1.1                          A bill for an act 
  1.2             relating to health; creating grants for sexually 
  1.3             transmitted infections prevention and treatment; 
  1.4             creating grants for HIV and substance use prevention; 
  1.5             providing medical assistance coverage for HIV disease 
  1.6             case management; appropriating money for prevention 
  1.7             and treatment of sexually transmitted infections, HIV 
  1.8             prevention initiatives for greater Minnesota, and HIV 
  1.9             and substance abuse prevention; amending Minnesota 
  1.10            Statutes 1998, sections 144.065; 145.9255, subdivision 
  1.11            1; and 256B.0625, by adding a subdivision; proposing 
  1.12            coding for new law in Minnesota Statutes, chapters 
  1.13            144; 245A; and 256B. 
  1.14  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.15     Section 1.  Minnesota Statutes 1998, section 144.065, is 
  1.16  amended to read: 
  1.17     144.065 [VENEREAL DISEASE TREATMENT CENTERS PREVENTION AND 
  1.18  TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS.] 
  1.19     The state commissioner of health shall assist local health 
  1.20  agencies and organizations throughout the state with the 
  1.21  development and maintenance of services for the detection and 
  1.22  treatment of venereal diseases sexually transmitted infections.  
  1.23  These services shall provide for research, diagnosis, treatment, 
  1.24  case finding, investigation, and the dissemination of 
  1.25  appropriate educational information.  The state commissioner of 
  1.26  health shall promulgate rules relative to the composition of 
  1.27  such services and shall establish a method of providing funds to 
  1.28  local health agencies boards of health as defined in section 
  1.29  145A.02, subdivision 2, state agencies, state councils, and 
  2.1   organizations nonprofit corporations, which offer such 
  2.2   services.  The state commissioner of health shall provide 
  2.3   technical assistance to such agencies and organizations in 
  2.4   accordance with the needs of the local area.  Planning and 
  2.5   implementation of services, rules, and technical assistance may 
  2.6   be conducted in collaboration with boards of health as defined 
  2.7   in section 145A.02, subdivision 2; state agencies, including the 
  2.8   University of Minnesota and the department of children, 
  2.9   families, and learning; state councils; nonprofit corporations; 
  2.10  and representatives of affected populations.  
  2.11     Sec. 2.  [144.066] [SEXUALLY TRANSMITTED INFECTIONS 
  2.12  PREVENTION AND TREATMENT GRANTS.] 
  2.13     The commissioner may award grants to boards of health as 
  2.14  defined in section 145A.02, subdivision 2, state agencies, state 
  2.15  councils, or nonprofit corporations to provide services 
  2.16  described in section 144.065 to populations most vulnerable to 
  2.17  sexually transmitted infections as determined by current 
  2.18  epidemiological research. 
  2.19     Sec. 3.  Minnesota Statutes 1998, section 145.9255, 
  2.20  subdivision 1, is amended to read: 
  2.21     Subdivision 1.  [ESTABLISHMENT.] The commissioner of 
  2.22  health, in consultation with a representative from Minnesota 
  2.23  planning, the commissioner of human services, and the 
  2.24  commissioner of children, families, and learning, shall develop 
  2.25  and implement the Minnesota education now and babies later (MN 
  2.26  ENABL) program, targeted to adolescents ages 12 to 14, with the 
  2.27  goal of reducing the incidence of adolescent pregnancy and of 
  2.28  reducing sexually transmitted infections in the state.  The 
  2.29  program must provide a multifaceted, primary prevention, 
  2.30  community health promotion approach to educating and supporting 
  2.31  adolescents in the decision to postpone sexual involvement 
  2.32  modeled after the ENABL program in California.  The commissioner 
  2.33  of health shall consult with the chief of the health education 
  2.34  section of the California department of health services for 
  2.35  general guidance in developing and implementing the program. 
