1.1 	A bill for an act
1.2 	relating to human services; providing medical assistance coverage for certain 
1.3 	lead risk assessments;amending Minnesota Statutes 2004, sections 144.9507, by 
1.4 	adding a subdivision; 256B.0625, by adding a subdivision.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2004, section 144.9507, is amended by adding a 
1.7 	subdivision to read:
1.8 		Subd. 6.Medical assistance. Medical assistance reimbursement for lead risk 
1.9 	assessment services under section 256B.0625, subdivision 49, shall not be used to replace 
1.10 	or decrease existing state or local funding for lead services and lead-related activities.

1.11 	Sec. 2. Minnesota Statutes 2004, section 256B.0625, is amended by adding a 
1.12 	subdivision to read:
1.13 		Subd. 49.Lead risk assessments. (a) Effective October 1, 2006, or six months after 
1.14 	federal approval, whichever is later, medical assistance covers lead risk assessments 
1.15 	provided by a lead risk assessor who is licensed by the commissioner of health under 
1.16 	section 144.9505 and employed by an assessing agency as defined in section 144.9501. 
1.17 	Medical assistance covers a onetime on-site investigation of a recipient's home or primary 
1.18 	residence to determine the existence of lead so long as the recipient is under the age of 
1.19 	21 and has a venous blood lead level as set forth in section 144.9504, subdivision 2, 
1.20 	paragraph (a).
1.21 	(b) Medical assistance reimbursement covers the lead risk assessor's time to 
1.22 	complete the following activities:
1.23 	(1) gathering samples;
2.1 	(2) interviewing family members;
2.2 	(3) gathering data, including meter readings; and
2.3 	(4) providing a report with the results of the investigation and options for reducing 
2.4 	lead-based paint hazards.
2.5 	Medical assistance coverage of lead risk assessment does not include testing of 
2.6 	environmental substances such as water, paint, or soil or any other laboratory services. 
2.7 	Medical assistance coverage of lead risk assessments is not included in the capitated 
2.8 	services for children enrolled in health plans through the prepaid medical assistance 
2.9 	program and the MinnesotaCare program.
2.10 	(c) Payment for lead risk assessment must be cost-based and must meet the criteria 
2.11 	for federal financial participation under the medical assistance program. The rate must 
2.12 	be based on allowable expenditures from statewide cost information gathered. Under 
2.13 	section 144.9507, subdivision 5, federal medical assistance funds may not replace existing 
2.14 	funding for lead-related activities. The nonfederal share of costs for services provided 
2.15 	under this subdivision must be from state or local funds and is the responsibility of the 
2.16 	agency providing the risk assessment. Eligible expenditures for the nonfederal share of 
2.17 	costs may not be made from federal funds or funds used to match other federal funds, 
2.18 	except as allowed for Indian tribes under federal law. Any federal disallowances are the 
2.19 	responsibility of the agency providing risk assessment services.