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Capital IconMinnesota Legislature

Session Year 2005, Special Session 1

Bill Name: SF0107

Relating to the organization, operation and financing of state government,
appropriating money for and modifying certain health and human services programs
and services

ARTICLE 1 - LICENSING PROVISIONS

Modifying certain human
services licensing and predatory offender data access provisions; authorizing
the exchange of welfare licensing and investigative not public data between the
licensing division of the department of human services and the department of
corrections for combined services regulation purposes; expanding the definition
of health care facility under the predatory offender registration law and
exempting hospitals from the predatory offender admission patient notice
requirement; expanding the licensing exception for head start nonresidential
programs and clarifying the exemption for scouting, boys and girls club, and
children's sports and art programs; clarifying the authority of the commissioner
of human services to secure court orders against continued operation of programs
failing to apply for a license after receiving notice of the license
requirement; expanding certain requirements of counties or private child placing
agencies granting emergency foster care licenses to relatives, requiring
explanation of the background study process and information relating to legal
representation, disqualification and the right to request reconsideration to
prospective licensees, specifying certain licensing data maintenance
requirements of the commissioner; prohibiting the commissioner from issuing
licenses for services in households with individuals disqualified from licensure
through a background check and specifying certain requirements for
reapplication; modifying and clarifying a certain provision regulating the
handling of personal funds or property of
persons served by residential
programs; requiring family child care and child care center license holders to
post correction or conditional license or license suspension or revocation
orders, requiring simultaneous posting of investigation memoranda in
maltreatment investigation cases; requiring and providing for the commissioner
to issue temporary provisional licenses to license holders appealing license
suspension or revocation with licenses expiring during the appeal period and new
licenses to licensees under investigation with expired licenses; specifying the
scope of contested case hearings upon determination of license holder
responsibility for maltreatment and issuance of a fine at the same time and
requiring the scope of administrative law judge review to include license
denials or sanctions and determinations relating to setting aside
disqualifications in certain criminal conviction or admission and variance
termination cases; expanding the requirement for county attorneys to defend
orders of the commissioner in consolidated contested case hearings relating to
sanctions to family adult day services; specifying certain first aid and
cardiopulmonary resuscitation (CPR) training requirements for staff in child
care centers; expanding certain sudden
infant death syndrome (SIDS) risk
reduction requirements to child foster care programs and to shaken baby
syndrome; requiring county agencies to annually report to the commissioner
certain information relating to disqualified household members for relative
child foster care applicants and license holders; defining conflict of interest
relating to county attorney enforcement of orders of the commissioner relating
to sanctions and background checks; imposing certain child passenger restraint
systems use and training requirements for family and group family child care,
child care center and child foster care programs staff serving children under a
certain age and expanding requirements for use; expanding the definition of
incident under standards governing services
to the mentally retarded; clarifying
the method for determining the number of direct service staff required for day
training and habilitation services and modifying certain policies and procedures
promoting consumer health and safety; modifying certain licensed programs
background study requirements of the commissioner and of county or private
agencies, requiring only one study of license holders owning multiple licensed
facilities; clarifying and expanding certain disqualification requirements
relating to the commission of certain crimes and specifying the disqualification
period for disqualifications based on a judicial determination other than a
conviction; expanding certain disqualification notice content requirements;
specifying the timelines for reconsideration requests delivered by personal
service or mail; expanding the requirement for the commissioner to determine
risk of harm upon receipt of reconsideration requests; modifying and clarifying
certain provisions
prohibiting or restricting commissioner disqualification set
asides; providing for treatment on appeal of individuals disqualified based on a
judicial determination and authorizing individuals disqualified based on both a
preponderance of evidence and a conviction or admission and not receiving a set
aside to request a fair hearing, exception, limiting the scope; limiting the
scope of contested case hearings for public employees disqualified based on a
conviction or admission; creating an exception to the requirement for the
commissioner to obtain consent of license holders granted disqualification
variances to disclose the reason for disqualification under certain child or
foster care programs; requiring licensed family child care providers and child
care centers to notify parents upon employment or presence in the home of
persons subject to a set aside or variance; expanding certain recordkeeping
requirements for patients and residents receiving state operated services;
granting the commissioner access to medical and criminal history data for
predatory offender risk assessment and management for registration
purposes;
requiring and providing for background studies on guardians ad litem
through the commissioner, specifying certain duties of the court; providing for
the availability of certain expunged records for background check purposes;
modifying the time limit for investigating agency action on reconsideration
requests under the child and vulnerable adult maltreatment reporting acts and
prohibiting the reconsideration of certain maltreatment determinations involving
a fine; expanding the content requirement for nursing or health care facility
vulnerable adult abuse prevention plans relating to the risk of abusing other
vulnerable adults under certain conditions