  2.36     Sec. 4.  [245A.195] [HIV AND SUBSTANCE USE PREVENTION 
  3.1   GRANTS.] 
  3.2      The commissioner of human services, in consultation with 
  3.3   the commissioner of health, may award grants to state agencies, 
  3.4   state councils, nonprofit corporations, or applicants and 
  3.5   license holders for chemical dependency residential and 
  3.6   nonresidential programs to demonstrate innovative strategies for 
  3.7   training required under section 245A.19 or to demonstrate 
  3.8   innovative strategies for prevention of HIV transmission risk 
  3.9   related to substance abuse.  The grants shall be awarded to 
  3.10  reach populations most vulnerable to HIV infection due to 
  3.11  substance abuse and may be awarded to promote partnerships 
  3.12  between eligible entities.  The commissioner may consult with 
  3.13  representatives of eligible entities or populations most 
  3.14  vulnerable to HIV infection due to substance abuse in 
  3.15  establishing priorities for grants and evaluating impact. 
  3.16     Sec. 5.  Minnesota Statutes 1998, section 256B.0625, is 
  3.17  amended by adding a subdivision to read: 
  3.18     Subd. 20b.  [HIV DISEASE CASE MANAGEMENT.] Medical 
  3.19  assistance covers case management services, as defined in 
  3.20  section 256B.0921, for persons diagnosed with HIV disease.  
  3.21     Sec. 6.  [256B.0921] [MEDICAL ASSISTANCE COVERAGE FOR HIV 
  3.22  DISEASE CASE MANAGEMENT.] 
  3.23     Subdivision 1.  [HIV DISEASE CASE MANAGEMENT SERVICES; 
  3.24  DEFINITION.] (a) "HIV disease case management services" means 
  3.25  activities that provide information and coordinate use of a 
  3.26  variety of services for people diagnosed with HIV disease to 
  3.27  maximize health, prevent transmission, and gain access to 
  3.28  benefits management, medical, psychological, emotional, chemical 
  3.29  dependency treatment, financial, habilitative, legal, 
  3.30  vocational, and other related services.  Case management 
  3.31  services include developing an individual service plan and 
  3.32  assisting individuals with HIV disease in obtaining needed 
  3.33  services and providing education and support to ensure effective 
  3.34  use of services and disease management.  
  3.35     (b) Individuals providing case management services shall 
  3.36  regularly assess the appropriateness, delivery, and 
  4.1   effectiveness of the services. 
  4.2      Subd. 2.  [ELIGIBLE SERVICES.] Services eligible for 
  4.3   medical assistance reimbursement include: 
  4.4      (1) assessment of the recipient's need for case management 
  4.5   services to gain access to medical, social, vocational, and 
  4.6   other related services; 
  4.7      (2) development, implementation, and regular review of a 
  4.8   written individual service plan based on the assessment of need 
  4.9   for case management services to ensure access to medical, 
  4.10  social, vocational, and other related services; 
  4.11     (3) coordinating referrals for and the provision of case 
  4.12  management services; 
  4.13     (4) providing information and referral on disease 
  4.14  management, including, but not limited to, medication 
  4.15  compliance, self-care education, and transmission risk 
  4.16  reduction; 
  4.17     (5) coordinating and monitoring the overall service 
  4.18  delivery to ensure quality of services; and 
  4.19     (6) monitoring and evaluating services on a regular basis 
  4.20  to ensure appropriateness and continued need. 
  4.21     Subd. 3.  [PROVIDER QUALIFICATIONS AND STANDARDS; 
  4.22  REIMBURSEMENT.] The commissioner of human services shall 
  4.23  establish HIV disease case management provider qualifications 
  4.24  and standards for eligibility to provide case management 
  4.25  services as described in this section.  The commissioner shall 
  4.26  establish the requirements and methods for reimbursement of case 
  4.27  management services. 
