1.1                          A bill for an act 
  1.2             relating to human services; providing a wage increase 
  1.3             for certain employees; appropriating money; amending 
  1.4             Minnesota Statutes 1998, section 256B.501, by adding a 
  1.5             subdivision; Minnesota Statutes 1999 Supplement, 
  1.6             section 256B.431, subdivision 28; Laws 1999, chapter 
  1.7             245, article 1, section 2, subdivision 8. 
  1.8   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.9      Section 1.  Minnesota Statutes 1999 Supplement, section 
  1.10  256B.431, subdivision 28, is amended to read: 
  1.11     Subd. 28.  [NURSING FACILITY RATE INCREASES BEGINNING JULY 
  1.12  1, 1999, AND JULY 1, 2000.] (a) For the rate years beginning 
  1.13  July 1, 1999, and July 1, 2000, the commissioner shall make 
  1.14  available to each nursing facility reimbursed under this section 
  1.15  or section 256B.434 an adjustment to the total operating payment 
  1.16  rate.  For each facility, total operating costs shall be 
  1.17  separated into costs that are compensation related and all other 
  1.18  costs.  Compensation-related costs include salaries, payroll 
  1.19  taxes, and fringe benefits for all employees except management 
  1.20  fees, the administrator, and central office staff. 
  1.21     (b) For the rate year beginning July 1, 1999, the 
  1.22  commissioner shall make available a rate increase for 
  1.23  compensation-related costs of 4.843 percent and a rate increase 
  1.24  for all other operating costs of 3.446 percent. 
  1.25     (c) For the rate year beginning July 1, 2000, the 
  1.26  commissioner shall make available a rate increase for 
  2.1   compensation-related costs of 3.632 percent; an additional rate 
  2.2   increase for compensation-related costs of 3.0 percent; and a 
  2.3   rate increase for all other operating costs of 2.585 percent. 
  2.4      (d) The payment rate adjustment for each nursing facility 
  2.5   must be determined under clause (1) or (2): 
  2.6      (1) for each nursing facility that reports salaries for 
  2.7   registered nurses, licensed practical nurses, aides, orderlies, 
  2.8   and attendants separately, the commissioner shall determine the 
  2.9   payment rate adjustment using the categories specified in 
  2.10  paragraph (a) multiplied by the rate increases specified in 
  2.11  paragraph (b) or (c), and then dividing the resulting amount by 
  2.12  the nursing facility's actual resident days.  In determining the 
  2.13  amount of a payment rate adjustment for a nursing facility 
  2.14  reimbursed under section 256B.434, the commissioner shall 
  2.15  determine the proportions of the facility's rates that are 
  2.16  compensation-related costs and all other operating costs based 
  2.17  on the facility's most recent cost report; and 
  2.18     (2) for each nursing facility that does not report salaries 
  2.19  for registered nurses, licensed practical nurses, aides, 
  2.20  orderlies, and attendants separately, the payment rate 
  2.21  adjustment shall be computed using the facility's total 
  2.22  operating costs, separated into the categories specified in 
  2.23  paragraph (a) in proportion to the weighted average of all 
  2.24  facilities determined under clause (1), multiplied by the rate 
  2.25  increases specified in paragraph (b) or (c), and then dividing 
  2.26  the resulting amount by the nursing facility's actual resident 
  2.27  days. 
  2.28     (e) A nursing facility may apply for the 
  2.29  compensation-related payment rate adjustment calculated under 
  2.30  this subdivision.  The application must be made to the 
  2.31  commissioner and contain a plan by which the nursing facility 
  2.32  will distribute the compensation-related portion of the payment 
  2.33  rate adjustment to employees of the nursing facility.  For 
  2.34  nursing facilities in which the employees are represented by an 
  2.35  exclusive bargaining representative, an agreement negotiated and 
  2.36  agreed to by the employer and the exclusive bargaining 
  3.1   representative after July 1, 2000, constitutes the plan.  Money 
  3.2   received by a facility, as a result of the additional rate 
  3.3   increase for compensation-related costs of 3.0 percent for the 
  3.4   rate year beginning July 1, 2000, provided under paragraph (c), 
  3.5   shall be used only for compensation-related increases 
  3.6   implemented on or after July 1, 2000, and shall not be used for 
  3.7   compensation-related increases implemented prior to that date.  
