1.1 	A bill for an act
1.2 	relating to human services; modifying medical assistance treatment of certain 
1.3 	life insurance policies; modifying rates nursing facilities may charge private 
1.4 	paying residents; authorizing payment for certain long-term care employer 
1.5 	health insurance costs; amending Minnesota Statutes 2008, sections 245A.11, 
1.6 	subdivision 2; 256B.441, by adding a subdivision; 256B.48, subdivision 1, by 
1.7 	adding a subdivision; proposing coding for new law in Minnesota Statutes, 
1.8 	chapter 256B.
1.9 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.10 	Section 1. Minnesota Statutes 2008, section 245A.11, subdivision 2, is amended to read:
1.11 		Subd. 2.Permitted single-family residential use.  (a) Residential programs with a 
1.12 	licensed capacity of six or fewer persons shall be considered a permitted single-family 
1.13 	residential use of property for the purposes of zoning and other land use regulations, 
1.14 	except that a residential program whose primary purpose is to treat juveniles who have 
1.15 	violated criminal statutes relating to sex offenses or have been adjudicated delinquent on 
1.16 	the basis of conduct in violation of criminal statutes relating to sex offenses shall not 
1.17 	be considered a permitted use. This exception shall not apply to residential programs 
1.18 	licensed before July 1, 1995. Programs otherwise allowed under this subdivision shall not 
1.19 	be prohibited by operation of restrictive covenants or similar restrictions, regardless of 
1.20 	when entered into, which cannot be met because of the nature of the licensed program, 
1.21 	including provisions which require the home's occupants be related, and that the home 
1.22 	must be occupied by the owner, or similar provisions.
1.23 	(b) Effective July 1, 2009, to June 30, 2011, the provisions of paragraph (a) shall 
1.24 	apply to residential programs with a licensed capacity of nine or fewer persons. Programs 
1.25 	established during this time period in accordance with this paragraph shall be deemed to 
1.26 	satisfy the requirements of paragraph (a) in subsequent years.

2.1 	Sec. 2. [256B.0565] LIFE INSURANCE POLICIES.
2.2 		Subdivision 1.Option to retain policies. (a) The commissioner may allow 
2.3 	individuals applying for medical assistance on the basis of being aged, blind, or disabled, 
2.4 	the option of retaining their permanent life insurance policies as provided under this 
2.5 	section, if: 
2.6 	(1) the initial face value of the policy does not exceed $50,000;
2.7 	(2) the cash value of the policy, including dividends, does not exceed $25,000 on the 
2.8 	date of application for medical assistance; and
2.9 	(3) the policy has been in force for at least five years on the date of application for 
2.10 	medical assistance.
2.11 	Permanent life insurance policies retained by applicants under this section shall be 
2.12 	excluded assets for purposes of determining an applicant's initial and continuing eligibility 
2.13 	for medical assistance.
2.14 	(b) The cash surrender value of life insurance policies that applicants retain under 
2.15 	this section shall not be an asset for purposes of determining and setting off any of the 
2.16 	community spouse's allowances under section 256B.059.
2.17 	(c) For purposes of this subdivision, an individual is applying for medical assistance 
2.18 	on the basis of being aged, blind, or disabled if the individual is seeking eligibility under 
2.19 	section 256B.055, subdivision 7; or 256B.057, subdivision 3, 3a, 3b, 4, 5, 6, or 9.
2.20 		Subd. 2.Definitions. (a) For purposes of this section, the following definitions 
2.21 	apply.
2.22 	(b) "Permanent life insurance policy,"  "life insurance policy," "policy," or similar 
2.23 	terms mean a nonvariable life insurance policy for which all of the following apply:
2.24 	(1) the applicant is the sole owner of the policy;
2.25 	(2) the applicant is the insured life under the policy;
2.26 	(3) the contestability period has expired;
2.27 	(4) the policy is unencumbered;
2.28 	(5) all of the premiums and other sums due and owing to the insurer under the terms 
2.29 	of the policy have been paid in full or there is sufficient cash value to pay all premiums 
2.30 	and other charges due the insurer under the terms of the policy until the policy is paid in 
2.31 	full; and
2.32 	(6) the applicant has the full and complete right to designate or change the 
2.33 	designation of beneficiaries under the policy and to do all things necessary to comply with 
2.34 	this section, and to do so without the consent or approval of any other person. 
2.35 	(c) "Insurer" means the issuer of the permanent life insurance policy or the issuer's 
2.36 	successors and assigns.
