<a id="pl.72.31"></a><var>72.31</var>245A.65, subdivision 2, paragraph (b). The restriction must be implemented in the
         least <br />
         		<a id="pl.73.1"></a><var>73.1</var>restrictive manner necessary to protect the resident and provide support to reduce
         or eliminate <br />
         		<a id="pl.73.2"></a><var>73.2</var>the need for the restriction.<br />
         		<a id="pl.73.3"></a><var>73.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.7.0"></a><a id="pl.73.4"></a><var>73.4</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 245A.11, is amended by adding a subdivision to <br />
         		<a id="pl.73.5"></a><var>73.5</var>read:<br />
         		<a id="pl.73.6"></a><var>73.6</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Adult foster care service termination for elderly waiver participants.</b> (a) <br />
         		<a id="pl.73.7"></a><var>73.7</var>This subdivision applies to foster care services for a resident served under section
         256B.0915.<br />
         		<a id="pl.73.8"></a><var>73.8</var>(b) The foster care license holder must establish policies and procedures for service
         <br />
         		<a id="pl.73.9"></a><var>73.9</var>termination that promote continuity of care and service coordination with the resident
         and <br />
         		<a id="pl.73.10"></a><var>73.10</var>the case manager and with another licensed caregiver, if any, who also provides support
         to <br />
         		<a id="pl.73.11"></a><var>73.11</var>the resident. The policy must include the requirements specified in paragraphs (c)
         to (h).<br />
         		<a id="pl.73.12"></a><var>73.12</var>(c) The license holder must allow a resident to remain in the program and cannot terminate
         <br />
         		<a id="pl.73.13"></a><var>73.13</var>services unless:<br />
         		<a id="pl.73.14"></a><var>73.14</var>(1) the termination is necessary for the resident's health, safety, and well-being
         and the <br />
         		<a id="pl.73.15"></a><var>73.15</var>resident's needs cannot be met in the facility;<br />
         		<a id="pl.73.16"></a><var>73.16</var>(2) the safety of the resident or another resident in the program is endangered and
         positive <br />
         		<a id="pl.73.17"></a><var>73.17</var>support strategies were attempted and have not achieved and effectively maintained
         safety <br />
         		<a id="pl.73.18"></a><var>73.18</var>for the resident or another resident in the program;<br />
         		<a id="pl.73.19"></a><var>73.19</var>(3) the health, safety, and well-being of the resident or another resident in the
         program <br />
         		<a id="pl.73.20"></a><var>73.20</var>would otherwise be endangered;<br />
         		<a id="pl.73.21"></a><var>73.21</var>(4) the program was not paid for services;<br />
         		<a id="pl.73.22"></a><var>73.22</var>(5) the program ceases to operate; or<br />
         		<a id="pl.73.23"></a><var>73.23</var>(6) the resident was terminated by the lead agency from waiver eligibility.<br />
         		<a id="pl.73.24"></a><var>73.24</var>(d) Before giving notice of service termination, the license holder must document
         the <br />
         		<a id="pl.73.25"></a><var>73.25</var>action taken to minimize or eliminate the need for termination. The action taken by
         the <br />
         		<a id="pl.73.26"></a><var>73.26</var>license holder must include, at a minimum:<br />
         		<a id="pl.73.27"></a><var>73.27</var>(1) consultation with the resident's interdisciplinary team to identify and resolve
         issues <br />
         		<a id="pl.73.28"></a><var>73.28</var>leading to a notice of service termination; and<br />
         		<a id="pl.73.29"></a><var>73.29</var>(2) a request to the case manager or other professional consultation or intervention
         <br />
         		<a id="pl.73.30"></a><var>73.30</var>services to support the resident in the program. This requirement does not apply to
         a notice <br />
         		<a id="pl.73.31"></a><var>73.31</var>of service termination issued under paragraph (c), clause (4) or (5).<br />
         		<a id="pl.74.1"></a><var>74.1</var>(e) If, based on the best interests of the resident, the circumstances at the time
         of notice <br />
         		<a id="pl.74.2"></a><var>74.2</var>were such that the license holder was unable to take the action specified in paragraph
         (d), <br />
         		<a id="pl.74.3"></a><var>74.3</var>the license holder must document the specific circumstances and the reason the license
         <br />
         		<a id="pl.74.4"></a><var>74.4</var>holder was unable to take the action.<br />
         		<a id="pl.74.5"></a><var>74.5</var>(f) The license holder must notify the resident or the resident's legal representative
         and <br />
         		<a id="pl.74.6"></a><var>74.6</var>the case manager in writing of the intended service termination. The notice must include:<br />
         		<a id="pl.74.7"></a><var>74.7</var>(1) the reason for the action;<br />
         		<a id="pl.74.8"></a><var>74.8</var>(2) except for service termination under paragraph (c), clause (4) or (5), a summary
         of <br />
         		<a id="pl.74.9"></a><var>74.9</var>the action taken to minimize or eliminate the need for termination and the reason
         the action <br />
         		<a id="pl.74.10"></a><var>74.10</var>failed to prevent the termination;<br />
         		<a id="pl.74.11"></a><var>74.11</var>(3) the resident's right to appeal the service termination under section 256.045,
         subdivision <br />
         		<a id="pl.74.12"></a><var>74.12</var>3, paragraph (a); and<br />
         		<a id="pl.74.13"></a><var>74.13</var>(4) the resident's right to seek a temporary order staying the service termination
         according <br />
         		<a id="pl.74.14"></a><var>74.14</var>to the procedures in section 256.045, subdivision 4a, or subdivision 6, paragraph
         (c).<br />
         		<a id="pl.74.15"></a><var>74.15</var>(g) Notice of the proposed service termination must be given at least 30 days before
         <br />
         		<a id="pl.74.16"></a><var>74.16</var>terminating a resident's service.<br />
         		<a id="pl.74.17"></a><var>74.17</var>(h) After the resident receives the notice of service termination and before the services
         <br />
         		<a id="pl.74.18"></a><var>74.18</var>are terminated, the license holder must:<br />
         		<a id="pl.74.19"></a><var>74.19</var>(1) work with the support team or expanded support team to develop reasonable <br />
         		<a id="pl.74.20"></a><var>74.20</var>alternatives to support continuity of care and to protect the resident;<br />
         		<a id="pl.74.21"></a><var>74.21</var>(2) provide information requested by the resident or case manager; and<br />
         		<a id="pl.74.22"></a><var>74.22</var>(3) maintain information about the service termination, including the written notice
         of <br />
         		<a id="pl.74.23"></a><var>74.23</var>service termination, in the resident's record.<br />
         		<a id="pl.74.24"></a><var>74.24</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.8.0"></a><a id="pl.74.25"></a><var>74.25</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 245D.04, subdivision 3, is amended to read:<br />
         		<a id="pl.74.26"></a><var>74.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Protection-related rights.</b> (a) A person's protection-related rights include the <br />
         		<a id="pl.74.27"></a><var>74.27</var>right to:<br />
         		<a id="pl.74.28"></a><var>74.28</var>(1) have personal, financial, service, health, and medical information kept private,
         and <br />
         		<a id="pl.74.29"></a><var>74.29</var>be advised of disclosure of this information by the license holder;<br />
         		<a id="pl.74.30"></a><var>74.30</var>(2) access records and recorded information about the person in accordance with <br />
         		<a id="pl.74.31"></a><var>74.31</var>applicable state and federal law, regulation, or rule;<br />
         		<a id="pl.75.1"></a><var>75.1</var>(3) be free from maltreatment;<br />
         		<a id="pl.75.2"></a><var>75.2</var>(4) be free from restraint, time out, seclusion, restrictive intervention, or other
         prohibited <br />
         		<a id="pl.75.3"></a><var>75.3</var>procedure identified in section 
         <statute_ref>245D.06, subdivision 5</statute_ref>, or successor provisions, except for: <br />
         		<a id="pl.75.4"></a><var>75.4</var>(i) emergency use of manual restraint to protect the person from imminent danger to
         self <br />
         		<a id="pl.75.5"></a><var>75.5</var>or others according to the requirements in section 
         <statute_ref>245D.061</statute_ref> or successor provisions; or (ii) <br />
         		<a id="pl.75.6"></a><var>75.6</var>the use of safety interventions as part of a positive support transition plan under
         section <br />
         		
         <statute_ref><a id="pl.75.7"></a><var>75.7</var>245D.06, subdivision 8
         </statute_ref>, or successor provisions;<br />
         		<a id="pl.75.8"></a><var>75.8</var>(5) receive services in a clean and safe environment when the license holder is the
         owner, <br />
         		<a id="pl.75.9"></a><var>75.9</var>lessor, or tenant of the service site;<br />
         		<a id="pl.75.10"></a><var>75.10</var>(6) be treated with courtesy and respect and receive respectful treatment of the person's
         <br />
         		<a id="pl.75.11"></a><var>75.11</var>property;<br />
         		<a id="pl.75.12"></a><var>75.12</var>(7) reasonable observance of cultural and ethnic practice and religion;<br />
         		<a id="pl.75.13"></a><var>75.13</var>(8) be free from bias and harassment regarding race, gender, age, disability, spirituality,
         <br />
         		<a id="pl.75.14"></a><var>75.14</var>and sexual orientation;<br />
         		<a id="pl.75.15"></a><var>75.15</var>(9) be informed of and use the license holder's grievance policy and procedures, including
         <br />
         		<a id="pl.75.16"></a><var>75.16</var>knowing how to contact persons responsible for addressing problems and to appeal under
         <br />
         		<a id="pl.75.17"></a><var>75.17</var>section 
         <statute_ref>256.045</statute_ref>;<br />
         		<a id="pl.75.18"></a><var>75.18</var>(10) know the name, telephone number, and the Web site, e-mail, and street addresses
         <br />
         		<a id="pl.75.19"></a><var>75.19</var>of protection and advocacy services, including the appropriate state-appointed ombudsman,
         <br />
         		<a id="pl.75.20"></a><var>75.20</var>and a brief description of how to file a complaint with these offices;<br />
         		<a id="pl.75.21"></a><var>75.21</var>(11) assert these rights personally, or have them asserted by the person's family,
         <br />
         		<a id="pl.75.22"></a><var>75.22</var>authorized representative, or legal representative, without retaliation;<br />
         		<a id="pl.75.23"></a><var>75.23</var>(12) give or withhold written informed consent to participate in any research or <br />
         		<a id="pl.75.24"></a><var>75.24</var>experimental treatment;<br />
         		<a id="pl.75.25"></a><var>75.25</var>(13) associate with other persons of the person's choice;<br />
         		<a id="pl.75.26"></a><var>75.26</var>(14) personal privacy, including the right to use the lock on the person's bedroom or unit <br />
         		<a id="pl.75.27"></a><var>75.27</var>door; and<br />
         		<a id="pl.75.28"></a><var>75.28</var>(15) engage in chosen activities; and<br />
         		<a id="pl.75.29"></a><var>75.29</var>(16) access to the person's personal possessions at any time, including financial
         resources.<br />
         		<a id="pl.76.1"></a><var>76.1</var>(b) For a person residing in a residential site licensed according to chapter 245A,
         or <br />
         		<a id="pl.76.2"></a><var>76.2</var>where the license holder is the owner, lessor, or tenant of the residential service
         site, <br />
         		<a id="pl.76.3"></a><var>76.3</var>protection-related rights also include the right to:<br />
         		<a id="pl.76.4"></a><var>76.4</var>(1) have daily, private access to and use of a non-coin-operated telephone for local
         calls <br />
         		<a id="pl.76.5"></a><var>76.5</var>and long-distance calls made collect or paid for by the person;<br />
         		<a id="pl.76.6"></a><var>76.6</var>(2) receive and send, without interference, uncensored, unopened mail or electronic
         <br />
         		<a id="pl.76.7"></a><var>76.7</var>correspondence or communication;<br />
         		<a id="pl.76.8"></a><var>76.8</var>(3) have use of and free access to common areas in the residence and the freedom to <br />
         		<a id="pl.76.9"></a><var>76.9</var>come and go from the residence at will; and<br />
         		<a id="pl.76.10"></a><var>76.10</var>(4) choose the person's visitors and time of visits and have privacy for visits with the <br />
         		<a id="pl.76.11"></a><var>76.11</var>person's spouse, next of kin, legal counsel, religious advisor adviser, or others, in accordance <br />
         		<a id="pl.76.12"></a><var>76.12</var>with section 
         <statute_ref>363A.09</statute_ref> of the Human Rights Act, including privacy in the person's bedroom.;<br />
         		<a id="pl.76.13"></a><var>76.13</var>(5) the freedom and support to access food at any time;<br />
         		<a id="pl.76.14"></a><var>76.14</var>(6) the freedom to furnish and decorate the person's bedroom or living unit;<br />
         		<a id="pl.76.15"></a><var>76.15</var>(7) a setting that is clean and free from accumulation of dirt, grease, garbage, peeling
         <br />
         		<a id="pl.76.16"></a><var>76.16</var>paint, mold, vermin, and insects;<br />
         		<a id="pl.76.17"></a><var>76.17</var>(8) a setting that is free from hazards that threaten the person's health or safety;<br />
         		<a id="pl.76.18"></a><var>76.18</var>(9) a setting that meets state and local building and zoning definitions of a dwelling
         unit <br />
         		<a id="pl.76.19"></a><var>76.19</var>in a residential occupancy; and<br />
         		<a id="pl.76.20"></a><var>76.20</var>(10) have access to potable water and three nutritionally balanced meals and nutritious
         <br />
         		<a id="pl.76.21"></a><var>76.21</var>snacks between meals each day.<br />
         		<a id="pl.76.22"></a><var>76.22</var>(c) Restriction of a person's rights under paragraph (a), clauses (13) to (15) (16), or <br />
         		<a id="pl.76.23"></a><var>76.23</var>paragraph (b) is allowed only if determined necessary to ensure the health, safety,
         and <br />
         		<a id="pl.76.24"></a><var>76.24</var>well-being of the person. Any restriction of those rights must be documented in the
         person's <br />
         		<a id="pl.76.25"></a><var>76.25</var>coordinated service and support plan or coordinated service and support plan addendum.
         <br />
         		<a id="pl.76.26"></a><var>76.26</var>The restriction must be implemented in the least restrictive alternative manner necessary
         <br />
         		<a id="pl.76.27"></a><var>76.27</var>to protect the person and provide support to reduce or eliminate the need for the
         restriction <br />
         		<a id="pl.76.28"></a><var>76.28</var>in the most integrated setting and inclusive manner. The documentation must include
         the <br />
         		<a id="pl.76.29"></a><var>76.29</var>following information:<br />
         		<a id="pl.76.30"></a><var>76.30</var>(1) the justification for the restriction based on an assessment of the person's vulnerability
         <br />
         		<a id="pl.76.31"></a><var>76.31</var>related to exercising the right without restriction;<br />
         		<a id="pl.76.32"></a><var>76.32</var>(2) the objective measures set as conditions for ending the restriction;<br />
         		<a id="pl.77.1"></a><var>77.1</var>(3) a schedule for reviewing the need for the restriction based on the conditions
         for <br />
         		<a id="pl.77.2"></a><var>77.2</var>ending the restriction to occur semiannually from the date of initial approval, at
         a minimum, <br />
         		<a id="pl.77.3"></a><var>77.3</var>or more frequently if requested by the person, the person's legal representative,
         if any, and <br />
         		<a id="pl.77.4"></a><var>77.4</var>case manager; and<br />
         		<a id="pl.77.5"></a><var>77.5</var>(4) signed and dated approval for the restriction from the person, or the person's
         legal <br />
         		<a id="pl.77.6"></a><var>77.6</var>representative, if any. A restriction may be implemented only when the required approval
         <br />
         		<a id="pl.77.7"></a><var>77.7</var>has been obtained. Approval may be withdrawn at any time. If approval is withdrawn,
         the <br />
         		<a id="pl.77.8"></a><var>77.8</var>right must be immediately and fully restored.<br />
         		<a id="pl.77.9"></a><var>77.9</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.9.0"></a><a id="pl.77.10"></a><var>77.10</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 245D.071, subdivision 3, is amended to read:<br />
         		<a id="pl.77.11"></a><var>77.11</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Assessment and initial service planning.</b> (a) Within 15 days of service initiation <br />
         		<a id="pl.77.12"></a><var>77.12</var>the license holder must complete a preliminary coordinated service and support plan
         <br />
         		<a id="pl.77.13"></a><var>77.13</var>addendum based on the coordinated service and support plan.<br />
         		<a id="pl.77.14"></a><var>77.14</var>(b) Within the scope of services, the license holder must, at a minimum, complete
         <br />
         		<a id="pl.77.15"></a><var>77.15</var>assessments in the following areas before the 45-day planning meeting:<br />
         		<a id="pl.77.16"></a><var>77.16</var>(1) the person's ability to self-manage health and medical needs to maintain or improve
         <br />
         		<a id="pl.77.17"></a><var>77.17</var>physical, mental, and emotional well-being, including, when applicable, allergies,
         seizures, <br />
         		<a id="pl.77.18"></a><var>77.18</var>choking, special dietary needs, chronic medical conditions, self-administration of
         medication <br />
         		<a id="pl.77.19"></a><var>77.19</var>or treatment orders, preventative screening, and medical and dental appointments;<br />
         		<a id="pl.77.20"></a><var>77.20</var>(2) the person's ability to self-manage personal safety to avoid injury or accident
         in the <br />
         		<a id="pl.77.21"></a><var>77.21</var>service setting, including, when applicable, risk of falling, mobility, regulating
         water <br />
         		<a id="pl.77.22"></a><var>77.22</var>temperature, community survival skills, water safety skills, and sensory disabilities;
         and<br />
         		<a id="pl.77.23"></a><var>77.23</var>(3) the person's ability to self-manage symptoms or behavior that may otherwise result
         <br />
         		<a id="pl.77.24"></a><var>77.24</var>in an incident as defined in section 
         <statute_ref>245D.02, subdivision 11</statute_ref>, clauses (4) to (7), suspension <br />
         		<a id="pl.77.25"></a><var>77.25</var>or termination of services by the license holder, or other symptoms or behaviors that
         may <br />
         		<a id="pl.77.26"></a><var>77.26</var>jeopardize the health and welfare of the person or others.<br />
         		<a id="pl.77.27"></a><var>77.27</var>Assessments must produce information about the person that describes the person's
         overall <br />
         		<a id="pl.77.28"></a><var>77.28</var>strengths, functional skills and abilities, and behaviors or symptoms. Assessments
         must be <br />
         		<a id="pl.77.29"></a><var>77.29</var>based on the person's status within the last 12 months at the time of service initiation.
         <br />
         		<a id="pl.77.30"></a><var>77.30</var>Assessments based on older information must be documented and justified. Assessments
         <br />
         		<a id="pl.77.31"></a><var>77.31</var>must be conducted annually at a minimum or within 30 days of a written request from
         the <br />
         		<a id="pl.77.32"></a><var>77.32</var>person or the person's legal representative or case manager. The results must be reviewed
         <br />
         		<a id="pl.77.33"></a><var>77.33</var>by the support team or expanded support team as part of a service plan review.<br />
         		<a id="pl.78.1"></a><var>78.1</var>(c) Within 45 days of service initiation, the license holder must meet with the person,
         <br />
         		<a id="pl.78.2"></a><var>78.2</var>the person's legal representative, the case manager, and other members of the support
         team <br />
         		<a id="pl.78.3"></a><var>78.3</var>or expanded support team to determine the following based on information obtained
         from <br />
         		<a id="pl.78.4"></a><var>78.4</var>the assessments identified in paragraph (b), the person's identified needs in the
         coordinated <br />
         		<a id="pl.78.5"></a><var>78.5</var>service and support plan, and the requirements in subdivision 4 and section 
         <statute_ref>245D.07, <br />
            		<a id="pl.78.6"></a><var>78.6</var>subdivision 1a
         </statute_ref>:<br />
         		<a id="pl.78.7"></a><var>78.7</var>(1) the scope of the services to be provided to support the person's daily needs and
         <br />
         		<a id="pl.78.8"></a><var>78.8</var>activities;<br />
         		<a id="pl.78.9"></a><var>78.9</var>(2) the person's desired outcomes and the supports necessary to accomplish the person's
         <br />
         		<a id="pl.78.10"></a><var>78.10</var>desired outcomes;<br />
         		<a id="pl.78.11"></a><var>78.11</var>(3) the person's preferences for how services and supports are provided, including how <br />
         		<a id="pl.78.12"></a><var>78.12</var>the provider will support the person to have control of the person's schedule;<br />
         		<a id="pl.78.13"></a><var>78.13</var>(4) whether the current service setting is the most integrated setting available and
         <br />
         		<a id="pl.78.14"></a><var>78.14</var>appropriate for the person; and<br />
         		<a id="pl.78.15"></a><var>78.15</var>(5) how services must be coordinated across other providers licensed under this chapter
         <br />
         		<a id="pl.78.16"></a><var>78.16</var>serving the person and members of the support team or expanded support team to ensure
         <br />
         		<a id="pl.78.17"></a><var>78.17</var>continuity of care and coordination of services for the person.<br />
         		<a id="pl.78.18"></a><var>78.18</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.10.0"></a><a id="pl.78.19"></a><var>78.19</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 245D.11, subdivision 4, is amended to read:<br />
         		<a id="pl.78.20"></a><var>78.20</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Admission criteria.</b> The license holder must establish policies and procedures <br />
         		<a id="pl.78.21"></a><var>78.21</var>that promote continuity of care by ensuring that admission or service initiation criteria:<br />
         		<a id="pl.78.22"></a><var>78.22</var>(1) is consistent with the service-related rights identified in section 
         <statute_ref>245D.04, subdivisions <br />
            		<a id="pl.78.23"></a><var>78.23</var>2
         </statute_ref>, clauses (4) to (7), and 3, clause (8);<br />
         		<a id="pl.78.24"></a><var>78.24</var>(2) identifies the criteria to be applied in determining whether the license holder
         can <br />
         		<a id="pl.78.25"></a><var>78.25</var>develop services to meet the needs specified in the person's coordinated service and
         support <br />
         		<a id="pl.78.26"></a><var>78.26</var>plan;<br />
         		<a id="pl.78.27"></a><var>78.27</var>(3) requires a license holder providing services in a health care facility to comply
         with <br />
         		<a id="pl.78.28"></a><var>78.28</var>the requirements in section 
         <statute_ref>243.166, subdivision 4b</statute_ref>, to provide notification to residents <br />
         		<a id="pl.78.29"></a><var>78.29</var>when a registered predatory offender is admitted into the program or to a potential
         admission <br />
         		<a id="pl.78.30"></a><var>78.30</var>when the facility was already serving a registered predatory offender. For purposes
         of this <br />
         		<a id="pl.78.31"></a><var>78.31</var>clause, "health care facility" means a facility licensed by the commissioner as a
         residential <br />
         		<a id="pl.79.1"></a><var>79.1</var>facility under chapter 245A to provide adult foster care or residential services to
         persons <br />
         		<a id="pl.79.2"></a><var>79.2</var>with disabilities; and<br />
         		<a id="pl.79.3"></a><var>79.3</var>(4) requires that when a person or the person's legal representative requests services
         <br />
         		<a id="pl.79.4"></a><var>79.4</var>from the license holder, a refusal to admit the person must be based on an evaluation
         of the <br />
         		<a id="pl.79.5"></a><var>79.5</var>person's assessed needs and the license holder's lack of capacity to meet the needs
         of the <br />
         		<a id="pl.79.6"></a><var>79.6</var>person. The license holder must not refuse to admit a person based solely on the type
         of <br />
         		<a id="pl.79.7"></a><var>79.7</var>residential services the person is receiving, or solely on the person's severity of
         disability, <br />
         		<a id="pl.79.8"></a><var>79.8</var>orthopedic or neurological handicaps, sight or hearing impairments, lack of communication
         <br />
         		<a id="pl.79.9"></a><var>79.9</var>skills, physical disabilities, toilet habits, behavioral disorders, or past failure
         to make progress. <br />
         		<a id="pl.79.10"></a><var>79.10</var>Documentation of the basis for refusal must be provided to the person or the person's
         legal <br />
         		<a id="pl.79.11"></a><var>79.11</var>representative and case manager upon request.; and<br />
         		<a id="pl.79.12"></a><var>79.12</var>(5) requires the person or the person's legal representative and license holder to
         sign and <br />
         		<a id="pl.79.13"></a><var>79.13</var>date the residency agreement when the license holder provides foster care or supported
         <br />
         		<a id="pl.79.14"></a><var>79.14</var>living services under section 245D.03, subdivision 1, paragraph (c), clause (3), item
         (i) or <br />
         		<a id="pl.79.15"></a><var>79.15</var>(ii), to a person living in a community residential setting defined in section 245D.02,
         <br />
         		<a id="pl.79.16"></a><var>79.16</var>subdivision 4a; an adult foster home defined in Minnesota Rules, part 9555.5105, subpart
         <br />
         		<a id="pl.79.17"></a><var>79.17</var>5; or a foster family home defined in Minnesota Rules, part 9560.0521, subpart 12.
         The <br />
         		<a id="pl.79.18"></a><var>79.18</var>residency agreement must include service termination requirements specified in section
         <br />
         		<a id="pl.79.19"></a><var>79.19</var>245D.10, subdivision 3a, paragraphs (b) to (f). The residency agreement must be reviewed
         <br />
         		<a id="pl.79.20"></a><var>79.20</var>annually, dated, and signed by the person or the person's legal representative and
         license <br />
         		<a id="pl.79.21"></a><var>79.21</var>holder.<br />
         		<a id="pl.79.22"></a><var>79.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.11.0"></a><a id="pl.79.23"></a><var>79.23</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 245D.24, subdivision 3, is amended to read:<br />
         		<a id="pl.79.24"></a><var>79.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Bedrooms.</b> (a) People Each person receiving services must have a choice of <br />
         		<a id="pl.79.25"></a><var>79.25</var>roommate and must mutually consent, in writing, to sharing a bedroom with one another. <br />
         		<a id="pl.79.26"></a><var>79.26</var>No more than two people receiving services may share one bedroom.<br />
         		<a id="pl.79.27"></a><var>79.27</var>(b) A single occupancy bedroom must have at least 80 square feet of floor space with
         a <br />
         		<a id="pl.79.28"></a><var>79.28</var>7-1/2 foot ceiling. A double occupancy room must have at least 120 square feet of
         floor <br />
         		<a id="pl.79.29"></a><var>79.29</var>space with a 7-1/2 foot ceiling. Bedrooms must be separated from halls, corridors,
         and other <br />
         		<a id="pl.79.30"></a><var>79.30</var>habitable rooms by floor-to-ceiling walls containing no openings except doorways and
         must <br />
         		<a id="pl.79.31"></a><var>79.31</var>not serve as a corridor to another room used in daily living.<br />
         		<a id="pl.79.32"></a><var>79.32</var>(c) A person's personal possessions and items for the person's own use are the only
         items <br />
         		<a id="pl.79.33"></a><var>79.33</var>permitted to be stored in a person's bedroom.<br />
         		<a id="pl.80.1"></a><var>80.1</var>(d) Unless otherwise documented through assessment as a safety concern for the person,
         <br />
         		<a id="pl.80.2"></a><var>80.2</var>each person must be provided with the following furnishings:<br />
         		<a id="pl.80.3"></a><var>80.3</var>(1) a separate bed of proper size and height for the convenience and comfort of the
         <br />
         		<a id="pl.80.4"></a><var>80.4</var>person, with a clean mattress in good repair;<br />
         		<a id="pl.80.5"></a><var>80.5</var>(2) clean bedding appropriate for the season for each person;<br />
         		<a id="pl.80.6"></a><var>80.6</var>(3) an individual cabinet, or dresser, shelves, and a closet, for storage of personal
         <br />
         		<a id="pl.80.7"></a><var>80.7</var>possessions and clothing; and<br />
         		<a id="pl.80.8"></a><var>80.8</var>(4) a mirror for grooming.<br />
         		<a id="pl.80.9"></a><var>80.9</var>(e) When possible, a person must be allowed to have items of furniture that the person
         <br />
         		<a id="pl.80.10"></a><var>80.10</var>personally owns in the bedroom, unless doing so would interfere with safety precautions,
         <br />
         		<a id="pl.80.11"></a><var>80.11</var>violate a building or fire code, or interfere with another person's use of the bedroom.
         A <br />
         		<a id="pl.80.12"></a><var>80.12</var>person may choose not to have a cabinet, dresser, shelves, or a mirror in the bedroom,
         as <br />
         		<a id="pl.80.13"></a><var>80.13</var>otherwise required under paragraph (d), clause (3) or (4). A person may choose to
         use a <br />
         		<a id="pl.80.14"></a><var>80.14</var>mattress other than an innerspring mattress and may choose not to have the mattress
         on a <br />
         		<a id="pl.80.15"></a><var>80.15</var>mattress frame or support. If a person chooses not to have a piece of required furniture,
         the <br />
         		<a id="pl.80.16"></a><var>80.16</var>license holder must document this choice and is not required to provide the item.
         If a person <br />
         		<a id="pl.80.17"></a><var>80.17</var>chooses to use a mattress other than an innerspring mattress or chooses not to have
         a mattress <br />
         		<a id="pl.80.18"></a><var>80.18</var>frame or support, the license holder must document this choice and allow the alternative
         <br />
         		<a id="pl.80.19"></a><var>80.19</var>desired by the person.<br />
         		<a id="pl.80.20"></a><var>80.20</var>(f) A person must be allowed to bring personal possessions into the bedroom and other
         <br />
         		<a id="pl.80.21"></a><var>80.21</var>designated storage space, if such space is available, in the residence. The person
         must be <br />
         		<a id="pl.80.22"></a><var>80.22</var>allowed to accumulate possessions to the extent the residence is able to accommodate
         them, <br />
         		<a id="pl.80.23"></a><var>80.23</var>unless doing so is contraindicated for the person's physical or mental health, would
         interfere <br />
         		<a id="pl.80.24"></a><var>80.24</var>with safety precautions or another person's use of the bedroom, or would violate a
         building <br />
         		<a id="pl.80.25"></a><var>80.25</var>or fire code. The license holder must allow for locked storage of personal items.
         Any <br />
         		<a id="pl.80.26"></a><var>80.26</var>restriction on the possession or locked storage of personal items, including requiring
         a <br />
         		<a id="pl.80.27"></a><var>80.27</var>person to use a lock provided by the license holder, must comply with section 
         <statute_ref>245D.04, <br />
            		<a id="pl.80.28"></a><var>80.28</var>subdivision 3
         </statute_ref>, paragraph (c), and allow the person to be present if and when the license <br />
         		<a id="pl.80.29"></a><var>80.29</var>holder opens the lock.<br />
         		<a id="pl.80.30"></a><var>80.30</var>(g) A person must be allowed to lock the person's bedroom door. The license holder
         <br />
         		<a id="pl.80.31"></a><var>80.31</var>must document and assess the physical plant and the environment, and the population
         served, <br />
         		<a id="pl.80.32"></a><var>80.32</var>and identify the risk factors that require using locked doors, and the specific action
         taken <br />
         		<a id="pl.80.33"></a><var>80.33</var>to minimize the safety risk to a person receiving services at the site.<br />
         		<a id="pl.81.1"></a><var>81.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.12.0"></a><a id="pl.81.2"></a><var>81.2</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 256.045, subdivision 3, is amended to read:<br />
         		<a id="pl.81.3"></a><var>81.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>State agency hearings.</b> (a) State agency hearings are available for the following:<br />
         		<a id="pl.81.4"></a><var>81.4</var>&#160;&#160;&#160;&#160;(1) any person applying for, receiving or having received public assistance, medical
         <br />
         		<a id="pl.81.5"></a><var>81.5</var>care, or a program of social services granted by the state agency or a county agency
         or the <br />
         		<a id="pl.81.6"></a><var>81.6</var>federal Food Stamp Act whose application for assistance is denied, not acted upon
         with <br />
         		<a id="pl.81.7"></a><var>81.7</var>reasonable promptness, or whose assistance is suspended, reduced, terminated, or claimed
         <br />
         		<a id="pl.81.8"></a><var>81.8</var>to have been incorrectly paid;<br />
         		<a id="pl.81.9"></a><var>81.9</var>&#160;&#160;&#160;&#160;(2) any patient or relative aggrieved by an order of the commissioner under section
         <br />
         		
         <statute_ref><a id="pl.81.10"></a><var>81.10</var>252.27
         </statute_ref>;<br />
         		<a id="pl.81.11"></a><var>81.11</var>&#160;&#160;&#160;&#160;(3) a party aggrieved by a ruling of a prepaid health plan;<br />
         		<a id="pl.81.12"></a><var>81.12</var>&#160;&#160;&#160;&#160;(4) except as provided under chapter 245C, any individual or facility determined by
         a <br />
         		<a id="pl.81.13"></a><var>81.13</var>lead investigative agency to have maltreated a vulnerable adult under section 
         <statute_ref>626.557</statute_ref> after <br />
         		<a id="pl.81.14"></a><var>81.14</var>they have exercised their right to administrative reconsideration under section 
         <statute_ref>626.557</statute_ref>;<br />
         		<a id="pl.81.15"></a><var>81.15</var>&#160;&#160;&#160;&#160;(5) any person whose claim for foster care payment according to a placement of the
         <br />
         		<a id="pl.81.16"></a><var>81.16</var>child resulting from a child protection assessment under section 
         <statute_ref>626.556</statute_ref> is denied or not <br />
         		<a id="pl.81.17"></a><var>81.17</var>acted upon with reasonable promptness, regardless of funding source;<br />
         		<a id="pl.81.18"></a><var>81.18</var>&#160;&#160;&#160;&#160;(6) any person to whom a right of appeal according to this section is given by other
         <br />
         		<a id="pl.81.19"></a><var>81.19</var>provision of law;<br />
         		<a id="pl.81.20"></a><var>81.20</var>&#160;&#160;&#160;&#160;(7) an applicant aggrieved by an adverse decision to an application for a hardship
         waiver <br />
         		<a id="pl.81.21"></a><var>81.21</var>under section 
         <statute_ref>256B.15</statute_ref>;<br />
         		<a id="pl.81.22"></a><var>81.22</var>&#160;&#160;&#160;&#160;(8) an applicant aggrieved by an adverse decision to an application or redetermination
         <br />
         		<a id="pl.81.23"></a><var>81.23</var>for a Medicare Part D prescription drug subsidy under section 
         <statute_ref>256B.04, subdivision 4a</statute_ref>;<br />
         		<a id="pl.81.24"></a><var>81.24</var>&#160;&#160;&#160;&#160;(9) except as provided under chapter 245A, an individual or facility determined to
         have <br />
         		<a id="pl.81.25"></a><var>81.25</var>maltreated a minor under section 
         <statute_ref>626.556</statute_ref>, after the individual or facility has exercised the <br />
         		<a id="pl.81.26"></a><var>81.26</var>right to administrative reconsideration under section 
         <statute_ref>626.556</statute_ref>;<br />
         		<a id="pl.81.27"></a><var>81.27</var>&#160;&#160;&#160;&#160;(10) except as provided under chapter 245C, an individual disqualified under sections
         <br />
         		
         <statute_ref><a id="pl.81.28"></a><var>81.28</var>245C.14
         </statute_ref> and 
         <statute_ref>245C.15</statute_ref>, following a reconsideration decision issued under section 
         <statute_ref>245C.23</statute_ref>, <br />
         		<a id="pl.81.29"></a><var>81.29</var>on the basis of serious or recurring maltreatment; a preponderance of the evidence
         that the <br />
         		<a id="pl.81.30"></a><var>81.30</var>individual has committed an act or acts that meet the definition of any of the crimes
         listed <br />
         		<a id="pl.81.31"></a><var>81.31</var>in section 
         <statute_ref>245C.15</statute_ref>, subdivisions 1 to 4; or for failing to make reports required under section <br />
         		
         <statute_ref><a id="pl.81.32"></a><var>81.32</var>626.556, subdivision 3
         </statute_ref>, or 
         <statute_ref>626.557, subdivision 3</statute_ref>. Hearings regarding a maltreatment <br />
         		<a id="pl.82.1"></a><var>82.1</var>determination under clause (4) or (9) and a disqualification under this clause in
         which the <br />
         		<a id="pl.82.2"></a><var>82.2</var>basis for a disqualification is serious or recurring maltreatment, shall be consolidated
         into <br />
         		<a id="pl.82.3"></a><var>82.3</var>a single fair hearing. In such cases, the scope of review by the human services judge
         shall <br />
         		<a id="pl.82.4"></a><var>82.4</var>include both the maltreatment determination and the disqualification. The failure
         to exercise <br />
         		<a id="pl.82.5"></a><var>82.5</var>the right to an administrative reconsideration shall not be a bar to a hearing under
         this section <br />
         		<a id="pl.82.6"></a><var>82.6</var>if federal law provides an individual the right to a hearing to dispute a finding
         of <br />
         		<a id="pl.82.7"></a><var>82.7</var>maltreatment;<br />
         		<a id="pl.82.8"></a><var>82.8</var>&#160;&#160;&#160;&#160;(11) any person with an outstanding debt resulting from receipt of public assistance,
         <br />
         		<a id="pl.82.9"></a><var>82.9</var>medical care, or the federal Food Stamp Act who is contesting a setoff claim by the
         <br />
         		<a id="pl.82.10"></a><var>82.10</var>Department of Human Services or a county agency. The scope of the appeal is the validity
         <br />
         		<a id="pl.82.11"></a><var>82.11</var>of the claimant agency's intention to request a setoff of a refund under chapter 270A
         against <br />
         		<a id="pl.82.12"></a><var>82.12</var>the debt;<br />
         		<a id="pl.82.13"></a><var>82.13</var>&#160;&#160;&#160;&#160;(12) a person issued a notice of service termination under section 
         <statute_ref>245D.10</statute_ref>, subdivision <br />
         		<a id="pl.82.14"></a><var>82.14</var>3a, from residential supports and services as defined in section 
         <statute_ref>245D.03</statute_ref>, subdivision 1, <br />
         		<a id="pl.82.15"></a><var>82.15</var>paragraph (c), clause (3), that is not otherwise subject to appeal under subdivision
         4a; or<br />
         		<a id="pl.82.16"></a><var>82.16</var>&#160;&#160;&#160;&#160;(13) an individual disability waiver recipient based on a denial of a request for
         a rate <br />
         		<a id="pl.82.17"></a><var>82.17</var>exception under section 
         <statute_ref>256B.4914</statute_ref>.; or<br />
         		<a id="pl.82.18"></a><var>82.18</var>(14) a person issued a notice of service termination under section 245A.11, subdivision
         <br />
         		<a id="pl.82.19"></a><var>82.19</var>11, that is not otherwise subject to appeal under subdivision 4a.<br />
         		<a id="pl.82.20"></a><var>82.20</var>&#160;&#160;&#160;&#160;(b) The hearing for an individual or facility under paragraph (a), clause (4), (9),
         or (10), <br />
         		<a id="pl.82.21"></a><var>82.21</var>is the only administrative appeal to the final agency determination specifically,
         including <br />
         		<a id="pl.82.22"></a><var>82.22</var>a challenge to the accuracy and completeness of data under section 
         <statute_ref>13.04</statute_ref>. Hearings requested <br />
         		<a id="pl.82.23"></a><var>82.23</var>under paragraph (a), clause (4), apply only to incidents of maltreatment that occur
         on or <br />
         		<a id="pl.82.24"></a><var>82.24</var>after October 1, 1995. Hearings requested by nursing assistants in nursing homes alleged
         <br />
         		<a id="pl.82.25"></a><var>82.25</var>to have maltreated a resident prior to October 1, 1995, shall be held as a contested
         case <br />
         		<a id="pl.82.26"></a><var>82.26</var>proceeding under the provisions of chapter 14. Hearings requested under paragraph
         (a), <br />
         		<a id="pl.82.27"></a><var>82.27</var>clause (9), apply only to incidents of maltreatment that occur on or after July 1,
         1997. A <br />
         		<a id="pl.82.28"></a><var>82.28</var>hearing for an individual or facility under paragraph (a), clauses (4), (9), and (10),
         is only <br />
         		<a id="pl.82.29"></a><var>82.29</var>available when there is no district court action pending. If such action is filed
         in district <br />
         		<a id="pl.82.30"></a><var>82.30</var>court while an administrative review is pending that arises out of some or all of
         the events <br />
         		<a id="pl.82.31"></a><var>82.31</var>or circumstances on which the appeal is based, the administrative review must be suspended
         <br />
         		<a id="pl.82.32"></a><var>82.32</var>until the judicial actions are completed. If the district court proceedings are completed,
         <br />
         		<a id="pl.82.33"></a><var>82.33</var>dismissed, or overturned, the matter may be considered in an administrative hearing.<br />
         		<a id="pl.83.1"></a><var>83.1</var>&#160;&#160;&#160;&#160;(c) For purposes of this section, bargaining unit grievance procedures are not an
         <br />
         		<a id="pl.83.2"></a><var>83.2</var>administrative appeal.<br />
         		<a id="pl.83.3"></a><var>83.3</var>&#160;&#160;&#160;&#160;(d) The scope of hearings involving claims to foster care payments under paragraph
         (a), <br />
         		<a id="pl.83.4"></a><var>83.4</var>clause (5), shall be limited to the issue of whether the county is legally responsible
         for a <br />
         		<a id="pl.83.5"></a><var>83.5</var>child's placement under court order or voluntary placement agreement and, if so, the
         correct <br />
         		<a id="pl.83.6"></a><var>83.6</var>amount of foster care payment to be made on the child's behalf and shall not include
         review <br />
         		<a id="pl.83.7"></a><var>83.7</var>of the propriety of the county's child protection determination or child placement
         decision.<br />
         		<a id="pl.83.8"></a><var>83.8</var>&#160;&#160;&#160;&#160;(e) The scope of hearings under paragraph (a), clause clauses (12) and (14), shall be <br />
         		<a id="pl.83.9"></a><var>83.9</var>limited to whether the proposed termination of services is authorized under section
         
         <statute_ref>245D.10, <br />
            		<a id="pl.83.10"></a><var>83.10</var>subdivision 3a
         </statute_ref>, paragraph (b), or 245A.11, subdivision 11, and whether the requirements <br />
         		<a id="pl.83.11"></a><var>83.11</var>of section 
         <statute_ref>245D.10, subdivision 3a</statute_ref>, paragraph paragraphs (c) to (e), or 245A.11, subdivision <br />
         		<a id="pl.83.12"></a><var>83.12</var>2a, paragraphs (d) to (f), were met. If the appeal includes a request for a temporary stay of <br />
         		<a id="pl.83.13"></a><var>83.13</var>termination of services, the scope of the hearing shall also include whether the case
         <br />
         		<a id="pl.83.14"></a><var>83.14</var>management provider has finalized arrangements for a residential facility, a program,
         or <br />
         		<a id="pl.83.15"></a><var>83.15</var>services that will meet the assessed needs of the recipient by the effective date
         of the service <br />
         		<a id="pl.83.16"></a><var>83.16</var>termination.<br />
         		<a id="pl.83.17"></a><var>83.17</var>&#160;&#160;&#160;&#160;(f) A vendor of medical care as defined in section 
         <statute_ref>256B.02, subdivision 7</statute_ref>, or a vendor <br />
         		<a id="pl.83.18"></a><var>83.18</var>under contract with a county agency to provide social services is not a party and
         may not <br />
         		<a id="pl.83.19"></a><var>83.19</var>request a hearing under this section, except if assisting a recipient as provided
         in subdivision <br />
         		<a id="pl.83.20"></a><var>83.20</var>4.<br />
         		<a id="pl.83.21"></a><var>83.21</var>&#160;&#160;&#160;&#160;(g) An applicant or recipient is not entitled to receive social services beyond the
         services <br />
         		<a id="pl.83.22"></a><var>83.22</var>prescribed under chapter 256M or other social services the person is eligible for
         under state <br />
         		<a id="pl.83.23"></a><var>83.23</var>law.<br />
         		<a id="pl.83.24"></a><var>83.24</var>&#160;&#160;&#160;&#160;(h) The commissioner may summarily affirm the county or state agency's proposed <br />
         		<a id="pl.83.25"></a><var>83.25</var>action without a hearing when the sole issue is an automatic change due to a change
         in state <br />
         		<a id="pl.83.26"></a><var>83.26</var>or federal law.<br />
         		<a id="pl.83.27"></a><var>83.27</var>&#160;&#160;&#160;&#160;(i) Unless federal or Minnesota law specifies a different time frame in which to file
         an <br />
         		<a id="pl.83.28"></a><var>83.28</var>appeal, an individual or organization specified in this section may contest the specified
         <br />
         		<a id="pl.83.29"></a><var>83.29</var>action, decision, or final disposition before the state agency by submitting a written
         request <br />
         		<a id="pl.83.30"></a><var>83.30</var>for a hearing to the state agency within 30 days after receiving written notice of
         the action, <br />
         		<a id="pl.83.31"></a><var>83.31</var>decision, or final disposition, or within 90 days of such written notice if the applicant,
         <br />
         		<a id="pl.83.32"></a><var>83.32</var>recipient, patient, or relative shows good cause, as defined in section 
         <statute_ref>256.0451, subdivision <br />
            		
         </statute_ref><a id="pl.83.33"></a><var>83.33</var>13, why the request was not submitted within the 30-day time limit. The individual
         filing <br />
         		<a id="pl.83.34"></a><var>83.34</var>the appeal has the burden of proving good cause by a preponderance of the evidence.<br />
         		<a id="pl.84.1"></a><var>84.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.13.0"></a><a id="pl.84.2"></a><var>84.2</var>&#160;&#160;&#160;&#160;Sec. 13. <b>[256B.051] HOUSING SUPPORT SERVICES.</b><br />
         		<a id="pl.84.3"></a><var>84.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Purpose.</b> Housing support services are established to provide housing <br />
         		<a id="pl.84.4"></a><var>84.4</var>support services to an individual with a disability that limits the individual's ability
         to obtain <br />
         		<a id="pl.84.5"></a><var>84.5</var>or maintain stable housing. The services support an individual's transition to housing
         in the <br />
         		<a id="pl.84.6"></a><var>84.6</var>community and increase long-term stability in housing, to avoid future periods of
         being at <br />
         		<a id="pl.84.7"></a><var>84.7</var>risk of homelessness or institutionalization.<br />
         		<a id="pl.84.8"></a><var>84.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For the purposes of this section, the terms defined in this <br />
         		<a id="pl.84.9"></a><var>84.9</var>subdivision have the meanings given.<br />
         		<a id="pl.84.10"></a><var>84.10</var>(b) "At-risk of homelessness" means (1) an individual that is faced with a  set of
         <br />
         		<a id="pl.84.11"></a><var>84.11</var>circumstances likely to cause the individual to become homeless, or (2) an individual
         <br />
         		<a id="pl.84.12"></a><var>84.12</var>previously homeless, who will be discharged from a correctional, medical, mental health,
         <br />
         		<a id="pl.84.13"></a><var>84.13</var>or treatment center, who lacks sufficient resources to pay for housing and does not
         have a <br />
         		<a id="pl.84.14"></a><var>84.14</var>permanent place to live.<br />
         		<a id="pl.84.15"></a><var>84.15</var>(c) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.84.16"></a><var>84.16</var>(d) "Homeless" means an individual or family lacking a fixed, adequate nighttime <br />
         		<a id="pl.84.17"></a><var>84.17</var>residence.<br />
         		<a id="pl.84.18"></a><var>84.18</var>(e) "Individual with a disability" means:<br />
         		<a id="pl.84.19"></a><var>84.19</var>(1) an individual who is aged, blind, or disabled as determined by the criteria used
         by <br />
         		<a id="pl.84.20"></a><var>84.20</var>the title 11 program of the Social Security Act, United States Code, title 42, section
         416, <br />
         		<a id="pl.84.21"></a><var>84.21</var>paragraph (i), item (1); or<br />
         		<a id="pl.84.22"></a><var>84.22</var>(2) an individual who meets a category of eligibility under section 256D.05, subdivision
         <br />
         		<a id="pl.84.23"></a><var>84.23</var>1, paragraph (a), clauses (1), (3), (5) to (9), or (14).<br />
         		<a id="pl.84.24"></a><var>84.24</var>(f) "Institution" means a setting as defined in section 256B.0621, subdivision 2,
         clause <br />
         		<a id="pl.84.25"></a><var>84.25</var>(3), and the Minnesota Security Hospital as defined in section 253.20.<br />
         		<a id="pl.84.26"></a><var>84.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> An individual with a disability is eligible for housing support services <br />
         		<a id="pl.84.27"></a><var>84.27</var>if the individual:<br />
         		<a id="pl.84.28"></a><var>84.28</var>(1) is 18 years of age or older;<br />
         		<a id="pl.84.29"></a><var>84.29</var>(2) is enrolled in medical assistance;<br />
         		<a id="pl.84.30"></a><var>84.30</var>(3) has an assessment of functional need that determines a need for services due to
         <br />
         		<a id="pl.84.31"></a><var>84.31</var>limitations caused by the individual's disability;<br />
         		<a id="pl.85.1"></a><var>85.1</var>(4) resides in or plans to transition to a community-based setting as defined in Code
         of <br />
         		<a id="pl.85.2"></a><var>85.2</var>Federal Regulations, title 42, section 441.301(c); and<br />
         		<a id="pl.85.3"></a><var>85.3</var>(5) has housing instability evidenced by:<br />
         		<a id="pl.85.4"></a><var>85.4</var>(i) being homeless or at-risk of homelessness;<br />
         		<a id="pl.85.5"></a><var>85.5</var>(ii) being in the process of transitioning from, or having transitioned in the past
         six <br />
         		<a id="pl.85.6"></a><var>85.6</var>months from, an institution or licensed or registered setting;<br />
         		<a id="pl.85.7"></a><var>85.7</var>(iii) being eligible for waiver services under section 256B.0915, 256B.092, or 256B.49;
         <br />
         		<a id="pl.85.8"></a><var>85.8</var>or<br />
         		<a id="pl.85.9"></a><var>85.9</var>(iv) having been identified by a long-term care consultation under section 256B.0911
         <br />
         		<a id="pl.85.10"></a><var>85.10</var>as at risk of institutionalization.<br />
         		<a id="pl.85.11"></a><var>85.11</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Assessment requirements.</b> (a) An individual's assessment of functional need <br />
         		<a id="pl.85.12"></a><var>85.12</var>must be conducted by one of the following methods:<br />
         		<a id="pl.85.13"></a><var>85.13</var>(1) an assessor according to the criteria established in section 256B.0911, subdivision
         <br />
         		<a id="pl.85.14"></a><var>85.14</var>3a, using a format established by the commissioner;<br />
         		<a id="pl.85.15"></a><var>85.15</var>(2) documented need for services as verified by a professional statement of need as
         <br />
         		<a id="pl.85.16"></a><var>85.16</var>defined in section 256I.03, subdivision 12; or<br />
         		<a id="pl.85.17"></a><var>85.17</var>(3) according to the continuum of care coordinated assessment system established in
         <br />
         		<a id="pl.85.18"></a><var>85.18</var>Code of Federal Regulations, title 24, section 578.3, using a format established by
         the <br />
         		<a id="pl.85.19"></a><var>85.19</var>commissioner.<br />
         		<a id="pl.85.20"></a><var>85.20</var>(b) An individual must be reassessed within one year of initial assessment, and annually
         <br />
         		<a id="pl.85.21"></a><var>85.21</var>thereafter.<br />
         		<a id="pl.85.22"></a><var>85.22</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Housing support services.</b> (a) Housing support services include housing <br />
         		<a id="pl.85.23"></a><var>85.23</var>transition services and housing and tenancy sustaining services.<br />
         		<a id="pl.85.24"></a><var>85.24</var>(b) Housing transition services are defined as:<br />
         		<a id="pl.85.25"></a><var>85.25</var>(1) tenant screening and housing assessment;<br />
         		<a id="pl.85.26"></a><var>85.26</var>(2) assistance with the housing search and application process;<br />
         		<a id="pl.85.27"></a><var>85.27</var>(3) identifying resources to cover onetime moving expenses;<br />
         		<a id="pl.85.28"></a><var>85.28</var>(4) ensuring a new living arrangement is safe and ready for move-in;<br />
         		<a id="pl.85.29"></a><var>85.29</var>(5) assisting in arranging for and supporting details of a move; and<br />
         		<a id="pl.85.30"></a><var>85.30</var>(6) developing a housing support crisis plan.<br />
         		<a id="pl.86.1"></a><var>86.1</var>(c) Housing and tenancy sustaining services include:<br />
         		<a id="pl.86.2"></a><var>86.2</var>(1) prevention and early identification of behaviors that may jeopardize continued
         stable <br />
         		<a id="pl.86.3"></a><var>86.3</var>housing;<br />
         		<a id="pl.86.4"></a><var>86.4</var>(2) education and training on roles, rights, and responsibilities of the tenant and
         the <br />
         		<a id="pl.86.5"></a><var>86.5</var>property manager;<br />
         		<a id="pl.86.6"></a><var>86.6</var>(3) coaching to develop and maintain key relationships with property managers and
         <br />
         		<a id="pl.86.7"></a><var>86.7</var>neighbors;<br />
         		<a id="pl.86.8"></a><var>86.8</var>(4) advocacy and referral to community resources to prevent eviction when housing
         is <br />
         		<a id="pl.86.9"></a><var>86.9</var>at risk;<br />
         		<a id="pl.86.10"></a><var>86.10</var>(5) assistance with housing recertification process;<br />
         		<a id="pl.86.11"></a><var>86.11</var>(6) coordination with the tenant to regularly review, update, and modify housing support
         <br />
         		<a id="pl.86.12"></a><var>86.12</var>and crisis plan; and<br />
         		<a id="pl.86.13"></a><var>86.13</var>(7) continuing training on being a good tenant, lease compliance, and household <br />
         		<a id="pl.86.14"></a><var>86.14</var>management.<br />
         		<a id="pl.86.15"></a><var>86.15</var>(d) A housing support service may include person-centered planning for people who
         are <br />
         		<a id="pl.86.16"></a><var>86.16</var>not eligible to receive person-centered planning through any other service, if the
         <br />
         		<a id="pl.86.17"></a><var>86.17</var>person-centered planning is provided by a consultation service provider that is under
         contract <br />
         		<a id="pl.86.18"></a><var>86.18</var>with the department and enrolled as a Minnesota health care program.<br />
         		<a id="pl.86.19"></a><var>86.19</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Provider qualifications and duties.</b> A provider eligible for reimbursement <br />
         		<a id="pl.86.20"></a><var>86.20</var>under this section shall:<br />
         		<a id="pl.86.21"></a><var>86.21</var>(1) enroll as a medical assistance Minnesota health care program provider and meet
         all <br />
         		<a id="pl.86.22"></a><var>86.22</var>applicable provider standards and requirements;<br />
         		<a id="pl.86.23"></a><var>86.23</var>(2) demonstrate compliance with federal and state laws and policies for housing support
         <br />
         		<a id="pl.86.24"></a><var>86.24</var>services as determined by the commissioner;<br />
         		<a id="pl.86.25"></a><var>86.25</var>(3) comply with background study requirements under chapter 245C and maintain <br />
         		<a id="pl.86.26"></a><var>86.26</var>documentation of background study requests and results; and<br />
         		<a id="pl.86.27"></a><var>86.27</var>(4) directly provide housing support services and not use a subcontractor or reporting
         <br />
         		<a id="pl.86.28"></a><var>86.28</var>agent.<br />
         		<a id="pl.86.29"></a><var>86.29</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Housing support supplemental service rates.</b> Supplemental service rates for <br />
         		<a id="pl.86.30"></a><var>86.30</var>individuals in settings according to sections 144D.025, 256I.04, subdivision 3, paragraph
         <br />
         		<a id="pl.86.31"></a><var>86.31</var>(a), clause (3), and 256I.05, subdivision 1g, shall be reduced by one-half over a
         two-year <br />
         		<a id="pl.87.1"></a><var>87.1</var>period. This reduction only applies to supplemental service rates for individuals
         eligible for <br />
         		<a id="pl.87.2"></a><var>87.2</var>housing support services under this section.<br />
         		<a id="pl.87.3"></a><var>87.3</var><b>EFFECTIVE DATE.</b>(a) Subdivisions 1 to 6 are contingent upon federal approval. The <br />
         		<a id="pl.87.4"></a><var>87.4</var>commissioner of human services shall notify the revisor of statutes when federal approval
         <br />
         		<a id="pl.87.5"></a><var>87.5</var>is obtained.<br />
         		<a id="pl.87.6"></a><var>87.6</var>(b) Subdivision 7 is contingent upon federal approval of subdivisions 1 to 6. The
         <br />
         		<a id="pl.87.7"></a><var>87.7</var>commissioner of human services shall notify the revisor of statutes when federal approval
         <br />
         		<a id="pl.87.8"></a><var>87.8</var>is obtained.<br />
         		<br />
         		<a id="bill.2.14.0"></a><a id="pl.87.9"></a><var>87.9</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 256B.0911, subdivision 3a, is amended to read:<br />
         		<a id="pl.87.10"></a><var>87.10</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, services <br />
         		<a id="pl.87.11"></a><var>87.11</var>planning, or other assistance intended to support community-based living, including
         persons <br />
         		<a id="pl.87.12"></a><var>87.12</var>who need assessment in order to determine waiver or alternative care program eligibility,
         <br />
         		<a id="pl.87.13"></a><var>87.13</var>must be visited by a long-term care consultation team within 20 calendar days after
         the date <br />
         		<a id="pl.87.14"></a><var>87.14</var>on which an assessment was requested or recommended. Upon statewide implementation
         <br />
         		<a id="pl.87.15"></a><var>87.15</var>of subdivisions 2b, 2c, and 5, this requirement also applies to an assessment of a
         person <br />
         		<a id="pl.87.16"></a><var>87.16</var>requesting personal care assistance services and home care nursing. The commissioner
         shall <br />
         		<a id="pl.87.17"></a><var>87.17</var>provide at least a 90-day notice to lead agencies prior to the effective date of this
         requirement. <br />
         		<a id="pl.87.18"></a><var>87.18</var>Face-to-face assessments must be conducted according to paragraphs (b) to (i).<br />
         		<a id="pl.87.19"></a><var>87.19</var>&#160;&#160;&#160;&#160;(b) Upon implementation of subdivisions 2b, 2c, and 5, lead agencies shall use certified
         <br />
         		<a id="pl.87.20"></a><var>87.20</var>assessors to conduct the assessment. For a person with complex health care needs,
         a public <br />
         		<a id="pl.87.21"></a><var>87.21</var>health or registered nurse from the team must be consulted.<br />
         		<a id="pl.87.22"></a><var>87.22</var>&#160;&#160;&#160;&#160;(c) The MnCHOICES assessment provided by the commissioner to lead agencies must <br />
         		<a id="pl.87.23"></a><var>87.23</var>be used to complete a comprehensive, person-centered assessment. The assessment must
         <br />
         		<a id="pl.87.24"></a><var>87.24</var>include the health, psychological, functional, environmental, and social needs of
         the <br />
         		<a id="pl.87.25"></a><var>87.25</var>individual necessary to develop a community support plan that meets the individual's
         needs <br />
         		<a id="pl.87.26"></a><var>87.26</var>and preferences.<br />
         		<a id="pl.87.27"></a><var>87.27</var>&#160;&#160;&#160;&#160;(d) The assessment must be conducted in a face-to-face interview with the person being
         <br />
         		<a id="pl.87.28"></a><var>87.28</var>assessed and the person's legal representative. At the request of the person, other
         individuals <br />
         		<a id="pl.87.29"></a><var>87.29</var>may participate in the assessment to provide information on the needs, strengths,
         and <br />
         		<a id="pl.87.30"></a><var>87.30</var>preferences of the person necessary to develop a community support plan that ensures
         the <br />
         		<a id="pl.87.31"></a><var>87.31</var>person's health and safety. Except for legal representatives or family members invited
         by <br />
         		<a id="pl.87.32"></a><var>87.32</var>the person, persons participating in the assessment may not be a provider of service
         or have <br />
         		<a id="pl.87.33"></a><var>87.33</var>any financial interest in the provision of services. For persons who are to be assessed
         for <br />
         		<a id="pl.88.1"></a><var>88.1</var>elderly waiver customized living services under section 
         <statute_ref>256B.0915</statute_ref>, with the permission of <br />
         		<a id="pl.88.2"></a><var>88.2</var>the person being assessed or the person's designated or legal representative, the
         client's <br />
         		<a id="pl.88.3"></a><var>88.3</var>current or proposed provider of services may submit a copy of the provider's nursing
         <br />
         		<a id="pl.88.4"></a><var>88.4</var>assessment or written report outlining its recommendations regarding the client's
         care needs. <br />
         		<a id="pl.88.5"></a><var>88.5</var>The person conducting the assessment must notify the provider of the date by which
         this <br />
         		<a id="pl.88.6"></a><var>88.6</var>information is to be submitted. This information shall be provided to the person conducting
         <br />
         		<a id="pl.88.7"></a><var>88.7</var>the assessment prior to the assessment. For a person who is to be assessed for waiver
         services <br />
         		<a id="pl.88.8"></a><var>88.8</var>under section 
         <statute_ref>256B.092</statute_ref> or 
         <statute_ref>256B.49</statute_ref>, with the permission of the person being assessed or <br />
         		<a id="pl.88.9"></a><var>88.9</var>the person's designated legal representative, the person's current provider of services
         may <br />
         		<a id="pl.88.10"></a><var>88.10</var>submit a written report outlining recommendations regarding the person's care needs
         prepared <br />
         		<a id="pl.88.11"></a><var>88.11</var>by a direct service employee with at least 20 hours of service to that client. The
         person <br />
         		<a id="pl.88.12"></a><var>88.12</var>conducting the assessment or reassessment must notify the provider of the date by
         which <br />
         		<a id="pl.88.13"></a><var>88.13</var>this information is to be submitted. This information shall be provided to the person
         <br />
         		<a id="pl.88.14"></a><var>88.14</var>conducting the assessment and the person or the person's legal representative, and
         must be <br />
         		<a id="pl.88.15"></a><var>88.15</var>considered prior to the finalization of the assessment or reassessment.<br />
         		<a id="pl.88.16"></a><var>88.16</var>&#160;&#160;&#160;&#160;(e) The person or the person's legal representative must be provided with a written
         <br />
         		<a id="pl.88.17"></a><var>88.17</var>community support plan within 40 calendar days of the assessment visit, regardless
         of <br />
         		<a id="pl.88.18"></a><var>88.18</var>whether the individual is eligible for Minnesota health care programs. The written
         community <br />
         		<a id="pl.88.19"></a><var>88.19</var>support plan must include:<br />
         		<a id="pl.88.20"></a><var>88.20</var>(1) a summary of assessed needs as defined in paragraphs (c) and (d);<br />
         		<a id="pl.88.21"></a><var>88.21</var>(2) the individual's options and choices to meet identified needs, including all available
         <br />
         		<a id="pl.88.22"></a><var>88.22</var>options for case management services and providers;<br />
         		<a id="pl.88.23"></a><var>88.23</var>(3) identification of health and safety risks and how those risks will be addressed,
         <br />
         		<a id="pl.88.24"></a><var>88.24</var>including personal risk management strategies;<br />
         		<a id="pl.88.25"></a><var>88.25</var>(4) referral information; and<br />
         		<a id="pl.88.26"></a><var>88.26</var>(5) informal caregiver supports, if applicable.<br />
         		<a id="pl.88.27"></a><var>88.27</var>For a person determined eligible for state plan home care under subdivision 1a, paragraph
         <br />
         		<a id="pl.88.28"></a><var>88.28</var>(b), clause (1), the person or person's representative must also receive a copy of
         the home <br />
         		<a id="pl.88.29"></a><var>88.29</var>care service plan developed by the certified assessor.<br />
         		<a id="pl.88.30"></a><var>88.30</var>(f) A person may request assistance in identifying community supports without <br />
         		<a id="pl.88.31"></a><var>88.31</var>participating in a complete assessment. Upon a request for assistance identifying
         community <br />
         		<a id="pl.88.32"></a><var>88.32</var>support, the person must be transferred or referred to long-term care options counseling
         <br />
         		<a id="pl.89.1"></a><var>89.1</var>services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, and 
         <statute_ref>256.01</statute_ref>, subdivision 24, for <br />
         		<a id="pl.89.2"></a><var>89.2</var>telephone assistance and follow up.<br />
         		<a id="pl.89.3"></a><var>89.3</var>&#160;&#160;&#160;&#160;(g) The person has the right to make the final decision between institutional placement
         <br />
         		<a id="pl.89.4"></a><var>89.4</var>and community placement after the recommendations have been provided, except as provided
         <br />
         		<a id="pl.89.5"></a><var>89.5</var>in section 
         <statute_ref>256.975</statute_ref>, subdivision 7a, paragraph (d).<br />
         		<a id="pl.89.6"></a><var>89.6</var>&#160;&#160;&#160;&#160;(h) The lead agency must give the person receiving assessment or support planning,
         or <br />
         		<a id="pl.89.7"></a><var>89.7</var>the person's legal representative, materials, and forms supplied by the commissioner
         <br />
         		<a id="pl.89.8"></a><var>89.8</var>containing the following information:<br />
         		<a id="pl.89.9"></a><var>89.9</var>&#160;&#160;&#160;&#160;(1) written recommendations for community-based services and consumer-directed <br />
         		<a id="pl.89.10"></a><var>89.10</var>options;<br />
         		<a id="pl.89.11"></a><var>89.11</var>(2) documentation that the most cost-effective alternatives available were offered
         to the <br />
         		<a id="pl.89.12"></a><var>89.12</var>individual. For purposes of this clause, "cost-effective" means community services
         and <br />
         		<a id="pl.89.13"></a><var>89.13</var>living arrangements that cost the same as or less than institutional care. For an
         individual <br />
         		<a id="pl.89.14"></a><var>89.14</var>found to meet eligibility criteria for home and community-based service programs under
         <br />
         		<a id="pl.89.15"></a><var>89.15</var>section 
         <statute_ref>256B.0915</statute_ref> or 
         <statute_ref>256B.49</statute_ref>, "cost-effectiveness" has the meaning found in the federally <br />
         		<a id="pl.89.16"></a><var>89.16</var>approved waiver plan for each program;<br />
         		<a id="pl.89.17"></a><var>89.17</var>(3) the need for and purpose of preadmission screening conducted by long-term care
         <br />
         		<a id="pl.89.18"></a><var>89.18</var>options counselors according to section 
         <statute_ref>256.975, subdivisions 7a</statute_ref> to 7c, if the person selects <br />
         		<a id="pl.89.19"></a><var>89.19</var>nursing facility placement. If the individual selects nursing facility placement,
         the lead <br />
         		<a id="pl.89.20"></a><var>89.20</var>agency shall forward information needed to complete the level of care determinations
         and <br />
         		<a id="pl.89.21"></a><var>89.21</var>screening for developmental disability and mental illness collected during the assessment
         <br />
         		<a id="pl.89.22"></a><var>89.22</var>to the long-term care options counselor using forms provided by the commissioner;<br />
         		<a id="pl.89.23"></a><var>89.23</var>&#160;&#160;&#160;&#160;(4) the role of long-term care consultation assessment and support planning in eligibility
         <br />
         		<a id="pl.89.24"></a><var>89.24</var>determination for waiver and alternative care programs, and state plan home care,
         case <br />
         		<a id="pl.89.25"></a><var>89.25</var>management, and other services as defined in subdivision 1a, paragraphs (a), clause
         (6), <br />
         		<a id="pl.89.26"></a><var>89.26</var>and (b);<br />
         		<a id="pl.89.27"></a><var>89.27</var>&#160;&#160;&#160;&#160;(5) information about Minnesota health care programs;<br />
         		<a id="pl.89.28"></a><var>89.28</var>&#160;&#160;&#160;&#160;(6) the person's freedom to accept or reject the recommendations of the team;<br />
         		<a id="pl.89.29"></a><var>89.29</var>&#160;&#160;&#160;&#160;(7) the person's right to confidentiality under the Minnesota Government Data Practices
         <br />
         		<a id="pl.89.30"></a><var>89.30</var>Act, chapter 13;<br />
         		<a id="pl.89.31"></a><var>89.31</var>&#160;&#160;&#160;&#160;(8) the certified assessor's decision regarding the person's need for institutional
         level of <br />
         		<a id="pl.89.32"></a><var>89.32</var>care as determined under criteria established in subdivision 4e and the certified
         assessor's <br />
         		<a id="pl.90.1"></a><var>90.1</var>decision regarding eligibility for all services and programs as defined in subdivision
         1a, <br />
         		<a id="pl.90.2"></a><var>90.2</var>paragraphs (a), clause (6), and (b); and<br />
         		<a id="pl.90.3"></a><var>90.3</var>&#160;&#160;&#160;&#160;(9) the person's right to appeal the certified assessor's decision regarding eligibility
         for <br />
         		<a id="pl.90.4"></a><var>90.4</var>all services and programs as defined in subdivision 1a, paragraphs (a), clauses (6),
         (7), and <br />
         		<a id="pl.90.5"></a><var>90.5</var>(8), and (b), and incorporating the decision regarding the need for institutional
         level of care <br />
         		<a id="pl.90.6"></a><var>90.6</var>or the lead agency's final decisions regarding public programs eligibility according
         to section <br />
         		
         <statute_ref><a id="pl.90.7"></a><var>90.7</var>256.045, subdivision 3
         </statute_ref>.<br />
         		<a id="pl.90.8"></a><var>90.8</var>&#160;&#160;&#160;&#160;(i) Face-to-face assessment completed as part of eligibility determination for the
         <br />
         		<a id="pl.90.9"></a><var>90.9</var>alternative care, elderly waiver, community access for disability inclusion, community
         <br />
         		<a id="pl.90.10"></a><var>90.10</var>alternative care, and brain injury waiver programs under sections 
         <statute_ref>256B.0913</statute_ref>, 
         <statute_ref>256B.0915</statute_ref>, <br />
         		<a id="pl.90.11"></a><var>90.11</var>and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility for no more than 60 calendar days after
         <br />
         		<a id="pl.90.12"></a><var>90.12</var>the date of assessment.<br />
         		<a id="pl.90.13"></a><var>90.13</var>(j) The effective eligibility start date for programs in paragraph (i) can never be
         prior to <br />
         		<a id="pl.90.14"></a><var>90.14</var>the date of assessment. If an assessment was completed more than 60 days before the
         <br />
         		<a id="pl.90.15"></a><var>90.15</var>effective waiver or alternative care program eligibility start date, assessment and
         support <br />
         		<a id="pl.90.16"></a><var>90.16</var>plan information must be updated and documented in the department's Medicaid Management
         <br />
         		<a id="pl.90.17"></a><var>90.17</var>Information System (MMIS). Notwithstanding retroactive medical assistance coverage
         of <br />
         		<a id="pl.90.18"></a><var>90.18</var>state plan services, the effective date of eligibility for programs included in paragraph
         (i) <br />
         		<a id="pl.90.19"></a><var>90.19</var>cannot be prior to the date the most recent updated assessment is completed.<br />
         		<a id="pl.90.20"></a><var>90.20</var>(k) At the time of reassessment, the certified assessor shall assess each person receiving
         <br />
         		<a id="pl.90.21"></a><var>90.21</var>waiver services currently residing in a community residential setting, or licensed
         adult foster <br />
         		<a id="pl.90.22"></a><var>90.22</var>care home that is not the primary residence of the license holder, or in which the
         license <br />
         		<a id="pl.90.23"></a><var>90.23</var>holder is not the primary caregiver, to determine if that person would prefer to be
         served in <br />
         		<a id="pl.90.24"></a><var>90.24</var>a community-living settings as defined in section 256B.49, subdivision 23. The certified
         <br />
         		<a id="pl.90.25"></a><var>90.25</var>assessor shall offer the person, through a person-centered planning process, the option
         to <br />
         		<a id="pl.90.26"></a><var>90.26</var>receive alternative housing and service options.<br />
         		<br />
         		<a id="bill.2.15.0"></a><a id="pl.90.27"></a><var>90.27</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 256B.0915, subdivision 1, is amended to read:<br />
         		<a id="pl.90.28"></a><var>90.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authority.</b> (a) The commissioner is authorized to apply for a home and <br />
         		<a id="pl.90.29"></a><var>90.29</var>community-based services waiver for the elderly, authorized under section 1915(c)
         of the <br />
         		<a id="pl.90.30"></a><var>90.30</var>Social Security Act, in order to obtain federal financial participation to expand
         the availability <br />
         		<a id="pl.90.31"></a><var>90.31</var>of services for persons who are eligible for medical assistance. The commissioner
         may <br />
         		<a id="pl.90.32"></a><var>90.32</var>apply for additional waivers or pursue other federal financial participation which
         is <br />
         		<a id="pl.90.33"></a><var>90.33</var>advantageous to the state for funding home care services for the frail elderly who
         are eligible <br />
         		<a id="pl.90.34"></a><var>90.34</var>for medical assistance. The provision of waivered services to elderly and disabled
         medical <br />
         		<a id="pl.91.1"></a><var>91.1</var>assistance recipients must comply with the criteria for service definitions and provider
         <br />
         		<a id="pl.91.2"></a><var>91.2</var>standards approved in the waiver.<br />
         		<a id="pl.91.3"></a><var>91.3</var>(b) The commissioner shall comply with the requirements in the federally approved
         <br />
         		<a id="pl.91.4"></a><var>91.4</var>transition plan for the home and community-based services waivers authorized under
         this <br />
         		<a id="pl.91.5"></a><var>91.5</var>section.<br />
         		<a id="pl.91.6"></a><var>91.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.16.0"></a><a id="pl.91.7"></a><var>91.7</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 256B.092, subdivision 4, is amended to read:<br />
         		<a id="pl.91.8"></a><var>91.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Home and community-based services for developmental disabilities.</b> (a) <br />
         		<a id="pl.91.9"></a><var>91.9</var>The commissioner shall make payments to approved vendors participating in the medical
         <br />
         		<a id="pl.91.10"></a><var>91.10</var>assistance program to pay costs of providing home and community-based services, including
         <br />
         		<a id="pl.91.11"></a><var>91.11</var>case management service activities provided as an approved home and community-based
         <br />
         		<a id="pl.91.12"></a><var>91.12</var>service, to medical assistance eligible persons with developmental disabilities who
         have <br />
         		<a id="pl.91.13"></a><var>91.13</var>been screened under subdivision 7 and according to federal requirements. Federal <br />
         		<a id="pl.91.14"></a><var>91.14</var>requirements include those services and limitations included in the federally approved
         <br />
         		<a id="pl.91.15"></a><var>91.15</var>application for home and community-based services for persons with developmental <br />
         		<a id="pl.91.16"></a><var>91.16</var>disabilities and subsequent amendments.<br />
         		<a id="pl.91.17"></a><var>91.17</var>(b) Effective July 1, 1995, contingent upon federal approval and state appropriations
         <br />
         		<a id="pl.91.18"></a><var>91.18</var>made available for this purpose, and in conjunction with Laws 1995, chapter 207, article
         8, <br />
         		<a id="pl.91.19"></a><var>91.19</var>section 40, the commissioner of human services shall allocate resources to county
         agencies <br />
         		<a id="pl.91.20"></a><var>91.20</var>for home and community-based waivered services for persons with developmental disabilities
         <br />
         		<a id="pl.91.21"></a><var>91.21</var>authorized but not receiving those services as of June 30, 1995, based upon the average
         <br />
         		<a id="pl.91.22"></a><var>91.22</var>resource need of persons with similar functional characteristics. To ensure service
         continuity <br />
         		<a id="pl.91.23"></a><var>91.23</var>for service recipients receiving home and community-based waivered services for persons
         <br />
         		<a id="pl.91.24"></a><var>91.24</var>with developmental disabilities prior to July 1, 1995, the commissioner shall make
         available <br />
         		<a id="pl.91.25"></a><var>91.25</var>to the county of financial responsibility home and community-based waivered services
         <br />
         		<a id="pl.91.26"></a><var>91.26</var>resources based upon fiscal year 1995 authorized levels.<br />
         		<a id="pl.91.27"></a><var>91.27</var>(c) Home and community-based resources for all recipients shall be managed by the
         <br />
         		<a id="pl.91.28"></a><var>91.28</var>county of financial responsibility within an allowable reimbursement average established
         <br />
         		<a id="pl.91.29"></a><var>91.29</var>for each county. Payments for home and community-based services provided to individual
         <br />
         		<a id="pl.91.30"></a><var>91.30</var>recipients shall not exceed amounts authorized by the county of financial responsibility.
         <br />
         		<a id="pl.91.31"></a><var>91.31</var>For specifically identified former residents of nursing facilities, the commissioner
         shall be <br />
         		<a id="pl.91.32"></a><var>91.32</var>responsible for authorizing payments and payment limits under the appropriate home
         and <br />
         		<a id="pl.91.33"></a><var>91.33</var>community-based service program. Payment is available under this subdivision only
         for <br />
         		<a id="pl.92.1"></a><var>92.1</var>persons who, if not provided these services, would require the level of care provided
         in an <br />
         		<a id="pl.92.2"></a><var>92.2</var>intermediate care facility for persons with developmental disabilities.<br />
         		<a id="pl.92.3"></a><var>92.3</var>(d) The commissioner shall comply with the requirements in the federally approved
         <br />
         		<a id="pl.92.4"></a><var>92.4</var>transition plan for the home and community-based services waivers for the elderly
         authorized <br />
         		<a id="pl.92.5"></a><var>92.5</var>under this section.<br />
         		<a id="pl.92.6"></a><var>92.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.17.0"></a><a id="pl.92.7"></a><var>92.7</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 256B.49, subdivision 11, is amended to read:<br />
         		<a id="pl.92.8"></a><var>92.8</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Authority.</b> (a) The commissioner is authorized to apply for home and <br />
         		<a id="pl.92.9"></a><var>92.9</var>community-based service waivers, as authorized under section 1915(c) of the Social
         Security <br />
         		<a id="pl.92.10"></a><var>92.10</var>Act to serve persons under the age of 65 who are determined to require the level of
         care <br />
         		<a id="pl.92.11"></a><var>92.11</var>provided in a nursing home and persons who require the level of care provided in a
         hospital. <br />
         		<a id="pl.92.12"></a><var>92.12</var>The commissioner shall apply for the home and community-based waivers in order to:<br />
         		<a id="pl.92.13"></a><var>92.13</var>&#160;&#160;&#160;&#160;(1) promote the support of persons with disabilities in the most integrated settings;<br />
         		<a id="pl.92.14"></a><var>92.14</var>&#160;&#160;&#160;&#160;(2) expand the availability of services for persons who are eligible for medical assistance;<br />
         		<a id="pl.92.15"></a><var>92.15</var>&#160;&#160;&#160;&#160;(3) promote cost-effective options to institutional care; and<br />
         		<a id="pl.92.16"></a><var>92.16</var>&#160;&#160;&#160;&#160;(4) obtain federal financial participation.<br />
         		<a id="pl.92.17"></a><var>92.17</var>&#160;&#160;&#160;&#160;(b) The provision of waivered services to medical assistance recipients with disabilities
         <br />
         		<a id="pl.92.18"></a><var>92.18</var>shall comply with the requirements outlined in the federally approved applications
         for home <br />
         		<a id="pl.92.19"></a><var>92.19</var>and community-based services and subsequent amendments, including provision of services
         <br />
         		<a id="pl.92.20"></a><var>92.20</var>according to a service plan designed to meet the needs of the individual. For purposes
         of <br />
         		<a id="pl.92.21"></a><var>92.21</var>this section, the approved home and community-based application is considered the
         necessary <br />
         		<a id="pl.92.22"></a><var>92.22</var>federal requirement.<br />
         		<a id="pl.92.23"></a><var>92.23</var>&#160;&#160;&#160;&#160;(c) The commissioner shall provide interested persons serving on agency advisory <br />
         		<a id="pl.92.24"></a><var>92.24</var>committees, task forces, the Centers for Independent Living, and others who request
         to be <br />
         		<a id="pl.92.25"></a><var>92.25</var>on a list to receive, notice of, and an opportunity to comment on, at least 30 days
         before <br />
         		<a id="pl.92.26"></a><var>92.26</var>any effective dates, (1) any substantive changes to the state's disability services
         program <br />
         		<a id="pl.92.27"></a><var>92.27</var>manual, or (2) changes or amendments to the federally approved applications for home
         and <br />
         		<a id="pl.92.28"></a><var>92.28</var>community-based waivers, prior to their submission to the federal Centers for Medicare
         <br />
         		<a id="pl.92.29"></a><var>92.29</var>and Medicaid Services.<br />
         		<a id="pl.92.30"></a><var>92.30</var>&#160;&#160;&#160;&#160;(d) The commissioner shall seek approval, as authorized under section 1915(c) of the
         <br />
         		<a id="pl.92.31"></a><var>92.31</var>Social Security Act, to allow medical assistance eligibility under this section for
         children <br />
         		<a id="pl.92.32"></a><var>92.32</var>under age 21 without deeming of parental income or assets.<br />
         		<a id="pl.93.1"></a><var>93.1</var>&#160;&#160;&#160;&#160;(e) The commissioner shall seek approval, as authorized under section 1915(c) of the
         <br />
         		<a id="pl.93.2"></a><var>93.2</var>Social Act, to allow medical assistance eligibility under this section for individuals
         under <br />
         		<a id="pl.93.3"></a><var>93.3</var>age 65 without deeming the spouse's income or assets.<br />
         		<a id="pl.93.4"></a><var>93.4</var>(f) The commissioner shall comply with the requirements in the federally approved
         <br />
         		<a id="pl.93.5"></a><var>93.5</var>transition plan for the home and community-based services waivers authorized under
         this <br />
         		<a id="pl.93.6"></a><var>93.6</var>section.<br />
         		<a id="pl.93.7"></a><var>93.7</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.2.18.0"></a><a id="pl.93.8"></a><var>93.8</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 256B.49, subdivision 15, is amended to read:<br />
         		<a id="pl.93.9"></a><var>93.9</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Coordinated service and support plan; comprehensive transitional service </b><br />
         		<a id="pl.93.10"></a><var>93.10</var><b>plan; maintenance service plan.</b> (a) Each recipient of home and community-based waivered <br />
         		<a id="pl.93.11"></a><var>93.11</var>services shall be provided a copy of the written coordinated service and support plan
         which <br />
         		<a id="pl.93.12"></a><var>93.12</var>meets the requirements in section 
         <statute_ref>256B.092</statute_ref>, subdivision 1b.<br />
         		<a id="pl.93.13"></a><var>93.13</var>(b) In developing the comprehensive transitional service plan, the individual receiving
         <br />
         		<a id="pl.93.14"></a><var>93.14</var>services, the case manager, and the guardian, if applicable, will identify the transitional
         <br />
         		<a id="pl.93.15"></a><var>93.15</var>service plan fundamental service outcome and anticipated timeline to achieve this
         outcome. <br />
         		<a id="pl.93.16"></a><var>93.16</var>Within the first 20 days following a recipient's request for an assessment or reassessment,
         <br />
         		<a id="pl.93.17"></a><var>93.17</var>the transitional service planning team must be identified. A team leader must be identified
         <br />
         		<a id="pl.93.18"></a><var>93.18</var>who will be responsible for assigning responsibility and communicating with team members
         <br />
         		<a id="pl.93.19"></a><var>93.19</var>to ensure implementation of the transition plan and ongoing assessment and communication
         <br />
         		<a id="pl.93.20"></a><var>93.20</var>process. The team leader should be an individual, such as the case manager or guardian,
         <br />
         		<a id="pl.93.21"></a><var>93.21</var>who has the opportunity to follow the recipient to the next level of service.<br />
         		<a id="pl.93.22"></a><var>93.22</var>Within ten days following an assessment, a comprehensive transitional service plan
         must <br />
         		<a id="pl.93.23"></a><var>93.23</var>be developed incorporating elements of a comprehensive functional assessment and including
         <br />
         		<a id="pl.93.24"></a><var>93.24</var>short-term measurable outcomes and timelines for achievement of and reporting on these
         <br />
         		<a id="pl.93.25"></a><var>93.25</var>outcomes. Functional milestones must also be identified and reported according to
         the <br />
         		<a id="pl.93.26"></a><var>93.26</var>timelines agreed upon by the transitional service planning team. In addition, the
         <br />
         		<a id="pl.93.27"></a><var>93.27</var>comprehensive transitional service plan must identify additional supports that may
         assist <br />
         		<a id="pl.93.28"></a><var>93.28</var>in the achievement of the fundamental service outcome such as the development of greater
         <br />
         		<a id="pl.93.29"></a><var>93.29</var>natural community support, increased collaboration among agencies, and technological
         <br />
         		<a id="pl.93.30"></a><var>93.30</var>supports.<br />
         		<a id="pl.93.31"></a><var>93.31</var>The timelines for reporting on functional milestones will prompt a reassessment of
         <br />
         		<a id="pl.93.32"></a><var>93.32</var>services provided, the units of services, rates, and appropriate service providers.
         It is the <br />
         		<a id="pl.93.33"></a><var>93.33</var>responsibility of the transitional service planning team leader to review functional
         milestone <br />
         		<a id="pl.94.1"></a><var>94.1</var>reporting to determine if the milestones are consistent with observable skills and
         that <br />
         		<a id="pl.94.2"></a><var>94.2</var>milestone achievement prompts any needed changes to the comprehensive transitional
         <br />
         		<a id="pl.94.3"></a><var>94.3</var>service plan.<br />
         		<a id="pl.94.4"></a><var>94.4</var>For those whose fundamental transitional service outcome involves the need to procure
         <br />
         		<a id="pl.94.5"></a><var>94.5</var>housing, a plan for the recipient to seek the resources necessary to secure the least
         restrictive <br />
         		<a id="pl.94.6"></a><var>94.6</var>housing possible should be incorporated into the plan, including employment and public
         <br />
         		<a id="pl.94.7"></a><var>94.7</var>supports such as housing access and shelter needy funding.<br />
         		<a id="pl.94.8"></a><var>94.8</var>(c) Counties and other agencies responsible for funding community placement and <br />
         		<a id="pl.94.9"></a><var>94.9</var>ongoing community supportive services are responsible for the implementation of the
         <br />
         		<a id="pl.94.10"></a><var>94.10</var>comprehensive transitional service plans. Oversight responsibilities include both
         ensuring <br />
         		<a id="pl.94.11"></a><var>94.11</var>effective transitional service delivery and efficient utilization of funding resources.<br />
         		<a id="pl.94.12"></a><var>94.12</var>(d) Following one year of transitional services, the transitional services planning
         team <br />
         		<a id="pl.94.13"></a><var>94.13</var>will make a determination as to whether or not the individual receiving services requires
         <br />
         		<a id="pl.94.14"></a><var>94.14</var>the current level of continuous and consistent support in order to maintain the recipient's
         <br />
         		<a id="pl.94.15"></a><var>94.15</var>current level of functioning. Recipients who are determined to have not had a significant
         <br />
         		<a id="pl.94.16"></a><var>94.16</var>change in functioning for 12 months must move from a transitional to a maintenance
         service <br />
         		<a id="pl.94.17"></a><var>94.17</var>plan. Recipients on a maintenance service plan must be reassessed to determine if
         the <br />
         		<a id="pl.94.18"></a><var>94.18</var>recipient would benefit from a transitional service plan at least every 12 months
         and at other <br />
         		<a id="pl.94.19"></a><var>94.19</var>times when there has been a significant change in the recipient's functioning. This
         assessment <br />
         		<a id="pl.94.20"></a><var>94.20</var>should consider any changes to technological or natural community supports.<br />
         		<a id="pl.94.21"></a><var>94.21</var>(e) When a county is evaluating denials, reductions, or terminations of home and <br />
         		<a id="pl.94.22"></a><var>94.22</var>community-based services under this section for an individual, the case manager shall
         offer <br />
         		<a id="pl.94.23"></a><var>94.23</var>to meet with the individual or the individual's guardian in order to discuss the prioritization
         <br />
         		<a id="pl.94.24"></a><var>94.24</var>of service needs within the coordinated service and support plan, comprehensive transitional
         <br />
         		<a id="pl.94.25"></a><var>94.25</var>service plan, or maintenance service plan. The reduction in the authorized services
         for an <br />
         		<a id="pl.94.26"></a><var>94.26</var>individual due to changes in funding for waivered services may not exceed the amount
         <br />
         		<a id="pl.94.27"></a><var>94.27</var>needed to ensure medically necessary services to meet the individual's health, safety,
         and <br />
         		<a id="pl.94.28"></a><var>94.28</var>welfare.<br />
         		<a id="pl.94.29"></a><var>94.29</var>(f) At the time of reassessment, local agency case managers shall assess each recipient
         <br />
         		<a id="pl.94.30"></a><var>94.30</var>of community access for disability inclusion or brain injury waivered services currently
         <br />
         		<a id="pl.94.31"></a><var>94.31</var>residing in a licensed adult foster home that is not the primary residence of the
         license <br />
         		<a id="pl.94.32"></a><var>94.32</var>holder, or in which the license holder is not the primary caregiver, to determine
         if that <br />
         		<a id="pl.94.33"></a><var>94.33</var>recipient could appropriately be served in a community-living setting. If appropriate
         for the <br />
         		<a id="pl.94.34"></a><var>94.34</var>recipient, the case manager shall offer the recipient, through a person-centered planning
         <br />
         		<a id="pl.95.1"></a><var>95.1</var>process, the option to receive alternative housing and service options. In the event
         that the <br />
         		<a id="pl.95.2"></a><var>95.2</var>recipient chooses to transfer from the adult foster home, the vacated bed shall not
         be filled <br />
         		<a id="pl.95.3"></a><var>95.3</var>with another recipient of waiver services and group residential housing and the licensed
         <br />
         		<a id="pl.95.4"></a><var>95.4</var>capacity shall be reduced accordingly, unless the savings required by the licensed
         bed closure <br />
         		<a id="pl.95.5"></a><var>95.5</var>reductions under Laws 2011, First Special Session chapter 9, article 7, sections 1
         and 40, <br />
         		<a id="pl.95.6"></a><var>95.6</var>paragraph (f), for foster care settings where the physical location is not the primary
         residence <br />
         		<a id="pl.95.7"></a><var>95.7</var>of the license holder are met through voluntary changes described in section 
         <statute_ref>245A.03, <br />
            		<a id="pl.95.8"></a><var>95.8</var>subdivision 7
         </statute_ref>, paragraph (e), or as provided under paragraph (a), clauses (3) and (4). If the <br />
         		<a id="pl.95.9"></a><var>95.9</var>adult foster home becomes no longer viable due to these transfers, the county agency,
         with <br />
         		<a id="pl.95.10"></a><var>95.10</var>the assistance of the department, shall facilitate a consolidation of settings or
         closure. This <br />
         		<a id="pl.95.11"></a><var>95.11</var>reassessment process shall be completed by July 1, 2013.<br />
         		<br />
         		<a id="bill.2.19.0"></a><a id="pl.95.12"></a><var>95.12</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 256B.493, subdivision 1, is amended to read:<br />
         		<a id="pl.95.13"></a><var>95.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Commissioner's duties; report.</b> The commissioner of human services <br />
         		<a id="pl.95.14"></a><var>95.14</var>shall solicit proposals for the conversion of services provided for persons with disabilities
         <br />
         		<a id="pl.95.15"></a><var>95.15</var>in settings licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, or community <br />
         		<a id="pl.95.16"></a><var>95.16</var>residential settings licensed under chapter 245D, to other types of community settings
         in <br />
         		<a id="pl.95.17"></a><var>95.17</var>conjunction with the closure of identified licensed adult foster care settings has the authority <br />
         		<a id="pl.95.18"></a><var>95.18</var>to manage statewide licensed corporate foster care or community residential settings
         capacity, <br />
         		<a id="pl.95.19"></a><var>95.19</var>including the reduction and realignment of licensed capacity of a current foster care
         or <br />
         		<a id="pl.95.20"></a><var>95.20</var>community residential settings to accomplish the consolidation or closure of settings.
         The <br />
         		<a id="pl.95.21"></a><var>95.21</var>commissioner shall implement a program for planned closure of licensed corporate adult
         <br />
         		<a id="pl.95.22"></a><var>95.22</var>foster care or community residential settings, necessary as a preferred method to:
         (1) respond <br />
         		<a id="pl.95.23"></a><var>95.23</var>to the informed decisions of those individuals who want to move out of these settings
         into <br />
         		<a id="pl.95.24"></a><var>95.24</var>other types of community settings; and (2) achieve necessary budgetary savings required
         <br />
         		<a id="pl.95.25"></a><var>95.25</var>in section 245A.03, subdivision 7, paragraphs (c) and (d).<br />
         		<br />
         		<a id="bill.2.20.0"></a><a id="pl.95.26"></a><var>95.26</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 256B.493, subdivision 2, is amended to read:<br />
         		<a id="pl.95.27"></a><var>95.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Planned closure process needs determination.</b> The commissioner shall <br />
         		<a id="pl.95.28"></a><var>95.28</var>announce and implement a program for planned closure of adult foster care homes. Planned
         <br />
         		<a id="pl.95.29"></a><var>95.29</var>closure shall be the preferred method for achieving necessary budgetary savings required
         <br />
         		<a id="pl.95.30"></a><var>95.30</var>by the licensed bed closure budget reduction in section 
         <statute_ref>245A.03, subdivision 7</statute_ref>, paragraph <br />
         		<a id="pl.95.31"></a><var>95.31</var>(c). If additional closures are required to achieve the necessary savings, the commissioner
         <br />
         		<a id="pl.95.32"></a><var>95.32</var>shall use the process and priorities in section 
         <statute_ref>245A.03, subdivision 7</statute_ref>, paragraph (c) A <br />
         		<a id="pl.95.33"></a><var>95.33</var>resource need determination process, managed at the state level, using available reports
         <br />
         		<a id="pl.96.1"></a><var>96.1</var>required by section 144A.351 and other data and information shall be used by the <br />
         		<a id="pl.96.2"></a><var>96.2</var>commissioner to align capacity where needed.<br />
         		<br />
         		<a id="bill.2.21.0"></a><a id="pl.96.3"></a><var>96.3</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 256B.493, is amended by adding a subdivision <br />
         		<a id="pl.96.4"></a><var>96.4</var>to read:<br />
         		<a id="pl.96.5"></a><var>96.5</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Closure process.</b> (a) The commissioner shall work with stakeholders to <br />
         		<a id="pl.96.6"></a><var>96.6</var>establish a process for the application, review, approval, and implementation of setting
         <br />
         		<a id="pl.96.7"></a><var>96.7</var>closures. Voluntary proposals from license holders for consolidation and closure of
         adult <br />
         		<a id="pl.96.8"></a><var>96.8</var>foster care or community residential settings are encouraged. Whether voluntary or
         <br />
         		<a id="pl.96.9"></a><var>96.9</var>involuntary, all closure plans must include:<br />
         		<a id="pl.96.10"></a><var>96.10</var>(1) a description of the proposed closure plan, identifying the home or homes and
         <br />
         		<a id="pl.96.11"></a><var>96.11</var>occupied beds;<br />
         		<a id="pl.96.12"></a><var>96.12</var>(2) the proposed timetable for the proposed closure, including the proposed dates
         for <br />
         		<a id="pl.96.13"></a><var>96.13</var>notification to people living there and the affected lead agencies, commencement of
         closure, <br />
         		<a id="pl.96.14"></a><var>96.14</var>and completion of closure;<br />
         		<a id="pl.96.15"></a><var>96.15</var>(3) the proposed relocation plan jointly developed by the counties of financial <br />
         		<a id="pl.96.16"></a><var>96.16</var>responsibility, the people living there and their legal representatives, if any, who
         wish to <br />
         		<a id="pl.96.17"></a><var>96.17</var>continue to receive services from the provider, and the providers for current residents
         of <br />
         		<a id="pl.96.18"></a><var>96.18</var>any adult foster care home designated for closure; and<br />
         		<a id="pl.96.19"></a><var>96.19</var>(4) documentation from the provider in a format approved by the commissioner that
         all <br />
         		<a id="pl.96.20"></a><var>96.20</var>the adult foster care homes or community residential settings receiving a planned
         closure <br />
         		<a id="pl.96.21"></a><var>96.21</var>rate adjustment under the plan have accepted joint and severable for recovery of <br />
         		<a id="pl.96.22"></a><var>96.22</var>overpayments under section 256B.0641, subdivision 2, for the facilities designated
         for <br />
         		<a id="pl.96.23"></a><var>96.23</var>closure under this plan.<br />
         		<a id="pl.96.24"></a><var>96.24</var>(b) The commissioner shall give first priority to closure plans which:<br />
         		<a id="pl.96.25"></a><var>96.25</var>(1) target counties and geographic areas which have:<br />
         		<a id="pl.96.26"></a><var>96.26</var>(i) need for other types of services;<br />
         		<a id="pl.96.27"></a><var>96.27</var>(ii) need for specialized services;<br />
         		<a id="pl.96.28"></a><var>96.28</var>(iii) higher than average per capita use of licensed corporate foster care or community
         <br />
         		<a id="pl.96.29"></a><var>96.29</var>residential settings; or<br />
         		<a id="pl.96.30"></a><var>96.30</var>(iv) residents not living in the geographic area of their choice;<br />
         		<a id="pl.96.31"></a><var>96.31</var>(2) demonstrate savings of medical assistance expenditures; and<br />
         		<a id="pl.97.1"></a><var>97.1</var>(3) demonstrate that alternative services are based on the recipient's choice of provider
         <br />
         		<a id="pl.97.2"></a><var>97.2</var>and are consistent with federal law, state law, and federally approved waiver plans.<br />
         		<a id="pl.97.3"></a><var>97.3</var>The commissioner shall also consider any information provided by people using services,
         <br />
         		<a id="pl.97.4"></a><var>97.4</var>their legal representatives, family members, or the lead agency on the impact of the
         planned <br />
         		<a id="pl.97.5"></a><var>97.5</var>closure on people and the services they need.<br />
         		<a id="pl.97.6"></a><var>97.6</var>&#160;&#160;&#160;&#160;(c) For each closure plan approved by the commissioner, a contract must be established
         <br />
         		<a id="pl.97.7"></a><var>97.7</var>between the commissioner, the counties of financial responsibility, and the participating
         <br />
         		<a id="pl.97.8"></a><var>97.8</var>license holder.<br />
         		<br />
         		<a id="bill.2.22.0"></a><a id="pl.97.9"></a><var>97.9</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 256D.44, subdivision 4, is amended to read:<br />
         		<a id="pl.97.10"></a><var>97.10</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Temporary absence due to illness.</b> For the purposes of this subdivision, "home" <br />
         		<a id="pl.97.11"></a><var>97.11</var>means a residence owned or rented by a recipient or the recipient's spouse. Home does not <br />
         		<a id="pl.97.12"></a><var>97.12</var>include a group residential housing facility. Assistance payments for recipients who are <br />
         		<a id="pl.97.13"></a><var>97.13</var>temporarily absent from their home due to hospitalization for illness must continue
         at the <br />
         		<a id="pl.97.14"></a><var>97.14</var>same level of payment during their absence if the following criteria are met:<br />
         		<a id="pl.97.15"></a><var>97.15</var>(1) a physician certifies that the absence is not expected to continue for more than
         three <br />
         		<a id="pl.97.16"></a><var>97.16</var>months;<br />
         		<a id="pl.97.17"></a><var>97.17</var>(2) a physician certifies that the recipient will be able to return to independent
         living; <br />
         		<a id="pl.97.18"></a><var>97.18</var>and<br />
         		<a id="pl.97.19"></a><var>97.19</var>(3) the recipient has expenses associated with maintaining a residence in the community.<br />
         		<br />
         		<a id="bill.2.23.0"></a><a id="pl.97.20"></a><var>97.20</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2016, section 256D.44, subdivision 5, is amended to read:<br />
         		<a id="pl.97.21"></a><var>97.21</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Special needs.</b> (a) In addition to the state standards of assistance established <br />
         		<a id="pl.97.22"></a><var>97.22</var>in subdivisions 1 to 4, payments are allowed for the following special needs of recipients
         <br />
         		<a id="pl.97.23"></a><var>97.23</var>of Minnesota supplemental aid who are not residents of a nursing home, a regional
         treatment <br />
         		<a id="pl.97.24"></a><var>97.24</var>center, or a group residential setting authorized to receive housing facility support payments <br />
         		<a id="pl.97.25"></a><var>97.25</var>under chapter 256I.<br />
         		<a id="pl.97.26"></a><var>97.26</var>&#160;&#160;&#160;&#160;(a) (b) The county agency shall pay a monthly allowance for medically prescribed diets <br />
         		<a id="pl.97.27"></a><var>97.27</var>if the cost of those additional dietary needs cannot be met through some other maintenance
         <br />
         		<a id="pl.97.28"></a><var>97.28</var>benefit. The need for special diets or dietary items must be prescribed by a licensed
         physician. <br />
         		<a id="pl.97.29"></a><var>97.29</var>Costs for special diets shall be determined as percentages of the allotment for a
         one-person <br />
         		<a id="pl.97.30"></a><var>97.30</var>household under the thrifty food plan as defined by the United States Department of
         <br />
         		<a id="pl.97.31"></a><var>97.31</var>Agriculture. The types of diets and the percentages of the thrifty food plan that
         are covered <br />
         		<a id="pl.97.32"></a><var>97.32</var>are as follows:<br />
         		<a id="pl.98.1"></a><var>98.1</var>&#160;&#160;&#160;&#160;(1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br />
         		<a id="pl.98.2"></a><var>98.2</var>&#160;&#160;&#160;&#160;(2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent
         of <br />
         		<a id="pl.98.3"></a><var>98.3</var>thrifty food plan;<br />
         		<a id="pl.98.4"></a><var>98.4</var>&#160;&#160;&#160;&#160;(3) controlled protein diet, less than 40 grams and requires special products, 125
         percent <br />
         		<a id="pl.98.5"></a><var>98.5</var>of thrifty food plan;<br />
         		<a id="pl.98.6"></a><var>98.6</var>&#160;&#160;&#160;&#160;(4) low cholesterol diet, 25 percent of thrifty food plan;<br />
         		<a id="pl.98.7"></a><var>98.7</var>&#160;&#160;&#160;&#160;(5) high residue diet, 20 percent of thrifty food plan;<br />
         		<a id="pl.98.8"></a><var>98.8</var>&#160;&#160;&#160;&#160;(6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br />
         		<a id="pl.98.9"></a><var>98.9</var>&#160;&#160;&#160;&#160;(7) gluten-free diet, 25 percent of thrifty food plan;<br />
         		<a id="pl.98.10"></a><var>98.10</var>&#160;&#160;&#160;&#160;(8) lactose-free diet, 25 percent of thrifty food plan;<br />
         		<a id="pl.98.11"></a><var>98.11</var>&#160;&#160;&#160;&#160;(9) antidumping diet, 15 percent of thrifty food plan;<br />
         		<a id="pl.98.12"></a><var>98.12</var>&#160;&#160;&#160;&#160;(10) hypoglycemic diet, 15 percent of thrifty food plan; or<br />
         		<a id="pl.98.13"></a><var>98.13</var>&#160;&#160;&#160;&#160;(11) ketogenic diet, 25 percent of thrifty food plan.<br />
         		<a id="pl.98.14"></a><var>98.14</var>&#160;&#160;&#160;&#160;(b) (c) Payment for nonrecurring special needs must be allowed for necessary home <br />
         		<a id="pl.98.15"></a><var>98.15</var>repairs or necessary repairs or replacement of household furniture and appliances
         using the <br />
         		<a id="pl.98.16"></a><var>98.16</var>payment standard of the AFDC program in effect on July 16, 1996, for these expenses,
         as <br />
         		<a id="pl.98.17"></a><var>98.17</var>long as other funding sources are not available.<br />
         		<a id="pl.98.18"></a><var>98.18</var>&#160;&#160;&#160;&#160;(c) (d) A fee for guardian or conservator service is allowed at a reasonable rate negotiated
         <br />
         		<a id="pl.98.19"></a><var>98.19</var>by the county or approved by the court. This rate shall not exceed five percent of
         the <br />
         		<a id="pl.98.20"></a><var>98.20</var>assistance unit's gross monthly income up to a maximum of $100 per month. If the guardian
         <br />
         		<a id="pl.98.21"></a><var>98.21</var>or conservator is a member of the county agency staff, no fee is allowed.<br />
         		<a id="pl.98.22"></a><var>98.22</var>&#160;&#160;&#160;&#160;(d) (e) The county agency shall continue to pay a monthly allowance of $68 for restaurant
         <br />
         		<a id="pl.98.23"></a><var>98.23</var>meals for a person who was receiving a restaurant meal allowance on June 1, 1990,
         and <br />
         		<a id="pl.98.24"></a><var>98.24</var>who eats two or more meals in a restaurant daily. The allowance must continue until
         the <br />
         		<a id="pl.98.25"></a><var>98.25</var>person has not received Minnesota supplemental aid for one full calendar month or
         until <br />
         		<a id="pl.98.26"></a><var>98.26</var>the person's living arrangement changes and the person no longer meets the criteria
         for the <br />
         		<a id="pl.98.27"></a><var>98.27</var>restaurant meal allowance, whichever occurs first.<br />
         		<a id="pl.98.28"></a><var>98.28</var>&#160;&#160;&#160;&#160;(e) (f) A fee of ten percent of the recipient's gross income or $25, whichever is less, is
         <br />
         		<a id="pl.98.29"></a><var>98.29</var>allowed for representative payee services provided by an agency that meets the requirements
         <br />
         		<a id="pl.98.30"></a><var>98.30</var>under SSI regulations to charge a fee for representative payee services. This special
         need <br />
         		<a id="pl.99.1"></a><var>99.1</var>is available to all recipients of Minnesota supplemental aid regardless of their living
         <br />
         		<a id="pl.99.2"></a><var>99.2</var>arrangement.<br />
         		<a id="pl.99.3"></a><var>99.3</var>&#160;&#160;&#160;&#160;(f) (g)(1) Notwithstanding the language in this subdivision, an amount equal to one-half <br />
         		<a id="pl.99.4"></a><var>99.4</var>of the maximum allotment authorized by the federal Food Stamp Program for a federal <br />
         		<a id="pl.99.5"></a><var>99.5</var>Supplemental Security Income payment amount for a single individual which is in effect <br />
         		<a id="pl.99.6"></a><var>99.6</var>on the first day of July of each year will be added to the standards of assistance
         established <br />
         		<a id="pl.99.7"></a><var>99.7</var>in subdivisions 1 to 4 for adults under the age of 65 who qualify as shelter needy in need <br />
         		<a id="pl.99.8"></a><var>99.8</var>of housing assistance and are:<br />
         		 <a id="pl.99.9"></a><var>99.9</var>&#160;&#160;&#160;&#160;(i) relocating from an institution, a setting authorized to receive housing support under <br />
         		<a id="pl.99.10"></a><var>99.10</var>chapter 256I, or an adult mental health residential treatment program under section <br />
         		
         <statute_ref><a id="pl.99.11"></a><var>99.11</var>256B.0622
         </statute_ref>; or<br />
         		 <a id="pl.99.12"></a><var>99.12</var>&#160;&#160;&#160;&#160;(ii) eligible for personal care assistance under section 256B.0659; or<br />
         		 <a id="pl.99.13"></a><var>99.13</var>&#160;&#160;&#160;&#160;(iii) home and community-based waiver recipients living in their own home or rented <br />
         		<a id="pl.99.14"></a><var>99.14</var>or leased apartment which is not owned, operated, or controlled by a provider of service <br />
         		<a id="pl.99.15"></a><var>99.15</var>not related by blood or marriage, unless allowed under paragraph (g).<br />
         		<a id="pl.99.16"></a><var>99.16</var>&#160;&#160;&#160;&#160;(2) Notwithstanding subdivision 3, paragraph (c), an individual eligible for the shelter
         <br />
         		<a id="pl.99.17"></a><var>99.17</var>needy benefit under this paragraph is considered a household of one. An eligible individual
         <br />
         		<a id="pl.99.18"></a><var>99.18</var>who receives this benefit prior to age 65 may continue to receive the benefit after
         the age <br />
         		<a id="pl.99.19"></a><var>99.19</var>of 65.<br />
         		<a id="pl.99.20"></a><var>99.20</var>&#160;&#160;&#160;&#160;(3) "Shelter needy Housing assistance" means that the assistance unit incurs monthly <br />
         		<a id="pl.99.21"></a><var>99.21</var>shelter costs that exceed 40 percent of the assistance unit's gross income before
         the application <br />
         		<a id="pl.99.22"></a><var>99.22</var>of this special needs standard. "Gross income" for the purposes of this section is
         the <br />
         		<a id="pl.99.23"></a><var>99.23</var>applicant's or recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the <br />
         		<a id="pl.99.24"></a><var>99.24</var>standard specified in subdivision 3, paragraph (a) or (b), whichever is greater. A
         recipient <br />
         		<a id="pl.99.25"></a><var>99.25</var>of a federal or state housing subsidy, that limits shelter costs to a percentage of
         gross income, <br />
         		<a id="pl.99.26"></a><var>99.26</var>shall not be considered shelter needy in need of housing assistance for purposes of this <br />
         		<a id="pl.99.27"></a><var>99.27</var>paragraph.<br />
         		<a id="pl.99.28"></a><var>99.28</var>(g) Notwithstanding this subdivision, to access housing and services as provided in
         <br />
         		<a id="pl.99.29"></a><var>99.29</var>paragraph (f), the recipient may choose housing that may be owned, operated, or controlled
         <br />
         		<a id="pl.99.30"></a><var>99.30</var>by the recipient's service provider. When housing is controlled by the service provider,
         the <br />
         		<a id="pl.99.31"></a><var>99.31</var>individual may choose the individual's own service provider as provided in section
         
         <statute_ref>256B.49, <br />
            		<a id="pl.99.32"></a><var>99.32</var>subdivision 23
         </statute_ref>, clause (3). When the housing is controlled by the service provider, the <br />
         		<a id="pl.99.33"></a><var>99.33</var>service provider shall implement a plan with the recipient to transition the lease
         to the <br />
         		<a id="pl.99.34"></a><var>99.34</var>recipient's name. Within two years of signing the initial lease, the service provider
         shall <br />
         		<a id="pl.100.1"></a><var>100.1</var>transfer the lease entered into under this subdivision to the recipient. In the event
         the landlord <br />
         		<a id="pl.100.2"></a><var>100.2</var>denies this transfer, the commissioner may approve an exception within sufficient
         time to <br />
         		<a id="pl.100.3"></a><var>100.3</var>ensure the continued occupancy by the recipient. This paragraph expires June 30, 2016.<br />
         		<a id="pl.100.4"></a><var>100.4</var><b>EFFECTIVE DATE.</b>Paragraphs (a) to (f) are effective July 1, 2017. Paragraph (g), <br />
         		<a id="pl.100.5"></a><var>100.5</var>clause (1), is effective July 1, 2020, except paragraph (g), clause (1), items (ii)
         and (iii), are <br />
         		<a id="pl.100.6"></a><var>100.6</var>effective July 1, 2017.<br />
         		<br />
         		<a id="bill.2.24.0"></a><a id="pl.100.7"></a><var>100.7</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2016, section 256I.03, subdivision 8, is amended to read:<br />
         		<a id="pl.100.8"></a><var>100.8</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Supplementary services.</b> "Supplementary services" means housing support <br />
         		<a id="pl.100.9"></a><var>100.9</var>services provided to residents of group residential housing providers individuals in addition <br />
         		<a id="pl.100.10"></a><var>100.10</var>to room and board including, but not limited to, oversight and up to 24-hour supervision,
         <br />
         		<a id="pl.100.11"></a><var>100.11</var>medication reminders, assistance with transportation, arranging for meetings and <br />
         		<a id="pl.100.12"></a><var>100.12</var>appointments, and arranging for medical and social services.<br />
         		<br />
         		<a id="bill.2.25.0"></a><a id="pl.100.13"></a><var>100.13</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 256I.04, subdivision 1, is amended to read:<br />
         		<a id="pl.100.14"></a><var>100.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Individual eligibility requirements.</b> An individual is eligible for and <br />
         		<a id="pl.100.15"></a><var>100.15</var>entitled to a group residential housing support payment to be made on the individual's behalf <br />
         		<a id="pl.100.16"></a><var>100.16</var>if the agency has approved the individual's residence in a group residential setting where <br />
         		<a id="pl.100.17"></a><var>100.17</var>the individual will receive housing setting support and the individual meets the requirements <br />
         		<a id="pl.100.18"></a><var>100.18</var>in paragraph (a) or, (b), or (c).<br />
         		<a id="pl.100.19"></a><var>100.19</var>(a) The individual is aged, blind, or is over 18 years of age and disabled as determined
         <br />
         		<a id="pl.100.20"></a><var>100.20</var>under the criteria used by the title II program of the Social Security Act, and meets
         the <br />
         		<a id="pl.100.21"></a><var>100.21</var>resource restrictions and standards of section 
         <statute_ref>256P.02</statute_ref>, and the individual's countable income <br />
         		<a id="pl.100.22"></a><var>100.22</var>after deducting the (1) exclusions and disregards of the SSI program, (2) the medical
         <br />
         		<a id="pl.100.23"></a><var>100.23</var>assistance personal needs allowance under section 
         <statute_ref>256B.35</statute_ref>, and (3) an amount equal to the <br />
         		<a id="pl.100.24"></a><var>100.24</var>income actually made available to a community spouse by an elderly waiver participant
         <br />
         		<a id="pl.100.25"></a><var>100.25</var>under the provisions of sections 
         <statute_ref>256B.0575, paragraph (a)</statute_ref>, clause (4), and 
         <statute_ref>256B.058, <br />
            		<a id="pl.100.26"></a><var>100.26</var>subdivision 2
         </statute_ref>, is less than the monthly rate specified in the agency's agreement with the <br />
         		<a id="pl.100.27"></a><var>100.27</var>provider of group residential housing support in which the individual resides.<br />
         		<a id="pl.100.28"></a><var>100.28</var>(b) The individual meets a category of eligibility under section 
         <statute_ref>256D.05, subdivision 1</statute_ref>, <br />
         		<a id="pl.100.29"></a><var>100.29</var>paragraph (a), clauses (1), (3), (5) to (9), and (14), and paragraph (b), if applicable,
         and the <br />
         		<a id="pl.100.30"></a><var>100.30</var>individual's resources are less than the standards specified by section 
         <statute_ref>256P.02</statute_ref>, and the <br />
         		<a id="pl.100.31"></a><var>100.31</var>individual's countable income as determined under section 
         <statute_ref>256P.06</statute_ref>, less the medical <br />
         		<a id="pl.100.32"></a><var>100.32</var>assistance personal needs allowance under section 
         <statute_ref>256B.35</statute_ref> is less than the monthly rate <br />
         		<a id="pl.101.1"></a><var>101.1</var>specified in the agency's agreement with the provider of group residential housing support <br />
         		<a id="pl.101.2"></a><var>101.2</var>in which the individual resides.<br />
         		<a id="pl.101.3"></a><var>101.3</var>(c) The individual receives licensed residential crisis stabilization services under
         section <br />
         		<a id="pl.101.4"></a><var>101.4</var>256B.0624, subdivision 7, and is receiving medical assistance. The individual may
         receive <br />
         		<a id="pl.101.5"></a><var>101.5</var>concurrent housing support payments if receiving licensed residential crisis stabilization
         <br />
         		<a id="pl.101.6"></a><var>101.6</var>services under section 256B.0624, subdivision 7.<br />
         		<a id="pl.101.7"></a><var>101.7</var><b>EFFECTIVE DATE.</b>Paragraph (c) is effective October 1, 2017.<br />
         		<br />
         		<a id="bill.2.26.0"></a><a id="pl.101.8"></a><var>101.8</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2016, section 256I.04, subdivision 2d, is amended to read:<br />
         		<a id="pl.101.9"></a><var>101.9</var>&#160;&#160;&#160;&#160;Subd. 2d. <b>Conditions of payment; commissioner's right to suspend or terminate </b><br />
         		<a id="pl.101.10"></a><var>101.10</var><b>agreement.</b> (a) Group residential Housing or supplementary services support must be <br />
         		<a id="pl.101.11"></a><var>101.11</var>provided to the satisfaction of the commissioner, as determined at the sole discretion
         of the <br />
         		<a id="pl.101.12"></a><var>101.12</var>commissioner's authorized representative, and in accordance with all applicable federal,
         <br />
         		<a id="pl.101.13"></a><var>101.13</var>state, and local laws, ordinances, rules, and regulations, including business registration
         <br />
         		<a id="pl.101.14"></a><var>101.14</var>requirements of the Office of the Secretary of State. A provider shall not receive
         payment <br />
         		<a id="pl.101.15"></a><var>101.15</var>for room and board or supplementary services or housing found by the commissioner to be <br />
         		<a id="pl.101.16"></a><var>101.16</var>performed or provided in violation of federal, state, or local law, ordinance, rule,
         or <br />
         		<a id="pl.101.17"></a><var>101.17</var>regulation.<br />
         		<a id="pl.101.18"></a><var>101.18</var>(b) The commissioner has the right to suspend or terminate the agreement immediately
         <br />
         		<a id="pl.101.19"></a><var>101.19</var>when the commissioner determines the health or welfare of the housing or service recipients
         <br />
         		<a id="pl.101.20"></a><var>101.20</var>is endangered, or when the commissioner has reasonable cause to believe that the provider
         <br />
         		<a id="pl.101.21"></a><var>101.21</var>has breached a material term of the agreement under subdivision 2b.<br />
         		<a id="pl.101.22"></a><var>101.22</var>(c) Notwithstanding paragraph (b), if the commissioner learns of a curable material
         <br />
         		<a id="pl.101.23"></a><var>101.23</var>breach of the agreement by the provider, the commissioner shall provide the provider
         with <br />
         		<a id="pl.101.24"></a><var>101.24</var>a written notice of the breach and allow ten days to cure the breach. If the provider
         does <br />
         		<a id="pl.101.25"></a><var>101.25</var>not cure the breach within the time allowed, the provider shall be in default of the
         agreement <br />
         		<a id="pl.101.26"></a><var>101.26</var>and the commissioner may terminate the agreement immediately thereafter. If the provider
         <br />
         		<a id="pl.101.27"></a><var>101.27</var>has breached a material term of the agreement and cure is not possible, the commissioner
         <br />
         		<a id="pl.101.28"></a><var>101.28</var>may immediately terminate the agreement.<br />
         		<br />
         		<a id="bill.2.27.0"></a><a id="pl.101.29"></a><var>101.29</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 256I.04, subdivision 2g, is amended to read:<br />
         		<a id="pl.101.30"></a><var>101.30</var>&#160;&#160;&#160;&#160;Subd. 2g. <b>Crisis shelters.</b> Secure crisis shelters for battered women and their children <br />
         		<a id="pl.101.31"></a><var>101.31</var>designated by the Minnesota Department of Corrections are not group residences eligible <br />
         		<a id="pl.101.32"></a><var>101.32</var>for housing support under this chapter.<br />
         		<br />
         		<a id="bill.2.28.0"></a><a id="pl.102.1"></a><var>102.1</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2016, section 256I.04, subdivision 3, is amended to read:<br />
         		<a id="pl.102.2"></a><var>102.2</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Moratorium on development of </b><b>group residential</b><b> housing</b><b> support</b><b> beds.</b><br />
         		 <a id="pl.102.3"></a><var>102.3</var>&#160;&#160;&#160;&#160;(a) Agencies shall not enter into agreements for new group residential housing support beds <br />
         		<a id="pl.102.4"></a><var>102.4</var>with total rates in excess of the MSA equivalent rate except:<br />
         		<a id="pl.102.5"></a><var>102.5</var>(1) for group residential housing establishments licensed under chapter 245D provided <br />
         		<a id="pl.102.6"></a><var>102.6</var>the facility is needed to meet the census reduction targets for persons with developmental
         <br />
         		<a id="pl.102.7"></a><var>102.7</var>disabilities at regional treatment centers;<br />
         		<a id="pl.102.8"></a><var>102.8</var>(2) up to 80 beds in a single, specialized facility located in Hennepin County that
         will <br />
         		<a id="pl.102.9"></a><var>102.9</var>provide housing for chronic inebriates who are repetitive users of detoxification
         centers and <br />
         		<a id="pl.102.10"></a><var>102.10</var>are refused placement in emergency shelters because of their state of intoxication,
         and <br />
         		<a id="pl.102.11"></a><var>102.11</var>planning for the specialized facility must have been initiated before July 1, 1991,
         in <br />
         		<a id="pl.102.12"></a><var>102.12</var>anticipation of receiving a grant from the Housing Finance Agency under section 
         <statute_ref>462A.05, <br />
            		<a id="pl.102.13"></a><var>102.13</var>subdivision 20a
         </statute_ref>, paragraph (b);<br />
         		<a id="pl.102.14"></a><var>102.14</var>(3) notwithstanding the provisions of subdivision 2a, for up to 190 226 supportive <br />
         		<a id="pl.102.15"></a><var>102.15</var>housing units in Anoka, Dakota, Hennepin, or Ramsey County for homeless adults with
         a <br />
         		<a id="pl.102.16"></a><var>102.16</var>mental illness, a history of substance abuse, or human immunodeficiency virus or acquired
         <br />
         		<a id="pl.102.17"></a><var>102.17</var>immunodeficiency syndrome. For purposes of this section, "homeless adult" means a
         person <br />
         		<a id="pl.102.18"></a><var>102.18</var>who is living on the street or in a shelter or discharged from a regional treatment
         center, <br />
         		<a id="pl.102.19"></a><var>102.19</var>community hospital, or residential treatment program and has no appropriate housing
         <br />
         		<a id="pl.102.20"></a><var>102.20</var>available and lacks the resources and support necessary to access appropriate housing.
         At <br />
         		<a id="pl.102.21"></a><var>102.21</var>least 70 percent of the supportive housing units must serve homeless adults with mental
         <br />
         		<a id="pl.102.22"></a><var>102.22</var>illness, substance abuse problems, or human immunodeficiency virus or acquired <br />
         		<a id="pl.102.23"></a><var>102.23</var>immunodeficiency syndrome who are about to be or, within the previous six months,
         has <br />
         		<a id="pl.102.24"></a><var>102.24</var>been discharged from a regional treatment center, or a state-contracted psychiatric
         bed in <br />
         		<a id="pl.102.25"></a><var>102.25</var>a community hospital, or a residential mental health or chemical dependency treatment
         <br />
         		<a id="pl.102.26"></a><var>102.26</var>program. If a person meets the requirements of subdivision 1, paragraph (a), and receives
         <br />
         		<a id="pl.102.27"></a><var>102.27</var>a federal or state housing subsidy, the group residential housing support rate for that person <br />
         		<a id="pl.102.28"></a><var>102.28</var>is limited to the supplementary rate under section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>, and is determined <br />
         		<a id="pl.102.29"></a><var>102.29</var>by subtracting the amount of the person's countable income that exceeds the MSA equivalent
         <br />
         		<a id="pl.102.30"></a><var>102.30</var>rate from the group residential housing support supplementary service rate. A resident in a <br />
         		<a id="pl.102.31"></a><var>102.31</var>demonstration project site who no longer participates in the demonstration program
         shall <br />
         		<a id="pl.102.32"></a><var>102.32</var>retain eligibility for a group residential housing support payment in an amount determined <br />
         		<a id="pl.102.33"></a><var>102.33</var>under section 
         <statute_ref>256I.06, subdivision 8</statute_ref>, using the MSA equivalent rate. Service funding under <br />
         		<a id="pl.102.34"></a><var>102.34</var>section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>, will end June 30, 1997, if federal matching funds are <br />
         		<a id="pl.102.35"></a><var>102.35</var>available and the services can be provided through a managed care entity. If federal
         matching <br />
         		<a id="pl.103.1"></a><var>103.1</var>funds are not available, then service funding will continue under section 
         <statute_ref>256I.05, subdivision <br />
            		<a id="pl.103.2"></a><var>103.2</var>1a
         </statute_ref>;<br />
         		<a id="pl.103.3"></a><var>103.3</var>(4) for an additional two beds, resulting in a total of 32 beds, for a facility located
         in <br />
         		<a id="pl.103.4"></a><var>103.4</var>Hennepin County providing services for recovering and chemically dependent men that
         has <br />
         		<a id="pl.103.5"></a><var>103.5</var>had a group residential housing support contract with the county and has been licensed as <br />
         		<a id="pl.103.6"></a><var>103.6</var>a board and lodge facility with special services since 1980;<br />
         		<a id="pl.103.7"></a><var>103.7</var>(5) for a group residential housing support provider located in the city of St. Cloud, or <br />
         		<a id="pl.103.8"></a><var>103.8</var>a county contiguous to the city of St. Cloud, that operates a 40-bed facility, that
         received <br />
         		<a id="pl.103.9"></a><var>103.9</var>financing through the Minnesota Housing Finance Agency Ending Long-Term Homelessness
         <br />
         		<a id="pl.103.10"></a><var>103.10</var>Initiative and serves chemically dependent clientele, providing 24-hour-a-day supervision;<br />
         		<a id="pl.103.11"></a><var>103.11</var>(6) for a new 65-bed facility in Crow Wing County that will serve chemically dependent
         <br />
         		<a id="pl.103.12"></a><var>103.12</var>persons, operated by a group residential housing support provider that currently operates a <br />
         		<a id="pl.103.13"></a><var>103.13</var>304-bed facility in Minneapolis, and a 44-bed facility in Duluth;<br />
         		<a id="pl.103.14"></a><var>103.14</var>(7) for a group residential housing support provider that operates two ten-bed facilities, <br />
         		<a id="pl.103.15"></a><var>103.15</var>one located in Hennepin County and one located in Ramsey County, that provide community
         <br />
         		<a id="pl.103.16"></a><var>103.16</var>support and 24-hour-a-day supervision to serve the mental health needs of individuals
         who <br />
         		<a id="pl.103.17"></a><var>103.17</var>have chronically lived unsheltered; and<br />
         		<a id="pl.103.18"></a><var>103.18</var>(8) for a group residential facility authorized for recipients of housing support in Hennepin <br />
         		<a id="pl.103.19"></a><var>103.19</var>County with a capacity of up to 48 beds that has been licensed since 1978 as a board
         and <br />
         		<a id="pl.103.20"></a><var>103.20</var>lodging facility and that until August 1, 2007, operated as a licensed chemical dependency
         <br />
         		<a id="pl.103.21"></a><var>103.21</var>treatment program.<br />
         		<a id="pl.103.22"></a><var>103.22</var>&#160;&#160;&#160;&#160;(b) An agency may enter into a group residential housing support agreement for beds <br />
         		<a id="pl.103.23"></a><var>103.23</var>with rates in excess of the MSA equivalent rate in addition to those currently covered
         under <br />
         		<a id="pl.103.24"></a><var>103.24</var>a group residential housing support agreement if the additional beds are only a replacement <br />
         		<a id="pl.103.25"></a><var>103.25</var>of beds with rates in excess of the MSA equivalent rate which have been made available
         <br />
         		<a id="pl.103.26"></a><var>103.26</var>due to closure of a setting, a change of licensure or certification which removes
         the beds <br />
         		<a id="pl.103.27"></a><var>103.27</var>from group residential housing support payment, or as a result of the downsizing of a group <br />
         		<a id="pl.103.28"></a><var>103.28</var>residential housing setting authorized for recipients of housing support. The transfer of <br />
         		<a id="pl.103.29"></a><var>103.29</var>available beds from one agency to another can only occur by the agreement of both
         agencies.<br />
         		<br />
         		<a id="bill.2.29.0"></a><a id="pl.103.30"></a><var>103.30</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 256I.05, subdivision 1a, is amended to read:<br />
         		<a id="pl.103.31"></a><var>103.31</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Supplementary service rates.</b> (a) Subject to the provisions of section 
         <statute_ref>256I.04, <br />
            		<a id="pl.103.32"></a><var>103.32</var>subdivision 3
         </statute_ref>, the county agency may negotiate a payment not to exceed $426.37 for other <br />
         		<a id="pl.103.33"></a><var>103.33</var>services necessary to provide room and board provided by the group residence if the residence <br />
         		<a id="pl.104.1"></a><var>104.1</var>is licensed by or registered by the Department of Health, or licensed by the Department
         of <br />
         		<a id="pl.104.2"></a><var>104.2</var>Human Services to provide services in addition to room and board, and if the provider
         of <br />
         		<a id="pl.104.3"></a><var>104.3</var>services is not also concurrently receiving funding for services for a recipient under
         a home <br />
         		<a id="pl.104.4"></a><var>104.4</var>and community-based waiver under title XIX of the Social Security Act; or funding
         from <br />
         		<a id="pl.104.5"></a><var>104.5</var>the medical assistance program under section 
         <statute_ref>256B.0659</statute_ref>, for personal care services for <br />
         		<a id="pl.104.6"></a><var>104.6</var>residents in the setting; or residing in a setting which receives funding under section
         
         <statute_ref>245.73</statute_ref>. <br />
         		<a id="pl.104.7"></a><var>104.7</var>If funding is available for other necessary services through a home and community-based
         <br />
         		<a id="pl.104.8"></a><var>104.8</var>waiver, or personal care services under section 
         <statute_ref>256B.0659</statute_ref>, then the GRH housing support <br />
         		<a id="pl.104.9"></a><var>104.9</var>rate is limited to the rate set in subdivision 1. Unless otherwise provided in law,
         in no case <br />
         		<a id="pl.104.10"></a><var>104.10</var>may the supplementary service rate exceed $426.37. The registration and licensure
         <br />
         		<a id="pl.104.11"></a><var>104.11</var>requirement does not apply to establishments which are exempt from state licensure
         because <br />
         		<a id="pl.104.12"></a><var>104.12</var>they are located on Indian reservations and for which the tribe has prescribed health
         and <br />
         		<a id="pl.104.13"></a><var>104.13</var>safety requirements. Service payments under this section may be prohibited under rules
         to <br />
         		<a id="pl.104.14"></a><var>104.14</var>prevent the supplanting of federal funds with state funds. The commissioner shall
         pursue <br />
         		<a id="pl.104.15"></a><var>104.15</var>the feasibility of obtaining the approval of the Secretary of Health and Human Services
         to <br />
         		<a id="pl.104.16"></a><var>104.16</var>provide home and community-based waiver services under title XIX of the Social Security
         <br />
         		<a id="pl.104.17"></a><var>104.17</var>Act for residents who are not eligible for an existing home and community-based waiver
         <br />
         		<a id="pl.104.18"></a><var>104.18</var>due to a primary diagnosis of mental illness or chemical dependency and shall apply
         for a <br />
         		<a id="pl.104.19"></a><var>104.19</var>waiver if it is determined to be cost-effective.<br />
         		<a id="pl.104.20"></a><var>104.20</var>(b) The commissioner is authorized to make cost-neutral transfers from the GRH housing <br />
         		<a id="pl.104.21"></a><var>104.21</var>support fund for beds under this section to other funding programs administered by the <br />
         		<a id="pl.104.22"></a><var>104.22</var>department after consultation with the county or counties in which the affected beds
         are <br />
         		<a id="pl.104.23"></a><var>104.23</var>located. The commissioner may also make cost-neutral transfers from the GRH housing <br />
         		<a id="pl.104.24"></a><var>104.24</var>support fund to county human service agencies for beds permanently removed from the <br />
         		<a id="pl.104.25"></a><var>104.25</var>GRH housing support census under a plan submitted by the county agency and approved <br />
         		<a id="pl.104.26"></a><var>104.26</var>by the commissioner. The commissioner shall report the amount of any transfers under
         this <br />
         		<a id="pl.104.27"></a><var>104.27</var>provision annually to the legislature.<br />
         		<a id="pl.104.28"></a><var>104.28</var>&#160;&#160;&#160;&#160;(c) Counties must not negotiate supplementary service rates with providers of group <br />
         		<a id="pl.104.29"></a><var>104.29</var>residential housing support that are licensed as board and lodging with special services and <br />
         		<a id="pl.104.30"></a><var>104.30</var>that do not encourage a policy of sobriety on their premises and make referrals to
         available <br />
         		<a id="pl.104.31"></a><var>104.31</var>community services for volunteer and employment opportunities for residents.<br />
         		<br />
         		<a id="bill.2.30.0"></a><a id="pl.105.1"></a><var>105.1</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 256I.05, subdivision 1c, is amended to read:<br />
         		<a id="pl.105.2"></a><var>105.2</var>&#160;&#160;&#160;&#160;Subd. 1c. <b>Rate increases.</b> An agency may not increase the rates negotiated for group <br />
         		<a id="pl.105.3"></a><var>105.3</var>residential housing support above those in effect on June 30, 1993, except as provided in <br />
         		<a id="pl.105.4"></a><var>105.4</var>paragraphs (a) to (f).<br />
         		<a id="pl.105.5"></a><var>105.5</var>(a) An agency may increase the rates for group residential housing settings room and <br />
         		<a id="pl.105.6"></a><var>105.6</var>board to the MSA equivalent rate for those settings whose current rate is below the MSA
         <br />
         		<a id="pl.105.7"></a><var>105.7</var>equivalent rate.<br />
         		<a id="pl.105.8"></a><var>105.8</var>(b) An agency may increase the rates for residents in adult foster care whose difficulty
         <br />
         		<a id="pl.105.9"></a><var>105.9</var>of care has increased. The total group residential housing support rate for these residents <br />
         		<a id="pl.105.10"></a><var>105.10</var>must not exceed the maximum rate specified in subdivisions 1 and 1a. Agencies must
         not <br />
         		<a id="pl.105.11"></a><var>105.11</var>include nor increase group residential housing difficulty of care rates for adults in foster <br />
         		<a id="pl.105.12"></a><var>105.12</var>care whose difficulty of care is eligible for funding by home and community-based
         waiver <br />
         		<a id="pl.105.13"></a><var>105.13</var>programs under title XIX of the Social Security Act.<br />
         		<a id="pl.105.14"></a><var>105.14</var>(c) The room and board rates will be increased each year when the MSA equivalent rate
         <br />
         		<a id="pl.105.15"></a><var>105.15</var>is adjusted for SSI cost-of-living increases by the amount of the annual SSI increase,
         less <br />
         		<a id="pl.105.16"></a><var>105.16</var>the amount of the increase in the medical assistance personal needs allowance under
         section <br />
         		
         <statute_ref><a id="pl.105.17"></a><var>105.17</var>256B.35
         </statute_ref>.<br />
         		<a id="pl.105.18"></a><var>105.18</var>(d) When a group residential housing rate is used to pay support pays for an individual's <br />
         		<a id="pl.105.19"></a><var>105.19</var>room and board, or other costs necessary to provide room and board, the rate payable
         to the <br />
         		<a id="pl.105.20"></a><var>105.20</var>residence must continue for up to 18 calendar days per incident that the person is
         temporarily <br />
         		<a id="pl.105.21"></a><var>105.21</var>absent from the residence, not to exceed 60 days in a calendar year, if the absence
         or absences <br />
         		<a id="pl.105.22"></a><var>105.22</var>have received the prior approval of the county agency's social service staff. Prior
         approval <br />
         		<a id="pl.105.23"></a><var>105.23</var>is not required for emergency absences due to crisis, illness, or injury.<br />
         		<a id="pl.105.24"></a><var>105.24</var>(e) For facilities meeting substantial change criteria within the prior year. Substantial
         <br />
         		<a id="pl.105.25"></a><var>105.25</var>change criteria exists if the group residential housing establishment experiences a 25 percent <br />
         		<a id="pl.105.26"></a><var>105.26</var>increase or decrease in the total number of its beds, if the net cost of capital additions
         or <br />
         		<a id="pl.105.27"></a><var>105.27</var>improvements is in excess of 15 percent of the current market value of the residence,
         or if <br />
         		<a id="pl.105.28"></a><var>105.28</var>the residence physically moves, or changes its licensure, and incurs a resulting increase
         in <br />
         		<a id="pl.105.29"></a><var>105.29</var>operation and property costs.<br />
         		<a id="pl.105.30"></a><var>105.30</var>(f) Until June 30, 1994, an agency may increase by up to five percent the total rate
         paid <br />
         		<a id="pl.105.31"></a><var>105.31</var>for recipients of assistance under sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref> or 
         <statute_ref>256D.33 </statute_ref>to 
         <statute_ref>256D.54</statute_ref> who <br />
         		<a id="pl.105.32"></a><var>105.32</var>reside in residences that are licensed by the commissioner of health as a boarding
         care home, <br />
         		<a id="pl.105.33"></a><var>105.33</var>but are not certified for the purposes of the medical assistance program. However,
         an increase <br />
         		<a id="pl.105.34"></a><var>105.34</var>under this clause must not exceed an amount equivalent to 65 percent of the 1991 medical
         <br />
         		<a id="pl.106.1"></a><var>106.1</var>assistance reimbursement rate for nursing home resident class A, in the geographic
         grouping <br />
         		<a id="pl.106.2"></a><var>106.2</var>in which the facility is located, as established under Minnesota Rules, parts 9549.0051 to <br />
         		<a id="pl.106.3"></a><var>106.3</var>9549.0058.<br />
         		<br />
         		<a id="bill.2.31.0"></a><a id="pl.106.4"></a><var>106.4</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 256I.05, subdivision 1e, is amended to read:<br />
         		<a id="pl.106.5"></a><var>106.5</var>&#160;&#160;&#160;&#160;Subd. 1e. <b>Supplementary rate for certain facilities.</b> (a) Notwithstanding the provisions <br />
         		<a id="pl.106.6"></a><var>106.6</var>of subdivisions 1a and 1c, beginning July 1, 2005, a county agency shall negotiate
         a <br />
         		<a id="pl.106.7"></a><var>106.7</var>supplementary rate in addition to the rate specified in subdivision 1, not to exceed
         $700 per <br />
         		<a id="pl.106.8"></a><var>106.8</var>month, including any legislatively authorized inflationary adjustments, for a group residential <br />
         		<a id="pl.106.9"></a><var>106.9</var>housing support provider that:<br />
         		<a id="pl.106.10"></a><var>106.10</var>(1) is located in Hennepin County and has had a group residential housing support <br />
         		<a id="pl.106.11"></a><var>106.11</var>contract with the county since June 1996;<br />
         		<a id="pl.106.12"></a><var>106.12</var>(2) operates in three separate locations a 75-bed facility, a 50-bed facility, and
         a 26-bed <br />
         		<a id="pl.106.13"></a><var>106.13</var>facility; and<br />
         		<a id="pl.106.14"></a><var>106.14</var>(3) serves a chemically dependent clientele, providing 24 hours per day supervision
         and <br />
         		<a id="pl.106.15"></a><var>106.15</var>limiting a resident's maximum length of stay to 13 months out of a consecutive 24-month
         <br />
         		<a id="pl.106.16"></a><var>106.16</var>period.<br />
         		<a id="pl.106.17"></a><var>106.17</var>(b) Notwithstanding subdivisions 1a and 1c, a county agency shall negotiate a <br />
         		<a id="pl.106.18"></a><var>106.18</var>supplementary rate in addition to the rate specified in subdivision 1, not to exceed
         $700 per <br />
         		<a id="pl.106.19"></a><var>106.19</var>month, including any legislatively authorized inflationary adjustments, of a group residential <br />
         		<a id="pl.106.20"></a><var>106.20</var>housing support provider that:<br />
         		<a id="pl.106.21"></a><var>106.21</var>(1) is located in St. Louis County and has had a group residential housing support contract <br />
         		<a id="pl.106.22"></a><var>106.22</var>with the county since 2006;<br />
         		<a id="pl.106.23"></a><var>106.23</var>(2) operates a 62-bed facility; and<br />
         		<a id="pl.106.24"></a><var>106.24</var>(3) serves a chemically dependent adult male clientele, providing 24 hours per day
         <br />
         		<a id="pl.106.25"></a><var>106.25</var>supervision and limiting a resident's maximum length of stay to 13 months out of a
         <br />
         		<a id="pl.106.26"></a><var>106.26</var>consecutive 24-month period.<br />
         		<a id="pl.106.27"></a><var>106.27</var>(c) Notwithstanding subdivisions 1a and 1c, beginning July 1, 2013, a county agency
         <br />
         		<a id="pl.106.28"></a><var>106.28</var>shall negotiate a supplementary rate in addition to the rate specified in subdivision
         1, not <br />
         		<a id="pl.106.29"></a><var>106.29</var>to exceed $700 per month, including any legislatively authorized inflationary adjustments,
         <br />
         		<a id="pl.106.30"></a><var>106.30</var>for the group residential provider described under paragraphs (a) and (b), not to exceed an <br />
         		<a id="pl.106.31"></a><var>106.31</var>additional 115 beds.<br />
         		<br />
         		<a id="bill.2.32.0"></a><a id="pl.107.1"></a><var>107.1</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 256I.05, subdivision 1j, is amended to read:<br />
         		<a id="pl.107.2"></a><var>107.2</var>&#160;&#160;&#160;&#160;Subd. 1j. <b>Supplementary rate for certain facilities; Crow Wing County.</b><br />
         		 <a id="pl.107.3"></a><var>107.3</var>&#160;&#160;&#160;&#160;Notwithstanding the provisions of subdivisions 1a and 1c, beginning July 1, 2007,
         a county <br />
         		<a id="pl.107.4"></a><var>107.4</var>agency shall negotiate a supplementary rate in addition to the rate specified in subdivision
         <br />
         		<a id="pl.107.5"></a><var>107.5</var>1, not to exceed $700 per month, including any legislatively authorized inflationary
         <br />
         		<a id="pl.107.6"></a><var>107.6</var>adjustments, for a new 65-bed facility in Crow Wing County that will serve chemically
         <br />
         		<a id="pl.107.7"></a><var>107.7</var>dependent persons operated by a group residential housing support provider that currently <br />
         		<a id="pl.107.8"></a><var>107.8</var>operates a 304-bed facility in Minneapolis and a 44-bed facility in Duluth which opened
         in <br />
         		<a id="pl.107.9"></a><var>107.9</var>January of 2006.<br />
         		<br />
         		<a id="bill.2.33.0"></a><a id="pl.107.10"></a><var>107.10</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 256I.05, subdivision 1m, is amended to read:<br />
         		<a id="pl.107.11"></a><var>107.11</var>&#160;&#160;&#160;&#160;Subd. 1m. <b>Supplemental rate for certain facilities; Hennepin and Ramsey Counties.</b><br />
         		 <a id="pl.107.12"></a><var>107.12</var>&#160;&#160;&#160;&#160;(a) Notwithstanding the provisions of this section, beginning July 1, 2007, a county
         agency <br />
         		<a id="pl.107.13"></a><var>107.13</var>shall negotiate a supplemental service rate in addition to the rate specified in subdivision
         <br />
         		<a id="pl.107.14"></a><var>107.14</var>1, not to exceed $700 per month or the existing monthly rate, whichever is higher,
         including <br />
         		<a id="pl.107.15"></a><var>107.15</var>any legislatively authorized inflationary adjustments, for a group residential housing support <br />
         		<a id="pl.107.16"></a><var>107.16</var>provider that operates two ten-bed facilities, one located in Hennepin County and
         one located <br />
         		<a id="pl.107.17"></a><var>107.17</var>in Ramsey County, which provide community support and serve the mental health needs
         <br />
         		<a id="pl.107.18"></a><var>107.18</var>of individuals who have chronically lived unsheltered, providing 24-hour-per-day supervision.<br />
         		<a id="pl.107.19"></a><var>107.19</var>&#160;&#160;&#160;&#160;(b) An individual who has lived in one of the facilities under paragraph (a), who
         is being <br />
         		<a id="pl.107.20"></a><var>107.20</var>transitioned to independent living as part of the program plan continues to be eligible
         for <br />
         		<a id="pl.107.21"></a><var>107.21</var>group residential housing room and board and the supplemental service rate negotiated with <br />
         		<a id="pl.107.22"></a><var>107.22</var>the county under paragraph (a).<br />
         		<br />
         		<a id="bill.2.34.0"></a><a id="pl.107.23"></a><var>107.23</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 256I.05, is amended by adding a subdivision <br />
         		<a id="pl.107.24"></a><var>107.24</var>to read:<br />
         		<a id="pl.107.25"></a><var>107.25</var>&#160;&#160;&#160;&#160;Subd. 1p. <b>Supplementary rate; St. Louis County.</b> Notwithstanding the provisions of <br />
         		<a id="pl.107.26"></a><var>107.26</var>subdivisions 1a and 1c, beginning July 1, 2017, a county agency shall negotiate a
         <br />
         		<a id="pl.107.27"></a><var>107.27</var>supplementary rate in addition to the rate specified in subdivision 1, not to exceed
         $700 per <br />
         		<a id="pl.107.28"></a><var>107.28</var>month, including any legislatively authorized inflationary adjustments, for a housing
         support <br />
         		<a id="pl.107.29"></a><var>107.29</var>provider that:<br />
         		<a id="pl.107.30"></a><var>107.30</var>(1) is located in St. Louis County and has had a housing support contract with the
         county <br />
         		<a id="pl.107.31"></a><var>107.31</var>since July 2016;<br />
         		<a id="pl.107.32"></a><var>107.32</var>(2) operates a 35-bed facility;<br />
         		<a id="pl.108.1"></a><var>108.1</var>(3) serves women who are chemically dependent, mentally ill, or both;<br />
         		<a id="pl.108.2"></a><var>108.2</var>(4) provides 24-hour per day supervision;<br />
         		<a id="pl.108.3"></a><var>108.3</var>(5) provides on-site support with skilled professionals, including a licensed practical
         <br />
         		<a id="pl.108.4"></a><var>108.4</var>nurse, registered nurses, peer specialists, and resident counselors; and<br />
         		<a id="pl.108.5"></a><var>108.5</var>(6) provides independent living skills training and assistance with family reunification.<br />
         		<br />
         		<a id="bill.2.35.0"></a><a id="pl.108.6"></a><var>108.6</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 256I.05, is amended by adding a subdivision <br />
         		<a id="pl.108.7"></a><var>108.7</var>to read:<br />
         		<a id="pl.108.8"></a><var>108.8</var>&#160;&#160;&#160;&#160;Subd. 1q. <b>Supplemental rate; Olmsted County.</b> Notwithstanding the provisions of <br />
         		<a id="pl.108.9"></a><var>108.9</var>subdivisions 1a and 1c, beginning July 1, 2017, a county agency shall negotiate a
         <br />
         		<a id="pl.108.10"></a><var>108.10</var>supplementary rate in addition to the rate specified in subdivision 1, not to exceed
         $750 per <br />
         		<a id="pl.108.11"></a><var>108.11</var>month, including any legislatively authorized inflationary adjustments, for a housing
         support <br />
         		<a id="pl.108.12"></a><var>108.12</var>provider located in Olmsted County that operates long-term residential facilities
         with a total <br />
         		<a id="pl.108.13"></a><var>108.13</var>of 104 beds that serve chemically dependent men and women and provide 24-hour-a-day
         <br />
         		<a id="pl.108.14"></a><var>108.14</var>supervision and other support services.<br />
         		<br />
         		<a id="bill.2.36.0"></a><a id="pl.108.15"></a><var>108.15</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 256I.05, is amended by adding a subdivision <br />
         		<a id="pl.108.16"></a><var>108.16</var>to read:<br />
         		<a id="pl.108.17"></a><var>108.17</var>&#160;&#160;&#160;&#160;Subd. 1r. <b>Supplemental rate; Anoka County.</b> Notwithstanding the provisions in this <br />
         		<a id="pl.108.18"></a><var>108.18</var>section, a county agency shall negotiate a supplemental rate for 42 beds in addition
         to the <br />
         		<a id="pl.108.19"></a><var>108.19</var>rate specified in subdivision 1, not to exceed the maximum rate allowed under subdivision
         <br />
         		<a id="pl.108.20"></a><var>108.20</var>1a, including any legislatively authorized inflationary adjustments, for a housing
         support <br />
         		<a id="pl.108.21"></a><var>108.21</var>provider that is located in Anoka County and provides emergency housing on the former
         <br />
         		<a id="pl.108.22"></a><var>108.22</var>Anoka Regional Treatment Center campus.<br />
         		<br />
         		<a id="bill.2.37.0"></a><a id="pl.108.23"></a><var>108.23</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 256I.05, is amended by adding a subdivision <br />
         		<a id="pl.108.24"></a><var>108.24</var>to read:<br />
         		<a id="pl.108.25"></a><var>108.25</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Transfer of emergency shelter funds.</b> (a) The commissioner shall make a <br />
         		<a id="pl.108.26"></a><var>108.26</var>cost-neutral transfer of funding from the housing support fund to county human service
         <br />
         		<a id="pl.108.27"></a><var>108.27</var>agencies for emergency shelter beds removed from the housing support census under
         a <br />
         		<a id="pl.108.28"></a><var>108.28</var>biennial plan submitted by the county and approved by the commissioner. The plan must
         <br />
         		<a id="pl.108.29"></a><var>108.29</var>describe: (1) anticipated and actual outcomes for persons experiencing homelessness
         in <br />
         		<a id="pl.108.30"></a><var>108.30</var>emergency shelters; (2) improved efficiencies in administration; (3) requirements
         for <br />
         		<a id="pl.108.31"></a><var>108.31</var>individual eligibility; and (4) plans for quality assurance monitoring and quality
         assurance <br />
         		<a id="pl.109.1"></a><var>109.1</var>outcomes. The commissioner shall review the county plan to monitor implementation
         and <br />
         		<a id="pl.109.2"></a><var>109.2</var>outcomes at least biennially, and more frequently if the commissioner deems necessary.<br />
         		<a id="pl.109.3"></a><var>109.3</var>(b) The funding under paragraph (a) may be used for the provision of room and board
         <br />
         		<a id="pl.109.4"></a><var>109.4</var>or supplemental services according to section 256I.03, subdivisions 2 and 8. Providers
         must <br />
         		<a id="pl.109.5"></a><var>109.5</var>meet the requirements of section 256I.04, subdivisions 2a to 2f. Funding must be allocated
         <br />
         		<a id="pl.109.6"></a><var>109.6</var>annually, and the room and board portion of the allocation shall be adjusted according
         to <br />
         		<a id="pl.109.7"></a><var>109.7</var>the percentage change in the housing support room and board rate. The room and board
         <br />
         		<a id="pl.109.8"></a><var>109.8</var>portion of the allocation shall be determined at the time of transfer. The commissioner
         or <br />
         		<a id="pl.109.9"></a><var>109.9</var>county may return beds to the housing support fund with 180 days' notice, including
         financial <br />
         		<a id="pl.109.10"></a><var>109.10</var>reconciliation.<br />
         		<a id="pl.109.11"></a><var>109.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.2.38.0"></a><a id="pl.109.12"></a><var>109.12</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 256I.06, subdivision 2, is amended to read:<br />
         		<a id="pl.109.13"></a><var>109.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Time of payment.</b> A county agency may make payments to a group residence <br />
         		<a id="pl.109.14"></a><var>109.14</var>in advance for an individual whose stay in the group residence is expected to last beyond <br />
         		<a id="pl.109.15"></a><var>109.15</var>the calendar month for which the payment is made. Group residential Housing support <br />
         		<a id="pl.109.16"></a><var>109.16</var>payments made by a county agency on behalf of an individual who is not expected to
         remain <br />
         		<a id="pl.109.17"></a><var>109.17</var>in the group residence beyond the month for which payment is made must be made <br />
         		<a id="pl.109.18"></a><var>109.18</var>subsequent to the individual's departure from the group residence.<br />
         		<a id="pl.109.19"></a><var>109.19</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.2.39.0"></a><a id="pl.109.20"></a><var>109.20</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2016, section 256I.06, subdivision 8, is amended to read:<br />
         		<a id="pl.109.21"></a><var>109.21</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Amount of </b><b>group residential</b><b> housing</b><b> support</b><b> payment.</b> (a) The amount of <br />
         		<a id="pl.109.22"></a><var>109.22</var>a group residential housing room and board payment to be made on behalf of an eligible <br />
         		<a id="pl.109.23"></a><var>109.23</var>individual is determined by subtracting the individual's countable income under section
         <br />
         		
         <statute_ref><a id="pl.109.24"></a><var>109.24</var>256I.04, subdivision 1
         </statute_ref>, for a whole calendar month from the group residential housing <br />
         		<a id="pl.109.25"></a><var>109.25</var>charge room and board rate for that same month. The group residential housing charge <br />
         		<a id="pl.109.26"></a><var>109.26</var>support payment is determined by multiplying the group residential housing support rate <br />
         		<a id="pl.109.27"></a><var>109.27</var>times the period of time the individual was a resident or temporarily absent under
         section <br />
         		
         <statute_ref><a id="pl.109.28"></a><var>109.28</var>256I.05, subdivision 1c
         </statute_ref>, paragraph (d).<br />
         		<a id="pl.109.29"></a><var>109.29</var>(b) For an individual with earned income under paragraph (a), prospective budgeting
         <br />
         		<a id="pl.109.30"></a><var>109.30</var>must be used to determine the amount of the individual's payment for the following
         six-month <br />
         		<a id="pl.109.31"></a><var>109.31</var>period. An increase in income shall not affect an individual's eligibility or payment
         amount <br />
         		<a id="pl.110.1"></a><var>110.1</var>until the month following the reporting month. A decrease in income shall be effective
         the <br />
         		<a id="pl.110.2"></a><var>110.2</var>first day of the month after the month in which the decrease is reported.<br />
         		<a id="pl.110.3"></a><var>110.3</var>(c) For an individual who receives licensed residential crisis stabilization services
         under <br />
         		<a id="pl.110.4"></a><var>110.4</var>section 256B.0624, subdivision 7, the amount of housing support payment is determined
         <br />
         		<a id="pl.110.5"></a><var>110.5</var>by multiplying the housing support rate times the period of time the individual was
         a resident.<br />
         		<a id="pl.110.6"></a><var>110.6</var><b>EFFECTIVE DATE.</b>Paragraph (c) is effective October 1, 2017.<br />
         		<br />
         		<a id="bill.2.40.0"></a><a id="pl.110.7"></a><var>110.7</var>&#160;&#160;&#160;&#160;Sec. 40. <b>[256I.09] COMMUNITY LIVING INFRASTRUCTURE.</b><br />
         		<a id="pl.110.8"></a><var>110.8</var>The commissioner shall awards grants to agencies through an annual competitive process.
         <br />
         		<a id="pl.110.9"></a><var>110.9</var>Grants awarded under this section may be used for: (1) outreach to locate and engage
         people <br />
         		<a id="pl.110.10"></a><var>110.10</var>who are homeless or residing in segregated settings to screen for basic needs and
         assist with <br />
         		<a id="pl.110.11"></a><var>110.11</var>referral to community living resources; (2) building capacity to provide technical
         assistance <br />
         		<a id="pl.110.12"></a><var>110.12</var>and consultation on housing and related support service resources for persons with
         both <br />
         		<a id="pl.110.13"></a><var>110.13</var>disabilities and low income; or (3) streamlining the administration and monitoring
         activities <br />
         		<a id="pl.110.14"></a><var>110.14</var>related to housing support funds. Agencies may collaborate and submit a joint application
         <br />
         		<a id="pl.110.15"></a><var>110.15</var>for funding under this section.<br />
         		<br />
         		<a id="bill.2.41.0"></a><a id="pl.110.16"></a><var>110.16</var>&#160;&#160;&#160;&#160;Sec. 41. <b>DIRECTION TO COMMISSIONER; HOUSING SUPPORT STUDY.</b><br />
         		<a id="pl.110.17"></a><var>110.17</var>Within available appropriations, the commissioner of human services shall study the
         <br />
         		<a id="pl.110.18"></a><var>110.18</var>housing support supplementary service rates under Minnesota Statutes, section 256I.05,
         <br />
         		<a id="pl.110.19"></a><var>110.19</var>and make recommendations on the supplementary service rate structure to the chairs
         and <br />
         		<a id="pl.110.20"></a><var>110.20</var>ranking minority members of the legislative committees with jurisdiction over human
         <br />
         		<a id="pl.110.21"></a><var>110.21</var>services policy and finance by January 15, 2018.<br />
         		<br />
         		<a id="bill.2.42.0"></a><a id="pl.110.22"></a><var>110.22</var>&#160;&#160;&#160;&#160;Sec. 42. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.110.23"></a><var>110.23</var>In each section of Minnesota Statutes referred to in column A, the revisor of statutes
         <br />
         		<a id="pl.110.24"></a><var>110.24</var>shall change the phrase in column B to the phrase in column C. The revisor may make
         <br />
         		<a id="pl.110.25"></a><var>110.25</var>technical and other necessary changes to sentence structure to preserve the meaning
         of the <br />
         		<a id="pl.110.26"></a><var>110.26</var>text. The revisor shall make other changes in chapter titles; section, subdivision,
         part, and <br />
         		<a id="pl.110.27"></a><var>110.27</var>subpart headnotes; and in other terminology necessary as a result of the enactment
         of this <br />
         		<a id="pl.110.28"></a><var>110.28</var>section.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="22"></col>
            <col width="21.5"></col>
            <tr>
               <td><a id="pl.110.29"></a><var>110.29</var><br />
                  		
               </td>
               <td valign="top">Column A<br />
                  		
               </td>
               <td valign="top">Column B<br />
                  		
               </td>
               <td valign="top">Column C<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.110.30"></a><var>110.30</var><br />
                  		<a id="pl.110.31"></a><var>110.31</var><br />
                  		
               </td>
               <td valign="top">144A.071, subdivision 4d<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.110.32"></a><var>110.32</var><br />
                  		<a id="pl.110.33"></a><var>110.33</var><br />
                  		
               </td>
               <td valign="top">201.061, subdivision 3<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">setting authorized to provide <br />
                  		housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.1"></a><var>111.1</var><br />
                  		<a id="pl.111.2"></a><var>111.2</var><br />
                  		<a id="pl.111.3"></a><var>111.3</var><br />
                  		
               </td>
               <td valign="top">244.052, subdivision 4c<br />
                  		
               </td>
               <td valign="top">group residential housing <br />
                  		facility<br />
                  		
               </td>
               <td valign="top">licensed setting authorized to <br />
                  		provide housing support <br />
                  		under section 256I.04<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.4"></a><var>111.4</var><br />
                  		<a id="pl.111.5"></a><var>111.5</var><br />
                  		
               </td>
               <td valign="top">245.466, subdivision 7<br />
                  		
               </td>
               <td valign="top">under group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">by housing support under <br />
                  		chapter 256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.6"></a><var>111.6</var><br />
                  		
               </td>
               <td valign="top">245.466, subdivision 7<br />
                  		
               </td>
               <td valign="top">from group residential housing<br />
                  		
               </td>
               <td valign="top">from housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.7"></a><var>111.7</var><br />
                  		<a id="pl.111.8"></a><var>111.8</var><br />
                  		
               </td>
               <td valign="top">245.4661, subdivision 6<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.9"></a><var>111.9</var><br />
                  		<a id="pl.111.10"></a><var>111.10</var><br />
                  		
               </td>
               <td valign="top">245C.10, subdivision 11<br />
                  		
               </td>
               <td valign="top">group residential housing or <br />
                  		supplementary services<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.11"></a><var>111.11</var><br />
                  		<a id="pl.111.12"></a><var>111.12</var><br />
                  		
               </td>
               <td valign="top">256.01, subdivision 18<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.13"></a><var>111.13</var><br />
                  		
               </td>
               <td valign="top">256.017, subdivision 1<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.14"></a><var>111.14</var><br />
                  		<a id="pl.111.15"></a><var>111.15</var><br />
                  		
               </td>
               <td valign="top">256.98, subdivision 8<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.16"></a><var>111.16</var><br />
                  		<a id="pl.111.17"></a><var>111.17</var><br />
                  		
               </td>
               <td valign="top">256B.49, subdivision 15<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.18"></a><var>111.18</var><br />
                  		<a id="pl.111.19"></a><var>111.19</var><br />
                  		
               </td>
               <td valign="top">256B.4914, subdivision 10<br />
                  		
               </td>
               <td valign="top">group residential housing rate <br />
                  		3 costs<br />
                  		
               </td>
               <td valign="top">housing support rate 3 costs <br />
                  		under chapter 256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.20"></a><var>111.20</var><br />
                  		
               </td>
               <td valign="top">256B.501, subdivision 4b<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.21"></a><var>111.21</var><br />
                  		<a id="pl.111.22"></a><var>111.22</var><br />
                  		<a id="pl.111.23"></a><var>111.23</var><br />
                  		
               </td>
               <td valign="top">256B.77, subdivision 12<br />
                  		
               </td>
               <td valign="top">residential services covered <br />
                  		under the group residential <br />
                  		housing program<br />
                  		
               </td>
               <td valign="top">housing support services <br />
                  		under chapter 256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.24"></a><var>111.24</var><br />
                  		<a id="pl.111.25"></a><var>111.25</var><br />
                  		
               </td>
               <td valign="top">256D.44, subdivision 2<br />
                  		
               </td>
               <td valign="top">group residential housing <br />
                  		facility<br />
                  		
               </td>
               <td valign="top">setting authorized to provide <br />
                  		housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.26"></a><var>111.26</var><br />
                  		<a id="pl.111.27"></a><var>111.27</var><br />
                  		
               </td>
               <td valign="top">256G.01, subdivision 3<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support under chapter <br />
                  		256I<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.28"></a><var>111.28</var><br />
                  		
               </td>
               <td valign="top">256I.01<br />
                  		
               </td>
               <td valign="top">Group Residential Housing<br />
                  		
               </td>
               <td valign="top">Housing Support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.29"></a><var>111.29</var><br />
                  		
               </td>
               <td valign="top">256I.02<br />
                  		
               </td>
               <td valign="top">Group Residential Housing<br />
                  		
               </td>
               <td valign="top">Housing Support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.30"></a><var>111.30</var><br />
                  		
               </td>
               <td valign="top">256I.03, subdivision 2<br />
                  		
               </td>
               <td valign="top">"Group residential housing"<br />
                  		
               </td>
               <td valign="top">"Room and board"<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.31"></a><var>111.31</var><br />
                  		
               </td>
               <td valign="top">256I.03, subdivision 2<br />
                  		
               </td>
               <td valign="top">Group residential housing<br />
                  		
               </td>
               <td valign="top">The room and board<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.32"></a><var>111.32</var><br />
                  		
               </td>
               <td valign="top">256I.03, subdivision 3<br />
                  		
               </td>
               <td valign="top">"Group residential housing"<br />
                  		
               </td>
               <td valign="top">"Housing support"<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.33"></a><var>111.33</var><br />
                  		
               </td>
               <td valign="top">256I.03, subdivision 6<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">room and board<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.34"></a><var>111.34</var><br />
                  		
               </td>
               <td valign="top">256I.03, subdivisions 7 and 9<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.35"></a><var>111.35</var><br />
                  		<a id="pl.111.36"></a><var>111.36</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivisions 1a, 1b, <br />
                  		1c, and 2<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.37"></a><var>111.37</var><br />
                  		<a id="pl.111.38"></a><var>111.38</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2a<br />
                  		
               </td>
               <td valign="top">provide group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">provide housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.39"></a><var>111.39</var><br />
                  		<a id="pl.111.40"></a><var>111.40</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2a<br />
                  		
               </td>
               <td valign="top">of group residential housing <br />
                  		or supplementary services<br />
                  		
               </td>
               <td valign="top">of housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.41"></a><var>111.41</var><br />
                  		<a id="pl.111.42"></a><var>111.42</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2a<br />
                  		
               </td>
               <td valign="top">complete group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">complete housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.111.43"></a><var>111.43</var><br />
                  		<a id="pl.111.44"></a><var>111.44</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2b<br />
                  		
               </td>
               <td valign="top">group residential housing or <br />
                  		supplementary services<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.1"></a><var>112.1</var><br />
                  		<a id="pl.112.2"></a><var>112.2</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2b<br />
                  		
               </td>
               <td valign="top">provision of group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">provision of housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.3"></a><var>112.3</var><br />
                  		<a id="pl.112.4"></a><var>112.4</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2c<br />
                  		
               </td>
               <td valign="top">group residential housing or <br />
                  		supplementary services<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.5"></a><var>112.5</var><br />
                  		<a id="pl.112.6"></a><var>112.6</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 2e<br />
                  		
               </td>
               <td valign="top">group residential housing or <br />
                  		supplementary services<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.7"></a><var>112.7</var><br />
                  		<a id="pl.112.8"></a><var>112.8</var><br />
                  		
               </td>
               <td valign="top">256I.04, subdivision 4<br />
                  		
               </td>
               <td valign="top">group residential housing <br />
                  		payment for room and board<br />
                  		
               </td>
               <td valign="top">room and board rate<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.9"></a><var>112.9</var><br />
                  		<a id="pl.112.10"></a><var>112.10</var><br />
                  		
               </td>
               <td valign="top">256I.05, subdivision 1<br />
                  		
               </td>
               <td valign="top">living in group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">receiving housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.11"></a><var>112.11</var><br />
                  		<a id="pl.112.12"></a><var>112.12</var><br />
                  		
               </td>
               <td valign="top">256I.05, subdivisions 1h, 1k, <br />
                  		1l, 7b, and 7c<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.13"></a><var>112.13</var><br />
                  		
               </td>
               <td valign="top">256I.05, subdivision 2<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">room and board<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.14"></a><var>112.14</var><br />
                  		
               </td>
               <td valign="top">256I.05, subdivision 3<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">room and board<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.15"></a><var>112.15</var><br />
                  		<a id="pl.112.16"></a><var>112.16</var><br />
                  		
               </td>
               <td valign="top">256I.05, subdivision 6<br />
                  		
               </td>
               <td valign="top">reside in group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">receive housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.17"></a><var>112.17</var><br />
                  		<a id="pl.112.18"></a><var>112.18</var><br />
                  		
               </td>
               <td valign="top">256I.06, subdivisions 1, 3, 4, <br />
                  		and 6<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.19"></a><var>112.19</var><br />
                  		
               </td>
               <td valign="top">256I.06, subdivision 7<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">the housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.20"></a><var>112.20</var><br />
                  		
               </td>
               <td valign="top">256I.08<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.21"></a><var>112.21</var><br />
                  		
               </td>
               <td valign="top">256P.03, subdivision 1<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.22"></a><var>112.22</var><br />
                  		
               </td>
               <td valign="top">256P.05, subdivision 1<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.23"></a><var>112.23</var><br />
                  		
               </td>
               <td valign="top">256P.07, subdivision 1<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.24"></a><var>112.24</var><br />
                  		
               </td>
               <td valign="top">256P.08, subdivision 1<br />
                  		
               </td>
               <td valign="top">group residential housing<br />
                  		
               </td>
               <td valign="top">housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.25"></a><var>112.25</var><br />
                  		<a id="pl.112.26"></a><var>112.26</var><br />
                  		
               </td>
               <td valign="top">290A.03, subdivision 8<br />
                  		
               </td>
               <td valign="top">accepts group residential <br />
                  		housing<br />
                  		
               </td>
               <td valign="top">accepts housing support<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.112.27"></a><var>112.27</var><br />
                  		<a id="pl.112.28"></a><var>112.28</var><br />
                  		
               </td>
               <td valign="top">290A.03, subdivision 8<br />
                  		
               </td>
               <td valign="top">the group residential housing <br />
                  		program<br />
                  		
               </td>
               <td valign="top">the housing support program<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.3.0.0"></a><div class="xtend_ce"><a id="pl.112.29"></a><var>112.29</var><b>ARTICLE 3</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.112.30"></a><var>112.30</var><b>CONTINUING CARE</b><br />
            		
         </div><br />
         		<a id="bill.3.1.0"></a><a id="pl.112.31"></a><var>112.31</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 144.0724, subdivision 4, is amended to read:<br />
         		<a id="pl.112.32"></a><var>112.32</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Resident assessment schedule.</b> (a) A facility must conduct and electronically <br />
         		<a id="pl.112.33"></a><var>112.33</var>submit to the commissioner of health MDS assessments that conform with the assessment
         <br />
         		<a id="pl.112.34"></a><var>112.34</var>schedule defined by Code of Federal Regulations, title 42, section 483.20, and published
         <br />
         		<a id="pl.112.35"></a><var>112.35</var>by the United States Department of Health and Human Services, Centers for Medicare
         and <br />
         		<a id="pl.112.36"></a><var>112.36</var>Medicaid Services, in the Long Term Care Assessment Instrument User's Manual, version
         <br />
         		<a id="pl.112.37"></a><var>112.37</var>3.0, and subsequent updates when issued by the Centers for Medicare and Medicaid Services.
         <br />
         		<a id="pl.112.38"></a><var>112.38</var>The commissioner of health may substitute successor manuals or question and answer
         <br />
         		<a id="pl.112.39"></a><var>112.39</var>documents published by the United States Department of Health and Human Services,
         <br />
         		<a id="pl.113.1"></a><var>113.1</var>Centers for Medicare and Medicaid Services, to replace or supplement the current version
         <br />
         		<a id="pl.113.2"></a><var>113.2</var>of the manual or document.<br />
         		<a id="pl.113.3"></a><var>113.3</var>(b) The assessments used to determine a case mix classification for reimbursement
         <br />
         		<a id="pl.113.4"></a><var>113.4</var>include the following:<br />
         		<a id="pl.113.5"></a><var>113.5</var>(1) a new admission assessment;<br />
         		<a id="pl.113.6"></a><var>113.6</var>(2) an annual assessment which must have an assessment reference date (ARD) within
         <br />
         		<a id="pl.113.7"></a><var>113.7</var>92 days of the previous assessment and the previous comprehensive assessment;<br />
         		<a id="pl.113.8"></a><var>113.8</var>(3) a significant change in status assessment must be completed within 14 days of
         the <br />
         		<a id="pl.113.9"></a><var>113.9</var>identification of a significant change, whether improvement or decline, and regardless of <br />
         		<a id="pl.113.10"></a><var>113.10</var>the amount of time since the last significant change in status assessment;<br />
         		<a id="pl.113.11"></a><var>113.11</var>(4) all quarterly assessments must have an assessment reference date (ARD) within
         92 <br />
         		<a id="pl.113.12"></a><var>113.12</var>days of the ARD of the previous assessment;<br />
         		<a id="pl.113.13"></a><var>113.13</var>(5) any significant correction to a prior comprehensive assessment, if the assessment
         <br />
         		<a id="pl.113.14"></a><var>113.14</var>being corrected is the current one being used for RUG classification; and<br />
         		<a id="pl.113.15"></a><var>113.15</var>(6) any significant correction to a prior quarterly assessment, if the assessment
         being <br />
         		<a id="pl.113.16"></a><var>113.16</var>corrected is the current one being used for RUG classification.<br />
         		<a id="pl.113.17"></a><var>113.17</var>(c) In addition to the assessments listed in paragraph (b), the assessments used to
         <br />
         		<a id="pl.113.18"></a><var>113.18</var>determine nursing facility level of care include the following:<br />
         		<a id="pl.113.19"></a><var>113.19</var>(1) preadmission screening completed under section 
         <statute_ref>256.975, subdivisions 7a</statute_ref> to 7c, by <br />
         		<a id="pl.113.20"></a><var>113.20</var>the Senior LinkAge Line or other organization under contract with the Minnesota Board
         on <br />
         		<a id="pl.113.21"></a><var>113.21</var>Aging; and<br />
         		<a id="pl.113.22"></a><var>113.22</var>(2) a nursing facility level of care determination as provided for under section 
         <statute_ref>256B.0911, <br />
            		<a id="pl.113.23"></a><var>113.23</var>subdivision 4e
         </statute_ref>, as part of a face-to-face long-term care consultation assessment completed <br />
         		<a id="pl.113.24"></a><var>113.24</var>under section 
         <statute_ref>256B.0911</statute_ref>, by a county, tribe, or managed care organization under contract <br />
         		<a id="pl.113.25"></a><var>113.25</var>with the Department of Human Services.<br />
         		<br />
         		<a id="bill.3.2.0"></a><a id="pl.113.26"></a><var>113.26</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 144.0724, subdivision 6, is amended to read:<br />
         		<a id="pl.113.27"></a><var>113.27</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Penalties for late or nonsubmission.</b> (a) A facility that fails to complete or <br />
         		<a id="pl.113.28"></a><var>113.28</var>submit an assessment according to subdivisions 4 and 5 for a RUG-IV classification
         within <br />
         		<a id="pl.113.29"></a><var>113.29</var>seven days of the time requirements listed in the Long-Term Care Facility Resident
         <br />
         		<a id="pl.113.30"></a><var>113.30</var>Assessment Instrument User's Manual is subject to a reduced rate for that resident.
         The <br />
         		<a id="pl.113.31"></a><var>113.31</var>reduced rate shall be the lowest rate for that facility. The reduced rate is effective
         on the <br />
         		<a id="pl.113.32"></a><var>113.32</var>day of admission for new admission assessments, on the ARD for significant change
         in <br />
         		<a id="pl.114.1"></a><var>114.1</var>status assessments, or on the day that the assessment was due for all other assessments
         and <br />
         		<a id="pl.114.2"></a><var>114.2</var>continues in effect until the first day of the month following the date of submission
         and <br />
         		<a id="pl.114.3"></a><var>114.3</var>acceptance of the resident's assessment.<br />
         		<a id="pl.114.4"></a><var>114.4</var>&#160;&#160;&#160;&#160;(b) If loss of revenue due to penalties incurred by a facility for any period of 92
         days <br />
         		<a id="pl.114.5"></a><var>114.5</var>are equal to or greater than 1.0 0.1 percent of the total operating costs on the facility's most <br />
         		<a id="pl.114.6"></a><var>114.6</var>recent annual statistical and cost report, a facility may apply to the commissioner
         of human <br />
         		<a id="pl.114.7"></a><var>114.7</var>services for a reduction in the total penalty amount. The commissioner of human services,
         <br />
         		<a id="pl.114.8"></a><var>114.8</var>in consultation with the commissioner of health, may, at the sole discretion of the
         <br />
         		<a id="pl.114.9"></a><var>114.9</var>commissioner of human services, limit the penalty for residents covered by medical
         assistance <br />
         		<a id="pl.114.10"></a><var>114.10</var>to 15 ten days.<br />
         		<a id="pl.114.11"></a><var>114.11</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.3.0"></a><a id="pl.114.12"></a><var>114.12</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 144.562, subdivision 2, is amended to read:<br />
         		<a id="pl.114.13"></a><var>114.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Eligibility for license condition.</b> (a) A hospital is not eligible to receive a <br />
         		<a id="pl.114.14"></a><var>114.14</var>license condition for swing beds unless (1) it either has a licensed bed capacity
         of less than <br />
         		<a id="pl.114.15"></a><var>114.15</var>50 beds defined in the federal Medicare regulations, Code of Federal Regulations,
         title 42, <br />
         		<a id="pl.114.16"></a><var>114.16</var>section 482.66, or it has a licensed bed capacity of 50 beds or more and has swing
         beds that <br />
         		<a id="pl.114.17"></a><var>114.17</var>were approved for Medicare reimbursement before May 1, 1985, or it has a licensed
         bed <br />
         		<a id="pl.114.18"></a><var>114.18</var>capacity of less than 65 beds and the available nursing homes within 50 miles have
         had, in <br />
         		<a id="pl.114.19"></a><var>114.19</var>the aggregate, an average occupancy rate of 96 percent or higher in the most recent
         two <br />
         		<a id="pl.114.20"></a><var>114.20</var>years as documented on the statistical reports to the Department of Health; and (2)
         it is <br />
         		<a id="pl.114.21"></a><var>114.21</var>located in a rural area as defined in the federal Medicare regulations, Code of Federal
         <br />
         		<a id="pl.114.22"></a><var>114.22</var>Regulations, title 42, section 482.66.<br />
         		<a id="pl.114.23"></a><var>114.23</var>(b) Except for those critical access hospitals established under section 
         <statute_ref>144.1483</statute_ref>, clause <br />
         		<a id="pl.114.24"></a><var>114.24</var>(9), and section 1820 of the federal Social Security Act, United States Code, title
         42, section <br />
         		<a id="pl.114.25"></a><var>114.25</var>1395i-4, that have an attached nursing home or that owned a nursing home located in
         the <br />
         		<a id="pl.114.26"></a><var>114.26</var>same municipality as of May 1, 2005, eligible hospitals are allowed a total of 2,000
         days <br />
         		<a id="pl.114.27"></a><var>114.27</var>of swing bed use per year. Critical access hospitals that have an attached nursing
         home or <br />
         		<a id="pl.114.28"></a><var>114.28</var>that owned a nursing home located in the same municipality as of May 1, 2005, are
         allowed <br />
         		<a id="pl.114.29"></a><var>114.29</var>swing bed use as provided in federal law.<br />
         		<a id="pl.114.30"></a><var>114.30</var>(c) Except for critical access hospitals that have an attached nursing home or that
         owned <br />
         		<a id="pl.114.31"></a><var>114.31</var>a nursing home located in the same municipality as of May 1, 2005, the commissioner
         of <br />
         		<a id="pl.114.32"></a><var>114.32</var>health may approve swing bed use beyond 2,000 days as long as there are no Medicare
         <br />
         		<a id="pl.114.33"></a><var>114.33</var>certified skilled nursing facility beds available within 25 miles of that hospital
         that are <br />
         		<a id="pl.114.34"></a><var>114.34</var>willing to admit the patient and the patient agrees to the referral being sent to the skilled <br />
         		<a id="pl.115.1"></a><var>115.1</var>nursing facility. Critical access hospitals exceeding 2,000 swing bed days must maintain <br />
         		<a id="pl.115.2"></a><var>115.2</var>documentation that they have contacted skilled nursing facilities within 25 miles
         to determine <br />
         		<a id="pl.115.3"></a><var>115.3</var>if any skilled nursing facility beds are available that are willing to admit the patient and the <br />
         		<a id="pl.115.4"></a><var>115.4</var>patient agrees to the referral being sent to the skilled nursing facility.<br />
         		<a id="pl.115.5"></a><var>115.5</var>(d) After reaching 2,000 days of swing bed use in a year, an eligible hospital to
         which <br />
         		<a id="pl.115.6"></a><var>115.6</var>this limit applies may admit six additional patients to swing beds each year without
         seeking <br />
         		<a id="pl.115.7"></a><var>115.7</var>approval from the commissioner or being in violation of this subdivision. These six
         swing <br />
         		<a id="pl.115.8"></a><var>115.8</var>bed admissions are exempt from the limit of 2,000 annual swing bed days for hospitals
         <br />
         		<a id="pl.115.9"></a><var>115.9</var>subject to this limit.<br />
         		<a id="pl.115.10"></a><var>115.10</var>(e) A health care system that is in full compliance with this subdivision may allocate
         its <br />
         		<a id="pl.115.11"></a><var>115.11</var>total limit of swing bed days among the hospitals within the system, provided that
         no hospital <br />
         		<a id="pl.115.12"></a><var>115.12</var>in the system without an attached nursing home may exceed 2,000 swing bed days per
         year.<br />
         		<br />
         		<a id="bill.3.4.0"></a><a id="pl.115.13"></a><var>115.13</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 144A.071, subdivision 4d, is amended to read:<br />
         		<a id="pl.115.14"></a><var>115.14</var>&#160;&#160;&#160;&#160;Subd. 4d. <b>Consolidation of nursing facilities.</b> (a) The commissioner of health, in <br />
         		<a id="pl.115.15"></a><var>115.15</var>consultation with the commissioner of human services, may approve a request for <br />
         		<a id="pl.115.16"></a><var>115.16</var>consolidation of nursing facilities which includes the closure of one or more facilities
         and <br />
         		<a id="pl.115.17"></a><var>115.17</var>the upgrading of the physical plant of the remaining nursing facility or facilities,
         the costs <br />
         		<a id="pl.115.18"></a><var>115.18</var>of which exceed the threshold project limit under subdivision 2, clause (a). The <br />
         		<a id="pl.115.19"></a><var>115.19</var>commissioners shall consider the criteria in this section, section 
         <statute_ref>144A.073</statute_ref>, and section <br />
         		
         <statute_ref><a id="pl.115.20"></a><var>115.20</var>256B.437
         </statute_ref> 256R.40, in approving or rejecting a consolidation proposal. In the event the <br />
         		<a id="pl.115.21"></a><var>115.21</var>commissioners approve the request, the commissioner of human services shall calculate
         an <br />
         		<a id="pl.115.22"></a><var>115.22</var>external fixed costs rate adjustment according to clauses (1) to (3):<br />
         		<a id="pl.115.23"></a><var>115.23</var>(1) the closure of beds shall not be eligible for a planned closure rate adjustment
         under <br />
         		<a id="pl.115.24"></a><var>115.24</var>section 
         <statute_ref>256B.437, subdivision 6</statute_ref> 256R.40, subdivision 5;<br />
         		<a id="pl.115.25"></a><var>115.25</var>(2) the construction project permitted in this clause shall not be eligible for a
         threshold <br />
         		<a id="pl.115.26"></a><var>115.26</var>project rate adjustment under section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>, or a moratorium exception <br />
         		<a id="pl.115.27"></a><var>115.27</var>adjustment under section 
         <statute_ref>144A.073</statute_ref>; and<br />
         		<a id="pl.115.28"></a><var>115.28</var>(3) the payment rate for external fixed costs for a remaining facility or facilities
         shall <br />
         		<a id="pl.115.29"></a><var>115.29</var>be increased by an amount equal to 65 percent of the projected net cost savings to
         the state <br />
         		<a id="pl.115.30"></a><var>115.30</var>calculated in paragraph (b), divided by the state's medical assistance percentage
         of medical <br />
         		<a id="pl.115.31"></a><var>115.31</var>assistance dollars, and then divided by estimated medical assistance resident days,
         as <br />
         		<a id="pl.115.32"></a><var>115.32</var>determined in paragraph (c), of the remaining nursing facility or facilities in the
         request in <br />
         		<a id="pl.115.33"></a><var>115.33</var>this paragraph. The rate adjustment is effective on the later of the first day of the month <br />
         		<a id="pl.116.1"></a><var>116.1</var>following first day of the month of January or July, whichever date occurs first following <br />
         		<a id="pl.116.2"></a><var>116.2</var>both the completion of the construction upgrades in the consolidation plan or the first day <br />
         		<a id="pl.116.3"></a><var>116.3</var>of the month following and the complete closure of a facility closure of the facility or <br />
         		<a id="pl.116.4"></a><var>116.4</var>facilities designated for closure in the consolidation plan. If more than one facility is receiving
         <br />
         		<a id="pl.116.5"></a><var>116.5</var>upgrades in the consolidation plan, each facility's date of construction completion
         must be <br />
         		<a id="pl.116.6"></a><var>116.6</var>evaluated separately.<br />
         		<a id="pl.116.7"></a><var>116.7</var>(b) For purposes of calculating the net cost savings to the state, the commissioner
         shall <br />
         		<a id="pl.116.8"></a><var>116.8</var>consider clauses (1) to (7):<br />
         		<a id="pl.116.9"></a><var>116.9</var>(1) the annual savings from estimated medical assistance payments from the net number
         <br />
         		<a id="pl.116.10"></a><var>116.10</var>of beds closed taking into consideration only beds that are in active service on the
         date of <br />
         		<a id="pl.116.11"></a><var>116.11</var>the request and that have been in active service for at least three years;<br />
         		<a id="pl.116.12"></a><var>116.12</var>(2) the estimated annual cost of increased case load of individuals receiving services
         <br />
         		<a id="pl.116.13"></a><var>116.13</var>under the elderly waiver;<br />
         		<a id="pl.116.14"></a><var>116.14</var>(3) the estimated annual cost of elderly waiver recipients receiving support under
         group <br />
         		<a id="pl.116.15"></a><var>116.15</var>residential housing;<br />
         		<a id="pl.116.16"></a><var>116.16</var>(4) the estimated annual cost of increased case load of individuals receiving services
         <br />
         		<a id="pl.116.17"></a><var>116.17</var>under the alternative care program;<br />
         		<a id="pl.116.18"></a><var>116.18</var>(5) the annual loss of license surcharge payments on closed beds;<br />
         		<a id="pl.116.19"></a><var>116.19</var>(6) the savings from not paying planned closure rate adjustments that the facilities
         would <br />
         		<a id="pl.116.20"></a><var>116.20</var>otherwise be eligible for under section 
         <statute_ref>256B.437</statute_ref> 256R.40; and<br />
         		<a id="pl.116.21"></a><var>116.21</var>(7) the savings from not paying external fixed costs payment rate adjustments from
         <br />
         		<a id="pl.116.22"></a><var>116.22</var>submission of renovation costs that would otherwise be eligible as threshold projects
         under <br />
         		<a id="pl.116.23"></a><var>116.23</var>section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>.<br />
         		<a id="pl.116.24"></a><var>116.24</var>(c) For purposes of the calculation in paragraph (a), clause (3), the estimated medical
         <br />
         		<a id="pl.116.25"></a><var>116.25</var>assistance resident days of the remaining facility or facilities shall be computed
         assuming <br />
         		<a id="pl.116.26"></a><var>116.26</var>95 percent occupancy multiplied by the historical percentage of medical assistance
         resident <br />
         		<a id="pl.116.27"></a><var>116.27</var>days of the remaining facility or facilities, as reported on the facility's or facilities'
         most <br />
         		<a id="pl.116.28"></a><var>116.28</var>recent nursing facility statistical and cost report filed before the plan of closure
         is submitted, <br />
         		<a id="pl.116.29"></a><var>116.29</var>multiplied by 365.<br />
         		<a id="pl.116.30"></a><var>116.30</var>(d) For purposes of net cost of savings to the state in paragraph (b), the average
         occupancy <br />
         		<a id="pl.116.31"></a><var>116.31</var>percentages will be those reported on the facility's or facilities' most recent nursing
         facility <br />
         		<a id="pl.116.32"></a><var>116.32</var>statistical and cost report filed before the plan of closure is submitted, and the
         average <br />
         		<a id="pl.117.1"></a><var>117.1</var>payment rates shall be calculated based on the approved payment rates in effect at
         the time <br />
         		<a id="pl.117.2"></a><var>117.2</var>the consolidation request is submitted.<br />
         		<a id="pl.117.3"></a><var>117.3</var>(e) To qualify for the external fixed costs payment rate adjustment under this subdivision,
         <br />
         		<a id="pl.117.4"></a><var>117.4</var>the closing facilities shall:<br />
         		<a id="pl.117.5"></a><var>117.5</var>(1) submit an application for closure according to section 
         <statute_ref>256B.437, subdivision </statute_ref>3 <br />
         		<a id="pl.117.6"></a><var>117.6</var>256R.40, subdivision 2; and<br />
         		<a id="pl.117.7"></a><var>117.7</var>(2) follow the resident relocation provisions of section 
         <statute_ref>144A.161</statute_ref>.<br />
         		<a id="pl.117.8"></a><var>117.8</var>(f) The county or counties in which a facility or facilities are closed under this
         subdivision <br />
         		<a id="pl.117.9"></a><var>117.9</var>shall not be eligible for designation as a hardship area under subdivision 3 for five
         years <br />
         		<a id="pl.117.10"></a><var>117.10</var>from the date of the approval of the proposed consolidation. The applicant shall notify
         the <br />
         		<a id="pl.117.11"></a><var>117.11</var>county of this limitation and the county shall acknowledge this in a letter of support.<br />
         		<a id="pl.117.12"></a><var>117.12</var><b>EFFECTIVE DATE.</b>This section is effective for consolidations occurring after July <br />
         		<a id="pl.117.13"></a><var>117.13</var>1, 2017.<br />
         		<br />
         		<a id="bill.3.5.0"></a><a id="pl.117.14"></a><var>117.14</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 144A.74, is amended to read:<br />
         		<a id="pl.117.15"></a><var>117.15</var><b>144A.74 MAXIMUM CHARGES.</b><br />
         		<a id="pl.117.16"></a><var>117.16</var>A supplemental nursing services agency must not bill or receive payments from a nursing
         <br />
         		<a id="pl.117.17"></a><var>117.17</var>home licensed under this chapter at a rate higher than 150 percent of the sum of the
         weighted <br />
         		<a id="pl.117.18"></a><var>117.18</var>average wage rate, plus a factor determined by the commissioner to incorporate payroll
         <br />
         		<a id="pl.117.19"></a><var>117.19</var>taxes as defined in Minnesota Rules, part 9549.0020, subpart 33 section 256R.02, subdivision <br />
         		<a id="pl.117.20"></a><var>117.20</var>37, for the applicable employee classification for the geographic group to which the nursing <br />
         		<a id="pl.117.21"></a><var>117.21</var>home is assigned under Minnesota Rules, part 9549.0052 specified in section 256R.23, <br />
         		<a id="pl.117.22"></a><var>117.22</var>subdivision 4. The weighted average wage rates must be determined by the commissioner <br />
         		<a id="pl.117.23"></a><var>117.23</var>of human services and reported to the commissioner of health on an annual basis. Wages
         <br />
         		<a id="pl.117.24"></a><var>117.24</var>are defined as hourly rate of pay and shift differential, including weekend shift
         differential <br />
         		<a id="pl.117.25"></a><var>117.25</var>and overtime. Facilities shall provide information necessary to determine weighted
         average <br />
         		<a id="pl.117.26"></a><var>117.26</var>wage rates to the commissioner of human services in a format requested by the commissioner.
         <br />
         		<a id="pl.117.27"></a><var>117.27</var>The maximum rate must include all charges for administrative fees, contract fees,
         or other <br />
         		<a id="pl.117.28"></a><var>117.28</var>special charges in addition to the hourly rates for the temporary nursing pool personnel
         <br />
         		<a id="pl.117.29"></a><var>117.29</var>supplied to a nursing home. A nursing home that pays for the actual travel and housing costs <br />
         		<a id="pl.117.30"></a><var>117.30</var>for supplemental nursing services agency staff working at the facility and that pays
         these <br />
         		<a id="pl.117.31"></a><var>117.31</var>costs to the employee, the agency, or another vendor, is not violating the limitation
         on <br />
         		<a id="pl.117.32"></a><var>117.32</var>charges described in this section.<br />
         		<a id="pl.117.33"></a><var>117.33</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.6.0"></a><a id="pl.118.1"></a><var>118.1</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 256.975, subdivision 7, is amended to read:<br />
         		<a id="pl.118.2"></a><var>118.2</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Consumer information and assistance and long-term care options </b><br />
         		<a id="pl.118.3"></a><var>118.3</var><b>counseling; Senior LinkAge Line.</b> (a) The Minnesota Board on Aging shall operate a <br />
         		<a id="pl.118.4"></a><var>118.4</var>statewide service to aid older Minnesotans and their families in making informed choices
         <br />
         		<a id="pl.118.5"></a><var>118.5</var>about long-term care options and health care benefits. Language services to persons
         with <br />
         		<a id="pl.118.6"></a><var>118.6</var>limited English language skills may be made available. The service, known as Senior
         <br />
         		<a id="pl.118.7"></a><var>118.7</var>LinkAge Line, shall serve older adults as the designated Aging and Disability Resource
         <br />
         		<a id="pl.118.8"></a><var>118.8</var>Center under United States Code, title 42, section 3001, the Older Americans Act <br />
         		<a id="pl.118.9"></a><var>118.9</var>Amendments of 2006 in partnership with the Disability Linkage Line under section 
         <statute_ref>256.01, <br />
            		<a id="pl.118.10"></a><var>118.10</var>subdivision 24
         </statute_ref>, and must be available during business hours through a statewide toll-free <br />
         		<a id="pl.118.11"></a><var>118.11</var>number and the Internet. The Minnesota Board on Aging shall consult with, and when
         <br />
         		<a id="pl.118.12"></a><var>118.12</var>appropriate work through, the area agencies on aging counties, and other entities
         that serve <br />
         		<a id="pl.118.13"></a><var>118.13</var>aging and disabled populations of all ages, to provide and maintain the telephone
         <br />
         		<a id="pl.118.14"></a><var>118.14</var>infrastructure and related support for the Aging and Disability Resource Center partners
         <br />
         		<a id="pl.118.15"></a><var>118.15</var>which agree by memorandum to access the infrastructure, including the designated providers
         <br />
         		<a id="pl.118.16"></a><var>118.16</var>of the Senior LinkAge Line and the Disability Linkage Line.<br />
         		<a id="pl.118.17"></a><var>118.17</var>&#160;&#160;&#160;&#160;(b) The service must provide long-term care options counseling by assisting older
         adults, <br />
         		<a id="pl.118.18"></a><var>118.18</var>caregivers, and providers in accessing information and options counseling about choices
         in <br />
         		<a id="pl.118.19"></a><var>118.19</var>long-term care services that are purchased through private providers or available
         through <br />
         		<a id="pl.118.20"></a><var>118.20</var>public options. The service must:<br />
         		<a id="pl.118.21"></a><var>118.21</var>&#160;&#160;&#160;&#160;(1) develop and provide for regular updating of a comprehensive database that includes
         <br />
         		<a id="pl.118.22"></a><var>118.22</var>detailed listings in both consumer- and provider-oriented formats that can provide
         search <br />
         		<a id="pl.118.23"></a><var>118.23</var>results down to the neighborhood level;<br />
         		<a id="pl.118.24"></a><var>118.24</var>&#160;&#160;&#160;&#160;(2) make the database accessible on the Internet and through other telecommunication
         <br />
         		<a id="pl.118.25"></a><var>118.25</var>and media-related tools;<br />
         		<a id="pl.118.26"></a><var>118.26</var>&#160;&#160;&#160;&#160;(3) link callers to interactive long-term care screening tools and make these tools
         available <br />
         		<a id="pl.118.27"></a><var>118.27</var>through the Internet by integrating the tools with the database;<br />
         		<a id="pl.118.28"></a><var>118.28</var>&#160;&#160;&#160;&#160;(4) develop community education materials with a focus on planning for long-term care
         <br />
         		<a id="pl.118.29"></a><var>118.29</var>and evaluating independent living, housing, and service options;<br />
         		<a id="pl.118.30"></a><var>118.30</var>&#160;&#160;&#160;&#160;(5) conduct an outreach campaign to assist older adults and their caregivers in finding
         <br />
         		<a id="pl.118.31"></a><var>118.31</var>information on the Internet and through other means of communication;<br />
         		<a id="pl.118.32"></a><var>118.32</var>&#160;&#160;&#160;&#160;(6) implement a messaging system for overflow callers and respond to these callers
         by <br />
         		<a id="pl.118.33"></a><var>118.33</var>the next business day;<br />
         		<a id="pl.119.1"></a><var>119.1</var>&#160;&#160;&#160;&#160;(7) link callers with county human services and other providers to receive more in-depth
         <br />
         		<a id="pl.119.2"></a><var>119.2</var>assistance and consultation related to long-term care options;<br />
         		<a id="pl.119.3"></a><var>119.3</var>&#160;&#160;&#160;&#160;(8) link callers with quality profiles for nursing facilities and other home and <br />
         		<a id="pl.119.4"></a><var>119.4</var>community-based services providers developed by the commissioners of health and human
         <br />
         		<a id="pl.119.5"></a><var>119.5</var>services;<br />
         		<a id="pl.119.6"></a><var>119.6</var>(9) develop an outreach plan to seniors and their caregivers with a particular focus
         on <br />
         		<a id="pl.119.7"></a><var>119.7</var>establishing a clear presence in places that seniors recognize and:<br />
         		<a id="pl.119.8"></a><var>119.8</var>(i) place a significant emphasis on improved outreach and service to seniors and their
         <br />
         		<a id="pl.119.9"></a><var>119.9</var>caregivers by establishing annual plans by neighborhood, city, and county, as necessary,
         to <br />
         		<a id="pl.119.10"></a><var>119.10</var>address the unique needs of geographic areas in the state where there are dense populations
         <br />
         		<a id="pl.119.11"></a><var>119.11</var>of seniors;<br />
         		<a id="pl.119.12"></a><var>119.12</var>(ii) establish an efficient workforce management approach and assign community living
         <br />
         		<a id="pl.119.13"></a><var>119.13</var>specialist staff and volunteers to geographic areas as well as aging and disability
         resource <br />
         		<a id="pl.119.14"></a><var>119.14</var>center sites so that seniors and their caregivers and professionals recognize the
         Senior <br />
         		<a id="pl.119.15"></a><var>119.15</var>LinkAge Line as the place to call for aging services and information;<br />
         		<a id="pl.119.16"></a><var>119.16</var>(iii) recognize the size and complexity of the metropolitan area service system by
         working <br />
         		<a id="pl.119.17"></a><var>119.17</var>with metropolitan counties to establish a clear partnership with them, including seeking
         <br />
         		<a id="pl.119.18"></a><var>119.18</var>county advice on the establishment of local aging and disabilities resource center
         sites; and<br />
         		<a id="pl.119.19"></a><var>119.19</var>(iv) maintain dashboards with metrics that demonstrate how the service is expanding
         <br />
         		<a id="pl.119.20"></a><var>119.20</var>and extending or enhancing its outreach efforts in dispersed or hard to reach locations
         in <br />
         		<a id="pl.119.21"></a><var>119.21</var>varied population centers;<br />
         		<a id="pl.119.22"></a><var>119.22</var>&#160;&#160;&#160;&#160;(10) incorporate information about the availability of housing options, as well as
         <br />
         		<a id="pl.119.23"></a><var>119.23</var>registered housing with services and consumer rights within the MinnesotaHelp.info
         network <br />
         		<a id="pl.119.24"></a><var>119.24</var>long-term care database to facilitate consumer comparison of services and costs among
         <br />
         		<a id="pl.119.25"></a><var>119.25</var>housing with services establishments and with other in-home services and to support
         financial <br />
         		<a id="pl.119.26"></a><var>119.26</var>self-sufficiency as long as possible. Housing with services establishments and their
         arranged <br />
         		<a id="pl.119.27"></a><var>119.27</var>home care providers shall provide information that will facilitate price comparisons,
         including <br />
         		<a id="pl.119.28"></a><var>119.28</var>delineation of charges for rent and for services available. The commissioners of health
         and <br />
         		<a id="pl.119.29"></a><var>119.29</var>human services shall align the data elements required by section 
         <statute_ref>144G.06</statute_ref>, the Uniform <br />
         		<a id="pl.119.30"></a><var>119.30</var>Consumer Information Guide, and this section to provide consumers standardized information
         <br />
         		<a id="pl.119.31"></a><var>119.31</var>and ease of comparison of long-term care options. The commissioner of human services
         <br />
         		<a id="pl.119.32"></a><var>119.32</var>shall provide the data to the Minnesota Board on Aging for inclusion in the <br />
         		<a id="pl.119.33"></a><var>119.33</var>MinnesotaHelp.info network long-term care database;<br />
         		<a id="pl.120.1"></a><var>120.1</var>(11) provide long-term care options counseling. Long-term care options counselors
         shall:<br />
         		<a id="pl.120.2"></a><var>120.2</var>(i) for individuals not eligible for case management under a public program or public
         <br />
         		<a id="pl.120.3"></a><var>120.3</var>funding source, provide interactive decision support under which consumers, family
         <br />
         		<a id="pl.120.4"></a><var>120.4</var>members, or other helpers are supported in their deliberations to determine appropriate
         <br />
         		<a id="pl.120.5"></a><var>120.5</var>long-term care choices in the context of the consumer's needs, preferences, values,
         and <br />
         		<a id="pl.120.6"></a><var>120.6</var>individual circumstances, including implementing a community support plan;<br />
         		<a id="pl.120.7"></a><var>120.7</var>(ii) provide Web-based educational information and collateral written materials to
         <br />
         		<a id="pl.120.8"></a><var>120.8</var>familiarize consumers, family members, or other helpers with the long-term care basics,
         <br />
         		<a id="pl.120.9"></a><var>120.9</var>issues to be considered, and the range of options available in the community;<br />
         		<a id="pl.120.10"></a><var>120.10</var>(iii) provide long-term care futures planning, which means providing assistance to
         <br />
         		<a id="pl.120.11"></a><var>120.11</var>individuals who anticipate having long-term care needs to develop a plan for the more
         <br />
         		<a id="pl.120.12"></a><var>120.12</var>distant future; and<br />
         		<a id="pl.120.13"></a><var>120.13</var>(iv) provide expertise in benefits and financing options for long-term care, including
         <br />
         		<a id="pl.120.14"></a><var>120.14</var>Medicare, long-term care insurance, tax or employer-based incentives, reverse mortgages,
         <br />
         		<a id="pl.120.15"></a><var>120.15</var>private pay options, and ways to access low or no-cost services or benefits through
         <br />
         		<a id="pl.120.16"></a><var>120.16</var>volunteer-based or charitable programs;<br />
         		<a id="pl.120.17"></a><var>120.17</var>(12) using risk management and support planning protocols, provide long-term care
         <br />
         		<a id="pl.120.18"></a><var>120.18</var>options counseling under clause (13) to current residents of nursing homes deemed <br />
         		<a id="pl.120.19"></a><var>120.19</var>appropriate for discharge by the commissioner, former residents of nursing homes who <br />
         		<a id="pl.120.20"></a><var>120.20</var>were discharged to community settings, and older adults who request service after
         <br />
         		<a id="pl.120.21"></a><var>120.21</var>consultation with the Senior LinkAge Line under clause (13). The Senior LinkAge Line
         <br />
         		<a id="pl.120.22"></a><var>120.22</var>shall also receive referrals from the residents or staff of nursing homes. who meet a profile <br />
         		<a id="pl.120.23"></a><var>120.23</var>that demonstrates that the consumer is either at risk of readmission to a nursing
         home or <br />
         		<a id="pl.120.24"></a><var>120.24</var>hospital, or would benefit from long-term care options counseling to age in place. The Senior <br />
         		<a id="pl.120.25"></a><var>120.25</var>LinkAge Line shall identify and contact residents or patients deemed appropriate for <br />
         		<a id="pl.120.26"></a><var>120.26</var>discharge by developing targeting criteria and creating a profile in consultation with the <br />
         		<a id="pl.120.27"></a><var>120.27</var>commissioner who. The commissioner shall provide designated Senior LinkAge Line contact <br />
         		<a id="pl.120.28"></a><var>120.28</var>centers with a list of current or former nursing home residents or people discharged from a <br />
         		<a id="pl.120.29"></a><var>120.29</var>hospital or for whom Medicare home care has ended, that meet the criteria as being <br />
         		<a id="pl.120.30"></a><var>120.30</var>appropriate for discharge planning long-term care options counseling through a referral via <br />
         		<a id="pl.120.31"></a><var>120.31</var>a secure Web portal. Senior LinkAge Line shall provide these residents, if they indicate
         a <br />
         		<a id="pl.120.32"></a><var>120.32</var>preference to receive long-term care options counseling, with initial assessment and,
         if <br />
         		<a id="pl.120.33"></a><var>120.33</var>appropriate, a referral to:<br />
         		<a id="pl.120.34"></a><var>120.34</var>(i) long-term care consultation services under section 
         <statute_ref>256B.0911</statute_ref>;<br />
         		<a id="pl.121.1"></a><var>121.1</var>(ii) designated care coordinators of contracted entities under section 
         <statute_ref>256B.035</statute_ref> for persons <br />
         		<a id="pl.121.2"></a><var>121.2</var>who are enrolled in a managed care plan; or<br />
         		<a id="pl.121.3"></a><var>121.3</var>(iii) the long-term care consultation team for those who are eligible for relocation
         service <br />
         		<a id="pl.121.4"></a><var>121.4</var>coordination due to high-risk factors or psychological or physical disability; and<br />
         		<a id="pl.121.5"></a><var>121.5</var>(13) develop referral protocols and processes that will assist certified health care
         homes, <br />
         		<a id="pl.121.6"></a><var>121.6</var>Medicare home care, and hospitals to identify at-risk older adults and determine when to <br />
         		<a id="pl.121.7"></a><var>121.7</var>refer these individuals to the Senior LinkAge Line for long-term care options counseling
         <br />
         		<a id="pl.121.8"></a><var>121.8</var>under this section. The commissioner is directed to work with the commissioner of
         health <br />
         		<a id="pl.121.9"></a><var>121.9</var>to develop protocols that would comply with the health care home designation criteria
         and <br />
         		<a id="pl.121.10"></a><var>121.10</var>protocols available at the time of hospital discharge or the end of Medicare home care. The <br />
         		<a id="pl.121.11"></a><var>121.11</var>commissioner shall keep a record of the number of people who choose long-term care
         <br />
         		<a id="pl.121.12"></a><var>121.12</var>options counseling as a result of this section.<br />
         		<a id="pl.121.13"></a><var>121.13</var>(c) Nursing homes shall provide contact information to the Senior LinkAge Line for
         <br />
         		<a id="pl.121.14"></a><var>121.14</var>residents identified in paragraph (b), clause (12), to provide long-term care options
         counseling <br />
         		<a id="pl.121.15"></a><var>121.15</var>pursuant to paragraph (b), clause (11). The contact information for residents shall
         include <br />
         		<a id="pl.121.16"></a><var>121.16</var>all information reasonably necessary to contact residents, including first and last
         names, <br />
         		<a id="pl.121.17"></a><var>121.17</var>permanent and temporary addresses, telephone numbers, and e-mail addresses.<br />
         		<a id="pl.121.18"></a><var>121.18</var>(d) The Senior LinkAge Line shall determine when it is appropriate to refer a consumer
         <br />
         		<a id="pl.121.19"></a><var>121.19</var>who receives long-term care options counseling under paragraph (b), clause (12) or
         (13), <br />
         		<a id="pl.121.20"></a><var>121.20</var>and who uses an unpaid caregiver to the self-directed caregiver service under subdivision
         <br />
         		<a id="pl.121.21"></a><var>121.21</var>12.<br />
         		<a id="pl.121.22"></a><var>121.22</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.3.7.0"></a><a id="pl.121.23"></a><var>121.23</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 256.975, is amended by adding a subdivision to <br />
         		<a id="pl.121.24"></a><var>121.24</var>read:<br />
         		<a id="pl.121.25"></a><var>121.25</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Self-directed caregiver grants.</b> Beginning on July 1, 2019, the Minnesota <br />
         		<a id="pl.121.26"></a><var>121.26</var>Board on Aging shall administer self-directed caregiver grants to support at risk
         family <br />
         		<a id="pl.121.27"></a><var>121.27</var>caregivers of older adults or others eligible under the Older Americans Act of 1965,
         United <br />
         		<a id="pl.121.28"></a><var>121.28</var>States Code, title 42, chapter 35, sections 3001 to 3058ff, to sustain family caregivers
         in <br />
         		<a id="pl.121.29"></a><var>121.29</var>the caregivers' roles so older adults can remain at home longer. The board shall give
         priority <br />
         		<a id="pl.121.30"></a><var>121.30</var>to consumers referred under section 256.975, subdivision 7, paragraph (d).<br />
         		<a id="pl.121.31"></a><var>121.31</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.3.8.0"></a><a id="pl.122.1"></a><var>122.1</var>&#160;&#160;&#160;&#160;Sec. 8. <b>[256.9755] CAREGIVER SUPPORT PROGRAMS.</b><br />
         		<a id="pl.122.2"></a><var>122.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Program goals.</b> It is the goal of all area agencies on aging and caregiver <br />
         		<a id="pl.122.3"></a><var>122.3</var>support programs to support family caregivers of persons with Alzheimer's disease
         or other <br />
         		<a id="pl.122.4"></a><var>122.4</var>related dementias who are living in the community by:<br />
         		<a id="pl.122.5"></a><var>122.5</var>(1) promoting caregiver support programs that serve Minnesotans in their homes and
         <br />
         		<a id="pl.122.6"></a><var>122.6</var>communities; and<br />
         		<a id="pl.122.7"></a><var>122.7</var>(2) providing, within the limits of available funds, the caregiver support services
         that <br />
         		<a id="pl.122.8"></a><var>122.8</var>will enable the family caregiver to access caregiver support programs in the most
         <br />
         		<a id="pl.122.9"></a><var>122.9</var>cost-effective and efficient manner.<br />
         		<a id="pl.122.10"></a><var>122.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Authority.</b> The Minnesota Board on Aging shall allocate to area agencies on <br />
         		<a id="pl.122.11"></a><var>122.11</var>aging the state and federal funds which are received for the caregiver support program
         in a <br />
         		<a id="pl.122.12"></a><var>122.12</var>manner consistent with federal requirements.<br />
         		<a id="pl.122.13"></a><var>122.13</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Caregiver support services.</b> Funds allocated to an area agency on aging for <br />
         		<a id="pl.122.14"></a><var>122.14</var>caregiver support services must be used in a manner consistent with the National Family
         <br />
         		<a id="pl.122.15"></a><var>122.15</var>Caregiver Support Program to reach family caregivers of persons with Alzheimer's disease
         <br />
         		<a id="pl.122.16"></a><var>122.16</var>or related dementias. The funds must be used to provide social, nonmedical, <br />
         		<a id="pl.122.17"></a><var>122.17</var>community-based services and activities that provide respite for caregivers and social
         <br />
         		<a id="pl.122.18"></a><var>122.18</var>interaction for participants.<br />
         		<br />
         		<a id="bill.3.9.0"></a><a id="pl.122.19"></a><var>122.19</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 256B.0911, subdivision 3a, is amended to read:<br />
         		<a id="pl.122.20"></a><var>122.20</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, services <br />
         		<a id="pl.122.21"></a><var>122.21</var>planning, or other assistance intended to support community-based living, including
         persons <br />
         		<a id="pl.122.22"></a><var>122.22</var>who need assessment in order to determine waiver or alternative care program eligibility,
         <br />
         		<a id="pl.122.23"></a><var>122.23</var>must be visited by a long-term care consultation team within 20 calendar days after
         the date <br />
         		<a id="pl.122.24"></a><var>122.24</var>on which an assessment was requested or recommended. Upon statewide implementation
         <br />
         		<a id="pl.122.25"></a><var>122.25</var>of subdivisions 2b, 2c, and 5, this requirement also applies to an assessment of a
         person <br />
         		<a id="pl.122.26"></a><var>122.26</var>requesting personal care assistance services and home care nursing. The commissioner
         shall <br />
         		<a id="pl.122.27"></a><var>122.27</var>provide at least a 90-day notice to lead agencies prior to the effective date of this
         requirement. <br />
         		<a id="pl.122.28"></a><var>122.28</var>Face-to-face assessments must be conducted according to paragraphs (b) to (i).<br />
         		<a id="pl.122.29"></a><var>122.29</var>&#160;&#160;&#160;&#160;(b) Upon implementation of subdivisions 2b, 2c, and 5, lead agencies shall use certified
         <br />
         		<a id="pl.122.30"></a><var>122.30</var>assessors to conduct the assessment. For a person with complex health care needs,
         a public <br />
         		<a id="pl.122.31"></a><var>122.31</var>health or registered nurse from the team must be consulted.<br />
         		<a id="pl.122.32"></a><var>122.32</var>&#160;&#160;&#160;&#160;(c) The MnCHOICES assessment provided by the commissioner to lead agencies must <br />
         		<a id="pl.122.33"></a><var>122.33</var>be used to complete a comprehensive, person-centered assessment. The assessment must
         <br />
         		<a id="pl.123.1"></a><var>123.1</var>include the health, psychological, functional, environmental, and social needs of
         the <br />
         		<a id="pl.123.2"></a><var>123.2</var>individual necessary to develop a community support plan that meets the individual's
         needs <br />
         		<a id="pl.123.3"></a><var>123.3</var>and preferences.<br />
         		<a id="pl.123.4"></a><var>123.4</var>&#160;&#160;&#160;&#160;(d) The assessment must be conducted in a face-to-face interview with the person being
         <br />
         		<a id="pl.123.5"></a><var>123.5</var>assessed and the person's legal representative. At the request of the person, other
         individuals <br />
         		<a id="pl.123.6"></a><var>123.6</var>may participate in the assessment to provide information on the needs, strengths,
         and <br />
         		<a id="pl.123.7"></a><var>123.7</var>preferences of the person necessary to develop a community support plan that ensures
         the <br />
         		<a id="pl.123.8"></a><var>123.8</var>person's health and safety. Except for legal representatives or family members invited
         by <br />
         		<a id="pl.123.9"></a><var>123.9</var>the person, persons participating in the assessment may not be a provider of service
         or have <br />
         		<a id="pl.123.10"></a><var>123.10</var>any financial interest in the provision of services. For persons who are to be assessed
         for <br />
         		<a id="pl.123.11"></a><var>123.11</var>elderly waiver customized living or adult day services under section 
         <statute_ref>256B.0915</statute_ref>, with the <br />
         		<a id="pl.123.12"></a><var>123.12</var>permission of the person being assessed or the person's designated or legal representative,
         <br />
         		<a id="pl.123.13"></a><var>123.13</var>the client's current or proposed provider of services may submit a copy of the provider's
         <br />
         		<a id="pl.123.14"></a><var>123.14</var>nursing assessment or written report outlining its recommendations regarding the client's
         <br />
         		<a id="pl.123.15"></a><var>123.15</var>care needs. The person conducting the assessment must notify the provider of the date
         by <br />
         		<a id="pl.123.16"></a><var>123.16</var>which this information is to be submitted. This information shall be provided to the
         person <br />
         		<a id="pl.123.17"></a><var>123.17</var>conducting the assessment prior to the assessment. For a person who is to be assessed
         for <br />
         		<a id="pl.123.18"></a><var>123.18</var>waiver services under section 
         <statute_ref>256B.092</statute_ref> or 
         <statute_ref>256B.49</statute_ref>, with the permission of the person being <br />
         		<a id="pl.123.19"></a><var>123.19</var>assessed or the person's designated legal representative, the person's current provider
         of <br />
         		<a id="pl.123.20"></a><var>123.20</var>services may submit a written report outlining recommendations regarding the person's
         care <br />
         		<a id="pl.123.21"></a><var>123.21</var>needs prepared by a direct service employee with at least 20 hours of service to that
         client. <br />
         		<a id="pl.123.22"></a><var>123.22</var>The person conducting the assessment or reassessment must notify the provider of the
         date <br />
         		<a id="pl.123.23"></a><var>123.23</var>by which this information is to be submitted. This information shall be provided to
         the <br />
         		<a id="pl.123.24"></a><var>123.24</var>person conducting the assessment and the person or the person's legal representative,
         and <br />
         		<a id="pl.123.25"></a><var>123.25</var>must be considered prior to the finalization of the assessment or reassessment.<br />
         		<a id="pl.123.26"></a><var>123.26</var>&#160;&#160;&#160;&#160;(e) The person or the person's legal representative must be provided with a written
         <br />
         		<a id="pl.123.27"></a><var>123.27</var>community support plan within 40 calendar days of the assessment visit, regardless
         of <br />
         		<a id="pl.123.28"></a><var>123.28</var>whether the individual is eligible for Minnesota health care programs.<br />
         		 <a id="pl.123.29"></a><var>123.29</var>&#160;&#160;&#160;&#160;(f) For a person being assessed for elderly waiver services under section 256B.0915,
         a <br />
         		<a id="pl.123.30"></a><var>123.30</var>provider who submitted information under paragraph (d) shall receive a copy of the
         <br />
         		<a id="pl.123.31"></a><var>123.31</var>assessment, the final written community support plan when available, the case mix
         level, <br />
         		<a id="pl.123.32"></a><var>123.32</var>and the Residential Services Workbook.<br />
         		<a id="pl.123.33"></a><var>123.33</var>&#160;&#160;&#160;&#160;(g) The written community support plan must include:<br />
         		<a id="pl.123.34"></a><var>123.34</var>(1) a summary of assessed needs as defined in paragraphs (c) and (d);<br />
         		<a id="pl.124.1"></a><var>124.1</var>(2) the individual's options and choices to meet identified needs, including all available
         <br />
         		<a id="pl.124.2"></a><var>124.2</var>options for case management services and providers;<br />
         		<a id="pl.124.3"></a><var>124.3</var>(3) identification of health and safety risks and how those risks will be addressed,
         <br />
         		<a id="pl.124.4"></a><var>124.4</var>including personal risk management strategies;<br />
         		<a id="pl.124.5"></a><var>124.5</var>(4) referral information; and<br />
         		<a id="pl.124.6"></a><var>124.6</var>(5) informal caregiver supports, if applicable.<br />
         		<a id="pl.124.7"></a><var>124.7</var>For a person determined eligible for state plan home care under subdivision 1a, paragraph
         <br />
         		<a id="pl.124.8"></a><var>124.8</var>(b), clause (1), the person or person's representative must also receive a copy of
         the home <br />
         		<a id="pl.124.9"></a><var>124.9</var>care service plan developed by the certified assessor.<br />
         		<a id="pl.124.10"></a><var>124.10</var>(f) (h) A person may request assistance in identifying community supports without <br />
         		<a id="pl.124.11"></a><var>124.11</var>participating in a complete assessment. Upon a request for assistance identifying
         community <br />
         		<a id="pl.124.12"></a><var>124.12</var>support, the person must be transferred or referred to long-term care options counseling
         <br />
         		<a id="pl.124.13"></a><var>124.13</var>services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, and 
         <statute_ref>256.01</statute_ref>, subdivision 24, for <br />
         		<a id="pl.124.14"></a><var>124.14</var>telephone assistance and follow up.<br />
         		<a id="pl.124.15"></a><var>124.15</var>&#160;&#160;&#160;&#160;(g) (i) The person has the right to make the final decision between institutional placement
         <br />
         		<a id="pl.124.16"></a><var>124.16</var>and community placement after the recommendations have been provided, except as provided
         <br />
         		<a id="pl.124.17"></a><var>124.17</var>in section 
         <statute_ref>256.975</statute_ref>, subdivision 7a, paragraph (d).<br />
         		<a id="pl.124.18"></a><var>124.18</var>&#160;&#160;&#160;&#160;(h) (j) The lead agency must give the person receiving assessment or support planning, <br />
         		<a id="pl.124.19"></a><var>124.19</var>or the person's legal representative, materials, and forms supplied by the commissioner
         <br />
         		<a id="pl.124.20"></a><var>124.20</var>containing the following information:<br />
         		<a id="pl.124.21"></a><var>124.21</var>&#160;&#160;&#160;&#160;(1) written recommendations for community-based services and consumer-directed <br />
         		<a id="pl.124.22"></a><var>124.22</var>options;<br />
         		<a id="pl.124.23"></a><var>124.23</var>(2) documentation that the most cost-effective alternatives available were offered
         to the <br />
         		<a id="pl.124.24"></a><var>124.24</var>individual. For purposes of this clause, "cost-effective" means community services
         and <br />
         		<a id="pl.124.25"></a><var>124.25</var>living arrangements that cost the same as or less than institutional care. For an
         individual <br />
         		<a id="pl.124.26"></a><var>124.26</var>found to meet eligibility criteria for home and community-based service programs under
         <br />
         		<a id="pl.124.27"></a><var>124.27</var>section 
         <statute_ref>256B.0915</statute_ref> or 
         <statute_ref>256B.49</statute_ref>, "cost-effectiveness" has the meaning found in the federally <br />
         		<a id="pl.124.28"></a><var>124.28</var>approved waiver plan for each program;<br />
         		<a id="pl.124.29"></a><var>124.29</var>(3) the need for and purpose of preadmission screening conducted by long-term care
         <br />
         		<a id="pl.124.30"></a><var>124.30</var>options counselors according to section 
         <statute_ref>256.975, subdivisions 7a</statute_ref> to 7c, if the person selects <br />
         		<a id="pl.124.31"></a><var>124.31</var>nursing facility placement. If the individual selects nursing facility placement,
         the lead <br />
         		<a id="pl.124.32"></a><var>124.32</var>agency shall forward information needed to complete the level of care determinations
         and <br />
         		<a id="pl.125.1"></a><var>125.1</var>screening for developmental disability and mental illness collected during the assessment
         <br />
         		<a id="pl.125.2"></a><var>125.2</var>to the long-term care options counselor using forms provided by the commissioner;<br />
         		<a id="pl.125.3"></a><var>125.3</var>&#160;&#160;&#160;&#160;(4) the role of long-term care consultation assessment and support planning in eligibility
         <br />
         		<a id="pl.125.4"></a><var>125.4</var>determination for waiver and alternative care programs, and state plan home care,
         case <br />
         		<a id="pl.125.5"></a><var>125.5</var>management, and other services as defined in subdivision 1a, paragraphs (a), clause
         (6), <br />
         		<a id="pl.125.6"></a><var>125.6</var>and (b);<br />
         		<a id="pl.125.7"></a><var>125.7</var>&#160;&#160;&#160;&#160;(5) information about Minnesota health care programs;<br />
         		<a id="pl.125.8"></a><var>125.8</var>&#160;&#160;&#160;&#160;(6) the person's freedom to accept or reject the recommendations of the team;<br />
         		<a id="pl.125.9"></a><var>125.9</var>&#160;&#160;&#160;&#160;(7) the person's right to confidentiality under the Minnesota Government Data Practices
         <br />
         		<a id="pl.125.10"></a><var>125.10</var>Act, chapter 13;<br />
         		<a id="pl.125.11"></a><var>125.11</var>&#160;&#160;&#160;&#160;(8) the certified assessor's decision regarding the person's need for institutional
         level of <br />
         		<a id="pl.125.12"></a><var>125.12</var>care as determined under criteria established in subdivision 4e and the certified
         assessor's <br />
         		<a id="pl.125.13"></a><var>125.13</var>decision regarding eligibility for all services and programs as defined in subdivision
         1a, <br />
         		<a id="pl.125.14"></a><var>125.14</var>paragraphs (a), clause (6), and (b); and<br />
         		<a id="pl.125.15"></a><var>125.15</var>&#160;&#160;&#160;&#160;(9) the person's right to appeal the certified assessor's decision regarding eligibility
         for <br />
         		<a id="pl.125.16"></a><var>125.16</var>all services and programs as defined in subdivision 1a, paragraphs (a), clauses (6),
         (7), and <br />
         		<a id="pl.125.17"></a><var>125.17</var>(8), and (b), and incorporating the decision regarding the need for institutional
         level of care <br />
         		<a id="pl.125.18"></a><var>125.18</var>or the lead agency's final decisions regarding public programs eligibility according
         to section <br />
         		
         <statute_ref><a id="pl.125.19"></a><var>125.19</var>256.045, subdivision 3
         </statute_ref>.<br />
         		<a id="pl.125.20"></a><var>125.20</var>&#160;&#160;&#160;&#160;(i) (k) Face-to-face assessment completed as part of eligibility determination for the <br />
         		<a id="pl.125.21"></a><var>125.21</var>alternative care, elderly waiver, community access for disability inclusion, community
         <br />
         		<a id="pl.125.22"></a><var>125.22</var>alternative care, and brain injury waiver programs under sections 
         <statute_ref>256B.0913</statute_ref>, 
         <statute_ref>256B.0915</statute_ref>, <br />
         		<a id="pl.125.23"></a><var>125.23</var>and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility for no more than 60 calendar days after
         <br />
         		<a id="pl.125.24"></a><var>125.24</var>the date of assessment.<br />
         		<a id="pl.125.25"></a><var>125.25</var>(j) (l) The effective eligibility start date for programs in paragraph (i)(k) can never be <br />
         		<a id="pl.125.26"></a><var>125.26</var>prior to the date of assessment. If an assessment was completed more than 60 days
         before <br />
         		<a id="pl.125.27"></a><var>125.27</var>the effective waiver or alternative care program eligibility start date, assessment
         and support <br />
         		<a id="pl.125.28"></a><var>125.28</var>plan information must be updated and documented in the department's Medicaid Management
         <br />
         		<a id="pl.125.29"></a><var>125.29</var>Information System (MMIS). Notwithstanding retroactive medical assistance coverage
         of <br />
         		<a id="pl.125.30"></a><var>125.30</var>state plan services, the effective date of eligibility for programs included in paragraph
         (i) <br />
         		<a id="pl.125.31"></a><var>125.31</var>(k) cannot be prior to the date the most recent updated assessment is completed.<br />
         		<a id="pl.125.32"></a><var>125.32</var>(m) If an eligibility update is completed within 90 days of the previous face-to-face
         <br />
         		<a id="pl.125.33"></a><var>125.33</var>assessment and documented in the department's Medicaid Management Information System
         <br />
         		<a id="pl.126.1"></a><var>126.1</var>(MMIS), the effective date of eligibility for programs included in paragraph (k) is
         the date <br />
         		<a id="pl.126.2"></a><var>126.2</var>of the previous face-to-face assessment when all other eligibility requirements are
         met.<br />
         		<br />
         		<a id="bill.3.10.0"></a><a id="pl.126.3"></a><var>126.3</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 256B.0915, subdivision 3a, is amended to read:<br />
         		<a id="pl.126.4"></a><var>126.4</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Elderly waiver cost limits.</b> (a) Effective on the first day of the state fiscal <br />
         		<a id="pl.126.5"></a><var>126.5</var>year in which the resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> 256R.17 for <br />
         		<a id="pl.126.6"></a><var>126.6</var>nursing home rate determination is implemented and the first day of each subsequent
         state <br />
         		<a id="pl.126.7"></a><var>126.7</var>fiscal year, the monthly limit for the cost of waivered services to an individual
         elderly waiver <br />
         		<a id="pl.126.8"></a><var>126.8</var>client shall be the monthly limit of the case mix resident class to which the waiver
         client <br />
         		<a id="pl.126.9"></a><var>126.9</var>would be assigned under Minnesota Rules, parts 9549.0051 to 9549.0059, in effect on the <br />
         		<a id="pl.126.10"></a><var>126.10</var>last day of the previous state fiscal year, adjusted by any legislatively adopted
         home and <br />
         		<a id="pl.126.11"></a><var>126.11</var>community-based services percentage rate adjustment. If a legislatively authorized increase <br />
         		<a id="pl.126.12"></a><var>126.12</var>is service-specific, the monthly cost limit shall be adjusted based on the overall
         average <br />
         		<a id="pl.126.13"></a><var>126.13</var>increase to the elderly waiver program.<br />
         		<a id="pl.126.14"></a><var>126.14</var>&#160;&#160;&#160;&#160;(b) The monthly limit for the cost of waivered services under paragraph (a) to an
         <br />
         		<a id="pl.126.15"></a><var>126.15</var>individual elderly waiver client assigned to a case mix classification A with:<br />
         		<a id="pl.126.16"></a><var>126.16</var>(1) no dependencies in activities of daily living; or<br />
         		<a id="pl.126.17"></a><var>126.17</var>(2) up to two dependencies in bathing, dressing, grooming, walking, and eating when
         <br />
         		<a id="pl.126.18"></a><var>126.18</var>the dependency score in eating is three or greater as determined by an assessment
         performed <br />
         		<a id="pl.126.19"></a><var>126.19</var>under section 
         <statute_ref>256B.0911</statute_ref> shall be $1,750 per month effective on July 1, 2011, for all new <br />
         		<a id="pl.126.20"></a><var>126.20</var>participants enrolled in the program on or after July 1, 2011. This monthly limit
         shall be <br />
         		<a id="pl.126.21"></a><var>126.21</var>applied to all other participants who meet this criteria at reassessment. This monthly
         limit <br />
         		<a id="pl.126.22"></a><var>126.22</var>shall be increased annually as described in paragraphs (a) and (e).<br />
         		<a id="pl.126.23"></a><var>126.23</var>(c) If extended medical supplies and equipment or environmental modifications are
         or <br />
         		<a id="pl.126.24"></a><var>126.24</var>will be purchased for an elderly waiver client, the costs may be prorated for up to
         12 <br />
         		<a id="pl.126.25"></a><var>126.25</var>consecutive months beginning with the month of purchase. If the monthly cost of a
         recipient's <br />
         		<a id="pl.126.26"></a><var>126.26</var>waivered services exceeds the monthly limit established in paragraph (a), (b), (d),
         or (e), <br />
         		<a id="pl.126.27"></a><var>126.27</var>the annual cost of all waivered services shall be determined. In this event, the annual
         cost <br />
         		<a id="pl.126.28"></a><var>126.28</var>of all waivered services shall not exceed 12 times the monthly limit of waivered services
         <br />
         		<a id="pl.126.29"></a><var>126.29</var>as described in paragraph (a), (b), (d), or (e).<br />
         		<a id="pl.126.30"></a><var>126.30</var>(d) Effective July 1, 2013, the monthly cost limit of waiver services, including any
         <br />
         		<a id="pl.126.31"></a><var>126.31</var>necessary home care services described in section 
         <statute_ref>256B.0651, subdivision 2</statute_ref>, for individuals <br />
         		<a id="pl.126.32"></a><var>126.32</var>who meet the criteria as ventilator-dependent given in section 
         <statute_ref>256B.0651</statute_ref>, subdivision 1, <br />
         		<a id="pl.126.33"></a><var>126.33</var>paragraph (g), shall be the average of the monthly medical assistance amount established
         <br />
         		<a id="pl.127.1"></a><var>127.1</var>for home care services as described in section 
         <statute_ref>256B.0652, subdivision 7</statute_ref>, and the annual <br />
         		<a id="pl.127.2"></a><var>127.2</var>average contracted amount established by the commissioner for nursing facility services
         <br />
         		<a id="pl.127.3"></a><var>127.3</var>for ventilator-dependent individuals. This monthly limit shall be increased annually
         as <br />
         		<a id="pl.127.4"></a><var>127.4</var>described in paragraphs (a) and (e).<br />
         		<a id="pl.127.5"></a><var>127.5</var>(e) Effective July 1, 2016 January 1, 2018, and each July January 1 thereafter, the monthly <br />
         		<a id="pl.127.6"></a><var>127.6</var>cost limits for elderly waiver services in effect on the previous June 30 December 31 shall <br />
         		<a id="pl.127.7"></a><var>127.7</var>be increased by the difference between any legislatively adopted home and community-based
         <br />
         		<a id="pl.127.8"></a><var>127.8</var>provider rate increases effective on July January 1 or since the previous July January 1 and <br />
         		<a id="pl.127.9"></a><var>127.9</var>the average statewide percentage increase in nursing facility operating payment rates
         under <br />
         		<a id="pl.127.10"></a><var>127.10</var>sections 
         <statute_ref>256B.431</statute_ref>, 
         <statute_ref>256B.434</statute_ref>, and 
         <statute_ref>256B.441</statute_ref> chapter 256R, effective the previous January <br />
         		<a id="pl.127.11"></a><var>127.11</var>1. This paragraph shall only apply if the average statewide percentage increase in
         nursing <br />
         		<a id="pl.127.12"></a><var>127.12</var>facility operating payment rates is greater than any legislatively adopted home and
         <br />
         		<a id="pl.127.13"></a><var>127.13</var>community-based provider rate increases effective on July January 1, or occurring since <br />
         		<a id="pl.127.14"></a><var>127.14</var>the previous July January 1.<br />
         		<br />
         		<a id="bill.3.11.0"></a><a id="pl.127.15"></a><var>127.15</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 256B.0915, subdivision 3e, is amended to read:<br />
         		<a id="pl.127.16"></a><var>127.16</var>&#160;&#160;&#160;&#160;Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living services <br />
         		<a id="pl.127.17"></a><var>127.17</var>shall be a monthly rate authorized by the lead agency within the parameters established
         by <br />
         		<a id="pl.127.18"></a><var>127.18</var>the commissioner. The payment agreement must delineate the amount of each component
         <br />
         		<a id="pl.127.19"></a><var>127.19</var>service included in the recipient's customized living service plan. The lead agency,
         with <br />
         		<a id="pl.127.20"></a><var>127.20</var>input from the provider of customized living services, shall ensure that there is
         a documented <br />
         		<a id="pl.127.21"></a><var>127.21</var>need within the parameters established by the commissioner for all component customized
         <br />
         		<a id="pl.127.22"></a><var>127.22</var>living services authorized.<br />
         		<a id="pl.127.23"></a><var>127.23</var>(b) The payment rate must be based on the amount of component services to be provided
         <br />
         		<a id="pl.127.24"></a><var>127.24</var>utilizing component rates established by the commissioner. Counties and tribes shall
         use <br />
         		<a id="pl.127.25"></a><var>127.25</var>tools issued by the commissioner to develop and document customized living service
         plans <br />
         		<a id="pl.127.26"></a><var>127.26</var>and rates.<br />
         		<a id="pl.127.27"></a><var>127.27</var>(c) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.127.28"></a><var>127.28</var>waiver or medical assistance services and must reflect economies of scale. Customized
         <br />
         		<a id="pl.127.29"></a><var>127.29</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.127.30"></a><var>127.30</var>&#160;&#160;&#160;&#160;(d) With the exception of individuals described in subdivision 3a, paragraph (b),
         the <br />
         		<a id="pl.127.31"></a><var>127.31</var>individualized monthly authorized payment for the customized living service plan shall
         not <br />
         		<a id="pl.127.32"></a><var>127.32</var>exceed 50 percent of the greater of either the statewide or any of the geographic groups' <br />
         		<a id="pl.127.33"></a><var>127.33</var>weighted average monthly nursing facility rate of the case mix resident class to which
         the <br />
         		<a id="pl.127.34"></a><var>127.34</var>elderly waiver eligible client would be assigned under Minnesota Rules, parts 9549.0051 <br />
         		<a id="pl.128.1"></a><var>128.1</var>to 9549.0059, less the maintenance needs allowance as described in subdivision 1d, paragraph <br />
         		<a id="pl.128.2"></a><var>128.2</var>(a). Effective On July 1 of the state fiscal each year in which the resident assessment system <br />
         		<a id="pl.128.3"></a><var>128.3</var>as described in section 
         <statute_ref>256B.438</statute_ref> for nursing home rate determination is implemented and <br />
         		<a id="pl.128.4"></a><var>128.4</var>July 1 of each subsequent state fiscal year, the individualized monthly authorized payment <br />
         		<a id="pl.128.5"></a><var>128.5</var>for the services described in this clause shall not exceed the limit which was in
         effect on <br />
         		<a id="pl.128.6"></a><var>128.6</var>June 30 of the previous state fiscal year updated annually based on legislatively
         adopted <br />
         		<a id="pl.128.7"></a><var>128.7</var>changes to all service rate maximums for home and community-based service providers.<br />
         		<a id="pl.128.8"></a><var>128.8</var>(e) For rates effective on or after January 1, 2022, the elderly waiver payment for
         <br />
         		<a id="pl.128.9"></a><var>128.9</var>customized living services includes a cognitive and behavioral needs factor equal
         to an <br />
         		<a id="pl.128.10"></a><var>128.10</var>additional 15 percent applied to the component service rates for a client:<br />
         		<a id="pl.128.11"></a><var>128.11</var>(1) for whom the total monthly hours for customized living services divided by 30.4
         is <br />
         		<a id="pl.128.12"></a><var>128.12</var>less than 3.62; and<br />
         		<a id="pl.128.13"></a><var>128.13</var>(2) who is determined, based on responses to questions 45 and 51 of the Minnesota
         <br />
         		<a id="pl.128.14"></a><var>128.14</var>long-term care consultation assessment form, to have either:<br />
         		<a id="pl.128.15"></a><var>128.15</var>(i) wandering or orientation issues; or<br />
         		<a id="pl.128.16"></a><var>128.16</var>(ii) anxiety, verbal aggression, physical aggression, repetitive behavior, agitation,
         <br />
         		<a id="pl.128.17"></a><var>128.17</var>self-injurious behavior, or behavior related to property destruction.<br />
         		<a id="pl.128.18"></a><var>128.18</var>(e) Effective July 1, 2011, (f) The individualized monthly payment for the customized <br />
         		<a id="pl.128.19"></a><var>128.19</var>living service plan for individuals described in subdivision 3a, paragraph (b), must
         be the <br />
         		<a id="pl.128.20"></a><var>128.20</var>monthly authorized payment limit for customized living for individuals classified
         as case <br />
         		<a id="pl.128.21"></a><var>128.21</var>mix A, reduced by 25 percent. This rate limit must be applied to all new participants
         enrolled <br />
         		<a id="pl.128.22"></a><var>128.22</var>in the program on or after July 1, 2011, who meet the criteria described in subdivision
         3a, <br />
         		<a id="pl.128.23"></a><var>128.23</var>paragraph (b). This monthly limit also applies to all other participants who meet
         the criteria <br />
         		<a id="pl.128.24"></a><var>128.24</var>described in subdivision 3a, paragraph (b), at reassessment.<br />
         		<a id="pl.128.25"></a><var>128.25</var>&#160;&#160;&#160;&#160;(f) (g) Customized living services are delivered by a provider licensed by the Department
         <br />
         		<a id="pl.128.26"></a><var>128.26</var>of Health as a class A or class F home care provider and provided in a building that
         is <br />
         		<a id="pl.128.27"></a><var>128.27</var>registered as a housing with services establishment under chapter 144D. Licensed home
         <br />
         		<a id="pl.128.28"></a><var>128.28</var>care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.128.29"></a><var>128.29</var>(g) (h) A provider may not bill or otherwise charge an elderly waiver participant or their
         <br />
         		<a id="pl.128.30"></a><var>128.30</var>family for additional units of any allowable component service beyond those available
         under <br />
         		<a id="pl.128.31"></a><var>128.31</var>the service rate limits described in paragraph (d) (e), nor for additional units of any allowable <br />
         		<a id="pl.128.32"></a><var>128.32</var>component service beyond those approved in the service plan by the lead agency.<br />
         		<a id="pl.129.1"></a><var>129.1</var>(h) (i) Effective July 1, 2016  January 1, 2018, and each July January 1 thereafter, <br />
         		<a id="pl.129.2"></a><var>129.2</var>individualized service rate limits for customized living services under this subdivision
         shall <br />
         		<a id="pl.129.3"></a><var>129.3</var>be increased by the difference between any legislatively adopted home and community-based
         <br />
         		<a id="pl.129.4"></a><var>129.4</var>provider rate increases effective on July January 1 or since the previous July January 1 and <br />
         		<a id="pl.129.5"></a><var>129.5</var>the average statewide percentage increase in nursing facility operating payment rates
         under <br />
         		<a id="pl.129.6"></a><var>129.6</var>sections 
         <statute_ref>256B.431</statute_ref>, 
         <statute_ref>256B.434</statute_ref>, and 
         <statute_ref>256B.441</statute_ref> chapter 256R, effective the previous January <br />
         		<a id="pl.129.7"></a><var>129.7</var>1. This paragraph shall only apply if the average statewide percentage increase in
         nursing <br />
         		<a id="pl.129.8"></a><var>129.8</var>facility operating payment rates is greater than any legislatively adopted home and
         <br />
         		<a id="pl.129.9"></a><var>129.9</var>community-based provider rate increases effective on July January 1, or occurring since <br />
         		<a id="pl.129.10"></a><var>129.10</var>the previous July January 1.<br />
         		<a id="pl.129.11"></a><var>129.11</var><b>EFFECTIVE DATE.</b>This section prevails over any conflicting amendment regardless <br />
         		<a id="pl.129.12"></a><var>129.12</var>of the order of enactment.<br />
         		<br />
         		<a id="bill.3.12.0"></a><a id="pl.129.13"></a><var>129.13</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 256B.0915, subdivision 3h, is amended to read:<br />
         		<a id="pl.129.14"></a><var>129.14</var>&#160;&#160;&#160;&#160;Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> (a) The payment <br />
         		<a id="pl.129.15"></a><var>129.15</var>rate for 24-hour customized living services is a monthly rate authorized by the lead
         agency <br />
         		<a id="pl.129.16"></a><var>129.16</var>within the parameters established by the commissioner of human services. The payment
         <br />
         		<a id="pl.129.17"></a><var>129.17</var>agreement must delineate the amount of each component service included in each recipient's
         <br />
         		<a id="pl.129.18"></a><var>129.18</var>customized living service plan. The lead agency, with input from the provider of customized
         <br />
         		<a id="pl.129.19"></a><var>129.19</var>living services, shall ensure that there is a documented need within the parameters
         established <br />
         		<a id="pl.129.20"></a><var>129.20</var>by the commissioner for all component customized living services authorized. The lead
         <br />
         		<a id="pl.129.21"></a><var>129.21</var>agency shall not authorize 24-hour customized living services unless there is a documented
         <br />
         		<a id="pl.129.22"></a><var>129.22</var>need for 24-hour supervision.<br />
         		<a id="pl.129.23"></a><var>129.23</var>(b) For purposes of this section, "24-hour supervision" means that the recipient requires
         <br />
         		<a id="pl.129.24"></a><var>129.24</var>assistance due to needs related to one or more of the following:<br />
         		<a id="pl.129.25"></a><var>129.25</var>&#160;&#160;&#160;&#160;(1) intermittent assistance with toileting, positioning, or transferring;<br />
         		<a id="pl.129.26"></a><var>129.26</var>&#160;&#160;&#160;&#160;(2) cognitive or behavioral issues;<br />
         		<a id="pl.129.27"></a><var>129.27</var>&#160;&#160;&#160;&#160;(3) a medical condition that requires clinical monitoring; or<br />
         		<a id="pl.129.28"></a><var>129.28</var>&#160;&#160;&#160;&#160;(4) for all new participants enrolled in the program on or after July 1, 2011, and
         all other <br />
         		<a id="pl.129.29"></a><var>129.29</var>participants at their first reassessment after July 1, 2011, dependency in at least
         three of the <br />
         		<a id="pl.129.30"></a><var>129.30</var>following activities of daily living as determined by assessment under section 
         <statute_ref>256B.0911</statute_ref>: <br />
         		<a id="pl.129.31"></a><var>129.31</var>bathing; dressing; grooming; walking; or eating when the dependency score in eating
         is <br />
         		<a id="pl.129.32"></a><var>129.32</var>three or greater; and needs medication management and at least 50 hours of service
         per <br />
         		<a id="pl.129.33"></a><var>129.33</var>month. The lead agency shall ensure that the frequency and mode of supervision of
         the <br />
         		<a id="pl.130.1"></a><var>130.1</var>recipient and the qualifications of staff providing supervision are described and
         meet the <br />
         		<a id="pl.130.2"></a><var>130.2</var>needs of the recipient.<br />
         		<a id="pl.130.3"></a><var>130.3</var>(c) The payment rate for 24-hour customized living services must be based on the amount
         <br />
         		<a id="pl.130.4"></a><var>130.4</var>of component services to be provided utilizing component rates established by the
         <br />
         		<a id="pl.130.5"></a><var>130.5</var>commissioner. Counties and tribes will use tools issued by the commissioner to develop
         <br />
         		<a id="pl.130.6"></a><var>130.6</var>and document customized living plans and authorize rates.<br />
         		<a id="pl.130.7"></a><var>130.7</var>(d) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.130.8"></a><var>130.8</var>waiver or medical assistance services and must reflect economies of scale.<br />
         		<a id="pl.130.9"></a><var>130.9</var>(e) The individually authorized 24-hour customized living payments, in combination
         <br />
         		<a id="pl.130.10"></a><var>130.10</var>with the payment for other elderly waiver services, including case management, must
         not <br />
         		<a id="pl.130.11"></a><var>130.11</var>exceed the recipient's community budget cap specified in subdivision 3a. Customized
         living <br />
         		<a id="pl.130.12"></a><var>130.12</var>services must not include rent or raw food costs.<br />
         		<a id="pl.130.13"></a><var>130.13</var>(f) The individually authorized 24-hour customized living payment rates shall not
         exceed <br />
         		<a id="pl.130.14"></a><var>130.14</var>the 95 percentile of statewide monthly authorizations for 24-hour customized living
         services <br />
         		<a id="pl.130.15"></a><var>130.15</var>in effect and in the Medicaid management information systems on March 31, 2009, for
         each <br />
         		<a id="pl.130.16"></a><var>130.16</var>case mix resident class under Minnesota Rules, parts 9549.0051 to 9549.0059, to which <br />
         		<a id="pl.130.17"></a><var>130.17</var>elderly waiver service clients are assigned. When there are fewer than 50 authorizations
         in <br />
         		<a id="pl.130.18"></a><var>130.18</var>effect in the case mix resident class, the commissioner shall multiply the calculated
         service <br />
         		<a id="pl.130.19"></a><var>130.19</var>payment rate maximum for the A classification by the standard weight for that classification
         <br />
         		<a id="pl.130.20"></a><var>130.20</var>under Minnesota Rules, parts 9549.0051 to 9549.0059, to determine the applicable payment <br />
         		<a id="pl.130.21"></a><var>130.21</var>rate maximum. Service payment rate maximums shall be updated annually based on <br />
         		<a id="pl.130.22"></a><var>130.22</var>legislatively adopted changes to all service rates for home and community-based service
         <br />
         		<a id="pl.130.23"></a><var>130.23</var>providers.<br />
         		<a id="pl.130.24"></a><var>130.24</var>&#160;&#160;&#160;&#160;(g) Notwithstanding the requirements of paragraphs (d) and (f), the commissioner may
         <br />
         		<a id="pl.130.25"></a><var>130.25</var>establish alternative payment rate systems for 24-hour customized living services
         in housing <br />
         		<a id="pl.130.26"></a><var>130.26</var>with services establishments which are freestanding buildings with a capacity of 16
         or fewer, <br />
         		<a id="pl.130.27"></a><var>130.27</var>by applying a single hourly rate for covered component services provided in either:<br />
         		<a id="pl.130.28"></a><var>130.28</var>&#160;&#160;&#160;&#160;(1) licensed corporate adult foster homes; or<br />
         		<a id="pl.130.29"></a><var>130.29</var>&#160;&#160;&#160;&#160;(2) specialized dementia care units which meet the requirements of section 
         <statute_ref>144D.065 <br />
            		
