1.1 	A bill for an act
1.2 	relating to state government; modifying provisions governing the opioid crisis 
1.3 	response, health care, and health insurance access; making forecast adjustments; 
1.4 	requiring reports; transferring money; making technical and conforming changes; 
1.5 	allocating funds for a specific purpose; establishing certain grants; appropriating 
1.6 	money; amending Minnesota Statutes 2020, sections 256.042, subdivisions 1, 2, 
1.7 	5; 256B.055, subdivision 17; 256B.056, subdivisions 3, 7; 256B.0625, subdivisions 
1.8 	28b, 64; 256B.76, subdivision 1; 256L.04, subdivisions 1c, 7a, 10, by adding a 
1.9 	subdivision; 256L.07, subdivision 1; Minnesota Statutes 2021 Supplement, sections 
1.10 	256.042, subdivision 4; 256B.0625, subdivision 30; 256L.07, subdivision 2; 
1.11 	256L.15, subdivision 2; Laws 2015, chapter 71, article 14, section 2, subdivision 
1.12 	5, as amended; Laws 2020, First Special Session chapter 7, section 1, subdivision 
1.13 	1, as amended; Laws 2021, First Special Session chapter 7, article 1, section 36; 
1.14 	article 16, sections 2, subdivisions 29, 31, 33; 28; article 17, sections 3; 6; 10; 11; 
1.15 	12; 17, subdivision 3; proposing coding for new law in Minnesota Statutes, chapters 
1.16 	256B; 256L.
1.17 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.18 	ARTICLE 1
1.19 	OPIOID CRISIS RESPONSE

1.20 	Section 1. Minnesota Statutes 2020, section 256.042, subdivision 1, is amended to read:
1.21 		Subdivision 1.Establishment of the advisory council. (a) The Opiate Epidemic 
1.22 	Response Advisory Council is established to develop and implement a comprehensive and 
1.23 	effective statewide effort to address the opioid addiction and overdose epidemic in Minnesota. 
1.24 	The council shall focus on:
1.25 	(1) prevention and education, including public education and awareness for adults and 
1.26 	youth, prescriber education, the development and sustainability of opioid overdose prevention 
1.27 	and education programs, the role of adult protective services in prevention and response, 
2.1 	and providing financial support to local law enforcement agencies for opiate antagonist 
2.2 	programs;
2.3 	(2) training on the treatment of opioid addiction, including the use of all Food and Drug 
2.4 	Administration approved opioid addiction medications, detoxification, relapse prevention, 
2.5 	patient assessment, individual treatment planning, counseling, recovery supports, diversion 
2.6 	control, and other best practices;
2.7 	(3) the expansion and enhancement of a continuum of care for opioid-related substance 
2.8 	use disorders, including primary prevention, early intervention, treatment, recovery, and 
2.9 	aftercare services; and
2.10 	(4) the development of measures to assess and protect the ability of cancer patients and 
2.11 	survivors, persons battling life-threatening illnesses, persons suffering from severe chronic 
2.12 	pain, and persons at the end stages of life, who legitimately need prescription pain 
2.13 	medications, to maintain their quality of life by accessing these pain medications without 
2.14 	facing unnecessary barriers. The measures must also address the needs of individuals 
2.15 	described in this clause who are elderly or who reside in underserved or rural areas of the 
2.16 	state.
2.17 	(b) The council shall:
2.18 	(1) review local, state, and federal initiatives and activities related to education, 
2.19 	prevention, treatment, and services for individuals and families experiencing and affected 
2.20 	by opioid use disorder;
2.21 	(2) establish priorities to address the state's opioid epidemic, for the purpose of 
2.22 	recommending initiatives to fund;
2.23 	(3) recommend to the commissioner of human services specific projects and initiatives 
2.24 	to be funded;
2.25 	(4) ensure that available funding is allocated to align with other state and federal funding, 
2.26 	to achieve the greatest impact and ensure a coordinated state effort;
2.27 	(5) consult with the commissioners of human services, health, and management and 
2.28 	budget to develop measurable outcomes to determine the effectiveness of funds allocated; 
2.29 	and
2.30 	(6) develop recommendations for an administrative and organizational framework for 
2.31 	the allocation, on a sustainable and ongoing basis, of any money deposited into the separate 
2.32 	account under section 16A.151, subdivision 2, paragraph (f), in order to address the opioid 
3.1 	abuse and overdose epidemic in Minnesota and the areas of focus specified in paragraph 
3.2 	(a).;
3.3 	(7) review reports, data, and performance measures submitted by municipalities, as 
3.4 	defined in section 466.01, subdivision 1, in receipt of direct payments from settlement 
3.5 	agreements, as described in section 256.043, subdivision 4; and
3.6 	(8) consult with relevant stakeholders, including lead agencies and municipalities, to 
3.7 	review and provide recommendations for necessary revisions to required reporting to ensure 
3.8 	the reporting reflects measures of progress in addressing the harms of the opioid epidemic.
3.9 	(c) The council, in consultation with the commissioner of management and budget, and 
3.10 	within available appropriations, shall select from the awarded grants projects or may select 
3.11 	municipality projects funded by settlement monies as described in section 256.043, 
3.12 	subdivision 4, that include promising practices or theory-based activities for which the 
3.13 	commissioner of management and budget shall conduct evaluations using experimental or 
3.14 	quasi-experimental design. Grants awarded to proposals or municipality projects funded by 
3.15 	settlement monies that include promising practices or theory-based activities and that are 
3.16 	selected for an evaluation shall be administered to support the experimental or 
3.17 	quasi-experimental evaluation and require grantees and municipality projects to collect and 
3.18 	report information that is needed to complete the evaluation. The commissioner of 
3.19 	management and budget, under section 15.08, may obtain additional relevant data to support 
3.20 	the experimental or quasi-experimental evaluation studies. For the purposes of this paragraph, 
3.21 	"municipality" has the meaning given in section 466.01, subdivision 1.
3.22 	(d) The council, in consultation with the commissioners of human services, health, public 
3.23 	safety, and management and budget, shall establish goals related to addressing the opioid 
3.24 	epidemic and determine a baseline against which progress shall be monitored and set 
3.25 	measurable outcomes, including benchmarks. The goals established must include goals for 
3.26 	prevention and public health, access to treatment, and multigenerational impacts. The council 
3.27 	shall use existing measures and data collection systems to determine baseline data against 
3.28 	which progress shall be measured. The council shall include the proposed goals, the 
3.29 	measurable outcomes, and proposed benchmarks to meet these goals in its initial report to 
3.30 	the legislature under subdivision 5, paragraph (a), due January 31, 2021.

3.31 	Sec. 2. Minnesota Statutes 2020, section 256.042, subdivision 2, is amended to read:
3.32 		Subd. 2.Membership. (a) The council shall consist of the following 19 30 voting 
3.33 	members, appointed by the commissioner of human services except as otherwise specified, 
3.34 	and three nonvoting members:
4.1 	(1) two members of the house of representatives, appointed in the following sequence: 
4.2 	the first from the majority party appointed by the speaker of the house and the second from 
4.3 	the minority party appointed by the minority leader. Of these two members, one member 
4.4 	must represent a district outside of the seven-county metropolitan area, and one member 
4.5 	must represent a district that includes the seven-county metropolitan area. The appointment 
4.6 	by the minority leader must ensure that this requirement for geographic diversity in 
4.7 	appointments is met;
4.8 	(2) two members of the senate, appointed in the following sequence: the first from the 
4.9 	majority party appointed by the senate majority leader and the second from the minority 
4.10 	party appointed by the senate minority leader. Of these two members, one member must 
4.11 	represent a district outside of the seven-county metropolitan area and one member must 
4.12 	represent a district that includes the seven-county metropolitan area. The appointment by 
4.13 	the minority leader must ensure that this requirement for geographic diversity in appointments 
4.14 	is met;
4.15 	(3) one member appointed by the Board of Pharmacy;
4.16 	(4) one member who is a physician appointed by the Minnesota Medical Association;
4.17 	(5) one member representing opioid treatment programs, sober living programs, or 
4.18 	substance use disorder programs licensed under chapter 245G;
4.19 	(6) one member appointed by the Minnesota Society of Addiction Medicine who is an 
4.20 	addiction psychiatrist;
4.21 	(7) one member representing professionals providing alternative pain management 
4.22 	therapies, including, but not limited to, acupuncture, chiropractic, or massage therapy;
4.23 	(8) one member representing nonprofit organizations conducting initiatives to address 
4.24 	the opioid epidemic, with the commissioner's initial appointment being a member 
4.25 	representing the Steve Rummler Hope Network, and subsequent appointments representing 
4.26 	this or other organizations;
4.27 	(9) one member appointed by the Minnesota Ambulance Association who is serving 
4.28 	with an ambulance service as an emergency medical technician, advanced emergency 
4.29 	medical technician, or paramedic;
4.30 	(10) one member representing the Minnesota courts who is a judge or law enforcement 
4.31 	officer;
4.32 	(11) one public member who is a Minnesota resident and who is in opioid addiction 
4.33 	recovery;
5.1 	(12) two 11 members representing Indian tribes, one representing the Ojibwe tribes and 
5.2 	one representing the Dakota tribes each of Minnesota's Tribal Nations;
5.3 	(13) two members representing the urban American Indian population;
5.4 	(13) (14) one public member who is a Minnesota resident and who is suffering from 
5.5 	chronic pain, intractable pain, or a rare disease or condition;
5.6 	(14) (15) one mental health advocate representing persons with mental illness;
5.7 	(15) (16) one member appointed by the Minnesota Hospital Association;
5.8 	(16) (17) one member representing a local health department; and
5.9 	(17) (18) the commissioners of human services, health, and corrections, or their designees, 
5.10 	who shall be ex officio nonvoting members of the council.
5.11 	(b) The commissioner of human services shall coordinate the commissioner's 
5.12 	appointments to provide geographic, racial, and gender diversity, and shall ensure that at 
5.13 	least one-half of council members appointed by the commissioner reside outside of the 
5.14 	seven-county metropolitan area and that at least one-half of the members have lived 
5.15 	experience with opiate addiction. Of the members appointed by the commissioner, to the 
5.16 	extent practicable, at least one member must represent a community of color 
5.17 	disproportionately affected by the opioid epidemic.
5.18 	(c) The council is governed by section 15.059, except that members of the council shall 
5.19 	serve three-year terms and shall receive no compensation other than reimbursement for 
5.20 	expenses. Notwithstanding section 15.059, subdivision 6, the council shall not expire.
5.21 	(d) The chair shall convene the council at least quarterly, and may convene other meetings 
5.22 	as necessary. The chair shall convene meetings at different locations in the state to provide 
5.23 	geographic access, and shall ensure that at least one-half of the meetings are held at locations 
5.24 	outside of the seven-county metropolitan area.
5.25 	(e) The commissioner of human services shall provide staff and administrative services 
5.26 	for the advisory council.
5.27 	(f) The council is subject to chapter 13D.

5.28 	Sec. 3. Minnesota Statutes 2021 Supplement, section 256.042, subdivision 4, is amended 
5.29 	to read:
5.30 		Subd. 4.Grants. (a) The commissioner of human services shall submit a report of the 
5.31 	grants proposed by the advisory council to be awarded for the upcoming calendar year to 
6.1 	the chairs and ranking minority members of the legislative committees with jurisdiction 
6.2 	over health and human services policy and finance, by December 1 of each year, beginning 
6.3 	March 1, 2020.
6.4 	(b) The grants shall be awarded to proposals selected by the advisory council that address 
6.5 	the priorities in subdivision 1, paragraph (a), clauses (1) to (4), unless otherwise appropriated 
6.6 	by the legislature. The advisory council shall determine grant awards and funding amounts 
6.7 	based on the funds appropriated to the commissioner under section 256.043, subdivision 3, 
6.8 	paragraph (e). The commissioner shall award the grants from the opiate epidemic response 
6.9 	fund and administer the grants in compliance with section 16B.97. No more than ten percent 
6.10 	of the grant amount may be used by a grantee for administration. The commissioner must 
6.11 	award at least 40 percent of grants to projects that include a focus on addressing the opiate 
6.12 	crisis in Black and Indigenous communities and communities of color.

6.13 	Sec. 4. Minnesota Statutes 2020, section 256.042, subdivision 5, is amended to read:
6.14 		Subd. 5.Reports. (a) The advisory council shall report annually to the chairs and ranking 
6.15 	minority members of the legislative committees with jurisdiction over health and human 
6.16 	services policy and finance by January 31 of each year, beginning January 31, 2021. The 
6.17 	report shall include information about the individual projects that receive grants, the 
6.18 	municipality projects funded by settlement monies as described in section 256.043, 
6.19 	subdivision 4, and the overall role of the project projects in addressing the opioid addiction 
6.20 	and overdose epidemic in Minnesota. The report must describe the grantees and the activities 
6.21 	implemented, along with measurable outcomes as determined by the council in consultation 
6.22 	with the commissioner of human services and the commissioner of management and budget. 
6.23 	At a minimum, the report must include information about the number of individuals who 
6.24 	received information or treatment, the outcomes the individuals achieved, and demographic 
6.25 	information about the individuals participating in the project; an assessment of the progress 
6.26 	toward achieving statewide access to qualified providers and comprehensive treatment and 
6.27 	recovery services; and an update on the evaluations implemented by the commissioner of 
6.28 	management and budget for the promising practices and theory-based projects that receive 
6.29 	funding.
6.30 	(b) The commissioner of management and budget, in consultation with the Opiate 
6.31 	Epidemic Response Advisory Council, shall report to the chairs and ranking minority 
6.32 	members of the legislative committees with jurisdiction over health and human services 
6.33 	policy and finance when an evaluation study described in subdivision 1, paragraph (c), is 
6.34 	complete on the promising practices or theory-based projects that are selected for evaluation 
7.1 	activities. The report shall include demographic information; outcome information for the 
7.2 	individuals in the program; the results for the program in promoting recovery, employment, 
7.3 	family reunification, and reducing involvement with the criminal justice system; and other 
7.4 	relevant outcomes determined by the commissioner of management and budget that are 
7.5 	specific to the projects that are evaluated. The report shall include information about the 
7.6 	ability of grant programs to be scaled to achieve the statewide results that the grant project 
7.7 	demonstrated.
7.8 	(c) The advisory council, in its annual report to the legislature under paragraph (a) due 
7.9 	by January 31, 2024, shall include recommendations on whether the appropriations to the 
7.10 	specified entities under Laws 2019, chapter 63, should be continued, adjusted, or 
7.11 	discontinued; whether funding should be appropriated for other purposes related to opioid 
7.12 	abuse prevention, education, and treatment; and on the appropriate level of funding for 
7.13 	existing and new uses.
7.14 	(d) Municipalities receiving direct payments for settlement agreements as described in 
7.15 	section 256.043, subdivision 4, must annually report to the commissioner on how the funds 
7.16 	were used on opioid remediation. The report must be submitted in a format prescribed by 
7.17 	the commissioner.
7.18 	The report must include data and measurable outcomes on expenditures funded with 
7.19 	opioid settlement funds, as identified by the commissioner, including details on services 
7.20 	drawn from the categories of approved uses, as identified in agreements between the state 
7.21 	of Minnesota, the Association of Minnesota Counties, and the League of Minnesota Cities. 
7.22 	Minimum reporting requirements must include:
7.23 	(1) contact information;
7.24 	(2) information on funded services and programs; and
7.25 	(3) target populations for each funded service and program.
7.26 	(e) In reporting data and outcomes under paragraph (d), municipalities should include 
7.27 	information on the use of evidence-based and culturally relevant services, to the extent 
7.28 	feasible.
7.29 	(f) Reporting requirements for municipal projects using $25,000 or more of settlement 
7.30 	funds in a calendar year must also include:
7.31 	(1) a brief qualitative description of successes or challenges; and
7.32 	(2) results using process and quality measures.
8.1 	(g) For the purposes of this subdivision, "municipality" or "municipalities" has the 
8.2 	meaning given in section 466.01, subdivision 1.

