<div class="xtend">
         <div class="xtend_ce"><a id="pl.1.1"></a><var>1.1</var>A bill for an act<br />
            		
         </div><a id="pl.1.2"></a><var>1.2</var>relating to human services; changing a requirement for electronic claims and <br />
         		<a id="pl.1.3"></a><var>1.3</var>electronic transactions; making changes to health care and disability services <br />
         		<a id="pl.1.4"></a><var>1.4</var>provisions; providing for a supplemental agreement to a contract for community <br />
         		<a id="pl.1.5"></a><var>1.5</var>social services; making changes to family stabilization services provisions; <br />
         		<a id="pl.1.6"></a><var>1.6</var>requiring procedures to establish a reciprocal child support agreement with <br />
         		<a id="pl.1.7"></a><var>1.7</var>Bermuda; changing provisions for the public pool exemption; amending <br />
         		<a id="pl.1.8"></a><var>1.8</var>Minnesota Statutes 2010, sections 62J.497, subdivision 2; 62J.536, subdivision <br />
         		<a id="pl.1.9"></a><var>1.9</var>1; 256.0112, by adding a subdivision; 256.962, by adding a subdivision; <br />
         		<a id="pl.1.10"></a><var>1.10</var>256J.575, subdivisions 1, 2, 5, 6, 8; Minnesota Statutes 2011 Supplement, <br />
         		<a id="pl.1.11"></a><var>1.11</var>sections 144.1222, subdivision 5; 256B.0911, subdivision 3a; 256B.0915, <br />
         		<a id="pl.1.12"></a><var>1.12</var>subdivisions 3e, 3h.<br />
         		<a id="pl.1.13"></a><var>1.13</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br />
         		<br />
         		<a id="bill.1.0.0"></a><div class="xtend_ce"><a id="pl.1.14"></a><var>1.14</var><b>ARTICLE 1</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.1.15"></a><var>1.15</var><b>HEALTH CARE</b><br />
            		
         </div><br />
         		<a id="bill.1.1.0"></a><a id="pl.1.16"></a><var>1.16</var>&nbsp;&nbsp;&nbsp;&nbsp;Section 1. Minnesota Statutes 2010, section 62J.497, subdivision 2, is amended to read:<br />
         		<a id="pl.1.17"></a><var>1.17</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 2. <b>Requirements for electronic prescribing.</b> (a) Effective January 1, 2011, <br />
         		<a id="pl.1.18"></a><var>1.18</var>all providers, group purchasers, prescribers, and dispensers must establish, maintain, <br />
         		<a id="pl.1.19"></a><var>1.19</var>and use an electronic prescription drug program. This program must comply with the <br />
         		<a id="pl.1.20"></a><var>1.20</var>applicable standards in this section for transmitting, directly or through an intermediary, <br />
         		<a id="pl.1.21"></a><var>1.21</var>prescriptions and prescription-related information using electronic media.<br />
         		<a id="pl.1.22"></a><var>1.22</var>&nbsp;&nbsp;&nbsp;&nbsp;(b) If transactions described in this section are conducted, they must be done <br />
         		<a id="pl.1.23"></a><var>1.23</var>electronically using the standards described in this section. Nothing in this section <br />
         		<a id="pl.1.24"></a><var>1.24</var>requires providers, group purchasers, prescribers, or dispensers to electronically conduct <br />
         		<a id="pl.1.25"></a><var>1.25</var>transactions that are expressly prohibited by other sections or federal law.<br />
         		<a id="pl.1.26"></a><var>1.26</var>&nbsp;&nbsp;&nbsp;&nbsp;(c) Providers, group purchasers, prescribers, and dispensers must use either HL7 <br />
         		<a id="pl.1.27"></a><var>1.27</var>messages or the NCPDP SCRIPT Standard to transmit prescriptions or prescription-related <br />
         		<a id="pl.2.1"></a><var>2.1</var>information internally when the sender and the recipient are part of the same legal entity. If <br />
         		<a id="pl.2.2"></a><var>2.2</var>an entity sends prescriptions outside the entity, it must use the NCPDP SCRIPT Standard <br />
         		<a id="pl.2.3"></a><var>2.3</var>or other applicable standards required by this section. Any pharmacy within an entity <br />
         		<a id="pl.2.4"></a><var>2.4</var>must be able to receive electronic prescription transmittals from outside the entity using <br />
         		<a id="pl.2.5"></a><var>2.5</var>the adopted NCPDP SCRIPT Standard. This exemption does not supersede any Health <br />
         		<a id="pl.2.6"></a><var>2.6</var>Insurance Portability and Accountability Act (HIPAA) requirement that may require the <br />
         		<a id="pl.2.7"></a><var>2.7</var>use of a HIPAA transaction standard within an organization.<br />
         		<a id="pl.2.8"></a><var>2.8</var>(d) Notwithstanding paragraph (a), any clinic with two or fewer practicing <br />
         		<a id="pl.2.9"></a><var>2.9</var>physicians is exempt from this subdivision if the clinic is making a good-faith effort to <br />
         		<a id="pl.2.10"></a><var>2.10</var>meet the electronic health records system requirement under section 62J.495 that includes <br />
         		<a id="pl.2.11"></a><var>2.11</var>an electronic prescribing component. This paragraph expires January 1, 2015.<br />
         		<a id="pl.2.12"></a><var>2.12</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from January 1, 2011.<br />
         		<br />
         		<a id="bill.1.2.0"></a><a id="pl.2.13"></a><var>2.13</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 2. Minnesota Statutes 2010, section 62J.536, subdivision 1, is amended to read:<br />
         		<a id="pl.2.14"></a><var>2.14</var>&nbsp;&nbsp;&nbsp;&nbsp;Subdivision 1. <b>Electronic claims and eligibility transactions required.</b> (a) <br />
         		<a id="pl.2.15"></a><var>2.15</var>Beginning January 15, 2009, all group purchasers must accept from health care providers <br />
         		<a id="pl.2.16"></a><var>2.16</var>the eligibility for a health plan transaction described under Code of Federal Regulations, <br />
         		<a id="pl.2.17"></a><var>2.17</var>title 45, part 162, subpart L. Beginning July 15, 2009, all group purchasers must accept <br />
         		<a id="pl.2.18"></a><var>2.18</var>from health care providers the health care claims or equivalent encounter information <br />
         		<a id="pl.2.19"></a><var>2.19</var>transaction described under Code of Federal Regulations, title 45, part 162, subpart K.<br />
         		<a id="pl.2.20"></a><var>2.20</var>&nbsp;&nbsp;&nbsp;&nbsp;(b) Beginning January 15, 2009, all group purchasers must transmit to providers the <br />
         		<a id="pl.2.21"></a><var>2.21</var>eligibility for a health plan transaction described under Code of Federal Regulations, title <br />
         		<a id="pl.2.22"></a><var>2.22</var>45, part 162, subpart L. Beginning December 15, 2009, all group purchasers must transmit <br />
         		<a id="pl.2.23"></a><var>2.23</var>to providers the health care payment and remittance advice transaction described under <br />
         		<a id="pl.2.24"></a><var>2.24</var>Code of Federal Regulations, title 45, part 162, subpart P.<br />
         		<a id="pl.2.25"></a><var>2.25</var>&nbsp;&nbsp;&nbsp;&nbsp;(c) Beginning January 15, 2009, all health care providers must submit to group <br />
         		<a id="pl.2.26"></a><var>2.26</var>purchasers the eligibility for a health plan transaction described under Code of Federal <br />
         		<a id="pl.2.27"></a><var>2.27</var>Regulations, title 45, part 162, subpart L. Beginning July 15, 2009, all health care <br />
         		<a id="pl.2.28"></a><var>2.28</var>providers must submit to group purchasers the health care claims or equivalent encounter <br />
         		<a id="pl.2.29"></a><var>2.29</var>information transaction described under Code of Federal Regulations, title 45, part 162, <br />