         </statute_ref><a id="pl.130.30"></a><var>130.30</var>and in which:<br />
         		<a id="pl.130.31"></a><var>130.31</var>&#160;&#160;&#160;&#160;(i) each resident is offered the option of having their own apartment; or<br />
         		<a id="pl.131.1"></a><var>131.1</var>&#160;&#160;&#160;&#160;(ii) the units are licensed as board and lodge establishments with maximum capacity
         of <br />
         		<a id="pl.131.2"></a><var>131.2</var>eight residents, and which meet the requirements of Minnesota Rules, part 9555.6205, <br />
         		<a id="pl.131.3"></a><var>131.3</var>subparts 1, 2, 3, and 4, item A.<br />
         		<a id="pl.131.4"></a><var>131.4</var>(h) Twenty-four-hour customized living services are delivered by a provider licensed
         <br />
         		<a id="pl.131.5"></a><var>131.5</var>by the Department of Health as a class A or class F home care provider and provided
         in a <br />
         		<a id="pl.131.6"></a><var>131.6</var>building that is registered as a housing with services establishment under chapter
         144D. <br />
         		<a id="pl.131.7"></a><var>131.7</var>Licensed home care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.131.8"></a><var>131.8</var>(i) A provider may not bill or otherwise charge an elderly waiver participant or their
         <br />
         		<a id="pl.131.9"></a><var>131.9</var>family for additional units of any allowable component service beyond those available
         under <br />
         		<a id="pl.131.10"></a><var>131.10</var>the service rate limits described in paragraph (e), nor for additional units of any
         allowable <br />
         		<a id="pl.131.11"></a><var>131.11</var>component service beyond those approved in the service plan by the lead agency.<br />
         		<a id="pl.131.12"></a><var>131.12</var>(j) Effective July 1, 2016 January 1, 2018, and each July January 1 thereafter, <br />
         		<a id="pl.131.13"></a><var>131.13</var>individualized service rate limits for 24-hour customized living services under this
         <br />
         		<a id="pl.131.14"></a><var>131.14</var>subdivision shall be increased by the difference between any legislatively adopted
         home <br />
         		<a id="pl.131.15"></a><var>131.15</var>and community-based provider rate increases effective on July January 1 or since the previous <br />
         		<a id="pl.131.16"></a><var>131.16</var>July January 1 and the average statewide percentage increase in nursing facility operating <br />
         		<a id="pl.131.17"></a><var>131.17</var>payment rates under sections 
         <statute_ref>256B.431</statute_ref>, 
         <statute_ref>256B.434</statute_ref>, and 
         <statute_ref>256B.441</statute_ref> chapter 256R, effective <br />
         		<a id="pl.131.18"></a><var>131.18</var>the previous January 1. This paragraph shall only apply if the average statewide percentage
         <br />
         		<a id="pl.131.19"></a><var>131.19</var>increase in nursing facility operating payment rates is greater than any legislatively
         adopted <br />
         		<a id="pl.131.20"></a><var>131.20</var>home and community-based provider rate increases effective on July January 1, or occurring <br />
         		<a id="pl.131.21"></a><var>131.21</var>since the previous July January 1.<br />
         		<br />
         		<a id="bill.3.13.0"></a><a id="pl.131.22"></a><var>131.22</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 256B.0915, subdivision 5, is amended to read:<br />
         		<a id="pl.131.23"></a><var>131.23</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Assessments and reassessments for waiver clients.</b> (a) Each client shall <br />
         		<a id="pl.131.24"></a><var>131.24</var>receive an initial assessment of strengths, informal supports, and need for services
         in <br />
         		<a id="pl.131.25"></a><var>131.25</var>accordance with section 
         <statute_ref>256B.0911, subdivisions 3, 3a, and 3b</statute_ref>. A reassessment of a client <br />
         		<a id="pl.131.26"></a><var>131.26</var>served under the elderly waiver must be conducted at least every 12 months and at other <br />
         		<a id="pl.131.27"></a><var>131.27</var>times when the case manager determines that there has been significant change in the
         client's <br />
         		<a id="pl.131.28"></a><var>131.28</var>functioning. This may include instances where the client is discharged from the hospital. <br />
         		<a id="pl.131.29"></a><var>131.29</var>There must be a determination that the client requires nursing facility level of care
         as defined <br />
         		<a id="pl.131.30"></a><var>131.30</var>in section 256B.0911, subdivision 4e, at initial and subsequent assessments to initiate
         and <br />
         		<a id="pl.131.31"></a><var>131.31</var>maintain participation in the waiver program.<br />
         		<a id="pl.131.32"></a><var>131.32</var>(b) Regardless of other assessments identified in section 
         <statute_ref>144.0724</statute_ref>, subdivision 4, as <br />
         		<a id="pl.131.33"></a><var>131.33</var>appropriate to determine nursing facility level of care for purposes of medical assistance
         <br />
         		<a id="pl.131.34"></a><var>131.34</var>payment for nursing facility services, only face-to-face assessments conducted according
         <br />
         		<a id="pl.132.1"></a><var>132.1</var>to section 
         <statute_ref>256B.0911, subdivisions 3a</statute_ref> and 3b, that result in a nursing facility level of care <br />
         		<a id="pl.132.2"></a><var>132.2</var>determination will be accepted for purposes of initial and ongoing access to waiver
         service <br />
         		<a id="pl.132.3"></a><var>132.3</var>payment.<br />
         		<a id="pl.132.4"></a><var>132.4</var>(c) The lead agency shall conduct a change-in-condition reassessment before the annual
         <br />
         		<a id="pl.132.5"></a><var>132.5</var>reassessment in cases where a client's condition changed due to a major health event,
         an <br />
         		<a id="pl.132.6"></a><var>132.6</var>emerging need or risk, worsening health condition, or cases where the current services
         do <br />
         		<a id="pl.132.7"></a><var>132.7</var>not meet the client's needs. A change-in-condition reassessment may be initiated by
         the lead <br />
         		<a id="pl.132.8"></a><var>132.8</var>agency, or it may be requested by the client or requested on the client's behalf by
         another <br />
         		<a id="pl.132.9"></a><var>132.9</var>party, such as a provider of services. The lead agency shall complete a change-in-condition
         <br />
         		<a id="pl.132.10"></a><var>132.10</var>reassessment no later than 20 calendar days from the request. The lead agency shall
         conduct <br />
         		<a id="pl.132.11"></a><var>132.11</var>these assessments in a timely manner and expedite urgent requests. The lead agency
         shall <br />
         		<a id="pl.132.12"></a><var>132.12</var>evaluate urgent requests based on the client's needs and risk to the client if a reassessment
         <br />
         		<a id="pl.132.13"></a><var>132.13</var>is not completed.<br />
         		<br />
         		<a id="bill.3.14.0"></a><a id="pl.132.14"></a><var>132.14</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.132.15"></a><var>132.15</var>to read:<br />
         		<a id="pl.132.16"></a><var>132.16</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Payment rates; application.</b> The payment methodologies in subdivisions 12 <br />
         		<a id="pl.132.17"></a><var>132.17</var>to 16 apply to elderly waiver and elderly waiver customized living under this section,
         <br />
         		<a id="pl.132.18"></a><var>132.18</var>alternative care under section 256B.0913, essential community supports under section
         <br />
         		<a id="pl.132.19"></a><var>132.19</var>256B.0922, and community access for disability inclusion customized living, brain
         injury <br />
         		<a id="pl.132.20"></a><var>132.20</var>customized living, and elderly waiver foster care and residential care.<br />
         		<br />
         		<a id="bill.3.15.0"></a><a id="pl.132.21"></a><var>132.21</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.132.22"></a><var>132.22</var>to read:<br />
         		<a id="pl.132.23"></a><var>132.23</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Payment rates; phase-in.</b> (a) Effective January 1, 2019, through December <br />
         		<a id="pl.132.24"></a><var>132.24</var>31, 2020, all rates and rate components for services under subdivision 11 shall be
         the sum <br />
         		<a id="pl.132.25"></a><var>132.25</var>of 12 percent of the rates calculated under subdivisions 13 to 16 and 88 percent of
         the rates <br />
         		<a id="pl.132.26"></a><var>132.26</var>calculated using the rate methodology in effect as of June 30, 2017.<br />
         		<a id="pl.132.27"></a><var>132.27</var>(b) Effective January 1, 2021, all rates and rate components for services under subdivision
         <br />
         		<a id="pl.132.28"></a><var>132.28</var>11 shall be the sum of 20 percent of the rates calculated under subdivisions 13 to
         16 and 80 <br />
         		<a id="pl.132.29"></a><var>132.29</var>percent of the rates calculated using the rate methodology in effect as of June 30,
         2017.<br />
         		<br />
         		<a id="bill.3.16.0"></a><a id="pl.133.1"></a><var>133.1</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.133.2"></a><var>133.2</var>to read:<br />
         		<a id="pl.133.3"></a><var>133.3</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Payment rates; establishment.</b> (a) The commissioner shall use standard <br />
         		<a id="pl.133.4"></a><var>133.4</var>occupational classification (SOC) codes from the Bureau of Labor Statistics as defined
         in <br />
         		<a id="pl.133.5"></a><var>133.5</var>the most recent edition of the Occupational Handbook and data from the most recent
         and <br />
         		<a id="pl.133.6"></a><var>133.6</var>available nursing facility cost report, to establish rates and component rates every
         January <br />
         		<a id="pl.133.7"></a><var>133.7</var>1 using Minnesota-specific wages taken from job descriptions.<br />
         		<a id="pl.133.8"></a><var>133.8</var>(b) In creating the rates and component rates, the commissioner shall establish a
         base <br />
         		<a id="pl.133.9"></a><var>133.9</var>wage calculation for each component service and value, and add the following factors:<br />
         		<a id="pl.133.10"></a><var>133.10</var>(1) payroll taxes and benefits;<br />
         		 <a id="pl.133.11"></a><var>133.11</var>(2) general and administrative;<br />
         		<a id="pl.133.12"></a><var>133.12</var>(3) program plan support;<br />
         		 <a id="pl.133.13"></a><var>133.13</var>(4) registered nurse management and supervision; and<br />
         		<a id="pl.133.14"></a><var>133.14</var>(5) social worker supervision.<br />
         		<br />
         		<a id="bill.3.17.0"></a><a id="pl.133.15"></a><var>133.15</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.133.16"></a><var>133.16</var>to read:<br />
         		<a id="pl.133.17"></a><var>133.17</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Payment rates; base wage index.</b> (a) Base wages are calculated for customized <br />
         		<a id="pl.133.18"></a><var>133.18</var>living, foster care, and residential care component services as follows:<br />
         		<a id="pl.133.19"></a><var>133.19</var>(1) the home management and support services base wage equals 33.33 percent of the
         <br />
         		<a id="pl.133.20"></a><var>133.20</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for personal and home
         <br />
         		<a id="pl.133.21"></a><var>133.21</var>care aide (SOC code 39-9021); 33.33 percent of the Minneapolis-St. Paul-Bloomington,
         <br />
         		<a id="pl.133.22"></a><var>133.22</var>MN-WI MetroSA average wage for food preparation workers (SOC code 35-2021); and <br />
         		<a id="pl.133.23"></a><var>133.23</var>33.34 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage
         <br />
         		<a id="pl.133.24"></a><var>133.24</var>for maids and housekeeping cleaners (SOC code 37-2012);<br />
         		<a id="pl.133.25"></a><var>133.25</var>(2) the home care aide base wage equals 50 percent of the Minneapolis-St. <br />
         		<a id="pl.133.26"></a><var>133.26</var>Paul-Bloomington, MN-WI MetroSA average wage for home health aides (SOC code <br />
         		<a id="pl.133.27"></a><var>133.27</var>31-1011); and 50 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA <br />
         		<a id="pl.133.28"></a><var>133.28</var>average wage for nursing assistants (SOC code 31-1014);<br />
         		<a id="pl.133.29"></a><var>133.29</var>(3) the home health aide base wage equals 20 percent of the Minneapolis-St. <br />
         		<a id="pl.133.30"></a><var>133.30</var>Paul-Bloomington, MN-WI MetroSA average wage for licensed practical and licensed <br />
         		<a id="pl.133.31"></a><var>133.31</var>vocational nurses (SOC code 29-2061); and 80 percent of the Minneapolis-St. <br />
         		<a id="pl.134.1"></a><var>134.1</var>Paul-Bloomington, MN-WI MetroSA average wage for nursing assistants (SOC code <br />
         		<a id="pl.134.2"></a><var>134.2</var>31-1014); and<br />
         		<a id="pl.134.3"></a><var>134.3</var>(4) the medication setups by licensed practical nurse base wage equals ten percent
         of <br />
         		<a id="pl.134.4"></a><var>134.4</var>the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for licensed practical
         <br />
         		<a id="pl.134.5"></a><var>134.5</var>and licensed vocational nurses (SOC code 29-2061); and 90 percent of the Minneapolis-St.
         <br />
         		<a id="pl.134.6"></a><var>134.6</var>Paul-Bloomington, MN-WI MetroSA average wage for registered nurses (SOC code <br />
         		<a id="pl.134.7"></a><var>134.7</var>29-1141).<br />
         		<a id="pl.134.8"></a><var>134.8</var>(b) Base wages are calculated for the following services as follows:<br />
         		<a id="pl.134.9"></a><var>134.9</var>(1) the chore services base wage equals 100 percent of the Minneapolis-St. <br />
         		<a id="pl.134.10"></a><var>134.10</var>Paul-Bloomington, MN-WI MetroSA average wage for landscaping and groundskeeping <br />
         		<a id="pl.134.11"></a><var>134.11</var>workers (SOC code 37-3011);<br />
         		<a id="pl.134.12"></a><var>134.12</var>(2) the companion services base wage equals 50 percent of the Minneapolis-St. <br />
         		<a id="pl.134.13"></a><var>134.13</var>Paul-Bloomington, MN-WI MetroSA average wage for personal and home care aides (SOC
         <br />
         		<a id="pl.134.14"></a><var>134.14</var>code 39-9021); and 50 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA
         <br />
         		<a id="pl.134.15"></a><var>134.15</var>average wage for maids and housekeeping cleaners (SOC code 37-2012);<br />
         		<a id="pl.134.16"></a><var>134.16</var>(3) the homemaker services and assistance with personal care base wage equals 60 <br />
         		<a id="pl.134.17"></a><var>134.17</var>percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for <br />
         		<a id="pl.134.18"></a><var>134.18</var>personal and home care aide (SOC code 39-9021); 20 percent of the Minneapolis-St.
         <br />
         		<a id="pl.134.19"></a><var>134.19</var>Paul-Bloomington, MN-WI MetroSA average wage for nursing assistants (SOC code <br />
         		<a id="pl.134.20"></a><var>134.20</var>31-1014); and 20 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA <br />
         		<a id="pl.134.21"></a><var>134.21</var>average wage for maids and housekeeping cleaners (SOC code 37-2012);<br />
         		<a id="pl.134.22"></a><var>134.22</var>(4) the homemaker services and cleaning base wage equals 60 percent of the <br />
         		<a id="pl.134.23"></a><var>134.23</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for personal and home
         <br />
         		<a id="pl.134.24"></a><var>134.24</var>care aide (SOC code 39-9021); 20 percent of the Minneapolis-St. Paul-Bloomington,
         MN-WI <br />
         		<a id="pl.134.25"></a><var>134.25</var>MetroSA average wage for nursing assistants (SOC code 31-1014); and 20 percent of
         the <br />
         		<a id="pl.134.26"></a><var>134.26</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for maids and <br />
         		<a id="pl.134.27"></a><var>134.27</var>housekeeping cleaners (SOC code 37-2012);<br />
         		<a id="pl.134.28"></a><var>134.28</var>(5) the homemaker services and home management base wage equals 60 percent of the
         <br />
         		<a id="pl.134.29"></a><var>134.29</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for personal and home
         <br />
         		<a id="pl.134.30"></a><var>134.30</var>care aide (SOC code 39-9021); 20 percent of the Minneapolis-St. Paul-Bloomington,
         MN-WI <br />
         		<a id="pl.134.31"></a><var>134.31</var>MetroSA average wage for nursing assistants (SOC code 31-1014); and 20 percent of
         the <br />
         		<a id="pl.134.32"></a><var>134.32</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for maids and <br />
         		<a id="pl.134.33"></a><var>134.33</var>housekeeping cleaners (SOC code 37-2012);<br />
         		<a id="pl.135.1"></a><var>135.1</var>(6) the in-home respite care services base wage equals five percent of the Minneapolis-St.
         <br />
         		<a id="pl.135.2"></a><var>135.2</var>Paul-Bloomington, MN-WI MetroSA average wage for registered nurses (SOC code <br />
         		<a id="pl.135.3"></a><var>135.3</var>29-1141); 75 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average
         <br />
         		<a id="pl.135.4"></a><var>135.4</var>wage for nursing assistants (SOC code 31-1014); and 20 percent of the Minneapolis-St.
         <br />
         		<a id="pl.135.5"></a><var>135.5</var>Paul-Bloomington, MN-WI MetroSA average wage for licensed practical and licensed <br />
         		<a id="pl.135.6"></a><var>135.6</var>vocational nurses (SOC code 29-2061);<br />
         		 <a id="pl.135.7"></a><var>135.7</var>(7) the out-of-home respite care services base wage equals five percent of the <br />
         		<a id="pl.135.8"></a><var>135.8</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for registered nurses
         <br />
         		<a id="pl.135.9"></a><var>135.9</var>(SOC code 29-1141); 75 percent of the Minneapolis-St. Paul-Bloomington, MN-WI MetroSA
         <br />
         		<a id="pl.135.10"></a><var>135.10</var>average wage for nursing assistants (SOC code 31-1014); and 20 percent of the <br />
         		<a id="pl.135.11"></a><var>135.11</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for licensed practical
         <br />
         		<a id="pl.135.12"></a><var>135.12</var>and licensed vocational nurses (SOC code 29-2061); and<br />
         		<a id="pl.135.13"></a><var>135.13</var>(8) the individual community living support base wage equals 20 percent of the <br />
         		<a id="pl.135.14"></a><var>135.14</var>Minneapolis-St. Paul-Bloomington, MN-WI MetroSA average wage for licensed practical
         <br />
         		<a id="pl.135.15"></a><var>135.15</var>and licensed vocational nurses (SOC code 29-2061); and 80 percent of the Minneapolis-St.
         <br />
         		<a id="pl.135.16"></a><var>135.16</var>Paul-Bloomington, MN-WI MetroSA average wage for nursing assistants (SOC code <br />
         		<a id="pl.135.17"></a><var>135.17</var>31-1014).<br />
         		<a id="pl.135.18"></a><var>135.18</var>(c) Base wages are calculated for the following values as follows:<br />
         		<a id="pl.135.19"></a><var>135.19</var>(1) the registered nurse base wage equals 100 percent of the Minneapolis-St. <br />
         		<a id="pl.135.20"></a><var>135.20</var>Paul-Bloomington, MN-WI MetroSA average wage for registered nurses (SOC code <br />
         		<a id="pl.135.21"></a><var>135.21</var>29-1141); and<br />
         		 <a id="pl.135.22"></a><var>135.22</var>(2) the social worker base wage equals 100 percent of the Minneapolis-St. <br />
         		<a id="pl.135.23"></a><var>135.23</var>Paul-Bloomington, MN-WI MetroSA average wage for medical and public health social
         <br />
         		<a id="pl.135.24"></a><var>135.24</var>workers (SOC code 21-1022).<br />
         		<a id="pl.135.25"></a><var>135.25</var>(d) If any of the SOC codes and positions are no longer available, the commissioner
         <br />
         		<a id="pl.135.26"></a><var>135.26</var>shall, in consultation with stakeholders, select a new SOC code and position that
         is the <br />
         		<a id="pl.135.27"></a><var>135.27</var>closest match to the previously used SOC position.<br />
         		<br />
         		<a id="bill.3.18.0"></a><a id="pl.135.28"></a><var>135.28</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.135.29"></a><var>135.29</var>to read:<br />
         		<a id="pl.135.30"></a><var>135.30</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Payment rates; factors.</b> The commissioner shall use the following factors:<br />
         		<a id="pl.135.31"></a><var>135.31</var>(1) the payroll taxes and benefits factor is the sum of net payroll taxes and benefits
         <br />
         		<a id="pl.135.32"></a><var>135.32</var>divided by the sum of all salaries for all nursing facilities on the most recent and
         available <br />
         		<a id="pl.135.33"></a><var>135.33</var>cost report;<br />
         		<a id="pl.136.1"></a><var>136.1</var>(2) the general and administrative factor is the sum of net general and administrative
         <br />
         		<a id="pl.136.2"></a><var>136.2</var>expenses minus administrative salaries divided by total operating expenses for all
         nursing <br />
         		<a id="pl.136.3"></a><var>136.3</var>facilities on the most recent and available cost report;<br />
         		<a id="pl.136.4"></a><var>136.4</var>(3) the program plan support factor is defined as the direct service staff needed
         to provide <br />
         		<a id="pl.136.5"></a><var>136.5</var>support for the home and community-based service when not engaged in direct contact
         with <br />
         		<a id="pl.136.6"></a><var>136.6</var>clients. Based on the 2016 Non-Wage Provider Costs in Home and Community-Based <br />
         		<a id="pl.136.7"></a><var>136.7</var>Disability Waiver Services Report, this factor equals 12.8 percent;<br />
         		<a id="pl.136.8"></a><var>136.8</var>(4) the registered nurse management and supervision factor equals 15 percent of the
         <br />
         		<a id="pl.136.9"></a><var>136.9</var>product of the position's base wage and the sum of the factors in clauses (1) to (3);
         and<br />
         		 <a id="pl.136.10"></a><var>136.10</var>(5) the social worker supervision factor equals 15 percent of the product of the position's
         <br />
         		<a id="pl.136.11"></a><var>136.11</var>base wage and the sum of the factors in clauses (1) to (3).<br />
         		<br />
         		<a id="bill.3.19.0"></a><a id="pl.136.12"></a><var>136.12</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.136.13"></a><var>136.13</var>to read:<br />
         		<a id="pl.136.14"></a><var>136.14</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Payment rates; component rates.</b> (a) For the purposes of this subdivision, <br />
         		<a id="pl.136.15"></a><var>136.15</var>the "adjusted base wage" for a position equals the position's base wage plus:<br />
         		<a id="pl.136.16"></a><var>136.16</var>(1) the position's base wage multiplied by the payroll taxes and benefits factor;<br />
         		<a id="pl.136.17"></a><var>136.17</var>(2) the position's base wage multiplied by the general and administrative factor;
         and<br />
         		<a id="pl.136.18"></a><var>136.18</var>(3) the position's base wage multiplied by the program plan support factor.<br />
         		<a id="pl.136.19"></a><var>136.19</var>(b) For medication setups by licensed nurse, registered nurse, and social worker services,
         <br />
         		<a id="pl.136.20"></a><var>136.20</var>the component rate for each service equals the respective position's adjusted base
         wage.<br />
         		<a id="pl.136.21"></a><var>136.21</var>(c) For home management and support services, home care aide, and home health aide
         <br />
         		<a id="pl.136.22"></a><var>136.22</var>services, the component rate for each service equals the respective position's adjusted
         base <br />
         		<a id="pl.136.23"></a><var>136.23</var>wage plus the registered nurse management and supervision factor.<br />
         		<a id="pl.136.24"></a><var>136.24</var>(d) The home management and support services component rate shall be used for payment
         <br />
         		<a id="pl.136.25"></a><var>136.25</var>for socialization and transportation component rates under elderly waiver customized
         living.<br />
         		<a id="pl.136.26"></a><var>136.26</var>(e) The 15-minute unit rates for chore services and companion services are calculated
         <br />
         		<a id="pl.136.27"></a><var>136.27</var>as follows:<br />
         		<a id="pl.136.28"></a><var>136.28</var>(1) sum the adjusted base wage for the respective position and the social worker factor;
         <br />
         		<a id="pl.136.29"></a><var>136.29</var>and<br />
         		<a id="pl.136.30"></a><var>136.30</var>(2) divide the result of clause (1) by four.<br />
         		<a id="pl.137.1"></a><var>137.1</var>(f) The 15-minute unit rates for homemaker services and assistance with personal care,
         <br />
         		<a id="pl.137.2"></a><var>137.2</var>homemaker services and cleaning, and homemaker services and home management are <br />
         		<a id="pl.137.3"></a><var>137.3</var>calculated as follows:<br />
         		<a id="pl.137.4"></a><var>137.4</var>(1) sum the adjusted base wage for the respective position and the registered nurse
         <br />
         		<a id="pl.137.5"></a><var>137.5</var>management and supervision factor; and<br />
         		<a id="pl.137.6"></a><var>137.6</var>(2) divide the result of clause (1) by four.<br />
         		<a id="pl.137.7"></a><var>137.7</var>(g) The 15-minute unit rate for in-home respite care services is calculated as follows:<br />
         		<a id="pl.137.8"></a><var>137.8</var>(1) sum the adjusted base wage for in-home respite care services and the registered
         nurse <br />
         		<a id="pl.137.9"></a><var>137.9</var>management and supervision factor; and<br />
         		<a id="pl.137.10"></a><var>137.10</var>(2) divide the result of clause (1) by four.<br />
         		<a id="pl.137.11"></a><var>137.11</var>(h) The in-home respite care services daily rate equals the in-home respite care services
         <br />
         		<a id="pl.137.12"></a><var>137.12</var>15-minute unit rate multiplied by 18.<br />
         		<a id="pl.137.13"></a><var>137.13</var>(i) The 15-minute unit rate for out-of-home respite care is calculated as follows:<br />
         		<a id="pl.137.14"></a><var>137.14</var>(1) sum the out-of-home respite care services adjusted base wage and the registered
         <br />
         		<a id="pl.137.15"></a><var>137.15</var>nurse management and supervision factor; and<br />
         		<a id="pl.137.16"></a><var>137.16</var>(2) divide the result of clause (1) by four.<br />
         		<a id="pl.137.17"></a><var>137.17</var>(j) The out-of-home respite care services daily rate equals the out-of-home respite
         care <br />
         		<a id="pl.137.18"></a><var>137.18</var>services 15-minute unit rate multiplied by 18.<br />
         		<a id="pl.137.19"></a><var>137.19</var>(k) The individual community living support rate is calculated as follows:<br />
         		<a id="pl.137.20"></a><var>137.20</var>(1) sum the adjusted base wage for the home care aide rate in subdivision 14, paragraph
         <br />
         		<a id="pl.137.21"></a><var>137.21</var>(a), clause (2), and the social worker factor; and<br />
         		<a id="pl.137.22"></a><var>137.22</var>(2) divide the result of clause (1) by four.<br />
         		<a id="pl.137.23"></a><var>137.23</var>(l) The home delivered meals rate equals $9.30. Beginning July 1, 2018, the commissioner
         <br />
         		<a id="pl.137.24"></a><var>137.24</var>shall increase the home delivered meals rate every July 1 by the percent increase
         in the <br />
         		<a id="pl.137.25"></a><var>137.25</var>nursing facility dietary per diem using the two most recent nursing facility cost
         reports.<br />
         		<a id="pl.137.26"></a><var>137.26</var>(m) The adult day services rate is based on the home care aide rate in subdivision
         14, <br />
         		<a id="pl.137.27"></a><var>137.27</var>paragraph (a), clause (2), plus the additional factors from subdivision 15, except
         that the <br />
         		<a id="pl.137.28"></a><var>137.28</var>general and administrative factor used shall be 20 percent. The nonregistered nurse
         portion <br />
         		<a id="pl.137.29"></a><var>137.29</var>of the rate shall be multiplied by 0.25, to reflect an assumed-ratio staffing of one
         caregiver <br />
         		<a id="pl.137.30"></a><var>137.30</var>to four clients, and divided by four to determine the 15-minute unit rate. The registered
         <br />
         		<a id="pl.138.1"></a><var>138.1</var>nurse portion is divided by four to determine the 15-minute unit rate and $0.63 per
         15-minute <br />
         		<a id="pl.138.2"></a><var>138.2</var>unit is added to cover the cost of meals.<br />
         		<a id="pl.138.3"></a><var>138.3</var>(n) The adult day services bath 15-minute unit rate is the same as the calculation
         of the <br />
         		<a id="pl.138.4"></a><var>138.4</var>adult day services 15-minute unit rate without the adjustment for staffing ratio.<br />
         		<a id="pl.138.5"></a><var>138.5</var>(o) If a bath is authorized for an adult day services client, at least two 15-minute
         units <br />
         		<a id="pl.138.6"></a><var>138.6</var>must be authorized to allow for adequate time to meet client needs. Adult day services
         may <br />
         		<a id="pl.138.7"></a><var>138.7</var>be authorized for up to 48 units, or 12 hours, per day based on client and family
         caregiver <br />
         		<a id="pl.138.8"></a><var>138.8</var>needs.<br />
         		<br />
         		<a id="bill.3.20.0"></a><a id="pl.138.9"></a><var>138.9</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 256B.0915, is amended by adding a subdivision <br />
         		<a id="pl.138.10"></a><var>138.10</var>to read:<br />
         		<a id="pl.138.11"></a><var>138.11</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Evaluation of rate methodology.</b> The commissioner, in consultation with <br />
         		<a id="pl.138.12"></a><var>138.12</var>stakeholders, shall conduct a study to evaluate the following:<br />
         		<a id="pl.138.13"></a><var>138.13</var>(1) base wages in subdivision 14, to determine if the standard occupational classification
         <br />
         		<a id="pl.138.14"></a><var>138.14</var>codes for each rate and component rate are an appropriate representation of staff
         who deliver <br />
         		<a id="pl.138.15"></a><var>138.15</var>the services; and<br />
         		<a id="pl.138.16"></a><var>138.16</var>(2) factors in subdivision 15, and adjusted base wage calculation in subdivision 16,
         to <br />
         		<a id="pl.138.17"></a><var>138.17</var>determine if the factors and calculations appropriately address nonwage provider costs.<br />
         		<a id="pl.138.18"></a><var>138.18</var>By January 1, 2019, the commissioner shall submit a report to the legislature on the
         <br />
         		<a id="pl.138.19"></a><var>138.19</var>changes to the rate methodology in this statute, based on the results of the evaluation.
         Where <br />
         		<a id="pl.138.20"></a><var>138.20</var>feasible, the report shall address the impact of the new rates on the workforce situation
         and <br />
         		<a id="pl.138.21"></a><var>138.21</var>client access to services. The report should include any changes to the rate calculations
         <br />
         		<a id="pl.138.22"></a><var>138.22</var>methods that the commissioner recommends.<br />
         		<br />
         		<a id="bill.3.21.0"></a><a id="pl.138.23"></a><var>138.23</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 256B.0922, subdivision 1, is amended to read:<br />
         		<a id="pl.138.24"></a><var>138.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Essential community supports.</b> (a) The purpose of the essential <br />
         		<a id="pl.138.25"></a><var>138.25</var>community supports program is to provide targeted services to persons age 65 and older
         <br />
         		<a id="pl.138.26"></a><var>138.26</var>who need essential community support, but whose needs do not meet the level of care
         <br />
         		<a id="pl.138.27"></a><var>138.27</var>required for nursing facility placement under section 
         <statute_ref>144.0724, subdivision 11</statute_ref>.<br />
         		<a id="pl.138.28"></a><var>138.28</var>(b) Essential community supports are available not to exceed $400 $600 per person per <br />
         		<a id="pl.138.29"></a><var>138.29</var>month. Essential community supports may be used as authorized within an authorization
         <br />
         		<a id="pl.138.30"></a><var>138.30</var>period not to exceed 12 months. Services must be available to a person who:<br />
         		<a id="pl.138.31"></a><var>138.31</var>(1) is age 65 or older;<br />
         		<a id="pl.139.1"></a><var>139.1</var>(2) is not eligible for medical assistance;<br />
         		<a id="pl.139.2"></a><var>139.2</var>(3) has received a community assessment under section 
         <statute_ref>256B.0911, subdivision 3a </statute_ref>or <br />
         		<a id="pl.139.3"></a><var>139.3</var>3b, and does not require the level of care provided in a nursing facility;<br />
         		<a id="pl.139.4"></a><var>139.4</var>(4) meets the financial eligibility criteria for the alternative care program under
         section <br />
         		
         <statute_ref><a id="pl.139.5"></a><var>139.5</var>256B.0913, subdivision 4
         </statute_ref>;<br />
         		<a id="pl.139.6"></a><var>139.6</var>(5) has a community support plan; and<br />
         		<a id="pl.139.7"></a><var>139.7</var>(6) has been determined by a community assessment under section 
         <statute_ref>256B.0911</statute_ref>, <br />
         		<a id="pl.139.8"></a><var>139.8</var>subdivision 3a or 3b, to be a person who would require provision of at least one of
         the <br />
         		<a id="pl.139.9"></a><var>139.9</var>following services, as defined in the approved elderly waiver plan, in order to maintain
         their <br />
         		<a id="pl.139.10"></a><var>139.10</var>community residence:<br />
         		<a id="pl.139.11"></a><var>139.11</var>(i) adult day services;<br />
         		<a id="pl.139.12"></a><var>139.12</var>(ii) family caregiver support services;<br />
         		<a id="pl.139.13"></a><var>139.13</var>(iii) respite care;<br />
         		<a id="pl.139.14"></a><var>139.14</var>(iii) (iv) homemaker support;<br />
         		<a id="pl.139.15"></a><var>139.15</var>(v) companion services;<br />
         		<a id="pl.139.16"></a><var>139.16</var>(iv) (vi) chores;<br />
         		<a id="pl.139.17"></a><var>139.17</var>(v) (vii) a personal emergency response device or system;<br />
         		<a id="pl.139.18"></a><var>139.18</var>(vi) (viii) home-delivered meals; or<br />
         		<a id="pl.139.19"></a><var>139.19</var>(vii) (ix) community living assistance as defined by the commissioner.<br />
         		<a id="pl.139.20"></a><var>139.20</var>(c) The person receiving any of the essential community supports in this subdivision
         <br />
         		<a id="pl.139.21"></a><var>139.21</var>must also receive service coordination, not to exceed $600 in a 12-month authorization
         <br />
         		<a id="pl.139.22"></a><var>139.22</var>period, as part of their community support plan.<br />
         		<a id="pl.139.23"></a><var>139.23</var>(d) A person who has been determined to be eligible for essential community supports
         <br />
         		<a id="pl.139.24"></a><var>139.24</var>must be reassessed at least annually and continue to meet the criteria in paragraph
         (b) to <br />
         		<a id="pl.139.25"></a><var>139.25</var>remain eligible for essential community supports.<br />
         		<a id="pl.139.26"></a><var>139.26</var>(e) The commissioner is authorized to use federal matching funds for essential community
         <br />
         		<a id="pl.139.27"></a><var>139.27</var>supports as necessary and to meet demand for essential community supports as outlined
         in <br />
         		<a id="pl.139.28"></a><var>139.28</var>subdivision 2, and that amount of federal funds is appropriated to the commissioner
         for this <br />
         		<a id="pl.139.29"></a><var>139.29</var>purpose.<br />
         		<br />
         		<a id="bill.3.22.0"></a><a id="pl.140.1"></a><var>140.1</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 256B.431, subdivision 10, is amended to read:<br />
         		<a id="pl.140.2"></a><var>140.2</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Property rate adjustments and construction projects.</b> A nursing facility <br />
         		<a id="pl.140.3"></a><var>140.3</var>completing a construction project that is eligible for a rate adjustment under section
         <br />
         		
         <statute_ref><a id="pl.140.4"></a><var>140.4</var>256B.434, subdivision 4f
         </statute_ref>, and that was not approved through the moratorium exception <br />
         		<a id="pl.140.5"></a><var>140.5</var>process in section 
         <statute_ref>144A.073</statute_ref> must request from the commissioner a property-related payment <br />
         		<a id="pl.140.6"></a><var>140.6</var>rate adjustment. If the request is made within 60 days after the construction project's <br />
         		<a id="pl.140.7"></a><var>140.7</var>completion date, The effective date of the rate adjustment is the first of the month of January <br />
         		<a id="pl.140.8"></a><var>140.8</var>or July, whichever occurs first following both the construction project's completion date <br />
         		<a id="pl.140.9"></a><var>140.9</var>and submission of the provider's rate adjustment request. If the request is made more than <br />
         		<a id="pl.140.10"></a><var>140.10</var>60 days after the completion date, the rate adjustment is effective on the first of
         the month <br />
         		<a id="pl.140.11"></a><var>140.11</var>following the request. The commissioner shall provide a rate notice reflecting the allowable <br />
         		<a id="pl.140.12"></a><var>140.12</var>costs within 60 days after receiving all the necessary information to compute the
         rate <br />
         		<a id="pl.140.13"></a><var>140.13</var>adjustment. No sooner than the effective date of the rate adjustment for the construction
         <br />
         		<a id="pl.140.14"></a><var>140.14</var>project, a nursing facility may adjust its rates by the amount anticipated to be allowed.
         Any <br />
         		<a id="pl.140.15"></a><var>140.15</var>amounts collected from private pay residents in excess of the allowable rate must
         be repaid <br />
         		<a id="pl.140.16"></a><var>140.16</var>to private pay residents with interest at the rate used by the commissioner of revenue
         for <br />
         		<a id="pl.140.17"></a><var>140.17</var>the late payment of taxes and in effect on the date the rate increase is effective.
         Construction <br />
         		<a id="pl.140.18"></a><var>140.18</var>projects with completion dates within one year of the completion date associated with
         the <br />
         		<a id="pl.140.19"></a><var>140.19</var>property rate adjustment request and phased projects with project completion dates
         within <br />
         		<a id="pl.140.20"></a><var>140.20</var>three years of the last phase of the phased project must be aggregated for purposes
         of the <br />
         		<a id="pl.140.21"></a><var>140.21</var>minimum thresholds in subdivisions 16 and 17, and the maximum threshold in section
         <br />
         		
         <statute_ref><a id="pl.140.22"></a><var>140.22</var>144A.071, subdivision 2
         </statute_ref>. "Construction project" and "project construction costs" have the <br />
         		<a id="pl.140.23"></a><var>140.23</var>meanings given them in Minnesota Statutes, section 
         <statute_ref>144A.071, subdivision 1a</statute_ref>.<br />
         		<a id="pl.140.24"></a><var>140.24</var><b>EFFECTIVE DATE.</b>This section is effective for projects completed after January 1, <br />
         		<a id="pl.140.25"></a><var>140.25</var>2018.<br />
         		<br />
         		<a id="bill.3.23.0"></a><a id="pl.140.26"></a><var>140.26</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2016, section 256B.431, subdivision 16, is amended to read:<br />
         		<a id="pl.140.27"></a><var>140.27</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Major additions and replacements; equity incentive.</b> For rate years beginning <br />
         		<a id="pl.140.28"></a><var>140.28</var>after June 30, 1993, if a nursing facility acquires capital assets in connection with
         a project <br />
         		<a id="pl.140.29"></a><var>140.29</var>approved under the moratorium exception process in section 
         <statute_ref>144A.073</statute_ref> or in connection <br />
         		<a id="pl.140.30"></a><var>140.30</var>with an addition to or replacement of buildings, attached fixtures, or land improvements
         <br />
         		<a id="pl.140.31"></a><var>140.31</var>for which the total historical cost of those capital asset additions exceeds the lesser
         of <br />
         		<a id="pl.140.32"></a><var>140.32</var>$150,000 or ten percent of the most recent appraised value, the nursing facility shall
         be <br />
         		<a id="pl.140.33"></a><var>140.33</var>eligible for an equity incentive payment rate as in paragraphs (a) to (d). This computation
         <br />
         		<a id="pl.141.1"></a><var>141.1</var>is separate from the determination of the nursing facility's rental rate. An equity
         incentive <br />
         		<a id="pl.141.2"></a><var>141.2</var>payment rate as computed under this subdivision is limited to one in a 12-month period.<br />
         		<a id="pl.141.3"></a><var>141.3</var>(a) An eligible nursing facility shall receive an equity incentive payment rate equal
         to <br />
         		<a id="pl.141.4"></a><var>141.4</var>the allowable historical cost of the capital asset acquired, minus the allowable debt
         directly <br />
         		<a id="pl.141.5"></a><var>141.5</var>identified to that capital asset, multiplied by the equity incentive factor as described
         in <br />
         		<a id="pl.141.6"></a><var>141.6</var>paragraphs (b) and (c), and divided by the nursing facility's occupancy factor under
         <br />
         		<a id="pl.141.7"></a><var>141.7</var>subdivision 3f, paragraph (c). This amount shall be added to the nursing facility's
         total <br />
         		<a id="pl.141.8"></a><var>141.8</var>payment rate and shall be effective the same day as the incremental increase in paragraph
         <br />
         		<a id="pl.141.9"></a><var>141.9</var>(d) or subdivision 17. The allowable historical cost of the capital assets and the
         allowable <br />
         		<a id="pl.141.10"></a><var>141.10</var>debt shall be determined as provided in Minnesota Rules, parts 9549.0010 to 9549.0080, <br />
         		<a id="pl.141.11"></a><var>141.11</var>and this section.<br />
         		<a id="pl.141.12"></a><var>141.12</var>(b) The equity incentive factor shall be determined under clauses (1) to (4):<br />
         		<a id="pl.141.13"></a><var>141.13</var>(1) divide the initial allowable debt in paragraph (a) by the initial historical cost
         of the <br />
         		<a id="pl.141.14"></a><var>141.14</var>capital asset additions referred to in paragraph (a), then cube the quotient,<br />
         		<a id="pl.141.15"></a><var>141.15</var>(2) subtract the amount calculated in clause (1) from the number one,<br />
         		<a id="pl.141.16"></a><var>141.16</var>(3) determine the difference between the rental factor and the lesser of two percentage
         <br />
         		<a id="pl.141.17"></a><var>141.17</var>points above the posted yield for standard conventional fixed rate mortgages of the
         Federal <br />
         		<a id="pl.141.18"></a><var>141.18</var>Home Loan Mortgage Corporation as published in the Wall Street Journal and in effect
         on <br />
         		<a id="pl.141.19"></a><var>141.19</var>the first day of the month the debt or cost is incurred, or 16 percent,<br />
         		<a id="pl.141.20"></a><var>141.20</var>(4) multiply the amount calculated in clause (2) by the amount calculated in clause
         (3).<br />
         		<a id="pl.141.21"></a><var>141.21</var>(c) The equity incentive payment rate shall be limited to the term of the allowable
         debt <br />
         		<a id="pl.141.22"></a><var>141.22</var>in paragraph (a), not greater than 20 years nor less than ten years. If no debt is
         incurred in <br />
         		<a id="pl.141.23"></a><var>141.23</var>acquiring the capital asset, the equity incentive payment rate shall be paid for ten
         years. The <br />
         		<a id="pl.141.24"></a><var>141.24</var>sale of a nursing facility under subdivision 14 shall terminate application of the
         equity <br />
         		<a id="pl.141.25"></a><var>141.25</var>incentive payment rate effective on the date provided in subdivision 14, paragraph
         (f), for <br />
         		<a id="pl.141.26"></a><var>141.26</var>the sale.<br />
         		<a id="pl.141.27"></a><var>141.27</var>(d) A nursing facility with an addition to or a renovation of its buildings, attached
         fixtures, <br />
         		<a id="pl.141.28"></a><var>141.28</var>or land improvements meeting the criteria in this subdivision and not receiving the
         <br />
         		<a id="pl.141.29"></a><var>141.29</var>property-related payment rate adjustment in subdivision 17, shall receive the incremental
         <br />
         		<a id="pl.141.30"></a><var>141.30</var>increase in the nursing facility's rental rate as determined under Minnesota Rules,
         parts <br />
         		<a id="pl.141.31"></a><var>141.31</var>9549.0010 to 9549.0080, and this section. The incremental increase shall be added to the <br />
         		<a id="pl.141.32"></a><var>141.32</var>nursing facility's property-related payment rate. The effective date of this incremental
         <br />
         		<a id="pl.142.1"></a><var>142.1</var>increase shall be the first day of the month of January or July, whichever occurs first <br />
         		<a id="pl.142.2"></a><var>142.2</var>following the month in date on which the addition or replacement is completed.<br />
         		<a id="pl.142.3"></a><var>142.3</var><b>EFFECTIVE DATE.</b>This section is effective for additions or replacements completed <br />
         		<a id="pl.142.4"></a><var>142.4</var>after January 1, 2018.<br />
         		<br />
         		<a id="bill.3.24.0"></a><a id="pl.142.5"></a><var>142.5</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2016, section 256B.431, subdivision 30, is amended to read:<br />
         		<a id="pl.142.6"></a><var>142.6</var>&#160;&#160;&#160;&#160;Subd. 30. <b>Bed layaway and delicensure.</b> (a) For rate years beginning on or after July <br />
         		<a id="pl.142.7"></a><var>142.7</var>1, 2000, a nursing facility reimbursed under this section which has placed beds on
         layaway <br />
         		<a id="pl.142.8"></a><var>142.8</var>shall, for purposes of application of the downsizing incentive in subdivision 3a,
         paragraph <br />
         		<a id="pl.142.9"></a><var>142.9</var>(c), and calculation of the rental per diem, have those beds given the same effect
         as if the <br />
         		<a id="pl.142.10"></a><var>142.10</var>beds had been delicensed so long as the beds remain on layaway. At the time of a layaway,
         <br />
         		<a id="pl.142.11"></a><var>142.11</var>a facility may change its single bed election for use in calculating capacity days
         under <br />
         		<a id="pl.142.12"></a><var>142.12</var>Minnesota Rules, part 9549.0060, subpart 11. The property payment rate increase shall be <br />
         		<a id="pl.142.13"></a><var>142.13</var>effective the first day of the month of January or July, whichever occurs first following the <br />
         		<a id="pl.142.14"></a><var>142.14</var>month in date on which the layaway of the beds becomes effective under section 
         <statute_ref>144A.071, <br />
            		<a id="pl.142.15"></a><var>142.15</var>subdivision 4b
         </statute_ref>.<br />
         		<a id="pl.142.16"></a><var>142.16</var>(b) For rate years beginning on or after July 1, 2000, notwithstanding any provision
         to <br />
         		<a id="pl.142.17"></a><var>142.17</var>the contrary under section 
         <statute_ref>256B.434</statute_ref>, a nursing facility reimbursed under that section which <br />
         		<a id="pl.142.18"></a><var>142.18</var>that has placed beds on layaway shall, for so long as the beds remain on layaway, be allowed
         <br />
         		<a id="pl.142.19"></a><var>142.19</var>to:<br />
         		<a id="pl.142.20"></a><var>142.20</var>(1) aggregate the applicable investment per bed limits based on the number of beds
         <br />
         		<a id="pl.142.21"></a><var>142.21</var>licensed immediately prior to entering the alternative payment system;<br />
         		<a id="pl.142.22"></a><var>142.22</var>(2) retain or change the facility's single bed election for use in calculating capacity
         days <br />
         		<a id="pl.142.23"></a><var>142.23</var>under Minnesota Rules, part 9549.0060, subpart 11; and<br />
         		<a id="pl.142.24"></a><var>142.24</var>(3) establish capacity days based on the number of beds immediately prior to the layaway
         <br />
         		<a id="pl.142.25"></a><var>142.25</var>and the number of beds after the layaway.<br />
         		<a id="pl.142.26"></a><var>142.26</var>&#160;&#160;&#160;&#160;The commissioner shall increase the facility's property payment rate by the incremental
         <br />
         		<a id="pl.142.27"></a><var>142.27</var>increase in the rental per diem resulting from the recalculation of the facility's
         rental per <br />
         		<a id="pl.142.28"></a><var>142.28</var>diem applying only the changes resulting from the layaway of beds and clauses (1),
         (2), and <br />
         		<a id="pl.142.29"></a><var>142.29</var>(3). If a facility reimbursed under section 
         <statute_ref>256B.434</statute_ref> completes a moratorium exception <br />
         		<a id="pl.142.30"></a><var>142.30</var>project after its base year, the base year property rate shall be the moratorium project
         property <br />
         		<a id="pl.142.31"></a><var>142.31</var>rate. The base year rate shall be inflated by the factors in section 
         <statute_ref>256B.434, subdivision 4</statute_ref>, <br />
         		<a id="pl.142.32"></a><var>142.32</var>paragraph (c). The property payment rate increase shall be effective the first day
         of the <br />
         		<a id="pl.143.1"></a><var>143.1</var>month of January or July, whichever occurs first following the month in date on which the <br />
         		<a id="pl.143.2"></a><var>143.2</var>layaway of the beds becomes effective.<br />
         		<a id="pl.143.3"></a><var>143.3</var>(c) If a nursing facility removes a bed from layaway status in accordance with section
         <br />
         		
         <statute_ref><a id="pl.143.4"></a><var>143.4</var>144A.071, subdivision 4b
         </statute_ref>, the commissioner shall establish capacity days based on the <br />
         		<a id="pl.143.5"></a><var>143.5</var>number of licensed and certified beds in the facility not on layaway and shall reduce
         the <br />
         		<a id="pl.143.6"></a><var>143.6</var>nursing facility's property payment rate in accordance with paragraph (b).<br />
         		<a id="pl.143.7"></a><var>143.7</var>(d) For the rate years beginning on or after July 1, 2000, notwithstanding any provision
         <br />
         		<a id="pl.143.8"></a><var>143.8</var>to the contrary under section 
         <statute_ref>256B.434</statute_ref>, a nursing facility reimbursed under that section, <br />
         		<a id="pl.143.9"></a><var>143.9</var>which that has delicensed beds after July 1, 2000, by giving notice of the delicensure to the
         <br />
         		<a id="pl.143.10"></a><var>143.10</var>commissioner of health according to the notice requirements in section 
         <statute_ref>144A.071, subdivision <br />
            		<a id="pl.143.11"></a><var>143.11</var>4b
         </statute_ref>, shall be allowed to:<br />
         		<a id="pl.143.12"></a><var>143.12</var>(1) aggregate the applicable investment per bed limits based on the number of beds
         <br />
         		<a id="pl.143.13"></a><var>143.13</var>licensed immediately prior to entering the alternative payment system;<br />
         		<a id="pl.143.14"></a><var>143.14</var>(2) retain or change the facility's single bed election for use in calculating capacity
         days <br />
         		<a id="pl.143.15"></a><var>143.15</var>under Minnesota Rules, part 9549.0060, subpart 11; and<br />
         		<a id="pl.143.16"></a><var>143.16</var>(3) establish capacity days based on the number of beds immediately prior to the <br />
         		<a id="pl.143.17"></a><var>143.17</var>delicensure and the number of beds after the delicensure.<br />
         		<a id="pl.143.18"></a><var>143.18</var>&#160;&#160;&#160;&#160;The commissioner shall increase the facility's property payment rate by the incremental
         <br />
         		<a id="pl.143.19"></a><var>143.19</var>increase in the rental per diem resulting from the recalculation of the facility's
         rental per <br />
         		<a id="pl.143.20"></a><var>143.20</var>diem applying only the changes resulting from the delicensure of beds and clauses
         (1), (2), <br />
         		<a id="pl.143.21"></a><var>143.21</var>and (3). If a facility reimbursed under section 
         <statute_ref>256B.434</statute_ref> completes a moratorium exception <br />
         		<a id="pl.143.22"></a><var>143.22</var>project after its base year, the base year property rate shall be the moratorium project
         property <br />
         		<a id="pl.143.23"></a><var>143.23</var>rate. The base year rate shall be inflated by the factors in section 
         <statute_ref>256B.434, subdivision 4</statute_ref>, <br />
         		<a id="pl.143.24"></a><var>143.24</var>paragraph (c). The property payment rate increase shall be effective the first day
         of the <br />
         		<a id="pl.143.25"></a><var>143.25</var>month of January or July, whichever occurs first following the month in date on which the <br />
         		<a id="pl.143.26"></a><var>143.26</var>delicensure of the beds becomes effective.<br />
         		<a id="pl.143.27"></a><var>143.27</var>(e) For nursing facilities reimbursed under this section or section 
         <statute_ref>256B.434</statute_ref>, any beds <br />
         		<a id="pl.143.28"></a><var>143.28</var>placed on layaway shall not be included in calculating facility occupancy as it pertains
         to <br />
         		<a id="pl.143.29"></a><var>143.29</var>leave days defined in Minnesota Rules, part 9505.0415.<br />
         		<a id="pl.143.30"></a><var>143.30</var>(f) For nursing facilities reimbursed under this section or section 
         <statute_ref>256B.434</statute_ref>, the rental <br />
         		<a id="pl.143.31"></a><var>143.31</var>rate calculated after placing beds on layaway may not be less than the rental rate
         prior to <br />
         		<a id="pl.143.32"></a><var>143.32</var>placing beds on layaway.<br />
         		<a id="pl.144.1"></a><var>144.1</var>(g) A nursing facility receiving a rate adjustment as a result of this section shall
         comply <br />
         		<a id="pl.144.2"></a><var>144.2</var>with section 
         <statute_ref>256B.47, subdivision 2</statute_ref> 256R.06, subdivision 5.<br />
         		<a id="pl.144.3"></a><var>144.3</var>(h) A facility that does not utilize the space made available as a result of bed layaway
         <br />
         		<a id="pl.144.4"></a><var>144.4</var>or delicensure under this subdivision to reduce the number of beds per room or provide
         <br />
         		<a id="pl.144.5"></a><var>144.5</var>more common space for nursing facility uses or perform other activities related to
         the <br />
         		<a id="pl.144.6"></a><var>144.6</var>operation of the nursing facility shall have its property rate increase calculated
         under this <br />
         		<a id="pl.144.7"></a><var>144.7</var>subdivision reduced by the ratio of the square footage made available that is not
         used for <br />
         		<a id="pl.144.8"></a><var>144.8</var>these purposes to the total square footage made available as a result of bed layaway
         or <br />
         		<a id="pl.144.9"></a><var>144.9</var>delicensure.<br />
         		<a id="pl.144.10"></a><var>144.10</var><b>EFFECTIVE DATE.</b>This section is effective for layaways occurring after July 1, 2017.<br />
         		<br />
         		<a id="bill.3.25.0"></a><a id="pl.144.11"></a><var>144.11</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 256B.434, subdivision 4, is amended to read:<br />
         		<a id="pl.144.12"></a><var>144.12</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Alternate rates for nursing facilities.</b> Effective for the rate years beginning <br />
         		<a id="pl.144.13"></a><var>144.13</var>on and after January 1, 2019, a nursing facility's case mix property payment rates rate for <br />
         		<a id="pl.144.14"></a><var>144.14</var>the second and subsequent years of a facility's contract under this section are the
         previous <br />
         		<a id="pl.144.15"></a><var>144.15</var>rate year's contract property payment rates rate plus an inflation adjustment and, for facilities <br />
         		<a id="pl.144.16"></a><var>144.16</var>reimbursed under this section or section 
         <statute_ref>256B.431</statute_ref>, an adjustment to include the cost of any <br />
         		<a id="pl.144.17"></a><var>144.17</var>increase in Health Department licensing fees for the facility taking effect on or
         after July <br />
         		<a id="pl.144.18"></a><var>144.18</var>1, 2001. The index for the inflation adjustment must be based on the change in the Consumer
         <br />
         		<a id="pl.144.19"></a><var>144.19</var>Price Index-All Items (United States City average) (CPI-U) forecasted by the commissioner <br />
         		<a id="pl.144.20"></a><var>144.20</var>of management and budget's national economic consultant Reports and Forecasts Division <br />
         		<a id="pl.144.21"></a><var>144.21</var>of the Department of Human Services, as forecasted in the fourth quarter of the calendar <br />
         		<a id="pl.144.22"></a><var>144.22</var>year preceding the rate year. The inflation adjustment must be based on the 12-month
         period <br />
         		<a id="pl.144.23"></a><var>144.23</var>from the midpoint of the previous rate year to the midpoint of the rate year for which
         the <br />
         		<a id="pl.144.24"></a><var>144.24</var>rate is being determined. For the rate years beginning on July 1, 1999, July 1, 2000, July 1, <br />
         		<a id="pl.144.25"></a><var>144.25</var>2001, July 1, 2002, July 1, 2003, July 1, 2004, July 1, 2005, July 1, 2006, July 1,
         2007, July <br />
         		<a id="pl.144.26"></a><var>144.26</var>1, 2008, October 1, 2009, and October 1, 2010, this paragraph shall apply only to
         the <br />
         		<a id="pl.144.27"></a><var>144.27</var>property-related payment rate. For the rate years beginning on October 1, 2011, October
         1, <br />
         		<a id="pl.144.28"></a><var>144.28</var>2012, October 1, 2013, October 1, 2014, October 1, 2015, January 1, 2016, and January
         1, <br />
         		<a id="pl.144.29"></a><var>144.29</var>2017, the rate adjustment under this paragraph shall be suspended. Beginning in 2005,
         <br />
         		<a id="pl.144.30"></a><var>144.30</var>adjustment to the property payment rate under this section and section 
         <statute_ref>256B.431 </statute_ref>shall be <br />
         		<a id="pl.144.31"></a><var>144.31</var>effective on October 1. In determining the amount of the property-related payment
         rate <br />
         		<a id="pl.144.32"></a><var>144.32</var>adjustment under this paragraph, the commissioner shall determine the proportion of
         the <br />
         		<a id="pl.144.33"></a><var>144.33</var>facility's rates that are property-related based on the facility's most recent cost
         report.<br />
         		<a id="pl.144.34"></a><var>144.34</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.26.0"></a><a id="pl.145.1"></a><var>145.1</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2016, section 256B.434, subdivision 4f, is amended to read:<br />
         		<a id="pl.145.2"></a><var>145.2</var>&#160;&#160;&#160;&#160;Subd. 4f. <b>Construction project rate adjustments effective October 1, 2006.</b> (a) <br />
         		<a id="pl.145.3"></a><var>145.3</var>Effective October 1, 2006, facilities reimbursed under this section may receive a
         property <br />
         		<a id="pl.145.4"></a><var>145.4</var>rate adjustment for construction projects exceeding the threshold in section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.145.5"></a><var>145.5</var>subdivision 16, and below the threshold in section 
         <statute_ref>144A.071</statute_ref>, subdivision 2, clause (a). For <br />
         		<a id="pl.145.6"></a><var>145.6</var>these projects, capital assets purchased shall be counted as construction project
         costs for a <br />
         		<a id="pl.145.7"></a><var>145.7</var>rate adjustment request made by a facility if they are: (1) purchased within 24 months
         of <br />
         		<a id="pl.145.8"></a><var>145.8</var>the completion of the construction project; (2) purchased after the completion date
         of any <br />
         		<a id="pl.145.9"></a><var>145.9</var>prior construction project; and (3) are not purchased prior to July 14, 2005. Except
         as <br />
         		<a id="pl.145.10"></a><var>145.10</var>otherwise provided in this subdivision, the definitions, rate calculation methods,
         and <br />
         		<a id="pl.145.11"></a><var>145.11</var>principles in sections 
         <statute_ref>144A.071</statute_ref> and 
         <statute_ref>256B.431</statute_ref> and Minnesota Rules, parts 9549.0010 to <br />
         		<a id="pl.145.12"></a><var>145.12</var>9549.0080, shall be used to calculate rate adjustments for allowable construction projects
         <br />
         		<a id="pl.145.13"></a><var>145.13</var>under this subdivision and section 
         <statute_ref>144A.073</statute_ref>. Facilities completing construction projects <br />
         		<a id="pl.145.14"></a><var>145.14</var>between October 1, 2005, and October 1, 2006, are eligible to have a property rate
         adjustment <br />
         		<a id="pl.145.15"></a><var>145.15</var>effective October 1, 2006. Facilities completing projects after October 1, 2006, are
         eligible <br />
         		<a id="pl.145.16"></a><var>145.16</var>for a property rate adjustment effective on the first day of the month following the
         completion <br />
         		<a id="pl.145.17"></a><var>145.17</var>date. Facilities completing projects after January 1, 2018, are eligible for a property
         rate <br />
         		<a id="pl.145.18"></a><var>145.18</var>adjustment effective on the first day of the month of January or July, whichever occurs
         <br />
         		<a id="pl.145.19"></a><var>145.19</var>immediately following the completion date.<br />
         		<a id="pl.145.20"></a><var>145.20</var>(b) Notwithstanding subdivision 18, as of July 14, 2005, facilities with rates set
         under <br />
         		<a id="pl.145.21"></a><var>145.21</var>section 
         <statute_ref>256B.431</statute_ref> and Minnesota Rules, parts 9549.0010 to 9549.0080, that commenced a <br />
         		<a id="pl.145.22"></a><var>145.22</var>construction project on or after October 1, 2004, and do not have a contract under
         subdivision <br />
         		<a id="pl.145.23"></a><var>145.23</var>3 by September 30, 2006, are eligible to request a rate adjustment under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.145.24"></a><var>145.24</var>subdivision 10, through September 30, 2006. If the request results in the commissioner
         <br />
         		<a id="pl.145.25"></a><var>145.25</var>determining a rate adjustment is allowable, the rate adjustment is effective on the
         first of <br />
         		<a id="pl.145.26"></a><var>145.26</var>the month following project completion. These facilities shall be allowed to accumulate
         <br />
         		<a id="pl.145.27"></a><var>145.27</var>construction project costs for the period October 1, 2004, to September 30, 2006.<br />
         		<a id="pl.145.28"></a><var>145.28</var>(c) Facilities shall be allowed construction project rate adjustments no sooner than
         12 <br />
         		<a id="pl.145.29"></a><var>145.29</var>months after completing a previous construction project. Facilities must request the
         rate <br />
         		<a id="pl.145.30"></a><var>145.30</var>adjustment according to section 
         <statute_ref>256B.431</statute_ref>, subdivision 10.<br />
         		<a id="pl.145.31"></a><var>145.31</var>(d) Capacity days shall be computed according to Minnesota Rules, part 9549.0060, <br />
         		<a id="pl.145.32"></a><var>145.32</var>subpart 11. For rate calculations under this section, the number of licensed beds
         in the <br />
         		<a id="pl.145.33"></a><var>145.33</var>nursing facility shall be the number existing after the construction project is completed
         and <br />
         		<a id="pl.145.34"></a><var>145.34</var>the number of days in the nursing facility's reporting period shall be 365.<br />
         		<a id="pl.146.1"></a><var>146.1</var>(e) The value of assets to be recognized for a total replacement project as defined
         in <br />
         		<a id="pl.146.2"></a><var>146.2</var>section 
         <statute_ref>256B.431</statute_ref>, subdivision 17d, shall be computed as described in clause (1). The value <br />
         		<a id="pl.146.3"></a><var>146.3</var>of assets to be recognized for all other projects shall be computed as described in
         clause <br />
         		<a id="pl.146.4"></a><var>146.4</var>(2).<br />
         		<a id="pl.146.5"></a><var>146.5</var>(1) Replacement-cost-new limits under section 
         <statute_ref>256B.431</statute_ref>, subdivision 17e, and the <br />
         		<a id="pl.146.6"></a><var>146.6</var>number of beds allowed under subdivision 3a, paragraph (c), shall be used to compute
         the <br />
         		<a id="pl.146.7"></a><var>146.7</var>maximum amount of assets allowable in a facility's property rate calculation. If a
         facility's <br />
         		<a id="pl.146.8"></a><var>146.8</var>current request for a rate adjustment results from the completion of a construction
         project <br />
         		<a id="pl.146.9"></a><var>146.9</var>that was previously approved under section 
         <statute_ref>144A.073</statute_ref>, the assets to be used in the rate <br />
         		<a id="pl.146.10"></a><var>146.10</var>calculation cannot exceed the lesser of the amount determined under sections 
         <statute_ref>144A.071</statute_ref>, <br />
         		<a id="pl.146.11"></a><var>146.11</var>subdivision 2, and 
         <statute_ref>144A.073</statute_ref>, subdivision 3b, or the actual allowable costs of the construction <br />
         		<a id="pl.146.12"></a><var>146.12</var>project. A current request that is not the result of a project under section 
         <statute_ref>144A.073</statute_ref> cannot <br />
         		<a id="pl.146.13"></a><var>146.13</var>exceed the limit under section 
         <statute_ref>144A.071</statute_ref>, subdivision 2, paragraph (a). Applicable credits <br />
         		<a id="pl.146.14"></a><var>146.14</var>must be deducted from the cost of the construction project.<br />
         		<a id="pl.146.15"></a><var>146.15</var>(2)(i) Replacement-cost-new limits under section 
         <statute_ref>256B.431</statute_ref>, subdivision 17e, and the <br />
         		<a id="pl.146.16"></a><var>146.16</var>number of beds allowed under section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c), shall be <br />
         		<a id="pl.146.17"></a><var>146.17</var>used to compute the maximum amount of assets allowable in a facility's property rate
         <br />
         		<a id="pl.146.18"></a><var>146.18</var>calculation.<br />
         		<a id="pl.146.19"></a><var>146.19</var>(ii) The value of a facility's assets to be compared to the amount in item (i) begins
         with <br />
         		<a id="pl.146.20"></a><var>146.20</var>the total appraised value from the last rate notice a facility received when its rates
         were set <br />
         		<a id="pl.146.21"></a><var>146.21</var>under section 
         <statute_ref>256B.431</statute_ref> and Minnesota Rules, parts 9549.0010 to 9549.0080. This value <br />
         		<a id="pl.146.22"></a><var>146.22</var>shall be indexed by the factor in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3f, paragraph (a), for each <br />
         		<a id="pl.146.23"></a><var>146.23</var>rate year the facility received an inflation factor on its property-related rate when
         its rates <br />
         		<a id="pl.146.24"></a><var>146.24</var>were set under this section. The value of assets listed as previous capital additions,
         capital <br />
         		<a id="pl.146.25"></a><var>146.25</var>additions, and special projects on the facility's base year rate notice and the value
         of assets <br />
         		<a id="pl.146.26"></a><var>146.26</var>related to a construction project for which the facility received a rate adjustment
         when its <br />
         		<a id="pl.146.27"></a><var>146.27</var>rates were determined under this section shall be added to the indexed appraised value.<br />
         		<a id="pl.146.28"></a><var>146.28</var>(iii) The maximum amount of assets to be recognized in computing a facility's rate
         <br />
         		<a id="pl.146.29"></a><var>146.29</var>adjustment after a project is completed is the lesser of the aggregate replacement-cost-new
         <br />
         		<a id="pl.146.30"></a><var>146.30</var>limit computed in (i) minus the assets recognized in (ii) or the actual allowable
         costs of the <br />
         		<a id="pl.146.31"></a><var>146.31</var>construction project.<br />
         		<a id="pl.146.32"></a><var>146.32</var>(iv) If a facility's current request for a rate adjustment results from the completion
         of a <br />
         		<a id="pl.146.33"></a><var>146.33</var>construction project that was previously approved under section 
         <statute_ref>144A.073</statute_ref>, the assets to be <br />
         		<a id="pl.146.34"></a><var>146.34</var>added to the rate calculation cannot exceed the lesser of the amount determined under
         <br />
         		<a id="pl.147.1"></a><var>147.1</var>sections 
         <statute_ref>144A.071</statute_ref>, subdivision 2, and 
         <statute_ref>144A.073</statute_ref>, subdivision 3b, or the actual allowable <br />
         		<a id="pl.147.2"></a><var>147.2</var>costs of the construction project. A current request that is not the result of a project
         under <br />
         		<a id="pl.147.3"></a><var>147.3</var>section 
         <statute_ref>144A.073</statute_ref> cannot exceed the limit stated in section 
         <statute_ref>144A.071</statute_ref>, subdivision 2, <br />
         		<a id="pl.147.4"></a><var>147.4</var>paragraph (a). Assets disposed of as a result of a construction project and applicable
         credits <br />
         		<a id="pl.147.5"></a><var>147.5</var>must be deducted from the cost of the construction project.<br />
         		<a id="pl.147.6"></a><var>147.6</var>(f) For construction projects approved under section 
         <statute_ref>144A.073</statute_ref>, allowable debt may <br />
         		<a id="pl.147.7"></a><var>147.7</var>never exceed the lesser of the cost of the assets purchased, the threshold limit in
         section <br />
         		
         <statute_ref><a id="pl.147.8"></a><var>147.8</var>144A.071
         </statute_ref>, subdivision 2, or the replacement-cost-new limit less previously existing capital
         <br />
         		<a id="pl.147.9"></a><var>147.9</var>debt.<br />
         		<a id="pl.147.10"></a><var>147.10</var>(g) For construction projects that were not approved under section 
         <statute_ref>144A.073</statute_ref>, allowable <br />
         		<a id="pl.147.11"></a><var>147.11</var>debt is limited to the lesser of the threshold in section 
         <statute_ref>144A.071</statute_ref>, subdivision 2, for such <br />
         		<a id="pl.147.12"></a><var>147.12</var>construction projects or the applicable limit in paragraph (e), clause (1) or (2),
         less previously <br />
         		<a id="pl.147.13"></a><var>147.13</var>existing capital debt. Amounts of debt taken out that exceed the costs of a construction
         <br />
         		<a id="pl.147.14"></a><var>147.14</var>project shall not be allowed regardless of the use of the funds.<br />
         		<a id="pl.147.15"></a><var>147.15</var>For all construction projects being recognized, interest expense and average debt
         shall <br />
         		<a id="pl.147.16"></a><var>147.16</var>be computed based on the first 12 months following project completion. "Previously
         existing <br />
         		<a id="pl.147.17"></a><var>147.17</var>capital debt" means capital debt recognized on the last rate determined under section
         <br />
         		
         <statute_ref><a id="pl.147.18"></a><var>147.18</var>256B.431
         </statute_ref> and Minnesota Rules, parts 9549.0010 to 9549.0080, and the amount of debt <br />
         		<a id="pl.147.19"></a><var>147.19</var>recognized for a construction project for which the facility received a rate adjustment
         when <br />
         		<a id="pl.147.20"></a><var>147.20</var>its rates were determined under this section.<br />
         		<a id="pl.147.21"></a><var>147.21</var>For a total replacement project as defined in section 
         <statute_ref>256B.431</statute_ref>, subdivision 17d, the <br />
         		<a id="pl.147.22"></a><var>147.22</var>value of previously existing capital debt shall be zero.<br />
         		<a id="pl.147.23"></a><var>147.23</var>(h) In addition to the interest expense allowed from the application of paragraph
         (f), the <br />
         		<a id="pl.147.24"></a><var>147.24</var>amounts allowed under section 
         <statute_ref>256B.431</statute_ref>, subdivision 17a, paragraph (a), clauses (2) and <br />
         		<a id="pl.147.25"></a><var>147.25</var>(3), will be added to interest expense.<br />
         		<a id="pl.147.26"></a><var>147.26</var>(i) The equity portion of the construction project shall be computed as the allowable
         <br />
         		<a id="pl.147.27"></a><var>147.27</var>assets in paragraph (e), less the average debt in paragraph (f). The equity portion
         must be <br />
         		<a id="pl.147.28"></a><var>147.28</var>multiplied by 5.66 percent and the allowable interest expense in paragraph (f) must
         be added. <br />
         		<a id="pl.147.29"></a><var>147.29</var>This sum must be divided by 95 percent of capacity days to compute the construction
         project <br />
         		<a id="pl.147.30"></a><var>147.30</var>rate adjustment.<br />
         		<a id="pl.147.31"></a><var>147.31</var>(j) For projects that are not a total replacement of a nursing facility, the amount
         in <br />
         		<a id="pl.147.32"></a><var>147.32</var>paragraph (i) is adjusted for nonreimbursable areas and then added to the current
         property <br />
         		<a id="pl.147.33"></a><var>147.33</var>payment rate of the facility.<br />
         		<a id="pl.148.1"></a><var>148.1</var>(k) For projects that are a total replacement of a nursing facility, the amount in
         paragraph <br />
         		<a id="pl.148.2"></a><var>148.2</var>(i) becomes the new property payment rate after being adjusted for nonreimbursable
         areas. <br />
         		<a id="pl.148.3"></a><var>148.3</var>Any amounts existing in a facility's rate before the effective date of the construction
         project <br />
         		<a id="pl.148.4"></a><var>148.4</var>for equity incentives under section 
         <statute_ref>256B.431</statute_ref>, subdivision 16; capital repairs and replacements <br />
         		<a id="pl.148.5"></a><var>148.5</var>under section 
         <statute_ref>256B.431</statute_ref>, subdivision 15; or refinancing incentives under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.148.6"></a><var>148.6</var>subdivision 19, shall be removed from the facility's rates.<br />
         		<a id="pl.148.7"></a><var>148.7</var>(l) No additional equipment allowance is allowed under Minnesota Rules, part 9549.0060, <br />
         		<a id="pl.148.8"></a><var>148.8</var>subpart 10, as the result of construction projects under this section. Allowable equipment
         <br />
         		<a id="pl.148.9"></a><var>148.9</var>shall be included in the construction project costs.<br />
         		<a id="pl.148.10"></a><var>148.10</var>(m) Capital assets purchased after the completion date of a construction project shall
         be <br />
         		<a id="pl.148.11"></a><var>148.11</var>counted as construction project costs for any future rate adjustment request made
         by a facility <br />
         		<a id="pl.148.12"></a><var>148.12</var>under section 
         <statute_ref>144A.071</statute_ref>, subdivision 2, clause (a), if they are purchased within 24 months <br />
         		<a id="pl.148.13"></a><var>148.13</var>of the completion of the future construction project.<br />
         		<a id="pl.148.14"></a><var>148.14</var>(n) In subsequent rate years, the property payment rate for a facility that results
         from <br />
         		<a id="pl.148.15"></a><var>148.15</var>the application of this subdivision shall be the amount inflated in subdivision 4.<br />
         		<a id="pl.148.16"></a><var>148.16</var>(o) Construction projects are eligible for an equity incentive under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.148.17"></a><var>148.17</var>subdivision 16. When computing the equity incentive for a construction project under
         this <br />
         		<a id="pl.148.18"></a><var>148.18</var>subdivision, only the allowable costs and allowable debt related to the construction
         project <br />
         		<a id="pl.148.19"></a><var>148.19</var>shall be used. The equity incentive shall not be a part of the property payment rate
         and not <br />
         		<a id="pl.148.20"></a><var>148.20</var>inflated under subdivision 4. Effective October 1, 2006, all equity incentives for
         nursing <br />
         		<a id="pl.148.21"></a><var>148.21</var>facilities reimbursed under this section shall be allowed for a duration determined
         under <br />
         		<a id="pl.148.22"></a><var>148.22</var>section 
         <statute_ref>256B.431</statute_ref>, subdivision 16, paragraph (c).<br />
         		<a id="pl.148.23"></a><var>148.23</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.3.27.0"></a><a id="pl.148.24"></a><var>148.24</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 256B.50, subdivision 1b, is amended to read:<br />
         		<a id="pl.148.25"></a><var>148.25</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Filing an appeal.</b> To appeal, the provider shall file with the commissioner a <br />
         		<a id="pl.148.26"></a><var>148.26</var>written notice of appeal; the appeal must be postmarked or received by the commissioner
         <br />
         		<a id="pl.148.27"></a><var>148.27</var>within 60 days of the publication date the determination of the payment rate was mailed or <br />
         		<a id="pl.148.28"></a><var>148.28</var>personally received by a provider, whichever is earlier printed on the rate notice. The notice <br />
         		<a id="pl.148.29"></a><var>148.29</var>of appeal must specify each disputed item; the reason for the dispute; the total dollar
         amount <br />
         		<a id="pl.148.30"></a><var>148.30</var>in dispute for each separate disallowance, allocation, or adjustment of each cost
         item or part <br />
         		<a id="pl.148.31"></a><var>148.31</var>of a cost item; the computation that the provider believes is correct; the authority
         in statute <br />
         		<a id="pl.148.32"></a><var>148.32</var>or rule upon which the provider relies for each disputed item; the name and address
         of the <br />
         		<a id="pl.149.1"></a><var>149.1</var>person or firm with whom contacts may be made regarding the appeal; and other information
         <br />
         		<a id="pl.149.2"></a><var>149.2</var>required by the commissioner.<br />
         		<a id="pl.149.3"></a><var>149.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.28.0"></a><a id="pl.149.4"></a><var>149.4</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2016, section 256B.5012, is amended by adding a subdivision <br />
         		<a id="pl.149.5"></a><var>149.5</var>to read:<br />
         		<a id="pl.149.6"></a><var>149.6</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Therapeutic leave days.</b> Notwithstanding Minnesota Rules, part 9505.0415, <br />
         		<a id="pl.149.7"></a><var>149.7</var>subpart 7, a vacant bed in an intermediate care facility for persons with developmental
         <br />
         		<a id="pl.149.8"></a><var>149.8</var>disabilities shall be counted as a reserved bed when determining occupancy rates and
         <br />
         		<a id="pl.149.9"></a><var>149.9</var>eligibility for payment of a therapeutic leave day.<br />
         		<br />
         		<a id="bill.3.29.0"></a><a id="pl.149.10"></a><var>149.10</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 256B.5012, is amended by adding a subdivision <br />
         		<a id="pl.149.11"></a><var>149.11</var>to read:<br />
         		<a id="pl.149.12"></a><var>149.12</var>&#160;&#160;&#160;&#160;Subd. 17. <b>ICF/DD rate increase effective July 1, 2017; Murray County.</b> Effective <br />
         		<a id="pl.149.13"></a><var>149.13</var>July 1, 2017, the daily rate for an intermediate care facility for persons with developmental
         <br />
         		<a id="pl.149.14"></a><var>149.14</var>disabilities located in Murray County that is classified as a class B facility and
         licensed for <br />
         		<a id="pl.149.15"></a><var>149.15</var>14 beds is $400. This increase is in addition to any other increase that is effective
         on July <br />
         		<a id="pl.149.16"></a><var>149.16</var>1, 2017.<br />
         		<br />
         		<a id="bill.3.30.0"></a><a id="pl.149.17"></a><var>149.17</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 256R.02, subdivision 4, is amended to read:<br />
         		<a id="pl.149.18"></a><var>149.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Administrative costs.</b> "Administrative costs" means the identifiable costs for <br />
         		<a id="pl.149.19"></a><var>149.19</var>administering the overall activities of the nursing home. These costs include salaries
         and <br />
         		<a id="pl.149.20"></a><var>149.20</var>wages of the administrator, assistant administrator, business office employees, security
         <br />
         		<a id="pl.149.21"></a><var>149.21</var>guards, and associated fringe benefits and payroll taxes, fees, contracts, or purchases
         related <br />
         		<a id="pl.149.22"></a><var>149.22</var>to business office functions, licenses, and permits except as provided in the external fixed <br />
         		<a id="pl.149.23"></a><var>149.23</var>costs category, employee recognition, travel including meals and lodging, all training
         except <br />
         		<a id="pl.149.24"></a><var>149.24</var>as specified in subdivision 17, voice and data communication or transmission, office
         supplies, <br />
         		<a id="pl.149.25"></a><var>149.25</var>property and liability insurance and other forms of insurance not designated to other areas <br />
         		<a id="pl.149.26"></a><var>149.26</var>except insurance that is a fringe benefit under subdivision 22, personnel recruitment, legal <br />
         		<a id="pl.149.27"></a><var>149.27</var>services, accounting services, management or business consultants, data processing,
         <br />
         		<a id="pl.149.28"></a><var>149.28</var>information technology, Web site, central or home office costs, business meetings
         and <br />
         		<a id="pl.149.29"></a><var>149.29</var>seminars, postage, fees for professional organizations, subscriptions, security services,
         <br />
         		<a id="pl.149.30"></a><var>149.30</var>advertising, board of directors fees, working capital interest expense, and bad debts, and <br />
         		<a id="pl.149.31"></a><var>149.31</var>bad debt collection fees, and costs incurred for travel and housing for persons employed by <br />
         		<a id="pl.149.32"></a><var>149.32</var>a supplemental nursing services agency as defined in section 144A.70, subdivision
         6.<br />
         		<a id="pl.150.1"></a><var>150.1</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2017.<br />
         		<br />
         		<a id="bill.3.31.0"></a><a id="pl.150.2"></a><var>150.2</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 256R.02, subdivision 17, is amended to read:<br />
         		<a id="pl.150.3"></a><var>150.3</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Direct care costs.</b> "Direct care costs" means costs for the wages of nursing <br />
         		<a id="pl.150.4"></a><var>150.4</var>administration, direct care registered nurses, licensed practical nurses, certified
         nursing <br />
         		<a id="pl.150.5"></a><var>150.5</var>assistants, trained medication aides, employees conducting training in resident care
         topics <br />
         		<a id="pl.150.6"></a><var>150.6</var>and associated fringe benefits and payroll taxes; services from a supplemental nursing
         <br />
         		<a id="pl.150.7"></a><var>150.7</var>services agency; supplies that are stocked at nursing stations or on the floor and
         distributed <br />
         		<a id="pl.150.8"></a><var>150.8</var>or used individually, including, but not limited to: alcohol, applicators, cotton
         balls, <br />
         		<a id="pl.150.9"></a><var>150.9</var>incontinence pads, disposable ice bags, dressings, bandages, water pitchers, tongue
         <br />
         		<a id="pl.150.10"></a><var>150.10</var>depressors, disposable gloves, enemas, enema equipment, soap, medication cups, diapers,
         <br />
         		<a id="pl.150.11"></a><var>150.11</var>plastic waste bags, sanitary products, thermometers, hypodermic needles and syringes,
         <br />
         		<a id="pl.150.12"></a><var>150.12</var>clinical reagents or similar diagnostic agents, drugs that are not paid on a separate
         fee <br />
         		<a id="pl.150.13"></a><var>150.13</var>schedule by the medical assistance program or any other payer, and technology related
         to <br />
         		<a id="pl.150.14"></a><var>150.14</var>the provision of nursing care to residents, such as electronic charting systems; costs
         of <br />
         		<a id="pl.150.15"></a><var>150.15</var>materials used for resident care training, and training courses outside of the facility
         attended <br />
         		<a id="pl.150.16"></a><var>150.16</var>by direct care staff on resident care topics; and costs for nurse consultants, pharmacy <br />
         		<a id="pl.150.17"></a><var>150.17</var>consultants, and medical directors. Salaries and payroll taxes for nurse consultants
         who <br />
         		<a id="pl.150.18"></a><var>150.18</var>work out of a central office must be allocated proportionately by total resident days
         or by <br />
         		<a id="pl.150.19"></a><var>150.19</var>direct identification to the nursing facilities served by those consultants.<br />
         		<br />
         		<a id="bill.3.32.0"></a><a id="pl.150.20"></a><var>150.20</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 256R.02, subdivision 18, is amended to read:<br />
         		<a id="pl.150.21"></a><var>150.21</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Employer health insurance costs.</b> "Employer health insurance costs" means <br />
         		<a id="pl.150.22"></a><var>150.22</var>premium expenses for group coverage and reinsurance,; actual expenses incurred for <br />
         		<a id="pl.150.23"></a><var>150.23</var>self-insured plans, including reinsurance; and employer contributions to employee health <br />
         		<a id="pl.150.24"></a><var>150.24</var>reimbursement and health savings accounts. Premium and expense costs and contributions
         <br />
         		<a id="pl.150.25"></a><var>150.25</var>are allowable for (1) all employees and (2) the spouse and dependents of those employees <br />
         		<a id="pl.150.26"></a><var>150.26</var>who meet the definition of full-time employees under the federal Affordable Care Act,
         <br />
         		<a id="pl.150.27"></a><var>150.27</var>Public Law 111-148 are employed on average at least 30 hours per week.<br />
         		<a id="pl.150.28"></a><var>150.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.33.0"></a><a id="pl.150.29"></a><var>150.29</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 256R.02, subdivision 19, is amended to read:<br />
         		<a id="pl.150.30"></a><var>150.30</var>&#160;&#160;&#160;&#160;Subd. 19. <b>External fixed costs.</b> "External fixed costs" means costs related to the nursing <br />
         		<a id="pl.150.31"></a><var>150.31</var>home surcharge under section 
         <statute_ref>256.9657, subdivision 1</statute_ref>; licensure fees under section 
         <statute_ref>144.122</statute_ref>; <br />
         		<a id="pl.150.32"></a><var>150.32</var>family advisory council fee under section 
         <statute_ref>144A.33</statute_ref>; scholarships under section 
         <statute_ref>256R.37</statute_ref>; <br />
         		<a id="pl.151.1"></a><var>151.1</var>planned closure rate adjustments under section 
         <statute_ref>256R.40</statute_ref>; consolidation rate adjustments <br />
         		<a id="pl.151.2"></a><var>151.2</var>under section 
         <statute_ref>144A.071, subdivisions 4c</statute_ref>, paragraph (a), clauses (5) and (6), and 4d; <br />
         		<a id="pl.151.3"></a><var>151.3</var>single-bed room incentives under section 
         <statute_ref>256R.41</statute_ref>; property taxes, assessments, and payments <br />
         		<a id="pl.151.4"></a><var>151.4</var>in lieu of taxes; employer health insurance costs; quality improvement incentive payment
         <br />
         		<a id="pl.151.5"></a><var>151.5</var>rate adjustments under section 
         <statute_ref>256R.39</statute_ref>; performance-based incentive payments under <br />
         		<a id="pl.151.6"></a><var>151.6</var>section 
         <statute_ref>256R.38</statute_ref>; special dietary needs under section 
         <statute_ref>256R.51</statute_ref>; rate adjustments for <br />
         		<a id="pl.151.7"></a><var>151.7</var>compensation-related costs for minimum wage changes under section 256R.49 provided
         <br />
         		<a id="pl.151.8"></a><var>151.8</var>on or after January 1, 2018; and Public Employees Retirement Association employer costs.<br />
         		<br />
         		<a id="bill.3.34.0"></a><a id="pl.151.9"></a><var>151.9</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 256R.02, subdivision 22, is amended to read:<br />
         		<a id="pl.151.10"></a><var>151.10</var>&#160;&#160;&#160;&#160;Subd. 22. <b>Fringe benefit costs.</b> "Fringe benefit costs" means the costs for group life, <br />
         		<a id="pl.151.11"></a><var>151.11</var>dental, workers' compensation, and other employee insurances and short- and long-term <br />
         		<a id="pl.151.12"></a><var>151.12</var>disability, long-term care insurance, accident insurance, supplemental insurance,
         legal <br />
         		<a id="pl.151.13"></a><var>151.13</var>assistance insurance, profit sharing, health insurance costs not covered under subdivision
         <br />
         		<a id="pl.151.14"></a><var>151.14</var>18, including costs associated with part-time employee family members or retirees,
         and <br />
         		<a id="pl.151.15"></a><var>151.15</var>pension and retirement plan contributions, except for the Public Employees Retirement <br />
         		<a id="pl.151.16"></a><var>151.16</var>Association and employer health insurance costs; profit sharing; and retirement plans for <br />
         		<a id="pl.151.17"></a><var>151.17</var>which the employer pays all or a portion of the costs.<br />
         		<br />
         		<a id="bill.3.35.0"></a><a id="pl.151.18"></a><var>151.18</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 256R.02, subdivision 42, is amended to read:<br />
         		<a id="pl.151.19"></a><var>151.19</var>&#160;&#160;&#160;&#160;Subd. 42. <b>Raw food costs.</b> "Raw food costs" means the cost of food provided to nursing <br />
         		<a id="pl.151.20"></a><var>151.20</var>facility residents and the allocation of dietary credits. Also included are special dietary <br />
         		<a id="pl.151.21"></a><var>151.21</var>supplements used for tube feeding or oral feeding, such as elemental high nitrogen
         diet.<br />
         		<br />
         		<a id="bill.3.36.0"></a><a id="pl.151.22"></a><var>151.22</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 256R.02, is amended by adding a subdivision <br />
         		<a id="pl.151.23"></a><var>151.23</var>to read:<br />
         		<a id="pl.151.24"></a><var>151.24</var>&#160;&#160;&#160;&#160;Subd. 42a. <b>Real estate taxes.</b> "Real estate taxes" means the real estate tax liability shown <br />
         		<a id="pl.151.25"></a><var>151.25</var>on the annual property tax statement of the nursing facility for the reporting period.
         The <br />
         		<a id="pl.151.26"></a><var>151.26</var>term does not include personnel costs or fees for late payment.<br />
         		<br />
         		<a id="bill.3.37.0"></a><a id="pl.151.27"></a><var>151.27</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 256R.02, is amended by adding a subdivision <br />
         		<a id="pl.151.28"></a><var>151.28</var>to read:<br />
         		<a id="pl.151.29"></a><var>151.29</var>&#160;&#160;&#160;&#160;Subd. 48a. <b>Special assessments.</b> "Special assessments" means the actual special <br />
         		<a id="pl.151.30"></a><var>151.30</var>assessments and related interest paid during the reporting period. The term does not
         include <br />
         		<a id="pl.151.31"></a><var>151.31</var>personnel costs or fees for late payment.<br />
         		<br />
         		<a id="bill.3.38.0"></a><a id="pl.152.1"></a><var>152.1</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 256R.02, subdivision 52, is amended to read:<br />
         		<a id="pl.152.2"></a><var>152.2</var>&#160;&#160;&#160;&#160;Subd. 52. <b>Therapy costs.</b> "Therapy costs" means any costs related to medical assistance <br />
         		<a id="pl.152.3"></a><var>152.3</var>therapy services provided to residents that are not billed separately billable from the daily <br />
         		<a id="pl.152.4"></a><var>152.4</var>operating rate.<br />
         		<br />
         		<a id="bill.3.39.0"></a><a id="pl.152.5"></a><var>152.5</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2016, section 256R.06, subdivision 5, is amended to read:<br />
         		<a id="pl.152.6"></a><var>152.6</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Notice to residents.</b> (a) No increase in nursing facility rates for private paying <br />
         		<a id="pl.152.7"></a><var>152.7</var>residents shall be effective unless the nursing facility notifies the resident or
         person <br />
         		<a id="pl.152.8"></a><var>152.8</var>responsible for payment of the increase in writing 30 days before the increase takes
         effect. <br />
         		<a id="pl.152.9"></a><var>152.9</var>The notice must include the amount of the rate increase, the new payment rate, and
         the date <br />
         		<a id="pl.152.10"></a><var>152.10</var>the rate increase takes effect.<br />
         		<a id="pl.152.11"></a><var>152.11</var>A nursing facility may adjust its rates without giving the notice required by this
         <br />
         		<a id="pl.152.12"></a><var>152.12</var>subdivision when the purpose of the rate adjustment is to reflect a change in the
         case mix <br />
         		<a id="pl.152.13"></a><var>152.13</var>classification of the resident. The nursing facility shall notify private pay residents of any <br />
         		<a id="pl.152.14"></a><var>152.14</var>rate increase related to a change in case mix classifications in a timely manner after
         <br />
         		<a id="pl.152.15"></a><var>152.15</var>confirmation of the case mix classification change is received from the Department
         of <br />
         		<a id="pl.152.16"></a><var>152.16</var>Health.<br />
         		<a id="pl.152.17"></a><var>152.17</var>If the state fails to set rates as required by section 
         <statute_ref>256R.09, subdivision 1</statute_ref>, the time <br />
         		<a id="pl.152.18"></a><var>152.18</var>required for giving notice is decreased by the number of days by which the state was
         late <br />
         		<a id="pl.152.19"></a><var>152.19</var>in setting the rates.<br />
         		<a id="pl.152.20"></a><var>152.20</var>(b) If the state does not set rates by the date required in section 
         <statute_ref>256R.09, subdivision </statute_ref>1, <br />
         		<a id="pl.152.21"></a><var>152.21</var>or otherwise provides nursing facilities with retroactive notification of the amount
         of a rate <br />
         		<a id="pl.152.22"></a><var>152.22</var>increase, nursing facilities shall meet the requirement for advance notice by informing the
         <br />
         		<a id="pl.152.23"></a><var>152.23</var>resident or person responsible for payments, on or before the effective date of the
         increase, <br />
         		<a id="pl.152.24"></a><var>152.24</var>that a rate increase will be effective on that date. The requirements of paragraph (a) do not <br />
         		<a id="pl.152.25"></a><var>152.25</var>apply to situations described in this paragraph.<br />
         		<a id="pl.152.26"></a><var>152.26</var>If the exact amount has not yet been determined, the nursing facility may raise the
         rates <br />
         		<a id="pl.152.27"></a><var>152.27</var>by the amount anticipated to be allowed. Any amounts collected from private pay residents
         <br />
         		<a id="pl.152.28"></a><var>152.28</var>in excess of the allowable rate must be repaid to private pay residents with interest
         at the <br />
         		<a id="pl.152.29"></a><var>152.29</var>rate used by the commissioner of revenue for the late payment of taxes and in effect
         on the <br />
         		<a id="pl.152.30"></a><var>152.30</var>date the rate increase is effective.<br />
         		<br />
         		<a id="bill.3.40.0"></a><a id="pl.153.1"></a><var>153.1</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2016, section 256R.07, is amended by adding a subdivision <br />
         		<a id="pl.153.2"></a><var>153.2</var>to read:<br />
         		<a id="pl.153.3"></a><var>153.3</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Electronic signature.</b> For documentation requiring a signature under this <br />
         		<a id="pl.153.4"></a><var>153.4</var>chapter or section 256B.431 or 256B.434, use of an electronic signature as defined
         under <br />
         		<a id="pl.153.5"></a><var>153.5</var>section 325L.02, paragraph (h), is allowed.<br />
         		<br />
         		<a id="bill.3.41.0"></a><a id="pl.153.6"></a><var>153.6</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2016, section 256R.10, is amended by adding a subdivision <br />
         		<a id="pl.153.7"></a><var>153.7</var>to read:<br />
         		<a id="pl.153.8"></a><var>153.8</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Not specified allowed costs.</b> When the cost category for allowed cost items or <br />
         		<a id="pl.153.9"></a><var>153.9</var>services is not specified in this chapter or the provider reimbursement manual, the
         <br />
         		<a id="pl.153.10"></a><var>153.10</var>commissioner, in consultation with stakeholders, shall determine the cost category
         for the <br />
         		<a id="pl.153.11"></a><var>153.11</var>allowed cost item or service.<br />
         		<a id="pl.153.12"></a><var>153.12</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.42.0"></a><a id="pl.153.13"></a><var>153.13</var>&#160;&#160;&#160;&#160;Sec. 42. <b>[256R.18] REPORT BY COMMISSIONER OF HUMAN SERVICES.</b><br />
         		<a id="pl.153.14"></a><var>153.14</var>Beginning January 1, 2019, the commissioner shall provide to the house of representatives
         <br />
         		<a id="pl.153.15"></a><var>153.15</var>and senate committees with jurisdiction over nursing facility payment rates a biennial
         report <br />
         		<a id="pl.153.16"></a><var>153.16</var>on the effectiveness of the reimbursement system in improving quality, restraining
         costs, <br />
         		<a id="pl.153.17"></a><var>153.17</var>and any other features of the system as determined by the commissioner.<br />
         		<a id="pl.153.18"></a><var>153.18</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.43.0"></a><a id="pl.153.19"></a><var>153.19</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2016, section 256R.37, is amended to read:<br />
         		<a id="pl.153.20"></a><var>153.20</var><b>256R.37 SCHOLARSHIPS.</b><br />
         		<a id="pl.153.21"></a><var>153.21</var>(a) For the 27-month period beginning October 1, 2015, through December 31, 2017,
         <br />
         		<a id="pl.153.22"></a><var>153.22</var>the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing
         <br />
         		<a id="pl.153.23"></a><var>153.23</var>facility with no scholarship per diem that is requesting a scholarship per diem to
         be added <br />
         		<a id="pl.153.24"></a><var>153.24</var>to the external fixed payment rate to be used:<br />
         		<a id="pl.153.25"></a><var>153.25</var>(1) for employee scholarships that satisfy the following requirements:<br />
         		<a id="pl.153.26"></a><var>153.26</var>(i) scholarships are available to all employees who work an average of at least ten
         hours <br />
         		<a id="pl.153.27"></a><var>153.27</var>per week at the facility except the administrator, and to reimburse student loan expenses
         <br />
         		<a id="pl.153.28"></a><var>153.28</var>for newly hired and recently graduated registered nurses and licensed practical nurses, and <br />
         		<a id="pl.153.29"></a><var>153.29</var>training expenses for nursing assistants as specified in section 
         <statute_ref>144A.611, subdivisions 2</statute_ref> <br />
         		<a id="pl.153.30"></a><var>153.30</var>and 4, who are newly hired and have graduated within the last 12 months; and<br />
         		<a id="pl.154.1"></a><var>154.1</var>(ii) the course of study is expected to lead to career advancement with the facility
         or in <br />
         		<a id="pl.154.2"></a><var>154.2</var>long-term care, including medical care interpreter services and social work; and<br />
         		<a id="pl.154.3"></a><var>154.3</var>(2) to provide job-related training in English as a second language.<br />
         		<a id="pl.154.4"></a><var>154.4</var>(b) All facilities may annually request a rate adjustment under this section by submitting
         <br />
         		<a id="pl.154.5"></a><var>154.5</var>information to the commissioner on a schedule and in a form supplied by the commissioner.
         <br />
         		<a id="pl.154.6"></a><var>154.6</var>The commissioner shall allow a scholarship payment rate equal to the reported and
         allowable <br />
         		<a id="pl.154.7"></a><var>154.7</var>costs divided by resident days.<br />
         		<a id="pl.154.8"></a><var>154.8</var>(c) In calculating the per diem under paragraph (b), the commissioner shall allow
         costs <br />
         		<a id="pl.154.9"></a><var>154.9</var>related to tuition, direct educational expenses, and reasonable costs as defined by
         the <br />
         		<a id="pl.154.10"></a><var>154.10</var>commissioner for child care costs and transportation expenses related to direct educational
         <br />
         		<a id="pl.154.11"></a><var>154.11</var>expenses.<br />
         		<a id="pl.154.12"></a><var>154.12</var>(d) The rate increase under this section is an optional rate add-on that the facility
         must <br />
         		<a id="pl.154.13"></a><var>154.13</var>request from the commissioner in a manner prescribed by the commissioner. The rate
         <br />
         		<a id="pl.154.14"></a><var>154.14</var>increase must be used for scholarships as specified in this section.<br />
         		<a id="pl.154.15"></a><var>154.15</var>(e) For instances in which a rate adjustment will be 15 cents or greater, nursing
         facilities <br />
         		<a id="pl.154.16"></a><var>154.16</var>that close beds during a rate year may request to have their scholarship adjustment
         under <br />
         		<a id="pl.154.17"></a><var>154.17</var>paragraph (b) recalculated by the commissioner for the remainder of the rate year
         to reflect <br />
         		<a id="pl.154.18"></a><var>154.18</var>the reduction in resident days compared to the cost report year.<br />
         		<br />
         		<a id="bill.3.44.0"></a><a id="pl.154.19"></a><var>154.19</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2016, section 256R.40, subdivision 1, is amended to read:<br />
         		<a id="pl.154.20"></a><var>154.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br />
         		<a id="pl.154.21"></a><var>154.21</var>(b) "Closure" means the cessation of operations of a nursing facility and delicensure
         and <br />
         		<a id="pl.154.22"></a><var>154.22</var>decertification of all beds within the facility.<br />
         		<a id="pl.154.23"></a><var>154.23</var>(c) "Closure plan" means a plan to close a nursing facility and reallocate a portion
         of <br />
         		<a id="pl.154.24"></a><var>154.24</var>the resulting savings to provide planned closure rate adjustments at other facilities.<br />
         		<a id="pl.154.25"></a><var>154.25</var>(d) "Commencement of closure" means the date on which residents and designated <br />
         		<a id="pl.154.26"></a><var>154.26</var>representatives are notified of a planned closure as provided in section 
         <statute_ref>144A.161</statute_ref>, subdivision <br />
         		<a id="pl.154.27"></a><var>154.27</var>5a, as part of an approved closure plan.<br />
         		<a id="pl.154.28"></a><var>154.28</var>(e) "Completion of closure" means the date on which the final resident of the nursing
         <br />
         		<a id="pl.154.29"></a><var>154.29</var>facility designated for closure in an approved closure plan is discharged from the
         facility <br />
         		<a id="pl.154.30"></a><var>154.30</var>or the date that beds from a partial closure are delicensed and decertified.<br />
         		<a id="pl.154.31"></a><var>154.31</var>(f) "Partial closure" means the delicensure and decertification of a portion of the
         beds <br />
         		<a id="pl.154.32"></a><var>154.32</var>within the facility.<br />
         		<a id="pl.155.1"></a><var>155.1</var>(g) "Planned closure rate adjustment" means an increase in a nursing facility's operating
         <br />
         		<a id="pl.155.2"></a><var>155.2</var>rates resulting from a planned closure or a planned partial closure of another facility.<br />
         		<br />
         		<a id="bill.3.45.0"></a><a id="pl.155.3"></a><var>155.3</var>&#160;&#160;&#160;&#160;Sec. 45. Minnesota Statutes 2016, section 256R.40, subdivision 5, is amended to read:<br />
         		<a id="pl.155.4"></a><var>155.4</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Planned closure rate adjustment.</b> (a) The commissioner shall calculate the <br />
         		<a id="pl.155.5"></a><var>155.5</var>amount of the planned closure rate adjustment available under subdivision 6 according
         to <br />
         		<a id="pl.155.6"></a><var>155.6</var>clauses (1) to (4):<br />
         		<a id="pl.155.7"></a><var>155.7</var>(1) the amount available is the net reduction of nursing facility beds multiplied
         by $2,080;<br />
         		<a id="pl.155.8"></a><var>155.8</var>(2) the total number of beds in the nursing facility or facilities receiving the planned
         <br />
         		<a id="pl.155.9"></a><var>155.9</var>closure rate adjustment must be identified;<br />
         		<a id="pl.155.10"></a><var>155.10</var>(3) capacity days are determined by multiplying the number determined under clause
         <br />
         		<a id="pl.155.11"></a><var>155.11</var>(2) by 365; and<br />
         		<a id="pl.155.12"></a><var>155.12</var>(4) the planned closure rate adjustment is the amount available in clause (1), divided
         by <br />
         		<a id="pl.155.13"></a><var>155.13</var>capacity days determined under clause (3).<br />
         		<a id="pl.155.14"></a><var>155.14</var>(b) A planned closure rate adjustment under this section is effective on the first
         day of <br />
         		<a id="pl.155.15"></a><var>155.15</var>the month of January or July, whichever occurs immediately following completion of closure <br />
         		<a id="pl.155.16"></a><var>155.16</var>of the facility designated for closure in the application and becomes part of the
         nursing <br />
         		<a id="pl.155.17"></a><var>155.17</var>facility's external fixed payment rate.<br />
         		<a id="pl.155.18"></a><var>155.18</var>(c) Upon the request of a closing facility, the commissioner must allow the facility
         a <br />
         		<a id="pl.155.19"></a><var>155.19</var>closure rate adjustment as provided under section 
         <statute_ref>144A.161, subdivision 10</statute_ref>.<br />
         		<a id="pl.155.20"></a><var>155.20</var>(d) A facility that has received a planned closure rate adjustment may reassign it
         to <br />
         		<a id="pl.155.21"></a><var>155.21</var>another facility that is under the same ownership at any time within three years of
         its effective <br />
         		<a id="pl.155.22"></a><var>155.22</var>date. The amount of the adjustment is computed according to paragraph (a).<br />
         		<a id="pl.155.23"></a><var>155.23</var>(e) If the per bed dollar amount specified in paragraph (a), clause (1), is increased,
         the <br />
         		<a id="pl.155.24"></a><var>155.24</var>commissioner shall recalculate planned closure rate adjustments for facilities that
         delicense <br />
         		<a id="pl.155.25"></a><var>155.25</var>beds under this section on or after July 1, 2001, to reflect the increase in the per
         bed dollar <br />
         		<a id="pl.155.26"></a><var>155.26</var>amount. The recalculated planned closure rate adjustment is effective from the date
         the per <br />
         		<a id="pl.155.27"></a><var>155.27</var>bed dollar amount is increased.<br />
         		<a id="pl.155.28"></a><var>155.28</var><b>EFFECTIVE DATE.</b>This section is effective for closures occurring after July 1, 2017.<br />
         		<br />
         		<a id="bill.3.46.0"></a><a id="pl.155.29"></a><var>155.29</var>&#160;&#160;&#160;&#160;Sec. 46. Minnesota Statutes 2016, section 256R.41, is amended to read:<br />
         		<a id="pl.155.30"></a><var>155.30</var><b>256R.41 SINGLE-BED ROOM INCENTIVE.</b><br />
         		<a id="pl.156.1"></a><var>156.1</var>(a) Beginning July 1, 2005, the operating payment rate for nursing facilities reimbursed
         <br />
         		<a id="pl.156.2"></a><var>156.2</var>under this chapter shall be increased by 20 percent multiplied by the ratio of the
         number of <br />
         		<a id="pl.156.3"></a><var>156.3</var>new single-bed rooms created divided by the number of active beds on July 1, 2005,
         for <br />
         		<a id="pl.156.4"></a><var>156.4</var>each bed closure that results in the creation of a single-bed room after July 1, 2005.
         The <br />
         		<a id="pl.156.5"></a><var>156.5</var>commissioner may implement rate adjustments for up to 3,000 new single-bed rooms each
         <br />
         		<a id="pl.156.6"></a><var>156.6</var>year. For eligible bed closures for which the commissioner receives a notice from
         a facility <br />
         		<a id="pl.156.7"></a><var>156.7</var>during a calendar quarter that a bed has been delicensed and a new single-bed room has <br />
         		<a id="pl.156.8"></a><var>156.8</var>been established, the rate adjustment in this paragraph shall be effective on either the first <br />
         		<a id="pl.156.9"></a><var>156.9</var>day of the second month of January or July, whichever occurs first following that calendar <br />
         		<a id="pl.156.10"></a><var>156.10</var>quarter the date of the bed delicensure.<br />
         		<a id="pl.156.11"></a><var>156.11</var>(b) A nursing facility is prohibited from discharging residents for purposes of establishing
         <br />
         		<a id="pl.156.12"></a><var>156.12</var>single-bed rooms. A nursing facility must submit documentation to the commissioner
         in a <br />
         		<a id="pl.156.13"></a><var>156.13</var>form prescribed by the commissioner, certifying the occupancy status of beds closed
         to <br />
         		<a id="pl.156.14"></a><var>156.14</var>create single-bed rooms. In the event that the commissioner determines that a facility
         has <br />
         		<a id="pl.156.15"></a><var>156.15</var>discharged a resident for purposes of establishing a single-bed room, the commissioner
         shall <br />
         		<a id="pl.156.16"></a><var>156.16</var>not provide a rate adjustment under paragraph (a).<br />
         		<a id="pl.156.17"></a><var>156.17</var><b>EFFECTIVE DATE.</b>This section is effective for closures occurring after July 1, 2017.<br />
         		<br />
         		<a id="bill.3.47.0"></a><a id="pl.156.18"></a><var>156.18</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2016, section 256R.47, is amended to read:<br />
         		<a id="pl.156.19"></a><var>156.19</var><b>256R.47 RATE ADJUSTMENT FOR CRITICAL ACCESS NURSING </b><br />
         		<a id="pl.156.20"></a><var>156.20</var><b>FACILITIES.</b><br />
         		<a id="pl.156.21"></a><var>156.21</var>(a) The commissioner, in consultation with the commissioner of health, may designate
         <br />
         		<a id="pl.156.22"></a><var>156.22</var>certain nursing facilities as critical access nursing facilities. The designation
         shall be granted <br />
         		<a id="pl.156.23"></a><var>156.23</var>on a competitive basis, within the limits of funds appropriated for this purpose.<br />
         		<a id="pl.156.24"></a><var>156.24</var>(b) The commissioner shall request proposals from nursing facilities every two years.
         <br />
         		<a id="pl.156.25"></a><var>156.25</var>Proposals must be submitted in the form and according to the timelines established
         by the <br />
         		<a id="pl.156.26"></a><var>156.26</var>commissioner. In selecting applicants to designate, the commissioner, in consultation
         with <br />
         		<a id="pl.156.27"></a><var>156.27</var>the commissioner of health, and with input from stakeholders, shall develop criteria
         designed <br />
         		<a id="pl.156.28"></a><var>156.28</var>to preserve access to nursing facility services in isolated areas, rebalance long-term
         care, <br />
         		<a id="pl.156.29"></a><var>156.29</var>and improve quality. To the extent practicable, the commissioner shall ensure an even
         <br />
         		<a id="pl.156.30"></a><var>156.30</var>distribution of designations across the state.<br />
         		<a id="pl.156.31"></a><var>156.31</var>(c) The commissioner shall allow the benefits in clauses (1) to (5) for nursing facilities
         <br />
         		<a id="pl.156.32"></a><var>156.32</var>designated as critical access nursing facilities:<br />
         		<a id="pl.157.1"></a><var>157.1</var>(1) partial rebasing, with the commissioner allowing a designated facility operating
         <br />
         		<a id="pl.157.2"></a><var>157.2</var>payment rates being the sum of up to 60 percent of the operating payment rate determined
         <br />
         		<a id="pl.157.3"></a><var>157.3</var>in accordance with section 
         <statute_ref>256R.21, subdivision 3</statute_ref>, and at least 40 percent, with the sum of <br />
         		<a id="pl.157.4"></a><var>157.4</var>the two portions being equal to 100 percent, of the operating payment rate that would
         have <br />
         		<a id="pl.157.5"></a><var>157.5</var>been allowed had the facility not been designated. The commissioner may adjust these
         <br />
         		<a id="pl.157.6"></a><var>157.6</var>percentages by up to 20 percent and may approve a request for less than the amount
         allowed;<br />
         		<a id="pl.157.7"></a><var>157.7</var>(2) enhanced payments for leave days. Notwithstanding section 
         <statute_ref>256R.43</statute_ref>, upon <br />
         		<a id="pl.157.8"></a><var>157.8</var>designation as a critical access nursing facility, the commissioner shall limit payment
         for <br />
         		<a id="pl.157.9"></a><var>157.9</var>leave days to 60 percent of that nursing facility's total payment rate for the involved
         resident, <br />
         		<a id="pl.157.10"></a><var>157.10</var>and shall allow this payment only when the occupancy of the nursing facility, inclusive
         of <br />
         		<a id="pl.157.11"></a><var>157.11</var>bed hold days, is equal to or greater than 90 percent;<br />
         		<a id="pl.157.12"></a><var>157.12</var>(3) two designated critical access nursing facilities, with up to 100 beds in active
         service, <br />
         		<a id="pl.157.13"></a><var>157.13</var>may jointly apply to the commissioner of health for a waiver of Minnesota Rules, part
         <br />
         		<a id="pl.157.14"></a><var>157.14</var>4658.0500, subpart 2, in order to jointly employ a director of nursing. The commissioner <br />
         		<a id="pl.157.15"></a><var>157.15</var>of health shall consider each waiver request independently based on the criteria under
         <br />
         		<a id="pl.157.16"></a><var>157.16</var>Minnesota Rules, part 4658.0040;<br />
         		<a id="pl.157.17"></a><var>157.17</var>(4) the minimum threshold under section 
         <statute_ref>256B.431, subdivision 15</statute_ref>, paragraph (e), shall <br />
         		<a id="pl.157.18"></a><var>157.18</var>be 40 percent of the amount that would otherwise apply; and<br />
         		<a id="pl.157.19"></a><var>157.19</var>(5) the quality-based rate limits under section 
         <statute_ref>256R.23, subdivisions 5</statute_ref> to 7, apply to <br />
         		<a id="pl.157.20"></a><var>157.20</var>designated critical access nursing facilities.<br />
         		<a id="pl.157.21"></a><var>157.21</var>(d) Designation of a critical access nursing facility is for a period of two years,
         after <br />
         		<a id="pl.157.22"></a><var>157.22</var>which the benefits allowed under paragraph (c) shall be removed. Designated facilities
         may <br />
         		<a id="pl.157.23"></a><var>157.23</var>apply for continued designation.<br />
         		<a id="pl.157.24"></a><var>157.24</var>(e) This section is suspended and no state or federal funding shall be appropriated
         or <br />
         		<a id="pl.157.25"></a><var>157.25</var>allocated for the purposes of this section from January 1, 2016, to December 31, 2017 2019.<br />
         		<a id="pl.157.26"></a><var>157.26</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.48.0"></a><a id="pl.157.27"></a><var>157.27</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2016, section 256R.49, subdivision 1, is amended to read:<br />
         		<a id="pl.157.28"></a><var>157.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Rate adjustments for compensation-related costs.</b> (a) Operating payment <br />
         		<a id="pl.157.29"></a><var>157.29</var>rates of all nursing facilities that are reimbursed under this chapter shall be increased
         effective <br />
         		<a id="pl.157.30"></a><var>157.30</var>for rate years beginning on and after October 1, 2014, to address changes in compensation
         <br />
         		<a id="pl.157.31"></a><var>157.31</var>costs for nursing facility employees paid less than $14 per hour in accordance with
         this <br />
         		<a id="pl.157.32"></a><var>157.32</var>section. Rate increases provided under this section before October 1, 2016, expire effective
         <br />
         		<a id="pl.158.1"></a><var>158.1</var>January 1, 2018, and rate increases provided on or after October 1, 2016, expire effective
         <br />
         		<a id="pl.158.2"></a><var>158.2</var>January 1, 2019.<br />
         		<a id="pl.158.3"></a><var>158.3</var>(b) Nursing facilities that receive approval of the applications in subdivision 2
         must <br />
         		<a id="pl.158.4"></a><var>158.4</var>receive rate adjustments according to subdivision 4. The rate adjustments must be
         used to <br />
         		<a id="pl.158.5"></a><var>158.5</var>pay compensation costs for nursing facility employees paid less than $14 per hour.<br />
         		<a id="pl.158.6"></a><var>158.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.49.0"></a><a id="pl.158.7"></a><var>158.7</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2016, section 256R.53, subdivision 2, is amended to read:<br />
         		<a id="pl.158.8"></a><var>158.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Nursing </b><b>facility</b><b> facilities</b><b> in </b><b>Breckenridge</b><b> border cities</b><b>.</b> The operating <br />
         		<a id="pl.158.9"></a><var>158.9</var>payment rate of a nonprofit nursing facility that exists on January 1, 2015, is located
         within <br />
         		<a id="pl.158.10"></a><var>158.10</var>the boundaries of the city cities of Breckenridge or Moorhead, and is reimbursed under this <br />
         		<a id="pl.158.11"></a><var>158.11</var>chapter, is equal to the greater of:<br />
         		<a id="pl.158.12"></a><var>158.12</var>(1) the operating payment rate determined under section 
         <statute_ref>256R.21, subdivision 3</statute_ref>; or<br />
         		<a id="pl.158.13"></a><var>158.13</var>(2) the median case mix adjusted rates, including comparable rate components as <br />
         		<a id="pl.158.14"></a><var>158.14</var>determined by the median case mix adjusted rates, including comparable rate components
         <br />
         		<a id="pl.158.15"></a><var>158.15</var>as determined by the commissioner, for the equivalent case mix indices of the nonprofit
         <br />
         		<a id="pl.158.16"></a><var>158.16</var>nursing facility or facilities located in an adjacent city in another state and in
         cities contiguous <br />
         		<a id="pl.158.17"></a><var>158.17</var>to the adjacent city. The commissioner shall make the comparison required in this subdivision <br />
         		<a id="pl.158.18"></a><var>158.18</var>on November 1 of each year and shall apply it to the rates to be effective on the
         following <br />
         		<a id="pl.158.19"></a><var>158.19</var>January 1. The Minnesota facility's operating payment rate with a case mix index of 1.0 is <br />
         		<a id="pl.158.20"></a><var>158.20</var>computed by dividing the adjacent city's nursing facility or facilities' median operating
         <br />
         		<a id="pl.158.21"></a><var>158.21</var>payment rate with an index of 
         <statute_ref>1.02</statute_ref> by 
         <statute_ref>1.02</statute_ref>. If the adjustments under this subdivision result <br />
         		<a id="pl.158.22"></a><var>158.22</var>in a rate that exceeds the limits in section 256R.23, subdivision 5, and whose costs
         exceed <br />
         		<a id="pl.158.23"></a><var>158.23</var>the rate in section 256R.24, subdivision 3, in a given rate year, the facility's rate
         shall not <br />
         		<a id="pl.158.24"></a><var>158.24</var>be subject to the limits in section 256R.23, subdivision 5, and shall not be limited
         to the <br />
         		<a id="pl.158.25"></a><var>158.25</var>rate established in section 256R.24, subdivision 3, for that rate year.<br />
         		<a id="pl.158.26"></a><var>158.26</var><b>EFFECTIVE DATE.</b>The rate increases for a facility located in Moorhead are effective <br />
         		<a id="pl.158.27"></a><var>158.27</var>for the rate year beginning January 1, 2020, and annually thereafter.<br />
         		<br />
         		<a id="bill.3.50.0"></a><a id="pl.158.28"></a><var>158.28</var>&#160;&#160;&#160;&#160;Sec. 50. <b>DIRECTION TO COMMISSIONER; ADULT DAY SERVICES STAFFING </b><br />
         		<a id="pl.158.29"></a><var>158.29</var><b>RATIOS.</b><br />
         		<a id="pl.158.30"></a><var>158.30</var>The commissioner of human services shall study the staffing ratio for adult day services
         <br />
         		<a id="pl.158.31"></a><var>158.31</var>clients and shall provide the chairs and ranking minority members of the house of
         <br />
         		<a id="pl.159.1"></a><var>159.1</var>representatives and senate committees with jurisdiction over adult day services with
         <br />
         		<a id="pl.159.2"></a><var>159.2</var>recommendations to adjust staffing ratios based on client needs by January 1, 2018.<br />
         		<br />
         		<a id="bill.3.51.0"></a><a id="pl.159.3"></a><var>159.3</var>&#160;&#160;&#160;&#160;Sec. 51. <b>ALZHEIMER'S DISEASE WORKING GROUP.</b><br />
         		<a id="pl.159.4"></a><var>159.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Members.</b> (a) The Minnesota Board on Aging must appoint 16 members <br />
         		<a id="pl.159.5"></a><var>159.5</var>to an Alzheimer's disease working group, as follows:<br />
         		<a id="pl.159.6"></a><var>159.6</var>(1) a caregiver of a person who has been diagnosed with Alzheimer's disease;<br />
         		<a id="pl.159.7"></a><var>159.7</var>(2) a person who has been diagnosed with Alzheimer's disease;<br />
         		<a id="pl.159.8"></a><var>159.8</var>(3) two representatives from the nursing facility or senior housing profession;<br />
         		<a id="pl.159.9"></a><var>159.9</var>(4) a representative of the home care or adult day services profession;<br />
         		<a id="pl.159.10"></a><var>159.10</var>(5) two geriatricians, one of whom serves a diverse or underserved community;<br />
         		<a id="pl.159.11"></a><var>159.11</var>(6) a psychologist who specializes in dementia care;<br />
         		<a id="pl.159.12"></a><var>159.12</var>(7) an Alzheimer's researcher;<br />
         		<a id="pl.159.13"></a><var>159.13</var>(8) a representative of the Alzheimer's Association;<br />
         		<a id="pl.159.14"></a><var>159.14</var>(9) two members from community-based organizations serving one or more diverse or
         <br />
         		<a id="pl.159.15"></a><var>159.15</var>underserved communities;<br />
         		<a id="pl.159.16"></a><var>159.16</var>(10) the commissioner of human services or a designee;<br />
         		<a id="pl.159.17"></a><var>159.17</var>(11) the commissioner of health or a designee;<br />
         		<a id="pl.159.18"></a><var>159.18</var>(12) the ombudsman for long-term care or a designee; and<br />
         		<a id="pl.159.19"></a><var>159.19</var>(13) one member of the Minnesota Board on Aging, selected by the board.<br />
         		<a id="pl.159.20"></a><var>159.20</var>(b) The executive director of the Minnesota Board on Aging serves on the working group
         <br />
         		<a id="pl.159.21"></a><var>159.21</var>as a nonvoting member.<br />
         		<a id="pl.159.22"></a><var>159.22</var>(c) The appointing authorities under this subdivision must complete their appointments
         <br />
         		<a id="pl.159.23"></a><var>159.23</var>no later than December 15, 2017.<br />
         		<a id="pl.159.24"></a><var>159.24</var>(d) To the extent practicable, the membership of the working group must reflect the
         <br />
         		<a id="pl.159.25"></a><var>159.25</var>diversity in Minnesota, and must include representatives from rural and metropolitan
         areas <br />
         		<a id="pl.159.26"></a><var>159.26</var>and representatives of different ethnicities, races, genders, ages, cultural groups,
         and abilities.<br />
         		<a id="pl.159.27"></a><var>159.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Duties; recommendations.</b> The Alzheimer's disease working group must <br />
         		<a id="pl.159.28"></a><var>159.28</var>review and revise the 2011 report, Preparing Minnesota for Alzheimer's: the Budgetary,
         <br />
         		<a id="pl.160.1"></a><var>160.1</var>Social and Personal Impacts. The working group shall consider and make recommendations
         <br />
         		<a id="pl.160.2"></a><var>160.2</var>and findings on the following issues as related to Alzheimer's disease or other dementias:<br />
         		<a id="pl.160.3"></a><var>160.3</var>(1) analysis and assessment of public health and health care data to accurately determine
         <br />
         		<a id="pl.160.4"></a><var>160.4</var>trends and disparities in cognitive decline;<br />
         		<a id="pl.160.5"></a><var>160.5</var>(2) public awareness, knowledge, and attitudes, including knowledge gaps, stigma,
         <br />
         		<a id="pl.160.6"></a><var>160.6</var>availability of information, and supportive community environments;<br />
         		<a id="pl.160.7"></a><var>160.7</var>(3) risk reduction, including health education and health promotion on risk factors,
         <br />
         		<a id="pl.160.8"></a><var>160.8</var>safety, and potentially avoidable hospitalizations;<br />
         		<a id="pl.160.9"></a><var>160.9</var>(4) diagnosis and treatment, including early detection, access to diagnosis, quality
         of <br />
         		<a id="pl.160.10"></a><var>160.10</var>dementia care, and cost of treatment;<br />
         		<a id="pl.160.11"></a><var>160.11</var>(5) professional education and training, including geriatric education for licensed
         health <br />
         		<a id="pl.160.12"></a><var>160.12</var>care professionals and dementia-specific training for direct care workers, first responders,
         <br />
         		<a id="pl.160.13"></a><var>160.13</var>and other professionals in communities;<br />
         		<a id="pl.160.14"></a><var>160.14</var>(6) residential services, including cost to families as well as regulation and licensing
         <br />
         		<a id="pl.160.15"></a><var>160.15</var>gaps; and<br />
         		<a id="pl.160.16"></a><var>160.16</var>(7) cultural competence and responsiveness to reduce health disparities and improve
         <br />
         		<a id="pl.160.17"></a><var>160.17</var>access to high-quality dementia care.<br />
         		<a id="pl.160.18"></a><var>160.18</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Meetings.</b> The Board on Aging must convene the first meeting of the working <br />
         		<a id="pl.160.19"></a><var>160.19</var>group no later than January 15, 2018. Before the first meeting, the Board on Aging
         must <br />
         		<a id="pl.160.20"></a><var>160.20</var>designate one member to serve as chair. Meetings of the working group must be open
         to <br />
         		<a id="pl.160.21"></a><var>160.21</var>the public, and to the extent practicable, technological means, such as Web casts,
         shall be <br />
         		<a id="pl.160.22"></a><var>160.22</var>used to reach the greatest number of people throughout the state. The working group
         may <br />
         		<a id="pl.160.23"></a><var>160.23</var>not meet more than five times.<br />
         		<a id="pl.160.24"></a><var>160.24</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Compensation.</b> Members of the working group serve without compensation, <br />
         		<a id="pl.160.25"></a><var>160.25</var>but may be reimbursed for allowed actual and necessary expenses incurred in the performance
         <br />
         		<a id="pl.160.26"></a><var>160.26</var>of the member's duties for the working group in the same manner and amount as authorized
         <br />
         		<a id="pl.160.27"></a><var>160.27</var>by the commissioner's plan adopted under Minnesota Statutes, section 43A.18, subdivision
         <br />
         		<a id="pl.160.28"></a><var>160.28</var>2.<br />
         		<a id="pl.160.29"></a><var>160.29</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Administrative support.</b> The Minnesota Board on Aging shall provide <br />
         		<a id="pl.160.30"></a><var>160.30</var>administrative support and arrange meeting space for the working group.<br />
         		<a id="pl.160.31"></a><var>160.31</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Report.</b> The Board on Aging must submit a report providing the findings and <br />
         		<a id="pl.160.32"></a><var>160.32</var>recommendations of the working group, including any draft legislation necessary to
         <br />
         		<a id="pl.161.1"></a><var>161.1</var>implement the recommendations, to the governor and chairs and ranking minority members
         <br />
         		<a id="pl.161.2"></a><var>161.2</var>of the legislative committees with jurisdiction over health care by January 15, 2019.<br />
         		<a id="pl.161.3"></a><var>161.3</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Expiration.</b> The working group expires June 30, 2019, or the day after the <br />
         		<a id="pl.161.4"></a><var>161.4</var>working group submits the report required in subdivision 6, whichever is earlier.<br />
         		<br />
         		<a id="bill.3.52.0"></a><a id="pl.161.5"></a><var>161.5</var>&#160;&#160;&#160;&#160;Sec. 52. <b>ELECTRONIC SERVICE DELIVERY DOCUMENTATION SYSTEM.</b><br />
         		<a id="pl.161.6"></a><var>161.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Documentation; establishment.</b> The commissioner of human services <br />
         		<a id="pl.161.7"></a><var>161.7</var>shall establish implementation requirements and standards for an electronic service
         delivery <br />
         		<a id="pl.161.8"></a><var>161.8</var>documentation system to comply with the 21st Century Cures Act, Public Law 114-255.<br />
         		<a id="pl.161.9"></a><var>161.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the terms in this subdivision have <br />
         		<a id="pl.161.10"></a><var>161.10</var>the meanings given them.<br />
         		<a id="pl.161.11"></a><var>161.11</var>(b) "Electronic service delivery documentation" means the electronic documentation
         of <br />
         		<a id="pl.161.12"></a><var>161.12</var>the:<br />
         		<a id="pl.161.13"></a><var>161.13</var>(1) type of service performed;<br />
         		<a id="pl.161.14"></a><var>161.14</var>(2) individual receiving the service;<br />
         		<a id="pl.161.15"></a><var>161.15</var>(3) date of the service;<br />
         		<a id="pl.161.16"></a><var>161.16</var>(4) location of the service delivery;<br />
         		<a id="pl.161.17"></a><var>161.17</var>(5) individual providing the service; and<br />
         		<a id="pl.161.18"></a><var>161.18</var>(6) time the service begins and ends.<br />
         		<a id="pl.161.19"></a><var>161.19</var>(c) "Electronic service delivery documentation system" means a system that provides
         <br />
         		<a id="pl.161.20"></a><var>161.20</var>electronic service delivery documentation that complies with the 21st Century Cures
         Act, <br />
         		<a id="pl.161.21"></a><var>161.21</var>Public Law 114-255, and the requirements of subdivision 3.<br />
         		<a id="pl.161.22"></a><var>161.22</var>(d) "Service" means one of the following:<br />
         		<a id="pl.161.23"></a><var>161.23</var>(1) personal care assistance services as defined in Minnesota Statutes, section 256B.0625,
         <br />
         		<a id="pl.161.24"></a><var>161.24</var>subdivision 19a, and provided according to Minnesota Statutes, section 256B.0659;
         or<br />
         		<a id="pl.161.25"></a><var>161.25</var>(2) community first services and supports under Minnesota Statutes, section 256B.85.<br />
         		<a id="pl.161.26"></a><var>161.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Requirements.</b> (a) In developing implementation requirements for an electronic <br />
         		<a id="pl.161.27"></a><var>161.27</var>service delivery documentation system, the commissioner shall consider electronic
         visit <br />
         		<a id="pl.161.28"></a><var>161.28</var>verification systems and other electronic service delivery documentation methods.
         The <br />
         		<a id="pl.161.29"></a><var>161.29</var>commissioner shall convene stakeholders that will be impacted by an electronic service
         <br />
         		<a id="pl.161.30"></a><var>161.30</var>delivery system, including service providers and their representatives, service recipients
         <br />
         		<a id="pl.162.1"></a><var>162.1</var>and their representatives, and, as appropriate, those with expertise in the development
         and <br />
         		<a id="pl.162.2"></a><var>162.2</var>operation of an electronic service delivery documentation system, to ensure that the
         <br />
         		<a id="pl.162.3"></a><var>162.3</var>requirements:<br />
         		<a id="pl.162.4"></a><var>162.4</var>(1) are minimally administratively and financially burdensome to a provider;<br />
         		<a id="pl.162.5"></a><var>162.5</var>(2) are minimally burdensome to the service recipient and the least disruptive to
         the <br />
         		<a id="pl.162.6"></a><var>162.6</var>service recipient in receiving and maintaining allowed services;<br />
         		<a id="pl.162.7"></a><var>162.7</var>(3) consider existing best practices and use of electronic service delivery documentation;<br />
         		<a id="pl.162.8"></a><var>162.8</var>(4) are conducted according to all state and federal laws;<br />
         		<a id="pl.162.9"></a><var>162.9</var>(5) are effective methods for preventing fraud when balanced against the requirements
         <br />
         		<a id="pl.162.10"></a><var>162.10</var>of clauses (1) and (2); and<br />
         		<a id="pl.162.11"></a><var>162.11</var>(6) are consistent with the Department of Human Services' policies related to covered
         <br />
         		<a id="pl.162.12"></a><var>162.12</var>services, flexibility of service use, and quality assurance.<br />
         		<a id="pl.162.13"></a><var>162.13</var>(b) The commissioner shall make training available to providers on the electronic
         service <br />
         		<a id="pl.162.14"></a><var>162.14</var>delivery documentation system requirements.<br />
         		<a id="pl.162.15"></a><var>162.15</var>(c) The commissioner shall establish baseline measurements related to preventing fraud
         <br />
         		<a id="pl.162.16"></a><var>162.16</var>and establish measures to determine the effect of electronic service delivery documentation
         <br />
         		<a id="pl.162.17"></a><var>162.17</var>requirements on program integrity.<br />
         		<a id="pl.162.18"></a><var>162.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Legislative report.</b> (a) The commissioner shall submit a report by January 15, <br />
         		<a id="pl.162.19"></a><var>162.19</var>2018, to the chairs and ranking minority members of the legislative committees with
         <br />
         		<a id="pl.162.20"></a><var>162.20</var>jurisdiction over human services with recommendations, based on the requirements of
         <br />
         		<a id="pl.162.21"></a><var>162.21</var>subdivision 3, to establish electronic service delivery documentation system requirements
         <br />
         		<a id="pl.162.22"></a><var>162.22</var>and standards. The report shall identify:<br />
         		<a id="pl.162.23"></a><var>162.23</var>(1) the essential elements necessary to operationalize a base-level electronic service
         <br />
         		<a id="pl.162.24"></a><var>162.24</var>delivery documentation system to be implemented by January 1, 2019; and<br />
         		<a id="pl.162.25"></a><var>162.25</var>(2) enhancements to the base-level electronic service delivery documentation system
         to <br />
         		<a id="pl.162.26"></a><var>162.26</var>be implemented by January 1, 2019, or after, with projected operational costs and
         the costs <br />
         		<a id="pl.162.27"></a><var>162.27</var>and benefits for system enhancements.<br />
         		<a id="pl.162.28"></a><var>162.28</var>(b) The report must also identify current regulations on service providers that are
         either <br />
         		<a id="pl.162.29"></a><var>162.29</var>inefficient, minimally effective, or will be unnecessary with the implementation of
         an <br />
         		<a id="pl.162.30"></a><var>162.30</var>electronic service delivery documentation system.<br />
         		<a id="pl.162.31"></a><var>162.31</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.3.53.0"></a><a id="pl.163.1"></a><var>163.1</var>&#160;&#160;&#160;&#160;Sec. 53. <b>DIRECTION TO COMMISSIONER; ICF/DD PAYMENT RATE STUDY.</b><br />
         		<a id="pl.163.2"></a><var>163.2</var>Within available appropriations, the commissioner of human services shall study the
         <br />
         		<a id="pl.163.3"></a><var>163.3</var>intermediate care facility for persons with developmental disabilities payment rates
         under <br />
         		<a id="pl.163.4"></a><var>163.4</var>Minnesota Statutes, sections 256B.5011 to 256B.5013, and make recommendations on the
         <br />
         		<a id="pl.163.5"></a><var>163.5</var>rate structure to the chairs and ranking minority members of the legislative committees
         with <br />
         		<a id="pl.163.6"></a><var>163.6</var>jurisdiction over human services policy and finance by January 15, 2018.<br />
         		<br />
         		<a id="bill.3.54.0"></a><a id="pl.163.7"></a><var>163.7</var>&#160;&#160;&#160;&#160;Sec. 54. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.163.8"></a><var>163.8</var>The revisor of statutes, in consultation with the House Research Department, Office
         of <br />
         		<a id="pl.163.9"></a><var>163.9</var>Senate Counsel, Research, and Fiscal Analysis, and Department of Human Services shall
         <br />
         		<a id="pl.163.10"></a><var>163.10</var>prepare legislation for the 2018 legislative session to recodify laws governing the
         elderly <br />
         		<a id="pl.163.11"></a><var>163.11</var>waiver program in Minnesota Statutes, chapter 256B.<br />
         		 <a id="pl.163.12"></a><var>163.12</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.4.0.0"></a><div class="xtend_ce"><a id="pl.163.13"></a><var>163.13</var><b>ARTICLE 4</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.163.14"></a><var>163.14</var><b>HEALTH CARE</b><br />
            		
         </div><br />
         		<a id="bill.4.1.0"></a><a id="pl.163.15"></a><var>163.15</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 3.972, is amended by adding a subdivision <br />
         		<a id="pl.163.16"></a><var>163.16</var>to read:<br />
         		<a id="pl.163.17"></a><var>163.17</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Audits of Department of Human Services.</b> (a) To ensure continuous <br />
         		<a id="pl.163.18"></a><var>163.18</var>legislative oversight and accountability, the legislative auditor shall give high
         priority to <br />
         		<a id="pl.163.19"></a><var>163.19</var>auditing the programs, services, and benefits administered by the Department of Human
         <br />
         		<a id="pl.163.20"></a><var>163.20</var>Services. The audits shall determine whether the department offered programs and provided
         <br />
         		<a id="pl.163.21"></a><var>163.21</var>services and benefits only to eligible persons and organizations, and complied with
         applicable <br />
         		<a id="pl.163.22"></a><var>163.22</var>legal requirements.<br />
         		<a id="pl.163.23"></a><var>163.23</var>(b) The legislative auditor shall, based on an assessment of risk and using professional
         <br />
         		<a id="pl.163.24"></a><var>163.24</var>standards to provide a statistically significant sample, no less than three times
         each year, <br />
         		<a id="pl.163.25"></a><var>163.25</var>test a representative sample of persons enrolled in a medical assistance program or
         <br />
         		<a id="pl.163.26"></a><var>163.26</var>MinnesotaCare to determine whether they are eligible to receive benefits under those
         <br />
         		<a id="pl.163.27"></a><var>163.27</var>programs. The legislative auditor shall report the results to the commissioner of
         human <br />
         		<a id="pl.163.28"></a><var>163.28</var>services and recommend corrective actions. The commissioner shall provide a response
         to <br />
         		<a id="pl.163.29"></a><var>163.29</var>the legislative auditor within 20 business days, including corrective actions to be
         taken to <br />
         		<a id="pl.163.30"></a><var>163.30</var>address any problems identified by the legislative auditor and anticipated completion
         dates. <br />
         		<a id="pl.163.31"></a><var>163.31</var>The legislative auditor shall monitor the commissioner's implementation of corrective
         actions <br />
         		<a id="pl.163.32"></a><var>163.32</var>and periodically report the results to the Legislative Audit Commission and the chairs
         and <br />
         		<a id="pl.164.1"></a><var>164.1</var>ranking minority members of the legislative committees with jurisdiction over health
         and <br />
         		<a id="pl.164.2"></a><var>164.2</var>human services policy and finance. The legislative auditor's reports to the commission
         and <br />
         		<a id="pl.164.3"></a><var>164.3</var>the chairs and ranking minority members must include recommendations for any legislative
         <br />
         		<a id="pl.164.4"></a><var>164.4</var>actions needed to ensure that medical assistance and MinnesotaCare benefits are provided
         <br />
         		<a id="pl.164.5"></a><var>164.5</var>only to eligible persons.<br />
         		<br />
         		<a id="bill.4.2.0"></a><a id="pl.164.6"></a><var>164.6</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 3.972, is amended by adding a subdivision to <br />
         		<a id="pl.164.7"></a><var>164.7</var>read:<br />
         		<a id="pl.164.8"></a><var>164.8</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Audits of managed care organizations.</b> (a) The legislative auditor shall audit <br />
         		<a id="pl.164.9"></a><var>164.9</var>each managed care organization that contracts with the commissioner of human services
         to <br />
         		<a id="pl.164.10"></a><var>164.10</var>provide health care services under sections 256B.69, 256B.692, and 256L.12. The legislative
         <br />
         		<a id="pl.164.11"></a><var>164.11</var>auditor shall design the audits to determine if a managed care organization used the
         public <br />
         		<a id="pl.164.12"></a><var>164.12</var>money in compliance with federal and state laws, rules, and in accordance with provisions
         <br />
         		<a id="pl.164.13"></a><var>164.13</var>in the managed care organization's contract with the commissioner of human services.
         The <br />
         		<a id="pl.164.14"></a><var>164.14</var>legislative auditor shall determine the schedule and scope of the audit work and may
         contract <br />
         		<a id="pl.164.15"></a><var>164.15</var>with vendors to assist with the audits. The managed care organization must cooperate
         with <br />
         		<a id="pl.164.16"></a><var>164.16</var>the legislative auditor and must provide the legislative auditor with all data, documents,
         and <br />
         		<a id="pl.164.17"></a><var>164.17</var>other information, regardless of classification, that the legislative auditor requests
         to conduct <br />
         		<a id="pl.164.18"></a><var>164.18</var>an audit. The legislative auditor shall periodically report audit results and recommendations
         <br />
         		<a id="pl.164.19"></a><var>164.19</var>to the Legislative Audit Commission and the chairs and ranking minority members of
         the <br />
         		<a id="pl.164.20"></a><var>164.20</var>legislative committees with jurisdiction over health and human services policy and
         finance.<br />
         		<a id="pl.164.21"></a><var>164.21</var>(b) For purposes of this subdivision, a "managed care organization" means a <br />
         		<a id="pl.164.22"></a><var>164.22</var>demonstration provider as defined under section 256B.69, subdivision 2.<br />
         		<br />
         		<a id="bill.4.3.0"></a><a id="pl.164.23"></a><var>164.23</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 13.69, subdivision 1, is amended to read:<br />
         		<a id="pl.164.24"></a><var>164.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Classifications.</b> (a) The following government data of the Department <br />
         		<a id="pl.164.25"></a><var>164.25</var>of Public Safety are private data:<br />
         		<a id="pl.164.26"></a><var>164.26</var>&#160;&#160;&#160;&#160;(1) medical data on driving instructors, licensed drivers, and applicants for parking
         <br />
         		<a id="pl.164.27"></a><var>164.27</var>certificates and special license plates issued to physically disabled persons;<br />
         		<a id="pl.164.28"></a><var>164.28</var>&#160;&#160;&#160;&#160;(2) other data on holders of a disability certificate under section 
         <statute_ref>169.345</statute_ref>, except that (i) <br />
         		<a id="pl.164.29"></a><var>164.29</var>data that are not medical data may be released to law enforcement agencies, and (ii)
         data <br />
         		<a id="pl.164.30"></a><var>164.30</var>necessary for enforcement of sections 
         <statute_ref>169.345</statute_ref> and 
         <statute_ref>169.346</statute_ref> may be released to parking <br />
         		<a id="pl.164.31"></a><var>164.31</var>enforcement employees or parking enforcement agents of statutory or home rule charter
         <br />
         		<a id="pl.164.32"></a><var>164.32</var>cities and towns;<br />
         		<a id="pl.165.1"></a><var>165.1</var>&#160;&#160;&#160;&#160;(3) Social Security numbers in driver's license and motor vehicle registration records,
         <br />
         		<a id="pl.165.2"></a><var>165.2</var>except that Social Security numbers must be provided to the Department of Revenue
         for <br />
         		<a id="pl.165.3"></a><var>165.3</var>purposes of tax administration, the Department of Labor and Industry for purposes
         of <br />
         		<a id="pl.165.4"></a><var>165.4</var>workers' compensation administration and enforcement, and the Department of Natural
         <br />
         		<a id="pl.165.5"></a><var>165.5</var>Resources for purposes of license application administration, and except that the last four <br />
         		<a id="pl.165.6"></a><var>165.6</var>digits of the Social Security number must be provided to the Department of Human Services
         <br />
         		<a id="pl.165.7"></a><var>165.7</var>for purposes of recovery of Minnesota health care program benefits paid; and<br />
         		<a id="pl.165.8"></a><var>165.8</var>&#160;&#160;&#160;&#160;(4) data on persons listed as standby or temporary custodians under section 
         <statute_ref>171.07, <br />
            		<a id="pl.165.9"></a><var>165.9</var>subdivision 11
         </statute_ref>, except that the data must be released to:<br />
         		<a id="pl.165.10"></a><var>165.10</var>&#160;&#160;&#160;&#160;(i) law enforcement agencies for the purpose of verifying that an individual is a
         designated <br />
         		<a id="pl.165.11"></a><var>165.11</var>caregiver; or<br />
         		<a id="pl.165.12"></a><var>165.12</var>&#160;&#160;&#160;&#160;(ii) law enforcement agencies who state that the license holder is unable to communicate
         <br />
         		<a id="pl.165.13"></a><var>165.13</var>at that time and that the information is necessary for notifying the designated caregiver
         of <br />
         		<a id="pl.165.14"></a><var>165.14</var>the need to care for a child of the license holder.<br />
         		<a id="pl.165.15"></a><var>165.15</var>&#160;&#160;&#160;&#160;The department may release the Social Security number only as provided in clause (3)
         <br />
         		<a id="pl.165.16"></a><var>165.16</var>and must not sell or otherwise provide individual Social Security numbers or lists
         of Social <br />
         		<a id="pl.165.17"></a><var>165.17</var>Security numbers for any other purpose.<br />
         		<a id="pl.165.18"></a><var>165.18</var>&#160;&#160;&#160;&#160;(b) The following government data of the Department of Public Safety are confidential
         <br />
         		<a id="pl.165.19"></a><var>165.19</var>data: data concerning an individual's driving ability when that data is received from
         a member <br />
         		<a id="pl.165.20"></a><var>165.20</var>of the individual's family.<br />
         		<a id="pl.165.21"></a><var>165.21</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.4.0"></a><a id="pl.165.22"></a><var>165.22</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[62J.815] HEALTH CARE PROVIDERS PRICE DISCLOSURES.</b><br />
         		<a id="pl.165.23"></a><var>165.23</var>(a) Each health care provider, as defined by section 62J.03, subdivision 8, except
         hospitals <br />
         		<a id="pl.165.24"></a><var>165.24</var>and outpatient surgical centers subject to the requirements of section 62J.82, shall
         maintain <br />
         		<a id="pl.165.25"></a><var>165.25</var>a list of the services or procedures that correspond with the 35 most frequent current
         <br />
         		<a id="pl.165.26"></a><var>165.26</var>procedural terminology (CPT) codes, and a list of the ten most frequent CPT codes
         for <br />
         		<a id="pl.165.27"></a><var>165.27</var>preventive services used by the provider for reimbursement purposes and the provider's
         <br />
         		<a id="pl.165.28"></a><var>165.28</var>charge for each of these services or procedures that the provider would charge to
         patients <br />
         		<a id="pl.165.29"></a><var>165.29</var>who are not covered by private or public health care coverage.<br />
         		<a id="pl.165.30"></a><var>165.30</var>(b) This list must be updated annually and be readily available on site at no cost
         to the <br />
         		<a id="pl.165.31"></a><var>165.31</var>public. The provider must also post this information on the provider's Web site or
         the health <br />
         		<a id="pl.165.32"></a><var>165.32</var>care clinic's Web site where the provider practices.<br />
         		<br />
         		<a id="bill.4.5.0"></a><a id="pl.166.1"></a><var>166.1</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 256.9686, subdivision 8, is amended to read:<br />
         		<a id="pl.166.2"></a><var>166.2</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Rate year.</b> "Rate year" means a calendar year from January 1 to December 31. <br />
         		<a id="pl.166.3"></a><var>166.3</var>Effective with the 2012 base year, rate year means a state fiscal year from July 1
         to June <br />
         		<a id="pl.166.4"></a><var>166.4</var>30.<br />
         		<a id="pl.166.5"></a><var>166.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.4.6.0"></a><a id="pl.166.6"></a><var>166.6</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 256.969, subdivision 1, is amended to read:<br />
         		<a id="pl.166.7"></a><var>166.7</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Hospital cost index.</b> (a) The hospital cost index shall be the change in <br />
         		<a id="pl.166.8"></a><var>166.8</var>the Centers for Medicare and Medicaid Services Inpatient Hospital Market Basket. The
         <br />
         		<a id="pl.166.9"></a><var>166.9</var>commissioner shall use the indices as forecasted for the midpoint of the prior rate
         year to <br />
         		<a id="pl.166.10"></a><var>166.10</var>the midpoint of the current rate year.<br />
         		<a id="pl.166.11"></a><var>166.11</var>(b) Except as authorized under this section, for fiscal years beginning on or after July <br />
         		<a id="pl.166.12"></a><var>166.12</var>1, 1993, the commissioner of human services shall not provide automatic annual inflation
         <br />
         		<a id="pl.166.13"></a><var>166.13</var>adjustments for hospital payment rates under medical assistance.<br />
         		<a id="pl.166.14"></a><var>166.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.7.0"></a><a id="pl.166.15"></a><var>166.15</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 256.969, subdivision 2b, is amended to read:<br />
         		<a id="pl.166.16"></a><var>166.16</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Hospital payment rates.</b> (a) For discharges occurring on or after November <br />
         		<a id="pl.166.17"></a><var>166.17</var>1, 2014, hospital inpatient services for hospitals located in Minnesota shall be paid
         according <br />
         		<a id="pl.166.18"></a><var>166.18</var>to the following:<br />
         		<a id="pl.166.19"></a><var>166.19</var>(1) critical access hospitals as defined by Medicare shall be paid using a cost-based
         <br />
         		<a id="pl.166.20"></a><var>166.20</var>methodology;<br />
         		<a id="pl.166.21"></a><var>166.21</var>(2) long-term hospitals as defined by Medicare shall be paid on a per diem methodology
         <br />
         		<a id="pl.166.22"></a><var>166.22</var>under subdivision 25;<br />
         		<a id="pl.166.23"></a><var>166.23</var>(3) rehabilitation hospitals or units of hospitals that are recognized as rehabilitation
         <br />
         		<a id="pl.166.24"></a><var>166.24</var>distinct parts as defined by Medicare shall be paid according to the methodology under
         <br />
         		<a id="pl.166.25"></a><var>166.25</var>subdivision 12; and<br />
         		<a id="pl.166.26"></a><var>166.26</var>(4) all other hospitals shall be paid on a diagnosis-related group (DRG) methodology.<br />
         		<a id="pl.166.27"></a><var>166.27</var>&#160;&#160;&#160;&#160;(b) For the period beginning January 1, 2011, through October 31, 2014, rates shall
         not <br />
         		<a id="pl.166.28"></a><var>166.28</var>be rebased, except that a Minnesota long-term hospital shall be rebased effective
         January <br />
         		<a id="pl.166.29"></a><var>166.29</var>1, 2011, based on its most recent Medicare cost report ending on or before September
         1, <br />
         		<a id="pl.166.30"></a><var>166.30</var>2008, with the provisions under subdivisions 9 and 23, based on the rates in effect
         on <br />
         		<a id="pl.166.31"></a><var>166.31</var>December 31, 2010. For rate setting periods after November 1, 2014, in which the base
         <br />
         		<a id="pl.167.1"></a><var>167.1</var>years are updated, a Minnesota long-term hospital's base year shall remain within
         the same <br />
         		<a id="pl.167.2"></a><var>167.2</var>period as other hospitals.<br />
         		<a id="pl.167.3"></a><var>167.3</var>(c) Effective for discharges occurring on and after November 1, 2014, payment rates
         <br />
         		<a id="pl.167.4"></a><var>167.4</var>for hospital inpatient services provided by hospitals located in Minnesota or the
         local trade <br />
         		<a id="pl.167.5"></a><var>167.5</var>area, except for the hospitals paid under the methodologies described in paragraph
         (a), <br />
         		<a id="pl.167.6"></a><var>167.6</var>clauses (2) and (3), shall be rebased, incorporating cost and payment methodologies
         in a <br />
         		<a id="pl.167.7"></a><var>167.7</var>manner similar to Medicare. The base year for the rates effective November 1, 2014,
         shall <br />
         		<a id="pl.167.8"></a><var>167.8</var>be calendar year 2012. The rebasing under this paragraph shall be budget neutral,
         ensuring <br />
         		<a id="pl.167.9"></a><var>167.9</var>that the total aggregate payments under the rebased system are equal to the total
         aggregate <br />
         		<a id="pl.167.10"></a><var>167.10</var>payments that were made for the same number and types of services in the base year.
         Separate <br />
         		<a id="pl.167.11"></a><var>167.11</var>budget neutrality calculations shall be determined for payments made to critical access
         <br />
         		<a id="pl.167.12"></a><var>167.12</var>hospitals and payments made to hospitals paid under the DRG system. Only the rate
         increases <br />
         		<a id="pl.167.13"></a><var>167.13</var>or decreases under subdivision 3a or 3c that applied to the hospitals being rebased
         during <br />
         		<a id="pl.167.14"></a><var>167.14</var>the entire base period shall be incorporated into the budget neutrality calculation.<br />
         		<a id="pl.167.15"></a><var>167.15</var>(d) For discharges occurring on or after November 1, 2014, through the next rebasing
         <br />
         		<a id="pl.167.16"></a><var>167.16</var>that occurs, the rebased rates under paragraph (c) that apply to hospitals under paragraph
         <br />
         		<a id="pl.167.17"></a><var>167.17</var>(a), clause (4), shall include adjustments to the projected rates that result in no
         greater than <br />
         		<a id="pl.167.18"></a><var>167.18</var>a five percent increase or decrease from the base year payments for any hospital.
         Any <br />
         		<a id="pl.167.19"></a><var>167.19</var>adjustments to the rates made by the commissioner under this paragraph and paragraph
         (e) <br />
         		<a id="pl.167.20"></a><var>167.20</var>shall maintain budget neutrality as described in paragraph (c).<br />
         		<a id="pl.167.21"></a><var>167.21</var>(e) For discharges occurring on or after November 1, 2014, through the next two rebasing <br />
         		<a id="pl.167.22"></a><var>167.22</var>that occurs periods the commissioner may make additional adjustments to the rebased rates, <br />
         		<a id="pl.167.23"></a><var>167.23</var>and when evaluating whether additional adjustments should be made, the commissioner
         <br />
         		<a id="pl.167.24"></a><var>167.24</var>shall consider the impact of the rates on the following:<br />
         		<a id="pl.167.25"></a><var>167.25</var>(1) pediatric services;<br />
         		<a id="pl.167.26"></a><var>167.26</var>(2) behavioral health services;<br />
         		<a id="pl.167.27"></a><var>167.27</var>(3) trauma services as defined by the National Uniform Billing Committee;<br />
         		<a id="pl.167.28"></a><var>167.28</var>(4) transplant services;<br />
         		<a id="pl.167.29"></a><var>167.29</var>(5) obstetric services, newborn services, and behavioral health services provided
         by <br />
         		<a id="pl.167.30"></a><var>167.30</var>hospitals outside the seven-county metropolitan area;<br />
         		<a id="pl.167.31"></a><var>167.31</var>(6) outlier admissions;<br />
         		<a id="pl.167.32"></a><var>167.32</var>(7) low-volume providers; and<br />
         		<a id="pl.168.1"></a><var>168.1</var>(8) services provided by small rural hospitals that are not critical access hospitals.<br />
         		<a id="pl.168.2"></a><var>168.2</var>(f) Hospital payment rates established under paragraph (c) must incorporate the following:<br />
         		<a id="pl.168.3"></a><var>168.3</var>&#160;&#160;&#160;&#160;(1) for hospitals paid under the DRG methodology, the base year payment rate per <br />
         		<a id="pl.168.4"></a><var>168.4</var>admission is standardized by the applicable Medicare wage index and adjusted by the
         <br />
         		<a id="pl.168.5"></a><var>168.5</var>hospital's disproportionate population adjustment;<br />
         		<a id="pl.168.6"></a><var>168.6</var>&#160;&#160;&#160;&#160;(2) for critical access hospitals, payment rates for discharges between November 1,
         2014, <br />
         		<a id="pl.168.7"></a><var>168.7</var>and June 30, 2015, shall be set to the same rate of payment that applied for discharges
         on <br />
         		<a id="pl.168.8"></a><var>168.8</var>October 31, 2014;<br />
         		<a id="pl.168.9"></a><var>168.9</var>&#160;&#160;&#160;&#160;(3) the cost and charge data used to establish hospital payment rates must only reflect
         <br />
         		<a id="pl.168.10"></a><var>168.10</var>inpatient services covered by medical assistance; and<br />
         		<a id="pl.168.11"></a><var>168.11</var>&#160;&#160;&#160;&#160;(4) in determining hospital payment rates for discharges occurring on or after the
         rate <br />
         		<a id="pl.168.12"></a><var>168.12</var>year beginning January 1, 2011, through December 31, 2012, the hospital payment rate
         per <br />
         		<a id="pl.168.13"></a><var>168.13</var>discharge shall be based on the cost-finding methods and allowable costs of the Medicare
         <br />
         		<a id="pl.168.14"></a><var>168.14</var>program in effect during the base year or years. In determining hospital payment rates for <br />
         		<a id="pl.168.15"></a><var>168.15</var>discharges in subsequent base years, the per discharge rates shall be based on the
         cost-finding <br />
         		<a id="pl.168.16"></a><var>168.16</var>methods and allowable costs of the Medicare program in effect during the base year
         or <br />
         		<a id="pl.168.17"></a><var>168.17</var>years.<br />
         		<a id="pl.168.18"></a><var>168.18</var>(g) The commissioner shall validate the rates effective November 1, 2014, by applying
         <br />
         		<a id="pl.168.19"></a><var>168.19</var>the rates established under paragraph (c), and any adjustments made to the rates under
         <br />
         		<a id="pl.168.20"></a><var>168.20</var>paragraph (d) or (e), to hospital claims paid in calendar year 2013 to determine whether
         the <br />
         		<a id="pl.168.21"></a><var>168.21</var>total aggregate payments for the same number and types of services under the rebased
         rates <br />
         		<a id="pl.168.22"></a><var>168.22</var>are equal to the total aggregate payments made during calendar year 2013.<br />
         		<a id="pl.168.23"></a><var>168.23</var>(h) Effective for discharges occurring on or after July 1, 2017, and every two years
         <br />
         		<a id="pl.168.24"></a><var>168.24</var>thereafter, payment rates under this section shall be rebased to reflect only those
         changes <br />
         		<a id="pl.168.25"></a><var>168.25</var>in hospital costs between the existing base year and the next base year. Changes in costs <br />
         		<a id="pl.168.26"></a><var>168.26</var>between base years shall be measured using the lower of the hospital cost index defined
         in <br />
         		<a id="pl.168.27"></a><var>168.27</var>subdivision 1, paragraph (a), or the percentage change in the case mix adjusted cost
         per <br />
         		<a id="pl.168.28"></a><var>168.28</var>claim. The commissioner shall establish the base year for each rebasing period considering
         <br />
         		<a id="pl.168.29"></a><var>168.29</var>the most recent year for which filed Medicare cost reports are available. The estimated
         <br />
         		<a id="pl.168.30"></a><var>168.30</var>change in the average payment per hospital discharge resulting from a scheduled rebasing
         <br />
         		<a id="pl.168.31"></a><var>168.31</var>must be calculated and made available to the legislature by January 15 of each year
         in which <br />
         		<a id="pl.168.32"></a><var>168.32</var>rebasing is scheduled to occur, and must include by hospital the differential in payment
         <br />
         		<a id="pl.168.33"></a><var>168.33</var>rates compared to the individual hospital's costs.<br />
         		<a id="pl.169.1"></a><var>169.1</var>(i) Effective for discharges occurring on or after July 1, 2015, inpatient payment rates <br />
         		<a id="pl.169.2"></a><var>169.2</var>for critical access hospitals located in Minnesota or the local trade area shall be
         determined <br />
         		<a id="pl.169.3"></a><var>169.3</var>using a new cost-based methodology. The commissioner shall establish within the <br />
         		<a id="pl.169.4"></a><var>169.4</var>methodology tiers of payment designed to promote efficiency and cost-effectiveness.
         <br />
         		<a id="pl.169.5"></a><var>169.5</var>Payment rates for hospitals under this paragraph shall be set at a level that does
         not exceed <br />
         		<a id="pl.169.6"></a><var>169.6</var>the total cost for critical access hospitals as reflected in base year cost reports.
         Until the <br />
         		<a id="pl.169.7"></a><var>169.7</var>next rebasing that occurs, the new methodology shall result in no greater than a five
         percent <br />
         		<a id="pl.169.8"></a><var>169.8</var>decrease from the base year payments for any hospital, except a hospital that had
         payments <br />
         		<a id="pl.169.9"></a><var>169.9</var>that were greater than 100 percent of the hospital's costs in the base year shall
         have their <br />
         		<a id="pl.169.10"></a><var>169.10</var>rate set equal to 100 percent of costs in the base year. The rates paid for discharges
         on and <br />
         		<a id="pl.169.11"></a><var>169.11</var>after July 1, 2016, covered under this paragraph shall be increased by the inflation
         factor <br />
         		<a id="pl.169.12"></a><var>169.12</var>in subdivision 1, paragraph (a). The new cost-based rate shall be the final rate and
         shall not <br />
         		<a id="pl.169.13"></a><var>169.13</var>be settled to actual incurred costs. Hospitals shall be assigned a payment tier based
         on the <br />
         		<a id="pl.169.14"></a><var>169.14</var>following criteria:<br />
         		<a id="pl.169.15"></a><var>169.15</var>(1) hospitals that had payments at or below 80 percent of their costs in the base
         year <br />
         		<a id="pl.169.16"></a><var>169.16</var>shall have a rate set that equals 85 percent of their base year costs;<br />
         		<a id="pl.169.17"></a><var>169.17</var>(2) hospitals that had payments that were above 80 percent, up to and including 90
         <br />
         		<a id="pl.169.18"></a><var>169.18</var>percent of their costs in the base year shall have a rate set that equals 95 percent
         of their <br />
         		<a id="pl.169.19"></a><var>169.19</var>base year costs; and<br />
         		<a id="pl.169.20"></a><var>169.20</var>(3) hospitals that had payments that were above 90 percent of their costs in the base
         year <br />
         		<a id="pl.169.21"></a><var>169.21</var>shall have a rate set that equals 100 percent of their base year costs.<br />
         		<a id="pl.169.22"></a><var>169.22</var>(j) The commissioner may refine the payment tiers and criteria for critical access
         hospitals <br />
         		<a id="pl.169.23"></a><var>169.23</var>to coincide with the next rebasing under paragraph (h). The factors used to develop
         the new <br />
         		<a id="pl.169.24"></a><var>169.24</var>methodology may include, but are not limited to:<br />
         		<a id="pl.169.25"></a><var>169.25</var>(1) the ratio between the hospital's costs for treating medical assistance patients
         and the <br />
         		<a id="pl.169.26"></a><var>169.26</var>hospital's charges to the medical assistance program;<br />
         		<a id="pl.169.27"></a><var>169.27</var>(2) the ratio between the hospital's costs for treating medical assistance patients
         and the <br />
         		<a id="pl.169.28"></a><var>169.28</var>hospital's payments received from the medical assistance program for the care of medical
         <br />
         		<a id="pl.169.29"></a><var>169.29</var>assistance patients;<br />
         		<a id="pl.169.30"></a><var>169.30</var>(3) the ratio between the hospital's charges to the medical assistance program and
         the <br />
         		<a id="pl.169.31"></a><var>169.31</var>hospital's payments received from the medical assistance program for the care of medical
         <br />
         		<a id="pl.169.32"></a><var>169.32</var>assistance patients;<br />
         		<a id="pl.169.33"></a><var>169.33</var>(4) the statewide average increases in the ratios identified in clauses (1), (2),
         and (3);<br />
         		<a id="pl.170.1"></a><var>170.1</var>(5) the proportion of that hospital's costs that are administrative and trends in
         <br />
         		<a id="pl.170.2"></a><var>170.2</var>administrative costs; and<br />
         		<a id="pl.170.3"></a><var>170.3</var>(6) geographic location.<br />
         		<a id="pl.170.4"></a><var>170.4</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.8.0"></a><a id="pl.170.5"></a><var>170.5</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 256.969, subdivision 3a, is amended to read:<br />
         		<a id="pl.170.6"></a><var>170.6</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Payments.</b> (a) Acute care hospital billings under the medical assistance program <br />
         		<a id="pl.170.7"></a><var>170.7</var>must not be submitted until the recipient is discharged. However, the commissioner
         shall <br />
         		<a id="pl.170.8"></a><var>170.8</var>establish monthly interim payments for inpatient hospitals that have individual patient
         <br />
         		<a id="pl.170.9"></a><var>170.9</var>lengths of stay over 30 days regardless of diagnostic category. Except as provided
         in section <br />
         		
         <statute_ref><a id="pl.170.10"></a><var>170.10</var>256.9693
         </statute_ref>, medical assistance reimbursement for treatment of mental illness shall be <br />
         		<a id="pl.170.11"></a><var>170.11</var>reimbursed based on diagnostic classifications. Individual hospital payments established
         <br />
         		<a id="pl.170.12"></a><var>170.12</var>under this section and sections 
         <statute_ref>256.9685</statute_ref>, 
         <statute_ref>256.9686</statute_ref>, and 
         <statute_ref>256.9695</statute_ref>, in addition to third-party <br />
         		<a id="pl.170.13"></a><var>170.13</var>and recipient liability, for discharges occurring during the rate year shall not exceed,
         in <br />
         		<a id="pl.170.14"></a><var>170.14</var>aggregate, the charges for the medical assistance covered inpatient services paid
         for the <br />
         		<a id="pl.170.15"></a><var>170.15</var>same period of time to the hospital. Services that have rates established under subdivision
         <br />
         		<a id="pl.170.16"></a><var>170.16</var>11 or 12, must be limited separately from other services. After consulting with the affected
         <br />
         		<a id="pl.170.17"></a><var>170.17</var>hospitals, the commissioner may consider related hospitals one entity and may merge
         the <br />
         		<a id="pl.170.18"></a><var>170.18</var>payment rates while maintaining separate provider numbers. The operating and property
         <br />
         		<a id="pl.170.19"></a><var>170.19</var>base rates per admission or per day shall be derived from the best Medicare and claims
         data <br />
         		<a id="pl.170.20"></a><var>170.20</var>available when rates are established. The commissioner shall determine the best Medicare
         <br />
         		<a id="pl.170.21"></a><var>170.21</var>and claims data, taking into consideration variables of recency of the data, audit
         disposition, <br />
         		<a id="pl.170.22"></a><var>170.22</var>settlement status, and the ability to set rates in a timely manner. The commissioner
         shall <br />
         		<a id="pl.170.23"></a><var>170.23</var>notify hospitals of payment rates 30 days prior to implementation. The rate setting
         data <br />
         		<a id="pl.170.24"></a><var>170.24</var>must reflect the admissions data used to establish relative values. The commissioner
         may <br />
         		<a id="pl.170.25"></a><var>170.25</var>adjust base year cost, relative value, and case mix index data to exclude the costs
         of services <br />
         		<a id="pl.170.26"></a><var>170.26</var>that have been discontinued by the October 1 of the year preceding the rate year or that are <br />
         		<a id="pl.170.27"></a><var>170.27</var>paid separately from inpatient services. Inpatient stays that encompass portions of
         two or <br />
         		<a id="pl.170.28"></a><var>170.28</var>more rate years shall have payments established based on payment rates in effect at
         the time <br />
         		<a id="pl.170.29"></a><var>170.29</var>of admission unless the date of admission preceded the rate year in effect by six
         months or <br />
         		<a id="pl.170.30"></a><var>170.30</var>more. In this case, operating payment rates for services rendered during the rate
         year in <br />
         		<a id="pl.170.31"></a><var>170.31</var>effect and established based on the date of admission shall be adjusted to the rate
         year in <br />
         		<a id="pl.170.32"></a><var>170.32</var>effect by the hospital cost index.<br />
         		<a id="pl.171.1"></a><var>171.1</var>&#160;&#160;&#160;&#160;(b) For fee-for-service admissions occurring on or after July 1, 2002, the total payment,
         <br />
         		<a id="pl.171.2"></a><var>171.2</var>before third-party liability and spenddown, made to hospitals for inpatient services
         is reduced <br />
         		<a id="pl.171.3"></a><var>171.3</var>by .5 percent from the current statutory rates.<br />
         		<a id="pl.171.4"></a><var>171.4</var>&#160;&#160;&#160;&#160;(c) In addition to the reduction in paragraph (b), the total payment for fee-for-service
         <br />
         		<a id="pl.171.5"></a><var>171.5</var>admissions occurring on or after July 1, 2003, made to hospitals for inpatient services
         before <br />
         		<a id="pl.171.6"></a><var>171.6</var>third-party liability and spenddown, is reduced five percent from the current statutory
         rates. <br />
         		<a id="pl.171.7"></a><var>171.7</var>Mental health services within diagnosis related groups 424 to 432 or corresponding
         <br />
         		<a id="pl.171.8"></a><var>171.8</var>APR-DRGs, and facilities defined under subdivision 16 are excluded from this paragraph.<br />
         		<a id="pl.171.9"></a><var>171.9</var>&#160;&#160;&#160;&#160;(d) In addition to the reduction in paragraphs (b) and (c), the total payment for
         <br />
         		<a id="pl.171.10"></a><var>171.10</var>fee-for-service admissions occurring on or after August 1, 2005, made to hospitals
         for <br />
         		<a id="pl.171.11"></a><var>171.11</var>inpatient services before third-party liability and spenddown, is reduced 6.0 percent
         from <br />
         		<a id="pl.171.12"></a><var>171.12</var>the current statutory rates. Mental health services within diagnosis related groups
         424 to <br />
         		<a id="pl.171.13"></a><var>171.13</var>432 or corresponding APR-DRGs, and facilities defined under subdivision 16 are excluded
         <br />
         		<a id="pl.171.14"></a><var>171.14</var>from this paragraph. Payments made to managed care plans shall be reduced for services
         <br />
         		<a id="pl.171.15"></a><var>171.15</var>provided on or after January 1, 2006, to reflect this reduction.<br />
         		<a id="pl.171.16"></a><var>171.16</var>&#160;&#160;&#160;&#160;(e) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         for <br />
         		<a id="pl.171.17"></a><var>171.17</var>fee-for-service admissions occurring on or after July 1, 2008, through June 30, 2009,
         made <br />
         		<a id="pl.171.18"></a><var>171.18</var>to hospitals for inpatient services before third-party liability and spenddown, is
         reduced <br />
         		<a id="pl.171.19"></a><var>171.19</var>3.46 percent from the current statutory rates. Mental health services with diagnosis
         related <br />
         		<a id="pl.171.20"></a><var>171.20</var>groups 424 to 432 or corresponding APR-DRGs, and facilities defined under subdivision
         <br />
         		<a id="pl.171.21"></a><var>171.21</var>16 are excluded from this paragraph. Payments made to managed care plans shall be
         reduced <br />
         		<a id="pl.171.22"></a><var>171.22</var>for services provided on or after January 1, 2009, through June 30, 2009, to reflect
         this <br />
         		<a id="pl.171.23"></a><var>171.23</var>reduction.<br />
         		<a id="pl.171.24"></a><var>171.24</var>&#160;&#160;&#160;&#160;(f) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         for <br />
         		<a id="pl.171.25"></a><var>171.25</var>fee-for-service admissions occurring on or after July 1, 2009, through June 30, 2011,
         made <br />
         		<a id="pl.171.26"></a><var>171.26</var>to hospitals for inpatient services before third-party liability and spenddown, is
         reduced 1.9 <br />
         		<a id="pl.171.27"></a><var>171.27</var>percent from the current statutory rates. Mental health services with diagnosis related
         groups <br />
         		<a id="pl.171.28"></a><var>171.28</var>424 to 432 or corresponding APR-DRGs, and facilities defined under subdivision 16
         are <br />
         		<a id="pl.171.29"></a><var>171.29</var>excluded from this paragraph. Payments made to managed care plans shall be reduced
         for <br />
         		<a id="pl.171.30"></a><var>171.30</var>services provided on or after July 1, 2009, through June 30, 2011, to reflect this
         reduction.<br />
         		<a id="pl.171.31"></a><var>171.31</var>&#160;&#160;&#160;&#160;(g) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         for <br />
         		<a id="pl.171.32"></a><var>171.32</var>fee-for-service admissions occurring on or after July 1, 2011, made to hospitals for
         inpatient <br />
         		<a id="pl.171.33"></a><var>171.33</var>services before third-party liability and spenddown, is reduced 1.79 percent from
         the current <br />
         		<a id="pl.171.34"></a><var>171.34</var>statutory rates. Mental health services with diagnosis related groups 424 to 432 or
         <br />
         		<a id="pl.172.1"></a><var>172.1</var>corresponding APR-DRGs, and facilities defined under subdivision 16 are excluded from
         <br />
         		<a id="pl.172.2"></a><var>172.2</var>this paragraph. Payments made to managed care plans shall be reduced for services
         provided <br />
         		<a id="pl.172.3"></a><var>172.3</var>on or after July 1, 2011, to reflect this reduction.<br />
         		<a id="pl.172.4"></a><var>172.4</var>(h) In addition to the reductions in paragraphs (b), (c), (d), (f), and (g), the total
         payment <br />
         		<a id="pl.172.5"></a><var>172.5</var>for fee-for-service admissions occurring on or after July 1, 2009, made to hospitals
         for <br />
         		<a id="pl.172.6"></a><var>172.6</var>inpatient services before third-party liability and spenddown, is reduced one percent
         from <br />
         		<a id="pl.172.7"></a><var>172.7</var>the current statutory rates. Facilities defined under subdivision 16 are excluded
         from this <br />
         		<a id="pl.172.8"></a><var>172.8</var>paragraph. Payments made to managed care plans shall be reduced for services provided
         <br />
         		<a id="pl.172.9"></a><var>172.9</var>on or after October 1, 2009, to reflect this reduction.<br />
         		<a id="pl.172.10"></a><var>172.10</var>(i) In addition to the reductions in paragraphs (b), (c), (d), (g), and (h), the total
         payment <br />
         		<a id="pl.172.11"></a><var>172.11</var>for fee-for-service admissions occurring on or after July 1, 2011, made to hospitals
         for <br />
         		<a id="pl.172.12"></a><var>172.12</var>inpatient services before third-party liability and spenddown, is reduced 1.96 percent
         from <br />
         		<a id="pl.172.13"></a><var>172.13</var>the current statutory rates. Facilities defined under subdivision 16 are excluded
         from this <br />
         		<a id="pl.172.14"></a><var>172.14</var>paragraph. Payments made to managed care plans shall be reduced for services provided
         <br />
         		<a id="pl.172.15"></a><var>172.15</var>on or after January 1, 2011, to reflect this reduction.<br />
         		<a id="pl.172.16"></a><var>172.16</var>(j) Effective for discharges on and after November 1, 2014, from hospitals paid under
         <br />
         		<a id="pl.172.17"></a><var>172.17</var>subdivision 2b, paragraph (a), clauses (1) and (4), the rate adjustments in this subdivision
         <br />
         		<a id="pl.172.18"></a><var>172.18</var>must be incorporated into the rebased rates established under subdivision 2b, paragraph
         (c), <br />
         		<a id="pl.172.19"></a><var>172.19</var>and must not be applied to each claim.<br />
         		<a id="pl.172.20"></a><var>172.20</var>(k) Effective for discharges on and after July 1, 2015, from hospitals paid under
         <br />
         		<a id="pl.172.21"></a><var>172.21</var>subdivision 2b, paragraph (a), clauses (2) and (3), the rate adjustments in this subdivision
         <br />
         		<a id="pl.172.22"></a><var>172.22</var>must be incorporated into the rates and must not be applied to each claim.<br />
         		<a id="pl.172.23"></a><var>172.23</var>(l) Effective for discharges on and after July 1, 2017, from hospitals paid under
         <br />
         		<a id="pl.172.24"></a><var>172.24</var>subdivision 2b, paragraph (a), clause (2), the rate adjustments in this subdivision
         must be <br />
         		<a id="pl.172.25"></a><var>172.25</var>incorporated into the rates and must not be applied to each claim.<br />
         		<a id="pl.172.26"></a><var>172.26</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.9.0"></a><a id="pl.172.27"></a><var>172.27</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 256.969, subdivision 8, is amended to read:<br />
         		<a id="pl.172.28"></a><var>172.28</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Unusual length of stay experience.</b> (a) The commissioner shall establish day <br />
         		<a id="pl.172.29"></a><var>172.29</var>outlier thresholds for each diagnostic category established under subdivision 2 at
         two standard <br />
         		<a id="pl.172.30"></a><var>172.30</var>deviations beyond the mean length of stay. Payment for the days beyond the outlier
         threshold <br />
         		<a id="pl.172.31"></a><var>172.31</var>shall be in addition to the operating and property payment rates per admission established
         <br />
         		<a id="pl.172.32"></a><var>172.32</var>under subdivisions 2 and 2b. Payment for outliers shall be at 70 percent of the allowable
         <br />
         		<a id="pl.172.33"></a><var>172.33</var>operating cost, after adjustment by the case mix index, hospital cost index, relative
         values <br />
         		<a id="pl.173.1"></a><var>173.1</var>and the disproportionate population adjustment. The outlier threshold for neonatal
         and burn <br />
         		<a id="pl.173.2"></a><var>173.2</var>diagnostic categories shall be established at one standard deviation beyond the mean
         length <br />
         		<a id="pl.173.3"></a><var>173.3</var>of stay, and payment shall be at 90 percent of allowable operating cost calculated
         in the <br />
         		<a id="pl.173.4"></a><var>173.4</var>same manner as other outliers. A hospital may choose an alternative to the 70 percent
         outlier <br />
         		<a id="pl.173.5"></a><var>173.5</var>payment that is at a minimum of 60 percent and a maximum of 80 percent if the <br />
         		<a id="pl.173.6"></a><var>173.6</var>commissioner is notified in writing of the request by October 1 of the year preceding
         the <br />
         		<a id="pl.173.7"></a><var>173.7</var>rate year. The chosen percentage applies to all diagnostic categories except burns
         and <br />
         		<a id="pl.173.8"></a><var>173.8</var>neonates. The percentage of allowable cost that is unrecognized by the outlier payment
         shall <br />
         		<a id="pl.173.9"></a><var>173.9</var>be added back to the base year operating payment rate per admission.<br />
         		<a id="pl.173.10"></a><var>173.10</var>(b) Effective for admissions and transfers occurring on and after November 1, 2014, the <br />
         		<a id="pl.173.11"></a><var>173.11</var>commissioner shall establish payment rates for outlier payments that are based on
         Medicare <br />
         		<a id="pl.173.12"></a><var>173.12</var>methodologies.<br />
         		<a id="pl.173.13"></a><var>173.13</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.10.0"></a><a id="pl.173.14"></a><var>173.14</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 256.969, subdivision 8c, is amended to read:<br />
         		<a id="pl.173.15"></a><var>173.15</var>&#160;&#160;&#160;&#160;Subd. 8c. <b>Hospital residents.</b> (a) For discharges occurring on or after November 1, <br />
         		<a id="pl.173.16"></a><var>173.16</var>2014, payments for hospital residents shall be made as follows:<br />
         		<a id="pl.173.17"></a><var>173.17</var>(1) payments for the first 180 days of inpatient care shall be the APR-DRG system
         plus <br />
         		<a id="pl.173.18"></a><var>173.18</var>any outliers; and<br />
         		<a id="pl.173.19"></a><var>173.19</var>(2) payment for all medically necessary patient care subsequent to the first 180 days
         <br />
         		<a id="pl.173.20"></a><var>173.20</var>shall be reimbursed at a rate computed by multiplying the statewide average cost-to-charge
         <br />
         		<a id="pl.173.21"></a><var>173.21</var>ratio by the usual and customary charges.<br />
         		<a id="pl.173.22"></a><var>173.22</var>(b) For discharges occurring on or after July 1, 2017, payment for hospital residents
         <br />
         		<a id="pl.173.23"></a><var>173.23</var>shall be equal to the payments under subdivision 8, paragraph (b).<br />
         		<a id="pl.173.24"></a><var>173.24</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.11.0"></a><a id="pl.173.25"></a><var>173.25</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 256.969, subdivision 9, is amended to read:<br />
         		<a id="pl.173.26"></a><var>173.26</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Disproportionate numbers of low-income patients served.</b> (a) For admissions <br />
         		<a id="pl.173.27"></a><var>173.27</var>occurring on or after July 1, 1993, the medical assistance disproportionate population
         <br />
         		<a id="pl.173.28"></a><var>173.28</var>adjustment shall comply with federal law and shall be paid to a hospital, excluding
         regional <br />
         		<a id="pl.173.29"></a><var>173.29</var>treatment centers and facilities of the federal Indian Health Service, with a medical
         assistance <br />
         		<a id="pl.173.30"></a><var>173.30</var>inpatient utilization rate in excess of the arithmetic mean. The adjustment must be
         determined <br />
         		<a id="pl.173.31"></a><var>173.31</var>as follows:<br />
         		<a id="pl.174.1"></a><var>174.1</var>&#160;&#160;&#160;&#160;(1) for a hospital with a medical assistance inpatient utilization rate above the
         arithmetic <br />
         		<a id="pl.174.2"></a><var>174.2</var>mean for all hospitals excluding regional treatment centers and facilities of the
         federal Indian <br />
         		<a id="pl.174.3"></a><var>174.3</var>Health Service but less than or equal to one standard deviation above the mean, the
         <br />
         		<a id="pl.174.4"></a><var>174.4</var>adjustment must be determined by multiplying the total of the operating and property
         <br />
         		<a id="pl.174.5"></a><var>174.5</var>payment rates by the difference between the hospital's actual medical assistance inpatient
         <br />
         		<a id="pl.174.6"></a><var>174.6</var>utilization rate and the arithmetic mean for all hospitals excluding regional treatment
         centers <br />
         		<a id="pl.174.7"></a><var>174.7</var>and facilities of the federal Indian Health Service; and<br />
         		<a id="pl.174.8"></a><var>174.8</var>&#160;&#160;&#160;&#160;(2) for a hospital with a medical assistance inpatient utilization rate above one
         standard <br />
         		<a id="pl.174.9"></a><var>174.9</var>deviation above the mean, the adjustment must be determined by multiplying the adjustment
         <br />
         		<a id="pl.174.10"></a><var>174.10</var>that would be determined under clause (1) for that hospital by 1.1. The commissioner
         shall <br />
         		<a id="pl.174.11"></a><var>174.11</var>report annually on the number of hospitals likely to receive the adjustment authorized
         by <br />
         		<a id="pl.174.12"></a><var>174.12</var>this paragraph. The commissioner shall specifically report on the adjustments received
         by <br />
         		<a id="pl.174.13"></a><var>174.13</var>public hospitals and public hospital corporations located in cities of the first class.<br />
         		<a id="pl.174.14"></a><var>174.14</var>&#160;&#160;&#160;&#160;(b) Certified public expenditures made by Hennepin County Medical Center shall be
         <br />
         		<a id="pl.174.15"></a><var>174.15</var>considered Medicaid disproportionate share hospital payments. Hennepin County and
         <br />
         		<a id="pl.174.16"></a><var>174.16</var>Hennepin County Medical Center shall report by June 15, 2007, on payments made beginning
         <br />
         		<a id="pl.174.17"></a><var>174.17</var>July 1, 2005, or another date specified by the commissioner, that may qualify for
         <br />
         		<a id="pl.174.18"></a><var>174.18</var>reimbursement under federal law. Based on these reports, the commissioner shall apply
         for <br />
         		<a id="pl.174.19"></a><var>174.19</var>federal matching funds.<br />
         		<a id="pl.174.20"></a><var>174.20</var>&#160;&#160;&#160;&#160;(c) Upon federal approval of the related state plan amendment, paragraph (b) is effective
         <br />
         		<a id="pl.174.21"></a><var>174.21</var>retroactively from July 1, 2005, or the earliest effective date approved by the Centers
         for <br />
         		<a id="pl.174.22"></a><var>174.22</var>Medicare and Medicaid Services.<br />
         		<a id="pl.174.23"></a><var>174.23</var>&#160;&#160;&#160;&#160;(d) Effective July 1, 2015, disproportionate share hospital (DSH) payments shall be
         paid <br />
         		<a id="pl.174.24"></a><var>174.24</var>in accordance with a new methodology using 2012 as the base year. Annual payments
         made <br />
         		<a id="pl.174.25"></a><var>174.25</var>under this paragraph shall equal the total amount of payments made for 2012. A licensed
         <br />
         		<a id="pl.174.26"></a><var>174.26</var>children's hospital shall receive only a single DSH factor for children's hospitals.
         Other <br />
         		<a id="pl.174.27"></a><var>174.27</var>DSH factors may be combined to arrive at a single factor for each hospital that is
         eligible <br />
         		<a id="pl.174.28"></a><var>174.28</var>for DSH payments. The new methodology shall make payments only to hospitals located
         <br />
         		<a id="pl.174.29"></a><var>174.29</var>in Minnesota and include the following factors:<br />
         		<a id="pl.174.30"></a><var>174.30</var>&#160;&#160;&#160;&#160;(1) a licensed children's hospital with at least 1,000 fee-for-service discharges
         in the <br />
         		<a id="pl.174.31"></a><var>174.31</var>base year shall receive a factor of 0.868. A licensed children's hospital with less
         than 1,000 <br />
         		<a id="pl.174.32"></a><var>174.32</var>fee-for-service discharges in the base year shall receive a factor of 0.7880;<br />
         		<a id="pl.175.1"></a><var>175.1</var>&#160;&#160;&#160;&#160;(2) a hospital that has in effect for the initial rate year a contract with the commissioner
         <br />
         		<a id="pl.175.2"></a><var>175.2</var>to provide extended psychiatric inpatient services under section 
         <statute_ref>256.9693 </statute_ref>shall receive a <br />
         		<a id="pl.175.3"></a><var>175.3</var>factor of 0.0160;<br />
         		<a id="pl.175.4"></a><var>175.4</var>&#160;&#160;&#160;&#160;(3) a hospital that has received payment from the fee-for-service program for at least
         20 <br />
         		<a id="pl.175.5"></a><var>175.5</var>transplant services in the base year shall receive a factor of 0.0435;<br />
         		<a id="pl.175.6"></a><var>175.6</var>&#160;&#160;&#160;&#160;(4) a hospital that has a medical assistance utilization rate in the base year between
         20 <br />
         		<a id="pl.175.7"></a><var>175.7</var>percent up to one standard deviation above the statewide mean utilization rate shall
         receive <br />
         		<a id="pl.175.8"></a><var>175.8</var>a factor of 0.0468;<br />
         		<a id="pl.175.9"></a><var>175.9</var>&#160;&#160;&#160;&#160;(5) a hospital that has a medical assistance utilization rate in the base year that
         is at least <br />
         		<a id="pl.175.10"></a><var>175.10</var>one standard deviation above the statewide mean utilization rate but is less than
         three standard <br />
         		<a id="pl.175.11"></a><var>175.11</var>deviations above the mean shall receive a factor of 0.2300; and<br />
         		<a id="pl.175.12"></a><var>175.12</var>(6) a hospital that has a medical assistance utilization rate in the base year that
         is at least <br />
         		<a id="pl.175.13"></a><var>175.13</var>three standard deviations above the statewide mean utilization rate shall receive
         a factor of <br />
         		<a id="pl.175.14"></a><var>175.14</var>0.3711.<br />
         		<a id="pl.175.15"></a><var>175.15</var>&#160;&#160;&#160;&#160;(e) Any payments or portion of payments made to a hospital under this subdivision
         that <br />
         		<a id="pl.175.16"></a><var>175.16</var>are subsequently returned to the commissioner because the payments are found to exceed
         <br />
         		<a id="pl.175.17"></a><var>175.17</var>the hospital-specific DSH limit for that hospital shall be redistributed, proportionate
         to the <br />
         		<a id="pl.175.18"></a><var>175.18</var>number of fee-for-service discharges, to other DSH-eligible nonchildren's non-children's <br />
         		<a id="pl.175.19"></a><var>175.19</var>hospitals that have a medical assistance utilization rate that is at least one standard
         deviation <br />
         		<a id="pl.175.20"></a><var>175.20</var>above the mean.<br />
         		<a id="pl.175.21"></a><var>175.21</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.12.0"></a><a id="pl.175.22"></a><var>175.22</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 256.969, subdivision 12, is amended to read:<br />
         		<a id="pl.175.23"></a><var>175.23</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Rehabilitation hospitals and distinct parts.</b> (a) Units of hospitals that are <br />
         		<a id="pl.175.24"></a><var>175.24</var>recognized as rehabilitation distinct parts by the Medicare program shall have separate
         <br />
         		<a id="pl.175.25"></a><var>175.25</var>provider numbers under the medical assistance program for rate establishment and billing
         <br />
         		<a id="pl.175.26"></a><var>175.26</var>purposes only. These units shall also have operating payment rates and the disproportionate
         <br />
         		<a id="pl.175.27"></a><var>175.27</var>population adjustment, if allowed by federal law, established separately from other
         inpatient <br />
         		<a id="pl.175.28"></a><var>175.28</var>hospital services.<br />
         		<a id="pl.175.29"></a><var>175.29</var>(b) The commissioner shall establish separate relative values under subdivision 2
         for <br />
         		<a id="pl.175.30"></a><var>175.30</var>rehabilitation hospitals and distinct parts as defined by the Medicare program. Effective
         for <br />
         		<a id="pl.175.31"></a><var>175.31</var>discharges occurring on and after November 1, 2014, the commissioner, to the extent
         <br />
         		<a id="pl.175.32"></a><var>175.32</var>possible, shall replicate the existing payment rate methodology under the new diagnostic
         <br />
         		<a id="pl.175.33"></a><var>175.33</var>classification system. The result must be budget neutral, ensuring that the total
         aggregate <br />
         		<a id="pl.176.1"></a><var>176.1</var>payments under the new system are equal to the total aggregate payments made for the
         same <br />
         		<a id="pl.176.2"></a><var>176.2</var>number and types of services in the base year, calendar year 2012.<br />
         		<a id="pl.176.3"></a><var>176.3</var>(c) For individual hospitals that did not have separate medical assistance rehabilitation
         <br />
         		<a id="pl.176.4"></a><var>176.4</var>provider numbers or rehabilitation distinct parts in the base year, hospitals shall
         provide the <br />
         		<a id="pl.176.5"></a><var>176.5</var>information needed to separate rehabilitation distinct part cost and claims data from
         other <br />
         		<a id="pl.176.6"></a><var>176.6</var>inpatient service data.<br />
         		<a id="pl.176.7"></a><var>176.7</var>(d) Effective with discharges on or after July 1, 2017, payment to rehabilitation
         hospitals <br />
         		<a id="pl.176.8"></a><var>176.8</var>shall be established under subdivision 2b, paragraph (a), clause (4).<br />
         		<a id="pl.176.9"></a><var>176.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.13.0"></a><a id="pl.176.10"></a><var>176.10</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 256B.04, subdivision 12, is amended to read:<br />
         		<a id="pl.176.11"></a><var>176.11</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Limitation on services.</b> (a) Place limits on the types of services covered by <br />
         		<a id="pl.176.12"></a><var>176.12</var>medical assistance, the frequency with which the same or similar services may be covered
         <br />
         		<a id="pl.176.13"></a><var>176.13</var>by medical assistance for an individual recipient, and the amount paid for each covered
         <br />
         		<a id="pl.176.14"></a><var>176.14</var>service. The state agency shall promulgate rules establishing maximum reimbursement
         rates <br />
         		<a id="pl.176.15"></a><var>176.15</var>for emergency and nonemergency transportation.<br />
         		<a id="pl.176.16"></a><var>176.16</var>The rules shall provide:<br />
         		<a id="pl.176.17"></a><var>176.17</var>(1) an opportunity for all recognized transportation providers to be reimbursed for
         <br />
         		<a id="pl.176.18"></a><var>176.18</var>nonemergency transportation consistent with the maximum rates established by the agency; <br />
         		<a id="pl.176.19"></a><var>176.19</var>and<br />
         		<a id="pl.176.20"></a><var>176.20</var>(2) reimbursement of public and private nonprofit providers serving the disabled <br />
         		<a id="pl.176.21"></a><var>176.21</var>population generally at reasonable maximum rates that reflect the cost of providing
         the <br />
         		<a id="pl.176.22"></a><var>176.22</var>service regardless of the fare that might be charged by the provider for similar services
         to <br />
         		<a id="pl.176.23"></a><var>176.23</var>individuals other than those receiving medical assistance or medical care under this
         chapter; <br />
         		<a id="pl.176.24"></a><var>176.24</var>and.<br />
         		<a id="pl.176.25"></a><var>176.25</var>(3) reimbursement for each additional passenger carried on a single trip at a substantially
         <br />
         		<a id="pl.176.26"></a><var>176.26</var>lower rate than the first passenger carried on that trip.<br />
         		<a id="pl.176.27"></a><var>176.27</var>(b) The commissioner shall encourage providers reimbursed under this chapter to <br />
         		<a id="pl.176.28"></a><var>176.28</var>coordinate their operation with similar services that are operating in the same community.
         <br />
         		<a id="pl.176.29"></a><var>176.29</var>To the extent practicable, the commissioner shall encourage eligible individuals to
         utilize <br />
         		<a id="pl.176.30"></a><var>176.30</var>less expensive providers capable of serving their needs.<br />
         		<a id="pl.176.31"></a><var>176.31</var>(c) For the purpose of this subdivision and section 
         <statute_ref>256B.02, subdivision 8</statute_ref>, and effective <br />
         		<a id="pl.176.32"></a><var>176.32</var>on January 1, 1981, "recognized provider of transportation services" means an operator
         of <br />
         		<a id="pl.177.1"></a><var>177.1</var>special transportation service as defined in section 
         <statute_ref>174.29</statute_ref> that has been issued a current <br />
         		<a id="pl.177.2"></a><var>177.2</var>certificate of compliance with operating standards of the commissioner of transportation
         <br />
         		<a id="pl.177.3"></a><var>177.3</var>or, if those standards do not apply to the operator, that the agency finds is able
         to provide <br />
         		<a id="pl.177.4"></a><var>177.4</var>the required transportation in a safe and reliable manner. Until January 1, 1981,
         "recognized <br />
         		<a id="pl.177.5"></a><var>177.5</var>transportation provider" includes an operator of special transportation service that
         the agency <br />
         		<a id="pl.177.6"></a><var>177.6</var>finds is able to provide the required transportation in a safe and reliable manner.<br />
         		<br />
         		<a id="bill.4.14.0"></a><a id="pl.177.7"></a><var>177.7</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 256B.056, subdivision 5c, is amended to read:<br />
         		<a id="pl.177.8"></a><var>177.8</var>&#160;&#160;&#160;&#160;Subd. 5c. <b>Excess income standard.</b> (a) The excess income standard for parents and <br />
         		<a id="pl.177.9"></a><var>177.9</var>caretaker relatives, pregnant women, infants, and children ages two through 20 is
         the standard <br />
         		<a id="pl.177.10"></a><var>177.10</var>specified in subdivision 4, paragraph (b).<br />
         		<a id="pl.177.11"></a><var>177.11</var>&#160;&#160;&#160;&#160;(b) The excess income standard for a person whose eligibility is based on blindness,
         <br />
         		<a id="pl.177.12"></a><var>177.12</var>disability, or age of 65 or more years shall equal 80 81 percent of the federal poverty <br />
         		<a id="pl.177.13"></a><var>177.13</var>guidelines.<br />
         		<a id="pl.177.14"></a><var>177.14</var><b>EFFECTIVE DATE.</b>This section is effective June 1, 2019.<br />
         		<br />
         		<a id="bill.4.15.0"></a><a id="pl.177.15"></a><var>177.15</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 256B.0621, subdivision 10, is amended to read:<br />
         		<a id="pl.177.16"></a><var>177.16</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Payment rates.</b> The commissioner shall set payment rates for targeted case <br />
         		<a id="pl.177.17"></a><var>177.17</var>management under this subdivision. Case managers may bill according to the following
         <br />
         		<a id="pl.177.18"></a><var>177.18</var>criteria:<br />
         		<a id="pl.177.19"></a><var>177.19</var>&#160;&#160;&#160;&#160;(1) for relocation targeted case management, case managers may bill for direct case
         <br />
         		<a id="pl.177.20"></a><var>177.20</var>management activities, including face-to-face and contact, telephone contacts contact, and <br />
         		<a id="pl.177.21"></a><var>177.21</var>interactive video contact according to section 256B.0924, subdivision 4a, in the lesser of:<br />
         		<a id="pl.177.22"></a><var>177.22</var>&#160;&#160;&#160;&#160;(i) 180 days preceding an eligible recipient's discharge from an institution; or<br />
         		<a id="pl.177.23"></a><var>177.23</var>&#160;&#160;&#160;&#160;(ii) the limits and conditions which apply to federal Medicaid funding for this service;<br />
         		<a id="pl.177.24"></a><var>177.24</var>&#160;&#160;&#160;&#160;(2) for home care targeted case management, case managers may bill for direct case
         <br />
         		<a id="pl.177.25"></a><var>177.25</var>management activities, including face-to-face and telephone contacts; and<br />
         		<a id="pl.177.26"></a><var>177.26</var>&#160;&#160;&#160;&#160;(3) billings for targeted case management services under this subdivision shall not
         <br />
         		<a id="pl.177.27"></a><var>177.27</var>duplicate payments made under other program authorities for the same purpose.<br />
         		<a id="pl.177.28"></a><var>177.28</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.177.29"></a><var>177.29</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.16.0"></a><a id="pl.178.1"></a><var>178.1</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 256B.0625, subdivision 3b, is amended to read:<br />
         		<a id="pl.178.2"></a><var>178.2</var>&#160;&#160;&#160;&#160;Subd. 3b. <b>Telemedicine services.</b> (a) Medical assistance covers medically necessary <br />
         		<a id="pl.178.3"></a><var>178.3</var>services and consultations delivered by a licensed health care provider via telemedicine
         in <br />
         		<a id="pl.178.4"></a><var>178.4</var>the same manner as if the service or consultation was delivered in person. Coverage
         is <br />
         		<a id="pl.178.5"></a><var>178.5</var>limited to three telemedicine services per enrollee per calendar week. Telemedicine
         services <br />
         		<a id="pl.178.6"></a><var>178.6</var>shall be paid at the full allowable rate.<br />
         		<a id="pl.178.7"></a><var>178.7</var>(b) The commissioner shall establish criteria that a health care provider must attest
         to <br />
         		<a id="pl.178.8"></a><var>178.8</var>in order to demonstrate the safety or efficacy of delivering a particular service
         via <br />
         		<a id="pl.178.9"></a><var>178.9</var>telemedicine. The attestation may include that the health care provider:<br />
         		<a id="pl.178.10"></a><var>178.10</var>(1) has identified the categories or types of services the health care provider will
         provide <br />
         		<a id="pl.178.11"></a><var>178.11</var>via telemedicine;<br />
         		<a id="pl.178.12"></a><var>178.12</var>(2) has written policies and procedures specific to telemedicine services that are
         regularly <br />
         		<a id="pl.178.13"></a><var>178.13</var>reviewed and updated;<br />
         		<a id="pl.178.14"></a><var>178.14</var>(3) has policies and procedures that adequately address patient safety before, during,
         <br />
         		<a id="pl.178.15"></a><var>178.15</var>and after the telemedicine service is rendered;<br />
         		<a id="pl.178.16"></a><var>178.16</var>(4) has established protocols addressing how and when to discontinue telemedicine
         <br />
         		<a id="pl.178.17"></a><var>178.17</var>services; and<br />
         		<a id="pl.178.18"></a><var>178.18</var>(5) has an established quality assurance process related to telemedicine services.<br />
         		<a id="pl.178.19"></a><var>178.19</var>(c) As a condition of payment, a licensed health care provider must document each
         <br />
         		<a id="pl.178.20"></a><var>178.20</var>occurrence of a health service provided by telemedicine to a medical assistance enrollee.
         <br />
         		<a id="pl.178.21"></a><var>178.21</var>Health care service records for services provided by telemedicine must meet the requirements
         <br />
         		<a id="pl.178.22"></a><var>178.22</var>set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and must document:<br />
         		<a id="pl.178.23"></a><var>178.23</var>(1) the type of service provided by telemedicine;<br />
         		<a id="pl.178.24"></a><var>178.24</var>(2) the time the service began and the time the service ended, including an a.m. and
         p.m. <br />
         		<a id="pl.178.25"></a><var>178.25</var>designation;<br />
         		<a id="pl.178.26"></a><var>178.26</var>(3) the licensed health care provider's basis for determining that telemedicine is
         an <br />
         		<a id="pl.178.27"></a><var>178.27</var>appropriate and effective means for delivering the service to the enrollee;<br />
         		<a id="pl.178.28"></a><var>178.28</var>(4) the mode of transmission of the telemedicine service and records evidencing that
         a <br />
         		<a id="pl.178.29"></a><var>178.29</var>particular mode of transmission was utilized;<br />
         		<a id="pl.178.30"></a><var>178.30</var>(5) the location of the originating site and the distant site;<br />
         		<a id="pl.179.1"></a><var>179.1</var>(6) if the claim for payment is based on a physician's telemedicine consultation with
         <br />
         		<a id="pl.179.2"></a><var>179.2</var>another physician, the written opinion from the consulting physician providing the
         <br />
         		<a id="pl.179.3"></a><var>179.3</var>telemedicine consultation; and<br />
         		<a id="pl.179.4"></a><var>179.4</var>(7) compliance with the criteria attested to by the health care provider in accordance
         <br />
         		<a id="pl.179.5"></a><var>179.5</var>with paragraph (b).<br />
         		<a id="pl.179.6"></a><var>179.6</var>(d) For purposes of this subdivision, unless otherwise covered under this chapter,
         <br />
         		<a id="pl.179.7"></a><var>179.7</var>"telemedicine" is defined as the delivery of health care services or consultations
         while the <br />
         		<a id="pl.179.8"></a><var>179.8</var>patient is at an originating site and the licensed health care provider is at a distant
         site. A <br />
         		<a id="pl.179.9"></a><var>179.9</var>communication between licensed health care providers, or a licensed health care provider
         <br />
         		<a id="pl.179.10"></a><var>179.10</var>and a patient that consists solely of a telephone conversation, e-mail, or facsimile
         transmission <br />
         		<a id="pl.179.11"></a><var>179.11</var>does not constitute telemedicine consultations or services. Telemedicine may be provided
         <br />
         		<a id="pl.179.12"></a><var>179.12</var>by means of real-time two-way, interactive audio and visual communications, including
         the <br />
         		<a id="pl.179.13"></a><var>179.13</var>application of secure video conferencing or store-and-forward technology to provide
         or <br />
         		<a id="pl.179.14"></a><var>179.14</var>support health care delivery, which facilitate the assessment, diagnosis, consultation,
         <br />
         		<a id="pl.179.15"></a><var>179.15</var>treatment, education, and care management of a patient's health care.<br />
         		<a id="pl.179.16"></a><var>179.16</var>(e) For purposes of this section, "licensed health care provider" is defined means a <br />
         		<a id="pl.179.17"></a><var>179.17</var>licensed health care provider under section 
         <statute_ref>62A.671, subdivision 6, and a mental health <br />
            		<a id="pl.179.18"></a><var>179.18</var>practitioner defined under section 245.462, subdivision 17, or 245.4871, subdivision
            26, <br />
            		<a id="pl.179.19"></a><var>179.19</var>working under the general supervision of a mental health professional
         </statute_ref>; "health care provider" <br />
         		<a id="pl.179.20"></a><var>179.20</var>is defined under section 
         <statute_ref>62A.671</statute_ref>, subdivision 3; and "originating site" is defined under <br />
         		<a id="pl.179.21"></a><var>179.21</var>section 
         <statute_ref>62A.671, subdivision 7</statute_ref>.<br />
         		<a id="pl.179.22"></a><var>179.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.4.17.0"></a><a id="pl.179.23"></a><var>179.23</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 256B.0625, subdivision 7, is amended to read:<br />
         		<a id="pl.179.24"></a><var>179.24</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Home care nursing.</b> Medical assistance covers home care nursing services in <br />
         		<a id="pl.179.25"></a><var>179.25</var>a recipient's home. Recipients who are authorized to receive home care nursing services
         in <br />
         		<a id="pl.179.26"></a><var>179.26</var>their home may use approved hours outside of the home during hours when normal life
         <br />
         		<a id="pl.179.27"></a><var>179.27</var>activities take them outside of their home. To use home care nursing services at school,
         the <br />
         		<a id="pl.179.28"></a><var>179.28</var>recipient or responsible party must provide written authorization in the care plan
         identifying <br />
         		<a id="pl.179.29"></a><var>179.29</var>the chosen provider and the daily amount of services to be used at school. Medical
         assistance <br />
         		<a id="pl.179.30"></a><var>179.30</var>does not cover home care nursing services for residents of a hospital, nursing facility,
         <br />
         		<a id="pl.179.31"></a><var>179.31</var>intermediate care facility, or a health care facility licensed by the commissioner
         of health, <br />
         		<a id="pl.179.32"></a><var>179.32</var>except as authorized in section 
         <statute_ref>256B.64</statute_ref> for ventilator-dependent recipients in hospitals or <br />
         		<a id="pl.179.33"></a><var>179.33</var>unless a resident who is otherwise eligible is on leave from the facility and the
         facility either <br />
         		<a id="pl.179.34"></a><var>179.34</var>pays for the home care nursing services or forgoes the facility per diem for the leave
         days <br />
         		<a id="pl.180.1"></a><var>180.1</var>that home care nursing services are used. Total hours of service and payment allowed
         for <br />
         		<a id="pl.180.2"></a><var>180.2</var>services outside the home cannot exceed that which is otherwise allowed in an in-home
         <br />
         		<a id="pl.180.3"></a><var>180.3</var>setting according to sections 
         <statute_ref>256B.0651</statute_ref> and 
         <statute_ref>256B.0654 </statute_ref>. All home care nursing services <br />
         		<a id="pl.180.4"></a><var>180.4</var>must be provided according to the limits established under sections 
         <statute_ref>256B.0651</statute_ref>, 
         <statute_ref>256B.0653</statute_ref>, <br />
         		<a id="pl.180.5"></a><var>180.5</var>and 
         <statute_ref>256B.0654</statute_ref>. Home care nursing services may not be reimbursed if the nurse is the family <br />
         		<a id="pl.180.6"></a><var>180.6</var>foster care provider of a recipient who is under age 18, unless allowed under section
         <br />
         		
         <statute_ref><a id="pl.180.7"></a><var>180.7</var>256B.0654, subdivision 4
         </statute_ref>.<br />
         		<br />
         		<a id="bill.4.18.0"></a><a id="pl.180.8"></a><var>180.8</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 256B.0625, subdivision 13, is amended to read:<br />
         		<a id="pl.180.9"></a><var>180.9</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Drugs.</b> (a) Medical assistance covers drugs, except for fertility drugs when <br />
         		<a id="pl.180.10"></a><var>180.10</var>specifically used to enhance fertility, if prescribed by a licensed practitioner and
         dispensed <br />
         		<a id="pl.180.11"></a><var>180.11</var>by a licensed pharmacist, by a physician enrolled in the medical assistance program
         as a <br />
         		<a id="pl.180.12"></a><var>180.12</var>dispensing physician, or by a physician, physician assistant, or a nurse practitioner
         employed <br />
         		<a id="pl.180.13"></a><var>180.13</var>by or under contract with a community health board as defined in section 
         <statute_ref>145A.02, <br />
            		<a id="pl.180.14"></a><var>180.14</var>subdivision 5
         </statute_ref>, for the purposes of communicable disease control.<br />
         		<a id="pl.180.15"></a><var>180.15</var>(b) The dispensed quantity of a prescription drug must not exceed a 34-day supply,
         <br />
         		<a id="pl.180.16"></a><var>180.16</var>unless authorized by the commissioner.<br />
         		<a id="pl.180.17"></a><var>180.17</var>(c) For the purpose of this subdivision and subdivision 13d, an "active pharmaceutical
         <br />
         		<a id="pl.180.18"></a><var>180.18</var>ingredient" is defined as a substance that is represented for use in a drug and when
         used in <br />
         		<a id="pl.180.19"></a><var>180.19</var>the manufacturing, processing, or packaging of a drug becomes an active ingredient
         of the <br />
         		<a id="pl.180.20"></a><var>180.20</var>drug product. An "excipient" is defined as an inert substance used as a diluent or
         vehicle <br />
         		<a id="pl.180.21"></a><var>180.21</var>for a drug. The commissioner shall establish a list of active pharmaceutical ingredients
         and <br />
         		<a id="pl.180.22"></a><var>180.22</var>excipients which are included in the medical assistance formulary. Medical assistance
         covers <br />
         		<a id="pl.180.23"></a><var>180.23</var>selected active pharmaceutical ingredients and excipients used in compounded prescriptions
         <br />
         		<a id="pl.180.24"></a><var>180.24</var>when the compounded combination is specifically approved by the commissioner or when
         <br />
         		<a id="pl.180.25"></a><var>180.25</var>a commercially available product:<br />
         		<a id="pl.180.26"></a><var>180.26</var>(1) is not a therapeutic option for the patient;<br />
         		<a id="pl.180.27"></a><var>180.27</var>(2) does not exist in the same combination of active ingredients in the same strengths
         <br />
         		<a id="pl.180.28"></a><var>180.28</var>as the compounded prescription; and<br />
         		<a id="pl.180.29"></a><var>180.29</var>(3) cannot be used in place of the active pharmaceutical ingredient in the compounded
         <br />
         		<a id="pl.180.30"></a><var>180.30</var>prescription.<br />
         		<a id="pl.180.31"></a><var>180.31</var>(d) Medical assistance covers the following over-the-counter drugs when prescribed
         by <br />
         		<a id="pl.180.32"></a><var>180.32</var>a licensed practitioner or by a licensed pharmacist who meets standards established
         by the <br />
         		<a id="pl.180.33"></a><var>180.33</var>commissioner, in consultation with the board of pharmacy: antacids, acetaminophen,
         family <br />
         		<a id="pl.181.1"></a><var>181.1</var>planning products, aspirin, insulin, products for the treatment of lice, vitamins
         for adults <br />
         		<a id="pl.181.2"></a><var>181.2</var>with documented vitamin deficiencies, vitamins for children under the age of seven
         and <br />
         		<a id="pl.181.3"></a><var>181.3</var>pregnant or nursing women, and any other over-the-counter drug identified by the <br />
         		<a id="pl.181.4"></a><var>181.4</var>commissioner, in consultation with the formulary committee, as necessary, appropriate,
         and <br />
         		<a id="pl.181.5"></a><var>181.5</var>cost-effective for the treatment of certain specified chronic diseases, conditions,
         or disorders, <br />
         		<a id="pl.181.6"></a><var>181.6</var>and this determination shall not be subject to the requirements of chapter 14. A pharmacist
         <br />
         		<a id="pl.181.7"></a><var>181.7</var>may prescribe over-the-counter medications as provided under this paragraph for purposes
         <br />
         		<a id="pl.181.8"></a><var>181.8</var>of receiving reimbursement under Medicaid. When prescribing over-the-counter drugs
         under <br />
         		<a id="pl.181.9"></a><var>181.9</var>this paragraph, licensed pharmacists must consult with the recipient to determine
         necessity, <br />
         		<a id="pl.181.10"></a><var>181.10</var>provide drug counseling, review drug therapy for potential adverse interactions, and
         make <br />
         		<a id="pl.181.11"></a><var>181.11</var>referrals as needed to other health care professionals. Over-the-counter medications must <br />
         		<a id="pl.181.12"></a><var>181.12</var>be dispensed in a quantity that is the lowest of: (1) the number of dosage units contained
         in <br />
         		<a id="pl.181.13"></a><var>181.13</var>the manufacturer's original package; (2) the number of dosage units required to complete
         <br />
         		<a id="pl.181.14"></a><var>181.14</var>the patient's course of therapy; or (3) if applicable, the number of dosage units
         dispensed <br />
         		<a id="pl.181.15"></a><var>181.15</var>from a system using retrospective billing, as provided under subdivision 13e, paragraph
         <br />
         		<a id="pl.181.16"></a><var>181.16</var>(b).<br />
         		<a id="pl.181.17"></a><var>181.17</var>(e) Effective January 1, 2006, medical assistance shall not cover drugs that are coverable
         <br />
         		<a id="pl.181.18"></a><var>181.18</var>under Medicare Part D as defined in the Medicare Prescription Drug, Improvement, and
         <br />
         		<a id="pl.181.19"></a><var>181.19</var>Modernization Act of 2003, Public Law 108-173, section 1860D-2(e), for individuals
         eligible <br />
         		<a id="pl.181.20"></a><var>181.20</var>for drug coverage as defined in the Medicare Prescription Drug, Improvement, and <br />
         		<a id="pl.181.21"></a><var>181.21</var>Modernization Act of 2003, Public Law 108-173, section 1860D-1(a)(3)(A). For these
         <br />
         		<a id="pl.181.22"></a><var>181.22</var>individuals, medical assistance may cover drugs from the drug classes listed in United
         States <br />
         		<a id="pl.181.23"></a><var>181.23</var>Code, title 42, section 1396r-8(d)(2), subject to this subdivision and subdivisions
         13a to <br />
         		<a id="pl.181.24"></a><var>181.24</var>13g, except that drugs listed in United States Code, title 42, section 1396r-8(d)(2)(E),
         shall <br />
         		<a id="pl.181.25"></a><var>181.25</var>not be covered.<br />
         		<a id="pl.181.26"></a><var>181.26</var>(f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing
         <br />
         		<a id="pl.181.27"></a><var>181.27</var>Program and dispensed by 340B covered entities and ambulatory pharmacies under common
         <br />
         		<a id="pl.181.28"></a><var>181.28</var>ownership of the 340B covered entity. Medical assistance does not cover drugs acquired
         <br />
         		<a id="pl.181.29"></a><var>181.29</var>through the federal 340B Drug Pricing Program and dispensed by 340B contract pharmacies.<br />
         		<br />
         		<a id="bill.4.19.0"></a><a id="pl.181.30"></a><var>181.30</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 256B.0625, subdivision 13e, is amended to <br />
         		<a id="pl.181.31"></a><var>181.31</var>read:<br />
         		<a id="pl.181.32"></a><var>181.32</var>&#160;&#160;&#160;&#160;Subd. 13e. <b>Payment rates.</b> (a) Effective April 1, 2017, or upon federal approval, <br />
         		<a id="pl.181.33"></a><var>181.33</var>whichever is later, the basis for determining the amount of payment shall be the lower of <br />
         		<a id="pl.181.34"></a><var>181.34</var>the actual acquisition costs ingredient cost of the drugs or the maximum allowable cost by <br />
         		<a id="pl.182.1"></a><var>182.1</var>the commissioner plus the fixed professional dispensing fee; or the usual and customary <br />
         		<a id="pl.182.2"></a><var>182.2</var>price charged to the public. The usual and customary price is defined as the lowest price <br />
         		<a id="pl.182.3"></a><var>182.3</var>charged by the provider to a patient who pays for the prescription by cash, check,
         or charge <br />
         		<a id="pl.182.4"></a><var>182.4</var>account and includes those prices the pharmacy charges to customers enrolled in a
         <br />
         		<a id="pl.182.5"></a><var>182.5</var>prescription savings club or prescription discount club administered by the pharmacy
         or <br />
         		<a id="pl.182.6"></a><var>182.6</var>pharmacy chain. The amount of payment basis must be reduced to reflect all discount <br />
         		<a id="pl.182.7"></a><var>182.7</var>amounts applied to the charge by any third-party provider/insurer agreement or contract for <br />
         		<a id="pl.182.8"></a><var>182.8</var>submitted charges to medical assistance programs. The net submitted charge may not
         be <br />
         		<a id="pl.182.9"></a><var>182.9</var>greater than the patient liability for the service. The pharmacy professional dispensing fee <br />
         		<a id="pl.182.10"></a><var>182.10</var>shall be $3.65 $11.35 for legend prescription drugs prescriptions filled with legend drugs <br />
         		<a id="pl.182.11"></a><var>182.11</var>meeting the definition of "covered outpatient drugs" according to United States Code,
         title <br />
         		<a id="pl.182.12"></a><var>182.12</var>42, section 1396r-8(k)(2), except that the dispensing fee for intravenous solutions which <br />
         		<a id="pl.182.13"></a><var>182.13</var>must be compounded by the pharmacist shall be $8 $11.35 per bag, $14 per bag for cancer <br />
         		<a id="pl.182.14"></a><var>182.14</var>chemotherapy products, and $30 per bag for total parenteral nutritional products dispensed
         <br />
         		<a id="pl.182.15"></a><var>182.15</var>in one liter quantities, or $44 per bag for total parenteral nutritional products
         dispensed in <br />
         		<a id="pl.182.16"></a><var>182.16</var>quantities greater than one liter. The professional dispensing fee for prescriptions filled with <br />
         		<a id="pl.182.17"></a><var>182.17</var>over-the-counter drugs meeting the definition of covered outpatient drugs shall be
         $11.35 <br />
         		<a id="pl.182.18"></a><var>182.18</var>for dispensed quantities equal to or greater than the number of units contained in
         the <br />
         		<a id="pl.182.19"></a><var>182.19</var>manufacturer's original package. The professional dispensing fee shall be prorated
         based <br />
         		<a id="pl.182.20"></a><var>182.20</var>on the percentage of the package dispensed when the pharmacy dispenses a quantity
         less <br />
         		<a id="pl.182.21"></a><var>182.21</var>than the number of units contained in the manufacturer's original package. The pharmacy <br />
         		<a id="pl.182.22"></a><var>182.22</var>dispensing fee for prescribed over-the-counter drugs not meeting the definition of covered <br />
         		<a id="pl.182.23"></a><var>182.23</var>outpatient drugs shall be $3.65, except that the fee shall be $1.31 for retrospectively billing <br />
         		<a id="pl.182.24"></a><var>182.24</var>pharmacies when billing for quantities less than the number of units contained in
         the <br />
         		<a id="pl.182.25"></a><var>182.25</var>manufacturer's original package. Actual acquisition cost includes quantity and other
         special <br />
         		<a id="pl.182.26"></a><var>182.26</var>discounts except time and cash discounts. The actual acquisition for quantities equal to or <br />
         		<a id="pl.182.27"></a><var>182.27</var>greater than the number of units contained in the manufacturer's original package
         and shall <br />
         		<a id="pl.182.28"></a><var>182.28</var>be prorated based on the percentage of the package dispensed when the pharmacy dispenses
         <br />
         		<a id="pl.182.29"></a><var>182.29</var>a quantity less than the number of units contained in the manufacturer's original
         package. <br />
         		<a id="pl.182.30"></a><var>182.30</var>The National Average Drug Acquisition Cost (NADAC) shall be used to determine the
         <br />
         		<a id="pl.182.31"></a><var>182.31</var>ingredient cost of a drug shall be estimated by the commissioner at wholesale acquisition <br />
         		<a id="pl.182.32"></a><var>182.32</var>cost plus four percent for independently owned pharmacies located in a designated
         rural <br />
         		<a id="pl.182.33"></a><var>182.33</var>area within Minnesota, and at wholesale acquisition cost plus two percent for all
         other <br />
         		<a id="pl.182.34"></a><var>182.34</var>pharmacies. A pharmacy is "independently owned" if it is one of four or fewer pharmacies
         <br />
         		<a id="pl.182.35"></a><var>182.35</var>under the same ownership nationally. A "designated rural area" means an area defined
         as <br />
         		<a id="pl.182.36"></a><var>182.36</var>a small rural area or isolated rural area according to the four-category classification
         of the <br />
         		<a id="pl.183.1"></a><var>183.1</var>Rural Urban Commuting Area system developed for the United States Health Resources
         <br />
         		<a id="pl.183.2"></a><var>183.2</var>and Services Administration. Effective January 1, 2014, the actual acquisition. For drugs <br />
         		<a id="pl.183.3"></a><var>183.3</var>for which a NADAC is not reported, the commissioner shall estimate the ingredient
         cost at <br />
         		<a id="pl.183.4"></a><var>183.4</var>wholesale acquisition cost minus two percent. The commissioner shall establish the
         ingredient <br />
         		<a id="pl.183.5"></a><var>183.5</var>cost of a drug acquired through the federal 340B Drug Pricing Program shall be estimated <br />
         		<a id="pl.183.6"></a><var>183.6</var>by the commissioner at wholesale acquisition cost minus 40 percent at a 340B Drug Pricing <br />
         		<a id="pl.183.7"></a><var>183.7</var>Program maximum allowable cost. The 340B Drug Pricing Program maximum allowable <br />
         		<a id="pl.183.8"></a><var>183.8</var>cost shall be comparable to, but no higher than, the 340B Drug Pricing Program ceiling
         <br />
         		<a id="pl.183.9"></a><var>183.9</var>price established by the Health Resources and Services Administration. Wholesale acquisition <br />
         		<a id="pl.183.10"></a><var>183.10</var>cost is defined as the manufacturer's list price for a drug or biological to wholesalers
         or <br />
         		<a id="pl.183.11"></a><var>183.11</var>direct purchasers in the United States, not including prompt pay or other discounts,
         rebates, <br />
         		<a id="pl.183.12"></a><var>183.12</var>or reductions in price, for the most recent month for which information is available,
         as <br />
         		<a id="pl.183.13"></a><var>183.13</var>reported in wholesale price guides or other publications of drug or biological pricing
         data. <br />
         		<a id="pl.183.14"></a><var>183.14</var>The maximum allowable cost of a multisource drug may be set by the commissioner and
         it <br />
         		<a id="pl.183.15"></a><var>183.15</var>shall be comparable to, but the actual acquisition cost of the drug product and no higher <br />
         		<a id="pl.183.16"></a><var>183.16</var>than, the maximum amount paid by other third-party payors in this state who have maximum
         <br />
         		<a id="pl.183.17"></a><var>183.17</var>allowable cost programs and no higher than the NADAC of the generic product. <br />
         		<a id="pl.183.18"></a><var>183.18</var>Establishment of the amount of payment for drugs shall not be subject to the requirements
         <br />
         		<a id="pl.183.19"></a><var>183.19</var>of the Administrative Procedure Act.<br />
         		<a id="pl.183.20"></a><var>183.20</var>&#160;&#160;&#160;&#160;(b) Pharmacies dispensing prescriptions to residents of long-term care facilities
         using <br />
         		<a id="pl.183.21"></a><var>183.21</var>an automated drug distribution system meeting the requirements of section 
         <statute_ref>151.58</statute_ref>, or a <br />
         		<a id="pl.183.22"></a><var>183.22</var>packaging system meeting the packaging standards set forth in Minnesota Rules, part
         <br />
         		<a id="pl.183.23"></a><var>183.23</var>6800.2700, that govern the return of unused drugs to the pharmacy for reuse, may employ <br />
         		<a id="pl.183.24"></a><var>183.24</var>retrospective billing for prescription drugs dispensed to long-term care facility
         residents. A <br />
         		<a id="pl.183.25"></a><var>183.25</var>retrospectively billing pharmacy must submit a claim only for the quantity of medication
         <br />
         		<a id="pl.183.26"></a><var>183.26</var>used by the enrolled recipient during the defined billing period. A retrospectively
         billing <br />
         		<a id="pl.183.27"></a><var>183.27</var>pharmacy must use a billing period not less than one calendar month or 30 days.<br />
         		<a id="pl.183.28"></a><var>183.28</var>&#160;&#160;&#160;&#160;(c) An additional dispensing fee of $.30 may be added to the dispensing fee paid to <br />
         		<a id="pl.183.29"></a><var>183.29</var>pharmacists for legend drug prescriptions dispensed to residents of long-term care
         facilities <br />
         		<a id="pl.183.30"></a><var>183.30</var>when a unit dose blister card system, approved by the department, is used. Under this
         type <br />
         		<a id="pl.183.31"></a><var>183.31</var>of dispensing system, the pharmacist must dispense a 30-day supply of drug. The National
         <br />
         		<a id="pl.183.32"></a><var>183.32</var>Drug Code (NDC) from the drug container used to fill the blister card must be identified
         <br />
         		<a id="pl.183.33"></a><var>183.33</var>on the claim to the department. The unit dose blister card containing the drug must
         meet <br />
         		<a id="pl.183.34"></a><var>183.34</var>the packaging standards set forth in Minnesota Rules, part 6800.2700, that govern the return <br />
         		<a id="pl.183.35"></a><var>183.35</var>of unused drugs to the pharmacy for reuse. A pharmacy provider using packaging that meets <br />
         		<a id="pl.184.1"></a><var>184.1</var>the standards set forth in Minnesota Rules, part 6800.2700, is required to credit the <br />
         		<a id="pl.184.2"></a><var>184.2</var>department for the actual acquisition cost of all unused drugs that are eligible for
         reuse, <br />
         		<a id="pl.184.3"></a><var>184.3</var>unless the pharmacy is using retrospective billing. The commissioner may permit the
         drug <br />
         		<a id="pl.184.4"></a><var>184.4</var>clozapine to be dispensed in a quantity that is less than a 30-day supply.<br />
         		<a id="pl.184.5"></a><var>184.5</var>&#160;&#160;&#160;&#160;(d) Whenever a maximum allowable cost has been set for If a pharmacy dispenses a <br />
         		<a id="pl.184.6"></a><var>184.6</var>multisource drug, payment shall be the lower of the usual and customary price charged to <br />
         		<a id="pl.184.7"></a><var>184.7</var>the public or the ingredient cost shall be the NADAC of the generic product or the maximum <br />
         		<a id="pl.184.8"></a><var>184.8</var>allowable cost established by the commissioner unless prior authorization for the
         brand <br />
         		<a id="pl.184.9"></a><var>184.9</var>name product has been granted according to the criteria established by the Drug Formulary
         <br />
         		<a id="pl.184.10"></a><var>184.10</var>Committee as required by subdivision 13f, paragraph (a), and the prescriber has indicated
         <br />
         		<a id="pl.184.11"></a><var>184.11</var>"dispense as written" on the prescription in a manner consistent with section 
         <statute_ref>151.21, <br />
            		<a id="pl.184.12"></a><var>184.12</var>subdivision 2
         </statute_ref>.<br />
         		<a id="pl.184.13"></a><var>184.13</var>&#160;&#160;&#160;&#160;(e) The basis for determining the amount of payment for drugs administered in an <br />
         		<a id="pl.184.14"></a><var>184.14</var>outpatient setting shall be the lower of the usual and customary cost submitted by
         the <br />
         		<a id="pl.184.15"></a><var>184.15</var>provider, 106 percent of the average sales price as determined by the United States
         <br />
         		<a id="pl.184.16"></a><var>184.16</var>Department of Health and Human Services pursuant to title XVIII, section 1847a of
         the <br />
         		<a id="pl.184.17"></a><var>184.17</var>federal Social Security Act, the specialty pharmacy rate, or the maximum allowable
         cost <br />
         		<a id="pl.184.18"></a><var>184.18</var>set by the commissioner. If average sales price is unavailable, the amount of payment
         must <br />
         		<a id="pl.184.19"></a><var>184.19</var>be lower of the usual and customary cost submitted by the provider, the wholesale
         acquisition <br />
         		<a id="pl.184.20"></a><var>184.20</var>cost, the specialty pharmacy rate, or the maximum allowable cost set by the commissioner.
         <br />
         		<a id="pl.184.21"></a><var>184.21</var>Effective January 1, 2014, the commissioner shall discount the payment rate for drugs
         <br />
         		<a id="pl.184.22"></a><var>184.22</var>obtained through the federal 340B Drug Pricing Program by 20 percent. The payment
         for <br />
         		<a id="pl.184.23"></a><var>184.23</var>drugs administered in an outpatient setting shall be made to the administering facility
         or <br />
         		<a id="pl.184.24"></a><var>184.24</var>practitioner. A retail or specialty pharmacy dispensing a drug for administration
         in an <br />
         		<a id="pl.184.25"></a><var>184.25</var>outpatient setting is not eligible for direct reimbursement.<br />
         		<a id="pl.184.26"></a><var>184.26</var>&#160;&#160;&#160;&#160;(f) The commissioner may negotiate lower reimbursement rates establish maximum <br />
         		<a id="pl.184.27"></a><var>184.27</var>allowable cost rates for specialty pharmacy products than the rates that are lower than the <br />
         		<a id="pl.184.28"></a><var>184.28</var>ingredient cost formulas specified in paragraph (a). The commissioner may require <br />
         		<a id="pl.184.29"></a><var>184.29</var>individuals enrolled in the health care programs administered by the department to
         obtain <br />
         		<a id="pl.184.30"></a><var>184.30</var>specialty pharmacy products from providers with whom the commissioner has negotiated <br />
         		<a id="pl.184.31"></a><var>184.31</var>lower reimbursement rates able to provide enhanced clinical services and willing to accept <br />
         		<a id="pl.184.32"></a><var>184.32</var>the specialty pharmacy reimbursement. Specialty pharmacy products are defined as those <br />
         		<a id="pl.184.33"></a><var>184.33</var>used by a small number of recipients or recipients with complex and chronic diseases
         that <br />
         		<a id="pl.184.34"></a><var>184.34</var>require expensive and challenging drug regimens. Examples of these conditions include,
         <br />
         		<a id="pl.184.35"></a><var>184.35</var>but are not limited to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis C,
         growth <br />
         		<a id="pl.185.1"></a><var>185.1</var>hormone deficiency, Crohn's Disease, rheumatoid arthritis, and certain forms of cancer.
         <br />
         		<a id="pl.185.2"></a><var>185.2</var>Specialty pharmaceutical products include injectable and infusion therapies, biotechnology
         <br />
         		<a id="pl.185.3"></a><var>185.3</var>drugs, antihemophilic factor products, high-cost therapies, and therapies that require
         complex <br />
         		<a id="pl.185.4"></a><var>185.4</var>care. The commissioner shall consult with the formulary committee to develop a list
         of <br />
         		<a id="pl.185.5"></a><var>185.5</var>specialty pharmacy products subject to this paragraph maximum allowable cost <br />
         		<a id="pl.185.6"></a><var>185.6</var>reimbursement. In consulting with the formulary committee in developing this list, the <br />
         		<a id="pl.185.7"></a><var>185.7</var>commissioner shall take into consideration the population served by specialty pharmacy
         <br />
         		<a id="pl.185.8"></a><var>185.8</var>products, the current delivery system and standard of care in the state, and access
         to care <br />
         		<a id="pl.185.9"></a><var>185.9</var>issues. The commissioner shall have the discretion to adjust the reimbursement rate maximum <br />
         		<a id="pl.185.10"></a><var>185.10</var>allowable cost to prevent access to care issues.<br />
         		<a id="pl.185.11"></a><var>185.11</var>(g) Home infusion therapy services provided by home infusion therapy pharmacies must
         <br />
         		<a id="pl.185.12"></a><var>185.12</var>be paid at rates according to subdivision 8d.<br />
         		<a id="pl.185.13"></a><var>185.13</var>(h) Effective for prescriptions filled on or after April 1, 2017, or upon federal
         approval, <br />
         		<a id="pl.185.14"></a><var>185.14</var>whichever is later, the commissioner shall increase the ingredient cost reimbursement
         <br />
         		<a id="pl.185.15"></a><var>185.15</var>calculated in paragraphs (a) and (f) by two percent for prescription and nonprescription
         <br />
         		<a id="pl.185.16"></a><var>185.16</var>drugs subject to the wholesale drug distributor tax under section 295.52.<br />
         		<a id="pl.185.17"></a><var>185.17</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2017, or from <br />
         		<a id="pl.185.18"></a><var>185.18</var>the effective date of federal approval, whichever is later. The commissioner of human
         <br />
         		<a id="pl.185.19"></a><var>185.19</var>services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.20.0"></a><a id="pl.185.20"></a><var>185.20</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 256B.0625, subdivision 17, is amended to read:<br />
         		<a id="pl.185.21"></a><var>185.21</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Transportation costs.</b> (a) "Nonemergency medical transportation service" <br />
         		<a id="pl.185.22"></a><var>185.22</var>means motor vehicle transportation provided by a public or private person that serves
         <br />
         		<a id="pl.185.23"></a><var>185.23</var>Minnesota health care program beneficiaries who do not require emergency ambulance
         <br />
         		<a id="pl.185.24"></a><var>185.24</var>service, as defined in section 
         <statute_ref>144E.001, subdivision 3</statute_ref>, to obtain covered medical services.<br />
         		<a id="pl.185.25"></a><var>185.25</var>(b) Medical assistance covers medical transportation costs incurred solely for obtaining
         <br />
         		<a id="pl.185.26"></a><var>185.26</var>emergency medical care or transportation costs incurred by eligible persons in obtaining
         <br />
         		<a id="pl.185.27"></a><var>185.27</var>emergency or nonemergency medical care when paid directly to an ambulance company,
         <br />
         		<a id="pl.185.28"></a><var>185.28</var>common carrier nonemergency medical transportation company, or other recognized <br />
         		<a id="pl.185.29"></a><var>185.29</var>providers of transportation services. Medical transportation must be provided by:<br />
         		<a id="pl.185.30"></a><var>185.30</var>(1) nonemergency medical transportation providers who meet the requirements of this
         <br />
         		<a id="pl.185.31"></a><var>185.31</var>subdivision;<br />
         		<a id="pl.185.32"></a><var>185.32</var>(2) ambulances, as defined in section 
         <statute_ref>144E.001, subdivision 2</statute_ref>;<br />
         		<a id="pl.185.33"></a><var>185.33</var>(3) taxicabs that meet the requirements of this subdivision;<br />
         		<a id="pl.186.1"></a><var>186.1</var>(4) public transit, as defined in section 
         <statute_ref>174.22</statute_ref>, subdivision 7; or<br />
         		<a id="pl.186.2"></a><var>186.2</var>(5) not-for-hire vehicles, including volunteer drivers.<br />
         		<a id="pl.186.3"></a><var>186.3</var>(c) Medical assistance covers nonemergency medical transportation provided by <br />
         		<a id="pl.186.4"></a><var>186.4</var>nonemergency medical transportation providers enrolled in the Minnesota health care
         <br />
         		<a id="pl.186.5"></a><var>186.5</var>programs. All nonemergency medical transportation providers must comply with the <br />
         		<a id="pl.186.6"></a><var>186.6</var>operating standards for special transportation service as defined in sections 
         <statute_ref>174.29</statute_ref> to 
         <statute_ref>174.30</statute_ref> <br />
         		<a id="pl.186.7"></a><var>186.7</var>and Minnesota Rules, chapter 8840, and in consultation with the Minnesota Department
         of <br />
         		<a id="pl.186.8"></a><var>186.8</var>Transportation. All nonemergency medical transportation providers shall bill for <br />
         		<a id="pl.186.9"></a><var>186.9</var>nonemergency medical transportation services in accordance with Minnesota health care
         <br />
         		<a id="pl.186.10"></a><var>186.10</var>programs criteria. Publicly operated transit systems, volunteers, and not-for-hire
         vehicles <br />
         		<a id="pl.186.11"></a><var>186.11</var>are exempt from the requirements outlined in this paragraph.<br />
         		<a id="pl.186.12"></a><var>186.12</var>(d) An organization may be terminated, denied, or suspended from enrollment if:<br />
         		<a id="pl.186.13"></a><var>186.13</var>(1) the provider has not initiated background studies on the individuals specified
         in <br />
         		<a id="pl.186.14"></a><var>186.14</var>section 
         <statute_ref>174.30, subdivision 10</statute_ref>, paragraph (a), clauses (1) to (3); or<br />
         		<a id="pl.186.15"></a><var>186.15</var>(2) the provider has initiated background studies on the individuals specified in
         section <br />
         		
         <statute_ref><a id="pl.186.16"></a><var>186.16</var>174.30, subdivision 10
         </statute_ref>, paragraph (a), clauses (1) to (3), and:<br />
         		<a id="pl.186.17"></a><var>186.17</var>(i) the commissioner has sent the provider a notice that the individual has been <br />
         		<a id="pl.186.18"></a><var>186.18</var>disqualified under section 
         <statute_ref>245C.14</statute_ref>; and<br />
         		<a id="pl.186.19"></a><var>186.19</var>(ii) the individual has not received a disqualification set-aside specific to the
         special <br />
         		<a id="pl.186.20"></a><var>186.20</var>transportation services provider under sections 
         <statute_ref>245C.22</statute_ref> and 
         <statute_ref>245C.23</statute_ref>.<br />
         		<a id="pl.186.21"></a><var>186.21</var>(e) The administrative agency of nonemergency medical transportation must:<br />
         		<a id="pl.186.22"></a><var>186.22</var>(1) adhere to the policies defined by the commissioner in consultation with the <br />
         		<a id="pl.186.23"></a><var>186.23</var>Nonemergency Medical Transportation Advisory Committee;<br />
         		<a id="pl.186.24"></a><var>186.24</var>(2) pay nonemergency medical transportation providers for services provided to <br />
         		<a id="pl.186.25"></a><var>186.25</var>Minnesota health care programs beneficiaries to obtain covered medical services;<br />
         		<a id="pl.186.26"></a><var>186.26</var>(3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled
         <br />
         		<a id="pl.186.27"></a><var>186.27</var>trips, and number of trips by mode; and<br />
         		<a id="pl.186.28"></a><var>186.28</var>(4) by July 1, 2016, in accordance with subdivision 18e, utilize a Web-based single
         <br />
         		<a id="pl.186.29"></a><var>186.29</var>administrative structure assessment tool that meets the technical requirements established
         <br />
         		<a id="pl.186.30"></a><var>186.30</var>by the commissioner, reconciles trip information with claims being submitted by providers,
         <br />
         		<a id="pl.186.31"></a><var>186.31</var>and ensures prompt payment for nonemergency medical transportation services.<br />
         		<a id="pl.187.1"></a><var>187.1</var>&#160;&#160;&#160;&#160;(f) Until the commissioner implements the single administrative structure and delivery
         <br />
         		<a id="pl.187.2"></a><var>187.2</var>system under subdivision 18e, clients shall obtain their level-of-service certificate
         from the <br />
         		<a id="pl.187.3"></a><var>187.3</var>commissioner or an entity approved by the commissioner that does not dispatch rides
         for <br />
         		<a id="pl.187.4"></a><var>187.4</var>clients using modes of transportation under paragraph (i), clauses (4), (5), (6),
         and (7).<br />
         		<a id="pl.187.5"></a><var>187.5</var>&#160;&#160;&#160;&#160;(g) The commissioner may use an order by the recipient's attending physician or a
         medical <br />
         		<a id="pl.187.6"></a><var>187.6</var>or mental health professional to certify that the recipient requires nonemergency
         medical <br />
         		<a id="pl.187.7"></a><var>187.7</var>transportation services. Nonemergency medical transportation providers shall perform
         <br />
         		<a id="pl.187.8"></a><var>187.8</var>driver-assisted services for eligible individuals, when appropriate. Driver-assisted
         service <br />
         		<a id="pl.187.9"></a><var>187.9</var>includes passenger pickup at and return to the individual's residence or place of
         business, <br />
         		<a id="pl.187.10"></a><var>187.10</var>assistance with admittance of the individual to the medical facility, and assistance
         in <br />
         		<a id="pl.187.11"></a><var>187.11</var>passenger securement or in securing of wheelchairs, child seats, or stretchers in the vehicle.<br />
         		<a id="pl.187.12"></a><var>187.12</var>Nonemergency medical transportation providers must take clients to the health care
         <br />
         		<a id="pl.187.13"></a><var>187.13</var>provider using the most direct route, and must not exceed 30 miles for a trip to a
         primary <br />
         		<a id="pl.187.14"></a><var>187.14</var>care provider or 60 miles for a trip to a specialty care provider, unless the client
         receives <br />
         		<a id="pl.187.15"></a><var>187.15</var>authorization from the local agency.<br />
         		<a id="pl.187.16"></a><var>187.16</var>Nonemergency medical transportation providers may not bill for separate base rates
         for <br />
         		<a id="pl.187.17"></a><var>187.17</var>the continuation of a trip beyond the original destination. Nonemergency medical <br />
         		<a id="pl.187.18"></a><var>187.18</var>transportation providers must maintain trip logs, which include pickup and drop-off
         times, <br />
         		<a id="pl.187.19"></a><var>187.19</var>signed by the medical provider or client, whichever is deemed most appropriate, attesting
         <br />
         		<a id="pl.187.20"></a><var>187.20</var>to mileage traveled to obtain covered medical services. Clients requesting client
         mileage <br />
         		<a id="pl.187.21"></a><var>187.21</var>reimbursement must sign the trip log attesting mileage traveled to obtain covered
         medical <br />
         		<a id="pl.187.22"></a><var>187.22</var>services.<br />
         		<a id="pl.187.23"></a><var>187.23</var>(h) The administrative agency shall use the level of service process established by
         the <br />
         		<a id="pl.187.24"></a><var>187.24</var>commissioner in consultation with the Nonemergency Medical Transportation Advisory
         <br />
         		<a id="pl.187.25"></a><var>187.25</var>Committee to determine the client's most appropriate mode of transportation. If public
         transit <br />
         		<a id="pl.187.26"></a><var>187.26</var>or a certified transportation provider is not available to provide the appropriate
         service mode <br />
         		<a id="pl.187.27"></a><var>187.27</var>for the client, the client may receive a onetime service upgrade.<br />
         		<a id="pl.187.28"></a><var>187.28</var>(i) The covered modes of transportation, which may not be implemented without a new <br />
         		<a id="pl.187.29"></a><var>187.29</var>rate structure, are:<br />
         		<a id="pl.187.30"></a><var>187.30</var>(1) client reimbursement, which includes client mileage reimbursement provided to
         <br />
         		<a id="pl.187.31"></a><var>187.31</var>clients who have their own transportation, or to family or an acquaintance who provides
         <br />
         		<a id="pl.187.32"></a><var>187.32</var>transportation to the client;<br />
         		<a id="pl.187.33"></a><var>187.33</var>(2) volunteer transport, which includes transportation by volunteers using their own
         <br />
         		<a id="pl.187.34"></a><var>187.34</var>vehicle;<br />
         		<a id="pl.188.1"></a><var>188.1</var>(3) unassisted transport, which includes transportation provided to a client by a
         taxicab <br />
         		<a id="pl.188.2"></a><var>188.2</var>or public transit. If a taxicab or public transit is not available, the client can
         receive <br />
         		<a id="pl.188.3"></a><var>188.3</var>transportation from another nonemergency medical transportation provider;<br />
         		<a id="pl.188.4"></a><var>188.4</var>(4) assisted transport, which includes transport provided to clients who require assistance
         <br />
         		<a id="pl.188.5"></a><var>188.5</var>by a nonemergency medical transportation provider;<br />
         		<a id="pl.188.6"></a><var>188.6</var>(5) lift-equipped/ramp transport, which includes transport provided to a client who
         is <br />
         		<a id="pl.188.7"></a><var>188.7</var>dependent on a device and requires a nonemergency medical transportation provider
         with <br />
         		<a id="pl.188.8"></a><var>188.8</var>a vehicle containing a lift or ramp;<br />
         		<a id="pl.188.9"></a><var>188.9</var>(6) protected transport, which includes transport provided to a client who has received
         <br />
         		<a id="pl.188.10"></a><var>188.10</var>a prescreening that has deemed other forms of transportation inappropriate and who
         requires <br />
         		<a id="pl.188.11"></a><var>188.11</var>a provider: (i) with a protected vehicle that is not an ambulance or police car and
         has safety <br />
         		<a id="pl.188.12"></a><var>188.12</var>locks, a video recorder, and a transparent thermoplastic partition between the passenger
         and <br />
         		<a id="pl.188.13"></a><var>188.13</var>the vehicle driver; and (ii) who is certified as a protected transport provider; and<br />
         		<a id="pl.188.14"></a><var>188.14</var>(7) stretcher transport, which includes transport for a client in a prone or supine
         position <br />
         		<a id="pl.188.15"></a><var>188.15</var>and requires a nonemergency medical transportation provider with a vehicle that can
         transport <br />
         		<a id="pl.188.16"></a><var>188.16</var>a client in a prone or supine position.<br />
         		<a id="pl.188.17"></a><var>188.17</var>(j) The local agency shall be the single administrative agency and shall administer
         and <br />
         		<a id="pl.188.18"></a><var>188.18</var>reimburse for modes defined in paragraph (i) according to paragraphs (m) and (n) when
         the <br />
         		<a id="pl.188.19"></a><var>188.19</var>commissioner has developed, made available, and funded the Web-based single <br />
         		<a id="pl.188.20"></a><var>188.20</var>administrative structure, assessment tool, and level of need assessment under subdivision
         <br />
         		<a id="pl.188.21"></a><var>188.21</var>18e. The local agency's financial obligation is limited to funds provided by the state
         or <br />
         		<a id="pl.188.22"></a><var>188.22</var>federal government.<br />
         		<a id="pl.188.23"></a><var>188.23</var>(k) The commissioner shall:<br />
         		<a id="pl.188.24"></a><var>188.24</var>(1) in consultation with the Nonemergency Medical Transportation Advisory Committee,
         <br />
         		<a id="pl.188.25"></a><var>188.25</var>verify that the mode and use of nonemergency medical transportation is appropriate;<br />
         		<a id="pl.188.26"></a><var>188.26</var>(2) verify that the client is going to an approved medical appointment; and<br />
         		<a id="pl.188.27"></a><var>188.27</var>(3) investigate all complaints and appeals.<br />
         		<a id="pl.188.28"></a><var>188.28</var>(l) The administrative agency shall pay for the services provided in this subdivision
         and <br />
         		<a id="pl.188.29"></a><var>188.29</var>seek reimbursement from the commissioner, if appropriate. As vendors of medical care,
         <br />
         		<a id="pl.188.30"></a><var>188.30</var>local agencies are subject to the provisions in section 
         <statute_ref>256B.041</statute_ref>, the sanctions and monetary <br />
         		<a id="pl.188.31"></a><var>188.31</var>recovery actions in section 
         <statute_ref>256B.064</statute_ref>, and Minnesota Rules, parts 9505.2160 to 9505.2245.<br />
         		<a id="pl.189.1"></a><var>189.1</var>(m) Payments for nonemergency medical transportation must be paid based on the client's
         <br />
         		<a id="pl.189.2"></a><var>189.2</var>assessed mode under paragraph (h), not the type of vehicle used to provide the service.
         The <br />
         		<a id="pl.189.3"></a><var>189.3</var>medical assistance reimbursement rates for nonemergency medical transportation services
         <br />
         		<a id="pl.189.4"></a><var>189.4</var>that are payable by or on behalf of the commissioner for nonemergency medical <br />
         		<a id="pl.189.5"></a><var>189.5</var>transportation services are:<br />
         		<a id="pl.189.6"></a><var>189.6</var>(1) $0.22 per mile for client reimbursement;<br />
         		<a id="pl.189.7"></a><var>189.7</var>(2) up to 100 percent of the Internal Revenue Service business deduction rate for
         volunteer <br />
         		<a id="pl.189.8"></a><var>189.8</var>transport;<br />
         		<a id="pl.189.9"></a><var>189.9</var>(3) equivalent to the standard fare for unassisted transport when provided by public
         <br />
         		<a id="pl.189.10"></a><var>189.10</var>transit, and $11 for the base rate and $1.30 per mile when provided by a nonemergency
         <br />
         		<a id="pl.189.11"></a><var>189.11</var>medical transportation provider;<br />
         		<a id="pl.189.12"></a><var>189.12</var>(4) $13 for the base rate and $1.30 per mile for assisted transport;<br />
         		<a id="pl.189.13"></a><var>189.13</var>(5) $18 for the base rate and $1.55 per mile for lift-equipped/ramp transport;<br />
         		<a id="pl.189.14"></a><var>189.14</var>(6) $75 for the base rate and $2.40 per mile for protected transport; and<br />
         		<a id="pl.189.15"></a><var>189.15</var>(7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip
         for <br />
         		<a id="pl.189.16"></a><var>189.16</var>an additional attendant if deemed medically necessary.<br />
         		<a id="pl.189.17"></a><var>189.17</var>(n) The base rate for nonemergency medical transportation services in areas defined
         <br />
         		<a id="pl.189.18"></a><var>189.18</var>under RUCA to be super rural is equal to 111.3 percent of the respective base rate
         in <br />
         		<a id="pl.189.19"></a><var>189.19</var>paragraph (m), clauses (1) to (7). The mileage rate for nonemergency medical transportation
         <br />
         		<a id="pl.189.20"></a><var>189.20</var>services in areas defined under RUCA to be rural or super rural areas is:<br />
         		<a id="pl.189.21"></a><var>189.21</var>(1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage
         <br />
         		<a id="pl.189.22"></a><var>189.22</var>rate in paragraph (m), clauses (1) to (7); and<br />
         		<a id="pl.189.23"></a><var>189.23</var>(2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage
         <br />
         		<a id="pl.189.24"></a><var>189.24</var>rate in paragraph (m), clauses (1) to (7).<br />
         		<a id="pl.189.25"></a><var>189.25</var>(o) For purposes of reimbursement rates for nonemergency medical transportation <br />
         		<a id="pl.189.26"></a><var>189.26</var>services under paragraphs (m) and (n), the zip code of the recipient's place of residence
         <br />
         		<a id="pl.189.27"></a><var>189.27</var>shall determine whether the urban, rural, or super rural reimbursement rate applies.<br />
         		<a id="pl.189.28"></a><var>189.28</var>(p) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means
         <br />
         		<a id="pl.189.29"></a><var>189.29</var>a census-tract based classification system under which a geographical area is determined
         <br />
         		<a id="pl.189.30"></a><var>189.30</var>to be urban, rural, or super rural.<br />
         		<a id="pl.190.1"></a><var>190.1</var>(q) The commissioner, when determining reimbursement rates for nonemergency medical
         <br />
         		<a id="pl.190.2"></a><var>190.2</var>transportation under paragraphs (m) and (n), shall exempt all modes of transportation
         listed <br />
         		<a id="pl.190.3"></a><var>190.3</var>under paragraph (i) from Minnesota Rules, part 9505.0445, item R, subitem (2).<br />
         		<br />
         		<a id="bill.4.21.0"></a><a id="pl.190.4"></a><var>190.4</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 256B.0625, subdivision 17b, is amended to <br />
         		<a id="pl.190.5"></a><var>190.5</var>read:<br />
         		<a id="pl.190.6"></a><var>190.6</var>&#160;&#160;&#160;&#160;Subd. 17b. <b>Documentation required.</b> (a) As a condition for payment, nonemergency <br />
         		<a id="pl.190.7"></a><var>190.7</var>medical transportation providers must document each occurrence of a service provided
         to <br />
         		<a id="pl.190.8"></a><var>190.8</var>a recipient according to this subdivision. Providers must maintain odometer and other
         records <br />
         		<a id="pl.190.9"></a><var>190.9</var>sufficient to distinguish individual trips with specific vehicles and drivers. The
         documentation <br />
         		<a id="pl.190.10"></a><var>190.10</var>may be collected and maintained using electronic systems or software or in paper form
         but <br />
         		<a id="pl.190.11"></a><var>190.11</var>must be made available and produced upon request. Program funds paid for transportation
         <br />
         		<a id="pl.190.12"></a><var>190.12</var>that is not documented according to this subdivision shall be recovered by the department.<br />
         		<a id="pl.190.13"></a><var>190.13</var>(b) A nonemergency medical transportation provider must compile transportation records
         <br />
         		<a id="pl.190.14"></a><var>190.14</var>that meet the following requirements:<br />
         		<a id="pl.190.15"></a><var>190.15</var>(1) the record must be in English and must be legible according to the standard of
         a <br />
         		<a id="pl.190.16"></a><var>190.16</var>reasonable person;<br />
         		<a id="pl.190.17"></a><var>190.17</var>(2) the recipient's name must be on each page of the record; and<br />
         		<a id="pl.190.18"></a><var>190.18</var>(3) each entry in the record must document:<br />
         		<a id="pl.190.19"></a><var>190.19</var>(i) the date on which the entry is made;<br />
         		<a id="pl.190.20"></a><var>190.20</var>(ii) the date or dates the service is provided;<br />
         		<a id="pl.190.21"></a><var>190.21</var>(iii) the printed last name, first name, and middle initial of the driver;<br />
         		<a id="pl.190.22"></a><var>190.22</var>(iv) the signature of the driver attesting to the following: "I certify that I have
         accurately <br />
         		<a id="pl.190.23"></a><var>190.23</var>reported in this record the trip miles I actually drove and the dates and times I
         actually drove <br />
         		<a id="pl.190.24"></a><var>190.24</var>them. I understand that misreporting the miles driven and hours worked is fraud for
         which <br />
         		<a id="pl.190.25"></a><var>190.25</var>I could face criminal prosecution or civil proceedings.";<br />
         		<a id="pl.190.26"></a><var>190.26</var>(v) the signature of the recipient or authorized party attesting to the following:
         "I certify <br />
         		<a id="pl.190.27"></a><var>190.27</var>that I received the reported transportation service.", or the signature of the provider
         of <br />
         		<a id="pl.190.28"></a><var>190.28</var>medical services certifying that the recipient was delivered to the provider;<br />
         		<a id="pl.190.29"></a><var>190.29</var>(vi) the address, or the description if the address is not available, of both the
         origin and <br />
         		<a id="pl.190.30"></a><var>190.30</var>destination, and the mileage for the most direct route from the origin to the destination;<br />
         		<a id="pl.190.31"></a><var>190.31</var>(vii) the mode of transportation in which the service is provided;<br />
         		<a id="pl.191.1"></a><var>191.1</var>(viii) the license plate number of the vehicle used to transport the recipient;<br />
         		<a id="pl.191.2"></a><var>191.2</var>(ix) whether the service was ambulatory or nonambulatory until the modes under <br />
         		<a id="pl.191.3"></a><var>191.3</var>subdivision 17 are implemented;<br />
         		<a id="pl.191.4"></a><var>191.4</var>(x) the time of the pickup and the time of the drop-off with "a.m." and "p.m." <br />
         		<a id="pl.191.5"></a><var>191.5</var>designations;<br />
         		<a id="pl.191.6"></a><var>191.6</var>(xi) the name of the extra attendant when an extra attendant is used to provide special
         <br />
         		<a id="pl.191.7"></a><var>191.7</var>transportation service; and<br />
         		<a id="pl.191.8"></a><var>191.8</var>(xii) the electronic source documentation used to calculate driving directions and
         mileage.<br />
         		<br />
         		<a id="bill.4.22.0"></a><a id="pl.191.9"></a><var>191.9</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision <br />
         		<a id="pl.191.10"></a><var>191.10</var>to read:<br />
         		<a id="pl.191.11"></a><var>191.11</var>&#160;&#160;&#160;&#160;Subd. 17c. <b>Nursing facility transports.</b> A Minnesota health care program enrollee <br />
         		<a id="pl.191.12"></a><var>191.12</var>residing in, or being discharged from, a licensed nursing facility is exempt from
         a level of <br />
         		<a id="pl.191.13"></a><var>191.13</var>need determination and is eligible for nonemergency medical transportation services
         until <br />
         		<a id="pl.191.14"></a><var>191.14</var>the enrollee no longer resides in a licensed nursing facility, as provided in section
         256B.04, <br />
         		<a id="pl.191.15"></a><var>191.15</var>subdivision 14a.<br />
         		<br />
         		<a id="bill.4.23.0"></a><a id="pl.191.16"></a><var>191.16</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2016, section 256B.0625, subdivision 18h, is amended to <br />
         		<a id="pl.191.17"></a><var>191.17</var>read:<br />
         		<a id="pl.191.18"></a><var>191.18</var>&#160;&#160;&#160;&#160;Subd. 18h. <b>Managed care.</b> (a) The following subdivisions do not apply to managed <br />
         		<a id="pl.191.19"></a><var>191.19</var>care plans and county-based purchasing plans:<br />
         		<a id="pl.191.20"></a><var>191.20</var>&#160;&#160;&#160;&#160;(1) subdivision 17, paragraphs (d) to (k) (a), (b), (i), and (n);<br />
         		<a id="pl.191.21"></a><var>191.21</var>&#160;&#160;&#160;&#160;(2) subdivision 18e 18; and<br />
         		<a id="pl.191.22"></a><var>191.22</var>&#160;&#160;&#160;&#160;(3) subdivision 18g 18a.<br />
         		<a id="pl.191.23"></a><var>191.23</var>(b) A nonemergency medical transportation provider must comply with the operating
         <br />
         		<a id="pl.191.24"></a><var>191.24</var>standards for special transportation service specified in sections 174.29 to 174.30
         and <br />
         		<a id="pl.191.25"></a><var>191.25</var>Minnesota Rules, chapter 8840. Publicly operated transit systems, volunteers, and
         not-for-hire <br />
         		<a id="pl.191.26"></a><var>191.26</var>vehicles are exempt from the requirements in this paragraph.<br />
         		<br />
         		<a id="bill.4.24.0"></a><a id="pl.191.27"></a><var>191.27</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2016, section 256B.0625, subdivision 20, is amended to read:<br />
         		<a id="pl.191.28"></a><var>191.28</var>&#160;&#160;&#160;&#160;Subd. 20. <b>Mental health case management.</b> (a) To the extent authorized by rule of the <br />
         		<a id="pl.191.29"></a><var>191.29</var>state agency, medical assistance covers case management services to persons with serious
         <br />
         		<a id="pl.191.30"></a><var>191.30</var>and persistent mental illness and children with severe emotional disturbance. Services
         <br />
         		<a id="pl.192.1"></a><var>192.1</var>provided under this section must meet the relevant standards in sections 
         <statute_ref>245.461 </statute_ref>to 
         <statute_ref>245.4887</statute_ref>, <br />
         		<a id="pl.192.2"></a><var>192.2</var>the Comprehensive Adult and Children's Mental Health Acts, Minnesota Rules, parts
         <br />
         		<a id="pl.192.3"></a><var>192.3</var>9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.<br />
         		<a id="pl.192.4"></a><var>192.4</var>&#160;&#160;&#160;&#160;(b) Entities meeting program standards set out in rules governing family community
         <br />
         		<a id="pl.192.5"></a><var>192.5</var>support services as defined in section 
         <statute_ref>245.4871, subdivision 17</statute_ref>, are eligible for medical <br />
         		<a id="pl.192.6"></a><var>192.6</var>assistance reimbursement for case management services for children with severe emotional
         <br />
         		<a id="pl.192.7"></a><var>192.7</var>disturbance when these services meet the program standards in Minnesota Rules, parts
         <br />
         		<a id="pl.192.8"></a><var>192.8</var>9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10.<br />
         		<a id="pl.192.9"></a><var>192.9</var>&#160;&#160;&#160;&#160;(c) Medical assistance and MinnesotaCare payment for mental health case management
         <br />
         		<a id="pl.192.10"></a><var>192.10</var>shall be made on a monthly basis. In order to receive payment for an eligible child,
         the <br />
         		<a id="pl.192.11"></a><var>192.11</var>provider must document at least a face-to-face contact with the child, the child's
         parents, or <br />
         		<a id="pl.192.12"></a><var>192.12</var>the child's legal representative. To receive payment for an eligible adult, the provider
         must <br />
         		<a id="pl.192.13"></a><var>192.13</var>document:<br />
         		<a id="pl.192.14"></a><var>192.14</var>&#160;&#160;&#160;&#160;(1) at least a face-to-face contact with the adult or the adult's legal representative or a <br />
         		<a id="pl.192.15"></a><var>192.15</var>contact by interactive video that meets the requirements of subdivision 20b; or<br />
         		<a id="pl.192.16"></a><var>192.16</var>&#160;&#160;&#160;&#160;(2) at least a telephone contact with the adult or the adult's legal representative
         and <br />
         		<a id="pl.192.17"></a><var>192.17</var>document a face-to-face contact or a contact by interactive video that meets the requirements <br />
         		<a id="pl.192.18"></a><var>192.18</var>of subdivision 20b with the adult or the adult's legal representative within the preceding <br />
         		<a id="pl.192.19"></a><var>192.19</var>two months.<br />
         		<a id="pl.192.20"></a><var>192.20</var>&#160;&#160;&#160;&#160;(d) Payment for mental health case management provided by county or state staff shall
         <br />
         		<a id="pl.192.21"></a><var>192.21</var>be based on the monthly rate methodology under section 
         <statute_ref>256B.094, subdivision 6</statute_ref>, paragraph <br />
         		<a id="pl.192.22"></a><var>192.22</var>(b), with separate rates calculated for child welfare and mental health, and within
         mental <br />
         		<a id="pl.192.23"></a><var>192.23</var>health, separate rates for children and adults.<br />
         		<a id="pl.192.24"></a><var>192.24</var>&#160;&#160;&#160;&#160;(e) Payment for mental health case management provided by Indian health services or
         <br />
         		<a id="pl.192.25"></a><var>192.25</var>by agencies operated by Indian tribes may be made according to this section or other
         relevant <br />
         		<a id="pl.192.26"></a><var>192.26</var>federally approved rate setting methodology.<br />
         		<a id="pl.192.27"></a><var>192.27</var>&#160;&#160;&#160;&#160;(f) Payment for mental health case management provided by vendors who contract with
         <br />
         		<a id="pl.192.28"></a><var>192.28</var>a county or Indian tribe shall be based on a monthly rate negotiated by the host county
         or <br />
         		<a id="pl.192.29"></a><var>192.29</var>tribe. The negotiated rate must not exceed the rate charged by the vendor for the
         same <br />
         		<a id="pl.192.30"></a><var>192.30</var>service to other payers. If the service is provided by a team of contracted vendors,
         the county <br />
         		<a id="pl.192.31"></a><var>192.31</var>or tribe may negotiate a team rate with a vendor who is a member of the team. The
         team <br />
         		<a id="pl.192.32"></a><var>192.32</var>shall determine how to distribute the rate among its members. No reimbursement received
         <br />
         		<a id="pl.192.33"></a><var>192.33</var>by contracted vendors shall be returned to the county or tribe, except to reimburse
         the county <br />
         		<a id="pl.192.34"></a><var>192.34</var>or tribe for advance funding provided by the county or tribe to the vendor.<br />
         		<a id="pl.193.1"></a><var>193.1</var>&#160;&#160;&#160;&#160;(g) If the service is provided by a team which includes contracted vendors, tribal
         staff, <br />
         		<a id="pl.193.2"></a><var>193.2</var>and county or state staff, the costs for county or state staff participation in the
         team shall be <br />
         		<a id="pl.193.3"></a><var>193.3</var>included in the rate for county-provided services. In this case, the contracted vendor,
         the <br />
         		<a id="pl.193.4"></a><var>193.4</var>tribal agency, and the county may each receive separate payment for services provided
         by <br />
         		<a id="pl.193.5"></a><var>193.5</var>each entity in the same month. In order to prevent duplication of services, each entity
         must <br />
         		<a id="pl.193.6"></a><var>193.6</var>document, in the recipient's file, the need for team case management and a description
         of <br />
         		<a id="pl.193.7"></a><var>193.7</var>the roles of the team members.<br />
         		<a id="pl.193.8"></a><var>193.8</var>&#160;&#160;&#160;&#160;(h) Notwithstanding section 
         <statute_ref>256B.19, subdivision 1</statute_ref>, the nonfederal share of costs for <br />
         		<a id="pl.193.9"></a><var>193.9</var>mental health case management shall be provided by the recipient's county of responsibility,
         <br />
         		<a id="pl.193.10"></a><var>193.10</var>as defined in sections 
         <statute_ref>256G.01</statute_ref> to 
         <statute_ref>256G.12</statute_ref>, from sources other than federal funds or funds <br />
         		<a id="pl.193.11"></a><var>193.11</var>used to match other federal funds. If the service is provided by a tribal agency,
         the nonfederal <br />
         		<a id="pl.193.12"></a><var>193.12</var>share, if any, shall be provided by the recipient's tribe. When this service is paid
         by the state <br />
         		<a id="pl.193.13"></a><var>193.13</var>without a federal share through fee-for-service, 50 percent of the cost shall be provided
         by <br />
         		<a id="pl.193.14"></a><var>193.14</var>the recipient's county of responsibility.<br />
         		<a id="pl.193.15"></a><var>193.15</var>&#160;&#160;&#160;&#160;(i) Notwithstanding any administrative rule to the contrary, prepaid medical assistance
         <br />
         		<a id="pl.193.16"></a><var>193.16</var>and MinnesotaCare include mental health case management. When the service is provided
         <br />
         		<a id="pl.193.17"></a><var>193.17</var>through prepaid capitation, the nonfederal share is paid by the state and the county
         pays no <br />
         		<a id="pl.193.18"></a><var>193.18</var>share.<br />
         		<a id="pl.193.19"></a><var>193.19</var>&#160;&#160;&#160;&#160;(j) The commissioner may suspend, reduce, or terminate the reimbursement to a provider
         <br />
         		<a id="pl.193.20"></a><var>193.20</var>that does not meet the reporting or other requirements of this section. The county
         of <br />
         		<a id="pl.193.21"></a><var>193.21</var>responsibility, as defined in sections 
         <statute_ref>256G.01</statute_ref> to 
         <statute_ref>256G.12</statute_ref>, or, if applicable, the tribal agency, <br />
         		<a id="pl.193.22"></a><var>193.22</var>is responsible for any federal disallowances. The county or tribe may share this responsibility
         <br />
         		<a id="pl.193.23"></a><var>193.23</var>with its contracted vendors.<br />
         		<a id="pl.193.24"></a><var>193.24</var>&#160;&#160;&#160;&#160;(k) The commissioner shall set aside a portion of the federal funds earned for county
         <br />
         		<a id="pl.193.25"></a><var>193.25</var>expenditures under this section to repay the special revenue maximization account
         under <br />
         		<a id="pl.193.26"></a><var>193.26</var>section 
         <statute_ref>256.01, subdivision 2</statute_ref>, paragraph (o). The repayment is limited to:<br />
         		<a id="pl.193.27"></a><var>193.27</var>&#160;&#160;&#160;&#160;(1) the costs of developing and implementing this section; and<br />
         		<a id="pl.193.28"></a><var>193.28</var>&#160;&#160;&#160;&#160;(2) programming the information systems.<br />
         		<a id="pl.193.29"></a><var>193.29</var>&#160;&#160;&#160;&#160;(l) Payments to counties and tribal agencies for case management expenditures under
         <br />
         		<a id="pl.193.30"></a><var>193.30</var>this section shall only be made from federal earnings from services provided under
         this <br />
         		<a id="pl.193.31"></a><var>193.31</var>section. When this service is paid by the state without a federal share through fee-for-service,
         <br />
         		<a id="pl.193.32"></a><var>193.32</var>50 percent of the cost shall be provided by the state. Payments to county-contracted
         vendors <br />
         		<a id="pl.193.33"></a><var>193.33</var>shall include the federal earnings, the state share, and the county share.<br />
         		<a id="pl.194.1"></a><var>194.1</var>&#160;&#160;&#160;&#160;(m) Case management services under this subdivision do not include therapy, treatment,
         <br />
         		<a id="pl.194.2"></a><var>194.2</var>legal, or outreach services.<br />
         		<a id="pl.194.3"></a><var>194.3</var>&#160;&#160;&#160;&#160;(n) If the recipient is a resident of a nursing facility, intermediate care facility,
         or hospital, <br />
         		<a id="pl.194.4"></a><var>194.4</var>and the recipient's institutional care is paid by medical assistance, payment for
         case <br />
         		<a id="pl.194.5"></a><var>194.5</var>management services under this subdivision is limited to the lesser of:<br />
         		<a id="pl.194.6"></a><var>194.6</var>&#160;&#160;&#160;&#160;(1) the last 180 days of the recipient's residency in that facility and may not exceed
         more <br />
         		<a id="pl.194.7"></a><var>194.7</var>than six months in a calendar year; or<br />
         		<a id="pl.194.8"></a><var>194.8</var>&#160;&#160;&#160;&#160;(2) the limits and conditions which apply to federal Medicaid funding for this service.<br />
         		<a id="pl.194.9"></a><var>194.9</var>&#160;&#160;&#160;&#160;(o) Payment for case management services under this subdivision shall not duplicate
         <br />
         		<a id="pl.194.10"></a><var>194.10</var>payments made under other program authorities for the same purpose.<br />
         		<a id="pl.194.11"></a><var>194.11</var>(p) If the recipient is receiving care in a hospital, nursing facility, or residential
         setting <br />
         		<a id="pl.194.12"></a><var>194.12</var>licensed under chapter 245A or 245D that is staffed 24 hours a day, seven days a week,
         <br />
         		<a id="pl.194.13"></a><var>194.13</var>mental health targeted case management services must actively support identification
         of <br />
         		<a id="pl.194.14"></a><var>194.14</var>community alternatives for the recipient and discharge planning.<br />
         		<a id="pl.194.15"></a><var>194.15</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.194.16"></a><var>194.16</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.25.0"></a><a id="pl.194.17"></a><var>194.17</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision <br />
         		<a id="pl.194.18"></a><var>194.18</var>to read:<br />
         		<a id="pl.194.19"></a><var>194.19</var>&#160;&#160;&#160;&#160;Subd. 20b. <b>Mental health targeted case management through interactive video.</b> (a) <br />
         		<a id="pl.194.20"></a><var>194.20</var>Subject to federal approval, contact made for targeted case management by interactive
         video <br />
         		<a id="pl.194.21"></a><var>194.21</var>shall be eligible for payment if:<br />
         		<a id="pl.194.22"></a><var>194.22</var>&#160;&#160;&#160;&#160;(1) the person receiving targeted case management services is residing in:<br />
         		<a id="pl.194.23"></a><var>194.23</var>&#160;&#160;&#160;&#160;(i) a hospital;<br />
         		<a id="pl.194.24"></a><var>194.24</var>&#160;&#160;&#160;&#160;(ii) a nursing facility; or<br />
         		<a id="pl.194.25"></a><var>194.25</var>&#160;&#160;&#160;&#160;(iii) a residential setting licensed under chapter 245A or 245D or a boarding and
         lodging <br />
         		<a id="pl.194.26"></a><var>194.26</var>establishment or lodging establishment that provides supportive services or health
         supervision <br />
         		<a id="pl.194.27"></a><var>194.27</var>services according to section 157.17 that is staffed 24 hours a day, seven days a
         week;<br />
         		<a id="pl.194.28"></a><var>194.28</var>&#160;&#160;&#160;&#160;(2) interactive video is in the best interests of the person and is deemed appropriate
         by <br />
         		<a id="pl.194.29"></a><var>194.29</var>the person receiving targeted case management or the person's legal guardian, the
         case <br />
         		<a id="pl.194.30"></a><var>194.30</var>management provider, and the provider operating the setting where the person is residing;<br />
         		<a id="pl.195.1"></a><var>195.1</var>&#160;&#160;&#160;&#160;(3) the use of interactive video is approved as part of the person's written personal
         service <br />
         		<a id="pl.195.2"></a><var>195.2</var>or case plan, taking into consideration the person's vulnerability and active personal
         <br />
         		<a id="pl.195.3"></a><var>195.3</var>relationships; and<br />
         		<a id="pl.195.4"></a><var>195.4</var>&#160;&#160;&#160;&#160;(4) interactive video is used for up to, but not more than, 50 percent of the minimum
         <br />
         		<a id="pl.195.5"></a><var>195.5</var>required face-to-face contact.<br />
         		<a id="pl.195.6"></a><var>195.6</var>&#160;&#160;&#160;&#160;(b) The person receiving targeted case management or the person's legal guardian has
         <br />
         		<a id="pl.195.7"></a><var>195.7</var>the right to choose and consent to the use of interactive video under this subdivision
         and <br />
         		<a id="pl.195.8"></a><var>195.8</var>has the right to refuse the use of interactive video at any time.<br />
         		<a id="pl.195.9"></a><var>195.9</var>&#160;&#160;&#160;&#160;(c) The commissioner shall establish criteria that a targeted case management provider
         <br />
         		<a id="pl.195.10"></a><var>195.10</var>must attest to in order to demonstrate the safety or efficacy of delivering the service
         via <br />
         		<a id="pl.195.11"></a><var>195.11</var>interactive video. The attestation may include that the case management provider has:<br />
         		<a id="pl.195.12"></a><var>195.12</var>&#160;&#160;&#160;&#160;(1) written policies and procedures specific to interactive video services that are
         regularly <br />
         		<a id="pl.195.13"></a><var>195.13</var>reviewed and updated;<br />
         		<a id="pl.195.14"></a><var>195.14</var>&#160;&#160;&#160;&#160;(2) policies and procedures that adequately address client safety before, during,
         and after <br />
         		<a id="pl.195.15"></a><var>195.15</var>the interactive video services are rendered;<br />
         		<a id="pl.195.16"></a><var>195.16</var>&#160;&#160;&#160;&#160;(3) established protocols addressing how and when to discontinue interactive video
         <br />
         		<a id="pl.195.17"></a><var>195.17</var>services; and<br />
         		<a id="pl.195.18"></a><var>195.18</var>&#160;&#160;&#160;&#160;(4) established a quality assurance process related to interactive video services.<br />
         		<a id="pl.195.19"></a><var>195.19</var>&#160;&#160;&#160;&#160;(d) As a condition of payment, the targeted case management provider must document
         <br />
         		<a id="pl.195.20"></a><var>195.20</var>the following for each occurrence of targeted case management provided by interactive
         <br />
         		<a id="pl.195.21"></a><var>195.21</var>video:<br />
         		<a id="pl.195.22"></a><var>195.22</var>&#160;&#160;&#160;&#160;(1) the time the service began and the time the service ended, including an a.m. and
         p.m. <br />
         		<a id="pl.195.23"></a><var>195.23</var>designation;<br />
         		<a id="pl.195.24"></a><var>195.24</var>&#160;&#160;&#160;&#160;(2) the basis for determining that interactive video is an appropriate and effective
         means <br />
         		<a id="pl.195.25"></a><var>195.25</var>for delivering the service to the person receiving case management services;<br />
         		<a id="pl.195.26"></a><var>195.26</var>&#160;&#160;&#160;&#160;(3) the mode of transmission of the interactive video services and records evidencing
         <br />
         		<a id="pl.195.27"></a><var>195.27</var>that a particular mode of transmission was utilized;<br />
         		<a id="pl.195.28"></a><var>195.28</var>&#160;&#160;&#160;&#160;(4) the location of the originating site and the distant site; and<br />
         		<a id="pl.195.29"></a><var>195.29</var>&#160;&#160;&#160;&#160;(5) compliance with the criteria attested to by the targeted case management provider
         <br />
         		<a id="pl.195.30"></a><var>195.30</var>as provided in paragraph (c).<br />
         		<a id="pl.196.1"></a><var>196.1</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.196.2"></a><var>196.2</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.26.0"></a><a id="pl.196.3"></a><var>196.3</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2016, section 256B.0625, subdivision 30, is amended to read:<br />
         		<a id="pl.196.4"></a><var>196.4</var>&#160;&#160;&#160;&#160;Subd. 30. <b>Other clinic services.</b> (a) Medical assistance covers rural health clinic services, <br />
         		<a id="pl.196.5"></a><var>196.5</var>federally qualified health center services, nonprofit community health clinic services,
         and <br />
         		<a id="pl.196.6"></a><var>196.6</var>public health clinic services. Rural health clinic services and federally qualified
         health center <br />
         		<a id="pl.196.7"></a><var>196.7</var>services mean services defined in United States Code, title 42, section 1396d(a)(2)(B)
         and <br />
         		<a id="pl.196.8"></a><var>196.8</var>(C). Payment for rural health clinic and federally qualified health center services
         shall be <br />
         		<a id="pl.196.9"></a><var>196.9</var>made according to applicable federal law and regulation.<br />
         		<a id="pl.196.10"></a><var>196.10</var>&#160;&#160;&#160;&#160;(b) A federally qualified health center (FQHC) that is beginning initial operation shall <br />
         		<a id="pl.196.11"></a><var>196.11</var>submit an estimate of budgeted costs and visits for the initial reporting period in
         the form <br />
         		<a id="pl.196.12"></a><var>196.12</var>and detail required by the commissioner. A federally qualified health center An FQHC that <br />
         		<a id="pl.196.13"></a><var>196.13</var>is already in operation shall submit an initial report using actual costs and visits
         for the <br />
         		<a id="pl.196.14"></a><var>196.14</var>initial reporting period. Within 90 days of the end of its reporting period, a federally qualified <br />
         		<a id="pl.196.15"></a><var>196.15</var>health center an FQHC shall submit, in the form and detail required by the commissioner, <br />
         		<a id="pl.196.16"></a><var>196.16</var>a report of its operations, including allowable costs actually incurred for the period
         and the <br />
         		<a id="pl.196.17"></a><var>196.17</var>actual number of visits for services furnished during the period, and other information
         <br />
         		<a id="pl.196.18"></a><var>196.18</var>required by the commissioner. Federally qualified health centers FQHCs that file Medicare <br />
         		<a id="pl.196.19"></a><var>196.19</var>cost reports shall provide the commissioner with a copy of the most recent Medicare
         cost <br />
         		<a id="pl.196.20"></a><var>196.20</var>report filed with the Medicare program intermediary for the reporting year which support
         <br />
         		<a id="pl.196.21"></a><var>196.21</var>the costs claimed on their cost report to the state.<br />
         		<a id="pl.196.22"></a><var>196.22</var>&#160;&#160;&#160;&#160;(c) In order to continue cost-based payment under the medical assistance program <br />
         		<a id="pl.196.23"></a><var>196.23</var>according to paragraphs (a) and (b), a federally qualified health center an FQHC or rural <br />
         		<a id="pl.196.24"></a><var>196.24</var>health clinic must apply for designation as an essential community provider within
         six <br />
         		<a id="pl.196.25"></a><var>196.25</var>months of final adoption of rules by the Department of Health according to section
         
