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HF 3374

2nd Engrossment - 89th Legislature (2015 - 2016) Posted on 05/24/2016 04:02pm

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

Bill Text Versions

Engrossments
Introduction Posted on 03/21/2016
1st Engrossment Posted on 04/01/2016
2nd Engrossment Posted on 04/18/2016

Current Version - 2nd Engrossment

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A bill for an act
relating to health; modifying requirements for the distribution of funds for grants
to provide family planning services; specifying the entities eligible for family
planning grants; requiring reporting and publication of grant recipients; requiring
the commissioner of health to apply for and distribute federal Title X funds for
family planning services; amending Minnesota Statutes 2014, sections 145.882,
subdivisions 2, 3, 7; 145.925, subdivisions 1, 1a, by adding subdivisions;
repealing Minnesota Statutes 2014, section 145.925, subdivisions 2, 9.

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

Section 1.

Minnesota Statutes 2014, section 145.882, subdivision 2, is amended to read:


Subd. 2.

Allocation to commissioner of health.

new text begin (a) new text end Beginning January 1, 1986,
up to one-third of the total maternal and child health block grant money may be retained
by the commissioner of health to:

(1) meet federal maternal and child block grant requirements of a statewide needs
assessment every five years and prepare the annual federal block grant application and
report;

(2) collect and disseminate statewide data on the health status of mothers and
children within one year of the end of the year;

(3) provide technical assistance to community health boards in meeting statewide
outcomes;

(4) evaluate the impact of maternal and child health activities on the health status
of mothers and children;

(5) provide services to children under age 16 receiving benefits under title XVI
of the Social Security Act; and

(6) perform other maternal and child health activities listed in section 145.88 and as
deemed necessary by the commissioner.

new text begin (b) Any money under this subdivision used by the commissioner for grants for the
provision of prepregnancy family planning services must be distributed under section
145.925.
new text end

Sec. 2.

Minnesota Statutes 2014, section 145.882, subdivision 3, is amended to read:


Subd. 3.

Allocation to community health boards.

(a) The maternal and child
health block grant money remaining after distributions made under subdivision 2 new text begin and
used for services other than prepregnancy family planning services
new text end must be allocated
according to the formula in section 145A.131, subdivision 2, for distribution to community
health boards.new text begin Maternal and child health block grant money used for the provision of
prepregnancy family planning services must be distributed under section 145.925.
new text end

(b) A community health board that receives funding under this section shall provide
at least a 50 percent match for funds received under United States Code, title 42, sections
701 to 709. Eligible funds must be used to meet match requirements. Eligible funds
include funds from local property taxes, reimbursements from third parties, fees, other
funds, donations, nonfederal grants, or state funds received under the local public health
grant defined in section 145A.131, that are used for maternal and child health activities as
described in subdivision 7.

Sec. 3.

Minnesota Statutes 2014, section 145.882, subdivision 7, is amended to read:


Subd. 7.

Use of block grant money.

Maternal and child health block grant money
allocated to a community health board under this section must be used for qualified
programs for high risk and low-income individuals. Block grant moneynew text begin allocated under
this section or for family planning services under section 145.925
new text end must be used for
programs that:

(1) specifically address the highest risk populations, particularly low-income and
minority groups with a high rate of infant mortality and children with low birth weight,
by providing services, including prepregnancy family planning services, calculated
to produce measurable decreases in infant mortality rates, instances of children with
low birth weight, and medical complications associated with pregnancy and childbirth,
including infant mortality, low birth rates, and medical complications arising from
chemical abuse by a mother during pregnancy;

(2) specifically target pregnant women whose age, medical condition, maternal
history, or chemical abuse substantially increases the likelihood of complications
associated with pregnancy and childbirth or the birth of a child with an illness, disability,
or special medical needs;

(3) specifically address the health needs of young children who have or are likely
to have a chronic disease or disability or special medical needs, including physical,
neurological, emotional, and developmental problems that arise from chemical abuse
by a mother during pregnancy;

(4) provide family planning and preventive medical care for specifically identified
target populations, such as minority and low-income teenagers, in a manner calculated to
decrease the occurrence of inappropriate pregnancy and minimize the risk of complications
associated with pregnancy and childbirth;

(5) specifically address the frequency and severity of childhood and adolescent
health issues, including injuries in high risk target populations by providing services
calculated to produce measurable decreases in mortality and morbidity;

(6) specifically address preventing child abuse and neglect, reducing juvenile
delinquency, promoting positive parenting and resiliency in children, and promoting
family health and economic sufficiency through public health nurse home visits under
section 145A.17; or

(7) specifically address nutritional issues of women, infants, and young children
through WIC clinic services.

Sec. 4.

Minnesota Statutes 2014, section 145.925, subdivision 1, is amended to read:


Subdivision 1.

deleted text begin Eligible organizations;deleted text end Purpose.

The commissioner of health deleted text begin maydeleted text end new text begin
shall
new text end make deleted text begin specialdeleted text end grants deleted text begin to cities, counties, groups of cities or counties, or nonprofit
corporations
deleted text end to provide prepregnancy family planning services.