8.3 	ARTICLE 2
8.4 	HEALTH CARE

8.5 	Section 1. Minnesota Statutes 2020, section 256B.055, subdivision 17, is amended to read:
8.6 		Subd. 17.Adults who were in foster care at the age of 18. (a) Medical assistance may 
8.7 	be paid for a person under 26 years of age who was in foster care under the commissioner's 
8.8 	responsibility on the date of attaining 18 years of age or older, and who was enrolled in 
8.9 	medical assistance under the a state plan or a waiver of the a plan while in foster care, in 
8.10 	accordance with section 2004 of the Affordable Care Act.
8.11 	(b) Beginning January 1, 2023, medical assistance may be paid for a person under 26 
8.12 	years of age who was in foster care and enrolled in another state's Medicaid program while 
8.13 	in foster care, in accordance with Public Law 115-271, section 1002, the Substance 
8.14 	Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and 
8.15 	Communities Act.

8.16 	EFFECTIVE DATE. This section is effective January 1, 2023.

8.17 	Sec. 2. Minnesota Statutes 2020, section 256B.056, subdivision 3, is amended to read:
8.18 		Subd. 3.Asset limitations for certain individuals. (a) To be eligible for medical 
8.19 	assistance, a person must not individually own more than $3,000 in assets, or if a member 
8.20 	of a household with two family members, husband and wife, or parent and child, the 
8.21 	household must not own more than $6,000 in assets, plus $200 for each additional legal 
8.22 	dependent. In addition to these maximum amounts, an eligible individual or family may 
8.23 	accrue interest on these amounts, but they must be reduced to the maximum at the time of 
8.24 	an eligibility redetermination. The accumulation of the clothing and personal needs allowance 
8.25 	according to section 256B.35 must also be reduced to the maximum at the time of the 
8.26 	eligibility redetermination. The value of assets that are not considered in determining 
8.27 	eligibility for medical assistance is the value of those assets excluded under the Supplemental 
8.28 	Security Income program for aged, blind, and disabled persons, with the following 
8.29 	exceptions:
8.30 	(1) household goods and personal effects are not considered;
8.31 	(2) capital and operating assets of a trade or business that the local agency determines 
8.32 	are necessary to the person's ability to earn an income are not considered;
9.1 	(3) motor vehicles are excluded to the same extent excluded by the Supplemental Security 
9.2 	Income program;
9.3 	(4) assets designated as burial expenses are excluded to the same extent excluded by the 
9.4 	Supplemental Security Income program. Burial expenses funded by annuity contracts or 
9.5 	life insurance policies must irrevocably designate the individual's estate as contingent 
9.6 	beneficiary to the extent proceeds are not used for payment of selected burial expenses;
9.7 	(5) for a person who no longer qualifies as an employed person with a disability due to 
9.8 	loss of earnings, assets allowed while eligible for medical assistance under section 256B.057, 
9.9 	subdivision 9, are not considered for 12 months, beginning with the first month of ineligibility 
9.10 	as an employed person with a disability, to the extent that the person's total assets remain 
9.11 	within the allowed limits of section 256B.057, subdivision 9, paragraph (d);
9.12 	(6) a designated employment incentives asset account is disregarded when determining 
9.13 	eligibility for medical assistance for a person age 65 years or older under section 256B.055, 
9.14 	subdivision 7. An employment incentives asset account must only be designated by a person 
9.15 	who has been enrolled in medical assistance under section 256B.057, subdivision 9, for a 
9.16 	24-consecutive-month period. A designated employment incentives asset account contains 
9.17 	qualified assets owned by the person and the person's spouse in the last month of enrollment 
9.18 	in medical assistance under section 256B.057, subdivision 9. Qualified assets include 
9.19 	retirement and pension accounts, medical expense accounts, and up to $17,000 of the person's 
9.20 	other nonexcluded assets. An employment incentives asset account is no longer designated 
9.21 	when a person loses medical assistance eligibility for a calendar month or more before 
9.22 	turning age 65. A person who loses medical assistance eligibility before age 65 can establish 
9.23 	a new designated employment incentives asset account by establishing a new 
9.24 	24-consecutive-month period of enrollment under section 256B.057, subdivision 9. The 
9.25 	income of a spouse of a person enrolled in medical assistance under section 256B.057, 
9.26 	subdivision 9, during each of the 24 consecutive months before the person's 65th birthday 
9.27 	must be disregarded when determining eligibility for medical assistance under section 
9.28 	256B.055, subdivision 7. Persons eligible under this clause are not subject to the provisions 
9.29 	in section 256B.059; and
9.30 	(7) effective July 1, 2009, certain assets owned by American Indians are excluded as 
9.31 	required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public 
9.32 	Law 111-5. For purposes of this clause, an American Indian is any person who meets the 
9.33 	definition of Indian according to Code of Federal Regulations, title 42, section 447.50.; and
10.1 	(8) for individuals who were enrolled in medical assistance during the COVID-19 federal 
10.2 	public health emergency declared by the United States Secretary of Health and Human 
10.3 	Services and who are subject to the asset limits established by this subdivision, assets in 
10.4 	excess of the limits shall be disregarded until 95 days after the individual's first renewal 
10.5 	occurring after the expiration of the COVID-19 federal public health emergency declared 
10.6 	by the United States Secretary of Health and Human Services.
10.7 	(b) No asset limit shall apply to persons eligible under section 256B.055, subdivision 
10.8 	15.

10.9 	EFFECTIVE DATE. This section is effective July 1, 2022, or upon federal approval, 
10.10 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
10.11 	when federal approval is obtained.

10.12 	Sec. 3. Minnesota Statutes 2020, section 256B.056, subdivision 7, is amended to read:
10.13 		Subd. 7.Period of eligibility. (a) Eligibility is available for the month of application 
10.14 	and for three months prior to application if the person was eligible in those prior months. 
10.15 	A redetermination of eligibility must occur every 12 months.
10.16 	(b) For a person eligible for an insurance affordability program as defined in section 
10.17 	256B.02, subdivision 19, who reports a change that makes the person eligible for medical 
10.18 	assistance, eligibility is available for the month the change was reported and for three months 
10.19 	prior to the month the change was reported, if the person was eligible in those prior months.
10.20 	(c) Once determined eligible for medical assistance, a child under the age of 21 shall be 
10.21 	continuously eligible for a period of up to 12 months, unless:
10.22 	(1) the child reaches age 21;
10.23 	(2) the child requests voluntary termination of coverage;
10.24 	(3) the child ceases to be a resident of Minnesota;
10.25 	(4) the child dies; or
10.26 	(5) the agency determines the child's eligibility was erroneously granted due to agency 
10.27 	error or enrollee fraud, abuse, or perjury.

10.28 	EFFECTIVE DATE. This section is effective January 1, 2023, or upon federal approval, 
10.29 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
10.30 	when federal approval is obtained.

11.1 	Sec. 4. Minnesota Statutes 2020, section 256B.0625, subdivision 28b, is amended to read:
11.2 		Subd. 28b.Doula services. Medical assistance covers doula services provided by a 
11.3 	certified doula as defined in section 148.995, subdivision 2, of the mother's choice. For 
11.4 	purposes of this section, "doula services" means childbirth education and support services, 
11.5 	including emotional and physical support provided during pregnancy, labor, birth, and 
11.6 	postpartum. The commissioner shall enroll doula agencies and individual treating doulas 
11.7 	in order to provide direct reimbursement.

11.8 	EFFECTIVE DATE. This section is effective January 1, 2024, subject to federal 
11.9 	approval. The commissioner of human services shall notify the revisor of statutes when 
11.10 	federal approval is obtained.