3.1 		Subd. 3.Agreement with commissioner. (a) An applicant who wants to retain a 
3.2 	policy under this section must:
3.3 	(1) enter into an irrevocable written agreement with the commissioner to designate 
3.4 	the commissioner as a beneficiary under the policy to the extent provided for in subdivision 
3.5 	5 and to do all things, take all actions, and sign all documents necessary to comply with 
3.6 	the requirements of this section; and
3.7 	(2) execute and file with the insurer all of the forms and documents necessary to:
3.8 	(i) irrevocably designate the commissioner as the primary beneficiary under the 
3.9 	policy upon the death of the applicant to the extent provided for in this section;
3.10 	(ii) irrevocably waive the applicant's right to cash in, sell, assign, transfer, encumber, 
3.11 	or borrow against the policy or to use it as collateral or security for any purpose except 
3.12 	as otherwise provided for in this section;
3.13 	(iii) direct the insurer to send the commissioner a copy of all notices it sends to the 
3.14 	owner of the policy that the policy will lapse, at the same time and in the same manner as 
3.15 	the policy requires the insurer to give such notices to the owner of the policy; and
3.16 	(iv) direct the insurer to comply with paragraph (d).
3.17 	(b) The agreement with the commissioner must be irrevocable and shall remain in 
3.18 	effect throughout the remainder of the applicant's life, regardless of whether the applicant 
3.19 	remains eligible for or enrolled in the medical assistance program after the date of the 
3.20 	agreement.
3.21 	(c) The agreement must expressly provide that the applicant shall retain the right 
3.22 	to designate or change beneficiaries under the policy, other than the commissioner, with 
3.23 	respect to the portion of the death benefit not payable to the commissioner under this 
3.24 	section and the applicant's written agreement with the commissioner.
3.25 	(d) The agreement must expressly provide that the applicant shall instruct the 
3.26 	insurer to pay all future premiums and other amounts due to the insurer under the terms 
3.27 	of the policy from the cash value of the policy, or to provide the applicant and the 
3.28 	commissioner with written notice that the cash value of the policy is not sufficient to do 
3.29 	so. This paragraph does not prohibit the insurer from applying payments received from 
3.30 	the beneficiary or any other person toward payment of premiums and other amounts 
3.31 	due to the insurer.
3.32 	(e) The commissioner shall prepare a form of agreement for use under this section. 
3.33 	This form must contain the provisions in this section and make requirements as the 
3.34 	commissioner deems necessary or appropriate, consistent with this section.
3.35 		Subd. 4.Procedure. (a) The applicant shall provide the county social services 
3.36 	agency with a full and complete copy of each of the policies the applicant wishes 
4.1 	to retain under this section, including a full and complete current designation of all 
4.2 	beneficiaries under the policies.  The applicant shall execute a separate agreement with 
4.3 	the commissioner in triplicate for each policy. The applicant shall retain one copy.  The 
4.4 	county agency shall retain one copy of the executed agreement in the applicant's file.  The 
4.5 	applicant shall send the third copy of the executed agreement to the insurer, together with 
4.6 	all of the documents necessary to satisfy the requirements of this section, and shall include 
4.7 	the address of the county agency with these documents. 
4.8 	(b) The insurer shall make changes with regard to the policy provided for in this 
4.9 	section and the agreement, and shall notify the applicant  and the county agency that the 
4.10 	insurer has done so or that the insurer is unable to do so. If the insurer does not provide 
4.11 	the county with notice that it has made all of the changes to the policy required by the 
4.12 	agreement and this section, the county agency shall require the applicant to cash in the 
4.13 	policy and apply the proceeds it receives according to this chapter.
4.14 	(c) The county agency shall provide the insurer with the name, address, and 
4.15 	telephone number of an individual the insurer can contact upon the death of the applicant, 
4.16 	in order to request a written statement of the total amount of medical assistance paid for 
4.17 	the applicant which could be recovered under section 256B.15.
4.18 		Subd. 5.State's share of death benefit. (a) Upon the death of the applicant, the 
4.19 	insurer shall pay the applicant's beneficiaries one-half of all amounts payable under the 
4.20 	terms of the permanent life insurance policy.  The insurer shall also pay the applicant's 
4.21 	beneficiaries, at a later date, any amount owed the beneficiaries under paragraph (c).  If a 
4.22 	beneficiary is the applicant's estate, any policy proceeds received by that beneficiary under 
4.23 	this paragraph and paragraph (c) are not subject to estate recovery under section 256B.15.  
