1.1 	A bill for an act
1.2 	relating to human services; establishing a grant program to provide mental health 
1.3 	services to youth at risk of transferring to out-of-state facilities; appropriating 
1.4 	money;proposing coding for new law in Minnesota Statutes, chapter 245.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. [245.4902] INTENSIVE YOUTH MENTAL HEALTH CLIENT 
1.7 	RETENTION PROGRAM.
1.8 		Subdivision 1.Definitions. (a) The definitions in this subdivision apply to this section.
1.9 	(b) "Commissioner" means the commissioner of human services, unless otherwise 
1.10 	indicated.
1.11 	(c) "Youth Service Coordination Hub" or "coordination hub" means the entity or 
1.12 	organization to which the commissioner awards a grant under subdivision 2, paragraph (b), 
1.13 	to design individual care plans for youth to receive treatment and other services in Minnesota, 
1.14 	and contract with Minnesota service providers to meet each youth's specific needs to safely 
1.15 	reside in Minnesota and not require out-of-state placement.
1.16 	(d) "Youth client" means a person 17 years of age or younger in need of intensive mental 
1.17 	health treatment and with one or more of the following characteristics:
1.18 	(1) a diagnosis of a developmental or intellectual disability;
1.19 	(2) a diagnosis of early onset schizophrenia;
1.20 	(3) a diagnosis of a mental illness that meets the criteria of a serious emotional 
1.21 	disturbance;
2.1 	(4) a documented history of denied admission to a residential treatment program or 
2.2 	psychiatric residential treatment facility in Minnesota;
2.3 	(5) a documented history of placement with more than one residential treatment provider 
2.4 	in the past three years, or a residential placement longer than one year;
2.5 	(6) a documented history of aggression or aggressive behavior;
2.6 	(7) a documented history of sexual misconduct;
2.7 	(8) a documented history of inflicting self-harm; or
2.8 	(9) involvement in the child protection or juvenile justice system.
2.9 		Subd. 2.Establishment and authority. (a) The commissioner shall establish a grant 
2.10 	program to fund coordinating and providing enhanced treatment services for youth clients 
2.11 	who would otherwise be candidates for treatment outside of Minnesota, in order to improve 
2.12 	the quality of care and outcomes for youth with intensive mental health needs.
2.13 	(b) The commissioner shall make a grant for an entity or organization to serve as the 
2.14 	Youth Service Coordination Hub to coordinate the development of an individualized plan 
2.15 	of care for each youth client in Minnesota, and to secure contracts with Minnesota providers 
2.16 	who can deliver enhanced treatment services that each youth client's individualized treatment 
2.17 	plan identifies.
2.18 	(c) The commissioner shall make grants to the Youth Service Coordination Hub to fund 
2.19 	service and care coordination for youth clients to access treatment and any other necessary 
2.20 	services, thus preventing out-of-state placement. Grants under this paragraph may fill gaps 
2.21 	in insurance coverage for services only after assisting youth clients with obtaining health 
2.22 	coverage for which the youth client is eligible, and only after providers bill covered services 
2.23 	to medical assistance or health plan companies.
2.24 		Subd. 3.Eligible applicants. An eligible applicant for grants under subdivision 2 is an 
2.25 	entity or organization located in Minnesota that demonstrates a capability to:
2.26 	(1) facilitate communication and care coordination between service providers within 
2.27 	Minnesota; and
2.28 	(2) act as a partner with service providers to develop individualized care plans identifying 
2.29 	youth clients' service needs and work cooperatively with providers who deliver services 
2.30 	that meet each youth client's needs to prevent youth clients' out-of-state placement.
2.31 		Subd. 4.Allowable grant activities. (a) A grant recipient under subdivision 2, paragraph 
2.32 	(b), may use grant funds to:
3.1 	(1) conduct outreach and provide contact information to counties, hospitals, and service 
3.2 	providers who may serve youth clients eligible for this grant program;
3.3 	(2) coordinate care by contracting with providers in all regions of the state, so youth 
3.4 	clients can enter treatment as close to their home, family, or community as possible; and
3.5 	(3) develop a sufficient administrative structure to deliver quality care coordination, 
3.6 	including timely payment for enhanced services from contracted provider partners across 
3.7 	the state, for clinical and practice staff to provide regular oversight of the youth client's 
3.8 	individualized care plan, and to actively engage the youth client's family and supportive 
3.9 	kin, when available.
3.10 	(b) A grant recipient under subdivision 2, paragraph (c), may use grant funds to cover 
3.11 	service costs, including service costs above the payment rate, required to guarantee a youth 
3.12 	client's treatment and support services while residing in Minnesota, which may include but 
3.13 	is not limited to the following:
3.14 	(1) crisis respite services, including emergency housing;
3.15 	(2) psychiatric residential treatment facility services;
3.16 	(3) children's residential treatment;
3.17 	(4) intensive mental health treatment, including youth assertive community treatment;
3.18 	(5) family counseling;
3.19 	(6) children's therapeutic services and supports;
3.20 	(7) personal care attendant services;
3.21 	(8) behavioral health home services;
3.22 	(9) family peer specialists;
3.23 	(10) youth peer specialists; and
3.24 	(11) educational supports.
3.25 		Subd. 5.Reporting. The commissioner shall report by February 1 of each year, beginning 
3.26 	in 2021, about the use of intensive youth mental health client retention grants under section 
3.27 	245.4902, subdivision 2, to the chairs and ranking minority members of the legislative 
3.28 	committees with jurisdiction over human services. Each report shall include the name and 
3.29 	location of each grant recipient, the amount of each grant, the number of youth clients 
3.30 	receiving services through the grant program, the provided services, and treatment outcomes 
3.31 	based on standard mental health assessment tools, including youth clients' clinical 
4.1 	improvement, youth clients' living circumstances at discharge, youth clients' use of reentry 
4.2 	services, and a comparison of actual service costs compared to the projected cost of 
4.3 	out-of-state placements. The commissioner shall determine the form for the reports and 
4.4 	may specify additional reporting requirements.

4.5 	Sec. 2. APPROPRIATION; INTENSIVE YOUTH MENTAL HEALTH CLIENT 
4.6 	RETENTION GRANT PROGRAM.
 4.7 	(a) $....... in fiscal year 2021 is appropriated from the general fund to the commissioner 
4.8 	of human services for the intensive youth mental health client retention grant program under 
4.9 	Minnesota Statutes, section 245.4902.
4.10 	(b) $....... of this appropriation is for a grant pursuant to Minnesota Statutes, section 
4.11 	245.4902, subdivision 2, paragraph (b), to the Youth Service Connection Hub to carry out 
4.12 	the authorized activities listed in Minnesota Statutes, section 245.4902, subdivision 4, 
4.13 	paragraph (a).
4.14 	(c) $....... of this appropriation is for grants pursuant to Minnesota Statutes, section 
4.15 	245.4902, subdivision 2, paragraph (c), to cover the cost of eligible services to youth clients 
4.16 	under Minnesota Statutes, section 245.4902, subdivision 4, paragraph (b), that the Youth 
4.17 	Service Connection Hub identifies in each youth client's individualized care plan.