         		<a id="pl.2.30"></a><var>2.30</var>subpart K.<br />
         		<a id="pl.2.31"></a><var>2.31</var>&nbsp;&nbsp;&nbsp;&nbsp;(d) Beginning January 15, 2009, all health care providers must accept from group <br />
         		<a id="pl.2.32"></a><var>2.32</var>purchasers the eligibility for a health plan transaction described under Code of Federal <br />
         		<a id="pl.2.33"></a><var>2.33</var>Regulations, title 45, part 162, subpart L. Beginning December 15, 2009, all health care <br />
         		<a id="pl.2.34"></a><var>2.34</var>providers must accept from group purchasers the health care payment and remittance <br />
         		<a id="pl.3.1"></a><var>3.1</var>advice transaction described under Code of Federal Regulations, title 45, part 162, subpart <br />
         		<a id="pl.3.2"></a><var>3.2</var>P.<br />
         		<a id="pl.3.3"></a><var>3.3</var>(e) Beginning January 1, 2012, all health care providers, health care clearinghouses, <br />
         		<a id="pl.3.4"></a><var>3.4</var>and group purchasers must provide an appropriate, standard, electronic acknowledgment <br />
         		<a id="pl.3.5"></a><var>3.5</var>when receiving the health care claims or equivalent encounter information transaction or <br />
         		<a id="pl.3.6"></a><var>3.6</var>the health care payment and remittance advice transaction. The acknowledgment provided <br />
         		<a id="pl.3.7"></a><var>3.7</var>must be based on one or more of the following American National Standards Institute, <br />
         		<a id="pl.3.8"></a><var>3.8</var>Accredited Standards Committee X12 standard transactions or National Council for <br />
         		<a id="pl.3.9"></a><var>3.9</var>Prescription Drug Program (NCPDP) standards:<br />
         		<a id="pl.3.10"></a><var>3.10</var>(1) TA1;<br />
         		<a id="pl.3.11"></a><var>3.11</var>(2) ~~997;~~<br />
         		<a id="pl.3.12"></a><var>3.12</var>~~(3)~~ 999; ~~or~~<br />
         		<a id="pl.3.13"></a><var>3.13</var>~~(4)~~ (3) 277CA~~.~~; or <br />
         		<a id="pl.3.14"></a><var>3.14</var>(4) the appropriate NCPDP response standard as the electronic acknowledgment.<br />
         		<a id="pl.3.15"></a><var>3.15</var>Health care providers, health care clearinghouses, and group purchasers may send and <br />
         		<a id="pl.3.16"></a><var>3.16</var>receive more than one type of standard acknowledgment as mutually agreed upon. The <br />
         		<a id="pl.3.17"></a><var>3.17</var>mutually agreed upon acknowledgments must be exchanged electronically. Electronic <br />
         		<a id="pl.3.18"></a><var>3.18</var>exchanges of acknowledgments do not include e-mail or facsimile.<br />
         		<a id="pl.3.19"></a><var>3.19</var>&nbsp;&nbsp;&nbsp;&nbsp;(f) Each of the transactions described in paragraphs (a) to (e) shall require the use <br />
         		<a id="pl.3.20"></a><var>3.20</var>of a single, uniform companion guide to the implementation guides described under <br />
         		<a id="pl.3.21"></a><var>3.21</var>Code of Federal Regulations, title 45, part 162. The companion guides will be developed <br />
         		<a id="pl.3.22"></a><var>3.22</var>pursuant to subdivision 2.<br />
         		<a id="pl.3.23"></a><var>3.23</var>&nbsp;&nbsp;&nbsp;&nbsp;(g) Notwithstanding any other provisions in sections 
         <statute_ref>62J.50</statute_ref> to 
         <statute_ref>62J.61</statute_ref>, all group <br />
         		<a id="pl.3.24"></a><var>3.24</var>purchasers and health care providers must exchange claims and eligibility information <br />
         		<a id="pl.3.25"></a><var>3.25</var>electronically using the transactions, companion guides, implementation guides, and <br />
         		<a id="pl.3.26"></a><var>3.26</var>timelines required under this subdivision. Group purchasers may not impose any fee on <br />
         		<a id="pl.3.27"></a><var>3.27</var>providers or providers' clearinghouses for the use of the transactions prescribed in this <br />
         		<a id="pl.3.28"></a><var>3.28</var>subdivision. Health care providers may not impose a fee on group purchasers or group <br />
         		<a id="pl.3.29"></a><var>3.29</var>purchasers' clearinghouses for the use of the transactions prescribed in this subdivision. <br />
         		<a id="pl.3.30"></a><var>3.30</var>A clearinghouse may not charge a fee solely to receive a standard transaction from a <br />
         		<a id="pl.3.31"></a><var>3.31</var>health care provider, a health care provider's clearinghouse, a group purchaser, or a group <br />
         		<a id="pl.3.32"></a><var>3.32</var>purchaser's clearinghouse when it is not an agent of the sending entity. A clearinghouse <br />
         		<a id="pl.3.33"></a><var>3.33</var>may not charge a fee solely to send a standard transaction to a health care provider, a health <br />
         		<a id="pl.3.34"></a><var>3.34</var>care provider's clearinghouse, a group purchaser, or a group purchaser's clearinghouse <br />
         		<a id="pl.3.35"></a><var>3.35</var>when it is not an agent of the receiving entity.<br />
         		<a id="pl.4.1"></a><var>4.1</var>&nbsp;&nbsp;&nbsp;&nbsp;(h) Nothing in this subdivision shall prohibit group purchasers and health care <br />
         		<a id="pl.4.2"></a><var>4.2</var>providers from using a direct data entry, Web-based methodology for complying with <br />
         		<a id="pl.4.3"></a><var>4.3</var>the requirements of this subdivision. Any direct data entry method for conducting <br />
         		<a id="pl.4.4"></a><var>4.4</var>the transactions specified in this subdivision must be consistent with the data content <br />
         		<a id="pl.4.5"></a><var>4.5</var>component of the single, uniform companion guides required in paragraph (f) and the <br />
         		<a id="pl.4.6"></a><var>4.6</var>implementation guides described under Code of Federal Regulations, title 45, part 162.<br />
         		<a id="pl.4.7"></a><var>4.7</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012.<br />
         		<br />
         		<a id="bill.1.3.0"></a><a id="pl.4.8"></a><var>4.8</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 3. Minnesota Statutes 2010, section 256.962, is amended by adding a subdivision <br />
         		<a id="pl.4.9"></a><var>4.9</var>to read:<br />
         		<a id="pl.4.10"></a><var>4.10</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 8. <b>Eligibility end dates.</b> The commissioner shall develop and implement a <br />
         		<a id="pl.4.11"></a><var>4.11</var>process by January 1, 2013, to provide eligibility end dates upon request from the managed <br />
         		<a id="pl.4.12"></a><var>4.12</var>care and county-based purchasing plans for medical assistance and MinnesotaCare <br />
         		<a id="pl.4.13"></a><var>4.13</var>enrollees.<br />
         		<br />
         		<a id="bill.2.0.0"></a><div class="xtend_ce"><a id="pl.4.14"></a><var>4.14</var><b>ARTICLE 2</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.4.15"></a><var>4.15</var><b>HUMAN SERVICES</b><br />
            		
         </div><br />
         		<a id="bill.2.1.0"></a><a id="pl.4.16"></a><var>4.16</var>&nbsp;&nbsp;&nbsp;&nbsp;Section 1. Minnesota Statutes 2010, section 256.0112, is amended by adding a <br />
         		<a id="pl.4.17"></a><var>4.17</var>subdivision to read:<br />
         		<a id="pl.4.18"></a><var>4.18</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 9. <b>Contracting for performance.</b> In addition to the agreements in <br />
         		<a id="pl.4.19"></a><var>4.19</var>subdivision 8, a local agency may negotiate a supplemental agreement to a contract <br />
