Minnesota Office of the Revisor of Statutes
[*Add Subtitle/link: Office]

Menu

Revisor of Statutes Menu

Pdf

Minnesota Session Laws

Key: (1) language to be deleted (2) new language

CHAPTER 108--H.F.No. 1233
An act
relating to state government; establishing the health and human
services budget; modifying provisions related to health care, continuing care,
human services licensing, children and family services, program integrity,
health-related licensing boards, chemical and mental health services, managed
care organizations, waiver provider standards, home care, and the Department of
Health; redesigning home and community-based services; establishing payment
methodologies for home and community-based services; adjusting provider
rates; setting and modifying fees; modifying autism coverage; modifying
assistance programs; establishing Northstar care for children; making technical
changes; requiring studies; requiring reports; appropriating money;amending
Minnesota Statutes 2012, sections 13.381, subdivisions 2, 10; 13.461, by adding
subdivisions; 16A.724, subdivisions 2, 3; 16C.10, subdivision 5; 16C.155,
subdivision 1; 43A.23, by adding a subdivision; 62J.692, subdivisions 1, 3, 4,
5, 9, by adding a subdivision; 62Q.19, subdivision 1; 103I.005, by adding a
subdivision; 103I.521; 119B.011, by adding a subdivision; 119B.02, by adding
a subdivision; 119B.025, subdivision 1; 119B.03, subdivision 4; 119B.05,
subdivision 1; 119B.13, subdivisions 1, 1a, 3a, 6, 7, by adding subdivisions;
144.051, by adding subdivisions; 144.0724, subdivisions 4, 6; 144.123,
subdivision 1; 144.125, subdivision 1; 144.212; 144.213; 144.215, subdivisions
3, 4; 144.216, subdivision 1; 144.217, subdivision 2; 144.218, subdivision 5;
144.225, subdivisions 1, 4, 7, 8; 144.226; 144.966, subdivisions 2, 3a; 144.98,
subdivisions 3, 5, by adding subdivisions; 144.99, subdivision 4; 144A.071,
subdivision 4b; 144A.351; 144A.43; 144A.44; 144A.45; 144D.01, subdivision 4;
145.906; 145.986; 145A.17, subdivision 1; 145C.01, subdivision 7; 148B.17,
subdivision 2; 148E.065, subdivision 4a; 149A.02, subdivisions 1a, 2, 3, 4, 5,
16, 23, 27, 34, 35, 37, by adding subdivisions; 149A.03; 149A.65, by adding
subdivisions; 149A.70, subdivisions 1, 2, 3, 5; 149A.71, subdivisions 2, 4;
149A.72, subdivisions 3, 9, by adding a subdivision; 149A.73, subdivisions 1,
2, 4; 149A.74; 149A.91, subdivision 9; 149A.93, subdivisions 3, 6; 149A.94;
149A.96, subdivision 9; 151.19, subdivisions 1, 3; 151.37, subdivision 4; 151.47,
subdivision 1, by adding a subdivision; 151.49; 174.30, subdivision 1; 214.12, by
adding a subdivision; 214.40, subdivision 1; 243.166, subdivisions 4b, 7; 245.03,
subdivision 1; 245.462, subdivision 20; 245.4661, subdivisions 5, 6; 245.4682,
subdivision 2; 245.4871, subdivision 26; 245.4875, subdivision 8; 245.4881,
subdivision 1; 245.91, by adding a subdivision; 245.94, subdivisions 2, 2a;
245A.02, subdivisions 1, 9, 10, 14; 245A.03, subdivisions 7, 8, 9; 245A.04,
subdivision 13; 245A.042, subdivision 3; 245A.07, subdivisions 2a, 3; 245A.08,
subdivision 2a; 245A.10; 245A.11, subdivisions 2a, 7, 7a, 7b, 8; 245A.1435;
245A.144; 245A.1444; 245A.16, subdivision 1; 245A.40, subdivision 5;
245A.50; 245C.04, by adding a subdivision; 245C.08, subdivision 1; 245D.02;
245D.03; 245D.04; 245D.05; 245D.06; 245D.07; 245D.09; 245D.10; 246.18,
subdivision 8, by adding a subdivision; 246.54; 252.27, subdivision 2a;
252.291, by adding a subdivision; 252.41, subdivision 3; 252.42; 252.43;
252.44; 252.45; 252.46, subdivision 1a; 253B.10, subdivision 1; 254B.04,
subdivision 1; 254B.13; 256.01, subdivisions 2, 24, 34, by adding subdivisions;
256.0112, by adding a subdivision; 256.015, subdivision 1; 256.82, subdivisions
2, 3; 256.9657, subdivisions 3, 3a, 4; 256.969, subdivision 29; 256.975,
subdivision 7, by adding subdivisions; 256.9754, subdivision 5, by adding
subdivisions; 256.98, subdivision 8; 256B.02, subdivision 17, as added, by
adding subdivisions; 256B.021, by adding subdivisions; 256B.04, subdivisions
18, 21, by adding a subdivision; 256B.055, subdivisions 3a, 6, 10, 14, 15, by
adding a subdivision; 256B.056, subdivisions 1, 1c, 3, 4, as amended, 5c, 10, by
adding a subdivision; 256B.057, subdivisions 1, 8, 10, by adding a subdivision;
256B.06, subdivision 4; 256B.0623, subdivision 2; 256B.0625, subdivisions 9,
13, 13e, 19c, 31, 39, 48, 56, 58, by adding subdivisions; 256B.0631, subdivision
1; 256B.064, subdivisions 1a, 1b, 2; 256B.0659, subdivision 21; 256B.0755,
subdivision 3; 256B.0756; 256B.0911, subdivisions 1, 1a, 3a, 4d, 6, 7, by
adding a subdivision; 256B.0913, subdivision 4; 256B.0915, subdivisions 3a,
5, by adding a subdivision; 256B.0916, by adding a subdivision; 256B.0917,
subdivisions 6, 13, by adding subdivisions; 256B.092, subdivisions 1a, 7,
11, 12, by adding subdivisions; 256B.0943, subdivisions 1, 2, 7, by adding a
subdivision; 256B.0946; 256B.095; 256B.0951, subdivisions 1, 4; 256B.0952,
subdivisions 1, 5; 256B.0955; 256B.097, subdivisions 1, 3; 256B.196,
subdivision 2; 256B.431, subdivision 44; 256B.434, subdivision 4, by adding
subdivisions; 256B.437, subdivision 6; 256B.439, subdivisions 1, 2, 3, 4, by
adding subdivisions; 256B.441, subdivisions 13, 44, 53, by adding subdivisions;
256B.49, subdivisions 11a, 12, 13, 14, 15, by adding subdivisions; 256B.4912,
subdivisions 1, 2, 3, 7, by adding subdivisions; 256B.4913, subdivisions 5, 6, by
adding a subdivision; 256B.492; 256B.493, subdivision 2; 256B.501, by adding
a subdivision; 256B.5011, subdivision 2; 256B.5012, by adding subdivisions;
256B.69, subdivisions 5c, 5i, 8, 9c, 31, by adding subdivisions; 256B.694;
256B.76, subdivisions 1, 2, 4, by adding a subdivision; 256B.761; 256B.764;
256B.766; 256B.767; 256D.44, subdivision 5; 256I.05, by adding a subdivision;
256J.08, subdivision 24; 256J.21, subdivisions 2, 3; 256J.24, subdivisions 5, 7;
256J.35; 256J.621; 256J.626, subdivision 7; 256K.45; 256L.01, subdivisions
3a, 5, by adding subdivisions; 256L.02, subdivision 2, by adding subdivisions;
256L.03, subdivisions 1, 1a, 3, 5, 6, by adding a subdivision; 256L.04,
subdivisions 1, 7, 8, 10, 12, by adding subdivisions; 256L.05, subdivisions
1, 2, 3, 3c; 256L.06, subdivision 3; 256L.07, subdivisions 1, 2, 3; 256L.09,
subdivision 2; 256L.11, subdivisions 1, 3; 256L.12, subdivision 1; 256L.15,
subdivisions 1, 2; 256M.40, subdivision 1; 257.0755, subdivision 1; 257.75,
subdivision 7; 257.85, subdivisions 2, 5, 6; 259A.20, subdivision 4; 260B.007,
subdivisions 6, 16; 260C.007, subdivisions 6, 31; 260C.446; 260C.635,
subdivision 1; 299C.093; 402A.10; 402A.18; 471.59, subdivision 1; 517.001;
518A.60; 626.556, subdivisions 2, 3, 10d; 626.557, subdivisions 4, 9, 9a, 9e;
626.5572, subdivision 13; Laws 1998, chapter 407, article 6, section 116; Laws
2011, First Special Session chapter 9, article 1, section 3; article 2, section 27;
article 10, section 3, subdivision 3, as amended; Laws 2012, chapter 247, article
6, section 4; Laws 2013, chapter 1, section 6; proposing coding for new law in
Minnesota Statutes, chapters 62A; 144; 144A; 145; 149A; 151; 214; 245; 245A;
245D; 254B; 256; 256B; 256J; 256L; 259A; 260C; 402A; proposing coding
for new law as Minnesota Statutes, chapters 245E; 256N; repealing Minnesota
Statutes 2012, sections 62J.693; 103I.005, subdivision 20; 144.123, subdivision
2; 144A.46; 144A.461; 149A.025; 149A.20, subdivision 8; 149A.30, subdivision
2; 149A.40, subdivision 8; 149A.45, subdivision 6; 149A.50, subdivision 6;
149A.51, subdivision 7; 149A.52, subdivision 5a; 149A.53, subdivision 9;
151.19, subdivision 2; 151.25; 151.45; 151.47, subdivision 2; 151.48; 245A.655;
245B.01; 245B.02; 245B.03; 245B.031; 245B.04; 245B.05, subdivisions 1, 2,
3, 5, 6, 7; 245B.055; 245B.06; 245B.07; 245B.08; 245D.08; 252.40; 252.46,
subdivisions 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 16, 17, 18, 19, 20, 21; 256.82,
subdivision 4; 256B.055, subdivisions 3, 5, 10b; 256B.056, subdivision 5b;
256B.057, subdivisions 1c, 2; 256B.0911, subdivisions 4a, 4b, 4c; 256B.0917,
subdivisions 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 14; 256B.096, subdivisions 1, 2, 3,
4; 256B.14, subdivision 3a; 256B.49, subdivision 16a; 256B.4913, subdivisions
1, 2, 3, 4; 256B.501, subdivision 8; 256B.5012, subdivision 13; 256J.24;
256L.01, subdivision 4a; 256L.031; 256L.04, subdivisions 1b, 9, 10a; 256L.05,
subdivision 3b; 256L.07, subdivisions 1, 5, 8, 9; 256L.11, subdivisions 5, 6;
256L.17, subdivisions 1, 2, 3, 4, 5; 260C.441; 485.14; 609.093; Laws 2011, First
Special Session chapter 9, article 7, section 54, as amended; Minnesota Rules,
parts 4668.0002; 4668.0003; 4668.0005; 4668.0008; 4668.0012; 4668.0016;
4668.0017; 4668.0019; 4668.0030; 4668.0035; 4668.0040; 4668.0050;
4668.0060; 4668.0065; 4668.0070; 4668.0075; 4668.0080; 4668.0100;
4668.0110; 4668.0120; 4668.0130; 4668.0140; 4668.0150; 4668.0160;
4668.0170; 4668.0180; 4668.0190; 4668.0200; 4668.0218; 4668.0220;
4668.0230; 4668.0240; 4668.0800; 4668.0805; 4668.0810; 4668.0815;
4668.0820; 4668.0825; 4668.0830; 4668.0835; 4668.0840; 4668.0845;
4668.0855; 4668.0860; 4668.0865; 4668.0870; 4669.0001; 4669.0010;
4669.0020; 4669.0030; 4669.0040; 4669.0050; 9525.1860, subparts 3, items B,
C, 4, item D; 9560.0650, subparts 1, 3, 6; 9560.0651; 9560.0655.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

ARTICLE 1
AFFORDABLE CARE ACT IMPLEMENTATION; BETTER HEALTH
CARE FOR MORE MINNESOTANS

    Section 1. Minnesota Statutes 2012, section 16A.724, subdivision 3, is amended to read:
    Subd. 3. MinnesotaCare federal receipts. Receipts received as a result of federal
participation pertaining to administrative costs of the Minnesota health care reform waiver
shall be deposited as nondedicated revenue in the health care access fund. Receipts
received as a result of federal participation pertaining to grants shall be deposited in the
federal fund and shall offset health care access funds for payments to providers. All federal
funding received by Minnesota for implementation and administration of MinnesotaCare
as a basic health program, as authorized in section 1331 of the Affordable Care Act,
Public Law 111-148, as amended by Public Law 111-152, is dedicated to that program and
shall be deposited into the health care access fund. Federal funding that is received for
implementing and administering MinnesotaCare as a basic health program and deposited in
the fund shall be used only for that program to purchase health care coverage for enrollees
and reduce enrollee premiums and cost-sharing or provide additional enrollee benefits.
EFFECTIVE DATE.This section is effective January 1, 2015.

    Sec. 2. Minnesota Statutes 2012, section 254B.04, subdivision 1, is amended to read:
    Subdivision 1. Eligibility. (a) Persons eligible for benefits under Code of Federal
Regulations, title 25, part 20, persons eligible for medical assistance benefits under
sections 256B.055, 256B.056, and 256B.057, subdivisions 1, 2, 5, and 6, or who meet
the income standards of section 256B.056, subdivision 4, and persons eligible for general
assistance medical care under section 256D.03, subdivision 3, are entitled to chemical
dependency fund services. State money appropriated for this paragraph must be placed in
a separate account established for this purpose.
Persons with dependent children who are determined to be in need of chemical
dependency treatment pursuant to an assessment under section 626.556, subdivision 10, or
a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the
local agency to access needed treatment services. Treatment services must be appropriate
for the individual or family, which may include long-term care treatment or treatment in a
facility that allows the dependent children to stay in the treatment facility. The county
shall pay for out-of-home placement costs, if applicable.
(b) A person not entitled to services under paragraph (a), but with family income
that is less than 215 percent of the federal poverty guidelines for the applicable family
size, shall be eligible to receive chemical dependency fund services within the limit
of funds appropriated for this group for the fiscal year. If notified by the state agency
of limited funds, a county must give preferential treatment to persons with dependent
children who are in need of chemical dependency treatment pursuant to an assessment
under section 626.556, subdivision 10, or a case plan under section 260C.201, subdivision
6
, or 260C.212. A county may spend money from its own sources to serve persons under
this paragraph. State money appropriated for this paragraph must be placed in a separate
account established for this purpose.
(c) Persons whose income is between 215 percent and 412 percent of the federal
poverty guidelines for the applicable family size shall be eligible for chemical dependency
services on a sliding fee basis, within the limit of funds appropriated for this group for the
fiscal year. Persons eligible under this paragraph must contribute to the cost of services
according to the sliding fee scale established under subdivision 3. A county may spend
money from its own sources to provide services to persons under this paragraph. State
money appropriated for this paragraph must be placed in a separate account established
for this purpose.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 3. Minnesota Statutes 2012, section 256.01, is amended by adding a subdivision
to read:
    Subd. 35. Federal approval. (a) The commissioner shall seek federal authority
from the U.S. Department of Health and Human Services necessary to operate a health
coverage program for Minnesotans with incomes up to 275 percent of the federal poverty
guidelines (FPG). The proposal shall seek to secure all federal funding available from at
least the following sources:
(1) all premium tax credits and cost sharing subsidies available under United States
Code, title 26, section 36B, and United States Code, title 42, section 18071, for individuals
with incomes above 133 percent and at or below 275 percent of the federal poverty
guidelines who would otherwise be enrolled in the Minnesota Insurance Marketplace as
defined in section 62V.02;
(2) Medicaid funding; and
(3) other funding sources identified by the commissioner that support coverage or
care redesign in Minnesota.
(b) Funding received shall be used to design and implement a health coverage
program that creates a single streamlined program and meets the needs of Minnesotans with
incomes up to 275 percent of the federal poverty guidelines. The program must incorporate:
(1) payment reform characteristics included in the health care delivery system and
accountable care organization payment models;
(2) flexibility in benefit set design such that benefits can be targeted to meet enrollee
needs in different income and health status situations and can provide a more seamless
transition from public to private health care coverage;
(3) flexibility in co-payment or premium structures to incent patients to seek
high-quality, low-cost care settings; and
(4) flexibility in premium structures to ease the transition from public to private
health care coverage.
(c) The commissioner shall develop and submit a proposal consistent with the above
criteria and shall seek all federal authority necessary to implement the health coverage
program. In developing the request, the commissioner shall consult with appropriate
stakeholder groups and consumers.
(d) The commissioner is authorized to seek any available waivers or federal
approvals to accomplish the goals under paragraph (b) prior to 2017.
(e) The commissioner shall report to the chairs and ranking minority members of
the legislative committees with jurisdiction over health and human services policy and
financing by January 15, 2015, on the progress of receiving a federal waiver and shall
make recommendations on any legislative changes necessary to accomplish the project
in this subdivision. Any implementation of the waiver that requires a state financial
contribution to operate a health coverage program for Minnesotans with incomes between
200 and 275 percent of the federal poverty guidelines, shall be contingent on legislative
action approving the contribution.
(f) The commissioner is authorized to accept and expend federal funds that support
the purposes of this subdivision.

    Sec. 4. Minnesota Statutes 2012, section 256.015, subdivision 1, is amended to read:
    Subdivision 1. State agency has lien. When the state agency provides, pays for, or
becomes liable for medical care or furnishes subsistence or other payments to a person,
the agency shall have a lien for the cost of the care and payments on any and all causes of
action or recovery rights under any policy, plan, or contract providing benefits for health
care or injury which accrue to the person to whom the care or payments were furnished,
or to the person's legal representatives, as a result of the occurrence that necessitated the
medical care, subsistence, or other payments. For purposes of this section, "state agency"
includes prepaid health plans under contract with the commissioner according to sections
256B.69, 256D.03, subdivision 4, paragraph (c), and 256L.12, 256L.01, subdivision 7,
and 256L.03, subdivision 6; children's mental health collaboratives under section 245.493;
demonstration projects for persons with disabilities under section 256B.77; nursing
homes under the alternative payment demonstration project under section 256B.434; and
county-based purchasing entities under section 256B.692.

    Sec. 5. Minnesota Statutes 2012, section 256B.02, subdivision 17, as added by Laws
2013, chapter 1, section 1, is amended to read:
    Subd. 17. Affordable Care Act or ACA. "Affordable Care Act" or "ACA" means
Public Law 111-148, as amended by the federal Health Care and Education Reconciliation
Act of 2010 (Public Law 111-152), and any amendments to, or regulations or guidance
issued under, those acts means the federal Patient Protection and Affordable Care Act,
Public Law 111-148, as amended, including the federal Health Care and Education
Reconciliation Act of 2010, Public Law 111-152, and any amendments to, and any federal
guidance or regulations issued under, these acts.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 6. Minnesota Statutes 2012, section 256B.02, is amended by adding a subdivision
to read:
    Subd. 18. Caretaker relative. "Caretaker relative" means a relative, by blood,
adoption, or marriage, of a child under age 19 with whom the child is living and who
assumes primary responsibility for the child's care.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 7. Minnesota Statutes 2012, section 256B.02, is amended by adding a subdivision
to read:
    Subd. 19. Insurance affordability program. "Insurance affordability program"
means one of the following programs:
(1) medical assistance under this chapter;
(2) a program that provides advance payments of the premium tax credits established
under section 36B of the Internal Revenue Code or cost-sharing reductions established
under section 1402 of the Affordable Care Act;
(3) MinnesotaCare as defined in chapter 256L; and
(4) a Basic Health Plan as defined in section 1331 of the Affordable Care Act.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 8. Minnesota Statutes 2012, section 256B.04, subdivision 18, is amended to read:
    Subd. 18. Applications for medical assistance. (a) The state agency may take
shall accept applications for medical assistance and conduct eligibility determinations for
MinnesotaCare enrollees by telephone, via mail, in-person, online via an Internet Web
site, and through other commonly available electronic means.
    (b) The commissioner of human services shall modify the Minnesota health care
programs application form to add a question asking applicants whether they have ever
served in the United States military.
    (c) For each individual who submits an application or whose eligibility is subject to
renewal or whose eligibility is being redetermined pursuant to a change in circumstances,
if the agency determines the individual is not eligible for medical assistance, the agency
shall determine potential eligibility for other insurance affordability programs.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 9. Minnesota Statutes 2012, section 256B.055, subdivision 3a, is amended to read:
    Subd. 3a. Families with children. Beginning July 1, 2002, Medical assistance may
be paid for a person who is a child under the age of 18, or age 18 if a full-time student
in a secondary school, or in the equivalent level of vocational or technical training, and
reasonably expected to complete the program before reaching age 19; the parent or
stepparent of a dependent child under the age of 19, including a pregnant woman; or a
caretaker relative of a dependent child under the age of 19.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 10. Minnesota Statutes 2012, section 256B.055, subdivision 6, is amended to read:
    Subd. 6. Pregnant women; needy unborn child. Medical assistance may be paid
for a pregnant woman who has written verification of a positive pregnancy test from a
physician or licensed registered nurse, who meets the other eligibility criteria of this
section and whose unborn child would be eligible as a needy child under subdivision 10 if
born and living with the woman. In accordance with Code of Federal Regulations, title
42, section 435.956, the commissioner must accept self-attestation of pregnancy unless
the agency has information that is not reasonably compatible with such attestation. For
purposes of this subdivision, a woman is considered pregnant for 60 days postpartum.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 11. Minnesota Statutes 2012, section 256B.055, subdivision 10, is amended to read:
    Subd. 10. Infants. Medical assistance may be paid for an infant less than one year
of age, whose mother was eligible for and receiving medical assistance at the time of birth
or who is less than two years of age and is in a family with countable income that is equal
to or less than the income standard established under section 256B.057, subdivision 1.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 12. Minnesota Statutes 2012, section 256B.055, subdivision 15, is amended to read:
    Subd. 15. Adults without children. Medical assistance may be paid for a person
who is:
(1) at least age 21 and under age 65;
(2) not pregnant;
(3) not entitled to Medicare Part A or enrolled in Medicare Part B under Title XVIII
of the Social Security Act;
(4) not an adult in a family with children as defined in section 256L.01, subdivision
3a
; and not otherwise eligible under subdivision 7 as a person who meets the categorical
eligibility requirements of the supplemental security income program;
(5) not enrolled under subdivision 7 as a person who would meet the categorical
eligibility requirements of the supplemental security income program except for excess
income or assets; and
(5) (6) not described in another subdivision of this section.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 13. Minnesota Statutes 2012, section 256B.055, is amended by adding a
subdivision to read:
    Subd. 17. Adults who were in foster care at the age of 18. Medical assistance may
be paid for a person under 26 years of age who was in foster care under the commissioner's
responsibility on the date of attaining 18 years of age, and who was enrolled in medical
assistance under the state plan or a waiver of the plan while in foster care, in accordance
with section 2004 of the Affordable Care Act.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 14. Minnesota Statutes 2012, section 256B.056, subdivision 1, is amended to read:
    Subdivision 1. Residency. To be eligible for medical assistance, a person must
reside in Minnesota, or, if absent from the state, be deemed to be a resident of Minnesota,
in accordance with the rules of the state agency Code of Federal Regulations, title 42,
section 435.403.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 15. Minnesota Statutes 2012, section 256B.056, subdivision 1c, is amended to read:
    Subd. 1c. Families with children income methodology. (a)(1) [Expired, 1Sp2003
c 14 art 12 s 17]
(2) For applications processed within one calendar month prior to July 1, 2003,
eligibility shall be determined by applying the income standards and methodologies in
effect prior to July 1, 2003, for any months in the six-month budget period before July
1, 2003, and the income standards and methodologies in effect on July 1, 2003, for any
months in the six-month budget period on or after that date. The income standards for
each month shall be added together and compared to the applicant's total countable income
for the six-month budget period to determine eligibility.
(3) For children ages one through 18 whose eligibility is determined under section
256B.057, subdivision 2, the following deductions shall be applied to income counted
toward the child's eligibility as allowed under the state's AFDC plan in effect as of July
16, 1996: $90 work expense, dependent care, and child support paid under court order.
This clause is effective October 1, 2003.
(b) For families with children whose eligibility is determined using the standard
specified in section 256B.056, subdivision 4, paragraph (c), 17 percent of countable
earned income shall be disregarded for up to four months and the following deductions
shall be applied to each individual's income counted toward eligibility as allowed under
the state's AFDC plan in effect as of July 16, 1996: dependent care and child support paid
under court order.
(c) If the four-month disregard in paragraph (b) has been applied to the wage
earner's income for four months, the disregard shall not be applied again until the wage
earner's income has not been considered in determining medical assistance eligibility for
12 consecutive months.
(d) (b) The commissioner shall adjust the income standards under this section each
July 1 by the annual update of the federal poverty guidelines following publication by the
United States Department of Health and Human Services except that the income standards
shall not go below those in effect on July 1, 2009.
(e) (c) For children age 18 or under, annual gifts of $2,000 or less by a tax-exempt
organization to or for the benefit of the child with a life-threatening illness must be
disregarded from income.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 16. Minnesota Statutes 2012, section 256B.056, subdivision 3, is amended to read:
    Subd. 3. Asset limitations for certain individuals and families. (a) To be
eligible for medical assistance, a person must not individually own more than $3,000 in
assets, or if a member of a household with two family members, husband and wife, or
parent and child, the household must not own more than $6,000 in assets, plus $200 for
each additional legal dependent. In addition to these maximum amounts, an eligible
individual or family may accrue interest on these amounts, but they must be reduced to the
maximum at the time of an eligibility redetermination. The accumulation of the clothing
and personal needs allowance according to section 256B.35 must also be reduced to the
maximum at the time of the eligibility redetermination. The value of assets that are not
considered in determining eligibility for medical assistance is the value of those assets
excluded under the supplemental security income program for aged, blind, and disabled
persons, with the following exceptions:
(1) household goods and personal effects are not considered;
(2) capital and operating assets of a trade or business that the local agency determines
are necessary to the person's ability to earn an income are not considered;
(3) motor vehicles are excluded to the same extent excluded by the supplemental
security income program;
(4) assets designated as burial expenses are excluded to the same extent excluded by
the supplemental security income program. Burial expenses funded by annuity contracts
or life insurance policies must irrevocably designate the individual's estate as contingent
beneficiary to the extent proceeds are not used for payment of selected burial expenses;
(5) for a person who no longer qualifies as an employed person with a disability due
to loss of earnings, assets allowed while eligible for medical assistance under section
256B.057, subdivision 9, are not considered for 12 months, beginning with the first month
of ineligibility as an employed person with a disability, to the extent that the person's total
assets remain within the allowed limits of section 256B.057, subdivision 9, paragraph (d);
    (6) when a person enrolled in medical assistance under section 256B.057, subdivision
9
, is age 65 or older and has been enrolled during each of the 24 consecutive months
before the person's 65th birthday, the assets owned by the person and the person's spouse
must be disregarded, up to the limits of section 256B.057, subdivision 9, paragraph (d),
when determining eligibility for medical assistance under section 256B.055, subdivision
7
. The income of a spouse of a person enrolled in medical assistance under section
256B.057, subdivision 9, during each of the 24 consecutive months before the person's
65th birthday must be disregarded when determining eligibility for medical assistance
under section 256B.055, subdivision 7. Persons eligible under this clause are not subject to
the provisions in section 256B.059. A person whose 65th birthday occurs in 2012 or 2013
is required to have qualified for medical assistance under section 256B.057, subdivision 9,
prior to age 65 for at least 20 months in the 24 months prior to reaching age 65; and
(7) effective July 1, 2009, certain assets owned by American Indians are excluded as
required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public
Law 111-5. For purposes of this clause, an American Indian is any person who meets the
definition of Indian according to Code of Federal Regulations, title 42, section 447.50.
(b) No asset limit shall apply to persons eligible under section 256B.055, subdivision
15.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 17. Minnesota Statutes 2012, section 256B.056, subdivision 4, as amended by
Laws 2013, chapter 1, section 5, is amended to read:
    Subd. 4. Income. (a) To be eligible for medical assistance, a person eligible under
section 256B.055, subdivisions 7, 7a, and 12, may have income up to 100 percent of
the federal poverty guidelines. Effective January 1, 2000, and each successive January,
recipients of supplemental security income may have an income up to the supplemental
security income standard in effect on that date.
(b) To be eligible for medical assistance, families and children may have an income
up to 133-1/3 percent of the AFDC income standard in effect under the July 16, 1996,
AFDC state plan. Effective July 1, 2000, the base AFDC standard in effect on July 16,
1996, shall be increased by three percent.
(c) (b) Effective January 1, 2014, to be eligible for medical assistance, under section
256B.055, subdivision 3a, a parent or caretaker relative may have an income up to 133
percent of the federal poverty guidelines for the household size.
(d) (c) To be eligible for medical assistance under section 256B.055, subdivision
15
, a person may have an income up to 133 percent of federal poverty guidelines for
the household size.
(e) (d) To be eligible for medical assistance under section 256B.055, subdivision
16
, a child age 19 to 20 may have an income up to 133 percent of the federal poverty
guidelines for the household size.
(f) (e) To be eligible for medical assistance under section 256B.055, subdivision 3a,
a child under age 19 may have income up to 275 percent of the federal poverty guidelines
for the household size or an equivalent standard when converted using modified adjusted
gross income methodology as required under the Affordable Care Act. Children who are
enrolled in medical assistance as of December 31, 2013, and are determined ineligible
for medical assistance because of the elimination of income disregards under modified
adjusted gross income methodology as defined in subdivision 1a remain eligible for
medical assistance under the Children's Health Insurance Program Reauthorization Act
of 2009, Public Law 111-3, until the date of their next regularly scheduled eligibility
redetermination as required in section 256B.056, subdivision 7a.
(f) In computing income to determine eligibility of persons under paragraphs (a) to
(e) who are not residents of long-term care facilities, the commissioner shall disregard
increases in income as required by Public Laws 94-566, section 503; 99-272; and 99-509.
For persons eligible under paragraph (a), veteran aid and attendance benefits and Veterans
Administration unusual medical expense payments are considered income to the recipient.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 18. Minnesota Statutes 2012, section 256B.056, subdivision 5c, is amended to read:
    Subd. 5c. Excess income standard. (a) The excess income standard for families
with children parents and caretaker relatives, pregnant women, infants, and children ages
two through 20 is the standard specified in subdivision 4, paragraph (b).
(b) The excess income standard for a person whose eligibility is based on blindness,
disability, or age of 65 or more years is 70 percent of the federal poverty guidelines for the
family size. Effective July 1, 2002, the excess income standard for this paragraph shall
equal 75 percent of the federal poverty guidelines.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 19. Minnesota Statutes 2012, section 256B.056, is amended by adding a
subdivision to read:
    Subd. 7a. Periodic renewal of eligibility. (a) The commissioner shall make an
annual redetermination of eligibility based on information contained in the enrollee's case
file and other information available to the agency, including but not limited to information
accessed through an electronic database, without requiring the enrollee to submit any
information when sufficient data is available for the agency to renew eligibility.
(b) If the commissioner cannot renew eligibility in accordance with paragraph (a),
the commissioner must provide the enrollee with a prepopulated renewal form containing
eligibility information available to the agency and permit the enrollee to submit the form
with any corrections or additional information to the agency and sign the renewal form via
any of the modes of submission specified in section 256B.04, subdivision 18.
(c) An enrollee who is terminated for failure to complete the renewal process may
subsequently submit the renewal form and required information within four months after
the date of termination and have coverage reinstated without a lapse, if otherwise eligible
under this chapter.
(d) Notwithstanding paragraph (a), individuals eligible under subdivision 5 shall be
required to renew eligibility every six months.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 20. Minnesota Statutes 2012, section 256B.056, subdivision 10, is amended to read:
    Subd. 10. Eligibility verification. (a) The commissioner shall require women who
are applying for the continuation of medical assistance coverage following the end of the
60-day postpartum period to update their income and asset information and to submit
any required income or asset verification.
    (b) The commissioner shall determine the eligibility of private-sector health care
coverage for infants less than one year of age eligible under section 256B.055, subdivision
10
, or 256B.057, subdivision 1, paragraph (d), and shall pay for private-sector coverage
if this is determined to be cost-effective.
    (c) The commissioner shall verify assets and income for all applicants, and for all
recipients upon renewal.
    (d) The commissioner shall utilize information obtained through the electronic
service established by the secretary of the United States Department of Health and Human
Services and other available electronic data sources in Code of Federal Regulations, title
42, sections 435.940 to 435.956, to verify eligibility requirements. The commissioner
shall establish standards to define when information obtained electronically is reasonably
compatible with information provided by applicants and enrollees, including use of
self-attestation, to accomplish real-time eligibility determinations and maintain program
integrity.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 21. Minnesota Statutes 2012, section 256B.057, subdivision 1, is amended to read:
    Subdivision 1. Infants and pregnant women. (a)(1) An infant less than one year
two years of age or a pregnant woman who has written verification of a positive pregnancy
test from a physician or licensed registered nurse is eligible for medical assistance if the
individual's countable family household income is equal to or less than 275 percent of the
federal poverty guideline for the same family household size or an equivalent standard
when converted using modified adjusted gross income methodology as required under
the Affordable Care Act. For purposes of this subdivision, "countable family income"
means the amount of income considered available using the methodology of the AFDC
program under the state's AFDC plan as of July 16, 1996, as required by the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public
Law 104-193, except for the earned income disregard and employment deductions.
    (2) For applications processed within one calendar month prior to the effective date,
eligibility shall be determined by applying the income standards and methodologies in
effect prior to the effective date for any months in the six-month budget period before
that date and the income standards and methodologies in effect on the effective date for
any months in the six-month budget period on or after that date. The income standards
for each month shall be added together and compared to the applicant's total countable
income for the six-month budget period to determine eligibility.
    (b)(1) [Expired, 1Sp2003 c 14 art 12 s 19]
    (2) For applications processed within one calendar month prior to July 1, 2003,
eligibility shall be determined by applying the income standards and methodologies in
effect prior to July 1, 2003, for any months in the six-month budget period before July 1,
2003, and the income standards and methodologies in effect on the expiration date for any
months in the six-month budget period on or after July 1, 2003. The income standards
for each month shall be added together and compared to the applicant's total countable
income for the six-month budget period to determine eligibility.
    (3) An amount equal to the amount of earned income exceeding 275 percent of
the federal poverty guideline, up to a maximum of the amount by which the combined
total of 185 percent of the federal poverty guideline plus the earned income disregards
and deductions allowed under the state's AFDC plan as of July 16, 1996, as required
by the Personal Responsibility and Work Opportunity Act of 1996 (PRWORA), Public
Law 104-193, exceeds 275 percent of the federal poverty guideline will be deducted for
pregnant women and infants less than one year of age.
    (c) Dependent care and child support paid under court order shall be deducted from
the countable income of pregnant women.
    (d) (b) An infant born to a woman who was eligible for and receiving medical
assistance on the date of the child's birth shall continue to be eligible for medical assistance
without redetermination until the child's first birthday.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 22. Minnesota Statutes 2012, section 256B.057, subdivision 8, is amended to read:
    Subd. 8. Children under age two. Medical assistance may be paid for a child under
two years of age whose countable family income is above 275 percent of the federal poverty
guidelines for the same size family but less than or equal to 280 percent of the federal
poverty guidelines for the same size family or an equivalent standard when converted using
modified adjusted gross income methodology as required under the Affordable Care Act.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 23. Minnesota Statutes 2012, section 256B.057, subdivision 10, is amended to read:
    Subd. 10. Certain persons needing treatment for breast or cervical cancer. (a)
Medical assistance may be paid for a person who:
(1) has been screened for breast or cervical cancer by the Minnesota breast and
cervical cancer control program, and program funds have been used to pay for the person's
screening;
(2) according to the person's treating health professional, needs treatment, including
diagnostic services necessary to determine the extent and proper course of treatment, for
breast or cervical cancer, including precancerous conditions and early stage cancer;
(3) meets the income eligibility guidelines for the Minnesota breast and cervical
cancer control program;
(4) is under age 65;
(5) is not otherwise eligible for medical assistance under United States Code, title
42, section 1396a(a)(10)(A)(i); and
(6) is not otherwise covered under creditable coverage, as defined under United
States Code, title 42, section 1396a(aa).
(b) Medical assistance provided for an eligible person under this subdivision shall
be limited to services provided during the period that the person receives treatment for
breast or cervical cancer.
(c) A person meeting the criteria in paragraph (a) is eligible for medical assistance
without meeting the eligibility criteria relating to income and assets in section 256B.056,
subdivisions 1a to 5b 5a.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 24. Minnesota Statutes 2012, section 256B.057, is amended by adding a
subdivision to read:
    Subd. 12. Presumptive eligibility determinations made by qualified hospitals.
The commissioner shall establish a process to qualify hospitals that are participating
providers under the medical assistance program to determine presumptive eligibility for
medical assistance for applicants who may have a basis of eligibility using the modified
adjusted gross income methodology as defined in section 256B.056, subdivision 1a,
paragraph (b), clause (1).
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 25. Minnesota Statutes 2012, section 256B.06, subdivision 4, is amended to read:
    Subd. 4. Citizenship requirements. (a) Eligibility for medical assistance is limited
to citizens of the United States, qualified noncitizens as defined in this subdivision, and
other persons residing lawfully in the United States. Citizens or nationals of the United
States must cooperate in obtaining satisfactory documentary evidence of citizenship or
nationality according to the requirements of the federal Deficit Reduction Act of 2005,
Public Law 109-171.
(b) "Qualified noncitizen" means a person who meets one of the following
immigration criteria:
(1) admitted for lawful permanent residence according to United States Code, title 8;
(2) admitted to the United States as a refugee according to United States Code,
title 8, section 1157;
(3) granted asylum according to United States Code, title 8, section 1158;
(4) granted withholding of deportation according to United States Code, title 8,
section 1253(h);
(5) paroled for a period of at least one year according to United States Code, title 8,
section 1182(d)(5);
(6) granted conditional entrant status according to United States Code, title 8,
section 1153(a)(7);
(7) determined to be a battered noncitizen by the United States Attorney General
according to the Illegal Immigration Reform and Immigrant Responsibility Act of 1996,
title V of the Omnibus Consolidated Appropriations Bill, Public Law 104-200;
(8) is a child of a noncitizen determined to be a battered noncitizen by the United
States Attorney General according to the Illegal Immigration Reform and Immigrant
Responsibility Act of 1996, title V, of the Omnibus Consolidated Appropriations Bill,
Public Law 104-200; or
(9) determined to be a Cuban or Haitian entrant as defined in section 501(e) of Public
Law 96-422, the Refugee Education Assistance Act of 1980.
(c) All qualified noncitizens who were residing in the United States before August
22, 1996, who otherwise meet the eligibility requirements of this chapter, are eligible for
medical assistance with federal financial participation.
(d) Beginning December 1, 1996, qualified noncitizens who entered the United
States on or after August 22, 1996, and who otherwise meet the eligibility requirements
of this chapter are eligible for medical assistance with federal participation for five years
if they meet one of the following criteria:
(1) refugees admitted to the United States according to United States Code, title 8,
section 1157;
(2) persons granted asylum according to United States Code, title 8, section 1158;
(3) persons granted withholding of deportation according to United States Code,
title 8, section 1253(h);
(4) veterans of the United States armed forces with an honorable discharge for
a reason other than noncitizen status, their spouses and unmarried minor dependent
children; or
(5) persons on active duty in the United States armed forces, other than for training,
their spouses and unmarried minor dependent children.
Beginning July 1, 2010, children and pregnant women who are noncitizens
described in paragraph (b) or who are lawfully present in the United States as defined
in Code of Federal Regulations, title 8, section 103.12, and who otherwise meet
eligibility requirements of this chapter, are eligible for medical assistance with federal
financial participation as provided by the federal Children's Health Insurance Program
Reauthorization Act of 2009, Public Law 111-3.
(e) Nonimmigrants who otherwise meet the eligibility requirements of this chapter
are eligible for the benefits as provided in paragraphs (f) to (h). For purposes of this
subdivision, a "nonimmigrant" is a person in one of the classes listed in United States
Code, title 8, section 1101(a)(15).
(f) Payment shall also be made for care and services that are furnished to noncitizens,
regardless of immigration status, who otherwise meet the eligibility requirements of
this chapter, if such care and services are necessary for the treatment of an emergency
medical condition.
(g) For purposes of this subdivision, the term "emergency medical condition" means
a medical condition that meets the requirements of United States Code, title 42, section
1396b(v).
(h)(1) Notwithstanding paragraph (g), services that are necessary for the treatment
of an emergency medical condition are limited to the following:
(i) services delivered in an emergency room or by an ambulance service licensed
under chapter 144E that are directly related to the treatment of an emergency medical
condition;
(ii) services delivered in an inpatient hospital setting following admission from an
emergency room or clinic for an acute emergency condition; and
(iii) follow-up services that are directly related to the original service provided
to treat the emergency medical condition and are covered by the global payment made
to the provider.
    (2) Services for the treatment of emergency medical conditions do not include:
(i) services delivered in an emergency room or inpatient setting to treat a
nonemergency condition;
(ii) organ transplants, stem cell transplants, and related care;
(iii) services for routine prenatal care;
(iv) continuing care, including long-term care, nursing facility services, home health
care, adult day care, day training, or supportive living services;
(v) elective surgery;
(vi) outpatient prescription drugs, unless the drugs are administered or dispensed as
part of an emergency room visit;
(vii) preventative health care and family planning services;
(viii) dialysis;
(ix) chemotherapy or therapeutic radiation services;
(x) rehabilitation services;
(xi) physical, occupational, or speech therapy;
(xii) transportation services;
(xiii) case management;
(xiv) prosthetics, orthotics, durable medical equipment, or medical supplies;
(xv) dental services;
(xvi) hospice care;
(xvii) audiology services and hearing aids;
(xviii) podiatry services;
(xix) chiropractic services;
(xx) immunizations;
(xxi) vision services and eyeglasses;
(xxii) waiver services;
(xxiii) individualized education programs; or
(xxiv) chemical dependency treatment.
(i) Beginning July 1, 2009, Pregnant noncitizens who are undocumented,
nonimmigrants, or lawfully present in the United States as defined in Code of Federal
Regulations, title 8, section 103.12, ineligible for federally funded medical assistance
because of immigration status, are not covered by a group health plan or health insurance
coverage according to Code of Federal Regulations, title 42, section 457.310, and who
otherwise meet the eligibility requirements of this chapter, are eligible for medical
assistance through the period of pregnancy, including labor and delivery, and 60 days
postpartum, to the extent federal funds are available under title XXI of the Social Security
Act, and the state children's health insurance program.
(j) Beginning October 1, 2003, persons who are receiving care and rehabilitation
services from a nonprofit center established to serve victims of torture and are otherwise
ineligible for medical assistance under this chapter are eligible for medical assistance
without federal financial participation. These individuals are eligible only for the period
during which they are receiving services from the center. Individuals eligible under this
paragraph shall not be required to participate in prepaid medical assistance.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 26. Minnesota Statutes 2012, section 256B.0755, subdivision 3, is amended to read:
    Subd. 3. Accountability. (a) Health care delivery systems must accept responsibility
for the quality of care based on standards established under subdivision 1, paragraph (b),
clause (10), and the cost of care or utilization of services provided to its enrollees under
subdivision 1, paragraph (b), clause (1).
(b) A health care delivery system may contract and coordinate with providers and
clinics for the delivery of services and shall contract with community health clinics,
federally qualified health centers, community mental health centers or programs, county
agencies, and rural clinics to the extent practicable.
(c) A health care delivery system must indicate how it will coordinate with other
services affecting its patients' health, quality of care, and cost of care that are provided by
other providers, county agencies, and other organizations in the local service area. The
health care delivery system must indicate how it will engage other providers, counties, and
organizations, including county-based purchasing plans, that provide services to patients
of the health care delivery system on issues related to local population health, including
applicable local needs, priorities, and public health goals. The health care delivery system
must describe how local providers, counties, organizations, including county-based
purchasing plans, and other relevant purchasers were consulted in developing the
application to participate in the demonstration project.
EFFECTIVE DATE.This section is effective July 1, 2013, and applies to health
care delivery system contracts entered into on or after that date.

    Sec. 27. Minnesota Statutes 2012, section 256B.694, is amended to read:
256B.694 SOLE-SOURCE OR SINGLE-PLAN MANAGED CARE
CONTRACT.
    (a) MS 2010 [Expired, 2008 c 364 s 10]
    (b) The commissioner shall consider, and may approve, contracting on a
single-health plan basis with other county-based purchasing plans, or with other qualified
health plans that have coordination arrangements with counties, to serve persons with a
disability who voluntarily enroll enrolled in state public health care programs, in order
to promote better coordination or integration of health care services, social services and
other community-based services, provided that all requirements applicable to health plan
purchasing, including those in section 256B.69, subdivision 23 sections 256B.69 and
256B.692, are satisfied. Nothing in this paragraph supersedes or modifies the requirements
in paragraph (a).

    Sec. 28. Minnesota Statutes 2012, section 256L.01, is amended by adding a subdivision
to read:
    Subd. 1b. Affordable Care Act. "Affordable Care Act" means the federal Patient
Protection and Affordable Care Act, Public Law 111-148, as amended, including the
federal Health Care and Education Reconciliation Act of 2010, Public Law 111-152, and
any amendments to, and any federal guidance or regulations issued under, these acts.

    Sec. 29. Minnesota Statutes 2012, section 256L.01, subdivision 3a, is amended to read:
    Subd. 3a. Family with children. (a) "Family with children" means:
(1) parents and their children residing in the same household; or
(2) grandparents, foster parents, relative caretakers as defined in the medical
assistance program, or legal guardians; and their wards who are children residing in the
same household. "Family" has the meaning given for family and family size as defined
in Code of Federal Regulations, title 26, section 1.36B-1.
(b) The term includes children who are temporarily absent from the household in
settings such as schools, camps, or parenting time with noncustodial parents.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 30. Minnesota Statutes 2012, section 256L.01, subdivision 5, is amended to read:
    Subd. 5. Income. (a) "Income" has the meaning given for earned and unearned
income for families and children in the medical assistance program, according to the
state's aid to families with dependent children plan in effect as of July 16, 1996. The
definition does not include medical assistance income methodologies and deeming
requirements. The earned income of full-time and part-time students under age 19 is
not counted as income. Public assistance payments and supplemental security income
are not excluded income modified adjusted gross income, as defined in Code of Federal
Regulations, title 26, section 1.36B-1.
(b) For purposes of this subdivision, and unless otherwise specified in this section,
the commissioner shall use reasonable methods to calculate gross earned and unearned
income including, but not limited to, projecting income based on income received within
the past 30 days, the last 90 days, or the last 12 months.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 31. Minnesota Statutes 2012, section 256L.01, is amended by adding a subdivision
to read:
    Subd. 6. Minnesota Insurance Marketplace. "Minnesota Insurance Marketplace"
means the Minnesota Insurance Marketplace as defined in section 62V.02.

    Sec. 32. Minnesota Statutes 2012, section 256L.01, is amended by adding a subdivision
to read:
    Subd. 7. Participating entity. "Participating entity" means a health carrier as
defined in section 62A.01, subdivision 2; a county-based purchasing plan established
under section 256B.692; an accountable care organization or other entity operating a
health care delivery systems demonstration project authorized under section 256B.0755;
an entity operating a county integrated health care delivery network pilot project
authorized under section 256B.0756; or a network of health care providers established to
offer services under MinnesotaCare.
EFFECTIVE DATE.This section is effective January 1, 2015.

    Sec. 33. Minnesota Statutes 2012, section 256L.02, subdivision 2, is amended to read:
    Subd. 2. Commissioner's duties. (a) The commissioner shall establish an office
for the state administration of this plan. The plan shall be used to provide covered health
services for eligible persons. Payment for these services shall be made to all eligible
providers participating entities under contract with the commissioner. The commissioner
shall adopt rules to administer the MinnesotaCare program. The commissioner shall
establish marketing efforts to encourage potentially eligible persons to receive information
about the program and about other medical care programs administered or supervised by
the Department of Human Services.
(b) A toll-free telephone number and Web site must be used to provide information
about medical programs and to promote access to the covered services.
EFFECTIVE DATE.Paragraph (a) is effective January 1, 2015. Paragraph (b) is
effective January 1, 2014, or upon federal approval, whichever is later. The commissioner
of human services shall notify the revisor of statutes when federal approval is obtained.

    Sec. 34. Minnesota Statutes 2012, section 256L.02, is amended by adding a subdivision
to read:
    Subd. 5. Federal approval. (a) The commissioner of human services shall seek
federal approval to implement the MinnesotaCare program under this chapter as a basic
health program. In any agreement with the Centers for Medicare and Medicaid Services
to operate MinnesotaCare as a basic health program, the commissioner shall seek to
include procedures to ensure that federal funding is predictable, stable, and sufficient
to sustain ongoing operation of MinnesotaCare. These procedures must address issues
related to the timing of federal payments, payment reconciliation, enrollee risk adjustment,
and minimization of state financial risk. The commissioner shall consult with the
commissioner of management and budget, when developing the proposal for establishing
MinnesotaCare as a basic health program to be submitted to the Centers for Medicare
and Medicaid Services.
(b) The commissioner of human services, in consultation with the commissioner of
management and budget, shall work with the Centers for Medicare and Medicaid Services
to establish a process for reconciliation and adjustment of federal payments that balances
state and federal liability over time. The commissioner of human services shall request that
the secretary of health and human services hold the state, and enrollees, harmless in the
reconciliation process for the first three years, to allow the state to develop a statistically
valid methodology for predicting enrollment trends and their net effect on federal payments.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 35. Minnesota Statutes 2012, section 256L.02, is amended by adding a subdivision
to read:
    Subd. 6. Coordination with Minnesota Insurance Marketplace. MinnesotaCare
shall be considered a public health care program for purposes of chapter 62V.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 36. Minnesota Statutes 2012, section 256L.03, subdivision 1, is amended to read:
    Subdivision 1. Covered health services. (a) "Covered health services" means the
health services reimbursed under chapter 256B, with the exception of inpatient hospital
services, special education services, private duty nursing services, adult dental care
services other than services covered under section 256B.0625, subdivision 9, orthodontic
services, nonemergency medical transportation services, personal care assistance and case
management services, and nursing home or intermediate care facilities services, inpatient
mental health services, and chemical dependency services.
    (b) No public funds shall be used for coverage of abortion under MinnesotaCare
except where the life of the female would be endangered or substantial and irreversible
impairment of a major bodily function would result if the fetus were carried to term; or
where the pregnancy is the result of rape or incest.
    (c) Covered health services shall be expanded as provided in this section.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 37. Minnesota Statutes 2012, section 256L.03, subdivision 1a, is amended to read:
    Subd. 1a. Pregnant women and Children; MinnesotaCare health care reform
waiver. Beginning January 1, 1999, Children and pregnant women are eligible for coverage
of all services that are eligible for reimbursement under the medical assistance program
according to chapter 256B, except that abortion services under MinnesotaCare shall be
limited as provided under subdivision 1. Pregnant women and Children are exempt from
the provisions of subdivision 5, regarding co-payments. Pregnant women and Children
who are lawfully residing in the United States but who are not "qualified noncitizens" under
title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996,
Public Law 104-193, Statutes at Large, volume 110, page 2105, are eligible for coverage
of all services provided under the medical assistance program according to chapter 256B.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 38. Minnesota Statutes 2012, section 256L.03, subdivision 3, is amended to read:
    Subd. 3. Inpatient hospital services. (a) Covered health services shall include
inpatient hospital services, including inpatient hospital mental health services and inpatient
hospital and residential chemical dependency treatment, subject to those limitations
necessary to coordinate the provision of these services with eligibility under the medical
assistance spenddown. The inpatient hospital benefit for adult enrollees who qualify under
section 256L.04, subdivision 7, or who qualify under section 256L.04, subdivisions 1 and
2
, with family gross income that exceeds 200 percent of the federal poverty guidelines or
215 percent of the federal poverty guidelines on or after July 1, 2009, and who are not
pregnant, is subject to an annual limit of $10,000.
    (b) Admissions for inpatient hospital services paid for under section 256L.11,
subdivision 3
, must be certified as medically necessary in accordance with Minnesota
Rules, parts 9505.0500 to 9505.0540, except as provided in clauses (1) and (2):
    (1) all admissions must be certified, except those authorized under rules established
under section 254A.03, subdivision 3, or approved under Medicare; and
    (2) payment under section 256L.11, subdivision 3, shall be reduced by five percent
for admissions for which certification is requested more than 30 days after the day of
admission. The hospital may not seek payment from the enrollee for the amount of the
payment reduction under this clause.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 39. Minnesota Statutes 2012, section 256L.03, is amended by adding a subdivision
to read:
    Subd. 4a. Loss ratio. Health coverage provided through the MinnesotaCare
program must have a medical loss ratio of at least 85 percent, as defined using the loss
ratio methodology described in section 1001 of the Affordable Care Act.
EFFECTIVE DATE.This section is effective January 1, 2015.

    Sec. 40. Minnesota Statutes 2012, section 256L.03, subdivision 5, is amended to read:
    Subd. 5. Cost-sharing. (a) Except as otherwise provided in paragraphs (b) and (c)
this subdivision, the MinnesotaCare benefit plan shall include the following cost-sharing
requirements for all enrollees:
    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees,
subject to an annual inpatient out-of-pocket maximum of $1,000 per individual;
    (2) (1) $3 per prescription for adult enrollees;
    (3) (2) $25 for eyeglasses for adult enrollees;
    (4) (3) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means
an episode of service which is required because of a recipient's symptoms, diagnosis, or
established illness, and which is delivered in an ambulatory setting by a physician or
physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse,
audiologist, optician, or optometrist;
    (5) (4) $6 for nonemergency visits to a hospital-based emergency room for services
provided through December 31, 2010, and $3.50 effective January 1, 2011; and
(6) (5) a family deductible equal to the maximum amount allowed under Code of
Federal Regulations, title 42, part 447.54.
    (b) Paragraph (a), clause (1), does not apply to parents and relative caretakers of
children under the age of 21.
    (c) (b) Paragraph (a) does not apply to pregnant women and children under the
age of 21.
    (d) (c) Paragraph (a), clause (4) (3), does not apply to mental health services.
    (e) Adult enrollees with family gross income that exceeds 200 percent of the federal
poverty guidelines or 215 percent of the federal poverty guidelines on or after July 1, 2009,
and who are not pregnant shall be financially responsible for the coinsurance amount, if
applicable, and amounts which exceed the $10,000 inpatient hospital benefit limit.
    (f) When a MinnesotaCare enrollee becomes a member of a prepaid health plan,
or changes from one prepaid health plan to another during a calendar year, any charges
submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket
expenses incurred by the enrollee for inpatient services, that were submitted or incurred
prior to enrollment, or prior to the change in health plans, shall be disregarded.
(g) (d) MinnesotaCare reimbursements to fee-for-service providers and payments to
managed care plans or county-based purchasing plans shall not be increased as a result of
the reduction of the co-payments in paragraph (a), clause (5) (4), effective January 1, 2011.
(h) (e) The commissioner, through the contracting process under section 256L.12,
may allow managed care plans and county-based purchasing plans to waive the family
deductible under paragraph (a), clause (6) (5). The value of the family deductible shall not
be included in the capitation payment to managed care plans and county-based purchasing
plans. Managed care plans and county-based purchasing plans shall certify annually to the
commissioner the dollar value of the family deductible.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 41. Minnesota Statutes 2012, section 256L.03, subdivision 6, is amended to read:
    Subd. 6. Lien. When the state agency provides, pays for, or becomes liable for
covered health services, the agency shall have a lien for the cost of the covered health
services upon any and all causes of action accruing to the enrollee, or to the enrollee's
legal representatives, as a result of the occurrence that necessitated the payment for the
covered health services. All liens under this section shall be subject to the provisions
of section 256.015. For purposes of this subdivision, "state agency" includes prepaid
health plans participating entities, under contract with the commissioner according to
sections 256B.69, 256D.03, subdivision 4, paragraph (c), and 256L.12; and county-based
purchasing entities under section 256B.692 section 256L.121.
EFFECTIVE DATE.This section is effective January 1, 2015.

    Sec. 42. Minnesota Statutes 2012, section 256L.04, subdivision 1, is amended to read:
    Subdivision 1. Families with children. (a) Families with children with family
income above 133 percent of the federal poverty guidelines and equal to or less than 275
200 percent of the federal poverty guidelines for the applicable family size shall be eligible
for MinnesotaCare according to this section. All other provisions of sections 256L.01 to
256L.18, including the insurance-related barriers to enrollment under section 256L.07,
shall apply unless otherwise specified. Children under age 19 with family income at or
below 200 percent of the federal poverty guidelines and who are ineligible for medical
assistance by sole reason of the application of federal household composition rules for
medical assistance are eligible for MinnesotaCare.
    (b) Parents who enroll in the MinnesotaCare program must also enroll their children,
if the children are eligible. Children may be enrolled separately without enrollment by
parents. However, if one parent in the household enrolls, both parents must enroll, unless
other insurance is available. If one child from a family is enrolled, all children must
be enrolled, unless other insurance is available. If one spouse in a household enrolls,
the other spouse in the household must also enroll, unless other insurance is available.
Families cannot choose to enroll only certain uninsured members.
    (c) Beginning October 1, 2003, the dependent sibling definition no longer applies
to the MinnesotaCare program. These persons are no longer counted in the parental
household and may apply as a separate household.
    (d) Parents are not eligible for MinnesotaCare if their gross income exceeds $57,500.
(e) Children deemed eligible for MinnesotaCare under section 256L.07, subdivision
8
, are exempt from the eligibility requirements of this subdivision.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 43. Minnesota Statutes 2012, section 256L.04, is amended by adding a subdivision
to read:
    Subd. 1c. General requirements. To be eligible for coverage under MinnesotaCare,
a person must meet the eligibility requirements of this section. A person eligible for
MinnesotaCare shall not be considered a qualified individual under section 1312 of the
Affordable Care Act, and is not eligible for enrollment in a qualified health plan offered
through the Minnesota Insurance Marketplace under chapter 62V.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 44. Minnesota Statutes 2012, section 256L.04, subdivision 7, is amended to read:
    Subd. 7. Single adults and households with no children. (a) The definition of
eligible persons includes all individuals and households families with no children who
have gross family incomes that are above 133 percent and equal to or less than 200 percent
of the federal poverty guidelines for the applicable family size.
    (b) Effective July 1, 2009, the definition of eligible persons includes all individuals
and households with no children who have gross family incomes that are equal to or less
than 250 percent of the federal poverty guidelines.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 45. Minnesota Statutes 2012, section 256L.04, subdivision 8, is amended to read:
    Subd. 8. Applicants potentially eligible for medical assistance. (a) Individuals
who receive supplemental security income or retirement, survivors, or disability benefits
due to a disability, or other disability-based pension, who qualify under subdivision 7, but
who are potentially eligible for medical assistance without a spenddown shall be allowed
to enroll in MinnesotaCare for a period of 60 days, so long as the applicant meets all other
conditions of eligibility. The commissioner shall identify and refer the applications of
such individuals to their county social service agency. The county and the commissioner
shall cooperate to ensure that the individuals obtain medical assistance coverage for any
months for which they are eligible.
(b) The enrollee must cooperate with the county social service agency in determining
medical assistance eligibility within the 60-day enrollment period. Enrollees who do not
cooperate with medical assistance within the 60-day enrollment period shall be disenrolled
from the plan within one calendar month. Persons disenrolled for nonapplication for
medical assistance may not reenroll until they have obtained a medical assistance
eligibility determination. Persons disenrolled for noncooperation with medical assistance
may not reenroll until they have cooperated with the county agency and have obtained a
medical assistance eligibility determination.
(c) Beginning January 1, 2000, Counties that choose to become MinnesotaCare
enrollment sites shall consider MinnesotaCare applications to also be applications for
medical assistance. Applicants who are potentially eligible for medical assistance, except
for those described in paragraph (a), may choose to enroll in either MinnesotaCare or
medical assistance.
(d) The commissioner shall redetermine provider payments made under
MinnesotaCare to the appropriate medical assistance payments for those enrollees who
subsequently become eligible for medical assistance.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 46. Minnesota Statutes 2012, section 256L.04, subdivision 10, is amended to read:
    Subd. 10. Citizenship requirements. (a) Eligibility for MinnesotaCare is limited to
citizens or nationals of the United States, qualified noncitizens, and other persons residing
and lawfully in the United States present noncitizens as defined in Code of Federal
Regulations, title 8, section 103.12. Undocumented noncitizens and nonimmigrants
are ineligible for MinnesotaCare. For purposes of this subdivision, a nonimmigrant
is an individual in one or more of the classes listed in United States Code, title 8,
section 1101(a)(15), and an undocumented noncitizen is an individual who resides in the
United States without the approval or acquiescence of the United States Citizenship and
Immigration Services. Families with children who are citizens or nationals of the United
States must cooperate in obtaining satisfactory documentary evidence of citizenship or
nationality according to the requirements of the federal Deficit Reduction Act of 2005,
Public Law 109-171.
(b) Notwithstanding subdivisions 1 and 7, eligible persons include families and
individuals who are lawfully present and ineligible for medical assistance by reason of
immigration status and who have incomes equal to or less than 200 percent of federal
poverty guidelines.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 47. Minnesota Statutes 2012, section 256L.04, subdivision 12, is amended to read:
    Subd. 12. Persons in detention. Beginning January 1, 1999, An applicant or
enrollee residing in a correctional or detention facility is not eligible for MinnesotaCare,
unless the applicant or enrollee is awaiting disposition of charges. An enrollee residing in
a correctional or detention facility is not eligible at renewal of eligibility under section
256L.05, subdivision 3a.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 48. Minnesota Statutes 2012, section 256L.04, is amended by adding a subdivision
to read:
    Subd. 14. Coordination with medical assistance. (a) Individuals eligible for
medical assistance under chapter 256B are not eligible for MinnesotaCare under this
section.
(b) The commissioner shall coordinate eligibility and coverage to ensure that
individuals transitioning between medical assistance and MinnesotaCare have seamless
eligibility and access to health care services.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 49. Minnesota Statutes 2012, section 256L.05, subdivision 1, is amended to read:
    Subdivision 1. Application assistance and information availability. (a) Applicants
may submit applications online, in person, by mail, or by phone in accordance with the
Affordable Care Act, and by any other means by which medical assistance applications
may be submitted. Applicants may submit applications through the Minnesota Insurance
Marketplace or through the MinnesotaCare program. Applications and application
assistance must be made available at provider offices, local human services agencies,
school districts, public and private elementary schools in which 25 percent or more of
the students receive free or reduced price lunches, community health offices, Women,
Infants and Children (WIC) program sites, Head Start program sites, public housing
councils, crisis nurseries, child care centers, early childhood education and preschool
program sites, legal aid offices, and libraries, and at any other locations at which medical
assistance applications must be made available. These sites may accept applications and
forward the forms to the commissioner or local county human services agencies that
choose to participate as an enrollment site. Otherwise, applicants may apply directly to the
commissioner or to participating local county human services agencies.
(b) Application assistance must be available for applicants choosing to file an online
application through the Minnesota Insurance Marketplace.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 50. Minnesota Statutes 2012, section 256L.05, subdivision 2, is amended to read:
    Subd. 2. Commissioner's duties. The commissioner or county agency shall use
electronic verification through the Minnesota Insurance Marketplace as the primary
method of income verification. If there is a discrepancy between reported income
and electronically verified income, an individual may be required to submit additional
verification to the extent permitted under the Affordable Care Act. In addition, the
commissioner shall perform random audits to verify reported income and eligibility. The
commissioner may execute data sharing arrangements with the Department of Revenue
and any other governmental agency in order to perform income verification related to
eligibility and premium payment under the MinnesotaCare program.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 51. Minnesota Statutes 2012, section 256L.05, subdivision 3, is amended to read:
    Subd. 3. Effective date of coverage. (a) The effective date of coverage is the
first day of the month following the month in which eligibility is approved and the first
premium payment has been received. As provided in section 256B.057, coverage for
newborns is automatic from the date of birth and must be coordinated with other health
coverage. The effective date of coverage for eligible newly adoptive children added to a
family receiving covered health services is the month of placement. The effective date
of coverage for other new members added to the family is the first day of the month
following the month in which the change is reported. All eligibility criteria must be met
by the family at the time the new family member is added. The income of the new family
member is included with the family's modified adjusted gross income and the adjusted
premium begins in the month the new family member is added.
(b) The initial premium must be received by the last working day of the month for
coverage to begin the first day of the following month.
(c) Benefits are not available until the day following discharge if an enrollee is
hospitalized on the first day of coverage.
(d) (c) Notwithstanding any other law to the contrary, benefits under sections
256L.01 to 256L.18 are secondary to a plan of insurance or benefit program under which
an eligible person may have coverage and the commissioner shall use cost avoidance
techniques to ensure coordination of any other health coverage for eligible persons. The
commissioner shall identify eligible persons who may have coverage or benefits under
other plans of insurance or who become eligible for medical assistance.
(e) (d) The effective date of coverage for individuals or families who are exempt
from paying premiums under section 256L.15, subdivision 1, paragraph (d), is the first
day of the month following the month in which verification of American Indian status
is received or eligibility is approved, whichever is later.
(f) The effective date of coverage for children eligible under section 256L.07,
subdivision 8, is the first day of the month following the date of termination from foster
care or release from a juvenile residential correctional facility.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 52. Minnesota Statutes 2012, section 256L.05, subdivision 3c, is amended to read:
    Subd. 3c. Retroactive coverage. Notwithstanding subdivision 3, the effective
date of coverage shall be the first day of the month following termination from medical
assistance for families and individuals who are eligible for MinnesotaCare and who
submitted a written request for retroactive MinnesotaCare coverage with a completed
application within 30 days of the mailing of notification of termination from medical
assistance. The applicant must provide all required verifications within 30 days of the
written request for verification. For retroactive coverage, premiums must be paid in full
for any retroactive month, current month, and next month within 30 days of the premium
billing. General assistance medical care recipients may qualify for retroactive coverage
under this subdivision at six-month renewal. This subdivision does not apply, and shall not
be implemented by the commissioner, once eligibility determination for MinnesotaCare is
conducted by the Minnesota Insurance Marketplace eligibility determination system.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 53. Minnesota Statutes 2012, section 256L.06, subdivision 3, is amended to read:
    Subd. 3. Commissioner's duties and payment. (a) Premiums are dedicated to the
commissioner for MinnesotaCare.
    (b) The commissioner shall develop and implement procedures to: (1) require
enrollees to report changes in income; (2) adjust sliding scale premium payments, based
upon both increases and decreases in enrollee income, at the time the change in income
is reported; and (3) disenroll enrollees from MinnesotaCare for failure to pay required
premiums. Failure to pay includes payment with a dishonored check, a returned automatic
bank withdrawal, or a refused credit card or debit card payment. The commissioner may
demand a guaranteed form of payment, including a cashier's check or a money order, as
the only means to replace a dishonored, returned, or refused payment.
    (c) Premiums are calculated on a calendar month basis and may be paid on a
monthly, quarterly, or semiannual basis, with the first payment due upon notice from the
commissioner of the premium amount required. The commissioner shall inform applicants
and enrollees of these premium payment options. Premium payment is required before
enrollment is complete and to maintain eligibility in MinnesotaCare. Premium payments
received before noon are credited the same day. Premium payments received after noon
are credited on the next working day.
    (d) Nonpayment of the premium will result in disenrollment from the plan effective
for the calendar month for which the premium was due. Persons disenrolled for
nonpayment or who voluntarily terminate coverage from the program may not reenroll
until four calendar months have elapsed. Persons disenrolled for nonpayment who pay
all past due premiums as well as current premiums due, including premiums due for the
period of disenrollment, within 20 days of disenrollment, shall be reenrolled retroactively
to the first day of disenrollment. Persons disenrolled for nonpayment or who voluntarily
terminate coverage from the program may not reenroll for four calendar months unless
the person demonstrates good cause for nonpayment. Good cause does not exist if a
person chooses to pay other family expenses instead of the premium. The commissioner
shall define good cause in rule.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 54. Minnesota Statutes 2012, section 256L.07, subdivision 1, is amended to read:
    Subdivision 1. General requirements. (a) Children enrolled in the original
children's health plan as of September 30, 1992, children who enrolled in the
MinnesotaCare program after September 30, 1992, pursuant to Laws 1992, chapter 549,
article 4, section 17, and children who have family gross incomes that are equal to or
less than 200 percent of the federal poverty guidelines are eligible without meeting the
requirements of subdivision 2 and the four-month requirement in subdivision 3, as long as
they maintain continuous coverage in the MinnesotaCare program or medical assistance.
    Parents Individuals enrolled in MinnesotaCare under section 256L.04, subdivision 1,
and individuals enrolled in MinnesotaCare under section 256L.04, subdivision 7, whose
income increases above 275 200 percent of the federal poverty guidelines, are no longer
eligible for the program and shall be disenrolled by the commissioner. Beginning January
1, 2008, individuals enrolled in MinnesotaCare under section 256L.04, subdivision
7
, whose income increases above 200 percent of the federal poverty guidelines or 250
percent of the federal poverty guidelines on or after July 1, 2009, are no longer eligible for
the program and shall be disenrolled by the commissioner. For persons disenrolled under
this subdivision, MinnesotaCare coverage terminates the last day of the calendar month
following the month in which the commissioner determines that the income of a family or
individual exceeds program income limits.
    (b) Children may remain enrolled in MinnesotaCare if their gross family income as
defined in section 256L.01, subdivision 4, is greater than 275 percent of federal poverty
guidelines. The premium for children remaining eligible under this paragraph shall be the
maximum premium determined under section 256L.15, subdivision 2, paragraph (b).
    (c) Notwithstanding paragraph (a), parents are not eligible for MinnesotaCare if
gross household income exceeds $57,500 for the 12-month period of eligibility.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 55. Minnesota Statutes 2012, section 256L.07, subdivision 2, is amended to read:
    Subd. 2. Must not have access to employer-subsidized minimum essential
coverage. (a) To be eligible, a family or individual must not have access to subsidized
health coverage through an employer and must not have had access to employer-subsidized
coverage through a current employer for 18 months prior to application or reapplication.
A family or individual whose employer-subsidized coverage is lost due to an employer
terminating health care coverage as an employee benefit during the previous 18 months is
not eligible that is affordable and provides minimum value as defined in Code of Federal
Regulations, title 26, section 1.36B-2.
(b) This subdivision does not apply to a family or individual who was enrolled
in MinnesotaCare within six months or less of reapplication and who no longer has
employer-subsidized coverage due to the employer terminating health care coverage as an
employee benefit. This subdivision does not apply to children with family gross incomes
that are equal to or less than 200 percent of federal poverty guidelines.
(c) For purposes of this requirement, subsidized health coverage means health
coverage for which the employer pays at least 50 percent of the cost of coverage for
the employee or dependent, or a higher percentage as specified by the commissioner.
Children are eligible for employer-subsidized coverage through either parent, including
the noncustodial parent. The commissioner must treat employer contributions to Internal
Revenue Code Section 125 plans and any other employer benefits intended to pay
health care costs as qualified employer subsidies toward the cost of health coverage for
employees for purposes of this subdivision.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 56. Minnesota Statutes 2012, section 256L.07, subdivision 3, is amended to read:
    Subd. 3. Other health coverage. (a) Families and individuals enrolled in the
MinnesotaCare program must have no To be eligible, a family or individual must not have
minimum essential health coverage while enrolled, as defined by section 5000A of the
Internal Revenue Code. Children with family gross incomes equal to or greater than 200
percent of federal poverty guidelines, and adults, must have had no health coverage for
at least four months prior to application and renewal. Children enrolled in the original
children's health plan and children in families with income equal to or less than 200
percent of the federal poverty guidelines, who have other health insurance, are eligible if
the coverage:
(1) lacks two or more of the following:
(i) basic hospital insurance;
(ii) medical-surgical insurance;
(iii) prescription drug coverage;
(iv) dental coverage; or
(v) vision coverage;
(2) requires a deductible of $100 or more per person per year; or
(3) lacks coverage because the child has exceeded the maximum coverage for a
particular diagnosis or the policy excludes a particular diagnosis.
The commissioner may change this eligibility criterion for sliding scale premiums
in order to remain within the limits of available appropriations. The requirement of no
health coverage does not apply to newborns.
(b) Coverage purchased as provided under section 256L.031, subdivision 2, medical
assistance, and the Civilian Health and Medical Program of the Uniformed Service,
CHAMPUS, or other coverage provided under United States Code, title 10, subtitle A,
part II, chapter 55, are not considered insurance or health coverage for purposes of the
four-month requirement described in this subdivision.
(c) (b) For purposes of this subdivision, an applicant or enrollee who is entitled to
Medicare Part A or enrolled in Medicare Part B coverage under title XVIII of the Social
Security Act, United States Code, title 42, sections 1395c to 1395w-152, is considered
to have minimum essential health coverage. An applicant or enrollee who is entitled to
premium-free Medicare Part A may not refuse to apply for or enroll in Medicare coverage
to establish eligibility for MinnesotaCare.
(d) Applicants who were recipients of medical assistance within one month of
application must meet the provisions of this subdivision and subdivision 2.
(e) Cost-effective health insurance that was paid for by medical assistance is not
considered health coverage for purposes of the four-month requirement under this
section, except if the insurance continued after medical assistance no longer considered it
cost-effective or after medical assistance closed.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 57. Minnesota Statutes 2012, section 256L.09, subdivision 2, is amended to read:
    Subd. 2. Residency requirement. To be eligible for health coverage under the
MinnesotaCare program, pregnant women, individuals, and families with children must
meet the residency requirements as provided by Code of Federal Regulations, title 42,
section 435.403, except that the provisions of section 256B.056, subdivision 1, shall apply
upon receipt of federal approval.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 58. Minnesota Statutes 2012, section 256L.11, subdivision 1, is amended to read:
    Subdivision 1. Medical assistance rate to be used. (a) Payment to providers
under sections 256L.01 to 256L.11 this chapter shall be at the same rates and conditions
established for medical assistance, except as provided in subdivisions 2 to 6 this section.
(b) Effective for services provided on or after July 1, 2009, total payments for basic
care services shall be reduced by three percent, in accordance with section 256B.766.
Payments made to managed care and county-based purchasing plans shall be reduced for
services provided on or after October 1, 2009, to reflect this reduction.
(c) Effective for services provided on or after July 1, 2009, payment rates for
physician and professional services shall be reduced as described under section 256B.76,
subdivision 1, paragraph (c). Payments made to managed care and county-based
purchasing plans shall be reduced for services provided on or after October 1, 2009,
to reflect this reduction.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 59. Minnesota Statutes 2012, section 256L.11, subdivision 3, is amended to read:
    Subd. 3. Inpatient hospital services. Inpatient hospital services provided under
section 256L.03, subdivision 3, shall be paid for as provided in subdivisions 4 to 6 at the
medical assistance rate.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 60. Minnesota Statutes 2012, section 256L.12, subdivision 1, is amended to read:
    Subdivision 1. Selection of vendors. In order to contain costs, the commissioner of
human services shall select vendors of medical care who can provide the most economical
care consistent with high medical standards and shall, where possible, contract with
organizations on a prepaid capitation basis to provide these services. The commissioner
shall consider proposals by counties and vendors for managed care plans and managed
care-like entities as defined by the final regulation implementing section 1331 of the
Affordable Care Act regarding basic health plans, which may include: prepaid capitation
programs, competitive bidding programs, or other vendor payment mechanisms designed
to provide services in an economical manner or to control utilization, with safeguards to
ensure that necessary services are provided.

