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CHAPTER 170--S.F.No. 2378

An act

relating to human services; requiring the commissioner to reform the continuum of treatment for individuals with substance use disorders;

proposing coding for new law in Minnesota Statutes, chapter 254B.

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

Section 1.

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

new text begin Subdivision 1. new text end

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

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

new text begin Subd. 2. new text end

new text begin Goals. new text end

new text begin The reform proposal in subdivision 3, shall support the following goals: new text end

new text begin (1) improve and promote strategies to identify individuals with substance use issues and disorders; new text end

new text begin (2) ensure timely access to treatment and improve access to treatment; new text end

new text begin (3) enhance clinical practices and promote clinical guidelines and decision-making tools for serving people with substance use disorders; new text end

new text begin (4) build aftercare and recovery support services; new text end

new text begin (5) coordinate and consolidate funding streams, including local, state, and federal funds, to maximize efficiency; new text end

new text begin (6) increase the use of quality and outcome measures to inform benefit design and payment models; and new text end

new text begin (7) coordinate treatment of substance use disorder primary care, long-term care, and the mental health delivery system when appropriate. new text end

new text begin Subd. 3. new text end

new text begin Reform proposal. new text end

new text begin (a) A reform proposal shall include systemic and practice reforms to develop a robust continuum of care to effectively treat the physical, behavioral, and mental dimensions of substance use disorders. Elements of the reform proposal shall include, but are not limited to: new text end

new text begin (1) an assessment and access process that permits clients to present directly to a service provider for a substance use disorder assessment and authorization of services; new text end

new text begin (2) mechanisms for direct reimbursement of credentialed professionals; new text end

new text begin (3) care coordination models to link individuals with substance use disorders to appropriate providers; new text end

new text begin (4) peer support services to assist people with substance use disorders who are in recovery; new text end

new text begin (5) implementation of withdrawal management services pursuant to chapter 245F; new text end

new text begin (6) primary prevention services to delay the onset of substance use and avoid the development of addiction; new text end

new text begin (7) development of new services and supports that are responsive to the chronic nature of substance use disorders; and new text end

new text begin (8) exploration and implementation of available options to allow for exceptions to the federal Institution for Mental Diseases (IMD) exclusion for medically necessary, rehabilitative, substance use disorder treatment provided in the most integrated and least restrictive setting. new text end

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

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

new text begin Subd. 4. new text end

new text begin Legislative update. new text end

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

new text begin Subd. 5. new text end

new text begin Stakeholder input. new text end

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

new text begin EFFECTIVE DATE. new text end

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

Presented to the governor May 24, 2016

Signed by the governor May 31, 2016, 10:14 a.m.

Official Publication of the State of Minnesota
Revisor of Statutes