1.1                          A bill for an act 
  1.2             relating to human services; changing the supplementary 
  1.3             service rate; appropriating money; amending Minnesota 
  1.4             Statutes 2000, section 256I.05, subdivision 1d, by 
  1.5             adding a subdivision. 
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  Minnesota Statutes 2000, section 256I.05, 
  1.8   subdivision 1d, is amended to read: 
  1.9      Subd. 1d.  [SUPPLEMENTARY SERVICE RATES FOR CERTAIN 
  1.10  FACILITIES SERVING PERSONS WITH MENTAL ILLNESS OR CHEMICAL 
  1.11  DEPENDENCY.] Notwithstanding the provisions of subdivisions 1a 
  1.12  and 1c for the fiscal year ending June 30, 1998, a county agency 
  1.13  may negotiate a supplementary service rate in addition to the 
  1.14  board and lodging rate for facilities licensed and registered by 
  1.15  the Minnesota department of health under section 157.17 prior to 
  1.16  December 31, 1996, if the facility meets the following criteria: 
  1.17     (1) at least 75 percent of the residents have a primary 
  1.18  diagnosis of mental illness, chemical dependency, or both, and 
  1.19  have related special needs; 
  1.20     (2) the facility provides 24-hour, on-site, year-round 
  1.21  supportive services by qualified staff capable of intervention 
  1.22  in a crisis of persons with late-state inebriety or mental 
  1.23  illness who are vulnerable to abuse or neglect; 
  1.24     (3) the services at the facility include, but are not 
  1.25  limited to: 
  2.1      (i) secure central storage of medication; 
  2.2      (ii) reminders and monitoring of medication for 
  2.3   self-administration; 
  2.4      (iii) support for developing an individual medical and 
  2.5   social service plan, updating the plan, and monitoring 
  2.6   compliance with the plan; and 
  2.7      (iv) assistance with setting up meetings, appointments, and 
  2.8   transportation to access medical, chemical health, and mental 
  2.9   health service providers; 
  2.10     (4) each resident has a documented need for at least one of 
  2.11  the services provided; 
  2.12     (5) each resident has been offered an opportunity to apply 
  2.13  for admission to a licensed residential treatment program for 
  2.14  mental illness, chemical dependency, or both, have refused that 
  2.15  offer, and the offer and their refusal has been documented to 
  2.16  writing; and 
  2.17     (6) the residents are not eligible for home and 
  2.18  community-based services waivers because of their unique need 
  2.19  for community support. 
  2.20     The total supplementary service rate must not exceed 
  2.21  $575 the nonfederal share of the adult case mix class A rate 
  2.22  established for purposes of the community alternatives for 
  2.23  disabled individuals program. 
  2.24     Sec. 2.  Minnesota Statutes 2000, section 256I.05, is 
  2.25  amended by adding a subdivision to read: 
  2.26     Subd. 1f.  [SUPPLEMENTARY SERVICE RATE INCREASES ON OR 
  2.27  AFTER JULY 1, 2001.] For rate years beginning on or after July 
  2.28  1, 2001, a county agency may increase the supplementary service 
  2.29  rate for recipients of assistance under section 256I.04 who 
  2.30  reside in a residence that is licensed by the commissioner of 
  2.31  health as a boarding care home but is not certified for purposes 
  2.32  of the medical assistance program.  The supplementary service 
  2.33  rate shall not exceed the nonfederal share of the statewide 
  2.34  weighted average monthly medical assistance nursing facility 
  2.35  payment rate for case mix class A. 
  2.36     Sec. 3.  [APPROPRIATION.] 
  3.1      $....... is appropriated from the general fund to the 
  3.2   commissioner of human services for the biennium beginning July 
  3.3   1, 2001, for the purposes of sections 1 and 2.