         <statute_ref>62Q.19, <br />
            		<a id="pl.196.26"></a><var>196.26</var>subdivision 7
         </statute_ref>. For those federally qualified health centers FQHCs and rural health clinics <br />
         		<a id="pl.196.27"></a><var>196.27</var>that have applied for essential community provider status within the six-month time
         <br />
         		<a id="pl.196.28"></a><var>196.28</var>prescribed, medical assistance payments will continue to be made according to paragraphs
         <br />
         		<a id="pl.196.29"></a><var>196.29</var>(a) and (b) for the first three years after application. For federally qualified health centers <br />
         		<a id="pl.196.30"></a><var>196.30</var>FQHCs and rural health clinics that either do not apply within the time specified above
         or <br />
         		<a id="pl.196.31"></a><var>196.31</var>who have had essential community provider status for three years, medical assistance
         <br />
         		<a id="pl.196.32"></a><var>196.32</var>payments for health services provided by these entities shall be according to the
         same rates <br />
         		<a id="pl.196.33"></a><var>196.33</var>and conditions applicable to the same service provided by health care providers that
         are not <br />
         		<a id="pl.196.34"></a><var>196.34</var>federally qualified health centers FQHCs or rural health clinics.<br />
         		<a id="pl.197.1"></a><var>197.1</var>&#160;&#160;&#160;&#160;(d) Effective July 1, 1999, the provisions of paragraph (c) requiring a federally qualified <br />
         		<a id="pl.197.2"></a><var>197.2</var>health center an FQHC or a rural health clinic to make application for an essential community <br />
         		<a id="pl.197.3"></a><var>197.3</var>provider designation in order to have cost-based payments made according to paragraphs
         <br />
         		<a id="pl.197.4"></a><var>197.4</var>(a) and (b) no longer apply.<br />
         		<a id="pl.197.5"></a><var>197.5</var>&#160;&#160;&#160;&#160;(e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall
         <br />
         		<a id="pl.197.6"></a><var>197.6</var>be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.<br />
         		<a id="pl.197.7"></a><var>197.7</var>&#160;&#160;&#160;&#160;(f) Effective January 1, 2001, through December 31, 2018, each federally qualified <br />
         		<a id="pl.197.8"></a><var>197.8</var>health center FQHC and rural health clinic may elect to be paid either under the prospective <br />
         		<a id="pl.197.9"></a><var>197.9</var>payment system established in United States Code, title 42, section 1396a(aa), or
         under an <br />
         		<a id="pl.197.10"></a><var>197.10</var>alternative payment methodology consistent with the requirements of United States
         Code, <br />
         		<a id="pl.197.11"></a><var>197.11</var>title 42, section 1396a(aa), and approved by the Centers for Medicare and Medicaid
         Services. <br />
         		<a id="pl.197.12"></a><var>197.12</var>The alternative payment methodology shall be 100 percent of cost as determined according
         <br />
         		<a id="pl.197.13"></a><var>197.13</var>to Medicare cost principles.<br />
         		<a id="pl.197.14"></a><var>197.14</var>&#160;&#160;&#160;&#160;(g) Effective for services provided on or after January 1, 2019, all claims for payment
         <br />
         		<a id="pl.197.15"></a><var>197.15</var>of clinic services provided by FQHCs and rural health clinics shall be paid by the
         <br />
         		<a id="pl.197.16"></a><var>197.16</var>commissioner, according to an annual election by the FQHC or rural health clinic,
         under <br />
         		<a id="pl.197.17"></a><var>197.17</var>the current prospective payment system described in paragraph (f), the alternative
         payment <br />
         		<a id="pl.197.18"></a><var>197.18</var>methodology described in paragraph (f), or the alternative payment methodology described
         <br />
         		<a id="pl.197.19"></a><var>197.19</var>in paragraph (l).<br />
         		<a id="pl.197.20"></a><var>197.20</var>&#160;&#160;&#160;&#160;(g) (h) For purposes of this section, "nonprofit community clinic" is a clinic that:<br />
         		<a id="pl.197.21"></a><var>197.21</var>&#160;&#160;&#160;&#160;(1) has nonprofit status as specified in chapter 317A;<br />
         		<a id="pl.197.22"></a><var>197.22</var>&#160;&#160;&#160;&#160;(2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);<br />
         		<a id="pl.197.23"></a><var>197.23</var>&#160;&#160;&#160;&#160;(3) is established to provide health services to low-income population groups, uninsured,
         <br />
         		<a id="pl.197.24"></a><var>197.24</var>high-risk and special needs populations, underserved and other special needs populations;<br />
         		<a id="pl.197.25"></a><var>197.25</var>&#160;&#160;&#160;&#160;(4) employs professional staff at least one-half of which are familiar with the cultural
         <br />
         		<a id="pl.197.26"></a><var>197.26</var>background of their clients;<br />
         		<a id="pl.197.27"></a><var>197.27</var>&#160;&#160;&#160;&#160;(5) charges for services on a sliding fee scale designed to provide assistance to
         <br />
         		<a id="pl.197.28"></a><var>197.28</var>low-income clients based on current poverty income guidelines and family size; and<br />
         		<a id="pl.197.29"></a><var>197.29</var>&#160;&#160;&#160;&#160;(6) does not restrict access or services because of a client's financial limitations
         or public <br />
         		<a id="pl.197.30"></a><var>197.30</var>assistance status and provides no-cost care as needed.<br />
         		<a id="pl.197.31"></a><var>197.31</var>&#160;&#160;&#160;&#160;(h) (i) Effective for services provided on or after January 1, 2015, all claims for payment
         <br />
         		<a id="pl.197.32"></a><var>197.32</var>of clinic services provided by federally qualified health centers FQHCs and rural health <br />
         		<a id="pl.198.1"></a><var>198.1</var>clinics shall be paid by the commissioner. Effective for services provided on or after January <br />
         		<a id="pl.198.2"></a><var>198.2</var>1, 2015, through July 1, 2017, the commissioner shall determine the most feasible method <br />
         		<a id="pl.198.3"></a><var>198.3</var>for paying claims from the following options:<br />
         		<a id="pl.198.4"></a><var>198.4</var>&#160;&#160;&#160;&#160;(1) federally qualified health centers FQHCs and rural health clinics submit claims <br />
         		<a id="pl.198.5"></a><var>198.5</var>directly to the commissioner for payment, and the commissioner provides claims information
         <br />
         		<a id="pl.198.6"></a><var>198.6</var>for recipients enrolled in a managed care or county-based purchasing plan to the plan,
         on <br />
         		<a id="pl.198.7"></a><var>198.7</var>a regular basis; or<br />
         		<a id="pl.198.8"></a><var>198.8</var>&#160;&#160;&#160;&#160;(2) federally qualified health centers FQHCs and rural health clinics submit claims for <br />
         		<a id="pl.198.9"></a><var>198.9</var>recipients enrolled in a managed care or county-based purchasing plan to the plan,
         and those <br />
         		<a id="pl.198.10"></a><var>198.10</var>claims are submitted by the plan to the commissioner for payment to the clinic.<br />
         		<a id="pl.198.11"></a><var>198.11</var>Effective for services provided on or after January 1, 2019, FQHCs and rural health
         clinics <br />
         		<a id="pl.198.12"></a><var>198.12</var>shall submit claims directly to the commissioner for payment and the commissioner
         shall <br />
         		<a id="pl.198.13"></a><var>198.13</var>provide claims information for recipients enrolled in a managed care plan or county-based
         <br />
         		<a id="pl.198.14"></a><var>198.14</var>purchasing plan to the plan on a regular basis to be determined by the commissioner.<br />
         		<a id="pl.198.15"></a><var>198.15</var>&#160;&#160;&#160;&#160;(i) (j) For clinic services provided prior to January 1, 2015, the commissioner shall <br />
         		<a id="pl.198.16"></a><var>198.16</var>calculate and pay monthly the proposed managed care supplemental payments to clinics,
         <br />
         		<a id="pl.198.17"></a><var>198.17</var>and clinics shall conduct a timely review of the payment calculation data in order
         to finalize <br />
         		<a id="pl.198.18"></a><var>198.18</var>all supplemental payments in accordance with federal law. Any issues arising from
         a clinic's <br />
         		<a id="pl.198.19"></a><var>198.19</var>review must be reported to the commissioner by January 1, 2017. Upon final agreement
         <br />
         		<a id="pl.198.20"></a><var>198.20</var>between the commissioner and a clinic on issues identified under this subdivision,
         and in <br />
         		<a id="pl.198.21"></a><var>198.21</var>accordance with United States Code, title 42, section 1396a(bb), no supplemental payments
         <br />
         		<a id="pl.198.22"></a><var>198.22</var>for managed care plan or county-based purchasing plan claims for services provided
         prior <br />
         		<a id="pl.198.23"></a><var>198.23</var>to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics
         are <br />
         		<a id="pl.198.24"></a><var>198.24</var>unable to resolve issues under this subdivision, the parties shall submit the dispute
         to the <br />
         		<a id="pl.198.25"></a><var>198.25</var>arbitration process under section 
         <statute_ref>14.57</statute_ref>.<br />
         		<a id="pl.198.26"></a><var>198.26</var>&#160;&#160;&#160;&#160;(j) (k) The commissioner shall seek a federal waiver, authorized under section 1115 of <br />
         		<a id="pl.198.27"></a><var>198.27</var>the Social Security Act, to obtain federal financial participation at the 100 percent
         federal <br />
         		<a id="pl.198.28"></a><var>198.28</var>matching percentage available to facilities of the Indian Health Service or tribal
         organization <br />
         		<a id="pl.198.29"></a><var>198.29</var>in accordance with section 1905(b) of the Social Security Act for expenditures made
         to <br />
         		<a id="pl.198.30"></a><var>198.30</var>organizations dually certified under Title V of the Indian Health Care Improvement
         Act, <br />
         		<a id="pl.198.31"></a><var>198.31</var>Public Law 94-437, and as a federally qualified health center FQHC under paragraph (a) <br />
         		<a id="pl.198.32"></a><var>198.32</var>that provides services to American Indian and Alaskan Native individuals eligible
         for <br />
         		<a id="pl.198.33"></a><var>198.33</var>services under this subdivision.<br />
         		<a id="pl.199.1"></a><var>199.1</var>&#160;&#160;&#160;&#160;(l) Effective for services provided on or after January 1, 2019, all claims for payment
         <br />
         		<a id="pl.199.2"></a><var>199.2</var>of clinic services provided by FQHCs and rural health clinics shall be paid by the
         <br />
         		<a id="pl.199.3"></a><var>199.3</var>commissioner according to the current prospective payment system described in paragraph
         <br />
         		<a id="pl.199.4"></a><var>199.4</var>(f), or an alternative payment methodology with the following requirements:<br />
         		<a id="pl.199.5"></a><var>199.5</var>&#160;&#160;&#160;&#160;(1) each FQHC and rural health clinic must receive a single medical and a single dental
         <br />
         		<a id="pl.199.6"></a><var>199.6</var>organization rate;<br />
         		<a id="pl.199.7"></a><var>199.7</var>&#160;&#160;&#160;&#160;(2) the commissioner shall reimburse FQHCs and rural health clinics for allowable
         costs, <br />
         		<a id="pl.199.8"></a><var>199.8</var>including direct patient care costs and patient-related support services, based upon
         Medicare <br />
         		<a id="pl.199.9"></a><var>199.9</var>cost principles that apply at the time the alternative payment methodology is calculated;<br />
         		<a id="pl.199.10"></a><var>199.10</var>&#160;&#160;&#160;&#160;(3) the 2019 payment rates for FQHCs and rural health clinics:<br />
         		<a id="pl.199.11"></a><var>199.11</var>&#160;&#160;&#160;&#160;(i) must be determined using each FQHC's and rural health clinic's Medicare cost reports
         <br />
         		<a id="pl.199.12"></a><var>199.12</var>from 2015 and 2016. A provider must submit the required cost reports to the commissioner
         <br />
         		<a id="pl.199.13"></a><var>199.13</var>within six months of the second base year calendar or fiscal year end. Cost reports
         must be <br />
         		<a id="pl.199.14"></a><var>199.14</var>submitted six months before the quarter in which the base rate will take effect;<br />
         		<a id="pl.199.15"></a><var>199.15</var>&#160;&#160;&#160;&#160;(ii) must be according to current Medicare cost principles applicable to FQHCs and
         rural <br />
         		<a id="pl.199.16"></a><var>199.16</var>health clinics at the time of the alternative payment rate calculation without the
         application <br />
         		<a id="pl.199.17"></a><var>199.17</var>of productivity screens and upper payment limits or the Medicare prospective payment
         <br />
         		<a id="pl.199.18"></a><var>199.18</var>system FQHC aggregate mean upper payment limit; and<br />
         		<a id="pl.199.19"></a><var>199.19</var>&#160;&#160;&#160;&#160;(iii) must provide for a 60-day appeals process;<br />
         		<a id="pl.199.20"></a><var>199.20</var>&#160;&#160;&#160;&#160;(4) the commissioner shall inflate the base year payment rate for FQHCs and rural
         health <br />
         		<a id="pl.199.21"></a><var>199.21</var>clinics to the effective date by using the Bureau of Economic Analysis's personal
         consumption <br />
         		<a id="pl.199.22"></a><var>199.22</var>expenditures medical care inflator;<br />
         		<a id="pl.199.23"></a><var>199.23</var>&#160;&#160;&#160;&#160;(5) the commissioner shall establish a statewide trend inflator using 2015-2020 costs
         <br />
         		<a id="pl.199.24"></a><var>199.24</var>replacing the use of the personal consumption expenditures medical care inflator with
         the <br />
         		<a id="pl.199.25"></a><var>199.25</var>2023 rate calculation forward;<br />
         		<a id="pl.199.26"></a><var>199.26</var>&#160;&#160;&#160;&#160;(6) FQHC and rural health clinic payment rates shall be rebased by the commissioner
         <br />
         		<a id="pl.199.27"></a><var>199.27</var>every two years using the methodology described in clause (3), using the provider's
         Medicare <br />
         		<a id="pl.199.28"></a><var>199.28</var>cost reports from the previous third and fourth years. In nonrebasing years, the commissioner
         <br />
         		<a id="pl.199.29"></a><var>199.29</var>shall adjust using the Medicare economic index until 2023 when the statewide trend
         inflator <br />
         		<a id="pl.199.30"></a><var>199.30</var>is available;<br />
         		<a id="pl.199.31"></a><var>199.31</var>&#160;&#160;&#160;&#160;(7) the commissioner shall increase payments by two percent according to Laws 2003,
         <br />
         		<a id="pl.199.32"></a><var>199.32</var>First Special Session chapter 14, article 13C, section 2, subdivision 6. This is an
         add-on to <br />
         		<a id="pl.199.33"></a><var>199.33</var>the rate and must not be included in the base rate calculation;<br />
         		<a id="pl.200.1"></a><var>200.1</var>&#160;&#160;&#160;&#160;(8) for FQHCs and rural health clinics seeking a change of scope of services:<br />
         		<a id="pl.200.2"></a><var>200.2</var>&#160;&#160;&#160;&#160;(i) the commissioner shall require FQHCs and rural health clinics to submit requests
         to <br />
         		<a id="pl.200.3"></a><var>200.3</var>the commissioner, if the change of scope would result in the medical or dental payment
         rate <br />
         		<a id="pl.200.4"></a><var>200.4</var>currently received by the FQHC or rural health clinic increasing or decreasing by
         at least <br />
         		<a id="pl.200.5"></a><var>200.5</var>2-1/2 percent;<br />
         		<a id="pl.200.6"></a><var>200.6</var>&#160;&#160;&#160;&#160;(ii) FQHCs and rural health clinics shall submit the request to the commissioner within
         <br />
         		<a id="pl.200.7"></a><var>200.7</var>seven business days of submission of the scope change to the federal Health Resources
         <br />
         		<a id="pl.200.8"></a><var>200.8</var>Services Administration;<br />
         		<a id="pl.200.9"></a><var>200.9</var>&#160;&#160;&#160;&#160;(iii) the effective date of the payment change is the date the Health Resources Services
         <br />
         		<a id="pl.200.10"></a><var>200.10</var>Administration approves the FQHC's or rural health clinic's change of scope request;<br />
         		<a id="pl.200.11"></a><var>200.11</var>&#160;&#160;&#160;&#160;(iv) for change of scope requests that do not require Health Resources Services <br />
         		<a id="pl.200.12"></a><var>200.12</var>Administration approval, FQHCs and rural health clinics shall submit the request to
         the <br />
         		<a id="pl.200.13"></a><var>200.13</var>commissioner before implementing the change, and the effective date of the change
         is the <br />
         		<a id="pl.200.14"></a><var>200.14</var>date the commissioner receives the request from the FQHC or rural health clinic; and<br />
         		<a id="pl.200.15"></a><var>200.15</var>&#160;&#160;&#160;&#160;(v) the commissioner shall provide a response to the FQHC's or rural health clinic's
         <br />
         		<a id="pl.200.16"></a><var>200.16</var>change of scope request within 45 days of submission and provide a final decision
         regarding <br />
         		<a id="pl.200.17"></a><var>200.17</var>approval or disapproval within 120 days of submission. If more information is needed
         to <br />
         		<a id="pl.200.18"></a><var>200.18</var>evaluate the request, this timeline may be waived by mutual agreement of the commissioner
         <br />
         		<a id="pl.200.19"></a><var>200.19</var>and the FQHC or rural health clinic; and<br />
         		<a id="pl.200.20"></a><var>200.20</var>&#160;&#160;&#160;&#160;(9) the commissioner shall establish a payment rate for new FQHC and rural health
         <br />
         		<a id="pl.200.21"></a><var>200.21</var>clinic organizations, considering the following factors:<br />
         		<a id="pl.200.22"></a><var>200.22</var>&#160;&#160;&#160;&#160;(i) a comparison of patient caseload of FQHCs and rural health clinics within a 60-mile
         <br />
         		<a id="pl.200.23"></a><var>200.23</var>radius for organizations established outside the seven-county metropolitan area and
         within <br />
         		<a id="pl.200.24"></a><var>200.24</var>a 30-mile radius for organizations within the seven-county metropolitan area; and<br />
         		<a id="pl.200.25"></a><var>200.25</var>&#160;&#160;&#160;&#160;(ii) if a comparison is not feasible under item (i), the commissioner may use Medicare
         <br />
         		<a id="pl.200.26"></a><var>200.26</var>cost reports or audited financial statements to establish the base rate.<br />
         		<br />
         		<a id="bill.4.27.0"></a><a id="pl.200.27"></a><var>200.27</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision <br />
         		<a id="pl.200.28"></a><var>200.28</var>to read:<br />
         		<a id="pl.200.29"></a><var>200.29</var>&#160;&#160;&#160;&#160;Subd. 56a. <b>Post-arrest community-based service coordination.</b> (a) Medical assistance <br />
         		<a id="pl.200.30"></a><var>200.30</var>covers post-arrest community-based service coordination for an individual who:<br />
         		<a id="pl.200.31"></a><var>200.31</var>(1) has been identified as having a mental illness or substance use disorder using
         a <br />
         		<a id="pl.200.32"></a><var>200.32</var>screening tool approved by the commissioner;<br />
         		<a id="pl.201.1"></a><var>201.1</var>(2) does not require the security of a public detention facility and is not considered
         an <br />
         		<a id="pl.201.2"></a><var>201.2</var>inmate of a public institution as defined in Code of Federal Regulations, title 42,
         section <br />
         		<a id="pl.201.3"></a><var>201.3</var>435.1010;<br />
         		<a id="pl.201.4"></a><var>201.4</var>(3) meets the eligibility requirements in section 256B.056; and<br />
         		<a id="pl.201.5"></a><var>201.5</var>(4) has agreed to participate in post-arrest community-based service coordination
         through <br />
         		<a id="pl.201.6"></a><var>201.6</var>a diversion contract in lieu of incarceration.<br />
         		<a id="pl.201.7"></a><var>201.7</var>(b) Post-arrest community-based service coordination means navigating services to
         <br />
         		<a id="pl.201.8"></a><var>201.8</var>address a client's mental health, chemical health, social, economic, and housing needs,
         or <br />
         		<a id="pl.201.9"></a><var>201.9</var>any other activity targeted at reducing the incidence of jail utilization and connecting
         <br />
         		<a id="pl.201.10"></a><var>201.10</var>individuals with existing covered services available to them, including, but not limited
         to, <br />
         		<a id="pl.201.11"></a><var>201.11</var>targeted case management, waiver case management, or care coordination.<br />
         		<a id="pl.201.12"></a><var>201.12</var>(c) Post-arrest community-based service coordination must be provided by individuals
         <br />
         		<a id="pl.201.13"></a><var>201.13</var>who are qualified under one of the following criteria:<br />
         		<a id="pl.201.14"></a><var>201.14</var>(1) a licensed mental health professional as defined in section 245.462, subdivision
         18, <br />
         		<a id="pl.201.15"></a><var>201.15</var>clauses (1) to (6);<br />
         		<a id="pl.201.16"></a><var>201.16</var>(2) a mental health practitioner as defined in section 245.462, subdivision 17, working
         <br />
         		<a id="pl.201.17"></a><var>201.17</var>under the clinical supervision of a mental health professional; or<br />
         		<a id="pl.201.18"></a><var>201.18</var>(3) a certified peer specialist under section 256B.0615, working under the clinical
         <br />
         		<a id="pl.201.19"></a><var>201.19</var>supervision of a mental health professional.<br />
         		<a id="pl.201.20"></a><var>201.20</var>(d) Reimbursement must be made in 15-minute increments and allowed for up to 60 <br />
         		<a id="pl.201.21"></a><var>201.21</var>days following the initial determination of eligibility.<br />
         		<a id="pl.201.22"></a><var>201.22</var>(e) Providers of post-arrest community-based service coordination shall annually report
         <br />
         		<a id="pl.201.23"></a><var>201.23</var>to the commissioner on the number of individuals served, and number of the <br />
         		<a id="pl.201.24"></a><var>201.24</var>community-based services that were accessed by recipients. The commissioner shall
         ensure <br />
         		<a id="pl.201.25"></a><var>201.25</var>that services and payments provided under post-arrest community-based service coordination
         <br />
         		<a id="pl.201.26"></a><var>201.26</var>do not duplicate services or payments provided under section 256B.0625, subdivision
         20, <br />
         		<a id="pl.201.27"></a><var>201.27</var>256B.0753, 256B.0755, or 256B.0757.<br />
         		<a id="pl.201.28"></a><var>201.28</var>(f) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of cost for
         <br />
         		<a id="pl.201.29"></a><var>201.29</var>post-arrest community-based service coordination services shall be provided by the
         recipient's <br />
         		<a id="pl.201.30"></a><var>201.30</var>county of residence, from sources other than federal funds or funds used to match
         other <br />
         		<a id="pl.201.31"></a><var>201.31</var>federal funds.<br />
         		<a id="pl.202.1"></a><var>202.1</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval for services <br />
         		<a id="pl.202.2"></a><var>202.2</var>provided on or after July 1, 2017. The commissioner of human services shall notify
         the <br />
         		<a id="pl.202.3"></a><var>202.3</var>revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.28.0"></a><a id="pl.202.4"></a><var>202.4</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2016, section 256B.0625, subdivision 64, is amended to read:<br />
         		<a id="pl.202.5"></a><var>202.5</var>&#160;&#160;&#160;&#160;Subd. 64. <b>Investigational drugs, biological products, and devices.</b> (a) Medical <br />
         		<a id="pl.202.6"></a><var>202.6</var>assistance and the early periodic screening, diagnosis, and treatment (EPSDT) program
         do <br />
         		<a id="pl.202.7"></a><var>202.7</var>not cover costs incidental to, associated with, or resulting from the use of investigational
         <br />
         		<a id="pl.202.8"></a><var>202.8</var>drugs, biological products, or devices as defined in section 
         <statute_ref>151.375</statute_ref>.<br />
         		<a id="pl.202.9"></a><var>202.9</var>(b) Notwithstanding paragraph (a), stiripentol may be covered by the EPSDT program
         <br />
         		<a id="pl.202.10"></a><var>202.10</var>if all the following conditions are met:<br />
         		<a id="pl.202.11"></a><var>202.11</var>(1) the use of stiripentol is determined to be medically necessary;<br />
         		<a id="pl.202.12"></a><var>202.12</var>(2) the enrollee has a documented diagnosis of Dravet syndrome, regardless of whether
         <br />
         		<a id="pl.202.13"></a><var>202.13</var>an SCN1A genetic mutation is found, or the enrollee is a child with malignant migrating
         <br />
         		<a id="pl.202.14"></a><var>202.14</var>partial epilepsy in infancy due to an SCN2A genetic mutation;<br />
         		<a id="pl.202.15"></a><var>202.15</var>(3) all other available covered prescription medications that are medically necessary
         for <br />
         		<a id="pl.202.16"></a><var>202.16</var>the enrollee have been tried without successful outcomes; and<br />
         		<a id="pl.202.17"></a><var>202.17</var>(4) the United States Food and Drug Administration has approved the treating physician's
         <br />
         		<a id="pl.202.18"></a><var>202.18</var>individual patient investigational new drug application (IND) for the use of stiripentol
         for <br />
         		<a id="pl.202.19"></a><var>202.19</var>treatment.<br />
         		<a id="pl.202.20"></a><var>202.20</var>This paragraph does not apply to MinnesotaCare coverage under chapter 256L.<br />
         		<br />
         		<a id="bill.4.29.0"></a><a id="pl.202.21"></a><var>202.21</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 256B.072, is amended to read:<br />
         		<a id="pl.202.22"></a><var>202.22</var><b>256B.072 PERFORMANCE REPORTING AND QUALITY IMPROVEMENT </b><br />
         		<a id="pl.202.23"></a><var>202.23</var><b>SYSTEM.</b><br />
         		<a id="pl.202.24"></a><var>202.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Performance measures.</b> (a) The commissioner of human services shall <br />
         		<a id="pl.202.25"></a><var>202.25</var>establish a performance reporting system for health care providers who provide health
         care <br />
         		<a id="pl.202.26"></a><var>202.26</var>services to public program recipients covered under chapters 256B, 256D, and 256L,
         <br />
         		<a id="pl.202.27"></a><var>202.27</var>reporting separately for managed care and fee-for-service recipients.<br />
         		<a id="pl.202.28"></a><var>202.28</var>(b) The measures used for the performance reporting system for medical groups shall
         <br />
         		<a id="pl.202.29"></a><var>202.29</var>include measures of care for asthma, diabetes, hypertension, and coronary artery disease
         <br />
         		<a id="pl.202.30"></a><var>202.30</var>and measures of preventive care services. The measures used for the performance reporting
         <br />
         		<a id="pl.202.31"></a><var>202.31</var>system for inpatient hospitals shall include measures of care for acute myocardial
         infarction, <br />
         		<a id="pl.203.1"></a><var>203.1</var>heart failure, and pneumonia, and measures of care and prevention of surgical infections.
         <br />
         		<a id="pl.203.2"></a><var>203.2</var>In the case of a medical group, the measures used shall be consistent with measures
         published <br />
         		<a id="pl.203.3"></a><var>203.3</var>by nonprofit Minnesota or national organizations that produce and disseminate health
         care <br />
         		<a id="pl.203.4"></a><var>203.4</var>quality measures or evidence-based health care guidelines. In the case of inpatient
         hospital <br />
         		<a id="pl.203.5"></a><var>203.5</var>measures, the commissioner shall appoint the Minnesota Hospital Association and Stratis
         <br />
         		<a id="pl.203.6"></a><var>203.6</var>Health to advise on the development of the performance measures to be used for hospital
         <br />
         		<a id="pl.203.7"></a><var>203.7</var>reporting. To enable a consistent measurement process across the community, the <br />
         		<a id="pl.203.8"></a><var>203.8</var>commissioner may use measures of care provided for patients in addition to those identified
         <br />
         		<a id="pl.203.9"></a><var>203.9</var>in paragraph (a). The commissioner shall ensure collaboration with other health care
         reporting <br />
         		<a id="pl.203.10"></a><var>203.10</var>organizations so that the measures described in this section are consistent with those
         reported <br />
         		<a id="pl.203.11"></a><var>203.11</var>by those organizations and used by other purchasers in Minnesota.<br />
         		<a id="pl.203.12"></a><var>203.12</var>(c) The commissioner may require providers to submit information in a required format
         <br />
         		<a id="pl.203.13"></a><var>203.13</var>to a health care reporting organization or to cooperate with the information collection
         <br />
         		<a id="pl.203.14"></a><var>203.14</var>procedures of that organization. The commissioner may collaborate with a reporting
         <br />
         		<a id="pl.203.15"></a><var>203.15</var>organization to collect information reported and to prevent duplication of reporting.<br />
         		<a id="pl.203.16"></a><var>203.16</var>(d) By October 1, 2007, and annually thereafter, the commissioner shall report through
         <br />
         		<a id="pl.203.17"></a><var>203.17</var>a public Web site the results by medical groups and hospitals, where possible, of
         the measures <br />
         		<a id="pl.203.18"></a><var>203.18</var>under this section, and shall compare the results by medical groups and hospitals
         for patients <br />
         		<a id="pl.203.19"></a><var>203.19</var>enrolled in public programs to patients enrolled in private health plans. To achieve
         this <br />
         		<a id="pl.203.20"></a><var>203.20</var>reporting, the commissioner may collaborate with a health care reporting organization
         that <br />
         		<a id="pl.203.21"></a><var>203.21</var>operates a Web site suitable for this purpose.<br />
         		<a id="pl.203.22"></a><var>203.22</var>(e) Performance measures must be stratified as provided under section 
         <statute_ref>62U.02</statute_ref>, <br />
         		<a id="pl.203.23"></a><var>203.23</var>subdivision 1, paragraph (b), and risk-adjusted as specified in section 
         <statute_ref>62U.02, subdivision <br />
            		
         </statute_ref><a id="pl.203.24"></a><var>203.24</var>3, paragraph (b).<br />
         		<a id="pl.203.25"></a><var>203.25</var>(f) Assessment of patient satisfaction with chronic pain management for the purpose
         of <br />
         		<a id="pl.203.26"></a><var>203.26</var>determining compensation or quality incentive payments is prohibited. The commissioner
         <br />
         		<a id="pl.203.27"></a><var>203.27</var>shall require managed care plans, county-based purchasing plans, and integrated health
         <br />
         		<a id="pl.203.28"></a><var>203.28</var>partnerships to comply with this requirement as a condition of contract. This prohibition
         <br />
         		<a id="pl.203.29"></a><var>203.29</var>does not apply to:<br />
         		<a id="pl.203.30"></a><var>203.30</var>(1) assessing patient satisfaction with chronic pain management for the purpose of
         quality <br />
         		<a id="pl.203.31"></a><var>203.31</var>improvement; and<br />
         		<a id="pl.203.32"></a><var>203.32</var>(2) pain management as a part of a palliative care treatment plan to treat patients
         with <br />
         		<a id="pl.203.33"></a><var>203.33</var>cancer or patients receiving hospice care.<br />
         		<a id="pl.204.1"></a><var>204.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Adjustment of quality metrics for special populations.</b> Notwithstanding <br />
         		<a id="pl.204.2"></a><var>204.2</var>subdivision 1, paragraph (b), by January 1, 2019, the commissioner shall consider
         and <br />
         		<a id="pl.204.3"></a><var>204.3</var>appropriately adjust quality metrics and benchmarks for providers who primarily serve
         <br />
         		<a id="pl.204.4"></a><var>204.4</var>socio-economically complex patient populations and request to be scored on additional
         <br />
         		<a id="pl.204.5"></a><var>204.5</var>measures in this subdivision. This requirement applies to all medical assistance and
         <br />
         		<a id="pl.204.6"></a><var>204.6</var>MinnesotaCare programs and enrollees, including persons enrolled in managed care and
         <br />
         		<a id="pl.204.7"></a><var>204.7</var>county-based purchasing plans or other managed care organizations, persons receiving
         care <br />
         		<a id="pl.204.8"></a><var>204.8</var>under fee-for-service, and persons receiving care under value-based purchasing arrangements,
         <br />
         		<a id="pl.204.9"></a><var>204.9</var>including but not limited to initiatives operating under sections 256B.0751, 256B.0753,
         <br />
         		<a id="pl.204.10"></a><var>204.10</var>256B.0755, 256B.0756, and 256B.0757.<br />
         		<br />
         		<a id="bill.4.30.0"></a><a id="pl.204.11"></a><var>204.11</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 256B.0755, subdivision 1, is amended to read:<br />
         		<a id="pl.204.12"></a><var>204.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Implementation.</b> (a) The commissioner shall develop and authorize <br />
         		<a id="pl.204.13"></a><var>204.13</var>continue a demonstration project established under this section to test alternative and <br />
         		<a id="pl.204.14"></a><var>204.14</var>innovative integrated health care delivery systems partnerships, including accountable care <br />
         		<a id="pl.204.15"></a><var>204.15</var>organizations that provide services to a specified patient population for an agreed-upon
         total <br />
         		<a id="pl.204.16"></a><var>204.16</var>cost of care or risk/gain sharing payment arrangement. The commissioner shall develop
         a <br />
         		<a id="pl.204.17"></a><var>204.17</var>request for proposals for participation in the demonstration project in consultation
         with <br />
         		<a id="pl.204.18"></a><var>204.18</var>hospitals, primary care providers, health plans, and other key stakeholders.<br />
         		<a id="pl.204.19"></a><var>204.19</var>(b) In developing the request for proposals, the commissioner shall:<br />
         		<a id="pl.204.20"></a><var>204.20</var>(1) establish uniform statewide methods of forecasting utilization and cost of care
         for <br />
         		<a id="pl.204.21"></a><var>204.21</var>the appropriate Minnesota public program populations, to be used by the commissioner
         for <br />
         		<a id="pl.204.22"></a><var>204.22</var>the health care delivery system integrated health partnership projects;<br />
         		<a id="pl.204.23"></a><var>204.23</var>(2) identify key indicators of quality, access, patient satisfaction, and other performance
         <br />
         		<a id="pl.204.24"></a><var>204.24</var>indicators that will be measured, in addition to indicators for measuring cost savings;<br />
         		<a id="pl.204.25"></a><var>204.25</var>(3) allow maximum flexibility to encourage innovation and variation so that a variety
         <br />
         		<a id="pl.204.26"></a><var>204.26</var>of provider collaborations are able to become health care delivery systems integrated health <br />
         		<a id="pl.204.27"></a><var>204.27</var>partnerships, and may be customized for the special needs and barriers of patient
         populations <br />
         		<a id="pl.204.28"></a><var>204.28</var>experiencing health disparities due to social, economic, racial, or ethnic factors,;<br />
         		<a id="pl.204.29"></a><var>204.29</var>(4) encourage and authorize different levels and types of financial risk;<br />
         		<a id="pl.204.30"></a><var>204.30</var>(5) encourage and authorize projects representing a wide variety of geographic locations,
         <br />
         		<a id="pl.204.31"></a><var>204.31</var>patient populations, provider relationships, and care coordination models;<br />
         		<a id="pl.204.32"></a><var>204.32</var>(6) encourage projects that involve close partnerships between the health care delivery <br />
         		<a id="pl.204.33"></a><var>204.33</var>system integrated health partnership and counties and nonprofit agencies that provide services <br />
         		<a id="pl.205.1"></a><var>205.1</var>to patients enrolled with the health care delivery system integrated health partnership, <br />
         		<a id="pl.205.2"></a><var>205.2</var>including social services, public health, mental health, community-based services,
         and <br />
         		<a id="pl.205.3"></a><var>205.3</var>continuing care;<br />
         		<a id="pl.205.4"></a><var>205.4</var>(7) encourage projects established by community hospitals, clinics, and other providers
         <br />
         		<a id="pl.205.5"></a><var>205.5</var>in rural communities;<br />
         		<a id="pl.205.6"></a><var>205.6</var>(8) identify required covered services for a total cost of care model or services
         considered <br />
         		<a id="pl.205.7"></a><var>205.7</var>in whole or partially in an analysis of utilization for a risk/gain sharing model;<br />
         		<a id="pl.205.8"></a><var>205.8</var>(9) establish a mechanism to monitor enrollment;<br />
         		<a id="pl.205.9"></a><var>205.9</var>(10) establish quality standards for the delivery system integrated health partnership <br />
         		<a id="pl.205.10"></a><var>205.10</var>demonstrations that are appropriate for the particular patient population to be served; and<br />
         		<a id="pl.205.11"></a><var>205.11</var>(11) encourage participation of privately insured population so as to create sufficient
         <br />
         		<a id="pl.205.12"></a><var>205.12</var>alignment in demonstration systems.<br />
         		<a id="pl.205.13"></a><var>205.13</var>(c) To be eligible to participate in the demonstration project an integrated health <br />
         		<a id="pl.205.14"></a><var>205.14</var>partnership, a health care delivery system must:<br />
         		<a id="pl.205.15"></a><var>205.15</var>(1) provide required covered services and care coordination to recipients enrolled
         in the <br />
         		<a id="pl.205.16"></a><var>205.16</var>health care delivery system integrated health partnership;<br />
         		<a id="pl.205.17"></a><var>205.17</var>(2) establish a process to monitor enrollment and ensure the quality of care provided;<br />
         		<a id="pl.205.18"></a><var>205.18</var>(3) in cooperation with counties and community social service agencies, coordinate
         the <br />
         		<a id="pl.205.19"></a><var>205.19</var>delivery of health care services with existing social services programs;<br />
         		<a id="pl.205.20"></a><var>205.20</var>(4) provide a system for advocacy and consumer protection; and<br />
         		<a id="pl.205.21"></a><var>205.21</var>(5) adopt innovative and cost-effective methods of care delivery and coordination,
         which <br />
         		<a id="pl.205.22"></a><var>205.22</var>may include the use of allied health professionals, telemedicine, patient educators,
         care <br />
         		<a id="pl.205.23"></a><var>205.23</var>coordinators, and community health workers.<br />
         		<a id="pl.205.24"></a><var>205.24</var>(d) A health care delivery system An integrated health partnership demonstration may <br />
         		<a id="pl.205.25"></a><var>205.25</var>be formed by the following groups of providers of services and suppliers if they have
         <br />
         		<a id="pl.205.26"></a><var>205.26</var>established a mechanism for shared governance:<br />
         		<a id="pl.205.27"></a><var>205.27</var>(1) professionals in group practice arrangements;<br />
         		<a id="pl.205.28"></a><var>205.28</var>(2) networks of individual practices of professionals;<br />
         		<a id="pl.205.29"></a><var>205.29</var>(3) partnerships or joint venture arrangements between hospitals and health care <br />
         		<a id="pl.205.30"></a><var>205.30</var>professionals;<br />
         		<a id="pl.205.31"></a><var>205.31</var>(4) hospitals employing professionals; and<br />
         		<a id="pl.206.1"></a><var>206.1</var>(5) other groups of providers of services and suppliers as the commissioner determines
         <br />
         		<a id="pl.206.2"></a><var>206.2</var>appropriate.<br />
         		<a id="pl.206.3"></a><var>206.3</var>A managed care plan or county-based purchasing plan may participate in this <br />
         		<a id="pl.206.4"></a><var>206.4</var>demonstration in collaboration with one or more of the entities listed in clauses
         (1) to (5).<br />
         		<a id="pl.206.5"></a><var>206.5</var>A health care delivery system An integrated health partnership may contract with a <br />
         		<a id="pl.206.6"></a><var>206.6</var>managed care plan or a county-based purchasing plan to provide administrative services,
         <br />
         		<a id="pl.206.7"></a><var>206.7</var>including the administration of a payment system using the payment methods established
         <br />
         		<a id="pl.206.8"></a><var>206.8</var>by the commissioner for health care delivery systems integrated health partnerships.<br />
         		<a id="pl.206.9"></a><var>206.9</var>(e) The commissioner may require a health care delivery system an integrated health <br />
         		<a id="pl.206.10"></a><var>206.10</var>partnership to enter into additional third-party contractual relationships for the assessment
         <br />
         		<a id="pl.206.11"></a><var>206.11</var>of risk and purchase of stop loss insurance or another form of insurance risk management
         <br />
         		<a id="pl.206.12"></a><var>206.12</var>related to the delivery of care described in paragraph (c).<br />
         		<a id="pl.206.13"></a><var>206.13</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.4.31.0"></a><a id="pl.206.14"></a><var>206.14</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 256B.0755, subdivision 3, is amended to read:<br />
         		<a id="pl.206.15"></a><var>206.15</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Accountability.</b> (a) Health care delivery systems Integrated health partnerships <br />
         		<a id="pl.206.16"></a><var>206.16</var>must accept responsibility for the quality of care based on standards established
         under <br />
         		<a id="pl.206.17"></a><var>206.17</var>subdivision 1, paragraph (b), clause (10), and the cost of care or utilization of
         services <br />
         		<a id="pl.206.18"></a><var>206.18</var>provided to its enrollees under subdivision 1, paragraph (b), clause (1). Accountability <br />
         		<a id="pl.206.19"></a><var>206.19</var>standards must be appropriate to the particular population served.<br />
         		<a id="pl.206.20"></a><var>206.20</var>(b) A health care delivery system An integrated health partnership may contract and <br />
         		<a id="pl.206.21"></a><var>206.21</var>coordinate with providers and clinics for the delivery of services and shall contract
         with <br />
         		<a id="pl.206.22"></a><var>206.22</var>community health clinics, federally qualified health centers, community mental health
         <br />
         		<a id="pl.206.23"></a><var>206.23</var>centers or programs, county agencies, and rural clinics to the extent practicable.<br />
         		<a id="pl.206.24"></a><var>206.24</var>(c) A health care delivery system An integrated health partnership must indicate how it <br />
         		<a id="pl.206.25"></a><var>206.25</var>will coordinate with other services affecting its patients' health, quality of care,
         and cost of <br />
         		<a id="pl.206.26"></a><var>206.26</var>care that are provided by other providers, county agencies, and other organizations
         in the <br />
         		<a id="pl.206.27"></a><var>206.27</var>local service area. The health care delivery system integrated health partnership must indicate <br />
         		<a id="pl.206.28"></a><var>206.28</var>how it will engage other providers, counties, and organizations, including county-based
         <br />
         		<a id="pl.206.29"></a><var>206.29</var>purchasing plans, that provide services to patients of the health care delivery system <br />
         		<a id="pl.206.30"></a><var>206.30</var>integrated health partnership on issues related to local population health, including applicable <br />
         		<a id="pl.206.31"></a><var>206.31</var>local needs, priorities, and public health goals. The health care delivery system integrated <br />
         		<a id="pl.206.32"></a><var>206.32</var>health partnership must describe how local providers, counties, organizations, including <br />
         		<a id="pl.207.1"></a><var>207.1</var>county-based purchasing plans, and other relevant purchasers were consulted in developing
         <br />
         		<a id="pl.207.2"></a><var>207.2</var>the application to participate in the demonstration project.<br />
         		<br />
         		<a id="bill.4.32.0"></a><a id="pl.207.3"></a><var>207.3</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 256B.0755, subdivision 4, is amended to read:<br />
         		<a id="pl.207.4"></a><var>207.4</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Payment system.</b> (a) In developing a payment system for health care delivery <br />
         		<a id="pl.207.5"></a><var>207.5</var>systems integrated health partnerships, the commissioner shall establish a total cost of care <br />
         		<a id="pl.207.6"></a><var>207.6</var>benchmark or a risk/gain sharing payment model to be paid for services provided to
         the <br />
         		<a id="pl.207.7"></a><var>207.7</var>recipients enrolled in a health care delivery system an integrated health partnership.<br />
         		<a id="pl.207.8"></a><var>207.8</var>(b) The payment system may include incentive payments to health care delivery systems <br />
         		<a id="pl.207.9"></a><var>207.9</var>integrated health partnerships that meet or exceed annual quality and performance targets <br />
         		<a id="pl.207.10"></a><var>207.10</var>realized through the coordination of care.<br />
         		<a id="pl.207.11"></a><var>207.11</var>(c) An amount equal to the savings realized to the general fund as a result of the
         <br />
         		<a id="pl.207.12"></a><var>207.12</var>demonstration project shall be transferred each fiscal year to the health care access
         fund.<br />
         		<a id="pl.207.13"></a><var>207.13</var>(d) The payment system shall include a population-based payment that supports care
         <br />
         		<a id="pl.207.14"></a><var>207.14</var>coordination services for all enrollees served by the integrated health partnerships,
         and is <br />
         		<a id="pl.207.15"></a><var>207.15</var>risk-adjusted to reflect varying levels of care coordination intensiveness for enrollees
         with <br />
         		<a id="pl.207.16"></a><var>207.16</var>chronic conditions, limited English skills, cultural differences, are homeless, or
         experience <br />
         		<a id="pl.207.17"></a><var>207.17</var>health disparities or other barriers to health care. The population-based payment
         shall be a <br />
         		<a id="pl.207.18"></a><var>207.18</var>per member, per month payment paid at least on a quarterly basis. Integrated health
         <br />
         		<a id="pl.207.19"></a><var>207.19</var>partnerships receiving this payment must continue to meet cost and quality metrics
         under <br />
         		<a id="pl.207.20"></a><var>207.20</var>the program to maintain eligibility for the population-based payment. An integrated
         health <br />
         		<a id="pl.207.21"></a><var>207.21</var>partnership is eligible to receive a payment under this paragraph even if the partnership
         is <br />
         		<a id="pl.207.22"></a><var>207.22</var>not participating in a risk-based or gain-sharing payment model and regardless of
         the size <br />
         		<a id="pl.207.23"></a><var>207.23</var>of the patient population served by the integrated health partnership. Any integrated
         health <br />
         		<a id="pl.207.24"></a><var>207.24</var>partnership participant certified as a health care home under section 256B.0751 that
         agrees <br />
         		<a id="pl.207.25"></a><var>207.25</var>to a payment method that includes population-based payments for care coordination
         is not <br />
         		<a id="pl.207.26"></a><var>207.26</var>eligible to receive health care home payment or care coordination fee authorized under
         <br />
         		<a id="pl.207.27"></a><var>207.27</var>section 62U.03 or 256B.0753, subdivision 1, or in-reach care coordination under section
         <br />
         		<a id="pl.207.28"></a><var>207.28</var>256B.0625, subdivision 56, for any medical assistance or MinnesotaCare recipients
         enrolled <br />
         		<a id="pl.207.29"></a><var>207.29</var>or attributed to the integrated health partnership under this demonstration.<br />
         		<a id="pl.207.30"></a><var>207.30</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.4.33.0"></a><a id="pl.208.1"></a><var>208.1</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 256B.0755, is amended by adding a subdivision <br />
         		<a id="pl.208.2"></a><var>208.2</var>to read:<br />
         		<a id="pl.208.3"></a><var>208.3</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Patient incentives.</b> The commissioner may authorize an integrated health <br />
         		<a id="pl.208.4"></a><var>208.4</var>partnership to provide incentives for patients to:<br />
         		<a id="pl.208.5"></a><var>208.5</var>(1) see a primary care provider for an initial health assessment;<br />
         		<a id="pl.208.6"></a><var>208.6</var>(2) maintain a continuous relationship with the primary care provider; and<br />
         		<a id="pl.208.7"></a><var>208.7</var>(3) participate in ongoing health improvement and coordination of care activities.<br />
         		<br />
         		<a id="bill.4.34.0"></a><a id="pl.208.8"></a><var>208.8</var>&#160;&#160;&#160;&#160;Sec. 34. <b>[256B.0759] HEALTH CARE DELIVERY SYSTEMS DEMONSTRATION </b><br />
         		<a id="pl.208.9"></a><var>208.9</var><b>PROJECT.</b><br />
         		<a id="pl.208.10"></a><var>208.10</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Implementation.</b> (a) The commissioner shall develop and implement a <br />
         		<a id="pl.208.11"></a><var>208.11</var>demonstration project to test alternative and innovative health care delivery system
         payment <br />
         		<a id="pl.208.12"></a><var>208.12</var>and care models that provide services to medical assistance and MinnesotaCare enrollees
         <br />
         		<a id="pl.208.13"></a><var>208.13</var>for an agreed-upon, prospective per capita or total cost of care payment. The commissioner
         <br />
         		<a id="pl.208.14"></a><var>208.14</var>shall implement this demonstration project in coordination with, and as an expansion
         of, <br />
         		<a id="pl.208.15"></a><var>208.15</var>the demonstration project authorized under section 256B.0755.<br />
         		<a id="pl.208.16"></a><var>208.16</var>(b) In developing the demonstration project, the commissioner shall:<br />
         		<a id="pl.208.17"></a><var>208.17</var>(1) establish uniform statewide methods of forecasting utilization and cost of care
         for <br />
         		<a id="pl.208.18"></a><var>208.18</var>the medical assistance and MinnesotaCare populations to be served under the health
         care <br />
         		<a id="pl.208.19"></a><var>208.19</var>delivery system project;<br />
         		<a id="pl.208.20"></a><var>208.20</var>(2) identify key indicators of quality, access, and patient satisfaction, and identify
         methods <br />
         		<a id="pl.208.21"></a><var>208.21</var>to measure cost savings;<br />
         		<a id="pl.208.22"></a><var>208.22</var>(3) allow maximum flexibility to encourage innovation and variation so that a variety
         <br />
         		<a id="pl.208.23"></a><var>208.23</var>of provider collaborations are able to participate as health care delivery systems,
         and health <br />
         		<a id="pl.208.24"></a><var>208.24</var>care delivery systems can be customized to address the special needs and barriers
         of patient <br />
         		<a id="pl.208.25"></a><var>208.25</var>populations;<br />
         		<a id="pl.208.26"></a><var>208.26</var>(4) authorize participation by health care delivery systems representing a variety
         of <br />
         		<a id="pl.208.27"></a><var>208.27</var>geographic locations, patient populations, provider relationships, and care coordination
         <br />
         		<a id="pl.208.28"></a><var>208.28</var>models;<br />
         		<a id="pl.208.29"></a><var>208.29</var>(5) recognize the close partnerships between health care delivery systems and the
         counties <br />
         		<a id="pl.208.30"></a><var>208.30</var>and nonprofit agencies that also provide services to patients enrolled in the health
         care <br />
         		<a id="pl.208.31"></a><var>208.31</var>delivery system, including social services, public health, mental health, community-based
         <br />
         		<a id="pl.208.32"></a><var>208.32</var>services, and continuing care;<br />
         		<a id="pl.209.1"></a><var>209.1</var>(6) identify services to be included under a prospective per capita payment model,
         and <br />
         		<a id="pl.209.2"></a><var>209.2</var>project utilization and cost of these services under a total cost of care risk/gain
         sharing <br />
         		<a id="pl.209.3"></a><var>209.3</var>model;<br />
         		<a id="pl.209.4"></a><var>209.4</var>(7) establish a mechanism to monitor enrollment in each health care delivery system;
         <br />
         		<a id="pl.209.5"></a><var>209.5</var>and<br />
         		<a id="pl.209.6"></a><var>209.6</var>(8) establish quality standards for delivery systems that are appropriate for the
         specific <br />
         		<a id="pl.209.7"></a><var>209.7</var>patient populations served.<br />
         		<a id="pl.209.8"></a><var>209.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Requirements for health care delivery systems.</b> (a) To be eligible to participate <br />
         		<a id="pl.209.9"></a><var>209.9</var>in the demonstration project, a health care delivery system must:<br />
         		<a id="pl.209.10"></a><var>209.10</var>(1) provide required services and care coordination to individuals enrolled in the
         health <br />
         		<a id="pl.209.11"></a><var>209.11</var>care delivery system;<br />
         		<a id="pl.209.12"></a><var>209.12</var>(2) establish a process to monitor enrollment and ensure the quality of care provided;<br />
         		<a id="pl.209.13"></a><var>209.13</var>(3) in cooperation with counties and community social service agencies, coordinate
         the <br />
         		<a id="pl.209.14"></a><var>209.14</var>delivery of health care services with existing social services programs;<br />
         		<a id="pl.209.15"></a><var>209.15</var>(4) provide a system for advocacy and consumer protection; and<br />
         		<a id="pl.209.16"></a><var>209.16</var>(5) adopt innovative and cost-effective methods of care delivery and coordination,
         which <br />
         		<a id="pl.209.17"></a><var>209.17</var>may include the use of allied health professionals, telemedicine and patient educators,
         care <br />
         		<a id="pl.209.18"></a><var>209.18</var>coordinators, community paramedics, and community health workers.<br />
         		<a id="pl.209.19"></a><var>209.19</var>(b) A health care delivery system may be formed by the following types of health care
         <br />
         		<a id="pl.209.20"></a><var>209.20</var>providers, if they have established, as applicable, a mechanism for shared governance:<br />
         		<a id="pl.209.21"></a><var>209.21</var>(1) health care providers in group practice arrangements;<br />
         		<a id="pl.209.22"></a><var>209.22</var>(2) networks of health care providers in individual practice;<br />
         		<a id="pl.209.23"></a><var>209.23</var>(3) partnerships or joint venture arrangements between hospitals and health care providers;<br />
         		<a id="pl.209.24"></a><var>209.24</var>(4) hospitals employing or contracting with the necessary range of health care providers;
         <br />
         		<a id="pl.209.25"></a><var>209.25</var>and<br />
         		<a id="pl.209.26"></a><var>209.26</var>(5) other entities, as the commissioner determines appropriate.<br />
         		<a id="pl.209.27"></a><var>209.27</var>(c) A health care delivery system must contract with a third-party administrator to
         provide <br />
         		<a id="pl.209.28"></a><var>209.28</var>administrative services, including the administration of the payment system established
         <br />
         		<a id="pl.209.29"></a><var>209.29</var>under the demonstration project. The third-party administrator must conduct an assessment
         <br />
         		<a id="pl.209.30"></a><var>209.30</var>of risk, and must purchase stop-loss insurance or another form of insurance risk management
         <br />
         		<a id="pl.209.31"></a><var>209.31</var>related to the delivery of care. The commissioner may waive the requirement for contracting
         <br />
         		<a id="pl.210.1"></a><var>210.1</var>with a third-party administrator if the health care delivery system can demonstrate
         to the <br />
         		<a id="pl.210.2"></a><var>210.2</var>commissioner that it can satisfactorily perform all of the duties assigned to the
         third-party <br />
         		<a id="pl.210.3"></a><var>210.3</var>administrator.<br />
         		<a id="pl.210.4"></a><var>210.4</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Enrollment.</b> (a) Individuals eligible for medical assistance or MinnesotaCare <br />
         		<a id="pl.210.5"></a><var>210.5</var>shall be eligible for enrollment in a health care delivery system. Individuals required
         to <br />
         		<a id="pl.210.6"></a><var>210.6</var>enroll in the prepaid medical assistance program or prepaid MinnesotaCare may opt
         out of <br />
         		<a id="pl.210.7"></a><var>210.7</var>receiving care from a managed care or county-based purchasing plan, and elect to receive
         <br />
         		<a id="pl.210.8"></a><var>210.8</var>care through a health care delivery system established under this section.<br />
         		 <a id="pl.210.9"></a><var>210.9</var>(b) Eligible applicants and recipients may enroll in a health care delivery system
         if the <br />
         		<a id="pl.210.10"></a><var>210.10</var>system serves the county in which the applicant or recipient resides. If more than
         one health <br />
         		<a id="pl.210.11"></a><var>210.11</var>care delivery system serves a county, the applicant or recipient may choose among
         the <br />
         		<a id="pl.210.12"></a><var>210.12</var>delivery systems. Enrollment in a specific health care delivery system shall be for
         a 12-month <br />
         		<a id="pl.210.13"></a><var>210.13</var>period, except that enrollees who do not maintain eligibility for medical assistance
         or <br />
         		<a id="pl.210.14"></a><var>210.14</var>MinnesotaCare shall be disenrolled, and enrollees experiencing a qualifying life event,
         as <br />
         		<a id="pl.210.15"></a><var>210.15</var>specified by the commissioner, may change health care delivery systems, or opt out
         of <br />
         		<a id="pl.210.16"></a><var>210.16</var>receiving coverage through a health care delivery system, within 60 days of the date
         of the <br />
         		<a id="pl.210.17"></a><var>210.17</var>qualifying life event.<br />
         		 <a id="pl.210.18"></a><var>210.18</var>(c) The commissioner shall assign an applicant or recipient to a health care delivery
         <br />
         		<a id="pl.210.19"></a><var>210.19</var>system if:<br />
         		 <a id="pl.210.20"></a><var>210.20</var>(1) the applicant or recipient is currently or has recently been attributed to the
         health <br />
         		<a id="pl.210.21"></a><var>210.21</var>care delivery system as part of an integrated health partnership under section 256B.0755;
         <br />
         		<a id="pl.210.22"></a><var>210.22</var>or<br />
         		 <a id="pl.210.23"></a><var>210.23</var>(2) no choice has been made by the applicant or recipient. In this case, the commissioner
         <br />
         		<a id="pl.210.24"></a><var>210.24</var>shall enroll an applicant or recipient based on geographic criteria or based on the
         health <br />
         		<a id="pl.210.25"></a><var>210.25</var>care providers from whom the applicant or recipient has received prior care.<br />
         		<a id="pl.210.26"></a><var>210.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Accountability.</b> (a) Health care delivery systems are responsible for the quality <br />
         		<a id="pl.210.27"></a><var>210.27</var>of care based on standards established by the commissioner, and for enrollee cost
         of care <br />
         		<a id="pl.210.28"></a><var>210.28</var>and utilization of services. The commissioner shall adjust accountability standards
         including <br />
         		<a id="pl.210.29"></a><var>210.29</var>the quality, cost, and utilization of care to take into account the social, economic,
         or cultural <br />
         		<a id="pl.210.30"></a><var>210.30</var>barriers experienced by the health care delivery system's patient population.<br />
         		 <a id="pl.210.31"></a><var>210.31</var>(b) A health care delivery system must contract with community health clinics, federally
         <br />
         		<a id="pl.210.32"></a><var>210.32</var>qualified health centers, community mental health centers or programs, county agencies,
         <br />
         		<a id="pl.210.33"></a><var>210.33</var>and rural health clinics to the extent practicable.<br />
         		 <a id="pl.211.1"></a><var>211.1</var>(c) A health care delivery system must indicate to the commissioner how it will coordinate
         <br />
         		<a id="pl.211.2"></a><var>211.2</var>its services with those delivered by other providers, county agencies, and other organizations
         <br />
         		<a id="pl.211.3"></a><var>211.3</var>in the local service area. The health care delivery system must indicate how it will
         engage <br />
         		<a id="pl.211.4"></a><var>211.4</var>other providers, counties, and organizations that provide services to patients of
         the health <br />
         		<a id="pl.211.5"></a><var>211.5</var>care delivery system on issues related to local population health, including applicable
         local <br />
         		<a id="pl.211.6"></a><var>211.6</var>needs, priorities, and public health goals. The health care delivery system must describe
         <br />
         		<a id="pl.211.7"></a><var>211.7</var>how local providers, counties, and organizations were consulted in developing the
         application <br />
         		<a id="pl.211.8"></a><var>211.8</var>submitted to the commissioner requiring participation in the demonstration project.<br />
         		<a id="pl.211.9"></a><var>211.9</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Payment system.</b> The commissioner shall develop a payment system for the <br />
         		<a id="pl.211.10"></a><var>211.10</var>health care delivery system project that includes prospective per capita payments,
         total cost <br />
         		<a id="pl.211.11"></a><var>211.11</var>of care benchmarks, and risk/gain sharing payment options. The payment system may
         <br />
         		<a id="pl.211.12"></a><var>211.12</var>include incentive payments to health care delivery systems that meet or exceed annual
         <br />
         		<a id="pl.211.13"></a><var>211.13</var>quality and performance targets through the coordination of care.<br />
         		<a id="pl.211.14"></a><var>211.14</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Federal waiver or approval.</b> The commissioner shall seek all federal waivers <br />
         		<a id="pl.211.15"></a><var>211.15</var>or approval necessary to implement the health care delivery system demonstration project.
         <br />
         		<a id="pl.211.16"></a><var>211.16</var>The commissioner shall notify the chairs and ranking minority members of the legislative
         <br />
         		<a id="pl.211.17"></a><var>211.17</var>committees with jurisdiction over health and human services policy and finance of
         any <br />
         		<a id="pl.211.18"></a><var>211.18</var>federal action related to the request for waivers and approval.<br />
         		<a id="pl.211.19"></a><var>211.19</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018, or upon receipt of <br />
         		<a id="pl.211.20"></a><var>211.20</var>federal waivers or approval, whichever is later. The commissioner of human services
         shall <br />
         		<a id="pl.211.21"></a><var>211.21</var>notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.35.0"></a><a id="pl.211.22"></a><var>211.22</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 256B.0924, is amended by adding a subdivision <br />
         		<a id="pl.211.23"></a><var>211.23</var>to read:<br />
         		<a id="pl.211.24"></a><var>211.24</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Targeted case management through interactive video.</b> (a) Subject to federal <br />
         		<a id="pl.211.25"></a><var>211.25</var>approval, contact made for targeted case management by interactive video shall be
         eligible <br />
         		<a id="pl.211.26"></a><var>211.26</var>for payment under subdivision 6 if:<br />
         		<a id="pl.211.27"></a><var>211.27</var>&#160;&#160;&#160;&#160;(1) the person receiving targeted case management services is residing in:<br />
         		<a id="pl.211.28"></a><var>211.28</var>&#160;&#160;&#160;&#160;(i) a hospital;<br />
         		<a id="pl.211.29"></a><var>211.29</var>&#160;&#160;&#160;&#160;(ii) a nursing facility; or<br />
         		<a id="pl.211.30"></a><var>211.30</var>&#160;&#160;&#160;&#160;(iii) a residential setting licensed under chapter 245A or 245D or a boarding and
         lodging <br />
         		<a id="pl.211.31"></a><var>211.31</var>establishment or lodging establishment that provides supportive services or health
         supervision <br />
         		<a id="pl.211.32"></a><var>211.32</var>services according to section 157.17 that is staffed 24 hours a day, seven days a
         week;<br />
         		<a id="pl.212.1"></a><var>212.1</var>&#160;&#160;&#160;&#160;(2) interactive video is in the best interests of the person and is deemed appropriate
         by <br />
         		<a id="pl.212.2"></a><var>212.2</var>the person receiving targeted case management or the person's legal guardian, the
         case <br />
         		<a id="pl.212.3"></a><var>212.3</var>management provider, and the provider operating the setting where the person is residing;<br />
         		<a id="pl.212.4"></a><var>212.4</var>&#160;&#160;&#160;&#160;(3) the use of interactive video is approved as part of the person's written personal
         service <br />
         		<a id="pl.212.5"></a><var>212.5</var>or case plan; and<br />
         		<a id="pl.212.6"></a><var>212.6</var>&#160;&#160;&#160;&#160;(4) interactive video is used for up to, but not more than, 50 percent of the minimum
         <br />
         		<a id="pl.212.7"></a><var>212.7</var>required face-to-face contact.<br />
         		<a id="pl.212.8"></a><var>212.8</var>&#160;&#160;&#160;&#160;(b) The person receiving targeted case management or the person's legal guardian has
         <br />
         		<a id="pl.212.9"></a><var>212.9</var>the right to choose and consent to the use of interactive video under this subdivision
         and <br />
         		<a id="pl.212.10"></a><var>212.10</var>has the right to refuse the use of interactive video at any time.<br />
         		<a id="pl.212.11"></a><var>212.11</var>&#160;&#160;&#160;&#160;(c) The commissioner shall establish criteria that a targeted case management provider
         <br />
         		<a id="pl.212.12"></a><var>212.12</var>must attest to in order to demonstrate the safety or efficacy of delivering the service
         via <br />
         		<a id="pl.212.13"></a><var>212.13</var>interactive video. The attestation may include that the case management provider has:<br />
         		<a id="pl.212.14"></a><var>212.14</var>&#160;&#160;&#160;&#160;(1) written policies and procedures specific to interactive video services that are
         regularly <br />
         		<a id="pl.212.15"></a><var>212.15</var>reviewed and updated;<br />
         		<a id="pl.212.16"></a><var>212.16</var>&#160;&#160;&#160;&#160;(2) policies and procedures that adequately address client safety before, during,
         and after <br />
         		<a id="pl.212.17"></a><var>212.17</var>the interactive video services are rendered;<br />
         		<a id="pl.212.18"></a><var>212.18</var>&#160;&#160;&#160;&#160;(3) established protocols addressing how and when to discontinue interactive video
         <br />
         		<a id="pl.212.19"></a><var>212.19</var>services; and<br />
         		<a id="pl.212.20"></a><var>212.20</var>&#160;&#160;&#160;&#160;(4) established a quality assurance process related to interactive video services.<br />
         		<a id="pl.212.21"></a><var>212.21</var>&#160;&#160;&#160;&#160;(d) As a condition of payment, the targeted case management provider must document
         <br />
         		<a id="pl.212.22"></a><var>212.22</var>the following for each occurrence of targeted case management provided by interactive
         <br />
         		<a id="pl.212.23"></a><var>212.23</var>video:<br />
         		<a id="pl.212.24"></a><var>212.24</var>&#160;&#160;&#160;&#160;(1) the time the service began and the time the service ended, including an a.m. and
         p.m. <br />
         		<a id="pl.212.25"></a><var>212.25</var>designation;<br />
         		<a id="pl.212.26"></a><var>212.26</var>&#160;&#160;&#160;&#160;(2) the basis for determining that interactive video is an appropriate and effective
         means <br />
         		<a id="pl.212.27"></a><var>212.27</var>for delivering the service to the person receiving case management services;<br />
         		<a id="pl.212.28"></a><var>212.28</var>&#160;&#160;&#160;&#160;(3) the mode of transmission of the interactive video services and records evidencing
         <br />
         		<a id="pl.212.29"></a><var>212.29</var>that a particular mode of transmission was utilized;<br />
         		<a id="pl.212.30"></a><var>212.30</var>&#160;&#160;&#160;&#160;(4) the location of the originating site and the distant site; and<br />
         		<a id="pl.213.1"></a><var>213.1</var>&#160;&#160;&#160;&#160;(5) compliance with the criteria attested to by the targeted case management provider
         <br />
         		<a id="pl.213.2"></a><var>213.2</var>as provided in paragraph (c).<br />
         		<a id="pl.213.3"></a><var>213.3</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.213.4"></a><var>213.4</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.4.36.0"></a><a id="pl.213.5"></a><var>213.5</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 256B.196, subdivision 2, is amended to read:<br />
         		<a id="pl.213.6"></a><var>213.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Commissioner's duties.</b> (a) For the purposes of this subdivision and subdivision <br />
         		<a id="pl.213.7"></a><var>213.7</var>3, the commissioner shall determine the fee-for-service outpatient hospital services
         upper <br />
         		<a id="pl.213.8"></a><var>213.8</var>payment limit for nonstate government hospitals. The commissioner shall then determine
         <br />
         		<a id="pl.213.9"></a><var>213.9</var>the amount of a supplemental payment to Hennepin County Medical Center and Regions
         <br />
         		<a id="pl.213.10"></a><var>213.10</var>Hospital for these services that would increase medical assistance spending in this
         category <br />
         		<a id="pl.213.11"></a><var>213.11</var>to the aggregate upper payment limit for all nonstate government hospitals in Minnesota.
         <br />
         		<a id="pl.213.12"></a><var>213.12</var>In making this determination, the commissioner shall allot the available increases
         between <br />
         		<a id="pl.213.13"></a><var>213.13</var>Hennepin County Medical Center and Regions Hospital based on the ratio of medical
         <br />
         		<a id="pl.213.14"></a><var>213.14</var>assistance fee-for-service outpatient hospital payments to the two facilities. The
         commissioner <br />
         		<a id="pl.213.15"></a><var>213.15</var>shall adjust this allotment as necessary based on federal approvals, the amount of
         <br />
         		<a id="pl.213.16"></a><var>213.16</var>intergovernmental transfers received from Hennepin and Ramsey Counties, and other
         factors, <br />
         		<a id="pl.213.17"></a><var>213.17</var>in order to maximize the additional total payments. The commissioner shall inform
         Hennepin <br />
         		<a id="pl.213.18"></a><var>213.18</var>County and Ramsey County of the periodic intergovernmental transfers necessary to
         match <br />
         		<a id="pl.213.19"></a><var>213.19</var>federal Medicaid payments available under this subdivision in order to make supplementary
         <br />
         		<a id="pl.213.20"></a><var>213.20</var>medical assistance payments to Hennepin County Medical Center and Regions Hospital
         <br />
         		<a id="pl.213.21"></a><var>213.21</var>equal to an amount that when combined with existing medical assistance payments to
         <br />
         		<a id="pl.213.22"></a><var>213.22</var>nonstate governmental hospitals would increase total payments to hospitals in this
         category <br />
         		<a id="pl.213.23"></a><var>213.23</var>for outpatient services to the aggregate upper payment limit for all hospitals in
         this category <br />
         		<a id="pl.213.24"></a><var>213.24</var>in Minnesota. Upon receipt of these periodic transfers, the commissioner shall make
         <br />
         		<a id="pl.213.25"></a><var>213.25</var>supplementary payments to Hennepin County Medical Center and Regions Hospital.<br />
         		<a id="pl.213.26"></a><var>213.26</var>&#160;&#160;&#160;&#160;(b) For the purposes of this subdivision and subdivision 3, the commissioner shall
         <br />
         		<a id="pl.213.27"></a><var>213.27</var>determine an upper payment limit for physicians and other billing professionals affiliated
         <br />
         		<a id="pl.213.28"></a><var>213.28</var>with Hennepin County Medical Center and with Regions Hospital. The upper payment limit
         <br />
         		<a id="pl.213.29"></a><var>213.29</var>shall be based on the average commercial rate or be determined using another method
         <br />
         		<a id="pl.213.30"></a><var>213.30</var>acceptable to the Centers for Medicare and Medicaid Services. The commissioner shall
         <br />
         		<a id="pl.213.31"></a><var>213.31</var>inform Hennepin County and Ramsey County of the periodic intergovernmental transfers
         <br />
         		<a id="pl.213.32"></a><var>213.32</var>necessary to match the federal Medicaid payments available under this subdivision
         in order <br />
         		<a id="pl.213.33"></a><var>213.33</var>to make supplementary payments to physicians and other billing professionals affiliated
         <br />
         		<a id="pl.213.34"></a><var>213.34</var>with Hennepin County Medical Center and to make supplementary payments to physicians
         <br />
         		<a id="pl.214.1"></a><var>214.1</var>and other billing professionals affiliated with Regions Hospital through HealthPartners
         <br />
         		<a id="pl.214.2"></a><var>214.2</var>Medical Group equal to the difference between the established medical assistance payment
         <br />
         		<a id="pl.214.3"></a><var>214.3</var>for physician and other billing professional services and the upper payment limit.
         Upon <br />
         		<a id="pl.214.4"></a><var>214.4</var>receipt of these periodic transfers, the commissioner shall make supplementary payments
         <br />
         		<a id="pl.214.5"></a><var>214.5</var>to physicians and other billing professionals affiliated with Hennepin County Medical
         Center <br />
         		<a id="pl.214.6"></a><var>214.6</var>and shall make supplementary payments to physicians and other billing professionals
         <br />
         		<a id="pl.214.7"></a><var>214.7</var>affiliated with Regions Hospital through HealthPartners Medical Group.<br />
         		<a id="pl.214.8"></a><var>214.8</var>&#160;&#160;&#160;&#160;(c) Beginning January 1, 2010, Hennepin County and Ramsey County may make monthly
         <br />
         		<a id="pl.214.9"></a><var>214.9</var>voluntary intergovernmental transfers to the commissioner in amounts not to exceed
         <br />
         		<a id="pl.214.10"></a><var>214.10</var>$12,000,000 per year from Hennepin County and $6,000,000 per year from Ramsey County.
         <br />
         		<a id="pl.214.11"></a><var>214.11</var>The commissioner shall increase the medical assistance capitation payments to any
         licensed <br />
         		<a id="pl.214.12"></a><var>214.12</var>health plan under contract with the medical assistance program that agrees to make
         enhanced <br />
         		<a id="pl.214.13"></a><var>214.13</var>payments to Hennepin County Medical Center or Regions Hospital. The increase shall
         be <br />
         		<a id="pl.214.14"></a><var>214.14</var>in an amount equal to the annual value of the monthly transfers plus federal financial
         <br />
         		<a id="pl.214.15"></a><var>214.15</var>participation, with each health plan receiving its pro rata share of the increase
         based on the <br />
         		<a id="pl.214.16"></a><var>214.16</var>pro rata share of medical assistance admissions to Hennepin County Medical Center
         and <br />
         		<a id="pl.214.17"></a><var>214.17</var>Regions Hospital by those plans. Upon the request of the commissioner, health plans
         shall <br />
         		<a id="pl.214.18"></a><var>214.18</var>submit individual-level cost data for verification purposes. The commissioner may
         ratably <br />
         		<a id="pl.214.19"></a><var>214.19</var>reduce these payments on a pro rata basis in order to satisfy federal requirements
         for actuarial <br />
         		<a id="pl.214.20"></a><var>214.20</var>soundness. If payments are reduced, transfers shall be reduced accordingly. Any licensed
         <br />
         		<a id="pl.214.21"></a><var>214.21</var>health plan that receives increased medical assistance capitation payments under the
         <br />
         		<a id="pl.214.22"></a><var>214.22</var>intergovernmental transfer described in this paragraph shall increase its medical
         assistance <br />
         		<a id="pl.214.23"></a><var>214.23</var>payments to Hennepin County Medical Center and Regions Hospital by the same amount
         <br />
         		<a id="pl.214.24"></a><var>214.24</var>as the increased payments received in the capitation payment described in this paragraph.<br />
         		<a id="pl.214.25"></a><var>214.25</var>&#160;&#160;&#160;&#160;(d) For the purposes of this subdivision and subdivision 3, the commissioner shall
         <br />
         		<a id="pl.214.26"></a><var>214.26</var>determine an upper payment limit for ambulance services affiliated with Hennepin County
         <br />
         		<a id="pl.214.27"></a><var>214.27</var>Medical Center and the city of St. Paul, and ambulance services owned and operated by <br />
         		<a id="pl.214.28"></a><var>214.28</var>another governmental entity that chooses to participate by requesting the commissioner
         to <br />
         		<a id="pl.214.29"></a><var>214.29</var>determine an upper payment limit. The upper payment limit shall be based on the average <br />
         		<a id="pl.214.30"></a><var>214.30</var>commercial rate or be determined using another method acceptable to the Centers for
         <br />
         		<a id="pl.214.31"></a><var>214.31</var>Medicare and Medicaid Services. The commissioner shall inform Hennepin County and, <br />
         		<a id="pl.214.32"></a><var>214.32</var>the city of St. Paul, and other participating governmental entities of the periodic <br />
         		<a id="pl.214.33"></a><var>214.33</var>intergovernmental transfers necessary to match the federal Medicaid payments available
         <br />
         		<a id="pl.214.34"></a><var>214.34</var>under this subdivision in order to make supplementary payments to Hennepin County
         <br />
         		<a id="pl.214.35"></a><var>214.35</var>Medical Center and, the city of St. Paul, and other participating governmental entities equal <br />
         		<a id="pl.215.1"></a><var>215.1</var>to the difference between the established medical assistance payment for ambulance
         services <br />
         		<a id="pl.215.2"></a><var>215.2</var>and the upper payment limit. Upon receipt of these periodic transfers, the commissioner
         <br />
         		<a id="pl.215.3"></a><var>215.3</var>shall make supplementary payments to Hennepin County Medical Center and, the city of <br />
         		<a id="pl.215.4"></a><var>215.4</var>St. Paul., and other participating governmental entities. A tribal government that owns and
         <br />
         		<a id="pl.215.5"></a><var>215.5</var>operates an ambulance service is not eligible to participate under this subdivision.<br />
         		<a id="pl.215.6"></a><var>215.6</var>&#160;&#160;&#160;&#160;(e) For the purposes of this subdivision and subdivision 3, the commissioner shall <br />
         		<a id="pl.215.7"></a><var>215.7</var>determine an upper payment limit for physicians, dentists, and other billing professionals
         <br />
         		<a id="pl.215.8"></a><var>215.8</var>affiliated with the University of Minnesota and University of Minnesota Physicians.
         The <br />
         		<a id="pl.215.9"></a><var>215.9</var>upper payment limit shall be based on the average commercial rate or be determined
         using <br />
         		<a id="pl.215.10"></a><var>215.10</var>another method acceptable to the Centers for Medicare and Medicaid Services. The <br />
         		<a id="pl.215.11"></a><var>215.11</var>commissioner shall inform the University of Minnesota Medical School and University
         of <br />
         		<a id="pl.215.12"></a><var>215.12</var>Minnesota School of Dentistry of the periodic intergovernmental transfers necessary
         to <br />
         		<a id="pl.215.13"></a><var>215.13</var>match the federal Medicaid payments available under this subdivision in order to make
         <br />
         		<a id="pl.215.14"></a><var>215.14</var>supplementary payments to physicians, dentists, and other billing professionals affiliated
         <br />
         		<a id="pl.215.15"></a><var>215.15</var>with the University of Minnesota and the University of Minnesota Physicians equal
         to the <br />
         		<a id="pl.215.16"></a><var>215.16</var>difference between the established medical assistance payment for physician, dentist,
         and <br />
         		<a id="pl.215.17"></a><var>215.17</var>other billing professional services and the upper payment limit. Upon receipt of these
         periodic <br />
         		<a id="pl.215.18"></a><var>215.18</var>transfers, the commissioner shall make supplementary payments to physicians, dentists,
         <br />
         		<a id="pl.215.19"></a><var>215.19</var>and other billing professionals affiliated with the University of Minnesota and the
         University <br />
         		<a id="pl.215.20"></a><var>215.20</var>of Minnesota Physicians.<br />
         		<a id="pl.215.21"></a><var>215.21</var>&#160;&#160;&#160;&#160;(f) The commissioner shall inform the transferring governmental entities on an ongoing
         <br />
         		<a id="pl.215.22"></a><var>215.22</var>basis of the need for any changes needed in the intergovernmental transfers in order
         to <br />
         		<a id="pl.215.23"></a><var>215.23</var>continue the payments under paragraphs (a) to (d) (e), at their maximum level, including <br />
         		<a id="pl.215.24"></a><var>215.24</var>increases in upper payment limits, changes in the federal Medicaid match, and other
         factors.<br />
         		<a id="pl.215.25"></a><var>215.25</var>&#160;&#160;&#160;&#160;(f) (g) The payments in paragraphs (a) to (d) (e) shall be implemented independently of <br />
         		<a id="pl.215.26"></a><var>215.26</var>each other, subject to federal approval and to the receipt of transfers under subdivision
         3.<br />
         		<a id="pl.215.27"></a><var>215.27</var>(h) All of the data and funding transactions related to the payments in paragraphs
         (a) to <br />
         		<a id="pl.215.28"></a><var>215.28</var>(e) shall be between the commissioner and the governmental entities.<br />
         		<a id="pl.215.29"></a><var>215.29</var>(i) For purposes of this subdivision, billing professionals are limited to physicians,
         nurse <br />
         		<a id="pl.215.30"></a><var>215.30</var>practitioners, nurse midwives, clinical nurse specialists, physician assistants, <br />
         		<a id="pl.215.31"></a><var>215.31</var>anesthesiologists, certified registered nurse anesthetists, dentists, dental hygienists,
         and <br />
         		<a id="pl.215.32"></a><var>215.32</var>dental therapists.<br />
         		<a id="pl.216.1"></a><var>216.1</var><b>EFFECTIVE DATE.</b>Paragraph (d) is effective July 1, 2017, or upon federal approval, <br />
         		<a id="pl.216.2"></a><var>216.2</var>whichever is later. The commissioner of human services shall notify the revisor of
         statutes <br />
         		<a id="pl.216.3"></a><var>216.3</var>when federal approval is received.<br />
         		<br />
         		<a id="bill.4.37.0"></a><a id="pl.216.4"></a><var>216.4</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 256B.196, subdivision 3, is amended to read:<br />
         		<a id="pl.216.5"></a><var>216.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Intergovernmental transfers.</b> Based on the determination by the commissioner <br />
         		<a id="pl.216.6"></a><var>216.6</var>under subdivision 2, Hennepin County and Ramsey County shall make periodic <br />
         		<a id="pl.216.7"></a><var>216.7</var>intergovernmental transfers to the commissioner for the purposes of subdivision 2,
         paragraphs <br />
         		<a id="pl.216.8"></a><var>216.8</var>(a) and (b). All of the intergovernmental transfers made by Hennepin County shall
         be used <br />
         		<a id="pl.216.9"></a><var>216.9</var>to match federal payments to Hennepin County Medical Center under subdivision 2, <br />
         		<a id="pl.216.10"></a><var>216.10</var>paragraph (a), and to physicians and other billing professionals affiliated with Hennepin
         <br />
         		<a id="pl.216.11"></a><var>216.11</var>County Medical Center under subdivision 2, paragraph (b). All of the intergovernmental
         <br />
         		<a id="pl.216.12"></a><var>216.12</var>transfers made by Ramsey County shall be used to match federal payments to Regions
         <br />
         		<a id="pl.216.13"></a><var>216.13</var>Hospital under subdivision 2, paragraph (a), and to physicians and other billing professionals
         <br />
         		<a id="pl.216.14"></a><var>216.14</var>affiliated with Regions Hospital through HealthPartners Medical Group under subdivision
         <br />
         		<a id="pl.216.15"></a><var>216.15</var>2, paragraph (b). All of the intergovernmental transfer payments made by the University of <br />
         		<a id="pl.216.16"></a><var>216.16</var>Minnesota Medical School and the University of Minnesota School of Dentistry shall
         be <br />
         		<a id="pl.216.17"></a><var>216.17</var>used to match federal payments to the University of Minnesota and the University of
         <br />
         		<a id="pl.216.18"></a><var>216.18</var>Minnesota Physicians under subdivision 2, paragraph (e).<br />
         		<br />
         		<a id="bill.4.38.0"></a><a id="pl.216.19"></a><var>216.19</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 256B.196, subdivision 4, is amended to read:<br />
         		<a id="pl.216.20"></a><var>216.20</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Adjustments permitted.</b> (a) The commissioner may adjust the <br />
         		<a id="pl.216.21"></a><var>216.21</var>intergovernmental transfers under subdivision 3 and the payments under subdivision
         2, <br />
         		<a id="pl.216.22"></a><var>216.22</var>based on the commissioner's determination of Medicare upper payment limits, <br />
         		<a id="pl.216.23"></a><var>216.23</var>hospital-specific charge limits, hospital-specific limitations on disproportionate
         share <br />
         		<a id="pl.216.24"></a><var>216.24</var>payments, medical inflation, actuarial certification, average commercial rates for physician <br />
         		<a id="pl.216.25"></a><var>216.25</var>and other professional services as defined in this section, and cost-effectiveness for purposes <br />
         		<a id="pl.216.26"></a><var>216.26</var>of federal waivers. Any adjustments must be made on a proportional basis. The commissioner
         <br />
         		<a id="pl.216.27"></a><var>216.27</var>may make adjustments under this subdivision only after consultation with the affected
         <br />
         		<a id="pl.216.28"></a><var>216.28</var>counties, university schools, and hospitals. All payments under subdivision 2 and all <br />
         		<a id="pl.216.29"></a><var>216.29</var>intergovernmental transfers under subdivision 3 are limited to amounts available after
         all <br />
         		<a id="pl.216.30"></a><var>216.30</var>other base rates, adjustments, and supplemental payments in chapter 256B are calculated.<br />
         		<a id="pl.216.31"></a><var>216.31</var>(b) The ratio of medical assistance payments specified in subdivision 2 to the voluntary
         <br />
         		<a id="pl.216.32"></a><var>216.32</var>intergovernmental transfers specified in subdivision 3 shall not be reduced except
         as provided <br />
         		<a id="pl.216.33"></a><var>216.33</var>under paragraph (a).<br />
         		<br />
         		<a id="bill.4.39.0"></a><a id="pl.217.1"></a><var>217.1</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2016, section 256B.69, subdivision 5a, is amended to read:<br />
         		<a id="pl.217.2"></a><var>217.2</var>&#160;&#160;&#160;&#160;Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section and <br />
         		<a id="pl.217.3"></a><var>217.3</var>section 
         <statute_ref>256L.12</statute_ref> shall be entered into or renewed on a calendar year basis. The commissioner <br />
         		<a id="pl.217.4"></a><var>217.4</var>may issue separate contracts with requirements specific to services to medical assistance
         <br />
         		<a id="pl.217.5"></a><var>217.5</var>recipients age 65 and older.<br />
         		<a id="pl.217.6"></a><var>217.6</var>&#160;&#160;&#160;&#160;(b) A prepaid health plan providing covered health services for eligible persons pursuant
         <br />
         		<a id="pl.217.7"></a><var>217.7</var>to chapters 256B and 256L is responsible for complying with the terms of its contract
         with <br />
         		<a id="pl.217.8"></a><var>217.8</var>the commissioner. Requirements applicable to managed care programs under chapters
         256B <br />
         		<a id="pl.217.9"></a><var>217.9</var>and 256L established after the effective date of a contract with the commissioner
         take effect <br />
         		<a id="pl.217.10"></a><var>217.10</var>when the contract is next issued or renewed.<br />
         		<a id="pl.217.11"></a><var>217.11</var>&#160;&#160;&#160;&#160;(c) The commissioner shall withhold five percent of managed care plan payments under
         <br />
         		<a id="pl.217.12"></a><var>217.12</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br />
         		<a id="pl.217.13"></a><var>217.13</var>prepaid medical assistance program pending completion of performance targets. Each
         <br />
         		<a id="pl.217.14"></a><var>217.14</var>performance target must be quantifiable, objective, measurable, and reasonably attainable,
         <br />
         		<a id="pl.217.15"></a><var>217.15</var>except in the case of a performance target based on a federal or state law or rule.
         Criteria <br />
         		<a id="pl.217.16"></a><var>217.16</var>for assessment of each performance target must be outlined in writing prior to the
         contract <br />
         		<a id="pl.217.17"></a><var>217.17</var>effective date. Clinical or utilization performance targets and their related criteria
         must <br />
         		<a id="pl.217.18"></a><var>217.18</var>consider evidence-based research and reasonable interventions when available or applicable
         <br />
         		<a id="pl.217.19"></a><var>217.19</var>to the populations served, and must be developed with input from external clinical
         experts <br />
         		<a id="pl.217.20"></a><var>217.20</var>and stakeholders, including managed care plans, county-based purchasing plans, and
         <br />
         		<a id="pl.217.21"></a><var>217.21</var>providers. The managed care or county-based purchasing plan must demonstrate, to the
         <br />
         		<a id="pl.217.22"></a><var>217.22</var>commissioner's satisfaction, that the data submitted regarding attainment of the performance
         <br />
         		<a id="pl.217.23"></a><var>217.23</var>target is accurate. The commissioner shall periodically change the administrative
         measures <br />
         		<a id="pl.217.24"></a><var>217.24</var>used as performance targets in order to improve plan performance across a broader
         range <br />
         		<a id="pl.217.25"></a><var>217.25</var>of administrative services. The performance targets must include measurement of plan
         <br />
         		<a id="pl.217.26"></a><var>217.26</var>efforts to contain spending on health care services and administrative activities.
         The <br />
         		<a id="pl.217.27"></a><var>217.27</var>commissioner may adopt plan-specific performance targets that take into account factors
         <br />
         		<a id="pl.217.28"></a><var>217.28</var>affecting only one plan, including characteristics of the plan's enrollee population.
         The <br />
         		<a id="pl.217.29"></a><var>217.29</var>withheld funds must be returned no sooner than July of the following year if performance
         <br />
         		<a id="pl.217.30"></a><var>217.30</var>targets in the contract are achieved. The commissioner may exclude special demonstration
         <br />
         		<a id="pl.217.31"></a><var>217.31</var>projects under subdivision 23.<br />
         		<a id="pl.217.32"></a><var>217.32</var>(d) The commissioner shall require that managed care plans use the assessment and
         <br />
         		<a id="pl.217.33"></a><var>217.33</var>authorization processes, forms, timelines, standards, documentation, and data reporting
         <br />
         		<a id="pl.217.34"></a><var>217.34</var>requirements, protocols, billing processes, and policies consistent with medical assistance
         <br />
         		<a id="pl.217.35"></a><var>217.35</var>fee-for-service or the Department of Human Services contract requirements consistent
         with <br />
         		<a id="pl.218.1"></a><var>218.1</var>medical assistance fee-for-service or the Department of Human Services contract <br />
         		<a id="pl.218.2"></a><var>218.2</var>requirements for all personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br />
         		<a id="pl.218.3"></a><var>218.3</var>(e) Effective for services rendered on or after January 1, 2012, the commissioner
         shall <br />
         		<a id="pl.218.4"></a><var>218.4</var>include as part of the performance targets described in paragraph (c) a reduction
         in the health <br />
         		<a id="pl.218.5"></a><var>218.5</var>plan's emergency department utilization rate for medical assistance and MinnesotaCare
         <br />
         		<a id="pl.218.6"></a><var>218.6</var>enrollees, as determined by the commissioner. For 2012, the reduction shall be based
         on <br />
         		<a id="pl.218.7"></a><var>218.7</var>the health plan's utilization in 2009. To earn the return of the withhold each subsequent
         <br />
         		<a id="pl.218.8"></a><var>218.8</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying
         <br />
         		<a id="pl.218.9"></a><var>218.9</var>reduction of no less than ten percent of the plan's emergency department utilization
         rate for <br />
         		<a id="pl.218.10"></a><var>218.10</var>medical assistance and MinnesotaCare enrollees, excluding enrollees in programs described
         <br />
         		<a id="pl.218.11"></a><var>218.11</var>in subdivisions 23 and 28, compared to the previous measurement year until the final
         <br />
         		<a id="pl.218.12"></a><var>218.12</var>performance target is reached. When measuring performance, the commissioner must <br />
         		<a id="pl.218.13"></a><var>218.13</var>consider the difference in health risk in a managed care or county-based purchasing
         plan's <br />
         		<a id="pl.218.14"></a><var>218.14</var>membership in the baseline year compared to the measurement year, and work with the
         <br />
         		<a id="pl.218.15"></a><var>218.15</var>managed care or county-based purchasing plan to account for differences that they
         agree <br />
         		<a id="pl.218.16"></a><var>218.16</var>are significant.<br />
         		<a id="pl.218.17"></a><var>218.17</var>The withheld funds must be returned no sooner than July 1 and no later than July 31
         of <br />
         		<a id="pl.218.18"></a><var>218.18</var>the following calendar year if the managed care plan or county-based purchasing plan
         <br />
         		<a id="pl.218.19"></a><var>218.19</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization
         rate <br />
         		<a id="pl.218.20"></a><var>218.20</var>was achieved. The commissioner shall structure the withhold so that the commissioner
         <br />
         		<a id="pl.218.21"></a><var>218.21</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions
         <br />
         		<a id="pl.218.22"></a><var>218.22</var>in utilization less than the targeted amount.<br />
         		<a id="pl.218.23"></a><var>218.23</var>The withhold described in this paragraph shall continue for each consecutive contract
         <br />
         		<a id="pl.218.24"></a><var>218.24</var>period until the plan's emergency room utilization rate for state health care program
         enrollees <br />
         		<a id="pl.218.25"></a><var>218.25</var>is reduced by 25 percent of the plan's emergency room utilization rate for medical
         assistance <br />
         		<a id="pl.218.26"></a><var>218.26</var>and MinnesotaCare enrollees for calendar year 2009. Hospitals shall cooperate with
         the <br />
         		<a id="pl.218.27"></a><var>218.27</var>health plans in meeting this performance target and shall accept payment withholds
         that <br />
         		<a id="pl.218.28"></a><var>218.28</var>may be returned to the hospitals if the performance target is achieved.<br />
         		<a id="pl.218.29"></a><var>218.29</var>(f) Effective for services rendered on or after January 1, 2012, the commissioner
         shall <br />
         		<a id="pl.218.30"></a><var>218.30</var>include as part of the performance targets described in paragraph (c) a reduction
         in the plan's <br />
         		<a id="pl.218.31"></a><var>218.31</var>hospitalization admission rate for medical assistance and MinnesotaCare enrollees,
         as <br />
         		<a id="pl.218.32"></a><var>218.32</var>determined by the commissioner. To earn the return of the withhold each year, the
         managed <br />
         		<a id="pl.218.33"></a><var>218.33</var>care plan or county-based purchasing plan must achieve a qualifying reduction of no
         less <br />
         		<a id="pl.218.34"></a><var>218.34</var>than five percent of the plan's hospital admission rate for medical assistance and
         <br />
         		<a id="pl.218.35"></a><var>218.35</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions
         23 and <br />
         		<a id="pl.219.1"></a><var>219.1</var>28, compared to the previous calendar year until the final performance target is reached.
         <br />
         		<a id="pl.219.2"></a><var>219.2</var>When measuring performance, the commissioner must consider the difference in health
         risk <br />
         		<a id="pl.219.3"></a><var>219.3</var>in a managed care or county-based purchasing plan's membership in the baseline year
         <br />
         		<a id="pl.219.4"></a><var>219.4</var>compared to the measurement year, and work with the managed care or county-based <br />
         		<a id="pl.219.5"></a><var>219.5</var>purchasing plan to account for differences that they agree are significant.<br />
         		<a id="pl.219.6"></a><var>219.6</var>The withheld funds must be returned no sooner than July 1 and no later than July 31
         of <br />
         		<a id="pl.219.7"></a><var>219.7</var>the following calendar year if the managed care plan or county-based purchasing plan
         <br />
         		<a id="pl.219.8"></a><var>219.8</var>demonstrates to the satisfaction of the commissioner that this reduction in the hospitalization
         <br />
         		<a id="pl.219.9"></a><var>219.9</var>rate was achieved. The commissioner shall structure the withhold so that the commissioner
         <br />
         		<a id="pl.219.10"></a><var>219.10</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions
         <br />
         		<a id="pl.219.11"></a><var>219.11</var>in utilization less than the targeted amount.<br />
         		<a id="pl.219.12"></a><var>219.12</var>The withhold described in this paragraph shall continue until there is a 25 percent
         <br />
         		<a id="pl.219.13"></a><var>219.13</var>reduction in the hospital admission rate compared to the hospital admission rates
         in calendar <br />
         		<a id="pl.219.14"></a><var>219.14</var>year 2011, as determined by the commissioner. The hospital admissions in this performance
         <br />
         		<a id="pl.219.15"></a><var>219.15</var>target do not include the admissions applicable to the subsequent hospital admission
         <br />
         		<a id="pl.219.16"></a><var>219.16</var>performance target under paragraph (g). Hospitals shall cooperate with the plans in
         meeting <br />
         		<a id="pl.219.17"></a><var>219.17</var>this performance target and shall accept payment withholds that may be returned to
         the <br />
         		<a id="pl.219.18"></a><var>219.18</var>hospitals if the performance target is achieved.<br />
         		<a id="pl.219.19"></a><var>219.19</var>(g) Effective for services rendered on or after January 1, 2012, the commissioner
         shall <br />
         		<a id="pl.219.20"></a><var>219.20</var>include as part of the performance targets described in paragraph (c) a reduction
         in the plan's <br />
         		<a id="pl.219.21"></a><var>219.21</var>hospitalization admission rates for subsequent hospitalizations within 30 days of
         a previous <br />
         		<a id="pl.219.22"></a><var>219.22</var>hospitalization of a patient regardless of the reason, for medical assistance and
         MinnesotaCare <br />
         		<a id="pl.219.23"></a><var>219.23</var>enrollees, as determined by the commissioner. To earn the return of the withhold each
         year, <br />
         		<a id="pl.219.24"></a><var>219.24</var>the managed care plan or county-based purchasing plan must achieve a qualifying reduction
         <br />
         		<a id="pl.219.25"></a><var>219.25</var>of the subsequent hospitalization rate for medical assistance and MinnesotaCare enrollees,
         <br />
         		<a id="pl.219.26"></a><var>219.26</var>excluding enrollees in programs described in subdivisions 23 and 28, of no less than
         five <br />
         		<a id="pl.219.27"></a><var>219.27</var>percent compared to the previous calendar year until the final performance target
         is reached.<br />
         		<a id="pl.219.28"></a><var>219.28</var>The withheld funds must be returned no sooner than July 1 and no later than July 31
         of <br />
         		<a id="pl.219.29"></a><var>219.29</var>the following calendar year if the managed care plan or county-based purchasing plan
         <br />
         		<a id="pl.219.30"></a><var>219.30</var>demonstrates to the satisfaction of the commissioner that a qualifying reduction in
         the <br />
         		<a id="pl.219.31"></a><var>219.31</var>subsequent hospitalization rate was achieved. The commissioner shall structure the
         withhold <br />
         		<a id="pl.219.32"></a><var>219.32</var>so that the commissioner returns a portion of the withheld funds in amounts commensurate
         <br />
         		<a id="pl.219.33"></a><var>219.33</var>with achieved reductions in utilization less than the targeted amount.<br />
         		<a id="pl.220.1"></a><var>220.1</var>The withhold described in this paragraph must continue for each consecutive contract
         <br />
         		<a id="pl.220.2"></a><var>220.2</var>period until the plan's subsequent hospitalization rate for medical assistance and
         <br />
         		<a id="pl.220.3"></a><var>220.3</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions
         23 and <br />
         		<a id="pl.220.4"></a><var>220.4</var>28, is reduced by 25 percent of the plan's subsequent hospitalization rate for calendar
         year <br />
         		<a id="pl.220.5"></a><var>220.5</var>2011. Hospitals shall cooperate with the plans in meeting this performance target
         and shall <br />
         		<a id="pl.220.6"></a><var>220.6</var>accept payment withholds that must be returned to the hospitals if the performance
         target <br />
         		<a id="pl.220.7"></a><var>220.7</var>is achieved.<br />
         		<a id="pl.220.8"></a><var>220.8</var>(h) Effective for services rendered on or after January 1, 2013, through December
         31, <br />
         		<a id="pl.220.9"></a><var>220.9</var>2013, the commissioner shall withhold 4.5 percent of managed care plan payments under
         <br />
         		<a id="pl.220.10"></a><var>220.10</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br />
         		<a id="pl.220.11"></a><var>220.11</var>prepaid medical assistance program. The withheld funds must be returned no sooner
         than <br />
         		<a id="pl.220.12"></a><var>220.12</var>July 1 and no later than July 31 of the following year. The commissioner may exclude
         <br />
         		<a id="pl.220.13"></a><var>220.13</var>special demonstration projects under subdivision 23.<br />
         		<a id="pl.220.14"></a><var>220.14</var>(i) Effective for services rendered on or after January 1, 2014, the commissioner
         shall <br />
         		<a id="pl.220.15"></a><var>220.15</var>withhold three percent of managed care plan payments under this section and county-based
         <br />
         		<a id="pl.220.16"></a><var>220.16</var>purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical assistance <br />
         		<a id="pl.220.17"></a><var>220.17</var>program. The withheld funds must be returned no sooner than July 1 and no later than
         July <br />
         		<a id="pl.220.18"></a><var>220.18</var>31 of the following year. The commissioner may exclude special demonstration projects
         <br />
         		<a id="pl.220.19"></a><var>220.19</var>under subdivision 23.<br />
         		<a id="pl.220.20"></a><var>220.20</var>(j) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 </statute_ref>may <br />
         		<a id="pl.220.21"></a><var>220.21</var>include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this section <br />
         		<a id="pl.220.22"></a><var>220.22</var>that is reasonably expected to be returned.<br />
         		<a id="pl.220.23"></a><var>220.23</var>(k) Contracts between the commissioner and a prepaid health plan are exempt from the
         <br />
         		<a id="pl.220.24"></a><var>220.24</var>set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph (a), and <br />
         		<a id="pl.220.25"></a><var>220.25</var>7.<br />
         		<a id="pl.220.26"></a><var>220.26</var>(l) The return of the withhold under paragraphs (h) and (i) is not subject to the
         <br />
         		<a id="pl.220.27"></a><var>220.27</var>requirements of paragraph (c).<br />
         		<a id="pl.220.28"></a><var>220.28</var>(m) Managed care plans and county-based purchasing plans shall maintain current and
         <br />
         		<a id="pl.220.29"></a><var>220.29</var>fully executed agreements for all subcontractors, including bargaining groups, for
         <br />
         		<a id="pl.220.30"></a><var>220.30</var>administrative services that are expensed to the state's public health care programs.
         <br />
         		<a id="pl.220.31"></a><var>220.31</var>Subcontractor agreements determined to be material, as defined by the commissioner
         after <br />
         		<a id="pl.220.32"></a><var>220.32</var>taking into account state contracting and relevant statutory requirements, must be
         in the <br />
         		<a id="pl.220.33"></a><var>220.33</var>form of a written instrument or electronic document containing the elements of offer,
         <br />
         		<a id="pl.220.34"></a><var>220.34</var>acceptance, consideration, payment terms, scope, duration of the contract, and how
         the <br />
         		<a id="pl.221.1"></a><var>221.1</var>subcontractor services relate to state public health care programs. Upon request,
         the <br />
         		<a id="pl.221.2"></a><var>221.2</var>commissioner shall have access to all subcontractor documentation under this paragraph.
         <br />
         		<a id="pl.221.3"></a><var>221.3</var>Nothing in this paragraph shall allow release of information that is nonpublic data
         pursuant <br />
         		<a id="pl.221.4"></a><var>221.4</var>to section 
         <statute_ref>13.02</statute_ref>.<br />
         		<a id="pl.221.5"></a><var>221.5</var>(n) Effective for services provided on or after January 1, 2018, through December
         31, <br />
         		<a id="pl.221.6"></a><var>221.6</var>2018, the commissioner shall withhold two percent of the capitation payment provided
         to <br />
         		<a id="pl.221.7"></a><var>221.7</var>managed care plans under this section, and county-based purchasing plans under section
         <br />
         		<a id="pl.221.8"></a><var>221.8</var>256B.692, for each medical assistance enrollee. The withheld funds must be returned
         no <br />
         		<a id="pl.221.9"></a><var>221.9</var>sooner than July 1 and no later than July 31 of the following year, for capitation
         payments <br />
         		<a id="pl.221.10"></a><var>221.10</var>for enrollees for whom the plan has submitted to the commissioner a verification of
         coverage <br />
         		<a id="pl.221.11"></a><var>221.11</var>form completed and signed by the enrollee. The verification of coverage form must
         be <br />
         		<a id="pl.221.12"></a><var>221.12</var>developed by the commissioner and made available to managed care and county-based
         <br />
         		<a id="pl.221.13"></a><var>221.13</var>purchasing plans. The form must require the enrollee to provide the enrollee's name,
         street <br />
         		<a id="pl.221.14"></a><var>221.14</var>address, and the name of the managed care or county-based purchasing plan selected
         by or <br />
         		<a id="pl.221.15"></a><var>221.15</var>assigned to the enrollee, and must include a signature block that allows the enrollee
         to attest <br />
         		<a id="pl.221.16"></a><var>221.16</var>that the information provided is accurate. A plan shall request that all enrollees
         complete <br />
         		<a id="pl.221.17"></a><var>221.17</var>the verification of coverage form, and shall submit all completed forms to the commissioner
         <br />
         		<a id="pl.221.18"></a><var>221.18</var>by February 28, 2018. If a completed form for an enrollee is not received by the commissioner
         <br />
         		<a id="pl.221.19"></a><var>221.19</var>by that date:<br />
         		 <a id="pl.221.20"></a><var>221.20</var>(1) the commissioner shall not return to the plan funds withheld for that enrollee;<br />
         		<a id="pl.221.21"></a><var>221.21</var>(2) the commissioner shall cease making capitation payments to the plan for that enrollee,
         <br />
         		<a id="pl.221.22"></a><var>221.22</var>effective with the April 2018 coverage month; and<br />
         		<a id="pl.221.23"></a><var>221.23</var>(3) the commissioner shall disenroll the enrollee from medical assistance, subject
         to any <br />
         		<a id="pl.221.24"></a><var>221.24</var>enrollee appeal.<br />
         		<br />
         		<a id="bill.4.40.0"></a><a id="pl.221.25"></a><var>221.25</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2016, section 256B.69, subdivision 9e, is amended to read:<br />
         		<a id="pl.221.26"></a><var>221.26</var>&#160;&#160;&#160;&#160;Subd. 9e. <b>Financial audits.</b> (a) The legislative auditor shall conduct or contract with <br />
         		<a id="pl.221.27"></a><var>221.27</var>vendors to conduct independent third-party financial audits of the information required
         to <br />
         		<a id="pl.221.28"></a><var>221.28</var>be provided by audit managed care plans and county-based purchasing plans under <br />
         		<a id="pl.221.29"></a><var>221.29</var>subdivision 9c, paragraph (b). The audits by the vendors shall be conducted as vendor
         <br />
         		<a id="pl.221.30"></a><var>221.30</var>resources permit and in accordance with generally accepted government auditing standards
         <br />
         		<a id="pl.221.31"></a><var>221.31</var>issued by the United States Government Accountability Office. The contract with the
         vendors <br />
         		<a id="pl.221.32"></a><var>221.32</var>shall be designed and administered so as to render the independent third-party audits
         eligible <br />
         		<a id="pl.221.33"></a><var>221.33</var>for a federal subsidy, if available. The contract shall require the audits to include
         a <br />
         		<a id="pl.221.34"></a><var>221.34</var>determination of compliance with the federal Medicaid rate certification process to determine <br />
         		<a id="pl.222.1"></a><var>222.1</var>if a managed care plan or county-based purchasing plan used public money in compliance
         <br />
         		<a id="pl.222.2"></a><var>222.2</var>with federal and state laws, rules, and in accordance with provisions in the plan's
         contract <br />
         		<a id="pl.222.3"></a><var>222.3</var>with the commissioner. The legislative auditor shall conduct the audits in accordance
         with <br />
         		<a id="pl.222.4"></a><var>222.4</var>section 3.972, subdivision 2b.<br />
         		<a id="pl.222.5"></a><var>222.5</var>(b) For purposes of this subdivision, "independent third-party" means a vendor that
         is <br />
         		<a id="pl.222.6"></a><var>222.6</var>independent in accordance with government auditing standards issued by the United
         States <br />
         		<a id="pl.222.7"></a><var>222.7</var>Government Accountability Office.<br />
         		<br />
         		<a id="bill.4.41.0"></a><a id="pl.222.8"></a><var>222.8</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2016, section 256B.69, is amended by adding a subdivision <br />
         		<a id="pl.222.9"></a><var>222.9</var>to read:<br />
         		<a id="pl.222.10"></a><var>222.10</var>&#160;&#160;&#160;&#160;Subd. 36. <b>Competitive bidding and procurement.</b> (a) For managed care organization <br />
         		<a id="pl.222.11"></a><var>222.11</var>contracts effective on or after January 1, 2019, the commissioner shall utilize a
         competitive <br />
         		<a id="pl.222.12"></a><var>222.12</var>price and technical bidding program on a regional basis for nonelderly adults and
         children <br />
         		<a id="pl.222.13"></a><var>222.13</var>who are not eligible on the basis of a disability and are enrolled in medical assistance
         and <br />
         		<a id="pl.222.14"></a><var>222.14</var>MinnesotaCare. The commissioner shall establish geographic regions for the purposes
         of <br />
         		<a id="pl.222.15"></a><var>222.15</var>competitive price bidding. The commissioner shall not implement a competitive price
         <br />
         		<a id="pl.222.16"></a><var>222.16</var>bidding program in a single procurement that exceeds 40 percent of the total enrollment
         to <br />
         		<a id="pl.222.17"></a><var>222.17</var>which this paragraph applies except in cases when a managed care organization withdraws
         <br />
         		<a id="pl.222.18"></a><var>222.18</var>from their contract with the state, managed care organizations merge, other significant
         <br />
         		<a id="pl.222.19"></a><var>222.19</var>market changes occur within the purchasing or health care delivery system, or counties
         <br />
         		<a id="pl.222.20"></a><var>222.20</var>agree to a larger procurement. The commissioner shall ensure that there is an adequate
         <br />
         		<a id="pl.222.21"></a><var>222.21</var>choice of managed care organizations based on the potential enrollment, in a manner
         that <br />
         		<a id="pl.222.22"></a><var>222.22</var>is consistent with the requirements of section 256B.694. The commissioner shall operate
         <br />
         		<a id="pl.222.23"></a><var>222.23</var>the competitive bidding program by region, but shall award contracts by county and
         shall <br />
         		<a id="pl.222.24"></a><var>222.24</var>allow managed care organizations with a service area consisting of only a portion
         of a region <br />
         		<a id="pl.222.25"></a><var>222.25</var>to bid on those counties within their licensed service area only. For purposes of
         this <br />
         		<a id="pl.222.26"></a><var>222.26</var>subdivision, "managed care organization" means a demonstration provider as defined
         in <br />
         		<a id="pl.222.27"></a><var>222.27</var>subdivision 2, paragraph (b).<br />
         		<a id="pl.222.28"></a><var>222.28</var>(b) The commissioner shall provide the scoring weight of selection criteria to be
         assigned <br />
         		<a id="pl.222.29"></a><var>222.29</var>in the procurement process and include the scoring weight in the request for proposals.
         <br />
         		<a id="pl.222.30"></a><var>222.30</var>Substantial weight shall be given to county board resolutions and priority areas identified
         <br />
         		<a id="pl.222.31"></a><var>222.31</var>by counties, when that input meets federal requirements under Code of Federal Regulations,
         <br />
         		<a id="pl.222.32"></a><var>222.32</var>title 42, part 338.58.<br />
         		<a id="pl.222.33"></a><var>222.33</var>(c) If a best and final offer is requested, each responding managed care organization
         <br />
         		<a id="pl.222.34"></a><var>222.34</var>must be offered the opportunity to submit a best and final offer.<br />
         		<a id="pl.223.1"></a><var>223.1</var>(d) The commissioner, when evaluating proposals, shall consider network adequacy for
         <br />
         		<a id="pl.223.2"></a><var>223.2</var>dental and other services.<br />
         		<a id="pl.223.3"></a><var>223.3</var>(e) After the managed care organizations are notified about the award determination,
         <br />
         		<a id="pl.223.4"></a><var>223.4</var>but before contracts are signed, the commissioner shall meet with any responder upon
         <br />
         		<a id="pl.223.5"></a><var>223.5</var>request to discuss their individual results in detail. No evaluation materials will
         be provided <br />
         		<a id="pl.223.6"></a><var>223.6</var>in writing  until final contracts are signed.<br />
         		<a id="pl.223.7"></a><var>223.7</var>(f) The commissioner shall provide information to potential responders that outlines
         the <br />
         		<a id="pl.223.8"></a><var>223.8</var>goals and objectives of the procurement, in advance of any publication of a request
         for <br />
         		<a id="pl.223.9"></a><var>223.9</var>proposals under this section.<br />
         		<a id="pl.223.10"></a><var>223.10</var>(g) A managed care organization that is aggrieved by the commissioner's decision related
         <br />
         		<a id="pl.223.11"></a><var>223.11</var>to the selection of managed care organizations to deliver services in a county or
         counties <br />
         		<a id="pl.223.12"></a><var>223.12</var>may appeal the commissioner's decision using the process outlined in section 256B.69,
         <br />
         		<a id="pl.223.13"></a><var>223.13</var>subdivision 3a, paragraph (d), except that the recommendation of the three-person
         mediation <br />
         		<a id="pl.223.14"></a><var>223.14</var>panel shall be binding on the commissioner.<br />
         		<a id="pl.223.15"></a><var>223.15</var>(h) The commissioner shall contract for an independent evaluation of the competitive
         <br />
         		<a id="pl.223.16"></a><var>223.16</var>price bidding process. The contractor must solicit recommendations from all parties
         <br />
         		<a id="pl.223.17"></a><var>223.17</var>participating in the competitive price bidding process for service delivery in calendar
         year <br />
         		<a id="pl.223.18"></a><var>223.18</var>2019 on how the competitive price bidding process may be improved for service delivery
         <br />
         		<a id="pl.223.19"></a><var>223.19</var>in calendar year 2020 and annually thereafter. The commissioner shall make evaluation
         <br />
         		<a id="pl.223.20"></a><var>223.20</var>results available to the public on the department's Web site.<br />
         		<br />
         		<a id="bill.4.42.0"></a><a id="pl.223.21"></a><var>223.21</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2016, section 256B.75, is amended to read:<br />
         		<a id="pl.223.22"></a><var>223.22</var><b>256B.75 HOSPITAL OUTPATIENT REIMBURSEMENT.</b><br />
         		<a id="pl.223.23"></a><var>223.23</var>&#160;&#160;&#160;&#160;(a) For outpatient hospital facility fee payments for services rendered on or after
         October <br />
         		<a id="pl.223.24"></a><var>223.24</var>1, 1992, the commissioner of human services shall pay the lower of (1) submitted charge,
         <br />
         		<a id="pl.223.25"></a><var>223.25</var>or (2) 32 percent above the rate in effect on June 30, 1992, except for those services
         for <br />
         		<a id="pl.223.26"></a><var>223.26</var>which there is a federal maximum allowable payment. Effective for services rendered
         on <br />
         		<a id="pl.223.27"></a><var>223.27</var>or after January 1, 2000, payment rates for nonsurgical outpatient hospital facility
         fees and <br />
         		<a id="pl.223.28"></a><var>223.28</var>emergency room facility fees shall be increased by eight percent over the rates in
         effect on <br />
         		<a id="pl.223.29"></a><var>223.29</var>December 31, 1999, except for those services for which there is a federal maximum
         allowable <br />
         		<a id="pl.223.30"></a><var>223.30</var>payment. Services for which there is a federal maximum allowable payment shall be
         paid <br />
         		<a id="pl.223.31"></a><var>223.31</var>at the lower of (1) submitted charge, or (2) the federal maximum allowable payment.
         Total <br />
         		<a id="pl.223.32"></a><var>223.32</var>aggregate payment for outpatient hospital facility fee services shall not exceed the
         Medicare <br />
         		<a id="pl.223.33"></a><var>223.33</var>upper limit. If it is determined that a provision of this section conflicts with existing
         or <br />
         		<a id="pl.224.1"></a><var>224.1</var>future requirements of the United States government with respect to federal financial
         <br />
         		<a id="pl.224.2"></a><var>224.2</var>participation in medical assistance, the federal requirements prevail. The commissioner
         <br />
         		<a id="pl.224.3"></a><var>224.3</var>may, in the aggregate, prospectively reduce payment rates to avoid reduced federal
         financial <br />
         		<a id="pl.224.4"></a><var>224.4</var>participation resulting from rates that are in excess of the Medicare upper limitations.<br />
         		<a id="pl.224.5"></a><var>224.5</var>&#160;&#160;&#160;&#160;(b) Notwithstanding paragraph (a), payment for outpatient, emergency, and ambulatory
         <br />
         		<a id="pl.224.6"></a><var>224.6</var>surgery hospital facility fee services for critical access hospitals designated under
         section <br />
         		
         <statute_ref><a id="pl.224.7"></a><var>224.7</var>144.1483
         </statute_ref>, clause (9), shall be paid on a cost-based payment system that is based on the <br />
         		<a id="pl.224.8"></a><var>224.8</var>cost-finding methods and allowable costs of the Medicare program. Effective for services
         <br />
         		<a id="pl.224.9"></a><var>224.9</var>provided on or after July 1, 2015, rates established for critical access hospitals
         under this <br />
         		<a id="pl.224.10"></a><var>224.10</var>paragraph for the applicable payment year shall be the final payment and shall not
         be settled <br />
         		<a id="pl.224.11"></a><var>224.11</var>to actual costs. Effective for services delivered on or after the first day of the hospital's fiscal
         <br />
         		<a id="pl.224.12"></a><var>224.12</var>year ending in 2016, the rate for outpatient hospital services shall be computed using
         <br />
         		<a id="pl.224.13"></a><var>224.13</var>information from each hospital's Medicare cost report as filed with Medicare for the
         year <br />
         		<a id="pl.224.14"></a><var>224.14</var>that is two years before the year that the rate is being computed. Rates shall be
         computed <br />
         		<a id="pl.224.15"></a><var>224.15</var>using information from Worksheet C series until the department finalizes the medical
         <br />
         		<a id="pl.224.16"></a><var>224.16</var>assistance cost reporting process for critical access hospitals. After the cost reporting
         process <br />
         		<a id="pl.224.17"></a><var>224.17</var>is finalized, rates shall be computed using information from Title XIX Worksheet D
         series. <br />
         		<a id="pl.224.18"></a><var>224.18</var>The outpatient rate shall be equal to ancillary cost plus outpatient cost, excluding
         costs <br />
         		<a id="pl.224.19"></a><var>224.19</var>related to rural health clinics and federally qualified health clinics, divided by
         ancillary <br />
         		<a id="pl.224.20"></a><var>224.20</var>charges plus outpatient charges, excluding charges related to rural health clinics
         and federally <br />
         		<a id="pl.224.21"></a><var>224.21</var>qualified health clinics.<br />
         		<a id="pl.224.22"></a><var>224.22</var>&#160;&#160;&#160;&#160;(c) Effective for services provided on or after July 1, 2003, rates that are based
         on the <br />
         		<a id="pl.224.23"></a><var>224.23</var>Medicare outpatient prospective payment system shall be replaced by a budget neutral
         <br />
         		<a id="pl.224.24"></a><var>224.24</var>prospective payment system that is derived using medical assistance data. The commissioner
         <br />
         		<a id="pl.224.25"></a><var>224.25</var>shall provide a proposal to the 2003 legislature to define and implement this provision.<br />
         		<a id="pl.224.26"></a><var>224.26</var>&#160;&#160;&#160;&#160;(d) For fee-for-service services provided on or after July 1, 2002, the total payment,
         <br />
         		<a id="pl.224.27"></a><var>224.27</var>before third-party liability and spenddown, made to hospitals for outpatient hospital
         facility <br />
         		<a id="pl.224.28"></a><var>224.28</var>services is reduced by .5 percent from the current statutory rate.<br />
         		<a id="pl.224.29"></a><var>224.29</var>&#160;&#160;&#160;&#160;(e) In addition to the reduction in paragraph (d), the total payment for fee-for-service
         <br />
         		<a id="pl.224.30"></a><var>224.30</var>services provided on or after July 1, 2003, made to hospitals for outpatient hospital
         facility <br />
         		<a id="pl.224.31"></a><var>224.31</var>services before third-party liability and spenddown, is reduced five percent from
         the current <br />
         		<a id="pl.224.32"></a><var>224.32</var>statutory rates. Facilities defined under section 
         <statute_ref>256.969, subdivision 16</statute_ref>, are excluded from <br />
         		<a id="pl.224.33"></a><var>224.33</var>this paragraph.<br />
         		<a id="pl.225.1"></a><var>225.1</var>&#160;&#160;&#160;&#160;(f) In addition to the reductions in paragraphs (d) and (e), the total payment for
         <br />
         		<a id="pl.225.2"></a><var>225.2</var>fee-for-service services provided on or after July 1, 2008, made to hospitals for
         outpatient <br />
         		<a id="pl.225.3"></a><var>225.3</var>hospital facility services before third-party liability and spenddown, is reduced
         three percent <br />
         		<a id="pl.225.4"></a><var>225.4</var>from the current statutory rates. Mental health services and facilities defined under
         section <br />
         		
         <statute_ref><a id="pl.225.5"></a><var>225.5</var>256.969, subdivision 16
         </statute_ref>, are excluded from this paragraph.<br />
         		<a id="pl.225.6"></a><var>225.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.4.43.0"></a><a id="pl.225.7"></a><var>225.7</var>&#160;&#160;&#160;&#160;Sec. 43. <b>[256B.7635] REIMBURSEMENT FOR EVIDENCE-BASED PUBLIC </b><br />
         		<a id="pl.225.8"></a><var>225.8</var><b>HEALTH NURSE HOME VISITS.</b><br />
         		<a id="pl.225.9"></a><var>225.9</var>Effective for services provided on or after January 1, 2018, prenatal and postpartum
         <br />
         		<a id="pl.225.10"></a><var>225.10</var>follow-up home visits provided by public health nurses or registered nurses supervised
         by <br />
         		<a id="pl.225.11"></a><var>225.11</var>a public health nurse using evidence-based models shall be paid $140 per visit. <br />
         		<a id="pl.225.12"></a><var>225.12</var>Evidence-based postpartum follow-up home visits must be administered by home visiting
         <br />
         		<a id="pl.225.13"></a><var>225.13</var>programs that meet the United States Department of Health and Human Services criteria
         <br />
         		<a id="pl.225.14"></a><var>225.14</var>for evidence-based models and are identified by the commissioner of health as eligible
         to <br />
         		<a id="pl.225.15"></a><var>225.15</var>be implemented under the Maternal, Infant, and Early Childhood Home Visiting program.
         <br />
         		<a id="pl.225.16"></a><var>225.16</var>Home visits must target mothers and their children beginning with prenatal visits
         through <br />
         		<a id="pl.225.17"></a><var>225.17</var>age three for the child.<br />
         		<br />
         		<a id="bill.4.44.0"></a><a id="pl.225.18"></a><var>225.18</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2016, section 256B.766, is amended to read:<br />
         		<a id="pl.225.19"></a><var>225.19</var><b>256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.</b><br />
         		<a id="pl.225.20"></a><var>225.20</var>(a) Effective for services provided on or after July 1, 2009, total payments for basic
         care <br />
         		<a id="pl.225.21"></a><var>225.21</var>services, shall be reduced by three percent, except that for the period July 1, 2009,
         through <br />
         		<a id="pl.225.22"></a><var>225.22</var>June 30, 2011, total payments shall be reduced by 4.5 percent for the medical assistance
         <br />
         		<a id="pl.225.23"></a><var>225.23</var>and general assistance medical care programs, prior to third-party liability and spenddown
         <br />
         		<a id="pl.225.24"></a><var>225.24</var>calculation. Effective July 1, 2010, the commissioner shall classify physical therapy
         services, <br />
         		<a id="pl.225.25"></a><var>225.25</var>occupational therapy services, and speech-language pathology and related services
         as basic <br />
         		<a id="pl.225.26"></a><var>225.26</var>care services. The reduction in this paragraph shall apply to physical therapy services,
         <br />
         		<a id="pl.225.27"></a><var>225.27</var>occupational therapy services, and speech-language pathology and related services
         provided <br />
         		<a id="pl.225.28"></a><var>225.28</var>on or after July 1, 2010.<br />
         		<a id="pl.225.29"></a><var>225.29</var>(b) Payments made to managed care plans and county-based purchasing plans shall be
         <br />
         		<a id="pl.225.30"></a><var>225.30</var>reduced for services provided on or after October 1, 2009, to reflect the reduction
         effective <br />
         		<a id="pl.225.31"></a><var>225.31</var>July 1, 2009, and payments made to the plans shall be reduced effective October 1,
         2010, <br />
         		<a id="pl.225.32"></a><var>225.32</var>to reflect the reduction effective July 1, 2010.<br />
         		<a id="pl.226.1"></a><var>226.1</var>(c) Effective for services provided on or after September 1, 2011, through June 30,
         2013, <br />
         		<a id="pl.226.2"></a><var>226.2</var>total payments for outpatient hospital facility fees shall be reduced by five percent
         from the <br />
         		<a id="pl.226.3"></a><var>226.3</var>rates in effect on August 31, 2011.<br />
         		<a id="pl.226.4"></a><var>226.4</var>(d) Effective for services provided on or after September 1, 2011, through June 30,
         2013, <br />
         		<a id="pl.226.5"></a><var>226.5</var>total payments for ambulatory surgery centers facility fees, medical supplies and
         durable <br />
         		<a id="pl.226.6"></a><var>226.6</var>medical equipment not subject to a volume purchase contract, prosthetics and orthotics,
         <br />
         		<a id="pl.226.7"></a><var>226.7</var>renal dialysis services, laboratory services, public health nursing services, physical
         therapy <br />
         		<a id="pl.226.8"></a><var>226.8</var>services, occupational therapy services, speech therapy services, eyeglasses not subject
         to <br />
         		<a id="pl.226.9"></a><var>226.9</var>a volume purchase contract, hearing aids not subject to a volume purchase contract,
         and <br />
         		<a id="pl.226.10"></a><var>226.10</var>anesthesia services shall be reduced by three percent from the rates in effect on
         August 31, <br />
         		<a id="pl.226.11"></a><var>226.11</var>2011.<br />
         		<a id="pl.226.12"></a><var>226.12</var>(e) Effective for services provided on or after September 1, 2014, payments for <br />
         		<a id="pl.226.13"></a><var>226.13</var>ambulatory surgery centers facility fees, hospice services, renal dialysis services,
         laboratory <br />
         		<a id="pl.226.14"></a><var>226.14</var>services, public health nursing services, eyeglasses not subject to a volume purchase
         contract, <br />
         		<a id="pl.226.15"></a><var>226.15</var>and hearing aids not subject to a volume purchase contract shall be increased by three
         percent <br />
         		<a id="pl.226.16"></a><var>226.16</var>and payments for outpatient hospital facility fees shall be increased by three percent.
         <br />
         		<a id="pl.226.17"></a><var>226.17</var>Payments made to managed care plans and county-based purchasing plans shall not be
         <br />
         		<a id="pl.226.18"></a><var>226.18</var>adjusted to reflect payments under this paragraph.<br />
         		<a id="pl.226.19"></a><var>226.19</var>(f) Payments for medical supplies and durable medical equipment not subject to a volume
         <br />
         		<a id="pl.226.20"></a><var>226.20</var>purchase contract, and prosthetics and orthotics, provided on or after July 1, 2014,
         through <br />
         		<a id="pl.226.21"></a><var>226.21</var>June 30, 2015, shall be decreased by .33 percent. Payments for medical supplies and
         durable <br />
         		<a id="pl.226.22"></a><var>226.22</var>medical equipment not subject to a volume purchase contract, and prosthetics and orthotics,
         <br />
         		<a id="pl.226.23"></a><var>226.23</var>provided on or after July 1, 2015, shall be increased by three percent from the rates
         as <br />
         		<a id="pl.226.24"></a><var>226.24</var>determined under paragraphs (i) and (j).<br />
         		<a id="pl.226.25"></a><var>226.25</var>(g) Effective for services provided on or after July 1, 2015, payments for outpatient
         <br />
         		<a id="pl.226.26"></a><var>226.26</var>hospital facility fees, medical supplies and durable medical equipment not subject
         to a <br />
         		<a id="pl.226.27"></a><var>226.27</var>volume purchase contract, prosthetics and orthotics, and laboratory services to a
         hospital <br />
         		<a id="pl.226.28"></a><var>226.28</var>meeting the criteria specified in section 
         <statute_ref>62Q.19, subdivision 1</statute_ref>, paragraph (a), clause (4), <br />
         		<a id="pl.226.29"></a><var>226.29</var>shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments
         made <br />
         		<a id="pl.226.30"></a><var>226.30</var>to managed care plans and county-based purchasing plans shall not be adjusted to reflect
         <br />
         		<a id="pl.226.31"></a><var>226.31</var>payments under this paragraph.<br />
         		<a id="pl.226.32"></a><var>226.32</var>(h) This section does not apply to physician and professional services, inpatient
         hospital <br />
         		<a id="pl.226.33"></a><var>226.33</var>services, family planning services, mental health services, dental services, prescription
         <br />
         		<a id="pl.227.1"></a><var>227.1</var>drugs, medical transportation, federally qualified health centers, rural health centers,
         Indian <br />
         		<a id="pl.227.2"></a><var>227.2</var>health services, and Medicare cost-sharing.<br />
         		<a id="pl.227.3"></a><var>227.3</var>(i) Effective for services provided on or after July 1, 2015, the following categories
         of <br />
         		<a id="pl.227.4"></a><var>227.4</var>medical supplies and durable medical equipment shall be individually priced items: enteral <br />
         		<a id="pl.227.5"></a><var>227.5</var>nutrition and supplies, customized and other specialized tracheostomy tubes and supplies,
         <br />
         		<a id="pl.227.6"></a><var>227.6</var>electric patient lifts, and durable medical equipment repair and service. This paragraph
         does <br />
         		<a id="pl.227.7"></a><var>227.7</var>not apply to medical supplies and durable medical equipment subject to a volume purchase
         <br />
         		<a id="pl.227.8"></a><var>227.8</var>contract, products subject to the preferred diabetic testing supply program, and items
         provided <br />
         		<a id="pl.227.9"></a><var>227.9</var>to dually eligible recipients when Medicare is the primary payer for the item. The
         <br />
         		<a id="pl.227.10"></a><var>227.10</var>commissioner shall not apply any medical assistance rate reductions to durable medical
         <br />
         		<a id="pl.227.11"></a><var>227.11</var>equipment as a result of Medicare competitive bidding.<br />
         		<a id="pl.227.12"></a><var>227.12</var>(j) Effective for services provided on or after July 1, 2015, medical assistance payment
         <br />
         		<a id="pl.227.13"></a><var>227.13</var>rates for durable medical equipment, prosthetics, orthotics, or supplies shall be
         increased <br />
         		<a id="pl.227.14"></a><var>227.14</var>as follows:<br />
         		<a id="pl.227.15"></a><var>227.15</var>(1) payment rates for durable medical equipment, prosthetics, orthotics, or supplies
         that <br />
         		<a id="pl.227.16"></a><var>227.16</var>were subject to the Medicare competitive bid that took effect in January of 2009 shall
         be <br />
         		<a id="pl.227.17"></a><var>227.17</var>increased by 9.5 percent; and<br />
         		<a id="pl.227.18"></a><var>227.18</var>(2) payment rates for durable medical equipment, prosthetics, orthotics, or supplies
         on <br />
         		<a id="pl.227.19"></a><var>227.19</var>the medical assistance fee schedule, whether or not subject to the Medicare competitive
         bid <br />
         		<a id="pl.227.20"></a><var>227.20</var>that took effect in January of 2009, shall be increased by 2.94 percent, with this
         increase <br />
         		<a id="pl.227.21"></a><var>227.21</var>being applied after calculation of any increased payment rate under clause (1).<br />
         		<a id="pl.227.22"></a><var>227.22</var>This paragraph does not apply to medical supplies and durable medical equipment subject
         <br />
         		<a id="pl.227.23"></a><var>227.23</var>to a volume purchase contract, products subject to the preferred diabetic testing
         supply <br />
         		<a id="pl.227.24"></a><var>227.24</var>program, items provided to dually eligible recipients when Medicare is the primary
         payer <br />
         		<a id="pl.227.25"></a><var>227.25</var>for the item, and individually priced items identified in paragraph (i). Payments
         made to <br />
         		<a id="pl.227.26"></a><var>227.26</var>managed care plans and county-based purchasing plans shall not be adjusted to reflect
         the <br />
         		<a id="pl.227.27"></a><var>227.27</var>rate increases in this paragraph.<br />
         		<a id="pl.227.28"></a><var>227.28</var>(k) Effective for nonpressure support ventilators provided on or after January 1,
         2016, <br />
         		<a id="pl.227.29"></a><var>227.29</var>the rate shall be the lower of the submitted charge or the Medicare fee schedule rate.
         Effective <br />
         		<a id="pl.227.30"></a><var>227.30</var>for pressure support ventilators provided on or after January 1, 2016, the rate shall
         be the <br />
         		<a id="pl.227.31"></a><var>227.31</var>lower of the submitted charge or 47 percent above the Medicare fee schedule rate.<br />
         		<a id="pl.227.32"></a><var>227.32</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from January 1, 2016.<br />
         		<br />
         		<a id="bill.4.45.0"></a><a id="pl.228.1"></a><var>228.1</var>&#160;&#160;&#160;&#160;Sec. 45. <b>[256B.90] DEFINITIONS.</b><br />
         		<a id="pl.228.2"></a><var>228.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Generally.</b> For the purposes of sections 256B.90 to 256B.92, the following <br />
         		<a id="pl.228.3"></a><var>228.3</var>terms have the meanings given.<br />
         		<a id="pl.228.4"></a><var>228.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Commissioner.</b> "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.228.5"></a><var>228.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Department.</b> "Department" means the Department of Human Services.<br />
         		<a id="pl.228.6"></a><var>228.6</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Hospital.</b> "Hospital" means a public or private institution licensed as a hospital <br />
         		<a id="pl.228.7"></a><var>228.7</var>under section 144.50 that participates in medical assistance.<br />
         		<a id="pl.228.8"></a><var>228.8</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Medical assistance.</b> "Medical assistance" means the state's Medicaid program <br />
         		<a id="pl.228.9"></a><var>228.9</var>under title XIX of the Social Security Act and administered according to this chapter.<br />
         		<a id="pl.228.10"></a><var>228.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Potentially avoidable complication.</b> "Potentially avoidable complication" <br />
         		<a id="pl.228.11"></a><var>228.11</var>means a harmful event or negative outcome with respect to an individual, including
         an <br />
         		<a id="pl.228.12"></a><var>228.12</var>infection or surgical complication, that: (1) occurs during the individual's transportation
         to <br />
         		<a id="pl.228.13"></a><var>228.13</var>a hospital or long-term care facility or after the individual's admission to a hospital
         or <br />
         		<a id="pl.228.14"></a><var>228.14</var>long-term care facility; and (2) may have resulted from the care caused by insufficient
         <br />
         		<a id="pl.228.15"></a><var>228.15</var>staffing due to nurses' union strikes in the hospital or long-term care facility by
         licensed <br />
         		<a id="pl.228.16"></a><var>228.16</var>practical nurses or registered nurses, lack of care, or treatment provided during
         the hospital <br />
         		<a id="pl.228.17"></a><var>228.17</var>or long-term care facility stay or during the individual's transportation to the hospital
         or <br />
         		<a id="pl.228.18"></a><var>228.18</var>long-term care facility rather than from a natural progression of an underlying disease.<br />
         		<a id="pl.228.19"></a><var>228.19</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Potentially avoidable event.</b> "Potentially avoidable event" means a potentially <br />
         		<a id="pl.228.20"></a><var>228.20</var>avoidable complication, potentially avoidable readmission, or a combination of those
         events.<br />
         		<a id="pl.228.21"></a><var>228.21</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Potentially avoidable readmission.</b> "Potentially avoidable readmission" means <br />
         		<a id="pl.228.22"></a><var>228.22</var>a return hospitalization of an individual within a period specified by the commissioner
         that <br />
         		<a id="pl.228.23"></a><var>228.23</var>may have resulted from deficiencies in the care or treatment provided to the individual
         <br />
         		<a id="pl.228.24"></a><var>228.24</var>during a previous hospital stay or from deficiencies in posthospital discharge follow-up.
         <br />
         		<a id="pl.228.25"></a><var>228.25</var>Potentially avoidable readmission does not include a hospital readmission necessitated
         by <br />
         		<a id="pl.228.26"></a><var>228.26</var>the occurrence of unrelated events after the discharge. Potentially avoidable readmission
         <br />
         		<a id="pl.228.27"></a><var>228.27</var>includes the readmission of an individual to a hospital for: (1) the same condition
         or <br />
         		<a id="pl.228.28"></a><var>228.28</var>procedure for which the individual was previously admitted; (2) an infection or other
         <br />
         		<a id="pl.228.29"></a><var>228.29</var>complication resulting from care previously provided; or (3) a condition or procedure
         that <br />
         		<a id="pl.228.30"></a><var>228.30</var>indicates that a surgical intervention performed during a previous admission was unsuccessful
         <br />
         		<a id="pl.228.31"></a><var>228.31</var>in achieving the anticipated outcome.<br />
         		<br />
         		<a id="bill.4.46.0"></a><a id="pl.229.1"></a><var>229.1</var>&#160;&#160;&#160;&#160;Sec. 46. <b>[256B.91] MEDICAL ASSISTANCE OUTCOMES-BASED PAYMENT </b><br />
         		<a id="pl.229.2"></a><var>229.2</var><b>PROGRAM.</b><br />
         		<a id="pl.229.3"></a><var>229.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Generally.</b> The commissioner must establish and implement a medical <br />
         		<a id="pl.229.4"></a><var>229.4</var>assistance outcomes-based payment program as a hospital outcomes program under section
         <br />
         		<a id="pl.229.5"></a><var>229.5</var>256B.92 to provide hospitals with information and incentives to reduce potentially
         avoidable <br />
         		<a id="pl.229.6"></a><var>229.6</var>events.<br />
         		<a id="pl.229.7"></a><var>229.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Potentially avoidable event methodology.</b> (a) The commissioner shall issue <br />
         		<a id="pl.229.8"></a><var>229.8</var>a request for proposals to select a methodology for identifying potentially avoidable
         events <br />
         		<a id="pl.229.9"></a><var>229.9</var>and for the costs associated with these events, and for measuring hospital performance
         with <br />
         		<a id="pl.229.10"></a><var>229.10</var>respect to these events.<br />
         		<a id="pl.229.11"></a><var>229.11</var>(b) The commissioner shall develop definitions for each potentially avoidable event
         <br />
         		<a id="pl.229.12"></a><var>229.12</var>according to the selected methodology.<br />
         		<a id="pl.229.13"></a><var>229.13</var>(c) To the extent possible, the methodology shall be one that has been used by other
         title <br />
         		<a id="pl.229.14"></a><var>229.14</var>XIX programs under the Social Security Act or by commercial payers in health care
         outcomes <br />
         		<a id="pl.229.15"></a><var>229.15</var>performance measurement and in outcome-based payment programs. The methodology <br />
         		<a id="pl.229.16"></a><var>229.16</var>shall be open, transparent, and available for review by the public.<br />
         		<a id="pl.229.17"></a><var>229.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Medical assistance system waste.</b> (a) The commissioner must conduct a <br />
         		<a id="pl.229.18"></a><var>229.18</var>comprehensive analysis of relevant state databases to identify waste in the medical
         assistance <br />
         		<a id="pl.229.19"></a><var>229.19</var>system.<br />
         		<a id="pl.229.20"></a><var>229.20</var>(b) The analysis must identify instances of potentially avoidable events in medical
         <br />
         		<a id="pl.229.21"></a><var>229.21</var>assistance, and the costs associated with these events. The overall estimate of waste
         must <br />
         		<a id="pl.229.22"></a><var>229.22</var>be broken down into actionable categories including but not limited to regions, hospitals,
         <br />
         		<a id="pl.229.23"></a><var>229.23</var>MCOs, physicians, licensed practical nurses and registered nurses, other unlicensed
         health <br />
         		<a id="pl.229.24"></a><var>229.24</var>care personnel, service lines, diagnosis-related groups, medical conditions and procedures,
         <br />
         		<a id="pl.229.25"></a><var>229.25</var>patient characteristics, provider characteristics, and medical assistance program
         type.<br />
         		<a id="pl.229.26"></a><var>229.26</var>(c) Information collected from this analysis must be utilized in hospital outcomes
         <br />
         		<a id="pl.229.27"></a><var>229.27</var>programs described in this section.<br />
         		<br />
         		<a id="bill.4.47.0"></a><a id="pl.229.28"></a><var>229.28</var>&#160;&#160;&#160;&#160;Sec. 47. <b>[256B.92] HOSPITAL OUTCOMES PROGRAM.</b><br />
         		<a id="pl.229.29"></a><var>229.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Generally.</b> The hospital outcomes program shall:<br />
         		<a id="pl.229.30"></a><var>229.30</var>(1) target reduction of potentially avoidable readmissions and complications;<br />
         		<a id="pl.229.31"></a><var>229.31</var>(2) apply to all state acute care hospitals participating in medical assistance. Program
         <br />
         		<a id="pl.229.32"></a><var>229.32</var>adjustments may be made for certain types of hospitals; and<br />
         		<a id="pl.230.1"></a><var>230.1</var>(3) be implemented in two phases: performance reporting and outcomes-based financial
         <br />
         		<a id="pl.230.2"></a><var>230.2</var>incentives.<br />
         		<a id="pl.230.3"></a><var>230.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Phase 1; performance reporting.</b> (a) The commissioner shall develop and <br />
         		<a id="pl.230.4"></a><var>230.4</var>maintain a reporting system to provide each hospital in Minnesota with regular confidential
         <br />
         		<a id="pl.230.5"></a><var>230.5</var>reports regarding the hospital's performance for potentially avoidable readmissions
         and <br />
         		<a id="pl.230.6"></a><var>230.6</var>potentially avoidable complications.<br />
         		<a id="pl.230.7"></a><var>230.7</var>(b) The commissioner shall:<br />
         		<a id="pl.230.8"></a><var>230.8</var>(1) conduct ongoing analyses of relevant state claims databases to identify instances
         of <br />
         		<a id="pl.230.9"></a><var>230.9</var>potentially avoidable readmissions and potentially avoidable complications, and the
         <br />
         		<a id="pl.230.10"></a><var>230.10</var>expenditures associated with these events;<br />
         		<a id="pl.230.11"></a><var>230.11</var>(2) create or locate state readmission and complications norms;<br />
         		<a id="pl.230.12"></a><var>230.12</var>(3) measure actual-to-expected hospital performance compared to state norms;<br />
         		<a id="pl.230.13"></a><var>230.13</var>(4) compare hospitals with peers using risk adjustment procedures that account for
         the <br />
         		<a id="pl.230.14"></a><var>230.14</var>severity of illness of each hospital's patients;<br />
         		<a id="pl.230.15"></a><var>230.15</var>(5) distribute reports to hospitals to provide actionable information to create policies,
         <br />
         		<a id="pl.230.16"></a><var>230.16</var>contracts, or programs designed to improve target outcomes; and<br />
         		<a id="pl.230.17"></a><var>230.17</var>(6) foster collaboration among hospitals to share best practices.<br />
         		<a id="pl.230.18"></a><var>230.18</var>(c) A hospital may share the information contained in the outcome performance reports
         <br />
         		<a id="pl.230.19"></a><var>230.19</var>with physicians and other health care providers providing services at the hospital
         to foster <br />
         		<a id="pl.230.20"></a><var>230.20</var>coordination and cooperation in the hospital's outcome improvement and waste reduction
         <br />
         		<a id="pl.230.21"></a><var>230.21</var>initiatives.<br />
         		<a id="pl.230.22"></a><var>230.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Phase 2; outcomes-based financial incentives.</b> Twelve months after <br />
         		<a id="pl.230.23"></a><var>230.23</var>implementation of performance reporting under subdivision 2, the commissioner must
         <br />
         		<a id="pl.230.24"></a><var>230.24</var>establish financial incentives for a hospital to reduce potentially avoidable readmissions
         <br />
         		<a id="pl.230.25"></a><var>230.25</var>and potentially avoidable complications.<br />
         		<a id="pl.230.26"></a><var>230.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Rate adjustment methodology.</b> (a) The commissioner must adjust the <br />
         		<a id="pl.230.27"></a><var>230.27</var>reimbursement that a hospital receives under the All Patients Refined Diagnosis-Related
         <br />
         		<a id="pl.230.28"></a><var>230.28</var>Group inpatient prospective payment system based on the hospital's performance exceeding,
         <br />
         		<a id="pl.230.29"></a><var>230.29</var>or failing to achieve, outcome results based on the rates of potentially avoidable
         readmissions <br />
         		<a id="pl.230.30"></a><var>230.30</var>and potentially avoidable complications.<br />
         		 <a id="pl.230.31"></a><var>230.31</var>(b) The rate adjustment methodology must:<br />
         		<a id="pl.230.32"></a><var>230.32</var>(1) apply to each hospital discharge;<br />
         		<a id="pl.231.1"></a><var>231.1</var>(2) determine a hospital-specific potentially avoidable outcome adjustment factor
         based <br />
         		<a id="pl.231.2"></a><var>231.2</var>on the hospital's actual versus expected risk-adjusted performance compared to the
         state <br />
         		<a id="pl.231.3"></a><var>231.3</var>norm;<br />
         		<a id="pl.231.4"></a><var>231.4</var>(3) be based on a retrospective analysis of performance prospectively applied;<br />
         		<a id="pl.231.5"></a><var>231.5</var>(4) include both rewards and penalties; and<br />
         		<a id="pl.231.6"></a><var>231.6</var>(5) be communicated to a hospital in a clear and transparent manner.<br />
         		<a id="pl.231.7"></a><var>231.7</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Amendment of contracts.</b> The commissioner must amend contracts with <br />
         		<a id="pl.231.8"></a><var>231.8</var>participating hospitals as necessary to incorporate the financial incentives established
         under <br />
         		<a id="pl.231.9"></a><var>231.9</var>this section.<br />
         		<a id="pl.231.10"></a><var>231.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Budget neutrality.</b> The hospital outcomes program shall be implemented in a <br />
         		<a id="pl.231.11"></a><var>231.11</var>budget-neutral manner with respect to aggregate Medicaid hospital expenditures.<br />
         		<br />
         		<a id="bill.4.48.0"></a><a id="pl.231.12"></a><var>231.12</var>&#160;&#160;&#160;&#160;Sec. 48. <b>CAPITATION PAYMENT DELAY.</b><br />
         		<a id="pl.231.13"></a><var>231.13</var>(a) The commissioner of human services shall delay the medical assistance capitation
         <br />
         		<a id="pl.231.14"></a><var>231.14</var>payment to managed care plans and county-based purchasing plans due in May 2019 and
         <br />
         		<a id="pl.231.15"></a><var>231.15</var>the payment due in April 2019 for special needs basic care until July 1, 2019. The
         payment <br />
         		<a id="pl.231.16"></a><var>231.16</var>shall be made no earlier than July 1, 2019, and no later than July 31, 2019.<br />
         		<a id="pl.231.17"></a><var>231.17</var>(b) The commissioner of human services shall delay the medical assistance capitation
         <br />
         		<a id="pl.231.18"></a><var>231.18</var>payment to managed care plans and county-based purchasing plans due in May 2021 and
         <br />
         		<a id="pl.231.19"></a><var>231.19</var>the payment due in April 2021 for special needs basic care until July 1, 2021. The
         payment <br />
         		<a id="pl.231.20"></a><var>231.20</var>shall be made no earlier than July 1, 2021, and no later than July 31, 2021.<br />
         		<br />
         		<a id="bill.4.49.0"></a><a id="pl.231.21"></a><var>231.21</var>&#160;&#160;&#160;&#160;Sec. 49. <b>COMMISSIONER DUTY TO SEEK FEDERAL APPROVAL.</b><br />
         		<a id="pl.231.22"></a><var>231.22</var>The commissioner of human services shall seek federal approval that is necessary to
         <br />
         		<a id="pl.231.23"></a><var>231.23</var>implement Minnesota Statutes, sections 256B.0621, subdivision 10; 256B.0924, subdivision
         <br />
         		<a id="pl.231.24"></a><var>231.24</var>4a; and 256B.0625, subdivision 20b, for interactive video contact.<br />
         		<br />
         		<a id="bill.4.50.0"></a><a id="pl.231.25"></a><var>231.25</var>&#160;&#160;&#160;&#160;Sec. 50. <b>LEGISLATIVE COMMISSION ON MANAGED CARE.</b><br />
         		<a id="pl.231.26"></a><var>231.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> (a) A legislative commission is created to study and <br />
         		<a id="pl.231.27"></a><var>231.27</var>make recommendations to the legislature on issues relating to the competitive bidding
         <br />
         		<a id="pl.231.28"></a><var>231.28</var>program and procurement process for the medical assistance and MinnesotaCare contracts
         <br />
         		<a id="pl.231.29"></a><var>231.29</var>with managed care organizations for nonelderly, nondisabled adults and children enrollees.<br />
         		<a id="pl.232.1"></a><var>232.1</var>(b) For purposes of this section, "managed care organization" means a demonstration
         <br />
         		<a id="pl.232.2"></a><var>232.2</var>provider as defined under Minnesota Statutes, section 256B.69, subdivision 2.<br />
         		<a id="pl.232.3"></a><var>232.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Membership.</b> (a) The commission consists of:<br />
         		<a id="pl.232.4"></a><var>232.4</var>(1) four members of the senate, two members appointed by the senate majority leader
         <br />
         		<a id="pl.232.5"></a><var>232.5</var>and two members appointed by the senate minority leader;<br />
         		<a id="pl.232.6"></a><var>232.6</var>(2) four members of the house of representatives, two members appointed by the speaker
         <br />
         		<a id="pl.232.7"></a><var>232.7</var>of the house and two members appointed by the minority leader; and<br />
         		<a id="pl.232.8"></a><var>232.8</var>(3) the commissioner of human services or the commissioner's designee.<br />
         		<a id="pl.232.9"></a><var>232.9</var>(b) The appointing authorities must make their appointments by July 1, 2017.<br />
         		<a id="pl.232.10"></a><var>232.10</var>(c) The ranking senator from the majority party appointed to the commission shall
         <br />
         		<a id="pl.232.11"></a><var>232.11</var>convene the first meeting no later than September 1, 2017.<br />
         		<a id="pl.232.12"></a><var>232.12</var>(d) The commission shall elect a chair among its members at the first meeting.<br />
         		<a id="pl.232.13"></a><var>232.13</var>(e) Members serve without compensation or reimbursement for expenses, except that
         <br />
         		<a id="pl.232.14"></a><var>232.14</var>legislative members may receive per diem and be reimbursed for expenses as provided
         in <br />
         		<a id="pl.232.15"></a><var>232.15</var>the rules governing their respective bodies.<br />
         		<a id="pl.232.16"></a><var>232.16</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Staff.</b> The commissioner of human services shall provide staff and administrative <br />
         		<a id="pl.232.17"></a><var>232.17</var>and research services, as needed, to the commission.<br />
         		<a id="pl.232.18"></a><var>232.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Duties.</b> (a) The commission shall study, review, and make recommendations <br />
         		<a id="pl.232.19"></a><var>232.19</var>on the competitive bidding process for the managed care contracts that provide services
         to <br />
         		<a id="pl.232.20"></a><var>232.20</var>the nonelderly, nondisabled adults and children enrolled in medical assistance and
         <br />
         		<a id="pl.232.21"></a><var>232.21</var>MinnesotaCare. When reviewing the competitive bidding process, the commission shall
         <br />
         		<a id="pl.232.22"></a><var>232.22</var>consider and make recommendations on the following:<br />
         		<a id="pl.232.23"></a><var>232.23</var>(1) the number of geographic regions to be established for competitive bidding and
         each <br />
         		<a id="pl.232.24"></a><var>232.24</var>procurement cycle and the criteria to be used in determining the minimum number of
         <br />
         		<a id="pl.232.25"></a><var>232.25</var>managed care organizations to serve each region or statistical area;<br />
         		<a id="pl.232.26"></a><var>232.26</var>(2) the specifications of the request for proposals, including whether managed care
         <br />
         		<a id="pl.232.27"></a><var>232.27</var>organizations must address in their proposals priority areas identified by counties;<br />
         		<a id="pl.232.28"></a><var>232.28</var>(3) the criteria to be used to determine whether managed care organizations will be
         <br />
         		<a id="pl.232.29"></a><var>232.29</var>requested to provide a best and final offer;<br />
         		<a id="pl.232.30"></a><var>232.30</var>(4) the evaluation process that the commissioner must consider when evaluating each
         <br />
         		<a id="pl.232.31"></a><var>232.31</var>proposal, including the scoring weight to be given when there is a county board resolution
         <br />
         		<a id="pl.233.1"></a><var>233.1</var>identifying a managed care organization preference, and whether consideration shall
         be <br />
         		<a id="pl.233.2"></a><var>233.2</var>given to network adequacy for such services as dental, mental health, and primary
         care;<br />
         		<a id="pl.233.3"></a><var>233.3</var>(5) the notification process to inform managed care organizations about the award
         <br />
         		<a id="pl.233.4"></a><var>233.4</var>determinations, but before the contracts are signed;<br />
         		<a id="pl.233.5"></a><var>233.5</var>(6) process for appealing the commissioner's decision on the selection of a managed
         <br />
         		<a id="pl.233.6"></a><var>233.6</var>care plan or county-based purchasing plan in a county or counties; and<br />
         		<a id="pl.233.7"></a><var>233.7</var>(7) whether an independent evaluation of the competitive bidding process is necessary,
         <br />
         		<a id="pl.233.8"></a><var>233.8</var>and if so, what the evaluation should entail.<br />
         		<a id="pl.233.9"></a><var>233.9</var>(b) The commissioner shall consider the frequency of the procurement process in terms
         <br />
         		<a id="pl.233.10"></a><var>233.10</var>of how often the commissioner should conduct the procurement of managed care contracts
         <br />
         		<a id="pl.233.11"></a><var>233.11</var>and whether procurement should be conducted on a statewide basis or at staggered times
         <br />
         		<a id="pl.233.12"></a><var>233.12</var>for a limited number of counties within a specified region.<br />
         		<a id="pl.233.13"></a><var>233.13</var>(c) The commission shall review proposed legislation that incorporates new federal
         <br />
         		<a id="pl.233.14"></a><var>233.14</var>regulations into managed care statutes, including the recodification of the managed
         care <br />
         		<a id="pl.233.15"></a><var>233.15</var>requirements in Minnesota Statutes, sections 256B.69 and 256B.692.<br />
         		<a id="pl.233.16"></a><var>233.16</var>(d) The commission shall study, review, and make recommendations on a process that
         <br />
         		<a id="pl.233.17"></a><var>233.17</var>meets federal regulations for ensuring that provider rate increases passed by the
         legislature <br />
         		<a id="pl.233.18"></a><var>233.18</var>and incorporated into the capitated rates paid to managed care organizations are recognized
         <br />
         		<a id="pl.233.19"></a><var>233.19</var>in the rates paid by the managed care organizations to the providers while still providing
         <br />
         		<a id="pl.233.20"></a><var>233.20</var>managed care organizations the flexibility in negotiating rates paid to their provider
         networks.<br />
         		<a id="pl.233.21"></a><var>233.21</var>(e) The commission shall consult with interested stakeholders and may solicit public
         <br />
         		<a id="pl.233.22"></a><var>233.22</var>testimony, as deemed necessary.<br />
         		<a id="pl.233.23"></a><var>233.23</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Report.</b> (a) The commission shall report its recommendations to the chairs and <br />
         		<a id="pl.233.24"></a><var>233.24</var>ranking minority members of the legislative committees with jurisdiction over health
         and <br />
         		<a id="pl.233.25"></a><var>233.25</var>human services policy and finance by February 15, 2018. The report shall include any
         draft <br />
         		<a id="pl.233.26"></a><var>233.26</var>legislation necessary to implement the recommendations.<br />
         		<a id="pl.233.27"></a><var>233.27</var>(b) The commission shall provide preliminary recommendations to the commissioner <br />
         		<a id="pl.233.28"></a><var>233.28</var>of human services to be used by the commissioner if the commissioner decides to conduct
         <br />
         		<a id="pl.233.29"></a><var>233.29</var>a procurement for managed care contracts for the 2019 contract year.<br />
         		<a id="pl.233.30"></a><var>233.30</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Open meetings.</b> The commission is subject to Minnesota Statutes, section <br />
         		<a id="pl.233.31"></a><var>233.31</var>3.055.<br />
         		<a id="pl.233.32"></a><var>233.32</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Expiration.</b> This section expires June 30, 2018.<br />
         		<br />
         		<a id="bill.4.51.0"></a><a id="pl.234.1"></a><var>234.1</var>&#160;&#160;&#160;&#160;Sec. 51. <b>HEALTH CARE ACCESS FUND ASSESSMENT.</b><br />
         		<a id="pl.234.2"></a><var>234.2</var>(a) The commissioner of human services, in consultation with the commissioner of <br />
         		<a id="pl.234.3"></a><var>234.3</var>management and budget, shall assess any federal health care reform legislation passed
         at <br />
         		<a id="pl.234.4"></a><var>234.4</var>the federal level on its effect on the MinnesotaCare program and the need for the
         health <br />
         		<a id="pl.234.5"></a><var>234.5</var>care access fund as its continued source of funding.<br />
         		<a id="pl.234.6"></a><var>234.6</var>(b) The commissioner shall report to the chairs and ranking minority members of the
         <br />
         		<a id="pl.234.7"></a><var>234.7</var>legislative committees with jurisdiction over health care policy and finance within
         90 days <br />
         		<a id="pl.234.8"></a><var>234.8</var>of the passage of any federal health care reform legislation.<br />
         		<br />
         		<a id="bill.4.52.0"></a><a id="pl.234.9"></a><var>234.9</var>&#160;&#160;&#160;&#160;Sec. 52. <b>OPIOID USE AND ACUPUNCTURE STUDY.</b><br />
         		<a id="pl.234.10"></a><var>234.10</var>(a) The commissioner of human services shall study the use of opiates for the treatment
         <br />
         		<a id="pl.234.11"></a><var>234.11</var>of chronic pain conditions when acupuncture services are also part of the treatment
         for <br />
         		<a id="pl.234.12"></a><var>234.12</var>chronic pain as compared to opiate use among medical assistance recipients who are
         not <br />
         		<a id="pl.234.13"></a><var>234.13</var>receiving acupuncture. In comparing the sample groups, the commissioner shall look
         at <br />
         		<a id="pl.234.14"></a><var>234.14</var>each group's opiate use and other services as identified by the commissioner.<br />
         		<a id="pl.234.15"></a><var>234.15</var>(b) The aggregate findings of the study shall be submitted by the commissioner to
         the <br />
         		<a id="pl.234.16"></a><var>234.16</var>chairs and ranking minority members of the legislative committees with jurisdiction
         over <br />
         		<a id="pl.234.17"></a><var>234.17</var>health and human services policy and finance by February 15, 2018. The report shall
         not <br />
         		<a id="pl.234.18"></a><var>234.18</var>contain or disclose any patient identifying data.<br />
         		<br />
         		<a id="bill.4.53.0"></a><a id="pl.234.19"></a><var>234.19</var>&#160;&#160;&#160;&#160;Sec. 53. <b>ENCOUNTER REPORTING OF 340B ELIGIBLE DRUGS.</b><br />
         		<a id="pl.234.20"></a><var>234.20</var>&#160;&#160;&#160;&#160;(a) The commissioner of human services, in consultation with federally qualified health
         <br />
         		<a id="pl.234.21"></a><var>234.21</var>centers, managed care organizations, and contract pharmacies shall develop a report
         on the <br />
         		<a id="pl.234.22"></a><var>234.22</var>feasibility of a process to identify and report at point of sale the 340B drugs that
         are dispensed <br />
         		<a id="pl.234.23"></a><var>234.23</var>to enrollees of managed care organizations who are patients of a federally qualified
         health <br />
         		<a id="pl.234.24"></a><var>234.24</var>center to exclude these claims from the Medicaid drug rebate program and ensure that
         <br />
         		<a id="pl.234.25"></a><var>234.25</var>duplicate discounts for drugs do not occur.<br />
         		<a id="pl.234.26"></a><var>234.26</var>&#160;&#160;&#160;&#160;(b) By January 1, 2018, the commissioner shall present the report to the chairs and
         <br />
         		<a id="pl.234.27"></a><var>234.27</var>ranking minority members of the legislative committees with jurisdiction over medical
         <br />
         		<a id="pl.234.28"></a><var>234.28</var>assistance.<br />
         		<br />
         		<a id="bill.4.54.0"></a><a id="pl.234.29"></a><var>234.29</var>&#160;&#160;&#160;&#160;Sec. 54. <b>RATE-SETTING ANALYSIS REPORT.</b><br />
         		<a id="pl.234.30"></a><var>234.30</var>The commissioner of human services shall conduct a comprehensive analysis report of
         <br />
         		<a id="pl.234.31"></a><var>234.31</var>the current rate-setting methodology for outpatient, professional, and physician services
         <br />
         		<a id="pl.235.1"></a><var>235.1</var>that do not have a cost-based, federally mandated, or contracted rate. The report
         shall include <br />
         		<a id="pl.235.2"></a><var>235.2</var>recommendations for changes to the existing fee schedule that utilizes the Resource-Based
         <br />
         		<a id="pl.235.3"></a><var>235.3</var>Relative Value System (RBRVS), and alternate payment methodologies for services that
         <br />
         		<a id="pl.235.4"></a><var>235.4</var>do not have relative values, to simplify the fee for service medical assistance rate
         structure <br />
         		<a id="pl.235.5"></a><var>235.5</var>and to improve consistency and transparency. In developing the report, the commissioner
         <br />
         		<a id="pl.235.6"></a><var>235.6</var>shall consult with outside experts in Medicaid financing. The commissioner shall provide
         <br />
         		<a id="pl.235.7"></a><var>235.7</var>a report on the analysis to the chairs and ranking minority members of the legislative
         <br />
         		<a id="pl.235.8"></a><var>235.8</var>committees with jurisdiction over health and human services finance by November 1,
         2019.<br />
         		<br />
         		<a id="bill.4.55.0"></a><a id="pl.235.9"></a><var>235.9</var>&#160;&#160;&#160;&#160;Sec. 55. <b>STUDY OF PAYMENT RATES FOR DURABLE MEDICAL EQUIPMENT </b><br />
         		<a id="pl.235.10"></a><var>235.10</var><b>AND SUPPLIES.</b><br />
         		<a id="pl.235.11"></a><var>235.11</var>The commissioner of human services shall study the impact of basing medical assistance
         <br />
         		<a id="pl.235.12"></a><var>235.12</var>payment for durable medical equipment and medical supplies on Medicare payment rates,
         <br />
         		<a id="pl.235.13"></a><var>235.13</var>as limited by the payment provisions in the 21st Century Cures Act, Public Law 114-255,
         <br />
         		<a id="pl.235.14"></a><var>235.14</var>on access by medical assistance enrollees to these items. The study must include <br />
         		<a id="pl.235.15"></a><var>235.15</var>recommendations for ensuring and improving access by medical assistance enrollees
         to <br />
         		<a id="pl.235.16"></a><var>235.16</var>durable medical equipment and medical supplies. The commissioner shall report study
         <br />
         		<a id="pl.235.17"></a><var>235.17</var>results and recommendations to the chairs and ranking minority members of the legislative
         <br />
         		<a id="pl.235.18"></a><var>235.18</var>committees with jurisdiction over health and human services policy and finance by
         July 1, <br />
         		<a id="pl.235.19"></a><var>235.19</var>2020.<br />
         		<br />
         		<a id="bill.4.56.0"></a><a id="pl.235.20"></a><var>235.20</var>&#160;&#160;&#160;&#160;Sec. 56. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.235.21"></a><var>235.21</var>The revisor of statutes, in the next edition of Minnesota Statutes, shall change the
         term <br />
         		<a id="pl.235.22"></a><var>235.22</var>"health care delivery system" and similar terms to "integrated health partnership"
         and similar <br />
         		<a id="pl.235.23"></a><var>235.23</var>terms, wherever it appears in Minnesota Statutes, section 256B.0755.<br />
         		<br />
         		<a id="bill.4.57.0"></a><a id="pl.235.24"></a><var>235.24</var>&#160;&#160;&#160;&#160;Sec. 57. <b> REPEALER.</b><br />
         		<a id="pl.235.25"></a><var>235.25</var>Minnesota Statutes 2016, section 256B.64, is repealed.<br />
         		<br />
         		<a id="bill.5.0.0"></a><div class="xtend_ce"><a id="pl.235.26"></a><var>235.26</var><b>ARTICLE 5</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.235.27"></a><var>235.27</var><b>HEALTH INSURANCE</b><br />
            		
         </div><br />
         		<a id="bill.5.1.0"></a><a id="pl.235.28"></a><var>235.28</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 62A.04, subdivision 1, is amended to read:<br />
         		<a id="pl.235.29"></a><var>235.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reference.</b> (a) Any reference to "standard provisions" which may appear <br />
         		<a id="pl.235.30"></a><var>235.30</var>in other sections and which refer to accident and sickness or accident and health
         insurance <br />
         		<a id="pl.235.31"></a><var>235.31</var>shall hereinafter be construed as referring to accident and sickness policy provisions.<br />
         		<a id="pl.236.1"></a><var>236.1</var>(b) Notwithstanding paragraph (a), the following do not apply to health plans:<br />
         		<a id="pl.236.2"></a><var>236.2</var>(1) subdivision 2, clauses (4) to (10) and (12);<br />
         		<a id="pl.236.3"></a><var>236.3</var>(2) subdivision 3, clauses (1) and (3) to (7); and<br />
         		<a id="pl.236.4"></a><var>236.4</var>(3) subdivisions 6 and 10.<br />
         		<a id="pl.236.5"></a><var>236.5</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.236.6"></a><var>236.6</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.2.0"></a><a id="pl.236.7"></a><var>236.7</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 62A.21, subdivision 2a, is amended to read:<br />
         		<a id="pl.236.8"></a><var>236.8</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Continuation privilege.</b> Every policy described in subdivision 1 shall contain <br />
         		<a id="pl.236.9"></a><var>236.9</var>a provision which permits continuation of coverage under the policy for the insured's
         former <br />
         		<a id="pl.236.10"></a><var>236.10</var>spouse and dependent children upon, which is defined as required by section 62A.302, and <br />
         		<a id="pl.236.11"></a><var>236.11</var>former spouse, who was covered on the day before the entry of a valid decree of dissolution <br />
         		<a id="pl.236.12"></a><var>236.12</var>of marriage. The coverage shall be continued until the earlier of the following dates:<br />
         		<a id="pl.236.13"></a><var>236.13</var>(a) the date the insured's former spouse becomes covered under any other group health
         <br />
         		<a id="pl.236.14"></a><var>236.14</var>plan; or<br />
         		<a id="pl.236.15"></a><var>236.15</var>(b) the date coverage would otherwise terminate under the policy.<br />
         		<a id="pl.236.16"></a><var>236.16</var>If the coverage is provided under a group policy, any required premium contributions
         <br />
         		<a id="pl.236.17"></a><var>236.17</var>for the coverage shall be paid by the insured on a monthly basis to the group policyholder
         <br />
         		<a id="pl.236.18"></a><var>236.18</var>for remittance to the insurer. The policy must require the group policyholder to,
         upon request, <br />
         		<a id="pl.236.19"></a><var>236.19</var>provide the insured with written verification from the insurer of the cost of this
         coverage <br />
         		<a id="pl.236.20"></a><var>236.20</var>promptly at the time of eligibility for this coverage and at any time during the continuation
         <br />
         		<a id="pl.236.21"></a><var>236.21</var>period. In no event shall the amount of premium charged exceed 102 percent of the
         cost to <br />
         		<a id="pl.236.22"></a><var>236.22</var>the plan for such period of coverage for other similarly situated spouses and dependent
         <br />
         		<a id="pl.236.23"></a><var>236.23</var>children with respect to whom the marital relationship has not dissolved, without
         regard to <br />
         		<a id="pl.236.24"></a><var>236.24</var>whether such cost is paid by the employer or employee.<br />
         		<a id="pl.236.25"></a><var>236.25</var>Upon request by the insured's former spouse, who was covered on the day before the <br />
         		<a id="pl.236.26"></a><var>236.26</var>entry of a valid decree of dissolution, or dependent child, a health carrier must provide the <br />
         		<a id="pl.236.27"></a><var>236.27</var>instructions necessary to enable the child or former spouse to elect continuation
         of coverage.<br />
         		<a id="pl.236.28"></a><var>236.28</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.236.29"></a><var>236.29</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.3.0"></a><a id="pl.236.30"></a><var>236.30</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 62A.3075, is amended to read:<br />
         		<a id="pl.236.31"></a><var>236.31</var><b>62A.3075 CANCER CHEMOTHERAPY TREATMENT COVERAGE.</b><br />
         		<a id="pl.237.1"></a><var>237.1</var>(a) A health plan company that provides coverage under a health plan for cancer <br />
         		<a id="pl.237.2"></a><var>237.2</var>chemotherapy treatment shall not require a higher co-payment, deductible, or coinsurance
         <br />
         		<a id="pl.237.3"></a><var>237.3</var>amount for a prescribed, orally administered anticancer medication that is used to
         kill or <br />
         		<a id="pl.237.4"></a><var>237.4</var>slow the growth of cancerous cells than what the health plan requires for an intravenously
         <br />
         		<a id="pl.237.5"></a><var>237.5</var>administered or injected cancer medication that is provided, regardless of formulation
         or <br />
         		<a id="pl.237.6"></a><var>237.6</var>benefit category determination by the health plan company.<br />
         		<a id="pl.237.7"></a><var>237.7</var>(b) A health plan company must not achieve compliance with this section by imposing
         <br />
         		<a id="pl.237.8"></a><var>237.8</var>an increase in co-payment, deductible, or coinsurance amount for an intravenously
         <br />
         		<a id="pl.237.9"></a><var>237.9</var>administered or injected cancer chemotherapy agent covered under the health plan.<br />
         		<a id="pl.237.10"></a><var>237.10</var>(c) Nothing in this section shall be interpreted to prohibit a health plan company
         from <br />
         		<a id="pl.237.11"></a><var>237.11</var>requiring prior authorization or imposing other appropriate utilization controls in
         approving <br />
         		<a id="pl.237.12"></a><var>237.12</var>coverage for any chemotherapy.<br />
         		<a id="pl.237.13"></a><var>237.13</var>(d) A plan offered by the commissioner of management and budget under section 
         <statute_ref>43A.23</statute_ref> <br />
         		<a id="pl.237.14"></a><var>237.14</var>is deemed to be at parity and in compliance with this section.<br />
         		<a id="pl.237.15"></a><var>237.15</var>(e) A health plan company is in compliance with this section if it does not include
         orally <br />
         		<a id="pl.237.16"></a><var>237.16</var>administered anticancer medication in the fourth tier of its pharmacy benefit.<br />
         		<a id="pl.237.17"></a><var>237.17</var>(f) A health plan company that provides coverage under a health plan for cancer <br />
         		<a id="pl.237.18"></a><var>237.18</var>chemotherapy treatment must indicate the level of coverage for orally administered
         anticancer <br />
         		<a id="pl.237.19"></a><var>237.19</var>medication within its pharmacy benefit filing with the commissioner.<br />
         		<a id="pl.237.20"></a><var>237.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018, and applies to health <br />
         		<a id="pl.237.21"></a><var>237.21</var>plans offered, sold, issued, or renewed on or after that date.<br />
         		<br />
         		<a id="bill.5.4.0"></a><a id="pl.237.22"></a><var>237.22</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 62D.105, is amended to read:<br />
         		<a id="pl.237.23"></a><var>237.23</var><b>62D.105 COVERAGE OF CURRENT SPOUSE</b><b>, FORMER SPOUSE,</b><b> AND </b><br />
         		<a id="pl.237.24"></a><var>237.24</var><b>CHILDREN.</b><br />
         		<a id="pl.237.25"></a><var>237.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Requirement.</b> Every health maintenance contract, which in addition to <br />
         		<a id="pl.237.26"></a><var>237.26</var>covering the enrollee also provides coverage to the spouse and, dependent children, which <br />
         		<a id="pl.237.27"></a><var>237.27</var>is defined as required by section 62A.302, and former spouse who was covered on the
         day <br />
         		<a id="pl.237.28"></a><var>237.28</var>before the entry of a valid decree of dissolution of marriage, of the enrollee shall: (1) permit <br />
         		<a id="pl.237.29"></a><var>237.29</var>the spouse, former spouse, and dependent children to elect to continue coverage when the <br />
         		<a id="pl.237.30"></a><var>237.30</var>enrollee becomes enrolled for benefits under title XVIII of the Social Security Act
         <br />
         		<a id="pl.237.31"></a><var>237.31</var>(Medicare); and (2) permit the dependent children to continue coverage when they cease
         <br />
         		<a id="pl.237.32"></a><var>237.32</var>to be dependent children under the generally applicable requirement of the plan.<br />
         		<a id="pl.238.1"></a><var>238.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Continuation privilege.</b> The coverage described in subdivision 1 may be <br />
         		<a id="pl.238.2"></a><var>238.2</var>continued until the earlier of the following dates:<br />
         		<a id="pl.238.3"></a><var>238.3</var>(1) the date coverage would otherwise terminate under the contract;<br />
         		<a id="pl.238.4"></a><var>238.4</var>(2) 36 months after continuation by the spouse, former spouse, or dependent was elected; <br />
         		<a id="pl.238.5"></a><var>238.5</var>or<br />
         		<a id="pl.238.6"></a><var>238.6</var>(3) the date the spouse, former spouse, or dependent children become covered under <br />
         		<a id="pl.238.7"></a><var>238.7</var>another group health plan or Medicare.<br />
         		<a id="pl.238.8"></a><var>238.8</var>If coverage is provided under a group policy, any required fees for the coverage shall
         <br />
         		<a id="pl.238.9"></a><var>238.9</var>be paid by the enrollee on a monthly basis to the group contract holder for remittance
         to the <br />
         		<a id="pl.238.10"></a><var>238.10</var>health maintenance organization. In no event shall the fee charged exceed 102 percent
         of <br />
         		<a id="pl.238.11"></a><var>238.11</var>the cost to the plan for such coverage for other similarly situated spouse and dependent
         <br />
         		<a id="pl.238.12"></a><var>238.12</var>children to whom subdivision 1 is not applicable, without regard to whether such cost
         is <br />
         		<a id="pl.238.13"></a><var>238.13</var>paid by the employer or employee.<br />
         		<a id="pl.238.14"></a><var>238.14</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.238.15"></a><var>238.15</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.5.0"></a><a id="pl.238.16"></a><var>238.16</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 62E.04, subdivision 11, is amended to read:<br />
         		<a id="pl.238.17"></a><var>238.17</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Essential health benefits package</b><b> Affordable Care Act compliant plans</b><b>.</b><br />
         		 <a id="pl.238.18"></a><var>238.18</var>For individual or small group health plans that include the essential health benefits
         package <br />
         		<a id="pl.238.19"></a><var>238.19</var>and are any policy of accident and health insurance subject to the requirements of the <br />
         		<a id="pl.238.20"></a><var>238.20</var>Affordable Care Act, as defined under section 62A.011, subdivision 1a, that is offered, sold, <br />
         		<a id="pl.238.21"></a><var>238.21</var>issued, or renewed on or after January 1, 2014 2018, the requirements of this section do not <br />
         		<a id="pl.238.22"></a><var>238.22</var>apply.<br />
         		<a id="pl.238.23"></a><var>238.23</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.238.24"></a><var>238.24</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.6.0"></a><a id="pl.238.25"></a><var>238.25</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 62E.05, subdivision 1, is amended to read:<br />
         		<a id="pl.238.26"></a><var>238.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Certification.</b> Upon application by an insurer, fraternal, or employer for <br />
         		<a id="pl.238.27"></a><var>238.27</var>certification of a plan of health coverage as a qualified plan or a qualified Medicare
         <br />
         		<a id="pl.238.28"></a><var>238.28</var>supplement plan for the purposes of sections 
         <statute_ref>62E.01</statute_ref> to 
         <statute_ref>62E.19</statute_ref>, the commissioner shall <br />
         		<a id="pl.238.29"></a><var>238.29</var>make a determination within 90 days as to whether the plan is qualified. All plans
         of health <br />
         		<a id="pl.238.30"></a><var>238.30</var>coverage, except Medicare supplement policies, shall be labeled as "qualified" or
         <br />
         		<a id="pl.238.31"></a><var>238.31</var>"nonqualified" on the front of the policy or contract, or on the schedule page. All
         qualified <br />
         		<a id="pl.238.32"></a><var>238.32</var>plans shall indicate whether they are number one, two, or three coverage plans. For any <br />
         		<a id="pl.239.1"></a><var>239.1</var>policy of accident and health insurance subject to the requirements of the Affordable
         Care <br />
         		<a id="pl.239.2"></a><var>239.2</var>Act, as defined under section 62A.011, subdivision 1a, that is offered, sold, issued,
         or <br />
         		<a id="pl.239.3"></a><var>239.3</var>renewed on or after January 1, 2018, the requirements of this section do not apply.<br />
         		<a id="pl.239.4"></a><var>239.4</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.239.5"></a><var>239.5</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.7.0"></a><a id="pl.239.6"></a><var>239.6</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 62E.06, is amended by adding a subdivision to <br />
         		<a id="pl.239.7"></a><var>239.7</var>read:<br />
         		<a id="pl.239.8"></a><var>239.8</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Affordable Care Act compliant plans.</b> For any policy of accident and health <br />
         		<a id="pl.239.9"></a><var>239.9</var>insurance subject to the requirements of the Affordable Care Act, as defined under
         section <br />
         		<a id="pl.239.10"></a><var>239.10</var>62A.011, subdivision 1a, that is offered, sold, issued, or renewed on or after January
         1, <br />
         		<a id="pl.239.11"></a><var>239.11</var>2018, the requirements of this section do not apply.<br />
         		<a id="pl.239.12"></a><var>239.12</var><b>EFFECTIVE DATE.</b>This section is effective for policies offered, sold, issued, or <br />
         		<a id="pl.239.13"></a><var>239.13</var>renewed on or after January 1, 2018.<br />
         		<br />
         		<a id="bill.5.8.0"></a><a id="pl.239.14"></a><var>239.14</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 317A.811, subdivision 1, is amended to read:<br />
         		<a id="pl.239.15"></a><var>239.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>When required.</b> (a) Except as provided in subdivision 6, the following <br />
         		<a id="pl.239.16"></a><var>239.16</var>corporations shall notify the attorney general of their intent to dissolve, merge,
         or consolidate, <br />
         		<a id="pl.239.17"></a><var>239.17</var>or to transfer all or substantially all of their assets:<br />
         		<a id="pl.239.18"></a><var>239.18</var>(1) a corporation that holds assets for a charitable purpose as defined in section
         
         <statute_ref>501B.35, <br />
            		<a id="pl.239.19"></a><var>239.19</var>subdivision 2
         </statute_ref>; or<br />
         		<a id="pl.239.20"></a><var>239.20</var>&#160;&#160;&#160;&#160;(2) a health maintenance organization operating under chapter 62D;<br />
         		<a id="pl.239.21"></a><var>239.21</var>&#160;&#160;&#160;&#160;(3) a service plan corporation operating under chapter 62C; or<br />
         		<a id="pl.239.22"></a><var>239.22</var>(2) (4) a corporation that is exempt under section 501(c)(3) of the Internal Revenue Code
         <br />
         		<a id="pl.239.23"></a><var>239.23</var>of 1986, or any successor section.<br />
         		<a id="pl.239.24"></a><var>239.24</var>(b) The notice must include:<br />
         		<a id="pl.239.25"></a><var>239.25</var>(1) the purpose of the corporation that is giving the notice;<br />
         		<a id="pl.239.26"></a><var>239.26</var>(2) a list of assets owned or held by the corporation for charitable purposes;<br />
         		<a id="pl.239.27"></a><var>239.27</var>(3) a description of restricted assets and purposes for which the assets were received;<br />
         		<a id="pl.239.28"></a><var>239.28</var>(4) a description of debts, obligations, and liabilities of the corporation;<br />
         		<a id="pl.239.29"></a><var>239.29</var>(5) a description of tangible assets being converted to cash and the manner in which
         <br />
         		<a id="pl.239.30"></a><var>239.30</var>they will be sold;<br />
         		<a id="pl.240.1"></a><var>240.1</var>(6) anticipated expenses of the transaction, including attorney fees;<br />
         		<a id="pl.240.2"></a><var>240.2</var>(7) a list of persons to whom assets will be transferred, if known;<br />
         		<a id="pl.240.3"></a><var>240.3</var>(8) the purposes of persons receiving the assets; and<br />
         		<a id="pl.240.4"></a><var>240.4</var>(9) the terms, conditions, or restrictions, if any, to be imposed on the transferred
         assets.<br />
         		<a id="pl.240.5"></a><var>240.5</var>The notice must be signed on behalf of the corporation by an authorized person.<br />
         		<br />
         		<a id="bill.5.9.0"></a><a id="pl.240.6"></a><var>240.6</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 317A.811, is amended by adding a subdivision <br />
         		<a id="pl.240.7"></a><var>240.7</var>to read:<br />
         		<a id="pl.240.8"></a><var>240.8</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Nonprofit health care entity; notice required.</b> A corporation that is a health <br />
         		<a id="pl.240.9"></a><var>240.9</var>maintenance organization or a service plan corporation is subject to notice requirements
         for <br />
         		<a id="pl.240.10"></a><var>240.10</var>certain transactions under section 317A.814.<br />
         		<br />
         		<a id="bill.5.10.0"></a><a id="pl.240.11"></a><var>240.11</var>&#160;&#160;&#160;&#160;Sec. 10. <b>[317A.814] NONPROFIT HEALTH CARE ENTITY CONVERSIONS.</b><br />
         		<a id="pl.240.12"></a><var>240.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br />
         		<a id="pl.240.13"></a><var>240.13</var>(b) "Commissioner" means the commissioner of commerce if the nonprofit health care
         <br />
         		<a id="pl.240.14"></a><var>240.14</var>entity at issue is a service plan corporation operating under chapter 62C, and the
         <br />
         		<a id="pl.240.15"></a><var>240.15</var>commissioner of health if the nonprofit health care entity at issue is a health maintenance
         <br />
         		<a id="pl.240.16"></a><var>240.16</var>organization operating under chapter 62D.<br />
         		<a id="pl.240.17"></a><var>240.17</var>(c) "Conversion benefit entity" means a foundation, corporation, limited liability
         <br />
         		<a id="pl.240.18"></a><var>240.18</var>company, trust, partnership, or other entity that receives public benefit assets,
         or their value, <br />
         		<a id="pl.240.19"></a><var>240.19</var>in connection with a conversion transaction.<br />
         		<a id="pl.240.20"></a><var>240.20</var>(d) "Conversion transaction" or "transaction" means a transaction in which a nonprofit
         <br />
         		<a id="pl.240.21"></a><var>240.21</var>health care entity merges, consolidates, converts, or transfers all or a substantial
         portion of <br />
         		<a id="pl.240.22"></a><var>240.22</var>its assets to an entity that is not a nonprofit corporation organized under this chapter
         that is <br />
         		<a id="pl.240.23"></a><var>240.23</var>also exempt under United States Code, title 26, section 501(c)(3). The substitution
         of a new <br />
         		<a id="pl.240.24"></a><var>240.24</var>corporate member that transfers the control, responsibility for, or governance of
         a nonprofit <br />
         		<a id="pl.240.25"></a><var>240.25</var>health care entity is also considered a transaction for purposes of this section.<br />
         		<a id="pl.240.26"></a><var>240.26</var>(e) "Family member" means a spouse, parent, or child or other legal dependent.<br />
         		<a id="pl.240.27"></a><var>240.27</var>(f) "Nonprofit health care entity" means a service plan corporation operating under
         <br />
         		<a id="pl.240.28"></a><var>240.28</var>chapter 62C and a health maintenance organization operating under chapter 62D.<br />
         		<a id="pl.240.29"></a><var>240.29</var>(g) "Public benefit assets" means:<br />
         		<a id="pl.241.1"></a><var>241.1</var>(1) assets that represent net earnings that were required to be devoted to the nonprofit
         <br />
         		<a id="pl.241.2"></a><var>241.2</var>purposes of the health maintenance organization according to Minnesota Statutes 2016,
         <br />
         		<a id="pl.241.3"></a><var>241.3</var>section 62D.12; and<br />
         		<a id="pl.241.4"></a><var>241.4</var>(2) other assets that are identified as dedicated for a charitable or public purpose.<br />
         		<a id="pl.241.5"></a><var>241.5</var>(h) "Related organization" has the meaning given in section 317A.011.<br />
         		<a id="pl.241.6"></a><var>241.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Private inurement.</b> A nonprofit health care entity must not enter into a <br />
         		<a id="pl.241.7"></a><var>241.7</var>conversion transaction if a person who has been an officer, director, or other executive
         of <br />
         		<a id="pl.241.8"></a><var>241.8</var>the nonprofit health care entity, or of a related organization, or a family member
         of that <br />
         		<a id="pl.241.9"></a><var>241.9</var>person:<br />
         		<a id="pl.241.10"></a><var>241.10</var>(1) has or will receive any compensation or other financial benefit, directly or indirectly,
         <br />
         		<a id="pl.241.11"></a><var>241.11</var>in connection with the conversion transaction;<br />
         		<a id="pl.241.12"></a><var>241.12</var>(2) has held or will hold, regardless of whether guaranteed or contingent, an ownership
         <br />
         		<a id="pl.241.13"></a><var>241.13</var>stake, stock, securities, investment, or other financial interest in, or receive any
         type of <br />
         		<a id="pl.241.14"></a><var>241.14</var>onetime compensation or other financial benefit from, any entity to which the nonprofit
         <br />
         		<a id="pl.241.15"></a><var>241.15</var>health care entity transfers public benefit assets in connection with a conversion
         transaction; <br />
         		<a id="pl.241.16"></a><var>241.16</var>or<br />
         		<a id="pl.241.17"></a><var>241.17</var>(3) has held or will hold, regardless of whether guaranteed or contingent, an ownership
         <br />
         		<a id="pl.241.18"></a><var>241.18</var>stake, stock, securities, investment, or other financial interest in, or receive any
         type of <br />
         		<a id="pl.241.19"></a><var>241.19</var>compensation or other financial benefit from, any entity that has or will have a business
         <br />
         		<a id="pl.241.20"></a><var>241.20</var>relationship with any entity to which the nonprofit health care entity transfers public
         benefit <br />
         		<a id="pl.241.21"></a><var>241.21</var>assets in connection with a conversion transaction.<br />
         		<a id="pl.241.22"></a><var>241.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Attorney general notice required.</b> (a) Before entering into a conversion <br />
         		<a id="pl.241.23"></a><var>241.23</var>transaction, the nonprofit health care entity must notify the attorney general as
         specified <br />
         		<a id="pl.241.24"></a><var>241.24</var>under section 317A.811, subdivision 1. The notice required by this subdivision also
         must <br />
         		<a id="pl.241.25"></a><var>241.25</var>include an itemization of the nonprofit health care entity's public benefit assets
         and the <br />
         		<a id="pl.241.26"></a><var>241.26</var>valuation that the entity  attributes to those assets, a proposed plan for distribution
         of the <br />
         		<a id="pl.241.27"></a><var>241.27</var>value of those assets to a conversion benefit entity that meets the requirements of
         subdivision <br />
         		<a id="pl.241.28"></a><var>241.28</var>5, and other information from the health maintenance organization or the proposed
         conversion <br />
         		<a id="pl.241.29"></a><var>241.29</var>benefit entity that the attorney general reasonably considers necessary for review
         of the <br />
         		<a id="pl.241.30"></a><var>241.30</var>proposed transaction.<br />
         		<a id="pl.241.31"></a><var>241.31</var>(b) A copy of the notice and other information required under this subdivision must
         be <br />
         		<a id="pl.241.32"></a><var>241.32</var>given to the commissioner.<br />
         		<a id="pl.242.1"></a><var>242.1</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Review elements.</b> In exercising the powers under this chapter, the attorney <br />
         		<a id="pl.242.2"></a><var>242.2</var>general, in consultation with the commissioner, shall consider any factors the attorney
         <br />
         		<a id="pl.242.3"></a><var>242.3</var>general considers relevant, including whether:<br />
         		<a id="pl.242.4"></a><var>242.4</var>(1) the proposed transaction complies with this chapter and chapter 501B and other
         <br />
         		<a id="pl.242.5"></a><var>242.5</var>applicable laws;<br />
         		<a id="pl.242.6"></a><var>242.6</var>(2) the proposed transaction involves or constitutes a breach of charitable trust;<br />
         		<a id="pl.242.7"></a><var>242.7</var>(3) the nonprofit health care entity will receive full and fair value for its public
         benefit <br />
         		<a id="pl.242.8"></a><var>242.8</var>assets;<br />
         		<a id="pl.242.9"></a><var>242.9</var>(4) the full and fair value of the public benefit assets to be transferred has been
         <br />
         		<a id="pl.242.10"></a><var>242.10</var>manipulated in a manner that causes or has caused the value of the assets to decrease;<br />
         		<a id="pl.242.11"></a><var>242.11</var>(5) the proceeds of the proposed transaction will be used consistent with the public
         <br />
         		<a id="pl.242.12"></a><var>242.12</var>benefit for which the assets are held by the nonprofit health care entity;<br />
         		<a id="pl.242.13"></a><var>242.13</var>(6) the proposed transaction will result in a breach of fiduciary duty, as determined
         by <br />
         		<a id="pl.242.14"></a><var>242.14</var>the attorney general, including whether:<br />
         		<a id="pl.242.15"></a><var>242.15</var>(i) conflicts of interest exist related to payments to or benefits conferred upon
         officers, <br />
         		<a id="pl.242.16"></a><var>242.16</var>directors, board members, and executives of the nonprofit health care entity or a
         related <br />
         		<a id="pl.242.17"></a><var>242.17</var>organization;<br />
         		<a id="pl.242.18"></a><var>242.18</var>(ii) the nonprofit health care entity's board of directors exercised reasonable care
         and <br />
         		<a id="pl.242.19"></a><var>242.19</var>due diligence in deciding to pursue the transaction, in selecting the entity with
         which to <br />
         		<a id="pl.242.20"></a><var>242.20</var>pursue the transaction, and in negotiating the terms and conditions of the transaction;
         and<br />
         		<a id="pl.242.21"></a><var>242.21</var>(iii) the nonprofit health care entity's board of directors considered all reasonably
         viable <br />
         		<a id="pl.242.22"></a><var>242.22</var>alternatives, including any competing offers for its public benefit assets, or alternative
         <br />
         		<a id="pl.242.23"></a><var>242.23</var>transactions;<br />
         		<a id="pl.242.24"></a><var>242.24</var>(7) the transaction will result in private inurement to any person, including owners,
         <br />
         		<a id="pl.242.25"></a><var>242.25</var>stakeholders, or directors, officers, or key staff of the nonprofit health care entity
         or entity <br />
         		<a id="pl.242.26"></a><var>242.26</var>to which the nonprofit health care entity proposes to transfer public benefit assets;<br />
         		<a id="pl.242.27"></a><var>242.27</var>(8) the conversion benefit entity meets the requirements of subdivision 5; and<br />
         		<a id="pl.242.28"></a><var>242.28</var>(9) the attorney general has been provided with sufficient information by the nonprofit
         <br />
         		<a id="pl.242.29"></a><var>242.29</var>health care entity to adequately evaluate the proposed transaction and the effects
         on the <br />
         		<a id="pl.242.30"></a><var>242.30</var>public, provided the attorney general has notified the nonprofit health care entity
         or the <br />
         		<a id="pl.242.31"></a><var>242.31</var>proposed conversion benefit entity of any inadequacy of the information and has provided
         <br />
         		<a id="pl.242.32"></a><var>242.32</var>a reasonable opportunity to remedy that inadequacy.<br />
         		 <a id="pl.243.1"></a><var>243.1</var>In addition, the attorney general shall consider the public comments received regarding
         <br />
         		<a id="pl.243.2"></a><var>243.2</var>the proposed conversion transaction and the proposed transaction's likely effect on
         the <br />
         		<a id="pl.243.3"></a><var>243.3</var>availability, accessibility, and affordability of health care services to the public.<br />
         		<a id="pl.243.4"></a><var>243.4</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Conversion benefit entity requirements.</b> (a) A conversion benefit entity must <br />
         		<a id="pl.243.5"></a><var>243.5</var>be an existing or new nonprofit corporation and also be exempt under United States
         Code, <br />
         		<a id="pl.243.6"></a><var>243.6</var>title 26, section 501(c)(3).<br />
         		<a id="pl.243.7"></a><var>243.7</var>(b) The conversion benefit entity must have in place procedures and policies to prohibit
         <br />
         		<a id="pl.243.8"></a><var>243.8</var>conflicts of interest, including but not limited to prohibiting conflicts of interests
         relating <br />
         		<a id="pl.243.9"></a><var>243.9</var>to any grant-making activities that may benefit:<br />
         		<a id="pl.243.10"></a><var>243.10</var>(1) the directors, officers, or other executives of the conversion benefit entity;<br />
         		<a id="pl.243.11"></a><var>243.11</var>(2) any entity to which the nonprofit health care entity transfers any public benefit
         assets <br />
         		<a id="pl.243.12"></a><var>243.12</var>in connection with a conversion transaction; or<br />
         		<a id="pl.243.13"></a><var>243.13</var>(3) any directors, officers, or other executives of any entity to which the nonprofit
         health <br />
         		<a id="pl.243.14"></a><var>243.14</var>care entity transfers any public benefit assets in connection with a conversion transaction.<br />
         		<a id="pl.243.15"></a><var>243.15</var>(c) The charitable purpose and grant-making functions of the conversion benefit entity
         <br />
         		<a id="pl.243.16"></a><var>243.16</var>must be dedicated to meeting the health care needs of the people of this state.<br />
         		<a id="pl.243.17"></a><var>243.17</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Public comment.</b> The attorney general may solicit public comment regarding <br />
         		<a id="pl.243.18"></a><var>243.18</var>the proposed conversion transaction. The attorney general may hold one or more public
         <br />
         		<a id="pl.243.19"></a><var>243.19</var>meetings or solicit written or electronic correspondence. If a meeting is held, notice
         of the <br />
         		<a id="pl.243.20"></a><var>243.20</var>meeting must be published in a qualified newspaper of general circulation in this
         state at <br />
         		<a id="pl.243.21"></a><var>243.21</var>least seven days before the meeting.<br />
         		<a id="pl.243.22"></a><var>243.22</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Relation to other law.</b> (a) This section is in addition to, and does not affect or <br />
         		<a id="pl.243.23"></a><var>243.23</var>limit any power, remedy, or responsibility of a health maintenance organization, service
         <br />
         		<a id="pl.243.24"></a><var>243.24</var>plan corporation, a conversion benefit entity, the attorney general, or the commissioner
         <br />
         		<a id="pl.243.25"></a><var>243.25</var>under this chapter, chapter 62C, 62D, 501B, or other law.<br />
         		 <a id="pl.243.26"></a><var>243.26</var>(b) Nothing in this section authorizes a nonprofit health care entity to enter into
         a <br />
         		<a id="pl.243.27"></a><var>243.27</var>conversion transaction not otherwise permitted under this chapter.<br />
         		<br />
         		<a id="bill.5.11.0"></a><a id="pl.243.28"></a><var>243.28</var>&#160;&#160;&#160;&#160;Sec. 11. Laws 2017, chapter 2, article 1, section 5, is amended to read:<br />
         		<a id="pl.243.29"></a><var>243.29</var>&#160;&#160;&#160;&#160;Sec. 5. <b>SUNSET.</b><br />
         		<a id="pl.243.30"></a><var>243.30</var>This article sunsets June 30, other than section 2, subdivision 5, and section 3, sunsets <br />
         		<a id="pl.243.31"></a><var>243.31</var>August 31, 2018.<br />
         		<br />
         		<a id="bill.5.12.0"></a><a id="pl.244.1"></a><var>244.1</var>&#160;&#160;&#160;&#160;Sec. 12. Laws 2017, chapter 2, article 1, section 7, is amended to read:<br />
         		<a id="pl.244.2"></a><var>244.2</var>&#160;&#160;&#160;&#160;Sec. 7. <b>APPROPRIATIONS.</b><br />
         		<a id="pl.244.3"></a><var>244.3</var>(a) $311,788,000 in fiscal year 2017 is appropriated from the general fund to the
         <br />
         		<a id="pl.244.4"></a><var>244.4</var>commissioner of management and budget for premium assistance under section 2. This
         <br />
         		<a id="pl.244.5"></a><var>244.5</var>appropriation is onetime and is available through June 30 August 31, 2018.<br />
         		<a id="pl.244.6"></a><var>244.6</var>(b) $157,000 in fiscal year 2017 is appropriated from the general fund to the legislative
         <br />
         		<a id="pl.244.7"></a><var>244.7</var>auditor for purposes of section 3. This appropriation is onetime.<br />
         		<a id="pl.244.8"></a><var>244.8</var>(c) Any unexpended amount from the appropriation in paragraph (a) after June 30, 2018,
         <br />
         		<a id="pl.244.9"></a><var>244.9</var>shall be transferred on July 1 no later than August 31, 2018, from the general fund to the <br />
         		<a id="pl.244.10"></a><var>244.10</var>budget reserve account under Minnesota Statutes, section 
         <statute_ref>16A.152, subdivision 1a</statute_ref>.<br />
         		<br />
         		<a id="bill.6.0.0"></a><div class="xtend_ce"><a id="pl.244.11"></a><var>244.11</var><b>ARTICLE 6</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.244.12"></a><var>244.12</var><b>DIRECT CARE AND TREATMENT</b><br />
            		
         </div><br />
         		<a id="bill.6.1.0"></a><a id="pl.244.13"></a><var>244.13</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 253B.10, subdivision 1, is amended to read:<br />
         		<a id="pl.244.14"></a><var>244.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Administrative requirements.</b> (a) When a person is committed, the <br />
         		<a id="pl.244.15"></a><var>244.15</var>court shall issue a warrant or an order committing the patient to the custody of the
         head of <br />
         		<a id="pl.244.16"></a><var>244.16</var>the treatment facility. The warrant or order shall state that the patient meets the
         statutory <br />
         		<a id="pl.244.17"></a><var>244.17</var>criteria for civil commitment.<br />
         		<a id="pl.244.18"></a><var>244.18</var>(b) The commissioner shall prioritize patients being admitted from jail or a correctional
         <br />
         		<a id="pl.244.19"></a><var>244.19</var>institution who are:<br />
         		<a id="pl.244.20"></a><var>244.20</var>(1) ordered confined in a state hospital for an examination under Minnesota Rules
         of <br />
         		<a id="pl.244.21"></a><var>244.21</var>Criminal Procedure, rules 20.01, subdivision 4, paragraph (a), and 20.02, subdivision
         2;<br />
         		<a id="pl.244.22"></a><var>244.22</var>(2) under civil commitment for competency treatment and continuing supervision under
         <br />
         		<a id="pl.244.23"></a><var>244.23</var>Minnesota Rules of Criminal Procedure, rule 20.01, subdivision 7;<br />
         		<a id="pl.244.24"></a><var>244.24</var>(3) found not guilty by reason of mental illness under Minnesota Rules of Criminal
         <br />
         		<a id="pl.244.25"></a><var>244.25</var>Procedure, rule 20.02, subdivision 8, and under civil commitment or are ordered to
         be <br />
         		<a id="pl.244.26"></a><var>244.26</var>detained in a state hospital or other facility pending completion of the civil commitment
         <br />
         		<a id="pl.244.27"></a><var>244.27</var>proceedings; or<br />
         		<a id="pl.244.28"></a><var>244.28</var>(4) committed under this chapter to the commissioner after dismissal of the patient's
         <br />
         		<a id="pl.244.29"></a><var>244.29</var>criminal charges.<br />
         		<a id="pl.245.1"></a><var>245.1</var>Patients described in this paragraph must be admitted to a service operated by the
         <br />
         		<a id="pl.245.2"></a><var>245.2</var>commissioner within 48 hours. The commitment must be ordered by the court as provided
         <br />
         		<a id="pl.245.3"></a><var>245.3</var>in section 
         <statute_ref>253B.09, subdivision 1</statute_ref>, paragraph (c).<br />
         		<a id="pl.245.4"></a><var>245.4</var>(c) Upon the arrival of a patient at the designated treatment facility, the head of
         the <br />
         		<a id="pl.245.5"></a><var>245.5</var>facility shall retain the duplicate of the warrant and endorse receipt upon the original
         warrant <br />
         		<a id="pl.245.6"></a><var>245.6</var>or acknowledge receipt of the order. The endorsed receipt or acknowledgment must be
         filed <br />
         		<a id="pl.245.7"></a><var>245.7</var>in the court of commitment. After arrival, the patient shall be under the control
         and custody <br />
         		<a id="pl.245.8"></a><var>245.8</var>of the head of the treatment facility.<br />
         		<a id="pl.245.9"></a><var>245.9</var>(d) Copies of the petition for commitment, the court's findings of fact and conclusions
         <br />
         		<a id="pl.245.10"></a><var>245.10</var>of law, the court order committing the patient, the report of the examiners, and the
         prepetition <br />
         		<a id="pl.245.11"></a><var>245.11</var>report shall be provided promptly to the treatment facility. This information shall also be <br />
         		<a id="pl.245.12"></a><var>245.12</var>provided by the head of the treatment facility to treatment facility staff in a consistent
         and <br />
         		<a id="pl.245.13"></a><var>245.13</var>timely manner and pursuant to all applicable laws.<br />
         		<br />
         		<a id="bill.6.2.0"></a><a id="pl.245.14"></a><var>245.14</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 253B.22, subdivision 1, is amended to read:<br />
         		<a id="pl.245.15"></a><var>245.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> The commissioner shall establish a review board of three <br />
         		<a id="pl.245.16"></a><var>245.16</var>or more persons for each regional center to review the admission and retention of its patients <br />
         		<a id="pl.245.17"></a><var>245.17</var>receiving services under this chapter. The review board shall be comprised of two members <br />
         		<a id="pl.245.18"></a><var>245.18</var>and one chair. Each board member shall be selected and appointed by the commissioner.
         <br />
         		<a id="pl.245.19"></a><var>245.19</var>The appointed members shall be limited to one term of no more than three years and
         no <br />
         		<a id="pl.245.20"></a><var>245.20</var>board member can serve more than three consecutive three-year terms. One member shall <br />
         		<a id="pl.245.21"></a><var>245.21</var>be qualified in the diagnosis of mental illness, developmental disability, or chemical
         <br />
         		<a id="pl.245.22"></a><var>245.22</var>dependency, and one member shall be an attorney. The commissioner may, upon written
         <br />
         		<a id="pl.245.23"></a><var>245.23</var>request from the appropriate federal authority, establish a review panel for any federal
         <br />
         		<a id="pl.245.24"></a><var>245.24</var>treatment facility within the state to review the admission and retention of patients
         <br />
         		<a id="pl.245.25"></a><var>245.25</var>hospitalized under this chapter. For any review board established for a federal treatment
         <br />
         		<a id="pl.245.26"></a><var>245.26</var>facility, one of the persons appointed by the commissioner shall be the commissioner
         of <br />
         		<a id="pl.245.27"></a><var>245.27</var>veterans affairs or the commissioner's designee.<br />
         		<br />
         		<a id="bill.6.3.0"></a><a id="pl.245.28"></a><var>245.28</var>&#160;&#160;&#160;&#160;Sec. 3. <b>REVIEW OF ALTERNATIVES TO STATE-OPERATED GROUP HOMES </b><br />
         		<a id="pl.245.29"></a><var>245.29</var><b>HOUSING ONE PERSON.</b><br />
         		<a id="pl.245.30"></a><var>245.30</var>The commissioner of human services shall review the potential for, and the viability
         of, <br />
         		<a id="pl.245.31"></a><var>245.31</var>alternatives to state-operated group homes housing one person. The intent is to create
         housing <br />
         		<a id="pl.245.32"></a><var>245.32</var>options for individuals who do not belong in an institutionalized setting, but need
         additional <br />
         		<a id="pl.245.33"></a><var>245.33</var>support before transitioning to a more independent community placement. The review
         shall <br />
         		<a id="pl.246.1"></a><var>246.1</var>include an analysis of existing housing settings operated by counties and private
         providers, <br />
         		<a id="pl.246.2"></a><var>246.2</var>as well as the potential for new housing settings, and determine the viability for
         use by <br />
         		<a id="pl.246.3"></a><var>246.3</var>state-operated services. The commissioner shall seek input from interested stakeholders
         as <br />
         		<a id="pl.246.4"></a><var>246.4</var>part of the review. An update, including alternatives identified, will be provided
         by the <br />
         		<a id="pl.246.5"></a><var>246.5</var>commissioner to the members of the legislative committees having jurisdiction over
         human <br />
         		<a id="pl.246.6"></a><var>246.6</var>services issues no later than January 15, 2018.<br />
         		<br />
         		<a id="bill.7.0.0"></a><div class="xtend_ce"><a id="pl.246.7"></a><var>246.7</var><b>ARTICLE 7</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.246.8"></a><var>246.8</var><b>CHILDREN AND FAMILIES</b><br />
            		
         </div><br />
         		<a id="bill.7.1.0"></a><a id="pl.246.9"></a><var>246.9</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 13.32, is amended by adding a subdivision <br />
         		<a id="pl.246.10"></a><var>246.10</var>to read:<br />
         		<a id="pl.246.11"></a><var>246.11</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Access by welfare system.</b> County personnel in the welfare system may <br />
         		<a id="pl.246.12"></a><var>246.12</var>request access to education data in order to coordinate services for a student or
         family. The <br />
         		<a id="pl.246.13"></a><var>246.13</var>request must be submitted to the chief administrative officer of the school and must
         include <br />
         		<a id="pl.246.14"></a><var>246.14</var>the basis for the request and a description of the information that is requested.
         The chief <br />
         		<a id="pl.246.15"></a><var>246.15</var>administrative officer must provide a copy of the request to the parent or legal guardian
         of <br />
         		<a id="pl.246.16"></a><var>246.16</var>the student who is the subject of the request, along with a form the parent or legal
         guardian <br />
         		<a id="pl.246.17"></a><var>246.17</var>may execute to consent to the release of specified information to the requester. Education
         <br />
         		<a id="pl.246.18"></a><var>246.18</var>data may be released under this subdivision only if the parent or legal guardian gives
         <br />
         		<a id="pl.246.19"></a><var>246.19</var>informed consent to the release.<br />
         		<br />
         		<a id="bill.7.2.0"></a><a id="pl.246.20"></a><var>246.20</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 13.46, subdivision 1, is amended to read:<br />
         		<a id="pl.246.21"></a><var>246.21</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> As used in this section:<br />
         		<a id="pl.246.22"></a><var>246.22</var>(a) "Individual" means an individual according to section 
         <statute_ref>13.02, subdivision 8</statute_ref>, but does <br />
         		<a id="pl.246.23"></a><var>246.23</var>not include a vendor of services.<br />
         		<a id="pl.246.24"></a><var>246.24</var>(b) "Program" includes all programs for which authority is vested in a component of
         the <br />
         		<a id="pl.246.25"></a><var>246.25</var>welfare system according to statute or federal law, including, but not limited to,
         Native <br />
         		<a id="pl.246.26"></a><var>246.26</var>American tribe programs that provide a service component of the welfare system, the aid <br />
         		<a id="pl.246.27"></a><var>246.27</var>to families with dependent children program formerly codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, <br />
         		<a id="pl.246.28"></a><var>246.28</var>Minnesota family investment program, temporary assistance for needy families program,
         <br />
         		<a id="pl.246.29"></a><var>246.29</var>medical assistance, general assistance, general assistance medical care formerly codified
         in <br />
         		<a id="pl.246.30"></a><var>246.30</var>chapter 256D, child care assistance program, and child support collections.<br />
         		<a id="pl.246.31"></a><var>246.31</var>(c) "Welfare system" includes the Department of Human Services, local social services
         <br />
         		<a id="pl.246.32"></a><var>246.32</var>agencies, county welfare agencies, county public health agencies, county veteran services <br />
         		<a id="pl.247.1"></a><var>247.1</var>agencies, county housing agencies, private licensing agencies, the public authority responsible <br />
         		<a id="pl.247.2"></a><var>247.2</var>for child support enforcement, human services boards, community mental health center
         <br />
         		<a id="pl.247.3"></a><var>247.3</var>boards, state hospitals, state nursing homes, the ombudsman for mental health and
         <br />
         		<a id="pl.247.4"></a><var>247.4</var>developmental disabilities, Native American tribes to the extent a tribe provides a service <br />
         		<a id="pl.247.5"></a><var>247.5</var>component of the welfare system, and persons, agencies, institutions, organizations, and <br />
         		<a id="pl.247.6"></a><var>247.6</var>other entities under contract to any of the above agencies to the extent specified
         in the <br />
         		<a id="pl.247.7"></a><var>247.7</var>contract.<br />
         		<a id="pl.247.8"></a><var>247.8</var>(d) "Mental health data" means data on individual clients and patients of community
         <br />
         		<a id="pl.247.9"></a><var>247.9</var>mental health centers, established under section 
         <statute_ref>245.62</statute_ref>, mental health divisions of counties <br />
         		<a id="pl.247.10"></a><var>247.10</var>and other providers under contract to deliver mental health services, or the ombudsman
         for <br />
         		<a id="pl.247.11"></a><var>247.11</var>mental health and developmental disabilities.<br />
         		<a id="pl.247.12"></a><var>247.12</var>(e) "Fugitive felon" means a person who has been convicted of a felony and who has
         <br />
         		<a id="pl.247.13"></a><var>247.13</var>escaped from confinement or violated the terms of probation or parole for that offense.<br />
         		<a id="pl.247.14"></a><var>247.14</var>(f) "Private licensing agency" means an agency licensed by the commissioner of human
         <br />
         		<a id="pl.247.15"></a><var>247.15</var>services under chapter 245A to perform the duties under section 
         <statute_ref>245A.16</statute_ref>.<br />
         		<br />
         		<a id="bill.7.3.0"></a><a id="pl.247.16"></a><var>247.16</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 13.46, subdivision 2, is amended to read:<br />
         		<a id="pl.247.17"></a><var>247.17</var>&#160;&#160;&#160;&#160;Subd. 2. <b>General.</b> (a) Data on individuals collected, maintained, used, or disseminated <br />
         		<a id="pl.247.18"></a><var>247.18</var>by the welfare system are private data on individuals, and shall not be disclosed
         except:<br />
         		<a id="pl.247.19"></a><var>247.19</var>&#160;&#160;&#160;&#160;(1) according to section 
         <statute_ref>13.05</statute_ref>;<br />
         		<a id="pl.247.20"></a><var>247.20</var>&#160;&#160;&#160;&#160;(2) according to court order;<br />
         		<a id="pl.247.21"></a><var>247.21</var>&#160;&#160;&#160;&#160;(3) according to a statute specifically authorizing access to the private data;<br />
         		<a id="pl.247.22"></a><var>247.22</var>&#160;&#160;&#160;&#160;(4) to an agent of the welfare system and an investigator acting on behalf of a county,
         <br />
         		<a id="pl.247.23"></a><var>247.23</var>the state, or the federal government, including a law enforcement person or attorney
         in the <br />
         		<a id="pl.247.24"></a><var>247.24</var>investigation or prosecution of a criminal, civil, or administrative proceeding relating
         to the <br />
         		<a id="pl.247.25"></a><var>247.25</var>administration of a program;<br />
         		<a id="pl.247.26"></a><var>247.26</var>&#160;&#160;&#160;&#160;(5) to personnel of the welfare system who require the data to verify an individual's
         <br />
         		<a id="pl.247.27"></a><var>247.27</var>identity; determine eligibility, amount of assistance, and the need to provide services
         to an <br />
         		<a id="pl.247.28"></a><var>247.28</var>individual or family across programs; coordinate services for an individual or family;
         <br />
         		<a id="pl.247.29"></a><var>247.29</var>evaluate the effectiveness of programs; assess parental contribution amounts; and
         investigate <br />
         		<a id="pl.247.30"></a><var>247.30</var>suspected fraud;<br />
         		<a id="pl.247.31"></a><var>247.31</var>&#160;&#160;&#160;&#160;(6) to administer federal funds or programs;<br />
         		<a id="pl.247.32"></a><var>247.32</var>&#160;&#160;&#160;&#160;(7) between personnel of the welfare system working in the same program;<br />
         		<a id="pl.248.1"></a><var>248.1</var>&#160;&#160;&#160;&#160;(8) to the Department of Revenue to assess parental contribution amounts for purposes
         <br />
         		<a id="pl.248.2"></a><var>248.2</var>of section 
         <statute_ref>252.27, subdivision 2a</statute_ref>, administer and evaluate tax refund or tax credit programs <br />
         		<a id="pl.248.3"></a><var>248.3</var>and to identify individuals who may benefit from these programs. The following information
         <br />
         		<a id="pl.248.4"></a><var>248.4</var>may be disclosed under this paragraph: an individual's and their dependent's names,
         dates <br />
         		<a id="pl.248.5"></a><var>248.5</var>of birth, Social Security numbers, income, addresses, and other data as required,
         upon <br />
         		<a id="pl.248.6"></a><var>248.6</var>request by the Department of Revenue. Disclosures by the commissioner of revenue to
         the <br />
         		<a id="pl.248.7"></a><var>248.7</var>commissioner of human services for the purposes described in this clause are governed
         by <br />
         		<a id="pl.248.8"></a><var>248.8</var>section 
         <statute_ref>270B.14, subdivision 1</statute_ref>. Tax refund or tax credit programs include, but are not limited <br />
         		<a id="pl.248.9"></a><var>248.9</var>to, the dependent care credit under section 
         <statute_ref>290.067</statute_ref>, the Minnesota working family credit <br />
         		<a id="pl.248.10"></a><var>248.10</var>under section 
         <statute_ref>290.0671</statute_ref>, the property tax refund and rental credit under section 
         <statute_ref>290A.04</statute_ref>, <br />
         		<a id="pl.248.11"></a><var>248.11</var>and the Minnesota education credit under section 
         <statute_ref>290.0674</statute_ref>;<br />
         		<a id="pl.248.12"></a><var>248.12</var>&#160;&#160;&#160;&#160;(9) between the Department of Human Services, the Department of Employment and <br />
         		<a id="pl.248.13"></a><var>248.13</var>Economic Development, and when applicable, the Department of Education, for the following
         <br />
         		<a id="pl.248.14"></a><var>248.14</var>purposes:<br />
         		<a id="pl.248.15"></a><var>248.15</var>&#160;&#160;&#160;&#160;(i) to monitor the eligibility of the data subject for unemployment benefits, for
         any <br />
         		<a id="pl.248.16"></a><var>248.16</var>employment or training program administered, supervised, or certified by that agency;<br />
         		<a id="pl.248.17"></a><var>248.17</var>&#160;&#160;&#160;&#160;(ii) to administer any rehabilitation program or child care assistance program, whether
         <br />
         		<a id="pl.248.18"></a><var>248.18</var>alone or in conjunction with the welfare system;<br />
         		<a id="pl.248.19"></a><var>248.19</var>&#160;&#160;&#160;&#160;(iii) to monitor and evaluate the Minnesota family investment program or the child
         care <br />
         		<a id="pl.248.20"></a><var>248.20</var>assistance program by exchanging data on recipients and former recipients of food
         support, <br />
         		<a id="pl.248.21"></a><var>248.21</var>cash assistance under chapter 256, 256D, 256J, or 256K, child care assistance under
         chapter <br />
         		<a id="pl.248.22"></a><var>248.22</var>119B, medical programs under chapter 256B or 256L, or a medical program formerly <br />
         		<a id="pl.248.23"></a><var>248.23</var>codified under chapter 256D; and<br />
         		<a id="pl.248.24"></a><var>248.24</var>&#160;&#160;&#160;&#160;(iv) to analyze public assistance employment services and program utilization, cost,
         <br />
         		<a id="pl.248.25"></a><var>248.25</var>effectiveness, and outcomes as implemented under the authority established in Title
         II, <br />
         		<a id="pl.248.26"></a><var>248.26</var>Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999.
         <br />
         		<a id="pl.248.27"></a><var>248.27</var>Health records governed by sections 
         <statute_ref>144.291</statute_ref> to 144.298 and "protected health information" <br />
         		<a id="pl.248.28"></a><var>248.28</var>as defined in Code of Federal Regulations, title 45, section 160.103, and governed
         by Code <br />
         		<a id="pl.248.29"></a><var>248.29</var>of Federal Regulations, title 45, parts 160-164, including health care claims utilization
         <br />
         		<a id="pl.248.30"></a><var>248.30</var>information, must not be exchanged under this clause;<br />
         		<a id="pl.248.31"></a><var>248.31</var>&#160;&#160;&#160;&#160;(10) to appropriate parties in connection with an emergency if knowledge of the <br />
         		<a id="pl.248.32"></a><var>248.32</var>information is necessary to protect the health or safety of the individual or other
         individuals <br />
         		<a id="pl.248.33"></a><var>248.33</var>or persons;<br />
         		<a id="pl.249.1"></a><var>249.1</var>&#160;&#160;&#160;&#160;(11) data maintained by residential programs as defined in section 
         <statute_ref>245A.02</statute_ref> may be <br />
         		<a id="pl.249.2"></a><var>249.2</var>disclosed to the protection and advocacy system established in this state according
         to Part <br />
         		<a id="pl.249.3"></a><var>249.3</var>C of Public Law 98-527 to protect the legal and human rights of persons with developmental
         <br />
         		<a id="pl.249.4"></a><var>249.4</var>disabilities or other related conditions who live in residential facilities for these
         persons if <br />
         		<a id="pl.249.5"></a><var>249.5</var>the protection and advocacy system receives a complaint by or on behalf of that person
         and <br />
         		<a id="pl.249.6"></a><var>249.6</var>the person does not have a legal guardian or the state or a designee of the state
         is the legal <br />
         		<a id="pl.249.7"></a><var>249.7</var>guardian of the person;<br />
         		<a id="pl.249.8"></a><var>249.8</var>&#160;&#160;&#160;&#160;(12) to the county medical examiner or the county coroner for identifying or locating
         <br />
         		<a id="pl.249.9"></a><var>249.9</var>relatives or friends of a deceased person;<br />
         		<a id="pl.249.10"></a><var>249.10</var>&#160;&#160;&#160;&#160;(13) data on a child support obligor who makes payments to the public agency may be
         <br />
         		<a id="pl.249.11"></a><var>249.11</var>disclosed to the Minnesota Office of Higher Education to the extent necessary to determine
         <br />
         		<a id="pl.249.12"></a><var>249.12</var>eligibility under section 
         <statute_ref>136A.121, subdivision 2</statute_ref>, clause (5);<br />
         		<a id="pl.249.13"></a><var>249.13</var>&#160;&#160;&#160;&#160;(14) participant Social Security numbers and names collected by the telephone assistance
         <br />
         		<a id="pl.249.14"></a><var>249.14</var>program may be disclosed to the Department of Revenue to conduct an electronic data
         <br />
         		<a id="pl.249.15"></a><var>249.15</var>match with the property tax refund database to determine eligibility under section
         
         <statute_ref>237.70, <br />
            		<a id="pl.249.16"></a><var>249.16</var>subdivision 4a
         </statute_ref>;<br />
         		<a id="pl.249.17"></a><var>249.17</var>&#160;&#160;&#160;&#160;(15) the current address of a Minnesota family investment program participant may
         be <br />
         		<a id="pl.249.18"></a><var>249.18</var>disclosed to law enforcement officers who provide the name of the participant and
         notify <br />
         		<a id="pl.249.19"></a><var>249.19</var>the agency that:<br />
         		<a id="pl.249.20"></a><var>249.20</var>&#160;&#160;&#160;&#160;(i) the participant:<br />
         		<a id="pl.249.21"></a><var>249.21</var>&#160;&#160;&#160;&#160;(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
         <br />
         		<a id="pl.249.22"></a><var>249.22</var>conviction, for a crime or attempt to commit a crime that is a felony under the laws
         of the <br />
         		<a id="pl.249.23"></a><var>249.23</var>jurisdiction from which the individual is fleeing; or<br />
         		<a id="pl.249.24"></a><var>249.24</var>&#160;&#160;&#160;&#160;(B) is violating a condition of probation or parole imposed under state or federal
         law;<br />
         		<a id="pl.249.25"></a><var>249.25</var>&#160;&#160;&#160;&#160;(ii) the location or apprehension of the felon is within the law enforcement officer's
         <br />
         		<a id="pl.249.26"></a><var>249.26</var>official duties; and<br />
         		<a id="pl.249.27"></a><var>249.27</var>&#160;&#160;&#160;&#160;(iii) the request is made in writing and in the proper exercise of those duties;<br />
         		<a id="pl.249.28"></a><var>249.28</var>&#160;&#160;&#160;&#160;(16) the current address of a recipient of general assistance may be disclosed to
         probation <br />
         		<a id="pl.249.29"></a><var>249.29</var>officers and corrections agents who are supervising the recipient and to law enforcement
         <br />
         		<a id="pl.249.30"></a><var>249.30</var>officers who are investigating the recipient in connection with a felony level offense;<br />
         		<a id="pl.249.31"></a><var>249.31</var>&#160;&#160;&#160;&#160;(17) information obtained from food support applicant or recipient households may
         be <br />
         		<a id="pl.249.32"></a><var>249.32</var>disclosed to local, state, or federal law enforcement officials, upon their written
         request, for <br />
         		<a id="pl.250.1"></a><var>250.1</var>the purpose of investigating an alleged violation of the Food Stamp Act, according
         to Code <br />
         		<a id="pl.250.2"></a><var>250.2</var>of Federal Regulations, title 7, section 272.1(c);<br />
         		<a id="pl.250.3"></a><var>250.3</var>&#160;&#160;&#160;&#160;(18) the address, Social Security number, and, if available, photograph of any member
         <br />
         		<a id="pl.250.4"></a><var>250.4</var>of a household receiving food support shall be made available, on request, to a local,
         state, <br />
         		<a id="pl.250.5"></a><var>250.5</var>or federal law enforcement officer if the officer furnishes the agency with the name
         of the <br />
         		<a id="pl.250.6"></a><var>250.6</var>member and notifies the agency that:<br />
         		<a id="pl.250.7"></a><var>250.7</var>&#160;&#160;&#160;&#160;(i) the member:<br />
         		<a id="pl.250.8"></a><var>250.8</var>&#160;&#160;&#160;&#160;(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for
         a <br />
         		<a id="pl.250.9"></a><var>250.9</var>crime or attempt to commit a crime that is a felony in the jurisdiction the member
         is fleeing;<br />
         		<a id="pl.250.10"></a><var>250.10</var>&#160;&#160;&#160;&#160;(B) is violating a condition of probation or parole imposed under state or federal
         law; <br />
         		<a id="pl.250.11"></a><var>250.11</var>or<br />
         		<a id="pl.250.12"></a><var>250.12</var>&#160;&#160;&#160;&#160;(C) has information that is necessary for the officer to conduct an official duty
         related <br />
         		<a id="pl.250.13"></a><var>250.13</var>to conduct described in subitem (A) or (B);<br />
         		<a id="pl.250.14"></a><var>250.14</var>&#160;&#160;&#160;&#160;(ii) locating or apprehending the member is within the officer's official duties;
         and<br />
         		<a id="pl.250.15"></a><var>250.15</var>&#160;&#160;&#160;&#160;(iii) the request is made in writing and in the proper exercise of the officer's official
         duty;<br />
         		<a id="pl.250.16"></a><var>250.16</var>&#160;&#160;&#160;&#160;(19) the current address of a recipient of Minnesota family investment program, general
         <br />
         		<a id="pl.250.17"></a><var>250.17</var>assistance, or food support may be disclosed to law enforcement officers who, in writing,
         <br />
         		<a id="pl.250.18"></a><var>250.18</var>provide the name of the recipient and notify the agency that the recipient is a person
         required <br />
         		<a id="pl.250.19"></a><var>250.19</var>to register under section 
         <statute_ref>243.166</statute_ref>, but is not residing at the address at which the recipient is <br />
         		<a id="pl.250.20"></a><var>250.20</var>registered under section 
         <statute_ref>243.166</statute_ref>;<br />
         		<a id="pl.250.21"></a><var>250.21</var>&#160;&#160;&#160;&#160;(20) certain information regarding child support obligors who are in arrears may be
         <br />
         		<a id="pl.250.22"></a><var>250.22</var>made public according to section 
         <statute_ref>518A.74</statute_ref>;<br />
         		<a id="pl.250.23"></a><var>250.23</var>&#160;&#160;&#160;&#160;(21) data on child support payments made by a child support obligor and data on the
         <br />
         		<a id="pl.250.24"></a><var>250.24</var>distribution of those payments excluding identifying information on obligees may be
         <br />
         		<a id="pl.250.25"></a><var>250.25</var>disclosed to all obligees to whom the obligor owes support, and data on the enforcement
         <br />
         		<a id="pl.250.26"></a><var>250.26</var>actions undertaken by the public authority, the status of those actions, and data
         on the income <br />
         		<a id="pl.250.27"></a><var>250.27</var>of the obligor or obligee may be disclosed to the other party;<br />
         		<a id="pl.250.28"></a><var>250.28</var>&#160;&#160;&#160;&#160;(22) data in the work reporting system may be disclosed under section 
         <statute_ref>256.998, <br />
            		<a id="pl.250.29"></a><var>250.29</var>subdivision 7
         </statute_ref>;<br />
         		<a id="pl.250.30"></a><var>250.30</var>&#160;&#160;&#160;&#160;(23) to the Department of Education for the purpose of matching Department of Education
         <br />
         		<a id="pl.250.31"></a><var>250.31</var>student data with public assistance data to determine students eligible for free and
         <br />
         		<a id="pl.250.32"></a><var>250.32</var>reduced-price meals, meal supplements, and free milk according to United States Code,
         <br />
         		<a id="pl.251.1"></a><var>251.1</var>title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and
         state <br />
         		<a id="pl.251.2"></a><var>251.2</var>funds that are distributed based on income of the student's family; and to verify
         receipt of <br />
         		<a id="pl.251.3"></a><var>251.3</var>energy assistance for the telephone assistance plan;<br />
         		<a id="pl.251.4"></a><var>251.4</var>&#160;&#160;&#160;&#160;(24) the current address and telephone number of program recipients and emergency
         <br />
         		<a id="pl.251.5"></a><var>251.5</var>contacts may be released to the commissioner of health or a community health board
         as <br />
         		<a id="pl.251.6"></a><var>251.6</var>defined in section 
         <statute_ref>145A.02, subdivision 5</statute_ref>, when the commissioner or community health <br />
         		<a id="pl.251.7"></a><var>251.7</var>board has reason to believe that a program recipient is a disease case, carrier, suspect
         case, <br />
         		<a id="pl.251.8"></a><var>251.8</var>or at risk of illness, and the data are necessary to locate the person;<br />
         		<a id="pl.251.9"></a><var>251.9</var>&#160;&#160;&#160;&#160;(25) to other state agencies, statewide systems, and political subdivisions of this
         state, <br />
         		<a id="pl.251.10"></a><var>251.10</var>including the attorney general, and agencies of other states, interstate information
         networks, <br />
         		<a id="pl.251.11"></a><var>251.11</var>federal agencies, and other entities as required by federal regulation or law for
         the <br />
         		<a id="pl.251.12"></a><var>251.12</var>administration of the child support enforcement program;<br />
         		<a id="pl.251.13"></a><var>251.13</var>&#160;&#160;&#160;&#160;(26) to personnel of public assistance programs as defined in section 
         <statute_ref>256.741</statute_ref>, for access <br />
         		<a id="pl.251.14"></a><var>251.14</var>to the child support system database for the purpose of administration, including
         monitoring <br />
         		<a id="pl.251.15"></a><var>251.15</var>and evaluation of those public assistance programs;<br />
         		<a id="pl.251.16"></a><var>251.16</var>&#160;&#160;&#160;&#160;(27) to monitor and evaluate the Minnesota family investment program by exchanging
         <br />
         		<a id="pl.251.17"></a><var>251.17</var>data between the Departments of Human Services and Education, on recipients and former
         <br />
         		<a id="pl.251.18"></a><var>251.18</var>recipients of food support, cash assistance under chapter 256, 256D, 256J, or 256K,
         child <br />
         		<a id="pl.251.19"></a><var>251.19</var>care assistance under chapter 119B, medical programs under chapter 256B or 256L, or
         a <br />
         		<a id="pl.251.20"></a><var>251.20</var>medical program formerly codified under chapter 256D;<br />
         		<a id="pl.251.21"></a><var>251.21</var>&#160;&#160;&#160;&#160;(28) to evaluate child support program performance and to identify and prevent fraud
         <br />
         		<a id="pl.251.22"></a><var>251.22</var>in the child support program by exchanging data between the Department of Human Services,
         <br />
         		<a id="pl.251.23"></a><var>251.23</var>Department of Revenue under section 
         <statute_ref>270B.14, subdivision 1</statute_ref>, paragraphs (a) and (b), <br />
         		<a id="pl.251.24"></a><var>251.24</var>without regard to the limitation of use in paragraph (c), Department of Health, Department
         <br />
         		<a id="pl.251.25"></a><var>251.25</var>of Employment and Economic Development, and other state agencies as is reasonably
         <br />
         		<a id="pl.251.26"></a><var>251.26</var>necessary to perform these functions;<br />
         		<a id="pl.251.27"></a><var>251.27</var>&#160;&#160;&#160;&#160;(29) counties operating child care assistance programs under chapter 119B may <br />
         		<a id="pl.251.28"></a><var>251.28</var>disseminate data on program participants, applicants, and providers to the commissioner
         of <br />
         		<a id="pl.251.29"></a><var>251.29</var>education;<br />
         		<a id="pl.251.30"></a><var>251.30</var>&#160;&#160;&#160;&#160;(30) child support data on the child, the parents, and relatives of the child may
         be <br />
         		<a id="pl.251.31"></a><var>251.31</var>disclosed to agencies administering programs under titles IV-B and IV-E of the Social
         <br />
         		<a id="pl.251.32"></a><var>251.32</var>Security Act, as authorized by federal law; or<br />
         		<a id="pl.252.1"></a><var>252.1</var>(31) to a health care provider governed by sections 
         <statute_ref>144.291</statute_ref> to 
         <statute_ref>144.298</statute_ref>, to the extent <br />
         		<a id="pl.252.2"></a><var>252.2</var>necessary to coordinate services;<br />
         		<a id="pl.252.3"></a><var>252.3</var>(32) to the chief administrative officer of a school to coordinate services for a
         student <br />
         		<a id="pl.252.4"></a><var>252.4</var>and family; data that may be disclosed under this clause are limited to name, date
         of birth, <br />
         		<a id="pl.252.5"></a><var>252.5</var>gender, and address; or<br />
         		<a id="pl.252.6"></a><var>252.6</var>(33) to county correctional agencies to the extent necessary to coordinate services
         and <br />
         		<a id="pl.252.7"></a><var>252.7</var>diversion programs; data that may be disclosed under this clause are limited to name,
         client <br />
         		<a id="pl.252.8"></a><var>252.8</var>demographics, program, case status, and county worker information.<br />
         		<a id="pl.252.9"></a><var>252.9</var>&#160;&#160;&#160;&#160;(b) Information on persons who have been treated for drug or alcohol abuse may only
         <br />
         		<a id="pl.252.10"></a><var>252.10</var>be disclosed according to the requirements of Code of Federal Regulations, title 42,
         sections <br />
         		<a id="pl.252.11"></a><var>252.11</var>2.1 to 2.67.<br />
         		<a id="pl.252.12"></a><var>252.12</var>&#160;&#160;&#160;&#160;(c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16),
         <br />
         		<a id="pl.252.13"></a><var>252.13</var>(17), or (18), or paragraph (b), are investigative data and are confidential or protected
         <br />
         		<a id="pl.252.14"></a><var>252.14</var>nonpublic while the investigation is active. The data are private after the investigation
         <br />
         		<a id="pl.252.15"></a><var>252.15</var>becomes inactive under section 
         <statute_ref>13.82, subdivision 5</statute_ref>, paragraph (a) or (b).<br />
         		<a id="pl.252.16"></a><var>252.16</var>&#160;&#160;&#160;&#160;(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but
         are <br />
         		<a id="pl.252.17"></a><var>252.17</var>not subject to the access provisions of subdivision 10, paragraph (b).<br />
         		<a id="pl.252.18"></a><var>252.18</var>&#160;&#160;&#160;&#160;For the purposes of this subdivision, a request will be deemed to be made in writing
         if <br />
         		<a id="pl.252.19"></a><var>252.19</var>made through a computer interface system.<br />
         		<br />
         		<a id="bill.7.4.0"></a><a id="pl.252.20"></a><var>252.20</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 13.84, subdivision 5, is amended to read:<br />
         		<a id="pl.252.21"></a><var>252.21</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Disclosure.</b> Private or confidential court services data shall not be disclosed <br />
         		<a id="pl.252.22"></a><var>252.22</var>except:<br />
         		<a id="pl.252.23"></a><var>252.23</var>(a) pursuant to section 
         <statute_ref>13.05</statute_ref>;<br />
         		<a id="pl.252.24"></a><var>252.24</var>(b) pursuant to a statute specifically authorizing disclosure of court services data;<br />
         		<a id="pl.252.25"></a><var>252.25</var>(c) with the written permission of the source of confidential data;<br />
         		<a id="pl.252.26"></a><var>252.26</var>(d) to the court services department, parole or probation authority or state or local
         <br />
         		<a id="pl.252.27"></a><var>252.27</var>correctional agency or facility having statutorily granted supervision over the individual
         <br />
         		<a id="pl.252.28"></a><var>252.28</var>subject of the data, or to county personnel within the welfare system;<br />
         		<a id="pl.252.29"></a><var>252.29</var>(e) pursuant to subdivision 6;<br />
         		<a id="pl.252.30"></a><var>252.30</var>(f) pursuant to a valid court order; or<br />
         		<a id="pl.252.31"></a><var>252.31</var>(g) pursuant to section 
         <statute_ref>611A.06, subdivision 3a</statute_ref>.<br />
         		<br />
         		<a id="bill.7.5.0"></a><a id="pl.253.1"></a><var>253.1</var>&#160;&#160;&#160;&#160;Sec. 5. <b>[119B.097] AUTHORIZATION WITH A SECONDARY PROVIDER.</b><br />
         		<a id="pl.253.2"></a><var>253.2</var>&#160;&#160;&#160;&#160;(a) If a child uses any combination of the following providers paid by child care
         <br />
         		<a id="pl.253.3"></a><var>253.3</var>assistance, a parent must choose one primary provider and one secondary provider per
         child <br />
         		<a id="pl.253.4"></a><var>253.4</var>that can be paid by child care assistance:<br />
         		<a id="pl.253.5"></a><var>253.5</var>&#160;&#160;&#160;&#160;(1) an individual or child care center licensed under chapter 245A;<br />
         		<a id="pl.253.6"></a><var>253.6</var>&#160;&#160;&#160;&#160;(2) an individual or child care center or facility holding a valid child care license
         issued <br />
         		<a id="pl.253.7"></a><var>253.7</var>by another state or tribe; or<br />
         		<a id="pl.253.8"></a><var>253.8</var>&#160;&#160;&#160;&#160;(3) a child care center exempt from licensing under section 245A.03.<br />
         		<a id="pl.253.9"></a><var>253.9</var>&#160;&#160;&#160;&#160;(b) The amount of child care authorized with the secondary provider cannot exceed
         20 <br />
         		<a id="pl.253.10"></a><var>253.10</var>hours per two-week service period, per child, and the amount of care paid to a child's
         <br />
         		<a id="pl.253.11"></a><var>253.11</var>secondary provider is limited under section 119B.13, subdivision 1. The total amount
         of <br />
         		<a id="pl.253.12"></a><var>253.12</var>child care authorized with both the primary and secondary provider cannot exceed the
         <br />
         		<a id="pl.253.13"></a><var>253.13</var>amount of child care allowed based on the parents' eligible activity schedule, the
         child's <br />
         		<a id="pl.253.14"></a><var>253.14</var>school schedule, and any other factors relevant to the family's child care needs.<br />
         		<a id="pl.253.15"></a><var>253.15</var><b>EFFECTIVE DATE.</b>This section is effective April 23, 2018.<br />
         		<br />
         		<a id="bill.7.6.0"></a><a id="pl.253.16"></a><var>253.16</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 119B.13, subdivision 1, is amended to read:<br />
         		<a id="pl.253.17"></a><var>253.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Subsidy restrictions.</b> (a) Beginning February 3, 2014, the maximum <br />
         		<a id="pl.253.18"></a><var>253.18</var>rate paid for child care assistance in any county or county price cluster under the
         child care <br />
         		<a id="pl.253.19"></a><var>253.19</var>fund shall be the greater of the 25th percentile of the 2011 child care provider rate
         survey <br />
         		<a id="pl.253.20"></a><var>253.20</var>or the maximum rate effective November 28, 2011. For a child care provider located within <br />
         		<a id="pl.253.21"></a><var>253.21</var>the boundaries of a city located in two or more of the counties of Benton, Sherburne,
         and <br />
         		<a id="pl.253.22"></a><var>253.22</var>Stearns, the maximum rate paid for child care assistance shall be equal to the maximum
         <br />
         		<a id="pl.253.23"></a><var>253.23</var>rate paid in the county with the highest maximum reimbursement rates or the provider's
         <br />
         		<a id="pl.253.24"></a><var>253.24</var>charge, whichever is less. The commissioner may: (1) assign a county with no reported <br />
         		<a id="pl.253.25"></a><var>253.25</var>provider prices to a similar price cluster; and (2) consider county level access when
         <br />
         		<a id="pl.253.26"></a><var>253.26</var>determining final price clusters.<br />
         		<a id="pl.253.27"></a><var>253.27</var>&#160;&#160;&#160;&#160;(b) A rate which includes a special needs rate paid under subdivision 3 may be in
         excess <br />
         		<a id="pl.253.28"></a><var>253.28</var>of the maximum rate allowed under this subdivision.<br />
         		<a id="pl.253.29"></a><var>253.29</var>&#160;&#160;&#160;&#160;(c) The department shall monitor the effect of this paragraph on provider rates. The
         <br />
         		<a id="pl.253.30"></a><var>253.30</var>county shall pay the provider's full charges for every child in care up to the maximum
         <br />
         		<a id="pl.253.31"></a><var>253.31</var>established. The commissioner shall determine the maximum rate for each type of care
         on <br />
         		<a id="pl.253.32"></a><var>253.32</var>an hourly, full-day, and weekly basis, including special needs and disability care.<br />
         		<a id="pl.254.1"></a><var>254.1</var>&#160;&#160;&#160;&#160;(d) If a child uses one provider, the maximum payment to a provider for one day of care <br />
         		<a id="pl.254.2"></a><var>254.2</var>must not exceed the daily rate. The maximum payment to a provider for one week of care <br />
         		<a id="pl.254.3"></a><var>254.3</var>must not exceed the weekly rate.<br />
         		<a id="pl.254.4"></a><var>254.4</var>&#160;&#160;&#160;&#160;(e) If a child uses two providers under section 119B.097, the maximum payment must
         <br />
         		<a id="pl.254.5"></a><var>254.5</var>not exceed:<br />
         		<a id="pl.254.6"></a><var>254.6</var>&#160;&#160;&#160;&#160;(1) the daily rate for one day of care;<br />
         		<a id="pl.254.7"></a><var>254.7</var>&#160;&#160;&#160;&#160;(2) the weekly rate for one week of care by the child's primary provider; and<br />
         		<a id="pl.254.8"></a><var>254.8</var>&#160;&#160;&#160;&#160;(3) two daily rates during two weeks of care by a child's secondary provider.<br />
         		<a id="pl.254.9"></a><var>254.9</var>(d) (f) Child care providers receiving reimbursement under this chapter must not be paid
         <br />
         		<a id="pl.254.10"></a><var>254.10</var>activity fees or an additional amount above the maximum rates for care provided during
         <br />
         		<a id="pl.254.11"></a><var>254.11</var>nonstandard hours for families receiving assistance.<br />
         		<a id="pl.254.12"></a><var>254.12</var>&#160;&#160;&#160;&#160;(e) When (g) If the provider charge is greater than the maximum provider rate allowed, <br />
         		<a id="pl.254.13"></a><var>254.13</var>the parent is responsible for payment of the difference in the rates in addition to
         any family <br />
         		<a id="pl.254.14"></a><var>254.14</var>co-payment fee.<br />
         		<a id="pl.254.15"></a><var>254.15</var>&#160;&#160;&#160;&#160;(f) (h) All maximum provider rates changes shall be implemented on the Monday <br />
         		<a id="pl.254.16"></a><var>254.16</var>following the effective date of the maximum provider rate.<br />
         		<a id="pl.254.17"></a><var>254.17</var>&#160;&#160;&#160;&#160;(g) (i) Notwithstanding Minnesota Rules, part 3400.0130, subpart 7, maximum <br />
         		<a id="pl.254.18"></a><var>254.18</var>registration fees in effect on January 1, 2013, shall remain in effect.<br />
         		<a id="pl.254.19"></a><var>254.19</var><b>EFFECTIVE DATE.</b>Paragraph (a) is effective July 1, 2018. Paragraphs (d) to (i) are <br />
         		<a id="pl.254.20"></a><var>254.20</var>effective April 23, 2018.<br />
         		<br />
         		<a id="bill.7.7.0"></a><a id="pl.254.21"></a><var>254.21</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 245.814, subdivision 2, is amended to read:<br />
         		<a id="pl.254.22"></a><var>254.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application of coverage.</b> Coverage shall apply to all foster homes licensed by <br />
         		<a id="pl.254.23"></a><var>254.23</var>the Department of Human Services, licensed by a federally recognized tribal government,
         <br />
         		<a id="pl.254.24"></a><var>254.24</var>or established by the juvenile court and certified by the commissioner of corrections
         pursuant <br />
         		<a id="pl.254.25"></a><var>254.25</var>to section 
         <statute_ref>260B.198, subdivision 1</statute_ref>, clause (3), item (v), to the extent that the liability is not <br />
         		<a id="pl.254.26"></a><var>254.26</var>covered by the provisions of the standard homeowner's or automobile insurance policy.
         The <br />
         		<a id="pl.254.27"></a><var>254.27</var>insurance shall not cover property owned by the individual foster home provider, damage <br />
         		<a id="pl.254.28"></a><var>254.28</var>caused intentionally by a person over 12 years of age, or property damage arising out of <br />
         		<a id="pl.254.29"></a><var>254.29</var>business pursuits or the operation of any vehicle, machinery, or equipment.<br />
         		<br />
         		<a id="bill.7.8.0"></a><a id="pl.255.1"></a><var>255.1</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 245.814, subdivision 3, is amended to read:<br />
         		<a id="pl.255.2"></a><var>255.2</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Compensation provisions.</b> If the commissioner of human services is unable <br />
         		<a id="pl.255.3"></a><var>255.3</var>to obtain insurance through ordinary methods for coverage of foster home providers,
         the <br />
         		<a id="pl.255.4"></a><var>255.4</var>appropriation shall be returned to the general fund and the state shall pay claims
         subject to <br />
         		<a id="pl.255.5"></a><var>255.5</var>the following limitations.<br />
         		<a id="pl.255.6"></a><var>255.6</var>(a) Compensation shall be provided only for injuries, damage, or actions set forth
         in <br />
         		<a id="pl.255.7"></a><var>255.7</var>subdivision 1.<br />
         		<a id="pl.255.8"></a><var>255.8</var>(b) Compensation shall be subject to the conditions and exclusions set forth in subdivision
         <br />
         		<a id="pl.255.9"></a><var>255.9</var>2.<br />
         		<a id="pl.255.10"></a><var>255.10</var>(c) The state shall provide compensation for bodily injury, property damage, or personal
         <br />
         		<a id="pl.255.11"></a><var>255.11</var>injury resulting from the foster home providers activities as a foster home provider
         while <br />
         		<a id="pl.255.12"></a><var>255.12</var>the foster child or adult is in the care, custody, and control of the foster home
         provider in <br />
         		<a id="pl.255.13"></a><var>255.13</var>an amount not to exceed $250,000 for each occurrence.<br />
         		<a id="pl.255.14"></a><var>255.14</var>(d) The state shall provide compensation for damage or destruction of property caused
         <br />
         		<a id="pl.255.15"></a><var>255.15</var>or sustained by a foster child or adult in an amount not to exceed $250 $1,000 for each <br />
         		<a id="pl.255.16"></a><var>255.16</var>occurrence.<br />
         		<a id="pl.255.17"></a><var>255.17</var>(e) The compensation in paragraphs (c) and (d) is the total obligation for all damages
         <br />
         		<a id="pl.255.18"></a><var>255.18</var>because of each occurrence regardless of the number of claims made in connection with
         <br />
         		<a id="pl.255.19"></a><var>255.19</var>the same occurrence, but compensation applies separately to each foster home. The
         state <br />
         		<a id="pl.255.20"></a><var>255.20</var>shall have no other responsibility to provide compensation for any injury or loss
         caused or <br />
         		<a id="pl.255.21"></a><var>255.21</var>sustained by any foster home provider or foster child or foster adult.<br />
         		<a id="pl.255.22"></a><var>255.22</var>This coverage is extended as a benefit to foster home providers to encourage care
         of <br />
         		<a id="pl.255.23"></a><var>255.23</var>persons who need out-of-home care. Nothing in this section shall be construed to mean
         that <br />
         		<a id="pl.255.24"></a><var>255.24</var>foster home providers are agents or employees of the state nor does the state accept
         any <br />
         		<a id="pl.255.25"></a><var>255.25</var>responsibility for the selection, monitoring, supervision, or control of foster home
         providers <br />
         		<a id="pl.255.26"></a><var>255.26</var>which is exclusively the responsibility of the counties which shall regulate foster
         home <br />
         		<a id="pl.255.27"></a><var>255.27</var>providers in the manner set forth in the rules of the commissioner of human services.<br />
         		<br />
         		<a id="bill.7.9.0"></a><a id="pl.255.28"></a><var>255.28</var>&#160;&#160;&#160;&#160;Sec. 9. <b>[245A.23] EXEMPTION FROM POSITIVE SUPPORT STRATEGIES </b><br />
         		<a id="pl.255.29"></a><var>255.29</var><b>REQUIREMENTS.</b><br />
         		<a id="pl.255.30"></a><var>255.30</var>(a) A program licensed as a family day care or group family day care facility under
         <br />
         		<a id="pl.255.31"></a><var>255.31</var>Minnesota Rules, chapter 9502, and a program licensed as a child care center under
         <br />
         		<a id="pl.255.32"></a><var>255.32</var>Minnesota Rules, chapter 9503, are exempt from Minnesota Rules, chapter 9544, relating
         <br />
         		<a id="pl.255.33"></a><var>255.33</var>to positive support strategies and restrictive interventions.<br />
         		<a id="pl.256.1"></a><var>256.1</var>(b) When providing services to a child with a developmental disability or related
         <br />
         		<a id="pl.256.2"></a><var>256.2</var>condition, a program licensed as a family day care or group family day care facility
         under <br />
         		<a id="pl.256.3"></a><var>256.3</var>Minnesota Rules, chapter 9502, or a program licensed as a child care center under
         Minnesota <br />
         		<a id="pl.256.4"></a><var>256.4</var>Rules, chapter 9503, is prohibited from using procedures identified in section 245D.06,
         <br />
         		<a id="pl.256.5"></a><var>256.5</var>subdivision 5.<br />
         		<a id="pl.256.6"></a><var>256.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.7.10.0"></a><a id="pl.256.7"></a><var>256.7</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 245A.50, subdivision 5, is amended to read:<br />
         		<a id="pl.256.8"></a><var>256.8</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Sudden unexpected infant death and abusive head trauma training.</b> (a) <br />
         		<a id="pl.256.9"></a><var>256.9</var>License holders must document that before staff persons, caregivers, and helpers assist
         in <br />
         		<a id="pl.256.10"></a><var>256.10</var>the care of infants, they are instructed on the standards in section 
         <statute_ref>245A.1435</statute_ref> and receive <br />
         		<a id="pl.256.11"></a><var>256.11</var>training on reducing the risk of sudden unexpected infant death. In addition, license
         holders <br />
         		<a id="pl.256.12"></a><var>256.12</var>must document that before staff persons, caregivers, and helpers assist in the care
         of infants <br />
         		<a id="pl.256.13"></a><var>256.13</var>and children under school age, they receive training on reducing the risk of abusive
         head <br />
         		<a id="pl.256.14"></a><var>256.14</var>trauma from shaking infants and young children. The training in this subdivision may
         be <br />
         		<a id="pl.256.15"></a><var>256.15</var>provided as initial training under subdivision 1 or ongoing annual training under
         subdivision <br />
         		<a id="pl.256.16"></a><var>256.16</var>7.<br />
         		<a id="pl.256.17"></a><var>256.17</var>&#160;&#160;&#160;&#160;(b) Sudden unexpected infant death reduction training required under this subdivision
         <br />
         		<a id="pl.256.18"></a><var>256.18</var>must, at a minimum, address the risk factors related to sudden unexpected infant death,
         <br />
         		<a id="pl.256.19"></a><var>256.19</var>means of reducing the risk of sudden unexpected infant death in child care, and license
         <br />
         		<a id="pl.256.20"></a><var>256.20</var>holder communication with parents regarding reducing the risk of sudden unexpected
         infant <br />
         		<a id="pl.256.21"></a><var>256.21</var>death.<br />
         		<a id="pl.256.22"></a><var>256.22</var>&#160;&#160;&#160;&#160;(c) Abusive head trauma training required under this subdivision must, at a minimum,
         <br />
         		<a id="pl.256.23"></a><var>256.23</var>address the risk factors related to shaking infants and young children, means of reducing
         <br />
         		<a id="pl.256.24"></a><var>256.24</var>the risk of abusive head trauma in child care, and license holder communication with
         parents <br />
         		<a id="pl.256.25"></a><var>256.25</var>regarding reducing the risk of abusive head trauma.<br />
         		<a id="pl.256.26"></a><var>256.26</var>&#160;&#160;&#160;&#160;(d) Training for family and group family child care providers must be developed by
         the <br />
         		<a id="pl.256.27"></a><var>256.27</var>commissioner in conjunction with the Minnesota Sudden Infant Death Center and approved
         <br />
         		<a id="pl.256.28"></a><var>256.28</var>by the Minnesota Center for Professional Development. Sudden unexpected infant death
         <br />
         		<a id="pl.256.29"></a><var>256.29</var>reduction training and abusive head trauma training may be provided in a single course
         of <br />
         		<a id="pl.256.30"></a><var>256.30</var>no more than two hours in length.<br />
         		<a id="pl.256.31"></a><var>256.31</var>&#160;&#160;&#160;&#160;(e) Sudden unexpected infant death reduction training and abusive head trauma training
         <br />
         		<a id="pl.256.32"></a><var>256.32</var>required under this subdivision must be completed in person or as allowed under subdivision
         <br />
         		<a id="pl.256.33"></a><var>256.33</var>10, clause (1) or (2), at least once every two years. On the years when the license
         holder is <br />
         		<a id="pl.257.1"></a><var>257.1</var>not receiving training in person or as allowed under subdivision 10, clause (1) or
         (2), the <br />
         		<a id="pl.257.2"></a><var>257.2</var>license holder must receive sudden unexpected infant death reduction training and
         abusive <br />
         		<a id="pl.257.3"></a><var>257.3</var>head trauma training through a video of no more than one hour in length. The video
         must <br />
         		<a id="pl.257.4"></a><var>257.4</var>be developed or approved by the commissioner.<br />
         		<a id="pl.257.5"></a><var>257.5</var>(f) An individual who is related to the license holder as defined in section 245A.02,
         <br />
         		<a id="pl.257.6"></a><var>257.6</var>subdivision 13, and who is involved only in the care of the license holder's own infant
         or <br />
         		<a id="pl.257.7"></a><var>257.7</var>child under school age and who is not designated to be a caregiver, helper, or substitute,
         as <br />
         		<a id="pl.257.8"></a><var>257.8</var>defined in Minnesota Rules, part 9502.0315, for the licensed program, is exempt from
         the <br />
         		<a id="pl.257.9"></a><var>257.9</var>sudden unexpected infant death and abusive head trauma training.<br />
         		<br />
         		<a id="bill.7.11.0"></a><a id="pl.257.10"></a><var>257.10</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 252.27, subdivision 2a, is amended to read:<br />
         		<a id="pl.257.11"></a><var>257.11</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Contribution amount.</b> (a) The natural or adoptive parents of a minor child, <br />
         		<a id="pl.257.12"></a><var>257.12</var>including a child determined eligible for medical assistance without consideration
         of parental <br />
         		<a id="pl.257.13"></a><var>257.13</var>income, must contribute to the cost of services used by making monthly payments on
         a <br />
         		<a id="pl.257.14"></a><var>257.14</var>sliding scale based on income, unless the child is married or has been married, parental
         <br />
         		<a id="pl.257.15"></a><var>257.15</var>rights have been terminated, or the child's adoption is subsidized according to chapter
         259A <br />
         		<a id="pl.257.16"></a><var>257.16</var>or through title IV-E of the Social Security Act. The parental contribution is a partial
         or full <br />
         		<a id="pl.257.17"></a><var>257.17</var>payment for medical services provided for diagnostic, therapeutic, curing, treating,
         mitigating, <br />
         		<a id="pl.257.18"></a><var>257.18</var>rehabilitation, maintenance, and personal care services as defined in United States
         Code, <br />
         		<a id="pl.257.19"></a><var>257.19</var>title 26, section 213, needed by the child with a chronic illness or disability.<br />
         		<a id="pl.257.20"></a><var>257.20</var>&#160;&#160;&#160;&#160;(b) For households with adjusted gross income equal to or greater than 275 percent
         of <br />
         		<a id="pl.257.21"></a><var>257.21</var>federal poverty guidelines, the parental contribution shall be computed by applying
         the <br />
         		<a id="pl.257.22"></a><var>257.22</var>following schedule of rates to the adjusted gross income of the natural or adoptive
         parents:<br />
         		<a id="pl.257.23"></a><var>257.23</var>&#160;&#160;&#160;&#160;(1) if the adjusted gross income is equal to or greater than 275 percent of federal
         poverty <br />
         		<a id="pl.257.24"></a><var>257.24</var>guidelines and less than or equal to 545 percent of federal poverty guidelines, the
         parental <br />
         		<a id="pl.257.25"></a><var>257.25</var>contribution shall be determined using a sliding fee scale established by the commissioner
         <br />
         		<a id="pl.257.26"></a><var>257.26</var>of human services which begins at 2.23 1.6725 percent of adjusted gross income at 275 <br />
         		<a id="pl.257.27"></a><var>257.27</var>percent of federal poverty guidelines and increases to 6.08 4.56 percent of adjusted gross <br />
         		<a id="pl.257.28"></a><var>257.28</var>income for those with adjusted gross income up to 545 percent of federal poverty guidelines;<br />
         		<a id="pl.257.29"></a><var>257.29</var>&#160;&#160;&#160;&#160;(2) if the adjusted gross income is greater than 545 percent of federal poverty guidelines
         <br />
         		<a id="pl.257.30"></a><var>257.30</var>and less than 675 percent of federal poverty guidelines, the parental contribution
         shall be <br />
         		<a id="pl.257.31"></a><var>257.31</var>6.08 4.56 percent of adjusted gross income;<br />
         		<a id="pl.257.32"></a><var>257.32</var>&#160;&#160;&#160;&#160;(3) if the adjusted gross income is equal to or greater than 675 percent of federal
         poverty <br />
         		<a id="pl.257.33"></a><var>257.33</var>guidelines and less than 975 percent of federal poverty guidelines, the parental contribution
         <br />
         		<a id="pl.258.1"></a><var>258.1</var>shall be determined using a sliding fee scale established by the commissioner of human
         <br />
         		<a id="pl.258.2"></a><var>258.2</var>services which begins at 6.08 4.56 percent of adjusted gross income at 675 percent of federal <br />
         		<a id="pl.258.3"></a><var>258.3</var>poverty guidelines and increases to 8.1 6.075 percent of adjusted gross income for those <br />
         		<a id="pl.258.4"></a><var>258.4</var>with adjusted gross income up to 975 percent of federal poverty guidelines; and<br />
         		<a id="pl.258.5"></a><var>258.5</var>&#160;&#160;&#160;&#160;(4) if the adjusted gross income is equal to or greater than 975 percent of federal
         poverty <br />
         		<a id="pl.258.6"></a><var>258.6</var>guidelines, the parental contribution shall be 10.13 7.5975 percent of adjusted gross income.<br />
         		<a id="pl.258.7"></a><var>258.7</var>&#160;&#160;&#160;&#160;If the child lives with the parent, the annual adjusted gross income is reduced by
         $2,400 <br />
         		<a id="pl.258.8"></a><var>258.8</var>prior to calculating the parental contribution. If the child resides in an institution
         specified <br />
         		<a id="pl.258.9"></a><var>258.9</var>in section 
         <statute_ref>256B.35</statute_ref>, the parent is responsible for the personal needs allowance specified <br />
         		<a id="pl.258.10"></a><var>258.10</var>under that section in addition to the parental contribution determined under this
         section. <br />
         		<a id="pl.258.11"></a><var>258.11</var>The parental contribution is reduced by any amount required to be paid directly to
         the child <br />
         		<a id="pl.258.12"></a><var>258.12</var>pursuant to a court order, but only if actually paid.<br />
         		<a id="pl.258.13"></a><var>258.13</var>&#160;&#160;&#160;&#160;(c) The household size to be used in determining the amount of contribution under
         <br />
         		<a id="pl.258.14"></a><var>258.14</var>paragraph (b) includes natural and adoptive parents and their dependents, including
         the <br />
         		<a id="pl.258.15"></a><var>258.15</var>child receiving services. Adjustments in the contribution amount due to annual changes
         in <br />
         		<a id="pl.258.16"></a><var>258.16</var>the federal poverty guidelines shall be implemented on the first day of July following
         <br />
         		<a id="pl.258.17"></a><var>258.17</var>publication of the changes.<br />
         		<a id="pl.258.18"></a><var>258.18</var>&#160;&#160;&#160;&#160;(d) For purposes of paragraph (b), "income" means the adjusted gross income of the
         <br />
         		<a id="pl.258.19"></a><var>258.19</var>natural or adoptive parents determined according to the previous year's federal tax
         form, <br />
         		<a id="pl.258.20"></a><var>258.20</var>except, effective retroactive to July 1, 2003, taxable capital gains to the extent
         the funds <br />
         		<a id="pl.258.21"></a><var>258.21</var>have been used to purchase a home shall not be counted as income.<br />
         		<a id="pl.258.22"></a><var>258.22</var>&#160;&#160;&#160;&#160;(e) The contribution shall be explained in writing to the parents at the time eligibility
         <br />
         		<a id="pl.258.23"></a><var>258.23</var>for services is being determined. The contribution shall be made on a monthly basis
         effective <br />
         		<a id="pl.258.24"></a><var>258.24</var>with the first month in which the child receives services. Annually upon redetermination
         <br />
         		<a id="pl.258.25"></a><var>258.25</var>or at termination of eligibility, if the contribution exceeded the cost of services
         provided, <br />
         		<a id="pl.258.26"></a><var>258.26</var>the local agency or the state shall reimburse that excess amount to the parents, either
         by <br />
         		<a id="pl.258.27"></a><var>258.27</var>direct reimbursement if the parent is no longer required to pay a contribution, or
         by a <br />
         		<a id="pl.258.28"></a><var>258.28</var>reduction in or waiver of parental fees until the excess amount is exhausted. All
         <br />
         		<a id="pl.258.29"></a><var>258.29</var>reimbursements must include a notice that the amount reimbursed may be taxable income
         <br />
         		<a id="pl.258.30"></a><var>258.30</var>if the parent paid for the parent's fees through an employer's health care flexible
         spending <br />
         		<a id="pl.258.31"></a><var>258.31</var>account under the Internal Revenue Code, section 125, and that the parent is responsible
         <br />
         		<a id="pl.258.32"></a><var>258.32</var>for paying the taxes owed on the amount reimbursed.<br />
         		<a id="pl.258.33"></a><var>258.33</var>&#160;&#160;&#160;&#160;(f) The monthly contribution amount must be reviewed at least every 12 months; when
         <br />
         		<a id="pl.258.34"></a><var>258.34</var>there is a change in household size; and when there is a loss of or gain in income
         from one <br />
         		<a id="pl.259.1"></a><var>259.1</var>month to another in excess of ten percent. The local agency shall mail a written notice
         30 <br />
         		<a id="pl.259.2"></a><var>259.2</var>days in advance of the effective date of a change in the contribution amount. A decrease
         in <br />
         		<a id="pl.259.3"></a><var>259.3</var>the contribution amount is effective in the month that the parent verifies a reduction
         in <br />
         		<a id="pl.259.4"></a><var>259.4</var>income or change in household size.<br />
         		<a id="pl.259.5"></a><var>259.5</var>&#160;&#160;&#160;&#160;(g) Parents of a minor child who do not live with each other shall each pay the <br />
         		<a id="pl.259.6"></a><var>259.6</var>contribution required under paragraph (a). An amount equal to the annual court-ordered
         <br />
         		<a id="pl.259.7"></a><var>259.7</var>child support payment actually paid on behalf of the child receiving services shall
         be deducted <br />
         		<a id="pl.259.8"></a><var>259.8</var>from the adjusted gross income of the parent making the payment prior to calculating
         the <br />
         		<a id="pl.259.9"></a><var>259.9</var>parental contribution under paragraph (b).<br />
         		<a id="pl.259.10"></a><var>259.10</var>&#160;&#160;&#160;&#160;(h) The contribution under paragraph (b) shall be increased by an additional five
         percent <br />
         		<a id="pl.259.11"></a><var>259.11</var>if the local agency determines that insurance coverage is available but not obtained
         for the <br />
         		<a id="pl.259.12"></a><var>259.12</var>child. For purposes of this section, "available" means the insurance is a benefit
         of employment <br />
         		<a id="pl.259.13"></a><var>259.13</var>for a family member at an annual cost of no more than five percent of the family's
         annual <br />
         		<a id="pl.259.14"></a><var>259.14</var>income. For purposes of this section, "insurance" means health and accident insurance
         <br />
         		<a id="pl.259.15"></a><var>259.15</var>coverage, enrollment in a nonprofit health service plan, health maintenance organization,
         <br />
         		<a id="pl.259.16"></a><var>259.16</var>self-insured plan, or preferred provider organization.<br />
         		<a id="pl.259.17"></a><var>259.17</var>&#160;&#160;&#160;&#160;Parents who have more than one child receiving services shall not be required to pay
         <br />
         		<a id="pl.259.18"></a><var>259.18</var>more than the amount for the child with the highest expenditures. There shall be no
         resource <br />
         		<a id="pl.259.19"></a><var>259.19</var>contribution from the parents. The parent shall not be required to pay a contribution
         in <br />
         		<a id="pl.259.20"></a><var>259.20</var>excess of the cost of the services provided to the child, not counting payments made
         to <br />
         		<a id="pl.259.21"></a><var>259.21</var>school districts for education-related services. Notice of an increase in fee payment
         must <br />
         		<a id="pl.259.22"></a><var>259.22</var>be given at least 30 days before the increased fee is due.<br />
         		<a id="pl.259.23"></a><var>259.23</var>&#160;&#160;&#160;&#160;(i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year
         if, in <br />
         		<a id="pl.259.24"></a><var>259.24</var>the 12 months prior to July 1:<br />
         		<a id="pl.259.25"></a><var>259.25</var>&#160;&#160;&#160;&#160;(1) the parent applied for insurance for the child;<br />
         		<a id="pl.259.26"></a><var>259.26</var>&#160;&#160;&#160;&#160;(2) the insurer denied insurance;<br />
         		<a id="pl.259.27"></a><var>259.27</var>&#160;&#160;&#160;&#160;(3) the parents submitted a complaint or appeal, in writing to the insurer, submitted
         a <br />
         		<a id="pl.259.28"></a><var>259.28</var>complaint or appeal, in writing, to the commissioner of health or the commissioner
         of <br />
         		<a id="pl.259.29"></a><var>259.29</var>commerce, or litigated the complaint or appeal; and<br />
         		<a id="pl.259.30"></a><var>259.30</var>&#160;&#160;&#160;&#160;(4) as a result of the dispute, the insurer reversed its decision and granted insurance.<br />
         		<a id="pl.259.31"></a><var>259.31</var>&#160;&#160;&#160;&#160;For purposes of this section, "insurance" has the meaning given in paragraph (h).<br />
         		<a id="pl.259.32"></a><var>259.32</var>&#160;&#160;&#160;&#160;A parent who has requested a reduction in the contribution amount under this paragraph
         <br />
         		<a id="pl.259.33"></a><var>259.33</var>shall submit proof in the form and manner prescribed by the commissioner or county
         agency, <br />
         		<a id="pl.260.1"></a><var>260.1</var>including, but not limited to, the insurer's denial of insurance, the written letter
         or complaint <br />
         		<a id="pl.260.2"></a><var>260.2</var>of the parents, court documents, and the written response of the insurer approving
         insurance. <br />
         		<a id="pl.260.3"></a><var>260.3</var>The determinations of the commissioner or county agency under this paragraph are not
         rules <br />
         		<a id="pl.260.4"></a><var>260.4</var>subject to chapter 14.<br />
         		<br />
         		<a id="bill.7.12.0"></a><a id="pl.260.5"></a><var>260.5</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 256E.30, subdivision 2, is amended to read:<br />
         		<a id="pl.260.6"></a><var>260.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Allocation of money.</b> (a) State money appropriated and community service <br />
         		<a id="pl.260.7"></a><var>260.7</var>block grant money allotted to the state and all money transferred to the community
         service <br />
         		<a id="pl.260.8"></a><var>260.8</var>block grant from other block grants shall be allocated annually to community action
         agencies <br />
         		<a id="pl.260.9"></a><var>260.9</var>and Indian reservation governments under clauses (b) and (c), and to migrant and seasonal
         <br />
         		<a id="pl.260.10"></a><var>260.10</var>farmworker organizations under clause (d).<br />
         		<a id="pl.260.11"></a><var>260.11</var>(b) The available annual money will provide base funding to all community action <br />
         		<a id="pl.260.12"></a><var>260.12</var>agencies and the Indian reservations. Base funding amounts per agency are as follows:
         for <br />
         		<a id="pl.260.13"></a><var>260.13</var>agencies with low income populations up to 3,999 1,999, $25,000; 4,000 2,000 to 23,999, <br />
         		<a id="pl.260.14"></a><var>260.14</var>$50,000; and 24,000 or more, $100,000.<br />
         		<a id="pl.260.15"></a><var>260.15</var>(c) All remaining money of the annual money available after the base funding has been
         <br />
         		<a id="pl.260.16"></a><var>260.16</var>determined must be allocated to each agency and reservation in proportion to the size
         of <br />
         		<a id="pl.260.17"></a><var>260.17</var>the poverty level population in the agency's service area compared to the size of
         the poverty <br />
         		<a id="pl.260.18"></a><var>260.18</var>level population in the state.<br />
         		<a id="pl.260.19"></a><var>260.19</var>(d) Allocation of money to migrant and seasonal farmworker organizations must not
         <br />
         		<a id="pl.260.20"></a><var>260.20</var>exceed three percent of the total annual money available. Base funding allocations
         must be <br />
         		<a id="pl.260.21"></a><var>260.21</var>made for all community action agencies and Indian reservations that received money
         under <br />
         		<a id="pl.260.22"></a><var>260.22</var>this subdivision, in fiscal year 1984, and for community action agencies designated
         under <br />
         		<a id="pl.260.23"></a><var>260.23</var>this section with a service area population of 35,000 or greater.<br />
         		<br />
         		<a id="bill.7.13.0"></a><a id="pl.260.24"></a><var>260.24</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 256J.24, subdivision 5, is amended to read:<br />
         		<a id="pl.260.25"></a><var>260.25</var>&#160;&#160;&#160;&#160;Subd. 5. <b>MFIP transitional standard.</b> The MFIP transitional standard is based on the <br />
         		<a id="pl.260.26"></a><var>260.26</var>number of persons in the assistance unit eligible for both food and cash assistance.
         The <br />
         		<a id="pl.260.27"></a><var>260.27</var>amount of the transitional standard is published annually by the Department of Human
         <br />
         		<a id="pl.260.28"></a><var>260.28</var>Services. The following table represents the cash portion of the transitional standard effective
         <br />
         		<a id="pl.260.29"></a><var>260.29</var>March 1, 2018.<br />
         		