         		<a id="pl.4.20"></a><var>4.20</var>executed between a lead agency and an approved vendor under subdivision 6 for the <br />
         		<a id="pl.4.21"></a><var>4.21</var>purposes of contracting for specific performance. The supplemental agreement may <br />
         		<a id="pl.4.22"></a><var>4.22</var>augment the lead contract requirements and rates for services authorized by that local <br />
         		<a id="pl.4.23"></a><var>4.23</var>agency only. The additional provisions must be negotiated with the vendor and designed <br />
         		<a id="pl.4.24"></a><var>4.24</var>to encourage successful, timely, and cost-effective outcomes for clients, and may establish <br />
         		<a id="pl.4.25"></a><var>4.25</var>incentive payments, penalties, performance-related reporting requirements, and similar <br />
         		<a id="pl.4.26"></a><var>4.26</var>conditions. The per diem rate allowed under this subdivision must not be less than the rate <br />
         		<a id="pl.4.27"></a><var>4.27</var>established in the lead county contract. Nothing in the supplemental agreement between <br />
         		<a id="pl.4.28"></a><var>4.28</var>a local agency and an approved vendor binds the lead agency or other local agencies to <br />
         		<a id="pl.4.29"></a><var>4.29</var>the terms and conditions of the supplemental agreement.<br />
         		<br />
         		<a id="bill.2.2.0"></a><a id="pl.4.30"></a><var>4.30</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 2. Minnesota Statutes 2010, section 256J.575, subdivision 1, is amended to read:<br />
         		<a id="pl.4.31"></a><var>4.31</var>&nbsp;&nbsp;&nbsp;&nbsp;Subdivision 1. <b>Purpose.</b> ~~(a) The~~ Family stabilization services serve families who <br />
         		<a id="pl.4.32"></a><var>4.32</var>are not making significant progress within the regular employment and training services <br />
         		<a id="pl.5.1"></a><var>5.1</var>track of the Minnesota family investment program (MFIP) due to a variety of barriers to <br />
         		<a id="pl.5.2"></a><var>5.2</var>employment.<br />
         		<a id="pl.5.3"></a><var>5.3</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(b) The goal of the services is to stabilize and improve the lives of families at risk~~ <br />
         		<a id="pl.5.4"></a><var>5.4</var>~~of long-term welfare dependency or family instability due to employment barriers such~~ <br />
         		<a id="pl.5.5"></a><var>5.5</var>~~as physical disability, mental disability, age, or providing care for a disabled household~~ <br />
         		<a id="pl.5.6"></a><var>5.6</var>~~member. These services promote and support families to achieve the greatest possible~~ <br />
         		<a id="pl.5.7"></a><var>5.7</var>~~degree of self-sufficiency.~~<br />
         		<br />
         		<a id="bill.2.3.0"></a><a id="pl.5.8"></a><var>5.8</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 3. Minnesota Statutes 2010, section 256J.575, subdivision 2, is amended to read:<br />
         		<a id="pl.5.9"></a><var>5.9</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 2. <b>Definitions.</b> The terms used in this section have the meanings given them <br />
         		<a id="pl.5.10"></a><var>5.10</var>in paragraphs (a) ~~to (d)~~ and (b).<br />
         		<a id="pl.5.11"></a><var>5.11</var>&nbsp;&nbsp;&nbsp;&nbsp;(a) ~~"Case manager" means the county-designated staff person or employment~~ <br />
         		<a id="pl.5.12"></a><var>5.12</var>~~services counselor.~~<br />
         		<a id="pl.5.13"></a><var>5.13</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(b) "Case management"~~ "Family stabilization services" means ~~the~~ programs, <br />
         		<a id="pl.5.14"></a><var>5.14</var>activities, and services provided by or through the county agency or through the <br />
         		<a id="pl.5.15"></a><var>5.15</var>employment services agency to participating families~~, including~~. Services include, but <br />
         		<a id="pl.5.16"></a><var>5.16</var>are not limited to, assessment as defined in section 256J.521, subdivision 1, ~~information,~~ <br />
         		<a id="pl.5.17"></a><var>5.17</var>referrals, and assistance in the preparation and implementation of a family stabilization <br />
         		<a id="pl.5.18"></a><var>5.18</var>plan under subdivision 5.<br />
         		<a id="pl.5.19"></a><var>5.19</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(c)~~ (b) "Family stabilization plan" means a plan developed ~~by a case manager~~ <br />
         		<a id="pl.5.20"></a><var>5.20</var>~~and~~ with the participant, which identifies the participant's most appropriate path to <br />
         		<a id="pl.5.21"></a><var>5.21</var>unsubsidized employment, family stability, and barrier reduction, taking into account the <br />
         		<a id="pl.5.22"></a><var>5.22</var>family's circumstances.<br />
         		<a id="pl.5.23"></a><var>5.23</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(d) "Family stabilization services" means programs, activities, and services in this~~ <br />
         		<a id="pl.5.24"></a><var>5.24</var>~~section that provide participants and their family members with assistance regarding,~~ <br />
         		<a id="pl.5.25"></a><var>5.25</var>~~but not limited to:~~<br />
         		<a id="pl.5.26"></a><var>5.26</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(1) obtaining and retaining unsubsidized employment;~~<br />
         		<a id="pl.5.27"></a><var>5.27</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(2) family stability;~~<br />
         		<a id="pl.5.28"></a><var>5.28</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(3) economic stability; and~~<br />
         		<a id="pl.5.29"></a><var>5.29</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(4) barrier reduction.~~<br />
         		<a id="pl.5.30"></a><var>5.30</var>&nbsp;&nbsp;&nbsp;&nbsp;~~The goal of the services is to achieve the greatest degree of economic self-sufficiency~~ <br />
         		<a id="pl.5.31"></a><var>5.31</var>~~and family well-being possible for the family under the circumstances.~~<br />
         		<br />
         		<a id="bill.2.4.0"></a><a id="pl.5.32"></a><var>5.32</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 4. Minnesota Statutes 2010, section 256J.575, subdivision 5, is amended to read:<br />
         		<a id="pl.5.33"></a><var>5.33</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 5. ~~<b>Case management;</b>~~<b> Family stabilization plans; </b>~~<b>coordinated</b>~~<b> services.</b><br />
         		 <a id="pl.5.34"></a><var>5.34</var>&nbsp;&nbsp;&nbsp;&nbsp;(a) The county agency or employment services provider shall provide ~~family stabilization~~ <br />
         		<a id="pl.6.1"></a><var>6.1</var>~~services to families through a case management model. A case manager shall be assigned~~ <br />
         		<a id="pl.6.2"></a><var>6.2</var>~~to each participating family within 30 days after the family is determined to be eligible~~ <br />
         		<a id="pl.6.3"></a><var>6.3</var>~~for family stabilization services. The case manager, with the full involvement of the~~ <br />
         		<a id="pl.6.4"></a><var>6.4</var>~~participant, shall recommend, and the county agency shall establish and modify as~~ <br />
         		<a id="pl.6.5"></a><var>6.5</var>~~necessary,~~ a family stabilization plan for each participating family.  Once a participant <br />
         		<a id="pl.6.6"></a><var>6.6</var>has been determined eligible for family stabilization services, the county agency or <br />
         		<a id="pl.6.7"></a><var>6.7</var>employment services provider must attempt to meet with the participant to develop a <br />