    Sec. 61. [256L.121] SERVICE DELIVERY.
    Subdivision 1. Competitive process. The commissioner of human services shall
establish a competitive process for entering into contracts with participating entities for
the offering of standard health plans through MinnesotaCare. Coverage through standard
health plans must be available to enrollees beginning January 1, 2015. Each standard
health plan must cover the health services listed in and meet the requirements of section
256L.03. The competitive process must meet the requirements of section 1331 of the
Affordable Care Act and be designed to ensure enrollee access to high-quality health care
coverage options. The commissioner, to the extent feasible, shall seek to ensure that
enrollees have a choice of coverage from more than one participating entity within a
geographic area. In counties that were part of a county-based purchasing plan on January
1, 2013, the commissioner shall use the medical assistance competitive procurement
process under section 256B.69, subdivisions 1 to 32, under which selection of entities is
based on criteria related to provider network access, coordination of health care with other
local services, alignment with local public health goals, and other factors.
    Subd. 2. Other requirements for participating entities. The commissioner shall
require participating entities, as a condition of contract, to document to the commissioner:
(1) the provision of culturally and linguistically appropriate services, including
marketing materials, to MinnesotaCare enrollees; and
(2) the inclusion in provider networks of providers designated as essential
community providers under section 62Q.19.
    Subd. 3. Coordination with state-administered health programs. The
commissioner shall coordinate the administration of the MinnesotaCare program with
medical assistance to maximize efficiency and improve the continuity of care. This
includes, but is not limited to:
(1) establishing geographic areas for MinnesotaCare that are consistent with the
geographic areas of the medical assistance program, within which participating entities
may offer health plans;
(2) requiring, as a condition of participation in MinnesotaCare, participating entities
to also participate in the medical assistance program;
(3) complying with sections 256B.69, subdivision 3a; 256B.692, subdivision 1; and
256B.694, when contracting with MinnesotaCare participating entities;
(4) providing MinnesotaCare enrollees, to the extent possible, with the option to
remain in the same health plan and provider network, if they later become eligible for
medical assistance or coverage through the Minnesota health benefit exchange and if, in
the case of becoming eligible for medical assistance, the enrollee's MinnesotaCare health
plan is also a medical assistance health plan in the enrollee's county of residence; and
(5) establishing requirements and criteria for selection that ensure that covered
health care services will be coordinated with local public health services, social services,
long-term care services, mental health services, and other local services affecting
enrollees' health, access, and quality of care.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 62. Minnesota Statutes 2012, section 256L.15, subdivision 1, is amended to read:
    Subdivision 1. Premium determination. (a) Families with children and individuals
shall pay a premium determined according to subdivision 2.
    (b) Pregnant women and children under age two are exempt from the provisions
of section 256L.06, subdivision 3, paragraph (b), clause (3), requiring disenrollment
for failure to pay premiums. For pregnant women, this exemption continues until the
first day of the month following the 60th day postpartum. Women who remain enrolled
during pregnancy or the postpartum period, despite nonpayment of premiums, shall be
disenrolled on the first of the month following the 60th day postpartum for the penalty
period that otherwise applies under section 256L.06, unless they begin paying premiums.
    (c) (b) Members of the military and their families who meet the eligibility criteria
for MinnesotaCare upon eligibility approval made within 24 months following the end
of the member's tour of active duty shall have their premiums paid by the commissioner.
The effective date of coverage for an individual or family who meets the criteria of this
paragraph shall be the first day of the month following the month in which eligibility is
approved. This exemption applies for 12 months.
(d) (c) Beginning July 1, 2009, American Indians enrolled in MinnesotaCare and
their families shall have their premiums waived by the commissioner in accordance with
section 5006 of the American Recovery and Reinvestment Act of 2009, Public Law 111-5.
An individual must document status as an American Indian, as defined under Code of
Federal Regulations, title 42, section 447.50, to qualify for the waiver of premiums.
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 63. Minnesota Statutes 2012, section 256L.15, subdivision 2, is amended to read:
    Subd. 2. Sliding fee scale; monthly gross individual or family income. (a) The
commissioner shall establish a sliding fee scale to determine the percentage of monthly
gross individual or family income that households at different income levels must pay to
obtain coverage through the MinnesotaCare program. The sliding fee scale must be based
on the enrollee's monthly gross individual or family income. The sliding fee scale must
contain separate tables based on enrollment of one, two, or three or more persons. Until
June 30, 2009, the sliding fee scale begins with a premium of 1.5 percent of monthly gross
individual or family income for individuals or families with incomes below the limits for
the medical assistance program for families and children in effect on January 1, 1999, and
proceeds through the following evenly spaced steps: 1.8, 2.3, 3.1, 3.8, 4.8, 5.9, 7.4, and
8.8 percent. These percentages are matched to evenly spaced income steps ranging from
the medical assistance income limit for families and children in effect on January 1, 1999,
to 275 percent of the federal poverty guidelines for the applicable family size, up to a
family size of five. The sliding fee scale for a family of five must be used for families of
more than five. The sliding fee scale and percentages are not subject to the provisions of
chapter 14. If a family or individual reports increased income after enrollment, premiums
shall be adjusted at the time the change in income is reported.
    (b) Children in families whose gross income is above 275 percent of the federal
poverty guidelines shall pay the maximum premium. The maximum premium is defined
as a base charge for one, two, or three or more enrollees so that if all MinnesotaCare
cases paid the maximum premium, the total revenue would equal the total cost of
MinnesotaCare medical coverage and administration. In this calculation, administrative
costs shall be assumed to equal ten percent of the total. The costs of medical coverage
for pregnant women and children under age two and the enrollees in these groups shall
be excluded from the total. The maximum premium for two enrollees shall be twice the
maximum premium for one, and the maximum premium for three or more enrollees shall
be three times the maximum premium for one.
    (c) Beginning July 1, 2009 January 1, 2014, MinnesotaCare enrollees shall pay
premiums according to the premium scale specified in paragraph (d) (c) with the exception
that children 20 years of age and younger in families with income at or below 200 percent
of the federal poverty guidelines shall pay no premiums. For purposes of paragraph (d),
"minimum" means a monthly premium of $4.
    (d) (c) The following premium scale is established for individuals and families
with gross family incomes of 275 percent of the federal poverty guidelines or less each
individual in the household who is 21 years of age or older and enrolled in MinnesotaCare:

Federal Poverty Guideline Range
Percent of Average Gross Monthly Income

0-45%
minimum


46-54%
$4 or 1.1% of family income, whichever is
greater

55-81%
1.6%

82-109%
2.2%

110-136%
2.9%

137-164%
3.6%

165-191%
4.6%

192-219%
5.6%

220-248%
6.5%

249-275%
7.2%


Federal Poverty Guideline
Greater than or Equal to
Less than
Individual Premium
Amount

0%
55%
$4

55%
80%
$6

80%
90%
$8

90%
100%
$10

100%
110%
$12

110%
120%
$15

120%
130%
$18

130%
140%
$21

140%
150%
$25

150%
160%
$29

160%
170%
$33

170%
180%
$38

180%
190%
$43

190%
$50
EFFECTIVE DATE.This section is effective January 1, 2014, or upon federal
approval, whichever is later. The commissioner of human services shall notify the revisor
of statutes when federal approval is obtained.

    Sec. 64. DETERMINATION OF FUNDING ADEQUACY FOR
MINNESOTACARE.
The commissioners of revenue and management and budget, in consultation with
the commissioner of human services, shall conduct an assessment of health care taxes,
including the gross premiums tax, the provider tax, and Medicaid surcharges, and their
relationship to the long-term solvency of the health care access fund, as part of the state
revenue and expenditure forecast in November 2013. The commissioners shall determine
the amount of state funding that will be required after December 31, 2019, in addition
to the federal payments made available under section 1331 of the Affordable Care Act,
for the MinnesotaCare program. The commissioners shall evaluate the stability and
likelihood of long-term federal funding for the MinnesotaCare program under section
1331. The commissioners shall report the results of this assessment to the chairs and
ranking minority members of the legislative committees with jurisdiction over human
services, finances, and taxes by January 15, 2014, along with recommendations for
changes to state revenue for the health care access fund, if state funding continues to
be required beyond December 31, 2019.

    Sec. 65. STATE-BASED RISK ADJUSTMENT SYSTEM ASSESSMENT.
(a) Notwithstanding Minnesota Rules, chapter 4653, the commissioner of health,
as part of the commissioner's responsibilities under Minnesota Statutes, section 62U.04,
subdivision 4, paragraph (b), shall collect from health carriers in the individual and
small group health insurance market, beginning on January 1, 2014, for service dates
beginning October 1, 2013, through December 31, 2014, all data required for conducting
risk adjustment with standard risk adjusters such as the Adjusted Clinical Groups or the
Hierarchical Condition Category System, including, but not limited to:
(1) an indicator identifying the health plan product under which an enrollee is covered;
(2) an indicator identifying whether an enrollee's policy is an individual or small
group market policy;
(3) an indicator identifying, if applicable, the metal level of an enrollee's health plan
product, and whether the policy is a catastrophic policy; and
(4) additional identified demographic data necessary to link individuals' data across
health carriers and insurance affordability programs with 95 percent accuracy. The
commissioner shall not collect more than the last four digits of an individual's Social
Security number.
(b) The commissioner of health shall assess the extent to which data collected under
paragraph (a) and under Minnesota Statutes, section 62U.04, subdivision 4, paragraph (a),
are sufficient for developing and operating a state alternative risk adjustment methodology
consistent with applicable federal rules by evaluating:
(1) if the data submitted are adequately complete, accurate, and timely;
(2) if the data should be further enriched by nontraditional risk adjusters that help
in better explaining variation in health care costs of a given population and account for
risk selection across metal levels;
(3) whether additional data or identifiers have the potential to strengthen a
Minnesota-based risk adjustment approach; and
(4) what, if any, changes to the technical infrastructure will be necessary to
effectively perform state-based risk adjustment.
(c) For purposes of paragraph (b), the commissioner of health shall have the
authority to use identified data to validate and audit a statistically valid sample of data for
each health carrier in the individual and small group health insurance market.
(d) If the assessment conducted in paragraph (b) finds that the data collected
under Minnesota Statutes, section 62U.04, subdivision 4, are sufficient for developing
and operating a state alternative risk adjustment methodology consistent with applicable
federal rules, the commissioners of health and human services, in consultation with the
commissioner of commerce and the Board of MNsure, shall study whether Minnesota-based
risk adjustment of the individual and small group health insurance market, using either the
federal risk adjustment model or a state-based alternative, can be more cost-effective and
perform better than risk adjustment conducted by federal agencies. The study shall assess
the policies, infrastructure, and resources necessary to satisfy the requirements of Code of
Federal Regulations, title 45, section 153, subpart D. The study shall also evaluate the
extent to which Minnesota-based risk adjustment could meet requirements established in
Code of Federal Regulations, title 45, section 153.330, including:
(1) explaining the variation in health care costs of a given population;
(2) linking risk factors to daily clinical practices and that which is clinically
meaningful to providers;
(3) encouraging favorable behavior among health care market participants and
discouraging unfavorable behavior;
(4) whether risk adjustment factors are relatively easy for stakeholders to understand
and participate in;
(5) providing stable risk scores over time and across health plan products;
(6) minimizing administrative costs;
(7) accounting for risk selection across metal levels;
(8) aligning each of the elements of the methodology; and
(9) can be conducted at per-member cost equal to or lower than the projected cost of
the federal risk adjustment model.
(e) In conducting the study described in paragraph (d), the commissioner of health
shall contract with entities that do not have an economic interest in the outcome of
Minnesota-based risk adjustment, but have demonstrated expertise in actuarial science
or health economics and demonstrated experience with designing and implementing risk
adjustment models. The commissioner of human services shall evaluate opportunities
to maximize federal funding under section 1331 of the Affordable Care Act. The
commissioner of human services shall make recommendations on risk adjustment
strategies to maximize federal funding to the state of Minnesota.
(f) The commissioner of health shall submit an interim report to the legislature by
March 15, 2014, with preliminary findings from the assessment conducted in paragraph
(b). The interim report shall include legislative recommendations for any necessary
changes to Minnesota Statutes, section 62Q.03. The commissioners of health and human
services shall submit a final report to the legislature by October 1, 2015. The final report
must include findings from the overall assessment conducted under paragraph (e), and a
recommendation on whether to conduct state-based risk adjustment.
(g) The Board of MNsure shall apply for federal funding under section 1311 or
1321 of the Affordable Care Act, to fund the work under paragraphs (a), (b), (d), and (e).
Federal funding awarded to MNsure for this purpose is approved and appropriated for
this purpose. The commissioners of health and human services may only proceed with
activities under paragraphs (a) to (e) if funding has been made available for this purpose.
(h) For purposes of this section, the Board of MNsure means the board established
under Minnesota Statutes, section 62V.03, and the Affordable Care Act has the meaning
given in Minnesota Statutes, section 256B.02, subdivision 17.

    Sec. 66. REQUEST FOR FEDERAL AUTHORITY.
The commissioner of human services shall seek authority from the federal Centers
for Medicare and Medicaid Services to allow persons under age 65, participating in
a home and community-based services waiver under section 1915(c) of the Social
Security Act, to continue to disregard spousal income and assets, in place of the spousal
impoverishment provisions under the federal Patient Protection and Affordable Care Act,
Public Law 111-148, section 2404, as amended by the federal Health Care and Education
Reconciliation Act of 2010, Public Law 111-152, and any amendments to, or regulations
and guidance issued under, those acts.

    Sec. 67. REVISOR'S INSTRUCTION.
The revisor of statutes shall: (1) remove cross-references to the sections repealed
in this article wherever they appear in Minnesota Statutes and Minnesota Rules; (2)
change the term "Minnesota Insurance Marketplace" to "MNsure" wherever it appears
in this article and in Minnesota Statutes; and (3) make changes necessary to correct the
punctuation, grammar, or structure of the remaining text and preserve its meaning.

    Sec. 68. REPEALER.
(a) Minnesota Statutes 2012, sections 256L.01, subdivision 4a; 256L.031; 256L.04,
subdivisions 1b, 9, and 10a; 256L.05, subdivision 3b; 256L.07, subdivisions 1, 5, 8, and 9;
256L.11, subdivisions 5 and 6; and 256L.17, subdivisions 1, 2, 3, 4, and 5, are repealed
effective January 1, 2014.
(b) Minnesota Statutes 2012, sections 256B.055, subdivisions 3, 5, and 10b;
256B.056, subdivision 5b; and 256B.057, subdivisions 1c and 2, are repealed effective
January 1, 2014.

ARTICLE 2
CONTINGENT REFORM 2020; REDESIGNING HOME AND
COMMUNITY-BASED SERVICES

    Section 1. Minnesota Statutes 2012, section 144.0724, subdivision 4, is amended to read:
    Subd. 4. Resident assessment schedule. (a) A facility must conduct and
electronically submit to the commissioner of health case mix assessments that conform
with the assessment schedule defined by Code of Federal Regulations, title 42, section
483.20, and published by the United States Department of Health and Human Services,
Centers for Medicare and Medicaid Services, in the Long Term Care Assessment
Instrument User's Manual, version 3.0, and subsequent updates when issued by the
Centers for Medicare and Medicaid Services. The commissioner of health may substitute
successor manuals or question and answer documents published by the United States
Department of Health and Human Services, Centers for Medicare and Medicaid Services,
to replace or supplement the current version of the manual or document.
(b) The assessments used to determine a case mix classification for reimbursement
include the following:
(1) a new admission assessment must be completed by day 14 following admission;
(2) an annual assessment which must have an assessment reference date (ARD)
within 366 days of the ARD of the last comprehensive assessment;
(3) a significant change assessment must be completed within 14 days of the
identification of a significant change; and
(4) all quarterly assessments must have an assessment reference date (ARD) within
92 days of the ARD of the previous assessment.
(c) In addition to the assessments listed in paragraph (b), the assessments used to
determine nursing facility level of care include the following:
(1) preadmission screening completed under section 256B.0911, subdivision 4a, by a
county, tribe, or managed care organization under contract with the Department of Human
Services 256.975, subdivision 7a, by the Senior LinkAge Line or other organization under
contract with the Minnesota Board on Aging; and
(2) a nursing facility level of care determination as provided for under section
256B.0911, subdivision 4e, as part of a face-to-face long-term care consultation assessment
completed under section 256B.0911, subdivision 3a, 3b, or 4d, by a county, tribe, or
managed care organization under contract with the Department of Human Services.

    Sec. 2. Minnesota Statutes 2012, section 144A.351, is amended to read:
144A.351 BALANCING LONG-TERM CARE SERVICES AND SUPPORTS:
REPORT AND STUDY REQUIRED.
    Subdivision 1. Report requirements. The commissioners of health and human
services, with the cooperation of counties and in consultation with stakeholders, including
persons who need or are using long-term care services and supports, lead agencies,
regional entities, senior, disability, and mental health organization representatives, service
providers, and community members shall prepare a report to the legislature by August 15,
2013, and biennially thereafter, regarding the status of the full range of long-term care
services and supports for the elderly and children and adults with disabilities and mental
illnesses in Minnesota. The report shall address:
    (1) demographics and need for long-term care services and supports in Minnesota;
    (2) summary of county and regional reports on long-term care gaps, surpluses,
imbalances, and corrective action plans;
    (3) status of long-term care services and related mental health services, housing
options, and supports by county and region including:
    (i) changes in availability of the range of long-term care services and housing options;
    (ii) access problems, including access to the least restrictive and most integrated
services and settings, regarding long-term care services; and
    (iii) comparative measures of long-term care services availability, including serving
people in their home areas near family, and changes over time; and
    (4) recommendations regarding goals for the future of long-term care services and
supports, policy and fiscal changes, and resource development and transition needs.
    Subd. 2. Critical access study. The commissioner of human services shall conduct
a onetime study to assess local capacity and availability of home and community-based
services for older adults, people with disabilities, and people with mental illnesses. The
study must assess critical access at the community level and identify potential strategies
to build home and community-based service capacity in critical access areas. The report
shall be submitted to the legislature no later than August 15, 2015.

    Sec. 3. Minnesota Statutes 2012, section 148E.065, subdivision 4a, is amended to read:
    Subd. 4a. City, county, and state social workers. (a) Beginning July 1, 2016, the
licensure of city, county, and state agency social workers is voluntary, except an individual
who is newly employed by a city or state agency after July 1, 2016, must be licensed
if the individual who provides social work services, as those services are defined in
section 148E.010, subdivision 11, paragraph (b), is presented to the public by any title
incorporating the words "social work" or "social worker."
(b) City, county, and state agencies employing social workers and staff who are
designated to perform mandated duties under sections 256.975, subdivisions 7 to 7c and
256.01, subdivision 24, are not required to employ licensed social workers.

    Sec. 4. Minnesota Statutes 2012, section 256.01, subdivision 2, is amended to read:
    Subd. 2. Specific powers. Subject to the provisions of section 241.021, subdivision
2
, the commissioner of human services shall carry out the specific duties in paragraphs (a)
through (cc) (dd):
    (a) Administer and supervise all forms of public assistance provided for by state law
and other welfare activities or services as are vested in the commissioner. Administration
and supervision of human services activities or services includes, but is not limited to,
assuring timely and accurate distribution of benefits, completeness of service, and quality
program management. In addition to administering and supervising human services
activities vested by law in the department, the commissioner shall have the authority to:
    (1) require county agency participation in training and technical assistance programs
to promote compliance with statutes, rules, federal laws, regulations, and policies
governing human services;
    (2) monitor, on an ongoing basis, the performance of county agencies in the
operation and administration of human services, enforce compliance with statutes, rules,
federal laws, regulations, and policies governing welfare services and promote excellence
of administration and program operation;
    (3) develop a quality control program or other monitoring program to review county
performance and accuracy of benefit determinations;
    (4) require county agencies to make an adjustment to the public assistance benefits
issued to any individual consistent with federal law and regulation and state law and rule
and to issue or recover benefits as appropriate;
    (5) delay or deny payment of all or part of the state and federal share of benefits and
administrative reimbursement according to the procedures set forth in section 256.017;
    (6) make contracts with and grants to public and private agencies and organizations,
both profit and nonprofit, and individuals, using appropriated funds; and
    (7) enter into contractual agreements with federally recognized Indian tribes with
a reservation in Minnesota to the extent necessary for the tribe to operate a federally
approved family assistance program or any other program under the supervision of the
commissioner. The commissioner shall consult with the affected county or counties in
the contractual agreement negotiations, if the county or counties wish to be included,
in order to avoid the duplication of county and tribal assistance program services. The
commissioner may establish necessary accounts for the purposes of receiving and
disbursing funds as necessary for the operation of the programs.
    (b) Inform county agencies, on a timely basis, of changes in statute, rule, federal law,
regulation, and policy necessary to county agency administration of the programs.
    (c) Administer and supervise all child welfare activities; promote the enforcement of
laws protecting disabled, dependent, neglected and delinquent children, and children born
to mothers who were not married to the children's fathers at the times of the conception
nor at the births of the children; license and supervise child-caring and child-placing
agencies and institutions; supervise the care of children in boarding and foster homes or
in private institutions; and generally perform all functions relating to the field of child
welfare now vested in the State Board of Control.
    (d) Administer and supervise all noninstitutional service to disabled persons,
including those who are visually impaired, hearing impaired, or physically impaired
or otherwise disabled. The commissioner may provide and contract for the care and
treatment of qualified indigent children in facilities other than those located and available
at state hospitals when it is not feasible to provide the service in state hospitals.
    (e) Assist and actively cooperate with other departments, agencies and institutions,
local, state, and federal, by performing services in conformity with the purposes of Laws
1939, chapter 431.
    (f) Act as the agent of and cooperate with the federal government in matters of
mutual concern relative to and in conformity with the provisions of Laws 1939, chapter
431, including the administration of any federal funds granted to the state to aid in the
performance of any functions of the commissioner as specified in Laws 1939, chapter 431,
and including the promulgation of rules making uniformly available medical care benefits
to all recipients of public assistance, at such times as the federal government increases its
participation in assistance expenditures for medical care to recipients of public assistance,
the cost thereof to be borne in the same proportion as are grants of aid to said recipients.
    (g) Establish and maintain any administrative units reasonably necessary for the
performance of administrative functions common to all divisions of the department.
    (h) Act as designated guardian of both the estate and the person of all the wards of
the state of Minnesota, whether by operation of law or by an order of court, without any
further act or proceeding whatever, except as to persons committed as developmentally
disabled. For children under the guardianship of the commissioner or a tribe in Minnesota
recognized by the Secretary of the Interior whose interests would be best served by
adoptive placement, the commissioner may contract with a licensed child-placing agency
or a Minnesota tribal social services agency to provide adoption services. A contract
with a licensed child-placing agency must be designed to supplement existing county
efforts and may not replace existing county programs or tribal social services, unless the
replacement is agreed to by the county board and the appropriate exclusive bargaining
representative, tribal governing body, or the commissioner has evidence that child
placements of the county continue to be substantially below that of other counties. Funds
encumbered and obligated under an agreement for a specific child shall remain available
until the terms of the agreement are fulfilled or the agreement is terminated.
    (i) Act as coordinating referral and informational center on requests for service for
newly arrived immigrants coming to Minnesota.
    (j) The specific enumeration of powers and duties as hereinabove set forth shall in no
way be construed to be a limitation upon the general transfer of powers herein contained.
    (k) Establish county, regional, or statewide schedules of maximum fees and charges
which may be paid by county agencies for medical, dental, surgical, hospital, nursing and
nursing home care and medicine and medical supplies under all programs of medical
care provided by the state and for congregate living care under the income maintenance
programs.
    (l) Have the authority to conduct and administer experimental projects to test methods
and procedures of administering assistance and services to recipients or potential recipients
of public welfare. To carry out such experimental projects, it is further provided that the
commissioner of human services is authorized to waive the enforcement of existing specific
statutory program requirements, rules, and standards in one or more counties. The order
establishing the waiver shall provide alternative methods and procedures of administration,
shall not be in conflict with the basic purposes, coverage, or benefits provided by law, and
in no event shall the duration of a project exceed four years. It is further provided that no
order establishing an experimental project as authorized by the provisions of this section
shall become effective until the following conditions have been met:
    (1) the secretary of health and human services of the United States has agreed, for
the same project, to waive state plan requirements relative to statewide uniformity; and
    (2) a comprehensive plan, including estimated project costs, shall be approved by
the Legislative Advisory Commission and filed with the commissioner of administration.
    (m) According to federal requirements, establish procedures to be followed by
local welfare boards in creating citizen advisory committees, including procedures for
selection of committee members.
    (n) Allocate federal fiscal disallowances or sanctions which are based on quality
control error rates for the aid to families with dependent children program formerly
codified in sections 256.72 to 256.87, medical assistance, or food stamp program in the
following manner:
    (1) one-half of the total amount of the disallowance shall be borne by the county
boards responsible for administering the programs. For the medical assistance and the
AFDC program formerly codified in sections 256.72 to 256.87, disallowances shall be
shared by each county board in the same proportion as that county's expenditures for the
sanctioned program are to the total of all counties' expenditures for the AFDC program
formerly codified in sections 256.72 to 256.87, and medical assistance programs. For the
food stamp program, sanctions shall be shared by each county board, with 50 percent of
the sanction being distributed to each county in the same proportion as that county's
administrative costs for food stamps are to the total of all food stamp administrative costs
for all counties, and 50 percent of the sanctions being distributed to each county in the
same proportion as that county's value of food stamp benefits issued are to the total of
all benefits issued for all counties. Each county shall pay its share of the disallowance
to the state of Minnesota. When a county fails to pay the amount due hereunder, the
commissioner may deduct the amount from reimbursement otherwise due the county, or
the attorney general, upon the request of the commissioner, may institute civil action
to recover the amount due; and
    (2) notwithstanding the provisions of clause (1), if the disallowance results from
knowing noncompliance by one or more counties with a specific program instruction, and
that knowing noncompliance is a matter of official county board record, the commissioner
may require payment or recover from the county or counties, in the manner prescribed in
clause (1), an amount equal to the portion of the total disallowance which resulted from the
noncompliance, and may distribute the balance of the disallowance according to clause (1).
    (o) Develop and implement special projects that maximize reimbursements and
result in the recovery of money to the state. For the purpose of recovering state money,
the commissioner may enter into contracts with third parties. Any recoveries that result
from projects or contracts entered into under this paragraph shall be deposited in the
state treasury and credited to a special account until the balance in the account reaches
$1,000,000. When the balance in the account exceeds $1,000,000, the excess shall be
transferred and credited to the general fund. All money in the account is appropriated to
the commissioner for the purposes of this paragraph.
    (p) Have the authority to make direct payments to facilities providing shelter
to women and their children according to section 256D.05, subdivision 3. Upon
the written request of a shelter facility that has been denied payments under section
256D.05, subdivision 3, the commissioner shall review all relevant evidence and make
a determination within 30 days of the request for review regarding issuance of direct
payments to the shelter facility. Failure to act within 30 days shall be considered a
determination not to issue direct payments.
    (q) Have the authority to establish and enforce the following county reporting
requirements:
    (1) the commissioner shall establish fiscal and statistical reporting requirements
necessary to account for the expenditure of funds allocated to counties for human
services programs. When establishing financial and statistical reporting requirements, the
commissioner shall evaluate all reports, in consultation with the counties, to determine if
the reports can be simplified or the number of reports can be reduced;
    (2) the county board shall submit monthly or quarterly reports to the department
as required by the commissioner. Monthly reports are due no later than 15 working days
after the end of the month. Quarterly reports are due no later than 30 calendar days after
the end of the quarter, unless the commissioner determines that the deadline must be
shortened to 20 calendar days to avoid jeopardizing compliance with federal deadlines
or risking a loss of federal funding. Only reports that are complete, legible, and in the
required format shall be accepted by the commissioner;
    (3) if the required reports are not received by the deadlines established in clause (2),
the commissioner may delay payments and withhold funds from the county board until
the next reporting period. When the report is needed to account for the use of federal
funds and the late report results in a reduction in federal funding, the commissioner shall
withhold from the county boards with late reports an amount equal to the reduction in
federal funding until full federal funding is received;
    (4) a county board that submits reports that are late, illegible, incomplete, or not
in the required format for two out of three consecutive reporting periods is considered
noncompliant. When a county board is found to be noncompliant, the commissioner
shall notify the county board of the reason the county board is considered noncompliant
and request that the county board develop a corrective action plan stating how the
county board plans to correct the problem. The corrective action plan must be submitted
to the commissioner within 45 days after the date the county board received notice
of noncompliance;
    (5) the final deadline for fiscal reports or amendments to fiscal reports is one year
after the date the report was originally due. If the commissioner does not receive a report
by the final deadline, the county board forfeits the funding associated with the report for
that reporting period and the county board must repay any funds associated with the
report received for that reporting period;
    (6) the commissioner may not delay payments, withhold funds, or require repayment
under clause (3) or (5) if the county demonstrates that the commissioner failed to
provide appropriate forms, guidelines, and technical assistance to enable the county to
comply with the requirements. If the county board disagrees with an action taken by the
commissioner under clause (3) or (5), the county board may appeal the action according
to sections 14.57 to 14.69; and
    (7) counties subject to withholding of funds under clause (3) or forfeiture or
repayment of funds under clause (5) shall not reduce or withhold benefits or services to
clients to cover costs incurred due to actions taken by the commissioner under clause
(3) or (5).
    (r) Allocate federal fiscal disallowances or sanctions for audit exceptions when
federal fiscal disallowances or sanctions are based on a statewide random sample in direct
proportion to each county's claim for that period.
    (s) Be responsible for ensuring the detection, prevention, investigation, and
resolution of fraudulent activities or behavior by applicants, recipients, and other
participants in the human services programs administered by the department.
    (t) Require county agencies to identify overpayments, establish claims, and utilize
all available and cost-beneficial methodologies to collect and recover these overpayments
in the human services programs administered by the department.
    (u) Have the authority to administer a drug rebate program for drugs purchased
pursuant to the prescription drug program established under section 256.955 after the
beneficiary's satisfaction of any deductible established in the program. The commissioner
shall require a rebate agreement from all manufacturers of covered drugs as defined in
section 256B.0625, subdivision 13. Rebate agreements for prescription drugs delivered on
or after July 1, 2002, must include rebates for individuals covered under the prescription
drug program who are under 65 years of age. For each drug, the amount of the rebate shall
be equal to the rebate as defined for purposes of the federal rebate program in United
States Code, title 42, section 1396r-8. The manufacturers must provide full payment
within 30 days of receipt of the state invoice for the rebate within the terms and conditions
used for the federal rebate program established pursuant to section 1927 of title XIX of
the Social Security Act. The manufacturers must provide the commissioner with any
information necessary to verify the rebate determined per drug. The rebate program shall
utilize the terms and conditions used for the federal rebate program established pursuant to
section 1927 of title XIX of the Social Security Act.
    (v) Have the authority to administer the federal drug rebate program for drugs
purchased under the medical assistance program as allowed by section 1927 of title XIX
of the Social Security Act and according to the terms and conditions of section 1927.
Rebates shall be collected for all drugs that have been dispensed or administered in an
outpatient setting and that are from manufacturers who have signed a rebate agreement
with the United States Department of Health and Human Services.
    (w) Have the authority to administer a supplemental drug rebate program for drugs
purchased under the medical assistance program. The commissioner may enter into
supplemental rebate contracts with pharmaceutical manufacturers and may require prior
authorization for drugs that are from manufacturers that have not signed a supplemental
rebate contract. Prior authorization of drugs shall be subject to the provisions of section
256B.0625, subdivision 13.
    (x) Operate the department's communication systems account established in Laws
1993, First Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared
communication costs necessary for the operation of the programs the commissioner
supervises. A communications account may also be established for each regional
treatment center which operates communications systems. Each account must be used
to manage shared communication costs necessary for the operations of the programs the
commissioner supervises. The commissioner may distribute the costs of operating and
maintaining communication systems to participants in a manner that reflects actual usage.
Costs may include acquisition, licensing, insurance, maintenance, repair, staff time and
other costs as determined by the commissioner. Nonprofit organizations and state, county,
and local government agencies involved in the operation of programs the commissioner
supervises may participate in the use of the department's communications technology and
share in the cost of operation. The commissioner may accept on behalf of the state any
gift, bequest, devise or personal property of any kind, or money tendered to the state for
any lawful purpose pertaining to the communication activities of the department. Any
money received for this purpose must be deposited in the department's communication
systems accounts. Money collected by the commissioner for the use of communication
systems must be deposited in the state communication systems account and is appropriated
to the commissioner for purposes of this section.
    (y) Receive any federal matching money that is made available through the medical
assistance program for the consumer satisfaction survey. Any federal money received for
the survey is appropriated to the commissioner for this purpose. The commissioner may
expend the federal money received for the consumer satisfaction survey in either year of
the biennium.
    (z) Designate community information and referral call centers and incorporate
cost reimbursement claims from the designated community information and referral
call centers into the federal cost reimbursement claiming processes of the department
according to federal law, rule, and regulations. Existing information and referral centers
provided by Greater Twin Cities United Way or existing call centers for which Greater
Twin Cities United Way has legal authority to represent, shall be included in these
designations upon review by the commissioner and assurance that these services are
accredited and in compliance with national standards. Any reimbursement is appropriated
to the commissioner and all designated information and referral centers shall receive
payments according to normal department schedules established by the commissioner
upon final approval of allocation methodologies from the United States Department of
Health and Human Services Division of Cost Allocation or other appropriate authorities.
    (aa) Develop recommended standards for foster care homes that address the
components of specialized therapeutic services to be provided by foster care homes with
those services.
    (bb) Authorize the method of payment to or from the department as part of the
human services programs administered by the department. This authorization includes the
receipt or disbursement of funds held by the department in a fiduciary capacity as part of
the human services programs administered by the department.
    (cc) Have the authority to administer a drug rebate program for drugs purchased for
persons eligible for general assistance medical care under section 256D.03, subdivision 3.
For manufacturers that agree to participate in the general assistance medical care rebate
program, the commissioner shall enter into a rebate agreement for covered drugs as
defined in section 256B.0625, subdivisions 13 and 13d. For each drug, the amount of the
rebate shall be equal to the rebate as defined for purposes of the federal rebate program in
United States Code, title 42, section 1396r-8. The manufacturers must provide payment
within the terms and conditions used for the federal rebate program established under
section 1927 of title XIX of the Social Security Act. The rebate program shall utilize
the terms and conditions used for the federal rebate program established under section
1927 of title XIX of the Social Security Act.
    Effective January 1, 2006, drug coverage under general assistance medical care shall
be limited to those prescription drugs that:
    (1) are covered under the medical assistance program as described in section
256B.0625, subdivisions 13 and 13d; and
    (2) are provided by manufacturers that have fully executed general assistance
medical care rebate agreements with the commissioner and comply with such agreements.
Prescription drug coverage under general assistance medical care shall conform to
coverage under the medical assistance program according to section 256B.0625,
subdivisions 13 to 13g
.
    The rebate revenues collected under the drug rebate program are deposited in the
general fund.
(dd) Designate the agencies that operate the Senior LinkAge Line under section
256.975, subdivision 7, and the Disability Linkage Line under subdivision 24 as the
state of Minnesota Aging and Disability Resource Center under United States Code, title
42, section 3001, the Older Americans Act Amendments of 2006, and incorporate cost
reimbursement claims from the designated centers into the federal cost reimbursement
claiming processes of the department according to federal law, rule, and regulations. Any
reimbursement must be appropriated to the commissioner and treated consistent with
section 256.011. All Aging and Disability Resource Center designated agencies shall
receive payments of grant funding that supports the activity and generates the federal
financial participation according to Board on Aging administrative granting mechanisms.

    Sec. 5. Minnesota Statutes 2012, section 256.01, subdivision 24, is amended to read:
    Subd. 24. Disability Linkage Line. The commissioner shall establish the Disability
Linkage Line, to which shall serve people with disabilities as the designated Aging and
Disability Resource Center under United States Code, title 42, section 3001, the Older
Americans Act Amendments of 2006, in partnership with the Senior LinkAge Line and
shall serve as Minnesota's neutral access point for statewide disability information and
assistance and must be available during business hours through a statewide toll-free
number and the Internet. The Disability Linkage Line shall:
(1) deliver information and assistance based on national and state standards;
    (2) provide information about state and federal eligibility requirements, benefits,
and service options;
(3) provide benefits and options counseling;
    (4) make referrals to appropriate support entities;
    (5) educate people on their options so they can make well-informed choices and link
them to quality profiles;
    (6) help support the timely resolution of service access and benefit issues;
(7) inform people of their long-term community services and supports;
(8) provide necessary resources and supports that can lead to employment and
increased economic stability of people with disabilities; and
(9) serve as the technical assistance and help center for the Web-based tool,
Minnesota's Disability Benefits 101.org.

    Sec. 6. Minnesota Statutes 2012, section 256.975, subdivision 7, is amended to read:
    Subd. 7. Consumer information and assistance and long-term care options
counseling; Senior LinkAge Line. (a) The Minnesota Board on Aging shall operate a
statewide service to aid older Minnesotans and their families in making informed choices
about long-term care options and health care benefits. Language services to persons
with limited English language skills may be made available. The service, known as
Senior LinkAge Line, shall serve older adults as the designated Aging and Disability
Resource Center under United States Code, title 42, section 3001, the Older Americans
Act Amendments of 2006 in partnership with the Disability Linkage Line under section
256.01, subdivision 24, and must be available during business hours through a statewide
toll-free number and must also be available through the Internet. The Minnesota Board
on Aging shall consult with, and when appropriate work through, the area agencies on
aging counties, and other entities that serve aging and disabled populations of all ages,
to provide and maintain the telephone infrastructure and related support for the Aging
and Disability Resource Center partners which agree by memorandum to access the
infrastructure, including the designated providers of the Senior LinkAge Line and the
Disability Linkage Line.
    (b) The service must provide long-term care options counseling by assisting older
adults, caregivers, and providers in accessing information and options counseling about
choices in long-term care services that are purchased through private providers or available
through public options. The service must:
    (1) develop and provide for regular updating of a comprehensive database that
includes detailed listings in both consumer- and provider-oriented formats that can provide
search results down to the neighborhood level;
    (2) make the database accessible on the Internet and through other telecommunication
and media-related tools;
    (3) link callers to interactive long-term care screening tools and make these tools
available through the Internet by integrating the tools with the database;
    (4) develop community education materials with a focus on planning for long-term
care and evaluating independent living, housing, and service options;
    (5) conduct an outreach campaign to assist older adults and their caregivers in
finding information on the Internet and through other means of communication;
    (6) implement a messaging system for overflow callers and respond to these callers
by the next business day;
    (7) link callers with county human services and other providers to receive more
in-depth assistance and consultation related to long-term care options;
    (8) link callers with quality profiles for nursing facilities and other home and
community-based services providers developed by the commissioner commissioners of
health and human services;
(9) develop an outreach plan to seniors and their caregivers with a particular focus
on establishing a clear presence in places that seniors recognize and:
(i) place a significant emphasis on improved outreach and service to seniors and
their caregivers by establishing annual plans by neighborhood, city, and county, as
necessary, to address the unique needs of geographic areas in the state where there are
dense populations of seniors;
(ii) establish an efficient workforce management approach and assign community
living specialist staff and volunteers to geographic areas as well as aging and disability
resource center sites so that seniors and their caregivers and professionals recognize the
Senior LinkAge Line as the place to call for aging services and information;
(iii) recognize the size and complexity of the metropolitan area service system by
working with metropolitan counties to establish a clear partnership with them, including
seeking county advice on the establishment of local aging and disabilities resource center
sites; and
(iv) maintain dashboards with metrics that demonstrate how the service is expanding
and extending or enhancing its outreach efforts in dispersed or hard to reach locations in
varied population centers;
    (9) (10) incorporate information about the availability of housing options, as well
as registered housing with services and consumer rights within the MinnesotaHelp.info
network long-term care database to facilitate consumer comparison of services and costs
among housing with services establishments and with other in-home services and to
support financial self-sufficiency as long as possible. Housing with services establishments
and their arranged home care providers shall provide information that will facilitate price
comparisons, including delineation of charges for rent and for services available. The
commissioners of health and human services shall align the data elements required by
section 144G.06, the Uniform Consumer Information Guide, and this section to provide
consumers standardized information and ease of comparison of long-term care options.
The commissioner of human services shall provide the data to the Minnesota Board on
Aging for inclusion in the MinnesotaHelp.info network long-term care database;
(10) (11) provide long-term care options counseling. Long-term care options
counselors shall:
(i) for individuals not eligible for case management under a public program or public
funding source, provide interactive decision support under which consumers, family
members, or other helpers are supported in their deliberations to determine appropriate
long-term care choices in the context of the consumer's needs, preferences, values, and
individual circumstances, including implementing a community support plan;
(ii) provide Web-based educational information and collateral written materials to
familiarize consumers, family members, or other helpers with the long-term care basics,
issues to be considered, and the range of options available in the community;
(iii) provide long-term care futures planning, which means providing assistance to
individuals who anticipate having long-term care needs to develop a plan for the more
distant future; and
(iv) provide expertise in benefits and financing options for long-term care, including
Medicare, long-term care insurance, tax or employer-based incentives, reverse mortgages,
private pay options, and ways to access low or no-cost services or benefits through
volunteer-based or charitable programs;
(11) (12) using risk management and support planning protocols, provide long-term
care options counseling to current residents of nursing homes deemed appropriate for
discharge by the commissioner and older adults who request service after consultation
with the Senior LinkAge Line under clause (12). In order to meet this requirement, The
Senior LinkAge Line shall also receive referrals from the residents or staff of nursing
homes. The Senior LinkAge Line shall identify and contact residents deemed appropriate
for discharge by developing targeting criteria in consultation with the commissioner who
shall provide designated Senior LinkAge Line contact centers with a list of nursing
home residents that meet the criteria as being appropriate for discharge planning via a
secure Web portal. Senior LinkAge Line shall provide these residents, if they indicate a
preference to receive long-term care options counseling, with initial assessment, review of
risk factors, independent living support consultation, or and, if appropriate, a referral to:
(i) long-term care consultation services under section 256B.0911;
(ii) designated care coordinators of contracted entities under section 256B.035 for
persons who are enrolled in a managed care plan; or
(iii) the long-term care consultation team for those who are appropriate eligible
for relocation service coordination due to high-risk factors or psychological or physical
disability; and
(12) (13) develop referral protocols and processes that will assist certified health
care homes and hospitals to identify at-risk older adults and determine when to refer these
individuals to the Senior LinkAge Line for long-term care options counseling under this
section. The commissioner is directed to work with the commissioner of health to develop
protocols that would comply with the health care home designation criteria and protocols
available at the time of hospital discharge. The commissioner shall keep a record of the
number of people who choose long-term care options counseling as a result of this section.

    Sec. 7. Minnesota Statutes 2012, section 256.975, is amended by adding a subdivision
to read:
    Subd. 7a. Preadmission screening activities related to nursing facility
admissions. (a) All individuals seeking admission to Medicaid certified nursing facilities,
including certified boarding care facilities, must be screened prior to admission regardless
of income, assets, or funding sources for nursing facility care, except as described in
subdivision 7b, paragraphs (a) and (b). The purpose of the screening is to determine the
need for nursing facility level of care as described in section 256B.0911, subdivision
4e, and to complete activities required under federal law related to mental illness and
developmental disability as outlined in paragraph (b).
(b) A person who has a diagnosis or possible diagnosis of mental illness or
developmental disability must receive a preadmission screening before admission
regardless of the exemptions outlined in subdivision 7b, paragraphs (a) and (b), to identify
the need for further evaluation and specialized services, unless the admission prior to
screening is authorized by the local mental health authority or the local developmental
disabilities case manager, or unless authorized by the county agency according to Public
Law 101-508.
(c) The following criteria apply to the preadmission screening:
(1) requests for preadmission screenings must be submitted via an online form
developed by the commissioner;
(2) the Senior LinkAge Line must use forms and criteria developed by the
commissioner to identify persons who require referral for further evaluation and
determination of the need for specialized services; and
(3) the evaluation and determination of the need for specialized services must be
done by:
(i) a qualified independent mental health professional, for persons with a primary or
secondary diagnosis of a serious mental illness; or
(ii) a qualified developmental disability professional, for persons with a primary or
secondary diagnosis of developmental disability. For purposes of this requirement, a
qualified developmental disability professional must meet the standards for a qualified
developmental disability professional under Code of Federal Regulations, title 42, section
483.430.
(d) The local county mental health authority or the state developmental disability
authority under Public Law Numbers 100-203 and 101-508 may prohibit admission to a
nursing facility if the individual does not meet the nursing facility level of care criteria or
needs specialized services as defined in Public Law Numbers 100-203 and 101-508. For
purposes of this section, "specialized services" for a person with developmental disability
means active treatment as that term is defined under Code of Federal Regulations, title
42, section 483.440(a)(1).
(e) In assessing a person's needs, the screener shall:
(1) use an automated system designated by the commissioner;
(2) consult with care transitions coordinators or physician; and
(3) consider the assessment of the individual's physician.
Other personnel may be included in the level of care determination as deemed
necessary by the screener.
EFFECTIVE DATE.This section is effective October 1, 2013.

    Sec. 8. Minnesota Statutes 2012, section 256.975, is amended by adding a subdivision
to read:
    Subd. 7b. Exemptions and emergency admissions. (a) Exemptions from the federal
screening requirements outlined in subdivision 7a, paragraphs (b) and (c), are limited to:
(1) a person who, having entered an acute care facility from a certified nursing
facility, is returning to a certified nursing facility; or
(2) a person transferring from one certified nursing facility in Minnesota to another
certified nursing facility in Minnesota.
(b) Persons who are exempt from preadmission screening for purposes of level of
care determination include:
(1) persons described in paragraph (a);
(2) an individual who has a contractual right to have nursing facility care paid for
indefinitely by the Veterans' Administration;
(3) an individual enrolled in a demonstration project under section 256B.69,
subdivision 8, at the time of application to a nursing facility; and
(4) an individual currently being served under the alternative care program or under
a home and community-based services waiver authorized under section 1915(c) of the
federal Social Security Act.
(c) Persons admitted to a Medicaid-certified nursing facility from the community
on an emergency basis as described in paragraph (d) or from an acute care facility on a
nonworking day must be screened the first working day after admission.
(d) Emergency admission to a nursing facility prior to screening is permitted when
all of the following conditions are met:
(1) a person is admitted from the community to a certified nursing or certified
boarding care facility during Senior LinkAge Line nonworking hours;
(2) a physician has determined that delaying admission until preadmission screening
is completed would adversely affect the person's health and safety;
(3) there is a recent precipitating event that precludes the client from living safely in
the community, such as sustaining an injury, sudden onset of acute illness, or a caregiver's
inability to continue to provide care;
(4) the attending physician has authorized the emergency placement and has
documented the reason that the emergency placement is recommended; and
(5) the Senior LinkAge Line is contacted on the first working day following the
emergency admission.
Transfer of a patient from an acute care hospital to a nursing facility is not considered
an emergency except for a person who has received hospital services in the following
situations: hospital admission for observation, care in an emergency room without hospital
admission, or following hospital 24-hour bed care and from whom admission is being
sought on a nonworking day.
(e) A nursing facility must provide written information to all persons admitted
regarding the person's right to request and receive long-term care consultation services as
defined in section 256B.0911, subdivision 1a. The information must be provided prior to
the person's discharge from the facility and in a format specified by the commissioner.
EFFECTIVE DATE.This section is effective October 1, 2013.

    Sec. 9. Minnesota Statutes 2012, section 256.975, is amended by adding a subdivision
to read:
    Subd. 7c. Screening requirements. (a) A person may be screened for nursing
facility admission by telephone or in a face-to-face screening interview. The Senior
LinkAge Line shall identify each individual's needs using the following categories:
(1) the person needs no face-to-face long-term care consultation assessment
completed under section 256B.0911, subdivision 3a, 3b, or 4d, by a county, tribe, or
managed care organization under contract with the Department of Human Services to
determine the need for nursing facility level of care based on information obtained from
other health care professionals;
(2) the person needs an immediate face-to-face long-term care consultation
assessment completed under section 256B.0911, subdivision 3a, 3b, or 4d, by a county,
tribe, or managed care organization under contract with the Department of Human
Services to determine the need for nursing facility level of care and complete activities
required under subdivision 7a; or
(3) the person may be exempt from screening requirements as outlined in subdivision
7b, but will need transitional assistance after admission or in-person follow-along after
a return home.
(b) Individuals under 65 years of age who are admitted to nursing facilities with
only a telephone screening must receive a face-to-face assessment from the long-term
care consultation team member of the county in which the facility is located or from the
recipient's county case manager within 40 calendar days of admission as described in
section 256B.0911, subdivision 4d, paragraph (c).
(c) Persons admitted on a nonemergency basis to a Medicaid-certified nursing
facility must be screened prior to admission.
(d) Screenings provided by the Senior LinkAge Line must include processes
to identify persons who may require transition assistance described in subdivision 7,
paragraph (b), clause (12), and section 256B.0911, subdivision 3b.
EFFECTIVE DATE.This section is effective October 1, 2013.

    Sec. 10. Minnesota Statutes 2012, section 256.975, is amended by adding a subdivision
to read:
    Subd. 7d. Payment for preadmission screening. Funding for preadmission
screening shall be provided to the Minnesota Board on Aging by the Department of
Human Services to cover screener salaries and expenses to provide the services described
in subdivisions 7a to 7c. The Minnesota Board on Aging shall employ, or contract with
other agencies to employ, within the limits of available funding, sufficient personnel to
provide preadmission screening and level of care determination services and shall seek to
maximize federal funding for the service as provided under section 256.01, subdivision
2, paragraph (dd).
EFFECTIVE DATE.This section is effective October 1, 2013.

    Sec. 11. Minnesota Statutes 2012, section 256.9754, is amended by adding a
subdivision to read:
    Subd. 3a. Priority for other grants. The commissioner of health shall give priority
to a grantee selected under subdivision 3 when awarding technology-related grants, if the
grantee is using technology as part of the proposal unless that priority conflicts with
existing state or federal guidance related to grant awards by the Department of Health.
The commissioner of transportation shall give priority to a grantee under subdivision 3
when distributing transportation-related funds to create transportation options for older
adults unless that preference conflicts with existing state or federal guidance related to
grant awards by the Department of Transportation.

    Sec. 12. Minnesota Statutes 2012, section 256.9754, is amended by adding a
subdivision to read:
    Subd. 3b. State waivers. The commissioner of health may waive applicable state
laws and rules on a time-limited basis if the commissioner of health determines that a
participating grantee requires a waiver in order to achieve demonstration project goals.

    Sec. 13. Minnesota Statutes 2012, section 256.9754, subdivision 5, is amended to read:
    Subd. 5. Grant preference. The commissioner of human services shall give
preference when awarding grants under this section to areas where nursing facility
closures have occurred or are occurring or areas with service needs identified by section
144A.351. The commissioner may award grants to the extent grant funds are available
and to the extent applications are approved by the commissioner. Denial of approval of an
application in one year does not preclude submission of an application in a subsequent
year. The maximum grant amount is limited to $750,000.

    Sec. 14. Minnesota Statutes 2012, section 256B.021, is amended by adding a
subdivision to read:
    Subd. 4a. Evaluation. The commissioner shall evaluate the projects contained in
subdivision 4, paragraphs (f), clauses (2) and (12), and (h). The evaluation must include:
(1) an impact assessment focusing on program outcomes, especially those
experienced directly by the person receiving services;
(2) study samples drawn from the population of interest for each project; and
(3) a time series analysis to examine aggregate trends in average monthly
utilization, expenditures, and other outcomes in the targeted populations before and after
implementation of the initiatives.

    Sec. 15. Minnesota Statutes 2012, section 256B.021, is amended by adding a
subdivision to read:
    Subd. 6. Work, empower, and encourage independence. As provided under
subdivision 4, paragraph (e), upon federal approval, the commissioner shall establish a
demonstration project to provide navigation, employment supports, and benefits planning
services to a targeted group of federally funded Medicaid recipients to begin July 1, 2014.
This demonstration shall promote economic stability, increase independence, and reduce
applications for disability benefits while providing a positive impact on the health and
future of participants.

    Sec. 16. Minnesota Statutes 2012, section 256B.021, is amended by adding a
subdivision to read:
    Subd. 7. Housing stabilization. As provided under subdivision 4, paragraph (e),
upon federal approval, the commissioner shall establish a demonstration project to provide
service coordination, outreach, in-reach, tenancy support, and community living assistance
to a targeted group of federally funded Medicaid recipients to begin January 1, 2014. This
demonstration shall promote housing stability, reduce costly medical interventions, and
increase opportunities for independent community living.

    Sec. 17. Minnesota Statutes 2012, section 256B.0911, subdivision 1, is amended to read:
    Subdivision 1. Purpose and goal. (a) The purpose of long-term care consultation
services is to assist persons with long-term or chronic care needs in making care
decisions and selecting support and service options that meet their needs and reflect
their preferences. The availability of, and access to, information and other types of
assistance, including assessment and support planning, is also intended to prevent or delay
institutional placements and to provide access to transition assistance after admission.
Further, the goal of these services is to contain costs associated with unnecessary
institutional admissions. Long-term consultation services must be available to any person
regardless of public program eligibility. The commissioner of human services shall seek
to maximize use of available federal and state funds and establish the broadest program
possible within the funding available.
(b) These services must be coordinated with long-term care options counseling
provided under subdivision 4d, section 256.975, subdivision subdivisions 7 to 7c, and
section 256.01, subdivision 24. The lead agency providing long-term care consultation
services shall encourage the use of volunteers from families, religious organizations, social
clubs, and similar civic and service organizations to provide community-based services.

    Sec. 18. Minnesota Statutes 2012, section 256B.0911, subdivision 1a, is amended to
read:
    Subd. 1a. Definitions. For purposes of this section, the following definitions apply:
    (a) Until additional requirements apply under paragraph (b), "long-term care
consultation services" means:
    (1) intake for and access to assistance in identifying services needed to maintain an
individual in the most inclusive environment;
    (2) providing recommendations for and referrals to cost-effective community
services that are available to the individual;
    (3) development of an individual's person-centered community support plan;
    (4) providing information regarding eligibility for Minnesota health care programs;
    (5) face-to-face long-term care consultation assessments, which may be completed
in a hospital, nursing facility, intermediate care facility for persons with developmental
disabilities (ICF/DDs), regional treatment centers, or the person's current or planned
residence;
    (6) federally mandated preadmission screening activities described under
subdivisions 4a and 4b;
    (7) (6) determination of home and community-based waiver and other service
eligibility as required under sections 256B.0913, 256B.0915, and 256B.49, including level
of care determination for individuals who need an institutional level of care as determined
under section 256B.0911, subdivision 4a, paragraph (d) 4e, based on assessment and
community support plan development, appropriate referrals to obtain necessary diagnostic
information, and including an eligibility determination for consumer-directed community
supports;
    (8) (7) providing recommendations for institutional placement when there are no
cost-effective community services available;
    (9) (8) providing access to assistance to transition people back to community settings
after institutional admission; and
(10) (9) providing information about competitive employment, with or without
supports, for school-age youth and working-age adults and referrals to the Disability
Linkage Line and Disability Benefits 101 to ensure that an informed choice about
competitive employment can be made. For the purposes of this subdivision, "competitive
employment" means work in the competitive labor market that is performed on a full-time
or part-time basis in an integrated setting, and for which an individual is compensated at or
above the minimum wage, but not less than the customary wage and level of benefits paid
by the employer for the same or similar work performed by individuals without disabilities.
(b) Upon statewide implementation of lead agency requirements in subdivisions 2b,
2c, and 3a, "long-term care consultation services" also means:
(1) service eligibility determination for state plan home care services identified in:
(i) section 256B.0625, subdivisions 7, 19a, and 19c;
(ii) section 256B.0657; or
(iii) consumer support grants under section 256.476;
(2) notwithstanding provisions in Minnesota Rules, parts 9525.0004 to 9525.0024,
determination of eligibility for case management services available under sections
256B.0621, subdivision 2, paragraph (4), and 256B.0924 and Minnesota Rules, part
9525.0016;
(3) determination of institutional level of care, home and community-based service
waiver, and other service eligibility as required under section 256B.092, determination
of eligibility for family support grants under section 252.32, semi-independent living
services under section 252.275, and day training and habilitation services under section
256B.092; and
(4) obtaining necessary diagnostic information to determine eligibility under clauses
(2) and (3).
    (c) "Long-term care options counseling" means the services provided by the linkage
lines as mandated by sections 256.01, subdivision 24, and 256.975, subdivision 7, and
also includes telephone assistance and follow up once a long-term care consultation
assessment has been completed.
    (d) "Minnesota health care programs" means the medical assistance program under
chapter 256B and the alternative care program under section 256B.0913.
    (e) "Lead agencies" means counties administering or tribes and health plans under
contract with the commissioner to administer long-term care consultation assessment and
support planning services.

    Sec. 19. Minnesota Statutes 2012, section 256B.0911, subdivision 3a, is amended to
read:
    Subd. 3a. Assessment and support planning. (a) Persons requesting assessment,
services planning, or other assistance intended to support community-based living,
including persons who need assessment in order to determine waiver or alternative care
program eligibility, must be visited by a long-term care consultation team within 20
calendar days after the date on which an assessment was requested or recommended.
Upon statewide implementation of subdivisions 2b, 2c, and 5, this requirement also
applies to an assessment of a person requesting personal care assistance services and
private duty nursing. The commissioner shall provide at least a 90-day notice to lead
agencies prior to the effective date of this requirement. Face-to-face assessments must be
conducted according to paragraphs (b) to (i).
    (b) The lead agency may utilize a team of either the social worker or public health
nurse, or both. Upon implementation of subdivisions 2b, 2c, and 5, lead agencies shall
use certified assessors to conduct the assessment. The consultation team members must
confer regarding the most appropriate care for each individual screened or assessed. For
a person with complex health care needs, a public health or registered nurse from the
team must be consulted.
    (c) The assessment must be comprehensive and include a person-centered assessment
of the health, psychological, functional, environmental, and social needs of referred
individuals and provide information necessary to develop a community support plan that
meets the consumers needs, using an assessment form provided by the commissioner.
    (d) The assessment must be conducted in a face-to-face interview with the person
being assessed and the person's legal representative, and other individuals as requested by
the person, who can provide information on the needs, strengths, and preferences of the
person necessary to develop a community support plan that ensures the person's health and
safety, but who is not a provider of service or has any financial interest in the provision
of services. For persons who are to be assessed for elderly waiver customized living
services under section 256B.0915, with the permission of the person being assessed or
the person's designated or legal representative, the client's current or proposed provider
of services may submit a copy of the provider's nursing assessment or written report
outlining its recommendations regarding the client's care needs. The person conducting
the assessment will notify the provider of the date by which this information is to be
submitted. This information shall be provided to the person conducting the assessment
prior to the assessment.
    (e) If the person chooses to use community-based services, the person or the person's
legal representative must be provided with a written community support plan within 40
calendar days of the assessment visit, regardless of whether the individual is eligible for
Minnesota health care programs. The written community support plan must include:
(1) a summary of assessed needs as defined in paragraphs (c) and (d);
(2) the individual's options and choices to meet identified needs, including all
available options for case management services and providers;
(3) identification of health and safety risks and how those risks will be addressed,
including personal risk management strategies;
(4) referral information; and
(5) informal caregiver supports, if applicable.
For a person determined eligible for state plan home care under subdivision 1a,
paragraph (b), clause (1), the person or person's representative must also receive a copy of
the home care service plan developed by the certified assessor.
(f) A person may request assistance in identifying community supports without
participating in a complete assessment. Upon a request for assistance identifying
community support, the person must be transferred or referred to long-term care options
counseling services available under sections 256.975, subdivision 7, and 256.01,
subdivision 24, for telephone assistance and follow up.
    (g) The person has the right to make the final decision between institutional
placement and community placement after the recommendations have been provided,
except as provided in section 256.975, subdivision 4a, paragraph (c) 7a, paragraph (d).
    (h) The lead agency must give the person receiving assessment or support planning,
or the person's legal representative, materials, and forms supplied by the commissioner
containing the following information:
    (1) written recommendations for community-based services and consumer-directed
options;
(2) documentation that the most cost-effective alternatives available were offered to
the individual. For purposes of this clause, "cost-effective" means community services and
living arrangements that cost the same as or less than institutional care. For an individual
found to meet eligibility criteria for home and community-based service programs under
section 256B.0915 or 256B.49, "cost-effectiveness" has the meaning found in the federally
approved waiver plan for each program;
(3) the need for and purpose of preadmission screening conducted by long-term care
options counselors according to section 256.975, subdivisions 7a to 7c, if the person selects
nursing facility placement. If the individual selects nursing facility placement, the lead
agency shall forward information needed to complete the level of care determinations and
screening for developmental disability and mental illness collected during the assessment
to the long-term care options counselor using forms provided by the commissioner;
    (4) the role of long-term care consultation assessment and support planning in
eligibility determination for waiver and alternative care programs, and state plan home
care, case management, and other services as defined in subdivision 1a, paragraphs (a),
clause (7), and (b);
    (5) information about Minnesota health care programs;
    (6) the person's freedom to accept or reject the recommendations of the team;
    (7) the person's right to confidentiality under the Minnesota Government Data
Practices Act, chapter 13;
    (8) the certified assessor's decision regarding the person's need for institutional level
of care as determined under criteria established in section 256B.0911, subdivision 4a,
paragraph (d) 4e, and the certified assessor's decision regarding eligibility for all services
and programs as defined in subdivision 1a, paragraphs (a), clause (7), and (b); and
    (9) the person's right to appeal the certified assessor's decision regarding eligibility
for all services and programs as defined in subdivision 1a, paragraphs (a), clause (7), and
(b), and incorporating the decision regarding the need for institutional level of care or the
lead agency's final decisions regarding public programs eligibility according to section
256.045, subdivision 3.
    (i) Face-to-face assessment completed as part of eligibility determination for
the alternative care, elderly waiver, community alternatives for disabled individuals,
community alternative care, and brain injury waiver programs under sections 256B.0913,
256B.0915, and 256B.49 is valid to establish service eligibility for no more than 60
calendar days after the date of assessment.
(j) The effective eligibility start date for programs in paragraph (i) can never be
prior to the date of assessment. If an assessment was completed more than 60 days
before the effective waiver or alternative care program eligibility start date, assessment
and support plan information must be updated in a face-to-face visit and documented in
the department's Medicaid Management Information System (MMIS). Notwithstanding
retroactive medical assistance coverage of state plan services, the effective date of
eligibility for programs included in paragraph (i) cannot be prior to the date the most
recent updated assessment is completed.