Sec. 5.

Minnesota Statutes 2014, section 145.925, subdivision 1a, is amended to read:


Subd. 1a.

deleted text begin Family planning services; defineddeleted text end new text begin Definitionsnew text end .

new text begin (a) For purposes of this
section, the following terms have the meanings given them.
new text end

new text begin (b) "Community health board" has the meaning given in section 145A.02,
subdivision 5.
new text end

new text begin (c) "Family planning" means voluntary action by individuals to prevent or aid
conception.
new text end

new text begin (d) new text end "Family planning services" means counseling by trained personnel regarding
family planning; distribution of information relating to family planningdeleted text begin ,deleted text end new text begin ;new text end referral to
licensed physicians or local health agencies for consultation, examination, medical
treatment, genetic counseling, and prescriptions for the purpose of family planning; and
the distribution of family planning products, such as charts, thermometers, drugs, medical
preparations, and contraceptive devices. For purposes of sections 145A.01 to 145A.14,
family planning shall mean voluntary action by individuals to prevent or aid conception
but does not include the performance, or make referrals for encouragement of voluntary
termination of pregnancy.

new text begin (e) "Federally qualified health center" has the meaning given in section 145.9269,
subdivision 1.
new text end

new text begin (f) "Hospital" means a facility licensed as a hospital under section 144.55.
new text end

new text begin (g) "Public health clinic" means a health clinic operated by one or more local units
of government or community health boards or by the University of Minnesota and that
has as a primary focus the provision of primary and preventive health care services and
immunizations.
new text end

new text begin (h) "Rural health clinic" means a rural health clinic as defined in United States Code,
title 42, section 1395x(aa)(2) that is certified according to Code of Federal Regulations,
title 42, part 491, subpart A.
new text end

Sec. 6.

Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
to read:


new text begin Subd. 1b. new text end

new text begin Commissioner to apply for federal Title X funds. new text end

new text begin For each federal Title
X grant fund cycle, the commissioner shall apply to the federal Department of Health and
Human Services for grant funds under Title X of the federal Public Health Service Act,
United States Code, title 42, sections 300 to 300a-6.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective beginning with the federal 2018
application deadline for Title X grant funds.
new text end

Sec. 7.

Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
to read:


new text begin Subd. 1c. new text end

new text begin State and federal funds distributed according to this section. new text end

new text begin The
commissioner shall distribute the following funds according to subdivision 1d:
new text end

new text begin (1) federal Title X funds received by the commissioner according to an application
submitted under subdivision 1b;
new text end

new text begin (2) funds appropriated from the general fund and the federal TANF fund for
purposes of grants under this section; and
new text end

new text begin (3) maternal and child health block grant funds used for prepregnancy family
planning services.
new text end

Sec. 8.

Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
to read:


new text begin Subd. 1d. new text end

new text begin Distribution; eligible entities. new text end

new text begin The commissioner shall distribute the
funds specified in subdivision 1c to public entities, including community health boards and
public health clinics, that apply to the commissioner for funds to provide family planning
services according to procedures established by the commissioner. If any funds remain
after the commissioner fulfills all approved grant requests from public entities for the grant
period, the commissioner may distribute the remaining funds to nonpublic entities that:
new text end

new text begin (1) are hospitals, federally qualified health centers, or rural health clinics;
new text end

new text begin (2) provide comprehensive primary and preventive health care services in addition
to family planning services; and
new text end

new text begin (3) apply to the commissioner for funds to provide family planning services
according to procedures established by the commissioner.
new text end

Sec. 9.

Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
to read:


new text begin Subd. 1e. new text end

new text begin Subgrants from public entities. new text end

new text begin (a) A public entity that receives funds
from the commissioner under subdivision 1d may distribute some or all of the funds as
subgrants to other public or private entities to provide family planning services. Except as
provided in paragraph (b), an entity is not eligible for a subgrant under this subdivision if
the entity provides abortion services or has an affiliate that provides abortion services.
new text end

new text begin (b) An entity that provides abortion services or has an affiliate that provides abortion
services is eligible for a subgrant under this subdivision if the entity or affiliate provides
abortion services solely when the abortion is directly and medically necessary to save the
life of the woman, provided a physician signs a certification stating the direct and medical
necessity of the abortion.
new text end

Sec. 10.

Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
to read:


new text begin Subd. 10. new text end

new text begin Reporting and publication of grant and subgrant recipients. new text end

new text begin At least
once every grant cycle, a public entity that distributes funds under subdivision 1e shall
provide the commissioner of health with a list of the entities that received subgrants to
provide family planning services and the amount of each subgrant. At least once every
grant cycle, the commissioner of health shall publish on the department's Web site a list of
all the entities that received funds as a grant from the commissioner under subdivision 1d
or a subgrant from a public entity under subdivision 1e, and the amount of the grant or
subgrant received by each entity.
new text end

Sec. 11. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2014, section 145.925, subdivisions 2 and 9, new text end new text begin are repealed.
new text end