1.1 	A bill for an act
1.2 	relating to mental health; expanding distribution of medical education funds to 
1.3 	clinical medical education programs training marriage and family therapists and 
1.4 	professional clinical counselors; establishing mental health practicum incentive 
1.5 	payments; appropriating money for the health professional education loan 
1.6 	forgiveness program;amending Minnesota Statutes 2016, sections 62J.692, subdivisions 1, 3; 245.464, by adding a subdivision.1.8 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.9 	Section 1. Minnesota Statutes 2016, section 62J.692, subdivision 1, is amended to read:
1.10 		Subdivision 1.Definitions. For purposes of this section, the following definitions apply:
1.11 	(a) "Accredited clinical training" means the clinical training provided by a medical 
1.12 	education program that is accredited through an organization recognized by the Department 
1.13 	of Education, the Centers for Medicare and Medicaid Services, or another national body 
1.14 	who reviews the accrediting organizations for multiple disciplines and whose standards for 
1.15 	recognizing accrediting organizations are reviewed and approved by the commissioner of 
1.16 	health.
1.17 	(b) "Commissioner" means the commissioner of health.
1.18 	(c) "Clinical medical education program" means the accredited clinical training of 
1.19 	physicians (medical students and residents), doctor of pharmacy practitioners, doctors of 
1.20 	chiropractic, dentists, advanced practice nurses (clinical nurse specialists, certified registered 
1.21 	nurse anesthetists, nurse practitioners, and certified nurse midwives), physician assistants, 
1.22 	dental therapists and advanced dental therapists, psychologists, clinical social workers, 
1.23 	community paramedics, ~~and~~ community health workers, marriage and family therapists, 
1.24 	and professional clinical counselors.
2.1 	(d) "Sponsoring institution" means a hospital, school, or consortium located in Minnesota 
2.2 	that sponsors and maintains primary organizational and financial responsibility for a clinical 
2.3 	medical education program in Minnesota and which is accountable to the accrediting body.
2.4 	(e) "Teaching institution" means a hospital, medical center, clinic, or other organization 
2.5 	that conducts a clinical medical education program in Minnesota.
2.6 	(f) "Trainee" means a student or resident involved in a clinical medical education program.
2.7 	(g) "Eligible trainee FTE's" means the number of trainees, as measured by full-time 
2.8 	equivalent counts, that are at training sites located in Minnesota with currently active medical 
2.9 	assistance enrollment status and a National Provider Identification (NPI) number where 
2.10 	training occurs in either an inpatient or ambulatory patient care setting and where the training 
2.11 	is funded, in part, by patient care revenues. Training that occurs in nursing facility settings 
2.12 	is not eligible for funding under this section.