         		<a id="pl.6.8"></a><var>6.8</var>plan within 30 days.<br />
         		<a id="pl.6.9"></a><var>6.9</var>&nbsp;&nbsp;&nbsp;&nbsp;(b) If a participant is already assigned to a county case manager or a <br />
         		<a id="pl.6.10"></a><var>6.10</var>county-designated case manager in social services, disability services, or housing services <br />
         		<a id="pl.6.11"></a><var>6.11</var>that case manager already assigned may be the case manager for purposes of these services.<br />
         		<a id="pl.6.12"></a><var>6.12</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(b) The family stabilization plan must include:~~<br />
         		<a id="pl.6.13"></a><var>6.13</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(1) each participant's plan for long-term self-sufficiency, including an employment~~ <br />
         		<a id="pl.6.14"></a><var>6.14</var>~~goal where applicable;~~<br />
         		<a id="pl.6.15"></a><var>6.15</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(2) an assessment of each participant's strengths and barriers, and any special~~ <br />
         		<a id="pl.6.16"></a><var>6.16</var>~~circumstances of the participant's family that impact, or are likely to impact, the~~ <br />
         		<a id="pl.6.17"></a><var>6.17</var>~~participant's progress towards the goals in the plan; and~~<br />
         		<a id="pl.6.18"></a><var>6.18</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(3) an identification of the services, supports, education, training, and~~ <br />
         		<a id="pl.6.19"></a><var>6.19</var>~~accommodations needed to reduce or overcome any barriers to enable the family to~~ <br />
         		<a id="pl.6.20"></a><var>6.20</var>~~achieve self-sufficiency and to fulfill each caregiver's personal and family responsibilities.~~<br />
         		<a id="pl.6.21"></a><var>6.21</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(c) The case manager and the participant shall meet within 30 days of the family's~~ <br />
         		<a id="pl.6.22"></a><var>6.22</var>~~referral to the case manager. The initial family stabilization plan must be completed within~~ <br />
         		<a id="pl.6.23"></a><var>6.23</var>~~30 days of the first meeting with the case manager. The case manager shall establish a~~ <br />
         		<a id="pl.6.24"></a><var>6.24</var>~~schedule for periodic review of the family stabilization plan that includes personal contact~~ <br />
         		<a id="pl.6.25"></a><var>6.25</var>~~with the participant at least once per month. In addition, the case manager shall review~~ <br />
         		<a id="pl.6.26"></a><var>6.26</var>~~and, if necessary, modify the plan under the following circumstances:~~<br />
         		<a id="pl.6.27"></a><var>6.27</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(1) there is a lack of satisfactory progress in achieving the goals of the plan;~~<br />
         		<a id="pl.6.28"></a><var>6.28</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(2) the participant has lost unsubsidized or subsidized employment;~~<br />
         		<a id="pl.6.29"></a><var>6.29</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(3) a family member has failed or is unable to comply with a family stabilization~~ <br />
         		<a id="pl.6.30"></a><var>6.30</var>~~plan requirement;~~<br />
         		<a id="pl.6.31"></a><var>6.31</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(4) services, supports, or other activities required by the plan are unavailable;~~<br />
         		<a id="pl.6.32"></a><var>6.32</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(5) changes to the plan are needed to promote the well-being of the children; or~~<br />
         		<a id="pl.6.33"></a><var>6.33</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(6) the participant and case manager determine that the plan is no longer appropriate~~ <br />
         		<a id="pl.6.34"></a><var>6.34</var>~~for any other reason.~~<br />
         		<a id="pl.7.1"></a><var>7.1</var>Participants determined eligible for family stabilization services must have access to <br />
         		<a id="pl.7.2"></a><var>7.2</var>employment and training services under sections 256J.515 to 256J.575, to the extent these <br />
         		<a id="pl.7.3"></a><var>7.3</var>services are available to other MFIP participants.<br />
         		<br />
         		<a id="bill.2.5.0"></a><a id="pl.7.4"></a><var>7.4</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 5. Minnesota Statutes 2010, section 256J.575, subdivision 6, is amended to read:<br />
         		<a id="pl.7.5"></a><var>7.5</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 6. <b>Cooperation with services requirements.</b> ~~(a)~~ A participant who is eligible <br />
         		<a id="pl.7.6"></a><var>7.6</var>for family stabilization services ~~under this section shall comply with paragraphs (b) to (d).~~<br />
         		<a id="pl.7.7"></a><var>7.7</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(b) Participants~~ shall engage in family stabilization ~~plan~~ services for the appropriate <br />
         		<a id="pl.7.8"></a><var>7.8</var>number of hours per week ~~that the activities are scheduled and available,~~ based on the <br />
         		<a id="pl.7.9"></a><var>7.9</var>needs of the participant and the participant's family, unless good cause exists for not <br />
         		<a id="pl.7.10"></a><var>7.10</var>doing so, as defined in section 
         <statute_ref>256J.57, subdivision 1</statute_ref>. ~~The appropriate number of hours~~ <br />
         		<a id="pl.7.11"></a><var>7.11</var>~~must be based on the participant's plan.~~<br />
         		<a id="pl.7.12"></a><var>7.12</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(c)~~ The ~~case manager~~ county agency or employment services agency shall review <br />
         		<a id="pl.7.13"></a><var>7.13</var>the participant's progress toward the goals in the family stabilization plan every six <br />
         		<a id="pl.7.14"></a><var>7.14</var>months to determine whether conditions have changed, including whether revisions to <br />
         		<a id="pl.7.15"></a><var>7.15</var>the plan are needed.<br />
         		<a id="pl.7.16"></a><var>7.16</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(d) A participant's requirement to comply with any or all family stabilization plan~~ <br />
         		<a id="pl.7.17"></a><var>7.17</var>~~requirements under this subdivision is excused when the case management services,~~ <br />
         		<a id="pl.7.18"></a><var>7.18</var>~~training and educational services, or family support services identified in the participant's~~ <br />
         		<a id="pl.7.19"></a><var>7.19</var>~~family stabilization plan are unavailable for reasons beyond the control of the participant,~~ <br />
         		<a id="pl.7.20"></a><var>7.20</var>~~including when money appropriated is not sufficient to provide the services.~~<br />
         		<br />
         		<a id="bill.2.6.0"></a><a id="pl.7.21"></a><var>7.21</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 6. Minnesota Statutes 2010, section 256J.575, subdivision 8, is amended to read:<br />
         		<a id="pl.7.22"></a><var>7.22</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 8. <b>Funding.</b> (a) The commissioner of human services shall treat MFIP <br />
         		<a id="pl.7.23"></a><var>7.23</var>expenditures made to or on behalf of any minor child under this section, who is part of a <br />
         		<a id="pl.7.24"></a><var>7.24</var>household that meets criteria in subdivision 3, as expenditures under a separately funded <br />
