1.1 	A bill for an act
1.2 	relating to human services; modifying provisions related to assertive community 
1.3 	treatment;amending Minnesota Statutes 2022, section 256B.0622, subdivisions 
1.4 	2a, 3a, 7a, 7d; Minnesota Statutes 2023 Supplement, section 256B.0622, subdivision 
1.5 	7b.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Minnesota Statutes 2022, section 256B.0622, subdivision 2a, is amended to 
1.8 	read:
1.9 		Subd. 2a.Eligibility for assertive community treatment. An eligible client for assertive 
1.10 	community treatment is an individual who meets the following criteria as assessed by an 
1.11 	ACT team:
1.12 	(1) is age 18 or older. Individuals ages 16 and 17 may be eligible upon approval by the 
1.13 	commissioner;
1.14 	(2) has a primary diagnosis of schizophrenia, schizoaffective disorder, major depressive 
1.15 	disorder with psychotic features, other psychotic disorders, or bipolar disorder. Individuals 
1.16 	with other psychiatric illnesses may qualify for assertive community treatment if they have 
1.17 	a serious mental illness and meet the criteria outlined in clauses (3) and (4), but no more 
1.18 	than ten percent of an ACT team's clients may be eligible based on this criteria. Individuals 
1.19 	with a primary diagnosis of a substance use disorder, intellectual developmental disabilities, 
1.20 	borderline personality disorder, antisocial personality disorder, traumatic brain injury, or 
1.21 	an autism spectrum disorder are not eligible for assertive community treatment;
1.22 	(3) has significant functional impairment as demonstrated by at least one of the following 
1.23 	conditions:
2.1 	(i) significant difficulty consistently performing the range of routine tasks required for 
2.2 	basic adult functioning in the community or persistent difficulty performing daily living 
2.3 	tasks without significant support or assistance;
2.4 	(ii) significant difficulty maintaining employment at a self-sustaining level or significant 
2.5 	difficulty consistently carrying out the head-of-household responsibilities; or
2.6 	(iii) significant difficulty maintaining a safe living situation;
2.7 	(4) has a need for continuous high-intensity services as evidenced by at least two of the 
2.8 	following:
2.9 	(i) two or more psychiatric hospitalizations or residential crisis stabilization services in 
2.10 	the previous 12 months;
2.11 	(ii) frequent utilization of mental health crisis services in the previous six months;
2.12 	(iii) 30 or more consecutive days of psychiatric hospitalization in the previous 24 months;
2.13 	(iv) intractable, persistent, or prolonged severe psychiatric symptoms;
2.14 	(v) coexisting mental health and substance use disorders lasting at least six months;
2.15 	(vi) recent history of involvement with the criminal justice system or demonstrated risk 
2.16 	of future involvement;
2.17 	(vii) significant difficulty meeting basic survival needs;
2.18 	(viii) residing in substandard housing, experiencing homelessness, or facing imminent 
2.19 	risk of homelessness;
2.20 	(ix) significant impairment with social and interpersonal functioning such that basic 
2.21 	needs are in jeopardy;
2.22 	(x) coexisting mental health and physical health disorders lasting at least six months;
2.23 	(xi) residing in an inpatient or supervised community residence but clinically assessed 
2.24 	to be able to live in a more independent living situation if intensive services are provided;
2.25 	(xii) requiring a residential placement if more intensive services are not available; or
2.26 	(xiii) difficulty effectively using traditional office-based outpatient services; or
2.27 	(xiv) receiving services through a program that meets the requirements for the first 
2.28 	episode of psychosis grant program under section 245.4905 and having been determined to 
2.29 	need an ACT team;
3.1 	(5) there are no indications that other available community-based services would be 
3.2 	equally or more effective as evidenced by consistent and extensive efforts to treat the 
3.3 	individual; and
3.4 	(6) in the written opinion of a licensed mental health professional, has the need for mental 
3.5 	health services that cannot be met with other available community-based services, or is 
3.6 	likely to experience a mental health crisis or require a more restrictive setting if assertive 
3.7 	community treatment is not provided.

