SF 1798

as introduced - 90th Legislature (2017 - 2018) Posted on 03/07/2017 09:22am

A bill for an act
relating to human services; expanding eligibility for child care assistance; modifying
requirements for treatment prior to diagnostic assessments; expanding
multigenerational mental health services; appropriating money; amending
Minnesota Statutes 2016, sections 119B.05, subdivision 1; 245.467, by adding a
subdivision; 245.4876, by adding a subdivision; 245.4889, subdivision 1;
256B.0625, subdivision 5l.

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

Section 1.

Minnesota Statutes 2016, section 119B.05, subdivision 1, is amended to read:

Subdivision 1.

Eligible participants.

Families eligible for child care assistance under
the MFIP child care program are:

(1) MFIP participants who are employed or in job search and meet the requirements of
section 119B.10;

(2) persons who are members of transition year families under section 119B.011,
subdivision 20, and meet the requirements of section 119B.10;

(3) families who are participating in employment orientation or job search, or other
employment or training activities that are included in an approved employability development
plan under section 256J.95;

(4) MFIP families who are participating in work job search, job support, employment,
or training activities as required in their employment plan, or in appeals, hearings,
assessments, or orientations according to chapter 256J;

(5) MFIP families who are participating in social services activities under chapter 256J
as required in their employment plan approved according to chapter 256J;

(6) families who are participating in services or activities that are included in an approved
family stabilization plan under section 256J.575;

(7) families who are participating in programs as required in tribal contracts under section
119B.02, subdivision 2, or 256.01, subdivision 2;

(8) families who are participating in the transition year extension under section 119B.011,
subdivision 20a; and

(9) student parents as defined under section 119B.011, subdivision 19b deleted text begin . deleted text end new text begin ; and
new text end

new text begin (10) MFIP child-only cases under section 256J.88, for up to 20 hours of child care per
week for children age six and younger, as recommended by the treating mental health
professional, in which the child's primary caregiver has a diagnosis of a mental illness and
is in need of intensive treatment or the child is in need of a consistent caregiver.
new text end

Sec. 2.

Minnesota Statutes 2016, section 245.467, is amended by adding a subdivision to
read:

new text begin Subd. 2a. new text end

new text begin Treatment before diagnostic assessment. new text end

new text begin Notwithstanding the requirements
in subdivision 2 specifying time frames within which diagnostic assessments must be
completed, the commissioner, in consultation with stakeholders, shall identify mechanisms
to allow providers to provide a limited number of therapy sessions before conducting a
diagnostic assessment for adults from specific cultural communities, including refugees and
homeless youth, if more time is needed to develop a therapeutic relationship.
new text end

Sec. 3.

Minnesota Statutes 2016, section 245.4876, is amended by adding a subdivision
to read:

new text begin Subd. 2a. new text end

new text begin Treatment before diagnostic assessment. new text end

new text begin Notwithstanding the requirements
in subdivision 2 specifying time frames within which diagnostic assessments must be
completed, the commissioner, in consultation with stakeholders, shall identify mechanisms
to allow providers to provide a limited number of therapy sessions before conducting a
diagnostic assessment for children at risk of developing a mental illness due to trauma, and
for children from specific cultural communities, including refugees and homeless youth, if
more time is needed to develop a therapeutic relationship.
new text end

Sec. 4.

Minnesota Statutes 2016, section 245.4889, subdivision 1, is amended to read:

Subdivision 1.

Establishment and authority.

(a) The commissioner is authorized to
make grants from available appropriations to assist:

(1) counties;

(2) Indian tribes;

(3) children's collaboratives under section 124D.23 or 245.493; or

(4) mental health service providers.

(b) The following services are eligible for grants under this section:

(1) services to children with emotional disturbances as defined in section 245.4871,
subdivision 15, and their families;

(2) transition services under section 245.4875, subdivision 8, for young adults under
age 21 and their families;

(3) respite care services for children with severe emotional disturbances who are at risk
of out-of-home placement;

(4) children's mental health crisis services;

(5) mental health services for people from cultural and ethnic minorities;

(6) children's mental health screening and follow-up diagnostic assessment and treatment;

(7) services to promote and develop the capacity of providers to use evidence-based
practices in providing children's mental health services;

(8) school-linked mental health services;

(9) building evidence-based mental health intervention capacity for children birth to age
five;

(10) suicide prevention and counseling services that use text messaging statewide;

(11) mental health first aid training;

(12) training for parents, collaborative partners, and mental health providers on the
impact of adverse childhood experiences and trauma and development of an interactive
Web site to share information and strategies to promote resilience and prevent trauma;

(13) transition age services to develop or expand mental health treatment and supports
for adolescents and young adults 26 years of age or younger;

(14) early childhood mental health consultation;

(15) evidence-based interventions for youth at risk of developing or experiencing a first
episode of psychosis, and a public awareness campaign on the signs and symptoms of
psychosis; and

(16) psychiatric consultation for primary care practitioners deleted text begin . deleted text end new text begin ; and
new text end

new text begin (17) promoting and developing the capacity of providers to implement multigenerational
mental health treatment and services.
new text end

(c) Services under paragraph (b) must be designed to help each child to function and
remain with the child's family in the community and delivered consistent with the child's
treatment plan. Transition services to eligible young adults under paragraph (b) must be
designed to foster independent living in the community.

Sec. 5.

Minnesota Statutes 2016, section 256B.0625, subdivision 5l, is amended to read:

Subd. 5l.

Intensive mental health outpatient treatment.

Medical assistance covers
intensive mental health outpatient treatment for dialectical behavioral therapy for adults new text begin ,
including pregnant women and postpartum women with moderate to severe mental
illness new text end . new text begin When dialectical behavioral therapy is provided to a postpartum woman, the therapy
may include the woman's baby. new text end The commissioner shall establish:

(1) certification procedures to ensure that providers of these services are qualified; and

(2) treatment protocols including required service components and criteria for admission,
continued treatment, and discharge.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective contingent on federal approval. The
commissioner of human services shall notify the revisor of statutes when federal approval
is obtained.
new text end

Sec. 6. new text begin APPROPRIATION.
new text end

new text begin (a) $....... in fiscal year 2018 and $....... in fiscal year 2019 are appropriated from the
general fund to the commissioner of human services for child care assistance under Minnesota
Statutes, section 119B.05, subdivision 1, clause (10).
new text end

new text begin (b) $500,000 in fiscal year 2018 and $500,000 in fiscal year 2019 are appropriated from
the general fund to the commissioner of human services for children's mental health grants
under Minnesota Statutes, section 245.4889, subdivision 1, paragraph (b), to promote and
develop the capacity of mental health providers to deliver evidence-based multigenerational
mental health treatments, designed to increase supportive and responsive caregiving for
children with mental illness by parents or caregivers with mental illness, and to conduct an
independent evaluation of the effectiveness of these interventions. This is an ongoing
appropriation.
new text end

new text begin (c) $....... in fiscal year 2018 and $....... in fiscal year 2019 are appropriated from the
general fund to the commissioner of human services to expand early childhood mental health
consultation grants under Minnesota Statutes, section 245.4889, subdivision 1, paragraph
(b). Early childhood mental health consultation includes training provided by a professional
competent in early childhood mental health; regular on-site consultation for staff serving
high-risk and low-income families; and referrals to clinical services for parents and children
with mental health conditions. This appropriation shall be awarded proportionately among
current grantees based on the number of regions a grantee serves.
new text end