         		<a id="pl.7.25"></a><var>7.25</var>state program. These expenditures shall not count toward the state's maintenance of effort <br />
         		<a id="pl.7.26"></a><var>7.26</var>requirements under the federal TANF program.<br />
         		<a id="pl.7.27"></a><var>7.27</var>&nbsp;&nbsp;&nbsp;&nbsp;(b) A family is no longer part of a separately funded program under this section if <br />
         		<a id="pl.7.28"></a><var>7.28</var>the caregiver no longer meets the criteria for family stabilization services in subdivision <br />
         		<a id="pl.7.29"></a><var>7.29</var>3~~, or if it is determined at recertification that a caregiver with a child under the age of six~~ <br />
         		<a id="pl.7.30"></a><var>7.30</var>~~is working at least 87 hours per month in paid or unpaid employment, or a caregiver~~ <br />
         		<a id="pl.7.31"></a><var>7.31</var>~~without a child under the age of six is working at least 130 hours per month in paid or~~ <br />
         		<a id="pl.7.32"></a><var>7.32</var>~~unpaid employment, whichever occurs sooner~~.<br />
         		<br />
         		<a id="bill.2.7.0"></a><a id="pl.7.33"></a><var>7.33</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 7. <b>RECIPROCAL AGREEMENT; CHILD SUPPORT ENFORCEMENT.</b><br />
         		<a id="pl.8.1"></a><var>8.1</var>The commissioner of human services shall initiate procedures no later than October <br />
         		<a id="pl.8.2"></a><var>8.2</var>1, 2012, to enter into a reciprocal agreement with Bermuda for the establishment and <br />
         		<a id="pl.8.3"></a><var>8.3</var>enforcement of child support obligations under United States Code, title 42, section <br />
         		<a id="pl.8.4"></a><var>8.4</var>659a(d).<br />
         		<a id="pl.8.5"></a><var>8.5</var><b>EFFECTIVE DATE.</b>This section is effective upon Bermuda's written acceptance <br />
         		<a id="pl.8.6"></a><var>8.6</var>and agreement to enforce Minnesota child support orders. If Bermuda does not accept and <br />
         		<a id="pl.8.7"></a><var>8.7</var>declines to enforce Minnesota orders, this section expires December 31, 2013.<br />
         		<br />
         		<a id="bill.3.0.0"></a><div class="xtend_ce"><a id="pl.8.8"></a><var>8.8</var><b>ARTICLE 3</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.8.9"></a><var>8.9</var><b>DISABILITY SERVICES</b><br />
            		
         </div><br />
         		<a id="bill.3.1.0"></a><a id="pl.8.10"></a><var>8.10</var>&nbsp;&nbsp;&nbsp;&nbsp;Section 1. Minnesota Statutes 2011 Supplement, section 256B.0911, subdivision 3a, <br />
         		<a id="pl.8.11"></a><var>8.11</var>is amended to read:<br />
         		<a id="pl.8.12"></a><var>8.12</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br />
         		<a id="pl.8.13"></a><var>8.13</var>services planning, or other assistance intended to support community-based living, <br />
         		<a id="pl.8.14"></a><var>8.14</var>including persons who need assessment in order to determine waiver or alternative care <br />
         		<a id="pl.8.15"></a><var>8.15</var>program eligibility, must be visited by a long-term care consultation team within 15 <br />
         		<a id="pl.8.16"></a><var>8.16</var>calendar days after the date on which an assessment was requested or recommended. After <br />
         		<a id="pl.8.17"></a><var>8.17</var>January 1, 2011, these requirements also apply to personal care assistance services, private <br />
         		<a id="pl.8.18"></a><var>8.18</var>duty nursing, and home health agency services, on timelines established in subdivision 5. <br />
         		<a id="pl.8.19"></a><var>8.19</var>Face-to-face assessments must be conducted according to paragraphs (b) to (i).<br />
         		<a id="pl.8.20"></a><var>8.20</var>&nbsp;&nbsp;&nbsp;&nbsp;(b) The county may utilize a team of either the social worker or public health nurse, <br />
         		<a id="pl.8.21"></a><var>8.21</var>or both. After January 1, 2011, lead agencies shall use certified assessors to conduct the <br />
         		<a id="pl.8.22"></a><var>8.22</var>assessment in a face-to-face interview. The consultation team members must confer <br />
         		<a id="pl.8.23"></a><var>8.23</var>regarding the most appropriate care for each individual screened or assessed.<br />
         		<a id="pl.8.24"></a><var>8.24</var>&nbsp;&nbsp;&nbsp;&nbsp;(c) The assessment must be comprehensive and include a person-centered <br />
         		<a id="pl.8.25"></a><var>8.25</var>assessment of the health, psychological, functional, environmental, and social needs of <br />
         		<a id="pl.8.26"></a><var>8.26</var>referred individuals and provide information necessary to develop a support plan that <br />
         		<a id="pl.8.27"></a><var>8.27</var>meets the consumers needs, using an assessment form provided by the commissioner.<br />
         		<a id="pl.8.28"></a><var>8.28</var>&nbsp;&nbsp;&nbsp;&nbsp;(d) The assessment must be conducted in a face-to-face interview with the person <br />
         		<a id="pl.8.29"></a><var>8.29</var>being assessed and the person's legal representative, as required by legally executed <br />
         		<a id="pl.8.30"></a><var>8.30</var>documents, and other individuals as requested by the person, who can provide information <br />
         		<a id="pl.8.31"></a><var>8.31</var>on the needs, strengths, and preferences of the person necessary to develop a support plan <br />
         		<a id="pl.8.32"></a><var>8.32</var>that ensures the person's health and safety, but who is not a provider of service or has any <br />
         		<a id="pl.8.33"></a><var>8.33</var>financial interest in the provision of services. For persons who are to be assessed for <br />
         		<a id="pl.8.34"></a><var>8.34</var>elderly waiver customized living services under section 256B.0915, with the permission <br />
         		<a id="pl.9.1"></a><var>9.1</var>of the person being assessed or the person's designated or legal representative, the client's <br />
         		<a id="pl.9.2"></a><var>9.2</var>current or proposed provider of services may submit a copy of the provider's nursing <br />
         		<a id="pl.9.3"></a><var>9.3</var>assessment or written report outlining its recommendations regarding the client's care <br />
         		<a id="pl.9.4"></a><var>9.4</var>needs. The person conducting the assessment will notify the provider of the date by which <br />
         		<a id="pl.9.5"></a><var>9.5</var>this information is to be submitted. This information shall be provided to the person <br />
         		<a id="pl.9.6"></a><var>9.6</var>conducting the assessment prior to the assessment.<br />
         		<a id="pl.9.7"></a><var>9.7</var>&nbsp;&nbsp;&nbsp;&nbsp;(e) The person, or the person's legal representative, must be provided with written <br />
         		<a id="pl.9.8"></a><var>9.8</var>recommendations for community-based services, including consumer-directed options, <br />
         		<a id="pl.9.9"></a><var>9.9</var>or institutional care that include documentation that the most cost-effective alternatives <br />
         		<a id="pl.9.10"></a><var>9.10</var>available were offered to the individual, and alternatives to residential settings, including, <br />
         		<a id="pl.9.11"></a><var>9.11</var>but not limited to, foster care settings that are not the primary residence of the license <br />
         		<a id="pl.9.12"></a><var>9.12</var>holder. For purposes of this requirement, "cost-effective alternatives" means community <br />
         		<a id="pl.9.13"></a><var>9.13</var>services and living arrangements that cost the same as or less than institutional care.<br />