    Sec. 20. Minnesota Statutes 2012, section 256B.0911, subdivision 4d, is amended to
read:
    Subd. 4d. Preadmission screening of individuals under 65 years of age. (a)
It is the policy of the state of Minnesota to ensure that individuals with disabilities or
chronic illness are served in the most integrated setting appropriate to their needs and have
the necessary information to make informed choices about home and community-based
service options.
    (b) Individuals under 65 years of age who are admitted to a Medicaid-certified
nursing facility from a hospital must be screened prior to admission as outlined in
subdivisions 4a through 4c according to the requirements outlined in section 256.975,
subdivisions 7a to 7c. This shall be provided by the Senior LinkAge Line as required
under section 256.975, subdivision 7.
    (c) Individuals under 65 years of age who are admitted to nursing facilities with
only a telephone screening must receive a face-to-face assessment from the long-term
care consultation team member of the county in which the facility is located or from the
recipient's county case manager within 40 calendar days of admission.
    (d) Individuals under 65 years of age who are admitted to a nursing facility
without preadmission screening according to the exemption described in subdivision 4b,
paragraph (a), clause (3), and who remain in the facility longer than 30 days must receive
a face-to-face assessment within 40 days of admission.
    (e) (d) At the face-to-face assessment, the long-term care consultation team member
or county case manager must perform the activities required under subdivision 3b.
    (f) (e) For individuals under 21 years of age, a screening interview which
recommends nursing facility admission must be face-to-face and approved by the
commissioner before the individual is admitted to the nursing facility.
    (g) (f) In the event that an individual under 65 years of age is admitted to a nursing
facility on an emergency basis, the county Senior LinkAge Line must be notified of
the admission on the next working day, and a face-to-face assessment as described in
paragraph (c) must be conducted within 40 calendar days of admission.
    (h) (g) At the face-to-face assessment, the long-term care consultation team member
or the case manager must present information about home and community-based options,
including consumer-directed options, so the individual can make informed choices. If the
individual chooses home and community-based services, the long-term care consultation
team member or case manager must complete a written relocation plan within 20 working
days of the visit. The plan shall describe the services needed to move out of the facility
and a time line for the move which is designed to ensure a smooth transition to the
individual's home and community.
    (i) (h) An individual under 65 years of age residing in a nursing facility shall receive
a face-to-face assessment at least every 12 months to review the person's service choices
and available alternatives unless the individual indicates, in writing, that annual visits are
not desired. In this case, the individual must receive a face-to-face assessment at least
once every 36 months for the same purposes.
    (j) (i) Notwithstanding the provisions of subdivision 6, the commissioner may pay
county agencies directly for face-to-face assessments for individuals under 65 years of age
who are being considered for placement or residing in a nursing facility.
(j) Funding for preadmission screening follow-up shall be provided to the Disability
Linkage Line for the under 60 population by the Department of Human Services to
cover options counseling salaries and expenses to provide the services described in
subdivisions 7a to 7c. The Disability Linkage Line shall employ, or contract with other
agencies to employ, within the limits of available funding, sufficient personnel to provide
preadmission screening follow-up services and shall seek to maximize federal funding for
the service as provided under section 256.01, subdivision 2, paragraph (dd).
EFFECTIVE DATE.This section is effective October 1, 2013.

    Sec. 21. Minnesota Statutes 2012, section 256B.0911, is amended by adding a
subdivision to read:
    Subd. 4e. Determination of institutional level of care. The determination of the
need for nursing facility, hospital, and intermediate care facility levels of care must be
made according to criteria developed by the commissioner, and in section 256B.092,
using forms developed by the commissioner. Effective January 1, 2014, for individuals
age 21 and older, the determination of need for nursing facility level of care shall be
based on criteria in section 144.0724, subdivision 11. For individuals under age 21, the
determination of the need for nursing facility level of care must be made according to
criteria developed by the commissioner until criteria in section 144.0724, subdivision 11,
becomes effective on or after October 1, 2019.

    Sec. 22. Minnesota Statutes 2012, section 256B.0911, subdivision 6, is amended to read:
    Subd. 6. Payment for long-term care consultation services. (a) Until September
30, 2013, payment for long-term care consultation face-to-face assessment shall be made
as described in this subdivision.
    (b) The total payment for each county must be paid monthly by certified nursing
facilities in the county. The monthly amount to be paid by each nursing facility for each
fiscal year must be determined by dividing the county's annual allocation for long-term
care consultation services by 12 to determine the monthly payment and allocating the
monthly payment to each nursing facility based on the number of licensed beds in the
nursing facility. Payments to counties in which there is no certified nursing facility must be
made by increasing the payment rate of the two facilities located nearest to the county seat.
    (b) (c) The commissioner shall include the total annual payment determined under
paragraph (a) for each nursing facility reimbursed under section 256B.431, 256B.434,
or 256B.441.
    (c) (d) In the event of the layaway, delicensure and decertification, or removal
from layaway of 25 percent or more of the beds in a facility, the commissioner may
adjust the per diem payment amount in paragraph (b) (c) and may adjust the monthly
payment amount in paragraph (a) (b). The effective date of an adjustment made under this
paragraph shall be on or after the first day of the month following the effective date of the
layaway, delicensure and decertification, or removal from layaway.
    (d) (e) Payments for long-term care consultation services are available to the county
or counties to cover staff salaries and expenses to provide the services described in
subdivision 1a. The county shall employ, or contract with other agencies to employ,
within the limits of available funding, sufficient personnel to provide long-term care
consultation services while meeting the state's long-term care outcomes and objectives as
defined in subdivision 1. The county shall be accountable for meeting local objectives
as approved by the commissioner in the biennial home and community-based services
quality assurance plan on a form provided by the commissioner.
    (e) (f) Notwithstanding section 256B.0641, overpayments attributable to payment
of the screening costs under the medical assistance program may not be recovered from
a facility.
    (f) (g) The commissioner of human services shall amend the Minnesota medical
assistance plan to include reimbursement for the local consultation teams.
    (g) (h) Until the alternative payment methodology in paragraph (h) (i) is implemented,
the county may bill, as case management services, assessments, support planning, and
follow-along provided to persons determined to be eligible for case management under
Minnesota health care programs. No individual or family member shall be charged for an
initial assessment or initial support plan development provided under subdivision 3a or 3b.
(h) (i) The commissioner shall develop an alternative payment methodology,
effective on October 1, 2013, for long-term care consultation services that includes
the funding available under this subdivision, and for assessments authorized under
sections 256B.092 and 256B.0659. In developing the new payment methodology, the
commissioner shall consider the maximization of other funding sources, including federal
administrative reimbursement through federal financial participation funding, for all
long-term care consultation and preadmission screening activity. The alternative payment
methodology shall include the use of the appropriate time studies and the state financing
of nonfederal share as part of the state's medical assistance program.

    Sec. 23. Minnesota Statutes 2012, section 256B.0911, subdivision 7, is amended to read:
    Subd. 7. Reimbursement for certified nursing facilities. (a) Medical assistance
reimbursement for nursing facilities shall be authorized for a medical assistance recipient
only if a preadmission screening has been conducted prior to admission or the county has
authorized an exemption. Medical assistance reimbursement for nursing facilities shall
not be provided for any recipient who the local screener has determined does not meet the
level of care criteria for nursing facility placement in section 144.0724, subdivision 11, or,
if indicated, has not had a level II OBRA evaluation as required under the federal Omnibus
Budget Reconciliation Act of 1987 completed unless an admission for a recipient with
mental illness is approved by the local mental health authority or an admission for a
recipient with developmental disability is approved by the state developmental disability
authority.
    (b) The nursing facility must not bill a person who is not a medical assistance
recipient for resident days that preceded the date of completion of screening activities
as required under section 256.975, subdivisions 4a, 4b, and 4c 7a to 7c. The nursing
facility must include unreimbursed resident days in the nursing facility resident day totals
reported to the commissioner.

    Sec. 24. Minnesota Statutes 2012, section 256B.0913, subdivision 4, is amended to read:
    Subd. 4. Eligibility for funding for services for nonmedical assistance recipients.
    (a) Funding for services under the alternative care program is available to persons who
meet the following criteria:
    (1) the person has been determined by a community assessment under section
256B.0911 to be a person who would require the level of care provided in a nursing
facility, as determined under section 256B.0911, subdivision 4a, paragraph (d) 4e, but for
the provision of services under the alternative care program;
    (2) the person is age 65 or older;
    (3) the person would be eligible for medical assistance within 135 days of admission
to a nursing facility;
    (4) the person is not ineligible for the payment of long-term care services by the
medical assistance program due to an asset transfer penalty under section 256B.0595 or
equity interest in the home exceeding $500,000 as stated in section 256B.056;
    (5) the person needs long-term care services that are not funded through other
state or federal funding, or other health insurance or other third-party insurance such as
long-term care insurance;
    (6) except for individuals described in clause (7), the monthly cost of the alternative
care services funded by the program for this person does not exceed 75 percent of the
monthly limit described under section 256B.0915, subdivision 3a. This monthly limit
does not prohibit the alternative care client from payment for additional services, but in no
case may the cost of additional services purchased under this section exceed the difference
between the client's monthly service limit defined under section 256B.0915, subdivision
3
, and the alternative care program monthly service limit defined in this paragraph. If
care-related supplies and equipment or environmental modifications and adaptations are or
will be purchased for an alternative care services recipient, the costs may be prorated on a
monthly basis for up to 12 consecutive months beginning with the month of purchase.
If the monthly cost of a recipient's other alternative care services exceeds the monthly
limit established in this paragraph, the annual cost of the alternative care services shall be
determined. In this event, the annual cost of alternative care services shall not exceed 12
times the monthly limit described in this paragraph;
    (7) for individuals assigned a case mix classification A as described under section
256B.0915, subdivision 3a, paragraph (a), with (i) no dependencies in activities of daily
living, or (ii) up to two dependencies in bathing, dressing, grooming, walking, and eating
when the dependency score in eating is three or greater as determined by an assessment
performed under section 256B.0911, the monthly cost of alternative care services funded
by the program cannot exceed $593 per month for all new participants enrolled in
the program on or after July 1, 2011. This monthly limit shall be applied to all other
participants who meet this criteria at reassessment. This monthly limit shall be increased
annually as described in section 256B.0915, subdivision 3a, paragraph (a). This monthly
limit does not prohibit the alternative care client from payment for additional services, but
in no case may the cost of additional services purchased exceed the difference between the
client's monthly service limit defined in this clause and the limit described in clause (6)
for case mix classification A; and
(8) the person is making timely payments of the assessed monthly fee.
A person is ineligible if payment of the fee is over 60 days past due, unless the person
agrees to:
    (i) the appointment of a representative payee;
    (ii) automatic payment from a financial account;
    (iii) the establishment of greater family involvement in the financial management of
payments; or
    (iv) another method acceptable to the lead agency to ensure prompt fee payments.
    The lead agency may extend the client's eligibility as necessary while making
arrangements to facilitate payment of past-due amounts and future premium payments.
Following disenrollment due to nonpayment of a monthly fee, eligibility shall not be
reinstated for a period of 30 days.
    (b) Alternative care funding under this subdivision is not available for a person who
is a medical assistance recipient or who would be eligible for medical assistance without a
spenddown or waiver obligation. A person whose initial application for medical assistance
and the elderly waiver program is being processed may be served under the alternative care
program for a period up to 60 days. If the individual is found to be eligible for medical
assistance, medical assistance must be billed for services payable under the federally
approved elderly waiver plan and delivered from the date the individual was found eligible
for the federally approved elderly waiver plan. Notwithstanding this provision, alternative
care funds may not be used to pay for any service the cost of which: (i) is payable by
medical assistance; (ii) is used by a recipient to meet a waiver obligation; or (iii) is used to
pay a medical assistance income spenddown for a person who is eligible to participate in the
federally approved elderly waiver program under the special income standard provision.
    (c) Alternative care funding is not available for a person who resides in a licensed
nursing home, certified boarding care home, hospital, or intermediate care facility, except
for case management services which are provided in support of the discharge planning
process for a nursing home resident or certified boarding care home resident to assist with
a relocation process to a community-based setting.
    (d) Alternative care funding is not available for a person whose income is greater
than the maintenance needs allowance under section 256B.0915, subdivision 1d, but equal
to or less than 120 percent of the federal poverty guideline effective July 1 in the fiscal
year for which alternative care eligibility is determined, who would be eligible for the
elderly waiver with a waiver obligation.

    Sec. 25. Minnesota Statutes 2012, section 256B.0915, subdivision 5, is amended to read:
    Subd. 5. Assessments and reassessments for waiver clients. (a) Each client
shall receive an initial assessment of strengths, informal supports, and need for services
in accordance with section 256B.0911, subdivisions 3, 3a, and 3b. A reassessment of a
client served under the elderly waiver must be conducted at least every 12 months and at
other times when the case manager determines that there has been significant change in
the client's functioning. This may include instances where the client is discharged from
the hospital. There must be a determination that the client requires nursing facility level
of care as defined in section 256B.0911, subdivision 4a, paragraph (d) 4e, at initial and
subsequent assessments to initiate and maintain participation in the waiver program.
(b) Regardless of other assessments identified in section 144.0724, subdivision
4, as appropriate to determine nursing facility level of care for purposes of medical
assistance payment for nursing facility services, only face-to-face assessments conducted
according to section 256B.0911, subdivisions 3a and 3b, that result in a nursing facility
level of care determination will be accepted for purposes of initial and ongoing access to
waiver service payment.

    Sec. 26. Minnesota Statutes 2012, section 256B.0917, is amended by adding a
subdivision to read:
    Subd. 1a. Home and community-based services for older adults. (a) The purpose
of projects selected by the commissioner of human services under this section is to
make strategic changes in the long-term services and supports system for older adults
including statewide capacity for local service development and technical assistance, and
statewide availability of home and community-based services for older adult services,
caregiver support and respite care services, and other supports in the state of Minnesota.
These projects are intended to create incentives for new and expanded home and
community-based services in Minnesota in order to:
(1) reach older adults early in the progression of their need for long-term services
and supports, providing them with low-cost, high-impact services that will prevent or
delay the use of more costly services;
(2) support older adults to live in the most integrated, least restrictive community
setting;
(3) support the informal caregivers of older adults;
(4) develop and implement strategies to integrate long-term services and supports
with health care services, in order to improve the quality of care and enhance the quality
of life of older adults and their informal caregivers;
(5) ensure cost-effective use of financial and human resources;
(6) build community-based approaches and community commitment to delivering
long-term services and supports for older adults in their own homes;
(7) achieve a broad awareness and use of lower-cost in-home services as an
alternative to nursing homes and other residential services;
(8) strengthen and develop additional home and community-based services and
alternatives to nursing homes and other residential services; and
(9) strengthen programs that use volunteers.
(b) The services provided by these projects are available to older adults who are
eligible for medical assistance and the elderly waiver under section 256B.0915, the
alternative care program under section 256B.0913, or essential community supports grant
under subdivision 14, paragraph (b), and to persons who have their own funds to pay for
services.

    Sec. 27. Minnesota Statutes 2012, section 256B.0917, is amended by adding a
subdivision to read:
    Subd. 1b. Definitions. (a) For purposes of this section, the following terms have
the meanings given.
(b) "Community" means a town; township; city; or targeted neighborhood within a
city; or a consortium of towns, townships, cities, or specific neighborhoods within a city.
(c) "Core home and community-based services provider" means a Faith in Action,
Living at Home Block Nurse, Congregational Nurse, or similar community-based
program governed by a board, the majority of whose members reside within the program's
service area, that organizes and uses volunteers and paid staff to deliver nonmedical
services intended to assist older adults to identify and manage risks and to maintain their
community living and integration in the community.
(d) "Eldercare development partnership" means a team of representatives of county
social service and public health agencies, the area agency on aging, local nursing home
providers, local home care providers, and other appropriate home and community-based
providers in the area agency's planning and service area.
(e) "Long-term services and supports" means any service available under the
elderly waiver program or alternative care grant programs, nursing facility services,
transportation services, caregiver support and respite care services, and other home and
community-based services identified as necessary either to maintain lifestyle choices for
older adults or to support them to remain in their own home.
(f) "Older adult" refers to an individual who is 65 years of age or older.

    Sec. 28. Minnesota Statutes 2012, section 256B.0917, is amended by adding a
subdivision to read:
    Subd. 1c. Eldercare development partnerships. The commissioner of human
services shall select and contract with eldercare development partnerships sufficient to
provide statewide availability of service development and technical assistance using a
request for proposals process. Eldercare development partnerships shall:
(1) develop a local long-term services and supports strategy consistent with state
goals and objectives;
(2) identify and use existing local skills, knowledge, and relationships, and build
on these assets;
(3) coordinate planning for funds to provide services to older adults, including funds
received under Title III of the Older Americans Act, Title XX of the Social Security Act,
and the Local Public Health Act;
(4) target service development and technical assistance where nursing facility
closures have occurred or are occurring or in areas where service needs have been
identified through activities under section 144A.351;
(5) provide sufficient staff for development and technical support in its designated
area; and
(6) designate a single public or nonprofit member of the eldercare development
partnerships to apply grant funding and manage the project.

    Sec. 29. Minnesota Statutes 2012, section 256B.0917, subdivision 6, is amended to read:
    Subd. 6. Caregiver support and respite care projects. (a) The commissioner
shall establish up to 36 projects to expand the respite care network in the state and to
support caregivers in their responsibilities for care. The purpose of each project shall
be to availability of caregiver support and respite care services for family and other
caregivers. The commissioner shall use a request for proposals to select nonprofit entities
to administer the projects. Projects shall:
(1) establish a local coordinated network of volunteer and paid respite workers;
(2) coordinate assignment of respite workers care services to clients and care
receivers and assure the health and safety of the client; and caregivers of older adults;
(3) provide training for caregivers and ensure that support groups are available
in the community.
(b) The caregiver support and respite care funds shall be available to the four to six
local long-term care strategy projects designated in subdivisions 1 to 5.
(c) The commissioner shall publish a notice in the State Register to solicit proposals
from public or private nonprofit agencies for the projects not included in the four to six
local long-term care strategy projects defined in subdivision 2. A county agency may,
alone or in combination with other county agencies, apply for caregiver support and
respite care project funds. A public or nonprofit agency within a designated SAIL project
area may apply for project funds if the agency has a letter of agreement with the county
or counties in which services will be developed, stating the intention of the county or
counties to coordinate their activities with the agency requesting a grant.
(d) The commissioner shall select grantees based on the following criteria:
(1) the ability of the proposal to demonstrate need in the area served, as evidenced
by a community needs assessment or other demographic data;
(2) the ability of the proposal to clearly describe how the project
(3) assure the health and safety of the older adults;
(4) identify at-risk caregivers;
(5) provide information, education, and training for caregivers in the designated
community; and
(6) demonstrate the need in the proposed service area particularly where nursing
facility closures have occurred or are occurring or areas with service needs identified
by section 144A.351. Preference must be given for projects that reach underserved
populations.
(b) Projects must clearly describe:
(1) how they will achieve the their purpose defined in paragraph (b);
(3) the ability of the proposal to reach underserved populations;
(4) the ability of the proposal to demonstrate community commitment to the project,
as evidenced by letters of support and cooperation as well as formation of a community
task force;
(5) the ability of the proposal to clearly describe (2) the process for recruiting,
training, and retraining volunteers; and
(6) the inclusion in the proposal of the (3) a plan to promote the project in the
designated community, including outreach to persons needing the services.
(e) (c) Funds for all projects under this subdivision may be used to:
(1) hire a coordinator to develop a coordinated network of volunteer and paid respite
care services and assign workers to clients;
(2) recruit and train volunteer providers;
(3) train provide information, training, and education to caregivers;
(4) ensure the development of support groups for caregivers;
(5) (4) advertise the availability of the caregiver support and respite care project; and
(6) (5) purchase equipment to maintain a system of assigning workers to clients.
(f) (d) Project funds may not be used to supplant existing funding sources.

    Sec. 30. Minnesota Statutes 2012, section 256B.0917, is amended by adding a
subdivision to read:
    Subd. 7a. Core home and community-based services. The commissioner shall
select and contract with core home and community-based services providers for projects
to provide services and supports to older adults both with and without family and other
informal caregivers using a request for proposals process. Projects must:
(1) have a credible, public, or private nonprofit sponsor providing ongoing financial
support;
(2) have a specific, clearly defined geographic service area;
(3) use a practice framework designed to identify high-risk older adults and help them
take action to better manage their chronic conditions and maintain their community living;
(4) have a team approach to coordination and care, ensuring that the older adult
participants, their families, and the formal and informal providers are all part of planning
and providing services;
(5) provide information, support services, homemaking services, counseling, and
training for the older adults and family caregivers;
(6) encourage service area or neighborhood residents and local organizations to
collaborate in meeting the needs of older adults in their geographic service areas;
(7) recruit, train, and direct the use of volunteers to provide informal services and
other appropriate support to older adults and their caregivers; and
(8) provide coordination and management of formal and informal services to older
adults and their families using less expensive alternatives.

    Sec. 31. Minnesota Statutes 2012, section 256B.0917, subdivision 13, is amended to
read:
    Subd. 13. Community service grants. The commissioner shall award contracts
for grants to public and private nonprofit agencies to establish services that strengthen
a community's ability to provide a system of home and community-based services
for elderly persons. The commissioner shall use a request for proposal process. The
commissioner shall give preference when awarding grants under this section to areas
where nursing facility closures have occurred or are occurring or to areas with service
needs identified under section 144A.351. The commissioner shall consider grants for:
(1) caregiver support and respite care projects under subdivision 6;
(2) the living-at-home/block nurse grant under subdivisions 7 to 10; and
(3) services identified as needed for community transition.

    Sec. 32. Minnesota Statutes 2012, section 256B.439, subdivision 3, is amended to read:
    Subd. 3. Consumer surveys of nursing facilities residents. Following
identification of the quality measurement tool, the commissioners shall conduct surveys
of long-term care service consumers of nursing facilities to develop quality profiles
of providers. To the extent possible, surveys must be conducted face-to-face by state
employees or contractors. At the discretion of the commissioners, surveys may be
conducted by telephone or by provider staff. Surveys must be conducted periodically to
update quality profiles of individual service nursing facilities providers.

    Sec. 33. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 3b. Home and community-based services report card in cooperation with
the commissioner of health. The commissioner shall work with existing Department
of Human Services advisory groups to develop recommendations for a home and
community-based services report card. Health and human services staff that regulate
home and community-based services as provided in chapter 245D and licensed home care
as provided in chapter 144A shall be consulted. The advisory groups shall consider the
requirements from the Minnesota consumer information guide under section 144G.06 as a
base for development of the home and community-based services report card to compare
the housing options available to consumers. Other items to be considered by the advisory
groups in developing recommendations include:
(1) defining the goals of the report card, including measuring outcomes, providing
consumer information, and defining vehicle-for-pay performance;
(2) developing separate measures for programs for the elderly population and for
persons with disabilities;
(3) the sources of information needed that are standardized and contain sufficient data;
(4) the financial support needed for creating and publicizing the housing information
guide, and ongoing funding for data collection and staffing to monitor, report, and analyze;
(5) a recognition that home and community-based services settings exist with
significant variations in size, settings, and services available;
(6) ensuring that consumer choice and consumer information is retained and valued;
(7) the applicability of these measures to providers based on payor source, size,
and population served; and
(8) dissemination of quality profiles.
The advisory groups shall discuss whether there are additional funding, resources,
and research needed. The commissioner shall report recommendations to the chairs and
ranking minority members of the legislative committees and divisions with jurisdiction
over health and human services issues by August 1, 2014. The report card shall be
available on July 1, 2015.

    Sec. 34. Minnesota Statutes 2012, section 256B.439, subdivision 4, is amended to read:
    Subd. 4. Dissemination of quality profiles. By July 1, 2003 2014, the
commissioners shall implement a system public awareness effort to disseminate the quality
profiles developed from consumer surveys using the quality measurement tool. Profiles
may be disseminated to through the Senior LinkAge Line and Disability Linkage Line and
to consumers, providers, and purchasers of long-term care services through all feasible
printed and electronic outlets. The commissioners may conduct a public awareness
campaign to inform potential users regarding profile contents and potential uses.

    Sec. 35. Minnesota Statutes 2012, section 256B.441, subdivision 13, is amended to read:
    Subd. 13. External fixed costs. "External fixed costs" means costs related to the
nursing home surcharge under section 256.9657, subdivision 1; licensure fees under
section 144.122; until September 30, 2013, long-term care consultation fees under
section 256B.0911, subdivision 6; family advisory council fee under section 144A.33;
scholarships under section 256B.431, subdivision 36; planned closure rate adjustments
under section 256B.437; or single bed room incentives under section 256B.431,
subdivision 42
; property taxes and property insurance; and PERA.

    Sec. 36. Minnesota Statutes 2012, section 256B.441, subdivision 53, is amended to read:
    Subd. 53. Calculation of payment rate for external fixed costs. The commissioner
shall calculate a payment rate for external fixed costs.
    (a) For a facility licensed as a nursing home, the portion related to section 256.9657
shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care
home, the portion related to section 256.9657 shall be equal to $8.86 multiplied by the
result of its number of nursing home beds divided by its total number of licensed beds.
    (b) The portion related to the licensure fee under section 144.122, paragraph (d),
shall be the amount of the fee divided by actual resident days.
    (c) The portion related to scholarships shall be determined under section 256B.431,
subdivision 36.
    (d) Until September 30, 2013, the portion related to long-term care consultation shall
be determined according to section 256B.0911, subdivision 6.
    (e) The portion related to development and education of resident and family advisory
councils under section 144A.33 shall be $5 divided by 365.
    (f) The portion related to planned closure rate adjustments shall be as determined
under section 256B.437, subdivision 6, and Minnesota Statutes 2010, section 256B.436.
Planned closure rate adjustments that take effect before October 1, 2014, shall no longer
be included in the payment rate for external fixed costs beginning October 1, 2016.
Planned closure rate adjustments that take effect on or after October 1, 2014, shall no
longer be included in the payment rate for external fixed costs beginning on October 1 of
the first year not less than two years after their effective date.
    (g) The portions related to property insurance, real estate taxes, special assessments,
and payments made in lieu of real estate taxes directly identified or allocated to the nursing
facility shall be the actual amounts divided by actual resident days.
    (h) The portion related to the Public Employees Retirement Association shall be
actual costs divided by resident days.
    (i) The single bed room incentives shall be as determined under section 256B.431,
subdivision 42. Single bed room incentives that take effect before October 1, 2014, shall
no longer be included in the payment rate for external fixed costs beginning October 1,
2016. Single bed room incentives that take effect on or after October 1, 2014, shall no
longer be included in the payment rate for external fixed costs beginning on October 1 of
the first year not less than two years after their effective date.
    (j) The payment rate for external fixed costs shall be the sum of the amounts in
paragraphs (a) to (i).

    Sec. 37. Minnesota Statutes 2012, section 256B.49, subdivision 12, is amended to read:
    Subd. 12. Informed choice. Persons who are determined likely to require the level
of care provided in a nursing facility as determined under section 256B.0911, subdivision
4e, or a hospital shall be informed of the home and community-based support alternatives
to the provision of inpatient hospital services or nursing facility services. Each person
must be given the choice of either institutional or home and community-based services
using the provisions described in section 256B.77, subdivision 2, paragraph (p).

    Sec. 38. Minnesota Statutes 2012, section 256B.49, subdivision 14, is amended to read:
    Subd. 14. Assessment and reassessment. (a) Assessments and reassessments
shall be conducted by certified assessors according to section 256B.0911, subdivision 2b.
With the permission of the recipient or the recipient's designated legal representative,
the recipient's current provider of services may submit a written report outlining their
recommendations regarding the recipient's care needs prepared by a direct service
employee with at least 20 hours of service to that client. The person conducting the
assessment or reassessment must notify the provider of the date by which this information
is to be submitted. This information shall be provided to the person conducting the
assessment and the person or the person's legal representative and must be considered
prior to the finalization of the assessment or reassessment.
(b) There must be a determination that the client requires a hospital level of care or a
nursing facility level of care as defined in section 256B.0911, subdivision 4a, paragraph
(d) 4e, at initial and subsequent assessments to initiate and maintain participation in the
waiver program.
(c) Regardless of other assessments identified in section 144.0724, subdivision 4, as
appropriate to determine nursing facility level of care for purposes of medical assistance
payment for nursing facility services, only face-to-face assessments conducted according
to section 256B.0911, subdivisions 3a, 3b, and 4d, that result in a hospital level of care
determination or a nursing facility level of care determination must be accepted for
purposes of initial and ongoing access to waiver services payment.
(d) Recipients who are found eligible for home and community-based services under
this section before their 65th birthday may remain eligible for these services after their
65th birthday if they continue to meet all other eligibility factors.
(e) The commissioner shall develop criteria to identify recipients whose level of
functioning is reasonably expected to improve and reassess these recipients to establish
a baseline assessment. Recipients who meet these criteria must have a comprehensive
transitional service plan developed under subdivision 15, paragraphs (b) and (c), and be
reassessed every six months until there has been no significant change in the recipient's
functioning for at least 12 months. After there has been no significant change in the
recipient's functioning for at least 12 months, reassessments of the recipient's strengths,
informal support systems, and need for services shall be conducted at least every 12
months and at other times when there has been a significant change in the recipient's
functioning. Counties, case managers, and service providers are responsible for
conducting these reassessments and shall complete the reassessments out of existing funds.

    Sec. 39. Minnesota Statutes 2012, section 256B.69, subdivision 8, is amended to read:
    Subd. 8. Preadmission screening waiver. Except as applicable to the project's
operation, the provisions of section sections 256.975 and 256B.0911 are waived for the
purposes of this section for recipients enrolled with demonstration providers or in the
prepaid medical assistance program for seniors.

    Sec. 40. Minnesota Statutes 2012, section 256I.05, is amended by adding a subdivision
to read:
    Subd. 1o. Supplementary service rate; exemptions. A county agency shall not
negotiate a supplementary service rate under this section for any individual that has been
determined to be eligible for Housing Stability Services as approved by the Centers
for Medicare and Medicaid Services, and who resides in an establishment voluntarily
registered under section 144D.025, as a supportive housing establishment or participates
in the Minnesota supportive housing demonstration program under section 256I.04,
subdivision 3, paragraph (a), clause (4).

    Sec. 41. Minnesota Statutes 2012, section 626.557, subdivision 4, is amended to read:
    Subd. 4. Reporting. (a) Except as provided in paragraph (b), a mandated reporter
shall immediately make an oral report to the common entry point. The common entry
point may accept electronic reports submitted through a Web-based reporting system
established by the commissioner. Use of a telecommunications device for the deaf or other
similar device shall be considered an oral report. The common entry point may not require
written reports. To the extent possible, the report must be of sufficient content to identify
the vulnerable adult, the caregiver, the nature and extent of the suspected maltreatment,
any evidence of previous maltreatment, the name and address of the reporter, the time,
date, and location of the incident, and any other information that the reporter believes
might be helpful in investigating the suspected maltreatment. A mandated reporter may
disclose not public data, as defined in section 13.02, and medical records under sections
144.291 to 144.298, to the extent necessary to comply with this subdivision.
(b) A boarding care home that is licensed under sections 144.50 to 144.58 and
certified under Title 19 of the Social Security Act, a nursing home that is licensed under
section 144A.02 and certified under Title 18 or Title 19 of the Social Security Act, or a
hospital that is licensed under sections 144.50 to 144.58 and has swing beds certified under
Code of Federal Regulations, title 42, section 482.66, may submit a report electronically
to the common entry point instead of submitting an oral report. The report may be a
duplicate of the initial report the facility submits electronically to the commissioner of
health to comply with the reporting requirements under Code of Federal Regulations, title
42, section 483.13. The commissioner of health may modify these reporting requirements
to include items required under paragraph (a) that are not currently included in the
electronic reporting form.
EFFECTIVE DATE.This section is effective July 1, 2014.

    Sec. 42. Minnesota Statutes 2012, section 626.557, subdivision 9, is amended to read:
    Subd. 9. Common entry point designation. (a) Each county board shall designate
a common entry point for reports of suspected maltreatment. Two or more county boards
may jointly designate a single The commissioner of human services shall establish a
common entry point effective July 1, 2014. The common entry point is the unit responsible
for receiving the report of suspected maltreatment under this section.
(b) The common entry point must be available 24 hours per day to take calls from
reporters of suspected maltreatment. The common entry point shall use a standard intake
form that includes:
(1) the time and date of the report;
(2) the name, address, and telephone number of the person reporting;
(3) the time, date, and location of the incident;
(4) the names of the persons involved, including but not limited to, perpetrators,
alleged victims, and witnesses;
(5) whether there was a risk of imminent danger to the alleged victim;
(6) a description of the suspected maltreatment;
(7) the disability, if any, of the alleged victim;
(8) the relationship of the alleged perpetrator to the alleged victim;
(9) whether a facility was involved and, if so, which agency licenses the facility;
(10) any action taken by the common entry point;
(11) whether law enforcement has been notified;
(12) whether the reporter wishes to receive notification of the initial and final
reports; and
(13) if the report is from a facility with an internal reporting procedure, the name,
mailing address, and telephone number of the person who initiated the report internally.
(c) The common entry point is not required to complete each item on the form prior
to dispatching the report to the appropriate lead investigative agency.
(d) The common entry point shall immediately report to a law enforcement agency
any incident in which there is reason to believe a crime has been committed.
(e) If a report is initially made to a law enforcement agency or a lead investigative
agency, those agencies shall take the report on the appropriate common entry point intake
forms and immediately forward a copy to the common entry point.
(f) The common entry point staff must receive training on how to screen and
dispatch reports efficiently and in accordance with this section.
(g) The commissioner of human services shall maintain a centralized database
for the collection of common entry point data, lead investigative agency data including
maltreatment report disposition, and appeals data. The common entry point shall
have access to the centralized database and must log the reports into the database and
immediately identify and locate prior reports of abuse, neglect, or exploitation.
(h) When appropriate, the common entry point staff must refer calls that do not
allege the abuse, neglect, or exploitation of a vulnerable adult to other organizations
that might resolve the reporter's concerns.
(i) A common entry point must be operated in a manner that enables the
commissioner of human services to:
(1) track critical steps in the reporting, evaluation, referral, response, disposition,
and investigative process to ensure compliance with all requirements for all reports;
(2) maintain data to facilitate the production of aggregate statistical reports for
monitoring patterns of abuse, neglect, or exploitation;
(3) serve as a resource for the evaluation, management, and planning of preventative
and remedial services for vulnerable adults who have been subject to abuse, neglect,
or exploitation;
(4) set standards, priorities, and policies to maximize the efficiency and effectiveness
of the common entry point; and
(5) track and manage consumer complaints related to the common entry point.
(j) The commissioners of human services and health shall collaborate on the
creation of a system for referring reports to the lead investigative agencies. This system
shall enable the commissioner of human services to track critical steps in the reporting,
evaluation, referral, response, disposition, investigation, notification, determination, and
appeal processes.

    Sec. 43. Minnesota Statutes 2012, section 626.557, subdivision 9e, is amended to read:
    Subd. 9e. Education requirements. (a) The commissioners of health, human
services, and public safety shall cooperate in the development of a joint program for
education of lead investigative agency investigators in the appropriate techniques for
investigation of complaints of maltreatment. This program must be developed by July
1, 1996. The program must include but need not be limited to the following areas: (1)
information collection and preservation; (2) analysis of facts; (3) levels of evidence; (4)
conclusions based on evidence; (5) interviewing skills, including specialized training to
interview people with unique needs; (6) report writing; (7) coordination and referral
to other necessary agencies such as law enforcement and judicial agencies; (8) human
relations and cultural diversity; (9) the dynamics of adult abuse and neglect within family
systems and the appropriate methods for interviewing relatives in the course of the
assessment or investigation; (10) the protective social services that are available to protect
alleged victims from further abuse, neglect, or financial exploitation; (11) the methods by
which lead investigative agency investigators and law enforcement workers cooperate in
conducting assessments and investigations in order to avoid duplication of efforts; and
(12) data practices laws and procedures, including provisions for sharing data.
(b) The commissioner of human services shall conduct an outreach campaign to
promote the common entry point for reporting vulnerable adult maltreatment. This
campaign shall use the Internet and other means of communication.
(b) (c) The commissioners of health, human services, and public safety shall offer at
least annual education to others on the requirements of this section, on how this section is
implemented, and investigation techniques.
(c) (d) The commissioner of human services, in coordination with the commissioner
of public safety shall provide training for the common entry point staff as required in this
subdivision and the program courses described in this subdivision, at least four times
per year. At a minimum, the training shall be held twice annually in the seven-county
metropolitan area and twice annually outside the seven-county metropolitan area. The
commissioners shall give priority in the program areas cited in paragraph (a) to persons
currently performing assessments and investigations pursuant to this section.
(d) (e) The commissioner of public safety shall notify in writing law enforcement
personnel of any new requirements under this section. The commissioner of public
safety shall conduct regional training for law enforcement personnel regarding their
responsibility under this section.
(e) (f) Each lead investigative agency investigator must complete the education
program specified by this subdivision within the first 12 months of work as a lead
investigative agency investigator.
A lead investigative agency investigator employed when these requirements take
effect must complete the program within the first year after training is available or as soon
as training is available.
All lead investigative agency investigators having responsibility for investigation
duties under this section must receive a minimum of eight hours of continuing education
or in-service training each year specific to their duties under this section.

    Sec. 44. FEDERAL APPROVAL.
This article is contingent on federal approval.

    Sec. 45. REPEALER.
(a) Minnesota Statutes 2012, sections 245A.655; and 256B.0917, subdivisions 1, 2,
3, 4, 5, 7, 8, 9, 10, 11, and 12, are repealed.
(b) Minnesota Statutes 2012, section 256B.0911, subdivisions 4a, 4b, and 4c, are
repealed effective October 1, 2013.

ARTICLE 3
SAFE AND HEALTHY DEVELOPMENT OF CHILDREN,
YOUTH, AND FAMILIES

    Section 1. Minnesota Statutes 2012, section 119B.011, is amended by adding a
subdivision to read:
    Subd. 19b. Student parent. "Student parent" means a person who is:
(1) under 21 years of age and has a child;
(2) pursuing a high school or general equivalency diploma;
(3) residing within a county that has a basic sliding fee waiting list under section
119B.03, subdivision 4; and
(4) not an MFIP participant.
EFFECTIVE DATE.This section is effective November 11, 2013.

    Sec. 2. Minnesota Statutes 2012, section 119B.02, is amended by adding a subdivision
to read:
    Subd. 7. Child care market rate survey. Biennially, the commissioner shall survey
prices charged by child care providers in Minnesota to determine the 75th percentile for
like-care arrangements in county price clusters.
EFFECTIVE DATE.This section is effective February 3, 2014.

    Sec. 3. Minnesota Statutes 2012, section 119B.025, subdivision 1, is amended to read:
    Subdivision 1. Factors which must be verified. (a) The county shall verify the
following at all initial child care applications using the universal application:
(1) identity of adults;
(2) presence of the minor child in the home, if questionable;
(3) relationship of minor child to the parent, stepparent, legal guardian, eligible
relative caretaker, or the spouses of any of the foregoing;
(4) age;
(5) immigration status, if related to eligibility;
(6) Social Security number, if given;
(7) income;
(8) spousal support and child support payments made to persons outside the
household;
(9) residence; and
(10) inconsistent information, if related to eligibility.
(b) If a family did not use the universal application or child care addendum to apply
for child care assistance, the family must complete the universal application or child care
addendum at its next eligibility redetermination and the county must verify the factors
listed in paragraph (a) as part of that redetermination. Once a family has completed a
universal application or child care addendum, the county shall use the redetermination
form described in paragraph (c) for that family's subsequent redeterminations. Eligibility
must be redetermined at least every six months. A family is considered to have met the
eligibility redetermination requirement if a complete redetermination form and all required
verifications are received within 30 days after the date the form was due. Assistance shall
be payable retroactively from the redetermination due date. For a family where at least
one parent is under the age of 21, does not have a high school or general equivalency
diploma, and is a student in a school district or another similar program that provides or
arranges for child care, as well as parenting, social services, career and employment
supports, and academic support to achieve high school graduation, the redetermination of
eligibility shall be deferred beyond six months, but not to exceed 12 months, to the end of
the student's school year. If a family reports a change in an eligibility factor before the
family's next regularly scheduled redetermination, the county must recalculate eligibility
without requiring verification of any eligibility factor that did not change.
(c) The commissioner shall develop a redetermination form to redetermine eligibility
and a change report form to report changes that minimize paperwork for the county and
the participant.
EFFECTIVE DATE.This section is effective August 4, 2014.

    Sec. 4. Minnesota Statutes 2012, section 119B.03, subdivision 4, is amended to read:
    Subd. 4. Funding priority. (a) First priority for child care assistance under the
basic sliding fee program must be given to eligible non-MFIP families who do not have a
high school or general equivalency diploma or who need remedial and basic skill courses
in order to pursue employment or to pursue education leading to employment and who
need child care assistance to participate in the education program. This includes student
parents as defined under section 119B.011, subdivision 19b. Within this priority, the
following subpriorities must be used:
(1) child care needs of minor parents;
(2) child care needs of parents under 21 years of age; and
(3) child care needs of other parents within the priority group described in this
paragraph.
(b) Second priority must be given to parents who have completed their MFIP or
DWP transition year, or parents who are no longer receiving or eligible for diversionary
work program supports.
(c) Third priority must be given to families who are eligible for portable basic sliding
fee assistance through the portability pool under subdivision 9.
(d) Fourth priority must be given to families in which at least one parent is a veteran
as defined under section 197.447.
(e) Families under paragraph (b) must be added to the basic sliding fee waiting list
on the date they begin the transition year under section 119B.011, subdivision 20, and
must be moved into the basic sliding fee program as soon as possible after they complete
their transition year.
EFFECTIVE DATE.This section is effective November 11, 2013.

    Sec. 5. Minnesota Statutes 2012, section 119B.05, subdivision 1, is amended to read:
    Subdivision 1. Eligible participants. Families eligible for child care assistance
under the MFIP child care program are:
    (1) MFIP participants who are employed or in job search and meet the requirements
of section 119B.10;
    (2) persons who are members of transition year families under section 119B.011,
subdivision 20
, and meet the requirements of section 119B.10;
    (3) families who are participating in employment orientation or job search, or
other employment or training activities that are included in an approved employability
development plan under section 256J.95;
    (4) MFIP families who are participating in work job search, job support,
employment, or training activities as required in their employment plan, or in appeals,
hearings, assessments, or orientations according to chapter 256J;
    (5) MFIP families who are participating in social services activities under chapter
256J as required in their employment plan approved according to chapter 256J;
    (6) families who are participating in services or activities that are included in an
approved family stabilization plan under section 256J.575;
    (7) families who are participating in programs as required in tribal contracts under
section 119B.02, subdivision 2, or 256.01, subdivision 2; and
    (8) families who are participating in the transition year extension under section
119B.011, subdivision 20a; and
(9) student parents as defined under section 119B.011, subdivision 19b.
EFFECTIVE DATE.This section is effective November 11, 2013.

    Sec. 6. Minnesota Statutes 2012, section 119B.13, subdivision 1, is amended to read:
    Subdivision 1. Subsidy restrictions. (a) Beginning October 31, 2011 February 3,
2014, the maximum rate paid for child care assistance in any county or multicounty region
county price cluster under the child care fund shall be the rate for like-care arrangements in
the county effective July 1, 2006, decreased by 2.5 percent greater of the 25th percentile of
the 2011 child care provider rate survey or the maximum rate effective November 28, 2011.
The commissioner may: (1) assign a county with no reported provider prices to a similar
price cluster; and (2) consider county level access when determining final price clusters.
    (b) Biennially, beginning in 2012, the commissioner shall survey rates charged
by child care providers in Minnesota to determine the 75th percentile for like-care
arrangements in counties. When the commissioner determines that, using the
commissioner's established protocol, the number of providers responding to the survey is
too small to determine the 75th percentile rate for like-care arrangements in a county or
multicounty region, the commissioner may establish the 75th percentile maximum rate
based on like-care arrangements in a county, region, or category that the commissioner
deems to be similar.
    (c) (b) A rate which includes a special needs rate paid under subdivision 3 or under a
school readiness service agreement paid under section 119B.231, may be in excess of the
maximum rate allowed under this subdivision.
    (d) (c) The department shall monitor the effect of this paragraph on provider rates.
The county shall pay the provider's full charges for every child in care up to the maximum
established. The commissioner shall determine the maximum rate for each type of care
on an hourly, full-day, and weekly basis, including special needs and disability care. The
maximum payment to a provider for one day of care must not exceed the daily rate. The
maximum payment to a provider for one week of care must not exceed the weekly rate.
(e) (d) Child care providers receiving reimbursement under this chapter must not
be paid activity fees or an additional amount above the maximum rates for care provided
during nonstandard hours for families receiving assistance.
    (f) (e) When the provider charge is greater than the maximum provider rate allowed,
the parent is responsible for payment of the difference in the rates in addition to any
family co-payment fee.
    (g) (f) All maximum provider rates changes shall be implemented on the Monday
following the effective date of the maximum provider rate.
    (g) Notwithstanding Minnesota Rules, part 3400.0130, subpart 7, maximum
registration fees in effect on January 1, 2013, shall remain in effect.

    Sec. 7. Minnesota Statutes 2012, section 119B.13, subdivision 1a, is amended to read:
    Subd. 1a. Legal nonlicensed family child care provider rates. (a) Legal
nonlicensed family child care providers receiving reimbursement under this chapter must
be paid on an hourly basis for care provided to families receiving assistance.
(b) The maximum rate paid to legal nonlicensed family child care providers must be
68 percent of the county maximum hourly rate for licensed family child care providers. In
counties or county price clusters where the maximum hourly rate for licensed family child
care providers is higher than the maximum weekly rate for those providers divided by 50,
the maximum hourly rate that may be paid to legal nonlicensed family child care providers
is the rate equal to the maximum weekly rate for licensed family child care providers
divided by 50 and then multiplied by 0.68. The maximum payment to a provider for one
day of care must not exceed the maximum hourly rate times ten. The maximum payment
to a provider for one week of care must not exceed the maximum hourly rate times 50.
(c) A rate which includes a special needs rate paid under subdivision 3 may be in
excess of the maximum rate allowed under this subdivision.
(d) Legal nonlicensed family child care providers receiving reimbursement under
this chapter may not be paid registration fees for families receiving assistance.
EFFECTIVE DATE.This section is effective February 3, 2014.

    Sec. 8. Minnesota Statutes 2012, section 119B.13, subdivision 3a, is amended to read:
    Subd. 3a. Provider rate differential for accreditation. A family child care
provider or child care center shall be paid a 15 percent differential above the maximum
rate established in subdivision 1, up to the actual provider rate, if the provider or center
holds a current early childhood development credential or is accredited. For a family
child care provider, early childhood development credential and accreditation includes
an individual who has earned a child development associate degree, a child development
associate credential, a diploma in child development from a Minnesota state technical
college, or a bachelor's or post baccalaureate degree in early childhood education from
an accredited college or university, or who is accredited by the National Association for
Family Child Care or the Competency Based Training and Assessment Program. For a
child care center, accreditation includes accreditation that meets the following criteria:
the accrediting organization must demonstrate the use of standards that promote the
physical, social, emotional, and cognitive development of children. The accreditation
standards shall include, but are not limited to, positive interactions between adults and
children, age-appropriate learning activities, a system of tracking children's learning,
use of assessment to meet children's needs, specific qualifications for staff, a learning
environment that supports developmentally appropriate experiences for children, health
and safety requirements, and family engagement strategies. The commissioner of human
services, in conjunction with the commissioners of education and health, will develop an
application and approval process based on the criteria in this section and any additional
criteria. The process developed by the commissioner of human services must address
periodic reassessment of approved accreditations. The commissioner of human services
must report the criteria developed, the application, approval, and reassessment processes,
and any additional recommendations by February 15, 2013, to the chairs and ranking
minority members of the legislative committees having jurisdiction over early childhood
issues. Based on an application process developed by the commissioner in conjunction
with the commissioners of education and health, the Department of Human Services must
accept applications from accrediting organizations beginning on July 1, 2013, and on an
annual basis thereafter. The provider rate differential shall be paid to centers holding an
accreditation from an approved accrediting organization beginning on a billing cycle to be
determined by the commissioner, no later than the last Monday in February of a calendar
year. The commissioner shall annually publish a list of approved accrediting organizations.
An approved accreditation must be reassessed by the commissioner every two years. If an
approved accrediting organization is determined to no longer meet the approval criteria, the
organization and centers being paid the differential under that accreditation must be given
a 90-day notice by the commissioner and the differential payment must end after a 15-day
notice to affected families and centers as directed in Minnesota Rules, part 3400.0185,
subparts 3 and 4. The following accreditations shall be recognized for the provider rate
differential until an approval process is implemented: the National Association for the
Education of Young Children, the Council on Accreditation, the National Early Childhood
Program Accreditation, the National School-Age Care Association, or the National Head
Start Association Program of Excellence. For Montessori programs, accreditation includes
the American Montessori Society, Association of Montessori International-USA, or the
National Center for Montessori Education.

    Sec. 9. Minnesota Statutes 2012, section 119B.13, is amended by adding a subdivision
to read:
    Subd. 3b. Provider rate differential for Parent Aware. A family child care
provider or child care center shall be paid a 15 percent differential if they hold a three-star
Parent Aware rating or a 20 percent differential if they hold a four-star Parent Aware
rating. A 15 percent or 20 percent rate differential must be paid above the maximum rate
established in subdivision 1, up to the actual provider rate.
EFFECTIVE DATE.This section is effective March 3, 2014.

    Sec. 10. Minnesota Statutes 2012, section 119B.13, is amended by adding a subdivision
to read:
    Subd. 3c. Weekly rate paid for children attending high-quality care. A licensed
child care provider or license-exempt center may be paid up to the applicable weekly
maximum rate, not to exceed the provider's actual charge, when the following conditions
are met:
(1) the child is age birth to five years, but not yet in kindergarten;
(2) the child attends a child care provider that qualifies for the rate differential
identified in subdivision 3a or 3b; and
(3) the applicant's activities qualify for at least 30 hours of care per week under
sections 119B.03, 119B.05, 119B.10, and Minnesota Rules, chapter 3400.
EFFECTIVE DATE.This section is effective August 4, 2014.

    Sec. 11. Minnesota Statutes 2012, section 119B.13, subdivision 6, is amended to read:
    Subd. 6. Provider payments. (a) The provider shall bill for services provided
within ten days of the end of the service period. If bills are submitted within ten days of
the end of the service period, payments under the child care fund shall be made within 30
days of receiving a bill from the provider. Counties or the state may establish policies that
make payments on a more frequent basis.
(b) If a provider has received an authorization of care and been issued a billing form
for an eligible family, the bill must be submitted within 60 days of the last date of service on
the bill. A bill submitted more than 60 days after the last date of service must be paid if the
county determines that the provider has shown good cause why the bill was not submitted
within 60 days. Good cause must be defined in the county's child care fund plan under
section 119B.08, subdivision 3, and the definition of good cause must include county error.
Any bill submitted more than a year after the last date of service on the bill must not be paid.
(c) If a provider provided care for a time period without receiving an authorization
of care and a billing form for an eligible family, payment of child care assistance may only
be made retroactively for a maximum of six months from the date the provider is issued
an authorization of care and billing form.
(d) A county may refuse to issue a child care authorization to a licensed or legal
nonlicensed provider, revoke an existing child care authorization to a licensed or legal
nonlicensed provider, stop payment issued to a licensed or legal nonlicensed provider, or
refuse to pay a bill submitted by a licensed or legal nonlicensed provider if:
(1) the provider admits to intentionally giving the county materially false information
on the provider's billing forms;
(2) a county finds by a preponderance of the evidence that the provider intentionally
gave the county materially false information on the provider's billing forms;
(3) the provider is in violation of child care assistance program rules, until the
agency determines those violations have been corrected;
    (4) the provider is operating after receipt of an order of suspension or an order
of revocation of the provider's license, or the provider has been issued an order citing
violations of licensing standards that affect the health and safety of children in care due to
the nature, chronicity, or severity of the licensing violations, until the licensing agency
determines those violations have been corrected;
(5) the provider submits false attendance reports or refuses to provide documentation
of the child's attendance upon request; or
(6) the provider gives false child care price information.
The county may withhold the provider's authorization or payment for a period of
time not to exceed three months beyond the time the condition has been corrected.
(e) A county's payment policies must be included in the county's child care plan
under section 119B.08, subdivision 3. If payments are made by the state, in addition to
being in compliance with this subdivision, the payments must be made in compliance
with section 16A.124.
EFFECTIVE DATE.This section is effective February 3, 2014.

    Sec. 12. Minnesota Statutes 2012, section 119B.13, subdivision 7, is amended to read:
    Subd. 7. Absent days. (a) Licensed child care providers and license-exempt centers
must not be reimbursed for more than ten 25 full-day absent days per child, excluding
holidays, in a fiscal year, or for more than ten consecutive full-day absent days. Legal
nonlicensed family child care providers must not be reimbursed for absent days. If a child
attends for part of the time authorized to be in care in a day, but is absent for part of the
time authorized to be in care in that same day, the absent time must be reimbursed but
the time must not count toward the ten absent day days limit. Child care providers must
only be reimbursed for absent days if the provider has a written policy for child absences
and charges all other families in care for similar absences.
(b) Notwithstanding paragraph (a), children with documented medical conditions
that cause more frequent absences may exceed the 25 absent days limit, or ten consecutive
full-day absent days limit. Absences due to a documented medical condition of a parent
or sibling who lives in the same residence as the child receiving child care assistance
do not count against the absent days limit in a fiscal year. Documentation of medical
conditions must be on the forms and submitted according to the timelines established by
the commissioner. A public health nurse or school nurse may verify the illness in lieu of
a medical practitioner. If a provider sends a child home early due to a medical reason,
including, but not limited to, fever or contagious illness, the child care center director or
lead teacher may verify the illness in lieu of a medical practitioner.
(b) (c) Notwithstanding paragraph (a), children in families may exceed the ten absent
days limit if at least one parent: (1) is under the age of 21; (2) does not have a high school
or general equivalency diploma; and (3) is a student in a school district or another similar
program that provides or arranges for child care, parenting support, social services, career
and employment supports, and academic support to achieve high school graduation, upon
request of the program and approval of the county. If a child attends part of an authorized
day, payment to the provider must be for the full amount of care authorized for that day.
    (c) (d) Child care providers must be reimbursed for up to ten federal or state holidays
or designated holidays per year when the provider charges all families for these days and the
holiday or designated holiday falls on a day when the child is authorized to be in attendance.
Parents may substitute other cultural or religious holidays for the ten recognized state and
federal holidays. Holidays do not count toward the ten absent day days limit.
    (d) (e) A family or child care provider must not be assessed an overpayment for an
absent day payment unless (1) there was an error in the amount of care authorized for the
family, (2) all of the allowed full-day absent payments for the child have been paid, or (3)
the family or provider did not timely report a change as required under law.
    (e) (f) The provider and family shall receive notification of the number of absent
days used upon initial provider authorization for a family and ongoing notification of the
number of absent days used as of the date of the notification.
(g) For purposes of this subdivision, "absent days limit" means 25 full-day absent
days per child, excluding holidays, in a fiscal year; and ten consecutive full-day absent days.
EFFECTIVE DATE.This section is effective February 1, 2014.

    Sec. 13. Minnesota Statutes 2012, section 245A.07, subdivision 2a, is amended to read:
    Subd. 2a. Immediate suspension expedited hearing. (a) Within five working days
of receipt of the license holder's timely appeal, the commissioner shall request assignment
of an administrative law judge. The request must include a proposed date, time, and place
of a hearing. A hearing must be conducted by an administrative law judge within 30
calendar days of the request for assignment, unless an extension is requested by either
party and granted by the administrative law judge for good cause. The commissioner shall
issue a notice of hearing by certified mail or personal service at least ten working days
before the hearing. The scope of the hearing shall be limited solely to the issue of whether
the temporary immediate suspension should remain in effect pending the commissioner's
final order under section 245A.08, regarding a licensing sanction issued under subdivision
3 following the immediate suspension. The burden of proof in expedited hearings under
this subdivision shall be limited to the commissioner's demonstration that reasonable
cause exists to believe that the license holder's actions or failure to comply with applicable
law or rule poses, or if the actions of other individuals or conditions in the program
poses an imminent risk of harm to the health, safety, or rights of persons served by the
program. "Reasonable cause" means there exist specific articulable facts or circumstances
which provide the commissioner with a reasonable suspicion that there is an imminent
risk of harm to the health, safety, or rights of persons served by the program. When the
commissioner has determined there is reasonable cause to order the temporary immediate
suspension of a license based on a violation of safe sleep requirements, as defined in
section 245A.1435, the commissioner is not required to demonstrate that an infant died or
was injured as a result of the safe sleep violations.
    (b) The administrative law judge shall issue findings of fact, conclusions, and a
recommendation within ten working days from the date of hearing. The parties shall have
ten calendar days to submit exceptions to the administrative law judge's report. The
record shall close at the end of the ten-day period for submission of exceptions. The
commissioner's final order shall be issued within ten working days from the close of the
record. Within 90 calendar days after a final order affirming an immediate suspension, the
commissioner shall make a determination regarding whether a final licensing sanction
shall be issued under subdivision 3. The license holder shall continue to be prohibited
from operation of the program during this 90-day period.
    (c) When the final order under paragraph (b) affirms an immediate suspension, and a
final licensing sanction is issued under subdivision 3 and the license holder appeals that
sanction, the license holder continues to be prohibited from operation of the program
pending a final commissioner's order under section 245A.08, subdivision 5, regarding the
final licensing sanction.

    Sec. 14. Minnesota Statutes 2012, section 245A.1435, is amended to read:
245A.1435 REDUCTION OF RISK OF SUDDEN UNEXPECTED INFANT
DEATH SYNDROME IN LICENSED PROGRAMS.
    (a) When a license holder is placing an infant to sleep, the license holder must
place the infant on the infant's back, unless the license holder has documentation from
the infant's parent physician directing an alternative sleeping position for the infant. The
parent physician directive must be on a form approved by the commissioner and must
include a statement that the parent or legal guardian has read the information provided by
the Minnesota Sudden Infant Death Center, related to the risk of SIDS and the importance
of placing an infant or child on its back to sleep to reduce the risk of SIDS. remain on file
at the licensed location. An infant who independently rolls onto its stomach after being
placed to sleep on its back may be allowed to remain sleeping on its stomach if the infant
is at least six months of age or the license holder has a signed statement from the parent
indicating that the infant regularly rolls over at home.
(b) The license holder must place the infant in a crib directly on a firm mattress with
a fitted crib sheet that fits tightly on the mattress and overlaps the mattress so it cannot be
dislodged by pulling on the corner of the sheet. The license holder must not place pillows,
quilts, comforters, sheepskin, pillow-like stuffed toys, or other soft products in the crib
with the infant The license holder must place the infant in a crib directly on a firm mattress
with a fitted sheet that is appropriate to the mattress size, that fits tightly on the mattress,
and overlaps the underside of the mattress so it cannot be dislodged by pulling on the
corner of the sheet with reasonable effort. The license holder must not place anything in
the crib with the infant except for the infant's pacifier, as defined in Code of Federal
Regulations, title 16, part 1511. The requirements of this section apply to license holders
serving infants up to and including 12 months younger than one year of age. Licensed
child care providers must meet the crib requirements under section 245A.146.
(c) If an infant falls asleep before being placed in a crib, the license holder must
move the infant to a crib as soon as practicable, and must keep the infant within sight of
the license holder until the infant is placed in a crib. When an infant falls asleep while
being held, the license holder must consider the supervision needs of other children in
care when determining how long to hold the infant before placing the infant in a crib to
sleep. The sleeping infant must not be in a position where the airway may be blocked or
with anything covering the infant's face.
(d) Placing a swaddled infant down to sleep in a licensed setting is not recommended
for an infant of any age and is prohibited for any infant who has begun to roll over
independently. However, with the written consent of a parent or guardian according to this
paragraph, a license holder may place the infant who has not yet begun to roll over on its
own down to sleep in a one-piece sleeper equipped with an attached system that fastens
securely only across the upper torso, with no constriction of the hips or legs, to create a
swaddle. Prior to any use of swaddling for sleep by a provider licensed under this chapter,
the license holder must obtain informed written consent for the use of swaddling from the
parent or guardian of the infant on a form provided by the commissioner and prepared in
partnership with the Minnesota Sudden Infant Death Center.

    Sec. 15. Minnesota Statutes 2012, section 245A.144, is amended to read:
245A.144 TRAINING ON RISK OF SUDDEN UNEXPECTED INFANT
DEATH AND SHAKEN BABY SYNDROME ABUSIVE HEAD TRAUMA FOR
CHILD FOSTER CARE PROVIDERS.
    (a) Licensed child foster care providers that care for infants or children through five
years of age must document that before staff persons and caregivers assist in the care
of infants or children through five years of age, they are instructed on the standards in
section 245A.1435 and receive training on reducing the risk of sudden unexpected infant
death syndrome and shaken baby syndrome for abusive head trauma from shaking infants
and young children. This section does not apply to emergency relative placement under
section 245A.035. The training on reducing the risk of sudden unexpected infant death
syndrome and shaken baby syndrome abusive head trauma may be provided as:
    (1) orientation training to child foster care providers, who care for infants or children
through five years of age, under Minnesota Rules, part 2960.3070, subpart 1; or
    (2) in-service training to child foster care providers, who care for infants or children
through five years of age, under Minnesota Rules, part 2960.3070, subpart 2.
    (b) Training required under this section must be at least one hour in length and must
be completed at least once every five years. At a minimum, the training must address
the risk factors related to sudden unexpected infant death syndrome and shaken baby
syndrome abusive head trauma, means of reducing the risk of sudden unexpected infant
death syndrome and shaken baby syndrome abusive head trauma, and license holder
communication with parents regarding reducing the risk of sudden unexpected infant
death syndrome and shaken baby syndrome abusive head trauma.
    (c) Training for child foster care providers must be approved by the county or
private licensing agency that is responsible for monitoring the child foster care provider
under section 245A.16. The approved training fulfills, in part, training required under
Minnesota Rules, part 2960.3070.

    Sec. 16. Minnesota Statutes 2012, section 245A.1444, is amended to read:
245A.1444 TRAINING ON RISK OF SUDDEN UNEXPECTED INFANT
DEATH SYNDROME AND SHAKEN BABY SYNDROME ABUSIVE HEAD
TRAUMA BY OTHER PROGRAMS.
    A licensed chemical dependency treatment program that serves clients with infants
or children through five years of age, who sleep at the program and a licensed children's
residential facility that serves infants or children through five years of age, must document
that before program staff persons or volunteers assist in the care of infants or children
through five years of age, they are instructed on the standards in section 245A.1435 and
receive training on reducing the risk of sudden unexpected infant death syndrome and
shaken baby syndrome abusive head trauma from shaking infants and young children. The
training conducted under this section may be used to fulfill training requirements under
Minnesota Rules, parts 2960.0100, subpart 3; and 9530.6490, subpart 4, item B.
    This section does not apply to child care centers or family child care programs
governed by sections 245A.40 and 245A.50.

    Sec. 17. [245A.148] FAMILY CHILD CARE DIAPERING AREA
DISINFECTION.
Notwithstanding Minnesota Rules, part 9502.0435, a family child care provider may
disinfect the diaper changing surface with chlorine bleach in a manner consistent with label
directions for disinfection or with a surface disinfectant that meets the following criteria:
(1) the manufacturer's label or instructions state that the product is registered with
the United States Environmental Protection Agency;
(2) the manufacturer's label or instructions state that the disinfectant is effective
against Staphylococcus aureus, Salmonella choleraesuis, and Pseudomonas aeruginosa;
(3) the manufacturer's label or instructions state that the disinfectant is effective with
a ten minute or less contact time;
(4) the disinfectant is clearly labeled by the manufacturer with directions for mixing
and use;
(5) the disinfectant is used only in accordance with the manufacturer's directions; and
(6) the product does not include triclosan or derivatives of triclosan.

    Sec. 18. [245A.147] FAMILY CHILD CARE INFANT SLEEP SUPERVISION
REQUIREMENTS.
    Subdivision 1. In-person checks on infants. (a) License holders that serve infants
are encouraged to monitor sleeping infants by conducting in-person checks on each infant
in their care every 30 minutes.
(b) Upon enrollment of an infant in a family child care program, the license holder is
encouraged to conduct in-person checks on the sleeping infant every 15 minutes, during
the first four months of care.
(c) When an infant has an upper respiratory infection, the license holder is
encouraged to conduct in-person checks on the sleeping infant every 15 minutes
throughout the hours of sleep.
    Subd. 2. Use of audio or visual monitoring devices. In addition to conducting
the in-person checks encouraged under subdivision 1, license holders serving infants are
encouraged to use and maintain an audio or visual monitoring device to monitor each
sleeping infant in care during all hours of sleep.

    Sec. 19. [245A.152] CHILD CARE LICENSE HOLDER INSURANCE.
(a) A license holder must provide a written notice to all parents or guardians of all
children to be accepted for care prior to admission stating whether the license holder has
liability insurance. This notice may be incorporated into and provided on the admission
form used by the license holder.
(b) If the license holder has liability insurance:
(1) the license holder shall inform parents in writing that a current certificate of
coverage for insurance is available for inspection to all parents or guardians of children
receiving services and to all parents seeking services from the family child care program;
(2) the notice must provide the parent or guardian with the date of expiration or
next renewal of the policy; and
(3) upon the expiration date of the policy, the license holder must provide a new
written notice indicating whether the insurance policy has lapsed or whether the license
holder has renewed the policy.
If the policy was renewed, the license holder must provide the new expiration date of the
policy in writing to the parents or guardians.
(c) If the license holder does not have liability insurance, the license holder must
provide an annual notice, on a form developed and made available by the commissioner,
to the parents or guardians of children in care indicating that the license holder does not
carry liability insurance.
(d) The license holder must notify all parents and guardians in writing immediately
of any change in insurance status.
(e) The license holder must make available upon request the certificate of liability
insurance to the parents of children in care, to the commissioner, and to county licensing
agents.
(f) The license holder must document, with the signature of the parent or guardian,
that the parent or guardian received the notices required by this section.

    Sec. 20. Minnesota Statutes 2012, section 245A.40, subdivision 5, is amended to read:
    Subd. 5. Sudden unexpected infant death syndrome and shaken baby syndrome
abusive head trauma training. (a) License holders must document that before staff
persons and volunteers care for infants, they are instructed on the standards in section
245A.1435 and receive training on reducing the risk of sudden unexpected infant death
syndrome. In addition, license holders must document that before staff persons care for
infants or children under school age, they receive training on the risk of shaken baby
syndrome abusive head trauma from shaking infants and young children. The training
in this subdivision may be provided as orientation training under subdivision 1 and
in-service training under subdivision 7.
    (b) Sudden unexpected infant death syndrome reduction training required under
this subdivision must be at least one-half hour in length and must be completed at least
once every five years year. At a minimum, the training must address the risk factors
related to sudden unexpected infant death syndrome, means of reducing the risk of sudden
unexpected infant death syndrome in child care, and license holder communication with
parents regarding reducing the risk of sudden unexpected infant death syndrome.
    (c) Shaken baby syndrome Abusive head trauma training under this subdivision
must be at least one-half hour in length and must be completed at least once every five
years year. At a minimum, the training must address the risk factors related to shaken
baby syndrome for shaking infants and young children, means to reduce the risk of shaken
baby syndrome abusive head trauma in child care, and license holder communication with
parents regarding reducing the risk of shaken baby syndrome abusive head trauma.
(d) The commissioner shall make available for viewing a video presentation on the
dangers associated with shaking infants and young children. The video presentation must
be part of the orientation and annual in-service training of licensed child care center
staff persons caring for children under school age. The commissioner shall provide to
child care providers and interested individuals, at cost, copies of a video approved by the
commissioner of health under section 144.574 on the dangers associated with shaking
infants and young children.