  3.8   The commissioner shall review the plan to ensure that the 
  3.9   payment rate adjustment per diem is used as provided in 
  3.10  paragraphs (a) to (c).  To be eligible, a facility must submit 
  3.11  its plan for the compensation distribution by December 31 each 
  3.12  year.  A facility may amend its plan for the second rate year by 
  3.13  submitting a revised plan by December 31, 2000.  If a facility's 
  3.14  plan for compensation distribution is effective for its 
  3.15  employees after July 1 of the year that the funds are available, 
  3.16  the payment rate adjustment per diem shall be effective the same 
  3.17  date as its plan. 
  3.18     (f) A copy of the approved distribution plan must be made 
  3.19  available to all employees.  This must be done by giving each 
  3.20  employee a copy or by posting it in an area of the nursing 
  3.21  facility to which all employees have access.  If an employee 
  3.22  does not receive the compensation adjustment described in their 
  3.23  facility's approved plan and is unable to resolve the problem 
  3.24  with the facility's management or through the employee's union 
  3.25  representative, the employee may contact the commissioner at an 
  3.26  address or phone number provided by the commissioner and 
  3.27  included in the approved plan.  
  3.28     (g) If the reimbursement system under section 256B.435 is 
  3.29  not implemented until July 1, 2001, the salary adjustment per 
  3.30  diem authorized in subdivision 2i, paragraph (c), shall continue 
  3.31  until June 30, 2001.  
  3.32     (h) For the rate year beginning July 1, 1999, the following 
  3.33  nursing facilities shall be allowed a rate increase equal to 67 
  3.34  percent of the rate increase that would be allowed if 
  3.35  subdivision 26, paragraph (a), was not applied: 
  3.36     (1) a nursing facility in Carver county licensed for 33 
  4.1   nursing home beds and four boarding care beds; 
  4.2      (2) a nursing facility in Faribault county licensed for 159 
  4.3   nursing home beds on September 30, 1998; and 
  4.4      (3) a nursing facility in Houston county licensed for 68 
  4.5   nursing home beds on September 30, 1998. 
  4.6      (i) For the rate year beginning July 1, 1999, the following 
  4.7   nursing facilities shall be allowed a rate increase equal to 67 
  4.8   percent of the rate increase that would be allowed if 
  4.9   subdivision 26, paragraphs (a) and (b), were not applied: 
  4.10     (1) a nursing facility in Chisago county licensed for 135 
  4.11  nursing home beds on September 30, 1998; and 
  4.12     (2) a nursing facility in Murray county licensed for 62 
  4.13  nursing home beds on September 30, 1998. 
  4.14     (j) For the rate year beginning July 1, 1999, a nursing 
  4.15  facility in Hennepin county licensed for 134 beds on September 
  4.16  30, 1998, shall: 
  4.17     (1) have the prior year's allowable care-related per diem 
  4.18  increased by $3.93 and the prior year's other operating cost per 
  4.19  diem increased by $1.69 before adding the inflation in 
  4.20  subdivision 26, paragraph (d), clause (2); and 
  4.21     (2) be allowed a rate increase equal to 67 percent of the 
  4.22  rate increase that would be allowed if subdivision 26, 
  4.23  paragraphs (a) and (b), were not applied. 
  4.24     Sec. 2.  Minnesota Statutes 1998, section 256B.501, is 
  4.25  amended by adding a subdivision to read: 
  4.26     Subd. 13.  [ICF/MR RATE INCREASES BEGINNING OCTOBER 1, 
  4.27  1999, AND OCTOBER 1, 2000.] (a) For the rate years beginning 
  4.28  October 1, 1999, and October 1, 2000, the commissioner shall 
  4.29  make available to each facility reimbursed under this section, 
  4.30  section 256B.5011, and Laws 1993, First Special Session chapter 
  4.31  1, article 4, section 11, an adjustment to the total operating 
  4.32  payment rate.  For each facility, total operating costs shall be 
  4.33  separated into costs that are compensation related and all other 
  4.34  costs.  "Compensation-related costs" means the facility's 
  4.35  allowable program operating cost category employee training 
  4.36  expenses, and the facility's allowable salaries, payroll taxes, 
  5.1   and fringe benefits.  The term does not include these same 
  5.2   salary-related costs for both administrative or central office 
  5.3   employees. 