4.24 	(b) Upon the death of the applicant, the insurer shall request a written statement of 
4.25 	the total amount of medical assistance paid for the applicant which could be recovered 
4.26 	under section 256B.15.  The commissioner shall provide the written statement to the 
4.27 	insurer within 30 days after receipt of the request.  If the commissioner fails to provide 
4.28 	a written statement within the 30-day period, all policy proceeds revert to named 
4.29 	beneficiaries other than the commissioner.  
4.30 	(c) Upon timely receipt of the written statement of the amount of medical assistance 
4.31 	paid requested under paragraph (b), the insurer shall pay the commissioner the lesser of 
4.32 	one-half of all amounts payable under the terms of the permanent life insurance policy or 
4.33 	the total amount of medical assistance paid for the applicant which could be recovered 
4.34 	under section 256B.15, whichever is less.  If the amount of medical assistance paid for 
4.35 	the applicant is less than one-half of all amounts payable under the terms of the policy, 
4.36 	the insurer shall pay the difference between those two amounts to the other beneficiaries 
5.1 	under the policy according to the terms of the policy.  Payments made under this paragraph 
5.2 	are exempt from section 72A.201, subdivision 4, clause (3).
5.3 	(d)  For purposes of  this section and United States Code, title 42, section 1396p, a 
5.4 	recipient shall be deemed to have an interest under the laws of this state in the policies the 
5.5 	recipient retains under this section and the amounts payable under those policies to the 
5.6 	extent of the amounts payable to the commissioner under this subdivision. These policies 
5.7 	and amounts, described in this paragraph, must be part of the recipient's estate solely for 
5.8 	the purposes of United States Code, title 42, section 1396p, and recovery of medical 
5.9 	assistance as provided for by federal law and the laws of this state and shall be payable 
5.10 	directly to the commissioner for that purpose, and shall not be subject to payment of any 
5.11 	of the recipient's debts, charges, or obligations at law, in equity, or otherwise.

5.12 	Sec. 3. Minnesota Statutes 2008, section 256B.441, is amended by adding a 
5.13 	subdivision to read:
5.14 		Subd. 59.Critical access nursing facilities. (a) The commissioner, in consultation 
5.15 	with the commissioner of health, shall designate qualifying nursing facilities as critical 
5.16 	access nursing facilities.
5.17 	(b) A nursing facility may apply to be designated a critical access nursing facility 
5.18 	if it meets the following criteria:
5.19 	(1) it is located more than 20 miles, defined as official mileage as reported by the 
5.20 	Minnesota Department of Transportation, from the nearest licensed and certified nursing 
5.21 	facility or hospital with swing beds; 
5.22 	(2) it is located in a county that would be in the lowest quartile of counties measured 
5.23 	in terms of the number of licensed and certified nursing facility beds per 1,000 residents 
5.24 	age 65 or older, if the nursing facility were to close; and 
5.25 	(3) it agrees to permanently delicense all beds in layaway status under section 
5.26 	144A.071, subdivision 4b, at the time of designation.
5.27 	(c) The operating payment rates for a nursing facility designated as a critical access 
5.28 	nursing facility shall be the greater of:
5.29 	(1) rates determined by the commissioner under this section, beginning October 
5.30 	1, 2009, without application of the phase-in period in subdivision 55. For purposes of 
5.31 	determining the operating payment rate limits in subdivision 50, the facility shall be 
5.32 	included in peer group 1; or
5.33 	(2) operating payment rates determined by the commissioner for the rate year 
5.34 	beginning October 1, 2009, that are equal for a RUGs rate level with a weight of 1.00 to 
5.35 	the peer group 1 median operating payment rate for that RUGs level. The percentage 
6.1 	of operating payment rate to be case-mix adjusted shall be equal to the percentage of 
6.2 	allowable costs that are case-mix adjusted in the facility's most recent available and 
6.3 	audited annual statistical and cost report. 
6.4 	This paragraph applies only if it results in a rate increase.
6.5 	(d) The commissioner shall request applications from eligible nursing facilities for 
6.6 	critical access nursing facility status designation within 60 days of enactment of this 
6.7 	subdivision and may request additional applications at any time.
6.8 	(e) The commissioner of health shall give priority to a critical access nursing facility 
6.9 	for approval of nursing home moratorium exception proposals under section 144A.073.