         		<a id="pl.9.14"></a><var>9.14</var>&nbsp;&nbsp;&nbsp;&nbsp;(f) If the person chooses to use community-based services, the person or the person's <br />
         		<a id="pl.9.15"></a><var>9.15</var>legal representative must be provided with a written community support plan, regardless <br />
         		<a id="pl.9.16"></a><var>9.16</var>of whether the individual is eligible for Minnesota health care programs. A person may <br />
         		<a id="pl.9.17"></a><var>9.17</var>request assistance in identifying community supports without participating in a complete <br />
         		<a id="pl.9.18"></a><var>9.18</var>assessment. Upon a request for assistance identifying community support, the person must <br />
         		<a id="pl.9.19"></a><var>9.19</var>be transferred or referred to the services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, <br />
         		<a id="pl.9.20"></a><var>9.20</var>and 
         <statute_ref>256.01</statute_ref>, subdivision 24, for telephone assistance and follow up.<br />
         		<a id="pl.9.21"></a><var>9.21</var>&nbsp;&nbsp;&nbsp;&nbsp;(g) The person has the right to make the final decision between institutional <br />
         		<a id="pl.9.22"></a><var>9.22</var>placement and community placement after the recommendations have been provided, <br />
         		<a id="pl.9.23"></a><var>9.23</var>except as provided in subdivision 4a, paragraph (c).<br />
         		<a id="pl.9.24"></a><var>9.24</var>&nbsp;&nbsp;&nbsp;&nbsp;(h) The team must give the person receiving assessment or support planning, or <br />
         		<a id="pl.9.25"></a><var>9.25</var>the person's legal representative, materials, and forms supplied by the commissioner <br />
         		<a id="pl.9.26"></a><var>9.26</var>containing the following information:<br />
         		<a id="pl.9.27"></a><var>9.27</var>&nbsp;&nbsp;&nbsp;&nbsp;(1) the need for and purpose of preadmission screening if the person selects nursing <br />
         		<a id="pl.9.28"></a><var>9.28</var>facility placement;<br />
         		<a id="pl.9.29"></a><var>9.29</var>&nbsp;&nbsp;&nbsp;&nbsp;(2) the role of the long-term care consultation assessment and support planning in <br />
         		<a id="pl.9.30"></a><var>9.30</var>waiver and alternative care program eligibility determination;<br />
         		<a id="pl.9.31"></a><var>9.31</var>&nbsp;&nbsp;&nbsp;&nbsp;(3) information about Minnesota health care programs;<br />
         		<a id="pl.9.32"></a><var>9.32</var>&nbsp;&nbsp;&nbsp;&nbsp;(4) the person's freedom to accept or reject the recommendations of the team;<br />
         		<a id="pl.9.33"></a><var>9.33</var>&nbsp;&nbsp;&nbsp;&nbsp;(5) the person's right to confidentiality under the Minnesota Government Data <br />
         		<a id="pl.9.34"></a><var>9.34</var>Practices Act, chapter 13;<br />
         		<a id="pl.10.1"></a><var>10.1</var>&nbsp;&nbsp;&nbsp;&nbsp;(6) the long-term care consultant's decision regarding the person's need for <br />
         		<a id="pl.10.2"></a><var>10.2</var>institutional level of care as determined under criteria established in section 
         <statute_ref>144.0724, <br />
            		<a id="pl.10.3"></a><var>10.3</var>subdivision 11
         </statute_ref>, or 
         <statute_ref>256B.092</statute_ref>; and<br />
         		<a id="pl.10.4"></a><var>10.4</var>&nbsp;&nbsp;&nbsp;&nbsp;(7) the person's right to appeal the decision regarding the need for nursing facility <br />
         		<a id="pl.10.5"></a><var>10.5</var>level of care or the county's final decisions regarding public programs eligibility according <br />
         		<a id="pl.10.6"></a><var>10.6</var>to section 
         <statute_ref>256.045, subdivision 3</statute_ref>.<br />
         		<a id="pl.10.7"></a><var>10.7</var>&nbsp;&nbsp;&nbsp;&nbsp;(i) Face-to-face assessment completed as part of eligibility determination for <br />
         		<a id="pl.10.8"></a><var>10.8</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br />
         		<a id="pl.10.9"></a><var>10.9</var>community alternative care, and traumatic brain injury waiver programs under sections <br />
         		
         <statute_ref><a id="pl.10.10"></a><var>10.10</var>256B.0915
         </statute_ref>, 
         <statute_ref>256B.0917</statute_ref>, and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility for no more <br />
         		<a id="pl.10.11"></a><var>10.11</var>than 60 calendar days after the date of assessment. The effective eligibility start date <br />
         		<a id="pl.10.12"></a><var>10.12</var>for these programs can never be prior to the date of assessment. If an assessment was <br />
         		<a id="pl.10.13"></a><var>10.13</var>completed more than 60 days before the effective waiver or alternative care program <br />
         		<a id="pl.10.14"></a><var>10.14</var>eligibility start date, assessment and support plan information must be updated in a <br />
         		<a id="pl.10.15"></a><var>10.15</var>face-to-face visit and documented in the department's Medicaid Management Information <br />
         		<a id="pl.10.16"></a><var>10.16</var>System (MMIS). The effective date of program eligibility in this case cannot be prior to <br />
         		<a id="pl.10.17"></a><var>10.17</var>the date the updated assessment is completed.<br />
         		<br />
         		<a id="bill.3.2.0"></a><a id="pl.10.18"></a><var>10.18</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 2. Minnesota Statutes 2011 Supplement, section 256B.0915, subdivision 3e, <br />
         		<a id="pl.10.19"></a><var>10.19</var>is amended to read:<br />
         		<a id="pl.10.20"></a><var>10.20</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living <br />
         		<a id="pl.10.21"></a><var>10.21</var>services shall be a monthly rate authorized by the lead agency within the parameters <br />
         		<a id="pl.10.22"></a><var>10.22</var>established by the commissioner. The payment agreement must delineate the amount of <br />
         		<a id="pl.10.23"></a><var>10.23</var>each component service included in the recipient's customized living service plan. The <br />
         		<a id="pl.10.24"></a><var>10.24</var>lead agency, with input from the provider of customized living services, shall ensure that <br />
         		<a id="pl.10.25"></a><var>10.25</var>there is a documented need within the parameters established by the commissioner for all <br />
         		<a id="pl.10.26"></a><var>10.26</var>component customized living services authorized.<br />
         		<a id="pl.10.27"></a><var>10.27</var>(b) The payment rate must be based on the amount of component services to be <br />
         		<a id="pl.10.28"></a><var>10.28</var>provided utilizing component rates established by the commissioner. Counties and tribes <br />
         		<a id="pl.10.29"></a><var>10.29</var>shall use tools issued by the commissioner to develop and document customized living <br />
         		<a id="pl.10.30"></a><var>10.30</var>service plans and rates.<br />
         		<a id="pl.10.31"></a><var>10.31</var>(c) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.10.32"></a><var>10.32</var>waiver or medical assistance services and must reflect economies of scale. Customized <br />
         		<a id="pl.10.33"></a><var>10.33</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.10.34"></a><var>10.34</var>&nbsp;&nbsp;&nbsp;&nbsp;(d) With the exception of individuals described in subdivision 3a, paragraph (b), the <br />
         		<a id="pl.10.35"></a><var>10.35</var>individualized monthly authorized payment for the customized living service plan shall <br />
