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Minnesota Legislature

Office of the Revisor of Statutes

HF 3467

3rd Engrossment - 89th Legislature (2015 - 2016) Posted on 06/02/2016 09:35am

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

Current Version - 3rd Engrossment

Line numbers 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.28 1.29 1.30 1.31 1.32 1.33 1.34 1.35 1.36 1.37 1.38 1.39 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 2.33 2.34 2.35 2.36 2.37 2.38 2.39 2.40 2.41 2.42 2.43 2.44 2.45 2.46 2.47 2.48 2.49 2.50 2.51
3.1 3.2
3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17
3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 4.33 4.34 4.35 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.18 5.19 5.20 5.21 5.22 5.23 5.24 5.25 5.26 5.27 5.28 5.29 5.30 5.31 5.32 5.33 5.34 5.35 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17
6.18 6.19 6.20 6.21 6.22 6.23 6.24
6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 6.34 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 7.19 7.20 7.21 7.22 7.23 7.24 7.25 7.26 7.27 7.28 7.29 7.30 7.31 7.32 7.33 7.34 7.35 7.36 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18
8.19 8.20
8.21 8.22 8.23 8.24 8.25
8.26 8.27 8.28 8.29 8.30
8.31 8.32 9.1 9.2 9.3 9.4
9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12
9.13 9.14 9.15 9.16 9.17 9.18 9.19 9.20
9.21 9.22 9.23 9.24 9.25 9.26 9.27 9.28 9.29 9.30 9.31 9.32 9.33 10.1 10.2 10.3 10.4 10.5 10.6 10.7
10.8 10.9
10.10 10.11 10.12 10.13 10.14 10.15
10.16 10.17 10.18 10.19 10.20 10.21 10.22 10.23 10.24 10.25 10.26 10.27 10.28 10.29 10.30 10.31 10.32 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 11.10 11.11 11.12 11.13 11.14 11.15 11.16 11.17 11.18 11.19 11.20 11.21 11.22 11.23 11.24 11.25 11.26 11.27 11.28 11.29 11.30 11.31 11.32 11.33 11.34 11.35 12.1 12.2 12.3 12.4 12.5 12.6
12.7
12.8 12.9 12.10 12.11 12.12 12.13 12.14 12.15 12.16 12.17 12.18 12.19 12.20 12.21 12.22 12.23 12.24 12.25 12.26 12.27 12.28 12.29 12.30 12.31 12.32 12.33 12.34 12.35 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 13.10 13.11 13.12 13.13 13.14 13.15 13.16 13.17 13.18 13.19 13.20 13.21 13.22 13.23 13.24 13.25 13.26 13.27 13.28 13.29 13.30 13.31 13.32 13.33 13.34 13.35 13.36 14.1 14.2 14.3 14.4 14.5
14.6 14.7
14.8 14.9 14.10 14.11 14.12 14.13 14.14 14.15 14.16 14.17 14.18
14.19
14.20 14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.28 14.29 14.30 14.31 14.32 14.33 15.1 15.2 15.3 15.4 15.5 15.6 15.7 15.8 15.9 15.10 15.11 15.12 15.13 15.14 15.15 15.16
15.17 15.18
15.19 15.20 15.21 15.22 15.23 15.24 15.25 15.26 15.27 15.28 15.29 15.30 15.31 15.32 15.33 15.34 15.35 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 16.11 16.12 16.13 16.14 16.15 16.16 16.17 16.18
16.19 16.20 16.21 16.22 16.23 16.24 16.25 16.26 16.27 16.28 16.29 16.30
16.31 16.32 16.33 16.34 17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 17.9 17.10 17.11 17.12 17.13 17.14 17.15 17.16 17.17 17.18 17.19 17.20 17.21 17.22 17.23 17.24 17.25 17.26 17.27 17.28 17.29 17.30 17.31
17.32 17.33 17.34 17.35 18.1 18.2 18.3 18.4 18.5 18.6 18.7 18.8 18.9 18.10 18.11 18.12 18.13 18.14 18.15 18.16 18.17 18.18 18.19 18.20
18.21 18.22 18.23 18.24 18.25 18.26 18.27 18.28 18.29 18.30 18.31 18.32 18.33 18.34 19.1 19.2 19.3 19.4 19.5 19.6 19.7 19.8 19.9 19.10 19.11 19.12 19.13 19.14 19.15 19.16 19.17 19.18 19.19 19.20 19.21 19.22 19.23
19.24 19.25 19.26
19.27 19.28 19.29 19.30 19.31 19.32
19.33
20.1 20.2
20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 20.11 20.12 20.13 20.14 20.15 20.16 20.17 20.18 20.19 20.20 20.21 20.22 20.23 20.24 20.25 20.26 20.27 20.28 20.29 20.30 20.31 20.32 20.33 20.34 20.35 21.1 21.2 21.3 21.4 21.5 21.6 21.7 21.8 21.9 21.10 21.11 21.12 21.13 21.14 21.15 21.16 21.17 21.18 21.19 21.20 21.21 21.22 21.23 21.24 21.25 21.26 21.27 21.28 21.29 21.30 21.31 21.32 21.33 21.34 21.35 22.1 22.2 22.3 22.4 22.5 22.6 22.7 22.8
22.9
22.10 22.11 22.12 22.13 22.14 22.15 22.16 22.17 22.18 22.19 22.20 22.21 22.22 22.23 22.24 22.25 22.26 22.27 22.28 22.29 22.30 22.31 22.32 22.33 22.34 22.35 23.1 23.2 23.3 23.4 23.5 23.6 23.7 23.8 23.9 23.10 23.11 23.12 23.13 23.14 23.15 23.16 23.17 23.18 23.19 23.20 23.21 23.22 23.23 23.24 23.25
23.26 23.27 23.28 23.29 23.30 23.31 23.32 23.33 23.34 23.35 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8
24.9 24.10 24.11 24.12 24.13 24.14 24.15 24.16 24.17 24.18 24.19 24.20 24.21 24.22 24.23 24.24 24.25 24.26 24.27 24.28 24.29 24.30 24.31
24.32 24.33
25.1 25.2 25.3 25.4 25.5 25.6 25.7 25.8 25.9 25.10 25.11 25.12 25.13 25.14 25.15 25.16 25.17 25.18 25.19 25.20 25.21 25.22 25.23 25.24 25.25 25.26 25.27 25.28 25.29 25.30 25.31 25.32 25.33 25.34 25.35 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.9 26.10 26.11 26.12 26.13 26.14
26.15 26.16 26.17 26.18 26.19 26.20 26.21 26.22 26.23 26.24 26.25 26.26 26.27 26.28 26.29 26.30 26.31 26.32 26.33 26.34 26.35 27.1 27.2 27.3 27.4 27.5 27.6 27.7 27.8 27.9 27.10 27.11 27.12 27.13 27.14 27.15 27.16 27.17 27.18 27.19 27.20 27.21 27.22 27.23 27.24 27.25 27.26 27.27 27.28 27.29 27.30 27.31 27.32 27.33 27.34 27.35 27.36 28.1 28.2 28.3 28.4 28.5
28.6 28.7 28.8 28.9 28.10 28.11 28.12 28.13 28.14 28.15 28.16 28.17 28.18 28.19 28.20 28.21 28.22 28.23 28.24 28.25 28.26 28.27 28.28 28.29 28.30 28.31 28.32 28.33 28.34 28.35 29.1 29.2 29.3 29.4 29.5 29.6 29.7 29.8 29.9 29.10 29.11 29.12 29.13 29.14 29.15 29.16 29.17 29.18 29.19 29.20 29.21 29.22 29.23 29.24 29.25 29.26 29.27 29.28 29.29 29.30 29.31 29.32 29.33 29.34
30.1 30.2 30.3 30.4 30.5 30.6 30.7 30.8 30.9 30.10 30.11 30.12 30.13 30.14 30.15 30.16 30.17 30.18 30.19 30.20 30.21 30.22 30.23 30.24 30.25 30.26 30.27 30.28 30.29 30.30 30.31 30.32 30.33 30.34 30.35 30.36 31.1 31.2 31.3 31.4 31.5 31.6 31.7 31.8 31.9 31.10 31.11 31.12 31.13 31.14 31.15 31.16 31.17 31.18 31.19 31.20 31.21 31.22 31.23 31.24 31.25 31.26 31.27 31.28 31.29 31.30 31.31 31.32 31.33 31.34 31.35 32.1 32.2 32.3 32.4 32.5 32.6
32.7
32.8 32.9 32.10 32.11 32.12 32.13 32.14 32.15 32.16 32.17 32.18 32.19 32.20
32.21 32.22
32.23 32.24 32.25 32.26 32.27 32.28 32.29 32.30 32.31 32.32 33.1 33.2 33.3 33.4 33.5 33.6
33.7
33.8 33.9 33.10 33.11 33.12 33.13 33.14 33.15 33.16 33.17 33.18 33.19 33.20 33.21 33.22 33.23 33.24 33.25 33.26 33.27 33.28 33.29 33.30 33.31 33.32 33.33 33.34 33.35
34.1 34.2 34.3 34.4 34.5 34.6 34.7 34.8 34.9 34.10 34.11 34.12 34.13 34.14 34.15 34.16 34.17 34.18 34.19 34.20 34.21 34.22 34.23 34.24 34.25 34.26 34.27 34.28 34.29 34.30 34.31 34.32 34.33 34.34 34.35
35.1 35.2 35.3 35.4 35.5 35.6 35.7 35.8
35.9 35.10 35.11 35.12 35.13 35.14 35.15 35.16 35.17 35.18 35.19 35.20 35.21 35.22 35.23 35.24
35.25 35.26 35.27 35.28 35.29 35.30 35.31 35.32 35.33 36.1 36.2 36.3 36.4 36.5 36.6 36.7 36.8 36.9 36.10 36.11 36.12 36.13 36.14 36.15 36.16 36.17 36.18 36.19 36.20 36.21 36.22 36.23 36.24 36.25 36.26 36.27 36.28 36.29 36.30 36.31 36.32 36.33 36.34 36.35 37.1 37.2 37.3 37.4 37.5 37.6 37.7 37.8 37.9 37.10 37.11 37.12
37.13
37.14 37.15 37.16 37.17 37.18 37.19 37.20 37.21 37.22 37.23 37.24 37.25 37.26 37.27 37.28 37.29 37.30 37.31 37.32 37.33 37.34 37.35 38.1 38.2 38.3 38.4 38.5 38.6 38.7 38.8 38.9 38.10
38.11 38.12 38.13 38.14 38.15 38.16 38.17 38.18 38.19 38.20 38.21 38.22 38.23 38.24 38.25 38.26
38.27
38.28 38.29 38.30 38.31 38.32 38.33 39.1 39.2
39.3 39.4 39.5 39.6 39.7 39.8 39.9 39.10 39.11 39.12 39.13 39.14 39.15 39.16 39.17 39.18 39.19 39.20 39.21 39.22 39.23 39.24 39.25 39.26 39.27 39.28 39.29 39.30 39.31 39.32 39.33 39.34 40.1 40.2 40.3 40.4 40.5 40.6 40.7 40.8 40.9 40.10 40.11 40.12 40.13 40.14 40.15 40.16
40.17 40.18 40.19 40.20 40.21 40.22
40.23 40.24 40.25 40.26 40.27 40.28 40.29 40.30 40.31 40.32 40.33 41.1 41.2 41.3 41.4 41.5
41.6
41.7 41.8 41.9 41.10 41.11 41.12 41.13 41.14 41.15 41.16 41.17 41.18 41.19 41.20 41.21 41.22
41.23
41.24 41.25 41.26 41.27 41.28 41.29 41.30 41.31 41.32 41.33 42.1 42.2 42.3 42.4 42.5 42.6 42.7
42.8
42.9 42.10 42.11 42.12 42.13 42.14 42.15 42.16 42.17 42.18 42.19 42.20 42.21 42.22 42.23 42.24 42.25 42.26 42.27 42.28 42.29 42.30 42.31 42.32 42.33 43.1 43.2 43.3 43.4 43.5 43.6 43.7 43.8 43.9 43.10 43.11 43.12 43.13 43.14 43.15 43.16 43.17 43.18 43.19 43.20 43.21 43.22 43.23 43.24
43.25
43.26 43.27 43.28 43.29 43.30
43.31 43.32 43.33 43.34 44.1 44.2 44.3 44.4 44.5
44.6 44.7 44.8 44.9
44.10 44.11
44.12 44.13 44.14 44.15 44.16 44.17 44.18 44.19 44.20 44.21 44.22 44.23 44.24 44.25 44.26 44.27 44.28 44.29 44.30 44.31 44.32 44.33 44.34 45.1 45.2 45.3 45.4 45.5 45.6 45.7 45.8 45.9 45.10 45.11 45.12 45.13 45.14 45.15 45.16 45.17 45.18 45.19 45.20 45.21 45.22 45.23 45.24 45.25 45.26 45.27 45.28 45.29 45.30 45.31 45.32 45.33 45.34 45.35 45.36 46.1 46.2 46.3 46.4 46.5 46.6 46.7 46.8
46.9 46.10 46.11 46.12 46.13 46.14 46.15 46.16 46.17 46.18 46.19 46.20 46.21 46.22 46.23 46.24 46.25 46.26 46.27 46.28 46.29 46.30 46.31 46.32 46.33 47.1 47.2 47.3 47.4 47.5 47.6 47.7 47.8 47.9 47.10 47.11
47.12 47.13 47.14 47.15 47.16 47.17 47.18 47.19 47.20 47.21 47.22 47.23 47.24 47.25 47.26 47.27 47.28 47.29 47.30 47.31 47.32 47.33 47.34 47.35 48.1 48.2 48.3 48.4 48.5 48.6 48.7 48.8 48.9 48.10 48.11 48.12 48.13 48.14
48.15 48.16 48.17 48.18 48.19 48.20 48.21 48.22 48.23 48.24 48.25 48.26
48.27 48.28 48.29 48.30 48.31 48.32 49.1 49.2 49.3 49.4 49.5 49.6 49.7 49.8 49.9 49.10 49.11 49.12 49.13 49.14 49.15 49.16 49.17 49.18 49.19 49.20 49.21 49.22 49.23 49.24 49.25 49.26
49.27 49.28 49.29 49.30 49.31 49.32 49.33 49.34 49.35 50.1 50.2 50.3 50.4 50.5 50.6 50.7 50.8 50.9 50.10 50.11 50.12 50.13 50.14 50.15 50.16 50.17 50.18 50.19 50.20 50.21 50.22 50.23 50.24 50.25 50.26 50.27 50.28 50.29 50.30 50.31 50.32 50.33 50.34 50.35 50.36 51.1 51.2 51.3 51.4 51.5 51.6 51.7 51.8 51.9 51.10 51.11 51.12 51.13 51.14 51.15 51.16 51.17 51.18 51.19 51.20 51.21 51.22 51.23 51.24 51.25 51.26 51.27 51.28 51.29 51.30
51.31 51.32 51.33 51.34 51.35
52.1 52.2 52.3 52.4 52.5 52.6 52.7 52.8 52.9 52.10 52.11
52.12 52.13 52.14 52.15 52.16 52.17 52.18 52.19 52.20 52.21
52.22 52.23 52.24 52.25 52.26 52.27 52.28 52.29 52.30 52.31 52.32 52.33 52.34 53.1 53.2 53.3 53.4
53.5 53.6 53.7 53.8 53.9 53.10
53.11 53.12 53.13 53.14 53.15 53.16 53.17 53.18 53.19 53.20 53.21 53.22 53.23 53.24 53.25 53.26 53.27 53.28 53.29 53.30 53.31 53.32 53.33 53.34 54.1 54.2 54.3 54.4 54.5 54.6 54.7 54.8 54.9 54.10 54.11 54.12 54.13 54.14 54.15 54.16 54.17 54.18 54.19 54.20 54.21 54.22 54.23 54.24 54.25 54.26 54.27 54.28
54.29
54.30 54.31 54.32 54.33 54.34 54.35 55.1 55.2 55.3 55.4 55.5 55.6 55.7 55.8 55.9 55.10 55.11 55.12 55.13 55.14 55.15 55.16 55.17 55.18 55.19 55.20 55.21 55.22 55.23 55.24 55.25 55.26 55.27 55.28 55.29 55.30 55.31 55.32 55.33 55.34 55.35 55.36 56.1 56.2 56.3 56.4 56.5 56.6 56.7 56.8 56.9 56.10 56.11 56.12 56.13 56.14
56.15 56.16 56.17 56.18 56.19 56.20 56.21 56.22 56.23 56.24 56.25 56.26 56.27 56.28 56.29 56.30 56.31 56.32 56.33 56.34 56.35 57.1 57.2 57.3
57.4 57.5 57.6 57.7 57.8 57.9
57.10 57.11 57.12 57.13 57.14 57.15 57.16 57.17 57.18 57.19 57.20 57.21 57.22 57.23 57.24 57.25 57.26 57.27 57.28 57.29
57.30
57.31 57.32 57.33 58.1 58.2 58.3 58.4 58.5 58.6 58.7 58.8 58.9 58.10 58.11
58.12
58.13 58.14 58.15 58.16 58.17 58.18 58.19 58.20 58.21 58.22 58.23 58.24 58.25 58.26 58.27 58.28 58.29 58.30 58.31 58.32 58.33 58.34 58.35 59.1 59.2 59.3 59.4 59.5 59.6 59.7 59.8 59.9 59.10 59.11
59.12
59.13 59.14 59.15 59.16 59.17 59.18 59.19 59.20 59.21 59.22 59.23 59.24 59.25 59.26 59.27 59.28 59.29 59.30 59.31 59.32 59.33 59.34 59.35 60.1 60.2 60.3
60.4 60.5 60.6 60.7
60.8
60.9 60.10 60.11 60.12 60.13 60.14 60.15 60.16 60.17 60.18 60.19 60.20 60.21 60.22 60.23 60.24 60.25 60.26 60.27 60.28 60.29 60.30 60.31 60.32 60.33 60.34
61.1
61.2 61.3 61.4 61.5 61.6 61.7
61.8 61.9
61.10 61.11 61.12 61.13 61.14 61.15 61.16 61.17 61.18 61.19
61.20
61.21 61.22 61.23 61.24 61.25 61.26 61.27 61.28 61.29 61.30 61.31 62.1 62.2
62.3
62.4 62.5 62.6 62.7 62.8 62.9 62.10 62.11 62.12 62.13 62.14 62.15
62.16
62.17 62.18 62.19 62.20 62.21 62.22 62.23 62.24 62.25 62.26
62.27
62.28 62.29 62.30 62.31 62.32 63.1 63.2 63.3
63.4
63.5 63.6 63.7 63.8 63.9 63.10 63.11 63.12 63.13 63.14 63.15 63.16 63.17 63.18 63.19 63.20 63.21 63.22 63.23 63.24 63.25 63.26
63.27
63.28 63.29 63.30 63.31 63.32
64.1 64.2 64.3 64.4 64.5 64.6 64.7 64.8 64.9 64.10 64.11 64.12 64.13 64.14 64.15 64.16 64.17 64.18 64.19 64.20
64.21
64.22 64.23 64.24 64.25 64.26 64.27 64.28 64.29 64.30 64.31 64.32 64.33 64.34 65.1 65.2 65.3 65.4 65.5 65.6 65.7 65.8 65.9 65.10 65.11 65.12 65.13 65.14 65.15 65.16 65.17 65.18
65.19 65.20 65.21 65.22 65.23 65.24 65.25 65.26 65.27 65.28 65.29 65.30 65.31 65.32 65.33 65.34 65.35 66.1 66.2 66.3
66.4 66.5 66.6 66.7 66.8
66.9 66.10
66.11 66.12 66.13 66.14 66.15 66.16 66.17 66.18 66.19 66.20 66.21 66.22 66.23 66.24 66.25 66.26 66.27 66.28 66.29 66.30 66.31 66.32 66.33 66.34 67.1 67.2 67.3 67.4 67.5 67.6 67.7 67.8 67.9 67.10 67.11 67.12 67.13 67.14 67.15 67.16 67.17 67.18 67.19 67.20 67.21 67.22 67.23 67.24 67.25 67.26 67.27 67.28 67.29 67.30 67.31 67.32 67.33 67.34 67.35 68.1 68.2 68.3 68.4 68.5 68.6 68.7 68.8 68.9 68.10 68.11 68.12 68.13 68.14 68.15 68.16 68.17 68.18 68.19 68.20 68.21 68.22 68.23 68.24 68.25 68.26 68.27 68.28 68.29 68.30 68.31 68.32 68.33 68.34 68.35 69.1 69.2 69.3 69.4 69.5 69.6 69.7 69.8 69.9 69.10 69.11 69.12 69.13 69.14 69.15 69.16 69.17 69.18 69.19 69.20 69.21 69.22 69.23 69.24 69.25 69.26 69.27 69.28 69.29 69.30 69.31 69.32 69.33 69.34 69.35 69.36 70.1 70.2 70.3 70.4 70.5
70.6
70.7 70.8 70.9 70.10 70.11 70.12 70.13 70.14 70.15
70.16
70.17 70.18 70.19 70.20 70.21
70.22 70.23 70.24 70.25 70.26 70.27 70.28 70.29 70.30 70.31 71.1 71.2
71.3
71.4 71.5 71.6 71.7 71.8 71.9 71.10 71.11 71.12
71.13
71.14 71.15 71.16 71.17 71.18 71.19 71.20 71.21
71.22
71.23 71.24 71.25 71.26 71.27 71.28
71.29
72.1 72.2 72.3 72.4 72.5 72.6 72.7 72.8 72.9 72.10 72.11 72.12 72.13 72.14 72.15 72.16 72.17 72.18
72.19 72.20 72.21 72.22 72.23 72.24 72.25 72.26 72.27 72.28 72.29 72.30 72.31
72.32 72.33 73.1 73.2 73.3 73.4 73.5 73.6 73.7 73.8 73.9 73.10 73.11 73.12 73.13 73.14 73.15 73.16 73.17 73.18 73.19 73.20 73.21 73.22 73.23 73.24 73.25 73.26 73.27 73.28 73.29 73.30 73.31 73.32 73.33 73.34 73.35 74.1 74.2 74.3 74.4 74.5 74.6 74.7 74.8 74.9 74.10 74.11 74.12 74.13 74.14 74.15 74.16 74.17 74.18 74.19 74.20 74.21 74.22 74.23 74.24 74.25 74.26 74.27 74.28 74.29 74.30 74.31 74.32 74.33 74.34 74.35 74.36 75.1 75.2 75.3 75.4 75.5 75.6 75.7 75.8 75.9 75.10 75.11 75.12 75.13 75.14
75.15 75.16 75.17 75.18 75.19 75.20 75.21 75.22 75.23 75.24 75.25 75.26 75.27 75.28 75.29 75.30 75.31 75.32 75.33 75.34 76.1 76.2 76.3 76.4 76.5 76.6 76.7 76.8 76.9 76.10 76.11 76.12 76.13 76.14 76.15 76.16 76.17 76.18 76.19 76.20 76.21 76.22 76.23 76.24 76.25
76.26 76.27 76.28 76.29 76.30 76.31 76.32 76.33 76.34 76.35 77.1 77.2 77.3 77.4 77.5 77.6 77.7 77.8 77.9 77.10 77.11 77.12 77.13 77.14 77.15 77.16 77.17 77.18 77.19 77.20 77.21 77.22 77.23 77.24 77.25 77.26 77.27 77.28 77.29 77.30 77.31 77.32 77.33 77.34
77.35 78.1 78.2 78.3
78.4 78.5 78.6 78.7 78.8 78.9 78.10 78.11 78.12 78.13 78.14 78.15 78.16 78.17 78.18 78.19 78.20 78.21 78.22 78.23 78.24 78.25 78.26 78.27 78.28
78.29 78.30
78.31 78.32 78.33 78.34 79.1 79.2 79.3 79.4 79.5 79.6 79.7 79.8 79.9 79.10 79.11 79.12 79.13 79.14 79.15 79.16 79.17 79.18 79.19 79.20 79.21 79.22 79.23 79.24
79.25
79.26 79.27 79.28 79.29 79.30 79.31 79.32 79.33 79.34 80.1 80.2 80.3 80.4 80.5 80.6 80.7 80.8 80.9 80.10 80.11 80.12 80.13 80.14 80.15 80.16 80.17 80.18 80.19
80.20
80.21 80.22 80.23 80.24 80.25 80.26 80.27 80.28 80.29 80.30
80.31 80.32 80.33 80.34 81.1 81.2 81.3 81.4 81.5 81.6 81.7 81.8 81.9 81.10 81.11 81.12 81.13 81.14 81.15 81.16 81.17 81.18 81.19 81.20
81.21
81.22 81.23 81.24 81.25 81.26 81.27 81.28 81.29 81.30 81.31 81.32 81.33 81.34 81.35 82.1 82.2 82.3 82.4 82.5 82.6 82.7 82.8 82.9 82.10 82.11 82.12 82.13 82.14 82.15 82.16 82.17 82.18
82.19 82.20 82.21 82.22 82.23 82.24 82.25 82.26 82.27 82.28 82.29 82.30 82.31 82.32
82.33 83.1 83.2 83.3 83.4 83.5 83.6 83.7 83.8 83.9 83.10 83.11 83.12 83.13 83.14 83.15 83.16 83.17 83.18 83.19 83.20 83.21 83.22 83.23 83.24 83.25 83.26 83.27 83.28
83.29
83.30 83.31 83.32 83.33 83.34 84.1 84.2 84.3 84.4 84.5 84.6 84.7 84.8 84.9 84.10 84.11 84.12
84.13
84.14 84.15 84.16 84.17 84.18 84.19 84.20 84.21 84.22 84.23 84.24 84.25 84.26 84.27 84.28 84.29 84.30 84.31 84.32 84.33 85.1 85.2 85.3 85.4 85.5 85.6 85.7 85.8 85.9 85.10 85.11 85.12 85.13 85.14 85.15 85.16 85.17 85.18 85.19 85.20 85.21 85.22 85.23 85.24 85.25 85.26 85.27 85.28 85.29 85.30 85.31 85.32 85.33 85.34 85.35 86.1 86.2 86.3 86.4 86.5 86.6 86.7 86.8 86.9 86.10
86.11
86.12 86.13 86.14 86.15 86.16 86.17 86.18 86.19 86.20 86.21 86.22 86.23 86.24 86.25 86.26 86.27 86.28 86.29 86.30 86.31 86.32 86.33 87.1 87.2 87.3 87.4 87.5 87.6 87.7 87.8 87.9 87.10 87.11 87.12 87.13 87.14 87.15 87.16 87.17 87.18 87.19 87.20 87.21 87.22 87.23 87.24 87.25 87.26 87.27 87.28 87.29 87.30 87.31 87.32 87.33 87.34 87.35 87.36 88.1 88.2 88.3 88.4 88.5 88.6 88.7 88.8 88.9 88.10 88.11
88.12
88.13 88.14 88.15 88.16 88.17 88.18 88.19 88.20 88.21 88.22 88.23 88.24 88.25 88.26 88.27 88.28 88.29 88.30 88.31 88.32 88.33 88.34 89.1 89.2 89.3 89.4 89.5 89.6 89.7 89.8 89.9 89.10 89.11 89.12 89.13 89.14 89.15 89.16 89.17 89.18 89.19 89.20 89.21 89.22 89.23 89.24 89.25 89.26 89.27 89.28 89.29 89.30 89.31 89.32 89.33 89.34 89.35 89.36 90.1 90.2 90.3 90.4 90.5 90.6 90.7 90.8 90.9 90.10 90.11 90.12 90.13 90.14 90.15 90.16 90.17 90.18 90.19 90.20 90.21 90.22 90.23 90.24 90.25 90.26 90.27 90.28 90.29 90.30 90.31 90.32 90.33 90.34 90.35 91.1 91.2 91.3 91.4 91.5 91.6 91.7 91.8 91.9 91.10 91.11 91.12
91.13
91.14 91.15 91.16 91.17 91.18 91.19 91.20 91.21 91.22 91.23 91.24 91.25 91.26 91.27 91.28 91.29 91.30 91.31 91.32 91.33 92.1 92.2 92.3 92.4 92.5 92.6 92.7 92.8 92.9 92.10 92.11 92.12 92.13 92.14 92.15 92.16 92.17 92.18 92.19 92.20 92.21 92.22 92.23 92.24 92.25 92.26 92.27 92.28 92.29 92.30 92.31 92.32 92.33 92.34 92.35 92.36 93.1 93.2 93.3 93.4 93.5 93.6 93.7 93.8 93.9 93.10 93.11 93.12 93.13
93.14
93.15 93.16 93.17 93.18 93.19 93.20 93.21 93.22 93.23 93.24 93.25 93.26
93.27 93.28 93.29 93.30 93.31 93.32 93.33 93.34 94.1 94.2 94.3 94.4 94.5 94.6
94.7 94.8 94.9 94.10 94.11 94.12 94.13 94.14 94.15 94.16 94.17 94.18
94.19 94.20 94.21 94.22 94.23 94.24 94.25 94.26 94.27 94.28 94.29 94.30 94.31 94.32 94.33 94.34 95.1 95.2 95.3 95.4 95.5 95.6 95.7 95.8 95.9 95.10 95.11 95.12 95.13 95.14 95.15 95.16 95.17 95.18 95.19 95.20 95.21 95.22 95.23 95.24 95.25 95.26 95.27 95.28 95.29 95.30 95.31 95.32 95.33 95.34 95.35 95.36 96.1
96.2
96.3 96.4 96.5 96.6 96.7 96.8
96.9
96.10 96.11 96.12 96.13 96.14 96.15 96.16 96.17 96.18 96.19 96.20 96.21 96.22 96.23 96.24 96.25 96.26 96.27 96.28 96.29 96.30 96.31 96.32 96.33 97.1 97.2 97.3 97.4 97.5 97.6 97.7 97.8 97.9 97.10 97.11 97.12 97.13 97.14 97.15
97.16 97.17
97.18 97.19 97.20 97.21 97.22 97.23 97.24 97.25 97.26 97.27 97.28 97.29 97.30 97.31 97.32 97.33 97.34 97.35 98.1 98.2 98.3 98.4 98.5 98.6 98.7
98.8 98.9
98.10 98.11 98.12 98.13 98.14 98.15 98.16 98.17
98.18 98.19 98.20
98.21 98.22 98.23
98.24 98.25 98.26 98.27 98.28 98.29 98.30 98.31 98.32 99.1 99.2 99.3 99.4 99.5 99.6 99.7 99.8 99.9 99.10 99.11 99.12 99.13 99.14 99.15 99.16 99.17 99.18 99.19 99.20 99.21 99.22 99.23 99.24 99.25 99.26
99.27 99.28 99.29 99.30 99.31 99.32 99.33 99.34 99.35 100.1 100.2 100.3 100.4 100.5 100.6 100.7 100.8 100.9 100.10
100.11 100.12 100.13 100.14 100.15 100.16 100.17 100.18 100.19 100.20 100.21 100.22 100.23 100.24 100.25 100.26 100.27 100.28 100.29 100.30 100.31 100.32 100.33 100.34 100.35 101.1 101.2 101.3 101.4 101.5 101.6 101.7 101.8 101.9 101.10 101.11 101.12
101.13 101.14 101.15 101.16 101.17 101.18 101.19 101.20 101.21 101.22 101.23 101.24 101.25 101.26 101.27 101.28 101.29 101.30 101.31 101.32 101.33 102.1 102.2 102.3 102.4 102.5 102.6 102.7 102.8 102.9 102.10 102.11 102.12 102.13 102.14 102.15 102.16 102.17 102.18 102.19 102.20 102.21 102.22 102.23 102.24 102.25 102.26 102.27 102.28 102.29 102.30 102.31 102.32 102.33 102.34 102.35 102.36 103.1 103.2 103.3 103.4 103.5 103.6 103.7 103.8 103.9 103.10 103.11 103.12 103.13 103.14
103.15 103.16 103.17 103.18 103.19 103.20 103.21 103.22 103.23 103.24 103.25 103.26 103.27 103.28 103.29
103.30 103.31 103.32 103.33 103.34 104.1 104.2 104.3 104.4 104.5 104.6
104.7 104.8 104.9
104.10 104.11 104.12 104.13 104.14 104.15 104.16 104.17 104.18 104.19 104.20 104.21 104.22 104.23 104.24 104.25 104.26 104.27 104.28 104.29 104.30
104.31 104.32 104.33 105.1 105.2 105.3 105.4 105.5 105.6 105.7 105.8 105.9 105.10 105.11 105.12
105.13 105.14 105.15 105.16 105.17 105.18 105.19 105.20 105.21 105.22 105.23 105.24 105.25 105.26 105.27 105.28 105.29 105.30 105.31 105.32 105.33 105.34 106.1 106.2 106.3 106.4 106.5 106.6 106.7 106.8 106.9
106.10 106.11 106.12 106.13 106.14 106.15 106.16 106.17 106.18 106.19 106.20 106.21 106.22 106.23 106.24 106.25 106.26 106.27 106.28 106.29 106.30 106.31 106.32 106.33 107.1 107.2 107.3 107.4 107.5 107.6 107.7 107.8 107.9 107.10 107.11 107.12 107.13 107.14 107.15 107.16 107.17 107.18 107.19 107.20 107.21 107.22 107.23 107.24 107.25 107.26 107.27 107.28 107.29 107.30 107.31 107.32 107.33 107.34 108.1 108.2 108.3 108.4 108.5 108.6 108.7 108.8 108.9 108.10 108.11 108.12 108.13 108.14 108.15 108.16 108.17 108.18 108.19 108.20 108.21 108.22 108.23 108.24 108.25 108.26 108.27 108.28 108.29 108.30 108.31
108.32 108.33 108.34 108.35 109.1 109.2 109.3 109.4 109.5 109.6 109.7 109.8 109.9 109.10 109.11 109.12 109.13 109.14 109.15 109.16 109.17
109.18 109.19 109.20 109.21 109.22 109.23 109.24 109.25 109.26 109.27 109.28 109.29 109.30 109.31 109.32 109.33 109.34 109.35 110.1 110.2 110.3 110.4 110.5 110.6 110.7 110.8 110.9 110.10 110.11 110.12 110.13 110.14 110.15 110.16 110.17 110.18 110.19 110.20 110.21 110.22 110.23 110.24 110.25 110.26 110.27 110.28 110.29 110.30 110.31 110.32 110.33 110.34 110.35 110.36 111.1 111.2
111.3 111.4 111.5 111.6 111.7 111.8 111.9 111.10 111.11 111.12 111.13 111.14 111.15 111.16 111.17 111.18 111.19 111.20 111.21 111.22 111.23 111.24 111.25 111.26
111.27 111.28 111.29 111.30 111.31 111.32 111.33 111.34 112.1 112.2 112.3 112.4 112.5 112.6 112.7 112.8 112.9 112.10 112.11 112.12 112.13 112.14 112.15 112.16 112.17 112.18 112.19 112.20 112.21 112.22 112.23 112.24 112.25 112.26 112.27 112.28 112.29 112.30 112.31 112.32 112.33 112.34 112.35 113.1 113.2 113.3 113.4 113.5 113.6 113.7 113.8 113.9 113.10 113.11
113.12
113.13 113.14 113.15 113.16 113.17 113.18 113.19 113.20 113.21 113.22 113.23
113.24 113.25 113.26 113.27 113.28 113.29 113.30 113.31 113.32 113.33 113.34 114.1 114.2 114.3 114.4 114.5 114.6 114.7 114.8
114.9 114.10 114.11 114.12 114.13 114.14 114.15 114.16 114.17 114.18 114.19 114.20 114.21 114.22 114.23 114.24 114.25 114.26 114.27 114.28 114.29 114.30 114.31 114.32
114.33 114.34 115.1 115.2
115.3 115.4 115.5 115.6 115.7 115.8 115.9
115.10 115.11 115.12 115.13
115.14 115.15 115.16
115.17
115.18 115.19 115.20 115.21 115.22 115.23 115.24 115.25 115.26 115.27 115.28 115.29 115.30 115.31 116.1 116.2 116.3 116.4 116.5 116.6 116.7 116.8 116.9 116.10 116.11 116.12 116.13 116.14 116.15 116.16 116.17 116.18 116.19 116.20 116.21 116.22 116.23 116.24 116.25 116.26 116.27 116.28 116.29 116.30 116.31 116.32 116.33 116.34 116.35 116.36 117.1 117.2 117.3 117.4 117.5 117.6 117.7 117.8 117.9 117.10 117.11 117.12 117.13 117.14 117.15 117.16 117.17 117.18 117.19 117.20 117.21 117.22 117.23 117.24 117.25 117.26 117.27 117.28 117.29 117.30 117.31 117.32 117.33 117.34 117.35 117.36 118.1 118.2 118.3 118.4 118.5 118.6 118.7 118.8 118.9 118.10 118.11 118.12 118.13 118.14 118.15 118.16 118.17 118.18 118.19 118.20 118.21 118.22 118.23 118.24 118.25 118.26 118.27 118.28 118.29 118.30 118.31 118.32 118.33
118.34
118.35 119.1 119.2 119.3 119.4 119.5 119.6 119.7 119.8 119.9 119.10 119.11 119.12 119.13 119.14 119.15 119.16 119.17 119.18 119.19 119.20 119.21 119.22
119.23
119.24 119.25 119.26 119.27 119.28 119.29 119.30 119.31 119.32 119.33 119.34 120.1 120.2 120.3 120.4 120.5 120.6 120.7 120.8 120.9 120.10
120.11
120.12 120.13 120.14 120.15 120.16 120.17 120.18 120.19 120.20 120.21 120.22 120.23 120.24 120.25 120.26 120.27 120.28 120.29 120.30 120.31 120.32 120.33 120.34 120.35 121.1 121.2 121.3
121.4
121.5 121.6 121.7 121.8 121.9 121.10 121.11 121.12 121.13 121.14 121.15 121.16 121.17 121.18 121.19 121.20
121.21
121.22 121.23 121.24 121.25 121.26 121.27 121.28 121.29 121.30 121.31 121.32 121.33 122.1 122.2 122.3
122.4
122.5 122.6 122.7 122.8 122.9 122.10 122.11 122.12 122.13 122.14 122.15 122.16 122.17 122.18 122.19 122.20 122.21 122.22 122.23 122.24 122.25 122.26 122.27 122.28 122.29 122.30 122.31 122.32 122.33 122.34 122.35
123.1
123.2 123.3 123.4 123.5 123.6 123.7 123.8 123.9
123.10
123.11 123.12 123.13 123.14 123.15 123.16 123.17 123.18 123.19
123.20
123.21 123.22 123.23 123.24 123.25 123.26
123.27
123.28 123.29 123.30 123.31 124.1 124.2
124.3
124.4 124.5 124.6 124.7 124.8 124.9 124.10 124.11 124.12 124.13 124.14 124.15 124.16 124.17 124.18 124.19 124.20 124.21 124.22 124.23 124.24 124.25 124.26 124.27 124.28 124.29 124.30 124.31 124.32 124.33 124.34 124.35 125.1 125.2 125.3 125.4 125.5 125.6 125.7 125.8 125.9 125.10 125.11 125.12 125.13 125.14 125.15 125.16 125.17 125.18 125.19 125.20 125.21 125.22 125.23 125.24 125.25 125.26 125.27 125.28 125.29 125.30 125.31 125.32 125.33 125.34 125.35 125.36 126.1 126.2 126.3 126.4 126.5 126.6 126.7 126.8 126.9
126.10
126.11 126.12 126.13
126.14
126.15 126.16 126.17 126.18 126.19 126.20 126.21 126.22 126.23 126.24 126.25 126.26
126.27
126.28 126.29 126.30 126.31 127.1 127.2 127.3 127.4 127.5 127.6 127.7 127.8 127.9 127.10 127.11
127.12
127.13 127.14 127.15 127.16 127.17 127.18 127.19 127.20 127.21
127.22
127.23 127.24
127.25 127.26 127.27 127.28 127.29 127.30 127.31 127.32 127.33 128.1 128.2 128.3 128.4
128.5 128.6 128.7 128.8 128.9 128.10 128.11 128.12 128.13 128.14 128.15 128.16 128.17 128.18 128.19 128.20 128.21 128.22 128.23 128.24 128.25 128.26 128.27 128.28 128.29 128.30 128.31 128.32 128.33 129.1 129.2 129.3
129.4
129.5 129.6
129.7 129.8 129.9 129.10 129.11 129.12 129.13 129.14 129.15 129.16 129.17 129.18 129.19 129.20
129.21 129.22 129.23 129.24 129.25 129.26 129.27 129.28 129.29 129.30 129.31 129.32 130.1 130.2 130.3 130.4 130.5 130.6 130.7 130.8 130.9 130.10 130.11 130.12 130.13 130.14 130.15 130.16 130.17 130.18 130.19 130.20 130.21 130.22 130.23 130.24 130.25 130.26 130.27 130.28 130.29 130.30 130.31 130.32 130.33 130.34 131.1 131.2 131.3 131.4 131.5 131.6 131.7 131.8 131.9 131.10 131.11 131.12 131.13 131.14 131.15 131.16 131.17 131.18 131.19 131.20 131.21 131.22 131.23 131.24 131.25 131.26 131.27 131.28 131.29 131.30 131.31 131.32 132.1 132.2 132.3 132.4 132.5 132.6 132.7 132.8 132.9 132.10 132.11 132.12 132.13 132.14 132.15 132.16 132.17 132.18 132.19 132.20 132.21 132.22 132.23 132.24 132.25 132.26 132.27 132.28 132.29 132.30 132.31 133.1 133.2 133.3 133.4 133.5 133.6 133.7 133.8 133.9 133.10 133.11 133.12 133.13 133.14 133.15 133.16 133.17 133.18 133.19 133.20 133.21 133.22 133.23 133.24 133.25 133.26 133.27 133.28 133.29 133.30 133.31 133.32 133.33 134.1 134.2 134.3 134.4 134.5 134.6 134.7 134.8 134.9 134.10 134.11 134.12 134.13 134.14 134.15 134.16 134.17 134.18 134.19 134.20 134.21 134.22 134.23 134.24 134.25 134.26 134.27 134.28 134.29 134.30 134.31 134.32 134.33 134.34 135.1 135.2 135.3 135.4 135.5 135.6 135.7 135.8 135.9 135.10 135.11 135.12 135.13 135.14 135.15 135.16 135.17 135.18 135.19 135.20 135.21 135.22 135.23 135.24 135.25 135.26 135.27 135.28 135.29 135.30 135.31 135.32 135.33 135.34 135.35 136.1 136.2 136.3 136.4 136.5 136.6 136.7 136.8 136.9 136.10 136.11 136.12 136.13 136.14 136.15 136.16 136.17 136.18 136.19 136.20
136.21 136.22 136.23 136.24 136.25 136.26 136.27 136.28 136.29 136.30 136.31 136.32 136.33 136.34 137.1 137.2 137.3 137.4 137.5 137.6 137.7 137.8 137.9 137.10 137.11 137.12 137.13 137.14 137.15 137.16 137.17 137.18 137.19 137.20 137.21 137.22 137.23 137.24 137.25 137.26 137.27 137.28 137.29 137.30 137.31 137.32 137.33 137.34 138.1 138.2 138.3 138.4 138.5 138.6 138.7 138.8 138.9 138.10 138.11 138.12 138.13 138.14 138.15 138.16 138.17 138.18 138.19 138.20 138.21 138.22 138.23 138.24 138.25 138.26 138.27 138.28 138.29 138.30 138.31 138.32 138.33 139.1 139.2 139.3 139.4 139.5 139.6 139.7
139.8 139.9 139.10 139.11 139.12 139.13
139.14 139.15 139.16 139.17 139.18 139.19 139.20 139.21 139.22 139.23 139.24 139.25 139.26 139.27 139.28 139.29 139.30 139.31 139.32
140.1 140.2 140.3 140.4 140.5 140.6 140.7 140.8 140.9 140.10
140.11 140.12 140.13 140.14 140.15 140.16 140.17 140.18 140.19 140.20 140.21 140.22 140.23 140.24 140.25 140.26 140.27 140.28 140.29 140.30 140.31 140.32 141.1 141.2 141.3 141.4 141.5 141.6 141.7 141.8 141.9 141.10 141.11 141.12 141.13 141.14 141.15 141.16 141.17 141.18 141.19 141.20 141.21 141.22 141.23 141.24 141.25 141.26 141.27 141.28 141.29 141.30 141.31 141.32 141.33 142.1 142.2 142.3 142.4 142.5 142.6 142.7 142.8 142.9 142.10 142.11 142.12 142.13 142.14 142.15 142.16 142.17 142.18 142.19 142.20 142.21 142.22 142.23 142.24 142.25 142.26 142.27 142.28 142.29 142.30 142.31 142.32 142.33 142.34 142.35 143.1 143.2 143.3 143.4 143.5 143.6 143.7 143.8 143.9 143.10 143.11 143.12 143.13 143.14 143.15 143.16 143.17 143.18 143.19 143.20 143.21 143.22 143.23 143.24 143.25 143.26 143.27 143.28 143.29 143.30 143.31 144.1 144.2 144.3 144.4 144.5 144.6 144.7 144.8 144.9 144.10 144.11 144.12 144.13 144.14 144.15 144.16 144.17 144.18 144.19 144.20 144.21 144.22 144.23 144.24 144.25 144.26 144.27 144.28 144.29 144.30 144.31 144.32 144.33 144.34 144.35 145.1 145.2 145.3 145.4 145.5 145.6 145.7 145.8 145.9 145.10 145.11 145.12 145.13 145.14 145.15 145.16 145.17 145.18 145.19 145.20 145.21 145.22 145.23 145.24 145.25 145.26 145.27 145.28 145.29 145.30 145.31 145.32 145.33 145.34 145.35 146.1 146.2 146.3 146.4 146.5 146.6 146.7 146.8 146.9 146.10 146.11 146.12 146.13 146.14 146.15 146.16 146.17 146.18 146.19 146.20 146.21 146.22 146.23 146.24 146.25 146.26 146.27 146.28 146.29 146.30 146.31 146.32 146.33 146.34 147.1 147.2 147.3 147.4 147.5 147.6 147.7 147.8 147.9 147.10 147.11 147.12 147.13 147.14 147.15 147.16 147.17 147.18 147.19 147.20 147.21 147.22 147.23 147.24 147.25 147.26 147.27 147.28 147.29 147.30 147.31 147.32 147.33 147.34 148.1 148.2 148.3 148.4 148.5 148.6 148.7 148.8 148.9 148.10 148.11 148.12 148.13 148.14 148.15 148.16 148.17 148.18 148.19 148.20 148.21 148.22 148.23 148.24 148.25 148.26 148.27 148.28 148.29 148.30 148.31 148.32 148.33 148.34 149.1 149.2 149.3 149.4 149.5 149.6 149.7 149.8 149.9 149.10 149.11 149.12 149.13 149.14 149.15 149.16 149.17 149.18 149.19 149.20 149.21 149.22 149.23 149.24 149.25 149.26 149.27 149.28 149.29 149.30 149.31 149.32 149.33 149.34 149.35 149.36 150.1 150.2 150.3 150.4 150.5 150.6 150.7 150.8 150.9 150.10 150.11 150.12 150.13 150.14 150.15 150.16 150.17 150.18 150.19 150.20 150.21
150.22 150.23 150.24 150.25 150.26 150.27 150.28
150.29
150.30 150.31 150.32 151.1 151.2 151.3
151.4
151.5 151.6 151.7
151.8
151.9 151.10 151.11
151.12
151.13 151.14 151.15 151.16 151.17 151.18 151.19 151.20
151.21
151.22 151.23 151.24 151.25 151.26 151.27 151.28 151.29 151.30 152.1 152.2
152.3 152.4 152.5
152.6 152.7
152.8 152.9
152.10 152.11 152.12 152.13 152.14 152.15 152.16 152.17 152.18 152.19 152.20 152.21
152.22 152.23 152.24 152.25 152.26 152.27 152.28 152.29 152.30 152.31 152.32 153.1 153.2 153.3 153.4
153.5
153.6 153.7 153.8 153.9
153.10 153.11 153.12
153.13 153.14 153.15 153.16 153.17 153.18
153.19 153.20 153.21 153.22 153.23
153.24 153.25 153.26 153.27 153.28 153.29 153.30 154.1 154.2 154.3 154.4 154.5 154.6 154.7 154.8 154.9 154.10 154.11
154.12 154.13 154.14 154.15 154.16 154.17 154.18 154.19 154.20 154.21 154.22 154.23 154.24
154.25 154.26 154.27 154.28 154.29 154.30
154.31
154.32 155.1 155.2 155.3 155.4 155.5
155.6 155.7 155.8 155.9 155.10 155.11 155.12 155.13 155.14 155.15 155.16 155.17 155.18 155.19 155.20 155.21 155.22 155.23 155.24
155.25 155.26 155.27 155.28 155.29 155.30 155.31 155.32 155.33 155.34 156.1 156.2 156.3 156.4 156.5 156.6 156.7 156.8 156.9 156.10
156.11 156.12 156.13 156.14 156.15 156.16
156.17 156.18 156.19 156.20 156.21 156.22 156.23 156.24 156.25 156.26 156.27
156.28 156.29 156.30 156.31 156.32 156.33 157.1 157.2
157.3 157.4 157.5 157.6
157.7 157.8 157.9 157.10 157.11 157.12 157.13 157.14 157.15 157.16 157.17 157.18 157.19
157.20 157.21
157.22 157.23 157.24 157.25 157.26
157.27 157.28 157.29 157.30 157.31 158.1 158.2
158.3 158.4 158.5 158.6 158.7 158.8
158.9 158.10 158.11 158.12 158.13 158.14 158.15 158.16 158.17 158.18 158.19 158.20 158.21 158.22 158.23 158.24 158.25 158.26 158.27 158.28 158.29 158.30 158.31 158.32
158.33 159.1 159.2 159.3 159.4 159.5 159.6 159.7 159.8 159.9 159.10 159.11 159.12 159.13 159.14 159.15 159.16 159.17
159.18 159.19 159.20 159.21 159.22 159.23 159.24 159.25 159.26 159.27 159.28 159.29 159.30 159.31 159.32 159.33 159.34
160.1 160.2 160.3 160.4 160.5 160.6 160.7
160.8 160.9 160.10 160.11 160.12 160.13 160.14
160.15 160.16 160.17 160.18 160.19 160.20 160.21 160.22 160.23 160.24 160.25 160.26 160.27 160.28 160.29 160.30 160.31 160.32 160.33 160.34 161.1 161.2 161.3 161.4 161.5 161.6 161.7 161.8 161.9 161.10 161.11 161.12 161.13 161.14 161.15 161.16 161.17 161.18 161.19 161.20 161.21 161.22 161.23 161.24 161.25 161.26 161.27 161.28 161.29 161.30 161.31 161.32 161.33 161.34 161.35 162.1 162.2 162.3 162.4 162.5 162.6 162.7 162.8
162.9 162.10 162.11 162.12 162.13 162.14 162.15 162.16 162.17 162.18 162.19 162.20 162.21 162.22 162.23 162.24 162.25 162.26 162.27 162.28 162.29 162.30
162.31 162.32 162.33 162.34 163.1 163.2 163.3
163.4 163.5 163.6 163.7 163.8 163.9 163.10 163.11 163.12 163.13 163.14
163.15 163.16 163.17 163.18 163.19 163.20 163.21 163.22 163.23 163.24 163.25 163.26
163.27 163.28 163.29 163.30 163.31 163.32 163.33 164.1 164.2 164.3 164.4 164.5 164.6 164.7 164.8 164.9 164.10 164.11 164.12 164.13 164.14 164.15 164.16 164.17 164.18 164.19 164.20 164.21
164.22 164.23 164.24 164.25 164.26 164.27 164.28
164.29 164.30 164.31 164.32 164.33 164.34 165.1 165.2 165.3 165.4 165.5 165.6 165.7 165.8 165.9 165.10 165.11 165.12 165.13 165.14 165.15 165.16
165.17 165.18 165.19 165.20 165.21 165.22 165.23 165.24 165.25 165.26 165.27 165.28 165.29 165.30 165.31 165.32 165.33 165.34 165.35 166.1 166.2 166.3
166.4 166.5 166.6 166.7 166.8 166.9 166.10 166.11 166.12 166.13 166.14 166.15 166.16 166.17 166.18 166.19 166.20 166.21 166.22
166.23 166.24 166.25 166.26 166.27 166.28 166.29 166.30 166.31 166.32 166.33 166.34 167.1 167.2 167.3 167.4 167.5 167.6 167.7 167.8 167.9 167.10 167.11 167.12 167.13 167.14 167.15 167.16 167.17 167.18 167.19 167.20 167.21 167.22 167.23 167.24 167.25 167.26 167.27 167.28 167.29 167.30
167.31 167.32 167.33 167.34
168.1 168.2 168.3 168.4
168.5 168.6 168.7 168.8 168.9
168.10 168.11 168.12 168.13 168.14 168.15 168.16 168.17 168.18
168.19 168.20 168.21 168.22 168.23 168.24 168.25 168.26 168.27 168.28 168.29 168.30 168.31 168.32 169.1 169.2 169.3
169.4 169.5 169.6 169.7 169.8 169.9 169.10 169.11 169.12 169.13 169.14 169.15 169.16 169.17 169.18 169.19 169.20 169.21 169.22 169.23 169.24 169.25 169.26 169.27 169.28 169.29
169.30 169.31 169.32 169.33 169.34 170.1 170.2 170.3 170.4 170.5 170.6 170.7 170.8 170.9 170.10 170.11 170.12 170.13 170.14 170.15
170.16 170.17 170.18 170.19 170.20 170.21 170.22 170.23 170.24 170.25 170.26 170.27 170.28 170.29
170.30 170.31 170.32 170.33 170.34 171.1 171.2
171.3 171.4 171.5 171.6 171.7 171.8 171.9 171.10 171.11 171.12 171.13 171.14 171.15 171.16 171.17 171.18 171.19 171.20 171.21 171.22
171.23 171.24 171.25 171.26 171.27 171.28 171.29
171.30 171.31 171.32 171.33 172.1 172.2 172.3 172.4
172.5 172.6 172.7 172.8 172.9 172.10 172.11 172.12 172.13 172.14 172.15 172.16 172.17 172.18
172.19 172.20 172.21 172.22 172.23 172.24 172.25 172.26 172.27 172.28 172.29
172.30 172.31 172.32 172.33 173.1 173.2 173.3 173.4 173.5 173.6 173.7 173.8 173.9 173.10 173.11 173.12 173.13 173.14 173.15
173.16 173.17 173.18 173.19 173.20 173.21 173.22 173.23 173.24 173.25 173.26 173.27 173.28 173.29 173.30 173.31 173.32 173.33 173.34 173.35 174.1 174.2 174.3 174.4 174.5 174.6 174.7 174.8 174.9 174.10 174.11 174.12 174.13 174.14
174.15 174.16 174.17 174.18 174.19 174.20 174.21 174.22 174.23 174.24 174.25 174.26 174.27 174.28 174.29 174.30 174.31 174.32 174.33 174.34 174.35 175.1 175.2 175.3 175.4 175.5 175.6 175.7 175.8 175.9 175.10 175.11 175.12 175.13 175.14 175.15
175.16 175.17 175.18 175.19 175.20 175.21 175.22 175.23 175.24 175.25 175.26 175.27 175.28 175.29 175.30 175.31 175.32 175.33 176.1 176.2 176.3 176.4 176.5 176.6 176.7 176.8 176.9 176.10 176.11 176.12
176.13 176.14 176.15 176.16 176.17 176.18 176.19 176.20 176.21 176.22 176.23 176.24 176.25 176.26 176.27 176.28 176.29 176.30 176.31 176.32
177.1 177.2 177.3 177.4 177.5 177.6 177.7 177.8 177.9 177.10 177.11 177.12 177.13 177.14 177.15 177.16 177.17 177.18 177.19
177.20 177.21 177.22 177.23 177.24 177.25 177.26 177.27 177.28 177.29 177.30 177.31 177.32 177.33 177.34 177.35 178.1 178.2
178.3 178.4 178.5 178.6 178.7 178.8
178.9 178.10 178.11 178.12 178.13 178.14 178.15 178.16 178.17 178.18 178.19 178.20 178.21 178.22 178.23 178.24 178.25 178.26 178.27 178.28 178.29 178.30 178.31 178.32 178.33 178.34 179.1 179.2 179.3 179.4 179.5 179.6 179.7 179.8 179.9 179.10 179.11 179.12 179.13 179.14 179.15 179.16 179.17 179.18 179.19 179.20 179.21 179.22 179.23 179.24 179.25 179.26 179.27 179.28 179.29 179.30
179.31 179.32 179.33 180.1 180.2 180.3 180.4 180.5 180.6 180.7 180.8
180.9 180.10 180.11 180.12 180.13 180.14 180.15 180.16 180.17 180.18 180.19 180.20 180.21 180.22 180.23 180.24 180.25 180.26 180.27
180.28 180.29 180.30 180.31 180.32 180.33 180.34
181.1 181.2 181.3 181.4 181.5 181.6 181.7 181.8 181.9 181.10 181.11 181.12 181.13 181.14 181.15 181.16 181.17 181.18 181.19 181.20 181.21 181.22
181.23 181.24 181.25 181.26 181.27 181.28 181.29 181.30 181.31 181.32 181.33 181.34
182.1 182.2 182.3 182.4 182.5 182.6 182.7 182.8 182.9 182.10 182.11 182.12 182.13 182.14
182.15 182.16 182.17 182.18 182.19 182.20 182.21 182.22 182.23 182.24 182.25 182.26 182.27 182.28 182.29 182.30 182.31 182.32 182.33 182.34 182.35 183.1 183.2 183.3 183.4 183.5 183.6
183.7 183.8 183.9 183.10 183.11 183.12 183.13 183.14 183.15 183.16 183.17 183.18 183.19 183.20 183.21 183.22 183.23 183.24 183.25 183.26 183.27 183.28 183.29 183.30 183.31 183.32 183.33 183.34 183.35 184.1 184.2 184.3 184.4 184.5 184.6 184.7 184.8 184.9 184.10 184.11 184.12 184.13 184.14 184.15 184.16 184.17 184.18 184.19 184.20 184.21 184.22 184.23 184.24 184.25 184.26 184.27 184.28 184.29 184.30 184.31 184.32 184.33 184.34 184.35 185.1 185.2 185.3 185.4 185.5 185.6 185.7 185.8 185.9 185.10 185.11 185.12 185.13 185.14 185.15
185.16 185.17 185.18 185.19 185.20 185.21 185.22 185.23 185.24 185.25
185.26 185.27 185.28 185.29 185.30 185.31 185.32 185.33 186.1 186.2 186.3
186.4 186.5 186.6 186.7 186.8 186.9 186.10 186.11 186.12 186.13 186.14 186.15 186.16 186.17 186.18 186.19 186.20 186.21 186.22 186.23 186.24 186.25 186.26 186.27 186.28 186.29 186.30 186.31 186.32 186.33 186.34 186.35 187.1 187.2 187.3 187.4 187.5 187.6 187.7 187.8 187.9 187.10 187.11 187.12 187.13 187.14 187.15 187.16 187.17 187.18 187.19
187.20 187.21 187.22 187.23 187.24 187.25
187.26 187.27 187.28 187.29 187.30 187.31 187.32 187.33 187.34 188.1 188.2 188.3 188.4 188.5 188.6 188.7
188.8 188.9 188.10 188.11 188.12 188.13 188.14 188.15 188.16
188.17 188.18 188.19 188.20 188.21 188.22 188.23 188.24 188.25 188.26 188.27 188.28 188.29 188.30 188.31 188.32 188.33 189.1 189.2 189.3 189.4 189.5 189.6
189.7 189.8 189.9 189.10 189.11 189.12 189.13 189.14 189.15 189.16 189.17 189.18 189.19 189.20 189.21 189.22 189.23 189.24 189.25 189.26 189.27 189.28 189.29 189.30 189.31 189.32 189.33 189.34 189.35 190.1 190.2 190.3 190.4 190.5 190.6 190.7 190.8 190.9 190.10 190.11 190.12 190.13 190.14 190.15 190.16 190.17 190.18 190.19 190.20 190.21 190.22 190.23 190.24 190.25 190.26 190.27 190.28 190.29 190.30 190.31 190.32 190.33 190.34 190.35 190.36 191.1 191.2 191.3 191.4 191.5 191.6 191.7 191.8 191.9 191.10 191.11 191.12 191.13 191.14 191.15
191.16 191.17 191.18 191.19 191.20 191.21 191.22 191.23 191.24 191.25 191.26 191.27 191.28 191.29 191.30 191.31 191.32 191.33 191.34 191.35 192.1 192.2 192.3 192.4 192.5 192.6
192.7 192.8 192.9 192.10 192.11 192.12 192.13 192.14 192.15 192.16 192.17 192.18 192.19 192.20 192.21 192.22 192.23 192.24 192.25 192.26 192.27
192.28
192.29 192.30 192.31 192.32 192.33 192.34 193.1 193.2
193.3 193.4 193.5 193.6 193.7 193.8 193.9 193.10 193.11 193.12 193.13 193.14 193.15 193.16 193.17 193.18 193.19 193.20 193.21 193.22 193.23 193.24 193.25 193.26 193.27 193.28 193.29 193.30 193.31 193.32 193.33 193.34 194.1 194.2 194.3 194.4 194.5 194.6 194.7 194.8 194.9 194.10 194.11 194.12 194.13 194.14 194.15 194.16 194.17 194.18 194.19 194.20 194.21 194.22 194.23 194.24 194.25 194.26
194.27 194.28 194.29 194.30 194.31 194.32 194.33 194.34 194.35 195.1 195.2 195.3 195.4 195.5 195.6 195.7 195.8 195.9 195.10 195.11 195.12 195.13 195.14 195.15 195.16 195.17 195.18 195.19 195.20 195.21 195.22 195.23 195.24 195.25 195.26 195.27 195.28 195.29 195.30 195.31 195.32 195.33 195.34 195.35 195.36 196.1 196.2 196.3 196.4 196.5 196.6 196.7 196.8 196.9 196.10 196.11 196.12 196.13 196.14 196.15 196.16 196.17 196.18 196.19 196.20 196.21 196.22 196.23 196.24 196.25 196.26 196.27 196.28 196.29 196.30 196.31 196.32 196.33 196.34 196.35 196.36 197.1 197.2 197.3 197.4 197.5 197.6 197.7 197.8 197.9 197.10 197.11 197.12 197.13 197.14 197.15 197.16 197.17 197.18 197.19 197.20
197.21 197.22 197.23 197.24 197.25 197.26 197.27 197.28
197.29
197.30 197.31 197.32 197.33 197.34 198.1 198.2 198.3 198.4 198.5 198.6 198.7 198.8 198.9 198.10 198.11 198.12 198.13 198.14 198.15 198.16 198.17 198.18 198.19 198.20 198.21 198.22 198.23 198.24 198.25 198.26 198.27 198.28 198.29 198.30 198.31 198.32 198.33 198.34 198.35 199.1 199.2
199.3 199.4
199.5 199.6 199.7 199.8 199.9 199.10 199.11 199.12 199.13 199.14 199.15 199.16 199.17 199.18 199.19 199.20 199.21 199.22 199.23 199.24 199.25 199.26 199.27 199.28 199.29 199.30 199.31 199.32 199.33 199.34 199.35 200.1 200.2 200.3 200.4 200.5 200.6 200.7 200.8 200.9 200.10 200.11 200.12 200.13 200.14 200.15 200.16 200.17 200.18 200.19 200.20 200.21 200.22 200.23 200.24 200.25 200.26 200.27 200.28 200.29 200.30 200.31 200.32 200.33 200.34 200.35 200.36 201.1 201.2 201.3 201.4
201.5
201.6 201.7 201.8 201.9 201.10 201.11 201.12 201.13 201.14 201.15 201.16 201.17
201.18 201.19 201.20 201.21 201.22 201.23 201.24 201.25 201.26 201.27 201.28 201.29 201.30 201.31 201.32
201.33 202.1 202.2 202.3 202.4 202.5 202.6 202.7 202.8 202.9 202.10 202.11 202.12 202.13 202.14 202.15 202.16 202.17 202.18 202.19 202.20 202.21 202.22 202.23 202.24 202.25 202.26 202.27 202.28 202.29 202.30 202.31 202.32 202.33 202.34 203.1 203.2 203.3 203.4 203.5 203.6 203.7 203.8 203.9 203.10 203.11 203.12 203.13 203.14 203.15 203.16 203.17 203.18 203.19 203.20 203.21 203.22 203.23 203.24 203.25 203.26 203.27 203.28 203.29 203.30 203.31
203.32
203.33 203.34 204.1 204.2 204.3 204.4 204.5 204.6 204.7 204.8
204.9 204.10 204.11 204.12 204.13 204.14 204.15 204.16 204.17 204.18 204.19 204.20
204.21 204.22 204.23 204.24 204.25 204.26 204.27
204.28 204.29 204.30 204.31 204.32
205.1 205.2 205.3 205.4 205.5 205.6 205.7 205.8 205.9 205.10 205.11 205.12 205.13 205.14 205.15 205.16 205.17 205.18 205.19 205.20 205.21 205.22 205.23 205.24 205.25 205.26 205.27 205.28 205.29 205.30 205.31 205.32 205.33 205.34 205.35 206.1 206.2 206.3 206.4 206.5 206.6 206.7 206.8 206.9 206.10 206.11 206.12 206.13 206.14 206.15 206.16 206.17 206.18
206.19
206.20 206.21 206.22 206.23 206.24
206.25 206.26 206.27 206.28
206.29 206.30 206.31 206.32 207.1 207.2
207.3 207.4 207.5 207.6 207.7
207.8 207.9
207.10 207.11
207.12 207.13 207.14 207.15 207.16 207.17 207.18 207.19 207.20 207.21 207.22
207.23 207.24
207.25 207.26 207.27 207.28 207.29 207.30 207.31 208.1 208.2 208.3 208.4 208.5 208.6 208.7 208.8 208.9 208.10 208.11 208.12 208.13 208.14 208.15 208.16 208.17 208.18 208.19 208.20 208.21 208.22 208.23 208.24 208.25 208.26 208.27 208.28 208.29 208.30 208.31 208.32 208.33 208.34 208.35 209.1 209.2 209.3 209.4 209.5 209.6 209.7 209.8 209.9 209.10 209.11 209.12 209.13 209.14 209.15 209.16 209.17 209.18 209.19 209.20 209.21 209.22 209.23 209.24 209.25 209.26 209.27 209.28 209.29 209.30 209.31 209.32
209.33 209.34
209.35 210.1 210.2 210.3 210.4 210.5 210.6 210.7 210.8 210.9 210.10 210.11 210.12 210.13 210.14 210.15 210.16 210.17 210.18 210.19 210.20 210.21 210.22 210.23 210.24 210.25 210.26 210.27 210.28 210.29 210.30 210.31 210.32 210.33 210.34 210.35 210.36 211.1 211.2 211.3 211.4 211.5 211.6 211.7 211.8 211.9 211.10 211.11 211.12 211.13 211.14 211.15 211.16 211.17 211.18 211.19 211.20 211.21 211.22
211.23 211.24
211.25 211.26 211.27 211.28 211.29 211.30 211.31 211.32 211.33 211.34 212.1 212.2 212.3 212.4 212.5 212.6 212.7 212.8 212.9
212.10
212.11 212.12 212.13 212.14 212.15 212.16
212.17 212.18
212.19 212.20 212.21 212.22 212.23 212.24 212.25 212.26 212.27 212.28 212.29 212.30 212.31 212.32 213.1 213.2 213.3 213.4 213.5 213.6 213.7 213.8 213.9 213.10 213.11 213.12 213.13 213.14 213.15 213.16 213.17
213.18 213.19
213.20 213.21 213.22 213.23 213.24 213.25 213.26 213.27 213.28 213.29 213.30 213.31 213.32 213.33 213.34 213.35 214.1 214.2 214.3 214.4 214.5 214.6 214.7 214.8 214.9 214.10 214.11 214.12 214.13 214.14 214.15 214.16 214.17
214.18 214.19 214.20 214.21 214.22 214.23 214.24 214.25 214.26 214.27 214.28 214.29 214.30 214.31 214.32 214.33 214.34 214.35 215.1 215.2 215.3
215.4 215.5 215.6 215.7 215.8 215.9
215.10 215.11 215.12 215.13