11.11 	Sec. 5. Minnesota Statutes 2021 Supplement, section 256B.0625, subdivision 30, is 
11.12 	amended to read:
11.13 		Subd. 30.Other clinic services. (a) Medical assistance covers rural health clinic services, 
11.14 	federally qualified health center services, nonprofit community health clinic services, and 
11.15 	public health clinic services. Rural health clinic services and federally qualified health center 
11.16 	services mean services defined in United States Code, title 42, section 1396d(a)(2)(B) and 
11.17 	(C). Payment for rural health clinic and federally qualified health center services shall be 
11.18 	made according to applicable federal law and regulation.
11.19 	(b) A federally qualified health center (FQHC) that is beginning initial operation shall 
11.20 	submit an estimate of budgeted costs and visits for the initial reporting period in the form 
11.21 	and detail required by the commissioner. An FQHC that is already in operation shall submit 
11.22 	an initial report using actual costs and visits for the initial reporting period. Within 90 days 
11.23 	of the end of its reporting period, an FQHC shall submit, in the form and detail required by 
11.24 	the commissioner, a report of its operations, including allowable costs actually incurred for 
11.25 	the period and the actual number of visits for services furnished during the period, and other 
11.26 	information required by the commissioner. FQHCs that file Medicare cost reports shall 
11.27 	provide the commissioner with a copy of the most recent Medicare cost report filed with 
11.28 	the Medicare program intermediary for the reporting year which support the costs claimed 
11.29 	on their cost report to the state.
11.30 	(c) In order to continue cost-based payment under the medical assistance program 
11.31 	according to paragraphs (a) and (b), an FQHC or rural health clinic must apply for designation 
11.32 	as an essential community provider within six months of final adoption of rules by the 
11.33 	Department of Health according to section 62Q.19, subdivision 7. For those FQHCs and 
11.34 	rural health clinics that have applied for essential community provider status within the 
12.1 	six-month time prescribed, medical assistance payments will continue to be made according 
12.2 	to paragraphs (a) and (b) for the first three years after application. For FQHCs and rural 
12.3 	health clinics that either do not apply within the time specified above or who have had 
12.4 	essential community provider status for three years, medical assistance payments for health 
12.5 	services provided by these entities shall be according to the same rates and conditions 
12.6 	applicable to the same service provided by health care providers that are not FQHCs or rural 
12.7 	health clinics.
12.8 	(d) Effective July 1, 1999, the provisions of paragraph (c) requiring an FQHC or a rural 
12.9 	health clinic to make application for an essential community provider designation in order 
12.10 	to have cost-based payments made according to paragraphs (a) and (b) no longer apply.
12.11 	(e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall 
12.12 	be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.
12.13 	(f) Effective January 1, 2001, through December 31, 2020, each FQHC and rural health 
12.14 	clinic may elect to be paid either under the prospective payment system established in United 
12.15 	States Code, title 42, section 1396a(aa), or under an alternative payment methodology 
12.16 	consistent with the requirements of United States Code, title 42, section 1396a(aa), and 
12.17 	approved by the Centers for Medicare and Medicaid Services. The alternative payment 
12.18 	methodology shall be 100 percent of cost as determined according to Medicare cost 
12.19 	principles.
12.20 	(g) Effective for services provided on or after January 1, 2021, all claims for payment 
12.21 	of clinic services provided by FQHCs and rural health clinics shall be paid by the 
12.22 	commissioner, according to an annual election by the FQHC or rural health clinic, under 
12.23 	the current prospective payment system described in paragraph (f) or the alternative payment 
12.24 	methodology described in paragraph (l).
12.25 	(h) For purposes of this section, "nonprofit community clinic" is a clinic that:
12.26 	(1) has nonprofit status as specified in chapter 317A;
12.27 	(2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);
12.28 	(3) is established to provide health services to low-income population groups, uninsured, 
12.29 	high-risk and special needs populations, underserved and other special needs populations;
12.30 	(4) employs professional staff at least one-half of which are familiar with the cultural 
12.31 	background of their clients;
12.32 	(5) charges for services on a sliding fee scale designed to provide assistance to 
12.33 	low-income clients based on current poverty income guidelines and family size; and
13.1 	(6) does not restrict access or services because of a client's financial limitations or public 
13.2 	assistance status and provides no-cost care as needed.
13.3 	(i) Effective for services provided on or after January 1, 2015, all claims for payment 
13.4 	of clinic services provided by FQHCs and rural health clinics shall be paid by the 
13.5 	commissioner. the commissioner shall determine the most feasible method for paying claims 
13.6 	from the following options:
13.7 	(1) FQHCs and rural health clinics submit claims directly to the commissioner for 
13.8 	payment, and the commissioner provides claims information for recipients enrolled in a 
13.9 	managed care or county-based purchasing plan to the plan, on a regular basis; or
13.10 	(2) FQHCs and rural health clinics submit claims for recipients enrolled in a managed 
13.11 	care or county-based purchasing plan to the plan, and those claims are submitted by the 
13.12 	plan to the commissioner for payment to the clinic.
13.13 	(j) For clinic services provided prior to January 1, 2015, the commissioner shall calculate 
13.14 	and pay monthly the proposed managed care supplemental payments to clinics, and clinics 
13.15 	shall conduct a timely review of the payment calculation data in order to finalize all 
13.16 	supplemental payments in accordance with federal law. Any issues arising from a clinic's 
13.17 	review must be reported to the commissioner by January 1, 2017. Upon final agreement 
13.18 	between the commissioner and a clinic on issues identified under this subdivision, and in 
13.19 	accordance with United States Code, title 42, section 1396a(bb), no supplemental payments 
13.20 	for managed care plan or county-based purchasing plan claims for services provided prior 
13.21 	to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics are 
13.22 	unable to resolve issues under this subdivision, the parties shall submit the dispute to the 
13.23 	arbitration process under section 14.57.
13.24 	(k) The commissioner shall seek a federal waiver, authorized under section 1115 of the 
13.25 	Social Security Act, to obtain federal financial participation at the 100 percent federal 
13.26 	matching percentage available to facilities of the Indian Health Service or tribal organization 
13.27 	in accordance with section 1905(b) of the Social Security Act for expenditures made to 
13.28 	organizations dually certified under Title V of the Indian Health Care Improvement Act, 
13.29 	Public Law 94-437, and as a federally qualified health center under paragraph (a) that 
13.30 	provides services to American Indian and Alaskan Native individuals eligible for services 
13.31 	under this subdivision.
13.32 	(l) All claims for payment of clinic services provided by FQHCs and rural health clinics, 
13.33 	that have elected to be paid under this paragraph, shall be paid by the commissioner according 
13.34 	to the following requirements:
14.1 	(1) the commissioner shall establish a single medical and single dental organization 
14.2 	encounter rate for each FQHC and rural health clinic when applicable;
14.3 	(2) each FQHC and rural health clinic is eligible for same day reimbursement of one 
14.4 	medical and one dental organization encounter rate if eligible medical and dental visits are 
14.5 	provided on the same day;
14.6 	(3) the commissioner shall reimburse FQHCs and rural health clinics, in accordance 
14.7 	with current applicable Medicare cost principles, their allowable costs, including direct 
14.8 	patient care costs and patient-related support services. Nonallowable costs include, but are 
14.9 	not limited to:
14.10 	(i) general social services and administrative costs;
14.11 	(ii) retail pharmacy;
14.12 	(iii) patient incentives, food, housing assistance, and utility assistance;
14.13 	(iv) external lab and x-ray;
14.14 	(v) navigation services;
14.15 	(vi) health care taxes;
14.16 	(vii) advertising, public relations, and marketing;
14.17 	(viii) office entertainment costs, food, alcohol, and gifts;
14.18 	(ix) contributions and donations;
14.19 	(x) bad debts or losses on awards or contracts;
14.20 	(xi) fines, penalties, damages, or other settlements;
14.21 	(xii) fund-raising, investment management, and associated administrative costs;
14.22 	(xiii) research and associated administrative costs;
14.23 	(xiv) nonpaid workers;
14.24 	(xv) lobbying;
14.25 	(xvi) scholarships and student aid; and
14.26 	(xvii) nonmedical assistance covered services;
14.27 	(4) the commissioner shall review the list of nonallowable costs in the years between 
14.28 	the rebasing process established in clause (5), in consultation with the Minnesota Association 
15.1 	of Community Health Centers, FQHCs, and rural health clinics. The commissioner shall 
15.2 	publish the list and any updates in the Minnesota health care programs provider manual;
15.3 	(5) the initial applicable base year organization encounter rates for FQHCs and rural 
15.4 	health clinics shall be computed for services delivered on or after January 1, 2021, and:
15.5 	(i) must be determined using each FQHC's and rural health clinic's Medicare cost reports 
15.6 	from 2017 and 2018;
15.7 	(ii) must be according to current applicable Medicare cost principles as applicable to 
15.8 	FQHCs and rural health clinics without the application of productivity screens and upper 
15.9 	payment limits or the Medicare prospective payment system FQHC aggregate mean upper 
15.10 	payment limit;
15.11 	(iii) must be subsequently rebased every two years thereafter using the Medicare cost 
15.12 	reports that are three and four years prior to the rebasing year. Years in which organizational 
15.13 	cost or claims volume is reduced or altered due to a pandemic, disease, or other public health 
15.14 	emergency shall not be used as part of a base year when the base year includes more than 
15.15 	one year. The commissioner may use the Medicare cost reports of a year unaffected by a 
15.16 	pandemic, disease, or other public health emergency, or previous two consecutive years, 
15.17 	inflated to the base year as established under item (iv);
15.18 	(iv) must be inflated to the base year using the inflation factor described in clause (6); 
15.19 	and
15.20 	(v) the commissioner must provide for a 60-day appeals process under section 14.57;
15.21 	(6) the commissioner shall annually inflate the applicable organization encounter rates 
15.22 	for FQHCs and rural health clinics from the base year payment rate to the effective date by 
15.23 	using the CMS FQHC Market Basket inflator established under United States Code, title 
15.24 	42, section 1395m(o), less productivity;
15.25 	(7) FQHCs and rural health clinics that have elected the alternative payment methodology 
15.26 	under this paragraph shall submit all necessary documentation required by the commissioner 
15.27 	to compute the rebased organization encounter rates no later than six months following the 
15.28 	date the applicable Medicare cost reports are due to the Centers for Medicare and Medicaid 
15.29 	Services;
15.30 	(8) the commissioner shall reimburse FQHCs and rural health clinics an additional 
15.31 	amount relative to their medical and dental organization encounter rates that is attributable 
15.32 	to the tax required to be paid according to section 295.52, if applicable;
16.1 	(9) FQHCs and rural health clinics may submit change of scope requests to the 
16.2 	commissioner if the change of scope would result in an increase or decrease of 2.5 percent 
16.3 	or higher in the medical or dental organization encounter rate currently received by the 
16.4 	FQHC or rural health clinic;
16.5 	(10) for FQHCs and rural health clinics seeking a change in scope with the commissioner 
16.6 	under clause (9) that requires the approval of the scope change by the federal Health 
16.7 	Resources Services Administration:
16.8 	(i) FQHCs and rural health clinics shall submit the change of scope request, including 
16.9 	the start date of services, to the commissioner within seven business days of submission of 
16.10 	the scope change to the federal Health Resources Services Administration;
16.11 	(ii) the commissioner shall establish the effective date of the payment change as the 
16.12 	federal Health Resources Services Administration date of approval of the FQHC's or rural 
16.13 	health clinic's scope change request, or the effective start date of services, whichever is 
16.14 	later; and
16.15 	(iii) within 45 days of one year after the effective date established in item (ii), the 
16.16 	commissioner shall conduct a retroactive review to determine if the actual costs established 
16.17 	under clause (3) or encounters result in an increase or decrease of 2.5 percent or higher in 
16.18 	the medical or dental organization encounter rate, and if this is the case, the commissioner 
16.19 	shall revise the rate accordingly and shall adjust payments retrospectively to the effective 
16.20 	date established in item (ii);
16.21 	(11) for change of scope requests that do not require federal Health Resources Services 
16.22 	Administration approval, the FQHC and rural health clinic shall submit the request to the 
16.23 	commissioner before implementing the change, and the effective date of the change is the 
16.24 	date the commissioner received the FQHC's or rural health clinic's request, or the effective 
16.25 	start date of the service, whichever is later. The commissioner shall provide a response to 
16.26 	the FQHC's or rural health clinic's request within 45 days of submission and provide a final 
16.27 	approval within 120 days of submission. This timeline may be waived at the mutual 
16.28 	agreement of the commissioner and the FQHC or rural health clinic if more information is 
16.29 	needed to evaluate the request;
16.30 	(12) the commissioner, when establishing organization encounter rates for new FQHCs 
16.31 	and rural health clinics, shall consider the patient caseload of existing FQHCs and rural 
16.32 	health clinics in a 60-mile radius for organizations established outside of the seven-county 
16.33 	metropolitan area, and in a 30-mile radius for organizations in the seven-county metropolitan 
17.1 	area. If this information is not available, the commissioner may use Medicare cost reports 
17.2 	or audited financial statements to establish base rates;
17.3 	(13) the commissioner shall establish a quality measures workgroup that includes 
17.4 	representatives from the Minnesota Association of Community Health Centers, FQHCs, 
17.5 	and rural health clinics, to evaluate clinical and nonclinical measures; and
17.6 	(14) the commissioner shall not disallow or reduce costs that are related to an FQHC's 
17.7 	or rural health clinic's participation in health care educational programs to the extent that 
17.8 	the costs are not accounted for in the alternative payment methodology encounter rate 
17.9 	established in this paragraph.
17.10 	(m) Effective July 1, 2022, an enrolled Indian Health Service facility or a Tribal health 
17.11 	center operating under a 638 contract or compact may elect to also enroll as a Tribal FQHC.  
17.12 	No requirements that otherwise apply to FQHCs covered in this subdivision shall apply to 
17.13 	Tribal FQHCs enrolled under this paragraph, except those necessary to comply with federal 
17.14 	regulations.  The commissioner shall establish an alternative payment method for Tribal 
17.15 	FQHCs enrolled under this paragraph that uses the same method and rates applicable to a 
17.16 	Tribal facility or health center that does not enroll as a Tribal FQHC.

17.17 	Sec. 6. Minnesota Statutes 2020, section 256B.0625, subdivision 64, is amended to read:
17.18 		Subd. 64.Investigational drugs, biological products, devices, and clinical 
17.19 	trials.  Medical assistance and the early periodic screening, diagnosis, and treatment (EPSDT) 
17.20 	program do not cover the costs of any services that are incidental to, associated with, or 
17.21 	resulting from the use of investigational drugs, biological products, or devices as defined 
17.22 	in section 151.375 or any other treatment that is part of an approved clinical trial as defined 
17.23 	in section 62Q.526. Participation of an enrollee in an approved clinical trial does not preclude 
17.24 	coverage of medically necessary services covered under this chapter that are not related to 
17.25 	the approved clinical trial. Any items purchased or services rendered solely to satisfy data 
17.26 	collection and analysis for a clinical trial and not for direct clinical management of the 
17.27 	member are not covered.

17.28 	Sec. 7. [256B.161] CLIENT ERROR OVERPAYMENT.
17.29 		Subdivision 1.Scope. (a) Subject to federal law and regulation, when a local agency or 
17.30 	the Department of Human Services determines a person under section 256.98, subdivision 
17.31 	4, is liable for recovery of medical assistance incorrectly paid as a  result of client error or 
17.32 	when a recipient or former recipient receives medical assistance while an appeal is pending 
17.33 	pursuant to section 256.045, subdivision 10, and the recipient or former recipient is later 
18.1 	determined to have been ineligible for the medical assistance received or for less medical 
18.2 	assistance than was received during the pendency of the appeal, the local agency or the 
18.3 	Department of Human Services must:
18.4 	(1) determine the eligibility months during which medical assistance was incorrectly 
18.5 	paid;
18.6 	(2) redetermine eligibility for the incorrectly paid months using department policies and 
18.7 	procedures that were in effect during each eligibility month that was incorrectly paid; and
18.8 	(3) assess an overpayment against persons liable for recovery under section 256.98, 
18.9 	subdivision 4, for the amount of incorrectly paid medical assistance pursuant to section 
18.10 	256.98, subdivision 3.
18.11 	(b) Notwithstanding section 256.98, subdivision 4, medical assistance incorrectly paid 
18.12 	to a recipient as a result of client error when the recipient is under 21 years of age is not 
18.13 	recoverable from the recipient or recipient's estate. This section does not prohibit the state 
18.14 	agency from:
18.15 	(1) receiving payment from a trust pursuant to United States Code, title 42, section 
18.16 	1396p(d)(4)(A) or (C), for medical assistance paid on behalf of the trust beneficiary for 
18.17 	services received at any age; or
18.18 	(2) claiming against the designated beneficiary of an Achieving a Better Life Experience 
18.19 	(ABLE) account or the ABLE account itself pursuant to Code of Federal Regulations, title 
18.20 	26, section 1.529A-2(o), for the amount of the total medical assistance paid for the designated 
18.21 	beneficiary at any age after establishment of the ABLE account.
18.22 		Subd. 2.Recovering client error overpayment. (a) The local agency or the Department 
18.23 	of Human Services must not attempt recovery of the overpayment amount pursuant to 
18.24 	chapter 270A or section 256.0471 when a person liable for a client error overpayment under 
18.25 	section 256.98, subdivision 4, voluntarily repays the overpayment amount or establishes a 
18.26 	payment plan in writing with the local agency or the Department of Human Services to 
18.27 	repay the overpayment amount within 90 days after receiving the overpayment notice or 
18.28 	after resolution of a fair hearing regarding the overpayment under section 256.045, whichever 
18.29 	is later. When a liable person agrees to a payment plan in writing with the local agency or 
18.30 	the Department of Human Services but has not repaid any amount six months after entering 
18.31 	the agreement, the local agency or Department of Human Services must pursue recovery 
18.32 	under paragraph (b).
19.1 	(b) If the liable person does not voluntarily repay the overpayment amount or establish 
19.2 	a repayment agreement under paragraph (a), the local agency or the Department of Human 
19.3 	Services must attempt recovery of the overpayment amount pursuant to chapter 270A when 
19.4 	the overpayment amount is eligible for recovery as a public assistance debt under chapter 
19.5 	270A. For any overpaid amount of solely state-funded medical assistance, the local agency 
19.6 	or the Department of Human Services must attempt recovery pursuant to section 256.0471.
19.7 		Subd. 3.Writing off client error overpayment. A local agency or the Department of 
19.8 	Human Services must not attempt to recover a client error overpayment of less than $350, 
19.9 	unless the overpayment is for medical assistance received pursuant to section 256.045, 
19.10 	subdivision 10, during the pendency of an appeal or unless the recovery is from the recipient's 
19.11 	estate or the estate of the recipient's surviving spouse. A local agency or the Department of 
19.12 	Human Services may write off any remaining balance of a client error overpayment when 
19.13 	the overpayment has not been repaid five years after the effective date of the overpayment 
19.14 	and the local agency or the Department of Human Services determines it is no longer cost 
19.15 	effective to attempt recovery of the remaining balance.