ARTICLE 2 - MENTAL AND CHEMICAL
HEALTH

Requesting clinical medical education programs training pediatricians to
include curriculum in case and medication management for children suffering from
mental illness; authorizing the commissioner of human services to transfer
certain funds to implement the restructuring of adult mental health services;
expanding and modifying certain duties of county boards under the children's
mental health act and specifying certain level of care determination
requirements; providing medical assistance (MA) coverage for mental health
services provided by interactive video, for certain treatment foster care
services, for psychiatric consultations provided through electronic
communications to primary care practitioners and for transitional youth
intensive rehabilitative mental health services; reducing the frequency
requirement for autism spectrum disorder assessments under the medical
assistance children's therapeutic services and supports program; modifying the
division of cost requirements under medical assistance for the costs of certain
placements in intermediate care facilities for persons with mental retardation
or related conditions (ICF/MR); providing general assistance medical care and
MinnesotaCare coverage for mental health telemedicine and for psychiatric
consultations and modifying the GAMC standards of assistance under the adult
mental health residential treatment program; requiring the commissioner of
corrections to develop a model discharge planning process for certain criminal
offenders with serious and persistent mental illness released from county jails
for use by county human services departments; requiring the commissioner of
administration to give priority to supported work vendors in awarding contracts
for janitorial services for the new building for the departments of human
services and health under certain conditions; providing an enhanced separation
package for state employees covered by collective bargaining agreements
negotiated by AFSCME council 5 separating from employment at the Willmar
regional treatment center regardless of the date of facility closure and
providing continued coverage under the Minnesota state retirement system (MSRS)
or for election of coverage under the public employees retirement association
(PERA) for employees transferring to Kandiyohi county employment

ARTICLE 3 -
FAMILY SUPPORT

Modifying certain child care assistance subsidy restrictions;
limiting the number of absent days allowed for reimbursement to child care
providers under the child care assistance program, requiring medical condition
documentation to exceed the limit; requiring the commissioner of human services
to make available for viewing by licensed and legal nonlicensed child care
providers a video presentation on the dangers associated with shaking infants
and young children as part of the initial and annual training of the providers,
participation by legal nonlicensed child care providers to be voluntary;
reducing certain child care center licensing fees under the human services
licensing act; modifying certain parental contribution requirements for the cost
of services for children with mental retardation; reinstating the American
Indian, alcohol and other drug abuse and American Indian child welfare advisory
councils; authorizing and providing for the commissioner to authorize projects
to test tribal delivery of child welfare services to American Indian children,
parents and custodians living on reservations; expanding eligibility under
medical assistance (MA) for targeted case management services for vulnerable
adults and persons with developmental disabilities to certain adults lacking a
permanent residence; extending the expiration date of the traumatic brain injury
advisory committee; modifying certain general assistance interim assistance
agreement and recoveries provisions, authorizing commissioner contracts for
advocacy and support services to process claims for federal disability benefits
for applicants or recipients of services or benefits supervised by the
commissioner; modifying the group residential housing (GRH) supplementary
payment rate for certain facilities in Hennepin county serving chemically
dependent persons; modifying the treatment of supplemental security income and
expanding employment and training services overview requirements under the
Minnesota family investment program (MFIP); requiring and providing for the
commissioner to establish a long term homeless supportive services fund to
provide integrated services needed to stabilize individuals, families and youth
living in supportive housing under the work first pilot project; requiring the
commissioner to examine the feasibility of a statewide standard for setting
license and background study fees for licensed family child care providers and
make recommendations to the legislature by a certain date; modifying the child
care assistance parent fee schedule; repealing the child care provider
reimbursement rate freeze, the special revenue account for child support
collections, the GA interim assistance advocacy incentive program and a certain
study by the commissioner relating to the dedication of a portion of children
and community services grant allocations for projects of regional significance