A bill for an act
relating to state government; modifying provisions related to continuing care,
health care, MNsure, Health Department, chemical and mental health, children
and families, health-related licensing, human services forecast adjustments,
health and human services appropriations, state government appropriations, state
government, and public safety; making technical changes; adjusting rates for
nursing facilities in border cities; limiting appropriations and transfers to MNsure;
amending provisions relating to abortion; creating licenses relating to orthotics
and genetic counselors; modifying barber licenses; modifying fees; canceling
part of the senate carryforward account to the general fund; requiring savings
from reducing salaries in the executive branch, instituting a hiring freeze, and
limiting nonessential travel and advertising; requiring receipts from examinations
by the state auditor be credited to the general fund; transferring funds in the
state auditor enterprise fund to the general fund; suspending the public subsidy
program for state elections to the end of fiscal year 2017; requiring the legislative
auditor to participate in preparing fiscal notes, revenue estimates, and local
impact notes; requiring county payments and political subdivision payments
for state auditor costs be deposited in the general fund; requiring a centralized
tracking list of agency projects over $100,000; limiting fee or fine increases;
requiring disclosure to the legislative auditor on potential federal penalties for the
purchase or sale of state bonds; requiring legislature be notified of certain costs in
state construction projects; requiring approval for certain state building projects;
requiring termination of state grant agreement if recipient is convicted of a
criminal offense related to the grant agreement; prohibiting fees for general fund
grant administration; requiring audit of delegated authority; adding a provision
for targeted group business; limiting number of full-time employees; changing
provisions in the Veterans Preference Act; changing a provision for the IRRRB;
changing payments from the manufactured home relocation trust fund; requiring
a public hearing if a proposed interim ordinance deals with housing; modifying
health insurance provisions related to school districts and certain self-insurance
pools; requiring reports; designating parking ramp financing; establishing
Legislative Surrogacy Commission; requiring a study; increasing fine for certain
traffic violations around school buses; enhancing penalties and establishing
minimum fines for repeat violations of driving without a license; allowing
alcohol use by sensory testing services; extending funding for avian influenza
and agricultural emergency response; authorizing commissioner of corrections to
negotiate for facility to house offenders; increasing maximum sentence for felony
assault motivated by bias; prohibiting the use of unmanned vehicles near public
safety helicopters; providing for a fund transfer from the correctional industries
revolving fund to the general fund; authorizing rulemaking; appropriating
money;amending Minnesota Statutes 2014, sections 3.3005, subdivisions 3, 3b,
4, 5, 6, by adding subdivisions; 3.971, by adding a subdivision; 3.98; 3.987,
subdivision 1; 6.56, subdivision 2; 6.581, subdivision 4; 16A.103, by adding
a subdivision; 16A.1283; 16B.335, subdivision 1; 16C.03, subdivision 16;
16C.16, subdivision 5; 16E.0466; 16E.21, subdivision 2, by adding subdivisions;
62J.495, subdivision 4; 62J.496, subdivision 1; 62V.04, subdivisions 2, 3, 4;
62V.05, subdivision 2, by adding subdivisions; 62V.11, by adding a subdivision;
119B.13, subdivision 1; 144.05, by adding a subdivision; 144.293, subdivision
2; 144A.071, subdivisions 4c, 4d; 144A.073, subdivisions 13, 14, by adding a
subdivision; 144A.471, subdivision 9; 144A.611, subdivisions 1, 2, by adding a
subdivision; 144A.75, subdivisions 5, 6, 8, by adding a subdivision; 145.4716,
subdivision 2, by adding a subdivision; 145.882, subdivisions 2, 3, 7; 145.925,
subdivisions 1, 1a, by adding subdivisions; 149A.50, subdivision 2; 154.001,
subdivision 2; 154.002; 154.01; 154.02; 154.04; 154.05; 154.065, subdivisions 2,
4; 154.07; 154.08; 154.09; 154.10, subdivision 2; 154.11, subdivision 1; 154.14;
154.15; 154.161, subdivision 7; 154.162; 154.19; 154.21; 154.24; 154.25;
157.15, subdivision 14; 169.444, subdivision 2; 171.24; 197.455, subdivision
1; 243.166, subdivision 1b; 245.99, subdivision 2; 254B.03, subdivision 4;
254B.04, subdivision 2a; 254B.06, subdivision 2, by adding a subdivision;
256.01, by adding a subdivision; 256B.042, by adding a subdivision; 256B.0621,
subdivision 10; 256B.0625, by adding subdivisions; 256B.0644; 256B.0924, by
adding a subdivision; 256B.15, subdivisions 1a, 2, by adding a subdivision;
256D.051, subdivision 6b; 256L.02, by adding a subdivision; 298.22, subdivision
1; 299A.41, subdivision 3; 327.14, subdivision 8; 327C.03, subdivision 6;
327C.095, subdivisions 12, 13; 353.01, subdivision 43; 462.355, subdivision
4; 471.6161, subdivision 8; 471.617, subdivision 2; 471.895, subdivision 1;
518.175, subdivision 5; 518A.34; 518A.36; 609.3241; 626.558, subdivisions
1, 2, by adding a subdivision; Minnesota Statutes 2015 Supplement, sections
6.481, subdivision 6; 16C.073, subdivision 2; 62V.03, subdivision 2; 144A.75,
subdivision 13; 145.4131, subdivision 1; 149A.92, subdivision 1; 154.003;
154.11, subdivision 3; 154.161, subdivision 4; 197.46; 245.735, subdivisions 3,
4; 256B.059, subdivision 5; 256B.0625, subdivisions 17a, 18a, 20; 256B.431,
subdivision 36; 256B.441, subdivisions 13, 53, 66; 256B.76, subdivisions
2, 4; 256B.766; 518A.26, subdivision 14; 518A.39, subdivision 2; 609.324,
subdivision 1; Laws 2015, chapter 65, article 1, section 18; Laws 2015, chapter
71, article 1, section 125; article 14, sections 2, subdivision 5, as amended; 4,
subdivisions 1, 3, 5, 10, 11; 9; Laws 2015, chapter 77, article 1, section 11,
subdivision 4; proposing coding for new law in Minnesota Statutes, chapters
16A; 16B; 16C; 43A; 45; 62V; 144; 145; 148; 245A; 254B; 256B; 325E; 518A;
609; proposing coding for new law as Minnesota Statutes, chapters 147F;
153B; repealing Minnesota Statutes 2014, sections 3.886; 6.581, subdivision 1;
62V.01; 62V.02; 62V.03, subdivisions 1, 3; 62V.04; 62V.05, subdivisions 1, 2,
3, 4, 5, 9, 10; 62V.06; 62V.07; 62V.08; 62V.09; 62V.10; 62V.11, subdivisions
1, 2, 4; 144.058; 145.925, subdivision 2; 149A.92, subdivision 11; 154.03;
154.06; 154.11, subdivision 2; 154.12; 179A.50; 179A.51; 179A.52; 179A.53;
Minnesota Statutes 2015 Supplement, sections 62V.03, subdivision 2; 62V.05,
subdivisions 6, 7, 8, 11; 62V.051; Minnesota Rules, parts 7700.0010; 7700.0020;
7700.0030; 7700.0040; 7700.0050; 7700.0060; 7700.0070; 7700.0080;
7700.0090; 7700.0100; 7700.0101; 7700.0105.

