1.1                          A bill for an act 
  1.2             relating to health; establishing a grant program for 
  1.3             adolescent health; appropriating money; proposing 
  1.4             coding for new law in Minnesota Statutes, chapter 145. 
  1.5   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.6      Section 1.  [145.9263] [ADOLESCENT HEALTH GRANT PROGRAM.] 
  1.7      (a) The commissioner of health shall develop a grant 
  1.8   process to award grants to community clinics and community 
  1.9   health boards as defined in Minnesota Statutes, section 145A.02, 
  1.10  that provide prevention and clinic-based health services and 
  1.11  resources to adolescents.  The amount of the grants awarded 
  1.12  shall depend on demographic data and the needs of the community 
  1.13  served by the applicant. 
  1.14     (b) Grants must be awarded on the demonstrated need of each 
  1.15  applicant based on the number of adolescents served who exhibit 
  1.16  high-risk behavior and the extent of the health risks facing the 
  1.17  community's adolescents.  For purposes of this section, 
  1.18  "high-risk behavior" is defined as behavior that significantly 
  1.19  increases the probability of disease, injury, death, or other 
  1.20  adverse health-related problems.  Applicants must specify 
  1.21  strategies to be implemented to target and address adolescent 
  1.22  health needs and high-risk behavior. 
  1.23     (c) Funds must be used for services and activities that are 
  1.24  targeted to achieve the following outcomes: 
  1.25     (1) access to health services; 
  2.1      (2) adolescent and parental involvement in preventing and 
  2.2   reducing adolescent health risks; and 
  2.3      (3) increased capacity to respond to the unique health 
  2.4   needs of adolescents. 
  2.5      (d) Outcomes shall be measured by decreases in the rates of:
  2.6      (1) suicide; 
  2.7      (2) tobacco use; 
  2.8      (3) alcohol and substance abuse; 
  2.9      (4) sexually transmitted diseases; 
  2.10     (5) eating disorders; and 
  2.11     (6) other adolescent behavioral health risks identified by 
  2.12  the applicant. 
  2.13     (e) An evaluation of the grant program shall be conducted 
  2.14  by an independent evaluator selected through a request for 
  2.15  proposal process.  The evaluation shall include a longitudinal 
  2.16  tracking of health outcomes for adolescents and quantitative and 
  2.17  qualitative measures of outcomes.  Evaluation findings may be 
  2.18  used to improve future service delivery that supports healthy 
  2.19  adolescent development. 
  2.20     Sec. 2.  [APPROPRIATIONS.] 
  2.21     $....... is appropriated for the biennium ending June 30, 
  2.22  2001, from the general fund to the commissioner of health for 
  2.23  the adolescent health grant program established under Minnesota 
  2.24  Statutes, section 145.9263.