    Sec. 21. Minnesota Statutes 2012, section 245A.50, is amended to read:
245A.50 FAMILY CHILD CARE TRAINING REQUIREMENTS.
    Subdivision 1. Initial training. (a) License holders, caregivers, and substitutes must
comply with the training requirements in this section.
    (b) Helpers who assist with care on a regular basis must complete six hours of
training within one year after the date of initial employment.
    Subd. 2. Child growth and development and behavior guidance training. (a) For
purposes of family and group family child care, the license holder and each adult caregiver
who provides care in the licensed setting for more than 30 days in any 12-month period
shall complete and document at least two four hours of child growth and development
and behavior guidance training within the first year of prior to initial licensure, and before
caring for children. For purposes of this subdivision, "child growth and development
training" means training in understanding how children acquire language and develop
physically, cognitively, emotionally, and socially. "Behavior guidance training" means
training in the understanding of the functions of child behavior and strategies for managing
challenging situations. Child growth and development and behavior guidance training
must be repeated annually. Training curriculum shall be developed or approved by the
commissioner of human services by January 1, 2014.
    (b) Notwithstanding paragraph (a), individuals are exempt from this requirement if
they:
    (1) have taken a three-credit course on early childhood development within the
past five years;
    (2) have received a baccalaureate or master's degree in early childhood education or
school-age child care within the past five years;
    (3) are licensed in Minnesota as a prekindergarten teacher, an early childhood
educator, a kindergarten to grade 6 teacher with a prekindergarten specialty, an early
childhood special education teacher, or an elementary teacher with a kindergarten
endorsement; or
    (4) have received a baccalaureate degree with a Montessori certificate within the
past five years.
    Subd. 3. First aid. (a) When children are present in a family child care home
governed by Minnesota Rules, parts 9502.0315 to 9502.0445, at least one staff person
must be present in the home who has been trained in first aid. The first aid training must
have been provided by an individual approved to provide first aid instruction. First aid
training may be less than eight hours and persons qualified to provide first aid training
include individuals approved as first aid instructors. First aid training must be repeated
every two years.
    (b) A family child care provider is exempt from the first aid training requirements
under this subdivision related to any substitute caregiver who provides less than 30 hours
of care during any 12-month period.
    (c) Video training reviewed and approved by the county licensing agency satisfies
the training requirement of this subdivision.
    Subd. 4. Cardiopulmonary resuscitation. (a) When children are present in a family
child care home governed by Minnesota Rules, parts 9502.0315 to 9502.0445, at least
one staff person must be present in the home who has been trained in cardiopulmonary
resuscitation (CPR) and in the treatment of obstructed airways that includes CPR
techniques for infants and children. The CPR training must have been provided by an
individual approved to provide CPR instruction, must be repeated at least once every three
two years, and must be documented in the staff person's records.
    (b) A family child care provider is exempt from the CPR training requirement in
this subdivision related to any substitute caregiver who provides less than 30 hours of
care during any 12-month period.
    (c) Video training reviewed and approved by the county licensing agency satisfies
the training requirement of this subdivision. Persons providing CPR training must use
CPR training that has been developed:
    (1) by the American Heart Association or the American Red Cross and incorporates
psychomotor skills to support the instruction; or
    (2) using nationally recognized, evidence-based guidelines for CPR training and
incorporates psychomotor skills to support the instruction.
    Subd. 5. Sudden unexpected infant death syndrome and shaken baby syndrome
abusive head trauma training. (a) License holders must document that before staff
persons, caregivers, and helpers assist in the care of infants, they are instructed on the
standards in section 245A.1435 and receive training on reducing the risk of sudden
unexpected infant death syndrome. In addition, license holders must document that before
staff persons, caregivers, and helpers assist in the care of infants and children under
school age, they receive training on reducing the risk of shaken baby syndrome abusive
head trauma from shaking infants and young children. The training in this subdivision
may be provided as initial training under subdivision 1 or ongoing annual training under
subdivision 7.
    (b) Sudden unexpected infant death syndrome reduction training required under this
subdivision must be at least one-half hour in length and must be completed in person
at least once every five years two years. On the years when the license holder is not
receiving the in-person training on sudden unexpected infant death reduction, the license
holder must receive sudden unexpected infant death reduction training through a video
of no more than one hour in length developed or approved by the commissioner. At a
minimum, the training must address the risk factors related to sudden unexpected infant
death syndrome, means of reducing the risk of sudden unexpected infant death syndrome
in child care, and license holder communication with parents regarding reducing the risk
of sudden unexpected infant death syndrome.
    (c) Shaken baby syndrome Abusive head trauma training required under this
subdivision must be at least one-half hour in length and must be completed at least once
every five years year. At a minimum, the training must address the risk factors related
to shaken baby syndrome shaking infants and young children, means of reducing the
risk of shaken baby syndrome abusive head trauma in child care, and license holder
communication with parents regarding reducing the risk of shaken baby syndrome abusive
head trauma.
(d) Training for family and group family child care providers must be developed
by the commissioner in conjunction with the Minnesota Sudden Infant Death Center
and approved by the county licensing agency by the Minnesota Center for Professional
Development.
    (e) The commissioner shall make available for viewing by all licensed child care
providers a video presentation on the dangers associated with shaking infants and young
children. The video presentation shall be part of the initial and ongoing annual training of
licensed child care providers, caregivers, and helpers caring for children under school age.
The commissioner shall provide to child care providers and interested individuals, at cost,
copies of a video approved by the commissioner of health under section 144.574 on the
dangers associated with shaking infants and young children.
    Subd. 6. Child passenger restraint systems; training requirement. (a) A license
holder must comply with all seat belt and child passenger restraint system requirements
under section 169.685.
    (b) Family and group family child care programs licensed by the Department of
Human Services that serve a child or children under nine years of age must document
training that fulfills the requirements in this subdivision.
    (1) Before a license holder, staff person, caregiver, or helper transports a child or
children under age nine in a motor vehicle, the person placing the child or children in a
passenger restraint must satisfactorily complete training on the proper use and installation
of child restraint systems in motor vehicles. Training completed under this subdivision may
be used to meet initial training under subdivision 1 or ongoing training under subdivision 7.
    (2) Training required under this subdivision must be at least one hour in length,
completed at initial training, and repeated at least once every five years. At a minimum,
the training must address the proper use of child restraint systems based on the child's
size, weight, and age, and the proper installation of a car seat or booster seat in the motor
vehicle used by the license holder to transport the child or children.
    (3) Training under this subdivision must be provided by individuals who are certified
and approved by the Department of Public Safety, Office of Traffic Safety. License holders
may obtain a list of certified and approved trainers through the Department of Public
Safety Web site or by contacting the agency.
    (c) Child care providers that only transport school-age children as defined in section
245A.02, subdivision 19, paragraph (f), in child care buses as defined in section 169.448,
subdivision 1, paragraph (e), are exempt from this subdivision.
    Subd. 7. Training requirements for family and group family child care. For
purposes of family and group family child care, the license holder and each primary
caregiver must complete eight 16 hours of ongoing training each year. For purposes
of this subdivision, a primary caregiver is an adult caregiver who provides services in
the licensed setting for more than 30 days in any 12-month period. Repeat of topical
training requirements in subdivisions 2 to 8 shall count toward the annual 16-hour training
requirement. Additional ongoing training subjects to meet the annual 16-hour training
requirement must be selected from the following areas:
    (1) "child growth and development training" has the meaning given in under
subdivision 2, paragraph (a);
    (2) "learning environment and curriculum" includes, including training in
establishing an environment and providing activities that provide learning experiences to
meet each child's needs, capabilities, and interests;
    (3) "assessment and planning for individual needs" includes, including training in
observing and assessing what children know and can do in order to provide curriculum
and instruction that addresses their developmental and learning needs, including children
with special needs and bilingual children or children for whom English is not their
primary language;
    (4) "interactions with children" includes, including training in establishing
supportive relationships with children, guiding them as individuals and as part of a group;
    (5) "families and communities" includes, including training in working
collaboratively with families and agencies or organizations to meet children's needs and to
encourage the community's involvement;
    (6) "health, safety, and nutrition" includes, including training in establishing and
maintaining an environment that ensures children's health, safety, and nourishment,
including child abuse, maltreatment, prevention, and reporting; home and fire safety; child
injury prevention; communicable disease prevention and control; first aid; and CPR; and
    (7) "program planning and evaluation" includes, including training in establishing,
implementing, evaluating, and enhancing program operations.; and
(8) behavior guidance, including training in the understanding of the functions of
child behavior and strategies for managing behavior.
    Subd. 8. Other required training requirements. (a) The training required of
family and group family child care providers and staff must include training in the cultural
dynamics of early childhood development and child care. The cultural dynamics and
disabilities training and skills development of child care providers must be designed to
achieve outcomes for providers of child care that include, but are not limited to:
    (1) an understanding and support of the importance of culture and differences in
ability in children's identity development;
    (2) understanding the importance of awareness of cultural differences and
similarities in working with children and their families;
    (3) understanding and support of the needs of families and children with differences
in ability;
    (4) developing skills to help children develop unbiased attitudes about cultural
differences and differences in ability;
    (5) developing skills in culturally appropriate caregiving; and
    (6) developing skills in appropriate caregiving for children of different abilities.
    The commissioner shall approve the curriculum for cultural dynamics and disability
training.
    (b) The provider must meet the training requirement in section 245A.14, subdivision
11
, paragraph (a), clause (4), to be eligible to allow a child cared for at the family child
care or group family child care home to use the swimming pool located at the home.
    Subd. 9. Supervising for safety; training requirement. Effective July 1, 2014,
all family child care license holders and each adult caregiver who provides care in the
licensed family child care home for more than 30 days in any 12-month period shall
complete and document at least six hours of approved training on supervising for safety
prior to initial licensure, and before caring for children. At least two hours of training
on supervising for safety must be repeated annually. For purposes of this subdivision,
"supervising for safety" includes supervision basics, supervision outdoors, equipment and
materials, illness, injuries, and disaster preparedness. The commissioner shall develop
the supervising for safety curriculum by January 1, 2014.
    Subd. 10. Approved training. County licensing staff must accept training approved
by the Minnesota Center for Professional Development, including:
(1) face-to-face or classroom training;
(2) online training; and
(3) relationship-based professional development, such as mentoring, coaching,
and consulting.
    Subd. 11. Provider training. New and increased training requirements under this
section must not be imposed on providers until the commissioner establishes statewide
accessibility to the required provider training.

    Sec. 22. Minnesota Statutes 2012, section 252.27, subdivision 2a, is amended to read:
    Subd. 2a. Contribution amount. (a) The natural or adoptive parents of a minor
child, including a child determined eligible for medical assistance without consideration of
parental income, must contribute to the cost of services used by making monthly payments
on a sliding scale based on income, unless the child is married or has been married, parental
rights have been terminated, or the child's adoption is subsidized according to section
259.67 or through title IV-E of the Social Security Act. The parental contribution is a partial
or full payment for medical services provided for diagnostic, therapeutic, curing, treating,
mitigating, rehabilitation, maintenance, and personal care services as defined in United
States Code, title 26, section 213, needed by the child with a chronic illness or disability.
    (b) For households with adjusted gross income equal to or greater than 100 275
percent of federal poverty guidelines, the parental contribution shall be computed by
applying the following schedule of rates to the adjusted gross income of the natural or
adoptive parents:
    (1) if the adjusted gross income is equal to or greater than 100 percent of federal
poverty guidelines and less than 175 percent of federal poverty guidelines, the parental
contribution is $4 per month;
    (2) (1) if the adjusted gross income is equal to or greater than 175 275 percent
of federal poverty guidelines and less than or equal to 545 percent of federal poverty
guidelines, the parental contribution shall be determined using a sliding fee scale
established by the commissioner of human services which begins at one 2.76 percent of
adjusted gross income at 175 275 percent of federal poverty guidelines and increases to
7.5 percent of adjusted gross income for those with adjusted gross income up to 545
percent of federal poverty guidelines;
    (3) (2) if the adjusted gross income is greater than 545 percent of federal poverty
guidelines and less than 675 percent of federal poverty guidelines, the parental
contribution shall be 7.5 percent of adjusted gross income;
    (4) (3) if the adjusted gross income is equal to or greater than 675 percent of federal
poverty guidelines and less than 975 percent of federal poverty guidelines, the parental
contribution shall be determined using a sliding fee scale established by the commissioner
of human services which begins at 7.5 percent of adjusted gross income at 675 percent of
federal poverty guidelines and increases to ten percent of adjusted gross income for those
with adjusted gross income up to 975 percent of federal poverty guidelines; and
    (5) (4) if the adjusted gross income is equal to or greater than 975 percent of federal
poverty guidelines, the parental contribution shall be 12.5 percent of adjusted gross income.
    If the child lives with the parent, the annual adjusted gross income is reduced by
$2,400 prior to calculating the parental contribution. If the child resides in an institution
specified in section 256B.35, the parent is responsible for the personal needs allowance
specified under that section in addition to the parental contribution determined under this
section. The parental contribution is reduced by any amount required to be paid directly to
the child pursuant to a court order, but only if actually paid.
    (c) The household size to be used in determining the amount of contribution under
paragraph (b) includes natural and adoptive parents and their dependents, including the
child receiving services. Adjustments in the contribution amount due to annual changes
in the federal poverty guidelines shall be implemented on the first day of July following
publication of the changes.
    (d) For purposes of paragraph (b), "income" means the adjusted gross income of the
natural or adoptive parents determined according to the previous year's federal tax form,
except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds
have been used to purchase a home shall not be counted as income.
    (e) The contribution shall be explained in writing to the parents at the time eligibility
for services is being determined. The contribution shall be made on a monthly basis
effective with the first month in which the child receives services. Annually upon
redetermination or at termination of eligibility, if the contribution exceeded the cost of
services provided, the local agency or the state shall reimburse that excess amount to
the parents, either by direct reimbursement if the parent is no longer required to pay a
contribution, or by a reduction in or waiver of parental fees until the excess amount is
exhausted. All reimbursements must include a notice that the amount reimbursed may be
taxable income if the parent paid for the parent's fees through an employer's health care
flexible spending account under the Internal Revenue Code, section 125, and that the
parent is responsible for paying the taxes owed on the amount reimbursed.
    (f) The monthly contribution amount must be reviewed at least every 12 months;
when there is a change in household size; and when there is a loss of or gain in income
from one month to another in excess of ten percent. The local agency shall mail a written
notice 30 days in advance of the effective date of a change in the contribution amount.
A decrease in the contribution amount is effective in the month that the parent verifies a
reduction in income or change in household size.
    (g) Parents of a minor child who do not live with each other shall each pay the
contribution required under paragraph (a). An amount equal to the annual court-ordered
child support payment actually paid on behalf of the child receiving services shall be
deducted from the adjusted gross income of the parent making the payment prior to
calculating the parental contribution under paragraph (b).
    (h) The contribution under paragraph (b) shall be increased by an additional five
percent if the local agency determines that insurance coverage is available but not
obtained for the child. For purposes of this section, "available" means the insurance is a
benefit of employment for a family member at an annual cost of no more than five percent
of the family's annual income. For purposes of this section, "insurance" means health
and accident insurance coverage, enrollment in a nonprofit health service plan, health
maintenance organization, self-insured plan, or preferred provider organization.
    Parents who have more than one child receiving services shall not be required
to pay more than the amount for the child with the highest expenditures. There shall
be no resource contribution from the parents. The parent shall not be required to pay
a contribution in excess of the cost of the services provided to the child, not counting
payments made to school districts for education-related services. Notice of an increase in
fee payment must be given at least 30 days before the increased fee is due.
    (i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if,
in the 12 months prior to July 1:
    (1) the parent applied for insurance for the child;
    (2) the insurer denied insurance;
    (3) the parents submitted a complaint or appeal, in writing to the insurer, submitted
a complaint or appeal, in writing, to the commissioner of health or the commissioner of
commerce, or litigated the complaint or appeal; and
    (4) as a result of the dispute, the insurer reversed its decision and granted insurance.
    For purposes of this section, "insurance" has the meaning given in paragraph (h).
    A parent who has requested a reduction in the contribution amount under this
paragraph shall submit proof in the form and manner prescribed by the commissioner or
county agency, including, but not limited to, the insurer's denial of insurance, the written
letter or complaint of the parents, court documents, and the written response of the insurer
approving insurance. The determinations of the commissioner or county agency under this
paragraph are not rules subject to chapter 14.
(j) Notwithstanding paragraph (b), for the period from July 1, 2010, to June 30,
2015, the parental contribution shall be computed by applying the following contribution
schedule to the adjusted gross income of the natural or adoptive parents:
(1) if the adjusted gross income is equal to or greater than 100 percent of federal
poverty guidelines and less than 175 percent of federal poverty guidelines, the parental
contribution is $4 per month;
(2) if the adjusted gross income is equal to or greater than 175 percent of federal
poverty guidelines and less than or equal to 525 percent of federal poverty guidelines,
the parental contribution shall be determined using a sliding fee scale established by the
commissioner of human services which begins at one percent of adjusted gross income
at 175 percent of federal poverty guidelines and increases to eight percent of adjusted
gross income for those with adjusted gross income up to 525 percent of federal poverty
guidelines;
(3) if the adjusted gross income is greater than 525 percent of federal poverty
guidelines and less than 675 percent of federal poverty guidelines, the parental
contribution shall be 9.5 percent of adjusted gross income;
(4) if the adjusted gross income is equal to or greater than 675 percent of federal
poverty guidelines and less than 900 percent of federal poverty guidelines, the parental
contribution shall be determined using a sliding fee scale established by the commissioner
of human services which begins at 9.5 percent of adjusted gross income at 675 percent of
federal poverty guidelines and increases to 12 percent of adjusted gross income for those
with adjusted gross income up to 900 percent of federal poverty guidelines; and
(5) if the adjusted gross income is equal to or greater than 900 percent of federal
poverty guidelines, the parental contribution shall be 13.5 percent of adjusted gross
income. If the child lives with the parent, the annual adjusted gross income is reduced by
$2,400 prior to calculating the parental contribution. If the child resides in an institution
specified in section 256B.35, the parent is responsible for the personal needs allowance
specified under that section in addition to the parental contribution determined under this
section. The parental contribution is reduced by any amount required to be paid directly to
the child pursuant to a court order, but only if actually paid.
EFFECTIVE DATE.Paragraph (b) is effective January 1, 2014. Paragraph (j)
is effective July 1, 2013.

    Sec. 23. Minnesota Statutes 2012, section 256.98, subdivision 8, is amended to read:
    Subd. 8. Disqualification from program. (a) Any person found to be guilty of
wrongfully obtaining assistance by a federal or state court or by an administrative hearing
determination, or waiver thereof, through a disqualification consent agreement, or as part
of any approved diversion plan under section 401.065, or any court-ordered stay which
carries with it any probationary or other conditions, in the Minnesota family investment
program and any affiliated program to include the diversionary work program and the
work participation cash benefit program, the food stamp or food support program, the
general assistance program, the group residential housing program, or the Minnesota
supplemental aid program shall be disqualified from that program. In addition, any person
disqualified from the Minnesota family investment program shall also be disqualified from
the food stamp or food support program. The needs of that individual shall not be taken
into consideration in determining the grant level for that assistance unit:
(1) for one year after the first offense;
(2) for two years after the second offense; and
(3) permanently after the third or subsequent offense.
The period of program disqualification shall begin on the date stipulated on the
advance notice of disqualification without possibility of postponement for administrative
stay or administrative hearing and shall continue through completion unless and until the
findings upon which the sanctions were imposed are reversed by a court of competent
jurisdiction. The period for which sanctions are imposed is not subject to review. The
sanctions provided under this subdivision are in addition to, and not in substitution
for, any other sanctions that may be provided for by law for the offense involved. A
disqualification established through hearing or waiver shall result in the disqualification
period beginning immediately unless the person has become otherwise ineligible for
assistance. If the person is ineligible for assistance, the disqualification period begins
when the person again meets the eligibility criteria of the program from which they were
disqualified and makes application for that program.
(b) A family receiving assistance through child care assistance programs under
chapter 119B with a family member who is found to be guilty of wrongfully obtaining child
care assistance by a federal court, state court, or an administrative hearing determination
or waiver, through a disqualification consent agreement, as part of an approved diversion
plan under section 401.065, or a court-ordered stay with probationary or other conditions,
is disqualified from child care assistance programs. The disqualifications must be for
periods of three months, six months, and one year and two years for the first, and
second, and third offenses, respectively. Subsequent violations must result in permanent
disqualification. During the disqualification period, disqualification from any child care
program must extend to all child care programs and must be immediately applied.
(c) A provider caring for children receiving assistance through child care assistance
programs under chapter 119B is disqualified from receiving payment for child care
services from the child care assistance program under chapter 119B when the provider is
found to have wrongfully obtained child care assistance by a federal court, state court,
or an administrative hearing determination or waiver under section 256.046, through
a disqualification consent agreement, as part of an approved diversion plan under
section 401.065, or a court-ordered stay with probationary or other conditions. The
disqualification must be for a period of one year for the first offense and two years for
the second offense. Any subsequent violation must result in permanent disqualification.
The disqualification period must be imposed immediately after a determination is made
under this paragraph. During the disqualification period, the provider is disqualified from
receiving payment from any child care program under chapter 119B.
(d) Any person found to be guilty of wrongfully obtaining general assistance
medical care, MinnesotaCare for adults without children, and upon federal approval, all
categories of medical assistance and remaining categories of MinnesotaCare, except
for children through age 18, by a federal or state court or by an administrative hearing
determination, or waiver thereof, through a disqualification consent agreement, or as part
of any approved diversion plan under section 401.065, or any court-ordered stay which
carries with it any probationary or other conditions, is disqualified from that program. The
period of disqualification is one year after the first offense, two years after the second
offense, and permanently after the third or subsequent offense. The period of program
disqualification shall begin on the date stipulated on the advance notice of disqualification
without possibility of postponement for administrative stay or administrative hearing
and shall continue through completion unless and until the findings upon which the
sanctions were imposed are reversed by a court of competent jurisdiction. The period for
which sanctions are imposed is not subject to review. The sanctions provided under this
subdivision are in addition to, and not in substitution for, any other sanctions that may be
provided for by law for the offense involved.
EFFECTIVE DATE.This section is effective February 3, 2014.

    Sec. 24. Minnesota Statutes 2012, section 256J.08, subdivision 24, is amended to read:
    Subd. 24. Disregard. "Disregard" means earned income that is not counted when
determining initial eligibility in the initial income test in section 256J.21, subdivision 3,
or income that is not counted when determining ongoing eligibility and calculating the
amount of the assistance payment for participants. The commissioner shall determine
the amount of the disregard according to section 256J.24, subdivision 10 for ongoing
eligibility shall be 50 percent of gross earned income.
EFFECTIVE DATE.This section is effective October 1, 2014, or upon approval
from the United States Department of Agriculture, whichever is later.

    Sec. 25. Minnesota Statutes 2012, section 256J.21, subdivision 2, is amended to read:
    Subd. 2. Income exclusions. The following must be excluded in determining a
family's available income:
    (1) payments for basic care, difficulty of care, and clothing allowances received for
providing family foster care to children or adults under Minnesota Rules, parts 9555.5050
to 9555.6265, 9560.0521, and 9560.0650 to 9560.0655, and payments received and used
for care and maintenance of a third-party beneficiary who is not a household member;
    (2) reimbursements for employment training received through the Workforce
Investment Act of 1998, United States Code, title 20, chapter 73, section 9201;
    (3) reimbursement for out-of-pocket expenses incurred while performing volunteer
services, jury duty, employment, or informal carpooling arrangements directly related to
employment;
    (4) all educational assistance, except the county agency must count graduate student
teaching assistantships, fellowships, and other similar paid work as earned income and,
after allowing deductions for any unmet and necessary educational expenses, shall
count scholarships or grants awarded to graduate students that do not require teaching
or research as unearned income;
    (5) loans, regardless of purpose, from public or private lending institutions,
governmental lending institutions, or governmental agencies;
    (6) loans from private individuals, regardless of purpose, provided an applicant or
participant documents that the lender expects repayment;
    (7)(i) state income tax refunds; and
    (ii) federal income tax refunds;
    (8)(i) federal earned income credits;
    (ii) Minnesota working family credits;
    (iii) state homeowners and renters credits under chapter 290A; and
    (iv) federal or state tax rebates;
    (9) funds received for reimbursement, replacement, or rebate of personal or real
property when these payments are made by public agencies, awarded by a court, solicited
through public appeal, or made as a grant by a federal agency, state or local government,
or disaster assistance organizations, subsequent to a presidential declaration of disaster;
    (10) the portion of an insurance settlement that is used to pay medical, funeral, and
burial expenses, or to repair or replace insured property;
    (11) reimbursements for medical expenses that cannot be paid by medical assistance;
    (12) payments by a vocational rehabilitation program administered by the state
under chapter 268A, except those payments that are for current living expenses;
    (13) in-kind income, including any payments directly made by a third party to a
provider of goods and services;
    (14) assistance payments to correct underpayments, but only for the month in which
the payment is received;
    (15) payments for short-term emergency needs under section 256J.626, subdivision 2;
    (16) funeral and cemetery payments as provided by section 256.935;
    (17) nonrecurring cash gifts of $30 or less, not exceeding $30 per participant in
a calendar month;
    (18) any form of energy assistance payment made through Public Law 97-35,
Low-Income Home Energy Assistance Act of 1981, payments made directly to energy
providers by other public and private agencies, and any form of credit or rebate payment
issued by energy providers;
    (19) Supplemental Security Income (SSI), including retroactive SSI payments and
other income of an SSI recipient, except as described in section 256J.37, subdivision 3b;
    (20) Minnesota supplemental aid, including retroactive payments;
    (21) proceeds from the sale of real or personal property;
    (22) state adoption assistance payments under section 259.67, and up to an equal
amount of county adoption assistance payments;
    (23) state-funded family subsidy program payments made under section 252.32 to
help families care for children with developmental disabilities, consumer support grant
funds under section 256.476, and resources and services for a disabled household member
under one of the home and community-based waiver services programs under chapter 256B;
    (24) interest payments and dividends from property that is not excluded from and
that does not exceed the asset limit;
    (25) rent rebates;
    (26) income earned by a minor caregiver, minor child through age 6, or a minor
child who is at least a half-time student in an approved elementary or secondary education
program;
    (27) income earned by a caregiver under age 20 who is at least a half-time student in
an approved elementary or secondary education program;
    (28) MFIP child care payments under section 119B.05;
    (29) all other payments made through MFIP to support a caregiver's pursuit of
greater economic stability;
    (30) income a participant receives related to shared living expenses;
    (31) reverse mortgages;
    (32) benefits provided by the Child Nutrition Act of 1966, United States Code, title
42, chapter 13A, sections 1771 to 1790;
    (33) benefits provided by the women, infants, and children (WIC) nutrition program,
United States Code, title 42, chapter 13A, section 1786;
    (34) benefits from the National School Lunch Act, United States Code, title 42,
chapter 13, sections 1751 to 1769e;
    (35) relocation assistance for displaced persons under the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970, United States Code, title
42, chapter 61, subchapter II, section 4636, or the National Housing Act, United States
Code, title 12, chapter 13, sections 1701 to 1750jj;
    (36) benefits from the Trade Act of 1974, United States Code, title 19, chapter
12, part 2, sections 2271 to 2322;
    (37) war reparations payments to Japanese Americans and Aleuts under United
States Code, title 50, sections 1989 to 1989d;
    (38) payments to veterans or their dependents as a result of legal settlements
regarding Agent Orange or other chemical exposure under Public Law 101-239, section
10405, paragraph (a)(2)(E);
    (39) income that is otherwise specifically excluded from MFIP consideration in
federal law, state law, or federal regulation;
    (40) security and utility deposit refunds;
    (41) American Indian tribal land settlements excluded under Public Laws 98-123,
98-124, and 99-377 to the Mississippi Band Chippewa Indians of White Earth, Leech
Lake, and Mille Lacs reservations and payments to members of the White Earth Band,
under United States Code, title 25, chapter 9, section 331, and chapter 16, section 1407;
    (42) all income of the minor parent's parents and stepparents when determining the
grant for the minor parent in households that include a minor parent living with parents or
stepparents on MFIP with other children;
    (43) income of the minor parent's parents and stepparents equal to 200 percent of the
federal poverty guideline for a family size not including the minor parent and the minor
parent's child in households that include a minor parent living with parents or stepparents
not on MFIP when determining the grant for the minor parent. The remainder of income is
deemed as specified in section 256J.37, subdivision 1b;
    (44) payments made to children eligible for relative custody assistance under section
257.85;
    (45) vendor payments for goods and services made on behalf of a client unless the
client has the option of receiving the payment in cash;
    (46) the principal portion of a contract for deed payment; and
    (47) cash payments to individuals enrolled for full-time service as a volunteer under
AmeriCorps programs including AmeriCorps VISTA, AmeriCorps State, AmeriCorps
National, and AmeriCorps NCCC; and
    (48) housing assistance grants under section 256J.35, paragraph (a).

    Sec. 26. Minnesota Statutes 2012, section 256J.21, subdivision 3, is amended to read:
    Subd. 3. Initial income test. The county agency shall determine initial eligibility
by considering all earned and unearned income that is not excluded under subdivision 2.
To be eligible for MFIP, the assistance unit's countable income minus the disregards in
paragraphs (a) and (b) must be below the transitional standard of assistance family wage
level according to section 256J.24 for that size assistance unit.
(a) The initial eligibility determination must disregard the following items:
(1) the employment disregard is 18 percent of the gross earned income whether or
not the member is working full time or part time;
(2) dependent care costs must be deducted from gross earned income for the actual
amount paid for dependent care up to a maximum of $200 per month for each child less
than two years of age, and $175 per month for each child two years of age and older under
this chapter and chapter 119B;
(3) all payments made according to a court order for spousal support or the support
of children not living in the assistance unit's household shall be disregarded from the
income of the person with the legal obligation to pay support, provided that, if there has
been a change in the financial circumstances of the person with the legal obligation to pay
support since the support order was entered, the person with the legal obligation to pay
support has petitioned for a modification of the support order; and
(4) an allocation for the unmet need of an ineligible spouse or an ineligible child
under the age of 21 for whom the caregiver is financially responsible and who lives with
the caregiver according to section 256J.36.
(b) Notwithstanding paragraph (a), when determining initial eligibility for applicant
units when at least one member has received MFIP in this state within four months of
the most recent application for MFIP, apply the disregard as defined in section 256J.08,
subdivision 24
, for all unit members.
After initial eligibility is established, the assistance payment calculation is based on
the monthly income test.
EFFECTIVE DATE.This section is effective October 1, 2014, or upon approval
from the United States Department of Agriculture, whichever is later.

    Sec. 27. Minnesota Statutes 2012, section 256J.24, subdivision 5, is amended to read:
    Subd. 5. MFIP transitional standard. The MFIP transitional standard is based
on the number of persons in the assistance unit eligible for both food and cash assistance
unless the restrictions in subdivision 6 on the birth of a child apply. The amount of the
transitional standard is published annually by the Department of Human Services.
EFFECTIVE DATE.This section is effective January 1, 2015.

    Sec. 28. Minnesota Statutes 2012, section 256J.24, subdivision 7, is amended to read:
    Subd. 7. Family wage level. The family wage level is 110 percent of the transitional
standard under subdivision 5 or 6, when applicable, and is the standard used when there is
earned income in the assistance unit. As specified in section 256J.21. If there is earned
income in the assistance unit, earned income is subtracted from the family wage level to
determine the amount of the assistance payment, as specified in section 256J.21. The
assistance payment may not exceed the transitional standard under subdivision 5 or 6,
or the shared household standard under subdivision 9, whichever is applicable, for the
assistance unit.
EFFECTIVE DATE.This section is effective October 1, 2014, or upon approval
from the United States Department of Agriculture, whichever is later.

    Sec. 29. Minnesota Statutes 2012, section 256J.35, is amended to read:
256J.35 AMOUNT OF ASSISTANCE PAYMENT.
Except as provided in paragraphs (a) to (c) (d), the amount of an assistance payment
is equal to the difference between the MFIP standard of need or the Minnesota family
wage level in section 256J.24 and countable income.
(a) Beginning July 1, 2015, MFIP assistance units are eligible for an MFIP housing
assistance grant of $110 per month, unless:
(1) the housing assistance unit is currently receiving public and assisted rental
subsidies provided through the Department of Housing and Urban Development (HUD)
and is subject to section 256J.37, subdivision 3a; or
(2) the assistance unit is a child-only case under section 256J.88.
(a) (b) When MFIP eligibility exists for the month of application, the amount of
the assistance payment for the month of application must be prorated from the date of
application or the date all other eligibility factors are met for that applicant, whichever is
later. This provision applies when an applicant loses at least one day of MFIP eligibility.
(b) (c) MFIP overpayments to an assistance unit must be recouped according to
section 256J.38, subdivision 4.
(c) (d) An initial assistance payment must not be made to an applicant who is not
eligible on the date payment is made.

    Sec. 30. Minnesota Statutes 2012, section 256J.621, is amended to read:
256J.621 WORK PARTICIPATION CASH BENEFITS.
    Subdivision 1. Program characteristics. (a) Effective October 1, 2009, upon
exiting the diversionary work program (DWP) or upon terminating the Minnesota family
investment program with earnings, a participant who is employed may be eligible for work
participation cash benefits of $25 per month to assist in meeting the family's basic needs
as the participant continues to move toward self-sufficiency.
    (b) To be eligible for work participation cash benefits, the participant shall not
receive MFIP or diversionary work program assistance during the month and the
participant or participants must meet the following work requirements:
    (1) if the participant is a single caregiver and has a child under six years of age, the
participant must be employed at least 87 hours per month;
    (2) if the participant is a single caregiver and does not have a child under six years of
age, the participant must be employed at least 130 hours per month; or
    (3) if the household is a two-parent family, at least one of the parents must be
employed 130 hours per month.
    Whenever a participant exits the diversionary work program or is terminated from
MFIP and meets the other criteria in this section, work participation cash benefits are
available for up to 24 consecutive months.
    (c) Expenditures on the program are maintenance of effort state funds under
a separate state program for participants under paragraph (b), clauses (1) and (2).
Expenditures for participants under paragraph (b), clause (3), are nonmaintenance of effort
funds. Months in which a participant receives work participation cash benefits under this
section do not count toward the participant's MFIP 60-month time limit.
    Subd. 2. Program suspension. (a) Effective December 1, 2014, the work
participation cash benefits program shall be suspended.
(b) The commissioner of human services may reinstate the work participation cash
benefits program if the United States Department of Human Services determines that the
state of Minnesota did not meet the federal TANF work participation rate and sends a
notice of penalty to reduce Minnesota's federal TANF block grant authorized under title I
of Public Law 104-193, the Personal Responsibility and Work Opportunity Reconciliation
Act of 1996, and under Public Law 109-171, the Deficit Reduction Act of 2005.
(c) The commissioner shall notify the chairs and ranking minority members of the
legislative committees with jurisdiction over human services policy and finance of the
potential penalty and the commissioner's plans to reinstate the work participation cash
benefit program within 30 days of the date the commissioner receives notification that
the state failed to meet the federal work participation rate.

    Sec. 31. Minnesota Statutes 2012, section 256J.626, subdivision 7, is amended to read:
    Subd. 7. Performance base funds. (a) For the purpose of this section, the following
terms have the meanings given.
(1) "Caseload Reduction Credit" (CRC) means the measure of how much Minnesota
TANF and separate state program caseload has fallen relative to federal fiscal year 2005
based on caseload data from October 1 to September 30.
(2) "TANF participation rate target" means a 50 percent participation rate reduced by
the CRC for the previous year.
(b) (a) For calendar year 2010 2016 and yearly thereafter, each county and tribe will
must be allocated 95 100 percent of their initial calendar year allocation. Allocations for
counties and tribes will must be allocated additional funds adjusted based on performance
as follows:
    (1) a county or tribe that achieves the TANF participation rate target or a five
percentage point improvement over the previous year's TANF participation rate under
section 256J.751, subdivision 2, clause (7), as averaged across 12 consecutive months for
the most recent year for which the measurements are available, will receive an additional
allocation equal to 2.5 percent of its initial allocation;
    (2) (1) a county or tribe that performs within or above its range of expected
performance on the annualized three-year self-support index under section 256J.751,
subdivision 2
, clause (6), will must receive an additional allocation equal to 2.5 percent of
its initial allocation; and
    (3) a county or tribe that does not achieve the TANF participation rate target or
a five percentage point improvement over the previous year's TANF participation rate
under section 256J.751, subdivision 2, clause (7), as averaged across 12 consecutive
months for the most recent year for which the measurements are available, will not
receive an additional 2.5 percent of its initial allocation until after negotiating a multiyear
improvement plan with the commissioner; or
    (4) (2) a county or tribe that does not perform within or above performs below its
range of expected performance on the annualized three-year self-support index under
section 256J.751, subdivision 2, clause (6), will not receive an additional allocation equal
to 2.5 percent of its initial allocation until after negotiating for two consecutive years must
negotiate a multiyear improvement plan with the commissioner. If no improvement is
shown by the end of the multiyear plan, the county's or tribe's allocation must be decreased
by 2.5 percent. The decrease must remain in effect until the county or tribe performs
within or above its range of expected performance.
    (c) (b) For calendar year 2009 2016 and yearly thereafter, performance-based funds
for a federally approved tribal TANF program in which the state and tribe have in place a
contract under section 256.01, addressing consolidated funding, will must be allocated
as follows:
    (1) a tribe that achieves the participation rate approved in its federal TANF plan
using the average of 12 consecutive months for the most recent year for which the
measurements are available, will receive an additional allocation equal to 2.5 percent of
its initial allocation; and
    (2) (1) a tribe that performs within or above its range of expected performance on the
annualized three-year self-support index under section 256J.751, subdivision 2, clause (6),
will must receive an additional allocation equal to 2.5 percent of its initial allocation; or
    (3) a tribe that does not achieve the participation rate approved in its federal TANF
plan using the average of 12 consecutive months for the most recent year for which the
measurements are available, will not receive an additional allocation equal to 2.5 percent
of its initial allocation until after negotiating a multiyear improvement plan with the
commissioner; or
    (4) (2) a tribe that does not perform within or above performs below its range of
expected performance on the annualized three-year self-support index under section
256J.751, subdivision 2, clause (6), will not receive an additional allocation equal to
2.5 percent until after negotiating for two consecutive years must negotiate a multiyear
improvement plan with the commissioner. If no improvement is shown by the end of the
multiyear plan, the tribe's allocation must be decreased by 2.5 percent. The decrease must
remain in effect until the tribe performs within or above its range of expected performance.
    (d) (c) Funds remaining unallocated after the performance-based allocations
in paragraph (b) (a) are available to the commissioner for innovation projects under
subdivision 5.
     (1) (d) If available funds are insufficient to meet county and tribal allocations under
paragraph paragraphs (a) and (b), the commissioner may make available for allocation
funds that are unobligated and available from the innovation projects through the end of
the current biennium shall proportionally prorate funds to counties and tribes that qualify
for a bonus under paragraphs (a), clause (1), and (b), clause (2).
    (2) If after the application of clause (1) funds remain insufficient to meet county and
tribal allocations under paragraph (b), the commissioner must proportionally reduce the
allocation of each county and tribe with respect to their maximum allocation available
under paragraph (b).

    Sec. 32. [256J.78] TANF DEMONSTRATION PROJECTS OR WAIVER FROM
FEDERAL RULES AND REGULATIONS.
    Subdivision 1. Duties of the commissioner. The commissioner of human services
may pursue TANF demonstration projects or waivers of TANF requirements from the
United States Department of Health and Human Services as needed to allow the state to
build a more results-oriented Minnesota Family Investment Program to better meet the
needs of Minnesota families.
    Subd. 2. Purpose. The purpose of the TANF demonstration projects or waivers is to:
(1) replace the federal TANF process measure and its complex administrative
requirements with state-developed outcomes measures that track adult employment and
exits from MFIP cash assistance;
(2) simplify programmatic and administrative requirements; and
(3) make other policy or programmatic changes that improve the performance of the
program and the outcomes for participants.
    Subd. 3. Report to legislature. The commissioner shall report to the members of
the legislative committees having jurisdiction over human services issues by March 1,
2014, regarding the progress of this waiver or demonstration project.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 33. Minnesota Statutes 2012, section 256K.45, is amended to read:
256K.45 RUNAWAY AND HOMELESS YOUTH ACT.
    Subdivision 1. Grant program established. The commissioner of human services
shall establish a Homeless Youth Act fund and award grants to providers who are
committed to serving homeless youth and youth at risk of homelessness, to provide
street and community outreach and drop-in programs, emergency shelter programs,
and integrated supportive housing and transitional living programs, consistent with the
program descriptions in this act to reduce the incidence of homelessness among youth.
    Subdivision 1. Subd. 1a. Definitions. (a) The definitions in this subdivision apply
to this section.
(b) "Commissioner" means the commissioner of human services.
(c) "Homeless youth" means a person 21 years of age or younger who is
unaccompanied by a parent or guardian and is without shelter where appropriate care and
supervision are available, whose parent or legal guardian is unable or unwilling to provide
shelter and care, or who lacks a fixed, regular, and adequate nighttime residence. The
following are not fixed, regular, or adequate nighttime residences:
(1) a supervised publicly or privately operated shelter designed to provide temporary
living accommodations;
(2) an institution or a publicly or privately operated shelter designed to provide
temporary living accommodations;
(3) transitional housing;
(4) a temporary placement with a peer, friend, or family member that has not offered
permanent residence, a residential lease, or temporary lodging for more than 30 days; or
(5) a public or private place not designed for, nor ordinarily used as, a regular
sleeping accommodation for human beings.
Homeless youth does not include persons incarcerated or otherwise detained under
federal or state law.
(d) "Youth at risk of homelessness" means a person 21 years of age or younger
whose status or circumstances indicate a significant danger of experiencing homelessness
in the near future. Status or circumstances that indicate a significant danger may include:
(1) youth exiting out-of-home placements; (2) youth who previously were homeless; (3)
youth whose parents or primary caregivers are or were previously homeless; (4) youth
who are exposed to abuse and neglect in their homes; (5) youth who experience conflict
with parents due to chemical or alcohol dependency, mental health disabilities, or other
disabilities; and (6) runaways.
(e) "Runaway" means an unmarried child under the age of 18 years who is absent
from the home of a parent or guardian or other lawful placement without the consent of
the parent, guardian, or lawful custodian.
    Subd. 2. Homeless and runaway youth report. The commissioner shall develop a
report for homeless youth, youth at risk of homelessness, and runaways. The report shall
include coordination of services as defined under subdivisions 3 to 5 prepare a biennial
report, beginning in February 2015, which provides meaningful information to the
legislative committees having jurisdiction over the issue of homeless youth, that includes,
but is not limited to: (1) a list of the areas of the state with the greatest need for services
and housing for homeless youth, and the level and nature of the needs identified; (2) details
about grants made; (3) the distribution of funds throughout the state based on population
need; (4) follow-up information, if available, on the status of homeless youth and whether
they have stable housing two years after services are provided; and (5) any other outcomes
for populations served to determine the effectiveness of the programs and use of funding.
    Subd. 3. Street and community outreach and drop-in program. Youth drop-in
centers must provide walk-in access to crisis intervention and ongoing supportive services
including one-to-one case management services on a self-referral basis. Street and
community outreach programs must locate, contact, and provide information, referrals,
and services to homeless youth, youth at risk of homelessness, and runaways. Information,
referrals, and services provided may include, but are not limited to:
(1) family reunification services;
(2) conflict resolution or mediation counseling;
(3) assistance in obtaining temporary emergency shelter;
(4) assistance in obtaining food, clothing, medical care, or mental health counseling;
(5) counseling regarding violence, prostitution sexual exploitation, substance abuse,
sexually transmitted diseases, and pregnancy;
(6) referrals to other agencies that provide support services to homeless youth,
youth at risk of homelessness, and runaways;
(7) assistance with education, employment, and independent living skills;
(8) aftercare services;
(9) specialized services for highly vulnerable runaways and homeless youth,
including teen parents, emotionally disturbed and mentally ill youth, and sexually
exploited youth; and
(10) homelessness prevention.
    Subd. 4. Emergency shelter program. (a) Emergency shelter programs must
provide homeless youth and runaways with referral and walk-in access to emergency,
short-term residential care. The program shall provide homeless youth and runaways with
safe, dignified shelter, including private shower facilities, beds, and at least one meal each
day; and shall assist a runaway and homeless youth with reunification with the family or
legal guardian when required or appropriate.
(b) The services provided at emergency shelters may include, but are not limited to:
(1) family reunification services;
(2) individual, family, and group counseling;
(3) assistance obtaining clothing;
(4) access to medical and dental care and mental health counseling;
(5) education and employment services;
(6) recreational activities;
(7) advocacy and referral services;
(8) independent living skills training;
(9) aftercare and follow-up services;
(10) transportation; and
(11) homelessness prevention.
    Subd. 5. Supportive housing and transitional living programs. Transitional
living programs must help homeless youth and youth at risk of homelessness to find and
maintain safe, dignified housing. The program may also provide rental assistance and
related supportive services, or refer youth to other organizations or agencies that provide
such services. Services provided may include, but are not limited to:
(1) educational assessment and referrals to educational programs;
(2) career planning, employment, work skill training, and independent living skills
training;
(3) job placement;
(4) budgeting and money management;
(5) assistance in securing housing appropriate to needs and income;
(6) counseling regarding violence, prostitution sexual exploitation, substance abuse,
sexually transmitted diseases, and pregnancy;
(7) referral for medical services or chemical dependency treatment;
(8) parenting skills;
(9) self-sufficiency support services or life skill training;
(10) aftercare and follow-up services; and
(11) homelessness prevention.
    Subd. 6. Funding. Any Funds appropriated for this section may be expended on
programs described under subdivisions 3 to 5, technical assistance, and capacity building.
Up to four percent of funds appropriated may be used for the purpose of monitoring and
evaluating runaway and homeless youth programs receiving funding under this section.
Funding shall be directed to meet the greatest need, with a significant share of the funding
focused on homeless youth providers in greater Minnesota to meet the greatest need
on a statewide basis.

    Sec. 34. Minnesota Statutes 2012, section 256M.40, subdivision 1, is amended to read:
    Subdivision 1. Formula. The commissioner shall allocate state funds appropriated
under this chapter to each county board on a calendar year basis in an amount determined
according to the formula in paragraphs (a) to (e).
(a) For calendar years 2011 and 2012, the commissioner shall allocate available
funds to each county in proportion to that county's share in calendar year 2010.
(b) For calendar year 2013 and each calendar year thereafter, the commissioner shall
allocate available funds to each county as follows:
(1) 75 percent must be distributed on the basis of the county share in calendar year
2012;
(2) five percent must be distributed on the basis of the number of persons residing in
the county as determined by the most recent data of the state demographer;
(3) ten percent must be distributed on the basis of the number of vulnerable children
that are subjects of reports under chapter 260C and sections 626.556 and 626.5561, and in
the county as determined by the most recent data of the commissioner; and
(4) ten percent must be distributed on the basis of the number of vulnerable adults
that are subjects of reports under section 626.557 in the county as determined by the most
recent data of the commissioner.
(c) For calendar year 2014, the commissioner shall allocate available funds to each
county as follows:
(1) 50 percent must be distributed on the basis of the county share in calendar year
2012;
(2) Ten percent must be distributed on the basis of the number of persons residing in
the county as determined by the most recent data of the state demographer;
(3) 20 percent must be distributed on the basis of the number of vulnerable children
that are subjects of reports under chapter 260C and sections 626.556 and 626.5561, in the
county as determined by the most recent data of the commissioner; and
(4) 20 percent must be distributed on the basis of the number of vulnerable adults
that are subjects of reports under section 626.557 in the county as determined by the
most recent data of the commissioner The commissioner is precluded from changing the
formula under this subdivision or recommending a change to the legislature without
public review and input.
(d) For calendar year 2015, the commissioner shall allocate available funds to each
county as follows:
(1) 25 percent must be distributed on the basis of the county share in calendar year
2012;
(2) 15 percent must be distributed on the basis of the number of persons residing in
the county as determined by the most recent data of the state demographer;
(3) 30 percent must be distributed on the basis of the number of vulnerable children
that are subjects of reports under chapter 260C and sections 626.556 and 626.5561, in the
county as determined by the most recent data of the commissioner; and
(4) 30 percent must be distributed on the basis of the number of vulnerable adults
that are subjects of reports under section 626.557 in the county as determined by the most
recent data of the commissioner.
(e) For calendar year 2016 and each calendar year thereafter, the commissioner shall
allocate available funds to each county as follows:
(1) 20 percent must be distributed on the basis of the number of persons residing in
the county as determined by the most recent data of the state demographer;
(2) 40 percent must be distributed on the basis of the number of vulnerable children
that are subjects of reports under chapter 260C and sections 626.556 and 626.5561, in the
county as determined by the most recent data of the commissioner; and
(3) 40 percent must be distributed on the basis of the number of vulnerable adults
that are subjects of reports under section 626.557 in the county as determined by the most
recent data of the commissioner.

    Sec. 35. Minnesota Statutes 2012, section 257.0755, subdivision 1, is amended to read:
    Subdivision 1. Creation. One Each ombudsperson shall operate independently from
but in collaboration with each of the following groups the community-specific board that
appointed the ombudsperson under section 257.0768: the Indian Affairs Council, the
Council on Affairs of Chicano/Latino people, the Council on Black Minnesotans, and
the Council on Asian-Pacific Minnesotans.

    Sec. 36. Minnesota Statutes 2012, section 259A.20, subdivision 4, is amended to read:
    Subd. 4. Reimbursement for special nonmedical expenses. (a) Reimbursement
for special nonmedical expenses is available to children, except those eligible for adoption
assistance based on being an at-risk child.
(b) Reimbursements under this paragraph shall be made only after the adoptive
parent documents that the requested service was denied by the local social service agency,
community agencies, the local school district, the local public health department, the
parent's insurance provider, or the child's program. The denial must be for an eligible
service or qualified item under the program requirements of the applicable agency or
organization.
(c) Reimbursements must be previously authorized, adhere to the requirements and
procedures prescribed by the commissioner, and be limited to:
(1) child care for a child age 12 and younger, or for a child age 13 or 14 who has a
documented disability that requires special instruction for and services by the child care
provider. Child care reimbursements may be made if all available adult caregivers are
employed, unemployed due to a disability as defined in section 259A.01, subdivision 14,
or attending educational or vocational training programs. Documentation from a qualified
expert that is dated within the last 12 months must be provided to verify the disability. If a
parent is attending an educational or vocational training program, child care reimbursement
is limited to no more than the time necessary to complete the credit requirements for an
associate or baccalaureate degree as determined by the educational institution. Child
care reimbursement is not limited for an adoptive parent completing basic or remedial
education programs needed to prepare for postsecondary education or employment;
(2) respite care provided for the relief of the child's parent up to 504 hours of respite
care annually;
(3) camping up to 14 days per state fiscal year for a child to attend a special needs
camp. The camp must be accredited by the American Camp Association as a special needs
camp in order to be eligible for camp reimbursement;
(4) postadoption counseling to promote the child's integration into the adoptive
family that is provided by the placing agency during the first year following the date of the
adoption decree. Reimbursement is limited to 12 sessions of postadoption counseling;
(5) family counseling that is required to meet the child's special needs.
Reimbursement is limited to the prorated portion of the counseling fees allotted to the
family when the adoptive parent's health insurance or Medicaid pays for the child's
counseling but does not cover counseling for the rest of the family members;
(6) home modifications to accommodate the child's special needs upon which
eligibility for adoption assistance was approved. Reimbursement is limited to once every
five years per child;
(7) vehicle modifications to accommodate the child's special needs upon which
eligibility for adoption assistance was approved. Reimbursement is limited to once every
five years per family; and
(8) burial expenses up to $1,000, if the special needs, upon which eligibility for
adoption assistance was approved, resulted in the death of the child.
(d) The adoptive parent shall submit statements for expenses incurred between July
1 and June 30 of a given fiscal year to the state adoption assistance unit within 60 days
after the end of the fiscal year in order for reimbursement to occur.

    Sec. 37. Minnesota Statutes 2012, section 260B.007, subdivision 6, is amended to read:
    Subd. 6. Delinquent child. (a) Except as otherwise provided in paragraphs (b)
and (c), "delinquent child" means a child:
(1) who has violated any state or local law, except as provided in section 260B.225,
subdivision 1
, and except for juvenile offenders as described in subdivisions 16 to 18;
(2) who has violated a federal law or a law of another state and whose case has been
referred to the juvenile court if the violation would be an act of delinquency if committed
in this state or a crime or offense if committed by an adult;
(3) who has escaped from confinement to a state juvenile correctional facility after
being committed to the custody of the commissioner of corrections; or
(4) who has escaped from confinement to a local juvenile correctional facility after
being committed to the facility by the court.
(b) The term delinquent child does not include a child alleged to have committed
murder in the first degree after becoming 16 years of age, but the term delinquent child
does include a child alleged to have committed attempted murder in the first degree.
(c) The term delinquent child does not include a child under the age of 16 years
alleged to have engaged in conduct which would, if committed by an adult, violate any
federal, state, or local law relating to being hired, offering to be hired, or agreeing to be
hired by another individual to engage in sexual penetration or sexual conduct.
EFFECTIVE DATE.This section is effective August 1, 2014, and applies to
offenses committed on or after that date.

    Sec. 38. Minnesota Statutes 2012, section 260B.007, subdivision 16, is amended to read:
    Subd. 16. Juvenile petty offender; juvenile petty offense. (a) "Juvenile petty
offense" includes a juvenile alcohol offense, a juvenile controlled substance offense,
a violation of section 609.685, or a violation of a local ordinance, which by its terms
prohibits conduct by a child under the age of 18 years which would be lawful conduct if
committed by an adult.
(b) Except as otherwise provided in paragraph (c), "juvenile petty offense" also
includes an offense that would be a misdemeanor if committed by an adult.
(c) "Juvenile petty offense" does not include any of the following:
(1) a misdemeanor-level violation of section 518B.01, 588.20, 609.224, 609.2242,
609.324, subdivision 2 or 3, 609.5632, 609.576, 609.66, 609.746, 609.748, 609.79,
or 617.23;
(2) a major traffic offense or an adult court traffic offense, as described in section
260B.225;
(3) a misdemeanor-level offense committed by a child whom the juvenile court
previously has found to have committed a misdemeanor, gross misdemeanor, or felony
offense; or
(4) a misdemeanor-level offense committed by a child whom the juvenile court
has found to have committed a misdemeanor-level juvenile petty offense on two or
more prior occasions, unless the county attorney designates the child on the petition
as a juvenile petty offender notwithstanding this prior record. As used in this clause,
"misdemeanor-level juvenile petty offense" includes a misdemeanor-level offense that
would have been a juvenile petty offense if it had been committed on or after July 1, 1995.
(d) A child who commits a juvenile petty offense is a "juvenile petty offender." The
term juvenile petty offender does not include a child under the age of 16 years alleged
to have violated any law relating to being hired, offering to be hired, or agreeing to be
hired by another individual to engage in sexual penetration or sexual conduct which, if
committed by an adult, would be a misdemeanor.
EFFECTIVE DATE.This section is effective August 1, 2014, and applies to
offenses committed on or after that date.

    Sec. 39. Minnesota Statutes 2012, section 260C.007, subdivision 6, is amended to read:
    Subd. 6. Child in need of protection or services. "Child in need of protection or
services" means a child who is in need of protection or services because the child:
    (1) is abandoned or without parent, guardian, or custodian;
    (2)(i) has been a victim of physical or sexual abuse as defined in section 626.556,
subdivision 2, (ii) resides with or has resided with a victim of child abuse as defined in
subdivision 5 or domestic child abuse as defined in subdivision 13, (iii) resides with or
would reside with a perpetrator of domestic child abuse as defined in subdivision 13 or
child abuse as defined in subdivision 5 or 13, or (iv) is a victim of emotional maltreatment
as defined in subdivision 15;
    (3) is without necessary food, clothing, shelter, education, or other required care
for the child's physical or mental health or morals because the child's parent, guardian,
or custodian is unable or unwilling to provide that care;
    (4) is without the special care made necessary by a physical, mental, or emotional
condition because the child's parent, guardian, or custodian is unable or unwilling to
provide that care;
    (5) is medically neglected, which includes, but is not limited to, the withholding of
medically indicated treatment from a disabled infant with a life-threatening condition. The
term "withholding of medically indicated treatment" means the failure to respond to the
infant's life-threatening conditions by providing treatment, including appropriate nutrition,
hydration, and medication which, in the treating physician's or physicians' reasonable
medical judgment, will be most likely to be effective in ameliorating or correcting all
conditions, except that the term does not include the failure to provide treatment other
than appropriate nutrition, hydration, or medication to an infant when, in the treating
physician's or physicians' reasonable medical judgment:
    (i) the infant is chronically and irreversibly comatose;
    (ii) the provision of the treatment would merely prolong dying, not be effective in
ameliorating or correcting all of the infant's life-threatening conditions, or otherwise be
futile in terms of the survival of the infant; or
    (iii) the provision of the treatment would be virtually futile in terms of the survival
of the infant and the treatment itself under the circumstances would be inhumane;
    (6) is one whose parent, guardian, or other custodian for good cause desires to be
relieved of the child's care and custody, including a child who entered foster care under a
voluntary placement agreement between the parent and the responsible social services
agency under section 260C.227;
    (7) has been placed for adoption or care in violation of law;
    (8) is without proper parental care because of the emotional, mental, or physical
disability, or state of immaturity of the child's parent, guardian, or other custodian;
    (9) is one whose behavior, condition, or environment is such as to be injurious or
dangerous to the child or others. An injurious or dangerous environment may include, but
is not limited to, the exposure of a child to criminal activity in the child's home;
    (10) is experiencing growth delays, which may be referred to as failure to thrive, that
have been diagnosed by a physician and are due to parental neglect;
    (11) has engaged in prostitution as defined in section 609.321, subdivision 9 is a
sexually exploited youth;
    (12) has committed a delinquent act or a juvenile petty offense before becoming
ten years old;
    (13) is a runaway;
    (14) is a habitual truant;
    (15) has been found incompetent to proceed or has been found not guilty by reason
of mental illness or mental deficiency in connection with a delinquency proceeding, a
certification under section 260B.125, an extended jurisdiction juvenile prosecution, or a
proceeding involving a juvenile petty offense; or
(16) has a parent whose parental rights to one or more other children were
involuntarily terminated or whose custodial rights to another child have been involuntarily
transferred to a relative and there is a case plan prepared by the responsible social services
agency documenting a compelling reason why filing the termination of parental rights
petition under section 260C.301, subdivision 3, is not in the best interests of the child; or.
(17) is a sexually exploited youth.
EFFECTIVE DATE.This section is effective August 1, 2014.

    Sec. 40. Minnesota Statutes 2012, section 260C.007, subdivision 31, is amended to read:
    Subd. 31. Sexually exploited youth. "Sexually exploited youth" means an
individual who:
(1) is alleged to have engaged in conduct which would, if committed by an adult,
violate any federal, state, or local law relating to being hired, offering to be hired, or
agreeing to be hired by another individual to engage in sexual penetration or sexual conduct;
(2) is a victim of a crime described in section 609.342, 609.343, 609.344, 609.345,
609.3451, 609.3453, 609.352, 617.246, or 617.247;
(3) is a victim of a crime described in United States Code, title 18, section 2260;
2421; 2422; 2423; 2425; 2425A; or 2256; or
(4) is a sex trafficking victim as defined in section 609.321, subdivision 7b.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 41. Minnesota Statutes 2012, section 518A.60, is amended to read:
518A.60 COLLECTION; ARREARS ONLY.
(a) Remedies available for the collection and enforcement of support in this chapter
and chapters 256, 257, 518, and 518C also apply to cases in which the child or children
for whom support is owed are emancipated and the obligor owes past support or has an
accumulated arrearage as of the date of the youngest child's emancipation. Child support
arrearages under this section include arrearages for child support, medical support, child
care, pregnancy and birth expenses, and unreimbursed medical expenses as defined in
section 518A.41, subdivision 1, paragraph (h).
(b) This section applies retroactively to any support arrearage that accrued on or
before June 3, 1997, and to all arrearages accruing after June 3, 1997.
(c) Past support or pregnancy and confinement expenses ordered for which the
obligor has specific court ordered terms for repayment may not be enforced using
drivers' and occupational or professional license suspension, credit bureau reporting, and
additional income withholding under section 518A.53, subdivision 10, paragraph (a),
unless the obligor fails to comply with the terms of the court order for repayment.
(d) If an arrearage exists at the time a support order would otherwise terminate
and section 518A.53, subdivision 10, paragraph (c), does not apply to this section, the
arrearage shall be repaid in an amount equal to the current support order until all arrears
have been paid in full, absent a court order to the contrary.
(e) If an arrearage exists according to a support order which fails to establish a
monthly support obligation in a specific dollar amount, the public authority, if it provides
child support services, or the obligee, may establish a payment agreement which shall
equal what the obligor would pay for current support after application of section 518A.34,
plus an additional 20 percent of the current support obligation, until all arrears have been
paid in full. If the obligor fails to enter into or comply with a payment agreement, the
public authority, if it provides child support services, or the obligee, may move the district
court or child support magistrate, if section 484.702 applies, for an order establishing
repayment terms.
(f) If there is no longer a current support order because all of the children of the
order are emancipated, the public authority may discontinue child support services and
close its case under title IV-D of the Social Security Act if:
(1) the arrearage is under $500; or
(2) the arrearage is considered unenforceable by the public authority because there
have been no collections for three years, and all administrative and legal remedies have
been attempted or are determined by the public authority to be ineffective because the
obligor is unable to pay, the obligor has no known income or assets, and there is no
reasonable prospect that the obligor will be able to pay in the foreseeable future.
    (g) At least 60 calendar days before the discontinuation of services under paragraph
(f), the public authority must mail a written notice to the obligee and obligor at the
obligee's and obligor's last known addresses that the public authority intends to close the
child support enforcement case and explaining each party's rights. Seven calendar days
after the first notice is mailed, the public authority must mail a second notice under this
paragraph to the obligee.
    (h) The case must be kept open if the obligee responds before case closure and
provides information that could reasonably lead to collection of arrears. If the case is
closed, the obligee may later request that the case be reopened by completing a new
application for services, if there is a change in circumstances that could reasonably lead to
the collection of arrears.

    Sec. 42. Laws 1998, chapter 407, article 6, section 116, is amended to read:
    Sec. 116. [256.9872] EBT TRANSACTION COSTS; APPROVAL FROM
LEGISLATURE.
    The commissioner of human services shall request and receive approval from the
legislature before adjusting the payment to not subsidize retailers for electronic benefit
transfer transaction costs Supplemental Nutrition Assistance Program transactions.
EFFECTIVE DATE.This section is effective 30 days after the commissioner
notifies retailers of the termination of their agreement with the state. The commissioner of
human services must notify the revisor of statutes of that date.

    Sec. 43. Laws 2011, First Special Session chapter 9, article 1, section 3, the effective
date, is amended to read:
EFFECTIVE DATE.This section is effective January 1, 2013 July 1, 2014.
EFFECTIVE DATE.This section is effective retroactively from January 1, 2013.

    Sec. 44. DIRECTION TO COMMISSIONERS; INCOME AND ASSET
EXCLUSION.
(a) The commissioner of human services shall not count conditional cash transfers
made to families participating in a family independence demonstration as income or
assets for purposes of determining or redetermining eligibility for child care assistance
programs under Minnesota Statutes, chapter 119B; general assistance under Minnesota
Statutes, chapter 256D; group residential housing under Minnesota Statutes, chapter 256I;
the Minnesota family investment program, work benefit program, or diversionary work
program under Minnesota Statutes, chapter 256J, during the duration of the demonstration.
(b) The commissioner of human services shall not count conditional cash transfers
made to families participating in a family independence demonstration as income or assets
for purposes of determining or redetermining eligibility for medical assistance under
Minnesota Statutes, chapter 256B, and MinnesotaCare under Minnesota Statutes, chapter
256L, except that for enrollees subject to a modified adjusted gross income calculation to
determine eligibility, the conditional cash transfer payments shall be counted as income if
they are included on the enrollee's federal tax return as income, or if the payments can be
taken into account in the month of receipt as a lump sum payment.
(c) The commissioner of the Minnesota Housing Finance Agency shall not count
conditional cash transfers made to families participating in a family independence
demonstration as income or assets for purposes of determining or redetermining eligibility
for housing assistance programs under Minnesota Statutes, section 462A.201, during
the duration of the demonstration.
(d) For the purposes of this section:
(1) "conditional cash transfer" means a payment made to a participant in a family
independence demonstration by a sponsoring organization to incent, support, or facilitate
participation; and
(2) "family independence demonstration" means an initiative sponsored or
cosponsored by a governmental or nongovernmental organization, the goal of which is
to facilitate individualized goal-setting and peer support for cohorts of no more than 12
families each toward the development of financial and nonfinancial assets that enable the
participating families to achieve financial independence.
(e) The citizens league shall provide a report to the legislative committees having
jurisdiction over human services issues by July 1, 2016, informing the legislature on the
progress and outcomes of the demonstration under this section.

    Sec. 45. REDUCTION OF YOUTH HOMELESSNESS.
(a) The Minnesota Interagency Council on Homelessness established under the
authority of Minnesota Statutes, section 462A.29, as it updates its statewide plan to
prevent and end homelessness, shall make recommendations on strategies to reduce the
number of youth experiencing homelessness and to prevent homelessness for youth who
are at risk of becoming homeless.
(b) Recommended strategies must take into consideration, to the extent feasible,
issues that contribute to or reduce youth homelessness including, but not limited to, mental
health, chemical dependency, trafficking of youth for sex or other purposes, exiting foster
care, and involvement in gangs. The recommended strategies must include supportive
services as outlined in Minnesota Statutes, section 256K.45, subdivision 5.
(c) The council shall provide an update on the status of its work by December 1,
2014, to the legislative committees with jurisdiction over housing, homelessness, and
matters pertaining to youth. If the council determines legislative action is required to
implement recommended strategies, the council shall submit proposals to the legislature at
the earliest possible opportunity.

    Sec. 46. [256J.351] HOUSING ASSISTANCE GRANTS; FORECASTED
PROGRAM.
Beginning July 1, 2015, housing assistance grants under Minnesota Statutes, section
256J.35, paragraph (a), must be a forecasted program and the commissioner, with the
approval of the commissioner of management and budget, may transfer unencumbered
appropriation balances within fiscal years of each biennium with other forecasted
programs of the Department of Human Services. The commissioner shall inform the
chairs and ranking minority members of the senate Health and Human Services Finance
Division and the house of representatives Health and Human Services Finance committee
quarterly about transfers made under this provision.

    Sec. 47. PLAN FOR GROUP RESIDENTIAL HOUSING SPECIALTY RATE
AND BANKED BEDS.
The commissioner of human services, in consultation with and cooperation of the
counties, shall review the statewide number and status of group residential housing beds
with rates in excess of the MSA equivalent rate, including banked supplemental service
rate beds. The commissioner shall study the type and amount of supplemental services
delivered or planned for development, and develop a plan for rate setting criteria and
an efficient use of these beds. The commissioner shall review the performance of all
programs that receive supplemental service rates. The plan must require that all beds
receiving supplemental service rates address critical service needs and must establish
quality performance requirements for beds receiving supplemental service rates. The
commissioner shall present the written plan no later than February 1, 2014, to the chairs
and ranking minority members of the house of representatives and senate finance and
policy committees and divisions with jurisdiction over the Department of Human Services.

    Sec. 48. REPEALER.
(a) Minnesota Statutes 2012, section 256J.24, is repealed January 1, 2015.
(b) Minnesota Statutes 2012, section 609.093, is repealed effective the day following
final enactment.

ARTICLE 4
STRENGTHENING CHEMICAL AND MENTAL HEALTH SERVICES

    Section 1. Minnesota Statutes 2012, section 245.462, subdivision 20, is amended to read:
    Subd. 20. Mental illness. (a) "Mental illness" means an organic disorder of the brain
or a clinically significant disorder of thought, mood, perception, orientation, memory, or
behavior that is detailed in a diagnostic codes list published by the commissioner, and that
seriously limits a person's capacity to function in primary aspects of daily living such as
personal relations, living arrangements, work, and recreation.
    (b) An "adult with acute mental illness" means an adult who has a mental illness that
is serious enough to require prompt intervention.
    (c) For purposes of case management and community support services, a "person
with serious and persistent mental illness" means an adult who has a mental illness and
meets at least one of the following criteria:
    (1) the adult has undergone two or more episodes of inpatient care for a mental
illness within the preceding 24 months;
    (2) the adult has experienced a continuous psychiatric hospitalization or residential
treatment exceeding six months' duration within the preceding 12 months;
    (3) the adult has been treated by a crisis team two or more times within the preceding
24 months;
    (4) the adult:
    (i) has a diagnosis of schizophrenia, bipolar disorder, major depression,
schizoaffective disorder, or borderline personality disorder;
    (ii) indicates a significant impairment in functioning; and
    (iii) has a written opinion from a mental health professional, in the last three years,
stating that the adult is reasonably likely to have future episodes requiring inpatient or
residential treatment, of a frequency described in clause (1) or (2), unless ongoing case
management or community support services are provided;
    (5) the adult has, in the last three years, been committed by a court as a person who is
mentally ill under chapter 253B, or the adult's commitment has been stayed or continued; or
    (6) the adult (i) was eligible under clauses (1) to (5), but the specified time period
has expired or the adult was eligible as a child under section 245.4871, subdivision 6; and
(ii) has a written opinion from a mental health professional, in the last three years, stating
that the adult is reasonably likely to have future episodes requiring inpatient or residential
treatment, of a frequency described in clause (1) or (2), unless ongoing case management
or community support services are provided; or
    (7) the adult was eligible as a child under section 245.4871, subdivision 6, and is
age 21 or younger.