  5.4      For the purpose of determining the adjustment to be granted 
  5.5   under this subdivision, the commissioner must use the most 
  5.6   recent cost report that has been subject to desk audit. 
  5.7      (b) For the rate year beginning October 1, 1999, the 
  5.8   commissioner shall make available a rate increase for 
  5.9   compensation-related costs of 4.6 percent and a rate increase 
  5.10  for all other operating costs of 3.2 percent. 
  5.11     (c) For the rate year beginning October 1, 2000, the 
  5.12  commissioner shall make available a rate increase for 
  5.13  compensation related costs of 3.6 percent; an additional rate 
  5.14  increase for compensation-related costs of three percent; and a 
  5.15  rate increase for all other operating costs of two percent. 
  5.16     (d) For each facility, the commissioner shall determine the 
  5.17  payment rate adjustment using the categories specified in 
  5.18  paragraph (a) multiplied by the rate increases specified in 
  5.19  paragraph (b) or (c), and then dividing the resulting amount by 
  5.20  the nursing facility's actual resident days.  
  5.21     (e) Any facility whose payment rates are governed by 
  5.22  closure agreements, receivership agreements, or Minnesota Rules, 
  5.23  part 9553.0075, are not eligible for an adjustment otherwise 
  5.24  granted under this subdivision.  
  5.25     (f) A facility may apply for the compensation-related 
  5.26  payment rate adjustment calculated under this subdivision.  The 
  5.27  application must be made to the commissioner and contain a plan 
  5.28  by which the facility will distribute the compensation-related 
  5.29  portion of the payment rate adjustment to employees of the 
  5.30  facility.  For facilities in which the employees are represented 
  5.31  by an exclusive bargaining representative, an agreement 
  5.32  negotiated and agreed to by the employer and the exclusive 
  5.33  bargaining representative constitutes the plan.  The 
  5.34  commissioner shall review the plan to ensure that the payment 
  5.35  rate adjustment per diem is used as provided in this 
  5.36  subdivision.  To be eligible, a facility must submit its plan 
  6.1   for the compensation distribution by December 31 each year.  A 
  6.2   facility may amend its plan for the second rate year by 
  6.3   submitting a revised plan by December 31, 2000.  If a facility's 
  6.4   plan for compensation distribution is effective for its 
  6.5   employees after October 1 of the year that the funds are 
  6.6   available, the payment rate adjustment per diem shall be 
  6.7   effective the same date as its plan. 
  6.8      (g) A copy of the approved distribution plan must be made 
  6.9   available to all employees.  This must be done by giving each 
  6.10  employee a copy or by posting it in an area of the nursing 
  6.11  facility to which all employees have access.  If an employee 
  6.12  does not receive the compensation adjustment described in their 
  6.13  facility's approved plan and is unable to resolve the problem 
  6.14  with the facility's management or through the employee's union 
  6.15  representative, the employee may contact the commissioner at an 
  6.16  address or telephone number provided by the commissioner and 
  6.17  included in the approved plan. 
  6.18     Sec. 3.  Laws 1999, chapter 245, article 1, section 2, 
  6.19  subdivision 8, is amended to read: 
  6.20  Subd. 8.  Continuing Care and 
  6.21  Community Support Grants
  6.22  General           1,174,195,000 1,259,767,000
  6.23  Lottery Prize         1,158,000     1,158,000
  6.24  The amounts that may be spent from this 
  6.25  appropriation for each purpose are as 
  6.26  follows: 
  6.27  (a) Community Social Services
  6.28  Block Grants
  6.29      42,597,000     43,498,000 
  6.30  [CSSA TRADITIONAL APPROPRIATION.] 
  6.31  Notwithstanding Minnesota Statutes, 
  6.32  section 256E.06, subdivisions 1 and 2, 
  6.33  the appropriations available under that 
  6.34  section in fiscal years 2000 and 2001 
  6.35  must be distributed to each county 
  6.36  proportionately to the aid received by 
  6.37  the county in calendar year 1998.  The 
  6.38  commissioner, in consultation with 
  6.39  counties, shall study the formula 
  6.40  limitations in subdivision 2 of that 
  6.41  section, and report findings and any 
  6.42  recommendations for revision of the 
  6.43  CSSA formula and its formula limitation 
  6.44  provisions to the legislature by 
  6.45  January 15, 2000. 
  7.1   (b) Consumer Support Grants
  7.2        1,123,000      1,123,000 
  7.3   (c) Aging Adult Service Grants
  7.4        7,965,000      7,765,000 
  7.5   [LIVING-AT-HOME/BLOCK NURSE PROGRAM.] 