6.10 	Sec. 4. Minnesota Statutes 2008, section 256B.48, subdivision 1, is amended to read:
6.11 		Subdivision 1.Prohibited practices. A nursing facility is not eligible to receive 
6.12 	medical assistance payments unless it refrains from all of the following:
6.13 	(a) Except as provided in subdivision 1d, charging private paying residents rates for 
6.14 	similar services which exceed those which are approved by the state agency for medical 
6.15 	assistance recipients as determined by the prospective desk audit rate, except under the 
6.16 	following circumstances: the nursing facility may (1) charge private paying residents a 
6.17 	higher rate for a private room, and (2) charge for special services which are not included 
6.18 	in the daily rate if medical assistance residents are charged separately at the same rate for 
6.19 	the same services in addition to the daily rate paid by the commissioner. Services covered 
6.20 	by the payment rate must be the same regardless of payment source. Special services, if 
6.21 	offered, must be available to all residents in all areas of the nursing facility and charged 
6.22 	separately at the same rate. Residents are free to select or decline special services. Special 
6.23 	services must not include services which must be provided by the nursing facility in 
6.24 	order to comply with licensure or certification standards and that if not provided would 
6.25 	result in a deficiency or violation by the nursing facility. Services beyond those required 
6.26 	to comply with licensure or certification standards must not be charged separately as a 
6.27 	special service if they were included in the payment rate for the previous reporting year. 
6.28 	A nursing facility that charges a private paying resident a rate in violation of this clause 
6.29 	is subject to an action by the state of Minnesota or any of its subdivisions or agencies 
6.30 	for civil damages. A private paying resident or the resident's legal representative has 
6.31 	a cause of action for civil damages against a nursing facility that charges the resident 
6.32 	rates in violation of this clause. The damages awarded shall include three times the 
6.33 	payments that result from the violation, together with costs and disbursements, including 
6.34 	reasonable attorneys' fees or their equivalent. A private paying resident or the resident's 
6.35 	legal representative, the state, subdivision or agency, or a nursing facility may request a 
7.1 	hearing to determine the allowed rate or rates at issue in the cause of action. Within 15 
7.2 	calendar days after receiving a request for such a hearing, the commissioner shall request 
7.3 	assignment of an administrative law judge under sections 14.48 to 14.56 to conduct the 
7.4 	hearing as soon as possible or according to agreement by the parties. The administrative 
7.5 	law judge shall issue a report within 15 calendar days following the close of the hearing. 
7.6 	The prohibition set forth in this clause shall not apply to facilities licensed as boarding 
7.7 	care facilities which are not certified as skilled or intermediate care facilities level I or II 
7.8 	for reimbursement through medical assistance. 
7.9 	(b)(1) Charging, soliciting, accepting, or receiving from an applicant for admission 
7.10 	to the facility, or from anyone acting in behalf of the applicant, as a condition of 
7.11 	admission, expediting the admission, or as a requirement for the individual's continued 
7.12 	stay, any fee, deposit, gift, money, donation, or other consideration not otherwise required 
7.13 	as payment under the state plan;
7.14 	(2) requiring an individual, or anyone acting in behalf of the individual, to loan 
7.15 	any money to the nursing facility;
7.16 	(3) requiring an individual, or anyone acting in behalf of the individual, to promise 
7.17 	to leave all or part of the individual's estate to the facility; or
7.18 	(4) requiring a third-party guarantee of payment to the facility as a condition of 
7.19 	admission, expedited admission, or continued stay in the facility.
7.20 	Nothing in this paragraph would prohibit discharge for nonpayment of services in 
7.21 	accordance with state and federal regulations.
7.22 	(c) Requiring any resident of the nursing facility to utilize a vendor of health care 
7.23 	services chosen by the nursing facility. A nursing facility may require a resident to use 
7.24 	pharmacies that utilize unit dose packing systems approved by the Minnesota Board of 
7.25 	Pharmacy, and may require a resident to use pharmacies that are able to meet the federal 
7.26 	regulations for safe and timely administration of medications such as systems with specific 
7.27 	number of doses, prompt delivery of medications, or access to medications on a 24-hour 
7.28 	basis. Notwithstanding the provisions of this paragraph, nursing facilities shall not restrict 
7.29 	a resident's choice of pharmacy because the pharmacy utilizes a specific system of unit 
7.30 	dose drug packing.
7.31 	(d) Providing differential treatment on the basis of status with regard to public 
7.32 	assistance.
7.33 	(e) Discriminating in admissions, services offered, or room assignment on the 
7.34 	basis of status with regard to public assistance or refusal to purchase special services. 