    Sec. 2. Minnesota Statutes 2012, section 245.4661, subdivision 5, is amended to read:
    Subd. 5. Planning for pilot projects. (a) Each local plan for a pilot project, with
the exception of the placement of a Minnesota specialty treatment facility as defined in
paragraph (c), must be developed under the direction of the county board, or multiple
county boards acting jointly, as the local mental health authority. The planning process
for each pilot shall include, but not be limited to, mental health consumers, families,
advocates, local mental health advisory councils, local and state providers, representatives
of state and local public employee bargaining units, and the department of human services.
As part of the planning process, the county board or boards shall designate a managing
entity responsible for receipt of funds and management of the pilot project.
(b) For Minnesota specialty treatment facilities, the commissioner shall issue a
request for proposal for regions in which a need has been identified for services.
(c) For purposes of this section, "Minnesota specialty treatment facility" is defined
as an intensive rehabilitative mental health service under section 256B.0622, subdivision
2, paragraph (b).

    Sec. 3. Minnesota Statutes 2012, section 245.4661, subdivision 6, is amended to read:
    Subd. 6. Duties of commissioner. (a) For purposes of the pilot projects, the
commissioner shall facilitate integration of funds or other resources as needed and
requested by each project. These resources may include:
(1) residential services funds administered under Minnesota Rules, parts 9535.2000
to 9535.3000, in an amount to be determined by mutual agreement between the project's
managing entity and the commissioner of human services after an examination of the
county's historical utilization of facilities located both within and outside of the county
and licensed under Minnesota Rules, parts 9520.0500 to 9520.0690;
(2) community support services funds administered under Minnesota Rules, parts
9535.1700 to 9535.1760;
(3) other mental health special project funds;
(4) medical assistance, general assistance medical care, MinnesotaCare and group
residential housing if requested by the project's managing entity, and if the commissioner
determines this would be consistent with the state's overall health care reform efforts; and
(5) regional treatment center resources consistent with section 246.0136, subdivision
1
.; and
(6) funds transferred from section 246.18, subdivision 8, for grants to providers to
participate in mental health specialty treatment services, awarded to providers through
a request for proposal process.
(b) The commissioner shall consider the following criteria in awarding start-up and
implementation grants for the pilot projects:
(1) the ability of the proposed projects to accomplish the objectives described in
subdivision 2;
(2) the size of the target population to be served; and
(3) geographical distribution.
(c) The commissioner shall review overall status of the projects initiatives at least
every two years and recommend any legislative changes needed by January 15 of each
odd-numbered year.
(d) The commissioner may waive administrative rule requirements which are
incompatible with the implementation of the pilot project.
(e) The commissioner may exempt the participating counties from fiscal sanctions
for noncompliance with requirements in laws and rules which are incompatible with the
implementation of the pilot project.
(f) The commissioner may award grants to an entity designated by a county board or
group of county boards to pay for start-up and implementation costs of the pilot project.

    Sec. 4. Minnesota Statutes 2012, section 245.4682, subdivision 2, is amended to read:
    Subd. 2. General provisions. (a) In the design and implementation of reforms to
the mental health system, the commissioner shall:
    (1) consult with consumers, families, counties, tribes, advocates, providers, and
other stakeholders;
    (2) bring to the legislature, and the State Advisory Council on Mental Health, by
January 15, 2008, recommendations for legislation to update the role of counties and to
clarify the case management roles, functions, and decision-making authority of health
plans and counties, and to clarify county retention of the responsibility for the delivery of
social services as required under subdivision 3, paragraph (a);
    (3) withhold implementation of any recommended changes in case management
roles, functions, and decision-making authority until after the release of the report due
January 15, 2008;
    (4) ensure continuity of care for persons affected by these reforms including
ensuring client choice of provider by requiring broad provider networks and developing
mechanisms to facilitate a smooth transition of service responsibilities;
    (5) provide accountability for the efficient and effective use of public and private
resources in achieving positive outcomes for consumers;
    (6) ensure client access to applicable protections and appeals; and
    (7) make budget transfers necessary to implement the reallocation of services and
client responsibilities between counties and health care programs that do not increase the
state and county costs and efficiently allocate state funds.
    (b) When making transfers under paragraph (a) necessary to implement movement
of responsibility for clients and services between counties and health care programs,
the commissioner, in consultation with counties, shall ensure that any transfer of state
grants to health care programs, including the value of case management transfer grants
under section 256B.0625, subdivision 20, does not exceed the value of the services being
transferred for the latest 12-month period for which data is available. The commissioner
may make quarterly adjustments based on the availability of additional data during the
first four quarters after the transfers first occur. If case management transfer grants under
section 256B.0625, subdivision 20, are repealed and the value, based on the last year prior
to repeal, exceeds the value of the services being transferred, the difference becomes an
ongoing part of each county's adult and children's mental health grants under sections
245.4661, 245.4889, and 256E.12.
    (c) This appropriation is not authorized to be expended after December 31, 2010,
unless approved by the legislature.

    Sec. 5. Minnesota Statutes 2012, section 245.4871, subdivision 26, is amended to read:
    Subd. 26. Mental health practitioner. "Mental health practitioner" means a person
providing services to children with emotional disturbances. A mental health practitioner
must have training and experience in working with children. A mental health practitioner
must be qualified in at least one of the following ways:
(1) holds a bachelor's degree in one of the behavioral sciences or related fields from
an accredited college or university and:
(i) has at least 2,000 hours of supervised experience in the delivery of mental health
services to children with emotional disturbances; or
(ii) is fluent in the non-English language of the ethnic group to which at least 50
percent of the practitioner's clients belong, completes 40 hours of training in the delivery
of services to children with emotional disturbances, and receives clinical supervision from
a mental health professional at least once a week until the requirement of 2,000 hours
of supervised experience is met;
(2) has at least 6,000 hours of supervised experience in the delivery of mental
health services to children with emotional disturbances; hours worked as a mental health
behavioral aide I or II under section 256B.0943, subdivision 7, may be included in the
6,000 hours of experience;
(3) is a graduate student in one of the behavioral sciences or related fields and is
formally assigned by an accredited college or university to an agency or facility for
clinical training; or
(4) holds a master's or other graduate degree in one of the behavioral sciences or
related fields from an accredited college or university and has less than 4,000 hours
post-master's experience in the treatment of emotional disturbance.

    Sec. 6. Minnesota Statutes 2012, section 245.4875, subdivision 8, is amended to read:
    Subd. 8. Transition services. The county board may continue to provide mental
health services as defined in sections 245.487 to 245.4889 to persons over 18 years of
age, but under 21 years of age, if the person was receiving case management or family
community support services prior to age 18, and if one of the following conditions is met:
(1) the person is receiving special education services through the local school
district; or
(2) it is in the best interest of the person to continue services defined in sections
245.487 to 245.4889; or
(3) the person is requesting services and the services are medically necessary.

    Sec. 7. Minnesota Statutes 2012, section 245.4881, subdivision 1, is amended to read:
    Subdivision 1. Availability of case management services. (a) The county board
shall provide case management services for each child with severe emotional disturbance
who is a resident of the county and the child's family who request or consent to the services.
Case management services may be continued must be offered to be provided for a child with
a serious emotional disturbance who is over the age of 18 consistent with section 245.4875,
subdivision 8
, or the child's legal representative, provided the child's service needs can be
met within the children's service system. Before discontinuing case management services
under this subdivision for children between the ages of 17 and 21, a transition plan
must be developed. The transition plan must be developed with the child and, with the
consent of a child age 18 or over, the child's parent, guardian, or legal representative. The
transition plan should include plans for health insurance, housing, education, employment,
and treatment. Staffing ratios must be sufficient to serve the needs of the clients. The case
manager must meet the requirements in section 245.4871, subdivision 4.
(b) Except as permitted by law and the commissioner under demonstration projects,
case management services provided to children with severe emotional disturbance eligible
for medical assistance must be billed to the medical assistance program under sections
256B.02, subdivision 8, and 256B.0625.
(c) Case management services are eligible for reimbursement under the medical
assistance program. Costs of mentoring, supervision, and continuing education may be
included in the reimbursement rate methodology used for case management services under
the medical assistance program.

    Sec. 8. Minnesota Statutes 2012, section 246.18, subdivision 8, is amended to read:
    Subd. 8. State-operated services account. (a) The state-operated services account is
established in the special revenue fund. Revenue generated by new state-operated services
listed under this section established after July 1, 2010, that are not enterprise activities must
be deposited into the state-operated services account, unless otherwise specified in law:
(1) intensive residential treatment services;
(2) foster care services; and
(3) psychiatric extensive recovery treatment services.
(b) Funds deposited in the state-operated services account are available to the
commissioner of human services for the purposes of:
(1) providing services needed to transition individuals from institutional settings
within state-operated services to the community when those services have no other
adequate funding source;
(2) grants to providers participating in mental health specialty treatment services
under section 245.4661; and
(3) to fund the operation of the Intensive Residential Treatment Service program in
Willmar.

    Sec. 9. Minnesota Statutes 2012, section 246.18, is amended by adding a subdivision
to read:
    Subd. 9. Transfers. The commissioner may transfer state mental health grant funds
to the account in subdivision 8 for noncovered allowable costs of a provider certified and
licensed under section 256B.0622 and operating under section 246.014.

    Sec. 10. Minnesota Statutes 2012, section 246.54, is amended to read:
246.54 LIABILITY OF COUNTY; REIMBURSEMENT.
    Subdivision 1. County portion for cost of care. (a) Except for chemical
dependency services provided under sections 254B.01 to 254B.09, the client's county
shall pay to the state of Minnesota a portion of the cost of care provided in a regional
treatment center or a state nursing facility to a client legally settled in that county. A
county's payment shall be made from the county's own sources of revenue and payments
shall equal a percentage of the cost of care, as determined by the commissioner, for each
day, or the portion thereof, that the client spends at a regional treatment center or a state
nursing facility according to the following schedule:
    (1) zero percent for the first 30 days;
    (2) 20 percent for days 31 to 60; and
    (3) 50 75 percent for any days over 60.
    (b) The increase in the county portion for cost of care under paragraph (a), clause
(3), shall be imposed when the treatment facility has determined that it is clinically
appropriate for the client to be discharged.
    (c) If payments received by the state under sections 246.50 to 246.53 exceed 80
percent of the cost of care for days 31 to 60, or 50 25 percent for days over 60, the county
shall be responsible for paying the state only the remaining amount. The county shall
not be entitled to reimbursement from the client, the client's estate, or from the client's
relatives, except as provided in section 246.53.
    Subd. 2. Exceptions. (a) Subdivision 1 does not apply to services provided at the
Minnesota Security Hospital or the Minnesota extended treatment options program. For
services at these facilities the Minnesota Security Hospital, a county's payment shall be
made from the county's own sources of revenue and payments shall be paid as follows:.
Excluding the state-operated forensic transition service, payments to the state from the
county shall equal ten percent of the cost of care, as determined by the commissioner, for
each day, or the portion thereof, that the client spends at the facility. For the state-operated
forensic transition service, payments to the state from the county shall equal 50 percent of
the cost of care, as determined by the commissioner, for each day, or the portion thereof,
that the client spends in the program. If payments received by the state under sections
246.50 to 246.53 for services provided at the Minnesota Security Hospital, excluding the
state-operated forensic transition service, exceed 90 percent of the cost of care, the county
shall be responsible for paying the state only the remaining amount. If payments received
by the state under sections 246.50 to 246.53 for the state-operated forensic transition service
exceed 50 percent of the cost of care, the county shall be responsible for paying the state
only the remaining amount. The county shall not be entitled to reimbursement from the
client, the client's estate, or from the client's relatives, except as provided in section 246.53.
    (b) Regardless of the facility to which the client is committed, subdivision 1 does
not apply to the following individuals:
    (1) clients who are committed as mentally ill and dangerous under section 253B.02,
subdivision 17;
    (2) (1) clients who are committed as sexual psychopathic personalities under section
253B.02, subdivision 18b; and
    (3) (2) clients who are committed as sexually dangerous persons under section
253B.02, subdivision 18c.
    For each of the individuals in clauses (1) to (3), the payment by the county to the state
shall equal ten percent of the cost of care for each day as determined by the commissioner.

    Sec. 11. Minnesota Statutes 2012, section 253B.10, subdivision 1, is amended to read:
    Subdivision 1. Administrative requirements. (a) When a person is committed,
the court shall issue a warrant or an order committing the patient to the custody of the
head of the treatment facility. The warrant or order shall state that the patient meets the
statutory criteria for civil commitment.
(b) The commissioner shall prioritize patients being admitted from jail or a
correctional institution who are:
(1) ordered confined in a state hospital for an examination under Minnesota Rules of
Criminal Procedure, rules 20.01, subdivision 4, paragraph (a), and 20.02, subdivision 2;
(2) under civil commitment for competency treatment and continuing supervision
under Minnesota Rules of Criminal Procedure, rule 20.01, subdivision 7;
(3) found not guilty by reason of mental illness under Minnesota Rules of Criminal
Procedure, rule 20.02, subdivision 8, and under civil commitment or are ordered to be
detained in a state hospital or other facility pending completion of the civil commitment
proceedings; or
(4) committed under this chapter to the commissioner after dismissal of the patient's
criminal charges.
Patients described in this paragraph must be admitted to a service operated by the
commissioner within 48 hours. The commitment must be ordered by the court as provided
in section 253B.09, subdivision 1, paragraph (c).
(c) Upon the arrival of a patient at the designated treatment facility, the head of the
facility shall retain the duplicate of the warrant and endorse receipt upon the original
warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment
must be filed in the court of commitment. After arrival, the patient shall be under the
control and custody of the head of the treatment facility.
(d) Copies of the petition for commitment, the court's findings of fact and
conclusions of law, the court order committing the patient, the report of the examiners,
and the prepetition report shall be provided promptly to the treatment facility.

    Sec. 12. Minnesota Statutes 2012, section 254B.13, is amended to read:
254B.13 PILOT PROJECTS; CHEMICAL HEALTH CARE.
    Subdivision 1. Authorization for navigator pilot projects. The commissioner may
approve and implement navigator pilot projects developed under the planning process
required under Laws 2009, chapter 79, article 7, section 26, to provide alternatives to and
enhance coordination of the delivery of chemical health services required under section
254B.03.
    Subd. 2. Program design and implementation. (a) The commissioner and
counties participating in the navigator pilot projects shall continue to work in partnership
to refine and implement the navigator pilot projects initiated under Laws 2009, chapter
79, article 7, section 26.
(b) The commissioner and counties participating in the navigator pilot projects shall
complete the planning phase by June 30, 2010, and, if approved by the commissioner for
implementation, enter into agreements governing the operation of the navigator pilot
projects with implementation scheduled no earlier than July 1, 2010.
    Subd. 2a. Eligibility for navigator pilot program. (a) To be considered for
participation in a navigator pilot program, an individual must:
(1) be a resident of a county with an approved navigator program;
(2) be eligible for consolidated chemical dependency treatment fund services;
(3) be a voluntary participant in the navigator program;
(4) satisfy one of the following items:
(i) have at least one severity rating of three or above in dimension four, five, or six in
a comprehensive assessment under Minnesota Rules, part 9530.6422; or
(ii) have at least one severity rating of two or above in dimension four, five, or six in
a comprehensive assessment under Minnesota Rules, part 9530.6422, and be currently
participating in a Rule 31 treatment program under Minnesota Rules, parts 9530.6405 to
9530.6505, or be within 60 days following discharge after participation in a Rule 31
treatment program; and
(5) have had at least two treatment episodes in the past two years, not limited
to episodes reimbursed by the consolidated chemical dependency treatment funds. An
admission to an emergency room, a detoxification program, or a hospital may be substituted
for one treatment episode if it resulted from the individual's substance use disorder.
(b) New eligibility criteria may be added as mutually agreed upon by the
commissioner and participating navigator programs.
    Subd. 3. Program evaluation. The commissioner shall evaluate navigator pilot
projects under this section and report the results of the evaluation to the chairs and
ranking minority members of the legislative committees with jurisdiction over chemical
health issues by January 15, 2014. Evaluation of the navigator pilot projects must be
based on outcome evaluation criteria negotiated with the navigator pilot projects prior
to implementation.
    Subd. 4. Notice of navigator pilot project discontinuation. Each county's
participation in the navigator pilot project may be discontinued for any reason by the county
or the commissioner of human services after 30 days' written notice to the other party.
Any unspent funds held for the exiting county's pro rata share in the special revenue fund
under the authority in subdivision 5, paragraph (d), shall be transferred to the consolidated
chemical dependency treatment fund following discontinuation of the pilot project.
    Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in
this chapter, the commissioner may authorize navigator pilot projects to use chemical
dependency treatment funds to pay for nontreatment navigator pilot services:
(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph
(a); and
(2) by vendors in addition to those authorized under section 254B.05 when not
providing chemical dependency treatment services.
(b) For purposes of this section, "nontreatment navigator pilot services" include
navigator services, peer support, family engagement and support, housing support, rent
subsidies, supported employment, and independent living skills.
(c) State expenditures for chemical dependency services and nontreatment navigator
pilot services provided by or through the navigator pilot projects must not be greater than
the chemical dependency treatment fund expected share of forecasted expenditures in the
absence of the navigator pilot projects. The commissioner may restructure the schedule of
payments between the state and participating counties under the local agency share and
division of cost provisions under section 254B.03, subdivisions 3 and 4, as necessary to
facilitate the operation of the navigator pilot projects.
(d) To the extent that state fiscal year expenditures within a pilot project are less
than the expected share of forecasted expenditures in the absence of the pilot projects,
the commissioner shall deposit the unexpended funds in a separate account within the
consolidated chemical dependency treatment fund, and make these funds available for
expenditure by the pilot projects the following year. To the extent that treatment and
nontreatment pilot services expenditures within the pilot project exceed the amount
expected in the absence of the pilot projects, the pilot project county or counties are
responsible for the portion of nontreatment pilot services expenditures in excess of the
otherwise expected share of forecasted expenditures.
(e) (d) The commissioner may waive administrative rule requirements that are
incompatible with the implementation of the navigator pilot project, except that any
chemical dependency treatment funded under this section must continue to be provided
by a licensed treatment provider.
(f) (e) The commissioner shall not approve or enter into any agreement related to
navigator pilot projects authorized under this section that puts current or future federal
funding at risk.
(f) The commissioner shall provide participating navigator pilot projects with
transactional data, reports, provider data, and other data generated by county activity to
assess and measure outcomes. This information must be transmitted or made available in
an acceptable form to participating navigator pilot projects at least once every six months
or within a reasonable time following the commissioner's receipt of information from the
counties needed to comply with this paragraph.
    Subd. 6. Duties of county board. The county board, or other county entity that
is approved to administer a navigator pilot project, shall:
(1) administer the navigator pilot project in a manner consistent with the objectives
described in subdivision 2 and the planning process in subdivision 5;
(2) ensure that no one is denied chemical dependency treatment services for which
they would otherwise be eligible under section 254A.03, subdivision 3; and
(3) provide the commissioner with timely and pertinent information as negotiated in
agreements governing operation of the navigator pilot projects.
    Subd. 7. Managed care. An individual who is eligible for the navigator pilot
program under subdivision 2a is excluded from mandatory enrollment in managed care
until these services are included in the health plan's benefit set.
    Subd. 8. Authorization for continuation of navigator pilots. The navigator pilot
projects implemented pursuant to subdivision 1 are authorized to continue operation after
July 1, 2013, under existing agreements governing operation of the pilot projects.
EFFECTIVE DATE.The amendments to subdivisions 1 to 6 and 8 are effective
August 1, 2013. Subdivision 7 is effective July 1, 2013.

    Sec. 13. [254B.14] CONTINUUM OF CARE PILOT PROJECTS; CHEMICAL
HEALTH CARE.
    Subdivision 1. Authorization for continuum of care pilot projects. The
commissioner shall establish chemical dependency continuum of care pilot projects to
begin implementing the measures developed with stakeholder input and identified in the
report completed pursuant to Laws 2012, chapter 247, article 5, section 8. The pilot
projects are intended to improve the effectiveness and efficiency of the service continuum
for chemically dependent individuals in Minnesota while reducing duplication of efforts
and promoting scientifically supported practices.
    Subd. 2. Program implementation. (a) The commissioner, in coordination with
representatives of the Minnesota Association of County Social Service Administrators
and the Minnesota Inter-County Association, shall develop a process for identifying and
selecting interested counties and providers for participation in the continuum of care pilot
projects. There shall be three pilot projects; one representing the northern region, one for
the metro region, and one for the southern region. The selection process of counties and
providers must include consideration of population size, geographic distribution, cultural
and racial demographics, and provider accessibility. The commissioner shall identify
counties and providers that are selected for participation in the continuum of care pilot
projects no later than September 30, 2013.
(b) The commissioner and entities participating in the continuum of care pilot
projects shall enter into agreements governing the operation of the continuum of care pilot
projects. The agreements shall identify pilot project outcomes and include timelines for
implementation and beginning operation of the pilot projects.
(c) Entities that are currently participating in the navigator pilot project are
eligible to participate in the continuum of care pilot project subsequent to or instead of
participating in the navigator pilot project.
(d) The commissioner may waive administrative rule requirements that are
incompatible with implementation of the continuum of care pilot projects.
(e) Notwithstanding section 254A.19, the commissioner may designate noncounty
entities to complete chemical use assessments and placement authorizations required
under section 254A.19 and Minnesota Rules, parts 9530.6600 to 9530.6655. Section
254A.19, subdivision 3, is applicable to the continuum of care pilot projects at the
discretion of the commissioner.
    Subd. 3. Program design. (a) The operation of the pilot projects shall include:
(1) new services that are responsive to the chronic nature of substance use disorder;
(2) telehealth services, when appropriate to address barriers to services;
(3) services that assure integration with the mental health delivery system when
appropriate;
(4) services that address the needs of diverse populations; and
(5) an assessment and access process that permits clients to present directly to a
service provider for a substance use disorder assessment and authorization of services.
(b) Prior to implementation of the continuum of care pilot projects, a utilization
review process must be developed and agreed to by the commissioner, participating
counties, and providers. The utilization review process shall be described in the
agreements governing operation of the continuum of care pilot projects.
    Subd. 4. Notice of project discontinuation. Each entity's participation in the
continuum of care pilot project may be discontinued for any reason by the county or the
commissioner after 30 days' written notice to the entity.
    Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this
chapter, the commissioner may authorize chemical dependency treatment funds to pay for
nontreatment services arranged by continuum of care pilot projects. Individuals who are
currently accessing Rule 31 treatment services are eligible for concurrent participation in
the continuum of care pilot projects.
(b) County expenditures for continuum of care pilot project services shall not
be greater than their expected share of forecasted expenditures in the absence of the
continuum of care pilot projects.
    Subd. 6. Managed care. An individual who is eligible for the continuum of care
pilot project is excluded from mandatory enrollment in managed care unless these services
are included in the health plan's benefit set.
EFFECTIVE DATE.This section is effective August 1, 2013.

    Sec. 14. [256.478] HOME AND COMMUNITY-BASED SERVICES
TRANSITIONS GRANTS.
(a) The commissioner shall make available home and community-based services
transition grants to serve individuals who do not meet eligibility criteria for the medical
assistance program under section 256B.056 or 256B.057, but who otherwise meet the
criteria under section 256B.092, subdivision 13, or 256B.49, subdivision 24.
(b) For the purposes of this section, the commissioner has the authority to transfer
funds between the medical assistance account and the home and community-based
services transitions grants account.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 15. [256B.0616] MENTAL HEALTH CERTIFIED FAMILY PEER
SPECIALIST.
    Subdivision 1. Scope. Medical assistance covers mental health certified family peer
specialists services, as established in subdivision 2, subject to federal approval, if provided
to recipients who have an emotional disturbance or severe emotional disturbance under
chapter 245, and are provided by a certified family peer specialist who has completed the
training under subdivision 5. A family peer specialist cannot provide services to the
peer specialist's family.
    Subd. 2. Establishment. The commissioner of human services shall establish a
certified family peer specialists program model which:
(1) provides nonclinical family peer support counseling, building on the strengths
of families and helping them achieve desired outcomes;
(2) collaborates with others providing care or support to the family;
(3) provides nonadversarial advocacy;
(4) promotes the individual family culture in the treatment milieu;
(5) links parents to other parents in the community;
(6) offers support and encouragement;
(7) assists parents in developing coping mechanisms and problem-solving skills;
(8) promotes resiliency, self-advocacy, development of natural supports, and
maintenance of skills learned in other support services;
(9) establishes and provides peer led parent support groups; and
(10) increases the child's ability to function better within the child's home, school,
and community by educating parents on community resources, assisting with problem
solving, and educating parents on mental illnesses.
    Subd. 3. Eligibility. Family peer support services may be located in inpatient
hospitalization, partial hospitalization, residential treatment, treatment foster care, day
treatment, children's therapeutic services and supports, or crisis services.
    Subd. 4. Peer support specialist program providers. The commissioner shall
develop a process to certify family peer support specialist programs, in accordance with
the federal guidelines, in order for the program to bill for reimbursable services. Family
peer support programs must operate within an existing mental health community provider
or center.
    Subd. 5. Certified family peer specialist training and certification. The
commissioner shall develop a training and certification process for certified family peer
specialists who must be at least 21 years of age and have a high school diploma or its
equivalent. The candidates must have raised or are currently raising a child with a mental
illness, have had experience navigating the children's mental health system, and must
demonstrate leadership and advocacy skills and a strong dedication to family-driven and
family-focused services. The training curriculum must teach participating family peer
specialists specific skills relevant to providing peer support to other parents. In addition
to initial training and certification, the commissioner shall develop ongoing continuing
educational workshops on pertinent issues related to family peer support counseling.

    Sec. 16. Minnesota Statutes 2012, section 256B.0623, subdivision 2, is amended to read:
    Subd. 2. Definitions. For purposes of this section, the following terms have the
meanings given them.
(a) "Adult rehabilitative mental health services" means mental health services
which are rehabilitative and enable the recipient to develop and enhance psychiatric
stability, social competencies, personal and emotional adjustment, and independent living,
parenting skills, and community skills, when these abilities are impaired by the symptoms
of mental illness. Adult rehabilitative mental health services are also appropriate when
provided to enable a recipient to retain stability and functioning, if the recipient would
be at risk of significant functional decompensation or more restrictive service settings
without these services.
(1) Adult rehabilitative mental health services instruct, assist, and support the
recipient in areas such as: interpersonal communication skills, community resource
utilization and integration skills, crisis assistance, relapse prevention skills, health care
directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking
and nutrition skills, transportation skills, medication education and monitoring, mental
illness symptom management skills, household management skills, employment-related
skills, parenting skills, and transition to community living services.
(2) These services shall be provided to the recipient on a one-to-one basis in the
recipient's home or another community setting or in groups.
(b) "Medication education services" means services provided individually or in
groups which focus on educating the recipient about mental illness and symptoms; the role
and effects of medications in treating symptoms of mental illness; and the side effects of
medications. Medication education is coordinated with medication management services
and does not duplicate it. Medication education services are provided by physicians,
pharmacists, physician's assistants, or registered nurses.
(c) "Transition to community living services" means services which maintain
continuity of contact between the rehabilitation services provider and the recipient and
which facilitate discharge from a hospital, residential treatment program under Minnesota
Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community
living services are not intended to provide other areas of adult rehabilitative mental health
services.

    Sec. 17. Minnesota Statutes 2012, section 256B.0625, subdivision 48, is amended to
read:
    Subd. 48. Psychiatric consultation to primary care practitioners. Effective
January 1, 2006, Medical assistance covers consultation provided by a psychiatrist, a
psychologist, or an advanced practice registered nurse certified in psychiatric mental
health via telephone, e-mail, facsimile, or other means of communication to primary care
practitioners, including pediatricians. The need for consultation and the receipt of the
consultation must be documented in the patient record maintained by the primary care
practitioner. If the patient consents, and subject to federal limitations and data privacy
provisions, the consultation may be provided without the patient present.

    Sec. 18. Minnesota Statutes 2012, section 256B.0625, subdivision 56, is amended to
read:
    Subd. 56. Medical service coordination. (a)(1) Medical assistance covers in-reach
community-based service coordination that is performed through a hospital emergency
department as an eligible procedure under a state healthcare program for a frequent user.
A frequent user is defined as an individual who has frequented the hospital emergency
department for services three or more times in the previous four consecutive months.
In-reach community-based service coordination includes navigating services to address a
client's mental health, chemical health, social, economic, and housing needs, or any other
activity targeted at reducing the incidence of emergency room and other nonmedically
necessary health care utilization.
(2) Medical assistance covers in-reach community-based service coordination that
is performed through a hospital emergency department or inpatient psychiatric unit
for a child or young adult up to age 21 with a serious emotional disturbance who has
frequented the hospital emergency room two or more times in the previous consecutive
three months or been admitted to an inpatient psychiatric unit two or more times in the
previous consecutive four months, or is being discharged to a shelter.
    (b) Reimbursement must be made in 15-minute increments and allowed for up to 60
days posthospital discharge based upon the specific identified emergency department visit
or inpatient admitting event. In-reach community-based service coordination shall seek to
connect frequent users with existing covered services available to them, including, but not
limited to, targeted case management, waiver case management, or care coordination in a
health care home. For children and young adults with a serious emotional disturbance,
in-reach community-based service coordination includes navigating and arranging for
community-based services prior to discharge to address a client's mental health, chemical
health, social, educational, family support and housing needs, or any other activity targeted
at reducing multiple incidents of emergency room use, inpatient readmissions, and other
nonmedically necessary health care utilization. In-reach services shall seek to connect
them with existing covered services, including targeted case management, waiver case
management, care coordination in a health care home, children's therapeutic services and
supports, crisis services, and respite care. Eligible in-reach service coordinators must hold
a minimum of a bachelor's degree in social work, public health, corrections, or a related
field. The commissioner shall submit any necessary application for waivers to the Centers
for Medicare and Medicaid Services to implement this subdivision.
    (c)(1) For the purposes of this subdivision, "in-reach community-based service
coordination" means the practice of a community-based worker with training, knowledge,
skills, and ability to access a continuum of services, including housing, transportation,
chemical and mental health treatment, employment, education, and peer support services,
by working with an organization's staff to transition an individual back into the individual's
living environment. In-reach community-based service coordination includes working
with the individual during their discharge and for up to a defined amount of time in the
individual's living environment, reducing the individual's need for readmittance.
    (2) Hospitals utilizing in-reach service coordinators shall report annually to the
commissioner on the number of adults, children, and adolescents served; the postdischarge
services which they accessed; and emergency department/psychiatric hospitalization
readmissions. The commissioner shall ensure that services and payments provided under
in-reach care coordination do not duplicate services or payments provided under section
256B.0753, 256B.0755, or 256B.0625, subdivision 20.

    Sec. 19. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:
    Subd. 61. Family psychoeducation services. Effective July 1, 2013, or upon
federal approval, whichever is later, medical assistance covers family psychoeducation
services provided to a child up to age 21 with a diagnosed mental health condition when
identified in the child's individual treatment plan and provided by a licensed mental health
professional, as defined in Minnesota Rules, part 9505.0371, subpart 5, item A, or a
clinical trainee, as defined in Minnesota Rules, part 9505.0371, subpart 5, item C, who
has determined it medically necessary to involve family members in the child's care. For
the purposes of this subdivision, "family psychoeducation services" means information
or demonstration provided to an individual or family as part of an individual, family,
multifamily group, or peer group session to explain, educate, and support the child and
family in understanding a child's symptoms of mental illness, the impact on the child's
development, and needed components of treatment and skill development so that the
individual, family, or group can help the child to prevent relapse, prevent the acquisition
of comorbid disorders, and achieve optimal mental health and long-term resilience.

    Sec. 20. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:
    Subd. 62. Mental health clinical care consultation. Effective July 1, 2013, or upon
federal approval, whichever is later, medical assistance covers clinical care consultation
for a person up to age 21 who is diagnosed with a complex mental health condition or a
mental health condition that co-occurs with other complex and chronic conditions, when
described in the person's individual treatment plan and provided by a licensed mental health
professional, as defined in Minnesota Rules, part 9505.0371, subpart 5, item A, or a clinical
trainee, as defined in Minnesota Rules, part 9505.0371, subpart 5, item C. For the purposes
of this subdivision, "clinical care consultation" means communication from a treating
mental health professional to other providers or educators not under the clinical supervision
of the treating mental health professional who are working with the same client to inform,
inquire, and instruct regarding the client's symptoms; strategies for effective engagement,
care, and intervention needs; and treatment expectations across service settings; and to
direct and coordinate clinical service components provided to the client and family.

    Sec. 21. Minnesota Statutes 2012, section 256B.092, is amended by adding a
subdivision to read:
    Subd. 13. Waiver allocations for transition populations. (a) The commissioner
shall make available additional waiver allocations and additional necessary resources
to assure timely discharges from the Anoka Metro Regional Treatment Center and the
Minnesota Security Hospital in St. Peter for individuals who meet the following criteria:
(1) are otherwise eligible for the developmental disabilities waiver under this section;
(2) who would otherwise remain at the Anoka Metro Regional Treatment Center or
the Minnesota Security Hospital;
(3) whose discharge would be significantly delayed without the available waiver
allocation; and
(4) who have met treatment objectives and no longer meet hospital level of care.
(b) Additional waiver allocations under this subdivision must meet cost-effectiveness
requirements of the federal approved waiver plan.
(c) Any corporate foster care home developed under this subdivision must be
considered an exception under section 245A.03, subdivision 7, paragraph (a).
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 22. Minnesota Statutes 2012, section 256B.0943, subdivision 1, is amended to read:
    Subdivision 1. Definitions. For purposes of this section, the following terms have
the meanings given them.
(a) "Children's therapeutic services and supports" means the flexible package of
mental health services for children who require varying therapeutic and rehabilitative
levels of intervention. The services are time-limited interventions that are delivered using
various treatment modalities and combinations of services designed to reach treatment
outcomes identified in the individual treatment plan.
(b) "Clinical supervision" means the overall responsibility of the mental health
professional for the control and direction of individualized treatment planning, service
delivery, and treatment review for each client. A mental health professional who is an
enrolled Minnesota health care program provider accepts full professional responsibility
for a supervisee's actions and decisions, instructs the supervisee in the supervisee's work,
and oversees or directs the supervisee's work.
(c) "County board" means the county board of commissioners or board established
under sections 402.01 to 402.10 or 471.59.
(d) "Crisis assistance" has the meaning given in section 245.4871, subdivision 9a.
(e) "Culturally competent provider" means a provider who understands and can
utilize to a client's benefit the client's culture when providing services to the client. A
provider may be culturally competent because the provider is of the same cultural or
ethnic group as the client or the provider has developed the knowledge and skills through
training and experience to provide services to culturally diverse clients.
(f) "Day treatment program" for children means a site-based structured program
consisting of group psychotherapy for more than three individuals and other intensive
therapeutic services provided by a multidisciplinary team, under the clinical supervision
of a mental health professional.
(g) "Diagnostic assessment" has the meaning given in section 245.4871, subdivision
11
.
(h) "Direct service time" means the time that a mental health professional, mental
health practitioner, or mental health behavioral aide spends face-to-face with a client
and the client's family. Direct service time includes time in which the provider obtains
a client's history or provides service components of children's therapeutic services and
supports. Direct service time does not include time doing work before and after providing
direct services, including scheduling, maintaining clinical records, consulting with others
about the client's mental health status, preparing reports, receiving clinical supervision,
and revising the client's individual treatment plan.
(i) "Direction of mental health behavioral aide" means the activities of a mental
health professional or mental health practitioner in guiding the mental health behavioral
aide in providing services to a client. The direction of a mental health behavioral aide
must be based on the client's individualized treatment plan and meet the requirements in
subdivision 6, paragraph (b), clause (5).
(j) "Emotional disturbance" has the meaning given in section 245.4871, subdivision
15
. For persons at least age 18 but under age 21, mental illness has the meaning given in
section 245.462, subdivision 20, paragraph (a).
(k) "Individual behavioral plan" means a plan of intervention, treatment, and
services for a child written by a mental health professional or mental health practitioner,
under the clinical supervision of a mental health professional, to guide the work of the
mental health behavioral aide.
(l) "Individual treatment plan" has the meaning given in section 245.4871,
subdivision 21
.
(m) "Mental health behavioral aide services" means medically necessary one-on-one
activities performed by a trained paraprofessional to assist a child retain or generalize
psychosocial skills as taught by a mental health professional or mental health practitioner
and as described in the child's individual treatment plan and individual behavior plan.
Activities involve working directly with the child or child's family as provided in
subdivision 9, paragraph (b), clause (4).
(n) "Mental health professional" means an individual as defined in section 245.4871,
subdivision 27
, clauses (1) to (6), or tribal vendor as defined in section 256B.02,
subdivision 7
, paragraph (b).
    (o) "Mental health service plan development" includes:
    (1) the development, review, and revision of a child's individual treatment plan,
as provided in Minnesota Rules, part 9505.0371, subpart 7, including involvement of
the client or client's parents, primary caregiver, or other person authorized to consent to
mental health services for the client, and including arrangement of treatment and support
activities specified in the individual treatment plan; and
    (2) administering standardized outcome measurement instruments, determined
and updated by the commissioner, as periodically needed to evaluate the effectiveness
of treatment for children receiving clinical services and reporting outcome measures,
as required by the commissioner.
(o) (p) "Preschool program" means a day program licensed under Minnesota Rules,
parts 9503.0005 to 9503.0175, and enrolled as a children's therapeutic services and
supports provider to provide a structured treatment program to a child who is at least 33
months old but who has not yet attended the first day of kindergarten.
(p) (q) "Skills training" means individual, family, or group training, delivered
by or under the direction of a mental health professional, designed to facilitate the
acquisition of psychosocial skills that are medically necessary to rehabilitate the child
to an age-appropriate developmental trajectory heretofore disrupted by a psychiatric
illness or to self-monitor, compensate for, cope with, counteract, or replace skills deficits
or maladaptive skills acquired over the course of a psychiatric illness. Skills training
is subject to the following requirements:
(1) a mental health professional or a mental health practitioner must provide skills
training;
(2) the child must always be present during skills training; however, a brief absence
of the child for no more than ten percent of the session unit may be allowed to redirect or
instruct family members;
(3) skills training delivered to children or their families must be targeted to the
specific deficits or maladaptations of the child's mental health disorder and must be
prescribed in the child's individual treatment plan;
(4) skills training delivered to the child's family must teach skills needed by parents
to enhance the child's skill development and to help the child use in daily life the skills
previously taught by a mental health professional or mental health practitioner and to
develop or maintain a home environment that supports the child's progressive use skills;
(5) group skills training may be provided to multiple recipients who, because of the
nature of their emotional, behavioral, or social dysfunction, can derive mutual benefit from
interaction in a group setting, which must be staffed as follows:
(i) one mental health professional or one mental health practitioner under supervision
of a licensed mental health professional must work with a group of four to eight clients; or
(ii) two mental health professionals or two mental health practitioners under
supervision of a licensed mental health professional, or one professional plus one
practitioner must work with a group of nine to 12 clients.

    Sec. 23. Minnesota Statutes 2012, section 256B.0943, subdivision 2, is amended to read:
    Subd. 2. Covered service components of children's therapeutic services and
supports. (a) Subject to federal approval, medical assistance covers medically necessary
children's therapeutic services and supports as defined in this section that an eligible
provider entity certified under subdivision 4 provides to a client eligible under subdivision
3.
(b) The service components of children's therapeutic services and supports are:
(1) individual, family, and group psychotherapy;
(2) individual, family, or group skills training provided by a mental health
professional or mental health practitioner;
(3) crisis assistance;
(4) mental health behavioral aide services; and
(5) direction of a mental health behavioral aide.;
(6) mental health service plan development;
(7) clinical care consultation under section 256B.0625, subdivision 62;
(8) family psychoeducation under section 256B.0625, subdivision 61; and
(9) services provided by a family peer specialist under section 256B.0616.
(c) Service components in paragraph (b) may be combined to constitute therapeutic
programs, including day treatment programs and therapeutic preschool programs.

    Sec. 24. Minnesota Statutes 2012, section 256B.0943, subdivision 7, is amended to read:
    Subd. 7. Qualifications of individual and team providers. (a) An individual
or team provider working within the scope of the provider's practice or qualifications
may provide service components of children's therapeutic services and supports that are
identified as medically necessary in a client's individual treatment plan.
(b) An individual provider must be qualified as:
(1) a mental health professional as defined in subdivision 1, paragraph (n); or
(2) a mental health practitioner as defined in section 245.4871, subdivision 26. The
mental health practitioner must work under the clinical supervision of a mental health
professional; or
(3) a mental health behavioral aide working under the clinical supervision of a
mental health professional to implement the rehabilitative mental health services identified
in the client's individual treatment plan and individual behavior plan.
(A) A level I mental health behavioral aide must:
(i) be at least 18 years old;
(ii) have a high school diploma or general equivalency diploma (GED) or two years
of experience as a primary caregiver to a child with severe emotional disturbance within
the previous ten years; and
(iii) meet preservice and continuing education requirements under subdivision 8.
(B) A level II mental health behavioral aide must:
(i) be at least 18 years old;
(ii) have an associate or bachelor's degree or 4,000 hours of experience in delivering
clinical services in the treatment of mental illness concerning children or adolescents or
complete a certificate program established under subdivision 8a; and
(iii) meet preservice and continuing education requirements in subdivision 8.
(c) A preschool program multidisciplinary team must include at least one mental
health professional and one or more of the following individuals under the clinical
supervision of a mental health professional:
(i) a mental health practitioner; or
(ii) a program person, including a teacher, assistant teacher, or aide, who meets the
qualifications and training standards of a level I mental health behavioral aide.
(d) A day treatment multidisciplinary team must include at least one mental health
professional and one mental health practitioner.

    Sec. 25. Minnesota Statutes 2012, section 256B.0943, is amended by adding a
subdivision to read:
    Subd. 8a. Level II mental health behavioral aide. The commissioner of human
services, in collaboration with children's mental health providers and the Board of Trustees
of the Minnesota State Colleges and Universities, shall develop a certificate program
for level II mental health behavioral aides.

    Sec. 26. Minnesota Statutes 2012, section 256B.0946, is amended to read:
256B.0946 INTENSIVE TREATMENT IN FOSTER CARE.
    Subdivision 1. Required covered service components. (a) Effective July 1, 2006,
upon enactment and subject to federal approval, medical assistance covers medically
necessary intensive treatment services described under paragraph (b) that are provided
by a provider entity eligible under subdivision 3 to a client eligible under subdivision 2
who is placed in a treatment foster home licensed under Minnesota Rules, parts 2960.3000
to 2960.3340.
(b) Intensive treatment services to children with severe emotional disturbance mental
illness residing in treatment foster care family settings must meet the relevant standards
for mental health services under sections 245.487 to 245.4889. In addition, that comprise
specific required service components provided in clauses (1) to (5), are reimbursed by
medical assistance must when they meet the following standards:
(1) case management service component must meet the standards in Minnesota
Rules, parts 9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10;
(1) psychotherapy provided by a mental health professional as defined in Minnesota
Rules, part 9505.0371, subpart 5, item A, or a clinical trainee, as defined in Minnesota
Rules, part 9505.0371, subpart 5, item C;
(2) psychotherapy, crisis assistance, and skills training components must meet the
provided according to standards for children's therapeutic services and supports in section
256B.0943; and
(3) individual family, and group psychoeducation services under supervision of,
defined in subdivision 1a, paragraph (q), provided by a mental health professional. or a
clinical trainee;
(4) clinical care consultation, as defined in subdivision 1a, and provided by a mental
health professional or a clinical trainee; and
(5) service delivery payment requirements as provided under subdivision 4.
    Subd. 1a. Definitions. For the purposes of this section, the following terms have
the meanings given them.
(a) "Clinical care consultation" means communication from a treating clinician to
other providers working with the same client to inform, inquire, and instruct regarding
the client's symptoms, strategies for effective engagement, care and intervention needs,
and treatment expectations across service settings, including but not limited to the client's
school, social services, day care, probation, home, primary care, medication prescribers,
disabilities services, and other mental health providers and to direct and coordinate clinical
service components provided to the client and family.
(b) "Clinical supervision" means the documented time a clinical supervisor and
supervisee spend together to discuss the supervisee's work, to review individual client
cases, and for the supervisee's professional development. It includes the documented
oversight and supervision responsibility for planning, implementation, and evaluation of
services for a client's mental health treatment.
(c) "Clinical supervisor" means the mental health professional who is responsible
for clinical supervision.
(d) "Clinical trainee" has the meaning given in Minnesota Rules, part 9505.0371,
subpart 5, item C;
(e) "Crisis assistance" has the meaning given in section 245.4871, subdivision 9a,
including the development of a plan that addresses prevention and intervention strategies
to be used in a potential crisis, but does not include actual crisis intervention.
(f) "Culturally appropriate" means providing mental health services in a manner that
incorporates the child's cultural influences, as defined in Minnesota Rules, part 9505.0370,
subpart 9, into interventions as a way to maximize resiliency factors and utilize cultural
strengths and resources to promote overall wellness.
(g) "Culture" means the distinct ways of living and understanding the world that
are used by a group of people and are transmitted from one generation to another or
adopted by an individual.
(h) "Diagnostic assessment" has the meaning given in Minnesota Rules, part
9505.0370, subpart 11.
(i) "Family" means a person who is identified by the client or the client's parent or
guardian as being important to the client's mental health treatment. Family may include,
but is not limited to, parents, foster parents, children, spouse, committed partners, former
spouses, persons related by blood or adoption, persons who are a part of the client's
permanency plan, or persons who are presently residing together as a family unit.
(j) "Foster care" has the meaning given in section 260C.007, subdivision 18.
(k) "Foster family setting" means the foster home in which the license holder resides.
(l) "Individual treatment plan" has the meaning given in Minnesota Rules, part
9505.0370, subpart 15.
(m) "Mental health practitioner" has the meaning given in Minnesota Rules, part
9505.0370, subpart 17.
(n) "Mental health professional" has the meaning given in Minnesota Rules, part
9505.0370, subpart 18.
(o) "Mental illness" has the meaning given in Minnesota Rules, part 9505.0370,
subpart 20.
(p) "Parent" has the meaning given in section 260C.007, subdivision 25.
(q) "Psychoeducation services" means information or demonstration provided to
an individual, family, or group to explain, educate, and support the individual, family, or
group in understanding a child's symptoms of mental illness, the impact on the child's
development, and needed components of treatment and skill development so that the
individual, family, or group can help the child to prevent relapse, prevent the acquisition
of comorbid disorders, and achieve optimal mental health and long-term resilience.
(r) "Psychotherapy" has the meaning given in Minnesota Rules, part 9505.0370,
subpart 27.
(s) "Team consultation and treatment planning" means the coordination of treatment
plans and consultation among providers in a group concerning the treatment needs of the
child, including disseminating the child's treatment service schedule to all members of the
service team. Team members must include all mental health professionals working with
the child, a parent, the child unless the team lead or parent deem it clinically inappropriate,
and at least two of the following: an individualized education program case manager;
probation agent; children's mental health case manager; child welfare worker, including
adoption or guardianship worker; primary care provider; foster parent; and any other
member of the child's service team.
    Subd. 2. Determination of client eligibility. A client's eligibility to receive
treatment foster care under this section shall be determined by An eligible recipient is an
individual, from birth through age 20, who is currently placed in a foster home licensed
under Minnesota Rules, parts 2960.3000 to 2960.3340, and has received a diagnostic
assessment, and an evaluation of level of care needed, and development of an individual
treatment plan, as defined in paragraphs (a) to (c) and (b).
(a) The diagnostic assessment must:
(1) meet criteria described in Minnesota Rules, part 9505.0372, subpart 1, and be
conducted by a psychiatrist, licensed psychologist, or licensed independent clinical social
worker that is mental health professional or a clinical trainee;
(2) determine whether or not a child meets the criteria for mental illness, as defined
in Minnesota Rules, part 9505.0370, subpart 20;
(3) document that intensive treatment services are medically necessary within a
foster family setting to ameliorate identified symptoms and functional impairments;
(4) be performed within 180 days prior to before the start of service; and
(2) include current diagnoses on all five axes of the client's current mental health
status;
(3) determine whether or not a child meets the criteria for severe emotional
disturbance in section 245.4871, subdivision 6, or for serious and persistent mental illness
in section 245.462, subdivision 20; and
(4) be completed annually until age 18. For individuals between age 18 and 21,
unless a client's mental health condition has changed markedly since the client's most
recent diagnostic assessment, annual updating is necessary. For the purpose of this section,
"updating" means a written summary, including current diagnoses on all five axes, by a
mental health professional of the client's current mental status and service needs.
(5) be completed as either a standard or extended diagnostic assessment annually to
determine continued eligibility for the service.
(b) The evaluation of level of care must be conducted by the placing county with
an instrument, tribe, or case manager in conjunction with the diagnostic assessment as
described by Minnesota Rules, part 9505.0372, subpart 1, item B, using a validated tool
approved by the commissioner of human services and not subject to the rulemaking
process, consistent with section 245.4885, subdivision 1, paragraph (d), the result of which
evaluation demonstrates that the child requires intensive intervention without 24-hour
medical monitoring. The commissioner shall update the list of approved level of care
instruments tools annually and publish on the department's Web site.
(c) The individual treatment plan must be:
(1) based on the information in the client's diagnostic assessment;
(2) developed through a child-centered, family driven planning process that identifies
service needs and individualized, planned, and culturally appropriate interventions that
contain specific measurable treatment goals and objectives for the client and treatment
strategies for the client's family and foster family;
(3) reviewed at least once every 90 days and revised; and
(4) signed by the client or, if appropriate, by the client's parent or other person
authorized by statute to consent to mental health services for the client.
    Subd. 3. Eligible mental health services providers. (a) Eligible providers for
intensive children's mental health services in a foster family setting must be certified
by the state and have a service provision contract with a county board or a reservation
tribal council and must be able to demonstrate the ability to provide all of the services
required in this section.
(b) For purposes of this section, a provider agency must have an individual
placement agreement for each recipient and must be a licensed child placing agency, under
Minnesota Rules, parts 9543.0010 to 9543.0150, and either be:
(1) a county county-operated entity certified by the state;
(2) an Indian Health Services facility operated by a tribe or tribal organization under
funding authorized by United States Code, title 25, sections 450f to 450n, or title 3 of the
Indian Self-Determination Act, Public Law 93-638, section 638 (facilities or providers); or
(3) a noncounty entity under contract with a county board.
(c) Certified providers that do not meet the service delivery standards required in
this section shall be subject to a decertification process.
(d) For the purposes of this section, all services delivered to a client must be
provided by a mental health professional or a clinical trainee.
    Subd. 4. Eligible provider responsibilities Service delivery payment
requirements. (a) To be an eligible provider for payment under this section, a provider
must develop and practice written policies and procedures for treatment foster care services
intensive treatment in foster care, consistent with subdivision 1, paragraph (b), clauses (1),
(2), and (3) and comply with the following requirements in paragraphs (b) to (n).
(b) In delivering services under this section, a treatment foster care provider must
ensure that staff caseload size reasonably enables the provider to play an active role in
service planning, monitoring, delivering, and reviewing for discharge planning to meet
the needs of the client, the client's foster family, and the birth family, as specified in each
client's individual treatment plan.
(b) A qualified clinical supervisor, as defined in and performing in compliance with
Minnesota Rules, part 9505.0371, subpart 5, item D, must supervise the treatment and
provision of services described in this section.
(c) Each client receiving treatment services must receive an extended diagnostic
assessment, as described in Minnesota Rules, part 9505.0372, subpart 1, item C, within
30 days of enrollment in this service unless the client has a previous extended diagnostic
assessment that the client, parent, and mental health professional agree still accurately
describes the client's current mental health functioning.
(d) Each previous and current mental health, school, and physical health treatment
provider must be contacted to request documentation of treatment and assessments that
the eligible client has received. This information must be reviewed and incorporated into
the diagnostic assessment and team consultation and treatment planning review process.
(e) Each client receiving treatment must be assessed for a trauma history, and
the client's treatment plan must document how the results of the assessment will be
incorporated into treatment.
(f) Each client receiving treatment services must have an individual treatment plan
that is reviewed, evaluated, and signed every 90 days using the team consultation and
treatment planning process, as defined in subdivision 1a, paragraph (s).
(g) Care consultation, as defined in subdivision 1a, paragraph (a), must be provided
in accordance with the client's individual treatment plan.
(h) Each client must have a crisis assistance plan within ten days of initiating
services and must have access to clinical phone support 24 hours per day, seven days per
week, during the course of treatment. The crisis plan must demonstrate coordination with
the local or regional mobile crisis intervention team.
(i) Services must be delivered and documented at least three days per week, equaling
at least six hours of treatment per week, unless reduced units of service are specified on
the treatment plan as part of transition or on a discharge plan to another service or level of
care. Documentation must comply with Minnesota Rules, parts 9505.2175 and 9505.2197.
(j) Location of service delivery must be in the client's home, day care setting,
school, or other community-based setting that is specified on the client's individualized
treatment plan.
(k) Treatment must be developmentally and culturally appropriate for the client.
(l) Services must be delivered in continual collaboration and consultation with the
client's medical providers and, in particular, with prescribers of psychotropic medications,
including those prescribed on an off-label basis. Members of the service team must be
aware of the medication regimen and potential side effects.
(m) Parents, siblings, foster parents, and members of the child's permanency plan
must be involved in treatment and service delivery unless otherwise noted in the treatment
plan.
(n) Transition planning for the child must be conducted starting with the first
treatment plan and must be addressed throughout treatment to support the child's
permanency plan and postdischarge mental health service needs.
    Subd. 5. Service authorization. The commissioner will administer authorizations
for services under this section in compliance with section 256B.0625, subdivision 25.
    Subd. 6. Excluded services. (a) Services in clauses (1) to (4) (7) are not covered
under this section and are not eligible for medical assistance payment as components of
intensive treatment in foster care services, but may be billed separately:
(1) treatment foster care services provided in violation of medical assistance policy
in Minnesota Rules, part 9505.0220;
(2) service components of children's therapeutic services and supports
simultaneously provided by more than one treatment foster care provider;
(3) home and community-based waiver services; and
(4) treatment foster care services provided to a child without a level of care
determination according to section 245.4885, subdivision 1.
(1) inpatient psychiatric hospital treatment;
(2) mental health targeted case management;
(3) partial hospitalization;
(4) medication management;
(5) children's mental health day treatment services;
(6) crisis response services under section 256B.0944; and
(7) transportation.
(b) Children receiving intensive treatment in foster care services are not eligible for
medical assistance reimbursement for the following services while receiving intensive
treatment in foster care:
(1) mental health case management services under section 256B.0625, subdivision
20
; and
(2) (1) psychotherapy and skill skills training components of children's therapeutic
services and supports under section 256B.0625, subdivision 35b.;
(2) mental health behavioral aide services as defined in section 256B.0943,
subdivision 1, paragraph (m);
(3) home and community-based waiver services;
(4) mental health residential treatment; and
(5) room and board costs as defined in section 256I.03, subdivision 6.
    Subd. 7. Medical assistance payment and rate setting. The commissioner shall
establish a single daily per-client encounter rate for intensive treatment in foster care
services. The rate must be constructed to cover only eligible services delivered to an
eligible recipient by an eligible provider, as prescribed in subdivision 1, paragraph (b).

    Sec. 27. Minnesota Statutes 2012, section 256B.49, is amended by adding a
subdivision to read:
    Subd. 24. Waiver allocations for transition populations. (a) The commissioner
shall make available additional waiver allocations and additional necessary resources
to assure timely discharges from the Anoka Metro Regional Treatment Center and the
Minnesota Security Hospital in St. Peter for individuals who meet the following criteria:
(1) are otherwise eligible for the brain injury, community alternatives for disabled
individuals, or community alternative care waivers under this section;
(2) who would otherwise remain at the Anoka Metro Regional Treatment Center or
the Minnesota Security Hospital;
(3) whose discharge would be significantly delayed without the available waiver
allocation; and
(4) who have met treatment objectives and no longer meet hospital level of care.
(b) Additional waiver allocations under this subdivision must meet cost-effectiveness
requirements of the federal approved waiver plan.
(c) Any corporate foster care home developed under this subdivision must be
considered an exception under section 245A.03, subdivision 7, paragraph (a).
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 28. Minnesota Statutes 2012, section 256B.761, is amended to read:
256B.761 REIMBURSEMENT FOR MENTAL HEALTH SERVICES.
(a) Effective for services rendered on or after July 1, 2001, payment for medication
management provided to psychiatric patients, outpatient mental health services, day
treatment services, home-based mental health services, and family community support
services shall be paid at the lower of (1) submitted charges, or (2) 75.6 percent of the
50th percentile of 1999 charges.
(b) Effective July 1, 2001, the medical assistance rates for outpatient mental health
services provided by an entity that operates: (1) a Medicare-certified comprehensive
outpatient rehabilitation facility; and (2) a facility that was certified prior to January 1,
1993, with at least 33 percent of the clients receiving rehabilitation services in the most
recent calendar year who are medical assistance recipients, will be increased by 38 percent,
when those services are provided within the comprehensive outpatient rehabilitation
facility and provided to residents of nursing facilities owned by the entity.
(c) The commissioner shall establish three levels of payment for mental health
diagnostic assessment, based on three levels of complexity. The aggregate payment under
the tiered rates must not exceed the projected aggregate payments for mental health
diagnostic assessment under the previous single rate. The new rate structure is effective
January 1, 2011, or upon federal approval, whichever is later.
(d) In addition to rate increases otherwise provided, the commissioner may
restructure coverage policy and rates to improve access to adult rehabilitative mental
health services under section 256B.0623 and related mental health support services under
section 256B.021, subdivision 4, paragraph (f), clause (2). For state fiscal years 2015 and
2016, the projected state share of increased costs due to this paragraph is transferred
from adult mental health grants under sections 245.4661 and 256E.12. The transfer for
fiscal year 2016 is a permanent base adjustment for subsequent fiscal years. Payments
made to managed care plans and county-based purchasing plans under sections 256B.69,
256B.692, and 256L.12 shall reflect the rate changes described in this paragraph.

    Sec. 29. CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES.
The commissioner of human services shall, in consultation with children's mental
health community providers, hospitals providing care to children, children's mental health
advocates, and other interested parties, develop recommendations and legislation, if
necessary, for the state-operated child and adolescent behavioral health services facility
to ensure that:
(1) the facility and the services provided meet the needs of children with serious
emotional disturbances, autism spectrum disorders, reactive attachment disorder, PTSD,
serious emotional disturbance co-occurring with a developmental disability, borderline
personality disorder, schizophrenia, fetal alcohol spectrum disorders, brain injuries,
violent tendencies, and complex medical issues;
(2) qualified personnel and staff can be recruited who have specific expertise and
training to treat the children in the facility; and
(3) the treatment provided at the facility is high-quality, effective treatment.

    Sec. 30. PILOT PROVIDER INPUT SURVEY OF PEDIATRIC SERVICES AND
CHILDREN'S MENTAL HEALTH SERVICES.
(a) To assess the efficiency and other operational issues in the management of the
health care delivery system, the commissioner of human services shall initiate a provider
survey. The pilot survey shall consist of an electronic survey of providers of pediatric
home health care services and children's mental health services to identify and measure
issues that arise in dealing with the management of medical assistance. To the maximum
degree possible, existing technology shall be used and interns sought to analyze the results.
(b) The survey questions must focus on seven key business functions provided
by medical assistance contractors: provider inquiries; provider outreach and education;
claims processing; appeals; provider enrollment; medical review; and provider audit and
reimbursement. The commissioner must consider the results of the survey in evaluating
and renewing managed care and fee-for-service management contracts.
(c) The commissioner shall report by January 15, 2014, the results of the survey to
the chairs of the health and human services policy and finance committees and shall
make recommendations on the value of implementing an annual survey with a rotating
list of provider groups as a component of the continuous quality improvement system for
medical assistance.

    Sec. 31. MENTALLY ILL AND DANGEROUS COMMITMENTS
STAKEHOLDERS GROUP.
(a) The commissioner of human services, in consultation with the state court
administrator, shall convene a stakeholder group to develop recommendations for the
legislature that address issues raised in the February 2013 Office of the Legislative
Auditor report on State-Operated Services for persons committed to the commissioner as
mentally ill and dangerous under Minnesota Statutes, section 253B.18. Stakeholders must
include representatives from the Department of Human Services, county human services,
county attorneys, commitment defense attorneys, the ombudsman for mental health and
developmental disabilities, the federal protection and advocacy system, and consumers
and advocates for persons with mental illnesses.
(b) The stakeholder group shall provide recommendations in the following areas:
(1) the role of the special review board, including the scope of authority of the
special review board and the authority of the commissioner to accept or reject special
review board recommendations;
(2) review of special review board decisions by the district court;
(3) annual district court review of commitment, scope of court authority, and
appropriate review criteria;
(4) options, including annual court hearing and review, as alternatives to
indeterminate commitment under Minnesota Statutes, section 253B.18; and
(5) extension of the right to petition the court under Minnesota Statutes,
section 253B.17, to those committed under Minnesota Statutes, section 253B.18.
The commissioner of human services and the state court administrator shall provide
relevant data for the group's consideration in developing these recommendations,
including numbers of proceedings in each category and costs associated with court and
administrative proceedings under Minnesota Statutes, section 253B.18.
(c) By January 15, 2014, the commissioner of human services shall submit the
recommendations of the stakeholder group to the chairs and ranking minority members
of the committees of the legislature with jurisdiction over civil commitment and human
services issues.

    Sec. 32. STATE ASSISTANCE TO COUNTIES; TRANSITIONS FOR HIGH
NEEDS POPULATIONS.
(a) Effective immediately, the commissioner of human services shall work with
counties that request assistance to assure timely discharge from Anoka Metro Regional
Treatment Center and the Minnesota Security Hospital for individuals who are ready
for discharge but for whom the county may not have provider resources or appropriate
placement available. Special consideration must be given to uninsured individuals who are
not eligible for medical assistance and who may need continued treatment, and individuals
with complex needs and other factors that hinder county efforts to place the individual in a
safe, affordable setting.
(b) The commissioner shall assure that, given Olmstead court directives and the
role family and friends play in treatment progress, metropolitan area residents are asked
whether they wished to be placed in an Intensive Residential Treatment Service program
at Willmar or Cambridge or to be placed in a location more accessible to family, friends,
and health providers.

ARTICLE 5
DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY

    Section 1. Minnesota Statutes 2012, section 13.461, is amended by adding a
subdivision to read:
    Subd. 7b. Child care provider and recipient fraud investigations. Data related
to child care fraud and recipient fraud investigations are governed by section 245E.01,
subdivision 15.

    Sec. 2. Minnesota Statutes 2012, section 243.166, subdivision 7, is amended to read:
    Subd. 7. Use of data. (a) Except as otherwise provided in subdivision 7a or sections
244.052 and 299C.093, the data provided under this section is private data on individuals
under section 13.02, subdivision 12.
(b) The data may be used only for by law enforcement and corrections agencies for
law enforcement and corrections purposes.
(c) The commissioner of human services is authorized to have access to the data for:
(1) state-operated services, as defined in section 246.014, are also authorized to
have access to the data for the purposes described in section 246.13, subdivision 2,
paragraph (b); and
(2) purposes of completing background studies under chapter 245C.

    Sec. 3. Minnesota Statutes 2012, section 245C.04, is amended by adding a subdivision
to read:
    Subd. 4a. Agency background studies. (a) The commissioner shall develop and
implement an electronic process for the regular transfer of new criminal case information
that is added to the Minnesota court information system. The commissioner's system
must include for review only information that relates to individuals who have been the
subject of a background study under this chapter that remain affiliated with the agency
that initiated the background study. For purposes of this paragraph, an individual remains
affiliated with an agency that initiated the background study until the agency informs the
commissioner that the individual is no longer affiliated. When any individual no longer
affiliated according to this paragraph returns to a position requiring a background study
under this chapter, the agency with whom the individual is again affiliated shall initiate
a new background study regardless of the length of time the individual was no longer
affiliated with the agency.
(b) The commissioner shall develop and implement an online system for agencies that
initiate background studies under this chapter to access and maintain records of background
studies initiated by that agency. The system must show all active background study subjects
affiliated with that agency and the status of each individual's background study. Each
agency that initiates background studies must use this system to notify the commissioner
of discontinued affiliation for purposes of the processes required under paragraph (a).

    Sec. 4. Minnesota Statutes 2012, section 245C.08, subdivision 1, is amended to read:
    Subdivision 1. Background studies conducted by Department of Human
Services. (a) For a background study conducted by the Department of Human Services,
the commissioner shall review:
    (1) information related to names of substantiated perpetrators of maltreatment of
vulnerable adults that has been received by the commissioner as required under section
626.557, subdivision 9c, paragraph (j);
    (2) the commissioner's records relating to the maltreatment of minors in licensed
programs, and from findings of maltreatment of minors as indicated through the social
service information system;
    (3) information from juvenile courts as required in subdivision 4 for individuals
listed in section 245C.03, subdivision 1, paragraph (a), when there is reasonable cause;
    (4) information from the Bureau of Criminal Apprehension, including information
regarding a background study subject's registration in Minnesota as a predatory offender
under section 243.166;
    (5) except as provided in clause (6), information from the national crime information
system when the commissioner has reasonable cause as defined under section 245C.05,
subdivision 5; and
    (6) for a background study related to a child foster care application for licensure or
adoptions, the commissioner shall also review:
    (i) information from the child abuse and neglect registry for any state in which the
background study subject has resided for the past five years; and
    (ii) information from national crime information databases, when the background
study subject is 18 years of age or older.
    (b) Notwithstanding expungement by a court, the commissioner may consider
information obtained under paragraph (a), clauses (3) and (4), unless the commissioner
received notice of the petition for expungement and the court order for expungement is
directed specifically to the commissioner.
    (c) The commissioner shall also review criminal case information received according
to section 245C.04, subdivision 4a, from the Minnesota court information system that
relates to individuals who have already been studied under this chapter and who remain
affiliated with the agency that initiated the background study.