ARTICLE 4 - HEALTH IMPACT FEE

Imposing a tobacco use health impact fee on
cigarette and tobacco products distributors and consumers to recover tobacco
related health costs and to reduce tobacco use, creating a health impact fund
for deposit of fee revenues; specifying certain tobacco expenditures
certification requirements of the commissioner of human services and providing
for certain fund reimbursements; specifying certain stamp requirements;
authorizing commissioner of revenue revocation or suspension of licenses of
distributors and sales or use tax permits of retailers failing to comply with
the requirements; imposing a floor stocks fee on cigarettes and tobacco
products, providing for audit and enforcement, requiring crediting to the health
impact fund

ARTICLE 5 - MISCELLANEOUS

Modifying the prohibition on social
worker sexual conduct with former clients; requiring and providing for the board
of health to establish and maintain a cancer drug repository program authorizing
persons to donate cancer drugs or supplies for use by individuals meeting
certain eligibility criteria; authorizing the commissioner of corrections to
contract for the purchase of prescription drugs for persons confined in state
correctional institutions, authorizing local government participation in the
purchasing pool for the benefit of persons confined in local correctional
facilities and providing for the establishment of a drug formulary; modifying
certain provisions relating to adult mental health service delivery pilot
projects, authorizing the implementation of enterprise activities; imposing an
annual license fee on home and community based waiver residential based
habilitation services for persons with developmental disabilities, exempting
state operated programs; increasing the fee for the cost of background studies
initiated by supplemental nursing services agencies and personal care provider
organizations and the limit on the fee for the cost of obtaining and providing
requested background study data; expanding Minnesota security hospital location
requirements; requiring the commissioner of human services to authorize the
method of payment to or from the department as a part of the human services
programs administered by the department; requiring the deposit of child support
collections in the general fund; eliminating the requirement for the
commissioner of finance to include a certain amount of money per year to fund
projects of regional significance under the community service act; prohibiting
contracting agreements between health plan companies or contracted pharmacy
benefits managers and pharmacies from prohibiting certain transactions relating
to the transfer of certain MinnesotaCare gross earnings tax expenses to the
health plan company or the pharmacy benefits manager; authorizing regional
service cooperatives and local government units to contract for the voluntary
purchase of long term care insurance by employees and dependents; limiting
county board payments for the costs of medical services provided to prisoners;
modifying certain rate increase requirements for certain fee for service
payments under medical assistance (MA), general assistance medical care (GAMC)
and MinnesotaCare; repealing the special revenue account for child support
collections