2.13 	Sec. 2. Minnesota Statutes 2016, section 62J.692, subdivision 3, is amended to read:
2.14 		Subd. 3.Application process. (a) A clinical medical education program conducted in 
2.15 	Minnesota by a teaching institution to train physicians, doctor of pharmacy practitioners, 
2.16 	dentists, chiropractors, physician assistants, dental therapists and advanced dental therapists, 
2.17 	psychologists, clinical social workers, community paramedics, ~~or~~ community health workers, 
2.18 	marriage and family therapists, or professional clinical counselors is eligible for funds under 
2.19 	subdivision 4 if the program:
2.20 	(1) is funded, in part, by patient care revenues;
2.21 	(2) occurs in patient care settings that face increased financial pressure as a result of 
2.22 	competition with nonteaching patient care entities; and
2.23 	(3) emphasizes primary care or specialties that are in undersupply in Minnesota.
2.24 	(b) A clinical medical education program for advanced practice nursing is eligible for 
2.25 	funds under subdivision 4 if the program meets the eligibility requirements in paragraph 
2.26 	(a), clauses (1) to (3), and is sponsored by the University of Minnesota Academic Health 
2.27 	Center, the Mayo Foundation, or institutions that are part of the Minnesota State Colleges 
2.28 	and Universities system or members of the Minnesota Private College Council.
2.29 	(c) Applications must be submitted to the commissioner by a sponsoring institution on 
2.30 	behalf of an eligible clinical medical education program and must be received by October 
2.31 	31 of each year for distribution in the following year. An application for funds must contain 
2.32 	the following information:
3.1 	(1) the official name and address of the sponsoring institution and the official name and 
3.2 	site address of the clinical medical education programs on whose behalf the sponsoring 
3.3 	institution is applying;
3.4 	(2) the name, title, and business address of those persons responsible for administering 
3.5 	the funds;
3.6 	(3) for each clinical medical education program for which funds are being sought; the 
3.7 	type and specialty orientation of trainees in the program; the name, site address, and medical 
3.8 	assistance provider number and national provider identification number of each training 
3.9 	site used in the program; the federal tax identification number of each training site used in 
3.10 	the program, where available; the total number of trainees at each training site; and the total 
3.11 	number of eligible trainee FTEs at each site; and
3.12 	(4) other supporting information the commissioner deems necessary to determine program 
3.13 	eligibility based on the criteria in paragraphs (a) and (b) and to ensure the equitable 
3.14 	distribution of funds.
3.15 	(d) An application must include the information specified in clauses (1) to (3) for each 
3.16 	clinical medical education program on an annual basis for three consecutive years. After 
3.17 	that time, an application must include the information specified in clauses (1) to (3) when 
3.18 	requested, at the discretion of the commissioner:
3.19 	(1) audited clinical training costs per trainee for each clinical medical education program 
3.20 	when available or estimates of clinical training costs based on audited financial data;
3.21 	(2) a description of current sources of funding for clinical medical education costs, 
3.22 	including a description and dollar amount of all state and federal financial support, including 
3.23 	Medicare direct and indirect payments; and
3.24 	(3) other revenue received for the purposes of clinical training.
3.25 	(e) An applicant that does not provide information requested by the commissioner shall 
3.26 	not be eligible for funds for the current funding cycle.

3.27 	Sec. 3. Minnesota Statutes 2016, section 245.464, is amended by adding a subdivision to 
3.28 	read:
3.29 		Subd. 4.Practicum incentive payments. (a) The commissioner shall, in consultation 
3.30 	with stakeholders, establish a payment mechanism and criteria for payment to mental health 
3.31 	service providers who demonstrate a commitment to providing students with practicum 
3.32 	opportunities focused on evidence-based treatment interventions.
4.1 	(b) For the purposes of this section:
4.2 	(1) "practicum" means formal experience gained by a student and supervised by a person 
4.3 	licensed under chapter 147, 148B, 148D, or 148F, or sections 148.88 to 148.98 as part of 
4.4 	an accredited school or educational program in counseling, psychology, or a related mental 
4.5 	health field; and
4.6 	(2) "student" means an individual who is enrolled in an accredited educational institution 
4.7 	in counseling, psychology, or a related mental health field that requires practicum experience 
4.8 	for credit.

4.9 	Sec. 4. APPROPRIATION; HEALTH PROFESSIONAL EDUCATION LOAN 
4.10 	FORGIVENESS PROGRAM.
 4.11 	$3,000,000 in fiscal year 2018 and $3,000,000 in fiscal year 2019 are appropriated from 
4.12 	the general fund to the commissioner of health for the health professional education loan 
4.13 	forgiveness program under Minnesota Statutes, section 144.1501. Notwithstanding the 
4.14 	priorities and distribution requirements for loan forgiveness in Minnesota Statutes, section 
4.15 	144.1501, subdivision 4, $300,000 of this appropriation is for loan forgiveness to mental 
4.16 	health professionals, as defined in Minnesota Statutes, section 144.1501, subdivision 1, 
4.17 	paragraph (g), who are practicing in an underserved urban community, as defined in 
4.18 	Minnesota Statutes, section 144.1501, subdivision 1, paragraph (r), and practicing at a 
4.19 	clinical location where at least 50 percent of the clients served are covered by medical 
4.20 	assistance.