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

ARTICLE 1

CONTINUING CARE

Section 1.

new text begin [62V.055] ADDITIONAL NOTICE TO APPLICANTS.
new text end

new text begin The board, in consultation with the commissioner of human services, shall include in
the combined application for medical assistance, MinnesotaCare, and qualified health plan
coverage available through the MNsure portal, information and notice on the following:
new text end

new text begin (1) that when an applicant submits the combined application, eligibility for
subsidized coverage will be determined in the following order:
new text end

new text begin (i) medical assistance;
new text end

new text begin (ii) MinnesotaCare;
new text end

new text begin (iii) advanced premium tax credits and cost-sharing subsidies; and
new text end

new text begin (iv) qualified health plan coverage without a subsidy;
new text end

new text begin (2) persons eligible for medical assistance are not eligible for MinnesotaCare, and
persons eligible for medical assistance or MinnesotaCare are not eligible for advanced
premium tax credits and cost-sharing subsidies; and
new text end

new text begin (3) if a person enrolls in medical assistance, the state may claim repayment for the
cost of medical care or premiums paid for that care from the person's estate.
new text end

Sec. 2.

Minnesota Statutes 2014, section 144A.071, subdivision 4c, is amended to read:


Subd. 4c.

Exceptions for replacement beds after June 30, 2003.

(a) The
commissioner of health, in coordination with the commissioner of human services, may
approve the renovation, replacement, upgrading, or relocation of a nursing home or
boarding care home, under the following conditions:

(1) to license and certify an 80-bed city-owned facility in Nicollet County to be
constructed on the site of a new city-owned hospital to replace an existing 85-bed facility
attached to a hospital that is also being replaced. The threshold allowed for this project
under section 144A.073 shall be the maximum amount available to pay the additional
medical assistance costs of the new facility;

(2) to license and certify 29 beds to be added to an existing 69-bed facility in St.
Louis County, provided that the 29 beds must be transferred from active or layaway status
at an existing facility in St. Louis County that had 235 beds on April 1, 2003.

The licensed capacity at the 235-bed facility must be reduced to 206 beds, but the payment
rate at that facility shall not be adjusted as a result of this transfer. The operating payment
rate of the facility adding beds after completion of this project shall be the same as it was
on the day prior to the day the beds are licensed and certified. This project shall not
proceed unless it is approved and financed under the provisions of section 144A.073;

(3) to license and certify a new 60-bed facility in Austin, provided that: (i) 45 of
the new beds are transferred from a 45-bed facility in Austin under common ownership
that is closed and 15 of the new beds are transferred from a 182-bed facility in Albert Lea
under common ownership; (ii) the commissioner of human services is authorized by the
2004 legislature to negotiate budget-neutral planned nursing facility closures; and (iii)
money is available from planned closures of facilities under common ownership to make
implementation of this clause budget-neutral to the state. The bed capacity of the Albert
Lea facility shall be reduced to 167 beds following the transfer. Of the 60 beds at the
new facility, 20 beds shall be used for a special care unit for persons with Alzheimer's
disease or related dementias;

(4) to license and certify up to 80 beds transferred from an existing state-owned
nursing facility in Cass County to a new facility located on the grounds of the
Ah-Gwah-Ching campus. The operating cost payment rates for the new facility shall be
determined based on the interim and settle-up payment provisions of Minnesota Rules,
part 9549.0057, and the reimbursement provisions of section 256B.431. The property
payment rate for the first three years of operation shall be $35 per day. For subsequent
years, the property payment rate of $35 per day shall be adjusted for inflation as provided
in section 256B.434, subdivision 4, paragraph (c), as long as the facility has a contract
under section 256B.434;

(5) to initiate a pilot program to license and certify up to 80 beds transferred from
an existing county-owned nursing facility in Steele County relocated to the site of a new
acute care facility as part of the county's Communities for a Lifetime comprehensive plan
to create innovative responses to the aging of its population. Upon relocation to the new
site, the nursing facility shall delicense 28 beds. The deleted text beginpropertydeleted text end payment rate for deleted text beginthe first
three years of operation of
deleted text endnew text begin external fixed costs fornew text end the new facility shall be increased by an
amount as calculated according to items (i) to (v):

(i) compute the estimated decrease in medical assistance residents served by the
nursing facility by multiplying the decrease in licensed beds by the historical percentage
of medical assistance resident days;

(ii) compute the annual savings to the medical assistance program from the
delicensure of 28 beds by multiplying the anticipated decrease in medical assistance
residents, determined in item (i), by the existing facility's weighted average payment rate
multiplied by 365;

(iii) compute the anticipated annual costs for community-based services by
multiplying the anticipated decrease in medical assistance residents served by the nursing
facility, determined in item (i), by the average monthly elderly waiver service costs for
individuals in Steele County multiplied by 12;

(iv) subtract the amount in item (iii) from the amount in item (ii); new text beginand
new text end

(v) divide the amount in item (iv) by an amount equal to the relocated nursing
facility's occupancy factor under section 256B.431, subdivision 3f, paragraph (c),
multiplied by the historical percentage of medical assistance resident daysdeleted text begin.deleted text endnew text begin; and
new text end

deleted text begin For subsequent years, the adjusted property payment rate shall be adjusted for
inflation as provided in section 256B.434, subdivision 4, paragraph (c), as long as the
facility has a contract under section 256B.434; and
deleted text end

(6) to consolidate and relocate nursing facility beds to a new site in Goodhue County
and to integrate these services with other community-based programs and services under a
communities for a lifetime pilot program and comprehensive plan to create innovative
responses to the aging of its population. deleted text beginEighty beds in the city of Red Wing shall be
transferred from the downsizing and relocation of an existing 84-bed, hospital-owned
nursing facility and the entire closure or downsizing of beds from a 65-bed nonprofit
nursing facility in the community resulting in the delicensure of 69 beds in the two
existing facilities
deleted text endnew text begin Two nursing facilities, one for 84 beds and one for 65 beds, in the city of
Red Wing licensed on July 1, 2015, shall be consolidated into a newly renovated 64-bed
nursing facility resulting in the delicensure of 85 beds
new text end. Notwithstanding the carryforward
of the approval authority in section 144A.073, subdivision 11, the funding approved in
April 2009 by the commissioner of health for a project in Goodhue County shall not carry
forward. The closure of the deleted text begin69deleted text endnew text begin 85new text end beds shall not be eligible for a planned closure rate
adjustment under section 256B.437. The construction project permitted in this clause shall
not be eligible for a threshold project rate adjustment under section 256B.434, subdivision
4f
. The deleted text beginpropertydeleted text end payment rate for deleted text beginthe first three years of operation ofdeleted text end new text beginexternal fixed costs for
new text endthe new facility shall be increased by an amount as calculated according to items (i) to (vi):

(i) compute the estimated decrease in medical assistance residents served by both
nursing facilities by multiplying the difference between the occupied beds of the two
nursing facilities for the reporting year ending September 30, 2009, and the projected
occupancy of the facility at 95 percent occupancy by the historical percentage of medical
assistance resident days;

(ii) compute the annual savings to the medical assistance program from the
delicensure by multiplying the anticipated decrease in the medical assistance residents,
determined in item (i), by the hospital-owned nursing facility weighted average payment
rate multiplied by 365;

(iii) compute the anticipated annual costs for community-based services by
multiplying the anticipated decrease in medical assistance residents served by the
facilities, determined in item (i), by the average monthly elderly waiver service costs for
individuals in Goodhue County multiplied by 12;

(iv) subtract the amount in item (iii) from the amount in item (ii);

(v) multiply the amount in item (iv) by deleted text begin48.5deleted text endnew text begin 57.2new text end percent; and

(vi) divide the difference of the amount in item (iv) and the amount in item (v) by an
amount equal to the relocated nursing facility's occupancy factor under section 256B.431,
subdivision 3f, paragraph (c), multiplied by the historical percentage of medical assistance
resident days.

deleted text begin For subsequent years, the adjusted property payment rate shall be adjusted for
inflation as provided in section 256B.434, subdivision 4, paragraph (c), as long as the
facility has a contract under section 256B.434.
deleted text end

(b) Projects approved under this subdivision shall be treated in a manner equivalent
to projects approved under subdivision 4a.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for rate years beginning on or after
January 1, 2017, except that the amendment to paragraph (a), clause (6), transferring the
rate adjustment in items (i) to (vi) from the property payment rate to the payment rate for
external fixed costs, is effective for rate years beginning on or after January 1, 2017, or
upon completion of the closure and new construction authorized in paragraph (a), clause
(6), whichever is later. The commissioner of human services shall notify the revisor
of statutes when the section is effective.
new text end

Sec. 3.

Minnesota Statutes 2014, section 144A.071, subdivision 4d, is amended to read:


Subd. 4d.

Consolidation of nursing facilities.

(a) The commissioner of health,
in consultation with the commissioner of human services, may approve a request for
consolidation of nursing facilities which includes the closure of one or more facilities
and the upgrading of the physical plant of the remaining nursing facility or facilities,
the costs of which exceed the threshold project limit under subdivision 2, clause (a).
The commissioners shall consider the criteria in this section, section 144A.073, and
section 256B.437, in approving or rejecting a consolidation proposal. In the event the
commissioners approve the request, the commissioner of human services shall calculate deleted text begina
property
deleted text endnew text begin an external fixed costsnew text end rate adjustment according to clauses (1) to (3):

(1) the closure of beds shall not be eligible for a planned closure rate adjustment
under section 256B.437, subdivision 6;

(2) the construction project permitted in this clause shall not be eligible for a
threshold project rate adjustment under section 256B.434, subdivision 4f, or a moratorium
exception adjustment under section 144A.073; and

(3) the deleted text beginpropertydeleted text end payment rate new text beginfor external fixed costs new text endfor a remaining facility or
facilities shall be increased by an amount equal to 65 percent of the projected net cost
savings to the state calculated in paragraph (b), divided by the state's medical assistance
percentage of medical assistance dollars, and then divided by estimated medical assistance
resident days, as determined in paragraph (c), of the remaining nursing facility or facilities
in the request in this paragraph. The rate adjustment is effective on the later of the first
day of the month following completion of the construction upgrades in the consolidation
plan or the first day of the month following the complete closure of a facility designated
for closure in the consolidation plan. If more than one facility is receiving upgrades in
the consolidation plan, each facility's date of construction completion must be evaluated
separately.

(b) For purposes of calculating the net cost savings to the state, the commissioner
shall consider clauses (1) to (7):

(1) the annual savings from estimated medical assistance payments from the net
number of beds closed taking into consideration only beds that are in active service on the
date of the request and that have been in active service for at least three years;

(2) the estimated annual cost of increased case load of individuals receiving services
under the elderly waiver;

(3) the estimated annual cost of elderly waiver recipients receiving support under
group residential housing;

(4) the estimated annual cost of increased case load of individuals receiving services
under the alternative care program;

(5) the annual loss of license surcharge payments on closed beds;

(6) the savings from not paying planned closure rate adjustments that the facilities
would otherwise be eligible for under section 256B.437; and

(7) the savings from not paying deleted text beginpropertydeleted text endnew text begin external fixed costsnew text end payment rate
adjustments from submission of renovation costs that would otherwise be eligible as
threshold projects under section 256B.434, subdivision 4f.

(c) For purposes of the calculation in paragraph (a), clause (3), the estimated medical
assistance resident days of the remaining facility or facilities shall be computed assuming
95 percent occupancy multiplied by the historical percentage of medical assistance
resident days of the remaining facility or facilities, as reported on the facility's or facilities'
most recent nursing facility statistical and cost report filed before the plan of closure
is submitted, multiplied by 365.

(d) For purposes of net cost of savings to the state in paragraph (b), the average
occupancy percentages will be those reported on the facility's or facilities' most recent
nursing facility statistical and cost report filed before the plan of closure is submitted, and
the average payment rates shall be calculated based on the approved payment rates in
effect at the time the consolidation request is submitted.

(e) To qualify for the deleted text beginpropertydeleted text endnew text begin external fixed costsnew text end payment rate adjustment under
this deleted text beginprovisiondeleted text endnew text begin subdivisionnew text end, the closing facilities shall:

(1) submit an application for closure according to section 256B.437, subdivision
3; and

(2) follow the resident relocation provisions of section 144A.161.

(f) The county or counties in which a facility or facilities are closed under this
subdivision shall not be eligible for designation as a hardship area under section 144A.071,
subdivision 3, for five years from the date of the approval of the proposed consolidation.
The applicant shall notify the county of this limitation and the county shall acknowledge
this in a letter of support.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for rate years beginning on or after
January 1, 2017.
new text end

Sec. 4.

Minnesota Statutes 2014, section 144A.073, subdivision 13, is amended to read:


Subd. 13.

Moratorium exception funding.

In fiscal year 2013, the commissioner
of health may approve moratorium exception projects under this section for which the
full annualized state share of medical assistance costs does not exceed $1,000,000new text begin plus
any carryover of previous appropriations for this purpose
new text end.

Sec. 5.

Minnesota Statutes 2014, section 144A.073, subdivision 14, is amended to read:


Subd. 14.

Moratorium exception funding.

In fiscal year 2015, the commissioner
of health may approve moratorium exception projects under this section for which the
full annualized state share of medical assistance costs does not exceed $1,000,000new text begin plus
any carryover of previous appropriations for this purpose
new text end.

Sec. 6.

Minnesota Statutes 2014, section 144A.073, is amended by adding a
subdivision to read:


new text begin Subd. 15. new text end

new text begin Moratorium exception funding. new text end

new text begin In fiscal year 2017, the commissioner
may approve moratorium exception projects under this section for which the full
annualized state share of medical assistance costs does not exceed $1,000,000 plus any
carryover of previous appropriations for this purpose.
new text end

Sec. 7.

Minnesota Statutes 2014, section 144A.611, subdivision 1, is amended to read:


Subdivision 1.

Nursing homes and certified boarding care homes.

The actual
costs of tuition and new text begintextbooks and new text endreasonable expenses for the competency evaluation
or the nursing assistant training program and competency evaluation approved under
section 144A.61, which are paid to nursing assistants new text beginor adult training programs new text endpursuant
to deleted text beginsubdivisiondeleted text endnew text begin subdivisionsnew text end 2new text begin and 4new text end, are a reimbursable expense for nursing homes
and certified boarding care homes under deleted text beginthe provisions of chapter 256B and the rules
promulgated thereunder
deleted text endnew text begin section 256B.431, subdivision 36new text end.

Sec. 8.

Minnesota Statutes 2014, section 144A.611, subdivision 2, is amended to read:


Subd. 2.

deleted text beginNursing assistantsdeleted text endnew text begin Reimbursement for training program and
competency evaluation costs
new text end.

A nursing assistant who has completed an approved
competency evaluation or an approved training program and competency evaluation
shall be reimbursed by the nursing home or certified boarding care home for actual costs
of tuition new text beginand textbooks new text endand reasonable expenses for the competency evaluation or the
training program and competency evaluation 90 days after the date of employment, or
upon completion of the approved training program, whichever is later.

Sec. 9.

Minnesota Statutes 2014, section 144A.611, is amended by adding a
subdivision to read:


new text begin Subd. 4. new text end

new text begin Reimbursement for adult basic education components. new text end

new text begin (a) Nursing
facilities and certified boarding care homes shall provide reimbursement for costs related
to additional adult basic education components of an approved nursing assistant training
program, to:
new text end

new text begin (1) an adult training program that provided an approved nursing assistant training
program to an employee of the nursing facility or boarding care home; or
new text end

new text begin (2) a nursing assistant who is an employee of the nursing facility or boarding care
home and completed an approved nursing assistant training program provided by an
adult training program.
new text end

new text begin (b) For purposes of this subdivision, adult basic education components of a nursing
assistant training program must include the following, if needed: training in mathematics,
vocabulary, literacy skills, workplace skills, resume writing, and job interview skills.
Reimbursement provided under this subdivision shall not exceed 30 percent of the cost of
tuition, textbooks, and competency evaluation.
new text end

new text begin (c) An adult training program is prohibited from billing program students, nursing
facilities, or certified boarding care homes for costs under this subdivision until the
program student has been employed by the nursing facility as a certified nursing assistant
for at least 90 days.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for costs incurred on or after October
1, 2016.
new text end

Sec. 10.

Minnesota Statutes 2014, section 256B.042, is amended by adding a
subdivision to read:


new text begin Subd. 1a. new text end

new text begin Additional notice to applicants. new text end

new text begin An application for medical assistance
must include a statement, prominently displayed, that if any person on the application
enrolls in medical assistance, the state may claim repayment for the cost of medical care
or premiums paid for care from that person's estate.
new text end

Sec. 11.

Minnesota Statutes 2015 Supplement, section 256B.059, subdivision 5,
is amended to read:


Subd. 5.

Asset availability.

(a) At the time of initial determination of eligibility for
medical assistance benefits following the first continuous period of institutionalization on
or after October 1, 1989, assets considered available to the institutionalized spouse shall
be the total value of all assets in which either spouse has an ownership interest, reduced by
the following amount for the community spouse:

(1) prior to July 1, 1994, the greater of:

(i) $14,148;

(ii) the lesser of the spousal share or $70,740; or

(iii) the amount required by court order to be paid to the community spouse;

(2) for persons whose date of initial determination of eligibility for medical
assistance following their first continuous period of institutionalization occurs on or after
July 1, 1994, the greater of:

(i) $20,000;

(ii) the lesser of the spousal share or $70,740; or

(iii) the amount required by court order to be paid to the community spouse.

The value of assets transferred for the sole benefit of the community spouse under section
256B.0595, subdivision 4, in combination with other assets available to the community
spouse under this section, cannot exceed the limit for the community spouse asset
allowance determined under subdivision 3 or 4. Assets that exceed this allowance shall
be considered available to the institutionalized spouse. If the community spouse asset
allowance has been increased under subdivision 4, then the assets considered available to
the institutionalized spouse under this subdivision shall be further reduced by the value of
additional amounts allowed under subdivision 4.

(b) An institutionalized spouse may be found eligible for medical assistance even
though assets in excess of the allowable amount are found to be available under paragraph
(a) if the assets are owned jointly or individually by the community spouse, and the
institutionalized spouse cannot use those assets to pay for the cost of care without the
consent of the community spouse, and if:

(i) the institutionalized spouse assigns to the commissioner the right to support from
the community spouse under section 256B.14, subdivision 3;

(ii) the institutionalized spouse lacks the ability to execute an assignment due to a
physical or mental impairment; deleted text beginor
deleted text end

(iii) the denial of eligibility would cause an imminent threat to the institutionalized
spouse's health and well-beingdeleted text begin.deleted text endnew text begin; or
new text end

new text begin (iv) the assets in excess of the amount under paragraph (a) are assets owned by the
community spouse, and the denial of eligibility would cause an undue hardship to the
family due to the loss of retirement funds for the community spouse or funds protected for
the postsecondary education of a child under age 25. For purposes of this clause, only
retirement assets held by the community spouse in a tax-deferred retirement account,
including a defined benefit plan, defined contribution plan, an employer-sponsored
individual retirement arrangement, or individually purchased individual retirement
arrangement are protected, and are only protected until the community spouse is eligible to
withdraw retirement funds from any or all accounts without penalty. For purposes of this
clause, only funds in a plan designated under section 529 of the Internal Revenue Code
on behalf of a child of either or both spouses who is under the age of 25 are protected.
There shall not be an assignment of spousal support to the commissioner or a cause of
action against the individual's spouse under section 256B.14, subdivision 3, for the funds
in the protected retirement and college savings accounts.
new text end

(c) After the month in which the institutionalized spouse is determined eligible for
medical assistance, during the continuous period of institutionalization, no assets of the
community spouse are considered available to the institutionalized spouse, unless the
institutionalized spouse has been found eligible under paragraph (b).

(d) Assets determined to be available to the institutionalized spouse under this
section must be used for the health care or personal needs of the institutionalized spouse.

(e) For purposes of this section, assets do not include assets excluded under the
Supplemental Security Income program.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective June 1, 2016.
new text end

Sec. 12.

Minnesota Statutes 2014, section 256B.15, subdivision 1a, is amended to read:


Subd. 1a.

Estates subject to claims.

(a) If a person receives any medical assistance
hereunder, on the person's death, if single, or on the death of the survivor of a married
couple, either or both of whom received medical assistance, or as otherwise provided
for in this section, the total amount paid for medical assistance rendered for the person
and spouse shall be filed as a claim against the estate of the person or the estate of the
surviving spouse in the court having jurisdiction to probate the estate or to issue a decree
of descent according to sections 525.31 to 525.313.

(b) For the purposes of this section, the person's estate must consist of:

(1) the person's probate estate;

(2) all of the person's interests or proceeds of those interests in real property the
person owned as a life tenant or as a joint tenant with a right of survivorship at the time of
the person's death;

(3) all of the person's interests or proceeds of those interests in securities the person
owned in beneficiary form as provided under sections 524.6-301 to 524.6-311 at the time
of the person's death, to the extent the interests or proceeds of those interests become part
of the probate estate under section 524.6-307;

(4) all of the person's interests in joint accounts, multiple-party accounts, and
pay-on-death accounts, brokerage accounts, investment accounts, or the proceeds of
those accounts, as provided under sections 524.6-201 to 524.6-214 at the time of the
person's death to the extent the interests become part of the probate estate under section
524.6-207; and

(5) assets conveyed to a survivor, heir, or assign of the person through survivorship,
living trust, or other arrangements.

(c) For the purpose of this section and recovery in a surviving spouse's estate for
medical assistance paid for a predeceased spouse, the estate must consist of all of the legal
title and interests the deceased individual's predeceased spouse had in jointly owned or
marital property at the time of the spouse's death, as defined in subdivision 2b, and the
proceeds of those interests, that passed to the deceased individual or another individual, a
survivor, an heir, or an assign of the predeceased spouse through a joint tenancy, tenancy
in common, survivorship, life estate, living trust, or other arrangement. A deceased
recipient who, at death, owned the property jointly with the surviving spouse shall have
an interest in the entire property.

(d) For the purpose of recovery in a single person's estate or the estate of a survivor
of a married couple, "other arrangement" includes any other means by which title to all or
any part of the jointly owned or marital property or interest passed from the predeceased
spouse to another including, but not limited to, transfers between spouses which are
permitted, prohibited, or penalized for purposes of medical assistance.

(e) A claim shall be filed if medical assistance was rendered for either or both
persons under one of the following circumstances:

(1) the person was over 55 years of age, and received services under this chapter
new text beginprior to January 1, 2014new text end;

(2) the person resided in a medical institution for six months or longer, received
services under this chapter, and, at the time of institutionalization or application for
medical assistance, whichever is later, the person could not have reasonably been expected
to be discharged and returned home, as certified in writing by the person's treating
physician. For purposes of this section only, a "medical institution" means a skilled
nursing facility, intermediate care facility, intermediate care facility for persons with
developmental disabilities, nursing facility, or inpatient hospital; deleted text beginor
deleted text end

(3) the person received general assistance medical care services under chapter
256Ddeleted text begin.deleted text endnew text begin; or
new text end

new text begin (4) the person was 55 years of age or older and received medical assistance
services on or after January 1, 2014, that consisted of nursing facility services, home and
community-based services, or related hospital and prescription drug benefits.
new text end

(f) The claim shall be considered an expense of the last illness of the decedent for
the purpose of section 524.3-805. Notwithstanding any law or rule to the contrary, a
state or county agency with a claim under this section must be a creditor under section
524.6-307. Any statute of limitations that purports to limit any county agency or the state
agency, or both, to recover for medical assistance granted hereunder shall not apply to any
claim made hereunder for reimbursement for any medical assistance granted hereunder.
Notice of the claim shall be given to all heirs and devisees of the decedent, and to other
persons with an ownership interest in the real property owned by the decedent at the time
of the decedent's death, whose identity can be ascertained with reasonable diligence. The
notice must include procedures and instructions for making an application for a hardship
waiver under subdivision 5; time frames for submitting an application and determination;
and information regarding appeal rights and procedures. Counties are entitled to one-half
of the nonfederal share of medical assistance collections from estates that are directly
attributable to county effort. Counties are entitled to ten percent of the collections for
alternative care directly attributable to county effort.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective upon federal approval and applies
retroactively to services rendered on or after January 1, 2014.
new text end

Sec. 13.

Minnesota Statutes 2014, section 256B.15, is amended by adding a
subdivision to read:


new text begin Subd. 1l. new text end

new text begin Amending notices or liens arising out of notice. new text end

new text begin (a) State agencies must
amend notices of potential claims and liens arising from the notices, if the notice was filed
after January 1, 2014, for medical assistance services rendered on or after January 1, 2014,
to a recipient who at the time services were rendered was 55 years of age or older and who
was not institutionalized as described in subdivision 1a, paragraph (e).
new text end

new text begin (b) The notices identified in paragraph (a) must be amended by removing the
amount of medical assistance rendered that did not consist of nursing facility services,
home and community-based services, as defined in subdivision 1a and related hospital
and prescription drug services.
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

Sec. 14.

Minnesota Statutes 2014, section 256B.15, subdivision 2, is amended to read:


Subd. 2.

Limitations on claims.

new text begin(a) For services rendered prior to January 1, 2014,
new text endthe claim shall include only the total amount of medical assistance rendered after age 55 or
during a period of institutionalization described in subdivision 1a, paragraph (e), and the
total amount of general assistance medical care rendered, and shall not include interest.

new text begin (b) For services rendered on or after January 1, 2014, the claim shall include only:
new text end

new text begin (1) the amount of medical assistance rendered to recipients 55 years of age or older
and that consisted of nursing facility services, home and community-based services, and
related hospital and prescription drug services; and
new text end

new text begin (2) the total amount of medical assistance rendered during a period of
institutionalization described in subdivision 1a, paragraph (e).
new text end

new text begin The claim shall not include interest. For the purposes of this section, "home and
community-based services" has the same meaning it has when used in United States Code,
title 42, section 1396p, subsection (b), paragraph (1), subparagraph (B), clause (i).
new text end

new text begin (c) new text endClaims that have been allowed but not paid shall bear interest according to
section 524.3-806, paragraph (d). A claim against the estate of a surviving spouse who did
not receive medical assistance, for medical assistance rendered for the predeceased spouse,
shall be payable from the full value of all of the predeceased spouse's assets and interests
which are part of the surviving spouse's estate under subdivisions 1a and 2b. Recovery of
medical assistance expenses in the nonrecipient surviving spouse's estate is limited to the
value of the assets of the estate that were marital property or jointly owned property at any
time during the marriage. The claim is not payable from the value of assets or proceeds of
assets in the estate attributable to a predeceased spouse whom the individual married after
the death of the predeceased recipient spouse for whom the claim is filed or from assets
and the proceeds of assets in the estate which the nonrecipient decedent spouse acquired
with assets which were not marital property or jointly owned property after the death of
the predeceased recipient spouse. Claims for alternative care shall be net of all premiums
paid under section 256B.0913, subdivision 12, on or after July 1, 2003, and shall be
limited to services provided on or after July 1, 2003. Claims against marital property shall
be limited to claims against recipients who died on or after July 1, 2009.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective upon federal approval and applies to
services rendered on or after January 1, 2014.
new text end

Sec. 15.

Minnesota Statutes 2015 Supplement, section 256B.431, subdivision 36,
is amended to read:


Subd. 36.

Employee scholarship costs and training in English as a second
language.

(a) For the period between July 1, 2001, and June 30, 2003, the commissioner
shall provide to each nursing facility reimbursed under this section, section 256B.434,
or any other section, a scholarship per diem of 25 cents to the total operating payment
rate. For the 27-month period beginning October 1, 2015, through December 31, 2017,
the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing
facility with no scholarship per diem that is requesting a scholarship per diem to be added
to the external fixed payment rate to be used:

(1) for employee scholarships that satisfy the following requirements:

(i) scholarships are available to all employees who work an average of at least
ten hours per week at the facility except the administrator, and to reimburse student
loan expenses for newly hired and recently graduated registered nurses and licensed
practical nurses, and training expenses for nursing assistants as deleted text begindefineddeleted text end new text beginspecified new text endin section
144A.611, deleted text beginsubdivisiondeleted text endnew text begin subdivisionsnew text end 2new text begin and 4new text end, who are newly hired and have graduated
within the last 12 months; and

(ii) the course of study is expected to lead to career advancement with the facility or
in long-term care, including medical care interpreter services and social work; and

(2) to provide job-related training in English as a second language.

(b) All facilities may annually request a rate adjustment under this subdivision by
submitting information to the commissioner on a schedule and in a form supplied by the
commissioner. The commissioner shall allow a scholarship payment rate equal to the
reported and allowable costs divided by resident days.

(c) In calculating the per diem under paragraph (b), the commissioner shall allow
costs related to tuition, direct educational expenses, and reasonable costs as defined by the
commissioner for child care costs and transportation expenses related to direct educational
expenses.

(d) The rate increase under this subdivision is an optional rate add-on that the facility
must request from the commissioner in a manner prescribed by the commissioner. The
rate increase must be used for scholarships as specified in this subdivision.

(e) For instances in which a rate adjustment will be 15 cents or greater, nursing
facilities that close beds during a rate year may request to have their scholarship
adjustment under paragraph (b) recalculated by the commissioner for the remainder of the
rate year to reflect the reduction in resident days compared to the cost report year.

Sec. 16.

Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 13,
is amended to read:


Subd. 13.

External fixed costs.

"External fixed costs" means costs related to the
nursing home surcharge under section 256.9657, subdivision 1; licensure fees under
section 144.122; family advisory council fee under section 144A.33; scholarships under
section 256B.431, subdivision 36; planned closure rate adjustments under section
256B.437;new text begin consolidation rate adjustments under section 144A.071, subdivisions 4c,
paragraph (a), clauses (5) and (6), and 4d;
new text end single bed room incentives under section
256B.431, subdivision 42; property taxes, assessments, and payments in lieu of taxes;
employer health insurance costs; quality improvement incentive payment rate adjustments
under subdivision 46c; performance-based incentive payments under subdivision 46d;
special dietary needs under subdivision 51b; and PERA.

Sec. 17.

Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 53,
is amended to read:


Subd. 53.

Calculation of payment rate for external fixed costs.

The commissioner
shall calculate a payment rate for external fixed costs.

(a) For a facility licensed as a nursing home, the portion related to section 256.9657
shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care
home, the portion related to section 256.9657 shall be equal to $8.86 multiplied by the
result of its number of nursing home beds divided by its total number of licensed beds.

(b) The portion related to the licensure fee under section 144.122, paragraph (d),
shall be the amount of the fee divided by actual resident days.

(c) The portion related to development and education of resident and family advisory
councils under section 144A.33 shall be $5 divided by 365.

(d) The portion related to scholarships shall be determined under section 256B.431,
subdivision 36.

(e) The portion related to planned closure rate adjustments shall be as determined
under section 256B.437, subdivision 6, and Minnesota Statutes 2010, section 256B.436.

new text begin (f) The portion related to consolidation rate adjustments shall be as determined under
section 144A.071, subdivisions 4c, paragraph (a), clauses (5) and (6), and 4d.
new text end

deleted text begin (f)deleted text endnew text begin (g)new text end The single bed room incentives shall be as determined under section
256B.431, subdivision 42.

deleted text begin (g)deleted text endnew text begin (h)new text end The portions related to real estate taxes, special assessments, and payments
made in lieu of real estate taxes directly identified or allocated to the nursing facility shall
be the actual amounts divided by actual resident days.

deleted text begin (h)deleted text endnew text begin (i)new text end The portion related to employer health insurance costs shall be the allowable
costs divided by resident days.

deleted text begin (i)deleted text endnew text begin (j)new text end The portion related to the Public Employees Retirement Association shall
be actual costs divided by resident days.

deleted text begin (j)deleted text endnew text begin (k)new text end The portion related to quality improvement incentive payment rate
adjustments shall be as determined under subdivision 46c.

deleted text begin (k)deleted text endnew text begin (l)new text end The portion related to performance-based incentive payments shall be as
determined under subdivision 46d.

deleted text begin (l)deleted text endnew text begin (m)new text end The portion related to special dietary needs shall be the per diem amount
determined under subdivision 51b.

deleted text begin (m)deleted text endnew text begin (n)new text end The payment rate for external fixed costs shall be the sum of the amounts in
paragraphs (a) to deleted text begin(l)deleted text endnew text begin (m)new text end.

Sec. 18.

Minnesota Statutes 2015 Supplement, section 256B.441, subdivision 66,
is amended to read:


Subd. 66.

Nursing facilities in border cities.

new text begin(a) Rate increases under this section
for a facility located in Breckenridge are
new text endeffective for the rate year beginning January 1,
2016, and annually thereafterdeleted text begin,deleted text endnew text begin. Rate increases under this section for a facility located in
Moorhead are effective for the rate year beginning January 1, 2020, and annually thereafter.
new text end

new text begin (b) new text endOperating payment rates of a nonprofit nursing facility that exists on January
1, 2015, is located anywhere within the boundaries of the deleted text begincitydeleted text endnew text begin citiesnew text end of Breckenridgenew text begin or
Moorhead
new text end, and is reimbursed under this section, section 256B.431, or section 256B.434,
shall be adjusted to be equal to the median RUG's rates, including comparable rate
components as determined by the commissioner, for the equivalent RUG's weight of the
nonprofit nursing facility or facilities located in an adjacent city in another state and in
cities contiguous to the adjacent city.new text begin The commissioner must make the comparison
required under this subdivision on October 1 of each year. The adjustment under this
subdivision applies to the rates effective on the following January 1.
new text end

new text begin (c)new text end The Minnesota facility's operating payment rate with a weight of 1.0 shall be
computed by dividing the adjacent city's nursing facilities median operating payment rate
with a weight of 1.02 by 1.02. deleted text beginIf the adjustments under this subdivision result in a rate that
exceeds the limits in subdivisions 50 and 51 in a given rate year, the facility's rate shall
not be subject to those limits for that rate year.
deleted text endnew text begin If a facility's rate is increased under this
subdivision, the facility is not subject to the total care-related limit in subdivision 50 and is
not limited to the other operating price established in subdivision 51.
new text endThis subdivision
shall apply only if it results in a higher operating payment rate than would otherwise be
determined under this section, section 256B.431, or section 256B.434.