ARTICLE 6 - HEALTH DEPARTMENT

Requiring the commissioner of
health to establish a temporary health information technology and infrastructure
advisory committee for advice on certain health information technology and
infrastructure issues; increasing well notification, permit, variance and
disclosure certificate fees, changing exploratory borers licenses to explorers
licenses and setting certain fees; increasing hospital and outpatient surgical
center license fees and prescribing fees for plumbing examinations,
registrations, licenses and inspections; expanding the definition of eligible
rural hospital under the rural hospital planning and transition and capital
improvement grant programs, requiring a commissioner priority to grant
applications for electronic health records systems projects; requiring and
providing for the commissioner to establish a rural pharmacy planning and
transition grant program to preserve access to prescription medications and
pharmacist skills; expanding the health professional education loan forgiveness
program; increasing certain fees for processing requests for vital records,
making the fees nonrefundable, requiring the establishment of a fee for
electronic verification of vital events and authorizing the implementation of
alternative payment methods; increasing the public water supply service
connection annual fee; creating an exception to the hospital construction
moratorium for certain critical access hospitals and modifying certain swing bed
restrictions; authorizing the transfer of a certain number of mental health beds
from the Hennepin county medical center (HCMC) to Regions hospital; requiring
and providing for hospital and health care provider education of parents on the
dangers associated with shaking infants and young children, specifying certain
duties of the commissioner; requiring and providing for the commissioner to
adopt certain statewide trauma system criteria for prompt transportation and
treatment of severely injured people and to designate certain hospitals as
trauma hospitals, regulating interhospital transfers and establishing a registry
and an advisory council; reducing the blood lead level required for lead risk
assessments of residences; increasing and expanding the fees for certification
of environmental laboratories; expanding abortion informed consent requirements,
requiring certain information relating to elimination or alleviation of organic
pain to the unborn child; restricting the establishment of suicide prevention
programs to the availability of funds; requiring and providing for the
commissioner to establish a postpartum depression education and information
program for use by health care professionals providing prenatal care to women;
modifying the community clinic grant program; replacing the board of dentistry
with the commissioner of health as the agency responsible for the donated dental
services program; prohibiting a requirement for food establishments to acquire
equipment or change construction solely as a result of ownership change;
imposing a statewide hospitality fee to fund statewide food, beverage and
lodging program development activities and increasing or imposing or increasing
certain food and beverage establishment fees or penalties, clarifying certain
food and beverage establishments inspection frequency requirements and providing
for the inspection of school food service establishments; requiring and
providing for the commissioner to develop a statewide integrated and
comprehensive cervical cancer prevention plan for screening rate improvement
purposes and to work with local public health departments to develop a public
health information network consistent with the recommendations, goals and
strategies of the Minnesota public health network report to the legislature and
the e-health initiative; requiring the commissioner to review swing bed usage
and report to the legislature by a certain date, to implement an interoperable
electronic health records systems, to amend a certain rule for consistency with
the new food manager certification fee and to review the leadership and advisory
role of the department of health relating to dental health; repealing the rural
community health centers and dentists loan forgiveness programs, the regulated
food and beverage service establishment industry pilot project and the nursing
low income loan repayment program