    Sec. 5. [245E.01] CHILD CARE PROVIDER AND RECIPIENT FRAUD
INVESTIGATIONS WITHIN THE CHILD CARE ASSISTANCE PROGRAM.
    Subdivision 1. Definitions. (a) For purposes of this section, the terms defined in this
subdivision have the meanings given them.
(b) "Applicant" has the meaning given in section 119B.011, subdivision 2.
(c) "Child care assistance program" means any of the assistance programs under
chapter 119B.
(d) "Commissioner" means the commissioner of human services.
(e) "Controlling individual" has the meaning given in section 245A.02, subdivision
5a.
(f) "County" means a local county child care assistance program staff or
subcontracted staff, or a county investigator acting on behalf of the commissioner.
(g) "Department" means the Department of Human Services.
(h) "Financial misconduct" or "misconduct" means an entity's or individual's acts or
omissions that result in fraud and abuse or error against the Department of Human Services.
(i) "Identify" means to furnish the full name, current or last known address, phone
number, and e-mail address of the individual or business entity.
(j) "License holder" has the meaning given in section 245A.02, subdivision 9.
(k) "Mail" means the use of any mail service with proof of delivery and receipt.
(l) "Provider" means either a provider as defined in section 119B.011, subdivision
19, or a legal unlicensed provider as defined in section 119B.011, subdivision 16.
(m) "Recipient" means a family receiving assistance as defined under section
119B.011, subdivision 13.
(n) "Terminate" means revocation of participation in the child care assistance
program.
    Subd. 2. Investigating provider or recipient financial misconduct. The
department shall investigate alleged or suspected financial misconduct by providers and
errors related to payments issued by the child care assistance program under this chapter.
Recipients, employees, and staff may be investigated when the evidence shows that their
conduct is related to the financial misconduct of a provider, license holder, or controlling
individual.
    Subd. 3. Scope of investigations. (a) The department may contact any person,
agency, organization, or other entity that is necessary to an investigation.
(b) The department may examine or interview any individual, document, or piece of
evidence that may lead to information that is relevant to child care assistance program
benefits, payments, and child care provider authorizations. This includes, but is not
limited to:
(1) child care assistance program payments;
(2) services provided by the program or related to child care assistance program
recipients;
(3) services provided to a provider;
(4) provider financial records of any type;
(5) daily attendance records of the children receiving services from the provider;
(6) billings; and
(7) verification of the credentials of a license holder, controlling individual,
employee, staff person, contractor, subcontractor, and entities under contract with the
provider to provide services or maintain service and the provider's financial records
related to those services.
    Subd. 4. Determination of investigation. After completing its investigation, the
department shall issue one of the following determinations:
(1) no violation of child care assistance requirements occurred;
(2) there is insufficient evidence to show that a violation of child care assistance
requirements occurred;
(3) a preponderance of evidence shows a violation of child care assistance program
law, rule, or policy; or
(4) there exists a credible allegation of fraud.
    Subd. 5. Actions or administrative sanctions. (a) After completing the
determination under subdivision 4, the department may take one or more of the actions
or sanctions specified in this subdivision.
(b) The department may take the following actions:
(1) refer the investigation to law enforcement or a county attorney for possible
criminal prosecution;
(2) refer relevant information to the department's licensing division, the child care
assistance program, the Department of Education, the federal child and adult care food
program, or appropriate child or adult protection agency;
(3) enter into a settlement agreement with a provider, license holder, controlling
individual, or recipient; or
(4) refer the matter for review by a prosecutorial agency with appropriate jurisdiction
for possible civil action under the Minnesota False Claims Act, chapter 15C.
(c) In addition to section 256.98, the department may impose sanctions by:
(1) pursuing administrative disqualification through hearings or waivers;
(2) establishing and seeking monetary recovery or recoupment; or
(3) issuing an order of corrective action that states the practices that are violations of
child care assistance program policies, laws, or regulations, and that they must be corrected.
    Subd. 6. Duty to provide access. (a) A provider, license holder, controlling
individual, employee, staff person, or recipient has an affirmative duty to provide access
upon request to information specified under subdivision 8 or the program facility.
(b) Failure to provide access may result in denial or termination of authorizations for
or payments to a recipient, provider, license holder, or controlling individual in the child
care assistance program.
(c) When a provider fails to provide access, a 15-day notice of denial or termination
must be issued to the provider, which prohibits the provider from participating in the child
care assistance program. Notice must be sent to recipients whose children are under the
provider's care pursuant to Minnesota Rules, part 3400.0185.
(d) If the provider continues to fail to provide access at the expiration of the 15-day
notice period, child care assistance program payments to the provider must be denied
beginning the 16th day following notice of the initial failure or refusal to provide access.
The department may rescind the denial based upon good cause if the provider submits in
writing a good cause basis for having failed or refused to provide access. The writing must
be postmarked no later than the 15th day following the provider's notice of initial failure
to provide access. Additionally, the provider, license holder, or controlling individual
must immediately provide complete, ongoing access to the department. Repeated failures
to provide access must, after the initial failure or for any subsequent failure, result in
termination from participation in the child care assistance program.
(e) The department, at its own expense, may photocopy or otherwise duplicate
records referenced in subdivision 8. Photocopying must be done on the provider's
premises on the day of the request or other mutually agreeable time, unless removal of
records is specifically permitted by the provider. If requested, a provider, license holder,
or controlling individual, or a designee, must assist the investigator in duplicating any
record, including a hard copy or electronically stored data, on the day of the request.
(f) A provider, license holder, controlling individual, employee, or staff person must
grant the department access during the department's normal business hours, and any hours
that the program is operated, to examine the provider's program or the records listed in
subdivision 8. A provider shall make records available at the provider's place of business
on the day for which access is requested, unless the provider and the department both agree
otherwise. The department's normal business hours are 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding state holidays as defined in section 645.44, subdivision 5.
    Subd. 7. Honest and truthful statements. It shall be unlawful for a provider,
license holder, controlling individual, or recipient to:
(1) falsify, conceal, or cover up by any trick, scheme, or device a material fact;
(2) make any materially false, fictitious, or fraudulent statement or representation; or
(3) make or use any false writing or document knowing the same to contain any
materially false, fictitious, or fraudulent statement or entry related to any child care
assistance program services that the provider, license holder, or controlling individual
supplies or in relation to any child care assistance payments received by a provider, license
holder, or controlling individual or to any fraud investigator or law enforcement officer
conducting a financial misconduct investigation.
    Subd. 8. Record retention. (a) The following records must be maintained,
controlled, and made immediately accessible to license holders, providers, and controlling
individuals. The records must be organized and labeled to correspond to categories that
make them easy to identify so that they can be made available immediately upon request
to an investigator acting on behalf of the commissioner at the provider's place of business:
(1) payroll ledgers, canceled checks, bank deposit slips, and any other accounting
records;
(2) daily attendance records required by and that comply with section 119B.125,
subdivision 6;
(3) billing transmittal forms requesting payments from the child care assistance
program and billing adjustments related to child care assistance program payments;
(4) records identifying all persons, corporations, partnerships, and entities with an
ownership or controlling interest in the provider's child care business;
(5) employee records identifying those persons currently employed by the provider's
child care business or who have been employed by the business at any time within the
previous five years. The records must include each employee's name, hourly and annual
salary, qualifications, position description, job title, and dates of employment. In addition,
employee records that must be made available include the employee's time sheets, current
home address of the employee or last known address of any former employee, and
documentation of background studies required under chapter 119B or 245C;
(6) records related to transportation of children in care, including but not limited to:
(i) the dates and times that transportation is provided to children for transportation to
and from the provider's business location for any purpose. For transportation related to
field trips or locations away from the provider's business location, the names and addresses
of those field trips and locations must also be provided;
(ii) the name, business address, phone number, and Web site address, if any, of the
transportation service utilized; and
(iii) all billing or transportation records related to the transportation.
(b) A provider, license holder, or controlling individual must retain all records in
paragraph (a) for at least six years after the last date of service. Microfilm or electronically
stored records satisfy the record keeping requirements of this subdivision.
(c) A provider, license holder, or controlling individual who withdraws or is
terminated from the child care assistance program must retain the records required under
this subdivision and make them available to the department on demand.
(d) If the ownership of a provider changes, the transferor, unless otherwise provided
by law or by written agreement with the transferee, is responsible for maintaining,
preserving, and upon request from the department, making available the records related to
the provider that were generated before the date of the transfer. Any written agreement
affecting this provision must be held in the possession of the transferor and transferee.
The written agreement must be provided to the department or county immediately upon
request, and the written agreement must be retained by the transferor and transferee for six
years after the agreement is fully executed.
(e) In the event of an appealed case, the provider must retain all records required in
this subdivision for the duration of the appeal or six years, whichever is longer.
(f) A provider's use of electronic record keeping or electronic signatures is governed
by chapter 325L.
    Subd. 9. Factors regarding imposition of administrative sanctions. (a) The
department shall consider the following factors in determining the administrative sanctions
to be imposed:
(1) nature and extent of financial misconduct;
(2) history of financial misconduct;
(3) actions taken or recommended by other state agencies, other divisions of the
department, and court and administrative decisions;
(4) prior imposition of sanctions;
(5) size and type of provider;
(6) information obtained through an investigation from any source;
(7) convictions or pending criminal charges; and
(8) any other information relevant to the acts or omissions related to the financial
misconduct.
(b) Any single factor under paragraph (a) may be determinative of the department's
decision of whether and what sanctions are imposed.
    Subd. 10. Written notice of department sanction. (a) The department shall give
notice in writing to a person of an administrative sanction that is to be imposed. The notice
shall be sent by mail as defined in subdivision 1, paragraph (k).
(b) The notice shall state:
(1) the factual basis for the department's determination;
(2) the sanction the department intends to take;
(3) the dollar amount of the monetary recovery or recoupment, if any;
(4) how the dollar amount was computed;
(5) the right to dispute the department's determination and to provide evidence;
(6) the right to appeal the department's proposed sanction; and
(7) the option to meet informally with department staff, and to bring additional
documentation or information, to resolve the issues.
(c) In cases of determinations resulting in denial or termination of payments, in
addition to the requirements of paragraph (b), the notice must state:
(1) the length of the denial or termination;
(2) the requirements and procedures for reinstatement; and
(3) the provider's right to submit documents and written arguments against the
denial or termination of payments for review by the department before the effective date
of denial or termination.
(d) The submission of documents and written argument for review by the department
under paragraph (b), clause (5) or (7), or paragraph (c), clause (3), does not stay the
deadline for filing an appeal.
(e) Unless timely appealed, the effective date of the proposed sanction shall be 30
days after the license holder's, provider's, controlling individual's, or recipient's receipt of
the notice. If a timely appeal is made, the proposed sanction shall be delayed pending
the final outcome of the appeal. Implementation of a proposed sanction following the
resolution of a timely appeal may be postponed if, in the opinion of the department, the
delay of sanction is necessary to protect the health or safety of children in care. The
department may consider the economic hardship of a person in implementing the proposed
sanction, but economic hardship shall not be a determinative factor in implementing the
proposed sanction.
(f) Requests for an informal meeting to attempt to resolve issues and requests
for appeals must be sent or delivered to the department's Office of Inspector General,
Financial Fraud and Abuse Division.
    Subd. 11. Appeal of department sanction under this section. (a) If the department
does not pursue a criminal action against a provider, license holder, controlling individual,
or recipient for financial misconduct, but the department imposes an administrative
sanction under subdivision 5, paragraph (c), any individual or entity against whom the
sanction was imposed may appeal the department's administrative sanction under this
section pursuant to section 119B.16 or 256.045 with the additional requirements in clauses
(1) to (4). An appeal must specify:
(1) each disputed item, the reason for the dispute, and an estimate of the dollar
amount involved for each disputed item, if appropriate;
(2) the computation that is believed to be correct, if appropriate;
(3) the authority in the statute or rule relied upon for each disputed item; and
(4) the name, address, and phone number of the person at the provider's place of
business with whom contact may be made regarding the appeal.
(b) An appeal is considered timely only if postmarked or received by the department's
Appeals Division within 30 days after receiving a notice of department sanction.
(c) Before the appeal hearing, the department may deny or terminate authorizations
or payment to the entity or individual if the department determines that the action is
necessary to protect the public welfare or the interests of the child care assistance program.
    Subd. 12. Consolidated hearings with licensing sanction. If a financial
misconduct sanction has an appeal hearing right and it is timely appealed, and a licensing
sanction exists for which there is an appeal hearing right and the sanction is timely
appealed, and the overpayment recovery action and licensing sanction involve the same
set of facts, the overpayment recovery action and licensing sanction must be consolidated
in the contested case hearing related to the licensing sanction.
    Subd. 13. Grounds for and methods of monetary recovery. (a) The department
may obtain monetary recovery from a provider who has been improperly paid by the
child care assistance program, regardless of whether the error was intentional or county
error. The department does not need to establish a pattern as a precondition of monetary
recovery of erroneous or false billing claims, duplicate billing claims, or billing claims
based on false statements or financial misconduct.
(b) The department shall obtain monetary recovery from providers by the following
means:
(1) permitting voluntary repayment of money, either in lump-sum payment or
installment payments;
(2) using any legal collection process;
(3) deducting or withholding program payments; or
(4) utilizing the means set forth in chapter 16D.
    Subd. 14. Reporting of suspected fraudulent activity. (a) A person who, in
good faith, makes a report of or testifies in any action or proceeding in which financial
misconduct is alleged, and who is not involved in, has not participated in, or has not aided
and abetted, conspired, or colluded in the financial misconduct, shall have immunity from
any liability, civil or criminal, that results by reason of the person's report or testimony.
For the purpose of any proceeding, the good faith of any person reporting or testifying
under this provision shall be presumed.
(b) If a person that is or has been involved in, participated in, aided and abetted,
conspired, or colluded in the financial misconduct reports the financial misconduct,
the department may consider that person's report and assistance in investigating the
misconduct as a mitigating factor in the department's pursuit of civil, criminal, or
administrative remedies.
    Subd. 15. Data privacy. Data of any kind obtained or created in relation to a provider
or recipient investigation under this section is defined, classified, and protected the same as
all other data under section 13.46, and this data has the same classification as licensing data.
    Subd. 16. Monetary recovery; random sample extrapolation. The department is
authorized to calculate the amount of monetary recovery from a provider, license holder, or
controlling individual based upon extrapolation from a statistical random sample of claims
submitted by the provider, license holder, or controlling individual and paid by the child
care assistance program. The department's random sample extrapolation shall constitute a
rebuttable presumption of the accuracy of the calculation of monetary recovery. If the
presumption is not rebutted by the provider, license holder, or controlling individual in the
appeal process, the department shall use the extrapolation as the monetary recovery figure.
The department may use sampling and extrapolation to calculate the amount of monetary
recovery if the claims to be reviewed represent services to 50 or more children in care.
    Subd. 17. Effect of department's monetary penalty determination. Unless a
timely and proper appeal is received by the department, the department's administrative
determination or sanction shall be considered a final department determination.
    Subd. 18. Office of Inspector General recoveries. Overpayment recoveries
resulting from child care provider fraud investigations initiated by the department's Office
of Inspector General's fraud investigations staff are excluded from the county recovery
provision in section 119B.11, subdivision 3.

    Sec. 6. Minnesota Statutes 2012, section 256B.04, subdivision 21, is amended to read:
    Subd. 21. Provider enrollment. (a) If the commissioner or the Centers for
Medicare and Medicaid Services determines that a provider is designated "high-risk," the
commissioner may withhold payment from providers within that category upon initial
enrollment for a 90-day period. The withholding for each provider must begin on the date
of the first submission of a claim.
(b) An enrolled provider that is also licensed by the commissioner under chapter
245A must designate an individual as the entity's compliance officer. The compliance
officer must:
(1) develop policies and procedures to assure adherence to medical assistance laws
and regulations and to prevent inappropriate claims submissions;
(2) train the employees of the provider entity, and any agents or subcontractors of
the provider entity including billers, on the policies and procedures under clause (1);
(3) respond to allegations of improper conduct related to the provision or billing of
medical assistance services, and implement action to remediate any resulting problems;
(4) use evaluation techniques to monitor compliance with medical assistance laws
and regulations;
(5) promptly report to the commissioner any identified violations of medical
assistance laws or regulations; and
    (6) within 60 days of discovery by the provider of a medical assistance
reimbursement overpayment, report the overpayment to the commissioner and make
arrangements with the commissioner for the commissioner's recovery of the overpayment.
The commissioner may require, as a condition of enrollment in medical assistance, that a
provider within a particular industry sector or category establish a compliance program that
contains the core elements established by the Centers for Medicare and Medicaid Services.
(c) The commissioner may revoke the enrollment of an ordering or rendering
provider for a period of not more than one year, if the provider fails to maintain and, upon
request from the commissioner, provide access to documentation relating to written orders
or requests for payment for durable medical equipment, certifications for home health
services, or referrals for other items or services written or ordered by such provider, when
the commissioner has identified a pattern of a lack of documentation. A pattern means a
failure to maintain documentation or provide access to documentation on more than one
occasion. Nothing in this paragraph limits the authority of the commissioner to sanction a
provider under the provisions of section 256B.064.
(d) The commissioner shall terminate or deny the enrollment of any individual or
entity if the individual or entity has been terminated from participation in Medicare or
under the Medicaid program or Children's Health Insurance Program of any other state.
(e) As a condition of enrollment in medical assistance, the commissioner shall
require that a provider designated "moderate" or "high-risk" by the Centers for Medicare
and Medicaid Services or the Minnesota Department of Human Services commissioner
permit the Centers for Medicare and Medicaid Services, its agents, or its designated
contractors and the state agency, its agents, or its designated contractors to conduct
unannounced on-site inspections of any provider location. The commissioner shall publish
in the Minnesota Health Care Program Provider Manual a list of provider types designated
"limited," "moderate," or "high-risk," based on the criteria and standards used to designate
Medicare providers in Code of Federal Regulations, title 42, section 424.518. The list and
criteria are not subject to the requirements of chapter 14. The commissioner's designations
are not subject to administrative appeal.
(f) As a condition of enrollment in medical assistance, the commissioner shall
require that a high-risk provider, or a person with a direct or indirect ownership interest in
the provider of five percent or higher, consent to criminal background checks, including
fingerprinting, when required to do so under state law or by a determination by the
commissioner or the Centers for Medicare and Medicaid Services that a provider is
designated high-risk for fraud, waste, or abuse.
(g)(1) Upon initial enrollment, reenrollment, and revalidation, all durable medical
equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers operating in
Minnesota and receiving Medicaid funds, must purchase a surety bond that is annually
renewed and designates the Minnesota Department of Human Services as the obligee, and
must be submitted in a form approved by the commissioner.
(2) At the time of initial enrollment or reenrollment, the provider agency must
purchase a performance bond of $50,000. If a revalidating provider's Medicaid revenue
in the previous calendar year is up to and including $300,000, the provider agency must
purchase a performance bond of $50,000. If a revalidating provider's Medicaid revenue
in the previous calendar year is over $300,000, the provider agency must purchase a
performance bond of $100,000. The performance bond must allow for recovery of costs
and fees in pursuing a claim on the bond.
(h) The Department of Human Services may require a provider to purchase a
performance surety bond as a condition of initial enrollment, reenrollment, reinstatement,
or continued enrollment if: (1) the provider fails to demonstrate financial viability, (2) the
department determines there is significant evidence of or potential for fraud and abuse by
the provider, or (3) the provider or category of providers is designated high-risk pursuant
to paragraph (a) and as per Code of Federal Regulations, title 42, section 455.450. The
performance bond must be in an amount of $100,000 or ten percent of the provider's
payments from Medicaid during the immediately preceding 12 months, whichever is
greater. The performance bond must name the Department of Human Services as an
obligee and must allow for recovery of costs and fees in pursuing a claim on the bond.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 7. Minnesota Statutes 2012, section 256B.04, is amended by adding a subdivision
to read:
    Subd. 22. Application fee. (a) The commissioner must collect and retain federally
required nonrefundable application fees to pay for provider screening activities in
accordance with Code of Federal Regulations, title 42, section 455, subpart E. The
enrollment application must be made under the procedures specified by the commissioner,
in the form specified by the commissioner, and accompanied by an application fee
described in paragraph (b), or a request for a hardship exception as described in the
specified procedures. Application fees must be deposited in the provider screening account
in the special revenue fund. Amounts in the provider screening account are appropriated
to the commissioner for costs associated with the provider screening activities required
in Code of Federal Regulations, title 42, section 455, subpart E. The commissioner
shall conduct screening activities as required by Code of Federal Regulations, title 42,
section 455, subpart E, and as otherwise provided by law, to include database checks,
unannounced pre- and postenrollment site visits, fingerprinting, and criminal background
studies. The commissioner must revalidate all providers under this subdivision at least
once every five years.
(b) The application fee under this subdivision is $532 for the calendar year 2013.
For calendar year 2014 and subsequent years, the fee:
(1) is adjusted by the percentage change to the consumer price index for all urban
consumers, United States city average, for the 12-month period ending with June of the
previous year. The resulting fee must be announced in the Federal Register;
(2) is effective from January 1 to December 31 of a calendar year;
(3) is required on the submission of an initial application, an application to establish
a new practice location, an application for re-enrollment when the provider is not enrolled
at the time of application of re-enrollment, or at revalidation when required by federal
regulation; and
(4) must be in the amount in effect for the calendar year during which the application
for enrollment, new practice location, or re-enrollment is being submitted.
(c) The application fee under this subdivision cannot be charged to:
(1) providers who are enrolled in Medicare or who provide documentation of
payment of the fee to, and enrollment with, another state, unless the commissioner is
required to rescreen the provider;
(2) providers who are enrolled but are required to submit new applications for
purposes of reenrollment;
(3) a provider who enrolls as an individual; and
(4) group practices and clinics that bill on behalf of individually enrolled providers
within the practice who have reassigned their billing privileges to the group practice
or clinic.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 8. Minnesota Statutes 2012, section 256B.064, subdivision 1a, is amended to read:
    Subd. 1a. Grounds for sanctions against vendors. The commissioner may
impose sanctions against a vendor of medical care for any of the following: (1) fraud,
theft, or abuse in connection with the provision of medical care to recipients of public
assistance; (2) a pattern of presentment of false or duplicate claims or claims for services
not medically necessary; (3) a pattern of making false statements of material facts for
the purpose of obtaining greater compensation than that to which the vendor is legally
entitled; (4) suspension or termination as a Medicare vendor; (5) refusal to grant the state
agency access during regular business hours to examine all records necessary to disclose
the extent of services provided to program recipients and appropriateness of claims for
payment; (6) failure to repay an overpayment or a fine finally established under this
section; and (7) failure to correct errors in the maintenance of health service or financial
records for which a fine was imposed or after issuance of a warning by the commissioner;
and (8) any reason for which a vendor could be excluded from participation in the
Medicare program under section 1128, 1128A, or 1866(b)(2) of the Social Security Act.
The determination of services not medically necessary may be made by the commissioner
in consultation with a peer advisory task force appointed by the commissioner on the
recommendation of appropriate professional organizations. The task force expires as
provided in section 15.059, subdivision 5.

    Sec. 9. Minnesota Statutes 2012, section 256B.064, subdivision 1b, is amended to read:
    Subd. 1b. Sanctions available. The commissioner may impose the following
sanctions for the conduct described in subdivision 1a: suspension or withholding of
payments to a vendor and suspending or terminating participation in the program, or
imposition of a fine under subdivision 2, paragraph (f). When imposing sanctions under
this section, the commissioner shall consider the nature, chronicity, or severity of the
conduct and the effect of the conduct on the health and safety of persons served by the
vendor. Regardless of imposition of sanctions, the commissioner may make a referral
to the appropriate state licensing board.

    Sec. 10. Minnesota Statutes 2012, section 256B.064, subdivision 2, is amended to read:
    Subd. 2. Imposition of monetary recovery and sanctions. (a) The commissioner
shall determine any monetary amounts to be recovered and sanctions to be imposed upon
a vendor of medical care under this section. Except as provided in paragraphs (b) and
(d), neither a monetary recovery nor a sanction will be imposed by the commissioner
without prior notice and an opportunity for a hearing, according to chapter 14, on the
commissioner's proposed action, provided that the commissioner may suspend or reduce
payment to a vendor of medical care, except a nursing home or convalescent care facility,
after notice and prior to the hearing if in the commissioner's opinion that action is
necessary to protect the public welfare and the interests of the program.
(b) Except when the commissioner finds good cause not to suspend payments under
Code of Federal Regulations, title 42, section 455.23 (e) or (f), the commissioner shall
withhold or reduce payments to a vendor of medical care without providing advance
notice of such withholding or reduction if either of the following occurs:
(1) the vendor is convicted of a crime involving the conduct described in subdivision
1a; or
(2) the commissioner determines there is a credible allegation of fraud for which an
investigation is pending under the program. A credible allegation of fraud is an allegation
which has been verified by the state, from any source, including but not limited to:
(i) fraud hotline complaints;
(ii) claims data mining; and
(iii) patterns identified through provider audits, civil false claims cases, and law
enforcement investigations.
Allegations are considered to be credible when they have an indicia of reliability
and the state agency has reviewed all allegations, facts, and evidence carefully and acts
judiciously on a case-by-case basis.
(c) The commissioner must send notice of the withholding or reduction of payments
under paragraph (b) within five days of taking such action unless requested in writing by a
law enforcement agency to temporarily withhold the notice. The notice must:
(1) state that payments are being withheld according to paragraph (b);
(2) set forth the general allegations as to the nature of the withholding action, but
need not disclose any specific information concerning an ongoing investigation;
(3) except in the case of a conviction for conduct described in subdivision 1a, state
that the withholding is for a temporary period and cite the circumstances under which
withholding will be terminated;
(4) identify the types of claims to which the withholding applies; and
(5) inform the vendor of the right to submit written evidence for consideration by
the commissioner.
The withholding or reduction of payments will not continue after the commissioner
determines there is insufficient evidence of fraud by the vendor, or after legal proceedings
relating to the alleged fraud are completed, unless the commissioner has sent notice of
intention to impose monetary recovery or sanctions under paragraph (a).
(d) The commissioner shall suspend or terminate a vendor's participation in the
program without providing advance notice and an opportunity for a hearing when the
suspension or termination is required because of the vendor's exclusion from participation
in Medicare. Within five days of taking such action, the commissioner must send notice of
the suspension or termination. The notice must:
(1) state that suspension or termination is the result of the vendor's exclusion from
Medicare;
(2) identify the effective date of the suspension or termination; and
(3) inform the vendor of the need to be reinstated to Medicare before reapplying
for participation in the program.
(e) Upon receipt of a notice under paragraph (a) that a monetary recovery or
sanction is to be imposed, a vendor may request a contested case, as defined in section
14.02, subdivision 3, by filing with the commissioner a written request of appeal. The
appeal request must be received by the commissioner no later than 30 days after the date
the notification of monetary recovery or sanction was mailed to the vendor. The appeal
request must specify:
(1) each disputed item, the reason for the dispute, and an estimate of the dollar
amount involved for each disputed item;
(2) the computation that the vendor believes is correct;
(3) the authority in statute or rule upon which the vendor relies for each disputed item;
(4) the name and address of the person or entity with whom contacts may be made
regarding the appeal; and
(5) other information required by the commissioner.
(f) The commissioner may order a vendor to forfeit a fine for failure to fully document
services according to standards in this chapter and Minnesota Rules, chapter 9505. The
commissioner may assess fines if specific required components of documentation are
missing. The fine for incomplete documentation shall equal 20 percent of the amount paid
on the claims for reimbursement submitted by the vendor, or up to $5,000, whichever is less.
(g) The vendor shall pay the fine assessed on or before the payment date specified. If
the vendor fails to pay the fine, the commissioner may withhold or reduce payments and
recover the amount of the fine. A timely appeal shall stay payment of the fine until the
commissioner issues a final order.

    Sec. 11. Minnesota Statutes 2012, section 256B.0659, subdivision 21, is amended to
read:
    Subd. 21. Requirements for initial provider enrollment of personal care
assistance provider agencies. (a) All personal care assistance provider agencies must
provide, at the time of enrollment, reenrollment, and revalidation as a personal care
assistance provider agency in a format determined by the commissioner, information and
documentation that includes, but is not limited to, the following:
    (1) the personal care assistance provider agency's current contact information
including address, telephone number, and e-mail address;
    (2) proof of surety bond coverage in the amount of $50,000 or ten percent of the
provider's payments from Medicaid in the previous year, whichever is less;
    (2) proof of surety bond coverage. Upon new enrollment, or if the provider's
Medicaid revenue in the previous calendar year is up to and including $300,000,
the provider agency must purchase a performance bond of $50,000. If the Medicaid
revenue in the previous year is over $300,000, the provider agency must purchase a
performance bond of $100,000. The performance bond must be in a form approved by the
commissioner, must be renewed annually, and must allow for recovery of costs and fees
in pursuing a claim on the bond;
    (3) proof of fidelity bond coverage in the amount of $20,000;
    (4) proof of workers' compensation insurance coverage;
    (5) proof of liability insurance;
    (6) a description of the personal care assistance provider agency's organization
identifying the names of all owners, managing employees, staff, board of directors, and
the affiliations of the directors, owners, or staff to other service providers;
    (7) a copy of the personal care assistance provider agency's written policies and
procedures including: hiring of employees; training requirements; service delivery;
and employee and consumer safety including process for notification and resolution
of consumer grievances, identification and prevention of communicable diseases, and
employee misconduct;
    (8) copies of all other forms the personal care assistance provider agency uses in
the course of daily business including, but not limited to:
    (i) a copy of the personal care assistance provider agency's time sheet if the time
sheet varies from the standard time sheet for personal care assistance services approved
by the commissioner, and a letter requesting approval of the personal care assistance
provider agency's nonstandard time sheet;
    (ii) the personal care assistance provider agency's template for the personal care
assistance care plan; and
    (iii) the personal care assistance provider agency's template for the written
agreement in subdivision 20 for recipients using the personal care assistance choice
option, if applicable;
    (9) a list of all training and classes that the personal care assistance provider agency
requires of its staff providing personal care assistance services;
    (10) documentation that the personal care assistance provider agency and staff have
successfully completed all the training required by this section;
    (11) documentation of the agency's marketing practices;
    (12) disclosure of ownership, leasing, or management of all residential properties
that is used or could be used for providing home care services;
    (13) documentation that the agency will use the following percentages of revenue
generated from the medical assistance rate paid for personal care assistance services
for employee personal care assistant wages and benefits: 72.5 percent of revenue in the
personal care assistance choice option and 72.5 percent of revenue from other personal
care assistance providers. The revenue generated by the qualified professional and the
reasonable costs associated with the qualified professional shall not be used in making
this calculation; and
    (14) effective May 15, 2010, documentation that the agency does not burden
recipients' free exercise of their right to choose service providers by requiring personal
care assistants to sign an agreement not to work with any particular personal care
assistance recipient or for another personal care assistance provider agency after leaving
the agency and that the agency is not taking action on any such agreements or requirements
regardless of the date signed.
    (b) Personal care assistance provider agencies shall provide the information specified
in paragraph (a) to the commissioner at the time the personal care assistance provider
agency enrolls as a vendor or upon request from the commissioner. The commissioner
shall collect the information specified in paragraph (a) from all personal care assistance
providers beginning July 1, 2009.
    (c) All personal care assistance provider agencies shall require all employees in
management and supervisory positions and owners of the agency who are active in the
day-to-day management and operations of the agency to complete mandatory training
as determined by the commissioner before enrollment of the agency as a provider.
Employees in management and supervisory positions and owners who are active in
the day-to-day operations of an agency who have completed the required training as
an employee with a personal care assistance provider agency do not need to repeat
the required training if they are hired by another agency, if they have completed the
training within the past three years. By September 1, 2010, the required training must
be available with meaningful access according to title VI of the Civil Rights Act and
federal regulations adopted under that law or any guidance from the United States Health
and Human Services Department. The required training must be available online or by
electronic remote connection. The required training must provide for competency testing.
Personal care assistance provider agency billing staff shall complete training about
personal care assistance program financial management. This training is effective July 1,
2009. Any personal care assistance provider agency enrolled before that date shall, if it
has not already, complete the provider training within 18 months of July 1, 2009. Any new
owners or employees in management and supervisory positions involved in the day-to-day
operations are required to complete mandatory training as a requisite of working for the
agency. Personal care assistance provider agencies certified for participation in Medicare
as home health agencies are exempt from the training required in this subdivision. When
available, Medicare-certified home health agency owners, supervisors, or managers must
successfully complete the competency test.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 12. Minnesota Statutes 2012, section 299C.093, is amended to read:
299C.093 DATABASE OF REGISTERED PREDATORY OFFENDERS.
The superintendent of the Bureau of Criminal Apprehension shall maintain a
computerized data system relating to individuals required to register as predatory offenders
under section 243.166. To the degree feasible, the system must include the data required
to be provided under section 243.166, subdivisions 4 and 4a, and indicate the time period
that the person is required to register. The superintendent shall maintain this data in a
manner that ensures that it is readily available to law enforcement agencies. This data is
private data on individuals under section 13.02, subdivision 12, but may be used for law
enforcement and corrections purposes. The commissioner of human services has access
to the data for state-operated services, as defined in section 246.014, are also authorized
to have access to the data for the purposes described in section 246.13, subdivision 2,
paragraph (b), and for purposes of conducting background studies under chapter 245C.

    Sec. 13. Minnesota Statutes 2012, section 402A.10, is amended to read:
402A.10 DEFINITIONS.
    Subdivision 1. Terms defined. For the purposes of this chapter, the terms defined
in this section have the meanings given.
    Subd. 1a. Balanced set of program measures. A "balanced set of program
measures" is a set of measures that, together, adequately quantify achievement toward a
particular program's outcome. As directed by section 402A.16, the Human Services
Performance Council must recommend to the commissioner when a particular program
has a balanced set of program measures.
    Subd. 2. Commissioner. "Commissioner" means the commissioner of human
services.
    Subd. 3. Council. "Council" means the State-County Results, Accountability, and
Service Delivery Redesign Council established in section 402A.20.
    Subd. 4. Essential human services or essential services. "Essential human
services" or "essential services" means assistance and services to recipients or potential
recipients of public welfare and other services delivered by counties or tribes that are
mandated in federal and state law that are to be available in all counties of the state.
    Subd. 4a. Essential human services program. An "essential human services
program" for the purposes of remedies under section 402A.18 means the following
programs:
(1) child welfare, including protection, truancy, minor parent, guardianship, and
adoption;
(2) children's mental health;
(3) children's disability services;
(4) public assistance eligibility, including measures related to processing timelines
across information services programs;
(5) MFIP;
(6) child support;
(7) chemical dependency;
(8) adult disability;
(9) adult mental health;
(10) adult services such as long-term care; and
(11) adult protection.
    Subd. 4b. Measure. A "measure" means a quantitative indicator of a performance
outcome.
    Subd. 4c. Performance improvement plan. A "performance improvement plan"
means a plan developed by a county or service delivery authority that describes steps the
county or service delivery authority must take to improve performance on a specific
measure or set of measures. The performance improvement plan must be negotiated
with and approved by the commissioner. The performance improvement plan must
require a specific numerical improvement in the measure or measures on which the plan
is based and may include specific programmatic best practices or specific performance
management practices that the county must implement.
    Subd. 4d. Performance management system for human services. A "performance
management system for human services" means a process by which performance data for
essential human services is collected from counties or service delivery authorities and used
to inform a variety of stakeholders and to improve performance over time.
    Subd. 5. Service delivery authority. "Service delivery authority" means a single
county, or consortium of counties operating by execution of a joint powers agreement
under section 471.59 or other contractual agreement, that has voluntarily chosen by
resolution of the county board of commissioners to participate in the redesign under this
chapter or has been assigned by the commissioner pursuant to section 402A.18. A service
delivery authority includes an Indian tribe or group of tribes that have voluntarily chosen
by resolution of tribal government to participate in redesign under this chapter.
    Subd. 6. Steering committee. "Steering committee" means the Steering Committee
on Performance and Outcome Reforms.

    Sec. 14. [402A.12] ESTABLISHMENT OF A PERFORMANCE MANAGEMENT
SYSTEM FOR HUMAN SERVICES.
By January 1, 2014, the commissioner shall implement a performance management
system for essential human services as described in sections 402A.15 to 402A.18 that
includes initial performance measures and standards consistent with the recommendations
of the Steering Committee on Performance and Outcome Reforms in the December 2012
report to the legislature.

    Sec. 15. [402A.16] HUMAN SERVICES PERFORMANCE COUNCIL.
    Subdivision 1. Establishment. By October 1, 2013, the commissioner shall convene
a Human Services Performance Council to advise the commissioner on the implementation
and operation of the performance management system for human services.
    Subd. 2. Duties. The Human Services Performance Council shall:
(1) hold meetings at least quarterly that are in compliance with Minnesota's Open
Meeting Law under chapter 13D;
(2) annually review the annual performance data submitted by counties or service
delivery authorities;
(3) review and advise the commissioner on department procedures related to the
implementation of the performance management system and system process requirements
and on barriers to process improvement in human services delivery;
(4) advise the commissioner on the training and technical assistance needs of county
or service delivery authority and department personnel;
(5) review instances in which a county or service delivery authority has not made
adequate progress on a performance improvement plan and make recommendations to
the commissioner under section 402A.18;
(6) consider appeals from counties or service delivery authorities that are in the
remedies process and make recommendations to the commissioner on resolving the issue;
(7) convene working groups to update and develop outcomes, measures, and
performance standards for the performance management system and, on an annual basis,
present these recommendations to the commissioner, including recommendations on when
a particular essential human service program has a balanced set of program measures
in place;
(8) make recommendations on human services administrative rules or statutes that
could be repealed in order to improve service delivery;
(9) provide information to stakeholders on the council's role and regularly collect
stakeholder input on performance management system performance; and
(10) submit an annual report to the legislature and the commissioner, which
includes a comprehensive report on the performance of individual counties or service
delivery authorities as it relates to system measures; a list of counties or service delivery
authorities that have been required to create performance improvement plans and the areas
identified for improvement as part of the remedies process; a summary of performance
improvement training and technical assistance activities offered to the county personnel
by the department; recommendations on administrative rules or state statutes that could be
repealed in order to improve service delivery; recommendations for system improvements,
including updates to system outcomes, measures, and standards; and a response from
the commissioner.
    Subd. 3. Membership. (a) Human Services Performance Council membership shall
be equally balanced among the following five stakeholder groups: the Association of
Minnesota Counties, the Minnesota Association of County Social Service Administrators,
the Department of Human Services, tribes and communities of color, and service providers
and advocates for persons receiving human services. The Association of Minnesota
Counties and the Minnesota Association of County Social Service Administrators shall
appoint their own respective representatives. The commissioner of human services shall
appoint representatives of the Department of Human Services, tribes and communities of
color, and social services providers and advocates. Minimum council membership shall
be 15 members, with at least three representatives from each stakeholder group, and
maximum council membership shall be 20 members, with four representatives from
each stakeholder group.
(b) Notwithstanding section 15.059, Human Services Performance Council members
shall be appointed for a minimum of two years, but may serve longer terms at the
discretion of their appointing authority.
(c) Notwithstanding section 15.059, members of the council shall receive no
compensation for their services.
(d) A commissioner's representative and a county representative from either the
Association of Minnesota Counties or the Minnesota Association of County Social Service
Administrators shall serve as Human Services Performance Council cochairs.
    Subd. 4. Commissioner duties. The commissioner shall:
(1) implement and maintain the performance management system for human services;
(2) establish and regularly update the system's outcomes, measures, and standards,
including the minimum performance standard for each performance measure;
(3) determine when a particular program has a balanced set of measures;
(4) receive reports from counties or service delivery authorities at least annually on
their performance against system measures, provide counties with data needed to assess
performance and monitor progress, and provide timely feedback to counties or service
delivery authorities on their performance;
(5) implement and monitor the remedies process in section 402A.18;
(6) report to the Human Services Performance Council on county or service delivery
authority performance on a semiannual basis;
(7) provide general training and technical assistance to counties or service delivery
authorities on topics related to performance measurement and performance improvement;
(8) provide targeted training and technical assistance to counties or service delivery
authorities that supports their performance improvement plans; and
(9) provide staff support for the Human Services Performance Council.
    Subd. 5. County or service delivery authority duties. The counties or service
delivery authorities shall:
(1) report performance data to meet performance management system requirements;
and
(2) provide training to personnel on basic principles of performance measurement
and improvement and participate in training provided by the department.

    Sec. 16. Minnesota Statutes 2012, section 402A.18, is amended to read:
402A.18 COMMISSIONER POWER TO REMEDY FAILURE TO MEET
PERFORMANCE OUTCOMES.
    Subdivision 1. Underperforming county; specific service. If the commissioner
determines that a county or service delivery authority is deficient in achieving minimum
performance outcomes standards for a specific essential service human services program,
the commissioner may impose the following remedies and adjust state and federal
program allocations accordingly:
(1) voluntary incorporation of the administration and operation of the specific
essential service human services program with an existing service delivery authority or
another county. A service delivery authority or county incorporating an underperforming
county shall not be financially liable for the costs associated with remedying performance
outcome deficiencies;
(2) mandatory incorporation of the administration and operation of the specific
essential service human services program with an existing service delivery authority or
another county. A service delivery authority or county incorporating an underperforming
county shall not be financially liable for the costs associated with remedying performance
outcome deficiencies; or
(3) transfer of authority for program administration and operation of the specific
essential service human services program to the commissioner.
    Subd. 2. Underperforming county; more than one-half of services. If the
commissioner determines that a county or service delivery authority is deficient in
achieving minimum performance outcomes standards for more than one-half of the defined
essential human services programs, the commissioner may impose the following remedies:
(1) voluntary incorporation of the administration and operation of essential human
services programs with an existing service delivery authority or another county. A
service delivery authority or county incorporating an underperforming county shall
not be financially liable for the costs associated with remedying performance outcome
deficiencies;
(2) mandatory incorporation of the administration and operation of essential human
services programs with an existing service delivery authority or another county. A
service delivery authority or county incorporating an underperforming county shall
not be financially liable for the costs associated with remedying performance outcome
deficiencies; or
(3) transfer of authority for program administration and operation of essential human
services programs to the commissioner.
    Subd. 2a. Financial responsibility of underperforming county. A county subject
to remedies under subdivision 1 or 2 shall provide to the entity assuming administration
of the essential service or essential human services program or programs the amount of
nonfederal and nonstate funding needed to remedy performance outcome deficiencies.
    Subd. 3. Conditions prior to imposing remedies. Before the commissioner may
impose the remedies authorized under this section, the following conditions must be met:
(1) the county or service delivery authority determined by the commissioner
to be deficient in achieving minimum performance outcomes has the opportunity, in
coordination with the council, to develop a program outcome improvement plan. The
program outcome improvement plan must be developed no later than six months from the
date of the deficiency determination; and
(2) the council has conducted an assessment of the program outcome improvement
plan to determine if the county or service delivery authority has made satisfactory progress
toward performance outcomes and has made a recommendation about remedies to the
commissioner. The assessment and recommendation must be made to the commissioner
within 12 months from the date of the deficiency determination. (a) The commissioner
shall notify a county or service delivery authority that it must submit a performance
improvement plan if:
(1) the county or service delivery authority does not meet the minimum performance
standard for a measure; or
(2) the county or service delivery authority does not meet the minimum performance
standard for one or more racial or ethnic subgroup for which there is a statistically valid
population size for three or more measures, even if the county or service delivery authority
met the standard for the overall population.
The commissioner must approve the performance improvement plan. The county or
service delivery authority may negotiate the terms of the performance improvement plan
with the commissioner.
(b) When the department determines that a county or service delivery authority does
not meet the minimum performance standard for a given measure, the commissioner
must advise the county or service delivery authority that fiscal penalties may result if the
performance does not improve. The department must offer technical assistance to the
county or service delivery authority. Within 30 days of the initial advisement from the
department, the county or service delivery authority may claim and the department may
approve an extenuating circumstance that relieves the county or service delivery authority
of any further remedy. If a county or service delivery authority has a small number of
participants in an essential human services program such that reliable measurement is
not possible, the commissioner may approve extenuating circumstances or may average
performance over three years.
(c) If there are no extenuating circumstances, the county or service delivery authority
must submit a performance improvement plan to the commissioner within 60 days of the
initial advisement from the department. The term of the performance improvement plan
must be two years, starting with the date the plan is approved by the commissioner. This
plan must include a target level for improvement for each measure that did not meet
the minimum performance standard. The commissioner must approve the performance
improvement plan within 60 days of submittal.
(d) The department must monitor the performance improvement plan for two
years. After two years, if the county or service delivery authority meets the minimum
performance standard, there is no further remedy. If the county or service delivery
authority fails to meet the minimum performance standard, but meets the improvement
target in the performance improvement plan, the county or service delivery authority shall
modify the performance improvement plan for further improvement and the department
shall continue to monitor the plan.
(e) If, after two years of monitoring, the county or service delivery authority fails to
meet both the minimum performance standard and the improvement target identified in
the performance improvement plan, the next step of the remedies process shall be invoked
by the commissioner. This phase of the remedies process may include:
(1) fiscal penalties for the county or service delivery authority that do not exceed
one percent of the county's human services expenditures and that are negotiated in the
performance improvement plan, based on what is needed to improve outcomes. Counties
or service delivery authorities must reinvest the amount of the fiscal penalty into the
essential human services program that was underperforming. A county or service delivery
authority shall not be required to pay more than three fiscal penalties in a year; and
(2) the department's provision of technical assistance to the county or service
delivery authority that is targeted to address the specific performance issues.
The commissioner shall continue monitoring the performance improvement plan for a
third year.
(f) If, after the third year of monitoring, the county or service delivery authority
meets the minimum performance standard, there is no further remedy. If the county or
service delivery authority fails to meet the minimum performance standard, but meets the
improvement target for the performance improvement plan, the county or service delivery
authority shall modify the performance improvement plan for further improvement and
the department shall continue to monitor the plan.
(g) If, after the third year of monitoring, the county or service delivery authority fails
to meet the minimum performance standard and the improvement target identified in the
performance improvement plan, the Human Services Performance Council shall review
the situation and recommend a course of action to the commissioner.
(h) If the commissioner has determined that a program has a balanced set of program
measures and a county or service delivery authority is subject to fiscal penalties for more
than one-half of the measures for that program, the commissioner may apply further
remedies as described in subdivisions 1 and 2.

    Sec. 17. INSTRUCTIONS TO THE COMMISSIONER.
    In collaboration with labor organizations, the commissioner of human services shall
develop clear and consistent standards for state-operated services programs to:
    (1) address direct service staffing shortages;
    (2) identify and help resolve workplace safety issues; and
    (3) elevate the use and visibility of performance measures and objectives related to
overtime use.

ARTICLE 6
HEALTH CARE

    Section 1. Minnesota Statutes 2012, section 245.03, subdivision 1, is amended to read:
    Subdivision 1. Establishment. There is created a Department of Human Services.
A commissioner of human services shall be appointed by the governor under the
provisions of section 15.06. The commissioner shall be selected on the basis of ability and
experience in welfare and without regard to political affiliations. The commissioner shall
may appoint a up to two deputy commissioner commissioners.

    Sec. 2. Minnesota Statutes 2012, section 256.9657, subdivision 3, is amended to read:
    Subd. 3. Surcharge on HMOs and community integrated service networks. (a)
Effective October 1, 1992, each health maintenance organization with a certificate of
authority issued by the commissioner of health under chapter 62D and each community
integrated service network licensed by the commissioner under chapter 62N shall pay to
the commissioner of human services a surcharge equal to six-tenths of one percent of the
total premium revenues of the health maintenance organization or community integrated
service network as reported to the commissioner of health according to the schedule in
subdivision 4.
(b) For purposes of this subdivision, total premium revenue means:
(1) premium revenue recognized on a prepaid basis from individuals and groups
for provision of a specified range of health services over a defined period of time which
is normally one month, excluding premiums paid to a health maintenance organization
or community integrated service network from the Federal Employees Health Benefit
Program;
(2) premiums from Medicare wraparound subscribers for health benefits which
supplement Medicare coverage;
(3) Medicare revenue, as a result of an arrangement between a health maintenance
organization or a community integrated service network and the Centers for Medicare
and Medicaid Services of the federal Department of Health and Human Services, for
services to a Medicare beneficiary, excluding Medicare revenue that states are prohibited
from taxing under sections 1854, 1860D-12, and 1876 of title XVIII of the federal Social
Security Act, codified as United States Code, title 42, sections 1395mm, 1395w-112, and
1395w-24, respectively, as they may be amended from time to time; and
(4) medical assistance revenue, as a result of an arrangement between a health
maintenance organization or community integrated service network and a Medicaid state
agency, for services to a medical assistance beneficiary.
If advance payments are made under clause (1) or (2) to the health maintenance
organization or community integrated service network for more than one reporting period,
the portion of the payment that has not yet been earned must be treated as a liability.
(c) When a health maintenance organization or community integrated service
network merges or consolidates with or is acquired by another health maintenance
organization or community integrated service network, the surviving corporation or the
new corporation shall be responsible for the annual surcharge originally imposed on
each of the entities or corporations subject to the merger, consolidation, or acquisition,
regardless of whether one of the entities or corporations does not retain a certificate of
authority under chapter 62D or a license under chapter 62N.
(d) Effective July 1 June 15 of each year, the surviving corporation's or the new
corporation's surcharge shall be based on the revenues earned in the second previous
calendar year by all of the entities or corporations subject to the merger, consolidation,
or acquisition regardless of whether one of the entities or corporations does not retain a
certificate of authority under chapter 62D or a license under chapter 62N until the total
premium revenues of the surviving corporation include the total premium revenues of all
the merged entities as reported to the commissioner of health.
(e) When a health maintenance organization or community integrated service
network, which is subject to liability for the surcharge under this chapter, transfers,
assigns, sells, leases, or disposes of all or substantially all of its property or assets, liability
for the surcharge imposed by this chapter is imposed on the transferee, assignee, or buyer
of the health maintenance organization or community integrated service network.
(f) In the event a health maintenance organization or community integrated service
network converts its licensure to a different type of entity subject to liability for the
surcharge under this chapter, but survives in the same or substantially similar form, the
surviving entity remains liable for the surcharge regardless of whether one of the entities
or corporations does not retain a certificate of authority under chapter 62D or a license
under chapter 62N.
(g) The surcharge assessed to a health maintenance organization or community
integrated service network ends when the entity ceases providing services for premiums
and the cessation is not connected with a merger, consolidation, acquisition, or conversion.

    Sec. 3. Minnesota Statutes 2012, section 256.9657, subdivision 4, is amended to read:
    Subd. 4. Payments into the account. (a) Payments to the commissioner under
subdivisions subdivision 1 to 3 must be paid in monthly installments due on the 15th of
the month beginning October 15, 1992. The monthly payment must be equal to the annual
surcharge divided by 12. Payments to the commissioner under subdivisions 2 and 3 for
fiscal year 1993 must be based on calendar year 1990 revenues. Effective July 1 of each
year, beginning in 1993, payments under subdivisions 2 and 3 must be based on revenues
earned in the second previous calendar year.
(b) Effective October 15, 2014, payment to the commissioner under subdivision 2
must be paid in nine monthly installments due on the 15th of the month beginning October
15, 2014, through June 15 of the following year. The monthly payment must be equal
to the annual surcharge divided by nine.
(b) (c) Effective October 1, 1995 2014, and each October 1 thereafter, the payments
in subdivisions subdivision 2 and 3 must be based on revenues earned in the previous
calendar year.
(c) (d) If the commissioner of health does not provide by August 15 of any year data
needed to update the base year for the hospital and or April 15 of any year data needed to
update the base year for the health maintenance organization surcharges, the commissioner
of human services may estimate base year revenue and use that estimate for the purposes
of this section until actual data is provided by the commissioner of health.
(d) (e) Payments to the commissioner under subdivision 3a must be paid in monthly
installments due on the 15th of the month beginning July 15, 2003. The monthly payment
must be equal to the annual surcharge divided by 12.
(f) Payments due in July through September 2014 under subdivision 3 for revenue
earned in calendar year 2012 shall be paid in a lump sum on June 15, 2014. On June
15, 2014, each health maintenance organization and community-integrated service
network shall pay all payments under subdivision 3 in a lump sum for revenue earned in
calendar year 2013. Effective June 15, 2015, and each June 15 thereafter, the payments in
subdivision 3 shall be based on revenues earned in the previous calendar year and paid
in a lump sum on June 15 of each year.

    Sec. 4. Minnesota Statutes 2012, section 256.969, subdivision 29, is amended to read:
    Subd. 29. Reimbursement for the fee increase for the early hearing detection
and intervention program. (a) For admissions occurring on or after July 1, 2010,
payment rates shall be adjusted to include the increase to the fee that is effective on July 1,
2010, for the early hearing detection and intervention program recipients under section
144.125, subdivision 1, that is paid by the hospital for public program recipients. This
payment increase shall be in effect until the increase is fully recognized in the base year
cost under subdivision 2b. This payment shall be included in payments to contracted
managed care organizations.
    (b) For admissions occurring on or after July 1, 2013, payment rates shall be adjusted
to include the increase to the fee that is effective July 1, 2013, for the early hearing
detection and intervention program under section 144.125, subdivision 1, paragraph (d),
that is paid by the hospital for medical assistance and MinnesotaCare program enrollees.
This payment increase shall be in effect until the increase is fully recognized in the
base-year cost under subdivision 2b. This payment shall be included in payments to
managed care plans and county-based purchasing plans.

    Sec. 5. Minnesota Statutes 2012, section 256B.04, is amended by adding a subdivision
to read:
    Subd. 23. Medical assistance costs for certain inmates. The commissioner shall
execute an interagency agreement with the commissioner of corrections to recover the
state cost attributable to medical assistance eligibility for inmates of public institutions
admitted to a medical institution on an inpatient basis. The annual amount to be transferred
from the Department of Corrections under the agreement must include all eligible state
medical assistance costs, including administrative costs incurred by the Department of
Human Services, attributable to inmates under state and county jurisdiction admitted to
medical institutions on an inpatient basis that are related to the implementation of section
256B.055, subdivision 14, paragraph (c).

    Sec. 6. Minnesota Statutes 2012, section 256B.055, subdivision 14, is amended to read:
    Subd. 14. Persons detained by law. (a) Medical assistance may be paid for an
inmate of a correctional facility who is conditionally released as authorized under section
241.26, 244.065, or 631.425, if the individual does not require the security of a public
detention facility and is housed in a halfway house or community correction center, or
under house arrest and monitored by electronic surveillance in a residence approved
by the commissioner of corrections, and if the individual meets the other eligibility
requirements of this chapter.
    (b) An individual who is enrolled in medical assistance, and who is charged with a
crime and incarcerated for less than 12 months shall be suspended from eligibility at the
time of incarceration until the individual is released. Upon release, medical assistance
eligibility is reinstated without reapplication using a reinstatement process and form, if the
individual is otherwise eligible.
    (c) An individual, regardless of age, who is considered an inmate of a public
institution as defined in Code of Federal Regulations, title 42, section 435.1010, and
who meets the eligibility requirements in section 256B.056, is not eligible for medical
assistance, except for covered services received while an inpatient in a medical institution
as defined in Code of Federal Regulations, title 42, section 435.1010. Security issues,
including costs, related to the inpatient treatment of an inmate are the responsibility of the
entity with jurisdiction over the inmate.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 7. Minnesota Statutes 2012, section 256B.06, subdivision 4, is amended to read:
    Subd. 4. Citizenship requirements. (a) Eligibility for medical assistance is limited
to citizens of the United States, qualified noncitizens as defined in this subdivision, and
other persons residing lawfully in the United States. Citizens or nationals of the United
States must cooperate in obtaining satisfactory documentary evidence of citizenship or
nationality according to the requirements of the federal Deficit Reduction Act of 2005,
Public Law 109-171.
(b) "Qualified noncitizen" means a person who meets one of the following
immigration criteria:
(1) admitted for lawful permanent residence according to United States Code, title 8;
(2) admitted to the United States as a refugee according to United States Code,
title 8, section 1157;
(3) granted asylum according to United States Code, title 8, section 1158;
(4) granted withholding of deportation according to United States Code, title 8,
section 1253(h);
(5) paroled for a period of at least one year according to United States Code, title 8,
section 1182(d)(5);
(6) granted conditional entrant status according to United States Code, title 8,
section 1153(a)(7);
(7) determined to be a battered noncitizen by the United States Attorney General
according to the Illegal Immigration Reform and Immigrant Responsibility Act of 1996,
title V of the Omnibus Consolidated Appropriations Bill, Public Law 104-200;
(8) is a child of a noncitizen determined to be a battered noncitizen by the United
States Attorney General according to the Illegal Immigration Reform and Immigrant
Responsibility Act of 1996, title V, of the Omnibus Consolidated Appropriations Bill,
Public Law 104-200; or
(9) determined to be a Cuban or Haitian entrant as defined in section 501(e) of Public
Law 96-422, the Refugee Education Assistance Act of 1980.
(c) All qualified noncitizens who were residing in the United States before August
22, 1996, who otherwise meet the eligibility requirements of this chapter, are eligible for
medical assistance with federal financial participation.
(d) Beginning December 1, 1996, qualified noncitizens who entered the United
States on or after August 22, 1996, and who otherwise meet the eligibility requirements
of this chapter are eligible for medical assistance with federal participation for five years
if they meet one of the following criteria:
(1) refugees admitted to the United States according to United States Code, title 8,
section 1157;
(2) persons granted asylum according to United States Code, title 8, section 1158;
(3) persons granted withholding of deportation according to United States Code,
title 8, section 1253(h);
(4) veterans of the United States armed forces with an honorable discharge for
a reason other than noncitizen status, their spouses and unmarried minor dependent
children; or
(5) persons on active duty in the United States armed forces, other than for training,
their spouses and unmarried minor dependent children.
Beginning July 1, 2010, children and pregnant women who are noncitizens
described in paragraph (b) or who are lawfully present in the United States as defined
in Code of Federal Regulations, title 8, section 103.12, and who otherwise meet
eligibility requirements of this chapter, are eligible for medical assistance with federal
financial participation as provided by the federal Children's Health Insurance Program
Reauthorization Act of 2009, Public Law 111-3.
(e) Nonimmigrants who otherwise meet the eligibility requirements of this chapter
are eligible for the benefits as provided in paragraphs (f) to (h). For purposes of this
subdivision, a "nonimmigrant" is a person in one of the classes listed in United States
Code, title 8, section 1101(a)(15).
(f) Payment shall also be made for care and services that are furnished to noncitizens,
regardless of immigration status, who otherwise meet the eligibility requirements of
this chapter, if such care and services are necessary for the treatment of an emergency
medical condition.
(g) For purposes of this subdivision, the term "emergency medical condition" means
a medical condition that meets the requirements of United States Code, title 42, section
1396b(v).
(h)(1) Notwithstanding paragraph (g), services that are necessary for the treatment
of an emergency medical condition are limited to the following:
(i) services delivered in an emergency room or by an ambulance service licensed
under chapter 144E that are directly related to the treatment of an emergency medical
condition;
(ii) services delivered in an inpatient hospital setting following admission from an
emergency room or clinic for an acute emergency condition; and
(iii) follow-up services that are directly related to the original service provided
to treat the emergency medical condition and are covered by the global payment made
to the provider.
    (2) Services for the treatment of emergency medical conditions do not include:
(i) services delivered in an emergency room or inpatient setting to treat a
nonemergency condition;
(ii) organ transplants, stem cell transplants, and related care;
(iii) services for routine prenatal care;
(iv) continuing care, including long-term care, nursing facility services, home health
care, adult day care, day training, or supportive living services;
(v) elective surgery;
(vi) outpatient prescription drugs, unless the drugs are administered or dispensed as
part of an emergency room visit;
(vii) preventative health care and family planning services;
(viii) dialysis;
(ix) chemotherapy or therapeutic radiation services;
(x) (viii) rehabilitation services;
(xi) (ix) physical, occupational, or speech therapy;
(xii) (x) transportation services;
(xiii) (xi) case management;
(xiv) (xii) prosthetics, orthotics, durable medical equipment, or medical supplies;
(xv) (xiii) dental services;
(xvi) (xiv) hospice care;
(xvii) (xv) audiology services and hearing aids;
(xviii) (xvi) podiatry services;
(xix) (xvii) chiropractic services;
(xx) (xviii) immunizations;
(xxi) (xix) vision services and eyeglasses;
(xxii) (xx) waiver services;
(xxiii) (xxi) individualized education programs; or
(xxiv) (xxii) chemical dependency treatment.
(i) Beginning July 1, 2009, pregnant noncitizens who are undocumented,
nonimmigrants, or lawfully present in the United States as defined in Code of Federal
Regulations, title 8, section 103.12, are not covered by a group health plan or health
insurance coverage according to Code of Federal Regulations, title 42, section 457.310,
and who otherwise meet the eligibility requirements of this chapter, are eligible for
medical assistance through the period of pregnancy, including labor and delivery, and 60
days postpartum, to the extent federal funds are available under title XXI of the Social
Security Act, and the state children's health insurance program.
(j) Beginning October 1, 2003, persons who are receiving care and rehabilitation
services from a nonprofit center established to serve victims of torture and are otherwise
ineligible for medical assistance under this chapter are eligible for medical assistance
without federal financial participation. These individuals are eligible only for the period
during which they are receiving services from the center. Individuals eligible under this
paragraph shall not be required to participate in prepaid medical assistance.
(k) Notwithstanding paragraph (h), clause (2), the following services are covered as
emergency medical conditions under paragraph (f) except where coverage is prohibited
under federal law:
(1) dialysis services provided in a hospital or freestanding dialysis facility; and
(2) surgery and the administration of chemotherapy, radiation, and related services
necessary to treat cancer if the recipient has a cancer diagnosis that is not in remission
and requires surgery, chemotherapy, or radiation treatment.
(l) Effective July 1, 2013, recipients of emergency medical assistance under this
subdivision are eligible for coverage of the elderly waiver services provided under section
256B.0915, and coverage of rehabilitative services provided in a nursing facility. The
age limit for elderly waiver services does not apply. In order to qualify for coverage, a
recipient of emergency medical assistance is subject to the assessment and reassessment
requirements of section 256B.0911. Initial and continued enrollment under this paragraph
is subject to the limits of available funding.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 8. Minnesota Statutes 2012, section 256B.0625, subdivision 9, is amended to read:
    Subd. 9. Dental services. (a) Medical assistance covers dental services.
(b) Medical assistance dental coverage for nonpregnant adults is limited to the
following services:
(1) comprehensive exams, limited to once every five years;
(2) periodic exams, limited to one per year;
(3) limited exams;
(4) bitewing x-rays, limited to one per year;
(5) periapical x-rays;
(6) panoramic x-rays, limited to one every five years except (1) when medically
necessary for the diagnosis and follow-up of oral and maxillofacial pathology and trauma
or (2) once every two years for patients who cannot cooperate for intraoral film due to
a developmental disability or medical condition that does not allow for intraoral film
placement;
(7) prophylaxis, limited to one per year;
(8) application of fluoride varnish, limited to one per year;
(9) posterior fillings, all at the amalgam rate;
(10) anterior fillings;
(11) endodontics, limited to root canals on the anterior and premolars only;
(12) removable prostheses, each dental arch limited to one every six years;
(13) oral surgery, limited to extractions, biopsies, and incision and drainage of
abscesses;
(14) palliative treatment and sedative fillings for relief of pain; and
(15) full-mouth debridement, limited to one every five years.
(c) In addition to the services specified in paragraph (b), medical assistance
covers the following services for adults, if provided in an outpatient hospital setting or
freestanding ambulatory surgical center as part of outpatient dental surgery:
(1) periodontics, limited to periodontal scaling and root planing once every two years;
(2) general anesthesia; and
(3) full-mouth survey once every five years.
(d) Medical assistance covers medically necessary dental services for children and
pregnant women. The following guidelines apply:
(1) posterior fillings are paid at the amalgam rate;
(2) application of sealants are covered once every five years per permanent molar for
children only;
(3) application of fluoride varnish is covered once every six months; and
(4) orthodontia is eligible for coverage for children only.
(e) In addition to the services specified in paragraphs (b) and (c), medical assistance
covers the following services for adults:
(1) house calls or extended care facility calls for on-site delivery of covered services;
(2) behavioral management when additional staff time is required to accommodate
behavioral challenges and sedation is not used;
(3) oral or IV sedation, if the covered dental service cannot be performed safely
without it or would otherwise require the service to be performed under general anesthesia
in a hospital or surgical center; and
(4) prophylaxis, in accordance with an appropriate individualized treatment plan, but
no more than four times per year.

    Sec. 9. Minnesota Statutes 2012, section 256B.0625, subdivision 13, is amended to read:
    Subd. 13. Drugs. (a) Medical assistance covers drugs, except for fertility drugs
when specifically used to enhance fertility, if prescribed by a licensed practitioner and
dispensed by a licensed pharmacist, by a physician enrolled in the medical assistance
program as a dispensing physician, or by a physician, physician assistant, or a nurse
practitioner employed by or under contract with a community health board as defined in
section 145A.02, subdivision 5, for the purposes of communicable disease control.
(b) The dispensed quantity of a prescription drug must not exceed a 34-day supply,
unless authorized by the commissioner.
(c) For the purpose of this subdivision and subdivision 13d, an "active
pharmaceutical ingredient" is defined as a substance that is represented for use in a drug
and when used in the manufacturing, processing, or packaging of a drug becomes an
active ingredient of the drug product. An "excipient" is defined as an inert substance
used as a diluent or vehicle for a drug. The commissioner shall establish a list of active
pharmaceutical ingredients and excipients which are included in the medical assistance
formulary. Medical assistance covers selected active pharmaceutical ingredients and
excipients used in compounded prescriptions when the compounded combination is
specifically approved by the commissioner or when a commercially available product:
(1) is not a therapeutic option for the patient;
(2) does not exist in the same combination of active ingredients in the same strengths
as the compounded prescription; and
(3) cannot be used in place of the active pharmaceutical ingredient in the
compounded prescription.
(d) Medical assistance covers the following over-the-counter drugs when prescribed
by a licensed practitioner or by a licensed pharmacist who meets standards established by
the commissioner, in consultation with the board of pharmacy: antacids, acetaminophen,
family planning products, aspirin, insulin, products for the treatment of lice, vitamins for
adults with documented vitamin deficiencies, vitamins for children under the age of seven
and pregnant or nursing women, and any other over-the-counter drug identified by the
commissioner, in consultation with the formulary committee, as necessary, appropriate,
and cost-effective for the treatment of certain specified chronic diseases, conditions,
or disorders, and this determination shall not be subject to the requirements of chapter
14. A pharmacist may prescribe over-the-counter medications as provided under this
paragraph for purposes of receiving reimbursement under Medicaid. When prescribing
over-the-counter drugs under this paragraph, licensed pharmacists must consult with
the recipient to determine necessity, provide drug counseling, review drug therapy
for potential adverse interactions, and make referrals as needed to other health care
professionals. Over-the-counter medications must be dispensed in a quantity that is the
lower of: (1) the number of dosage units contained in the manufacturer's original package;
and (2) the number of dosage units required to complete the patient's course of therapy.
(e) Effective January 1, 2006, medical assistance shall not cover drugs that
are coverable under Medicare Part D as defined in the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003, Public Law 108-173, section 1860D-2(e),
for individuals eligible for drug coverage as defined in the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003, Public Law 108-173, section
1860D-1(a)(3)(A). For these individuals, medical assistance may cover drugs from the
drug classes listed in United States Code, title 42, section 1396r-8(d)(2), subject to this
subdivision and subdivisions 13a to 13g, except that drugs listed in United States Code,
title 42, section 1396r-8(d)(2)(E), shall not be covered.
(f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing
Program and dispensed by 340B covered entities and ambulatory pharmacies under
common ownership of the 340B covered entity. Medical assistance does not cover drugs
acquired through the federal 340B Drug Pricing Program and dispensed by 340B contract
pharmacies.

    Sec. 10. Minnesota Statutes 2012, section 256B.0625, subdivision 13e, is amended to
read:
    Subd. 13e. Payment rates. (a) The basis for determining the amount of payment
shall be the lower of the actual acquisition costs of the drugs or the maximum allowable
cost by the commissioner plus the fixed dispensing fee; or the usual and customary price
charged to the public. The amount of payment basis must be reduced to reflect all discount
amounts applied to the charge by any provider/insurer agreement or contract for submitted
charges to medical assistance programs. The net submitted charge may not be greater
than the patient liability for the service. The pharmacy dispensing fee shall be $3.65,
except that the dispensing fee for intravenous solutions which must be compounded by
the pharmacist shall be $8 per bag, $14 per bag for cancer chemotherapy products, and
$30 per bag for total parenteral nutritional products dispensed in one liter quantities,
or $44 per bag for total parenteral nutritional products dispensed in quantities greater
than one liter. Actual acquisition cost includes quantity and other special discounts
except time and cash discounts. The actual acquisition cost of a drug shall be estimated
by the commissioner at wholesale acquisition cost plus four percent for independently
owned pharmacies located in a designated rural area within Minnesota, and at wholesale
acquisition cost plus two percent for all other pharmacies. A pharmacy is "independently
owned" if it is one of four or fewer pharmacies under the same ownership nationally. A
"designated rural area" means an area defined as a small rural area or isolated rural area
according to the four-category classification of the Rural Urban Commuting Area system
developed for the United States Health Resources and Services Administration. Effective
January 1, 2014, the actual acquisition cost of a drug acquired through the federal 340B
Drug Pricing Program shall be estimated by the commissioner at wholesale acquisition
cost minus 40 percent. Wholesale acquisition cost is defined as the manufacturer's list
price for a drug or biological to wholesalers or direct purchasers in the United States, not
including prompt pay or other discounts, rebates, or reductions in price, for the most
recent month for which information is available, as reported in wholesale price guides or
other publications of drug or biological pricing data. The maximum allowable cost of a
multisource drug may be set by the commissioner and it shall be comparable to, but no
higher than, the maximum amount paid by other third-party payors in this state who have
maximum allowable cost programs. Establishment of the amount of payment for drugs
shall not be subject to the requirements of the Administrative Procedure Act.
    (b) An additional dispensing fee of $.30 may be added to the dispensing fee paid
to pharmacists for legend drug prescriptions dispensed to residents of long-term care
facilities when a unit dose blister card system, approved by the department, is used. Under
this type of dispensing system, the pharmacist must dispense a 30-day supply of drug. The
National Drug Code (NDC) from the drug container used to fill the blister card must be
identified on the claim to the department. The unit dose blister card containing the drug
must meet the packaging standards set forth in Minnesota Rules, part 6800.2700, that
govern the return of unused drugs to the pharmacy for reuse. The pharmacy provider will
be required to credit the department for the actual acquisition cost of all unused drugs that
are eligible for reuse. The commissioner may permit the drug clozapine to be dispensed in
a quantity that is less than a 30-day supply.
    (c) Whenever a maximum allowable cost has been set for a multisource drug,
payment shall be the lower of the usual and customary price charged to the public or the
maximum allowable cost established by the commissioner unless prior authorization
for the brand name product has been granted according to the criteria established by
the Drug Formulary Committee as required by subdivision 13f, paragraph (a), and the
prescriber has indicated "dispense as written" on the prescription in a manner consistent
with section 151.21, subdivision 2.
    (d) The basis for determining the amount of payment for drugs administered in an
outpatient setting shall be the lower of the usual and customary cost submitted by the
provider or, 106 percent of the average sales price as determined by the United States
Department of Health and Human Services pursuant to title XVIII, section 1847a of the
federal Social Security Act, the specialty pharmacy rate, or the maximum allowable cost
set by the commissioner. If average sales price is unavailable, the amount of payment
must be lower of the usual and customary cost submitted by the provider or, the wholesale
acquisition cost, the specialty pharmacy rate, or the maximum allowable cost set by the
commissioner. Effective January 1, 2014, the commissioner shall discount the payment
rate for drugs obtained through the federal 340B Drug Pricing Program by 20 percent. The
payment for drugs administered in an outpatient setting shall be made to the administering
facility or practitioner. A retail or specialty pharmacy dispensing a drug for administration
in an outpatient setting is not eligible for direct reimbursement.
    (e) The commissioner may negotiate lower reimbursement rates for specialty
pharmacy products than the rates specified in paragraph (a). The commissioner may
require individuals enrolled in the health care programs administered by the department
to obtain specialty pharmacy products from providers with whom the commissioner has
negotiated lower reimbursement rates. Specialty pharmacy products are defined as those
used by a small number of recipients or recipients with complex and chronic diseases
that require expensive and challenging drug regimens. Examples of these conditions
include, but are not limited to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis
C, growth hormone deficiency, Crohn's Disease, rheumatoid arthritis, and certain forms
of cancer. Specialty pharmaceutical products include injectable and infusion therapies,
biotechnology drugs, antihemophilic factor products, high-cost therapies, and therapies
that require complex care. The commissioner shall consult with the formulary committee
to develop a list of specialty pharmacy products subject to this paragraph. In consulting
with the formulary committee in developing this list, the commissioner shall take into
consideration the population served by specialty pharmacy products, the current delivery
system and standard of care in the state, and access to care issues. The commissioner shall
have the discretion to adjust the reimbursement rate to prevent access to care issues.
(f) Home infusion therapy services provided by home infusion therapy pharmacies
must be paid at rates according to subdivision 8d.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 11. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:
    Subd. 28b. Doula services. Medical assistance covers doula services provided by a
certified doula as defined in section 148.995, subdivision 2, of the mother's choice. For
purposes of this section, "doula services" means childbirth education and support services,
including emotional and physical support provided during pregnancy, labor, birth, and
postpartum.
EFFECTIVE DATE.This section is effective July 1, 2014, or upon federal
approval, whichever is later, and applies to services provided on or after the effective date.