         <table>
            <col width="50px"></col>
            <col width=""></col>
            <col width=""></col>
            <tr>
               <td><a id="pl.260.30"></a><var>260.30</var><br />
                  		
               </td>
               <td>Number of eligible people<br />
                  		
               </td>
               <td>Cash portion<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.260.31"></a><var>260.31</var><br />
                  		
               </td>
               <td>1<br />
                  		
               </td>
               <td>$263<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.260.32"></a><var>260.32</var><br />
                  		
               </td>
               <td>2<br />
                  		
               </td>
               <td>$450<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.260.33"></a><var>260.33</var><br />
                  		
               </td>
               <td>3<br />
                  		
               </td>
               <td>$545<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.1"></a><var>261.1</var><br />
                  		
               </td>
               <td>4<br />
                  		
               </td>
               <td>$634<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.2"></a><var>261.2</var><br />
                  		
               </td>
               <td>5<br />
                  		
               </td>
               <td>$710<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.3"></a><var>261.3</var><br />
                  		
               </td>
               <td>6<br />
                  		
               </td>
               <td>$786<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.4"></a><var>261.4</var><br />
                  		
               </td>
               <td>7<br />
                  		
               </td>
               <td>$863<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.5"></a><var>261.5</var><br />
                  		
               </td>
               <td>8<br />
                  		
               </td>
               <td>$929<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.6"></a><var>261.6</var><br />
                  		
               </td>
               <td>9<br />
                  		
               </td>
               <td>$993<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.7"></a><var>261.7</var><br />
                  		
               </td>
               <td>10<br />
                  		
               </td>
               <td>$1,048<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.261.8"></a><var>261.8</var><br />
                  		
               </td>
               <td>Over 10<br />
                  		
               </td>
               <td>add $56 for each additional eligible person<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.7.14.0"></a><a id="pl.261.9"></a><var>261.9</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 256J.45, subdivision 2, is amended to read:<br />
         		<a id="pl.261.10"></a><var>261.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>General information.</b> The MFIP orientation must consist of a presentation <br />
         		<a id="pl.261.11"></a><var>261.11</var>that informs caregivers of:<br />
         		<a id="pl.261.12"></a><var>261.12</var>&#160;&#160;&#160;&#160;(1) the necessity to obtain immediate employment;<br />
         		<a id="pl.261.13"></a><var>261.13</var>&#160;&#160;&#160;&#160;(2) the work incentives under MFIP, including the availability of the federal earned
         <br />
         		<a id="pl.261.14"></a><var>261.14</var>income tax credit and the Minnesota working family tax credit;<br />
         		<a id="pl.261.15"></a><var>261.15</var>&#160;&#160;&#160;&#160;(3) the requirement to comply with the employment plan and other requirements of the
         <br />
         		<a id="pl.261.16"></a><var>261.16</var>employment and training services component of MFIP, including a description of the
         range <br />
         		<a id="pl.261.17"></a><var>261.17</var>of work and training activities that are allowable under MFIP to meet the individual
         needs <br />
         		<a id="pl.261.18"></a><var>261.18</var>of participants;<br />
         		<a id="pl.261.19"></a><var>261.19</var>&#160;&#160;&#160;&#160;(4) the consequences for failing to comply with the employment plan and other program
         <br />
         		<a id="pl.261.20"></a><var>261.20</var>requirements, and that the county agency may not impose a sanction when failure to
         comply <br />
         		<a id="pl.261.21"></a><var>261.21</var>is due to the unavailability of child care or other circumstances where the participant
         has <br />
         		<a id="pl.261.22"></a><var>261.22</var>good cause under subdivision 3;<br />
         		<a id="pl.261.23"></a><var>261.23</var>&#160;&#160;&#160;&#160;(5) the rights, responsibilities, and obligations of participants;<br />
         		<a id="pl.261.24"></a><var>261.24</var>&#160;&#160;&#160;&#160;(6) the types and locations of child care services available through the county agency;<br />
         		<a id="pl.261.25"></a><var>261.25</var>&#160;&#160;&#160;&#160;(7) the availability and the benefits of the early childhood health and developmental
         <br />
         		<a id="pl.261.26"></a><var>261.26</var>screening under sections 
         <statute_ref>121A.16</statute_ref> to 
         <statute_ref>121A.19</statute_ref>; 
         <statute_ref>123B.02, subdivision 16</statute_ref>; and 
         <statute_ref>123B.10</statute_ref>;<br />
         		<a id="pl.261.27"></a><var>261.27</var>&#160;&#160;&#160;&#160;(8) the caregiver's eligibility for transition year child care assistance under section
         <br />
         		
         <statute_ref><a id="pl.261.28"></a><var>261.28</var>119B.05
         </statute_ref>;<br />
         		<a id="pl.261.29"></a><var>261.29</var>&#160;&#160;&#160;&#160;(9) the availability of all health care programs, including transitional medical assistance;<br />
         		<a id="pl.261.30"></a><var>261.30</var>&#160;&#160;&#160;&#160;(10) the caregiver's option to choose an employment and training provider and information
         <br />
         		<a id="pl.261.31"></a><var>261.31</var>about each provider, including but not limited to, services offered, program components,
         <br />
         		<a id="pl.261.32"></a><var>261.32</var>job placement rates, job placement wages, and job retention rates;<br />
         		<a id="pl.262.1"></a><var>262.1</var>&#160;&#160;&#160;&#160;(11) the caregiver's option to request approval of an education and training plan
         according <br />
         		<a id="pl.262.2"></a><var>262.2</var>to section 
         <statute_ref>256J.53</statute_ref>;<br />
         		<a id="pl.262.3"></a><var>262.3</var>&#160;&#160;&#160;&#160;(12) the work study programs available under the higher education system; and<br />
         		<a id="pl.262.4"></a><var>262.4</var>&#160;&#160;&#160;&#160;(13) information about the 60-month time limit exemptions under the family violence
         <br />
         		<a id="pl.262.5"></a><var>262.5</var>waiver and referral information about shelters and programs for victims of family
         violence.; <br />
         		<a id="pl.262.6"></a><var>262.6</var>and<br />
         		<a id="pl.262.7"></a><var>262.7</var>&#160;&#160;&#160;&#160;(14) information about the income exclusions under section 256P.06, subdivision 2.<br />
         		<a id="pl.262.8"></a><var>262.8</var><b>EFFECTIVE DATE.</b>This section is effective December 1, 2018.<br />
         		<br />
         		<a id="bill.7.15.0"></a><a id="pl.262.9"></a><var>262.9</var>&#160;&#160;&#160;&#160;Sec. 15. <b>[256N.261] SUPPORT FOR ADOPTIVE, FOSTER, AND KINSHIP </b><br />
         		<a id="pl.262.10"></a><var>262.10</var><b>FAMILIES.</b><br />
         		<a id="pl.262.11"></a><var>262.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Program established.</b> The commissioner shall design and implement a <br />
         		<a id="pl.262.12"></a><var>262.12</var>coordinated program to reduce the need for placement changes or out-of-home placements
         <br />
         		<a id="pl.262.13"></a><var>262.13</var>of children and youth in foster care, adoptive placements, and permanent physical
         and legal <br />
         		<a id="pl.262.14"></a><var>262.14</var>custody kinship placements, and to improve the functioning and stability of these
         families. <br />
         		<a id="pl.262.15"></a><var>262.15</var>To the extent federal funds are available, the commissioner shall provide the following
         <br />
         		<a id="pl.262.16"></a><var>262.16</var>adoption and foster care-competent services and ensure that placements are trauma-informed
         <br />
         		<a id="pl.262.17"></a><var>262.17</var>and child and family-centered:<br />
         		<a id="pl.262.18"></a><var>262.18</var>(1) a program providing information, referrals, a parent-to-parent support network,
         peer <br />
         		<a id="pl.262.19"></a><var>262.19</var>support for youth, family activities, respite care, crisis services, educational support,
         and <br />
         		<a id="pl.262.20"></a><var>262.20</var>mental health services for children and youth in adoption, foster care, and kinship
         placements <br />
         		<a id="pl.262.21"></a><var>262.21</var>and adoptive, foster, and kinship families in Minnesota;<br />
         		<a id="pl.262.22"></a><var>262.22</var>(2) training offered statewide in Minnesota for adoptive and kinship families, and
         training <br />
         		<a id="pl.262.23"></a><var>262.23</var>for foster families, and the professionals who serve the families, on the effects
         of trauma, <br />
         		<a id="pl.262.24"></a><var>262.24</var>common disabilities of adopted children and children in foster care, and kinship placements,
         <br />
         		<a id="pl.262.25"></a><var>262.25</var>and challenges in adoption, foster care, and kinship placements; and<br />
         		<a id="pl.262.26"></a><var>262.26</var>(3) periodic evaluation of these services to ensure program effectiveness in preserving
         <br />
         		<a id="pl.262.27"></a><var>262.27</var>and improving the success of adoptive, foster, and kinship placements.<br />
         		<a id="pl.262.28"></a><var>262.28</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br />
         		<a id="pl.262.29"></a><var>262.29</var>(b) "Child and family-centered" means individualized services that respond to a child's
         <br />
         		<a id="pl.262.30"></a><var>262.30</var>or youth's strengths, interests, and current developmental stage, including social,
         cognitive, <br />
         		<a id="pl.262.31"></a><var>262.31</var>emotional, physical, cultural, racial, and spiritual needs, and offer support to the
         entire <br />
         		<a id="pl.262.32"></a><var>262.32</var>adoptive, foster, or kinship family.<br />
         		<a id="pl.263.1"></a><var>263.1</var>(c) "Trauma-informed" means care that acknowledges the effect trauma has on children
         <br />
         		<a id="pl.263.2"></a><var>263.2</var>and the children's families; modifies services to respond to the effects of trauma;
         emphasizes <br />
         		<a id="pl.263.3"></a><var>263.3</var>skill and strength-building rather than symptom management; and focuses on the physical
         <br />
         		<a id="pl.263.4"></a><var>263.4</var>and psychological safety of the child and family.<br />
         		<br />
         		<a id="bill.7.16.0"></a><a id="pl.263.5"></a><var>263.5</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 256P.06, subdivision 2, is amended to read:<br />
         		<a id="pl.263.6"></a><var>263.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Exempted individuals.</b> (a) The following members of an assistance unit under <br />
         		<a id="pl.263.7"></a><var>263.7</var>chapters 119B and 256J are exempt from having their earned income count towards the
         <br />
         		<a id="pl.263.8"></a><var>263.8</var>income of an assistance unit:<br />
         		<a id="pl.263.9"></a><var>263.9</var>(1) children under six years old;<br />
         		<a id="pl.263.10"></a><var>263.10</var>(2) caregivers under 20 years of age enrolled at least half-time in school; and<br />
         		<a id="pl.263.11"></a><var>263.11</var>(3) minors enrolled in school full time.<br />
         		<a id="pl.263.12"></a><var>263.12</var>(b) The following members of an assistance unit are exempt from having their earned
         <br />
         		<a id="pl.263.13"></a><var>263.13</var>and unearned income count towards the income of an assistance unit for 12 consecutive
         <br />
         		<a id="pl.263.14"></a><var>263.14</var>calendar months, beginning the month following the marriage date, for benefits under
         chapter <br />
         		<a id="pl.263.15"></a><var>263.15</var>256J if the household income does not exceed 275 percent of the federal poverty guideline:<br />
         		<a id="pl.263.16"></a><var>263.16</var>(1) a new spouse to a caretaker in an existing assistance unit; and<br />
         		<a id="pl.263.17"></a><var>263.17</var>(2) the spouse designated by a newly married couple, both of whom were already <br />
         		<a id="pl.263.18"></a><var>263.18</var>members of an assistance unit under chapter 256J.<br />
         		<a id="pl.263.19"></a><var>263.19</var>(c) If members identified in paragraph (b) also receive assistance under section 119B.05,
         <br />
         		<a id="pl.263.20"></a><var>263.20</var>they are exempt from having their earned and unearned income count towards the income
         <br />
         		<a id="pl.263.21"></a><var>263.21</var>of the assistance unit if the household income prior to the exemption does not exceed
         67 <br />
         		<a id="pl.263.22"></a><var>263.22</var>percent of the state median income for recipients for 26 consecutive biweekly periods
         <br />
         		<a id="pl.263.23"></a><var>263.23</var>beginning the second biweekly period after the marriage date.<br />
         		<a id="pl.263.24"></a><var>263.24</var><b>EFFECTIVE DATE.</b>This section is effective December 1, 2018.<br />
         		<br />
         		<a id="bill.7.17.0"></a><a id="pl.263.25"></a><var>263.25</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 260C.451, subdivision 6, is amended to read:<br />
         		<a id="pl.263.26"></a><var>263.26</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Reentering foster care and accessing services after 18 years of age and up </b><br />
         		<a id="pl.263.27"></a><var>263.27</var><b>to 21 years of age.</b> (a) Upon request of an individual who had been under the guardianship <br />
         		<a id="pl.263.28"></a><var>263.28</var>of the commissioner and who has left foster care without being adopted, the responsible
         <br />
         		<a id="pl.263.29"></a><var>263.29</var>social services agency which had been the commissioner's agent for purposes of the
         <br />
         		<a id="pl.263.30"></a><var>263.30</var>guardianship shall develop with the individual a plan to increase the individual's
         ability to <br />
         		<a id="pl.263.31"></a><var>263.31</var>live safely and independently using the plan requirements of section 
         <statute_ref>260C.212, subdivision <br />
            		<a id="pl.264.1"></a><var>264.1</var>1
         </statute_ref>, paragraph (c), clause (12), and to assist the individual to meet one or more of
         the eligibility <br />
         		<a id="pl.264.2"></a><var>264.2</var>criteria in subdivision 4 if the individual wants to reenter foster care. The responsible
         social <br />
         		<a id="pl.264.3"></a><var>264.3</var>services agency shall provide foster care as required to implement the plan. The responsible
         <br />
         		<a id="pl.264.4"></a><var>264.4</var>social services agency shall enter into a voluntary placement agreement under section
         <br />
         		
         <statute_ref><a id="pl.264.5"></a><var>264.5</var>260C.229
         </statute_ref> with the individual if the plan includes foster care.<br />
         		<a id="pl.264.6"></a><var>264.6</var>(b) Individuals who had not been under the guardianship of the commissioner of human
         <br />
         		<a id="pl.264.7"></a><var>264.7</var>services prior to 18 years of age may ask to reenter foster care after age 18 and, to the extent <br />
         		<a id="pl.264.8"></a><var>264.8</var>funds are available, the responsible social services agency that had responsibility for planning <br />
         		<a id="pl.264.9"></a><var>264.9</var>for the individual before discharge from foster care may shall provide foster care or other <br />
         		<a id="pl.264.10"></a><var>264.10</var>services to the individual for the purpose of increasing the individual's ability
         to live safely <br />
         		<a id="pl.264.11"></a><var>264.11</var>and independently and to meet the eligibility criteria in subdivision 3a, if the individual:<br />
         		<a id="pl.264.12"></a><var>264.12</var>(1) was in foster care for the six consecutive months prior to the person's 18th birthday, <br />
         		<a id="pl.264.13"></a><var>264.13</var>or left foster care within six months prior to the person's 18th birthday, and was not <br />
         		<a id="pl.264.14"></a><var>264.14</var>discharged home, adopted, or received into a relative's home under a transfer of permanent
         <br />
         		<a id="pl.264.15"></a><var>264.15</var>legal and physical custody under section 
         <statute_ref>260C.515, subdivision 4</statute_ref>; or<br />
         		<a id="pl.264.16"></a><var>264.16</var>(2) was discharged from foster care while on runaway status after age 15.<br />
         		<a id="pl.264.17"></a><var>264.17</var>(c) In conjunction with a qualifying and eligible individual under paragraph (b) and
         <br />
         		<a id="pl.264.18"></a><var>264.18</var>other appropriate persons, the responsible social services agency shall develop a
         specific <br />
         		<a id="pl.264.19"></a><var>264.19</var>plan related to that individual's vocational, educational, social, or maturational
         needs and, <br />
         		<a id="pl.264.20"></a><var>264.20</var>to the extent funds are available, provide foster care as required to implement the plan. The <br />
         		<a id="pl.264.21"></a><var>264.21</var>responsible social services agency shall enter into a voluntary placement agreement
         with <br />
         		<a id="pl.264.22"></a><var>264.22</var>the individual if the plan includes foster care.<br />
         		<a id="pl.264.23"></a><var>264.23</var>(d) A child who left foster care while under guardianship of the commissioner of human
         <br />
         		<a id="pl.264.24"></a><var>264.24</var>services retains eligibility for foster care for placement at any time prior to 21
         years of age.<br />
         		<br />
         		<a id="bill.7.18.0"></a><a id="pl.264.25"></a><var>264.25</var>&#160;&#160;&#160;&#160;Sec. 18. <b>MINNESOTA BIRTH TO AGE EIGHT PILOT PROJECT.</b><br />
         		<a id="pl.264.26"></a><var>264.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authorization.</b> The commissioner of human services shall award a grant <br />
         		<a id="pl.264.27"></a><var>264.27</var>to Dakota County to develop and implement pilots that will evaluate the impact of
         a <br />
         		<a id="pl.264.28"></a><var>264.28</var>coordinated systems and service delivery approach on key developmental milestones
         and <br />
         		<a id="pl.264.29"></a><var>264.29</var>outcomes that ultimately lead to reading proficiency by age eight within the target
         population. <br />
         		<a id="pl.264.30"></a><var>264.30</var>The pilot program is from July 1, 2017, to June 30, 2021.<br />
         		<a id="pl.264.31"></a><var>264.31</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Pilot design and goals.</b> The pilot will establish five key developmental milestone <br />
         		<a id="pl.264.32"></a><var>264.32</var>markers from birth to age eight. Enrollees in the pilot will be developmentally assessed
         and <br />
         		<a id="pl.264.33"></a><var>264.33</var>tracked by a technology solution that tracks developmental milestones along the established
         <br />
         		<a id="pl.265.1"></a><var>265.1</var>developmental continuum. If a child's progress falls below established milestones
         and the <br />
         		<a id="pl.265.2"></a><var>265.2</var>weighted scoring, the coordinated service system will focus on identified areas of
         concern, <br />
         		<a id="pl.265.3"></a><var>265.3</var>mobilize appropriate supportive services, and offer services to identified children
         and their <br />
         		<a id="pl.265.4"></a><var>265.4</var>families.<br />
         		<a id="pl.265.5"></a><var>265.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Program participants in phase 1 target population.</b> Pilot program participants <br />
         		<a id="pl.265.6"></a><var>265.6</var>must:<br />
         		<a id="pl.265.7"></a><var>265.7</var>(1) be enrolled in a Women's Infant &amp; Children (WIC) program;<br />
         		<a id="pl.265.8"></a><var>265.8</var>(2) be participating in a family home visiting program, or nurse family practice,
         or <br />
         		<a id="pl.265.9"></a><var>265.9</var>Healthy Families America (HFA);<br />
         		<a id="pl.265.10"></a><var>265.10</var>(3) be children and families qualifying for and participating in early language learners
         <br />
         		<a id="pl.265.11"></a><var>265.11</var>(ELL) in the school district in which they reside; and<br />
         		<a id="pl.265.12"></a><var>265.12</var>(4) opt-in and provide parental consent to participate in the pilot project.<br />
         		<a id="pl.265.13"></a><var>265.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Evaluation and report.</b> The county or counties shall work with a third-party <br />
         		<a id="pl.265.14"></a><var>265.14</var>evaluator to evaluate the effectiveness of the pilot and report to the legislative
         committees <br />
         		<a id="pl.265.15"></a><var>265.15</var>with jurisdiction over human services policy and finance each year by February 1 with
         an <br />
         		<a id="pl.265.16"></a><var>265.16</var>update on the progress of the pilot. The final report on the pilot is due January
         1, 2022.<br />
         		<br />
         		<a id="bill.7.19.0"></a><a id="pl.265.17"></a><var>265.17</var>&#160;&#160;&#160;&#160;Sec. 19. <b>MINNESOTA PATHWAYS TO PROSPERITY PILOT PROJECT.</b><br />
         		<a id="pl.265.18"></a><var>265.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authorization.</b> The commissioner of human services may develop a 	<br />
         		<a id="pl.265.19"></a><var>265.19</var>pilot project that shall test an alternative financing model for the distribution
         of publicly <br />
         		<a id="pl.265.20"></a><var>265.20</var>funded benefits. The commissioner may work with interested counties to develop the
         pilot <br />
         		<a id="pl.265.21"></a><var>265.21</var>and determine the waivers that are necessary to implement the pilot project based
         on the <br />
         		<a id="pl.265.22"></a><var>265.22</var>pilot design in subdivisions 2 and 3, and outcome measures in subdivision 4.<br />
         		<a id="pl.265.23"></a><var>265.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Pilot project goals.</b> The goals of the pilot project are to:<br />
         		<a id="pl.265.24"></a><var>265.24</var>(1) reduce the historical separation among the state programs and systems affecting
         <br />
         		<a id="pl.265.25"></a><var>265.25</var>families who are receiving public assistance;<br />
         		<a id="pl.265.26"></a><var>265.26</var>(2) eliminate, where possible, funding restrictions to allow a more comprehensive
         <br />
         		<a id="pl.265.27"></a><var>265.27</var>approach to the needs of the families in the pilot project; and<br />
         		 <a id="pl.265.28"></a><var>265.28</var>(3) focus on upstream, prevention-oriented supports and interventions.<br />
         		<a id="pl.265.29"></a><var>265.29</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Project participants.</b> The pilot project developed by the commissioner may <br />
         		<a id="pl.265.30"></a><var>265.30</var>include requirements that participants:<br />
         		<a id="pl.265.31"></a><var>265.31</var>(1) be 26 years of age or younger with a minimum of one child;<br />
         		 <a id="pl.266.1"></a><var>266.1</var>(2) voluntarily agree to participate in the pilot project;<br />
         		 <a id="pl.266.2"></a><var>266.2</var>(3) be eligible for, applying for, or receiving public benefits including but not
         limited <br />
         		<a id="pl.266.3"></a><var>266.3</var>to housing assistance, education supports, employment supports, child care, transportation
         <br />
         		<a id="pl.266.4"></a><var>266.4</var>supports, medical assistance, earned income tax credit, or the child care tax credit;
         and<br />
         		<a id="pl.266.5"></a><var>266.5</var>(4) be enrolled in an education program that is focused on obtaining a career that
         will <br />
         		<a id="pl.266.6"></a><var>266.6</var>likely result in a livable wage.<br />
         		<a id="pl.266.7"></a><var>266.7</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Outcomes.</b> The outcome measures for the pilot project must include:<br />
         		<a id="pl.266.8"></a><var>266.8</var>(1) improvement in the affordability, safety, and permanence of suitable housing;<br />
         		<a id="pl.266.9"></a><var>266.9</var>(2) improvement in family functioning and stability, including in the areas of behavioral
         <br />
         		<a id="pl.266.10"></a><var>266.10</var>health, incarceration, involvement with the child welfare system, or equivalent indicators;<br />
         		<a id="pl.266.11"></a><var>266.11</var>(3) improvement in education readiness and outcomes for parents and children from
         <br />
         		<a id="pl.266.12"></a><var>266.12</var>early childhood through high school, including reduction in absenteeism, preschool
         readiness <br />
         		<a id="pl.266.13"></a><var>266.13</var>scores, third grade reading competency, graduation, GPA, and standardized test improvement;<br />
         		<a id="pl.266.14"></a><var>266.14</var>(4) improvement in attachment to the workforce of one or both parents, including <br />
         		<a id="pl.266.15"></a><var>266.15</var>enhanced job stability; wage gains; career advancement; progress in career preparation;
         or <br />
         		<a id="pl.266.16"></a><var>266.16</var>an equivalent combination of these or related measures; and<br />
         		<a id="pl.266.17"></a><var>266.17</var>(5) improvement in health care access and health outcomes for parents and children.<br />
         		<br />
         		<a id="bill.7.20.0"></a><a id="pl.266.18"></a><var>266.18</var>&#160;&#160;&#160;&#160;Sec. 20. <b>INDIAN CHILD WELFARE ACT COMPLIANCE SYSTEM REVIEW.</b><br />
         		<a id="pl.266.19"></a><var>266.19</var>&#160;&#160;&#160;&#160;By February 1, 2018, the commissioner of human services shall report back to the <br />
         		<a id="pl.266.20"></a><var>266.20</var>legislature on a system for the review of cases reported by counties for aid payments
         under <br />
         		<a id="pl.266.21"></a><var>266.21</var>Minnesota Statutes, section 477A.0126, for compliance with the Indian Child Welfare
         Act <br />
         		<a id="pl.266.22"></a><var>266.22</var>and the Minnesota Indian Family Preservation Act. The proposed case review system
         may <br />
         		<a id="pl.266.23"></a><var>266.23</var>include, but is not limited to, the cases to be reviewed, the criteria to be reviewed
         to <br />
         		<a id="pl.266.24"></a><var>266.24</var>demonstrate compliance with the Indian Child Welfare Act and the Minnesota Indian
         Family <br />
         		<a id="pl.266.25"></a><var>266.25</var>Preservation Act, the rate of noncompliance, and training.<br />
         		<br />
         		<a id="bill.7.21.0"></a><a id="pl.266.26"></a><var>266.26</var>&#160;&#160;&#160;&#160;Sec. 21. <b>MOBILE FOOD SHELF GRANTS.</b><br />
         		<a id="pl.266.27"></a><var>266.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Grant amount.</b> Hunger Solutions shall award grants on a priority basis <br />
         		<a id="pl.266.28"></a><var>266.28</var>under subdivision 3. A grant to sustain an existing mobile program shall not exceed
         $25,000. <br />
         		<a id="pl.266.29"></a><var>266.29</var>A grant to create a new mobile program shall not exceed $75,000.<br />
         		<a id="pl.266.30"></a><var>266.30</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application contents.</b> An applicant for a grant under this section must provide <br />
         		<a id="pl.266.31"></a><var>266.31</var>the following information to Hunger Solutions:<br />
         		<a id="pl.267.1"></a><var>267.1</var>(1) the location of the project;<br />
         		<a id="pl.267.2"></a><var>267.2</var>(2) a description of the mobile program, including the program's size and scope;<br />
         		<a id="pl.267.3"></a><var>267.3</var>(3) evidence regarding the unserved or underserved nature of the community in which
         <br />
         		<a id="pl.267.4"></a><var>267.4</var>the project is to be located;<br />
         		<a id="pl.267.5"></a><var>267.5</var>(4) evidence of community support for the project;<br />
         		<a id="pl.267.6"></a><var>267.6</var>(5) the total cost of the project;<br />
         		<a id="pl.267.7"></a><var>267.7</var>(6) the amount of the grant request and how funds will be used;<br />
         		<a id="pl.267.8"></a><var>267.8</var>(7) sources of funding or in-kind contributions for the project that may supplement
         any <br />
         		<a id="pl.267.9"></a><var>267.9</var>grant award;<br />
         		<a id="pl.267.10"></a><var>267.10</var>(8) the applicant's commitment to maintain the mobile program; and<br />
         		<a id="pl.267.11"></a><var>267.11</var>(9) any additional information requested by Hunger Solutions.<br />
         		<a id="pl.267.12"></a><var>267.12</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Awarding grants.</b>  In evaluating applications and awarding grants, Hunger <br />
         		<a id="pl.267.13"></a><var>267.13</var>Solutions must give priority to an applicant who:<br />
         		<a id="pl.267.14"></a><var>267.14</var>(1) serves unserved or underserved areas;<br />
         		<a id="pl.267.15"></a><var>267.15</var>(2) creates a new mobile program or expands an existing mobile program;<br />
         		<a id="pl.267.16"></a><var>267.16</var>(3) serves areas where a high level of need is identified;<br />
         		<a id="pl.267.17"></a><var>267.17</var>(4) provides evidence of strong support for the project from residents and other institutions
         <br />
         		<a id="pl.267.18"></a><var>267.18</var>in the community;<br />
         		<a id="pl.267.19"></a><var>267.19</var>(5) leverages funding for the project from other private and public sources; and<br />
         		 <a id="pl.267.20"></a><var>267.20</var>(6) commits to maintaining the program on a multiyear basis.<br />
         		<br />
         		<a id="bill.7.22.0"></a><a id="pl.267.21"></a><var>267.21</var>&#160;&#160;&#160;&#160;Sec. 22. <b>CHILD CARE CORRECTION ORDER POSTING GUIDELINES.</b><br />
         		<a id="pl.267.22"></a><var>267.22</var>No later than November 1, 2017, the commissioner shall develop guidelines for posting
         <br />
         		<a id="pl.267.23"></a><var>267.23</var>public licensing data for licensed child care programs. In developing the guidelines,
         the <br />
         		<a id="pl.267.24"></a><var>267.24</var>commissioner shall consult with stakeholders, including licensed child care center
         providers, <br />
         		<a id="pl.267.25"></a><var>267.25</var>family child care providers, and county agencies.<br />
         		<br />
         		<a id="bill.7.23.0"></a><a id="pl.267.26"></a><var>267.26</var>&#160;&#160;&#160;&#160;Sec. 23. <b> REPEALER.</b><br />
         		<a id="pl.267.27"></a><var>267.27</var>Minnesota Statutes 2016, sections 13.468; 179A.50; 179A.51; 179A.52; 179A.53; and
         <br />
         		<a id="pl.267.28"></a><var>267.28</var>256J.626, subdivision 5, are repealed.<br />
         		<br />
         		<a id="bill.8.0.0"></a><div class="xtend_ce"><a id="pl.268.1"></a><var>268.1</var><b>ARTICLE 8</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.268.2"></a><var>268.2</var><b>CHEMICAL AND MENTAL HEALTH SERVICES</b><br />
            		
         </div><br />
         		<a id="bill.8.1.0"></a><a id="pl.268.3"></a><var>268.3</var>&#160;&#160;&#160;&#160;Section 1. <b>[245.4662] GRANT PROGRAM; MENTAL HEALTH INNOVATION.</b><br />
         		<a id="pl.268.4"></a><var>268.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following terms have <br />
         		<a id="pl.268.5"></a><var>268.5</var>the meanings given them.<br />
         		<a id="pl.268.6"></a><var>268.6</var>(b) "Community partnership" means a project involving the collaboration of two or
         more <br />
         		<a id="pl.268.7"></a><var>268.7</var>eligible applicants.<br />
         		<a id="pl.268.8"></a><var>268.8</var>(c) "Eligible applicant" means an eligible county, Indian tribe, mental health service
         <br />
         		<a id="pl.268.9"></a><var>268.9</var>provider, hospital, or community partnership. Eligible applicant does not include
         a <br />
         		<a id="pl.268.10"></a><var>268.10</var>state-operated direct care and treatment facility or program under chapter 246.<br />
         		<a id="pl.268.11"></a><var>268.11</var>(d) "Intensive residential treatment services" has the meaning given in section 256B.0622,
         <br />
         		<a id="pl.268.12"></a><var>268.12</var>subdivision 2.<br />
         		<a id="pl.268.13"></a><var>268.13</var>(e) "Metropolitan area" means the seven-county metropolitan area, as defined in section
         <br />
         		<a id="pl.268.14"></a><var>268.14</var>473.121, subdivision 2.<br />
         		<a id="pl.268.15"></a><var>268.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Grants authorized.</b> The commissioner of human services shall, in consultation <br />
         		<a id="pl.268.16"></a><var>268.16</var>with stakeholders, award grants to eligible applicants to plan, establish, or operate
         programs <br />
         		<a id="pl.268.17"></a><var>268.17</var>to improve accessibility and quality of community-based, outpatient mental health
         services <br />
         		<a id="pl.268.18"></a><var>268.18</var>and reduce the number of clients admitted to regional treatment centers and community
         <br />
         		<a id="pl.268.19"></a><var>268.19</var>behavioral health hospitals. This is a onetime appropriation that is available until
         June 30, <br />
         		<a id="pl.268.20"></a><var>268.20</var>2021. The commissioner shall award half of all grant funds to eligible applicants
         in the <br />
         		<a id="pl.268.21"></a><var>268.21</var>metropolitan area and half of all grant funds to eligible applicants outside the metropolitan
         <br />
         		<a id="pl.268.22"></a><var>268.22</var>area. An applicant may apply for and the commissioner may award grants for two-year
         <br />
         		<a id="pl.268.23"></a><var>268.23</var>periods.<br />
         		<a id="pl.268.24"></a><var>268.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Allocation of grants.</b> (a) An application must be on a form and contain <br />
         		<a id="pl.268.25"></a><var>268.25</var>information as specified by the commissioner but at a minimum must contain:<br />
         		<a id="pl.268.26"></a><var>268.26</var>(1) a description of the purpose or project for which grant funds will be used;<br />
         		<a id="pl.268.27"></a><var>268.27</var>(2) a description of the specific problem the grant funds will address;<br />
         		<a id="pl.268.28"></a><var>268.28</var>(3) a letter of support from the local mental health authority;<br />
         		<a id="pl.268.29"></a><var>268.29</var>(4) a description of achievable objectives, a work plan, and a timeline for implementation
         <br />
         		<a id="pl.268.30"></a><var>268.30</var>and completion of processes or projects enabled by the grant; and<br />
         		<a id="pl.268.31"></a><var>268.31</var>(5) a process for documenting and evaluating results of the grant.<br />
         		<a id="pl.269.1"></a><var>269.1</var>(b) The commissioner shall review each application to determine whether the application
         <br />
         		<a id="pl.269.2"></a><var>269.2</var>is complete and whether the applicant and the project are eligible for a grant. In
         evaluating <br />
         		<a id="pl.269.3"></a><var>269.3</var>applications according to paragraph (c), the commissioner shall establish criteria
         including, <br />
         		<a id="pl.269.4"></a><var>269.4</var>but not limited to: the eligibility of the project; the applicant's thoroughness and
         clarity in <br />
         		<a id="pl.269.5"></a><var>269.5</var>describing the problem grant funds are intended to address; a description of the applicant's
         <br />
         		<a id="pl.269.6"></a><var>269.6</var>proposed project; a description of the population demographics and service area of
         the <br />
         		<a id="pl.269.7"></a><var>269.7</var>proposed project; the manner in which the applicant will demonstrate the effectiveness
         of <br />
         		<a id="pl.269.8"></a><var>269.8</var>any projects undertaken; the proposed project's longevity and demonstrated financial
         <br />
         		<a id="pl.269.9"></a><var>269.9</var>sustainability after the initial grant period; and evidence of efficiencies and effectiveness
         <br />
         		<a id="pl.269.10"></a><var>269.10</var>gained through collaborative efforts. The commissioner may also consider other relevant
         <br />
         		<a id="pl.269.11"></a><var>269.11</var>factors. In evaluating applications, the commissioner may request additional information
         <br />
         		<a id="pl.269.12"></a><var>269.12</var>regarding a proposed project, including information on project cost. An applicant's
         failure <br />
         		<a id="pl.269.13"></a><var>269.13</var>to provide the information requested disqualifies an applicant. The commissioner shall
         <br />
         		<a id="pl.269.14"></a><var>269.14</var>determine the number of grants awarded.<br />
         		<a id="pl.269.15"></a><var>269.15</var>(c) Eligible applicants may receive grants under this section for purposes including,
         but <br />
         		<a id="pl.269.16"></a><var>269.16</var>not limited to, the following:<br />
         		<a id="pl.269.17"></a><var>269.17</var>(1) intensive residential treatment services providing time-limited mental health
         services <br />
         		<a id="pl.269.18"></a><var>269.18</var>in a residential setting;<br />
         		<a id="pl.269.19"></a><var>269.19</var>(2) the creation of stand-alone urgent care centers for mental health and psychiatric
         <br />
         		<a id="pl.269.20"></a><var>269.20</var>consultation services, crisis residential services, or collaboration between crisis
         teams and <br />
         		<a id="pl.269.21"></a><var>269.21</var>critical access hospitals;<br />
         		<a id="pl.269.22"></a><var>269.22</var>(3) establishing new community mental health services or expanding the capacity of
         <br />
         		<a id="pl.269.23"></a><var>269.23</var>existing services, including supportive housing; and<br />
         		<a id="pl.269.24"></a><var>269.24</var>(4) other innovative projects that improve options for mental health services in community
         <br />
         		<a id="pl.269.25"></a><var>269.25</var>settings and reduce the number of clients who remain in regional treatment centers
         and <br />
         		<a id="pl.269.26"></a><var>269.26</var>community behavioral health hospitals beyond when discharge is determined to be clinically
         <br />
         		<a id="pl.269.27"></a><var>269.27</var>appropriate.<br />
         		<a id="pl.269.28"></a><var>269.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Report to legislature.</b> By December 1, 2019, the commissioner of human <br />
         		<a id="pl.269.29"></a><var>269.29</var>services shall deliver a report to the chairs and ranking minority members of the
         legislative <br />
         		<a id="pl.269.30"></a><var>269.30</var>committees with jurisdiction over mental health issues on the outcomes of the projects
         <br />
         		<a id="pl.269.31"></a><var>269.31</var>funded under this section. The report shall, at a minimum, include the amount of funding
         <br />
         		<a id="pl.269.32"></a><var>269.32</var>awarded for each project, a description of the programs and services funded, plans
         for the <br />
         		<a id="pl.269.33"></a><var>269.33</var>long-term sustainability of the projects, and data on outcomes for the programs and
         services <br />
         		<a id="pl.270.1"></a><var>270.1</var>funded. Grantees must provide information and data requested by the commissioner to
         <br />
         		<a id="pl.270.2"></a><var>270.2</var>support the development of this report.<br />
         		<br />
         		<a id="bill.8.2.0"></a><a id="pl.270.3"></a><var>270.3</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 245.4889, subdivision 1, is amended to read:<br />
         		<a id="pl.270.4"></a><var>270.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment and authority.</b> (a) The commissioner is authorized to <br />
         		<a id="pl.270.5"></a><var>270.5</var>make grants from available appropriations to assist:<br />
         		<a id="pl.270.6"></a><var>270.6</var>&#160;&#160;&#160;&#160;(1) counties;<br />
         		<a id="pl.270.7"></a><var>270.7</var>&#160;&#160;&#160;&#160;(2) Indian tribes;<br />
         		<a id="pl.270.8"></a><var>270.8</var>&#160;&#160;&#160;&#160;(3) children's collaboratives under section 
         <statute_ref>124D.23</statute_ref> or 
         <statute_ref>245.493</statute_ref>; or<br />
         		<a id="pl.270.9"></a><var>270.9</var>&#160;&#160;&#160;&#160;(4) mental health service providers.<br />
         		<a id="pl.270.10"></a><var>270.10</var>&#160;&#160;&#160;&#160;(b) The following services are eligible for grants under this section:<br />
         		<a id="pl.270.11"></a><var>270.11</var>&#160;&#160;&#160;&#160;(1) services to children with emotional disturbances as defined in section 
         <statute_ref>245.4871</statute_ref>, <br />
         		<a id="pl.270.12"></a><var>270.12</var>subdivision 15, and their families;<br />
         		<a id="pl.270.13"></a><var>270.13</var>&#160;&#160;&#160;&#160;(2) transition services under section 
         <statute_ref>245.4875, subdivision 8</statute_ref>, for young adults under <br />
         		<a id="pl.270.14"></a><var>270.14</var>age 21 and their families;<br />
         		<a id="pl.270.15"></a><var>270.15</var>&#160;&#160;&#160;&#160;(3) respite care services for children with severe emotional disturbances who are
         at risk <br />
         		<a id="pl.270.16"></a><var>270.16</var>of out-of-home placement;<br />
         		<a id="pl.270.17"></a><var>270.17</var>&#160;&#160;&#160;&#160;(4) children's mental health crisis services;<br />
         		<a id="pl.270.18"></a><var>270.18</var>&#160;&#160;&#160;&#160;(5) mental health services for people from cultural and ethnic minorities;<br />
         		<a id="pl.270.19"></a><var>270.19</var>&#160;&#160;&#160;&#160;(6) children's mental health screening and follow-up diagnostic assessment and treatment;<br />
         		<a id="pl.270.20"></a><var>270.20</var>&#160;&#160;&#160;&#160;(7) services to promote and develop the capacity of providers to use evidence-based
         <br />
         		<a id="pl.270.21"></a><var>270.21</var>practices in providing children's mental health services;<br />
         		<a id="pl.270.22"></a><var>270.22</var>&#160;&#160;&#160;&#160;(8) school-linked mental health services, including transportation for children receiving <br />
         		<a id="pl.270.23"></a><var>270.23</var>school-linked mental health services when school is not in session;<br />
         		<a id="pl.270.24"></a><var>270.24</var>&#160;&#160;&#160;&#160;(9) building evidence-based mental health intervention capacity for children birth
         to age <br />
         		<a id="pl.270.25"></a><var>270.25</var>five;<br />
         		<a id="pl.270.26"></a><var>270.26</var>&#160;&#160;&#160;&#160;(10) suicide prevention and counseling services that use text messaging statewide;<br />
         		<a id="pl.270.27"></a><var>270.27</var>&#160;&#160;&#160;&#160;(11) mental health first aid training;<br />
         		<a id="pl.271.1"></a><var>271.1</var>&#160;&#160;&#160;&#160;(12) training for parents, collaborative partners, and mental health providers on
         the <br />
         		<a id="pl.271.2"></a><var>271.2</var>impact of adverse childhood experiences and trauma and development of an interactive
         <br />
         		<a id="pl.271.3"></a><var>271.3</var>Web site to share information and strategies to promote resilience and prevent trauma;<br />
         		<a id="pl.271.4"></a><var>271.4</var>&#160;&#160;&#160;&#160;(13) transition age services to develop or expand mental health treatment and supports
         <br />
         		<a id="pl.271.5"></a><var>271.5</var>for adolescents and young adults 26 years of age or younger;<br />
         		<a id="pl.271.6"></a><var>271.6</var>&#160;&#160;&#160;&#160;(14) early childhood mental health consultation;<br />
         		<a id="pl.271.7"></a><var>271.7</var>&#160;&#160;&#160;&#160;(15) evidence-based interventions for youth at risk of developing or experiencing
         a first <br />
         		<a id="pl.271.8"></a><var>271.8</var>episode of psychosis, and a public awareness campaign on the signs and symptoms of
         <br />
         		<a id="pl.271.9"></a><var>271.9</var>psychosis; and<br />
         		<a id="pl.271.10"></a><var>271.10</var>&#160;&#160;&#160;&#160;(16) psychiatric consultation for primary care practitioners.; and<br />
         		<a id="pl.271.11"></a><var>271.11</var>(17) providers to begin operations and meet program requirements when establishing
         a <br />
         		<a id="pl.271.12"></a><var>271.12</var>new children's mental health program. These may be start-up grants.<br />
         		<a id="pl.271.13"></a><var>271.13</var>&#160;&#160;&#160;&#160;(c) Services under paragraph (b) must be designed to help each child to function and
         <br />
         		<a id="pl.271.14"></a><var>271.14</var>remain with the child's family in the community and delivered consistent with the
         child's <br />
         		<a id="pl.271.15"></a><var>271.15</var>treatment plan. Transition services to eligible young adults under this paragraph (b) must <br />
         		<a id="pl.271.16"></a><var>271.16</var>be designed to foster independent living in the community.<br />
         		<a id="pl.271.17"></a><var>271.17</var><b>EFFECTIVE DATE.</b>Clause (17) is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.3.0"></a><a id="pl.271.18"></a><var>271.18</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 245.91, subdivision 4, is amended to read:<br />
         		<a id="pl.271.19"></a><var>271.19</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Facility or program.</b> "Facility" or "program" means a nonresidential or <br />
         		<a id="pl.271.20"></a><var>271.20</var>residential program as defined in section 
         <statute_ref>245A.02</statute_ref>, subdivisions 10 and 14, that is required <br />
         		<a id="pl.271.21"></a><var>271.21</var>to be licensed by the commissioner of human services, and any agency, facility, or program <br />
         		<a id="pl.271.22"></a><var>271.22</var>that provides services or treatment for mental illness, developmental disabilities,
         chemical <br />
         		<a id="pl.271.23"></a><var>271.23</var>dependency, or emotional disturbance that is required to be licensed, certified, or
         registered <br />
         		<a id="pl.271.24"></a><var>271.24</var>by the commissioner of human services, health, or education; and an acute care inpatient <br />
         		<a id="pl.271.25"></a><var>271.25</var>facility that provides services or treatment for mental illness, developmental disabilities,
         <br />
         		<a id="pl.271.26"></a><var>271.26</var>chemical dependency, or emotional disturbance.<br />
         		<a id="pl.271.27"></a><var>271.27</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.4.0"></a><a id="pl.271.28"></a><var>271.28</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 245.91, subdivision 6, is amended to read:<br />
         		<a id="pl.271.29"></a><var>271.29</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Serious injury.</b> "Serious injury" means:<br />
         		<a id="pl.271.30"></a><var>271.30</var>(1) fractures;<br />
         		<a id="pl.272.1"></a><var>272.1</var>(2) dislocations;<br />
         		<a id="pl.272.2"></a><var>272.2</var>(3) evidence of internal injuries;<br />
         		<a id="pl.272.3"></a><var>272.3</var>(4) head injuries with loss of consciousness or potential for a closed head injury or <br />
         		<a id="pl.272.4"></a><var>272.4</var>concussion without loss of consciousness requiring a medical assessment by a health
         care <br />
         		<a id="pl.272.5"></a><var>272.5</var>professional, whether or not further medical attention was sought;<br />
         		<a id="pl.272.6"></a><var>272.6</var>(5) lacerations involving injuries to tendons or organs, and those for which complications
         <br />
         		<a id="pl.272.7"></a><var>272.7</var>are present;<br />
         		<a id="pl.272.8"></a><var>272.8</var>(6) extensive second-degree or third-degree burns, and other burns for which <br />
         		<a id="pl.272.9"></a><var>272.9</var>complications are present;<br />
         		<a id="pl.272.10"></a><var>272.10</var>(7) extensive second-degree or third-degree frostbite, and others for which complications
         <br />
         		<a id="pl.272.11"></a><var>272.11</var>are present;<br />
         		<a id="pl.272.12"></a><var>272.12</var>(8) irreversible mobility or avulsion of teeth;<br />
         		<a id="pl.272.13"></a><var>272.13</var>(9) injuries to the eyeball;<br />
         		<a id="pl.272.14"></a><var>272.14</var>(10) ingestion of foreign substances and objects that are harmful;<br />
         		<a id="pl.272.15"></a><var>272.15</var>(11) near drowning;<br />
         		<a id="pl.272.16"></a><var>272.16</var>(12) heat exhaustion or sunstroke; and<br />
         		<a id="pl.272.17"></a><var>272.17</var>(13) attempted suicide; and<br />
         		<a id="pl.272.18"></a><var>272.18</var>(14) all other injuries and incidents considered serious after an assessment by a physician <br />
         		<a id="pl.272.19"></a><var>272.19</var>health care professional, including but not limited to self-injurious behavior, a
         medication <br />
         		<a id="pl.272.20"></a><var>272.20</var>error requiring medical treatment, a suspected delay of medical treatment, a complication
         <br />
         		<a id="pl.272.21"></a><var>272.21</var>of a previous injury, or a complication of medical treatment for an injury.<br />
         		<a id="pl.272.22"></a><var>272.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.5.0"></a><a id="pl.272.23"></a><var>272.23</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 245.94, subdivision 1, is amended to read:<br />
         		<a id="pl.272.24"></a><var>272.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Powers.</b> (a) The ombudsman may prescribe the methods by which <br />
         		<a id="pl.272.25"></a><var>272.25</var>complaints to the office are to be made, reviewed, and acted upon. The ombudsman may
         <br />
         		<a id="pl.272.26"></a><var>272.26</var>not levy a complaint fee.<br />
         		<a id="pl.272.27"></a><var>272.27</var>(b) The ombudsman is a health oversight agency as defined in Code of Federal <br />
         		<a id="pl.272.28"></a><var>272.28</var>Regulations, title 45, section 164.501. The ombudsman may access patient records according
         <br />
         		<a id="pl.272.29"></a><var>272.29</var>to Code of Federal Regulations, title 42, section 2.53. For purposes of this paragraph,
         <br />
         		<a id="pl.273.1"></a><var>273.1</var>"records" has the meaning given in Code of Federal Regulations, title 42, section
         <br />
         		<a id="pl.273.2"></a><var>273.2</var>2.53(a)(1)(i).<br />
         		<a id="pl.273.3"></a><var>273.3</var>(c) The ombudsman may mediate or advocate on behalf of a client.<br />
         		<a id="pl.273.4"></a><var>273.4</var>(c) (d) The ombudsman may investigate the quality of services provided to clients and <br />
         		<a id="pl.273.5"></a><var>273.5</var>determine the extent to which quality assurance mechanisms within state and county
         <br />
         		<a id="pl.273.6"></a><var>273.6</var>government work to promote the health, safety, and welfare of clients, other than clients in <br />
         		<a id="pl.273.7"></a><var>273.7</var>acute care facilities who are receiving services not paid for by public funds. The
         ombudsman <br />
         		<a id="pl.273.8"></a><var>273.8</var>is a health oversight agency as defined in Code of Federal Regulations, title 45,
         section <br />
         		<a id="pl.273.9"></a><var>273.9</var>164.501.<br />
         		<a id="pl.273.10"></a><var>273.10</var>(d) (e) At the request of a client, or upon receiving a complaint or other information <br />
         		<a id="pl.273.11"></a><var>273.11</var>affording reasonable grounds to believe that the rights of a client one or more clients who <br />
         		<a id="pl.273.12"></a><var>273.12</var>is may not be capable of requesting assistance have been adversely affected, the ombudsman <br />
         		<a id="pl.273.13"></a><var>273.13</var>may gather information and data about and analyze, on behalf of the client, the actions
         of <br />
         		<a id="pl.273.14"></a><var>273.14</var>an agency, facility, or program.<br />
         		<a id="pl.273.15"></a><var>273.15</var>(e) (f) The ombudsman may gather, on behalf of a client one or more clients, records of <br />
         		<a id="pl.273.16"></a><var>273.16</var>an agency, facility, or program, or records related to clinical drug trials from the
         University <br />
         		<a id="pl.273.17"></a><var>273.17</var>of Minnesota Department of Psychiatry, if the records relate to a matter that is within
         the <br />
         		<a id="pl.273.18"></a><var>273.18</var>scope of the ombudsman's authority. If the records are private and the client is capable
         of <br />
         		<a id="pl.273.19"></a><var>273.19</var>providing consent, the ombudsman shall first obtain the client's consent. The ombudsman
         <br />
         		<a id="pl.273.20"></a><var>273.20</var>is not required to obtain consent for access to private data on clients with developmental
         <br />
         		<a id="pl.273.21"></a><var>273.21</var>disabilities and individuals served by the Minnesota sex offender program. The ombudsman <br />
         		<a id="pl.273.22"></a><var>273.22</var>may also take photographic or videographic evidence while reviewing the actions of
         an <br />
         		<a id="pl.273.23"></a><var>273.23</var>agency, facility, or program, with the consent of the client. The ombudsman is not required <br />
         		<a id="pl.273.24"></a><var>273.24</var>to obtain consent for access to private data on decedents who were receiving services
         for <br />
         		<a id="pl.273.25"></a><var>273.25</var>mental illness, developmental disabilities, chemical dependency, or emotional disturbance. <br />
         		<a id="pl.273.26"></a><var>273.26</var>All data collected, created, received, or maintained by the ombudsman are governed
         by <br />
         		<a id="pl.273.27"></a><var>273.27</var>chapter 13 and other applicable law.<br />
         		<a id="pl.273.28"></a><var>273.28</var>(f) (g) Notwithstanding any law to the contrary, the ombudsman may subpoena a person <br />
         		<a id="pl.273.29"></a><var>273.29</var>to appear, give testimony, or produce documents or other evidence that the ombudsman
         <br />
         		<a id="pl.273.30"></a><var>273.30</var>considers relevant to a matter under inquiry. The ombudsman may petition the appropriate
         <br />
         		<a id="pl.273.31"></a><var>273.31</var>court in Ramsey County to enforce the subpoena. A witness who is at a hearing or is
         part <br />
         		<a id="pl.273.32"></a><var>273.32</var>of an investigation possesses the same privileges that a witness possesses in the
         courts or <br />
         		<a id="pl.273.33"></a><var>273.33</var>under the law of this state. Data obtained from a person under this paragraph are
         private <br />
         		<a id="pl.273.34"></a><var>273.34</var>data as defined in section 
         <statute_ref>13.02, subdivision 12</statute_ref>.<br />
         		<a id="pl.274.1"></a><var>274.1</var>(g) (h) The ombudsman may, at reasonable times in the course of conducting a review, <br />
         		<a id="pl.274.2"></a><var>274.2</var>enter and view premises within the control of an agency, facility, or program.<br />
         		<a id="pl.274.3"></a><var>274.3</var>(h) (i) The ombudsman may attend Department of Human Services Review Board and <br />
         		<a id="pl.274.4"></a><var>274.4</var>Special Review Board proceedings; proceedings regarding the transfer of clients, as
         defined <br />
         		<a id="pl.274.5"></a><var>274.5</var>in section 
         <statute_ref>246.50, subdivision 4</statute_ref>, between institutions operated by the Department of Human <br />
         		<a id="pl.274.6"></a><var>274.6</var>Services; and, subject to the consent of the affected client, other proceedings affecting
         the <br />
         		<a id="pl.274.7"></a><var>274.7</var>rights of clients. The ombudsman is not required to obtain consent to attend meetings
         or <br />
         		<a id="pl.274.8"></a><var>274.8</var>proceedings and have access to private data on clients with developmental disabilities and <br />
         		<a id="pl.274.9"></a><var>274.9</var>individuals served by the Minnesota sex offender program.<br />
         		<a id="pl.274.10"></a><var>274.10</var>(i) (j) The ombudsman shall gather data of agencies, facilities, or programs classified <br />
         		<a id="pl.274.11"></a><var>274.11</var>as private or confidential as defined in section 
         <statute_ref>13.02, subdivisions 3</statute_ref> and 12, regarding <br />
         		<a id="pl.274.12"></a><var>274.12</var>services provided to clients with developmental disabilities and individuals served by the <br />
         		<a id="pl.274.13"></a><var>274.13</var>Minnesota sex offender program.<br />
         		<a id="pl.274.14"></a><var>274.14</var>(j) (k) To avoid duplication and preserve evidence, the ombudsman shall inform relevant <br />
         		<a id="pl.274.15"></a><var>274.15</var>licensing or regulatory officials before undertaking a review of an action of the
         facility or <br />
         		<a id="pl.274.16"></a><var>274.16</var>program.<br />
         		<a id="pl.274.17"></a><var>274.17</var>(l) The Office of Ombudsman shall provide the services of the Civil Commitment  <br />
         		<a id="pl.274.18"></a><var>274.18</var>Training and Resource Center.<br />
         		<a id="pl.274.19"></a><var>274.19</var>(k) (m) The ombudsman shall monitor the treatment of individuals participating in a <br />
         		<a id="pl.274.20"></a><var>274.20</var>University of Minnesota Department of Psychiatry clinical drug trial and ensure that
         all <br />
         		<a id="pl.274.21"></a><var>274.21</var>protections for human subjects required by federal law and the Institutional Review
         Board <br />
         		<a id="pl.274.22"></a><var>274.22</var>are provided.<br />
         		<a id="pl.274.23"></a><var>274.23</var>(l) (n) Sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref> are in addition to other provisions of law under which <br />
         		<a id="pl.274.24"></a><var>274.24</var>any other remedy or right is provided.<br />
         		<a id="pl.274.25"></a><var>274.25</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.6.0"></a><a id="pl.274.26"></a><var>274.26</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 245.97, subdivision 6, is amended to read:<br />
         		<a id="pl.274.27"></a><var>274.27</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Terms, compensation, and removal.</b> The membership terms, compensation, <br />
         		<a id="pl.274.28"></a><var>274.28</var>and removal of members of the committee and the filling of membership vacancies are
         <br />
         		<a id="pl.274.29"></a><var>274.29</var>governed by section 
         <statute_ref>15.0575</statute_ref> 15.0597.<br />
         		<a id="pl.274.30"></a><var>274.30</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.7.0"></a><a id="pl.275.1"></a><var>275.1</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 245A.03, subdivision 2, is amended to read:<br />
         		<a id="pl.275.2"></a><var>275.2</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Exclusion from licensure.</b> (a) This chapter does not apply to:<br />
         		<a id="pl.275.3"></a><var>275.3</var>&#160;&#160;&#160;&#160;(1) residential or nonresidential programs that are provided to a person by an individual
         <br />
         		<a id="pl.275.4"></a><var>275.4</var>who is related unless the residential program is a child foster care placement made
         by a <br />
         		<a id="pl.275.5"></a><var>275.5</var>local social services agency or a licensed child-placing agency, except as provided
         in <br />
         		<a id="pl.275.6"></a><var>275.6</var>subdivision 2a;<br />
         		<a id="pl.275.7"></a><var>275.7</var>&#160;&#160;&#160;&#160;(2) nonresidential programs that are provided by an unrelated individual to persons
         from <br />
         		<a id="pl.275.8"></a><var>275.8</var>a single related family;<br />
         		<a id="pl.275.9"></a><var>275.9</var>&#160;&#160;&#160;&#160;(3) residential or nonresidential programs that are provided to adults who do not
         abuse <br />
         		<a id="pl.275.10"></a><var>275.10</var>chemicals or who do not have a chemical dependency misuse substances or have a substance <br />
         		<a id="pl.275.11"></a><var>275.11</var>use disorder, a mental illness, a developmental disability, a functional impairment, or a <br />
         		<a id="pl.275.12"></a><var>275.12</var>physical disability;<br />
         		<a id="pl.275.13"></a><var>275.13</var>&#160;&#160;&#160;&#160;(4) sheltered workshops or work activity programs that are certified by the commissioner
         <br />
         		<a id="pl.275.14"></a><var>275.14</var>of employment and economic development;<br />
         		<a id="pl.275.15"></a><var>275.15</var>&#160;&#160;&#160;&#160;(5) programs operated by a public school for children 33 months or older;<br />
         		<a id="pl.275.16"></a><var>275.16</var>&#160;&#160;&#160;&#160;(6) nonresidential programs primarily for children that provide care or supervision
         for <br />
         		<a id="pl.275.17"></a><var>275.17</var>periods of less than three hours a day while the child's parent or legal guardian
         is in the <br />
         		<a id="pl.275.18"></a><var>275.18</var>same building as the nonresidential program or present within another building that
         is <br />
         		<a id="pl.275.19"></a><var>275.19</var>directly contiguous to the building in which the nonresidential program is located;<br />
         		<a id="pl.275.20"></a><var>275.20</var>&#160;&#160;&#160;&#160;(7) nursing homes or hospitals licensed by the commissioner of health except as specified
         <br />
         		<a id="pl.275.21"></a><var>275.21</var>under section 
         <statute_ref>245A.02</statute_ref>;<br />
         		<a id="pl.275.22"></a><var>275.22</var>&#160;&#160;&#160;&#160;(8) board and lodge facilities licensed by the commissioner of health that do not
         provide <br />
         		<a id="pl.275.23"></a><var>275.23</var>children's residential services under Minnesota Rules, chapter 2960, mental health
         or chemical <br />
         		<a id="pl.275.24"></a><var>275.24</var>dependency treatment;<br />
         		<a id="pl.275.25"></a><var>275.25</var>&#160;&#160;&#160;&#160;(9) homes providing programs for persons placed by a county or a licensed agency for
         <br />
         		<a id="pl.275.26"></a><var>275.26</var>legal adoption, unless the adoption is not completed within two years;<br />
         		<a id="pl.275.27"></a><var>275.27</var>&#160;&#160;&#160;&#160;(10) programs licensed by the commissioner of corrections;<br />
         		<a id="pl.275.28"></a><var>275.28</var>&#160;&#160;&#160;&#160;(11) recreation programs for children or adults that are operated or approved by a
         park <br />
         		<a id="pl.275.29"></a><var>275.29</var>and recreation board whose primary purpose is to provide social and recreational activities;<br />
         		<a id="pl.275.30"></a><var>275.30</var>&#160;&#160;&#160;&#160;(12) programs operated by a school as defined in section 
         <statute_ref>120A.22, subdivision 4</statute_ref>; YMCA <br />
         		<a id="pl.275.31"></a><var>275.31</var>as defined in section 
         <statute_ref>315.44</statute_ref>; YWCA as defined in section 
         <statute_ref>315.44</statute_ref>; or JCC as defined in <br />
         		<a id="pl.276.1"></a><var>276.1</var>section 
         <statute_ref>315.51</statute_ref>, whose primary purpose is to provide child care or services to school-age <br />
         		<a id="pl.276.2"></a><var>276.2</var>children;<br />
         		<a id="pl.276.3"></a><var>276.3</var>&#160;&#160;&#160;&#160;(13) Head Start nonresidential programs which operate for less than 45 days in each
         <br />
         		<a id="pl.276.4"></a><var>276.4</var>calendar year;<br />
         		<a id="pl.276.5"></a><var>276.5</var>&#160;&#160;&#160;&#160;(14) noncertified boarding care homes unless they provide services for five or more
         <br />
         		<a id="pl.276.6"></a><var>276.6</var>persons whose primary diagnosis is mental illness or a developmental disability;<br />
         		<a id="pl.276.7"></a><var>276.7</var>&#160;&#160;&#160;&#160;(15) programs for children such as scouting, boys clubs, girls clubs, and sports and
         art <br />
         		<a id="pl.276.8"></a><var>276.8</var>programs, and nonresidential programs for children provided for a cumulative total
         of less <br />
         		<a id="pl.276.9"></a><var>276.9</var>than 30 days in any 12-month period;<br />
         		<a id="pl.276.10"></a><var>276.10</var>&#160;&#160;&#160;&#160;(16) residential programs for persons with mental illness, that are located in hospitals;<br />
         		<a id="pl.276.11"></a><var>276.11</var>&#160;&#160;&#160;&#160;(17) the religious instruction of school-age children; Sabbath or Sunday schools;
         or the <br />
         		<a id="pl.276.12"></a><var>276.12</var>congregate care of children by a church, congregation, or religious society during
         the period <br />
         		<a id="pl.276.13"></a><var>276.13</var>used by the church, congregation, or religious society for its regular worship;<br />
         		<a id="pl.276.14"></a><var>276.14</var>&#160;&#160;&#160;&#160;(18) camps licensed by the commissioner of health under Minnesota Rules, chapter <br />
         		<a id="pl.276.15"></a><var>276.15</var>4630;<br />
         		<a id="pl.276.16"></a><var>276.16</var>&#160;&#160;&#160;&#160;(19) mental health outpatient services for adults with mental illness or children
         with <br />
         		<a id="pl.276.17"></a><var>276.17</var>emotional disturbance;<br />
         		<a id="pl.276.18"></a><var>276.18</var>&#160;&#160;&#160;&#160;(20) residential programs serving school-age children whose sole purpose is cultural
         or <br />
         		<a id="pl.276.19"></a><var>276.19</var>educational exchange, until the commissioner adopts appropriate rules;<br />
         		<a id="pl.276.20"></a><var>276.20</var>&#160;&#160;&#160;&#160;(21) community support services programs as defined in section 
         <statute_ref>245.462, subdivision <br />
            		<a id="pl.276.21"></a><var>276.21</var>6
         </statute_ref>, and family community support services as defined in section 
         <statute_ref>245.4871, subdivision 17</statute_ref>;<br />
         		<a id="pl.276.22"></a><var>276.22</var>&#160;&#160;&#160;&#160;(22) the placement of a child by a birth parent or legal guardian in a preadoptive
         home <br />
         		<a id="pl.276.23"></a><var>276.23</var>for purposes of adoption as authorized by section 
         <statute_ref>259.47</statute_ref>;<br />
         		<a id="pl.276.24"></a><var>276.24</var>&#160;&#160;&#160;&#160;(23) settings registered under chapter 144D which provide home care services licensed
         <br />
         		<a id="pl.276.25"></a><var>276.25</var>by the commissioner of health to fewer than seven adults;<br />
         		<a id="pl.276.26"></a><var>276.26</var>&#160;&#160;&#160;&#160;(24) chemical dependency or substance abuse use disorder treatment activities of licensed <br />
         		<a id="pl.276.27"></a><var>276.27</var>professionals in private practice as defined in Minnesota Rules, part 9530.6405, subpart 15, <br />
         		<a id="pl.276.28"></a><var>276.28</var>when the treatment activities are not paid for by the consolidated chemical dependency
         <br />
         		<a id="pl.276.29"></a><var>276.29</var>treatment fund section 245G.01, subdivision 17;<br />
         		<a id="pl.276.30"></a><var>276.30</var>(25) consumer-directed community support service funded under the Medicaid waiver
         <br />
         		<a id="pl.276.31"></a><var>276.31</var>for persons with developmental disabilities when the individual who provided the service
         <br />
         		<a id="pl.276.32"></a><var>276.32</var>is:<br />
         		<a id="pl.277.1"></a><var>277.1</var>&#160;&#160;&#160;&#160;(i) the same individual who is the direct payee of these specific waiver funds or
         paid by <br />
         		<a id="pl.277.2"></a><var>277.2</var>a fiscal agent, fiscal intermediary, or employer of record; and<br />
         		<a id="pl.277.3"></a><var>277.3</var>&#160;&#160;&#160;&#160;(ii) not otherwise under the control of a residential or nonresidential program that
         is <br />
         		<a id="pl.277.4"></a><var>277.4</var>required to be licensed under this chapter when providing the service;<br />
         		<a id="pl.277.5"></a><var>277.5</var>&#160;&#160;&#160;&#160;(26) a program serving only children who are age 33 months or older, that is operated
         <br />
         		<a id="pl.277.6"></a><var>277.6</var>by a nonpublic school, for no more than four hours per day per child, with no more
         than 20 <br />
         		<a id="pl.277.7"></a><var>277.7</var>children at any one time, and that is accredited by:<br />
         		<a id="pl.277.8"></a><var>277.8</var>&#160;&#160;&#160;&#160;(i) an accrediting agency that is formally recognized by the commissioner of education
         <br />
         		<a id="pl.277.9"></a><var>277.9</var>as a nonpublic school accrediting organization; or<br />
         		<a id="pl.277.10"></a><var>277.10</var>&#160;&#160;&#160;&#160;(ii) an accrediting agency that requires background studies and that receives and
         <br />
         		<a id="pl.277.11"></a><var>277.11</var>investigates complaints about the services provided.<br />
         		<a id="pl.277.12"></a><var>277.12</var>&#160;&#160;&#160;&#160;A program that asserts its exemption from licensure under item (ii) shall, upon request
         <br />
         		<a id="pl.277.13"></a><var>277.13</var>from the commissioner, provide the commissioner with documentation from the accrediting
         <br />
         		<a id="pl.277.14"></a><var>277.14</var>agency that verifies: that the accreditation is current; that the accrediting agency
         investigates <br />
         		<a id="pl.277.15"></a><var>277.15</var>complaints about services; and that the accrediting agency's standards require background
         <br />
         		<a id="pl.277.16"></a><var>277.16</var>studies on all people providing direct contact services; or<br />
         		<a id="pl.277.17"></a><var>277.17</var>&#160;&#160;&#160;&#160;(27) a program operated by a nonprofit organization incorporated in Minnesota or another
         <br />
         		<a id="pl.277.18"></a><var>277.18</var>state that serves youth in kindergarten through grade 12; provides structured, supervised
         <br />
         		<a id="pl.277.19"></a><var>277.19</var>youth development activities; and has learning opportunities take place before or
         after <br />
         		<a id="pl.277.20"></a><var>277.20</var>school, on weekends, or during the summer or other seasonal breaks in the school calendar.
         <br />
         		<a id="pl.277.21"></a><var>277.21</var>A program exempt under this clause is not eligible for child care assistance under
         chapter <br />
         		<a id="pl.277.22"></a><var>277.22</var>119B. A program exempt under this clause must:<br />
         		<a id="pl.277.23"></a><var>277.23</var>&#160;&#160;&#160;&#160;(i) have a director or supervisor on site who is responsible for overseeing written
         policies <br />
         		<a id="pl.277.24"></a><var>277.24</var>relating to the management and control of the daily activities of the program, ensuring
         the <br />
         		<a id="pl.277.25"></a><var>277.25</var>health and safety of program participants, and supervising staff and volunteers;<br />
         		<a id="pl.277.26"></a><var>277.26</var>&#160;&#160;&#160;&#160;(ii) have obtained written consent from a parent or legal guardian for each youth
         <br />
         		<a id="pl.277.27"></a><var>277.27</var>participating in activities at the site; and<br />
         		<a id="pl.277.28"></a><var>277.28</var>&#160;&#160;&#160;&#160;(iii) have provided written notice to a parent or legal guardian for each youth at
         the site <br />
         		<a id="pl.277.29"></a><var>277.29</var>that the program is not licensed or supervised by the state of Minnesota and is not
         eligible <br />
         		<a id="pl.277.30"></a><var>277.30</var>to receive child care assistance payments.;<br />
         		<a id="pl.277.31"></a><var>277.31</var>(28) a county that is an eligible vendor under section 254B.05 to provide care coordination
         <br />
         		<a id="pl.277.32"></a><var>277.32</var>and comprehensive assessment services; or<br />
         		<a id="pl.278.1"></a><var>278.1</var>(29) a recovery community organization that is an eligible vendor under section 254B.05
         <br />
         		<a id="pl.278.2"></a><var>278.2</var>to provide peer recovery support services.<br />
         		<a id="pl.278.3"></a><var>278.3</var>&#160;&#160;&#160;&#160;(b) For purposes of paragraph (a), clause (6), a building is directly contiguous to
         a <br />
         		<a id="pl.278.4"></a><var>278.4</var>building in which a nonresidential program is located if it shares a common wall with
         the <br />
         		<a id="pl.278.5"></a><var>278.5</var>building in which the nonresidential program is located or is attached to that building
         by <br />
         		<a id="pl.278.6"></a><var>278.6</var>skyway, tunnel, atrium, or common roof.<br />
         		<a id="pl.278.7"></a><var>278.7</var>&#160;&#160;&#160;&#160;(c) Except for the home and community-based services identified in section 
         <statute_ref>245D.03, <br />
            		<a id="pl.278.8"></a><var>278.8</var>subdivision 1
         </statute_ref>, nothing in this chapter shall be construed to require licensure for any services
         <br />
         		<a id="pl.278.9"></a><var>278.9</var>provided and funded according to an approved federal waiver plan where licensure is
         <br />
         		<a id="pl.278.10"></a><var>278.10</var>specifically identified as not being a condition for the services and funding.<br />
         		<a id="pl.278.11"></a><var>278.11</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.8.0"></a><a id="pl.278.12"></a><var>278.12</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 245A.191, is amended to read:<br />
         		<a id="pl.278.13"></a><var>278.13</var><b>245A.191 PROVIDER ELIGIBILITY FOR PAYMENTS FROM THE CHEMICAL </b><br />
         		<a id="pl.278.14"></a><var>278.14</var><b>DEPENDENCY CONSOLIDATED TREATMENT FUND.</b><br />
         		<a id="pl.278.15"></a><var>278.15</var>(a) When a chemical dependency substance use disorder treatment provider licensed <br />
         		<a id="pl.278.16"></a><var>278.16</var>under this chapter, and governed by the standards of chapter 245G or Minnesota Rules, <br />
         		<a id="pl.278.17"></a><var>278.17</var>parts 2960.0430 to 2960.0490 or 9530.6405 to 9530.6505, agrees to meet the applicable <br />
         		<a id="pl.278.18"></a><var>278.18</var>requirements under section 
         <statute_ref>254B.05, subdivision 5</statute_ref>, paragraphs (b), clauses (1) to (4) and <br />
         		<a id="pl.278.19"></a><var>278.19</var>(6), (c), and (e), to be eligible for enhanced funding from the chemical dependency <br />
         		<a id="pl.278.20"></a><var>278.20</var>consolidated treatment fund, the applicable requirements under section 
         <statute_ref>254B.05</statute_ref> are also <br />
         		<a id="pl.278.21"></a><var>278.21</var>licensing requirements that may be monitored for compliance through licensing investigations
         <br />
         		<a id="pl.278.22"></a><var>278.22</var>and licensing inspections.<br />
         		<a id="pl.278.23"></a><var>278.23</var>&#160;&#160;&#160;&#160;(b) Noncompliance with the requirements identified under paragraph (a) may result
         in:<br />
         		<a id="pl.278.24"></a><var>278.24</var>&#160;&#160;&#160;&#160;(1) a correction order or a conditional license under section 
         <statute_ref>245A.06</statute_ref>, or sanctions under <br />
         		<a id="pl.278.25"></a><var>278.25</var>section 
         <statute_ref>245A.07</statute_ref>;<br />
         		<a id="pl.278.26"></a><var>278.26</var>&#160;&#160;&#160;&#160;(2) nonpayment of claims submitted by the license holder for public program <br />
         		<a id="pl.278.27"></a><var>278.27</var>reimbursement;<br />
         		<a id="pl.278.28"></a><var>278.28</var>&#160;&#160;&#160;&#160;(3) recovery of payments made for the service;<br />
         		<a id="pl.278.29"></a><var>278.29</var>&#160;&#160;&#160;&#160;(4) disenrollment in the public payment program; or<br />
         		<a id="pl.278.30"></a><var>278.30</var>&#160;&#160;&#160;&#160;(5) other administrative, civil, or criminal penalties as provided by law.<br />
         		<a id="pl.278.31"></a><var>278.31</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.9.0"></a><a id="pl.279.1"></a><var>279.1</var>&#160;&#160;&#160;&#160;Sec. 9. <b>[245G.01] DEFINITIONS.</b><br />
         		<a id="pl.279.2"></a><var>279.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> The terms used in this chapter have the meanings given them.<br />
         		<a id="pl.279.3"></a><var>279.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Administration of medication.</b> "Administration of medication" means providing <br />
         		<a id="pl.279.4"></a><var>279.4</var>a medication to a client, and includes the following tasks, performed in the following
         order:<br />
         		<a id="pl.279.5"></a><var>279.5</var>(1) checking the client's medication record;<br />
         		<a id="pl.279.6"></a><var>279.6</var>(2) preparing the medication for administration;<br />
         		<a id="pl.279.7"></a><var>279.7</var>(3) administering the medication to the client;<br />
         		<a id="pl.279.8"></a><var>279.8</var>(4) documenting the administration of the medication, or the reason for not administering
         <br />
         		<a id="pl.279.9"></a><var>279.9</var>a medication as prescribed; and<br />
         		<a id="pl.279.10"></a><var>279.10</var>(5) reporting information to a licensed practitioner or a nurse regarding a problem
         with <br />
         		<a id="pl.279.11"></a><var>279.11</var>the administration of medication or the client's refusal to take the medication, if
         applicable.<br />
         		<a id="pl.279.12"></a><var>279.12</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Adolescent.</b> "Adolescent" means an individual under 18 years of age.<br />
         		<a id="pl.279.13"></a><var>279.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Alcohol and drug counselor.</b> "Alcohol and drug counselor" has the meaning <br />
         		<a id="pl.279.14"></a><var>279.14</var>given in section 148F.01, subdivision 5.<br />
         		<a id="pl.279.15"></a><var>279.15</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Applicant.</b> "Applicant" has the meaning given in section 245A.02, subdivision <br />
         		<a id="pl.279.16"></a><var>279.16</var>3.<br />
         		<a id="pl.279.17"></a><var>279.17</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Capacity management system.</b> "Capacity management system" means a <br />
         		<a id="pl.279.18"></a><var>279.18</var>database maintained by the department to compile and make information available to
         the <br />
         		<a id="pl.279.19"></a><var>279.19</var>public about the waiting list status and current admission capability of each opioid
         treatment <br />
         		<a id="pl.279.20"></a><var>279.20</var>program.<br />
         		<a id="pl.279.21"></a><var>279.21</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Central registry.</b> "Central registry" means a database maintained by the <br />
         		<a id="pl.279.22"></a><var>279.22</var>department to collect identifying information from two or more programs about an individual
         <br />
         		<a id="pl.279.23"></a><var>279.23</var>applying for maintenance treatment or detoxification treatment for opioid addiction
         to <br />
         		<a id="pl.279.24"></a><var>279.24</var>prevent an individual's concurrent enrollment in more than one program.<br />
         		<a id="pl.279.25"></a><var>279.25</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Client.</b> "Client" means an individual accepted by a license holder for assessment <br />
         		<a id="pl.279.26"></a><var>279.26</var>or treatment of a substance use disorder. An individual remains a client until the
         license <br />
         		<a id="pl.279.27"></a><var>279.27</var>holder no longer provides or intends to provide the individual with treatment service.<br />
         		<a id="pl.279.28"></a><var>279.28</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Commissioner.</b> "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.279.29"></a><var>279.29</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Co-occurring disorders.</b> "Co-occurring disorders" means a diagnosis of both <br />
         		<a id="pl.279.30"></a><var>279.30</var>a substance use disorder and a mental health disorder.<br />
         		<a id="pl.279.31"></a><var>279.31</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Department.</b> "Department" means the Department of Human Services.<br />
         		<a id="pl.280.1"></a><var>280.1</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Direct contact.</b> "Direct contact" has the meaning given for "direct contact" <br />
         		<a id="pl.280.2"></a><var>280.2</var>in section 245C.02, subdivision 11.<br />
         		<a id="pl.280.3"></a><var>280.3</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Face-to-face.</b> "Face-to-face" means two-way, real-time, interactive and visual <br />
         		<a id="pl.280.4"></a><var>280.4</var>communication between a client and a treatment service provider and includes services
         <br />
         		<a id="pl.280.5"></a><var>280.5</var>delivered in person or via telemedicine.<br />
         		<a id="pl.280.6"></a><var>280.6</var>&#160;&#160;&#160;&#160;Subd. 14. <b>License.</b> "License" has the meaning given in section 245A.02, subdivision 8.<br />
         		<a id="pl.280.7"></a><var>280.7</var>&#160;&#160;&#160;&#160;Subd. 15. <b>License holder.</b> "License holder" has the meaning given in section 245A.02, <br />
         		<a id="pl.280.8"></a><var>280.8</var>subdivision 9.<br />
         		<a id="pl.280.9"></a><var>280.9</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Licensed practitioner.</b> "Licensed practitioner" means an individual who is <br />
         		<a id="pl.280.10"></a><var>280.10</var>authorized to prescribe medication as defined in section 151.01, subdivision 23.<br />
         		<a id="pl.280.11"></a><var>280.11</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Licensed professional in private practice.</b> "Licensed professional in private <br />
         		<a id="pl.280.12"></a><var>280.12</var>practice" means an individual who:<br />
         		<a id="pl.280.13"></a><var>280.13</var>(1) is licensed under chapter 148F, or is exempt from licensure under that chapter
         but <br />
         		<a id="pl.280.14"></a><var>280.14</var>is otherwise licensed to provide alcohol and drug counseling services;<br />
         		<a id="pl.280.15"></a><var>280.15</var>(2) practices solely within the permissible scope of the individual's license as defined
         <br />
         		<a id="pl.280.16"></a><var>280.16</var>in the law authorizing licensure; and<br />
         		<a id="pl.280.17"></a><var>280.17</var>(3) does not affiliate with other licensed or unlicensed professionals to provide
         alcohol <br />
         		<a id="pl.280.18"></a><var>280.18</var>and drug counseling services. Affiliation does not include conferring with another
         <br />
         		<a id="pl.280.19"></a><var>280.19</var>professional or making a client referral.<br />
         		<a id="pl.280.20"></a><var>280.20</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Nurse.</b> "Nurse" means an individual licensed and currently registered to <br />
         		<a id="pl.280.21"></a><var>280.21</var>practice professional or practical nursing as defined in section 148.171, subdivisions
         14 and <br />
         		<a id="pl.280.22"></a><var>280.22</var>15.<br />
         		<a id="pl.280.23"></a><var>280.23</var>&#160;&#160;&#160;&#160;Subd. 19. <b>Opioid treatment program or OTP.</b> "Opioid treatment program" or "OTP" <br />
         		<a id="pl.280.24"></a><var>280.24</var>means a program or practitioner engaged in opioid treatment of an individual that
         provides <br />
         		<a id="pl.280.25"></a><var>280.25</var>dispensing of an opioid agonist treatment medication, along with a comprehensive range
         <br />
         		<a id="pl.280.26"></a><var>280.26</var>of medical and rehabilitative services, when clinically necessary, to an individual
         to alleviate <br />
         		<a id="pl.280.27"></a><var>280.27</var>the adverse medical, psychological, or physical effects of an opioid addiction. OTP
         includes <br />
         		<a id="pl.280.28"></a><var>280.28</var>detoxification treatment, short-term detoxification treatment, long-term detoxification
         <br />
         		<a id="pl.280.29"></a><var>280.29</var>treatment, maintenance treatment, comprehensive maintenance treatment, and interim
         <br />
         		<a id="pl.280.30"></a><var>280.30</var>maintenance treatment.<br />
         		<a id="pl.280.31"></a><var>280.31</var>&#160;&#160;&#160;&#160;Subd. 20. <b>Paraprofessional.</b> "Paraprofessional" means an employee, agent, or <br />
         		<a id="pl.280.32"></a><var>280.32</var>independent contractor of the license holder who performs tasks to support treatment
         service. <br />
         		<a id="pl.281.1"></a><var>281.1</var>A paraprofessional may be referred to by a variety of titles including but not limited
         to <br />
         		<a id="pl.281.2"></a><var>281.2</var>technician, case aide, or counselor assistant. If currently a client of the license
         holder, the <br />
         		<a id="pl.281.3"></a><var>281.3</var>client cannot be a paraprofessional for the license holder.<br />
         		<a id="pl.281.4"></a><var>281.4</var>&#160;&#160;&#160;&#160;Subd. 21. <b>Student intern.</b> "Student intern" means an individual who is authorized by a <br />
         		<a id="pl.281.5"></a><var>281.5</var>licensing board to provide services under supervision of a licensed professional.<br />
         		 <a id="pl.281.6"></a><var>281.6</var>&#160;&#160;&#160;&#160;Subd. 22. <b>Substance.</b> "Substance" means alcohol, solvents, controlled substances as <br />
         		<a id="pl.281.7"></a><var>281.7</var>defined in section 152.01, subdivision 4, and other mood-altering substances.<br />
         		<a id="pl.281.8"></a><var>281.8</var>&#160;&#160;&#160;&#160;Subd. 23. <b>Substance use disorder.</b> "Substance use disorder" has the meaning given in <br />
         		<a id="pl.281.9"></a><var>281.9</var>the current Diagnostic and Statistical Manual of Mental Disorders.<br />
         		<a id="pl.281.10"></a><var>281.10</var>&#160;&#160;&#160;&#160;Subd. 24. <b>Substance use disorder treatment.</b> "Substance use disorder treatment" means <br />
         		<a id="pl.281.11"></a><var>281.11</var>treatment of a substance use disorder, including the process of assessment of a client's
         needs, <br />
         		<a id="pl.281.12"></a><var>281.12</var>development of planned methods, including interventions or services to address a client's
         <br />
         		<a id="pl.281.13"></a><var>281.13</var>needs, provision of services, facilitation of services provided by other service providers,
         <br />
         		<a id="pl.281.14"></a><var>281.14</var>and ongoing reassessment by a qualified professional when indicated. The goal of substance
         <br />
         		<a id="pl.281.15"></a><var>281.15</var>use disorder treatment is to assist or support the client's efforts to recover from
         a substance <br />
         		<a id="pl.281.16"></a><var>281.16</var>use disorder.<br />
         		<a id="pl.281.17"></a><var>281.17</var>&#160;&#160;&#160;&#160;Subd. 25. <b>Target population.</b> "Target population" means individuals with a substance <br />
         		<a id="pl.281.18"></a><var>281.18</var>use disorder and the specified characteristics that a license holder proposes to serve.<br />
         		<a id="pl.281.19"></a><var>281.19</var>&#160;&#160;&#160;&#160;Subd. 26. <b>Telemedicine.</b> "Telemedicine" means the delivery of a substance use disorder <br />
         		<a id="pl.281.20"></a><var>281.20</var>treatment service while the client is at an originating site and the licensed health
         care provider <br />
         		<a id="pl.281.21"></a><var>281.21</var>is at a distant site as specified in section 254B.05, subdivision 5, paragraph (f).<br />
         		<a id="pl.281.22"></a><var>281.22</var>&#160;&#160;&#160;&#160;Subd. 27. <b>Treatment director.</b> "Treatment director" means an individual who meets <br />
         		<a id="pl.281.23"></a><var>281.23</var>the qualifications specified in section 245G.11, subdivisions 1 and 3, and is designated
         by <br />
         		<a id="pl.281.24"></a><var>281.24</var>the license holder to be responsible for all aspects of the delivery of treatment
         service.<br />
         		<a id="pl.281.25"></a><var>281.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.10.0"></a><a id="pl.281.26"></a><var>281.26</var>&#160;&#160;&#160;&#160;Sec. 10. <b>[245G.02] APPLICABILITY.</b><br />
         		<a id="pl.281.27"></a><var>281.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicability.</b> Except as provided in subdivisions 2 and 3, no person, <br />
         		<a id="pl.281.28"></a><var>281.28</var>corporation, partnership, voluntary association, controlling individual, or other
         organization <br />
         		<a id="pl.281.29"></a><var>281.29</var>may provide a substance use disorder treatment service to an individual with a substance
         <br />
         		<a id="pl.281.30"></a><var>281.30</var>use disorder unless licensed by the commissioner.<br />
         		<a id="pl.281.31"></a><var>281.31</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Exemption from license requirement.</b> This chapter does not apply to a county <br />
         		<a id="pl.281.32"></a><var>281.32</var>or recovery community organization that is providing a service for which the county
         or <br />
         		<a id="pl.282.1"></a><var>282.1</var>recovery community organization is an eligible vendor under section 254B.05. This
         chapter <br />
         		<a id="pl.282.2"></a><var>282.2</var>does not apply to an organization whose primary functions are information, referral,
         <br />
         		<a id="pl.282.3"></a><var>282.3</var>diagnosis, case management, and assessment for the purposes of client placement, education,
         <br />
         		<a id="pl.282.4"></a><var>282.4</var>support group services, or self-help programs.  This chapter does not apply to the
         activities <br />
         		<a id="pl.282.5"></a><var>282.5</var>of a licensed professional in private practice.<br />
         		 <a id="pl.282.6"></a><var>282.6</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Excluded hospitals.</b> This chapter does not apply to substance use disorder <br />
         		<a id="pl.282.7"></a><var>282.7</var>treatment provided by a hospital licensed under chapter 62J, or under sections 144.50
         to <br />
         		<a id="pl.282.8"></a><var>282.8</var>144.56, unless the hospital accepts funds for substance use disorder treatment from
         the <br />
         		<a id="pl.282.9"></a><var>282.9</var>consolidated chemical dependency treatment fund under chapter 254B, medical assistance
         <br />
         		<a id="pl.282.10"></a><var>282.10</var>under chapter 256B, or MinnesotaCare or health care cost containment under chapter
         256L, <br />
         		<a id="pl.282.11"></a><var>282.11</var>or general assistance medical care formerly codified in chapter 256D.<br />
         		<a id="pl.282.12"></a><var>282.12</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Applicability of Minnesota Rules, chapter 2960.</b> A residential adolescent <br />
         		<a id="pl.282.13"></a><var>282.13</var>substance use disorder treatment program serving an individual younger than 16 years
         of <br />
         		<a id="pl.282.14"></a><var>282.14</var>age must be licensed according to Minnesota Rules, chapter 2960.<br />
         		<a id="pl.282.15"></a><var>282.15</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.11.0"></a><a id="pl.282.16"></a><var>282.16</var>&#160;&#160;&#160;&#160;Sec. 11. <b>[245G.03] LICENSING REQUIREMENTS.</b><br />
         		<a id="pl.282.17"></a><var>282.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>License requirements.</b> (a) An applicant for a license to provide substance <br />
         		<a id="pl.282.18"></a><var>282.18</var>use disorder treatment must comply with the general requirements in chapters 245A
         and <br />
         		<a id="pl.282.19"></a><var>282.19</var>245C, sections 626.556 and 626.557, and Minnesota Rules, chapter 9544.<br />
         		 <a id="pl.282.20"></a><var>282.20</var>(b) The commissioner may grant variances to the requirements in this chapter that
         do <br />
         		<a id="pl.282.21"></a><var>282.21</var>not affect the client's health or safety if the conditions in section 245A.04, subdivision
         9, <br />
         		<a id="pl.282.22"></a><var>282.22</var>are met.<br />
         		<a id="pl.282.23"></a><var>282.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application.</b> Before the commissioner issues a license, an applicant must <br />
         		<a id="pl.282.24"></a><var>282.24</var>submit, on forms provided by the commissioner, any documents the commissioner requires.<br />
         		<a id="pl.282.25"></a><var>282.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Change in license terms.</b> (a) The commissioner must determine whether a <br />
         		<a id="pl.282.26"></a><var>282.26</var>new license is needed when a change in clauses (1) to (4) occurs. A license holder
         must <br />
         		<a id="pl.282.27"></a><var>282.27</var>notify the commissioner before a change in one of the following occurs:<br />
         		<a id="pl.282.28"></a><var>282.28</var>(1) the Department of Health's licensure of the program;<br />
         		<a id="pl.282.29"></a><var>282.29</var>(2) whether the license holder provides services specified in sections 245G.18 to
         245G.22;<br />
         		<a id="pl.282.30"></a><var>282.30</var>(3) location; or<br />
         		<a id="pl.282.31"></a><var>282.31</var>(4) capacity if the license holder meets the requirements of section 245G.21.<br />
         		<a id="pl.283.1"></a><var>283.1</var>(b) A license holder must notify the commissioner and must apply for a new license
         if <br />
         		<a id="pl.283.2"></a><var>283.2</var>there is a change in program ownership.<br />
         		<a id="pl.283.3"></a><var>283.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.12.0"></a><a id="pl.283.4"></a><var>283.4</var>&#160;&#160;&#160;&#160;Sec. 12. <b>[245G.04] INITIAL SERVICES PLAN.</b><br />
         		<a id="pl.283.5"></a><var>283.5</var>(a) The license holder must complete an initial services plan on the day of service
         <br />
         		<a id="pl.283.6"></a><var>283.6</var>initiation. The plan must address the client's immediate health and safety concerns,
         identify <br />
         		<a id="pl.283.7"></a><var>283.7</var>the needs to be addressed in the first treatment session, and make treatment suggestions
         for <br />
         		<a id="pl.283.8"></a><var>283.8</var>the client during the time between intake and completion of the individual treatment
         plan.<br />
         		<a id="pl.283.9"></a><var>283.9</var>(b) The initial services plan must include a determination of whether a client is
         a <br />
         		<a id="pl.283.10"></a><var>283.10</var>vulnerable adult as defined in section 626.5572, subdivision 21. An adult client of
         a <br />
         		<a id="pl.283.11"></a><var>283.11</var>residential program is a vulnerable adult. An individual abuse prevention plan, according
         <br />
         		<a id="pl.283.12"></a><var>283.12</var>to sections 245A.65, subdivision 2, paragraph (b), and 626.557, subdivision 14, paragraph
         <br />
         		<a id="pl.283.13"></a><var>283.13</var>(b), is required for a client who meets the definition of vulnerable adult.<br />
         		<a id="pl.283.14"></a><var>283.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.13.0"></a><a id="pl.283.15"></a><var>283.15</var>&#160;&#160;&#160;&#160;Sec. 13. <b>[245G.05] COMPREHENSIVE ASSESSMENT AND ASSESSMENT </b><br />
         		<a id="pl.283.16"></a><var>283.16</var><b>SUMMARY.</b><br />
         		<a id="pl.283.17"></a><var>283.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Comprehensive assessment.</b> (a) A comprehensive assessment of the <br />
         		<a id="pl.283.18"></a><var>283.18</var>client's substance use disorder must be administered face-to-face by an alcohol and
         drug <br />
         		<a id="pl.283.19"></a><var>283.19</var>counselor within three calendar days after service initiation for a residential program
         or <br />
         		<a id="pl.283.20"></a><var>283.20</var>during the initial session for all other programs. If the comprehensive assessment
         is not <br />
         		<a id="pl.283.21"></a><var>283.21</var>completed during the initial session, the client-centered reason for the delay must
         be <br />
         		<a id="pl.283.22"></a><var>283.22</var>documented in the client's file and the planned completion date. If the client received
         a <br />
         		<a id="pl.283.23"></a><var>283.23</var>comprehensive assessment that authorized the treatment service, an alcohol and drug
         <br />
         		<a id="pl.283.24"></a><var>283.24</var>counselor must review the assessment to determine compliance with this subdivision,
         <br />
         		<a id="pl.283.25"></a><var>283.25</var>including applicable timelines. If available, the alcohol and drug counselor may use
         current <br />
         		<a id="pl.283.26"></a><var>283.26</var>information provided by a referring agency or other source as a supplement. Information
         <br />
         		<a id="pl.283.27"></a><var>283.27</var>gathered more than 45 days before the date of admission is not considered current.
         The <br />
         		<a id="pl.283.28"></a><var>283.28</var>comprehensive assessment must include sufficient information to complete the assessment
         <br />
         		<a id="pl.283.29"></a><var>283.29</var>summary according to subdivision 2 and the individual treatment plan according to
         section <br />
         		<a id="pl.283.30"></a><var>283.30</var>245G.06. The comprehensive assessment must include information about the client's
         needs <br />
         		<a id="pl.283.31"></a><var>283.31</var>that relate to substance use and personal strengths that support recovery, including:<br />
         		<a id="pl.284.1"></a><var>284.1</var>(1) age, sex, cultural background, sexual orientation, living situation, economic
         status, <br />
         		<a id="pl.284.2"></a><var>284.2</var>and level of education;<br />
         		<a id="pl.284.3"></a><var>284.3</var>(2) circumstances of service initiation;<br />
         		<a id="pl.284.4"></a><var>284.4</var>(3) previous attempts at treatment for substance misuse or substance use disorder,
         <br />
         		<a id="pl.284.5"></a><var>284.5</var>compulsive gambling, or mental illness;<br />
         		<a id="pl.284.6"></a><var>284.6</var>(4) substance use history including amounts and types of substances used, frequency
         <br />
         		<a id="pl.284.7"></a><var>284.7</var>and duration of use, periods of abstinence, and circumstances of relapse, if any.
         For each <br />
         		<a id="pl.284.8"></a><var>284.8</var>substance used within the previous 30 days, the information must include the date
         of the <br />
         		<a id="pl.284.9"></a><var>284.9</var>most recent use and previous withdrawal symptoms;<br />
         		<a id="pl.284.10"></a><var>284.10</var>(5) specific problem behaviors exhibited by the client when under the influence of
         <br />
         		<a id="pl.284.11"></a><var>284.11</var>substances;<br />
         		<a id="pl.284.12"></a><var>284.12</var>(6) family status, family history, including history or presence of physical or sexual
         <br />
         		<a id="pl.284.13"></a><var>284.13</var>abuse, level of family support, and substance misuse or substance use disorder of
         a family <br />
         		<a id="pl.284.14"></a><var>284.14</var>member or significant other;<br />
         		<a id="pl.284.15"></a><var>284.15</var>(7) physical concerns or diagnoses, the severity of the concerns, and whether the
         concerns <br />
         		<a id="pl.284.16"></a><var>284.16</var>are being addressed by a health care professional;<br />
         		<a id="pl.284.17"></a><var>284.17</var>(8) mental health history and psychiatric status, including symptoms, disability,
         current <br />
         		<a id="pl.284.18"></a><var>284.18</var>treatment supports, and psychotropic medication needed to maintain stability; the
         assessment <br />
         		<a id="pl.284.19"></a><var>284.19</var>must utilize screening tools approved by the commissioner pursuant to section 245.4863
         to <br />
         		<a id="pl.284.20"></a><var>284.20</var>identify whether the client screens positive for co-occurring disorders;<br />
         		<a id="pl.284.21"></a><var>284.21</var>(9) arrests and legal interventions related to substance use;<br />
         		<a id="pl.284.22"></a><var>284.22</var>(10) ability to function appropriately in work and educational settings;<br />
         		<a id="pl.284.23"></a><var>284.23</var>(11) ability to understand written treatment materials, including rules and the client's
         <br />
         		<a id="pl.284.24"></a><var>284.24</var>rights;<br />
         		<a id="pl.284.25"></a><var>284.25</var>(12) risk-taking behavior, including behavior that puts the client at risk of exposure
         to <br />
         		<a id="pl.284.26"></a><var>284.26</var>blood-borne or sexually transmitted diseases;<br />
         		<a id="pl.284.27"></a><var>284.27</var>(13) social network in relation to expected support for recovery and leisure time
         activities <br />
         		<a id="pl.284.28"></a><var>284.28</var>that are associated with substance use;<br />
         		<a id="pl.284.29"></a><var>284.29</var>(14) whether the client is pregnant and, if so, the health of the unborn child and
         the <br />
         		<a id="pl.284.30"></a><var>284.30</var>client's current involvement in prenatal care;<br />
         		<a id="pl.285.1"></a><var>285.1</var>(15) whether the client recognizes problems related to substance use and is willing
         to <br />
         		<a id="pl.285.2"></a><var>285.2</var>follow treatment recommendations; and<br />
         		<a id="pl.285.3"></a><var>285.3</var>(16) collateral information. If the assessor gathered sufficient information from
         the <br />
         		<a id="pl.285.4"></a><var>285.4</var>referral source or the client to apply the criteria in parts 9530.6620 and 9530.6622,
         a collateral <br />
         		<a id="pl.285.5"></a><var>285.5</var>contact is not required.<br />
         		<a id="pl.285.6"></a><var>285.6</var>(b) If the client is identified as having opioid use disorder or seeking treatment
         for opioid <br />
         		<a id="pl.285.7"></a><var>285.7</var>use disorder, the program must provide educational information to the client concerning:<br />
         		<a id="pl.285.8"></a><var>285.8</var>(1) risks for opioid use disorder and dependence;<br />
         		<a id="pl.285.9"></a><var>285.9</var>(2) treatment options, including the use of a medication for opioid use disorder;<br />
         		<a id="pl.285.10"></a><var>285.10</var>(3) the risk of and recognizing opioid overdose; and<br />
         		<a id="pl.285.11"></a><var>285.11</var>(4) the use, availability, and administration of naloxone to respond to opioid overdose.<br />
         		<a id="pl.285.12"></a><var>285.12</var>(c) The commissioner shall develop educational materials that are supported by research
         <br />
         		<a id="pl.285.13"></a><var>285.13</var>and updated periodically. The license holder must use the educational materials that
         are <br />
         		<a id="pl.285.14"></a><var>285.14</var>approved by the commissioner to comply with this requirement.<br />
         		<a id="pl.285.15"></a><var>285.15</var>(d) If the comprehensive assessment is completed to authorize treatment service for
         the <br />
         		<a id="pl.285.16"></a><var>285.16</var>client, at the earliest opportunity during the assessment interview the assessor shall
         determine <br />
         		<a id="pl.285.17"></a><var>285.17</var>if:<br />
         		<a id="pl.285.18"></a><var>285.18</var>(1) the client is in severe withdrawal and likely to be a danger to self or others;<br />
         		<a id="pl.285.19"></a><var>285.19</var>(2) the client has severe medical problems that require immediate attention; or<br />
         		<a id="pl.285.20"></a><var>285.20</var>(3) the client has severe emotional or behavioral symptoms that place the client or
         others <br />
         		<a id="pl.285.21"></a><var>285.21</var>at risk of harm.<br />
         		<a id="pl.285.22"></a><var>285.22</var>If one or more of the conditions in clauses (1) to (3) are present, the assessor must
         end the <br />
         		<a id="pl.285.23"></a><var>285.23</var>assessment interview and follow the procedures in the program's medical services plan
         <br />
         		<a id="pl.285.24"></a><var>285.24</var>under section 245G.08, subdivision 2, to help the client obtain the appropriate services.
         The <br />
         		<a id="pl.285.25"></a><var>285.25</var>assessment interview may resume when the condition is resolved.<br />
         		<a id="pl.285.26"></a><var>285.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Assessment summary.</b> (a) An alcohol and drug counselor must complete an <br />
         		<a id="pl.285.27"></a><var>285.27</var>assessment summary within three calendar days after service initiation for a residential
         <br />
         		<a id="pl.285.28"></a><var>285.28</var>program and within three sessions for all other programs. If the comprehensive assessment
         <br />
         		<a id="pl.285.29"></a><var>285.29</var>is used to authorize the treatment service, the alcohol and drug counselor must prepare
         an <br />
         		<a id="pl.285.30"></a><var>285.30</var>assessment summary on the same date the comprehensive assessment is completed. If
         the <br />
         		<a id="pl.285.31"></a><var>285.31</var>comprehensive assessment and assessment summary are to authorize treatment services,
         <br />
         		<a id="pl.286.1"></a><var>286.1</var>the assessor must determine appropriate services for the client using the dimensions
         in <br />
         		<a id="pl.286.2"></a><var>286.2</var>Minnesota Rules, part 9530.6622, and document the recommendations.<br />
         		<a id="pl.286.3"></a><var>286.3</var>(b) An assessment summary must include:<br />
         		<a id="pl.286.4"></a><var>286.4</var>(1) a risk description according to section 245G.05 for each dimension listed in paragraph
         <br />
         		<a id="pl.286.5"></a><var>286.5</var>(c);<br />
         		<a id="pl.286.6"></a><var>286.6</var>(2) a narrative summary supporting the risk descriptions; and<br />
         		<a id="pl.286.7"></a><var>286.7</var>(3) a determination of whether the client has a substance use disorder.<br />
         		<a id="pl.286.8"></a><var>286.8</var>(c) An assessment summary must contain information relevant to treatment service <br />
         		<a id="pl.286.9"></a><var>286.9</var>planning and recorded in the dimensions in clauses (1) to (6). The license holder
         must <br />
         		<a id="pl.286.10"></a><var>286.10</var>consider:<br />
         		<a id="pl.286.11"></a><var>286.11</var>(1) Dimension 1, acute intoxication/withdrawal potential; the client's ability to
         cope with <br />
         		<a id="pl.286.12"></a><var>286.12</var>withdrawal symptoms and current state of intoxication;<br />
         		<a id="pl.286.13"></a><var>286.13</var>(2) Dimension 2, biomedical conditions and complications; the degree to which any
         <br />
         		<a id="pl.286.14"></a><var>286.14</var>physical disorder of the client would interfere with treatment for substance use,
         and the <br />
         		<a id="pl.286.15"></a><var>286.15</var>client's ability to tolerate any related discomfort. The license holder must determine
         the <br />
         		<a id="pl.286.16"></a><var>286.16</var>impact of continued chemical use on the unborn child, if the client is pregnant;<br />
         		<a id="pl.286.17"></a><var>286.17</var>(3) Dimension 3, emotional, behavioral, and cognitive conditions and complications;
         <br />
         		<a id="pl.286.18"></a><var>286.18</var>the degree to which any condition or complication is likely to interfere with treatment
         for <br />
         		<a id="pl.286.19"></a><var>286.19</var>substance use or with functioning in significant life areas and the likelihood of
         harm to self <br />
         		<a id="pl.286.20"></a><var>286.20</var>or others;<br />
         		<a id="pl.286.21"></a><var>286.21</var>(4) Dimension 4, readiness for change; the support necessary to keep the client involved
         <br />
         		<a id="pl.286.22"></a><var>286.22</var>in treatment service;<br />
         		<a id="pl.286.23"></a><var>286.23</var>(5) Dimension 5, relapse, continued use, and continued problem potential; the degree
         <br />
         		<a id="pl.286.24"></a><var>286.24</var>to which the client recognizes relapse issues and has the skills to prevent relapse
         of either <br />
         		<a id="pl.286.25"></a><var>286.25</var>substance use or mental health problems; and<br />
         		<a id="pl.286.26"></a><var>286.26</var>(6) Dimension 6, recovery environment; whether the areas of the client's life are
         <br />
         		<a id="pl.286.27"></a><var>286.27</var>supportive of or antagonistic to treatment participation and recovery.<br />
         		<a id="pl.286.28"></a><var>286.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.14.0"></a><a id="pl.286.29"></a><var>286.29</var>&#160;&#160;&#160;&#160;Sec. 14. <b>[245G.06] INDIVIDUAL TREATMENT PLAN.</b><br />
         		<a id="pl.286.30"></a><var>286.30</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General.</b> Each client must have an individual treatment plan developed <br />
         		<a id="pl.286.31"></a><var>286.31</var>by an alcohol and drug counselor within seven days of service initiation for a residential
         <br />
         		<a id="pl.287.1"></a><var>287.1</var>program and within three sessions for all other programs. The client must have active,
         direct <br />
         		<a id="pl.287.2"></a><var>287.2</var>involvement in selecting the anticipated outcomes of the treatment process and developing
         <br />
         		<a id="pl.287.3"></a><var>287.3</var>the treatment plan. The individual treatment plan must be signed by the client and
         the alcohol <br />
         		<a id="pl.287.4"></a><var>287.4</var>and drug counselor and document the client's involvement in the development of the
         plan. <br />
         		<a id="pl.287.5"></a><var>287.5</var>The plan may be a continuation of the initial services plan required in section 245G.04.
         <br />
         		<a id="pl.287.6"></a><var>287.6</var>Treatment planning must include ongoing assessment of client needs. An individual
         treatment <br />
         		<a id="pl.287.7"></a><var>287.7</var>plan must be updated based on new information gathered about the client's condition
         and <br />
         		<a id="pl.287.8"></a><var>287.8</var>on whether methods identified have the intended effect. A change to the plan must
         be signed <br />
         		<a id="pl.287.9"></a><var>287.9</var>by the client and the alcohol and drug counselor. The plan must provide for the involvement
         <br />
         		<a id="pl.287.10"></a><var>287.10</var>of the client's family and people selected by the client as important to the success
         of treatment <br />
         		<a id="pl.287.11"></a><var>287.11</var>at the earliest opportunity, consistent with the client's treatment needs and written
         consent.<br />
         		 <a id="pl.287.12"></a><var>287.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Plan contents.</b> An individual treatment plan must be recorded in the six <br />
         		<a id="pl.287.13"></a><var>287.13</var>dimensions listed in section 245G.05, subdivision 2, paragraph (c), must address each
         issue <br />
         		<a id="pl.287.14"></a><var>287.14</var>identified in the assessment summary, prioritized according to the client's needs
         and focus, <br />
         		<a id="pl.287.15"></a><var>287.15</var>and must include:<br />
         		 <a id="pl.287.16"></a><var>287.16</var>(1) specific methods to address each identified need, including amount, frequency,
         and <br />
         		<a id="pl.287.17"></a><var>287.17</var>anticipated duration of treatment service. The methods must be appropriate to the
         client's <br />
         		<a id="pl.287.18"></a><var>287.18</var>language, reading skills, cultural background, and strengths;<br />
         		<a id="pl.287.19"></a><var>287.19</var>(2) resources to refer the client to when the client's needs are to be addressed concurrently
         <br />
         		<a id="pl.287.20"></a><var>287.20</var>by another provider; and<br />
         		<a id="pl.287.21"></a><var>287.21</var>(3) goals the client must reach to complete treatment and terminate services.<br />
         		<a id="pl.287.22"></a><var>287.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Documentation of treatment services; treatment plan review.</b> (a) A review <br />
         		<a id="pl.287.23"></a><var>287.23</var>of all treatment services must be documented weekly and include a review of:<br />
         		<a id="pl.287.24"></a><var>287.24</var>(1) care coordination activities;<br />
         		<a id="pl.287.25"></a><var>287.25</var>(2) medical and other appointments the client attended;<br />
         		<a id="pl.287.26"></a><var>287.26</var>(3) issues related to medications that are not documented in the medication administration
         <br />
         		<a id="pl.287.27"></a><var>287.27</var>record; and<br />
         		<a id="pl.287.28"></a><var>287.28</var>(4) issues related to attendance for treatment services, including the reason for
         any client <br />
         		<a id="pl.287.29"></a><var>287.29</var>absence from a treatment service.<br />
         		<a id="pl.287.30"></a><var>287.30</var>(b) A note must be entered immediately following any significant event. A significant
         <br />
         		<a id="pl.287.31"></a><var>287.31</var>event is an event that impacts the client's relationship with other clients, staff,
         the client's <br />
         		<a id="pl.287.32"></a><var>287.32</var>family, or the client's treatment plan.<br />
         		<a id="pl.288.1"></a><var>288.1</var>(c) A treatment plan review must be entered in a client's file weekly or after each
         treatment <br />
         		<a id="pl.288.2"></a><var>288.2</var>service, whichever is less frequent, by the staff member providing the service. The
         review <br />
         		<a id="pl.288.3"></a><var>288.3</var>must indicate the span of time covered by the review and each of the six dimensions
         listed <br />
         		<a id="pl.288.4"></a><var>288.4</var>in section 245G.05, subdivision 2, paragraph (c). The review must:<br />
         		<a id="pl.288.5"></a><var>288.5</var>(1) indicate the date, type, and amount of each treatment service provided and the
         client's <br />
         		<a id="pl.288.6"></a><var>288.6</var>response to each service;<br />
         		<a id="pl.288.7"></a><var>288.7</var>(2) address each goal in the treatment plan and whether the methods to address the
         goals <br />
         		<a id="pl.288.8"></a><var>288.8</var>are effective;<br />
         		<a id="pl.288.9"></a><var>288.9</var>(3) include monitoring of any physical and mental health problems;<br />
         		<a id="pl.288.10"></a><var>288.10</var>(4) document the participation of others;<br />
         		<a id="pl.288.11"></a><var>288.11</var>(5) document staff recommendations for changes in the methods identified in the treatment
         <br />
         		<a id="pl.288.12"></a><var>288.12</var>plan and whether the client agrees with the change; and<br />
         		<a id="pl.288.13"></a><var>288.13</var>(6) include a review and evaluation of the individual abuse prevention plan according
         <br />
         		<a id="pl.288.14"></a><var>288.14</var>to section 245A.65.<br />
         		<a id="pl.288.15"></a><var>288.15</var>(d) Each entry in a client's record must be accurate, legible, signed, and dated.
         A late <br />
         		<a id="pl.288.16"></a><var>288.16</var>entry must be clearly labeled "late entry." A correction to an entry must be made
         in a way <br />
         		<a id="pl.288.17"></a><var>288.17</var>in which the original entry can still be read.<br />
         		<a id="pl.288.18"></a><var>288.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Service discharge summary.</b> (a) An alcohol and drug counselor must write a  <br />
         		<a id="pl.288.19"></a><var>288.19</var>discharge summary for each client. The summary must be completed within five days
         of <br />
         		<a id="pl.288.20"></a><var>288.20</var>the client's service termination or within five days from the client's or program's
         decision <br />
         		<a id="pl.288.21"></a><var>288.21</var>to terminate services, whichever is earlier.<br />
         		 <a id="pl.288.22"></a><var>288.22</var>(b) The service discharge summary must be recorded in the six dimensions listed in
         <br />
         		<a id="pl.288.23"></a><var>288.23</var>section 245G.05, subdivision 2, paragraph (c), and include the following information:<br />
         		<a id="pl.288.24"></a><var>288.24</var>(1) the client's issues, strengths, and needs while participating in treatment, including
         <br />
         		<a id="pl.288.25"></a><var>288.25</var>services provided;<br />
         		<a id="pl.288.26"></a><var>288.26</var>(2) the client's progress toward achieving each goal identified in the individual
         treatment <br />
         		<a id="pl.288.27"></a><var>288.27</var>plan;<br />
         		<a id="pl.288.28"></a><var>288.28</var>(3) a risk description according to section 245G.05; and<br />
         		<a id="pl.288.29"></a><var>288.29</var>(4) the reasons for and circumstances of service termination. If a program discharges
         a <br />
         		<a id="pl.288.30"></a><var>288.30</var>client at staff request, the reason for discharge and the procedure followed for the
         decision <br />
         		<a id="pl.288.31"></a><var>288.31</var>to discharge must be documented and comply with the program's policies on staff-initiated
         <br />
         		<a id="pl.288.32"></a><var>288.32</var>client discharge. If a client is discharged at staff request, the program must give
         the client <br />
         		<a id="pl.289.1"></a><var>289.1</var>crisis and other referrals appropriate for the client's needs and offer assistance
         to the client <br />
         		<a id="pl.289.2"></a><var>289.2</var>to access the services.<br />
         		<a id="pl.289.3"></a><var>289.3</var>(c) For a client who successfully completes treatment, the summary must also include:<br />
         		<a id="pl.289.4"></a><var>289.4</var>(1) the client's living arrangements at service termination;<br />
         		<a id="pl.289.5"></a><var>289.5</var>(2) continuing care recommendations, including transitions between more or less intense
         <br />
         		<a id="pl.289.6"></a><var>289.6</var>services, or more frequent to less frequent services, and referrals made with specific
         attention <br />
         		<a id="pl.289.7"></a><var>289.7</var>to continuity of care for mental health, as needed;<br />
         		 <a id="pl.289.8"></a><var>289.8</var>(3) service termination diagnosis; and<br />
         		<a id="pl.289.9"></a><var>289.9</var>(4) the client's prognosis.<br />
         		<a id="pl.289.10"></a><var>289.10</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.15.0"></a><a id="pl.289.11"></a><var>289.11</var>&#160;&#160;&#160;&#160;Sec. 15. <b>[245G.07] TREATMENT SERVICE.</b><br />
         		<a id="pl.289.12"></a><var>289.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Treatment service.</b> (a) A license holder must offer the following treatment <br />
         		<a id="pl.289.13"></a><var>289.13</var>services, unless clinically inappropriate and the justifying clinical rationale is
         documented:<br />
         		<a id="pl.289.14"></a><var>289.14</var>(1) individual and group counseling to help the client identify and address needs
         related <br />
         		<a id="pl.289.15"></a><var>289.15</var>to substance use and develop strategies to avoid harmful substance use after discharge
         and <br />
         		<a id="pl.289.16"></a><var>289.16</var>to help the client obtain the services necessary to establish a lifestyle free of
         the harmful <br />
         		<a id="pl.289.17"></a><var>289.17</var>effects of substance use disorder;<br />
         		<a id="pl.289.18"></a><var>289.18</var>(2) client education strategies to avoid inappropriate substance use and health problems
         <br />
         		<a id="pl.289.19"></a><var>289.19</var>related to substance use and the necessary lifestyle changes to regain and maintain
         health. <br />
         		<a id="pl.289.20"></a><var>289.20</var>Client education must include information on tuberculosis education on a form approved
         <br />
         		<a id="pl.289.21"></a><var>289.21</var>by the commissioner, the human immunodeficiency virus according to section 245A.19,
         <br />
         		<a id="pl.289.22"></a><var>289.22</var>other sexually transmitted diseases, drug and alcohol use during pregnancy, and hepatitis.
         <br />
         		<a id="pl.289.23"></a><var>289.23</var>A licensed alcohol and drug counselor must be present during an educational group;<br />
         		<a id="pl.289.24"></a><var>289.24</var>(3) a service to help the client integrate gains made during treatment into daily
         living <br />
         		<a id="pl.289.25"></a><var>289.25</var>and to reduce the client's reliance on a staff member for support;<br />
         		<a id="pl.289.26"></a><var>289.26</var>(4) a service to address issues related to co-occurring disorders, including client
         education <br />
         		<a id="pl.289.27"></a><var>289.27</var>on symptoms of mental illness, the possibility of comorbidity, and the need for continued
         <br />
         		<a id="pl.289.28"></a><var>289.28</var>medication compliance while recovering from substance use disorder. A group must address
         <br />
         		<a id="pl.289.29"></a><var>289.29</var>co-occurring disorders, as needed. When treatment for mental health problems is indicated,
         <br />
         		<a id="pl.289.30"></a><var>289.30</var>the treatment must be integrated into the client's individual treatment plan;<br />
         		<a id="pl.290.1"></a><var>290.1</var>(5) on July 1, 2018, or upon federal approval, whichever is later, peer recovery support
         <br />
         		<a id="pl.290.2"></a><var>290.2</var>services provided one-to-one by an individual in recovery. Peer support services include
         <br />
         		<a id="pl.290.3"></a><var>290.3</var>education, advocacy, mentoring through self-disclosure of personal recovery experiences,
         <br />
         		<a id="pl.290.4"></a><var>290.4</var>attending recovery and other support groups with a client, accompanying the client
         to <br />
         		<a id="pl.290.5"></a><var>290.5</var>appointments that support recovery, assistance accessing resources to obtain housing,
         <br />
         		<a id="pl.290.6"></a><var>290.6</var>employment, education, and advocacy services, and nonclinical recovery support to
         assist <br />
         		<a id="pl.290.7"></a><var>290.7</var>the transition from treatment into the recovery community; and<br />
         		<a id="pl.290.8"></a><var>290.8</var>(6) on July 1, 2018, or upon federal approval, whichever is later, care coordination
         <br />
         		<a id="pl.290.9"></a><var>290.9</var>provided by an individual who meets the staff qualifications in section 245G.11, subdivision
         <br />
         		<a id="pl.290.10"></a><var>290.10</var>7. Care coordination services include:<br />
         		<a id="pl.290.11"></a><var>290.11</var>(i) assistance in coordination with significant others to help in the treatment planning
         <br />
         		<a id="pl.290.12"></a><var>290.12</var>process whenever possible;<br />
         		<a id="pl.290.13"></a><var>290.13</var>(ii) assistance in coordination with and follow up for medical services as identified
         in <br />
         		<a id="pl.290.14"></a><var>290.14</var>the treatment plan;<br />
         		<a id="pl.290.15"></a><var>290.15</var>(iii) facilitation of referrals to substance use disorder services as indicated by
         a client's <br />
         		<a id="pl.290.16"></a><var>290.16</var>medical provider, comprehensive assessment, or treatment plan;<br />
         		<a id="pl.290.17"></a><var>290.17</var>(iv) facilitation of referrals to mental health services as identified by a client's
         <br />
         		<a id="pl.290.18"></a><var>290.18</var>comprehensive assessment or treatment plan;<br />
         		<a id="pl.290.19"></a><var>290.19</var>(v) assistance with referrals to economic assistance, social services, housing resources,
         <br />
         		<a id="pl.290.20"></a><var>290.20</var>and prenatal care according to the client's needs;<br />
         		 <a id="pl.290.21"></a><var>290.21</var>(vi) life skills advocacy and support accessing treatment follow-up, disease management,
         <br />
         		<a id="pl.290.22"></a><var>290.22</var>and education services, including referral and linkages to long-term services and
         supports <br />
         		<a id="pl.290.23"></a><var>290.23</var>as needed; and<br />
         		 <a id="pl.290.24"></a><var>290.24</var>(vii) documentation of the provision of care coordination services in the client's
         file.<br />
         		<a id="pl.290.25"></a><var>290.25</var>(b) A treatment service provided to a client must be provided according to the individual
         <br />
         		<a id="pl.290.26"></a><var>290.26</var>treatment plan and must consider cultural differences and special needs of a client.<br />
         		<a id="pl.290.27"></a><var>290.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Additional treatment service.</b> A license holder may provide or arrange the <br />
         		<a id="pl.290.28"></a><var>290.28</var>following additional treatment service as a part of the client's individual treatment
         plan:<br />
         		<a id="pl.290.29"></a><var>290.29</var>(1) relationship counseling provided by a qualified professional to help the client
         identify <br />
         		<a id="pl.290.30"></a><var>290.30</var>the impact of the client's substance use disorder on others and to help the client
         and persons <br />
         		<a id="pl.290.31"></a><var>290.31</var>in the client's support structure identify and change behaviors that contribute to
         the client's <br />
         		<a id="pl.290.32"></a><var>290.32</var>substance use disorder;<br />
         		<a id="pl.291.1"></a><var>291.1</var>(2) therapeutic recreation to allow the client to participate in recreational activities
         <br />
         		<a id="pl.291.2"></a><var>291.2</var>without the use of mood-altering chemicals and to plan and select leisure activities
         that do <br />
         		<a id="pl.291.3"></a><var>291.3</var>not involve the inappropriate use of chemicals;<br />
         		<a id="pl.291.4"></a><var>291.4</var>(3) stress management and physical well-being to help the client reach and maintain
         an <br />
         		<a id="pl.291.5"></a><var>291.5</var>appropriate level of health, physical fitness, and well-being;<br />
         		<a id="pl.291.6"></a><var>291.6</var>(4) living skills development to help the client learn basic skills necessary for
         independent <br />
         		<a id="pl.291.7"></a><var>291.7</var>living;<br />
         		<a id="pl.291.8"></a><var>291.8</var>(5) employment or educational services to help the client become financially independent;<br />
         		<a id="pl.291.9"></a><var>291.9</var>(6) socialization skills development to help the client live and interact with others
         in a <br />
         		<a id="pl.291.10"></a><var>291.10</var>positive and productive manner; and<br />
         		<a id="pl.291.11"></a><var>291.11</var>(7) room, board, and supervision at the treatment site to provide the client with
         a safe <br />
         		<a id="pl.291.12"></a><var>291.12</var>and appropriate environment to gain and practice new skills.<br />
         		<a id="pl.291.13"></a><var>291.13</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Counselors.</b> A treatment service, including therapeutic recreation, must be <br />
         		<a id="pl.291.14"></a><var>291.14</var>provided by an alcohol and drug counselor according to section 245G.11, unless the
         <br />
         		<a id="pl.291.15"></a><var>291.15</var>individual providing the service is specifically qualified according to the accepted
         credential <br />
         		<a id="pl.291.16"></a><var>291.16</var>required to provide the service. Therapeutic recreation does not include planned leisure
         <br />
         		<a id="pl.291.17"></a><var>291.17</var>activities.<br />
         		<a id="pl.291.18"></a><var>291.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Location of service provision.</b> The license holder may provide services at any <br />
         		<a id="pl.291.19"></a><var>291.19</var>of the license holder's licensed locations or at another suitable location including
         a school, <br />
         		<a id="pl.291.20"></a><var>291.20</var>government building, medical or behavioral health facility, or social service organization,
         <br />
         		<a id="pl.291.21"></a><var>291.21</var>upon notification and approval of the commissioner. If services are provided off site
         from <br />
         		<a id="pl.291.22"></a><var>291.22</var>the licensed site, the reason for the provision of services remotely must be documented.<br />
         		<a id="pl.291.23"></a><var>291.23</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.16.0"></a><a id="pl.291.24"></a><var>291.24</var>&#160;&#160;&#160;&#160;Sec. 16. <b>[245G.08] MEDICAL SERVICES.</b><br />
         		<a id="pl.291.25"></a><var>291.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Health care services.</b> An applicant or license holder must maintain a <br />
         		<a id="pl.291.26"></a><var>291.26</var>complete description of the health care services, nursing services, dietary services,
         and <br />
         		<a id="pl.291.27"></a><var>291.27</var>emergency physician services offered by the applicant or license holder.<br />
         		<a id="pl.291.28"></a><var>291.28</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Procedures.</b> The applicant or license holder must have written procedures for <br />
         		<a id="pl.291.29"></a><var>291.29</var>obtaining a medical intervention for a client, that are approved in writing by a physician
         <br />
         		<a id="pl.291.30"></a><var>291.30</var>who is licensed under chapter 147, unless:<br />
         		<a id="pl.291.31"></a><var>291.31</var>(1) the license holder does not provide a service under section 245G.21; and<br />
         		<a id="pl.292.1"></a><var>292.1</var>(2) a medical intervention is referred to 911, the emergency telephone number, or
         the <br />
         		<a id="pl.292.2"></a><var>292.2</var>client's physician.<br />
         		<a id="pl.292.3"></a><var>292.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Standing order protocol.</b> A license holder that maintains a supply of naloxone <br />
         		<a id="pl.292.4"></a><var>292.4</var>available for emergency treatment of opioid overdose must have a written standing
         order <br />
         		<a id="pl.292.5"></a><var>292.5</var>protocol by a physician who is licensed under chapter 147, that permits the license
         holder <br />
         		<a id="pl.292.6"></a><var>292.6</var>to maintain a supply of naloxone on site, and must require staff to undergo specific
         training <br />
         		<a id="pl.292.7"></a><var>292.7</var>in administration of naloxone.<br />
         		<a id="pl.292.8"></a><var>292.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Consultation services.</b> The license holder must have access to and document <br />
         		<a id="pl.292.9"></a><var>292.9</var>the availability of a licensed mental health professional to provide diagnostic assessment
         <br />
         		<a id="pl.292.10"></a><var>292.10</var>and treatment planning assistance.<br />
         		<a id="pl.292.11"></a><var>292.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Administration of medication and assistance with self-medication.</b> (a) A <br />
         		<a id="pl.292.12"></a><var>292.12</var>license holder must meet the requirements in this subdivision if a service provided
         includes <br />
         		<a id="pl.292.13"></a><var>292.13</var>the administration of medication.<br />
         		<a id="pl.292.14"></a><var>292.14</var>(b) A staff member, other than a licensed practitioner or nurse, who is delegated
         by a <br />
         		<a id="pl.292.15"></a><var>292.15</var>licensed practitioner or a registered nurse the task of administration of medication
         or assisting <br />
         		<a id="pl.292.16"></a><var>292.16</var>with self-medication, must:<br />
         		<a id="pl.292.17"></a><var>292.17</var>(1) successfully complete a medication administration training program for unlicensed
         <br />
         		<a id="pl.292.18"></a><var>292.18</var>personnel through an accredited Minnesota postsecondary educational institution. A
         staff <br />
         		<a id="pl.292.19"></a><var>292.19</var>member's completion of the course must be documented in writing and placed in the
         staff <br />
         		<a id="pl.292.20"></a><var>292.20</var>member's personnel file;<br />
         		<a id="pl.292.21"></a><var>292.21</var>(2) be trained according to a formalized training program that is taught by a registered
         <br />
         		<a id="pl.292.22"></a><var>292.22</var>nurse and offered by the license holder. The training must include the process for
         <br />
         		<a id="pl.292.23"></a><var>292.23</var>administration of naloxone, if naloxone is kept on site. A staff member's completion
         of the <br />
         		<a id="pl.292.24"></a><var>292.24</var>training must be documented in writing and placed in the staff member's personnel
         records; <br />
         		<a id="pl.292.25"></a><var>292.25</var>or<br />
         		<a id="pl.292.26"></a><var>292.26</var>(3) demonstrate to a registered nurse competency to perform the delegated activity.
         A <br />
         		<a id="pl.292.27"></a><var>292.27</var>registered nurse must be employed or contracted to develop the policies and procedures
         for <br />
         		<a id="pl.292.28"></a><var>292.28</var>administration of medication or assisting with self-administration of medication,
         or both.<br />
         		 <a id="pl.292.29"></a><var>292.29</var>(c) A registered nurse must provide supervision as defined in section 148.171, subdivision
         <br />
         		<a id="pl.292.30"></a><var>292.30</var>23. The registered nurse's supervision must include, at a minimum, monthly on-site
         <br />
         		<a id="pl.292.31"></a><var>292.31</var>supervision or more often if warranted by a client's health needs. The policies and
         procedures <br />
         		<a id="pl.292.32"></a><var>292.32</var>must include:<br />
         		<a id="pl.293.1"></a><var>293.1</var>(1) a provision that a delegation of administration of medication is limited to the
         <br />
         		<a id="pl.293.2"></a><var>293.2</var>administration of a medication that is administered orally, topically, or as a suppository,
         an <br />
         		<a id="pl.293.3"></a><var>293.3</var>eye drop, an ear drop, or an inhalant;<br />
         		<a id="pl.293.4"></a><var>293.4</var>(2) a provision that each client's file must include documentation indicating whether
         <br />
         		<a id="pl.293.5"></a><var>293.5</var>staff must conduct the administration of medication or the client must self-administer
         <br />
         		<a id="pl.293.6"></a><var>293.6</var>medication, or both;<br />
         		<a id="pl.293.7"></a><var>293.7</var>(3) a provision that a client may carry emergency medication such as nitroglycerin
         as <br />
         		<a id="pl.293.8"></a><var>293.8</var>instructed by the client's physician;<br />
         		<a id="pl.293.9"></a><var>293.9</var>(4) a provision for the client to self-administer medication when a client is scheduled
         to <br />
         		<a id="pl.293.10"></a><var>293.10</var>be away from the facility;<br />
         		<a id="pl.293.11"></a><var>293.11</var>(5) a provision that if a client self-administers medication when the client is present
         in <br />
         		<a id="pl.293.12"></a><var>293.12</var>the facility, the client must self-administer medication under the observation of
         a trained <br />
         		<a id="pl.293.13"></a><var>293.13</var>staff member;<br />
         		<a id="pl.293.14"></a><var>293.14</var>(6) a provision that when a license holder serves a client who is a parent with a
         child, <br />
         		<a id="pl.293.15"></a><var>293.15</var>the parent may only administer medication to the child under a staff member's supervision;<br />
         		<a id="pl.293.16"></a><var>293.16</var>(7) requirements for recording the client's use of medication, including staff signatures
         <br />
         		<a id="pl.293.17"></a><var>293.17</var>with date and time;<br />
         		<a id="pl.293.18"></a><var>293.18</var>(8) guidelines for when to inform a nurse of problems with self-administration of
         <br />
         		<a id="pl.293.19"></a><var>293.19</var>medication, including a client's failure to administer, refusal of a medication, adverse
         <br />
         		<a id="pl.293.20"></a><var>293.20</var>reaction, or error; and<br />
         		<a id="pl.293.21"></a><var>293.21</var>(9) procedures for acceptance, documentation, and implementation of a prescription,
         <br />
         		<a id="pl.293.22"></a><var>293.22</var>whether written, verbal, telephonic, or electronic.<br />
         		<a id="pl.293.23"></a><var>293.23</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Control of drugs.</b> A license holder must have and implement written policies <br />
         		<a id="pl.293.24"></a><var>293.24</var>and procedures developed by a registered nurse that contain:<br />
         		<a id="pl.293.25"></a><var>293.25</var>(1) a requirement that each drug must be stored in a locked compartment. A Schedule
         <br />
         		<a id="pl.293.26"></a><var>293.26</var>II drug, as defined by section 152.02, subdivision 3, must be stored in a separately
         locked <br />
         		<a id="pl.293.27"></a><var>293.27</var>compartment, permanently affixed to the physical plant or medication cart;<br />
         		<a id="pl.293.28"></a><var>293.28</var>(2) a system which accounts for all scheduled drugs each shift;<br />
         		<a id="pl.293.29"></a><var>293.29</var>(3) a procedure for recording the client's use of medication, including the signature
         of <br />
         		<a id="pl.293.30"></a><var>293.30</var>the staff member who completed the administration of the medication with the time
         and <br />
         		<a id="pl.293.31"></a><var>293.31</var>date;<br />
         		<a id="pl.293.32"></a><var>293.32</var>(4) a procedure to destroy a discontinued, outdated, or deteriorated medication;<br />
         		<a id="pl.294.1"></a><var>294.1</var>(5) a statement that only authorized personnel are permitted access to the keys to
         a locked <br />
         		<a id="pl.294.2"></a><var>294.2</var>compartment;<br />
         		<a id="pl.294.3"></a><var>294.3</var>(6) a statement that no legend drug supply for one client shall be given to another
         client; <br />
         		<a id="pl.294.4"></a><var>294.4</var>and<br />
         		<a id="pl.294.5"></a><var>294.5</var>(7) a procedure for monitoring the available supply of naloxone on site, replenishing
         <br />
         		<a id="pl.294.6"></a><var>294.6</var>the naloxone supply when needed, and destroying naloxone according to clause (4).<br />
         		<a id="pl.294.7"></a><var>294.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.17.0"></a><a id="pl.294.8"></a><var>294.8</var>&#160;&#160;&#160;&#160;Sec. 17. <b>[245G.09] CLIENT RECORDS.</b><br />
         		<a id="pl.294.9"></a><var>294.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Client records required.</b> (a) A license holder must maintain a file of <br />
         		<a id="pl.294.10"></a><var>294.10</var>current and accurate client records on the premises where the treatment service is
         provided <br />
         		<a id="pl.294.11"></a><var>294.11</var>or coordinated. For services provided off site, client records must be available at
         the program <br />
         		<a id="pl.294.12"></a><var>294.12</var>and adhere to the same clinical and administrative policies and procedures as services
         <br />
         		<a id="pl.294.13"></a><var>294.13</var>provided on site. The content and format of client records must be uniform and entries
         in <br />
         		<a id="pl.294.14"></a><var>294.14</var>each record must be signed and dated by the staff member making the entry. Client
         records <br />
         		<a id="pl.294.15"></a><var>294.15</var>must be protected against loss, tampering, or unauthorized disclosure according to
         section <br />
         		<a id="pl.294.16"></a><var>294.16</var>254A.09, chapter 13, and Code of Federal Regulations, title 42, chapter 1, part 2,
         subpart <br />
         		<a id="pl.294.17"></a><var>294.17</var>B, sections 2.1 to 2.67, and title 45, parts 160 to 164.<br />
         		<a id="pl.294.18"></a><var>294.18</var>(b) The program must have a policy and procedure that identifies how the program will
         <br />
         		<a id="pl.294.19"></a><var>294.19</var>track and record client attendance at treatment activities, including the date, duration,
         and <br />
         		<a id="pl.294.20"></a><var>294.20</var>nature of each treatment service provided to the client.<br />
         		<a id="pl.294.21"></a><var>294.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Record retention.</b> The client records of a discharged client must be retained <br />
         		<a id="pl.294.22"></a><var>294.22</var>by a license holder for seven years. A license holder that ceases to provide treatment
         service <br />
         		<a id="pl.294.23"></a><var>294.23</var>must retain client records for seven years from the date of facility closure and must
         notify <br />
         		<a id="pl.294.24"></a><var>294.24</var>the commissioner of the location of the client records and the name of the individual
         <br />
         		<a id="pl.294.25"></a><var>294.25</var>responsible for maintaining the client's records.<br />
         		<a id="pl.294.26"></a><var>294.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Contents.</b> Client records must contain the following:<br />
         		<a id="pl.294.27"></a><var>294.27</var>(1) documentation that the client was given information on client rights and <br />
         		<a id="pl.294.28"></a><var>294.28</var>responsibilities, grievance procedures, tuberculosis, and HIV, and that the client
         was provided <br />
         		<a id="pl.294.29"></a><var>294.29</var>an orientation to the program abuse prevention plan required under section 245A.65,
         <br />
         		<a id="pl.294.30"></a><var>294.30</var>subdivision 2, paragraph (a), clause (4). If the client has an opioid use disorder,
         the record <br />
         		<a id="pl.294.31"></a><var>294.31</var>must contain documentation that the client was provided educational information according
         <br />
         		<a id="pl.294.32"></a><var>294.32</var>to section 245G.05, subdivision 1, paragraph (b);<br />
         		<a id="pl.295.1"></a><var>295.1</var>(2) an initial services plan completed according to section 245G.04;<br />
         		<a id="pl.295.2"></a><var>295.2</var>(3) a comprehensive assessment completed according to section 245G.05;<br />
         		<a id="pl.295.3"></a><var>295.3</var>(4) an assessment summary completed according to section 245G.05, subdivision 2;<br />
         		<a id="pl.295.4"></a><var>295.4</var>(5) an individual abuse prevention plan according to sections 245A.65, subdivision
         2, <br />
         		<a id="pl.295.5"></a><var>295.5</var>and 626.557, subdivision 14, when applicable;<br />
         		<a id="pl.295.6"></a><var>295.6</var>(6) an individual treatment plan according to section 245G.06, subdivisions 1 and
         2;<br />
         		<a id="pl.295.7"></a><var>295.7</var>(7) documentation of treatment services and treatment plan review according to section
         <br />
         		<a id="pl.295.8"></a><var>295.8</var>245G.06, subdivision 3; and<br />
         		<a id="pl.295.9"></a><var>295.9</var>(8) a summary at the time of service termination according to section 245G.06, <br />
         		<a id="pl.295.10"></a><var>295.10</var>subdivision 4.<br />
         		<a id="pl.295.11"></a><var>295.11</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.18.0"></a><a id="pl.295.12"></a><var>295.12</var>&#160;&#160;&#160;&#160;Sec. 18. <b>[245G.10] STAFF REQUIREMENTS.</b><br />
         		<a id="pl.295.13"></a><var>295.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Treatment director.</b> A license holder must have a treatment director.<br />
         		<a id="pl.295.14"></a><var>295.14</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Alcohol and drug counselor supervisor.</b> A license holder must employ an <br />
         		<a id="pl.295.15"></a><var>295.15</var>alcohol and drug counselor supervisor who meets the requirements of section 245G.11,
         <br />
         		<a id="pl.295.16"></a><var>295.16</var>subdivision 4. An individual may be simultaneously employed as a treatment director,
         <br />
         		<a id="pl.295.17"></a><var>295.17</var>alcohol and drug counselor supervisor, and an alcohol and drug counselor if the individual
         <br />
         		<a id="pl.295.18"></a><var>295.18</var>meets the qualifications for each position. If an alcohol and drug counselor is simultaneously
         <br />
         		<a id="pl.295.19"></a><var>295.19</var>employed as an alcohol and drug counselor supervisor or treatment director, that individual
         <br />
         		<a id="pl.295.20"></a><var>295.20</var>must be considered a 0.5 full-time equivalent alcohol and drug counselor for staff
         <br />
         		<a id="pl.295.21"></a><var>295.21</var>requirements under subdivision 4.<br />
         		<a id="pl.295.22"></a><var>295.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Responsible staff member.</b> A treatment director must designate a staff member <br />
         		<a id="pl.295.23"></a><var>295.23</var>who, when present in the facility, is responsible for the delivery of treatment service.
         A <br />
         		<a id="pl.295.24"></a><var>295.24</var>license holder must have a designated staff member during all hours of operation.
         A license <br />
         		<a id="pl.295.25"></a><var>295.25</var>holder providing room and board and treatment at the same site must have a responsible
         <br />
         		<a id="pl.295.26"></a><var>295.26</var>staff member on duty 24 hours a day. The designated staff member must know and understand
         <br />
         		<a id="pl.295.27"></a><var>295.27</var>the implications of this chapter and sections 245A.65, 626.556, 626.557, and 626.5572.<br />
         		<a id="pl.295.28"></a><var>295.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Staff requirement.</b>  It is the responsibility of the license holder to determine <br />
         		<a id="pl.295.29"></a><var>295.29</var>an acceptable group size based on each client's needs except that treatment services
         provided <br />
         		<a id="pl.295.30"></a><var>295.30</var>in a group shall not exceed 16 clients. A counselor in an opioid treatment program
         must not <br />
         		<a id="pl.295.31"></a><var>295.31</var>supervise more than 50 clients. The license holder must maintain a record that documents
         <br />
         		<a id="pl.295.32"></a><var>295.32</var>compliance with this subdivision.<br />
         		<a id="pl.296.1"></a><var>296.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Medical emergency.</b> When a client is present, a license holder must have at <br />
         		<a id="pl.296.2"></a><var>296.2</var>least one staff member on the premises who has a current American Red Cross standard
         <br />
         		<a id="pl.296.3"></a><var>296.3</var>first aid certificate or an equivalent certificate and at least one staff member on
         the premises <br />
         		<a id="pl.296.4"></a><var>296.4</var>who has a current American Red Cross community, American Heart Association, or <br />
         		<a id="pl.296.5"></a><var>296.5</var>equivalent CPR certificate. A single staff member with both certifications satisfies
         this <br />
         		<a id="pl.296.6"></a><var>296.6</var>requirement.<br />
         		<a id="pl.296.7"></a><var>296.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.19.0"></a><a id="pl.296.8"></a><var>296.8</var>&#160;&#160;&#160;&#160;Sec. 19. <b>[245G.11] STAFF QUALIFICATIONS.</b><br />
         		<a id="pl.296.9"></a><var>296.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General qualifications.</b> (a) All staff members who have direct contact <br />
         		<a id="pl.296.10"></a><var>296.10</var>must be 18 years of age or older. At the time of employment, each staff member must
         meet <br />
         		<a id="pl.296.11"></a><var>296.11</var>the qualifications in this subdivision. For purposes of this subdivision, "problematic
         substance <br />
         		<a id="pl.296.12"></a><var>296.12</var>use" means a behavior or incident listed by the license holder in the personnel policies
         and <br />
         		<a id="pl.296.13"></a><var>296.13</var>procedures according to section 245G.13, subdivision 1, clause (5).<br />
         		<a id="pl.296.14"></a><var>296.14</var>(b) A treatment director, supervisor, nurse, counselor, student intern, or other professional
         <br />
         		<a id="pl.296.15"></a><var>296.15</var>must be free of problematic substance use for at least the two years immediately preceding
         <br />
         		<a id="pl.296.16"></a><var>296.16</var>employment and must sign a statement attesting to that fact.<br />
         		<a id="pl.296.17"></a><var>296.17</var>(c) A paraprofessional, recovery peer, or any other staff member with direct contact
         <br />
         		<a id="pl.296.18"></a><var>296.18</var>must be free of problematic substance use for at least one year immediately preceding
         <br />
         		<a id="pl.296.19"></a><var>296.19</var>employment and must sign a statement attesting to that fact.<br />
         		<a id="pl.296.20"></a><var>296.20</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Employment; prohibition on problematic substance use.</b> A staff member <br />
         		<a id="pl.296.21"></a><var>296.21</var>with direct contact must be free from problematic substance use as a condition of
         <br />
         		<a id="pl.296.22"></a><var>296.22</var>employment, but is not required to sign additional statements. A staff member with
         direct <br />
         		<a id="pl.296.23"></a><var>296.23</var>contact who is not free from problematic substance use must be removed from any <br />
         		<a id="pl.296.24"></a><var>296.24</var>responsibilities that include direct contact for the time period specified in subdivision
         1. <br />
         		<a id="pl.296.25"></a><var>296.25</var>The time period begins to run on the date of the last incident of problematic substance
         use <br />
         		<a id="pl.296.26"></a><var>296.26</var>as described in the facility's policies and procedures according to section 245G.13,
         <br />
         		<a id="pl.296.27"></a><var>296.27</var>subdivision 1, clause (5).<br />
         		<a id="pl.296.28"></a><var>296.28</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Treatment directors.</b> A treatment director must:<br />
         		<a id="pl.296.29"></a><var>296.29</var>(1) have at least one year of work experience in direct service to an individual with
         <br />
         		<a id="pl.296.30"></a><var>296.30</var>substance use disorder or one year of work experience in the management or administration
         <br />
         		<a id="pl.296.31"></a><var>296.31</var>of direct service to an individual with substance use disorder;<br />
         		<a id="pl.296.32"></a><var>296.32</var>(2) have a baccalaureate degree or three years of work experience in administration
         or <br />
         		<a id="pl.296.33"></a><var>296.33</var>personnel supervision in human services; and<br />
         		<a id="pl.297.1"></a><var>297.1</var>(3) know and understand the implications of this chapter, chapter 245A, and sections
         <br />
         		<a id="pl.297.2"></a><var>297.2</var>626.556, 626.557, and 626.5572. Demonstration of the treatment director's knowledge
         must <br />
         		<a id="pl.297.3"></a><var>297.3</var>be documented in the personnel record.<br />
         		<a id="pl.297.4"></a><var>297.4</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Alcohol and drug counselor supervisors.</b> An alcohol and drug counselor <br />
         		<a id="pl.297.5"></a><var>297.5</var>supervisor must:<br />
         		<a id="pl.297.6"></a><var>297.6</var>(1) meet the qualification requirements in subdivision 5;<br />
         		<a id="pl.297.7"></a><var>297.7</var>(2) have three or more years of experience providing individual and group counseling
         <br />
         		<a id="pl.297.8"></a><var>297.8</var>to individuals with substance use disorder; and<br />
         		<a id="pl.297.9"></a><var>297.9</var>(3) know and understand the implications of this chapter and sections 245A.65, 626.556,
         <br />
         		<a id="pl.297.10"></a><var>297.10</var>626.557, and 626.5572.<br />
         		<a id="pl.297.11"></a><var>297.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Alcohol and drug counselor qualifications.</b> (a) An alcohol and drug counselor <br />
         		<a id="pl.297.12"></a><var>297.12</var>must either be licensed or exempt from licensure under chapter 148F.<br />
         		<a id="pl.297.13"></a><var>297.13</var>(b) An individual who is exempt from licensure under chapter 148F, must meet one of
         <br />
         		<a id="pl.297.14"></a><var>297.14</var>the following additional requirements:<br />
         		<a id="pl.297.15"></a><var>297.15</var>(1) completion of at least a baccalaureate degree with a major or concentration in
         social <br />
         		<a id="pl.297.16"></a><var>297.16</var>work, nursing, sociology, human services, or psychology, or licensure as a registered
         nurse; <br />
         		<a id="pl.297.17"></a><var>297.17</var>successful completion of a minimum of 120 hours of classroom instruction in which
         each <br />
         		<a id="pl.297.18"></a><var>297.18</var>of the core functions listed in chapter 148F is covered; and successful completion
         of 440 <br />
         		<a id="pl.297.19"></a><var>297.19</var>hours of supervised experience as an alcohol and drug counselor, either as a student
         or a <br />
         		<a id="pl.297.20"></a><var>297.20</var>staff member;<br />
         		<a id="pl.297.21"></a><var>297.21</var>(2) completion of at least 270 hours of drug counselor training in which each of the
         core <br />
         		<a id="pl.297.22"></a><var>297.22</var>functions listed in chapter 148F is covered, and successful completion of 880 hours
         of <br />
         		<a id="pl.297.23"></a><var>297.23</var>supervised experience as an alcohol and drug counselor, either as a student or as
         a staff <br />
         		<a id="pl.297.24"></a><var>297.24</var>member;<br />
         		<a id="pl.297.25"></a><var>297.25</var>(3) current certification as an alcohol and drug counselor or alcohol and drug counselor
         <br />
         		<a id="pl.297.26"></a><var>297.26</var>reciprocal, through the evaluation process established by the International Certification
         and <br />
         		<a id="pl.297.27"></a><var>297.27</var>Reciprocity Consortium Alcohol and Other Drug Abuse, Inc.;<br />
         		<a id="pl.297.28"></a><var>297.28</var>(4) completion of a bachelor's degree including 480 hours of alcohol and drug counseling
         <br />
         		<a id="pl.297.29"></a><var>297.29</var>education from an accredited school or educational program and 880 hours of alcohol
         and <br />
         		<a id="pl.297.30"></a><var>297.30</var>drug counseling practicum; or<br />
         		<a id="pl.298.1"></a><var>298.1</var>(5) employment in a program formerly licensed under Minnesota Rules, parts 9530.5000
         <br />
         		<a id="pl.298.2"></a><var>298.2</var>to 9530.6400, and successful completion of 6,000 hours of supervised work experience
         in <br />
         		<a id="pl.298.3"></a><var>298.3</var>a licensed program as an alcohol and drug counselor prior to January 1, 2005.<br />
         		<a id="pl.298.4"></a><var>298.4</var>(c) An alcohol and drug counselor may not provide a treatment service that requires
         <br />
         		<a id="pl.298.5"></a><var>298.5</var>professional licensure unless the individual possesses the necessary license.  For
         the purposes <br />
         		<a id="pl.298.6"></a><var>298.6</var>of enforcing this section, the commissioner has the authority to monitor a service
         provider's <br />
         		<a id="pl.298.7"></a><var>298.7</var>compliance with the relevant standards of the service provider's profession and may
         issue <br />
         		<a id="pl.298.8"></a><var>298.8</var>licensing actions against the license holder according to sections 245A.05, 245A.06,
         and <br />
         		<a id="pl.298.9"></a><var>298.9</var>245A.07, based on the commissioner's determination of noncompliance.<br />
         		<a id="pl.298.10"></a><var>298.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Paraprofessionals.</b> A paraprofessional must have knowledge of client rights, <br />
         		<a id="pl.298.11"></a><var>298.11</var>according to section 148F.165, and staff member responsibilities. A paraprofessional
         may <br />
         		<a id="pl.298.12"></a><var>298.12</var>not admit, transfer, or discharge a client but may be responsible for the delivery
         of treatment <br />
         		<a id="pl.298.13"></a><var>298.13</var>service according to section 245G.10, subdivision 3.<br />
         		<a id="pl.298.14"></a><var>298.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Care coordination provider qualifications.</b> (a) Care coordination must be <br />
         		<a id="pl.298.15"></a><var>298.15</var>provided by qualified staff. An individual is qualified to provide care coordination
         if the <br />
         		<a id="pl.298.16"></a><var>298.16</var>individual:<br />
         		<a id="pl.298.17"></a><var>298.17</var>(1) is skilled in the process of identifying and assessing a wide range of client
         needs;<br />
         		<a id="pl.298.18"></a><var>298.18</var>(2) is knowledgeable about local community resources and how to use those resources
         <br />
         		<a id="pl.298.19"></a><var>298.19</var>for the benefit of the client;<br />
         		<a id="pl.298.20"></a><var>298.20</var>(3) has successfully completed 30 hours of classroom instruction on care coordination
         <br />
         		<a id="pl.298.21"></a><var>298.21</var>for an individual with substance use disorder;<br />
         		<a id="pl.298.22"></a><var>298.22</var>(4) has either:<br />
         		<a id="pl.298.23"></a><var>298.23</var>(i) a bachelor's degree in one of the behavioral sciences or related fields; or<br />
         		<a id="pl.298.24"></a><var>298.24</var>(ii) current certification as an alcohol and drug counselor, level I, by the Upper
         Midwest <br />
         		<a id="pl.298.25"></a><var>298.25</var>Indian Council on Addictive Disorders; and<br />
         		<a id="pl.298.26"></a><var>298.26</var>(5) has at least 2,000 hours of supervised experience working with individuals with
         <br />
         		<a id="pl.298.27"></a><var>298.27</var>substance use disorder.<br />
         		<a id="pl.298.28"></a><var>298.28</var>(b) A care coordinator must receive at least one hour of supervision regarding individual
         <br />
         		<a id="pl.298.29"></a><var>298.29</var>service delivery from an alcohol and drug counselor weekly.<br />
         		<a id="pl.298.30"></a><var>298.30</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Recovery peer qualifications.</b> A recovery peer must:<br />
         		<a id="pl.298.31"></a><var>298.31</var>(1) have a high school diploma or its equivalent;<br />
         		<a id="pl.299.1"></a><var>299.1</var>(2) have a minimum of one year in recovery from substance use disorder;<br />
         		<a id="pl.299.2"></a><var>299.2</var>(3) hold a current credential from a certification body approved by the commissioner
         <br />
         		<a id="pl.299.3"></a><var>299.3</var>that demonstrates skills and training in the domains of ethics and boundaries, advocacy,
         <br />
         		<a id="pl.299.4"></a><var>299.4</var>mentoring and education, and recovery and wellness support; and<br />
         		<a id="pl.299.5"></a><var>299.5</var>(4) receive ongoing supervision in areas specific to the domains of the recovery peer's
         <br />
         		<a id="pl.299.6"></a><var>299.6</var>role by an alcohol and drug counselor or an individual with a certification approved
         by the <br />
         		<a id="pl.299.7"></a><var>299.7</var>commissioner.<br />
         		<a id="pl.299.8"></a><var>299.8</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Volunteers.</b> A volunteer may provide treatment service when the volunteer is <br />
         		<a id="pl.299.9"></a><var>299.9</var>supervised and can be seen or heard by a staff member meeting the criteria in subdivision
         <br />
         		<a id="pl.299.10"></a><var>299.10</var>4 or 5, but may not practice alcohol and drug counseling unless qualified under subdivision
         <br />
         		<a id="pl.299.11"></a><var>299.11</var>5.<br />
         		<a id="pl.299.12"></a><var>299.12</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Student interns.</b> A qualified staff member must supervise and be responsible <br />
         		<a id="pl.299.13"></a><var>299.13</var>for a treatment service performed by a student intern and must review and sign each
         <br />
         		<a id="pl.299.14"></a><var>299.14</var>assessment, progress note, and individual treatment plan prepared by a student intern.
         A <br />
         		<a id="pl.299.15"></a><var>299.15</var>student intern must receive the orientation and training required in section 245G.13,
         <br />
         		<a id="pl.299.16"></a><var>299.16</var>subdivisions 1, clause (7), and 2. No more than 50 percent of the treatment staff
         may be <br />
         		<a id="pl.299.17"></a><var>299.17</var>students or licensing candidates with time documented to be directly related to the
         provision <br />
         		<a id="pl.299.18"></a><var>299.18</var>of treatment services for which the staff are authorized.<br />
         		<a id="pl.299.19"></a><var>299.19</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Individuals with temporary permit.</b> An individual with a temporary permit <br />
         		<a id="pl.299.20"></a><var>299.20</var>from the Board of Behavioral Health and Therapy may provide chemical dependency <br />
         		<a id="pl.299.21"></a><var>299.21</var>treatment service according to this subdivision if they meet the requirements of either
         <br />
         		<a id="pl.299.22"></a><var>299.22</var>paragraph (a) or (b).<br />
         		<a id="pl.299.23"></a><var>299.23</var>(a) An individual with a temporary permit must be supervised by a licensed alcohol
         and <br />
         		<a id="pl.299.24"></a><var>299.24</var>drug counselor assigned by the license holder. The supervising licensed alcohol and
         drug <br />
         		<a id="pl.299.25"></a><var>299.25</var>counselor must document the amount and type of supervision provided at least on a
         weekly <br />
         		<a id="pl.299.26"></a><var>299.26</var>basis. The supervision must relate to the clinical practice.<br />
         		<a id="pl.299.27"></a><var>299.27</var>(b) An individual with a temporary permit must be supervised by a clinical supervisor
         <br />
         		<a id="pl.299.28"></a><var>299.28</var>approved by the Board of Behavioral Health and Therapy. The supervision must be <br />
         		<a id="pl.299.29"></a><var>299.29</var>documented and meet the requirements of section 148F.04, subdivision 4.<br />
         		<a id="pl.299.30"></a><var>299.30</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.20.0"></a><a id="pl.300.1"></a><var>300.1</var>&#160;&#160;&#160;&#160;Sec. 20. <b>[245G.12] PROVIDER POLICIES AND PROCEDURES.</b><br />
         		<a id="pl.300.2"></a><var>300.2</var>A license holder must develop a written policies and procedures manual, indexed <br />
         		<a id="pl.300.3"></a><var>300.3</var>according to section 245A.04, subdivision 14, paragraph (c), that provides staff members
         <br />
         		<a id="pl.300.4"></a><var>300.4</var>immediate access to all policies and procedures and provides a client and other authorized
         <br />
         		<a id="pl.300.5"></a><var>300.5</var>parties access to all policies and procedures. The manual must contain the following
         <br />
         		<a id="pl.300.6"></a><var>300.6</var>materials:<br />
         		<a id="pl.300.7"></a><var>300.7</var>(1) assessment and treatment planning policies, including screening for mental health
         <br />
         		<a id="pl.300.8"></a><var>300.8</var>concerns and treatment objectives related to the client's identified mental health
         concerns <br />
         		<a id="pl.300.9"></a><var>300.9</var>in the client's treatment plan;<br />
         		<a id="pl.300.10"></a><var>300.10</var>(2) policies and procedures regarding HIV according to section 245A.19;<br />
         		<a id="pl.300.11"></a><var>300.11</var>(3) the license holder's methods and resources to provide information on tuberculosis
         <br />
         		<a id="pl.300.12"></a><var>300.12</var>and tuberculosis screening to each client and to report a known tuberculosis infection
         <br />
         		<a id="pl.300.13"></a><var>300.13</var>according to section 144.4804;<br />
         		<a id="pl.300.14"></a><var>300.14</var>(4) personnel policies according to section 245G.13;<br />
         		<a id="pl.300.15"></a><var>300.15</var>(5) policies and procedures that protect a client's rights according to section 245G.15;<br />
         		<a id="pl.300.16"></a><var>300.16</var>(6) a medical services plan according to section 245G.08;<br />
         		<a id="pl.300.17"></a><var>300.17</var>(7) emergency procedures according to section 245G.16;<br />
         		<a id="pl.300.18"></a><var>300.18</var>(8) policies and procedures for maintaining client records according to section 245G.09;<br />
         		<a id="pl.300.19"></a><var>300.19</var>(9) procedures for reporting the maltreatment of minors according to section 626.556,
         <br />
         		<a id="pl.300.20"></a><var>300.20</var>and vulnerable adults according to sections 245A.65, 626.557, and 626.5572;<br />
         		<a id="pl.300.21"></a><var>300.21</var>(10) a description of treatment services, including the amount and type of services
         <br />
         		<a id="pl.300.22"></a><var>300.22</var>provided;<br />
         		<a id="pl.300.23"></a><var>300.23</var>(11) the methods used to achieve desired client outcomes;<br />
         		<a id="pl.300.24"></a><var>300.24</var>(12) the hours of operation; and<br />
         		<a id="pl.300.25"></a><var>300.25</var>(13) the target population served.<br />
         		<a id="pl.300.26"></a><var>300.26</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.21.0"></a><a id="pl.300.27"></a><var>300.27</var>&#160;&#160;&#160;&#160;Sec. 21. <b>[245G.13] PROVIDER PERSONNEL POLICIES.</b><br />
         		<a id="pl.300.28"></a><var>300.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Personnel policy requirements.</b> A license holder must have written <br />
         		<a id="pl.300.29"></a><var>300.29</var>personnel policies that are available to each staff member. The personnel policies
         must:<br />
         		<a id="pl.301.1"></a><var>301.1</var>(1) ensure that staff member retention, promotion, job assignment, or pay are not
         affected <br />
         		<a id="pl.301.2"></a><var>301.2</var>by a good faith communication between a staff member and the department, the Department
         <br />
         		<a id="pl.301.3"></a><var>301.3</var>of Health, the ombudsman for mental health and developmental disabilities, law enforcement,
         <br />
         		<a id="pl.301.4"></a><var>301.4</var>or a local agency for the investigation of a complaint regarding a client's rights,
         health, or <br />
         		<a id="pl.301.5"></a><var>301.5</var>safety;<br />
         		<a id="pl.301.6"></a><var>301.6</var>(2) contain a job description for each staff member position specifying responsibilities,
         <br />
         		<a id="pl.301.7"></a><var>301.7</var>degree of authority to execute job responsibilities, and qualification requirements;<br />
         		<a id="pl.301.8"></a><var>301.8</var>(3) provide for a job performance evaluation based on standards of job performance
         <br />
         		<a id="pl.301.9"></a><var>301.9</var>conducted on a regular and continuing basis, including a written annual review;<br />
         		<a id="pl.301.10"></a><var>301.10</var>(4) describe behavior that constitutes grounds for disciplinary action, suspension,
         or <br />
         		<a id="pl.301.11"></a><var>301.11</var>dismissal, including policies that address staff member problematic substance use
         and the <br />
         		<a id="pl.301.12"></a><var>301.12</var>requirements of section 245G.11, subdivision 1, policies prohibiting personal involvement
         <br />
         		<a id="pl.301.13"></a><var>301.13</var>with a client in violation of chapter 604, and policies prohibiting client abuse described
         in <br />
         		<a id="pl.301.14"></a><var>301.14</var>sections 245A.65, 626.556, 626.557, and 626.5572;<br />
         		<a id="pl.301.15"></a><var>301.15</var>(5) identify how the program will identify whether behaviors or incidents are problematic
         <br />
         		<a id="pl.301.16"></a><var>301.16</var>substance use, including a description of how the facility must address:<br />
         		<a id="pl.301.17"></a><var>301.17</var>(i) receiving treatment for substance use within the period specified for the position
         in <br />
         		<a id="pl.301.18"></a><var>301.18</var>the staff qualification requirements, including medication-assisted treatment;<br />
         		<a id="pl.301.19"></a><var>301.19</var>(ii) substance use that negatively impacts the staff member's job performance;<br />
         		<a id="pl.301.20"></a><var>301.20</var>(iii) chemical use that affects the credibility of treatment services with a client,
         referral <br />
         		<a id="pl.301.21"></a><var>301.21</var>source, or other member of the community;<br />
         		 <a id="pl.301.22"></a><var>301.22</var>(iv) symptoms of intoxication or withdrawal on the job; and<br />
         		<a id="pl.301.23"></a><var>301.23</var>(v) the circumstances under which an individual who participates in monitoring by
         the <br />
         		<a id="pl.301.24"></a><var>301.24</var>health professional services program for a substance use or mental health disorder
         is able <br />
         		<a id="pl.301.25"></a><var>301.25</var>to provide services to the program's clients;<br />
         		<a id="pl.301.26"></a><var>301.26</var>(6) include a chart or description of the organizational structure indicating lines
         of <br />
         		<a id="pl.301.27"></a><var>301.27</var>authority and responsibilities;<br />
         		<a id="pl.301.28"></a><var>301.28</var>(7) include orientation within 24 working hours of starting for each new staff member
         <br />
         		<a id="pl.301.29"></a><var>301.29</var>based on a written plan that, at a minimum, must provide training related to the staff
         member's <br />
         		<a id="pl.301.30"></a><var>301.30</var>specific job responsibilities, policies and procedures, client confidentiality, HIV
         minimum <br />
         		<a id="pl.301.31"></a><var>301.31</var>standards, and client needs; and<br />
         		<a id="pl.302.1"></a><var>302.1</var>(8) include policies outlining the license holder's response to a staff member with
         a <br />
         		<a id="pl.302.2"></a><var>302.2</var>behavior problem that interferes with the provision of treatment service.<br />
         		<a id="pl.302.3"></a><var>302.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Staff development.</b> (a) A license holder must ensure that each staff member <br />
         		<a id="pl.302.4"></a><var>302.4</var>has the training described in this subdivision.<br />
         		<a id="pl.302.5"></a><var>302.5</var>(b) Each staff member must be trained every two years in:<br />
         		<a id="pl.302.6"></a><var>302.6</var>(1) client confidentiality rules and regulations and client ethical boundaries; and<br />
         		<a id="pl.302.7"></a><var>302.7</var>(2) emergency procedures and client rights as specified in sections 144.651, 148F.165,
         <br />
         		<a id="pl.302.8"></a><var>302.8</var>and 253B.03.<br />
         		<a id="pl.302.9"></a><var>302.9</var>(c) Annually each staff member with direct contact must be trained on mandatory <br />
         		<a id="pl.302.10"></a><var>302.10</var>reporting as specified in sections 245A.65, 626.556, 626.5561, 626.557, and 626.5572,
         <br />
         		<a id="pl.302.11"></a><var>302.11</var>including specific training covering the license holder's policies for obtaining a
         release of <br />
         		<a id="pl.302.12"></a><var>302.12</var>client information.<br />
         		<a id="pl.302.13"></a><var>302.13</var>(d) Upon employment and annually thereafter, each staff member with direct contact
         <br />
         		<a id="pl.302.14"></a><var>302.14</var>must receive training on HIV minimum standards according to section 245A.19.<br />
         		<a id="pl.302.15"></a><var>302.15</var>(e) A treatment director, supervisor, nurse, or counselor must have a minimum of 12
         <br />
         		<a id="pl.302.16"></a><var>302.16</var>hours of training in co-occurring disorders that includes competencies related to
         philosophy, <br />
         		<a id="pl.302.17"></a><var>302.17</var>trauma-informed care, screening, assessment, diagnosis and person-centered treatment
         <br />
         		<a id="pl.302.18"></a><var>302.18</var>planning, documentation, programming, medication, collaboration, mental health <br />
         		<a id="pl.302.19"></a><var>302.19</var>consultation, and discharge planning. A new staff member who has not obtained the
         training <br />
         		<a id="pl.302.20"></a><var>302.20</var>must complete the training within six months of employment. A staff member may request,
         <br />
         		<a id="pl.302.21"></a><var>302.21</var>and the license holder may grant, credit for relevant training obtained before employment,
         <br />
         		<a id="pl.302.22"></a><var>302.22</var>which must be documented in the staff member's personnel file.<br />
         		<a id="pl.302.23"></a><var>302.23</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Personnel files.</b> The license holder must maintain a separate personnel file for <br />
         		<a id="pl.302.24"></a><var>302.24</var>each staff member. At a minimum, the personnel file must conform to the requirements
         of <br />
         		<a id="pl.302.25"></a><var>302.25</var>this chapter. A personnel file must contain the following:<br />
         		<a id="pl.302.26"></a><var>302.26</var>(1) a completed application for employment signed by the staff member and containing
         <br />
         		<a id="pl.302.27"></a><var>302.27</var>the staff member's qualifications for employment;<br />
         		<a id="pl.302.28"></a><var>302.28</var>(2) documentation related to the staff member's background study data, according to
         <br />
         		<a id="pl.302.29"></a><var>302.29</var>chapter 245C;<br />
         		<a id="pl.302.30"></a><var>302.30</var>(3) for a staff member who provides psychotherapy services, employer names and <br />
         		<a id="pl.302.31"></a><var>302.31</var>addresses for the past five years for which the staff member provided psychotherapy
         services, <br />
         		<a id="pl.303.1"></a><var>303.1</var>and documentation of an inquiry required by sections 604.20 to 604.205 made to the
         staff <br />
         		<a id="pl.303.2"></a><var>303.2</var>member's former employer regarding substantiated sexual contact with a client;<br />
         		<a id="pl.303.3"></a><var>303.3</var>(4) documentation that the staff member completed orientation and training;<br />
         		<a id="pl.303.4"></a><var>303.4</var>(5) documentation that the staff member meets the requirements in section 245G.11;<br />
         		<a id="pl.303.5"></a><var>303.5</var>(6) documentation demonstrating the staff member's compliance with section 245G.08,
         <br />
         		<a id="pl.303.6"></a><var>303.6</var>subdivision 3, for a staff member who conducts administration of medication; and<br />
         		<a id="pl.303.7"></a><var>303.7</var>(7) documentation demonstrating the staff member's compliance with section 245G.18,
         <br />
         		<a id="pl.303.8"></a><var>303.8</var>subdivision 2, for a staff member that treats an adolescent client.<br />
         		<a id="pl.303.9"></a><var>303.9</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.22.0"></a><a id="pl.303.10"></a><var>303.10</var>&#160;&#160;&#160;&#160;Sec. 22. <b>[245G.14] SERVICE INITIATION AND TERMINATION POLICIES.</b><br />
         		<a id="pl.303.11"></a><var>303.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Service initiation policy.</b> A license holder must have a written service <br />
         		<a id="pl.303.12"></a><var>303.12</var>initiation policy containing service initiation preferences that comply with this
         section and <br />
         		<a id="pl.303.13"></a><var>303.13</var>Code of Federal Regulations, title 45, part 96.131, and specific service initiation
         criteria. <br />
         		<a id="pl.303.14"></a><var>303.14</var>The license holder must not initiate services for an individual who does not meet
         the service <br />
         		<a id="pl.303.15"></a><var>303.15</var>initiation criteria. The service initiation criteria must be either posted in the
         area of the <br />
         		<a id="pl.303.16"></a><var>303.16</var>facility where services for a client are initiated, or given to each interested person
         upon <br />
         		<a id="pl.303.17"></a><var>303.17</var>request. Titles of each staff member authorized to initiate services for a client
         must be listed <br />
         		<a id="pl.303.18"></a><var>303.18</var>in the services initiation and termination policies.<br />
         		<a id="pl.303.19"></a><var>303.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>License holder responsibilities.</b> (a) The license holder must have and comply <br />
         		<a id="pl.303.20"></a><var>303.20</var>with a written protocol for (1) assisting a client in need of care not provided by
         the license <br />
         		<a id="pl.303.21"></a><var>303.21</var>holder, and (2) a client who poses a substantial likelihood of harm to the client
         or others, if <br />
         		<a id="pl.303.22"></a><var>303.22</var>the behavior is beyond the behavior management capabilities of the staff members.<br />
         		<a id="pl.303.23"></a><var>303.23</var>(b) A service termination and denial of service initiation that poses an immediate
         threat <br />
         		<a id="pl.303.24"></a><var>303.24</var>to the health of any individual or requires immediate medical intervention must be
         referred <br />
         		<a id="pl.303.25"></a><var>303.25</var>to a medical facility capable of admitting the client.<br />
         		<a id="pl.303.26"></a><var>303.26</var>(c) A service termination policy and a denial of service initiation that involves
         the <br />
         		<a id="pl.303.27"></a><var>303.27</var>commission of a crime against a license holder's staff member or on a license holder's
         <br />
         		<a id="pl.303.28"></a><var>303.28</var>premises, as provided under Code of Federal Regulations, title 42, section 2.12(c)(5),
         and <br />
         		<a id="pl.303.29"></a><var>303.29</var>title 45, parts 160 to 164, must be reported to a law enforcement agency with jurisdiction.<br />
         		<a id="pl.303.30"></a><var>303.30</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Service termination policies.</b> A license holder must have a written policy <br />
         		<a id="pl.303.31"></a><var>303.31</var>specifying the conditions when a client must be terminated from service. The service
         <br />
         		<a id="pl.303.32"></a><var>303.32</var>termination policy must include:<br />
         		<a id="pl.304.1"></a><var>304.1</var>(1) procedures for a client whose services were terminated under subdivision 2;<br />
         		<a id="pl.304.2"></a><var>304.2</var>(2) a description of client behavior that constitutes reason for a staff-requested
         service <br />
         		<a id="pl.304.3"></a><var>304.3</var>termination and a process for providing this information to a client;<br />
         		<a id="pl.304.4"></a><var>304.4</var>(3) a requirement that before discharging a client from a residential setting, for
         not <br />
         		<a id="pl.304.5"></a><var>304.5</var>reaching treatment plan goals, the license holder must confer with other interested
         persons <br />
         		<a id="pl.304.6"></a><var>304.6</var>to review the issues involved in the decision. The documentation requirements for
         a <br />
         		<a id="pl.304.7"></a><var>304.7</var>staff-requested service termination must describe why the decision to discharge is
         warranted, <br />
         		<a id="pl.304.8"></a><var>304.8</var>the reasons for the discharge, and the alternatives considered or attempted before
         discharging <br />
         		<a id="pl.304.9"></a><var>304.9</var>the client;<br />
         		<a id="pl.304.10"></a><var>304.10</var>(4) procedures consistent with section 253B.16, subdivision 2, that staff members
         must <br />
         		<a id="pl.304.11"></a><var>304.11</var>follow when a client admitted under chapter 253B is to have services terminated;<br />
         		<a id="pl.304.12"></a><var>304.12</var>(5) procedures a staff member must follow when a client leaves against staff or medical
         <br />
         		<a id="pl.304.13"></a><var>304.13</var>advice and when the client may be dangerous to the client or others, including a policy
         that <br />
         		<a id="pl.304.14"></a><var>304.14</var>requires a staff member to assist the client with assessing needs of care or other
         resources;<br />
         		<a id="pl.304.15"></a><var>304.15</var>(6) procedures for communicating staff-approved service termination criteria to a
         client, <br />
         		<a id="pl.304.16"></a><var>304.16</var>including the expectations in the client's individual treatment plan according to
         section <br />
         		<a id="pl.304.17"></a><var>304.17</var>245G.06; and<br />
         		<a id="pl.304.18"></a><var>304.18</var>(7) titles of each staff member authorized to terminate a client's service must be
         listed <br />
         		<a id="pl.304.19"></a><var>304.19</var>in the service initiation and service termination policies.<br />
         		<a id="pl.304.20"></a><var>304.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.23.0"></a><a id="pl.304.21"></a><var>304.21</var>&#160;&#160;&#160;&#160;Sec. 23. <b>[245G.15] CLIENT RIGHTS PROTECTION.</b><br />
         		<a id="pl.304.22"></a><var>304.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Explanation.</b> A client has the rights identified in sections 144.651, <br />
         		<a id="pl.304.23"></a><var>304.23</var>148F.165, 253B.03, and 254B.02, subdivision 2, as applicable. The license holder must
         <br />
         		<a id="pl.304.24"></a><var>304.24</var>give each client at service initiation a written statement of the client's rights
         and <br />
         		<a id="pl.304.25"></a><var>304.25</var>responsibilities. A staff member must review the statement with a client at that time.<br />
         		<a id="pl.304.26"></a><var>304.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Grievance procedure.</b> At service initiation, the license holder must explain <br />
         		<a id="pl.304.27"></a><var>304.27</var>the grievance procedure to the client or the client's representative. The grievance
         procedure <br />
         		<a id="pl.304.28"></a><var>304.28</var>must be posted in a place visible to clients, and made available upon a client's or
         former <br />
         		<a id="pl.304.29"></a><var>304.29</var>client's request. The grievance procedure must require that:<br />
         		<a id="pl.304.30"></a><var>304.30</var>(1) a staff member helps the client develop and process a grievance;<br />
         		<a id="pl.304.31"></a><var>304.31</var>(2) current telephone numbers and addresses of the Department of Human Services, <br />
         		<a id="pl.304.32"></a><var>304.32</var>Licensing Division; the Office of Ombudsman for Mental Health and Developmental <br />
         		<a id="pl.305.1"></a><var>305.1</var>Disabilities; the Department of Health Office of Health Facilities Complaints; and
         the Board <br />
         		<a id="pl.305.2"></a><var>305.2</var>of Behavioral Health and Therapy, when applicable, be made available to a client;
         and<br />
         		<a id="pl.305.3"></a><var>305.3</var>(3) a license holder responds to the client's grievance within three days of a staff
         member's <br />
         		<a id="pl.305.4"></a><var>305.4</var>receipt of the grievance, and the client may bring the grievance to the highest level
         of <br />
         		<a id="pl.305.5"></a><var>305.5</var>authority in the program if not resolved by another staff member.<br />
         		<a id="pl.305.6"></a><var>305.6</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Photographs of client.</b> (a) A photograph, video, or motion picture of a client <br />
         		<a id="pl.305.7"></a><var>305.7</var>taken in the provision of treatment service is considered client records. A photograph
         for <br />
         		<a id="pl.305.8"></a><var>305.8</var>identification and a recording by video or audio technology to enhance either therapy
         or <br />
         		<a id="pl.305.9"></a><var>305.9</var>staff member supervision may be required of a client, but may only be available for
         use as <br />
         		<a id="pl.305.10"></a><var>305.10</var>communications within a program. A client must be informed when the client's actions
         are <br />
         		<a id="pl.305.11"></a><var>305.11</var>being recorded by camera or other technology, and the client must have the right to
         refuse <br />
         		<a id="pl.305.12"></a><var>305.12</var>any recording or photography, except as authorized by this subdivision.<br />
         		<a id="pl.305.13"></a><var>305.13</var>(b) A license holder must have a written policy regarding the use of any personal
         <br />
         		<a id="pl.305.14"></a><var>305.14</var>electronic device that can record, transmit, or make images of another client. A license
         <br />
         		<a id="pl.305.15"></a><var>305.15</var>holder must inform each client of this policy and the client's right to refuse being
         <br />
         		<a id="pl.305.16"></a><var>305.16</var>photographed or recorded.<br />
         		<a id="pl.305.17"></a><var>305.17</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.24.0"></a><a id="pl.305.18"></a><var>305.18</var>&#160;&#160;&#160;&#160;Sec. 24. <b>[245G.16] BEHAVIORAL EMERGENCY PROCEDURES.</b><br />
         		<a id="pl.305.19"></a><var>305.19</var>(a) A license holder or applicant must have written behavioral emergency procedures
         <br />
         		<a id="pl.305.20"></a><var>305.20</var>that staff must follow when responding to a client who exhibits behavior that is threatening
         <br />
         		<a id="pl.305.21"></a><var>305.21</var>to the safety of the client or others. Programs must incorporate person-centered planning
         <br />
         		<a id="pl.305.22"></a><var>305.22</var>and trauma-informed care in the program's behavioral emergency procedure policies.
         The <br />
         		<a id="pl.305.23"></a><var>305.23</var>procedures must include:<br />
         		<a id="pl.305.24"></a><var>305.24</var>(1) a plan designed to prevent a client from hurting themselves or others;<br />
         		<a id="pl.305.25"></a><var>305.25</var>(2) contact information for emergency resources that staff must consult when a client's
         <br />
         		<a id="pl.305.26"></a><var>305.26</var>behavior cannot be controlled by the behavioral emergency procedures;<br />
         		<a id="pl.305.27"></a><var>305.27</var>(3) types of procedures that may be used;<br />
         		<a id="pl.305.28"></a><var>305.28</var>(4) circumstances under which behavioral emergency procedures may be used; and<br />
         		<a id="pl.305.29"></a><var>305.29</var>(5) staff members authorized to implement behavioral emergency procedures.<br />
         		<a id="pl.305.30"></a><var>305.30</var>(b) Behavioral emergency procedures must not be used to enforce facility rules or
         for <br />
         		<a id="pl.305.31"></a><var>305.31</var>the convenience of staff. Behavioral emergency procedures must not be part of any
         client's <br />
         		<a id="pl.305.32"></a><var>305.32</var>treatment plan, or used at any time for any reason except in response to specific
         current <br />
         		<a id="pl.306.1"></a><var>306.1</var>behavior that threatens the safety of the client or others. Behavioral emergency procedures
         <br />
         		<a id="pl.306.2"></a><var>306.2</var>may not include the use of seclusion or restraint.<br />
         		<a id="pl.306.3"></a><var>306.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.25.0"></a><a id="pl.306.4"></a><var>306.4</var>&#160;&#160;&#160;&#160;Sec. 25. <b>[245G.17] EVALUATION.</b><br />
         		<a id="pl.306.5"></a><var>306.5</var>A license holder must participate in the drug and alcohol abuse normative evaluation
         <br />
         		<a id="pl.306.6"></a><var>306.6</var>system by submitting information about each client to the commissioner in a manner
         <br />
         		<a id="pl.306.7"></a><var>306.7</var>prescribed by the commissioner. A license holder must submit additional information
         <br />
         		<a id="pl.306.8"></a><var>306.8</var>requested by the commissioner that is necessary to meet statutory or federal funding
         <br />
         		<a id="pl.306.9"></a><var>306.9</var>requirements.<br />
         		<a id="pl.306.10"></a><var>306.10</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.26.0"></a><a id="pl.306.11"></a><var>306.11</var>&#160;&#160;&#160;&#160;Sec. 26. <b>[245G.18] LICENSE HOLDERS SERVING ADOLESCENTS.</b><br />
         		<a id="pl.306.12"></a><var>306.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>License.</b> A residential treatment program that serves an adolescent younger <br />
         		<a id="pl.306.13"></a><var>306.13</var>than 16 years of age must be licensed as a residential program for a child in out-of-home
         <br />
         		<a id="pl.306.14"></a><var>306.14</var>placement by the department unless the license holder is exempt under section 245A.03,
         <br />
         		<a id="pl.306.15"></a><var>306.15</var>subdivision 2.<br />
         		<a id="pl.306.16"></a><var>306.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Alcohol and drug counselor qualifications.</b> In addition to the requirements <br />
         		<a id="pl.306.17"></a><var>306.17</var>specified in section 245G.11, subdivisions 1 and 5, an alcohol and drug counselor
         providing <br />
         		<a id="pl.306.18"></a><var>306.18</var>treatment service to an adolescent must have:<br />
         		<a id="pl.306.19"></a><var>306.19</var>(1) an additional 30 hours of classroom instruction or one three-credit semester college
         <br />
         		<a id="pl.306.20"></a><var>306.20</var>course in adolescent development. This training need only be completed one time; and<br />
         		<a id="pl.306.21"></a><var>306.21</var>(2) at least 150 hours of supervised experience as an adolescent counselor, either
         as a <br />
         		<a id="pl.306.22"></a><var>306.22</var>student or as a staff member.<br />
         		<a id="pl.306.23"></a><var>306.23</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Staff ratios.</b> At least 25 percent of a counselor's scheduled work hours must <br />
         		<a id="pl.306.24"></a><var>306.24</var>be allocated to indirect services, including documentation of client services, coordination
         <br />
         		<a id="pl.306.25"></a><var>306.25</var>of services with others, treatment team meetings, and other duties. A counseling group
         <br />
         		<a id="pl.306.26"></a><var>306.26</var>consisting entirely of adolescents must not exceed 16 adolescents. It is the responsibility
         of <br />
         		<a id="pl.306.27"></a><var>306.27</var>the license holder to determine an acceptable group size based on the needs of the
         clients.<br />
         		<a id="pl.306.28"></a><var>306.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Academic program requirements.</b> A client who is required to attend school <br />
         		<a id="pl.306.29"></a><var>306.29</var>must be enrolled and attending an educational program that was approved by the Department
         <br />
         		<a id="pl.306.30"></a><var>306.30</var>of Education.<br />
         		<a id="pl.307.1"></a><var>307.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Program requirements.</b> In addition to the requirements specified in the client's <br />
         		<a id="pl.307.2"></a><var>307.2</var>treatment plan under section 245G.06, programs serving an adolescent must include:<br />
         		<a id="pl.307.3"></a><var>307.3</var>(1) coordination with the school system to address the client's academic needs;<br />
         		<a id="pl.307.4"></a><var>307.4</var>(2) when appropriate, a plan that addresses the client's leisure activities without
         chemical <br />
         		<a id="pl.307.5"></a><var>307.5</var>use; and<br />
         		<a id="pl.307.6"></a><var>307.6</var>(3) a plan that addresses family involvement in the adolescent's treatment.<br />
         		<a id="pl.307.7"></a><var>307.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.27.0"></a><a id="pl.307.8"></a><var>307.8</var>&#160;&#160;&#160;&#160;Sec. 27. <b>[245G.19] LICENSE HOLDERS SERVING CLIENTS WITH CHILDREN.</b><br />
         		<a id="pl.307.9"></a><var>307.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Health license requirements.</b> In addition to the requirements of sections <br />
         		<a id="pl.307.10"></a><var>307.10</var>245G.01 to 245G.17, a license holder that offers supervision of a child of a client
         is subject <br />
         		<a id="pl.307.11"></a><var>307.11</var>to the requirements of this section. A license holder providing room and board for
         a client <br />
         		<a id="pl.307.12"></a><var>307.12</var>and the client's child must have an appropriate facility license from the Department
         of <br />
         		<a id="pl.307.13"></a><var>307.13</var>Health.<br />
         		<a id="pl.307.14"></a><var>307.14</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Supervision of a child.</b> "Supervision of a child" means a caregiver is within <br />
         		<a id="pl.307.15"></a><var>307.15</var>sight or hearing of an infant, toddler, or preschooler at all times so that the caregiver
         can <br />
         		<a id="pl.307.16"></a><var>307.16</var>intervene to protect the child's health and safety. For a school-age child it means
         a caregiver <br />
         		<a id="pl.307.17"></a><var>307.17</var>is available to help and care for the child to protect the child's health and safety.<br />
         		<a id="pl.307.18"></a><var>307.18</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Policy and schedule required.</b> A license holder must meet the following <br />
         		<a id="pl.307.19"></a><var>307.19</var>requirements:<br />
         		<a id="pl.307.20"></a><var>307.20</var>(1) have a policy and schedule delineating the times and circumstances when the license
         <br />
         		<a id="pl.307.21"></a><var>307.21</var>holder is responsible for supervision of a child in the program and when the child's
         parents <br />
         		<a id="pl.307.22"></a><var>307.22</var>are responsible for supervision of a child. The policy must explain how the program
         will <br />
         		<a id="pl.307.23"></a><var>307.23</var>communicate its policy about supervision of a child responsibility to the parent;
         and<br />
         		<a id="pl.307.24"></a><var>307.24</var>(2) have written procedures addressing the actions a staff member must take if a child
         <br />
         		<a id="pl.307.25"></a><var>307.25</var>is neglected or abused, including while the child is under the supervision of the
         child's <br />
         		<a id="pl.307.26"></a><var>307.26</var>parent.<br />
         		<a id="pl.307.27"></a><var>307.27</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Additional licensing requirements.</b> During the times the license holder is <br />
         		<a id="pl.307.28"></a><var>307.28</var>responsible for the supervision of a child, the license holder must meet the following
         <br />
         		<a id="pl.307.29"></a><var>307.29</var>standards:<br />
         		<a id="pl.307.30"></a><var>307.30</var>(1) child and adult ratios in Minnesota Rules, part 9502.0367;<br />
         		<a id="pl.307.31"></a><var>307.31</var>(2) day care training in section 245A.50;<br />
         		<a id="pl.308.1"></a><var>308.1</var>(3) behavior guidance in Minnesota Rules, part 9502.0395;<br />
         		<a id="pl.308.2"></a><var>308.2</var>(4) activities and equipment in Minnesota Rules, part 9502.0415;<br />
         		<a id="pl.308.3"></a><var>308.3</var>(5) physical environment in Minnesota Rules, part 9502.0425; and<br />
         		<a id="pl.308.4"></a><var>308.4</var>(6) water, food, and nutrition in Minnesota Rules, part 9502.0445, unless the license
         <br />
         		<a id="pl.308.5"></a><var>308.5</var>holder has a license from the Department of Health.<br />
         		<a id="pl.308.6"></a><var>308.6</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.28.0"></a><a id="pl.308.7"></a><var>308.7</var>&#160;&#160;&#160;&#160;Sec. 28. <b>[245G.20] LICENSE HOLDERS SERVING PERSONS WITH </b><br />
         		<a id="pl.308.8"></a><var>308.8</var><b>CO-OCCURRING DISORDERS.</b><br />
         		<a id="pl.308.9"></a><var>308.9</var>A license holder specializing in the treatment of a person with co-occurring disorders
         <br />
         		<a id="pl.308.10"></a><var>308.10</var>must:<br />
         		<a id="pl.308.11"></a><var>308.11</var>(1) demonstrate that staff levels are appropriate for treating a client with a co-occurring
         <br />
         		<a id="pl.308.12"></a><var>308.12</var>disorder, and that there are adequate staff members with mental health training;<br />
         		<a id="pl.308.13"></a><var>308.13</var>(2) have continuing access to a medical provider with appropriate expertise in prescribing
         <br />
         		<a id="pl.308.14"></a><var>308.14</var>psychotropic medication;<br />
         		<a id="pl.308.15"></a><var>308.15</var>(3) have a mental health professional available for staff member supervision and <br />
         		<a id="pl.308.16"></a><var>308.16</var>consultation;<br />
         		<a id="pl.308.17"></a><var>308.17</var>(4) determine group size, structure, and content considering the special needs of
         a client <br />
         		<a id="pl.308.18"></a><var>308.18</var>with a co-occurring disorder;<br />
         		<a id="pl.308.19"></a><var>308.19</var>(5) have documentation of active interventions to stabilize mental health symptoms
         <br />
         		<a id="pl.308.20"></a><var>308.20</var>present in the individual treatment plans and progress notes;<br />
         		<a id="pl.308.21"></a><var>308.21</var>(6) have continuing documentation of collaboration with continuing care mental health
         <br />
         		<a id="pl.308.22"></a><var>308.22</var>providers, and involvement of the providers in treatment planning meetings;<br />
         		<a id="pl.308.23"></a><var>308.23</var>(7) have available program materials adapted to a client with a mental health problem;<br />
         		<a id="pl.308.24"></a><var>308.24</var>(8) have policies that provide flexibility for a client who may lapse in treatment
         or may <br />
         		<a id="pl.308.25"></a><var>308.25</var>have difficulty adhering to established treatment rules as a result of a mental illness,
         with <br />
         		<a id="pl.308.26"></a><var>308.26</var>the goal of helping a client successfully complete treatment; and<br />
         		<a id="pl.308.27"></a><var>308.27</var>(9) have individual psychotherapy and case management available during treatment <br />
         		<a id="pl.308.28"></a><var>308.28</var>service.<br />
         		<a id="pl.308.29"></a><var>308.29</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.29.0"></a><a id="pl.309.1"></a><var>309.1</var>&#160;&#160;&#160;&#160;Sec. 29. <b>[245G.21] REQUIREMENTS FOR LICENSED RESIDENTIAL </b><br />
         		<a id="pl.309.2"></a><var>309.2</var><b>TREATMENT.</b><br />
         		<a id="pl.309.3"></a><var>309.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicability.</b> A license holder who provides supervised room and board <br />
         		<a id="pl.309.4"></a><var>309.4</var>at the licensed program site as a treatment component is defined as a residential
         program <br />
         		<a id="pl.309.5"></a><var>309.5</var>according to section 245A.02, subdivision 14, and is subject to this section.<br />
         		<a id="pl.309.6"></a><var>309.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Visitors.</b> A client must be allowed to receive visitors at times prescribed by <br />
         		<a id="pl.309.7"></a><var>309.7</var>the license holder. The license holder must set and post a notice of visiting rules
         and hours, <br />
         		<a id="pl.309.8"></a><var>309.8</var>including both day and evening times. A client's right to receive visitors other than
         a personal <br />
         		<a id="pl.309.9"></a><var>309.9</var>physician, religious adviser, county case manager, parole or probation officer, or
         attorney <br />
         		<a id="pl.309.10"></a><var>309.10</var>may be subject to visiting hours established by the license holder for all clients.
         The treatment <br />
         		<a id="pl.309.11"></a><var>309.11</var>director or designee may impose limitations as necessary for the welfare of a client
         provided <br />
         		<a id="pl.309.12"></a><var>309.12</var>the limitation and the reasons for the limitation are documented in the client's file.
         A client <br />
         		<a id="pl.309.13"></a><var>309.13</var>must be allowed to receive visits at all reasonable times from the client's personal
         physician, <br />
         		<a id="pl.309.14"></a><var>309.14</var>religious adviser, county case manager, parole or probation officer, and attorney.<br />
         		<a id="pl.309.15"></a><var>309.15</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Client property management.</b> A license holder who provides room and board <br />
         		<a id="pl.309.16"></a><var>309.16</var>and treatment services to a client in the same facility, and any license holder that
         accepts <br />
         		<a id="pl.309.17"></a><var>309.17</var>client property must meet the requirements for handling client funds and property
         in section <br />
         		<a id="pl.309.18"></a><var>309.18</var>245A.04, subdivision 13. License holders:<br />
         		<a id="pl.309.19"></a><var>309.19</var>(1) may establish policies regarding the use of personal property to ensure that treatment
         <br />
         		<a id="pl.309.20"></a><var>309.20</var>activities and the rights of other clients are not infringed upon;<br />
         		<a id="pl.309.21"></a><var>309.21</var>(2) may take temporary custody of a client's property for violation of a facility
         policy;<br />
         		<a id="pl.309.22"></a><var>309.22</var>(3) must retain the client's property for a minimum of seven days after the client's
         service <br />
         		<a id="pl.309.23"></a><var>309.23</var>termination if the client does not reclaim property upon service termination, or for
         a minimum <br />
         		<a id="pl.309.24"></a><var>309.24</var>of 30 days if the client does not reclaim property upon service termination and has
         received <br />
         		<a id="pl.309.25"></a><var>309.25</var>room and board services from the license holder; and<br />
         		<a id="pl.309.26"></a><var>309.26</var>(4) must return all property held in trust to the client at service termination regardless
         <br />
         		<a id="pl.309.27"></a><var>309.27</var>of the client's service termination status, except that:<br />
         		<a id="pl.309.28"></a><var>309.28</var>(i) a drug, drug paraphernalia, or drug container that is subject to forfeiture under
         section <br />
         		<a id="pl.309.29"></a><var>309.29</var>609.5316, must be given to the custody of a local law enforcement agency. If giving
         the <br />
         		<a id="pl.309.30"></a><var>309.30</var>property to the custody of a local law enforcement agency violates Code of Federal
         <br />
         		<a id="pl.309.31"></a><var>309.31</var>Regulations, title 42, sections 2.1 to 2.67, or title 45, parts 160 to 164, a drug,
         drug <br />
         		<a id="pl.309.32"></a><var>309.32</var>paraphernalia, or drug container must be destroyed by a staff member designated by
         the <br />
         		<a id="pl.309.33"></a><var>309.33</var>program director; and<br />
         		<a id="pl.310.1"></a><var>310.1</var>(ii) a weapon, explosive, and other property that can cause serious harm to the client
         or <br />
         		<a id="pl.310.2"></a><var>310.2</var>others must be given to the custody of a local law enforcement agency, and the client
         must <br />
         		<a id="pl.310.3"></a><var>310.3</var>be notified of the transfer and of the client's right to reclaim any lawful property
         transferred; <br />
         		<a id="pl.310.4"></a><var>310.4</var>and<br />
         		<a id="pl.310.5"></a><var>310.5</var>(iii) a medication that was determined by a physician to be harmful after examining
         the <br />
         		<a id="pl.310.6"></a><var>310.6</var>client must be destroyed, except when the client's personal physician approves the
         medication <br />
         		<a id="pl.310.7"></a><var>310.7</var>for continued use.<br />
         		<a id="pl.310.8"></a><var>310.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Health facility license.</b> A license holder who provides room and board and <br />
         		<a id="pl.310.9"></a><var>310.9</var>treatment services in the same facility must have the appropriate license from the
         Department <br />
         		<a id="pl.310.10"></a><var>310.10</var>of Health.<br />
         		<a id="pl.310.11"></a><var>310.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Facility abuse prevention plan.</b> A license holder must establish and enforce <br />
         		<a id="pl.310.12"></a><var>310.12</var>an ongoing facility abuse prevention plan consistent with sections 245A.65 and 626.557,
         <br />
         		<a id="pl.310.13"></a><var>310.13</var>subdivision 14.<br />
         		<a id="pl.310.14"></a><var>310.14</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Individual abuse prevention plan.</b> A license holder must prepare an individual <br />
         		<a id="pl.310.15"></a><var>310.15</var>abuse prevention plan for each client as specified under sections 245A.65, subdivision
         2, <br />
         		<a id="pl.310.16"></a><var>310.16</var>and 626.557, subdivision 14.<br />
         		<a id="pl.310.17"></a><var>310.17</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Health services.</b> A license holder must have written procedures for assessing <br />
         		<a id="pl.310.18"></a><var>310.18</var>and monitoring a client's health, including a standardized data collection tool for
         collecting <br />
         		<a id="pl.310.19"></a><var>310.19</var>health-related information about each client. The policies and procedures must be
         approved <br />
         		<a id="pl.310.20"></a><var>310.20</var>and signed by a registered nurse.<br />
         		<a id="pl.310.21"></a><var>310.21</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Administration of medication.</b> A license holder must meet the administration <br />
         		<a id="pl.310.22"></a><var>310.22</var>of medications requirements of section 245G.08, subdivision 5, if services include
         medication <br />
         		<a id="pl.310.23"></a><var>310.23</var>administration.<br />
         		<a id="pl.310.24"></a><var>310.24</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.30.0"></a><a id="pl.310.25"></a><var>310.25</var>&#160;&#160;&#160;&#160;Sec. 30. <b>[245G.22] OPIOID TREATMENT PROGRAMS.</b><br />
         		<a id="pl.310.26"></a><var>310.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Additional requirements.</b> (a) An opioid treatment program licensed <br />
         		<a id="pl.310.27"></a><var>310.27</var>under this chapter must also comply with the requirements of this section and Code
         of <br />
         		<a id="pl.310.28"></a><var>310.28</var>Federal Regulations, title 42, part 8. When federal guidance or interpretations are
         issued on <br />
         		<a id="pl.310.29"></a><var>310.29</var>federal standards or requirements also required under this section, the federal guidance
         or <br />
         		<a id="pl.310.30"></a><var>310.30</var>interpretations shall apply.<br />
         		<a id="pl.310.31"></a><var>310.31</var>(b) Where a standard in this section differs from a standard in an otherwise applicable
         <br />
         		<a id="pl.310.32"></a><var>310.32</var>administrative rule or statute, the standard of this section applies.<br />
         		<a id="pl.311.1"></a><var>311.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the terms defined in this subdivision <br />
         		<a id="pl.311.2"></a><var>311.2</var>have the meanings given them.<br />
         		<a id="pl.311.3"></a><var>311.3</var>(b) "Diversion" means the use of a medication for the treatment of opioid addiction
         being <br />
         		<a id="pl.311.4"></a><var>311.4</var>diverted from intended use of the medication.<br />
         		<a id="pl.311.5"></a><var>311.5</var>(c) "Guest dose" means administration of a medication used for the treatment of opioid
         <br />
         		<a id="pl.311.6"></a><var>311.6</var>addiction to a person who is not a client of the program that is administering or
         dispensing <br />
         		<a id="pl.311.7"></a><var>311.7</var>the medication.<br />
         		<a id="pl.311.8"></a><var>311.8</var>(d) "Medical director" means a physician licensed to practice medicine in the jurisdiction
         <br />
         		<a id="pl.311.9"></a><var>311.9</var>that the opioid treatment program is located who assumes responsibility for administering
         <br />
         		<a id="pl.311.10"></a><var>311.10</var>all medical services performed by the program, either by performing the services directly
         <br />
         		<a id="pl.311.11"></a><var>311.11</var>or by delegating specific responsibility to authorized program physicians and health
         care <br />
         		<a id="pl.311.12"></a><var>311.12</var>professionals functioning under the medical director's direct supervision.<br />
         		<a id="pl.311.13"></a><var>311.13</var>(e) "Medication used for the treatment of opioid use disorder" means a medication
         <br />
         		<a id="pl.311.14"></a><var>311.14</var>approved by the Food and Drug Administration for the treatment of opioid use disorder.<br />
         		<a id="pl.311.15"></a><var>311.15</var>(f) "Minnesota health care programs" has the meaning given in section 256B.0636.<br />
         		<a id="pl.311.16"></a><var>311.16</var>(g) "Opioid treatment program" has the meaning given in Code of Federal Regulations,
         <br />
         		<a id="pl.311.17"></a><var>311.17</var>title 42, section 8.12, and includes programs licensed under this chapter.<br />
         		<a id="pl.311.18"></a><var>311.18</var>(h) "Placing authority" has the meaning given in Minnesota Rules, part 9530.6605,
         <br />
         		<a id="pl.311.19"></a><var>311.19</var>subpart 21a.<br />
         		<a id="pl.311.20"></a><var>311.20</var>(i) "Unsupervised use" means the use of a medication for the treatment of opioid use
         <br />
         		<a id="pl.311.21"></a><var>311.21</var>disorder dispensed for use by a client outside of the program setting.<br />
         		<a id="pl.311.22"></a><var>311.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Medication orders.</b> Before the program may administer or dispense a medication <br />
         		<a id="pl.311.23"></a><var>311.23</var>used for the treatment of opioid use disorder:<br />
         		<a id="pl.311.24"></a><var>311.24</var>(1) a client-specific order must be received from an appropriately credentialed physician
         <br />
         		<a id="pl.311.25"></a><var>311.25</var>who is enrolled as a Minnesota health care programs provider and meets all applicable
         <br />
         		<a id="pl.311.26"></a><var>311.26</var>provider standards;<br />
         		<a id="pl.311.27"></a><var>311.27</var>(2) the signed order must be documented in the client's record; and<br />
         		<a id="pl.311.28"></a><var>311.28</var>(3) if the physician that issued the order is not able to sign the order when issued,
         the <br />
         		<a id="pl.311.29"></a><var>311.29</var>unsigned order must be entered in the client record at the time it was received, and
         the <br />
         		<a id="pl.311.30"></a><var>311.30</var>physician must review the documentation and sign the order in the client's record
         within 72 <br />
         		<a id="pl.311.31"></a><var>311.31</var>hours of the medication being ordered. The license holder must report to the commissioner
         <br />
         		<a id="pl.311.32"></a><var>311.32</var>any medication error that endangers a client's health, as determined by the medical
         director.<br />
         		<a id="pl.312.1"></a><var>312.1</var>&#160;&#160;&#160;&#160;Subd. 4. <b>High dose requirements.</b> A client being administered or dispensed a dose <br />
         		<a id="pl.312.2"></a><var>312.2</var>beyond that set forth in subdivision 6, paragraph (a), clause (1), that exceeds 150
         milligrams <br />
         		<a id="pl.312.3"></a><var>312.3</var>of methadone or 24 milligrams of buprenorphine daily, and for each subsequent increase,
         <br />
         		<a id="pl.312.4"></a><var>312.4</var>must meet face-to-face with a prescribing physician. The meeting must occur before
         the <br />
         		<a id="pl.312.5"></a><var>312.5</var>administration or dispensing of the increased medication dose.<br />
         		<a id="pl.312.6"></a><var>312.6</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Drug testing.</b> Each client enrolled in the program must receive a minimum of <br />
         		<a id="pl.312.7"></a><var>312.7</var>eight random drug abuse tests per 12 months of treatment. Drug abuse tests must be
         <br />
         		<a id="pl.312.8"></a><var>312.8</var>reasonably disbursed over the 12-month period. A license holder may elect to conduct
         more <br />
         		<a id="pl.312.9"></a><var>312.9</var>drug abuse tests.<br />
         		<a id="pl.312.10"></a><var>312.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Criteria for unsupervised use.</b> (a) To limit the potential for diversion of <br />
         		<a id="pl.312.11"></a><var>312.11</var>medication used for the treatment of opioid use disorder to the illicit market, medication
         <br />
         		<a id="pl.312.12"></a><var>312.12</var>dispensed to a client for unsupervised use shall be subject to the following requirements:<br />
         		<a id="pl.312.13"></a><var>312.13</var>(1) any client in an opioid treatment program may receive a single unsupervised use
         <br />
         		<a id="pl.312.14"></a><var>312.14</var>dose for a day that the clinic is closed for business, including Sundays and state
         and federal <br />
         		<a id="pl.312.15"></a><var>312.15</var>holidays; and<br />
         		<a id="pl.312.16"></a><var>312.16</var>(2) other treatment program decisions on dispensing medications used for the treatment
         <br />
         		<a id="pl.312.17"></a><var>312.17</var>of opioid use disorder to a client for unsupervised use shall be determined by the
         medical <br />
         		<a id="pl.312.18"></a><var>312.18</var>director.<br />
         		<a id="pl.312.19"></a><var>312.19</var>(b) In determining whether a client may be permitted unsupervised use of medications,
         <br />
         		<a id="pl.312.20"></a><var>312.20</var>a physician with authority to prescribe must consider the criteria in this paragraph.
         The <br />
         		<a id="pl.312.21"></a><var>312.21</var>criteria in this paragraph must also be considered when determining whether dispensing
         <br />
         		<a id="pl.312.22"></a><var>312.22</var>medication for a client's unsupervised use is appropriate to increase or to extend
         the amount <br />
         		<a id="pl.312.23"></a><var>312.23</var>of time between visits to the program. The criteria are:<br />
         		<a id="pl.312.24"></a><var>312.24</var>(1) absence of recent abuse of drugs including but not limited to opioids, non-narcotics,
         <br />
         		<a id="pl.312.25"></a><var>312.25</var>and alcohol;<br />
         		<a id="pl.312.26"></a><var>312.26</var>(2) regularity of program attendance;<br />
         		<a id="pl.312.27"></a><var>312.27</var>(3) absence of serious behavioral problems at the program;<br />
         		<a id="pl.312.28"></a><var>312.28</var>(4) absence of known recent criminal activity such as drug dealing;<br />
         		<a id="pl.312.29"></a><var>312.29</var>(5) stability of the client's home environment and social relationships;<br />
         		<a id="pl.312.30"></a><var>312.30</var>(6) length of time in comprehensive maintenance treatment;<br />
         		<a id="pl.312.31"></a><var>312.31</var>(7) reasonable assurance that unsupervised use medication will be safely stored within
         <br />
         		<a id="pl.312.32"></a><var>312.32</var>the client's home; and<br />
         		<a id="pl.313.1"></a><var>313.1</var>(8) whether the rehabilitative benefit the client derived from decreasing the frequency
         <br />
         		<a id="pl.313.2"></a><var>313.2</var>of program attendance outweighs the potential risks of diversion or unsupervised use.<br />
         		<a id="pl.313.3"></a><var>313.3</var>(c) The determination, including the basis of the determination must be documented
         in <br />
         		<a id="pl.313.4"></a><var>313.4</var>the client's medical record.<br />
         		<a id="pl.313.5"></a><var>313.5</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Restrictions for unsupervised use of methadone hydrochloride.</b> (a) If a <br />
         		<a id="pl.313.6"></a><var>313.6</var>physician with authority to prescribe determines that a client meets the criteria
         in subdivision <br />
         		<a id="pl.313.7"></a><var>313.7</var>6 and may be dispensed a medication used for the treatment of opioid addiction, the
         <br />
         		<a id="pl.313.8"></a><var>313.8</var>restrictions in this subdivision must be followed when the medication to be dispensed
         is <br />
         		<a id="pl.313.9"></a><var>313.9</var>methadone hydrochloride.<br />
         		<a id="pl.313.10"></a><var>313.10</var>(b) During the first 90 days of treatment, the unsupervised use medication supply
         must <br />
         		<a id="pl.313.11"></a><var>313.11</var>be limited to a maximum of a single dose each week and the client shall ingest all
         other <br />
         		<a id="pl.313.12"></a><var>313.12</var>doses under direct supervision.<br />
         		<a id="pl.313.13"></a><var>313.13</var>(c) In the second 90 days of treatment, the unsupervised use medication supply must
         be <br />
         		<a id="pl.313.14"></a><var>313.14</var>limited to two doses per week.<br />
         		<a id="pl.313.15"></a><var>313.15</var>(d) In the third 90 days of treatment, the unsupervised use medication supply must
         not <br />
         		<a id="pl.313.16"></a><var>313.16</var>exceed three doses per week.<br />
         		<a id="pl.313.17"></a><var>313.17</var>(e) In the remaining months of the first year, a client may be given a maximum six-day
         <br />
         		<a id="pl.313.18"></a><var>313.18</var>unsupervised use medication supply.<br />
         		<a id="pl.313.19"></a><var>313.19</var>(f) After one year of continuous treatment, a client may be given a maximum two-week
         <br />
         		<a id="pl.313.20"></a><var>313.20</var>unsupervised use medication supply.<br />
         		<a id="pl.313.21"></a><var>313.21</var>(g) After two years of continuous treatment, a client may be given a maximum one-month
         <br />
         		<a id="pl.313.22"></a><var>313.22</var>unsupervised use medication supply, but must make monthly visits to the program.<br />
         		<a id="pl.313.23"></a><var>313.23</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Restriction exceptions.</b> When a license holder has reason to accelerate the <br />
         		<a id="pl.313.24"></a><var>313.24</var>number of unsupervised use doses of methadone hydrochloride, the license holder must
         <br />
         		<a id="pl.313.25"></a><var>313.25</var>comply with the requirements of Code of Federal Regulations, title 42, section 8.12,
         the <br />
         		<a id="pl.313.26"></a><var>313.26</var>criteria for unsupervised use and must use the exception process provided by the federal
         <br />
         		<a id="pl.313.27"></a><var>313.27</var>Center for Substance Abuse Treatment Division of Pharmacologic Therapies. For the
         <br />
         		<a id="pl.313.28"></a><var>313.28</var>purposes of enforcement of this subdivision, the commissioner has the authority to
         monitor <br />
         		<a id="pl.313.29"></a><var>313.29</var>a program for compliance with federal regulations and may issue licensing actions
         according <br />
         		<a id="pl.313.30"></a><var>313.30</var>to sections 245A.05, 245A.06, and 245A.07 based on the commissioner's determination
         of <br />
         		<a id="pl.313.31"></a><var>313.31</var>noncompliance.<br />
         		<a id="pl.313.32"></a><var>313.32</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Guest dose.</b> To receive a guest dose, the client must be enrolled in an opioid <br />
         		<a id="pl.313.33"></a><var>313.33</var>treatment program elsewhere in the state or country and be receiving the medication
         on a <br />
         		<a id="pl.314.1"></a><var>314.1</var>temporary basis because the client is not able to receive the medication at the program
         in <br />
         		<a id="pl.314.2"></a><var>314.2</var>which the client is enrolled. Such arrangements shall not exceed 30 consecutive days
         in any <br />
         		<a id="pl.314.3"></a><var>314.3</var>one program and must not be for the convenience or benefit of either program. A guest
         dose <br />
         		<a id="pl.314.4"></a><var>314.4</var>may also occur when the client's primary clinic is not open and the client is not
         receiving <br />
         		<a id="pl.314.5"></a><var>314.5</var>unsupervised use doses.<br />
         		<a id="pl.314.6"></a><var>314.6</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Capacity management and waiting list system compliance.</b> An opioid <br />
         		<a id="pl.314.7"></a><var>314.7</var>treatment program must notify the department within seven days of the program reaching
         <br />
         		<a id="pl.314.8"></a><var>314.8</var>both 90 and 100 percent of the program's capacity to care for clients. Each week,
         the program <br />
         		<a id="pl.314.9"></a><var>314.9</var>must report its capacity, currently enrolled dosing clients, and any waiting list.
         A program <br />
         		<a id="pl.314.10"></a><var>314.10</var>reporting 90 percent of capacity must also notify the department when the program's
         census <br />
         		<a id="pl.314.11"></a><var>314.11</var>increases or decreases from the 90 percent level.<br />
         		<a id="pl.314.12"></a><var>314.12</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Waiting list.</b> An opioid treatment program must have a waiting list system. <br />
         		<a id="pl.314.13"></a><var>314.13</var>If the person seeking admission cannot be admitted within 14 days of the date of application,
         <br />
         		<a id="pl.314.14"></a><var>314.14</var>each person seeking admission must be placed on the waiting list, unless the person
         seeking <br />
         		<a id="pl.314.15"></a><var>314.15</var>admission is assessed by the program and found ineligible for admission according
         to this <br />
         		<a id="pl.314.16"></a><var>314.16</var>chapter and Code of Federal Regulations, title 42, part 1, subchapter A, section 8.12(e),
         and <br />
         		<a id="pl.314.17"></a><var>314.17</var>title 45, parts 160 to 164. The waiting list must assign a unique client identifier
         for each <br />
         		<a id="pl.314.18"></a><var>314.18</var>person seeking treatment while awaiting admission. A person seeking admission on a
         waiting <br />
         		<a id="pl.314.19"></a><var>314.19</var>list who receives no services under section 245G.07, subdivision 1, must not be considered
         <br />
         		<a id="pl.314.20"></a><var>314.20</var>a client as defined in section 245G.01, subdivision 9.<br />
         		<a id="pl.314.21"></a><var>314.21</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Client referral.</b> An opioid treatment program must consult the capacity <br />
         		<a id="pl.314.22"></a><var>314.22</var>management system to ensure that a person on a waiting list is admitted at the earliest
         time <br />
         		<a id="pl.314.23"></a><var>314.23</var>to a program providing appropriate treatment within a reasonable geographic area.
         If the <br />
         		<a id="pl.314.24"></a><var>314.24</var>client was referred through a public payment system and if the program is not able
         to serve <br />
         		<a id="pl.314.25"></a><var>314.25</var>the client within 14 days of the date of application for admission, the program must
         contact <br />
         		<a id="pl.314.26"></a><var>314.26</var>and inform the referring agency of any available treatment capacity listed in the
         state capacity <br />
         		<a id="pl.314.27"></a><var>314.27</var>management system.<br />
         		<a id="pl.314.28"></a><var>314.28</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Outreach.</b> An opioid treatment program must carry out activities to encourage <br />
         		<a id="pl.314.29"></a><var>314.29</var>an individual in need of treatment to undergo treatment. The program's outreach model
         <br />
         		<a id="pl.314.30"></a><var>314.30</var>must:<br />
         		<a id="pl.314.31"></a><var>314.31</var>(1) select, train, and supervise outreach workers;<br />
         		<a id="pl.314.32"></a><var>314.32</var>(2) contact, communicate, and follow up with individuals with high-risk substance
         <br />
         		<a id="pl.314.33"></a><var>314.33</var>misuse, individuals with high-risk substance misuse associates, and neighborhood residents
         <br />
         		<a id="pl.314.34"></a><var>314.34</var>within the constraints of federal and state confidentiality requirements;<br />
         		<a id="pl.315.1"></a><var>315.1</var>(3) promote awareness among individuals who engage in substance misuse by injection
         <br />
         		<a id="pl.315.2"></a><var>315.2</var>about the relationship between injecting substances and communicable diseases such
         as <br />
         		<a id="pl.315.3"></a><var>315.3</var>HIV; and<br />
         		<a id="pl.315.4"></a><var>315.4</var>(4) recommend steps to prevent HIV transmission.<br />
         		<a id="pl.315.5"></a><var>315.5</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Central registry.</b> (a) A license holder must comply with requirements to <br />
         		<a id="pl.315.6"></a><var>315.6</var>submit information and necessary consents to the state central registry for each client
         <br />
         		<a id="pl.315.7"></a><var>315.7</var>admitted, as specified by the commissioner. The license holder must submit data concerning
         <br />
         		<a id="pl.315.8"></a><var>315.8</var>medication used for the treatment of opioid use disorder. The data must be submitted
         in a <br />
         		<a id="pl.315.9"></a><var>315.9</var>method determined by the commissioner and the original information must be kept in
         the <br />
         		<a id="pl.315.10"></a><var>315.10</var>client's record. The information must be submitted for each client at admission and
         discharge. <br />
         		<a id="pl.315.11"></a><var>315.11</var>The program must document the date the information was submitted. The client's failure
         to <br />
         		<a id="pl.315.12"></a><var>315.12</var>provide the information shall prohibit participation in an opioid treatment program.
         The <br />
         		<a id="pl.315.13"></a><var>315.13</var>information submitted must include the client's:<br />
         		<a id="pl.315.14"></a><var>315.14</var>(1) full name and all aliases;<br />
         		<a id="pl.315.15"></a><var>315.15</var>(2) date of admission;<br />
         		<a id="pl.315.16"></a><var>315.16</var>(3) date of birth;<br />
         		<a id="pl.315.17"></a><var>315.17</var>(4) Social Security number or Alien Registration Number, if any;<br />
         		<a id="pl.315.18"></a><var>315.18</var>(5) current or previous enrollment status in another opioid treatment program;<br />
         		<a id="pl.315.19"></a><var>315.19</var>(6) government-issued photo identification card number; and<br />
         		<a id="pl.315.20"></a><var>315.20</var>(7) driver's license number, if any.<br />
         		<a id="pl.315.21"></a><var>315.21</var>(b) The requirements in paragraph (a) are effective upon the commissioner's <br />
         		<a id="pl.315.22"></a><var>315.22</var>implementation of changes to the drug and alcohol abuse normative evaluation system
         or <br />
         		<a id="pl.315.23"></a><var>315.23</var>development of an electronic system by which to submit the data.<br />
         		<a id="pl.315.24"></a><var>315.24</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Nonmedication treatment services; documentation.</b> (a) The program must <br />
         		<a id="pl.315.25"></a><var>315.25</var>offer at least 50 consecutive minutes of individual or group therapy treatment services
         as <br />
         		<a id="pl.315.26"></a><var>315.26</var>defined in section 245G.07, subdivision 1, paragraph (a), clause (1), per week, for
         the first <br />
         		<a id="pl.315.27"></a><var>315.27</var>ten weeks following admission, and at least 50 consecutive minutes per month thereafter.
         <br />
         		<a id="pl.315.28"></a><var>315.28</var>As clinically appropriate, the program may offer these services cumulatively and not
         <br />
         		<a id="pl.315.29"></a><var>315.29</var>consecutively in increments of no less than 15 minutes over the required time period,
         and <br />
         		<a id="pl.315.30"></a><var>315.30</var>for a total of 60 minutes of treatment services over the time period, and must document
         the <br />
         		<a id="pl.315.31"></a><var>315.31</var>reason for providing services cumulatively in the client's record. The program may
         offer <br />
         		<a id="pl.315.32"></a><var>315.32</var>additional levels of service when deemed clinically necessary.<br />
         		<a id="pl.316.1"></a><var>316.1</var>(b) Notwithstanding the requirements of comprehensive assessments in section 245G.05,
         <br />
         		<a id="pl.316.2"></a><var>316.2</var>the assessment must be completed within 21 days of service initiation.<br />
         		<a id="pl.316.3"></a><var>316.3</var>(c) Notwithstanding the requirements of individual treatment plans set forth in section
         <br />
         		<a id="pl.316.4"></a><var>316.4</var>245G.06:<br />
         		<a id="pl.316.5"></a><var>316.5</var>(1) treatment plan contents for a maintenance client are not required to include goals
         <br />
         		<a id="pl.316.6"></a><var>316.6</var>the client must reach to complete treatment and have services terminated;<br />
         		<a id="pl.316.7"></a><var>316.7</var>(2) treatment plans for a client in a taper or detox status must include goals the
         client <br />
         		<a id="pl.316.8"></a><var>316.8</var>must reach to complete treatment and have services terminated;<br />
         		<a id="pl.316.9"></a><var>316.9</var>(3) for the initial ten weeks after admission for all new admissions, readmissions,
         and <br />
         		<a id="pl.316.10"></a><var>316.10</var>transfers, progress notes must be entered in a client's file at least weekly and be
         recorded <br />
         		<a id="pl.316.11"></a><var>316.11</var>in each of the six dimensions upon the development of the treatment plan and thereafter.
         <br />
         		<a id="pl.316.12"></a><var>316.12</var>Subsequently, the counselor must document progress in the six dimensions at least
         once <br />
         		<a id="pl.316.13"></a><var>316.13</var>monthly or, when clinical need warrants, more frequently; and<br />
         		<a id="pl.316.14"></a><var>316.14</var>(4) upon the development of the treatment plan and thereafter, treatment plan reviews
         <br />
         		<a id="pl.316.15"></a><var>316.15</var>must occur weekly, or after each treatment service, whichever is less frequent, for
         the first <br />
         		<a id="pl.316.16"></a><var>316.16</var>ten weeks after the treatment plan is developed. Following the first ten weeks of
         treatment <br />
         		<a id="pl.316.17"></a><var>316.17</var>plan reviews, reviews may occur monthly, unless the client's needs warrant more frequent
         <br />
         		<a id="pl.316.18"></a><var>316.18</var>revisions or documentation.<br />
         		<a id="pl.316.19"></a><var>316.19</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Prescription monitoring program.</b> (a) The program must develop and <br />
         		<a id="pl.316.20"></a><var>316.20</var>maintain a policy and procedure that requires the ongoing monitoring of the data from
         the <br />
         		<a id="pl.316.21"></a><var>316.21</var>prescription monitoring program (PMP) for each client. The policy and procedure must
         <br />
         		<a id="pl.316.22"></a><var>316.22</var>include how the program meets the requirements in paragraph (b).<br />
         		<a id="pl.316.23"></a><var>316.23</var>(b) If a medication used for the treatment of substance use disorder is administered
         or <br />
         		<a id="pl.316.24"></a><var>316.24</var>dispensed to a client, the license holder shall be subject to the following requirements:<br />
         		<a id="pl.316.25"></a><var>316.25</var>(1) upon admission to a methadone clinic outpatient treatment program, a client must
         <br />
         		<a id="pl.316.26"></a><var>316.26</var>be notified in writing that the commissioner of human services and the medical director
         <br />
         		<a id="pl.316.27"></a><var>316.27</var>must monitor the PMP to review the prescribed controlled drugs a client received;<br />
         		<a id="pl.316.28"></a><var>316.28</var>(2) the medical director or the medical director's delegate must review the data from
         the <br />
         		<a id="pl.316.29"></a><var>316.29</var>PMP described in section 152.126 before the client is ordered any controlled substance,
         as <br />
         		<a id="pl.316.30"></a><var>316.30</var>defined under section 152.126, subdivision 1, paragraph (c), including medications
         used <br />
         		<a id="pl.316.31"></a><var>316.31</var>for the treatment of opioid addiction, and the medical director's or the medical director's
         <br />
         		<a id="pl.316.32"></a><var>316.32</var>delegate's subsequent reviews of the PMP data must occur at least every 90 days;<br />
         		<a id="pl.316.33"></a><var>316.33</var>(3) a copy of the PMP data reviewed must be maintained in the client's file;<br />
         		<a id="pl.317.1"></a><var>317.1</var>(4) when the PMP data contains a recent history of multiple prescribers or multiple
         <br />
         		<a id="pl.317.2"></a><var>317.2</var>prescriptions for controlled substances, the physician's review of the data and subsequent
         <br />
         		<a id="pl.317.3"></a><var>317.3</var>actions must be documented in the client's file within 72 hours and must contain the
         medical <br />
         		<a id="pl.317.4"></a><var>317.4</var>director's determination of whether or not the prescriptions place the client at risk
         of harm <br />
         		<a id="pl.317.5"></a><var>317.5</var>and the actions to be taken in response to the PMP findings. The provider must conduct
         <br />
         		<a id="pl.317.6"></a><var>317.6</var>subsequent reviews of the PMP on a monthly basis; and<br />
         		<a id="pl.317.7"></a><var>317.7</var>(5) if at any time the medical director believes the use of the controlled substances
         places <br />
         		<a id="pl.317.8"></a><var>317.8</var>the client at risk of harm, the program must seek the client's consent to discuss
         the client's <br />
         		<a id="pl.317.9"></a><var>317.9</var>opioid treatment with other prescribers and must seek the client's consent for the
         other <br />
         		<a id="pl.317.10"></a><var>317.10</var>prescriber to disclose to the opioid treatment program's medical director the client's
         condition <br />
         		<a id="pl.317.11"></a><var>317.11</var>that formed the basis of the other prescriptions. If the information is not obtained
         within <br />
         		<a id="pl.317.12"></a><var>317.12</var>seven days, the medical director must document whether or not changes to the client's
         <br />
         		<a id="pl.317.13"></a><var>317.13</var>medication dose or number of unsupervised use doses are necessary until the information
         <br />
         		<a id="pl.317.14"></a><var>317.14</var>is obtained.<br />
         		<a id="pl.317.15"></a><var>317.15</var>(c) The commissioner shall collaborate with the Minnesota Board of Pharmacy to develop
         <br />
         		<a id="pl.317.16"></a><var>317.16</var>and implement an electronic system for the commissioner to routinely access the PMP
         data <br />
         		<a id="pl.317.17"></a><var>317.17</var>to determine whether any client enrolled in an opioid addiction treatment program
         licensed <br />
         		<a id="pl.317.18"></a><var>317.18</var>according to this section was prescribed or dispensed a controlled substance in addition
         to <br />
         		<a id="pl.317.19"></a><var>317.19</var>that administered or dispensed by the opioid addiction treatment program. When the
         <br />
         		<a id="pl.317.20"></a><var>317.20</var>commissioner determines there have been multiple prescribers or multiple prescriptions
         of <br />
         		<a id="pl.317.21"></a><var>317.21</var>controlled substances for a client, the commissioner shall:<br />
         		<a id="pl.317.22"></a><var>317.22</var>(1) inform the medical director of the opioid treatment program only that the <br />
         		<a id="pl.317.23"></a><var>317.23</var>commissioner determined the existence of multiple prescribers or multiple prescriptions
         of <br />
         		<a id="pl.317.24"></a><var>317.24</var>controlled substances; and<br />
         		<a id="pl.317.25"></a><var>317.25</var>(2) direct the medical director of the opioid treatment program to access the data
         directly, <br />
         		<a id="pl.317.26"></a><var>317.26</var>review the effect of the multiple prescribers or multiple prescriptions, and document
         the <br />
         		<a id="pl.317.27"></a><var>317.27</var>review.<br />
         		<a id="pl.317.28"></a><var>317.28</var>(d) If determined necessary, the commissioner shall seek a federal waiver of, or exception
         <br />
         		<a id="pl.317.29"></a><var>317.29</var>to, any applicable provision of Code of Federal Regulations, title 42, section 2.34(c),
         before <br />
         		<a id="pl.317.30"></a><var>317.30</var>implementing this subdivision.<br />
         		<a id="pl.317.31"></a><var>317.31</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Policies and procedures.</b> (a) A license holder must develop and maintain the <br />
         		<a id="pl.317.32"></a><var>317.32</var>policies and procedures required in this subdivision.<br />
         		<a id="pl.317.33"></a><var>317.33</var>(b) For a program that is not open every day of the year, the license holder must
         maintain <br />
         		<a id="pl.317.34"></a><var>317.34</var>a policy and procedure that permits a client to receive a single unsupervised use
         of medication <br />
         		<a id="pl.318.1"></a><var>318.1</var>used for the treatment of opioid use disorder for days that the program is closed
         for business, <br />
         		<a id="pl.318.2"></a><var>318.2</var>including, but not limited to, Sundays and state and federal holidays as required
         under <br />
         		<a id="pl.318.3"></a><var>318.3</var>subdivision 6, paragraph (a), clause (1).<br />
         		<a id="pl.318.4"></a><var>318.4</var>(c) The license holder must maintain a policy and procedure that includes specific
         <br />
         		<a id="pl.318.5"></a><var>318.5</var>measures to reduce the possibility of diversion. The policy and procedure must:<br />
         		<a id="pl.318.6"></a><var>318.6</var>(1) specifically identify and define the responsibilities of the medical and administrative
         <br />
         		<a id="pl.318.7"></a><var>318.7</var>staff for performing diversion control measures; and<br />
         		<a id="pl.318.8"></a><var>318.8</var>(2) include a process for contacting no less than five percent of clients who have
         <br />
         		<a id="pl.318.9"></a><var>318.9</var>unsupervised use of medication, excluding clients approved solely under subdivision
         6, <br />
         		<a id="pl.318.10"></a><var>318.10</var>paragraph (a), clause (1), to require clients to physically return to the program
         each month. <br />
         		<a id="pl.318.11"></a><var>318.11</var>The system must require clients to return to the program within a stipulated time
         frame and <br />
         		<a id="pl.318.12"></a><var>318.12</var>turn in all unused medication containers related to opioid use disorder treatment.
         The license <br />
         		<a id="pl.318.13"></a><var>318.13</var>holder must document all related contacts on a central log and the outcome of the
         contact <br />
         		<a id="pl.318.14"></a><var>318.14</var>for each client in the client's record.<br />
         		<a id="pl.318.15"></a><var>318.15</var>(d) Medication used for the treatment of opioid use disorder must be ordered, <br />
         		<a id="pl.318.16"></a><var>318.16</var>administered, and dispensed according to applicable state and federal regulations
         and the <br />
         		<a id="pl.318.17"></a><var>318.17</var>standards set by applicable accreditation entities. If a medication order requires
         assessment <br />
         		<a id="pl.318.18"></a><var>318.18</var>by the person administering or dispensing the medication to determine the amount to
         be <br />
         		<a id="pl.318.19"></a><var>318.19</var>administered or dispensed, the assessment must be completed by an individual whose
         <br />
         		<a id="pl.318.20"></a><var>318.20</var>professional scope of practice permits an assessment. For the purposes of enforcement
         of <br />
         		<a id="pl.318.21"></a><var>318.21</var>this paragraph, the commissioner has the authority to monitor the person administering
         or <br />
         		<a id="pl.318.22"></a><var>318.22</var>dispensing the medication for compliance with state and federal regulations and the
         relevant <br />
         		<a id="pl.318.23"></a><var>318.23</var>standards of the license holder's accreditation agency and may issue licensing actions
         <br />
         		<a id="pl.318.24"></a><var>318.24</var>according to sections 245A.05, 245A.06, and 245A.07, based on the commissioner's <br />
         		<a id="pl.318.25"></a><var>318.25</var>determination of noncompliance.<br />
         		<a id="pl.318.26"></a><var>318.26</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Quality improvement plan.</b> The license holder must develop and maintain <br />
         		<a id="pl.318.27"></a><var>318.27</var>a quality improvement plan that:<br />
         		<a id="pl.318.28"></a><var>318.28</var>(1) includes evaluation of the services provided to clients to identify issues that
         may <br />
         		<a id="pl.318.29"></a><var>318.29</var>improve service delivery and client outcomes;<br />
         		<a id="pl.318.30"></a><var>318.30</var>(2) includes goals for the program to accomplish based on the evaluation;<br />
         		<a id="pl.318.31"></a><var>318.31</var>(3) is reviewed annually by the management of the program to determine whether the
         <br />
         		<a id="pl.318.32"></a><var>318.32</var>goals were met and, if not, whether additional action is required;<br />
         		<a id="pl.319.1"></a><var>319.1</var>(4) is updated at least annually to include new or continued goals based on an updated
         <br />
         		<a id="pl.319.2"></a><var>319.2</var>evaluation of services; and<br />
         		<a id="pl.319.3"></a><var>319.3</var>(5) identifies two specific goal areas, in addition to others identified by the program,
         <br />
         		<a id="pl.319.4"></a><var>319.4</var>including:<br />
         		<a id="pl.319.5"></a><var>319.5</var>(i) a goal concerning oversight and monitoring of the premises around and near the
         <br />
         		<a id="pl.319.6"></a><var>319.6</var>exterior of the program to reduce the possibility of medication used for the treatment
         of <br />
         		<a id="pl.319.7"></a><var>319.7</var>opioid use disorder being inappropriately used by a client, including but not limited
         to the <br />
         		<a id="pl.319.8"></a><var>319.8</var>sale or transfer of the medication to others; and<br />
         		<a id="pl.319.9"></a><var>319.9</var>(ii) a goal concerning community outreach, including but not limited to communications
         <br />
         		<a id="pl.319.10"></a><var>319.10</var>with local law enforcement and county human services agencies, to increase coordination
         <br />
         		<a id="pl.319.11"></a><var>319.11</var>of services and identification of areas of concern to be addressed in the plan.<br />
         		<a id="pl.319.12"></a><var>319.12</var>&#160;&#160;&#160;&#160;Subd. 19. <b>Placing authorities.</b> A program must provide certain notification and <br />
         		<a id="pl.319.13"></a><var>319.13</var>client-specific updates to placing authorities for a client who is enrolled in Minnesota
         health <br />
         		<a id="pl.319.14"></a><var>319.14</var>care programs. At the request of the placing authority, the program must provide <br />
         		<a id="pl.319.15"></a><var>319.15</var>client-specific updates, including but not limited to informing the placing authority
         of <br />
         		<a id="pl.319.16"></a><var>319.16</var>positive drug screenings and changes in medications used for the treatment of opioid
         use <br />
         		<a id="pl.319.17"></a><var>319.17</var>disorder ordered for the client.<br />
         		<a id="pl.319.18"></a><var>319.18</var>&#160;&#160;&#160;&#160;Subd. 20. <b>Duty to report suspected drug diversion.</b> (a) To the fullest extent permitted <br />
         		<a id="pl.319.19"></a><var>319.19</var>under Code of Federal Regulations, title 42, sections 2.1 to 2.67, a program shall
         report to <br />
         		<a id="pl.319.20"></a><var>319.20</var>law enforcement any credible evidence that the program or its personnel knows, or
         reasonably <br />
         		<a id="pl.319.21"></a><var>319.21</var>should know, that is directly related to a diversion crime on the premises of the
         program, <br />
         		<a id="pl.319.22"></a><var>319.22</var>or a threat to commit a diversion crime.<br />
         		<a id="pl.319.23"></a><var>319.23</var>(b) "Diversion crime," for the purposes of this section, means diverting, attempting
         to <br />
         		<a id="pl.319.24"></a><var>319.24</var>divert, or conspiring to divert Schedule I, II, III, or IV drugs, as defined in section
         152.02, <br />
         		<a id="pl.319.25"></a><var>319.25</var>on the program's premises.<br />
         		<a id="pl.319.26"></a><var>319.26</var>(c) The program must document the program's compliance with the requirement in <br />
         		<a id="pl.319.27"></a><var>319.27</var>paragraph (a) in either a client's record or an incident report. A program's failure
         to comply <br />
         		<a id="pl.319.28"></a><var>319.28</var>with paragraph (a) may result in sanctions as provided in sections 245A.06 and 245A.07.<br />
         		<a id="pl.319.29"></a><var>319.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.8.31.0"></a><a id="pl.319.30"></a><var>319.30</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 246.18, subdivision 4, is amended to read:<br />
         		<a id="pl.319.31"></a><var>319.31</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Collections deposited in the general fund.</b> Except as provided in subdivisions <br />
         		<a id="pl.319.32"></a><var>319.32</var>5, 6, and 7, all receipts from collection efforts for the regional treatment centers,
         state nursing <br />
         		<a id="pl.320.1"></a><var>320.1</var>homes, and other state facilities as defined in section 
         <statute_ref>246.50, subdivision 3</statute_ref>, must be deposited <br />
         		<a id="pl.320.2"></a><var>320.2</var>in the general fund. From that amount, receipts from collection efforts for regional treatment <br />
         		<a id="pl.320.3"></a><var>320.3</var>centers and community behavioral health hospitals must be deposited in accordance
         with <br />
         		<a id="pl.320.4"></a><var>320.4</var>subdivision 4a. The commissioner shall ensure that the departmental financial reporting <br />
         		<a id="pl.320.5"></a><var>320.5</var>systems and internal accounting procedures comply with federal standards for reimbursement
         <br />
         		<a id="pl.320.6"></a><var>320.6</var>for program and administrative expenditures and fulfill the purpose of this paragraph <br />
         		<a id="pl.320.7"></a><var>320.7</var>subdivision.<br />
         		<br />
         		<a id="bill.8.32.0"></a><a id="pl.320.8"></a><var>320.8</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 246.18, is amended by adding a subdivision to <br />
         		<a id="pl.320.9"></a><var>320.9</var>read:<br />
         		<a id="pl.320.10"></a><var>320.10</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Mental health innovation account.</b> The mental health innovation account is <br />
         		<a id="pl.320.11"></a><var>320.11</var>established in the special revenue fund. In fiscal year 2018 and fiscal year 2019,
         $2,000,000 <br />
         		<a id="pl.320.12"></a><var>320.12</var>of the revenue generated by collection efforts from the regional treatment centers
         and <br />
         		<a id="pl.320.13"></a><var>320.13</var>community behavioral health hospitals under section 246.54 must be deposited into
         the <br />
         		<a id="pl.320.14"></a><var>320.14</var>mental health innovation account. Beginning in fiscal year 2020, $2,500,000 of the
         revenue <br />
         		<a id="pl.320.15"></a><var>320.15</var>generated by collection efforts from the regional treatment centers and community
         behavioral <br />
         		<a id="pl.320.16"></a><var>320.16</var>health hospitals under section 246.54 must annually be deposited into the mental health
         <br />
         		<a id="pl.320.17"></a><var>320.17</var>innovation account. Money deposited in the mental health innovation account is appropriated
         <br />
         		<a id="pl.320.18"></a><var>320.18</var>to the commissioner of human services for the mental health innovation grant program
         <br />
         		<a id="pl.320.19"></a><var>320.19</var>under section 245.4662.<br />
         		<br />
         		<a id="bill.8.33.0"></a><a id="pl.320.20"></a><var>320.20</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 254A.01, is amended to read:<br />
         		<a id="pl.320.21"></a><var>320.21</var><b>254A.01 PUBLIC POLICY.</b><br />
         		<a id="pl.320.22"></a><var>320.22</var>It is hereby declared to be the public policy of this state that scientific evidence shows <br />
         		<a id="pl.320.23"></a><var>320.23</var>that addiction to alcohol or other drugs is a chronic brain disorder with potential
         for <br />
         		<a id="pl.320.24"></a><var>320.24</var>recurrence, and as with many other chronic conditions, people with substance use disorders
         <br />
         		<a id="pl.320.25"></a><var>320.25</var>can be effectively treated and can enter recovery. The interests of society are best served <br />
         		<a id="pl.320.26"></a><var>320.26</var>by reducing the stigma of substance use disorder and providing persons who are dependent <br />
         		<a id="pl.320.27"></a><var>320.27</var>upon alcohol or other drugs with a comprehensive range of rehabilitative and social
         services <br />
         		<a id="pl.320.28"></a><var>320.28</var>that span intensity levels and are not restricted to a particular point in time. Further, it is <br />
         		<a id="pl.320.29"></a><var>320.29</var>declared that treatment under these services shall be voluntary when possible: treatment
         <br />
         		<a id="pl.320.30"></a><var>320.30</var>shall not be denied on the basis of prior treatment; treatment shall be based on an
         individual <br />
         		<a id="pl.320.31"></a><var>320.31</var>treatment plan for each person undergoing treatment; treatment shall include a continuum
         <br />
         		<a id="pl.320.32"></a><var>320.32</var>of services available for a person leaving a program of treatment; treatment shall
         include <br />
         		<a id="pl.320.33"></a><var>320.33</var>all family members at the earliest possible phase of the treatment process.<br />
         		<a id="pl.321.1"></a><var>321.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.34.0"></a><a id="pl.321.2"></a><var>321.2</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 254A.02, subdivision 2, is amended to read:<br />
         		<a id="pl.321.3"></a><var>321.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Approved treatment program.</b> "Approved treatment program" means care <br />
         		<a id="pl.321.4"></a><var>321.4</var>and treatment services provided by any individual, organization or association to
         drug <br />
         		<a id="pl.321.5"></a><var>321.5</var>dependent persons with a substance use disorder, which meets the standards established by <br />
         		<a id="pl.321.6"></a><var>321.6</var>the commissioner of human services.<br />
         		<a id="pl.321.7"></a><var>321.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.35.0"></a><a id="pl.321.8"></a><var>321.8</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 254A.02, subdivision 3, is amended to read:<br />
         		<a id="pl.321.9"></a><var>321.9</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Comprehensive program.</b> "Comprehensive program" means the range of <br />
         		<a id="pl.321.10"></a><var>321.10</var>services which are to be made available for the purpose of prevention, care and treatment
         <br />
         		<a id="pl.321.11"></a><var>321.11</var>of alcohol and drug abuse substance misuse and substance use disorder.<br />
         		<a id="pl.321.12"></a><var>321.12</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.36.0"></a><a id="pl.321.13"></a><var>321.13</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 254A.02, subdivision 5, is amended to read:<br />
         		<a id="pl.321.14"></a><var>321.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Drug dependent person.</b> "Drug dependent person" means any inebriate person <br />
         		<a id="pl.321.15"></a><var>321.15</var>or any person incapable of self-management or management of personal affairs or unable <br />
         		<a id="pl.321.16"></a><var>321.16</var>to function physically or mentally in an effective manner because of the abuse of
         a drug, <br />
         		<a id="pl.321.17"></a><var>321.17</var>including alcohol.<br />
         		<a id="pl.321.18"></a><var>321.18</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.37.0"></a><a id="pl.321.19"></a><var>321.19</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 254A.02, subdivision 6, is amended to read:<br />
         		<a id="pl.321.20"></a><var>321.20</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Facility.</b> "Facility" means any treatment facility administered under an approved <br />
         		<a id="pl.321.21"></a><var>321.21</var>treatment program established under Laws 1973, chapter 572.<br />
         		<a id="pl.321.22"></a><var>321.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.38.0"></a><a id="pl.321.23"></a><var>321.23</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 254A.02, is amended by adding a subdivision <br />
         		<a id="pl.321.24"></a><var>321.24</var>to read:<br />
         		<a id="pl.321.25"></a><var>321.25</var>&#160;&#160;&#160;&#160;Subd. 6a. <b>Substance misuse.</b> "Substance misuse" means the use of any psychoactive <br />
         		<a id="pl.321.26"></a><var>321.26</var>or mood-altering substance, without compelling medical reason, in a manner that results
         in <br />
         		<a id="pl.321.27"></a><var>321.27</var>mental, emotional, or physical impairment and causes socially dysfunctional or socially
         <br />
         		<a id="pl.321.28"></a><var>321.28</var>disordering behavior and that results in psychological dependence or physiological
         addiction <br />
         		<a id="pl.322.1"></a><var>322.1</var>as a function of continued use. Substance misuse has the same meaning as drug abuse
         or <br />
         		<a id="pl.322.2"></a><var>322.2</var>abuse of drugs.<br />
         		<a id="pl.322.3"></a><var>322.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.39.0"></a><a id="pl.322.4"></a><var>322.4</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2016, section 254A.02, subdivision 8, is amended to read:<br />
         		<a id="pl.322.5"></a><var>322.5</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Other drugs.</b> "Other drugs" means any psychoactive chemical substance other <br />
         		<a id="pl.322.6"></a><var>322.6</var>than alcohol.<br />
         		<a id="pl.322.7"></a><var>322.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.40.0"></a><a id="pl.322.8"></a><var>322.8</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2016, section 254A.02, subdivision 10, is amended to read:<br />
         		<a id="pl.322.9"></a><var>322.9</var>&#160;&#160;&#160;&#160;Subd. 10. <b>State authority.</b> "State authority" is a division established within the <br />
         		<a id="pl.322.10"></a><var>322.10</var>Department of Human Services for the purpose of relating the authority of state government
         <br />
         		<a id="pl.322.11"></a><var>322.11</var>in the area of alcohol and drug abuse substance misuse and substance use disorder to the <br />
         		<a id="pl.322.12"></a><var>322.12</var>alcohol and drug abuse substance misuse and substance use disorder-related activities within <br />
         		<a id="pl.322.13"></a><var>322.13</var>the state.<br />
         		<a id="pl.322.14"></a><var>322.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.41.0"></a><a id="pl.322.15"></a><var>322.15</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2016, section 254A.02, is amended by adding a subdivision <br />
         		<a id="pl.322.16"></a><var>322.16</var>to read:<br />
         		<a id="pl.322.17"></a><var>322.17</var>&#160;&#160;&#160;&#160;Subd. 10a. <b>Substance use disorder.</b> "Substance use disorder" has the meaning given <br />
         		<a id="pl.322.18"></a><var>322.18</var>in the current Diagnostic and Statistical Manual of Mental Disorders.<br />
         		<a id="pl.322.19"></a><var>322.19</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.42.0"></a><a id="pl.322.20"></a><var>322.20</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2016, section 254A.03, is amended to read:<br />
         		<a id="pl.322.21"></a><var>322.21</var><b>254A.03 STATE AUTHORITY ON ALCOHOL AND DRUG ABUSE.</b><br />
         		<a id="pl.322.22"></a><var>322.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Alcohol and Other Drug Abuse Section.</b> There is hereby created an <br />
         		<a id="pl.322.23"></a><var>322.23</var>Alcohol and Other Drug Abuse Section in the Department of Human Services. This section
         <br />
         		<a id="pl.322.24"></a><var>322.24</var>shall be headed by a director. The commissioner may place the director's position
         in the <br />
         		<a id="pl.322.25"></a><var>322.25</var>unclassified service if the position meets the criteria established in section 
         <statute_ref>43A.08, <br />
            		<a id="pl.322.26"></a><var>322.26</var>subdivision 1a
         </statute_ref>. The section shall:<br />
         		<a id="pl.322.27"></a><var>322.27</var>(1) conduct and foster basic research relating to the cause, prevention and methods
         of <br />
         		<a id="pl.322.28"></a><var>322.28</var>diagnosis, treatment and rehabilitation of alcoholic and other drug dependent persons with <br />
         		<a id="pl.322.29"></a><var>322.29</var>substance misuse and substance use disorder;<br />
         		<a id="pl.323.1"></a><var>323.1</var>(2) coordinate and review all activities and programs of all the various state departments
         <br />
         		<a id="pl.323.2"></a><var>323.2</var>as they relate to alcohol and other drug dependency and abuse problems associated with <br />
         		<a id="pl.323.3"></a><var>323.3</var>substance misuse and substance use disorder;<br />
         		<a id="pl.323.4"></a><var>323.4</var>(3) develop, demonstrate, and disseminate new methods and techniques for the prevention, <br />
         		<a id="pl.323.5"></a><var>323.5</var>early intervention, treatment and rehabilitation of alcohol and other drug abuse and <br />
         		<a id="pl.323.6"></a><var>323.6</var>dependency problems recovery support for substance misuse and substance use disorder;<br />
         		<a id="pl.323.7"></a><var>323.7</var>(4) gather facts and information about alcoholism and other drug dependency and abuse <br />
         		<a id="pl.323.8"></a><var>323.8</var>substance misuse and substance use disorder, and about the efficiency and effectiveness of <br />
         		<a id="pl.323.9"></a><var>323.9</var>prevention, treatment, and rehabilitation recovery support services from all comprehensive <br />
         		<a id="pl.323.10"></a><var>323.10</var>programs, including programs approved or licensed by the commissioner of human services
         <br />
         		<a id="pl.323.11"></a><var>323.11</var>or the commissioner of health or accredited by the Joint Commission on Accreditation
         of <br />
         		<a id="pl.323.12"></a><var>323.12</var>Hospitals. The state authority is authorized to require information from comprehensive
         <br />
         		<a id="pl.323.13"></a><var>323.13</var>programs which is reasonable and necessary to fulfill these duties. When required
         information <br />
         		<a id="pl.323.14"></a><var>323.14</var>has been previously furnished to a state or local governmental agency, the state authority
         <br />
         		<a id="pl.323.15"></a><var>323.15</var>shall collect the information from the governmental agency. The state authority shall
         <br />
         		<a id="pl.323.16"></a><var>323.16</var>disseminate facts and summary information about alcohol and other drug abuse dependency <br />
         		<a id="pl.323.17"></a><var>323.17</var>problems associated with substance misuse and substance use disorder to public and private <br />
         		<a id="pl.323.18"></a><var>323.18</var>agencies, local governments, local and regional planning agencies, and the courts
         for guidance <br />
         		<a id="pl.323.19"></a><var>323.19</var>to and assistance in prevention, treatment and rehabilitation recovery support;<br />
         		<a id="pl.323.20"></a><var>323.20</var>(5) inform and educate the general public on alcohol and other drug dependency and <br />
         		<a id="pl.323.21"></a><var>323.21</var>abuse problems substance misuse and substance use disorder;<br />
         		<a id="pl.323.22"></a><var>323.22</var>(6) serve as the state authority concerning alcohol and other drug dependency and abuse <br />
         		<a id="pl.323.23"></a><var>323.23</var>substance misuse and substance use disorder by monitoring the conduct of diagnosis and <br />
         		<a id="pl.323.24"></a><var>323.24</var>referral services, research and comprehensive programs. The state authority shall
         submit a <br />
         		<a id="pl.323.25"></a><var>323.25</var>biennial report to the governor and the legislature containing a description of public
         services <br />
         		<a id="pl.323.26"></a><var>323.26</var>delivery and recommendations concerning increase of coordination and quality of services,
         <br />
         		<a id="pl.323.27"></a><var>323.27</var>and decrease of service duplication and cost;<br />
         		<a id="pl.323.28"></a><var>323.28</var>(7) establish a state plan which shall set forth goals and priorities for a comprehensive
         <br />
         		<a id="pl.323.29"></a><var>323.29</var>alcohol and other drug dependency and abuse program continuum of care for substance <br />
         		<a id="pl.323.30"></a><var>323.30</var>misuse and substance use disorder for Minnesota. All state agencies operating alcohol and <br />
         		<a id="pl.323.31"></a><var>323.31</var>other drug abuse or dependency substance misuse or substance use disorder programs or <br />
         		<a id="pl.323.32"></a><var>323.32</var>administering state or federal funds for such programs shall annually set their program
         goals <br />
         		<a id="pl.323.33"></a><var>323.33</var>and priorities in accordance with the state plan. Each state agency shall annually
         submit its <br />
         		<a id="pl.323.34"></a><var>323.34</var>plans and budgets to the state authority for review. The state authority shall certify
         whether <br />
         		<a id="pl.324.1"></a><var>324.1</var>proposed services comply with the comprehensive state plan and advise each state agency
         <br />
         		<a id="pl.324.2"></a><var>324.2</var>of review findings;<br />
         		<a id="pl.324.3"></a><var>324.3</var>(8) make contracts with and grants to public and private agencies and organizations,
         <br />
         		<a id="pl.324.4"></a><var>324.4</var>both profit and nonprofit, and individuals, using federal funds, and state funds as
         authorized <br />
         		<a id="pl.324.5"></a><var>324.5</var>to pay for costs of state administration, including evaluation, statewide programs
         and services, <br />
         		<a id="pl.324.6"></a><var>324.6</var>research and demonstration projects, and American Indian programs;<br />
         		<a id="pl.324.7"></a><var>324.7</var>(9) receive and administer monies money available for alcohol and drug abuse substance <br />
         		<a id="pl.324.8"></a><var>324.8</var>misuse and substance use disorder programs under the alcohol, drug abuse, and mental <br />
         		<a id="pl.324.9"></a><var>324.9</var>health services block grant, United States Code, title 42, sections 300X to 300X-9;<br />
         		<a id="pl.324.10"></a><var>324.10</var>(10) solicit and accept any gift of money or property for purposes of Laws 1973, chapter
         <br />
         		<a id="pl.324.11"></a><var>324.11</var>572, and any grant of money, services, or property from the federal government, the
         state, <br />
         		<a id="pl.324.12"></a><var>324.12</var>any political subdivision thereof, or any private source;<br />
         		<a id="pl.324.13"></a><var>324.13</var>(11) with respect to alcohol and other drug abuse substance misuse and substance use <br />
         		<a id="pl.324.14"></a><var>324.14</var>disorder programs serving the American Indian community, establish guidelines for the <br />
         		<a id="pl.324.15"></a><var>324.15</var>employment of personnel with considerable practical experience in alcohol and other drug <br />
         		<a id="pl.324.16"></a><var>324.16</var>abuse problems substance misuse and substance use disorder, and understanding of social <br />
         		<a id="pl.324.17"></a><var>324.17</var>and cultural problems related to alcohol and other drug abuse substance misuse and substance <br />
         		<a id="pl.324.18"></a><var>324.18</var>use disorder, in the American Indian community.<br />
         		<a id="pl.324.19"></a><var>324.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>American Indian programs.</b> There is hereby created a section of American <br />
         		<a id="pl.324.20"></a><var>324.20</var>Indian programs, within the Alcohol and Drug Abuse Section of the Department of Human
         <br />
         		<a id="pl.324.21"></a><var>324.21</var>Services, to be headed by a special assistant for American Indian programs on alcoholism <br />
         		<a id="pl.324.22"></a><var>324.22</var>and drug abuse substance misuse and substance use disorder and two assistants to that <br />
         		<a id="pl.324.23"></a><var>324.23</var>position. The section shall be staffed with all personnel necessary to fully administer
         <br />
         		<a id="pl.324.24"></a><var>324.24</var>programming for alcohol and drug abuse substance misuse and substance use disorder <br />
         		<a id="pl.324.25"></a><var>324.25</var>services for American Indians in the state. The special assistant position shall be filled
         by <br />
         		<a id="pl.324.26"></a><var>324.26</var>a person with considerable practical experience in and understanding of alcohol and other <br />
         		<a id="pl.324.27"></a><var>324.27</var>drug abuse problems substance misuse and substance use disorder in the American Indian <br />
         		<a id="pl.324.28"></a><var>324.28</var>community, who shall be responsible to the director of the Alcohol and Drug Abuse
         Section <br />
         		<a id="pl.324.29"></a><var>324.29</var>created in subdivision 1 and shall be in the unclassified service. The special assistant
         shall <br />
         		<a id="pl.324.30"></a><var>324.30</var>meet and consult with the American Indian Advisory Council as described in section
         <br />
         		
