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Minnesota Legislature

Office of the Revisor of Statutes

SF 855

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 03/27/2019 02:51pm

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - 1st Engrossment

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A bill for an act
relating to early childhood; governing certain programs and funding for prenatal
care services; appropriating money; amending Minnesota Statutes 2018, sections
145.928, subdivisions 1, 7; 626.5561, subdivision 1; proposing coding for new
law in Minnesota Statutes, chapter 256B.

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

Section 1.

Minnesota Statutes 2018, section 145.928, subdivision 1, is amended to read:


Subdivision 1.

Goal; establishment.

It is the goal of the statedeleted text begin, by 2010,deleted text end to decrease deleted text beginbydeleted text end
deleted text begin 50 percentdeleted text end the disparities in infant mortality rates and adult and child immunization rates
for American Indians and populations of color, as compared with rates for whites. To do
so and to achieve other measurable outcomes, the commissioner of health shall establish a
program to close the gap in the health status of American Indians and populations of color
as compared with whites in the following priority areas: infant mortality, new text beginaccess to and
utilization of high-quality prenatal care,
new text endbreast and cervical cancer screening, HIV/AIDS
and sexually transmitted infections, adult and child immunizations, cardiovascular disease,
diabetes, and accidental injuries and violence.

Sec. 2.

Minnesota Statutes 2018, section 145.928, subdivision 7, is amended to read:


Subd. 7.

Community grant program; immunization ratesnew text begin, prenatal care access and
utilization,
new text end and infant mortality rates.

(a) The commissioner shall award grants to eligible
applicants for local or regional projects and initiatives directed at reducing health disparities
in one or deleted text beginbothdeleted text endnew text begin morenew text end of the following priority areas:

(1) decreasing racial and ethnic disparities in infant mortality rates; deleted text beginor
deleted text end

new text begin (2) decreasing racial and ethnic disparities in access to and utilization of high-quality
prenatal care; or
new text end

deleted text begin (2)deleted text endnew text begin (3)new text end increasing adult and child immunization rates in nonwhite racial and ethnic
populations.

(b) The commissioner may award up to 20 percent of the funds available as planning
grants. Planning grants must be used to address such areas as community assessment,
coordination activities, and development of community supported strategies.

(c) Eligible applicants may include, but are not limited to, faith-based organizations,
social service organizations, community nonprofit organizations, community health boards,
tribal governments, and community clinics. Applicants must submit proposals to the
commissioner. A proposal must specify the strategies to be implemented to address one or
deleted text begin bothdeleted text endnew text begin morenew text end of the priority areas listed in paragraph (a) and must be targeted to achieve the
outcomes established according to subdivision 3.

(d) The commissioner shall give priority to applicants who demonstrate that their
proposed project or initiative:

(1) is supported by the community the applicant will serve;

(2) is research-based or based on promising strategies;

(3) is designed to complement other related community activities;

(4) utilizes strategies that positively impact deleted text beginbothdeleted text endnew text begin two or morenew text end priority areas;

(5) reflects racially and ethnically appropriate approaches; and

(6) will be implemented through or with community-based organizations that reflect the
race or ethnicity of the population to be reached.

Sec. 3.

new text begin [256B.758] REIMBURSEMENT FOR DOULA SERVICES.
new text end

new text begin (a) Effective for doula services provided on or after July 1, 2019, the payment rate for
services provided by a certified doula shall be the base rate of $47 per prenatal or postpartum
visit; and the base rate of $488 for attending and providing doula services at the birth.
new text end

new text begin (b) Prior authorization for prenatal or postpartum visits shall not be required for the first
six visits per pregnancy, not including the birth.
new text end

Sec. 4.

Minnesota Statutes 2018, section 626.5561, subdivision 1, is amended to read:


Subdivision 1.

Reports required.

(a) Except as provided in paragraph (b), a person
mandated to report under section 626.556, subdivision 3, shall immediately report to the
local welfare agency if the person knows or has reason to believe that a woman is pregnant
and has used a controlled substance for a nonmedical purpose during the pregnancy,
including, but not limited to, tetrahydrocannabinol, or has consumed alcoholic beverages
during the pregnancy in any way that is habitual or excessive.

(b) A health care professional or a social service professional who is mandated to report
under section 626.556, subdivision 3, is exempt from reporting under paragraph (a) deleted text begina
woman's use or consumption of tetrahydrocannabinol or alcoholic beverages during
pregnancy
deleted text end if the professional is providing the woman with prenatal care or other health care
services.

(c) Any person may make a voluntary report if the person knows or has reason to believe
that a woman is pregnant and has used a controlled substance for a nonmedical purpose
during the pregnancy, including, but not limited to, tetrahydrocannabinol, or has consumed
alcoholic beverages during the pregnancy in any way that is habitual or excessive.

(d) An oral report shall be made immediately by telephone or otherwise. An oral report
made by a person required to report shall be followed within 72 hours, exclusive of weekends
and holidays, by a report in writing to the local welfare agency. Any report shall be of
sufficient content to identify the pregnant woman, the nature and extent of the use, if known,
and the name and address of the reporter. The local welfare agency shall accept a report
made under paragraph (c) notwithstanding refusal by a voluntary reporter to provide the
reporter's name or address as long as the report is otherwise sufficient.

(e) For purposes of this section, "prenatal care" means the comprehensive package of
medical and psychological support provided throughout the pregnancy.

Sec. 5. new text beginAPPROPRIATION.
new text end

new text begin $5,000,000 in fiscal year 2020 and $5,000,000 in fiscal year 2021 are appropriated from
the general fund to the commissioner of health for grants under Minnesota Statutes, section
145.928, subdivision 7, paragraph (a), clause (2), to decrease racial and ethnic disparities
in access to and utilization of high-quality prenatal care. This amount is in addition to base
appropriations and funding.
new text end