    Sec. 12. Minnesota Statutes 2012, section 256B.0625, subdivision 31, is amended to
read:
    Subd. 31. Medical supplies and equipment. (a) Medical assistance covers medical
supplies and equipment. Separate payment outside of the facility's payment rate shall
be made for wheelchairs and wheelchair accessories for recipients who are residents
of intermediate care facilities for the developmentally disabled. Reimbursement for
wheelchairs and wheelchair accessories for ICF/MR recipients shall be subject to the same
conditions and limitations as coverage for recipients who do not reside in institutions. A
wheelchair purchased outside of the facility's payment rate is the property of the recipient.
The commissioner may set reimbursement rates for specified categories of medical
supplies at levels below the Medicare payment rate.
(b) Vendors of durable medical equipment, prosthetics, orthotics, or medical supplies
must enroll as a Medicare provider.
(c) When necessary to ensure access to durable medical equipment, prosthetics,
orthotics, or medical supplies, the commissioner may exempt a vendor from the Medicare
enrollment requirement if:
(1) the vendor supplies only one type of durable medical equipment, prosthetic,
orthotic, or medical supply;
(2) the vendor serves ten or fewer medical assistance recipients per year;
(3) the commissioner finds that other vendors are not available to provide same or
similar durable medical equipment, prosthetics, orthotics, or medical supplies; and
(4) the vendor complies with all screening requirements in this chapter and Code of
Federal Regulations, title 42, part 455. The commissioner may also exempt a vendor from
the Medicare enrollment requirement if the vendor is accredited by a Centers for Medicare
and Medicaid Services approved national accreditation organization as complying with
the Medicare program's supplier and quality standards and the vendor serves primarily
pediatric patients.
(d) Durable medical equipment means a device or equipment that:
(1) can withstand repeated use;
(2) is generally not useful in the absence of an illness, injury, or disability; and
(3) is provided to correct or accommodate a physiological disorder or physical
condition or is generally used primarily for a medical purpose.
(e) Electronic tablets may be considered durable medical equipment if the electronic
tablet will be used as an augmentative and alternative communication system as defined
under subdivision 31a, paragraph (a). To be covered by medical assistance, the device
must be locked in order to prevent use not related to communication.

    Sec. 13. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:
    Subd. 31b. Preferred diabetic testing supply program. (a) The commissioner
shall implement a point-of-sale preferred diabetic testing supply program by January 1,
2014. Medical assistance coverage for diabetic testing supplies shall conform to the
limitations established under the program. The commissioner may enter into a contract
with a vendor for the purpose of participating in a preferred diabetic testing supply list and
supplemental rebate program. The commissioner shall ensure that any contract meets all
federal requirements and maximizes federal financial participation. The commissioner
shall maintain an accurate and up-to-date list on the department's Web site.
(b) The commissioner may add to, delete from, and otherwise modify the preferred
diabetic testing supply program drug list after consulting with the Drug Formulary
Committee and appropriate medical specialists and providing public notice and the
opportunity for public comment.
(c) The commissioner shall adopt and administer the preferred diabetic testing
supply program as part of the administration of the diabetic testing supply rebate program.
Reimbursement for diabetic testing supplies not on the preferred diabetic testing supply
list may be subject to prior authorization.
(d) All claims for diabetic testing supplies in categories on the preferred diabetic
testing supply list must be submitted by enrolled pharmacy providers using the most
current National Council of Prescription Drug Plans electronic claims standard.
(e) For purposes of this subdivision, "preferred diabetic testing supply list" means a
list of diabetic testing supplies selected by the commissioner, for which prior authorization
is not required.
(f) The commissioner shall seek any federal waivers or approvals necessary to
implement this subdivision.

    Sec. 14. Minnesota Statutes 2012, section 256B.0625, subdivision 39, is amended to
read:
    Subd. 39. Childhood immunizations. Providers who administer pediatric vaccines
within the scope of their licensure, and who are enrolled as a medical assistance provider,
must enroll in the pediatric vaccine administration program established by section 13631
of the Omnibus Budget Reconciliation Act of 1993. Medical assistance shall pay an
$8.50 fee per dose for administration of the vaccine to children eligible for medical
assistance. Medical assistance does not pay for vaccines that are available at no cost from
the pediatric vaccine administration program.

    Sec. 15. Minnesota Statutes 2012, section 256B.0625, subdivision 58, is amended to
read:
    Subd. 58. Early and periodic screening, diagnosis, and treatment services.
Medical assistance covers early and periodic screening, diagnosis, and treatment services
(EPSDT). The payment amount for a complete EPSDT screening shall not include charges
for vaccines that are available at no cost to the provider and shall not exceed the rate
established per Minnesota Rules, part 9505.0445, item M, effective October 1, 2010.

    Sec. 16. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:
    Subd. 63. Payment for multiple services provided on the same day. The
commissioner shall not prohibit payment, including supplemental payments, for mental
health services or dental services provided to a patient by a clinic or health care
professional solely because the mental health or dental services were provided on the same
day as other covered health services furnished by the same provider.

    Sec. 17. Minnesota Statutes 2012, section 256B.0631, subdivision 1, is amended to read:
    Subdivision 1. Cost-sharing. (a) Except as provided in subdivision 2, the medical
assistance benefit plan shall include the following cost-sharing for all recipients, effective
for services provided on or after September 1, 2011:
    (1) $3 per nonpreventive visit, except as provided in paragraph (b). For purposes
of this subdivision, a visit means an episode of service which is required because of
a recipient's symptoms, diagnosis, or established illness, and which is delivered in an
ambulatory setting by a physician or physician ancillary, chiropractor, podiatrist, nurse
midwife, advanced practice nurse, audiologist, optician, or optometrist;
    (2) $3.50 for nonemergency visits to a hospital-based emergency room, except that
this co-payment shall be increased to $20 upon federal approval;
    (3) $3 per brand-name drug prescription and $1 per generic drug prescription,
subject to a $12 per month maximum for prescription drug co-payments. No co-payments
shall apply to antipsychotic drugs when used for the treatment of mental illness;
(4) effective January 1, 2012, a family deductible equal to the maximum amount
allowed under Code of Federal Regulations, title 42, part 447.54; and
    (5) for individuals identified by the commissioner with income at or below 100
percent of the federal poverty guidelines, total monthly cost-sharing must not exceed five
percent of family income. For purposes of this paragraph, family income is the total
earned and unearned income of the individual and the individual's spouse, if the spouse is
enrolled in medical assistance and also subject to the five percent limit on cost-sharing.
    (b) Recipients of medical assistance are responsible for all co-payments and
deductibles in this subdivision.
(c) Notwithstanding paragraph (b), the commissioner, through the contracting
process under sections 256B.69 and 256B.692, may allow managed care plans and
county-based purchasing plans to waive the family deductible under paragraph (a),
clause (4). The value of the family deductible shall not be included in the capitation
payment to managed care plans and county-based purchasing plans. Managed care plans
and county-based purchasing plans shall certify annually to the commissioner the dollar
value of the family deductible.
(d) Notwithstanding paragraph (b), the commissioner may waive the collection of
the family deductible described under paragraph (a), clause (4), from individuals and
allow long-term care and waivered service providers to assume responsibility for payment.
(e) Notwithstanding paragraph (b), the commissioner, through the contracting
process under section 256B.0756 shall allow the pilot program in Hennepin County to
waive co-payments. The value of the co-payments shall not be included in the capitation
payment amount to the integrated health care delivery networks under the pilot program.

    Sec. 18. Minnesota Statutes 2012, section 256B.0756, is amended to read:
256B.0756 HENNEPIN AND RAMSEY COUNTIES PILOT PROGRAM.
(a) The commissioner, upon federal approval of a new waiver request or amendment
of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey
County, or both, to test alternative and innovative integrated health care delivery networks.
(b) Individuals eligible for the pilot program shall be individuals who are eligible for
medical assistance under section 256B.055, subdivision 15, and who reside in Hennepin
County or Ramsey County. The commissioner may identify individuals to be enrolled in
the Hennepin County pilot program based on zip code in Hennepin County or whether the
individuals would benefit from an integrated health care delivery network.
(c) Individuals enrolled in the pilot program shall be enrolled in an integrated
health care delivery network in their county of residence. The integrated health care
delivery network in Hennepin County shall be a network, such as an accountable care
organization or a community-based collaborative care network, created by or including
Hennepin County Medical Center. The integrated health care delivery network in Ramsey
County shall be a network, such as an accountable care organization or community-based
collaborative care network, created by or including Regions Hospital.
(d) The commissioner shall cap pilot program enrollment at 7,000 enrollees for
Hennepin County and 3,500 enrollees for Ramsey County.
(e) (d) In developing a payment system for the pilot programs, the commissioner
shall establish a total cost of care for the recipients enrolled in the pilot programs that
equals the cost of care that would otherwise be spent for these enrollees in the prepaid
medical assistance program.
(f) Counties may transfer funds necessary to support the nonfederal share of
payments for integrated health care delivery networks in their county. Such transfers per
county shall not exceed 15 percent of the expected expenses for county enrollees.
(g) (e) The commissioner shall apply to the federal government for, or as appropriate,
cooperate with counties, providers, or other entities that are applying for any applicable
grant or demonstration under the Patient Protection and Affordable Health Care Act, Public
Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public Law
111-152, that would further the purposes of or assist in the creation of an integrated health
care delivery network for the purposes of this subdivision, including, but not limited to, a
global payment demonstration or the community-based collaborative care network grants.

    Sec. 19. Minnesota Statutes 2012, section 256B.196, subdivision 2, is amended to read:
    Subd. 2. Commissioner's duties. (a) For the purposes of this subdivision and
subdivision 3, the commissioner shall determine the fee-for-service outpatient hospital
services upper payment limit for nonstate government hospitals. The commissioner shall
then determine the amount of a supplemental payment to Hennepin County Medical
Center and Regions Hospital for these services that would increase medical assistance
spending in this category to the aggregate upper payment limit for all nonstate government
hospitals in Minnesota. In making this determination, the commissioner shall allot the
available increases between Hennepin County Medical Center and Regions Hospital
based on the ratio of medical assistance fee-for-service outpatient hospital payments to
the two facilities. The commissioner shall adjust this allotment as necessary based on
federal approvals, the amount of intergovernmental transfers received from Hennepin and
Ramsey Counties, and other factors, in order to maximize the additional total payments.
The commissioner shall inform Hennepin County and Ramsey County of the periodic
intergovernmental transfers necessary to match federal Medicaid payments available
under this subdivision in order to make supplementary medical assistance payments to
Hennepin County Medical Center and Regions Hospital equal to an amount that when
combined with existing medical assistance payments to nonstate governmental hospitals
would increase total payments to hospitals in this category for outpatient services to
the aggregate upper payment limit for all hospitals in this category in Minnesota. Upon
receipt of these periodic transfers, the commissioner shall make supplementary payments
to Hennepin County Medical Center and Regions Hospital.
    (b) For the purposes of this subdivision and subdivision 3, the commissioner shall
determine an upper payment limit for physicians and other billing professionals affiliated
with Hennepin County Medical Center and with Regions Hospital. The upper payment
limit shall be based on the average commercial rate or be determined using another method
acceptable to the Centers for Medicare and Medicaid Services. The commissioner shall
inform Hennepin County and Ramsey County of the periodic intergovernmental transfers
necessary to match the federal Medicaid payments available under this subdivision in order
to make supplementary payments to physicians and other billing professionals affiliated
with Hennepin County Medical Center and to make supplementary payments to physicians
and other billing professionals affiliated with Regions Hospital through HealthPartners
Medical Group equal to the difference between the established medical assistance
payment for physician and other billing professional services and the upper payment limit.
Upon receipt of these periodic transfers, the commissioner shall make supplementary
payments to physicians and other billing professionals affiliated with Hennepin County
Medical Center and shall make supplementary payments to physicians and other billing
professionals affiliated with Regions Hospital through HealthPartners Medical Group.
    (c) Beginning January 1, 2010, Hennepin County and Ramsey County may make
monthly voluntary intergovernmental transfers to the commissioner in amounts not to
exceed $12,000,000 per year from Hennepin County and $6,000,000 per year from
Ramsey County. The commissioner shall increase the medical assistance capitation
payments to any licensed health plan under contract with the medical assistance program
that agrees to make enhanced payments to Hennepin County Medical Center or Regions
Hospital. The increase shall be in an amount equal to the annual value of the monthly
transfers plus federal financial participation, with each health plan receiving its pro rata
share of the increase based on the pro rata share of medical assistance admissions to
Hennepin County Medical Center and Regions Hospital by those plans. Upon the request
of the commissioner, health plans shall submit individual-level cost data for verification
purposes. The commissioner may ratably reduce these payments on a pro rata basis in
order to satisfy federal requirements for actuarial soundness. If payments are reduced,
transfers shall be reduced accordingly. Any licensed health plan that receives increased
medical assistance capitation payments under the intergovernmental transfer described in
this paragraph shall increase its medical assistance payments to Hennepin County Medical
Center and Regions Hospital by the same amount as the increased payments received in
the capitation payment described in this paragraph.
    (d) For the purposes of this subdivision and subdivision 3, the commissioner shall
determine an upper payment limit for ambulance services affiliated with Hennepin County
Medical Center and the city of St. Paul. The upper payment limit shall be based on
the average commercial rate or be determined using another method acceptable to the
Centers for Medicare and Medicaid Services. The commissioner shall inform Hennepin
County and the city of St. Paul of the periodic intergovernmental transfers necessary to
match the federal Medicaid payments available under this subdivision in order to make
supplementary payments to Hennepin County Medical Center and the city of St. Paul
equal to the difference between the established medical assistance payment for ambulance
services and the upper payment limit. Upon receipt of these periodic transfers, the
commissioner shall make supplementary payments to Hennepin County Medical Center
and the city of St. Paul.
    (e) The commissioner shall inform the transferring governmental entities on an
ongoing basis of the need for any changes needed in the intergovernmental transfers in
order to continue the payments under paragraphs (a) to (c) (d), at their maximum level,
including increases in upper payment limits, changes in the federal Medicaid match, and
other factors.
    (e) (f) The payments in paragraphs (a) to (c) (d) shall be implemented independently
of each other, subject to federal approval and to the receipt of transfers under subdivision 3.

    Sec. 20. Minnesota Statutes 2012, section 256B.69, subdivision 5c, is amended to read:
    Subd. 5c. Medical education and research fund. (a) The commissioner of human
services shall transfer each year to the medical education and research fund established
under section 62J.692, an amount specified in this subdivision. The commissioner shall
calculate the following:
(1) an amount equal to the reduction in the prepaid medical assistance payments as
specified in this clause. Until January 1, 2002, the county medical assistance capitation
base rate prior to plan specific adjustments and after the regional rate adjustments under
subdivision 5b is reduced 6.3 percent for Hennepin County, two percent for the remaining
metropolitan counties, and no reduction for nonmetropolitan Minnesota counties; and after
January 1, 2002, the county medical assistance capitation base rate prior to plan specific
adjustments is reduced 6.3 percent for Hennepin County, two percent for the remaining
metropolitan counties, and 1.6 percent for nonmetropolitan Minnesota counties. Nursing
facility and elderly waiver payments and demonstration project payments operating
under subdivision 23 are excluded from this reduction. The amount calculated under
this clause shall not be adjusted for periods already paid due to subsequent changes to
the capitation payments;
(2) beginning July 1, 2003, $4,314,000 from the capitation rates paid under this
section;
(3) beginning July 1, 2002, an additional $12,700,000 from the capitation rates
paid under this section; and
(4) beginning July 1, 2003, an additional $4,700,000 from the capitation rates paid
under this section.
(b) This subdivision shall be effective upon approval of a federal waiver which
allows federal financial participation in the medical education and research fund. The
amount specified under paragraph (a), clauses (1) to (4), shall not exceed the total amount
transferred for fiscal year 2009. Any excess shall first reduce the amounts specified under
paragraph (a), clauses (2) to (4). Any excess following this reduction shall proportionally
reduce the amount specified under paragraph (a), clause (1).
(c) Beginning September 1, 2011, of the amount in paragraph (a), the commissioner
shall transfer $21,714,000 each fiscal year to the medical education and research fund.
(d) Beginning September 1, 2011, of the amount in paragraph (a), following the
transfer under paragraph (c), the commissioner shall transfer to the medical education
research fund $23,936,000 in fiscal years 2012 and 2013 and $36,744,000 $49,552,000 in
fiscal year 2014 and thereafter.

    Sec. 21. Minnesota Statutes 2012, section 256B.69, subdivision 5i, is amended to read:
    Subd. 5i. Administrative expenses. (a) Managed care plan and county-based
purchasing plan administrative costs for a prepaid health plan provided under this section
or section 256B.692 must not exceed by more than five percent that prepaid health plan's
or county-based purchasing plan's actual calculated administrative spending for the
previous calendar year as a percentage of total revenue. The penalty for exceeding this
limit must be the amount of administrative spending in excess of 105 percent of the actual
calculated amount. The commissioner may waive this penalty if the excess administrative
spending is the result of unexpected shifts in enrollment or member needs or new program
requirements.
    (b) Expenses listed under section 62D.12, subdivision 9a, clause (4), are not
allowable administrative expenses for rate-setting purposes under this section, unless
approved by the commissioner. The following expenses are not allowable administrative
expenses for rate-setting purposes under this section:
    (1) charitable contributions made by the managed care plan or the county-based
purchasing plan;
    (2) any portion of an individual's compensation in excess of $200,000 paid by the
managed care plan or county-based purchasing plan;
    (3) any penalties or fines assessed against the managed care plan or county-based
purchasing plan; and
    (4) any indirect marketing or advertising expenses of the managed care plan or
county-based purchasing plan.
For the purposes of this subdivision, compensation includes salaries, bonuses and
incentives, other reportable compensation on an IRS 990 form, retirement and other
deferred compensation, and nontaxable benefits.

    Sec. 22. Minnesota Statutes 2012, section 256B.69, subdivision 9c, is amended to read:
    Subd. 9c. Managed care financial reporting. (a) The commissioner shall collect
detailed data regarding financials, provider payments, provider rate methodologies, and
other data as determined by the commissioner and managed care and county-based
purchasing plans that are required to be submitted under this section. The commissioner,
in consultation with the commissioners of health and commerce, and in consultation
with managed care plans and county-based purchasing plans, shall set uniform criteria,
definitions, and standards for the data to be submitted, and shall require managed care and
county-based purchasing plans to comply with these criteria, definitions, and standards
when submitting data under this section. In carrying out the responsibilities of this
subdivision, the commissioner shall ensure that the data collection is implemented in an
integrated and coordinated manner that avoids unnecessary duplication of effort. To the
extent possible, the commissioner shall use existing data sources and streamline data
collection in order to reduce public and private sector administrative costs. Nothing in
this subdivision shall allow release of information that is nonpublic data pursuant to
section 13.02.
(b) Effective January 1, 2014, each managed care and county-based purchasing plan
must annually quarterly provide to the commissioner the following information on state
public programs, in the form and manner specified by the commissioner, according to
guidelines developed by the commissioner in consultation with managed care plans and
county-based purchasing plans under contract:
(1) an income statement by program;
(2) financial statement footnotes;
(3) quarterly profitability by program and population group;
(4) a medical liability summary by program and population group;
(5) received but unpaid claims report by program;
(6) services versus payment lags by program for hospital services, outpatient
services, physician services, other medical services, and pharmaceutical benefits;
(7) utilization reports that summarize utilization and unit cost information by
program for hospitalization services, outpatient services, physician services, and other
medical services;
(8) pharmaceutical statistics by program and population group for measures of price
and utilization of pharmaceutical services;
(9) subcapitation expenses by population group;
(10) third-party payments by program;
(11) all new, active, and closed subrogation cases by program;
(12) all new, active, and closed fraud and abuse cases by program;
(13) medical loss ratios by program;
(1) (14) administrative expenses by category and subcategory consistent with
administrative expense reporting by program that reconcile to other state and federal
regulatory agencies, by program;
(2) (15) revenues by program, including investment income;
(3) (16) nonadministrative service payments, provider payments, and reimbursement
rates by provider type or service category, by program, paid by the managed care plan
under this section or the county-based purchasing plan under section 256B.692 to
providers and vendors for administrative services under contract with the plan, including
but not limited to:
(i) individual-level provider payment and reimbursement rate data;
(ii) provider reimbursement rate methodologies by provider type, by program,
including a description of alternative payment arrangements and payments outside the
claims process;
(iii) data on implementation of legislatively mandated provider rate changes; and
(iv) individual-level provider payment and reimbursement rate data and plan-specific
provider reimbursement rate methodologies by provider type, by program, including
alternative payment arrangements and payments outside the claims process, provided to
the commissioner under this subdivision are nonpublic data as defined in section 13.02;
(4) (17) data on the amount of reinsurance or transfer of risk by program; and
(5) (18) contribution to reserve, by program.
(c) In the event a report is published or released based on data provided under
this subdivision, the commissioner shall provide the report to managed care plans and
county-based purchasing plans 30 15 days prior to the publication or release of the report.
Managed care plans and county-based purchasing plans shall have 30 15 days to review
the report and provide comment to the commissioner.
The quarterly reports shall be submitted to the commissioner no later than 60 days after the
end of the previous quarter, except the fourth-quarter report, which shall be submitted by
April 1 of each year. The fourth-quarter report shall include audited financial statements,
parent company audited financial statements, an income statement reconciliation report,
and any other documentation necessary to reconcile the detailed reports to the audited
financial statements.

    Sec. 23. Minnesota Statutes 2012, section 256B.69, subdivision 31, is amended to read:
    Subd. 31. Payment reduction. (a) Beginning September 1, 2011, the commissioner
shall reduce payments and limit future rate increases paid to managed care plans and
county-based purchasing plans. The limits in paragraphs (a) to (f) shall be achieved
on a statewide aggregate basis by program. The commissioner may use competitive
bidding, payment reductions, or other reductions to achieve the reductions and limits
in this subdivision.
(b) Beginning September 1, 2011, the commissioner shall reduce payments to
managed care plans and county-based purchasing plans as follows:
(1) 2.0 percent for medical assistance elderly basic care. This shall not apply
to Medicare cost-sharing, nursing facility, personal care assistance, and elderly waiver
services;
(2) 2.82 percent for medical assistance families and children;
(3) 10.1 percent for medical assistance adults without children; and
(4) 6.0 percent for MinnesotaCare families and children.
(c) Beginning January 1, 2012, the commissioner shall limit rates paid to managed
care plans and county-based purchasing plans for calendar year 2012 to a percentage of
the rates in effect on August 31, 2011, as follows:
(1) 98 percent for medical assistance elderly basic care. This shall not apply to
Medicare cost-sharing, nursing facility, personal care assistance, and elderly waiver
services;
(2) 97.18 percent for medical assistance families and children;
(3) 89.9 percent for medical assistance adults without children; and
(4) 94 percent for MinnesotaCare families and children.
(d) Beginning January 1, 2013, to December 31, 2013, the commissioner shall limit
the maximum annual trend increases to rates paid to managed care plans and county-based
purchasing plans as follows:
(1) 7.5 percent for medical assistance elderly basic care. This shall not apply
to Medicare cost-sharing, nursing facility, personal care assistance, and elderly waiver
services;
(2) 5.0 percent for medical assistance special needs basic care;
(3) 2.0 percent for medical assistance families and children;
(4) 3.0 percent for medical assistance adults without children;
(5) 3.0 percent for MinnesotaCare families and children; and
(6) 3.0 percent for MinnesotaCare adults without children.
(e) The commissioner may limit trend increases to less than the maximum.
Beginning July 1, 2014, the commissioner shall limit the maximum annual trend increases
to rates paid to managed care plans and county-based purchasing plans as follows for
calendar years 2014 and 2015:
(1) 7.5 percent for medical assistance elderly basic care. This shall not apply
to Medicare cost-sharing, nursing facility, personal care assistance, and elderly waiver
services;
(2) 5.0 percent for medical assistance special needs basic care;
(3) 2.0 percent for medical assistance families and children;
(4) 3.0 percent for medical assistance adults without children;
(5) 3.0 percent for MinnesotaCare families and children; and
(6) 4.0 percent for MinnesotaCare adults without children.
The commissioner may limit trend increases to less than the maximum. For calendar
year 2014, the commissioner shall reduce the maximum aggregate trend increases by
$47,000,000 in state and federal funds to account for the reductions in administrative
expenses in subdivision 5i.

    Sec. 24. Minnesota Statutes 2012, section 256B.69, is amended by adding a
subdivision to read:
    Subd. 34. Supplemental recovery program. The commissioner shall conduct a
supplemental recovery program for third-party liabilities not recovered by managed care
plans and county-based purchasing plans for state public health programs. Any third-party
liability identified and recovered by the commissioner more than six months after the date
a managed care plan or county-based purchasing plan receives a health care claim shall
be retained by the commissioner and deposited in the general fund. The commissioner
shall establish a mechanism for managed care plans and county-based purchasing plans to
coordinate third-party liability collections efforts with the commissioner to ensure there
is no duplication of efforts. The coordination mechanism must be consistent with the
reporting requirements in subdivision 9c.

    Sec. 25. Minnesota Statutes 2012, section 256B.76, subdivision 1, is amended to read:
    Subdivision 1. Physician reimbursement. (a) Effective for services rendered on
or after October 1, 1992, the commissioner shall make payments for physician services
as follows:
    (1) payment for level one Centers for Medicare and Medicaid Services' common
procedural coding system codes titled "office and other outpatient services," "preventive
medicine new and established patient," "delivery, antepartum, and postpartum care,"
"critical care," cesarean delivery and pharmacologic management provided to psychiatric
patients, and level three codes for enhanced services for prenatal high risk, shall be paid
at the lower of (i) submitted charges, or (ii) 25 percent above the rate in effect on June
30, 1992. If the rate on any procedure code within these categories is different than the
rate that would have been paid under the methodology in section 256B.74, subdivision 2,
then the larger rate shall be paid;
    (2) payments for all other services shall be paid at the lower of (i) submitted charges,
or (ii) 15.4 percent above the rate in effect on June 30, 1992; and
    (3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases
except that payment rates for home health agency services shall be the rates in effect
on September 30, 1992.
    (b) Effective for services rendered on or after January 1, 2000, payment rates for
physician and professional services shall be increased by three percent over the rates
in effect on December 31, 1999, except for home health agency and family planning
agency services. The increases in this paragraph shall be implemented January 1, 2000,
for managed care.
(c) Effective for services rendered on or after July 1, 2009, payment rates for
physician and professional services shall be reduced by five percent, except that for the
period July 1, 2009, through June 30, 2010, payment rates shall be reduced by 6.5 percent
for the medical assistance and general assistance medical care programs, over the rates in
effect on June 30, 2009. This reduction and the reductions in paragraph (d) do not apply
to office or other outpatient visits, preventive medicine visits and family planning visits
billed by physicians, advanced practice nurses, or physician assistants in a family planning
agency or in one of the following primary care practices: general practice, general internal
medicine, general pediatrics, general geriatrics, and family medicine. This reduction
and the reductions in paragraph (d) do not apply to federally qualified health centers,
rural health centers, and Indian health services. Effective October 1, 2009, payments
made to managed care plans and county-based purchasing plans under sections 256B.69,
256B.692, and 256L.12 shall reflect the payment reduction described in this paragraph.
(d) Effective for services rendered on or after July 1, 2010, payment rates for
physician and professional services shall be reduced an additional seven percent over
the five percent reduction in rates described in paragraph (c). This additional reduction
does not apply to physical therapy services, occupational therapy services, and speech
pathology and related services provided on or after July 1, 2010. This additional reduction
does not apply to physician services billed by a psychiatrist or an advanced practice nurse
with a specialty in mental health. Effective October 1, 2010, payments made to managed
care plans and county-based purchasing plans under sections 256B.69, 256B.692, and
256L.12 shall reflect the payment reduction described in this paragraph.
(e) Effective for services rendered on or after September 1, 2011, through June 30,
2013, payment rates for physician and professional services shall be reduced three percent
from the rates in effect on August 31, 2011. This reduction does not apply to physical
therapy services, occupational therapy services, and speech pathology and related services.
(f) Effective for services rendered on or after September 1, 2014, payment rates for
physician and professional services, including physical therapy, occupational therapy,
speech pathology, and mental health services shall be increased by five percent from the
rates in effect on August 31, 2014. In calculating this rate increase, the commissioner
shall not include in the base rate for August 31, 2014, the rate increase provided under
section 256B.76, subdivision 7. This increase does not apply to federally qualified health
centers, rural health centers, and Indian health services. Payments made to managed
care plans and county-based purchasing plans shall not be adjusted to reflect payments
under this paragraph.

    Sec. 26. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
    Subd. 2. Dental reimbursement. (a) Effective for services rendered on or after
October 1, 1992, the commissioner shall make payments for dental services as follows:
    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
percent above the rate in effect on June 30, 1992; and
    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases.
    (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
    (c) Effective for services rendered on or after January 1, 2000, payment rates for
dental services shall be increased by three percent over the rates in effect on December
31, 1999.
    (d) Effective for services provided on or after January 1, 2002, payment for
diagnostic examinations and dental x-rays provided to children under age 21 shall be the
lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
    (e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
2000, for managed care.
(f) Effective for dental services rendered on or after October 1, 2010, by a
state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
on the Medicare principles of reimbursement. This payment shall be effective for services
rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
county-based purchasing plans.
(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
year, a supplemental state payment equal to the difference between the total payments
in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
services for the operation of the dental clinics.
(h) If the cost-based payment system for state-operated dental clinics described in
paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
designated as critical access dental providers under subdivision 4, paragraph (b), and shall
receive the critical access dental reimbursement rate as described under subdivision 4,
paragraph (a).
(i) Effective for services rendered on or after September 1, 2011, through June 30,
2013, payment rates for dental services shall be reduced by three percent. This reduction
does not apply to state-operated dental clinics in paragraph (f).
(j) Effective for services rendered on or after January 1, 2014, payment rates for
dental services shall be increased by five percent from the rates in effect on December
31, 2013. This increase does not apply to state-operated dental clinics in paragraph (f),
federally qualified health centers, rural health centers, and Indian health services. Effective
January 1, 2014, payments made to managed care plans and county-based purchasing
plans under sections 256B.69, 256B.692, and 256L.12 shall reflect the payment increase
described in this paragraph.

    Sec. 27. Minnesota Statutes 2012, section 256B.76, subdivision 4, is amended to read:
    Subd. 4. Critical access dental providers. (a) Effective for dental services rendered
on or after January 1, 2002, the commissioner shall increase reimbursements to dentists
and dental clinics deemed by the commissioner to be critical access dental providers.
For dental services rendered on or after July 1, 2007, the commissioner shall increase
reimbursement by 30 35 percent above the reimbursement rate that would otherwise be
paid to the critical access dental provider. The commissioner shall pay the managed
care plans and county-based purchasing plans in amounts sufficient to reflect increased
reimbursements to critical access dental providers as approved by the commissioner.
(b) The commissioner shall designate the following dentists and dental clinics as
critical access dental providers:
    (1) nonprofit community clinics that:
(i) have nonprofit status in accordance with chapter 317A;
(ii) have tax exempt status in accordance with the Internal Revenue Code, section
501(c)(3);
(iii) are established to provide oral health services to patients who are low income,
uninsured, have special needs, and are underserved;
(iv) have professional staff familiar with the cultural background of the clinic's
patients;
(v) charge for services on a sliding fee scale designed to provide assistance to
low-income patients based on current poverty income guidelines and family size;
(vi) do not restrict access or services because of a patient's financial limitations
or public assistance status; and
(vii) have free care available as needed;
    (2) federally qualified health centers, rural health clinics, and public health clinics;
    (3) city or county owned and operated hospital-based dental clinics;
(4) a dental clinic or dental group owned and operated by a nonprofit corporation in
accordance with chapter 317A with more than 10,000 patient encounters per year with
patients who are uninsured or covered by medical assistance, general assistance medical
care, or MinnesotaCare; and
(5) a dental clinic owned and operated by the University of Minnesota or the
Minnesota State Colleges and Universities system.; and
(6) private practicing dentists if:
(i) the dentist's office is located within a health professional shortage area as defined
under Code of Federal Regulations, title 42, part 5, and United States Code, title 42,
section 254E;
(ii) more than 50 percent of the dentist's patient encounters per year are with patients
who are uninsured or covered by medical assistance or MinnesotaCare;
(iii) the dentist does not restrict access or services because of a patient's financial
limitations or public assistance status; and
(iv) the level of service provided by the dentist is critical to maintaining adequate
levels of patient access within the service area in which the dentist operates.
    (c) The commissioner may designate a dentist or dental clinic as a critical access
dental provider if the dentist or dental clinic is willing to provide care to patients covered
by medical assistance, general assistance medical care, or MinnesotaCare at a level which
significantly increases access to dental care in the service area.
(d) (c) A designated critical access clinic shall receive the reimbursement rate
specified in paragraph (a) for dental services provided off site at a private dental office if
the following requirements are met:
(1) the designated critical access dental clinic is located within a health professional
shortage area as defined under Code of Federal Regulations, title 42, part 5, and United
States Code, title 42, section 254E, and is located outside the seven-county metropolitan
area;
(2) the designated critical access dental clinic is not able to provide the service
and refers the patient to the off-site dentist;
(3) the service, if provided at the critical access dental clinic, would be reimbursed
at the critical access reimbursement rate;
(4) the dentist and allied dental professionals providing the services off site are
licensed and in good standing under chapter 150A;
(5) the dentist providing the services is enrolled as a medical assistance provider;
(6) the critical access dental clinic submits the claim for services provided off site
and receives the payment for the services; and
(7) the critical access dental clinic maintains dental records for each claim submitted
under this paragraph, including the name of the dentist, the off-site location, and the
license number of the dentist and allied dental professionals providing the services.

    Sec. 28. Minnesota Statutes 2012, section 256B.76, is amended by adding a
subdivision to read:
    Subd. 7. Payment for certain primary care services and immunization
administration. Payment for certain primary care services and immunization
administration services rendered on or after January 1, 2013, through December 31, 2014,
shall be made in accordance with section 1902(a)(13) of the Social Security Act.

    Sec. 29. Minnesota Statutes 2012, section 256B.764, is amended to read:
256B.764 REIMBURSEMENT FOR FAMILY PLANNING SERVICES.
    (a) Effective for services rendered on or after July 1, 2007, payment rates for family
planning services shall be increased by 25 percent over the rates in effect June 30, 2007,
when these services are provided by a community clinic as defined in section 145.9268,
subdivision 1.
    (b) Effective for services rendered on or after July 1, 2013, payment rates for
family planning services shall be increased by 20 percent over the rates in effect June
30, 2013, when these services are provided by a community clinic as defined in section
145.9268, subdivision 1. The commissioner shall adjust capitation rates to managed care
and county-based purchasing plans to reflect this increase, and shall require plans to pass
on the full amount of the rate increase to eligible community clinics, in the form of higher
payment rates for family planning services.

    Sec. 30. Minnesota Statutes 2012, section 256B.766, is amended to read:
256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.
(a) Effective for services provided on or after July 1, 2009, total payments for basic
care services, shall be reduced by three percent, except that for the period July 1, 2009,
through June 30, 2011, total payments shall be reduced by 4.5 percent for the medical
assistance and general assistance medical care programs, prior to third-party liability and
spenddown calculation. Effective July 1, 2010, the commissioner shall classify physical
therapy services, occupational therapy services, and speech-language pathology and
related services as basic care services. The reduction in this paragraph shall apply to
physical therapy services, occupational therapy services, and speech-language pathology
and related services provided on or after July 1, 2010.
(b) Payments made to managed care plans and county-based purchasing plans shall
be reduced for services provided on or after October 1, 2009, to reflect the reduction
effective July 1, 2009, and payments made to the plans shall be reduced effective October
1, 2010, to reflect the reduction effective July 1, 2010.
(c) Effective for services provided on or after September 1, 2011, through June 30,
2013, total payments for outpatient hospital facility fees shall be reduced by five percent
from the rates in effect on August 31, 2011.
(d) Effective for services provided on or after September 1, 2011, through June
30, 2013, total payments for ambulatory surgery centers facility fees, medical supplies
and durable medical equipment not subject to a volume purchase contract, prosthetics
and orthotics, renal dialysis services, laboratory services, public health nursing services,
physical therapy services, occupational therapy services, speech therapy services,
eyeglasses not subject to a volume purchase contract, hearing aids not subject to a volume
purchase contract, and anesthesia services, and hospice services shall be reduced by three
percent from the rates in effect on August 31, 2011.
(e) Effective for services provided on or after September 1, 2014, payments for
ambulatory surgery centers facility fees, medical supplies and durable medical equipment
not subject to a volume purchase contract, prosthetics and orthotics, hospice services, renal
dialysis services, laboratory services, public health nursing services, eyeglasses not subject
to a volume purchase contract, and hearing aids not subject to a volume purchase contract
shall be increased by three percent and payments for outpatient hospital facility fees shall
be increased by three percent. Payments made to managed care plans and county-based
purchasing plans shall not be adjusted to reflect payments under this paragraph.
(e) (f) This section does not apply to physician and professional services, inpatient
hospital services, family planning services, mental health services, dental services,
prescription drugs, medical transportation, federally qualified health centers, rural health
centers, Indian health services, and Medicare cost-sharing.

    Sec. 31. Minnesota Statutes 2012, section 256B.767, is amended to read:
256B.767 MEDICARE PAYMENT LIMIT.
(a) Effective for services rendered on or after July 1, 2010, fee-for-service payment
rates for physician and professional services under section 256B.76, subdivision 1, and
basic care services subject to the rate reduction specified in section 256B.766, shall not
exceed the Medicare payment rate for the applicable service, as adjusted for any changes
in Medicare payment rates after July 1, 2010. The commissioner shall implement this
section after any other rate adjustment that is effective July 1, 2010, and shall reduce rates
under this section by first reducing or eliminating provider rate add-ons.
(b) This section does not apply to services provided by advanced practice certified
nurse midwives licensed under chapter 148 or traditional midwives licensed under chapter
147D. Notwithstanding this exemption, medical assistance fee-for-service payment rates
for advanced practice certified nurse midwives and licensed traditional midwives shall
equal and shall not exceed the medical assistance payment rate to physicians for the
applicable service.
(c) This section does not apply to mental health services or physician services billed
by a psychiatrist or an advanced practice registered nurse with a specialty in mental health.
(d) Effective for durable medical equipment, prosthetics, orthotics, or supplies
provided on or after July 1, 2013, through June 30, 2014, the payment rate for items
that are subject to the rates established under Medicare's National Competitive Bidding
Program shall be equal to the rate that applies to the same item when not subject to the
rate established under Medicare's National Competitive Bidding Program. This paragraph
does not apply to mail order diabetic supplies and does not apply to items provided to
dually eligible recipients when Medicare is the primary payer of the item.

    Sec. 32. Laws 2013, chapter 1, section 6, is amended to read:
    Sec. 6. TRANSFER.
(a) The commissioner of management and budget shall transfer from the health care
access fund to the general fund up to $21,319,000 in fiscal year 2014; up to $42,314,000
in fiscal year 2015; up to $56,147,000 in fiscal year 2016; and up to $64,683,000 in fiscal
year 2017.
(b) The commissioner of human services shall determine the difference between the
actual or forecasted cost to the medical assistance program of adding 19- and 20-year-olds
and parents and relative caretaker populations with income between 100 and 138 percent of
the federal poverty guidelines and the cost of adding those populations that was estimated
during the 2013 legislative session based on the data from the February 2013 forecast.
(c) For each fiscal year from 2014 to 2017, the commissioner of human services
shall certify and report to the commissioner of management and budget the actual
or forecasted cost difference of adding 19- and 20-year-olds and parents and relative
caretaker populations with income between 100 and 138 percent of the federal poverty
guidelines, as determined under paragraph (b), to the commissioner of management and
budget at least four weeks prior to the release of a forecast under Minnesota Statutes,
section 16A.103, of each fiscal year.
(d) No later than three weeks before the release of the forecast under Minnesota
Statutes, section 16A.103, the commissioner of management and budget shall reduce the
health care access fund transfer in paragraph (a), by the cumulative differences in costs
reported by the commissioner of human services under paragraph (c). If, for any fiscal
year, the amount of the cumulative cost differences determined under paragraph (b) is
positive, no change is made to the appropriation. If, for any fiscal year, the amount of the
cumulative cost differences determined under paragraph (b) is less than the amount of the
original appropriation, the appropriation for that year must be zero.

    Sec. 33. REQUEST FOR INFORMATION; EMERGENCY MEDICAL
ASSISTANCE AND THE UNINSURED STUDY.
(a) The commissioner of human services, in consultation with safety net hospitals,
nonprofit health care coverage programs, nonprofit community clinics, counties, and other
interested parties, shall identify alternatives and make recommendations for providing
coordinated and cost-effective health care and coverage to individuals who:
(1) meet eligibility standards for emergency medical assistance; or
(2) are uninsured and ineligible for other state public health care programs, have
incomes below 400 percent of the federal poverty level, and are ineligible for premium
credits through the Minnesota Insurance Marketplace as defined under Minnesota Statutes,
section 62V.02.
(b) The commissioner of human services shall issue a request for information
to help identify options for coverage of medically necessary services not eligible for
federal financial participation for emergency medical assistance recipients and medically
necessary services for individuals who are uninsured and ineligible for other state public
health care programs or coverage through the Minnesota Insurance Marketplace. The
request for information shall provide:
(1) the identification of services, including community-based medical, dental, and
behavioral health services, necessary to reduce emergency department and inpatient
hospital utilization for these recipients;
(2) delivery system options, including for each option how the system would be
organized to promote care coordination and cost-effectiveness, and how the system would
be available statewide;
(3) funding options and payment mechanisms to encourage providers to manage
the delivery of care to these populations at a lower cost of care and with better patient
outcomes than the current system;
(4) how the funding and delivery of services will be coordinated with the services
covered under emergency medical assistance;
(5) options for administration of eligibility determination and service delivery; and
(6) evaluation methods to measure cost-effectiveness and health outcomes that take
into consideration the social determinants of health care for recipients participating in
this alternative coverage option.
(c) The commissioner shall issue a request for information by August 1, 2013, and
respondents to the request must submit information to the commissioner by October
1, 2013.
(d) The commissioner shall incorporate the information obtained through the request
for information described in paragraph (b) and information collected by the commissioner
of health and other relevant sources related to the uninsured in this state when developing
recommendations.
(e) The commissioner shall submit recommendations to the chairs and ranking
minority members of the legislative committees and divisions with jurisdiction over health
and human services and finance by January 15, 2014.
EFFECTIVE DATE.This section is effective the day following final enactment.

    Sec. 34. REQUEST FOR INFORMATION; EMERGENCY MEDICAL
ASSISTANCE.
(a) The commissioner of human services shall issue a request for information (RFI)
to identify and develop options for a program to provide emergency medical assistance
recipients with coverage for medically necessary services not eligible for federal financial
participation. The RFI must focus on providing coverage for nonemergent services
for recipients who have two or more chronic conditions and have had two or more
hospitalizations covered by emergency medical assistance in a one-year period.
(b) The RFI must be issued by August 1, 2013, and require respondents to submit
information to the commissioner by November 1, 2013. The RFI must request information
on:
(1) services necessary to reduce emergency department and inpatient hospital use for
emergency medical assistance recipients;
(2) methods of service delivery that promote efficiency and cost-effectiveness, and
provide statewide access;
(3) funding options for the services to be covered under the program;
(4) coordination of service delivery and funding with services covered under
emergency medical assistance;
(5) options for program administration; and
(6) methods to evaluate the program, including evaluation of cost-effectiveness and
health outcomes for those emergency medical assistance recipients eligible for coverage
of additional services under the program.
(c) The commissioner shall make information submitted in response to the RFI
available on the agency Web site. The commissioner, based on the responses to the RFI,
shall submit recommendations on providing emergency medical assistance recipients
with coverage for nonemergent services, as described in paragraph (a), to the chairs and
ranking minority members of the legislative committees with jurisdiction over health and
human services policy and finance by January 15, 2014.

    Sec. 35. DENTAL ACCESS AND REIMBURSEMENT REPORT.
    Subdivision 1. Study. (a) The commissioner of human services shall study
the current oral health and dental services delivery system for state public health
care programs to improve access and ensure cost-effective delivery of services. The
commissioner shall make recommendations on modifying the delivery of services and
reimbursement methods, including modifications to the critical access dental provider
payments under Minnesota Statutes, section 256B.76, subdivision 4.
(b) The commissioner shall consult with dental providers enrolled in Minnesota
health care programs, including providers who serve substantial numbers of low-income
and uninsured patients and are currently receiving enhanced critical access dental provider
payments.
    Subd. 2. Service delivery and reimbursement methods. The recommendations
must address:
(1) targeting state funding and critical access dental payments to improve access
to oral health services for individuals enrolled in Minnesota health care programs who
are not receiving timely and appropriate dental services;
(2) encouraging the use of cost-effective service delivery methods, workforce
innovations, and the delivery of preventive services, including, but not limited to, dental
sealants that will reduce dental disease and future costs of treatment;
(3) improving access in all geographic areas of the state;
(4) encouraging the use of tele-dentistry and mobile dental equipment to serve
underserved patients and communities;
(5) evaluating the use of a single administrator delivery model;
(6) compensating providers for the added costs to providers of serving low-income
and underserved patients and populations who experience the greatest oral health
disparities in terms of incidence of oral health disease and access to and utilization of
needed oral health services;
(7) encouraging coordination of oral health care with other health care services;
(8) preventing overtreatment, fraud, and abuse; and
(9) reducing administrative costs for the state and for dental providers.
    Subd. 3. Report. The commissioner shall submit a report on the recommendations to
the chairs and ranking minority members of the of the legislative committees and divisions
with jurisdiction over health and human services policy and finance by December 15, 2013.

ARTICLE 7
CONTINUING CARE

    Section 1. Minnesota Statutes 2012, section 144.0724, subdivision 6, is amended to read:
    Subd. 6. Penalties for late or nonsubmission. (a) A facility that fails to complete
or submit an assessment for a RUG-III or RUG-IV classification within seven days of the
time requirements in subdivisions 4 and 5 is subject to a reduced rate for that resident.
The reduced rate shall be the lowest rate for that facility. The reduced rate is effective on
the day of admission for new admission assessments or on the day that the assessment
was due for all other assessments and continues in effect until the first day of the month
following the date of submission of the resident's assessment.
    (b) If loss of revenue due to penalties incurred by a facility for any period of 92 days
are equal to or greater than 1.0 percent of the total operating costs on the facility's most
recent annual statistical and cost report, a facility may apply to the commissioner of
human services for a reduction in the total penalty amount. The commissioner of human
services, in consultation with the commissioner of health, may, at the sole discretion of
the commissioner of human services, limit the penalty for residents covered by medical
assistance to 15 days.

    Sec. 2. Minnesota Statutes 2012, section 144A.071, subdivision 4b, is amended to read:
    Subd. 4b. Licensed beds on layaway status. A licensed and certified nursing
facility may lay away, upon prior written notice to the commissioner of health, licensed
and certified beds. A nursing facility may not discharge a resident in order to lay away
a bed. Notice to the commissioner shall be given 60 days prior to the effective date of
the layaway. Beds on layaway shall have the same status as voluntarily delicensed and
decertified beds and shall not be subject to license fees and license surcharge fees. In
addition, beds on layaway may be removed from layaway at any time on or after one year
six months after the effective date of layaway in the facility of origin, with a 60-day notice
to the commissioner. A nursing facility that removes beds from layaway may not place
beds on layaway status for one year six months after the effective date of the removal from
layaway. The commissioner may approve the immediate removal of beds from layaway if
necessary to provide access to those nursing home beds to residents relocated from other
nursing homes due to emergency situations or closure. In the event approval is granted,
the one-year six-month restriction on placing beds on layaway after a removal of beds
from layaway shall not apply. Beds may remain on layaway for up to ten years. The
commissioner may approve placing and removing beds on layaway at any time during
renovation or construction related to a moratorium project approved under this section
or section 144A.073. Nursing facilities are not required to comply with any licensure or
certification requirements for beds on layaway status.

    Sec. 3. Minnesota Statutes 2012, section 245A.03, subdivision 7, is amended to read:
    Subd. 7. Licensing moratorium. (a) The commissioner shall not issue an
initial license for child foster care licensed under Minnesota Rules, parts 2960.3000 to
2960.3340, or adult foster care licensed under Minnesota Rules, parts 9555.5105 to
9555.6265, under this chapter for a physical location that will not be the primary residence
of the license holder for the entire period of licensure. If a license is issued during this
moratorium, and the license holder changes the license holder's primary residence away
from the physical location of the foster care license, the commissioner shall revoke the
license according to section 245A.07. Exceptions to the moratorium include:
(1) foster care settings that are required to be registered under chapter 144D;
(2) foster care licenses replacing foster care licenses in existence on May 15, 2009,
and determined to be needed by the commissioner under paragraph (b);
(3) new foster care licenses determined to be needed by the commissioner under
paragraph (b) for the closure of a nursing facility, ICF/MR, or regional treatment center,
or; restructuring of state-operated services that limits the capacity of state-operated
facilities; or, allowing movement to the community for people who no longer require the
level of care provided in state-operated facilities as provided under section 256B.092,
subdivision 13, or 256B.49, subdivision 24;
(4) new foster care licenses determined to be needed by the commissioner under
paragraph (b) for persons requiring hospital level care; or
(5) new foster care licenses determined to be needed by the commissioner for the
transition of people from personal care assistance to the home and community-based
services.
(b) The commissioner shall determine the need for newly licensed foster care homes
as defined under this subdivision. As part of the determination, the commissioner shall
consider the availability of foster care capacity in the area in which the licensee seeks to
operate, and the recommendation of the local county board. The determination by the
commissioner must be final. A determination of need is not required for a change in
ownership at the same address.
(c) The commissioner shall study the effects of the license moratorium under this
subdivision and shall report back to the legislature by January 15, 2011. This study shall
include, but is not limited to the following:
(1) the overall capacity and utilization of foster care beds where the physical location
is not the primary residence of the license holder prior to and after implementation
of the moratorium;
(2) the overall capacity and utilization of foster care beds where the physical
location is the primary residence of the license holder prior to and after implementation
of the moratorium; and
(3) the number of licensed and occupied ICF/MR beds prior to and after
implementation of the moratorium.
(d) (c) When a foster care recipient moves out of a foster home that is not the primary
residence of the license holder according to section 256B.49, subdivision 15, paragraph
(f), the county shall immediately inform the Department of Human Services Licensing
Division. The department shall decrease the statewide licensed capacity for foster care
settings where the physical location is not the primary residence of the license holder, if
the voluntary changes described in paragraph (f) (e) are not sufficient to meet the savings
required by reductions in licensed bed capacity under Laws 2011, First Special Session
chapter 9, article 7, sections 1 and 40, paragraph (f), and maintain statewide long-term
care residential services capacity within budgetary limits. Implementation of the statewide
licensed capacity reduction shall begin on July 1, 2013. The commissioner shall delicense
up to 128 beds by June 30, 2014, using the needs determination process. Under this
paragraph, the commissioner has the authority to reduce unused licensed capacity of a
current foster care program to accomplish the consolidation or closure of settings. Under
this paragraph, the commissioner has the authority to manage statewide capacity, including
adjusting the capacity available to each county and adjusting statewide available capacity,
to meet the statewide needs identified through the process in paragraph (e). A decreased
licensed capacity according to this paragraph is not subject to appeal under this chapter.
(e) (d) Residential settings that would otherwise be subject to the decreased license
capacity established in paragraph (d) (c) shall be exempt under the following circumstances:
(1) until August 1, 2013, the license holder's beds occupied by residents whose
primary diagnosis is mental illness and the license holder is:
(i) a provider of assertive community treatment (ACT) or adult rehabilitative mental
health services (ARMHS) as defined in section 256B.0623;
(ii) a mental health center certified under Minnesota Rules, parts 9520.0750 to
9520.0870;
(iii) a mental health clinic certified under Minnesota Rules, parts 9520.0750 to
9520.0870; or
(iv) a provider of intensive residential treatment services (IRTS) licensed under
Minnesota Rules, parts 9520.0500 to 9520.0670; or
(2) the license holder's beds occupied by residents whose primary diagnosis is
mental illness and the license holder is certified under the requirements in subdivision 6a.
(f) (e) A resource need determination process, managed at the state level, using the
available reports required by section 144A.351, and other data and information shall
be used to determine where the reduced capacity required under paragraph (d) (c) will
be implemented. The commissioner shall consult with the stakeholders described in
section 144A.351, and employ a variety of methods to improve the state's capacity to
meet long-term care service needs within budgetary limits, including seeking proposals
from service providers or lead agencies to change service type, capacity, or location to
improve services, increase the independence of residents, and better meet needs identified
by the long-term care services reports and statewide data and information. By February
1 of each, 2013, and August 1, 2014, and each following year, the commissioner shall
provide information and data on the overall capacity of licensed long-term care services,
actions taken under this subdivision to manage statewide long-term care services and
supports resources, and any recommendations for change to the legislative committees
with jurisdiction over health and human services budget.
    (g) (f) At the time of application and reapplication for licensure, the applicant and the
license holder that are subject to the moratorium or an exclusion established in paragraph
(a) are required to inform the commissioner whether the physical location where the foster
care will be provided is or will be the primary residence of the license holder for the entire
period of licensure. If the primary residence of the applicant or license holder changes, the
applicant or license holder must notify the commissioner immediately. The commissioner
shall print on the foster care license certificate whether or not the physical location is the
primary residence of the license holder.
    (h) (g) License holders of foster care homes identified under paragraph (g) (f) that
are not the primary residence of the license holder and that also provide services in the
foster care home that are covered by a federally approved home and community-based
services waiver, as authorized under section 256B.0915, 256B.092, or 256B.49, must
inform the human services licensing division that the license holder provides or intends to
provide these waiver-funded services. These license holders must be considered registered
under section 256B.092, subdivision 11, paragraph (c), and this registration status must
be identified on their license certificates.

    Sec. 4. Minnesota Statutes 2012, section 252.291, is amended by adding a subdivision
to read:
    Subd. 2b. Nicollet County facility project. The commissioner of health shall
certify one additional bed in an intermediate care facility for persons with developmental
disabilities in Nicollet County.

    Sec. 5. Minnesota Statutes 2012, section 256.9657, subdivision 3a, is amended to read:
    Subd. 3a. ICF/MR ICF/DD license surcharge. (a) Effective July 1, 2003, each
non-state-operated facility as defined under section 256B.501, subdivision 1, shall pay
to the commissioner an annual surcharge according to the schedule in subdivision 4,
paragraph (d). The annual surcharge shall be $1,040 per licensed bed. If the number of
licensed beds is reduced, the surcharge shall be based on the number of remaining licensed
beds the second month following the receipt of timely notice by the commissioner of
human services that beds have been delicensed. The facility must notify the commissioner
of health in writing when beds are delicensed. The commissioner of health must notify
the commissioner of human services within ten working days after receiving written
notification. If the notification is received by the commissioner of human services by
the 15th of the month, the invoice for the second following month must be reduced to
recognize the delicensing of beds. The commissioner may reduce, and may subsequently
restore, the surcharge under this subdivision based on the commissioner's determination of
a permissible surcharge.
(b) Effective July 1, 2013, the surcharge under paragraph (a) is increased to $3,679
per licensed bed.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 6. Minnesota Statutes 2012, section 256B.0915, subdivision 3a, is amended to read:
    Subd. 3a. Elderly waiver cost limits. (a) The monthly limit for the cost of
waivered services to an individual elderly waiver client except for individuals described in
paragraph paragraphs (b) and (d) shall be the weighted average monthly nursing facility
rate of the case mix resident class to which the elderly waiver client would be assigned
under Minnesota Rules, parts 9549.0050 to 9549.0059, less the recipient's maintenance
needs allowance as described in subdivision 1d, paragraph (a), until the first day of the
state fiscal year in which the resident assessment system as described in section 256B.438
for nursing home rate determination is implemented. Effective on the first day of the state
fiscal year in which the resident assessment system as described in section 256B.438 for
nursing home rate determination is implemented and the first day of each subsequent state
fiscal year, the monthly limit for the cost of waivered services to an individual elderly
waiver client shall be the rate of the case mix resident class to which the waiver client
would be assigned under Minnesota Rules, parts 9549.0050 to 9549.0059, in effect on
the last day of the previous state fiscal year, adjusted by any legislatively adopted home
and community-based services percentage rate adjustment.
    (b) The monthly limit for the cost of waivered services to an individual elderly
waiver client assigned to a case mix classification A under paragraph (a) with:
(1) no dependencies in activities of daily living; or
(2) up to two dependencies in bathing, dressing, grooming, walking, and eating
when the dependency score in eating is three or greater as determined by an assessment
performed under section 256B.0911 shall be $1,750 per month effective on July 1, 2011,
for all new participants enrolled in the program on or after July 1, 2011. This monthly
limit shall be applied to all other participants who meet this criteria at reassessment. This
monthly limit shall be increased annually as described in paragraph (a).
(c) If extended medical supplies and equipment or environmental modifications are
or will be purchased for an elderly waiver client, the costs may be prorated for up to
12 consecutive months beginning with the month of purchase. If the monthly cost of a
recipient's waivered services exceeds the monthly limit established in paragraph (a) or
(b), the annual cost of all waivered services shall be determined. In this event, the annual
cost of all waivered services shall not exceed 12 times the monthly limit of waivered
services as described in paragraph (a) or (b).
(d) Effective July 1, 2013, the monthly cost limit of waiver services, including
any necessary home care services described in section 256B.0651, subdivision 2, for
individuals who meet the criteria as ventilator-dependent given in section 256B.0651,
subdivision 1, paragraph (g), shall be the average of the monthly medical assistance
amount established for home care services as described in section 256B.0652, subdivision
7, and the annual average contracted amount established by the commissioner for nursing
facility services for ventilator-dependent individuals. This monthly limit shall be increased
annually as described in paragraph (a).

    Sec. 7. Minnesota Statutes 2012, section 256B.0915, is amended by adding a
subdivision to read:
    Subd. 3j. Individual community living support. Upon federal approval, there
is established a new service called individual community living support (ICLS) that is
available on the elderly waiver. ICLS providers may not be the landlord of recipients, nor
have any interest in the recipient's housing. ICLS must be delivered in a single-family
home or apartment where the service recipient or their family owns or rents, as
demonstrated by a lease agreement, and maintains control over the individual unit. Case
managers or care coordinators must develop individual ICLS plans in consultation with
the client using a tool developed by the commissioner. The commissioner shall establish
payment rates and mechanisms to align payments with the type and amount of service
provided, assure statewide uniformity for payment rates, and assure cost-effectiveness.
Licensing standards for ICLS shall be reviewed jointly by the Departments of Health and
Human Services to avoid conflict with provider regulatory standards pursuant to section
144A.43 and chapter 245D.

    Sec. 8. Minnesota Statutes 2012, section 256B.0916, is amended by adding a
subdivision to read:
    Subd. 11. Excess spending. County and tribal agencies are responsible for spending
in excess of the allocation made by the commissioner. In the event a county or tribal
agency spends in excess of the allocation made by the commissioner for a given allocation
period, they must submit a corrective action plan to the commissioner. The plan must state
the actions the agency will take to correct their overspending for the year following the
period when the overspending occurred. Failure to correct overspending shall result in
recoupment of spending in excess of the allocation. Nothing in this subdivision shall be
construed as reducing the county's responsibility to offer and make available feasible
home and community-based options to eligible waiver recipients within the resources
allocated to them for that purpose.

    Sec. 9. Minnesota Statutes 2012, section 256B.092, subdivision 7, is amended to read:
    Subd. 7. Screening teams. (a) For persons with developmental disabilities, screening
teams shall be established which shall evaluate the need for the level of care provided
by residential-based habilitation services, residential services, training and habilitation
services, and nursing facility services. The evaluation shall address whether home and
community-based services are appropriate for persons who are at risk of placement in an
intermediate care facility for persons with developmental disabilities, or for whom there is
reasonable indication that they might require this level of care. The screening team shall
make an evaluation of need within 60 working days of a request for service by a person
with a developmental disability, and within five working days of an emergency admission
of a person to an intermediate care facility for persons with developmental disabilities.
(b) The screening team shall consist of the case manager for persons with
developmental disabilities, the person, the person's legal guardian or conservator, or the
parent if the person is a minor, and a qualified developmental disability professional, as
defined in Code of Federal Regulations, title 42, section 483.430, as amended through
June 3, 1988. The case manager may also act as the qualified developmental disability
professional if the case manager meets the federal definition.
(c) County social service agencies may contract with a public or private agency
or individual who is not a service provider for the person for the public guardianship
representation required by the screening or individual service planning process. The
contract shall be limited to public guardianship representation for the screening and
individual service planning activities. The contract shall require compliance with the
commissioner's instructions and may be for paid or voluntary services.
(d) For persons determined to have overriding health care needs and are
seeking admission to a nursing facility or an ICF/MR, or seeking access to home and
community-based waivered services, a registered nurse must be designated as either the
case manager or the qualified developmental disability professional.
(e) For persons under the jurisdiction of a correctional agency, the case manager
must consult with the corrections administrator regarding additional health, safety, and
supervision needs.
(f) The case manager, with the concurrence of the person, the person's legal guardian
or conservator, or the parent if the person is a minor, may invite other individuals to
attend meetings of the screening team. With the permission of the person being screened
or the person's designated legal representative, the person's current provider of services
may submit a written report outlining their recommendations regarding the person's care
needs prepared by a direct service employee with at least 20 hours of service to that client.
The screening team must notify the provider of the date by which this information is to
be submitted. This information must be provided to the screening team and the person
or the person's legal representative and must be considered prior to the finalization of
the screening.
(g) Upon federal approval, if during an assessment or reassessment the recipient
is determined to be able to have the recipient's needs met through alternative services
in a less restrictive setting, the case manager shall help the recipient develop a plan to
transition to an appropriate less restrictive setting.
(g) (h) No member of the screening team shall have any direct or indirect service
provider interest in the case.
(h) (i) Nothing in this section shall be construed as requiring the screening team
meeting to be separate from the service planning meeting.
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 10. Minnesota Statutes 2012, section 256B.092, subdivision 11, is amended to read:
    Subd. 11. Residential support services. (a) Upon federal approval, there is
established a new service called residential support that is available on the community
alternative care, community alternatives for disabled individuals, developmental
disabilities, and brain injury waivers. Existing waiver service descriptions must be
modified to the extent necessary to ensure there is no duplication between other services.
Residential support services must be provided by vendors licensed as a community
residential setting as defined in section 245A.11, subdivision 8.
    (b) Residential support services must meet the following criteria:
    (1) providers of residential support services must own or control the residential site;
    (2) the residential site must not be the primary residence of the license holder;
    (3) the residential site must have a designated program supervisor responsible for
program oversight, development, and implementation of policies and procedures;
    (4) the provider of residential support services must provide supervision, training,
and assistance as described in the person's coordinated service and support plan; and
    (5) the provider of residential support services must meet the requirements of
licensure and additional requirements of the person's coordinated service and support plan.
    (c) Providers of residential support services that meet the definition in paragraph
(a) must be registered using a process determined by the commissioner beginning July
1, 2009. Providers licensed to provide child foster care under Minnesota Rules, parts
2960.3000 to 2960.3340, or adult foster care licensed under Minnesota Rules, parts
9555.5105 to 9555.6265, and that meet the requirements in section 245A.03, subdivision
7
, paragraph (g) (f), are considered registered under this section.

    Sec. 11. Minnesota Statutes 2012, section 256B.092, subdivision 12, is amended to read:
    Subd. 12. Waivered services statewide priorities. (a) The commissioner shall
establish statewide priorities for individuals on the waiting list for developmental
disabilities (DD) waiver services, as of January 1, 2010. The statewide priorities must
include, but are not limited to, individuals who continue to have a need for waiver services
after they have maximized the use of state plan services and other funding resources,
including natural supports, prior to accessing waiver services, and who meet at least one
of the following criteria:
(1) no longer require the intensity of services provided where they are currently
living; or
(2) make a request to move from an institutional setting.
(b) After the priorities in paragraph (a) are met, priority must also be given to
individuals who meet at least one of the following criteria:
(1) have unstable living situations due to the age, incapacity, or sudden loss of
the primary caregivers;
(2) are moving from an institution due to bed closures;
(3) experience a sudden closure of their current living arrangement;
(4) require protection from confirmed abuse, neglect, or exploitation;
(5) experience a sudden change in need that can no longer be met through state plan
services or other funding resources alone; or
(6) meet other priorities established by the department.
(b) (c) When allocating resources to lead agencies, the commissioner must take into
consideration the number of individuals waiting who meet statewide priorities and the
lead agencies' current use of waiver funds and existing service options. The commissioner
has the authority to transfer funds between counties, groups of counties, and tribes to
accommodate statewide priorities and resource needs while accounting for a necessary
base level reserve amount for each county, group of counties, and tribe.
(c) The commissioner shall evaluate the impact of the use of statewide priorities and
provide recommendations to the legislature on whether to continue the use of statewide
priorities in the November 1, 2011, annual report required by the commissioner in sections
256B.0916, subdivision 7, and 256B.49, subdivision 21.

    Sec. 12. Minnesota Statutes 2012, section 256B.092, is amended by adding a
subdivision to read:
    Subd. 14. Reduce avoidable behavioral crisis emergency room admissions,
psychiatric inpatient hospitalizations, and commitments to institutions. (a) Persons
receiving home and community-based services authorized under this section who have
had two or more admissions within a calendar year to an emergency room, psychiatric
unit, or institution must receive consultation from a mental health professional as defined
in section 245.462, subdivision 18, or a behavioral professional as defined in the home
and community-based services state plan within 30 days of discharge. The mental health
professional or behavioral professional must:
(1) conduct a functional assessment of the crisis incident as defined in section
245D.02, subdivision 11, which led to the hospitalization with the goal of developing
proactive strategies as well as necessary reactive strategies to reduce the likelihood of
future avoidable hospitalizations due to a behavioral crisis;
(2) use the results of the functional assessment to amend the coordinated service and
support plan set forth in section 245D.02, subdivision 4b, to address the potential need
for additional staff training, increased staffing, access to crisis mobility services, mental
health services, use of technology, and crisis stabilization services in section 256B.0624,
subdivision 7; and
(3) identify the need for additional consultation, testing, and mental health crisis
intervention team services as defined in section 245D.02, subdivision 20, psychotropic
medication use and monitoring under section 245D.051, and the frequency and duration
of ongoing consultation.
(b) For the purposes of this subdivision, "institution" includes, but is not limited to,
the Anoka-Metro Regional Treatment Center and the Minnesota Security Hospital.