  7.6   Of the general fund appropriation, 
  7.7   $120,000 in fiscal year 2000 and 
  7.8   $120,000 in fiscal year 2001 is for the 
  7.9   commissioner to provide funding to six 
  7.10  additional living-at-home/block nurse 
  7.11  programs.  This appropriation shall 
  7.12  become part of the base for the 
  7.13  2002-2003 biennium. 
  7.14  [MINNESOTA SENIOR SERVICE CORPS.] Of 
  7.15  this appropriation, $160,000 for the 
  7.16  biennium is from the general fund to 
  7.17  the commissioner for the following 
  7.18  purposes: 
  7.19  (a) $40,000 in fiscal year 2000 and 
  7.20  $40,000 in fiscal year 2001 is to 
  7.21  increase the hourly stipend by ten 
  7.22  cents per hour in the foster 
  7.23  grandparent program, the retired and 
  7.24  senior volunteer program, and the 
  7.25  senior companion program. 
  7.26  (b) $40,000 in fiscal year 2000 and 
  7.27  $40,000 in fiscal year 2001 is for a 
  7.28  grant to the tri-valley opportunity 
  7.29  council in Crookston to expand services 
  7.30  in the ten-county area of northwestern 
  7.31  Minnesota. 
  7.32  (c) This appropriation shall become 
  7.33  part of the base for the 2002-2003 
  7.34  biennium.
  7.35  [HEALTH INSURANCE COUNSELING.] Of this 
  7.36  appropriation, $100,000 in fiscal year 
  7.37  2000 and $100,000 in fiscal year 2001 
  7.38  is from the general fund to the 
  7.39  commissioner to transfer to the board 
  7.40  on aging for the purpose of awarding 
  7.41  health insurance counseling and 
  7.42  assistance grants to the area agencies 
  7.43  on aging providing state-funded health 
  7.44  insurance counseling services.  Access 
  7.45  to health insurance counseling programs 
  7.46  shall be provided by the senior linkage 
  7.47  line service of the board on aging and 
  7.48  the area agencies on aging. The board 
  7.49  on aging shall explore opportunities 
  7.50  for obtaining alternative funding from 
  7.51  nonstate sources, including 
  7.52  contributions from individuals seeking 
  7.53  health insurance counseling services.  
  7.54  This is a one-time appropriation and 
  7.55  shall not become part of base level 
  7.56  funding for this activity for the 
  7.57  2002-2003 biennium. 
  7.58  (d) Deaf and Hard-of-Hearing 
  7.59  Services Grants
  7.60       1,859,000      1,760,000 
  8.1   [SERVICES TO DEAF PERSONS WITH MENTAL 
  8.2   ILLNESS.] Of this appropriation, 
  8.3   $100,000 each year is to the 
  8.4   commissioner for a grant to a nonprofit 
  8.5   agency that currently serves deaf and 
  8.6   hard-of-hearing adults with mental 
  8.7   illness through residential programs 
  8.8   and supported housing outreach.  The 
  8.9   grant must be used to operate a 
  8.10  community support program for persons 
  8.11  with mental illness that is 
  8.12  communicatively accessible for persons 
  8.13  who are deaf or hard-of-hearing.  This 
  8.14  is a one-time appropriation and shall 
  8.15  not become part of base level funding 
  8.16  for this activity for the 2002-2003 
  8.17  biennium. 
  8.18  [DEAF-BLIND ORIENTATION AND MOBILITY 
  8.19  SERVICES.] Of this appropriation, 
  8.20  $120,000 for the biennium is to the 
  8.21  commissioner for a grant to DeafBlind 
  8.22  Services Minnesota to hire an 
  8.23  orientation and mobility specialist to 
  8.24  work with deaf-blind people.  The 
  8.25  specialist will provide services to 
  8.26  deaf-blind Minnesotans, and training to 
  8.27  teachers and rehabilitation counselors, 
  8.28  on a statewide basis.  This is a 
  8.29  one-time appropriation and shall not 
  8.30  become part of base level funding for 
  8.31  this activity for the 2002-2003 
  8.32  biennium. 