  4.28     Sec. 7.  [SEXUALLY TRANSMITTED INFECTIONS PREVENTION AND 
  4.29  TREATMENT REPORT.] 
  4.30     The commissioner of health shall report to the legislature 
  4.31  by February 1, 2000, on activities required under Minnesota 
  4.32  Statutes, section 144.065, including: 
  4.33     (1) the results of a statewide assessment of need and 
  4.34  community participation in the process; 
  4.35     (2) research on the prevalence of sexually transmitted 
  4.36  infections; 
  5.1      (3) changes in collecting epidemiological information about 
  5.2   currently nonreportable sexually transmitted infections such as 
  5.3   herpes and genital warts; 
  5.4      (4) changes in reporting to collect information on risk 
  5.5   behaviors; 
  5.6      (5) expansion of screening access for populations most 
  5.7   vulnerable to sexually transmitted infections; 
  5.8      (6) plans for providing technical assistance to boards of 
  5.9   health as defined in Minnesota Statutes, section 145A.02, 
  5.10  subdivision 2, state agencies, state councils, or nonprofit 
  5.11  corporations; 
  5.12     (7) plans for implementing a prevention and treatment grant 
  5.13  program under Minnesota Statutes, section 144.066; and 
  5.14     (8) implementation of prevention activities through the MN 
  5.15  ENABL program under Minnesota Statutes, section 145.9255.  
  5.16     Sec. 8.  [APPROPRIATIONS.] 
  5.17     Subdivision 1.  [PREVENTION AND TREATMENT OF SEXUALLY 
  5.18  TRANSMITTED INFECTIONS.] $1,470,000 is appropriated in fiscal 
  5.19  year 2000 and $1,470,000 is appropriated in fiscal year 2001 
  5.20  from the general fund to the commissioner of health for 
  5.21  prevention and treatment of sexually transmitted infections 
  5.22  according to Minnesota Statutes, section 144.065. 
  5.23     Subd. 2.  [SEXUALLY TRANSMITTED INFECTIONS PREVENTION AND 
  5.24  TREATMENT GRANTS.] $3,500,000 is appropriated in fiscal year 
  5.25  2001 from the general fund to the commissioner of health for 
  5.26  prevention and treatment of sexually transmitted infections 
  5.27  according to Minnesota Statutes, section 144.066.  At least 25 
  5.28  percent of this appropriation shall be awarded to boards of 
  5.29  health for this purpose. 
  5.30     Subd. 3.  [SEXUALLY TRANSMITTED INFECTIONS PREVENTION AND 
  5.31  MN ENABL.] $250,000 is appropriated in fiscal year 2000 and 
  5.32  $250,000 is appropriated in fiscal year 2001 from the general 
  5.33  fund to the commissioner of health for the MN ENABL program 
  5.34  under Minnesota Statutes, section 145.9255, for prevention and 
  5.35  treatment of sexually transmitted infections. 
  5.36     Subd. 4.  [HIV AND SUBSTANCE ABUSE PREVENTION 
  6.1   GRANTS.] $500,000 is appropriated in fiscal year 2000 and 
  6.2   $500,000 is appropriated in fiscal year 2001 from the general 
  6.3   fund to the commissioner of human services for prevention of HIV 
  6.4   as a result of substance abuse. 
  6.5      Subd. 5.  [AIDS PREVENTION GRANTS.] $500,000 is 
  6.6   appropriated for the biennium ending June 30, 2001, from the 
  6.7   general fund to the commissioner of health for AIDS prevention 
  6.8   grants in accordance with Minnesota Statutes, section 145.924, 
  6.9   for general community awareness and education activities in 
  6.10  communities outside of the Twin Cities metropolitan area.  
  6.11  $125,000 of this appropriation shall be paid directly to boards 
  6.12  of health as defined in Minnesota Statutes, section 145A.02, 
  6.13  subdivision 2. 
  6.14     Subd. 6.  [HIV CASE MANAGEMENT.] $163,000 is appropriated 
  6.15  in fiscal year 2000 and $560,000 is appropriated in fiscal year 
  6.16  2001 from the general fund to the commissioner of human services 
  6.17  for HIV disease case management.