         <statute_ref><a id="pl.324.31"></a><var>324.31</var>254A.035
         </statute_ref> and serve as a liaison to the Minnesota Indian Affairs Council and tribes to report
         <br />
         		<a id="pl.324.32"></a><var>324.32</var>on the status of alcohol and other drug abuse substance misuse and substance use disorder <br />
         		<a id="pl.324.33"></a><var>324.33</var>among American Indians in the state of Minnesota. The special assistant with the approval
         <br />
         		<a id="pl.324.34"></a><var>324.34</var>of the director shall:<br />
         		<a id="pl.325.1"></a><var>325.1</var>(1) administer funds appropriated for American Indian groups, organizations and <br />
         		<a id="pl.325.2"></a><var>325.2</var>reservations within the state for American Indian alcoholism and drug abuse substance <br />
         		<a id="pl.325.3"></a><var>325.3</var>misuse and substance use disorder programs;<br />
         		<a id="pl.325.4"></a><var>325.4</var>(2) establish policies and procedures for such American Indian programs with the <br />
         		<a id="pl.325.5"></a><var>325.5</var>assistance of the American Indian Advisory Board; and<br />
         		<a id="pl.325.6"></a><var>325.6</var>(3) hire and supervise staff to assist in the administration of the American Indian
         program <br />
         		<a id="pl.325.7"></a><var>325.7</var>section within the Alcohol and Drug Abuse Section of the Department of Human Services.<br />
         		<a id="pl.325.8"></a><var>325.8</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Rules for </b><b>chemical dependency</b><b> substance use disorder</b><b> care.</b> (a) The <br />
         		<a id="pl.325.9"></a><var>325.9</var>commissioner of human services shall establish by rule criteria to be used in determining
         <br />
         		<a id="pl.325.10"></a><var>325.10</var>the appropriate level of chemical dependency care for each recipient of public assistance
         <br />
         		<a id="pl.325.11"></a><var>325.11</var>seeking treatment for alcohol or other drug dependency and abuse problems. substance <br />
         		<a id="pl.325.12"></a><var>325.12</var>misuse or substance use disorder. Upon federal approval of a comprehensive assessment
         <br />
         		<a id="pl.325.13"></a><var>325.13</var>as a Medicaid benefit, or on July 1, 2018, whichever is later, and notwithstanding
         the criteria <br />
         		<a id="pl.325.14"></a><var>325.14</var>in Minnesota Rules, parts 9530.6600 to 9530.6655, an eligible vendor of comprehensive
         <br />
         		<a id="pl.325.15"></a><var>325.15</var>assessments under section 254B.05 may determine and approve the appropriate level
         of <br />
         		<a id="pl.325.16"></a><var>325.16</var>substance use disorder treatment for a recipient of public assistance. The process
         for <br />
         		<a id="pl.325.17"></a><var>325.17</var>determining an individual's financial eligibility for the consolidated chemical dependency
         <br />
         		<a id="pl.325.18"></a><var>325.18</var>treatment fund or determining an individual's enrollment in or eligibility for a publicly
         <br />
         		<a id="pl.325.19"></a><var>325.19</var>subsidized health plan is not affected by the individual's choice to access a comprehensive
         <br />
         		<a id="pl.325.20"></a><var>325.20</var>assessment for placement.<br />
         		<a id="pl.325.21"></a><var>325.21</var>&#160;&#160;&#160;&#160;(b) The commissioner shall develop and implement a utilization review process for
         <br />
         		<a id="pl.325.22"></a><var>325.22</var>publicly funded treatment placements to monitor and review the clinical appropriateness
         <br />
         		<a id="pl.325.23"></a><var>325.23</var>and timeliness of all publicly funded placements in treatment.<br />
         		<a id="pl.325.24"></a><var>325.24</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.43.0"></a><a id="pl.325.25"></a><var>325.25</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2016, section 254A.035, subdivision 1, is amended to read:<br />
         		<a id="pl.325.26"></a><var>325.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> There is created an American Indian Advisory Council <br />
         		<a id="pl.325.27"></a><var>325.27</var>to assist the state authority on alcohol and drug abuse substance misuse and substance use <br />
         		<a id="pl.325.28"></a><var>325.28</var>disorder in proposal review and formulating policies and procedures relating to chemical <br />
         		<a id="pl.325.29"></a><var>325.29</var>dependency and the abuse of alcohol and other drugs substance misuse and substance use <br />
         		<a id="pl.325.30"></a><var>325.30</var>disorder by American Indians.<br />
         		<a id="pl.325.31"></a><var>325.31</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.44.0"></a><a id="pl.326.1"></a><var>326.1</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2016, section 254A.04, is amended to read:<br />
         		<a id="pl.326.2"></a><var>326.2</var><b>254A.04 CITIZENS ADVISORY COUNCIL.</b><br />
         		<a id="pl.326.3"></a><var>326.3</var>&#160;&#160;&#160;&#160;There is hereby created an Alcohol and Other Drug Abuse Advisory Council to advise
         <br />
         		<a id="pl.326.4"></a><var>326.4</var>the Department of Human Services concerning the problems of alcohol and other drug <br />
         		<a id="pl.326.5"></a><var>326.5</var>dependency and abuse substance misuse and substance use disorder, composed of ten <br />
         		<a id="pl.326.6"></a><var>326.6</var>members. Five members shall be individuals whose interests or training are in the
         field of <br />
         		<a id="pl.326.7"></a><var>326.7</var>alcohol dependency alcohol-specific substance use disorder and abuse alcohol misuse; and <br />
         		<a id="pl.326.8"></a><var>326.8</var>five members whose interests or training are in the field of dependency substance use <br />
         		<a id="pl.326.9"></a><var>326.9</var>disorder and abuse of drugs misuse of substances other than alcohol. The terms, compensation <br />
         		<a id="pl.326.10"></a><var>326.10</var>and removal of members shall be as provided in section 
         <statute_ref>15.059</statute_ref>. The council expires June <br />
         		<a id="pl.326.11"></a><var>326.11</var>30, 2018. The commissioner of human services shall appoint members whose terms end
         in <br />
         		<a id="pl.326.12"></a><var>326.12</var>even-numbered years. The commissioner of health shall appoint members whose terms
         end <br />
         		<a id="pl.326.13"></a><var>326.13</var>in odd-numbered years.<br />
         		<a id="pl.326.14"></a><var>326.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.45.0"></a><a id="pl.326.15"></a><var>326.15</var>&#160;&#160;&#160;&#160;Sec. 45. Minnesota Statutes 2016, section 254A.08, is amended to read:<br />
         		<a id="pl.326.16"></a><var>326.16</var><b>254A.08 DETOXIFICATION CENTERS.</b><br />
         		<a id="pl.326.17"></a><var>326.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Detoxification services.</b> Every county board shall provide detoxification <br />
         		<a id="pl.326.18"></a><var>326.18</var>services for drug dependent persons any person incapable of self-management or management <br />
         		<a id="pl.326.19"></a><var>326.19</var>of personal affairs or unable to function physically or mentally in an effective manner
         <br />
         		<a id="pl.326.20"></a><var>326.20</var>because of the use of a drug, including alcohol. The board may utilize existing treatment <br />
         		<a id="pl.326.21"></a><var>326.21</var>programs and other agencies to meet this responsibility.<br />
         		<a id="pl.326.22"></a><var>326.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Program requirements.</b> For the purpose of this section, a detoxification <br />
         		<a id="pl.326.23"></a><var>326.23</var>program means a social rehabilitation program licensed by the Department of Human <br />
         		<a id="pl.326.24"></a><var>326.24</var>Services under chapter 245A, and governed by the standards of Minnesota Rules, parts
         <br />
         		<a id="pl.326.25"></a><var>326.25</var>9530.6510 to 9530.6590, and established for the purpose of facilitating access into care and <br />
         		<a id="pl.326.26"></a><var>326.26</var>treatment by detoxifying and evaluating the person and providing entrance into a <br />
         		<a id="pl.326.27"></a><var>326.27</var>comprehensive program. Evaluation of the person shall include verification by a professional,
         <br />
         		<a id="pl.326.28"></a><var>326.28</var>after preliminary examination, that the person is intoxicated or has symptoms of chemical <br />
         		<a id="pl.326.29"></a><var>326.29</var>dependency substance misuse or substance use disorder and appears to be in imminent <br />
         		<a id="pl.326.30"></a><var>326.30</var>danger of harming self or others. A detoxification program shall have available the
         services <br />
         		<a id="pl.326.31"></a><var>326.31</var>of a licensed physician for medical emergencies and routine medical surveillance.
         A <br />
         		<a id="pl.326.32"></a><var>326.32</var>detoxification program licensed by the Department of Human Services to serve both
         adults <br />
         		<a id="pl.326.33"></a><var>326.33</var>and minors at the same site must provide for separate sleeping areas for adults and
         minors.<br />
         		<a id="pl.327.1"></a><var>327.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.46.0"></a><a id="pl.327.2"></a><var>327.2</var>&#160;&#160;&#160;&#160;Sec. 46. Minnesota Statutes 2016, section 254A.09, is amended to read:<br />
         		<a id="pl.327.3"></a><var>327.3</var><b>254A.09 CONFIDENTIALITY OF RECORDS.</b><br />
         		<a id="pl.327.4"></a><var>327.4</var>The Department of Human Services shall assure confidentiality to individuals who are
         <br />
         		<a id="pl.327.5"></a><var>327.5</var>the subject of research by the state authority or are recipients of alcohol or drug abuse <br />
         		<a id="pl.327.6"></a><var>327.6</var>substance misuse or substance use disorder information, assessment, or treatment from a <br />
         		<a id="pl.327.7"></a><var>327.7</var>licensed or approved program. The commissioner shall withhold from all persons not
         <br />
         		<a id="pl.327.8"></a><var>327.8</var>connected with the conduct of the research the names or other identifying characteristics
         <br />
         		<a id="pl.327.9"></a><var>327.9</var>of a subject of research unless the individual gives written permission that information
         <br />
         		<a id="pl.327.10"></a><var>327.10</var>relative to treatment and recovery may be released. Persons authorized to protect
         the privacy <br />
         		<a id="pl.327.11"></a><var>327.11</var>of subjects of research may not be compelled in any federal, state or local, civil,
         criminal, <br />
         		<a id="pl.327.12"></a><var>327.12</var>administrative or other proceeding to identify or disclose other confidential information
         <br />
         		<a id="pl.327.13"></a><var>327.13</var>about the individuals. Identifying information and other confidential information
         related to <br />
         		<a id="pl.327.14"></a><var>327.14</var>alcohol or drug abuse substance misuse or substance use disorder information, assessment, <br />
         		<a id="pl.327.15"></a><var>327.15</var>treatment, or aftercare services may be ordered to be released by the court for the
         purpose <br />
         		<a id="pl.327.16"></a><var>327.16</var>of civil or criminal investigations or proceedings if, after review of the records
         considered <br />
         		<a id="pl.327.17"></a><var>327.17</var>for disclosure, the court determines that the information is relevant to the purpose
         for which <br />
         		<a id="pl.327.18"></a><var>327.18</var>disclosure is requested. The court shall order disclosure of only that information
         which is <br />
         		<a id="pl.327.19"></a><var>327.19</var>determined relevant. In determining whether to compel disclosure, the court shall
         weigh <br />
         		<a id="pl.327.20"></a><var>327.20</var>the public interest and the need for disclosure against the injury to the patient,
         to the treatment <br />
         		<a id="pl.327.21"></a><var>327.21</var>relationship in the program affected and in other programs similarly situated, and
         the actual <br />
         		<a id="pl.327.22"></a><var>327.22</var>or potential harm to the ability of programs to attract and retain patients if disclosure
         occurs. <br />
         		<a id="pl.327.23"></a><var>327.23</var>This section does not exempt any person from the reporting obligations under section
         <br />
         		
         <statute_ref><a id="pl.327.24"></a><var>327.24</var>626.556
         </statute_ref>, nor limit the use of information reported in any proceeding arising out of the abuse
         <br />
         		<a id="pl.327.25"></a><var>327.25</var>or neglect of a child. Identifying information and other confidential information
         related to <br />
         		<a id="pl.327.26"></a><var>327.26</var>alcohol or drug abuse information substance misuse or substance use disorder, assessment, <br />
         		<a id="pl.327.27"></a><var>327.27</var>treatment, or aftercare services may be ordered to be released by the court for the
         purpose <br />
         		<a id="pl.327.28"></a><var>327.28</var>of civil or criminal investigations or proceedings. No information may be released
         pursuant <br />
         		<a id="pl.327.29"></a><var>327.29</var>to this section that would not be released pursuant to section 
         <statute_ref>595.02, subdivision 2</statute_ref>.<br />
         		<a id="pl.327.30"></a><var>327.30</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.47.0"></a><a id="pl.327.31"></a><var>327.31</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2016, section 254A.19, subdivision 3, is amended to read:<br />
         		<a id="pl.327.32"></a><var>327.32</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Financial conflicts of interest.</b> (a) Except as provided in paragraph (b) or, (c), <br />
         		<a id="pl.327.33"></a><var>327.33</var>or (d), an assessor conducting a chemical use assessment under Minnesota Rules, parts <br />
         		<a id="pl.328.1"></a><var>328.1</var>9530.6600 to 9530.6655, may not have any direct or shared financial interest or referral <br />
         		<a id="pl.328.2"></a><var>328.2</var>relationship resulting in shared financial gain with a treatment provider.<br />
         		<a id="pl.328.3"></a><var>328.3</var>&#160;&#160;&#160;&#160;(b) A county may contract with an assessor having a conflict described in paragraph
         (a) <br />
         		<a id="pl.328.4"></a><var>328.4</var>if the county documents that:<br />
         		<a id="pl.328.5"></a><var>328.5</var>&#160;&#160;&#160;&#160;(1) the assessor is employed by a culturally specific service provider or a service
         provider <br />
         		<a id="pl.328.6"></a><var>328.6</var>with a program designed to treat individuals of a specific age, sex, or sexual preference;<br />
         		<a id="pl.328.7"></a><var>328.7</var>&#160;&#160;&#160;&#160;(2) the county does not employ a sufficient number of qualified assessors and the
         only <br />
         		<a id="pl.328.8"></a><var>328.8</var>qualified assessors available in the county have a direct or shared financial interest
         or a <br />
         		<a id="pl.328.9"></a><var>328.9</var>referral relationship resulting in shared financial gain with a treatment provider;
         or<br />
         		<a id="pl.328.10"></a><var>328.10</var>&#160;&#160;&#160;&#160;(3) the county social service agency has an existing relationship with an assessor
         or <br />
         		<a id="pl.328.11"></a><var>328.11</var>service provider and elects to enter into a contract with that assessor to provide
         both <br />
         		<a id="pl.328.12"></a><var>328.12</var>assessment and treatment under circumstances specified in the county's contract, provided
         <br />
         		<a id="pl.328.13"></a><var>328.13</var>the county retains responsibility for making placement decisions.<br />
         		<a id="pl.328.14"></a><var>328.14</var>&#160;&#160;&#160;&#160;(c) The county may contract with a hospital to conduct chemical assessments if the
         <br />
         		<a id="pl.328.15"></a><var>328.15</var>requirements in subdivision 1a are met.<br />
         		<a id="pl.328.16"></a><var>328.16</var>&#160;&#160;&#160;&#160;An assessor under this paragraph may not place clients in treatment. The assessor
         shall <br />
         		<a id="pl.328.17"></a><var>328.17</var>gather required information and provide it to the county along with any required <br />
         		<a id="pl.328.18"></a><var>328.18</var>documentation. The county shall make all placement decisions for clients assessed
         by <br />
         		<a id="pl.328.19"></a><var>328.19</var>assessors under this paragraph.<br />
         		<a id="pl.328.20"></a><var>328.20</var>&#160;&#160;&#160;&#160;(d) An eligible vendor under section 254B.05 conducting a comprehensive assessment
         <br />
         		<a id="pl.328.21"></a><var>328.21</var>for an individual seeking treatment shall approve the nature, intensity level, and
         duration <br />
         		<a id="pl.328.22"></a><var>328.22</var>of treatment service if a need for services is indicated, but the individual assessed
         can access <br />
         		<a id="pl.328.23"></a><var>328.23</var>any enrolled provider that is licensed to provide the level of service authorized,
         including <br />
         		<a id="pl.328.24"></a><var>328.24</var>the provider or program that completed the assessment. If an individual is enrolled
         in a <br />
         		<a id="pl.328.25"></a><var>328.25</var>prepaid health plan, the individual must comply with any provider network requirements
         <br />
         		<a id="pl.328.26"></a><var>328.26</var>or limitations.<br />
         		<a id="pl.328.27"></a><var>328.27</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.48.0"></a><a id="pl.328.28"></a><var>328.28</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2016, section 254B.01, subdivision 3, is amended to read:<br />
         		<a id="pl.328.29"></a><var>328.29</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Chemical dependency</b><b> Substance use disorder treatment</b><b> services.</b> "Chemical <br />
         		<a id="pl.328.30"></a><var>328.30</var>dependency Substance use disorder treatment services" means a planned program of care <br />
         		<a id="pl.328.31"></a><var>328.31</var>for the treatment of chemical dependency substance misuse or chemical abuse substance <br />
         		<a id="pl.328.32"></a><var>328.32</var>use disorder to minimize or prevent further chemical abuse substance misuse by the person. <br />
         		<a id="pl.329.1"></a><var>329.1</var>Diagnostic, evaluation, prevention, referral, detoxification, and aftercare services
         that are <br />
         		<a id="pl.329.2"></a><var>329.2</var>not part of a program of care licensable as a residential or nonresidential chemical dependency <br />
         		<a id="pl.329.3"></a><var>329.3</var>substance use disorder treatment program are not chemical dependency substance use <br />
         		<a id="pl.329.4"></a><var>329.4</var>disorder services for purposes of this section. For pregnant and postpartum women, chemical <br />
         		<a id="pl.329.5"></a><var>329.5</var>dependency substance use disorder services include halfway house services, aftercare <br />
         		<a id="pl.329.6"></a><var>329.6</var>services, psychological services, and case management.<br />
         		<a id="pl.329.7"></a><var>329.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.49.0"></a><a id="pl.329.8"></a><var>329.8</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2016, section 254B.01, is amended by adding a subdivision <br />
         		<a id="pl.329.9"></a><var>329.9</var>to read:<br />
         		<a id="pl.329.10"></a><var>329.10</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Recovery community organization.</b> "Recovery community organization" <br />
         		<a id="pl.329.11"></a><var>329.11</var>means an independent organization led and governed by representatives of local communities
         <br />
         		<a id="pl.329.12"></a><var>329.12</var>of recovery. A recovery community organization mobilizes resources within and outside
         <br />
         		<a id="pl.329.13"></a><var>329.13</var>of the recovery community to increase the prevalence and quality of long-term recovery
         <br />
         		<a id="pl.329.14"></a><var>329.14</var>from alcohol and other drug addiction. Recovery community organizations provide <br />
         		<a id="pl.329.15"></a><var>329.15</var>peer-based recovery support activities such as training of recovery peers. Recovery
         <br />
         		<a id="pl.329.16"></a><var>329.16</var>community organizations provide mentorship and ongoing support to individuals dealing
         <br />
         		<a id="pl.329.17"></a><var>329.17</var>with a substance use disorder and connect them with the resources that can support
         each <br />
         		<a id="pl.329.18"></a><var>329.18</var>person's recovery. A recovery community organization also promotes a recovery-focused
         <br />
         		<a id="pl.329.19"></a><var>329.19</var>orientation in community education and outreach programming, and organize <br />
         		<a id="pl.329.20"></a><var>329.20</var>recovery-focused policy advocacy activities to foster healthy communities and reduce
         the <br />
         		<a id="pl.329.21"></a><var>329.21</var>stigma of substance use disorder.<br />
         		<a id="pl.329.22"></a><var>329.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.50.0"></a><a id="pl.329.23"></a><var>329.23</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2016, section 254B.03, subdivision 2, is amended to read:<br />
         		<a id="pl.329.24"></a><var>329.24</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Chemical dependency fund payment.</b> (a) Payment from the chemical <br />
         		<a id="pl.329.25"></a><var>329.25</var>dependency fund is limited to payments for services other than detoxification licensed under <br />
         		<a id="pl.329.26"></a><var>329.26</var>Minnesota Rules, parts 9530.6510 to 9530.6590, that, if located outside of federally <br />
         		<a id="pl.329.27"></a><var>329.27</var>recognized tribal lands, would be required to be licensed by the commissioner as a
         chemical <br />
         		<a id="pl.329.28"></a><var>329.28</var>dependency treatment or rehabilitation program under sections 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, and <br />
         		<a id="pl.329.29"></a><var>329.29</var>services other than detoxification provided in another state that would be required
         to be <br />
         		<a id="pl.329.30"></a><var>329.30</var>licensed as a chemical dependency program if the program were in the state. Out of
         state <br />
         		<a id="pl.329.31"></a><var>329.31</var>vendors must also provide the commissioner with assurances that the program complies
         <br />
         		<a id="pl.329.32"></a><var>329.32</var>substantially with state licensing requirements and possesses all licenses and certifications
         <br />
         		<a id="pl.329.33"></a><var>329.33</var>required by the host state to provide chemical dependency treatment. Except for chemical <br />
         		<a id="pl.330.1"></a><var>330.1</var>dependency transitional rehabilitation programs, Vendors receiving payments from the <br />
         		<a id="pl.330.2"></a><var>330.2</var>chemical dependency fund must not require co-payment from a recipient of benefits
         for <br />
         		<a id="pl.330.3"></a><var>330.3</var>services provided under this subdivision. The vendor is prohibited from using the client's <br />
         		<a id="pl.330.4"></a><var>330.4</var>public benefits to offset the cost of services paid under this section. The vendor
         shall not <br />
         		<a id="pl.330.5"></a><var>330.5</var>require the client to use public benefits for room or board costs. This includes but
         is not <br />
         		<a id="pl.330.6"></a><var>330.6</var>limited to cash assistance benefits under chapters 119B, 256D, and 256J, or SNAP benefits.
         <br />
         		<a id="pl.330.7"></a><var>330.7</var>Retention of SNAP benefits is a right of a client receiving services through the consolidated
         <br />
         		<a id="pl.330.8"></a><var>330.8</var>chemical dependency treatment fund or through state contracted managed care entities.
          <br />
         		<a id="pl.330.9"></a><var>330.9</var>Payment from the chemical dependency fund shall be made for necessary room and board
         <br />
         		<a id="pl.330.10"></a><var>330.10</var>costs provided by vendors certified according to section 
         <statute_ref>254B.05</statute_ref>, or in a community hospital <br />
         		<a id="pl.330.11"></a><var>330.11</var>licensed by the commissioner of health according to sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref> to a client <br />
         		<a id="pl.330.12"></a><var>330.12</var>who is:<br />
         		<a id="pl.330.13"></a><var>330.13</var>(1) determined to meet the criteria for placement in a residential chemical dependency
         <br />
         		<a id="pl.330.14"></a><var>330.14</var>treatment program according to rules adopted under section 
         <statute_ref>254A.03, subdivision 3</statute_ref>; and<br />
         		<a id="pl.330.15"></a><var>330.15</var>(2) concurrently receiving a chemical dependency treatment service in a program licensed
         <br />
         		<a id="pl.330.16"></a><var>330.16</var>by the commissioner and reimbursed by the chemical dependency fund.<br />
         		<a id="pl.330.17"></a><var>330.17</var>(b) A county may, from its own resources, provide chemical dependency services for
         <br />
         		<a id="pl.330.18"></a><var>330.18</var>which state payments are not made. A county may elect to use the same invoice procedures
         <br />
         		<a id="pl.330.19"></a><var>330.19</var>and obtain the same state payment services as are used for chemical dependency services
         <br />
         		<a id="pl.330.20"></a><var>330.20</var>for which state payments are made under this section if county payments are made to
         the <br />
         		<a id="pl.330.21"></a><var>330.21</var>state in advance of state payments to vendors. When a county uses the state system
         for <br />
         		<a id="pl.330.22"></a><var>330.22</var>payment, the commissioner shall make monthly billings to the county using the most
         recent <br />
         		<a id="pl.330.23"></a><var>330.23</var>available information to determine the anticipated services for which payments will
         be made <br />
         		<a id="pl.330.24"></a><var>330.24</var>in the coming month. Adjustment of any overestimate or underestimate based on actual
         <br />
         		<a id="pl.330.25"></a><var>330.25</var>expenditures shall be made by the state agency by adjusting the estimate for any succeeding
         <br />
         		<a id="pl.330.26"></a><var>330.26</var>month.<br />
         		<a id="pl.330.27"></a><var>330.27</var>(c) The commissioner shall coordinate chemical dependency services and determine <br />
         		<a id="pl.330.28"></a><var>330.28</var>whether there is a need for any proposed expansion of chemical dependency treatment
         <br />
         		<a id="pl.330.29"></a><var>330.29</var>services. The commissioner shall deny vendor certification to any provider that has
         not <br />
         		<a id="pl.330.30"></a><var>330.30</var>received prior approval from the commissioner for the creation of new programs or
         the <br />
         		<a id="pl.330.31"></a><var>330.31</var>expansion of existing program capacity. The commissioner shall consider the provider's
         <br />
         		<a id="pl.330.32"></a><var>330.32</var>capacity to obtain clients from outside the state based on plans, agreements, and
         previous <br />
         		<a id="pl.330.33"></a><var>330.33</var>utilization history, when determining the need for new treatment services.<br />
         		<a id="pl.330.34"></a><var>330.34</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.51.0"></a><a id="pl.331.1"></a><var>331.1</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2016, section 254B.04, subdivision 1, is amended to read:<br />
         		<a id="pl.331.2"></a><var>331.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Eligibility.</b> (a) Persons eligible for benefits under Code of Federal <br />
         		<a id="pl.331.3"></a><var>331.3</var>Regulations, title 25, part 20, and persons eligible for medical assistance benefits
         under <br />
         		<a id="pl.331.4"></a><var>331.4</var>sections 
         <statute_ref>256B.055</statute_ref>, 
         <statute_ref>256B.056</statute_ref>, and 
         <statute_ref>256B.057, subdivisions 1, 5, and 6</statute_ref>, or who meet the <br />
         		<a id="pl.331.5"></a><var>331.5</var>income standards of section 
         <statute_ref>256B.056, subdivision 4</statute_ref>, are entitled to chemical dependency <br />
         		<a id="pl.331.6"></a><var>331.6</var>fund services. State money appropriated for this paragraph must be placed in a separate
         <br />
         		<a id="pl.331.7"></a><var>331.7</var>account established for this purpose.<br />
         		<a id="pl.331.8"></a><var>331.8</var>Persons with dependent children who are determined to be in need of chemical <br />
         		<a id="pl.331.9"></a><var>331.9</var>dependency treatment pursuant to an assessment under section 
         <statute_ref>626.556, subdivision 10</statute_ref>, or <br />
         		<a id="pl.331.10"></a><var>331.10</var>a case plan under section 
         <statute_ref>260C.201, subdivision 6</statute_ref>, or 
         <statute_ref>260C.212</statute_ref>, shall be assisted by the <br />
         		<a id="pl.331.11"></a><var>331.11</var>local agency to access needed treatment services. Treatment services must be appropriate
         <br />
         		<a id="pl.331.12"></a><var>331.12</var>for the individual or family, which may include long-term care treatment or treatment
         in a <br />
         		<a id="pl.331.13"></a><var>331.13</var>facility that allows the dependent children to stay in the treatment facility. The
         county shall <br />
         		<a id="pl.331.14"></a><var>331.14</var>pay for out-of-home placement costs, if applicable.<br />
         		<a id="pl.331.15"></a><var>331.15</var>(b) A person not entitled to services under paragraph (a), but with family income
         that <br />
         		<a id="pl.331.16"></a><var>331.16</var>is less than 215 percent of the federal poverty guidelines for the applicable family
         size, shall <br />
         		<a id="pl.331.17"></a><var>331.17</var>be eligible to receive chemical dependency fund services within the limit of funds
         <br />
         		<a id="pl.331.18"></a><var>331.18</var>appropriated for this group for the fiscal year. If notified by the state agency of
         limited <br />
         		<a id="pl.331.19"></a><var>331.19</var>funds, a county must give preferential treatment to persons with dependent children
         who <br />
         		<a id="pl.331.20"></a><var>331.20</var>are in need of chemical dependency treatment pursuant to an assessment under section
         <br />
         		
         <statute_ref><a id="pl.331.21"></a><var>331.21</var>626.556, subdivision 10
         </statute_ref>, or a case plan under section 
         <statute_ref>260C.201, subdivision 6</statute_ref>, or 
         <statute_ref>260C.212</statute_ref>. <br />
         		<a id="pl.331.22"></a><var>331.22</var>A county may spend money from its own sources to serve persons under this paragraph.
         <br />
         		<a id="pl.331.23"></a><var>331.23</var>State money appropriated for this paragraph must be placed in a separate account established
         <br />
         		<a id="pl.331.24"></a><var>331.24</var>for this purpose.<br />
         		<a id="pl.331.25"></a><var>331.25</var>(c) Persons whose income is between 215 percent and 412 percent of the federal poverty
         <br />
         		<a id="pl.331.26"></a><var>331.26</var>guidelines for the applicable family size shall be eligible for chemical dependency
         services <br />
         		<a id="pl.331.27"></a><var>331.27</var>on a sliding fee basis, within the limit of funds appropriated for this group for
         the fiscal <br />
         		<a id="pl.331.28"></a><var>331.28</var>year. Persons eligible under this paragraph must contribute to the cost of services
         according <br />
         		<a id="pl.331.29"></a><var>331.29</var>to the sliding fee scale established under subdivision 3. A county may spend money
         from <br />
         		<a id="pl.331.30"></a><var>331.30</var>its own sources to provide services to persons under this paragraph. State money appropriated
         <br />
         		<a id="pl.331.31"></a><var>331.31</var>for this paragraph must be placed in a separate account established for this purpose.<br />
         		<a id="pl.331.32"></a><var>331.32</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.52.0"></a><a id="pl.332.1"></a><var>332.1</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2016, section 254B.04, subdivision 2b, is amended to read:<br />
         		<a id="pl.332.2"></a><var>332.2</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Eligibility for placement in opioid treatment programs.</b> (a) Notwithstanding <br />
         		<a id="pl.332.3"></a><var>332.3</var>provisions of Minnesota Rules, part 9530.6622, subpart 5, related to a placement authority's <br />
         		<a id="pl.332.4"></a><var>332.4</var>requirement to authorize services or service coordination in a program that complies
         with <br />
         		<a id="pl.332.5"></a><var>332.5</var>Minnesota Rules, part 9530.6500, or Code of Federal Regulations, title 42, part 8, and after <br />
         		<a id="pl.332.6"></a><var>332.6</var>taking into account an individual's preference for placement in an opioid treatment program, <br />
         		<a id="pl.332.7"></a><var>332.7</var>a placement authority may, but is not required to, authorize services or service coordination
         <br />
         		<a id="pl.332.8"></a><var>332.8</var>or otherwise place an individual in an opioid treatment program. Prior to making a
         <br />
         		<a id="pl.332.9"></a><var>332.9</var>determination of placement for an individual, the placing authority must consult with
         the <br />
         		<a id="pl.332.10"></a><var>332.10</var>current treatment provider, if any.<br />
         		<a id="pl.332.11"></a><var>332.11</var>(b) Prior to placement of an individual who is determined by the assessor to require
         <br />
         		<a id="pl.332.12"></a><var>332.12</var>treatment for opioid addiction, the assessor must provide educational information
         concerning <br />
         		<a id="pl.332.13"></a><var>332.13</var>treatment options for opioid addiction, including the use of a medication for the
         use of <br />
         		<a id="pl.332.14"></a><var>332.14</var>opioid addiction. The commissioner shall develop educational materials supported by
         <br />
         		<a id="pl.332.15"></a><var>332.15</var>research and updated periodically that must be used by assessors to comply with this
         <br />
         		<a id="pl.332.16"></a><var>332.16</var>requirement.<br />
         		<a id="pl.332.17"></a><var>332.17</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.53.0"></a><a id="pl.332.18"></a><var>332.18</var>&#160;&#160;&#160;&#160;Sec. 53. Minnesota Statutes 2016, section 254B.05, subdivision 1, is amended to read:<br />
         		<a id="pl.332.19"></a><var>332.19</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Licensure required.</b> (a) Programs licensed by the commissioner are <br />
         		<a id="pl.332.20"></a><var>332.20</var>eligible vendors. Hospitals may apply for and receive licenses to be eligible vendors,
         <br />
         		<a id="pl.332.21"></a><var>332.21</var>notwithstanding the provisions of section 
         <statute_ref>245A.03</statute_ref>. American Indian programs that provide <br />
         		<a id="pl.332.22"></a><var>332.22</var>chemical dependency primary substance use disorder treatment, extended care, transitional <br />
         		<a id="pl.332.23"></a><var>332.23</var>residence, or outpatient treatment services, and are licensed by tribal government
         are eligible <br />
         		<a id="pl.332.24"></a><var>332.24</var>vendors.<br />
         		<a id="pl.332.25"></a><var>332.25</var>(b) On July 1, 2018, or upon federal approval, whichever is later, a licensed professional
         <br />
         		<a id="pl.332.26"></a><var>332.26</var>in private practice who meets the requirements of section 245G.11, subdivisions 1
         and 4, <br />
         		<a id="pl.332.27"></a><var>332.27</var>is an eligible vendor of a comprehensive assessment and assessment summary provided
         <br />
         		<a id="pl.332.28"></a><var>332.28</var>according to section 245G.05, and treatment services provided according to sections
         245G.06 <br />
         		<a id="pl.332.29"></a><var>332.29</var>and 245G.07, subdivision 1, paragraphs (a), clauses (1) to (5), and (b); and subdivision
         2.<br />
         		<a id="pl.332.30"></a><var>332.30</var>(c) On July 1, 2018, or upon federal approval, whichever is later, a county is an
         eligible <br />
         		<a id="pl.332.31"></a><var>332.31</var>vendor for a comprehensive assessment and assessment summary when provided by an <br />
         		<a id="pl.332.32"></a><var>332.32</var>individual who meets the staffing credentials of section 245G.11, subdivisions 1 and
         4, and <br />
         		<a id="pl.332.33"></a><var>332.33</var>completed according to the requirements of section 245G.05. A county is an eligible
         vendor <br />
         		<a id="pl.333.1"></a><var>333.1</var>of care coordination services when provided by an individual who meets the staffing
         <br />
         		<a id="pl.333.2"></a><var>333.2</var>credentials of section 245G.11, subdivisions 1 and 7, and provided according to the
         <br />
         		<a id="pl.333.3"></a><var>333.3</var>requirements of section 245G.07, subdivision 1, clause (7).<br />
         		 <a id="pl.333.4"></a><var>333.4</var>(d) On July 1, 2018, or upon federal approval, whichever is later, a recovery community
         <br />
         		<a id="pl.333.5"></a><var>333.5</var>organization that meets certification requirements identified by the commissioner
         is an <br />
         		<a id="pl.333.6"></a><var>333.6</var>eligible vendor of peer support services.<br />
         		<a id="pl.333.7"></a><var>333.7</var>(e) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to <br />
         		<a id="pl.333.8"></a><var>333.8</var>9530.6590, are not eligible vendors. Programs that are not licensed as a chemical dependency <br />
         		<a id="pl.333.9"></a><var>333.9</var>residential or nonresidential substance use disorder treatment or withdrawal management <br />
         		<a id="pl.333.10"></a><var>333.10</var>program by the commissioner or by tribal government or do not meet the requirements
         of <br />
         		<a id="pl.333.11"></a><var>333.11</var>subdivisions 1a and 1b are not eligible vendors.<br />
         		<a id="pl.333.12"></a><var>333.12</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.54.0"></a><a id="pl.333.13"></a><var>333.13</var>&#160;&#160;&#160;&#160;Sec. 54. Minnesota Statutes 2016, section 254B.05, subdivision 1a, is amended to read:<br />
         		<a id="pl.333.14"></a><var>333.14</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Room and board provider requirements.</b> (a) Effective January 1, 2000, <br />
         		<a id="pl.333.15"></a><var>333.15</var>vendors of room and board are eligible for chemical dependency fund payment if the
         vendor:<br />
         		<a id="pl.333.16"></a><var>333.16</var>(1) has rules prohibiting residents bringing chemicals into the facility or using
         chemicals <br />
         		<a id="pl.333.17"></a><var>333.17</var>while residing in the facility and provide consequences for infractions of those rules;<br />
         		<a id="pl.333.18"></a><var>333.18</var>(2) is determined to meet applicable health and safety requirements;<br />
         		<a id="pl.333.19"></a><var>333.19</var>(3) is not a jail or prison;<br />
         		<a id="pl.333.20"></a><var>333.20</var>(4) is not concurrently receiving funds under chapter 256I for the recipient;<br />
         		<a id="pl.333.21"></a><var>333.21</var>(5) admits individuals who are 18 years of age or older;<br />
         		<a id="pl.333.22"></a><var>333.22</var>(6) is registered as a board and lodging or lodging establishment according to section
         <br />
         		
         <statute_ref><a id="pl.333.23"></a><var>333.23</var>157.17
         </statute_ref>;<br />
         		<a id="pl.333.24"></a><var>333.24</var>(7) has awake staff on site 24 hours per day;<br />
         		<a id="pl.333.25"></a><var>333.25</var>(8) has staff who are at least 18 years of age and meet the requirements of Minnesota <br />
         		<a id="pl.333.26"></a><var>333.26</var>Rules, part 9530.6450, subpart 1, item A section 245G.11, subdivision 1, paragraph (a);<br />
         		<a id="pl.333.27"></a><var>333.27</var>(9) has emergency behavioral procedures that meet the requirements of Minnesota Rules, <br />
         		<a id="pl.333.28"></a><var>333.28</var>part 9530.6475 section 245G.16;<br />
         		<a id="pl.333.29"></a><var>333.29</var>(10) meets the requirements of Minnesota Rules, part 9530.6435, subparts 3 and 4, items <br />
         		<a id="pl.333.30"></a><var>333.30</var>A and B section 245G.08, subdivision 5, if administering medications to clients;<br />
         		<a id="pl.334.1"></a><var>334.1</var>(11) meets the abuse prevention requirements of section 
         <statute_ref>245A.65</statute_ref>, including a policy on <br />
         		<a id="pl.334.2"></a><var>334.2</var>fraternization and the mandatory reporting requirements of section 
         <statute_ref>626.557</statute_ref>;<br />
         		<a id="pl.334.3"></a><var>334.3</var>(12) documents coordination with the treatment provider to ensure compliance with
         <br />
         		<a id="pl.334.4"></a><var>334.4</var>section 
         <statute_ref>254B.03, subdivision 2</statute_ref>;<br />
         		<a id="pl.334.5"></a><var>334.5</var>(13) protects client funds and ensures freedom from exploitation by meeting the <br />
         		<a id="pl.334.6"></a><var>334.6</var>provisions of section 
         <statute_ref>245A.04, subdivision 13</statute_ref>;<br />
         		<a id="pl.334.7"></a><var>334.7</var>(14) has a grievance procedure that meets the requirements of Minnesota Rules, part <br />
         		<a id="pl.334.8"></a><var>334.8</var>9530.6470, subpart 2 section 245G.15, subdivision 2; and<br />
         		<a id="pl.334.9"></a><var>334.9</var>(15) has sleeping and bathroom facilities for men and women separated by a door that
         <br />
         		<a id="pl.334.10"></a><var>334.10</var>is locked, has an alarm, or is supervised by awake staff.<br />
         		<a id="pl.334.11"></a><var>334.11</var>(b) Programs licensed according to Minnesota Rules, chapter 2960, are exempt from
         <br />
         		<a id="pl.334.12"></a><var>334.12</var>paragraph (a), clauses (5) to (15).<br />
         		<a id="pl.334.13"></a><var>334.13</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.55.0"></a><a id="pl.334.14"></a><var>334.14</var>&#160;&#160;&#160;&#160;Sec. 55. Minnesota Statutes 2016, section 254B.05, subdivision 5, is amended to read:<br />
         		<a id="pl.334.15"></a><var>334.15</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Rate requirements.</b> (a) The commissioner shall establish rates for chemical <br />
         		<a id="pl.334.16"></a><var>334.16</var>dependency substance use disorder services and service enhancements funded under this <br />
         		<a id="pl.334.17"></a><var>334.17</var>chapter.<br />
         		<a id="pl.334.18"></a><var>334.18</var>(b) Eligible chemical dependency substance use disorder treatment services include:<br />
         		<a id="pl.334.19"></a><var>334.19</var>(1) outpatient treatment services that are licensed according to Minnesota Rules, parts <br />
         		<a id="pl.334.20"></a><var>334.20</var>9530.6405 to 9530.6480 sections 245G.01 to 245G.17, or applicable tribal license;<br />
         		<a id="pl.334.21"></a><var>334.21</var>(2) on July 1, 2018, or upon federal approval, whichever is later, comprehensive <br />
         		<a id="pl.334.22"></a><var>334.22</var>assessments provided according to sections 245.4863, paragraph (a), and 245G.05, and
         <br />
         		<a id="pl.334.23"></a><var>334.23</var>Minnesota Rules, part 9530.6422;<br />
         		<a id="pl.334.24"></a><var>334.24</var>(3) on July 1, 2018, or upon federal approval, whichever is later, care coordination
         <br />
         		<a id="pl.334.25"></a><var>334.25</var>services provided according to section 245G.07, subdivision 1, paragraph (a), clause
         (6);<br />
         		<a id="pl.334.26"></a><var>334.26</var>(4) on July 1, 2018, or upon federal approval, whichever is later, peer recovery support
         <br />
         		<a id="pl.334.27"></a><var>334.27</var>services provided according to section 245G.07, subdivision 1, paragraph (a), clause
         (5);<br />
         		<a id="pl.334.28"></a><var>334.28</var>(5) on July 1, 2018, or upon federal approval, whichever is later, withdrawal management
         <br />
         		<a id="pl.334.29"></a><var>334.29</var>services provided according to chapter 245F;<br />
         		<a id="pl.335.1"></a><var>335.1</var>(2) (6) medication-assisted therapy services that are licensed according to Minnesota <br />
         		<a id="pl.335.2"></a><var>335.2</var>Rules, parts 9530.6405 to 9530.6480 and 9530.6500 section 245G.07, subdivision 1, or <br />
         		<a id="pl.335.3"></a><var>335.3</var>applicable tribal license;<br />
         		<a id="pl.335.4"></a><var>335.4</var>(3) (7) medication-assisted therapy plus enhanced treatment services that meet the <br />
         		<a id="pl.335.5"></a><var>335.5</var>requirements of clause (2) (6) and provide nine hours of clinical services each week;<br />
         		<a id="pl.335.6"></a><var>335.6</var>(4) (8) high, medium, and low intensity residential treatment services that are licensed
         <br />
         		<a id="pl.335.7"></a><var>335.7</var>according to Minnesota Rules, parts 9530.6405 to 9530.6480 and 9530.6505, sections <br />
         		<a id="pl.335.8"></a><var>335.8</var>245G.01 to 245G.17 and 245G.22 or applicable tribal license which provide, respectively, <br />
         		<a id="pl.335.9"></a><var>335.9</var>30, 15, and five hours of clinical services each week;<br />
         		<a id="pl.335.10"></a><var>335.10</var>(5) (9) hospital-based treatment services that are licensed according to Minnesota Rules, <br />
         		<a id="pl.335.11"></a><var>335.11</var>parts 9530.6405 to 9530.6480, sections 245G.01 to 245G.17 or applicable tribal license and <br />
         		<a id="pl.335.12"></a><var>335.12</var>licensed as a hospital under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref>;<br />
         		<a id="pl.335.13"></a><var>335.13</var>(6) (10) adolescent treatment programs that are licensed as outpatient treatment programs
         <br />
         		<a id="pl.335.14"></a><var>335.14</var>according to Minnesota Rules, parts 9530.6405 to 9530.6485, sections 245G.01 to 245G.18 <br />
         		<a id="pl.335.15"></a><var>335.15</var>or as residential treatment programs according to Minnesota Rules, parts 2960.0010 to <br />
         		<a id="pl.335.16"></a><var>335.16</var>2960.0220, and 2960.0430 to 2960.0490, or applicable tribal license;<br />
         		<a id="pl.335.17"></a><var>335.17</var>(7) (11) high-intensity residential treatment services that are licensed according to <br />
         		<a id="pl.335.18"></a><var>335.18</var>Minnesota Rules, parts 9530.6405 to 9530.6480 and 9530.6505, sections 245G.01 to 245G.17 <br />
         		<a id="pl.335.19"></a><var>335.19</var>and 245G.21 or applicable tribal license, which provide 30 hours of clinical services each <br />
         		<a id="pl.335.20"></a><var>335.20</var>week provided by a state-operated vendor or to clients who have been civilly committed
         to <br />
         		<a id="pl.335.21"></a><var>335.21</var>the commissioner, present the most complex and difficult care needs, and are a potential
         <br />
         		<a id="pl.335.22"></a><var>335.22</var>threat to the community; and<br />
         		<a id="pl.335.23"></a><var>335.23</var>(8) (12) room and board facilities that meet the requirements of subdivision 1a.<br />
         		<a id="pl.335.24"></a><var>335.24</var>(c) The commissioner shall establish higher rates for programs that meet the requirements
         <br />
         		<a id="pl.335.25"></a><var>335.25</var>of paragraph (b) and one of the following additional requirements:<br />
         		<a id="pl.335.26"></a><var>335.26</var>(1) programs that serve parents with their children if the program:<br />
         		<a id="pl.335.27"></a><var>335.27</var>(i) provides on-site child care during the hours of treatment activity that:<br />
         		<a id="pl.335.28"></a><var>335.28</var>(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter
         <br />
         		<a id="pl.335.29"></a><var>335.29</var>9503; or<br />
         		<a id="pl.335.30"></a><var>335.30</var>(B) meets the licensure exclusion criteria of section 
         <statute_ref>245A.03, subdivision 2</statute_ref>, paragraph <br />
         		<a id="pl.335.31"></a><var>335.31</var>(a), clause (6), and meets the requirements under Minnesota Rules, part 9530.6490, subpart <br />
         		<a id="pl.335.32"></a><var>335.32</var>4 section 245G.19, subdivision 4; or<br />
         		<a id="pl.336.1"></a><var>336.1</var>(ii) arranges for off-site child care during hours of treatment activity at a facility
         that is <br />
         		<a id="pl.336.2"></a><var>336.2</var>licensed under chapter 245A as:<br />
         		<a id="pl.336.3"></a><var>336.3</var>(A) a child care center under Minnesota Rules, chapter 9503; or<br />
         		<a id="pl.336.4"></a><var>336.4</var>(B) a family child care home under Minnesota Rules, chapter 9502;<br />
         		<a id="pl.336.5"></a><var>336.5</var>(2) culturally specific programs as defined in section 
         <statute_ref>254B.01, subdivision 4a</statute_ref>, or <br />
         		<a id="pl.336.6"></a><var>336.6</var>programs or subprograms serving special populations, if the program or subprogram
         meets <br />
         		<a id="pl.336.7"></a><var>336.7</var>the following requirements:<br />
         		<a id="pl.336.8"></a><var>336.8</var>(i) is designed to address the unique needs of individuals who share a common language,
         <br />
         		<a id="pl.336.9"></a><var>336.9</var>racial, ethnic, or social background;<br />
         		<a id="pl.336.10"></a><var>336.10</var>(ii) is governed with significant input from individuals of that specific background;
         and<br />
         		<a id="pl.336.11"></a><var>336.11</var>(iii) employs individuals to provide individual or group therapy, at least 50 percent
         of <br />
         		<a id="pl.336.12"></a><var>336.12</var>whom are of that specific background, except when the common social background of
         the <br />
         		<a id="pl.336.13"></a><var>336.13</var>individuals served is a traumatic brain injury or cognitive disability and the program
         employs <br />
         		<a id="pl.336.14"></a><var>336.14</var>treatment staff who have the necessary professional training, as approved by the <br />
         		<a id="pl.336.15"></a><var>336.15</var>commissioner, to serve clients with the specific disabilities that the program is
         designed to <br />
         		<a id="pl.336.16"></a><var>336.16</var>serve;<br />
         		<a id="pl.336.17"></a><var>336.17</var>(3) programs that offer medical services delivered by appropriately credentialed health
         <br />
         		<a id="pl.336.18"></a><var>336.18</var>care staff in an amount equal to two hours per client per week if the medical needs
         of the <br />
         		<a id="pl.336.19"></a><var>336.19</var>client and the nature and provision of any medical services provided are documented
         in the <br />
         		<a id="pl.336.20"></a><var>336.20</var>client file; and<br />
         		<a id="pl.336.21"></a><var>336.21</var>(4) programs that offer services to individuals with co-occurring mental health and
         <br />
         		<a id="pl.336.22"></a><var>336.22</var>chemical dependency problems if:<br />
         		<a id="pl.336.23"></a><var>336.23</var>(i) the program meets the co-occurring requirements in Minnesota Rules, part 9530.6495 <br />
         		<a id="pl.336.24"></a><var>336.24</var>section 245G.20;<br />
         		<a id="pl.336.25"></a><var>336.25</var>(ii) 25 percent of the counseling staff are licensed mental health professionals,
         as defined <br />
         		<a id="pl.336.26"></a><var>336.26</var>in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (1) to (6), or are students or licensing candidates <br />
         		<a id="pl.336.27"></a><var>336.27</var>under the supervision of a licensed alcohol and drug counselor supervisor and licensed
         <br />
         		<a id="pl.336.28"></a><var>336.28</var>mental health professional, except that no more than 50 percent of the mental health
         staff <br />
         		<a id="pl.336.29"></a><var>336.29</var>may be students or licensing candidates with time documented to be directly related
         to <br />
         		<a id="pl.336.30"></a><var>336.30</var>provisions of co-occurring services;<br />
         		<a id="pl.336.31"></a><var>336.31</var>(iii) clients scoring positive on a standardized mental health screen receive a mental
         <br />
         		<a id="pl.336.32"></a><var>336.32</var>health diagnostic assessment within ten days of admission;<br />
         		<a id="pl.337.1"></a><var>337.1</var>(iv) the program has standards for multidisciplinary case review that include a monthly
         <br />
         		<a id="pl.337.2"></a><var>337.2</var>review for each client that, at a minimum, includes a licensed mental health professional
         <br />
         		<a id="pl.337.3"></a><var>337.3</var>and licensed alcohol and drug counselor, and their involvement in the review is documented;<br />
         		<a id="pl.337.4"></a><var>337.4</var>(v) family education is offered that addresses mental health and substance abuse disorders
         <br />
         		<a id="pl.337.5"></a><var>337.5</var>and the interaction between the two; and<br />
         		<a id="pl.337.6"></a><var>337.6</var>(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder
         <br />
         		<a id="pl.337.7"></a><var>337.7</var>training annually.<br />
         		<a id="pl.337.8"></a><var>337.8</var>(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
         <br />
         		<a id="pl.337.9"></a><var>337.9</var>that provides arrangements for off-site child care must maintain current documentation
         at <br />
         		<a id="pl.337.10"></a><var>337.10</var>the chemical dependency facility of the child care provider's current licensure to
         provide <br />
         		<a id="pl.337.11"></a><var>337.11</var>child care services. Programs that provide child care according to paragraph (c),
         clause (1), <br />
         		<a id="pl.337.12"></a><var>337.12</var>must be deemed in compliance with the licensing requirements in Minnesota Rules, part <br />
         		<a id="pl.337.13"></a><var>337.13</var>9530.6490 section 245G.19.<br />
         		<a id="pl.337.14"></a><var>337.14</var>(e) Adolescent residential programs that meet the requirements of Minnesota Rules,
         <br />
         		<a id="pl.337.15"></a><var>337.15</var>parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements <br />
         		<a id="pl.337.16"></a><var>337.16</var>in paragraph (c), clause (4), items (i) to (iv).<br />
         		<a id="pl.337.17"></a><var>337.17</var>(f) Subject to federal approval, chemical dependency services that are otherwise covered
         <br />
         		<a id="pl.337.18"></a><var>337.18</var>as direct face-to-face services may be provided via two-way interactive video. The
         use of <br />
         		<a id="pl.337.19"></a><var>337.19</var>two-way interactive video must be medically appropriate to the condition and needs
         of the <br />
         		<a id="pl.337.20"></a><var>337.20</var>person being served. Reimbursement shall be at the same rates and under the same conditions
         <br />
         		<a id="pl.337.21"></a><var>337.21</var>that would otherwise apply to direct face-to-face services. The interactive video
         equipment <br />
         		<a id="pl.337.22"></a><var>337.22</var>and connection must comply with Medicare standards in effect at the time the service
         is <br />
         		<a id="pl.337.23"></a><var>337.23</var>provided.<br />
         		<a id="pl.337.24"></a><var>337.24</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.56.0"></a><a id="pl.337.25"></a><var>337.25</var>&#160;&#160;&#160;&#160;Sec. 56. Minnesota Statutes 2016, section 254B.051, is amended to read:<br />
         		<a id="pl.337.26"></a><var>337.26</var><b>254B.051 SUBSTANCE </b><b>ABUSE</b><b> USE DISORDER</b><b> TREATMENT </b><br />
         		<a id="pl.337.27"></a><var>337.27</var><b>EFFECTIVENESS.</b><br />
         		<a id="pl.337.28"></a><var>337.28</var>&#160;&#160;&#160;&#160;In addition to the substance abuse use disorder treatment program performance outcome <br />
         		<a id="pl.337.29"></a><var>337.29</var>measures that the commissioner of human services collects annually from treatment
         providers, <br />
         		<a id="pl.337.30"></a><var>337.30</var>the commissioner shall request additional data from programs that receive appropriations
         <br />
         		<a id="pl.337.31"></a><var>337.31</var>from the consolidated chemical dependency treatment fund. This data shall include
         number <br />
         		<a id="pl.337.32"></a><var>337.32</var>of client readmissions six months after release from inpatient treatment, and the
         cost of <br />
         		<a id="pl.338.1"></a><var>338.1</var>treatment per person for each program receiving consolidated chemical dependency treatment
         <br />
         		<a id="pl.338.2"></a><var>338.2</var>funds. The commissioner may post this data on the department Web site.<br />
         		<a id="pl.338.3"></a><var>338.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.57.0"></a><a id="pl.338.4"></a><var>338.4</var>&#160;&#160;&#160;&#160;Sec. 57. Minnesota Statutes 2016, section 254B.07, is amended to read:<br />
         		<a id="pl.338.5"></a><var>338.5</var><b>254B.07 THIRD-PARTY LIABILITY.</b><br />
         		<a id="pl.338.6"></a><var>338.6</var>The state agency provision and payment of, or liability for, chemical dependency <br />
         		<a id="pl.338.7"></a><var>338.7</var>substance use disorder medical care is the same as in section 
         <statute_ref>256B.042</statute_ref>.<br />
         		<a id="pl.338.8"></a><var>338.8</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.58.0"></a><a id="pl.338.9"></a><var>338.9</var>&#160;&#160;&#160;&#160;Sec. 58. Minnesota Statutes 2016, section 254B.08, is amended to read:<br />
         		<a id="pl.338.10"></a><var>338.10</var><b>254B.08 FEDERAL WAIVERS.</b><br />
         		<a id="pl.338.11"></a><var>338.11</var>The commissioner shall apply for any federal waivers necessary to secure, to the extent
         <br />
         		<a id="pl.338.12"></a><var>338.12</var>allowed by law, federal financial participation for the provision of services to persons
         who <br />
         		<a id="pl.338.13"></a><var>338.13</var>need chemical dependency substance use disorder services. The commissioner may seek <br />
         		<a id="pl.338.14"></a><var>338.14</var>amendments to the waivers or apply for additional waivers to contain costs. The <br />
         		<a id="pl.338.15"></a><var>338.15</var>commissioner shall ensure that payment for the cost of providing chemical dependency <br />
         		<a id="pl.338.16"></a><var>338.16</var>substance use disorder services under the federal waiver plan does not exceed the cost of <br />
         		<a id="pl.338.17"></a><var>338.17</var>chemical dependency substance use disorder services that would have been provided without <br />
         		<a id="pl.338.18"></a><var>338.18</var>the waivered services.<br />
         		<a id="pl.338.19"></a><var>338.19</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.59.0"></a><a id="pl.338.20"></a><var>338.20</var>&#160;&#160;&#160;&#160;Sec. 59. Minnesota Statutes 2016, section 254B.09, is amended to read:<br />
         		<a id="pl.338.21"></a><var>338.21</var><b>254B.09 INDIAN RESERVATION ALLOCATION OF CHEMICAL </b><br />
         		<a id="pl.338.22"></a><var>338.22</var><b>DEPENDENCY FUND.</b><br />
         		<a id="pl.338.23"></a><var>338.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Vendor payments.</b> The commissioner shall pay eligible vendors for <br />
         		<a id="pl.338.24"></a><var>338.24</var>chemical dependency substance use disorder services to American Indians on the same <br />
         		<a id="pl.338.25"></a><var>338.25</var>basis as other payments, except that no local match is required when an invoice is
         submitted <br />
         		<a id="pl.338.26"></a><var>338.26</var>by the governing authority of a federally recognized American Indian tribal body or
         a county <br />
         		<a id="pl.338.27"></a><var>338.27</var>if the tribal governing body has not entered into an agreement under subdivision 2
         on behalf <br />
         		<a id="pl.338.28"></a><var>338.28</var>of a current resident of the reservation under this section.<br />
         		<a id="pl.338.29"></a><var>338.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>American Indian agreements.</b> The commissioner may enter into agreements <br />
         		<a id="pl.338.30"></a><var>338.30</var>with federally recognized tribal units to pay for chemical dependency substance use disorder <br />
         		<a id="pl.339.1"></a><var>339.1</var>treatment services provided under Laws 1986, chapter 394, sections 8 to 20. The agreements
         <br />
         		<a id="pl.339.2"></a><var>339.2</var>must clarify how the governing body of the tribal unit fulfills local agency responsibilities
         <br />
         		<a id="pl.339.3"></a><var>339.3</var>regarding:<br />
         		<a id="pl.339.4"></a><var>339.4</var>(1) the form and manner of invoicing; and<br />
         		<a id="pl.339.5"></a><var>339.5</var>(2) provide that only invoices for eligible vendors according to section 
         <statute_ref>254B.05 </statute_ref>will be <br />
         		<a id="pl.339.6"></a><var>339.6</var>included in invoices sent to the commissioner for payment, to the extent that money
         allocated <br />
         		<a id="pl.339.7"></a><var>339.7</var>under subdivisions 4 and 5 is used.<br />
         		<a id="pl.339.8"></a><var>339.8</var>&#160;&#160;&#160;&#160;Subd. 6. <b>American Indian tribal placements.</b> After entering into an agreement under <br />
         		<a id="pl.339.9"></a><var>339.9</var>subdivision 2, the governing authority of each reservation may submit invoices to
         the state <br />
         		<a id="pl.339.10"></a><var>339.10</var>for the cost of providing chemical dependency substance use disorder services to residents <br />
         		<a id="pl.339.11"></a><var>339.11</var>of the reservation according to the placement rules governing county placements, except
         <br />
         		<a id="pl.339.12"></a><var>339.12</var>that local match requirements are waived. The governing body may designate an agency
         to <br />
         		<a id="pl.339.13"></a><var>339.13</var>act on its behalf to provide placement services and manage invoices by written notice
         to <br />
         		<a id="pl.339.14"></a><var>339.14</var>the commissioner and evidence of agreement by the agency designated.<br />
         		<a id="pl.339.15"></a><var>339.15</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Payments to improve services to American Indians.</b> The commissioner may <br />
         		<a id="pl.339.16"></a><var>339.16</var>set rates for chemical dependency substance use disorder services to American Indians <br />
         		<a id="pl.339.17"></a><var>339.17</var>according to the American Indian Health Improvement Act, Public Law 94-437, for eligible
         <br />
         		<a id="pl.339.18"></a><var>339.18</var>vendors. These rates shall supersede rates set in county purchase of service agreements
         <br />
         		<a id="pl.339.19"></a><var>339.19</var>when payments are made on behalf of clients eligible according to Public Law 94-437.<br />
         		<a id="pl.339.20"></a><var>339.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.60.0"></a><a id="pl.339.21"></a><var>339.21</var>&#160;&#160;&#160;&#160;Sec. 60. Minnesota Statutes 2016, section 254B.12, subdivision 2, is amended to read:<br />
         		<a id="pl.339.22"></a><var>339.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Payment methodology for highly specialized vendors.</b> Notwithstanding <br />
         		<a id="pl.339.23"></a><var>339.23</var>subdivision 1, the commissioner shall seek federal authority to develop separate payment
         <br />
         		<a id="pl.339.24"></a><var>339.24</var>methodologies for chemical dependency substance use disorder treatment services provided <br />
         		<a id="pl.339.25"></a><var>339.25</var>under the consolidated chemical dependency treatment fund: (1) by a state-operated
         vendor; <br />
         		<a id="pl.339.26"></a><var>339.26</var>or (2) for persons who have been civilly committed to the commissioner, present the
         most <br />
         		<a id="pl.339.27"></a><var>339.27</var>complex and difficult care needs, and are a potential threat to the community. A payment
         <br />
         		<a id="pl.339.28"></a><var>339.28</var>methodology under this subdivision is effective for services provided on or after
         October <br />
         		<a id="pl.339.29"></a><var>339.29</var>1, 2015, or on or after the receipt of federal approval, whichever is later.<br />
         		<a id="pl.339.30"></a><var>339.30</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.61.0"></a><a id="pl.340.1"></a><var>340.1</var>&#160;&#160;&#160;&#160;Sec. 61. Minnesota Statutes 2016, section 254B.12, is amended by adding a subdivision <br />
         		<a id="pl.340.2"></a><var>340.2</var>to read:<br />
         		<a id="pl.340.3"></a><var>340.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Chemical dependency provider rate increase.</b> For the chemical dependency <br />
         		<a id="pl.340.4"></a><var>340.4</var>services listed in section 254B.05, subdivision 5, and provided on or after July 1,
         2017, <br />
         		<a id="pl.340.5"></a><var>340.5</var>payment rates shall be increased by three percent over the rates in effect on January
         1, 2017, <br />
         		<a id="pl.340.6"></a><var>340.6</var>for vendors who meet the requirements of section 254B.05.<br />
         		<br />
         		<a id="bill.8.62.0"></a><a id="pl.340.7"></a><var>340.7</var>&#160;&#160;&#160;&#160;Sec. 62. Minnesota Statutes 2016, section 254B.13, subdivision 2a, is amended to read:<br />
         		<a id="pl.340.8"></a><var>340.8</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Eligibility for navigator pilot program.</b> (a) To be considered for participation <br />
         		<a id="pl.340.9"></a><var>340.9</var>in a navigator pilot program, an individual must:<br />
         		<a id="pl.340.10"></a><var>340.10</var>(1) be a resident of a county with an approved navigator program;<br />
         		<a id="pl.340.11"></a><var>340.11</var>(2) be eligible for consolidated chemical dependency treatment fund services;<br />
         		<a id="pl.340.12"></a><var>340.12</var>(3) be a voluntary participant in the navigator program;<br />
         		<a id="pl.340.13"></a><var>340.13</var>(4) satisfy one of the following items:<br />
         		<a id="pl.340.14"></a><var>340.14</var>(i) have at least one severity rating of three or above in dimension four, five, or
         six in a <br />
         		<a id="pl.340.15"></a><var>340.15</var>comprehensive assessment under Minnesota Rules, part 9530.6422 section 245G.05, <br />
         		<a id="pl.340.16"></a><var>340.16</var>paragraph (c), clauses (4) to (6); or<br />
         		<a id="pl.340.17"></a><var>340.17</var>(ii) have at least one severity rating of two or above in dimension four, five, or
         six in a <br />
         		<a id="pl.340.18"></a><var>340.18</var>comprehensive assessment under Minnesota Rules, part 9530.6422, section 245G.05, <br />
         		<a id="pl.340.19"></a><var>340.19</var>paragraph (c), clauses (4) to (6), and be currently participating in a Rule 31 treatment program <br />
         		<a id="pl.340.20"></a><var>340.20</var>under Minnesota Rules, parts 9530.6405 to 9530.6505, chapter 245G or be within 60 days <br />
         		<a id="pl.340.21"></a><var>340.21</var>following discharge after participation in a Rule 31 treatment program; and<br />
         		<a id="pl.340.22"></a><var>340.22</var>(5) have had at least two treatment episodes in the past two years, not limited to
         episodes <br />
         		<a id="pl.340.23"></a><var>340.23</var>reimbursed by the consolidated chemical dependency treatment funds. An admission to
         an <br />
         		<a id="pl.340.24"></a><var>340.24</var>emergency room, a detoxification program, or a hospital may be substituted for one
         treatment <br />
         		<a id="pl.340.25"></a><var>340.25</var>episode if it resulted from the individual's substance use disorder.<br />
         		<a id="pl.340.26"></a><var>340.26</var>(b) New eligibility criteria may be added as mutually agreed upon by the commissioner
         <br />
         		<a id="pl.340.27"></a><var>340.27</var>and participating navigator programs.<br />
         		<a id="pl.340.28"></a><var>340.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.8.63.0"></a><a id="pl.341.1"></a><var>341.1</var>&#160;&#160;&#160;&#160;Sec. 63. Minnesota Statutes 2016, section 256B.0625, subdivision 45a, is amended to <br />
         		<a id="pl.341.2"></a><var>341.2</var>read:<br />
         		<a id="pl.341.3"></a><var>341.3</var>&#160;&#160;&#160;&#160;Subd. 45a. <b>Psychiatric residential treatment facility services for persons under 21 </b><br />
         		<a id="pl.341.4"></a><var>341.4</var><b>years of age.</b> (a) Medical assistance covers psychiatric residential treatment facility services, <br />
         		<a id="pl.341.5"></a><var>341.5</var>according to section 256B.0941, for persons under younger than 21 years of age. Individuals <br />
         		<a id="pl.341.6"></a><var>341.6</var>who reach age 21 at the time they are receiving services are eligible to continue
         receiving <br />
         		<a id="pl.341.7"></a><var>341.7</var>services until they no longer require services or until they reach age 22, whichever
         occurs <br />
         		<a id="pl.341.8"></a><var>341.8</var>first.<br />
         		<a id="pl.341.9"></a><var>341.9</var>(b) For purposes of this subdivision, "psychiatric residential treatment facility"
         means <br />
         		<a id="pl.341.10"></a><var>341.10</var>a facility other than a hospital that provides psychiatric services, as described
         in Code of <br />
         		<a id="pl.341.11"></a><var>341.11</var>Federal Regulations, title 42, sections 441.151 to 441.182, to individuals under age
         21 in <br />
         		<a id="pl.341.12"></a><var>341.12</var>an inpatient setting.<br />
         		<a id="pl.341.13"></a><var>341.13</var>(c) The commissioner shall develop admissions and discharge procedures and establish <br />
         		<a id="pl.341.14"></a><var>341.14</var>rates consistent with guidelines from the federal Centers for Medicare and Medicaid
         Services.<br />
         		<a id="pl.341.15"></a><var>341.15</var>(d) The commissioner shall enroll up to 150 certified psychiatric residential treatment
         <br />
         		<a id="pl.341.16"></a><var>341.16</var>facility services beds at up to six sites. The commissioner shall select psychiatric
         residential <br />
         		<a id="pl.341.17"></a><var>341.17</var>treatment facility services providers through a request for proposals process. Providers
         of <br />
         		<a id="pl.341.18"></a><var>341.18</var>state-operated services may respond to the request for proposals.<br />
         		<a id="pl.341.19"></a><var>341.19</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.64.0"></a><a id="pl.341.20"></a><var>341.20</var>&#160;&#160;&#160;&#160;Sec. 64. <b>[256B.0941] PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY </b><br />
         		<a id="pl.341.21"></a><var>341.21</var><b>FOR PERSONS UNDER 21 YEARS OF AGE.</b><br />
         		<a id="pl.341.22"></a><var>341.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Eligibility.</b> (a) An individual who is eligible for mental health treatment <br />
         		<a id="pl.341.23"></a><var>341.23</var>services in a psychiatric residential treatment facility must meet all of the following
         criteria:<br />
         		<a id="pl.341.24"></a><var>341.24</var>(1) before admission, services are determined to be medically necessary by the state's
         <br />
         		<a id="pl.341.25"></a><var>341.25</var>medical review agent according to Code of Federal Regulations, title 42, section 441.152;<br />
         		<a id="pl.341.26"></a><var>341.26</var>(2) is younger than 21 years of age at the time of admission. Services may continue
         until <br />
         		<a id="pl.341.27"></a><var>341.27</var>the individual meets criteria for discharge or reaches 22 years of age, whichever
         occurs <br />
         		<a id="pl.341.28"></a><var>341.28</var>first;<br />
         		<a id="pl.341.29"></a><var>341.29</var>(3) has a mental health diagnosis as defined in the most recent edition of the Diagnostic
         <br />
         		<a id="pl.341.30"></a><var>341.30</var>and Statistical Manual for Mental Disorders, as well as clinical evidence of severe
         aggression, <br />
         		<a id="pl.341.31"></a><var>341.31</var>or a finding that the individual is a risk to self or others;<br />
         		<a id="pl.342.1"></a><var>342.1</var>(4) has functional impairment and a history of difficulty in functioning safely and
         <br />
         		<a id="pl.342.2"></a><var>342.2</var>successfully in the community, school, home, or job; an inability to adequately care
         for <br />
         		<a id="pl.342.3"></a><var>342.3</var>one's physical needs; or caregivers, guardians, or family members are unable to safely
         fulfill <br />
         		<a id="pl.342.4"></a><var>342.4</var>the individual's needs;<br />
         		<a id="pl.342.5"></a><var>342.5</var>(5) requires psychiatric residential treatment under the direction of a physician
         to improve <br />
         		<a id="pl.342.6"></a><var>342.6</var>the individual's condition or prevent further regression so that services will no
         longer be <br />
         		<a id="pl.342.7"></a><var>342.7</var>needed;<br />
         		<a id="pl.342.8"></a><var>342.8</var>(6) utilized and exhausted other community-based mental health services, or clinical
         <br />
         		<a id="pl.342.9"></a><var>342.9</var>evidence indicates that such services cannot provide the level of care needed; and<br />
         		<a id="pl.342.10"></a><var>342.10</var>(7) was referred for treatment in a psychiatric residential treatment facility by
         a qualified <br />
         		<a id="pl.342.11"></a><var>342.11</var>mental health professional licensed as defined in section 245.4871, subdivision 27,
         clauses <br />
         		<a id="pl.342.12"></a><var>342.12</var>(1) to (6).<br />
         		<a id="pl.342.13"></a><var>342.13</var>(b) A mental health professional making a referral shall submit documentation to the
         <br />
         		<a id="pl.342.14"></a><var>342.14</var>state's medical review agent containing all information necessary to determine medical
         <br />
         		<a id="pl.342.15"></a><var>342.15</var>necessity, including a standard diagnostic assessment completed within 180 days of
         the <br />
         		<a id="pl.342.16"></a><var>342.16</var>individual's admission. Documentation shall include evidence of family participation
         in the <br />
         		<a id="pl.342.17"></a><var>342.17</var>individual's treatment planning and signed consent for services.<br />
         		 <a id="pl.342.18"></a><var>342.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Services.</b> Psychiatric residential treatment facility service providers must offer <br />
         		<a id="pl.342.19"></a><var>342.19</var>and have the capacity to provide the following services:<br />
         		<a id="pl.342.20"></a><var>342.20</var>(1) development of the individual plan of care, review of the individual plan of care
         <br />
         		<a id="pl.342.21"></a><var>342.21</var>every 30 days, and discharge planning by required members of the treatment team according
         <br />
         		<a id="pl.342.22"></a><var>342.22</var>to Code of Federal Regulations, title 42, sections 441.155 to 441.156;<br />
         		 <a id="pl.342.23"></a><var>342.23</var>(2) any services provided by a psychiatrist or physician for development of an individual
         <br />
         		<a id="pl.342.24"></a><var>342.24</var>plan of care, conducting a review of the individual plan of care every 30 days, and
         discharge <br />
         		<a id="pl.342.25"></a><var>342.25</var>planning by required members of the treatment team according to Code of Federal <br />
         		<a id="pl.342.26"></a><var>342.26</var>Regulations, title 42, sections 441.155 to 441.156;<br />
         		<a id="pl.342.27"></a><var>342.27</var>(3) active treatment seven days per week that may include individual, family, or group
         <br />
         		<a id="pl.342.28"></a><var>342.28</var>therapy as determined by the individual care plan;<br />
         		<a id="pl.342.29"></a><var>342.29</var>(4) individual therapy, provided a minimum of twice per week;<br />
         		<a id="pl.342.30"></a><var>342.30</var>(5) family engagement activities, provided a minimum of once per week;<br />
         		<a id="pl.343.1"></a><var>343.1</var>(6) consultation with other professionals, including case managers, primary care <br />
         		<a id="pl.343.2"></a><var>343.2</var>professionals, community-based mental health providers, school staff, or other support
         <br />
         		<a id="pl.343.3"></a><var>343.3</var>planners;<br />
         		<a id="pl.343.4"></a><var>343.4</var>(7) coordination of educational services between local and resident school districts
         and <br />
         		<a id="pl.343.5"></a><var>343.5</var>the facility;<br />
         		<a id="pl.343.6"></a><var>343.6</var>(8) 24-hour nursing; and<br />
         		<a id="pl.343.7"></a><var>343.7</var>(9) direct care and supervision, supportive services for daily living and safety,
         and <br />
         		<a id="pl.343.8"></a><var>343.8</var>positive behavior management.<br />
         		<a id="pl.343.9"></a><var>343.9</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Per diem rate.</b> (a) The commissioner shall establish a statewide per diem rate <br />
         		<a id="pl.343.10"></a><var>343.10</var>for psychiatric residential treatment facility services for individuals 21 years of
         age or <br />
         		<a id="pl.343.11"></a><var>343.11</var>younger. The rate for a provider must not exceed the rate charged by that provider
         for the <br />
         		<a id="pl.343.12"></a><var>343.12</var>same service to other payers. Payment must not be made to more than one entity for
         each <br />
         		<a id="pl.343.13"></a><var>343.13</var>individual for services provided under this section on a given day. The commissioner
         shall <br />
         		<a id="pl.343.14"></a><var>343.14</var>set rates prospectively for the annual rate period. The commissioner shall require
         providers <br />
         		<a id="pl.343.15"></a><var>343.15</var>to submit annual cost reports on a uniform cost reporting form and shall use submitted
         cost <br />
         		<a id="pl.343.16"></a><var>343.16</var>reports to inform the rate-setting process. The cost reporting shall be done according
         to <br />
         		<a id="pl.343.17"></a><var>343.17</var>federal requirements for Medicare cost reports.<br />
         		 <a id="pl.343.18"></a><var>343.18</var>(b) The following are included in the rate:<br />
         		<a id="pl.343.19"></a><var>343.19</var>(1) costs necessary for licensure and accreditation, meeting all staffing standards
         for <br />
         		<a id="pl.343.20"></a><var>343.20</var>participation, meeting all service standards for participation, meeting all requirements
         for <br />
         		<a id="pl.343.21"></a><var>343.21</var>active treatment, maintaining medical records, conducting utilization review, meeting
         <br />
         		<a id="pl.343.22"></a><var>343.22</var>inspection of care, and discharge planning. The direct services costs must be determined
         <br />
         		<a id="pl.343.23"></a><var>343.23</var>using the actual cost of salaries, benefits, payroll taxes, and training of direct
         services staff <br />
         		<a id="pl.343.24"></a><var>343.24</var>and service-related transportation; and<br />
         		<a id="pl.343.25"></a><var>343.25</var>(2) payment for room and board provided by facilities meeting all accreditation and
         <br />
         		<a id="pl.343.26"></a><var>343.26</var>licensing requirements for participation.<br />
         		<a id="pl.343.27"></a><var>343.27</var>(c) A facility may submit a claim for payment outside of the per diem for professional
         <br />
         		<a id="pl.343.28"></a><var>343.28</var>services arranged by and provided at the facility by an appropriately licensed professional
         <br />
         		<a id="pl.343.29"></a><var>343.29</var>who is enrolled as a provider with Minnesota health care programs. Arranged services
         must <br />
         		<a id="pl.343.30"></a><var>343.30</var>be billed by the facility on a separate claim, and the facility shall be responsible
         for payment <br />
         		<a id="pl.343.31"></a><var>343.31</var>to the provider. These services must be included in the individual plan of care and
         are subject <br />
         		<a id="pl.343.32"></a><var>343.32</var>to prior authorization by the state's medical review agent.<br />
         		<a id="pl.344.1"></a><var>344.1</var>(d) Medicaid shall reimburse for concurrent services as approved by the commissioner
         <br />
         		<a id="pl.344.2"></a><var>344.2</var>to support continuity of care and successful discharge from the facility. "Concurrent
         services" <br />
         		<a id="pl.344.3"></a><var>344.3</var>means services provided by another entity or provider while the individual is admitted
         to a <br />
         		<a id="pl.344.4"></a><var>344.4</var>psychiatric residential treatment facility. Payment for concurrent services may be
         limited <br />
         		<a id="pl.344.5"></a><var>344.5</var>and these services are subject to prior authorization by the state's medical review
         agent. <br />
         		<a id="pl.344.6"></a><var>344.6</var>Concurrent services may include targeted case management, assertive community treatment,
         <br />
         		<a id="pl.344.7"></a><var>344.7</var>clinical care consultation, team consultation, and treatment planning.<br />
         		<a id="pl.344.8"></a><var>344.8</var>(e) Payment rates under this subdivision shall not include the costs of providing
         the <br />
         		<a id="pl.344.9"></a><var>344.9</var>following services:<br />
         		<a id="pl.344.10"></a><var>344.10</var>(1) educational services;<br />
         		<a id="pl.344.11"></a><var>344.11</var>(2) acute medical care or specialty services for other medical conditions;<br />
         		<a id="pl.344.12"></a><var>344.12</var>(3) dental services; and<br />
         		<a id="pl.344.13"></a><var>344.13</var>(4) pharmacy drug costs.<br />
         		<a id="pl.344.14"></a><var>344.14</var>(f) For purposes of this section, "actual cost" means costs that are allowable, allocable,
         <br />
         		<a id="pl.344.15"></a><var>344.15</var>reasonable, and consistent with federal reimbursement requirements in Code of Federal
         <br />
         		<a id="pl.344.16"></a><var>344.16</var>Regulations, title 48, chapter 1, part 31, relating to for-profit entities, and the
         Office of <br />
         		<a id="pl.344.17"></a><var>344.17</var>Management and Budget Circular Number A-122, relating to nonprofit entities.<br />
         		<a id="pl.344.18"></a><var>344.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Leave days.</b> (a) Medical assistance covers therapeutic and hospital leave days, <br />
         		<a id="pl.344.19"></a><var>344.19</var>provided the recipient was not discharged from the psychiatric residential treatment
         facility <br />
         		<a id="pl.344.20"></a><var>344.20</var>and is expected to return to the psychiatric residential treatment facility. A reserved
         bed <br />
         		<a id="pl.344.21"></a><var>344.21</var>must be held for a recipient on hospital leave or therapeutic leave.<br />
         		<a id="pl.344.22"></a><var>344.22</var>(b) A therapeutic leave day to home shall be used to prepare for discharge and <br />
         		<a id="pl.344.23"></a><var>344.23</var>reintegration and shall be included in the individual plan of care. The state shall
         reimburse <br />
         		<a id="pl.344.24"></a><var>344.24</var>75 percent of the per diem rate for a reserve bed day while the recipient is on therapeutic
         <br />
         		<a id="pl.344.25"></a><var>344.25</var>leave. A therapeutic leave visit may not exceed three days without prior authorization.<br />
         		<a id="pl.344.26"></a><var>344.26</var>(c) A hospital leave day shall be a day for which a recipient has been admitted to
         a <br />
         		<a id="pl.344.27"></a><var>344.27</var>hospital for medical or acute psychiatric care and is temporarily absent from the
         psychiatric <br />
         		<a id="pl.344.28"></a><var>344.28</var>residential treatment facility. The state shall reimburse 50 percent of the per diem
         rate for <br />
         		<a id="pl.344.29"></a><var>344.29</var>a reserve bed day while the recipient is receiving medical or psychiatric care in
         a hospital.<br />
         		<a id="pl.344.30"></a><var>344.30</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.65.0"></a><a id="pl.345.1"></a><var>345.1</var>&#160;&#160;&#160;&#160;Sec. 65. Minnesota Statutes 2016, section 256B.0943, subdivision 13, is amended to read:<br />
         		<a id="pl.345.2"></a><var>345.2</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Exception to excluded services.</b> Notwithstanding subdivision 12, up to 15 <br />
         		<a id="pl.345.3"></a><var>345.3</var>hours of children's therapeutic services and supports provided within a six-month
         period to <br />
         		<a id="pl.345.4"></a><var>345.4</var>a child with severe emotional disturbance who is residing in a hospital; a group home as <br />
         		<a id="pl.345.5"></a><var>345.5</var>defined in Minnesota Rules, parts 2960.0130 to 2960.0220; a residential treatment facility <br />
         		<a id="pl.345.6"></a><var>345.6</var>licensed under Minnesota Rules, parts 2960.0580 to 2960.0690; a psychiatric residential <br />
         		<a id="pl.345.7"></a><var>345.7</var>treatment facility under section 256B.0625, subdivision 45a; a regional treatment center; <br />
         		<a id="pl.345.8"></a><var>345.8</var>or other institutional group setting or who is participating in a program of partial
         <br />
         		<a id="pl.345.9"></a><var>345.9</var>hospitalization are eligible for medical assistance payment if part of the discharge
         plan.<br />
         		<a id="pl.345.10"></a><var>345.10</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.66.0"></a><a id="pl.345.11"></a><var>345.11</var>&#160;&#160;&#160;&#160;Sec. 66. Minnesota Statutes 2016, section 256B.0945, subdivision 2, is amended to read:<br />
         		<a id="pl.345.12"></a><var>345.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Covered services.</b> All services must be included in a child's individualized <br />
         		<a id="pl.345.13"></a><var>345.13</var>treatment or multiagency plan of care as defined in chapter 245.<br />
         		<a id="pl.345.14"></a><var>345.14</var>For facilities that are not institutions for mental diseases according to federal
         statute and <br />
         		<a id="pl.345.15"></a><var>345.15</var>regulation, medical assistance covers mental health-related services that are required
         to be <br />
         		<a id="pl.345.16"></a><var>345.16</var>provided by a residential facility under section 
         <statute_ref>245.4882</statute_ref> and administrative rules promulgated <br />
         		<a id="pl.345.17"></a><var>345.17</var>thereunder, except for room and board. For residential facilities determined by the federal <br />
         		<a id="pl.345.18"></a><var>345.18</var>Centers for Medicare and Medicaid Services to be an institution for mental diseases,
         medical <br />
         		<a id="pl.345.19"></a><var>345.19</var>assistance covers medically necessary mental health services provided by the facility
         <br />
         		<a id="pl.345.20"></a><var>345.20</var>according to section 256B.055, subdivision 13, except for room and board.<br />
         		<br />
         		<a id="bill.8.67.0"></a><a id="pl.345.21"></a><var>345.21</var>&#160;&#160;&#160;&#160;Sec. 67. Minnesota Statutes 2016, section 256B.0945, subdivision 4, is amended to read:<br />
         		<a id="pl.345.22"></a><var>345.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Payment rates.</b> (a) Notwithstanding sections 
         <statute_ref>256B.19</statute_ref> and 
         <statute_ref>256B.041</statute_ref>, payments <br />
         		<a id="pl.345.23"></a><var>345.23</var>to counties for residential services provided under this section by a residential facility shall:<br />
         		 <a id="pl.345.24"></a><var>345.24</var>(1) for services provided by a residential facility that is not an institution for
         mental <br />
         		<a id="pl.345.25"></a><var>345.25</var>diseases, only be made of federal earnings for services provided under this section, and the <br />
         		<a id="pl.345.26"></a><var>345.26</var>nonfederal share of costs for services provided under this section shall be paid by
         the county <br />
         		<a id="pl.345.27"></a><var>345.27</var>from sources other than federal funds or funds used to match other federal funds.
         Payment <br />
         		<a id="pl.345.28"></a><var>345.28</var>to counties for services provided according to this section shall be a proportion
         of the per <br />
         		<a id="pl.345.29"></a><var>345.29</var>day contract rate that relates to rehabilitative mental health services and shall
         not include <br />
         		<a id="pl.345.30"></a><var>345.30</var>payment for costs or services that are billed to the IV-E program as room and board.; and<br />
         		<a id="pl.345.31"></a><var>345.31</var>(2) for services provided by a residential facility that is determined to be an institution
         <br />
         		<a id="pl.345.32"></a><var>345.32</var>for mental diseases, be equivalent to the federal share of the payment that would
         have been <br />
         		<a id="pl.346.1"></a><var>346.1</var>made if the residential facility were not an institution for mental diseases. The
         portion of <br />
         		<a id="pl.346.2"></a><var>346.2</var>the payment representing what would be the nonfederal shares shall be paid by the
         county. <br />
         		<a id="pl.346.3"></a><var>346.3</var>Payment to counties for services provided according to this section shall be a proportion
         of <br />
         		<a id="pl.346.4"></a><var>346.4</var>the per day contract rate that relates to rehabilitative mental health services and
         shall not <br />
         		<a id="pl.346.5"></a><var>346.5</var>include payment for costs or services that are billed to the IV-E program as room
         and board.<br />
         		<a id="pl.346.6"></a><var>346.6</var>&#160;&#160;&#160;&#160;(b) Per diem rates paid to providers under this section by prepaid plans shall be
         the <br />
         		<a id="pl.346.7"></a><var>346.7</var>proportion of the per-day contract rate that relates to rehabilitative mental health
         services <br />
         		<a id="pl.346.8"></a><var>346.8</var>and shall not include payment for group foster care costs or services that are billed
         to the <br />
         		<a id="pl.346.9"></a><var>346.9</var>county of financial responsibility. Services provided in facilities located in bordering
         states <br />
         		<a id="pl.346.10"></a><var>346.10</var>are eligible for reimbursement on a fee-for-service basis only as described in paragraph
         (a) <br />
         		<a id="pl.346.11"></a><var>346.11</var>and are not covered under prepaid health plans.<br />
         		<a id="pl.346.12"></a><var>346.12</var>&#160;&#160;&#160;&#160;(c) Payment for mental health rehabilitative services provided under this section
         by or <br />
         		<a id="pl.346.13"></a><var>346.13</var>under contract with an American Indian tribe or tribal organization or by agencies
         operated <br />
         		<a id="pl.346.14"></a><var>346.14</var>by or under contract with an American Indian tribe or tribal organization must be
         made <br />
         		<a id="pl.346.15"></a><var>346.15</var>according to section 
         <statute_ref>256B.0625, subdivision 34</statute_ref>, or other relevant federally approved <br />
         		<a id="pl.346.16"></a><var>346.16</var>rate-setting methodology.<br />
         		<a id="pl.346.17"></a><var>346.17</var>(d) The commissioner shall set aside a portion not to exceed five percent of the federal
         <br />
         		<a id="pl.346.18"></a><var>346.18</var>funds earned for county expenditures under this section to cover the state costs of
         <br />
         		<a id="pl.346.19"></a><var>346.19</var>administering this section. Any unexpended funds from the set-aside shall be distributed
         to <br />
         		<a id="pl.346.20"></a><var>346.20</var>the counties in proportion to their earnings under this section.<br />
         		<br />
         		<a id="bill.8.68.0"></a><a id="pl.346.21"></a><var>346.21</var>&#160;&#160;&#160;&#160;Sec. 68. Minnesota Statutes 2016, section 256B.763, is amended to read:<br />
         		<a id="pl.346.22"></a><var>346.22</var><b>256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.</b><br />
         		<a id="pl.346.23"></a><var>346.23</var>&#160;&#160;&#160;&#160;(a) For services defined in paragraph (b) and rendered on or after July 1, 2007, payment
         <br />
         		<a id="pl.346.24"></a><var>346.24</var>rates shall be increased by 23.7 percent over the rates in effect on January 1, 2006,
         for:<br />
         		<a id="pl.346.25"></a><var>346.25</var>&#160;&#160;&#160;&#160;(1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;<br />
         		<a id="pl.346.26"></a><var>346.26</var>&#160;&#160;&#160;&#160;(2) community mental health centers under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 5; and<br />
         		<a id="pl.346.27"></a><var>346.27</var>&#160;&#160;&#160;&#160;(3) mental health clinics and centers certified under Minnesota Rules, parts 9520.0750 <br />
         		<a id="pl.346.28"></a><var>346.28</var>to 9520.0870, or hospital outpatient psychiatric departments that are designated as essential
         <br />
         		<a id="pl.346.29"></a><var>346.29</var>community providers under section 
         <statute_ref>62Q.19</statute_ref>.<br />
         		<a id="pl.346.30"></a><var>346.30</var>&#160;&#160;&#160;&#160;(b) This increase applies to group skills training when provided as a component of
         <br />
         		<a id="pl.346.31"></a><var>346.31</var>children's therapeutic services and support, psychotherapy, medication management,
         <br />
         		<a id="pl.347.1"></a><var>347.1</var>evaluation and management, diagnostic assessment, explanation of findings, psychological
         <br />
         		<a id="pl.347.2"></a><var>347.2</var>testing, neuropsychological services, direction of behavioral aides, and inpatient
         consultation.<br />
         		<a id="pl.347.3"></a><var>347.3</var>&#160;&#160;&#160;&#160;(c) This increase does not apply to rates that are governed by section 
         <statute_ref>256B.0625</statute_ref>, <br />
         		<a id="pl.347.4"></a><var>347.4</var>subdivision 30, or 
         <statute_ref>256B.761</statute_ref>, paragraph (b), other cost-based rates, rates that are negotiated <br />
         		<a id="pl.347.5"></a><var>347.5</var>with the county, rates that are established by the federal government, or rates that
         increased <br />
         		<a id="pl.347.6"></a><var>347.6</var>between January 1, 2004, and January 1, 2005.<br />
         		<a id="pl.347.7"></a><var>347.7</var>&#160;&#160;&#160;&#160;(d) The commissioner shall adjust rates paid to prepaid health plans under contract
         with <br />
         		<a id="pl.347.8"></a><var>347.8</var>the commissioner to reflect the rate increases provided in paragraphs (a), (e), and
         (f). The <br />
         		<a id="pl.347.9"></a><var>347.9</var>prepaid health plan must pass this rate increase to the providers identified in paragraphs
         (a), <br />
         		<a id="pl.347.10"></a><var>347.10</var>(e), (f), and (g).<br />
         		<a id="pl.347.11"></a><var>347.11</var>&#160;&#160;&#160;&#160;(e) Payment rates shall be increased by 23.7 percent over the rates in effect on December
         <br />
         		<a id="pl.347.12"></a><var>347.12</var>31, 2007, for:<br />
         		<a id="pl.347.13"></a><var>347.13</var>&#160;&#160;&#160;&#160;(1) medication education services provided on or after January 1, 2008, by adult <br />
         		<a id="pl.347.14"></a><var>347.14</var>rehabilitative mental health services providers certified under section 
         <statute_ref>256B.0623</statute_ref>; and<br />
         		<a id="pl.347.15"></a><var>347.15</var>&#160;&#160;&#160;&#160;(2) mental health behavioral aide services provided on or after January 1, 2008, by
         <br />
         		<a id="pl.347.16"></a><var>347.16</var>children's therapeutic services and support providers certified under section 
         <statute_ref>256B.0943</statute_ref>.<br />
         		<a id="pl.347.17"></a><var>347.17</var>&#160;&#160;&#160;&#160;(f) For services defined in paragraph (b) and rendered on or after January 1, 2008,
         by <br />
         		<a id="pl.347.18"></a><var>347.18</var>children's therapeutic services and support providers certified under section 
         <statute_ref>256B.0943</statute_ref> and <br />
         		<a id="pl.347.19"></a><var>347.19</var>not already included in paragraph (a), payment rates shall be increased by 23.7 percent
         over <br />
         		<a id="pl.347.20"></a><var>347.20</var>the rates in effect on December 31, 2007.<br />
         		<a id="pl.347.21"></a><var>347.21</var>&#160;&#160;&#160;&#160;(g) Payment rates shall be increased by 2.3 percent over the rates in effect on December
         <br />
         		<a id="pl.347.22"></a><var>347.22</var>31, 2007, for individual and family skills training provided on or after January 1,
         2008, by <br />
         		<a id="pl.347.23"></a><var>347.23</var>children's therapeutic services and support providers certified under section 
         <statute_ref>256B.0943</statute_ref>.<br />
         		<a id="pl.347.24"></a><var>347.24</var>(h) For services described in paragraphs (b), (e), and (g) and rendered on or after
         July <br />
         		<a id="pl.347.25"></a><var>347.25</var>1, 2017, payment rates for mental health clinics and centers certified under Minnesota
         Rules, <br />
         		<a id="pl.347.26"></a><var>347.26</var>parts 9520.0750 to 9520.0870, that are not designated as essential community providers
         <br />
         		<a id="pl.347.27"></a><var>347.27</var>under section 62Q.19 shall be equal to payment rates for mental health clinics and
         centers <br />
         		<a id="pl.347.28"></a><var>347.28</var>certified under Minnesota Rules, parts 9520.0750 to 9520.0870, that are designated
         as <br />
         		<a id="pl.347.29"></a><var>347.29</var>essential community providers under section 62Q.19. In order to receive increased
         payment <br />
         		<a id="pl.347.30"></a><var>347.30</var>rates under this paragraph, a provider must demonstrate a commitment to serve low-income
         <br />
         		<a id="pl.347.31"></a><var>347.31</var>and underserved populations by:<br />
         		<a id="pl.347.32"></a><var>347.32</var>(1) charging for services on a sliding-fee schedule based on current poverty income
         <br />
         		<a id="pl.347.33"></a><var>347.33</var>guidelines; and<br />
         		<a id="pl.348.1"></a><var>348.1</var>(2) not restricting access or services because of a client's financial limitation.<br />
         		<br />
         		<a id="bill.8.69.0"></a><a id="pl.348.2"></a><var>348.2</var>&#160;&#160;&#160;&#160;Sec. 69. <b>CHILDREN'S MENTAL HEALTH REPORT AND RECOMMENDATIONS.</b><br />
         		<a id="pl.348.3"></a><var>348.3</var>The commissioner of human services shall conduct a comprehensive analysis of <br />
         		<a id="pl.348.4"></a><var>348.4</var>Minnesota's continuum of intensive mental health services and shall develop <br />
         		<a id="pl.348.5"></a><var>348.5</var>recommendations for a sustainable and community-driven continuum of care for children
         <br />
         		<a id="pl.348.6"></a><var>348.6</var>with serious mental health needs, including children currently being served in residential
         <br />
         		<a id="pl.348.7"></a><var>348.7</var>treatment. The commissioner's analysis shall include, but not be limited to:<br />
         		<a id="pl.348.8"></a><var>348.8</var>(1) data related to access, utilization, efficacy, and outcomes for Minnesota's current
         <br />
         		<a id="pl.348.9"></a><var>348.9</var>system of residential mental health treatment for a child with a severe emotional
         disturbance;<br />
         		<a id="pl.348.10"></a><var>348.10</var>(2) potential expansion of the state's psychiatric residential treatment facility
         (PRTF) <br />
         		<a id="pl.348.11"></a><var>348.11</var>capacity, including increasing the number of PRTF beds and conversion of existing
         children's <br />
         		<a id="pl.348.12"></a><var>348.12</var>mental health residential treatment programs into PRTFs;<br />
         		<a id="pl.348.13"></a><var>348.13</var>(3) the capacity need for PRTF and other group settings within the state if adequate
         <br />
         		<a id="pl.348.14"></a><var>348.14</var>community-based alternatives are accessible, equitable, and effective statewide;<br />
         		<a id="pl.348.15"></a><var>348.15</var>(4) recommendations for expanding alternative community-based service models to <br />
         		<a id="pl.348.16"></a><var>348.16</var>meet the needs of a child with a serious mental health disorder who would otherwise
         require <br />
         		<a id="pl.348.17"></a><var>348.17</var>residential treatment and potential service models that could be utilized, including
         data <br />
         		<a id="pl.348.18"></a><var>348.18</var>related to access, utilization, efficacy, and outcomes;<br />
         		<a id="pl.348.19"></a><var>348.19</var>(5) models of care used in other states; and<br />
         		 <a id="pl.348.20"></a><var>348.20</var>(6) analysis and specific recommendations for the design and implementation of new
         <br />
         		<a id="pl.348.21"></a><var>348.21</var>service models, including analysis to inform rate setting as necessary.<br />
         		<a id="pl.348.22"></a><var>348.22</var>The analysis shall be supported and informed by extensive stakeholder engagement.
         <br />
         		<a id="pl.348.23"></a><var>348.23</var>Stakeholders include individuals who receive services, family members of individuals
         who <br />
         		<a id="pl.348.24"></a><var>348.24</var>receive services, providers, counties, health plans, advocates, and others. Stakeholder
         <br />
         		<a id="pl.348.25"></a><var>348.25</var>engagement shall include interviews with key stakeholders, intentional outreach to
         individuals <br />
         		<a id="pl.348.26"></a><var>348.26</var>who receive services and the individual's family members, and regional listening sessions.<br />
         		<a id="pl.348.27"></a><var>348.27</var>The commissioner shall provide a report with specific recommendations and timelines
         <br />
         		<a id="pl.348.28"></a><var>348.28</var>for implementation to the legislative committees with jurisdiction over children's
         mental <br />
         		<a id="pl.348.29"></a><var>348.29</var>health policy and finance by November 15, 2018.<br />
         		<br />
         		<a id="bill.8.70.0"></a><a id="pl.349.1"></a><var>349.1</var>&#160;&#160;&#160;&#160;Sec. 70. <b>RESIDENTIAL TREATMENT AND PAYMENT RATE REFORM.</b><br />
         		<a id="pl.349.2"></a><var>349.2</var>The commissioner shall contract with an outside expert to identify recommendations
         <br />
         		<a id="pl.349.3"></a><var>349.3</var>for the development of a substance use disorder residential treatment program model
         and <br />
         		<a id="pl.349.4"></a><var>349.4</var>payment structure that is not subject to the federal institutions for mental diseases
         exclusion <br />
         		<a id="pl.349.5"></a><var>349.5</var>and that is financially sustainable for providers, while incentivizing best practices
         and <br />
         		<a id="pl.349.6"></a><var>349.6</var>improved treatment outcomes. The analysis must include recommendations and a timeline
         <br />
         		<a id="pl.349.7"></a><var>349.7</var>for supporting providers to transition to the new models of care delivery. No later
         than <br />
         		<a id="pl.349.8"></a><var>349.8</var>December 15, 2018, the commissioner shall deliver a report with recommendations to
         the <br />
         		<a id="pl.349.9"></a><var>349.9</var>chairs and ranking minority members of the legislative committees with jurisdiction
         over <br />
         		<a id="pl.349.10"></a><var>349.10</var>health and human services policy and finance.<br />
         		<br />
         		<a id="bill.8.71.0"></a><a id="pl.349.11"></a><var>349.11</var>&#160;&#160;&#160;&#160;Sec. 71. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.349.12"></a><var>349.12</var>In Minnesota Statutes and Minnesota Rules, the revisor of statutes, in consultation
         with <br />
         		<a id="pl.349.13"></a><var>349.13</var>the with the Department of Human Services, shall make necessary cross-reference changes
         <br />
         		<a id="pl.349.14"></a><var>349.14</var>that are needed as a result of the enactment of sections 7 to 28 and 70. The revisor
         shall <br />
         		<a id="pl.349.15"></a><var>349.15</var>make any necessary technical and grammatical changes to preserve the meaning of the
         text.<br />
         		<a id="pl.349.16"></a><var>349.16</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.72.0"></a><a id="pl.349.17"></a><var>349.17</var>&#160;&#160;&#160;&#160;Sec. 72. <b> REPEALER.</b><br />
         		<a id="pl.349.18"></a><var>349.18</var>(a) Minnesota Statutes 2016, sections 245A.1915; 245A.192; and 254A.02, subdivision <br />
         		<a id="pl.349.19"></a><var>349.19</var>4, are repealed.<br />
         		<a id="pl.349.20"></a><var>349.20</var>(b) Minnesota Rules, parts 9530.6405, subparts 1, 1a, 2, 3, 4, 5, 6, 7, 7a, 8, 9, 10,
         11, <br />
         		<a id="pl.349.21"></a><var>349.21</var>12, 13, 14, 14a, 15, 15a, 16, 17, 17a, 17b, 17c, 18, 20, and 21; 9530.6410; 9530.6415;
         <br />
         		<a id="pl.349.22"></a><var>349.22</var>9530.6420; 9530.6422; 9530.6425; 9530.6430; 9530.6435; 9530.6440; 9530.6445; <br />
         		<a id="pl.349.23"></a><var>349.23</var>9530.6450; 9530.6455; 9530.6460; 9530.6465; 9530.6470; 9530.6475; 9530.6480; <br />
         		<a id="pl.349.24"></a><var>349.24</var>9530.6485; 9530.6490; 9530.6495; 9530.6500; and 9530.6505, are repealed.<br />
         		<a id="pl.349.25"></a><var>349.25</var>(c) Minnesota Statutes 2016, section 256B.7631, is repealed.<br />
         		<a id="pl.349.26"></a><var>349.26</var><b>EFFECTIVE DATE.</b>Paragraphs (a) and (b) are effective January 1, 2018. Paragraph <br />
         		<a id="pl.349.27"></a><var>349.27</var>(c) is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.9.0.0"></a><div class="xtend_ce"><a id="pl.349.28"></a><var>349.28</var><b>ARTICLE 9</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.349.29"></a><var>349.29</var><b>OPERATIONS</b><br />
            		
         </div><br />
         		<a id="bill.9.1.0"></a><a id="pl.349.30"></a><var>349.30</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 245A.02, subdivision 2b, is amended to read:<br />
         		<a id="pl.350.1"></a><var>350.1</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Annual or annually.</b> With the exception of subdivision 2c, "annual" or <br />
         		<a id="pl.350.2"></a><var>350.2</var>"annually" means prior to or within the same month of the subsequent calendar year.<br />
         		<br />
         		<a id="bill.9.2.0"></a><a id="pl.350.3"></a><var>350.3</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 245A.02, is amended by adding a subdivision to <br />
         		<a id="pl.350.4"></a><var>350.4</var>read:<br />
         		<a id="pl.350.5"></a><var>350.5</var>&#160;&#160;&#160;&#160;Subd. 2c. <b>Annual or annually; family child care training requirements.</b> For the <br />
         		<a id="pl.350.6"></a><var>350.6</var>purposes of section 245A.50, subdivisions 1 to 9, "annual" or "annually" means the
         12-month <br />
         		<a id="pl.350.7"></a><var>350.7</var>period beginning on the license effective date or the annual anniversary of the effective
         date <br />
         		<a id="pl.350.8"></a><var>350.8</var>and ending on the day prior to the annual anniversary of the license effective date.<br />
         		<br />
         		<a id="bill.9.3.0"></a><a id="pl.350.9"></a><var>350.9</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 245A.04, subdivision 4, is amended to read:<br />
         		<a id="pl.350.10"></a><var>350.10</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Inspections; waiver.</b> (a) Before issuing an initial license, the commissioner <br />
         		<a id="pl.350.11"></a><var>350.11</var>shall conduct an inspection of the program. The inspection must include but is not
         limited <br />
         		<a id="pl.350.12"></a><var>350.12</var>to:<br />
         		<a id="pl.350.13"></a><var>350.13</var>(1) an inspection of the physical plant;<br />
         		<a id="pl.350.14"></a><var>350.14</var>(2) an inspection of records and documents;<br />
         		<a id="pl.350.15"></a><var>350.15</var>(3) an evaluation of the program by consumers of the program; and<br />
         		<a id="pl.350.16"></a><var>350.16</var>(4) observation of the program in operation.<br />
         		<a id="pl.350.17"></a><var>350.17</var>For the purposes of this subdivision, "consumer" means a person who receives the <br />
         		<a id="pl.350.18"></a><var>350.18</var>services of a licensed program, the person's legal guardian, or the parent or individual
         having <br />
         		<a id="pl.350.19"></a><var>350.19</var>legal custody of a child who receives the services of a licensed program.<br />
         		<a id="pl.350.20"></a><var>350.20</var>(b) The evaluation required in paragraph (a), clause (3), or the observation in paragraph <br />
         		<a id="pl.350.21"></a><var>350.21</var>(a), clause (4), is not required prior to issuing an initial license under subdivision 7. If the <br />
         		<a id="pl.350.22"></a><var>350.22</var>commissioner issues an initial license under subdivision 7, these requirements must
         be <br />
         		<a id="pl.350.23"></a><var>350.23</var>completed within one year after the issuance of an initial license.<br />
         		<a id="pl.350.24"></a><var>350.24</var>(c) Before completing a licensing inspection in a family child care program or child
         care <br />
         		<a id="pl.350.25"></a><var>350.25</var>center, the licensing agency must offer the license holder an exit interview to discuss
         <br />
         		<a id="pl.350.26"></a><var>350.26</var>violations of law or rule observed during the inspection and offer technical assistance
         on <br />
         		<a id="pl.350.27"></a><var>350.27</var>how to comply with applicable laws and rules. Nothing in this paragraph limits the
         ability <br />
         		<a id="pl.350.28"></a><var>350.28</var>of the commissioner to issue a correction order or negative action for violations
         of law or <br />
         		<a id="pl.350.29"></a><var>350.29</var>rule not discussed in an exit interview or in the event that a license holder chooses
         not to <br />
         		<a id="pl.350.30"></a><var>350.30</var>participate in an exit interview.<br />
         		<a id="pl.350.31"></a><var>350.31</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2017.<br />
         		<br />
         		<a id="bill.9.4.0"></a><a id="pl.351.1"></a><var>351.1</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 245A.06, subdivision 2, is amended to read:<br />
         		<a id="pl.351.2"></a><var>351.2</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Reconsideration of correction orders.</b> (a) If the applicant or license holder <br />
         		<a id="pl.351.3"></a><var>351.3</var>believes that the contents of the commissioner's correction order are in error, the
         applicant <br />
         		<a id="pl.351.4"></a><var>351.4</var>or license holder may ask the Department of Human Services to reconsider the parts
         of the <br />
         		<a id="pl.351.5"></a><var>351.5</var>correction order that are alleged to be in error. The request for reconsideration
         must be made <br />
         		<a id="pl.351.6"></a><var>351.6</var>in writing and must be postmarked and sent to the commissioner within 20 calendar
         days <br />
         		<a id="pl.351.7"></a><var>351.7</var>after receipt of the correction order by the applicant or license holder, and:<br />
         		<a id="pl.351.8"></a><var>351.8</var>(1) specify the parts of the correction order that are alleged to be in error;<br />
         		<a id="pl.351.9"></a><var>351.9</var>(2) explain why they are in error; and<br />
         		<a id="pl.351.10"></a><var>351.10</var>(3) include documentation to support the allegation of error.<br />
         		<a id="pl.351.11"></a><var>351.11</var>A request for reconsideration does not stay any provisions or requirements of the
         <br />
         		<a id="pl.351.12"></a><var>351.12</var>correction order. The commissioner's disposition of a request for reconsideration
         is final <br />
         		<a id="pl.351.13"></a><var>351.13</var>and not subject to appeal under chapter 14.<br />
         		<a id="pl.351.14"></a><var>351.14</var>(b) This paragraph applies only to licensed family child care providers. A licensed
         family <br />
         		<a id="pl.351.15"></a><var>351.15</var>child care provider who requests reconsideration of a correction order under paragraph
         (a) <br />
         		<a id="pl.351.16"></a><var>351.16</var>may also request, on a form and in the manner prescribed by the commissioner, that
         the <br />
         		<a id="pl.351.17"></a><var>351.17</var>commissioner expedite the review if:<br />
         		<a id="pl.351.18"></a><var>351.18</var>(1) the provider is challenging a violation and provides a description of how complying
         <br />
         		<a id="pl.351.19"></a><var>351.19</var>with the corrective action for that violation would require the substantial expenditure
         of <br />
         		<a id="pl.351.20"></a><var>351.20</var>funds or a significant change to their program; and<br />
         		<a id="pl.351.21"></a><var>351.21</var>(2) describes what actions the provider will take in lieu of the corrective action
         ordered <br />
         		<a id="pl.351.22"></a><var>351.22</var>to ensure the health and safety of children in care pending the commissioner's review
         of the <br />
         		<a id="pl.351.23"></a><var>351.23</var>correction order.<br />
         		<br />
         		<a id="bill.9.5.0"></a><a id="pl.351.24"></a><var>351.24</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 245A.06, subdivision 8, is amended to read:<br />
         		<a id="pl.351.25"></a><var>351.25</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Requirement to post correction order.</b> (a) For licensed family child care <br />
         		<a id="pl.351.26"></a><var>351.26</var>providers and child care centers, upon receipt of any correction order or order of
         conditional <br />
         		<a id="pl.351.27"></a><var>351.27</var>license issued by the commissioner under this section, and notwithstanding a pending
         request <br />
         		<a id="pl.351.28"></a><var>351.28</var>for reconsideration of the correction order or order of conditional license by the
         license <br />
         		<a id="pl.351.29"></a><var>351.29</var>holder, the license holder shall post the correction order or order of conditional
         license in <br />
         		<a id="pl.351.30"></a><var>351.30</var>a place that is conspicuous to the people receiving services and all visitors to the
         facility <br />
         		<a id="pl.351.31"></a><var>351.31</var>for two years. When the correction order or order of conditional license is accompanied
         by <br />
         		<a id="pl.351.32"></a><var>351.32</var>a maltreatment investigation memorandum prepared under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, the <br />
         		<a id="pl.352.1"></a><var>352.1</var>investigation memoranda must be posted with the correction order or order of conditional
         <br />
         		<a id="pl.352.2"></a><var>352.2</var>license.<br />
         		<a id="pl.352.3"></a><var>352.3</var>(b) If the commissioner reverses or rescinds a violation in a correction order upon
         <br />
         		<a id="pl.352.4"></a><var>352.4</var>reconsideration under subdivision 2, the commissioner shall issue an amended correction
         <br />
         		<a id="pl.352.5"></a><var>352.5</var>order and the license holder shall post the amended order according to paragraph (a).<br />
         		<a id="pl.352.6"></a><var>352.6</var>(c) If the correction order is rescinded or reversed in full upon reconsideration
         under <br />
         		<a id="pl.352.7"></a><var>352.7</var>subdivision 2, the license holder shall remove the original correction order posted
         according <br />
         		<a id="pl.352.8"></a><var>352.8</var>to paragraph (a).<br />
         		<br />
         		<a id="bill.9.6.0"></a><a id="pl.352.9"></a><var>352.9</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 245A.06, is amended by adding a subdivision to <br />
         		<a id="pl.352.10"></a><var>352.10</var>read:<br />
         		<a id="pl.352.11"></a><var>352.11</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Child care correction order quotas prohibited.</b> The commissioner and county <br />
         		<a id="pl.352.12"></a><var>352.12</var>licensing agencies shall not order, mandate, require, or suggest to any person responsible
         <br />
         		<a id="pl.352.13"></a><var>352.13</var>for licensing or inspecting a licensed family child care provider or child care center
         a quota <br />
         		<a id="pl.352.14"></a><var>352.14</var>for the issuance of correction orders on a daily, weekly, monthly, quarterly, or yearly
         basis.<br />
         		<br />
         		<a id="bill.9.7.0"></a><a id="pl.352.15"></a><var>352.15</var>&#160;&#160;&#160;&#160;Sec. 7. <b>[245A.065] CHILD CARE FIX-IT TICKET.</b><br />
         		<a id="pl.352.16"></a><var>352.16</var>(a) In lieu of a correction order under section 245A.06, the commissioner shall issue
         a <br />
         		<a id="pl.352.17"></a><var>352.17</var>fix-it ticket to a family child care or child care center license holder if the commissioner
         <br />
         		<a id="pl.352.18"></a><var>352.18</var>finds that:<br />
         		<a id="pl.352.19"></a><var>352.19</var>(1) the license holder has failed to comply with a requirement in this chapter or
         Minnesota <br />
         		<a id="pl.352.20"></a><var>352.20</var>Rules, chapter 9502 or 9503, that the commissioner determines to be eligible for a
         fix-it <br />
         		<a id="pl.352.21"></a><var>352.21</var>ticket;<br />
         		<a id="pl.352.22"></a><var>352.22</var>(2) the violation does not imminently endanger the health, safety, or rights of the
         persons <br />
         		<a id="pl.352.23"></a><var>352.23</var>served by the program;<br />
         		<a id="pl.352.24"></a><var>352.24</var>(3) the license holder did not receive a fix-it ticket or correction order for the
         violation <br />
         		<a id="pl.352.25"></a><var>352.25</var>at the license holder's last licensing inspection;<br />
         		<a id="pl.352.26"></a><var>352.26</var>(4) the violation can be corrected at the time of inspection or within 48 hours, excluding
         <br />
         		<a id="pl.352.27"></a><var>352.27</var>Saturdays, Sundays, and holidays; and<br />
         		<a id="pl.352.28"></a><var>352.28</var>(5) the license holder corrects the violation at the time of inspection or agrees
         to correct <br />
         		<a id="pl.352.29"></a><var>352.29</var>the violation within 48 hours, excluding Saturdays, Sundays, and holidays.<br />
         		<a id="pl.352.30"></a><var>352.30</var>(b) The fix-it ticket must state:<br />
         		<a id="pl.352.31"></a><var>352.31</var>(1) the conditions that constitute a violation of the law or rule;<br />
         		<a id="pl.353.1"></a><var>353.1</var>(2) the specific law or rule violated; and<br />
         		<a id="pl.353.2"></a><var>353.2</var>(3) that the violation was corrected at the time of inspection or must be corrected
         within <br />
         		<a id="pl.353.3"></a><var>353.3</var>48 hours, excluding Saturdays, Sundays, and holidays.<br />
         		<a id="pl.353.4"></a><var>353.4</var>(c) The commissioner shall not publicly publish a fix-it ticket on the department's
         Web <br />
         		<a id="pl.353.5"></a><var>353.5</var>site.<br />
         		<a id="pl.353.6"></a><var>353.6</var>(d) Within 48 hours, excluding Saturdays, Sundays, and holidays, of receiving a fix-it
         <br />
         		<a id="pl.353.7"></a><var>353.7</var>ticket, the license holder must correct the violation and within one week submit evidence
         <br />
         		<a id="pl.353.8"></a><var>353.8</var>to the licensing agency that the violation was corrected.<br />
         		<a id="pl.353.9"></a><var>353.9</var>(e) If the violation is not corrected at the time of inspection or within 48 hours,
         excluding <br />
         		<a id="pl.353.10"></a><var>353.10</var>Saturdays, Sundays, and holidays, or the evidence submitted is insufficient to establish
         that <br />
         		<a id="pl.353.11"></a><var>353.11</var>the license holder corrected the violation, the commissioner must issue a correction
         order <br />
         		<a id="pl.353.12"></a><var>353.12</var>for the violation of Minnesota law or rule identified in the fix-it ticket according
         to section <br />
         		<a id="pl.353.13"></a><var>353.13</var>245A.06.<br />
         		<a id="pl.353.14"></a><var>353.14</var>(f) The commissioner shall, following consultation with family child care license
         holders, <br />
         		<a id="pl.353.15"></a><var>353.15</var>child care center license holders, and county agencies, issue a report by October
         1, 2017, <br />
         		<a id="pl.353.16"></a><var>353.16</var>that identifies the violations of this chapter and Minnesota Rules, chapters 9502
         and 9503, <br />
         		<a id="pl.353.17"></a><var>353.17</var>that are eligible for a fix-it ticket. The commissioner shall provide the report to
         county <br />
         		<a id="pl.353.18"></a><var>353.18</var>agencies and the chairs and ranking minority members of the legislative committees
         with <br />
         		<a id="pl.353.19"></a><var>353.19</var>jurisdiction over child care, and shall post the report to the department's Web site.<br />
         		<a id="pl.353.20"></a><var>353.20</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2017.<br />
         		<br />
         		<a id="bill.9.8.0"></a><a id="pl.353.21"></a><var>353.21</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 245A.07, subdivision 3, is amended to read:<br />
         		<a id="pl.353.22"></a><var>353.22</var>&#160;&#160;&#160;&#160;Subd. 3. <b>License suspension, revocation, or fine.</b> (a) The commissioner may suspend <br />
         		<a id="pl.353.23"></a><var>353.23</var>or revoke a license, or impose a fine if:<br />
         		<a id="pl.353.24"></a><var>353.24</var>(1) a license holder fails to comply fully with applicable laws or rules;<br />
         		<a id="pl.353.25"></a><var>353.25</var>(2) a license holder, a controlling individual, or an individual living in the household
         <br />
         		<a id="pl.353.26"></a><var>353.26</var>where the licensed services are provided or is otherwise subject to a background study
         has <br />
         		<a id="pl.353.27"></a><var>353.27</var>a disqualification which has not been set aside under section 
         <statute_ref>245C.22</statute_ref>;<br />
         		<a id="pl.353.28"></a><var>353.28</var>(3) a license holder knowingly withholds relevant information from or gives false
         or <br />
         		<a id="pl.353.29"></a><var>353.29</var>misleading information to the commissioner in connection with an application for a
         license, <br />
         		<a id="pl.353.30"></a><var>353.30</var>in connection with the background study status of an individual, during an investigation,
         <br />
         		<a id="pl.353.31"></a><var>353.31</var>or regarding compliance with applicable laws or rules; or<br />
         		<a id="pl.354.1"></a><var>354.1</var>(4) after July 1, 2012, and upon request by the commissioner, a license holder fails
         to <br />
         		<a id="pl.354.2"></a><var>354.2</var>submit the information required of an applicant under section 
         <statute_ref>245A.04, subdivision 1</statute_ref>, <br />
         		<a id="pl.354.3"></a><var>354.3</var>paragraph (f) or (g).<br />
         		<a id="pl.354.4"></a><var>354.4</var>A license holder who has had a license suspended, revoked, or has been ordered to
         pay <br />
         		<a id="pl.354.5"></a><var>354.5</var>a fine must be given notice of the action by certified mail or personal service. If
         mailed, the <br />
         		<a id="pl.354.6"></a><var>354.6</var>notice must be mailed to the address shown on the application or the last known address
         of <br />
         		<a id="pl.354.7"></a><var>354.7</var>the license holder. The notice must state the reasons the license was suspended, revoked,
         <br />
         		<a id="pl.354.8"></a><var>354.8</var>or a fine was ordered.<br />
         		<a id="pl.354.9"></a><var>354.9</var>&#160;&#160;&#160;&#160;(b) If the license was suspended or revoked, the notice must inform the license holder
         <br />
         		<a id="pl.354.10"></a><var>354.10</var>of the right to a contested case hearing under chapter 14 and Minnesota Rules, parts
         <br />
         		<a id="pl.354.11"></a><var>354.11</var>1400.8505 to 1400.8612. The license holder may appeal an order suspending or revoking <br />
         		<a id="pl.354.12"></a><var>354.12</var>a license. The appeal of an order suspending or revoking a license must be made in
         writing <br />
         		<a id="pl.354.13"></a><var>354.13</var>by certified mail or personal service. If mailed, the appeal must be postmarked and
         sent to <br />
         		<a id="pl.354.14"></a><var>354.14</var>the commissioner within ten calendar days after the license holder receives notice
         that the <br />
         		<a id="pl.354.15"></a><var>354.15</var>license has been suspended or revoked. If a request is made by personal service, it
         must be <br />
         		<a id="pl.354.16"></a><var>354.16</var>received by the commissioner within ten calendar days after the license holder received
         the <br />
         		<a id="pl.354.17"></a><var>354.17</var>order. Except as provided in subdivision 2a, paragraph (c), if a license holder submits
         a <br />
         		<a id="pl.354.18"></a><var>354.18</var>timely appeal of an order suspending or revoking a license, the license holder may
         continue <br />
         		<a id="pl.354.19"></a><var>354.19</var>to operate the program as provided in section 
         <statute_ref>245A.04, subdivision 7</statute_ref>, paragraphs (g) and <br />
         		<a id="pl.354.20"></a><var>354.20</var>(h), until the commissioner issues a final order on the suspension or revocation.<br />
         		<a id="pl.354.21"></a><var>354.21</var>&#160;&#160;&#160;&#160;(c)(1) If the license holder was ordered to pay a fine, the notice must inform the
         license <br />
         		<a id="pl.354.22"></a><var>354.22</var>holder of the responsibility for payment of fines and the right to a contested case
         hearing <br />
         		<a id="pl.354.23"></a><var>354.23</var>under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The appeal of an <br />
         		<a id="pl.354.24"></a><var>354.24</var>order to pay a fine must be made in writing by certified mail or personal service.
         If mailed, <br />
         		<a id="pl.354.25"></a><var>354.25</var>the appeal must be postmarked and sent to the commissioner within ten calendar days
         after <br />
         		<a id="pl.354.26"></a><var>354.26</var>the license holder receives notice that the fine has been ordered. If a request is
         made by <br />
         		<a id="pl.354.27"></a><var>354.27</var>personal service, it must be received by the commissioner within ten calendar days
         after <br />
         		<a id="pl.354.28"></a><var>354.28</var>the license holder received the order.<br />
         		<a id="pl.354.29"></a><var>354.29</var>&#160;&#160;&#160;&#160;(2) The license holder shall pay the fines assessed on or before the payment date
         specified. <br />
         		<a id="pl.354.30"></a><var>354.30</var>If the license holder fails to fully comply with the order, the commissioner may issue
         a <br />
         		<a id="pl.354.31"></a><var>354.31</var>second fine or suspend the license until the license holder complies. If the license
         holder <br />
         		<a id="pl.354.32"></a><var>354.32</var>receives state funds, the state, county, or municipal agencies or departments responsible
         for <br />
         		<a id="pl.354.33"></a><var>354.33</var>administering the funds shall withhold payments and recover any payments made while
         the <br />
         		<a id="pl.354.34"></a><var>354.34</var>license is suspended for failure to pay a fine. A timely appeal shall stay payment
         of the fine <br />
         		<a id="pl.354.35"></a><var>354.35</var>until the commissioner issues a final order.<br />
         		<a id="pl.355.1"></a><var>355.1</var>&#160;&#160;&#160;&#160;(3) A license holder shall promptly notify the commissioner of human services, in
         writing, <br />
         		<a id="pl.355.2"></a><var>355.2</var>when a violation specified in the order to forfeit a fine is corrected. If upon reinspection
         the <br />
         		<a id="pl.355.3"></a><var>355.3</var>commissioner determines that a violation has not been corrected as indicated by the
         order <br />
         		<a id="pl.355.4"></a><var>355.4</var>to forfeit a fine, the commissioner may issue a second fine. The commissioner shall
         notify <br />
         		<a id="pl.355.5"></a><var>355.5</var>the license holder by certified mail or personal service that a second fine has been
         assessed. <br />
         		<a id="pl.355.6"></a><var>355.6</var>The license holder may appeal the second fine as provided under this subdivision.<br />
         		<a id="pl.355.7"></a><var>355.7</var>&#160;&#160;&#160;&#160;(4) Fines shall be assessed as follows:<br />
         		<a id="pl.355.8"></a><var>355.8</var>&#160;&#160;&#160;&#160;(i) the license holder shall forfeit $1,000 for each determination of maltreatment of
         a <br />
         		<a id="pl.355.9"></a><var>355.9</var>child under section 
         <statute_ref>626.556</statute_ref> or the maltreatment of a vulnerable adult under section 
         <statute_ref>626.557</statute_ref> <br />
         		<a id="pl.355.10"></a><var>355.10</var>for which the license holder is determined responsible for the maltreatment under
         section <br />
         		
         <statute_ref><a id="pl.355.11"></a><var>355.11</var>626.556, subdivision 10e
         </statute_ref>, paragraph (i), or 
         <statute_ref>626.557, subdivision 9c</statute_ref>, paragraph (c);<br />
         		<a id="pl.355.12"></a><var>355.12</var>(ii) if the commissioner determines that a determination of maltreatment for which
         the <br />
         		<a id="pl.355.13"></a><var>355.13</var>license holder is responsible is the result of maltreatment that meets the definition
         of serious <br />
         		<a id="pl.355.14"></a><var>355.14</var>maltreatment as defined in section 245C.02, subdivision 18, the license holder shall
         forfeit <br />
         		<a id="pl.355.15"></a><var>355.15</var>$5,000;<br />
         		<a id="pl.355.16"></a><var>355.16</var>(iii) for a program that operates out of the license holder's home and a program licensed
         <br />
         		<a id="pl.355.17"></a><var>355.17</var>under Minnesota Rules, parts 9502.0300 to 9502.0495, the fine assessed against the
         license <br />
         		<a id="pl.355.18"></a><var>355.18</var>holder shall not exceed $1,000 for each determination of maltreatment;<br />
         		<a id="pl.355.19"></a><var>355.19</var>&#160;&#160;&#160;&#160;(iv) the license holder shall forfeit $200 for each occurrence of a violation of law or
         rule <br />
         		<a id="pl.355.20"></a><var>355.20</var>governing matters of health, safety, or supervision, including but not limited to
         the provision <br />
         		<a id="pl.355.21"></a><var>355.21</var>of adequate staff-to-child or adult ratios, and failure to comply with background
         study <br />
         		<a id="pl.355.22"></a><var>355.22</var>requirements under chapter 245C; and<br />
         		<a id="pl.355.23"></a><var>355.23</var>&#160;&#160;&#160;&#160;(v) the license holder shall forfeit $100 for each occurrence of a violation of law or
         rule <br />
         		<a id="pl.355.24"></a><var>355.24</var>other than those subject to a $5,000, $1,000, or $200 fine above in items (i) to (iv).<br />
         		 <a id="pl.355.25"></a><var>355.25</var>&#160;&#160;&#160;&#160;For purposes of this section, "occurrence" means each violation identified in the
         <br />
         		<a id="pl.355.26"></a><var>355.26</var>commissioner's fine order. Fines assessed against a license holder that holds a license
         to <br />
         		<a id="pl.355.27"></a><var>355.27</var>provide home and community-based services, as identified in section 
         <statute_ref>245D.03, subdivision <br />
            		<a id="pl.355.28"></a><var>355.28</var>1
         </statute_ref>, and a community residential setting or day services facility license under chapter
         245D <br />
         		<a id="pl.355.29"></a><var>355.29</var>where the services are provided, may be assessed against both licenses for the same
         <br />
         		<a id="pl.355.30"></a><var>355.30</var>occurrence, but the combined amount of the fines shall not exceed the amount specified
         in <br />
         		<a id="pl.355.31"></a><var>355.31</var>this clause for that occurrence.<br />
         		<a id="pl.355.32"></a><var>355.32</var>&#160;&#160;&#160;&#160;(5) When a fine has been assessed, the license holder may not avoid payment by closing,
         <br />
         		<a id="pl.355.33"></a><var>355.33</var>selling, or otherwise transferring the licensed program to a third party. In such
         an event, the <br />
         		<a id="pl.356.1"></a><var>356.1</var>license holder will be personally liable for payment. In the case of a corporation,
         each <br />
         		<a id="pl.356.2"></a><var>356.2</var>controlling individual is personally and jointly liable for payment.<br />
         		<a id="pl.356.3"></a><var>356.3</var>(d) Except for background study violations involving the failure to comply with an
         order <br />
         		<a id="pl.356.4"></a><var>356.4</var>to immediately remove an individual or an order to provide continuous, direct supervision,
         <br />
         		<a id="pl.356.5"></a><var>356.5</var>the commissioner shall not issue a fine under paragraph (c) relating to a background
         study <br />
         		<a id="pl.356.6"></a><var>356.6</var>violation to a license holder who self-corrects a background study violation before
         the <br />
         		<a id="pl.356.7"></a><var>356.7</var>commissioner discovers the violation. A license holder who has previously exercised
         the <br />
         		<a id="pl.356.8"></a><var>356.8</var>provisions of this paragraph to avoid a fine for a background study violation may
         not avoid <br />
         		<a id="pl.356.9"></a><var>356.9</var>a fine for a subsequent background study violation unless at least 365 days have passed
         <br />
         		<a id="pl.356.10"></a><var>356.10</var>since the license holder self-corrected the earlier background study violation.<br />
         		<a id="pl.356.11"></a><var>356.11</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2017.<br />
         		<br />
         		<a id="bill.9.9.0"></a><a id="pl.356.12"></a><var>356.12</var>&#160;&#160;&#160;&#160;Sec. 9. <b>[245A.1434] INFORMATION FOR CHILD CARE LICENSE HOLDERS.</b><br />
         		<a id="pl.356.13"></a><var>356.13</var>The commissioner shall inform family child care and child care center license holders
         <br />
         		<a id="pl.356.14"></a><var>356.14</var>on a timely basis of changes to state and federal statute, rule, regulation, and policy
         relating <br />
         		<a id="pl.356.15"></a><var>356.15</var>to the provision of licensed child care, the child care assistance program under chapter
         119B, <br />
         		<a id="pl.356.16"></a><var>356.16</var>the quality rating and improvement system under section 124D.142, and child care licensing
         <br />
         		<a id="pl.356.17"></a><var>356.17</var>functions delegated to counties. Communications under this section shall include information
         <br />
         		<a id="pl.356.18"></a><var>356.18</var>to promote license holder compliance with identified changes. Communications under
         this <br />
         		<a id="pl.356.19"></a><var>356.19</var>section may be accomplished by electronic means and shall be made available to the
         public <br />
         		<a id="pl.356.20"></a><var>356.20</var>online.<br />
         		<br />
         		<a id="bill.9.10.0"></a><a id="pl.356.21"></a><var>356.21</var>&#160;&#160;&#160;&#160;Sec. 10. <b>[245A.153] REPORT TO LEGISLATURE ON THE STATUS OF CHILD </b><br />
         		<a id="pl.356.22"></a><var>356.22</var><b>CARE.</b><br />
         		<a id="pl.356.23"></a><var>356.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reporting requirements.</b> Beginning on February 1, 2018, and no later <br />
         		<a id="pl.356.24"></a><var>356.24</var>than February 1 of each year thereafter, the commissioner of human services shall
         provide <br />
         		<a id="pl.356.25"></a><var>356.25</var>a report on the status of child care in Minnesota to the chairs and ranking minority
         members <br />
         		<a id="pl.356.26"></a><var>356.26</var>of the legislative committees with jurisdiction over child care.<br />
         		<a id="pl.356.27"></a><var>356.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Contents of report.</b> (a) The report must include the following:<br />
         		<a id="pl.356.28"></a><var>356.28</var>(1) summary data on trends in child care center and family child care capacity and
         <br />
         		<a id="pl.356.29"></a><var>356.29</var>availability throughout the state, including the number of centers and programs that
         have <br />
         		<a id="pl.356.30"></a><var>356.30</var>opened and closed and the geographic locations of those centers and programs;<br />
         		<a id="pl.356.31"></a><var>356.31</var>(2) a description of any changes to statutes, administrative rules, or agency policies
         and <br />
         		<a id="pl.356.32"></a><var>356.32</var>procedures that were implemented in the year preceding the report;<br />
         		<a id="pl.357.1"></a><var>357.1</var>(3) a description of the actions the department has taken to address or implement
         the <br />
         		<a id="pl.357.2"></a><var>357.2</var>recommendations from the Legislative Task Force on Access to Affordable Child Care
         <br />
         		<a id="pl.357.3"></a><var>357.3</var>Report dated January 15, 2017, including but not limited to actions taken in the areas
         of:<br />
         		<a id="pl.357.4"></a><var>357.4</var>(i) encouraging uniformity in implementing and interpreting statutes, administrative
         <br />
         		<a id="pl.357.5"></a><var>357.5</var>rules, and agency policies and procedures relating to child care licensing and access;<br />
         		<a id="pl.357.6"></a><var>357.6</var>(ii) improving communication with county licensors and child care providers regarding
         <br />
         		<a id="pl.357.7"></a><var>357.7</var>changes to statutes, administrative rules, and agency policies and procedures, ensuring
         that <br />
         		<a id="pl.357.8"></a><var>357.8</var>information is directly and regularly transmitted;<br />
         		<a id="pl.357.9"></a><var>357.9</var>(iii) providing notice to child care providers before issuing correction orders or
         negative <br />
         		<a id="pl.357.10"></a><var>357.10</var>actions relating to recent changes to statutes, administrative rules, and agency policies
         and <br />
         		<a id="pl.357.11"></a><var>357.11</var>procedures;<br />
         		<a id="pl.357.12"></a><var>357.12</var>(iv) implementing confidential, anonymous communication processes for child care <br />
         		<a id="pl.357.13"></a><var>357.13</var>providers to ask questions and receive prompt, clear answers from the department;<br />
         		<a id="pl.357.14"></a><var>357.14</var>(v) streamlining processes to reduce duplication or overlap in paperwork and training
         <br />
         		<a id="pl.357.15"></a><var>357.15</var>requirements for child care providers; and<br />
         		<a id="pl.357.16"></a><var>357.16</var>(vi) compiling and distributing information detailing trends in the violations for
         which <br />
         		<a id="pl.357.17"></a><var>357.17</var>correction orders and negative actions are issued;<br />
         		<a id="pl.357.18"></a><var>357.18</var>(4) a description of the department's efforts to cooperate with counties while addressing
         <br />
         		<a id="pl.357.19"></a><var>357.19</var>and implementing the task force recommendations;<br />
         		<a id="pl.357.20"></a><var>357.20</var>(5) summary data on child care assistance programs including but not limited to state
         <br />
         		<a id="pl.357.21"></a><var>357.21</var>funding and numbers of families served; and<br />
         		<a id="pl.357.22"></a><var>357.22</var>(6) summary data on family child care correction orders, including:<br />
         		<a id="pl.357.23"></a><var>357.23</var>(i) the number of licensed family child care provider appeals or requests for <br />
         		<a id="pl.357.24"></a><var>357.24</var>reconsideration of correction orders to the Department of Human Services;<br />
         		<a id="pl.357.25"></a><var>357.25</var>(ii) the number of family child care correction order appeals or requests for <br />
         		<a id="pl.357.26"></a><var>357.26</var>reconsideration that the Department of Human Services grants; and<br />
         		<a id="pl.357.27"></a><var>357.27</var>(iii) the number of family child care correction order appeals or requests for <br />
         		<a id="pl.357.28"></a><var>357.28</var>reconsideration that the Department of Human Services denies.<br />
         		<a id="pl.357.29"></a><var>357.29</var>(b) The commissioner may offer recommendations for legislative action.<br />
         		<a id="pl.357.30"></a><var>357.30</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Sunset.</b> This section expires February 2, 2020.<br />
         		<br />
         		<a id="bill.9.11.0"></a><a id="pl.358.1"></a><var>358.1</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 626.556, subdivision 3c, is amended to read:<br />
         		<a id="pl.358.2"></a><var>358.2</var>&#160;&#160;&#160;&#160;Subd. 3c. <b>Local welfare agency, Department of Human Services or Department of </b><br />
         		<a id="pl.358.3"></a><var>358.3</var><b>Health responsible for assessing or investigating reports of maltreatment.</b> (a) The county <br />
         		<a id="pl.358.4"></a><var>358.4</var>local welfare agency is the agency responsible for assessing or investigating allegations
         of <br />
         		<a id="pl.358.5"></a><var>358.5</var>maltreatment in child foster care, family child care, legally unlicensed nonlicensed child <br />
         		<a id="pl.358.6"></a><var>358.6</var>care, juvenile correctional facilities licensed under section 241.021 located in the local
         <br />
         		<a id="pl.358.7"></a><var>358.7</var>welfare agency's county, and reports involving children served by an unlicensed personal <br />
         		<a id="pl.358.8"></a><var>358.8</var>care provider organization under section 
         <statute_ref>256B.0659</statute_ref>. Copies of findings related to personal <br />
         		<a id="pl.358.9"></a><var>358.9</var>care provider organizations under section 
         <statute_ref>256B.0659</statute_ref> must be forwarded to the Department <br />
         		<a id="pl.358.10"></a><var>358.10</var>of Human Services provider enrollment.<br />
         		<a id="pl.358.11"></a><var>358.11</var>(b) The Department of Human Services is the agency responsible for assessing or <br />
         		<a id="pl.358.12"></a><var>358.12</var>investigating allegations of maltreatment in juvenile correctional facilities listed under <br />
         		<a id="pl.358.13"></a><var>358.13</var>section 241.021 located in the local welfare agency's county and in facilities licensed or <br />
         		<a id="pl.358.14"></a><var>358.14</var>certified under chapters 245A and 245D, except for child foster care and family child care.<br />
         		<a id="pl.358.15"></a><var>358.15</var>(c) The Department of Health is the agency responsible for assessing or investigating
         <br />
         		<a id="pl.358.16"></a><var>358.16</var>allegations of child maltreatment in facilities licensed under sections 144.50 to
         144.58 and <br />
         		
         <statute_ref><a id="pl.358.17"></a><var>358.17</var>144A.43
         </statute_ref> to 
         <statute_ref>144A.482</statute_ref>.<br />
         		<br />
         		<a id="bill.10.0.0"></a><div class="xtend_ce"><a id="pl.358.18"></a><var>358.18</var><b>ARTICLE 10</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.358.19"></a><var>358.19</var><b>HEALTH DEPARTMENT</b><br />
            		
         </div><br />
         		<a id="bill.10.1.0"></a><a id="pl.358.20"></a><var>358.20</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 103I.101, subdivision 2, is amended to read:<br />
         		<a id="pl.358.21"></a><var>358.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Duties.</b> The commissioner shall:<br />
         		<a id="pl.358.22"></a><var>358.22</var>(1) regulate the drilling, construction, modification, repair, and sealing of wells
         and <br />
         		<a id="pl.358.23"></a><var>358.23</var>borings;<br />
         		<a id="pl.358.24"></a><var>358.24</var>(2) examine and license:<br />
         		<a id="pl.358.25"></a><var>358.25</var>(i) well contractors;<br />
         		<a id="pl.358.26"></a><var>358.26</var>(ii) persons constructing, repairing, and sealing bored geothermal heat exchangers;<br />
         		<a id="pl.358.27"></a><var>358.27</var>(iii) persons modifying or repairing well casings, well screens, or well diameters;<br />
         		<a id="pl.358.28"></a><var>358.28</var>(iv) persons constructing, repairing, and sealing drive point wells or dug wells;<br />
         		<a id="pl.358.29"></a><var>358.29</var>(v) persons installing well pumps or pumping equipment;<br />
         		<a id="pl.358.30"></a><var>358.30</var>(vi) persons constructing, repairing, and sealing dewatering wells;<br />
         		<a id="pl.359.1"></a><var>359.1</var>(vii) persons sealing wells; persons installing well pumps or pumping equipment or <br />
         		<a id="pl.359.2"></a><var>359.2</var>borings; and<br />
         		<a id="pl.359.3"></a><var>359.3</var>(viii) persons excavating or drilling holes for the installation of elevator borings or <br />
         		<a id="pl.359.4"></a><var>359.4</var>hydraulic cylinders;<br />
         		<a id="pl.359.5"></a><var>359.5</var>(3) register license and examine monitoring well contractors;<br />
         		<a id="pl.359.6"></a><var>359.6</var>(4) license explorers engaged in exploratory boring and examine individuals who <br />
         		<a id="pl.359.7"></a><var>359.7</var>supervise or oversee exploratory boring;<br />
         		<a id="pl.359.8"></a><var>359.8</var>(5) after consultation with the commissioner of natural resources and the Pollution
         <br />
         		<a id="pl.359.9"></a><var>359.9</var>Control Agency, establish standards for the design, location, construction, repair,
         and sealing <br />
         		<a id="pl.359.10"></a><var>359.10</var>of wells and borings within the state; and<br />
         		<a id="pl.359.11"></a><var>359.11</var>(6) issue permits for wells, groundwater thermal devices, bored geothermal heat <br />
         		<a id="pl.359.12"></a><var>359.12</var>exchangers, and elevator borings.<br />
         		<br />
         		<a id="bill.10.2.0"></a><a id="pl.359.13"></a><var>359.13</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 103I.101, subdivision 5, is amended to read:<br />
         		<a id="pl.359.14"></a><var>359.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Commissioner to adopt rules.</b> The commissioner shall adopt rules including:<br />
         		<a id="pl.359.15"></a><var>359.15</var>(1) issuance of licenses for:<br />
         		<a id="pl.359.16"></a><var>359.16</var>(i) qualified well contractors,;<br />
         		<a id="pl.359.17"></a><var>359.17</var>(ii) persons modifying or repairing well casings, well screens, or well diameters;<br />
         		<a id="pl.359.18"></a><var>359.18</var>(ii) (iii) persons constructing, repairing, and sealing drive point wells or dug wells;<br />
         		<a id="pl.359.19"></a><var>359.19</var>(iii) (iv) persons constructing, repairing, and sealing dewatering wells;<br />
         		<a id="pl.359.20"></a><var>359.20</var>(iv) (v) persons sealing wells or borings;<br />
         		<a id="pl.359.21"></a><var>359.21</var>(v) (vi) persons installing well pumps or pumping equipment;<br />
         		<a id="pl.359.22"></a><var>359.22</var>(vi) (vii) persons constructing, repairing, and sealing bored geothermal heat exchangers; <br />
         		<a id="pl.359.23"></a><var>359.23</var>and<br />
         		<a id="pl.359.24"></a><var>359.24</var>(vii) (viii) persons constructing, repairing, and sealing elevator borings;<br />
         		<a id="pl.359.25"></a><var>359.25</var>(2) issuance of registration licenses for monitoring well contractors;<br />
         		<a id="pl.359.26"></a><var>359.26</var>(3) establishment of conditions for examination and review of applications for license
         <br />
         		<a id="pl.359.27"></a><var>359.27</var>and registration certification;<br />
         		<a id="pl.359.28"></a><var>359.28</var>(4) establishment of conditions for revocation and suspension of license and registration <br />
         		<a id="pl.359.29"></a><var>359.29</var>certification;<br />
         		<a id="pl.360.1"></a><var>360.1</var>(5) establishment of minimum standards for design, location, construction, repair,
         and <br />
         		<a id="pl.360.2"></a><var>360.2</var>sealing of wells and borings to implement the purpose and intent of this chapter;<br />
         		<a id="pl.360.3"></a><var>360.3</var>(6) establishment of a system for reporting on wells and borings drilled and sealed;<br />
         		<a id="pl.360.4"></a><var>360.4</var>(7) establishment of standards for the construction, maintenance, sealing, and water
         <br />
         		<a id="pl.360.5"></a><var>360.5</var>quality monitoring of wells in areas of known or suspected contamination;<br />
         		<a id="pl.360.6"></a><var>360.6</var>(8) establishment of wellhead protection measures for wells serving public water supplies;<br />
         		<a id="pl.360.7"></a><var>360.7</var>(9) establishment of procedures to coordinate collection of well and boring data with
         <br />
         		<a id="pl.360.8"></a><var>360.8</var>other state and local governmental agencies;<br />
         		<a id="pl.360.9"></a><var>360.9</var>(10) establishment of criteria and procedures for submission of well and boring logs,
         <br />
         		<a id="pl.360.10"></a><var>360.10</var>formation samples or well or boring cuttings, water samples, or other special information
         <br />
         		<a id="pl.360.11"></a><var>360.11</var>required for and water resource mapping; and<br />
         		<a id="pl.360.12"></a><var>360.12</var>(11) establishment of minimum standards for design, location, construction, maintenance,
         <br />
         		<a id="pl.360.13"></a><var>360.13</var>repair, sealing, safety, and resource conservation related to borings, including exploratory
         <br />
         		<a id="pl.360.14"></a><var>360.14</var>borings as defined in section 
         <statute_ref>103I.005, subdivision 9</statute_ref>.<br />
         		<br />
         		<a id="bill.10.3.0"></a><a id="pl.360.15"></a><var>360.15</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 103I.111, subdivision 6, is amended to read:<br />
         		<a id="pl.360.16"></a><var>360.16</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Unsealed wells </b><b>and borings </b><b>are public health nuisances.</b> A well or boring <br />
         		<a id="pl.360.17"></a><var>360.17</var>that is required to be sealed under section 
         <statute_ref>103I.301</statute_ref> but is not sealed is a public health <br />
         		<a id="pl.360.18"></a><var>360.18</var>nuisance. A county may abate the unsealed well or boring with the same authority of a <br />
         		<a id="pl.360.19"></a><var>360.19</var>community health board to abate a public health nuisance under section 
         <statute_ref>145A.04, subdivision <br />
            		<a id="pl.360.20"></a><var>360.20</var>8
         </statute_ref>.<br />
         		<br />
         		<a id="bill.10.4.0"></a><a id="pl.360.21"></a><var>360.21</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 103I.111, subdivision 7, is amended to read:<br />
         		<a id="pl.360.22"></a><var>360.22</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Local license </b><b>or registration</b><b> fees prohibited.</b> (a) A political subdivision may <br />
         		<a id="pl.360.23"></a><var>360.23</var>not require a licensed well contractor to pay a license or registration fee.<br />
         		<a id="pl.360.24"></a><var>360.24</var>(b) The commissioner of health must provide a political subdivision with a list of
         licensed <br />
         		<a id="pl.360.25"></a><var>360.25</var>well contractors upon request.<br />
         		<br />
         		<a id="bill.10.5.0"></a><a id="pl.360.26"></a><var>360.26</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 103I.111, subdivision 8, is amended to read:<br />
         		<a id="pl.360.27"></a><var>360.27</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Municipal regulation of drilling.</b> A municipality may regulate all drilling, <br />
         		<a id="pl.360.28"></a><var>360.28</var>except well, elevator shaft boring, and exploratory drilling that is subject to the provisions <br />
         		<a id="pl.360.29"></a><var>360.29</var>of this chapter, above, in, through, and adjacent to subsurface areas designated for
         mined <br />
         		<a id="pl.361.1"></a><var>361.1</var>underground space development and existing mined underground space. The regulations
         <br />
         		<a id="pl.361.2"></a><var>361.2</var>may prohibit, restrict, control, and require permits for the drilling.<br />
         		<br />
         		<a id="bill.10.6.0"></a><a id="pl.361.3"></a><var>361.3</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 103I.205, is amended to read:<br />
         		<a id="pl.361.4"></a><var>361.4</var><b>103I.205 WELL </b><b>AND BORING </b><b>CONSTRUCTION.</b><br />
         		<a id="pl.361.5"></a><var>361.5</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Notification required.</b> (a) Except as provided in paragraphs (d) and (e), <br />
         		<a id="pl.361.6"></a><var>361.6</var>a person may not construct a well until a notification of the proposed well on a form
         <br />
         		<a id="pl.361.7"></a><var>361.7</var>prescribed by the commissioner is filed with the commissioner with the filing fee
         in section <br />
         		
         <statute_ref><a id="pl.361.8"></a><var>361.8</var>103I.208
         </statute_ref>, and, when applicable, the person has met the requirements of paragraph (f). If <br />
         		<a id="pl.361.9"></a><var>361.9</var>after filing the well notification an attempt to construct a well is unsuccessful,
         a new <br />
         		<a id="pl.361.10"></a><var>361.10</var>notification is not required unless the information relating to the successful well
         has <br />
         		<a id="pl.361.11"></a><var>361.11</var>substantially changed.<br />
         		<a id="pl.361.12"></a><var>361.12</var>(b) The property owner, the property owner's agent, or the well licensed contractor where <br />
         		<a id="pl.361.13"></a><var>361.13</var>a well is to be located must file the well notification with the commissioner.<br />
         		<a id="pl.361.14"></a><var>361.14</var>(c) The well notification under this subdivision preempts local permits and notifications,
         <br />
         		<a id="pl.361.15"></a><var>361.15</var>and counties or home rule charter or statutory cities may not require a permit or
         notification <br />
         		<a id="pl.361.16"></a><var>361.16</var>for wells unless the commissioner has delegated the permitting or notification authority
         <br />
         		<a id="pl.361.17"></a><var>361.17</var>under section 
         <statute_ref>103I.111</statute_ref>.<br />
         		<a id="pl.361.18"></a><var>361.18</var>(d) A person who is an individual that constructs a drive point water-supply well on <br />
         		<a id="pl.361.19"></a><var>361.19</var>property owned or leased by the individual for farming or agricultural purposes or
         as the <br />
         		<a id="pl.361.20"></a><var>361.20</var>individual's place of abode must notify the commissioner of the installation and location
         of <br />
         		<a id="pl.361.21"></a><var>361.21</var>the well. The person must complete the notification form prescribed by the commissioner
         <br />
         		<a id="pl.361.22"></a><var>361.22</var>and mail it to the commissioner by ten days after the well is completed. A fee may
         not be <br />
         		<a id="pl.361.23"></a><var>361.23</var>charged for the notification. A person who sells drive point wells at retail must
         provide <br />
         		<a id="pl.361.24"></a><var>361.24</var>buyers with notification forms and informational materials including requirements
         regarding <br />
         		<a id="pl.361.25"></a><var>361.25</var>wells, their location, construction, and disclosure. The commissioner must provide
         the <br />
         		<a id="pl.361.26"></a><var>361.26</var>notification forms and informational materials to the sellers.<br />
         		<a id="pl.361.27"></a><var>361.27</var>(e) A person may not construct a monitoring well until a permit is issued by the <br />
         		<a id="pl.361.28"></a><var>361.28</var>commissioner for the construction. If after obtaining a permit an attempt to construct
         a well <br />
         		<a id="pl.361.29"></a><var>361.29</var>is unsuccessful, a new permit is not required as long as the initial permit is modified
         to <br />
         		<a id="pl.361.30"></a><var>361.30</var>indicate the location of the successful well.<br />
         		<a id="pl.361.31"></a><var>361.31</var>(f) When the operation of a well will require an appropriation permit from the <br />
         		<a id="pl.361.32"></a><var>361.32</var>commissioner of natural resources, a person may not begin construction of the well
         until <br />
         		<a id="pl.361.33"></a><var>361.33</var>the person submits the following information to the commissioner of natural resources:<br />
         		<a id="pl.362.1"></a><var>362.1</var>(1) the location of the well;<br />
         		<a id="pl.362.2"></a><var>362.2</var>(2) the formation or aquifer that will serve as the water source;<br />
         		<a id="pl.362.3"></a><var>362.3</var>(3) the maximum daily, seasonal, and annual pumpage rates and volumes that will be
         <br />
         		<a id="pl.362.4"></a><var>362.4</var>requested in the appropriation permit; and<br />
         		<a id="pl.362.5"></a><var>362.5</var>(4) other information requested by the commissioner of natural resources that is necessary
         <br />
         		<a id="pl.362.6"></a><var>362.6</var>to conduct the preliminary assessment required under section 
         <statute_ref>103G.287</statute_ref>, subdivision 1, <br />
         		<a id="pl.362.7"></a><var>362.7</var>paragraph (c).<br />
         		<a id="pl.362.8"></a><var>362.8</var>The person may begin construction after receiving preliminary approval from the <br />
         		<a id="pl.362.9"></a><var>362.9</var>commissioner of natural resources.<br />
         		<a id="pl.362.10"></a><var>362.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Emergency permit and notification exemptions.</b> The commissioner may <br />
         		<a id="pl.362.11"></a><var>362.11</var>adopt rules that modify the procedures for filing a well or boring notification or well or <br />
         		<a id="pl.362.12"></a><var>362.12</var>boring permit if conditions occur that:<br />
         		<a id="pl.362.13"></a><var>362.13</var>(1) endanger the public health and welfare or cause a need to protect the groundwater;
         <br />
         		<a id="pl.362.14"></a><var>362.14</var>or<br />
         		<a id="pl.362.15"></a><var>362.15</var>(2) require the monitoring well contractor, limited well/boring contractor, or well
         <br />
         		<a id="pl.362.16"></a><var>362.16</var>contractor to begin constructing a well before obtaining a permit or notification.<br />
         		<a id="pl.362.17"></a><var>362.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Maintenance permit.</b> (a) Except as provided under paragraph (b), a well that <br />
         		<a id="pl.362.18"></a><var>362.18</var>is not in use must be sealed or have a maintenance permit.<br />
         		<a id="pl.362.19"></a><var>362.19</var>(b) If a monitoring well or a dewatering well is not sealed by 14 months after completion
         <br />
         		<a id="pl.362.20"></a><var>362.20</var>of construction, the owner of the property on which the well is located must obtain
         and <br />
         		<a id="pl.362.21"></a><var>362.21</var>annually renew a maintenance permit from the commissioner.<br />
         		<a id="pl.362.22"></a><var>362.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>License required.</b> (a) Except as provided in paragraph (b), (c), (d), or (e), <br />
         		<a id="pl.362.23"></a><var>362.23</var>section 
         <statute_ref>103I.401, subdivision 2</statute_ref>, or 
         <statute_ref>103I.601, subdivision 2</statute_ref>, a person may not drill, construct, <br />
         		<a id="pl.362.24"></a><var>362.24</var>repair, or seal a well or boring unless the person has a well contractor's license
         in possession.<br />
         		<a id="pl.362.25"></a><var>362.25</var>(b) A person may construct, repair, and seal a monitoring well if the person:<br />
         		<a id="pl.362.26"></a><var>362.26</var>(1) is a professional engineer licensed under sections 
         <statute_ref>326.02</statute_ref> to 
         <statute_ref>326.15</statute_ref> in the branches <br />
         		<a id="pl.362.27"></a><var>362.27</var>of civil or geological engineering;<br />
         		<a id="pl.362.28"></a><var>362.28</var>(2) is a hydrologist or hydrogeologist certified by the American Institute of Hydrology;<br />
         		<a id="pl.362.29"></a><var>362.29</var>(3) is a professional geoscientist licensed under sections 
         <statute_ref>326.02</statute_ref> to 
         <statute_ref>326.15</statute_ref>;<br />
         		<a id="pl.362.30"></a><var>362.30</var>(4) is a geologist certified by the American Institute of Professional Geologists;
         or<br />
         		<a id="pl.362.31"></a><var>362.31</var>(5) meets the qualifications established by the commissioner in rule.<br />
         		<a id="pl.363.1"></a><var>363.1</var>A person must register with be licensed by the commissioner as a monitoring well <br />
         		<a id="pl.363.2"></a><var>363.2</var>contractor on forms provided by the commissioner.<br />
         		<a id="pl.363.3"></a><var>363.3</var>(c) A person may do the following work with a limited well/boring contractor's license
         <br />
         		<a id="pl.363.4"></a><var>363.4</var>in possession. A separate license is required for each of the six activities:<br />
         		<a id="pl.363.5"></a><var>363.5</var>(1) installing or repairing well screens or pitless units or pitless adaptors and
         well casings <br />
         		<a id="pl.363.6"></a><var>363.6</var>from the pitless adaptor or pitless unit to the upper termination of the well casing;<br />
         		<a id="pl.363.7"></a><var>363.7</var>(2) constructing, repairing, and sealing drive point wells or dug wells;<br />
         		<a id="pl.363.8"></a><var>363.8</var>(3) installing well pumps or pumping equipment;<br />
         		<a id="pl.363.9"></a><var>363.9</var>(4) sealing wells or borings;<br />
         		<a id="pl.363.10"></a><var>363.10</var>(5) constructing, repairing, or sealing dewatering wells; or<br />
         		<a id="pl.363.11"></a><var>363.11</var>(6) constructing, repairing, or sealing bored geothermal heat exchangers.<br />
         		<a id="pl.363.12"></a><var>363.12</var>(d) A person may construct, repair, and seal an elevator boring with an elevator boring
         <br />
         		<a id="pl.363.13"></a><var>363.13</var>contractor's license.<br />
         		<a id="pl.363.14"></a><var>363.14</var>(e) Notwithstanding other provisions of this chapter requiring a license or registration, <br />
         		<a id="pl.363.15"></a><var>363.15</var>a license or registration is not required for a person who complies with the other provisions <br />
         		<a id="pl.363.16"></a><var>363.16</var>of this chapter if the person is:<br />
         		<a id="pl.363.17"></a><var>363.17</var>(1) an individual who constructs a well on land that is owned or leased by the individual
         <br />
         		<a id="pl.363.18"></a><var>363.18</var>and is used by the individual for farming or agricultural purposes or as the individual's
         place <br />
         		<a id="pl.363.19"></a><var>363.19</var>of abode;<br />
         		<a id="pl.363.20"></a><var>363.20</var>(2) an individual who performs labor or services for a contractor licensed or registered <br />
         		<a id="pl.363.21"></a><var>363.21</var>under the provisions of this chapter in connection with the construction, sealing,
         or repair <br />
         		<a id="pl.363.22"></a><var>363.22</var>of a well or boring at the direction and under the personal supervision of a contractor
         licensed <br />
         		<a id="pl.363.23"></a><var>363.23</var>or registered under the provisions of this chapter; or<br />
         		<a id="pl.363.24"></a><var>363.24</var>(3) a licensed plumber who is repairing submersible pumps or water pipes associated
         <br />
         		<a id="pl.363.25"></a><var>363.25</var>with well water systems if: (i) the repair location is within an area where there
         is no licensed <br />
         		<a id="pl.363.26"></a><var>363.26</var>or registered well contractor within 50 miles, and (ii) the licensed plumber complies with <br />
         		<a id="pl.363.27"></a><var>363.27</var>all relevant sections of the plumbing code.<br />
         		<a id="pl.363.28"></a><var>363.28</var>&#160;&#160;&#160;&#160;Subd. 5. <b>At-grade monitoring wells.</b> At-grade monitoring wells are authorized without <br />
         		<a id="pl.363.29"></a><var>363.29</var>variance and may be installed for the purpose of evaluating groundwater conditions
         or for <br />
         		<a id="pl.363.30"></a><var>363.30</var>use as a leak detection device. An at-grade monitoring well must be installed in accordance
         <br />
         		<a id="pl.363.31"></a><var>363.31</var>with the rules of the commissioner. The at-grade monitoring wells must be installed
         with <br />
         		<a id="pl.364.1"></a><var>364.1</var>an impermeable double locking cap approved by the commissioner and must be labeled
         <br />
         		<a id="pl.364.2"></a><var>364.2</var>monitoring wells.<br />
         		<a id="pl.364.3"></a><var>364.3</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Distance requirements for sources of contamination</b><b>, buildings, gas pipes, </b><br />
         		<a id="pl.364.4"></a><var>364.4</var><b>liquid propane tanks, and electric lines</b><b>.</b> (a) A person may not place, construct, or install <br />
         		<a id="pl.364.5"></a><var>364.5</var>an actual or potential source of contamination, building, gas pipe, liquid propane tank, or <br />
         		<a id="pl.364.6"></a><var>364.6</var>electric line any closer to a well or boring than the isolation distances prescribed by the <br />
         		<a id="pl.364.7"></a><var>364.7</var>commissioner by rule unless a variance has been prescribed by rule.<br />
         		<a id="pl.364.8"></a><var>364.8</var>(b) The commissioner shall establish by rule reduced isolation distances for facilities
         <br />
         		<a id="pl.364.9"></a><var>364.9</var>which have safeguards in accordance with sections 
         <statute_ref>18B.01, subdivision 26</statute_ref>, and 
         <statute_ref>18C.005, <br />
            		<a id="pl.364.10"></a><var>364.10</var>subdivision 29
         </statute_ref>.<br />
         		<a id="pl.364.11"></a><var>364.11</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Well identification label required.</b> After a well has been constructed, the <br />
         		<a id="pl.364.12"></a><var>364.12</var>person constructing the well must attach a label to the well showing the unique well
         number.<br />
         		<a id="pl.364.13"></a><var>364.13</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Wells on property of another.</b> A person may not construct or have constructed <br />
         		<a id="pl.364.14"></a><var>364.14</var>a well for the person's own use on the property of another until the owner of the
         property <br />
         		<a id="pl.364.15"></a><var>364.15</var>on which the well is to be located and the intended well user sign a written agreement
         that <br />
         		<a id="pl.364.16"></a><var>364.16</var>identifies which party will be responsible for obtaining all permits or filing notification,
         <br />
         		<a id="pl.364.17"></a><var>364.17</var>paying applicable fees and for sealing the well. If the property owner refuses to
         sign the <br />
         		<a id="pl.364.18"></a><var>364.18</var>agreement, the intended well user may, in lieu of a written agreement, state in writing
         to <br />
         		<a id="pl.364.19"></a><var>364.19</var>the commissioner that the well user will be responsible for obtaining permits, filing
         <br />
         		<a id="pl.364.20"></a><var>364.20</var>notification, paying applicable fees, and sealing the well. Nothing in this subdivision
         <br />
         		<a id="pl.364.21"></a><var>364.21</var>eliminates the responsibilities of the property owner under this chapter, or allows
         a person <br />
         		<a id="pl.364.22"></a><var>364.22</var>to construct a well on the property of another without consent or other legal authority.<br />
         		<a id="pl.364.23"></a><var>364.23</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Report of work.</b> Within 30 days after completion or sealing of a well or boring, <br />
         		<a id="pl.364.24"></a><var>364.24</var>the person doing the work must submit a verified report to the commissioner containing
         the <br />
         		<a id="pl.364.25"></a><var>364.25</var>information specified by rules adopted under this chapter.<br />
         		<a id="pl.364.26"></a><var>364.26</var>Within 30 days after receiving the report, the commissioner shall send or otherwise
         <br />
         		<a id="pl.364.27"></a><var>364.27</var>provide access to a copy of the report to the commissioner of natural resources, to
         the local <br />
         		<a id="pl.364.28"></a><var>364.28</var>soil and water conservation district where the well is located, and to the director
         of the <br />
         		<a id="pl.364.29"></a><var>364.29</var>Minnesota Geological Survey.<br />
         		<br />
         		<a id="bill.10.7.0"></a><a id="pl.364.30"></a><var>364.30</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 103I.301, is amended to read:<br />
         		<a id="pl.364.31"></a><var>364.31</var><b>103I.301 WELL </b><b>AND BORING </b><b>SEALING REQUIREMENTS.</b><br />
         		<a id="pl.364.32"></a><var>364.32</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Wells and borings.</b> (a) A property owner must have a well or boring <br />
         		<a id="pl.364.33"></a><var>364.33</var>sealed if:<br />
         		<a id="pl.365.1"></a><var>365.1</var>(1) the well or boring is contaminated or may contribute to the spread of contamination;<br />
         		<a id="pl.365.2"></a><var>365.2</var>(2) the well or boring was attempted to be sealed but was not sealed according to
         the <br />
         		<a id="pl.365.3"></a><var>365.3</var>provisions of this chapter; or<br />
         		<a id="pl.365.4"></a><var>365.4</var>(3) the well or boring is located, constructed, or maintained in a manner that its
         continued <br />
         		<a id="pl.365.5"></a><var>365.5</var>use or existence endangers groundwater quality or is a safety or health hazard.<br />
         		<a id="pl.365.6"></a><var>365.6</var>(b) A well or boring that is not in use must be sealed unless the property owner has a <br />
         		<a id="pl.365.7"></a><var>365.7</var>maintenance permit for the well.<br />
         		<a id="pl.365.8"></a><var>365.8</var>(c) The property owner must have a well or boring sealed by a registered or licensed <br />
         		<a id="pl.365.9"></a><var>365.9</var>person authorized to seal the well or boring, consistent with provisions of this chapter.<br />
         		<a id="pl.365.10"></a><var>365.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Monitoring wells.</b> The owner of the property where a monitoring well is located <br />
         		<a id="pl.365.11"></a><var>365.11</var>must have the monitoring well sealed when the well is no longer in use. The owner
         must <br />
         		<a id="pl.365.12"></a><var>365.12</var>have a well contractor, limited well/boring sealing contractor, or a monitoring well
         contractor <br />
         		<a id="pl.365.13"></a><var>365.13</var>seal the monitoring well.<br />
         		<a id="pl.365.14"></a><var>365.14</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Dewatering wells.</b> (a) The owner of the property where a dewatering well is <br />
         		<a id="pl.365.15"></a><var>365.15</var>located must have the dewatering well sealed when the dewatering well is no longer
         in use.<br />
         		<a id="pl.365.16"></a><var>365.16</var>(b) A well contractor, limited well/boring sealing contractor, or limited dewatering
         well <br />
         		<a id="pl.365.17"></a><var>365.17</var>contractor shall seal the dewatering well.<br />
         		<a id="pl.365.18"></a><var>365.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Sealing procedures.</b> Wells and borings must be sealed according to rules <br />
         		<a id="pl.365.19"></a><var>365.19</var>adopted by the commissioner.<br />
         		<a id="pl.365.20"></a><var>365.20</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Notification required.</b> A person may not seal a well until a notification of the <br />
         		<a id="pl.365.21"></a><var>365.21</var>proposed sealing is filed as prescribed by the commissioner.<br />
         		<br />
         		<a id="bill.10.8.0"></a><a id="pl.365.22"></a><var>365.22</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 103I.501, is amended to read:<br />
         		<a id="pl.365.23"></a><var>365.23</var><b>103I.501 LICENSING AND REGULATION OF WELLS AND BORINGS.</b><br />
         		<a id="pl.365.24"></a><var>365.24</var>(a) The commissioner shall regulate and license:<br />
         		<a id="pl.365.25"></a><var>365.25</var>(1) drilling, constructing, and repair of wells;<br />
         		<a id="pl.365.26"></a><var>365.26</var>(2) sealing of wells;<br />
         		<a id="pl.365.27"></a><var>365.27</var>(3) installing of well pumps and pumping equipment;<br />
         		<a id="pl.365.28"></a><var>365.28</var>(4) excavating, drilling, repairing, and sealing of elevator borings;<br />
         		<a id="pl.365.29"></a><var>365.29</var>(5) construction, repair, and sealing of environmental bore holes; and<br />
         		<a id="pl.365.30"></a><var>365.30</var>(6) construction, repair, and sealing of bored geothermal heat exchangers.<br />
         		<a id="pl.366.1"></a><var>366.1</var>(b) The commissioner shall examine and license well contractors, limited well/boring
         <br />
         		<a id="pl.366.2"></a><var>366.2</var>contractors, and elevator boring contractors, and examine and register monitoring well <br />
         		<a id="pl.366.3"></a><var>366.3</var>contractors.<br />
         		<a id="pl.366.4"></a><var>366.4</var>(c) The commissioner shall license explorers engaged in exploratory boring and shall
         <br />
         		<a id="pl.366.5"></a><var>366.5</var>examine persons who supervise or oversee exploratory boring.<br />
         		<br />
         		<a id="bill.10.9.0"></a><a id="pl.366.6"></a><var>366.6</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 103I.505, is amended to read:<br />
         		<a id="pl.366.7"></a><var>366.7</var><b>103I.505 RECIPROCITY OF LICENSES AND </b><b>REGISTRATIONS</b><b> </b><br />
         		<a id="pl.366.8"></a><var>366.8</var><b>CERTIFICATIONS</b><b>.</b><br />
         		<a id="pl.366.9"></a><var>366.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reciprocity authorized.</b> The commissioner may issue a license or register <br />
         		<a id="pl.366.10"></a><var>366.10</var>certify a person under this chapter, without giving an examination, if the person is licensed
         <br />
         		<a id="pl.366.11"></a><var>366.11</var>or registered certified in another state and:<br />
         		<a id="pl.366.12"></a><var>366.12</var>(1) the requirements for licensing or registration certification under which the well or <br />
         		<a id="pl.366.13"></a><var>366.13</var>boring contractor was licensed or registered person was certified do not conflict with this <br />
         		<a id="pl.366.14"></a><var>366.14</var>chapter;<br />
         		<a id="pl.366.15"></a><var>366.15</var>(2) the requirements are of a standard not lower than that specified by the rules
         adopted <br />
         		<a id="pl.366.16"></a><var>366.16</var>under this chapter; and<br />
         		<a id="pl.366.17"></a><var>366.17</var>(3) equal reciprocal privileges are granted to licensees or registrants certified persons <br />
         		<a id="pl.366.18"></a><var>366.18</var>of this state.<br />
         		<a id="pl.366.19"></a><var>366.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Fees required.</b> A well or boring contractor or certified person must apply for <br />
         		<a id="pl.366.20"></a><var>366.20</var>the license or registration certification and pay the fees under the provisions of this chapter <br />
         		<a id="pl.366.21"></a><var>366.21</var>to receive a license or registration certification under this section.<br />
         		<br />
         		<a id="bill.10.10.0"></a><a id="pl.366.22"></a><var>366.22</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 103I.515, is amended to read:<br />
         		<a id="pl.366.23"></a><var>366.23</var><b>103I.515 LICENSES NOT TRANSFERABLE.</b><br />
         		<a id="pl.366.24"></a><var>366.24</var>A license or registration certification issued under this chapter is not transferable.<br />
         		<br />
         		<a id="bill.10.11.0"></a><a id="pl.366.25"></a><var>366.25</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 103I.535, subdivision 3, is amended to read:<br />
         		<a id="pl.366.26"></a><var>366.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Certification </b><b>examination.</b> After the commissioner has approved the <br />
         		<a id="pl.366.27"></a><var>366.27</var>application, the applicant must take an examination given by the commissioner.<br />
         		<br />
         		<a id="bill.10.12.0"></a><a id="pl.367.1"></a><var>367.1</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 103I.535, is amended by adding a subdivision <br />
         		<a id="pl.367.2"></a><var>367.2</var>to read:<br />
         		<a id="pl.367.3"></a><var>367.3</var>&#160;&#160;&#160;&#160;Subd. 3b. <b>Certification renewal.</b> (a) A representative must file an application and a <br />
         		<a id="pl.367.4"></a><var>367.4</var>renewal application fee to renew the certification by the date stated in the certification.<br />
         		<a id="pl.367.5"></a><var>367.5</var>(b) The renewal application must include information that the certified representative
         <br />
         		<a id="pl.367.6"></a><var>367.6</var>has met continuing education requirements established by the commissioner by rule.<br />
         		<br />
         		<a id="bill.10.13.0"></a><a id="pl.367.7"></a><var>367.7</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 103I.535, subdivision 6, is amended to read:<br />
         		<a id="pl.367.8"></a><var>367.8</var>&#160;&#160;&#160;&#160;Subd. 6. <b>License fee.</b> The fee for an elevator shaft boring contractor's license is $75.<br />
         		<br />
         		<a id="bill.10.14.0"></a><a id="pl.367.9"></a><var>367.9</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 103I.541, is amended to read:<br />
         		<a id="pl.367.10"></a><var>367.10</var><b>103I.541 MONITORING WELL CONTRACTOR'S </b><b>REGISTRATION</b><b> LICENSE</b><b>; </b><br />
         		<a id="pl.367.11"></a><var>367.11</var><b>REPRESENTATIVE'S CERTIFICATION.</b><br />
         		<a id="pl.367.12"></a><var>367.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Registration</b><b> Certification</b><b>.</b> A person seeking registration as certification <br />
         		<a id="pl.367.13"></a><var>367.13</var>to represent a monitoring well contractor must meet examination and experience requirements <br />
         		<a id="pl.367.14"></a><var>367.14</var>adopted by the commissioner by rule.<br />
         		<a id="pl.367.15"></a><var>367.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Validity.</b> A monitoring well contractor's registration certification is valid until <br />
         		<a id="pl.367.16"></a><var>367.16</var>the date prescribed in the registration certification by the commissioner.<br />
         		<a id="pl.367.17"></a><var>367.17</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Certification application.</b> (a) An individual must submit an application and <br />
         		<a id="pl.367.18"></a><var>367.18</var>application fee to the commissioner to apply for certification as a representative
         of a <br />
         		<a id="pl.367.19"></a><var>367.19</var>monitoring well contractor.<br />
         		<a id="pl.367.20"></a><var>367.20</var>(b) The application must be on forms prescribed by the commissioner. The application
         <br />
         		<a id="pl.367.21"></a><var>367.21</var>must state the applicant's qualifications for the certification, and other information
         required <br />
         		<a id="pl.367.22"></a><var>367.22</var>by the commissioner.<br />
         		<a id="pl.367.23"></a><var>367.23</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Issuance of registration.</b> If a person employs a certified representative, <br />
         		<a id="pl.367.24"></a><var>367.24</var>submits the bond under subdivision 3, and pays the registration fee of $75 for a monitoring
         <br />
         		<a id="pl.367.25"></a><var>367.25</var>well contractor registration, the commissioner shall issue a monitoring well contractor
         <br />
         		<a id="pl.367.26"></a><var>367.26</var>registration to the applicant. The fee for an individual registration is $75. The
         commissioner <br />
         		<a id="pl.367.27"></a><var>367.27</var>may not act on an application until the application fee is paid.<br />
         		<a id="pl.367.28"></a><var>367.28</var>&#160;&#160;&#160;&#160;Subd. 2c. <b>Certification fee.</b> (a) The application fee for certification as a representative <br />
         		<a id="pl.367.29"></a><var>367.29</var>of a monitoring well contractor is $75. The commissioner may not act on an application
         <br />
         		<a id="pl.367.30"></a><var>367.30</var>until the application fee is paid.<br />
         		<a id="pl.368.1"></a><var>368.1</var>(b) The renewal fee for certification as a representative of a monitoring well contractor
         <br />
         		<a id="pl.368.2"></a><var>368.2</var>is $75. The commissioner may not renew a certification until the renewal fee is paid.<br />
         		<a id="pl.368.3"></a><var>368.3</var>&#160;&#160;&#160;&#160;Subd. 2d. <b>Examination.</b> After the commissioner has approved an application, the <br />
         		<a id="pl.368.4"></a><var>368.4</var>applicant must take an examination given by the commissioner.<br />
         		<a id="pl.368.5"></a><var>368.5</var>&#160;&#160;&#160;&#160;Subd. 2e. <b>Issuance of certification.</b> If the applicant meets the experience requirements <br />
         		<a id="pl.368.6"></a><var>368.6</var>established by rule and passes the examination as determined by the commissioner,
         the <br />
         		<a id="pl.368.7"></a><var>368.7</var>commissioner shall issue the applicant a certification to represent a monitoring well
         <br />
         		<a id="pl.368.8"></a><var>368.8</var>contractor.<br />
         		<a id="pl.368.9"></a><var>368.9</var>&#160;&#160;&#160;&#160;Subd. 2f. <b>Certification renewal.</b> (a) A representative must file an application and a <br />
         		<a id="pl.368.10"></a><var>368.10</var>renewal application fee to renew the certification by the date stated in the certification.<br />
         		<a id="pl.368.11"></a><var>368.11</var>(b) The renewal application must include information that the certified representative
         <br />
         		<a id="pl.368.12"></a><var>368.12</var>has met continuing education requirements established by the commissioner by rule.<br />
         		<a id="pl.368.13"></a><var>368.13</var>&#160;&#160;&#160;&#160;Subd. 2g. <b>Issuance of license.</b> (a) If a person employs a certified representative, submits <br />
         		<a id="pl.368.14"></a><var>368.14</var>the bond under subdivision 3, and pays the license fee of $75 for a monitoring well
         contractor <br />
         		<a id="pl.368.15"></a><var>368.15</var>license, the commissioner shall issue a monitoring well contractor license to the
         applicant.<br />
         		<a id="pl.368.16"></a><var>368.16</var>(b) The commissioner may not act on an application until the application fee is paid.<br />
         		<a id="pl.368.17"></a><var>368.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Bond.</b> (a) As a condition of being issued a monitoring well contractor's <br />
         		<a id="pl.368.18"></a><var>368.18</var>registration license, the applicant must submit a corporate surety bond for $10,000 approved <br />
         		<a id="pl.368.19"></a><var>368.19</var>by the commissioner. The bond must be conditioned to pay the state on performance
         of <br />
         		<a id="pl.368.20"></a><var>368.20</var>work in this state that is not in compliance with this chapter or rules adopted under
         this <br />
         		<a id="pl.368.21"></a><var>368.21</var>chapter. The bond is in lieu of other license bonds required by a political subdivision
         of the <br />
         		<a id="pl.368.22"></a><var>368.22</var>state.<br />
         		<a id="pl.368.23"></a><var>368.23</var>(b) From proceeds of the bond, the commissioner may compensate persons injured or
         <br />
         		<a id="pl.368.24"></a><var>368.24</var>suffering financial loss because of a failure of the applicant to perform work or
         duties in <br />
         		<a id="pl.368.25"></a><var>368.25</var>compliance with this chapter or rules adopted under this chapter.<br />
         		<a id="pl.368.26"></a><var>368.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>License </b><b>renewal.</b> (a) A person must file an application and a renewal application <br />
         		<a id="pl.368.27"></a><var>368.27</var>fee to renew the registration license by the date stated in the registration license.<br />
         		<a id="pl.368.28"></a><var>368.28</var>(b) The renewal application fee for a monitoring well contractor's registration license is <br />
         		<a id="pl.368.29"></a><var>368.29</var>$75.<br />
         		<a id="pl.368.30"></a><var>368.30</var>(c) The renewal application must include information that the certified representative
         <br />
         		<a id="pl.368.31"></a><var>368.31</var>of the applicant has met continuing education requirements established by the commissioner
         <br />
         		<a id="pl.368.32"></a><var>368.32</var>by rule.<br />
         		<a id="pl.369.1"></a><var>369.1</var>(d) At the time of the renewal, the commissioner must have on file all well and boring
         <br />
         		<a id="pl.369.2"></a><var>369.2</var>construction reports, well and boring sealing reports, well permits, and notifications
         for <br />
         		<a id="pl.369.3"></a><var>369.3</var>work conducted by the registered licensed person since the last registration license renewal.<br />
         		<a id="pl.369.4"></a><var>369.4</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Incomplete or late renewal.</b> If a registered licensed person submits a renewal <br />
         		<a id="pl.369.5"></a><var>369.5</var>application after the required renewal date:<br />
         		<a id="pl.369.6"></a><var>369.6</var>(1) the registered licensed person must include a late fee of $75; and<br />
         		<a id="pl.369.7"></a><var>369.7</var>(2) the registered licensed person may not conduct activities authorized by the monitoring <br />
         		<a id="pl.369.8"></a><var>369.8</var>well contractor's registration license until the renewal application, renewal application fee, <br />
         		<a id="pl.369.9"></a><var>369.9</var>late fee, and all other information required in subdivision 4 are submitted.<br />
         		<br />
         		<a id="bill.10.15.0"></a><a id="pl.369.10"></a><var>369.10</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 103I.545, subdivision 1, is amended to read:<br />
         		<a id="pl.369.11"></a><var>369.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Drilling machine.</b> (a) A person may not use a drilling machine such as <br />
         		<a id="pl.369.12"></a><var>369.12</var>a cable tool, rotary tool, hollow rod tool, or auger for a drilling activity requiring
         a license <br />
         		<a id="pl.369.13"></a><var>369.13</var>or registration under this chapter unless the drilling machine is registered with the <br />
         		<a id="pl.369.14"></a><var>369.14</var>commissioner.<br />
         		<a id="pl.369.15"></a><var>369.15</var>(b) A person must apply for the registration on forms prescribed by the commissioner
         <br />
         		<a id="pl.369.16"></a><var>369.16</var>and submit a $75 registration fee.<br />
         		<a id="pl.369.17"></a><var>369.17</var>(c) A registration is valid for one year.<br />
         		<br />
         		<a id="bill.10.16.0"></a><a id="pl.369.18"></a><var>369.18</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 103I.545, subdivision 2, is amended to read:<br />
         		<a id="pl.369.19"></a><var>369.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Hoist.</b> (a) A person may not use a machine such as a hoist for an activity <br />
         		<a id="pl.369.20"></a><var>369.20</var>requiring a license or registration under this chapter to repair wells or borings, seal wells <br />
         		<a id="pl.369.21"></a><var>369.21</var>or borings, or install pumps unless the machine is registered with the commissioner.<br />
         		<a id="pl.369.22"></a><var>369.22</var>(b) A person must apply for the registration on forms prescribed by the commissioner
         <br />
         		<a id="pl.369.23"></a><var>369.23</var>and submit a $75 registration fee.<br />
         		<a id="pl.369.24"></a><var>369.24</var>(c) A registration is valid for one year.<br />
         		<br />
         		<a id="bill.10.17.0"></a><a id="pl.369.25"></a><var>369.25</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 103I.711, subdivision 1, is amended to read:<br />
         		<a id="pl.369.26"></a><var>369.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Impoundment.</b> The commissioner may apply to district court for a <br />
         		<a id="pl.369.27"></a><var>369.27</var>warrant authorizing seizure and impoundment of all drilling machines or hoists owned
         or <br />
         		<a id="pl.369.28"></a><var>369.28</var>used by a person. The court shall issue an impoundment order upon the commissioner's
         <br />
         		<a id="pl.369.29"></a><var>369.29</var>showing that a person is constructing, repairing, or sealing wells or borings or installing
         <br />
         		<a id="pl.369.30"></a><var>369.30</var>pumps or pumping equipment or excavating holes for installing elevator shafts borings <br />
         		<a id="pl.370.1"></a><var>370.1</var>without a license or registration as required under this chapter. A sheriff on receipt of the <br />
         		<a id="pl.370.2"></a><var>370.2</var>warrant must seize and impound all drilling machines and hoists owned or used by the
         <br />
         		<a id="pl.370.3"></a><var>370.3</var>person. A person from whom equipment is seized under this subdivision may file an
         action <br />
         		<a id="pl.370.4"></a><var>370.4</var>in district court for the purpose of establishing that the equipment was wrongfully
         seized.<br />
         		<br />
         		<a id="bill.10.18.0"></a><a id="pl.370.5"></a><var>370.5</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 103I.715, subdivision 2, is amended to read:<br />
         		<a id="pl.370.6"></a><var>370.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Gross misdemeanors.</b> A person is guilty of a gross misdemeanor who:<br />
         		<a id="pl.370.7"></a><var>370.7</var>(1) willfully violates a provision of this chapter or order of the commissioner;<br />
         		<a id="pl.370.8"></a><var>370.8</var>(2) engages in the business of drilling or making wells, sealing wells, installing
         pumps <br />
         		<a id="pl.370.9"></a><var>370.9</var>or pumping equipment, or constructing elevator shafts borings without a license required <br />
         		<a id="pl.370.10"></a><var>370.10</var>by this chapter; or<br />
         		<a id="pl.370.11"></a><var>370.11</var>(3) engages in the business of exploratory boring without an exploratory borer's license
         <br />
         		<a id="pl.370.12"></a><var>370.12</var>under this chapter.<br />
         		<br />
         		<a id="bill.10.19.0"></a><a id="pl.370.13"></a><var>370.13</var>&#160;&#160;&#160;&#160;Sec. 19. <b>[144.059] PALLIATIVE CARE ADVISORY COUNCIL.</b><br />
         		<a id="pl.370.14"></a><var>370.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Membership.</b> The Palliative Care Advisory Council shall consist of 18 <br />
         		<a id="pl.370.15"></a><var>370.15</var>public members.<br />
         		<a id="pl.370.16"></a><var>370.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Public members.</b> (a) The commissioner shall appoint, in the manner provided <br />
         		<a id="pl.370.17"></a><var>370.17</var>in section 15.0597, 18 public members, including the following:<br />
         		<a id="pl.370.18"></a><var>370.18</var>(1) two physicians, of which one is certified by the American Board of Hospice and
         <br />
         		<a id="pl.370.19"></a><var>370.19</var>Palliative Medicine;<br />
         		<a id="pl.370.20"></a><var>370.20</var>(2) two registered nurses or advanced practice registered nurses, of which one is
         certified <br />
         		<a id="pl.370.21"></a><var>370.21</var>by the National Board for Certification of Hospice and Palliative Nurses;<br />
         		<a id="pl.370.22"></a><var>370.22</var>(3) one care coordinator experienced in working with people with serious or chronic
         <br />
         		<a id="pl.370.23"></a><var>370.23</var>illness and their families;<br />
         		<a id="pl.370.24"></a><var>370.24</var>(4) one spiritual counselor experienced in working with people with serious or chronic
         <br />
         		<a id="pl.370.25"></a><var>370.25</var>illness and their families;<br />
         		<a id="pl.370.26"></a><var>370.26</var>(5) three licensed health professionals, such as complementary and alternative health
         <br />
         		<a id="pl.370.27"></a><var>370.27</var>care practitioners, dietitians or nutritionists, pharmacists, or physical therapists,
         who are <br />
         		<a id="pl.370.28"></a><var>370.28</var>neither physicians nor nurses, but who have experience as members of a palliative
         care <br />
         		<a id="pl.370.29"></a><var>370.29</var>interdisciplinary team working with people with serious or chronic illness and their
         families;<br />
         		<a id="pl.371.1"></a><var>371.1</var>(6) one licensed social worker experienced in working with people with serious or
         chronic <br />
         		<a id="pl.371.2"></a><var>371.2</var>illness and their families;<br />
         		<a id="pl.371.3"></a><var>371.3</var>(7) four patients or personal caregivers experienced with serious or chronic illness;<br />
         		<a id="pl.371.4"></a><var>371.4</var>(8) one representative of a health plan company;<br />
         		 <a id="pl.371.5"></a><var>371.5</var>(9) one physician assistant that is a member of the American Academy of Hospice and
         <br />
         		<a id="pl.371.6"></a><var>371.6</var>Palliative Medicine; and<br />
         		<a id="pl.371.7"></a><var>371.7</var>(10) two members from any of the categories described in clauses (1) to (9).<br />
         		<a id="pl.371.8"></a><var>371.8</var>(b) Council membership must include, where possible, representation that is racially,
         <br />
         		<a id="pl.371.9"></a><var>371.9</var>culturally, linguistically, geographically, and economically diverse.<br />
         		<a id="pl.371.10"></a><var>371.10</var>(c) The council must include at least six members who reside outside Anoka, Carver,
         <br />
         		<a id="pl.371.11"></a><var>371.11</var>Chisago, Dakota, Hennepin, Isanti, Mille Lacs, Ramsey, Scott, Sherburne, Sibley, Stearns,
         <br />
         		<a id="pl.371.12"></a><var>371.12</var>Washington, or Wright Counties.<br />
         		<a id="pl.371.13"></a><var>371.13</var>(d) To the extent possible, council membership must include persons who have experience
         <br />
         		<a id="pl.371.14"></a><var>371.14</var>in palliative care research, palliative care instruction in a medical or nursing school
         setting, <br />
         		<a id="pl.371.15"></a><var>371.15</var>palliative care services for veterans as a provider or recipient, or pediatric care.<br />
         		<a id="pl.371.16"></a><var>371.16</var>(e) Council membership must include health professionals who have palliative care
         work <br />
         		<a id="pl.371.17"></a><var>371.17</var>experience or expertise in palliative care delivery models in a variety of inpatient,
         outpatient, <br />
         		<a id="pl.371.18"></a><var>371.18</var>and community settings, including acute care, long-term care, or hospice, with a variety
         of <br />
         		<a id="pl.371.19"></a><var>371.19</var>populations, including pediatric, youth, and adult patients.<br />
         		<a id="pl.371.20"></a><var>371.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Term.</b> Members of the council shall serve for a term of three years and may <br />
         		<a id="pl.371.21"></a><var>371.21</var>be reappointed. Members shall serve until their successors have been appointed.<br />
         		<a id="pl.371.22"></a><var>371.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Administration.</b> The commissioner or the commissioner's designee shall <br />
         		<a id="pl.371.23"></a><var>371.23</var>provide meeting space and administrative services for the council.<br />
         		<a id="pl.371.24"></a><var>371.24</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Chairs.</b> At the council's first meeting, and biannually thereafter, the members <br />
         		<a id="pl.371.25"></a><var>371.25</var>shall elect a chair and a vice-chair whose duties shall be established by the council.<br />
         		<a id="pl.371.26"></a><var>371.26</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Meeting.</b> The council shall meet at least twice yearly.<br />
         		<a id="pl.371.27"></a><var>371.27</var>&#160;&#160;&#160;&#160;Subd. 7. <b>No compensation.</b> Public members of the council serve without compensation <br />
         		<a id="pl.371.28"></a><var>371.28</var>or reimbursement for expenses.<br />
         		<a id="pl.371.29"></a><var>371.29</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Duties.</b> (a) The council shall consult with and advise the commissioner on <br />
         		<a id="pl.371.30"></a><var>371.30</var>matters related to the establishment, maintenance, operation, and outcomes evaluation
         of <br />
         		<a id="pl.371.31"></a><var>371.31</var>palliative care initiatives in the state.<br />
         		<a id="pl.372.1"></a><var>372.1</var>(b) By February 15 of each year, the council shall submit to the chairs and ranking
         <br />
         		<a id="pl.372.2"></a><var>372.2</var>minority members of the committees of the senate and the house of representatives
         with <br />
         		<a id="pl.372.3"></a><var>372.3</var>primary jurisdiction over health care a report containing:<br />
         		<a id="pl.372.4"></a><var>372.4</var>(1) the advisory council's assessment of the availability of palliative care in the
         state;<br />
         		<a id="pl.372.5"></a><var>372.5</var>(2) the advisory council's analysis of barriers to greater access to palliative care;
         and<br />
         		<a id="pl.372.6"></a><var>372.6</var>(3) recommendations for legislative action, with draft legislation to implement the
         <br />
         		<a id="pl.372.7"></a><var>372.7</var>recommendations.<br />
         		<a id="pl.372.8"></a><var>372.8</var>(c) The Department of Health shall publish the report each year on the department's
         Web <br />
         		<a id="pl.372.9"></a><var>372.9</var>site.<br />
         		<a id="pl.372.10"></a><var>372.10</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Open meetings.</b> The council is subject to the requirements of chapter 13D.<br />
         		<a id="pl.372.11"></a><var>372.11</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Sunset.</b> The council shall sunset January 1, 2025.<br />
         		<br />
         		<a id="bill.10.20.0"></a><a id="pl.372.12"></a><var>372.12</var>&#160;&#160;&#160;&#160;Sec. 20. <b>[144.1215] AUTHORIZATION TO USE HANDHELD DENTAL X-RAY </b><br />
         		<a id="pl.372.13"></a><var>372.13</var><b>EQUIPMENT.</b><br />
         		<a id="pl.372.14"></a><var>372.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definition; handheld dental x-ray equipment.</b> For purposes of this <br />
         		<a id="pl.372.15"></a><var>372.15</var>section, "handheld dental x-ray equipment" means x-ray equipment that is used to take
         <br />
         		<a id="pl.372.16"></a><var>372.16</var>dental radiographs, is designed to be handheld during operation, and is operated by
         an <br />
         		<a id="pl.372.17"></a><var>372.17</var>individual authorized to take dental radiographs under chapter 150A.<br />
         		<a id="pl.372.18"></a><var>372.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Use authorized.</b> (a) Handheld dental x-ray equipment may be used if the <br />
         		<a id="pl.372.19"></a><var>372.19</var>equipment:<br />
         		<a id="pl.372.20"></a><var>372.20</var>(1) has been approved for human use by the United States Food and Drug Administration
         <br />
         		<a id="pl.372.21"></a><var>372.21</var>and is being used in a manner consistent with that approval; and<br />
         		<a id="pl.372.22"></a><var>372.22</var>(2) utilizes a backscatter shield that:<br />
         		<a id="pl.372.23"></a><var>372.23</var>(i) is composed of a leaded polymer or a substance with a substantially equivalent
         <br />
         		<a id="pl.372.24"></a><var>372.24</var>protective capacity;<br />
         		<a id="pl.372.25"></a><var>372.25</var>(ii) has at least 0.25 millimeters of lead or lead-shielding equivalent; and<br />
         		<a id="pl.372.26"></a><var>372.26</var>(iii) is permanently affixed to the handheld dental x-ray equipment.<br />
         		<a id="pl.372.27"></a><var>372.27</var>(b) The use of handheld dental x-ray equipment is prohibited if the equipment's <br />
         		<a id="pl.372.28"></a><var>372.28</var>backscatter shield is broken or not permanently affixed to the system.<br />
         		<a id="pl.372.29"></a><var>372.29</var>(c) The use of handheld dental x-ray equipment shall not be limited to situations
         in which <br />
         		<a id="pl.372.30"></a><var>372.30</var>it is impractical to transfer the patient to a stationary x-ray system.<br />
         		<a id="pl.373.1"></a><var>373.1</var>(d) Handheld dental x-ray equipment must be stored when not in use, by being secured
         <br />
         		<a id="pl.373.2"></a><var>373.2</var>in a restricted, locked area of the facility.<br />
         		<a id="pl.373.3"></a><var>373.3</var>(e) Handheld dental x-ray equipment must be calibrated initially and at intervals
         that <br />
         		<a id="pl.373.4"></a><var>373.4</var>must not exceed 24 months. Calibration must include the test specified in Minnesota
         Rules, <br />
         		<a id="pl.373.5"></a><var>373.5</var>part 4732.1100, subpart 11.<br />
         		<a id="pl.373.6"></a><var>373.6</var>(f) Notwithstanding Minnesota Rules, part 4732.0880, subpart 2, item C, the tube housing
         <br />
         		<a id="pl.373.7"></a><var>373.7</var>and the position-indicating device of handheld dental x-ray equipment may be handheld
         <br />
         		<a id="pl.373.8"></a><var>373.8</var>during an exposure.<br />
         		<a id="pl.373.9"></a><var>373.9</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Exemptions from certain shielding requirements.</b> Handheld dental x-ray <br />
         		<a id="pl.373.10"></a><var>373.10</var>equipment used according to this section and according to manufacturer instructions
         is <br />
         		<a id="pl.373.11"></a><var>373.11</var>exempt from the following requirements for the equipment:<br />
         		<a id="pl.373.12"></a><var>373.12</var>(1) shielding requirements in Minnesota Rules, part 4732.0365, item B; and<br />
         		<a id="pl.373.13"></a><var>373.13</var>(2) requirements for the location of the x-ray control console or utilization of a
         protective <br />
         		<a id="pl.373.14"></a><var>373.14</var>barrier in Minnesota Rules, part 4732.0800, subpart 2, item B, subitems (2) and (3),
         provided <br />
         		<a id="pl.373.15"></a><var>373.15</var>the equipment utilizes a backscatter shield that satisfies the requirements in subdivision
         2, <br />
         		<a id="pl.373.16"></a><var>373.16</var>paragraph (a), clause (2).<br />
         		<a id="pl.373.17"></a><var>373.17</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Compliance with rules.</b> A registrant using handheld dental x-ray equipment <br />
         		<a id="pl.373.18"></a><var>373.18</var>shall otherwise comply with Minnesota Rules, chapter 4732.<br />
         		<br />
         		<a id="bill.10.21.0"></a><a id="pl.373.19"></a><var>373.19</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 144.122, is amended to read:<br />
         		<a id="pl.373.20"></a><var>373.20</var><b>144.122 LICENSE, PERMIT, AND SURVEY FEES.</b><br />
         		<a id="pl.373.21"></a><var>373.21</var>&#160;&#160;&#160;&#160;(a) The state commissioner of health, by rule, may prescribe procedures and fees for
         <br />
         		<a id="pl.373.22"></a><var>373.22</var>filing with the commissioner as prescribed by statute and for the issuance of original
         and <br />
         		<a id="pl.373.23"></a><var>373.23</var>renewal permits, licenses, registrations, and certifications issued under authority
         of the <br />
         		<a id="pl.373.24"></a><var>373.24</var>commissioner. The expiration dates of the various licenses, permits, registrations,
         and <br />
         		<a id="pl.373.25"></a><var>373.25</var>certifications as prescribed by the rules shall be plainly marked thereon. Fees may
         include <br />
         		<a id="pl.373.26"></a><var>373.26</var>application and examination fees and a penalty fee for renewal applications submitted
         after <br />
         		<a id="pl.373.27"></a><var>373.27</var>the expiration date of the previously issued permit, license, registration, and certification.
         <br />
         		<a id="pl.373.28"></a><var>373.28</var>The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
         <br />
         		<a id="pl.373.29"></a><var>373.29</var>registrations, and certifications when the application therefor is submitted during
         the last <br />
         		<a id="pl.373.30"></a><var>373.30</var>three months of the permit, license, registration, or certification period. Fees proposed
         to <br />
         		<a id="pl.373.31"></a><var>373.31</var>be prescribed in the rules shall be first approved by the Department of Management
         and <br />
         		<a id="pl.373.32"></a><var>373.32</var>Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees
         shall be <br />
         		<a id="pl.373.33"></a><var>373.33</var>in an amount so that the total fees collected by the commissioner will, where practical,
         <br />
         		<a id="pl.374.1"></a><var>374.1</var>approximate the cost to the commissioner in administering the program. All fees collected
         <br />
         		<a id="pl.374.2"></a><var>374.2</var>shall be deposited in the state treasury and credited to the state government special
         revenue <br />
         		<a id="pl.374.3"></a><var>374.3</var>fund unless otherwise specifically appropriated by law for specific purposes.<br />
         		<a id="pl.374.4"></a><var>374.4</var>&#160;&#160;&#160;&#160;(b) The commissioner may charge a fee for voluntary certification of medical laboratories
         <br />
         		<a id="pl.374.5"></a><var>374.5</var>and environmental laboratories, and for environmental and medical laboratory services
         <br />
         		<a id="pl.374.6"></a><var>374.6</var>provided by the department, without complying with paragraph (a) or chapter 14. Fees
         <br />
         		<a id="pl.374.7"></a><var>374.7</var>charged for environment and medical laboratory services provided by the department
         must <br />
         		<a id="pl.374.8"></a><var>374.8</var>be approximately equal to the costs of providing the services.<br />
         		<a id="pl.374.9"></a><var>374.9</var>&#160;&#160;&#160;&#160;(c) The commissioner may develop a schedule of fees for diagnostic evaluations <br />
         		<a id="pl.374.10"></a><var>374.10</var>conducted at clinics held by the services for children with disabilities program.
         All receipts <br />
         		<a id="pl.374.11"></a><var>374.11</var>generated by the program are annually appropriated to the commissioner for use in
         the <br />
         		<a id="pl.374.12"></a><var>374.12</var>maternal and child health program.<br />
         		<a id="pl.374.13"></a><var>374.13</var>&#160;&#160;&#160;&#160;(d) The commissioner shall set license fees for hospitals and nursing homes that are
         not <br />
         		<a id="pl.374.14"></a><var>374.14</var>boarding care homes at the following levels:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="32.5"></col>
            <col width="32.5"></col>
            <tr>
               <td><a id="pl.374.15"></a><var>374.15</var><br />
                  		<a id="pl.374.16"></a><var>374.16</var><br />
                  		<a id="pl.374.17"></a><var>374.17</var><br />
                  		<a id="pl.374.18"></a><var>374.18</var><br />
                  		
               </td>
               <td align="left" valign="top">Joint Commission on Accreditation of <br />
                  		Healthcare Organizations (JCAHO) and <br />
                  		American Osteopathic Association (AOA) <br />
                  		hospitals<br />
                  		
               </td>
               <td align="left" valign="top">$7,655 plus $16 per bed<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.19"></a><var>374.19</var><br />
                  		
               </td>
               <td align="left">Non-JCAHO and non-AOA hospitals<br />
                  		
               </td>
               <td align="left">$5,280 plus $250 per bed<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.20"></a><var>374.20</var><br />
                  		
               </td>
               <td align="left" valign="top">Nursing home<br />
                  		
               </td>
               <td align="left">$183 plus $91 per bed<br />
                  		
               </td>
            </tr>
         </table><a id="pl.374.21"></a><var>374.21</var>&#160;&#160;&#160;&#160;The commissioner shall set license fees for outpatient surgical centers, boarding
         care <br />
         		<a id="pl.374.22"></a><var>374.22</var>homes, and supervised living facilities at the following levels:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="32.5"></col>
            <col width="32.5"></col>
            <tr>
               <td><a id="pl.374.23"></a><var>374.23</var><br />
                  		
               </td>
               <td align="left">Outpatient surgical centers<br />
                  		
               </td>
               <td align="left">$3,712<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.24"></a><var>374.24</var><br />
                  		
               </td>
               <td align="left">Boarding care homes<br />
                  		
               </td>
               <td align="left">$183 plus $91 per bed<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.25"></a><var>374.25</var><br />
                  		
               </td>
               <td align="left">Supervised living facilities<br />
                  		
               </td>
               <td align="left">$183 plus $91 per bed.<br />
                  		
               </td>
            </tr>
         </table><a id="pl.374.26"></a><var>374.26</var>Fees collected under this paragraph are nonrefundable. The fees are nonrefundable
         even if <br />
         		<a id="pl.374.27"></a><var>374.27</var>received before July 1, 2017, for licenses or registrations being issued effective
         July 1, 2017, <br />
         		<a id="pl.374.28"></a><var>374.28</var>or later.<br />
         		<a id="pl.374.29"></a><var>374.29</var>&#160;&#160;&#160;&#160;(e) Unless prohibited by federal law, the commissioner of health shall charge applicants
         <br />
         		<a id="pl.374.30"></a><var>374.30</var>the following fees to cover the cost of any initial certification surveys required
         to determine <br />
         		<a id="pl.374.31"></a><var>374.31</var>a provider's eligibility to participate in the Medicare or Medicaid program:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="30"></col>
            <col width="13.5"></col>
            <col width="6.5"></col>
            <tr>
               <td><a id="pl.374.32"></a><var>374.32</var><br />
                  		
               </td>
               <td align="left">Prospective payment surveys for hospitals<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">900<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.33"></a><var>374.33</var><br />
                  		
               </td>
               <td align="left">Swing bed surveys for nursing homes<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,200<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.34"></a><var>374.34</var><br />
                  		
               </td>
               <td align="left">Psychiatric hospitals<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,400<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.374.35"></a><var>374.35</var><br />
                  		
               </td>
               <td align="left">Rural health facilities<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,100<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.1"></a><var>375.1</var><br />
                  		
               </td>
               <td align="left">Portable x-ray providers<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">500<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.2"></a><var>375.2</var><br />
                  		
               </td>
               <td align="left">Home health agencies<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,800<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.3"></a><var>375.3</var><br />
                  		
               </td>
               <td align="left">Outpatient therapy agencies<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">800<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.4"></a><var>375.4</var><br />
                  		
               </td>
               <td align="left">End stage renal dialysis providers<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">2,100<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.5"></a><var>375.5</var><br />
                  		
               </td>
               <td align="left">Independent therapists<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">800<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.6"></a><var>375.6</var><br />
                  		
               </td>
               <td align="left">Comprehensive rehabilitation outpatient facilities<br />
                  		
               </td>
               <td align="right" valign="top">$<br />
                  		
               </td>
               <td align="right" valign="top">1,200<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.7"></a><var>375.7</var><br />
                  		
               </td>
               <td align="left">Hospice providers<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,700<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.8"></a><var>375.8</var><br />
                  		
               </td>
               <td align="left">Ambulatory surgical providers<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right">1,800<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.9"></a><var>375.9</var><br />
                  		
               </td>
               <td align="left">Hospitals<br />
                  		
               </td>
               <td align="right">$<br />
                  		
               </td>
               <td align="right" valign="bottom">4,200<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.375.10"></a><var>375.10</var><br />
                  		<a id="pl.375.11"></a><var>375.11</var><br />
                  		<a id="pl.375.12"></a><var>375.12</var><br />
                  		
               </td>
               <td align="left" valign="top">Other provider categories or additional<br />
                  		resurveys required to complete initial<br />
                  		certification<br />
                  		
               </td>
               <td colspan="2" valign="top">Actual surveyor costs: average <br />
                  		surveyor cost x number of hours for <br />
                  		the survey process.<br />
                  		
               </td>
            </tr>
         </table><a id="pl.375.13"></a><var>375.13</var>&#160;&#160;&#160;&#160;These fees shall be submitted at the time of the application for federal certification
         and <br />
         		<a id="pl.375.14"></a><var>375.14</var>shall not be refunded. All fees collected after the date that the imposition of fees
         is not <br />
         		<a id="pl.375.15"></a><var>375.15</var>prohibited by federal law shall be deposited in the state treasury and credited to
         the state <br />
         		<a id="pl.375.16"></a><var>375.16</var>government special revenue fund.<br />
         		<br />
         		<a id="bill.10.22.0"></a><a id="pl.375.17"></a><var>375.17</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 144.1501, subdivision 2, is amended to read:<br />
         		<a id="pl.375.18"></a><var>375.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Creation of account.</b> (a) A health professional education loan forgiveness <br />
         		<a id="pl.375.19"></a><var>375.19</var>program account is established. The commissioner of health shall use money from the
         <br />
         		<a id="pl.375.20"></a><var>375.20</var>account to establish a loan forgiveness program:<br />
         		<a id="pl.375.21"></a><var>375.21</var>&#160;&#160;&#160;&#160;(1) for medical residents and mental health professionals agreeing to practice in
         designated <br />
         		<a id="pl.375.22"></a><var>375.22</var>rural areas or underserved urban communities or specializing in the area of pediatric
         <br />
         		<a id="pl.375.23"></a><var>375.23</var>psychiatry;<br />
         		<a id="pl.375.24"></a><var>375.24</var>&#160;&#160;&#160;&#160;(2) for midlevel practitioners agreeing to practice in designated rural areas or to
         teach <br />
         		<a id="pl.375.25"></a><var>375.25</var>at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary
         program <br />
         		<a id="pl.375.26"></a><var>375.26</var>at the undergraduate level or the equivalent at the graduate level;<br />
         		<a id="pl.375.27"></a><var>375.27</var>&#160;&#160;&#160;&#160;(3) for nurses who agree to practice in a Minnesota nursing home; an intermediate
         care <br />
         		<a id="pl.375.28"></a><var>375.28</var>facility for persons with developmental disability; or a hospital if the hospital owns and <br />
         		<a id="pl.375.29"></a><var>375.29</var>operates a Minnesota nursing home and a minimum of 50 percent of the hours worked
         by <br />
         		<a id="pl.375.30"></a><var>375.30</var>the nurse is in the nursing home; a housing with services establishment as defined in section <br />
         		<a id="pl.375.31"></a><var>375.31</var>144D.01, subdivision 4; or for a home care provider as defined in section 144A.43,
         <br />
         		<a id="pl.375.32"></a><var>375.32</var>subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per year in the nursing <br />
         		<a id="pl.375.33"></a><var>375.33</var>field in a postsecondary program at the undergraduate level or the equivalent at the
         graduate <br />
         		<a id="pl.375.34"></a><var>375.34</var>level;<br />
         		<a id="pl.376.1"></a><var>376.1</var>&#160;&#160;&#160;&#160;(4) for other health care technicians agreeing to teach at least 12 credit hours,
         or 720 <br />
         		<a id="pl.376.2"></a><var>376.2</var>hours per year in their designated field in a postsecondary program at the undergraduate
         <br />
         		<a id="pl.376.3"></a><var>376.3</var>level or the equivalent at the graduate level. The commissioner, in consultation with
         the <br />
         		<a id="pl.376.4"></a><var>376.4</var>Healthcare Education-Industry Partnership, shall determine the health care fields
         where the <br />
         		<a id="pl.376.5"></a><var>376.5</var>need is the greatest, including, but not limited to, respiratory therapy, clinical
         laboratory <br />
         		<a id="pl.376.6"></a><var>376.6</var>technology, radiologic technology, and surgical technology;<br />
         		<a id="pl.376.7"></a><var>376.7</var>&#160;&#160;&#160;&#160;(5) for pharmacists, advanced dental therapists, dental therapists, and public health
         nurses <br />
         		<a id="pl.376.8"></a><var>376.8</var>who agree to practice in designated rural areas; and<br />
         		<a id="pl.376.9"></a><var>376.9</var>&#160;&#160;&#160;&#160;(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
         <br />
         		<a id="pl.376.10"></a><var>376.10</var>encounters to state public program enrollees or patients receiving sliding fee schedule
         <br />
         		<a id="pl.376.11"></a><var>376.11</var>discounts through a formal sliding fee schedule meeting the standards established
         by the <br />
         		<a id="pl.376.12"></a><var>376.12</var>United States Department of Health and Human Services under Code of Federal Regulations,
         <br />
         		<a id="pl.376.13"></a><var>376.13</var>title 42, section 51, chapter 303.<br />
         		<a id="pl.376.14"></a><var>376.14</var>&#160;&#160;&#160;&#160;(b) Appropriations made to the account do not cancel and are available until expended,
         <br />
         		<a id="pl.376.15"></a><var>376.15</var>except that at the end of each biennium, any remaining balance in the account that
         is not <br />
         		<a id="pl.376.16"></a><var>376.16</var>committed by contract and not needed to fulfill existing commitments shall cancel
         to the <br />
         		<a id="pl.376.17"></a><var>376.17</var>fund.<br />
         		<br />
         		<a id="bill.10.23.0"></a><a id="pl.376.18"></a><var>376.18</var>&#160;&#160;&#160;&#160;Sec. 23. <b>[144.1504] SENIOR CARE WORKFORCE INNOVATION GRANT </b><br />
         		<a id="pl.376.19"></a><var>376.19</var><b>PROGRAM.</b><br />
         		<a id="pl.376.20"></a><var>376.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> The senior care workforce innovation grant program is <br />
         		<a id="pl.376.21"></a><var>376.21</var>established to assist eligible applicants to fund pilot programs or expand existing
         programs <br />
         		<a id="pl.376.22"></a><var>376.22</var>that increase the pool of caregivers working in the field of senior care services.<br />
         		<a id="pl.376.23"></a><var>376.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Competitive grants.</b> The commissioner shall make competitive grants available <br />
         		<a id="pl.376.24"></a><var>376.24</var>to eligible applicants to expand the workforce for senior care services.<br />
         		<a id="pl.376.25"></a><var>376.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> (a) Eligible applicants must recruit and train individuals to work <br />
         		<a id="pl.376.26"></a><var>376.26</var>with individuals who are primarily 65 years of age or older and receiving services
         through:<br />
         		<a id="pl.376.27"></a><var>376.27</var>(1) a home and community-based setting, including housing with services establishments
         <br />
         		<a id="pl.376.28"></a><var>376.28</var>as defined in section 144D.01, subdivision 4;<br />
         		<a id="pl.376.29"></a><var>376.29</var>(2) adult day care as defined in section 245A.02, subdivision 2a;<br />
         		<a id="pl.376.30"></a><var>376.30</var>(3) home care services as defined in section 144A.43, subdivision 3; or<br />
         		<a id="pl.376.31"></a><var>376.31</var>(4) a nursing home as defined in section 144A.01, subdivision 5.<br />
         		<a id="pl.377.1"></a><var>377.1</var>(b) Applicants must apply for a senior care workforce innovation grant as specified
         in <br />
         		<a id="pl.377.2"></a><var>377.2</var>subdivision 4.<br />
         		<a id="pl.377.3"></a><var>377.3</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Application.</b> (a) Eligible applicants must apply for a grant on the forms and <br />
         		<a id="pl.377.4"></a><var>377.4</var>according to the timelines established by the commissioner.<br />
         		 <a id="pl.377.5"></a><var>377.5</var>(b) Each applicant must propose a project or initiative to expand the number of workers
         <br />
         		<a id="pl.377.6"></a><var>377.6</var>in the field of senior care services. At a minimum, a proposal must include:<br />
         		<a id="pl.377.7"></a><var>377.7</var>(1) a description of the senior care workforce innovation project or initiative being
         <br />
         		<a id="pl.377.8"></a><var>377.8</var>proposed, including the process by which the applicant will expand the senior care
         workforce;<br />
         		<a id="pl.377.9"></a><var>377.9</var>(2) whether the applicant is proposing to target the proposed project or initiative
         to any <br />
         		<a id="pl.377.10"></a><var>377.10</var>of the groups described in paragraph (c);<br />
         		<a id="pl.377.11"></a><var>377.11</var>(3) information describing the applicant's current senior care workforce project or
         <br />
         		<a id="pl.377.12"></a><var>377.12</var>initiative, if applicable;<br />
         		<a id="pl.377.13"></a><var>377.13</var>(4) the amount of funding the applicant is seeking through the grant program;<br />
         		<a id="pl.377.14"></a><var>377.14</var>(5) any other sources of funding the applicant has for the project or initiative;<br />
         		<a id="pl.377.15"></a><var>377.15</var>(6) a proposed budget detailing how the grant funds will be spent; and<br />
         		<a id="pl.377.16"></a><var>377.16</var>(7) outcomes established by the applicant to measure the success of the project or
         <br />
         		<a id="pl.377.17"></a><var>377.17</var>initiative.<br />
         		<a id="pl.377.18"></a><var>377.18</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Commissioner's duties; requests for proposals; grantee selections.</b> (a) By <br />
         		<a id="pl.377.19"></a><var>377.19</var>September 1, 2017, and annually thereafter, the commissioner shall publish a request
         for <br />
         		<a id="pl.377.20"></a><var>377.20</var>proposals in the State Register specifying applicant eligibility requirements, qualifying
         <br />
         		<a id="pl.377.21"></a><var>377.21</var>senior care workforce innovation program criteria, applicant selection criteria, documentation
         <br />
         		<a id="pl.377.22"></a><var>377.22</var>required for program participation, maximum award amount, and methods of evaluation.<br />
         		<a id="pl.377.23"></a><var>377.23</var>(b) Priority must be given to proposals that target employment of individuals who
         have <br />
         		<a id="pl.377.24"></a><var>377.24</var>multiple barriers to employment, individuals who have been unemployed long-term, and
         <br />
         		<a id="pl.377.25"></a><var>377.25</var>veterans.<br />
         		<a id="pl.377.26"></a><var>377.26</var>(c) The commissioner shall determine the maximum award for grants and make grant <br />
         		<a id="pl.377.27"></a><var>377.27</var>selections based on the information provided in the grant application, including the
         targeted <br />
         		<a id="pl.377.28"></a><var>377.28</var>employment population, the applicant's proposed budget, the proposed measurable outcomes,
         <br />
         		<a id="pl.377.29"></a><var>377.29</var>and other criteria as determined by the commissioner.<br />
         		<a id="pl.377.30"></a><var>377.30</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Grant funding.</b> Notwithstanding any law or rule to the contrary, funds awarded <br />
         		<a id="pl.377.31"></a><var>377.31</var>to grantees in a grant agreement under this section do not lapse until the grant agreement
         <br />
         		<a id="pl.377.32"></a><var>377.32</var>expires.<br />
         		<a id="pl.378.1"></a><var>378.1</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Reporting requirements.</b> (a) Grant recipients shall report to the commissioner <br />
         		<a id="pl.378.2"></a><var>378.2</var>on the forms and according to the timelines established by the commissioner.<br />
         		<a id="pl.378.3"></a><var>378.3</var>(b) The commissioner shall report to the chairs and ranking minority members of the
         <br />
         		<a id="pl.378.4"></a><var>378.4</var>house of representatives and senate committees with jurisdiction over health by January
         15, <br />
         		<a id="pl.378.5"></a><var>378.5</var>2019, and annually thereafter, on the grant program. The report must include:<br />
         		<a id="pl.378.6"></a><var>378.6</var>(1) information on each grant recipient;<br />
         		<a id="pl.378.7"></a><var>378.7</var>(2) a summary of all projects or initiatives undertaken with each grant;<br />
         		<a id="pl.378.8"></a><var>378.8</var>(3) the measurable outcomes established by each grantee, an explanation of the evaluation
         <br />
         		<a id="pl.378.9"></a><var>378.9</var>process used to determine whether the outcomes were met, and the results of the evaluation;
         <br />
         		<a id="pl.378.10"></a><var>378.10</var>and<br />
         		<a id="pl.378.11"></a><var>378.11</var>(4) an accounting of how the grant funds were spent.<br />
         		<a id="pl.378.12"></a><var>378.12</var>(c) During the grant period, the commissioner may require and collect from grant <br />
         		<a id="pl.378.13"></a><var>378.13</var>recipients additional information necessary to evaluate the grant program.<br />
         		<br />
         		<a id="bill.10.24.0"></a><a id="pl.378.14"></a><var>378.14</var>&#160;&#160;&#160;&#160;Sec. 24. <b>[144.1505] HEALTH PROFESSIONALS CLINICAL TRAINING </b><br />
         		<a id="pl.378.15"></a><var>378.15</var><b>EXPANSION GRANT PROGRAM.</b><br />
         		<a id="pl.378.16"></a><var>378.16</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br />
         		<a id="pl.378.17"></a><var>378.17</var>(1) "eligible advanced practice registered nurse program" means a program that is
         located <br />
         		<a id="pl.378.18"></a><var>378.18</var>in Minnesota and is currently accredited as a master's, doctoral, or postgraduate
         level <br />
         		<a id="pl.378.19"></a><var>378.19</var>advanced practice registered nurse program by the Commission on Collegiate Nursing
         <br />
         		<a id="pl.378.20"></a><var>378.20</var>Education or by the Accreditation Commission for Education in Nursing, or is a candidate
         <br />
         		<a id="pl.378.21"></a><var>378.21</var>for accreditation;<br />
         		<a id="pl.378.22"></a><var>378.22</var>(2) "eligible dental therapy program" means a dental therapy education program or
         <br />
         		<a id="pl.378.23"></a><var>378.23</var>advanced dental therapy education program that is located in Minnesota and is either:<br />
         		<a id="pl.378.24"></a><var>378.24</var>(i) approved by the Board of Dentistry; or<br />
         		<a id="pl.378.25"></a><var>378.25</var>(ii) currently accredited by the Commission on Dental Accreditation;<br />
         		<a id="pl.378.26"></a><var>378.26</var>(3) "eligible mental health professional program" means a program that is located
         in <br />
         		<a id="pl.378.27"></a><var>378.27</var>Minnesota and is listed as a mental health professional program by the appropriate
         accrediting <br />
         		<a id="pl.378.28"></a><var>378.28</var>body for clinical social work, psychology, marriage and family therapy, or licensed
         <br />
         		<a id="pl.378.29"></a><var>378.29</var>professional clinical counseling, or is a candidate for accreditation;<br />
         		<a id="pl.379.1"></a><var>379.1</var>(4) "eligible pharmacy program" means a program that is located in Minnesota and is
         <br />
         		<a id="pl.379.2"></a><var>379.2</var>currently accredited as a doctor of pharmacy program by the Accreditation Council
         on <br />
         		<a id="pl.379.3"></a><var>379.3</var>Pharmacy Education;<br />
         		<a id="pl.379.4"></a><var>379.4</var>(5) "eligible physician assistant program" means a program that is located in Minnesota
         <br />
         		<a id="pl.379.5"></a><var>379.5</var>and is currently accredited as a physician assistant program by the Accreditation
         Review <br />
         		<a id="pl.379.6"></a><var>379.6</var>Commission on Education for the Physician Assistant, or is a candidate for accreditation;<br />
         		<a id="pl.379.7"></a><var>379.7</var>(6) "mental health professional" means an individual providing clinical services in
         the <br />
         		<a id="pl.379.8"></a><var>379.8</var>treatment of mental illness who meets one of the qualifications under section 245.462,
         <br />
         		<a id="pl.379.9"></a><var>379.9</var>subdivision 18; and<br />
         		<a id="pl.379.10"></a><var>379.10</var>(7) "project" means a project to establish or expand clinical training for physician
         <br />
         		<a id="pl.379.11"></a><var>379.11</var>assistants, advanced practice registered nurses, pharmacists, dental therapists, advanced
         <br />
         		<a id="pl.379.12"></a><var>379.12</var>dental therapists, or mental health professionals in Minnesota.<br />
         		<a id="pl.379.13"></a><var>379.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Program.</b> (a) The commissioner of health shall award health professional <br />
         		<a id="pl.379.14"></a><var>379.14</var>training site grants to eligible physician assistant, advanced practice registered
         nurse, <br />
         		<a id="pl.379.15"></a><var>379.15</var>pharmacy, dental therapy, and mental health professional programs to plan and implement
         <br />
         		<a id="pl.379.16"></a><var>379.16</var>expanded clinical training. A planning grant shall not exceed $75,000, and a training
         grant <br />
         		<a id="pl.379.17"></a><var>379.17</var>shall not exceed $150,000 for the first year, $100,000 for the second year, and $50,000
         for <br />
         		<a id="pl.379.18"></a><var>379.18</var>the third year per program.<br />
         		<a id="pl.379.19"></a><var>379.19</var>(b) Funds may be used for:<br />
         		<a id="pl.379.20"></a><var>379.20</var>(1) establishing or expanding clinical training for physician assistants, advanced
         practice <br />
         		<a id="pl.379.21"></a><var>379.21</var>registered nurses, pharmacists, dental therapists, advanced dental therapists, and
         mental <br />
         		<a id="pl.379.22"></a><var>379.22</var>health professionals in Minnesota;<br />
         		<a id="pl.379.23"></a><var>379.23</var>(2) recruitment, training, and retention of students and faculty;<br />
         		<a id="pl.379.24"></a><var>379.24</var>(3) connecting students with appropriate clinical training sites, internships, practicums,
         <br />
         		<a id="pl.379.25"></a><var>379.25</var>or externship activities;<br />
         		<a id="pl.379.26"></a><var>379.26</var>(4) travel and lodging for students;<br />
         		<a id="pl.379.27"></a><var>379.27</var>(5) faculty, student, and preceptor salaries, incentives, or other financial support;<br />
         		<a id="pl.379.28"></a><var>379.28</var>(6) development and implementation of cultural competency training;<br />
         		<a id="pl.379.29"></a><var>379.29</var>(7) evaluations;<br />
         		<a id="pl.379.30"></a><var>379.30</var>(8) training site improvements, fees, equipment, and supplies required to establish,
         <br />
         		<a id="pl.379.31"></a><var>379.31</var>maintain, or expand a physician assistant, advanced practice registered nurse, pharmacy,
         <br />
         		<a id="pl.379.32"></a><var>379.32</var>dental therapy, or mental health professional training program; and<br />
         		<a id="pl.380.1"></a><var>380.1</var>(9) supporting clinical education in which trainees are part of a primary care team
         model.<br />
         		<a id="pl.380.2"></a><var>380.2</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Applications.</b> Eligible physician assistant, advanced practice registered nurse, <br />
         		<a id="pl.380.3"></a><var>380.3</var>pharmacy, dental therapy, and mental health professional programs seeking a grant
         shall <br />
         		<a id="pl.380.4"></a><var>380.4</var>apply to the commissioner. Applications must include a description of the number of
         <br />
         		<a id="pl.380.5"></a><var>380.5</var>additional students who will be trained using grant funds; attestation that funding
         will be <br />
         		<a id="pl.380.6"></a><var>380.6</var>used to support an increase in the number of clinical training slots; a description
         of the <br />
         		<a id="pl.380.7"></a><var>380.7</var>problem that the proposed project will address; a description of the project, including
         all <br />
         		<a id="pl.380.8"></a><var>380.8</var>costs associated with the project, sources of funds for the project, detailed uses
         of all funds <br />
         		<a id="pl.380.9"></a><var>380.9</var>for the project, and the results expected; and a plan to maintain or operate any component
         <br />
         		<a id="pl.380.10"></a><var>380.10</var>included in the project after the grant period. The applicant must describe achievable
         <br />
         		<a id="pl.380.11"></a><var>380.11</var>objectives, a timetable, and roles and capabilities of responsible individuals in
         the <br />
         		<a id="pl.380.12"></a><var>380.12</var>organization.<br />
         		<a id="pl.380.13"></a><var>380.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Consideration of applications.</b> The commissioner shall review each application <br />
         		<a id="pl.380.14"></a><var>380.14</var>to determine whether or not the application is complete and whether the program and
         the <br />
         		<a id="pl.380.15"></a><var>380.15</var>project are eligible for a grant. In evaluating applications, the commissioner shall
         score each <br />
         		<a id="pl.380.16"></a><var>380.16</var>application based on factors including, but not limited to, the applicant's clarity
         and <br />
         		<a id="pl.380.17"></a><var>380.17</var>thoroughness in describing the project and the problems to be addressed, the extent
         to which <br />
         		<a id="pl.380.18"></a><var>380.18</var>the applicant has demonstrated that the applicant has made adequate provisions to
         ensure <br />
         		<a id="pl.380.19"></a><var>380.19</var>proper and efficient operation of the training program once the grant project is completed,
         <br />
         		<a id="pl.380.20"></a><var>380.20</var>the extent to which the proposed project is consistent with the goal of increasing
         access to <br />
         		<a id="pl.380.21"></a><var>380.21</var>primary care and mental health services for rural and underserved urban communities,
         the <br />
         		<a id="pl.380.22"></a><var>380.22</var>extent to which the proposed project incorporates team-based primary care, and project
         <br />
         		<a id="pl.380.23"></a><var>380.23</var>costs and use of funds.<br />
         		<a id="pl.380.24"></a><var>380.24</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Program oversight.</b> The commissioner shall determine the amount of a grant <br />
         		<a id="pl.380.25"></a><var>380.25</var>to be given to an eligible program based on the relative score of each eligible program's
         <br />
         		<a id="pl.380.26"></a><var>380.26</var>application, other relevant factors discussed during the review, and the funds available
         to <br />
         		<a id="pl.380.27"></a><var>380.27</var>the commissioner. Appropriations made to the program do not cancel and are available
         until <br />
         		<a id="pl.380.28"></a><var>380.28</var>expended. During the grant period, the commissioner may require and collect from programs
         <br />
         		<a id="pl.380.29"></a><var>380.29</var>receiving grants any information necessary to evaluate the program.<br />
         		<br />
         		<a id="bill.10.25.0"></a><a id="pl.380.30"></a><var>380.30</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 144.1506, is amended to read:<br />
         		<a id="pl.380.31"></a><var>380.31</var><b>144.1506 </b><b>PRIMARY CARE</b><b> PHYSICIAN</b><b> RESIDENCY EXPANSION GRANT </b><br />
         		<a id="pl.380.32"></a><var>380.32</var><b>PROGRAM.</b><br />
         		<a id="pl.380.33"></a><var>380.33</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br />
         		<a id="pl.381.1"></a><var>381.1</var>(1) "eligible primary care physician residency program" means a program that meets <br />
         		<a id="pl.381.2"></a><var>381.2</var>the following criteria:<br />
         		<a id="pl.381.3"></a><var>381.3</var>(i) is located in Minnesota;<br />
         		<a id="pl.381.4"></a><var>381.4</var>(ii) trains medical residents in the specialties of family medicine, general internal
         <br />
         		<a id="pl.381.5"></a><var>381.5</var>medicine, general pediatrics, psychiatry, geriatrics, or general surgery, obstetrics and <br />
         		<a id="pl.381.6"></a><var>381.6</var>gynecology, or other physician specialties with training programs that incorporate
         rural <br />
         		<a id="pl.381.7"></a><var>381.7</var>training components; and<br />
         		<a id="pl.381.8"></a><var>381.8</var>(iii) is accredited by the Accreditation Council for Graduate Medical Education or
         <br />
         		<a id="pl.381.9"></a><var>381.9</var>presents a credible plan to obtain accreditation;<br />
         		<a id="pl.381.10"></a><var>381.10</var>(2) "eligible project" means a project to establish a new eligible primary care physician <br />
         		<a id="pl.381.11"></a><var>381.11</var>residency program or create at least one new residency slot in an existing eligible
         primary <br />
         		<a id="pl.381.12"></a><var>381.12</var>care physician residency program; and<br />
         		<a id="pl.381.13"></a><var>381.13</var>(3) "new residency slot" means the creation of a new residency position and the execution
         <br />
         		<a id="pl.381.14"></a><var>381.14</var>of a contract with a new resident in a residency program.<br />
         		<a id="pl.381.15"></a><var>381.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Expansion grant program.</b> (a) The commissioner of health shall award primary <br />
         		<a id="pl.381.16"></a><var>381.16</var>care physician residency expansion grants to eligible primary care physician residency <br />
         		<a id="pl.381.17"></a><var>381.17</var>programs to plan and implement new residency slots. A planning grant shall not exceed
         <br />
         		<a id="pl.381.18"></a><var>381.18</var>$75,000, and a training grant shall not exceed $150,000 per new residency slot for
         the first <br />
         		<a id="pl.381.19"></a><var>381.19</var>year, $100,000 for the second year, and $50,000 for the third year of the new residency
         slot.<br />
         		<a id="pl.381.20"></a><var>381.20</var>(b) Funds may be spent to cover the costs of:<br />
         		<a id="pl.381.21"></a><var>381.21</var>(1) planning related to establishing an accredited primary care physician residency <br />
         		<a id="pl.381.22"></a><var>381.22</var>program;<br />
         		<a id="pl.381.23"></a><var>381.23</var>(2) obtaining accreditation by the Accreditation Council for Graduate Medical Education
         <br />
         		<a id="pl.381.24"></a><var>381.24</var>or another national body that accredits residency programs;<br />
         		<a id="pl.381.25"></a><var>381.25</var>(3) establishing new residency programs or new resident training slots;<br />
         		<a id="pl.381.26"></a><var>381.26</var>(4) recruitment, training, and retention of new residents and faculty;<br />
         		<a id="pl.381.27"></a><var>381.27</var>(5) travel and lodging for new residents;<br />
         		<a id="pl.381.28"></a><var>381.28</var>(6) faculty, new resident, and preceptor salaries related to new residency slots;<br />
         		<a id="pl.381.29"></a><var>381.29</var>(7) training site improvements, fees, equipment, and supplies required for new primary <br />
         		<a id="pl.381.30"></a><var>381.30</var>care physician resident training slots; and<br />
         		<a id="pl.381.31"></a><var>381.31</var>(8) supporting clinical education in which trainees are part of a primary care team
         model.<br />
         		<a id="pl.382.1"></a><var>382.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Applications for expansion grants.</b> Eligible primary care physician residency <br />
         		<a id="pl.382.2"></a><var>382.2</var>programs seeking a grant shall apply to the commissioner. Applications must include
         the <br />
         		<a id="pl.382.3"></a><var>382.3</var>number of new primary care physician residency slots planned or under contract; attestation <br />
         		<a id="pl.382.4"></a><var>382.4</var>that funding will be used to support an increase in the number of available residency
         slots; <br />
         		<a id="pl.382.5"></a><var>382.5</var>a description of the training to be received by the new residents, including the location
         of <br />
         		<a id="pl.382.6"></a><var>382.6</var>training; a description of the project, including all costs associated with the project;
         all <br />
         		<a id="pl.382.7"></a><var>382.7</var>sources of funds for the project; detailed uses of all funds for the project; the
         results expected; <br />
         		<a id="pl.382.8"></a><var>382.8</var>and a plan to maintain the new residency slot after the grant period. The applicant
         must <br />
         		<a id="pl.382.9"></a><var>382.9</var>describe achievable objectives, a timetable, and roles and capabilities of responsible
         <br />
         		<a id="pl.382.10"></a><var>382.10</var>individuals in the organization.<br />
         		<a id="pl.382.11"></a><var>382.11</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Consideration of expansion grant applications.</b> The commissioner shall <br />
         		<a id="pl.382.12"></a><var>382.12</var>review each application to determine whether or not the residency program application
         is <br />
         		<a id="pl.382.13"></a><var>382.13</var>complete and whether the proposed new residency program and any new residency slots
         <br />
         		<a id="pl.382.14"></a><var>382.14</var>are eligible for a grant. The commissioner shall award grants to support up to six
         family <br />
         		<a id="pl.382.15"></a><var>382.15</var>medicine, general internal medicine, or general pediatrics residents; four psychiatry
         residents; <br />
         		<a id="pl.382.16"></a><var>382.16</var>two geriatrics residents; and two four general surgery residents; two obstetrics and <br />
         		<a id="pl.382.17"></a><var>382.17</var>gynecology residents; and four specialty physician residents participating in training
         programs <br />
         		<a id="pl.382.18"></a><var>382.18</var>that incorporate rural training components. If insufficient applications are received from <br />
         		<a id="pl.382.19"></a><var>382.19</var>any eligible specialty, funds may be redistributed to applications from other eligible
         <br />
         		<a id="pl.382.20"></a><var>382.20</var>specialties.<br />
         		<a id="pl.382.21"></a><var>382.21</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Program oversight.</b> During the grant period, the commissioner may require <br />
         		<a id="pl.382.22"></a><var>382.22</var>and collect from grantees any information necessary to evaluate the program. Appropriations
         <br />
         		<a id="pl.382.23"></a><var>382.23</var>made to the program do not cancel and are available until expended.<br />
         		<br />
         		<a id="bill.10.26.0"></a><a id="pl.382.24"></a><var>382.24</var>&#160;&#160;&#160;&#160;Sec. 26. <b>[144.397] STATEWIDE TOBACCO QUITLINE SERVICES.</b><br />
         		<a id="pl.382.25"></a><var>382.25</var>(a) The commissioner of health shall administer, or contract for the administration
         of, <br />
         		<a id="pl.382.26"></a><var>382.26</var>a statewide tobacco quitline service to assist Minnesotans who are seeking advice
         or services <br />
         		<a id="pl.382.27"></a><var>382.27</var>to help them quit using tobacco products. The commissioner shall establish statewide
         public <br />
         		<a id="pl.382.28"></a><var>382.28</var>awareness activities to inform the public of the availability of the service and encourage
         <br />
         		<a id="pl.382.29"></a><var>382.29</var>the public to utilize the services because of the dangers and harm of tobacco use
         and <br />
         		<a id="pl.382.30"></a><var>382.30</var>dependence.<br />
         		<a id="pl.382.31"></a><var>382.31</var>(b) Services to be provided include, but are not limited to:<br />
         		<a id="pl.382.32"></a><var>382.32</var>(1) telephone-based coaching and counseling;<br />
         		<a id="pl.382.33"></a><var>382.33</var>(2) referrals;<br />
         		<a id="pl.383.1"></a><var>383.1</var>(3) written materials mailed upon request;<br />
         		<a id="pl.383.2"></a><var>383.2</var>(4) Web-based texting or e-mail services; and<br />
         		<a id="pl.383.3"></a><var>383.3</var>(5) free Food and Drug Administration-approved tobacco cessation medications.<br />
         		<a id="pl.383.4"></a><var>383.4</var>(c) Services provided must be consistent with evidence-based best practices in tobacco
         <br />
         		<a id="pl.383.5"></a><var>383.5</var>cessation services. Services provided must be coordinated with employer, health plan
         <br />
         		<a id="pl.383.6"></a><var>383.6</var>company, and private sector tobacco prevention and cessation services that may be
         available <br />
         		<a id="pl.383.7"></a><var>383.7</var>to individuals depending on their employment or health coverage.<br />
         		<br />
         		<a id="bill.10.27.0"></a><a id="pl.383.8"></a><var>383.8</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 144.551, subdivision 1, is amended to read:<br />
         		<a id="pl.383.9"></a><var>383.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Restricted construction or modification.</b> (a) The following construction <br />
         		<a id="pl.383.10"></a><var>383.10</var>or modification may not be commenced:<br />
         		<a id="pl.383.11"></a><var>383.11</var>(1) any erection, building, alteration, reconstruction, modernization, improvement,
         <br />
         		<a id="pl.383.12"></a><var>383.12</var>extension, lease, or other acquisition by or on behalf of a hospital that increases
         the bed <br />
         		<a id="pl.383.13"></a><var>383.13</var>capacity of a hospital, relocates hospital beds from one physical facility, complex,
         or site <br />
         		<a id="pl.383.14"></a><var>383.14</var>to another, or otherwise results in an increase or redistribution of hospital beds
         within the <br />
         		<a id="pl.383.15"></a><var>383.15</var>state; and<br />
         		<a id="pl.383.16"></a><var>383.16</var>(2) the establishment of a new hospital.<br />
         		<a id="pl.383.17"></a><var>383.17</var>(b) This section does not apply to:<br />
         		<a id="pl.383.18"></a><var>383.18</var>(1) construction or relocation within a county by a hospital, clinic, or other health
         care <br />
         		<a id="pl.383.19"></a><var>383.19</var>facility that is a national referral center engaged in substantial programs of patient
         care, <br />
         		<a id="pl.383.20"></a><var>383.20</var>medical research, and medical education meeting state and national needs that receives
         more <br />
         		<a id="pl.383.21"></a><var>383.21</var>than 40 percent of its patients from outside the state of Minnesota;<br />
         		<a id="pl.383.22"></a><var>383.22</var>(2) a project for construction or modification for which a health care facility held
         an <br />
         		<a id="pl.383.23"></a><var>383.23</var>approved certificate of need on May 1, 1984, regardless of the date of expiration
         of the <br />
         		<a id="pl.383.24"></a><var>383.24</var>certificate;<br />
         		<a id="pl.383.25"></a><var>383.25</var>(3) a project for which a certificate of need was denied before July 1, 1990, if a
         timely <br />
         		<a id="pl.383.26"></a><var>383.26</var>appeal results in an order reversing the denial;<br />
         		<a id="pl.383.27"></a><var>383.27</var>(4) a project exempted from certificate of need requirements by Laws 1981, chapter
         200, <br />
         		<a id="pl.383.28"></a><var>383.28</var>section 2;<br />
         		<a id="pl.383.29"></a><var>383.29</var>(5) a project involving consolidation of pediatric specialty hospital services within
         the <br />
         		<a id="pl.383.30"></a><var>383.30</var>Minneapolis-St. Paul metropolitan area that would not result in a net increase in
         the number <br />
         		<a id="pl.383.31"></a><var>383.31</var>of pediatric specialty hospital beds among the hospitals being consolidated;<br />
         		<a id="pl.384.1"></a><var>384.1</var>(6) a project involving the temporary relocation of pediatric-orthopedic hospital
         beds to <br />
         		<a id="pl.384.2"></a><var>384.2</var>an existing licensed hospital that will allow for the reconstruction of a new philanthropic,
         <br />
         		<a id="pl.384.3"></a><var>384.3</var>pediatric-orthopedic hospital on an existing site and that will not result in a net
         increase in <br />
         		<a id="pl.384.4"></a><var>384.4</var>the number of hospital beds. Upon completion of the reconstruction, the licenses of
         both <br />
         		<a id="pl.384.5"></a><var>384.5</var>hospitals must be reinstated at the capacity that existed on each site before the
         relocation;<br />
         		<a id="pl.384.6"></a><var>384.6</var>(7) the relocation or redistribution of hospital beds within a hospital building or
         <br />
         		<a id="pl.384.7"></a><var>384.7</var>identifiable complex of buildings provided the relocation or redistribution does not
         result <br />
         		<a id="pl.384.8"></a><var>384.8</var>in: (i) an increase in the overall bed capacity at that site; (ii) relocation of hospital
         beds from <br />
         		<a id="pl.384.9"></a><var>384.9</var>one physical site or complex to another; or (iii) redistribution of hospital beds
         within the <br />
         		<a id="pl.384.10"></a><var>384.10</var>state or a region of the state;<br />
         		<a id="pl.384.11"></a><var>384.11</var>(8) relocation or redistribution of hospital beds within a hospital corporate system
         that <br />
         		<a id="pl.384.12"></a><var>384.12</var>involves the transfer of beds from a closed facility site or complex to an existing
         site or <br />
         		<a id="pl.384.13"></a><var>384.13</var>complex provided that: (i) no more than 50 percent of the capacity of the closed facility
         is <br />
         		<a id="pl.384.14"></a><var>384.14</var>transferred; (ii) the capacity of the site or complex to which the beds are transferred
         does <br />
         		<a id="pl.384.15"></a><var>384.15</var>not increase by more than 50 percent; (iii) the beds are not transferred outside of
         a federal <br />
         		<a id="pl.384.16"></a><var>384.16</var>health systems agency boundary in place on July 1, 1983; and (iv) the relocation or
         <br />
         		<a id="pl.384.17"></a><var>384.17</var>redistribution does not involve the construction of a new hospital building;<br />
         		<a id="pl.384.18"></a><var>384.18</var>(9) a construction project involving up to 35 new beds in a psychiatric hospital in
         Rice <br />
         		<a id="pl.384.19"></a><var>384.19</var>County that primarily serves adolescents and that receives more than 70 percent of
         its <br />
         		<a id="pl.384.20"></a><var>384.20</var>patients from outside the state of Minnesota;<br />
         		<a id="pl.384.21"></a><var>384.21</var>(10) a project to replace a hospital or hospitals with a combined licensed capacity
         of <br />
         		<a id="pl.384.22"></a><var>384.22</var>130 beds or less if: (i) the new hospital site is located within five miles of the
         current site; <br />
         		<a id="pl.384.23"></a><var>384.23</var>and (ii) the total licensed capacity of the replacement hospital, either at the time
         of <br />
         		<a id="pl.384.24"></a><var>384.24</var>construction of the initial building or as the result of future expansion, will not
         exceed 70 <br />
         		<a id="pl.384.25"></a><var>384.25</var>licensed hospital beds, or the combined licensed capacity of the hospitals, whichever
         is less;<br />
         		<a id="pl.384.26"></a><var>384.26</var>(11) the relocation of licensed hospital beds from an existing state facility operated
         by <br />
         		<a id="pl.384.27"></a><var>384.27</var>the commissioner of human services to a new or existing facility, building, or complex
         <br />
         		<a id="pl.384.28"></a><var>384.28</var>operated by the commissioner of human services; from one regional treatment center
         site <br />
         		<a id="pl.384.29"></a><var>384.29</var>to another; or from one building or site to a new or existing building or site on
         the same <br />
         		<a id="pl.384.30"></a><var>384.30</var>campus;<br />
         		<a id="pl.384.31"></a><var>384.31</var>(12) the construction or relocation of hospital beds operated by a hospital having
         a <br />
         		<a id="pl.384.32"></a><var>384.32</var>statutory obligation to provide hospital and medical services for the indigent that
         does not <br />
         		<a id="pl.384.33"></a><var>384.33</var>result in a net increase in the number of hospital beds, notwithstanding section 
         <statute_ref>144.552</statute_ref>, 27 <br />
         		<a id="pl.385.1"></a><var>385.1</var>beds, of which 12 serve mental health needs, may be transferred from Hennepin County
         <br />
         		<a id="pl.385.2"></a><var>385.2</var>Medical Center to Regions Hospital under this clause;<br />
         		<a id="pl.385.3"></a><var>385.3</var>(13) a construction project involving the addition of up to 31 new beds in an existing
         <br />
         		<a id="pl.385.4"></a><var>385.4</var>nonfederal hospital in Beltrami County;<br />
         		<a id="pl.385.5"></a><var>385.5</var>(14) a construction project involving the addition of up to eight new beds in an existing
         <br />
         		<a id="pl.385.6"></a><var>385.6</var>nonfederal hospital in Otter Tail County with 100 licensed acute care beds;<br />
         		<a id="pl.385.7"></a><var>385.7</var>(15) a construction project involving the addition of 20 new hospital beds used for
         <br />
         		<a id="pl.385.8"></a><var>385.8</var>rehabilitation services in an existing hospital in Carver County serving the southwest
         <br />
         		<a id="pl.385.9"></a><var>385.9</var>suburban metropolitan area. Beds constructed under this clause shall not be eligible
         for <br />
         		<a id="pl.385.10"></a><var>385.10</var>reimbursement under medical assistance or MinnesotaCare;<br />
         		<a id="pl.385.11"></a><var>385.11</var>(16) a project for the construction or relocation of up to 20 hospital beds for the
         operation <br />
         		<a id="pl.385.12"></a><var>385.12</var>of up to two psychiatric facilities or units for children provided that the operation
         of the <br />
         		<a id="pl.385.13"></a><var>385.13</var>facilities or units have received the approval of the commissioner of human services;<br />
         		<a id="pl.385.14"></a><var>385.14</var>(17) a project involving the addition of 14 new hospital beds to be used for rehabilitation
         <br />
         		<a id="pl.385.15"></a><var>385.15</var>services in an existing hospital in Itasca County;<br />
         		<a id="pl.385.16"></a><var>385.16</var>(18) a project to add 20 licensed beds in existing space at a hospital in Hennepin
         County <br />
         		<a id="pl.385.17"></a><var>385.17</var>that closed 20 rehabilitation beds in 2002, provided that the beds are used only for
         <br />
         		<a id="pl.385.18"></a><var>385.18</var>rehabilitation in the hospital's current rehabilitation building. If the beds are
         used for another <br />
         		<a id="pl.385.19"></a><var>385.19</var>purpose or moved to another location, the hospital's licensed capacity is reduced
         by 20 beds;<br />
         		<a id="pl.385.20"></a><var>385.20</var>(19) a critical access hospital established under section 
         <statute_ref>144.1483</statute_ref>, clause (9), and section <br />
         		<a id="pl.385.21"></a><var>385.21</var>1820 of the federal Social Security Act, United States Code, title 42, section 1395i-4,
         that <br />
         		<a id="pl.385.22"></a><var>385.22</var>delicensed beds since enactment of the Balanced Budget Act of 1997, Public Law 105-33,
         <br />
         		<a id="pl.385.23"></a><var>385.23</var>to the extent that the critical access hospital does not seek to exceed the maximum
         number <br />
         		<a id="pl.385.24"></a><var>385.24</var>of beds permitted such hospital under federal law;<br />
         		<a id="pl.385.25"></a><var>385.25</var>(20) notwithstanding section 
         <statute_ref>144.552</statute_ref>, a project for the construction of a new hospital <br />
         		<a id="pl.385.26"></a><var>385.26</var>in the city of Maple Grove with a licensed capacity of up to 300 beds provided that:<br />
         		<a id="pl.385.27"></a><var>385.27</var>(i) the project, including each hospital or health system that will own or control
         the entity <br />
         		<a id="pl.385.28"></a><var>385.28</var>that will hold the new hospital license, is approved by a resolution of the Maple
         Grove City <br />
         		<a id="pl.385.29"></a><var>385.29</var>Council as of March 1, 2006;<br />
         		<a id="pl.385.30"></a><var>385.30</var>(ii) the entity that will hold the new hospital license will be owned or controlled
         by one <br />
         		<a id="pl.385.31"></a><var>385.31</var>or more not-for-profit hospitals or health systems that have previously submitted
         a plan or <br />
         		<a id="pl.385.32"></a><var>385.32</var>plans for a project in Maple Grove as required under section 
         <statute_ref>144.552</statute_ref>, and the plan or plans <br />
         		<a id="pl.386.1"></a><var>386.1</var>have been found to be in the public interest by the commissioner of health as of April
         1, <br />
         		<a id="pl.386.2"></a><var>386.2</var>2005;<br />
         		<a id="pl.386.3"></a><var>386.3</var>(iii) the new hospital's initial inpatient services must include, but are not limited
         to, <br />
         		<a id="pl.386.4"></a><var>386.4</var>medical and surgical services, obstetrical and gynecological services, intensive care
         services, <br />
         		<a id="pl.386.5"></a><var>386.5</var>orthopedic services, pediatric services, noninvasive cardiac diagnostics, behavioral
         health <br />
         		<a id="pl.386.6"></a><var>386.6</var>services, and emergency room services;<br />
         		<a id="pl.386.7"></a><var>386.7</var>(iv) the new hospital:<br />
         		<a id="pl.386.8"></a><var>386.8</var>(A) will have the ability to provide and staff sufficient new beds to meet the growing
         <br />
         		<a id="pl.386.9"></a><var>386.9</var>needs of the Maple Grove service area and the surrounding communities currently being
         <br />
         		<a id="pl.386.10"></a><var>386.10</var>served by the hospital or health system that will own or control the entity that will
         hold the <br />
         		<a id="pl.386.11"></a><var>386.11</var>new hospital license;<br />
         		<a id="pl.386.12"></a><var>386.12</var>(B) will provide uncompensated care;<br />
         		<a id="pl.386.13"></a><var>386.13</var>(C) will provide mental health services, including inpatient beds;<br />
         		<a id="pl.386.14"></a><var>386.14</var>(D) will be a site for workforce development for a broad spectrum of health-care-related
         <br />
         		<a id="pl.386.15"></a><var>386.15</var>occupations and have a commitment to providing clinical training programs for physicians
         <br />
         		<a id="pl.386.16"></a><var>386.16</var>and other health care providers;<br />
         		<a id="pl.386.17"></a><var>386.17</var>(E) will demonstrate a commitment to quality care and patient safety;<br />
         		<a id="pl.386.18"></a><var>386.18</var>(F) will have an electronic medical records system, including physician order entry;<br />
         		<a id="pl.386.19"></a><var>386.19</var>(G) will provide a broad range of senior services;<br />
         		<a id="pl.386.20"></a><var>386.20</var>(H) will provide emergency medical services that will coordinate care with regional
         <br />
         		<a id="pl.386.21"></a><var>386.21</var>providers of trauma services and licensed emergency ambulance services in order to
         enhance <br />
         		<a id="pl.386.22"></a><var>386.22</var>the continuity of care for emergency medical patients; and<br />
         		<a id="pl.386.23"></a><var>386.23</var>(I) will be completed by December 31, 2009, unless delayed by circumstances beyond
         <br />
         		<a id="pl.386.24"></a><var>386.24</var>the control of the entity holding the new hospital license; and<br />
         		<a id="pl.386.25"></a><var>386.25</var>(v) as of 30 days following submission of a written plan, the commissioner of health
         <br />
         		<a id="pl.386.26"></a><var>386.26</var>has not determined that the hospitals or health systems that will own or control the
         entity <br />
         		<a id="pl.386.27"></a><var>386.27</var>that will hold the new hospital license are unable to meet the criteria of this clause;<br />
         		<a id="pl.386.28"></a><var>386.28</var>(21) a project approved under section 
         <statute_ref>144.553</statute_ref>;<br />
         		<a id="pl.386.29"></a><var>386.29</var>(22) a project for the construction of a hospital with up to 25 beds in Cass County
         within <br />
         		<a id="pl.386.30"></a><var>386.30</var>a 20-mile radius of the state Ah-Gwah-Ching facility, provided the hospital's license
         holder <br />
         		<a id="pl.386.31"></a><var>386.31</var>is approved by the Cass County Board;<br />
         		<a id="pl.387.1"></a><var>387.1</var>(23) a project for an acute care hospital in Fergus Falls that will increase the bed
         capacity <br />
         		<a id="pl.387.2"></a><var>387.2</var>from 108 to 110 beds by increasing the rehabilitation bed capacity from 14 to 16 and
         closing <br />
         		<a id="pl.387.3"></a><var>387.3</var>a separately licensed 13-bed skilled nursing facility;<br />
         		<a id="pl.387.4"></a><var>387.4</var>(24) notwithstanding section 
         <statute_ref>144.552</statute_ref>, a project for the construction and expansion of a <br />
         		<a id="pl.387.5"></a><var>387.5</var>specialty psychiatric hospital in Hennepin County for up to 50 beds, exclusively for
         patients <br />
         		<a id="pl.387.6"></a><var>387.6</var>who are under 21 years of age on the date of admission. The commissioner conducted
         a <br />
         		<a id="pl.387.7"></a><var>387.7</var>public interest review of the mental health needs of Minnesota and the Twin Cities
         <br />
         		<a id="pl.387.8"></a><var>387.8</var>metropolitan area in 2008. No further public interest review shall be conducted for
         the <br />
         		<a id="pl.387.9"></a><var>387.9</var>construction or expansion project under this clause;<br />
         		<a id="pl.387.10"></a><var>387.10</var>(25) a project for a 16-bed psychiatric hospital in the city of Thief River Falls,
         if the <br />
         		<a id="pl.387.11"></a><var>387.11</var>commissioner finds the project is in the public interest after the public interest
         review <br />
         		<a id="pl.387.12"></a><var>387.12</var>conducted under section 
         <statute_ref>144.552</statute_ref> is complete; or<br />
         		<a id="pl.387.13"></a><var>387.13</var>(26)(i) a project for a 20-bed psychiatric hospital, within an existing facility in
         the city <br />
         		<a id="pl.387.14"></a><var>387.14</var>of Maple Grove, exclusively for patients who are under 21 years of age on the date
         of <br />
         		<a id="pl.387.15"></a><var>387.15</var>admission, if the commissioner finds the project is in the public interest after the
         public <br />
         		<a id="pl.387.16"></a><var>387.16</var>interest review conducted under section 
         <statute_ref>144.552</statute_ref> is complete;<br />
         		<a id="pl.387.17"></a><var>387.17</var>(ii) this project shall serve patients in the continuing care benefit program under
         section <br />
         		
         <statute_ref><a id="pl.387.18"></a><var>387.18</var>256.9693
         </statute_ref>. The project may also serve patients not in the continuing care benefit program;
         <br />
         		<a id="pl.387.19"></a><var>387.19</var>and<br />
         		<a id="pl.387.20"></a><var>387.20</var>(iii) if the project ceases to participate in the continuing care benefit program,
         the <br />
         		<a id="pl.387.21"></a><var>387.21</var>commissioner must complete a subsequent public interest review under section 
         <statute_ref>144.552</statute_ref>. If <br />
         		<a id="pl.387.22"></a><var>387.22</var>the project is found not to be in the public interest, the license must be terminated
         six months <br />
         		<a id="pl.387.23"></a><var>387.23</var>from the date of that finding. If the commissioner of human services terminates the
         contract <br />
         		<a id="pl.387.24"></a><var>387.24</var>without cause or reduces per diem payment rates for patients under the continuing
         care <br />
         		<a id="pl.387.25"></a><var>387.25</var>benefit program below the rates in effect for services provided on December 31, 2015,
         the <br />
         		<a id="pl.387.26"></a><var>387.26</var>project may cease to participate in the continuing care benefit program and continue
         to <br />
         		<a id="pl.387.27"></a><var>387.27</var>operate without a subsequent public interest review; or<br />
         		<a id="pl.387.28"></a><var>387.28</var>(27) a project involving the addition of 21 new beds in an existing psychiatric hospital
         <br />
         		<a id="pl.387.29"></a><var>387.29</var>in Hennepin County that is exclusively for patients who are under 21 years of age
         on the <br />
         		<a id="pl.387.30"></a><var>387.30</var>date of admission.<br />
         		<a id="pl.387.31"></a><var>387.31</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.28.0"></a><a id="pl.388.1"></a><var>388.1</var>&#160;&#160;&#160;&#160;Sec. 28. <b>[144.88] MINNESOTA BIOMEDICINE AND BIOETHICS INNOVATION </b><br />
         		<a id="pl.388.2"></a><var>388.2</var><b>GRANTS.</b><br />
         		<a id="pl.388.3"></a><var>388.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Grants.</b> (a) The commissioner of health, in consultation with interested <br />
         		<a id="pl.388.4"></a><var>388.4</var>parties with relevant knowledge and expertise as specified in subdivision 2, shall
         award <br />
         		<a id="pl.388.5"></a><var>388.5</var>grants to entities that apply for a grant under this subdivision to fund innovations
         and research <br />
         		<a id="pl.388.6"></a><var>388.6</var>in biomedicine and bioethics. Grant funds must be used to fund biomedical and bioethical
         <br />
         		<a id="pl.388.7"></a><var>388.7</var>research, and related clinical translation and commercialization activities in this
         state. Entities <br />
         		<a id="pl.388.8"></a><var>388.8</var>applying for a grant must do so in a form and manner specified by the commissioner.
         The <br />
         		<a id="pl.388.9"></a><var>388.9</var>commissioner and interested parties shall use the following criteria to award grants
         under <br />
         		<a id="pl.388.10"></a><var>388.10</var>this subdivision:<br />
         		<a id="pl.388.11"></a><var>388.11</var>(1) the likelihood that the research will lead to a new discovery;<br />
         		<a id="pl.388.12"></a><var>388.12</var>(2) the prospects for commercialization of the research;<br />
         		<a id="pl.388.13"></a><var>388.13</var>(3) the likelihood that the research will strengthen Minnesota's economy through the
         <br />
         		<a id="pl.388.14"></a><var>388.14</var>creation of new businesses, increased public or private funding for research in Minnesota,
         <br />
         		<a id="pl.388.15"></a><var>388.15</var>or attracting additional clinicians and researchers to Minnesota; and<br />
         		<a id="pl.388.16"></a><var>388.16</var>(4) whether the proposed research includes a bioethics research plan to ensure the
         research <br />
         		<a id="pl.388.17"></a><var>388.17</var>is conducted using ethical research practices.<br />
         		<a id="pl.388.18"></a><var>388.18</var>(b) Projects that include the acquisition or use of human fetal tissue are not eligible
         for <br />
         		<a id="pl.388.19"></a><var>388.19</var>grants under this subdivision. For purposes of this paragraph, "human fetal tissue"
         has the <br />
         		<a id="pl.388.20"></a><var>388.20</var>meaning given in United States Code, title 42, section 289g-1(f).<br />
         		<a id="pl.388.21"></a><var>388.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Consultation.</b> In awarding grants under subdivision 1, the commissioner must <br />
         		<a id="pl.388.22"></a><var>388.22</var>consult with interested parties who are able to provide the commissioner with technical
         <br />
         		<a id="pl.388.23"></a><var>388.23</var>information, advice, and recommendations on grant projects and awards. Interested
         parties <br />
         		<a id="pl.388.24"></a><var>388.24</var>with whom the commissioner must consult include but are not limited to representatives
         of <br />
         		<a id="pl.388.25"></a><var>388.25</var>the University of Minnesota, Mayo Clinic, and private industries who have expertise
         in <br />
         		<a id="pl.388.26"></a><var>388.26</var>biomedical research, bioethical research, clinical translation, commercialization,
         and medical <br />
         		<a id="pl.388.27"></a><var>388.27</var>venture financing.<br />
         		<br />
         		<a id="bill.10.29.0"></a><a id="pl.388.28"></a><var>388.28</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 144.99, subdivision 1, is amended to read:<br />
         		<a id="pl.388.29"></a><var>388.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Remedies available.</b> The provisions of chapters 103I and 157 and sections <br />
         		
         <statute_ref><a id="pl.388.30"></a><var>388.30</var>115.71
         </statute_ref> to 
         <statute_ref>115.77</statute_ref>; 
         <statute_ref>144.12, subdivision 1, paragraphs (1), (2), (5), (6), (10), (12), (13), (14), <br />
            		<a id="pl.388.31"></a><var>388.31</var>and (15)
         </statute_ref>; 
         <statute_ref>144.1201</statute_ref> to 
         <statute_ref>144.1204</statute_ref>; 
         <statute_ref>144.121</statute_ref>; 144.1215; 
         <statute_ref>144.1222</statute_ref>; 
         <statute_ref>144.35</statute_ref>; 
         <statute_ref>144.381</statute_ref> to 
         <statute_ref>144.385</statute_ref>; <br />
         		
         <statute_ref><a id="pl.388.32"></a><var>388.32</var>144.411
         </statute_ref> to 
         <statute_ref>144.417</statute_ref>; 
         <statute_ref>144.495</statute_ref>; 
         <statute_ref>144.71</statute_ref> to 
         <statute_ref>144.74</statute_ref>; 
         <statute_ref>144.9501</statute_ref> to 
         <statute_ref>144.9512</statute_ref>; 
         <statute_ref>144.97 </statute_ref>to 
         <statute_ref>144.98</statute_ref>; <br />
         		
         <statute_ref><a id="pl.388.33"></a><var>388.33</var>144.992
         </statute_ref>; 
         <statute_ref>326.70</statute_ref> to 
         <statute_ref>326.785</statute_ref>; 
         <statute_ref>327.10</statute_ref> to 
         <statute_ref>327.131</statute_ref>; and 
         <statute_ref>327.14</statute_ref> to 
         <statute_ref>327.28</statute_ref> and all rules, orders, <br />
         		<a id="pl.389.1"></a><var>389.1</var>stipulation agreements, settlements, compliance agreements, licenses, registrations,
         <br />
         		<a id="pl.389.2"></a><var>389.2</var>certificates, and permits adopted or issued by the department or under any other law
         now <br />
         		<a id="pl.389.3"></a><var>389.3</var>in force or later enacted for the preservation of public health may, in addition to
         provisions <br />
         		<a id="pl.389.4"></a><var>389.4</var>in other statutes, be enforced under this section.<br />
         		<br />
         		<a id="bill.10.30.0"></a><a id="pl.389.5"></a><var>389.5</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 144A.472, subdivision 7, is amended to read:<br />
         		<a id="pl.389.6"></a><var>389.6</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Fees; application, change of ownership, and renewal.</b> (a) An initial applicant <br />
         		<a id="pl.389.7"></a><var>389.7</var>seeking temporary home care licensure must submit the following application fee to
         the <br />
         		<a id="pl.389.8"></a><var>389.8</var>commissioner along with a completed application:<br />
         		<a id="pl.389.9"></a><var>389.9</var>(1) for a basic home care provider, $2,100; or<br />
         		<a id="pl.389.10"></a><var>389.10</var>(2) for a comprehensive home care provider, $4,200.<br />
         		<a id="pl.389.11"></a><var>389.11</var>(b) A home care provider who is filing a change of ownership as required under <br />
         		<a id="pl.389.12"></a><var>389.12</var>subdivision 5 must submit the following application fee to the commissioner, along
         with <br />
         		<a id="pl.389.13"></a><var>389.13</var>the documentation required for the change of ownership:<br />
         		<a id="pl.389.14"></a><var>389.14</var>(1) for a basic home care provider, $2,100; or<br />
         		<a id="pl.389.15"></a><var>389.15</var>(2) for a comprehensive home care provider, $4,200.<br />
         		<a id="pl.389.16"></a><var>389.16</var>(c) A home care provider who is seeking to renew the provider's license shall pay
         a fee <br />
         		<a id="pl.389.17"></a><var>389.17</var>to the commissioner based on revenues derived from the provision of home care services
         <br />
         		<a id="pl.389.18"></a><var>389.18</var>during the calendar year prior to the year in which the application is submitted,
         according <br />
         		<a id="pl.389.19"></a><var>389.19</var>to the following schedule:<br />
         		<a id="pl.389.20"></a><var>389.20</var>License Renewal Fee<br />
         		