Sec. 19. new text beginEMPLOYMENT SERVICES PILOT PROJECT; DAKOTA COUNTY.
new text end

new text begin (a) Within available appropriations, the commissioner of human services shall
request, by October 1, 2016, necessary federal authority from the Centers for Medicare
and Medicaid Services to implement a community-based employment services pilot
project in Dakota County. The pilot project must be available to people who are receiving
services through home and community-based waivers authorized under Minnesota
Statutes, sections 256B.092 and 256B.49, using a rate methodology consistent with the
principles under Minnesota Statutes, section 256B.4914.
new text end

new text begin (b) Dakota County shall be:
new text end

new text begin (1) responsible for any portion of the state match of waiver expenses above the
established disability waiver rates under Minnesota Statutes, section 256B.4914; and
new text end

new text begin (2) allocated resources for supportive employment services incurred by the use of
employment exploration services, employment development services, and employment
support services in Dakota County for Dakota County residents.
new text end

new text begin (c) The pilot project must provide the following employment services to people
receiving services through the home and community-based services waivers authorized
under Minnesota Statutes, sections 256B.092 and 256B.49:
new text end

new text begin (1) "employment exploration services" defined as community-based orientation
services that introduce a person to competitive employment opportunities in their
community through individualized educational activities, learning opportunities, work
experiences, and support services that result in the person making an informed decision
about working in competitively paying jobs in community businesses;
new text end

new text begin (2) "employment development services" defined as individualized services that
actively support a person to achieve paid employment in his or her community by assisting
the person with finding paid employment, becoming self-employed, or establishing
microenterprise businesses in the community; and
new text end

new text begin (3) "employment support services" defined as individualized services and supports
that assist people with maintaining competitive, integrated employment by providing a
broad range of training, coaching, and support strategies that not only assist individuals
and work groups employed in paid job positions, but also support people working in
self-employment opportunities and microenterprise businesses with all aspects of effective
business operations. Employment support services must be provided in integrated
community settings.
new text end

new text begin (d) The commissioner of human services shall consult with Dakota County on
this pilot project and report the results of the project to the chairs and ranking minority
members of the legislative committees with jurisdiction over human services policy and
finance by January 15, 2019.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016, or upon federal
approval, whichever is later, and expires on January 15, 2019. The commissioner of
human services shall notify the revisor of statutes when federal approval is obtained.
new text end

Sec. 20. new text beginREVISOR'S INSTRUCTION.
new text end

new text begin The revisor of statutes, in consultation with the Department of Human Services,
shall change the cross-references in Minnesota Rules, chapters 2960, 9503, and 9525,
resulting from the repealer adopted in rules found at 40 State Register 179. The revisor
may make technical and other necessary changes to sentence structure to preserve the
meaning of the text.
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

ARTICLE 2

HEALTH CARE

Section 1.

new text begin [256B.0562] IMPROVED OVERSIGHT OF MNSURE ELIGIBILITY
DETERMINATIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Implementation of OLA findings. new text end

new text begin (a) The commissioner shall
ensure that medical assistance and MinnesotaCare eligibility determinations through the
MNsure information technology system and through agency eligibility determination
systems fully implement the recommendations made by the Office of the Legislative
Auditor (OLA) in Report 14-22 -- Oversight of MNsure Eligibility Determinations
for Public Health Care Programs and Report 16-02 Oversight of MNsure Eligibility
Determinations for Public Health Care Programs -- Internal Controls and Compliance Audit.
new text end

new text begin (b) The commissioner may contract with a vendor to provide technical assistance to
the commissioner in fully implementing the OLA report findings.
new text end

new text begin (c) The commissioner shall coordinate implementation of this section with the
periodic data matching required under section 256B.0561.
new text end

new text begin (d) The commissioner shall implement this section using existing resources.
new text end

new text begin Subd. 2. new text end

new text begin Duties of the commissioner. new text end

new text begin (a) In fully implementing the OLA report
recommendations, the commissioner shall:
new text end

new text begin (1) adequately verify that persons enrolled in public health care programs through
MNsure are eligible for those programs;
new text end

new text begin (2) provide adequate controls to ensure the accurate and complete transfer of
recipient data from MNsure to the Department of Human Services' medical payment
system, and to detect whether Office of MN.IT Services staff inappropriately access
recipients' personal information;
new text end

new text begin (3) provide county human service eligibility workers with sufficient training on
MNsure;
new text end

new text begin (4) reverify that medical assistance and MinnesotaCare enrollees who enroll through
MNsure remain eligible for the program within the required time frames established
in federal and state laws;
new text end

new text begin (5) establish an effective process to resolve discrepancies with Social Security
numbers, citizenship or immigration status, or household income that MNsure identifies
as needing further verification;
new text end

new text begin (6) eliminate payment of medical assistance and MinnesotaCare benefits for
recipients whose income exceeds federal and state program limits;
new text end

new text begin (7) verify household size and member relationships when determining eligibility;
new text end

new text begin (8) ensure that applicants and recipients are enrolled in the correct public health
care program;
new text end

new text begin (9) eliminate payment of benefits for MinnesotaCare recipients who are also
enrolled in Medicare;
new text end

new text begin (10) verify that newborns turning age one remain eligible for medical assistance;
new text end

new text begin (11) correct MinnesotaCare billing errors, ensure that enrollees pay their premiums,
and terminate coverage for failure to pay premiums; and
new text end

new text begin (12) take all other steps necessary to fully implement the recommendations.
new text end

new text begin (b) The commissioner shall implement the OLA recommendations for medical
assistance and MinnesotaCare applications and renewals submitted on or after July 1, 2016.
The commissioner shall present quarterly reports to the OLA and the chairs and ranking
minority members of the legislative committees with jurisdiction over health and human
services policy and finance, beginning October 1, 2016, and each quarter thereafter. The
quarterly report submitted October 1, 2016, must include a timetable for fully implementing
the OLA recommendations. Each quarterly report must include information on:
new text end

new text begin (1) progress in implementing the OLA recommendations;
new text end

new text begin (2) the number of medical assistance and MinnesotaCare applicants and enrollees
whose eligibility status was affected by implementation of the OLA recommendations,
reported quarterly, beginning with the July 1, 2016 through September 30, 2016 calendar
quarter; and
new text end

new text begin (3) savings to the state from implementing the OLA recommendations.
new text end

new text begin Subd. 3. new text end

new text begin Office of Legislative Auditor. new text end

new text begin The legislative auditor shall review each
quarterly report submitted by the commissioner of human services under subdivision 2
for accuracy and shall review compliance by the Department of Human Services with the
OLA report recommendations. The legislative auditor shall notify the chairs and ranking
minority members of the legislative committees with jurisdiction over health and human
services policy and finance on whether or not these requirements are met.
new text end

new text begin Subd. 4. new text end

new text begin Special revenue account; use of savings. new text end

new text begin (a) A medical assistance audit
special revenue account is established in the general fund. The commissioner shall
deposit into this account: (1) all savings achieved from implementing this section for
applications and renewals submitted on or after July 1, 2016; (2) all savings achieved
from implementation of periodic data matching under section 256B.0561 that are
above the forecasted savings for that initiative; and (3) all state savings resulting from
implementation of the vendor contract under section 256B.0563, minus any payments to
the vendor made under the terms of the revenue sharing agreement.
new text end

new text begin (b) Once the medical assistance audit special revenue account fund balance has
reached a sufficient level, the commissioner shall provide a onetime, five percent increase
in medical assistance payment rates for intermediate care facilities for persons with
developmental disabilities and the long-term care and community-based providers listed
in Laws 2014, chapter 312, article 27, section 75, paragraph (b). The increase shall be
limited to a 12-month period.
new text end

new text begin (c) Any further expenditures from the medical assistance audit special revenue
account are subject to legislative authorization.
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

Sec. 2.

new text begin [256B.0563] ELIGIBILITY VERIFICATION.
new text end

new text begin Subdivision 1. new text end

new text begin Verification required; vendor contract. new text end

new text begin (a) The commissioner shall
ensure that medical assistance and MinnesotaCare eligibility determinations through the
MNsure information technology system and through agency eligibility determination
systems include the computerized verification of income, residency, identity, and, when
applicable, assets.
new text end

new text begin (b) The commissioner shall contract with a vendor to verify the eligibility of all
persons enrolled in medical assistance and MinnesotaCare during a specified audit period.
This contract shall be exempt from sections 16C.08, subdivision 2, clause (1); 16C.09,
paragraph (a), clause (1); 43A.047, paragraph (a), and any other law to the contrary.
new text end

new text begin (c) The contract must require the vendor to comply with enrollee data privacy
requirements and to use encryption to safeguard enrollee identity. The contract must also
provide penalties for vendor noncompliance.
new text end

new text begin (d) The contract must include a revenue sharing agreement, under which vendor
compensation is limited to a portion of any savings to the state resulting from the vendor's
implementation of eligibility verification initiatives under this section.
new text end

new text begin (e) The commissioner shall use existing resources to fund any agency administrative
and technology-related costs incurred as a result of implementing this section.
new text end

new text begin Subd. 2. new text end

new text begin Verification process; vendor duties. new text end

new text begin (a) The verification process
implemented by the vendor must include, but is not limited to, data matches of the
name, date of birth, address, and Social Security number of each medical assistance and
MinnesotaCare enrollee against relevant information in federal and state data sources,
including the federal data hub established under the Affordable Care Act. In designing the
verification process, the vendor, to the extent feasible, shall incorporate procedures that are
compatible and coordinated with, and build upon or improve, existing procedures used by
the MNsure information technology system and agency eligibility determination systems.
new text end

new text begin (b) The vendor, upon preliminary determination that an enrollee is eligible or
ineligible, shall notify the commissioner. Within 20 business days of this notification, the
commissioner shall accept the preliminary determination or reject it with a stated reason.
The commissioner shall retain final authority over eligibility determinations. The vendor
shall keep a record of all preliminary determinations of ineligibility communicated to
the commissioner.
new text end

new text begin (c) The vendor shall recommend to the commissioner an eligibility verification
process that will allow ongoing verification of enrollee eligibility under the MNsure
information technology system and agency eligibility determination systems.
new text end

new text begin (d) The commissioner and the vendor, following the conclusion of the initial
contract period, shall jointly submit an eligibility verification audit report to the chairs
and ranking minority members of the legislative committees with jurisdiction over health
and human services policy and finance. The report shall include, but is not limited to,
information, in the form of unidentified summary data, on preliminary determinations
of eligibility or ineligibility communicated by the vendor; the actions taken on those
preliminary determinations by the commissioner; and the commissioner's reasons for
rejecting preliminary determinations by the vendor. The report must also include the
recommendations for ongoing verification of enrollee eligibility required under paragraph
(c).
new text end

new text begin (e) An eligibility verification vendor contract shall be awarded for an initial one-year
period. The commissioner shall renew the contract for up to three additional one-year
periods and require additional eligibility verification audits, if the commissioner or the
legislative auditor determines that the MNsure information technology system and agency
eligibility determination systems cannot effectively verify the eligibility of medical
assistance and MinnesotaCare enrollees.
new text end

Sec. 3.

Minnesota Statutes 2015 Supplement, section 256B.0625, subdivision 17a,
is amended to read:


Subd. 17a.

Payment for ambulance services.

new text begin(a) new text endMedical assistance covers
ambulance services. Providers shall bill ambulance services according to Medicare
criteria. Nonemergency ambulance services shall not be paid as emergencies. Effective
for services rendered on or after July 1, 2001, medical assistance payments for ambulance
services shall be paid at the Medicare reimbursement rate or at the medical assistance
payment rate in effect on July 1, 2000, whichever is greater.

new text begin (b) Effective for services provided on or after July 1, 2016, medical assistance
payment rates for ambulance services identified in this paragraph are increased by five
percent. Capitation payments made to managed care plans and county-based purchasing
plans for ambulance services provided on or after January 1, 2017, shall be adjusted to
reflect this rate increase. The increased rate described in this paragraph applies to:
new text end

new text begin (1) an ambulance service provider whose base of operations, as defined in section
144E.10, is located outside the metropolitan counties listed in section 473.121, subdivision
4, and outside the cities of Duluth, Mankato, Moorhead, St. Cloud, and Rochester; or
new text end

new text begin (2) an ambulance service provider whose base of operations, as defined in section
144E.10, is located within a municipality with a population of less than 1,000.
new text end

Sec. 4.

Minnesota Statutes 2014, section 256B.0625, is amended by adding a
subdivision to read:


new text begin Subd. 60a. new text end

new text begin Community emergency medical technician services. new text end

new text begin (a) Medical
assistance covers services provided by a community emergency medical technician
(CEMT) who is certified under section 144E.275, subdivision 7, when the services are
provided in accordance with this subdivision.
new text end

new text begin (b) A CEMT may provide a posthospital discharge visit when ordered by a treating
physician. The posthospital discharge visit includes:
new text end

new text begin (1) verbal or visual reminders of discharge orders;
new text end

new text begin (2) recording and reporting of vital signs to the patient's primary care provider;
new text end

new text begin (3) medication access confirmation;
new text end

new text begin (4) food access confirmation; and
new text end

new text begin (5) identification of home hazards.
new text end

new text begin (c) Individuals who have repeat ambulance calls due to falls, have been discharged
from a nursing home, or have been identified by their primary care provider as at risk
for nursing home placement may receive a safety evaluation visit from a CEMT when
ordered by a primary care provider in accordance with the individual's care plan. A safety
evaluation visit includes:
new text end

new text begin (1) medication access confirmation;
new text end

new text begin (2) food access confirmation; and
new text end

new text begin (3) identification of home hazards.
new text end

new text begin (d) A CEMT shall be paid at $9.75 per 15-minute increment. A safety evaluation visit
may not be billed for the same day as a posthospital discharge visit for the same recipient.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2017, or upon federal
approval, whichever is later.
new text end

Sec. 5.

Minnesota Statutes 2014, section 256B.0644, is amended to read:


256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
PROGRAMS.

(a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a
health maintenance organization, as defined in chapter 62D, must participate as a provider
or contractor in the medical assistance program and MinnesotaCare as a condition of
participating as a provider in health insurance plans and programs or contractor for state
employees established under section 43A.18, the public employees insurance program
under section 43A.316, for health insurance plans offered to local statutory or home
rule charter city, county, and school district employees, the workers' compensation
system under section 176.135, and insurance plans provided through the Minnesota
Comprehensive Health Association under sections 62E.01 to 62E.19. The limitations
on insurance plans offered to local government employees shall not be applicable in
geographic areas where provider participation is limited by managed care contracts
with the Department of Human Services.new text begin This section does not apply to dental service
providers providing dental services outside the seven-county metropolitan area.
new text end

(b) For providers other than health maintenance organizations, participation in the
medical assistance program means that:

(1) the provider accepts new medical assistance and MinnesotaCare patients;

(2) for providers other than dental service providers, at least 20 percent of the
provider's patients are covered by medical assistance and MinnesotaCare as their primary
source of coverage; or

(3) for dental service providersnew text begin providing dental services in the seven-county
metropolitan area
new text end, at least ten percent of the provider's patients are covered by medical
assistance and MinnesotaCare as their primary source of coverage, or the provider accepts
new medical assistance and MinnesotaCare patients who are children with special health
care needs. For purposes of this section, "children with special health care needs" means
children up to age 18 who: (i) require health and related services beyond that required
by children generally; and (ii) have or are at risk for a chronic physical, developmental,
behavioral, or emotional condition, including: bleeding and coagulation disorders;
immunodeficiency disorders; cancer; endocrinopathy; developmental disabilities;
epilepsy, cerebral palsy, and other neurological diseases; visual impairment or deafness;
Down syndrome and other genetic disorders; autism; fetal alcohol syndrome; and other
conditions designated by the commissioner after consultation with representatives of
pediatric dental providers and consumers.

(c) Patients seen on a volunteer basis by the provider at a location other than
the provider's usual place of practice may be considered in meeting the participation
requirement in this section. The commissioner shall establish participation requirements
for health maintenance organizations. The commissioner shall provide lists of participating
medical assistance providers on a quarterly basis to the commissioner of management and
budget, the commissioner of labor and industry, and the commissioner of commerce. Each
of the commissioners shall develop and implement procedures to exclude as participating
providers in the program or programs under their jurisdiction those providers who do
not participate in the medical assistance program. The commissioner of management
and budget shall implement this section through contracts with participating health and
dental carriers.

(d) A volunteer dentist who has signed a volunteer agreement under section
256B.0625, subdivision 9a, shall not be considered to be participating in medical
assistance or MinnesotaCare for the purpose of this section.

Sec. 6.

Minnesota Statutes 2015 Supplement, section 256B.76, subdivision 2, is
amended to read:


Subd. 2.

Dental reimbursement.

(a) Effective for services rendered on or after
October 1, 1992, the commissioner shall make payments for dental services as follows:

(1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
percent above the rate in effect on June 30, 1992; and

(2) dental rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases.

(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.

(c) Effective for services rendered on or after January 1, 2000, payment rates for
dental services shall be increased by three percent over the rates in effect on December
31, 1999.

(d) Effective for services provided on or after January 1, 2002, payment for
diagnostic examinations and dental x-rays provided to children under age 21 shall be the
lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.

(e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
2000, for managed care.

(f) Effective for dental services rendered on or after October 1, 2010, by a
state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
on the Medicare principles of reimbursement. This payment shall be effective for services
rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
county-based purchasing plans.

(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
year, a supplemental state payment equal to the difference between the total payments
in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
services for the operation of the dental clinics.

(h) If the cost-based payment system for state-operated dental clinics described in
paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
designated as critical access dental providers under subdivision 4, paragraph (b), and shall
receive the critical access dental reimbursement rate as described under subdivision 4,
paragraph (a).

(i) Effective for services rendered on or after September 1, 2011, through June 30,
2013, payment rates for dental services shall be reduced by three percent. This reduction
does not apply to state-operated dental clinics in paragraph (f).

(j) Effective for services rendered on or after January 1, 2014, payment rates for
dental services shall be increased by five percent from the rates in effect on December
31, 2013. This increase does not apply to state-operated dental clinics in paragraph (f),
federally qualified health centers, rural health centers, and Indian health services. Effective
January 1, 2014, payments made to managed care plans and county-based purchasing
plans under sections 256B.69, 256B.692, and 256L.12 shall reflect the payment increase
described in this paragraph.

(k) Effective for services rendered on or after July 1, 2015,new text begin through December
31, 2016,
new text end the commissioner shall increase payment rates for services furnished by
dental providers located outside of the seven-county metropolitan area by the maximum
percentage possible above the rates in effect on June 30, 2015, while remaining within
the limits of funding appropriated for this purpose. This increase does not apply to
state-operated dental clinics in paragraph (f), federally qualified health centers, rural health
centers, and Indian health services. Effective January 1, 2016,new text begin through December 31,
2016,
new text end payments to managed care plans and county-based purchasing plans under sections
256B.69 and 256B.692 shall reflect the payment increase described in this paragraph. The
commissioner shall require managed care and county-based purchasing plans to pass on
the full amount of the increase, in the form of higher payment rates to dental providers
located outside of the seven-county metropolitan area.

new text begin (l) Effective for services provided on or after January 1, 2017, the commissioner
shall increase payment rates by 9.65 percent above the rates in effect on June 30, 2015,
for dental services provided outside of the seven-county metropolitan area. This increase
does not apply to state-operated dental clinics in paragraph (f), federally qualified health
centers, rural health centers, or Indian health services. Effective January 1, 2017,
payments to managed care plans and county-based purchasing plans under sections
256B.69 and 256B.692 shall reflect the payment increase described in this paragraph.
new text end

Sec. 7.

Minnesota Statutes 2015 Supplement, section 256B.76, subdivision 4, is
amended to read:


Subd. 4.

Critical access dental providers.

(a) deleted text beginEffective for dental services rendered
on or after January 1, 2002,
deleted text end The commissioner shall increase reimbursements to dentists
and dental clinics deemed by the commissioner to be critical access dental providers. For
dental services rendered on or after July 1, deleted text begin2007deleted text endnew text begin 2016new text end, the commissioner shall increase
reimbursement by deleted text begin35deleted text endnew text begin 36new text end percent above the reimbursement rate that would otherwise
be paid to the critical access dental providernew text begin, except as specified under paragraph (b)new text end.new text begin
For dental services rendered on or after July 1, 2017, the commissioner shall increase
reimbursement by 37 percent above the reimbursement rate that would otherwise be
paid to the critical access dental provider, except as specified in paragraph (b).
new text end The
commissioner shall pay the managed care plans and county-based purchasing plans in
amounts sufficient to reflect increased reimbursements to critical access dental providers
as approved by the commissioner.

new text begin (b) For dental services rendered on or after July 1, 2016, by a dental clinic or dental
group that meets the critical access dental provider designation under paragraph (d),
clause (4), and is owned and operated by a health maintenance organization licensed under
chapter 62D, the commissioner shall increase reimbursement by 35 percent above the
reimbursement rate that would otherwise be paid to the critical access provider.
new text end

deleted text begin (b)deleted text end new text begin(c) Critical access dental payments made under paragraph (a) or (b) for dental
services provided by a critical access dental provider to an enrollee of a managed care plan
or county-based purchasing plan must not reflect any capitated payments or cost-based
payments from the managed care plan or county-based purchasing plan. The managed
care plan or county-based purchasing plan must base the additional critical access dental
payment on the amount that would have been paid for that service had the dental provider
been paid according to the managed care plan or county-based purchasing plan's fee
schedule that applies to dental providers that are not paid under a capitated payment
or cost-based payment.
new text end

new text begin (d) new text endThe commissioner shall designate the following dentists and dental clinics as
critical access dental providers:

(1) nonprofit community clinics that:

(i) have nonprofit status in accordance with chapter 317A;

(ii) have tax exempt status in accordance with the Internal Revenue Code, section
501(c)(3);

(iii) are established to provide oral health services to patients who are low income,
uninsured, have special needs, and are underserved;

(iv) have professional staff familiar with the cultural background of the clinic's
patients;

(v) charge for services on a sliding fee scale designed to provide assistance to
low-income patients based on current poverty income guidelines and family size;

(vi) do not restrict access or services because of a patient's financial limitations
or public assistance status; and

(vii) have free care available as needed;

(2) federally qualified health centers, rural health clinics, and public health clinics;

(3) deleted text begincity or countydeleted text endnew text begin hospital-based dental clinicsnew text end owned and operated deleted text beginhospital-based
dental clinics
deleted text endnew text begin by a city, county, or former state hospital as defined in section 62Q.19,
subdivision 1, paragraph (a), clause (4)
new text end;

(4) a dental clinic or dental group owned and operated by a nonprofit corporation in
accordance with chapter 317A with more than 10,000 patient encounters per year with
patients who are uninsured or covered by medical assistance or MinnesotaCare;

(5) a dental clinic owned and operated by the University of Minnesota or the
Minnesota State Colleges and Universities system; and

(6) private practicing dentists if:

(i) the dentist's office is located within deleted text begina health professional shortage area as defined
under Code of Federal Regulations, title 42, part 5, and United States Code, title 42,
section 254E;
deleted text end

deleted text begin (ii) moredeleted text endnew text begin the seven-county metropolitan area and morenew text end than 50 percent of the
dentist's patient encounters per year are with patients who are uninsured or covered by
medical assistance or MinnesotaCare; deleted text beginanddeleted text endnew text begin or
new text end

deleted text begin (iii) the level of service provided by the dentist is critical to maintaining adequate
levels of patient access within the service area in which the dentist operates.
deleted text end

new text begin (ii) the dentist's office is located outside the seven-county metropolitan area and
more than 25 percent of the dentist's patient encounters per year are with patients who are
uninsured or covered by medical assistance or MinnesotaCare.
new text end

Sec. 8.

Minnesota Statutes 2015 Supplement, section 256B.766, is amended to read:


256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.

(a) Effective for services provided on or after July 1, 2009, total payments for basic
care services, shall be reduced by three percent, except that for the period July 1, 2009,
through June 30, 2011, total payments shall be reduced by 4.5 percent for the medical
assistance and general assistance medical care programs, prior to third-party liability and
spenddown calculation. Effective July 1, 2010, the commissioner shall classify physical
therapy services, occupational therapy services, and speech-language pathology and
related services as basic care services. The reduction in this paragraph shall apply to
physical therapy services, occupational therapy services, and speech-language pathology
and related services provided on or after July 1, 2010.

(b) Payments made to managed care plans and county-based purchasing plans shall
be reduced for services provided on or after October 1, 2009, to reflect the reduction
effective July 1, 2009, and payments made to the plans shall be reduced effective October
1, 2010, to reflect the reduction effective July 1, 2010.

(c) Effective for services provided on or after September 1, 2011, through June 30,
2013, total payments for outpatient hospital facility fees shall be reduced by five percent
from the rates in effect on August 31, 2011.

(d) Effective for services provided on or after September 1, 2011, through June
30, 2013, total payments for ambulatory surgery centers facility fees, medical supplies
and durable medical equipment not subject to a volume purchase contract, prosthetics
and orthotics, renal dialysis services, laboratory services, public health nursing services,
physical therapy services, occupational therapy services, speech therapy services,
eyeglasses not subject to a volume purchase contract, hearing aids not subject to a volume
purchase contract, and anesthesia services shall be reduced by three percent from the
rates in effect on August 31, 2011.

(e) Effective for services provided on or after September 1, 2014, payments
for ambulatory surgery centers facility fees, hospice services, renal dialysis services,
laboratory services, public health nursing services, eyeglasses not subject to a volume
purchase contract, and hearing aids not subject to a volume purchase contract shall be
increased by three percent and payments for outpatient hospital facility fees shall be
increased by three percent. Payments made to managed care plans and county-based
purchasing plans shall not be adjusted to reflect payments under this paragraph.

(f) Payments for medical supplies and durable medical equipment not subject to a
volume purchase contract, and prosthetics and orthotics, provided on or after July 1, 2014,
through June 30, 2015, shall be decreased by .33 percent. Payments for medical supplies
and durable medical equipment not subject to a volume purchase contract, and prosthetics
and orthotics, provided on or after July 1, 2015, shall be increased by three percent from
the rates as determined under paragraph (i).

(g) Effective for services provided on or after July 1, 2015, payments for outpatient
hospital facility fees, medical supplies and durable medical equipment not subject to a
volume purchase contract, prosthetics and orthotics, and laboratory services to a hospital
meeting the criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause (4),
shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments made
to managed care plans and county-based purchasing plans shall not be adjusted to reflect
payments under this paragraph.

(h) This section does not apply to physician and professional services, inpatient
hospital services, family planning services, mental health services, dental services,
prescription drugs, medical transportation, federally qualified health centers, rural health
centers, Indian health services, and Medicare cost-sharing.

(i) Effective July 1, 2015, the deleted text beginmedical assistance payment rate for durable medical
equipment, prosthetics, orthotics, or supplies shall be restored to the January 1, 2008,
medical assistance fee schedule, updated to include subsequent rate increases in the
Medicare and medical assistance fee schedules, and including
deleted text endnew text begin following categories of
durable medical equipment shall be
new text end individually priced items deleted text beginfor the following categoriesdeleted text end:
enteral nutrition and supplies, customized and other specialized tracheostomy tubes and
supplies, electric patient lifts, and durable medical equipment repair and service. This
paragraph does not apply to medical supplies and durable medical equipment subject to
a volume purchase contract, products subject to the preferred diabetic testing supply
program, and items provided to dually eligible recipients when Medicare is the primary
payer for the item.new text begin The commissioner shall not apply any medical assistance rate
reductions to durable medical equipment as a result of Medicare competitive bidding.
new text end

new text begin (j) Effective July 1, 2015, medical assistance payment rates for durable medical
equipment, prosthetics, orthotics, or supplies shall be increased as follows:
new text end

new text begin (1) payment rates for durable medical equipment, prosthetics, orthotics, or supplies
that were subject to the Medicare 2008 competitive bid shall be increased by 9.5 percent;
and
new text end

new text begin (2) payment rates for durable medical equipment, prosthetics, orthotics, or supplies
on the medical assistance fee schedule, whether or not subject to the Medicare 2008
competitive bid, shall be increased by 2.94 percent, with this increase being applied after
calculation of any increased payment rate under clause (1).
new text end

new text begin This paragraph does not apply to medical supplies and durable medical equipment subject
to a volume purchase contract, products subject to the preferred diabetic testing supply
program, items provided to dually eligible recipients when Medicare is the primary payer
for the item, and individually priced items identified in paragraph (i). Payments made to
managed care plans and county-based purchasing plans shall not be adjusted to reflect the
rate increases in this paragraph.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2015.
new text end

Sec. 9. new text beginPROHIBITION ON USE OF FUNDS.
new text end

new text begin Subdivision 1. new text end

new text begin Use of funds. new text end

new text begin Funding for state-sponsored health programs shall not
be used for funding abortions, except to the extent necessary for continued participation in
a federal program. This subdivision applies only to state-sponsored health programs that
are administered by the commissioner of human services. For purposes of this section,
abortion has the meaning given in Minnesota Statutes, section 144.343, subdivision 3.
new text end

new text begin Subd. 2. new text end

new text begin Severability. new text end

new text begin If any one or more provision, section, subdivision, sentence,
clause, phrase, or word of this section or the application of it to any person or circumstance
is found to be unconstitutional, it is declared to be severable and the balance of this section
shall remain effective notwithstanding such unconstitutionality. The legislature intends
that it would have passed this section, and each provision, section, subdivision, sentence,
clause, phrase, or word irrespective of the fact that any one provision, section, subdivision,
sentence, clause, phrase, or word is declared unconstitutional.
new text end

ARTICLE 3

MNSURE

Section 1.

new text begin [45.0131] LEGISLATIVE ENACTMENT REQUIRED.
new text end

new text begin Subdivision 1. new text end

new text begin Agency agreements. new text end

new text begin The commissioner of commerce shall not
enter into or renew any interagency agreement or service level agreement with a value of
more than $100,000 a year, or related agreements with a cumulative value of more than
$100,000 a year, with a state department, state agency, or the Office of MN.IT Services,
unless the specific agreement is authorized by enactment of a new law. If an agreement,
including an agreement in effect as of the effective date of this section, does not have a
specific expiration date, the agreement shall expire two years from the effective date of
this section or the effective date of the agreement, whichever is later, unless the specific
agreement is authorized by enactment of a new law.
new text end

new text begin Subd. 2. new text end

new text begin Transfers. new text end

new text begin Notwithstanding section 16A.285, the commissioner shall not
transfer appropriations and funds in amounts over $100,000 across agency accounts or
programs, unless the specific transfer is authorized by enactment of a new law.
new text end

new text begin Subd. 3. new text end

new text begin Definitions. new text end

new text begin For purposes of this section, "state department" has the
meaning provided in section 15.01, and "state agency" has the meaning provided in
section 15.012.
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

Sec. 2.

Minnesota Statutes 2015 Supplement, section 62V.03, subdivision 2, is
amended to read:


Subd. 2.

Application of other law.

(a) MNsure must be reviewed by the legislative
auditor under section 3.971. The legislative auditor shall audit the books, accounts, and
affairs of MNsure once each year or less frequently as the legislative auditor's funds and
personnel permit. Upon the audit of the financial accounts and affairs of MNsure, MNsure
is liable to the state for the total cost and expenses of the audit, including the salaries paid
to the examiners while actually engaged in making the examination. The legislative
auditor may bill MNsure either monthly or at the completion of the audit. All collections
received for the audits must be deposited in the general fund and are appropriated to
the legislative auditor. Pursuant to section 3.97, subdivision 3a, the Legislative Audit
Commission is requested to direct the legislative auditor to report by March 1, 2014, to
the legislature on any duplication of services that occurs within state government as a
result of the creation of MNsure. The legislative auditor may make recommendations on
consolidating or eliminating any services deemed duplicative. The board shall reimburse
the legislative auditor for any costs incurred in the creation of this report.

(b) Board members of MNsure are subject to sections 10A.07 and 10A.09. Board
members and the personnel of MNsure are subject to section 10A.071.

(c) All meetings of the board new text beginand of the Minnesota Eligibility System Executive
Steering Committee established under section 62V.056
new text endshall comply with the open
meeting law in chapter 13D.

(d) The board and the Web site are exempt from chapter 60K. Any employee of
MNsure who sells, solicits, or negotiates insurance to individuals or small employers must
be licensed as an insurance producer under chapter 60K.

(e) Section 3.3005 applies to any federal funds received by MNsure.

(f) A MNsure decision that requires a vote of the board, other than a decision that
applies only to hiring of employees or other internal management of MNsure, is an
"administrative action" under section 10A.01, subdivision 2.

Sec. 3.

Minnesota Statutes 2014, section 62V.04, subdivision 2, is amended to read:


Subd. 2.

Appointment.

(a) Board membership of MNsure consists of the following:

(1) three members appointed by the governor with the advice and consent of both the
senate and the house of representatives acting separately in accordance with paragraph (d),
with one member representing the interests of individual consumers eligible for individual
market coverage, one member representing individual consumers eligible for public health
care program coverage, and one member representing small employers. Members are
appointed to serve four-year terms following the initial staggered-term lot determination;

(2) three members appointed by the governor with the advice and consent of both the
senate and the house of representatives acting separately in accordance with paragraph (d)
who have demonstrated expertise, leadership, and innovation in the following areas: one
member representing the areas of health administration, health care finance, health plan
purchasing, and health care delivery systems; one member representing the areas of public
health, health disparities, public health care programs, and the uninsured; and one member
representing health policy issues related to the small group and individual markets.
Members are appointed to serve four-year terms following the initial staggered-term lot
determination; and

(3) deleted text beginthe commissioner of human services or a designeedeleted text endnew text begin one member representing the
interests of the general public, appointed by the governor with the advice and consent of
both the senate and the house of representatives acting in accordance with paragraph (d).
A member appointed under this clause shall serve a four-year term
new text end.

(b) Section 15.0597 shall apply to all appointmentsdeleted text begin, except for the commissionerdeleted text end.

(c) The governor shall make appointments to the board that are consistent with
federal law and regulations regarding its composition and structure. All board members
appointed by the governor must be legal residents of Minnesota.

(d) Upon appointment by the governor, a board member shall exercise duties of
office immediately. If both the house of representatives and the senate vote not to confirm
an appointment, the appointment terminates on the day following the vote not to confirm
in the second body to vote.

(e) Initial appointments shall be made by April 30, 2013.

(f) One of the six members appointed under paragraph (a), clause (1) or (2), must
have experience in representing the needs of vulnerable populations and persons with
disabilities.

(g) Membership on the board must include representation from outside the
seven-county metropolitan area, as defined in section 473.121, subdivision 2.

Sec. 4.

Minnesota Statutes 2014, section 62V.04, subdivision 3, is amended to read:


Subd. 3.

Terms.

(a) Board members may serve no more than two consecutive
termsdeleted text begin, except for the commissioner or the commissioner's designee, who shall serve
until replaced by the governor
deleted text end.

(b) A board member may resign at any time by giving written notice to the board.

(c) The appointed members under subdivision 2, paragraph (a), clauses (1) and (2),
shall have an initial term of two, three, or four years, determined by lot by the secretary of
state.

Sec. 5.

Minnesota Statutes 2014, section 62V.04, subdivision 4, is amended to read:


Subd. 4.

Conflicts of interest.

(a) Within one year prior to or at any time during
their appointed term, board members appointed under subdivision 2, paragraph (a),
deleted text beginclauses (1) and (2),deleted text end shall not be employed by, be a member of the board of directors of, or
otherwise be a representative of a health carrier, institutional health care provider or other
entity providing health care, navigator, insurance producer, or other entity in the business
of selling items or services of significant value to or through MNsure. For purposes of this
paragraph, "health care provider or entity" does not include an academic institution.

(b) Board members must recuse themselves from discussion of and voting on an
official matter if the board member has a conflict of interest. A conflict of interest means
an association including a financial or personal association that has the potential to bias or
have the appearance of biasing a board member's decisions in matters related to MNsure
or the conduct of activities under this chapter.

(c) No board member shall have a spouse who is an executive of a health carrier.

(d) No member of the board may currently serve as a lobbyist, as defined under
section 10A.01, subdivision 21.

Sec. 6.

Minnesota Statutes 2014, section 62V.05, subdivision 2, is amended to read:


Subd. 2.

Operations funding.

(a) deleted text beginPrior to January 1, 2015, MNsure shall retain or
collect up to 1.5 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the cash reserves of MNsure, but
the amount collected shall not exceed a dollar amount equal to 25 percent of the funds
collected under section 62E.11, subdivision 6, for calendar year 2012.
deleted text end

deleted text begin (b) Beginning January 1, 2015, MNsure shall retain or collect up to 3.5 percent of
total premiums for individual and small group market health plans and dental plans sold
through MNsure to fund the operations of MNsure, but the amount collected shall not
exceed a dollar amount equal to 50 percent of the funds collected under section 62E.11,
subdivision 6
, for calendar year 2012.
deleted text end

deleted text begin (c)deleted text end Beginning January 1, 2016, new text beginthrough December 31, 2016, new text endMNsure shall retain or
collect up to 3.5 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the operations of MNsuredeleted text begin, but the
amount collected may never exceed a dollar amount greater than 100 percent of the funds
collected under section 62E.11, subdivision 6, for calendar year 2012
deleted text end.

deleted text begin (d) For fiscal years 2014 and 2015, the commissioner of management and budget is
authorized to provide cash flow assistance of up to $20,000,000 from the special revenue
fund or the statutory general fund under section 16A.671, subdivision 3, paragraph (a),
to MNsure. Any funds provided under this paragraph shall be repaid, with interest, by
June 30, 2015.
deleted text end

new text begin (b) Beginning January 1, 2017, through December 31, 2017, MNsure shall retain or
collect up to 1.75 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the operation of MNsure.
new text end

new text begin (c) If an independent third party makes the certification specified in this paragraph,
MNsure shall retain or collect up to 1.75 percent of total premiums for individual and small
group market health plans and dental plans sold through MNsure to fund the operations of
MNsure. This paragraph applies to a calendar year beginning on or after January 1, 2018,
if in the previous calendar year the independent third party certified that MNsure met all
of the following operational and technological benchmarks for the previous calendar year:
new text end

new text begin (1) on a daily basis, MNsure successfully transferred to health carriers data in the
EDI 834 format that were complete and accurate according to industry standards and that
allowed the health carrier to enroll the consumer in the qualified health plan chosen by
the consumer;
new text end

new text begin (2) MNsure automatically processed enrollment renewals in qualified health plans
and in public health care programs;
new text end

new text begin (3) MNsure automatically processed invoices for and payments of MinnesotaCare
premiums;
new text end

new text begin (4) MNsure provided self-service functionality for account changes and changes
necessitated by qualifying life events, including adding or removing household members,
making changes to address or income, canceling coverage, and accessing online proof of
coverage forms required by federal law;
new text end

new text begin (5) MNsure transmitted 1095-A forms to enrollees by January 31 each year, or
earlier if required by federal law; and
new text end

new text begin (6) MNsure call center response and resolution times met or exceeded industry
standards.
new text end

new text begin (d) Beginning January 1, 2018, for any calendar year for which the independent
third party did not make the certification specified in paragraph (c) for the previous
calendar year, MNsure shall retain or collect up to 1.5 percent of total premiums for
individual and small group market health plans and dental plans sold through MNsure to
fund the operation of MNsure.
new text end

(e) Funding for the operations of MNsure shall cover any compensation provided to
navigators participating in the navigator program.

new text begin (f) The amount collected by MNsure in a calendar year under this subdivision shall
not exceed a dollar amount greater than 60 percent of the funds collected under section
62E.11, subdivision 6, for calendar year 2012.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end

Sec. 7.

Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision
to read:


new text begin Subd. 4a. new text end

new text begin Processing qualifying life events and changes in circumstances.
new text end

new text begin (a) The MNsure board and the commissioner of human services shall jointly develop
procedures to require qualifying life events and changes in circumstances, reported by
persons enrolled through the Minnesota eligibility technology system in a public health
care program or a qualified health plan, to be processed within 30 days of receiving a report
of a qualifying life event or change in circumstances. The procedures must be developed
and implemented no later than September 1, 2016. The commissioner shall communicate
these procedures to county staff in a timely manner and shall provide guidance and
training as necessary to assist county staff in complying with this subdivision.
new text end

new text begin (b) For purposes of this subdivision, a qualifying life event or change in
circumstances that must be processed within 30 days includes the following:
new text end

new text begin (1) a change of address;
new text end

new text begin (2) a change in enrollment in a federally recognized tribe;
new text end

new text begin (3) a change of a dependent through birth, adoption, foster care, or a child support
order;
new text end

new text begin (4) a change in circumstances resulting in eligibility changes for advanced premium
tax credits or cost-sharing reductions;
new text end

new text begin (5) a change in employer-sponsored insurance resulting in eligibility changes for
advanced premium tax credits or cost-sharing reductions;
new text end

new text begin (6) loss of a dependent due to death or divorce;
new text end

new text begin (7) an achievement of citizenship, status as a United States national, or lawfully
present status;
new text end

new text begin (8) loss of health care coverage;
new text end

new text begin (9) marriage;
new text end

new text begin (10) being a victim of domestic abuse or spousal abandonment;
new text end

new text begin (11) a MNsure mistake related to enrollment, disenrollment, or failure to enroll
in a qualified health plan;
new text end

new text begin (12) a violation of a material provision of a qualified health plan contract; and
new text end

new text begin (13) other life events or changes in circumstances specified by the commissioner or
the MNsure board.
new text end

Sec. 8.

Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision
to read:


new text begin Subd. 12. new text end

new text begin Legislative enactment required. new text end

new text begin (a) The MNsure board shall not enter
into or renew any interagency agreement or service level agreement with a value of
more than $100,000 a year, or related agreements with a cumulative value of more than
$100,000 a year, with a state department, state agency, or the Office of MN.IT Services,
unless the specific agreement is authorized by enactment of a new law. If an agreement,
including an agreement in effect as of the effective date of this subdivision, does not have
an expiration date, the agreement shall expire two years from the effective date of this
subdivision or the effective date of the agreement, whichever is later, unless the specific
agreement is authorized by enactment of a new law.
new text end

new text begin (b) Notwithstanding section 16A.285, the board shall not transfer appropriations and
funds in amounts over $100,000 across agency accounts or programs unless the specific
transfer is authorized by enactment of a new law.
new text end

new text begin (c) For purposes of this subdivision, "state department" has the meaning provided in
section 15.01, and "state agency" has the meaning provided in section 15.012.
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

Sec. 9.

Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision
to read:


new text begin Subd. 13. new text end

new text begin Limitation on appropriations and transfers. new text end

new text begin Notwithstanding any other
law to the contrary, effective July 1, 2016, no money in or from the general fund, health
care access fund, or any other state fund or account, may be: (1) appropriated or made
available to MNsure; or (2) transferred or otherwise provided to MNsure by any other
state agency or entity of state government, unless the appropriation, transfer, or transaction
is specifically authorized through the enactment of a new law.
new text end

Sec. 10.

new text begin [62V.056] MINNESOTA ELIGIBILITY SYSTEM EXECUTIVE
STEERING COMMITTEE.
new text end

new text begin Subdivision 1. new text end

new text begin Definition; Minnesota eligibility system. new text end

new text begin For purposes of this
section, "Minnesota eligibility system" means the system that supports eligibility
determinations using a modified adjusted gross income methodology for medical
assistance under section 256B.056, subdivision 1a, paragraph (b), clause (1);
MinnesotaCare under chapter 256L; and qualified health plan enrollment under section
62V.05, subdivision 5, paragraph (c).
new text end

new text begin Subd. 2. new text end

new text begin Establishment; committee membership. new text end

new text begin The Minnesota Eligibility
System Executive Steering Committee is established to govern and administer the
Minnesota eligibility system. The steering committee shall be composed of one member
appointed by the commissioner of human services, one member appointed by the
board, one member appointed jointly by the Association of Minnesota Counties and
the Minnesota Inter-County Association, and one nonvoting member appointed by the
commissioner of MN.IT services who shall serve as the committee chairperson. Steering
committee costs must be paid from the budgets of the Department of Human Services, the
Office of MN.IT Services, and MNsure.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin (a) The Minnesota Eligibility System Executive Steering
Committee shall establish an overall governance structure for the Minnesota eligibility
system and shall be responsible for the overall governance of the system, including setting
system goals and priorities, allocating the system's resources, making major system
decisions, and tracking total funding and expenditures for the system from all sources.
The steering committee shall also report to the Legislative Oversight Committee on a
quarterly basis on Minnesota eligibility system funding and expenditures, including
amounts received in the most recent quarter by funding source and expenditures made in
the most recent quarter by funding source.
new text end

new text begin (b) The steering committee shall adopt bylaws, policies, and interagency agreements
necessary to administer the Minnesota eligibility system.
new text end

new text begin (c) In making decisions, the steering committee shall give particular attention to the
parts of the system with the largest enrollments and the greatest risks.
new text end

new text begin Subd. 4. new text end

new text begin Meetings. new text end

new text begin (a) All meetings of the steering committee must:
new text end

new text begin (1) be held in the State Office Building; and
new text end

new text begin (2) whenever possible, be available on the legislature's Web site for live streaming
and downloading over the Internet.
new text end

new text begin (b) The steering committee must:
new text end

new text begin (1) as part of every steering committee meeting, provide the opportunity for oral
and written public testimony and comments on steering committee governance of the
Minnesota eligibility system; and
new text end

new text begin (2) provide documents under discussion or review by the steering committee to be
electronically posted on the legislature's Web site. Documents must be provided and
posted prior to the meeting at which the documents are scheduled for review or discussion.
new text end

new text begin (c) All votes of the steering committee must be recorded, with each member's vote
identified.
new text end

new text begin Subd. 5. new text end

new text begin Administrative structure. new text end

new text begin The Office of MN.IT Services shall
be responsible for the design, build, maintenance, operation, and upgrade of the
information technology for the Minnesota eligibility system. The office shall carry out its
responsibilities under the governance of the steering committee, this section, and chapter
16E.
new text end

Sec. 11.

Minnesota Statutes 2014, section 62V.11, is amended by adding a subdivision
to read:


new text begin Subd. 5. new text end

new text begin Review of Minnesota eligibility system funding and expenditures. new text end

new text begin The
committee shall review quarterly reports submitted by the Minnesota Eligibility System
Executive Steering Committee under section 62V.055, subdivision 3, regarding Minnesota
eligibility system funding and expenditures.
new text end

Sec. 12.

Minnesota Statutes 2014, section 144.05, is amended by adding a subdivision
to read:


new text begin Subd. 6. new text end

new text begin Legislative enactment required. new text end

new text begin (a) The commissioner of health shall not
enter into or renew any interagency agreement or service level agreement with a value of
more than $100,000 a year, or related agreements with a cumulative value of more than
$100,000 a year, with a state department, state agency, or the Office of MN.IT Services,
unless the specific agreement is authorized by enactment of a new law. If an agreement,
including an agreement in effect as of the effective date of this subdivision, does not have
an expiration date, the agreement shall expire two years from the effective date of this
subdivision or the effective date of the agreement, whichever is later, unless the specific
agreement is authorized by enactment of a new law.
new text end

new text begin (b) Notwithstanding section 16A.285, the commissioner shall not transfer
appropriations and funds in amounts over $100,000 across agency accounts or programs
unless the specific transfer is authorized by enactment of a new law.
new text end

new text begin (c) For purposes of this subdivision, "state department" has the meaning provided in
section 15.01, and "state agency" has the meaning provided in section 15.012.
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

Sec. 13.

Minnesota Statutes 2014, section 256.01, is amended by adding a subdivision
to read:


new text begin Subd. 41. new text end

new text begin Legislative enactment required. new text end

new text begin (a) The commissioner of human
services shall not enter into or renew any interagency agreement or service level agreement
with a value of more than $100,000 a year, or related agreements with a cumulative value
of more than $100,000 a year, with a state department, state agency, or the Office of
MN.IT Services, unless the specific agreement is authorized by enactment of a new law. If
an agreement, including an agreement in effect as of the effective date of this subdivision,
does not have an expiration date, the agreement shall expire two years from the effective
date of this subdivision or the effective date of the agreement, whichever is later, unless
the specific agreement is authorized by enactment of a new law.
new text end

new text begin (b) Notwithstanding section 16A.285, the commissioner shall not transfer
appropriations and funds in amounts over $100,000 across agency accounts or programs
unless the specific transfer is authorized by enactment of a new law.
new text end

new text begin (c) For purposes of this subdivision, "state department" has the meaning provided in
section 15.01, and "state agency" has the meaning provided in section 15.012.
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

Sec. 14.

Minnesota Statutes 2014, section 256L.02, is amended by adding a subdivision
to read:


new text begin Subd. 7. new text end

new text begin Federal waiver. new text end

new text begin The commissioner shall apply for an innovation waiver
under section 1332 of the Affordable Care Act, or any other applicable federal waiver, to
allow persons eligible for MinnesotaCare the option of declining MinnesotaCare coverage
and instead accessing advanced premium tax credits and cost-sharing reductions through
the purchase of qualified health plans through MNsure or outside of MNsure directly from
health plan companies. The commissioner shall submit this federal waiver request within
nine months of the effective date of this subdivision. The commissioner shall coordinate
this waiver request with the waiver request required by Laws 2015, chapter 71, article 12,
section 8. The commissioner shall submit a draft waiver proposal to the MNsure board and
the chairs and ranking minority members of the legislative committees with jurisdiction
over health and human services policy and finance at least 30 days before submitting a final
waiver proposal to the federal government. The commissioner shall notify the board and
the chairs and ranking minority members of any federal decision or action related to the
proposal. If federal approval is granted, the commissioner shall submit to the legislature
draft legislation and fiscal estimates necessary to implement the approved proposal.
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

Sec. 15. new text beginFEDERAL-STATE ELIGIBILITY DETERMINATION AND
ENROLLMENT SYSTEM FOR INSURANCE AFFORDABILITY PROGRAMS.
new text end

new text begin Subdivision 1. new text end

new text begin Waiver request. new text end

new text begin (a) The commissioner of human services, in
consultation with the MNsure board, commissioner of commerce, and commissioner
of health, shall apply for an innovation waiver under section 1332 of the Affordable
Care Act, or any other applicable federal waiver, to establish and operate a federal-state
eligibility determination and enrollment system for state insurance affordability programs
for coverage beginning January 1, 2018. The federal-state eligibility determination and
enrollment system shall take the place of MNsure established under Minnesota Statutes,
chapter 62V. Under the federal-state eligibility determination and enrollment system:
new text end

new text begin (1) eligibility determinations and enrollment for persons applying for or renewing
coverage under medical assistance and MinnesotaCare shall be conducted by the
commissioner of human services; and
new text end

new text begin (2) enrollment in qualified health plans and eligibility determinations for any
applicable advanced premium tax credits and cost-sharing reductions shall be conducted
by the federally facilitated marketplace.
new text end

new text begin (b) For purposes of this section, "state insurance affordability programs" means
medical assistance, MinnesotaCare, and qualified health plan coverage with any applicable
advanced premium tax credits and cost-sharing reductions.
new text end

new text begin (c) The federal-state eligibility determination and enrollment system must
incorporate an asset test for adults without children who qualify for medical assistance
under Minnesota Statutes, section 256B.055, subdivision 15, or MinnesotaCare under
Minnesota Statutes, chapter 256L, under which a household of two or more persons must
not own more than $20,000 in total net assets and a household of one person must not
own more than $10,000 in total net assets.
new text end

new text begin Subd. 2. new text end

new text begin Requirements of waiver application. new text end

new text begin In designing the federal-state
eligibility determination and enrollment system and developing the waiver application,
the commissioner shall:
new text end

new text begin (1) seek to incorporate, where appropriate and cost-effective, elements of
the MNsure eligibility determination system and eligibility determination systems
administered by the commissioner of human services;
new text end

new text begin (2) coordinate the waiver request with the waiver requests required by Minnesota
Statutes, section 256L.02, subdivision 7, if enacted, and with the waiver request required
by Laws 2015, chapter 71, article 12, section 8;
new text end

new text begin (3) regularly consult with stakeholder groups, including but not limited to
representatives of state and county agencies, health care providers, health plan companies,
brokers, and consumers; and
new text end

new text begin (4) seek all available federal grants and funds for state planning and development
costs.
new text end

new text begin Subd. 3. new text end

new text begin Vendor contract; use of existing resources. new text end

new text begin The commissioner of
human services, in consultation with the chief information officer of MN.IT, may contract
with a vendor to provide technical assistance in developing the waiver request. The
commissioner shall develop the waiver request and enter into any contract for technical
assistance using existing resources.
new text end

new text begin Subd. 4. new text end

new text begin Reports to legislative committees. new text end

new text begin The commissioner of human services
shall report to the chairs and ranking minority members of the legislative committees with
jurisdiction over commerce and health and human services policy and finance by January
1, 2017, on progress in seeking the waiver required by this section, and shall notify these
chairs and ranking minority members of any federal decision related to the waiver request.
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

Sec. 16. new text beginREVISOR'S INSTRUCTION.
new text end

new text begin The revisor of statutes shall change cross-references to sections in Minnesota
Statutes and Minnesota Rules that are repealed in this article when appropriate. The
revisor may make technical and other necessary changes to sentence structure to preserve
the meaning of the text.
new text end

Sec. 17. new text begin REPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2014, sections 62V.01; 62V.02; 62V.03, subdivisions 1 and 3;
62V.04; 62V.05, subdivisions 1, 2, 3, 4, 5, 9, and 10; 62V.06; 62V.07; 62V.08; 62V.09;
62V.10; and 62V.11, subdivisions 1, 2, and 4,
new text end new text begin are repealed.
new text end

new text begin (b) new text end new text begin Minnesota Statutes 2015 Supplement, sections 62V.03, subdivision 2; 62V.05,
subdivisions 6, 7, 8, and 11; and 62V.051,
new text end new text begin are repealed.
new text end

new text begin (c) new text end new text begin Minnesota Rules, parts 7700.0010; 7700.0020; 7700.0030; 7700.0040;
7700.0050; 7700.0060; 7700.0070; 7700.0080; 7700.0090; 7700.0100; 7700.0101; and
7700.0105,
new text end new text begin are repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective upon approval of the waiver request
to establish and operate a federal-state eligibility determination and enrollment system, or
January 1, 2018, whichever is later. The commissioner of human services shall notify the
revisor of statutes when the waiver request is approved.
new text end

ARTICLE 4

HEALTH DEPARTMENT

Section 1.

Minnesota Statutes 2014, section 62J.495, subdivision 4, is amended to read:


Subd. 4.

Coordination with national HIT activities.

(a) The commissioner,
in consultation with the e-Health Advisory Committee, shall update the statewide
implementation plan required under subdivision 2 and released June 2008, to be consistent
with the updated Federal HIT Strategic Plan released by the Office of the National
Coordinator in accordance with section 3001 of the HITECH Act. The statewide plan
shall meet the requirements for a plan required under section 3013 of the HITECH Act.

(b) The commissioner, in consultation with the e-Health Advisory Committee,
shall work to ensure coordination between state, regional, and national efforts to support
and accelerate efforts to effectively use health information technology to improve the
quality and coordination of health care and the continuity of patient care among health
care providers, to reduce medical errors, to improve population health, to reduce health
disparities, and to reduce chronic disease. The commissioner's coordination efforts shall
include but not be limited to:

(1) assisting in the development and support of health information technology
regional extension centers established under section 3012(c) of the HITECH Act to
provide technical assistance and disseminate best practices; deleted text beginand
deleted text end

(2) providing supplemental information to the best practices gathered by regional
centers to ensure that the information is relayed in a meaningful way to the Minnesota
health care communitynew text begin;
new text end

new text begin (3) providing financial and technical support to Minnesota health care providers to
encourage implementation of admission, discharge, and transfer alerts and care summary
document exchange transactions, and to evaluate the impact of health information
technology on cost and quality of care. Communications about available financial and
technical support shall include clear information about the interoperable electronic health
record requirements in subdivision 1, including a separate statement in boldface type
clarifying the exceptions to those requirements;
new text end

new text begin (4) providing educational resources and technical assistance to health care providers
and patients related to state and national privacy, security, and consent laws governing
clinical health information, including the requirements of sections 144.291 to 144.298. In
carrying out these activities, the commissioner's technical assistance does not constitute
legal advice; and
new text end

new text begin (5) assessing Minnesota's legal, financial, and regulatory framework for health
information exchange, including the requirements of sections 144.291 to 144.298, and
making recommendations for modifications that would strengthen the ability of Minnesota
health care providers to securely exchange data in compliance with patient preferences
and in a way that is efficient and financially sustainable
new text end.

(c) The commissioner, in consultation with the e-Health Advisory Committee, shall
monitor national activity related to health information technology and shall coordinate
statewide input on policy development. The commissioner shall coordinate statewide
responses to proposed federal health information technology regulations in order to ensure
that the needs of the Minnesota health care community are adequately and efficiently
addressed in the proposed regulations. The commissioner's responses may include, but
are not limited to:

(1) reviewing and evaluating any standard, implementation specification, or
certification criteria proposed by the national HIT standards committee;

(2) reviewing and evaluating policy proposed by the national HIT policy committee
relating to the implementation of a nationwide health information technology infrastructure;

(3) monitoring and responding to activity related to the development of quality
measures and other measures as required by section 4101 of the HITECH Act. Any
response related to quality measures shall consider and address the quality efforts required
under chapter 62U; and

(4) monitoring and responding to national activity related to privacy, security, and
data stewardship of electronic health information and individually identifiable health
information.

(d) To the extent that the state is either required or allowed to apply, or designate an
entity to apply for or carry out activities and programs under section 3013 of the HITECH
Act, the commissioner of health, in consultation with the e-Health Advisory Committee
and the commissioner of human services, shall be the lead applicant or sole designating
authority. The commissioner shall make such designations consistent with the goals and
objectives of sections 62J.495 to 62J.497 and 62J.50 to 62J.61.

(e) The commissioner of human services shall apply for funding necessary to
administer the incentive payments to providers authorized under title IV of the American
Recovery and Reinvestment Act.

(f) The commissioner shall include in the report to the legislature information on the
activities of this subdivision and provide recommendations on any relevant policy changes
that should be considered in Minnesota.

Sec. 2.

Minnesota Statutes 2014, section 62J.496, subdivision 1, is amended to read:


Subdivision 1.

Account establishment.

(a) An account is established to:

(1) finance the purchase of certified electronic health records or qualified electronic
health records as defined in section 62J.495, subdivision 1a;

(2) enhance the utilization of electronic health record technology, which may include
costs associated with upgrading the technology to meet the criteria necessary to be a
certified electronic health record or a qualified electronic health record;

(3) train personnel in the use of electronic health record technology; and

(4) improve the secure electronic exchange of health information.

(b) Amounts deposited in the account, including any grant funds obtained through
federal or other sources, loan repayments, and interest earned on the amounts shall
be used only for awarding loans or loan guarantees, as a source of reserve and security
for leveraged loans, new text beginfor activities authorized in section 62J.495, subdivision 4, new text endor for
the administration of the account.

(c) The commissioner may accept contributions to the account from private sector
entities subject to the following provisions:

(1) the contributing entity may not specify the recipient or recipients of any loan
issued under this subdivision;

(2) the commissioner shall make public the identity of any private contributor to the
loan fund, as well as the amount of the contribution provided;

(3) the commissioner may issue letters of commendation or make other awards that
have no financial value to any such entity; and

(4) a contributing entity may not specify that the recipient or recipients of any loan
use specific products or services, nor may the contributing entity imply that a contribution
is an endorsement of any specific product or service.

(d) The commissioner may use the loan funds to reimburse private sector entities
for any contribution made to the loan fund. Reimbursement to private entities may not
exceed the principle amount contributed to the loan fund.

(e) The commissioner may use funds deposited in the account to guarantee, or
purchase insurance for, a local obligation if the guarantee or purchase would improve
credit market access or reduce the interest rate applicable to the obligation involved.

(f) The commissioner may use funds deposited in the account as a source of revenue
or security for the payment of principal and interest on revenue or general obligation
bonds issued by the state if the proceeds of the sale of the bonds will be deposited into
the loan fund.

new text begin (h) The commissioner shall not award new loans or loan guarantees after July 1, 2016.
new text end

Sec. 3.

new text begin [144.1912] GREATER MINNESOTA FAMILY MEDICINE RESIDENCY
GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

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

new text begin (b) "Commissioner" means the commissioner of health.
new text end

new text begin (c) "Eligible family medicine residency program" means a program that meets the
following criteria:
new text end

new text begin (1) is located in Minnesota outside the seven-county metropolitan area as defined in
section 473.121, subdivision 4;
new text end

new text begin (2) is accredited as a family medicine residency program or is a candidate for
accreditation;
new text end

new text begin (3) is focused on the education and training of family medicine physicians to serve
communities outside the metropolitan area; and
new text end

new text begin (4) demonstrates that over the most recent three years, at least 25 percent of its
graduates practice in Minnesota communities outside the metropolitan area.
new text end

new text begin Subd. 2. new text end

new text begin Program administration. new text end

new text begin (a) The commissioner shall award family
medicine residency grants to existing, eligible, not-for-profit family medicine residency
programs to support current and new residency positions. Funds shall be allocated first to
proposed new family medicine residency positions, and remaining funds shall be allocated
proportionally based on the number of existing residents in eligible programs. The
commissioner may fund a new residency position for up to three years.
new text end

new text begin (b) Grant funds awarded may only be spent to cover the costs of:
new text end

new text begin (1) establishing, maintaining, or expanding training for family medicine residents;
new text end

new text begin (2) recruitment, training, and retention of residents and faculty;
new text end

new text begin (3) travel and lodging for residents; and
new text end

new text begin (4) faculty, resident, and preceptor salaries.
new text end

new text begin (c) Grant funds shall not be used to supplant any other government or private funds
available for these purposes.
new text end

new text begin Subd. 3. new text end

new text begin Applications. new text end

new text begin Eligible family medicine residency programs seeking a
grant must apply to the commissioner. The application must include objectives, a related
work plan and budget, a description of the number of new and existing residency positions
that will be supported using grant funds, and additional information the commissioner
determines to be necessary. The commissioner shall determine whether applications are
complete and responsive and may require revisions or additional information before
awarding a grant.
new text end

new text begin Subd. 4. new text end

new text begin Program oversight. new text end

new text begin The commissioner may require and collect from
family medicine residency programs receiving grants any information necessary to
administer and evaluate the program.
new text end

Sec. 4.

Minnesota Statutes 2014, section 144.293, subdivision 2, is amended to read:


Subd. 2.

Patient consent to release of records.

new text begin(a) new text endA provider, or a person who
receives health records from a provider, may not release a patient's health records to a
person without:

(1) a signed and dated consent from the patient or the patient's legally authorized
representative authorizing the release;

(2) specific authorization in law; or

(3) a representation from a provider that holds a signed and dated consent from the
patient authorizing the release.

new text begin (b) Any consent form signed by a patient must include an option to indicate "yes" or
"no" to individual items for which the provider is requesting consent. The provider may not
condition the patient's receipt of treatment on the patient's willingness to release records.
new text end

Sec. 5.

new text begin [144.7011] PRESCRIPTION DRUG PRICE REPORTING.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following definitions
apply.
new text end

new text begin (b) "Available discount" means any reduction in the usual and customary price
offered for a 30-day supply of a prescription drug to individuals in Minnesota regardless
of their health insurance coverage.
new text end

new text begin (c) "Retail pharmacy" means any pharmacy licensed under section 151.19, and in
the community/outpatient category under Minnesota Rules, part 6800.0350, that has a
physical presence in Minnesota.
new text end

new text begin (d) "Retail price" means the price maintained by pharmacies as the usual and
customary price offered for a 30-day supply to individuals in Minnesota regardless of
the individual's health insurance coverage.
new text end

new text begin Subd. 2. new text end

new text begin Prescription drug price information reporting. new text end

new text begin By July 1, 2017, the
commissioner of health shall establish an interactive Web site that allows retail pharmacies,
on a voluntary basis, to list retail prices and available discounts for one or more of the 150
most commonly dispensed prescription drugs in Minnesota. The Web site must report the
retail prices for prescription drugs by participating pharmacy and any time period restriction
on an available discount. The Web site must allow consumers to search for prescription
drug retail prices by drug name and class, by available discount level, and by city, county,
and zip code. The commissioner shall consult annually with the commissioner of human
services to determine the list of the 150 most commonly filled prescription drugs, based on
prescription drug utilization in the medical assistance and MinnesotaCare programs.
new text end

new text begin Subd. 3. new text end

new text begin Pharmacy duties. new text end

new text begin Beginning on June 1, 2017, and on a monthly basis
thereafter, all participating retail pharmacies shall submit retail prices and available
discounts to the commissioner using a form developed by the commissioner. A
retail pharmacy may opt out of the reporting system at any time, but shall notify the
commissioner at least 60 days prior to opting out.
new text end

new text begin Subd. 4. new text end

new text begin External vendors. new text end

new text begin In carrying out the duties of this section, the
commissioner may contract with an outside vendor for collection of data from pharmacies,
and may also contract with an outside vendor for development and hosting of the
interactive application, if this contract complies with the requirements of section 16E.016,
paragraph (c).
new text end

Sec. 6.

Minnesota Statutes 2014, section 144A.471, subdivision 9, is amended to read:


Subd. 9.

Exclusions from home care licensure.

The following are excluded from
home care licensure and are not required to provide the home care bill of rights:

(1) an individual or business entity providing only coordination of home care that
includes one or more of the following:

(i) determination of whether a client needs home care services, or assisting a client
in determining what services are needed;

(ii) referral of clients to a home care provider;

(iii) administration of payments for home care services; or

(iv) administration of a health care home established under section 256B.0751;

(2) an individual who is not an employee of a licensed home care provider if the
individual:

(i) only provides services as an independent contractor to one or more licensed
home care providers;

(ii) provides no services under direct agreements or contracts with clients; and

(iii) is contractually bound to perform services in compliance with the contracting
home care provider's policies and service plans;

(3) a business that provides staff to home care providers, such as a temporary
employment agency, if the business:

(i) only provides staff under contract to licensed or exempt providers;

(ii) provides no services under direct agreements with clients; and

(iii) is contractually bound to perform services under the contracting home care
provider's direction and supervision;

(4) any home care services conducted by and for the adherents of any recognized
church or religious denomination for its members through spiritual means, or by prayer
for healing;

(5) an individual who only provides home care services to a relative;

(6) an individual not connected with a home care provider that provides assistance
with basic home care needs if the assistance is provided primarily as a contribution and
not as a business;

(7) an individual not connected with a home care provider that shares housing with
and provides primarily housekeeping or homemaking services to an elderly or disabled
person in return for free or reduced-cost housing;

(8) an individual or provider providing home-delivered meal services;

(9) an individual providing senior companion services and other older American
volunteer programs (OAVP) established under the Domestic Volunteer Service Act of
1973, United States Code, title 42, chapter 66;

(10) an employee of a nursing homenew text begin or home care providernew text end licensed under this
chapter or an employee of a boarding care home licensed under sections 144.50 to 144.56
who responds to occasional emergency calls from individuals residing in a residential
setting that is attached to or located on property contiguous to the nursing home deleted text beginordeleted text endnew text begin,new text end
boarding care homenew text begin, or location where home care services are also providednew text end;

new text begin (11) an employee of a nursing home or home care provider licensed under this
chapter or an employee of a boarding care home licensed under sections 144.50 to
144.56 who provides occasional minor services free of charge to individuals residing in
a residential setting that is attached to or located on property contiguous to the nursing
home, boarding care home, or location where home care services are also provided, for the
occasional minor services provided free of charge;
new text end

deleted text begin (11)deleted text endnew text begin (12)new text end a member of a professional corporation organized under chapter 319B that
does not regularly offer or provide home care services as defined in section 144A.43,
subdivision 3;

deleted text begin (12)deleted text endnew text begin (13)new text end the following organizations established to provide medical or surgical
services that do not regularly offer or provide home care services as defined in section
144A.43, subdivision 3: a business trust organized under sections 318.01 to 318.04,
a nonprofit corporation organized under chapter 317A, a partnership organized under
chapter 323, or any other entity determined by the commissioner;

deleted text begin (13)deleted text endnew text begin (14)new text end an individual or agency that provides medical supplies or durable medical
equipment, except when the provision of supplies or equipment is accompanied by a
home care service;

deleted text begin (14)deleted text endnew text begin (15)new text end a physician licensed under chapter 147;

deleted text begin (15)deleted text endnew text begin (16)new text end an individual who provides home care services to a person with a
developmental disability who lives in a place of residence with a family, foster family, or
primary caregiver;

deleted text begin (16)deleted text endnew text begin (17)new text end a business that only provides services that are primarily instructional and
not medical services or health-related support services;

deleted text begin (17)deleted text endnew text begin (18)new text end an individual who performs basic home care services for no more than
14 hours each calendar week to no more than one client;

deleted text begin (18)deleted text endnew text begin (19)new text end an individual or business licensed as hospice as defined in sections 144A.75
to 144A.755 who is not providing home care services independent of hospice service;

deleted text begin (19)deleted text endnew text begin (20)new text end activities conducted by the commissioner of health or a community health
board as defined in section 145A.02, subdivision 5, including communicable disease
investigations or testing; or

deleted text begin (20)deleted text endnew text begin (21)new text end administering or monitoring a prescribed therapy necessary to control or
prevent a communicable disease, or the monitoring of an individual's compliance with a
health directive as defined in section 144.4172, subdivision 6.

Sec. 7.

Minnesota Statutes 2014, section 144A.75, subdivision 5, is amended to read:


Subd. 5.

Hospice provider.

"Hospice provider" means an individual, organization,
association, corporation, unit of government, or other entity that is regularly engaged
in the delivery, directly or by contractual arrangement, of hospice services for a fee to
deleted text beginterminally illdeleted text end hospice patients. A hospice must provide all core services.

Sec. 8.

Minnesota Statutes 2014, section 144A.75, subdivision 6, is amended to read:


Subd. 6.

Hospice patient.

"Hospice patient" means an individual deleted text beginwho has been
diagnosed as terminally ill, with a probable life expectancy of under one year, as
deleted text end new text beginwhose
illness has been
new text enddocumented by the individual's attending physician and hospice medical
director, who alone or, when unable, through the individual's family has voluntarily
consented to and received admission to a hospice providernew text begin, and who:
new text end

new text begin (1) has been diagnosed as terminally ill, with a probable life expectancy of under
one year; or
new text end

new text begin (2) is 21 years of age or younger; has been diagnosed with a chronic, complex, and
life-threatening illness contributing to a shortened life expectancy; and is not expected
to survive to adulthood
new text end.

Sec. 9.

Minnesota Statutes 2014, section 144A.75, subdivision 8, is amended to read:


Subd. 8.

Hospice services; hospice care.

"Hospice services" or "hospice care"
means palliative and supportive care and other services provided by an interdisciplinary
team under the direction of an identifiable hospice administration to terminally ill hospice
patients and their families to meet the physical, nutritional, emotional, social, spiritual,
and special needs experienced during the final stages of illness, dying, and bereavementnew text begin,
or during a chronic, complex, and life-threatening illness contributing to a shortened life
expectancy for hospice patients who meet the criteria in subdivision 6, clause (2)
new text end. These
services are provided through a centrally coordinated program that ensures continuity and
consistency of home and inpatient care that is provided directly or through an agreement.

Sec. 10.

Minnesota Statutes 2015 Supplement, section 144A.75, subdivision 13,
is amended to read:


Subd. 13.

Residential hospice facility.

(a) "Residential hospice facility" means a
facility that resembles a single-family home new text beginmodified to address life safety, accessibility,
and care needs,
new text endlocated in a residential area that directly provides 24-hour residential
and support services in a home-like setting for hospice patients as an integral part of the
continuum of home care provided by a hospice and that houses:

(1) no more than eight hospice patients; or

(2) at least nine and no more than 12 hospice patients with the approval of the local
governing authority, notwithstanding section 462.357, subdivision 8.

(b) Residential hospice facility also means a facility that directly provides 24-hour
residential and support services for hospice patients and that:

(1) houses no more than 21 hospice patients;

(2) meets hospice certification regulations adopted pursuant to title XVIII of the
federal Social Security Act, United States Code, title 42, section 1395, et seq.; and

(3) is located on St. Anthony Avenue in St. Paul, Minnesota, and was licensed as a
40-bed non-Medicare certified nursing home as of January 1, 2015.

Sec. 11.

Minnesota Statutes 2014, section 144A.75, is amended by adding a
subdivision to read:


new text begin Subd. 13a. new text end

new text begin Respite care. new text end

new text begin "Respite care" means short-term care in an inpatient
facility, such as a residential hospice facility, when necessary to relieve the hospice
patient's family or other persons caring for the patient. Respite care may be provided on
an occasional basis.
new text end

Sec. 12.

Minnesota Statutes 2015 Supplement, section 145.4131, subdivision 1,
is amended to read:


Subdivision 1.

Forms.

(a) Within 90 days of July 1, 1998, the commissioner shall
prepare a reporting form for use by physicians or facilities performing abortions. A copy
of this section shall be attached to the form. A physician or facility performing an abortion
shall obtain a form from the commissioner.