3.8 	Sec. 2. Minnesota Statutes 2022, section 256B.0622, subdivision 3a, is amended to read:
3.9 		Subd. 3a.Provider certification and contract requirements for assertive community 
3.10 	treatment. (a) The assertive community treatment provider must:
3.11 	(1) have a contract with the host county to provide assertive community treatment 
3.12 	services; and
3.13 	(2) have each ACT team be certified by the state following the certification process and 
3.14 	procedures developed by the commissioner. The certification process determines whether 
3.15 	the ACT team meets the standards for assertive community treatment under this section, 
3.16 	the standards in chapter 245I as required in section 245I.011, subdivision 5, and minimum 
3.17 	program fidelity standards as measured by a nationally recognized fidelity tool approved 
3.18 	by the commissioner. Recertification must occur at least every three years.
3.19 	(b) An ACT team certified under this subdivision must meet the following standards:
3.20 	(1) have capacity to recruit, hire, manage, and train required ACT team members;
3.21 	(2) have adequate administrative ability to ensure availability of services;
3.22 	(3) ensure flexibility in service delivery to respond to the changing and intermittent care 
3.23 	needs of a client as identified by the client and the individual treatment plan;
3.24 	(4) keep all necessary records required by law;
3.25 	(5) be an enrolled Medicaid provider; and
3.26 	(6) establish and maintain a quality assurance plan to determine specific service outcomes 
3.27 	and the client's satisfaction with services.
3.28 	(c) The commissioner may intervene at any time and decertify an ACT team with cause. 
3.29 	The commissioner shall establish a process for decertification of an ACT team and shall 
3.30 	require corrective action, medical assistance repayment, or decertification of an ACT team 
3.31 	that no longer meets the requirements in this section or that fails to meet the clinical quality 
4.1 	standards or administrative standards provided by the commissioner in the application and 
4.2 	certification process. The decertification is subject to appeal to the state.

4.3 	Sec. 3. Minnesota Statutes 2022, section 256B.0622, subdivision 7a, is amended to read:
4.4 		Subd. 7a.Assertive community treatment team staff requirements and roles. (a) 
4.5 	The required treatment staff qualifications and roles for an ACT team are:
4.6 	(1) the team leader:
4.7 	(i) shall be a mental health professional. Individuals who are not licensed but who are 
4.8 	eligible for licensure and are otherwise qualified may also fulfill this role but must obtain 
4.9 	full licensure within 24 months of assuming the role of team leader;
4.10 	(ii) must be an active member of the ACT team and provide some direct services to 
4.11 	clients;
4.12 	(iii) must be a single full-time staff member, dedicated to the ACT team, who is 
4.13 	responsible for overseeing the administrative operations of the team, providing treatment 
4.14 	supervision of services in conjunction with the psychiatrist or psychiatric care provider, and 
4.15 	supervising team members to ensure delivery of best and ethical practices; and
4.16 	(iv) must be available to provide ensure that overall treatment supervision to the ACT 
4.17 	team is available after regular business hours and on weekends and holidays. The team 
4.18 	leader may delegate this duty to another, and is provided by a qualified member of the ACT 
4.19 	team;
4.20 	(2) the psychiatric care provider:
4.21 	(i) must be a mental health professional permitted to prescribe psychiatric medications 
4.22 	as part of the mental health professional's scope of practice. The psychiatric care provider 
4.23 	must have demonstrated clinical experience working with individuals with serious and 
4.24 	persistent mental illness;
4.25 	(ii) shall collaborate with the team leader in sharing overall clinical responsibility for 
4.26 	screening and admitting clients; monitoring clients' treatment and team member service 
4.27 	delivery; educating staff on psychiatric and nonpsychiatric medications, their side effects, 
4.28 	and health-related conditions; actively collaborating with nurses; and helping provide 
4.29 	treatment supervision to the team;
4.30 	(iii) shall fulfill the following functions for assertive community treatment clients: 
4.31 	provide assessment and treatment of clients' symptoms and response to medications, including 
4.32 	side effects; provide brief therapy to clients; provide diagnostic and medication education 
5.1 	to clients, with medication decisions based on shared decision making; monitor clients' 
5.2 	nonpsychiatric medical conditions and nonpsychiatric medications; and conduct home and 
5.3 	community visits;
5.4 	(iv) shall serve as the point of contact for psychiatric treatment if a client is hospitalized 
5.5 	for mental health treatment and shall communicate directly with the client's inpatient 
5.6 	psychiatric care providers to ensure continuity of care;
5.7 	(v) shall have a minimum full-time equivalency that is prorated at a rate of 16 hours per 
5.8 	50 clients. Part-time psychiatric care providers shall have designated hours to work on the 
5.9 	team, with sufficient blocks of time on consistent days to carry out the provider's clinical, 