7.35 	Admissions discrimination shall include, but is not limited to:
8.1 	(1) basing admissions decisions upon assurance by the applicant to the nursing 
8.2 	facility, or the applicant's guardian or conservator, that the applicant is neither eligible for 
8.3 	nor will seek public assistance for payment of nursing facility care costs; and
8.4 	(2) engaging in preferential selection from waiting lists based on an applicant's 
8.5 	ability to pay privately or an applicant's refusal to pay for a special service.
8.6 	The collection and use by a nursing facility of financial information of any applicant 
8.7 	pursuant to a preadmission screening program established by law shall not raise an 
8.8 	inference that the nursing facility is utilizing that information for any purpose prohibited 
8.9 	by this paragraph.
8.10 	(f) Requiring any vendor of medical care as defined by section 256B.02, subdivision 
8.11 	7, who is reimbursed by medical assistance under a separate fee schedule, to pay any 
8.12 	amount based on utilization or service levels or any portion of the vendor's fee to the 
8.13 	nursing facility except as payment for renting or leasing space or equipment or purchasing 
8.14 	support services from the nursing facility as limited by section 256B.433. All agreements 
8.15 	must be disclosed to the commissioner upon request of the commissioner. Nursing 
8.16 	facilities and vendors of ancillary services that are found to be in violation of this provision 
8.17 	shall each be subject to an action by the state of Minnesota or any of its subdivisions or 
8.18 	agencies for treble civil damages on the portion of the fee in excess of that allowed by 
8.19 	this provision and section 256B.433. Damages awarded must include three times the 
8.20 	excess payments together with costs and disbursements including reasonable attorney's 
8.21 	fees or their equivalent. 
8.22 	(g) Refusing, for more than 24 hours, to accept a resident returning to the same 
8.23 	bed or a bed certified for the same level of care, in accordance with a physician's order 
8.24 	authorizing transfer, after receiving inpatient hospital services.
8.25 	For a period not to exceed 180 days, the commissioner may continue to make 
8.26 	medical assistance payments to a nursing facility or boarding care home which is in 
8.27 	violation of this section if extreme hardship to the residents would result. In these cases 
8.28 	the commissioner shall issue an order requiring the nursing facility to correct the violation. 
8.29 	The nursing facility shall have 20 days from its receipt of the order to correct the violation. 
8.30 	If the violation is not corrected within the 20-day period the commissioner may reduce 
8.31 	the payment rate to the nursing facility by up to 20 percent. The amount of the payment 
8.32 	rate reduction shall be related to the severity of the violation and shall remain in effect 
8.33 	until the violation is corrected. The nursing facility or boarding care home may appeal the 
8.34 	commissioner's action pursuant to the provisions of chapter 14 pertaining to contested 
8.35 	cases. An appeal shall be considered timely if written notice of appeal is received by the 
8.36 	commissioner within 20 days of notice of the commissioner's proposed action.
9.1 	In the event that the commissioner determines that a nursing facility is not eligible 
9.2 	for reimbursement for a resident who is eligible for medical assistance, the commissioner 
9.3 	may authorize the nursing facility to receive reimbursement on a temporary basis until the 
9.4 	resident can be relocated to a participating nursing facility.
9.5 	Certified beds in facilities which do not allow medical assistance intake on July 1, 
9.6 	1984, or after shall be deemed to be decertified for purposes of section 144A.071 only. 

9.7 	Sec. 5. Minnesota Statutes 2008, section 256B.48, is amended by adding a subdivision 
9.8 	to read:
9.9 		Subd. 1d.Enhanced private pay rate. Notwithstanding the provisions of 
9.10 	subdivision 1, a nursing facility may charge private paying residents rates that exceed 
9.11 	those approved by the state agency for medical assistance recipients by the following 
9.12 	percentages:
9.13 	(1) by five percent effective July 1, 2009;
9.14 	(2) by ten percent effective July 1, 2010;
9.15 	(3) by 15 percent effective July 1, 2011; and 
9.16 	(4) by 20 percent effective July 1, 2012.
9.17 	Rates charged under this subdivision shall not exceed actual costs.

9.18 	Sec. 6. [256B.52] PAYMENT FOR LONG-TERM  CARE EMPLOYER HEALTH 
9.19 	INSURANCE COSTS.
9.20 	(a) The commissioner may negotiate with long-term care employers who respond 
9.21 	to a request for proposals to insure long-term care employees. The request for proposals 
9.22 	shall be issued by September 1, 2009. Employers shall be selected and insurance coverage 
9.23 	initiated by January 1, 2010. Within the limit of available appropriations, the commissioner 
9.24 	shall provide rate increases to selected employers to reimburse all or a portion of employer 
9.25 	health insurance costs. Rate increases under this section shall remain in effect as long as 
9.26 	the employer continues to expend the added revenue for qualifying purposes.