ARTICLE 7 - LONG TERM CARE AND CONTINUING
CARE

Authorizing the commissioner of health to approve a request by a certain
nursing facility in the city of Duluth for amendment of a previously approved
nursing home bed moratorium exception project; extending the duration of
extensions of approval of certain moratorium exceptions; requiring certain
reports to the legislature by the commissioner on pending applications for
medical assistance (MA) from persons residing in long term care facilities;
providing a partial disregard for increases in benefits under title II of the
social security act from income for eligibility of employed persons with
disabilities for medical assistance; requiring and providing for the
commissioner of human services in cooperation with the commissioner of commerce
to establish the Minnesota partnership for long term care program to provide for
the financing of long term care through a combination of private insurance and
medical assistance; providing medical assistance coverage for relocation service
coordination under targeted case management services and modifying coverage for
home care targeted case management, requiring the commissioner of human services
to execute a data use agreement with the centers for medicare and medicaid
services to obtain long term care minimum data set data to assist residents of
nursing facilities indicating a desire to live in the community; requiring the
commissioner to exempt facilities with swing beds agreeing to provide certain
services from the sole community provider requirement; specifying certain
physician statement of need requirements for medical assistance coverage of
personal care assistant services and certain records maintenance requirements of
personal care assistants and organizations, modifying the authority to delegate
duties of responsible parties to other adults and certain requirements for the
flexible use of personal care assistant hours and providing for oversight of
enrolled personal care assistant services providers; modifying eligibility for
and coverage of alternative care services under medical assistance; modifying
the quality assurance system under medical assistance for persons with
developmental disabilities in Dodge, Fillmore, Freeborn, Goodhue, Houston,
Mower, Olmsted, Rice, Steele, Wabasha and Winona counties, extending the
expiration date for the project and the quality assurance commission; modifying
certain requirements for claims against life estates and joint tenancy
interests and eliminating alternative care liens; providing immunity from
liability for the commissioner, county agencies and elected officials for
implementing certain prior medical assistance changes; increasing medical
assistance payment rates for nursing facilities, intermediate care facilities
for persons with mental retardation or related conditions (ICF/MR) and certain
home and community based waivered services providers, requiring use to increase
wages and benefits for certain employees and to increase the number of staff,
specifying certain facility or provider application and funds distribution plan
requirements; providing a payment rate incentive for nursing facilities to
establish single bed rooms; modifying the definition of nursing facility for
long term care facilities central, affiliated or corporate office costs
allocation purposes, providing for the allocation of certain costs on a
functional basis, authorizing nursing facilities to assign certain remaining
costs to the appropriate cost category for a limited period of time and
authorizing inclusion of certain organization costs; extending the duration of
contracts under the alternative payment demonstration project and providing for
the phase out of the contracts; requiring and providing for the commissioner to
establish a value based nursing facility reimbursement system to provide
facility specific prospective rates for nursing facilities participating in the
medical assistance program; providing a transitional supports allowance for
persons under home and community based waivers moving from licensed to community
settings; authorizing the commissioner to approve and implement programs for all
inclusive care for the elderly (PACE) under the prepayment demonstration project
and requiring the commissioner to seek federal approval to expand the Minnesota
disability health options (MnDHO) program in stages; providing a group
residential housing community living adjustment for persons eligible for and
residing in group residential housing (GRH); providing reimbursement for certain
home health services and a consumer directed community supports methodology for
persons using the home and community based waiver for persons with developmental
disabilities; requiring the commissioner to request federal approval to
implement the transitional supports allowance and the choice of case management
service coordination; specifying certain duties of the commissioner relating to
the changes in medical assistance claims against life estates and joint tenancy
interests and requiring the commissioner to arrange for a study of regional or
local quality assurance models for disability services; requiring the
commissioners of human services, the housing finance agency (HFA) and the state
council on disability to convene an interagency work group to identify barriers,
strengthen coordination, recommend policy and funding changes and pursue federal
financing to assist persons with disabilities in relocating from or avoiding
placement in institutional settings; requiring the commissioner to report to the
legislature by certain dates on the redesign of case management services and on
changes to the current nursing facility property payment system