(b) The form shall require the following information:

(1) the number of abortions performed by the physician in the previous calendar
year, reported by month;

(2) the method used for each abortion;

(3) the approximate gestational age expressed in one of the following increments:

(i) less than nine weeks;

(ii) nine to ten weeks;

(iii) 11 to 12 weeks;

(iv) 13 to 15 weeks;

(v) 16 to 20 weeks;

(vi) 21 to 24 weeks;

(vii) 25 to 30 weeks;

(viii) 31 to 36 weeks; or

(ix) 37 weeks to term;

(4) the age of the woman at the time the abortion was performed;

(5) the specific reason for the abortion, including, but not limited to, the following:

(i) the pregnancy was a result of rape;

(ii) the pregnancy was a result of incest;

(iii) economic reasons;

(iv) the woman does not want children at this time;

(v) the woman's emotional health is at stake;

(vi) the woman's physical health is at stake;

(vii) the woman will suffer substantial and irreversible impairment of a major bodily
function if the pregnancy continues;

(viii) the pregnancy resulted in fetal anomalies; or

(ix) unknown or the woman refused to answer;

(6) the number of prior induced abortions;

(7) the number of prior spontaneous abortions;

(8) whether the abortion was paid for by:

(i) private coverage;

(ii) public assistance health coverage; or

(iii) self-pay;

(9) whether coverage was under:

(i) a fee-for-service plan;

(ii) a capitated private plan; or

(iii) other;

(10) complications, if any, for each abortion and for the aftermath of each abortion.
Space for a description of any complications shall be available on the form;

(11) the medical specialty of the physician performing the abortion; deleted text beginand
deleted text end

new text begin (12) if the abortion was performed via telemedicine, the facility code for the patient
and the facility code for the physician; and
new text end

deleted text begin (12)deleted text endnew text begin (13)new text end whether the abortion resulted in a born alive infant, as defined in section
145.423, subdivision 4, and:

(i) any medical actions taken to preserve the life of the born alive infant;

(ii) whether the born alive infant survived; and

(iii) the status of the born alive infant, should the infant survive, if known.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2017.
new text end

Sec. 13.

new text begin [145.417] LICENSURE OF CERTAIN FACILITIES THAT PERFORM
ABORTIONS.
new text end

new text begin Subdivision 1. new text end

new text begin License required for facilities that perform ten or more abortions
per month.
new text end

new text begin (a) A clinic, health center, or other facility in which the pregnancies of ten or
more women known to be pregnant are willfully terminated or aborted each month shall
be licensed by the commissioner of health and, notwithstanding Minnesota Rules, part
4675.0100, subparts 8 and 9, subject to the licensure requirements provided in Minnesota
Rules, chapter 4675. The commissioner shall not require a facility licensed as a hospital or
as an outpatient surgical center, pursuant to sections 144.50 to 144.56, to obtain a separate
license under this section, but may subject these facilities to inspections and investigations
as permitted under subdivision 2.
new text end

new text begin (b) The commissioner of health, the attorney general, an appropriate county attorney,
or a woman upon whom an abortion has been performed or attempted to be performed
at an unlicensed facility may seek an injunction in district court against the continued
operation of the facility. Proceedings for securing an injunction may be brought by the
attorney general or by the appropriate county attorney.
new text end

new text begin (c) Sanctions provided in this subdivision do not restrict other available sanctions.
new text end

new text begin Subd. 2. new text end

new text begin Inspections; no notice required. new text end

new text begin No more than two times per year,
the commissioner of health shall perform routine and comprehensive inspections and
investigations of facilities described under subdivision 1. Every clinic, health center,
or other facility described under subdivision 1, and any other premises proposed to be
conducted as a facility by an applicant for a license, shall be open at all reasonable times
to inspection authorized in writing by the commissioner of health. No notice need be
given to any person prior to any inspection.
new text end

new text begin Subd. 3. new text end

new text begin Licensure fee. new text end

new text begin (a) The annual license fee for facilities required to be
licensed under this section is $3,712.
new text end

new text begin (b) Fees shall be collected and deposited according to section 144.122.
new text end

new text begin Subd. 4. new text end

new text begin Suspension, revocation, and refusal to renew. new text end

new text begin The commissioner of
health may refuse to grant or renew, or may suspend or revoke a license on any of the
following grounds:
new text end

new text begin (1) violation of any of the provisions of this section or Minnesota Rules, chapter 4675;
new text end

new text begin (2) permitting, aiding, or abetting the commission of any illegal act in the facility;
new text end

new text begin (3) conduct or practices detrimental to the welfare of the patient;
new text end

new text begin (4) obtaining or attempting to obtain a license by fraud or misrepresentation; or
new text end

new text begin (5) if there is a pattern of conduct that involves one or more physicians in the
facility who have a financial or economic interest in the facility, as defined in section
144.6521, subdivision 3, and who have not provided notice and disclosure of the financial
or economic interest as required by section 144.6521.
new text end

new text begin Subd. 5. new text end

new text begin Hearing. new text end

new text begin Prior to any suspension, revocation, or refusal to renew a license,
the licensee shall be entitled to notice and a hearing as provided by sections 14.57 to
14.69. At each hearing, the commissioner of health shall have the burden of establishing
that a violation described in subdivision 4 has occurred. If a license is revoked, suspended,
or not renewed, a new application for a license may be considered by the commissioner if
the conditions upon which revocation, suspension, or refusal to renew was based have
been corrected and evidence of this fact has been satisfactorily furnished. A new license
may be granted after proper inspection has been made and all provisions of this section
and Minnesota Rules, chapter 4675, have been complied with and a recommendation
for licensure has been made by the commissioner or by an inspector as an agent of the
commissioner.
new text end

new text begin Subd. 6. new text end

new text begin Severability. new text end

new text begin If any one or more provision, section, subdivision, sentence,
clause, phrase, or word of this section or the application of it to any person or circumstance
is found to be unconstitutional, it is declared to be severable and the balance of this section
shall remain effective notwithstanding such unconstitutionality. The legislature intends
that it would have passed this section, and each provision, section, subdivision, sentence,
clause, phrase, or word, regardless of the fact that any one provision, section, subdivision,
sentence, clause, phrase, or word is declared unconstitutional.
new text end

Sec. 14.

Minnesota Statutes 2014, section 145.4716, subdivision 2, is amended to read:


Subd. 2.

Duties of director.

The director of child sex trafficking prevention is
responsible for the following:

(1) developing and providing comprehensive training on sexual exploitation of
youth for social service professionals, medical professionals, public health workers, and
criminal justice professionals;

(2) collecting, organizing, maintaining, and disseminating information on sexual
exploitation and services across the state, including maintaining a list of resources on the
Department of Health Web site;

(3) monitoring and applying for federal funding for antitrafficking efforts that may
benefit victims in the state;

(4) managing grant programs established under sections 145.4716 to 145.4718new text begin
and 609.3241, paragraph (c), clause (3)
new text end;

(5) managing the request for proposals for grants for comprehensive services,
including trauma-informed, culturally specific services;

(6) identifying best practices in serving sexually exploited youth, as defined in
section 260C.007, subdivision 31;

(7) providing oversight of and technical support to regional navigators pursuant to
section 145.4717;

(8) conducting a comprehensive evaluation of the statewide program for safe harbor
of sexually exploited youth; and

(9) developing a policy consistent with the requirements of chapter 13 for sharing
data related to sexually exploited youth, as defined in section 260C.007, subdivision 31,
among regional navigators and community-based advocates.

Sec. 15.

Minnesota Statutes 2014, section 145.4716, is amended by adding a
subdivision to read:


new text begin Subd. 3. new text end

new text begin Youth eligible for services. new text end

new text begin Youth 24 years of age or younger shall be
eligible for all services, support, and programs provided under this section and section
145.4717, and all shelter, housing beds, and services provided by the commissioner of
human services to sexually exploited youth and youth at risk of sexual exploitation.
new text end

Sec. 16.

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 endBeginning 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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 17.

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 beginand
used for services other than prepregnancy family planning services
new text endmust 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.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 18.

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.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 19.

new text begin [145.908] GRANT PROGRAM; SCREENING AND TREATMENT FOR
PRE- AND POSTPARTUM MOOD AND ANXIETY DISORDERS.
new text end

new text begin Subdivision 1. new text end

new text begin Grant program established. new text end

new text begin Within the limits of federal funds
available specifically for this purpose, the commissioner of health shall establish a grant
program to provide culturally competent programs to screen and treat pregnant women
and women who have given birth in the preceding 12 months for pre- and postpartum
mood and anxiety disorders. Organizations may use grant funds to establish new screening
or treatment programs, or expand or maintain existing screening or treatment programs. In
establishing the grant program, the commissioner shall prioritize expanding or enhancing
screening for pre- and postpartum mood and anxiety disorders in primary care settings.
The commissioner shall determine the types of organizations eligible for grants.
new text end

new text begin Subd. 2. new text end

new text begin Allowable uses of funds. new text end

new text begin Grant funds awarded by the commissioner
under this section:
new text end

new text begin (1) must be used to provide health care providers with appropriate training
and relevant resources on screening, treatment, follow-up support, and links to
community-based resources for pre- and postpartum mood and anxiety disorders; and
new text end

new text begin (2) may be used to:
new text end

new text begin (i) enable health care providers to provide or receive psychiatric consultations to
treat eligible women for pre- and postpartum mood and anxiety disorders;
new text end

new text begin (ii) conduct a public awareness campaign;
new text end

new text begin (iii) fund startup costs for telephone lines, Web sites, and other resources to collect
and disseminate information about screening and treatment for pre- and postpartum mood
and anxiety disorders; or
new text end

new text begin (iv) establish connections between community-based resources.
new text end

new text begin Subd. 3. new text end

new text begin Federal funds. new text end

new text begin The commissioner shall apply for any available grant funds
from the federal Department of Health and Human Services for this program.
new text end

Sec. 20.

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


Subdivision 1.

deleted text beginEligible organizations;deleted text end Purpose.

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 21.

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


Subd. 1a.

deleted text beginFamily planning services; defineddeleted text endnew 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 endnew 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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 22.

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. 23.

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 24.

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 25.

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 26.

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

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2017.
new text end

Sec. 27.

Minnesota Statutes 2014, section 149A.50, subdivision 2, is amended to read:


Subd. 2.

Requirements for funeral establishment.

A funeral establishment
licensed under this section must:

(1) deleted text begincontain adeleted text endnew text begin comply withnew text end preparation and embalming room new text beginrequirements new text endas
described in section 149A.92;

(2) contain office space for making arrangements; and

(3) comply with applicable local and state building codes, zoning laws, and
ordinances.

new text begin EFFECTIVE DATE. new text end

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

Sec. 28.

Minnesota Statutes 2015 Supplement, section 149A.92, subdivision 1, is
amended to read:


Subdivision 1.

Establishment update.

deleted text begin (a) Notwithstanding subdivision 11, a
funeral establishment with other establishment locations that uses one preparation and
embalming room for all establishment locations has until July 1, 2017, to bring the other
establishment locations that are not used for preparation or embalming into compliance
with this section so long as the preparation and embalming room that is used complies
with the minimum standards in this section.
deleted text end

deleted text begin (b) At the time that ownership of a funeral establishment changes, the physical
location of the establishment changes, or the building housing the funeral establishment or
business space of the establishment is remodeled the existing preparation and embalming
room must be brought into compliance with the minimum standards in this section and in
accordance with subdivision 11.
deleted text end

new text begin (a) Any room used by a funeral establishment for preparation and embalming must
comply with the minimum standards of this section. A funeral establishment where no
preparation and embalming is performed, but which conducts viewings, visitations, and
services, or which holds human remains while awaiting final disposition, need not comply
with the minimum standards of this section.
new text end

new text begin (b) Each funeral establishment must have a preparation and embalming room that
complies with the minimum standards of this section, except that a funeral establishment
that operates branch locations need only have one compliant preparation and embalming
room for all locations.
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

Sec. 29.

Minnesota Statutes 2014, section 157.15, subdivision 14, is amended to read:


Subd. 14.

Special event food stand.

"Special event food stand" means a food and
beverage service establishment which is used in conjunction with celebrations and special
events, and which operates deleted text beginno more than three times annuallydeleted text end for no more than ten total
daysnew text begin within the applicable license periodnew text end.

Sec. 30.

Minnesota Statutes 2014, section 327.14, subdivision 8, is amended to read:


Subd. 8.

Recreational camping area.

"Recreational camping area" means any area,
whether privately or publicly owned, used on a daily, nightly, weekly, or longer basis for
the accommodation of five or more tents or recreational camping vehicles free of charge
or for compensation. "Recreational camping area" excludes:

(1) children's camps;

(2) industrial camps;

(3) migrant labor camps, as defined in Minnesota Statutes and state commissioner
of health rules;

(4) United States Forest Service camps;

(5) state forest service camps;

(6) state wildlife management areas or state-owned public access areas which are
restricted in use to picnicking and boat landing; deleted text beginand
deleted text end

(7) temporary holding areas for self-contained recreational camping vehicles
created by and adjacent to motor sports facilities, if the chief law enforcement officer of
an affected jurisdiction determines that it is in the interest of public safety to provide a
temporary holding areanew text begin; and
new text end

new text begin (8) a privately owned area used for camping no more than once a year and for no
longer than seven consecutive days by members of a private club where the members pay
annual dues to belong to the club
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

Sec. 31.

Minnesota Statutes 2014, section 609.3241, is amended to read:


609.3241 PENALTY ASSESSMENT AUTHORIZED.

(a) When a court sentences an adult convicted of violating section 609.322 or
609.324, while acting other than as a prostitute, the court shall impose an assessment of
not less than $500 and not more than $750 for a violation of section 609.324, subdivision
2
, or a misdemeanor violation of section 609.324, subdivision 3; otherwise the court shall
impose an assessment of not less than $750 and not more than $1,000. The assessment
shall be distributed as provided in paragraph (c) and is in addition to the surcharge
required by section 357.021, subdivision 6.

(b) The court may not waive payment of the minimum assessment required by
this section. If the defendant qualifies for the services of a public defender or the court
finds on the record that the convicted person is indigent or that immediate payment of
the assessment would create undue hardship for the convicted person or that person's
immediate family, the court may reduce the amount of the minimum assessment to not
less than $100. The court also may authorize payment of the assessment in installments.

(c) The assessment collected under paragraph (a) must be distributed as follows:

(1) 40 percent of the assessment shall be forwarded to the political subdivision that
employs the arresting officer for use in enforcement, training, and education activities
related to combating sexual exploitation of youth, or if the arresting officer is an employee
of the state, this portion shall be forwarded to the commissioner of public safety for those
purposes identified in clause (3);

(2) 20 percent of the assessment shall be forwarded to the prosecuting agency that
handled the case for use in training and education activities relating to combating sexual
exploitation activities of youth; and

(3) 40 percent of the assessment must be forwarded to the commissioner of deleted text beginpublic
safety
deleted text endnew text begin healthnew text end to be deposited in the safe harbor for youth account in the special revenue
fund and are appropriated to the commissioner for distribution to crime victims services
organizations that provide services to sexually exploited youth, as defined in section
260C.007, subdivision 31.

(d) A safe harbor for youth account is established as a special account in the state
treasury.

Sec. 32. new text beginEXPANDING ELIGIBILITY FOR DESIGNATION AS A CRITICAL
ACCESS HOSPITAL.
new text end

new text begin (a) The commissioner of health is encouraged to contact Minnesota's federal elected
officials and pursue all necessary changes to the Medicare rural hospital flexibility
program established in United States Code, title 42, section 1395i-4 to expand the number
of rural hospitals that are eligible for designation as a critical access hospital. In the
request for program changes, the commissioner shall seek authority to designate any
hospital that applies for designation as a critical access hospital if the hospital:
new text end

new text begin (1) is located in a Minnesota county that is a rural area as defined in United States
Code, title 42, section 1395ww(d)(2)(D). A hospital is not required to be located 35 miles
from another hospital, or 15 miles from another hospital if located in mountainous terrain
or in an area with only secondary roads; and
new text end

new text begin (2) is licensed under sections 144.50 to 144.56 and is certified to participate in the
Medicare program.
new text end

new text begin (b) The commissioner shall determine other eligibility criteria for which program
changes should be requested, in order to expand eligibility for designation as a critical
access hospital to the greatest number of rural hospitals in the state. The commissioner
shall report to the chairs and ranking minority members of the legislative committees
with jurisdiction over health care finance and policy by January 1, 2017, on the status of
the request for program changes.
new text end

Sec. 33. new text begin REPEALER.
new text end

new text begin (a) Minnesota Statutes 2014, section 149A.92, subdivision 11, new text end new text begin is repealed the day
following final enactment.
new text end

new text begin (b) new text end new text begin Minnesota Statutes 2014, section 145.925, subdivision 2, new text end new text begin is repealed effective
July 1, 2017.
new text end

ARTICLE 5

CHEMICAL AND MENTAL HEALTH

Section 1.

Minnesota Statutes 2015 Supplement, section 245.735, subdivision 3,
is amended to read:


Subd. 3.

deleted text beginReform projectsdeleted text endnew text begin Certified community behavioral health clinicsnew text end.

(a) The
commissioner shall establish deleted text beginstandards fordeleted text endnew text begin anew text end state certification deleted text beginof clinics asdeleted text endnew text begin process for
new text endcertified community behavioral health clinicsdeleted text begin, in accordancedeleted text endnew text begin (CCBHCs) to be eligible for
the prospective payment system in paragraph (f). Entities that choose to be CCBHCs must:
new text end

new text begin (1) complynew text end with the new text beginCCBHC new text endcriteria published deleted text beginon or before September 1, 2015,deleted text end by
the United States Department of Health and Human Servicesdeleted text begin. Certification standards
established by the commissioner shall require that:
deleted text endnew text begin;
new text end

deleted text begin (1)deleted text endnew text begin (2) employ or contract fornew text end clinic staff new text beginwho new text endhave backgrounds in diverse
disciplines, deleted text beginincludedeleted text endnew text begin includingnew text end licensed mental health professionals, and new text beginstaff who new text endare
culturally and linguistically trained to serve the needs of the clinic's patient population;

deleted text begin (2)deleted text endnew text begin (3) ensure thatnew text end clinic services are available and accessible new text beginto patients of all ages
and genders
new text end and that crisis management services are available 24 hours per day;

deleted text begin (3)deleted text endnew text begin (4) establishnew text end fees for clinic services deleted text beginare establisheddeleted text endnew text begin for non-medical assistance
patients
new text end using a sliding fee scale deleted text beginanddeleted text endnew text begin that ensures thatnew text end services to patients are not denied
or limited due to a patient's inability to pay for services;

deleted text begin (4) clinics provide coordination of care across settings and providers to ensure
seamless transitions for patients across the full spectrum of health services, including
deleted text end deleted text begin acute, chronic, and behavioral needs. Care coordination may be accomplished through
partnerships or formal contracts with federally qualified health centers, inpatient
psychiatric facilities, substance use and detoxification facilities, community-based mental
health providers, and other community services, supports, and providers including
schools, child welfare agencies, juvenile and criminal justice agencies, Indian Health
Services clinics, tribally licensed health care and mental health facilities, urban Indian
health clinics, Department of Veterans Affairs medical centers, outpatient clinics, drop-in
centers, acute care hospitals, and hospital outpatient clinics;
deleted text end

new text begin (5) comply with quality assurance reporting requirements and other reporting
requirements, including any required reporting of encounter data, clinical outcomes data,
and quality data;
new text end

deleted text begin (5) services provided by clinics includedeleted text endnew text begin (6) providenew text end crisis mental health services,
new text beginwithdrawal management services,new text end emergency crisis intervention services, and stabilization
services; screening, assessment, and diagnosis services, including risk assessments and
level of care determinations; patient-centered treatment planning; outpatient mental
health and substance use services; targeted case management; psychiatric rehabilitation
services; peer support and counselor services and family support services; and intensive
community-based mental health services, including mental health services for members of
the armed forces and veterans; deleted text beginand
deleted text end

deleted text begin (6) clinics comply with quality assurance reporting requirements and other reporting
requirements, including any required reporting of encounter data, clinical outcomes data,
and quality data.
deleted text end

new text begin (7) provide coordination of care across settings and providers to ensure seamless
transitions for patients across the full spectrum of health services, including acute, chronic,
and behavioral needs. Care coordination may be accomplished through partnerships
or formal contracts with:
new text end

new text begin (i) counties, health plans, pharmacists, pharmacies, rural health clinics, federally
qualified health centers, inpatient psychiatric facilities, substance use and detoxification
facilities, and community-based mental health providers; and
new text end

new text begin (ii) other community services, supports, and providers including schools, child
welfare agencies, juvenile and criminal justice agencies, Indian Health Services clinics,
tribally licensed health care and mental health facilities, urban Indian health clinics,
Department of Veterans Affairs medical centers, outpatient clinics, drop-in centers, acute
care hospitals, and hospital outpatient clinics;
new text end

new text begin (8) be certified as mental health clinics under section 245.69, subdivision 2;
new text end

new text begin (9) comply with standards relating to integrated treatment for co-occurring mental
illness and substance use disorders in adults or children under Minnesota Rules, chapter
9533;
new text end

new text begin (10) comply with standards relating to mental health services in Minnesota Rules,
parts 9505.0370 to 9505.0372;
new text end

new text begin (11) be licensed to provide chemical dependency treatment under Minnesota Rules,
parts 9530.6405 to 9530.6505;
new text end

new text begin (12) be certified to provide children's therapeutic services and supports under
section 256B.0943;
new text end

new text begin (13) be certified to provide adult rehabilitative mental health services under section
256B.0623;
new text end

new text begin (14) be enrolled to provide mental health crisis response services under section
256B.0624;
new text end

new text begin (15) be enrolled to provide mental health targeted case management under section
256B.0625, subdivision 20;
new text end

new text begin (16) comply with standards relating to mental health case management in Minnesota
Rules, parts 9520.0900 to 9520.0926; and
new text end

new text begin (17) provide services that comply with the evidence-based practices described in
paragraph (e).
new text end

new text begin (b) If an entity is unable to provide one or more of the services listed in paragraph
(a), clauses (6) to (17), the commissioner may certify the entity as a CCBHC, if the entity
has a current contract with another entity that has the required authority to provide that
service and that meets federal CCBHC criteria as a designated collaborating organization,
or, to the extent allowed by the federal CCBHC criteria, the commissioner may approve a
referral arrangement. The CCBHC must meet federal requirements regarding the type and
scope of services to be provided directly by the CCBHC.
new text end

new text begin (c) Notwithstanding other law that requires a county contract or other form of county
approval for certain services listed in paragraph (a), clause (6), a clinic that otherwise
meets CCBHC requirements may receive the prospective payment under paragraph (f)
for those services without a county contract or county approval. There is no county
share when medical assistance pays the CCBHC prospective payment. As part of the
certification process in paragraph (a), the commissioner shall require a letter of support
from the CCBHC's host county confirming that the CCBHC and the counties it serves
have an ongoing relationship to facilitate access and continuity of care, especially for
individuals who are uninsured or who may go on and off medical assistance.
new text end

new text begin (d) In situations where the standards in paragraph (a) or other applicable standards
conflict or address similar issues in duplicative or incompatible ways, the commissioner
may grant variances to state requirements as long as the variances do not conflict with
federal requirements. In situations where standards overlap, the commissioner may decide
to substitute all or a part of a licensure or certification that is substantially the same as
another licensure or certification. The commissioner shall consult with stakeholders, as
described in subdivision 4, before granting variances under this provision.
new text end

new text begin (e) The commissioner shall issue a list of required and recommended evidence-based
practices to be delivered by CCBHCs. The commissioner may update the list to reflect
advances in outcomes research and medical services for persons living with mental
illnesses or substance use disorders. The commissioner shall take into consideration the
adequacy of evidence to support the efficacy of the practice, the quality of workforce
available, and the current availability of the practice in the state. At least 30 days before
issuing the initial list and any revisions, the commissioner shall provide stakeholders
with an opportunity to comment.
new text end

deleted text begin (b)deleted text endnew text begin (f)new text end The commissioner shall establish standards and methodologies for a
prospective payment system for medical assistance payments for mental health services
delivered by certified community behavioral health clinics, in accordance with guidance
issued deleted text beginon or before September 1, 2015,deleted text end by the Centers for Medicare and Medicaid
Services. During the operation of the demonstration project, payments shall comply with
federal requirements for deleted text begina 90 percentdeleted text endnew text begin annew text end enhanced federal medical assistance percentage.
new text beginThe commissioner may include quality bonus payments in the prospective payment
system based on federal criteria and on a clinic's provision of the evidence-based practices
in paragraph (e). The prospective payments system does not apply to MinnesotaCare.
Implementation of the prospective payment system is effective July 1, 2017, or upon
federal approval, whichever is later.
new text end

new text begin (g) The commissioner shall seek federal approval to continue federal financial
participation in payment for CCBHC services after the federal demonstration period
ends for clinics that were certified as CCBHCs during the demonstration period and
that continue to meet the CCBHC certification standards in paragraph (a). Payment
for CCBHC services shall cease effective July 1, 2019, if continued federal financial
participation for the payment of CCBHC services cannot be obtained.
new text end

new text begin (h) To the extent allowed by federal law, the commissioner may limit the number of
certified clinics so that the projected claims for certified clinics will not exceed the funds
budgeted for this purpose. The commissioner shall give preference to clinics that:
new text end

new text begin (1) are located in both rural and urban areas, with at least one in each, as defined
by federal criteria;
new text end

new text begin (2) provide a comprehensive range of services and evidence-based practices for all
age groups, with services being fully coordinated and integrated; and
new text end

new text begin (3) enhance the state's ability to meet the federal priorities to be selected as a
CCBHC demonstration state.
new text end

new text begin (i) The commissioner shall recertify CCBHCs at least every three years. The
commissioner shall establish a process for decertification and shall require corrective
action, medical assistance repayment, or decertification of a CCBHC that no longer
meets the requirements in this section or that fails to meet the standards provided by the
commissioner in the application and certification process.
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

Sec. 2.

Minnesota Statutes 2015 Supplement, section 245.735, subdivision 4, is
amended to read:


Subd. 4.

Public participation.

In developing deleted text beginthe projectsdeleted text endnew text begin and implementing
certified community behavioral health clinics
new text end under subdivision 3, the commissioner shall
consultnew text begin, collaborate, and partnernew text end with new text beginstakeholders, including but not limited to new text endmental
health providers, new text beginsubstance use disorder treatment providers, new text endadvocacy organizations,
licensed mental health professionals, new text begincounties, tribes, hospitals, other health care
providers,
new text endand Minnesota public health care program enrollees who receive mental health
services and their families.

new text begin EFFECTIVE DATE. new text end

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

Sec. 3.

Minnesota Statutes 2014, section 245.99, subdivision 2, is amended to read:


Subd. 2.

Rental assistance.

The program shall pay up to 90 days of housing
assistance for persons with a serious deleted text beginand persistentdeleted text end mental illness who require inpatient or
residential care for stabilization. The commissioner of human services may extend the
length of assistance on a case-by-case basis.

Sec. 4.

Minnesota Statutes 2014, section 254B.03, subdivision 4, is amended to read:


Subd. 4.

Division of costs.

new text begin(a)new text end Except for services provided by a county under
section 254B.09, subdivision 1, or services provided under section 256B.69 or 256D.03,
subdivision 4, paragraph (b), the county shall, out of local money, pay the state for 22.95
percent of the cost of chemical dependency services, including those services provided to
persons eligible for medical assistance under chapter 256B and general assistance medical
care under chapter 256D. Counties may use the indigent hospitalization levy for treatment
and hospital payments made under this section. 22.95 percent of any state collections from
private or third-party pay, less 15 percent for the cost of payment and collections, must be
distributed to the county that paid for a portion of the treatment under this section.

new text begin (b) For fiscal year 2017 only, the county percent of cost of chemical dependency
services shall be reduced from 22.95 percent to 15 percent.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end

Sec. 5.

Minnesota Statutes 2014, section 254B.04, subdivision 2a, is amended to read:


Subd. 2a.

Eligibility for treatment in residential settings.

Notwithstanding
provisions of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's
discretion in making placements to residential treatment settings, a person eligible for
services under this section must score at level 4 on assessment dimensions related to
relapse, continued use, or recovery environment in order to be assigned to services with a
room and board component reimbursed under this section.new text begin Whether a treatment facility
has been designated an institution for mental diseases under United States Code, title 42,
section 1396d, shall not be a factor in making placements.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end

Sec. 6.

Minnesota Statutes 2014, section 254B.06, subdivision 2, is amended to read:


Subd. 2.

Allocation of collections.

new text begin(a)new text end The commissioner shall allocate all federal
financial participation collections to a special revenue account. The commissioner shall
allocate 77.05 percent of patient payments and third-party payments to the special revenue
account and 22.95 percent to the county financially responsible for the patient.

new text begin (b) For fiscal year 2017 only, the commissioner's allocation to the special revenue
account shall be increased from 77.05 percent to 85 percent and the county financial
responsibility shall be reduced from 22.95 percent to 15 percent.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end

Sec. 7.

Minnesota Statutes 2014, section 254B.06, is amended by adding a subdivision
to read:


new text begin Subd. 4. new text end

new text begin Reimbursement for institutions for mental diseases. new text end

new text begin The commissioner
shall not deny reimbursement to a program designated as an institution for mental diseases
under United States Code, title 42, section 1396d, due to a reduction in federal financial
participation and the addition of new residential beds.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end

Sec. 8.

new text begin [254B.15] PILOT PROJECTS; TREATMENT FOR PREGNANT AND
POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDER.
new text end

new text begin Subdivision 1. new text end

new text begin Pilot projects established. new text end

new text begin (a) Within the limits of federal funds
available specifically for this purpose, the commissioner of human services shall establish
pilot projects to provide substance use disorder treatment and services to pregnant and
postpartum women with a primary diagnosis of substance use disorder, including opioid
use disorder. Pilot projects funded under this section must:
new text end

new text begin (1) promote flexible uses of funds to provide treatment and services to pregnant and
postpartum women with substance use disorders;
new text end

new text begin (2) fund family-based treatment and services for pregnant and postpartum women
with substance use disorders;
new text end

new text begin (3) identify gaps in services along the continuum of care that are provided to
pregnant and postpartum women with substance use disorders; and
new text end

new text begin (4) encourage new approaches to service delivery and service delivery models.
new text end

new text begin (b) A pilot project funded under this section must provide at least a portion of its
treatment and services to women who receive services on an outpatient basis.
new text end

new text begin Subd. 2. new text end

new text begin Federal funds. new text end

new text begin The commissioner shall apply for any available grant funds
from the federal Center for Substance Abuse Treatment for these pilot projects.
new text end

Sec. 9.

Minnesota Statutes 2014, section 256B.0621, subdivision 10, is amended to read:


Subd. 10.

Payment rates.

The commissioner shall set payment rates for targeted
case management under this subdivision. Case managers may bill according to the
following criteria:

(1) for relocation targeted case management, case managers may bill for direct case
management activities, including face-to-face deleted text beginanddeleted text endnew text begin,new text end telephone contacts, new text beginand interactive
video contact in accordance with section 256B.0924, subdivision 4a,
new text endin the lesser of:

(i) 180 days preceding an eligible recipient's discharge from an institution; or

(ii) the limits and conditions which apply to federal Medicaid funding for this service;

(2) for home care targeted case management, case managers may bill for direct case
management activities, including face-to-face and telephone contacts; and

(3) billings for targeted case management services under this subdivision shall not
duplicate payments made under other program authorities for the same purpose.

Sec. 10.

Minnesota Statutes 2015 Supplement, section 256B.0625, subdivision 20,
is amended to read:


Subd. 20.

Mental health case management.

(a) To the extent authorized by rule
of the state agency, medical assistance covers case management services to persons with
serious and persistent mental illness and children with severe emotional disturbance.
Services provided under this section must meet the relevant standards in sections 245.461
to 245.4887, the Comprehensive Adult and Children's Mental Health Acts, Minnesota
Rules, parts 9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.

(b) Entities meeting program standards set out in rules governing family community
support services as defined in section 245.4871, subdivision 17, are eligible for medical
assistance reimbursement for case management services for children with severe
emotional disturbance when these services meet the program standards in Minnesota
Rules, parts 9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10.

(c) Medical assistance and MinnesotaCare payment for mental health case
management shall be made on a monthly basis. In order to receive payment for an eligible
child, the provider must document at least a face-to-face contact with the child, the child's
parents, or the child's legal representative. To receive payment for an eligible adult, the
provider must document:

(1) at least a face-to-face contact with the adult or the adult's legal representativenew text begin or a
contact by interactive video that meets the requirements of subdivision 20b
new text end; or

(2) at least a telephone contact with the adult or the adult's legal representative
and document a face-to-face contact new text beginor a contact by interactive video that meets the
requirements of subdivision 20b
new text endwith the adult or the adult's legal representative within
the preceding two months.

(d) Payment for mental health case management provided by county or state staff
shall be based on the monthly rate methodology under section 256B.094, subdivision 6,
paragraph (b), with separate rates calculated for child welfare and mental health, and
within mental health, separate rates for children and adults.

(e) Payment for mental health case management provided by Indian health services
or by agencies operated by Indian tribes may be made according to this section or other
relevant federally approved rate setting methodology.

(f) Payment for mental health case management provided by vendors who contract
with a county or Indian tribe shall be based on a monthly rate negotiated by the host county
or tribe. The negotiated rate must not exceed the rate charged by the vendor for the same
service to other payers. If the service is provided by a team of contracted vendors, the
county or tribe may negotiate a team rate with a vendor who is a member of the team. The
team shall determine how to distribute the rate among its members. No reimbursement
received by contracted vendors shall be returned to the county or tribe, except to reimburse
the county or tribe for advance funding provided by the county or tribe to the vendor.

(g) If the service is provided by a team which includes contracted vendors, tribal
staff, and county or state staff, the costs for county or state staff participation in the team
shall be included in the rate for county-provided services. In this case, the contracted
vendor, the tribal agency, and the county may each receive separate payment for services
provided by each entity in the same month. In order to prevent duplication of services,
each entity must document, in the recipient's file, the need for team case management and
a description of the roles of the team members.

(h) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of costs
for mental health case management shall be provided by the recipient's county of
responsibility, as defined in sections 256G.01 to 256G.12, from sources other than federal
funds or funds used to match other federal funds. If the service is provided by a tribal
agency, the nonfederal share, if any, shall be provided by the recipient's tribe. When this
service is paid by the state without a federal share through fee-for-service, 50 percent of
the cost shall be provided by the recipient's county of responsibility.

(i) Notwithstanding any administrative rule to the contrary, prepaid medical
assistance, general assistance medical care, and MinnesotaCare include mental health case
management. When the service is provided through prepaid capitation, the nonfederal
share is paid by the state and the county pays no share.

(j) The commissioner may suspend, reduce, or terminate the reimbursement to a
provider that does not meet the reporting or other requirements of this section. The county
of responsibility, as defined in sections 256G.01 to 256G.12, or, if applicable, the tribal
agency, is responsible for any federal disallowances. The county or tribe may share this
responsibility with its contracted vendors.

(k) The commissioner shall set aside a portion of the federal funds earned for county
expenditures under this section to repay the special revenue maximization account under
section 256.01, subdivision 2, paragraph (o). The repayment is limited to:

(1) the costs of developing and implementing this section; and

(2) programming the information systems.

(l) Payments to counties and tribal agencies for case management expenditures
under this section shall only be made from federal earnings from services provided
under this section. When this service is paid by the state without a federal share through
fee-for-service, 50 percent of the cost shall be provided by the state. Payments to
county-contracted vendors shall include the federal earnings, the state share, and the
county share.

(m) Case management services under this subdivision do not include therapy,
treatment, legal, or outreach services.

(n) If the recipient is a resident of a nursing facility, intermediate care facility, or
hospital, and the recipient's institutional care is paid by medical assistance, payment for
case management services under this subdivision is limited to the lesser of:

(1) the last 180 days of the recipient's residency in that facility and may not exceed
more than six months in a calendar year; or

(2) the limits and conditions which apply to federal Medicaid funding for this service.

(o) Payment for case management services under this subdivision shall not duplicate
payments made under other program authorities for the same purpose.

new text begin (p) If the recipient is receiving care in a hospital, nursing facility, or a residential
setting licensed under chapter 245A or 245D that is staffed 24 hours per day, seven
days per week, mental health targeted case management services must actively support
identification of community alternatives and discharge planning for the recipient.
new text end

Sec. 11.

Minnesota Statutes 2014, section 256B.0625, is amended by adding a
subdivision to read:


new text begin Subd. 20b. new text end

new text begin Mental health targeted case management through interactive video.
new text end

new text begin (a) Subject to federal approval, contact made for targeted case management by interactive
video shall be eligible for payment under section 256B.0924, subdivision 6, if:
new text end

new text begin (1) the person receiving targeted case management services is residing in:
new text end

new text begin (i) a hospital;
new text end

new text begin (ii) a nursing facility; or
new text end

new text begin (iii) a residential setting licensed under chapter 245A or 245D, or a boarding and
lodging establishment or a lodging establishment that provides supportive services or
health supervision services according to section 157.17, that is staffed 24 hours per day,
seven days per week;
new text end

new text begin (2) interactive video is in the best interests of the person and is deemed appropriate
by the person receiving targeted case management or the person's legal guardian, the case
management provider, and the provider operating the setting where the person is residing;
new text end

new text begin (3) the use of interactive video is approved as part of the person's written personal
service or case plan taking into consideration the person's vulnerability and active personal
relationships; and
new text end

new text begin (4) interactive video is used for up to, but not more than, 50 percent of the minimum
required face-to-face contacts.
new text end

new text begin (b) The person receiving targeted case management or the person's legal guardian
has the right to choose and consent to the use of interactive video under this subdivision
and has the right to refuse the use of interactive video at any time.
new text end

new text begin (c) The commissioner shall establish criteria that a targeted case management
provider must attest to in order to demonstrate the safety or efficacy of delivering the service
via interactive video. The attestation may include that the case management provider has:
new text end

new text begin (1) written policies and procedures specific to interactive video services that are
regularly reviewed and updated;
new text end

new text begin (2) policies and procedures that adequately address client safety before, during, and
after the interactive video services are rendered;
new text end

new text begin (3) established protocols addressing how and when to discontinue interactive video
services; and
new text end

new text begin (4) established a quality assurance process related to interactive video services.
new text end

new text begin (d) As a condition of payment, the targeted case management provider must
document the following for each occurrence of targeted case management provided by
interactive video:
new text end

new text begin (1) the time the service began and the time the service ended, including an a.m. and
p.m. designation;
new text end

new text begin (2) the basis for determining that interactive video is an appropriate and effective
means for delivering the service to the person receiving case management services;
new text end

new text begin (3) the mode of transmission of the interactive video services and records evidencing
that a particular mode of transmission was utilized;
new text end

new text begin (4) the location of the originating site and the distant site; and
new text end

new text begin (5) compliance with the criteria attested to by the targeted case management provider
as provided in paragraph (c).
new text end

Sec. 12.