5.10 	supervisory, and administrative responsibilities. No more than two psychiatric care providers 
5.11 	may share this role; and
5.12 	(vi) shall provide psychiatric backup to the program after regular business hours and on 
5.13 	weekends and holidays. The psychiatric care provider may delegate this duty to another 
5.14 	qualified psychiatric provider;
5.15 	(3) the nursing staff:
5.16 	(i) shall consist of one to three registered nurses or advanced practice registered nurses, 
5.17 	of whom at least one has a minimum of one-year experience working with adults with 
5.18 	serious mental illness and a working knowledge of psychiatric medications. No more than 
5.19 	two individuals can share a full-time equivalent position;
5.20 	(ii) are responsible for managing medication, administering and documenting medication 
5.21 	treatment, and managing a secure medication room; and
5.22 	(iii) shall develop strategies, in collaboration with clients, to maximize taking medications 
5.23 	as prescribed; screen and monitor clients' mental and physical health conditions and 
5.24 	medication side effects; engage in health promotion, prevention, and education activities; 
5.25 	communicate and coordinate services with other medical providers; facilitate the development 
5.26 	of the individual treatment plan for clients assigned; and educate the ACT team in monitoring 
5.27 	psychiatric and physical health symptoms and medication side effects;
5.28 	(4) the co-occurring disorder specialist:
5.29 	(i) shall be a full-time equivalent co-occurring disorder specialist who has received 
5.30 	specific training on co-occurring disorders that is consistent with national evidence-based 
5.31 	practices. The training must include practical knowledge of common substances and how 
5.32 	they affect mental illnesses, the ability to assess substance use disorders and the client's 
5.33 	stage of treatment, motivational interviewing, and skills necessary to provide counseling to 
6.1 	clients at all different stages of change and treatment. The co-occurring disorder specialist 
6.2 	may also be an individual who is a licensed alcohol and drug counselor as described in 
6.3 	section 148F.01, subdivision 5, or a counselor who otherwise meets the training, experience, 
6.4 	and other requirements in section 245G.11, subdivision 5. No more than two co-occurring 
6.5 	disorder specialists may occupy this role; and
6.6 	(ii) shall provide or facilitate the provision of co-occurring disorder treatment to clients. 
6.7 	The co-occurring disorder specialist shall serve as a consultant and educator to fellow ACT 
6.8 	team members on co-occurring disorders;
6.9 	(5) the vocational specialist:
6.10 	(i) shall be a full-time vocational specialist who has at least one-year experience providing 
6.11 	employment services or advanced education that involved field training in vocational services 
6.12 	to individuals with mental illness. An individual who does not meet these qualifications 
6.13 	may also serve as the vocational specialist upon completing a training plan approved by the 
6.14 	commissioner;
6.15 	(ii) shall provide or facilitate the provision of vocational services to clients. The vocational 
6.16 	specialist serves as a consultant and educator to fellow ACT team members on these services; 
6.17 	and
6.18 	(iii) must not refer individuals to receive any type of vocational services or linkage by 
6.19 	providers outside of the ACT team;
6.20 	(6) the mental health certified peer specialist:
6.21 	(i) shall be a full-time equivalent. No more than two individuals can share this position. 
6.22 	The mental health certified peer specialist is a fully integrated team member who provides 
6.23 	highly individualized services in the community and promotes the self-determination and 
6.24 	shared decision-making abilities of clients. This requirement may be waived due to workforce 
6.25 	shortages upon approval of the commissioner;
6.26 	(ii) must provide coaching, mentoring, and consultation to the clients to promote recovery, 
6.27 	self-advocacy, and self-direction, promote wellness management strategies, and assist clients 
6.28 	in developing advance directives; and
6.29 	(iii) must model recovery values, attitudes, beliefs, and personal action to encourage 
6.30 	wellness and resilience, provide consultation to team members, promote a culture where 
6.31 	the clients' points of view and preferences are recognized, understood, respected, and 
6.32 	integrated into treatment, and serve in a manner equivalent to other team members;
7.1 	(7) the program administrative assistant shall be a full-time office-based program 
7.2 	administrative assistant position assigned to solely work with the ACT team, providing a 
7.3 	range of supports to the team, clients, and families; and
7.4 	(8) additional staff:
7.5 	(i) shall be based on team size. Additional treatment team staff may include mental 
7.6 	health professionals; clinical trainees; certified rehabilitation specialists; mental health 
7.7 	practitioners; or mental health rehabilitation workers. These individuals shall have the 
7.8 	knowledge, skills, and abilities required by the population served to carry out rehabilitation 
7.9 	and support functions; and
7.10 	(ii) shall be selected based on specific program needs or the population served.