    Sec. 13. [256B.0922] ESSENTIAL COMMUNITY SUPPORTS.
    Subdivision 1. Essential community supports. (a) The purpose of the essential
community supports program is to provide targeted services to persons age 65 and older
who need essential community support, but whose needs do not meet the level of care
required for nursing facility placement under section 144.0724, subdivision 11.
(b) Essential community supports are available not to exceed $400 per person per
month. Essential community supports may be used as authorized within an authorization
period not to exceed 12 months. Services must be available to a person who:
(1) is age 65 or older;
(2) is not eligible for medical assistance;
(3) has received a community assessment under section 256B.0911, subdivision 3a
or 3b, and does not require the level of care provided in a nursing facility;
(4) meets the financial eligibility criteria for the alternative care program under
section 256B.0913, subdivision 4;
(5) has a community support plan; and
(6) has been determined by a community assessment under section 256B.0911,
subdivision 3a or 3b, to be a person who would require provision of at least one of the
following services, as defined in the approved elderly waiver plan, in order to maintain
their community residence:
(i) caregiver support;
(ii) homemaker support;
(iii) chores;
(iv) a personal emergency response device or system;
(v) home-delivered meals; or
(vi) community living assistance as defined by the commissioner.
(c) The person receiving any of the essential community supports in this subdivision
must also receive service coordination, not to exceed $600 in a 12-month authorization
period, as part of their community support plan.
(d) A person who has been determined to be eligible for essential community
supports must be reassessed at least annually and continue to meet the criteria in paragraph
(b) to remain eligible for essential community supports.
(e) The commissioner is authorized to use federal matching funds for essential
community supports as necessary and to meet demand for essential community supports
as outlined in subdivision 2, and that amount of federal funds is appropriated to the
commissioner for this purpose.
    Subd. 2. Essential community supports for people in transition. (a) Essential
community supports under subdivision 1 are also available to an individual who:
(1) is receiving nursing facility services or home and community-based long-term
services and supports under section 256B.0915 or 256B.49 on the effective date of
implementation of the revised nursing facility level of care under section 144.0724,
subdivision 11;
(2) meets one of the following criteria:
(i) due to the implementation of the revised nursing facility level of care, loses
eligibility for continuing medical assistance payment of nursing facility services at the
first reassessment under section 144.0724, subdivision 11, paragraph (b), that occurs on or
after the effective date of the revised nursing facility level of care criteria under section
144.0724, subdivision 11; or
(ii) due to the implementation of the revised nursing facility level of care, loses
eligibility for continuing medical assistance payment of home and community-based
long-term services and supports under section 256B.0915 or 256B.49 at the first
reassessment required under those sections that occurs on or after the effective date of
implementation of the revised nursing facility level of care under section 144.0724,
subdivision 11;
(3) is not eligible for personal care attendant services; and
(4) has an assessed need for one or more of the supportive services offered under
essential community supports under subdivision 1, paragraph (b), clause (6).
Individuals eligible under this paragraph includes individuals who continue to be
eligible for medical assistance state plan benefits and those who are not or are no longer
financially eligible for medical assistance.
(b) Additional onetime case management is available for participants under
paragraph (a), not to exceed $600 per person to be used within one authorization period
not to exceed 12 months. This service is provided in addition to the essential community
supports benefit described under subdivision 1, paragraph (b).
EFFECTIVE DATE.This section is effective January 1, 2014.

    Sec. 14. [256B.0949] AUTISM EARLY INTENSIVE INTERVENTION BENEFIT.
    Subdivision 1. Purpose. This section creates a new benefit to provide early
intensive intervention to a child with an autism spectrum disorder diagnosis. This benefit
must provide coverage for diagnosis, multidisciplinary assessment, ongoing progress
evaluation, and medically necessary treatment of autism spectrum disorder.
    Subd. 2. Definitions. (a) For the purposes of this section, the terms defined in
this subdivision have the meanings given.
    (b) "Autism spectrum disorder diagnosis" is defined by diagnostic code 299 in the
current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
    (c) "Child" means a person under the age of 18.
    (d) "Commissioner" means the commissioner of human services, unless otherwise
specified.
    (e) "Early intensive intervention benefit" means autism treatment options based in
behavioral and developmental science, which may include modalities such as applied
behavior analysis, developmental treatment approaches, and naturalistic and parent
training models.
    (f) "Generalizable goals" means results or gains that are observed during a variety
of activities with different people, such as providers, family members, other adults, and
children, and in different environments including, but not limited to, clinics, homes,
schools, and the community.
    (g) "Mental health professional" has the meaning given in section 245.4871,
subdivision 27, clauses (1) to (6).
    Subd. 3. Initial eligibility. This benefit is available to a child enrolled in medical
assistance who:
    (1) has an autism spectrum disorder diagnosis;
    (2) has had a diagnostic assessment described in subdivision 5, which recommends
early intensive intervention services; and
    (3) meets the criteria for medically necessary autism early intensive intervention
services.
    Subd. 4. Diagnosis. (a) A diagnosis must:
    (1) be based upon current DSM criteria including direct observations of the child
and reports from parents or primary caregivers; and
    (2) be completed by both a licensed physician or advanced practice registered nurse
and a mental health professional.
    (b) Additional diagnostic assessment information may be considered including from
special education evaluations and licensed school personnel, and from professionals
licensed in the fields of medicine, speech and language, psychology, occupational therapy,
and physical therapy.
(c) If the commissioner determines there are access problems or delays in diagnosis
for a geographic area due to the lack of qualified professionals, the commissioner shall
waive the requirement in paragraph (a), clause (2), for two professionals and allow a
diagnosis to be made by one professional for that geographic area. This exception must be
limited to a specific period of time until, with stakeholder input as described in subdivision
8, there is a determination of an adequate number of professionals available to require two
professionals for each diagnosis.
    Subd. 5. Diagnostic assessment. The following information and assessments must
be performed, reviewed, and relied upon for the eligibility determination, treatment and
services recommendations, and treatment plan development for the child:
    (1) an assessment of the child's developmental skills, functional behavior, needs, and
capacities based on direct observation of the child which must be administered by a licensed
mental health professional and may also include observations from family members,
school personnel, child care providers, or other caregivers, as well as any medical or
assessment information from other licensed professionals such as the child's physician,
rehabilitation therapists, licensed school personnel, or mental health professionals; and
    (2) an assessment of parental or caregiver capacity to participate in therapy including
the type and level of parental or caregiver involvement and training recommended.
    Subd. 6. Treatment plan. (a) Each child's treatment plan must be:
    (1) based on the diagnostic assessment information specified in subdivisions 4 and 5;
    (2) coordinated with medically necessary occupational, physical, and speech and
language therapies, special education, and other services the child and family are receiving;
    (3) family-centered;
    (4) culturally sensitive; and
    (5) individualized based on the child's developmental status and the child's and
family's identified needs.
    (b) The treatment plan must specify the:
    (1) child's goals which are developmentally appropriate, functional, and
generalizable;
    (2) treatment modality;
    (3) treatment intensity;
    (4) setting; and
    (5) level and type of parental or caregiver involvement.
    (c) The treatment must be supervised by a professional with expertise and training in
autism and child development who is a licensed physician, advanced practice registered
nurse, or mental health professional.
    (d) The treatment plan must be submitted to the commissioner for approval in a
manner determined by the commissioner for this purpose.
    (e) Services authorized must be consistent with the child's approved treatment plan.
Services included in the treatment plan must meet all applicable requirements for
medical necessity and coverage.
    Subd. 7. Ongoing eligibility. (a) An independent progress evaluation conducted
by a licensed mental health professional with expertise and training in autism spectrum
disorder and child development must be completed after each six months of treatment,
or more frequently as determined by the commissioner, to determine if progress is being
made toward achieving generalizable goals and meeting functional goals contained in
the treatment plan.
    (b) The progress evaluation must include:
    (1) the treating provider's report;
    (2) parental or caregiver input;
    (3) an independent observation of the child which can be performed by the child's
licensed special education staff;
    (4) any treatment plan modifications; and
    (5) recommendations for continued treatment services.
    (c) Progress evaluations must be submitted to the commissioner in a manner
determined by the commissioner for this purpose.
    (d) A child who continues to achieve generalizable goals and treatment goals as
specified in the treatment plan is eligible to continue receiving this benefit.
    (e) A child's treatment shall continue during the progress evaluation using the
process determined under subdivision 8, clause (8). Treatment may continue during an
appeal pursuant to section 256.045.
    Subd. 8. Refining the benefit with stakeholders. The commissioner must develop
the implementation details of the benefit in consultation with stakeholders and consider
recommendations from the Health Services Advisory Council, the Department of Human
Services Autism Spectrum Disorder Advisory Council, the Legislative Autism Spectrum
Disorder Task Force, and the Interagency Task Force of the Departments of Health,
Education, and Human Services. The commissioner must release these details for a 30-day
public comment period prior to submission to the federal government for approval. The
implementation details must include, but are not limited to, the following components:
    (1) a definition of the qualifications, standards, and roles of the treatment team,
including recommendations after stakeholder consultation on whether board-certified
behavior analysts and other types of professionals trained in autism spectrum disorder and
child development should be added as mental health or other professionals for treatment
supervision or other functions under medical assistance;
    (2) development of initial, uniform parameters for comprehensive multidisciplinary
diagnostic assessment information and progress evaluation standards;
    (3) the design of an effective and consistent process for assessing parent and
caregiver capacity to participate in the child's early intervention treatment and methods of
involving the parents and caregivers in the treatment of the child;
    (4) formulation of a collaborative process in which professionals have opportunities
to collectively inform a comprehensive, multidisciplinary diagnostic assessment and
progress evaluation processes and standards to support quality improvement of early
intensive intervention services;
    (5) coordination of this benefit and its interaction with other services provided by the
Departments of Human Services, Health, and Education;
    (6) evaluation, on an ongoing basis, of research regarding the program and treatment
modalities provided to children under this benefit;
    (7) determination of the availability of licensed physicians, nurse practitioners,
and mental health professionals with expertise and training in autism spectrum disorder
throughout the state to assess whether there are sufficient professionals to require
involvement of both a physician or nurse practitioner and a mental health professional to
provide access and prevent delay in the diagnosis and treatment of young children, so as to
implement subdivision 4, and to ensure treatment is effective, timely, and accessible; and
(8) development of the process for the progress evaluation that will be used to
determine the ongoing eligibility, including necessary documentation, timelines, and
responsibilities of all parties.
    Subd. 9. Revision of treatment options. (a) The commissioner may revise covered
treatment options as needed based on outcome data and other evidence.
    (b) Before the changes become effective, the commissioner must provide public
notice of the changes, the reasons for the change, and a 30-day public comment period
to those who request notice through an electronic list accessible to the public on the
department's Web site.
    Subd. 10. Coordination between agencies. The commissioners of human services
and education must develop the capacity to coordinate services and information including
diagnostic, functional, developmental, medical, and educational assessments; service
delivery; and progress evaluations across health and education sectors.
    Subd. 11. Federal approval of the autism benefit. The provisions of subdivision 9
shall apply to state plan services under Title XIX of the Social Security Act when federal
approval is granted under a 1915(i) waiver or other authority which allows children
eligible for medical assistance through the TEFRA option under section 256B.055,
subdivision 12, to qualify and includes children eligible for medical assistance in families
over 150 percent of the federal poverty guidelines.
EFFECTIVE DATE.Subdivisions 1 to 7 and 9, are effective upon federal approval
consistent with subdivision 11, but no earlier than March 1, 2014. Subdivisions 8, 10,
and 11 are effective July 1, 2013.

    Sec. 15. Minnesota Statutes 2012, section 256B.095, is amended to read:
256B.095 QUALITY ASSURANCE SYSTEM ESTABLISHED.
    (a) Effective July 1, 1998, a quality assurance system for persons with developmental
disabilities, which includes an alternative quality assurance licensing system for programs,
is established in Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice,
Steele, Wabasha, and Winona Counties for the purpose of improving the quality of
services provided to persons with developmental disabilities. A county, at its option, may
choose to have all programs for persons with developmental disabilities located within
the county licensed under chapter 245A using standards determined under the alternative
quality assurance licensing system or may continue regulation of these programs under the
licensing system operated by the commissioner. The project expires on June 30, 2014.
    (b) Effective July 1, 2003, a county not listed in paragraph (a) may apply to
participate in the quality assurance system established under paragraph (a). The
commission established under section 256B.0951 may, at its option, allow additional
counties to participate in the system.
    (c) Effective July 1, 2003, any county or group of counties not listed in paragraph (a)
may establish a quality assurance system under this section. A new system established
under this section shall have the same rights and duties as the system established
under paragraph (a). A new system shall be governed by a commission under section
256B.0951. The commissioner shall appoint the initial commission members based
on recommendations from advocates, families, service providers, and counties in the
geographic area included in the new system. Counties that choose to participate in a
new system shall have the duties assigned under section 256B.0952. The new system
shall establish a quality assurance process under section 256B.0953. The provisions of
section 256B.0954 shall apply to a new system established under this paragraph. The
commissioner shall delegate authority to a new system established under this paragraph
according to section 256B.0955.
    (d) Effective July 1, 2007, the quality assurance system may be expanded to include
programs for persons with disabilities and older adults.
(e) Effective July 1, 2013, a provider of service located in a county listed in
paragraph (a) that is a non-opted-in county may opt in to the quality assurance system
provided the county where services are provided indicates its agreement with a county
with a delegation agreement with the Department of Human Services.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 16. Minnesota Statutes 2012, section 256B.0951, subdivision 1, is amended to read:
    Subdivision 1. Membership. The Quality Assurance Commission is established.
The commission consists of at least 14 but not more than 21 members as follows: at
least three but not more than five members representing advocacy organizations; at
least three but not more than five members representing consumers, families, and their
legal representatives; at least three but not more than five members representing service
providers; at least three but not more than five members representing counties; and the
commissioner of human services or the commissioner's designee. The first commission
shall establish membership guidelines for the transition and recruitment of membership for
the commission's ongoing existence. Members of the commission who do not receive a
salary or wages from an employer for time spent on commission duties may receive a per
diem payment when performing commission duties and functions. All members may be
reimbursed for expenses related to commission activities. Notwithstanding the provisions
of section 15.059, subdivision 5, the commission expires on June 30, 2014.

    Sec. 17. Minnesota Statutes 2012, section 256B.0951, subdivision 4, is amended to read:
    Subd. 4. Commission's authority to recommend variances of licensing
standards. The commission may recommend to the commissioners of human services
and health variances from the standards governing licensure of programs for persons with
developmental disabilities in order to improve the quality of services by implementing
an alternative developmental disabilities licensing system if the commission determines
that the alternative licensing system does not adversely affect the health or safety of
persons being served by the licensed program nor compromise the qualifications of staff
to provide services.

    Sec. 18. Minnesota Statutes 2012, section 256B.0952, subdivision 1, is amended to read:
    Subdivision 1. Notification. Counties or providers shall give notice to the
commission and commissioners of human services and health of intent to join the
alternative quality assurance licensing system. A county or provider choosing to participate
in the alternative quality assurance licensing system commits to participate for three years.

    Sec. 19. Minnesota Statutes 2012, section 256B.0952, subdivision 5, is amended to read:
    Subd. 5. Quality assurance teams. Quality assurance teams shall be comprised
of county staff; providers; consumers, families, and their legal representatives; members
of advocacy organizations; and other involved community members. Team members
must satisfactorily complete the training program approved by the commission and must
demonstrate performance-based competency. Team members are not considered to be
county employees for purposes of workers' compensation, unemployment insurance, or
state retirement laws solely on the basis of participation on a quality assurance team. The
county may pay A per diem may be paid to team members for time spent on alternative
quality assurance process matters. All team members may be reimbursed for expenses
related to their participation in the alternative process.

    Sec. 20. Minnesota Statutes 2012, section 256B.0955, is amended to read:
256B.0955 DUTIES OF THE COMMISSIONER OF HUMAN SERVICES.
(a) Effective July 1, 1998, the commissioner of human services shall delegate
authority to perform licensing functions and activities, in accordance with section
245A.16, to counties participating in the alternative quality assurance licensing system.
The commissioner shall not license or reimburse a facility, program, or service for persons
with developmental disabilities in a county that participates in the alternative quality
assurance licensing system if the commissioner has received from the appropriate county
notification that the facility, program, or service has been reviewed by a quality assurance
team and has failed to qualify for licensure.
(b) The commissioner may conduct random licensing inspections based on outcomes
adopted under section 256B.0951 at facilities, programs, and services governed by the
alternative quality assurance licensing system. The role of such random inspections shall
be to verify that the alternative quality assurance licensing system protects the safety
and well-being of consumers and maintains the availability of high-quality services for
persons with developmental disabilities.
EFFECTIVE DATE.This section is effective July 1, 2013.

    Sec. 21. Minnesota Statutes 2012, section 256B.097, subdivision 1, is amended to read:
    Subdivision 1. Scope. (a) In order to improve the quality of services provided to
Minnesotans with disabilities and to meet the requirements of the federally approved home
and community-based waivers under section 1915c of the Social Security Act, a State
Quality Assurance, Quality Improvement, and Licensing System for Minnesotans receiving
disability services is enacted. This system is a partnership between the Department of
Human Services and the State Quality Council established under subdivision 3.
    (b) This system is a result of the recommendations from the Department of Human
Services' licensing and alternative quality assurance study mandated under Laws 2005,
First Special Session chapter 4, article 7, section 57, and presented to the legislature
in February 2007.
    (c) The disability services eligible under this section include:
    (1) the home and community-based services waiver programs for persons with
developmental disabilities under section 256B.092, subdivision 4, or section 256B.49,
including brain injuries and services for those who qualify for nursing facility level of care
or hospital facility level of care and any other services licensed under chapter 245D;
    (2) home care services under section 256B.0651;
    (3) family support grants under section 252.32;
    (4) consumer support grants under section 256.476;
    (5) semi-independent living services under section 252.275; and
    (6) services provided through an intermediate care facility for the developmentally
disabled.
    (d) For purposes of this section, the following definitions apply:
    (1) "commissioner" means the commissioner of human services;
    (2) "council" means the State Quality Council under subdivision 3;
    (3) "Quality Assurance Commission" means the commission under section
256B.0951; and
    (4) "system" means the State Quality Assurance, Quality Improvement and
Licensing System under this section.

    Sec. 22. Minnesota Statutes 2012, section 256B.097, subdivision 3, is amended to read:
    Subd. 3. State Quality Council. (a) There is hereby created a State Quality
Council which must define regional quality councils, and carry out a community-based,
person-directed quality review component, and a comprehensive system for effective
incident reporting, investigation, analysis, and follow-up.
    (b) By August 1, 2011, the commissioner of human services shall appoint the
members of the initial State Quality Council. Members shall include representatives
from the following groups:
    (1) disability service recipients and their family members;
    (2) during the first two four years of the State Quality Council, there must be at least
three members from the Region 10 stakeholders. As regional quality councils are formed
under subdivision 4, each regional quality council shall appoint one member;
    (3) disability service providers;
    (4) disability advocacy groups; and
    (5) county human services agencies and staff from the Department of Human
Services and Ombudsman for Mental Health and Developmental Disabilities.
    (c) Members of the council who do not receive a salary or wages from an employer
for time spent on council duties may receive a per diem payment when performing council
duties and functions.
    (d) The State Quality Council shall:
    (1) assist the Department of Human Services in fulfilling federally mandated
obligations by monitoring disability service quality and quality assurance and
improvement practices in Minnesota;
    (2) establish state quality improvement priorities with methods for achieving results
and provide an annual report to the legislative committees with jurisdiction over policy
and funding of disability services on the outcomes, improvement priorities, and activities
undertaken by the commission during the previous state fiscal year;
(3) identify issues pertaining to financial and personal risk that impede Minnesotans
with disabilities from optimizing choice of community-based services; and
(4) recommend to the chairs and ranking minority members of the legislative
committees with jurisdiction over human services and civil law by January 15, 2013
2014, statutory and rule changes related to the findings under clause (3) that promote
individualized service and housing choices balanced with appropriate individualized
protection.
    (e) The State Quality Council, in partnership with the commissioner, shall:
    (1) approve and direct implementation of the community-based, person-directed
system established in this section;
    (2) recommend an appropriate method of funding this system, and determine the
feasibility of the use of Medicaid, licensing fees, as well as other possible funding options;
    (3) approve measurable outcomes in the areas of health and safety, consumer
evaluation, education and training, providers, and systems;
    (4) establish variable licensure periods not to exceed three years based on outcomes
achieved; and
    (5) in cooperation with the Quality Assurance Commission, design a transition plan
for licensed providers from Region 10 into the alternative licensing system by July 1, 2013.
    (f) The State Quality Council shall notify the commissioner of human services that a
facility, program, or service has been reviewed by quality assurance team members under
subdivision 4, paragraph (b), clause (13), and qualifies for a license.
    (g) The State Quality Council, in partnership with the commissioner, shall establish
an ongoing review process for the system. The review shall take into account the
comprehensive nature of the system which is designed to evaluate the broad spectrum of
licensed and unlicensed entities that provide services to persons with disabilities. The
review shall address efficiencies and effectiveness of the system.
    (h) The State Quality Council may recommend to the commissioner certain
variances from the standards governing licensure of programs for persons with disabilities
in order to improve the quality of services so long as the recommended variances do
not adversely affect the health or safety of persons being served or compromise the
qualifications of staff to provide services.
    (i) The safety standards, rights, or procedural protections referenced under
subdivision 2, paragraph (c), shall not be varied. The State Quality Council may make
recommendations to the commissioner or to the legislature in the report required under
paragraph (c) regarding alternatives or modifications to the safety standards, rights, or
procedural protections referenced under subdivision 2, paragraph (c).
    (j) The State Quality Council may hire staff to perform the duties assigned in this
subdivision.

    Sec. 23. Minnesota Statutes 2012, section 256B.431, subdivision 44, is amended to read:
    Subd. 44. Property rate increase increases for a facility in Bloomington effective
November 1, 2010 certain nursing facilities. (a) Notwithstanding any other law to the
contrary, money available for moratorium projects under section 144A.073, subdivision
11
, shall be used, effective November 1, 2010, to fund an approved moratorium exception
project for a nursing facility in Bloomington licensed for 137 beds as of November 1,
2010, up to a total property rate adjustment of $19.33.
(b) Effective June 1, 2012, any nursing facility in McLeod County licensed for 110
beds shall have its replacement-cost-new limit under subdivision 17e adjusted to allow
$1,129,463 of a completed construction project to increase the property payment rate.
Notwithstanding any other law to the contrary, money available under section 144A.073,
subdivision 11, after the completion of the moratorium exception approval process in 2013
under section 144A.073, subdivision 3, shall be used to reduce the fiscal impact to the
medical assistance budget for the increase in the replacement-cost-new limit.
(c) Effective July 1, 2012, any nursing facility in Dakota County licensed for
61 beds shall have their replacement-cost-new limit under subdivision 17e adjusted to
allow $1,407,624 of a completed construction project to increase their property payment
rate. Effective September 1, 2013, or later, their replacement-cost-new limit under
subdivision 17e shall be adjusted to allow $1,244,599 of a completed construction project
to increase the property payment rate. Notwithstanding any other law to the contrary,
money available under section 144A.073, subdivision 11, after the completion of the
moratorium exception approval process in 2013 under section 144A.073, subdivision 3,
shall be used to reduce the fiscal impact to the medical assistance budget for the increase
in the replacement-cost-new limit.
    (d) Effective July 1, 2013, or later, any boarding care facility in Hennepin
County licensed for 101 beds shall be allowed to receive a property rate adjustment
for a construction project that takes action to come into compliance with Minnesota
Department of Labor and Industry elevator upgrade requirements, with costs below the
minimum threshold under subdivision 16. Only costs related to the construction project
that brings the facility into compliance with the elevator requirements shall be allowed.
Notwithstanding any other law to the contrary, money available under section 144A.073,
subdivision 11, after the completion of the moratorium exception approval process in
2013 under section 144A.073, subdivision 3, shall be used to reduce the fiscal impact to
the medical assistance program.
EFFECTIVE DATE.Paragraph (b) is effective retroactively from June 1, 2012.
Paragraph (c) is effective retroactively from July 1, 2012.

    Sec. 24. Minnesota Statutes 2012, section 256B.434, subdivision 4, is amended to read:
    Subd. 4. Alternate rates for nursing facilities. (a) For nursing facilities which
have their payment rates determined under this section rather than section 256B.431, the
commissioner shall establish a rate under this subdivision. The nursing facility must enter
into a written contract with the commissioner.
    (b) A nursing facility's case mix payment rate for the first rate year of a facility's
contract under this section is the payment rate the facility would have received under
section 256B.431.
    (c) A nursing facility's case mix payment rates for the second and subsequent years
of a facility's contract under this section are the previous rate year's contract payment
rates plus an inflation adjustment and, for facilities reimbursed under this section or
section 256B.431, an adjustment to include the cost of any increase in Health Department
licensing fees for the facility taking effect on or after July 1, 2001. The index for the
inflation adjustment must be based on the change in the Consumer Price Index-All Items
(United States City average) (CPI-U) forecasted by the commissioner of management and
budget's national economic consultant, as forecasted in the fourth quarter of the calendar
year preceding the rate year. The inflation adjustment must be based on the 12-month
period from the midpoint of the previous rate year to the midpoint of the rate year for
which the rate is being determined. For the rate years beginning on July 1, 1999, July 1,
2000, July 1, 2001, July 1, 2002, July 1, 2003, July 1, 2004, July 1, 2005, July 1, 2006,
July 1, 2007, July 1, 2008, October 1, 2009, and October 1, 2010, this paragraph shall
apply only to the property-related payment rate. For the rate years beginning on October
1, 2011, and October 1, 2012, October 1, 2013, October 1, 2014, October 1, 2015, and
October 1, 2016, the rate adjustment under this paragraph shall be suspended. Beginning
in 2005, adjustment to the property payment rate under this section and section 256B.431
shall be effective on October 1. In determining the amount of the property-related payment
rate adjustment under this paragraph, the commissioner shall determine the proportion of
the facility's rates that are property-related based on the facility's most recent cost report.
    (d) The commissioner shall develop additional incentive-based payments of up to
five percent above a facility's operating payment rate for achieving outcomes specified
in a contract. The commissioner may solicit contract amendments and implement those
which, on a competitive basis, best meet the state's policy objectives. The commissioner
shall limit the amount of any incentive payment and the number of contract amendments
under this paragraph to operate the incentive payments within funds appropriated for this
purpose. The contract amendments may specify various levels of payment for various
levels of performance. Incentive payments to facilities under this paragraph may be in the
form of time-limited rate adjustments or onetime supplemental payments. In establishing
the specified outcomes and related criteria, the commissioner shall consider the following
state policy objectives:
    (1) successful diversion or discharge of residents to the residents' prior home or other
community-based alternatives;
    (2) adoption of new technology to improve quality or efficiency;
    (3) improved quality as measured in the Nursing Home Report Card;
    (4) reduced acute care costs; and
    (5) any additional outcomes proposed by a nursing facility that the commissioner
finds desirable.
    (e) Notwithstanding the threshold in section 256B.431, subdivision 16, facilities that
take action to come into compliance with existing or pending requirements of the life
safety code provisions or federal regulations governing sprinkler systems must receive
reimbursement for the costs associated with compliance if all of the following conditions
are met:
    (1) the expenses associated with compliance occurred on or after January 1, 2005,
and before December 31, 2008;
    (2) the costs were not otherwise reimbursed under subdivision 4f or section
144A.071 or 144A.073; and
    (3) the total allowable costs reported under this paragraph are less than the minimum
threshold established under section 256B.431, subdivision 15, paragraph (e), and
subdivision 16.
The commissioner shall use money appropriated for this purpose to provide to qualifying
nursing facilities a rate adjustment beginning October 1, 2007, and ending September 30,
2008. Nursing facilities that have spent money or anticipate the need to spend money
to satisfy the most recent life safety code requirements by (1) installing a sprinkler
system or (2) replacing all or portions of an existing sprinkler system may submit to the
commissioner by June 30, 2007, on a form provided by the commissioner the actual
costs of a completed project or the estimated costs, based on a project bid, of a planned
project. The commissioner shall calculate a rate adjustment equal to the allowable
costs of the project divided by the resident days reported for the report year ending
September 30, 2006. If the costs from all projects exceed the appropriation for this
purpose, the commissioner shall allocate the money appropriated on a pro rata basis to the
qualifying facilities by reducing the rate adjustment determined for each facility by an
equal percentage. Facilities that used estimated costs when requesting the rate adjustment
shall report to the commissioner by January 31, 2009, on the use of this money on a
form provided by the commissioner. If the nursing facility fails to provide the report, the
commissioner shall recoup the money paid to the facility for this purpose. If the facility
reports expenditures allowable under this subdivision that are less than the amount received
in the facility's annualized rate adjustment, the commissioner shall recoup the difference.

    Sec. 25. Minnesota Statutes 2012, section 256B.434, is amended by adding a
subdivision to read:
    Subd. 19a. Nursing facility rate adjustments beginning September 1, 2013. A
total of a five percent average rate adjustment shall be provided as described under this
subdivision and under section 256B.441, subdivision 46b.
(a) Beginning September 1, 2013, the commissioner shall make available to each
nursing facility reimbursed under this section a 3.75 percent operating payment rate
increase, in accordance with paragraphs (b) to (g).
(b) Seventy-five percent of the money resulting from the rate adjustment under
paragraph (a) must be used for increases in compensation-related costs for employees
directly employed by the nursing facility on or after the effective date of the rate
adjustment, except:
(1) the administrator;
(2) persons employed in the central office of a corporation that has an ownership
interest in the nursing facility or exercises control over the nursing facility; and
(3) persons paid by the nursing facility under a management contract.
(c) The commissioner shall allow as compensation-related costs all costs for:
(1) wage and salary increases effective after May 25, 2013;
(2) the employer's share of FICA taxes, Medicare taxes, state and federal
unemployment taxes, and workers' compensation;
(3) the employer's share of health and dental insurance, life insurance, disability
insurance, long-term care insurance, uniform allowance, and pensions; and
(4) other benefits provided and workforce needs, including the recruiting and
training of employees, subject to the approval of the commissioner.
(d) The portion of the rate adjustment under paragraph (a) that is not subject to the
requirements of paragraph (b) shall be provided to nursing facilities effective September 1,
2013. Nursing facilities may apply for the portion of the rate adjustment under paragraph
(a) that is subject to the requirements in paragraph (b). The application must be submitted
to the commissioner within six months of the effective date of the rate adjustment, and
the nursing facility must provide additional information required by the commissioner
within nine months of the effective date of the rate adjustment. The commissioner must
respond to all applications within three weeks of receipt. The commissioner may waive
the deadlines in this paragraph under extraordinary circumstances, to be determined at the
sole discretion of the commissioner. The application must contain:
(1) an estimate of the amounts of money that must be used as specified in paragraph
(b);
(2) a detailed distribution plan specifying the allowable compensation-related
increases the nursing facility will implement to use the funds available in clause (1);
(3) a description of how the nursing facility will notify eligible employees of
the contents of the approved application, which must provide for giving each eligible
employee a copy of the approved application, excluding the information required in clause
(1), or posting a copy of the approved application, excluding the information required in
clause (1), for a period of at least six weeks in an area of the nursing facility to which all
eligible employees have access; and
(4) instructions for employees who believe they have not received the
compensation-related increases specified in clause (2), as approved by the commissioner,
and which must include a mailing address, e-mail address, and the telephone number
that may be used by the employee to contact the commissioner or the commissioner's
representative.
(e) The commissioner shall ensure that cost increases in distribution plans under
paragraph (d), clause (2), that may be included in approved applications, comply with the
following requirements:
(1) a portion of the costs resulting from tenure-related wage or salary increases
may be considered to be allowable wage increases, according to formulas that the
commissioner shall provide, where employee retention is above the average statewide
rate of retention of direct-care employees;
(2) the annualized amount of increases in costs for the employer's share of health
and dental insurance, life insurance, disability insurance, and workers' compensation
shall be allowable compensation-related increases if they are effective on or after April
1, 2013, and prior to April 1, 2014; and
(3) for nursing facilities in which employees are represented by an exclusive
bargaining representative, the commissioner shall approve the application only upon
receipt of a letter of acceptance of the distribution plan, in regard to members of the
bargaining unit, signed by the exclusive bargaining agent, and dated after May 25, 2013.
Upon receipt of the letter of acceptance, the commissioner shall deem all requirements of
this provision as having been met in regard to the members of the bargaining unit.
(f) The commissioner shall review applications received under paragraph (d) and
shall provide the portion of the rate adjustment under paragraph (b) if the requirements
of this statute have been met. The rate adjustment shall be effective September 1, 2013.
Notwithstanding paragraph (a), if the approved application distributes less money than is
available, the amount of the rate adjustment shall be reduced so that the amount of money
made available is equal to the amount to be distributed.
(g) The increase in this subdivision shall be applied as a percentage to operating
payment rates in effect on August 31, 2013. For each facility, the commissioner shall
determine the operating payment rate, not including any rate components resulting from
equitable cost-sharing for publicly owned nursing facility program participation under
section 256B.441, subdivision 55a, critical access nursing facility program participation
under section 256B.441, subdivision 63, or performance-based incentive payment
program participation under subdivision 4, paragraph (d), for a RUG class with a weight
of 1.00 in effect on August 31, 2013.

    Sec. 26. Minnesota Statutes 2012, section 256B.434, is amended by adding a
subdivision to read:
    Subd. 19b. Nursing facility rate adjustments beginning October 1, 2015. A
total of a 3.2 percent average rate adjustment shall be provided as described under this
subdivision and under section 256B.441, subdivision 46c.
(a) Beginning October 1, 2015, the commissioner shall make available to each
nursing facility reimbursed under this section a 2.4 percent operating payment rate
increase, in accordance with paragraphs (b) to (g).
(b) Seventy-five percent of the money resulting from the rate adjustment under
paragraph (a) must be used for increases in compensation-related costs for employees
directly employed by the nursing facility on or after the effective date of the rate
adjustment, except:
(1) the administrator;
(2) persons employed in the central office of a corporation that has an ownership
interest in the nursing facility or exercises control over the nursing facility; and
(3) persons paid by the nursing facility under a management contract.
(c) The commissioner shall allow as compensation-related costs all costs for:
(1) wage and salary increases effective after May 25, 2015;
(2) the employer's share of FICA taxes, Medicare taxes, state and federal
unemployment taxes, and workers' compensation;
(3) the employer's share of health and dental insurance, life insurance, disability
insurance, long-term care insurance, uniform allowance, and pensions; and
(4) other benefits provided and workforce needs, including the recruiting and
training of employees, subject to the approval of the commissioner.
(d) The portion of the rate adjustment under paragraph (a) that is not subject to the
requirements of paragraph (b) shall be provided to nursing facilities effective October 1,
2015. Nursing facilities may apply for the portion of the rate adjustment under paragraph
(a) that is subject to the requirements in paragraph (b). The application must be submitted
to the commissioner within six months of the effective date of the rate adjustment, and
the nursing facility must provide additional information required by the commissioner
within nine months of the effective date of the rate adjustment. The commissioner must
respond to all applications within three weeks of receipt. The commissioner may waive
the deadlines in this paragraph under extraordinary circumstances, to be determined at the
sole discretion of the commissioner. The application must contain:
(1) an estimate of the amounts of money that must be used as specified in paragraph
(b);
(2) a detailed distribution plan specifying the allowable compensation-related
increases the nursing facility will implement to use the funds available in clause (1);
(3) a description of how the nursing facility will notify eligible employees of
the contents of the approved application, which must provide for giving each eligible
employee a copy of the approved application, excluding the information required in clause
(1), or posting a copy of the approved application, excluding the information required in
clause (1), for a period of at least six weeks in an area of the nursing facility to which all
eligible employees have access; and
(4) instructions for employees who believe they have not received the
compensation-related increases specified in clause (2), as approved by the commissioner,
and which must include a mailing address, e-mail address, and the telephone number
that may be used by the employee to contact the commissioner or the commissioner's
representative.
(e) The commissioner shall ensure that cost increases in distribution plans under
paragraph (d), clause (2), that may be included in approved applications, comply with the
following requirements:
(1) a portion of the costs resulting from tenure-related wage or salary increases
may be considered to be allowable wage increases, according to formulas that the
commissioner shall provide, where employee retention is above the average statewide
rate of retention of direct-care employees;
(2) the annualized amount of increases in costs for the employer's share of health
and dental insurance, life insurance, disability insurance, and workers' compensation
shall be allowable compensation-related increases if they are effective on or after April
1, 2015, and prior to April 1, 2016; and
(3) for nursing facilities in which employees are represented by an exclusive
bargaining representative, the commissioner shall approve the application only upon
receipt of a letter of acceptance of the distribution plan, in regard to members of the
bargaining unit, signed by the exclusive bargaining agent and dated after May 25, 2015.
Upon receipt of the letter of acceptance, the commissioner shall deem all requirements of
this provision as having been met in regard to the members of the bargaining unit.
(f) The commissioner shall review applications received under paragraph (d) and
shall provide the portion of the rate adjustment under paragraph (b) if the requirements
of this statute have been met. The rate adjustment shall be effective October 1, 2015.
Notwithstanding paragraph (a), if the approved application distributes less money than is
available, the amount of the rate adjustment shall be reduced so that the amount of money
made available is equal to the amount to be distributed.
(g) The increase in this subdivision shall be applied as a percentage to operating
payment rates in effect on September 30, 2015. For each facility, the commissioner shall
determine the operating payment rate, not including any rate components resulting from
equitable cost-sharing for publicly owned nursing facility program participation under
section 256B.441, subdivision 55a, critical access nursing facility program participation
under section 256B.441, subdivision 63, or performance-based incentive payment
program participation under subdivision 4, paragraph (d), for a RUG class with a weight
of 1.00 in effect on September 30, 2015.

    Sec. 27. Minnesota Statutes 2012, section 256B.437, subdivision 6, is amended to read:
    Subd. 6. Planned closure rate adjustment. (a) The commissioner of human
services shall calculate the amount of the planned closure rate adjustment available under
subdivision 3, paragraph (b), for up to 5,140 beds according to clauses (1) to (4):
(1) the amount available is the net reduction of nursing facility beds multiplied
by $2,080;
(2) the total number of beds in the nursing facility or facilities receiving the planned
closure rate adjustment must be identified;
(3) capacity days are determined by multiplying the number determined under
clause (2) by 365; and
(4) the planned closure rate adjustment is the amount available in clause (1), divided
by capacity days determined under clause (3).
(b) A planned closure rate adjustment under this section is effective on the first day
of the month following completion of closure of the facility designated for closure in
the application and becomes part of the nursing facility's total operating external fixed
payment rate.
(c) Applicants may use the planned closure rate adjustment to allow for a property
payment for a new nursing facility or an addition to an existing nursing facility or as an
operating payment rate adjustment. Applications approved under this subdivision are
exempt from other requirements for moratorium exceptions under section 144A.073,
subdivisions 2 and 3.
(d) (c) Upon the request of a closing facility, the commissioner must allow the
facility a closure rate adjustment as provided under section 144A.161, subdivision 10.
(e) (d) A facility that has received a planned closure rate adjustment may reassign it
to another facility that is under the same ownership at any time within three years of its
effective date. The amount of the adjustment shall be computed according to paragraph (a).
(f) (e) If the per bed dollar amount specified in paragraph (a), clause (1), is increased,
the commissioner shall recalculate planned closure rate adjustments for facilities that
delicense beds under this section on or after July 1, 2001, to reflect the increase in the per
bed dollar amount. The recalculated planned closure rate adjustment shall be effective
from the date the per bed dollar amount is increased.
(g) (f) For planned closures approved after June 30, 2009, the commissioner of
human services shall calculate the amount of the planned closure rate adjustment available
under subdivision 3, paragraph (b), according to paragraph (a), clauses (1) to (4).
(h) Beginning (g) Between July 16, 2011, and June 30, 2013, the commissioner shall
no longer not accept applications for planned closure rate adjustments under subdivision 3.

    Sec. 28. Minnesota Statutes 2012, section 256B.439, subdivision 1, is amended to read:
    Subdivision 1. Development and implementation of quality profiles. (a) The
commissioner of human services, in cooperation with the commissioner of health,
shall develop and implement a quality profile system profiles for nursing facilities and,
beginning not later than July 1, 2004, other providers of long-term care services 2014, for
home and community-based services providers, except when the quality profile system
would duplicate requirements under section 256B.5011, 256B.5012, or 256B.5013. For
purposes of this section, home and community-based services providers are defined as
providers of home and community-based services under sections 256B.0913, 256B.0915,
256B.092, and 256B.49, and intermediate care facilities for persons with developmental
disabilities providers under section 256B.5013. To the extent possible, quality profiles
must be developed for providers of services to older adults and people with disabilities,
regardless of payor source, for the purposes of providing information to consumers. The
system quality profiles must be developed and implemented to the extent possible without
the collection of significant amounts of new data. To the extent possible, the system
using existing data sets maintained by the commissioners of health and human services
to the extent possible. The profiles must incorporate or be coordinated with information
on quality maintained by area agencies on aging, long-term care trade associations, the
ombudsman offices, counties, tribes, health plans, and other entities and the long-term
care database maintained under section 256.975, subdivision 7. The system profiles must
be designed to provide information on quality to:
(1) consumers and their families to facilitate informed choices of service providers;
(2) providers to enable them to measure the results of their quality improvement
efforts and compare quality achievements with other service providers; and
(3) public and private purchasers of long-term care services to enable them to
purchase high-quality care.
(b) The system profiles must be developed in consultation with the long-term care
task force, area agencies on aging, and representatives of consumers, providers, and labor
unions. Within the limits of available appropriations, the commissioners may employ
consultants to assist with this project.

    Sec. 29. Minnesota Statutes 2012, section 256B.439, subdivision 2, is amended to read:
    Subd. 2. Quality measurement tools for nursing facilities. The commissioners
shall identify and apply existing quality measurement tools to:
(1) emphasize quality of care and its relationship to quality of life; and
(2) address the needs of various users of long-term care services, including, but not
limited to, short-stay residents, persons with behavioral problems, persons with dementia,
and persons who are members of minority groups.
    The tools must be identified and applied, to the extent possible, without requiring
providers to supply information beyond current state and federal requirements.

    Sec. 30. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 2a. Quality measurement tools for home and community-based services.
(a) The commissioners shall identify and apply quality measurement tools to:
(1) emphasize service quality and its relationship to quality of life; and
(2) address the needs of various users of home and community-based services.
(b) The tools must include, but not be limited to, surveys of consumers of home
and community-based services. The tools must be identified and applied, to the extent
possible, without requiring providers to supply information beyond state and federal
requirements, for purposes of this subdivision.

    Sec. 31. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 3a. Consumer surveys for home and community-based services.
Following identification of the quality measurement tool, and within the limits of the
appropriation, the commissioner shall conduct surveys of home and community-based
services consumers to develop quality profiles of providers. To the extent possible, surveys
must be conducted face-to-face by state employees or contractors. At the discretion of
the commissioner, surveys may be conducted by an alternative method. Surveys must be
conducted periodically to update quality profiles of individual service providers.

    Sec. 32. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 5. Implementation of home and community-based services
performance-based incentive payment program. By April 1, 2014, the commissioner
shall develop incentive-based grants for home and community-based services providers
for achieving outcomes specified in a contract. The commissioner may solicit proposals
from home and community-based services providers and implement those that, on
a competitive basis, best meet the state's policy objectives. The commissioner shall
determine the types of home and community-based services providers that will participate
in the program. The determination of participating provider types may be revised annually
by the commissioner. The commissioner shall limit the amount of any incentive-based
grants and the number of grants under this subdivision to operate the incentive payments
within funds appropriated for this purpose. The grant agreements may specify various
levels of payment for various levels of performance. In establishing the specified outcomes
and related criteria, the commissioner shall consider the following state policy objectives:
(1) provide more efficient, higher quality services;
(2) encourage home and community-based services providers to innovate;
(3) equip home and community-based services providers with organizational tools
and expertise to improve their quality;
(4) incentivize home and community-based services providers to invest in better
services; and
(5) disseminate successful performance improvement strategies statewide.

    Sec. 33. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 6. Calculation of home and community-based services quality score.
(a) The commissioner shall determine a quality score for each participating home and
community-based services provider using quality measures established in subdivisions
1 and 2a, according to methods determined by the commissioner in consultation
with stakeholders and experts. These methods shall be exempt from the rulemaking
requirements under chapter 14.
(b) For each quality measure, a score shall be determined with a maximum number
of points available and number of points assigned as determined by the commissioner
using the methodology established according to this subdivision. The determination of
the quality measures to be used and the methods of calculating scores may be revised
annually by the commissioner.

    Sec. 34. Minnesota Statutes 2012, section 256B.439, is amended by adding a
subdivision to read:
    Subd. 7. Calculation of home and community-based services quality add-on.
Effective July 1, 2015, the commissioner shall determine the quality add-on payment
for participating home and community-based services providers. The payment rate for
the quality add-on shall be a variable amount based on each provider's quality score as
determined in subdivisions 1 and 2a. The commissioner shall limit the types of home and
community-based services providers that may receive the quality add-on and the amount
of the quality add-on payments to operate the quality add-on within funds appropriated for
this purpose and based on the availability of the quality measures.

    Sec. 35. Minnesota Statutes 2012, section 256B.441, subdivision 44, is amended to read:
    Subd. 44. Calculation of a quality score. (a) The commissioner shall determine
a quality score for each nursing facility using quality measures established in section
256B.439, according to methods determined by the commissioner in consultation
with stakeholders and experts. These methods shall be exempt from the rulemaking
requirements under chapter 14.
(b) For each quality measure, a score shall be determined with a maximum number
of points available and number of points assigned as determined by the commissioner
using the methodology established according to this subdivision. The scores determined
for all quality measures shall be totaled. The determination of the quality measures to be
used and the methods of calculating scores may be revised annually by the commissioner.
(c) For the initial rate year under the new payment system, the quality measures
shall include:
(1) staff turnover;
(2) staff retention;
(3) use of pool staff;
(4) quality indicators from the minimum data set; and
(5) survey deficiencies.
(d) For rate years beginning after October 1, 2006, when making revisions to the
quality measures or method for calculating scores, the commissioner shall publish the
methodology in the State Register at least 15 months prior to the start of the rate year for
which the revised methodology is to be used for rate-setting purposes. The quality score
used to determine payment rates shall be established for a rate year using data submitted
in the statistical and cost report from the associated reporting year, and using data from
other sources related to a period beginning no more than six months prior to the associated
reporting year Beginning July 1, 2013, the quality score shall be a value between zero and
100, using data as provided in the Minnesota nursing home report card, with 50 percent
derived from the Minnesota quality indicators score, 40 percent derived from the resident
quality of life score, and ten percent derived from the state inspection results score.
(e) The commissioner, in cooperation with the commissioner of health, may adjust
the formula in paragraph (d), or the methodology for computing the total quality score,
effective July 1 of any year beginning in 2014, with five months advance public notice.
In changing the formula, the commissioner shall consider quality measure priorities
registered by report card users, advice of stakeholders, and available research.

    Sec. 36. Minnesota Statutes 2012, section 256B.441, is amended by adding a
subdivision to read:
    Subd. 46b. Calculation of quality add-on, with an average value of 1.25 percent,
effective September 1, 2013. (a) The commissioner shall determine quality add-ons to
the operating payment rates for each facility. The increase in this subdivision shall be
applied as a percentage to operating payment rates in effect on August 31, 2013. For each
facility, the commissioner shall determine the operating payment rate, not including any
rate components resulting from equitable cost-sharing for publicly owned nursing facility
program participation under subdivision 55a, critical access nursing facility program
participation under subdivision 63, or performance-based incentive payment program
participation under section 256B.434, subdivision 4, paragraph (d), for a RUG class with a
weight of 1.00 in effect on August 31, 2013.
(b) For each facility, the commissioner shall compute a quality factor by subtracting
40 from the most recent quality score computed under subdivision 44, and then dividing
by 60. If the quality factor is less than zero, the commissioner shall use the value zero.
(c) The quality add-ons shall be the operating payment rates determined in paragraph
(a), multiplied by the quality factor determined in paragraph (b), and then multiplied by
3.2 percent. The commissioner shall implement the quality add-ons effective September
1, 2013.

    Sec. 37. Minnesota Statutes 2012, section 256B.441, is amended by adding a
subdivision to read:
    Subd. 46c. Quality improvement incentive system beginning October 1, 2015.
The commissioner shall develop a quality improvement incentive program in consultation
with stakeholders. The annual funding pool available for quality improvement incentive
payments shall be equal to 0.8 percent of all operating payments, not including any rate
components resulting from equitable cost-sharing for publicly owned nursing facility
program participation under subdivision 55a, critical access nursing facility program
participation under subdivision 63, or performance-based incentive payment program
participation under section 256B.434, subdivision 4, paragraph (d). Beginning October 1,
2015, annual rate adjustments provided under this subdivision shall be effective for one
year, starting October 1 and ending the following September 30.

    Sec. 38. Minnesota Statutes 2012, section 256B.49, subdivision 11a, is amended to read:
    Subd. 11a. Waivered services statewide priorities. (a) The commissioner shall
establish statewide priorities for individuals on the waiting list for community alternative
care, community alternatives for disabled individuals, and brain injury waiver services,
as of January 1, 2010. The statewide priorities must include, but are not limited to,
individuals who continue to have a need for waiver services after they have maximized the
use of state plan services and other funding resources, including natural supports, prior to
accessing waiver services, and who meet at least one of the following criteria:
(1) no longer require the intensity of services provided where they are currently
living; or
(2) make a request to move from an institutional setting.
(b) After the priorities in paragraph (a) are met, priority must also be given to
individuals who meet at least one of the following criteria:
(1) have unstable living situations due to the age, incapacity, or sudden loss of
the primary caregivers;
(2) are moving from an institution due to bed closures;
(3) experience a sudden closure of their current living arrangement;
(4) require protection from confirmed abuse, neglect, or exploitation;
(5) experience a sudden change in need that can no longer be met through state plan
services or other funding resources alone; or
(6) meet other priorities established by the department.
(b) (c) When allocating resources to lead agencies, the commissioner must take into
consideration the number of individuals waiting who meet statewide priorities and the
lead agencies' current use of waiver funds and existing service options. The commissioner
has the authority to transfer funds between counties, groups of counties, and tribes to
accommodate statewide priorities and resource needs while accounting for a necessary
base level reserve amount for each county, group of counties, and tribe.
(c) The commissioner shall evaluate the impact of the use of statewide priorities and
provide recommendations to the legislature on whether to continue the use of statewide
priorities in the November 1, 2011, annual report required by the commissioner in sections
256B.0916, subdivision 7, and 256B.49, subdivision 21.

    Sec. 39. Minnesota Statutes 2012, section 256B.49, subdivision 14, is amended to read:
    Subd. 14. Assessment and reassessment. (a) Assessments and reassessments
shall be conducted by certified assessors according to section 256B.0911, subdivision 2b.
With the permission of the recipient or the recipient's designated legal representative,
the recipient's current provider of services may submit a written report outlining their
recommendations regarding the recipient's care needs prepared by a direct service
employee with at least 20 hours of service to that client. The person conducting the
assessment or reassessment must notify the provider of the date by which this information
is to be submitted. This information shall be provided to the person conducting the
assessment and the person or the person's legal representative and must be considered
prior to the finalization of the assessment or reassessment.
(b) There must be a determination that the client requires a hospital level of care or a
nursing facility level of care as defined in section 256B.0911, subdivision 4a, paragraph
(d), at initial and subsequent assessments to initiate and maintain participation in the
waiver program.
(c) Regardless of other assessments identified in section 144.0724, subdivision 4, as
appropriate to determine nursing facility level of care for purposes of medical assistance
payment for nursing facility services, only face-to-face assessments conducted according
to section 256B.0911, subdivisions 3a, 3b, and 4d, that result in a hospital level of care
determination or a nursing facility level of care determination must be accepted for
purposes of initial and ongoing access to waiver services payment.
(d) Recipients who are found eligible for home and community-based services under
this section before their 65th birthday may remain eligible for these services after their
65th birthday if they continue to meet all other eligibility factors.
(e) The commissioner shall develop criteria to identify recipients whose level of
functioning is reasonably expected to improve and reassess these recipients to establish
a baseline assessment. Recipients who meet these criteria must have a comprehensive
transitional service plan developed under subdivision 15, paragraphs (b) and (c), and be
reassessed every six months until there has been no significant change in the recipient's
functioning for at least 12 months. After there has been no significant change in the
recipient's functioning for at least 12 months, reassessments of the recipient's strengths,
informal support systems, and need for services shall be conducted at least every 12
months and at other times when there has been a significant change in the recipient's
functioning. Counties, case managers, and service providers are responsible for
conducting these reassessments and shall complete the reassessments out of existing funds.

    Sec. 40. Minnesota Statutes 2012, section 256B.49, subdivision 15, is amended to read:
    Subd. 15. Coordinated service and support plan; comprehensive transitional
service plan; maintenance service plan. (a) Each recipient of home and community-based
waivered services shall be provided a copy of the written coordinated service and support
plan which meets the requirements in section 256B.092, subdivision 1b.
(b) In developing the comprehensive transitional service plan, the individual
receiving services, the case manager, and the guardian, if applicable, will identify the
transitional service plan fundamental service outcome and anticipated timeline to achieve
this outcome. Within the first 20 days following a recipient's request for an assessment or
reassessment, the transitional service planning team must be identified. A team leader must
be identified who will be responsible for assigning responsibility and communicating with
team members to ensure implementation of the transition plan and ongoing assessment and
communication process. The team leader should be an individual, such as the case manager
or guardian, who has the opportunity to follow the recipient to the next level of service.
Within ten days following an assessment, a comprehensive transitional service plan
must be developed incorporating elements of a comprehensive functional assessment and
including short-term measurable outcomes and timelines for achievement of and reporting
on these outcomes. Functional milestones must also be identified and reported according
to the timelines agreed upon by the transitional service planning team. In addition, the
comprehensive transitional service plan must identify additional supports that may assist
in the achievement of the fundamental service outcome such as the development of greater
natural community support, increased collaboration among agencies, and technological
supports.
The timelines for reporting on functional milestones will prompt a reassessment of
services provided, the units of services, rates, and appropriate service providers. It is
the responsibility of the transitional service planning team leader to review functional
milestone reporting to determine if the milestones are consistent with observable skills
and that milestone achievement prompts any needed changes to the comprehensive
transitional service plan.
For those whose fundamental transitional service outcome involves the need to
procure housing, a plan for the recipient to seek the resources necessary to secure the least
restrictive housing possible should be incorporated into the plan, including employment
and public supports such as housing access and shelter needy funding.
(c) Counties and other agencies responsible for funding community placement and
ongoing community supportive services are responsible for the implementation of the
comprehensive transitional service plans. Oversight responsibilities include both ensuring
effective transitional service delivery and efficient utilization of funding resources.
(d) Following one year of transitional services, the transitional services planning team
will make a determination as to whether or not the individual receiving services requires
the current level of continuous and consistent support in order to maintain the recipient's
current level of functioning. Recipients who are determined to have not had a significant
change in functioning for 12 months must move from a transitional to a maintenance
service plan. Recipients on a maintenance service plan must be reassessed to determine if
the recipient would benefit from a transitional service plan at least every 12 months and at
other times when there has been a significant change in the recipient's functioning. This
assessment should consider any changes to technological or natural community supports.
(e) When a county is evaluating denials, reductions, or terminations of home and
community-based services under section 256B.49 for an individual, the case manager
shall offer to meet with the individual or the individual's guardian in order to discuss
the prioritization of service needs within the coordinated service and support plan,
comprehensive transitional service plan, or maintenance service plan. The reduction in
the authorized services for an individual due to changes in funding for waivered services
may not exceed the amount needed to ensure medically necessary services to meet the
individual's health, safety, and welfare.
(f) At the time of reassessment, local agency case managers shall assess each recipient
of community alternatives for disabled individuals or brain injury waivered services
currently residing in a licensed adult foster home that is not the primary residence of the
license holder, or in which the license holder is not the primary caregiver, to determine if
that recipient could appropriately be served in a community-living setting. If appropriate
for the recipient, the case manager shall offer the recipient, through a person-centered
planning process, the option to receive alternative housing and service options. In the
event that the recipient chooses to transfer from the adult foster home, the vacated bed
shall not be filled with another recipient of waiver services and group residential housing
and the licensed capacity shall be reduced accordingly, unless the savings required by the
licensed bed closure reductions under Laws 2011, First Special Session chapter 9, article 7,
sections 1 and 40, paragraph (f), for foster care settings where the physical location is not
the primary residence of the license holder are met through voluntary changes described
in section 245A.03, subdivision 7, paragraph (f) (e), or as provided under paragraph (a),
clauses (3) and (4). If the adult foster home becomes no longer viable due to these transfers,
the county agency, with the assistance of the department, shall facilitate a consolidation of
settings or closure. This reassessment process shall be completed by July 1, 2013.

    Sec. 41. Minnesota Statutes 2012, section 256B.49, is amended by adding a
subdivision to read:
    Subd. 25. Reduce avoidable behavioral crisis emergency room admissions,
psychiatric inpatient hospitalizations, and commitments to institutions. (a) Persons
receiving home and community-based services authorized under this section who have
two or more admissions within a calendar year to an emergency room, psychiatric unit,
or institution must receive consultation from a mental health professional as defined in
section 245.462, subdivision 18, or a behavioral professional as defined in the home and
community-based services state plan within 30 days of discharge. The mental health
professional or behavioral professional must:
(1) conduct a functional assessment of the crisis incident as defined in section
245D.02, subdivision 11, which led to the hospitalization with the goal of developing
proactive strategies as well as necessary reactive strategies to reduce the likelihood of
future avoidable hospitalizations due to a behavioral crisis;
(2) use the results of the functional assessment to amend the coordinated service and
support plan in section 245D.02, subdivision 4b, to address the potential need for additional
staff training, increased staffing, access to crisis mobility services, mental health services,
use of technology, and crisis stabilization services in section 256B.0624, subdivision 7; and
(3) identify the need for additional consultation, testing, mental health crisis
intervention team services as defined in section 245D.02, subdivision 20, psychotropic
medication use and monitoring under section 245D.051, and the frequency and duration
of ongoing consultation.
(b) For the purposes of this subdivision, "institution" includes, but is not limited to,
the Anoka-Metro Regional Treatment Center and the Minnesota Security Hospital.

    Sec. 42. Minnesota Statutes 2012, section 256B.49, is amended by adding a
subdivision to read:
    Subd. 26. Excess allocations. County and tribal agencies will be responsible for
authorizations in excess of the allocation made by the commissioner. In the event a county
or tribal agency authorizes in excess of the allocation made by the commissioner for a
given allocation period, the county or tribal agency must submit a corrective action plan to
the commissioner. The plan must state the actions the agency will take to correct their
overspending for the year following the period when the overspending occurred. Failure
to correct overauthorizations shall result in recoupment of authorizations in excess of
the allocation. Nothing in this subdivision shall be construed as reducing the county's
responsibility to offer and make available feasible home and community-based options to
eligible waiver recipients within the resources allocated to them for that purpose.

    Sec. 43. Minnesota Statutes 2012, section 256B.492, is amended to read:
256B.492 HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE
WITH DISABILITIES.
(a) Individuals receiving services under a home and community-based waiver under
section 256B.092 or 256B.49 may receive services in the following settings:
(1) an individual's own home or family home;
(2) a licensed adult foster care setting of up to five people; and
(3) community living settings as defined in section 256B.49, subdivision 23, where
individuals with disabilities may reside in all of the units in a building of four or fewer
units, and no more than the greater of four or 25 percent of the units in a multifamily
building of more than four units, unless required by the Housing Opportunities for Persons
with AIDS Program.
(b) The settings in paragraph (a) must not:
(1) be located in a building that is a publicly or privately operated facility that
provides institutional treatment or custodial care;
(2) be located in a building on the grounds of or adjacent to a public or private
institution;
(3) be a housing complex designed expressly around an individual's diagnosis or
disability, unless required by the Housing Opportunities for Persons with AIDS Program;
(4) be segregated based on a disability, either physically or because of setting
characteristics, from the larger community; and
(5) have the qualities of an institution which include, but are not limited to:
regimented meal and sleep times, limitations on visitors, and lack of privacy. Restrictions
agreed to and documented in the person's individual service plan shall not result in a
residence having the qualities of an institution as long as the restrictions for the person are
not imposed upon others in the same residence and are the least restrictive alternative,
imposed for the shortest possible time to meet the person's needs.
(c) The provisions of paragraphs (a) and (b) do not apply to any setting in which
individuals receive services under a home and community-based waiver as of July 1,
2012, and the setting does not meet the criteria of this section.
(d) Notwithstanding paragraph (c), a program in Hennepin County established as
part of a Hennepin County demonstration project is qualified for the exception allowed
under paragraph (c).
(e) The commissioner shall submit an amendment to the waiver plan no later than
December 31, 2012.

    Sec. 44. Minnesota Statutes 2012, section 256B.493, subdivision 2, is amended to read:
    Subd. 2. Planned closure process needs determination. The commissioner shall
announce and implement a program for planned closure of adult foster care homes. Planned
closure shall be the preferred method for achieving necessary budgetary savings required by
the licensed bed closure budget reduction in section 245A.03, subdivision 7, paragraph (d)
(c). If additional closures are required to achieve the necessary savings, the commissioner
shall use the process and priorities in section 245A.03, subdivision 7, paragraph (d) (c).

    Sec. 45. Minnesota Statutes 2012, section 256B.501, is amended by adding a
subdivision to read:
    Subd. 14. Rate adjustment for ICF/DD in Cottonwood County. The
commissioner of health shall decertify three beds in an intermediate care facility for
persons with developmental disabilities with 21 certified beds located in Cottonwood
County. The total payment rate shall be $282.62 per bed, per day.

    Sec. 46. Minnesota Statutes 2012, section 256B.5012, is amended by adding a
subdivision to read:
    Subd. 14. Rate increase effective June 1, 2013. For rate periods beginning on or
after June 1, 2013, the commissioner shall increase the total operating payment rate for
each facility reimbursed under this section by $7.81 per day. The increase shall not be
subject to any annual percentage increase.
EFFECTIVE DATE.This section is effective June 1, 2013.

    Sec. 47. Minnesota Statutes 2012, section 256B.5012, is amended by adding a
subdivision to read:
    Subd. 15. ICF/DD rate increases effective April 1, 2014. (a) Notwithstanding
subdivision 12, for each facility reimbursed under this section, for the rate period
beginning April 1, 2014, the commissioner shall increase operating payments equal to one
percent of the operating payment rates in effect on March 31, 2014.
(b) For each facility, the commissioner shall apply the rate increase based on
occupied beds, using the percentage specified in this subdivision multiplied by the total
payment rate, including the variable rate, but excluding the property-related payment
rate in effect on the preceding date. The total rate increase shall include the adjustment
provided in section 256B.501, subdivision 12.

    Sec. 48. Minnesota Statutes 2012, section 256B.69, is amended by adding a
subdivision to read:
    Subd. 32a. Initiatives to improve early screening, diagnosis, and treatment of
children with autism spectrum disorder and other developmental conditions. (a) The
commissioner shall require managed care plans and county-based purchasing plans, as
a condition of contract, to implement strategies that facilitate access for young children
between the ages of one and three years to periodic developmental and social-emotional
screenings, as recommended by the Minnesota Interagency Developmental Screening
Task Force, and that those children who do not meet milestones are provided access to
appropriate evaluation and assessment, including treatment recommendations, expected to
improve the child's functioning, with the goal of meeting milestones by age five.
    (b) The following information from encounter data provided to the commissioner
shall be reported on the department's public Web site for each managed care plan and
county-based purchasing plan annually by July 31 of each year beginning in 2014:
    (1) the number of children who received a diagnostic assessment;
    (2) the total number of children ages one to six with a diagnosis of autism spectrum
disorder who received treatments;
    (3) the number of children identified under clause (2) reported by each 12-month age
group beginning with age one and ending with age six; and
    (4) the types of treatments provided to children identified under clause (2) listed by
billing code, including the number of units billed for each child.
    (c) The managed care plans and county-based purchasing plans shall also report on
any barriers to providing screening, diagnosis, and treatment of young children between
the ages of one and three years, any strategies implemented to address those barriers,
and make recommendations on how to measure and report on the effectiveness of the
strategies implemented to facilitate access for young children to provide developmental
and social-emotional screening, diagnosis, and treatment as described in paragraph (a).

    Sec. 49. [256B.85] COMMUNITY FIRST SERVICES AND SUPPORTS.
    Subdivision 1. Basis and scope. (a) Upon federal approval, the commissioner
shall establish a medical assistance state plan option for the provision of home and
community-based personal assistance service and supports called "community first
services and supports (CFSS)."
(b) CFSS is a participant-controlled method of selecting and providing services
and supports that allows the participant maximum control of the services and supports.
Participants may choose the degree to which they direct and manage their supports by
choosing to have a significant and meaningful role in the management of services and
supports including by directly employing support workers with the necessary supports
to perform that function.
(c) CFSS is available statewide to eligible individuals to assist with accomplishing
activities of daily living (ADLs), instrumental activities of daily living (IADLs), and
health-related procedures and tasks through hands-on assistance to accomplish the task
or constant supervision and cueing to accomplish the task; and to assist with acquiring,
maintaining, and enhancing the skills necessary to accomplish ADLs, IADLs, and
health-related procedures and tasks. CFSS allows payment for certain supports and goods
such as environmental modifications and technology that are intended to replace or
decrease the need for human assistance.
(d) Upon federal approval, CFSS will replace the personal care assistance program
under sections 256.476, 256B.0625, subdivisions 19a and 19c, and 256B.0659.
    Subd. 2. Definitions. (a) For the purposes of this section, the terms defined in
this subdivision have the meanings given.
(b) "Activities of daily living" or "ADLs" means eating, toileting, grooming,
dressing, bathing, mobility, positioning, and transferring.
(c) "Agency-provider model" means a method of CFSS under which a qualified
agency provides services and supports through the agency's own employees and policies.
The agency must allow the participant to have a significant role in the selection and
dismissal of support workers of their choice for the delivery of their specific services
and supports.
(d) "Behavior" means a description of a need for services and supports used to
determine the home care rating and additional service units. The presence of Level I
behavior is used to determine the home care rating. "Level I behavior" means physical
aggression towards self or others or destruction of property that requires the immediate
response of another person. If qualified for a home care rating as described in subdivision
8, additional service units can be added as described in subdivision 8, paragraph (f), for
the following behaviors:
(1) Level I behavior;
(2) increased vulnerability due to cognitive deficits or socially inappropriate
behavior; or
(3) increased need for assistance for recipients who are verbally aggressive or
resistive to care so that time needed to perform activities of daily living is increased.
(e) "Complex health-related needs" means an intervention listed in clauses (1) to
(8) that has been ordered by a physician, and is specified in a community support plan,
including:
(1) tube feedings requiring:
(i) a gastrojejunostomy tube; or
(ii) continuous tube feeding lasting longer than 12 hours per day;
(2) wounds described as:
(i) stage III or stage IV;
(ii) multiple wounds;
(iii) requiring sterile or clean dressing changes or a wound vac; or
(iv) open lesions such as burns, fistulas, tube sites, or ostomy sites that require
specialized care;
(3) parenteral therapy described as:
(i) IV therapy more than two times per week lasting longer than four hours for
each treatment; or
(ii) total parenteral nutrition (TPN) daily;
(4) respiratory interventions, including:
(i) oxygen required more than eight hours per day;
(ii) respiratory vest more than one time per day;
(iii) bronchial drainage treatments more than two times per day;
(iv) sterile or clean suctioning more than six times per day;
(v) dependence on another to apply respiratory ventilation augmentation devices
such as BiPAP and CPAP; and
(vi) ventilator dependence under section 256B.0652;
(5) insertion and maintenance of catheter, including:
(i) sterile catheter changes more than one time per month;
(ii) clean intermittent catheterization, and including self-catheterization more than
six times per day; or
(iii) bladder irrigations;
(6) bowel program more than two times per week requiring more than 30 minutes to
perform each time;
(7) neurological intervention, including:
(i) seizures more than two times per week and requiring significant physical
assistance to maintain safety; or
(ii) swallowing disorders diagnosed by a physician and requiring specialized
assistance from another on a daily basis; and
(8) other congenital or acquired diseases creating a need for significantly increased
direct hands-on assistance and interventions in six to eight activities of daily living.
(f) "Community first services and supports" or "CFSS" means the assistance and
supports program under this section needed for accomplishing activities of daily living,
instrumental activities of daily living, and health-related tasks through hands-on assistance
to accomplish the task or constant supervision and cueing to accomplish the task, or the
purchase of goods as defined in subdivision 7, paragraph (a), clause (3), that replace
the need for human assistance.
(g) "Community first services and supports service delivery plan" or "service delivery
plan" means a written summary of the services and supports, that is based on the community
support plan identified in section 256B.0911 and coordinated services and support plan
and budget identified in section 256B.0915, subdivision 6, if applicable, that is determined
by the participant to meet the assessed needs, using a person-centered planning process.
(h) "Critical activities of daily living" means transferring, mobility, eating, and
toileting.
(i) "Dependency" in activities of daily living means a person requires hands-on
assistance or constant supervision and cueing to accomplish one or more of the activities
of daily living every day or on the days during the week that the activity is performed;
however, a child may not be found to be dependent in an activity of daily living if,
because of the child's age, an adult would either perform the activity for the child or assist
the child with the activity and the assistance needed is the assistance appropriate for
a typical child of the same age.
(j) "Extended CFSS" means CFSS services and supports under the agency–provider
model included in a service plan through one of the home and community-based services
waivers authorized under sections 256B.0915; 256B.092, subdivision 5; and 256B.49,
which exceed the amount, duration, and frequency of the state plan CFSS services for
participants.
(k) "Financial management services contractor or vendor" means a qualified
organization having a written contract with the department to provide services necessary to
use the budget model under subdivision 13, that include but are not limited to: participant
education and technical assistance; CFSS service delivery planning and budgeting; billing,
making payments, and monitoring of spending; and assisting the participant in fulfilling
employer-related requirements in accordance with Section 3504 of the IRS code and
the IRS Revenue Procedure 70-6.
(l) "Budget model"