9.27 	(b) The commissioner shall select employers who demonstrate the ability to provide 
9.28 	the most beneficial coverage, in terms of low premiums and other employee out-of-pocket 
9.29 	costs, at the lowest state cost, to the largest number of employees.
9.30 	(c) Health insurance coverage reimbursed under this section must be at least 
9.31 	actuarially equivalent to a number three qualified plan, as described in section 62E.06, 
9.32 	subdivision 1.
9.33 	(d) For the purposes of this section, long-term care employers are:
9.34 	(1) nursing facilities reimbursed under section 256B.441;
10.1 	(2) intermediate care facilities for persons with developmental disabilities 
10.2 	reimbursed under section 256B.5012;
10.3 	(3) home and community-based waivered services for persons with developmental 
10.4 	disabilities or related conditions, including consumer-directed community supports, under 
10.5 	section 256B.501; 
10.6 	(4) home and community-based waivered services for the elderly, including 
10.7 	consumer-directed community supports, under section 256B.0915; 
10.8 	(5) waivered services under community alternatives for disabled individuals, 
10.9 	including consumer-directed community supports, under section 256B.49; 
10.10 	(6) community alternative care waivered services, including consumer-directed 
10.11 	community supports, under section 256B.49; 
10.12 	(7) traumatic brain injury waivered services, including consumer-directed 
10.13 	community supports, under section 256B.49; 
10.14 	(8) nursing services and home health services under section 256B.0625, subdivision 
10.15 	6a; 
10.16 	(9) personal care services and qualified professional supervision of personal care 
10.17 	services under section 256B.0625, subdivision 19a; 
10.18 	(10) private duty nursing services under section 256B.0625, subdivision 7; 
10.19 	(11) day training and habilitation services for adults with developmental disabilities 
10.20 	or related conditions under sections 252.40 to 252.46, including the additional cost of 
10.21 	rate adjustments on day training and habilitation services, provided as a social service 
10.22 	under section 256M.60; 
10.23 	(12) alternative care services under section 256B.0913; 
10.24 	(13) adult residential program grants under section 245.73;
10.25 	(14) children's community-based mental health services grants and adult community 
10.26 	support and case management services grants under Minnesota Rules, parts 9535.1700 
10.27 	to 9535.1760; 
10.28 	(15) the group residential housing supplementary service rate under section 256I.05, 
10.29 	subdivision 1a; 
10.30 	(16) adult mental health integrated fund grants under section 245.4661;
10.31 	(17) semi-independent living services (SILS) under section 252.275, including SILS 
10.32 	funding under county social services grants formerly funded under chapter 256I; 
10.33 	(18) community support services for deaf and hard-of-hearing adults with mental 
10.34 	illness who use or wish to use sign language as their primary means of communication 
10.35 	under section 256.01, subdivision 2; and deaf and hard-of-hearing grants under sections 
11.1 	256C.233 and 256C.25; Laws 1985, First Special Session chapter 9, article 1; and Laws 
11.2 	1997, First Special Session chapter 5, section 20; 
11.3 	(19) living skills training programs for persons with intractable epilepsy who need 
11.4 	assistance in the transition to independent living under Laws 1988, chapter 689; 
11.5 	(20) physical therapy services under sections 256B.0625, subdivision 8, and 
11.6 	256D.03, subdivision 4; 
11.7 	(21) occupational therapy services under sections 256B.0625, subdivision 8a, and 
11.8 	256D.03, subdivision 4; 
11.9 	(22) speech-language therapy services under section 256D.03, subdivision 4, and 
11.10 	Minnesota Rules, part 9505.0390; 
11.11 	(23) respiratory therapy services under section 256D.03, subdivision 4, and 
11.12 	Minnesota Rules, part 9505.0295; 
11.13 	(24) adult rehabilitative mental health services under section 256B.0623;
11.14 	(25) children's therapeutic services and support services under section 256B.0943;
11.15 	(26) tier I chemical health services under chapter 254B;
11.16 	(27) consumer support grants under section 256.476;
11.17 	(28) family support grants under section 252.32; 
11.18 	(29) grants for case management services to persons with HIV or AIDS under 
11.19 	section 256.01, subdivision 19; and 
11.20 	(30) aging grants under sections 256.975 to 256.977, 256B.0917, and 256B.0928.