19.16 	Sec. 8. Minnesota Statutes 2020, section 256B.76, subdivision 1, is amended to read:
19.17 		Subdivision 1.Physician reimbursement.  (a) Effective for services rendered on or after 
19.18 	October 1, 1992, the commissioner shall make payments for physician services as follows:
19.19 	(1) payment for level one Centers for Medicare and Medicaid Services' common 
19.20 	procedural coding system codes titled "office and other outpatient services," "preventive 
19.21 	medicine new and established patient," "delivery, antepartum, and postpartum care," "critical 
19.22 	care," cesarean delivery and pharmacologic management provided to psychiatric patients, 
19.23 	and level three codes for enhanced services for prenatal high risk, shall be paid at the lower 
19.24 	of (i) submitted charges, or (ii) 25 percent above the rate in effect on June 30, 1992;
19.25 	(2) payments for all other services shall be paid at the lower of (i) submitted charges, 
19.26 	or (ii) 15.4 percent above the rate in effect on June 30, 1992; and
19.27 	(3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th 
19.28 	percentile of 1989, less the percent in aggregate necessary to equal the above increases 
19.29 	except that payment rates for home health agency services shall be the rates in effect on 
19.30 	September 30, 1992.
19.31 	(b) Effective for services rendered on or after January 1, 2000, payment rates for physician 
19.32 	and professional services shall be increased by three percent over the rates in effect on 
20.1 	December 31, 1999, except for home health agency and family planning agency services. 
20.2 	The increases in this paragraph shall be implemented January 1, 2000, for managed care.
20.3 	(c) Effective for services rendered on or after July 1, 2009, payment rates for physician 
20.4 	and professional services shall be reduced by five percent, except that for the period July 
20.5 	1, 2009, through June 30, 2010, payment rates shall be reduced by 6.5 percent for the medical 
20.6 	assistance and general assistance medical care programs, over the rates in effect on June 
20.7 	30, 2009. This reduction and the reductions in paragraph (d) do not apply to office or other 
20.8 	outpatient visits, preventive medicine visits and family planning visits billed by physicians, 
20.9 	advanced practice nurses, or physician assistants in a family planning agency or in one of 
20.10 	the following primary care practices: general practice, general internal medicine, general 
20.11 	pediatrics, general geriatrics, and family medicine. This reduction and the reductions in 
20.12 	paragraph (d) do not apply to federally qualified health centers, rural health centers, and 
20.13 	Indian health services. Effective October 1, 2009, payments made to managed care plans 
20.14 	and county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall 
20.15 	reflect the payment reduction described in this paragraph.
20.16 	(d) Effective for services rendered on or after July 1, 2010, payment rates for physician 
20.17 	and professional services shall be reduced an additional seven percent over the five percent 
20.18 	reduction in rates described in paragraph (c). This additional reduction does not apply to 
20.19 	physical therapy services, occupational therapy services, and speech pathology and related 
20.20 	services provided on or after July 1, 2010. This additional reduction does not apply to 
20.21 	physician services billed by a psychiatrist or an advanced practice nurse with a specialty in 
20.22 	mental health. Effective October 1, 2010, payments made to managed care plans and 
20.23 	county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall reflect 
20.24 	the payment reduction described in this paragraph.
20.25 	(e) Effective for services rendered on or after September 1, 2011, through June 30, 2013, 
20.26 	payment rates for physician and professional services shall be reduced three percent from 
20.27 	the rates in effect on August 31, 2011. This reduction does not apply to physical therapy 
20.28 	services, occupational therapy services, and speech pathology and related services.
20.29 	(f) Effective for services rendered on or after September 1, 2014, payment rates for 
20.30 	physician and professional services, including physical therapy, occupational therapy, speech 
20.31 	pathology, and mental health services shall be increased by five percent from the rates in 
20.32 	effect on August 31, 2014. In calculating this rate increase, the commissioner shall not 
20.33 	include in the base rate for August 31, 2014, the rate increase provided under section 
20.34 	256B.76, subdivision 7. This increase does not apply to federally qualified health centers, 
21.1 	rural health centers, and Indian health services. Payments made to managed care plans and 
21.2 	county-based purchasing plans shall not be adjusted to reflect payments under this paragraph.
21.3 	(g) Effective for services rendered on or after July 1, 2015, payment rates for physical 
21.4 	therapy, occupational therapy, and speech pathology and related services provided by a 
21.5 	hospital meeting the criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause 
21.6 	(4), shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments 
21.7 	made to managed care plans and county-based purchasing plans shall not be adjusted to 
21.8 	reflect payments under this paragraph.
21.9 	(h) Any ratables effective before July 1, 2015, do not apply to early intensive 
21.10 	developmental and behavioral intervention (EIDBI) benefits described in section 256B.0949.
21.11 	(i) Medical assistance may reimburse for the cost incurred to pay the Department of 
21.12 	Health for metabolic disorder testing of newborns who are medical assistance recipients 
21.13 	when the sample is collected outside of an inpatient hospital setting or freestanding birth 
21.14 	center setting because the newborn was born outside of a hospital or freestanding birth 
21.15 	center or because it is not medically appropriate to collect the sample during the inpatient 
21.16 	stay for the birth.

21.17 	Sec. 9. Minnesota Statutes 2020, section 256L.04, subdivision 10, is amended to read:
21.18 		Subd. 10.Citizenship requirements. (a) Eligibility for MinnesotaCare is limited to 
21.19 	citizens or nationals of the United States and lawfully present noncitizens as defined in 
21.20 	Code of Federal Regulations, title 8, section 103.12. Undocumented noncitizens, with the 
21.21 	exception of children under age 19, are ineligible for MinnesotaCare. For purposes of this 
21.22 	subdivision, an undocumented noncitizen is an individual who resides in the United States 
21.23 	without the approval or acquiescence of the United States Citizenship and Immigration 
21.24 	Services. Families with children who are citizens or nationals of the United States must 
21.25 	cooperate in obtaining satisfactory documentary evidence of citizenship or nationality 
21.26 	according to the requirements of the federal Deficit Reduction Act of 2005, Public Law 
21.27 	109-171.
21.28 	(b) Notwithstanding subdivisions 1 and 7, eligible persons include families and 
21.29 	individuals who are lawfully present and ineligible for medical assistance by reason of 
21.30 	immigration status and who have incomes equal to or less than 200 percent of federal poverty 
21.31 	guidelines.

21.32 	EFFECTIVE DATE. This section is effective January 1, 2024.

22.1 	Sec. 10. [256L.181] CLIENT ERROR OVERPAYMENT.
22.2 		Subdivision 1.Scope. (a) Subject to federal law and regulation, when a local agency or 
22.3 	the Department of Human Services determines a person under section 256.98, subdivision 
22.4 	4, is liable for recovery of medical assistance incorrectly paid as a  result of client error or 
22.5 	when a recipient or former recipient receives medical assistance while an appeal is pending 
22.6 	pursuant to section 256.045, subdivision 10, and the recipient or former recipient is later 
22.7 	determined to have been ineligible for the medical assistance received or for less medical 
22.8 	assistance than was received during the pendency of the appeal, the local agency or the 
22.9 	Department of Human Services must:
22.10 	(1) determine the eligibility months during which medical assistance was incorrectly 
22.11 	paid;
22.12 	(2) redetermine eligibility for the incorrectly paid months using department policies and 
22.13 	procedures that were in effect during each eligibility month that was incorrectly paid; and
22.14 	(3) assess an overpayment against persons liable for recovery under section 256.98, 
22.15 	subdivision 4, for the amount of incorrectly paid medical assistance pursuant to section 
22.16 	256.98, subdivision 3.
22.17 	(b) Notwithstanding section 256.98, subdivision 4, medical assistance incorrectly paid 
22.18 	to a recipient as a result of client error when the recipient is under 21 years of age is not 
22.19 	recoverable from the recipient or recipient's estate. This section does not prohibit the state 
22.20 	agency from:
22.21 	(1) receiving payment from a trust pursuant to United States Code, title 42, section 
22.22 	1396p(d)(4)(A) or (C), for medical assistance paid on behalf of the trust beneficiary for 
22.23 	services received at any age; or
22.24 	(2) claiming against the designated beneficiary of an Achieving a Better Life Experience 
22.25 	(ABLE) account or the ABLE account itself pursuant to Code of Federal Regulations, title 
22.26 	26, section 1.529A-2(o), for the amount of the total medical assistance paid for the designated 
22.27 	beneficiary at any age after establishment of the ABLE account.
22.28 		Subd. 2.Recovering client error overpayment. (a) The local agency or the Department 
22.29 	of Human Services must not attempt recovery of the overpayment amount pursuant to 
22.30 	chapter 270A or section 256.0471 when a person liable for a client error overpayment under 
22.31 	section 256.98, subdivision 4, voluntarily repays the overpayment amount or establishes a 
22.32 	payment plan in writing with the local agency or the Department of Human Services to 
22.33 	repay the overpayment amount within 90 days after receiving the overpayment notice or 
23.1 	after resolution of a fair hearing regarding the overpayment under section 256.045, whichever 
23.2 	is later. When a liable person agrees to a payment plan in writing with the local agency or 
23.3 	the Department of Human Services but has not repaid any amount six months after entering 
23.4 	the agreement, the local agency or Department of Human Services must pursue recovery 
23.5 	under paragraph (b).
23.6 	(b) If the liable person does not voluntarily repay the overpayment amount or establish 
23.7 	a repayment agreement under paragraph (a), the local agency or the Department of Human 
23.8 	Services must attempt recovery of the overpayment amount pursuant to chapter 270A when 
23.9 	the overpayment amount is eligible for recovery as a public assistance debt under chapter 
23.10 	270A. For any overpaid amount of solely state-funded medical assistance, the local agency 
23.11 	or the Department of Human Services must attempt recovery pursuant to section 256.0471.
23.12 		Subd. 3.Writing off client error overpayment. A local agency or the Department of 
23.13 	Human Services must not attempt to recover a client error overpayment of less than $350, 
23.14 	unless the overpayment is for medical assistance received pursuant to section 256.045, 
23.15 	subdivision 10, during the pendency of an appeal or unless the recovery is from the recipient's 
23.16 	estate or the estate of the recipient's surviving spouse. A local agency or the Department of 
23.17 	Human Services may write off any remaining balance of a client error overpayment when 
23.18 	the overpayment has not been repaid five years after the effective date of the overpayment 
23.19 	and the local agency or the Department of Human Services determines it is no longer cost 
23.20 	effective to attempt recovery of the remaining balance.

23.21 	Sec. 11. Laws 2015, chapter 71, article 14, section 2, subdivision 5, as amended by Laws 
23.22 	2015, First Special Session chapter 6, section 1, is amended to read:

23.23	Subd. 5.Grant Programs
 					
23.24 	The amounts that may be spent from this 
23.25 	appropriation for each purpose are as follows:

23.26	(a) Support Services Grants

23.27	Appropriations by Fund
	
23.28	General
	13,133,000
	8,715,000
	
23.29	Federal TANF
	96,311,000
	96,311,000

23.30
23.31	(b) Basic Sliding Fee Child Care Assistance 
Grants
		48,439,000
		51,559,000
	
23.32 	Basic Sliding Fee Waiting List Allocation. 
23.33 	Notwithstanding Minnesota Statutes, section 
24.1 	119B.03, $5,413,000 in fiscal year 2016 is to 
24.2 	reduce the basic sliding fee program waiting 
24.3 	list as follows:
24.4 	(1) The calendar year 2016 allocation shall be 
24.5 	increased to serve families on the waiting list. 
24.6 	To receive funds appropriated for this purpose, 
24.7 	a county must have:
24.8 	(i) a waiting list in the most recent published 
24.9 	waiting list month;
24.10 	(ii) an average of at least ten families on the 
24.11 	most recent six months of published waiting 
24.12 	list; and
24.13 	(iii) total expenditures in calendar year 2014 
24.14 	that met or exceeded 80 percent of the county's 
24.15 	available final allocation.
24.16 	(2) Funds shall be distributed proportionately 
24.17 	based on the average of the most recent six 
24.18 	months of published waiting lists to counties 
24.19 	that meet the criteria in clause (1).
24.20 	(3) Allocations in calendar years 2017 and 
24.21 	beyond shall be calculated using the allocation 
24.22 	formula in Minnesota Statutes, section 
24.23 	119B.03.
24.24 	(4) The guaranteed floor for calendar year 
24.25 	2017 shall be based on the revised calendar 
24.26 	year 2016 allocation.
24.27 	Base Level Adjustment. The general fund 
24.28 	base is increased by $810,000 in fiscal year 
24.29 	2018 and increased by $821,000 in fiscal year 
24.30 	2019.

24.31	(c) Child Care Development Grants
		1,737,000
		1,737,000

24.32	(d) Child Support Enforcement Grants
		50,000
		50,000

24.33	(e) Children's Services Grants

25.1	Appropriations by Fund
	
25.2	General
	39,015,000
	38,665,000
	
25.3	Federal TANF
	140,000
	140,000
	
25.4 	Safe Place for Newborns. $350,000 from the 
25.5 	general fund in fiscal year 2016 is to distribute 
25.6 	information on the Safe Place for Newborns 
25.7 	law in Minnesota to increase public awareness 
25.8 	of the law. This is a onetime appropriation.
25.9 	Child Protection. $23,350,000 in fiscal year 
25.10 	2016 and $23,350,000 in fiscal year 2017 are 
25.11 	to address child protection staffing and 
25.12 	services under Minnesota Statutes, section 
25.13 	256M.41. $1,650,000 in fiscal year 2016 and 
25.14 	$1,650,000 in fiscal year 2017 are for child 
25.15 	protection grants to address child welfare 
25.16 	disparities under Minnesota Statutes, section 
25.17 	256E.28.
25.18 	Title IV-E Adoption Assistance. Additional 
25.19 	federal reimbursement to the state as a result 
25.20 	of the Fostering Connections to Success and 
25.21 	Increasing Adoptions Act's expanded 
25.22 	eligibility for title IV-E adoption assistance is 
25.23 	appropriated to the commissioner for 
25.24 	postadoption services, including a 
25.25 	parent-to-parent support network.
25.26 	Adoption Assistance Incentive Grants. 
25.27 	Federal funds available during fiscal years 
25.28 	2016 and 2017 for adoption incentive grants 
25.29 	are appropriated to the commissioner for 
25.30 	postadoption services, including a 
25.31 	parent-to-parent support network.