7.11 	(b) Each ACT team must clearly document schedules for all ACT team members.
7.12 	(c) Each ACT team member must serve as a primary team member for clients assigned 
7.13 	by the team leader and are responsible for facilitating the individual treatment plan process 
7.14 	for those clients. The primary team member for a client is the responsible team member 
7.15 	knowledgeable about the client's life and circumstances and writes the individual treatment 
7.16 	plan. The primary team member provides individual supportive therapy or counseling, and 
7.17 	provides primary support and education to the client's family and support system.
7.18 	(d) Members of the ACT team must have strong clinical skills, professional qualifications, 
7.19 	experience, and competency to provide a full breadth of rehabilitation services. Each staff 
7.20 	member shall be proficient in their respective discipline and be able to work collaboratively 
7.21 	as a member of a multidisciplinary team to deliver the majority of the treatment, 
7.22 	rehabilitation, and support services clients require to fully benefit from receiving assertive 
7.23 	community treatment.
7.24 	(e) Each ACT team member must fulfill training requirements established by the 
7.25 	commissioner.

7.26 	Sec. 4. Minnesota Statutes 2023 Supplement, section 256B.0622, subdivision 7b, is 
7.27 	amended to read:
7.28 		Subd. 7b.Assertive community treatment program size and opportunities scores. (a)
7.29 	Each ACT team shall maintain an annual average caseload that does not exceed 100 clients. 
7.30 	Staff-to-client ratios shall be based on team size as follows: must demonstrate that the team 
7.31 	attained a passing score according to the most recently issued Tool for Measurement of 
7.32 	Assertive Community Treatment (TMACT).
8.1 	(1) a small ACT team must:
8.2 	(i) employ at least six but no more than seven full-time treatment team staff, excluding 
8.3 	the program assistant and the psychiatric care provider;
8.4 	(ii) serve an annual average maximum of no more than 50 clients;
8.5 	(iii) ensure at least one full-time equivalent position for every eight clients served;
8.6 	(iv) schedule ACT team staff on weekdays and on-call duty to provide crisis services 
8.7 	and deliver services after hours when staff are not working;
8.8 	(v) provide crisis services during business hours if the small ACT team does not have 
8.9 	sufficient staff numbers to operate an after-hours on-call system. During all other hours, 
8.10 	the ACT team may arrange for coverage for crisis assessment and intervention services 
8.11 	through a reliable crisis-intervention provider as long as there is a mechanism by which the 
8.12 	ACT team communicates routinely with the crisis-intervention provider and the on-call 
8.13 	ACT team staff are available to see clients face-to-face when necessary or if requested by 
8.14 	the crisis-intervention services provider;
8.15 	(vi) adjust schedules and provide staff to carry out the needed service activities in the 
8.16 	evenings or on weekend days or holidays, when necessary;
8.17 	(vii) arrange for and provide psychiatric backup during all hours the psychiatric care 
8.18 	provider is not regularly scheduled to work. If availability of the ACT team's psychiatric 
8.19 	care provider during all hours is not feasible, alternative psychiatric prescriber backup must 
8.20 	be arranged and a mechanism of timely communication and coordination established in 
8.21 	writing; and
8.22 	(viii) be composed of, at minimum, one full-time team leader, at least 16 hours each 
8.23 	week per 50 clients of psychiatric provider time, or equivalent if fewer clients, one full-time 
8.24 	equivalent nursing, one full-time co-occurring disorder specialist, one full-time equivalent 
8.25 	mental health certified peer specialist, one full-time vocational specialist, one full-time 
8.26 	program assistant, and at least one additional full-time ACT team member who has mental 
8.27 	health professional, certified rehabilitation specialist, clinical trainee, or mental health 
8.28 	practitioner status; and
8.29 	(2) a midsize ACT team shall:
8.30 	(i) be composed of, at minimum, one full-time team leader, at least 16 hours of psychiatry 
8.31 	time for 51 clients, with an additional two hours for every six clients added to the team, 1.5 
8.32 	to two full-time equivalent nursing staff, one full-time co-occurring disorder specialist, one 
8.33 	full-time equivalent mental health certified peer specialist, one full-time vocational specialist, 
9.1 	one full-time program assistant, and at least 1.5 to two additional full-time equivalent ACT 
9.2 	members, with at least one dedicated full-time staff member with mental health professional 