         <table>
            <col width="50px"></col>
            <col width="35"></col>
            <col width="15"></col>
            <col width="15"></col>
            <tr>
               <td><a id="pl.389.21"></a><var>389.21</var><br />
                  		
               </td>
               <td>Provider Annual Revenue<br />
                  		
               </td>
               <td align="right" valign="top">Fee<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.22"></a><var>389.22</var><br />
                  		
               </td>
               <td valign="top">greater than $1,500,000<br />
                  		
               </td>
               <td align="right">$6,625<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.23"></a><var>389.23</var><br />
                  		<a id="pl.389.24"></a><var>389.24</var><br />
                  		
               </td>
               <td>greater than $1,275,000 and no more than <br />
                  		$1,500,000<br />
                  		
               </td>
               <td align="right">$5,797<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.25"></a><var>389.25</var><br />
                  		<a id="pl.389.26"></a><var>389.26</var><br />
                  		
               </td>
               <td>greater than $1,100,000 and no more than <br />
                  		$1,275,000<br />
                  		
               </td>
               <td align="right">$4,969<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.27"></a><var>389.27</var><br />
                  		<a id="pl.389.28"></a><var>389.28</var><br />
                  		
               </td>
               <td>greater than $950,000 and no more than <br />
                  		$1,100,000<br />
                  		
               </td>
               <td align="right">$4,141<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.29"></a><var>389.29</var><br />
                  		
               </td>
               <td valign="top">greater than $850,000 and no more than $950,000<br />
                  		
               </td>
               <td align="right">$3,727<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.30"></a><var>389.30</var><br />
                  		
               </td>
               <td valign="top">greater than $750,000 and no more than $850,000<br />
                  		
               </td>
               <td align="right">$3,313<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.31"></a><var>389.31</var><br />
                  		
               </td>
               <td valign="top">greater than $650,000 and no more than $750,000<br />
                  		
               </td>
               <td align="right">$2,898<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.32"></a><var>389.32</var><br />
                  		
               </td>
               <td valign="top">greater than $550,000 and no more than $650,000<br />
                  		
               </td>
               <td align="right">$2,485<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.33"></a><var>389.33</var><br />
                  		
               </td>
               <td valign="top">greater than $450,000 and no more than $550,000<br />
                  		
               </td>
               <td align="right">$2,070<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.389.34"></a><var>389.34</var><br />
                  		
               </td>
               <td valign="top">greater than $350,000 and no more than $450,000<br />
                  		
               </td>
               <td align="right">$1,656<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.390.1"></a><var>390.1</var><br />
                  		
               </td>
               <td valign="top">greater than $250,000 and no more than $350,000<br />
                  		
               </td>
               <td align="right">$1,242<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.390.2"></a><var>390.2</var><br />
                  		
               </td>
               <td valign="top">greater than $100,000 and no more than $250,000<br />
                  		
               </td>
               <td align="right">$828<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.390.3"></a><var>390.3</var><br />
                  		
               </td>
               <td valign="top">greater than $50,000 and no more than $100,000<br />
                  		
               </td>
               <td align="right" valign="top">$500<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.390.4"></a><var>390.4</var><br />
                  		
               </td>
               <td valign="top">greater than $25,000 and no more than $50,000<br />
                  		
               </td>
               <td align="right" valign="top">$400<br />
                  		
               </td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.390.5"></a><var>390.5</var><br />
                  		
               </td>
               <td valign="top">no more than $25,000<br />
                  		
               </td>
               <td align="right" valign="top">$200<br />
                  		
               </td>
               <td></td>
            </tr>
         </table><a id="pl.390.6"></a><var>390.6</var>(d) If requested, the home care provider shall provide the commissioner information
         to <br />
         		<a id="pl.390.7"></a><var>390.7</var>verify the provider's annual revenues or other information as needed, including copies
         of <br />
         		<a id="pl.390.8"></a><var>390.8</var>documents submitted to the Department of Revenue.<br />
         		<a id="pl.390.9"></a><var>390.9</var>(e) At each annual renewal, a home care provider may elect to pay the highest renewal
         <br />
         		<a id="pl.390.10"></a><var>390.10</var>fee for its license category, and not provide annual revenue information to the commissioner.<br />
         		<a id="pl.390.11"></a><var>390.11</var>(f) A temporary license or license applicant, or temporary licensee or licensee that
         <br />
         		<a id="pl.390.12"></a><var>390.12</var>knowingly provides the commissioner incorrect revenue amounts for the purpose of paying
         <br />
         		<a id="pl.390.13"></a><var>390.13</var>a lower license fee, shall be subject to a civil penalty in the amount of double the
         fee the <br />
         		<a id="pl.390.14"></a><var>390.14</var>provider should have paid.<br />
         		<a id="pl.390.15"></a><var>390.15</var>(g) Fees and penalties collected under this section shall be deposited in the state
         treasury <br />
         		<a id="pl.390.16"></a><var>390.16</var>and credited to the state government special revenue fund. All fees are nonrefundable. Fees <br />
         		<a id="pl.390.17"></a><var>390.17</var>collected under paragraph (c) are nonrefundable even if received before July 1, 2017,
         for <br />
         		<a id="pl.390.18"></a><var>390.18</var>temporary licenses or licenses being issued effective July 1, 2017, or later.<br />
         		<a id="pl.390.19"></a><var>390.19</var>(h) The license renewal fee schedule in this subdivision is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.10.31.0"></a><a id="pl.390.20"></a><var>390.20</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2016, section 144A.474, subdivision 11, is amended to read:<br />
         		<a id="pl.390.21"></a><var>390.21</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Fines.</b> (a) Fines and enforcement actions under this subdivision may be assessed <br />
         		<a id="pl.390.22"></a><var>390.22</var>based on the level and scope of the violations described in paragraph (c) as follows:<br />
         		<a id="pl.390.23"></a><var>390.23</var>(1) Level 1, no fines or enforcement;<br />
         		<a id="pl.390.24"></a><var>390.24</var>(2) Level 2, fines ranging from $0 to $500, in addition to any of the enforcement
         <br />
         		<a id="pl.390.25"></a><var>390.25</var>mechanisms authorized in section 
         <statute_ref>144A.475</statute_ref> for widespread violations;<br />
         		<a id="pl.390.26"></a><var>390.26</var>(3) Level 3, fines ranging from $500 to $1,000, in addition to any of the enforcement
         <br />
         		<a id="pl.390.27"></a><var>390.27</var>mechanisms authorized in section 
         <statute_ref>144A.475</statute_ref>; and<br />
         		<a id="pl.390.28"></a><var>390.28</var>(4) Level 4, fines ranging from $1,000 to $5,000, in addition to any of the enforcement
         <br />
         		<a id="pl.390.29"></a><var>390.29</var>mechanisms authorized in section 
         <statute_ref>144A.475</statute_ref>.<br />
         		<a id="pl.390.30"></a><var>390.30</var>(b) Correction orders for violations are categorized by both level and scope and fines
         <br />
         		<a id="pl.390.31"></a><var>390.31</var>shall be assessed as follows:<br />
         		<a id="pl.391.1"></a><var>391.1</var>(1) level of violation:<br />
         		<a id="pl.391.2"></a><var>391.2</var>(i) Level 1 is a violation that has no potential to cause more than a minimal impact
         on <br />
         		<a id="pl.391.3"></a><var>391.3</var>the client and does not affect health or safety;<br />
         		<a id="pl.391.4"></a><var>391.4</var>(ii) Level 2 is a violation that did not harm a client's health or safety but had
         the potential <br />
         		<a id="pl.391.5"></a><var>391.5</var>to have harmed a client's health or safety, but was not likely to cause serious injury,
         <br />
         		<a id="pl.391.6"></a><var>391.6</var>impairment, or death;<br />
         		<a id="pl.391.7"></a><var>391.7</var>(iii) Level 3 is a violation that harmed a client's health or safety, not including
         serious <br />
         		<a id="pl.391.8"></a><var>391.8</var>injury, impairment, or death, or a violation that has the potential to lead to serious
         injury, <br />
         		<a id="pl.391.9"></a><var>391.9</var>impairment, or death; and<br />
         		<a id="pl.391.10"></a><var>391.10</var>(iv) Level 4 is a violation that results in serious injury, impairment, or death.<br />
         		<a id="pl.391.11"></a><var>391.11</var>(2) scope of violation:<br />
         		<a id="pl.391.12"></a><var>391.12</var>(i) isolated, when one or a limited number of clients are affected or one or a limited
         <br />
         		<a id="pl.391.13"></a><var>391.13</var>number of staff are involved or the situation has occurred only occasionally;<br />
         		<a id="pl.391.14"></a><var>391.14</var>(ii) pattern, when more than a limited number of clients are affected, more than a
         limited <br />
         		<a id="pl.391.15"></a><var>391.15</var>number of staff are involved, or the situation has occurred repeatedly but is not
         found to be <br />
         		<a id="pl.391.16"></a><var>391.16</var>pervasive; and<br />
         		<a id="pl.391.17"></a><var>391.17</var>(iii) widespread, when problems are pervasive or represent a systemic failure that
         has <br />
         		<a id="pl.391.18"></a><var>391.18</var>affected or has the potential to affect a large portion or all of the clients.<br />
         		<a id="pl.391.19"></a><var>391.19</var>(c) If the commissioner finds that the applicant or a home care provider required
         to be <br />
         		<a id="pl.391.20"></a><var>391.20</var>licensed under sections 
         <statute_ref>144A.43</statute_ref> to 
         <statute_ref>144A.482</statute_ref> has not corrected violations by the date <br />
         		<a id="pl.391.21"></a><var>391.21</var>specified in the correction order or conditional license resulting from a survey or
         complaint <br />
         		<a id="pl.391.22"></a><var>391.22</var>investigation, the commissioner may impose a fine. A notice of noncompliance with
         a <br />
         		<a id="pl.391.23"></a><var>391.23</var>correction order must be mailed to the applicant's or provider's last known address.
         The <br />
         		<a id="pl.391.24"></a><var>391.24</var>noncompliance notice must list the violations not corrected.<br />
         		<a id="pl.391.25"></a><var>391.25</var>(d) The license holder must pay the fines assessed on or before the payment date specified.
         <br />
         		<a id="pl.391.26"></a><var>391.26</var>If the license holder fails to fully comply with the order, the commissioner may issue
         a <br />
         		<a id="pl.391.27"></a><var>391.27</var>second fine or suspend the license until the license holder complies by paying the
         fine. A <br />
         		<a id="pl.391.28"></a><var>391.28</var>timely appeal shall stay payment of the fine until the commissioner issues a final
         order.<br />
         		<a id="pl.391.29"></a><var>391.29</var>(e) A license holder shall promptly notify the commissioner in writing when a violation
         <br />
         		<a id="pl.391.30"></a><var>391.30</var>specified in the order is corrected. If upon reinspection the commissioner determines
         that <br />
         		<a id="pl.391.31"></a><var>391.31</var>a violation has not been corrected as indicated by the order, the commissioner may
         issue a <br />
         		<a id="pl.391.32"></a><var>391.32</var>second fine. The commissioner shall notify the license holder by mail to the last
         known <br />
         		<a id="pl.392.1"></a><var>392.1</var>address in the licensing record that a second fine has been assessed. The license
         holder may <br />
         		<a id="pl.392.2"></a><var>392.2</var>appeal the second fine as provided under this subdivision.<br />
         		<a id="pl.392.3"></a><var>392.3</var>(f) A home care provider that has been assessed a fine under this subdivision has
         a right <br />
         		<a id="pl.392.4"></a><var>392.4</var>to a reconsideration or a hearing under this section and chapter 14.<br />
         		<a id="pl.392.5"></a><var>392.5</var>(g) When a fine has been assessed, the license holder may not avoid payment by closing,
         <br />
         		<a id="pl.392.6"></a><var>392.6</var>selling, or otherwise transferring the licensed program to a third party. In such
         an event, the <br />
         		<a id="pl.392.7"></a><var>392.7</var>license holder shall be liable for payment of the fine.<br />
         		<a id="pl.392.8"></a><var>392.8</var>(h) In addition to any fine imposed under this section, the commissioner may assess
         <br />
         		<a id="pl.392.9"></a><var>392.9</var>costs related to an investigation that results in a final order assessing a fine or
         other <br />
         		<a id="pl.392.10"></a><var>392.10</var>enforcement action authorized by this chapter.<br />
         		<a id="pl.392.11"></a><var>392.11</var>(i) Fines collected under this subdivision shall be deposited in the state government
         <br />
         		<a id="pl.392.12"></a><var>392.12</var>special revenue fund and credited to an account separate from the revenue collected
         under <br />
         		<a id="pl.392.13"></a><var>392.13</var>section 
         <statute_ref>144A.472</statute_ref>. Subject to an appropriation by the legislature, the revenue from the fines <br />
         		<a id="pl.392.14"></a><var>392.14</var>collected may must be used by the commissioner for special projects to improve home care <br />
         		<a id="pl.392.15"></a><var>392.15</var>in Minnesota as recommended by the advisory council established in section 
         <statute_ref>144A.4799</statute_ref>.<br />
         		<br />
         		<a id="bill.10.32.0"></a><a id="pl.392.16"></a><var>392.16</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 144A.4799, subdivision 3, is amended to read:<br />
         		<a id="pl.392.17"></a><var>392.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Duties.</b> (a) At the commissioner's request, the advisory council shall provide <br />
         		<a id="pl.392.18"></a><var>392.18</var>advice regarding regulations of Department of Health licensed home care providers
         in this <br />
         		<a id="pl.392.19"></a><var>392.19</var>chapter, including advice on the following:<br />
         		<a id="pl.392.20"></a><var>392.20</var>(1) community standards for home care practices;<br />
         		<a id="pl.392.21"></a><var>392.21</var>(2) enforcement of licensing standards and whether certain disciplinary actions are
         <br />
         		<a id="pl.392.22"></a><var>392.22</var>appropriate;<br />
         		<a id="pl.392.23"></a><var>392.23</var>(3) ways of distributing information to licensees and consumers of home care;<br />
         		<a id="pl.392.24"></a><var>392.24</var>(4) training standards;<br />
         		<a id="pl.392.25"></a><var>392.25</var>(5) identifying emerging issues and opportunities in the home care field, including
         the <br />
         		<a id="pl.392.26"></a><var>392.26</var>use of technology in home and telehealth capabilities;<br />
         		<a id="pl.392.27"></a><var>392.27</var>(6) allowable home care licensing modifications and exemptions, including a method
         <br />
         		<a id="pl.392.28"></a><var>392.28</var>for an integrated license with an existing license for rural licensed nursing homes
         to provide <br />
         		<a id="pl.392.29"></a><var>392.29</var>limited home care services in an adjacent independent living apartment building owned
         by <br />
         		<a id="pl.392.30"></a><var>392.30</var>the licensed nursing home; and<br />
         		<a id="pl.393.1"></a><var>393.1</var>(7) recommendations for studies using the data in section 
         <statute_ref>62U.04, subdivision 4</statute_ref>, including <br />
         		<a id="pl.393.2"></a><var>393.2</var>but not limited to studies concerning costs related to dementia and chronic disease
         among <br />
         		<a id="pl.393.3"></a><var>393.3</var>an elderly population over 60 and additional long-term care costs, as described in
         section <br />
         		
         <statute_ref><a id="pl.393.4"></a><var>393.4</var>62U.10, subdivision 6
         </statute_ref>.<br />
         		<a id="pl.393.5"></a><var>393.5</var>(b) The advisory council shall perform other duties as directed by the commissioner.<br />
         		<a id="pl.393.6"></a><var>393.6</var>(c) The advisory council shall annually review the balance of the account in the state
         <br />
         		<a id="pl.393.7"></a><var>393.7</var>government special revenue fund described in section 144A.474, subdivision 11, paragraph
         <br />
         		<a id="pl.393.8"></a><var>393.8</var>(i), and make annual recommendations by January 15 directly to the chairs and ranking
         <br />
         		<a id="pl.393.9"></a><var>393.9</var>minority members of the legislative committees with jurisdiction over health and human
         <br />
         		<a id="pl.393.10"></a><var>393.10</var>services regarding appropriations to the commissioner for the purposes in section
         144A.474, <br />
         		<a id="pl.393.11"></a><var>393.11</var>subdivision 11, paragraph (i).<br />
         		<br />
         		<a id="bill.10.33.0"></a><a id="pl.393.12"></a><var>393.12</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 144A.70, is amended by adding a subdivision <br />
         		<a id="pl.393.13"></a><var>393.13</var>to read:<br />
         		<a id="pl.393.14"></a><var>393.14</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Nurse.</b> "Nurse" means a licensed practical nurse as defined in section 148.171, <br />
         		<a id="pl.393.15"></a><var>393.15</var>subdivision 8, or a registered nurse as defined in section 148.171, subdivision 20.<br />
         		<a id="pl.393.16"></a><var>393.16</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.34.0"></a><a id="pl.393.17"></a><var>393.17</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 144A.70, subdivision 6, is amended to read:<br />
         		<a id="pl.393.18"></a><var>393.18</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Supplemental nursing services agency.</b> "Supplemental nursing services <br />
         		<a id="pl.393.19"></a><var>393.19</var>agency" means a person, firm, corporation, partnership, or association engaged for
         hire in <br />
         		<a id="pl.393.20"></a><var>393.20</var>the business of providing or procuring temporary employment in health care facilities
         for <br />
         		<a id="pl.393.21"></a><var>393.21</var>nurses, nursing assistants, nurse aides, and orderlies, and other licensed health professionals. <br />
         		<a id="pl.393.22"></a><var>393.22</var>Supplemental nursing services agency does not include an individual who only engages
         in <br />
         		<a id="pl.393.23"></a><var>393.23</var>providing the individual's services on a temporary basis to health care facilities.
         Supplemental <br />
         		<a id="pl.393.24"></a><var>393.24</var>nursing services agency does not include a professional home care agency licensed
         under <br />
         		<a id="pl.393.25"></a><var>393.25</var>section 
         <statute_ref>144A.471</statute_ref> that only provides staff to other home care providers.<br />
         		<a id="pl.393.26"></a><var>393.26</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.35.0"></a><a id="pl.393.27"></a><var>393.27</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 144D.06, is amended to read:<br />
         		<a id="pl.393.28"></a><var>393.28</var><b>144D.06 OTHER LAWS.</b><br />
         		<a id="pl.393.29"></a><var>393.29</var>In addition to registration under this chapter, a housing with services establishment must <br />
         		<a id="pl.393.30"></a><var>393.30</var>comply with chapter 504B and the provisions of section 325F.72, and shall obtain and <br />
         		<a id="pl.393.31"></a><var>393.31</var>maintain all other licenses, permits, registrations, or other governmental approvals
         required <br />
         		<a id="pl.394.1"></a><var>394.1</var>of it in addition to registration under this chapter. A housing with services establishment is <br />
         		<a id="pl.394.2"></a><var>394.2</var>subject to the provisions of section 
         <statute_ref>325F.72</statute_ref> and chapter 504B not required to obtain a <br />
         		<a id="pl.394.3"></a><var>394.3</var>lodging license under chapter 157 and related rules.<br />
         		<a id="pl.394.4"></a><var>394.4</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2017.<br />
         		<br />
         		<a id="bill.10.36.0"></a><a id="pl.394.5"></a><var>394.5</var>&#160;&#160;&#160;&#160;Sec. 36. <b>[144H.01] DEFINITIONS.</b><br />
         		<a id="pl.394.6"></a><var>394.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Application.</b> The terms defined in this section apply to this chapter.<br />
         		<a id="pl.394.7"></a><var>394.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Basic services.</b> "Basic services" includes but is not limited to:<br />
         		<a id="pl.394.8"></a><var>394.8</var>(1) the development, implementation, and monitoring of a comprehensive protocol of
         <br />
         		<a id="pl.394.9"></a><var>394.9</var>care that is developed in conjunction with the parent or guardian of a medically complex
         <br />
         		<a id="pl.394.10"></a><var>394.10</var>or technologically dependent child and that specifies the medical, nursing, psychosocial,
         <br />
         		<a id="pl.394.11"></a><var>394.11</var>and developmental therapies required by the medically complex or technologically dependent
         <br />
         		<a id="pl.394.12"></a><var>394.12</var>child; and<br />
         		<a id="pl.394.13"></a><var>394.13</var>(2) the caregiver training needs of the child's parent or guardian.<br />
         		<a id="pl.394.14"></a><var>394.14</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Commissioner.</b> "Commissioner" means the commissioner of health.<br />
         		<a id="pl.394.15"></a><var>394.15</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Licensee.</b> "Licensee" means an owner of a prescribed pediatric extended care <br />
         		<a id="pl.394.16"></a><var>394.16</var>(PPEC) center licensed under this chapter.<br />
         		<a id="pl.394.17"></a><var>394.17</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Medically complex or technologically dependent child.</b> "Medically complex <br />
         		<a id="pl.394.18"></a><var>394.18</var>or technologically dependent child" means a child under 21 years of age who, because
         of <br />
         		<a id="pl.394.19"></a><var>394.19</var>a medical condition, requires continuous therapeutic interventions or skilled nursing
         <br />
         		<a id="pl.394.20"></a><var>394.20</var>supervision which must be prescribed by a licensed physician and administered by,
         or under <br />
         		<a id="pl.394.21"></a><var>394.21</var>the direct supervision of, a licensed registered nurse.<br />
         		<a id="pl.394.22"></a><var>394.22</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Owner.</b> "Owner" means an individual whose ownership interest provides <br />
         		<a id="pl.394.23"></a><var>394.23</var>sufficient authority or control to affect or change decisions regarding the operation
         of the <br />
         		<a id="pl.394.24"></a><var>394.24</var>PPEC center. An owner includes a sole proprietor, a general partner, or any other
         individual <br />
         		<a id="pl.394.25"></a><var>394.25</var>whose ownership interest has the ability to affect the management and direction of
         the PPEC <br />
         		<a id="pl.394.26"></a><var>394.26</var>center's policies.<br />
         		<a id="pl.394.27"></a><var>394.27</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Prescribed pediatric extended care center, PPEC center, or center.</b><br />
         		 <a id="pl.394.28"></a><var>394.28</var>"Prescribed pediatric extended care center," "PPEC center," or "center" means any
         facility <br />
         		<a id="pl.394.29"></a><var>394.29</var>that provides nonresidential basic services to three or more medically complex or
         <br />
         		<a id="pl.394.30"></a><var>394.30</var>technologically dependent children who require such services and who are not related
         to <br />
         		<a id="pl.394.31"></a><var>394.31</var>the owner by blood, marriage, or adoption.<br />
         		<a id="pl.395.1"></a><var>395.1</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Supportive services or contracted services.</b> "Supportive services or contracted <br />
         		<a id="pl.395.2"></a><var>395.2</var>services" include but are not limited to speech therapy, occupational therapy, physical
         <br />
         		<a id="pl.395.3"></a><var>395.3</var>therapy, social work services, developmental services, child life services, and psychology
         <br />
         		<a id="pl.395.4"></a><var>395.4</var>services.<br />
         		<br />
         		<a id="bill.10.37.0"></a><a id="pl.395.5"></a><var>395.5</var>&#160;&#160;&#160;&#160;Sec. 37. <b>[144H.02] LICENSURE REQUIRED.</b><br />
         		<a id="pl.395.6"></a><var>395.6</var>A person may not own or operate a prescribed pediatric extended care center in this
         state <br />
         		<a id="pl.395.7"></a><var>395.7</var>unless the person holds a temporary or current license issued under this chapter.
         A separate <br />
         		<a id="pl.395.8"></a><var>395.8</var>license must be obtained for each PPEC center maintained on separate premises, even
         if <br />
         		<a id="pl.395.9"></a><var>395.9</var>the same management operates the PPEC centers. Separate licenses are not required
         for <br />
         		<a id="pl.395.10"></a><var>395.10</var>separate buildings on the same grounds. A center shall not be operated on the same
         grounds <br />
         		<a id="pl.395.11"></a><var>395.11</var>as a child care center licensed under Minnesota Rules, chapter 9503.<br />
         		<br />
         		<a id="bill.10.38.0"></a><a id="pl.395.12"></a><var>395.12</var>&#160;&#160;&#160;&#160;Sec. 38. <b>[144H.03] EXEMPTIONS.</b><br />
         		<a id="pl.395.13"></a><var>395.13</var>This chapter does not apply to:<br />
         		<a id="pl.395.14"></a><var>395.14</var>(1) a facility operated by the United States government or a federal agency; or<br />
         		<a id="pl.395.15"></a><var>395.15</var>(2) a health care facility licensed under chapter 144 or 144A.<br />
         		<br />
         		<a id="bill.10.39.0"></a><a id="pl.395.16"></a><var>395.16</var>&#160;&#160;&#160;&#160;Sec. 39. <b>[144H.04] LICENSE APPLICATION AND RENEWAL.</b><br />
         		<a id="pl.395.17"></a><var>395.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Licenses.</b> A person seeking licensure for a PPEC center must submit a <br />
         		<a id="pl.395.18"></a><var>395.18</var>completed application for licensure to the commissioner, in a form and manner determined
         <br />
         		<a id="pl.395.19"></a><var>395.19</var>by the commissioner. The applicant must also submit the application fee, in the amount
         <br />
         		<a id="pl.395.20"></a><var>395.20</var>specified in section 144H.05, subdivision 1. Effective January 1, 2018, the commissioner
         <br />
         		<a id="pl.395.21"></a><var>395.21</var>shall issue a license for a PPEC center if the commissioner determines that the applicant
         <br />
         		<a id="pl.395.22"></a><var>395.22</var>and center meet the requirements of this chapter and rules that apply to PPEC centers.
         A <br />
         		<a id="pl.395.23"></a><var>395.23</var>license issued under this subdivision is valid for two years.<br />
         		<a id="pl.395.24"></a><var>395.24</var>&#160;&#160;&#160;&#160;Subd. 2. <b>License renewal.</b> A license issued under subdivision 1 may be renewed for a <br />
         		<a id="pl.395.25"></a><var>395.25</var>period of two years if the licensee:<br />
         		<a id="pl.395.26"></a><var>395.26</var>(1) submits an application for renewal in a form and manner determined by the <br />
         		<a id="pl.395.27"></a><var>395.27</var>commissioner, at least 30 days before the license expires. An application for renewal
         <br />
         		<a id="pl.395.28"></a><var>395.28</var>submitted after the renewal deadline date must be accompanied by a late fee in the
         amount <br />
         		<a id="pl.395.29"></a><var>395.29</var>specified in section 144H.05, subdivision 3;<br />
         		<a id="pl.395.30"></a><var>395.30</var>(2) submits the renewal fee in the amount specified in section 144H.05, subdivision
         2;<br />
         		<a id="pl.396.1"></a><var>396.1</var>(3) demonstrates that the licensee has provided basic services at the PPEC center
         within <br />
         		<a id="pl.396.2"></a><var>396.2</var>the past two years;<br />
         		<a id="pl.396.3"></a><var>396.3</var>(4) provides evidence that the applicant meets the requirements for licensure; and<br />
         		<a id="pl.396.4"></a><var>396.4</var>(5) provides other information required by the commissioner.<br />
         		<a id="pl.396.5"></a><var>396.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>License not transferable.</b> A PPEC center license issued under this section is <br />
         		<a id="pl.396.6"></a><var>396.6</var>not transferable to another party. Before acquiring ownership of a PPEC center, a
         prospective <br />
         		<a id="pl.396.7"></a><var>396.7</var>applicant must apply to the commissioner for a new license.<br />
         		<br />
         		<a id="bill.10.40.0"></a><a id="pl.396.8"></a><var>396.8</var>&#160;&#160;&#160;&#160;Sec. 40. <b>[144H.05] FEES.</b><br />
         		<a id="pl.396.9"></a><var>396.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Initial application fee.</b> The initial application fee for PPEC center <br />
         		<a id="pl.396.10"></a><var>396.10</var>licensure is $3,820.<br />
         		<a id="pl.396.11"></a><var>396.11</var>&#160;&#160;&#160;&#160;Subd. 2. <b>License renewal.</b> The fee for renewal of a PPEC center license is $1,800.<br />
         		<a id="pl.396.12"></a><var>396.12</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Late fee.</b> The fee for late submission of an application to renew a PPEC center <br />
         		<a id="pl.396.13"></a><var>396.13</var>license is $25.<br />
         		<a id="pl.396.14"></a><var>396.14</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Change of ownership.</b> The fee for change of ownership of a PPEC center is <br />
         		<a id="pl.396.15"></a><var>396.15</var>$4,200.<br />
         		<a id="pl.396.16"></a><var>396.16</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Nonrefundable; state government special revenue fund.</b> All fees collected <br />
         		<a id="pl.396.17"></a><var>396.17</var>under this chapter are nonrefundable and must be deposited in the state treasury and
         credited <br />
         		<a id="pl.396.18"></a><var>396.18</var>to the state government special revenue fund.<br />
         		<br />
         		<a id="bill.10.41.0"></a><a id="pl.396.19"></a><var>396.19</var>&#160;&#160;&#160;&#160;Sec. 41. <b>[144H.06] APPLICATION OF RULES FOR HOSPICE SERVICES AND </b><br />
         		<a id="pl.396.20"></a><var>396.20</var><b>RESIDENTIAL HOSPICE FACILITIES.</b><br />
         		<a id="pl.396.21"></a><var>396.21</var>Minnesota Rules, chapter 4664, shall apply to PPEC centers licensed under this chapter,
         <br />
         		<a id="pl.396.22"></a><var>396.22</var>except that the following parts, subparts, items, and subitems do not apply:<br />
         		<a id="pl.396.23"></a><var>396.23</var>(1) Minnesota Rules, part 4664.0003, subparts 2, 6, 7, 11, 12, 13, 14, and 38;<br />
         		<a id="pl.396.24"></a><var>396.24</var>(2) Minnesota Rules, part 4664.0008;<br />
         		<a id="pl.396.25"></a><var>396.25</var>(3) Minnesota Rules, part 4664.0010, subparts 3; 4, items A, subitem (6), and B; and
         8;<br />
         		<a id="pl.396.26"></a><var>396.26</var>(4) Minnesota Rules, part 4664.0020, subpart 13;<br />
         		<a id="pl.396.27"></a><var>396.27</var>(5) Minnesota Rules, part 4664.0370, subpart 1;<br />
         		<a id="pl.396.28"></a><var>396.28</var>(6) Minnesota Rules, part 4664.0390, subpart 1, items A, C, and E;<br />
         		<a id="pl.396.29"></a><var>396.29</var>(7) Minnesota Rules, part 4664.0420;<br />
         		<a id="pl.397.1"></a><var>397.1</var>(8) Minnesota Rules, part 4664.0425, subparts 3, item A; 4; and 6;<br />
         		<a id="pl.397.2"></a><var>397.2</var>(9) Minnesota Rules, part 4664.0430, subparts 3, 4, 5, 7, 8, 9, 10, 11, and 12;<br />
         		<a id="pl.397.3"></a><var>397.3</var>(10) Minnesota Rules, part 4664.0490; and<br />
         		<a id="pl.397.4"></a><var>397.4</var>(11) Minnesota Rules, part 4664.0520.<br />
         		<br />
         		<a id="bill.10.42.0"></a><a id="pl.397.5"></a><var>397.5</var>&#160;&#160;&#160;&#160;Sec. 42. <b>[144H.07] SERVICES; LIMITATIONS.</b><br />
         		<a id="pl.397.6"></a><var>397.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Services.</b> A PPEC center must provide basic services to medically complex <br />
         		<a id="pl.397.7"></a><var>397.7</var>or technologically dependent children, based on a protocol of care established for
         each child. <br />
         		<a id="pl.397.8"></a><var>397.8</var>A PPEC center may provide services up to 14 hours a day and up to six days a week.<br />
         		<a id="pl.397.9"></a><var>397.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Limitations.</b> A PPEC center must comply with the following standards related <br />
         		<a id="pl.397.10"></a><var>397.10</var>to services:<br />
         		<a id="pl.397.11"></a><var>397.11</var>(1) a child is prohibited from attending a PPEC center for more than 14 hours within
         a <br />
         		<a id="pl.397.12"></a><var>397.12</var>24-hour period;<br />
         		<a id="pl.397.13"></a><var>397.13</var>(2) a PPEC center is prohibited from providing services other than those provided
         to <br />
         		<a id="pl.397.14"></a><var>397.14</var>medically complex or technologically dependent children; and<br />
         		<a id="pl.397.15"></a><var>397.15</var>(3) the maximum capacity for medically complex or technologically dependent children
         <br />
         		<a id="pl.397.16"></a><var>397.16</var>at a center shall not exceed 45 children.<br />
         		<br />
         		<a id="bill.10.43.0"></a><a id="pl.397.17"></a><var>397.17</var>&#160;&#160;&#160;&#160;Sec. 43. <b>[144H.08] ADMINISTRATION AND MANAGEMENT.</b><br />
         		<a id="pl.397.18"></a><var>397.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Duties of owner.</b> (a) The owner of a PPEC center shall have full legal <br />
         		<a id="pl.397.19"></a><var>397.19</var>authority and responsibility for the operation of the center. A PPEC center must be
         organized <br />
         		<a id="pl.397.20"></a><var>397.20</var>according to a written table of organization, describing the lines of authority and
         <br />
         		<a id="pl.397.21"></a><var>397.21</var>communication to the child care level. The organizational structure must be designed
         to <br />
         		<a id="pl.397.22"></a><var>397.22</var>ensure an integrated continuum of services for the children served.<br />
         		<a id="pl.397.23"></a><var>397.23</var>(b) The owner must designate one person as a center administrator, who is responsible
         <br />
         		<a id="pl.397.24"></a><var>397.24</var>and accountable for overall management of the center.<br />
         		<a id="pl.397.25"></a><var>397.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Duties of administrator.</b> The center administrator is responsible and accountable <br />
         		<a id="pl.397.26"></a><var>397.26</var>for overall management of the center. The administrator must:<br />
         		<a id="pl.397.27"></a><var>397.27</var>(1) designate in writing a person to be responsible for the center when the administrator
         <br />
         		<a id="pl.397.28"></a><var>397.28</var>is absent from the center for more than 24 hours;<br />
         		<a id="pl.397.29"></a><var>397.29</var>(2) maintain the following written records, in a place and form and using a system
         that <br />
         		<a id="pl.397.30"></a><var>397.30</var>allows for inspection of the records by the commissioner during normal business hours:<br />
         		<a id="pl.398.1"></a><var>398.1</var>(i) a daily census record, which indicates the number of children currently receiving
         <br />
         		<a id="pl.398.2"></a><var>398.2</var>services at the center;<br />
         		<a id="pl.398.3"></a><var>398.3</var>(ii) a record of all accidents or unusual incidents involving any child or staff member
         <br />
         		<a id="pl.398.4"></a><var>398.4</var>that caused, or had the potential to cause, injury or harm to a person at the center
         or to center <br />
         		<a id="pl.398.5"></a><var>398.5</var>property;<br />
         		<a id="pl.398.6"></a><var>398.6</var>(iii) copies of all current agreements with providers of supportive services or contracted
         <br />
         		<a id="pl.398.7"></a><var>398.7</var>services;<br />
         		<a id="pl.398.8"></a><var>398.8</var>(iv) copies of all current agreements with consultants employed by the center, <br />
         		<a id="pl.398.9"></a><var>398.9</var>documentation of each consultant's visits, and written, dated reports; and<br />
         		<a id="pl.398.10"></a><var>398.10</var>(v) a personnel record for each employee, which must include an application for <br />
         		<a id="pl.398.11"></a><var>398.11</var>employment, references, employment history for the preceding five years, and copies
         of all <br />
         		<a id="pl.398.12"></a><var>398.12</var>performance evaluations;<br />
         		<a id="pl.398.13"></a><var>398.13</var>(3) develop and maintain a current job description for each employee;<br />
         		<a id="pl.398.14"></a><var>398.14</var>(4) provide necessary qualified personnel and ancillary services to ensure the health,
         <br />
         		<a id="pl.398.15"></a><var>398.15</var>safety, and proper care for each child; and<br />
         		<a id="pl.398.16"></a><var>398.16</var>(5) develop and implement infection control policies that comply with rules adopted
         by <br />
         		<a id="pl.398.17"></a><var>398.17</var>the commissioner regarding infection control.<br />
         		<br />
         		<a id="bill.10.44.0"></a><a id="pl.398.18"></a><var>398.18</var>&#160;&#160;&#160;&#160;Sec. 44. <b>[144H.09] ADMISSION, TRANSFER, AND DISCHARGE POLICIES; </b><br />
         		<a id="pl.398.19"></a><var>398.19</var><b>CONSENT FORM.</b><br />
         		<a id="pl.398.20"></a><var>398.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Written policies.</b> A PPEC center must have written policies and <br />
         		<a id="pl.398.21"></a><var>398.21</var>procedures governing the admission, transfer, and discharge of children.<br />
         		<a id="pl.398.22"></a><var>398.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Notice of discharge.</b> At least ten days prior to a child's discharge from a PPEC <br />
         		<a id="pl.398.23"></a><var>398.23</var>center, the PPEC center shall provide notice of the discharge to the child's parent
         or guardian.<br />
         		<a id="pl.398.24"></a><var>398.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Consent form.</b> A parent or guardian must sign a consent form outlining the <br />
         		<a id="pl.398.25"></a><var>398.25</var>purpose of a PPEC center, specifying family responsibilities, authorizing treatment
         and <br />
         		<a id="pl.398.26"></a><var>398.26</var>services, providing appropriate liability releases, and specifying emergency disposition
         <br />
         		<a id="pl.398.27"></a><var>398.27</var>plans, before the child's admission to the center. The center must provide the child's
         parents <br />
         		<a id="pl.398.28"></a><var>398.28</var>or guardians with a copy of the consent form and must maintain the consent form in
         the <br />
         		<a id="pl.398.29"></a><var>398.29</var>child's medical record.<br />
         		<br />
         		<a id="bill.10.45.0"></a><a id="pl.399.1"></a><var>399.1</var>&#160;&#160;&#160;&#160;Sec. 45. <b>[144H.10] MEDICAL DIRECTOR.</b><br />
         		<a id="pl.399.2"></a><var>399.2</var>A PPEC center must have a medical director who is a physician licensed in Minnesota
         <br />
         		<a id="pl.399.3"></a><var>399.3</var>and certified by the American Board of Pediatrics.<br />
         		<br />
         		<a id="bill.10.46.0"></a><a id="pl.399.4"></a><var>399.4</var>&#160;&#160;&#160;&#160;Sec. 46. <b>[144H.11] NURSING SERVICES.</b><br />
         		<a id="pl.399.5"></a><var>399.5</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Nursing director.</b> A PPEC center must have a nursing director who is <br />
         		<a id="pl.399.6"></a><var>399.6</var>a registered nurse licensed in Minnesota, holds a current certification in cardiopulmonary
         <br />
         		<a id="pl.399.7"></a><var>399.7</var>resuscitation, and has at least four years of general pediatric nursing experience,
         at least <br />
         		<a id="pl.399.8"></a><var>399.8</var>one year of which must have been spent caring for medically fragile infants or children
         in <br />
         		<a id="pl.399.9"></a><var>399.9</var>a pediatric intensive care, neonatal intensive care, PPEC center, or home care setting
         during <br />
         		<a id="pl.399.10"></a><var>399.10</var>the previous five years. The nursing director is responsible for the daily operation
         of the <br />
         		<a id="pl.399.11"></a><var>399.11</var>PPEC center.<br />
         		<a id="pl.399.12"></a><var>399.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Registered nurses.</b> A registered nurse employed by a PPEC center must be a <br />
         		<a id="pl.399.13"></a><var>399.13</var>registered nurse licensed in Minnesota, hold a current certification in cardiopulmonary
         <br />
         		<a id="pl.399.14"></a><var>399.14</var>resuscitation, and have experience in the previous 24 months in being responsible
         for the <br />
         		<a id="pl.399.15"></a><var>399.15</var>care of acutely ill or chronically ill children.<br />
         		<a id="pl.399.16"></a><var>399.16</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensed practical nurses.</b> A licensed practical nurse employed by a PPEC <br />
         		<a id="pl.399.17"></a><var>399.17</var>center must be supervised by a registered nurse and must be a licensed practical nurse
         <br />
         		<a id="pl.399.18"></a><var>399.18</var>licensed in Minnesota, have at least two years of experience in pediatrics, and hold
         a current <br />
         		<a id="pl.399.19"></a><var>399.19</var>certification in cardiopulmonary resuscitation.<br />
         		<a id="pl.399.20"></a><var>399.20</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Other direct care personnel.</b> (a) Direct care personnel governed by this <br />
         		<a id="pl.399.21"></a><var>399.21</var>subdivision include nursing assistants and individuals with training and experience
         in the <br />
         		<a id="pl.399.22"></a><var>399.22</var>field of education, social services, or child care.<br />
         		<a id="pl.399.23"></a><var>399.23</var>(b) All direct care personnel employed by a PPEC center must work under the supervision
         <br />
         		<a id="pl.399.24"></a><var>399.24</var>of a registered nurse and are responsible for providing direct care to children at
         the center. <br />
         		<a id="pl.399.25"></a><var>399.25</var>Direct care personnel must have extensive, documented education and skills training
         in <br />
         		<a id="pl.399.26"></a><var>399.26</var>providing care to infants and toddlers, provide employment references documenting
         skill <br />
         		<a id="pl.399.27"></a><var>399.27</var>in the care of infants and children, and hold a current certification in cardiopulmonary
         <br />
         		<a id="pl.399.28"></a><var>399.28</var>resuscitation.<br />
         		<br />
         		<a id="bill.10.47.0"></a><a id="pl.400.1"></a><var>400.1</var>&#160;&#160;&#160;&#160;Sec. 47. <b>[144H.12] TOTAL STAFFING FOR NURSING SERVICES AND DIRECT </b><br />
         		<a id="pl.400.2"></a><var>400.2</var><b>CARE PERSONNEL.</b><br />
         		<a id="pl.400.3"></a><var>400.3</var>A PPEC center must provide total staffing for nursing services and direct care personnel
         <br />
         		<a id="pl.400.4"></a><var>400.4</var>at a ratio of one staff person for every three children at the center. The staffing
         ratio required <br />
         		<a id="pl.400.5"></a><var>400.5</var>in this section is the minimum staffing permitted.<br />
         		<br />
         		<a id="bill.10.48.0"></a><a id="pl.400.6"></a><var>400.6</var>&#160;&#160;&#160;&#160;Sec. 48. <b>[144H.13] MEDICAL RECORD; PROTOCOL OF CARE.</b><br />
         		<a id="pl.400.7"></a><var>400.7</var>A medical record and an individualized nursing protocol of care must be developed
         for <br />
         		<a id="pl.400.8"></a><var>400.8</var>each child admitted to a PPEC center, must be maintained for each child, and must
         be signed <br />
         		<a id="pl.400.9"></a><var>400.9</var>by authorized personnel.<br />
         		<br />
         		<a id="bill.10.49.0"></a><a id="pl.400.10"></a><var>400.10</var>&#160;&#160;&#160;&#160;Sec. 49. <b>[144H.14] QUALITY ASSURANCE PROGRAM.</b><br />
         		<a id="pl.400.11"></a><var>400.11</var>A PPEC center must have a quality assurance program, in which quarterly reviews are
         <br />
         		<a id="pl.400.12"></a><var>400.12</var>conducted of the PPEC center's medical records and protocols of care for at least
         half of <br />
         		<a id="pl.400.13"></a><var>400.13</var>the children served by the PPEC center. The quarterly review sample must be randomly
         <br />
         		<a id="pl.400.14"></a><var>400.14</var>selected so each child at the center has an equal opportunity to be included in the
         review. <br />
         		<a id="pl.400.15"></a><var>400.15</var>The committee conducting quality assurance reviews must include the medical director,
         <br />
         		<a id="pl.400.16"></a><var>400.16</var>administrator, nursing director, and three other committee members determined by the
         PPEC <br />
         		<a id="pl.400.17"></a><var>400.17</var>center.<br />
         		<br />
         		<a id="bill.10.50.0"></a><a id="pl.400.18"></a><var>400.18</var>&#160;&#160;&#160;&#160;Sec. 50. <b>[144H.15] INSPECTIONS.</b><br />
         		<a id="pl.400.19"></a><var>400.19</var>(a) The commissioner may inspect a PPEC center, including records held at the center,
         <br />
         		<a id="pl.400.20"></a><var>400.20</var>at reasonable times as necessary to ensure compliance with this chapter and the rules
         that <br />
         		<a id="pl.400.21"></a><var>400.21</var>apply to PPEC centers. During an inspection, a center must provide the commissioner
         with <br />
         		<a id="pl.400.22"></a><var>400.22</var>access to all center records.<br />
         		<a id="pl.400.23"></a><var>400.23</var>(b) The commissioner must inspect a PPEC center before issuing or renewing a license
         <br />
         		<a id="pl.400.24"></a><var>400.24</var>under this chapter.<br />
         		<br />
         		<a id="bill.10.51.0"></a><a id="pl.400.25"></a><var>400.25</var>&#160;&#160;&#160;&#160;Sec. 51. <b>[144H.16] COMPLIANCE WITH OTHER LAWS.</b><br />
         		<a id="pl.400.26"></a><var>400.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reporting of maltreatment of minors.</b> A PPEC center must develop <br />
         		<a id="pl.400.27"></a><var>400.27</var>policies and procedures for reporting suspected child maltreatment that fulfill the
         <br />
         		<a id="pl.400.28"></a><var>400.28</var>requirements of section 626.556. The policies and procedures must include the telephone
         <br />
         		<a id="pl.400.29"></a><var>400.29</var>numbers of the local county child protection agency for reporting suspected maltreatment.
         <br />
         		<a id="pl.400.30"></a><var>400.30</var>The policies and procedures specified in this subdivision must be provided to the
         parents <br />
         		<a id="pl.401.1"></a><var>401.1</var>or guardians of all children at the time of admission to the PPEC center and must
         be available <br />
         		<a id="pl.401.2"></a><var>401.2</var>upon request.<br />
         		<a id="pl.401.3"></a><var>401.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Crib safety requirements.</b> A PPEC center must comply with the crib safety <br />
         		<a id="pl.401.4"></a><var>401.4</var>requirements in section 245A.146, to the extent they are applicable.<br />
         		<br />
         		<a id="bill.10.52.0"></a><a id="pl.401.5"></a><var>401.5</var>&#160;&#160;&#160;&#160;Sec. 52. <b>[144H.17] DENIAL, SUSPENSION, REVOCATION, REFUSAL TO RENEW </b><br />
         		<a id="pl.401.6"></a><var>401.6</var><b>A LICENSE.</b><br />
         		<a id="pl.401.7"></a><var>401.7</var>(a) The commissioner may deny, suspend, revoke, or refuse to renew a license issued
         <br />
         		<a id="pl.401.8"></a><var>401.8</var>under this chapter for:<br />
         		<a id="pl.401.9"></a><var>401.9</var>(1) a violation of this chapter or rules adopted that apply to PPEC centers; or<br />
         		<a id="pl.401.10"></a><var>401.10</var>(2) an intentional or negligent act by an employee or contractor at the center that
         <br />
         		<a id="pl.401.11"></a><var>401.11</var>detrimentally affects the health or safety of children at the PPEC center.<br />
         		<a id="pl.401.12"></a><var>401.12</var>(b) Prior to any suspension, revocation, or refusal to renew a license, a licensee
         shall be <br />
         		<a id="pl.401.13"></a><var>401.13</var>entitled to a hearing and review as provided in sections 14.57 to 14.69.<br />
         		<br />
         		<a id="bill.10.53.0"></a><a id="pl.401.14"></a><var>401.14</var>&#160;&#160;&#160;&#160;Sec. 53. <b>[144H.18] FINES; CORRECTIVE ACTION PLANS.</b><br />
         		<a id="pl.401.15"></a><var>401.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Corrective action plans.</b> If the commissioner determines that a PPEC <br />
         		<a id="pl.401.16"></a><var>401.16</var>center is not in compliance with this chapter or rules that apply to PPEC centers,
         the <br />
         		<a id="pl.401.17"></a><var>401.17</var>commissioner may require the center to submit a corrective action plan that demonstrates
         <br />
         		<a id="pl.401.18"></a><var>401.18</var>a good-faith effort to remedy each violation by a specific date, subject to approval
         by the <br />
         		<a id="pl.401.19"></a><var>401.19</var>commissioner.<br />
         		<a id="pl.401.20"></a><var>401.20</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Fines.</b> The commissioner may issue a fine to a PPEC center, employee, or <br />
         		<a id="pl.401.21"></a><var>401.21</var>contractor if the commissioner determines the center, employee, or contractor violated
         this <br />
         		<a id="pl.401.22"></a><var>401.22</var>chapter or rules that apply to PPEC centers. The fine amount shall not exceed an amount
         <br />
         		<a id="pl.401.23"></a><var>401.23</var>for each violation and an aggregate amount established by the commissioner. The failure
         <br />
         		<a id="pl.401.24"></a><var>401.24</var>to correct a violation by the date set by the commissioner, or a failure to comply
         with an <br />
         		<a id="pl.401.25"></a><var>401.25</var>approved corrective action plan, constitutes a separate violation for each day the
         failure <br />
         		<a id="pl.401.26"></a><var>401.26</var>continues, unless the commissioner approves an extension to a specific date. In determining
         <br />
         		<a id="pl.401.27"></a><var>401.27</var>if a fine is to be imposed and establishing the amount of the fine, the commissioner
         shall <br />
         		<a id="pl.401.28"></a><var>401.28</var>consider:<br />
         		<a id="pl.401.29"></a><var>401.29</var>(1) the gravity of the violation, including the probability that death or serious
         physical <br />
         		<a id="pl.401.30"></a><var>401.30</var>or emotional harm to a child will result or has resulted, the severity of the actual
         or potential <br />
         		<a id="pl.401.31"></a><var>401.31</var>harm, and the extent to which the applicable laws were violated;<br />
         		<a id="pl.402.1"></a><var>402.1</var>(2) actions taken by the owner or administrator to correct violations;<br />
         		<a id="pl.402.2"></a><var>402.2</var>(3) any previous violations; and<br />
         		<a id="pl.402.3"></a><var>402.3</var>(4) the financial benefit to the PPEC center of committing or continuing the violation.<br />
         		<a id="pl.402.4"></a><var>402.4</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Fines for violations of other statutes.</b> The commissioner shall impose a fine <br />
         		<a id="pl.402.5"></a><var>402.5</var>of $250 on a PPEC center, employee, or contractor for each violation by that PPEC
         center, <br />
         		<a id="pl.402.6"></a><var>402.6</var>employee, or contractor of section 144H.16, subdivision 2, or 626.556.<br />
         		<br />
         		<a id="bill.10.54.0"></a><a id="pl.402.7"></a><var>402.7</var>&#160;&#160;&#160;&#160;Sec. 54. <b>[144H.19] CLOSING A PPEC CENTER.</b><br />
         		<a id="pl.402.8"></a><var>402.8</var>When a PPEC center voluntarily closes, it must, at least 30 days before closure, inform
         <br />
         		<a id="pl.402.9"></a><var>402.9</var>each child's parents or guardians of the closure and when the closure will occur.<br />
         		<br />
         		<a id="bill.10.55.0"></a><a id="pl.402.10"></a><var>402.10</var>&#160;&#160;&#160;&#160;Sec. 55. <b>[144H.20] PHYSICAL ENVIRONMENT.</b><br />
         		<a id="pl.402.11"></a><var>402.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General requirements.</b> A PPEC center shall conform with or exceed <br />
         		<a id="pl.402.12"></a><var>402.12</var>the physical environment requirements in this section and the physical environment
         <br />
         		<a id="pl.402.13"></a><var>402.13</var>requirements for day care facilities in Minnesota Rules, part 9502.0425. If the physical
         <br />
         		<a id="pl.402.14"></a><var>402.14</var>environment requirements in this section differ from the physical environment requirements
         <br />
         		<a id="pl.402.15"></a><var>402.15</var>for day care facilities in Minnesota Rules, part 9502.0425, the requirements in this
         section <br />
         		<a id="pl.402.16"></a><var>402.16</var>shall prevail. A PPEC center must have sufficient indoor and outdoor space to accommodate
         <br />
         		<a id="pl.402.17"></a><var>402.17</var>at least six medically complex or technologically dependent children.<br />
         		<a id="pl.402.18"></a><var>402.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Specific requirements.</b> (a) The entrance to a PPEC center must be barrier-free, <br />
         		<a id="pl.402.19"></a><var>402.19</var>have a wheelchair ramp, provide for traffic flow with a driveway area for entering
         and <br />
         		<a id="pl.402.20"></a><var>402.20</var>exiting, and have storage space for supplies from home.<br />
         		<a id="pl.402.21"></a><var>402.21</var>(b) A PPEC center must have a treatment room with a medication preparation area. The
         <br />
         		<a id="pl.402.22"></a><var>402.22</var>medication preparation area must contain a work counter, refrigerator, sink with hot
         and <br />
         		<a id="pl.402.23"></a><var>402.23</var>cold running water, and locked storage for biologicals and prescription drugs.<br />
         		<a id="pl.402.24"></a><var>402.24</var>(c) A PPEC center must develop isolation procedures to prevent cross-infections and
         <br />
         		<a id="pl.402.25"></a><var>402.25</var>must have an isolation room with at least one glass area for observation of a child
         in the <br />
         		<a id="pl.402.26"></a><var>402.26</var>isolation room. The isolation room must be at least 100 square feet in size.<br />
         		<a id="pl.402.27"></a><var>402.27</var>(d) A PPEC center must have:<br />
         		<a id="pl.402.28"></a><var>402.28</var>(1) an outdoor play space adjacent to the center of at least 35 square feet per child
         in <br />
         		<a id="pl.402.29"></a><var>402.29</var>attendance at the center, for regular use; or<br />
         		<a id="pl.402.30"></a><var>402.30</var>(2) a park, playground, or play space within 1,500 feet of the center.<br />
         		<a id="pl.403.1"></a><var>403.1</var>(e) A PPEC center must have at least 50 square feet of usable indoor space per child
         in <br />
         		<a id="pl.403.2"></a><var>403.2</var>attendance at the center.<br />
         		<a id="pl.403.3"></a><var>403.3</var>(f) Notwithstanding the Minnesota State Building Code and the Minnesota State Fire
         <br />
         		<a id="pl.403.4"></a><var>403.4</var>Code, a new construction PPEC center or an existing building converted into a PPEC
         center <br />
         		<a id="pl.403.5"></a><var>403.5</var>must meet the requirements of the International Building Code in Minnesota Rules,
         chapter <br />
         		<a id="pl.403.6"></a><var>403.6</var>1305, for:<br />
         		<a id="pl.403.7"></a><var>403.7</var>(1) Group R, Division 4 occupancy, if serving 12 or fewer children; or<br />
         		<a id="pl.403.8"></a><var>403.8</var>(2) Group E, Division 4 occupancy or Group I, Division 4 occupancy, if serving 13
         or <br />
         		<a id="pl.403.9"></a><var>403.9</var>more children.<br />
         		<br />
         		<a id="bill.10.56.0"></a><a id="pl.403.10"></a><var>403.10</var>&#160;&#160;&#160;&#160;Sec. 56. Minnesota Statutes 2016, section 145.4131, subdivision 1, is amended to read:<br />
         		<a id="pl.403.11"></a><var>403.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Forms.</b> (a) Within 90 days of July 1, 1998, the commissioner shall prepare <br />
         		<a id="pl.403.12"></a><var>403.12</var>a reporting form for use by physicians or facilities performing abortions. A copy
         of this <br />
         		<a id="pl.403.13"></a><var>403.13</var>section shall be attached to the form. A physician or facility performing an abortion
         shall <br />
         		<a id="pl.403.14"></a><var>403.14</var>obtain a form from the commissioner.<br />
         		<a id="pl.403.15"></a><var>403.15</var>&#160;&#160;&#160;&#160;(b) The form shall require the following information:<br />
         		<a id="pl.403.16"></a><var>403.16</var>&#160;&#160;&#160;&#160;(1) the number of abortions performed by the physician in the previous calendar year,
         <br />
         		<a id="pl.403.17"></a><var>403.17</var>reported by month;<br />
         		<a id="pl.403.18"></a><var>403.18</var>&#160;&#160;&#160;&#160;(2) the method used for each abortion;<br />
         		<a id="pl.403.19"></a><var>403.19</var>&#160;&#160;&#160;&#160;(3) the approximate gestational age expressed in one of the following increments:<br />
         		<a id="pl.403.20"></a><var>403.20</var>&#160;&#160;&#160;&#160;(i) less than nine weeks;<br />
         		<a id="pl.403.21"></a><var>403.21</var>&#160;&#160;&#160;&#160;(ii) nine to ten weeks;<br />
         		<a id="pl.403.22"></a><var>403.22</var>&#160;&#160;&#160;&#160;(iii) 11 to 12 weeks;<br />
         		<a id="pl.403.23"></a><var>403.23</var>&#160;&#160;&#160;&#160;(iv) 13 to 15 weeks;<br />
         		<a id="pl.403.24"></a><var>403.24</var>&#160;&#160;&#160;&#160;(v) 16 to 20 weeks;<br />
         		<a id="pl.403.25"></a><var>403.25</var>&#160;&#160;&#160;&#160;(vi) 21 to 24 weeks;<br />
         		<a id="pl.403.26"></a><var>403.26</var>&#160;&#160;&#160;&#160;(vii) 25 to 30 weeks;<br />
         		<a id="pl.403.27"></a><var>403.27</var>&#160;&#160;&#160;&#160;(viii) 31 to 36 weeks; or<br />
         		<a id="pl.403.28"></a><var>403.28</var>&#160;&#160;&#160;&#160;(ix) 37 weeks to term;<br />
         		<a id="pl.403.29"></a><var>403.29</var>&#160;&#160;&#160;&#160;(4) the age of the woman at the time the abortion was performed;<br />
         		<a id="pl.404.1"></a><var>404.1</var>&#160;&#160;&#160;&#160;(5) the specific reason for the abortion, including, but not limited to, the following:<br />
         		<a id="pl.404.2"></a><var>404.2</var>&#160;&#160;&#160;&#160;(i) the pregnancy was a result of rape;<br />
         		<a id="pl.404.3"></a><var>404.3</var>&#160;&#160;&#160;&#160;(ii) the pregnancy was a result of incest;<br />
         		<a id="pl.404.4"></a><var>404.4</var>&#160;&#160;&#160;&#160;(iii) economic reasons;<br />
         		<a id="pl.404.5"></a><var>404.5</var>&#160;&#160;&#160;&#160;(iv) the woman does not want children at this time;<br />
         		<a id="pl.404.6"></a><var>404.6</var>&#160;&#160;&#160;&#160;(v) the woman's emotional health is at stake;<br />
         		<a id="pl.404.7"></a><var>404.7</var>&#160;&#160;&#160;&#160;(vi) the woman's physical health is at stake;<br />
         		<a id="pl.404.8"></a><var>404.8</var>&#160;&#160;&#160;&#160;(vii) the woman will suffer substantial and irreversible impairment of a major bodily
         <br />
         		<a id="pl.404.9"></a><var>404.9</var>function if the pregnancy continues;<br />
         		<a id="pl.404.10"></a><var>404.10</var>&#160;&#160;&#160;&#160;(viii) the pregnancy resulted in fetal anomalies; or<br />
         		<a id="pl.404.11"></a><var>404.11</var>&#160;&#160;&#160;&#160;(ix) unknown or the woman refused to answer;<br />
         		<a id="pl.404.12"></a><var>404.12</var>&#160;&#160;&#160;&#160;(6) the number of prior induced abortions;<br />
         		<a id="pl.404.13"></a><var>404.13</var>&#160;&#160;&#160;&#160;(7) the number of prior spontaneous abortions;<br />
         		<a id="pl.404.14"></a><var>404.14</var>&#160;&#160;&#160;&#160;(8) whether the abortion was paid for by:<br />
         		<a id="pl.404.15"></a><var>404.15</var>&#160;&#160;&#160;&#160;(i) private coverage;<br />
         		<a id="pl.404.16"></a><var>404.16</var>&#160;&#160;&#160;&#160;(ii) public assistance health coverage; or<br />
         		<a id="pl.404.17"></a><var>404.17</var>&#160;&#160;&#160;&#160;(iii) self-pay;<br />
         		<a id="pl.404.18"></a><var>404.18</var>&#160;&#160;&#160;&#160;(9) whether coverage was under:<br />
         		<a id="pl.404.19"></a><var>404.19</var>&#160;&#160;&#160;&#160;(i) a fee-for-service plan;<br />
         		<a id="pl.404.20"></a><var>404.20</var>&#160;&#160;&#160;&#160;(ii) a capitated private plan; or<br />
         		<a id="pl.404.21"></a><var>404.21</var>&#160;&#160;&#160;&#160;(iii) other;<br />
         		<a id="pl.404.22"></a><var>404.22</var>&#160;&#160;&#160;&#160;(10) complications, if any, for each abortion and for the aftermath of each abortion.
         <br />
         		<a id="pl.404.23"></a><var>404.23</var>Space for a description of any complications shall be available on the form;<br />
         		<a id="pl.404.24"></a><var>404.24</var>&#160;&#160;&#160;&#160;(11) the medical specialty of the physician performing the abortion; and<br />
         		<a id="pl.404.25"></a><var>404.25</var>&#160;&#160;&#160;&#160;(12) if the abortion was performed via telemedicine, the facility code for the patient
         and <br />
         		<a id="pl.404.26"></a><var>404.26</var>the facility code for the physician; and<br />
         		<a id="pl.404.27"></a><var>404.27</var>&#160;&#160;&#160;&#160;(12) (13) whether the abortion resulted in a born alive infant, as defined in section <br />
         		
         <statute_ref><a id="pl.404.28"></a><var>404.28</var>145.423, subdivision 4
         </statute_ref>, and:<br />
         		<a id="pl.405.1"></a><var>405.1</var>&#160;&#160;&#160;&#160;(i) any medical actions taken to preserve the life of the born alive infant;<br />
         		<a id="pl.405.2"></a><var>405.2</var>&#160;&#160;&#160;&#160;(ii) whether the born alive infant survived; and<br />
         		<a id="pl.405.3"></a><var>405.3</var>&#160;&#160;&#160;&#160;(iii) the status of the born alive infant, should the infant survive, if known.<br />
         		<a id="pl.405.4"></a><var>405.4</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.10.57.0"></a><a id="pl.405.5"></a><var>405.5</var>&#160;&#160;&#160;&#160;Sec. 57. Minnesota Statutes 2016, section 145.4716, subdivision 2, is amended to read:<br />
         		<a id="pl.405.6"></a><var>405.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Duties of director.</b> The director of child sex trafficking prevention is responsible <br />
         		<a id="pl.405.7"></a><var>405.7</var>for the following:<br />
         		<a id="pl.405.8"></a><var>405.8</var>&#160;&#160;&#160;&#160;(1) developing and providing comprehensive training on sexual exploitation of youth
         <br />
         		<a id="pl.405.9"></a><var>405.9</var>for social service professionals, medical professionals, public health workers, and
         criminal <br />
         		<a id="pl.405.10"></a><var>405.10</var>justice professionals;<br />
         		<a id="pl.405.11"></a><var>405.11</var>&#160;&#160;&#160;&#160;(2) collecting, organizing, maintaining, and disseminating information on sexual <br />
         		<a id="pl.405.12"></a><var>405.12</var>exploitation and services across the state, including maintaining a list of resources
         on the <br />
         		<a id="pl.405.13"></a><var>405.13</var>Department of Health Web site;<br />
         		<a id="pl.405.14"></a><var>405.14</var>&#160;&#160;&#160;&#160;(3) monitoring and applying for federal funding for antitrafficking efforts that may
         <br />
         		<a id="pl.405.15"></a><var>405.15</var>benefit victims in the state;<br />
         		<a id="pl.405.16"></a><var>405.16</var>&#160;&#160;&#160;&#160;(4) managing grant programs established under sections 
         <statute_ref>145.4716</statute_ref> to 
         <statute_ref>145.4718</statute_ref>, and; <br />
         		
         <statute_ref><a id="pl.405.17"></a><var>405.17</var>609.3241
         </statute_ref>, paragraph (c), clause (3); and 609.5315, subdivision 5c, clause (3);<br />
         		<a id="pl.405.18"></a><var>405.18</var>&#160;&#160;&#160;&#160;(5) managing the request for proposals for grants for comprehensive services, including
         <br />
         		<a id="pl.405.19"></a><var>405.19</var>trauma-informed, culturally specific services;<br />
         		<a id="pl.405.20"></a><var>405.20</var>&#160;&#160;&#160;&#160;(6) identifying best practices in serving sexually exploited youth, as defined in
         section <br />
         		
         <statute_ref><a id="pl.405.21"></a><var>405.21</var>260C.007, subdivision 31
         </statute_ref>;<br />
         		<a id="pl.405.22"></a><var>405.22</var>&#160;&#160;&#160;&#160;(7) providing oversight of and technical support to regional navigators pursuant to
         section <br />
         		
         <statute_ref><a id="pl.405.23"></a><var>405.23</var>145.4717
         </statute_ref>;<br />
         		<a id="pl.405.24"></a><var>405.24</var>&#160;&#160;&#160;&#160;(8) conducting a comprehensive evaluation of the statewide program for safe harbor
         of <br />
         		<a id="pl.405.25"></a><var>405.25</var>sexually exploited youth; and<br />
         		<a id="pl.405.26"></a><var>405.26</var>&#160;&#160;&#160;&#160;(9) developing a policy consistent with the requirements of chapter 13 for sharing
         data <br />
         		<a id="pl.405.27"></a><var>405.27</var>related to sexually exploited youth, as defined in section 
         <statute_ref>260C.007, subdivision 31</statute_ref>, among <br />
         		<a id="pl.405.28"></a><var>405.28</var>regional navigators and community-based advocates.<br />
         		<br />
         		<a id="bill.10.58.0"></a><a id="pl.406.1"></a><var>406.1</var>&#160;&#160;&#160;&#160;Sec. 58. <b>[145.9263] OPIOID PRESCRIBER EDUCATION AND PUBLIC </b><br />
         		<a id="pl.406.2"></a><var>406.2</var><b>AWARENESS GRANTS.</b><br />
         		<a id="pl.406.3"></a><var>406.3</var>The commissioner of health, in coordination with the commissioner of human services,
         <br />
         		<a id="pl.406.4"></a><var>406.4</var>shall award grants to nonprofit organizations for the purpose of expanding prescriber
         <br />
         		<a id="pl.406.5"></a><var>406.5</var>education, public awareness and outreach on the opioid epidemic and overdose prevention
         <br />
         		<a id="pl.406.6"></a><var>406.6</var>programs. The grantees must coordinate with health care systems, professional associations,
         <br />
         		<a id="pl.406.7"></a><var>406.7</var>and emergency medical services providers. Each grantee receiving funds under this
         section <br />
         		<a id="pl.406.8"></a><var>406.8</var>shall report to the commissioner on how the funds were spent and the outcomes achieved.<br />
         		<br />
         		<a id="bill.10.59.0"></a><a id="pl.406.9"></a><var>406.9</var>&#160;&#160;&#160;&#160;Sec. 59. Minnesota Statutes 2016, section 145.928, subdivision 13, is amended to read:<br />
         		<a id="pl.406.10"></a><var>406.10</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Reports.</b> (a) The commissioner shall submit a biennial report to the legislature <br />
         		<a id="pl.406.11"></a><var>406.11</var>on the local community projects, tribal government, and community health board prevention
         <br />
         		<a id="pl.406.12"></a><var>406.12</var>activities funded under this section. These reports must include information on grant
         <br />
         		<a id="pl.406.13"></a><var>406.13</var>recipients, activities that were conducted using grant funds, evaluation data, and
         outcome <br />
         		<a id="pl.406.14"></a><var>406.14</var>measures, if available. These reports are due by January 15 of every other year, beginning
         <br />
         		<a id="pl.406.15"></a><var>406.15</var>in the year 2003.<br />
         		<a id="pl.406.16"></a><var>406.16</var>(b) The commissioner shall release an annual report to the public and submit an the <br />
         		<a id="pl.406.17"></a><var>406.17</var>annual report to the chairs and ranking minority members of the house of representatives
         <br />
         		<a id="pl.406.18"></a><var>406.18</var>and senate committees with jurisdiction over public health on grants made under subdivision
         <br />
         		<a id="pl.406.19"></a><var>406.19</var>7 to decrease racial and ethnic disparities in infant mortality rates. The report
         must provide <br />
         		<a id="pl.406.20"></a><var>406.20</var>specific information on the amount of each grant awarded to each agency or organization, <br />
         		<a id="pl.406.21"></a><var>406.21</var>an itemized list submitted to the commissioner by each agency or organization awarded
         a <br />
         		<a id="pl.406.22"></a><var>406.22</var>grant specifying all uses of grant funds and the amount expended for each use, the population <br />
         		<a id="pl.406.23"></a><var>406.23</var>served by each agency or organization, outcomes of the programs funded by each grant,
         <br />
         		<a id="pl.406.24"></a><var>406.24</var>and the amount of the appropriation retained by the commissioner for administrative
         and <br />
         		<a id="pl.406.25"></a><var>406.25</var>associated expenses. The commissioner shall issue a report each January 15 for the
         previous <br />
         		<a id="pl.406.26"></a><var>406.26</var>fiscal year beginning January 15, 2016.<br />
         		<br />
         		<a id="bill.10.60.0"></a><a id="pl.406.27"></a><var>406.27</var>&#160;&#160;&#160;&#160;Sec. 60. Minnesota Statutes 2016, section 145.986, subdivision 1a, is amended to read:<br />
         		<a id="pl.406.28"></a><var>406.28</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Grants to local communities.</b> (a) Beginning July 1, 2009, the commissioner <br />
         		<a id="pl.406.29"></a><var>406.29</var>of health shall award competitive grants to community health boards and tribal governments
         <br />
         		<a id="pl.406.30"></a><var>406.30</var>to convene, coordinate, and implement evidence-based strategies targeted at reducing
         the <br />
         		<a id="pl.406.31"></a><var>406.31</var>percentage of Minnesotans who are obese or overweight and to reduce the use of tobacco.
         <br />
         		<a id="pl.406.32"></a><var>406.32</var>Grants shall be awarded to all community health boards and tribal governments whose
         <br />
         		<a id="pl.407.1"></a><var>407.1</var>proposals demonstrate the ability to implement programs designed to achieve the purposes
         <br />
         		<a id="pl.407.2"></a><var>407.2</var>in subdivision 1 and other requirements of this section.<br />
         		<a id="pl.407.3"></a><var>407.3</var>&#160;&#160;&#160;&#160;(b) Grantee activities shall:<br />
         		<a id="pl.407.4"></a><var>407.4</var>&#160;&#160;&#160;&#160;(1) be based on scientific evidence;<br />
         		<a id="pl.407.5"></a><var>407.5</var>&#160;&#160;&#160;&#160;(2) be based on community input;<br />
         		<a id="pl.407.6"></a><var>407.6</var>&#160;&#160;&#160;&#160;(3) address behavior change at the individual, community, and systems levels;<br />
         		<a id="pl.407.7"></a><var>407.7</var>&#160;&#160;&#160;&#160;(4) occur in community, school, work site, and health care settings;<br />
         		<a id="pl.407.8"></a><var>407.8</var>&#160;&#160;&#160;&#160;(5) be focused on policy, systems, and environmental changes that support healthy
         <br />
         		<a id="pl.407.9"></a><var>407.9</var>behaviors; and<br />
         		<a id="pl.407.10"></a><var>407.10</var>(6) address the health disparities and inequities that exist in the grantee's community.<br />
         		<a id="pl.407.11"></a><var>407.11</var>&#160;&#160;&#160;&#160;(c) To receive a grant under this section, community health boards and tribal governments
         <br />
         		<a id="pl.407.12"></a><var>407.12</var>must submit proposals to the commissioner. A local match of ten percent of the total
         funding <br />
         		<a id="pl.407.13"></a><var>407.13</var>allocation is required. This local match may include funds donated by community partners.<br />
         		<a id="pl.407.14"></a><var>407.14</var>&#160;&#160;&#160;&#160;(d) In order to receive a grant, community health boards and tribal governments must
         <br />
         		<a id="pl.407.15"></a><var>407.15</var>submit a health improvement plan to the commissioner of health for approval. The <br />
         		<a id="pl.407.16"></a><var>407.16</var>commissioner may require the plan to identify a community leadership team, community
         <br />
         		<a id="pl.407.17"></a><var>407.17</var>partners, and a community action plan that includes an assessment of area strengths
         and <br />
         		<a id="pl.407.18"></a><var>407.18</var>needs, proposed action strategies, technical assistance needs, and a staffing plan.<br />
         		<a id="pl.407.19"></a><var>407.19</var>&#160;&#160;&#160;&#160;(e) The grant recipient must implement the health improvement plan, evaluate the <br />
         		<a id="pl.407.20"></a><var>407.20</var>effectiveness of the strategies, and modify or discontinue strategies found to be
         ineffective.<br />
         		<a id="pl.407.21"></a><var>407.21</var>&#160;&#160;&#160;&#160;(f) Grant recipients shall report their activities and their progress toward the outcomes
         <br />
         		<a id="pl.407.22"></a><var>407.22</var>established under subdivision 2 to the commissioner in a format and at a time specified
         by <br />
         		<a id="pl.407.23"></a><var>407.23</var>the commissioner.<br />
         		<a id="pl.407.24"></a><var>407.24</var>&#160;&#160;&#160;&#160;(g) All grant recipients shall be held accountable for making progress toward the
         <br />
         		<a id="pl.407.25"></a><var>407.25</var>measurable outcomes established in subdivision 2. The commissioner shall require a
         <br />
         		<a id="pl.407.26"></a><var>407.26</var>corrective action plan and may reduce the funding level of grant recipients that do
         not make <br />
         		<a id="pl.407.27"></a><var>407.27</var>adequate progress toward the measurable outcomes.<br />
         		<a id="pl.407.28"></a><var>407.28</var>(h) Beginning November 1, 2015, the commissioner shall offer grant recipients the
         <br />
         		<a id="pl.407.29"></a><var>407.29</var>option of using a grant awarded under this subdivision to implement health improvement
         <br />
         		<a id="pl.407.30"></a><var>407.30</var>strategies that improve the health status, delay the expression of dementia, or slow
         the <br />
         		<a id="pl.407.31"></a><var>407.31</var>progression of dementia, for a targeted population at risk for dementia and shall
         award at <br />
         		<a id="pl.407.32"></a><var>407.32</var>least two of the grants awarded on November 1, 2015, for these purposes. The grants
         must <br />
         		<a id="pl.408.1"></a><var>408.1</var>meet all other requirements of this section. The commissioner shall coordinate grant
         planning <br />
         		<a id="pl.408.2"></a><var>408.2</var>activities with the commissioner of human services, the Minnesota Board on Aging,
         and <br />
         		<a id="pl.408.3"></a><var>408.3</var>community-based organizations with a focus on dementia. Each grant must include selected
         <br />
         		<a id="pl.408.4"></a><var>408.4</var>outcomes and evaluation measures related to the incidence or progression of dementia
         <br />
         		<a id="pl.408.5"></a><var>408.5</var>among the targeted population using the procedure described in subdivision 2.<br />
         		<a id="pl.408.6"></a><var>408.6</var>(i) Beginning July 1, 2017, the commissioner shall offer grant recipients the option
         of <br />
         		<a id="pl.408.7"></a><var>408.7</var>using a grant awarded under this subdivision to confront the opioid addiction and
         overdose <br />
         		<a id="pl.408.8"></a><var>408.8</var>epidemic, and shall award at least two of the grants awarded on or after July 1, 2017,
         for <br />
         		<a id="pl.408.9"></a><var>408.9</var>these purposes. The grants awarded under this paragraph must meet all other requirements
         <br />
         		<a id="pl.408.10"></a><var>408.10</var>of this section. The commissioner shall coordinate grant planning activities with
         the <br />
         		<a id="pl.408.11"></a><var>408.11</var>commissioner of human services. Each grant shall include selected outcomes and evaluation
         <br />
         		<a id="pl.408.12"></a><var>408.12</var>measures related to addressing the opioid epidemic.<br />
         		<br />
         		<a id="bill.10.61.0"></a><a id="pl.408.13"></a><var>408.13</var>&#160;&#160;&#160;&#160;Sec. 61. Minnesota Statutes 2016, section 148.5194, subdivision 7, is amended to read:<br />
         		<a id="pl.408.14"></a><var>408.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Audiologist biennial licensure fee.</b> (a) The licensure fee for initial applicants <br />
         		<a id="pl.408.15"></a><var>408.15</var>is $435. The biennial licensure fee for audiologists for clinical fellowship, doctoral externship,
         <br />
         		<a id="pl.408.16"></a><var>408.16</var>temporary, initial applicants, and renewal licensees licenses is $435.<br />
         		<a id="pl.408.17"></a><var>408.17</var>(b) The audiologist fee is for practical examination costs greater than audiologist
         exam <br />
         		<a id="pl.408.18"></a><var>408.18</var>fee receipts and for complaint investigation, enforcement action, and consumer information
         <br />
         		<a id="pl.408.19"></a><var>408.19</var>and assistance expenditures related to hearing instrument dispensing.<br />
         		<br />
         		<a id="bill.10.62.0"></a><a id="pl.408.20"></a><var>408.20</var>&#160;&#160;&#160;&#160;Sec. 62. Minnesota Statutes 2016, section 152.25, subdivision 1, is amended to read:<br />
         		<a id="pl.408.21"></a><var>408.21</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Medical cannabis manufacturer registration.</b> (a) The commissioner <br />
         		<a id="pl.408.22"></a><var>408.22</var>shall register two in-state manufacturers for the production of all medical cannabis
         within <br />
         		<a id="pl.408.23"></a><var>408.23</var>the state by December 1, 2014, unless the commissioner obtains an adequate supply
         of <br />
         		<a id="pl.408.24"></a><var>408.24</var>federally sourced medical cannabis by August 1, 2014. The commissioner shall register
         <br />
         		<a id="pl.408.25"></a><var>408.25</var>new manufacturers or reregister the existing manufacturers by December 1 every two
         years, <br />
         		<a id="pl.408.26"></a><var>408.26</var>using the factors described in paragraph paragraphs (c) and (d). The commissioner shall <br />
         		<a id="pl.408.27"></a><var>408.27</var>continue to accept applications after December 1, 2014, if two manufacturers that
         meet the <br />
         		<a id="pl.408.28"></a><var>408.28</var>qualifications set forth in this subdivision do not apply before December 1, 2014.
         The <br />
         		<a id="pl.408.29"></a><var>408.29</var>commissioner's determination that no manufacturer exists to fulfill the duties under
         sections <br />
         		
         <statute_ref><a id="pl.408.30"></a><var>408.30</var>152.22
         </statute_ref> to 
         <statute_ref>152.37</statute_ref> is subject to judicial review in Ramsey County District Court. Data <br />
         		<a id="pl.408.31"></a><var>408.31</var>submitted during the application process are private data on individuals or nonpublic
         data <br />
         		<a id="pl.408.32"></a><var>408.32</var>as defined in section 
         <statute_ref>13.02</statute_ref> until the manufacturer is registered under this section. Data on <br />
         		<a id="pl.409.1"></a><var>409.1</var>a manufacturer that is registered are public data, unless the data are trade secret
         or security <br />
         		<a id="pl.409.2"></a><var>409.2</var>information under section 
         <statute_ref>13.37</statute_ref>.<br />
         		<a id="pl.409.3"></a><var>409.3</var>(b) As a condition for registration, a manufacturer must agree to:<br />
         		<a id="pl.409.4"></a><var>409.4</var>(1) begin supplying medical cannabis to patients by July 1, 2015; and<br />
         		<a id="pl.409.5"></a><var>409.5</var>(2) comply with all requirements under sections 
         <statute_ref>152.22</statute_ref> to 
         <statute_ref>152.37</statute_ref>.<br />
         		<a id="pl.409.6"></a><var>409.6</var>(c) The commissioner shall consider the following factors when determining which <br />
         		<a id="pl.409.7"></a><var>409.7</var>manufacturer to register:<br />
         		<a id="pl.409.8"></a><var>409.8</var>(1) the technical expertise of the manufacturer in cultivating medical cannabis and
         <br />
         		<a id="pl.409.9"></a><var>409.9</var>converting the medical cannabis into an acceptable delivery method under section 
         <statute_ref>152.22</statute_ref>, <br />
         		<a id="pl.409.10"></a><var>409.10</var>subdivision 6;<br />
         		<a id="pl.409.11"></a><var>409.11</var>(2) the qualifications of the manufacturer's employees;<br />
         		<a id="pl.409.12"></a><var>409.12</var>(3) the long-term financial stability of the manufacturer;<br />
         		<a id="pl.409.13"></a><var>409.13</var>(4) the ability to provide appropriate security measures on the premises of the <br />
         		<a id="pl.409.14"></a><var>409.14</var>manufacturer;<br />
         		<a id="pl.409.15"></a><var>409.15</var>(5) whether the manufacturer has demonstrated an ability to meet the medical cannabis
         <br />
         		<a id="pl.409.16"></a><var>409.16</var>production needs required by sections 
         <statute_ref>152.22</statute_ref> to 
         <statute_ref>152.37</statute_ref>; and<br />
         		<a id="pl.409.17"></a><var>409.17</var>(6) the manufacturer's projection and ongoing assessment of fees on patients with
         a <br />
         		<a id="pl.409.18"></a><var>409.18</var>qualifying medical condition.<br />
         		<a id="pl.409.19"></a><var>409.19</var>(d) The commissioner shall not renew the registration of an existing manufacturer
         if an <br />
         		<a id="pl.409.20"></a><var>409.20</var>officer, director, or controlling person of the manufacturer pleads or is found guilty
         of <br />
         		<a id="pl.409.21"></a><var>409.21</var>intentionally diverting medical cannabis to a person other than allowed by law under
         section <br />
         		<a id="pl.409.22"></a><var>409.22</var>152.33, subdivision 1, provided the violation occurred while the person was an officer,
         <br />
         		<a id="pl.409.23"></a><var>409.23</var>director, or controlling person of the manufacturer.<br />
         		<a id="pl.409.24"></a><var>409.24</var>(d) (e) The commissioner shall require each medical cannabis manufacturer to contract <br />
         		<a id="pl.409.25"></a><var>409.25</var>with an independent laboratory to test medical cannabis produced by the manufacturer.
         The <br />
         		<a id="pl.409.26"></a><var>409.26</var>commissioner shall approve the laboratory chosen by each manufacturer and require
         that <br />
         		<a id="pl.409.27"></a><var>409.27</var>the laboratory report testing results to the manufacturer in a manner determined by
         the <br />
         		<a id="pl.409.28"></a><var>409.28</var>commissioner.<br />
         		<a id="pl.409.29"></a><var>409.29</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.63.0"></a><a id="pl.410.1"></a><var>410.1</var>&#160;&#160;&#160;&#160;Sec. 63. Minnesota Statutes 2016, section 152.25, is amended by adding a subdivision to <br />
         		<a id="pl.410.2"></a><var>410.2</var>read:<br />
         		<a id="pl.410.3"></a><var>410.3</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Revocation, nonrenewal, or denial of consent to transfer a medical cannabis </b><br />
         		<a id="pl.410.4"></a><var>410.4</var><b>manufacturer registration.</b> If the commissioner intends to revoke, not renew, or deny <br />
         		<a id="pl.410.5"></a><var>410.5</var>consent to transfer a registration issued under this section, the commissioner must
         first notify <br />
         		<a id="pl.410.6"></a><var>410.6</var>in writing the manufacturer against whom the action is to be taken and provide the
         <br />
         		<a id="pl.410.7"></a><var>410.7</var>manufacturer with an opportunity to request a hearing under the contested case provisions
         <br />
         		<a id="pl.410.8"></a><var>410.8</var>of chapter 14. If the manufacturer does not request a hearing by notifying the commissioner
         <br />
         		<a id="pl.410.9"></a><var>410.9</var>in writing within 20 days after receipt of the notice of proposed action, the commissioner
         <br />
         		<a id="pl.410.10"></a><var>410.10</var>may proceed with the action without a hearing. For revocations, the registration of
         a <br />
         		<a id="pl.410.11"></a><var>410.11</var>manufacturer is considered revoked on the date specified in the commissioner's written
         <br />
         		<a id="pl.410.12"></a><var>410.12</var>notice of revocation.<br />
         		<a id="pl.410.13"></a><var>410.13</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.64.0"></a><a id="pl.410.14"></a><var>410.14</var>&#160;&#160;&#160;&#160;Sec. 64. Minnesota Statutes 2016, section 152.25, is amended by adding a subdivision to <br />
         		<a id="pl.410.15"></a><var>410.15</var>read:<br />
         		<a id="pl.410.16"></a><var>410.16</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Temporary suspension proceedings.</b> The commissioner may institute <br />
         		<a id="pl.410.17"></a><var>410.17</var>proceedings to temporarily suspend the registration of a medical cannabis manufacturer
         for <br />
         		<a id="pl.410.18"></a><var>410.18</var>a period of up to 90 days by notifying the manufacturer in writing if any action by
         an officer, <br />
         		<a id="pl.410.19"></a><var>410.19</var>director, or controlling person of the manufacturer:<br />
         		<a id="pl.410.20"></a><var>410.20</var>(1) violates any of the requirements of sections 152.21 to 152.37 or the rules adopted
         <br />
         		<a id="pl.410.21"></a><var>410.21</var>thereunder;<br />
         		<a id="pl.410.22"></a><var>410.22</var>(2) permits, aids, or abets the commission of any violation of state law at the <br />
         		<a id="pl.410.23"></a><var>410.23</var>manufacturer's location for cultivation, harvesting, manufacturing, packaging, and
         processing <br />
         		<a id="pl.410.24"></a><var>410.24</var>or at any site for distribution of medical cannabis;<br />
         		<a id="pl.410.25"></a><var>410.25</var>(3) performs any act contrary to the welfare of a patient or registered designated
         caregiver; <br />
         		<a id="pl.410.26"></a><var>410.26</var>or<br />
         		<a id="pl.410.27"></a><var>410.27</var>(4) obtains, or attempts to obtain, a registration by fraudulent means or misrepresentation.<br />
         		<a id="pl.410.28"></a><var>410.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.65.0"></a><a id="pl.411.1"></a><var>411.1</var>&#160;&#160;&#160;&#160;Sec. 65. Minnesota Statutes 2016, section 152.25, is amended by adding a subdivision to <br />
         		<a id="pl.411.2"></a><var>411.2</var>read:<br />
         		<a id="pl.411.3"></a><var>411.3</var>&#160;&#160;&#160;&#160;Subd. 1c. <b>Notice to patients.</b> Upon the revocation or nonrenewal of a manufacturer's <br />
         		<a id="pl.411.4"></a><var>411.4</var>registration under subdivision 1a or temporary suspension under subdivision 1b, the
         <br />
         		<a id="pl.411.5"></a><var>411.5</var>commissioner shall notify in writing each patient and the patient's registered designated
         <br />
         		<a id="pl.411.6"></a><var>411.6</var>caregiver or registered parent or legal guardian about the outcome of the proceeding
         and <br />
         		<a id="pl.411.7"></a><var>411.7</var>information regarding alternative registered manufacturers. This notice must be provided
         <br />
         		<a id="pl.411.8"></a><var>411.8</var>two or more business days prior to the effective date of the revocation, nonrenewal,
         or <br />
         		<a id="pl.411.9"></a><var>411.9</var>suspension.<br />
         		<a id="pl.411.10"></a><var>411.10</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.66.0"></a><a id="pl.411.11"></a><var>411.11</var>&#160;&#160;&#160;&#160;Sec. 66. Minnesota Statutes 2016, section 152.33, is amended by adding a subdivision to <br />
         		<a id="pl.411.12"></a><var>411.12</var>read:<br />
         		<a id="pl.411.13"></a><var>411.13</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Intentional diversion outside the state; penalties.</b> In addition to any other <br />
         		<a id="pl.411.14"></a><var>411.14</var>applicable penalty in law, the commissioner shall levy a fine of $500,000 against
         a <br />
         		<a id="pl.411.15"></a><var>411.15</var>manufacturer and immediately initiate proceedings to revoke the manufacturer's registration,
         <br />
         		<a id="pl.411.16"></a><var>411.16</var>using the procedure in section 152.25, subdivision 1a, if:<br />
         		<a id="pl.411.17"></a><var>411.17</var>(1) an officer, director, or controlling person of the manufacturer pleads or is found
         <br />
         		<a id="pl.411.18"></a><var>411.18</var>guilty under subdivision 1 of intentionally transferring medical cannabis, while the
         person <br />
         		<a id="pl.411.19"></a><var>411.19</var>was an officer, director, or controlling person of the manufacturer, to a person other
         than <br />
         		<a id="pl.411.20"></a><var>411.20</var>allowed by law; and<br />
         		<a id="pl.411.21"></a><var>411.21</var>(2) in intentionally transferring medical cannabis to a person other than allowed
         by law, <br />
         		<a id="pl.411.22"></a><var>411.22</var>the officer, director, or controlling person transported or directed the transport
         of medical <br />
         		<a id="pl.411.23"></a><var>411.23</var>cannabis outside of Minnesota.<br />
         		<a id="pl.411.24"></a><var>411.24</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment, and <br />
         		<a id="pl.411.25"></a><var>411.25</var>applies to crimes committed on or after that date.<br />
         		<br />
         		<a id="bill.10.67.0"></a><a id="pl.411.26"></a><var>411.26</var>&#160;&#160;&#160;&#160;Sec. 67. Minnesota Statutes 2016, section 157.16, subdivision 1, is amended to read:<br />
         		<a id="pl.411.27"></a><var>411.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>License required annually.</b> A license is required annually for every <br />
         		<a id="pl.411.28"></a><var>411.28</var>person, firm, or corporation engaged in the business of conducting a food and beverage
         <br />
         		<a id="pl.411.29"></a><var>411.29</var>service establishment, youth camp, hotel, motel, lodging establishment, public pool,
         or <br />
         		<a id="pl.411.30"></a><var>411.30</var>resort. Any person wishing to operate a place of business licensed in this section
         shall first <br />
         		<a id="pl.411.31"></a><var>411.31</var>make application, pay the required fee specified in this section, and receive approval
         for <br />
         		<a id="pl.411.32"></a><var>411.32</var>operation, including plan review approval. Special event food stands are not required
         to <br />
         		<a id="pl.412.1"></a><var>412.1</var>submit plans. Nonprofit organizations operating a special event food stand with multiple
         <br />
         		<a id="pl.412.2"></a><var>412.2</var>locations at an annual one-day event shall be issued only one license. Application
         shall be <br />
         		<a id="pl.412.3"></a><var>412.3</var>made on forms provided by the commissioner and shall require the applicant to state
         the <br />
         		<a id="pl.412.4"></a><var>412.4</var>full name and address of the owner of the building, structure, or enclosure, the lessee
         and <br />
         		<a id="pl.412.5"></a><var>412.5</var>manager of the food and beverage service establishment, hotel, motel, lodging establishment,
         <br />
         		<a id="pl.412.6"></a><var>412.6</var>public pool, or resort; the name under which the business is to be conducted; and
         any other <br />
         		<a id="pl.412.7"></a><var>412.7</var>information as may be required by the commissioner to complete the application for
         license. <br />
         		<a id="pl.412.8"></a><var>412.8</var>All fees collected under this section shall be deposited in the state government special
         <br />
         		<a id="pl.412.9"></a><var>412.9</var>revenue fund.<br />
         		<br />
         		<a id="bill.10.68.0"></a><a id="pl.412.10"></a><var>412.10</var>&#160;&#160;&#160;&#160;Sec. 68. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision <br />
         		<a id="pl.412.11"></a><var>412.11</var>to read:<br />
         		<a id="pl.412.12"></a><var>412.12</var>&#160;&#160;&#160;&#160;Subd. 65. <b>Prescribed pediatric extended care centers.</b> Medical assistance covers <br />
         		<a id="pl.412.13"></a><var>412.13</var>services provided at a prescribed pediatric extended care center licensed under chapter
         <br />
         		<a id="pl.412.14"></a><var>412.14</var>144H, when the services are provided in accordance with this chapter.<br />
         		<a id="pl.412.15"></a><var>412.15</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.412.16"></a><var>412.16</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.10.69.0"></a><a id="pl.412.17"></a><var>412.17</var>&#160;&#160;&#160;&#160;Sec. 69. <b>[256B.7651] PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS.</b><br />
         		<a id="pl.412.18"></a><var>412.18</var>The commissioner shall set payment rates for services provided at prescribed pediatric
         <br />
         		<a id="pl.412.19"></a><var>412.19</var>extended care centers licensed under chapter 144H in one-hour increments, at a rate
         equal <br />
         		<a id="pl.412.20"></a><var>412.20</var>to 85 percent of the payment rate for one hour of complex home care nursing services.
         The <br />
         		<a id="pl.412.21"></a><var>412.21</var>payment rate shall include services provided by nursing staff and direct care staff
         specified <br />
         		<a id="pl.412.22"></a><var>412.22</var>in section 144H.11.<br />
         		<a id="pl.412.23"></a><var>412.23</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval. The commissioner <br />
         		<a id="pl.412.24"></a><var>412.24</var>of human services shall notify the revisor of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.10.70.0"></a><a id="pl.412.25"></a><var>412.25</var>&#160;&#160;&#160;&#160;Sec. 70. Minnesota Statutes 2016, section 327.15, subdivision 3, is amended to read:<br />
         		<a id="pl.412.26"></a><var>412.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Fees, manufactured home parks and recreational camping areas.</b> (a) The <br />
         		<a id="pl.412.27"></a><var>412.27</var>following fees are required for manufactured home parks and recreational camping areas
         <br />
         		<a id="pl.412.28"></a><var>412.28</var>licensed under this chapter. Fees collected under this section shall be deposited in the state <br />
         		<a id="pl.412.29"></a><var>412.29</var>government special revenue fund. Recreational camping areas and manufactured home <br />
         		<a id="pl.412.30"></a><var>412.30</var>parks shall pay the highest applicable base fee under paragraph (b). The license fee
         for new <br />
         		<a id="pl.412.31"></a><var>412.31</var>operators of a manufactured home park or recreational camping area previously licensed
         <br />
         		<a id="pl.412.32"></a><var>412.32</var>under this chapter for the same calendar year is one-half of the appropriate annual
         license <br />
         		<a id="pl.413.1"></a><var>413.1</var>fee, plus any penalty that may be required. The license fee for operators opening
         on or after <br />
         		<a id="pl.413.2"></a><var>413.2</var>October 1 is one-half of the appropriate annual license fee, plus any penalty that
         may be <br />
         		<a id="pl.413.3"></a><var>413.3</var>required.<br />
         		<a id="pl.413.4"></a><var>413.4</var>(b) All manufactured home parks and recreational camping areas shall pay the following
         <br />
         		<a id="pl.413.5"></a><var>413.5</var>annual base fee:<br />
         		<a id="pl.413.6"></a><var>413.6</var>(1) a manufactured home park, $150; and<br />
         		<a id="pl.413.7"></a><var>413.7</var>(2) a recreational camping area with:<br />
         		<a id="pl.413.8"></a><var>413.8</var>(i) 24 or less sites, $50;<br />
         		<a id="pl.413.9"></a><var>413.9</var>(ii) 25 to 99 sites, $212; and<br />
         		<a id="pl.413.10"></a><var>413.10</var>(iii) 100 or more sites, $300.<br />
         		<a id="pl.413.11"></a><var>413.11</var>In addition to the base fee, manufactured home parks and recreational camping areas
         shall <br />
         		<a id="pl.413.12"></a><var>413.12</var>pay $4 for each licensed site. This paragraph does not apply to special event recreational
         <br />
         		<a id="pl.413.13"></a><var>413.13</var>camping areas. Operators of a manufactured home park or a recreational camping area
         also <br />
         		<a id="pl.413.14"></a><var>413.14</var>licensed under section 
         <statute_ref>157.16</statute_ref> for the same location shall pay only one base fee, whichever <br />
         		<a id="pl.413.15"></a><var>413.15</var>is the highest of the base fees found in this section or section 
         <statute_ref>157.16</statute_ref>.<br />
         		<a id="pl.413.16"></a><var>413.16</var>(c) In addition to the fee in paragraph (b), each manufactured home park or recreational
         <br />
         		<a id="pl.413.17"></a><var>413.17</var>camping area shall pay an additional annual fee for each fee category specified in
         this <br />
         		<a id="pl.413.18"></a><var>413.18</var>paragraph:<br />
         		<a id="pl.413.19"></a><var>413.19</var>(1) Manufactured home parks and recreational camping areas with public swimming <br />
         		<a id="pl.413.20"></a><var>413.20</var>pools and spas shall pay the appropriate fees specified in section 
         <statute_ref>157.16</statute_ref>.<br />
         		<a id="pl.413.21"></a><var>413.21</var>(2) Individual private sewer or water, $60. "Individual private water" means a fee
         category <br />
         		<a id="pl.413.22"></a><var>413.22</var>with a water supply other than a community public water supply as defined in Minnesota
         <br />
         		<a id="pl.413.23"></a><var>413.23</var>Rules, chapter 4720. "Individual private sewer" means a fee category with a subsurface
         <br />
         		<a id="pl.413.24"></a><var>413.24</var>sewage treatment system which uses subsurface treatment and disposal.<br />
         		<a id="pl.413.25"></a><var>413.25</var>(d) The following fees must accompany a plan review application for initial construction
         <br />
         		<a id="pl.413.26"></a><var>413.26</var>of a manufactured home park or recreational camping area:<br />
         		<a id="pl.413.27"></a><var>413.27</var>(1) for initial construction of less than 25 sites, $375;<br />
         		<a id="pl.413.28"></a><var>413.28</var>(2) for initial construction of 25 to 99 sites, $400; and<br />
         		<a id="pl.413.29"></a><var>413.29</var>(3) for initial construction of 100 or more sites, $500.<br />
         		<a id="pl.413.30"></a><var>413.30</var>(e) The following fees must accompany a plan review application when an existing <br />
         		<a id="pl.413.31"></a><var>413.31</var>manufactured home park or recreational camping area is expanded:<br />
         		<a id="pl.414.1"></a><var>414.1</var>(1) for expansion of less than 25 sites, $250;<br />
         		<a id="pl.414.2"></a><var>414.2</var>(2) for expansion of 25 to 99 sites, $300; and<br />
         		<a id="pl.414.3"></a><var>414.3</var>(3) for expansion of 100 or more sites, $450.<br />
         		<br />
         		<a id="bill.10.71.0"></a><a id="pl.414.4"></a><var>414.4</var>&#160;&#160;&#160;&#160;Sec. 71. Minnesota Statutes 2016, section 609.5315, subdivision 5c, is amended to read:<br />
         		<a id="pl.414.5"></a><var>414.5</var>&#160;&#160;&#160;&#160;Subd. 5c. <b>Disposition of money; prostitution.</b> Money forfeited under section 
         <statute_ref>609.5312, <br />
            		<a id="pl.414.6"></a><var>414.6</var>subdivision 1
         </statute_ref>, paragraph (b), must be distributed as follows:<br />
         		<a id="pl.414.7"></a><var>414.7</var>(1) 40 percent must be forwarded to the appropriate agency for deposit as a supplement
         <br />
         		<a id="pl.414.8"></a><var>414.8</var>to the agency's operating fund or similar fund for use in law enforcement;<br />
         		<a id="pl.414.9"></a><var>414.9</var>(2) 20 percent must be forwarded to the prosecuting authority that handled the forfeiture
         <br />
         		<a id="pl.414.10"></a><var>414.10</var>for deposit as a supplement to its operating fund or similar fund for prosecutorial
         purposes; <br />
         		<a id="pl.414.11"></a><var>414.11</var>and<br />
         		<a id="pl.414.12"></a><var>414.12</var>(3) the remaining 40 percent must be forwarded to the commissioner of public safety <br />
         		<a id="pl.414.13"></a><var>414.13</var>health to be deposited in the safe harbor for youth account in the special revenue fund
         and <br />
         		<a id="pl.414.14"></a><var>414.14</var>is appropriated to the commissioner for distribution to crime victims services organizations
         <br />
         		<a id="pl.414.15"></a><var>414.15</var>that provide services to sexually exploited youth, as defined in section 
         <statute_ref>260C.007, subdivision <br />
            		<a id="pl.414.16"></a><var>414.16</var>31
         </statute_ref>.<br />
         		<br />
         		<a id="bill.10.72.0"></a><a id="pl.414.17"></a><var>414.17</var>&#160;&#160;&#160;&#160;Sec. 72. Minnesota Statutes 2016, section 626.556, subdivision 2, is amended to read:<br />
         		<a id="pl.414.18"></a><var>414.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br />
         		<a id="pl.414.19"></a><var>414.19</var>given them unless the specific content indicates otherwise:<br />
         		<a id="pl.414.20"></a><var>414.20</var>&#160;&#160;&#160;&#160;(a) "Accidental" means a sudden, not reasonably foreseeable, and unexpected occurrence
         <br />
         		<a id="pl.414.21"></a><var>414.21</var>or event which:<br />
         		<a id="pl.414.22"></a><var>414.22</var>&#160;&#160;&#160;&#160;(1) is not likely to occur and could not have been prevented by exercise of due care;
         and<br />
         		<a id="pl.414.23"></a><var>414.23</var>&#160;&#160;&#160;&#160;(2) if occurring while a child is receiving services from a facility, happens when
         the <br />
         		<a id="pl.414.24"></a><var>414.24</var>facility and the employee or person providing services in the facility are in compliance
         with <br />
         		<a id="pl.414.25"></a><var>414.25</var>the laws and rules relevant to the occurrence or event.<br />
         		<a id="pl.414.26"></a><var>414.26</var>&#160;&#160;&#160;&#160;(b) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.414.27"></a><var>414.27</var>&#160;&#160;&#160;&#160;(c) "Facility" means:<br />
         		<a id="pl.414.28"></a><var>414.28</var>&#160;&#160;&#160;&#160;(1) a licensed or unlicensed day care facility, residential facility, agency, hospital,
         <br />
         		<a id="pl.414.29"></a><var>414.29</var>sanitarium, or other facility or institution required to be licensed under sections
         
         <statute_ref>144.50</statute_ref> to <br />
         		
         <statute_ref><a id="pl.414.30"></a><var>414.30</var>144.58
         </statute_ref>, 
         <statute_ref>241.021</statute_ref>, or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, or chapter 144H or 245D;<br />
         		<a id="pl.415.1"></a><var>415.1</var>&#160;&#160;&#160;&#160;(2) a school as defined in section 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13; and chapter 124E; <br />
         		<a id="pl.415.2"></a><var>415.2</var>or<br />
         		<a id="pl.415.3"></a><var>415.3</var>&#160;&#160;&#160;&#160;(3) a nonlicensed personal care provider organization as defined in section 
         <statute_ref>256B.0625, <br />
            		<a id="pl.415.4"></a><var>415.4</var>subdivision 19a
         </statute_ref>.<br />
         		<a id="pl.415.5"></a><var>415.5</var>&#160;&#160;&#160;&#160;(d) "Family assessment" means a comprehensive assessment of child safety, risk of
         <br />
         		<a id="pl.415.6"></a><var>415.6</var>subsequent child maltreatment, and family strengths and needs that is applied to a
         child <br />
         		<a id="pl.415.7"></a><var>415.7</var>maltreatment report that does not allege sexual abuse or substantial child endangerment.
         <br />
         		<a id="pl.415.8"></a><var>415.8</var>Family assessment does not include a determination as to whether child maltreatment
         <br />
         		<a id="pl.415.9"></a><var>415.9</var>occurred but does determine the need for services to address the safety of family
         members <br />
         		<a id="pl.415.10"></a><var>415.10</var>and the risk of subsequent maltreatment.<br />
         		<a id="pl.415.11"></a><var>415.11</var>&#160;&#160;&#160;&#160;(e) "Investigation" means fact gathering related to the current safety of a child
         and the <br />
         		<a id="pl.415.12"></a><var>415.12</var>risk of subsequent maltreatment that determines whether child maltreatment occurred
         and <br />
         		<a id="pl.415.13"></a><var>415.13</var>whether child protective services are needed. An investigation must be used when reports
         <br />
         		<a id="pl.415.14"></a><var>415.14</var>involve sexual abuse or substantial child endangerment, and for reports of maltreatment
         in <br />
         		<a id="pl.415.15"></a><var>415.15</var>facilities required to be licensed under chapter 245A or 245D; under sections 
         <statute_ref>144.50</statute_ref> to <br />
         		
         <statute_ref><a id="pl.415.16"></a><var>415.16</var>144.58
         </statute_ref> and 
         <statute_ref>241.021</statute_ref>; in a school as defined in section 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13, <br />
         		<a id="pl.415.17"></a><var>415.17</var>and chapter 124E; or in a nonlicensed personal care provider association as defined
         in section <br />
         		
         <statute_ref><a id="pl.415.18"></a><var>415.18</var>256B.0625, subdivision 19a
         </statute_ref>.<br />
         		<a id="pl.415.19"></a><var>415.19</var>&#160;&#160;&#160;&#160;(f) "Mental injury" means an injury to the psychological capacity or emotional stability
         <br />
         		<a id="pl.415.20"></a><var>415.20</var>of a child as evidenced by an observable or substantial impairment in the child's
         ability to <br />
         		<a id="pl.415.21"></a><var>415.21</var>function within a normal range of performance and behavior with due regard to the
         child's <br />
         		<a id="pl.415.22"></a><var>415.22</var>culture.<br />
         		<a id="pl.415.23"></a><var>415.23</var>&#160;&#160;&#160;&#160;(g) "Neglect" means the commission or omission of any of the acts specified under
         <br />
         		<a id="pl.415.24"></a><var>415.24</var>clauses (1) to (9), other than by accidental means:<br />
         		<a id="pl.415.25"></a><var>415.25</var>&#160;&#160;&#160;&#160;(1) failure by a person responsible for a child's care to supply a child with necessary
         <br />
         		<a id="pl.415.26"></a><var>415.26</var>food, clothing, shelter, health, medical, or other care required for the child's physical
         or <br />
         		<a id="pl.415.27"></a><var>415.27</var>mental health when reasonably able to do so;<br />
         		<a id="pl.415.28"></a><var>415.28</var>&#160;&#160;&#160;&#160;(2) failure to protect a child from conditions or actions that seriously endanger
         the child's <br />
         		<a id="pl.415.29"></a><var>415.29</var>physical or mental health when reasonably able to do so, including a growth delay,
         which <br />
         		<a id="pl.415.30"></a><var>415.30</var>may be referred to as a failure to thrive, that has been diagnosed by a physician
         and is due <br />
         		<a id="pl.415.31"></a><var>415.31</var>to parental neglect;<br />
         		<a id="pl.415.32"></a><var>415.32</var>&#160;&#160;&#160;&#160;(3) failure to provide for necessary supervision or child care arrangements appropriate
         <br />
         		<a id="pl.415.33"></a><var>415.33</var>for a child after considering factors as the child's age, mental ability, physical
         condition, <br />
         		<a id="pl.416.1"></a><var>416.1</var>length of absence, or environment, when the child is unable to care for the child's
         own basic <br />
         		<a id="pl.416.2"></a><var>416.2</var>needs or safety, or the basic needs or safety of another child in their care;<br />
         		<a id="pl.416.3"></a><var>416.3</var>&#160;&#160;&#160;&#160;(4) failure to ensure that the child is educated as defined in sections 
         <statute_ref>120A.22</statute_ref> and <br />
         		
         <statute_ref><a id="pl.416.4"></a><var>416.4</var>260C.163, subdivision 11
         </statute_ref>, which does not include a parent's refusal to provide the parent's <br />
         		<a id="pl.416.5"></a><var>416.5</var>child with sympathomimetic medications, consistent with section 
         <statute_ref>125A.091, subdivision <br />
            		<a id="pl.416.6"></a><var>416.6</var>5
         </statute_ref>;<br />
         		<a id="pl.416.7"></a><var>416.7</var>&#160;&#160;&#160;&#160;(5) nothing in this section shall be construed to mean that a child is neglected solely
         <br />
         		<a id="pl.416.8"></a><var>416.8</var>because the child's parent, guardian, or other person responsible for the child's
         care in good <br />
         		<a id="pl.416.9"></a><var>416.9</var>faith selects and depends upon spiritual means or prayer for treatment or care of
         disease or <br />
         		<a id="pl.416.10"></a><var>416.10</var>remedial care of the child in lieu of medical care; except that a parent, guardian,
         or caretaker, <br />
         		<a id="pl.416.11"></a><var>416.11</var>or a person mandated to report pursuant to subdivision 3, has a duty to report if
         a lack of <br />
         		<a id="pl.416.12"></a><var>416.12</var>medical care may cause serious danger to the child's health. This section does not
         impose <br />
         		<a id="pl.416.13"></a><var>416.13</var>upon persons, not otherwise legally responsible for providing a child with necessary
         food, <br />
         		<a id="pl.416.14"></a><var>416.14</var>clothing, shelter, education, or medical care, a duty to provide that care;<br />
         		<a id="pl.416.15"></a><var>416.15</var>&#160;&#160;&#160;&#160;(6) prenatal exposure to a controlled substance, as defined in section 
         <statute_ref>253B.02</statute_ref>, subdivision <br />
         		<a id="pl.416.16"></a><var>416.16</var>2, used by the mother for a nonmedical purpose, as evidenced by withdrawal symptoms
         in <br />
         		<a id="pl.416.17"></a><var>416.17</var>the child at birth, results of a toxicology test performed on the mother at delivery
         or the <br />
         		<a id="pl.416.18"></a><var>416.18</var>child at birth, medical effects or developmental delays during the child's first year
         of life <br />
         		<a id="pl.416.19"></a><var>416.19</var>that medically indicate prenatal exposure to a controlled substance, or the presence
         of a <br />
         		<a id="pl.416.20"></a><var>416.20</var>fetal alcohol spectrum disorder;<br />
         		<a id="pl.416.21"></a><var>416.21</var>&#160;&#160;&#160;&#160;(7) "medical neglect" as defined in section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (5);<br />
         		<a id="pl.416.22"></a><var>416.22</var>&#160;&#160;&#160;&#160;(8) chronic and severe use of alcohol or a controlled substance by a parent or person
         <br />
         		<a id="pl.416.23"></a><var>416.23</var>responsible for the care of the child that adversely affects the child's basic needs
         and safety; <br />
         		<a id="pl.416.24"></a><var>416.24</var>or<br />
         		<a id="pl.416.25"></a><var>416.25</var>&#160;&#160;&#160;&#160;(9) emotional harm from a pattern of behavior which contributes to impaired emotional
         <br />
         		<a id="pl.416.26"></a><var>416.26</var>functioning of the child which may be demonstrated by a substantial and observable
         effect <br />
         		<a id="pl.416.27"></a><var>416.27</var>in the child's behavior, emotional response, or cognition that is not within the normal
         range <br />
         		<a id="pl.416.28"></a><var>416.28</var>for the child's age and stage of development, with due regard to the child's culture.<br />
         		<a id="pl.416.29"></a><var>416.29</var>(h) "Nonmaltreatment mistake" means:<br />
         		<a id="pl.416.30"></a><var>416.30</var>(1) at the time of the incident, the individual was performing duties identified in
         the <br />
         		<a id="pl.416.31"></a><var>416.31</var>center's child care program plan required under Minnesota Rules, part 9503.0045;<br />
         		<a id="pl.416.32"></a><var>416.32</var>(2) the individual has not been determined responsible for a similar incident that
         resulted <br />
         		<a id="pl.416.33"></a><var>416.33</var>in a finding of maltreatment for at least seven years;<br />
         		<a id="pl.417.1"></a><var>417.1</var>(3) the individual has not been determined to have committed a similar nonmaltreatment
         <br />
         		<a id="pl.417.2"></a><var>417.2</var>mistake under this paragraph for at least four years;<br />
         		<a id="pl.417.3"></a><var>417.3</var>(4) any injury to a child resulting from the incident, if treated, is treated only
         with <br />
         		<a id="pl.417.4"></a><var>417.4</var>remedies that are available over the counter, whether ordered by a medical professional
         or <br />
         		<a id="pl.417.5"></a><var>417.5</var>not; and<br />
         		<a id="pl.417.6"></a><var>417.6</var>(5) except for the period when the incident occurred, the facility and the individual
         <br />
         		<a id="pl.417.7"></a><var>417.7</var>providing services were both in compliance with all licensing requirements relevant
         to the <br />
         		<a id="pl.417.8"></a><var>417.8</var>incident.<br />
         		<a id="pl.417.9"></a><var>417.9</var>This definition only applies to child care centers licensed under Minnesota Rules,
         chapter <br />
         		<a id="pl.417.10"></a><var>417.10</var>9503. If clauses (1) to (5) apply, rather than making a determination of substantiated
         <br />
         		<a id="pl.417.11"></a><var>417.11</var>maltreatment by the individual, the commissioner of human services shall determine
         that a <br />
         		<a id="pl.417.12"></a><var>417.12</var>nonmaltreatment mistake was made by the individual.<br />
         		<a id="pl.417.13"></a><var>417.13</var>&#160;&#160;&#160;&#160;(i) "Operator" means an operator or agency as defined in section 
         <statute_ref>245A.02</statute_ref>.<br />
         		<a id="pl.417.14"></a><var>417.14</var>&#160;&#160;&#160;&#160;(j) "Person responsible for the child's care" means (1) an individual functioning
         within <br />
         		<a id="pl.417.15"></a><var>417.15</var>the family unit and having responsibilities for the care of the child such as a parent,
         guardian, <br />
         		<a id="pl.417.16"></a><var>417.16</var>or other person having similar care responsibilities, or (2) an individual functioning
         outside <br />
         		<a id="pl.417.17"></a><var>417.17</var>the family unit and having responsibilities for the care of the child such as a teacher,
         school <br />
         		<a id="pl.417.18"></a><var>417.18</var>administrator, other school employees or agents, or other lawful custodian of a child
         having <br />
         		<a id="pl.417.19"></a><var>417.19</var>either full-time or short-term care responsibilities including, but not limited to,
         day care, <br />
         		<a id="pl.417.20"></a><var>417.20</var>babysitting whether paid or unpaid, counseling, teaching, and coaching.<br />
         		<a id="pl.417.21"></a><var>417.21</var>&#160;&#160;&#160;&#160;(k) "Physical abuse" means any physical injury, mental injury, or threatened injury,
         <br />
         		<a id="pl.417.22"></a><var>417.22</var>inflicted by a person responsible for the child's care on a child other than by accidental
         <br />
         		<a id="pl.417.23"></a><var>417.23</var>means, or any physical or mental injury that cannot reasonably be explained by the
         child's <br />
         		<a id="pl.417.24"></a><var>417.24</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions,
         <br />
         		<a id="pl.417.25"></a><var>417.25</var>that have not been authorized under section 
         <statute_ref>125A.0942 </statute_ref>or 
         <statute_ref>245.825</statute_ref>.<br />
         		<a id="pl.417.26"></a><var>417.26</var>&#160;&#160;&#160;&#160;Abuse does not include reasonable and moderate physical discipline of a child <br />
         		<a id="pl.417.27"></a><var>417.27</var>administered by a parent or legal guardian which does not result in an injury. Abuse
         does <br />
         		<a id="pl.417.28"></a><var>417.28</var>not include the use of reasonable force by a teacher, principal, or school employee
         as allowed <br />
         		<a id="pl.417.29"></a><var>417.29</var>by section 
         <statute_ref>121A.582</statute_ref>. Actions which are not reasonable and moderate include, but are not <br />
         		<a id="pl.417.30"></a><var>417.30</var>limited to, any of the following:<br />
         		<a id="pl.417.31"></a><var>417.31</var>&#160;&#160;&#160;&#160;(1) throwing, kicking, burning, biting, or cutting a child;<br />
         		<a id="pl.417.32"></a><var>417.32</var>&#160;&#160;&#160;&#160;(2) striking a child with a closed fist;<br />
         		<a id="pl.417.33"></a><var>417.33</var>&#160;&#160;&#160;&#160;(3) shaking a child under age three;<br />
         		<a id="pl.418.1"></a><var>418.1</var>&#160;&#160;&#160;&#160;(4) striking or other actions which result in any nonaccidental injury to a child
         under 18 <br />
         		<a id="pl.418.2"></a><var>418.2</var>months of age;<br />
         		<a id="pl.418.3"></a><var>418.3</var>&#160;&#160;&#160;&#160;(5) unreasonable interference with a child's breathing;<br />
         		<a id="pl.418.4"></a><var>418.4</var>&#160;&#160;&#160;&#160;(6) threatening a child with a weapon, as defined in section 
         <statute_ref>609.02, subdivision 6</statute_ref>;<br />
         		<a id="pl.418.5"></a><var>418.5</var>&#160;&#160;&#160;&#160;(7) striking a child under age one on the face or head;<br />
         		<a id="pl.418.6"></a><var>418.6</var>&#160;&#160;&#160;&#160;(8) striking a child who is at least age one but under age four on the face or head,
         which <br />
         		<a id="pl.418.7"></a><var>418.7</var>results in an injury;<br />
         		<a id="pl.418.8"></a><var>418.8</var>&#160;&#160;&#160;&#160;(9) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled
         <br />
         		<a id="pl.418.9"></a><var>418.9</var>substances which were not prescribed for the child by a practitioner, in order to
         control or <br />
         		<a id="pl.418.10"></a><var>418.10</var>punish the child; or other substances that substantially affect the child's behavior,
         motor <br />
         		<a id="pl.418.11"></a><var>418.11</var>coordination, or judgment or that results in sickness or internal injury, or subjects
         the child <br />
         		<a id="pl.418.12"></a><var>418.12</var>to medical procedures that would be unnecessary if the child were not exposed to the
         <br />
         		<a id="pl.418.13"></a><var>418.13</var>substances;<br />
         		<a id="pl.418.14"></a><var>418.14</var>&#160;&#160;&#160;&#160;(10) unreasonable physical confinement or restraint not permitted under section 
         <statute_ref>609.379</statute_ref>, <br />
         		<a id="pl.418.15"></a><var>418.15</var>including but not limited to tying, caging, or chaining; or<br />
         		<a id="pl.418.16"></a><var>418.16</var>&#160;&#160;&#160;&#160;(11) in a school facility or school zone, an act by a person responsible for the child's
         <br />
         		<a id="pl.418.17"></a><var>418.17</var>care that is a violation under section 
         <statute_ref>121A.58</statute_ref>.<br />
         		<a id="pl.418.18"></a><var>418.18</var>&#160;&#160;&#160;&#160;(l) "Practice of social services," for the purposes of subdivision 3, includes but
         is not <br />
         		<a id="pl.418.19"></a><var>418.19</var>limited to employee assistance counseling and the provision of guardian ad litem and
         <br />
         		<a id="pl.418.20"></a><var>418.20</var>parenting time expeditor services.<br />
         		<a id="pl.418.21"></a><var>418.21</var>&#160;&#160;&#160;&#160;(m) "Report" means any communication received by the local welfare agency, police
         <br />
         		<a id="pl.418.22"></a><var>418.22</var>department, county sheriff, or agency responsible for child protection pursuant to
         this section <br />
         		<a id="pl.418.23"></a><var>418.23</var>that describes neglect or physical or sexual abuse of a child and contains sufficient
         content <br />
         		<a id="pl.418.24"></a><var>418.24</var>to identify the child and any person believed to be responsible for the neglect or
         abuse, if <br />
         		<a id="pl.418.25"></a><var>418.25</var>known.<br />
         		<a id="pl.418.26"></a><var>418.26</var>&#160;&#160;&#160;&#160;(n) "Sexual abuse" means the subjection of a child by a person responsible for the
         child's <br />
         		<a id="pl.418.27"></a><var>418.27</var>care, by a person who has a significant relationship to the child, as defined in section
         
         <statute_ref>609.341</statute_ref>, <br />
         		<a id="pl.418.28"></a><var>418.28</var>or by a person in a position of authority, as defined in section 
         <statute_ref>609.341</statute_ref>, subdivision 10, to <br />
         		<a id="pl.418.29"></a><var>418.29</var>any act which constitutes a violation of section 
         <statute_ref>609.342</statute_ref> (criminal sexual conduct in the first <br />
         		<a id="pl.418.30"></a><var>418.30</var>degree), 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree), 
         <statute_ref>609.344</statute_ref> (criminal sexual <br />
         		<a id="pl.418.31"></a><var>418.31</var>conduct in the third degree), 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct in the fourth degree), or <br />
         		
         <statute_ref><a id="pl.418.32"></a><var>418.32</var>609.3451
         </statute_ref> (criminal sexual conduct in the fifth degree). Sexual abuse also includes any act
         <br />
         		<a id="pl.418.33"></a><var>418.33</var>which involves a minor which constitutes a violation of prostitution offenses under
         sections <br />
         		
         <statute_ref><a id="pl.419.1"></a><var>419.1</var>609.321
         </statute_ref> to 
         <statute_ref>609.324</statute_ref> or 
         <statute_ref>617.246</statute_ref>. Effective May 29, 2017, sexual abuse includes all reports <br />
         		<a id="pl.419.2"></a><var>419.2</var>of known or suspected child sex trafficking involving a child who is identified as
         a victim <br />
         		<a id="pl.419.3"></a><var>419.3</var>of sex trafficking. Sexual abuse includes child sex trafficking as defined in section
         
         <statute_ref>609.321, <br />
            		<a id="pl.419.4"></a><var>419.4</var>subdivisions 7a
         </statute_ref> and 7b. Sexual abuse includes threatened sexual abuse which includes the <br />
         		<a id="pl.419.5"></a><var>419.5</var>status of a parent or household member who has committed a violation which requires
         <br />
         		<a id="pl.419.6"></a><var>419.6</var>registration as an offender under section 243.166, subdivision 1b, paragraph (a) or
         (b), or <br />
         		<a id="pl.419.7"></a><var>419.7</var>required registration under section 243.166, subdivision 1b, paragraph (a) or (b).<br />
         		<a id="pl.419.8"></a><var>419.8</var>&#160;&#160;&#160;&#160;(o) "Substantial child endangerment" means a person responsible for a child's care,
         by <br />
         		<a id="pl.419.9"></a><var>419.9</var>act or omission, commits or attempts to commit an act against a child under their
         care that <br />
         		<a id="pl.419.10"></a><var>419.10</var>constitutes any of the following:<br />
         		<a id="pl.419.11"></a><var>419.11</var>&#160;&#160;&#160;&#160;(1) egregious harm as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>;<br />
         		<a id="pl.419.12"></a><var>419.12</var>&#160;&#160;&#160;&#160;(2) abandonment under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>;<br />
         		<a id="pl.419.13"></a><var>419.13</var>&#160;&#160;&#160;&#160;(3) neglect as defined in paragraph (g), clause (2), that substantially endangers
         the child's <br />
         		<a id="pl.419.14"></a><var>419.14</var>physical or mental health, including a growth delay, which may be referred to as failure
         to <br />
         		<a id="pl.419.15"></a><var>419.15</var>thrive, that has been diagnosed by a physician and is due to parental neglect;<br />
         		<a id="pl.419.16"></a><var>419.16</var>&#160;&#160;&#160;&#160;(4) murder in the first, second, or third degree under section 
         <statute_ref>609.185</statute_ref>, 
         <statute_ref>609.19</statute_ref>, or 
         <statute_ref>609.195</statute_ref>;<br />
         		<a id="pl.419.17"></a><var>419.17</var>&#160;&#160;&#160;&#160;(5) manslaughter in the first or second degree under section 
         <statute_ref>609.20</statute_ref> or 
         <statute_ref>609.205</statute_ref>;<br />
         		<a id="pl.419.18"></a><var>419.18</var>&#160;&#160;&#160;&#160;(6) assault in the first, second, or third degree under section 
         <statute_ref>609.221</statute_ref>, 
         <statute_ref>609.222</statute_ref>, or 
         <statute_ref>609.223</statute_ref>;<br />
         		<a id="pl.419.19"></a><var>419.19</var>&#160;&#160;&#160;&#160;(7) solicitation, inducement, and promotion of prostitution under section 
         <statute_ref>609.322</statute_ref>;<br />
         		<a id="pl.419.20"></a><var>419.20</var>&#160;&#160;&#160;&#160;(8) criminal sexual conduct under sections 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.3451</statute_ref>;<br />
         		<a id="pl.419.21"></a><var>419.21</var>&#160;&#160;&#160;&#160;(9) solicitation of children to engage in sexual conduct under section 
         <statute_ref>609.352</statute_ref>;<br />
         		<a id="pl.419.22"></a><var>419.22</var>&#160;&#160;&#160;&#160;(10) malicious punishment or neglect or endangerment of a child under section 
         <statute_ref>609.377</statute_ref> <br />
         		<a id="pl.419.23"></a><var>419.23</var>or 
         <statute_ref>609.378</statute_ref>;<br />
         		<a id="pl.419.24"></a><var>419.24</var>&#160;&#160;&#160;&#160;(11) use of a minor in sexual performance under section 
         <statute_ref>617.246</statute_ref>; or<br />
         		<a id="pl.419.25"></a><var>419.25</var>&#160;&#160;&#160;&#160;(12) parental behavior, status, or condition which mandates that the county attorney
         file <br />
         		<a id="pl.419.26"></a><var>419.26</var>a termination of parental rights petition under section 
         <statute_ref>260C.503, subdivision 2</statute_ref>.<br />
         		<a id="pl.419.27"></a><var>419.27</var>&#160;&#160;&#160;&#160;(p) "Threatened injury" means a statement, overt act, condition, or status that represents
         <br />
         		<a id="pl.419.28"></a><var>419.28</var>a substantial risk of physical or sexual abuse or mental injury. Threatened injury
         includes, <br />
         		<a id="pl.419.29"></a><var>419.29</var>but is not limited to, exposing a child to a person responsible for the child's care,
         as defined <br />
         		<a id="pl.419.30"></a><var>419.30</var>in paragraph (j), clause (1), who has:<br />
         		<a id="pl.420.1"></a><var>420.1</var>&#160;&#160;&#160;&#160;(1) subjected a child to, or failed to protect a child from, an overt act or condition
         that <br />
         		<a id="pl.420.2"></a><var>420.2</var>constitutes egregious harm, as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>, or a similar law <br />
         		<a id="pl.420.3"></a><var>420.3</var>of another jurisdiction;<br />
         		<a id="pl.420.4"></a><var>420.4</var>&#160;&#160;&#160;&#160;(2) been found to be palpably unfit under section 
         <statute_ref>260C.301</statute_ref>, subdivision 1, paragraph <br />
         		<a id="pl.420.5"></a><var>420.5</var>(b), clause (4), or a similar law of another jurisdiction;<br />
         		<a id="pl.420.6"></a><var>420.6</var>&#160;&#160;&#160;&#160;(3) committed an act that has resulted in an involuntary termination of parental rights
         <br />
         		<a id="pl.420.7"></a><var>420.7</var>under section 
         <statute_ref>260C.301</statute_ref>, or a similar law of another jurisdiction; or<br />
         		<a id="pl.420.8"></a><var>420.8</var>&#160;&#160;&#160;&#160;(4) committed an act that has resulted in the involuntary transfer of permanent legal
         and <br />
         		<a id="pl.420.9"></a><var>420.9</var>physical custody of a child to a relative under Minnesota Statutes 2010, section 260C.201,
         <br />
         		<a id="pl.420.10"></a><var>420.10</var>subdivision 11, paragraph (d), clause (1), section 
         <statute_ref>260C.515, subdivision 4</statute_ref>, or a similar law <br />
         		<a id="pl.420.11"></a><var>420.11</var>of another jurisdiction.<br />
         		<a id="pl.420.12"></a><var>420.12</var>A child is the subject of a report of threatened injury when the responsible social
         services <br />
         		<a id="pl.420.13"></a><var>420.13</var>agency receives birth match data under paragraph (q) from the Department of Human
         <br />
         		<a id="pl.420.14"></a><var>420.14</var>Services.<br />
         		<a id="pl.420.15"></a><var>420.15</var>(q) Upon receiving data under section 
         <statute_ref>144.225, subdivision 2b</statute_ref>, contained in a birth <br />
         		<a id="pl.420.16"></a><var>420.16</var>record or recognition of parentage identifying a child who is subject to threatened
         injury <br />
         		<a id="pl.420.17"></a><var>420.17</var>under paragraph (p), the Department of Human Services shall send the data to the responsible
         <br />
         		<a id="pl.420.18"></a><var>420.18</var>social services agency. The data is known as "birth match" data. Unless the responsible
         <br />
         		<a id="pl.420.19"></a><var>420.19</var>social services agency has already begun an investigation or assessment of the report
         due <br />
         		<a id="pl.420.20"></a><var>420.20</var>to the birth of the child or execution of the recognition of parentage and the parent's
         previous <br />
         		<a id="pl.420.21"></a><var>420.21</var>history with child protection, the agency shall accept the birth match data as a report
         under <br />
         		<a id="pl.420.22"></a><var>420.22</var>this section. The agency may use either a family assessment or investigation to determine
         <br />
         		<a id="pl.420.23"></a><var>420.23</var>whether the child is safe. All of the provisions of this section apply. If the child
         is determined <br />
         		<a id="pl.420.24"></a><var>420.24</var>to be safe, the agency shall consult with the county attorney to determine the appropriateness
         <br />
         		<a id="pl.420.25"></a><var>420.25</var>of filing a petition alleging the child is in need of protection or services under
         section <br />
         		
         <statute_ref><a id="pl.420.26"></a><var>420.26</var>260C.007, subdivision 6
         </statute_ref>, clause (16), in order to deliver needed services. If the child is <br />
         		<a id="pl.420.27"></a><var>420.27</var>determined not to be safe, the agency and the county attorney shall take appropriate
         action <br />
         		<a id="pl.420.28"></a><var>420.28</var>as required under section 
         <statute_ref>260C.503</statute_ref>, subdivision 2.<br />
         		<a id="pl.420.29"></a><var>420.29</var>&#160;&#160;&#160;&#160;(r) Persons who conduct assessments or investigations under this section shall take
         into <br />
         		<a id="pl.420.30"></a><var>420.30</var>account accepted child-rearing practices of the culture in which a child participates
         and <br />
         		<a id="pl.420.31"></a><var>420.31</var>accepted teacher discipline practices, which are not injurious to the child's health,
         welfare, <br />
         		<a id="pl.420.32"></a><var>420.32</var>and safety.<br />
         		<br />
         		<a id="bill.10.73.0"></a><a id="pl.421.1"></a><var>421.1</var>&#160;&#160;&#160;&#160;Sec. 73. Minnesota Statutes 2016, section 626.556, subdivision 3, is amended to read:<br />
         		<a id="pl.421.2"></a><var>421.2</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Persons mandated to report; persons voluntarily reporting.</b> (a) A person <br />
         		<a id="pl.421.3"></a><var>421.3</var>who knows or has reason to believe a child is being neglected or physically or sexually
         <br />
         		<a id="pl.421.4"></a><var>421.4</var>abused, as defined in subdivision 2, or has been neglected or physically or sexually
         abused <br />
         		<a id="pl.421.5"></a><var>421.5</var>within the preceding three years, shall immediately report the information to the
         local welfare <br />
         		<a id="pl.421.6"></a><var>421.6</var>agency, agency responsible for assessing or investigating the report, police department,
         <br />
         		<a id="pl.421.7"></a><var>421.7</var>county sheriff, tribal social services agency, or tribal police department if the
         person is:<br />
         		<a id="pl.421.8"></a><var>421.8</var>&#160;&#160;&#160;&#160;(1) a professional or professional's delegate who is engaged in the practice of the
         healing <br />
         		<a id="pl.421.9"></a><var>421.9</var>arts, social services, hospital administration, psychological or psychiatric treatment,
         child <br />
         		<a id="pl.421.10"></a><var>421.10</var>care, education, correctional supervision, probation and correctional services, or
         law <br />
         		<a id="pl.421.11"></a><var>421.11</var>enforcement; or<br />
         		<a id="pl.421.12"></a><var>421.12</var>&#160;&#160;&#160;&#160;(2) employed as a member of the clergy and received the information while engaged
         in <br />
         		<a id="pl.421.13"></a><var>421.13</var>ministerial duties, provided that a member of the clergy is not required by this subdivision
         <br />
         		<a id="pl.421.14"></a><var>421.14</var>to report information that is otherwise privileged under section 
         <statute_ref>595.02, subdivision 1</statute_ref>, <br />
         		<a id="pl.421.15"></a><var>421.15</var>paragraph (c).<br />
         		<a id="pl.421.16"></a><var>421.16</var>&#160;&#160;&#160;&#160;(b) Any person may voluntarily report to the local welfare agency, agency responsible
         <br />
         		<a id="pl.421.17"></a><var>421.17</var>for assessing or investigating the report, police department, county sheriff, tribal
         social <br />
         		<a id="pl.421.18"></a><var>421.18</var>services agency, or tribal police department if the person knows, has reason to believe,
         or <br />
         		<a id="pl.421.19"></a><var>421.19</var>suspects a child is being or has been neglected or subjected to physical or sexual
         abuse.<br />
         		<a id="pl.421.20"></a><var>421.20</var>&#160;&#160;&#160;&#160;(c) A person mandated to report physical or sexual child abuse or neglect occurring
         <br />
         		<a id="pl.421.21"></a><var>421.21</var>within a licensed facility shall report the information to the agency responsible
         for licensing <br />
         		<a id="pl.421.22"></a><var>421.22</var>the facility under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>; 
         <statute_ref>241.021</statute_ref>; 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>; or chapter 144H <br />
         		<a id="pl.421.23"></a><var>421.23</var>or 245D; or a nonlicensed personal care provider organization as defined in section <br />
         		
         <statute_ref><a id="pl.421.24"></a><var>421.24</var>256B.0625, subdivision 19
         </statute_ref> 19a. A health or corrections agency receiving a report may <br />
         		<a id="pl.421.25"></a><var>421.25</var>request the local welfare agency to provide assistance pursuant to subdivisions 10,
         10a, and <br />
         		<a id="pl.421.26"></a><var>421.26</var>10b. A board or other entity whose licensees perform work within a school facility,
         upon <br />
         		<a id="pl.421.27"></a><var>421.27</var>receiving a complaint of alleged maltreatment, shall provide information about the
         <br />
         		<a id="pl.421.28"></a><var>421.28</var>circumstances of the alleged maltreatment to the commissioner of education. Section
         
         <statute_ref>13.03, <br />
            		<a id="pl.421.29"></a><var>421.29</var>subdivision 4
         </statute_ref>, applies to data received by the commissioner of education from a licensing <br />
         		<a id="pl.421.30"></a><var>421.30</var>entity.<br />
         		<a id="pl.421.31"></a><var>421.31</var>&#160;&#160;&#160;&#160;(d) Notification requirements under subdivision 10 apply to all reports received under
         <br />
         		<a id="pl.421.32"></a><var>421.32</var>this section.<br />
         		<a id="pl.421.33"></a><var>421.33</var>&#160;&#160;&#160;&#160;(e) For purposes of this section, "immediately" means as soon as possible but in no
         event <br />
         		<a id="pl.421.34"></a><var>421.34</var>longer than 24 hours.<br />
         		<br />
         		<a id="bill.10.74.0"></a><a id="pl.422.1"></a><var>422.1</var>&#160;&#160;&#160;&#160;Sec. 74. Minnesota Statutes 2016, section 626.556, subdivision 3c, is amended to read:<br />
         		<a id="pl.422.2"></a><var>422.2</var>&#160;&#160;&#160;&#160;Subd. 3c. <b>Local welfare agency, Department of Human Services or Department of </b><br />
         		<a id="pl.422.3"></a><var>422.3</var><b>Health responsible for assessing or investigating reports of maltreatment.</b> (a) The county <br />
         		<a id="pl.422.4"></a><var>422.4</var>local welfare agency is the agency responsible for assessing or investigating allegations
         of <br />
         		<a id="pl.422.5"></a><var>422.5</var>maltreatment in child foster care, family child care, legally unlicensed child care,
         juvenile <br />
         		<a id="pl.422.6"></a><var>422.6</var>correctional facilities licensed under section 241.021 located in the local welfare
         agency's <br />
         		<a id="pl.422.7"></a><var>422.7</var>county, and reports involving children served by an unlicensed personal care provider
         <br />
         		<a id="pl.422.8"></a><var>422.8</var>organization under section 
         <statute_ref>256B.0659</statute_ref>. Copies of findings related to personal care provider <br />
         		<a id="pl.422.9"></a><var>422.9</var>organizations under section 
         <statute_ref>256B.0659</statute_ref> must be forwarded to the Department of Human <br />
         		<a id="pl.422.10"></a><var>422.10</var>Services provider enrollment.<br />
         		<a id="pl.422.11"></a><var>422.11</var>(b) The Department of Human Services is the agency responsible for assessing or <br />
         		<a id="pl.422.12"></a><var>422.12</var>investigating allegations of maltreatment in facilities licensed under chapters 245A
         and <br />
         		<a id="pl.422.13"></a><var>422.13</var>245D, except for child foster care and family child care.<br />
         		<a id="pl.422.14"></a><var>422.14</var>(c) The Department of Health is the agency responsible for assessing or investigating
         <br />
         		<a id="pl.422.15"></a><var>422.15</var>allegations of child maltreatment in facilities licensed under sections 144.50 to
         144.58 and <br />
         		
         <statute_ref><a id="pl.422.16"></a><var>422.16</var>144A.43
         </statute_ref> to 
         <statute_ref>144A.482</statute_ref> or chapter 144H.<br />
         		<br />
         		<a id="bill.10.75.0"></a><a id="pl.422.17"></a><var>422.17</var>&#160;&#160;&#160;&#160;Sec. 75. Minnesota Statutes 2016, section 626.556, subdivision 10d, is amended to read:<br />
         		<a id="pl.422.18"></a><var>422.18</var>&#160;&#160;&#160;&#160;Subd. 10d. <b>Notification of neglect or abuse in facility.</b> (a) When a report is received <br />
         		<a id="pl.422.19"></a><var>422.19</var>that alleges neglect, physical abuse, sexual abuse, or maltreatment of a child while
         in the <br />
         		<a id="pl.422.20"></a><var>422.20</var>care of a licensed or unlicensed day care facility, residential facility, agency,
         hospital, <br />
         		<a id="pl.422.21"></a><var>422.21</var>sanitarium, or other facility or institution required to be licensed according to
         sections 
         <statute_ref>144.50</statute_ref> <br />
         		<a id="pl.422.22"></a><var>422.22</var>to 
         <statute_ref>144.58</statute_ref>; 
         <statute_ref>241.021</statute_ref>; or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>; or chapter 144H or 245D, or a school as defined <br />
         		<a id="pl.422.23"></a><var>422.23</var>in section 
         <statute_ref>120A.05, subdivisions 9, 11, and 13</statute_ref>; and chapter 124E; or a nonlicensed personal <br />
         		<a id="pl.422.24"></a><var>422.24</var>care provider organization as defined in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>, the <br />
         		<a id="pl.422.25"></a><var>422.25</var>commissioner of the agency responsible for assessing or investigating the report or
         local <br />
         		<a id="pl.422.26"></a><var>422.26</var>welfare agency investigating the report shall provide the following information to
         the parent, <br />
         		<a id="pl.422.27"></a><var>422.27</var>guardian, or legal custodian of a child alleged to have been neglected, physically
         abused, <br />
         		<a id="pl.422.28"></a><var>422.28</var>sexually abused, or the victim of maltreatment of a child in the facility: the name
         of the <br />
         		<a id="pl.422.29"></a><var>422.29</var>facility; the fact that a report alleging neglect, physical abuse, sexual abuse, or
         maltreatment <br />
         		<a id="pl.422.30"></a><var>422.30</var>of a child in the facility has been received; the nature of the alleged neglect, physical
         abuse, <br />
         		<a id="pl.422.31"></a><var>422.31</var>sexual abuse, or maltreatment of a child in the facility; that the agency is conducting
         an <br />
         		<a id="pl.422.32"></a><var>422.32</var>assessment or investigation; any protective or corrective measures being taken pending
         the <br />
         		<a id="pl.422.33"></a><var>422.33</var>outcome of the investigation; and that a written memorandum will be provided when
         the <br />
         		<a id="pl.422.34"></a><var>422.34</var>investigation is completed.<br />
         		<a id="pl.423.1"></a><var>423.1</var>(b) The commissioner of the agency responsible for assessing or investigating the
         report <br />
         		<a id="pl.423.2"></a><var>423.2</var>or local welfare agency may also provide the information in paragraph (a) to the parent,
         <br />
         		<a id="pl.423.3"></a><var>423.3</var>guardian, or legal custodian of any other child in the facility if the investigative
         agency <br />
         		<a id="pl.423.4"></a><var>423.4</var>knows or has reason to believe the alleged neglect, physical abuse, sexual abuse,
         or <br />
         		<a id="pl.423.5"></a><var>423.5</var>maltreatment of a child in the facility has occurred. In determining whether to exercise
         this <br />
         		<a id="pl.423.6"></a><var>423.6</var>authority, the commissioner of the agency responsible for assessing or investigating
         the <br />
         		<a id="pl.423.7"></a><var>423.7</var>report or local welfare agency shall consider the seriousness of the alleged neglect,
         physical <br />
         		<a id="pl.423.8"></a><var>423.8</var>abuse, sexual abuse, or maltreatment of a child in the facility; the number of children
         <br />
         		<a id="pl.423.9"></a><var>423.9</var>allegedly neglected, physically abused, sexually abused, or victims of maltreatment
         of a <br />
         		<a id="pl.423.10"></a><var>423.10</var>child in the facility; the number of alleged perpetrators; and the length of the investigation.
         <br />
         		<a id="pl.423.11"></a><var>423.11</var>The facility shall be notified whenever this discretion is exercised.<br />
         		<a id="pl.423.12"></a><var>423.12</var>(c) When the commissioner of the agency responsible for assessing or investigating
         the <br />
         		<a id="pl.423.13"></a><var>423.13</var>report or local welfare agency has completed its investigation, every parent, guardian,
         or <br />
         		<a id="pl.423.14"></a><var>423.14</var>legal custodian previously notified of the investigation by the commissioner or local
         welfare <br />
         		<a id="pl.423.15"></a><var>423.15</var>agency shall be provided with the following information in a written memorandum: the
         <br />
         		<a id="pl.423.16"></a><var>423.16</var>name of the facility investigated; the nature of the alleged neglect, physical abuse,
         sexual <br />
         		<a id="pl.423.17"></a><var>423.17</var>abuse, or maltreatment of a child in the facility; the investigator's name; a summary
         of the <br />
         		<a id="pl.423.18"></a><var>423.18</var>investigation findings; a statement whether maltreatment was found; and the protective
         or <br />
         		<a id="pl.423.19"></a><var>423.19</var>corrective measures that are being or will be taken. The memorandum shall be written
         in a <br />
         		<a id="pl.423.20"></a><var>423.20</var>manner that protects the identity of the reporter and the child and shall not contain
         the name, <br />
         		<a id="pl.423.21"></a><var>423.21</var>or to the extent possible, reveal the identity of the alleged perpetrator or of those
         interviewed <br />
         		<a id="pl.423.22"></a><var>423.22</var>during the investigation. If maltreatment is determined to exist, the commissioner
         or local <br />
         		<a id="pl.423.23"></a><var>423.23</var>welfare agency shall also provide the written memorandum to the parent, guardian,
         or legal <br />
         		<a id="pl.423.24"></a><var>423.24</var>custodian of each child in the facility who had contact with the individual responsible
         for <br />
         		<a id="pl.423.25"></a><var>423.25</var>the maltreatment. When the facility is the responsible party for maltreatment, the
         <br />
         		<a id="pl.423.26"></a><var>423.26</var>commissioner or local welfare agency shall also provide the written memorandum to
         the <br />
         		<a id="pl.423.27"></a><var>423.27</var>parent, guardian, or legal custodian of each child who received services in the population
         <br />
         		<a id="pl.423.28"></a><var>423.28</var>of the facility where the maltreatment occurred. This notification must be provided
         to the <br />
         		<a id="pl.423.29"></a><var>423.29</var>parent, guardian, or legal custodian of each child receiving services from the time
         the <br />
         		<a id="pl.423.30"></a><var>423.30</var>maltreatment occurred until either the individual responsible for maltreatment is
         no longer <br />
         		<a id="pl.423.31"></a><var>423.31</var>in contact with a child or children in the facility or the conclusion of the investigation.
         In <br />
         		<a id="pl.423.32"></a><var>423.32</var>the case of maltreatment within a school facility, as defined in section 
         <statute_ref>120A.05, subdivisions <br />
            		<a id="pl.423.33"></a><var>423.33</var>9, 11, and 13
         </statute_ref>, and chapter 124E, the commissioner of education need not provide notification <br />
         		<a id="pl.423.34"></a><var>423.34</var>to parents, guardians, or legal custodians of each child in the facility, but shall,
         within ten <br />
         		<a id="pl.423.35"></a><var>423.35</var>days after the investigation is completed, provide written notification to the parent,
         guardian, <br />
         		<a id="pl.423.36"></a><var>423.36</var>or legal custodian of any student alleged to have been maltreated. The commissioner
         of <br />
         		<a id="pl.424.1"></a><var>424.1</var>education may notify the parent, guardian, or legal custodian of any student involved
         as a <br />
         		<a id="pl.424.2"></a><var>424.2</var>witness to alleged maltreatment.<br />
         		<br />
         		<a id="bill.10.76.0"></a><a id="pl.424.3"></a><var>424.3</var>&#160;&#160;&#160;&#160;Sec. 76. <b>BRAIN HEALTH PILOT PROGRAMS.</b><br />
         		<a id="pl.424.4"></a><var>424.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Pilot programs selected.</b> (a) The commissioner shall competitively <br />
         		<a id="pl.424.5"></a><var>424.5</var>award grants for up to five pilot programs to improve brain health in youth sports
         in <br />
         		<a id="pl.424.6"></a><var>424.6</var>Minnesota. The commissioner shall issue a competitive request for pilot program proposals
         <br />
         		<a id="pl.424.7"></a><var>424.7</var>by October 31, 2017, based on input from the youth sports concussion working group.
         The <br />
         		<a id="pl.424.8"></a><var>424.8</var>commissioner shall include members of the working group in the scoring of proposals
         <br />
         		<a id="pl.424.9"></a><var>424.9</var>received, but shall exclude any member of the working group with a financial interest
         in a <br />
         		<a id="pl.424.10"></a><var>424.10</var>pilot program proposal.<br />
         		 <a id="pl.424.11"></a><var>424.11</var>(b) Each pilot program selected for a funding award must offer promise for improving
         <br />
         		<a id="pl.424.12"></a><var>424.12</var>at least one of the following areas:<br />
         		<a id="pl.424.13"></a><var>424.13</var>(1) objective identification of brain injury;<br />
         		<a id="pl.424.14"></a><var>424.14</var>(2) assessment and treatment of brain injury;<br />
         		<a id="pl.424.15"></a><var>424.15</var>(3) coordination of school and medical support services; or<br />
         		<a id="pl.424.16"></a><var>424.16</var>(4) policy reform to improve brain health outcomes.<br />
         		<a id="pl.424.17"></a><var>424.17</var>(c) The programs must be selected so that youth are served in each of the following
         <br />
         		<a id="pl.424.18"></a><var>424.18</var>regions of the state:<br />
         		<a id="pl.424.19"></a><var>424.19</var>(1) Central or West Central Minnesota;<br />
         		<a id="pl.424.20"></a><var>424.20</var>(2) Southern, Southwest, or Southeast Minnesota;<br />
         		<a id="pl.424.21"></a><var>424.21</var>(3) Northwest or Northland Minnesota; and<br />
         		<a id="pl.424.22"></a><var>424.22</var>(4) the Twin Cities Metropolitan Area.<br />
         		<a id="pl.424.23"></a><var>424.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Funding for pilot programs.</b> Pilot programs selected under this section shall <br />
         		<a id="pl.424.24"></a><var>424.24</var>receive funding for one year beginning January 1, 2018. No later than March 1, 2019,
         the <br />
         		<a id="pl.424.25"></a><var>424.25</var>commissioner must report on the progress and outcomes of the pilot programs to the
         <br />
         		<a id="pl.424.26"></a><var>424.26</var>legislative committees with jurisdiction over health policy and finance.<br />
         		<br />
         		<a id="bill.10.77.0"></a><a id="pl.424.27"></a><var>424.27</var>&#160;&#160;&#160;&#160;Sec. 77. <b>RECOMMENDATIONS FOR SAFETY AND QUALITY IMPROVEMENT </b><br />
         		<a id="pl.424.28"></a><var>424.28</var><b>PRACTICES FOR LONG-TERM CARE SERVICES AND SUPPORTS.</b><br />
         		<a id="pl.424.29"></a><var>424.29</var>The commissioner of health shall consult with interested stakeholders to explore and
         <br />
         		<a id="pl.424.30"></a><var>424.30</var>make recommendations on how to apply proven safety and quality improvement practices
         <br />
         		<a id="pl.425.1"></a><var>425.1</var>and infrastructure to long-term care services and supports. Interested stakeholders
         with <br />
         		<a id="pl.425.2"></a><var>425.2</var>whom the commissioner must consult shall include but are not limited to representatives
         <br />
         		<a id="pl.425.3"></a><var>425.3</var>of the Minnesota Alliance for Patient Safety partner organizations, the Office of
         Ombudsman <br />
         		<a id="pl.425.4"></a><var>425.4</var>for Long-Term Care, the Minnesota Elder Justice Center, providers of older adult services,
         <br />
         		<a id="pl.425.5"></a><var>425.5</var>the Department of Health, and the Department of Human Services, and experts in the
         field <br />
         		<a id="pl.425.6"></a><var>425.6</var>of long-term care safety and quality improvement. The recommendations shall include
         <br />
         		<a id="pl.425.7"></a><var>425.7</var>mechanisms to apply a patient safety model to the senior care sector, including a
         system <br />
         		<a id="pl.425.8"></a><var>425.8</var>for reporting adverse health events, education and prevention activities, and interim
         actions <br />
         		<a id="pl.425.9"></a><var>425.9</var>to improve systems for processing reports and complaints submitted to the Office of
         Health <br />
         		<a id="pl.425.10"></a><var>425.10</var>Facility Complaints. By January 15, 2018, the commissioner shall submit the <br />
         		<a id="pl.425.11"></a><var>425.11</var>recommendations developed under this section, along with draft legislation to implement
         <br />
         		<a id="pl.425.12"></a><var>425.12</var>the recommendations, to the chairs and ranking minority members of the legislative
         <br />
         		<a id="pl.425.13"></a><var>425.13</var>committees with jurisdiction over long-term care.<br />
         		<br />
         		<a id="bill.10.78.0"></a><a id="pl.425.14"></a><var>425.14</var>&#160;&#160;&#160;&#160;Sec. 78. <b>STUDY AND REPORT ON HOME CARE NURSING WORKFORCE </b><br />
         		<a id="pl.425.15"></a><var>425.15</var><b>SHORTAGE.</b><br />
         		<a id="pl.425.16"></a><var>425.16</var>(a) The chair and ranking minority member of the senate Human Services Reform <br />
         		<a id="pl.425.17"></a><var>425.17</var>Finance and Policy Committee and the chair and ranking minority member of the house
         of <br />
         		<a id="pl.425.18"></a><var>425.18</var>representatives Health and Human Services Finance Committee shall convene a working
         <br />
         		<a id="pl.425.19"></a><var>425.19</var>group to study and report on the shortage of registered nurses and licensed practical
         nurses <br />
         		<a id="pl.425.20"></a><var>425.20</var>available to provide low-complexity regular home care services to clients in need
         of such <br />
         		<a id="pl.425.21"></a><var>425.21</var>services, especially clients covered by medical assistance, and to provide recommendations
         <br />
         		<a id="pl.425.22"></a><var>425.22</var>for ways to address the workforce shortage. The working group shall consist of 14
         members <br />
         		<a id="pl.425.23"></a><var>425.23</var>appointed as follows:<br />
         		<a id="pl.425.24"></a><var>425.24</var>(1) the chair of the senate Human Services Reform Finance and Policy Committee or
         a <br />
         		<a id="pl.425.25"></a><var>425.25</var>designee;<br />
         		<a id="pl.425.26"></a><var>425.26</var>(2) the ranking minority member of the senate Human Services Reform Finance and <br />
         		<a id="pl.425.27"></a><var>425.27</var>Policy Committee or a designee;<br />
         		<a id="pl.425.28"></a><var>425.28</var>(3) the chair of the house of representatives Health and Human Services Finance <br />
         		<a id="pl.425.29"></a><var>425.29</var>Committee or a designee;<br />
         		<a id="pl.425.30"></a><var>425.30</var>(4) the ranking minority member of the house of representatives Health and Human <br />
         		<a id="pl.425.31"></a><var>425.31</var>Services Finance Committee or a designee;<br />
         		<a id="pl.425.32"></a><var>425.32</var>(5) the commissioner of human services or a designee;<br />
         		<a id="pl.425.33"></a><var>425.33</var>(6) the commissioner of health or a designee;<br />
         		<a id="pl.426.1"></a><var>426.1</var>(7) one representative appointed by the Professional Home Care Coalition;<br />
         		<a id="pl.426.2"></a><var>426.2</var>(8) one representative appointed by the Minnesota Home Care Association;<br />
         		<a id="pl.426.3"></a><var>426.3</var>(9) one representative appointed by the Minnesota Board of Nursing;<br />
         		<a id="pl.426.4"></a><var>426.4</var>(10) one representative appointed by the Minnesota Nurses Association;<br />
         		<a id="pl.426.5"></a><var>426.5</var>(11) one representative appointed by the Minnesota Licensed Practical Nurses <br />
         		<a id="pl.426.6"></a><var>426.6</var>Association;<br />
         		<a id="pl.426.7"></a><var>426.7</var>(12) one representative appointed by the Minnesota Society of Medical Assistants;<br />
         		<a id="pl.426.8"></a><var>426.8</var>(13) one client who receives regular home care nursing services and is covered by
         medical <br />
         		<a id="pl.426.9"></a><var>426.9</var>assistance appointed by the commissioner of human services after consulting with the
         <br />
         		<a id="pl.426.10"></a><var>426.10</var>appointing authorities identified in clauses (7) to (12); and<br />
         		<a id="pl.426.11"></a><var>426.11</var>(14) one assessor appointed by the commissioner of human services. The assessor must
         <br />
         		<a id="pl.426.12"></a><var>426.12</var>be certified under Minnesota Statutes, section 256B.0911, and must be a registered
         nurse.<br />
         		<a id="pl.426.13"></a><var>426.13</var>(b) The appointing authorities must appoint members by August 1, 2017.<br />
         		<a id="pl.426.14"></a><var>426.14</var>(c) The convening authorities shall convene the first meeting of the working group
         no <br />
         		<a id="pl.426.15"></a><var>426.15</var>later than August 15, 2017, and caucus staff shall provide support and meeting space
         for <br />
         		<a id="pl.426.16"></a><var>426.16</var>the working group. The Department of Health and the Department of Human Services shall
         <br />
         		<a id="pl.426.17"></a><var>426.17</var>provide technical assistance to the working group by providing existing data and analysis
         <br />
         		<a id="pl.426.18"></a><var>426.18</var>documenting the current and projected workforce shortages in the area of regular home
         care <br />
         		<a id="pl.426.19"></a><var>426.19</var>nursing. The home care and assisted living program advisory council established under
         <br />
         		<a id="pl.426.20"></a><var>426.20</var>Minnesota Statutes, section 144A.4799, shall provide advice and recommendations to
         the <br />
         		<a id="pl.426.21"></a><var>426.21</var>working group. Working group members shall serve without compensation and shall not
         <br />
         		<a id="pl.426.22"></a><var>426.22</var>be reimbursed for expenses.<br />
         		<a id="pl.426.23"></a><var>426.23</var>(d) The working group shall:<br />
         		<a id="pl.426.24"></a><var>426.24</var>(1) quantify the number of low-complexity regular home care nursing hours that are
         <br />
         		<a id="pl.426.25"></a><var>426.25</var>authorized but not provided to clients covered by medical assistance, due to the shortage
         <br />
         		<a id="pl.426.26"></a><var>426.26</var>of registered nurses and licensed practical nurses available to provide these home
         care <br />
         		<a id="pl.426.27"></a><var>426.27</var>services;<br />
         		<a id="pl.426.28"></a><var>426.28</var>(2) quantify the current and projected workforce shortages of registered nurses and
         <br />
         		<a id="pl.426.29"></a><var>426.29</var>licensed practical nurses available to provide low-complexity regular home care nursing
         <br />
         		<a id="pl.426.30"></a><var>426.30</var>services to clients, especially clients covered by medical assistance;<br />
         		<a id="pl.426.31"></a><var>426.31</var>(3) develop recommendations for actions to take in the next two years to address the
         <br />
         		<a id="pl.426.32"></a><var>426.32</var>regular home care nursing workforce shortage, including identifying other health care
         <br />
         		<a id="pl.427.1"></a><var>427.1</var>professionals who may be able to provide low-complexity regular home care nursing
         services <br />
         		<a id="pl.427.2"></a><var>427.2</var>with additional training; what additional training may be necessary for these health
         care <br />
         		<a id="pl.427.3"></a><var>427.3</var>professionals; and how to address scope of practice and licensing issues;<br />
         		 <a id="pl.427.4"></a><var>427.4</var>(4) compile reimbursement rates for regular home care nursing from other states and
         <br />
         		<a id="pl.427.5"></a><var>427.5</var>determine Minnesota's national ranking with respect to reimbursement for regular home
         <br />
         		<a id="pl.427.6"></a><var>427.6</var>care nursing;<br />
         		<a id="pl.427.7"></a><var>427.7</var>(5) determine whether reimbursement rates for regular home care nursing fully reimburse
         <br />
         		<a id="pl.427.8"></a><var>427.8</var>providers for the cost of providing the service and whether the discrepancy, if any,
         between <br />
         		<a id="pl.427.9"></a><var>427.9</var>rates and costs contributes to lack of access to regular home care nursing; and<br />
         		<a id="pl.427.10"></a><var>427.10</var>(6) by January 15, 2018, report on the findings and recommendations of the working
         <br />
         		<a id="pl.427.11"></a><var>427.11</var>group to the chairs and ranking minority members of the legislative committees with
         <br />
         		<a id="pl.427.12"></a><var>427.12</var>jurisdiction over health and human services policy and finance. The working group's
         report <br />
         		<a id="pl.427.13"></a><var>427.13</var>shall include draft legislation.<br />
         		<a id="pl.427.14"></a><var>427.14</var>(e) The working group shall elect a chair from among its members at its first meeting.<br />
         		<a id="pl.427.15"></a><var>427.15</var>(f) The meetings of the working group shall be open to the public.<br />
         		<a id="pl.427.16"></a><var>427.16</var>(g) This section expires January 16, 2018, or the day after submitting the report
         required <br />
         		<a id="pl.427.17"></a><var>427.17</var>by this section, whichever is earlier.<br />
         		<a id="pl.427.18"></a><var>427.18</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.10.79.0"></a><a id="pl.427.19"></a><var>427.19</var>&#160;&#160;&#160;&#160;Sec. 79. <b>OPIOID ABUSE PREVENTION PILOT PROJECTS.</b><br />
         		<a id="pl.427.20"></a><var>427.20</var>(a) The commissioner of health shall establish opioid abuse prevention pilot projects
         in <br />
         		<a id="pl.427.21"></a><var>427.21</var>geographic areas throughout the state, to reduce opioid abuse through the use of controlled
         <br />
         		<a id="pl.427.22"></a><var>427.22</var>substance care teams and community-wide coordination of abuse-prevention initiatives.
         <br />
         		<a id="pl.427.23"></a><var>427.23</var>The commissioner shall award grants to health care providers, health plan companies,
         local <br />
         		<a id="pl.427.24"></a><var>427.24</var>units of government, or other entities to establish pilot projects.<br />
         		<a id="pl.427.25"></a><var>427.25</var>(b) Each pilot project must:<br />
         		<a id="pl.427.26"></a><var>427.26</var>(1) be designed to reduce emergency room and other health care provider visits resulting
         <br />
         		<a id="pl.427.27"></a><var>427.27</var>from opioid use or abuse, and reduce rates of opioid addiction in the community;<br />
         		<a id="pl.427.28"></a><var>427.28</var>(2) establish multidisciplinary controlled substance care teams, that may consist
         of <br />
         		<a id="pl.427.29"></a><var>427.29</var>physicians, pharmacists, social workers, nurse care coordinators, and mental health
         <br />
         		<a id="pl.427.30"></a><var>427.30</var>professionals;<br />
         		<a id="pl.428.1"></a><var>428.1</var>(3) deliver health care services and care coordination, through controlled substance
         care <br />
         		<a id="pl.428.2"></a><var>428.2</var>teams, to reduce the inappropriate use of opioids by patients and rates of opioid
         addiction;<br />
         		<a id="pl.428.3"></a><var>428.3</var>(4) address any unmet social service needs that create barriers to managing pain <br />
         		<a id="pl.428.4"></a><var>428.4</var>effectively and obtaining optimal health outcomes;<br />
         		<a id="pl.428.5"></a><var>428.5</var>(5) provide prescriber and dispenser education and assistance to reduce the inappropriate
         <br />
         		<a id="pl.428.6"></a><var>428.6</var>prescribing and dispensing of opioids;<br />
         		<a id="pl.428.7"></a><var>428.7</var>(6) promote the adoption of best practices related to opioid disposal and reducing
         <br />
         		<a id="pl.428.8"></a><var>428.8</var>opportunities for illegal access to opioids; and<br />
         		<a id="pl.428.9"></a><var>428.9</var>(7) engage partners outside of the health care system, including schools, law enforcement,
         <br />
         		<a id="pl.428.10"></a><var>428.10</var>and social services, to address root causes of opioid abuse and addiction at the community
         <br />
         		<a id="pl.428.11"></a><var>428.11</var>level.<br />
         		<a id="pl.428.12"></a><var>428.12</var>(c) The commissioner shall contract with an accountable community for health that
         <br />
         		<a id="pl.428.13"></a><var>428.13</var>operates an opioid abuse prevention project, and can document success in reducing
         opioid <br />
         		<a id="pl.428.14"></a><var>428.14</var>use through the use of controlled substance care teams, to assist the commissioner
         in <br />
         		<a id="pl.428.15"></a><var>428.15</var>administering this section, and to provide technical assistance to the commissioner
         and to <br />
         		<a id="pl.428.16"></a><var>428.16</var>entities selected to operate a pilot project.<br />
         		<a id="pl.428.17"></a><var>428.17</var>(d) The contract under paragraph (c) shall require the accountable community for health
         <br />
         		<a id="pl.428.18"></a><var>428.18</var>to evaluate the extent to which the pilot projects were successful in reducing the
         inappropriate <br />
         		<a id="pl.428.19"></a><var>428.19</var>use of opioids. The evaluation must analyze changes in the number of opioid prescriptions,
         <br />
         		<a id="pl.428.20"></a><var>428.20</var>the number of emergency room visits related to opioid use, and other relevant measures.
         <br />
         		<a id="pl.428.21"></a><var>428.21</var>The accountable community for health shall report evaluation results to the chairs
         and <br />
         		<a id="pl.428.22"></a><var>428.22</var>ranking minority members of the legislative committees with jurisdiction over health
         and <br />
         		<a id="pl.428.23"></a><var>428.23</var>human services policy and finance and public safety by December 15, 2019.<br />
         		<br />
         		<a id="bill.10.80.0"></a><a id="pl.428.24"></a><var>428.24</var>&#160;&#160;&#160;&#160;Sec. 80. <b>SAFE HARBOR FOR ALL; STATEWIDE SEX TRAFFICKING VICTIMS </b><br />
         		<a id="pl.428.25"></a><var>428.25</var><b>STRATEGIC PLAN.</b><br />
         		<a id="pl.428.26"></a><var>428.26</var>(a) By October 1, 2018, the commissioner of health, in consultation with the <br />
         		<a id="pl.428.27"></a><var>428.27</var>commissioners of public safety and human services, shall adopt a comprehensive strategic
         <br />
         		<a id="pl.428.28"></a><var>428.28</var>plan to address the needs of sex trafficking victims statewide.<br />
         		<a id="pl.428.29"></a><var>428.29</var>(b) The commissioner of health shall issue a request for proposals to select an organization
         <br />
         		<a id="pl.428.30"></a><var>428.30</var>to develop the comprehensive strategic plan. The selected organization shall seek
         <br />
         		<a id="pl.428.31"></a><var>428.31</var>recommendations from professionals, community members, and stakeholders from across
         <br />
         		<a id="pl.428.32"></a><var>428.32</var>the state, with an emphasis on the communities most impacted by sex trafficking. At
         a <br />
         		<a id="pl.428.33"></a><var>428.33</var>minimum, the selected organization must seek input from the following groups: sex
         <br />
         		<a id="pl.429.1"></a><var>429.1</var>trafficking survivors and their family members, statewide crime victim services coalitions,
         <br />
         		<a id="pl.429.2"></a><var>429.2</var>victim services providers, nonprofit organizations, task forces, prosecutors, public
         defenders, <br />
         		<a id="pl.429.3"></a><var>429.3</var>tribal governments, public safety and corrections professionals, public health professionals,
         <br />
         		<a id="pl.429.4"></a><var>429.4</var>human services professionals, and impacted community members. The strategic plan shall
         <br />
         		<a id="pl.429.5"></a><var>429.5</var>include recommendations regarding the expansion of Minnesota's Safe Harbor Law to
         adult <br />
         		<a id="pl.429.6"></a><var>429.6</var>victims of sex trafficking.<br />
         		<a id="pl.429.7"></a><var>429.7</var>(c) By January 15, 2019, the commissioner of health shall report to the chairs and
         ranking <br />
         		<a id="pl.429.8"></a><var>429.8</var>minority members of the legislative committees with jurisdiction over health and human
         <br />
         		<a id="pl.429.9"></a><var>429.9</var>services and criminal justice finance and policy on developing the statewide strategic
         plan, <br />
         		<a id="pl.429.10"></a><var>429.10</var>including recommendations for additional legislation and funding.<br />
         		<a id="pl.429.11"></a><var>429.11</var>(d) As used in this section, "sex trafficking victim" has the meaning given in Minnesota
         <br />
         		<a id="pl.429.12"></a><var>429.12</var>Statutes, section 609.321, subdivision 7b.<br />
         		<br />
         		<a id="bill.10.81.0"></a><a id="pl.429.13"></a><var>429.13</var>&#160;&#160;&#160;&#160;Sec. 81. <b>DIRECTION TO THE COMMISSIONER OF HEALTH.</b><br />
         		<a id="pl.429.14"></a><var>429.14</var>The commissioner of health shall work with interested stakeholders to evaluate whether
         <br />
         		<a id="pl.429.15"></a><var>429.15</var>existing laws, including laws governing housing with services establishments, board
         and <br />
         		<a id="pl.429.16"></a><var>429.16</var>lodging establishments with special services, assisted living designations, and home
         care <br />
         		<a id="pl.429.17"></a><var>429.17</var>providers, as well as building code requirements and landlord tenancy laws, sufficiently
         <br />
         		<a id="pl.429.18"></a><var>429.18</var>protect the health and safety of persons diagnosed with Alzheimer's disease or a related
         <br />
         		<a id="pl.429.19"></a><var>429.19</var>dementia.<br />
         		<br />
         		<a id="bill.10.82.0"></a><a id="pl.429.20"></a><var>429.20</var>&#160;&#160;&#160;&#160;Sec. 82. <b>PALLIATIVE CARE ADVISORY COUNCIL.</b><br />
         		<a id="pl.429.21"></a><var>429.21</var>The appointing authorities shall appoint the first members of the Palliative Care
         Advisory <br />
         		<a id="pl.429.22"></a><var>429.22</var>Council under Minnesota Statutes, section 144.059, by October 1, 2017. The commissioner
         <br />
         		<a id="pl.429.23"></a><var>429.23</var>of health shall convene the first meeting by November 15, 2017, and the commissioner
         or <br />
         		<a id="pl.429.24"></a><var>429.24</var>the commissioner's designee shall act as chair until the council elects a chair at
         its first <br />
         		<a id="pl.429.25"></a><var>429.25</var>meeting.<br />
         		<br />
         		<a id="bill.10.83.0"></a><a id="pl.429.26"></a><var>429.26</var>&#160;&#160;&#160;&#160;Sec. 83. <b>YOUTH SPORTS CONCUSSION WORKING GROUP.</b><br />
         		<a id="pl.429.27"></a><var>429.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Working group established; duties and membership.</b> (a) The <br />
         		<a id="pl.429.28"></a><var>429.28</var>commissioner of health shall convene a youth sports concussion working group of up
         to 30 <br />
         		<a id="pl.429.29"></a><var>429.29</var>members to:<br />
         		<a id="pl.429.30"></a><var>429.30</var>(1) develop the report described in subdivision 4 to assess the causes and incidence
         of <br />
         		<a id="pl.429.31"></a><var>429.31</var>brain injury in Minnesota youth sports; and<br />
         		<a id="pl.430.1"></a><var>430.1</var>(2) evaluate the implementation of Minnesota Statutes, sections 121A.37 and 121A.38,
         <br />
         		<a id="pl.430.2"></a><var>430.2</var>regarding concussions in youth athletic activity, and best practices for preventing,
         identifying, <br />
         		<a id="pl.430.3"></a><var>430.3</var>evaluating, and treating brain injury in youth sports.<br />
         		<a id="pl.430.4"></a><var>430.4</var>(b) In forming the working group, the commissioner shall solicit nominees from <br />
         		<a id="pl.430.5"></a><var>430.5</var>individuals with expertise and experience in the areas of traumatic brain injury in
         youth and <br />
         		<a id="pl.430.6"></a><var>430.6</var>sports, neuroscience, law and policy related to brain health, public health, neurotrauma,
         <br />
         		<a id="pl.430.7"></a><var>430.7</var>provision of care to brain injured youth, and related fields. In selecting members
         of the <br />
         		<a id="pl.430.8"></a><var>430.8</var>working group, the commissioner shall ensure geographic and professional diversity.
         The <br />
         		<a id="pl.430.9"></a><var>430.9</var>working group shall elect a chair from among its members. The commissioner shall be
         <br />
         		<a id="pl.430.10"></a><var>430.10</var>responsible for organizing meetings and preparing a draft report. Members of the working
         <br />
         		<a id="pl.430.11"></a><var>430.11</var>group shall not receive monetary compensation for their participation in the group.<br />
         		<a id="pl.430.12"></a><var>430.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Working group goals defined.</b> The working group shall, at a minimum:<br />
         		<a id="pl.430.13"></a><var>430.13</var>(1) gather and analyze available data on:<br />
         		<a id="pl.430.14"></a><var>430.14</var>(i) the prevalence and causes of youth sports-related concussions including, where
         <br />
         		<a id="pl.430.15"></a><var>430.15</var>possible, data on the number of officials and coaches receiving concussion training;<br />
         		<a id="pl.430.16"></a><var>430.16</var>(ii) the number of coaches, officials, youth athletes, and parents or guardians receiving
         <br />
         		<a id="pl.430.17"></a><var>430.17</var>information about the nature and risks of concussions;<br />
         		<a id="pl.430.18"></a><var>430.18</var>(iii) the number of youth athletes removed from play and the nature and duration of
         <br />
         		<a id="pl.430.19"></a><var>430.19</var>treatment before return to play; and<br />
         		<a id="pl.430.20"></a><var>430.20</var>(iv) policies and procedures related to return to learn in the classroom;<br />
         		<a id="pl.430.21"></a><var>430.21</var>(2) review the rules associated with relevant youth athletic activities and the concussion
         <br />
         		<a id="pl.430.22"></a><var>430.22</var>education policies currently employed;<br />
         		<a id="pl.430.23"></a><var>430.23</var>(3) identify innovative pilot projects in areas such as:<br />
         		<a id="pl.430.24"></a><var>430.24</var>(i) objectively defining and measuring concussions;<br />
         		<a id="pl.430.25"></a><var>430.25</var>(ii) rule changes designed to promote brain health;<br />
         		<a id="pl.430.26"></a><var>430.26</var>(iii) use of technology to identify and treat concussions;<br />
         		<a id="pl.430.27"></a><var>430.27</var>(iv) recognition of cumulative subconcussive effects; and<br />
         		<a id="pl.430.28"></a><var>430.28</var>(v) postconcussion treatment, and return to learn protocols; and<br />
         		<a id="pl.430.29"></a><var>430.29</var>(4) identify regulatory and legal barriers and burdens to achieving better brain health
         <br />
         		<a id="pl.430.30"></a><var>430.30</var>outcomes.<br />
         		<a id="pl.431.1"></a><var>431.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Voluntary participation; no new reporting requirements created.</b><br />
         		 <a id="pl.431.2"></a><var>431.2</var>Participation in the working group study by schools, school districts, school governing
         <br />
         		<a id="pl.431.3"></a><var>431.3</var>bodies, parents, athletes, and related individuals and organizations shall be voluntary,
         and <br />
         		<a id="pl.431.4"></a><var>431.4</var>this study shall create no new reporting requirements by schools, school districts,
         school <br />
         		<a id="pl.431.5"></a><var>431.5</var>governing bodies, parents, athletes, and related individuals and organizations.<br />
         		<a id="pl.431.6"></a><var>431.6</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Report.</b>  By December 31, 2018, the youth sports concussion working group <br />
         		<a id="pl.431.7"></a><var>431.7</var>shall provide an interim report, and by December 31, 2019, the working group shall
         provide <br />
         		<a id="pl.431.8"></a><var>431.8</var>a final report to the chairs and ranking minority members of the legislative committees
         with <br />
         		<a id="pl.431.9"></a><var>431.9</var>jurisdiction over health and education with recommendations and proposals for a Minnesota
         <br />
         		<a id="pl.431.10"></a><var>431.10</var>model for reducing brain injury in youth sports. The report shall make recommendations
         <br />
         		<a id="pl.431.11"></a><var>431.11</var>regarding:<br />
         		<a id="pl.431.12"></a><var>431.12</var>(1) best practices for reducing and preventing concussions in youth sports;<br />
         		<a id="pl.431.13"></a><var>431.13</var>(2) best practices for schools to employ in order to identify and respond to occurrences
         <br />
         		<a id="pl.431.14"></a><var>431.14</var>of concussions, including return to play and return to learn;<br />
         		<a id="pl.431.15"></a><var>431.15</var>(3) opportunities to highlight and strengthen best practices with external grant support;<br />
         		<a id="pl.431.16"></a><var>431.16</var>(4) opportunities to leverage Minnesota's strengths in brain science research and
         clinical <br />
         		<a id="pl.431.17"></a><var>431.17</var>care for brain injury; and<br />
         		<a id="pl.431.18"></a><var>431.18</var>(5) proposals to develop an innovative Minnesota model for identifying, evaluating,
         and <br />
         		<a id="pl.431.19"></a><var>431.19</var>treating youth sports concussions.<br />
         		<a id="pl.431.20"></a><var>431.20</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Sunset.</b> The working group expires the day after submitting the report required <br />
         		<a id="pl.431.21"></a><var>431.21</var>under subdivision 4, or January 15, 2020, whichever is earlier.<br />
         		<br />
         		<a id="bill.10.84.0"></a><a id="pl.431.22"></a><var>431.22</var>&#160;&#160;&#160;&#160;Sec. 84. <b> REPEALER.</b><br />
         		<a id="pl.431.23"></a><var>431.23</var>(a) Minnesota Statutes 2016, section 144.4961, is repealed the day following final <br />
         		<a id="pl.431.24"></a><var>431.24</var>enactment.<br />
         		<a id="pl.431.25"></a><var>431.25</var>(b) Laws 2014, chapter 312, article 23, section 9, subdivision 5, is repealed.<br />
         		<br />
         		<a id="bill.11.0.0"></a><div class="xtend_ce"><a id="pl.431.26"></a><var>431.26</var><b>ARTICLE 11</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.431.27"></a><var>431.27</var><b>HEALTH LICENSING BOARDS</b><br />
            		
         </div><br />
         		<a id="bill.11.1.0"></a><a id="pl.431.28"></a><var>431.28</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 147.01, subdivision 7, is amended to read:<br />
         		<a id="pl.431.29"></a><var>431.29</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Physician application </b><b>fee</b><b> and license fees</b><b>.</b> (a) The board may charge a the <br />
         		<a id="pl.431.30"></a><var>431.30</var>following nonrefundable application and license fees processed pursuant to sections
         147.02, <br />
         		<a id="pl.431.31"></a><var>431.31</var>147.03, 147.037, 147.0375, and 147.38:<br />
         		 <a id="pl.432.1"></a><var>432.1</var>(1) physician application fee of, $200.;<br />
         		<a id="pl.432.2"></a><var>432.2</var>(2) physician annual registration renewal fee, $192;<br />
         		<a id="pl.432.3"></a><var>432.3</var>(3) physician endorsement to other states, $40;<br />
         		<a id="pl.432.4"></a><var>432.4</var>(4) physician emeritus license, $50;<br />
         		<a id="pl.432.5"></a><var>432.5</var>(5) physician temporary licenses, $60;<br />
         		<a id="pl.432.6"></a><var>432.6</var>(6) physician late fee, $60;<br />
         		<a id="pl.432.7"></a><var>432.7</var>(7) duplicate license fee, $20;<br />
         		<a id="pl.432.8"></a><var>432.8</var>(8) certification letter fee, $25;<br />
         		<a id="pl.432.9"></a><var>432.9</var>(9) education or training program approval fee, $100;<br />
         		<a id="pl.432.10"></a><var>432.10</var>(10) report creation and generation fee, $60;<br />
         		<a id="pl.432.11"></a><var>432.11</var>(11) examination administration fee (half day), $50;<br />
         		<a id="pl.432.12"></a><var>432.12</var>(12) examination administration fee (full day), $80; and<br />
         		<a id="pl.432.13"></a><var>432.13</var>(13) fees developed by the Interstate Commission for determining physician qualification
         <br />
         		<a id="pl.432.14"></a><var>432.14</var>to register and participate in the interstate medical licensure compact, as established
         in rules <br />
         		<a id="pl.432.15"></a><var>432.15</var>authorized in and pursuant to section 147.38, not to exceed $1,000.<br />
         		 <a id="pl.432.16"></a><var>432.16</var>(b) The board may prorate the initial annual license fee. All licensees are required
         to <br />
         		<a id="pl.432.17"></a><var>432.17</var>pay the full fee upon license renewal. The revenue generated from the fee must be deposited <br />
         		<a id="pl.432.18"></a><var>432.18</var>in an account in the state government special revenue fund.<br />
         		<br />
         		<a id="bill.11.2.0"></a><a id="pl.432.19"></a><var>432.19</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 147.02, subdivision 1, is amended to read:<br />
         		<a id="pl.432.20"></a><var>432.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>United States or Canadian medical school graduates.</b> The board shall <br />
         		<a id="pl.432.21"></a><var>432.21</var>issue a license to practice medicine to a person not currently licensed in another
         state or <br />
         		<a id="pl.432.22"></a><var>432.22</var>Canada and who meets the requirements in paragraphs (a) to (i).<br />
         		<a id="pl.432.23"></a><var>432.23</var>&#160;&#160;&#160;&#160;(a) An applicant for a license shall file a written application on forms provided
         by the <br />
         		<a id="pl.432.24"></a><var>432.24</var>board, showing to the board's satisfaction that the applicant is of good moral character
         and <br />
         		<a id="pl.432.25"></a><var>432.25</var>satisfies the requirements of this section.<br />
         		<a id="pl.432.26"></a><var>432.26</var>&#160;&#160;&#160;&#160;(b) The applicant shall present evidence satisfactory to the board of being a graduate
         of <br />
         		<a id="pl.432.27"></a><var>432.27</var>a medical or osteopathic medical school located in the United States, its territories
         or Canada, <br />
         		<a id="pl.432.28"></a><var>432.28</var>and approved by the board based upon its faculty, curriculum, facilities, accreditation
         by a <br />
         		<a id="pl.432.29"></a><var>432.29</var>recognized national accrediting organization approved by the board, and other relevant
         data, <br />
         		<a id="pl.432.30"></a><var>432.30</var>or is currently enrolled in the final year of study at the school.<br />
         		<a id="pl.433.1"></a><var>433.1</var>&#160;&#160;&#160;&#160;(c) The applicant must have passed an examination as described in clause (1) or (2).<br />
         		<a id="pl.433.2"></a><var>433.2</var>&#160;&#160;&#160;&#160;(1) The applicant must have passed a comprehensive examination for initial licensure
         <br />
         		<a id="pl.433.3"></a><var>433.3</var>prepared and graded by the National Board of Medical Examiners, the Federation of
         State <br />
         		<a id="pl.433.4"></a><var>433.4</var>Medical Boards, the Medical Council of Canada, the National Board of Osteopathic <br />
         		<a id="pl.433.5"></a><var>433.5</var>Examiners, or the appropriate state board that the board determines acceptable. The
         board <br />
         		<a id="pl.433.6"></a><var>433.6</var>shall by rule determine what constitutes a passing score in the examination.<br />
         		<a id="pl.433.7"></a><var>433.7</var>&#160;&#160;&#160;&#160;(2) The applicant taking the United States Medical Licensing Examination (USMLE) <br />
         		<a id="pl.433.8"></a><var>433.8</var>or Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) must <br />
         		<a id="pl.433.9"></a><var>433.9</var>have passed steps or levels one, two, and three. Step or level three must be passed
         within <br />
         		<a id="pl.433.10"></a><var>433.10</var>five years of passing step or level two, or before the end of residency training.
         The applicant <br />
         		<a id="pl.433.11"></a><var>433.11</var>must pass each of steps or levels one, two, and three with passing scores as recommended
         <br />
         		<a id="pl.433.12"></a><var>433.12</var>by the USMLE program or National Board of Osteopathic Medical Examiners within three
         <br />
         		<a id="pl.433.13"></a><var>433.13</var>attempts. The applicant taking combinations of Federation of State Medical Boards,
         National <br />
         		<a id="pl.433.14"></a><var>433.14</var>Board of Medical Examiners, and USMLE may be accepted only if the combination is <br />
         		<a id="pl.433.15"></a><var>433.15</var>approved by the board as comparable to existing comparable examination sequences and
         <br />
         		<a id="pl.433.16"></a><var>433.16</var>all examinations are completed prior to the year 2000.<br />
         		<a id="pl.433.17"></a><var>433.17</var>&#160;&#160;&#160;&#160;(d) The applicant shall present evidence satisfactory to the board of the completion
         of <br />
         		<a id="pl.433.18"></a><var>433.18</var>one year of graduate, clinical medical training in a program accredited by a national
         <br />
         		<a id="pl.433.19"></a><var>433.19</var>accrediting organization approved by the board or other graduate training approved
         in <br />
         		<a id="pl.433.20"></a><var>433.20</var>advance by the board as meeting standards similar to those of a national accrediting
         <br />
         		<a id="pl.433.21"></a><var>433.21</var>organization.<br />
         		<a id="pl.433.22"></a><var>433.22</var>&#160;&#160;&#160;&#160;(e) The applicant may make arrangements with the executive director to appear in person
         <br />
         		<a id="pl.433.23"></a><var>433.23</var>before the board or its designated representative to show that the applicant satisfies
         the <br />
         		<a id="pl.433.24"></a><var>433.24</var>requirements of this section. The board may establish as internal operating procedures
         the <br />
         		<a id="pl.433.25"></a><var>433.25</var>procedures or requirements for the applicant's personal presentation.<br />
         		<a id="pl.433.26"></a><var>433.26</var>&#160;&#160;&#160;&#160;(f) The applicant shall pay a nonrefundable fee established by the board by rule. The <br />
         		<a id="pl.433.27"></a><var>433.27</var>fee may not be refunded. Upon application or notice of license renewal, the board must <br />
         		<a id="pl.433.28"></a><var>433.28</var>provide notice to the applicant and to the person whose license is scheduled to be
         issued or <br />
         		<a id="pl.433.29"></a><var>433.29</var>renewed of any additional fees, surcharges, or other costs which the person is obligated
         to <br />
         		<a id="pl.433.30"></a><var>433.30</var>pay as a condition of licensure. The notice must:<br />
         		<a id="pl.433.31"></a><var>433.31</var>&#160;&#160;&#160;&#160;(1) state the dollar amount of the additional costs; and<br />
         		<a id="pl.433.32"></a><var>433.32</var>&#160;&#160;&#160;&#160;(2) clearly identify to the applicant the payment schedule of additional costs.<br />
         		<a id="pl.434.1"></a><var>434.1</var>&#160;&#160;&#160;&#160;(g) The applicant must not be under license suspension or revocation by the licensing
         <br />
         		<a id="pl.434.2"></a><var>434.2</var>board of the state or jurisdiction in which the conduct that caused the suspension
         or revocation <br />
         		<a id="pl.434.3"></a><var>434.3</var>occurred.<br />
         		<a id="pl.434.4"></a><var>434.4</var>&#160;&#160;&#160;&#160;(h) The applicant must not have engaged in conduct warranting disciplinary action
         <br />
         		<a id="pl.434.5"></a><var>434.5</var>against a licensee, or have been subject to disciplinary action other than as specified
         in <br />
         		<a id="pl.434.6"></a><var>434.6</var>paragraph (g). If the applicant does not satisfy the requirements stated in this paragraph,
         <br />
         		<a id="pl.434.7"></a><var>434.7</var>the board may issue a license only on the applicant's showing that the public will
         be protected <br />
         		<a id="pl.434.8"></a><var>434.8</var>through issuance of a license with conditions and limitations the board considers
         appropriate.<br />
         		<a id="pl.434.9"></a><var>434.9</var>&#160;&#160;&#160;&#160;(i) If the examination in paragraph (c) was passed more than ten years ago, the applicant
         <br />
         		<a id="pl.434.10"></a><var>434.10</var>must either:<br />
         		<a id="pl.434.11"></a><var>434.11</var>&#160;&#160;&#160;&#160;(1) pass the special purpose examination of the Federation of State Medical Boards
         with <br />
         		<a id="pl.434.12"></a><var>434.12</var>a score of 75 or better within three attempts; or<br />
         		<a id="pl.434.13"></a><var>434.13</var>&#160;&#160;&#160;&#160;(2) have a current certification by a specialty board of the American Board of Medical
         <br />
         		<a id="pl.434.14"></a><var>434.14</var>Specialties, of the American Osteopathic Association, the Royal College of Physicians
         and <br />
         		<a id="pl.434.15"></a><var>434.15</var>Surgeons of Canada, or of the College of Family Physicians of Canada.<br />
         		<br />
         		<a id="bill.11.3.0"></a><a id="pl.434.16"></a><var>434.16</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 147.03, subdivision 1, is amended to read:<br />
         		<a id="pl.434.17"></a><var>434.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Endorsement; reciprocity.</b> (a) The board may issue a license to practice <br />
         		<a id="pl.434.18"></a><var>434.18</var>medicine to any person who satisfies the requirements in paragraphs (b) to (f)(e).<br />
         		<a id="pl.434.19"></a><var>434.19</var>&#160;&#160;&#160;&#160;(b) The applicant shall satisfy all the requirements established in section 
         <statute_ref>147.02, <br />
            		<a id="pl.434.20"></a><var>434.20</var>subdivision 1
         </statute_ref>, paragraphs (a), (b), (d), (e), and (f).<br />
         		<a id="pl.434.21"></a><var>434.21</var>&#160;&#160;&#160;&#160;(c) The applicant shall:<br />
         		<a id="pl.434.22"></a><var>434.22</var>&#160;&#160;&#160;&#160;(1) have passed an examination prepared and graded by the Federation of State Medical
         <br />
         		<a id="pl.434.23"></a><var>434.23</var>Boards, the National Board of Medical Examiners, or the United States Medical Licensing
         <br />
         		<a id="pl.434.24"></a><var>434.24</var>Examination (USMLE) program in accordance with section 
         <statute_ref>147.02, subdivision 1</statute_ref>, paragraph <br />
         		<a id="pl.434.25"></a><var>434.25</var>(c), clause (2); the National Board of Osteopathic Medical Examiners; or the Medical
         Council <br />
         		<a id="pl.434.26"></a><var>434.26</var>of Canada; and<br />
         		<a id="pl.434.27"></a><var>434.27</var>&#160;&#160;&#160;&#160;(2) have a current license from the equivalent licensing agency in another state or
         Canada <br />
         		<a id="pl.434.28"></a><var>434.28</var>and, if the examination in clause (1) was passed more than ten years ago, either:<br />
         		<a id="pl.434.29"></a><var>434.29</var>&#160;&#160;&#160;&#160;(i) pass the Special Purpose Examination of the Federation of State Medical Boards
         with <br />
         		<a id="pl.434.30"></a><var>434.30</var>a score of 75 or better within three attempts; or<br />
         		<a id="pl.435.1"></a><var>435.1</var>&#160;&#160;&#160;&#160;(ii) have a current certification by a specialty board of the American Board of Medical
         <br />
         		<a id="pl.435.2"></a><var>435.2</var>Specialties, of the American Osteopathic Association, the Royal College of Physicians
         and <br />
         		<a id="pl.435.3"></a><var>435.3</var>Surgeons of Canada, or of the College of Family Physicians of Canada; or<br />
         		<a id="pl.435.4"></a><var>435.4</var>&#160;&#160;&#160;&#160;(3) if the applicant fails to meet the requirement established in section 
         <statute_ref>147.02</statute_ref>, subdivision <br />
         		<a id="pl.435.5"></a><var>435.5</var>1, paragraph (c), clause (2), because the applicant failed to pass each of steps one,
         two, and <br />
         		<a id="pl.435.6"></a><var>435.6</var>three of the USMLE within the required three attempts, the applicant may be granted
         a <br />
         		<a id="pl.435.7"></a><var>435.7</var>license provided the applicant:<br />
         		<a id="pl.435.8"></a><var>435.8</var>&#160;&#160;&#160;&#160;(i) has passed each of steps one, two, and three with passing scores as recommended
         by <br />
         		<a id="pl.435.9"></a><var>435.9</var>the USMLE program within no more than four attempts for any of the three steps;<br />
         		<a id="pl.435.10"></a><var>435.10</var>&#160;&#160;&#160;&#160;(ii) is currently licensed in another state; and<br />
         		<a id="pl.435.11"></a><var>435.11</var>&#160;&#160;&#160;&#160;(iii) has current certification by a specialty board of the American Board of Medical
         <br />
         		<a id="pl.435.12"></a><var>435.12</var>Specialties, the American Osteopathic Association Bureau of Professional Education,
         the <br />
         		<a id="pl.435.13"></a><var>435.13</var>Royal College of Physicians and Surgeons of Canada, or the College of Family Physicians
         <br />
         		<a id="pl.435.14"></a><var>435.14</var>of Canada.<br />
         		<a id="pl.435.15"></a><var>435.15</var>&#160;&#160;&#160;&#160;(d) The applicant shall pay a fee established by the board by rule. The fee may not
         be <br />
         		<a id="pl.435.16"></a><var>435.16</var>refunded.<br />
         		<a id="pl.435.17"></a><var>435.17</var>&#160;&#160;&#160;&#160;(e) (d) The applicant must not be under license suspension or revocation by the licensing
         <br />
         		<a id="pl.435.18"></a><var>435.18</var>board of the state or jurisdiction in which the conduct that caused the suspension
         or revocation <br />
         		<a id="pl.435.19"></a><var>435.19</var>occurred.<br />
         		<a id="pl.435.20"></a><var>435.20</var>&#160;&#160;&#160;&#160;(f) (e) The applicant must not have engaged in conduct warranting disciplinary action <br />
         		<a id="pl.435.21"></a><var>435.21</var>against a licensee, or have been subject to disciplinary action other than as specified
         in <br />
         		<a id="pl.435.22"></a><var>435.22</var>paragraph (e) (d). If an applicant does not satisfy the requirements stated in this paragraph, <br />
         		<a id="pl.435.23"></a><var>435.23</var>the board may issue a license only on the applicant's showing that the public will
         be protected <br />
         		<a id="pl.435.24"></a><var>435.24</var>through issuance of a license with conditions or limitations the board considers appropriate.<br />
         		<a id="pl.435.25"></a><var>435.25</var>&#160;&#160;&#160;&#160;(g) (f) Upon the request of an applicant, the board may conduct the final interview of <br />
         		<a id="pl.435.26"></a><var>435.26</var>the applicant by teleconference.<br />
         		<br />
         		<a id="bill.11.4.0"></a><a id="pl.435.27"></a><var>435.27</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[147A.28] PHYSICIAN ASSISTANT APPLICATION AND LICENSE FEES.</b><br />
         		<a id="pl.435.28"></a><var>435.28</var>(a) The board may charge the following nonrefundable fees:<br />
         		<a id="pl.435.29"></a><var>435.29</var>(1) physician assistant application fee, $120;<br />
         		<a id="pl.435.30"></a><var>435.30</var>(2) physician assistant annual registration renewal fee (prescribing authority), $135;<br />
         		<a id="pl.435.31"></a><var>435.31</var>(3) physician assistant annual registration renewal fee (no prescribing authority),
         $115;<br />
         		<a id="pl.436.1"></a><var>436.1</var>(4) physician assistant temporary registration, $115;<br />
         		<a id="pl.436.2"></a><var>436.2</var>(5) physician assistant temporary permit, $60;<br />
         		<a id="pl.436.3"></a><var>436.3</var>(6) physician assistant locum tenens permit, $25;<br />
         		<a id="pl.436.4"></a><var>436.4</var>(7) physician assistant late fee, $50;<br />
         		<a id="pl.436.5"></a><var>436.5</var>(8) duplicate license fee, $20;<br />
         		<a id="pl.436.6"></a><var>436.6</var>(9) certification letter fee, $25;<br />
         		<a id="pl.436.7"></a><var>436.7</var>(10) education or training program approval fee, $100; and<br />
         		<a id="pl.436.8"></a><var>436.8</var>(11) report creation and generation fee, $60.<br />
         		<a id="pl.436.9"></a><var>436.9</var>(b) The board may prorate the initial annual license fee. All licensees are required
         to <br />
         		<a id="pl.436.10"></a><var>436.10</var>pay the full fee upon license renewal. The revenue generated from the fees must be
         deposited <br />
         		<a id="pl.436.11"></a><var>436.11</var>in an account in the state government special revenue fund.<br />
         		<br />
         		<a id="bill.11.5.0"></a><a id="pl.436.12"></a><var>436.12</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 147B.08, is amended by adding a subdivision to <br />
         		<a id="pl.436.13"></a><var>436.13</var>read:<br />
         		<a id="pl.436.14"></a><var>436.14</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Acupuncturist application and license fees.</b> (a) The board may charge the <br />
         		<a id="pl.436.15"></a><var>436.15</var>following nonrefundable fees:<br />
         		<a id="pl.436.16"></a><var>436.16</var>(1) acupuncturist application fee, $150;<br />
         		<a id="pl.436.17"></a><var>436.17</var>(2) acupuncturist annual registration renewal fee, $150;<br />
         		<a id="pl.436.18"></a><var>436.18</var>(3) acupuncturist temporary registration fee, $60;<br />
         		<a id="pl.436.19"></a><var>436.19</var>(4) acupuncturist inactive status fee, $50;<br />
         		<a id="pl.436.20"></a><var>436.20</var>(5) acupuncturist late fee, $50;<br />
         		<a id="pl.436.21"></a><var>436.21</var>(6) duplicate license fee, $20;<br />
         		<a id="pl.436.22"></a><var>436.22</var>(7) certification letter fee, $25;<br />
         		<a id="pl.436.23"></a><var>436.23</var>(8) education or training program approval fee, $100; and<br />
         		<a id="pl.436.24"></a><var>436.24</var>(9) report creation and generation fee, $60.<br />
         		<a id="pl.436.25"></a><var>436.25</var>(b) The board may prorate the initial annual license fee. All licensees are required
         to <br />
         		<a id="pl.436.26"></a><var>436.26</var>pay the full fee upon license renewal. The revenue generated from the fees must be
         deposited <br />
         		<a id="pl.436.27"></a><var>436.27</var>in an account in the state government special revenue fund.<br />
         		<br />
         		<a id="bill.11.6.0"></a><a id="pl.437.1"></a><var>437.1</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 147C.40, is amended by adding a subdivision to <br />
         		<a id="pl.437.2"></a><var>437.2</var>read:<br />
         		<a id="pl.437.3"></a><var>437.3</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Respiratory therapist application and license fees.</b> (a) The board may charge <br />
         		<a id="pl.437.4"></a><var>437.4</var>the following nonrefundable fees:<br />
         		<a id="pl.437.5"></a><var>437.5</var>(1) respiratory therapist application fee, $100;<br />
         		<a id="pl.437.6"></a><var>437.6</var>(2) respiratory therapist annual registration renewal fee, $90;<br />
         		<a id="pl.437.7"></a><var>437.7</var>(3) respiratory therapist inactive status fee, $50;<br />
         		<a id="pl.437.8"></a><var>437.8</var>(4) respiratory therapist temporary registration fee, $90;<br />
         		<a id="pl.437.9"></a><var>437.9</var>(5) respiratory therapist temporary permit, $60;<br />
         		<a id="pl.437.10"></a><var>437.10</var>(6) respiratory therapist late fee, $50;<br />
         		<a id="pl.437.11"></a><var>437.11</var>(7) duplicate license fee, $20;<br />
         		<a id="pl.437.12"></a><var>437.12</var>(8) certification letter fee, $25;<br />
         		<a id="pl.437.13"></a><var>437.13</var>(9) education or training program approval fee, $100; and<br />
         		<a id="pl.437.14"></a><var>437.14</var>(10) report creation and generation fee, $60.<br />
         		<a id="pl.437.15"></a><var>437.15</var>(b) The board may prorate the initial annual license fee. All licensees are required
         to <br />
         		<a id="pl.437.16"></a><var>437.16</var>pay the full fee upon license renewal. The revenue generated from the fees must be
         deposited <br />
         		<a id="pl.437.17"></a><var>437.17</var>in an account in the state government special revenue fund.<br />
         		<br />
         		<a id="bill.11.7.0"></a><a id="pl.437.18"></a><var>437.18</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 148.6402, subdivision 4, is amended to read:<br />
         		<a id="pl.437.19"></a><var>437.19</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Commissioner</b><b> Board</b><b>.</b> "Commissioner Board" means the commissioner of <br />
         		<a id="pl.437.20"></a><var>437.20</var>health or a designee Board of Occupational Therapy Practice established in section 148.6449.<br />
         		<a id="pl.437.21"></a><var>437.21</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.8.0"></a><a id="pl.437.22"></a><var>437.22</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 148.6405, is amended to read:<br />
         		<a id="pl.437.23"></a><var>437.23</var><b>148.6405 LICENSURE APPLICATION REQUIREMENTS: PROCEDURES AND </b><br />
         		<a id="pl.437.24"></a><var>437.24</var><b>QUALIFICATIONS.</b><br />
         		<a id="pl.437.25"></a><var>437.25</var>(a) An applicant for licensure must comply with the application requirements in section
         <br />
         		
         <statute_ref><a id="pl.437.26"></a><var>437.26</var>148.6420
         </statute_ref>. To qualify for licensure, an applicant must satisfy one of the requirements in <br />
         		<a id="pl.437.27"></a><var>437.27</var>paragraphs (b) to (f) and not be subject to denial of licensure under section 
         <statute_ref>148.6448</statute_ref>.<br />
         		<a id="pl.438.1"></a><var>438.1</var>(b) A person who applies for licensure as an occupational therapist and who has not
         <br />
         		<a id="pl.438.2"></a><var>438.2</var>been credentialed by the National Board for Certification in Occupational Therapy
         or another <br />
         		<a id="pl.438.3"></a><var>438.3</var>jurisdiction must meet the requirements in section 
         <statute_ref>148.6408</statute_ref>.<br />
         		<a id="pl.438.4"></a><var>438.4</var>(c) A person who applies for licensure as an occupational therapy assistant and who
         has <br />
         		<a id="pl.438.5"></a><var>438.5</var>not been credentialed by the National Board for Certification in Occupational Therapy
         or <br />
         		<a id="pl.438.6"></a><var>438.6</var>another jurisdiction must meet the requirements in section 
         <statute_ref>148.6410</statute_ref>.<br />
         		<a id="pl.438.7"></a><var>438.7</var>(d) A person who is certified by the National Board for Certification in Occupational
         <br />
         		<a id="pl.438.8"></a><var>438.8</var>Therapy may apply for licensure by equivalency and must meet the requirements in section
         <br />
         		
         <statute_ref><a id="pl.438.9"></a><var>438.9</var>148.6412
         </statute_ref>.<br />
         		<a id="pl.438.10"></a><var>438.10</var>(e) A person who is credentialed in another jurisdiction may apply for licensure by
         <br />
         		<a id="pl.438.11"></a><var>438.11</var>reciprocity and must meet the requirements in section 
         <statute_ref>148.6415</statute_ref>.<br />
         		<a id="pl.438.12"></a><var>438.12</var>(f) A person who applies for temporary licensure must meet the requirements in section
         <br />
         		
         <statute_ref><a id="pl.438.13"></a><var>438.13</var>148.6418
         </statute_ref>.<br />
         		<a id="pl.438.14"></a><var>438.14</var>(g) A person who applies for licensure under paragraph (b), (c), or (f) more than
         two <br />
         		<a id="pl.438.15"></a><var>438.15</var>and less than four years after meeting the requirements in section 
         <statute_ref>148.6408</statute_ref> or 
         <statute_ref>148.6410 <br />
            		
         </statute_ref><a id="pl.438.16"></a><var>438.16</var>must submit the following:<br />
         		<a id="pl.438.17"></a><var>438.17</var>(1) a completed and signed application for licensure on forms provided by the <br />
         		<a id="pl.438.18"></a><var>438.18</var>commissioner board;<br />
         		<a id="pl.438.19"></a><var>438.19</var>(2) the license application fee required under section 
         <statute_ref>148.6445</statute_ref>;<br />
         		<a id="pl.438.20"></a><var>438.20</var>(3) if applying for occupational therapist licensure, proof of having met a minimum
         of <br />
         		<a id="pl.438.21"></a><var>438.21</var>24 contact hours of continuing education in the two years preceding licensure application,
         <br />
         		<a id="pl.438.22"></a><var>438.22</var>or if applying for occupational therapy assistant licensure, proof of having met a
         minimum <br />
         		<a id="pl.438.23"></a><var>438.23</var>of 18 contact hours of continuing education in the two years preceding licensure application;<br />
         		<a id="pl.438.24"></a><var>438.24</var>(4) verified documentation of successful completion of 160 hours of supervised practice
         <br />
         		<a id="pl.438.25"></a><var>438.25</var>approved by the commissioner board under a limited license specified in section 
         <statute_ref>148.6425, <br />
            		<a id="pl.438.26"></a><var>438.26</var>subdivision 3
         </statute_ref>, paragraph (c); and<br />
         		<a id="pl.438.27"></a><var>438.27</var>(5) additional information as requested by the commissioner board to clarify information <br />
         		<a id="pl.438.28"></a><var>438.28</var>in the application, including information to determine whether the individual has
         engaged <br />
         		<a id="pl.438.29"></a><var>438.29</var>in conduct warranting disciplinary action under section 
         <statute_ref>148.6448</statute_ref>. The information must be <br />
         		<a id="pl.438.30"></a><var>438.30</var>submitted within 30 days after the commissioner's board's request.<br />
         		<a id="pl.438.31"></a><var>438.31</var>(h) A person who applied for licensure under paragraph (b), (c), or (f) four years
         or more <br />
         		<a id="pl.438.32"></a><var>438.32</var>after meeting the requirements in section 
         <statute_ref>148.6408</statute_ref> or 
         <statute_ref>148.6410</statute_ref> must meet all the <br />
         		<a id="pl.439.1"></a><var>439.1</var>requirements in paragraph (g) except clauses (3) and (4), submit documentation of
         having <br />
         		<a id="pl.439.2"></a><var>439.2</var>retaken and passed the credentialing examination for occupational therapist or occupational
         <br />
         		<a id="pl.439.3"></a><var>439.3</var>therapy assistant, or of having completed an occupational therapy refresher program
         that <br />
         		<a id="pl.439.4"></a><var>439.4</var>contains both a theoretical and clinical component approved by the commissioner board, <br />
         		<a id="pl.439.5"></a><var>439.5</var>and verified documentation of successful completion of 480 hours of supervised practice
         <br />
         		<a id="pl.439.6"></a><var>439.6</var>approved by the commissioner board under a limited license specified in section 
         <statute_ref>148.6425, <br />
            		<a id="pl.439.7"></a><var>439.7</var>subdivision 3
         </statute_ref>, paragraph (c). The 480 hours of supervised practice must be completed in <br />
         		<a id="pl.439.8"></a><var>439.8</var>six months and may be completed at the applicant's place of work. Only refresher courses
         <br />
         		<a id="pl.439.9"></a><var>439.9</var>completed within one year prior to the date of application qualify for approval.<br />
         		<a id="pl.439.10"></a><var>439.10</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.9.0"></a><a id="pl.439.11"></a><var>439.11</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 148.6408, subdivision 2, is amended to read:<br />
         		<a id="pl.439.12"></a><var>439.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Qualifying examination score required.</b> (a) An applicant must achieve a <br />
         		<a id="pl.439.13"></a><var>439.13</var>qualifying score on the credentialing examination for occupational therapist.<br />
         		<a id="pl.439.14"></a><var>439.14</var>(b) The commissioner board shall determine the qualifying score for the credentialing <br />
         		<a id="pl.439.15"></a><var>439.15</var>examination for occupational therapist. In determining the qualifying score, the commissioner <br />
         		<a id="pl.439.16"></a><var>439.16</var>board shall consider the cut score recommended by the National Board for Certification
         in <br />
         		<a id="pl.439.17"></a><var>439.17</var>Occupational Therapy, or other national credentialing organization approved by the
         <br />
         		<a id="pl.439.18"></a><var>439.18</var>commissioner board, using the modified Angoff method for determining cut score or another <br />
         		<a id="pl.439.19"></a><var>439.19</var>method for determining cut score that is recognized as appropriate and acceptable
         by industry <br />
         		<a id="pl.439.20"></a><var>439.20</var>standards.<br />
         		<a id="pl.439.21"></a><var>439.21</var>(c) The applicant is responsible for:<br />
         		<a id="pl.439.22"></a><var>439.22</var>(1) making arrangements to take the credentialing examination for occupational therapist;<br />
         		<a id="pl.439.23"></a><var>439.23</var>(2) bearing all expenses associated with taking the examination; and<br />
         		<a id="pl.439.24"></a><var>439.24</var>(3) having the examination scores sent directly to the commissioner board from the <br />
         		<a id="pl.439.25"></a><var>439.25</var>testing service that administers the examination.<br />
         		<a id="pl.439.26"></a><var>439.26</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.10.0"></a><a id="pl.439.27"></a><var>439.27</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 148.6410, subdivision 2, is amended to read:<br />
         		<a id="pl.439.28"></a><var>439.28</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Qualifying examination score required.</b> (a) An applicant for licensure must <br />
         		<a id="pl.439.29"></a><var>439.29</var>achieve a qualifying score on the credentialing examination for occupational therapy
         <br />
         		<a id="pl.439.30"></a><var>439.30</var>assistants.<br />
         		<a id="pl.440.1"></a><var>440.1</var>(b) The commissioner board shall determine the qualifying score for the credentialing <br />
         		<a id="pl.440.2"></a><var>440.2</var>examination for occupational therapy assistants. In determining the qualifying score,
         the <br />
         		<a id="pl.440.3"></a><var>440.3</var>commissioner board shall consider the cut score recommended by the National Board for <br />
         		<a id="pl.440.4"></a><var>440.4</var>Certification in Occupational Therapy, or other national credentialing organization
         approved <br />
         		<a id="pl.440.5"></a><var>440.5</var>by the commissioner board, using the modified Angoff method for determining cut score <br />
         		<a id="pl.440.6"></a><var>440.6</var>or another method for determining cut score that is recognized as appropriate and
         acceptable <br />
         		<a id="pl.440.7"></a><var>440.7</var>by industry standards.<br />
         		<a id="pl.440.8"></a><var>440.8</var>(c) The applicant is responsible for:<br />
         		<a id="pl.440.9"></a><var>440.9</var>(1) making all arrangements to take the credentialing examination for occupational
         <br />
         		<a id="pl.440.10"></a><var>440.10</var>therapy assistants;<br />
         		<a id="pl.440.11"></a><var>440.11</var>(2) bearing all expense associated with taking the examination; and<br />
         		<a id="pl.440.12"></a><var>440.12</var>(3) having the examination scores sent directly to the commissioner board from the <br />
         		<a id="pl.440.13"></a><var>440.13</var>testing service that administers the examination.<br />
         		<a id="pl.440.14"></a><var>440.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.11.0"></a><a id="pl.440.15"></a><var>440.15</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 148.6412, subdivision 2, is amended to read:<br />
         		<a id="pl.440.16"></a><var>440.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Persons certified by National Board for Certification in Occupational </b><br />
         		<a id="pl.440.17"></a><var>440.17</var><b>Therapy after June 17, 1996.</b> The commissioner board may license any person certified <br />
         		<a id="pl.440.18"></a><var>440.18</var>by the National Board for Certification in Occupational Therapy as an occupational
         therapist <br />
         		<a id="pl.440.19"></a><var>440.19</var>after June 17, 1996, if the commissioner board determines the requirements for certification <br />
         		<a id="pl.440.20"></a><var>440.20</var>are equivalent to or exceed the requirements for licensure as an occupational therapist
         under <br />
         		<a id="pl.440.21"></a><var>440.21</var>section 
         <statute_ref>148.6408</statute_ref>. The commissioner board may license any person certified by the National <br />
         		<a id="pl.440.22"></a><var>440.22</var>Board for Certification in Occupational Therapy as an occupational therapy assistant
         after <br />
         		<a id="pl.440.23"></a><var>440.23</var>June 17, 1996, if the commissioner board determines the requirements for certification are <br />
         		<a id="pl.440.24"></a><var>440.24</var>equivalent to or exceed the requirements for licensure as an occupational therapy
         assistant <br />
         		<a id="pl.440.25"></a><var>440.25</var>under section 
         <statute_ref>148.6410</statute_ref>. Nothing in this section limits the commissioner's board's authority <br />
         		<a id="pl.440.26"></a><var>440.26</var>to deny licensure based upon the grounds for discipline in sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> <br />
         		<a id="pl.440.27"></a><var>440.27</var>148.6449.<br />
         		<a id="pl.440.28"></a><var>440.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.12.0"></a><a id="pl.440.29"></a><var>440.29</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 148.6415, is amended to read:<br />
         		<a id="pl.440.30"></a><var>440.30</var><b>148.6415 LICENSURE BY RECIPROCITY.</b><br />
         		<a id="pl.441.1"></a><var>441.1</var>A person who holds a current credential as an occupational therapist in the District
         of <br />
         		<a id="pl.441.2"></a><var>441.2</var>Columbia or a state or territory of the United States whose standards for credentialing
         are <br />
         		<a id="pl.441.3"></a><var>441.3</var>determined by the commissioner board to be equivalent to or exceed the requirements for <br />
         		<a id="pl.441.4"></a><var>441.4</var>licensure under section 
         <statute_ref>148.6408</statute_ref> may be eligible for licensure by reciprocity as an <br />
         		<a id="pl.441.5"></a><var>441.5</var>occupational therapist. A person who holds a current credential as an occupational
         therapy <br />
         		<a id="pl.441.6"></a><var>441.6</var>assistant in the District of Columbia or a state or territory of the United States
         whose <br />
         		<a id="pl.441.7"></a><var>441.7</var>standards for credentialing are determined by the commissioner board to be equivalent to <br />
         		<a id="pl.441.8"></a><var>441.8</var>or exceed the requirements for licensure under section 
         <statute_ref>148.6410</statute_ref> may be eligible for licensure <br />
         		<a id="pl.441.9"></a><var>441.9</var>by reciprocity as an occupational therapy assistant. Nothing in this section limits
         the <br />
         		<a id="pl.441.10"></a><var>441.10</var>commissioner's board's authority to deny licensure based upon the grounds for discipline <br />
         		<a id="pl.441.11"></a><var>441.11</var>in sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449. An applicant must provide:<br />
         		<a id="pl.441.12"></a><var>441.12</var>(1) the application materials as required by section 
         <statute_ref>148.6420, subdivisions 1, 3, and 4</statute_ref>;<br />
         		<a id="pl.441.13"></a><var>441.13</var>(2) the fees required by section 
         <statute_ref>148.6445</statute_ref>;<br />
         		<a id="pl.441.14"></a><var>441.14</var>(3) a copy of a current and unrestricted credential for the practice of occupational
         therapy <br />
         		<a id="pl.441.15"></a><var>441.15</var>as either an occupational therapist or occupational therapy assistant;<br />
         		<a id="pl.441.16"></a><var>441.16</var>(4) a letter from the jurisdiction that issued the credential describing the applicant's
         <br />
         		<a id="pl.441.17"></a><var>441.17</var>qualifications that entitled the applicant to receive the credential; and<br />
         		<a id="pl.441.18"></a><var>441.18</var>(5) other information necessary to determine whether the credentialing standards of
         the <br />
         		<a id="pl.441.19"></a><var>441.19</var>jurisdiction that issued the credential are equivalent to or exceed the requirements
         for <br />
         		<a id="pl.441.20"></a><var>441.20</var>licensure under sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449.<br />
         		<a id="pl.441.21"></a><var>441.21</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.13.0"></a><a id="pl.441.22"></a><var>441.22</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 148.6418, subdivision 1, is amended to read:<br />
         		<a id="pl.441.23"></a><var>441.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Application.</b> The commissioner board shall issue temporary licensure <br />
         		<a id="pl.441.24"></a><var>441.24</var>as an occupational therapist or occupational therapy assistant to applicants who are
         not the <br />
         		<a id="pl.441.25"></a><var>441.25</var>subject of a disciplinary action or past disciplinary action, nor disqualified on
         the basis of <br />
         		<a id="pl.441.26"></a><var>441.26</var>items listed in section 
         <statute_ref>148.6448, subdivision 1</statute_ref>.<br />
         		<a id="pl.441.27"></a><var>441.27</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.14.0"></a><a id="pl.441.28"></a><var>441.28</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 148.6418, subdivision 2, is amended to read:<br />
         		<a id="pl.441.29"></a><var>441.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Procedures.</b> To be eligible for temporary licensure, an applicant must submit <br />
         		<a id="pl.441.30"></a><var>441.30</var>a completed application for temporary licensure on forms provided by the commissioner <br />
         		<a id="pl.441.31"></a><var>441.31</var>board, the fees required by section 
         <statute_ref>148.6445</statute_ref>, and one of the following:<br />
         		<a id="pl.442.1"></a><var>442.1</var>(1) evidence of successful completion of the requirements in section 
         <statute_ref>148.6408, <br />
            		<a id="pl.442.2"></a><var>442.2</var>subdivision 1
         </statute_ref>, or 
         <statute_ref>148.6410, subdivision 1</statute_ref>;<br />
         		<a id="pl.442.3"></a><var>442.3</var>(2) a copy of a current and unrestricted credential for the practice of occupational
         therapy <br />
         		<a id="pl.442.4"></a><var>442.4</var>as either an occupational therapist or occupational therapy assistant in another jurisdiction;
         <br />
         		<a id="pl.442.5"></a><var>442.5</var>or<br />
         		<a id="pl.442.6"></a><var>442.6</var>(3) a copy of a current and unrestricted certificate from the National Board for <br />
         		<a id="pl.442.7"></a><var>442.7</var>Certification in Occupational Therapy stating that the applicant is certified as an
         occupational <br />
         		<a id="pl.442.8"></a><var>442.8</var>therapist or occupational therapy assistant.<br />
         		<a id="pl.442.9"></a><var>442.9</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.15.0"></a><a id="pl.442.10"></a><var>442.10</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 148.6418, subdivision 4, is amended to read:<br />
         		<a id="pl.442.11"></a><var>442.11</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Supervision required.</b> An applicant who has graduated from an accredited <br />
         		<a id="pl.442.12"></a><var>442.12</var>occupational therapy program, as required by section 
         <statute_ref>148.6408, subdivision 1</statute_ref>, or 
         <statute_ref>148.6410, <br />
            		<a id="pl.442.13"></a><var>442.13</var>subdivision 1
         </statute_ref>, and who has not passed the examination required by section 
         <statute_ref>148.6408, <br />
            		<a id="pl.442.14"></a><var>442.14</var>subdivision 2
         </statute_ref>, or 
         <statute_ref>148.6410, subdivision 2</statute_ref>, must practice under the supervision of a licensed <br />
         		<a id="pl.442.15"></a><var>442.15</var>occupational therapist. The supervising therapist must, at a minimum, supervise the
         person <br />
         		<a id="pl.442.16"></a><var>442.16</var>working under temporary licensure in the performance of the initial evaluation, determination
         <br />
         		<a id="pl.442.17"></a><var>442.17</var>of the appropriate treatment plan, and periodic review and modification of the treatment
         <br />
         		<a id="pl.442.18"></a><var>442.18</var>plan. The supervising therapist must observe the person working under temporary licensure
         <br />
         		<a id="pl.442.19"></a><var>442.19</var>in order to assure service competency in carrying out evaluation, treatment planning,
         and <br />
         		<a id="pl.442.20"></a><var>442.20</var>treatment implementation. The frequency of face-to-face collaboration between the
         person <br />
         		<a id="pl.442.21"></a><var>442.21</var>working under temporary licensure and the supervising therapist must be based on the
         <br />
         		<a id="pl.442.22"></a><var>442.22</var>condition of each patient or client, the complexity of treatment and evaluation procedures,
         <br />
         		<a id="pl.442.23"></a><var>442.23</var>and the proficiencies of the person practicing under temporary licensure. The occupational
         <br />
         		<a id="pl.442.24"></a><var>442.24</var>therapist or occupational therapy assistant working under temporary licensure must
         provide <br />
         		<a id="pl.442.25"></a><var>442.25</var>verification of supervision on the application form provided by the commissioner board.<br />
         		<a id="pl.442.26"></a><var>442.26</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.16.0"></a><a id="pl.442.27"></a><var>442.27</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 148.6418, subdivision 5, is amended to read:<br />
         		<a id="pl.442.28"></a><var>442.28</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Expiration of temporary licensure.</b> A temporary license issued to a person <br />
         		<a id="pl.442.29"></a><var>442.29</var>pursuant to subdivision 2, clause (1), expires six months from the date of issuance
         for <br />
         		<a id="pl.442.30"></a><var>442.30</var>occupational therapists and occupational therapy assistants or on the date the commissioner <br />
         		<a id="pl.442.31"></a><var>442.31</var>board grants or denies licensure, whichever occurs first. A temporary license issued to
         a <br />
         		<a id="pl.442.32"></a><var>442.32</var>person pursuant to subdivision 2, clause (2) or (3), expires 90 days after it is issued.
         Upon <br />
         		<a id="pl.443.1"></a><var>443.1</var>application for renewal, a temporary license shall be renewed once to persons who
         have <br />
         		<a id="pl.443.2"></a><var>443.2</var>not met the examination requirement under section 
         <statute_ref>148.6408, subdivision 2</statute_ref>, or 
         <statute_ref>148.6410, <br />
            		<a id="pl.443.3"></a><var>443.3</var>subdivision 2
         </statute_ref>, within the initial temporary licensure period and who are not the subject of <br />
         		<a id="pl.443.4"></a><var>443.4</var>a disciplinary action nor disqualified on the basis of items in section 
         <statute_ref>148.6448, subdivision <br />
            		<a id="pl.443.5"></a><var>443.5</var>1
         </statute_ref>. Upon application for renewal, a temporary license shall be renewed once to persons
         who <br />
         		<a id="pl.443.6"></a><var>443.6</var>are able to demonstrate good cause for failure to meet the requirements for licensure
         under <br />
         		<a id="pl.443.7"></a><var>443.7</var>section 
         <statute_ref>148.6412</statute_ref> or 
         <statute_ref>148.6415</statute_ref> within the initial temporary licensure period and who are not <br />
         		<a id="pl.443.8"></a><var>443.8</var>the subject of a disciplinary action nor disqualified on the basis of items in section
         
         <statute_ref>148.6448, <br />
            		<a id="pl.443.9"></a><var>443.9</var>subdivision 1
         </statute_ref>.<br />
         		<a id="pl.443.10"></a><var>443.10</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.17.0"></a><a id="pl.443.11"></a><var>443.11</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 148.6420, subdivision 1, is amended to read:<br />
         		<a id="pl.443.12"></a><var>443.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applications for licensure.</b> An applicant for licensure must:<br />
         		<a id="pl.443.13"></a><var>443.13</var>(1) submit a completed application for licensure on forms provided by the commissioner <br />
         		<a id="pl.443.14"></a><var>443.14</var>board and must supply the information requested on the application, including:<br />
         		<a id="pl.443.15"></a><var>443.15</var>(i) the applicant's name, business address and business telephone number, business
         <br />
         		<a id="pl.443.16"></a><var>443.16</var>setting, and daytime telephone number;<br />
         		<a id="pl.443.17"></a><var>443.17</var>(ii) the name and location of the occupational therapy program the applicant completed;<br />
         		<a id="pl.443.18"></a><var>443.18</var>(iii) a description of the applicant's education and training, including a list of
         degrees <br />
         		<a id="pl.443.19"></a><var>443.19</var>received from educational institutions;<br />
         		<a id="pl.443.20"></a><var>443.20</var>(iv) the applicant's work history for the six years preceding the application, including
         <br />
         		<a id="pl.443.21"></a><var>443.21</var>the number of hours worked;<br />
         		<a id="pl.443.22"></a><var>443.22</var>(v) a list of all credentials currently and previously held in Minnesota and other
         <br />
         		<a id="pl.443.23"></a><var>443.23</var>jurisdictions;<br />
         		<a id="pl.443.24"></a><var>443.24</var>(vi) a description of any jurisdiction's refusal to credential the applicant;<br />
         		<a id="pl.443.25"></a><var>443.25</var>(vii) a description of all professional disciplinary actions initiated against the
         applicant <br />
         		<a id="pl.443.26"></a><var>443.26</var>in any jurisdiction;<br />
         		<a id="pl.443.27"></a><var>443.27</var>(viii) information on any physical or mental condition or chemical dependency that
         <br />
         		<a id="pl.443.28"></a><var>443.28</var>impairs the person's ability to engage in the practice of occupational therapy with
         reasonable <br />
         		<a id="pl.443.29"></a><var>443.29</var>judgment or safety;<br />
         		<a id="pl.443.30"></a><var>443.30</var>(ix) a description of any misdemeanor or felony conviction that relates to honesty
         or to <br />
         		<a id="pl.443.31"></a><var>443.31</var>the practice of occupational therapy;<br />
         		<a id="pl.444.1"></a><var>444.1</var>(x) a description of any state or federal court order, including a conciliation court
         <br />
         		<a id="pl.444.2"></a><var>444.2</var>judgment or a disciplinary order, related to the individual's occupational therapy
         practice; <br />
         		<a id="pl.444.3"></a><var>444.3</var>and<br />
         		<a id="pl.444.4"></a><var>444.4</var>(xi) a statement indicating the physical agent modalities the applicant will use and
         <br />
         		<a id="pl.444.5"></a><var>444.5</var>whether the applicant will use the modalities as an occupational therapist or an occupational
         <br />
         		<a id="pl.444.6"></a><var>444.6</var>therapy assistant under direct supervision;<br />
         		<a id="pl.444.7"></a><var>444.7</var>(2) submit with the application all fees required by section 
         <statute_ref>148.6445</statute_ref>;<br />
         		<a id="pl.444.8"></a><var>444.8</var>(3) sign a statement that the information in the application is true and correct to
         the best <br />
         		<a id="pl.444.9"></a><var>444.9</var>of the applicant's knowledge and belief;<br />
         		<a id="pl.444.10"></a><var>444.10</var>(4) sign a waiver authorizing the commissioner board to obtain access to the applicant's <br />
         		<a id="pl.444.11"></a><var>444.11</var>records in this or any other state in which the applicant holds or previously held
         a credential <br />
         		<a id="pl.444.12"></a><var>444.12</var>for the practice of an occupation, has completed an accredited occupational therapy
         education <br />
         		<a id="pl.444.13"></a><var>444.13</var>program, or engaged in the practice of occupational therapy;<br />
         		<a id="pl.444.14"></a><var>444.14</var>(5) submit additional information as requested by the commissioner board; and<br />
         		<a id="pl.444.15"></a><var>444.15</var>(6) submit the additional information required for licensure by equivalency, licensure
         <br />
         		<a id="pl.444.16"></a><var>444.16</var>by reciprocity, and temporary licensure as specified in sections 
         <statute_ref>148.6408</statute_ref> to 
         <statute_ref>148.6418</statute_ref>.<br />
         		<a id="pl.444.17"></a><var>444.17</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.18.0"></a><a id="pl.444.18"></a><var>444.18</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 148.6420, subdivision 3, is amended to read:<br />
         		<a id="pl.444.19"></a><var>444.19</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Applicants certified by National Board for Certification in Occupational </b><br />
         		<a id="pl.444.20"></a><var>444.20</var><b>Therapy.</b> An applicant who is certified by the National Board for Certification in <br />
         		<a id="pl.444.21"></a><var>444.21</var>Occupational Therapy must provide the materials required in subdivision 1 and the
         following:<br />
         		<a id="pl.444.22"></a><var>444.22</var>(1) verified documentation from the National Board for Certification in Occupational
         <br />
         		<a id="pl.444.23"></a><var>444.23</var>Therapy stating that the applicant is certified as an occupational therapist, registered
         or <br />
         		<a id="pl.444.24"></a><var>444.24</var>certified occupational therapy assistant, the date certification was granted, and
         the applicant's <br />
         		<a id="pl.444.25"></a><var>444.25</var>certification number. The document must also include a statement regarding disciplinary
         <br />
         		<a id="pl.444.26"></a><var>444.26</var>actions. The applicant is responsible for obtaining this documentation by sending
         a form <br />
         		<a id="pl.444.27"></a><var>444.27</var>provided by the commissioner board to the National Board for Certification in Occupational <br />
         		<a id="pl.444.28"></a><var>444.28</var>Therapy; and<br />
         		<a id="pl.444.29"></a><var>444.29</var>(2) a waiver authorizing the commissioner board to obtain access to the applicant's <br />
         		<a id="pl.444.30"></a><var>444.30</var>records maintained by the National Board for Certification in Occupational Therapy.<br />
         		<a id="pl.444.31"></a><var>444.31</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.19.0"></a><a id="pl.445.1"></a><var>445.1</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 148.6420, subdivision 5, is amended to read:<br />
         		<a id="pl.445.2"></a><var>445.2</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Action on applications for licensure.</b> (a) The commissioner board shall <br />
         		<a id="pl.445.3"></a><var>445.3</var>approve, approve with conditions, or deny licensure. The commissioner board shall act on <br />
         		<a id="pl.445.4"></a><var>445.4</var>an application for licensure according to paragraphs (b) to (d).<br />
         		<a id="pl.445.5"></a><var>445.5</var>(b) The commissioner board shall determine if the applicant meets the requirements for <br />
         		<a id="pl.445.6"></a><var>445.6</var>licensure. The commissioner board, or the advisory council at the commissioner's board's <br />
         		<a id="pl.445.7"></a><var>445.7</var>request, may investigate information provided by an applicant to determine whether
         the <br />
         		<a id="pl.445.8"></a><var>445.8</var>information is accurate and complete.<br />
         		<a id="pl.445.9"></a><var>445.9</var>(c) The commissioner board shall notify an applicant of action taken on the application <br />
         		<a id="pl.445.10"></a><var>445.10</var>and, if licensure is denied or approved with conditions, the grounds for the commissioner's <br />
         		<a id="pl.445.11"></a><var>445.11</var>board's determination.<br />
         		<a id="pl.445.12"></a><var>445.12</var>(d) An applicant denied licensure or granted licensure with conditions may make a
         <br />
         		<a id="pl.445.13"></a><var>445.13</var>written request to the commissioner board, within 30 days of the date of the commissioner's <br />
         		<a id="pl.445.14"></a><var>445.14</var>board's determination, for reconsideration of the commissioner's board's determination. <br />
         		<a id="pl.445.15"></a><var>445.15</var>Individuals requesting reconsideration may submit information which the applicant
         wants <br />
         		<a id="pl.445.16"></a><var>445.16</var>considered in the reconsideration. After reconsideration of the commissioner's board's <br />
         		<a id="pl.445.17"></a><var>445.17</var>determination to deny licensure or grant licensure with conditions, the commissioner board <br />
         		<a id="pl.445.18"></a><var>445.18</var>shall determine whether the original determination should be affirmed or modified.
         An <br />
         		<a id="pl.445.19"></a><var>445.19</var>applicant is allowed no more than one request in any one biennial licensure period
         for <br />
         		<a id="pl.445.20"></a><var>445.20</var>reconsideration of the commissioner's board's determination to deny licensure or approve <br />
         		<a id="pl.445.21"></a><var>445.21</var>licensure with conditions.<br />
         		<a id="pl.445.22"></a><var>445.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.20.0"></a><a id="pl.445.23"></a><var>445.23</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 148.6423, is amended to read:<br />
         		<a id="pl.445.24"></a><var>445.24</var><b>148.6423 LICENSURE RENEWAL.</b><br />
         		<a id="pl.445.25"></a><var>445.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Renewal requirements.</b> To be eligible for licensure renewal, a licensee <br />
         		<a id="pl.445.26"></a><var>445.26</var>must:<br />
         		<a id="pl.445.27"></a><var>445.27</var>(1) submit a completed and signed application for licensure renewal on forms provided
         <br />
         		<a id="pl.445.28"></a><var>445.28</var>by the commissioner board;<br />
         		<a id="pl.445.29"></a><var>445.29</var>(2) submit the renewal fee required under section 
         <statute_ref>148.6445</statute_ref>;<br />
         		<a id="pl.445.30"></a><var>445.30</var>(3) submit proof of having met the continuing education requirement of section 
         <statute_ref>148.6443</statute_ref> <br />
         		<a id="pl.445.31"></a><var>445.31</var>on forms provided by the commissioner board; and<br />
         		<a id="pl.446.1"></a><var>446.1</var>(4) submit additional information as requested by the commissioner board to clarify <br />
         		<a id="pl.446.2"></a><var>446.2</var>information presented in the renewal application. The information must be submitted
         within <br />
         		<a id="pl.446.3"></a><var>446.3</var>30 days after the commissioner's board's request.<br />
         		<a id="pl.446.4"></a><var>446.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Renewal deadline.</b> (a) Except as provided in paragraph (c), licenses must be <br />
         		<a id="pl.446.5"></a><var>446.5</var>renewed every two years. Licensees must comply with the following procedures in paragraphs
         <br />
         		<a id="pl.446.6"></a><var>446.6</var>(b) to (e):<br />
         		<a id="pl.446.7"></a><var>446.7</var>(b) Each license must state an expiration date. An application for licensure renewal
         must <br />
         		<a id="pl.446.8"></a><var>446.8</var>be received by the Department of Health board or postmarked at least 30 calendar days <br />
         		<a id="pl.446.9"></a><var>446.9</var>before the expiration date. If the postmark is illegible, the application shall be
         considered <br />
         		<a id="pl.446.10"></a><var>446.10</var>timely if received at least 21 calendar days before the expiration date.<br />
         		<a id="pl.446.11"></a><var>446.11</var>(c) If the commissioner board changes the renewal schedule and the expiration date is <br />
         		<a id="pl.446.12"></a><var>446.12</var>less than two years, the fee and the continuing education contact hours to be reported
         at the <br />
         		<a id="pl.446.13"></a><var>446.13</var>next renewal must be prorated.<br />
         		<a id="pl.446.14"></a><var>446.14</var>(d) An application for licensure renewal not received within the time required under
         <br />
         		<a id="pl.446.15"></a><var>446.15</var>paragraph (b), but received on or before the expiration date, must be accompanied
         by a late <br />
         		<a id="pl.446.16"></a><var>446.16</var>fee in addition to the renewal fee specified by section 
         <statute_ref>148.6445</statute_ref>.<br />
         		<a id="pl.446.17"></a><var>446.17</var>(e) Licensure renewals received after the expiration date shall not be accepted and
         persons <br />
         		<a id="pl.446.18"></a><var>446.18</var>seeking licensed status must comply with the requirements of section 
         <statute_ref>148.6425</statute_ref>.<br />
         		<a id="pl.446.19"></a><var>446.19</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensure renewal notice.</b> At least 60 calendar days before the expiration date <br />
         		<a id="pl.446.20"></a><var>446.20</var>in subdivision 2, the commissioner board shall mail a renewal notice to the licensee's last <br />
         		<a id="pl.446.21"></a><var>446.21</var>known address on file with the commissioner board. The notice must include an application <br />
         		<a id="pl.446.22"></a><var>446.22</var>for licensure renewal and notice of fees required for renewal. The licensee's failure
         to receive <br />
         		<a id="pl.446.23"></a><var>446.23</var>notice does not relieve the licensee of the obligation to meet the renewal deadline
         and other <br />
         		<a id="pl.446.24"></a><var>446.24</var>requirements for licensure renewal.<br />
         		<a id="pl.446.25"></a><var>446.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.21.0"></a><a id="pl.446.26"></a><var>446.26</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 148.6425, subdivision 2, is amended to read:<br />
         		<a id="pl.446.27"></a><var>446.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Licensure renewal after licensure expiration date.</b> An individual whose <br />
         		<a id="pl.446.28"></a><var>446.28</var>application for licensure renewal is received after the licensure expiration date
         must submit <br />
         		<a id="pl.446.29"></a><var>446.29</var>the following:<br />
         		<a id="pl.446.30"></a><var>446.30</var>(1) a completed and signed application for licensure following lapse in licensed status
         <br />
         		<a id="pl.446.31"></a><var>446.31</var>on forms provided by the commissioner board;<br />
         		<a id="pl.446.32"></a><var>446.32</var>(2) the renewal fee and the late fee required under section 
         <statute_ref>148.6445</statute_ref>;<br />
         		<a id="pl.447.1"></a><var>447.1</var>(3) proof of having met the continuing education requirements in section 
         <statute_ref>148.6443, <br />
            		<a id="pl.447.2"></a><var>447.2</var>subdivision 1
         </statute_ref>; and<br />
         		<a id="pl.447.3"></a><var>447.3</var>(4) additional information as requested by the commissioner board to clarify information <br />
         		<a id="pl.447.4"></a><var>447.4</var>in the application, including information to determine whether the individual has
         engaged <br />
         		<a id="pl.447.5"></a><var>447.5</var>in conduct warranting disciplinary action as set forth in section 
         <statute_ref>148.6448</statute_ref>. The information <br />
         		<a id="pl.447.6"></a><var>447.6</var>must be submitted within 30 days after the commissioner's board's request.<br />
         		<a id="pl.447.7"></a><var>447.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.22.0"></a><a id="pl.447.8"></a><var>447.8</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2016, section 148.6425, subdivision 3, is amended to read:<br />
         		<a id="pl.447.9"></a><var>447.9</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensure renewal four years or more after licensure expiration date.</b> (a) <br />
         		<a id="pl.447.10"></a><var>447.10</var>An individual who requests licensure renewal four years or more after the licensure
         expiration <br />
         		<a id="pl.447.11"></a><var>447.11</var>date must submit the following:<br />
         		<a id="pl.447.12"></a><var>447.12</var>(1) a completed and signed application for licensure on forms provided by the <br />
         		<a id="pl.447.13"></a><var>447.13</var>commissioner board;<br />
         		<a id="pl.447.14"></a><var>447.14</var>(2) the renewal fee and the late fee required under section 
         <statute_ref>148.6445</statute_ref> if renewal application <br />
         		<a id="pl.447.15"></a><var>447.15</var>is based on paragraph (b), clause (1), (2), or (3), or the renewal fee required under
         section <br />
         		
         <statute_ref><a id="pl.447.16"></a><var>447.16</var>148.6445
         </statute_ref> if renewal application is based on paragraph (b), clause (4);<br />
         		<a id="pl.447.17"></a><var>447.17</var>(3) proof of having met the continuing education requirement in section 
         <statute_ref>148.6443, <br />
            		<a id="pl.447.18"></a><var>447.18</var>subdivision 1
         </statute_ref>, except the continuing education must be obtained in the two years immediately <br />
         		<a id="pl.447.19"></a><var>447.19</var>preceding application renewal; and<br />
         		<a id="pl.447.20"></a><var>447.20</var>(4) at the time of the next licensure renewal, proof of having met the continuing
         education <br />
         		<a id="pl.447.21"></a><var>447.21</var>requirement, which shall be prorated based on the number of months licensed during
         the <br />
         		<a id="pl.447.22"></a><var>447.22</var>two-year licensure period.<br />
         		<a id="pl.447.23"></a><var>447.23</var>(b) In addition to the requirements in paragraph (a), the applicant must submit proof
         of <br />
         		<a id="pl.447.24"></a><var>447.24</var>one of the following:<br />
         		<a id="pl.447.25"></a><var>447.25</var>(1) verified documentation of successful completion of 160 hours of supervised practice
         <br />
         		<a id="pl.447.26"></a><var>447.26</var>approved by the commissioner board as described in paragraph (c);<br />
         		<a id="pl.447.27"></a><var>447.27</var>(2) verified documentation of having achieved a qualifying score on the credentialing
         <br />
         		<a id="pl.447.28"></a><var>447.28</var>examination for occupational therapists or the credentialing examination for occupational
         <br />
         		<a id="pl.447.29"></a><var>447.29</var>therapy assistants administered within the past year;<br />
         		<a id="pl.447.30"></a><var>447.30</var>(3) documentation of having completed a combination of occupational therapy courses
         <br />
         		<a id="pl.447.31"></a><var>447.31</var>or an occupational therapy refresher program that contains both a theoretical and
         clinical <br />
         		<a id="pl.447.32"></a><var>447.32</var>component approved by the commissioner board. Only courses completed within one year <br />
         		<a id="pl.448.1"></a><var>448.1</var>preceding the date of the application or one year after the date of the application
         qualify for <br />
         		<a id="pl.448.2"></a><var>448.2</var>approval; or<br />
         		<a id="pl.448.3"></a><var>448.3</var>(4) evidence that the applicant holds a current and unrestricted credential for the
         practice <br />
         		<a id="pl.448.4"></a><var>448.4</var>of occupational therapy in another jurisdiction and that the applicant's credential
         from that <br />
         		<a id="pl.448.5"></a><var>448.5</var>jurisdiction has been held in good standing during the period of lapse.<br />
         		<a id="pl.448.6"></a><var>448.6</var>(c) To participate in a supervised practice as described in paragraph (b), clause
         (1), the <br />
         		<a id="pl.448.7"></a><var>448.7</var>applicant shall obtain limited licensure. To apply for limited licensure, the applicant
         shall <br />
         		<a id="pl.448.8"></a><var>448.8</var>submit the completed limited licensure application, fees, and agreement for supervision
         of <br />
         		<a id="pl.448.9"></a><var>448.9</var>an occupational therapist or occupational therapy assistant practicing under limited
         licensure <br />
         		<a id="pl.448.10"></a><var>448.10</var>signed by the supervising therapist and the applicant. The supervising occupational
         therapist <br />
         		<a id="pl.448.11"></a><var>448.11</var>shall state the proposed level of supervision on the supervision agreement form provided
         <br />
         		<a id="pl.448.12"></a><var>448.12</var>by the commissioner board. The supervising therapist shall determine the frequency and <br />
         		<a id="pl.448.13"></a><var>448.13</var>manner of supervision based on the condition of the patient or client, the complexity
         of the <br />
         		<a id="pl.448.14"></a><var>448.14</var>procedure, and the proficiencies of the supervised occupational therapist. At a minimum,
         a <br />
         		<a id="pl.448.15"></a><var>448.15</var>supervising occupational therapist shall be on the premises at all times that the
         person <br />
         		<a id="pl.448.16"></a><var>448.16</var>practicing under limited licensure is working; be in the room ten percent of the hours
         worked <br />
         		<a id="pl.448.17"></a><var>448.17</var>each week by the person practicing under limited licensure; and provide daily face-to-face
         <br />
         		<a id="pl.448.18"></a><var>448.18</var>collaboration for the purpose of observing service competency of the occupational
         therapist <br />
         		<a id="pl.448.19"></a><var>448.19</var>or occupational therapy assistant, discussing treatment procedures and each client's
         response <br />
         		<a id="pl.448.20"></a><var>448.20</var>to treatment, and reviewing and modifying, as necessary, each treatment plan. The
         supervising <br />
         		<a id="pl.448.21"></a><var>448.21</var>therapist shall document the supervision provided. The occupational therapist participating
         <br />
         		<a id="pl.448.22"></a><var>448.22</var>in a supervised practice is responsible for obtaining the supervision required under
         this <br />
         		<a id="pl.448.23"></a><var>448.23</var>paragraph and must comply with the commissioner's board's requirements for supervision <br />
         		<a id="pl.448.24"></a><var>448.24</var>during the entire 160 hours of supervised practice. The supervised practice must be
         completed <br />
         		<a id="pl.448.25"></a><var>448.25</var>in two months and may be completed at the applicant's place of work.<br />
         		<a id="pl.448.26"></a><var>448.26</var>(d) In addition to the requirements in paragraphs (a) and (b), the applicant must
         submit <br />
         		<a id="pl.448.27"></a><var>448.27</var>additional information as requested by the commissioner board to clarify information in the <br />
         		<a id="pl.448.28"></a><var>448.28</var>application, including information to determine whether the applicant has engaged
         in conduct <br />
         		<a id="pl.448.29"></a><var>448.29</var>warranting disciplinary action as set forth in section 
         <statute_ref>148.6448</statute_ref>. The information must be <br />
         		<a id="pl.448.30"></a><var>448.30</var>submitted within 30 days after the commissioner's board's request.<br />
         		<a id="pl.448.31"></a><var>448.31</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.23.0"></a><a id="pl.448.32"></a><var>448.32</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2016, section 148.6428, is amended to read:<br />
         		<a id="pl.448.33"></a><var>448.33</var><b>148.6428 CHANGE OF NAME, ADDRESS, OR EMPLOYMENT.</b><br />
         		<a id="pl.449.1"></a><var>449.1</var>A licensee who changes a name, address, or employment must inform the commissioner <br />
         		<a id="pl.449.2"></a><var>449.2</var>board, in writing, of the change of name, address, employment, business address, or business
         <br />
         		<a id="pl.449.3"></a><var>449.3</var>telephone number within 30 days. A change in name must be accompanied by a copy of
         a <br />
         		<a id="pl.449.4"></a><var>449.4</var>marriage certificate or court order. All notices or other correspondence mailed to
         or served <br />
         		<a id="pl.449.5"></a><var>449.5</var>on a licensee by the commissioner board at the licensee's address on file with the <br />
         		<a id="pl.449.6"></a><var>449.6</var>commissioner board shall be considered as having been received by the licensee.<br />
         		<a id="pl.449.7"></a><var>449.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.24.0"></a><a id="pl.449.8"></a><var>449.8</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2016, section 148.6443, subdivision 5, is amended to read:<br />
         		<a id="pl.449.9"></a><var>449.9</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Reporting continuing education contact hours.</b> Within one month following <br />
         		<a id="pl.449.10"></a><var>449.10</var>licensure expiration, each licensee shall submit verification that the licensee has
         met the <br />
         		<a id="pl.449.11"></a><var>449.11</var>continuing education requirements of this section on the continuing education report
         form <br />
         		<a id="pl.449.12"></a><var>449.12</var>provided by the commissioner board. The continuing education report form may require <br />
         		<a id="pl.449.13"></a><var>449.13</var>the following information:<br />
         		<a id="pl.449.14"></a><var>449.14</var>(1) title of continuing education activity;<br />
         		<a id="pl.449.15"></a><var>449.15</var>(2) brief description of the continuing education activity;<br />
         		<a id="pl.449.16"></a><var>449.16</var>(3) sponsor, presenter, or author;<br />
         		<a id="pl.449.17"></a><var>449.17</var>(4) location and attendance dates;<br />
         		<a id="pl.449.18"></a><var>449.18</var>(5) number of contact hours; and<br />
         		<a id="pl.449.19"></a><var>449.19</var>(6) licensee's notarized affirmation that the information is true and correct.<br />
         		<a id="pl.449.20"></a><var>449.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.25.0"></a><a id="pl.449.21"></a><var>449.21</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2016, section 148.6443, subdivision 6, is amended to read:<br />
         		<a id="pl.449.22"></a><var>449.22</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Auditing continuing education reports.</b> (a) The commissioner board may <br />
         		<a id="pl.449.23"></a><var>449.23</var>audit a percentage of the continuing education reports based on random selection.
         A licensee <br />
         		<a id="pl.449.24"></a><var>449.24</var>shall maintain all documentation required by this section for two years after the
         last day of <br />
         		<a id="pl.449.25"></a><var>449.25</var>the biennial licensure period in which the contact hours were earned.<br />
         		<a id="pl.449.26"></a><var>449.26</var>(b) All renewal applications that are received after the expiration date may be subject
         <br />
         		<a id="pl.449.27"></a><var>449.27</var>to a continuing education report audit.<br />
         		<a id="pl.449.28"></a><var>449.28</var>(c) Any licensee against whom a complaint is filed may be subject to a continuing
         <br />
         		<a id="pl.449.29"></a><var>449.29</var>education report audit.<br />
         		<a id="pl.450.1"></a><var>450.1</var>(d) The licensee shall make the following information available to the commissioner <br />
         		<a id="pl.450.2"></a><var>450.2</var>board for auditing purposes:<br />
         		<a id="pl.450.3"></a><var>450.3</var>(1) a copy of the completed continuing education report form for the continuing education
         <br />
         		<a id="pl.450.4"></a><var>450.4</var>reporting period that is the subject of the audit including all supporting documentation
         <br />
         		<a id="pl.450.5"></a><var>450.5</var>required by subdivision 5;<br />
         		<a id="pl.450.6"></a><var>450.6</var>(2) a description of the continuing education activity prepared by the presenter or
         sponsor <br />
         		<a id="pl.450.7"></a><var>450.7</var>that includes the course title or subject matter, date, place, number of program contact
         hours, <br />
         		<a id="pl.450.8"></a><var>450.8</var>presenters, and sponsors;<br />
         		<a id="pl.450.9"></a><var>450.9</var>(3) documentation of self-study programs by materials prepared by the presenter or
         <br />
         		<a id="pl.450.10"></a><var>450.10</var>sponsor that includes the course title, course description, name of sponsor or author,
         and <br />
         		<a id="pl.450.11"></a><var>450.11</var>the number of hours required to complete the program;<br />
         		<a id="pl.450.12"></a><var>450.12</var>(4) documentation of university, college, or vocational school courses by a course
         <br />
         		<a id="pl.450.13"></a><var>450.13</var>syllabus, listing in a course bulletin, or equivalent documentation that includes
         the course <br />
         		<a id="pl.450.14"></a><var>450.14</var>title, instructor's name, course dates, number of contact hours, and course content,
         objectives, <br />
         		<a id="pl.450.15"></a><var>450.15</var>or goals; and<br />
         		<a id="pl.450.16"></a><var>450.16</var>(5) verification of attendance by:<br />
         		<a id="pl.450.17"></a><var>450.17</var>(i) a signature of the presenter or a designee at the continuing education activity
         on the <br />
         		<a id="pl.450.18"></a><var>450.18</var>continuing education report form or a certificate of attendance with the course name,
         course <br />
         		<a id="pl.450.19"></a><var>450.19</var>date, and licensee's name;<br />
         		<a id="pl.450.20"></a><var>450.20</var>(ii) a summary or outline of the educational content of an audio or video educational
         <br />
         		<a id="pl.450.21"></a><var>450.21</var>activity to verify the licensee's participation in the activity if a designee is not
         available to <br />
         		<a id="pl.450.22"></a><var>450.22</var>sign the continuing education report form;<br />
         		<a id="pl.450.23"></a><var>450.23</var>(iii) verification of self-study programs by a certificate of completion or other
         <br />
         		<a id="pl.450.24"></a><var>450.24</var>documentation indicating that the individual has demonstrated knowledge and has <br />
         		<a id="pl.450.25"></a><var>450.25</var>successfully completed the program; or<br />
         		<a id="pl.450.26"></a><var>450.26</var>(iv) verification of attendance at a university, college, or vocational course by
         an official <br />
         		<a id="pl.450.27"></a><var>450.27</var>transcript.<br />
         		<a id="pl.450.28"></a><var>450.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.26.0"></a><a id="pl.450.29"></a><var>450.29</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2016, section 148.6443, subdivision 7, is amended to read:<br />
         		<a id="pl.450.30"></a><var>450.30</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Waiver of continuing education requirements.</b> The commissioner board may <br />
         		<a id="pl.450.31"></a><var>450.31</var>grant a waiver of the requirements of this section in cases where the requirements
         would <br />
         		<a id="pl.450.32"></a><var>450.32</var>impose an extreme hardship on the licensee. The request for a waiver must be in writing,
         <br />
         		<a id="pl.451.1"></a><var>451.1</var>state the circumstances that constitute extreme hardship, state the period of time
         the licensee <br />
         		<a id="pl.451.2"></a><var>451.2</var>wishes to have the continuing education requirement waived, and state the alternative
         <br />
         		<a id="pl.451.3"></a><var>451.3</var>measures that will be taken if a waiver is granted. The commissioner board shall set forth, <br />
         		<a id="pl.451.4"></a><var>451.4</var>in writing, the reasons for granting or denying the waiver. Waivers granted by the
         <br />
         		<a id="pl.451.5"></a><var>451.5</var>commissioner board shall specify, in writing, the time limitation and required alternative <br />
         		<a id="pl.451.6"></a><var>451.6</var>measures to be taken by the licensee. A request for waiver shall be denied if the
         commissioner <br />
         		<a id="pl.451.7"></a><var>451.7</var>board finds that the circumstances stated by the licensee do not support a claim of extreme
         <br />
         		<a id="pl.451.8"></a><var>451.8</var>hardship, the requested time period for waiver is unreasonable, the alternative measures
         <br />
         		<a id="pl.451.9"></a><var>451.9</var>proposed by the licensee are not equivalent to the continuing education activity being
         waived, <br />
         		<a id="pl.451.10"></a><var>451.10</var>or the request for waiver is not submitted to the commissioner board within 60 days after <br />
         		<a id="pl.451.11"></a><var>451.11</var>the expiration date.<br />
         		<a id="pl.451.12"></a><var>451.12</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.27.0"></a><a id="pl.451.13"></a><var>451.13</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2016, section 148.6443, subdivision 8, is amended to read:<br />
         		<a id="pl.451.14"></a><var>451.14</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Penalties for noncompliance.</b> The commissioner board shall refuse to renew <br />
         		<a id="pl.451.15"></a><var>451.15</var>or grant, or shall suspend, condition, limit, or qualify the license of any person
         who the <br />
         		<a id="pl.451.16"></a><var>451.16</var>commissioner board determines has failed to comply with the continuing education <br />
         		<a id="pl.451.17"></a><var>451.17</var>requirements of this section. A licensee may request reconsideration of the commissioner's <br />
         		<a id="pl.451.18"></a><var>451.18</var>board's determination of noncompliance or the penalty imposed under this section by making
         <br />
         		<a id="pl.451.19"></a><var>451.19</var>a written request to the commissioner board within 30 days of the date of notification to the <br />
         		<a id="pl.451.20"></a><var>451.20</var>applicant. Individuals requesting reconsideration may submit information that the
         licensee <br />
         		<a id="pl.451.21"></a><var>451.21</var>wants considered in the reconsideration.<br />
         		<a id="pl.451.22"></a><var>451.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.28.0"></a><a id="pl.451.23"></a><var>451.23</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2016, section 148.6445, subdivision 1, is amended to read:<br />
         		<a id="pl.451.24"></a><var>451.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Initial licensure fee.</b> The initial licensure fee for occupational therapists <br />
         		<a id="pl.451.25"></a><var>451.25</var>is $145. The initial licensure fee for occupational therapy assistants is $80. The
         commissioner <br />
         		<a id="pl.451.26"></a><var>451.26</var>board shall prorate fees based on the number of quarters remaining in the biennial licensure
         <br />
         		<a id="pl.451.27"></a><var>451.27</var>period.<br />
         		<a id="pl.451.28"></a><var>451.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.29.0"></a><a id="pl.451.29"></a><var>451.29</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2016, section 148.6445, subdivision 10, is amended to read:<br />
         		<a id="pl.451.30"></a><var>451.30</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Use of fees.</b> All fees are nonrefundable. The commissioner board shall only <br />
         		<a id="pl.451.31"></a><var>451.31</var>use fees collected under this section for the purposes of administering this chapter.
         The <br />
         		<a id="pl.451.32"></a><var>451.32</var>legislature must not transfer money generated by these fees from the state government
         <br />
         		<a id="pl.452.1"></a><var>452.1</var>special revenue fund to the general fund. Surcharges collected by the commissioner of health <br />
         		<a id="pl.452.2"></a><var>452.2</var>under section 
         <statute_ref>16E.22</statute_ref> are not subject to this subdivision.<br />
         		<a id="pl.452.3"></a><var>452.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.30.0"></a><a id="pl.452.4"></a><var>452.4</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2016, section 148.6448, is amended to read:<br />
         		<a id="pl.452.5"></a><var>452.5</var><b>148.6448 GROUNDS FOR DENIAL OF LICENSURE OR DISCIPLINE; </b><br />
         		<a id="pl.452.6"></a><var>452.6</var><b>INVESTIGATION PROCEDURES; DISCIPLINARY ACTIONS.</b><br />
         		<a id="pl.452.7"></a><var>452.7</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Grounds for denial of licensure or discipline.</b> The commissioner board <br />
         		<a id="pl.452.8"></a><var>452.8</var>may deny an application for licensure, may approve licensure with conditions, or may
         <br />
         		<a id="pl.452.9"></a><var>452.9</var>discipline a licensee using any disciplinary actions listed in subdivision 3 on proof
         that the <br />
         		<a id="pl.452.10"></a><var>452.10</var>individual has:<br />
         		<a id="pl.452.11"></a><var>452.11</var>(1) intentionally submitted false or misleading information to the commissioner board <br />
         		<a id="pl.452.12"></a><var>452.12</var>or the advisory council;<br />
         		<a id="pl.452.13"></a><var>452.13</var>(2) failed, within 30 days, to provide information in response to a written request
         by the <br />
         		<a id="pl.452.14"></a><var>452.14</var>commissioner board or advisory council;<br />
         		<a id="pl.452.15"></a><var>452.15</var>(3) performed services of an occupational therapist or occupational therapy assistant
         in <br />
         		<a id="pl.452.16"></a><var>452.16</var>an incompetent manner or in a manner that falls below the community standard of care;<br />
         		<a id="pl.452.17"></a><var>452.17</var>(4) failed to satisfactorily perform occupational therapy services during a period
         of <br />
         		<a id="pl.452.18"></a><var>452.18</var>temporary licensure;<br />
         		<a id="pl.452.19"></a><var>452.19</var>(5) violated sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449;<br />
         		<a id="pl.452.20"></a><var>452.20</var>(6) failed to perform services with reasonable judgment, skill, or safety due to the
         use <br />
         		<a id="pl.452.21"></a><var>452.21</var>of alcohol or drugs, or other physical or mental impairment;<br />
         		<a id="pl.452.22"></a><var>452.22</var>(7) been convicted of violating any state or federal law, rule, or regulation which
         directly <br />
         		<a id="pl.452.23"></a><var>452.23</var>relates to the practice of occupational therapy;<br />
         		<a id="pl.452.24"></a><var>452.24</var>(8) aided or abetted another person in violating any provision of sections 
         <statute_ref>148.6401</statute_ref> to <br />
         		
         <statute_ref><a id="pl.452.25"></a><var>452.25</var>148.6450
         </statute_ref> 148.6449;<br />
         		<a id="pl.452.26"></a><var>452.26</var>(9) been disciplined for conduct in the practice of an occupation by the state of
         Minnesota, <br />
         		<a id="pl.452.27"></a><var>452.27</var>another jurisdiction, or a national professional association, if any of the grounds
         for discipline <br />
         		<a id="pl.452.28"></a><var>452.28</var>are the same or substantially equivalent to those in sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449;<br />
         		<a id="pl.452.29"></a><var>452.29</var>(10) not cooperated with the commissioner or advisory council board in an investigation <br />
         		<a id="pl.452.30"></a><var>452.30</var>conducted according to subdivision 2;<br />
         		<a id="pl.452.31"></a><var>452.31</var>(11) advertised in a manner that is false or misleading;<br />
         		<a id="pl.453.1"></a><var>453.1</var>(12) engaged in dishonest, unethical, or unprofessional conduct in connection with
         the <br />
         		<a id="pl.453.2"></a><var>453.2</var>practice of occupational therapy that is likely to deceive, defraud, or harm the public;<br />
         		<a id="pl.453.3"></a><var>453.3</var>(13) demonstrated a willful or careless disregard for the health, welfare, or safety
         of a <br />
         		<a id="pl.453.4"></a><var>453.4</var>client;<br />
         		<a id="pl.453.5"></a><var>453.5</var>(14) performed medical diagnosis or provided treatment, other than occupational therapy,
         <br />
         		<a id="pl.453.6"></a><var>453.6</var>without being licensed to do so under the laws of this state;<br />
         		<a id="pl.453.7"></a><var>453.7</var>(15) paid or promised to pay a commission or part of a fee to any person who contacts
         <br />
         		<a id="pl.453.8"></a><var>453.8</var>the occupational therapist for consultation or sends patients to the occupational
         therapist <br />
         		<a id="pl.453.9"></a><var>453.9</var>for treatment;<br />
         		<a id="pl.453.10"></a><var>453.10</var>(16) engaged in an incentive payment arrangement, other than that prohibited by clause
         <br />
         		<a id="pl.453.11"></a><var>453.11</var>(15), that promotes occupational therapy overutilization, whereby the referring person
         or <br />
         		<a id="pl.453.12"></a><var>453.12</var>person who controls the availability of occupational therapy services to a client
         profits <br />
         		<a id="pl.453.13"></a><var>453.13</var>unreasonably as a result of client treatment;<br />
         		<a id="pl.453.14"></a><var>453.14</var>(17) engaged in abusive or fraudulent billing practices, including violations of federal
         <br />
         		<a id="pl.453.15"></a><var>453.15</var>Medicare and Medicaid laws, Food and Drug Administration regulations, or state medical
         <br />
         		<a id="pl.453.16"></a><var>453.16</var>assistance laws;<br />
         		<a id="pl.453.17"></a><var>453.17</var>(18) obtained money, property, or services from a consumer through the use of undue
         <br />
         		<a id="pl.453.18"></a><var>453.18</var>influence, high pressure sales tactics, harassment, duress, deception, or fraud;<br />
         		<a id="pl.453.19"></a><var>453.19</var>(19) performed services for a client who had no possibility of benefiting from the
         services;<br />
         		<a id="pl.453.20"></a><var>453.20</var>(20) failed to refer a client for medical evaluation when appropriate or when a client
         <br />
         		<a id="pl.453.21"></a><var>453.21</var>indicated symptoms associated with diseases that could be medically or surgically
         treated;<br />
         		<a id="pl.453.22"></a><var>453.22</var>(21) engaged in conduct with a client that is sexual or may reasonably be interpreted
         by <br />
         		<a id="pl.453.23"></a><var>453.23</var>the client as sexual, or in any verbal behavior that is seductive or sexually demeaning
         to a <br />
         		<a id="pl.453.24"></a><var>453.24</var>patient;<br />
         		<a id="pl.453.25"></a><var>453.25</var>(22) violated a federal or state court order, including a conciliation court judgment,
         or <br />
         		<a id="pl.453.26"></a><var>453.26</var>a disciplinary order issued by the commissioner board, related to the person's occupational <br />
         		<a id="pl.453.27"></a><var>453.27</var>therapy practice; or<br />
         		<a id="pl.453.28"></a><var>453.28</var>(23) any other just cause related to the practice of occupational therapy.<br />
         		<a id="pl.453.29"></a><var>453.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Investigation of complaints.</b> The commissioner, or the advisory council when <br />
         		<a id="pl.453.30"></a><var>453.30</var>authorized by the commissioner, board may initiate an investigation upon receiving a <br />
         		<a id="pl.453.31"></a><var>453.31</var>complaint or other oral or written communication that alleges or implies that a person
         has <br />
         		<a id="pl.453.32"></a><var>453.32</var>violated sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449. In the receipt, investigation, and hearing <br />
         		<a id="pl.454.1"></a><var>454.1</var>of a complaint that alleges or implies a person has violated sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> <br />
         		<a id="pl.454.2"></a><var>454.2</var>148.6449, the commissioner board shall follow the procedures in section 
         <statute_ref>214.10</statute_ref>.<br />
         		<a id="pl.454.3"></a><var>454.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Disciplinary actions.</b> If the commissioner board finds that an occupational <br />
         		<a id="pl.454.4"></a><var>454.4</var>therapist or occupational therapy assistant should be disciplined according to subdivision
         <br />
         		<a id="pl.454.5"></a><var>454.5</var>1, the commissioner board may take any one or more of the following actions:<br />
         		<a id="pl.454.6"></a><var>454.6</var>(1) refuse to grant or renew licensure;<br />
         		<a id="pl.454.7"></a><var>454.7</var>(2) approve licensure with conditions;<br />
         		<a id="pl.454.8"></a><var>454.8</var>(3) revoke licensure;<br />
         		<a id="pl.454.9"></a><var>454.9</var>(4) suspend licensure;<br />
         		<a id="pl.454.10"></a><var>454.10</var>(5) any reasonable lesser action including, but not limited to, reprimand or restriction
         <br />
         		<a id="pl.454.11"></a><var>454.11</var>on licensure; or<br />
         		<a id="pl.454.12"></a><var>454.12</var>(6) any action authorized by statute.<br />
         		<a id="pl.454.13"></a><var>454.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Effect of specific disciplinary action on use of title.</b> Upon notice from the <br />
         		<a id="pl.454.14"></a><var>454.14</var>commissioner board denying licensure renewal or upon notice that disciplinary actions have <br />
         		<a id="pl.454.15"></a><var>454.15</var>been imposed and the person is no longer entitled to practice occupational therapy
         and use <br />
         		<a id="pl.454.16"></a><var>454.16</var>the occupational therapy and licensed titles, the person shall cease to practice occupational
         <br />
         		<a id="pl.454.17"></a><var>454.17</var>therapy, to use titles protected by sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> 148.6449, and to represent <br />
         		<a id="pl.454.18"></a><var>454.18</var>to the public that the person is licensed by the commissioner board.<br />
         		<a id="pl.454.19"></a><var>454.19</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Reinstatement requirements after disciplinary action.</b> A person who has <br />
         		<a id="pl.454.20"></a><var>454.20</var>had licensure suspended may request and provide justification for reinstatement following
         <br />
         		<a id="pl.454.21"></a><var>454.21</var>the period of suspension specified by the commissioner board. The requirements of sections <br />
         		