25.32	(f) Children and Community Service Grants
		56,301,000
		56,301,000

25.33	(g) Children and Economic Support Grants
		26,778,000
		26,966,000
	
26.1 	Mobile Food Shelf Grants. (a) $1,000,000 
26.2 	in fiscal year 2016 and $1,000,000 in fiscal 
26.3 	year 2017 are for a grant to Hunger Solutions. 
26.4 	This is a onetime appropriation and is 
26.5 	available until June 30, 2017.
26.6 	(b) Hunger Solutions shall award grants of up 
26.7 	to $75,000 on a competitive basis. Grant 
26.8 	applications must include:
26.9 	(1) the location of the project;
26.10 	(2) a description of the mobile program, 
26.11 	including size and scope;
26.12 	(3) evidence regarding the unserved or 
26.13 	underserved nature of the community in which 
26.14 	the project is to be located;
26.15 	(4) evidence of community support for the 
26.16 	project;
26.17 	(5) the total cost of the project;
26.18 	(6) the amount of the grant request and how 
26.19 	funds will be used;
26.20 	(7) sources of funding or in-kind contributions 
26.21 	for the project that will supplement any grant 
26.22 	award;
26.23 	(8) a commitment to mobile programs by the 
26.24 	applicant and an ongoing commitment to 
26.25 	maintain the mobile program; and
26.26 	(9) any additional information requested by 
26.27 	Hunger Solutions.
26.28 	(c) Priority may be given to applicants who:
26.29 	(1) serve underserved areas;
26.30 	(2) create a new or expand an existing mobile 
26.31 	program;
27.1 	(3) serve areas where a high amount of need 
27.2 	is identified;
27.3 	(4) provide evidence of strong support for the 
27.4 	project from citizens and other institutions in 
27.5 	the community;
27.6 	(5) leverage funding for the project from other 
27.7 	private and public sources; and
27.8 	(6) commit to maintaining the program on a 
27.9 	multilayer basis.
27.10 	Homeless Youth Act. At least $500,000 of 
27.11 	the appropriation for the Homeless Youth Act 
27.12 	must be awarded to providers in greater 
27.13 	Minnesota, with at least 25 percent of this 
27.14 	amount for new applicant providers. The 
27.15 	commissioner shall provide outreach and 
27.16 	technical assistance to greater Minnesota 
27.17 	providers and new providers to encourage 
27.18 	responding to the request for proposals.
27.19 	Stearns County Veterans Housing. $85,000 
27.20 	in fiscal year 2016 and $85,000 in fiscal year 
27.21 	2017 are for a grant to Stearns County to 
27.22 	provide administrative funding in support of 
27.23 	a service provider serving veterans in Stearns 
27.24 	County. The administrative funding grant may 
27.25 	be used to support group residential housing 
27.26 	services, corrections-related services, veteran 
27.27 	services, and other social services related to 
27.28 	the service provider serving veterans in 
27.29 	Stearns County.
27.30 	Safe Harbor. $800,000 in fiscal year 2016 
27.31 	and $800,000 in fiscal year 2017 are from the 
27.32 	general fund for emergency shelter and 
27.33 	transitional and long-term housing beds for 
27.34 	sexually exploited youth and youth at risk of 
28.1 	sexual exploitation. Of this appropriation, 
28.2 	$150,000 in fiscal year 2016 and $150,000 in 
28.3 	fiscal year 2017 are from the general fund for 
28.4 	statewide youth outreach workers connecting 
28.5 	sexually exploited youth and youth at risk of 
28.6 	sexual exploitation with shelter and services.
28.7 	Minnesota Food Assistance Program. 
28.8 	Unexpended funds for the Minnesota food 
28.9 	assistance program for fiscal year 2016 do not 
28.10 	cancel but are available for this purpose in 
28.11 	fiscal year 2017.
28.12 	Base Level Adjustment. The general fund 
28.13 	base is decreased by $816,000 in fiscal year 
28.14 	2018 and is decreased by $606,000 in fiscal 
28.15 	year 2019.

28.16	(h) Health Care Grants

28.17	Appropriations by Fund
	
28.18	General
	536,000
	2,482,000
	
28.19	Health Care Access
	3,341,000
	3,465,000
	
28.20 	Grants for Periodic Data Matching for 
28.21 	Medical Assistance and MinnesotaCare. Of 
28.22 	the general fund appropriation, $26,000 in 
28.23 	fiscal year 2016 and $1,276,000 in fiscal year 
28.24 	2017 are for grants to counties for costs related 
28.25 	to periodic data matching for medical 
28.26 	assistance and MinnesotaCare recipients under 
28.27 	Minnesota Statutes, section 256B.0561. The 
28.28 	commissioner must distribute these grants to 
28.29 	counties in proportion to each county's number 
28.30 	of cases in the prior year in the affected 
28.31 	programs.
28.32 	Base Level Adjustment. The general fund 
28.33 	base is increased by $1,637,000 in fiscal year 
28.34 	2018 and increased by $1,229,000 in fiscal 
29.1 	year 2019 maintained in fiscal years 2020 and 
29.2 	2021.

29.3	(i) Other Long-Term Care Grants
		1,551,000
		3,069,000
	
29.4 	Transition Populations. $1,551,000 in fiscal 
29.5 	year 2016 and $1,725,000 in fiscal year 2017 
29.6 	are for home and community-based services 
29.7 	transition grants to assist in providing home 
29.8 	and community-based services and treatment 
29.9 	for transition populations under Minnesota 
29.10 	Statutes, section 256.478.
29.11 	Base Level Adjustment. The general fund 
29.12 	base is increased by $156,000 in fiscal year 
29.13 	2018 and by $581,000 in fiscal year 2019.

29.14	(j) Aging and Adult Services Grants
		28,463,000
		28,162,000
	
29.15 	Dementia Grants. $750,000 in fiscal year 
29.16 	2016 and $750,000 in fiscal year 2017 are for 
29.17 	the Minnesota Board on Aging for regional 
29.18 	and local dementia grants authorized in 
29.19 	Minnesota Statutes, section 256.975, 
29.20 	subdivision 11.

29.21	(k) Deaf and Hard-of-Hearing Grants
		2,225,000
		2,375,000
	
29.22 	Deaf, Deafblind, and Hard-of-Hearing 
29.23 	Grants. $350,000 in fiscal year 2016 and 
29.24 	$500,000 in fiscal year 2017 are for deaf and 
29.25 	hard-of-hearing grants. The funds must be 
29.26 	used to increase the number of deafblind 
29.27 	Minnesotans receiving services under 
29.28 	Minnesota Statutes, section 256C.261, and to 
29.29 	provide linguistically and culturally 
29.30 	appropriate mental health services to children 
29.31 	who are deaf, deafblind, and hard-of-hearing. 
29.32 	This is a onetime appropriation.
30.1 	Base Level Adjustment. The general fund 
30.2 	base is decreased by $500,000 in fiscal year 
30.3 	2018 and by $500,000 in fiscal year 2019.

30.4	(l) Disabilities Grants
		20,820,000
		20,858,000
	
30.5 	State Quality Council. $573,000 in fiscal 
30.6 	year 2016 and $600,000 in fiscal year 2017 
30.7 	are for the State Quality Council to provide 
30.8 	technical assistance and monitoring of 
30.9 	person-centered outcomes related to inclusive 
30.10 	community living and employment. The 
30.11 	funding must be used by the State Quality 
30.12 	Council to assure a statewide plan for systems 
30.13 	change in person-centered planning that will 
30.14 	achieve desired outcomes including increased 
30.15 	integrated employment and community living.

30.16	(m) Adult Mental Health Grants

30.17	Appropriations by Fund
	
30.18	General
	69,992,000
	71,244,000
	
30.19	Health Care Access
	1,575,000
	2,473,000
	
30.20	Lottery Prize
	1,733,000
	1,733,000
	
30.21 	Funding Usage. Up to 75 percent of a fiscal 
30.22 	year's appropriation for adult mental health 
30.23 	grants may be used to fund allocations in that 
30.24 	portion of the fiscal year ending December 
30.25 	31.
30.26 	Culturally Specific Mental Health Services. 
30.27 	$100,000 in fiscal year 2016 is for grants to 
30.28 	nonprofit organizations to provide resources 
30.29 	and referrals for culturally specific mental 
30.30 	health services to Southeast Asian veterans 
30.31 	born before 1965 who do not qualify for 
30.32 	services available to veterans formally 
30.33 	discharged from the United States armed 
30.34 	forces.
31.1 	Problem Gambling. $225,000 in fiscal year 
31.2 	2016 and $225,000 in fiscal year 2017 are 
31.3 	from the lottery prize fund for a grant to the 
31.4 	state affiliate recognized by the National 
31.5 	Council on Problem Gambling. The affiliate 
31.6 	must provide services to increase public 
31.7 	awareness of problem gambling, education, 
31.8 	and training for individuals and organizations 
31.9 	providing effective treatment services to 
31.10 	problem gamblers and their families, and 
31.11 	research related to problem gambling.
31.12 	Sustainability Grants. $2,125,000 in fiscal 
31.13 	year 2016 and $2,125,000 in fiscal year 2017 
31.14 	are for sustainability grants under Minnesota 
31.15 	Statutes, section 256B.0622, subdivision 11.
31.16 	Beltrami County Mental Health Services 
31.17 	Grant. $1,000,000 in fiscal year 2016 and 
31.18 	$1,000,000 in fiscal year 2017 are from the 
31.19 	general fund for a grant to Beltrami County 
31.20 	to fund the planning and development of a 
31.21 	comprehensive mental health services program 
31.22 	under article 2, section 41, Comprehensive 
31.23 	Mental Health Program in Beltrami County. 
31.24 	This is a onetime appropriation.
31.25 	Base Level Adjustment. The general fund 
31.26 	base is increased by $723,000 in fiscal year 
31.27 	2018 and by $723,000 in fiscal year 2019. The 
31.28 	health care access fund base is decreased by 
31.29 	$1,723,000 in fiscal year 2018 and by 
31.30 	$1,723,000 in fiscal year 2019.

31.31	(n) Child Mental Health Grants
		23,386,000
		24,313,000
	
31.32 	Services and Supports for First Episode 
31.33 	Psychosis. $177,000 in fiscal year 2017 is for 
31.34 	grants under Minnesota Statutes, section 
32.1 	245.4889, to mental health providers to pilot 
32.2 	evidence-based interventions for youth at risk 
32.3 	of developing or experiencing a first episode 
32.4 	of psychosis and for a public awareness 
32.5 	campaign on the signs and symptoms of 
32.6 	psychosis. The base for these grants is 
32.7 	$236,000 in fiscal year 2018 and $301,000 in 
32.8 	fiscal year 2019.
32.9 	Adverse Childhood Experiences. The base 
32.10 	for grants under Minnesota Statutes, section 
32.11 	245.4889, to children's mental health and 
32.12 	family services collaboratives for adverse 
32.13 	childhood experiences (ACEs) training grants 
32.14 	and for an interactive Web site connection to 
32.15 	support ACEs in Minnesota is $363,000 in 
32.16 	fiscal year 2018 and $363,000 in fiscal year 
32.17 	2019.
32.18 	Funding Usage. Up to 75 percent of a fiscal 
32.19 	year's appropriation for child mental health 
32.20 	grants may be used to fund allocations in that 
32.21 	portion of the fiscal year ending December 
32.22 	31.
32.23 	Base Level Adjustment. The general fund 
32.24 	base is increased by $422,000 in fiscal year 
32.25 	2018 and is increased by $487,000 in fiscal 
32.26 	year 2019.

32.27
32.28	(o) Chemical Dependency Treatment Support 
Grants
		1,561,000
		1,561,000
	
32.29 	Chemical Dependency Prevention. $150,000 
32.30 	in fiscal year 2016 and $150,000 in fiscal year 
32.31 	2017 are for grants to nonprofit organizations 
32.32 	to provide chemical dependency prevention 
32.33 	programs in secondary schools. When making 
32.34 	grants, the commissioner must consider the 
32.35 	expertise, prior experience, and outcomes 
33.1 	achieved by applicants that have provided 
33.2 	prevention programming in secondary 
33.3 	education environments. An applicant for the 
33.4 	grant funds must provide verification to the 
33.5 	commissioner that the applicant has available 
33.6 	and will contribute sufficient funds to match 
33.7 	the grant given by the commissioner. This is 
33.8 	a onetime appropriation.
33.9 	Fetal Alcohol Syndrome Grants. $250,000 
33.10 	in fiscal year 2016 and $250,000 in fiscal year 
33.11 	2017 are for grants to be administered by the 
33.12 	Minnesota Organization on Fetal Alcohol 
33.13 	Syndrome to provide comprehensive, 
33.14 	gender-specific services to pregnant and 
33.15 	parenting women suspected of or known to 
33.16 	use or abuse alcohol or other drugs. This 
33.17 	appropriation is for grants to no fewer than 
33.18 	three eligible recipients. Minnesota 
33.19 	Organization on Fetal Alcohol Syndrome must 
33.20 	report to the commissioner of human services 
33.21 	annually by January 15 on the grants funded 
33.22 	by this appropriation. The report must include 
33.23 	measurable outcomes for the previous year, 
33.24 	including the number of pregnant women 
33.25 	served and the number of toxic-free babies 
33.26 	born.
33.27 	Base Level Adjustment. The general fund 
33.28 	base is decreased by $150,000 in fiscal year 
33.29 	2018 and by $150,000 in fiscal year 2019.

33.30 	Sec. 12. Laws 2020, First Special Session chapter 7, section 1, subdivision 1, as amended 
33.31 	by Laws 2021, First Special Session chapter 7, article 2, section 71, is amended to read:
33.32 		Subdivision 1.Waivers and modifications; federal funding extension. When the 
33.33 	peacetime emergency declared by the governor in response to the COVID-19 outbreak 
33.34 	expires, is terminated, or is rescinded by the proper authority, the following waivers and 
34.1 	modifications to human services programs issued by the commissioner of human services 
34.2 	pursuant to Executive Orders 20-11 and 20-12 that are required to comply with federal law 
34.3 	may remain in effect for the time period set out in applicable federal law or for the time 
34.4 	period set out in any applicable federally approved waiver or state plan amendment, 
34.5 	whichever is later:
34.6 	(1) CV15: allowing telephone or video visits for waiver programs;
34.7 	(2) CV17: preserving health care coverage for Medical Assistance and MinnesotaCare
34.8 	as needed to comply with federal guidance from the Centers for Medicare and Medicaid 
34.9 	Services, and until the enrollee's first renewal following the resumption of medical assistance 
34.10 	and MinnesotaCare renewals after the end of the COVID-19 public health emergency 
34.11 	declared by the United States Secretary of Health and Human Services;
34.12 	(3) CV18: implementation of federal changes to the Supplemental Nutrition Assistance 
34.13 	Program;
34.14 	(4) CV20: eliminating cost-sharing for COVID-19 diagnosis and treatment;
34.15 	(5) CV24: allowing telephone or video use for targeted case management visits;
34.16 	(6) CV30: expanding telemedicine in health care, mental health, and substance use 
34.17 	disorder settings;
34.18 	(7) CV37: implementation of federal changes to the Supplemental Nutrition Assistance 
34.19 	Program;
34.20 	(8) CV39: implementation of federal changes to the Supplemental Nutrition Assistance 
34.21 	Program;
34.22 	(9) CV42: implementation of federal changes to the Supplemental Nutrition Assistance 
34.23 	Program;
34.24 	(10) CV43: expanding remote home and community-based waiver services;
34.25 	(11) CV44: allowing remote delivery of adult day services;
34.26 	(12) CV59: modifying eligibility period for the federally funded Refugee Cash Assistance 
34.27 	Program;
34.28 	(13) CV60: modifying eligibility period for the federally funded Refugee Social Services 
34.29 	Program; and
34.30 	(14) CV109: providing 15 percent increase for Minnesota Food Assistance Program and 
34.31 	Minnesota Family Investment Program maximum food benefits.