         		<a id="pl.11.1"></a><var>11.1</var>not exceed 50 percent of the greater of either the statewide or any of the geographic <br />
         		<a id="pl.11.2"></a><var>11.2</var>groups' weighted average monthly nursing facility rate of the case mix resident class <br />
         		<a id="pl.11.3"></a><var>11.3</var>to which the elderly waiver eligible client would be assigned under Minnesota Rules, <br />
         		<a id="pl.11.4"></a><var>11.4</var>parts 9549.0050 to 9549.0059, less the maintenance needs allowance as described <br />
         		<a id="pl.11.5"></a><var>11.5</var>in subdivision 1d, paragraph (a), until the July 1 of the state fiscal year in which the <br />
         		<a id="pl.11.6"></a><var>11.6</var>resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home rate <br />
         		<a id="pl.11.7"></a><var>11.7</var>determination is implemented. Effective on July 1 of the state fiscal year in which <br />
         		<a id="pl.11.8"></a><var>11.8</var>the resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home <br />
         		<a id="pl.11.9"></a><var>11.9</var>rate determination is implemented and July 1 of each subsequent state fiscal year, the <br />
         		<a id="pl.11.10"></a><var>11.10</var>individualized monthly authorized payment for the services described in this clause shall <br />
         		<a id="pl.11.11"></a><var>11.11</var>not exceed the limit which was in effect on June 30 of the previous state fiscal year <br />
         		<a id="pl.11.12"></a><var>11.12</var>updated annually based on legislatively adopted changes to all service rate maximums for <br />
         		<a id="pl.11.13"></a><var>11.13</var>home and community-based service providers.<br />
         		<a id="pl.11.14"></a><var>11.14</var>(e) Effective July 1, 2011, the individualized monthly payment for the customized <br />
         		<a id="pl.11.15"></a><var>11.15</var>living service plan for individuals described in subdivision 3a, paragraph (b), must be the <br />
         		<a id="pl.11.16"></a><var>11.16</var>monthly authorized payment limit for customized living for individuals classified as case <br />
         		<a id="pl.11.17"></a><var>11.17</var>mix A, reduced by 25 percent. This rate limit must be applied to all new participants <br />
         		<a id="pl.11.18"></a><var>11.18</var>enrolled in the program on or after July 1, 2011, who meet the criteria described in <br />
         		<a id="pl.11.19"></a><var>11.19</var>subdivision 3a, paragraph (b). This monthly limit also applies to all other participants who <br />
         		<a id="pl.11.20"></a><var>11.20</var>meet the criteria described in subdivision 3a, paragraph (b), at reassessment.<br />
         		<a id="pl.11.21"></a><var>11.21</var>&nbsp;&nbsp;&nbsp;&nbsp;(f) Customized living services are delivered by a provider licensed by the <br />
         		<a id="pl.11.22"></a><var>11.22</var>Department of Health as a class A or class F home care provider and provided in a <br />
         		<a id="pl.11.23"></a><var>11.23</var>building that is registered as a housing with services establishment under chapter 144D. <br />
         		<a id="pl.11.24"></a><var>11.24</var>Licensed home care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.11.25"></a><var>11.25</var>(g) A provider may not bill or otherwise charge an elderly waiver participant or their <br />
         		<a id="pl.11.26"></a><var>11.26</var>family for additional units of any allowable component service beyond those available <br />
         		<a id="pl.11.27"></a><var>11.27</var>under the service rate limits described in paragraph (d), nor for additional units of any <br />
         		<a id="pl.11.28"></a><var>11.28</var>allowable component service beyond those approved in the service plan by the lead agency.<br />
         		<br />
         		<a id="bill.3.3.0"></a><a id="pl.11.29"></a><var>11.29</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 3. Minnesota Statutes 2011 Supplement, section 256B.0915, subdivision 3h, <br />
         		<a id="pl.11.30"></a><var>11.30</var>is amended to read:<br />
         		<a id="pl.11.31"></a><var>11.31</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> (a) The <br />
         		<a id="pl.11.32"></a><var>11.32</var>payment rate for 24-hour customized living services is a monthly rate authorized by the <br />
         		<a id="pl.11.33"></a><var>11.33</var>lead agency within the parameters established by the commissioner of human services. <br />
         		<a id="pl.11.34"></a><var>11.34</var>The payment agreement must delineate the amount of each component service included <br />
         		<a id="pl.11.35"></a><var>11.35</var>in each recipient's customized living service plan. The lead agency, with input from <br />
         		<a id="pl.12.1"></a><var>12.1</var>the provider of customized living services, shall ensure that there is a documented need <br />
         		<a id="pl.12.2"></a><var>12.2</var>within the parameters established by the commissioner for all component customized <br />
         		<a id="pl.12.3"></a><var>12.3</var>living services authorized. The lead agency shall not authorize 24-hour customized living <br />
         		<a id="pl.12.4"></a><var>12.4</var>services unless there is a documented need for 24-hour supervision.<br />
         		<a id="pl.12.5"></a><var>12.5</var>(b) For purposes of this section, "24-hour supervision" means that the recipient <br />
         		<a id="pl.12.6"></a><var>12.6</var>requires assistance due to needs related to one or more of the following:<br />
         		<a id="pl.12.7"></a><var>12.7</var>&nbsp;&nbsp;&nbsp;&nbsp;(1) intermittent assistance with toileting, positioning, or transferring;<br />
         		<a id="pl.12.8"></a><var>12.8</var>&nbsp;&nbsp;&nbsp;&nbsp;(2) cognitive or behavioral issues;<br />
         		<a id="pl.12.9"></a><var>12.9</var>&nbsp;&nbsp;&nbsp;&nbsp;(3) a medical condition that requires clinical monitoring; or<br />
         		<a id="pl.12.10"></a><var>12.10</var>&nbsp;&nbsp;&nbsp;&nbsp;(4) for all new participants enrolled in the program on or after July 1, 2011, and <br />
         		<a id="pl.12.11"></a><var>12.11</var>all other participants at their first reassessment after July 1, 2011, dependency in at <br />
         		<a id="pl.12.12"></a><var>12.12</var>least three of the following activities of daily living as determined by assessment under <br />
         		<a id="pl.12.13"></a><var>12.13</var>section 
         <statute_ref>256B.0911</statute_ref>: bathing; dressing; grooming; walking; or eating when the dependency <br />
         		<a id="pl.12.14"></a><var>12.14</var>score in eating is three or greater; and needs medication management and at least 50 <br />
         		<a id="pl.12.15"></a><var>12.15</var>hours of service per month. The lead agency shall ensure that the frequency and mode <br />
         		<a id="pl.12.16"></a><var>12.16</var>of supervision of the recipient and the qualifications of staff providing supervision are <br />
         		<a id="pl.12.17"></a><var>12.17</var>described and meet the needs of the recipient.<br />
         		<a id="pl.12.18"></a><var>12.18</var>(c) The payment rate for 24-hour customized living services must be based on the <br />
         		<a id="pl.12.19"></a><var>12.19</var>amount of component services to be provided utilizing component rates established by the <br />
         		<a id="pl.12.20"></a><var>12.20</var>commissioner. Counties and tribes will use tools issued by the commissioner to develop <br />
         		<a id="pl.12.21"></a><var>12.21</var>and document customized living plans and authorize rates.<br />