         <statute_ref><a id="pl.454.22"></a><var>454.22</var>148.6423
         </statute_ref> and 
         <statute_ref>148.6425</statute_ref> for renewing licensure and any other conditions imposed with the <br />
         		<a id="pl.454.23"></a><var>454.23</var>suspension must be met before licensure may be reinstated.<br />
         		<a id="pl.454.24"></a><var>454.24</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Authority to contract. </b> The commissioner board shall contract with the health <br />
         		<a id="pl.454.25"></a><var>454.25</var>professionals services program as authorized by sections 
         <statute_ref>214.31</statute_ref> to 
         <statute_ref>214.37</statute_ref> to provide these <br />
         		<a id="pl.454.26"></a><var>454.26</var>services to practitioners under this chapter. The health professionals services program
         does <br />
         		<a id="pl.454.27"></a><var>454.27</var>not affect the commissioner's board's authority to discipline violations of sections 
         <statute_ref>148.6401</statute_ref> <br />
         		<a id="pl.454.28"></a><var>454.28</var>to 
         <statute_ref>148.6450</statute_ref> 148.6449.<br />
         		<a id="pl.454.29"></a><var>454.29</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.31.0"></a><a id="pl.455.1"></a><var>455.1</var>&#160;&#160;&#160;&#160;Sec. 31. <b>[148.6449] BOARD OF OCCUPATIONAL THERAPY PRACTICE.</b><br />
         		<a id="pl.455.2"></a><var>455.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Creation.</b> The Board of Occupational Therapy Practice consists of 11 <br />
         		<a id="pl.455.3"></a><var>455.3</var>members appointed by the governor. The members are:<br />
         		<a id="pl.455.4"></a><var>455.4</var>(1) five occupational therapists licensed under sections 148.6401 to 148.6449;<br />
         		<a id="pl.455.5"></a><var>455.5</var>(2) three occupational therapy assistants licensed under sections 148.6401 to 148.6449;
         <br />
         		<a id="pl.455.6"></a><var>455.6</var>and<br />
         		<a id="pl.455.7"></a><var>455.7</var>(3) three public members, including two members who have received occupational <br />
         		<a id="pl.455.8"></a><var>455.8</var>therapy services or have a family member who has received occupational therapy services,
         <br />
         		<a id="pl.455.9"></a><var>455.9</var>and one member who is a health care professional or health care provider licensed
         in <br />
         		<a id="pl.455.10"></a><var>455.10</var>Minnesota.<br />
         		<a id="pl.455.11"></a><var>455.11</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Qualifications of board members.</b> (a) The occupational therapy practitioners <br />
         		<a id="pl.455.12"></a><var>455.12</var>appointed to the board must represent a variety of practice areas and settings.<br />
         		<a id="pl.455.13"></a><var>455.13</var>(b) At least two occupational therapy practitioners must be employed outside the <br />
         		<a id="pl.455.14"></a><var>455.14</var>seven-county metropolitan area.<br />
         		<a id="pl.455.15"></a><var>455.15</var>(c) Board members shall serve for not more than two consecutive terms.<br />
         		<a id="pl.455.16"></a><var>455.16</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Recommendations for appointment.</b> Prior to the end of the term of a member <br />
         		<a id="pl.455.17"></a><var>455.17</var>of the board, or within 60 days after a position on the board becomes vacant, the
         Minnesota <br />
         		<a id="pl.455.18"></a><var>455.18</var>Occupational Therapy Association and other interested persons and organizations may
         <br />
         		<a id="pl.455.19"></a><var>455.19</var>recommend to the governor members qualified to serve on the board. The governor may
         <br />
         		<a id="pl.455.20"></a><var>455.20</var>appoint members to the board from the list of persons recommended or from among other
         <br />
         		<a id="pl.455.21"></a><var>455.21</var>qualified candidates.<br />
         		<a id="pl.455.22"></a><var>455.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Officers.</b> The board shall biennially elect from its membership a chair, vice-chair, <br />
         		<a id="pl.455.23"></a><var>455.23</var>and secretary-treasurer. Each officer shall serve until a successor is elected.<br />
         		<a id="pl.455.24"></a><var>455.24</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Executive director.</b> The board shall appoint and employ an executive director <br />
         		<a id="pl.455.25"></a><var>455.25</var>who is not a member of the board. The employment of the executive director shall be
         subject <br />
         		<a id="pl.455.26"></a><var>455.26</var>to the terms described in section 214.04, subdivision 2a.<br />
         		<a id="pl.455.27"></a><var>455.27</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Terms; compensation; removal of members.</b> Membership terms, compensation <br />
         		<a id="pl.455.28"></a><var>455.28</var>of members, removal of members, the filling of membership vacancies, and fiscal year
         and <br />
         		<a id="pl.455.29"></a><var>455.29</var>reporting requirements shall be as provided in chapter 214. The provision of staff,
         <br />
         		<a id="pl.455.30"></a><var>455.30</var>administrative services, and office space; the review and processing of complaints;
         the <br />
         		<a id="pl.455.31"></a><var>455.31</var>setting of board fees; and other activities relating to board operations shall be
         conducted <br />
         		<a id="pl.455.32"></a><var>455.32</var>according to chapter 214.<br />
         		<a id="pl.456.1"></a><var>456.1</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Duties of the Board of Occupational Therapy Practice.</b> (a) The board shall:<br />
         		<a id="pl.456.2"></a><var>456.2</var>(1) adopt and enforce rules and laws necessary for licensing occupational therapy
         <br />
         		<a id="pl.456.3"></a><var>456.3</var>practitioners;<br />
         		<a id="pl.456.4"></a><var>456.4</var>(2) adopt and enforce rules for regulating the professional conduct of the practice
         of <br />
         		<a id="pl.456.5"></a><var>456.5</var>occupational therapy;<br />
         		<a id="pl.456.6"></a><var>456.6</var>(3) issue licenses to qualified individuals in accordance with sections 148.6401 to
         <br />
         		<a id="pl.456.7"></a><var>456.7</var>148.6449;<br />
         		<a id="pl.456.8"></a><var>456.8</var>(4) assess and collect fees for the issuance and renewal of licenses;<br />
         		<a id="pl.456.9"></a><var>456.9</var>(5) educate the public about the requirements for licensing occupational therapy <br />
         		<a id="pl.456.10"></a><var>456.10</var>practitioners, educate occupational therapy practitioners about the rules of conduct,
         and <br />
         		<a id="pl.456.11"></a><var>456.11</var>enable the public to file complaints against applicants and licensees who may have
         violated <br />
         		<a id="pl.456.12"></a><var>456.12</var>sections 148.6401 to 148.6449; and<br />
         		<a id="pl.456.13"></a><var>456.13</var>(6) investigate individuals engaging in practices that violate sections 148.6401 to
         <br />
         		<a id="pl.456.14"></a><var>456.14</var>148.6449 and take necessary disciplinary, corrective, or other action according to
         section <br />
         		<a id="pl.456.15"></a><var>456.15</var>148.6448.<br />
         		<a id="pl.456.16"></a><var>456.16</var>(b) The board may adopt rules necessary to define standards or carry out the provisions
         <br />
         		<a id="pl.456.17"></a><var>456.17</var>of sections 148.6401 to 148.6449. Rules shall be adopted according to chapter 14.<br />
         		<a id="pl.456.18"></a><var>456.18</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.32.0"></a><a id="pl.456.19"></a><var>456.19</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2016, section 148.881, is amended to read:<br />
         		<a id="pl.456.20"></a><var>456.20</var><b>148.881 DECLARATION OF POLICY.</b><br />
         		<a id="pl.456.21"></a><var>456.21</var>The practice of psychology in Minnesota affects the public health, safety, and welfare.
         <br />
         		<a id="pl.456.22"></a><var>456.22</var>The regulations in sections 
         <statute_ref>148.88</statute_ref> to 
         <statute_ref>148.98</statute_ref> the Minnesota Psychology Practice Act as <br />
         		<a id="pl.456.23"></a><var>456.23</var>enforced by the Board of Psychology protect the public from the practice of psychology by <br />
         		<a id="pl.456.24"></a><var>456.24</var>unqualified persons and from unethical or unprofessional conduct by persons licensed
         to <br />
         		<a id="pl.456.25"></a><var>456.25</var>practice psychology through licensure and regulation to promote access to safe, ethical, and <br />
         		<a id="pl.456.26"></a><var>456.26</var>competent psychological services.<br />
         		<br />
         		<a id="bill.11.33.0"></a><a id="pl.456.27"></a><var>456.27</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2016, section 148.89, is amended to read:<br />
         		<a id="pl.456.28"></a><var>456.28</var><b>148.89 DEFINITIONS.</b><br />
         		<a id="pl.456.29"></a><var>456.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicability.</b> For the purposes of sections 
         <statute_ref>148.88</statute_ref> to 
         <statute_ref>148.98</statute_ref>, the following <br />
         		<a id="pl.456.30"></a><var>456.30</var>terms have the meanings given them.<br />
         		<a id="pl.457.1"></a><var>457.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Board of Psychology or board.</b> "Board of Psychology" or "board" means the <br />
         		<a id="pl.457.2"></a><var>457.2</var>board established under section 
         <statute_ref>148.90</statute_ref>.<br />
         		<a id="pl.457.3"></a><var>457.3</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Client.</b> "Client" means each individual or legal, religious, academic, <br />
         		<a id="pl.457.4"></a><var>457.4</var>organizational, business, governmental, or other entity that receives, received, or
         should <br />
         		<a id="pl.457.5"></a><var>457.5</var>have received, or arranged for another individual or entity to receive services from
         an <br />
         		<a id="pl.457.6"></a><var>457.6</var>individual regulated under sections 
         <statute_ref>148.88</statute_ref> to 
         <statute_ref>148.98</statute_ref>. Client also means an individual's <br />
         		<a id="pl.457.7"></a><var>457.7</var>legally authorized representative, such as a parent or guardian. For the purposes
         of sections <br />
         		
         <statute_ref><a id="pl.457.8"></a><var>457.8</var>148.88
         </statute_ref> to 
         <statute_ref>148.98</statute_ref>, "client" may include patient, resident, counselee, evaluatee, and, as limited <br />
         		<a id="pl.457.9"></a><var>457.9</var>in the rules of conduct, student, supervisee, or research subject. In the case of
         dual clients, <br />
         		<a id="pl.457.10"></a><var>457.10</var>the licensee or applicant for licensure must be aware of the responsibilities to each
         client, <br />
         		<a id="pl.457.11"></a><var>457.11</var>and of the potential for divergent interests of each client a direct recipient of psychological <br />
         		<a id="pl.457.12"></a><var>457.12</var>services within the context of a professional relationship that may include a child,
         adolescent, <br />
         		<a id="pl.457.13"></a><var>457.13</var>adult, couple, family, group, organization, community, or other entity. The client
         may be <br />
         		<a id="pl.457.14"></a><var>457.14</var>the person requesting the psychological services or the direct recipient of the services.<br />
         		<a id="pl.457.15"></a><var>457.15</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Credentialed.</b> "Credentialed" means having a license, certificate, charter, <br />
         		<a id="pl.457.16"></a><var>457.16</var>registration, or similar authority to practice in an occupation regulated by a governmental
         <br />
         		<a id="pl.457.17"></a><var>457.17</var>board or agency.<br />
         		<a id="pl.457.18"></a><var>457.18</var>&#160;&#160;&#160;&#160;Subd. 2c. <b>Designated supervisor.</b> "Designated supervisor" means a qualified individual <br />
         		<a id="pl.457.19"></a><var>457.19</var>who is designated identified and assigned by the primary supervisor to provide additional <br />
         		<a id="pl.457.20"></a><var>457.20</var>supervision and training to a licensed psychological practitioner or to an individual who is <br />
         		<a id="pl.457.21"></a><var>457.21</var>obtaining required predegree supervised professional experience or postdegree supervised
         <br />
         		<a id="pl.457.22"></a><var>457.22</var>psychological employment.<br />
         		<a id="pl.457.23"></a><var>457.23</var>&#160;&#160;&#160;&#160;Subd. 2d. <b>Direct services.</b> "Direct services" means the delivery of preventive, diagnostic, <br />
         		<a id="pl.457.24"></a><var>457.24</var>assessment, or therapeutic intervention services where the primary purpose is to benefit
         a <br />
         		<a id="pl.457.25"></a><var>457.25</var>client who is the direct recipient of the service.<br />
         		<a id="pl.457.26"></a><var>457.26</var>&#160;&#160;&#160;&#160;Subd. 2e. <b>Full-time employment.</b> "Full-time employment" means a minimum of 35 <br />
         		<a id="pl.457.27"></a><var>457.27</var>clock hours per week.<br />
         		<a id="pl.457.28"></a><var>457.28</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Independent practice.</b> "Independent practice" means the practice of psychology <br />
         		<a id="pl.457.29"></a><var>457.29</var>without supervision.<br />
         		<a id="pl.457.30"></a><var>457.30</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Jurisdiction.</b> "Jurisdiction" means the United States, United States territories, <br />
         		<a id="pl.457.31"></a><var>457.31</var>or Canadian provinces or territories.<br />
         		<a id="pl.457.32"></a><var>457.32</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Licensee.</b> "Licensee" means a person who is licensed by the board as a licensed <br />
         		<a id="pl.457.33"></a><var>457.33</var>psychologist or as a licensed psychological practitioner.<br />
         		<a id="pl.458.1"></a><var>458.1</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Provider or provider of services.</b> "Provider" or "provider of services" means <br />
         		<a id="pl.458.2"></a><var>458.2</var>any individual who is regulated by the board, and includes a licensed psychologist, a licensed <br />
         		<a id="pl.458.3"></a><var>458.3</var>psychological practitioner, a licensee, or an applicant.<br />
         		<a id="pl.458.4"></a><var>458.4</var>&#160;&#160;&#160;&#160;Subd. 4b. <b>Primary supervisor.</b> "Primary supervisor" means a psychologist licensed in <br />
         		<a id="pl.458.5"></a><var>458.5</var>Minnesota or other qualified individual who provides the principal supervision to a licensed <br />
         		<a id="pl.458.6"></a><var>458.6</var>psychological practitioner or to an individual who is obtaining required predegree supervised <br />
         		<a id="pl.458.7"></a><var>458.7</var>professional experience or postdegree supervised psychological employment.<br />
         		<a id="pl.458.8"></a><var>458.8</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Practice of psychology.</b> "Practice of psychology" means the observation, <br />
         		<a id="pl.458.9"></a><var>458.9</var>description, evaluation, interpretation, or prediction, or modification of human behavior by <br />
         		<a id="pl.458.10"></a><var>458.10</var>the application of psychological principles, methods, or procedures for any reason, including <br />
         		<a id="pl.458.11"></a><var>458.11</var>to prevent, eliminate, or manage the purpose of preventing, eliminating, evaluating, assessing, <br />
         		<a id="pl.458.12"></a><var>458.12</var>or predicting symptomatic, maladaptive, or undesired behavior; applying psychological <br />
         		<a id="pl.458.13"></a><var>458.13</var>principles in legal settings; and to enhance enhancing interpersonal relationships, work, life <br />
         		<a id="pl.458.14"></a><var>458.14</var>and developmental adjustment, personal and organizational effectiveness, behavioral
         health, <br />
         		<a id="pl.458.15"></a><var>458.15</var>and mental health. The practice of psychology includes, but is not limited to, the
         following <br />
         		<a id="pl.458.16"></a><var>458.16</var>services, regardless of whether the provider receives payment for the services:<br />
         		<a id="pl.458.17"></a><var>458.17</var>(1) psychological research and teaching of psychology subject to the exemptions in <br />
         		<a id="pl.458.18"></a><var>458.18</var>section 148.9075;<br />
         		<a id="pl.458.19"></a><var>458.19</var>(2) assessment, including psychological testing and other means of evaluating personal
         <br />
         		<a id="pl.458.20"></a><var>458.20</var>characteristics such as intelligence, personality, abilities, interests, aptitudes,
         and <br />
         		<a id="pl.458.21"></a><var>458.21</var>neuropsychological functioning psychological testing and the evaluation or assessment of <br />
         		<a id="pl.458.22"></a><var>458.22</var>personal characteristics, such as intelligence, personality, cognitive, physical and
         emotional <br />
         		<a id="pl.458.23"></a><var>458.23</var>abilities, skills, interests, aptitudes, and neuropsychological functioning;<br />
         		<a id="pl.458.24"></a><var>458.24</var>(3) a psychological report, whether written or oral, including testimony of a provider
         as <br />
         		<a id="pl.458.25"></a><var>458.25</var>an expert witness, concerning the characteristics of an individual or entity counseling, <br />
         		<a id="pl.458.26"></a><var>458.26</var>psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy;<br />
         		<a id="pl.458.27"></a><var>458.27</var>(4) psychotherapy, including but not limited to, categories such as behavioral, cognitive,
         <br />
         		<a id="pl.458.28"></a><var>458.28</var>emotive, systems, psychophysiological, or insight-oriented therapies; counseling;
         hypnosis; <br />
         		<a id="pl.458.29"></a><var>458.29</var>and diagnosis and treatment of:<br />
         		<a id="pl.458.30"></a><var>458.30</var>(i) mental and emotional disorder or disability;<br />
         		<a id="pl.458.31"></a><var>458.31</var>(ii) alcohol and substance dependence or abuse;<br />
         		<a id="pl.458.32"></a><var>458.32</var>(iii) disorders of habit or conduct;<br />
         		<a id="pl.459.1"></a><var>459.1</var>(iv) the psychological aspects of physical illness or condition, accident, injury,
         or <br />
         		<a id="pl.459.2"></a><var>459.2</var>disability, including the psychological impact of medications;<br />
         		<a id="pl.459.3"></a><var>459.3</var>(v) life adjustment issues, including work-related and bereavement issues; and<br />
         		<a id="pl.459.4"></a><var>459.4</var>(vi) child, family, or relationship issues<br />
         		 <a id="pl.459.5"></a><var>459.5</var>(4) diagnosis, treatment, and management of mental or emotional disorders or disabilities,
         <br />
         		<a id="pl.459.6"></a><var>459.6</var>substance use disorders, disorders of habit or conduct, and the psychological aspects
         of <br />
         		<a id="pl.459.7"></a><var>459.7</var>physical illness, accident, injury, or disability;<br />
         		<a id="pl.459.8"></a><var>459.8</var>(5) psychoeducational services and treatment psychoeducational evaluation, therapy, <br />
         		<a id="pl.459.9"></a><var>459.9</var>and remediation; and<br />
         		<a id="pl.459.10"></a><var>459.10</var>(6) consultation and supervision with physicians, other health care professionals, and <br />
         		<a id="pl.459.11"></a><var>459.11</var>clients regarding available treatment options, including medication, with respect
         to the <br />
         		<a id="pl.459.12"></a><var>459.12</var>provision of care for a specific client;<br />
         		<a id="pl.459.13"></a><var>459.13</var>(7) provision of direct services to individuals or groups for the purpose of enhancing
         <br />
         		<a id="pl.459.14"></a><var>459.14</var>individual and organizational effectiveness, using psychological principles, methods,
         and <br />
         		<a id="pl.459.15"></a><var>459.15</var>procedures to assess and evaluate individuals on personal characteristics for individual
         <br />
         		<a id="pl.459.16"></a><var>459.16</var>development or behavior change or for making decisions about the individual; and<br />
         		<a id="pl.459.17"></a><var>459.17</var>(8) supervision and consultation related to any of the services described in this
         <br />
         		<a id="pl.459.18"></a><var>459.18</var>subdivision.<br />
         		<a id="pl.459.19"></a><var>459.19</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Telesupervision.</b> "Telesupervision" means the clinical supervision of <br />
         		<a id="pl.459.20"></a><var>459.20</var>psychological services through a synchronous audio and video format where the supervisor
         <br />
         		<a id="pl.459.21"></a><var>459.21</var>is not physically in the same facility as the supervisee.<br />
         		<br />
         		<a id="bill.11.34.0"></a><a id="pl.459.22"></a><var>459.22</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2016, section 148.90, subdivision 1, is amended to read:<br />
         		<a id="pl.459.23"></a><var>459.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Board of Psychology.</b> (a) The Board of Psychology is created with the <br />
         		<a id="pl.459.24"></a><var>459.24</var>powers and duties described in this section. The board has 11 members who consist
         of:<br />
         		<a id="pl.459.25"></a><var>459.25</var>(1) three four individuals licensed as licensed psychologists who have doctoral degrees <br />
         		<a id="pl.459.26"></a><var>459.26</var>in psychology;<br />
         		<a id="pl.459.27"></a><var>459.27</var>(2) two individuals licensed as licensed psychologists who have master's degrees in
         <br />
         		<a id="pl.459.28"></a><var>459.28</var>psychology;<br />
         		<a id="pl.459.29"></a><var>459.29</var>(3) two psychologists, not necessarily licensed, one with a who have doctoral degree <br />
         		<a id="pl.459.30"></a><var>459.30</var>degrees in psychology and one with either a doctoral or master's degree in psychology <br />
         		<a id="pl.459.31"></a><var>459.31</var>representing different training programs in psychology;<br />
         		<a id="pl.460.1"></a><var>460.1</var>(4) one individual licensed or qualified to be licensed as: (i) through December 31,
         2010, <br />
         		<a id="pl.460.2"></a><var>460.2</var>a licensed psychological practitioner; and (ii) after December 31, 2010, a licensed
         <br />
         		<a id="pl.460.3"></a><var>460.3</var>psychologist; and<br />
         		<a id="pl.460.4"></a><var>460.4</var>(5) (4) three public members.<br />
         		<a id="pl.460.5"></a><var>460.5</var>(b) After the date on which fewer than 30 percent of the individuals licensed by the
         <br />
         		<a id="pl.460.6"></a><var>460.6</var>board as licensed psychologists qualify for licensure under section 
         <statute_ref>148.907, subdivision 3</statute_ref>, <br />
         		<a id="pl.460.7"></a><var>460.7</var>paragraph (b), vacancies filled under paragraph (a), clause (2), shall be filled by
         an individual <br />
         		<a id="pl.460.8"></a><var>460.8</var>with either a master's or doctoral degree in psychology licensed or qualified to be
         licensed <br />
         		<a id="pl.460.9"></a><var>460.9</var>as a licensed psychologist.<br />
         		<a id="pl.460.10"></a><var>460.10</var>(c) After the date on which fewer than 15 percent of the individuals licensed by the
         board <br />
         		<a id="pl.460.11"></a><var>460.11</var>as licensed psychologists qualify for licensure under section 
         <statute_ref>148.907, subdivision 3</statute_ref>, <br />
         		<a id="pl.460.12"></a><var>460.12</var>paragraph (b), vacancies under paragraph (a), clause (2), shall be filled by an individual
         <br />
         		<a id="pl.460.13"></a><var>460.13</var>with either a master's or doctoral degree in psychology licensed or qualified to be
         licensed <br />
         		<a id="pl.460.14"></a><var>460.14</var>as a licensed psychologist.<br />
         		<br />
         		<a id="bill.11.35.0"></a><a id="pl.460.15"></a><var>460.15</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2016, section 148.90, subdivision 2, is amended to read:<br />
         		<a id="pl.460.16"></a><var>460.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Members.</b> (a) The members of the board shall:<br />
         		<a id="pl.460.17"></a><var>460.17</var>(1) be appointed by the governor;<br />
         		<a id="pl.460.18"></a><var>460.18</var>(2) be residents of the state;<br />
         		<a id="pl.460.19"></a><var>460.19</var>(3) serve for not more than two consecutive terms;<br />
         		<a id="pl.460.20"></a><var>460.20</var>(4) designate the officers of the board; and<br />
         		<a id="pl.460.21"></a><var>460.21</var>(5) administer oaths pertaining to the business of the board.<br />
         		<a id="pl.460.22"></a><var>460.22</var>(b) A public member of the board shall represent the public interest and shall not:<br />
         		<a id="pl.460.23"></a><var>460.23</var>(1) be a psychologist, psychological practitioner, or have engaged in the practice of <br />
         		<a id="pl.460.24"></a><var>460.24</var>psychology;<br />
         		<a id="pl.460.25"></a><var>460.25</var>(2) be an applicant or former applicant for licensure;<br />
         		<a id="pl.460.26"></a><var>460.26</var>(3) be a member of another health profession and be licensed by a health-related licensing <br />
         		<a id="pl.460.27"></a><var>460.27</var>board as defined under section 214.01, subdivision 2; the commissioner of health;
         or licensed, <br />
         		<a id="pl.460.28"></a><var>460.28</var>certified, or registered by another jurisdiction;<br />
         		<a id="pl.460.29"></a><var>460.29</var>(4) be a member of a household that includes a psychologist or psychological practitioner; <br />
         		<a id="pl.460.30"></a><var>460.30</var>or<br />
         		<a id="pl.461.1"></a><var>461.1</var>(5) have conflicts of interest or the appearance of conflicts with duties as a board
         member.<br />
         		<br />
         		<a id="bill.11.36.0"></a><a id="pl.461.2"></a><var>461.2</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2016, section 148.905, subdivision 1, is amended to read:<br />
         		<a id="pl.461.3"></a><var>461.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General.</b> The board shall:<br />
         		<a id="pl.461.4"></a><var>461.4</var>(1) adopt and enforce rules for licensing psychologists and psychological practitioners <br />
         		<a id="pl.461.5"></a><var>461.5</var>and for regulating their professional conduct;<br />
         		<a id="pl.461.6"></a><var>461.6</var>(2) adopt and enforce rules of conduct governing the practice of psychology;<br />
         		<a id="pl.461.7"></a><var>461.7</var>(3) adopt and implement rules for examinations which shall be held at least once a
         year <br />
         		<a id="pl.461.8"></a><var>461.8</var>to assess applicants' knowledge and skills. The examinations may be written or oral
         or both, <br />
         		<a id="pl.461.9"></a><var>461.9</var>and may be administered by the board or by institutions or individuals designated
         by the <br />
         		<a id="pl.461.10"></a><var>461.10</var>board;. Before the adoption and implementation of a new national examination, the board
         <br />
         		<a id="pl.461.11"></a><var>461.11</var>must consider whether the examination:<br />
         		<a id="pl.461.12"></a><var>461.12</var>(i) demonstrates reasonable reliability and external validity;<br />
         		<a id="pl.461.13"></a><var>461.13</var>(ii) is normed on a reasonable representative and diverse national sample; and<br />
         		<a id="pl.461.14"></a><var>461.14</var>(iii) is intended to assess an applicant's education, training, and experience for
         the purpose <br />
         		<a id="pl.461.15"></a><var>461.15</var>of public protection;<br />
         		<a id="pl.461.16"></a><var>461.16</var>(4) issue licenses to individuals qualified under sections 
         <statute_ref>148.907</statute_ref> and 
         <statute_ref>148.908</statute_ref>, 148.909, <br />
         		<a id="pl.461.17"></a><var>461.17</var>148.915, and 148.916, according to the procedures for licensing in Minnesota Rules;<br />
         		<a id="pl.461.18"></a><var>461.18</var>(5) issue copies of the rules for licensing to all applicants;<br />
         		<a id="pl.461.19"></a><var>461.19</var>(6) establish and maintain annually a register of current licenses;<br />
         		<a id="pl.461.20"></a><var>461.20</var>(7) establish and collect fees for the issuance and renewal of licenses and other
         services <br />
         		<a id="pl.461.21"></a><var>461.21</var>by the board. Fees shall be set to defray the cost of administering the provisions
         of sections <br />
         		
         <statute_ref><a id="pl.461.22"></a><var>461.22</var>148.88
         </statute_ref> to 
         <statute_ref>148.98</statute_ref> including costs for applications, examinations, enforcement, materials, <br />
         		<a id="pl.461.23"></a><var>461.23</var>and the operations of the board;<br />
         		<a id="pl.461.24"></a><var>461.24</var>(8) educate the public about on the requirements for licensing of psychologists and of <br />
         		<a id="pl.461.25"></a><var>461.25</var>psychological practitioners licenses issued by the board and about on the rules of conduct, <br />
         		<a id="pl.461.26"></a><var>461.26</var>to;<br />
         		<a id="pl.461.27"></a><var>461.27</var>(9) enable the public to file complaints against applicants or licensees who may have
         <br />
         		<a id="pl.461.28"></a><var>461.28</var>violated the Psychology Practice Act; and<br />
         		<a id="pl.461.29"></a><var>461.29</var>(9) (10) adopt and implement requirements for continuing education; and<br />
         		 <a id="pl.462.1"></a><var>462.1</var>(11) establish or approve programs that qualify for professional psychology continuing
         <br />
         		<a id="pl.462.2"></a><var>462.2</var>educational credit. The board may hire consultants, agencies, or professional psychological
         <br />
         		<a id="pl.462.3"></a><var>462.3</var>associations to establish and approve continuing education courses.<br />
         		<br />
         		<a id="bill.11.37.0"></a><a id="pl.462.4"></a><var>462.4</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2016, section 148.907, subdivision 1, is amended to read:<br />
         		<a id="pl.462.5"></a><var>462.5</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Effective date.</b> After August 1, 1991, No person shall engage in the <br />
         		<a id="pl.462.6"></a><var>462.6</var>independent practice of psychology unless that person is licensed as a licensed psychologist <br />
         		<a id="pl.462.7"></a><var>462.7</var>or is exempt under section 148.9075.<br />
         		<br />
         		<a id="bill.11.38.0"></a><a id="pl.462.8"></a><var>462.8</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2016, section 148.907, subdivision 2, is amended to read:<br />
         		<a id="pl.462.9"></a><var>462.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Requirements for licensure as licensed psychologist.</b> To become licensed <br />
         		<a id="pl.462.10"></a><var>462.10</var>by the board as a licensed psychologist, an applicant shall comply with the following
         <br />
         		<a id="pl.462.11"></a><var>462.11</var>requirements:<br />
         		<a id="pl.462.12"></a><var>462.12</var>(1) pass an examination in psychology;<br />
         		<a id="pl.462.13"></a><var>462.13</var>(2) pass a professional responsibility examination on the practice of psychology;<br />
         		<a id="pl.462.14"></a><var>462.14</var>(3) pass any other examinations as required by board rules;<br />
         		<a id="pl.462.15"></a><var>462.15</var>(4) pay nonrefundable fees to the board for applications, processing, testing, renewals,
         <br />
         		<a id="pl.462.16"></a><var>462.16</var>and materials;<br />
         		<a id="pl.462.17"></a><var>462.17</var>(5) have attained the age of majority, be of good moral character, and have no unresolved
         <br />
         		<a id="pl.462.18"></a><var>462.18</var>disciplinary action or complaints pending in the state of Minnesota or any other jurisdiction;<br />
         		<a id="pl.462.19"></a><var>462.19</var>(6) have earned a doctoral degree with a major in psychology from a regionally accredited
         <br />
         		<a id="pl.462.20"></a><var>462.20</var>educational institution meeting the standards the board has established by rule; and<br />
         		<a id="pl.462.21"></a><var>462.21</var>(7) have completed at least one full year or the equivalent in part time of postdoctoral <br />
         		<a id="pl.462.22"></a><var>462.22</var>supervised psychological employment in no less than 12 months and no more than 60 <br />
         		<a id="pl.462.23"></a><var>462.23</var>months. If the postdoctoral supervised psychological employment goes beyond 60 months,
         <br />
         		<a id="pl.462.24"></a><var>462.24</var>the board may grant a variance to this requirement.<br />
         		<br />
         		<a id="bill.11.39.0"></a><a id="pl.462.25"></a><var>462.25</var>&#160;&#160;&#160;&#160;Sec. 39. <b>[148.9075] EXEMPTIONS TO LICENSE REQUIREMENT.</b><br />
         		<a id="pl.462.26"></a><var>462.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General.</b> (a) Nothing in sections 148.88 to 148.98 shall prevent members <br />
         		<a id="pl.462.27"></a><var>462.27</var>of other professions or occupations from performing functions for which they are competent
         <br />
         		<a id="pl.462.28"></a><var>462.28</var>and properly authorized by law. The following individuals are exempt from the licensure
         <br />
         		<a id="pl.462.29"></a><var>462.29</var>requirements of the Minnesota Psychology Practice Act, provided they operate in compliance
         <br />
         		<a id="pl.462.30"></a><var>462.30</var>with the stated exemption:<br />
         		 <a id="pl.463.1"></a><var>463.1</var>(1) individuals licensed by a health-related licensing board as defined under section
         <br />
         		<a id="pl.463.2"></a><var>463.2</var>214.01, subdivision 2, or by the commissioner of health;<br />
         		<a id="pl.463.3"></a><var>463.3</var>(2) individuals authorized as mental health practitioners as defined under section
         245.462, <br />
         		<a id="pl.463.4"></a><var>463.4</var>subdivision 17; and<br />
         		<a id="pl.463.5"></a><var>463.5</var>(3) individuals authorized as mental health professionals under section 245.462, <br />
         		<a id="pl.463.6"></a><var>463.6</var>subdivision 18.<br />
         		<a id="pl.463.7"></a><var>463.7</var>(b) Any of these individuals must not hold themselves out to the public by any title
         or <br />
         		<a id="pl.463.8"></a><var>463.8</var>description stating or implying they are licensed to engage in the practice of psychology
         <br />
         		<a id="pl.463.9"></a><var>463.9</var>unless they are licensed under sections 148.88 to 148.98 or are using a title in compliance
         <br />
         		<a id="pl.463.10"></a><var>463.10</var>with section 148.96.<br />
         		<a id="pl.463.11"></a><var>463.11</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Business or industrial organization.</b> Nothing in sections 148.88 to 148.98 <br />
         		<a id="pl.463.12"></a><var>463.12</var>shall prevent the use of psychological techniques by a business or industrial organization
         <br />
         		<a id="pl.463.13"></a><var>463.13</var>for its own personnel purposes or by an employment agency or state vocational rehabilitation
         <br />
         		<a id="pl.463.14"></a><var>463.14</var>agency for the evaluation of the agency's clients prior to a recommendation for employment.
         <br />
         		<a id="pl.463.15"></a><var>463.15</var>However, a representative of an industrial or business firm or corporation may not
         sell, <br />
         		<a id="pl.463.16"></a><var>463.16</var>offer, or provide psychological services as specified in section 148.89, unless the
         services <br />
         		<a id="pl.463.17"></a><var>463.17</var>are performed or supervised by an individual licensed under sections 148.88 to 148.98.<br />
         		<a id="pl.463.18"></a><var>463.18</var>&#160;&#160;&#160;&#160;Subd. 3. <b>School psychologist.</b> (a) Nothing in sections 148.88 to 148.98 shall be construed <br />
         		<a id="pl.463.19"></a><var>463.19</var>to prevent a person who holds a license or certificate issued by the State Board of
         Teaching <br />
         		<a id="pl.463.20"></a><var>463.20</var>in accordance with chapters 122A and 129 from practicing school psychology within
         the <br />
         		<a id="pl.463.21"></a><var>463.21</var>scope of employment if authorized by a board of education or by a private school that
         meets <br />
         		<a id="pl.463.22"></a><var>463.22</var>the standards prescribed by the State Board of Teaching, or from practicing as a school
         <br />
         		<a id="pl.463.23"></a><var>463.23</var>psychologist within the scope of employment in a program for children with disabilities.<br />
         		<a id="pl.463.24"></a><var>463.24</var>(b) Any person exempted under this subdivision shall not offer psychological services
         <br />
         		<a id="pl.463.25"></a><var>463.25</var>to any other individual, organization, or group for remuneration, monetary or otherwise,
         <br />
         		<a id="pl.463.26"></a><var>463.26</var>unless the person is licensed by the Board of Psychology under sections 148.88 to
         148.98.<br />
         		<a id="pl.463.27"></a><var>463.27</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Clergy or religious officials.</b> Nothing in sections 148.88 to 148.98 shall be <br />
         		<a id="pl.463.28"></a><var>463.28</var>construed to prevent recognized religious officials, including ministers, priests,
         rabbis, <br />
         		<a id="pl.463.29"></a><var>463.29</var>imams, Christian Science practitioners, and other persons recognized by the board,
         from <br />
         		<a id="pl.463.30"></a><var>463.30</var>conducting counseling activities that are within the scope of the performance of their
         regular <br />
         		<a id="pl.463.31"></a><var>463.31</var>recognizable religious denomination or sect, as defined in current federal tax regulations,
         <br />
         		<a id="pl.463.32"></a><var>463.32</var>if the religious official does not refer to the official's self as a psychologist
         and the official <br />
         		<a id="pl.463.33"></a><var>463.33</var>remains accountable to the established authority of the religious denomination or
         sect.<br />
         		<a id="pl.464.1"></a><var>464.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Teaching and research.</b> Nothing in sections 148.88 to 148.98 shall be construed <br />
         		<a id="pl.464.2"></a><var>464.2</var>to prevent a person employed in a secondary, postsecondary, or graduate institution
         from <br />
         		<a id="pl.464.3"></a><var>464.3</var>teaching and conducting research in psychology within an educational institution that
         is <br />
         		<a id="pl.464.4"></a><var>464.4</var>recognized by a regional accrediting organization or by a federal, state, county,
         or local <br />
         		<a id="pl.464.5"></a><var>464.5</var>government institution, agency, or research facility, so long as:<br />
         		<a id="pl.464.6"></a><var>464.6</var>(1) the institution, agency, or facility provides appropriate oversight mechanisms
         to <br />
         		<a id="pl.464.7"></a><var>464.7</var>ensure public protections; and<br />
         		<a id="pl.464.8"></a><var>464.8</var>(2) the person is not providing direct clinical services to a client or clients as
         defined in <br />
         		<a id="pl.464.9"></a><var>464.9</var>sections 148.88 to 148.98.<br />
         		<a id="pl.464.10"></a><var>464.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Psychologist in disaster or emergency relief.</b> Nothing in sections 148.88 to <br />
         		<a id="pl.464.11"></a><var>464.11</var>148.98 shall be construed to prevent a psychologist sent to this state for the sole
         purpose of <br />
         		<a id="pl.464.12"></a><var>464.12</var>responding to a disaster or emergency relief effort of the state government, the federal
         <br />
         		<a id="pl.464.13"></a><var>464.13</var>government, the American Red Cross, or other disaster or emergency relief organization
         as <br />
         		<a id="pl.464.14"></a><var>464.14</var>long as the psychologist is not practicing in Minnesota longer than 30 days and the
         sponsoring <br />
         		<a id="pl.464.15"></a><var>464.15</var>organization can certify the psychologist's assignment to this state. The board or
         its designee, <br />
         		<a id="pl.464.16"></a><var>464.16</var>at its discretion, may grant an extension to the 30-day time limitation of this subdivision.<br />
         		<a id="pl.464.17"></a><var>464.17</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Psychological consultant.</b> A license under sections 148.88 to 148.98 is not <br />
         		<a id="pl.464.18"></a><var>464.18</var>required by a nonresident of the state, serving as an expert witness, organizational
         consultant, <br />
         		<a id="pl.464.19"></a><var>464.19</var>presenter, or educator on a limited basis provided the person is appropriately trained,
         <br />
         		<a id="pl.464.20"></a><var>464.20</var>educated, or has been issued a license, certificate, or registration by another jurisdiction.<br />
         		<a id="pl.464.21"></a><var>464.21</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Students.</b> Nothing in sections 148.88 to 148.98 shall prohibit the practice of <br />
         		<a id="pl.464.22"></a><var>464.22</var>psychology under qualified supervision by a practicum psychology student, a predoctoral
         <br />
         		<a id="pl.464.23"></a><var>464.23</var>psychology intern, or an individual who has earned a doctoral degree in psychology
         and is <br />
         		<a id="pl.464.24"></a><var>464.24</var>in the process of completing their postdoctoral supervised psychological employment.
         A <br />
         		<a id="pl.464.25"></a><var>464.25</var>student trainee or intern shall use the titles as required under section 148.96, subdivision
         3.<br />
         		<a id="pl.464.26"></a><var>464.26</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Other professions.</b> Nothing in sections 148.88 to 148.98 shall be construed to <br />
         		<a id="pl.464.27"></a><var>464.27</var>authorize a person licensed under sections 148.88 to 148.98 to engage in the practice
         of any <br />
         		<a id="pl.464.28"></a><var>464.28</var>profession regulated under Minnesota law, unless the individual is duly licensed or
         registered <br />
         		<a id="pl.464.29"></a><var>464.29</var>in that profession.<br />
         		<br />
         		<a id="bill.11.40.0"></a><a id="pl.464.30"></a><var>464.30</var>&#160;&#160;&#160;&#160;Sec. 40. <b>[148.9077] RELICENSURE.</b><br />
         		<a id="pl.464.31"></a><var>464.31</var>A former licensee may apply to the board for licensure after complying with all laws
         <br />
         		<a id="pl.464.32"></a><var>464.32</var>and rules required for applicants for licensure that were in effect on the date the
         initial <br />
         		<a id="pl.464.33"></a><var>464.33</var>Minnesota license was granted. The former licensee must verify to the board that the
         former <br />
         		<a id="pl.465.1"></a><var>465.1</var>licensee has not engaged in the practice of psychology in this state since the last
         date of <br />
         		<a id="pl.465.2"></a><var>465.2</var>active licensure, except as permitted under statutory licensure exemption, and must
         submit <br />
         		<a id="pl.465.3"></a><var>465.3</var>a fee for relicensure.<br />
         		<br />
         		<a id="bill.11.41.0"></a><a id="pl.465.4"></a><var>465.4</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2016, section 148.9105, subdivision 1, is amended to read:<br />
         		<a id="pl.465.5"></a><var>465.5</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Application.</b> Retired providers who are licensed or were formerly licensed <br />
         		<a id="pl.465.6"></a><var>465.6</var>to practice psychology in the state according to the Minnesota Psychology Practice
         Act may <br />
         		<a id="pl.465.7"></a><var>465.7</var>apply to the board for psychologist emeritus registration or psychological practitioner <br />
         		<a id="pl.465.8"></a><var>465.8</var>emeritus registration if they declare that they are retired from the practice of psychology in <br />
         		<a id="pl.465.9"></a><var>465.9</var>Minnesota, have not been the subject of disciplinary action in any jurisdiction, and
         have no <br />
         		<a id="pl.465.10"></a><var>465.10</var>unresolved complaints in any jurisdiction. Retired providers shall complete the necessary
         <br />
         		<a id="pl.465.11"></a><var>465.11</var>forms provided by the board and pay a onetime, nonrefundable fee of $150 at the time
         of <br />
         		<a id="pl.465.12"></a><var>465.12</var>application.<br />
         		<br />
         		<a id="bill.11.42.0"></a><a id="pl.465.13"></a><var>465.13</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2016, section 148.9105, subdivision 4, is amended to read:<br />
         		<a id="pl.465.14"></a><var>465.14</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Documentation of status.</b> A provider granted emeritus registration shall receive <br />
         		<a id="pl.465.15"></a><var>465.15</var>a document certifying that emeritus status has been granted by the board and that
         the <br />
         		<a id="pl.465.16"></a><var>465.16</var>registrant has completed the registrant's active career as a psychologist or psychological <br />
         		<a id="pl.465.17"></a><var>465.17</var>practitioner licensed in good standing with the board.<br />
         		<br />
         		<a id="bill.11.43.0"></a><a id="pl.465.18"></a><var>465.18</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2016, section 148.9105, subdivision 5, is amended to read:<br />
         		<a id="pl.465.19"></a><var>465.19</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Representation to public.</b> In addition to the descriptions allowed in section <br />
         		
         <statute_ref><a id="pl.465.20"></a><var>465.20</var>148.96, subdivision 3
         </statute_ref>, paragraph (e), former licensees who have been granted emeritus <br />
         		<a id="pl.465.21"></a><var>465.21</var>registration may represent themselves as "psychologist emeritus" or "psychological <br />
         		<a id="pl.465.22"></a><var>465.22</var>practitioner emeritus," but shall not represent themselves or allow themselves to be <br />
         		<a id="pl.465.23"></a><var>465.23</var>represented to the public as "licensed" or otherwise as current licensees of the board.<br />
         		<br />
         		<a id="bill.11.44.0"></a><a id="pl.465.24"></a><var>465.24</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2016, section 148.916, subdivision 1, is amended to read:<br />
         		<a id="pl.465.25"></a><var>465.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Generally.</b> If (a) A nonresident of the state of Minnesota, who is not <br />
         		<a id="pl.465.26"></a><var>465.26</var>seeking licensure in this state, and who has been issued a license, certificate, or registration <br />
         		<a id="pl.465.27"></a><var>465.27</var>by another jurisdiction to practice psychology at the doctoral level, wishes and who intends <br />
         		<a id="pl.465.28"></a><var>465.28</var>to practice in Minnesota for more than seven calendar 30 days, the person shall apply to the <br />
         		<a id="pl.465.29"></a><var>465.29</var>board for guest licensure, provided that. The psychologist's practice in Minnesota is limited <br />
         		<a id="pl.465.30"></a><var>465.30</var>to no more than nine consecutive months per calendar year. Application under this
         section <br />
         		<a id="pl.465.31"></a><var>465.31</var>shall be made no less than 30 days prior to the expected date of practice in Minnesota
         and <br />
         		<a id="pl.466.1"></a><var>466.1</var>shall be subject to approval by the board or its designee. The board shall charge a <br />
         		<a id="pl.466.2"></a><var>466.2</var>nonrefundable fee for guest licensure. The board shall adopt rules to implement this
         section.<br />
         		<a id="pl.466.3"></a><var>466.3</var>(b) To be eligible for licensure under this section, the applicant must:<br />
         		<a id="pl.466.4"></a><var>466.4</var>(1) have a license, certification, or registration to practice psychology from another
         <br />
         		<a id="pl.466.5"></a><var>466.5</var>jurisdiction;<br />
         		<a id="pl.466.6"></a><var>466.6</var>(2) have a doctoral degree in psychology from a regionally accredited institution;<br />
         		 <a id="pl.466.7"></a><var>466.7</var>(3) be of good moral character;<br />
         		<a id="pl.466.8"></a><var>466.8</var>(4) have no pending complaints or active disciplinary or corrective actions in any
         <br />
         		<a id="pl.466.9"></a><var>466.9</var>jurisdiction;<br />
         		<a id="pl.466.10"></a><var>466.10</var>(5) pass a professional responsibility examination designated by the board; and<br />
         		<a id="pl.466.11"></a><var>466.11</var>(6) pay a fee to the board.<br />
         		<br />
         		<a id="bill.11.45.0"></a><a id="pl.466.12"></a><var>466.12</var>&#160;&#160;&#160;&#160;Sec. 45. Minnesota Statutes 2016, section 148.916, subdivision 1a, is amended to read:<br />
         		<a id="pl.466.13"></a><var>466.13</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Applicants for licensure.</b> (a) An applicant who is seeking licensure in this <br />
         		<a id="pl.466.14"></a><var>466.14</var>state, and who, at the time of application, is licensed, certified, or registered
         to practice <br />
         		<a id="pl.466.15"></a><var>466.15</var>psychology in another jurisdiction at the doctoral level may apply to the board for
         guest <br />
         		<a id="pl.466.16"></a><var>466.16</var>licensure in order to begin practicing psychology in this state while their application
         is being <br />
         		<a id="pl.466.17"></a><var>466.17</var>processed if the applicant is of good moral character and has no complaints, corrective,
         or <br />
         		<a id="pl.466.18"></a><var>466.18</var>disciplinary action pending in any jurisdiction.<br />
         		<a id="pl.466.19"></a><var>466.19</var>(b) Application under this section subdivision shall be made no less than 30 days prior <br />
         		<a id="pl.466.20"></a><var>466.20</var>to the expected date of practice in this state, and must be made concurrently or after
         <br />
         		<a id="pl.466.21"></a><var>466.21</var>submission of an application for licensure as a licensed psychologist if applicable. <br />
         		<a id="pl.466.22"></a><var>466.22</var>Applications under this section subdivision are subject to approval by the board or its <br />
         		<a id="pl.466.23"></a><var>466.23</var>designee. The board shall charge a fee for guest licensure under this subdivision.<br />
         		<a id="pl.466.24"></a><var>466.24</var>(b) The board shall charge a nonrefundable fee for guest licensure under this subdivision.<br />
         		<a id="pl.466.25"></a><var>466.25</var>(c) A guest license issued under this subdivision shall be valid for one year from
         the <br />
         		<a id="pl.466.26"></a><var>466.26</var>date of issuance, or until the board has either issued a license or has denied the
         applicant's <br />
         		<a id="pl.466.27"></a><var>466.27</var>application for licensure, whichever is earlier. Guest licenses issued under this
         section <br />
         		<a id="pl.466.28"></a><var>466.28</var>subdivision may be renewed annually until the board has denied the applicant's application <br />
         		<a id="pl.466.29"></a><var>466.29</var>for licensure.<br />
         		<br />
         		<a id="bill.11.46.0"></a><a id="pl.467.1"></a><var>467.1</var>&#160;&#160;&#160;&#160;Sec. 46. Minnesota Statutes 2016, section 148.925, is amended to read:<br />
         		<a id="pl.467.2"></a><var>467.2</var><b>148.925 SUPERVISION.</b><br />
         		<a id="pl.467.3"></a><var>467.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Supervision.</b> For the purpose of meeting the requirements of this section <br />
         		<a id="pl.467.4"></a><var>467.4</var>the Minnesota Psychology Practice Act, supervision means documented in-person <br />
         		<a id="pl.467.5"></a><var>467.5</var>consultation, which may include interactive, visual electronic communication, between <br />
         		<a id="pl.467.6"></a><var>467.6</var>either: (1) a primary supervisor and a licensed psychological practitioner; or (2)
         a that <br />
         		<a id="pl.467.7"></a><var>467.7</var>employs a collaborative relationship that has both facilitative and evaluative components
         <br />
         		<a id="pl.467.8"></a><var>467.8</var>with the goal of enhancing the professional competence and science, and practice-informed
         <br />
         		<a id="pl.467.9"></a><var>467.9</var>professional work of the supervisee. Supervision may include telesupervision between
         <br />
         		<a id="pl.467.10"></a><var>467.10</var>primary or designated supervisor supervisors and an applicant for licensure as a licensed <br />
         		<a id="pl.467.11"></a><var>467.11</var>psychologist the supervisee. The supervision shall be adequate to assure the quality and <br />
         		<a id="pl.467.12"></a><var>467.12</var>competence of the activities supervised. Supervisory consultation shall include discussions
         <br />
         		<a id="pl.467.13"></a><var>467.13</var>on the nature and content of the practice of the supervisee, including, but not limited
         to, a <br />
         		<a id="pl.467.14"></a><var>467.14</var>review of a representative sample of psychological services in the supervisee's practice.<br />
         		<a id="pl.467.15"></a><var>467.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Postdegree supervised </b><b>psychological </b><b>employment.</b> Postdegree supervised <br />
         		<a id="pl.467.16"></a><var>467.16</var>psychological employment means required paid or volunteer work experience and postdegree <br />
         		<a id="pl.467.17"></a><var>467.17</var>training of an individual seeking to be licensed as a licensed psychologist that involves
         the <br />
         		<a id="pl.467.18"></a><var>467.18</var>professional oversight by a primary supervisor and satisfies the supervision requirements
         <br />
         		<a id="pl.467.19"></a><var>467.19</var>in subdivisions 3 and 5 the Minnesota Psychology Practice Act.<br />
         		<a id="pl.467.20"></a><var>467.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Individuals qualified to provide supervision.</b> (a) Supervision of a master's <br />
         		<a id="pl.467.21"></a><var>467.21</var>level applicant for licensure as a licensed psychologist shall be provided by an individual:<br />
         		<a id="pl.467.22"></a><var>467.22</var>(1) who is a psychologist licensed in Minnesota with competence both in supervision
         <br />
         		<a id="pl.467.23"></a><var>467.23</var>in the practice of psychology and in the activities being supervised;<br />
         		<a id="pl.467.24"></a><var>467.24</var>(2) who has a doctoral degree with a major in psychology, who is employed by a <br />
         		<a id="pl.467.25"></a><var>467.25</var>regionally accredited educational institution or employed by a federal, state, county,
         or local <br />
         		<a id="pl.467.26"></a><var>467.26</var>government institution, agency, or research facility, and who has competence both
         in <br />
         		<a id="pl.467.27"></a><var>467.27</var>supervision in the practice of psychology and in the activities being supervised,
         provided <br />
         		<a id="pl.467.28"></a><var>467.28</var>the supervision is being provided and the activities being supervised occur within
         that <br />
         		<a id="pl.467.29"></a><var>467.29</var>regionally accredited educational institution or federal, state, county, or local
         government <br />
         		<a id="pl.467.30"></a><var>467.30</var>institution, agency, or research facility;<br />
         		<a id="pl.467.31"></a><var>467.31</var>(3) who is licensed or certified as a psychologist in another jurisdiction and who
         has <br />
         		<a id="pl.467.32"></a><var>467.32</var>competence both in supervision in the practice of psychology and in the activities
         being <br />
         		<a id="pl.467.33"></a><var>467.33</var>supervised; or<br />
         		<a id="pl.468.1"></a><var>468.1</var>(4) who, in the case of a designated supervisor, is a master's or doctorally prepared
         <br />
         		<a id="pl.468.2"></a><var>468.2</var>mental health professional.<br />
         		<a id="pl.468.3"></a><var>468.3</var>(b) Supervision of a doctoral level an applicant for licensure as a licensed psychologist <br />
         		<a id="pl.468.4"></a><var>468.4</var>shall be provided by an individual:<br />
         		<a id="pl.468.5"></a><var>468.5</var>(1) who is a psychologist licensed in Minnesota with a doctoral degree and competence
         <br />
         		<a id="pl.468.6"></a><var>468.6</var>both in supervision in the practice of psychology and in the activities being supervised;<br />
         		<a id="pl.468.7"></a><var>468.7</var>(2) who has a doctoral degree with a major in psychology, who is employed by a <br />
         		<a id="pl.468.8"></a><var>468.8</var>regionally accredited educational institution or is employed by a federal, state,
         county, or <br />
         		<a id="pl.468.9"></a><var>468.9</var>local government institution, agency, or research facility, and who has competence
         both in <br />
         		<a id="pl.468.10"></a><var>468.10</var>supervision in the practice of psychology and in the activities being supervised,
         provided <br />
         		<a id="pl.468.11"></a><var>468.11</var>the supervision is being provided and the activities being supervised occur within
         that <br />
         		<a id="pl.468.12"></a><var>468.12</var>regionally accredited educational institution or federal, state, county, or local
         government <br />
         		<a id="pl.468.13"></a><var>468.13</var>institution, agency, or research facility;<br />
         		<a id="pl.468.14"></a><var>468.14</var>(3) who is licensed or certified as a psychologist in another jurisdiction and who
         has <br />
         		<a id="pl.468.15"></a><var>468.15</var>competence both in supervision in the practice of psychology and in the activities
         being <br />
         		<a id="pl.468.16"></a><var>468.16</var>supervised;<br />
         		<a id="pl.468.17"></a><var>468.17</var>(4) who is a psychologist licensed in Minnesota who was licensed before August 1,
         <br />
         		<a id="pl.468.18"></a><var>468.18</var>1991, with competence both in supervision in the practice of psychology and in the
         activities <br />
         		<a id="pl.468.19"></a><var>468.19</var>being supervised; or<br />
         		<a id="pl.468.20"></a><var>468.20</var>(5) who, in the case of a designated supervisor, is a master's or doctorally prepared
         <br />
         		<a id="pl.468.21"></a><var>468.21</var>mental health professional.<br />
         		<a id="pl.468.22"></a><var>468.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Supervisory consultation for a licensed psychological practitioner.</b><br />
         		 <a id="pl.468.23"></a><var>468.23</var>Supervisory consultation between a supervising licensed psychologist and a supervised
         <br />
         		<a id="pl.468.24"></a><var>468.24</var>licensed psychological practitioner shall be at least one hour in duration and shall
         occur on <br />
         		<a id="pl.468.25"></a><var>468.25</var>an individual, in-person basis. A minimum of one hour of supervision per month is
         required <br />
         		<a id="pl.468.26"></a><var>468.26</var>for the initial 20 or fewer hours of psychological services delivered per month. For
         each <br />
         		<a id="pl.468.27"></a><var>468.27</var>additional 20 hours of psychological services delivered per month, an additional hour
         of <br />
         		<a id="pl.468.28"></a><var>468.28</var>supervision per month is required. When more than 20 hours of psychological services
         are <br />
         		<a id="pl.468.29"></a><var>468.29</var>provided in a week, no more than one hour of supervision is required per week.<br />
         		<a id="pl.468.30"></a><var>468.30</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Supervisory consultation for an applicant for licensure as a licensed </b><br />
         		<a id="pl.468.31"></a><var>468.31</var><b>psychologist.</b> Supervision of an applicant for licensure as a licensed psychologist shall <br />
         		<a id="pl.468.32"></a><var>468.32</var>include at least two hours of regularly scheduled in-person consultations per week
         for <br />
         		<a id="pl.468.33"></a><var>468.33</var>full-time employment, one hour of which shall be with the supervisor on an individual
         basis. <br />
         		<a id="pl.469.1"></a><var>469.1</var>The remaining hour may be with a designated supervisor. The board may approve an <br />
         		<a id="pl.469.2"></a><var>469.2</var>exception to the weekly supervision requirement for a week when the supervisor was
         ill or <br />
         		<a id="pl.469.3"></a><var>469.3</var>otherwise unable to provide supervision. The board may prorate the two hours per week
         of <br />
         		<a id="pl.469.4"></a><var>469.4</var>supervision for individuals preparing for licensure on a part-time basis. Supervised
         <br />
         		<a id="pl.469.5"></a><var>469.5</var>psychological employment does not qualify for licensure when the supervisory consultation
         <br />
         		<a id="pl.469.6"></a><var>469.6</var>is not adequate as described in subdivision 1, or in the board rules.<br />
         		<a id="pl.469.7"></a><var>469.7</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Supervisee duties.</b> Individuals Applicants preparing for licensure as a licensed <br />
         		<a id="pl.469.8"></a><var>469.8</var>psychologist during their postdegree supervised psychological employment may perform <br />
         		<a id="pl.469.9"></a><var>469.9</var>as part of their training any functions of the  services specified in section 
         <statute_ref>148.89, subdivision <br />
            		<a id="pl.469.10"></a><var>469.10</var>5
         </statute_ref>, but only under qualified supervision.<br />
         		<a id="pl.469.11"></a><var>469.11</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Variance from supervision requirements.</b> (a) An applicant for licensure as <br />
         		<a id="pl.469.12"></a><var>469.12</var>a licensed psychologist who entered supervised employment before August 1, 1991, may
         <br />
         		<a id="pl.469.13"></a><var>469.13</var>request a variance from the board from the supervision requirements in this section
         in order <br />
         		<a id="pl.469.14"></a><var>469.14</var>to continue supervision under the board rules in effect before August 1, 1991.<br />
         		<a id="pl.469.15"></a><var>469.15</var>(b) After a licensed psychological practitioner has completed two full years, or the
         <br />
         		<a id="pl.469.16"></a><var>469.16</var>equivalent, of supervised post-master's degree employment meeting the requirements
         of <br />
         		<a id="pl.469.17"></a><var>469.17</var>subdivision 5 as it relates to preparation for licensure as a licensed psychologist,
         the board <br />
         		<a id="pl.469.18"></a><var>469.18</var>shall grant a variance from the supervision requirements of subdivision 4 or 5 if
         the licensed <br />
         		<a id="pl.469.19"></a><var>469.19</var>psychological practitioner presents evidence of:<br />
         		<a id="pl.469.20"></a><var>469.20</var>(1) endorsement for specific areas of competency by the licensed psychologist who
         <br />
         		<a id="pl.469.21"></a><var>469.21</var>provided the two years of supervision;<br />
         		<a id="pl.469.22"></a><var>469.22</var>(2) employment by a hospital or by a community mental health center or nonprofit mental
         <br />
         		<a id="pl.469.23"></a><var>469.23</var>health clinic or social service agency providing services as a part of the mental
         health service <br />
         		<a id="pl.469.24"></a><var>469.24</var>plan required by the Comprehensive Mental Health Act;<br />
         		<a id="pl.469.25"></a><var>469.25</var>(3) the employer's acceptance of clinical responsibility for the care provided by
         the <br />
         		<a id="pl.469.26"></a><var>469.26</var>licensed psychological practitioner; and<br />
         		<a id="pl.469.27"></a><var>469.27</var>(4) a plan for supervision that includes at least one hour of regularly scheduled
         individual <br />
         		<a id="pl.469.28"></a><var>469.28</var>in-person consultations per week for full-time employment. The board may approve an
         <br />
         		<a id="pl.469.29"></a><var>469.29</var>exception to the weekly supervision requirement for a week when the supervisor was
         ill or <br />
         		<a id="pl.469.30"></a><var>469.30</var>otherwise unable to provide supervision.<br />
         		<a id="pl.469.31"></a><var>469.31</var>(c) Following the granting of a variance under paragraph (b), and completion of two
         <br />
         		<a id="pl.469.32"></a><var>469.32</var>additional full years or the equivalent of supervision and post-master's degree employment
         <br />
         		<a id="pl.470.1"></a><var>470.1</var>meeting the requirements of paragraph (b), the board shall grant a variance to a licensed
         <br />
         		<a id="pl.470.2"></a><var>470.2</var>psychological practitioner who presents evidence of:<br />
         		<a id="pl.470.3"></a><var>470.3</var>(1) endorsement for specific areas of competency by the licensed psychologist who
         <br />
         		<a id="pl.470.4"></a><var>470.4</var>provided the two years of supervision under paragraph (b);<br />
         		<a id="pl.470.5"></a><var>470.5</var>(2) employment by a hospital or by a community mental health center or nonprofit mental
         <br />
         		<a id="pl.470.6"></a><var>470.6</var>health clinic or social service agency providing services as a part of the mental
         health service <br />
         		<a id="pl.470.7"></a><var>470.7</var>plan required by the Comprehensive Mental Health Act;<br />
         		<a id="pl.470.8"></a><var>470.8</var>(3) the employer's acceptance of clinical responsibility for the care provided by
         the <br />
         		<a id="pl.470.9"></a><var>470.9</var>licensed psychological practitioner; and<br />
         		<a id="pl.470.10"></a><var>470.10</var>(4) a plan for supervision which includes at least one hour of regularly scheduled
         <br />
         		<a id="pl.470.11"></a><var>470.11</var>individual in-person supervision per month.<br />
         		<a id="pl.470.12"></a><var>470.12</var>(d) The variance allowed under this section must be deemed to have been granted to
         an <br />
         		<a id="pl.470.13"></a><var>470.13</var>individual who previously received a variance under paragraph (b) or (c) and is seeking
         a <br />
         		<a id="pl.470.14"></a><var>470.14</var>new variance because of a change of employment to a different employer or employment
         <br />
         		<a id="pl.470.15"></a><var>470.15</var>setting. The deemed variance continues until the board either grants or denies the
         variance. <br />
         		<a id="pl.470.16"></a><var>470.16</var>An individual who has been denied a variance under this section is entitled to seek
         <br />
         		<a id="pl.470.17"></a><var>470.17</var>reconsideration by the board.<br />
         		<br />
         		<a id="bill.11.47.0"></a><a id="pl.470.18"></a><var>470.18</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2016, section 148.96, subdivision 3, is amended to read:<br />
         		<a id="pl.470.19"></a><var>470.19</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Requirements for representations to public.</b> (a) Unless licensed under sections <br />
         		
         <statute_ref><a id="pl.470.20"></a><var>470.20</var>148.88
         </statute_ref> to 
         <statute_ref>148.98</statute_ref>, except as provided in paragraphs (b) through (e), persons shall not represent <br />
         		<a id="pl.470.21"></a><var>470.21</var>themselves or permit themselves to be represented to the public by:<br />
         		<a id="pl.470.22"></a><var>470.22</var>(1) using any title or description of services incorporating the words "psychology,"
         <br />
         		<a id="pl.470.23"></a><var>470.23</var>"psychological," "psychological practitioner," or "psychologist"; or<br />
         		<a id="pl.470.24"></a><var>470.24</var>(2) representing that the person has expert qualifications in an area of psychology.<br />
         		<a id="pl.470.25"></a><var>470.25</var>(b) Psychologically trained individuals who are employed by an educational institution
         <br />
         		<a id="pl.470.26"></a><var>470.26</var>recognized by a regional accrediting organization, by a federal, state, county, or
         local <br />
         		<a id="pl.470.27"></a><var>470.27</var>government institution, agency, or research facility, may represent themselves by
         the title <br />
         		<a id="pl.470.28"></a><var>470.28</var>designated by that organization provided that the title does not indicate that the
         individual <br />
         		<a id="pl.470.29"></a><var>470.29</var>is credentialed by the board.<br />
         		<a id="pl.470.30"></a><var>470.30</var>(c) A psychologically trained individual from an institution described in paragraph
         (b) <br />
         		<a id="pl.470.31"></a><var>470.31</var>may offer lecture services and is exempt from the provisions of this section.<br />
         		<a id="pl.471.1"></a><var>471.1</var>(d) A person who is preparing for the practice of psychology under supervision in
         <br />
         		<a id="pl.471.2"></a><var>471.2</var>accordance with board statutes and rules may be designated as a "psychological intern,"
         <br />
         		<a id="pl.471.3"></a><var>471.3</var>"psychology fellow," "psychological trainee," or by other terms clearly describing the <br />
         		<a id="pl.471.4"></a><var>471.4</var>person's training status.<br />
         		<a id="pl.471.5"></a><var>471.5</var>(e) Former licensees who are completely retired from the practice of psychology may
         <br />
         		<a id="pl.471.6"></a><var>471.6</var>represent themselves using the descriptions in paragraph (a), clauses (1) and (2),
         but shall <br />
         		<a id="pl.471.7"></a><var>471.7</var>not represent themselves or allow themselves to be represented as current licensees
         of the <br />
         		<a id="pl.471.8"></a><var>471.8</var>board.<br />
         		<a id="pl.471.9"></a><var>471.9</var>(f) Nothing in this section shall be construed to prohibit the practice of school
         psychology <br />
         		<a id="pl.471.10"></a><var>471.10</var>by a person licensed in accordance with chapters 122A and 129.<br />
         		<br />
         		<a id="bill.11.48.0"></a><a id="pl.471.11"></a><var>471.11</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2016, section 148B.53, subdivision 1, is amended to read:<br />
         		<a id="pl.471.12"></a><var>471.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General requirements.</b> (a) To be licensed as a licensed professional <br />
         		<a id="pl.471.13"></a><var>471.13</var>counselor (LPC), an applicant must provide evidence satisfactory to the board that
         the <br />
         		<a id="pl.471.14"></a><var>471.14</var>applicant:<br />
         		<a id="pl.471.15"></a><var>471.15</var>&#160;&#160;&#160;&#160;(1) is at least 18 years of age;<br />
         		<a id="pl.471.16"></a><var>471.16</var>&#160;&#160;&#160;&#160;(2) is of good moral character;<br />
         		<a id="pl.471.17"></a><var>471.17</var>&#160;&#160;&#160;&#160;(3) has completed a master's or doctoral degree program in counseling or a related
         field, <br />
         		<a id="pl.471.18"></a><var>471.18</var>as determined by the board based on the criteria in paragraph (b), that includes a
         minimum <br />
         		<a id="pl.471.19"></a><var>471.19</var>of 48 semester hours or 72 quarter hours and a supervised field experience of not
         fewer than <br />
         		<a id="pl.471.20"></a><var>471.20</var>700 hours that is counseling in nature;<br />
         		<a id="pl.471.21"></a><var>471.21</var>&#160;&#160;&#160;&#160;(4) has submitted to the board a plan for supervision during the first 2,000 hours
         of <br />
         		<a id="pl.471.22"></a><var>471.22</var>professional practice or has submitted proof of supervised professional practice that
         is <br />
         		<a id="pl.471.23"></a><var>471.23</var>acceptable to the board; and<br />
         		<a id="pl.471.24"></a><var>471.24</var>&#160;&#160;&#160;&#160;(5) has demonstrated competence in professional counseling by passing the National
         <br />
         		<a id="pl.471.25"></a><var>471.25</var>Counseling Exam (NCE) administered by the National Board for Certified Counselors,
         Inc. <br />
         		<a id="pl.471.26"></a><var>471.26</var>(NBCC) or an equivalent national examination as determined by the board, and ethical,
         <br />
         		<a id="pl.471.27"></a><var>471.27</var>oral, and situational examinations if prescribed by the board.<br />
         		<a id="pl.471.28"></a><var>471.28</var>&#160;&#160;&#160;&#160;(b) The degree described in paragraph (a), clause (3), must be from a counseling program
         <br />
         		<a id="pl.471.29"></a><var>471.29</var>recognized by the Council for Accreditation of Counseling and Related Education Programs
         <br />
         		<a id="pl.471.30"></a><var>471.30</var>(CACREP) or from an institution of higher education that is accredited by a regional
         <br />
         		<a id="pl.471.31"></a><var>471.31</var>accrediting organization recognized by the Council for Higher Education Accreditation
         <br />
         		<a id="pl.472.1"></a><var>472.1</var>(CHEA). Specific academic course content and training must include course work in
         each <br />
         		<a id="pl.472.2"></a><var>472.2</var>of the following subject areas:<br />
         		<a id="pl.472.3"></a><var>472.3</var>&#160;&#160;&#160;&#160;(1) the helping relationship, including counseling theory and practice;<br />
         		<a id="pl.472.4"></a><var>472.4</var>&#160;&#160;&#160;&#160;(2) human growth and development;<br />
         		<a id="pl.472.5"></a><var>472.5</var>&#160;&#160;&#160;&#160;(3) lifestyle and career development;<br />
         		<a id="pl.472.6"></a><var>472.6</var>&#160;&#160;&#160;&#160;(4) group dynamics, processes, counseling, and consulting;<br />
         		<a id="pl.472.7"></a><var>472.7</var>&#160;&#160;&#160;&#160;(5) assessment and appraisal;<br />
         		<a id="pl.472.8"></a><var>472.8</var>&#160;&#160;&#160;&#160;(6) social and cultural foundations, including multicultural issues;<br />
         		<a id="pl.472.9"></a><var>472.9</var>&#160;&#160;&#160;&#160;(7) principles of etiology, treatment planning, and prevention of mental and emotional
         <br />
         		<a id="pl.472.10"></a><var>472.10</var>disorders and dysfunctional behavior;<br />
         		<a id="pl.472.11"></a><var>472.11</var>&#160;&#160;&#160;&#160;(8) family counseling and therapy;<br />
         		<a id="pl.472.12"></a><var>472.12</var>&#160;&#160;&#160;&#160;(9) research and evaluation; and<br />
         		<a id="pl.472.13"></a><var>472.13</var>&#160;&#160;&#160;&#160;(10) professional counseling orientation and ethics.<br />
         		<a id="pl.472.14"></a><var>472.14</var>&#160;&#160;&#160;&#160;(c) To be licensed as a professional counselor, a psychological practitioner licensed
         <br />
         		<a id="pl.472.15"></a><var>472.15</var>under section 
         <statute_ref>148.908</statute_ref> need only show evidence of licensure under that section and is not <br />
         		<a id="pl.472.16"></a><var>472.16</var>required to comply with paragraph (a), clauses (1) to (3) and (5), or paragraph (b).<br />
         		<a id="pl.472.17"></a><var>472.17</var>&#160;&#160;&#160;&#160;(d) (c) To be licensed as a professional counselor, a Minnesota licensed psychologist <br />
         		<a id="pl.472.18"></a><var>472.18</var>need only show evidence of licensure from the Minnesota Board of Psychology and is
         not <br />
         		<a id="pl.472.19"></a><var>472.19</var>required to comply with paragraph (a) or (b).<br />
         		<br />
         		<a id="bill.11.49.0"></a><a id="pl.472.20"></a><var>472.20</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2016, section 150A.06, subdivision 3, is amended to read:<br />
         		<a id="pl.472.21"></a><var>472.21</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Waiver of examination.</b> (a) All or any part of the examination for dentists or, <br />
         		<a id="pl.472.22"></a><var>472.22</var>dental therapists, dental hygienists, or dental assistants, except that pertaining to the law of <br />
         		<a id="pl.472.23"></a><var>472.23</var>Minnesota relating to dentistry and the rules of the board, may, at the discretion
         of the board, <br />
         		<a id="pl.472.24"></a><var>472.24</var>be waived for an applicant who presents a certificate of having passed all components
         of <br />
         		<a id="pl.472.25"></a><var>472.25</var>the National Board Dental Examinations or evidence of having maintained an adequate
         <br />
         		<a id="pl.472.26"></a><var>472.26</var>scholastic standing as determined by the board, in dental school as to dentists, or dental <br />
         		<a id="pl.472.27"></a><var>472.27</var>hygiene school as to dental hygienists.<br />
         		<a id="pl.472.28"></a><var>472.28</var>(b) The board shall waive the clinical examination required for licensure for any
         dentist <br />
         		<a id="pl.472.29"></a><var>472.29</var>applicant who is a graduate of a dental school accredited by the Commission on Dental
         <br />
         		<a id="pl.472.30"></a><var>472.30</var>Accreditation, who has passed all components of the National Board Dental Examinations,
         <br />
         		<a id="pl.472.31"></a><var>472.31</var>and who has satisfactorily completed a Minnesota-based postdoctoral general dentistry
         <br />
         		<a id="pl.473.1"></a><var>473.1</var>residency program (GPR) or an advanced education in general dentistry (AEGD) program
         <br />
         		<a id="pl.473.2"></a><var>473.2</var>after January 1, 2004. The postdoctoral program must be accredited by the Commission
         on <br />
         		<a id="pl.473.3"></a><var>473.3</var>Dental Accreditation, be of at least one year's duration, and include an outcome assessment
         <br />
         		<a id="pl.473.4"></a><var>473.4</var>evaluation assessing the resident's competence to practice dentistry. The board may
         require <br />
         		<a id="pl.473.5"></a><var>473.5</var>the applicant to submit any information deemed necessary by the board to determine
         whether <br />
         		<a id="pl.473.6"></a><var>473.6</var>the waiver is applicable.<br />
         		<br />
         		<a id="bill.11.50.0"></a><a id="pl.473.7"></a><var>473.7</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2016, section 150A.06, subdivision 8, is amended to read:<br />
         		<a id="pl.473.8"></a><var>473.8</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Licensure by credentials.</b> (a) Any dental assistant may, upon application and <br />
         		<a id="pl.473.9"></a><var>473.9</var>payment of a fee established by the board, apply for licensure based on an evaluation
         of the <br />
         		<a id="pl.473.10"></a><var>473.10</var>applicant's education, experience, and performance record in lieu of completing a
         <br />
         		<a id="pl.473.11"></a><var>473.11</var>board-approved dental assisting program for expanded functions as defined in rule,
         and <br />
         		<a id="pl.473.12"></a><var>473.12</var>may be interviewed by the board to determine if the applicant:<br />
         		<a id="pl.473.13"></a><var>473.13</var>(1) has graduated from an accredited dental assisting program accredited by the <br />
         		<a id="pl.473.14"></a><var>473.14</var>Commission on Dental Accreditation, or and is currently certified by the Dental Assisting <br />
         		<a id="pl.473.15"></a><var>473.15</var>National Board;<br />
         		<a id="pl.473.16"></a><var>473.16</var>(2) is not subject to any pending or final disciplinary action in another state or
         Canadian <br />
         		<a id="pl.473.17"></a><var>473.17</var>province, or if not currently certified or registered, previously had a certification
         or <br />
         		<a id="pl.473.18"></a><var>473.18</var>registration in another state or Canadian province in good standing that was not subject
         to <br />
         		<a id="pl.473.19"></a><var>473.19</var>any final or pending disciplinary action at the time of surrender;<br />
         		<a id="pl.473.20"></a><var>473.20</var>(3) is of good moral character and abides by professional ethical conduct requirements;<br />
         		<a id="pl.473.21"></a><var>473.21</var>(4) at board discretion, has passed a board-approved English proficiency test if English
         <br />
         		<a id="pl.473.22"></a><var>473.22</var>is not the applicant's primary language; and<br />
         		<a id="pl.473.23"></a><var>473.23</var>(5) has met all expanded functions curriculum equivalency requirements of a Minnesota
         <br />
         		<a id="pl.473.24"></a><var>473.24</var>board-approved dental assisting program.<br />
         		<a id="pl.473.25"></a><var>473.25</var>(b) The board, at its discretion, may waive specific licensure requirements in paragraph
         <br />
         		<a id="pl.473.26"></a><var>473.26</var>(a).<br />
         		<a id="pl.473.27"></a><var>473.27</var>(c) An applicant who fulfills the conditions of this subdivision and demonstrates
         the <br />
         		<a id="pl.473.28"></a><var>473.28</var>minimum knowledge in dental subjects required for licensure under subdivision 2a must
         <br />
         		<a id="pl.473.29"></a><var>473.29</var>be licensed to practice the applicant's profession.<br />
         		<a id="pl.473.30"></a><var>473.30</var>(d) If the applicant does not demonstrate the minimum knowledge in dental subjects
         <br />
         		<a id="pl.473.31"></a><var>473.31</var>required for licensure under subdivision 2a, the application must be denied. If licensure
         is <br />
         		<a id="pl.473.32"></a><var>473.32</var>denied, the board may notify the applicant of any specific remedy that the applicant
         could <br />
         		<a id="pl.474.1"></a><var>474.1</var>take which, when passed, would qualify the applicant for licensure. A denial does
         not <br />
         		<a id="pl.474.2"></a><var>474.2</var>prohibit the applicant from applying for licensure under subdivision 2a.<br />
         		<a id="pl.474.3"></a><var>474.3</var>(e) A candidate whose application has been denied may appeal the decision to the board
         <br />
         		<a id="pl.474.4"></a><var>474.4</var>according to subdivision 4a.<br />
         		<br />
         		<a id="bill.11.51.0"></a><a id="pl.474.5"></a><var>474.5</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2016, section 150A.10, subdivision 4, is amended to read:<br />
         		<a id="pl.474.6"></a><var>474.6</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Restorative procedures.</b> (a) Notwithstanding subdivisions 1, 1a, and 2, a <br />
         		<a id="pl.474.7"></a><var>474.7</var>licensed dental hygienist or licensed dental assistant may perform the following restorative
         <br />
         		<a id="pl.474.8"></a><var>474.8</var>procedures:<br />
         		<a id="pl.474.9"></a><var>474.9</var>(1) place, contour, and adjust amalgam restorations;<br />
         		<a id="pl.474.10"></a><var>474.10</var>(2) place, contour, and adjust glass ionomer;<br />
         		<a id="pl.474.11"></a><var>474.11</var>(3) adapt and cement stainless steel crowns; and<br />
         		 <a id="pl.474.12"></a><var>474.12</var>(4) place, contour, and adjust class I and class V supragingival composite restorations
         <br />
         		<a id="pl.474.13"></a><var>474.13</var>where the margins are entirely within the enamel; and<br />
         		<a id="pl.474.14"></a><var>474.14</var>(5) (4) place, contour, and adjust class I, II, and class V supragingival composite <br />
         		<a id="pl.474.15"></a><var>474.15</var>restorations on primary teeth and permanent dentition.<br />
         		<a id="pl.474.16"></a><var>474.16</var>(b) The restorative procedures described in paragraph (a) may be performed only if:<br />
         		<a id="pl.474.17"></a><var>474.17</var>(1) the licensed dental hygienist or licensed dental assistant has completed a <br />
         		<a id="pl.474.18"></a><var>474.18</var>board-approved course on the specific procedures;<br />
         		<a id="pl.474.19"></a><var>474.19</var>(2) the board-approved course includes a component that sufficiently prepares the
         licensed <br />
         		<a id="pl.474.20"></a><var>474.20</var>dental hygienist or licensed dental assistant to adjust the occlusion on the newly
         placed <br />
         		<a id="pl.474.21"></a><var>474.21</var>restoration;<br />
         		<a id="pl.474.22"></a><var>474.22</var>(3) a licensed dentist or licensed advanced dental therapist has authorized the procedure
         <br />
         		<a id="pl.474.23"></a><var>474.23</var>to be performed; and<br />
         		<a id="pl.474.24"></a><var>474.24</var>(4) a licensed dentist or licensed advanced dental therapist is available in the clinic
         while <br />
         		<a id="pl.474.25"></a><var>474.25</var>the procedure is being performed.<br />
         		<a id="pl.474.26"></a><var>474.26</var>(c) The dental faculty who teaches the educators of the board-approved courses specified
         <br />
         		<a id="pl.474.27"></a><var>474.27</var>in paragraph (b) must have prior experience teaching these procedures in an accredited
         <br />
         		<a id="pl.474.28"></a><var>474.28</var>dental education program.<br />
         		<br />
         		<a id="bill.11.52.0"></a><a id="pl.475.1"></a><var>475.1</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2016, section 214.01, subdivision 2, is amended to read:<br />
         		<a id="pl.475.2"></a><var>475.2</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Health-related licensing board.</b> "Health-related licensing board" means the <br />
         		<a id="pl.475.3"></a><var>475.3</var>Board of Examiners of Nursing Home Administrators established pursuant to section
         <br />
         		
         <statute_ref><a id="pl.475.4"></a><var>475.4</var>144A.19
         </statute_ref>, the Office of Unlicensed Complementary and Alternative Health Care Practice <br />
         		<a id="pl.475.5"></a><var>475.5</var>established pursuant to section 
         <statute_ref>146A.02</statute_ref>, the Board of Medical Practice created pursuant to <br />
         		<a id="pl.475.6"></a><var>475.6</var>section 
         <statute_ref>147.01</statute_ref>, the Board of Nursing created pursuant to section 
         <statute_ref>148.181</statute_ref>, the Board of <br />
         		<a id="pl.475.7"></a><var>475.7</var>Chiropractic Examiners established pursuant to section 
         <statute_ref>148.02</statute_ref>, the Board of Optometry <br />
         		<a id="pl.475.8"></a><var>475.8</var>established pursuant to section 
         <statute_ref>148.52</statute_ref>, the Board of Occupational Therapy Practice <br />
         		<a id="pl.475.9"></a><var>475.9</var>established pursuant to section 148.6449, the Board of Physical Therapy established pursuant <br />
         		<a id="pl.475.10"></a><var>475.10</var>to section 
         <statute_ref>148.67</statute_ref>, the Board of Psychology established pursuant to section 
         <statute_ref>148.90</statute_ref>, the Board <br />
         		<a id="pl.475.11"></a><var>475.11</var>of Social Work pursuant to section 
         <statute_ref>148E.025</statute_ref>, the Board of Marriage and Family Therapy <br />
         		<a id="pl.475.12"></a><var>475.12</var>pursuant to section 
         <statute_ref>148B.30</statute_ref>, the Board of Behavioral Health and Therapy established by <br />
         		<a id="pl.475.13"></a><var>475.13</var>section 
         <statute_ref>148B.51</statute_ref>, the Board of Dietetics and Nutrition Practice established under section <br />
         		
         <statute_ref><a id="pl.475.14"></a><var>475.14</var>148.622
         </statute_ref>, the Board of Dentistry established pursuant to section 
         <statute_ref>150A.02</statute_ref>, the Board of <br />
         		<a id="pl.475.15"></a><var>475.15</var>Pharmacy established pursuant to section 
         <statute_ref>151.02</statute_ref>, the Board of Podiatric Medicine established <br />
         		<a id="pl.475.16"></a><var>475.16</var>pursuant to section 
         <statute_ref>153.02</statute_ref>, and the Board of Veterinary Medicine established pursuant to <br />
         		<a id="pl.475.17"></a><var>475.17</var>section 
         <statute_ref>156.01</statute_ref>.<br />
         		<a id="pl.475.18"></a><var>475.18</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.53.0"></a><a id="pl.475.19"></a><var>475.19</var>&#160;&#160;&#160;&#160;Sec. 53. <b>BOARD OF OCCUPATIONAL THERAPY PRACTICE.</b><br />
         		<a id="pl.475.20"></a><var>475.20</var>The governor shall appoint all members to the Board of Occupational Therapy Practice
         <br />
         		<a id="pl.475.21"></a><var>475.21</var>under Minnesota Statutes, section 148.6449, by October 1, 2017. The governor shall
         designate <br />
         		<a id="pl.475.22"></a><var>475.22</var>one member of the board to convene the first meeting of the board by November 1, 2017.
         <br />
         		<a id="pl.475.23"></a><var>475.23</var>The board shall elect officers at its first meeting.<br />
         		<a id="pl.475.24"></a><var>475.24</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017.<br />
         		<br />
         		<a id="bill.11.54.0"></a><a id="pl.475.25"></a><var>475.25</var>&#160;&#160;&#160;&#160;Sec. 54. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.475.26"></a><var>475.26</var>In Minnesota Statutes and Minnesota Rules, the revisor of statutes shall replace references
         <br />
         		<a id="pl.475.27"></a><var>475.27</var>to Minnesota Statutes, section 148.6450, with Minnesota Statutes, section 148.6449.<br />
         		<a id="pl.475.28"></a><var>475.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2018.<br />
         		<br />
         		<a id="bill.11.55.0"></a><a id="pl.475.29"></a><var>475.29</var>&#160;&#160;&#160;&#160;Sec. 55. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.475.30"></a><var>475.30</var>The revisor of statutes shall change the headnote of Minnesota Statutes, section 147.0375,
         <br />
         		<a id="pl.475.31"></a><var>475.31</var>to read "LICENSURE OF EMINENT PHYSICIANS."<br />
         		<a id="pl.476.1"></a><var>476.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.56.0"></a><a id="pl.476.2"></a><var>476.2</var>&#160;&#160;&#160;&#160;Sec. 56. <b> REPEALER.</b><br />
         		<a id="pl.476.3"></a><var>476.3</var>(a) Minnesota Statutes 2016, sections 147A.21; 147B.08, subdivisions 1, 2, and 3; <br />
         		<a id="pl.476.4"></a><var>476.4</var>147C.40, subdivisions 1, 2, 3, and 4; 148.906; 148.907, subdivision 5; 148.908; 148.909,
         <br />
         		<a id="pl.476.5"></a><var>476.5</var>subdivision 7; and 148.96, subdivisions 4 and 5, are repealed.<br />
         		<a id="pl.476.6"></a><var>476.6</var>(b) Minnesota Statutes 2016, sections 148.6402, subdivision 2; and 148.6450, are <br />
         		<a id="pl.476.7"></a><var>476.7</var>repealed.<br />
         		<a id="pl.476.8"></a><var>476.8</var>(c) Minnesota Rules, part 5600.2500, is repealed.<br />
         		<a id="pl.476.9"></a><var>476.9</var>(d) Minnesota Statutes 2016, section 147.0375, subdivision 7, is repealed.<br />
         		<a id="pl.476.10"></a><var>476.10</var><b>EFFECTIVE DATE.</b>Paragraphs (a) and (c) are effective July 1, 2017. Paragraph (b) <br />
         		<a id="pl.476.11"></a><var>476.11</var>is effective January 1, 2018. Paragraph (d) is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.12.0.0"></a><div class="xtend_ce"><a id="pl.476.12"></a><var>476.12</var><b>ARTICLE 12</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.476.13"></a><var>476.13</var><b>OPIATE ABUSE PREVENTION</b><br />
            		
         </div><br />
         		<a id="bill.12.1.0"></a><a id="pl.476.14"></a><var>476.14</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 151.212, subdivision 2, is amended to read:<br />
         		<a id="pl.476.15"></a><var>476.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Controlled substances.</b> (a) In addition to the requirements of subdivision 1, <br />
         		<a id="pl.476.16"></a><var>476.16</var>when the use of any drug containing a controlled substance, as defined in chapter
         152, or <br />
         		<a id="pl.476.17"></a><var>476.17</var>any other drug determined by the board, either alone or in conjunction with alcoholic
         <br />
         		<a id="pl.476.18"></a><var>476.18</var>beverages, may impair the ability of the user to operate a motor vehicle, the board
         shall <br />
         		<a id="pl.476.19"></a><var>476.19</var>require by rule that notice be prominently set forth on the label or container. Rules
         <br />
         		<a id="pl.476.20"></a><var>476.20</var>promulgated by the board shall specify exemptions from this requirement when there
         is <br />
         		<a id="pl.476.21"></a><var>476.21</var>evidence that the user will not operate a motor vehicle while using the drug.<br />
         		<a id="pl.476.22"></a><var>476.22</var>(b) In addition to the requirements of subdivision 1, whenever a prescription drug
         <br />
         		<a id="pl.476.23"></a><var>476.23</var>containing an opiate is dispensed to a patient for outpatient use, the pharmacy or
         practitioner <br />
         		<a id="pl.476.24"></a><var>476.24</var>dispensing the drug must prominently display on the label or container a notice that
         states <br />
         		<a id="pl.476.25"></a><var>476.25</var>"Caution: Opioid. Risk of overdose and addiction."<br />
         		<br />
         		<a id="bill.12.2.0"></a><a id="pl.476.26"></a><var>476.26</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 152.11, is amended by adding a subdivision to <br />
         		<a id="pl.476.27"></a><var>476.27</var>read:<br />
         		<a id="pl.476.28"></a><var>476.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Limit on quantity of opiates prescribed for acute dental and ophthalmic </b><br />
         		<a id="pl.476.29"></a><var>476.29</var><b>pain.</b> (a) When used for the treatment of acute dental pain or acute pain associated with
         <br />
         		<a id="pl.476.30"></a><var>476.30</var>refractive surgery, prescriptions for opiate or narcotic pain relievers listed in
         Schedules II <br />
         		<a id="pl.477.1"></a><var>477.1</var>through IV of section 152.02 shall not exceed a four-day supply. The quantity prescribed
         <br />
         		<a id="pl.477.2"></a><var>477.2</var>shall be consistent with the dosage listed in the professional labeling for the drug
         that has <br />
         		<a id="pl.477.3"></a><var>477.3</var>been approved by the United States Food and Drug Administration.<br />
         		<a id="pl.477.4"></a><var>477.4</var>(b) For the purposes of this subdivision, "acute pain" means pain resulting from disease,
         <br />
         		<a id="pl.477.5"></a><var>477.5</var>accidental or intentional trauma, surgery, or another cause, that the practitioner
         reasonably <br />
         		<a id="pl.477.6"></a><var>477.6</var>expects to last only a short period of time. Acute pain does not include chronic pain
         or pain <br />
         		<a id="pl.477.7"></a><var>477.7</var>being treated as part of cancer care, palliative care, or hospice or other end-of-life
         care.<br />
         		<a id="pl.477.8"></a><var>477.8</var>(c) Notwithstanding paragraph (a), if in the professional clinical judgment of a practitioner
         <br />
         		<a id="pl.477.9"></a><var>477.9</var>more than a four-day supply of a prescription listed in Schedules II through IV of
         section <br />
         		<a id="pl.477.10"></a><var>477.10</var>152.02 is required to treat a patient's acute pain, the practitioner may issue a prescription
         <br />
         		<a id="pl.477.11"></a><var>477.11</var>for the quantity needed to treat such acute pain.<br />
         		<br />
         		<a id="bill.12.3.0"></a><a id="pl.477.12"></a><var>477.12</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 256B.0625, subdivision 13e, is amended to read:<br />
         		<a id="pl.477.13"></a><var>477.13</var>&#160;&#160;&#160;&#160;Subd. 13e. <b>Payment rates.</b> (a) The basis for determining the amount of payment shall <br />
         		<a id="pl.477.14"></a><var>477.14</var>be the lower of the actual acquisition costs of the drugs or the maximum allowable
         cost by <br />
         		<a id="pl.477.15"></a><var>477.15</var>the commissioner plus the fixed dispensing fee; or the usual and customary price charged
         <br />
         		<a id="pl.477.16"></a><var>477.16</var>to the public. The amount of payment basis must be reduced to reflect all discount
         amounts <br />
         		<a id="pl.477.17"></a><var>477.17</var>applied to the charge by any provider/insurer agreement or contract for submitted
         charges <br />
         		<a id="pl.477.18"></a><var>477.18</var>to medical assistance programs. The net submitted charge may not be greater than the
         patient <br />
         		<a id="pl.477.19"></a><var>477.19</var>liability for the service. The pharmacy dispensing fee shall be $3.65 for legend prescription
         <br />
         		<a id="pl.477.20"></a><var>477.20</var>drugs, except that the dispensing fee for intravenous solutions which must be compounded
         <br />
         		<a id="pl.477.21"></a><var>477.21</var>by the pharmacist shall be $8 per bag, $14 per bag for cancer chemotherapy products,
         and <br />
         		<a id="pl.477.22"></a><var>477.22</var>$30 per bag for total parenteral nutritional products dispensed in one liter quantities,
         or $44 <br />
         		<a id="pl.477.23"></a><var>477.23</var>per bag for total parenteral nutritional products dispensed in quantities greater
         than one liter. <br />
         		<a id="pl.477.24"></a><var>477.24</var>The pharmacy dispensing fee for over-the-counter drugs shall be $3.65, except that
         the fee <br />
         		<a id="pl.477.25"></a><var>477.25</var>shall be $1.31 for retrospectively billing pharmacies when billing for quantities
         less than <br />
         		<a id="pl.477.26"></a><var>477.26</var>the number of units contained in the manufacturer's original package. Actual acquisition
         <br />
         		<a id="pl.477.27"></a><var>477.27</var>cost includes quantity and other special discounts except time and cash discounts.
         The actual <br />
         		<a id="pl.477.28"></a><var>477.28</var>acquisition cost of a drug shall be estimated by the commissioner at wholesale acquisition
         <br />
         		<a id="pl.477.29"></a><var>477.29</var>cost plus four percent for independently owned pharmacies located in a designated
         rural <br />
         		<a id="pl.477.30"></a><var>477.30</var>area within Minnesota, and at wholesale acquisition cost plus two percent for all
         other <br />
         		<a id="pl.477.31"></a><var>477.31</var>pharmacies. A pharmacy is "independently owned" if it is one of four or fewer pharmacies
         <br />
         		<a id="pl.477.32"></a><var>477.32</var>under the same ownership nationally. A "designated rural area" means an area defined
         as <br />
         		<a id="pl.477.33"></a><var>477.33</var>a small rural area or isolated rural area according to the four-category classification
         of the <br />
         		<a id="pl.477.34"></a><var>477.34</var>Rural Urban Commuting Area system developed for the United States Health Resources
         <br />
         		<a id="pl.478.1"></a><var>478.1</var>and Services Administration. Effective January 1, 2014, the actual acquisition cost
         of a drug <br />
         		<a id="pl.478.2"></a><var>478.2</var>acquired through the federal 340B Drug Pricing Program shall be estimated by the <br />
         		<a id="pl.478.3"></a><var>478.3</var>commissioner at wholesale acquisition cost minus 40 percent. Wholesale acquisition
         cost <br />
         		<a id="pl.478.4"></a><var>478.4</var>is defined as the manufacturer's list price for a drug or biological to wholesalers
         or direct <br />
         		<a id="pl.478.5"></a><var>478.5</var>purchasers in the United States, not including prompt pay or other discounts, rebates,
         or <br />
         		<a id="pl.478.6"></a><var>478.6</var>reductions in price, for the most recent month for which information is available,
         as reported <br />
         		<a id="pl.478.7"></a><var>478.7</var>in wholesale price guides or other publications of drug or biological pricing data.
         The <br />
         		<a id="pl.478.8"></a><var>478.8</var>maximum allowable cost of a multisource drug may be set by the commissioner and it
         shall <br />
         		<a id="pl.478.9"></a><var>478.9</var>be comparable to, but no higher than, the maximum amount paid by other third-party
         payors <br />
         		<a id="pl.478.10"></a><var>478.10</var>in this state who have maximum allowable cost programs. Establishment of the amount
         of <br />
         		<a id="pl.478.11"></a><var>478.11</var>payment for drugs shall not be subject to the requirements of the Administrative Procedure
         <br />
         		<a id="pl.478.12"></a><var>478.12</var>Act.<br />
         		<a id="pl.478.13"></a><var>478.13</var>&#160;&#160;&#160;&#160;(b) Pharmacies dispensing prescriptions to residents of long-term care facilities
         using <br />
         		<a id="pl.478.14"></a><var>478.14</var>an automated drug distribution system meeting the requirements of section 
         <statute_ref>151.58</statute_ref>, or a <br />
         		<a id="pl.478.15"></a><var>478.15</var>packaging system meeting the packaging standards set forth in Minnesota Rules, part
         <br />
         		<a id="pl.478.16"></a><var>478.16</var>6800.2700, that govern the return of unused drugs to the pharmacy for reuse, may employ <br />
         		<a id="pl.478.17"></a><var>478.17</var>retrospective billing for prescription drugs dispensed to long-term care facility
         residents. A <br />
         		<a id="pl.478.18"></a><var>478.18</var>retrospectively billing pharmacy must submit a claim only for the quantity of medication
         <br />
         		<a id="pl.478.19"></a><var>478.19</var>used by the enrolled recipient during the defined billing period. A retrospectively
         billing <br />
         		<a id="pl.478.20"></a><var>478.20</var>pharmacy must use a billing period not less than one calendar month or 30 days.<br />
         		<a id="pl.478.21"></a><var>478.21</var>&#160;&#160;&#160;&#160;(c) An additional dispensing fee of $.30 may be added to the dispensing fee paid to
         <br />
         		<a id="pl.478.22"></a><var>478.22</var>pharmacists for legend drug prescriptions dispensed to residents of long-term care
         facilities <br />
         		<a id="pl.478.23"></a><var>478.23</var>when a unit dose blister card system, approved by the department, is used. Under this
         type <br />
         		<a id="pl.478.24"></a><var>478.24</var>of dispensing system, the pharmacist must dispense a 30-day supply of drug. The National
         <br />
         		<a id="pl.478.25"></a><var>478.25</var>Drug Code (NDC) from the drug container used to fill the blister card must be identified
         <br />
         		<a id="pl.478.26"></a><var>478.26</var>on the claim to the department. The unit dose blister card containing the drug must
         meet <br />
         		<a id="pl.478.27"></a><var>478.27</var>the packaging standards set forth in Minnesota Rules, part 6800.2700, that govern the return <br />
         		<a id="pl.478.28"></a><var>478.28</var>of unused drugs to the pharmacy for reuse. A pharmacy provider using packaging that
         meets <br />
         		<a id="pl.478.29"></a><var>478.29</var>the standards set forth in Minnesota Rules, part 6800.2700, is required to credit the <br />
         		<a id="pl.478.30"></a><var>478.30</var>department for the actual acquisition cost of all unused drugs that are eligible for
         reuse, <br />
         		<a id="pl.478.31"></a><var>478.31</var>unless the pharmacy is using retrospective billing. The commissioner may permit the
         drug <br />
         		<a id="pl.478.32"></a><var>478.32</var>clozapine to be dispensed in a quantity that is less than a 30-day supply.<br />
         		<a id="pl.478.33"></a><var>478.33</var>&#160;&#160;&#160;&#160;(d) Whenever a maximum allowable cost has been set for a multisource drug, payment
         <br />
         		<a id="pl.478.34"></a><var>478.34</var>shall be the lower of the usual and customary price charged to the public or the maximum
         <br />
         		<a id="pl.478.35"></a><var>478.35</var>allowable cost established by the commissioner unless prior authorization for the
         brand <br />
         		<a id="pl.479.1"></a><var>479.1</var>name product has been granted according to the criteria established by the Drug Formulary
         <br />
         		<a id="pl.479.2"></a><var>479.2</var>Committee as required by subdivision 13f, paragraph (a), and the prescriber has indicated
         <br />
         		<a id="pl.479.3"></a><var>479.3</var>"dispense as written" on the prescription in a manner consistent with section 
         <statute_ref>151.21, <br />
            		<a id="pl.479.4"></a><var>479.4</var>subdivision 2
         </statute_ref>.<br />
         		<a id="pl.479.5"></a><var>479.5</var>&#160;&#160;&#160;&#160;(e) The basis for determining the amount of payment for drugs administered in an <br />
         		<a id="pl.479.6"></a><var>479.6</var>outpatient setting shall be the lower of the usual and customary cost submitted by
         the <br />
         		<a id="pl.479.7"></a><var>479.7</var>provider, 106 percent of the average sales price as determined by the United States
         <br />
         		<a id="pl.479.8"></a><var>479.8</var>Department of Health and Human Services pursuant to title XVIII, section 1847a of
         the <br />
         		<a id="pl.479.9"></a><var>479.9</var>federal Social Security Act, the specialty pharmacy rate, or the maximum allowable
         cost <br />
         		<a id="pl.479.10"></a><var>479.10</var>set by the commissioner. If average sales price is unavailable, the amount of payment
         must <br />
         		<a id="pl.479.11"></a><var>479.11</var>be lower of the usual and customary cost submitted by the provider, the wholesale
         acquisition <br />
         		<a id="pl.479.12"></a><var>479.12</var>cost, the specialty pharmacy rate, or the maximum allowable cost set by the commissioner.
         <br />
         		<a id="pl.479.13"></a><var>479.13</var>Effective January 1, 2014, the commissioner shall discount the payment rate for drugs
         <br />
         		<a id="pl.479.14"></a><var>479.14</var>obtained through the federal 340B Drug Pricing Program by 20 percent. With the exception <br />
         		<a id="pl.479.15"></a><var>479.15</var>of paragraph (f), the payment for drugs administered in an outpatient setting shall be made <br />
         		<a id="pl.479.16"></a><var>479.16</var>to the administering facility or practitioner. A retail or specialty pharmacy dispensing
         a drug <br />
         		<a id="pl.479.17"></a><var>479.17</var>for administration in an outpatient setting is not eligible for direct reimbursement.<br />
         		<a id="pl.479.18"></a><var>479.18</var>&#160;&#160;&#160;&#160;(f) Payment for nonscheduled injectable drugs used to treat substance abuse administered
         <br />
         		<a id="pl.479.19"></a><var>479.19</var>by a practitioner in an outpatient setting shall be made directly to the dispensing
         pharmacy. <br />
         		<a id="pl.479.20"></a><var>479.20</var>The dispensing pharmacy shall submit the claim if the pharmacy dispenses the drug
         pursuant <br />
         		<a id="pl.479.21"></a><var>479.21</var>to a prescription issued by the practitioner and delivers the filled prescription
         to the <br />
         		<a id="pl.479.22"></a><var>479.22</var>practitioner for subsequent administration. Payment shall be made according to this
         section. <br />
         		<a id="pl.479.23"></a><var>479.23</var>A pharmacy shall not dispense a practitioner-administered injectable drug described
         in this <br />
         		<a id="pl.479.24"></a><var>479.24</var>paragraph directly to an enrollee. The commissioner may conduct postpayment review
         to <br />
         		<a id="pl.479.25"></a><var>479.25</var>evaluate the effect of this paragraph on patient access, and shall report any findings
         to the <br />
         		<a id="pl.479.26"></a><var>479.26</var>chairs and ranking minority members of the legislative committees with jurisdiction
         over <br />
         		<a id="pl.479.27"></a><var>479.27</var>health and human service policy and finance by January 1, 2019.<br />
         		<a id="pl.479.28"></a><var>479.28</var>&#160;&#160;&#160;&#160;(g) The commissioner may negotiate lower reimbursement rates for specialty pharmacy <br />
         		<a id="pl.479.29"></a><var>479.29</var>products than the rates specified in paragraph (a). The commissioner may require individuals
         <br />
         		<a id="pl.479.30"></a><var>479.30</var>enrolled in the health care programs administered by the department to obtain specialty
         <br />
         		<a id="pl.479.31"></a><var>479.31</var>pharmacy products from providers with whom the commissioner has negotiated lower <br />
         		<a id="pl.479.32"></a><var>479.32</var>reimbursement rates. Specialty pharmacy products are defined as those used by a small
         <br />
         		<a id="pl.479.33"></a><var>479.33</var>number of recipients or recipients with complex and chronic diseases that require
         expensive <br />
         		<a id="pl.479.34"></a><var>479.34</var>and challenging drug regimens. Examples of these conditions include, but are not limited
         <br />
         		<a id="pl.479.35"></a><var>479.35</var>to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis C, growth hormone deficiency,
         <br />
         		<a id="pl.480.1"></a><var>480.1</var>Crohn's Disease, rheumatoid arthritis, and certain forms of cancer. Specialty pharmaceutical
         <br />
         		<a id="pl.480.2"></a><var>480.2</var>products include injectable and infusion therapies, biotechnology drugs, antihemophilic
         <br />
         		<a id="pl.480.3"></a><var>480.3</var>factor products, high-cost therapies, and therapies that require complex care. The
         <br />
         		<a id="pl.480.4"></a><var>480.4</var>commissioner shall consult with the formulary committee to develop a list of specialty
         <br />
         		<a id="pl.480.5"></a><var>480.5</var>pharmacy products subject to this paragraph. In consulting with the formulary committee
         <br />
         		<a id="pl.480.6"></a><var>480.6</var>in developing this list, the commissioner shall take into consideration the population
         served <br />
         		<a id="pl.480.7"></a><var>480.7</var>by specialty pharmacy products, the current delivery system and standard of care in
         the <br />
         		<a id="pl.480.8"></a><var>480.8</var>state, and access to care issues. The commissioner shall have the discretion to adjust
         the <br />
         		<a id="pl.480.9"></a><var>480.9</var>reimbursement rate to prevent access to care issues.<br />
         		<a id="pl.480.10"></a><var>480.10</var>(g) (h) Home infusion therapy services provided by home infusion therapy pharmacies <br />
         		<a id="pl.480.11"></a><var>480.11</var>must be paid at rates according to subdivision 8d.<br />
         		<br />
         		<a id="bill.12.4.0"></a><a id="pl.480.12"></a><var>480.12</var>&#160;&#160;&#160;&#160;Sec. 4. <b>REPORT ON OPIOID CRISIS GRANT; USE OF GRANT FUNDS.</b><br />
         		<a id="pl.480.13"></a><var>480.13</var>(a) The commissioner of human services, within two weeks of the annual project report
         <br />
         		<a id="pl.480.14"></a><var>480.14</var>being submitted to the federal funder, shall report to the chairs and ranking minority
         members <br />
         		<a id="pl.480.15"></a><var>480.15</var>of the legislative committees with jurisdiction over health and human services policy
         and <br />
         		<a id="pl.480.16"></a><var>480.16</var>finance on:<br />
         		 <a id="pl.480.17"></a><var>480.17</var>(1) funds received under the 21st Century Cures Act, Public Law 114-255, section 1003,
         <br />
         		<a id="pl.480.18"></a><var>480.18</var>Substance Abuse and Mental Health Services Administration (SAMHSA) State Targeted
         <br />
         		<a id="pl.480.19"></a><var>480.19</var>Response to the Opioid Crisis Grants; and<br />
         		<a id="pl.480.20"></a><var>480.20</var>(2) uses of the funds received, including a listing of grants provided and the amount
         <br />
         		<a id="pl.480.21"></a><var>480.21</var>expended on personnel and administrative costs, travel, and public service announcements.<br />
         		<a id="pl.480.22"></a><var>480.22</var>(b) The commissioner shall use remaining Opioid Crisis Grant funds, and any additional
         <br />
         		<a id="pl.480.23"></a><var>480.23</var>funds received from other sources, to provide grants to counties for opioid abuse
         prevention <br />
         		<a id="pl.480.24"></a><var>480.24</var>initiatives, increase public awareness of opioid abuse, and prevent opioid abuse through
         the <br />
         		<a id="pl.480.25"></a><var>480.25</var>use of data analytics.<br />
         		<br />
         		<a id="bill.12.5.0"></a><a id="pl.480.26"></a><var>480.26</var>&#160;&#160;&#160;&#160;Sec. 5. <b>CHRONIC PAIN REHABILITATION THERAPY DEMONSTRATION </b><br />
         		<a id="pl.480.27"></a><var>480.27</var><b>PROJECT.</b><br />
         		<a id="pl.480.28"></a><var>480.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> The commissioner of human services shall award a <br />
         		<a id="pl.480.29"></a><var>480.29</var>two-year grant to a rehabilitation institute located in Minneapolis operated by a
         nonprofit <br />
         		<a id="pl.480.30"></a><var>480.30</var>foundation to participate in a bundled payment arrangement for chronic pain rehabilitation
         <br />
         		<a id="pl.480.31"></a><var>480.31</var>therapy for adults who are eligible for fee-for-service medical assistance under Minnesota
         <br />
         		<a id="pl.480.32"></a><var>480.32</var>Statutes, section 256B.055. The chronic pain rehabilitation therapy demonstration
         project <br />
         		<a id="pl.481.1"></a><var>481.1</var>must include: nonnarcotic medication management, including opioid tapering; <br />
         		<a id="pl.481.2"></a><var>481.2</var>interdisciplinary care coordination; and group and individual therapy in cognitive
         behavioral <br />
         		<a id="pl.481.3"></a><var>481.3</var>therapy and physical therapy. The project may include self-management education in
         <br />
         		<a id="pl.481.4"></a><var>481.4</var>nutrition, stress, mental health, substance use, or other modalities, if clinically
         appropriate. <br />
         		<a id="pl.481.5"></a><var>481.5</var>The commissioner shall award the grant on a sole-source basis and the program design
         must <br />
         		<a id="pl.481.6"></a><var>481.6</var>be mutually agreed upon by the commissioner and the grant recipient. Grant funds are
         <br />
         		<a id="pl.481.7"></a><var>481.7</var>available until expended.<br />
         		<a id="pl.481.8"></a><var>481.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Performance measures.</b> The commissioner shall develop performance measures <br />
         		<a id="pl.481.9"></a><var>481.9</var>to evaluate the demonstration project. These measures may include:<br />
         		<a id="pl.481.10"></a><var>481.10</var>(1) reduction in medications, including opioids, taken for pain;<br />
         		<a id="pl.481.11"></a><var>481.11</var>(2) reduction in emergency department and outpatient clinic utilization related to
         pain;<br />
         		<a id="pl.481.12"></a><var>481.12</var>(3) improved ability to return to work, job search, or school;<br />
         		<a id="pl.481.13"></a><var>481.13</var>(4) patient functional status and satisfaction; and<br />
         		<a id="pl.481.14"></a><var>481.14</var>(5) rate of program completion.<br />
         		<a id="pl.481.15"></a><var>481.15</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> (a) To be eligible to participate in the demonstration project, an <br />
         		<a id="pl.481.16"></a><var>481.16</var>individual must:<br />
         		<a id="pl.481.17"></a><var>481.17</var>(1) be 21 years of age or older;<br />
         		<a id="pl.481.18"></a><var>481.18</var>(2) be eligible for fee-for-service medical assistance under Minnesota Statutes, section
         <br />
         		<a id="pl.481.19"></a><var>481.19</var>256B.055, and not have other health coverage; and<br />
         		<a id="pl.481.20"></a><var>481.20</var>(3) meet criteria appropriate for chronic pain rehabilitation.<br />
         		<a id="pl.481.21"></a><var>481.21</var>(b) In determining the criteria under paragraph (a), clause (3), the commissioner
         shall <br />
         		<a id="pl.481.22"></a><var>481.22</var>consider, but is not required to include, the following:<br />
         		<a id="pl.481.23"></a><var>481.23</var>(1) moderate to severe pain lasting longer than four months;<br />
         		<a id="pl.481.24"></a><var>481.24</var>(2) an impairment in daily functioning, including work or activities of daily living;<br />
         		<a id="pl.481.25"></a><var>481.25</var>(3) a referral from a physician or other qualified medical professional indicating
         that all <br />
         		<a id="pl.481.26"></a><var>481.26</var>reasonable medical and surgical options have been exhausted; and<br />
         		<a id="pl.481.27"></a><var>481.27</var>(4) willingness of the patient to engage in chronic pain rehabilitation therapies,
         including <br />
         		<a id="pl.481.28"></a><var>481.28</var>opioid tapering.<br />
         		<a id="pl.481.29"></a><var>481.29</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Payment for services.</b> The bundled payment shall be billed on a per-person, <br />
         		<a id="pl.481.30"></a><var>481.30</var>per-day payment and only for days the patient receives services from the grant recipient.
         <br />
         		<a id="pl.481.31"></a><var>481.31</var>The grant recipient shall not receive a bundled payment for services provided to the
         patient <br />
         		<a id="pl.482.1"></a><var>482.1</var>if a nonbundled medical assistance payment for a service that is part of the bundle
         is received <br />
         		<a id="pl.482.2"></a><var>482.2</var>for the same day of service.<br />
         		<a id="pl.482.3"></a><var>482.3</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Report.</b> The rehabilitation institute, for the duration of the demonstration <br />
         		<a id="pl.482.4"></a><var>482.4</var>project, must annually report on cost savings and performance indicators described
         in <br />
         		<a id="pl.482.5"></a><var>482.5</var>subdivision 2 to the commissioner of human services. One year after the completion
         of the <br />
         		<a id="pl.482.6"></a><var>482.6</var>demonstration project, the commissioner of human services shall submit a report to
         the <br />
         		<a id="pl.482.7"></a><var>482.7</var>chairs and ranking minority members of the legislative committees with jurisdiction
         over <br />
         		<a id="pl.482.8"></a><var>482.8</var>health care. The report shall include an evaluation of the demonstration project,
         based on <br />
         		<a id="pl.482.9"></a><var>482.9</var>the performance measures developed under subdivision 2, and may also include <br />
         		<a id="pl.482.10"></a><var>482.10</var>recommendations to increase individual access to chronic pain rehabilitation therapy
         through <br />
         		<a id="pl.482.11"></a><var>482.11</var>Minnesota health care programs.<br />
         		<br />
         		<a id="bill.13.0.0"></a><div class="xtend_ce"><a id="pl.482.12"></a><var>482.12</var><b>ARTICLE 13</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.482.13"></a><var>482.13</var><b>MISCELLANEOUS</b><br />
            		
         </div><br />
         		<a id="bill.13.1.0"></a><a id="pl.482.14"></a><var>482.14</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 62K.15, is amended to read:<br />
         		<a id="pl.482.15"></a><var>482.15</var><b>62K.15 ANNUAL OPEN ENROLLMENT PERIODS</b><b>; SPECIAL ENROLLMENT </b><br />
         		<a id="pl.482.16"></a><var>482.16</var><b>PERIODS</b><b>.</b><br />
         		<a id="pl.482.17"></a><var>482.17</var>(a) Health carriers offering individual health plans must limit annual enrollment
         in the <br />
         		<a id="pl.482.18"></a><var>482.18</var>individual market to the annual open enrollment periods for MNsure. Nothing in this
         section <br />
         		<a id="pl.482.19"></a><var>482.19</var>limits the application of special or limited open enrollment periods as defined under
         the <br />
         		<a id="pl.482.20"></a><var>482.20</var>Affordable Care Act.<br />
         		<a id="pl.482.21"></a><var>482.21</var>(b) Health carriers offering individual health plans must inform all applicants at
         the time <br />
         		<a id="pl.482.22"></a><var>482.22</var>of application and enrollees at least annually of the open and special enrollment
         periods as <br />
         		<a id="pl.482.23"></a><var>482.23</var>defined under the Affordable Care Act.<br />
         		<a id="pl.482.24"></a><var>482.24</var>(c) Health carriers offering individual health plans must provide a special enrollment
         <br />
         		<a id="pl.482.25"></a><var>482.25</var>period for enrollment in the individual market by employees of a small employer that
         offers <br />
         		<a id="pl.482.26"></a><var>482.26</var>a qualified small employer health reimbursement arrangement in accordance with United
         <br />
         		<a id="pl.482.27"></a><var>482.27</var>States Code, title 26, section 9831(d). The special enrollment period shall be available
         only <br />
         		<a id="pl.482.28"></a><var>482.28</var>to employees newly hired by a small employer offering a qualified small employer health
         <br />
         		<a id="pl.482.29"></a><var>482.29</var>reimbursement arrangement, and to employees employed by the small employer at the
         time <br />
         		<a id="pl.482.30"></a><var>482.30</var>the small employer initially offers a qualified small employer health reimbursement
         <br />
         		<a id="pl.482.31"></a><var>482.31</var>arrangement. For employees newly hired by the small employer, the special enrollment
         <br />
         		<a id="pl.482.32"></a><var>482.32</var>period shall last for 30 days after the employee's first day of employment. For employees
         <br />
         		<a id="pl.482.33"></a><var>482.33</var>employed by the small employer at the time the small employer initially offers a qualified
         <br />
         		<a id="pl.483.1"></a><var>483.1</var>small employer health reimbursement arrangement, the special enrollment period shall
         last <br />
         		<a id="pl.483.2"></a><var>483.2</var>for 30 days after the date the arrangement is initially offered to employees.<br />
         		<a id="pl.483.3"></a><var>483.3</var>(c) (d) The commissioner of commerce shall enforce this section.<br />
         		<br />
         		<a id="bill.13.2.0"></a><a id="pl.483.4"></a><var>483.4</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 245A.02, subdivision 5a, is amended to read:<br />
         		<a id="pl.483.5"></a><var>483.5</var>&#160;&#160;&#160;&#160;Subd. 5a. <b>Controlling individual.</b>  (a) "Controlling individual" means a public body, <br />
         		<a id="pl.483.6"></a><var>483.6</var>governmental agency, business entity, officer, owner, or managerial official whose
         <br />
         		<a id="pl.483.7"></a><var>483.7</var>responsibilities include the direction of the management or policies of a program.
         For <br />
         		<a id="pl.483.8"></a><var>483.8</var>purposes of this subdivision, owner means an individual who has direct or indirect
         ownership <br />
         		<a id="pl.483.9"></a><var>483.9</var>interest in a corporation, partnership, or other business association issued a license
         under <br />
         		<a id="pl.483.10"></a><var>483.10</var>this chapter. For purposes of this subdivision, managerial official means those individuals
         <br />
         		<a id="pl.483.11"></a><var>483.11</var>who have the decision-making authority related to the operation of the program, and
         the <br />
         		<a id="pl.483.12"></a><var>483.12</var>responsibility for the ongoing management of or direction of the policies, services,
         or <br />
         		<a id="pl.483.13"></a><var>483.13</var>employees of the program. A site director who has no ownership interest in the program
         is <br />
         		<a id="pl.483.14"></a><var>483.14</var>not considered to be a managerial official for purposes of this definition. Controlling
         <br />
         		<a id="pl.483.15"></a><var>483.15</var>individual does not include an owner of a program or service provider licensed under this <br />
         		<a id="pl.483.16"></a><var>483.16</var>chapter and the following individuals, if applicable:<br />
         		<a id="pl.483.17"></a><var>483.17</var>(1) each officer of the organization, including the chief executive officer and chief
         <br />
         		<a id="pl.483.18"></a><var>483.18</var>financial officer;<br />
         		<a id="pl.483.19"></a><var>483.19</var>(2) the individual designated as the authorized agent under section 245A.04, subdivision
         <br />
         		<a id="pl.483.20"></a><var>483.20</var>1, paragraph (b);<br />
         		<a id="pl.483.21"></a><var>483.21</var>(3) the individual designated as the compliance officer under section 256B.04, subdivision
         <br />
         		<a id="pl.483.22"></a><var>483.22</var>21, paragraph (b); and<br />
         		<a id="pl.483.23"></a><var>483.23</var>(4) each managerial official whose responsibilities include the direction of the <br />
         		<a id="pl.483.24"></a><var>483.24</var>management or policies of a program.<br />
         		<a id="pl.483.25"></a><var>483.25</var>(b) Controlling individual does not include:<br />
         		<a id="pl.483.26"></a><var>483.26</var>&#160;&#160;&#160;&#160;(1) a bank, savings bank, trust company, savings association, credit union, industrial
         <br />
         		<a id="pl.483.27"></a><var>483.27</var>loan and thrift company, investment banking firm, or insurance company unless the
         entity <br />
         		<a id="pl.483.28"></a><var>483.28</var>operates a program directly or through a subsidiary;<br />
         		<a id="pl.483.29"></a><var>483.29</var>&#160;&#160;&#160;&#160;(2) an individual who is a state or federal official, or state or federal employee,
         or a <br />
         		<a id="pl.483.30"></a><var>483.30</var>member or employee of the governing body of a political subdivision of the state or
         federal <br />
         		<a id="pl.483.31"></a><var>483.31</var>government that operates one or more programs, unless the individual is also an officer,
         <br />
         		<a id="pl.484.1"></a><var>484.1</var>owner, or managerial official of the program, receives remuneration from the program,
         or <br />
         		<a id="pl.484.2"></a><var>484.2</var>owns any of the beneficial interests not excluded in this subdivision;<br />
         		<a id="pl.484.3"></a><var>484.3</var>&#160;&#160;&#160;&#160;(3) an individual who owns less than five percent of the outstanding common shares
         of <br />
         		<a id="pl.484.4"></a><var>484.4</var>a corporation:<br />
         		<a id="pl.484.5"></a><var>484.5</var>&#160;&#160;&#160;&#160;(i) whose securities are exempt under section 80A.45, clause (6); or<br />
         		<a id="pl.484.6"></a><var>484.6</var>&#160;&#160;&#160;&#160;(ii) whose transactions are exempt under section 80A.46, clause (2); or<br />
         		<a id="pl.484.7"></a><var>484.7</var>&#160;&#160;&#160;&#160;(4) an individual who is a member of an organization exempt from taxation under section
         <br />
         		<a id="pl.484.8"></a><var>484.8</var>290.05, unless the individual is also an officer, owner, or managerial official of
         the program <br />
         		<a id="pl.484.9"></a><var>484.9</var>or owns any of the beneficial interests not excluded in this subdivision. This clause
         does <br />
         		<a id="pl.484.10"></a><var>484.10</var>not exclude from the definition of controlling individual an organization that is
         exempt from <br />
         		<a id="pl.484.11"></a><var>484.11</var>taxation.; or<br />
         		<a id="pl.484.12"></a><var>484.12</var>(5) an employee stock ownership plan trust, or a participant or board member of an
         <br />
         		<a id="pl.484.13"></a><var>484.13</var>employee stock ownership plan, unless the participant or board member is a controlling
         <br />
         		<a id="pl.484.14"></a><var>484.14</var>individual according to paragraph (a).<br />
         		<a id="pl.484.15"></a><var>484.15</var>(c) For purposes of this subdivision, "managerial official" means an individual who
         has <br />
         		<a id="pl.484.16"></a><var>484.16</var>the decision-making authority related to the operation of the program, and the responsibility
         <br />
         		<a id="pl.484.17"></a><var>484.17</var>for the ongoing management of or direction of the policies, services, or employees
         of the <br />
         		<a id="pl.484.18"></a><var>484.18</var>program. A site director who has no ownership interest in the program is not considered
         to <br />
         		<a id="pl.484.19"></a><var>484.19</var>be a managerial official for purposes of this definition.<br />
         		<br />
         		<a id="bill.13.3.0"></a><a id="pl.484.20"></a><var>484.20</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 245A.02, is amended by adding a subdivision to <br />
         		<a id="pl.484.21"></a><var>484.21</var>read:<br />
         		<a id="pl.484.22"></a><var>484.22</var>&#160;&#160;&#160;&#160;Subd. 10b. <b>Owner.</b> "Owner" means an individual or organization that has a direct or <br />
         		<a id="pl.484.23"></a><var>484.23</var>indirect ownership interest of five percent or more in a program licensed under this
         chapter. <br />
         		<a id="pl.484.24"></a><var>484.24</var>For purposes of this subdivision, "direct ownership interest" means the possession
         of equity <br />
         		<a id="pl.484.25"></a><var>484.25</var>in capital, stock, or profits of an organization, and "indirect ownership interest"
         means a <br />
         		<a id="pl.484.26"></a><var>484.26</var>direct ownership interest in an entity that has a direct or indirect ownership interest
         in a <br />
         		<a id="pl.484.27"></a><var>484.27</var>licensed program. For purposes of this chapter, "owner of a nonprofit corporation"
         means <br />
         		<a id="pl.484.28"></a><var>484.28</var>the president and treasurer of the board of directors or, for an entity owned by an
         employee <br />
         		<a id="pl.484.29"></a><var>484.29</var>stock ownership plan, means the president and treasurer of the entity. A government
         entity <br />
         		<a id="pl.484.30"></a><var>484.30</var>that is issued a license under this chapter shall be designated the owner.<br />
         		<br />
         		<a id="bill.13.4.0"></a><a id="pl.485.1"></a><var>485.1</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[256.999] LEGISLATIVE NOTICE AND APPROVAL REQUIRED FOR </b><br />
         		<a id="pl.485.2"></a><var>485.2</var><b>CERTAIN FEDERAL WAIVERS OR APPROVALS.</b><br />
         		<a id="pl.485.3"></a><var>485.3</var>(a) Before submitting an application for a federal waiver or approval (1) under section
         <br />
         		<a id="pl.485.4"></a><var>485.4</var>1332 of the Affordable Care Act or section 1115 of the Social Security Act, or (2)
         to modify <br />
         		<a id="pl.485.5"></a><var>485.5</var>or add a benefit covered by medical assistance or otherwise amend the state's Medicaid
         <br />
         		<a id="pl.485.6"></a><var>485.6</var>plan, the commissioner, governing board, or director of a state agency seeking the
         federal <br />
         		<a id="pl.485.7"></a><var>485.7</var>waiver or approval must provide notice and a copy of the application for the federal
         waiver <br />
         		<a id="pl.485.8"></a><var>485.8</var>or approval to the chairs and ranking minority members of the legislative committees
         with <br />
         		<a id="pl.485.9"></a><var>485.9</var>jurisdiction over health and human services policy and finance and commerce.<br />
         		<a id="pl.485.10"></a><var>485.10</var>(b) If a federal waiver or approval (1) under section 1332 of the Affordable Care
         Act or <br />
         		<a id="pl.485.11"></a><var>485.11</var>section 1115 of the Social Security Act, or (2) to modify or add a benefit covered
         by medical <br />
         		<a id="pl.485.12"></a><var>485.12</var>assistance or otherwise amend the state's Medicaid plan, is received or granted during
         a <br />
         		<a id="pl.485.13"></a><var>485.13</var>legislative session, a commissioner, governing board, or director of a state agency
         is <br />
         		<a id="pl.485.14"></a><var>485.14</var>prohibited from implementing or otherwise acting on the federal waiver or approval
         received <br />
         		<a id="pl.485.15"></a><var>485.15</var>or granted, unless the federal waiver or approval is specifically authorized by law
         on a date <br />
         		<a id="pl.485.16"></a><var>485.16</var>after receipt of the federal waiver or approval.<br />
         		<a id="pl.485.17"></a><var>485.17</var>(c) If a federal waiver or approval (1) under section 1332 of the Affordable Care
         Act or <br />
         		<a id="pl.485.18"></a><var>485.18</var>section 1115 of the Social Security Act, or (2) to modify or add a benefit covered
         by medical <br />
         		<a id="pl.485.19"></a><var>485.19</var>assistance or otherwise amend the state's Medicaid plan, is received or granted while
         the <br />
         		<a id="pl.485.20"></a><var>485.20</var>legislature is not in session, a commissioner, governing board, or director of a state
         agency <br />
         		<a id="pl.485.21"></a><var>485.21</var>is prohibited from implementing or otherwise acting on the federal waiver or approval
         <br />
         		<a id="pl.485.22"></a><var>485.22</var>received or granted, unless the federal waiver or approval is submitted to the Legislative
         <br />
         		<a id="pl.485.23"></a><var>485.23</var>Advisory Commission and the commission makes a positive recommendation. If the <br />
         		<a id="pl.485.24"></a><var>485.24</var>commission makes no recommendation, a negative recommendation, or a recommendation
         <br />
         		<a id="pl.485.25"></a><var>485.25</var>for further review, the commissioner, governing board, or director shall not implement
         or <br />
         		<a id="pl.485.26"></a><var>485.26</var>otherwise act on the federal waiver or approval received or granted.<br />
         		<a id="pl.485.27"></a><var>485.27</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment and <br />
         		<a id="pl.485.28"></a><var>485.28</var>applies to initial requests for federal waivers or approvals sought on or after that
         date.<br />
         		<br />
         		<a id="bill.13.5.0"></a><a id="pl.485.29"></a><var>485.29</var>&#160;&#160;&#160;&#160;Sec. 5. <b>ESTABLISHMENT OF FEDERALLY FACILITATED MARKETPLACE.</b><br />
         		<a id="pl.485.30"></a><var>485.30</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> (a) The commissioner of commerce, in cooperation with <br />
         		<a id="pl.485.31"></a><var>485.31</var>the secretary of the United States Department of Health and Human Services, shall
         establish <br />
         		<a id="pl.485.32"></a><var>485.32</var>a federally facilitated marketplace for Minnesota for coverage beginning January 1,
         2019. <br />
         		<a id="pl.485.33"></a><var>485.33</var>The federally facilitated marketplace shall take the place of MNsure, established
         under <br />
         		<a id="pl.485.34"></a><var>485.34</var>Minnesota Statutes, chapter 62V. In working with the secretary of the United States
         <br />
         		<a id="pl.486.1"></a><var>486.1</var>Department of Health and Human Services to implement the federally facilitated marketplace
         <br />
         		<a id="pl.486.2"></a><var>486.2</var>in Minnesota, the commissioner of commerce shall:<br />
         		<a id="pl.486.3"></a><var>486.3</var>(1) seek to incorporate, where appropriate and cost-effective, elements of the Minnesota
         <br />
         		<a id="pl.486.4"></a><var>486.4</var>eligibility system as defined in Minnesota Statutes, section 62V.055, subdivision
         1;<br />
         		<a id="pl.486.5"></a><var>486.5</var>(2) regularly consult with stakeholder groups, including but not limited to representatives
         <br />
         		<a id="pl.486.6"></a><var>486.6</var>of state agencies, health care providers, health plan companies, brokers, and consumers;
         <br />
         		<a id="pl.486.7"></a><var>486.7</var>and<br />
         		<a id="pl.486.8"></a><var>486.8</var>(3) seek all available federal grants and funds for state planning and development
         costs.<br />
         		<a id="pl.486.9"></a><var>486.9</var>(b) All health plans that are offered to Minnesota residents through the federally
         facilitated <br />
         		<a id="pl.486.10"></a><var>486.10</var>marketplace, when implemented, and that are offered by a health carrier that meets
         the <br />
         		<a id="pl.486.11"></a><var>486.11</var>applicability criteria in Minnesota Statutes, section 62K.10, subdivision 1, must
         satisfy <br />
         		<a id="pl.486.12"></a><var>486.12</var>requirements for:<br />
         		<a id="pl.486.13"></a><var>486.13</var>(1) geographic accessibility to providers that at least satisfy the maximum distance
         or <br />
         		<a id="pl.486.14"></a><var>486.14</var>travel times specified in Minnesota Statutes, section 62K.10, subdivisions 2 and 3;
         and<br />
         		<a id="pl.486.15"></a><var>486.15</var>(2) provider network adequacy that guarantees at least the level of network adequacy
         <br />
         		<a id="pl.486.16"></a><var>486.16</var>required by Minnesota Statutes, section 62K.10, subdivision 4.<br />
         		<a id="pl.486.17"></a><var>486.17</var>For purposes of this paragraph, "health plan" has the meaning given in Minnesota Statutes,
         <br />
         		<a id="pl.486.18"></a><var>486.18</var>section 62A.011, subdivision 3, and "health carrier" has the meaning given in Minnesota
         <br />
         		<a id="pl.486.19"></a><var>486.19</var>Statutes, section 62A.011, subdivision 2.<br />
         		<a id="pl.486.20"></a><var>486.20</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Implementation plan; draft legislation.</b> The commissioner of commerce, in <br />
         		<a id="pl.486.21"></a><var>486.21</var>consultation with the commissioner of human services, the chief information officer
         of <br />
         		<a id="pl.486.22"></a><var>486.22</var>MN.IT, and the MNsure board, shall develop and present to the 2018 legislature an
         <br />
         		<a id="pl.486.23"></a><var>486.23</var>implementation plan for conversion to a federally facilitated marketplace. The plan
         must:<br />
         		<a id="pl.486.24"></a><var>486.24</var>(1) address and provide recommendations on the following issues:<br />
         		<a id="pl.486.25"></a><var>486.25</var>(i) the state agency or other entity responsible for state oversight and administration
         <br />
         		<a id="pl.486.26"></a><var>486.26</var>related to the state's use of the federally facilitated marketplace;<br />
         		<a id="pl.486.27"></a><var>486.27</var>(ii) plan management functions, including certification of qualified health plans;<br />
         		<a id="pl.486.28"></a><var>486.28</var>(iii) the operation of navigator and in-person assister programs, and the operation
         of a <br />
         		<a id="pl.486.29"></a><var>486.29</var>call center and Web site;<br />
         		<a id="pl.486.30"></a><var>486.30</var>(iv) funding for federally facilitated marketplace activities, including a user fee
         rate that <br />
         		<a id="pl.486.31"></a><var>486.31</var>shall not exceed the federal platform user fee rate of two percent of premiums charged
         for <br />
         		<a id="pl.486.32"></a><var>486.32</var>a coverage year; and<br />
         		<a id="pl.487.1"></a><var>487.1</var>(v) administration of MinnesotaCare as a basic health plan by the commissioner of
         <br />
         		<a id="pl.487.2"></a><var>487.2</var>human services;<br />
         		<a id="pl.487.3"></a><var>487.3</var>(2) address and provide recommendations on the funding and operation of the system
         <br />
         		<a id="pl.487.4"></a><var>487.4</var>to be used for public health care program eligibility determinations. These recommendations
         <br />
         		<a id="pl.487.5"></a><var>487.5</var>must be developed in consultation with the Minnesota eligibility system executive
         steering <br />
         		<a id="pl.487.6"></a><var>487.6</var>committee established under Minnesota Statutes, section 62V.055; and<br />
         		<a id="pl.487.7"></a><var>487.7</var>(3) include draft legislation for any changes in state law necessary to implement
         a <br />
         		<a id="pl.487.8"></a><var>487.8</var>federally facilitated marketplace, including but not limited to necessary changes
         to Laws <br />
         		<a id="pl.487.9"></a><var>487.9</var>2013, chapter 84, and technical and conforming changes related to the repeal of Minnesota
         <br />
         		<a id="pl.487.10"></a><var>487.10</var>Statutes, chapter 62V.<br />
         		<a id="pl.487.11"></a><var>487.11</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Vendor contract.</b> The commissioner of commerce, in consultation with the <br />
         		<a id="pl.487.12"></a><var>487.12</var>commissioner of human services, the chief information officer of MN.IT, and the MNsure
         <br />
         		<a id="pl.487.13"></a><var>487.13</var>board, shall contract with a vendor to provide technical assistance in developing
         and <br />
         		<a id="pl.487.14"></a><var>487.14</var>implementing the plan for conversion to a federally facilitated marketplace.<br />
         		<br />
         		<a id="bill.13.6.0"></a><a id="pl.487.15"></a><var>487.15</var>&#160;&#160;&#160;&#160;Sec. 6. <b>REPEALER.</b><br />
         		<a id="pl.487.16"></a><var>487.16</var>Minnesota Statutes 2016, sections 62V.01; 62V.02; 62V.03; 62V.04; 62V.05; 62V.051;
         <br />
         		<a id="pl.487.17"></a><var>487.17</var>62V.055; 62V.06; 62V.07; 62V.08; 62V.09; 62V.10; and 62V.11, are repealed effective <br />
         		<a id="pl.487.18"></a><var>487.18</var>January 1, 2019.<br />
         		<br />
         		<a id="bill.14.0.0"></a><div class="xtend_ce"><a id="pl.487.19"></a><var>487.19</var><b>ARTICLE 14</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.487.20"></a><var>487.20</var><b>NURSING FACILITY TECHNICAL CORRECTIONS</b><br />
            		
         </div><br />
         		<a id="bill.14.1.0"></a><a id="pl.487.21"></a><var>487.21</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2016, section 144.0722, subdivision 1, is amended to read:<br />
         		<a id="pl.487.22"></a><var>487.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Resident reimbursement classifications.</b> The commissioner of health <br />
         		<a id="pl.487.23"></a><var>487.23</var>shall establish resident reimbursement classifications based upon the assessments
         of residents <br />
         		<a id="pl.487.24"></a><var>487.24</var>of nursing homes and boarding care homes conducted under section 
         <statute_ref>144.0721</statute_ref>, or under <br />
         		<a id="pl.487.25"></a><var>487.25</var>rules established by the commissioner of human services under sections 
         <statute_ref>256B.41</statute_ref> to 
         <statute_ref>256B.48</statute_ref> <br />
         		<a id="pl.487.26"></a><var>487.26</var>chapter 256R. The reimbursement classifications established by the commissioner must <br />
         		<a id="pl.487.27"></a><var>487.27</var>conform to the rules established by the commissioner of human services.<br />
         		<br />
         		<a id="bill.14.2.0"></a><a id="pl.487.28"></a><var>487.28</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2016, section 144.0724, subdivision 1, is amended to read:<br />
         		<a id="pl.487.29"></a><var>487.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Resident reimbursement case mix classifications.</b> The commissioner <br />
         		<a id="pl.487.30"></a><var>487.30</var>of health shall establish resident reimbursement classifications based upon the assessments
         <br />
         		<a id="pl.488.1"></a><var>488.1</var>of residents of nursing homes and boarding care homes conducted under this section
         and <br />
         		<a id="pl.488.2"></a><var>488.2</var>according to section 
         <statute_ref>256B.438</statute_ref> 256R.17.<br />
         		<br />
         		<a id="bill.14.3.0"></a><a id="pl.488.3"></a><var>488.3</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2016, section 144.0724, subdivision 2, is amended to read:<br />
         		<a id="pl.488.4"></a><var>488.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the meanings <br />
         		<a id="pl.488.5"></a><var>488.5</var>given.<br />
         		<a id="pl.488.6"></a><var>488.6</var>(a) "Assessment reference date" or "ARD" means the specific end point for look-back
         <br />
         		<a id="pl.488.7"></a><var>488.7</var>periods in the MDS assessment process. This look-back period is also called the observation
         <br />
         		<a id="pl.488.8"></a><var>488.8</var>or assessment period.<br />
         		<a id="pl.488.9"></a><var>488.9</var>(b) "Case mix index" means the weighting factors assigned to the RUG-IV classifications.<br />
         		<a id="pl.488.10"></a><var>488.10</var>(c) "Index maximization" means classifying a resident who could be assigned to more
         <br />
         		<a id="pl.488.11"></a><var>488.11</var>than one category, to the category with the highest case mix index.<br />
         		<a id="pl.488.12"></a><var>488.12</var>(d) "Minimum data set" or "MDS" means a core set of screening, clinical assessment,
         <br />
         		<a id="pl.488.13"></a><var>488.13</var>and functional status elements, that include common definitions and coding categories
         <br />
         		<a id="pl.488.14"></a><var>488.14</var>specified by the Centers for Medicare and Medicaid Services and designated by the
         <br />
         		<a id="pl.488.15"></a><var>488.15</var>Minnesota Department of Health.<br />
         		<a id="pl.488.16"></a><var>488.16</var>(e) "Representative" means a person who is the resident's guardian or conservator,
         the <br />
         		<a id="pl.488.17"></a><var>488.17</var>person authorized to pay the nursing home expenses of the resident, a representative
         of the <br />
         		<a id="pl.488.18"></a><var>488.18</var>Office of Ombudsman for Long-Term Care whose assistance has been requested, or any
         <br />
         		<a id="pl.488.19"></a><var>488.19</var>other individual designated by the resident.<br />
         		<a id="pl.488.20"></a><var>488.20</var>(f) "Resource utilization groups" or "RUG" means the system for grouping a nursing
         <br />
         		<a id="pl.488.21"></a><var>488.21</var>facility's residents according to their clinical and functional status identified
         in data supplied <br />
         		<a id="pl.488.22"></a><var>488.22</var>by the facility's minimum data set.<br />
         		<a id="pl.488.23"></a><var>488.23</var>(g) "Activities of daily living" means grooming, dressing, bathing, transferring,
         mobility, <br />
         		<a id="pl.488.24"></a><var>488.24</var>positioning, eating, and toileting.<br />
         		<a id="pl.488.25"></a><var>488.25</var>(h) "Nursing facility level of care determination" means the assessment process that
         <br />
         		<a id="pl.488.26"></a><var>488.26</var>results in a determination of a resident's or prospective resident's need for nursing
         facility <br />
         		<a id="pl.488.27"></a><var>488.27</var>level of care as established in subdivision 11 for purposes of medical assistance
         payment <br />
         		<a id="pl.488.28"></a><var>488.28</var>of long-term care services for:<br />
         		<a id="pl.488.29"></a><var>488.29</var>(1) nursing facility services under section 
         <statute_ref>256B.434</statute_ref> or 
         <statute_ref>256B.441</statute_ref> chapter 256R;<br />
         		<a id="pl.488.30"></a><var>488.30</var>(2) elderly waiver services under section 
         <statute_ref>256B.0915</statute_ref>;<br />
         		<a id="pl.488.31"></a><var>488.31</var>(3) CADI and BI waiver services under section 
         <statute_ref>256B.49</statute_ref>; and<br />
         		<a id="pl.489.1"></a><var>489.1</var>(4) state payment of alternative care services under section 
         <statute_ref>256B.0913</statute_ref>.<br />
         		<br />
         		<a id="bill.14.4.0"></a><a id="pl.489.2"></a><var>489.2</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2016, section 144.0724, subdivision 9, is amended to read:<br />
         		<a id="pl.489.3"></a><var>489.3</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Audit authority.</b> (a) The commissioner shall audit the accuracy of resident <br />
         		<a id="pl.489.4"></a><var>489.4</var>assessments performed under section 
         <statute_ref>256B.438</statute_ref> 256R.17 through any of the following: desk <br />
         		<a id="pl.489.5"></a><var>489.5</var>audits; on-site review of residents and their records; and interviews with staff,
         residents, or <br />
         		<a id="pl.489.6"></a><var>489.6</var>residents' families. The commissioner shall reclassify a resident if the commissioner
         <br />
         		<a id="pl.489.7"></a><var>489.7</var>determines that the resident was incorrectly classified.<br />
         		<a id="pl.489.8"></a><var>489.8</var>(b) The commissioner is authorized to conduct on-site audits on an unannounced basis.<br />
         		<a id="pl.489.9"></a><var>489.9</var>(c) A facility must grant the commissioner access to examine the medical records relating
         <br />
         		<a id="pl.489.10"></a><var>489.10</var>to the resident assessments selected for audit under this subdivision. The commissioner
         may <br />
         		<a id="pl.489.11"></a><var>489.11</var>also observe and speak to facility staff and residents.<br />
         		<a id="pl.489.12"></a><var>489.12</var>(d) The commissioner shall consider documentation under the time frames for coding
         <br />
         		<a id="pl.489.13"></a><var>489.13</var>items on the minimum data set as set out in the Long-Term Care Facility Resident Assessment
         <br />
         		<a id="pl.489.14"></a><var>489.14</var>Instrument User's Manual published by the Centers for Medicare and Medicaid Services.<br />
         		<a id="pl.489.15"></a><var>489.15</var>(e) The commissioner shall develop an audit selection procedure that includes the
         <br />
         		<a id="pl.489.16"></a><var>489.16</var>following factors:<br />
         		<a id="pl.489.17"></a><var>489.17</var>(1) Each facility shall be audited annually. If a facility has two successive audits
         in which <br />
         		<a id="pl.489.18"></a><var>489.18</var>the percentage of change is five percent or less and the facility has not been the
         subject of <br />
         		<a id="pl.489.19"></a><var>489.19</var>a special audit in the past 36 months, the facility may be audited biannually. A stratified
         <br />
         		<a id="pl.489.20"></a><var>489.20</var>sample of 15 percent, with a minimum of ten assessments, of the most current assessments
         <br />
         		<a id="pl.489.21"></a><var>489.21</var>shall be selected for audit. If more than 20 percent of the RUG-IV classifications
         are changed <br />
         		<a id="pl.489.22"></a><var>489.22</var>as a result of the audit, the audit shall be expanded to a second 15 percent sample,
         with a <br />
         		<a id="pl.489.23"></a><var>489.23</var>minimum of ten assessments. If the total change between the first and second samples
         is <br />
         		<a id="pl.489.24"></a><var>489.24</var>35 percent or greater, the commissioner may expand the audit to all of the remaining
         <br />
         		<a id="pl.489.25"></a><var>489.25</var>assessments.<br />
         		<a id="pl.489.26"></a><var>489.26</var>(2) If a facility qualifies for an expanded audit, the commissioner may audit the
         facility <br />
         		<a id="pl.489.27"></a><var>489.27</var>again within six months. If a facility has two expanded audits within a 24-month period,
         <br />
         		<a id="pl.489.28"></a><var>489.28</var>that facility will be audited at least every six months for the next 18 months.<br />
         		<a id="pl.489.29"></a><var>489.29</var>(3) The commissioner may conduct special audits if the commissioner determines that
         <br />
         		<a id="pl.489.30"></a><var>489.30</var>circumstances exist that could alter or affect the validity of case mix classifications
         of <br />
         		<a id="pl.489.31"></a><var>489.31</var>residents. These circumstances include, but are not limited to, the following:<br />
         		<a id="pl.489.32"></a><var>489.32</var>(i) frequent changes in the administration or management of the facility;<br />
         		<a id="pl.490.1"></a><var>490.1</var>(ii) an unusually high percentage of residents in a specific case mix classification;<br />
         		<a id="pl.490.2"></a><var>490.2</var>(iii) a high frequency in the number of reconsideration requests received from a facility;<br />
         		<a id="pl.490.3"></a><var>490.3</var>(iv) frequent adjustments of case mix classifications as the result of reconsiderations
         or <br />
         		<a id="pl.490.4"></a><var>490.4</var>audits;<br />
         		<a id="pl.490.5"></a><var>490.5</var>(v) a criminal indictment alleging provider fraud;<br />
         		<a id="pl.490.6"></a><var>490.6</var>(vi) other similar factors that relate to a facility's ability to conduct accurate
         assessments;<br />
         		<a id="pl.490.7"></a><var>490.7</var>(vii) an atypical pattern of scoring minimum data set items;<br />
         		<a id="pl.490.8"></a><var>490.8</var>(viii) nonsubmission of assessments;<br />
         		<a id="pl.490.9"></a><var>490.9</var>(ix) late submission of assessments; or<br />
         		<a id="pl.490.10"></a><var>490.10</var>(x) a previous history of audit changes of 35 percent or greater.<br />
         		<a id="pl.490.11"></a><var>490.11</var>(f) Within 15 working days of completing the audit process, the commissioner shall
         <br />
         		<a id="pl.490.12"></a><var>490.12</var>make available electronically the results of the audit to the facility. If the results
         of the audit <br />
         		<a id="pl.490.13"></a><var>490.13</var>reflect a change in the resident's case mix classification, a case mix classification
         notice <br />
         		<a id="pl.490.14"></a><var>490.14</var>will be made available electronically to the facility, using the procedure in subdivision
         7, <br />
         		<a id="pl.490.15"></a><var>490.15</var>paragraph (a). The notice must contain the resident's classification and a statement
         informing <br />
         		<a id="pl.490.16"></a><var>490.16</var>the resident, the resident's authorized representative, and the facility of their
         right to review <br />
         		<a id="pl.490.17"></a><var>490.17</var>the commissioner's documents supporting the classification and to request a reconsideration
         <br />
         		<a id="pl.490.18"></a><var>490.18</var>of the classification. This notice must also include the address and telephone number
         of the <br />
         		<a id="pl.490.19"></a><var>490.19</var>Office of Ombudsman for Long-Term Care.<br />
         		<br />
         		<a id="bill.14.5.0"></a><a id="pl.490.20"></a><var>490.20</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2016, section 144A.071, subdivision 3, is amended to read:<br />
         		<a id="pl.490.21"></a><var>490.21</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Exceptions authorizing increase in beds; hardship areas.</b> (a) The <br />
         		<a id="pl.490.22"></a><var>490.22</var>commissioner of health, in coordination with the commissioner of human services, may
         <br />
         		<a id="pl.490.23"></a><var>490.23</var>approve the addition of new licensed and Medicare and Medicaid certified nursing home
         <br />
         		<a id="pl.490.24"></a><var>490.24</var>beds, using the criteria and process set forth in this subdivision.<br />
         		<a id="pl.490.25"></a><var>490.25</var>(b) The commissioner, in cooperation with the commissioner of human services, shall
         <br />
         		<a id="pl.490.26"></a><var>490.26</var>consider the following criteria when determining that an area of the state is a hardship
         area <br />
         		<a id="pl.490.27"></a><var>490.27</var>with regard to access to nursing facility services:<br />
         		<a id="pl.490.28"></a><var>490.28</var>(1) a low number of beds per thousand in a specified area using as a standard the
         beds <br />
         		<a id="pl.490.29"></a><var>490.29</var>per thousand people age 65 and older, in five year age groups, using data from the
         most <br />
         		<a id="pl.490.30"></a><var>490.30</var>recent census and population projections, weighted by each group's most recent nursing
         <br />
         		<a id="pl.491.1"></a><var>491.1</var>home utilization, of the county at the 20th percentile, as determined by the commissioner
         <br />
         		<a id="pl.491.2"></a><var>491.2</var>of human services;<br />
         		<a id="pl.491.3"></a><var>491.3</var>(2) a high level of out-migration for nursing facility services associated with a
         described <br />
         		<a id="pl.491.4"></a><var>491.4</var>area from the county or counties of residence to other Minnesota counties, as determined
         <br />
         		<a id="pl.491.5"></a><var>491.5</var>by the commissioner of human services, using as a standard an amount greater than
         the <br />
         		<a id="pl.491.6"></a><var>491.6</var>out-migration of the county ranked at the 50th percentile;<br />
         		<a id="pl.491.7"></a><var>491.7</var>(3) an adequate level of availability of noninstitutional long-term care services
         measured <br />
         		<a id="pl.491.8"></a><var>491.8</var>as public spending for home and community-based long-term care services per individual
         <br />
         		<a id="pl.491.9"></a><var>491.9</var>age 65 and older, in five year age groups, using data from the most recent census
         and <br />
         		<a id="pl.491.10"></a><var>491.10</var>population projections, weighted by each group's most recent nursing home utilization,
         as <br />
         		<a id="pl.491.11"></a><var>491.11</var>determined by the commissioner of human services using as a standard an amount greater
         <br />
         		<a id="pl.491.12"></a><var>491.12</var>than the 50th percentile of counties;<br />
         		<a id="pl.491.13"></a><var>491.13</var>(4) there must be a declaration of hardship resulting from insufficient access to
         nursing <br />
         		<a id="pl.491.14"></a><var>491.14</var>home beds by local county agencies and area agencies on aging; and<br />
         		<a id="pl.491.15"></a><var>491.15</var>(5) other factors that may demonstrate the need to add new nursing facility beds.<br />
         		<a id="pl.491.16"></a><var>491.16</var>(c) On August 15 of odd-numbered years, the commissioner, in cooperation with the
         <br />
         		<a id="pl.491.17"></a><var>491.17</var>commissioner of human services, may publish in the State Register a request for information
         <br />
         		<a id="pl.491.18"></a><var>491.18</var>in which interested parties, using the data provided under section 
         <statute_ref>144A.351</statute_ref>, along with any <br />
         		<a id="pl.491.19"></a><var>491.19</var>other relevant data, demonstrate that a specified area is a hardship area with regard
         to access <br />
         		<a id="pl.491.20"></a><var>491.20</var>to nursing facility services. For a response to be considered, the commissioner must
         receive <br />
         		<a id="pl.491.21"></a><var>491.21</var>it by November 15. The commissioner shall make responses to the request for information
         <br />
         		<a id="pl.491.22"></a><var>491.22</var>available to the public and shall allow 30 days for comment. The commissioner shall
         review <br />
         		<a id="pl.491.23"></a><var>491.23</var>responses and comments and determine if any areas of the state are to be declared
         hardship <br />
         		<a id="pl.491.24"></a><var>491.24</var>areas.<br />
         		<a id="pl.491.25"></a><var>491.25</var>(d) For each designated hardship area determined in paragraph (c), the commissioner
         <br />
         		<a id="pl.491.26"></a><var>491.26</var>shall publish a request for proposals in accordance with section 
         <statute_ref>144A.073</statute_ref> and Minnesota <br />
         		<a id="pl.491.27"></a><var>491.27</var>Rules, parts 4655.1070 to 4655.1098. The request for proposals must be published in the <br />
         		<a id="pl.491.28"></a><var>491.28</var>State Register by March 15 following receipt of responses to the request for information.
         <br />
         		<a id="pl.491.29"></a><var>491.29</var>The request for proposals must specify the number of new beds which may be added in
         the <br />
         		<a id="pl.491.30"></a><var>491.30</var>designated hardship area, which must not exceed the number which, if added to the
         existing <br />
         		<a id="pl.491.31"></a><var>491.31</var>number of beds in the area, including beds in layaway status, would have prevented
         it from <br />
         		<a id="pl.491.32"></a><var>491.32</var>being determined to be a hardship area under paragraph (b), clause (1). Beginning
         July 1, <br />
         		<a id="pl.491.33"></a><var>491.33</var>2011, the number of new beds approved must not exceed 200 beds statewide per biennium.
         <br />
         		<a id="pl.491.34"></a><var>491.34</var>After June 30, 2019, the number of new beds that may be approved in a biennium must
         not <br />
         		<a id="pl.492.1"></a><var>492.1</var>exceed 300 statewide. For a proposal to be considered, the commissioner must receive
         it <br />
         		<a id="pl.492.2"></a><var>492.2</var>within six months of the publication of the request for proposals. The commissioner
         shall <br />
         		<a id="pl.492.3"></a><var>492.3</var>review responses to the request for proposals and shall approve or disapprove each
         proposal <br />
         		<a id="pl.492.4"></a><var>492.4</var>by the following July 15, in accordance with section 
         <statute_ref>144A.073</statute_ref> and Minnesota Rules, parts <br />
         		<a id="pl.492.5"></a><var>492.5</var>4655.1070 to 4655.1098. The commissioner shall base approvals or disapprovals on a <br />
         		<a id="pl.492.6"></a><var>492.6</var>comparison and ranking of proposals using only the criteria in subdivision 4a. Approval
         of <br />
         		<a id="pl.492.7"></a><var>492.7</var>a proposal expires after 18 months unless the facility has added the new beds using
         existing <br />
         		<a id="pl.492.8"></a><var>492.8</var>space, subject to approval by the commissioner, or has commenced construction as defined
         <br />
         		<a id="pl.492.9"></a><var>492.9</var>in section 
         <statute_ref>144A.071</statute_ref>, subdivision 1a, paragraph (d). If, after the approved beds have been <br />
         		<a id="pl.492.10"></a><var>492.10</var>added, fewer than 50 percent of the beds in a facility are newly licensed, the operating
         <br />
         		<a id="pl.492.11"></a><var>492.11</var>payment rates previously in effect shall remain. If, after the approved beds have
         been added, <br />
         		<a id="pl.492.12"></a><var>492.12</var>50 percent or more of the beds in a facility are newly licensed, operating payment
         rates shall <br />
         		<a id="pl.492.13"></a><var>492.13</var>be determined according to Minnesota Rules, part 9549.0057, using the limits under section <br />
         		
         <statute_ref><a id="pl.492.14"></a><var>492.14</var>256B.441
         </statute_ref> sections 256R.23, subdivision 5, and 256R.24, subdivision 3. External fixed costs <br />
         		<a id="pl.492.15"></a><var>492.15</var>payment rates must be determined according to section 
         <statute_ref>256B.441, subdivision 53</statute_ref> 256R.25. <br />
         		<a id="pl.492.16"></a><var>492.16</var>Property payment rates for facilities with beds added under this subdivision must
         be <br />
         		<a id="pl.492.17"></a><var>492.17</var>determined in the same manner as rate determinations resulting from projects approved
         and <br />
         		<a id="pl.492.18"></a><var>492.18</var>completed under section 
         <statute_ref>144A.073</statute_ref>.<br />
         		<a id="pl.492.19"></a><var>492.19</var>(e) The commissioner may:<br />
         		<a id="pl.492.20"></a><var>492.20</var>(1) certify or license new beds in a new facility that is to be operated by the commissioner
         <br />
         		<a id="pl.492.21"></a><var>492.21</var>of veterans affairs or when the costs of constructing and operating the new beds are
         to be <br />
         		<a id="pl.492.22"></a><var>492.22</var>reimbursed by the commissioner of veterans affairs or the United States Veterans <br />
         		<a id="pl.492.23"></a><var>492.23</var>Administration; and<br />
         		<a id="pl.492.24"></a><var>492.24</var>(2) license or certify beds in a facility that has been involuntarily delicensed or
         decertified <br />
         		<a id="pl.492.25"></a><var>492.25</var>for participation in the medical assistance program, provided that an application
         for <br />
         		<a id="pl.492.26"></a><var>492.26</var>relicensure or recertification is submitted to the commissioner by an organization
         that is <br />
         		<a id="pl.492.27"></a><var>492.27</var>not a related organization as defined in section 
         <statute_ref>256B.441, subdivision 34</statute_ref> 256R.02, <br />
         		<a id="pl.492.28"></a><var>492.28</var>subdivision 43, to the prior licensee within 120 days after delicensure or decertification.<br />
         		<br />
         		<a id="bill.14.6.0"></a><a id="pl.492.29"></a><var>492.29</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2016, section 144A.071, subdivision 4a, is amended to read:<br />
         		<a id="pl.492.30"></a><var>492.30</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Exceptions for replacement beds.</b>  It is in the best interest of the state to <br />
         		<a id="pl.492.31"></a><var>492.31</var>ensure that nursing homes and boarding care homes continue to meet the physical plant
         <br />
         		<a id="pl.492.32"></a><var>492.32</var>licensing and certification requirements by permitting certain construction projects.
         Facilities <br />
         		<a id="pl.492.33"></a><var>492.33</var>should be maintained in condition to satisfy the physical and emotional needs of residents
         <br />
         		<a id="pl.492.34"></a><var>492.34</var>while allowing the state to maintain control over nursing home expenditure growth.<br />
         		<a id="pl.493.1"></a><var>493.1</var>&#160;&#160;&#160;&#160;The commissioner of health in coordination with the commissioner of human services,
         <br />
         		<a id="pl.493.2"></a><var>493.2</var>may approve the renovation, replacement, upgrading, or relocation of a nursing home
         or <br />
         		<a id="pl.493.3"></a><var>493.3</var>boarding care home, under the following conditions:<br />
         		<a id="pl.493.4"></a><var>493.4</var>&#160;&#160;&#160;&#160;(a) to license or certify beds in a new facility constructed to replace a facility
         or to make <br />
         		<a id="pl.493.5"></a><var>493.5</var>repairs in an existing facility that was destroyed or damaged after June 30, 1987,
         by fire, <br />
         		<a id="pl.493.6"></a><var>493.6</var>lightning, or other hazard provided:<br />
         		<a id="pl.493.7"></a><var>493.7</var>&#160;&#160;&#160;&#160;(i) destruction was not caused by the intentional act of or at the direction of a
         controlling <br />
         		<a id="pl.493.8"></a><var>493.8</var>person of the facility;<br />
         		<a id="pl.493.9"></a><var>493.9</var>&#160;&#160;&#160;&#160;(ii) at the time the facility was destroyed or damaged the controlling persons of
         the <br />
         		<a id="pl.493.10"></a><var>493.10</var>facility maintained insurance coverage for the type of hazard that occurred in an
         amount <br />
         		<a id="pl.493.11"></a><var>493.11</var>that a reasonable person would conclude was adequate;<br />
         		<a id="pl.493.12"></a><var>493.12</var>&#160;&#160;&#160;&#160;(iii) the net proceeds from an insurance settlement for the damages caused by the
         hazard <br />
         		<a id="pl.493.13"></a><var>493.13</var>are applied to the cost of the new facility or repairs;<br />
         		<a id="pl.493.14"></a><var>493.14</var>&#160;&#160;&#160;&#160;(iv) the number of licensed and certified beds in the new facility does not exceed
         the <br />
         		<a id="pl.493.15"></a><var>493.15</var>number of licensed and certified beds in the destroyed facility; and<br />
         		<a id="pl.493.16"></a><var>493.16</var>&#160;&#160;&#160;&#160;(v) the commissioner determines that the replacement beds are needed to prevent an
         <br />
         		<a id="pl.493.17"></a><var>493.17</var>inadequate supply of beds.<br />
         		<a id="pl.493.18"></a><var>493.18</var>Project construction costs incurred for repairs authorized under this clause shall
         not be <br />
         		<a id="pl.493.19"></a><var>493.19</var>considered in the dollar threshold amount defined in subdivision 2;<br />
         		<a id="pl.493.20"></a><var>493.20</var>&#160;&#160;&#160;&#160;(b) to license or certify beds that are moved from one location to another within
         a nursing <br />
         		<a id="pl.493.21"></a><var>493.21</var>home facility, provided the total costs of remodeling performed in conjunction with
         the <br />
         		<a id="pl.493.22"></a><var>493.22</var>relocation of beds does not exceed $1,000,000;<br />
         		<a id="pl.493.23"></a><var>493.23</var>&#160;&#160;&#160;&#160;(c) to license or certify beds in a project recommended for approval under section
         <br />
         		
         <statute_ref><a id="pl.493.24"></a><var>493.24</var>144A.073
         </statute_ref>;<br />
         		<a id="pl.493.25"></a><var>493.25</var>&#160;&#160;&#160;&#160;(d) to license or certify beds that are moved from an existing state nursing home
         to a <br />
         		<a id="pl.493.26"></a><var>493.26</var>different state facility, provided there is no net increase in the number of state
         nursing home <br />
         		<a id="pl.493.27"></a><var>493.27</var>beds;<br />
         		<a id="pl.493.28"></a><var>493.28</var>&#160;&#160;&#160;&#160;(e) to certify and license as nursing home beds boarding care beds in a certified
         boarding <br />
         		<a id="pl.493.29"></a><var>493.29</var>care facility if the beds meet the standards for nursing home licensure, or in a facility
         that <br />
         		<a id="pl.493.30"></a><var>493.30</var>was granted an exception to the moratorium under section 
         <statute_ref>144A.073</statute_ref>, and if the cost of any <br />
         		<a id="pl.493.31"></a><var>493.31</var>remodeling of the facility does not exceed $1,000,000. If boarding care beds are licensed
         <br />
         		<a id="pl.493.32"></a><var>493.32</var>as nursing home beds, the number of boarding care beds in the facility must not increase
         <br />
         		<a id="pl.494.1"></a><var>494.1</var>beyond the number remaining at the time of the upgrade in licensure. The provisions
         <br />
         		<a id="pl.494.2"></a><var>494.2</var>contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of the facilities do not apply to <br />
         		<a id="pl.494.3"></a><var>494.3</var>facilities that satisfy these requirements;<br />
         		<a id="pl.494.4"></a><var>494.4</var>&#160;&#160;&#160;&#160;(f) to license and certify up to 40 beds transferred from an existing facility owned
         and <br />
         		<a id="pl.494.5"></a><var>494.5</var>operated by the Amherst H. Wilder Foundation in the city of St. Paul to a new unit
         at the <br />
         		<a id="pl.494.6"></a><var>494.6</var>same location as the existing facility that will serve persons with Alzheimer's disease
         and <br />
         		<a id="pl.494.7"></a><var>494.7</var>other related disorders. The transfer of beds may occur gradually or in stages, provided
         the <br />
         		<a id="pl.494.8"></a><var>494.8</var>total number of beds transferred does not exceed 40. At the time of licensure and
         certification <br />
         		<a id="pl.494.9"></a><var>494.9</var>of a bed or beds in the new unit, the commissioner of health shall delicense and decertify
         <br />
         		<a id="pl.494.10"></a><var>494.10</var>the same number of beds in the existing facility. As a condition of receiving a license
         or <br />
         		<a id="pl.494.11"></a><var>494.11</var>certification under this clause, the facility must make a written commitment to the
         <br />
         		<a id="pl.494.12"></a><var>494.12</var>commissioner of human services that it will not seek to receive an increase in its
         <br />
         		<a id="pl.494.13"></a><var>494.13</var>property-related payment rate as a result of the transfers allowed under this paragraph;<br />
         		<a id="pl.494.14"></a><var>494.14</var>&#160;&#160;&#160;&#160;(g) to license and certify nursing home beds to replace currently licensed and certified
         <br />
         		<a id="pl.494.15"></a><var>494.15</var>boarding care beds which may be located either in a remodeled or renovated boarding
         care <br />
         		<a id="pl.494.16"></a><var>494.16</var>or nursing home facility or in a remodeled, renovated, newly constructed, or replacement
         <br />
         		<a id="pl.494.17"></a><var>494.17</var>nursing home facility within the identifiable complex of health care facilities in
         which the <br />
         		<a id="pl.494.18"></a><var>494.18</var>currently licensed boarding care beds are presently located, provided that the number
         of <br />
         		<a id="pl.494.19"></a><var>494.19</var>boarding care beds in the facility or complex are decreased by the number to be licensed
         as <br />
         		<a id="pl.494.20"></a><var>494.20</var>nursing home beds and further provided that, if the total costs of new construction,
         <br />
         		<a id="pl.494.21"></a><var>494.21</var>replacement, remodeling, or renovation exceed ten percent of the appraised value of
         the <br />
         		<a id="pl.494.22"></a><var>494.22</var>facility or $200,000, whichever is less, the facility makes a written commitment to
         the <br />
         		<a id="pl.494.23"></a><var>494.23</var>commissioner of human services that it will not seek to receive an increase in its
         <br />
         		<a id="pl.494.24"></a><var>494.24</var>property-related payment rate by reason of the new construction, replacement, remodeling,
         <br />
         		<a id="pl.494.25"></a><var>494.25</var>or renovation. The provisions contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of <br />
         		<a id="pl.494.26"></a><var>494.26</var>facilities do not apply to facilities that satisfy these requirements;<br />
         		<a id="pl.494.27"></a><var>494.27</var>&#160;&#160;&#160;&#160;(h) to license as a nursing home and certify as a nursing facility a facility that
         is licensed <br />
         		<a id="pl.494.28"></a><var>494.28</var>as a boarding care facility but not certified under the medical assistance program,
         but only <br />
         		<a id="pl.494.29"></a><var>494.29</var>if the commissioner of human services certifies to the commissioner of health that
         licensing <br />
         		<a id="pl.494.30"></a><var>494.30</var>the facility as a nursing home and certifying the facility as a nursing facility will
         result in <br />
         		<a id="pl.494.31"></a><var>494.31</var>a net annual savings to the state general fund of $200,000 or more;<br />
         		<a id="pl.494.32"></a><var>494.32</var>&#160;&#160;&#160;&#160;(i) to certify, after September 30, 1992, and prior to July 1, 1993, existing nursing
         home <br />
         		<a id="pl.494.33"></a><var>494.33</var>beds in a facility that was licensed and in operation prior to January 1, 1992;<br />
         		<a id="pl.495.1"></a><var>495.1</var>&#160;&#160;&#160;&#160;(j) to license and certify new nursing home beds to replace beds in a facility acquired
         <br />
         		<a id="pl.495.2"></a><var>495.2</var>by the Minneapolis Community Development Agency as part of redevelopment activities
         <br />
         		<a id="pl.495.3"></a><var>495.3</var>in a city of the first class, provided the new facility is located within three miles
         of the site <br />
         		<a id="pl.495.4"></a><var>495.4</var>of the old facility. Operating and property costs for the new facility must be determined
         and <br />
         		<a id="pl.495.5"></a><var>495.5</var>allowed under section 
         <statute_ref>256B.431</statute_ref> or 
         <statute_ref>256B.434</statute_ref> or chapter 256R;<br />
         		<a id="pl.495.6"></a><var>495.6</var>&#160;&#160;&#160;&#160;(k) to license and certify up to 20 new nursing home beds in a community-operated
         <br />
         		<a id="pl.495.7"></a><var>495.7</var>hospital and attached convalescent and nursing care facility with 40 beds on April
         21, 1991, <br />
         		<a id="pl.495.8"></a><var>495.8</var>that suspended operation of the hospital in April 1986. The commissioner of human
         services <br />
         		<a id="pl.495.9"></a><var>495.9</var>shall provide the facility with the same per diem property-related payment rate for
         each <br />
         		<a id="pl.495.10"></a><var>495.10</var>additional licensed and certified bed as it will receive for its existing 40 beds;<br />
         		<a id="pl.495.11"></a><var>495.11</var>&#160;&#160;&#160;&#160;(l) to license or certify beds in renovation, replacement, or upgrading projects as
         defined <br />
         		<a id="pl.495.12"></a><var>495.12</var>in section 
         <statute_ref>144A.073</statute_ref>, subdivision 1, so long as the cumulative total costs of the facility's <br />
         		<a id="pl.495.13"></a><var>495.13</var>remodeling projects do not exceed $1,000,000;<br />
         		<a id="pl.495.14"></a><var>495.14</var>&#160;&#160;&#160;&#160;(m) to license and certify beds that are moved from one location to another for the
         <br />
         		<a id="pl.495.15"></a><var>495.15</var>purposes of converting up to five four-bed wards to single or double occupancy rooms
         in <br />
         		<a id="pl.495.16"></a><var>495.16</var>a nursing home that, as of January 1, 1993, was county-owned and had a licensed capacity
         <br />
         		<a id="pl.495.17"></a><var>495.17</var>of 115 beds;<br />
         		<a id="pl.495.18"></a><var>495.18</var>&#160;&#160;&#160;&#160;(n) to allow a facility that on April 16, 1993, was a 106-bed licensed and certified
         nursing <br />
         		<a id="pl.495.19"></a><var>495.19</var>facility located in Minneapolis to layaway all of its licensed and certified nursing
         home <br />
         		<a id="pl.495.20"></a><var>495.20</var>beds. These beds may be relicensed and recertified in a newly constructed teaching
         nursing <br />
         		<a id="pl.495.21"></a><var>495.21</var>home facility affiliated with a teaching hospital upon approval by the legislature.
         The <br />
         		<a id="pl.495.22"></a><var>495.22</var>proposal must be developed in consultation with the interagency committee on long-term
         <br />
         		<a id="pl.495.23"></a><var>495.23</var>care planning. The beds on layaway status shall have the same status as voluntarily
         delicensed <br />
         		<a id="pl.495.24"></a><var>495.24</var>and decertified beds, except that beds on layaway status remain subject to the surcharge
         in <br />
         		<a id="pl.495.25"></a><var>495.25</var>section 
         <statute_ref>256.9657</statute_ref>. This layaway provision expires July 1, 1998;<br />
         		<a id="pl.495.26"></a><var>495.26</var>&#160;&#160;&#160;&#160;(o) to allow a project which will be completed in conjunction with an approved <br />
         		<a id="pl.495.27"></a><var>495.27</var>moratorium exception project for a nursing home in southern Cass County and which
         is <br />
         		<a id="pl.495.28"></a><var>495.28</var>directly related to that portion of the facility that must be repaired, renovated,
         or replaced, <br />
         		<a id="pl.495.29"></a><var>495.29</var>to correct an emergency plumbing problem for which a state correction order has been
         <br />
         		<a id="pl.495.30"></a><var>495.30</var>issued and which must be corrected by August 31, 1993;<br />
         		<a id="pl.495.31"></a><var>495.31</var>&#160;&#160;&#160;&#160;(p) to allow a facility that on April 16, 1993, was a 368-bed licensed and certified
         nursing <br />
         		<a id="pl.495.32"></a><var>495.32</var>facility located in Minneapolis to layaway, upon 30 days prior written notice to the
         <br />
         		<a id="pl.495.33"></a><var>495.33</var>commissioner, up to 30 of the facility's licensed and certified beds by converting
         three-bed <br />
         		<a id="pl.495.34"></a><var>495.34</var>wards to single or double occupancy. Beds on layaway status shall have the same status
         as <br />
         		<a id="pl.496.1"></a><var>496.1</var>voluntarily delicensed and decertified beds except that beds on layaway status remain
         subject <br />
         		<a id="pl.496.2"></a><var>496.2</var>to the surcharge in section 
         <statute_ref>256.9657</statute_ref>, remain subject to the license application and renewal <br />
         		<a id="pl.496.3"></a><var>496.3</var>fees under section 
         <statute_ref>144A.07</statute_ref> and shall be subject to a $100 per bed reactivation fee. In <br />
         		<a id="pl.496.4"></a><var>496.4</var>addition, at any time within three years of the effective date of the layaway, the
         beds on <br />
         		<a id="pl.496.5"></a><var>496.5</var>layaway status may be:<br />
         		<a id="pl.496.6"></a><var>496.6</var>&#160;&#160;&#160;&#160;(1) relicensed and recertified upon relocation and reactivation of some or all of
         the beds <br />
         		<a id="pl.496.7"></a><var>496.7</var>to an existing licensed and certified facility or facilities located in Pine River,
         Brainerd, or <br />
         		<a id="pl.496.8"></a><var>496.8</var>International Falls; provided that the total project construction costs related to
         the relocation <br />
         		<a id="pl.496.9"></a><var>496.9</var>of beds from layaway status for any facility receiving relocated beds may not exceed
         the <br />
         		<a id="pl.496.10"></a><var>496.10</var>dollar threshold provided in subdivision 2 unless the construction project has been
         approved <br />
         		<a id="pl.496.11"></a><var>496.11</var>through the moratorium exception process under section 
         <statute_ref>144A.073</statute_ref>;<br />
         		<a id="pl.496.12"></a><var>496.12</var>&#160;&#160;&#160;&#160;(2) relicensed and recertified, upon reactivation of some or all of the beds within
         the <br />
         		<a id="pl.496.13"></a><var>496.13</var>facility which placed the beds in layaway status, if the commissioner has determined
         a need <br />
         		<a id="pl.496.14"></a><var>496.14</var>for the reactivation of the beds on layaway status.<br />
         		<a id="pl.496.15"></a><var>496.15</var>&#160;&#160;&#160;&#160;The property-related payment rate of a facility placing beds on layaway status must
         be <br />
         		<a id="pl.496.16"></a><var>496.16</var>adjusted by the incremental change in its rental per diem after recalculating the
         rental per <br />
         		<a id="pl.496.17"></a><var>496.17</var>diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The property-related <br />
         		<a id="pl.496.18"></a><var>496.18</var>payment rate for a facility relicensing and recertifying beds from layaway status
         must be <br />
         		<a id="pl.496.19"></a><var>496.19</var>adjusted by the incremental change in its rental per diem after recalculating its
         rental per <br />
         		<a id="pl.496.20"></a><var>496.20</var>diem using the number of beds after the relicensing to establish the facility's capacity
         day <br />
         		<a id="pl.496.21"></a><var>496.21</var>divisor, which shall be effective the first day of the month following the month in
         which <br />
         		<a id="pl.496.22"></a><var>496.22</var>the relicensing and recertification became effective. Any beds remaining on layaway
         status <br />
         		<a id="pl.496.23"></a><var>496.23</var>more than three years after the date the layaway status became effective must be removed
         <br />
         		<a id="pl.496.24"></a><var>496.24</var>from layaway status and immediately delicensed and decertified;<br />
         		<a id="pl.496.25"></a><var>496.25</var>&#160;&#160;&#160;&#160;(q) to license and certify beds in a renovation and remodeling project to convert
         12 <br />
         		<a id="pl.496.26"></a><var>496.26</var>four-bed wards into 24 two-bed rooms, expand space, and add improvements in a nursing
         <br />
         		<a id="pl.496.27"></a><var>496.27</var>home that, as of January 1, 1994, met the following conditions: the nursing home was
         located <br />
         		<a id="pl.496.28"></a><var>496.28</var>in Ramsey County; had a licensed capacity of 154 beds; and had been ranked among the
         <br />
         		<a id="pl.496.29"></a><var>496.29</var>top 15 applicants by the 1993 moratorium exceptions advisory review panel. The total
         <br />
         		<a id="pl.496.30"></a><var>496.30</var>project construction cost estimate for this project must not exceed the cost estimate
         submitted <br />
         		<a id="pl.496.31"></a><var>496.31</var>in connection with the 1993 moratorium exception process;<br />
         		<a id="pl.496.32"></a><var>496.32</var>&#160;&#160;&#160;&#160;(r) to license and certify up to 117 beds that are relocated from a licensed and certified
         <br />
         		<a id="pl.496.33"></a><var>496.33</var>138-bed nursing facility located in St. Paul to a hospital with 130 licensed hospital
         beds <br />
         		<a id="pl.496.34"></a><var>496.34</var>located in South St. Paul, provided that the nursing facility and hospital are owned
         by the <br />
         		<a id="pl.497.1"></a><var>497.1</var>same or a related organization and that prior to the date the relocation is completed
         the <br />
         		<a id="pl.497.2"></a><var>497.2</var>hospital ceases operation of its inpatient hospital services at that hospital. After
         relocation, <br />
         		<a id="pl.497.3"></a><var>497.3</var>the nursing facility's status shall be the same as it was prior to relocation. The
         nursing <br />
         		<a id="pl.497.4"></a><var>497.4</var>facility's property-related payment rate resulting from the project authorized in
         this paragraph <br />
         		<a id="pl.497.5"></a><var>497.5</var>shall become effective no earlier than April 1, 1996. For purposes of calculating
         the <br />
         		<a id="pl.497.6"></a><var>497.6</var>incremental change in the facility's rental per diem resulting from this project,
         the allowable <br />
         		<a id="pl.497.7"></a><var>497.7</var>appraised value of the nursing facility portion of the existing health care facility
         physical <br />
         		<a id="pl.497.8"></a><var>497.8</var>plant prior to the renovation and relocation may not exceed $2,490,000;<br />
         		<a id="pl.497.9"></a><var>497.9</var>&#160;&#160;&#160;&#160;(s) to license and certify two beds in a facility to replace beds that were voluntarily
         <br />
         		<a id="pl.497.10"></a><var>497.10</var>delicensed and decertified on June 28, 1991;<br />
         		<a id="pl.497.11"></a><var>497.11</var>&#160;&#160;&#160;&#160;(t) to allow 16 licensed and certified beds located on July 1, 1994, in a 142-bed
         nursing <br />
         		<a id="pl.497.12"></a><var>497.12</var>home and 21-bed boarding care home facility in Minneapolis, notwithstanding the licensure
         <br />
         		<a id="pl.497.13"></a><var>497.13</var>and certification after July 1, 1995, of the Minneapolis facility as a 147-bed nursing
         home <br />
         		<a id="pl.497.14"></a><var>497.14</var>facility after completion of a construction project approved in 1993 under section
         
         <statute_ref>144A.073</statute_ref>, <br />
         		<a id="pl.497.15"></a><var>497.15</var>to be laid away upon 30 days' prior written notice to the commissioner. Beds on layaway
         <br />
         		<a id="pl.497.16"></a><var>497.16</var>status shall have the same status as voluntarily delicensed or decertified beds except
         that <br />
         		<a id="pl.497.17"></a><var>497.17</var>they shall remain subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>. The 16 beds on layaway <br />
         		<a id="pl.497.18"></a><var>497.18</var>status may be relicensed as nursing home beds and recertified at any time within five
         years <br />
         		<a id="pl.497.19"></a><var>497.19</var>of the effective date of the layaway upon relocation of some or all of the beds to
         a licensed <br />
         		<a id="pl.497.20"></a><var>497.20</var>and certified facility located in Watertown, provided that the total project construction
         costs <br />
         		<a id="pl.497.21"></a><var>497.21</var>related to the relocation of beds from layaway status for the Watertown facility may
         not <br />
         		<a id="pl.497.22"></a><var>497.22</var>exceed the dollar threshold provided in subdivision 2 unless the construction project
         has <br />
         		<a id="pl.497.23"></a><var>497.23</var>been approved through the moratorium exception process under section 
         <statute_ref>144A.073</statute_ref>.<br />
         		<a id="pl.497.24"></a><var>497.24</var>&#160;&#160;&#160;&#160;The property-related payment rate of the facility placing beds on layaway status must
         <br />
         		<a id="pl.497.25"></a><var>497.25</var>be adjusted by the incremental change in its rental per diem after recalculating the
         rental <br />
         		<a id="pl.497.26"></a><var>497.26</var>per diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The property-related <br />
         		<a id="pl.497.27"></a><var>497.27</var>payment rate for the facility relicensing and recertifying beds from layaway status
         must be <br />
         		<a id="pl.497.28"></a><var>497.28</var>adjusted by the incremental change in its rental per diem after recalculating its
         rental per <br />
         		<a id="pl.497.29"></a><var>497.29</var>diem using the number of beds after the relicensing to establish the facility's capacity
         day <br />
         		<a id="pl.497.30"></a><var>497.30</var>divisor, which shall be effective the first day of the month following the month in
         which <br />
         		<a id="pl.497.31"></a><var>497.31</var>the relicensing and recertification became effective. Any beds remaining on layaway
         status <br />
         		<a id="pl.497.32"></a><var>497.32</var>more than five years after the date the layaway status became effective must be removed
         <br />
         		<a id="pl.497.33"></a><var>497.33</var>from layaway status and immediately delicensed and decertified;<br />
         		<a id="pl.497.34"></a><var>497.34</var>&#160;&#160;&#160;&#160;(u) to license and certify beds that are moved within an existing area of a facility
         or to <br />
         		<a id="pl.497.35"></a><var>497.35</var>a newly constructed addition which is built for the purpose of eliminating three-
         and four-bed <br />
         		<a id="pl.498.1"></a><var>498.1</var>rooms and adding space for dining, lounge areas, bathing rooms, and ancillary service
         areas <br />
         		<a id="pl.498.2"></a><var>498.2</var>in a nursing home that, as of January 1, 1995, was located in Fridley and had a licensed
         <br />
         		<a id="pl.498.3"></a><var>498.3</var>capacity of 129 beds;<br />
         		<a id="pl.498.4"></a><var>498.4</var>&#160;&#160;&#160;&#160;(v) to relocate 36 beds in Crow Wing County and four beds from Hennepin County to
         <br />
         		<a id="pl.498.5"></a><var>498.5</var>a 160-bed facility in Crow Wing County, provided all the affected beds are under common
         <br />
         		<a id="pl.498.6"></a><var>498.6</var>ownership;<br />
         		<a id="pl.498.7"></a><var>498.7</var>&#160;&#160;&#160;&#160;(w) to license and certify a total replacement project of up to 49 beds located in
         Norman <br />
         		<a id="pl.498.8"></a><var>498.8</var>County that are relocated from a nursing home destroyed by flood and whose residents
         were <br />
         		<a id="pl.498.9"></a><var>498.9</var>relocated to other nursing homes. The operating cost payment rates for the new nursing
         <br />
         		<a id="pl.498.10"></a><var>498.10</var>facility shall be determined based on the interim and settle-up payment provisions
         of <br />
         		<a id="pl.498.11"></a><var>498.11</var>Minnesota Rules, part 9549.0057, and the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref> <br />
         		<a id="pl.498.12"></a><var>498.12</var>chapter 256R. Property-related reimbursement rates shall be determined under section <br />
         		
         <statute_ref><a id="pl.498.13"></a><var>498.13</var>256B.431
         </statute_ref> 256R.26, taking into account any federal or state flood-related loans or grants <br />
         		<a id="pl.498.14"></a><var>498.14</var>provided to the facility;<br />
         		<a id="pl.498.15"></a><var>498.15</var>&#160;&#160;&#160;&#160;(x) to license and certify to the licensee of a nursing home in Polk County that was
         <br />
         		<a id="pl.498.16"></a><var>498.16</var>destroyed by flood in 1997 replacement projects with a total of up to 129 beds, with
         at least <br />
         		<a id="pl.498.17"></a><var>498.17</var>25 beds to be located in Polk County and up to 104 beds distributed among up to three
         other <br />
         		<a id="pl.498.18"></a><var>498.18</var>counties. These beds may only be distributed to counties with fewer than the median
         number <br />
         		<a id="pl.498.19"></a><var>498.19</var>of age intensity adjusted beds per thousand, as most recently published by the commissioner
         <br />
         		<a id="pl.498.20"></a><var>498.20</var>of human services. If the licensee chooses to distribute beds outside of Polk County
         under <br />
         		<a id="pl.498.21"></a><var>498.21</var>this paragraph, prior to distributing the beds, the commissioner of health must approve
         the <br />
         		<a id="pl.498.22"></a><var>498.22</var>location in which the licensee plans to distribute the beds. The commissioner of health
         shall <br />
         		<a id="pl.498.23"></a><var>498.23</var>consult with the commissioner of human services prior to approving the location of
         the <br />
         		<a id="pl.498.24"></a><var>498.24</var>proposed beds. The licensee may combine these beds with beds relocated from other
         nursing <br />
         		<a id="pl.498.25"></a><var>498.25</var>facilities as provided in section 
         <statute_ref>144A.073, subdivision 3c</statute_ref>. The operating payment rates for <br />
         		<a id="pl.498.26"></a><var>498.26</var>the new nursing facilities shall be determined based on the interim and settle-up
         payment <br />
         		<a id="pl.498.27"></a><var>498.27</var>provisions of section 
         <statute_ref>256B.431</statute_ref>, 
         <statute_ref>256B.434</statute_ref>, or 
         <statute_ref>256B.441</statute_ref> or Minnesota Rules, parts 9549.0010 <br />
         		<a id="pl.498.28"></a><var>498.28</var>to 9549.0080. Property-related reimbursement rates shall be determined under section <br />
         		
         <statute_ref><a id="pl.498.29"></a><var>498.29</var>256B.431
         </statute_ref>, 
         <statute_ref>256B.434</statute_ref>, or 
         <statute_ref>256B.441</statute_ref> 256R.26. If the replacement beds permitted under this <br />
         		<a id="pl.498.30"></a><var>498.30</var>paragraph are combined with beds from other nursing facilities, the rates shall be
         calculated <br />
         		<a id="pl.498.31"></a><var>498.31</var>as the weighted average of rates determined as provided in this paragraph and section
         <br />
         		
         <statute_ref><a id="pl.498.32"></a><var>498.32</var>256B.441, subdivision 60
         </statute_ref> 256R.50;<br />
         		<a id="pl.498.33"></a><var>498.33</var>&#160;&#160;&#160;&#160;(y) to license and certify beds in a renovation and remodeling project to convert
         13 <br />
         		<a id="pl.498.34"></a><var>498.34</var>three-bed wards into 13 two-bed rooms and 13 single-bed rooms, expand space, and add
         <br />
         		<a id="pl.498.35"></a><var>498.35</var>improvements in a nursing home that, as of January 1, 1994, met the following conditions:
         <br />
         		<a id="pl.499.1"></a><var>499.1</var>the nursing home was located in Ramsey County, was not owned by a hospital corporation,
         <br />
         		<a id="pl.499.2"></a><var>499.2</var>had a licensed capacity of 64 beds, and had been ranked among the top 15 applicants
         by <br />
         		<a id="pl.499.3"></a><var>499.3</var>the 1993 moratorium exceptions advisory review panel. The total project construction
         cost <br />
         		<a id="pl.499.4"></a><var>499.4</var>estimate for this project must not exceed the cost estimate submitted in connection
         with the <br />
         		<a id="pl.499.5"></a><var>499.5</var>1993 moratorium exception process;<br />
         		<a id="pl.499.6"></a><var>499.6</var>&#160;&#160;&#160;&#160;(z) to license and certify up to 150 nursing home beds to replace an existing 285
         bed <br />
         		<a id="pl.499.7"></a><var>499.7</var>nursing facility located in St. Paul. The replacement project shall include both the
         renovation <br />
         		<a id="pl.499.8"></a><var>499.8</var>of existing buildings and the construction of new facilities at the existing site.
         The reduction <br />
         		<a id="pl.499.9"></a><var>499.9</var>in the licensed capacity of the existing facility shall occur during the construction
         project <br />
         		<a id="pl.499.10"></a><var>499.10</var>as beds are taken out of service due to the construction process. Prior to the start
         of the <br />
         		<a id="pl.499.11"></a><var>499.11</var>construction process, the facility shall provide written information to the commissioner
         of <br />
         		<a id="pl.499.12"></a><var>499.12</var>health describing the process for bed reduction, plans for the relocation of residents,
         and <br />
         		<a id="pl.499.13"></a><var>499.13</var>the estimated construction schedule. The relocation of residents shall be in accordance
         with <br />
         		<a id="pl.499.14"></a><var>499.14</var>the provisions of law and rule;<br />
         		<a id="pl.499.15"></a><var>499.15</var>&#160;&#160;&#160;&#160;(aa) to allow the commissioner of human services to license an additional 36 beds
         to <br />
         		<a id="pl.499.16"></a><var>499.16</var>provide residential services for the physically disabled under Minnesota Rules, parts
         <br />
         		<a id="pl.499.17"></a><var>499.17</var>9570.2000 to 9570.3400, in a 198-bed nursing home located in Red Wing, provided that <br />
         		<a id="pl.499.18"></a><var>499.18</var>the total number of licensed and certified beds at the facility does not increase;<br />
         		<a id="pl.499.19"></a><var>499.19</var>&#160;&#160;&#160;&#160;(bb) to license and certify a new facility in St. Louis County with 44 beds constructed
         <br />
         		<a id="pl.499.20"></a><var>499.20</var>to replace an existing facility in St. Louis County with 31 beds, which has resident
         rooms <br />
         		<a id="pl.499.21"></a><var>499.21</var>on two separate floors and an antiquated elevator that creates safety concerns for
         residents <br />
         		<a id="pl.499.22"></a><var>499.22</var>and prevents nonambulatory residents from residing on the second floor. The project
         shall <br />
         		<a id="pl.499.23"></a><var>499.23</var>include the elimination of three- and four-bed rooms;<br />
         		<a id="pl.499.24"></a><var>499.24</var>&#160;&#160;&#160;&#160;(cc) to license and certify four beds in a 16-bed certified boarding care home in
         <br />
         		<a id="pl.499.25"></a><var>499.25</var>Minneapolis to replace beds that were voluntarily delicensed and decertified on or
         before <br />
         		<a id="pl.499.26"></a><var>499.26</var>March 31, 1992. The licensure and certification is conditional upon the facility periodically
         <br />
         		<a id="pl.499.27"></a><var>499.27</var>assessing and adjusting its resident mix and other factors which may contribute to
         a potential <br />
         		<a id="pl.499.28"></a><var>499.28</var>institution for mental disease declaration. The commissioner of human services shall
         retain <br />
         		<a id="pl.499.29"></a><var>499.29</var>the authority to audit the facility at any time and shall require the facility to
         comply with <br />
         		<a id="pl.499.30"></a><var>499.30</var>any requirements necessary to prevent an institution for mental disease declaration,
         including <br />
         		<a id="pl.499.31"></a><var>499.31</var>delicensure and decertification of beds, if necessary;<br />
         		<a id="pl.499.32"></a><var>499.32</var>&#160;&#160;&#160;&#160;(dd) to license and certify 72 beds in an existing facility in Mille Lacs County with
         80 <br />
         		<a id="pl.499.33"></a><var>499.33</var>beds as part of a renovation project. The renovation must include construction of
         an addition <br />
         		<a id="pl.499.34"></a><var>499.34</var>to accommodate ten residents with beginning and midstage dementia in a self-contained
         <br />
         		<a id="pl.500.1"></a><var>500.1</var>living unit; creation of three resident households where dining, activities, and support
         spaces <br />
         		<a id="pl.500.2"></a><var>500.2</var>are located near resident living quarters; designation of four beds for rehabilitation
         in a <br />
         		<a id="pl.500.3"></a><var>500.3</var>self-contained area; designation of 30 private rooms; and other improvements;<br />
         		<a id="pl.500.4"></a><var>500.4</var>&#160;&#160;&#160;&#160;(ee) to license and certify beds in a facility that has undergone replacement or remodeling
         <br />
         		<a id="pl.500.5"></a><var>500.5</var>as part of a planned closure under section 
         <statute_ref>256B.437</statute_ref> 256R.40;<br />
         		<a id="pl.500.6"></a><var>500.6</var>&#160;&#160;&#160;&#160;(ff) to license and certify a total replacement project of up to 124 beds located
         in Wilkin <br />
         		<a id="pl.500.7"></a><var>500.7</var>County that are in need of relocation from a nursing home significantly damaged by
         flood. <br />
         		<a id="pl.500.8"></a><var>500.8</var>The operating cost payment rates for the new nursing facility shall be determined
         based on <br />
         		<a id="pl.500.9"></a><var>500.9</var>the interim and settle-up payment provisions of Minnesota Rules, part 9549.0057, and the <br />
         		<a id="pl.500.10"></a><var>500.10</var>reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref> chapter 256R. Property-related reimbursement <br />
         		<a id="pl.500.11"></a><var>500.11</var>rates shall be determined under section 
         <statute_ref>256B.431</statute_ref> 256R.26, taking into account any federal <br />
         		<a id="pl.500.12"></a><var>500.12</var>or state flood-related loans or grants provided to the facility;<br />
         		<a id="pl.500.13"></a><var>500.13</var>&#160;&#160;&#160;&#160;(gg) to allow the commissioner of human services to license an additional nine beds
         to <br />
         		<a id="pl.500.14"></a><var>500.14</var>provide residential services for the physically disabled under Minnesota Rules, parts
         <br />
         		<a id="pl.500.15"></a><var>500.15</var>9570.2000 to 9570.3400, in a 240-bed nursing home located in Duluth, provided that the <br />
         		<a id="pl.500.16"></a><var>500.16</var>total number of licensed and certified beds at the facility does not increase;<br />
         		<a id="pl.500.17"></a><var>500.17</var>&#160;&#160;&#160;&#160;(hh) to license and certify up to 120 new nursing facility beds to replace beds in
         a facility <br />
         		<a id="pl.500.18"></a><var>500.18</var>in Anoka County, which was licensed for 98 beds as of July 1, 2000, provided the new
         <br />
         		<a id="pl.500.19"></a><var>500.19</var>facility is located within four miles of the existing facility and is in Anoka County.
         Operating <br />
         		<a id="pl.500.20"></a><var>500.20</var>and property rates shall be determined and allowed under section 
         <statute_ref>256B.431</statute_ref> chapter 256R <br />
         		<a id="pl.500.21"></a><var>500.21</var>and Minnesota Rules, parts 9549.0010 to 9549.0080, or section 
         <statute_ref>256B.434</statute_ref> or 
         <statute_ref>256B.441</statute_ref>; or<br />
         		<a id="pl.500.22"></a><var>500.22</var>&#160;&#160;&#160;&#160;(ii) to transfer up to 98 beds of a 129-licensed bed facility located in Anoka County
         that, <br />
         		<a id="pl.500.23"></a><var>500.23</var>as of March 25, 2001, is in the active process of closing, to a 122-licensed bed nonprofit
         <br />
         		<a id="pl.500.24"></a><var>500.24</var>nursing facility located in the city of Columbia Heights or its affiliate. The transfer
         is effective <br />
         		<a id="pl.500.25"></a><var>500.25</var>when the receiving facility notifies the commissioner in writing of the number of
         beds <br />
         		<a id="pl.500.26"></a><var>500.26</var>accepted. The commissioner shall place all transferred beds on layaway status held
         in the <br />
         		<a id="pl.500.27"></a><var>500.27</var>name of the receiving facility. The layaway adjustment provisions of section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.500.28"></a><var>500.28</var>subdivision 30, do not apply to this layaway. The receiving facility may only remove
         the <br />
         		<a id="pl.500.29"></a><var>500.29</var>beds from layaway for recertification and relicensure at the receiving facility's
         current site, <br />
         		<a id="pl.500.30"></a><var>500.30</var>or at a newly constructed facility located in Anoka County. The receiving facility
         must <br />
         		<a id="pl.500.31"></a><var>500.31</var>receive statutory authorization before removing these beds from layaway status, or
         may <br />
         		<a id="pl.500.32"></a><var>500.32</var>remove these beds from layaway status if removal from layaway status is part of a
         <br />
         		<a id="pl.500.33"></a><var>500.33</var>moratorium exception project approved by the commissioner under section 
         <statute_ref>144A.073</statute_ref>.<br />
         		<br />
         		<a id="bill.14.7.0"></a><a id="pl.501.1"></a><var>501.1</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2016, section 144A.071, subdivision 4c, is amended to read:<br />
         		<a id="pl.501.2"></a><var>501.2</var>&#160;&#160;&#160;&#160;Subd. 4c. <b>Exceptions for replacement beds after June 30, 2003.</b> (a) The commissioner <br />
         		<a id="pl.501.3"></a><var>501.3</var>of health, in coordination with the commissioner of human services, may approve the
         <br />
         		<a id="pl.501.4"></a><var>501.4</var>renovation, replacement, upgrading, or relocation of a nursing home or boarding care
         home, <br />
         		<a id="pl.501.5"></a><var>501.5</var>under the following conditions:<br />
         		<a id="pl.501.6"></a><var>501.6</var>&#160;&#160;&#160;&#160;(1) to license and certify an 80-bed city-owned facility in Nicollet County to be
         <br />
         		<a id="pl.501.7"></a><var>501.7</var>constructed on the site of a new city-owned hospital to replace an existing 85-bed
         facility <br />
         		<a id="pl.501.8"></a><var>501.8</var>attached to a hospital that is also being replaced. The threshold allowed for this
         project <br />
         		<a id="pl.501.9"></a><var>501.9</var>under section 
         <statute_ref>144A.073</statute_ref> shall be the maximum amount available to pay the additional <br />
         		<a id="pl.501.10"></a><var>501.10</var>medical assistance costs of the new facility;<br />
         		<a id="pl.501.11"></a><var>501.11</var>&#160;&#160;&#160;&#160;(2) to license and certify 29 beds to be added to an existing 69-bed facility in St.
         Louis <br />
         		<a id="pl.501.12"></a><var>501.12</var>County, provided that the 29 beds must be transferred from active or layaway status
         at an <br />
         		<a id="pl.501.13"></a><var>501.13</var>existing facility in St. Louis County that had 235 beds on April 1, 2003.<br />
         		<a id="pl.501.14"></a><var>501.14</var>The licensed capacity at the 235-bed facility must be reduced to 206 beds, but the
         payment <br />
         		<a id="pl.501.15"></a><var>501.15</var>rate at that facility shall not be adjusted as a result of this transfer. The operating
         payment <br />
         		<a id="pl.501.16"></a><var>501.16</var>rate of the facility adding beds after completion of this project shall be the same
         as it was <br />
         		<a id="pl.501.17"></a><var>501.17</var>on the day prior to the day the beds are licensed and certified. This project shall
         not proceed <br />
         		<a id="pl.501.18"></a><var>501.18</var>unless it is approved and financed under the provisions of section 
         <statute_ref>144A.073</statute_ref>;<br />
         		<a id="pl.501.19"></a><var>501.19</var>&#160;&#160;&#160;&#160;(3) to license and certify a new 60-bed facility in Austin, provided that: (i) 45
         of the new <br />
         		<a id="pl.501.20"></a><var>501.20</var>beds are transferred from a 45-bed facility in Austin under common ownership that
         is closed <br />
         		<a id="pl.501.21"></a><var>501.21</var>and 15 of the new beds are transferred from a 182-bed facility in Albert Lea under
         common <br />
         		<a id="pl.501.22"></a><var>501.22</var>ownership; (ii) the commissioner of human services is authorized by the 2004 legislature
         <br />
         		<a id="pl.501.23"></a><var>501.23</var>to negotiate budget-neutral planned nursing facility closures; and (iii) money is
         available <br />
         		<a id="pl.501.24"></a><var>501.24</var>from planned closures of facilities under common ownership to make implementation
         of <br />
         		<a id="pl.501.25"></a><var>501.25</var>this clause budget-neutral to the state. The bed capacity of the Albert Lea facility
         shall be <br />
         		<a id="pl.501.26"></a><var>501.26</var>reduced to 167 beds following the transfer. Of the 60 beds at the new facility, 20
         beds shall <br />
         		<a id="pl.501.27"></a><var>501.27</var>be used for a special care unit for persons with Alzheimer's disease or related dementias;<br />
         		<a id="pl.501.28"></a><var>501.28</var>&#160;&#160;&#160;&#160;(4) to license and certify up to 80 beds transferred from an existing state-owned
         nursing <br />
         		<a id="pl.501.29"></a><var>501.29</var>facility in Cass County to a new facility located on the grounds of the Ah-Gwah-Ching
         <br />
         		<a id="pl.501.30"></a><var>501.30</var>campus. The operating cost payment rates for the new facility shall be determined
         based <br />
         		<a id="pl.501.31"></a><var>501.31</var>on the interim and settle-up payment provisions of Minnesota Rules, part 9549.0057, and <br />
         		<a id="pl.501.32"></a><var>501.32</var>the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref> chapter 256R. The property payment <br />
         		<a id="pl.501.33"></a><var>501.33</var>rate for the first three years of operation shall be $35 per day. For subsequent years,
         the <br />
         		<a id="pl.501.34"></a><var>501.34</var>property payment rate of $35 per day shall be adjusted for inflation as provided in
         section <br />
         		
         <statute_ref><a id="pl.502.1"></a><var>502.1</var>256B.434
         </statute_ref>, subdivision 4, paragraph (c), as long as the facility has a contract under section
         <br />
         		
         <statute_ref><a id="pl.502.2"></a><var>502.2</var>256B.434
         </statute_ref>;<br />
         		<a id="pl.502.3"></a><var>502.3</var>&#160;&#160;&#160;&#160;(5) to initiate a pilot program to license and certify up to 80 beds transferred from
         an <br />
         		<a id="pl.502.4"></a><var>502.4</var>existing county-owned nursing facility in Steele County relocated to the site of a
         new acute <br />
         		<a id="pl.502.5"></a><var>502.5</var>care facility as part of the county's Communities for a Lifetime comprehensive plan
         to create <br />
         		<a id="pl.502.6"></a><var>502.6</var>innovative responses to the aging of its population. Upon relocation to the new site,
         the <br />
         		<a id="pl.502.7"></a><var>502.7</var>nursing facility shall delicense 28 beds. The payment rate for external fixed costs
         for the <br />
         		<a id="pl.502.8"></a><var>502.8</var>new facility shall be increased by an amount as calculated according to items (i)
         to (v):<br />
         		<a id="pl.502.9"></a><var>502.9</var>&#160;&#160;&#160;&#160;(i) compute the estimated decrease in medical assistance residents served by the nursing
         <br />
         		<a id="pl.502.10"></a><var>502.10</var>facility by multiplying the decrease in licensed beds by the historical percentage
         of medical <br />
         		<a id="pl.502.11"></a><var>502.11</var>assistance resident days;<br />
         		<a id="pl.502.12"></a><var>502.12</var>&#160;&#160;&#160;&#160;(ii) compute the annual savings to the medical assistance program from the delicensure
         <br />
         		<a id="pl.502.13"></a><var>502.13</var>of 28 beds by multiplying the anticipated decrease in medical assistance residents,
         determined <br />
         		<a id="pl.502.14"></a><var>502.14</var>in item (i), by the existing facility's weighted average payment rate multiplied by
         365;<br />
         		<a id="pl.502.15"></a><var>502.15</var>&#160;&#160;&#160;&#160;(iii) compute the anticipated annual costs for community-based services by multiplying
         <br />
         		<a id="pl.502.16"></a><var>502.16</var>the anticipated decrease in medical assistance residents served by the nursing facility,
         <br />
         		<a id="pl.502.17"></a><var>502.17</var>determined in item (i), by the average monthly elderly waiver service costs for individuals
         <br />
         		<a id="pl.502.18"></a><var>502.18</var>in Steele County multiplied by 12;<br />
         		<a id="pl.502.19"></a><var>502.19</var>&#160;&#160;&#160;&#160;(iv) subtract the amount in item (iii) from the amount in item (ii);<br />
         		<a id="pl.502.20"></a><var>502.20</var>&#160;&#160;&#160;&#160;(v) divide the amount in item (iv) by an amount equal to the relocated nursing facility's
         <br />
         		<a id="pl.502.21"></a><var>502.21</var>occupancy factor under section 
         <statute_ref>256B.431, subdivision 3f</statute_ref>, paragraph (c), multiplied by the <br />
         		<a id="pl.502.22"></a><var>502.22</var>historical percentage of medical assistance resident days; and<br />
         		<a id="pl.502.23"></a><var>502.23</var>(6) to consolidate and relocate nursing facility beds to a new site in Goodhue County
         <br />
         		<a id="pl.502.24"></a><var>502.24</var>and to integrate these services with other community-based programs and services under
         a <br />
         		<a id="pl.502.25"></a><var>502.25</var>communities for a lifetime pilot program and comprehensive plan to create innovative
         <br />
         		<a id="pl.502.26"></a><var>502.26</var>responses to the aging of its population. Two nursing facilities, one for 84 beds
         and one for <br />
         		<a id="pl.502.27"></a><var>502.27</var>65 beds, in the city of Red Wing licensed on July 1, 2015, shall be consolidated into
         a newly <br />
         		<a id="pl.502.28"></a><var>502.28</var>renovated 64-bed nursing facility resulting in the delicensure of 85 beds. Notwithstanding
         <br />
         		<a id="pl.502.29"></a><var>502.29</var>the carryforward of the approval authority in section 
         <statute_ref>144A.073, subdivision 11</statute_ref>, the funding <br />
         		<a id="pl.502.30"></a><var>502.30</var>approved in April 2009 by the commissioner of health for a project in Goodhue County
         <br />
         		<a id="pl.502.31"></a><var>502.31</var>shall not carry forward. The closure of the 85 beds shall not be eligible for a planned
         closure <br />
         		<a id="pl.502.32"></a><var>502.32</var>rate adjustment under section 
         <statute_ref>256B.437</statute_ref> 256R.40. The construction project permitted in this <br />
         		<a id="pl.502.33"></a><var>502.33</var>clause shall not be eligible for a threshold project rate adjustment under section
         
         <statute_ref>256B.434, <br />
            		<a id="pl.503.1"></a><var>503.1</var>subdivision 4f
         </statute_ref>. The payment rate for external fixed costs for the new facility shall be <br />
         		<a id="pl.503.2"></a><var>503.2</var>increased by an amount as calculated according to items (i) to (vi):<br />
         		<a id="pl.503.3"></a><var>503.3</var>(i) compute the estimated decrease in medical assistance residents served by both
         nursing <br />
         		<a id="pl.503.4"></a><var>503.4</var>facilities by multiplying the difference between the occupied beds of the two nursing
         facilities <br />
         		<a id="pl.503.5"></a><var>503.5</var>for the reporting year ending September 30, 2009, and the projected occupancy of the
         facility <br />
         		<a id="pl.503.6"></a><var>503.6</var>at 95 percent occupancy by the historical percentage of medical assistance resident
         days;<br />
         		<a id="pl.503.7"></a><var>503.7</var>(ii) compute the annual savings to the medical assistance program from the delicensure
         <br />
         		<a id="pl.503.8"></a><var>503.8</var>by multiplying the anticipated decrease in the medical assistance residents, determined
         in <br />
         		<a id="pl.503.9"></a><var>503.9</var>item (i), by the hospital-owned nursing facility weighted average payment rate multiplied
         <br />
         		<a id="pl.503.10"></a><var>503.10</var>by 365;<br />
         		<a id="pl.503.11"></a><var>503.11</var>(iii) compute the anticipated annual costs for community-based services by multiplying
         <br />
         		<a id="pl.503.12"></a><var>503.12</var>the anticipated decrease in medical assistance residents served by the facilities,
         determined <br />
         		<a id="pl.503.13"></a><var>503.13</var>in item (i), by the average monthly elderly waiver service costs for individuals in
         Goodhue <br />
         		<a id="pl.503.14"></a><var>503.14</var>County multiplied by 12;<br />
         		<a id="pl.503.15"></a><var>503.15</var>(iv) subtract the amount in item (iii) from the amount in item (ii);<br />
         		<a id="pl.503.16"></a><var>503.16</var>(v) multiply the amount in item (iv) by 57.2 percent; and<br />
         		<a id="pl.503.17"></a><var>503.17</var>(vi) divide the difference of the amount in item (iv) and the amount in item (v) by
         an <br />
         		<a id="pl.503.18"></a><var>503.18</var>amount equal to the relocated nursing facility's occupancy factor under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.503.19"></a><var>503.19</var>subdivision 3f, paragraph (c), multiplied by the historical percentage of medical
         assistance <br />
         		<a id="pl.503.20"></a><var>503.20</var>resident days.<br />
         		<a id="pl.503.21"></a><var>503.21</var>&#160;&#160;&#160;&#160;(b) Projects approved under this subdivision shall be treated in a manner equivalent
         to <br />
         		<a id="pl.503.22"></a><var>503.22</var>projects approved under subdivision 4a.<br />
         		<br />
         		<a id="bill.14.8.0"></a><a id="pl.503.23"></a><var>503.23</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2016, section 144A.071, subdivision 4d, is amended to read:<br />
         		<a id="pl.503.24"></a><var>503.24</var>&#160;&#160;&#160;&#160;Subd. 4d. <b>Consolidation of nursing facilities.</b> (a) The commissioner of health, in <br />
         		<a id="pl.503.25"></a><var>503.25</var>consultation with the commissioner of human services, may approve a request for <br />
         		<a id="pl.503.26"></a><var>503.26</var>consolidation of nursing facilities which includes the closure of one or more facilities
         and <br />
         		<a id="pl.503.27"></a><var>503.27</var>the upgrading of the physical plant of the remaining nursing facility or facilities,
         the costs <br />
         		<a id="pl.503.28"></a><var>503.28</var>of which exceed the threshold project limit under subdivision 2, clause (a). The <br />
         		<a id="pl.503.29"></a><var>503.29</var>commissioners shall consider the criteria in this section, section 
         <statute_ref>144A.073</statute_ref>, and section <br />
         		
         <statute_ref><a id="pl.503.30"></a><var>503.30</var>256B.437
         </statute_ref> 256R.40, in approving or rejecting a consolidation proposal. In the event the <br />
         		<a id="pl.503.31"></a><var>503.31</var>commissioners approve the request, the commissioner of human services shall calculate
         an <br />
         		<a id="pl.503.32"></a><var>503.32</var>external fixed costs rate adjustment according to clauses (1) to (3):<br />
         		<a id="pl.504.1"></a><var>504.1</var>(1) the closure of beds shall not be eligible for a planned closure rate adjustment
         under <br />
         		<a id="pl.504.2"></a><var>504.2</var>section 
         <statute_ref>256B.437, subdivision 6</statute_ref> 256R.40, subdivision 5;<br />
         		<a id="pl.504.3"></a><var>504.3</var>(2) the construction project permitted in this clause shall not be eligible for a
         threshold <br />
         		<a id="pl.504.4"></a><var>504.4</var>project rate adjustment under section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>, or a moratorium exception <br />
         		<a id="pl.504.5"></a><var>504.5</var>adjustment under section 
         <statute_ref>144A.073</statute_ref>; and<br />
         		<a id="pl.504.6"></a><var>504.6</var>(3) the payment rate for external fixed costs for a remaining facility or facilities
         shall <br />
         		<a id="pl.504.7"></a><var>504.7</var>be increased by an amount equal to 65 percent of the projected net cost savings to
         the state <br />
         		<a id="pl.504.8"></a><var>504.8</var>calculated in paragraph (b), divided by the state's medical assistance percentage
         of medical <br />
         		<a id="pl.504.9"></a><var>504.9</var>assistance dollars, and then divided by estimated medical assistance resident days,
         as <br />
         		<a id="pl.504.10"></a><var>504.10</var>determined in paragraph (c), of the remaining nursing facility or facilities in the
         request in <br />
         		<a id="pl.504.11"></a><var>504.11</var>this paragraph. The rate adjustment is effective on the later of the first day of
         the month <br />
         		<a id="pl.504.12"></a><var>504.12</var>following completion of the construction upgrades in the consolidation plan or the
         first day <br />
         		<a id="pl.504.13"></a><var>504.13</var>of the month following the complete closure of a facility designated for closure in
         the <br />
         		<a id="pl.504.14"></a><var>504.14</var>consolidation plan. If more than one facility is receiving upgrades in the consolidation
         plan, <br />
         		<a id="pl.504.15"></a><var>504.15</var>each facility's date of construction completion must be evaluated separately.<br />
         		<a id="pl.504.16"></a><var>504.16</var>(b) For purposes of calculating the net cost savings to the state, the commissioner
         shall <br />
         		<a id="pl.504.17"></a><var>504.17</var>consider clauses (1) to (7):<br />
         		<a id="pl.504.18"></a><var>504.18</var>(1) the annual savings from estimated medical assistance payments from the net number
         <br />
         		<a id="pl.504.19"></a><var>504.19</var>of beds closed taking into consideration only beds that are in active service on the
         date of <br />
         		<a id="pl.504.20"></a><var>504.20</var>the request and that have been in active service for at least three years;<br />
         		<a id="pl.504.21"></a><var>504.21</var>(2) the estimated annual cost of increased case load of individuals receiving services
         <br />
         		<a id="pl.504.22"></a><var>504.22</var>under the elderly waiver;<br />
         		<a id="pl.504.23"></a><var>504.23</var>(3) the estimated annual cost of elderly waiver recipients receiving support under
         group <br />
         		<a id="pl.504.24"></a><var>504.24</var>residential housing;<br />
         		<a id="pl.504.25"></a><var>504.25</var>(4) the estimated annual cost of increased case load of individuals receiving services
         <br />
         		<a id="pl.504.26"></a><var>504.26</var>under the alternative care program;<br />
         		<a id="pl.504.27"></a><var>504.27</var>(5) the annual loss of license surcharge payments on closed beds;<br />
         		<a id="pl.504.28"></a><var>504.28</var>(6) the savings from not paying planned closure rate adjustments that the facilities
         would <br />
         		<a id="pl.504.29"></a><var>504.29</var>otherwise be eligible for under section 
         <statute_ref>256B.437</statute_ref> 256R.40; and<br />
         		<a id="pl.504.30"></a><var>504.30</var>(7) the savings from not paying external fixed costs payment rate adjustments from
         <br />
         		<a id="pl.504.31"></a><var>504.31</var>submission of renovation costs that would otherwise be eligible as threshold projects
         under <br />
         		<a id="pl.504.32"></a><var>504.32</var>section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>.<br />
         		<a id="pl.505.1"></a><var>505.1</var>(c) For purposes of the calculation in paragraph (a), clause (3), the estimated medical
         <br />
         		<a id="pl.505.2"></a><var>505.2</var>assistance resident days of the remaining facility or facilities shall be computed
         assuming <br />
         		<a id="pl.505.3"></a><var>505.3</var>95 percent occupancy multiplied by the historical percentage of medical assistance
         resident <br />
         		<a id="pl.505.4"></a><var>505.4</var>days of the remaining facility or facilities, as reported on the facility's or facilities'
         most <br />
         		<a id="pl.505.5"></a><var>505.5</var>recent nursing facility statistical and cost report filed before the plan of closure
         is submitted, <br />
         		<a id="pl.505.6"></a><var>505.6</var>multiplied by 365.<br />
         		<a id="pl.505.7"></a><var>505.7</var>(d) For purposes of net cost of savings to the state in paragraph (b), the average
         occupancy <br />
         		<a id="pl.505.8"></a><var>505.8</var>percentages will be those reported on the facility's or facilities' most recent nursing
         facility <br />
         		<a id="pl.505.9"></a><var>505.9</var>statistical and cost report filed before the plan of closure is submitted, and the
         average <br />
         		<a id="pl.505.10"></a><var>505.10</var>payment rates shall be calculated based on the approved payment rates in effect at
         the time <br />
         		<a id="pl.505.11"></a><var>505.11</var>the consolidation request is submitted.<br />
         		<a id="pl.505.12"></a><var>505.12</var>(e) To qualify for the external fixed costs payment rate adjustment under this subdivision,
         <br />
         		<a id="pl.505.13"></a><var>505.13</var>the closing facilities shall:<br />
         		<a id="pl.505.14"></a><var>505.14</var>(1) submit an application for closure according to section 
         <statute_ref>256B.437, subdivision </statute_ref>3 <br />
         		<a id="pl.505.15"></a><var>505.15</var>256R.40, subdivision 2; and<br />
         		<a id="pl.505.16"></a><var>505.16</var>(2) follow the resident relocation provisions of section 
         <statute_ref>144A.161</statute_ref>.<br />
         		<a id="pl.505.17"></a><var>505.17</var>(f) The county or counties in which a facility or facilities are closed under this
         subdivision <br />
         		<a id="pl.505.18"></a><var>505.18</var>shall not be eligible for designation as a hardship area under subdivision 3 for five
         years <br />
         		<a id="pl.505.19"></a><var>505.19</var>from the date of the approval of the proposed consolidation. The applicant shall notify
         the <br />
         		<a id="pl.505.20"></a><var>505.20</var>county of this limitation and the county shall acknowledge this in a letter of support.<br />
         		<br />
         		<a id="bill.14.9.0"></a><a id="pl.505.21"></a><var>505.21</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2016, section 144A.073, subdivision 3c, is amended to read:<br />
         		<a id="pl.505.22"></a><var>505.22</var>&#160;&#160;&#160;&#160;Subd. 3c. <b>Cost neutral relocation projects.</b> (a) Notwithstanding subdivision 3, the <br />
         		<a id="pl.505.23"></a><var>505.23</var>commissioner may at any time accept proposals, or amendments to proposals previously
         <br />
         		<a id="pl.505.24"></a><var>505.24</var>approved under this section, for relocations that are cost neutral with respect to
         state costs <br />
         		<a id="pl.505.25"></a><var>505.25</var>as defined in section 
         <statute_ref>144A.071, subdivision 5a</statute_ref>. The commissioner, in consultation with the <br />
         		<a id="pl.505.26"></a><var>505.26</var>commissioner of human services, shall evaluate proposals according to subdivision
         4a, <br />
         		<a id="pl.505.27"></a><var>505.27</var>clauses (1), (4), (5), (6), and (8), and other criteria established in rule or law.
         The <br />
         		<a id="pl.505.28"></a><var>505.28</var>commissioner of human services shall determine the allowable payment rates of the
         facility <br />
         		<a id="pl.505.29"></a><var>505.29</var>receiving the beds in accordance with section 
         <statute_ref>256B.441, subdivision 60</statute_ref> 256R.50. The <br />
         		<a id="pl.505.30"></a><var>505.30</var>commissioner shall approve or disapprove a project within 90 days.<br />
         		<a id="pl.505.31"></a><var>505.31</var>&#160;&#160;&#160;&#160;(b) For the purposes of paragraph (a), cost neutrality shall be measured over the
         first <br />
         		<a id="pl.505.32"></a><var>505.32</var>three 12-month periods of operation after completion of the project.<br />
         		<br />
         		<a id="bill.14.10.0"></a><a id="pl.506.1"></a><var>506.1</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2016, section 144A.10, subdivision 4, is amended to read:<br />
         		<a id="pl.506.2"></a><var>506.2</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Correction orders.</b> Whenever a duly authorized representative of the <br />
         		<a id="pl.506.3"></a><var>506.3</var>commissioner of health finds upon inspection of a nursing home, that the facility
         or a <br />
         		<a id="pl.506.4"></a><var>506.4</var>controlling person or an employee of the facility is not in compliance with sections
         
         <statute_ref>144.411</statute_ref> <br />
         		<a id="pl.506.5"></a><var>506.5</var>to 
         <statute_ref>144.417</statute_ref>, 
         <statute_ref>144.651</statute_ref>, 
         <statute_ref>144.6503, 144A.01</statute_ref> to 
         <statute_ref>144A.155</statute_ref>, or 
         <statute_ref>626.557</statute_ref> or the rules promulgated <br />
         		<a id="pl.506.6"></a><var>506.6</var>thereunder, a correction order shall be issued to the facility. The correction order
         shall state <br />
         		<a id="pl.506.7"></a><var>506.7</var>the deficiency, cite the specific rule or statute violated, state the suggested method
         of <br />
         		<a id="pl.506.8"></a><var>506.8</var>correction, and specify the time allowed for correction. If the commissioner finds
         that the <br />
         		<a id="pl.506.9"></a><var>506.9</var>nursing home had uncorrected or repeated violations which create a risk to resident
         care, <br />
         		<a id="pl.506.10"></a><var>506.10</var>safety, or rights, the commissioner shall notify the commissioner of human services
         who <br />
         		<a id="pl.506.11"></a><var>506.11</var>shall require the facility to use any efficiency incentive payments received under
         section <br />
         		
         <statute_ref><a id="pl.506.12"></a><var>506.12</var>256B.431, subdivision 2b
         </statute_ref>, paragraph (d), to correct the violations and shall require the <br />
         		<a id="pl.506.13"></a><var>506.13</var>facility to forfeit incentive payments for failure to correct the violations as provided
         in <br />
         		<a id="pl.506.14"></a><var>506.14</var>section 
         <statute_ref>256B.431, subdivision</statute_ref> 2n. The forfeiture shall not apply to correction orders issued <br />
         		<a id="pl.506.15"></a><var>506.15</var>for physical plant deficiencies.<br />
         		<br />
         		<a id="bill.14.11.0"></a><a id="pl.506.16"></a><var>506.16</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2016, section 144A.15, subdivision 2, is amended to read:<br />
         		<a id="pl.506.17"></a><var>506.17</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Appointment of receiver, rental.</b> If, after hearing, the court finds that <br />
         		<a id="pl.506.18"></a><var>506.18</var>receivership is necessary as a means of protecting the health, safety, or welfare
         of a resident <br />
         		<a id="pl.506.19"></a><var>506.19</var>of the facility, the court shall appoint the commissioner of health as a receiver
         to take charge <br />
         		<a id="pl.506.20"></a><var>506.20</var>of the facility. The commissioner may enter into an agreement for a managing agent
         to work <br />
         		<a id="pl.506.21"></a><var>506.21</var>on the commissioner's behalf in operating the facility during the receivership. The
         court <br />
         		<a id="pl.506.22"></a><var>506.22</var>shall determine a fair monthly rental for the facility, taking into account all relevant
         factors <br />
         		<a id="pl.506.23"></a><var>506.23</var>including the condition of the facility. This rental fee shall be paid by the receiver
         to the <br />
         		<a id="pl.506.24"></a><var>506.24</var>appropriate controlling person for each month that the receivership remains in effect
         but <br />
         		<a id="pl.506.25"></a><var>506.25</var>shall be reduced by the amount that the costs of the receivership provided under section
         <br />
         		
         <statute_ref><a id="pl.506.26"></a><var>506.26</var>256B.495
         </statute_ref> 256R.52 are in excess of the facility rate. The controlling person may agree to <br />
         		<a id="pl.506.27"></a><var>506.27</var>waive the fair monthly rent by affidavit to the court. Notwithstanding any other law
         to the <br />
         		<a id="pl.506.28"></a><var>506.28</var>contrary, no payment made to a controlling person by any state agency during a period
         of <br />
         		<a id="pl.506.29"></a><var>506.29</var>receivership shall include any allowance for profit or be based on any formula which
         includes <br />
         		<a id="pl.506.30"></a><var>506.30</var>an allowance for profit.<br />
         		<a id="pl.506.31"></a><var>506.31</var>Notwithstanding state contracting requirements in chapter 16C, the commissioner shall
         <br />
         		<a id="pl.506.32"></a><var>506.32</var>establish and maintain a list of qualified licensed nursing home administrators, or
         other <br />
         		<a id="pl.506.33"></a><var>506.33</var>qualified persons or organizations with experience in delivering skilled health care
         services <br />
         		<a id="pl.506.34"></a><var>506.34</var>and the operation of long-term care facilities for those interested in being a managing
         agent <br />
         		<a id="pl.507.1"></a><var>507.1</var>on the commissioner's behalf during a state receivership of a facility. This list
         will be a <br />
         		<a id="pl.507.2"></a><var>507.2</var>resource for choosing a managing agent and the commissioner may update the list at
         any <br />
         		<a id="pl.507.3"></a><var>507.3</var>time. A managing agent cannot be someone who: (1) is the owner, licensee, or administrator
         <br />
         		<a id="pl.507.4"></a><var>507.4</var>of the facility; (2) has a financial interest in the facility at the time of the receivership
         or is <br />
         		<a id="pl.507.5"></a><var>507.5</var>a related party to the owner, licensee, or administrator; or (3) has owned or operated
         any <br />
         		<a id="pl.507.6"></a><var>507.6</var>nursing facility or boarding care home that has been ordered into receivership.<br />
         		<br />
         		<a id="bill.14.12.0"></a><a id="pl.507.7"></a><var>507.7</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2016, section 144A.154, is amended to read:<br />
         		<a id="pl.507.8"></a><var>507.8</var><b>144A.154 RATE RECOMMENDATION.</b><br />
         		<a id="pl.507.9"></a><var>507.9</var>The commissioner may recommend to the commissioner of human services a review of <br />
         		<a id="pl.507.10"></a><var>507.10</var>the rates for a nursing home or boarding care home that participates in the medical
         assistance <br />
         		<a id="pl.507.11"></a><var>507.11</var>program that is in voluntary or involuntary receivership, and that has needs or deficiencies
         <br />
         		<a id="pl.507.12"></a><var>507.12</var>documented by the Department of Health. If the commissioner of health determines that
         a <br />
         		<a id="pl.507.13"></a><var>507.13</var>review of the rate under section 
         <statute_ref>256B.495</statute_ref> 256R.52 is needed, the commissioner shall provide <br />
         		<a id="pl.507.14"></a><var>507.14</var>the commissioner of human services with:<br />
         		<a id="pl.507.15"></a><var>507.15</var>(1) a copy of the order or determination that cites the deficiency or need; and<br />
         		<a id="pl.507.16"></a><var>507.16</var>(2) the commissioner's recommendation for additional staff and additional annual hours
         <br />
         		<a id="pl.507.17"></a><var>507.17</var>by type of employee and additional consultants, services, supplies, equipment, or
         repairs <br />
         		<a id="pl.507.18"></a><var>507.18</var>necessary to satisfy the need or deficiency.<br />
         		<br />
         		<a id="bill.14.13.0"></a><a id="pl.507.19"></a><var>507.19</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2016, section 144A.161, subdivision 10, is amended to read:<br />
         		<a id="pl.507.20"></a><var>507.20</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Facility closure rate adjustment.</b> Upon the request of a closing facility, the <br />
         		<a id="pl.507.21"></a><var>507.21</var>commissioner of human services must allow the facility a closure rate adjustment equal
         to <br />
         		<a id="pl.507.22"></a><var>507.22</var>a 50 percent payment rate increase to reimburse relocation costs or other costs related
         to <br />
         		<a id="pl.507.23"></a><var>507.23</var>facility closure. This rate increase is effective on the date the facility's occupancy
         decreases <br />
         		<a id="pl.507.24"></a><var>507.24</var>to 90 percent of capacity days after the written notice of closure is distributed
         under <br />
         		<a id="pl.507.25"></a><var>507.25</var>subdivision 5 and shall remain in effect for a period of up to 60 days. The commissioner
         <br />
         		<a id="pl.507.26"></a><var>507.26</var>shall delay the implementation of rate adjustments under section 
         <statute_ref>256B.437, subdivisions <br />
            		<a id="pl.507.27"></a><var>507.27</var>3, paragraph (b)
         </statute_ref>, and 6, paragraph (a) 256R.40, subdivisions 5 and 6, to offset the cost of <br />
         		<a id="pl.507.28"></a><var>507.28</var>this rate adjustment.<br />
         		<br />
         		<a id="bill.14.14.0"></a><a id="pl.507.29"></a><var>507.29</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2016, section 144A.1888, is amended to read:<br />
         		<a id="pl.507.30"></a><var>507.30</var><b>144A.1888 REUSE OF FACILITIES.</b><br />
         		<a id="pl.508.1"></a><var>508.1</var>Notwithstanding any local ordinance related to development, planning, or zoning to
         the <br />
         		<a id="pl.508.2"></a><var>508.2</var>contrary, the conversion or reuse of a nursing home that closes or that curtails,
         reduces, or <br />
         		<a id="pl.508.3"></a><var>508.3</var>changes operations shall be considered a conforming use permitted under local law,
         provided <br />
         		<a id="pl.508.4"></a><var>508.4</var>that the facility is converted to another long-term care service approved by a regional
         <br />
         		<a id="pl.508.5"></a><var>508.5</var>planning group under section 
         <statute_ref>256B.437</statute_ref> 256R.40 that serves a smaller number of persons <br />
         		<a id="pl.508.6"></a><var>508.6</var>than the number of persons served before the closure or curtailment, reduction, or
         change <br />
         		<a id="pl.508.7"></a><var>508.7</var>in operations.<br />
         		<br />
         		<a id="bill.14.15.0"></a><a id="pl.508.8"></a><var>508.8</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2016, section 144A.611, subdivision 1, is amended to read:<br />
         		<a id="pl.508.9"></a><var>508.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Nursing homes and certified boarding care homes.</b> The actual costs <br />
         		<a id="pl.508.10"></a><var>508.10</var>of tuition and textbooks and reasonable expenses for the competency evaluation or
         the <br />
         		<a id="pl.508.11"></a><var>508.11</var>nursing assistant training program and competency evaluation approved under section
         <br />
         		
         <statute_ref><a id="pl.508.12"></a><var>508.12</var>144A.61
         </statute_ref>, which are paid to nursing assistants or adult training programs pursuant to <br />
         		<a id="pl.508.13"></a><var>508.13</var>subdivisions 2 and 4, are a reimbursable expense for nursing homes and certified boarding
         <br />
         		<a id="pl.508.14"></a><var>508.14</var>care homes under section 
         <statute_ref>256B.431, subdivision 36</statute_ref> 256R.37.<br />
         		<br />
         		<a id="bill.14.16.0"></a><a id="pl.508.15"></a><var>508.15</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2016, section 144A.74, is amended to read:<br />
         		<a id="pl.508.16"></a><var>508.16</var><b>144A.74 MAXIMUM CHARGES.</b><br />
         		<a id="pl.508.17"></a><var>508.17</var>A supplemental nursing services agency must not bill or receive payments from a nursing
         <br />
         		<a id="pl.508.18"></a><var>508.18</var>home licensed under this chapter at a rate higher than 150 percent of the sum of the
         weighted <br />
         		<a id="pl.508.19"></a><var>508.19</var>average wage rate, plus a factor determined by the commissioner to incorporate payroll
         <br />
         		<a id="pl.508.20"></a><var>508.20</var>taxes as defined in Minnesota Rules, part 9549.0020, subpart 33 section 256R.02, subdivision <br />
         		<a id="pl.508.21"></a><var>508.21</var>37, for the applicable employee classification for the geographic group to which the
         nursing <br />
         		<a id="pl.508.22"></a><var>508.22</var>home is assigned under Minnesota Rules, part 9549.0052. The weighted average wage rates <br />
         		<a id="pl.508.23"></a><var>508.23</var>must be determined by the commissioner of human services and reported to the commissioner
         <br />
         		<a id="pl.508.24"></a><var>508.24</var>of health on an annual basis. Wages are defined as hourly rate of pay and shift differential,
         <br />
         		<a id="pl.508.25"></a><var>508.25</var>including weekend shift differential and overtime. Facilities shall provide information
         <br />
         		<a id="pl.508.26"></a><var>508.26</var>necessary to determine weighted average wage rates to the commissioner of human services
         <br />
         		<a id="pl.508.27"></a><var>508.27</var>in a format requested by the commissioner. The maximum rate must include all charges
         for <br />
         		<a id="pl.508.28"></a><var>508.28</var>administrative fees, contract fees, or other special charges in addition to the hourly
         rates for <br />
         		<a id="pl.508.29"></a><var>508.29</var>the temporary nursing pool personnel supplied to a nursing home.<br />
         		<br />
         		<a id="bill.14.17.0"></a><a id="pl.508.30"></a><var>508.30</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2016, section 256.9657, subdivision 1, is amended to read:<br />
         		<a id="pl.508.31"></a><var>508.31</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Nursing home license surcharge.</b> (a) Effective July 1, 1993, each <br />
         		<a id="pl.508.32"></a><var>508.32</var>non-state-operated nursing home licensed under chapter 144A shall pay to the commissioner
         <br />
         		<a id="pl.509.1"></a><var>509.1</var>an annual surcharge according to the schedule in subdivision 4. The surcharge shall
         be <br />
         		<a id="pl.509.2"></a><var>509.2</var>calculated as $620 per licensed bed. If the number of licensed beds is reduced, the
         surcharge <br />
         		<a id="pl.509.3"></a><var>509.3</var>shall be based on the number of remaining licensed beds the second month following
         the <br />
         		<a id="pl.509.4"></a><var>509.4</var>receipt of timely notice by the commissioner of human services that beds have been
         <br />
         		<a id="pl.509.5"></a><var>509.5</var>delicensed. The nursing home must notify the commissioner of health in writing when
         beds <br />
         		<a id="pl.509.6"></a><var>509.6</var>are delicensed. The commissioner of health must notify the commissioner of human services
         <br />
         		<a id="pl.509.7"></a><var>509.7</var>within ten working days after receiving written notification. If the notification
         is received <br />
         		<a id="pl.509.8"></a><var>509.8</var>by the commissioner of human services by the 15th of the month, the invoice for the
         second <br />
         		<a id="pl.509.9"></a><var>509.9</var>following month must be reduced to recognize the delicensing of beds. Beds on layaway
         <br />
         		<a id="pl.509.10"></a><var>509.10</var>status continue to be subject to the surcharge. The commissioner of human services
         must <br />
         		<a id="pl.509.11"></a><var>509.11</var>acknowledge a medical care surcharge appeal within 30 days of receipt of the written
         appeal <br />
         		<a id="pl.509.12"></a><var>509.12</var>from the provider.<br />
         		<a id="pl.509.13"></a><var>509.13</var>(b) Effective July 1, 1994, the surcharge in paragraph (a) shall be increased to $625.<br />
         		<a id="pl.509.14"></a><var>509.14</var>(c) Effective August 15, 2002, the surcharge under paragraph (b) shall be increased
         to <br />
         		<a id="pl.509.15"></a><var>509.15</var>$990.<br />
         		<a id="pl.509.16"></a><var>509.16</var>(d) Effective July 15, 2003, the surcharge under paragraph (c) shall be increased
         to <br />
         		<a id="pl.509.17"></a><var>509.17</var>$2,815.<br />
         		<a id="pl.509.18"></a><var>509.18</var>(e) The commissioner may reduce, and may subsequently restore, the surcharge under
         <br />
         		<a id="pl.509.19"></a><var>509.19</var>paragraph (d) based on the commissioner's determination of a permissible surcharge.<br />
         		<a id="pl.509.20"></a><var>509.20</var>(f) Between April 1, 2002, and August 15, 2004, a facility governed by this subdivision
         <br />
         		<a id="pl.509.21"></a><var>509.21</var>may elect to assume full participation in the medical assistance program by agreeing
         to <br />
         		<a id="pl.509.22"></a><var>509.22</var>comply with all of the requirements of the medical assistance program, including the
         rate <br />
         		<a id="pl.509.23"></a><var>509.23</var>equalization law in section 
         <statute_ref>256B.48, subdivision 1</statute_ref>, paragraph (a), and all other requirements <br />
         		<a id="pl.509.24"></a><var>509.24</var>established in law or rule, and to begin intake of new medical assistance recipients.
         Rates <br />
         		<a id="pl.509.25"></a><var>509.25</var>will be determined under Minnesota Rules, parts 9549.0010 to 9549.0080. Rate calculations <br />
         		<a id="pl.509.26"></a><var>509.26</var>will be subject to limits as prescribed in rule and law. Other than the adjustments
         in sections <br />
         		
         <statute_ref><a id="pl.509.27"></a><var>509.27</var>256B.431
         </statute_ref>, subdivisions 30 and 32; 
         <statute_ref>256B.437, subdivision 3</statute_ref>, paragraph (b), Minnesota <br />
         		<a id="pl.509.28"></a><var>509.28</var>Rules, part 9549.0057, and any other applicable legislation enacted prior to the finalization <br />
         		<a id="pl.509.29"></a><var>509.29</var>of rates, facilities assuming full participation in medical assistance under this
         paragraph are <br />
         		<a id="pl.509.30"></a><var>509.30</var>not eligible for any rate adjustments until the July 1 following their settle-up period.<br />
         		<br />
         		<a id="bill.14.18.0"></a><a id="pl.509.31"></a><var>509.31</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2016, section 256B.0915, subdivision 3e, is amended to read:<br />
         		<a id="pl.509.32"></a><var>509.32</var>&#160;&#160;&#160;&#160;Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living services <br />
         		<a id="pl.509.33"></a><var>509.33</var>shall be a monthly rate authorized by the lead agency within the parameters established
         by <br />
         		<a id="pl.510.1"></a><var>510.1</var>the commissioner. The payment agreement must delineate the amount of each component
         <br />
         		<a id="pl.510.2"></a><var>510.2</var>service included in the recipient's customized living service plan. The lead agency,
         with <br />
         		<a id="pl.510.3"></a><var>510.3</var>input from the provider of customized living services, shall ensure that there is
         a documented <br />
         		<a id="pl.510.4"></a><var>510.4</var>need within the parameters established by the commissioner for all component customized
         <br />
         		<a id="pl.510.5"></a><var>510.5</var>living services authorized.<br />
         		<a id="pl.510.6"></a><var>510.6</var>(b) The payment rate must be based on the amount of component services to be provided
         <br />
         		<a id="pl.510.7"></a><var>510.7</var>utilizing component rates established by the commissioner. Counties and tribes shall
         use <br />
         		<a id="pl.510.8"></a><var>510.8</var>tools issued by the commissioner to develop and document customized living service
         plans <br />
         		<a id="pl.510.9"></a><var>510.9</var>and rates.<br />
         		<a id="pl.510.10"></a><var>510.10</var>(c) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.510.11"></a><var>510.11</var>waiver or medical assistance services and must reflect economies of scale. Customized
         <br />
         		<a id="pl.510.12"></a><var>510.12</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.510.13"></a><var>510.13</var>&#160;&#160;&#160;&#160;(d) With the exception of individuals described in subdivision 3a, paragraph (b),
         the <br />
         		<a id="pl.510.14"></a><var>510.14</var>individualized monthly authorized payment for the customized living service plan shall
         not <br />
         		<a id="pl.510.15"></a><var>510.15</var>exceed 50 percent of the greater of either the statewide or any of the geographic
         groups' <br />
         		<a id="pl.510.16"></a><var>510.16</var>weighted average monthly nursing facility rate of the case mix resident class to which
         the <br />
         		<a id="pl.510.17"></a><var>510.17</var>elderly waiver eligible client would be assigned under Minnesota Rules, parts 9549.0051 <br />
         		<a id="pl.510.18"></a><var>510.18</var>to 9549.0059, less the maintenance needs allowance as described in subdivision 1d, paragraph <br />
         		<a id="pl.510.19"></a><var>510.19</var>(a). Effective on July 1 of the state fiscal year in which the resident assessment
         system as <br />
         		<a id="pl.510.20"></a><var>510.20</var>described in section 
         <statute_ref>256B.438</statute_ref> 256R.17 for nursing home rate determination is implemented <br />
         		<a id="pl.510.21"></a><var>510.21</var>and July 1 of each subsequent state fiscal year, the individualized monthly authorized
         <br />
         		<a id="pl.510.22"></a><var>510.22</var>payment for the services described in this clause shall not exceed the limit which
         was in <br />
         		<a id="pl.510.23"></a><var>510.23</var>effect on June 30 of the previous state fiscal year updated annually based on legislatively
         <br />
         		<a id="pl.510.24"></a><var>510.24</var>adopted changes to all service rate maximums for home and community-based service
         <br />
         		<a id="pl.510.25"></a><var>510.25</var>providers.<br />
         		<a id="pl.510.26"></a><var>510.26</var>(e) Effective July 1, 2011, the individualized monthly payment for the customized
         living <br />
         		<a id="pl.510.27"></a><var>510.27</var>service plan for individuals described in subdivision 3a, paragraph (b), must be the
         monthly <br />
         		<a id="pl.510.28"></a><var>510.28</var>authorized payment limit for customized living for individuals classified as case
         mix A, <br />
         		<a id="pl.510.29"></a><var>510.29</var>reduced by 25 percent. This rate limit must be applied to all new participants enrolled
         in <br />
         		<a id="pl.510.30"></a><var>510.30</var>the program on or after July 1, 2011, who meet the criteria described in subdivision
         3a, <br />
         		<a id="pl.510.31"></a><var>510.31</var>paragraph (b). This monthly limit also applies to all other participants who meet
         the criteria <br />
         		<a id="pl.510.32"></a><var>510.32</var>described in subdivision 3a, paragraph (b), at reassessment.<br />
         		<a id="pl.510.33"></a><var>510.33</var>&#160;&#160;&#160;&#160;(f) Customized living services are delivered by a provider licensed by the Department
         <br />
         		<a id="pl.510.34"></a><var>510.34</var>of Health as a class A or class F home care provider and provided in a building that
         is <br />
         		<a id="pl.511.1"></a><var>511.1</var>registered as a housing with services establishment under chapter 144D. Licensed home
         <br />
         		<a id="pl.511.2"></a><var>511.2</var>care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.511.3"></a><var>511.3</var>(g) A provider may not bill or otherwise charge an elderly waiver participant or their
         <br />
         		<a id="pl.511.4"></a><var>511.4</var>family for additional units of any allowable component service beyond those available
         under <br />
         		<a id="pl.511.5"></a><var>511.5</var>the service rate limits described in paragraph (d), nor for additional units of any
         allowable <br />
         		<a id="pl.511.6"></a><var>511.6</var>component service beyond those approved in the service plan by the lead agency.<br />
         		<a id="pl.511.7"></a><var>511.7</var>(h) Effective July 1, 2016, and each July 1 thereafter, individualized service rate
         limits <br />
         		<a id="pl.511.8"></a><var>511.8</var>for customized living services under this subdivision shall be increased by the difference
         <br />
         		<a id="pl.511.9"></a><var>511.9</var>between any legislatively adopted home and community-based provider rate increases
         <br />
         		<a id="pl.511.10"></a><var>511.10</var>effective on July 1 or since the previous July 1 and the average statewide percentage
         increase <br />
         		<a id="pl.511.11"></a><var>511.11</var>in nursing facility operating payment rates under sections 
         <statute_ref>256B.431</statute_ref>, 
         <statute_ref>256B.434</statute_ref>, and 
         <statute_ref>256B.441</statute_ref> <br />
         		<a id="pl.511.12"></a><var>511.12</var>chapter 256R, effective the previous January 1. This paragraph shall only apply if the average
         <br />
         		<a id="pl.511.13"></a><var>511.13</var>statewide percentage increase in nursing facility operating payment rates is greater
         than any <br />
         		<a id="pl.511.14"></a><var>511.14</var>legislatively adopted home and community-based provider rate increases effective on
         July <br />
         		<a id="pl.511.15"></a><var>511.15</var>1, or occurring since the previous July 1.<br />
         		<br />
         		<a id="bill.14.19.0"></a><a id="pl.511.16"></a><var>511.16</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2016, section 256B.35, subdivision 4, is amended to read:<br />
         		<a id="pl.511.17"></a><var>511.17</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Field audits required.</b> The commissioner of human services shall conduct <br />
         		<a id="pl.511.18"></a><var>511.18</var>field audits at the same time as cost report audits required under section 
         <statute_ref>256B.27, subdivision <br />
            		<a id="pl.511.19"></a><var>511.19</var>2a
         </statute_ref> 256R.13, subdivision 1, and at any other time but at least once every four years, without <br />
         		<a id="pl.511.20"></a><var>511.20</var>notice, to determine whether this section was complied with and that the funds provided
         <br />
         		<a id="pl.511.21"></a><var>511.21</var>residents for their personal needs were actually expended for that purpose.<br />
         		<br />
         		<a id="bill.14.20.0"></a><a id="pl.511.22"></a><var>511.22</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2016, section 256B.431, subdivision 30, is amended to read:<br />
         		<a id="pl.511.23"></a><var>511.23</var>&#160;&#160;&#160;&#160;Subd. 30. <b>Bed layaway and delicensure.</b> (a) For rate years beginning on or after July <br />
         		<a id="pl.511.24"></a><var>511.24</var>1, 2000, a nursing facility reimbursed under this section which has placed beds on
         layaway <br />
         		<a id="pl.511.25"></a><var>511.25</var>shall, for purposes of application of the downsizing incentive in subdivision 3a,
         paragraph <br />
         		<a id="pl.511.26"></a><var>511.26</var>(c), and calculation of the rental per diem, have those beds given the same effect
         as if the <br />
         		<a id="pl.511.27"></a><var>511.27</var>beds had been delicensed so long as the beds remain on layaway. At the time of a layaway,
         <br />
         		<a id="pl.511.28"></a><var>511.28</var>a facility may change its single bed election for use in calculating capacity days
         under <br />
         		<a id="pl.511.29"></a><var>511.29</var>Minnesota Rules, part 9549.0060, subpart 11. The property payment rate increase shall be <br />
         		<a id="pl.511.30"></a><var>511.30</var>effective the first day of the month following the month in which the layaway of the
         beds <br />
         		<a id="pl.511.31"></a><var>511.31</var>becomes effective under section 
         <statute_ref>144A.071, subdivision 4b</statute_ref>.<br />
         		<a id="pl.511.32"></a><var>511.32</var>(b) For rate years beginning on or after July 1, 2000, notwithstanding any provision
         to <br />
         		<a id="pl.511.33"></a><var>511.33</var>the contrary under section 
         <statute_ref>256B.434</statute_ref> or chapter 256R, a nursing facility reimbursed under <br />
         		<a id="pl.512.1"></a><var>512.1</var>that section or chapter which has placed beds on layaway shall, for so long as the beds <br />
         		<a id="pl.512.2"></a><var>512.2</var>remain on layaway, be allowed to:<br />
         		<a id="pl.512.3"></a><var>512.3</var>(1) aggregate the applicable investment per bed limits based on the number of beds
         <br />
         		<a id="pl.512.4"></a><var>512.4</var>licensed immediately prior to entering the alternative payment system;<br />
         		<a id="pl.512.5"></a><var>512.5</var>(2) retain or change the facility's single bed election for use in calculating capacity
         days <br />
         		<a id="pl.512.6"></a><var>512.6</var>under Minnesota Rules, part 9549.0060, subpart 11; and<br />
         		<a id="pl.512.7"></a><var>512.7</var>(3) establish capacity days based on the number of beds immediately prior to the layaway
         <br />
         		<a id="pl.512.8"></a><var>512.8</var>and the number of beds after the layaway.<br />
         		<a id="pl.512.9"></a><var>512.9</var>&#160;&#160;&#160;&#160;The commissioner shall increase the facility's property payment rate by the incremental
         <br />
         		<a id="pl.512.10"></a><var>512.10</var>increase in the rental per diem resulting from the recalculation of the facility's
         rental per <br />
         		<a id="pl.512.11"></a><var>512.11</var>diem applying only the changes resulting from the layaway of beds and clauses (1),
         (2), and <br />
         		<a id="pl.512.12"></a><var>512.12</var>(3). If a facility reimbursed under section 
         <statute_ref>256B.434</statute_ref> or chapter 256R completes a moratorium <br />
         		<a id="pl.512.13"></a><var>512.13</var>exception project after its base year, the base year property rate shall be the moratorium
         <br />
         		<a id="pl.512.14"></a><var>512.14</var>project property rate. The base year rate shall be inflated by the factors in section
         
         <statute_ref>256B.434, <br />
            		<a id="pl.512.15"></a><var>512.15</var>subdivision 4
         </statute_ref>, paragraph (c). The property payment rate increase shall be effective the first <br />
         		<a id="pl.512.16"></a><var>512.16</var>day of the month following the month in which the layaway of the beds becomes effective.<br />
         		<a id="pl.512.17"></a><var>512.17</var>(c) If a nursing facility removes a bed from layaway status in accordance with section
         <br />
         		
         <statute_ref><a id="pl.512.18"></a><var>512.18</var>144A.071, subdivision 4b
         </statute_ref>, the commissioner shall establish capacity days based on the <br />
         		<a id="pl.512.19"></a><var>512.19</var>number of licensed and certified beds in the facility not on layaway and shall reduce
         the <br />
         		<a id="pl.512.20"></a><var>512.20</var>nursing facility's property payment rate in accordance with paragraph (b).<br />
         		<a id="pl.512.21"></a><var>512.21</var>(d) For the rate years beginning on or after July 1, 2000, notwithstanding any provision
         <br />
         		<a id="pl.512.22"></a><var>512.22</var>to the contrary under section 
         <statute_ref>256B.434</statute_ref> or chapter 256R, a nursing facility reimbursed under <br />
         		<a id="pl.512.23"></a><var>512.23</var>that section or chapter, which has delicensed beds after July 1, 2000, by giving notice of <br />
         		<a id="pl.512.24"></a><var>512.24</var>the delicensure to the commissioner of health according to the notice requirements
         in section <br />
         		
         <statute_ref><a id="pl.512.25"></a><var>512.25</var>144A.071, subdivision 4b
         </statute_ref>, shall be allowed to:<br />
         		<a id="pl.512.26"></a><var>512.26</var>(1) aggregate the applicable investment per bed limits based on the number of beds
         <br />
         		<a id="pl.512.27"></a><var>512.27</var>licensed immediately prior to entering the alternative payment system;<br />
         		<a id="pl.512.28"></a><var>512.28</var>(2) retain or change the facility's single bed election for use in calculating capacity
         days <br />
         		<a id="pl.512.29"></a><var>512.29</var>under Minnesota Rules, part 9549.0060, subpart 11; and<br />
         		<a id="pl.512.30"></a><var>512.30</var>(3) establish capacity days based on the number of beds immediately prior to the <br />
         		<a id="pl.512.31"></a><var>512.31</var>delicensure and the number of beds after the delicensure.<br />
         		<a id="pl.512.32"></a><var>512.32</var>&#160;&#160;&#160;&#160;The commissioner shall increase the facility's property payment rate by the incremental
         <br />
         		<a id="pl.512.33"></a><var>512.33</var>increase in the rental per diem resulting from the recalculation of the facility's
         rental per <br />
         		<a id="pl.513.1"></a><var>513.1</var>diem applying only the changes resulting from the delicensure of beds and clauses
         (1), (2), <br />
         		<a id="pl.513.2"></a><var>513.2</var>and (3). If a facility reimbursed under section 
         <statute_ref>256B.434</statute_ref> completes a moratorium exception <br />
         		<a id="pl.513.3"></a><var>513.3</var>project after its base year, the base year property rate shall be the moratorium project
         property <br />
         		<a id="pl.513.4"></a><var>513.4</var>rate. The base year rate shall be inflated by the factors in section 
         <statute_ref>256B.434, subdivision 4</statute_ref>, <br />
         		<a id="pl.513.5"></a><var>513.5</var>paragraph (c). The property payment rate increase shall be effective the first day
         of the <br />
         		<a id="pl.513.6"></a><var>513.6</var>month following the month in which the delicensure of the beds becomes effective.<br />
         		<a id="pl.513.7"></a><var>513.7</var>(e) For nursing facilities reimbursed under this section or, section 
         <statute_ref>256B.434</statute_ref>, or chapter <br />
         		<a id="pl.513.8"></a><var>513.8</var>256R, any beds placed on layaway shall not be included in calculating facility occupancy
         <br />
         		<a id="pl.513.9"></a><var>513.9</var>as it pertains to leave days defined in Minnesota Rules, part 9505.0415.<br />
         		<a id="pl.513.10"></a><var>513.10</var>(f) For nursing facilities reimbursed under this section or, section 
         <statute_ref>256B.434</statute_ref>, or chapter <br />
         		<a id="pl.513.11"></a><var>513.11</var>256R, the rental rate calculated after placing beds on layaway may not be less than the
         rental <br />
         		<a id="pl.513.12"></a><var>513.12</var>rate prior to placing beds on layaway.<br />
         		<a id="pl.513.13"></a><var>513.13</var>(g) A nursing facility receiving a rate adjustment as a result of this section shall
         comply <br />
         		<a id="pl.513.14"></a><var>513.14</var>with section 
         <statute_ref>256B.47, subdivision 2</statute_ref> 256R.06, subdivision 5.<br />
         		<a id="pl.513.15"></a><var>513.15</var>(h) A facility that does not utilize the space made available as a result of bed layaway
         <br />
         		<a id="pl.513.16"></a><var>513.16</var>or delicensure under this subdivision to reduce the number of beds per room or provide
         <br />
         		<a id="pl.513.17"></a><var>513.17</var>more common space for nursing facility uses or perform other activities related to
         the <br />
         		<a id="pl.513.18"></a><var>513.18</var>operation of the nursing facility shall have its property rate increase calculated
         under this <br />
         		<a id="pl.513.19"></a><var>513.19</var>subdivision reduced by the ratio of the square footage made available that is not
         used for <br />
         		<a id="pl.513.20"></a><var>513.20</var>these purposes to the total square footage made available as a result of bed layaway
         or <br />
         		<a id="pl.513.21"></a><var>513.21</var>delicensure.<br />
         		<br />
         		<a id="bill.14.21.0"></a><a id="pl.513.22"></a><var>513.22</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2016, section 256B.50, subdivision 1, is amended to read:<br />
         		<a id="pl.513.23"></a><var>513.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> A provider may appeal from a determination of a payment rate <br />
         		<a id="pl.513.24"></a><var>513.24</var>established pursuant to this chapter or allowed costs under section 
         <statute_ref>256B.441</statute_ref> chapter 256R <br />
         		<a id="pl.513.25"></a><var>513.25</var>if the appeal, if successful, would result in a change to the provider's payment rate
         or to the <br />
         		<a id="pl.513.26"></a><var>513.26</var>calculation of maximum charges to therapy vendors as provided by section 
         <statute_ref>256B.433, <br />
            		<a id="pl.513.27"></a><var>513.27</var>subdivision 3
         </statute_ref> 256R.54. Appeals must be filed in accordance with procedures in this section. <br />
         		<a id="pl.513.28"></a><var>513.28</var>This section does not apply to a request from a resident or long-term care facility
         for <br />
         		<a id="pl.513.29"></a><var>513.29</var>reconsideration of the classification of a resident under section 
         <statute_ref>144.0722</statute_ref>.<br />
         		<br />
         		<a id="bill.14.22.0"></a><a id="pl.513.30"></a><var>513.30</var>&#160;&#160;&#160;&#160;Sec. 22. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.513.31"></a><var>513.31</var>Sections 1 to 21 are effective the day following final enactment.<br />
         		<br />
         		<a id="bill.15.0.0"></a><div class="xtend_ce"><a id="pl.514.1"></a><var>514.1</var><b>ARTICLE 15</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.514.2"></a><var>514.2</var><b>HUMAN SERVICES FORECAST ADJUSTMENTS</b><br />
            		
         </div><br />
         		<a id="bill.15.1.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.3"></a><var>514.3</var><br />
                  		
               </td>
               <td colspan="7">Section 1. <b>DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.</b><br />
                  		<b> </b>
               </td>
            </tr>
         </table><a id="pl.514.4"></a><var>514.4</var>The dollar amounts shown are added to or, if shown in parentheses, are subtracted
         from <br />
         		<a id="pl.514.5"></a><var>514.5</var>the appropriations in Laws 2015, chapter 71, article 14, as amended by Laws 2016,
         chapter <br />
         		<a id="pl.514.6"></a><var>514.6</var>189, articles 22 and 23, from the general fund, or any other fund named, to the Department
         <br />
         		<a id="pl.514.7"></a><var>514.7</var>of Human Services for the purposes specified in this article, to be available for
         the fiscal <br />
         		<a id="pl.514.8"></a><var>514.8</var>years indicated for each purpose. The figure "2017" used in this article means that
         the <br />
         		<a id="pl.514.9"></a><var>514.9</var>appropriations listed are available for the fiscal year ending June 30, 2017.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.10"></a><var>514.10</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>APPROPRIATIONS</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.11"></a><var>514.11</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Available for the Year</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.12"></a><var>514.12</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Ending June 30</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.13"></a><var>514.13</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td></td>
               <td align="center"><b>2017</b><br />
                  		
               </td>
               <td></td>
               <td align="center"></td>
            </tr>
         </table><br />
         		<a id="bill.15.2.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.14"></a><var>514.14</var><br />
                  		<a id="pl.514.15"></a><var>514.15</var><br />
                  		
               </td>
               <td colspan="3">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br />
                  		<b>SERVICES</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.16"></a><var>514.16</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>(342,045,000)</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.514.17"></a><var>514.17</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.18"></a><var>514.18</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2017<br />
                  		
               </td>
               <td align="center"></td>
            </tr>
            <tr>
               <td><a id="pl.514.19"></a><var>514.19</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(198,450,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.514.20"></a><var>514.20</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">(146,590,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.514.21"></a><var>514.21</var><br />
                  		
               </td>
               <td>TANF<br />
                  		
               </td>
               <td align="right">2,995,000<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.22"></a><var>514.22</var><br />
                  		