35.1 	Sec. 13. Laws 2021, First Special Session chapter 7, article 1, section 36, is amended to 
35.2 	read:
35.3 	Sec. 36. RESPONSE TO COVID-19 PUBLIC HEALTH EMERGENCY.
 35.4 	(a) Notwithstanding Minnesota Statutes, section 256B.057, subdivision 9, 256L.06, 
35.5 	subdivision 3, or any other provision to the contrary, the commissioner shall not collect any 
35.6 	unpaid premium for a coverage month that occurred during until the enrollee's first renewal 
35.7 	after the resumption of medical assistance renewals following the end of the COVID-19 
35.8 	public health emergency declared by the United States Secretary of Health and Human 
35.9 	Services.
35.10 	(b) Notwithstanding any provision to the contrary, periodic data matching under 
35.11 	Minnesota Statutes, section 256B.0561, subdivision 2, may be suspended for up to six 12
35.12 	months following the last day of resumption of medical assistance and MinnesotaCare 
35.13 	renewals after the end of the COVID-19 public health emergency declared by the United 
35.14 	States Secretary of Health and Human Services.
35.15 	(c) Notwithstanding any provision to the contrary, the requirement for the commissioner 
35.16 	of human services to issue an annual report on periodic data matching under Minnesota 
35.17 	Statutes, section 256B.0561, is suspended for one year following the last day of the 
35.18 	COVID-19 public health emergency declared by the United States Secretary of Health and 
35.19 	Human Services.
35.20 	(d) The commissioner of human services shall take necessary actions to comply with 
35.21 	federal guidance pertaining to the appropriate redetermination of medical assistance enrollee 
35.22 	eligibility following the end of the public health emergency and may waive currently existing 
35.23 	Minnesota statutes to the minimum level necessary to achieve federal compliance. All 
35.24 	changes implemented shall be reported to the chairs and ranking minority members of the 
35.25 	legislative committees with jurisdiction over human services within 90 days.

35.26 	ARTICLE 3
35.27 	HEALTH INSURANCE ACCESS

35.28 	Section 1. Minnesota Statutes 2020, section 256L.04, subdivision 1c, is amended to read:
35.29 		Subd. 1c.General requirements. (a) To be eligible for MinnesotaCare, a person must 
35.30 	meet the eligibility requirements of in this section.
35.31 	(b) A person eligible for MinnesotaCare shall not be considered a qualified individual 
35.32 	under section 1312 of the Affordable Care Act, and is not eligible for enrollment in a qualified 
36.1 	health plan with advance payment of the federal premium tax credit offered through MNsure 
36.2 	under chapter 62V.
36.3 	(c) Paragraph (b) does not apply to a person eligible for the buy-in option under 
36.4 	subdivision 15.

36.5 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
36.6 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
36.7 	when federal approval is obtained.

36.8 	Sec. 2. Minnesota Statutes 2020, section 256L.04, subdivision 7a, is amended to read:
36.9 		Subd. 7a.Ineligibility. Adults whose income is greater than the limits established under 
36.10 	this section may not enroll in the MinnesotaCare program, except as provided in subdivision 
36.11 	15.

36.12 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
36.13 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
36.14 	when federal approval is obtained.

36.15 	Sec. 3. Minnesota Statutes 2020, section 256L.04, is amended by adding a subdivision to 
36.16 	read:
36.17 		Subd. 15.Persons eligible for buy-in option. (a) Families and individuals with income 
36.18 	above the maximum income eligibility limit specified in subdivision 1 or 7 who meet all 
36.19 	other MinnesotaCare eligibility requirements are eligible for the buy-in option. All other 
36.20 	provisions of this chapter apply unless otherwise specified.
36.21 	(b) Families and individuals with income within or above the maximum income eligibility 
36.22 	limit but ineligible for MinnesotaCare solely due to access to employer-subsidized coverage 
36.23 	under section 256L.07, subdivision 2, are eligible for the buy-in option.
36.24 	(c) Families and individuals may enroll in MinnesotaCare under this subdivision only 
36.25 	during an annual open enrollment period or special enrollment period, as designated by 
36.26 	MNsure in compliance with Code of Federal Regulations, title 45, parts 155.410 and 155.420.

36.27 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
36.28 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
36.29 	when federal approval is obtained.

37.1 	Sec. 4. Minnesota Statutes 2020, section 256L.07, subdivision 1, is amended to read:
37.2 		Subdivision 1.General requirements. Individuals enrolled in MinnesotaCare under 
37.3 	section 256L.04, subdivision 1, and individuals enrolled in MinnesotaCare under section 
37.4 	256L.04, subdivision 7, whose income increases above 200 percent of the federal poverty 
37.5 	guidelines, are no longer eligible for the program and shall be disenrolled by the 
37.6 	commissioner, unless they continue MinnesotaCare enrollment through the buy-in option 
37.7 	under section 256L.04, subdivision 15. For persons disenrolled under this subdivision, 
37.8 	MinnesotaCare coverage terminates the last day of the calendar month in which the 
37.9 	commissioner sends advance notice according to Code of Federal Regulations, title 42, 
37.10 	section 431.211, that indicates the income of a family or individual exceeds program income 
37.11 	limits.

37.12 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
37.13 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
37.14 	when federal approval is obtained.

37.15 	Sec. 5. Minnesota Statutes 2021 Supplement, section 256L.07, subdivision 2, is amended 
37.16 	to read:
37.17 		Subd. 2.Must not have access to employer-subsidized minimum essential 
37.18 	coverage. (a) To be eligible, a family or individual must not have access to subsidized health 
37.19 	coverage that is affordable and provides minimum value as defined in Code of Federal 
37.20 	Regulations, title 26, section 1.36B-2.
37.21 	(b) Notwithstanding paragraph (a), an individual who has access through a spouse's or 
37.22 	parent's employer to subsidized health coverage that is deemed minimum essential coverage 
37.23 	under Code of Federal Regulations, title 26, section 1.36B-2, is eligible for MinnesotaCare 
37.24 	if the employee's portion of the annual premium for employee and dependent coverage 
37.25 	exceeds the required contribution percentage, as defined for premium tax credit eligibility 
37.26 	under United States Code, title 26, section 36B(c)(2)(C)(i)(II), as indexed according to item 
37.27 	(iv) of that section, of the individual's household income for the coverage year.
37.28 	(c) This subdivision does not apply to a family or individual who no longer has 
37.29 	employer-subsidized coverage due to the employer terminating health care coverage as an 
37.30 	employee benefit.
37.31 	(d) This subdivision does not apply to a family or individual who enrolls through the 
37.32 	buy-in option under section 256L.04, subdivision 15.

38.1 	EFFECTIVE DATE. This section is effective January 1, 2025, or upon federal approval, 
38.2 	whichever is later. The commissioner of human services shall notify the revisor of statutes 
38.3 	when federal approval is obtained.

38.4 	Sec. 6. Minnesota Statutes 2021 Supplement, section 256L.15, subdivision 2, is amended 
38.5 	to read:
38.6 		Subd. 2.Sliding fee scale; monthly individual or family income. (a) The commissioner 
38.7 	shall establish a sliding fee scale to determine the percentage of monthly individual or family 
38.8 	income that households at different income levels must pay to obtain coverage through the 
38.9 	MinnesotaCare program. The sliding fee scale must be based on the enrollee's monthly 
38.10 	individual or family income.
38.11 	(b) Beginning January 1, 2014, MinnesotaCare enrollees shall pay premiums according 
38.12 	to the premium scale specified in paragraph (d).
38.13 	(c) (b) Paragraph (b) (a) does not apply to:
38.14 	(1) children 20 years of age or younger; and.
38.15 	(2) individuals with household incomes below 35 percent of the federal poverty 
38.16 	guidelines.
38.17 	(d) The following premium scale is established for each individual in the household who 
38.18 	is 21 years of age or older and enrolled in MinnesotaCare:

38.19
38.20	Federal Poverty Guideline 
Greater than or Equal to
	Less than
	Individual Premium 
Amount
	
38.21	35%
	55%
	$4
	
38.22	55%
	80%
	$6
	
38.23	80%
	90%
	$8
	
38.24	90%
	100%
	$10
	
38.25	100%
	110%
	$12
	
38.26	110%
	120%
	$14
	
38.27	120%
	130%
	$15
	
38.28	130%
	140%
	$16
	
38.29	140%
	150%
	$25
	
38.30	150%
	160%
	$37
	
38.31	160%
	170%
	$44
	
38.32	170%
	180%
	$52
	
38.33	180%
	190%
	$61
	
39.1	190%
	200%
	$71
	
39.2	200%
		$80
	
39.3 	(e) (c) Beginning January 1, 2021 2023, the commissioner shall continue to charge 
39.4 	premiums in accordance with the simplified premium scale established to comply with the 
39.5 	American Rescue Plan Act of 2021, in effect from January 1, 2021, through December 31, 
39.6 	2022, for families and individuals eligible under section 256L.04, subdivisions 1 and 7. The 
39.7 	commissioner shall adjust the premium scale established under paragraph (d) as needed to 
39.8 	ensure that premiums do not exceed the amount that an individual would have been required 
39.9 	to pay if the individual was enrolled in an applicable benchmark plan in accordance with 
39.10 	the Code of Federal Regulations, title 42, section 600.505 (a)(1).
39.11 	(d) The commissioner shall establish a sliding premium scale for persons eligible through 
39.12 	the buy-in option under section 256L.04, subdivision 15. Beginning January 1, 2025, persons 
39.13 	eligible through the buy-in option shall pay premiums according to the premium scale 
39.14 	established by the commissioner. Persons 20 years of age or younger are exempt from 
39.15 	paying premiums.

39.16 	EFFECTIVE DATE. This section is effective January 1, 2023, except that the sliding 
39.17 	premium scale established under paragraph (d) is effective January 1, 2025, and is contingent 
39.18 	upon implementation of the buy-in option established under Minnesota Statutes, section 
39.19 	256L.04, subdivision 15. The commissioner of human services shall notify the revisor of 
39.20 	statutes whether the buy-in option has been established under Minnesota Statutes, section 
39.21 	256L.04, subdivision 15.

39.22 	Sec. 7. TRANSITION TO MINNESOTACARE BUY-IN OPTION.
 39.23 	(a) The commissioner of human services shall continue to administer MinnesotaCare 
39.24 	as a basic health program in accordance with Minnesota Statutes, section 256L.02, 
39.25 	subdivision 5.
39.26 	(b) By January 1, 2025, the commissioner of human services shall implement a buy-in 
39.27 	option that allows individuals with income over 200 percent of the federal poverty level to 
39.28 	be determined eligible for MinnesotaCare. Eligible individuals must still meet all other 
39.29 	MinnesotaCare eligibility requirements. By December 15, 2023, the commissioner shall 
39.30 	present the following to the chairs and ranking minority members of the legislative 
39.31 	committees with jurisdiction over health care policy and finance:
39.32 	(1) an implementation plan for the MinnesotaCare buy-in under Minnesota Statutes, 
39.33 	section 256L.04, subdivision 15; and
40.1 	(2) any additional legislative changes needed for implementation.
40.2 	(c) The commissioner of human services shall seek any federal waivers, approvals, and 
40.3 	legislative changes necessary to implement a MinnesotaCare buy-in option. This includes 
40.4 	but is not limited to any waivers, approvals, or legislative changes necessary to allow the 
40.5 	state to:
40.6 	(1) continue to receive federal basic health program payments for basic health 
40.7 	program-eligible MinnesotaCare enrollees and to receive other federal funding for the 
40.8 	MinnesotaCare public option; and
40.9 	(2) receive federal payments equal to the value of premium tax credits and cost-sharing 
40.10 	reductions that MinnesotaCare enrollees with household incomes greater than 200 percent 
40.11 	of the federal poverty guidelines would have otherwise received.
40.12 	(d) In implementing this section, the commissioner of human services shall consult with 
40.13 	the commissioner of commerce and the board of directors of MNsure, and may contract for 
40.14 	technical and actuarial assistance.

40.15 	EFFECTIVE DATE. This section is effective the day following final enactment.

40.16 	ARTICLE 4
40.17 	FORECAST ADJUSTMENTS

40.18	Section 1. HUMAN SERVICES APPROPRIATION.
 	
40.19 	The dollar amounts shown in the columns marked "Appropriations" are added to or, if 
40.20 	shown in parentheses, are subtracted from the appropriations in Laws 2021, First Special 
40.21 	Session chapter 7, article 16, from the general fund or any fund named to the Department 
40.22 	of Human Services for the purposes specified in this article, to be available for the fiscal 
40.23 	year indicated for each purpose. The figures "2022" and "2023" used in this article mean 
40.24 	that the appropriations listed under them are available for the fiscal years ending June 30, 
40.25 	2022, or June 30, 2023, respectively. "The first year" is fiscal year 2022. "The second year" 
40.26 	is fiscal year 2023. "The biennium" is fiscal years 2022 and 2023.

40.27				APPROPRIATIONS
	
40.28				Available for the Year
	
40.29				Ending June 30
	
40.30					2022
		2023

40.31
40.32	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

40.33	Subdivision 1.Total Appropriation
 	$
	(585,901,000)
	$
	182,791,000

41.1	Appropriations by Fund
	
41.2	General Fund
	(406,629,000)
	185,395,000
	
41.3
41.4	Health Care Access 
Fund
	(86,146,000)
	(11,799,000)
	
41.5	Federal TANF
	(93,126,000)
	9,195,000

41.6	Subd. 2.Forecasted Programs

41.7	(a) MFIP/DWP

41.8	Appropriations by Fund
	
41.9	General Fund
	72,106,000
	(14,397,000)
	
41.10	Federal TANF
	(93,126,000)
	9,195,000

41.11	(b) MFIP Child Care Assistance
		(103,347,000)
		(73,738,000)

41.12	(c) General Assistance
		(4,175,000)
		(1,488,000)

41.13	(d) Minnesota Supplemental Aid
		318,000
		1,613,000

41.14	(e) Housing Support
		(1,994,000)
		9,257,000

41.15	(f) Northstar Care for Children
		(9,613,000)
		(4,865,000)

41.16	(g) MinnesotaCare
		(86,146,000)
		(11,799,000)
	
41.17 	These appropriations are from the health care 
41.18 	access fund.

41.19	(h) Medical Assistance

41.20	Appropriations by Fund
	
41.21	General Fund
	(348,364,000)
	292,880,000
	
41.22
41.23	Health Care Access 
Fund
	-0-
	-0-

41.24	(i) Alternative Care Program
		-0-
		-0-

41.25	(j) Behavioral Health Fund
		(11,560,000)
		(23,867,000)

41.26	Subd. 3.Technical Activities
 		-0-
		-0-
	
41.27 	These appropriations are from the federal 
41.28 	TANF fund.

41.29 	EFFECTIVE DATE. This section is effective the day following final enactment.

42.1 	ARTICLE 5
42.2 	APPROPRIATIONS

42.3	Section 1. HEALTH AND HUMAN SERVICES APPROPRIATIONS.
 	
42.4 	The sums shown in the columns marked "Appropriations" are added to or, if shown in 
42.5 	parentheses, subtracted from the appropriations in Laws 2021, First Special Session chapter 
42.6 	7, article 16, to the agencies and for the purposes specified in this article. The appropriations 
42.7 	are from the general fund or other named fund and are available for the fiscal years indicated 
42.8 	for each purpose. The figures "2022" and "2023" used in this article mean that the addition 
42.9 	to or subtraction from the appropriation listed under them is available for the fiscal year 
42.10 	ending June 30, 2022, or June 30, 2023, respectively. Base adjustments mean the addition 
42.11 	to or subtraction from the base level adjustment set in Laws 2021, First Special Session 
42.12 	chapter 7, article 16. Supplemental appropriations and reductions to appropriations for the 
42.13 	fiscal year ending June 30, 2022, are effective the day following final enactment unless a 
42.14 	different effective date is explicit.