ARTICLE 8 -
HEALTH CARE - DEPARTMENT OF HUMAN SERVICES

Providing for the transfer of
certain revenues to the health care access fund, limits; requiring the Minnesota
hospital association to develop a web based system for the disclosure of
hospital charges; modifying a certain provision authorizing health care
providers to provide care to patients at discounted payment amounts and the
requirement for the commissioner of human services to implement certain health
plan company audit requirements, requiring the commissioner to submit annual
reports to the legislature identifying the number of audits performed by
nationally recognized independent organizations and accepted, partially accepted
or rejected; granting the commissioner the authority to administer a drug rebate
program for persons eligible for general assistance medical care and to test and
compare administrative models to demonstrate and evaluate outcomes of
integrating state health care program business processes and access points;
authorizing counties to retain a certain portion of the nonfederal share of
recoveries under the MinnesotaCare program; authorizing state agency hearings
for adverse decisions relating to medicare part D prescription drug subsidies;
eliminating the requirement for prepaid health plans to notify the ombudsman
upon the filing of complaints relating to denial of services; authorizing the
department of human services to initiate administrative fraud disqualification
hearings in certain cases and to withhold delinquent provider surcharges from
payments; reducing the payment for fee for service inpatient and outpatient
hospital admissions, excluding inpatient mental health services; providing
disproportionate population hospital payment adjustments under the medical
assistance (MA) inpatient hospital payment system for certain additional
hospital services; eliminating the authority of the commissioner to annually
adjust certain diagnostic related group payment rates and requiring periodic
adjustments to certain hospital payments; expanding the definition of third
party payer under the medical assistance program to entities under contract with
recipients to cover medical costs; requiring the commissioner to administer
eligibility determinations for the medicare part D prescription drug subsidy and
facilitate the enrollment of eligible medical assistance recipients into
medicare prescription drug plans; clarifying medical assistance eligibility for
offenders on work release; authorizing the reduction of excess assets for
medical assistance eligibility purposes; modifying the monthly deadline for
recipient spenddown payments and clarifying the reporting requirements for
recipients receiving fixed unearned, excluded or fluctuating low income;
providing for the determination of the period of eligibility before application;
requiring and providing for notice to the department of human services of
monetary claims against persons, entities or corporations liable for medical
care costs; requiring eligibility verification for women applying for
continuation of medical assistance coverage following the end of the postpartum
period; limiting reasonable expenses for institutionalized persons for medical
assistance eligibility determination purposes; providing medical assistance
coverage for eligible undocumented nonimmigrant pregnant women not covered by
health insurance upon availability of federal and state funding; restricting
medical assistance coverage for hospital emergency room services to emergency
and emergency poststabilization or urgent care; prohibiting medical assistance
payments for gender or sex reassignment surgery and for circumcision;
eliminating the annual benefit limit under medical assistance and GAMC for
dental services to adults; eliminating medical assistance coverage of drugs
coverable under medicare part D after a certain date; modifying certain
provisions governing the drug utilization review board and the formulary
committee; excluding drugs used for the treatment of impotence or erectile
dysfunction from the drug formulary; modifying the method for commissioner
estimation of the actual acquisition costs of drugs; automatically granting
prior authorization for brand name drugs prescribed for treatment of mental
illness within a certain number of days of the availability of a generically
equivalent drug under certain conditions; eliminating the sunset of the
provision exempting antihemophilic factor drugs from prior authorization
requirements under certain conditions; providing medical assistance and GAMC
coverage for medication therapy management services for certain recipients,
defining medication therapy management; increasing the maximum medical
assistance reimbursement rates for special transportation services; reducing the
maximum monthly copayment for prescription drugs; requiring and providing for
the commissioner to establish a performance reporting and payment system for
health care providers providing health care services to medical assistance, GAMC
and MinnesotaCare program participants; requiring the commissioner to develop an
implement a pilot intensive care management program for medical assistance
children with complex and chronic medical issues unable to participate in the
metro based U special kids program due to geographic distance; providing a
transitional supports allowance for persons under home and community based
waivers moving from licensed to community settings, specifying certain covered
costs; requiring and providing for the commissioner to provide funding to
qualified provider applicants for employee scholarships for education in nursing
and other health care fields; reducing certain division of cost payment
requirements of Hennepin county and the university of Minnesota and requiring
Hennepin county, the Hennepin county medical center (HCMC), Ramsey county,
Regions hospital, the university of Minnesota and the Fairview university
medical center to periodically report to the commissioner certain payments
qualifying for federal reimbursement; clarifying the exemption from the medical
assistance prepayment demonstration project for persons enrolled in cost
effective individual health plans; modifying and clarifying certain GAMC
eligibility requirements, eliminating coverage for gender or sex reassignment
surgery and eliminating or modifying certain copayment requirements; providing
GAMC eligibility for individuals refusing to provide a social security number
for medical assistance purposes due to religious objections; redefining gross
individual or gross family income under the MinnesotaCare program and requiring
the commissioner to use reasonable methods to calculate gross earned and
unearned income; expanding eligibility for full medical assistance services for
pregnant women; imposing copayment or coinsurance requirements under
MinnesotaCare for nonpreventive visits to certain health care providers and for
nonemergency visits to hospital emergency rooms; modifying the benefit limits
for coverage for certain single adults and households without children;
requiring individuals and families applying for MinnesotaCare coverage to
provide social security numbers, exempting persons refusing due to religious
objections; clarifying the definition of cooperation relating to establishing
third party liability and requiring application for other benefits to be
eligible for MinnesotaCare; requiring county agencies to enroll single adults
and households with no children formerly enrolled in GAMC in MinnesotaCare;
requiring verification of both earned and unearned income for MinnesotaCare
eligibility purposes; modifying the effective date of coverage for persons added
to families receiving covered health services and for eligibility upon renewal
and specifying the effective date of coverage for single adults and households
without children; clarifying the requirement for the commissioner to develop and
implement procedures to require enrollees to report changes in income; modifying
MinnesotaCare eligibility for certain children and prohibiting coverage for
college students with access to health coverage through post-secondary education
institutions; updating a certain provision restricting coverage of applicants or
enrollees entitled to medicare; reducing the total payments made to managed care
plans under the program; requiring determination of the sliding fee scale for
MinnesotaCare premiums payment purposes to be based on the monthly gross income,
requiring adjustment of premiums at the time of income change reports and
increasing premiums by a certain percentage; requiring county agencies to pay
premiums for single adults and households without children formerly enrolled in
GAMC and enrolled in MinnesotaCare until renewal, premium payment continuation
option; limiting cost liability of the department of human services for persons
prevailing in certain actions; extending the restriction on commissioner use of
a broker or coordinator to manage special transportation services; requiring the
commissioner to establish an advisory committee on medical assistance
nonemergency transportation services to monitor and evaluate the provision of
the services and present recommendations for changes to the commissioner;
limiting coverage of health care services under the medical assistance, GAMC and
MinnesotaCare programs, requiring prior authorization of certain services and
temporarily reducing the payment rate for the services, regulating appeals;
requiring the commissioner to implement a pilot project to provide services for
state program recipients through a new oral health care delivery system,
contract requirement; prohibiting the commissioner from rejecting certain county
based purchasing health plan proposals requiring purchasing on a sole source or
single plan basis; requiring the commissioner to develop a planning process to
implement an additional managed care arrangement to provide certain medical
assistance services to recipients enrolled in the fee for service program;
requiring the commissioner to seek federal matching funds for the alternative
care program during negotiations with the federal government over the repeal of
certain intergovernmental transfers and to seek federal waivers and approvals to
allow the charging of certain medical assistance recipients sliding scale
premiums; repealing the prescription drug program, the expiration date for the
disease management program under medical assistance and MinnesotaCare outreach
grants