  8.33  (e) Mental Health Grants
  8.34  General          45,169,000     46,528,000 
  8.35  Lottery Prize     1,158,000      1,158,000 
  8.36  [CRISIS HOUSING.] Of the general fund 
  8.37  appropriation, $126,000 in fiscal year 
  8.38  2000 and $150,000 in fiscal year 2001 
  8.39  is to the commissioner for the adult 
  8.40  mental illness crisis housing 
  8.41  assistance program under Minnesota 
  8.42  Statutes, section 245.99.  This 
  8.43  appropriation shall become part of the 
  8.44  base for the 2002-2003 biennium. 
  8.45  [ADOLESCENT COMPULSIVE GAMBLING GRANT.] 
  8.46  $150,000 in fiscal year 2000 and 
  8.47  $150,000 in fiscal year 2001 is 
  8.48  appropriated from the lottery prize 
  8.49  fund created under Minnesota Statutes, 
  8.50  section 349A.10, subdivision 2, to the 
  8.51  commissioner for the purposes of a 
  8.52  grant to a compulsive gambling council 
  8.53  located in St. Louis county for a 
  8.54  statewide compulsive gambling 
  8.55  prevention and education project for 
  8.56  adolescents. 
  8.57  (f) Developmental Disabilities
  8.58  Community Support Grants
  8.59     9,323,000     10,958,000 
  8.60  [CRISIS INTERVENTION PROJECT.] Of this 
  8.61  appropriation, $40,000 in fiscal year 
  8.62  2000 is to the commissioner for the 
  9.1   action, support, and prevention project 
  9.2   of southeastern Minnesota. 
  9.3   [SILS FUNDING.] Of this appropriation, 
  9.4   $1,000,000 each year is for 
  9.5   semi-independent living services under 
  9.6   Minnesota Statutes, section 252.275. 
  9.7   This appropriation must be added to the 
  9.8   base level funding for this activity 
  9.9   for the 2002-2003 biennium.  Unexpended 
  9.10  funds for fiscal year 2000 do not 
  9.11  cancel but are available to the 
  9.12  commissioner for this purpose in fiscal 
  9.13  year 2001. 
  9.14  [FAMILY SUPPORT GRANTS.] Of this 
  9.15  appropriation, $1,000,000 in fiscal 
  9.16  year 2000 and $2,500,000 in fiscal year 
  9.17  2001 is to increase the availability of 
  9.18  family support grants under Minnesota 
  9.19  Statutes, section 252.32.  This 
  9.20  appropriation must be added to the base 
  9.21  level funding for this activity for the 
  9.22  2002-2003 biennium.  Unexpended funds 
  9.23  for fiscal year 2000 do not cancel but 
  9.24  are available to the commissioner for 
  9.25  this purpose in fiscal year 2001. 
  9.26  (g) Medical Assistance Long-Term 
  9.27  Care Waivers and Home Care
  9.28     349,052,000    414,240,000 
  9.29  [PROVIDER RATE INCREASES.] (a) The 
  9.30  commissioner shall increase 
  9.31  reimbursement rates by four percent the 
  9.32  first year of the biennium and by ~~three~~ 
  9.33  six percent the second year for the 
  9.34  providers listed in paragraph (b).  The 
  9.35  increases shall be effective for 
  9.36  services rendered on or after July 1 of 
  9.37  each year. 