9.3 	status. Remaining team members may have mental health professional, certified rehabilitation 
9.4 	specialist, clinical trainee, or mental health practitioner status;
9.5 	(ii) employ seven or more treatment team full-time equivalents, excluding the program 
9.6 	assistant and the psychiatric care provider;
9.7 	(iii) serve an annual average maximum caseload of 51 to 74 clients;
9.8 	(iv) ensure at least one full-time equivalent position for every nine clients served;
9.9 	(v) schedule ACT team staff for a minimum of ten-hour shift coverage on weekdays 
9.10 	and six- to eight-hour shift coverage on weekends and holidays. In addition to these minimum 
9.11 	specifications, staff are regularly scheduled to provide the necessary services on a 
9.12 	client-by-client basis in the evenings and on weekends and holidays;
9.13 	(vi) schedule ACT team staff on-call duty to provide crisis services and deliver services 
9.14 	when staff are not working;
9.15 	(vii) have the authority to arrange for coverage for crisis assessment and intervention 
9.16 	services through a reliable crisis-intervention provider as long as there is a mechanism by 
9.17 	which the ACT team communicates routinely with the crisis-intervention provider and the 
9.18 	on-call ACT team staff are available to see clients face-to-face when necessary or if requested 
9.19 	by the crisis-intervention services provider; and
9.20 	(viii) arrange for and provide psychiatric backup during all hours the psychiatric care 
9.21 	provider is not regularly scheduled to work. If availability of the psychiatric care provider 
9.22 	during all hours is not feasible, alternative psychiatric prescriber backup must be arranged 
9.23 	and a mechanism of timely communication and coordination established in writing;
9.24 	(3) a large ACT team must:
9.25 	(i) be composed of, at minimum, one full-time team leader, at least 32 hours each week 
9.26 	per 100 clients, or equivalent of psychiatry time, three full-time equivalent nursing staff, 
9.27 	one full-time co-occurring disorder specialist, one full-time equivalent mental health certified 
9.28 	peer specialist, one full-time vocational specialist, one full-time program assistant, and at 
9.29 	least two additional full-time equivalent ACT team members, with at least one dedicated 
9.30 	full-time staff member with mental health professional status. Remaining team members 
9.31 	may have mental health professional or mental health practitioner status;
9.32 	(ii) employ nine or more treatment team full-time equivalents, excluding the program 
9.33 	assistant and psychiatric care provider;
10.1 	(iii) serve an annual average maximum caseload of 75 to 100 clients;
10.2 	(iv) ensure at least one full-time equivalent position for every nine individuals served;
10.3 	(v) schedule staff to work two eight-hour shifts, with a minimum of two staff on the 
10.4 	second shift providing services at least 12 hours per day weekdays. For weekends and 
10.5 	holidays, the team must operate and schedule ACT team staff to work one eight-hour shift, 
10.6 	with a minimum of two staff each weekend day and every holiday;
10.7 	(vi) schedule ACT team staff on-call duty to provide crisis services and deliver services 
10.8 	when staff are not working; and
10.9 	(vii) arrange for and provide psychiatric backup during all hours the psychiatric care 
10.10 	provider is not regularly scheduled to work. If availability of the ACT team psychiatric care 
10.11 	provider during all hours is not feasible, alternative psychiatric backup must be arranged 
10.12 	and a mechanism of timely communication and coordination established in writing.
10.13 	(b) An ACT team of any size may have a staff-to-client ratio that is lower than the 
10.14 	requirements described in paragraph (a) upon approval by the commissioner, but may not 
10.15 	exceed a one-to-ten staff-to-client ratio.

10.16 	Sec. 5. Minnesota Statutes 2022, section 256B.0622, subdivision 7d, is amended to read:
10.17 		Subd. 7d.Assertive community treatment assessment and individual treatment 
10.18 	plan. (a) An initial assessment shall be completed the day of the client's admission to 
10.19 	assertive community treatment by the ACT team leader or the psychiatric care provider, 
10.20 	with participation by designated ACT team members and the client. The initial assessment 
10.21 	must include obtaining or completing a standard diagnostic assessment according to section 
10.22 	245I.10, subdivision 6, and completing a 30-day individual treatment plan. The team leader, 
10.23 	psychiatric care provider, or other mental health professional designated by the team leader 
10.24 	or psychiatric care provider, must update the client's diagnostic assessment at least annually
10.25 	as required under section 245I.10, subdivision 2, paragraphs (f) and (g).
