HF 2772

as introduced - 89th Legislature (2015 - 2016) Posted on 06/08/2016 12:07pm

A bill for an act
relating to human services; requiring the commissioner to reform the continuum
of treatment for individuals with substance use disorders; proposing coding for
new law in Minnesota Statutes, chapter 254B.

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

Section 1.

new text begin [254B.15] SUBSTANCE USE DISORDER SYSTEM REFORM.
new text end

new text begin Subdivision 1. new text end

new text begin Authorization of substance use disorder treatment system
reform. new text end

new text begin The commissioner shall design a reform of Minnesota's substance use disorder
treatment system to ensure a full continuum of care is available for individuals with
substance use disorders.
new text end

new text begin Subd. 2. new text end

new text begin Goals. new text end

new text begin The reform proposal in subdivision 3, shall support the following
goals:
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new text begin (1) improve and promote strategies to identify individuals with substance use issues
and disorders;
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new text begin (2) ensure timely access to treatment and improve access to treatment;
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new text begin (3) enhance clinical practices and promote clinical guidelines and decision-making
tools for serving people with substance use disorders;
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new text begin (4) build aftercare and recovery support services;
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new text begin (5) coordinate and consolidate funding streams, including local, state, and federal
funds, to maximize efficiency;
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new text begin (6) increase the use of quality and outcome measures to inform benefit design and
payment models; and
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new text begin (7) coordinate treatment of substance use disorder primary care, long-term care, and
the mental health delivery system when appropriate.
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new text begin Subd. 3. new text end

new text begin Reform proposal. new text end

new text begin (a) A reform proposal shall include systemic and
practice reforms to develop a robust continuum of care to effectively treat the physical,
behavioral, and mental dimensions of substance use disorders. Elements of the reform
proposal shall include, but are not limited to:
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new text begin (1) an assessment and access process that permits clients to present directly to a
service provider for a substance use disorder assessment and authorization of services;
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new text begin (2) mechanisms for direct reimbursement of credentialed professionals;
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new text begin (3) care coordination models to link individuals with substance use disorders to
appropriate providers;
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new text begin (4) peer support services to assist people with substance use disorders who are in
recovery;
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new text begin (5) implementation of withdrawal management services pursuant to chapter 245F;
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new text begin (6) primary prevention services to delay the onset of substance use and avoid the
development of addiction;
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new text begin (7) development of new services and supports that are responsive to the chronic
nature of substance use disorders; and
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new text begin (8) exploration and implementation of available options to allow for exceptions to
the federal Institution for Mental Diseases (IMD) exclusion for medically necessary,
rehabilitative, substance use disorder treatment provided in the most integrated and least
restrictive setting.
new text end

new text begin (b) The commissioner shall develop a proposal consistent with the criteria outlined
in paragraph (a) and seek all federal authority necessary to implement the proposal. The
commissioner shall seek any federal waivers, state plan amendments, requests for new
funding, realignment of existing funding, and other authority necessary to implement
elements of the reform proposal outlined in this section.
new text end

new text begin (c) Implementation is contingent upon legislative approval of the proposal under
this subdivision.
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new text begin Subd. 4. new text end

new text begin Legislative update. new text end

new text begin No later than February 1, 2017, the commissioner shall
present an update on the progress of the proposal to members of the legislative committees
in the house of representatives and senate with jurisdiction over health and human services
policy and finance on the progress of the proposal and shall make recommendations on
any legislative changes and state appropriations necessary to implement the proposal.
new text end

new text begin Subd. 5. new text end

new text begin Stakeholder input. new text end

new text begin In developing the proposal, the commissioner shall
consult with consumers, providers, counties, tribes, health plans, and other stakeholders.
new text end

new text begin EFFECTIVE DATE. new text end

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