         		<a id="pl.12.22"></a><var>12.22</var>(d) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.12.23"></a><var>12.23</var>waiver or medical assistance services and must reflect economies of scale.<br />
         		<a id="pl.12.24"></a><var>12.24</var>(e) The individually authorized 24-hour customized living payments, in combination <br />
         		<a id="pl.12.25"></a><var>12.25</var>with the payment for other elderly waiver services, including case management, must not <br />
         		<a id="pl.12.26"></a><var>12.26</var>exceed the recipient's community budget cap specified in subdivision 3a. Customized <br />
         		<a id="pl.12.27"></a><var>12.27</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.12.28"></a><var>12.28</var>(f) The individually authorized 24-hour customized living payment rates shall not <br />
         		<a id="pl.12.29"></a><var>12.29</var>exceed the 95 percentile of statewide monthly authorizations for 24-hour customized <br />
         		<a id="pl.12.30"></a><var>12.30</var>living services in effect and in the Medicaid management information systems on March <br />
         		<a id="pl.12.31"></a><var>12.31</var>31, 2009, for each case mix resident class under Minnesota Rules, parts 9549.0050 <br />
         		<a id="pl.12.32"></a><var>12.32</var>to 9549.0059, to which elderly waiver service clients are assigned. When there are <br />
         		<a id="pl.12.33"></a><var>12.33</var>fewer than 50 authorizations in effect in the case mix resident class, the commissioner <br />
         		<a id="pl.12.34"></a><var>12.34</var>shall multiply the calculated service payment rate maximum for the A classification by <br />
         		<a id="pl.12.35"></a><var>12.35</var>the standard weight for that classification under Minnesota Rules, parts 9549.0050 to <br />
         		<a id="pl.12.36"></a><var>12.36</var>9549.0059, to determine the applicable payment rate maximum. Service payment rate <br />
         		<a id="pl.13.1"></a><var>13.1</var>maximums shall be updated annually based on legislatively adopted changes to all service <br />
         		<a id="pl.13.2"></a><var>13.2</var>rates for home and community-based service providers.<br />
         		<a id="pl.13.3"></a><var>13.3</var>&nbsp;&nbsp;&nbsp;&nbsp;(g) Notwithstanding the requirements of paragraphs (d) and (f), the commissioner <br />
         		<a id="pl.13.4"></a><var>13.4</var>may establish alternative payment rate systems for 24-hour customized living services in <br />
         		<a id="pl.13.5"></a><var>13.5</var>housing with services establishments which are freestanding buildings with a capacity of <br />
         		<a id="pl.13.6"></a><var>13.6</var>16 or fewer, by applying a single hourly rate for covered component services provided <br />
         		<a id="pl.13.7"></a><var>13.7</var>in either:<br />
         		<a id="pl.13.8"></a><var>13.8</var>&nbsp;&nbsp;&nbsp;&nbsp;(1) licensed corporate adult foster homes; or<br />
         		<a id="pl.13.9"></a><var>13.9</var>&nbsp;&nbsp;&nbsp;&nbsp;(2) specialized dementia care units which meet the requirements of section 
         <statute_ref>144D.065 <br />
            		
         </statute_ref><a id="pl.13.10"></a><var>13.10</var>and in which:<br />
         		<a id="pl.13.11"></a><var>13.11</var>&nbsp;&nbsp;&nbsp;&nbsp;(i) each resident is offered the option of having their own apartment; or<br />
         		<a id="pl.13.12"></a><var>13.12</var>&nbsp;&nbsp;&nbsp;&nbsp;(ii) the units are licensed as board and lodge establishments with maximum capacity <br />
         		<a id="pl.13.13"></a><var>13.13</var>of eight residents, and which meet the requirements of Minnesota Rules, part 9555.6205, <br />
         		<a id="pl.13.14"></a><var>13.14</var>subparts 1, 2, 3, and 4, item A.<br />
         		<a id="pl.13.15"></a><var>13.15</var>(h) A provider may not bill or otherwise charge an elderly waiver participant or their <br />
         		<a id="pl.13.16"></a><var>13.16</var>family for additional units of any allowable component service beyond those available <br />
         		<a id="pl.13.17"></a><var>13.17</var>under the service rate limits described in paragraph (e), nor for additional units of any <br />
         		<a id="pl.13.18"></a><var>13.18</var>allowable component service beyond those approved in the service plan by the lead agency.<br />
         		<br />
         		<a id="bill.4.0.0"></a><div class="xtend_ce"><a id="pl.13.19"></a><var>13.19</var><b>ARTICLE 4</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.13.20"></a><var>13.20</var><b>DEPARTMENT OF HEALTH</b><br />
            		
         </div><br />
         		<a id="bill.4.1.0"></a><a id="pl.13.21"></a><var>13.21</var>&nbsp;&nbsp;&nbsp;&nbsp;Section 1. Minnesota Statutes 2011 Supplement, section 144.1222, subdivision 5, <br />
         		<a id="pl.13.22"></a><var>13.22</var>is amended to read:<br />
         		<a id="pl.13.23"></a><var>13.23</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 5. ~~<b>Swimming pond exemption</b>~~<b> Exemptions</b><b>.</b> (a) A public swimming pond <br />
         		<a id="pl.13.24"></a><var>13.24</var>in existence before January 1, 2008, is not a public pool for purposes of this section and <br />
         		<a id="pl.13.25"></a><var>13.25</var>section 
         <statute_ref>157.16</statute_ref>, and is exempt from the requirements for public swimming pools under <br />
         		<a id="pl.13.26"></a><var>13.26</var>Minnesota Rules, chapter 4717.<br />
         		<a id="pl.13.27"></a><var>13.27</var>(b) A naturally treated swimming pool located in the city of Minneapolis is not <br />
         		<a id="pl.13.28"></a><var>13.28</var>a public pool for purposes of this section and section 157.16, and is exempt from the <br />
         		<a id="pl.13.29"></a><var>13.29</var>requirements for public swimming pools under Minnesota Rules, chapter 4717.<br />
         		<a id="pl.13.30"></a><var>13.30</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(b)~~ (c) Notwithstanding ~~paragraph~~ paragraphs (a) and (b), a public swimming pond <br />
         		<a id="pl.13.31"></a><var>13.31</var>and a naturally treated swimming pool must meet the requirements for public pools <br />
         		<a id="pl.13.32"></a><var>13.32</var>described in subdivisions 1c and 1d.<br />
         		<a id="pl.13.33"></a><var>13.33</var>&nbsp;&nbsp;&nbsp;&nbsp;~~(c)~~ (d) For purposes of this subdivision, a "public swimming pond" means an <br />
         		<a id="pl.13.34"></a><var>13.34</var>artificial body of water contained within a lined, sand-bottom basin, intended for public <br />
         		<a id="pl.13.35"></a><var>13.35</var>swimming, relaxation, or recreational use that includes a water circulation system for <br />
         		<a id="pl.14.1"></a><var>14.1</var>maintaining water quality and does not include any portion of a naturally occurring lake <br />
         		<a id="pl.14.2"></a><var>14.2</var>or stream.<br />
         		<a id="pl.14.3"></a><var>14.3</var>(e) For purposes of this subdivision, a "naturally treated swimming pool" means an <br />
         		<a id="pl.14.4"></a><var>14.4</var>artificial body of water contained in a basin, intended for public swimming, relaxation, or <br />
         		<a id="pl.14.5"></a><var>14.5</var>recreational use that uses a chemical free filtration system for maintaining water quality <br />
         		<a id="pl.14.6"></a><var>14.6</var>through natural processes, including the use of plants, beneficial bacteria, and microbes.<br />
         		<a id="pl.14.7"></a><var>14.7</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		
      </div>