10.26 	(b) A functional assessment must be completed according to section 245I.10, subdivision 
10.27 	9. Each part of the functional assessment areas shall be completed by each respective team 
10.28 	specialist or an ACT team member with skill and knowledge in the area being assessed.
10.29 	(c) Between 30 and 45 days after the client's admission to assertive community treatment, 
10.30 	the entire ACT team must hold a comprehensive case conference, where all team members, 
10.31 	including the psychiatric provider, present information discovered from the completed 
10.32 	assessments and provide treatment recommendations. The conference must serve as the 
11.1 	basis for the first individual treatment plan, which must be written by the primary team 
11.2 	member.
11.3 	(d) The client's psychiatric care provider, primary team member, and individual treatment 
11.4 	team members shall assume responsibility for preparing the written narrative of the results 
11.5 	from the psychiatric and social functioning history timeline and the comprehensive 
11.6 	assessment.
11.7 	(e) The primary team member and individual treatment team members shall be assigned 
11.8 	by the team leader in collaboration with the psychiatric care provider by the time of the first 
11.9 	treatment planning meeting or 30 days after admission, whichever occurs first.
11.10 	(f) Individual treatment plans must be developed through the following treatment planning 
11.11 	process:
11.12 	(1) The individual treatment plan shall be developed in collaboration with the client and 
11.13 	the client's preferred natural supports, and guardian, if applicable and appropriate. The ACT 
11.14 	team shall evaluate, together with each client, the client's needs, strengths, and preferences 
11.15 	and develop the individual treatment plan collaboratively. The ACT team shall make every 
11.16 	effort to ensure that the client and the client's family and natural supports, with the client's 
11.17 	consent, are in attendance at the treatment planning meeting, are involved in ongoing 
11.18 	meetings related to treatment, and have the necessary supports to fully participate. The 
11.19 	client's participation in the development of the individual treatment plan shall be documented.
11.20 	(2) The client and the ACT team shall work together to formulate and prioritize the 
11.21 	issues, set goals, research approaches and interventions, and establish the plan. The plan is 
11.22 	individually tailored so that the treatment, rehabilitation, and support approaches and 
11.23 	interventions achieve optimum symptom reduction, help fulfill the personal needs and 
11.24 	aspirations of the client, take into account the cultural beliefs and realities of the individual, 
11.25 	and improve all the aspects of psychosocial functioning that are important to the client. The 
11.26 	process supports strengths, rehabilitation, and recovery.
11.27 	(3) Each client's individual treatment plan shall identify service needs, strengths and 
11.28 	capacities, and barriers, and set specific and measurable short- and long-term goals for each 
11.29 	service need. The individual treatment plan must clearly specify the approaches and 
11.30 	interventions necessary for the client to achieve the individual goals, when the interventions 
11.31 	shall happen, and identify which ACT team member shall carry out the approaches and 
11.32 	interventions.
11.33 	(4) The primary team member and the individual treatment team, together with the client 
11.34 	and the client's family and natural supports with the client's consent, are responsible for 
12.1 	reviewing and rewriting the treatment goals and individual treatment plan whenever there 
12.2 	is a major decision point in the client's course of treatment or at least every six months.
12.3 	(5) The primary team member shall prepare a summary that thoroughly describes in 
12.4 	writing the client's and the individual treatment team's evaluation of the client's progress 
12.5 	and goal attainment, the effectiveness of the interventions, and the satisfaction with services 
12.6 	since the last individual treatment plan. The client's most recent diagnostic assessment must 
12.7 	be included with the treatment plan summary.
12.8 	(6) The individual treatment plan and review must be approved or acknowledged by the 
12.9 	client, the primary team member, the team leader, the psychiatric care provider, and all 
12.10 	individual treatment team members. A copy of the approved individual treatment plan must 
12.11 	be made available to the client.

12.12 	Sec. 6. REVISOR INSTRUCTION.
 12.13 	The revisor of statutes, in consultation with the Office of Senate Counsel, Research and 
12.14 	Fiscal Analysis; the House Research Department; and the commissioner of human services, 
12.15 	shall prepare legislation for the 2025 legislative session to recodify Minnesota Statutes, 
12.16 	section 256B.0622, to move provisions related to assertive community treatment and intensive 
12.17 	residential treatment services into separate sections of statute. The revisor shall correct any 
12.18 	cross-references made necessary by this recodification.