Minnesota Statutes 2014, section 256B.0924, is amended by adding a
subdivision to read:


new text begin Subd. 4a. new text end

new text begin Targeted case management through interactive video. new text end

new text begin (a) Subject to
federal approval, contact made for targeted case management by interactive video shall be
eligible for payment under subdivision 6 if:
new text end

new text begin (1) the person receiving targeted case management services is residing in:
new text end

new text begin (i) a hospital;
new text end

new text begin (ii) a nursing facility;
new text end

new text begin (iii) a residential setting licensed under chapter 245A or 245D, or a boarding and
lodging establishment or a lodging establishment that provides supportive services or
health supervision services according to section 157.17, that is staffed 24 hours per day,
seven days per week;
new text end

new text begin (2) interactive video is in the best interests of the person and is deemed appropriate
by the person receiving targeted case management or the person's legal guardian, the case
management provider, and the provider operating the setting where the person is residing;
new text end

new text begin (3) the use of interactive video is approved as part of the person's written personal
service or case plan; and
new text end

new text begin (4) interactive video is used for up to, but not more than, 50 percent of the minimum
required face-to-face contacts.
new text end

new text begin (b) The person receiving targeted case management or the person's legal guardian
has the right to choose and consent to the use of interactive video under this subdivision
and has the right to refuse the use of interactive video at any time.
new text end

new text begin (c) The commissioner shall establish criteria that a targeted case management
provider must attest to in order to demonstrate the safety or efficacy of delivering the service
via interactive video. The attestation may include that the case management provider has:
new text end

new text begin (1) written policies and procedures specific to interactive video services that are
regularly reviewed and updated;
new text end

new text begin (2) policies and procedures that adequately address client safety before, during, and
after the interactive video services are rendered;
new text end

new text begin (3) established protocols addressing how and when to discontinue interactive video
services; and
new text end

new text begin (4) established a quality assurance process related to interactive video services.
new text end

new text begin (d) As a condition of payment, the targeted case management provider must
document the following for each occurrence of targeted case management provided by
interactive video:
new text end

new text begin (1) the time the service began and the time the service ended, including an a.m. and
p.m. designation;
new text end

new text begin (2) the basis for determining that interactive video is an appropriate and effective
means for delivering the service to the person receiving case management services;
new text end

new text begin (3) the mode of transmission of the interactive video services and records evidencing
that a particular mode of transmission was utilized;
new text end

new text begin (4) the location of the originating site and the distant site; and
new text end

new text begin (5) compliance with the criteria attested to by the targeted case management provider
as provided in paragraph (c).
new text end

Sec. 13. new text beginCOMMISSIONER DUTY TO SEEK FEDERAL APPROVAL.
new text end

new text begin The commissioner of human services shall seek federal approval that is necessary
to implement Minnesota Statutes, sections 256B.0621, subdivision 10, and 256B.0625,
subdivision 20, for interactive video contact.
new text end

Sec. 14. new text beginRURAL DEMONSTRATION PROJECT.
new text end

new text begin (a) Children's mental health collaboratives under Minnesota Statutes, section
245.493, are eligible to apply for grant funding under this section. The commissioner shall
solicit proposals and select the proposal that best meets the requirements under paragraph
(c). Only one demonstration project may be funded under this section.
new text end

new text begin (b) The demonstration project must:
new text end

new text begin (1) support youth served to achieve, within their potential, their personal goals
in employment, education, living situation, personal effectiveness, and community life
functioning;
new text end

new text begin (2) build on and streamline transition services by identifying rural youth ages 15 to
25 currently in the mental health system or with emerging mental health conditions;
new text end

new text begin (3) provide individualized motivational coaching;
new text end

new text begin (4) build needed social supports;
new text end

new text begin (5) demonstrate how services can be enhanced for youth to successfully navigate the
complexities associated with their unique needs;
new text end

new text begin (6) utilize all available funding streams;
new text end

new text begin (7) evaluate the effectiveness of the project; and
new text end

new text begin (8) compare differences in outcomes and costs to youth without previous access
to this project.
new text end

new text begin (c) The commissioner shall report to the chairs and ranking minority members of
the house of representatives and senate committees with jurisdiction over mental health
issues on the status and outcomes of the demonstration project by January 15, 2019. The
children's mental health collaboratives administering the demonstration project shall
collect and report outcome data, per guidelines approved by the commissioner, to support
the development of this report.
new text end

ARTICLE 6

CHILDREN AND FAMILIES

Section 1.

Minnesota Statutes 2014, section 119B.13, subdivision 1, is amended to read:


Subdivision 1.

Subsidy restrictions.

(a) Beginning February 3, 2014, the maximum
rate paid for child care assistance in any county or county price cluster under the child
care fund shall be the greater of the 25th percentile of the 2011 child care provider rate
survey or the maximum rate effective November 28, 2011.new text begin For a child care provider
located inside the boundaries of a city located in two or more counties, the maximum rate
paid for child care assistance shall be equal to the maximum rate paid in the county with
the highest maximum reimbursement rates or the provider's charge, whichever is less.
new text end The
commissioner may: (1) assign a county with no reported provider prices to a similar price
cluster; and (2) consider county level access when determining final price clusters.

(b) A rate which includes a special needs rate paid under subdivision 3 may be in
excess of the maximum rate allowed under this subdivision.

(c) The department shall monitor the effect of this paragraph on provider rates. The
county shall pay the provider's full charges for every child in care up to the maximum
established. The commissioner shall determine the maximum rate for each type of care
on an hourly, full-day, and weekly basis, including special needs and disability care. The
maximum payment to a provider for one day of care must not exceed the daily rate. The
maximum payment to a provider for one week of care must not exceed the weekly rate.

(d) Child care providers receiving reimbursement under this chapter must not be
paid activity fees or an additional amount above the maximum rates for care provided
during nonstandard hours for families receiving assistance.

(e) When the provider charge is greater than the maximum provider rate allowed,
the parent is responsible for payment of the difference in the rates in addition to any
family co-payment fee.

(f) All maximum provider rates changes shall be implemented on the Monday
following the effective date of the maximum provider rate.

(g) Notwithstanding Minnesota Rules, part 3400.0130, subpart 7, maximum
registration fees in effect on January 1, 2013, shall remain in effect.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective September 11, 2017.
new text end

Sec. 2.

new text begin [245A.043] ELECTRONIC APPLICATION; INFORMATION. new text end

new text begin
(a) The commissioner, in consultation with child care providers, shall conduct a
feasibility study regarding the development of a single, easily accessible Web site that
complies with the requirements contained in the federal reauthorization of the federal
Child Care Development Fund. In conducting the study, the commissioner shall review
current child care licensing processes and regulations in order to determine methods by
which the commissioner can streamline processes for current and prospective child care
providers including but not limited to applications for licensure, license renewals, and
provider record keeping. As part of this review, the commissioner must evaluate the
feasibility of developing an online system that would allow child care providers and
prospective child care providers to:
new text end

new text begin (1) access a guide on how to start a child care business;
new text end

new text begin (2) access all applicable statutes, administrative rules, and agency policies and
procedures, including training requirements;
new text end

new text begin (3) access up-to-date contact information for state and county agency licensing staff;
new text end

new text begin (4) access information on the availability of grant programs and other resources
for providers;
new text end

new text begin (5) use an online reimbursement tool for payment under the child care assistance
programs; and
new text end

new text begin (6) submit a single electronic application and license renewal, including all
supporting documentation required by the commissioner, information related to child
care assistance program registration, and application for rating in the quality rating and
improvement system.
new text end

new text begin (b) Within the available appropriation for the feasibility study, the commissioner
must evaluate each of the six issues listed in paragraph (a).
new text end

new text begin (c) The commissioner shall submit the feasibility study to the chairs and ranking
minority members of the house of representatives and senate committees with jurisdiction
over child care by September 30, 2016.
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

Sec. 3.

new text begin [245A.055] NOTIFICATION TO PROVIDER.
new text end

new text begin (a) When the county employee responsible for family child care and group family
child care licensing conducts a licensing inspection or conducts a home visit, the employee
must provide, prior to departure from the residence or facility, a written notification to
the licensee of any potential licensing violations noted. The notification must include
the condition that constitutes the violation, the action that must be taken to correct the
condition, and the time allowed to correct the violation.
new text end

new text begin (b) Providing this notification to the licensee does not relieve the county employee
from notifying the commissioner of the violation as required by statute and administrative
rule.
new text end

Sec. 4.

new text begin [245A.23] POSITIVE SUPPORT STRATEGIES.
new text end

new text begin (a) The commissioner of human services, in conjunction with licensed programs that
provide group family day care and family day care under Minnesota Rules, chapter 9502,
and child care centers licensed under Minnesota Rules, chapter 9503, must review and
evaluate the applicability of Minnesota Rules, chapter 9544, the positive support strategies
and restrictive interventions rules, to child care programs. The commissioner must
consider the undue hardship, including increased cost and reduction in child care services,
experienced by child care providers and child care centers as a result of the application
of Minnesota Rules, chapter 9544. The commissioner must determine which rules must
apply to each type of program, to what extent each rule must apply, and consider granting
variances to the requirements to programs that submit a request for a variance. The
commissioner must complete this review and evaluation process of the applicability of
Minnesota Rules, chapter 9544, to child care programs no later than December 31, 2016.
Within available appropriations, the commissioner must submit a written plan to modify
application of rules for child care programs to the house of representatives and senate
committees with jurisdiction over child care no later than January 15, 2017.
new text end

new text begin (b) Until the commissioner has completed the review and evaluation process and
submitted a written plan to the legislature required under paragraph (a), programs licensed
as family day care and group family day care facilities under Minnesota Rules, chapter
9502, and programs licensed as child care centers under Minnesota Rules, chapter 9503,
are exempt from the following rules:
new text end

new text begin (1) Minnesota Rules, part 9544.0040, functional behavior assessment, unless the
child has a case manager under section 256B.092, subdivision 1a, paragraph (e); and
new text end

new text begin (2) Minnesota Rules, part 9544.0090, staff qualifications and training.
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

Sec. 5.

new text begin [245A.55] TRAINING FOR COUNTY LICENSING STAFF ON FAMILY
CHILD CARE AND GROUP FAMILY CHILD CARE REQUIREMENTS;
SUPERVISION.
new text end

new text begin (a) Within the first two months of employment, county staff who license and inspect
family child care and group family child care programs must complete at least eight hours
of training on state statutes, administrative rules, and department policies related to the
licensing and regulation of family child care and group family child care programs. The
department must develop the training curriculum to ensure that all county staff who perform
licensing and inspection functions receive uniform training. This training must include:
new text end

new text begin (1) explicit instructions that county staff who license and perform inspections
must apply only state statutes, administrative rules, and Department of Human Services
policies in the performance of their duties. Training must reinforce that county staff are
prohibited from imposing standards or requirements that are not imposed by statute, rule,
or approved state policy;
new text end

new text begin (2) the rights of license holders, including their grievance and appeal rights. This
training must include information on the responsibility of the county staff to inform license
holders of their rights, including grievance and appeal rights; and
new text end

new text begin (3) the procedure for county staff to seek clarification from the Department of
Human Services prior to issuing a correction order or other notice of violation to a license
holder if there is a dispute between the license holder and the county licensor regarding
the applicability of a statute or rule to the alleged violation.
new text end

new text begin (b) To ensure consistency among all licensing staff, the commissioner must develop
a procedure by which the department will implement increased training and oversight of
county staff who perform licensing functions related to family child care licensing. This
procedure must ensure that the commissioner conducts at least biennial reviews of county
licensing performance.
new text end

new text begin (c) Each calendar year, county agency staff who license and regulate family child
care providers and group family child care providers and their supervisors must receive
notice from the commissioner on new laws enacted or adopted in the previous 12-month
period relating to family child care providers and group family child care providers. The
commissioner shall provide the notices each year to include information on new laws and
disseminate the notices to county agencies.
new text end

Sec. 6.

Minnesota Statutes 2014, section 256D.051, subdivision 6b, is amended to read:


Subd. 6b.

Federal reimbursement.

new text begin(a) new text endFederal financial participation from
the United States Department of Agriculture for food stamp employment and training
expenditures that are eligible for reimbursement through the food stamp employment and
training program are dedicated funds and are annually appropriated to the commissioner
of human services for the operation of the food stamp employment and training program.

new text begin (b) The appropriation must be used for skill attainment through employment,
training, and support services for food stamp participants. By February 15, 2017, the
commissioner shall report to the chairs and ranking minority members of the legislative
committees having jurisdiction over the food stamp program on the progress of securing
additional federal reimbursement dollars under this program.
new text end

new text begin (c) new text endFederal financial participation for the nonstate portion of food stamp employment
and training costs must be paid to the county agencynew text begin or service providernew text end that incurred
the costs.

Sec. 7.

Minnesota Statutes 2014, section 518.175, subdivision 5, is amended to read:


Subd. 5.

Modification of parenting plan or order for parenting time.

(a) new text beginIf
a parenting plan or an order granting parenting time cannot be used to determine the
number of overnights or overnight equivalents the child has with each parent, the court
shall modify the parenting plan or order granting parenting time so that the number of
overnights or overnight equivalents the child has with each parent can be determined. For
purposes of this section, "overnight equivalents" has the meaning provided in section
518A.36, subdivision 1.
new text end

new text begin (b) new text endIf modification would serve the best interests of the child, the court shall modify
the decision-making provisions of a parenting plan or an order granting or denying
parenting time, if the modification would not change the child's primary residence.
Consideration of a child's best interest includes a child's changing developmental needs.

deleted text begin (b)deleted text endnew text begin (c)new text end Except as provided in section 631.52, the court may not restrict parenting
time unless it finds that:

(1) parenting time is likely to endanger the child's physical or emotional health or
impair the child's emotional development; or

(2) the parent has chronically and unreasonably failed to comply with court-ordered
parenting time.

A modification of parenting time which increases a parent's percentage of parenting time
to an amount that is between 45.1 to 54.9 percent parenting time is not a restriction of
the other parent's parenting time.

deleted text begin (c)deleted text endnew text begin (d)new text end If a parent makes specific allegations that parenting time by the other
parent places the parent or child in danger of harm, the court shall hold a hearing at
the earliest possible time to determine the need to modify the order granting parenting
time. Consistent with subdivision 1a, the court may require a third party, including the
local social services agency, to supervise the parenting time or may restrict a parent's
parenting time if necessary to protect the other parent or child from harm. If there is an
existing order for protection governing the parties, the court shall consider the use of an
independent, neutral exchange location for parenting time.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2018.
new text end

Sec. 8.

Minnesota Statutes 2015 Supplement, section 518A.26, subdivision 14, is
amended to read:


Subd. 14.

Obligor.

"Obligor" means a person obligated to pay maintenance or
support. For purposes of ordering medical support under section 518A.41, a parent who
has primary physical custody of a child may be an obligor subject to a payment agreement
under section 518A.69.new text begin If a parent has more than 55 percent court-ordered parenting time,
there is a rebuttable presumption that the parent shall have a zero-dollar basic support
obligation. A party seeking to overcome this presumption must show, and the court must
consider, the following:
new text end

new text begin (1) a significant income disparity, which may include potential income determined
under section 518A.32;
new text end

new text begin (2) the benefit and detriment to the child and the ability of each parent to meet
the needs of the child; and
new text end

new text begin (3) whether the application of the presumption would have an unjust or inappropriate
result.
new text end

new text begin The presumption of a zero-dollar basic support obligation does not eliminate that parent's
obligation to pay child support arrears pursuant to section 518A.60.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2018.
new text end

Sec. 9.

Minnesota Statutes 2014, section 518A.34, is amended to read:


518A.34 COMPUTATION OF CHILD SUPPORT OBLIGATIONS.

(a) To determine the presumptive child support obligation of a parent, the court shall
follow the procedure set forth in this section.

(b) To determine the obligor's basic support obligation, the court shall:

(1) determine the gross income of each parent under section 518A.29;

(2) calculate the parental income for determining child support (PICS) of each
parent, by subtracting from the gross income the credit, if any, for each parent's nonjoint
children under section 518A.33;

(3) determine the percentage contribution of each parent to the combined PICS by
dividing the combined PICS into each parent's PICS;

(4) determine the combined basic support obligation by application of the guidelines
in section 518A.35;

(5) determine deleted text beginthe obligor'sdeleted text end new text begineach parent'snew text end share of the new text begincombinednew text end basic support
obligation by multiplying the percentage figure from clause (3) by the combined basic
support obligation in clause (4); and

(6) deleted text begindetermine the parenting expense adjustment, if any, asdeleted text endnew text begin apply the parenting
expense adjustment formula
new text end provided in section 518A.36deleted text begin, and adjust the obligor's basic
support obligation accordingly
deleted text endnew text begin to determine the obligor's basic support obligationnew text end. deleted text beginIf the
parenting time of the parties is presumed equal, section 518A.36, subdivision 3, applies
to the calculation of the basic support obligation and a determination of which parent
is the obligor.
deleted text end

(c) new text begin If the parents have split custody of the joint children, child support shall be
calculated for each joint child as follows:
new text end

new text begin (1) the court shall determine each parent's basic support obligation under paragraph
(b) and shall include the amount of each parent's obligation in the court order. If the basic
support calculation results in each parent owing support to the other, the court shall offset
the higher basic support obligation with the lower basic support obligation to determine
the amount to be paid by the parent with the higher obligation to the parent with the
lower obligation. For the purpose of the cost-of-living adjustment required under section
518A.75, the adjustment must be based on each parent's basic support obligation prior to
offset. For the purposes of this paragraph, "split custody" means that there are two or more
joint children and each parent has at least one joint child more than 50 percent of the time;
new text end

new text begin (2) if each parent pays all child care expenses for at least one joint child, the court
shall calculate child care support for each joint child as provided in section 518A.40. The
court shall determine each parent's child care support obligation and include the amount of
each parent's obligation in the court order. If the child care support calculation results in
each parent owing support to the other, the court shall offset the higher child care support
obligation with the lower child care support obligation to determine the amount to be paid
by the parent with the higher obligation to the parent with the lower obligation; and
new text end

new text begin (3) if each parent pays all medical or dental insurance expenses for at least one
joint child, medical support shall be calculated for each joint child as provided in section
518A.41. The court shall determine each parent's medical support obligation and include
the amount of each parent's obligation in the court order. If the medical support calculation
results in each parent owing support to the other, the court shall offset the higher medical
support obligation with the lower medical support obligation to determine the amount to
be paid by the parent with the higher obligation to the parent with the lower obligation.
Unreimbursed and uninsured medical expenses are not included in the presumptive amount
of support owed by a parent and are calculated and collected as provided in section 518A.41.
new text end

new text begin (d) new text endThe court shall determine the child care support obligation for the obligor
as provided in section 518A.40.

deleted text begin (d)deleted text endnew text begin (e)new text end The court shall determine the medical support obligation for each parent as
provided in section 518A.41. Unreimbursed and uninsured medical expenses are not
included in the presumptive amount of support owed by a parent and are calculated and
collected as described in section 518A.41.

deleted text begin (e)deleted text endnew text begin (f)new text end The court shall determine each parent's total child support obligation by
adding together each parent's basic support, child care support, and health care coverage
obligations as provided in this section.

deleted text begin (f)deleted text endnew text begin (g)new text end If Social Security benefits or veterans' benefits are received by one parent as a
representative payee for a joint child based on the other parent's eligibility, the court shall
subtract the amount of benefits from the other parent's net child support obligation, if any.

deleted text begin (g)deleted text endnew text begin (h)new text end The final child support order shall separately designate the amount owed for
basic support, child care support, and medical support. If applicable, the court shall use
the self-support adjustment and minimum support adjustment under section 518A.42 to
determine the obligor's child support obligation.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2018.
new text end

Sec. 10.

Minnesota Statutes 2014, section 518A.36, is amended to read:


518A.36 PARENTING EXPENSE ADJUSTMENT.

Subdivision 1.

General.

(a) The parenting expense adjustment under this section
reflects the presumption that while exercising parenting time, a parent is responsible
for and incurs costs of caring for the child, including, but not limited to, food, new text beginclothing,
new text endtransportation, recreation, and household expenses. Every child support order shall specify
the percentage of parenting time granted to or presumed for each parent. For purposes
of this section, the percentage of parenting time means the percentage of time a child is
scheduled to spend with the parent during a calendar year according to a court order
new text beginaveraged over a two-year periodnew text end. Parenting time includes time with the child whether it is
designated as visitation, physical custody, or parenting time. The percentage of parenting
time may be determined by calculating the number of overnights new text beginor overnight equivalentsnew text end
that a deleted text beginchilddeleted text endnew text begin parentnew text end spends with a deleted text beginparent, ordeleted text endnew text begin child pursuant to a court order. For purposes of
this section, overnight equivalents are calculated
new text end by using a method other than overnights
if the parent has significant time periods on separate days where the child is in the parent's
physical custody and under the direct care of the parent but does not stay overnight. The
court may consider the age of the child in determining whether a child is with a parent
for a significant period of time.

(b) If there is not a court order awarding parenting time, the court shall determine
the child support award without consideration of the parenting expense adjustment. If a
parenting time order is subsequently issued or is issued in the same proceeding, then the
child support order shall include application of the parenting expense adjustment.

Subd. 2.

Calculation of parenting expense adjustment.

deleted text begin The obligor is entitled to
a parenting expense adjustment calculated as provided in this subdivision. The court shall:
deleted text end

deleted text begin (1) find the adjustment percentage corresponding to the percentage of parenting
time allowed to the obligor below:
deleted text end

deleted text begin Percentage Range of Parenting
Time
deleted text end
deleted text begin Adjustment Percentage
deleted text end
deleted text begin (i)
deleted text end
deleted text begin less than 10 percent
deleted text end
deleted text begin no adjustment
deleted text end
deleted text begin (ii)
deleted text end
deleted text begin 10 percent to 45 percent
deleted text end
deleted text begin 12 percent
deleted text end
deleted text begin (iii)
deleted text end
deleted text begin 45.1 percent to 50 percent
deleted text end
deleted text begin presume parenting time is equal
deleted text end

deleted text begin (2) multiply the adjustment percentage by the obligor's basic child support obligation
to arrive at the parenting expense adjustment; and
deleted text end

deleted text begin (3) subtract the parenting expense adjustment from the obligor's basic child support
obligation. The result is the obligor's basic support obligation after parenting expense
adjustment.
deleted text end

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

new text begin (1) "parent A" means the parent with whom the child or children will spend the least
number of overnights under the court order; and
new text end

new text begin (2) "parent B" means the parent with whom the child or children will spend the
greatest number of overnights under the court order.
new text end

new text begin (b) The court shall apply the following formula to determine which parent is the
obligor and calculate the basic support obligation:
new text end

new text begin (1) raise to the power of three the approximate number of annual overnights the child
or children will likely spend with parent A;
new text end

new text begin (2) raise to the power of three the approximate number of annual overnights the child
or children will likely spend with parent B;
new text end

new text begin (3) multiply the result of clause (1) times parent B's share of the combined basic
support obligation as determined in section 518A.34, paragraph (b), clause (5);
new text end

new text begin (4) multiply the result of clause (2) times parent A's share of the combined basic
support obligation as determined in section 518A.34, paragraph (b), clause (5);
new text end

new text begin (5) subtract the result of clause (4) from the result of clause (3); and
new text end

new text begin (6) divide the result of clause (5) by the sum of clauses (1) and (2).
new text end

new text begin (c) If the result is a negative number, parent A is the obligor, the negative number
becomes its positive equivalent, and the result is the basic support obligation. If the result
is a positive number, parent B is the obligor and the result is the basic support obligation.
new text end

Subd. 3.

Calculation of basic support when parenting time deleted text beginpresumeddeleted text endnew text begin isnew text end equal.

deleted text begin (a)deleted text end If the parenting time is equal and the parental incomes for determining child support of
the parents also are equal, no basic support shall be paid unless the court determines that
the expenses for the child are not equally shared.

deleted text begin (b) If the parenting time is equal but the parents' parental incomes for determining
child support are not equal, the parent having the greater parental income for determining
child support shall be obligated for basic child support, calculated as follows:
deleted text end

deleted text begin (1) multiply the combined basic support calculated under section 518A.34 by 0.75;
deleted text end

deleted text begin (2) prorate the amount under clause (1) between the parents based on each parent's
proportionate share of the combined PICS; and
deleted text end

deleted text begin (3) subtract the lower amount from the higher amount.
deleted text end

deleted text begin The resulting figure is the obligation after parenting expense adjustment for the
parent with the greater parental income for determining child support.
deleted text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2018.
new text end

Sec. 11.

Minnesota Statutes 2015 Supplement, section 518A.39, subdivision 2, is
amended to read:


Subd. 2.

Modification.

(a) The terms of an order respecting maintenance or support
may be modified upon a showing of one or more of the following, any of which makes
the terms unreasonable and unfair: (1) substantially increased or decreased gross income
of an obligor or obligee; (2) substantially increased or decreased need of an obligor or
obligee or the child or children that are the subject of these proceedings; (3) receipt of
assistance under the AFDC program formerly codified under sections 256.72 to 256.87
or 256B.01 to 256B.40, or chapter 256J or 256K; (4) a change in the cost of living for
either party as measured by the Federal Bureau of Labor Statistics; (5) extraordinary
medical expenses of the child not provided for under section 518A.41; (6) a change in
the availability of appropriate health care coverage or a substantial increase or decrease
in health care coverage costs; (7) the addition of work-related or education-related child
care expenses of the obligee or a substantial increase or decrease in existing work-related
or education-related child care expenses; or (8) upon the emancipation of the child, as
provided in subdivision 5.

(b) It is presumed that there has been a substantial change in circumstances under
paragraph (a) and the terms of a current support order shall be rebuttably presumed to be
unreasonable and unfair if:

(1) the application of the child support guidelines in section 518A.35, to the current
circumstances of the parties results in a calculated court order that is at least 20 percent
and at least $75 per month higher or lower than the current support order or, if the current
support order is less than $75, it results in a calculated court order that is at least 20
percent per month higher or lower;

(2) the medical support provisions of the order established under section 518A.41
are not enforceable by the public authority or the obligee;

(3) health coverage ordered under section 518A.41 is not available to the child for
whom the order is established by the parent ordered to provide;

(4) the existing support obligation is in the form of a statement of percentage and not
a specific dollar amount;

(5) the gross income of an obligor or obligee has decreased by at least 20 percent
through no fault or choice of the party; or

(6) a deviation was granted based on the factor in section 518A.43, subdivision 1,
clause (4), and the child no longer resides in a foreign country or the factor is otherwise no
longer applicable.

(c) A child support order is not presumptively modifiable solely because an obligor
or obligee becomes responsible for the support of an additional nonjoint child, which is
born after an existing order. Section 518A.33 shall be considered if other grounds are
alleged which allow a modification of support.

(d) new text beginIf child support was established by applying a parenting expense adjustment
or presumed equal parenting time calculation under previously existing child support
guidelines and there is no parenting plan or order from which overnights or overnight
equivalents can be determined, there is a rebuttable presumption that the established
adjustment or calculation shall continue after modification so long as the modification is
not based on a change in parenting time. In determining an obligation under previously
existing child support guidelines, it is presumed that the court shall:
new text end

new text begin (1) if a 12 percent parenting expense adjustment was applied, multiply the obligor's
share of the combined basic support obligation calculated under section 518A.34,
paragraph (b), clause (5), by 0.88; or
new text end

new text begin (2) if the parenting time was presumed equal but the parents' parental incomes for
determining child support were not equal:
new text end

new text begin (i) multiply the combined basic support obligation under section 518A.34, paragraph
(b), clause (5), by 0.075;
new text end

new text begin (ii) prorate the amount under item (i) between the parents based on each parent's
proportionate share of the combined PICS; and
new text end

new text begin (iii) subtract the lower amount from the higher amount.
new text end

new text begin (e) new text endOn a motion for modification of maintenance, including a motion for the
extension of the duration of a maintenance award, the court shall apply, in addition to all
other relevant factors, the factors for an award of maintenance under section 518.552 that
exist at the time of the motion. On a motion for modification of support, the court:

(1) shall apply section 518A.35, and shall not consider the financial circumstances of
each party's spouse, if any; and

(2) shall not consider compensation received by a party for employment in excess of
a 40-hour work week, provided that the party demonstrates, and the court finds, that:

(i) the excess employment began after entry of the existing support order;

(ii) the excess employment is voluntary and not a condition of employment;

(iii) the excess employment is in the nature of additional, part-time employment, or
overtime employment compensable by the hour or fractions of an hour;

(iv) the party's compensation structure has not been changed for the purpose of
affecting a support or maintenance obligation;

(v) in the case of an obligor, current child support payments are at least equal to the
guidelines amount based on income not excluded under this clause; and

(vi) in the case of an obligor who is in arrears in child support payments to the
obligee, any net income from excess employment must be used to pay the arrearages
until the arrearages are paid in full.

deleted text begin (e)deleted text endnew text begin (f)new text end A modification of support or maintenance, including interest that accrued
pursuant to section 548.091, may be made retroactive only with respect to any period
during which the petitioning party has pending a motion for modification but only from
the date of service of notice of the motion on the responding party and on the public
authority if public assistance is being furnished or the county attorney is the attorney of
record, unless the court adopts an alternative effective date under paragraph (l). The
court's adoption of an alternative effective date under paragraph (l) shall not be considered
a retroactive modification of maintenance or support.

deleted text begin (f)deleted text endnew text begin (g)new text end Except for an award of the right of occupancy of the homestead, provided
in section 518.63, all divisions of real and personal property provided by section 518.58
shall be final, and may be revoked or modified only where the court finds the existence
of conditions that justify reopening a judgment under the laws of this state, including
motions under section 518.145, subdivision 2. The court may impose a lien or charge on
the divided property at any time while the property, or subsequently acquired property, is
owned by the parties or either of them, for the payment of maintenance or support money,
or may sequester the property as is provided by section 518A.71.

deleted text begin (g)deleted text endnew text begin (h)new text end The court need not hold an evidentiary hearing on a motion for modification
of maintenance or support.

deleted text begin (h)deleted text endnew text begin (i)new text end Sections 518.14 and 518A.735 shall govern the award of attorney fees for
motions brought under this subdivision.

deleted text begin (i)deleted text endnew text begin (j)new text end Except as expressly provided, an enactment, amendment, or repeal of law does
not constitute a substantial change in the circumstances for purposes of modifying a
child support order.

deleted text begin (j) MS 2006 [Expired]
deleted text end

(k) On the first modification deleted text beginunder the income shares method of calculationdeleted text endnew text begin
following implementation of amended child support guidelines
new text end, the modification of basic
support may be limited if the amount of the full variance would create hardship for either
the obligor or the obligee.

(l) The court may select an alternative effective date for a maintenance or support
order if the parties enter into a binding agreement for an alternative effective date.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2018.
new text end

Sec. 12.

new text begin [518A.79] CHILD SUPPORT TASK FORCE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin There is established the Child Support
Task Force for the Department of Human Services. The purpose of the task force is to
advise the commissioner of human services on matters relevant to maintaining effective
and efficient child support guidelines that will best serve the children of Minnesota and
take into account the changing dynamics of families.
new text end

new text begin Subd. 2. new text end

new text begin Members. new text end

new text begin (a) The task force must consist of:
new text end

new text begin (1) two members of the house of representatives, one appointed by the speaker of the
house and one appointed by the minority leader;
new text end

new text begin (2) two members of the senate, one appointed by the majority leader and one
appointed by the minority leader;
new text end

new text begin (3) one representative from the Minnesota County Attorneys Association;
new text end

new text begin (4) one staff member from the Department of Human Services Child Support
Division;
new text end

new text begin (5) one representative from a tribe with an approved IV-D program appointed by
resolution of the Minnesota Indian Affairs Council;
new text end

new text begin (6) one representative from the Minnesota Family Support Recovery Council;
new text end

new text begin (7) one child support magistrate, family court referee, or one district court judge or
retired judge with experience in child support matters, appointed by the chief justice of
the Supreme Court;
new text end

new text begin (8) four parents, at least two of whom represent diverse cultural and social
communities, appointed by the commissioner with equal representation between custodial
and noncustodial parents;
new text end

new text begin (9) one representative from the Minnesota Legal Services Coalition; and
new text end

new text begin (10) one representative from the Family Law Section of the Minnesota Bar
Association.
new text end

new text begin (b) Section 15.059 governs the Child Support Task Force.
new text end

new text begin (c) Members of the task force shall be compensated as provided in section 15.059,
subdivision 3.
new text end

new text begin Subd. 3. new text end

new text begin Organization. new text end

new text begin (a) The commissioner or the commissioner's designee shall
convene the first meeting of the task force.
new text end

new text begin (b) The members of the task force shall annually elect a chair and other officers
as the members deem necessary.
new text end

new text begin (c) The task force shall meet at least three times per year, with one meeting devoted
to collecting input from the public.
new text end

new text begin Subd. 4. new text end

new text begin Staff. new text end

new text begin The commissioner shall provide support staff, office space, and
administrative services for the task force.
new text end

new text begin Subd. 5. new text end

new text begin Duties of the task force. new text end

new text begin (a) General duties of the task force include, but
are not limited to:
new text end

new text begin (1) serving in an advisory capacity to the commissioner of human services;
new text end

new text begin (2) reviewing the effects of implementing the parenting expense adjustment enacted
by the 2016 legislature;
new text end

new text begin (3) at least every four years, preparing for and advising the commissioner on the
development of the quadrennial review report;
new text end

new text begin (4) collecting and studying information and data relating to child support awards; and
new text end

new text begin (5) conducting a comprehensive review of child support guidelines, economic
conditions, and other matters relevant to maintaining effective and efficient child support
guidelines.
new text end

new text begin (b) The task force must review, address, and make recommendations on the
following priority issues:
new text end

new text begin (1) the self-support reserve for custodial and noncustodial parents;
new text end

new text begin (2) simultaneous child support orders;
new text end

new text begin (3) obligors who are subject to child support orders in multiple counties;
new text end

new text begin (4) parents with multiple families;
new text end

new text begin (5) non-nuclear families, such as grandparents, relatives, and foster parents who
are caretakers of children;
new text end

new text begin (6) standards to apply for modifications; and
new text end

new text begin (7) updating section 518A.35, subdivision 2, the guideline for basic support.
new text end

new text begin Subd. 6. new text end

new text begin Consultation. new text end

new text begin The chair of the task force must consult with the Cultural
and Ethnic Communities Leadership Council at least annually on the issues under
consideration by the task force.
new text end

new text begin Subd. 7. new text end

new text begin Report and recommendations. new text end

new text begin Beginning February 15, 2018, and
biennially thereafter, if the task force is extended by the legislature, the commissioner
shall prepare and submit to the chairs and ranking minority members of the committees of
the house of representatives and the senate with jurisdiction over child support matters a
report that summarizes the activities of the task force, issues identified by the task force,
methods taken to address the issues, and recommendations for legislative action, if needed.
new text end

new text begin Subd. 8. new text end

new text begin Expiration. new text end

new text begin The task force expires June 30, 2019, unless extended by
the legislature.
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

Sec. 13.

Minnesota Statutes 2014, section 626.558, subdivision 1, is amended to read:


Subdivision 1.

Establishment of team.

A county shall establish a multidisciplinary
child protection team that may include, but not be limited to, the director of the local
welfare agency or designees, the county attorney or designees, the county sheriff or
designees, representatives of health and education, representatives of mental health or
other appropriate human service or community-based agencies, and parent groups. As
used in this section, a "community-based agency" may include, but is not limited to,
schools, social service agencies, family service and mental health collaboratives, new text beginchildren's
advocacy centers,
new text endearly childhood and family education programs, Head Start, or other
agencies serving children and families. A member of the team must be designated as the
lead person of the team responsible for the planning process to develop standards for its
activities with battered women's and domestic abuse programs and services.

Sec. 14.

Minnesota Statutes 2014, section 626.558, subdivision 2, is amended to read:


Subd. 2.

Duties of team.

A multidisciplinary child protection team may provide
public and professional education, develop resources for prevention, intervention, and
treatment, and provide case consultation to the local welfare agency or other interested
community-based agencies. The community-based agencies may request case consultation
from the multidisciplinary child protection team regarding a child or family for whom the
community-based agency is providing services. As used in this section, "case consultation"
means a case review process in which recommendations are made concerning services to
be provided to the identified children and family. Case consultation may be performed by
a committee or subcommittee of members representing human services, including mental
health and chemical dependency; law enforcement, including probation and parole; the
county attorney; new text begina children's advocacy center; new text endhealth care; education; community-based
agencies and other necessary agencies; and persons directly involved in an individual case
as designated by other members performing case consultation.

Sec. 15.

Minnesota Statutes 2014, section 626.558, is amended by adding a subdivision
to read:


new text begin Subd. 4. new text end

new text begin Children's advocacy center; definition. new text end

new text begin (a) For purposes of this section,
"children's advocacy center" means an organization, using a multidisciplinary team
approach, whose primary purpose is to provide children who have been the victims of
abuse and their nonoffending family members with:
new text end

new text begin (1) support and advocacy;
new text end

new text begin (2) specialized medical evaluation;
new text end

new text begin (3) trauma-focused mental health services; and
new text end

new text begin (4) forensic interviews.
new text end

new text begin (b) Children's advocacy centers provide multidisciplinary case review and the
tracking and monitoring of case progress.
new text end

Sec. 16.

Laws 2015, chapter 71, article 1, section 125, is amended to read:


Sec. 125. LEGISLATIVE TASK FORCE; CHILD PROTECTION.

(a) A legislative task force is created to:

(1) review the efforts being made to implement the recommendations of the
Governor's Task Force on the Protection of Children, including a review of the roles and
functions of the Office of Ombudsperson for Families;

(2) expand the efforts into related areas of the child welfare system;

(3) work with the commissioner of human services and community partners to
establish and evaluate child protection grants to address disparities in child welfare
pursuant to Minnesota Statutes, section 256E.28; deleted text beginand
deleted text end

(4) identify additional areas within the child welfare system that need to be addressed
by the legislaturenew text begin;
new text end

new text begin (5) review and recommend alternatives to law enforcement responding to a
maltreatment report by removing the child, and evaluate situations in which it may
be appropriate for a social worker or other child protection worker to remove the child
from the home; and
new text end

new text begin (6) clarify the definition of "substantial child endangerment," and provide language
in bill form by January 1, 2017
new text end.