42.15				APPROPRIATIONS
	
42.16				Available for the Year
	
42.17				Ending June 30
	
42.18					2022
		2023

42.19
42.20	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

42.21	Subdivision 1.Total Appropriation
 	$
	22,339,000
	$
	481,929,000

42.22	Appropriations by Fund
	
42.23		2022
	2023
	
42.24	General
	20,403,000
	419,583,000
	
42.25	Health Care Access
	1,963,000
	61,788,000
	
42.26	Federal TANF
	-0-
	7,000
	
42.27
42.28	Opiate Epidemic 
Response
	-0-
	551,000

42.29	Subd. 2.Central Office; Operations

42.30	Appropriations by Fund
	
42.31	General
	403,000
	95,527,000
	
42.32	Health Care Access
	-0-
	27,816,000
	
43.1 	(a) Background Studies. (1) $1,779,000 in 
43.2 	fiscal year 2023 is to provide a credit to 
43.3 	providers who paid for emergency background 
43.4 	studies in NETStudy 2.0. This is a onetime 
43.5 	appropriation.
43.6 	(2) $1,851,000 in fiscal year 2023 is to fund 
43.7 	the costs of reprocessing emergency studies 
43.8 	conducted under interagency agreements. This 
43.9 	is a onetime appropriation.
43.10 	(b) Supporting Drug Pricing Litigation 
43.11 	Costs. $228,000 in fiscal year 2022 is for costs 
43.12 	to comply with litigation requirements related 
43.13 	to pharmaceutical drug price litigation. This 
43.14 	is a onetime appropriation.
43.15 	(c) Base Level Adjustment. The general fund 
43.16 	base is increased $12,829,000 in fiscal year 
43.17 	2024 and $10,227,000 in fiscal year 2025. The 
43.18 	health care access fund base is increased  
43.19 	$17,810,000 in fiscal year 2024 and 
43.20 	$17,810,000 in fiscal year 2025.

43.21	Subd. 3.Central Office; Children and Families
 		-0-
		5,621,000
	
43.22 	Base Level Adjustment. The general fund 
43.23 	base is increased $6,965,000 in fiscal year 
43.24 	2024 and $6,680,000 in fiscal year 2025.

43.25	Subd. 4.Central Office; Health Care

43.26	Appropriations by Fund
	
43.27	General
	-0-
	2,436,000
	
43.28	Health Care Access
	-0-
	4,298,000
	
43.29 	(a) Interactive Voice Response and 
43.30 	Improving Access for Applications and 
43.31 	Forms. $1,350,000 in fiscal year 2023 is for 
43.32 	the improvement of accessibility to Minnesota 
43.33 	health care programs applications, forms, and 
43.34 	other consumer support resources and services 
44.1 	to enrollees with limited English proficiency. 
44.2 	This is a onetime appropriation.
44.3 	(b) Community-Driven Improvements.
44.4 	$680,000 in fiscal year 2023 is for Minnesota 
44.5 	health care program enrollee engagement 
44.6 	activities.
44.7 	(c) Responding to COVID-19 in Minnesota 
44.8 	Health Care Programs. $1,000,000 in fiscal 
44.9 	year 2023 is for contract assistance relating to 
44.10 	the resumption of eligibility and 
44.11 	redetermination processes in Minnesota health 
44.12 	care programs after the expiration of the 
44.13 	federal public health emergency. Contracts 
44.14 	entered into under this section are for 
44.15 	emergency acquisition and are not subject to 
44.16 	solicitation requirements under Minnesota 
44.17 	Statutes, section 16C.10, subdivision 2. This 
44.18 	is a onetime appropriation. Money is available 
44.19 	until spent.
44.20 	(d) Base Level Adjustment. The general fund 
44.21 	base is increased $1,666,000 in fiscal year 
44.22 	2024 and $1,651,000 in fiscal year 2025. The 
44.23 	health care access fund base is increased 
44.24 	$4,087,000 in fiscal year 2024 and $6,300,000 
44.25 	in fiscal year 2025.

44.26	Subd. 5.Central Office; Community Supports

44.27	Appropriations by Fund
	
44.28	General
	-0-
	7,119,000
	
44.29
44.30	Opioid Epidemic 
Response
	-0-
	551,000
	
44.31 	SEIU Healthcare Arbitration Award.
44.32 	$5,444 in fiscal year 2023 is for arbitration 
44.33 	awards resulting from a SEIU grievance. This 
44.34 	is a onetime appropriation.
45.1 	Base Level Adjustment. The general fund 
45.2 	base is increased $9,460,000 in fiscal year 
45.3 	2024 and $10,602,000 in fiscal year 2025.

45.4	Subd. 6.Forecasted Programs; MFIP/DWP

45.5	Appropriations by Fund
	
45.6	General
	-0-
	5,000
	
45.7	Federal TANF
	-0-
	7,000

45.8
45.9	Subd. 7.Forecasted Programs; MFIP Child Care 
Assistance
 		-0-
		1,000

45.10
45.11	Subd. 8.Forecasted Programs; Minnesota 
Supplemental Aid
 		-0-
		1,000

45.12
45.13	Subd. 9.Forecasted Programs; Housing 
Supports
 		-0-
		1,000

45.14	Subd. 10.Forecasted Programs; MinnesotaCare
 		-0-
		15,257,000
	
45.15 	This appropriation is from the health care 
45.16 	access fund.

45.17
45.18	Subd. 11.Forecasted Programs; Medical 
Assistance

45.19	Appropriations by Fund
	
45.20	General
	-0-
	7,571,000
	
45.21	Health Care Access
	-0-
	14,353,000

45.22
45.23	Subd. 12.Forecasted Programs; Alternative 
Care
 		-0-
		161,000

45.24
45.25	Subd. 13.Grant Programs; BSF Child Care 
Grants
 		-0-
		(683,000)
	
45.26 	Base Level Adjustment. The general fund 
45.27 	base is increased $240,477,000 in fiscal year 
45.28 	2024 and $546,025,000 in fiscal year 2025.

45.29
45.30	Subd. 14.Grant Programs; Child Care 
Development Grants
 		-0-
		31,703,000
	
45.31 	(a) Child Care Provider Access to 
45.32 	Technology Grants. $300,000 in fiscal year 
45.33 	2023 is for child care provider access to 
45.34 	technology grants pursuant to Minnesota 
45.35 	Statutes, section 119B.28.
46.1 	(b) One-Stop Regional Assistance Network.
46.2 	Beginning in fiscal year 2025, the base shall 
46.3 	include $1,200,000 from the general fund for 
46.4 	a grant to the statewide child care resource 
46.5 	and referral network to administer the child 
46.6 	care one-stop shop regional assistance network 
46.7 	in accordance with Minnesota Statutes, section 
46.8 	119B.19, subdivision 7, clause (9).
46.9 	(c) Child Care Workforce Development 
46.10 	Grants. Beginning in fiscal year 2025, the 
46.11 	base shall include $1,300,000 for a grant to 
46.12 	the statewide child care resource and referral 
46.13 	network to administer the child care workforce 
46.14 	development grants in accordance with 
46.15 	Minnesota Statutes, section 119B.19, 
46.16 	subdivision 7, clause (10).
46.17 	(d) Shared Services Innovation Grants. The 
46.18 	base shall include $500,000 in fiscal year 2024 
46.19 	and $500,000 in fiscal year 2025 for shared 
46.20 	services innovation grants pursuant to 
46.21 	Minnesota Statutes, section 119B.27.
46.22 	(e) Stabilization Grants for Child Care 
46.23 	Providers Experiencing Financial Hardship.
46.24 	$31,406,000 in fiscal year 2023 is for child 
46.25 	care stabilization grants for child care 
46.26 	programs in extreme financial hardship. This 
46.27 	is a onetime appropriation. Money not 
46.28 	distributed in fiscal year 2023 or 2024 shall 
46.29 	be available until June 30, 2025. Use of grant 
46.30 	money must be made in accordance with 
46.31 	eligibility and compliance requirements 
46.32 	established by the commissioner.
46.33 	(f) Base Level Adjustment. The general fund 
46.34 	base is increased $66,824,000 in fiscal year 
46.35 	2024 and $3,300,000 in fiscal year 2025.

47.1
47.2	Subd. 15.Grant Programs; Children's Services 
Grants
 		-0-
		3,882,000
	
47.3 	(a) American Indian Child Welfare 
47.4 	Initiative; Mille Lacs Band of Ojibwe 
47.5 	Planning. $1,263,000 in fiscal year 2023 is 
47.6 	to support activities necessary for the Mille 
47.7 	Lacs Band of Ojibwe to join the American 
47.8 	Indian child welfare initiative.
47.9 	(b) Expand Parent Support Outreach 
47.10 	Program. The base shall include $7,000,000 
47.11 	in fiscal year 2024 and $7,000,000 in fiscal 
47.12 	year 2025 to expand the parent support 
47.13 	outreach program to community-based 
47.14 	agencies, public health agencies, and schools 
47.15 	to prevent reporting of and entry into the child 
47.16 	welfare system.
47.17 	(c) Thriving Families Safer Children. The 
47.18 	base shall include $30,000 in fiscal year 2024 
47.19 	to plan for an education attendance support 
47.20 	diversionary program to prevent entry into the 
47.21 	child welfare system. The commissioner shall 
47.22 	report back to the legislative committees that 
47.23 	oversee child welfare by January 1, 2025, on 
47.24 	the plan for this program. This is a onetime 
47.25 	appropriation.
47.26 	(d) Family Group Decision Making. The 
47.27 	base shall include $5,000,000 in fiscal year 
47.28 	2024 and $5,000,000 in fiscal year 2025 to 
47.29 	expand the use of family group decision 
47.30 	making to provide opportunity for family 
47.31 	voices concerning critical decisions in child 
47.32 	safety and prevent entry into the child welfare 
47.33 	system.
47.34 	(e) Child Welfare Promising Practices. The 
47.35 	base shall include $5,000,000 in fiscal year 
48.1 	2024 and $5,000,000 in fiscal year 2025 to 
48.2 	develop promising practices for prevention of 
48.3 	out-of-home placement of children and youth.
48.4 	(f) Family Assessment Response. The base 
48.5 	shall include $23,550,000 in fiscal year 2024 
48.6 	and $23,550,000 in fiscal year 2025 to support 
48.7 	counties and Tribes that are members of the 
48.8 	American Indian child welfare initiative in 
48.9 	providing case management services and 
48.10 	support for families being served under family 
48.11 	assessment response, and prevent entry into 
48.12 	the child welfare system.
48.13 	(g) Extend Support for Youth Leaving 
48.14 	Foster Care. $600,000 in fiscal year 2023 is 
48.15 	to extend financial supports for young adults 
48.16 	aging out of foster care to age 22.
48.17 	(h) Grants to Counties for Child Protection 
48.18 	Staff. $1,000,000 in fiscal year 2023 is to 
48.19 	provide grants to counties and American 
48.20 	Indian child welfare initiative Tribes to be 
48.21 	used to reduce extended foster care caseload 
48.22 	sizes to ten cases per worker.
48.23 	(i) Statewide Pool of Qualified Individuals.
48.24 	$1,177,400 in fiscal year 2023 is for grants to 
48.25 	one or more grantees to establish and manage 
48.26 	a pool of state-funded qualified individuals to 
48.27 	assess potential out-of-home placement of a 
48.28 	child in a qualified residential treatment 
48.29 	program. Up to $200,000 of the grants each 
48.30 	fiscal year is available for grantee contracts to 
48.31 	manage the state-funded pool of qualified 
48.32 	individuals. This amount shall also pay for 
48.33 	qualified individual training, certification, and 
48.34 	background studies. Remaining grant money 
48.35 	shall be used until expended to provide 
49.1 	qualified individual services to counties and 
49.2 	Tribes that have joined the American Indian 
49.3 	child welfare initiative pursuant to Minnesota 
49.4 	Statutes, section 256.01, subdivision 14b, to 
49.5 	provide qualified residential treatment 
49.6 	program assessments at no cost to the county 
49.7 	or Tribal agency.
49.8 	(j) Base Level Adjustment. The general fund 
49.9 	base is increased $47,440,000 in fiscal year 
49.10 	2024 and $44,769,000 in fiscal year 2025.

49.11
49.12	Subd. 16.Grant Program; Refugee Services 
Grants
 		-0-
		5,111,000
	
49.13 	(a) Refugee and Immigrant Services.
49.14 	$5,111,000 in fiscal year 2023 is to extend the 
49.15 	refugee and immigrant COVID-19 care line 
49.16 	and expand eligibility for self-sufficiency and 
49.17 	community integration services provided by 
49.18 	community-based nonprofit resettlement 
49.19 	agencies to immigrants in Minnesota.
49.20 	(b) Base Level Adjustment. The general fund 
49.21 	base is $5,111,000 in fiscal year 2024 and $0 
49.22 	in fiscal year 2025.

49.23
49.24	Subd. 17.Grant Programs; Children and 
Community Service Grants
 		-0-
		-0-
	
49.25 	Base Level Adjustment. The Opiate 
49.26 	Epidemic Response Base is increased 
49.27 	$100,000 in fiscal year 2025.