  9.38  (b) The rate increases described in 
  9.39  this section shall be provided to home 
  9.40  and community-based waivered services 
  9.41  for persons with mental retardation or 
  9.42  related conditions under Minnesota 
  9.43  Statutes, section 256B.501; home and 
  9.44  community-based waivered services for 
  9.45  the elderly under Minnesota Statutes, 
  9.46  section 256B.0915; waivered services 
  9.47  under community alternatives for 
  9.48  disabled individuals under Minnesota 
  9.49  Statutes, section 256B.49; community 
  9.50  alternative care waivered services 
  9.51  under Minnesota Statutes, section 
  9.52  256B.49; traumatic brain injury 
  9.53  waivered services under Minnesota 
  9.54  Statutes, section 256B.49; nursing 
  9.55  services and home health services under 
  9.56  Minnesota Statutes, section 256B.0625, 
  9.57  subdivision 6a; personal care services 
  9.58  and nursing supervision of personal 
  9.59  care services under Minnesota Statutes, 
  9.60  section 256B.0625, subdivision 19a; 
  9.61  private-duty nursing services under 
  9.62  Minnesota Statutes, section 256B.0625, 
  9.63  subdivision 7; day training and 
  9.64  habilitation services for adults with 
  9.65  mental retardation or related 
 10.1   conditions under Minnesota Statutes, 
 10.2   sections 252.40 to 252.46; alternative 
 10.3   care services under Minnesota Statutes, 
 10.4   section 256B.0913; adult residential 
 10.5   program grants under Minnesota Rules, 
 10.6   parts 9535.2000 to 9535.3000; adult and 
 10.7   family community support grants under 
 10.8   Minnesota Rules, parts 9535.1700 to 
 10.9   9535.1760; semi-independent living 
 10.10  services under Minnesota Statutes, 
 10.11  section 252.275, including SILS funding 
 10.12  under county social services grants 
 10.13  formerly funded under Minnesota 
 10.14  Statutes, chapter 256I; and community 
 10.15  support services for deaf and 
 10.16  hard-of-hearing adults with mental 
 10.17  illness who use or wish to use sign 
 10.18  language as their primary means of 
 10.19  communication. 
 10.20  (c) The commissioner shall increase 
 10.21  reimbursement rates by two percent for 
 10.22  the group residential housing 
 10.23  supplementary service rate under 
 10.24  Minnesota Statutes, section 256I.05, 
 10.25  subdivision 1a, for services rendered 
 10.26  on or after January 1, 2000. 
 10.27  (d) Providers that receive a rate 
 10.28  increase under this section shall use 
 10.29  at least 80 percent of the additional 
 10.30  revenue to increase the compensation 
 10.31  paid to employees other than the 
 10.32  administrator and central office staff. 
 10.33  (e) A copy of the provider's plan for 
 10.34  complying with paragraph (d) must be 
 10.35  made available to all employees.  This 
 10.36  must be done by giving each employee a 
 10.37  copy or by posting it in an area of the 
 10.38  provider's operation to which all 
 10.39  employees have access.  If an employee 
 10.40  does not receive the salary adjustment 
 10.41  described in the plan and is unable to 
 10.42  resolve the problem with the provider, 
 10.43  the employee may contact the employee's 
 10.44  union representative.  If the employee 
 10.45  is not covered by a collective 
 10.46  bargaining agreement, the employee may 
 10.47  contact the commissioner at a phone 
 10.48  number provided by the commissioner and 
 10.49  included in the provider's plan. 
 10.50  (f) Section 13, sunset of uncodified 
 10.51  language, does not apply to this 
 10.52  provision. 
 10.53  [DEVELOPMENTAL DISABILITIES WAIVER 
 10.54  SLOTS.] Of this appropriation, 
 10.55  $1,746,000 in fiscal year 2000 and 
 10.56  $4,683,000 in fiscal year 2001 is to 
 10.57  increase the availability of home and 
 10.58  community-based waiver services for 
 10.59  persons with mental retardation or 
 10.60  related conditions.  
 10.61  (h) Medical Assistance Long-Term
 10.62  Care Facilities
 10.63     546,228,000    558,349,000 
 11.1   [MORATORIUM EXCEPTIONS.] Of this 
 11.2   appropriation, $250,000 in fiscal year 
 11.3   2000 and $250,000 in fiscal year 2001 
 11.4   is from the general fund to the 
 11.5   commissioner for the medical assistance 
 11.6   costs of moratorium exceptions approved 
 11.7   by the commissioner of health under 
 11.8   Minnesota Statutes, section 144A.073.  
 11.9   Unexpended money appropriated for 
 11.10  fiscal year 2000 shall not cancel but 
 11.11  shall be available for fiscal year 2001.
 11.12  [NURSING FACILITY OPERATED BY THE RED 
 11.13  LAKE BAND OF CHIPPEWA INDIANS.] (1) The 
 11.14  medical assistance payment rates for 
 11.15  the 47-bed nursing facility operated by 
 11.16  the Red Lake Band of Chippewa Indians 
 11.17  must be calculated according to 
 11.18  allowable reimbursement costs under the 
 11.19  medical assistance program, as 
 11.20  specified in Minnesota Statutes, 
 11.21  section 246.50, and are subject to the 
 11.22  facility-specific Medicare upper limits.