               </td>
               <td colspan="2">Subd. 2.<b>Forecasted Programs</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.514.23"></a><var>514.23</var><br />
                  		
               </td>
               <td>(a) <b>MFIP/DWP Grants</b><br />
                  		
               </td>
               <td></td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.514.24"></a><var>514.24</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.25"></a><var>514.25</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(2,111,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.514.26"></a><var>514.26</var><br />
                  		
               </td>
               <td>TANF<br />
                  		
               </td>
               <td align="right">2,579,000<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.27"></a><var>514.27</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(6,513,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.28"></a><var>514.28</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>General Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(4,219,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.29"></a><var>514.29</var><br />
                  		
               </td>
               <td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(581,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.30"></a><var>514.30</var><br />
                  		
               </td>
               <td colspan="3">(e) <b>Group Residential Housing Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(533,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.31"></a><var>514.31</var><br />
                  		
               </td>
               <td colspan="3">(f) <b>Northstar Care for Children</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,613,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.514.32"></a><var>514.32</var><br />
                  		
               </td>
               <td colspan="3">(g) <b>MinnesotaCare Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(145,883,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.515.1"></a><var>515.1</var>This appropriation is from the health care <br />
         		<a id="pl.515.2"></a><var>515.2</var>access fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.3"></a><var>515.3</var><br />
                  		
               </td>
               <td colspan="3">(h) <b>Medical Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.515.4"></a><var>515.4</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.515.5"></a><var>515.5</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(192,744,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.515.6"></a><var>515.6</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">(707,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.7"></a><var>515.7</var><br />
                  		
               </td>
               <td colspan="3">(i) <b>Alternative Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">-0-<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.8"></a><var>515.8</var><br />
                  		
               </td>
               <td colspan="3">(j) <b>CD Entitlement Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">5,638,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.9"></a><var>515.9</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Technical Activities</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">416,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.515.10"></a><var>515.10</var>This appropriation is from the TANF fund.<br />
         		<br />
         		<a id="bill.15.3.0"></a><a id="pl.515.11"></a><var>515.11</var>&#160;&#160;&#160;&#160;Sec. 3. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.515.12"></a><var>515.12</var>Sections 1 and 2 are effective the day following final enactment.<br />
         		<br />
         		<a id="bill.16.0.0"></a><div class="xtend_ce"><a id="pl.515.13"></a><var>515.13</var><b>ARTICLE 16</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.515.14"></a><var>515.14</var><b>APPROPRIATIONS</b><br />
            		
         </div><br />
         		<a id="bill.16.1.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.15"></a><var>515.15</var><br />
                  		
               </td>
               <td colspan="7">Section 1. <b>HEALTH AND HUMAN SERVICES APPROPRIATIONS.</b><br />
                  		<b> </b>
               </td>
            </tr>
         </table><a id="pl.515.16"></a><var>515.16</var>The sums shown in the columns marked "Appropriations" are appropriated to the agencies
         <br />
         		<a id="pl.515.17"></a><var>515.17</var>and for the purposes specified in this article. The appropriations are from the general
         fund, <br />
         		<a id="pl.515.18"></a><var>515.18</var>or another named fund, and are available for the fiscal years indicated for each purpose.
         <br />
         		<a id="pl.515.19"></a><var>515.19</var>The figures "2018" and "2019" used in this article mean that the appropriations listed
         under <br />
         		<a id="pl.515.20"></a><var>515.20</var>them are available for the fiscal year ending June 30, 2018, or June 30, 2019, respectively.
         <br />
         		<a id="pl.515.21"></a><var>515.21</var>"The first year" is fiscal year 2018. "The second year" is fiscal year 2019. "The
         biennium" <br />
         		<a id="pl.515.22"></a><var>515.22</var>is fiscal years 2018 and 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.23"></a><var>515.23</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>APPROPRIATIONS</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.515.24"></a><var>515.24</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Available for the Year</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.515.25"></a><var>515.25</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Ending June 30</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.515.26"></a><var>515.26</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td></td>
               <td align="center"><b>2018</b><br />
                  		
               </td>
               <td></td>
               <td align="center"><b>2019</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.16.2.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.27"></a><var>515.27</var><br />
                  		<a id="pl.515.28"></a><var>515.28</var><br />
                  		
               </td>
               <td colspan="3">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br />
                  		<b>SERVICES</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.515.29"></a><var>515.29</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>7,360,594,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>7,396,706,000</b><br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.516.1"></a><var>516.1</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.2"></a><var>516.2</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2018<br />
                  		
               </td>
               <td align="center">2019<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.3"></a><var>516.3</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">6,810,781,000<br />
                  		
               </td>
               <td align="right">6,837,640,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.4"></a><var>516.4</var><br />
                  		<a id="pl.516.5"></a><var>516.5</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">4,274,000<br />
                  		
               </td>
               <td align="right">4,274,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.6"></a><var>516.6</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">266,707,000<br />
                  		
               </td>
               <td align="right">282,194,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.7"></a><var>516.7</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">276,936,000<br />
                  		
               </td>
               <td align="right">270,702,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.516.8"></a><var>516.8</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">1,896,000<br />
                  		
               </td>
               <td align="right">1,896,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.516.9"></a><var>516.9</var>The amounts that may be spent for each <br />
         		<a id="pl.516.10"></a><var>516.10</var>purpose are specified in the following <br />
         		<a id="pl.516.11"></a><var>516.11</var>subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.516.12"></a><var>516.12</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>TANF Maintenance of Effort</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.516.13"></a><var>516.13</var>(a) The commissioner shall ensure that <br />
         		<a id="pl.516.14"></a><var>516.14</var>sufficient qualified nonfederal expenditures <br />
         		<a id="pl.516.15"></a><var>516.15</var>are made each year to meet the state's <br />
         		<a id="pl.516.16"></a><var>516.16</var>maintenance of effort (MOE) requirements of <br />
         		<a id="pl.516.17"></a><var>516.17</var>the TANF block grant specified under Code <br />
         		<a id="pl.516.18"></a><var>516.18</var>of Federal Regulations, title 45, section 263.1. <br />
         		<a id="pl.516.19"></a><var>516.19</var>In order to meet these basic TANF/MOE <br />
         		<a id="pl.516.20"></a><var>516.20</var>requirements, the commissioner may report <br />
         		<a id="pl.516.21"></a><var>516.21</var>as TANF/MOE expenditures only nonfederal <br />
         		<a id="pl.516.22"></a><var>516.22</var>money expended for allowable activities listed <br />
         		<a id="pl.516.23"></a><var>516.23</var>in the following clauses:<br />
         		<a id="pl.516.24"></a><var>516.24</var>(1) MFIP cash, diversionary work program, <br />
         		<a id="pl.516.25"></a><var>516.25</var>and food assistance benefits under Minnesota <br />
         		<a id="pl.516.26"></a><var>516.26</var>Statutes, chapter 256J;<br />
         		<a id="pl.516.27"></a><var>516.27</var>(2) the child care assistance programs under <br />
         		<a id="pl.516.28"></a><var>516.28</var>Minnesota Statutes, sections 119B.03 and <br />
         		<a id="pl.516.29"></a><var>516.29</var>119B.05, and county child care administrative <br />
         		<a id="pl.516.30"></a><var>516.30</var>costs under Minnesota Statutes, section <br />
         		<a id="pl.516.31"></a><var>516.31</var>119B.15;<br />
         		<a id="pl.516.32"></a><var>516.32</var>(3) state and county MFIP administrative costs <br />
         		<a id="pl.516.33"></a><var>516.33</var>under Minnesota Statutes, chapters 256J and <br />
         		<a id="pl.516.34"></a><var>516.34</var>256K;<br />
         		<a id="pl.517.1"></a><var>517.1</var>(4) state, county, and tribal MFIP employment <br />
         		<a id="pl.517.2"></a><var>517.2</var>services under Minnesota Statutes, chapters <br />
         		<a id="pl.517.3"></a><var>517.3</var>256J and 256K;<br />
         		<a id="pl.517.4"></a><var>517.4</var>(5) expenditures made on behalf of legal <br />
         		<a id="pl.517.5"></a><var>517.5</var>noncitizen MFIP recipients who qualify for <br />
         		<a id="pl.517.6"></a><var>517.6</var>the MinnesotaCare program under Minnesota <br />
         		<a id="pl.517.7"></a><var>517.7</var>Statutes, chapter 256L;<br />
         		<a id="pl.517.8"></a><var>517.8</var>(6) qualifying working family credit <br />
         		<a id="pl.517.9"></a><var>517.9</var>expenditures under Minnesota Statutes, section <br />
         		<a id="pl.517.10"></a><var>517.10</var>290.0671;<br />
         		<a id="pl.517.11"></a><var>517.11</var>(7) qualifying Minnesota education credit <br />
         		<a id="pl.517.12"></a><var>517.12</var>expenditures under Minnesota Statutes, section <br />
         		<a id="pl.517.13"></a><var>517.13</var>290.0674; and<br />
         		<a id="pl.517.14"></a><var>517.14</var>(8) qualifying Head Start expenditures under <br />
         		<a id="pl.517.15"></a><var>517.15</var>Minnesota Statutes, section 119A.50.<br />
         		<a id="pl.517.16"></a><var>517.16</var>(b) For the activities listed in paragraph (a), <br />
         		<a id="pl.517.17"></a><var>517.17</var>clauses (2) to (8), the commissioner may <br />
         		<a id="pl.517.18"></a><var>517.18</var>report only expenditures that are excluded <br />
         		<a id="pl.517.19"></a><var>517.19</var>from the definition of assistance under Code <br />
         		<a id="pl.517.20"></a><var>517.20</var>of Federal Regulations, title 45, section <br />
         		<a id="pl.517.21"></a><var>517.21</var>260.31.<br />
         		<a id="pl.517.22"></a><var>517.22</var>(c) The commissioner shall ensure that the <br />
         		<a id="pl.517.23"></a><var>517.23</var>MOE used by the commissioner of <br />
         		<a id="pl.517.24"></a><var>517.24</var>management and budget for the February and <br />
         		<a id="pl.517.25"></a><var>517.25</var>November forecasts required under Minnesota <br />
         		<a id="pl.517.26"></a><var>517.26</var>Statutes, section 16A.103, contains <br />
         		<a id="pl.517.27"></a><var>517.27</var>expenditures under paragraph (a), clause (1), <br />
         		<a id="pl.517.28"></a><var>517.28</var>equal to at least 16 percent of the total required <br />
         		<a id="pl.517.29"></a><var>517.29</var>under Code of Federal Regulations, title 45, <br />
         		<a id="pl.517.30"></a><var>517.30</var>section 263.1.<br />
         		<a id="pl.517.31"></a><var>517.31</var>(d) The commissioner may not claim an <br />
         		<a id="pl.517.32"></a><var>517.32</var>amount of TANF/MOE in excess of the 75 <br />
         		<a id="pl.517.33"></a><var>517.33</var>percent standard in Code of Federal <br />
         		<a id="pl.518.1"></a><var>518.1</var>Regulations, title 45, section 263.1(a)(2), <br />
         		<a id="pl.518.2"></a><var>518.2</var>except:<br />
         		<a id="pl.518.3"></a><var>518.3</var>(1) to the extent necessary to meet the 80 <br />
         		<a id="pl.518.4"></a><var>518.4</var>percent standard under Code of Federal <br />
         		<a id="pl.518.5"></a><var>518.5</var>Regulations, title 45, section 263.1(a)(1), if it <br />
         		<a id="pl.518.6"></a><var>518.6</var>is determined by the commissioner that the <br />
         		<a id="pl.518.7"></a><var>518.7</var>state will not meet the TANF work <br />
         		<a id="pl.518.8"></a><var>518.8</var>participation target rate for the current year;<br />
         		<a id="pl.518.9"></a><var>518.9</var>(2) to provide any additional amounts under <br />
         		<a id="pl.518.10"></a><var>518.10</var>Code of Federal Regulations, title 45, section <br />
         		<a id="pl.518.11"></a><var>518.11</var>264.5, that relate to replacement of TANF <br />
         		<a id="pl.518.12"></a><var>518.12</var>funds due to the operation of TANF penalties; <br />
         		<a id="pl.518.13"></a><var>518.13</var>and<br />
         		<a id="pl.518.14"></a><var>518.14</var>(3) to provide any additional amounts that may <br />
         		<a id="pl.518.15"></a><var>518.15</var>contribute to avoiding or reducing TANF work <br />
         		<a id="pl.518.16"></a><var>518.16</var>participation penalties through the operation <br />
         		<a id="pl.518.17"></a><var>518.17</var>of the excess MOE provisions of Code of <br />
         		<a id="pl.518.18"></a><var>518.18</var>Federal Regulations, title 45, section 261.43 <br />
         		<a id="pl.518.19"></a><var>518.19</var>(a)(2).<br />
         		 <a id="pl.518.20"></a><var>518.20</var>(e) For the purposes of paragraph (d), the <br />
         		<a id="pl.518.21"></a><var>518.21</var>commissioner may supplement the MOE claim <br />
         		<a id="pl.518.22"></a><var>518.22</var>with working family credit expenditures or <br />
         		<a id="pl.518.23"></a><var>518.23</var>other qualified expenditures to the extent such <br />
         		<a id="pl.518.24"></a><var>518.24</var>expenditures are otherwise available after <br />
         		<a id="pl.518.25"></a><var>518.25</var>considering the expenditures allowed in this <br />
         		<a id="pl.518.26"></a><var>518.26</var>subdivision.<br />
         		<a id="pl.518.27"></a><var>518.27</var>(f) The requirement in Minnesota Statutes, <br />
         		<a id="pl.518.28"></a><var>518.28</var>section 256.011, subdivision 3, that federal <br />
         		<a id="pl.518.29"></a><var>518.29</var>grants or aids secured or obtained under that <br />
         		<a id="pl.518.30"></a><var>518.30</var>subdivision be used to reduce any direct <br />
         		<a id="pl.518.31"></a><var>518.31</var>appropriations provided by law, does not apply <br />
         		<a id="pl.518.32"></a><var>518.32</var>if the grants or aids are federal TANF funds.<br />
         		<a id="pl.518.33"></a><var>518.33</var>(g) <b>IT Appropriations Generally.</b> This <br />
         		<a id="pl.518.34"></a><var>518.34</var>appropriation includes funds for information <br />
         		<a id="pl.519.1"></a><var>519.1</var>technology projects, services, and support. <br />
         		<a id="pl.519.2"></a><var>519.2</var>Notwithstanding Minnesota Statutes, section <br />
         		<a id="pl.519.3"></a><var>519.3</var>16E.0466, funding for information technology <br />
         		<a id="pl.519.4"></a><var>519.4</var>project costs shall be incorporated into the <br />
         		<a id="pl.519.5"></a><var>519.5</var>service level agreement and paid to the Office <br />
         		<a id="pl.519.6"></a><var>519.6</var>of MN.IT Services by the Department of <br />
         		<a id="pl.519.7"></a><var>519.7</var>Human Services under the rates and <br />
         		<a id="pl.519.8"></a><var>519.8</var>mechanism specified in that agreement.<br />
         		<a id="pl.519.9"></a><var>519.9</var>(h) <b>Receipts for Systems Project.</b> <br />
         		<a id="pl.519.10"></a><var>519.10</var>Appropriations and federal receipts for <br />
         		<a id="pl.519.11"></a><var>519.11</var>information systems projects for MAXIS, <br />
         		<a id="pl.519.12"></a><var>519.12</var>PRISM, MMIS, ISDS, METS, and SSIS must <br />
         		<a id="pl.519.13"></a><var>519.13</var>be deposited in the state systems account <br />
         		<a id="pl.519.14"></a><var>519.14</var>authorized in Minnesota Statutes, section <br />
         		<a id="pl.519.15"></a><var>519.15</var>256.014. Money appropriated for computer <br />
         		<a id="pl.519.16"></a><var>519.16</var>projects approved by the commissioner of the <br />
         		<a id="pl.519.17"></a><var>519.17</var>Office of MN.IT Services, funded by the <br />
         		<a id="pl.519.18"></a><var>519.18</var>legislature, and approved by the commissioner <br />
         		<a id="pl.519.19"></a><var>519.19</var>of management and budget may be transferred <br />
         		<a id="pl.519.20"></a><var>519.20</var>from one project to another and from <br />
         		<a id="pl.519.21"></a><var>519.21</var>development to operations as the <br />
         		<a id="pl.519.22"></a><var>519.22</var>commissioner of human services considers <br />
         		<a id="pl.519.23"></a><var>519.23</var>necessary. Any unexpended balance in the <br />
         		<a id="pl.519.24"></a><var>519.24</var>appropriation for these projects does not <br />
         		<a id="pl.519.25"></a><var>519.25</var>cancel and is available for ongoing <br />
         		<a id="pl.519.26"></a><var>519.26</var>development and operations.<br />
         		<a id="pl.519.27"></a><var>519.27</var>(i) <b>Federal SNAP Education and Training </b><br />
         		<a id="pl.519.28"></a><var>519.28</var><b>Grants.</b> Federal funds available during fiscal <br />
         		<a id="pl.519.29"></a><var>519.29</var>years 2017, 2018, and 2019 for Supplemental <br />
         		<a id="pl.519.30"></a><var>519.30</var>Nutrition Assistance Program Education and <br />
         		<a id="pl.519.31"></a><var>519.31</var>Training and SNAP Quality Control <br />
         		<a id="pl.519.32"></a><var>519.32</var>Performance Bonus grants are appropriated <br />
         		<a id="pl.519.33"></a><var>519.33</var>to the commissioner of human services for the <br />
         		<a id="pl.519.34"></a><var>519.34</var>purposes allowable under the terms of the <br />
         		<a id="pl.520.1"></a><var>520.1</var>federal award. This paragraph is effective the <br />
         		<a id="pl.520.2"></a><var>520.2</var>day following final enactment.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.520.3"></a><var>520.3</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Central Office; Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.520.4"></a><var>520.4</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.520.5"></a><var>520.5</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">  102,300,000<br />
                  		
               </td>
               <td align="right">  100,237,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.520.6"></a><var>520.6</var><br />
                  		<a id="pl.520.7"></a><var>520.7</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right"> 4,149,000<br />
                  		
               </td>
               <td align="right"> 4,149,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.520.8"></a><var>520.8</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">20,025,000<br />
                  		
               </td>
               <td align="right">20,025,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.520.9"></a><var>520.9</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">100,000<br />
                  		
               </td>
               <td align="right">100,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.520.10"></a><var>520.10</var>(a) <b>Administrative Recovery; Set-Aside.</b> The <br />
         		<a id="pl.520.11"></a><var>520.11</var>commissioner may invoice local entities <br />
         		<a id="pl.520.12"></a><var>520.12</var>through the SWIFT accounting system as an <br />
         		<a id="pl.520.13"></a><var>520.13</var>alternative means to recover the actual cost of <br />
         		<a id="pl.520.14"></a><var>520.14</var>administering the following provisions:<br />
         		<a id="pl.520.15"></a><var>520.15</var>(1) Minnesota Statutes, section 125A.744, <br />
         		<a id="pl.520.16"></a><var>520.16</var>subdivision 3;<br />
         		<a id="pl.520.17"></a><var>520.17</var>(2) Minnesota Statutes, section 245.495, <br />
         		<a id="pl.520.18"></a><var>520.18</var>paragraph (b);<br />
         		<a id="pl.520.19"></a><var>520.19</var>(3) Minnesota Statutes, section 256B.0625, <br />
         		<a id="pl.520.20"></a><var>520.20</var>subdivision 20, paragraph (k);<br />
         		<a id="pl.520.21"></a><var>520.21</var>(4) Minnesota Statutes, section 256B.0924, <br />
         		<a id="pl.520.22"></a><var>520.22</var>subdivision 6, paragraph (g);<br />
         		<a id="pl.520.23"></a><var>520.23</var>(5) Minnesota Statutes, section 256B.0945, <br />
         		<a id="pl.520.24"></a><var>520.24</var>subdivision 4, paragraph (d); and<br />
         		<a id="pl.520.25"></a><var>520.25</var>(6) Minnesota Statutes, section 256F.10, <br />
         		<a id="pl.520.26"></a><var>520.26</var>subdivision 6, paragraph (b).<br />
         		<a id="pl.520.27"></a><var>520.27</var>(b) <b>Transfer to Office of Legislative </b><br />
         		<a id="pl.520.28"></a><var>520.28</var><b>Auditor.</b> $600,000 in fiscal year 2018 and <br />
         		<a id="pl.520.29"></a><var>520.29</var>$600,000 in fiscal year 2019 are for transfer <br />
         		<a id="pl.520.30"></a><var>520.30</var>to the Office of the Legislative Auditor for <br />
         		<a id="pl.520.31"></a><var>520.31</var>audit activities under Minnesota Statutes, <br />
         		<a id="pl.520.32"></a><var>520.32</var>section 3.972, subdivision 2b.<br />
         		<a id="pl.521.1"></a><var>521.1</var>(c) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.521.2"></a><var>521.2</var>base is $98,094,000 in fiscal year 2020 and <br />
         		<a id="pl.521.3"></a><var>521.3</var>$98,085,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.521.4"></a><var>521.4</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Central Office; Children and Families</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.521.5"></a><var>521.5</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.521.6"></a><var>521.6</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">9,043,000<br />
                  		
               </td>
               <td align="right">8,931,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.521.7"></a><var>521.7</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">2,582,000<br />
                  		
               </td>
               <td align="right">2,582,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.521.8"></a><var>521.8</var>(a) <b>Financial Institution Data Match and </b><br />
         		<a id="pl.521.9"></a><var>521.9</var><b>Payment of Fees.</b> The commissioner is <br />
         		<a id="pl.521.10"></a><var>521.10</var>authorized to allocate up to $310,000 each <br />
         		<a id="pl.521.11"></a><var>521.11</var>year in fiscal year 2018 and fiscal year 2019 <br />
         		<a id="pl.521.12"></a><var>521.12</var>from the systems special revenue account to <br />
         		<a id="pl.521.13"></a><var>521.13</var>make payments to financial institutions in <br />
         		<a id="pl.521.14"></a><var>521.14</var>exchange for performing data matches <br />
         		<a id="pl.521.15"></a><var>521.15</var>between account information held by financial <br />
         		<a id="pl.521.16"></a><var>521.16</var>institutions and the public authority's database <br />
         		<a id="pl.521.17"></a><var>521.17</var>of child support obligors as authorized by <br />
         		<a id="pl.521.18"></a><var>521.18</var>Minnesota Statutes, section 13B.06, <br />
         		<a id="pl.521.19"></a><var>521.19</var>subdivision 7.<br />
         		 <a id="pl.521.20"></a><var>521.20</var>(b) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.521.21"></a><var>521.21</var>base is $8,871,000 in fiscal year 2020 and <br />
         		<a id="pl.521.22"></a><var>521.22</var>$8,871,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.521.23"></a><var>521.23</var><br />
                  		
               </td>
               <td colspan="3">Subd. 5.<b>Central Office; Health Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.521.24"></a><var>521.24</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.521.25"></a><var>521.25</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right"> 17,877,000<br />
                  		
               </td>
               <td align="right">  16,963,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.521.26"></a><var>521.26</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">21,641,000<br />
                  		
               </td>
               <td align="right">21,748,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.521.27"></a><var>521.27</var>(a) <b>Trust Guide. </b>$200,000 in fiscal year 2018 <br />
         		<a id="pl.521.28"></a><var>521.28</var>and $150,000 in fiscal year 2019 are from the <br />
         		<a id="pl.521.29"></a><var>521.29</var>general fund for the development of a special <br />
         		<a id="pl.521.30"></a><var>521.30</var>needs trust guide that directs the state medical <br />
         		<a id="pl.521.31"></a><var>521.31</var>assistance program's trust recovery process <br />
         		<a id="pl.521.32"></a><var>521.32</var>and establishes guidelines for the public. This <br />
         		<a id="pl.521.33"></a><var>521.33</var>is a onetime appropriation.<br />
         		<a id="pl.522.1"></a><var>522.1</var>(b) <b>Rates Study.</b> $227,000 in fiscal year 2018 <br />
         		<a id="pl.522.2"></a><var>522.2</var>is from the general fund for the medical <br />
         		<a id="pl.522.3"></a><var>522.3</var>assistance payment rate study. This is a <br />
         		<a id="pl.522.4"></a><var>522.4</var>onetime appropriation.<br />
         		<a id="pl.522.5"></a><var>522.5</var>(c) <b>Integrated Health Partnership Health </b><br />
         		<a id="pl.522.6"></a><var>522.6</var><b>Information Exchange.</b> $125,000 in fiscal <br />
         		<a id="pl.522.7"></a><var>522.7</var>year 2018 and $250,000 in fiscal year 2019 <br />
         		<a id="pl.522.8"></a><var>522.8</var>are from the general fund to contract with <br />
         		<a id="pl.522.9"></a><var>522.9</var>state-certified health information exchange <br />
         		<a id="pl.522.10"></a><var>522.10</var>vendors to support providers participating in <br />
         		<a id="pl.522.11"></a><var>522.11</var>an integrated health partnership under <br />
         		<a id="pl.522.12"></a><var>522.12</var>Minnesota Statutes, section 256B.0755, to <br />
         		<a id="pl.522.13"></a><var>522.13</var>connect enrollees with community supports <br />
         		<a id="pl.522.14"></a><var>522.14</var>and social services and improve collaboration <br />
         		<a id="pl.522.15"></a><var>522.15</var>among participating and authorized providers.<br />
         		<a id="pl.522.16"></a><var>522.16</var>(d) <b>Implementation and Operation of an </b><br />
         		<a id="pl.522.17"></a><var>522.17</var><b>Electronic Service Delivery Documentation </b><br />
         		<a id="pl.522.18"></a><var>522.18</var><b>System.</b> $225,000 in fiscal year 2018 and <br />
         		<a id="pl.522.19"></a><var>522.19</var>$183,000 in fiscal year 2019 are from the <br />
         		<a id="pl.522.20"></a><var>522.20</var>general fund for the development and <br />
         		<a id="pl.522.21"></a><var>522.21</var>implementation of an electronic service <br />
         		<a id="pl.522.22"></a><var>522.22</var>delivery documentation system. This is a <br />
         		<a id="pl.522.23"></a><var>522.23</var>onetime appropriation.<br />
         		<a id="pl.522.24"></a><var>522.24</var>(e) <b>Transfer to Legislative Auditor.</b> <br />
         		<a id="pl.522.25"></a><var>522.25</var>$153,000 in fiscal year 2018 and $153,000 in <br />
         		<a id="pl.522.26"></a><var>522.26</var>fiscal year 2019 are from the general fund for <br />
         		<a id="pl.522.27"></a><var>522.27</var>transfer to the Office of the Legislative <br />
         		<a id="pl.522.28"></a><var>522.28</var>Auditor for the auditor to establish and <br />
         		<a id="pl.522.29"></a><var>522.29</var>maintain a team of auditors with the training <br />
         		<a id="pl.522.30"></a><var>522.30</var>and experience necessary to fulfill the <br />
         		<a id="pl.522.31"></a><var>522.31</var>requirements in Minnesota Statutes, section <br />
         		<a id="pl.522.32"></a><var>522.32</var>3.972, subdivision 2a.<br />
         		<a id="pl.522.33"></a><var>522.33</var>(f) <b>Savings from Improved Eligibility </b><br />
         		<a id="pl.522.34"></a><var>522.34</var><b>Verification.</b> The commissioner of human <br />
         		<a id="pl.522.35"></a><var>522.35</var>services shall implement periodic data <br />
         		<a id="pl.523.1"></a><var>523.1</var>matching under Minnesota Statutes, section <br />
         		<a id="pl.523.2"></a><var>523.2</var>256B.0561, the recommendations of the <br />
         		<a id="pl.523.3"></a><var>523.3</var>legislative auditor provided under Minnesota <br />
         		<a id="pl.523.4"></a><var>523.4</var>Statutes, section 3.972, subdivision 2a, and <br />
         		<a id="pl.523.5"></a><var>523.5</var>other eligibility verification initiatives for <br />
         		<a id="pl.523.6"></a><var>523.6</var>enrollees or beneficiaries of all health care, <br />
         		<a id="pl.523.7"></a><var>523.7</var>income maintenance, and social service <br />
         		<a id="pl.523.8"></a><var>523.8</var>programs administered by the commissioner, <br />
         		<a id="pl.523.9"></a><var>523.9</var>in a manner sufficient to achieve savings of <br />
         		<a id="pl.523.10"></a><var>523.10</var>$65,548,000 in fiscal year 2018 and <br />
         		<a id="pl.523.11"></a><var>523.11</var>$74,689,000 in fiscal year 2019.<br />
         		<a id="pl.523.12"></a><var>523.12</var>(g) <b>Chronic Pain Rehabilitation Therapy </b><br />
         		<a id="pl.523.13"></a><var>523.13</var><b>Demonstration Project.</b> $1,000,000 in fiscal <br />
         		<a id="pl.523.14"></a><var>523.14</var>year 2018 is from the general fund for a <br />
         		<a id="pl.523.15"></a><var>523.15</var>chronic pain rehabilitation therapy <br />
         		<a id="pl.523.16"></a><var>523.16</var>demonstration project with a rehabilitation <br />
         		<a id="pl.523.17"></a><var>523.17</var>institute. This is a onetime appropriation.<br />
         		 <a id="pl.523.18"></a><var>523.18</var>(h) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.523.19"></a><var>523.19</var>base is $16,221,000 in fiscal year 2020 and <br />
         		<a id="pl.523.20"></a><var>523.20</var>$16,219,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.523.21"></a><var>523.21</var><br />
                  		<a id="pl.523.22"></a><var>523.22</var><br />
                  		
               </td>
               <td colspan="3">Subd. 6.<b>Central Office; Continuing Care for </b><br />
                  		<b>Older Adults</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.523.23"></a><var>523.23</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.523.24"></a><var>523.24</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">  14,565,000<br />
                  		
               </td>
               <td align="right">  14,061,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.523.25"></a><var>523.25</var><br />
                  		<a id="pl.523.26"></a><var>523.26</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">125,000<br />
                  		
               </td>
               <td align="right">125,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.523.27"></a><var>523.27</var>(a) <b>Vulnerable Adults Complaints Case </b><br />
         		<a id="pl.523.28"></a><var>523.28</var><b>Management System. </b>$258,000 in fiscal year <br />
         		<a id="pl.523.29"></a><var>523.29</var>2018 is from the general fund for the Office <br />
         		<a id="pl.523.30"></a><var>523.30</var>of Inspector General to implement a case <br />
         		<a id="pl.523.31"></a><var>523.31</var>management system for tracking and <br />
         		<a id="pl.523.32"></a><var>523.32</var>managing complaints and investigations <br />
         		<a id="pl.523.33"></a><var>523.33</var>involving vulnerable adults. In consultation <br />
         		<a id="pl.523.34"></a><var>523.34</var>with the Department of Health, Office of <br />
         		<a id="pl.523.35"></a><var>523.35</var>Health Facility Complaints, the Office of <br />
         		<a id="pl.524.1"></a><var>524.1</var>Inspector General shall ensure that the case <br />
         		<a id="pl.524.2"></a><var>524.2</var>management system is capable of:<br />
         		<a id="pl.524.3"></a><var>524.3</var>(1) uniquely tracking each complaint received <br />
         		<a id="pl.524.4"></a><var>524.4</var>by the Office of Inspector General and the <br />
         		<a id="pl.524.5"></a><var>524.5</var>Office of Health Facility Complaints, whether <br />
         		<a id="pl.524.6"></a><var>524.6</var>the complaint is received through the <br />
         		<a id="pl.524.7"></a><var>524.7</var>Minnesota Adult Abuse Reporting Center, by <br />
         		<a id="pl.524.8"></a><var>524.8</var>telephone, by referral from another agency or <br />
         		<a id="pl.524.9"></a><var>524.9</var>division, or by any other means;<br />
         		<a id="pl.524.10"></a><var>524.10</var>(2) linking each complaint to any and all <br />
         		<a id="pl.524.11"></a><var>524.11</var>investigations related to that complaint;<br />
         		<a id="pl.524.12"></a><var>524.12</var>(3) tracking and coordinating referrals and <br />
         		<a id="pl.524.13"></a><var>524.13</var>communication between state agencies, <br />
         		<a id="pl.524.14"></a><var>524.14</var>including the Office of Ombudsman for <br />
         		<a id="pl.524.15"></a><var>524.15</var>Long-Term Care and the Office of <br />
         		<a id="pl.524.16"></a><var>524.16</var>Ombudsman for Mental Health and <br />
         		<a id="pl.524.17"></a><var>524.17</var>Developmental Disabilities; and<br />
         		<a id="pl.524.18"></a><var>524.18</var>(4) securing data as required under the <br />
         		<a id="pl.524.19"></a><var>524.19</var>Vulnerable Adults Act and the Government <br />
         		<a id="pl.524.20"></a><var>524.20</var>Data Practices Act.<br />
         		<a id="pl.524.21"></a><var>524.21</var>Products and services for the case management <br />
         		<a id="pl.524.22"></a><var>524.22</var>system design, implementation, and <br />
         		<a id="pl.524.23"></a><var>524.23</var>application hosting must be acquired using a <br />
         		<a id="pl.524.24"></a><var>524.24</var>request for proposals. This is a onetime <br />
         		<a id="pl.524.25"></a><var>524.25</var>appropriation and is available until June 30, <br />
         		<a id="pl.524.26"></a><var>524.26</var>2019.<br />
         		<a id="pl.524.27"></a><var>524.27</var>(b) <b>Alzheimer's Disease Working Group.</b> <br />
         		<a id="pl.524.28"></a><var>524.28</var>$127,000 in fiscal year 2018 and $110,000 in <br />
         		<a id="pl.524.29"></a><var>524.29</var>fiscal year 2019 are from the general fund for <br />
         		<a id="pl.524.30"></a><var>524.30</var>the Alzheimer's disease working group. This <br />
         		<a id="pl.524.31"></a><var>524.31</var>is a onetime appropriation.<br />
         		<a id="pl.524.32"></a><var>524.32</var>(c) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.524.33"></a><var>524.33</var>base is $13,909,000 in fiscal year 2020 and <br />
         		<a id="pl.524.34"></a><var>524.34</var>$13,909,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.525.1"></a><var>525.1</var><br />
                  		
               </td>
               <td colspan="3">Subd. 7.<b>Central Office; Community Supports</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.525.2"></a><var>525.2</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.525.3"></a><var>525.3</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right"> 26,358,000<br />
                  		
               </td>
               <td align="right"> 26,021,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.525.4"></a><var>525.4</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">163,000<br />
                  		
               </td>
               <td align="right">163,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.525.5"></a><var>525.5</var>(a) <b>Transportation Study. </b>$250,000 in fiscal <br />
         		<a id="pl.525.6"></a><var>525.6</var>year 2018 and $250,000 in fiscal year 2019 <br />
         		<a id="pl.525.7"></a><var>525.7</var>are for a study to identify opportunities to <br />
         		<a id="pl.525.8"></a><var>525.8</var>increase access to transportation services for <br />
         		<a id="pl.525.9"></a><var>525.9</var>individuals who receive home and <br />
         		<a id="pl.525.10"></a><var>525.10</var>community-based services. This is a onetime <br />
         		<a id="pl.525.11"></a><var>525.11</var>appropriation.<br />
         		<a id="pl.525.12"></a><var>525.12</var>(b) <b>Deaf and Hard-of-Hearing Services.</b> <br />
         		<a id="pl.525.13"></a><var>525.13</var>$850,000 in fiscal year 2018 and $700,000 in <br />
         		<a id="pl.525.14"></a><var>525.14</var>fiscal year 2019 are from the general fund for <br />
         		<a id="pl.525.15"></a><var>525.15</var>the Deaf and Hard-of-Hearing Services <br />
         		<a id="pl.525.16"></a><var>525.16</var>Division under Minnesota Statutes, section <br />
         		<a id="pl.525.17"></a><var>525.17</var>256C.233. $150,000 of this appropriation each <br />
         		<a id="pl.525.18"></a><var>525.18</var>year must be used for technology <br />
         		<a id="pl.525.19"></a><var>525.19</var>improvements, technology support, and <br />
         		<a id="pl.525.20"></a><var>525.20</var>training for staff on the use of technology for <br />
         		<a id="pl.525.21"></a><var>525.21</var>external facing services to implement <br />
         		<a id="pl.525.22"></a><var>525.22</var>Minnesota Statutes, section 256C.24, <br />
         		<a id="pl.525.23"></a><var>525.23</var>subdivision 2, clause (12).<br />
         		<a id="pl.525.24"></a><var>525.24</var>(c) <b>Individual Budgeting Model.</b> $435,000 <br />
         		<a id="pl.525.25"></a><var>525.25</var>in fiscal year 2018 and $65,000 in fiscal year <br />
         		<a id="pl.525.26"></a><var>525.26</var>2019 are from the general fund to study and <br />
         		<a id="pl.525.27"></a><var>525.27</var>develop an individual budgeting model for <br />
         		<a id="pl.525.28"></a><var>525.28</var>disability waiver recipients and those <br />
         		<a id="pl.525.29"></a><var>525.29</var>accessing services through consumer-directed <br />
         		<a id="pl.525.30"></a><var>525.30</var>community supports. The commissioner shall <br />
         		<a id="pl.525.31"></a><var>525.31</var>submit recommendations to the chairs and <br />
         		<a id="pl.525.32"></a><var>525.32</var>ranking minority members of the legislative <br />
         		<a id="pl.525.33"></a><var>525.33</var>committees with jurisdiction over these <br />
         		<a id="pl.525.34"></a><var>525.34</var>programs by January 15, 2019. This is a <br />
         		<a id="pl.525.35"></a><var>525.35</var>onetime appropriation.<br />
         		<a id="pl.526.1"></a><var>526.1</var>(d) <b>Substance Use Disorder System Study. </b><br />
         		<a id="pl.526.2"></a><var>526.2</var>$150,000 in fiscal year 2018 and $150,000 in <br />
         		<a id="pl.526.3"></a><var>526.3</var>fiscal year 2019 are for a substance use <br />
         		<a id="pl.526.4"></a><var>526.4</var>disorder system study. This is a onetime <br />
         		<a id="pl.526.5"></a><var>526.5</var>appropriation.<br />
         		<a id="pl.526.6"></a><var>526.6</var>(e) <b>Children's Mental Health Report and </b><br />
         		<a id="pl.526.7"></a><var>526.7</var><b>Recommendations.</b> $125,000 in fiscal year <br />
         		<a id="pl.526.8"></a><var>526.8</var>2018 and $125,000 in fiscal year 2019 are for <br />
         		<a id="pl.526.9"></a><var>526.9</var>a comprehensive analysis of Minnesota's <br />
         		<a id="pl.526.10"></a><var>526.10</var>continuum of intensive mental health services <br />
         		<a id="pl.526.11"></a><var>526.11</var>for children with serious mental health needs. <br />
         		<a id="pl.526.12"></a><var>526.12</var>This is a onetime appropriation.<br />
         		<a id="pl.526.13"></a><var>526.13</var>(f) <b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.526.14"></a><var>526.14</var>base is $24,650,000 in fiscal year 2020 and <br />
         		<a id="pl.526.15"></a><var>526.15</var>$24,533,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.526.16"></a><var>526.16</var><br />
                  		
               </td>
               <td colspan="3">Subd. 8.<b>Forecasted Programs; MFIP/DWP</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.526.17"></a><var>526.17</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.526.18"></a><var>526.18</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">88,530,000<br />
                  		
               </td>
               <td align="right">97,912,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.526.19"></a><var>526.19</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">94,617,000<br />
                  		
               </td>
               <td align="right">88,230,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.526.20"></a><var>526.20</var><br />
                  		<a id="pl.526.21"></a><var>526.21</var><br />
                  		
               </td>
               <td colspan="3">Subd. 9.<b>Forecasted Programs; MFIP Child Care </b><br />
                  		<b>Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"> 107,385,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">  103,796,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.526.22"></a><var>526.22</var><br />
                  		<a id="pl.526.23"></a><var>526.23</var><br />
                  		
               </td>
               <td colspan="3">Subd. 10.<b>Forecasted Programs; General </b><br />
                  		<b>Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">55,536,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">57,221,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.526.24"></a><var>526.24</var>(a) <b>General Assistance Standard.</b> The <br />
         		<a id="pl.526.25"></a><var>526.25</var>commissioner shall set the monthly standard <br />
         		<a id="pl.526.26"></a><var>526.26</var>of assistance for general assistance units <br />
         		<a id="pl.526.27"></a><var>526.27</var>consisting of an adult recipient who is <br />
         		<a id="pl.526.28"></a><var>526.28</var>childless and unmarried or living apart from <br />
         		<a id="pl.526.29"></a><var>526.29</var>parents or a legal guardian at $203. The <br />
         		<a id="pl.526.30"></a><var>526.30</var>commissioner may reduce this amount <br />
         		<a id="pl.526.31"></a><var>526.31</var>according to Laws 1997, chapter 85, article 3, <br />
         		<a id="pl.526.32"></a><var>526.32</var>section 54.<br />
         		<a id="pl.526.33"></a><var>526.33</var>(b) <b>Emergency General Assistance Limit.</b> <br />
         		<a id="pl.526.34"></a><var>526.34</var>The amount appropriated for emergency <br />
         		<a id="pl.526.35"></a><var>526.35</var>general assistance is limited to no more than <br />
         		<a id="pl.527.1"></a><var>527.1</var>$6,729,812 in fiscal year 2018 and $6,729,812 <br />
         		<a id="pl.527.2"></a><var>527.2</var>in fiscal year 2019. Funds to counties shall be <br />
         		<a id="pl.527.3"></a><var>527.3</var>allocated by the commissioner using the <br />
         		<a id="pl.527.4"></a><var>527.4</var>allocation method under Minnesota Statutes, <br />
         		<a id="pl.527.5"></a><var>527.5</var>section 256D.06.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.527.6"></a><var>527.6</var><br />
                  		<a id="pl.527.7"></a><var>527.7</var><br />
                  		
               </td>
               <td colspan="3">Subd. 11.<b>Forecasted Programs; Minnesota </b><br />
                  		<b>Supplemental Aid</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">40,484,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">41,634,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.527.8"></a><var>527.8</var><br />
                  		<a id="pl.527.9"></a><var>527.9</var><br />
                  		
               </td>
               <td colspan="3">Subd. 12.<b>Forecasted Programs; Group </b><br />
                  		<b>Residential Housing</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">170,337,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">180,668,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.527.10"></a><var>527.10</var><br />
                  		<a id="pl.527.11"></a><var>527.11</var><br />
                  		
               </td>
               <td colspan="3">Subd. 13.<b>Forecasted Programs; Northstar Care </b><br />
                  		<b>for Children</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">80,542,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">96,433,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.527.12"></a><var>527.12</var><br />
                  		
               </td>
               <td colspan="3">Subd. 14.<b>Forecasted Programs; MinnesotaCare</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">12,224,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">12,834,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.527.13"></a><var>527.13</var>This appropriation is from the health care <br />
         		<a id="pl.527.14"></a><var>527.14</var>access fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.527.15"></a><var>527.15</var><br />
                  		<a id="pl.527.16"></a><var>527.16</var><br />
                  		
               </td>
               <td colspan="3">Subd. 15.<b>Forecasted Programs; Medical </b><br />
                  		<b>Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.527.17"></a><var>527.17</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.527.18"></a><var>527.18</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">  5,211,349,000<br />
                  		 
               </td>
               <td align="right">  5,192,343,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.527.19"></a><var>527.19</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">210,159,000<br />
                  		
               </td>
               <td align="right">224,929,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.527.20"></a><var>527.20</var>(a) <b>Behavioral Health Services.</b> $1,000,000 <br />
         		<a id="pl.527.21"></a><var>527.21</var>in fiscal year 2018 and $1,000,000 in fiscal <br />
         		<a id="pl.527.22"></a><var>527.22</var>year 2019 are for behavioral health services <br />
         		<a id="pl.527.23"></a><var>527.23</var>provided by hospitals identified under <br />
         		<a id="pl.527.24"></a><var>527.24</var>Minnesota Statutes, section 256.969, <br />
         		<a id="pl.527.25"></a><var>527.25</var>subdivision 2b, paragraph (a), clause (4). The <br />
         		<a id="pl.527.26"></a><var>527.26</var>increase in payments shall be made by <br />
         		<a id="pl.527.27"></a><var>527.27</var>increasing the adjustment under Minnesota <br />
         		<a id="pl.527.28"></a><var>527.28</var>Statutes, section 256.969, subdivision 2b, <br />
         		<a id="pl.527.29"></a><var>527.29</var>paragraph (e), clause (2).<br />
         		<a id="pl.527.30"></a><var>527.30</var>(b) <b>Limits to Increases in Medical </b><br />
         		<a id="pl.527.31"></a><var>527.31</var><b>Assistance Program Payments.</b> Beginning <br />
         		<a id="pl.527.32"></a><var>527.32</var>July 1, 2017, the commissioner shall limit <br />
         		<a id="pl.527.33"></a><var>527.33</var>increases in payments to managed care plans <br />
         		<a id="pl.527.34"></a><var>527.34</var>and county-based purchasing plans in the <br />
         		<a id="pl.527.35"></a><var>527.35</var>medical assistance program to achieve the <br />
         		<a id="pl.528.1"></a><var>528.1</var>following reductions on a statewide aggregate <br />
         		<a id="pl.528.2"></a><var>528.2</var>basis for each fiscal year:<br />
         		<a id="pl.528.3"></a><var>528.3</var>(1) in fiscal year 2018, $32,682,000;<br />
         		<a id="pl.528.4"></a><var>528.4</var>(2) in fiscal year 2019, $118,257,000;<br />
         		<a id="pl.528.5"></a><var>528.5</var>(3) in fiscal year 2020, $218,025,000; and<br />
         		<a id="pl.528.6"></a><var>528.6</var>(4) in fiscal year 2021, $327,396,000.<br />
         		<a id="pl.528.7"></a><var>528.7</var>Notwithstanding any provision to the contrary <br />
         		<a id="pl.528.8"></a><var>528.8</var>in this article, this paragraph expires July 1, <br />
         		<a id="pl.528.9"></a><var>528.9</var>2021.<br />
         		<a id="pl.528.10"></a><var>528.10</var>(c) <b>Reform of MnCHOICES </b><br />
         		<a id="pl.528.11"></a><var>528.11</var><b>Administration.</b>The commissioner shall <br />
         		<a id="pl.528.12"></a><var>528.12</var>reduce expenditures for MnCHOICES by <br />
         		<a id="pl.528.13"></a><var>528.13</var>$30,753,000 in fiscal year 2018 and <br />
         		<a id="pl.528.14"></a><var>528.14</var>$30,753,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.528.15"></a><var>528.15</var><br />
                  		<a id="pl.528.16"></a><var>528.16</var><br />
                  		
               </td>
               <td colspan="3">Subd. 16.<b>Forecasted Programs; Alternative </b><br />
                  		<b>Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"> 44,587,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">  45,477,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.528.17"></a><var>528.17</var><b>Alternative Care Transfer.</b> Any money <br />
         		<a id="pl.528.18"></a><var>528.18</var>allocated to the alternative care program that <br />
         		<a id="pl.528.19"></a><var>528.19</var>is not spent for the purposes indicated does <br />
         		<a id="pl.528.20"></a><var>528.20</var>not cancel but must be transferred to the <br />
         		<a id="pl.528.21"></a><var>528.21</var>medical assistance account.<br />
         		 
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.528.22"></a><var>528.22</var><br />
                  		<a id="pl.528.23"></a><var>528.23</var><br />
                  		
               </td>
               <td colspan="3">Subd. 17.<b>Forecasted Programs; Chemical </b><br />
                  		<b>Dependency Treatment Fund</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">119,251,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">139,321,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.528.24"></a><var>528.24</var><br />
                  		<a id="pl.528.25"></a><var>528.25</var><br />
                  		
               </td>
               <td colspan="3">Subd. 18.<b>Grant Programs; Support Services </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.528.26"></a><var>528.26</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.528.27"></a><var>528.27</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">8,715,000<br />
                  		
               </td>
               <td align="right">8,715,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.528.28"></a><var>528.28</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">93,311,000<br />
                  		
               </td>
               <td align="right">93,311,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.528.29"></a><var>528.29</var><br />
                  		<a id="pl.528.30"></a><var>528.30</var><br />
                  		
               </td>
               <td colspan="3">Subd. 19.<b>Grant Programs; Basic Sliding Fee </b><br />
                  		<b>Child Care Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"> 51,945,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">  48,660,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.528.31"></a><var>528.31</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.528.32"></a><var>528.32</var>base is $48,737,000 in fiscal year 2020 and <br />
         		<a id="pl.528.33"></a><var>528.33</var>$48,809,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.529.1"></a><var>529.1</var><br />
                  		<a id="pl.529.2"></a><var>529.2</var><br />
                  		
               </td>
               <td colspan="3">Subd. 20.<b>Grant Programs; Child Care </b><br />
                  		<b>Development Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,737,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,737,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.529.3"></a><var>529.3</var><br />
                  		<a id="pl.529.4"></a><var>529.4</var><br />
                  		
               </td>
               <td colspan="3">Subd. 21.<b>Grant Programs; Child Support </b><br />
                  		<b>Enforcement Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">50,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">50,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.529.5"></a><var>529.5</var><br />
                  		<a id="pl.529.6"></a><var>529.6</var><br />
                  		
               </td>
               <td colspan="3">Subd. 22.<b>Grant Programs; Children's Services </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="125px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.529.7"></a><var>529.7</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.529.8"></a><var>529.8</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">41,140,000<br />
                  		
               </td>
               <td align="right">40,265,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.529.9"></a><var>529.9</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">140,000<br />
                  		
               </td>
               <td align="right">140,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.529.10"></a><var>529.10</var>(a) <b>Title IV-E Adoption Assistance.</b> (1) The <br />
         		<a id="pl.529.11"></a><var>529.11</var>commissioner shall allocate funds from the <br />
         		<a id="pl.529.12"></a><var>529.12</var>Title IV-E reimbursement to the state from <br />
         		<a id="pl.529.13"></a><var>529.13</var>the Fostering Connections to Success and <br />
         		<a id="pl.529.14"></a><var>529.14</var>Increasing Adoptions Act for adoptive, foster, <br />
         		<a id="pl.529.15"></a><var>529.15</var>and kinship families as required in Minnesota <br />
         		<a id="pl.529.16"></a><var>529.16</var>Statutes, section 256N.621.<br />
         		<a id="pl.529.17"></a><var>529.17</var>(2) Additional federal reimbursement to the <br />
         		<a id="pl.529.18"></a><var>529.18</var>state as a result of the Fostering Connections <br />
         		<a id="pl.529.19"></a><var>529.19</var>to Success and Increasing Adoptions Act's <br />
         		<a id="pl.529.20"></a><var>529.20</var>expanded eligibility for title IV-E adoption <br />
         		<a id="pl.529.21"></a><var>529.21</var>assistance is for postadoption, foster care, <br />
         		<a id="pl.529.22"></a><var>529.22</var>adoption, and kinship services, including a <br />
         		<a id="pl.529.23"></a><var>529.23</var>parent-to-parent support network.<br />
         		<a id="pl.529.24"></a><var>529.24</var>(b) <b>Adoption Assistance Incentive Grants.</b> <br />
         		<a id="pl.529.25"></a><var>529.25</var>(1) The commissioner shall allocate federal <br />
         		<a id="pl.529.26"></a><var>529.26</var>funds available for adoption and guardianship <br />
         		<a id="pl.529.27"></a><var>529.27</var>assistance incentive grants for postadoption <br />
         		<a id="pl.529.28"></a><var>529.28</var>services to support adoptive, foster, and <br />
         		<a id="pl.529.29"></a><var>529.29</var>kinship families as required in Minnesota <br />
         		<a id="pl.529.30"></a><var>529.30</var>Statutes, section 256N.621.<br />
         		<a id="pl.529.31"></a><var>529.31</var>(2) Federal funds available during fiscal years <br />
         		<a id="pl.529.32"></a><var>529.32</var>2018 and 2019 for adoption incentive grants <br />
         		<a id="pl.529.33"></a><var>529.33</var>must be used for foster care, adoption, and <br />
         		<a id="pl.529.34"></a><var>529.34</var>kinship services, including a parent-to-parent <br />
         		<a id="pl.529.35"></a><var>529.35</var>support network.<br />
         		<a id="pl.530.1"></a><var>530.1</var>(c) <b>Adoption Support Services.</b> The <br />
         		<a id="pl.530.2"></a><var>530.2</var>commissioner shall allocate 20 percent of <br />
         		<a id="pl.530.3"></a><var>530.3</var>federal funds from title IV-B, subpart 2, of the <br />
         		<a id="pl.530.4"></a><var>530.4</var>Social Security Act, Promoting Safe and <br />
         		<a id="pl.530.5"></a><var>530.5</var>Stable Families, for adoption support services <br />
         		<a id="pl.530.6"></a><var>530.6</var>under Minnesota Statutes, section 256N.261.<br />
         		<a id="pl.530.7"></a><var>530.7</var>(d) <b>American Indian Child Welfare </b><br />
         		<a id="pl.530.8"></a><var>530.8</var><b>Initiative. </b>$800,000 in fiscal year 2018 is for <br />
         		<a id="pl.530.9"></a><var>530.9</var>planning efforts to expand the American <br />
         		<a id="pl.530.10"></a><var>530.10</var>Indian Child Welfare Initiative under <br />
         		<a id="pl.530.11"></a><var>530.11</var>Minnesota Statutes, section 256.01, <br />
         		<a id="pl.530.12"></a><var>530.12</var>subdivision 14b. Of this amount, $400,000 is <br />
         		<a id="pl.530.13"></a><var>530.13</var>for a grant to the Mille Lacs Band of Ojibwe <br />
         		<a id="pl.530.14"></a><var>530.14</var>and $400,000 is for a grant to the Red Lake <br />
         		<a id="pl.530.15"></a><var>530.15</var>Nation. This is a onetime appropriation.<br />
         		<a id="pl.530.16"></a><var>530.16</var>(e) <b>Anoka County Family Foster Care.</b>  <br />
         		<a id="pl.530.17"></a><var>530.17</var>$75,000 in fiscal year 2018 is from the general <br />
         		<a id="pl.530.18"></a><var>530.18</var>fund for a grant to Anoka County to establish <br />
         		<a id="pl.530.19"></a><var>530.19</var>and promote family foster care recruitment <br />
         		<a id="pl.530.20"></a><var>530.20</var>models. The county shall use the grant funds <br />
         		<a id="pl.530.21"></a><var>530.21</var>for the purpose of increasing foster care <br />
         		<a id="pl.530.22"></a><var>530.22</var>providers through administrative <br />
         		<a id="pl.530.23"></a><var>530.23</var>simplification, nontraditional recruitment <br />
         		<a id="pl.530.24"></a><var>530.24</var>models, and family incentive options, and <br />
         		<a id="pl.530.25"></a><var>530.25</var>develop a strategic planning model to recruit <br />
         		<a id="pl.530.26"></a><var>530.26</var>family foster care providers. This is a onetime <br />
         		<a id="pl.530.27"></a><var>530.27</var>appropriation.<br />
         		<a id="pl.530.28"></a><var>530.28</var>(f) <b>White Earth Band of Ojibwe Child </b><br />
         		<a id="pl.530.29"></a><var>530.29</var><b>Welfare Services.</b> $1,600,000 in fiscal year <br />
         		<a id="pl.530.30"></a><var>530.30</var>2018 and $1,600,000 in fiscal year 2019 are <br />
         		<a id="pl.530.31"></a><var>530.31</var>from the general fund for a grant to the White <br />
         		<a id="pl.530.32"></a><var>530.32</var>Earth Band of Ojibwe to deliver child welfare <br />
         		<a id="pl.530.33"></a><var>530.33</var>services.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.530.34"></a><var>530.34</var><br />
                  		<a id="pl.530.35"></a><var>530.35</var><br />
                  		
               </td>
               <td colspan="3">Subd. 23.<b>Grant Programs; Children and </b><br />
                  		<b>Community Service Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">58,201,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">58,201,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.531.1"></a><var>531.1</var><br />
                  		<a id="pl.531.2"></a><var>531.2</var><br />
                  		
               </td>
               <td colspan="3">Subd. 24.<b>Grant Programs; Children and </b><br />
                  		<b>Economic Support Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">35,851,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">32,891,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.531.3"></a><var>531.3</var>(a) <b>Minnesota Food Assistance Program. </b><br />
         		<a id="pl.531.4"></a><var>531.4</var>Unexpended funds for the Minnesota food <br />
         		<a id="pl.531.5"></a><var>531.5</var>assistance program for fiscal year 2018 do not <br />
         		<a id="pl.531.6"></a><var>531.6</var>cancel but are available for this purpose in <br />
         		<a id="pl.531.7"></a><var>531.7</var>fiscal year 2019.<br />
         		<a id="pl.531.8"></a><var>531.8</var>(b) <b>At-Home Infant Child Care.</b> $961,000 <br />
         		<a id="pl.531.9"></a><var>531.9</var>in fiscal year 2018 and $961,000 in fiscal year <br />
         		<a id="pl.531.10"></a><var>531.10</var>2019 are from the general fund for the at-home <br />
         		<a id="pl.531.11"></a><var>531.11</var>infant child care program under Minnesota <br />
         		<a id="pl.531.12"></a><var>531.12</var>Statutes, section 119B.035. The base for these <br />
         		<a id="pl.531.13"></a><var>531.13</var>grants is $922,000 in fiscal year 2020 and <br />
         		<a id="pl.531.14"></a><var>531.14</var>$922,000 in fiscal year 2021.<br />
         		<a id="pl.531.15"></a><var>531.15</var>(c) <b>Long-term Homeless Supportive </b><br />
         		<a id="pl.531.16"></a><var>531.16</var><b>Services.</b> $500,000 in fiscal year 2018 and <br />
         		<a id="pl.531.17"></a><var>531.17</var>$500,000 in fiscal year 2019 are for the <br />
         		<a id="pl.531.18"></a><var>531.18</var>long-term homeless supportive services fund <br />
         		<a id="pl.531.19"></a><var>531.19</var>under Minnesota Statutes, section 256K.26. <br />
         		<a id="pl.531.20"></a><var>531.20</var>This is a onetime appropriation.<br />
         		<a id="pl.531.21"></a><var>531.21</var>(d) <b>Community Action Grants.</b> $750,000 in <br />
         		<a id="pl.531.22"></a><var>531.22</var>fiscal year 2018 and $750,000 in fiscal year <br />
         		<a id="pl.531.23"></a><var>531.23</var>2019 are for community action grants under <br />
         		<a id="pl.531.24"></a><var>531.24</var>Minnesota Statutes, sections 256E.30 to <br />
         		<a id="pl.531.25"></a><var>531.25</var>256E.32.<br />
         		<a id="pl.531.26"></a><var>531.26</var>(e) <b>Transitional Housing.</b> $250,000 in fiscal <br />
         		<a id="pl.531.27"></a><var>531.27</var>year 2018 and $250,000 in fiscal year 2019 <br />
         		<a id="pl.531.28"></a><var>531.28</var>are for the transitional housing program under <br />
         		<a id="pl.531.29"></a><var>531.29</var>Minnesota Statutes, section 256E.33. This is <br />
         		<a id="pl.531.30"></a><var>531.30</var>a onetime appropriation.<br />
         		<a id="pl.531.31"></a><var>531.31</var>(f) <b>Family Assets for Independence.</b> <br />
         		<a id="pl.531.32"></a><var>531.32</var>$250,000 in fiscal year 2018 and $250,000 in <br />
         		<a id="pl.531.33"></a><var>531.33</var>fiscal year 2019 are for the family assets for <br />
         		<a id="pl.532.1"></a><var>532.1</var>independence program under Minnesota <br />
         		<a id="pl.532.2"></a><var>532.2</var>Statutes, section 256E.35.<br />
         		<a id="pl.532.3"></a><var>532.3</var>(g) <b>Safe Harbor for Sexually Exploited </b><br />
         		<a id="pl.532.4"></a><var>532.4</var><b>Youth. </b>(1) $500,000 in fiscal year 2018 and <br />
         		<a id="pl.532.5"></a><var>532.5</var>$500,000 in fiscal year 2019 are for <br />
         		<a id="pl.532.6"></a><var>532.6</var>emergency shelter and transitional and <br />
         		<a id="pl.532.7"></a><var>532.7</var>long-term housing beds for sexually exploited <br />
         		<a id="pl.532.8"></a><var>532.8</var>youth and youth at risk of sexual exploitation.<br />
         		<a id="pl.532.9"></a><var>532.9</var>(2) $100,000 in fiscal year 2018 and $100,000 <br />
         		<a id="pl.532.10"></a><var>532.10</var>in fiscal year 2019 are for statewide youth <br />
         		<a id="pl.532.11"></a><var>532.11</var>outreach workers connecting sexually <br />
         		<a id="pl.532.12"></a><var>532.12</var>exploited youth and youth at risk of sexual <br />
         		<a id="pl.532.13"></a><var>532.13</var>exploitation with shelter and services.<br />
         		<a id="pl.532.14"></a><var>532.14</var>(3) Youth 24 years of age or younger are <br />
         		<a id="pl.532.15"></a><var>532.15</var>eligible for shelter, housing beds, and services <br />
         		<a id="pl.532.16"></a><var>532.16</var>under this paragraph. In funding shelter, <br />
         		<a id="pl.532.17"></a><var>532.17</var>housing beds, and outreach workers under this <br />
         		<a id="pl.532.18"></a><var>532.18</var>paragraph, the commissioner shall emphasize <br />
         		<a id="pl.532.19"></a><var>532.19</var>activities that promote capacity-building and <br />
         		<a id="pl.532.20"></a><var>532.20</var>development of resources in greater <br />
         		<a id="pl.532.21"></a><var>532.21</var>Minnesota.<br />
         		<a id="pl.532.22"></a><var>532.22</var>(h) <b>Emergency Services Program.</b> $125,000 <br />
         		<a id="pl.532.23"></a><var>532.23</var>in fiscal year 2018 and $125,000 in fiscal year <br />
         		<a id="pl.532.24"></a><var>532.24</var>2019 are for the emergency services program, <br />
         		<a id="pl.532.25"></a><var>532.25</var>which provides services and emergency shelter <br />
         		<a id="pl.532.26"></a><var>532.26</var>for homeless Minnesotans under Minnesota <br />
         		<a id="pl.532.27"></a><var>532.27</var>Statutes, section 256E.36. This is a onetime <br />
         		<a id="pl.532.28"></a><var>532.28</var>appropriation.<br />
         		<a id="pl.532.29"></a><var>532.29</var>(i) <b>Dakota County Child Data Tracking.</b> <br />
         		<a id="pl.532.30"></a><var>532.30</var>$200,000 in fiscal year 2018 is for the <br />
         		<a id="pl.532.31"></a><var>532.31</var>Minnesota Birth to Eight pilot project for the <br />
         		<a id="pl.532.32"></a><var>532.32</var>development of the information technology <br />
         		<a id="pl.532.33"></a><var>532.33</var>solution that will track the established <br />
         		<a id="pl.533.1"></a><var>533.1</var>developmental milestone progress of each <br />
         		<a id="pl.533.2"></a><var>533.2</var>child participating in the pilot up to age eight.<br />
         		<a id="pl.533.3"></a><var>533.3</var>(j) <b>Mobile Food Shelf Grants.</b> $2,000,000 in <br />
         		<a id="pl.533.4"></a><var>533.4</var>fiscal year 2018 is for mobile food shelf <br />
         		<a id="pl.533.5"></a><var>533.5</var>grants. Of this amount, $1,000,000 is for <br />
         		<a id="pl.533.6"></a><var>533.6</var>sustaining existing mobile programs and <br />
         		<a id="pl.533.7"></a><var>533.7</var>$1,000,000 is for creating new mobile <br />
         		<a id="pl.533.8"></a><var>533.8</var>programs. This is a onetime appropriation.<br />
         		<a id="pl.533.9"></a><var>533.9</var>(k) <b>Food Shelf Programs.</b> $565,000 in fiscal <br />
         		<a id="pl.533.10"></a><var>533.10</var>year 2018 and $565,000 in fiscal year 2019 <br />
         		<a id="pl.533.11"></a><var>533.11</var>are for food shelf programs under Minnesota <br />
         		<a id="pl.533.12"></a><var>533.12</var>Statutes, section 256E.34. This appropriation <br />
         		<a id="pl.533.13"></a><var>533.13</var>may be used to purchase proteins, fruits, <br />
         		<a id="pl.533.14"></a><var>533.14</var>vegetables, and diapers.<br />
         		<a id="pl.533.15"></a><var>533.15</var>(l) <b>Housing Benefit Web Site. </b>$130,000 in <br />
         		<a id="pl.533.16"></a><var>533.16</var>fiscal year 2018 and $130,000 in fiscal year <br />
         		<a id="pl.533.17"></a><var>533.17</var>2019 are to operate the housing benefit 101 <br />
         		<a id="pl.533.18"></a><var>533.18</var>Web site to help people who need affordable <br />
         		<a id="pl.533.19"></a><var>533.19</var>housing, and supports to maintain that <br />
         		<a id="pl.533.20"></a><var>533.20</var>housing, understand the range of housing <br />
         		<a id="pl.533.21"></a><var>533.21</var>options and support services available.<br />
         		<a id="pl.533.22"></a><var>533.22</var>(m) <b>Coparenting Education.</b> $200,000 in <br />
         		<a id="pl.533.23"></a><var>533.23</var>fiscal year 2018 and $200,000 in fiscal year <br />
         		<a id="pl.533.24"></a><var>533.24</var>2019 are for a grant to a health and wellness <br />
         		<a id="pl.533.25"></a><var>533.25</var>center located in North Minneapolis that is a <br />
         		<a id="pl.533.26"></a><var>533.26</var>federally qualified health center. This is a <br />
         		<a id="pl.533.27"></a><var>533.27</var>onetime appropriation. The center must use <br />
         		<a id="pl.533.28"></a><var>533.28</var>the grant money to offer coparent services to <br />
         		<a id="pl.533.29"></a><var>533.29</var>unmarried parents. The center must develop <br />
         		<a id="pl.533.30"></a><var>533.30</var>a process to inform and educate unmarried <br />
         		<a id="pl.533.31"></a><var>533.31</var>parents about the center's coparent services. <br />
         		<a id="pl.533.32"></a><var>533.32</var>The coparent services must include the <br />
         		<a id="pl.533.33"></a><var>533.33</var>following:<br />
         		<a id="pl.534.1"></a><var>534.1</var>(1) coparenting workshops for the unmarried <br />
         		<a id="pl.534.2"></a><var>534.2</var>parents;<br />
         		<a id="pl.534.3"></a><var>534.3</var>(2) assistance to the unmarried parents in <br />
         		<a id="pl.534.4"></a><var>534.4</var>developing a parenting plan that specifies a <br />
         		<a id="pl.534.5"></a><var>534.5</var>schedule of the time each parent spends with <br />
         		<a id="pl.534.6"></a><var>534.6</var>the child, child support obligations, and a <br />
         		<a id="pl.534.7"></a><var>534.7</var>designation of decision-making responsibilities <br />
         		<a id="pl.534.8"></a><var>534.8</var>regarding the child's education, medical needs, <br />
         		<a id="pl.534.9"></a><var>534.9</var>and religious upbringing;<br />
         		<a id="pl.534.10"></a><var>534.10</var>(3) an assessment of social services needs for <br />
         		<a id="pl.534.11"></a><var>534.11</var>each parent; and<br />
         		<a id="pl.534.12"></a><var>534.12</var>(4) additional social services support, <br />
         		<a id="pl.534.13"></a><var>534.13</var>including support related to employment, <br />
         		<a id="pl.534.14"></a><var>534.14</var>education, and housing.<br />
         		<a id="pl.534.15"></a><var>534.15</var>The parenting plan assistance must include <br />
         		<a id="pl.534.16"></a><var>534.16</var>the option of using private mediation.<br />
         		<a id="pl.534.17"></a><var>534.17</var>The coparent workshops must focus at a <br />
         		<a id="pl.534.18"></a><var>534.18</var>minimum on (i) the benefits to the child of <br />
         		<a id="pl.534.19"></a><var>534.19</var>having both parents involved in a child's life, <br />
         		<a id="pl.534.20"></a><var>534.20</var>(ii) promoting both parents' participation in a <br />
         		<a id="pl.534.21"></a><var>534.21</var>child's life, (iii) building coparenting and <br />
         		<a id="pl.534.22"></a><var>534.22</var>communication skills, (iv) information on <br />
         		<a id="pl.534.23"></a><var>534.23</var>establishing paternity, (v) assisting parents in <br />
         		<a id="pl.534.24"></a><var>534.24</var>developing a parenting plan, and (vi) educating <br />
         		<a id="pl.534.25"></a><var>534.25</var>participants on how to foster a nonresident <br />
         		<a id="pl.534.26"></a><var>534.26</var>parent's continued involvement in a child's <br />
         		<a id="pl.534.27"></a><var>534.27</var>life.<br />
         		<a id="pl.534.28"></a><var>534.28</var>(n) <b>Safe Harbor Shelter and Housing </b><br />
         		<a id="pl.534.29"></a><var>534.29</var><b>Project.</b> $970,000 in fiscal year 2018 is for a <br />
         		<a id="pl.534.30"></a><var>534.30</var>grant to a girls' ranch in Benson that provides <br />
         		<a id="pl.534.31"></a><var>534.31</var>housing, supportive services, educational <br />
         		<a id="pl.534.32"></a><var>534.32</var>services, and equine therapy, for purposes of <br />
         		<a id="pl.534.33"></a><var>534.33</var>predesigning, designing, constructing, <br />
         		<a id="pl.534.34"></a><var>534.34</var>furnishing, and equipping a house with <br />
         		<a id="pl.535.1"></a><var>535.1</var>capacity for ten beds, and a second horse <br />
         		<a id="pl.535.2"></a><var>535.2</var>riding arena. This is a onetime appropriation.<br />
         		<a id="pl.535.3"></a><var>535.3</var>(o) <b>Base Level Adjustments.</b> The general <br />
         		<a id="pl.535.4"></a><var>535.4</var>fund base is $32,230,000 in fiscal year 2020 <br />
         		<a id="pl.535.5"></a><var>535.5</var>and $32,230,000 in fiscal year 2021. The <br />
         		<a id="pl.535.6"></a><var>535.6</var>general fund base includes $453,000 in fiscal <br />
         		<a id="pl.535.7"></a><var>535.7</var>year 2020 and $453,000 in fiscal year 2021 <br />
         		<a id="pl.535.8"></a><var>535.8</var>for community living infrastructure grant <br />
         		<a id="pl.535.9"></a><var>535.9</var>allocations under Minnesota Statutes, section <br />
         		<a id="pl.535.10"></a><var>535.10</var>256I.09.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.535.11"></a><var>535.11</var><br />
                  		
               </td>
               <td colspan="3">Subd. 25.<b>Grant Programs; Health Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.535.12"></a><var>535.12</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.535.13"></a><var>535.13</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">4,994,000<br />
                  		
               </td>
               <td align="right">4,461,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.535.14"></a><var>535.14</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">1,908,000<br />
                  		
               </td>
               <td align="right">1,908,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.535.15"></a><var>535.15</var>(a) <b>Integrated Health Partnerships.</b> <br />
         		<a id="pl.535.16"></a><var>535.16</var>$375,000 in fiscal year 2018 and $250,000 in <br />
         		<a id="pl.535.17"></a><var>535.17</var>fiscal year 2019 are from the general fund to <br />
         		<a id="pl.535.18"></a><var>535.18</var>provide financial assistance to participating <br />
         		<a id="pl.535.19"></a><var>535.19</var>providers for costs required to establish an <br />
         		<a id="pl.535.20"></a><var>535.20</var>integrated health partnership, including but <br />
         		<a id="pl.535.21"></a><var>535.21</var>not limited to collecting and reporting <br />
         		<a id="pl.535.22"></a><var>535.22</var>information on health outcomes, quality of <br />
         		<a id="pl.535.23"></a><var>535.23</var>care, and health care costs; training <br />
         		<a id="pl.535.24"></a><var>535.24</var>practitioners and staff to use new care models <br />
         		<a id="pl.535.25"></a><var>535.25</var>and participate in care coordination; or <br />
         		<a id="pl.535.26"></a><var>535.26</var>participating in research and evaluation of the <br />
         		<a id="pl.535.27"></a><var>535.27</var>projects. This is a onetime appropriation.<br />
         		<a id="pl.535.28"></a><var>535.28</var>(b) <b>Dental Services Grants.</b> $500,000 in <br />
         		<a id="pl.535.29"></a><var>535.29</var>fiscal year 2018 and $500,000 in fiscal year <br />
         		<a id="pl.535.30"></a><var>535.30</var>2019 are to award dental services grants. This <br />
         		<a id="pl.535.31"></a><var>535.31</var>is a onetime appropriation. The commissioner <br />
         		<a id="pl.535.32"></a><var>535.32</var>may award grants under this paragraph to:<br />
         		<a id="pl.535.33"></a><var>535.33</var>(1) nonprofit community clinics;<br />
         		<a id="pl.536.1"></a><var>536.1</var>(2) federally qualified health centers, rural <br />
         		<a id="pl.536.2"></a><var>536.2</var>health clinics, and public health clinics;<br />
         		<a id="pl.536.3"></a><var>536.3</var>(3) hospital-based dental clinics owned and <br />
         		<a id="pl.536.4"></a><var>536.4</var>operated by a city, county, or former state <br />
         		<a id="pl.536.5"></a><var>536.5</var>hospital as defined in Minnesota Statutes, <br />
         		<a id="pl.536.6"></a><var>536.6</var>section 62Q.19, subdivision 1, paragraph (a), <br />
         		<a id="pl.536.7"></a><var>536.7</var>clause (4); and<br />
         		<a id="pl.536.8"></a><var>536.8</var>(4) a dental clinic owned and operated by the <br />
         		<a id="pl.536.9"></a><var>536.9</var>University of Minnesota or the Minnesota <br />
         		<a id="pl.536.10"></a><var>536.10</var>State Colleges and Universities system.<br />
         		<a id="pl.536.11"></a><var>536.11</var>Grants may be used to fund costs related to <br />
         		<a id="pl.536.12"></a><var>536.12</var>maintaining, coordinating, and improving <br />
         		<a id="pl.536.13"></a><var>536.13</var>access for medical assistance and <br />
         		<a id="pl.536.14"></a><var>536.14</var>MinnesotaCare enrollees to dental care in a <br />
         		<a id="pl.536.15"></a><var>536.15</var>region.<br />
         		<a id="pl.536.16"></a><var>536.16</var>The commissioner shall consider the following <br />
         		<a id="pl.536.17"></a><var>536.17</var>in awarding the grants: experience in <br />
         		<a id="pl.536.18"></a><var>536.18</var>delivering dental services to medical assistance <br />
         		<a id="pl.536.19"></a><var>536.19</var>and MinnesotaCare enrollees in urban and <br />
         		<a id="pl.536.20"></a><var>536.20</var>rural communities; the potential to <br />
         		<a id="pl.536.21"></a><var>536.21</var>successfully maintain or expand access to <br />
         		<a id="pl.536.22"></a><var>536.22</var>dental services for medical assistance and <br />
         		<a id="pl.536.23"></a><var>536.23</var>MinnesotaCare enrollees; and demonstrated <br />
         		<a id="pl.536.24"></a><var>536.24</var>capability to provide access to care for <br />
         		<a id="pl.536.25"></a><var>536.25</var>children, adults, and seniors with special <br />
         		<a id="pl.536.26"></a><var>536.26</var>needs, individuals with complex medical and <br />
         		<a id="pl.536.27"></a><var>536.27</var>dental needs, recent immigrants and <br />
         		<a id="pl.536.28"></a><var>536.28</var>non-English speakers, and students attending <br />
         		<a id="pl.536.29"></a><var>536.29</var>schools with a high percentage of low-income <br />
         		<a id="pl.536.30"></a><var>536.30</var>students.<br />
         		<a id="pl.536.31"></a><var>536.31</var>(c) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.536.32"></a><var>536.32</var>base is $3,711,000 in fiscal year 2020 and <br />
         		<a id="pl.536.33"></a><var>536.33</var>$3,711,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.536.34"></a><var>536.34</var><br />
                  		<a id="pl.536.35"></a><var>536.35</var><br />
                  		
               </td>
               <td colspan="3">Subd. 26.<b>Grant Programs; Other Long-Term </b><br />
                  		<b>Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"> 3,053,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"> 3,478,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.537.1"></a><var>537.1</var>(a) <b>Home and Community-Based Incentive </b><br />
         		<a id="pl.537.2"></a><var>537.2</var><b>Pool. </b>$1,553,000 in fiscal year 2018 and <br />
         		<a id="pl.537.3"></a><var>537.3</var>$1,553,000 in fiscal year 2019 are for <br />
         		<a id="pl.537.4"></a><var>537.4</var>incentive payments under Minnesota Statutes, <br />
         		<a id="pl.537.5"></a><var>537.5</var>section 256B.0921. The base for these grants <br />
         		<a id="pl.537.6"></a><var>537.6</var>is $1,059,000 in fiscal year 2020 and <br />
         		<a id="pl.537.7"></a><var>537.7</var>$1,059,000 in fiscal year 2021.<br />
         		<a id="pl.537.8"></a><var>537.8</var>(b) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.537.9"></a><var>537.9</var>base is $2,984,000 in fiscal year 2020 and <br />
         		<a id="pl.537.10"></a><var>537.10</var>$2,984,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.537.11"></a><var>537.11</var><br />
                  		<a id="pl.537.12"></a><var>537.12</var><br />
                  		
               </td>
               <td colspan="3">Subd. 27.<b>Grant Programs; Aging and Adult </b><br />
                  		<b>Services Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">30,986,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">32,637,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.537.13"></a><var>537.13</var>(a) <b>Caregiver Support Programs.</b> $200,000 <br />
         		<a id="pl.537.14"></a><var>537.14</var>in fiscal year 2018 and $200,000 in fiscal year <br />
         		<a id="pl.537.15"></a><var>537.15</var>2019 are for caregiver support programs under <br />
         		<a id="pl.537.16"></a><var>537.16</var>Minnesota Statutes, section 256.9755.<br />
         		<a id="pl.537.17"></a><var>537.17</var>(b) <b>Advanced In-Home Activity-Monitoring </b><br />
         		<a id="pl.537.18"></a><var>537.18</var><b>Systems.</b> $40,000 in fiscal year 2018 is for a <br />
         		<a id="pl.537.19"></a><var>537.19</var>grant to a local research organization with <br />
         		<a id="pl.537.20"></a><var>537.20</var>expertise in identifying current and potential <br />
         		<a id="pl.537.21"></a><var>537.21</var>support systems and examining the capacity <br />
         		<a id="pl.537.22"></a><var>537.22</var>of those systems to meet the needs of the <br />
         		<a id="pl.537.23"></a><var>537.23</var>growing population of elderly persons to <br />
         		<a id="pl.537.24"></a><var>537.24</var>conduct a comprehensive assessment of <br />
         		<a id="pl.537.25"></a><var>537.25</var>current literature, past research, and an <br />
         		<a id="pl.537.26"></a><var>537.26</var>environmental scan of the field related to <br />
         		<a id="pl.537.27"></a><var>537.27</var>advanced in-home activity-monitoring systems <br />
         		<a id="pl.537.28"></a><var>537.28</var>for elderly persons. The commissioner must <br />
         		<a id="pl.537.29"></a><var>537.29</var>report the results of the assessment by January <br />
         		<a id="pl.537.30"></a><var>537.30</var>15, 2018, to the legislative committees and <br />
         		<a id="pl.537.31"></a><var>537.31</var>divisions with jurisdiction over health and <br />
         		<a id="pl.537.32"></a><var>537.32</var>human services policy and finance. This is a <br />
         		<a id="pl.537.33"></a><var>537.33</var>onetime appropriation.<br />
         		<a id="pl.537.34"></a><var>537.34</var>(c) <b>Base Level Adjustments. </b>The general <br />
         		<a id="pl.537.35"></a><var>537.35</var>fund base is $33,011,000 in fiscal year 2020 <br />
         		<a id="pl.538.1"></a><var>538.1</var>and $33,195,000 in fiscal year 2021. The <br />
         		<a id="pl.538.2"></a><var>538.2</var>general fund base includes $334,000 in fiscal <br />
         		<a id="pl.538.3"></a><var>538.3</var>year 2020 and $477,000 in fiscal year 2021 <br />
         		<a id="pl.538.4"></a><var>538.4</var>for the Minnesota Board on Aging for <br />
         		<a id="pl.538.5"></a><var>538.5</var>self-directed caregiver grants under Minnesota <br />
         		<a id="pl.538.6"></a><var>538.6</var>Statutes, section 256.975, subdivision 12.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.538.7"></a><var>538.7</var><br />
                  		<a id="pl.538.8"></a><var>538.8</var><br />
                  		
               </td>
               <td colspan="3">Subd. 28.<b>Grant Programs; Deaf and </b><br />
                  		<b>Hard-of-Hearing Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,625,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,775,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.538.9"></a><var>538.9</var><b>Expanded Services Grants. </b>$750,000 in <br />
         		<a id="pl.538.10"></a><var>538.10</var>fiscal year 2018 and $900,000 in fiscal year <br />
         		<a id="pl.538.11"></a><var>538.11</var>2019 are for deaf and hard-of-hearing grants. <br />
         		<a id="pl.538.12"></a><var>538.12</var>The funds must be used to provide services to <br />
         		<a id="pl.538.13"></a><var>538.13</var>Minnesotans who are deafblind under <br />
         		<a id="pl.538.14"></a><var>538.14</var>Minnesota Statutes, section 256C.261, to <br />
         		<a id="pl.538.15"></a><var>538.15</var>provide culturally affirmative psychiatric <br />
         		<a id="pl.538.16"></a><var>538.16</var>services, and to provide linguistically and <br />
         		<a id="pl.538.17"></a><var>538.17</var>culturally appropriate mental health services <br />
         		<a id="pl.538.18"></a><var>538.18</var>to children who are deaf, children who are <br />
         		<a id="pl.538.19"></a><var>538.19</var>deafblind, and children who are <br />
         		<a id="pl.538.20"></a><var>538.20</var>hard-of-hearing. Of this amount, $103,000 in <br />
         		<a id="pl.538.21"></a><var>538.21</var>each year is to increase the grant to provide <br />
         		<a id="pl.538.22"></a><var>538.22</var>mentors who have hearing loss to parents of <br />
         		<a id="pl.538.23"></a><var>538.23</var>infants and children with newly identified <br />
         		<a id="pl.538.24"></a><var>538.24</var>hearing loss. Each year the division must <br />
         		<a id="pl.538.25"></a><var>538.25</var>provide funds for training in ProTactile <br />
         		<a id="pl.538.26"></a><var>538.26</var>American Sign Language or other <br />
         		<a id="pl.538.27"></a><var>538.27</var>communication systems used by people who <br />
         		<a id="pl.538.28"></a><var>538.28</var>are deafblind. Training shall be provided to <br />
         		<a id="pl.538.29"></a><var>538.29</var>persons who are deafblind and to interpreters, <br />
         		<a id="pl.538.30"></a><var>538.30</var>support service providers, and intervenors who <br />
         		<a id="pl.538.31"></a><var>538.31</var>work with persons who are deafblind.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.538.32"></a><var>538.32</var><br />
                  		
               </td>
               <td colspan="3">Subd. 29.<b>Grant Programs; Disabilities Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">  21,300,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">  21,301,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.538.33"></a><var>538.33</var>(a) <b>Disability Waiver Rate System </b><br />
         		<a id="pl.538.34"></a><var>538.34</var><b>Transition Grants.</b> $30,000 in fiscal year <br />
         		<a id="pl.538.35"></a><var>538.35</var>2018 and $31,000 in fiscal year 2019 are for <br />
         		<a id="pl.539.1"></a><var>539.1</var>grants to home and community-based <br />
         		<a id="pl.539.2"></a><var>539.2</var>disability waiver services providers that are <br />
         		<a id="pl.539.3"></a><var>539.3</var>projected to receive at least a ten percent <br />
         		<a id="pl.539.4"></a><var>539.4</var>decrease in revenues due to transition to rates <br />
         		<a id="pl.539.5"></a><var>539.5</var>calculated under Minnesota Statutes, section <br />
         		<a id="pl.539.6"></a><var>539.6</var>256B.4914.The commissioner shall award <br />
         		<a id="pl.539.7"></a><var>539.7</var>grants to ensure ongoing access for individuals <br />
         		<a id="pl.539.8"></a><var>539.8</var>currently receiving these services and provide <br />
         		<a id="pl.539.9"></a><var>539.9</var>stability to providers as they transition to new <br />
         		<a id="pl.539.10"></a><var>539.10</var>service delivery models. The general fund base <br />
         		<a id="pl.539.11"></a><var>539.11</var>for the grants under this paragraph is $287,000 <br />
         		<a id="pl.539.12"></a><var>539.12</var>in fiscal year 2020 and $288,000 in fiscal year <br />
         		<a id="pl.539.13"></a><var>539.13</var>2021.<br />
         		<a id="pl.539.14"></a><var>539.14</var>(b) <b>Self-Advocacy Grants.</b> $133,000 in fiscal <br />
         		<a id="pl.539.15"></a><var>539.15</var>year 2018 and $133,000 in fiscal year 2019 <br />
         		<a id="pl.539.16"></a><var>539.16</var>are for grants under Minnesota Statutes, <br />
         		<a id="pl.539.17"></a><var>539.17</var>section 256.477, paragraph (a).<br />
         		<a id="pl.539.18"></a><var>539.18</var>(c) <b>Services for Persons with Intellectual </b><br />
         		<a id="pl.539.19"></a><var>539.19</var><b>and Developmental Disabilities.</b> $143,000 <br />
         		<a id="pl.539.20"></a><var>539.20</var>in fiscal year 2018 and $143,000 in fiscal year <br />
         		<a id="pl.539.21"></a><var>539.21</var>2019 are for a grant to an organization <br />
         		<a id="pl.539.22"></a><var>539.22</var>described under Minnesota Statutes, section <br />
         		<a id="pl.539.23"></a><var>539.23</var>256.477. This is a onetime appropriation. <br />
         		<a id="pl.539.24"></a><var>539.24</var>Grant funds must be used for the following <br />
         		<a id="pl.539.25"></a><var>539.25</var>purposes:<br />
         		<a id="pl.539.26"></a><var>539.26</var>(1) to maintain the infrastructure needed to <br />
         		<a id="pl.539.27"></a><var>539.27</var>train and support the activities of a statewide <br />
         		<a id="pl.539.28"></a><var>539.28</var>network of peer-to-peer mentors for persons <br />
         		<a id="pl.539.29"></a><var>539.29</var>with developmental disabilities, focused on <br />
         		<a id="pl.539.30"></a><var>539.30</var>building awareness of service options and <br />
         		<a id="pl.539.31"></a><var>539.31</var>advocacy skills necessary to move toward full <br />
         		<a id="pl.539.32"></a><var>539.32</var>inclusion in community life, including the <br />
         		<a id="pl.539.33"></a><var>539.33</var>development and delivery of the curriculum <br />
         		<a id="pl.539.34"></a><var>539.34</var>to support the peer-to-peer network;<br />
         		<a id="pl.540.1"></a><var>540.1</var>(2) to provide outreach activities, including <br />
         		<a id="pl.540.2"></a><var>540.2</var>statewide conferences and disability <br />
         		<a id="pl.540.3"></a><var>540.3</var>networking opportunities focused on <br />
         		<a id="pl.540.4"></a><var>540.4</var>self-advocacy, informed choice, and <br />
         		<a id="pl.540.5"></a><var>540.5</var>community engagement skills;<br />
         		<a id="pl.540.6"></a><var>540.6</var>(3) to provide an annual leadership program <br />
         		<a id="pl.540.7"></a><var>540.7</var>for persons with intellectual and <br />
         		<a id="pl.540.8"></a><var>540.8</var>developmental disabilities; and<br />
         		<a id="pl.540.9"></a><var>540.9</var>(4) to provide for administrative and general <br />
         		<a id="pl.540.10"></a><var>540.10</var>operating costs associated with managing and <br />
         		<a id="pl.540.11"></a><var>540.11</var>maintaining facilities, program delivery, <br />
         		<a id="pl.540.12"></a><var>540.12</var>evaluation, staff, and technology.<br />
         		<a id="pl.540.13"></a><var>540.13</var>(d) <b>Outreach to Persons in Institutional </b><br />
         		<a id="pl.540.14"></a><var>540.14</var><b>Settings.</b> $105,000 in fiscal year 2018 and <br />
         		<a id="pl.540.15"></a><var>540.15</var>$105,000 in fiscal year 2019 are for a grant to <br />
         		<a id="pl.540.16"></a><var>540.16</var>an organization described under Minnesota <br />
         		<a id="pl.540.17"></a><var>540.17</var>Statutes, section 256.477, to be used for <br />
         		<a id="pl.540.18"></a><var>540.18</var>subgrants to organizations in Minnesota to <br />
         		<a id="pl.540.19"></a><var>540.19</var>conduct outreach to persons working and <br />
         		<a id="pl.540.20"></a><var>540.20</var>living in institutional settings to provide <br />
         		<a id="pl.540.21"></a><var>540.21</var>education and information about community <br />
         		<a id="pl.540.22"></a><var>540.22</var>options. This is a onetime appropriation. Grant <br />
         		<a id="pl.540.23"></a><var>540.23</var>funds must be used to deliver peer-led skill <br />
         		<a id="pl.540.24"></a><var>540.24</var>training sessions in six regions of the state to <br />
         		<a id="pl.540.25"></a><var>540.25</var>help persons with intellectual and <br />
         		<a id="pl.540.26"></a><var>540.26</var>developmental disabilities understand <br />
         		<a id="pl.540.27"></a><var>540.27</var>community service options related to:<br />
         		<a id="pl.540.28"></a><var>540.28</var>(1) housing;<br />
         		<a id="pl.540.29"></a><var>540.29</var>(2) employment;<br />
         		<a id="pl.540.30"></a><var>540.30</var>(3) education;<br />
         		<a id="pl.540.31"></a><var>540.31</var>(4) transportation;<br />
         		<a id="pl.540.32"></a><var>540.32</var>(5) emerging service reform initiatives <br />
         		<a id="pl.540.33"></a><var>540.33</var>contained in the state's Olmstead plan; the <br />
         		<a id="pl.541.1"></a><var>541.1</var>Workforce Innovation and Opportunity Act, <br />
         		<a id="pl.541.2"></a><var>541.2</var>Public Law 113-128; and federal home and <br />
         		<a id="pl.541.3"></a><var>541.3</var>community-based services regulations; and<br />
         		<a id="pl.541.4"></a><var>541.4</var>(6) connecting with individuals who can help <br />
         		<a id="pl.541.5"></a><var>541.5</var>persons with intellectual and developmental <br />
         		<a id="pl.541.6"></a><var>541.6</var>disabilities make an informed choice and plan <br />
         		<a id="pl.541.7"></a><var>541.7</var>for a transition in services.<br />
         		<a id="pl.541.8"></a><var>541.8</var>(e) <b>Individual Community Living Grants.</b> <br />
         		<a id="pl.541.9"></a><var>541.9</var>To the extent funding is available, the <br />
         		<a id="pl.541.10"></a><var>541.10</var>commissioner may transfer funds from the <br />
         		<a id="pl.541.11"></a><var>541.11</var>semi-independent living services grant to new <br />
         		<a id="pl.541.12"></a><var>541.12</var>individual community living grants to pay for <br />
         		<a id="pl.541.13"></a><var>541.13</var>transitional costs and facilitate the transition <br />
         		<a id="pl.541.14"></a><var>541.14</var>of individuals from corporate foster care to <br />
         		<a id="pl.541.15"></a><var>541.15</var>community living.<br />
         		<a id="pl.541.16"></a><var>541.16</var>(f) <b>Gap Analysis. </b>$217,000 in fiscal year 2018 <br />
         		<a id="pl.541.17"></a><var>541.17</var>and $218,000 in fiscal year 2019 are for <br />
         		<a id="pl.541.18"></a><var>541.18</var>analysis of gaps in long-term care services <br />
         		<a id="pl.541.19"></a><var>541.19</var>under Minnesota Statutes, section 144A.351.<br />
         		<a id="pl.541.20"></a><var>541.20</var>(g) <b>Life Skills Training for Individuals with </b><br />
         		<a id="pl.541.21"></a><var>541.21</var><b>Autism Spectrum Disorder.</b> $250,000 in <br />
         		<a id="pl.541.22"></a><var>541.22</var>fiscal year 2018 and $250,000 in fiscal year <br />
         		<a id="pl.541.23"></a><var>541.23</var>2019 are for a grant to an organization located <br />
         		<a id="pl.541.24"></a><var>541.24</var>in Richfield that provides life skills training <br />
         		<a id="pl.541.25"></a><var>541.25</var>to young adults with learning disabilities to <br />
         		<a id="pl.541.26"></a><var>541.26</var>meet the needs of individuals with autism <br />
         		<a id="pl.541.27"></a><var>541.27</var>spectrum disorder. This appropriation may be <br />
         		<a id="pl.541.28"></a><var>541.28</var>used to:<br />
         		<a id="pl.541.29"></a><var>541.29</var>(1) create a best practices curriculum for <br />
         		<a id="pl.541.30"></a><var>541.30</var>serving individuals with autism spectrum <br />
         		<a id="pl.541.31"></a><var>541.31</var>disorder in residential placements with <br />
         		<a id="pl.541.32"></a><var>541.32</var>therapeutic programming; and<br />
         		 <a id="pl.541.33"></a><var>541.33</var>(2) expand facilities by adding safety features, <br />
         		<a id="pl.541.34"></a><var>541.34</var>living spaces, and academic areas.<br />
         		<a id="pl.542.1"></a><var>542.1</var>(h) <b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.542.2"></a><var>542.2</var>base is $21,309,000 in fiscal year 2020 and <br />
         		<a id="pl.542.3"></a><var>542.3</var>$21,310,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.542.4"></a><var>542.4</var><br />
                  		<a id="pl.542.5"></a><var>542.5</var><br />
                  		
               </td>
               <td colspan="3">Subd. 30.<b>Grant Programs; Adult Mental Health </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.542.6"></a><var>542.6</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.542.7"></a><var>542.7</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right"> 85,402,000<br />
                  		
               </td>
               <td align="right"> 85,302,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.542.8"></a><var>542.8</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">750,000<br />
                  		
               </td>
               <td align="right">750,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.542.9"></a><var>542.9</var>(a) <b>Peer-Run Respite Services in Wadena </b><br />
         		<a id="pl.542.10"></a><var>542.10</var><b>County.</b> $100,000 in fiscal year 2018 is from <br />
         		<a id="pl.542.11"></a><var>542.11</var>the general fund for a grant to Wadena County <br />
         		<a id="pl.542.12"></a><var>542.12</var>for the planning and development of a peer-run <br />
         		<a id="pl.542.13"></a><var>542.13</var>respite center for individuals experiencing <br />
         		<a id="pl.542.14"></a><var>542.14</var>mental health conditions or co-occurring <br />
         		<a id="pl.542.15"></a><var>542.15</var>substance abuse disorder. This is a onetime <br />
         		<a id="pl.542.16"></a><var>542.16</var>appropriation and is available until June 30, <br />
         		<a id="pl.542.17"></a><var>542.17</var>2021. The grant is contingent on Wadena <br />
         		<a id="pl.542.18"></a><var>542.18</var>County providing to the commissioner of <br />
         		<a id="pl.542.19"></a><var>542.19</var>human services a plan to fund, operate, and <br />
         		<a id="pl.542.20"></a><var>542.20</var>sustain the program and services after the <br />
         		<a id="pl.542.21"></a><var>542.21</var>onetime state grant is expended. Wadena <br />
         		<a id="pl.542.22"></a><var>542.22</var>County must outline the proposed funding <br />
         		<a id="pl.542.23"></a><var>542.23</var>stream or mechanism, and any necessary local <br />
         		<a id="pl.542.24"></a><var>542.24</var>funding commitment, which will ensure the <br />
         		<a id="pl.542.25"></a><var>542.25</var>program will result in a sustainable program. <br />
         		<a id="pl.542.26"></a><var>542.26</var>The funding stream may include state funding <br />
         		<a id="pl.542.27"></a><var>542.27</var>for programs and services for which the <br />
         		<a id="pl.542.28"></a><var>542.28</var>individuals served under this paragraph may <br />
         		<a id="pl.542.29"></a><var>542.29</var>be eligible. The commissioner of human <br />
         		<a id="pl.542.30"></a><var>542.30</var>services, in collaboration with Wadena <br />
         		<a id="pl.542.31"></a><var>542.31</var>County, may explore a plan for continued <br />
         		<a id="pl.542.32"></a><var>542.32</var>funding using existing appropriations through <br />
         		<a id="pl.542.33"></a><var>542.33</var>eligibility for group residential housing under <br />
         		<a id="pl.542.34"></a><var>542.34</var>Minnesota Statutes, chapter 256I.<br />
         		<a id="pl.542.35"></a><var>542.35</var>The peer-run respite center must:<br />
         		<a id="pl.543.1"></a><var>543.1</var>(1) admit individuals who are in need of peer <br />
         		<a id="pl.543.2"></a><var>543.2</var>support and supportive services while <br />
         		<a id="pl.543.3"></a><var>543.3</var>addressing an increase in symptoms or <br />
         		<a id="pl.543.4"></a><var>543.4</var>stressors or exacerbation of their mental health <br />
         		<a id="pl.543.5"></a><var>543.5</var>or substance abuse;<br />
         		<a id="pl.543.6"></a><var>543.6</var>(2) admit individuals to reside at the center on <br />
         		<a id="pl.543.7"></a><var>543.7</var>a short-term basis, no longer than five days;<br />
         		<a id="pl.543.8"></a><var>543.8</var>(3) be operated by a nonprofit organization;<br />
         		<a id="pl.543.9"></a><var>543.9</var>(4) employ individuals who have personal <br />
         		<a id="pl.543.10"></a><var>543.10</var>experience with mental health or co-occurring <br />
         		<a id="pl.543.11"></a><var>543.11</var>substance abuse conditions who meet the <br />
         		<a id="pl.543.12"></a><var>543.12</var>qualifications of a mental health certified peer <br />
         		<a id="pl.543.13"></a><var>543.13</var>specialist under Minnesota Statutes, section <br />
         		<a id="pl.543.14"></a><var>543.14</var>256B.0615, or a recovery peer;<br />
         		<a id="pl.543.15"></a><var>543.15</var>(5) provide at least three but no more than six <br />
         		<a id="pl.543.16"></a><var>543.16</var>beds in private rooms; and<br />
         		<a id="pl.543.17"></a><var>543.17</var>(6) not provide clinical services.<br />
         		<a id="pl.543.18"></a><var>543.18</var>By November 1, 2018, the commissioner of <br />
         		<a id="pl.543.19"></a><var>543.19</var>human services, in consultation with Wadena <br />
         		<a id="pl.543.20"></a><var>543.20</var>County, shall report to the committees in the <br />
         		<a id="pl.543.21"></a><var>543.21</var>senate and house of representatives with <br />
         		<a id="pl.543.22"></a><var>543.22</var>jurisdiction over mental health issues, the <br />
         		<a id="pl.543.23"></a><var>543.23</var>status of planning and development of the <br />
         		<a id="pl.543.24"></a><var>543.24</var>peer-run respite center, and the plan to <br />
         		<a id="pl.543.25"></a><var>543.25</var>financially support the program and services <br />
         		<a id="pl.543.26"></a><var>543.26</var>after the state grant is expended.<br />
         		<a id="pl.543.27"></a><var>543.27</var>(b) <b>Housing Options for Persons with </b><br />
         		<a id="pl.543.28"></a><var>543.28</var><b>Serious Mental Illness.</b> $1,250,000 in fiscal <br />
         		<a id="pl.543.29"></a><var>543.29</var>year 2018 and $1,250,000 in fiscal year 2019 <br />
         		<a id="pl.543.30"></a><var>543.30</var>are from the general fund for adult mental <br />
         		<a id="pl.543.31"></a><var>543.31</var>health grants under Minnesota Statutes, section <br />
         		<a id="pl.543.32"></a><var>543.32</var>245.4661, subdivision 9, paragraph (a), clause <br />
         		<a id="pl.543.33"></a><var>543.33</var>(2), to support increased availability of <br />
         		<a id="pl.543.34"></a><var>543.34</var>housing options with supports for persons with <br />
         		<a id="pl.544.1"></a><var>544.1</var>serious mental illness. This is a onetime <br />
         		<a id="pl.544.2"></a><var>544.2</var>appropriation.<br />
         		<a id="pl.544.3"></a><var>544.3</var>(c) <b>Assertive Community Treatment.</b> <br />
         		<a id="pl.544.4"></a><var>544.4</var>$500,000 in fiscal year 2018 and $500,000 in <br />
         		<a id="pl.544.5"></a><var>544.5</var>fiscal year 2019 are from the general fund for <br />
         		<a id="pl.544.6"></a><var>544.6</var>adult mental health grants under Minnesota <br />
         		<a id="pl.544.7"></a><var>544.7</var>Statutes, section 256B.0622, subdivision 12, <br />
         		<a id="pl.544.8"></a><var>544.8</var>to expand assertive community treatment <br />
         		<a id="pl.544.9"></a><var>544.9</var>services. This is a onetime appropriation.<br />
         		<a id="pl.544.10"></a><var>544.10</var>(d) <b>Mental Health Crisis Services.</b> <br />
         		<a id="pl.544.11"></a><var>544.11</var>$1,000,000 in fiscal year 2018 and $1,000,000 <br />
         		<a id="pl.544.12"></a><var>544.12</var>in fiscal year 2019 are from the general fund <br />
         		<a id="pl.544.13"></a><var>544.13</var>for adult mental health grants under Minnesota <br />
         		<a id="pl.544.14"></a><var>544.14</var>Statutes, section 245.4661, and children's <br />
         		<a id="pl.544.15"></a><var>544.15</var>mental health grants under Minnesota Statutes, <br />
         		<a id="pl.544.16"></a><var>544.16</var>section 245.4889, to expand mental health <br />
         		<a id="pl.544.17"></a><var>544.17</var>crisis services, including:<br />
         		<a id="pl.544.18"></a><var>544.18</var>(1) mobile crisis services;<br />
         		<a id="pl.544.19"></a><var>544.19</var>(2) residential crisis services;<br />
         		<a id="pl.544.20"></a><var>544.20</var>(3) colocation of mobile crisis services in <br />
         		<a id="pl.544.21"></a><var>544.21</var>urgent care clinics and psychiatric emergency <br />
         		<a id="pl.544.22"></a><var>544.22</var>departments; and<br />
         		<a id="pl.544.23"></a><var>544.23</var>(4) development of co-responder mental health <br />
         		<a id="pl.544.24"></a><var>544.24</var>crisis response models.<br />
         		<a id="pl.544.25"></a><var>544.25</var>This is a onetime appropriation.<br />
         		<a id="pl.544.26"></a><var>544.26</var>(e) <b>Housing with Supports.</b> $750,000 in fiscal <br />
         		<a id="pl.544.27"></a><var>544.27</var>year 2018 and $750,000 in fiscal year 2019 <br />
         		<a id="pl.544.28"></a><var>544.28</var>are for the housing with supports for adults <br />
         		<a id="pl.544.29"></a><var>544.29</var>with serious mental illness grant under <br />
         		<a id="pl.544.30"></a><var>544.30</var>Minnesota Statutes, section 245.4661, <br />
         		<a id="pl.544.31"></a><var>544.31</var>subdivision 9, paragraph (a), clause (2). This <br />
         		<a id="pl.544.32"></a><var>544.32</var>is a onetime appropriation.<br />
         		<a id="pl.545.1"></a><var>545.1</var>(f) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.545.2"></a><var>545.2</var>base is $79,802,000 in fiscal year 2020 and <br />
         		<a id="pl.545.3"></a><var>545.3</var>$79,802,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.545.4"></a><var>545.4</var><br />
                  		<a id="pl.545.5"></a><var>545.5</var><br />
                  		
               </td>
               <td colspan="3">Subd. 31.<b>Grant Programs; Child Mental Health </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">23,050,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">22,458,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.545.6"></a><var>545.6</var>(a) <b>Children's Mental Health Collaborative </b><br />
         		<a id="pl.545.7"></a><var>545.7</var><b>Grants.</b> $600,000 in fiscal year 2018 and <br />
         		<a id="pl.545.8"></a><var>545.8</var>$600,000 in fiscal year 2019 are for a grant <br />
         		<a id="pl.545.9"></a><var>545.9</var>for a rural multicounty demonstration project <br />
         		<a id="pl.545.10"></a><var>545.10</var>to assist transition-aged youth and young <br />
         		<a id="pl.545.11"></a><var>545.11</var>adults with emotional behavioral disturbance <br />
         		<a id="pl.545.12"></a><var>545.12</var>or mental illnesses in making a successful <br />
         		<a id="pl.545.13"></a><var>545.13</var>transition into adulthood. This is a onetime <br />
         		<a id="pl.545.14"></a><var>545.14</var>appropriation.<br />
         		<a id="pl.545.15"></a><var>545.15</var>Children's mental health collaboratives under <br />
         		<a id="pl.545.16"></a><var>545.16</var>Minnesota Statutes, section 245.493, are <br />
         		<a id="pl.545.17"></a><var>545.17</var>eligible to apply for the grant under this <br />
         		<a id="pl.545.18"></a><var>545.18</var>paragraph. The commissioner shall solicit <br />
         		<a id="pl.545.19"></a><var>545.19</var>proposals and award the grant to one proposal <br />
         		<a id="pl.545.20"></a><var>545.20</var>that best meets the requirement that a <br />
         		<a id="pl.545.21"></a><var>545.21</var>demonstration project must:<br />
         		<a id="pl.545.22"></a><var>545.22</var>(1) build on and streamline transition services <br />
         		<a id="pl.545.23"></a><var>545.23</var>by identifying rural youth 15 to 25 years of <br />
         		<a id="pl.545.24"></a><var>545.24</var>age currently in the mental health system or <br />
         		<a id="pl.545.25"></a><var>545.25</var>with emerging mental health conditions;<br />
         		<a id="pl.545.26"></a><var>545.26</var>(2) support youth to achieve, within the youth's <br />
         		<a id="pl.545.27"></a><var>545.27</var>potential, personal goals in employment, <br />
         		<a id="pl.545.28"></a><var>545.28</var>education, housing, and community life <br />
         		<a id="pl.545.29"></a><var>545.29</var>functioning;<br />
         		<a id="pl.545.30"></a><var>545.30</var>(3) provide individualized motivational <br />
         		<a id="pl.545.31"></a><var>545.31</var>coaching;<br />
         		<a id="pl.545.32"></a><var>545.32</var>(4) build on needed social supports;<br />
         		<a id="pl.545.33"></a><var>545.33</var>(5) demonstrate how services can be enhanced <br />
         		<a id="pl.545.34"></a><var>545.34</var>for youth to successfully navigate the <br />
         		<a id="pl.546.1"></a><var>546.1</var>complexities associated with their unique <br />
         		<a id="pl.546.2"></a><var>546.2</var>needs;<br />
         		<a id="pl.546.3"></a><var>546.3</var>(6) use all available funding streams;<br />
         		<a id="pl.546.4"></a><var>546.4</var>(7) demonstrate collaboration with the local <br />
         		<a id="pl.546.5"></a><var>546.5</var>children's mental health collaborative in <br />
         		<a id="pl.546.6"></a><var>546.6</var>designing and implementing the demonstration <br />
         		<a id="pl.546.7"></a><var>546.7</var>project;<br />
         		<a id="pl.546.8"></a><var>546.8</var>(8) evaluate the effectiveness of the project <br />
         		<a id="pl.546.9"></a><var>546.9</var>by specifying and measuring outcomes <br />
         		<a id="pl.546.10"></a><var>546.10</var>showing the level of progress for involved <br />
         		<a id="pl.546.11"></a><var>546.11</var>youth; and<br />
         		<a id="pl.546.12"></a><var>546.12</var>(9) compare differences in outcomes and costs <br />
         		<a id="pl.546.13"></a><var>546.13</var>to youth without previous access to this <br />
         		<a id="pl.546.14"></a><var>546.14</var>project.<br />
         		<a id="pl.546.15"></a><var>546.15</var>By January 15, 2019, the commissioner shall <br />
         		<a id="pl.546.16"></a><var>546.16</var>report to the legislative committees with <br />
         		<a id="pl.546.17"></a><var>546.17</var>jurisdiction over mental health issues on the <br />
         		<a id="pl.546.18"></a><var>546.18</var>status and outcomes of the demonstration <br />
         		<a id="pl.546.19"></a><var>546.19</var>project. The children's mental health <br />
         		<a id="pl.546.20"></a><var>546.20</var>collaborative administering the demonstration <br />
         		<a id="pl.546.21"></a><var>546.21</var>project shall collect and report outcome data, <br />
         		<a id="pl.546.22"></a><var>546.22</var>as requested by the commissioner, to support <br />
         		<a id="pl.546.23"></a><var>546.23</var>the development of the report.<br />
         		 <a id="pl.546.24"></a><var>546.24</var>(b) <b>First Psychotic Episode Funding.</b> <br />
         		<a id="pl.546.25"></a><var>546.25</var>$750,000 in fiscal year 2018 and $750,000 in <br />
         		<a id="pl.546.26"></a><var>546.26</var>fiscal year 2019 are for grants under <br />
         		<a id="pl.546.27"></a><var>546.27</var>Minnesota Statutes, section 245.4889, <br />
         		<a id="pl.546.28"></a><var>546.28</var>subdivision 1, paragraph (b), clause (15). <br />
         		<a id="pl.546.29"></a><var>546.29</var>Funding shall be used to:<br />
         		<a id="pl.546.30"></a><var>546.30</var>(1) provide intensive treatment and supports <br />
         		<a id="pl.546.31"></a><var>546.31</var>to adolescents and adults experiencing or at <br />
         		<a id="pl.546.32"></a><var>546.32</var>risk of a first psychotic episode. Intensive <br />
         		<a id="pl.546.33"></a><var>546.33</var>treatment and support includes medication <br />
         		<a id="pl.546.34"></a><var>546.34</var>management, psychoeducation for the <br />
         		<a id="pl.547.1"></a><var>547.1</var>individual and family, case management, <br />
         		<a id="pl.547.2"></a><var>547.2</var>employment supports, education supports, <br />
         		<a id="pl.547.3"></a><var>547.3</var>cognitive behavioral approaches, social skills <br />
         		<a id="pl.547.4"></a><var>547.4</var>training, peer support, crisis planning, and <br />
         		<a id="pl.547.5"></a><var>547.5</var>stress management. Projects must use all <br />
         		<a id="pl.547.6"></a><var>547.6</var>available funding streams;<br />
         		<a id="pl.547.7"></a><var>547.7</var>(2) conduct outreach, training, and guidance <br />
         		<a id="pl.547.8"></a><var>547.8</var>to mental health and health care professionals, <br />
         		<a id="pl.547.9"></a><var>547.9</var>including postsecondary health clinics, on <br />
         		<a id="pl.547.10"></a><var>547.10</var>early psychosis symptoms, screening tools, <br />
         		<a id="pl.547.11"></a><var>547.11</var>and best practices; and<br />
         		<a id="pl.547.12"></a><var>547.12</var>(3) ensure access to first psychotic episode <br />
         		<a id="pl.547.13"></a><var>547.13</var>psychosis services under this section, <br />
         		<a id="pl.547.14"></a><var>547.14</var>including ensuring access for individuals who <br />
         		<a id="pl.547.15"></a><var>547.15</var>live in rural areas. Funds may be used to pay <br />
         		<a id="pl.547.16"></a><var>547.16</var>for housing or travel or to address other <br />
         		<a id="pl.547.17"></a><var>547.17</var>barriers to individuals and their families <br />
         		<a id="pl.547.18"></a><var>547.18</var>participating in first psychotic episode <br />
         		<a id="pl.547.19"></a><var>547.19</var>services.<br />
         		<a id="pl.547.20"></a><var>547.20</var>(c) <b>Children's School-Linked Mental Health </b><br />
         		<a id="pl.547.21"></a><var>547.21</var><b>Grants.</b> $2,000,000 in fiscal year 2018 and <br />
         		<a id="pl.547.22"></a><var>547.22</var>$2,000,000 in fiscal year 2019 are for <br />
         		<a id="pl.547.23"></a><var>547.23</var>children's school-linked mental health grants <br />
         		<a id="pl.547.24"></a><var>547.24</var>under Minnesota Statutes, section 245.4889, <br />
         		<a id="pl.547.25"></a><var>547.25</var>subdivision 1, paragraph (b), clause (8), to <br />
         		<a id="pl.547.26"></a><var>547.26</var>expand services to school districts or counties <br />
         		<a id="pl.547.27"></a><var>547.27</var>in which school-linked mental health services <br />
         		<a id="pl.547.28"></a><var>547.28</var>are not available and to fund transportation <br />
         		<a id="pl.547.29"></a><var>547.29</var>for children using school-linked mental health <br />
         		<a id="pl.547.30"></a><var>547.30</var>services when school is not in session. The <br />
         		<a id="pl.547.31"></a><var>547.31</var>commissioner shall require grantees to use all <br />
         		<a id="pl.547.32"></a><var>547.32</var>available third-party reimbursement sources <br />
         		<a id="pl.547.33"></a><var>547.33</var>as a condition of the receipt of grant funds. <br />
         		<a id="pl.547.34"></a><var>547.34</var>For purposes of this appropriation, a <br />
         		<a id="pl.547.35"></a><var>547.35</var>third-party reimbursement source does not <br />
         		<a id="pl.548.1"></a><var>548.1</var>include a public school under Minnesota <br />
         		<a id="pl.548.2"></a><var>548.2</var>Statutes, section 120A.20, subdivision 1.<br />
         		<a id="pl.548.3"></a><var>548.3</var>(d) <b>Respite Care Services.</b> $282,000 in fiscal <br />
         		<a id="pl.548.4"></a><var>548.4</var>year 2018 and $282,000 in fiscal year 2019 <br />
         		<a id="pl.548.5"></a><var>548.5</var>are for children's mental health grants under <br />
         		<a id="pl.548.6"></a><var>548.6</var>Minnesota Statutes, section 245.4889, <br />
         		<a id="pl.548.7"></a><var>548.7</var>subdivision 1, paragraph (b), clause (3), to <br />
         		<a id="pl.548.8"></a><var>548.8</var>provide respite care services to families of <br />
         		<a id="pl.548.9"></a><var>548.9</var>children with serious mental illness. This is a <br />
         		<a id="pl.548.10"></a><var>548.10</var>onetime appropriation.<br />
         		<a id="pl.548.11"></a><var>548.11</var>(e) <b>Text Message Suicide Prevention and </b><br />
         		<a id="pl.548.12"></a><var>548.12</var><b>Mental Health Crisis Response Program.</b> <br />
         		<a id="pl.548.13"></a><var>548.13</var>$657,000 in fiscal year 2018 is from the <br />
         		<a id="pl.548.14"></a><var>548.14</var>general fund for a grant to a nonprofit to make <br />
         		<a id="pl.548.15"></a><var>548.15</var>the text message suicide prevention and mental <br />
         		<a id="pl.548.16"></a><var>548.16</var>health crisis response program available <br />
         		<a id="pl.548.17"></a><var>548.17</var>statewide. This is a onetime appropriation. <br />
         		<a id="pl.548.18"></a><var>548.18</var>The nonprofit shall use grant funds to:<br />
         		<a id="pl.548.19"></a><var>548.19</var>(1) operate the text message suicide prevention <br />
         		<a id="pl.548.20"></a><var>548.20</var>and mental health crisis response program <br />
         		<a id="pl.548.21"></a><var>548.21</var>statewide and provide a method of response <br />
         		<a id="pl.548.22"></a><var>548.22</var>that triages inquiries, provides immediate <br />
         		<a id="pl.548.23"></a><var>548.23</var>access to suicide prevention and crisis <br />
         		<a id="pl.548.24"></a><var>548.24</var>counseling over the telephone or via text <br />
         		<a id="pl.548.25"></a><var>548.25</var>messaging, and provides individual, family, <br />
         		<a id="pl.548.26"></a><var>548.26</var>or community education;<br />
         		 <a id="pl.548.27"></a><var>548.27</var>(2) connect individuals with trained crisis <br />
         		<a id="pl.548.28"></a><var>548.28</var>counselors and access to local resources, <br />
         		<a id="pl.548.29"></a><var>548.29</var>including referrals to community mental health <br />
         		<a id="pl.548.30"></a><var>548.30</var>options, emergency departments, and locally <br />
         		<a id="pl.548.31"></a><var>548.31</var>available mobile crisis teams, when <br />
         		<a id="pl.548.32"></a><var>548.32</var>appropriate;<br />
         		<a id="pl.548.33"></a><var>548.33</var>(3) maximize availability of services and <br />
         		<a id="pl.548.34"></a><var>548.34</var>access across the state, in conjunction with <br />
         		<a id="pl.549.1"></a><var>549.1</var>other suicide prevention programs and <br />
         		<a id="pl.549.2"></a><var>549.2</var>services; and<br />
         		<a id="pl.549.3"></a><var>549.3</var>(4) provide community education on the <br />
         		<a id="pl.549.4"></a><var>549.4</var>availability of the program and how to access <br />
         		<a id="pl.549.5"></a><var>549.5</var>the program.<br />
         		<a id="pl.549.6"></a><var>549.6</var>(f) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.549.7"></a><var>549.7</var>base is $20,826,000 in fiscal year 2020 and <br />
         		<a id="pl.549.8"></a><var>549.8</var>$20,826,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.549.9"></a><var>549.9</var><br />
                  		<a id="pl.549.10"></a><var>549.10</var><br />
                  		
               </td>
               <td colspan="3">Subd. 32.<b>Grant Programs; Chemical </b><br />
                  		<b>Dependency Treatment Support Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.549.11"></a><var>549.11</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.549.12"></a><var>549.12</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">2,636,000<br />
                  		
               </td>
               <td align="right">2,636,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.549.13"></a><var>549.13</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">1,733,000<br />
                  		
               </td>
               <td align="right">1,733,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.549.14"></a><var>549.14</var>(a) <b>Problem Gambling.</b> $225,000 in fiscal <br />
         		<a id="pl.549.15"></a><var>549.15</var>year 2018 and $225,000 in fiscal year 2019 <br />
         		<a id="pl.549.16"></a><var>549.16</var>are from the lottery prize fund for a grant to <br />
         		<a id="pl.549.17"></a><var>549.17</var>the state affiliate recognized by the National <br />
         		<a id="pl.549.18"></a><var>549.18</var>Council on Problem Gambling. The affiliate <br />
         		<a id="pl.549.19"></a><var>549.19</var>must provide services to increase public <br />
         		<a id="pl.549.20"></a><var>549.20</var>awareness of problem gambling, education, <br />
         		<a id="pl.549.21"></a><var>549.21</var>and training for individuals and organizations <br />
         		<a id="pl.549.22"></a><var>549.22</var>providing effective treatment services to <br />
         		<a id="pl.549.23"></a><var>549.23</var>problem gamblers and their families, and <br />
         		<a id="pl.549.24"></a><var>549.24</var>research related to problem gambling.<br />
         		<a id="pl.549.25"></a><var>549.25</var>(b) <b>Minnesota Organization on Fetal </b><br />
         		<a id="pl.549.26"></a><var>549.26</var><b>Alcohol Syndrome.</b> $500,000 in fiscal year <br />
         		<a id="pl.549.27"></a><var>549.27</var>2018 and $500,000 in fiscal year 2019 are for <br />
         		<a id="pl.549.28"></a><var>549.28</var>a grant to the Minnesota Organization on Fetal <br />
         		<a id="pl.549.29"></a><var>549.29</var>Alcohol Syndrome (MOFAS). This is a <br />
         		<a id="pl.549.30"></a><var>549.30</var>onetime appropriation. Of this amount, <br />
         		<a id="pl.549.31"></a><var>549.31</var>MOFAS shall make grants to eligible regional <br />
         		<a id="pl.549.32"></a><var>549.32</var>collaboratives that fulfill the requirements in <br />
         		<a id="pl.549.33"></a><var>549.33</var>this paragraph. "Eligible regional <br />
         		<a id="pl.549.34"></a><var>549.34</var>collaboratives" means a partnership between <br />
         		<a id="pl.549.35"></a><var>549.35</var>at least one local government and at least one <br />
         		<a id="pl.550.1"></a><var>550.1</var>community-based organization and, where <br />
         		<a id="pl.550.2"></a><var>550.2</var>available, a family home visiting program. For <br />
         		<a id="pl.550.3"></a><var>550.3</var>purposes of this paragraph, a local government <br />
         		<a id="pl.550.4"></a><var>550.4</var>includes a county or multicounty organization, <br />
         		<a id="pl.550.5"></a><var>550.5</var>a tribal government, a county-based <br />
         		<a id="pl.550.6"></a><var>550.6</var>purchasing entity, or a community health <br />
         		<a id="pl.550.7"></a><var>550.7</var>board. Eligible regional collaboratives must <br />
         		<a id="pl.550.8"></a><var>550.8</var>use grant funds to reduce the incidence of fetal <br />
         		<a id="pl.550.9"></a><var>550.9</var>alcohol syndrome disorders and other prenatal <br />
         		<a id="pl.550.10"></a><var>550.10</var>drug-related effects in children in Minnesota <br />
         		<a id="pl.550.11"></a><var>550.11</var>by identifying and serving pregnant women <br />
         		<a id="pl.550.12"></a><var>550.12</var>suspected of or known to use or abuse alcohol <br />
         		<a id="pl.550.13"></a><var>550.13</var>or other drugs. The eligible regional <br />
         		<a id="pl.550.14"></a><var>550.14</var>collaboratives must provide intensive services <br />
         		<a id="pl.550.15"></a><var>550.15</var>to chemically dependent women to increase <br />
         		<a id="pl.550.16"></a><var>550.16</var>positive birth outcomes. MOFAS must make <br />
         		<a id="pl.550.17"></a><var>550.17</var>grants to eligible regional collaboratives from <br />
         		<a id="pl.550.18"></a><var>550.18</var>both rural and urban areas. A grant recipient <br />
         		<a id="pl.550.19"></a><var>550.19</var>must report to the commissioner of human <br />
         		<a id="pl.550.20"></a><var>550.20</var>services annually by January 15 on the <br />
         		<a id="pl.550.21"></a><var>550.21</var>services and programs funded by the <br />
         		<a id="pl.550.22"></a><var>550.22</var>appropriation. The report must include <br />
         		<a id="pl.550.23"></a><var>550.23</var>measurable outcomes for the previous year, <br />
         		<a id="pl.550.24"></a><var>550.24</var>including the number of pregnant women <br />
         		<a id="pl.550.25"></a><var>550.25</var>served and the number of toxic-free babies <br />
         		<a id="pl.550.26"></a><var>550.26</var>born.<br />
         		<a id="pl.550.27"></a><var>550.27</var>(c) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.550.28"></a><var>550.28</var>base is $2,136,000 in fiscal year 2020 and <br />
         		<a id="pl.550.29"></a><var>550.29</var>$2,136,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.550.30"></a><var>550.30</var><br />
                  		
               </td>
               <td colspan="3">Subd. 33.<b>Direct Care and Treatment - Generally</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.550.31"></a><var>550.31</var>(a) <b>Transfer Authority. </b>Money appropriated <br />
         		<a id="pl.550.32"></a><var>550.32</var>to budget activities under subdivisions 34, 35, <br />
         		<a id="pl.550.33"></a><var>550.33</var>36, 37, and 38 may be transferred between <br />
         		<a id="pl.550.34"></a><var>550.34</var>budget activities and between years of the <br />
         		<a id="pl.551.1"></a><var>551.1</var>biennium with the approval of the <br />
         		<a id="pl.551.2"></a><var>551.2</var>commissioner of management and budget.<br />
         		<a id="pl.551.3"></a><var>551.3</var>(b) <b>Dedicated Receipts Available. </b>Of the <br />
         		<a id="pl.551.4"></a><var>551.4</var>revenue received under Minnesota Statutes, <br />
         		<a id="pl.551.5"></a><var>551.5</var>section 246.18, subdivision 8, paragraph (a), <br />
         		<a id="pl.551.6"></a><var>551.6</var>up to $1,000,000 each year is available for the <br />
         		<a id="pl.551.7"></a><var>551.7</var>purposes of Minnesota Statutes, section <br />
         		<a id="pl.551.8"></a><var>551.8</var>246.18, subdivision 8, paragraph (b), clause <br />
         		<a id="pl.551.9"></a><var>551.9</var>(1); and up to $2,713,000 each year is <br />
         		<a id="pl.551.10"></a><var>551.10</var>available for the purposes of Minnesota <br />
         		<a id="pl.551.11"></a><var>551.11</var>Statutes, section 246.18, subdivision 8, <br />
         		<a id="pl.551.12"></a><var>551.12</var>paragraph (b), clause (2).<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.551.13"></a><var>551.13</var><br />
                  		<a id="pl.551.14"></a><var>551.14</var><br />
                  		
               </td>
               <td colspan="3">Subd. 34.<b>Direct Care and Treatment - Mental </b><br />
                  		<b>Health and Substance Abuse</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">114,521,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">114,607,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.551.15"></a><var>551.15</var>(a) <b> Child and Adolescent Behavioral Health </b><br />
         		<a id="pl.551.16"></a><var>551.16</var><b>Services.</b> $405,000 in fiscal year 2018 and <br />
         		<a id="pl.551.17"></a><var>551.17</var>$491,000 in fiscal year 2019 are to continue <br />
         		<a id="pl.551.18"></a><var>551.18</var>to operate the child and adolescent behavioral <br />
         		<a id="pl.551.19"></a><var>551.19</var>health services program under Minnesota <br />
         		<a id="pl.551.20"></a><var>551.20</var>Statutes, section 246.014. This is a onetime <br />
         		<a id="pl.551.21"></a><var>551.21</var>appropriation.<br />
         		<a id="pl.551.22"></a><var>551.22</var>(b) <b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.551.23"></a><var>551.23</var>base is $114,116,000 in fiscal year 2020 and <br />
         		<a id="pl.551.24"></a><var>551.24</var>$114,116,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.551.25"></a><var>551.25</var><br />
                  		<a id="pl.551.26"></a><var>551.26</var><br />
                  		
               </td>
               <td colspan="3">Subd. 35.<b>Direct Care and Treatment - </b><br />
                  		<b>Community-Based Services</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">15,298,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">15,298,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.551.27"></a><var>551.27</var><br />
                  		<a id="pl.551.28"></a><var>551.28</var><br />
                  		
               </td>
               <td colspan="3">Subd. 36.<b>Direct Care and Treatment - Forensic </b><br />
                  		<b>Services</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">91,658,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">91,675,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.551.29"></a><var>551.29</var><br />
                  		<a id="pl.551.30"></a><var>551.30</var><br />
                  		
               </td>
               <td colspan="3">Subd. 37.<b>Direct Care and Treatment - Sex </b><br />
                  		<b>Offender Program</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">86,731,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">86,731,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.551.31"></a><var>551.31</var><b>Transfer Authority. </b>Money appropriated for <br />
         		<a id="pl.551.32"></a><var>551.32</var>the Minnesota sex offender program may be <br />
         		<a id="pl.551.33"></a><var>551.33</var>transferred between fiscal years of the <br />
         		<a id="pl.551.34"></a><var>551.34</var>biennium with the approval of the <br />
         		<a id="pl.551.35"></a><var>551.35</var>commissioner of management and budget.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.552.1"></a><var>552.1</var><br />
                  		<a id="pl.552.2"></a><var>552.2</var><br />
                  		
               </td>
               <td colspan="3">Subd. 38.<b>Direct Care and Treatment - </b><br />
                  		<b>Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">42,744,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">42,744,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.552.3"></a><var>552.3</var><br />
                  		
               </td>
               <td colspan="3">Subd. 39.<b>Technical Activities</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">86,186,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">86,339,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.552.4"></a><var>552.4</var>(a) This appropriation is from the federal <br />
         		<a id="pl.552.5"></a><var>552.5</var>TANF fund.<br />
         		<a id="pl.552.6"></a><var>552.6</var>(b) <b>Base Level Adjustment.</b> The TANF fund <br />
         		<a id="pl.552.7"></a><var>552.7</var>base is $86,346,000 in fiscal year 2020 and <br />
         		<a id="pl.552.8"></a><var>552.8</var>$86,355,000 in fiscal year 2021.<br />
         		<br />
         		<a id="bill.16.3.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.552.9"></a><var>552.9</var><br />
                  		
               </td>
               <td colspan="3">Sec. 3. <b>COMMISSIONER OF HEALTH</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.552.10"></a><var>552.10</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>206,445,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>  </b><b>198,015,000</b><br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.552.11"></a><var>552.11</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.12"></a><var>552.12</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2018<br />
                  		
               </td>
               <td align="center">2019<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.13"></a><var>552.13</var><br />
                  		
               </td>
               <td>General<br />
                  		 
               </td>
               <td align="right">  105,966,000<br />
                  		 
               </td>
               <td align="right">  98,389,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.14"></a><var>552.14</var><br />
                  		<a id="pl.552.15"></a><var>552.15</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		 
               </td>
               <td align="right">52,356,000<br />
                  		
               </td>
               <td align="right">52,090,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.16"></a><var>552.16</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">37,566,000<br />
                  		
               </td>
               <td align="right">36,979,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.17"></a><var>552.17</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">10,557,000<br />
                  		
               </td>
               <td align="right">10,557,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.552.18"></a><var>552.18</var>The amounts that may be spent for each <br />
         		<a id="pl.552.19"></a><var>552.19</var>purpose are specified in the following <br />
         		<a id="pl.552.20"></a><var>552.20</var>subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.552.21"></a><var>552.21</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Health Improvement</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.552.22"></a><var>552.22</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.23"></a><var>552.23</var><br />
                  		
               </td>
               <td>General<br />
                  		 
               </td>
               <td align="right">  83,839,000<br />
                  		
               </td>
               <td align="right">  76,336,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.24"></a><var>552.24</var><br />
                  		<a id="pl.552.25"></a><var>552.25</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">6,215,000<br />
                  		
               </td>
               <td align="right">6,182,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.26"></a><var>552.26</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">37,566,000<br />
                  		
               </td>
               <td align="right">36,979,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.552.27"></a><var>552.27</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">10,557,000<br />
                  		
               </td>
               <td align="right">10,557,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.552.28"></a><var>552.28</var>(a) <b>TANF Appropriations.</b> (1) $3,579,000 <br />
         		<a id="pl.552.29"></a><var>552.29</var>of the TANF fund each year is for home <br />
         		<a id="pl.552.30"></a><var>552.30</var>visiting and nutritional services listed under <br />
         		<a id="pl.552.31"></a><var>552.31</var>Minnesota Statutes, section 145.882, <br />
         		<a id="pl.552.32"></a><var>552.32</var>subdivision 7, clauses (6) and (7). Funds must <br />
         		<a id="pl.552.33"></a><var>552.33</var>be distributed to community health boards <br />
         		<a id="pl.552.34"></a><var>552.34</var>according to Minnesota Statutes, section <br />
         		<a id="pl.552.35"></a><var>552.35</var>145A.131, subdivision 1.<br />
         		<a id="pl.553.1"></a><var>553.1</var>(2) $2,000,000 of the TANF fund each year <br />
         		<a id="pl.553.2"></a><var>553.2</var>is for decreasing racial and ethnic disparities <br />
         		<a id="pl.553.3"></a><var>553.3</var>in infant mortality rates under Minnesota <br />
         		<a id="pl.553.4"></a><var>553.4</var>Statutes, section 145.928, subdivision 7.<br />
         		<a id="pl.553.5"></a><var>553.5</var>(3) $4,978,000 of the TANF fund  each year <br />
         		<a id="pl.553.6"></a><var>553.6</var>is for the family home visiting grant program <br />
         		<a id="pl.553.7"></a><var>553.7</var>according to Minnesota Statutes, section <br />
         		<a id="pl.553.8"></a><var>553.8</var>145A.17. $4,000,000 of the funding must be <br />
         		<a id="pl.553.9"></a><var>553.9</var>distributed to community health boards <br />
         		<a id="pl.553.10"></a><var>553.10</var>according to Minnesota Statutes, section <br />
         		<a id="pl.553.11"></a><var>553.11</var>145A.131, subdivision 1. $978,000 of the <br />
         		<a id="pl.553.12"></a><var>553.12</var>funding must be distributed to tribal <br />
         		<a id="pl.553.13"></a><var>553.13</var>governments according to Minnesota Statutes, <br />
         		<a id="pl.553.14"></a><var>553.14</var>section 145A.14, subdivision 2a.<br />
         		<a id="pl.553.15"></a><var>553.15</var>(4) The commissioner may use up to 6.23 <br />
         		<a id="pl.553.16"></a><var>553.16</var>percent of the funds appropriated each year to <br />
         		<a id="pl.553.17"></a><var>553.17</var>conduct the ongoing evaluations required <br />
         		<a id="pl.553.18"></a><var>553.18</var>under Minnesota Statutes, section 145A.17, <br />
         		<a id="pl.553.19"></a><var>553.19</var>subdivision 7, and training and technical <br />
         		<a id="pl.553.20"></a><var>553.20</var>assistance as required under Minnesota <br />
         		<a id="pl.553.21"></a><var>553.21</var>Statutes, section 145A.17, subdivisions 4 and <br />
         		<a id="pl.553.22"></a><var>553.22</var>5.<br />
         		<a id="pl.553.23"></a><var>553.23</var>(b) <b>TANF Carryforward.</b> Any unexpended <br />
         		<a id="pl.553.24"></a><var>553.24</var>balance of the TANF appropriation in the first <br />
         		<a id="pl.553.25"></a><var>553.25</var>year of the biennium does not cancel but is <br />
         		<a id="pl.553.26"></a><var>553.26</var>available for the second year.<br />
         		<a id="pl.553.27"></a><var>553.27</var>(c) <b>Evidence-Based Home Visiting.</b> <br />
         		<a id="pl.553.28"></a><var>553.28</var>$1,500,000 in fiscal year 2018 and $1,500,000 <br />
         		<a id="pl.553.29"></a><var>553.29</var>in fiscal year 2019 are from the general fund <br />
         		<a id="pl.553.30"></a><var>553.30</var>to provide start-up and expansion grants to <br />
         		<a id="pl.553.31"></a><var>553.31</var>community health boards, nonprofit <br />
         		<a id="pl.553.32"></a><var>553.32</var>organizations, and tribal nations to start up or <br />
         		<a id="pl.553.33"></a><var>553.33</var>expand evidence-based home visiting <br />
         		<a id="pl.553.34"></a><var>553.34</var>programs. Grant funds must be used to start <br />
         		<a id="pl.553.35"></a><var>553.35</var>up or expand evidence-based home visiting <br />
         		<a id="pl.554.1"></a><var>554.1</var>programs in the county, reservation, or region <br />
         		<a id="pl.554.2"></a><var>554.2</var>to serve families, such as parents with high <br />
         		<a id="pl.554.3"></a><var>554.3</var>risk or high needs, parents with a history of <br />
         		<a id="pl.554.4"></a><var>554.4</var>mental illness, domestic abuse, or substance <br />
         		<a id="pl.554.5"></a><var>554.5</var>abuse, or first-time mothers prenatally until <br />
         		<a id="pl.554.6"></a><var>554.6</var>the child is four years of age, who are eligible <br />
         		<a id="pl.554.7"></a><var>554.7</var>for medical assistance under Minnesota <br />
         		<a id="pl.554.8"></a><var>554.8</var>Statutes, chapter 256B, or the federal Special <br />
         		<a id="pl.554.9"></a><var>554.9</var>Supplemental Nutrition Program for Women, <br />
         		<a id="pl.554.10"></a><var>554.10</var>Infants, and Children. The commissioner shall <br />
         		<a id="pl.554.11"></a><var>554.11</var>award grants to community health boards, <br />
         		<a id="pl.554.12"></a><var>554.12</var>nonprofits, or tribal nations in metropolitan <br />
         		<a id="pl.554.13"></a><var>554.13</var>and rural areas of the state. Priority for grants <br />
         		<a id="pl.554.14"></a><var>554.14</var>to rural areas shall be given to community <br />
         		<a id="pl.554.15"></a><var>554.15</var>health boards, nonprofits, and tribal nations <br />
         		<a id="pl.554.16"></a><var>554.16</var>that expand services within regional <br />
         		<a id="pl.554.17"></a><var>554.17</var>partnerships that provide the evidence-based <br />
         		<a id="pl.554.18"></a><var>554.18</var>home visiting programs. This funding shall <br />
         		<a id="pl.554.19"></a><var>554.19</var>only be used to supplement, not to replace, <br />
         		<a id="pl.554.20"></a><var>554.20</var>funds being used for evidence-based home <br />
         		<a id="pl.554.21"></a><var>554.21</var>visiting services as of June 30, 2017. The <br />
         		<a id="pl.554.22"></a><var>554.22</var>general fund base for these grants is $750,000 <br />
         		<a id="pl.554.23"></a><var>554.23</var>in fiscal year 2020 and $750,000 in fiscal year <br />
         		<a id="pl.554.24"></a><var>554.24</var>2021.<br />
         		<a id="pl.554.25"></a><var>554.25</var>(d) <b>Safe Harbor for Sexually Exploited </b><br />
         		<a id="pl.554.26"></a><var>554.26</var><b>Youth Services.</b> $325,000 in fiscal year 2018 <br />
         		<a id="pl.554.27"></a><var>554.27</var>and $325,000 in fiscal year 2019 are from the <br />
         		<a id="pl.554.28"></a><var>554.28</var>general fund for trauma-informed, culturally <br />
         		<a id="pl.554.29"></a><var>554.29</var>specific services for sexually exploited youth. <br />
         		<a id="pl.554.30"></a><var>554.30</var>Youth 24 years of age or younger are eligible <br />
         		<a id="pl.554.31"></a><var>554.31</var>for services under this paragraph.<br />
         		<a id="pl.554.32"></a><var>554.32</var>(e) <b>Safe Harbor Program Technical </b><br />
         		<a id="pl.554.33"></a><var>554.33</var><b>Assistance and Evaluation.</b> $225,000 in <br />
         		<a id="pl.554.34"></a><var>554.34</var>fiscal year 2018 and $225,000 in fiscal year <br />
         		<a id="pl.554.35"></a><var>554.35</var>2019 are from the general fund for training, <br />
         		<a id="pl.555.1"></a><var>555.1</var>technical assistance, protocol implementation, <br />
         		<a id="pl.555.2"></a><var>555.2</var>and evaluation activities related to the safe <br />
         		<a id="pl.555.3"></a><var>555.3</var>harbor program. Of these amounts:<br />
         		<a id="pl.555.4"></a><var>555.4</var>(1) $100,000 each fiscal year is for providing <br />
         		<a id="pl.555.5"></a><var>555.5</var>training and technical assistance to individuals <br />
         		<a id="pl.555.6"></a><var>555.6</var>and organizations that provide safe harbor <br />
         		<a id="pl.555.7"></a><var>555.7</var>services and receive funds for that purpose <br />
         		<a id="pl.555.8"></a><var>555.8</var>from the commissioner of human services or <br />
         		<a id="pl.555.9"></a><var>555.9</var>commissioner of health;<br />
         		<a id="pl.555.10"></a><var>555.10</var>(2) $100,000 each fiscal year is for protocol <br />
         		<a id="pl.555.11"></a><var>555.11</var>implementation, which includes providing <br />
         		<a id="pl.555.12"></a><var>555.12</var>technical assistance in establishing best <br />
         		<a id="pl.555.13"></a><var>555.13</var>practices-based systems for effectively <br />
         		<a id="pl.555.14"></a><var>555.14</var>identifying, interacting with, and referring <br />
         		<a id="pl.555.15"></a><var>555.15</var>sexually exploited youth to appropriate <br />
         		<a id="pl.555.16"></a><var>555.16</var>resources; and<br />
         		<a id="pl.555.17"></a><var>555.17</var>(3) $25,000 each fiscal year is for program <br />
         		<a id="pl.555.18"></a><var>555.18</var>evaluation activities in compliance with <br />
         		<a id="pl.555.19"></a><var>555.19</var>Minnesota Statutes, section 145.4718.<br />
         		<a id="pl.555.20"></a><var>555.20</var>(f) <b>Promoting Safe Harbor Capacity.</b> In <br />
         		<a id="pl.555.21"></a><var>555.21</var>funding services and activities under <br />
         		<a id="pl.555.22"></a><var>555.22</var>paragraphs (d) and (e), the commissioner shall <br />
         		<a id="pl.555.23"></a><var>555.23</var>emphasize activities that promote <br />
         		<a id="pl.555.24"></a><var>555.24</var>capacity-building and development of <br />
         		<a id="pl.555.25"></a><var>555.25</var>resources in greater Minnesota.<br />
         		<a id="pl.555.26"></a><var>555.26</var>(g) <b>Administration of Safe Harbor </b><br />
         		<a id="pl.555.27"></a><var>555.27</var><b>Program.</b> $60,000 in fiscal year 2018 and <br />
         		<a id="pl.555.28"></a><var>555.28</var>$60,000 in fiscal year 2019 are for <br />
         		<a id="pl.555.29"></a><var>555.29</var>administration of the safe harbor for sexually <br />
         		<a id="pl.555.30"></a><var>555.30</var>exploited youth program.<br />
         		<a id="pl.555.31"></a><var>555.31</var>(h) <b>Palliative Care Advisory Council.</b> <br />
         		<a id="pl.555.32"></a><var>555.32</var>$44,000 in fiscal year 2018 and $44,000 in <br />
         		<a id="pl.555.33"></a><var>555.33</var>fiscal year 2019 are from the general fund for <br />
         		<a id="pl.556.1"></a><var>556.1</var>the Palliative Care Advisory Council under <br />
         		<a id="pl.556.2"></a><var>556.2</var>Minnesota Statutes, section 144.059.<br />
         		<a id="pl.556.3"></a><var>556.3</var>(i) <b>Grants for Drug Deactivation and </b><br />
         		<a id="pl.556.4"></a><var>556.4</var><b>Disposal.</b> $500,000 in fiscal year 2018 and <br />
         		<a id="pl.556.5"></a><var>556.5</var>$500,000 in fiscal year 2019 are from the <br />
         		<a id="pl.556.6"></a><var>556.6</var>general fund to provide grants to pharmacists <br />
         		<a id="pl.556.7"></a><var>556.7</var>and other prescription drug dispensers, local <br />
         		<a id="pl.556.8"></a><var>556.8</var>public health and human services agencies, <br />
         		<a id="pl.556.9"></a><var>556.9</var>local law enforcement, health care providers, <br />
         		<a id="pl.556.10"></a><var>556.10</var>and other entities to purchase <br />
         		<a id="pl.556.11"></a><var>556.11</var>omni-degradable, at-home prescription drug <br />
         		<a id="pl.556.12"></a><var>556.12</var>deactivation and disposal products to assist <br />
         		<a id="pl.556.13"></a><var>556.13</var>the public in the disposal of prescription drugs <br />
         		<a id="pl.556.14"></a><var>556.14</var>in a safe, environmentally sound manner. A <br />
         		<a id="pl.556.15"></a><var>556.15</var>grant recipient must provide these deactivation <br />
         		<a id="pl.556.16"></a><var>556.16</var>and disposal products free of charge to <br />
         		<a id="pl.556.17"></a><var>556.17</var>members of the public. This is a onetime <br />
         		<a id="pl.556.18"></a><var>556.18</var>appropriation.<br />
         		<a id="pl.556.19"></a><var>556.19</var>(j) <b>Early Dental Disease Prevention Pilot </b><br />
         		<a id="pl.556.20"></a><var>556.20</var><b>Program.</b> $500,000 in fiscal year 2018 and <br />
         		<a id="pl.556.21"></a><var>556.21</var>$500,000 in fiscal year 2019 are from the <br />
         		<a id="pl.556.22"></a><var>556.22</var>general fund for early dental disease <br />
         		<a id="pl.556.23"></a><var>556.23</var>prevention and awareness activities under <br />
         		<a id="pl.556.24"></a><var>556.24</var>Minnesota Statutes, section 144.061. This is <br />
         		<a id="pl.556.25"></a><var>556.25</var>a onetime appropriation. Funding shall be used <br />
         		<a id="pl.556.26"></a><var>556.26</var>to:<br />
         		<a id="pl.556.27"></a><var>556.27</var>(1) award grants to five designated <br />
         		<a id="pl.556.28"></a><var>556.28</var>communities of color or communities of recent <br />
         		<a id="pl.556.29"></a><var>556.29</var>immigrants to participate in a pilot program <br />
         		<a id="pl.556.30"></a><var>556.30</var>to increase awareness and encourage early <br />
         		<a id="pl.556.31"></a><var>556.31</var>preventive dental disease intervention for <br />
         		<a id="pl.556.32"></a><var>556.32</var>infants and toddlers. At least two of the <br />
         		<a id="pl.556.33"></a><var>556.33</var>designated communities receiving grants under <br />
         		<a id="pl.556.34"></a><var>556.34</var>this clause must be located outside the <br />
         		<a id="pl.556.35"></a><var>556.35</var>seven-county metropolitan area;<br />
         		<a id="pl.557.1"></a><var>557.1</var>(2) in consultation with members of the <br />
         		<a id="pl.557.2"></a><var>557.2</var>designated communities, distribute or cause <br />
         		<a id="pl.557.3"></a><var>557.3</var>to be distributed the educational materials <br />
         		<a id="pl.557.4"></a><var>557.4</var>developed under Minnesota Statutes, section <br />
         		<a id="pl.557.5"></a><var>557.5</var>144.061, paragraph (b), to expectant and new <br />
         		<a id="pl.557.6"></a><var>557.6</var>parents within the designated communities. <br />
         		<a id="pl.557.7"></a><var>557.7</var>The materials shall be distributed as provided <br />
         		<a id="pl.557.8"></a><var>557.8</var>in Minnesota Statutes, section 144.061, <br />
         		<a id="pl.557.9"></a><var>557.9</var>paragraph (c), and through a variety of <br />
         		<a id="pl.557.10"></a><var>557.10</var>communicative means, including oral, visual, <br />
         		<a id="pl.557.11"></a><var>557.11</var>audio, and print. The commissioner shall assist <br />
         		<a id="pl.557.12"></a><var>557.12</var>designated communities with developing <br />
         		<a id="pl.557.13"></a><var>557.13</var>strategies, including outreach through ethnic <br />
         		<a id="pl.557.14"></a><var>557.14</var>radio, Webcasts, and local cable programs, <br />
         		<a id="pl.557.15"></a><var>557.15</var>and incentives to ensure the educational <br />
         		<a id="pl.557.16"></a><var>557.16</var>materials and information are distributed and <br />
         		<a id="pl.557.17"></a><var>557.17</var>to encourage and provide early preventive <br />
         		<a id="pl.557.18"></a><var>557.18</var>dental disease intervention and care for infants <br />
         		<a id="pl.557.19"></a><var>557.19</var>and toddlers that are geared toward the ethnic <br />
         		<a id="pl.557.20"></a><var>557.20</var>groups residing in the designated community;<br />
         		<a id="pl.557.21"></a><var>557.21</var>(3) develop measurable outcomes, establish a <br />
         		<a id="pl.557.22"></a><var>557.22</var>baseline measurement, and evaluate <br />
         		<a id="pl.557.23"></a><var>557.23</var>performance within each designated <br />
         		<a id="pl.557.24"></a><var>557.24</var>community to measure whether the <br />
         		<a id="pl.557.25"></a><var>557.25</var>educational materials, information, strategies, <br />
         		<a id="pl.557.26"></a><var>557.26</var>and incentives increased the number of infants <br />
         		<a id="pl.557.27"></a><var>557.27</var>and toddlers receiving early preventative <br />
         		<a id="pl.557.28"></a><var>557.28</var>dental disease intervention and care; and<br />
         		<a id="pl.557.29"></a><var>557.29</var>(4) by March 15, 2019, report to the chairs <br />
         		<a id="pl.557.30"></a><var>557.30</var>and ranking minority members of the <br />
         		<a id="pl.557.31"></a><var>557.31</var>legislative committees with jurisdiction over <br />
         		<a id="pl.557.32"></a><var>557.32</var>health care on the details of the program <br />
         		<a id="pl.557.33"></a><var>557.33</var>funded under this paragraph, communities <br />
         		<a id="pl.557.34"></a><var>557.34</var>designated for the program, strategies and any <br />
         		<a id="pl.558.1"></a><var>558.1</var>incentives implemented, and the results of the <br />
         		<a id="pl.558.2"></a><var>558.2</var>evaluation for each designated community.<br />
         		<a id="pl.558.3"></a><var>558.3</var>(k) <b>Minnesota Biomedicine and Bioethics </b><br />
         		<a id="pl.558.4"></a><var>558.4</var><b>Innovation Grants.</b> $5,000,000 in fiscal year <br />
         		<a id="pl.558.5"></a><var>558.5</var>2018 is from the general fund for Minnesota <br />
         		<a id="pl.558.6"></a><var>558.6</var>biomedicine and bioethics innovation grants <br />
         		<a id="pl.558.7"></a><var>558.7</var>under Minnesota Statutes, section 144.88. This <br />
         		<a id="pl.558.8"></a><var>558.8</var>is a onetime appropriation and is available <br />
         		<a id="pl.558.9"></a><var>558.9</var>until June 30, 2021.<br />
         		<a id="pl.558.10"></a><var>558.10</var>(l) <b>Statewide Strategic Plan for Victims of </b><br />
         		<a id="pl.558.11"></a><var>558.11</var><b>Sex Trafficking.</b> $73,000 in fiscal year 2018 <br />
         		<a id="pl.558.12"></a><var>558.12</var>is from the general fund for the development <br />
         		<a id="pl.558.13"></a><var>558.13</var>of a comprehensive statewide strategic plan <br />
         		<a id="pl.558.14"></a><var>558.14</var>and report to address the needs of sex <br />
         		<a id="pl.558.15"></a><var>558.15</var>trafficking victims statewide. This is a onetime <br />
         		<a id="pl.558.16"></a><var>558.16</var>appropriation.<br />
         		<a id="pl.558.17"></a><var>558.17</var>(m) <b>Statewide Tobacco Quitline Service.</b> Of <br />
         		<a id="pl.558.18"></a><var>558.18</var>the health care access fund appropriation for <br />
         		<a id="pl.558.19"></a><var>558.19</var>the statewide health improvement program, <br />
         		<a id="pl.558.20"></a><var>558.20</var>$461,000 in fiscal year 2018 and $2,969,000 <br />
         		<a id="pl.558.21"></a><var>558.21</var>in fiscal year 2019 are for administering or <br />
         		<a id="pl.558.22"></a><var>558.22</var>contracting for the administration of the <br />
         		<a id="pl.558.23"></a><var>558.23</var>statewide tobacco quitline service established <br />
         		<a id="pl.558.24"></a><var>558.24</var>under Minnesota Statutes, section 144.397.<br />
         		<a id="pl.558.25"></a><var>558.25</var>(n) <b>Home and Community-Based Services </b><br />
         		<a id="pl.558.26"></a><var>558.26</var><b>Employee Scholarship Program.</b> $1,000,000 <br />
         		<a id="pl.558.27"></a><var>558.27</var>in fiscal year 2018 and $1,000,000 in fiscal <br />
         		<a id="pl.558.28"></a><var>558.28</var>year 2019 are from the general fund for the <br />
         		<a id="pl.558.29"></a><var>558.29</var>home and community-based services <br />
         		<a id="pl.558.30"></a><var>558.30</var>employee scholarship program under <br />
         		<a id="pl.558.31"></a><var>558.31</var>Minnesota Statutes, section 144.1503.<br />
         		<a id="pl.558.32"></a><var>558.32</var>(o) <b>Comprehensive Advanced Life Support </b><br />
         		<a id="pl.558.33"></a><var>558.33</var><b>Educational Program.</b> $100,000 in fiscal <br />
         		<a id="pl.558.34"></a><var>558.34</var>year 2018 and $100,000 in fiscal year 2019 <br />
         		<a id="pl.559.1"></a><var>559.1</var>are from the general fund for the <br />
         		<a id="pl.559.2"></a><var>559.2</var>comprehensive advanced life support <br />
         		<a id="pl.559.3"></a><var>559.3</var>educational program under Minnesota Statutes, <br />
         		<a id="pl.559.4"></a><var>559.4</var>section 144.6062. This is a onetime <br />
         		<a id="pl.559.5"></a><var>559.5</var>appropriation.<br />
         		<a id="pl.559.6"></a><var>559.6</var>(p) <b>Senior Care Workforce Innovation </b><br />
         		<a id="pl.559.7"></a><var>559.7</var><b>Grant Program.</b> $1,000,000 in fiscal year <br />
         		<a id="pl.559.8"></a><var>559.8</var>2018 and $1,000,000 in fiscal year 2019 are <br />
         		<a id="pl.559.9"></a><var>559.9</var>from the general fund for the senior care <br />
         		<a id="pl.559.10"></a><var>559.10</var>workforce innovation grant program under <br />
         		<a id="pl.559.11"></a><var>559.11</var>Minnesota Statutes, section 144.1504.<br />
         		<a id="pl.559.12"></a><var>559.12</var>(q) <b>Physician Residency Expansion Grant </b><br />
         		<a id="pl.559.13"></a><var>559.13</var><b>Program.</b> $1,500,00 in fiscal year 2018 and <br />
         		<a id="pl.559.14"></a><var>559.14</var>$1,500,000 in fiscal 2019 are from the health <br />
         		<a id="pl.559.15"></a><var>559.15</var>care access fund for the physician residency <br />
         		<a id="pl.559.16"></a><var>559.16</var>expansion grant program under Minnesota <br />
         		<a id="pl.559.17"></a><var>559.17</var>Statutes, section 144.1506.<br />
         		<a id="pl.559.18"></a><var>559.18</var>(r) <b>Opioid Abuse Prevention.</b> $2,028,000 in <br />
         		<a id="pl.559.19"></a><var>559.19</var>fiscal year 2018 is to establish accountable <br />
         		<a id="pl.559.20"></a><var>559.20</var>community for health opioid abuse prevention <br />
         		<a id="pl.559.21"></a><var>559.21</var>pilot projects. $28,000 of this amount is for <br />
         		<a id="pl.559.22"></a><var>559.22</var>administration. This is a onetime <br />
         		<a id="pl.559.23"></a><var>559.23</var>appropriation.<br />
         		<a id="pl.559.24"></a><var>559.24</var>(s) <b>Opioid Prescriber Education.</b> $535,000 <br />
         		<a id="pl.559.25"></a><var>559.25</var>in fiscal year 2018 and $535,000 in fiscal year <br />
         		<a id="pl.559.26"></a><var>559.26</var>2019 are for opioid prescriber education and <br />
         		<a id="pl.559.27"></a><var>559.27</var>public awareness grants under Minnesota <br />
         		<a id="pl.559.28"></a><var>559.28</var>Statutes, section 145.9263. $35,000 in fiscal <br />
         		<a id="pl.559.29"></a><var>559.29</var>year 2018 and $35,000 in fiscal year 2019 are <br />
         		<a id="pl.559.30"></a><var>559.30</var>for administration.<br />
         		<a id="pl.559.31"></a><var>559.31</var>(t) <b>Advanced Care Planning.</b> $500,000 in <br />
         		<a id="pl.559.32"></a><var>559.32</var>fiscal year 2018 and $500,000 in fiscal year <br />
         		<a id="pl.559.33"></a><var>559.33</var>2019 are from the general fund for a grant to <br />
         		<a id="pl.559.34"></a><var>559.34</var>a statewide advanced care planning resource <br />
         		<a id="pl.560.1"></a><var>560.1</var>organization that has expertise in convening <br />
         		<a id="pl.560.2"></a><var>560.2</var>and coordinating community-based strategies <br />
         		<a id="pl.560.3"></a><var>560.3</var>to encourage individuals, families, caregivers, <br />
         		<a id="pl.560.4"></a><var>560.4</var>and health care providers to begin <br />
         		<a id="pl.560.5"></a><var>560.5</var>conversations regarding end-of-life care <br />
         		<a id="pl.560.6"></a><var>560.6</var>choices that express an individual's health care <br />
         		<a id="pl.560.7"></a><var>560.7</var>values and preferences and are based on <br />
         		<a id="pl.560.8"></a><var>560.8</var>informed health care decisions. Of this <br />
         		<a id="pl.560.9"></a><var>560.9</var>amount, $9,000 each year is for administration.<br />
         		<a id="pl.560.10"></a><var>560.10</var>(u) <b>Health Professionals Clinical Training </b><br />
         		<a id="pl.560.11"></a><var>560.11</var><b>Expansion Grant Program.</b> $1,000,000 in <br />
         		<a id="pl.560.12"></a><var>560.12</var>fiscal year 2018 and $1,000,000 in fiscal year <br />
         		<a id="pl.560.13"></a><var>560.13</var>2019 are from the general fund for the primary <br />
         		<a id="pl.560.14"></a><var>560.14</var>care and mental health professions clinical <br />
         		<a id="pl.560.15"></a><var>560.15</var>training expansion grant program under <br />
         		<a id="pl.560.16"></a><var>560.16</var>Minnesota Statutes, section 144.1505.<br />
         		<a id="pl.560.17"></a><var>560.17</var>(v) <b>Youth Sports Concussion Working </b><br />
         		<a id="pl.560.18"></a><var>560.18</var><b>Group and Brain Health Pilot Programs.</b> <br />
         		<a id="pl.560.19"></a><var>560.19</var>$450,000 in fiscal year 2018 is from the <br />
         		<a id="pl.560.20"></a><var>560.20</var>general fund for the youth sports concussion <br />
         		<a id="pl.560.21"></a><var>560.21</var>working group and brain health pilot <br />
         		<a id="pl.560.22"></a><var>560.22</var>programs. This is a onetime appropriation. Of <br />
         		<a id="pl.560.23"></a><var>560.23</var>this appropriation:<br />
         		<a id="pl.560.24"></a><var>560.24</var>(1) $150,000 is for the youth sports concussion <br />
         		<a id="pl.560.25"></a><var>560.25</var>working group, including any required <br />
         		<a id="pl.560.26"></a><var>560.26</var>incidence research; and<br />
         		<a id="pl.560.27"></a><var>560.27</var>(2) $300,000 is for the brain health pilot <br />
         		<a id="pl.560.28"></a><var>560.28</var>programs.<br />
         		<a id="pl.560.29"></a><var>560.29</var>(w) <b>Base Level Adjustments.</b> The general <br />
         		<a id="pl.560.30"></a><var>560.30</var>fund base is $74,436,000 in fiscal year 2020 <br />
         		<a id="pl.560.31"></a><var>560.31</var>and $74,486,000 in fiscal year 2021. The <br />
         		<a id="pl.560.32"></a><var>560.32</var>health care access fund base is $37,579,000 <br />
         		<a id="pl.560.33"></a><var>560.33</var>in fiscal year 2020 and $36,979,000 in fiscal <br />
         		<a id="pl.560.34"></a><var>560.34</var>year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.561.1"></a><var>561.1</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Health Protection</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.561.2"></a><var>561.2</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.561.3"></a><var>561.3</var><br />
                  		
               </td>
               <td>General<br />
                  		 
               </td>
               <td align="right">14,552,000<br />
                  		 
               </td>
               <td align="right">14,478,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.561.4"></a><var>561.4</var><br />
                  		<a id="pl.561.5"></a><var>561.5</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		 
               </td>
               <td align="right">46,141,000<br />
                  		 
               </td>
               <td align="right">45,908,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.561.6"></a><var>561.6</var>(a) <b>Prescribed Pediatric Extended Care </b><br />
         		<a id="pl.561.7"></a><var>561.7</var><b>Center Licensure Activities.</b> $64,000 in fiscal <br />
         		<a id="pl.561.8"></a><var>561.8</var>year 2018 and $17,000 in fiscal year 2019 are <br />
         		<a id="pl.561.9"></a><var>561.9</var>from the state government special revenue <br />
         		<a id="pl.561.10"></a><var>561.10</var>fund for licensure of prescribed pediatric <br />
         		<a id="pl.561.11"></a><var>561.11</var>extended care centers under Minnesota <br />
         		<a id="pl.561.12"></a><var>561.12</var>Statutes, chapter 144H.<br />
         		<a id="pl.561.13"></a><var>561.13</var>(b) <b>Vulnerable Adults in Health Care </b><br />
         		<a id="pl.561.14"></a><var>561.14</var><b>Settings.</b> $633,000 in fiscal year 2018 and <br />
         		<a id="pl.561.15"></a><var>561.15</var>$559,000 in fiscal year 2019 are from the <br />
         		<a id="pl.561.16"></a><var>561.16</var>general fund for regulating health care and <br />
         		<a id="pl.561.17"></a><var>561.17</var>home care settings.<br />
         		<a id="pl.561.18"></a><var>561.18</var>(c) <b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.561.19"></a><var>561.19</var>base is $14,867,000 in fiscal year 2020 and <br />
         		<a id="pl.561.20"></a><var>561.20</var>$14,777,000 in fiscal year 2021. The state <br />
         		<a id="pl.561.21"></a><var>561.21</var>government special revenue fund base is <br />
         		<a id="pl.561.22"></a><var>561.22</var>$45,881,000 in fiscal year 2020 and <br />
         		<a id="pl.561.23"></a><var>561.23</var>$45,873,000 in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.561.24"></a><var>561.24</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Health Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">7,575,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">7,575,000<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.16.4.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.561.25"></a><var>561.25</var><br />
                  		
               </td>
               <td colspan="3">Sec. 4. <b>HEALTH-RELATED BOARDS</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.561.26"></a><var>561.26</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>24,986,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>23,279,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.561.27"></a><var>561.27</var>This appropriation is from the state <br />
         		<a id="pl.561.28"></a><var>561.28</var>government special revenue fund. The <br />
         		<a id="pl.561.29"></a><var>561.29</var>amounts that may be spent for each purpose <br />
         		<a id="pl.561.30"></a><var>561.30</var>are specified in the following subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.561.31"></a><var>561.31</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Board of Chiropractic Examiners</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">565,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">571,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.562.1"></a><var>562.1</var><b>Base Level Adjustment.</b> The base is $576,000 <br />
         		<a id="pl.562.2"></a><var>562.2</var>in fiscal year 2020 and $576,000 in fiscal year <br />
         		<a id="pl.562.3"></a><var>562.3</var>2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.4"></a><var>562.4</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Board of Dentistry</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,396,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,408,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.5"></a><var>562.5</var><br />
                  		<a id="pl.562.6"></a><var>562.6</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Board of Dietetics and Nutrition </b><br />
                  		<b>Practice</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">130,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">132,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.7"></a><var>562.7</var><br />
                  		
               </td>
               <td colspan="3">Subd. 5.<b>Board of Marriage and Family Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">360,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">357,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.562.8"></a><var>562.8</var><b>Base Level Adjustment.</b> The base is $360,000 <br />
         		<a id="pl.562.9"></a><var>562.9</var>in fiscal year 2020 and $362,000 in fiscal year <br />
         		<a id="pl.562.10"></a><var>562.10</var>2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.11"></a><var>562.11</var><br />
                  		
               </td>
               <td colspan="3">Subd. 6.<b>Board of Medical Practice</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">5,194,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">5,330,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.562.12"></a><var>562.12</var>This appropriation includes $964,000 in fiscal <br />
         		<a id="pl.562.13"></a><var>562.13</var>year 2018 and $964,000 in fiscal year 2019 <br />
         		<a id="pl.562.14"></a><var>562.14</var>for the health professional services program. <br />
         		<a id="pl.562.15"></a><var>562.15</var>The base for this program is $924,000 in fiscal <br />
         		<a id="pl.562.16"></a><var>562.16</var>year 2020 and $924,000 in fiscal year 2021.<br />
         		<a id="pl.562.17"></a><var>562.17</var><b>Base Level Adjustment.</b> The base is <br />
         		<a id="pl.562.18"></a><var>562.18</var>$5,292,000 in fiscal year 2020 and $5,292,000 <br />
         		<a id="pl.562.19"></a><var>562.19</var>in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.20"></a><var>562.20</var><br />
                  		
               </td>
               <td colspan="3">Subd. 7.<b>Board of Nursing</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">6,380,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">4,783,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.562.21"></a><var>562.21</var><br />
                  		
               </td>
               <td colspan="3">Subd. 8.<b>Board of Nursing Home Administrators</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,397,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,202,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.562.22"></a><var>562.22</var>(a) <b>Administrative Services Unit - Operating </b><br />
         		<a id="pl.562.23"></a><var>562.23</var><b>Costs.</b> Of this appropriation, $2,260,000 in <br />
         		<a id="pl.562.24"></a><var>562.24</var>fiscal year 2018 and $2,287,000 in fiscal year <br />
         		<a id="pl.562.25"></a><var>562.25</var>2019 are for operating costs of the <br />
         		<a id="pl.562.26"></a><var>562.26</var>administrative services unit. The <br />
         		<a id="pl.562.27"></a><var>562.27</var>administrative services unit may receive and <br />
         		<a id="pl.562.28"></a><var>562.28</var>expend reimbursements for services it <br />
         		<a id="pl.562.29"></a><var>562.29</var>performs for other agencies.<br />
         		<a id="pl.562.30"></a><var>562.30</var>(b) <b>Administrative Services Unit - Volunteer </b><br />
         		<a id="pl.562.31"></a><var>562.31</var><b>Health Care Provider Program.</b> Of this <br />
         		<a id="pl.562.32"></a><var>562.32</var>appropriation, $150,000 in fiscal year 2018 <br />
         		<a id="pl.562.33"></a><var>562.33</var>and $150,000 in fiscal year 2019 are to pay <br />
         		<a id="pl.562.34"></a><var>562.34</var>for medical professional liability coverage <br />
         		<a id="pl.563.1"></a><var>563.1</var>required under Minnesota Statutes, section <br />
         		<a id="pl.563.2"></a><var>563.2</var>214.40.<br />
         		<a id="pl.563.3"></a><var>563.3</var>(c) <b>Administrative Services Unit - </b><br />
         		<a id="pl.563.4"></a><var>563.4</var><b>Retirement Costs.</b> Of this appropriation, <br />
         		<a id="pl.563.5"></a><var>563.5</var>$378,000 in fiscal year 2019 is a onetime <br />
         		<a id="pl.563.6"></a><var>563.6</var>appropriation to the administrative services <br />
         		<a id="pl.563.7"></a><var>563.7</var>unit to pay for the retirement costs of <br />
         		<a id="pl.563.8"></a><var>563.8</var>health-related board employees. This funding <br />
         		<a id="pl.563.9"></a><var>563.9</var>may be transferred to the health board <br />
         		<a id="pl.563.10"></a><var>563.10</var>incurring retirement costs. Any board that has <br />
         		<a id="pl.563.11"></a><var>563.11</var>an unexpended balance for an amount <br />
         		<a id="pl.563.12"></a><var>563.12</var>transferred under this paragraph shall transfer <br />
         		<a id="pl.563.13"></a><var>563.13</var>the unexpended amount to the administrative <br />
         		<a id="pl.563.14"></a><var>563.14</var>services unit. These funds are available either <br />
         		<a id="pl.563.15"></a><var>563.15</var>year of the biennium.<br />
         		<a id="pl.563.16"></a><var>563.16</var>(d) <b>Administrative Services Unit - </b><br />
         		<a id="pl.563.17"></a><var>563.17</var><b>Health-Related Licensing Boards Operating </b><br />
         		<a id="pl.563.18"></a><var>563.18</var><b>Costs.</b> Of this appropriation, $194,000 in <br />
         		<a id="pl.563.19"></a><var>563.19</var>fiscal year 2018 and $350,000 in fiscal year <br />
         		<a id="pl.563.20"></a><var>563.20</var>2019 shall be transferred to the health-related <br />
         		<a id="pl.563.21"></a><var>563.21</var>boards funded under this section for operating <br />
         		<a id="pl.563.22"></a><var>563.22</var>costs. The administrative services unit shall <br />
         		<a id="pl.563.23"></a><var>563.23</var>determine transfer amounts in consultation <br />
         		<a id="pl.563.24"></a><var>563.24</var>with the health-related boards funded under <br />
         		<a id="pl.563.25"></a><var>563.25</var>this section.<br />
         		<a id="pl.563.26"></a><var>563.26</var>(e) <b>Administrative Services Unit - Contested </b><br />
         		<a id="pl.563.27"></a><var>563.27</var><b>Cases and Other Legal Proceedings.</b> Of this <br />
         		<a id="pl.563.28"></a><var>563.28</var>appropriation, $200,000 in fiscal year 2018 <br />
         		<a id="pl.563.29"></a><var>563.29</var>and $200,000 in fiscal year 2019 are for costs <br />
         		<a id="pl.563.30"></a><var>563.30</var>of contested case hearings and other <br />
         		<a id="pl.563.31"></a><var>563.31</var>unanticipated costs of legal proceedings <br />
         		<a id="pl.563.32"></a><var>563.32</var>involving health-related boards funded under <br />
         		<a id="pl.563.33"></a><var>563.33</var>this section. Upon certification by a <br />
         		<a id="pl.563.34"></a><var>563.34</var>health-related board to the administrative <br />
         		<a id="pl.563.35"></a><var>563.35</var>services unit that costs will be incurred and <br />
         		<a id="pl.564.1"></a><var>564.1</var>that there is insufficient money available to <br />
         		<a id="pl.564.2"></a><var>564.2</var>pay for the costs out of money currently <br />
         		<a id="pl.564.3"></a><var>564.3</var>available to that board, the administrative <br />
         		<a id="pl.564.4"></a><var>564.4</var>services unit is authorized to transfer money <br />
         		<a id="pl.564.5"></a><var>564.5</var>from this appropriation to the board for <br />
         		<a id="pl.564.6"></a><var>564.6</var>payment of those costs with the approval of <br />
         		<a id="pl.564.7"></a><var>564.7</var>the commissioner of management and budget. <br />
         		<a id="pl.564.8"></a><var>564.8</var>The commissioner of management and budget <br />
         		<a id="pl.564.9"></a><var>564.9</var>must require any board that has an unexpended <br />
         		<a id="pl.564.10"></a><var>564.10</var>balance for an amount transferred under this <br />
         		<a id="pl.564.11"></a><var>564.11</var>paragraph to transfer the unexpended amount <br />
         		<a id="pl.564.12"></a><var>564.12</var>to the administrative services unit to be <br />
         		<a id="pl.564.13"></a><var>564.13</var>deposited in the state government special <br />
         		<a id="pl.564.14"></a><var>564.14</var>revenue fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.15"></a><var>564.15</var><br />
                  		
               </td>
               <td colspan="3">Subd. 9.<b>Board of Optometry</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">156,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">157,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.16"></a><var>564.16</var><br />
                  		
               </td>
               <td colspan="3">Subd. 10.<b>Board of Pharmacy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,124,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,164,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.564.17"></a><var>564.17</var><b>Base Level Adjustment.</b> The base is <br />
         		<a id="pl.564.18"></a><var>564.18</var>$3,189,000 in fiscal year 2020 and $3,226,000 <br />
         		<a id="pl.564.19"></a><var>564.19</var>in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.20"></a><var>564.20</var><br />
                  		
               </td>
               <td colspan="3">Subd. 11.<b>Board of Physical Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">521,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">522,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.564.21"></a><var>564.21</var><b>Base Level Adjustment.</b> The base is $524,000 <br />
         		<a id="pl.564.22"></a><var>564.22</var>in fiscal year 2020 and $526,000 in fiscal year <br />
         		<a id="pl.564.23"></a><var>564.23</var>2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.24"></a><var>564.24</var><br />
                  		
               </td>
               <td colspan="3">Subd. 12.<b>Board of Podiatric Medicine</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">204,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">204,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.25"></a><var>564.25</var><br />
                  		
               </td>
               <td colspan="3">Subd. 13.<b>Board of Psychology</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,220,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,240,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.564.26"></a><var>564.26</var><b>Base Level Adjustment.</b> The base is <br />
         		<a id="pl.564.27"></a><var>564.27</var>$1,247,000 in fiscal year 2020 and $1,247,000 <br />
         		<a id="pl.564.28"></a><var>564.28</var>in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.29"></a><var>564.29</var><br />
                  		
               </td>
               <td colspan="3">Subd. 14.<b>Board of Social Work</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,254,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,246,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.564.30"></a><var>564.30</var><b>Base Level Adjustment.</b> The base is <br />
         		<a id="pl.564.31"></a><var>564.31</var>$1,248,000 in fiscal year 2020 and $1,250,000 <br />
         		<a id="pl.564.32"></a><var>564.32</var>in fiscal year 2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.564.33"></a><var>564.33</var><br />
                  		
               </td>
               <td colspan="3">Subd. 15.<b>Board of Veterinary Medicine</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">314,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">320,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.565.1"></a><var>565.1</var><b>Base Level Adjustment.</b> The base is $327,000 <br />
         		<a id="pl.565.2"></a><var>565.2</var>in fiscal year 2020 and $333,000 in fiscal year <br />
         		<a id="pl.565.3"></a><var>565.3</var>2021.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.565.4"></a><var>565.4</var><br />
                  		<a id="pl.565.5"></a><var>565.5</var><br />
                  		
               </td>
               <td colspan="3">Subd. 16.<b>Board of Behavioral Health and </b><br />
                  		<b>Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">771,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">643,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.565.6"></a><var>565.6</var><br />
                  		<a id="pl.565.7"></a><var>565.7</var><br />
                  		
               </td>
               <td colspan="3">Subd. 17.<b>Board of Occupational Therapy </b><br />
                  		<b>Practice</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">374,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">328,000<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.16.5.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.565.8"></a><var>565.8</var><br />
                  		<a id="pl.565.9"></a><var>565.9</var><br />
                  		
               </td>
               <td colspan="3">Sec. 5. <b>EMERGENCY MEDICAL SERVICES </b><br />
                  		<b>REGULATORY BOARD</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b> </b><b>4,509,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b> </b><b>4,438,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.565.10"></a><var>565.10</var>(a) <b>Cooper/Sams Volunteer Ambulance </b><br />
         		<a id="pl.565.11"></a><var>565.11</var><b>Program.</b> $1,300,000 in fiscal year 2018 and <br />
         		<a id="pl.565.12"></a><var>565.12</var>$1,300,000 in fiscal year 2019 are for the <br />
         		<a id="pl.565.13"></a><var>565.13</var>Cooper/Sams volunteer ambulance program <br />
         		<a id="pl.565.14"></a><var>565.14</var>under Minnesota Statutes, section 144E.40. <br />
         		<a id="pl.565.15"></a><var>565.15</var>The base for this program is $700,000 in fiscal <br />
         		<a id="pl.565.16"></a><var>565.16</var>year 2020 and $700,000 in fiscal year 2021.<br />
         		<a id="pl.565.17"></a><var>565.17</var>(1) Of this amount, $1,211,000 in fiscal year <br />
         		<a id="pl.565.18"></a><var>565.18</var>2018 and $1,211,000 in fiscal year 2019 are <br />
         		<a id="pl.565.19"></a><var>565.19</var>for the ambulance service personnel longevity <br />
         		<a id="pl.565.20"></a><var>565.20</var>award and incentive program under Minnesota <br />
         		<a id="pl.565.21"></a><var>565.21</var>Statutes, section 144E.40. The base for this <br />
         		<a id="pl.565.22"></a><var>565.22</var>program is $611,000 in fiscal year 2020 and <br />
         		<a id="pl.565.23"></a><var>565.23</var>$611,000 in fiscal year 2021.<br />
         		<a id="pl.565.24"></a><var>565.24</var>(2) Of this amount, $89,000 in fiscal year 2018 <br />
         		<a id="pl.565.25"></a><var>565.25</var>and $89,000 in fiscal year 2019 are for the <br />
         		<a id="pl.565.26"></a><var>565.26</var>operations of the ambulance service personnel <br />
         		<a id="pl.565.27"></a><var>565.27</var>longevity award and incentive program under <br />
         		<a id="pl.565.28"></a><var>565.28</var>Minnesota Statutes, section 144E.40.<br />
         		<a id="pl.565.29"></a><var>565.29</var>(b) <b>EMSRB Board Operations.</b> $1,360,000 <br />
         		<a id="pl.565.30"></a><var>565.30</var>in fiscal year 2018 and $1,360,000 in fiscal <br />
         		<a id="pl.565.31"></a><var>565.31</var>year 2019 are for board operations.<br />
         		<a id="pl.565.32"></a><var>565.32</var>(c) <b>Regional Grants.</b> $585,000 in fiscal year <br />
         		<a id="pl.565.33"></a><var>565.33</var>2018 and $585,000 in fiscal year 2019 are for <br />
         		<a id="pl.565.34"></a><var>565.34</var>regional emergency medical services <br />
         		<a id="pl.566.1"></a><var>566.1</var>programs, to be distributed equally to the eight <br />
         		<a id="pl.566.2"></a><var>566.2</var>emergency medical service regions under <br />
         		<a id="pl.566.3"></a><var>566.3</var>Minnesota Statutes, section 144E.50.<br />
         		<a id="pl.566.4"></a><var>566.4</var>(d) <b>Ambulance Training Grant.</b> $361,000 <br />
         		<a id="pl.566.5"></a><var>566.5</var>in fiscal year 2018 and $361,000 in fiscal year <br />
         		<a id="pl.566.6"></a><var>566.6</var>2019 are for training grants under Minnesota <br />
         		<a id="pl.566.7"></a><var>566.7</var>Statutes, section 144E.35.<br />
         		<a id="pl.566.8"></a><var>566.8</var>(e) <b>Base Level Adjustment.</b> The base is <br />
         		<a id="pl.566.9"></a><var>566.9</var>$3,840,000 in fiscal year 2020 and $3,840,000 <br />
         		<a id="pl.566.10"></a><var>566.10</var>in fiscal year 2021.<br />
         		<br />
         		<a id="bill.16.6.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.11"></a><var>566.11</var><br />
                  		
               </td>
               <td colspan="3">Sec. 6. <b>COUNCIL ON DISABILITY</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>1,002,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>1,002,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.566.12"></a><var>566.12</var><b>Base Level Adjustment.</b> The base is $966,000 <br />
         		<a id="pl.566.13"></a><var>566.13</var>in fiscal year 2020 and $968,000 in fiscal year <br />
         		<a id="pl.566.14"></a><var>566.14</var>2021.<br />
         		<br />
         		<a id="bill.16.7.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.15"></a><var>566.15</var><br />
                  		<a id="pl.566.16"></a><var>566.16</var><br />
                  		<a id="pl.566.17"></a><var>566.17</var><br />
                  		
               </td>
               <td colspan="3">Sec. 7. <b>OMBUDSMAN FOR MENTAL </b><br />
                  		<b>HEALTH AND DEVELOPMENTAL </b><br />
                  		<b>DISABILITIES</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b> </b><b>2,407,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b> </b><b>2,427,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.566.18"></a><var>566.18</var><b>Department of Psychiatry Monitoring.</b> <br />
         		<a id="pl.566.19"></a><var>566.19</var>$100,000 in fiscal year 2018 and $100,000 in <br />
         		<a id="pl.566.20"></a><var>566.20</var>fiscal year 2019 are for monitoring the <br />
         		<a id="pl.566.21"></a><var>566.21</var>Department of Psychiatry at the University of <br />
         		<a id="pl.566.22"></a><var>566.22</var>Minnesota.<br />
         		<br />
         		<a id="bill.16.8.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.23"></a><var>566.23</var><br />
                  		
               </td>
               <td colspan="3">Sec. 8. <b>OMBUDSPERSONS FOR FAMILIES</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>543,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>551,000</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.16.9.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.24"></a><var>566.24</var><br />
                  		
               </td>
               <td colspan="3">Sec. 9. <b>COMMISSIONER OF COMMERCE</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>1,194,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>1,194,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.566.25"></a><var>566.25</var><b>Base Level Adjustment.</b> The base for this <br />
         		<a id="pl.566.26"></a><var>566.26</var>appropriation is $1,194,000 in fiscal year 2020 <br />
         		<a id="pl.566.27"></a><var>566.27</var>and $594,000 in fiscal year 2021.<br />
         		<br />
         		<a id="bill.16.10.0"></a><a id="pl.566.28"></a><var>566.28</var>&#160;&#160;&#160;&#160;Sec. 10. Laws 2009, chapter 101, article 1, section 12, is amended to read:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.29"></a><var>566.29</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">Sec. 12. <b>ADMINISTRATION</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.566.30"></a><var>566.30</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center" valign="bottom"><b>$</b><br />
                  		
               </td>
               <td align="right" valign="bottom"><b>19,973,000</b><br />
                  		
               </td>
               <td align="center" valign="bottom"><b>$</b><br />
                  		
               </td>
               <td align="right" valign="bottom"><b>19,617,000</b><br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.566.31"></a><var>566.31</var><br />
                  		
               </td>
               <td colspan="3" align="center" valign="bottom">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.567.1"></a><var>567.1</var><br />
                  		
               </td>
               <td align="left" valign="bottom"></td>
               <td align="center" valign="bottom">2010<br />
                  		
               </td>
               <td align="center" valign="bottom">2011<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.567.2"></a><var>567.2</var><br />
                  		
               </td>
               <td align="left" valign="bottom">General<br />
                  		
               </td>
               <td align="right" valign="bottom">19,723,000<br />
                  		
               </td>
               <td align="right" valign="bottom">19,617,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.567.3"></a><var>567.3</var><br />
                  		<a id="pl.567.4"></a><var>567.4</var><br />
                  		
               </td>
               <td align="left" valign="bottom">Special Revenue <br />
                  		Fund<br />
                  		
               </td>
               <td align="right" valign="bottom">250,000<br />
                  		
               </td>
               <td align="right" valign="bottom">0<br />
                  		
               </td>
            </tr>
         </table><a id="pl.567.5"></a><var>567.5</var>The amounts that may be spent for each <br />
         		<a id="pl.567.6"></a><var>567.6</var>purpose are specified in the following <br />
         		<a id="pl.567.7"></a><var>567.7</var>subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.567.8"></a><var>567.8</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">Subd. 2.<b>Government and Citizen Services</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">18,097,000<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">17,766,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.567.9"></a><var>567.9</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.567.10"></a><var>567.10</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">17,847,000<br />
                  		
               </td>
               <td align="right">17,766,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.567.11"></a><var>567.11</var><br />
                  		<a id="pl.567.12"></a><var>567.12</var><br />
                  		
               </td>
               <td>Special Revenue <br />
                  		Fund<br />
                  		
               </td>
               <td align="right">250,000<br />
                  		
               </td>
               <td align="right">0<br />
                  		
               </td>
            </tr>
         </table><a id="pl.567.13"></a><var>567.13</var>(a) $802,000 the first year and $802,000 the <br />
         		<a id="pl.567.14"></a><var>567.14</var>second year are for the Minnesota Geospatial <br />
         		<a id="pl.567.15"></a><var>567.15</var>Information Office. Of the total appropriation, <br />
         		<a id="pl.567.16"></a><var>567.16</var>$10,000 per year is intended for preparation <br />
         		<a id="pl.567.17"></a><var>567.17</var>of township acreage data in Laws 2008, <br />
         		<a id="pl.567.18"></a><var>567.18</var>chapter 366, article 17, section 7, subdivision <br />
         		<a id="pl.567.19"></a><var>567.19</var>3.<br />
         		<a id="pl.567.20"></a><var>567.20</var>(b) $74,000 the first year and $74,000 the <br />
         		<a id="pl.567.21"></a><var>567.21</var>second year are for the Council on <br />
         		<a id="pl.567.22"></a><var>567.22</var>Developmental Disabilities.<br />
         		<a id="pl.567.23"></a><var>567.23</var>(c) $127,000 the first year and $127,000 the <br />
         		<a id="pl.567.24"></a><var>567.24</var>second year are for transfer to the <br />
         		<a id="pl.567.25"></a><var>567.25</var>commissioner of human services for a grant <br />
         		<a id="pl.567.26"></a><var>567.26</var>to the Council on Developmental Disabilities <br />
         		<a id="pl.567.27"></a><var>567.27</var>for the purpose of establishing a statewide <br />
         		<a id="pl.567.28"></a><var>567.28</var>self-advocacy network for persons with <br />
         		<a id="pl.567.29"></a><var>567.29</var>intellectual and developmental disabilities <br />
         		<a id="pl.567.30"></a><var>567.30</var>(ID/DD). The self-advocacy network shall: <br />
         		<a id="pl.567.31"></a><var>567.31</var>(1) ensure that persons with ID/DD are <br />
         		<a id="pl.567.32"></a><var>567.32</var>informed of their rights in employment, <br />
         		<a id="pl.567.33"></a><var>567.33</var>housing, transportation, voting, government <br />
         		<a id="pl.567.34"></a><var>567.34</var>policy, and other issues pertinent to the ID/DD <br />
         		<a id="pl.567.35"></a><var>567.35</var>community; (2) provide public education and <br />
         		<a id="pl.568.1"></a><var>568.1</var>awareness of the civil and human rights issues <br />
         		<a id="pl.568.2"></a><var>568.2</var>persons with ID/DD face; (3) provide funds, <br />
         		<a id="pl.568.3"></a><var>568.3</var>technical assistance, and other resources for <br />
         		<a id="pl.568.4"></a><var>568.4</var>self-advocacy groups across the state; and (4) <br />
         		<a id="pl.568.5"></a><var>568.5</var>organize systems of communications to <br />
         		<a id="pl.568.6"></a><var>568.6</var>facilitate an exchange of information between <br />
         		<a id="pl.568.7"></a><var>568.7</var>self-advocacy groups. This appropriation must <br />
         		<a id="pl.568.8"></a><var>568.8</var>be included in the base budget for the <br />
         		<a id="pl.568.9"></a><var>568.9</var>commissioner of human services for the <br />
         		<a id="pl.568.10"></a><var>568.10</var>biennium beginning July 1, 2011.<br />
         		<a id="pl.568.11"></a><var>568.11</var>(d) $250,000 the first year and $170,000 the <br />
         		<a id="pl.568.12"></a><var>568.12</var>second year are to fund activities to prepare <br />
         		<a id="pl.568.13"></a><var>568.13</var>for and promote the 2010 census.<br />
         		<a id="pl.568.14"></a><var>568.14</var>(e) $206,000 the first year and $206,000 the <br />
         		<a id="pl.568.15"></a><var>568.15</var>second year are for the Office of the State <br />
         		<a id="pl.568.16"></a><var>568.16</var>Archaeologist.<br />
         		<a id="pl.568.17"></a><var>568.17</var>(f) $8,388,000 the first year and $8,388,000 <br />
         		<a id="pl.568.18"></a><var>568.18</var>the second year are for office space costs of <br />
         		<a id="pl.568.19"></a><var>568.19</var>the legislature and veterans organizations, for <br />
         		<a id="pl.568.20"></a><var>568.20</var>ceremonial space, and for statutorily free <br />
         		<a id="pl.568.21"></a><var>568.21</var>space.<br />
         		<a id="pl.568.22"></a><var>568.22</var>(g) $3,500,000 of the balance in the facilities <br />
         		<a id="pl.568.23"></a><var>568.23</var>repair and replacement account in the special <br />
         		<a id="pl.568.24"></a><var>568.24</var>revenue fund is canceled to the general fund <br />
         		<a id="pl.568.25"></a><var>568.25</var>on July 1, 2009. This is a onetime cancellation.<br />
         		<a id="pl.568.26"></a><var>568.26</var>(h) The requirements imposed on the <br />
         		<a id="pl.568.27"></a><var>568.27</var>commissioner of finance and the commissioner <br />
         		<a id="pl.568.28"></a><var>568.28</var>of administration under Laws 2007, chapter <br />
         		<a id="pl.568.29"></a><var>568.29</var>148, article 1, section 12, subdivision 2, <br />
         		<a id="pl.568.30"></a><var>568.30</var>paragraph (b), relating to the savings <br />
         		<a id="pl.568.31"></a><var>568.31</var>attributable to the real property portfolio <br />
         		<a id="pl.568.32"></a><var>568.32</var>management system are inoperative.<br />
         		<a id="pl.568.33"></a><var>568.33</var>(i) $250,000 is appropriated to the <br />
         		<a id="pl.568.34"></a><var>568.34</var>commissioner of administration from the <br />
         		<a id="pl.569.1"></a><var>569.1</var>information and telecommunications account <br />
         		<a id="pl.569.2"></a><var>569.2</var>in the special revenue fund to continue <br />
         		<a id="pl.569.3"></a><var>569.3</var>planning for data center consolidation, <br />
         		<a id="pl.569.4"></a><var>569.4</var>including beginning a predesign study and <br />
         		<a id="pl.569.5"></a><var>569.5</var>lifecycle cost analysis, and exploring <br />
         		<a id="pl.569.6"></a><var>569.6</var>technologies to reduce energy consumption <br />
         		<a id="pl.569.7"></a><var>569.7</var>and operating costs.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.569.8"></a><var>569.8</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">Subd. 3.<b>Administrative Management Support</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">1,876,000<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">1,851,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.569.9"></a><var>569.9</var>$125,000 each year is for the Office of Grant <br />
         		<a id="pl.569.10"></a><var>569.10</var>Management. During the biennium ending <br />
         		<a id="pl.569.11"></a><var>569.11</var>June 30, 2011, the commissioner must recover <br />
         		<a id="pl.569.12"></a><var>569.12</var>this amount through deductions in state grants <br />
         		<a id="pl.569.13"></a><var>569.13</var>subject to the jurisdiction of the office. The <br />
         		<a id="pl.569.14"></a><var>569.14</var>commissioner may not deduct more than 2.5 <br />
         		<a id="pl.569.15"></a><var>569.15</var>percent from the amount of any grant. The <br />
         		<a id="pl.569.16"></a><var>569.16</var>amount deducted from appropriations for these <br />
         		<a id="pl.569.17"></a><var>569.17</var>grants must be deposited in the general fund.<br />
         		<a id="pl.569.18"></a><var>569.18</var>$25,000 the first year is for the Office of <br />
         		<a id="pl.569.19"></a><var>569.19</var>Grants Management to study and make <br />
         		<a id="pl.569.20"></a><var>569.20</var>recommendations on improving collaborative <br />
         		<a id="pl.569.21"></a><var>569.21</var>activities between the state, nonprofit entities, <br />
         		<a id="pl.569.22"></a><var>569.22</var>and the private sector, including: (1) <br />
         		<a id="pl.569.23"></a><var>569.23</var>recommendations for expanding successful <br />
         		<a id="pl.569.24"></a><var>569.24</var>initiatives involving not-for-profit <br />
         		<a id="pl.569.25"></a><var>569.25</var>organizations that have demonstrated <br />
         		<a id="pl.569.26"></a><var>569.26</var>measurable, positive results in addressing <br />
         		<a id="pl.569.27"></a><var>569.27</var>high-priority community issues; and (2) <br />
         		<a id="pl.569.28"></a><var>569.28</var>recommendations on grant requirements and <br />
         		<a id="pl.569.29"></a><var>569.29</var>design to encourage programs receiving grants <br />
         		<a id="pl.569.30"></a><var>569.30</var>to become self-sufficient. The office may <br />
         		<a id="pl.569.31"></a><var>569.31</var>appoint an advisory group to assist in the study <br />
         		<a id="pl.569.32"></a><var>569.32</var>and recommendations. The office must report <br />
         		<a id="pl.569.33"></a><var>569.33</var>its recommendations to the legislature by <br />
         		<a id="pl.569.34"></a><var>569.34</var>January 15, 2010.<br />
         		<br />
         		<a id="bill.16.11.0"></a><a id="pl.570.1"></a><var>570.1</var>&#160;&#160;&#160;&#160;Sec. 11. Laws 2012, chapter 247, article 6, section 2, subdivision 2, is amended to read:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.2"></a><var>570.2</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Central Office Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.3"></a><var>570.3</var><br />
                  		
               </td>
               <td colspan="3">(a) <b>Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">118,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">356,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.570.4"></a><var>570.4</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.570.5"></a><var>570.5</var>base is increased by $91,000 in fiscal year <br />
         		<a id="pl.570.6"></a><var>570.6</var>2014 and $44,000 in fiscal year 2015.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.7"></a><var>570.7</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>Health Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">24,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">346,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.570.8"></a><var>570.8</var>This is a onetime appropriation.<br />
         		<a id="pl.570.9"></a><var>570.9</var><b>Managed Care Audit Activities.</b> In fiscal <br />
         		<a id="pl.570.10"></a><var>570.10</var>year 2014, and in each even-numbered year <br />
         		<a id="pl.570.11"></a><var>570.11</var>thereafter, the commissioner shall transfer <br />
         		<a id="pl.570.12"></a><var>570.12</var>from the health care access fund $1,740,000 <br />
         		<a id="pl.570.13"></a><var>570.13</var>to the legislative auditor for managed care <br />
         		<a id="pl.570.14"></a><var>570.14</var>audit services under Minnesota Statutes, <br />
         		<a id="pl.570.15"></a><var>570.15</var>section 
         <statute_ref>256B.69, subdivision 9d</statute_ref>. This is a <br />
         		<a id="pl.570.16"></a><var>570.16</var>biennial appropriation. The health care access <br />
         		<a id="pl.570.17"></a><var>570.17</var>fund base is increased by $1,842,000 in fiscal <br />
         		<a id="pl.570.18"></a><var>570.18</var>year 2014. Notwithstanding any contrary <br />
         		<a id="pl.570.19"></a><var>570.19</var>provision in this article, this paragraph does <br />
         		<a id="pl.570.20"></a><var>570.20</var>not expire.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.21"></a><var>570.21</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>Continuing Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">19,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">375,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.570.22"></a><var>570.22</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.570.23"></a><var>570.23</var>base is decreased by $159,000 in fiscal years <br />
         		<a id="pl.570.24"></a><var>570.24</var>2014 and 2015.<br />
         		<a id="pl.570.25"></a><var>570.25</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.16.12.0"></a><a id="pl.570.26"></a><var>570.26</var>&#160;&#160;&#160;&#160;Sec. 12. Laws 2013, chapter 108, article 15, section 2, subdivision 2, is amended to read:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.27"></a><var>570.27</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Central Office</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.570.28"></a><var>570.28</var>The amounts that may be spent from this <br />
         		<a id="pl.570.29"></a><var>570.29</var>appropriation for each purpose are as follows:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.570.30"></a><var>570.30</var><br />
                  		
               </td>
               <td colspan="3"><b>(a) Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,909,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">8,957,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.571.1"></a><var>571.1</var><b>Base Adjustment. </b>The general fund base is <br />
         		<a id="pl.571.2"></a><var>571.2</var>decreased by $8,916,000 in fiscal year 2016 <br />
         		<a id="pl.571.3"></a><var>571.3</var>and $8,916,000 in fiscal year 2017.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.4"></a><var>571.4</var><br />
                  		
               </td>
               <td colspan="3"><b>(b) Children and Families</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">109,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">206,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.5"></a><var>571.5</var><br />
                  		
               </td>
               <td colspan="3"><b>(c) Continuing Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,849,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,574,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.571.6"></a><var>571.6</var><b>Base Adjustment. </b>The general fund base is <br />
         		<a id="pl.571.7"></a><var>571.7</var>decreased by $2,000 in fiscal year 2016 and <br />
         		<a id="pl.571.8"></a><var>571.8</var>by $27,000 in fiscal year 2017.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.9"></a><var>571.9</var><br />
                  		
               </td>
               <td colspan="3"><b>(d) Group Residential Housing</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(1,166,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(8,602,000)<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.10"></a><var>571.10</var><br />
                  		
               </td>
               <td colspan="3"><b>(e) Medical Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(3,950,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(6,420,000)<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.11"></a><var>571.11</var><br />
                  		
               </td>
               <td colspan="3"><b>(f) Alternative Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(7,386,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(6,851,000)<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.12"></a><var>571.12</var><br />
                  		
               </td>
               <td colspan="3"><b>(g) Child and Community Service Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,000,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,000,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.13"></a><var>571.13</var><br />
                  		
               </td>
               <td colspan="3"><b>(h) Aging and Adult Services Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">5,365,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">5,936,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.571.14"></a><var>571.14</var><b>Gaps Analysis. </b>In fiscal year 2014, and in <br />
         		<a id="pl.571.15"></a><var>571.15</var>each even-numbered year thereafter, $435,000 <br />
         		<a id="pl.571.16"></a><var>571.16</var>is appropriated to conduct an analysis of gaps <br />
         		<a id="pl.571.17"></a><var>571.17</var>in long-term care services under Minnesota <br />
         		<a id="pl.571.18"></a><var>571.18</var>Statutes, section 
         <statute_ref>144A.351</statute_ref>. This is a biennial <br />
         		<a id="pl.571.19"></a><var>571.19</var>appropriation. The base is increased by <br />
         		<a id="pl.571.20"></a><var>571.20</var>$435,000 in fiscal year 2016. Notwithstanding <br />
         		<a id="pl.571.21"></a><var>571.21</var>any contrary provisions in this article, this <br />
         		<a id="pl.571.22"></a><var>571.22</var>provision does not expire.<br />
         		<a id="pl.571.23"></a><var>571.23</var><b>Base Adjustment.</b> The general fund base is <br />
         		<a id="pl.571.24"></a><var>571.24</var>increased by $498,000 in fiscal year 2016, and <br />
         		<a id="pl.571.25"></a><var>571.25</var>decreased by $124,000 in fiscal year 2017.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.26"></a><var>571.26</var><br />
                  		
               </td>
               <td colspan="3"><b>(i) Disabilities Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">414,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">414,000<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.16.13.0"></a><a id="pl.571.27"></a><var>571.27</var>&#160;&#160;&#160;&#160;Sec. 13. Laws 2015, chapter 71, article 14, section 3, subdivision 2, as amended by Laws <br />
         		<a id="pl.571.28"></a><var>571.28</var>2015, First Special Session chapter 6, section 2, is amended to read:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.571.29"></a><var>571.29</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Health Improvement</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.571.30"></a><var>571.30</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.571.31"></a><var>571.31</var><br />
                  		
               </td>
               <td>General<br />
                  		 
               </td>
               <td align="right">68,653,000<br />
                  		 
               </td>
               <td align="right">68,984,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.571.32"></a><var>571.32</var><br />
                  		<a id="pl.571.33"></a><var>571.33</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">6,264,000<br />
                  		
               </td>
               <td align="right">6,182,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.572.1"></a><var>572.1</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">33,987,000<br />
                  		
               </td>
               <td align="right">33,421,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.572.2"></a><var>572.2</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.572.3"></a><var>572.3</var><b>Violence Against Asian Women Working </b><br />
         		<a id="pl.572.4"></a><var>572.4</var><b>Group. </b>$200,000 in fiscal year 2016 from the <br />
         		<a id="pl.572.5"></a><var>572.5</var>general fund is for the working group on <br />
         		<a id="pl.572.6"></a><var>572.6</var>violence against Asian women and children.<br />
         		<a id="pl.572.7"></a><var>572.7</var><b>MERC Program. </b>$1,000,000 in fiscal year <br />
         		<a id="pl.572.8"></a><var>572.8</var>2016 and $1,000,000 in fiscal year 2017 are <br />
         		<a id="pl.572.9"></a><var>572.9</var>from the general fund for the MERC program <br />
         		<a id="pl.572.10"></a><var>572.10</var>under Minnesota Statutes, section 
         <statute_ref>62J.692, <br />
            		<a id="pl.572.11"></a><var>572.11</var>subdivision 4
         </statute_ref>.<br />
         		<a id="pl.572.12"></a><var>572.12</var><b>Poison Information Center Grants. </b><br />
         		<a id="pl.572.13"></a><var>572.13</var>$750,000 in fiscal year 2016 and $750,000 in <br />
         		<a id="pl.572.14"></a><var>572.14</var>fiscal year 2017 are from the general fund for <br />
         		<a id="pl.572.15"></a><var>572.15</var>regional poison information center grants <br />
         		<a id="pl.572.16"></a><var>572.16</var>under Minnesota Statutes, section 
         <statute_ref>145.93</statute_ref>.<br />
         		<a id="pl.572.17"></a><var>572.17</var><b>Advanced Care Planning. </b>$250,000 in fiscal <br />
         		<a id="pl.572.18"></a><var>572.18</var>year 2016 is from the general fund to award <br />
         		<a id="pl.572.19"></a><var>572.19</var>a grant to a statewide advance care planning <br />
         		<a id="pl.572.20"></a><var>572.20</var>resource organization that has expertise in <br />
         		<a id="pl.572.21"></a><var>572.21</var>convening and coordinating community-based <br />
         		<a id="pl.572.22"></a><var>572.22</var>strategies to encourage individuals, families, <br />
         		<a id="pl.572.23"></a><var>572.23</var>caregivers, and health care providers to begin <br />
         		<a id="pl.572.24"></a><var>572.24</var>conversations regarding end-of-life care <br />
         		<a id="pl.572.25"></a><var>572.25</var>choices that express an individual's health care <br />
         		<a id="pl.572.26"></a><var>572.26</var>values and preferences and are based on <br />
         		<a id="pl.572.27"></a><var>572.27</var>informed health care decisions. This is a <br />
         		<a id="pl.572.28"></a><var>572.28</var>onetime appropriation.<br />
         		<a id="pl.572.29"></a><var>572.29</var><b>Early Dental Prevention Initiatives. </b><br />
         		<a id="pl.572.30"></a><var>572.30</var>$172,000 in fiscal year 2016 and $140,000 in <br />
         		<a id="pl.572.31"></a><var>572.31</var>fiscal year 2017 are for the development and <br />
         		<a id="pl.572.32"></a><var>572.32</var>distribution of the early dental prevention <br />
         		<a id="pl.572.33"></a><var>572.33</var>initiative under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.572.34"></a><var>572.34</var>144.3875
         </statute_ref>.<br />
         		<a id="pl.573.1"></a><var>573.1</var><b>International Medical Graduate Assistance </b><br />
         		<a id="pl.573.2"></a><var>573.2</var><b>Program. </b>(a) $500,000 in fiscal year 2016 <br />
         		<a id="pl.573.3"></a><var>573.3</var>and $500,000 in fiscal year 2017 are from the <br />
         		<a id="pl.573.4"></a><var>573.4</var>health care access fund for the grant programs <br />
         		<a id="pl.573.5"></a><var>573.5</var>and necessary contracts under Minnesota <br />
         		<a id="pl.573.6"></a><var>573.6</var>Statutes, section 
         <statute_ref>144.1911, subdivisions 3</statute_ref>, <br />
         		<a id="pl.573.7"></a><var>573.7</var>paragraph (a), clause (4), and 4 and 5. The <br />
         		<a id="pl.573.8"></a><var>573.8</var>commissioner may use up to $133,000 per <br />
         		<a id="pl.573.9"></a><var>573.9</var>year of the appropriation for international <br />
         		<a id="pl.573.10"></a><var>573.10</var>medical graduate assistance program <br />
         		<a id="pl.573.11"></a><var>573.11</var>administration duties in Minnesota Statutes, <br />
         		<a id="pl.573.12"></a><var>573.12</var>section 
         <statute_ref>144.1911, subdivisions 3</statute_ref>, 9, and 10, <br />
         		<a id="pl.573.13"></a><var>573.13</var>and for administering the grant programs <br />
         		<a id="pl.573.14"></a><var>573.14</var>under Minnesota Statutes, section 
         <statute_ref>144.1911, <br />
            		<a id="pl.573.15"></a><var>573.15</var>subdivisions 4
         </statute_ref>, 5, and 6. The commissioner <br />
         		<a id="pl.573.16"></a><var>573.16</var>shall develop recommendations for any <br />
         		<a id="pl.573.17"></a><var>573.17</var>additional funding required for initiatives <br />
         		<a id="pl.573.18"></a><var>573.18</var>needed to achieve the objectives of Minnesota <br />
         		<a id="pl.573.19"></a><var>573.19</var>Statutes, section 
         <statute_ref>144.1911</statute_ref>. The commissioner <br />
         		<a id="pl.573.20"></a><var>573.20</var>shall report the funding recommendations to <br />
         		<a id="pl.573.21"></a><var>573.21</var>the legislature by January 15, 2016, in the <br />
         		<a id="pl.573.22"></a><var>573.22</var>report required under Minnesota Statutes, <br />
         		<a id="pl.573.23"></a><var>573.23</var>section 
         <statute_ref>144.1911, subdivision 10</statute_ref>. The base <br />
         		<a id="pl.573.24"></a><var>573.24</var>for this purpose is $1,000,000 in fiscal years <br />
         		<a id="pl.573.25"></a><var>573.25</var>2018 and 2019.<br />
         		<a id="pl.573.26"></a><var>573.26</var>(b) $500,000 in fiscal year 2016 and $500,000 <br />
         		<a id="pl.573.27"></a><var>573.27</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.573.28"></a><var>573.28</var>access fund for transfer to the revolving <br />
         		<a id="pl.573.29"></a><var>573.29</var>international medical graduate residency <br />
         		<a id="pl.573.30"></a><var>573.30</var>account established in Minnesota Statutes, <br />
         		<a id="pl.573.31"></a><var>573.31</var>section 
         <statute_ref>144.1911, subdivision 6</statute_ref>. This is a <br />
         		<a id="pl.573.32"></a><var>573.32</var>onetime appropriation.<br />
         		<a id="pl.573.33"></a><var>573.33</var><b>Federally Qualified Health Centers. </b><br />
         		<a id="pl.573.34"></a><var>573.34</var>$1,000,000 in fiscal year 2016 and $1,000,000 <br />
         		<a id="pl.573.35"></a><var>573.35</var>in fiscal year 2017 are from the general fund <br />
         		<a id="pl.574.1"></a><var>574.1</var>to provide subsidies to federally qualified <br />
         		<a id="pl.574.2"></a><var>574.2</var>health centers under Minnesota Statutes, <br />
         		<a id="pl.574.3"></a><var>574.3</var>section 
         <statute_ref>145.9269</statute_ref>. This is a onetime <br />
         		<a id="pl.574.4"></a><var>574.4</var>appropriation.<br />
         		<a id="pl.574.5"></a><var>574.5</var><b>Organ Donation. </b>$200,000 in fiscal year 2016 <br />
         		<a id="pl.574.6"></a><var>574.6</var>is from the general fund to establish a grant <br />
         		<a id="pl.574.7"></a><var>574.7</var>program to develop and create culturally <br />
         		<a id="pl.574.8"></a><var>574.8</var>appropriate outreach programs that provide <br />
         		<a id="pl.574.9"></a><var>574.9</var>education about the importance of organ <br />
         		<a id="pl.574.10"></a><var>574.10</var>donation. Grants shall be awarded to a <br />
         		<a id="pl.574.11"></a><var>574.11</var>federally designated organ procurement <br />
         		<a id="pl.574.12"></a><var>574.12</var>organization and hospital system that performs <br />
         		<a id="pl.574.13"></a><var>574.13</var>transplants. This is a onetime appropriation.<br />
         		<a id="pl.574.14"></a><var>574.14</var><b>Primary Care Residency. </b>$1,500,000 in <br />
         		<a id="pl.574.15"></a><var>574.15</var>fiscal year 2016 and $1,500,000 in fiscal year <br />
         		<a id="pl.574.16"></a><var>574.16</var>2017 are from the general fund for the <br />
         		<a id="pl.574.17"></a><var>574.17</var>purposes of the primary care residency <br />
         		<a id="pl.574.18"></a><var>574.18</var>expansion grant program under Minnesota <br />
         		<a id="pl.574.19"></a><var>574.19</var>Statutes, section 
         <statute_ref>144.1506</statute_ref>.<br />
         		<a id="pl.574.20"></a><var>574.20</var><b>Somali </b><b>Women's Health Pilot</b><b> Autism</b><b> </b><br />
         		<a id="pl.574.21"></a><var>574.21</var><b>Program. </b>(a) The commissioner of health <br />
         		<a id="pl.574.22"></a><var>574.22</var>shall establish a pilot program between one or <br />
         		<a id="pl.574.23"></a><var>574.23</var>more federally qualified health centers, as <br />
         		<a id="pl.574.24"></a><var>574.24</var>defined under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.574.25"></a><var>574.25</var>145.9269
         </statute_ref>, a nonprofit organization that helps <br />
         		<a id="pl.574.26"></a><var>574.26</var>Somali women, and the Minnesota Evaluation <br />
         		<a id="pl.574.27"></a><var>574.27</var>Studies Institute, to develop a promising <br />
         		<a id="pl.574.28"></a><var>574.28</var>strategy to address the preventative and <br />
         		<a id="pl.574.29"></a><var>574.29</var>primary health care needs of, and address <br />
         		<a id="pl.574.30"></a><var>574.30</var>health inequities experienced by, first <br />
         		<a id="pl.574.31"></a><var>574.31</var>generation Somali women. The pilot program <br />
         		<a id="pl.574.32"></a><var>574.32</var>must collaboratively develop a patient flow <br />
         		<a id="pl.574.33"></a><var>574.33</var>process for first generation Somali women by:<br />
         		<a id="pl.574.34"></a><var>574.34</var>(1) addressing and identifying clinical and <br />
         		<a id="pl.574.35"></a><var>574.35</var>cultural barriers to Somali women accessing <br />
         		<a id="pl.575.1"></a><var>575.1</var>preventative and primary care, including, but <br />
         		<a id="pl.575.2"></a><var>575.2</var>not limited to, cervical and breast cancer <br />
         		<a id="pl.575.3"></a><var>575.3</var>screenings;<br />
         		<a id="pl.575.4"></a><var>575.4</var>(2) developing a culturally appropriate health <br />
         		<a id="pl.575.5"></a><var>575.5</var>curriculum for Somali women based on the <br />
         		<a id="pl.575.6"></a><var>575.6</var>outcomes from the community-based <br />
         		<a id="pl.575.7"></a><var>575.7</var>participatory research report "Cultural <br />
         		<a id="pl.575.8"></a><var>575.8</var>Traditions and the Reproductive Health of <br />
         		<a id="pl.575.9"></a><var>575.9</var>Somali Refugees and Immigrants" to increase <br />
         		<a id="pl.575.10"></a><var>575.10</var>the health literacy of Somali women and <br />
         		<a id="pl.575.11"></a><var>575.11</var>develop culturally specific health care <br />
         		<a id="pl.575.12"></a><var>575.12</var>information; and<br />
         		<a id="pl.575.13"></a><var>575.13</var>(3) training the federally qualified health <br />
         		<a id="pl.575.14"></a><var>575.14</var>center's providers and staff to enhance <br />
         		<a id="pl.575.15"></a><var>575.15</var>provider and staff cultural competence <br />
         		<a id="pl.575.16"></a><var>575.16</var>regarding the cultural barriers, including <br />
         		<a id="pl.575.17"></a><var>575.17</var>female genital cutting.<br />
         		<a id="pl.575.18"></a><var>575.18</var>(b) The pilot program must develop a process <br />
         		<a id="pl.575.19"></a><var>575.19</var>that results in increased screening rates for <br />
         		<a id="pl.575.20"></a><var>575.20</var>cervical and breast cancer and can be <br />
         		<a id="pl.575.21"></a><var>575.21</var>replicated by other providers serving ethnic <br />
         		<a id="pl.575.22"></a><var>575.22</var>minorities. The pilot program must conduct <br />
         		<a id="pl.575.23"></a><var>575.23</var>an evaluation of the new patient flow process <br />
         		<a id="pl.575.24"></a><var>575.24</var>used by Somali women to access federally <br />
         		<a id="pl.575.25"></a><var>575.25</var>qualified health centers services award a grant <br />
         		<a id="pl.575.26"></a><var>575.26</var>to Dakota County to partner with a <br />
         		<a id="pl.575.27"></a><var>575.27</var>community-based organization with expertise <br />
         		<a id="pl.575.28"></a><var>575.28</var>in serving Somali children with autism. The <br />
         		<a id="pl.575.29"></a><var>575.29</var>grant must address barriers to accessing health <br />
         		<a id="pl.575.30"></a><var>575.30</var>care and other resources by providing outreach <br />
         		<a id="pl.575.31"></a><var>575.31</var>to Somali families on available support and <br />
         		<a id="pl.575.32"></a><var>575.32</var>training to providers on Somali culture.<br />
         		<a id="pl.575.33"></a><var>575.33</var>(c) The pilot program must report the <br />
         		<a id="pl.575.34"></a><var>575.34</var>outcomes to the commissioner by June 30, <br />
         		<a id="pl.575.35"></a><var>575.35</var>2017. The grantee shall report to the <br />
         		<a id="pl.576.1"></a><var>576.1</var>commissioner and the chairs and ranking <br />
         		<a id="pl.576.2"></a><var>576.2</var>minority members of the legislative <br />
         		<a id="pl.576.3"></a><var>576.3</var>committees with jurisdiction over health care <br />
         		<a id="pl.576.4"></a><var>576.4</var>policy and finance on the grant funds used and <br />
         		<a id="pl.576.5"></a><var>576.5</var>any notable outcomes achieved by January 15, <br />
         		<a id="pl.576.6"></a><var>576.6</var>2019.<br />
         		<a id="pl.576.7"></a><var>576.7</var>(d) $110,000 in fiscal year 2016 is for the <br />
         		<a id="pl.576.8"></a><var>576.8</var>Somali women's health pilot program grant to <br />
         		<a id="pl.576.9"></a><var>576.9</var>Dakota County. Of this appropriation, the <br />
         		<a id="pl.576.10"></a><var>576.10</var>commissioner may use up to $10,000 to <br />
         		<a id="pl.576.11"></a><var>576.11</var>administer the program grant to Dakota <br />
         		<a id="pl.576.12"></a><var>576.12</var>County. This appropriation is available until <br />
         		<a id="pl.576.13"></a><var>576.13</var>June 30, 2017. This is a onetime appropriation.<br />
         		<a id="pl.576.14"></a><var>576.14</var><b>Menthol Cigarette Usage in </b><br />
         		<a id="pl.576.15"></a><var>576.15</var><b>African-American Community Intervention </b><br />
         		<a id="pl.576.16"></a><var>576.16</var><b>Grants.</b> Of the health care access fund <br />
         		<a id="pl.576.17"></a><var>576.17</var>appropriation for the statewide health <br />
         		<a id="pl.576.18"></a><var>576.18</var>improvement program, $200,000 in fiscal year <br />
         		<a id="pl.576.19"></a><var>576.19</var>2016 is for at least one grant that must be <br />
         		<a id="pl.576.20"></a><var>576.20</var>awarded by the commissioner to implement <br />
         		<a id="pl.576.21"></a><var>576.21</var>strategies and interventions to reduce the <br />
         		<a id="pl.576.22"></a><var>576.22</var>disproportionately high usage of cigarettes by <br />
         		<a id="pl.576.23"></a><var>576.23</var>African-Americans, especially the use of <br />
         		<a id="pl.576.24"></a><var>576.24</var>menthol-flavored cigarettes, as well as the <br />
         		<a id="pl.576.25"></a><var>576.25</var>disproportionate harm tobacco causes in that <br />
         		<a id="pl.576.26"></a><var>576.26</var>community. The grantee shall engage <br />
         		<a id="pl.576.27"></a><var>576.27</var>members of the African-American community <br />
         		<a id="pl.576.28"></a><var>576.28</var>and community-based organizations. This <br />
         		<a id="pl.576.29"></a><var>576.29</var>grant shall be awarded as part of the statewide <br />
         		<a id="pl.576.30"></a><var>576.30</var>health improvement program grants awarded <br />
         		<a id="pl.576.31"></a><var>576.31</var>on November 1, 2015, and must meet the <br />
         		<a id="pl.576.32"></a><var>576.32</var>requirements of Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.576.33"></a><var>576.33</var>145.986
         </statute_ref>.<br />
         		<a id="pl.576.34"></a><var>576.34</var><b>Targeted Home Visiting System.</b> (a) $75,000 <br />
         		<a id="pl.576.35"></a><var>576.35</var>in fiscal year 2016 is for the commissioner of <br />
         		<a id="pl.577.1"></a><var>577.1</var>health, in consultation with the commissioners <br />
         		<a id="pl.577.2"></a><var>577.2</var>of human services and education, community <br />
         		<a id="pl.577.3"></a><var>577.3</var>health boards, tribal nations, and other home <br />
         		<a id="pl.577.4"></a><var>577.4</var>visiting stakeholders, to design baseline <br />
         		<a id="pl.577.5"></a><var>577.5</var>training for new home visitors to ensure <br />
         		<a id="pl.577.6"></a><var>577.6</var>statewide coordination across home visiting <br />
         		<a id="pl.577.7"></a><var>577.7</var>programs.<br />
         		<a id="pl.577.8"></a><var>577.8</var>(b) $575,000 in fiscal year 2016 and <br />
         		<a id="pl.577.9"></a><var>577.9</var>$2,000,000 fiscal year 2017 are to provide <br />
         		<a id="pl.577.10"></a><var>577.10</var>grants to community health boards and tribal <br />
         		<a id="pl.577.11"></a><var>577.11</var>nations for start-up grants for new <br />
         		<a id="pl.577.12"></a><var>577.12</var>nurse-family partnership programs and for <br />
         		<a id="pl.577.13"></a><var>577.13</var>grants to expand existing programs to serve <br />
         		<a id="pl.577.14"></a><var>577.14</var>first-time mothers, prenatally by 28 weeks <br />
         		<a id="pl.577.15"></a><var>577.15</var>gestation until the child is two years of age, <br />
         		<a id="pl.577.16"></a><var>577.16</var>who are eligible for medical assistance under <br />
         		<a id="pl.577.17"></a><var>577.17</var>Minnesota Statutes, chapter 256B, or the <br />
         		<a id="pl.577.18"></a><var>577.18</var>federal Special Supplemental Nutrition <br />
         		<a id="pl.577.19"></a><var>577.19</var>Program for Women, Infants, and Children. <br />
         		<a id="pl.577.20"></a><var>577.20</var>The commissioner shall award grants to <br />
         		<a id="pl.577.21"></a><var>577.21</var>community health boards or tribal nations in <br />
         		<a id="pl.577.22"></a><var>577.22</var>metropolitan and rural areas of the state. <br />
         		<a id="pl.577.23"></a><var>577.23</var>Priority for all grants shall be given to <br />
         		<a id="pl.577.24"></a><var>577.24</var>nurse-family partnership programs that <br />
         		<a id="pl.577.25"></a><var>577.25</var>provide services through a Minnesota health <br />
         		<a id="pl.577.26"></a><var>577.26</var>care program-enrolled provider that accepts <br />
         		<a id="pl.577.27"></a><var>577.27</var>medical assistance. Additionally, priority for <br />
         		<a id="pl.577.28"></a><var>577.28</var>grants to rural areas shall be given to <br />
         		<a id="pl.577.29"></a><var>577.29</var>community health boards and tribal nations <br />
         		<a id="pl.577.30"></a><var>577.30</var>that expand services within regional <br />
         		<a id="pl.577.31"></a><var>577.31</var>partnerships that provide the nurse-family <br />
         		<a id="pl.577.32"></a><var>577.32</var>partnership program. Funding available under <br />
         		<a id="pl.577.33"></a><var>577.33</var>this paragraph may only be used to <br />
         		<a id="pl.577.34"></a><var>577.34</var>supplement, not to replace, funds being used <br />
         		<a id="pl.577.35"></a><var>577.35</var>for nurse-family partnership home visiting <br />
         		<a id="pl.577.36"></a><var>577.36</var>services as of June 30, 2015.<br />
         		<a id="pl.578.1"></a><var>578.1</var><b>Opiate Antagonists. </b>$270,000 in fiscal year <br />
         		<a id="pl.578.2"></a><var>578.2</var>2016 and $20,000 in fiscal year 2017 are from <br />
         		<a id="pl.578.3"></a><var>578.3</var>the general fund for grants to the eight regional <br />
         		<a id="pl.578.4"></a><var>578.4</var>emergency medical services programs to <br />
         		<a id="pl.578.5"></a><var>578.5</var>purchase opiate antagonists and educate and <br />
         		<a id="pl.578.6"></a><var>578.6</var>train emergency medical services persons, as <br />
         		<a id="pl.578.7"></a><var>578.7</var>defined in Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.578.8"></a><var>578.8</var>144.7401, subdivision 4
         </statute_ref>, clauses (1) and (2), <br />
         		<a id="pl.578.9"></a><var>578.9</var>in the use of these antagonists in the event of <br />
         		<a id="pl.578.10"></a><var>578.10</var>an opioid or heroin overdose. For the purposes <br />
         		<a id="pl.578.11"></a><var>578.11</var>of this paragraph, "opiate antagonist" means <br />
         		<a id="pl.578.12"></a><var>578.12</var>naloxone hydrochloride or any similarly acting <br />
         		<a id="pl.578.13"></a><var>578.13</var>drug approved by the federal Food and Drug <br />
         		<a id="pl.578.14"></a><var>578.14</var>Administration for the treatment of drug <br />
         		<a id="pl.578.15"></a><var>578.15</var>overdose. Grants under this paragraph must <br />
         		<a id="pl.578.16"></a><var>578.16</var>be distributed to all eight regional emergency <br />
         		<a id="pl.578.17"></a><var>578.17</var>medical services programs. This is a onetime <br />
         		<a id="pl.578.18"></a><var>578.18</var>appropriation and is available until June 30, <br />
         		<a id="pl.578.19"></a><var>578.19</var>2017. The commissioner may use up to <br />
         		<a id="pl.578.20"></a><var>578.20</var>$20,000 of the amount for opiate antagonists <br />
         		<a id="pl.578.21"></a><var>578.21</var>for administration.<br />
         		<a id="pl.578.22"></a><var>578.22</var><b>Local and Tribal Public Health Grants.</b> (a) <br />
         		<a id="pl.578.23"></a><var>578.23</var>$894,000 in fiscal year 2016 and $894,000 in <br />
         		<a id="pl.578.24"></a><var>578.24</var>fiscal year 2017 are for an increase in local <br />
         		<a id="pl.578.25"></a><var>578.25</var>public health grants for community health <br />
         		<a id="pl.578.26"></a><var>578.26</var>boards under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.578.27"></a><var>578.27</var>145A.131, subdivision 1
         </statute_ref>, paragraph (e).<br />
         		<a id="pl.578.28"></a><var>578.28</var>(b) $106,000 in fiscal year 2016 and $106,000 <br />
         		<a id="pl.578.29"></a><var>578.29</var>in fiscal year 2017 are for an increase in <br />
         		<a id="pl.578.30"></a><var>578.30</var>special grants to tribal governments under <br />
         		<a id="pl.578.31"></a><var>578.31</var>Minnesota Statutes, section 
         <statute_ref>145A.14, <br />
            		<a id="pl.578.32"></a><var>578.32</var>subdivision 2a
         </statute_ref>.<br />
         		<a id="pl.578.33"></a><var>578.33</var><b>HCBS Employee Scholarships. </b>$1,000,000 <br />
         		<a id="pl.578.34"></a><var>578.34</var>in fiscal year 2016 and $1,000,000 in fiscal <br />
         		<a id="pl.578.35"></a><var>578.35</var>year 2017 are from the general fund for the <br />
         		<a id="pl.579.1"></a><var>579.1</var>home and community-based services <br />
         		<a id="pl.579.2"></a><var>579.2</var>employee scholarship program under <br />
         		<a id="pl.579.3"></a><var>579.3</var>Minnesota Statutes, section 
         <statute_ref>144.1503</statute_ref>. The <br />
         		<a id="pl.579.4"></a><var>579.4</var>commissioner may use up to $50,000 of the <br />
         		<a id="pl.579.5"></a><var>579.5</var>amount for the HCBS employee scholarships <br />
         		<a id="pl.579.6"></a><var>579.6</var>for administration.<br />
         		<a id="pl.579.7"></a><var>579.7</var><b>Family Planning Special Projects. </b><br />
         		<a id="pl.579.8"></a><var>579.8</var>$1,000,000 in fiscal year 2016 and $1,000,000 <br />
         		<a id="pl.579.9"></a><var>579.9</var>in fiscal year 2017 are from the general fund <br />
         		<a id="pl.579.10"></a><var>579.10</var>for family planning special project grants <br />
         		<a id="pl.579.11"></a><var>579.11</var>under Minnesota Statutes, section 
         <statute_ref>145.925</statute_ref>.<br />
         		<a id="pl.579.12"></a><var>579.12</var><b>Positive Alternatives. </b>$1,000,000 in fiscal <br />
         		<a id="pl.579.13"></a><var>579.13</var>year 2016 and $1,000,000 in fiscal year 2017 <br />
         		<a id="pl.579.14"></a><var>579.14</var>are from the general fund for positive abortion <br />
         		<a id="pl.579.15"></a><var>579.15</var>alternatives under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.579.16"></a><var>579.16</var>145.4235
         </statute_ref>.<br />
         		<a id="pl.579.17"></a><var>579.17</var><b>Safe Harbor for Sexually Exploited Youth. </b><br />
         		<a id="pl.579.18"></a><var>579.18</var>$700,000 in fiscal year 2016 and $700,000 in <br />
         		<a id="pl.579.19"></a><var>579.19</var>fiscal year 2017 are from the general fund for <br />
         		<a id="pl.579.20"></a><var>579.20</var>the safe harbor program under Minnesota <br />
         		<a id="pl.579.21"></a><var>579.21</var>Statutes, sections 
         <statute_ref>145.4716</statute_ref> to 
         <statute_ref>145.4718</statute_ref>. Funds <br />
         		<a id="pl.579.22"></a><var>579.22</var>shall be used for grants to increase the number <br />
         		<a id="pl.579.23"></a><var>579.23</var>of regional navigators; training for <br />
         		<a id="pl.579.24"></a><var>579.24</var>professionals who engage with exploited or <br />
         		<a id="pl.579.25"></a><var>579.25</var>at-risk youth; implementing statewide <br />
         		<a id="pl.579.26"></a><var>579.26</var>protocols and best practices for effectively <br />
         		<a id="pl.579.27"></a><var>579.27</var>identifying, interacting with, and referring <br />
         		<a id="pl.579.28"></a><var>579.28</var>sexually exploited youth to appropriate <br />
         		<a id="pl.579.29"></a><var>579.29</var>resources; and program operating costs.<br />
         		<a id="pl.579.30"></a><var>579.30</var><b>Health Care Grants for Uninsured </b><br />
         		<a id="pl.579.31"></a><var>579.31</var><b>Individuals. </b>(a) $62,500 in fiscal year 2016 <br />
         		<a id="pl.579.32"></a><var>579.32</var>and $62,500 in fiscal year 2017 are from the <br />
         		<a id="pl.579.33"></a><var>579.33</var>health care access fund for dental provider <br />
         		<a id="pl.579.34"></a><var>579.34</var>grants in Minnesota Statutes, section 
         <statute_ref>145.929, <br />
            		<a id="pl.579.35"></a><var>579.35</var>subdivision 1
         </statute_ref>.<br />
         		<a id="pl.580.1"></a><var>580.1</var>(b) $218,750 in fiscal year 2016 and $218,750 <br />
         		<a id="pl.580.2"></a><var>580.2</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.580.3"></a><var>580.3</var>access fund for community mental health <br />
         		<a id="pl.580.4"></a><var>580.4</var>program grants in Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.580.5"></a><var>580.5</var>145.929, subdivision 2
         </statute_ref>.<br />
         		<a id="pl.580.6"></a><var>580.6</var>(c) $750,000 in fiscal year 2016 and $750,000 <br />
         		<a id="pl.580.7"></a><var>580.7</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.580.8"></a><var>580.8</var>access fund for the emergency medical <br />
         		<a id="pl.580.9"></a><var>580.9</var>assistance outlier grant program in Minnesota <br />
         		<a id="pl.580.10"></a><var>580.10</var>Statutes, section 
         <statute_ref>145.929, subdivision 3</statute_ref>.<br />
         		 <a id="pl.580.11"></a><var>580.11</var>(d) $218,750 of the health care access fund <br />
         		<a id="pl.580.12"></a><var>580.12</var>appropriation in fiscal year 2016 and $218,750 <br />
         		<a id="pl.580.13"></a><var>580.13</var>in fiscal year 2017 are for community health <br />
         		<a id="pl.580.14"></a><var>580.14</var>center grants under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.580.15"></a><var>580.15</var>145.9269
         </statute_ref>. A community health center that <br />
         		<a id="pl.580.16"></a><var>580.16</var>receives a grant from this appropriation is not <br />
         		<a id="pl.580.17"></a><var>580.17</var>eligible for a grant under paragraph (b).<br />
         		<a id="pl.580.18"></a><var>580.18</var>(e) The commissioner may use up to $25,000 <br />
         		<a id="pl.580.19"></a><var>580.19</var>of the appropriations for health care grants for <br />
         		<a id="pl.580.20"></a><var>580.20</var>uninsured individuals in fiscal years 2016 and <br />
         		<a id="pl.580.21"></a><var>580.21</var>2017 for grant administration.<br />
         		<a id="pl.580.22"></a><var>580.22</var><b>TANF Appropriations.</b> (a) $1,156,000 of the <br />
         		<a id="pl.580.23"></a><var>580.23</var>TANF funds is appropriated each year of the <br />
         		<a id="pl.580.24"></a><var>580.24</var>biennium to the commissioner for family <br />
         		<a id="pl.580.25"></a><var>580.25</var>planning grants under Minnesota Statutes, <br />
         		<a id="pl.580.26"></a><var>580.26</var>section 
         <statute_ref>145.925</statute_ref>.<br />
         		<a id="pl.580.27"></a><var>580.27</var>(b) $3,579,000 of the TANF funds is <br />
         		<a id="pl.580.28"></a><var>580.28</var>appropriated each year of the biennium to the <br />
         		<a id="pl.580.29"></a><var>580.29</var>commissioner for home visiting and nutritional <br />
         		<a id="pl.580.30"></a><var>580.30</var>services listed under Minnesota Statutes, <br />
         		<a id="pl.580.31"></a><var>580.31</var>section 
         <statute_ref>145.882, subdivision 7</statute_ref>, clauses (6) and <br />
         		<a id="pl.580.32"></a><var>580.32</var>(7). Funds must be distributed to community <br />
         		<a id="pl.580.33"></a><var>580.33</var>health boards according to Minnesota Statutes, <br />
         		<a id="pl.580.34"></a><var>580.34</var>section 
         <statute_ref>145A.131, subdivision 1</statute_ref>.<br />
         		<a id="pl.581.1"></a><var>581.1</var>(c) $2,000,000 of the TANF funds is <br />
         		<a id="pl.581.2"></a><var>581.2</var>appropriated each year of the biennium to the <br />
         		<a id="pl.581.3"></a><var>581.3</var>commissioner for decreasing racial and ethnic <br />
         		<a id="pl.581.4"></a><var>581.4</var>disparities in infant mortality rates under <br />
         		<a id="pl.581.5"></a><var>581.5</var>Minnesota Statutes, section 
         <statute_ref>145.928, <br />
            		<a id="pl.581.6"></a><var>581.6</var>subdivision 7
         </statute_ref>.<br />
         		<a id="pl.581.7"></a><var>581.7</var>(d) $4,978,000 of the TANF funds is <br />
         		<a id="pl.581.8"></a><var>581.8</var>appropriated each year of the biennium to the <br />
         		<a id="pl.581.9"></a><var>581.9</var>commissioner for the family home visiting <br />
         		<a id="pl.581.10"></a><var>581.10</var>grant program according to Minnesota <br />
         		<a id="pl.581.11"></a><var>581.11</var>Statutes, section 
         <statute_ref>145A.17</statute_ref>. $4,000,000 of the <br />
         		<a id="pl.581.12"></a><var>581.12</var>funding must be distributed to community <br />
         		<a id="pl.581.13"></a><var>581.13</var>health boards according to Minnesota Statutes, <br />
         		<a id="pl.581.14"></a><var>581.14</var>section 
         <statute_ref>145A.131, subdivision 1</statute_ref>. $978,000 of <br />
         		<a id="pl.581.15"></a><var>581.15</var>the funding must be distributed to tribal <br />
         		<a id="pl.581.16"></a><var>581.16</var>governments as provided in Minnesota <br />
         		<a id="pl.581.17"></a><var>581.17</var>Statutes, section 
         <statute_ref>145A.14, subdivision 2a</statute_ref>.<br />
         		<a id="pl.581.18"></a><var>581.18</var>(e) The commissioner may use up to 6.23 <br />
         		<a id="pl.581.19"></a><var>581.19</var>percent of the funds appropriated each fiscal <br />
         		<a id="pl.581.20"></a><var>581.20</var>year to conduct the ongoing evaluations <br />
         		<a id="pl.581.21"></a><var>581.21</var>required under Minnesota Statutes, section <br />
         		
         <statute_ref><a id="pl.581.22"></a><var>581.22</var>145A.17, subdivision 7
         </statute_ref>, and training and <br />
         		<a id="pl.581.23"></a><var>581.23</var>technical assistance as required under <br />
         		<a id="pl.581.24"></a><var>581.24</var>Minnesota Statutes, section 
         <statute_ref>145A.17, <br />
            		<a id="pl.581.25"></a><var>581.25</var>subdivisions 4
         </statute_ref> and 5.<br />
         		<a id="pl.581.26"></a><var>581.26</var><b>TANF Carryforward.</b> Any unexpended <br />
         		<a id="pl.581.27"></a><var>581.27</var>balance of the TANF appropriation in the first <br />
         		<a id="pl.581.28"></a><var>581.28</var>year of the biennium does not cancel but is <br />
         		<a id="pl.581.29"></a><var>581.29</var>available for the second year.<br />
         		<a id="pl.581.30"></a><var>581.30</var><b>Health Professional Loan Forgiveness. </b><br />
         		<a id="pl.581.31"></a><var>581.31</var>$2,631,000 in fiscal year 2016 and $2,631,000 <br />
         		<a id="pl.581.32"></a><var>581.32</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.581.33"></a><var>581.33</var>access fund for the purposes of Minnesota <br />
         		<a id="pl.581.34"></a><var>581.34</var>Statutes, section 
         <statute_ref>144.1501</statute_ref>. Of this <br />
         		<a id="pl.581.35"></a><var>581.35</var>appropriation, the commissioner may use up <br />
         		<a id="pl.582.1"></a><var>582.1</var>to $131,000 each year to administer the <br />
         		<a id="pl.582.2"></a><var>582.2</var>program.<br />
         		<a id="pl.582.3"></a><var>582.3</var><b>Minnesota Stroke System.</b> $350,000 in fiscal <br />
         		<a id="pl.582.4"></a><var>582.4</var>year 2016 and $350,000 in fiscal year 2017 <br />
         		<a id="pl.582.5"></a><var>582.5</var>are from the general fund for the Minnesota <br />
         		<a id="pl.582.6"></a><var>582.6</var>stroke system.<br />
         		<a id="pl.582.7"></a><var>582.7</var><b>Prevention of Violence in Health Care. </b><br />
         		<a id="pl.582.8"></a><var>582.8</var>$50,000 in fiscal year 2016 is to continue the <br />
         		<a id="pl.582.9"></a><var>582.9</var>prevention of violence in health care program <br />
         		<a id="pl.582.10"></a><var>582.10</var>and creating violence prevention resources for <br />
         		<a id="pl.582.11"></a><var>582.11</var>hospitals and other health care providers to <br />
         		<a id="pl.582.12"></a><var>582.12</var>use in training their staff on violence <br />
         		<a id="pl.582.13"></a><var>582.13</var>prevention. This is a onetime appropriation <br />
         		<a id="pl.582.14"></a><var>582.14</var>and is available until June 30, 2017.<br />
         		<a id="pl.582.15"></a><var>582.15</var><b>Health Care Savings Determinations. </b>(a) <br />
         		<a id="pl.582.16"></a><var>582.16</var>The health care access fund base for the state <br />
         		<a id="pl.582.17"></a><var>582.17</var>health improvement program is decreased by <br />
         		<a id="pl.582.18"></a><var>582.18</var>$261,000 in fiscal year 2016 and decreased <br />
         		<a id="pl.582.19"></a><var>582.19</var>by $110,000 in fiscal year 2017.<br />
         		<a id="pl.582.20"></a><var>582.20</var>(b) $261,000 in fiscal year 2016 and $110,000 <br />
         		<a id="pl.582.21"></a><var>582.21</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.582.22"></a><var>582.22</var>access fund for the forecasting, cost reporting, <br />
         		<a id="pl.582.23"></a><var>582.23</var>and analysis required by Minnesota Statutes, <br />
         		<a id="pl.582.24"></a><var>582.24</var>section 
         <statute_ref>62U.10, subdivisions 6</statute_ref> and 7.<br />
         		<a id="pl.582.25"></a><var>582.25</var><b>Base Level Adjustments.</b> The general fund <br />
         		<a id="pl.582.26"></a><var>582.26</var>base is decreased by $1,070,000 in fiscal year <br />
         		<a id="pl.582.27"></a><var>582.27</var>2018 and by $1,020,000 in fiscal year 2019. <br />
         		<a id="pl.582.28"></a><var>582.28</var>The state government special revenue fund <br />
         		<a id="pl.582.29"></a><var>582.29</var>base is increased by $33,000 in fiscal year <br />
         		<a id="pl.582.30"></a><var>582.30</var>2018. The health care access fund base is <br />
         		<a id="pl.582.31"></a><var>582.31</var>increased by $610,000 in fiscal year 2018 and <br />
         		<a id="pl.582.32"></a><var>582.32</var>by $23,000 in fiscal year 2019.<br />
         		<br />
         		<a id="bill.16.14.0"></a><a id="pl.583.1"></a><var>583.1</var>&#160;&#160;&#160;&#160;Sec. 14. <b>TRANSFERS.</b><br />
         		<a id="pl.583.2"></a><var>583.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Grants.</b> The commissioner of human services, with the approval of the <br />
         		<a id="pl.583.3"></a><var>583.3</var>commissioner of management and budget, may transfer unencumbered appropriation balances
         <br />
         		<a id="pl.583.4"></a><var>583.4</var>for the biennium ending June 30, 2019, within fiscal years among the MFIP, general
         <br />
         		<a id="pl.583.5"></a><var>583.5</var>assistance, medical assistance, MinnesotaCare, MFIP child care assistance under Minnesota
         <br />
         		<a id="pl.583.6"></a><var>583.6</var>Statutes, section 119B.05, Minnesota supplemental aid, and group residential housing
         <br />
         		<a id="pl.583.7"></a><var>583.7</var>programs, the entitlement portion of Northstar Care for Children under Minnesota Statutes,
         <br />
         		<a id="pl.583.8"></a><var>583.8</var>chapter 256N, and the entitlement portion of the chemical dependency consolidated
         treatment <br />
         		<a id="pl.583.9"></a><var>583.9</var>fund, and between fiscal years of the biennium. The commissioner shall inform the
         chairs <br />
         		<a id="pl.583.10"></a><var>583.10</var>and ranking minority members of the senate Health and Human Services Finance and Policy
         <br />
         		<a id="pl.583.11"></a><var>583.11</var>Committee, the senate Human Services Reform Finance and Policy Committee, and the
         <br />
         		<a id="pl.583.12"></a><var>583.12</var>house of representatives Health and Human Services Finance Committee quarterly about
         <br />
         		<a id="pl.583.13"></a><var>583.13</var>transfers made under this subdivision.<br />
         		<a id="pl.583.14"></a><var>583.14</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Administration.</b> Positions, salary money, and nonsalary administrative money <br />
         		<a id="pl.583.15"></a><var>583.15</var>may be transferred within the Departments of Health and Human Services as the <br />
         		<a id="pl.583.16"></a><var>583.16</var>commissioners consider necessary, with the advance approval of the commissioner of
         <br />
         		<a id="pl.583.17"></a><var>583.17</var>management and budget. The commissioner shall inform the chairs and ranking minority
         <br />
         		<a id="pl.583.18"></a><var>583.18</var>members of the senate Health and Human Services Finance and Policy Committee, the
         <br />
         		<a id="pl.583.19"></a><var>583.19</var>senate Human Services Reform Finance and Policy Committee, and the house of <br />
         		<a id="pl.583.20"></a><var>583.20</var>representatives Health and Human Services Finance Committee quarterly about transfers
         <br />
         		<a id="pl.583.21"></a><var>583.21</var>made under this subdivision.<br />
         		<br />
         		<a id="bill.16.15.0"></a><a id="pl.583.22"></a><var>583.22</var>&#160;&#160;&#160;&#160;Sec. 15. <b>INDIRECT COSTS NOT TO FUND PROGRAMS.</b><br />
         		<a id="pl.583.23"></a><var>583.23</var>The commissioners of health and human services shall not use indirect cost allocations
         <br />
         		<a id="pl.583.24"></a><var>583.24</var>to pay for the operational costs of any program for which they are responsible.<br />
         		<br />
         		<a id="bill.16.16.0"></a><a id="pl.583.25"></a><var>583.25</var>&#160;&#160;&#160;&#160;Sec. 16. <b>EXPIRATION OF UNCODIFIED LANGUAGE.</b><br />
         		<a id="pl.583.26"></a><var>583.26</var>All uncodified language contained in this article expires on June 30, 2019, unless
         a <br />
         		<a id="pl.583.27"></a><var>583.27</var>different expiration date is explicit.<br />
         		<br />
         		<a id="bill.16.17.0"></a><a id="pl.583.28"></a><var>583.28</var>&#160;&#160;&#160;&#160;Sec. 17. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.583.29"></a><var>583.29</var>This article is effective July 1, 2017, unless a different effective date is specified."<br />
         		<a id="pl.583.30"></a><var>583.30</var>Delete the title and insert:<br />
         		
         <div class="xtend_ce"><a id="pl.584.1"></a><var>584.1</var>"A bill for an act<br />
            		
         </div><a id="pl.584.2"></a><var>584.2</var>relating to state government; establishing the health and human services budget; <br />
         		<a id="pl.584.3"></a><var>584.3</var>modifying provisions governing community supports, housing, continuing care, <br />
         		<a id="pl.584.4"></a><var>584.4</var>health care, health insurance, direct care and treatment, children and families, <br />
         		<a id="pl.584.5"></a><var>584.5</var>chemical and mental health services, Department of Human Services operations, <br />
         		<a id="pl.584.6"></a><var>584.6</var>Health Department, health licensing boards, and opiate abuse prevention; making <br />
         		<a id="pl.584.7"></a><var>584.7</var>technical changes; modifying terminology and definitions; establishing licensing <br />
         		<a id="pl.584.8"></a><var>584.8</var>fix-it tickets; establishing federally facilitated marketplace; requiring legislative
         <br />
         		<a id="pl.584.9"></a><var>584.9</var>approval for certain federal waivers and approval; repealing MNsure; requiring <br />
         		<a id="pl.584.10"></a><var>584.10</var>reports; modifying fees; making forecast adjustments; appropriating money;<br />
         		<a id="pl.584.11"></a><var>584.11</var>amending Minnesota Statutes 2016, sections 3.972, by adding subdivisions; 13.32, <br />
         		<a id="pl.584.12"></a><var>584.12</var>by adding a subdivision; 13.46, subdivisions 1, 2; 13.69, subdivision 1; 13.84, <br />
         		<a id="pl.584.13"></a><var>584.13</var>subdivision 5; 62A.04, subdivision 1; 62A.21, subdivision 2a; 62A.3075; 62D.105; <br />
         		<a id="pl.584.14"></a><var>584.14</var>62E.04, subdivision 11; 62E.05, subdivision 1; 62E.06, by adding a subdivision; <br />
         		<a id="pl.584.15"></a><var>584.15</var>62K.15; 103I.101, subdivisions 2, 5; 103I.111, subdivisions 6, 7, 8; 103I.205; <br />
         		<a id="pl.584.16"></a><var>584.16</var>103I.301; 103I.501; 103I.505; 103I.515; 103I.535, subdivisions 3, 6, by adding a <br />
         		<a id="pl.584.17"></a><var>584.17</var>subdivision; 103I.541; 103I.545, subdivisions 1, 2; 103I.711, subdivision 1; <br />
         		<a id="pl.584.18"></a><var>584.18</var>103I.715, subdivision 2; 119B.13, subdivision 1; 144.0722, subdivision 1; 144.0724,
         <br />
         		<a id="pl.584.19"></a><var>584.19</var>subdivisions 1, 2, 4, 6, 9; 144.122; 144.1501, subdivision 2; 144.1506; 144.551, <br />
         		<a id="pl.584.20"></a><var>584.20</var>subdivision 1; 144.562, subdivision 2; 144.99, subdivision 1; 144A.071, <br />
         		<a id="pl.584.21"></a><var>584.21</var>subdivisions 3, 4a, 4c, 4d; 144A.073, subdivision 3c; 144A.10, subdivision 4; <br />
         		<a id="pl.584.22"></a><var>584.22</var>144A.15, subdivision 2; 144A.154; 144A.161, subdivision 10; 144A.1888; <br />
         		<a id="pl.584.23"></a><var>584.23</var>144A.351, subdivision 1; 144A.472, subdivision 7; 144A.474, subdivision 11; <br />
         		<a id="pl.584.24"></a><var>584.24</var>144A.4799, subdivision 3; 144A.611, subdivision 1; 144A.70, subdivision 6, by <br />
         		<a id="pl.584.25"></a><var>584.25</var>adding a subdivision; 144A.74; 144D.04, subdivision 2, by adding a subdivision; <br />
         		<a id="pl.584.26"></a><var>584.26</var>144D.06; 145.4131, subdivision 1; 145.4716, subdivision 2; 145.928, subdivision <br />
         		<a id="pl.584.27"></a><var>584.27</var>13; 145.986, subdivision 1a; 147.01, subdivision 7; 147.02, subdivision 1; 147.03,
         <br />
         		<a id="pl.584.28"></a><var>584.28</var>subdivision 1; 147B.08, by adding a subdivision; 147C.40, by adding a subdivision;
         <br />
         		<a id="pl.584.29"></a><var>584.29</var>148.5194, subdivision 7; 148.6402, subdivision 4; 148.6405; 148.6408, subdivision
         <br />
         		<a id="pl.584.30"></a><var>584.30</var>2; 148.6410, subdivision 2; 148.6412, subdivision 2; 148.6415; 148.6418, <br />
         		<a id="pl.584.31"></a><var>584.31</var>subdivisions 1, 2, 4, 5; 148.6420, subdivisions 1, 3, 5; 148.6423; 148.6425, <br />
         		<a id="pl.584.32"></a><var>584.32</var>subdivisions 2, 3; 148.6428; 148.6443, subdivisions 5, 6, 7, 8; 148.6445, <br />
         		<a id="pl.584.33"></a><var>584.33</var>subdivisions 1, 10; 148.6448; 148.881; 148.89; 148.90, subdivisions 1, 2; 148.905,
         <br />
         		<a id="pl.584.34"></a><var>584.34</var>subdivision 1; 148.907, subdivisions 1, 2; 148.9105, subdivisions 1, 4, 5; 148.916,
         <br />
         		<a id="pl.584.35"></a><var>584.35</var>subdivisions 1, 1a; 148.925; 148.96, subdivision 3; 148B.53, subdivision 1; <br />
         		<a id="pl.584.36"></a><var>584.36</var>150A.06, subdivisions 3, 8; 150A.10, subdivision 4; 151.212, subdivision 2; 152.11,
         <br />
         		<a id="pl.584.37"></a><var>584.37</var>by adding a subdivision; 152.25, subdivision 1, by adding subdivisions; 152.33, <br />
         		<a id="pl.584.38"></a><var>584.38</var>by adding a subdivision; 157.16, subdivision 1; 214.01, subdivision 2; 245.4889, <br />
         		<a id="pl.584.39"></a><var>584.39</var>subdivision 1; 245.814, subdivisions 2, 3; 245.91, subdivisions 4, 6; 245.94, <br />
         		<a id="pl.584.40"></a><var>584.40</var>subdivision 1; 245.97, subdivision 6; 245A.02, subdivisions 2b, 5a, by adding <br />
         		<a id="pl.584.41"></a><var>584.41</var>subdivisions; 245A.03, subdivisions 2, 7; 245A.04, subdivisions 4, 14; 245A.06, <br />
         		<a id="pl.584.42"></a><var>584.42</var>subdivisions 2, 8, by adding a subdivision; 245A.07, subdivision 3; 245A.11, by <br />
         		<a id="pl.584.43"></a><var>584.43</var>adding subdivisions; 245A.191; 245A.50, subdivision 5; 245D.03, subdivision 1; <br />
         		<a id="pl.584.44"></a><var>584.44</var>245D.04, subdivision 3; 245D.071, subdivision 3; 245D.11, subdivision 4; 245D.24,
         <br />
         		<a id="pl.584.45"></a><var>584.45</var>subdivision 3; 246.18, subdivision 4, by adding a subdivision; 252.27, subdivision
         <br />
         		<a id="pl.584.46"></a><var>584.46</var>2a; 252.41, subdivision 3; 253B.10, subdivision 1; 253B.22, subdivision 1; <br />
         		<a id="pl.584.47"></a><var>584.47</var>254A.01; 254A.02, subdivisions 2, 3, 5, 6, 8, 10, by adding subdivisions; 254A.03;
         <br />
         		<a id="pl.584.48"></a><var>584.48</var>254A.035, subdivision 1; 254A.04; 254A.08; 254A.09; 254A.19, subdivision 3; <br />
         		<a id="pl.584.49"></a><var>584.49</var>254B.01, subdivision 3, by adding a subdivision; 254B.03, subdivision 2; 254B.04,
         <br />
         		<a id="pl.584.50"></a><var>584.50</var>subdivisions 1, 2b; 254B.05, subdivisions 1, 1a, 5; 254B.051; 254B.07; 254B.08; <br />
         		<a id="pl.584.51"></a><var>584.51</var>254B.09; 254B.12, subdivision 2, by adding a subdivision; 254B.13, subdivision <br />
         		<a id="pl.584.52"></a><var>584.52</var>2a; 256.045, subdivision 3; 256.9657, subdivision 1; 256.9686, subdivision 8; <br />
         		<a id="pl.584.53"></a><var>584.53</var>256.969, subdivisions 1, 2b, 3a, 8, 8c, 9, 12; 256.975, subdivision 7, by adding a
         <br />
         		<a id="pl.584.54"></a><var>584.54</var>subdivision; 256B.04, subdivision 12; 256B.056, subdivision 5c; 256B.0621, <br />
         		<a id="pl.584.55"></a><var>584.55</var>subdivision 10; 256B.0625, subdivisions 3b, 6a, 7, 13, 13e, 17, 17b, 18h, 20, 30,
         <br />
         		<a id="pl.584.56"></a><var>584.56</var>31, 45a, 64, by adding subdivisions; 256B.0653, subdivisions 2, 3, 4, 5, 6, by <br />
         		<a id="pl.584.57"></a><var>584.57</var>adding a subdivision; 256B.0659, subdivisions 1, 2, 11, 21, by adding a subdivision;
         <br />
         		<a id="pl.584.58"></a><var>584.58</var>256B.072; 256B.0755, subdivisions 1, 3, 4, by adding a subdivision; 256B.0911, <br />
         		<a id="pl.585.1"></a><var>585.1</var>subdivisions 1a, 2b, 3a, 4d, 5, by adding a subdivision; 256B.0915, subdivisions <br />
         		<a id="pl.585.2"></a><var>585.2</var>1, 3a, 3e, 3h, 5, by adding subdivisions; 256B.092, subdivision 4; 256B.0921; <br />
         		<a id="pl.585.3"></a><var>585.3</var>256B.0922, subdivision 1; 256B.0924, by adding a subdivision; 256B.0943, <br />
         		<a id="pl.585.4"></a><var>585.4</var>subdivision 13; 256B.0945, subdivisions 2, 4; 256B.196, subdivisions 2, 3, 4; <br />
         		<a id="pl.585.5"></a><var>585.5</var>256B.35, subdivision 4; 256B.431, subdivisions 10, 16, 30; 256B.434, subdivisions
         <br />
         		<a id="pl.585.6"></a><var>585.6</var>4, 4f; 256B.49, subdivisions 11, 15; 256B.4913, subdivision 4a, by adding a <br />
         		<a id="pl.585.7"></a><var>585.7</var>subdivision; 256B.4914, subdivisions 2, 3, 5, 6, 7, 8, 9, 10, 16; 256B.493, <br />
         		<a id="pl.585.8"></a><var>585.8</var>subdivisions 1, 2, by adding a subdivision; 256B.50, subdivisions 1, 1b; 256B.5012,
         <br />
         		<a id="pl.585.9"></a><var>585.9</var>by adding subdivisions; 256B.69, subdivisions 5a, 9e, by adding a subdivision; <br />
         		<a id="pl.585.10"></a><var>585.10</var>256B.75; 256B.763; 256B.766; 256C.23, subdivision 2, by adding subdivisions; <br />
         		<a id="pl.585.11"></a><var>585.11</var>256C.233, subdivisions 1, 2; 256C.24, subdivisions 1, 2; 256C.261; 256D.44, <br />
         		<a id="pl.585.12"></a><var>585.12</var>subdivisions 4, 5; 256E.30, subdivision 2; 256I.03, subdivision 8; 256I.04, <br />
         		<a id="pl.585.13"></a><var>585.13</var>subdivisions 1, 2d, 2g, 3; 256I.05, subdivisions 1a, 1c, 1e, 1j, 1m, by adding <br />
         		<a id="pl.585.14"></a><var>585.14</var>subdivisions; 256I.06, subdivisions 2, 8; 256J.24, subdivision 5; 256J.45, <br />
         		<a id="pl.585.15"></a><var>585.15</var>subdivision 2; 256P.06, subdivision 2; 256R.02, subdivisions 4, 17, 18, 19, 22, <br />
         		<a id="pl.585.16"></a><var>585.16</var>42, 52, by adding subdivisions; 256R.06, subdivision 5; 256R.07, by adding a <br />
         		<a id="pl.585.17"></a><var>585.17</var>subdivision; 256R.10, by adding a subdivision; 256R.37; 256R.40, subdivisions <br />
         		<a id="pl.585.18"></a><var>585.18</var>1, 5; 256R.41; 256R.47; 256R.49, subdivision 1; 256R.53, subdivision 2; 260C.451,
         <br />
         		<a id="pl.585.19"></a><var>585.19</var>subdivision 6; 317A.811, subdivision 1, by adding a subdivision; 327.15, <br />
         		<a id="pl.585.20"></a><var>585.20</var>subdivision 3; 609.5315, subdivision 5c; 626.556, subdivisions 2, 3, 3c, 10d; Laws
         <br />
         		<a id="pl.585.21"></a><var>585.21</var>2009, chapter 101, article 1, section 12; Laws 2012, chapter 247, article 6, section
         <br />
         		<a id="pl.585.22"></a><var>585.22</var>2, subdivision 2; Laws 2013, chapter 108, article 15, section 2, subdivision 2; Laws
         <br />
         		<a id="pl.585.23"></a><var>585.23</var>2015, chapter 71, article 14, section 3, subdivision 2, as amended; Laws 2017, <br />
         		<a id="pl.585.24"></a><var>585.24</var>chapter 2, article 1, sections 5; 7; proposing coding for new law in Minnesota <br />
         		<a id="pl.585.25"></a><var>585.25</var>Statutes, chapters 62J; 119B; 144; 145; 147A; 148; 245; 245A; 256; 256B; 256I; <br />
         		<a id="pl.585.26"></a><var>585.26</var>256N; 256R; 317A; proposing coding for new law as Minnesota Statutes, chapters <br />
         		<a id="pl.585.27"></a><var>585.27</var>144H; 245G; repealing Minnesota Statutes 2016, sections 13.468; 62V.01; 62V.02; <br />
         		<a id="pl.585.28"></a><var>585.28</var>62V.03; 62V.04; 62V.05; 62V.051; 62V.055; 62V.06; 62V.07; 62V.08; 62V.09; <br />
         		<a id="pl.585.29"></a><var>585.29</var>62V.10; 62V.11; 144.4961; 144A.351, subdivision 2; 147.0375, subdivision 7; <br />
         		<a id="pl.585.30"></a><var>585.30</var>147A.21; 147B.08, subdivisions 1, 2, 3; 147C.40, subdivisions 1, 2, 3, 4; 148.6402,
         <br />
         		<a id="pl.585.31"></a><var>585.31</var>subdivision 2; 148.6450; 148.906; 148.907, subdivision 5; 148.908; 148.909, <br />
         		<a id="pl.585.32"></a><var>585.32</var>subdivision 7; 148.96, subdivisions 4, 5; 179A.50; 179A.51; 179A.52; 179A.53; <br />
         		<a id="pl.585.33"></a><var>585.33</var>245A.1915; 245A.192; 254A.02, subdivision 4; 256B.4914, subdivision 16; <br />
         		<a id="pl.585.34"></a><var>585.34</var>256B.64; 256B.7631; 256C.23, subdivision 3; 256C.233, subdivision 4; 256C.25, <br />
         		<a id="pl.585.35"></a><var>585.35</var>subdivisions 1, 2; 256J.626, subdivision 5; Laws 2012, chapter 247, article 4, <br />
         		<a id="pl.585.36"></a><var>585.36</var>section 47, as amended; Laws 2014, chapter 312, article 23, section 9, subdivision
         <br />
         		<a id="pl.585.37"></a><var>585.37</var>5; Laws 2015, chapter 71, article 7, section 54; Minnesota Rules, parts 5600.2500;
         <br />
         		<a id="pl.585.38"></a><var>585.38</var>9530.6405, subparts 1, 1a, 2, 3, 4, 5, 6, 7, 7a, 8, 9, 10, 11, 12, 13, 14, 14a, 15,
         15a, <br />
         		<a id="pl.585.39"></a><var>585.39</var>16, 17, 17a, 17b, 17c, 18, 20, 21; 9530.6410; 9530.6415; 9530.6420; 9530.6422; <br />
         		<a id="pl.585.40"></a><var>585.40</var>9530.6425; 9530.6430; 9530.6435; 9530.6440; 9530.6445; 9530.6450; 9530.6455; <br />
         		<a id="pl.585.41"></a><var>585.41</var>9530.6460; 9530.6465; 9530.6470; 9530.6475; 9530.6480; 9530.6485; 9530.6490; <br />
         		<a id="pl.585.42"></a><var>585.42</var>9530.6495; 9530.6500; 9530.6505."<br />
         		
         <table>
            <col width="50px"></col>
            <col width="252px"></col>
            <col width="42px"></col>
            <col width="252px"></col>
            <tr>
               <td><a id="pl.586.1"></a><var>586.1</var><br />
                  		
               </td>
               <td colspan="3">We request the adoption of this report and repassage of the bill.<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.2"></a><var>586.2</var><br />
                  		
               </td>
               <td>Senate Conferees:<br />
                  		<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.586.3"></a><var>586.3</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.4"></a><var>586.4</var><br />
                  		
               </td>
               <td>Michelle R. Benson<br />
                  		
               </td>
               <td></td>
               <td>Jim Abeler<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.5"></a><var>586.5</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.6"></a><var>586.6</var><br />
                  		
               </td>
               <td>Karin Housley<br />
                  		
               </td>
               <td></td>
               <td>Paul Utke<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.7"></a><var>586.7</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.586.8"></a><var>586.8</var><br />
                  		
               </td>
               <td>Tony Lourey<br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.586.9"></a><var>586.9</var><br />
                  		
               </td>
               <td>House Conferees:<br />
                  		<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.586.10"></a><var>586.10</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.11"></a><var>586.11</var><br />
                  		
               </td>
               <td>Matt Dean<br />
                  		
               </td>
               <td></td>
               <td>Joe Schomacker<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.12"></a><var>586.12</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.13"></a><var>586.13</var><br />
                  		
               </td>
               <td>Tony Albright<br />
                  		
               </td>
               <td></td>
               <td>Debra Kiel<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.586.14"></a><var>586.14</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.586.15"></a><var>586.15</var><br />
                  		
               </td>
               <td>Jennifer Schultz<br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
         </table>
      </div>