ARTICLE 9 - APPROPRIATIONS

Appropriating money to the commissioner of
human services for agency management, for revenue and pass through expenditures,
for Minnesota family investment program (MFIP), support services, child care
assistance and development, child support enforcement, children and community
services, general assistance (GA), Minnesota supplemental aid (MSA) and group
residential housing (GRH) grants, for children and economic assistance
management and administration, for basic health and continuing care, mental
health, deaf and hard of hearing and chemical dependency entitlement and
nonentitlement grants, for health and continuing care management and for state
operated services, to the commissioner of health for community and family health
improvement, for policy quality and compliance, for health protection, for
minority and multicultural health and for administrative support services, to
the veterans nursing homes, health related licensing and emergency medical
services (EMS) boards, to the council on disability and to the ombudsman for
mental health and mental retardation and for families; modifying the effective
date for a certain provision regulating the docketing and payment of judgments
on foreign money claims; modifying, authorizing, requiring or prohibiting
certain fund transfers; regulating certain expenditures by the commissioner of
human services and specifying certain TANF (temporary assistance for needy
families) maintenance of effort (MOE) requirements; adjusting the bases of the
health care access and general funds; setting a certain general assistance
standard; requiring a delay in certain hospital payments; authorizing the
commissioner of health to approve certain nursing home moratorium exception
projects; limiting the growth of certain waiver programs; requiring the
commissioner of human services to create a task force to discuss collaboration
between schools and mental health providers for colocated and integrated
services purposes; prohibiting the commissioners of health and human services
from using indirect cost allocations to pay for program operational costs;
sunsetting uncodified language; providing a retroactive general effective date,
superseding and replacing funding authorized by a certain order of the Ramsey
county district court
(ra)