 11.23  (2) In addition, the commissioner shall 
 11.24  make available an operating payment 
 11.25  rate adjustment effective July 1, 1999, 
 11.26  and July 1, 2000, that is equal to the 
 11.27  adjustment provided under Minnesota 
 11.28  Statutes, section 256B.431, subdivision 
 11.29  28.  The commissioner must use the 
 11.30  facility's final 1998 and 1999 Medicare 
 11.31  cost reports, respectively, to 
 11.32  calculate the adjustment.  The 
 11.33  adjustment shall be available based on 
 11.34  a plan submitted and approved according 
 11.35  to Minnesota Statutes, section 
 11.36  256B.431, subdivision 28.  Section 13, 
 11.37  sunset of uncodified language, does not 
 11.38  apply to this paragraph. 
 11.39  [COSTS RELATED TO FACILITY 
 11.40  CERTIFICATION.] Of this appropriation, 
 11.41  $168,000 is for the costs of providing 
 11.42  one-half the state share of medical 
 11.43  assistance reimbursement for 
 11.44  residential and day habilitation 
 11.45  services under article 3, section 39.  
 11.46  This amount is available the day 
 11.47  following final enactment. 
 11.48  (i) Alternative Care Grants  
 11.49  General              60,873,000    59,981,000
 11.50  [ALTERNATIVE CARE TRANSFER.] Any money 
 11.51  allocated to the alternative care 
 11.52  program that is not spent for the 
 11.53  purposes indicated does not cancel but 
 11.54  shall be transferred to the medical 
 11.55  assistance account. 
 11.56  [PREADMISSION SCREENING AMOUNT.] The 
 11.57  preadmission screening payment to all 
 11.58  counties shall continue at the payment 
 11.59  amount in effect for fiscal year 1999. 
 11.60  [ALTERNATIVE CARE APPROPRIATION.] The 
 11.61  commissioner may expend the money 
 11.62  appropriated for the alternative care 
 11.63  program for that purpose in either year 
 12.1   of the biennium. 
 12.2   (j) Group Residential Housing
 12.3   General              66,477,000    70,390,000
 12.4   [GROUP RESIDENTIAL FACILITY FOR WOMEN 
 12.5   IN RAMSEY COUNTY.] (a) Notwithstanding 
 12.6   Minnesota Statutes 1998, section 
 12.7   256I.05, subdivision 1d, the new 23-bed 
 12.8   group residential facility for women in 
 12.9   Ramsey county, with approval by the 
 12.10  county agency, may negotiate a 
 12.11  supplementary service rate in addition 
 12.12  to the board and lodging rate for 
 12.13  facilities licensed and registered by 
 12.14  the Minnesota department of health 
 12.15  under Minnesota Statutes, section 
 12.16  15.17.  The supplementary service rate 
 12.17  shall not exceed $564 per person per 
 12.18  month and the total rate may not exceed 
 12.19  $1,177 per person per month. 
 12.20  (b) Of the general fund appropriation, 
 12.21  $19,000 in fiscal year 2000 and $38,000 
 12.22  in fiscal year 2001 is to the 
 12.23  commissioner for the costs associated 
 12.24  with paragraph (a).  This appropriation 
 12.25  shall become part of the base for the 
 12.26  2002-2003 biennium. 
 12.27  (k) Chemical Dependency
 12.28  Entitlement Grants
 12.29  General              36,751,000    38,847,000
 12.30  (l) Chemical Dependency 
 12.31  Nonentitlement Grants
 12.32  General               6,778,000     6,328,000
 12.33  [CHEMICAL DEPENDENCY SERVICES.] Of this 
 12.34  appropriation, $450,000 in fiscal year 
 12.35  2000 is to the commissioner for 
 12.36  chemical dependency services to persons 
 12.37  who qualify under Minnesota Statutes, 
 12.38  section 254B.04, subdivision 1, 
 12.39  paragraph (b). 
 12.40     Sec. 4.  [APPROPRIATION.] 
 12.41     $....... is appropriated from the general fund to the 
 12.42  commissioner of human services for the fiscal year beginning 
 12.43  July 1, 2000, for the purposes of sections 1 to 3.