(b) Members of the legislative task force shall include:

(1) deleted text beginthe four legislators who served as members of the Governor's Task Force on
the Protection of Children;
deleted text end

deleted text begin (2) twodeleted text endnew text begin fournew text end members from the house of representatives appointed by the speaker,
deleted text beginonedeleted text endnew text begin twonew text end from the majority party and deleted text beginonedeleted text endnew text begin twonew text end from the minority party; and

deleted text begin (3) twodeleted text endnew text begin (2) fournew text end members from the senatenew text begin, including two membersnew text end appointed by the
new text beginsenatenew text end majority leader, deleted text beginone from the majority partydeleted text end and deleted text beginone from the minority partydeleted text endnew text begin two
members appointed by the senate minority leader
new text end.

new text begin Members of the task force shall serve a term that expires on December 31 of the
even-numbered year following the year they are appointed.
new text end The speaker and the majority
leader shall each appoint a chair and vice-chair from the membership of the task force.
The deleted text begingaveldeleted text end new text beginchair new text endshall rotate after each meetingdeleted text begin, and the house of representatives shall
assume the leadership of the task force first
deleted text end.new text begin The task force must meet at least quarterly.
new text end

(c) The task force may provide oversight and monitoring of:

(1) the efforts by the Department of Human Services, counties, and tribes to
implement laws related to child protection;

(2) efforts by the Department of Human Services, counties, and tribes to implement
the recommendations of the Governor's Task Force on the Protection of Children;

(3) efforts by agencies, including but not limited to the Minnesota Department
of Education, the Minnesota Housing Finance Agency, the Minnesota Department of
Corrections, and the Minnesota Department of Public Safety, to work with the Department
of Human Services to assure safety and well-being for children at risk of harm or children
in the child welfare system; and

(4) efforts by the Department of Human Services, other agencies, counties, and
tribes to implement best practices to ensure every child is protected from maltreatment
and neglect and to ensure every child has the opportunity for healthy development.

(d) The task force, in cooperation with the commissioner of human services,
shall issue deleted text beginadeleted text endnew text begin an annualnew text end report to the legislature and governor new text beginby new text endFebruary 1deleted text begin, 2016deleted text end. The
report must contain information on the progress toward implementation of changes to
the child protection system, recommendations for additional legislative changes and
procedures affecting child protection and child welfare, and funding needs to implement
recommended changes.

deleted text begin (e) The task force shall convene upon the effective date of this section and shall
continue until the last day of the 2016 legislative session.
deleted text end

new text begin (e) This section expires December 31, 2020.
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

Sec. 17. new text beginCHILD CARE PROVIDER LIAISON AND ADVOCATE.
new text end

new text begin The commissioner of human services must designate a full-time employee of
the department to serve as a child care provider liaison and advocate. The child care
provider liaison and advocate must be responsive to requests from providers by providing
information or assistance in obtaining or renewing licenses, meeting state regulatory
requirements, or resolving disputes with state agencies or other political subdivisions.
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

Sec. 18. new text beginLEGISLATIVE TASK FORCE ON CHILD CARE.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin A legislative task force on child care is created to review
the loss of child care providers in the state, assess affordability issues for providers and
parents, and identify areas that need to be addressed by the legislature.
new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin Task force members shall include:
new text end

new text begin (1) four members from the house of representatives appointed by the speaker of the
house, two from the majority party and two from the minority party; and
new text end

new text begin (2) four members from the senate appointed by the majority leader, two from the
majority party and two from the minority party.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin (a) The task force may:
new text end

new text begin (1) evaluate factors that contribute to child care costs for providers and families;
new text end

new text begin (2) assess the child care provider shortage in greater Minnesota;
new text end

new text begin (3) review the current preservice and in-service training requirements for family
child care providers and child care center staff. The review shall include training required
for licensure, including staff credentialing for child care center staff positions and the ways
in which the training aligns with Minnesota's Career Lattice and Minnesota's Knowledge
and Competency Framework for Early Childhood and School-Aged Care Practitioners;
new text end

new text begin (4) review the availability of training that is in place to meet the training needs of
providers, including the content of the training, cost, and delivery methods;
new text end

new text begin (5) consider creation of a board of child care to be responsible for all matters related
to licensing of child care providers, both in-home and center-based programs, and to
employ an advocate for child care providers;
new text end

new text begin (6) review the process of issuing and resolving correction orders issued to child
care providers;
new text end

new text begin (7) consider uniform training requirements for county employees and their
supervisors who perform duties related to licensing;
new text end

new text begin (8) review progress being made by the commissioner of human services to streamline
paperwork and reduce redundancies for child care providers;
new text end

new text begin (9) review the time it takes for the department to provide child care assistance
program reimbursement to providers; and
new text end

new text begin (10) consider options for conducting exit interviews with providers who leave the
child care field or choose not to be relicensed.
new text end

new text begin (b) Task force members may receive input from the commissioners of human
services and economic development, providers, and stakeholders to review all action items.
new text end

new text begin Subd. 4. new text end

new text begin Recommendations and report. new text end

new text begin The task force, in cooperation with the
commissioner of human services, shall issue a report to the legislature and governor by
December 31, 2016. The report must contain summary information obtained during
the task force meetings and recommendations for additional legislative changes and
procedures affecting child care.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment
and sunsets on December 31, 2016.
new text end

Sec. 19. new text beginDIRECTION TO COMMISSIONERS; INCOME AND ASSET
EXCLUSION.
new text end

new text begin (a) The commissioner of human services shall not count payments made to families
by the income and child development in the first three years of life demonstration
project as income or assets for purposes of determining or redetermining eligibility for
child care assistance programs under Minnesota Statutes, chapter 119B; the Minnesota
family investment program, work benefit program, or diversionary work program under
Minnesota Statutes, chapter 256J, during the duration of the demonstration.
new text end

new text begin (b) The commissioner of human services shall not count payments made to families
by the income and child development in the first three years of life demonstration project
as income for purposes of determining or redetermining eligibility for medical assistance
under Minnesota Statutes, chapter 256B, and MinnesotaCare under Minnesota Statutes,
chapter 256L.
new text end

new text begin (c) For the purposes of this section, "income and child development in the first
three years of life demonstration project" means a demonstration project funded by the
United States Department of Health and Human Services National Institutes of Health to
evaluate whether the unconditional cash payments have a causal effect on the cognitive,
socioemotional, and brain development of infants and toddlers.
new text end

new text begin (d) This section shall only be implemented if Minnesota is chosen as a site for
the child development in the first three years of life demonstration project, and expires
January 1, 2022.
new text end

new text begin (e) The commissioner of human services shall provide a report to the chairs and
ranking minority members of the legislative committees having jurisdiction over human
services issues by January 1, 2023, informing the legislature on the progress and outcomes
of the demonstration under this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin Paragraph (b) is effective August 16, 2016, or upon federal
approval, whichever is later.
new text end

Sec. 20. new text beginREVISOR'S INSTRUCTION.
new text end

new text begin The revisor of statutes, in consultation with the commissioner of human services;
the Office of Senate Counsel, Research, and Fiscal Analysis; and House Research, shall
recodify the Maltreatment of Minors Act, Minnesota Statutes, section 626.556, and
related statutes in order to create internal consistency, eliminate redundant language,
separate provisions governing investigations of maltreatment in institutions, and otherwise
reorganize the statutes to facilitate interpretation and application of the law. The
recodification must be drafted in bill form for introduction in the 2017 session.
new text end

Sec. 21. new text begin REPEALER; HANDS OFF CHILD CARE.
new text end

new text begin Minnesota Statutes 2014, sections 179A.50; 179A.51; 179A.52; and 179A.53, new text end new text begin are
repealed.
new text end

ARTICLE 7

HEALTH-RELATED LICENSING

GENETIC COUNSELORS

Section 1.

new text begin [147F.01] DEFINITIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Applicability. new text end

new text begin For purposes of sections 147F.01 to 147F.17, the
terms defined in this section have the meanings given them.
new text end

new text begin Subd. 2. new text end

new text begin ABGC. new text end

new text begin "ABGC" means the American Board of Genetic Counseling, a
national agency for certification and recertification of genetic counselors, or its successor
organization or equivalent.
new text end

new text begin Subd. 3. new text end

new text begin ABMG. new text end

new text begin "ABMG" means the American Board of Medical Genetics,
a national agency for certification and recertification of genetic counselors, medical
geneticists, and Ph.D. geneticists, or its successor organization.
new text end

new text begin Subd. 4. new text end

new text begin ACGC. new text end

new text begin "ACGC" means the Accreditation Council for Genetic Counseling,
a specialized program accreditation board for educational training programs granting
master's degrees or higher in genetic counseling, or its successor organization.
new text end

new text begin Subd. 5. new text end

new text begin Board. new text end

new text begin "Board" means the Board of Medical Practice.
new text end

new text begin Subd. 6. new text end

new text begin Eligible status. new text end

new text begin "Eligible status" means an applicant who has met the
requirements and received approval from the ABGC to sit for the certification examination.
new text end

new text begin Subd. 7. new text end

new text begin Genetic counseling. new text end

new text begin "Genetic counseling" means the provision of services
described in section 147F.03 to help clients and their families understand the medical,
psychological, and familial implications of genetic contributions to a disease or medical
condition.
new text end

new text begin Subd. 8. new text end

new text begin Genetic counselor. new text end

new text begin "Genetic counselor" means an individual licensed
under sections 147F.01 to 147F.17 to engage in the practice of genetic counseling.
new text end

new text begin Subd. 9. new text end

new text begin Licensed physician. new text end

new text begin "Licensed physician" means an individual who is
licensed to practice medicine under chapter 147.
new text end

new text begin Subd. 10. new text end

new text begin NSGC. new text end

new text begin "NSGC" means the National Society of Genetic Counselors, a
professional membership association for genetic counselors that approves continuing
education programs.
new text end

new text begin Subd. 11. new text end

new text begin Qualified supervisor. new text end

new text begin "Qualified supervisor" means any person who is
licensed under sections 147F.01 to 147F.17 as a genetic counselor or a physician licensed
under chapter 147 to practice medicine in Minnesota.
new text end

new text begin Subd. 12. new text end

new text begin Supervisee. new text end

new text begin "Supervisee" means a genetic counselor with a provisional
license.
new text end

new text begin Subd. 13. new text end

new text begin Supervision. new text end

new text begin "Supervision" means an assessment of the work of the
supervisee, including regular meetings and file review, by a qualified supervisor according
to the supervision contract. Supervision does not require the qualified supervisor to be
present while the supervisee provides services.
new text end

Sec. 2.

new text begin [147F.03] SCOPE OF PRACTICE.
new text end

new text begin The practice of genetic counseling by a licensed genetic counselor includes the
following services:
new text end

new text begin (1) obtaining and interpreting individual and family medical and developmental
histories;
new text end

new text begin (2) determining the mode of inheritance and the risk of transmitting genetic
conditions and birth defects;
new text end

new text begin (3) discussing the inheritance, features, natural history, means of diagnosis, and
management of conditions with clients;
new text end

new text begin (4) identifying, coordinating, ordering, and explaining the clinical implications of
genetic laboratory tests and other laboratory studies;
new text end

new text begin (5) assessing psychosocial factors, including social, educational, and cultural issues;
new text end

new text begin (6) providing client-centered counseling and anticipatory guidance to the client or
family based on their responses to the condition, risk of occurrence, or risk of recurrence;
new text end

new text begin (7) facilitating informed decision-making about testing and management;
new text end

new text begin (8) identifying and using community resources that provide medical, educational,
financial, and psychosocial support and advocacy; and
new text end

new text begin (9) providing accurate written medical, genetic, and counseling information for
families and health care professionals.
new text end

Sec. 3.

new text begin [147F.05] UNLICENSED PRACTICE PROHIBITED; PROTECTED
TITLES AND RESTRICTIONS ON USE.
new text end

new text begin Subdivision 1. new text end

new text begin Protected titles. new text end

new text begin No individual may use the title "genetic counselor,"
"licensed genetic counselor," "gene counselor," "genetic consultant," "genetic assistant,"
"genetic associate," or any words, letters, abbreviations, or insignia indicating or implying
that the individual is eligible for licensure by the state as a genetic counselor unless the
individual has been licensed as a genetic counselor according to sections 147F.01 to
147F.17.
new text end

new text begin Subd. 2. new text end

new text begin Unlicensed practice prohibited. new text end

new text begin Effective January 1, 2018, no individual
may practice genetic counseling unless the individual is licensed as a genetic counselor
sections 147F.01 to 147F.17 except as otherwise provided under sections 147F.01 to
147F.17.
new text end

new text begin Subd. 3. new text end

new text begin Other practitioners. new text end

new text begin (a) Nothing in sections 147F.01 to 147F.17 shall be
construed to prohibit or restrict the practice of any profession or occupation licensed
or registered by the state by an individual duly licensed or registered to practice the
profession or occupation or to perform any act that falls within the scope of practice
of the profession or occupation.
new text end

new text begin (b) Nothing in sections 147F.01 to 147F.17 shall be construed to require a license
under sections 147F.01 to 147F.17 for:
new text end

new text begin (1) an individual employed as a genetic counselor by the federal government or a
federal agency if the individual is providing services under the direction and control of
the employer;
new text end

new text begin (2) a student or intern, having graduated within the past six months, or currently
enrolled in an ACGC-accredited genetic counseling educational program providing
genetic counseling services that are an integral part of the student's or intern's course
of study, are performed under the direct supervision of a licensed genetic counselor or
physician who is on duty in the assigned patient care area, and the student is identified by
the title "genetic counseling intern";
new text end

new text begin (3) a visiting ABGC- or ABMG-certified genetic counselor working as a consultant
in this state who permanently resides outside of the state, or the occasional use of services
from organizations from outside of the state that employ ABGC- or ABMG-certified
genetic counselors. This is limited to practicing for 30 days total within one calendar year.
Certified genetic counselors from outside of the state working as a consultant in this state
must be licensed in their state of residence if that credential is available; or
new text end

new text begin (4) an individual who is licensed to practice medicine under chapter 147.
new text end

new text begin Subd. 4. new text end

new text begin Sanctions. new text end

new text begin An individual who violates this section is guilty of a
misdemeanor and shall be subject to sanctions or actions according to section 214.11.
new text end

Sec. 4.

new text begin [147F.07] LICENSURE REQUIREMENTS.
new text end

new text begin Subdivision 1. new text end

new text begin General requirements for licensure. new text end

new text begin To be eligible for licensure, an
applicant, with the exception of those seeking licensure by reciprocity under subdivision
2, must submit to the board:
new text end

new text begin (1) a completed application on forms provided by the board along with all fees
required under section 147F.17. The applicant must include:
new text end

new text begin (i) the applicant's name, Social Security number, home address and telephone
number, and business address and telephone number if currently employed;
new text end

new text begin (ii) the name and location of the genetic counseling or medical program the applicant
completed;
new text end

new text begin (iii) a list of degrees received from other educational institutions;
new text end

new text begin (iv) a description of the applicant's professional training;
new text end

new text begin (v) a list of registrations, certifications, and licenses held in other jurisdictions;
new text end

new text begin (vi) a description of any other jurisdiction's refusal to credential the applicant;
new text end

new text begin (vii) a description of all professional disciplinary actions initiated against the
applicant in any jurisdiction; and
new text end

new text begin (viii) any history of drug or alcohol abuse, and any misdemeanor or felony conviction;
new text end

new text begin (2) evidence of graduation from an education program accredited by the ACGC or
its predecessor or successor organization;
new text end

new text begin (3) a verified copy of a valid and current certification issued by the ABGC or ABMG
as a certified genetic counselor, or by the ABMG as a certified medical geneticist;
new text end

new text begin (4) additional information as requested by the board, including any additional
information necessary to ensure that the applicant is able to practice with reasonable skill
and safety to the public;
new text end

new text begin (5) a signed statement verifying that the information in the application is true and
correct to the best of the applicant's knowledge and belief; and
new text end

new text begin (6) a signed waiver authorizing the board to obtain access to the applicant's records
in this or any other state in which the applicant completed an educational program or
engaged in the practice of genetic counseling.
new text end

new text begin Subd. 2. new text end

new text begin Licensure by reciprocity. new text end

new text begin To be eligible for licensure by reciprocity,
the applicant must hold a current genetic counselor or medical geneticist registration
or license in another state, the District of Columbia, or a territory of the United States,
whose standards for registration or licensure are at least equivalent to those of Minnesota,
and must:
new text end

new text begin (1) submit the application materials and fees as required by subdivision 1, clauses
(1), (2), and (4) to (6);
new text end

new text begin (2) provide a verified copy from the appropriate government body of a current
registration or license for the practice of genetic counseling in another jurisdiction that has
initial registration or licensing requirements equivalent to or higher than the requirements
in subdivision 1; and
new text end

new text begin (3) provide letters of verification from the appropriate government body in each
jurisdiction in which the applicant holds a registration or license. Each letter must state
the applicant's name, date of birth, registration or license number, date of issuance, a
statement regarding disciplinary actions, if any, taken against the applicant, and the terms
under which the registration or license was issued.
new text end

new text begin Subd. 3. new text end

new text begin Licensure by equivalency. new text end

new text begin (a) The board may grant a license to an
individual who does not meet the certification requirements in subdivision 1 but who
has been employed as a genetic counselor for a minimum of ten years and provides the
following documentation to the board no later than February 1, 2018:
new text end

new text begin (1) proof of a master's or higher degree in genetics or related field of study from an
accredited educational institution;
new text end

new text begin (2) proof that the individual has never failed the ABGC or ABMG certification
examination;
new text end

new text begin (3) three letters of recommendation, with at least one from an individual eligible for
licensure under sections 147F.01 to 147F.17, and at least one from an individual certified
as a genetic counselor by the ABGC or ABMG or an individual certified as a medical
geneticist by the ABMG. An individual who submits a letter of recommendation must
have worked with the applicant in an employment setting during the past ten years and
must attest to the applicant's competency; and
new text end

new text begin (4) documentation of the completion of 100 hours of NSGC-approved continuing
education credits within the past five years.
new text end

new text begin (b) This subdivision expires February 1, 2018.
new text end

new text begin Subd. 4. new text end

new text begin License expiration. new text end

new text begin A genetic counselor license shall be valid for one
year from the date of issuance.
new text end

new text begin Subd. 5. new text end

new text begin License renewal. new text end

new text begin To be eligible for license renewal, a licensed genetic
counselor must submit to the board:
new text end

new text begin (1) a renewal application on a form provided by the board;
new text end

new text begin (2) the renewal fee required under section 147F.17;
new text end

new text begin (3) evidence of compliance with the continuing education requirements in section
147F.11; and
new text end

new text begin (4) any additional information requested by the board.
new text end

Sec. 5.

new text begin [147F.09] BOARD ACTION ON APPLICATIONS FOR LICENSURE.
new text end

new text begin (a) The board shall act on each application for licensure according to paragraphs
(b) to (d).
new text end

new text begin (b) The board shall determine if the applicant meets the requirements for licensure
under section 147F.07. The board may investigate information provided by an applicant to
determine whether the information is accurate and complete.
new text end

new text begin (c) The board shall notify each applicant in writing of action taken on the application,
the grounds for denying licensure if a license is denied, and the applicant's right to review
the board's decision under paragraph (d).
new text end

new text begin (d) Applicants denied licensure may make a written request to the board, within 30
days of the board's notice, to appear before the advisory council and for the advisory
council to review the board's decision to deny the applicant's license. After reviewing the
denial, the advisory council shall make a recommendation to the board as to whether
the denial shall be affirmed. Each applicant is allowed only one request for review per
licensure period.
new text end

Sec. 6.

new text begin [147F.11] CONTINUING EDUCATION REQUIREMENTS.
new text end

new text begin (a) A licensed genetic counselor must complete a minimum of 25 hours of NSGC-
or ABMG-approved continuing education units every two years. If a licensee's renewal
term is prorated to be more or less than one year, the required number of continuing
education units is prorated proportionately.
new text end

new text begin (b) The board may grant a variance to the continuing education requirements
specified in this section if a licensee demonstrates to the satisfaction of the board that the
licensee is unable to complete the required number of educational units during the renewal
term. The board may allow the licensee to complete the required number of continuing
education units within a time frame specified by the board. In no case shall the board
allow the licensee to complete less than the required number of continuing education units.
new text end

Sec. 7.

new text begin [147F.13] DISCIPLINE; REPORTING.
new text end

new text begin For purposes of sections 147F.01 to 147F.17, licensed genetic counselors and
applicants are subject to sections 147.091 to 147.162.
new text end

Sec. 8.

new text begin [147F.15] LICENSED GENETIC COUNSELOR ADVISORY COUNCIL.
new text end

new text begin Subdivision 1. new text end

new text begin Membership. new text end

new text begin The board shall appoint a five-member Licensed
Genetic Counselor Advisory Council. One member must be a licensed physician with
experience in genetics, three members must be licensed genetic counselors, and one
member must be a public member.
new text end

new text begin Subd. 2. new text end

new text begin Organization. new text end

new text begin The advisory council shall be organized and administered
as provided in section 15.059.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The advisory council shall:
new text end

new text begin (1) advise the board regarding standards for licensed genetic counselors;
new text end

new text begin (2) provide for distribution of information regarding licensed genetic counselor
practice standards;
new text end

new text begin (3) advise the board on enforcement of sections 147F.01 to 147F.17;
new text end

new text begin (4) review applications and recommend granting or denying licensure or license
renewal;
new text end

new text begin (5) advise the board on issues related to receiving and investigating complaints,
conducting hearings, and imposing disciplinary action in relation to complaints against
licensed genetic counselors; and
new text end

new text begin (6) perform other duties authorized for advisory councils by chapter 214, as directed
by the board.
new text end

new text begin Subd. 4. new text end

new text begin Expiration. new text end

new text begin Notwithstanding section 15.059, the advisory council does
not expire.
new text end

Sec. 9.

new text begin [147F.17] FEES.
new text end

new text begin Subdivision 1. new text end

new text begin Fees. new text end

new text begin Fees are as follows:
new text end

new text begin (1) license application fee, $200;
new text end

new text begin (2) initial licensure and annual renewal, $150;
new text end

new text begin (3) provisional license fee, $150; and
new text end

new text begin (4) late fee, $75.
new text end

new text begin Subd. 2. new text end

new text begin Proration of fees. new text end

new text begin The board may prorate the initial license fee. All
licensees are required to pay the full fee upon license renewal.
new text end

new text begin Subd. 3. new text end

new text begin Penalty for late renewals. new text end

new text begin An application for registration renewal
submitted after the deadline must be accompanied by a late fee in addition to the required
fees.
new text end

new text begin Subd. 4. new text end

new text begin Nonrefundable fees. new text end

new text begin All fees are nonrefundable.
new text end

new text begin Subd. 5. new text end

new text begin Deposit. new text end

new text begin Fees collected by the board under this section shall be deposited
in the state government special revenue fund.
new text end

SPOKEN LANGUAGE HEALTH CARE INTERPRETER

Sec. 10.

new text begin [148.9981] DEFINITIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Applicability. new text end

new text begin The definitions in this section apply to sections
148.9981 to 148.9987.
new text end

new text begin Subd. 2. new text end

new text begin Advisory council. new text end

new text begin "Advisory council" means the Spoken Language Health
Care Interpreter Advisory Council established in section 148.9986.
new text end

new text begin Subd. 3. new text end

new text begin Code of ethics. new text end

new text begin "Code of ethics" means the National Code of Ethics for
Interpreters in Health Care, as published by the National Council on Interpreting in Health
Care or its successor, or the International Medical Interpreters Association or its successor.
new text end

new text begin Subd. 4. new text end

new text begin Commissioner. new text end

new text begin "Commissioner" means the commissioner of health.
new text end

new text begin Subd. 5. new text end

new text begin Common languages. new text end

new text begin "Common languages" mean the ten most frequent
languages without regard to dialect in Minnesota for which interpreters are listed on
the registry.
new text end

new text begin Subd. 6. new text end

new text begin Interpreting standards of practice. new text end

new text begin "Interpreting standards of practice"
means the interpreting standards of practice in health care as published by the National
Council on Interpreting in Health Care or its successor, or the International Medical
Interpreters Association or its successor.
new text end

new text begin Subd. 7. new text end

new text begin Registry. new text end

new text begin "Registry" means a database of spoken language health
care interpreters in Minnesota who have met the qualifications described under section
148.9982, subdivision 2, 3, 4, or 5, which shall be maintained by the commissioner of
health.
new text end

new text begin Subd. 8. new text end

new text begin Remote interpretation. new text end

new text begin "Remote interpretation" means providing spoken
language interpreting services via a telephone or by video conferencing.
new text end

new text begin Subd. 9. new text end

new text begin Spoken language health care interpreter or interpreter. new text end

new text begin "Spoken
language health care interpreter" or "interpreter" means an individual who receives
compensation or other remuneration for providing spoken language interpreter services for
patients with limited English proficiency within a medical setting either by face-to-face
interpretation or remote interpretation.
new text end

new text begin Subd. 10. new text end

new text begin Spoken language interpreting services. new text end

new text begin "Spoken language interpreting
services" means the conversion of one spoken language into another by an interpreter for
the purpose of facilitating communication between a patient and a health care provider
who do not share a common spoken language.
new text end

Sec. 11.

new text begin [148.9982] REGISTRY.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin (a) By July 1, 2017, the commissioner of health
shall establish and maintain a registry for spoken language health care interpreters. The
registry shall contain four separate tiers based on different qualification standards for
education and training.
new text end

new text begin (b) An individual who wants to be listed on the registry must submit an application
to the commissioner on a form provided by the commissioner along with all applicable
fees required under section 148.9987. The form must include the applicant's name; Social
Security number; business address and telephone number, or home address and telephone
number if the applicant has a home office; the applicant's employer or the agencies with
which the applicant is affiliated; the employer's or agencies' addresses and telephone
numbers; and the languages the applicant is qualified to interpret.
new text end

new text begin (c) Upon receipt of the application, the commissioner shall determine if the applicant
meets the requirements for the applicable registry tier. The commissioner may request
further information from the applicant if the information provided is not complete or
accurate. The commissioner shall notify the applicant of action taken on the application,
and if the application is denied, the grounds for denying the application.
new text end

new text begin (d) If the commissioner denies an application, the applicant may apply for a lower
tier or may reapply for the same tier at a later date. If an applicant applies for a different
tier or reapplies for the same tier, the applicant must submit with the new application the
applicable fees under section 148.9987.
new text end

new text begin (e) Applicants who qualify for different tiers for different languages shall only be
required to complete one application and submit with the application the fee associated
with the highest tier for which the applicant is applying.
new text end

new text begin (f) The commissioner may request, as deemed necessary, additional information
from an applicant to determine or verify qualifications or collect information to manage
the registry or monitor the field of health care interpreting.
new text end

new text begin Subd. 2. new text end

new text begin Tier 1 requirements. new text end

new text begin The commissioner shall include on the tier 1 registry
an applicant who meets the following requirements:
new text end

new text begin (1) is at least 18 years of age;
new text end

new text begin (2) passes an examination approved by the commissioner on basic medical
terminology in English;
new text end

new text begin (3) passes an examination approved by the commissioner on interpreter ethics and
standards of practice; and
new text end

new text begin (4) affirms by signature, including electronic signature, that the applicant has read
the code of ethics and interpreting standards of practice identified on the registry Web
site and agrees to abide by them.
new text end

new text begin Subd. 3. new text end

new text begin Tier 2 requirements. new text end

new text begin The commissioner shall include on the tier 2 registry
an applicant who meets the requirements for tier 1 described under subdivision 2 and who:
new text end

new text begin (1) effective July 1, 2017, to June 30, 2018, provides proof of successfully
completing a training program for medical interpreters approved by the commissioner that
is, at a minimum, 40 hours in length; or
new text end

new text begin (2) effective July 1, 2018, provides proof of successfully completing a training
program for medical interpreters approved by the commissioner that is equal in length to
the number of hours required by the Certification Commission for Healthcare Interpreters
(CCHI) or National Council on Interpreting in Health Care (NCIHC) or their successors.
If the number of hours required by CCHI or its successor and the number of hours required
by the NCIHC or its successor differ, the number of hours required to qualify for the
registry shall be the greater of the two. A training program of 40 hours or more approved
by the commissioner and completed prior to July 1, 2017, may count toward the number
of hours required.
new text end

new text begin Subd. 4. new text end

new text begin Tier 3 requirements. new text end

new text begin The commissioner shall include on the tier 3 registry
an applicant who meets the requirements for tier 1 described under subdivision 2 and who:
new text end

new text begin (1) has a national certification in health care interpreting that does not include a
performance examination from a certifying organization approved by the commissioner; or
new text end

new text begin (2) provides proof of successfully completing an interpreting certification program
from an accredited United States academic institution approved by the commissioner
that is, at a minimum, 18 semester credits.
new text end

new text begin Subd. 5. new text end

new text begin Tier 4 requirements. new text end

new text begin (a) The commissioner shall include on the tier 4
registry an applicant who meets the requirements for tier 1 described under subdivision 2
and who:
new text end

new text begin (1) has a national certification from a certifying organization approved by the
commissioner in health care interpreting that includes a performance examination in the
non-English language in which the interpreter is registering to interpret; or
new text end

new text begin (2)(i) has an associate's degree or higher in interpreting from an accredited United
States academic institution. The degree and institution must be approved by the
commissioner and the degree must include a minimum of three semester credits in medical
terminology or medical interpreting; and
new text end

new text begin (ii) has achieved a score of "advanced mid" or higher on the American Council on
the Teaching of Foreign Languages Oral Proficiency Interview in a non-English language
in which the interpreter is registering to interpret.
new text end

new text begin (b) The commissioner, in consultation with the advisory council, may approve
alternative means of meeting oral proficiency requirements for tier 4 for languages
in which the American Council of Teaching of Foreign Languages Oral Proficiency
Interview is not available.
new text end

new text begin (c) The commissioner, in consultation with the advisory council, may approve a
degree from an educational institution from a foreign country as meeting the associate's
degree requirement in paragraph (a), clause (2). The commissioner may assess the
applicant a fee to cover the cost of foreign credential evaluation services approved by
the commissioner, in consultation with the advisory council, and any additional steps
necessary to process the application. Any assessed fee must be paid by the interpreter
before the interpreter will be registered.
new text end

new text begin Subd. 6. new text end

new text begin Change of name and address. new text end

new text begin Registered spoken language health
care interpreters who change their name, address, or e-mail address must inform the
commissioner in writing of the change within 30 days. All notices or other correspondence
mailed to the interpreter's address or e-mail address on file with the commissioner shall
be considered as having been received by the interpreter.
new text end

new text begin Subd. 7. new text end

new text begin Data. new text end

new text begin Section 13.41 applies to government data of the commissioner
on applicants and registered interpreters.
new text end

Sec. 12.

new text begin [148.9983] RENEWAL.
new text end

new text begin Subdivision 1. new text end

new text begin Registry period. new text end

new text begin Listing on the registry is valid for a one-year
period. To renew inclusion on the registry, an interpreter must submit:
new text end

new text begin (1) a renewal application on a form provided by the commissioner;
new text end

new text begin (2) a continuing education report on a form provided by the commissioner as
specified under section 148.9985; and
new text end

new text begin (3) the required fees under section 148.9987.
new text end

new text begin Subd. 2. new text end

new text begin Notice. new text end

new text begin (a) Sixty days before the registry expiration date, the commissioner
shall send out a renewal notice to the spoken language health care interpreter's last known
address or e-mail address on file with the commissioner. The notice must include an
application for renewal and the amount of the fee required for renewal. If the interpreter
does not receive the renewal notice, the interpreter is still required to meet the deadline for
renewal to qualify for continuous inclusion on the registry.
new text end

new text begin (b) An application for renewal must be received by the commissioner or postmarked
at least 30 calendar days before the registry expiration date.
new text end

new text begin Subd. 3. new text end

new text begin Late fee. new text end

new text begin A renewal application submitted after the renewal deadline
date must include the late fee specified in section 148.9987. Fees for late renewal shall
not be prorated.
new text end

new text begin Subd. 4. new text end

new text begin Lapse in renewal. new text end

new text begin An interpreter whose registry listing has been expired
for a period of one year or longer must submit a new application to be listed on the registry
instead of a renewal application.
new text end

Sec. 13.

new text begin [148.9984] DISCIPLINARY ACTIONS; OVERSIGHT OF
COMPLAINTS.
new text end

new text begin Subdivision 1. new text end

new text begin Prohibited conduct. new text end

new text begin (a) The following conduct is prohibited and is
grounds for disciplinary or corrective action:
new text end

new text begin (1) failure to provide spoken language interpreting services consistent with the
code of ethics and interpreting standards of practice, or performance of the interpretation
in an incompetent or negligent manner;
new text end

new text begin (2) conviction of a crime, including a finding or verdict of guilt, an admission of
guilt, or a no-contest plea, in any court in Minnesota or any other jurisdiction in the United
States, demonstrably related to engaging in spoken language health care interpreter
services. Conviction includes a conviction for an offense which, if committed in this
state, would be deemed a felony;
new text end

new text begin (3) conviction of violating any state or federal law, rule, or regulation that directly
relates to the practice of spoken language health care interpreters;
new text end

new text begin (4) adjudication as mentally incompetent or as a person who is dangerous to self
or adjudication pursuant to chapter 253B as chemically dependent, developmentally
disabled, mentally ill and dangerous to the public, or as a sexual psychopathic personality
or sexually dangerous person;
new text end

new text begin (5) violation or failure to comply with an order issued by the commissioner;
new text end

new text begin (6) obtaining money, property, services, or business from a client through the use of
undue influence, excessive pressure, harassment, duress, deception, or fraud;
new text end

new text begin (7) revocation of the interpreter's national certification as a result of disciplinary
action brought by the national certifying body;
new text end

new text begin (8) failure to perform services with reasonable judgment, skill, or safety due to the
use of alcohol or drugs or other physical or mental impairment;
new text end

new text begin (9) engaging in conduct likely to deceive, defraud, or harm the public;
new text end

new text begin (10) demonstrating a willful or careless disregard for the health, welfare, or safety
of a client;
new text end

new text begin (11) failure to cooperate with the commissioner or advisory council in an
investigation or to provide information in response to a request from the commissioner
or advisory council;
new text end

new text begin (12) aiding or abetting another person in violating any provision of sections
148.9981 to 148.9987; and
new text end

new text begin (13) release or disclosure of a health record in violation of sections 144.291 to
144.298.
new text end

new text begin (b) In disciplinary actions alleging a violation of paragraph (a), clause (2), (3), or
(4), a copy of the judgment or proceeding under seal of the court administrator, or of the
administrative agency that entered the same, is admissible into evidence without further
authentication and constitutes prima facie evidence of its contents.
new text end

new text begin Subd. 2. new text end

new text begin Complaints. new text end

new text begin The commissioner may initiate an investigation upon
receiving a complaint or other oral or written communication that alleges or implies
a violation of subdivision 1. In the receipt, investigation, and hearing of a complaint
that alleges or implies a violation of subdivision 1, the commissioner shall follow the
procedures in section 214.10.
new text end

new text begin Subd. 3. new text end

new text begin Disciplinary actions. new text end

new text begin If the commissioner finds that an interpreter who
is listed on the registry has violated any provision of sections 148.9981 to 148.9987, the
commissioner may take any one or more of the following actions:
new text end

new text begin (1) remove the interpreter from the registry;
new text end

new text begin (2) impose limitations or conditions on the interpreter's practice, impose
rehabilitation requirements, or require practice under supervision; or
new text end

new text begin (3) censure or reprimand the interpreter.
new text end

new text begin Subd. 4. new text end

new text begin Reinstatement requirements after disciplinary action. new text end

new text begin Interpreters
who have been removed from the registry may request and provide justification for
reinstatement. The requirements of sections 148.9981 to 148.9987 for registry renewal
and any other conditions imposed by the commissioner must be met before the interpreter
may be reinstated on the registry.
new text end

Sec. 14.

new text begin [148.9985] CONTINUING EDUCATION.
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new text begin Subdivision 1. new text end

new text begin Course approval. new text end

new text begin The advisory council shall approve continuing
education courses and training. A course that has not been approved by the advisory
council may be submitted, but may be disapproved by the commissioner. If the course
is disapproved, it shall not count toward the continuing education requirement. The
interpreter must complete the following hours of continuing education during each
one-year registry period:
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new text begin (1) for tier 2 interpreters, a minimum of four contact hours of continuing education;
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new text begin (2) for tier 3 interpreters, a minimum of six contact hours of continuing education; and
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new text begin (3) for tier 4 interpreters, a minimum of eight contact hours of continuing education.
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new text begin Contact hours shall be prorated for interpreters who are assigned a registry cycle of
less than one year.
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new text begin Subd. 2. new text end

new text begin Continuing education verification. new text end

new text begin Each spoken language health care
interpreter shall submit with a renewal application a continuing education report on a form
provided by the commissioner that indicates that the interpreter has met the continuing
education requirements of this section. The form shall include the following information:
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