49.28
49.29	Subd. 18.Grant Programs; Children and 
Economic Support Grants
 		-0-
		89,099,000
	
49.30 	(a) Family and Community Resource Hubs.
49.31 	$2,550,000 in fiscal year 2023 is to implement 
49.32 	a sustainable family and community resource 
49.33 	hub model through the community action 
49.34 	agencies under Minnesota Statutes, section 
49.35 	256E.31, and federally recognized Tribes. The 
50.1 	community resource hubs must offer 
50.2 	navigation to several supports and services, 
50.3 	including but not limited to basic needs and 
50.4 	economic assistance, disability services, 
50.5 	healthy development and screening, 
50.6 	developmental and behavioral concerns, 
50.7 	family well-being and mental health, early 
50.8 	learning and child care, dental care, legal 
50.9 	services, and culturally specific services for 
50.10 	American Indian families.
50.11 	(b) Tribal Food Sovereignty Infrastructure 
50.12 	Grants. $4,000,000 in fiscal year 2023 is for 
50.13 	capital and infrastructure development to 
50.14 	support food system changes and provide 
50.15 	equitable access to existing and new methods 
50.16 	of food support for American Indian 
50.17 	communities, including federally recognized 
50.18 	Tribes and American Indian nonprofit 
50.19 	organizations. This is a onetime appropriation 
50.20 	and is available until June 30, 2025.
50.21 	(c) Tribal Food Security. $2,836,000 in fiscal 
50.22 	year 2023 is to promote food security for 
50.23 	American Indian communities, including 
50.24 	federally recognized Tribes and American 
50.25 	Indian nonprofit organizations. This includes 
50.26 	hiring staff, providing culturally relevant 
50.27 	training for building food access, purchasing 
50.28 	technical assistance materials and supplies, 
50.29 	and planning for sustainable food systems.
50.30 	(d) Capital for Emergency Food 
50.31 	Distribution Facilities. $14,931,000 in fiscal 
50.32 	year 2023 is for improving and expanding the 
50.33 	infrastructure of food shelf facilities across 
50.34 	the state, including adding freezer or cooler 
50.35 	space and dry storage space, improving the 
51.1 	safety and sanitation of existing food shelves, 
51.2 	and addressing deferred maintenance or other 
51.3 	facility needs of existing food shelves. Grant 
51.4 	money shall be made available to nonprofit 
51.5 	organizations, federally recognized Tribes, 
51.6 	and local units of government. This is a 
51.7 	onetime appropriation and is available until 
51.8 	June 30, 2025.
51.9 	(e) Food Support Grants. $5,000,000 in 
51.10 	fiscal year 2023 is to provide additional 
51.11 	resources to a diverse food support network 
51.12 	that includes food shelves, food banks, and 
51.13 	meal and food outreach programs. Grant 
51.14 	money shall be made available to nonprofit 
51.15 	organizations, federally recognized Tribes, 
51.16 	and local units of government.
51.17 	(f) Emergency Services Grants. $54,782,000 
51.18 	in fiscal year 2023 is for emergency services 
51.19 	grants under Minnesota Statutes, section 
51.20 	256E.36. This is a onetime appropriation and 
51.21 	is available until June 30, 2024. Beginning in 
51.22 	fiscal year 2024, the base for emergency 
51.23 	services grants under Minnesota Statutes, 
51.24 	section 256E.36, shall be increased by 
51.25 	$29,751,000.
51.26 	(g) Base Level Adjustment. The general fund 
51.27 	base is increased $60,429,000 in fiscal year 
51.28 	2024 and $64,079,000 in fiscal year 2025.

51.29	Subd. 19.Grant Programs; Health Care Grants

51.30	Appropriations by Fund
	
51.31		2022
	2023
	
51.32	General Fund
	-0-
	4,500,000
	
51.33	Health Care Access
	1,936,000
	64,000
	
52.1 	(a) Grant Funding to Support Urban 
52.2 	American Indians in Minnesota Health 
52.3 	Care Programs. $2,500,000 in fiscal year 
52.4 	2023 is for funding to the Indian Health Board 
52.5 	of Minneapolis to support continued access to 
52.6 	health care coverage through Minnesota health 
52.7 	care programs, improve access to quality care, 
52.8 	and increase vaccination rates among urban 
52.9 	American Indians.
52.10 	(b) Grants for Navigator Organizations. (1) 
52.11 	$1,936,000 in fiscal year 2023 is from the 
52.12 	health care access fund for grants to 
52.13 	organizations with a MNsure grant services 
52.14 	navigator assister contract in good standing 
52.15 	as of June 30, 2022. The grants to each 
52.16 	organization must be in proportion to the 
52.17 	number of medical assistance and 
52.18 	MinnesotaCare enrollees each organization 
52.19 	assisted that resulted in a successful 
52.20 	enrollment in the second quarter of fiscal year 
52.21 	2020, as determined by MNsure's navigator 
52.22 	payment process. This is a onetime 
52.23 	appropriation. Money from this appropriation 
52.24 	is available until spent. (2) $2,000,000 in fiscal 
52.25 	year 2023 is from the health care access fund 
52.26 	for incentive payments as defined in 
52.27 	Minnesota Statutes, section 256.962, 
52.28 	subdivision 5. The general fund base for this 
52.29 	appropriation is $1,000,000 in fiscal year 2024 
52.30 	and $0 in fiscal year 2025. Money from this 
52.31 	appropriation is available until spent.
52.32 	(c) Base level adjustment. The general fund 
52.33 	base is increased $3,750,000 in fiscal year 
52.34 	2024 and $1,250,000 in fiscal year 2025. The 
52.35 	health care access fund base is increased 
53.1 	$1,000,000 in fiscal year 2024, and $0 in fiscal 
53.2 	year 2025.
53.3 	(d) Health and Human Services Vaccination 
53.4 	Rates. $1,000,000 in fiscal year 2023 is for 
53.5 	community outreach grants to increase 
53.6 	vaccination rates among enrollees in 
53.7 	Minnesota health care programs. This is a 
53.8 	onetime appropriation.

53.953.10
	Subd. 20.Grant Programs; Other Long-Term 
Care Grants
 		-0-
		118,000,000
	
53.11 	Workforce Incentive Fund Grant Program.
53.12 	$118,000,000 in fiscal year 2023 is to assist 
53.13 	disability, housing, substance use, and older 
53.14 	adult service providers of public programs to 
53.15 	pay for incentive benefits to current and new 
53.16 	workers. This is a onetime appropriation and 
53.17 	is available until June 30, 2025. Three percent 
53.18 	of the total amount of the appropriation may 
53.19 	be used to administer the program, which 
53.20 	could include contracting with a third-party 
53.21 	administrator.

53.22	Subd. 21.Grant Programs; Disabilities Grants
 		-0-
		8,200,000
	
53.23 	(a) Electronic Visit Verification (EVV) 
53.24 	Stipends. $6,440,000 in fiscal year 2023 is 
53.25 	for onetime stipends of $200 to bargaining 
53.26 	members to offset the potential costs related 
53.27 	to people using individual devices to access 
53.28 	EVV. $5,600,000 of the appropriation is for 
53.29 	stipends and the remaining 15 percent is for 
53.30 	administration of these stipends. This is a 
53.31 	onetime appropriation.
53.32 	(b) Self-Directed Collective Bargaining 
53.33 	Agreement; Temporary Rate Increase 
53.34 	Memorandum of Understanding. $1,610,000 
53.35 	in fiscal year 2023 is for onetime stipends for 
54.1 	individual providers covered by the SEIU 
54.2 	collective bargaining agreement based on the 
54.3 	memorandum of understanding related to the 
54.4 	temporary rate increase in effect between 
54.5 	December 1, 2020, and February 7, 2021. 
54.6 	$1,400,000 of the appropriation is for stipends 
54.7 	and the remaining 15 percent is for 
54.8 	administration of the stipends. This is a 
54.9 	onetime appropriation.
54.10 	(c) Base Level Adjustment. The general fund 
54.11 	base is increased $805,000 in fiscal year 2024 
54.12 	and $2,420,000 in fiscal year 2025.

54.13
54.14	Subd. 22.Grant Programs; Housing Support 
Grants
 		-0-
		1,100,000
	
54.15 	(a) AmeriCorps Heading Home Corps.
54.16 	$1,100,000 in fiscal year 2023 is for the 
54.17 	AmeriCorps Heading Home Corps program 
54.18 	to fund housing resource navigators supporting 
54.19 	individuals experiencing homelessness.
54.20 	(b) Base Level Adjustment. The general fund 
54.21 	base is increased $1,100,000 in fiscal year 
54.22 	2024 and $12,100,000 in fiscal year 2025.

54.23
54.24	Subd. 23.Grant Programs; Adult Mental Health 
Grants
 		20,000,000
		18,927,000
	
54.25 	(a) Inpatient Psychiatric and Psychiatric 
54.26 	Residential Treatment Facilities.
54.27 	$10,000,000 in fiscal year 2023 is for 
54.28 	competitive grants to hospitals or mental 
54.29 	health providers to retain, build, or expand 
54.30 	children's inpatient psychiatric beds for 
54.31 	children in need of acute high-level psychiatric 
54.32 	care or psychiatric residential treatment facility 
54.33 	beds as described in Minnesota Statutes, 
54.34 	section 256B.0941. In order to be eligible for 
54.35 	a grant, a hospital or mental health provider 
55.1 	must serve individuals covered by medical 
55.2 	assistance under Minnesota Statutes, section 
55.3 	256B.0625.
55.4 	(b) Expanding Support for Psychiatric 
55.5 	Residential Treatment Facilities. $800,000 
55.6 	in fiscal year 2023 is for start-up grants to 
55.7 	psychiatric residential treatment facilities as 
55.8 	described in Minnesota Statutes, section 
55.9 	256B.0941. Grantees can use grant money for 
55.10 	emergency workforce shortage uses. 
55.11 	Allowable grant uses related to emergency 
55.12 	workforce shortages may include but are not 
55.13 	limited to hiring and retention bonuses, 
55.14 	recruitment of a culturally responsive 
55.15 	workforce, and allowing providers to increase 
55.16 	the hourly rate in order to be competitive in 
55.17 	the market.
55.18 	(c) Workforce Incentive Fund Grant 
55.19 	Program. $20,000,000 in fiscal year 2022 
55.20 	from the general fund is to provide mental 
55.21 	health public program providers the ability to 
55.22 	pay for incentive benefits to current and new 
55.23 	workers. This is a onetime appropriation and 
55.24 	is available until June 30, 2025. Three percent 
55.25 	of the total amount of the appropriation may 
55.26 	be used to administer the program, which 
55.27 	could include contracting with a third-party 
55.28 	administrator.
55.29 	(d) Cultural and Ethnic Infrastructure 
55.30 	Grant Funding. $5,000,000 in fiscal year 
55.31 	2023 is for increasing cultural and ethnic 
55.32 	infrastructure grant funding under Minnesota 
55.33 	Statutes, section 245.4661, subdivision 6. This 
55.34 	grant funding will be used to alleviate the 
55.35 	workforce shortage and will be used to recruit 
56.1 	more providers who are Black, Indigenous, 
56.2 	and people of color for both mental health and 
56.3 	substance use disorder organizations.
56.4 	(e) Mental Health Provider Grants to Rural 
56.5 	and Underserved Communities. $5,000,000 
56.6 	in fiscal year 2023 is for a grant program to 
56.7 	recruit mental health providers in rural areas 
56.8 	and underserved communities. This money 
56.9 	can be used for reimbursement of supervision 
56.10 	costs of interns and clinical trainees, 
56.11 	reimbursing staff for master's degree tuition 
56.12 	costs in mental health fields, and licensing and 
56.13 	exam fees.
56.14 	(f) Culturally Specific Grants. $2,000,000 
56.15 	in fiscal year 2023 and $2,000,000 in fiscal 
56.16 	year 2024 are for grants for small to midsize 
56.17 	nonprofit organizations who represent and 
56.18 	support American Indian, Indigenous, and 
56.19 	other communities disproportionately affected 
56.20 	by the opiate crisis. These grants utilize 
56.21 	traditional healing practices and other 
56.22 	culturally congruent and relevant supports to 
56.23 	prevent and curb opiate use disorders through 
56.24 	housing, treatment, education, aftercare, and 
56.25 	other activities as determined by the 
56.26 	commissioner. This is a onetime appropriation.
56.27 	(g) Base Level Adjustment. The general fund 
56.28 	base is increased $ 23,791,000 in fiscal year 
56.29 	2024 and $30,916,000 in fiscal year 2025. The 
56.30 	opiate epidemic response base is increased 
56.31 	$2,000,000 in fiscal year 2025.

56.32
56.33	Subd. 24.Grant Programs; Child Mental Health 
Grants
 		-0-
		10,800,000
	
57.1 	Base Level Adjustment. The general fund 
57.2 	base is increased $15,800,000 in fiscal year 
57.3 	2024 and $800,000 in fiscal year  2025.

57.4
57.5	Subd. 25.Grant Programs; Chemical 
Dependency Treatment Support Grants
 		-0-
		4,000,000
	
57.6 	(a) Emerging Mood Disorder Grant 
57.7 	Program. $1,000,000 in fiscal year 2023 is 
57.8 	for emerging mood disorder grants under 
57.9 	Minnesota Statutes, section 245.4904. 
57.10 	Grantees must use grant money as required in 
57.11 	Minnesota Statutes, section 245.4904, 
57.12 	subdivision 2.
57.13 	(b) Substance Use Disorder Treatment and 
57.14 	Prevention Grants. The base shall include 
57.15 	$4,000,000 in fiscal year 2024 and $4,000,000 
57.16 	in fiscal year 2025 for substance use disorder 
57.17 	treatment and prevention grants recommended 
57.18 	by the substance use disorder advisory council.
57.19 	(c) Traditional Healing Grants. The base 
57.20 	shall include $2,000,000 in fiscal year 2025 
57.21 	to extend the traditional healing grant funding 
57.22 	appropriated in Laws 2019, chapter 63, article 
57.23 	3, section 1, paragraph (h), from the opiate 
57.24 	epidemic response account to the 
57.25 	commissioner of human services. This funding 
57.26 	is awarded to all Tribal nations and to five 
57.27 	urban Indian communities for traditional 
57.28 	healing practices to American Indians and to 
57.29 	increase the capacity of culturally specific 
57.30 	providers in the behavioral health workforce.
57.31 	(d) Base Level Adjustment. The general fund 
57.32 	base is increased $4,000,000 in fiscal year 
57.33 	2024 and $2,000,000 in fiscal year 2025.

57.34
57.35	Subd. 26.Direct Care and Treatment - 
Operations
 		-0-
		6,501,000
	
58.1 	Base Level Adjustment. The general fund 
58.2 	base is increased $5,267,000 in fiscal year 
58.3 	2024 and $0 in fiscal year 2025.

58.4	Subd. 27.Technical Activities
 		-0-
		-0-
	
58.5 	(a) Transfers; Child Care and Development 
58.6 	Fund. For fiscal years 2024 and 2025, the base 
58.7 	shall include a transfer of $23,500,000 in fiscal 
58.8 	year 2024 and $23,500,000 in fiscal year 2025 
58.9 	from the TANF fund to the child care and 
58.10 	development fund. These are onetime 
58.11 	transfers.
58.12 	(b) Base Level Adjustment. The TANF base 
58.13 	is increased $23,500,000 in fiscal year 2024, 
58.14 	$23,500,000 in fiscal year 2025, and $0 in 
58.15 	fiscal year 2026.

58.16	Sec. 3. BOARD OF DIRECTORS OF MNSURE

58.17	Appropriations by Fund
	
58.18		2022
	2023
	
58.19	General
	-0-
	7,775,000
	
58.20	Health Care Access
	-0-
	3,500,000
	
58.21 	These appropriations may be transferred to 
58.22 	the MNSure account established by Minnesota 
58.23 	Statutes, section 62V.07. The health care 
58.24 	access fund appropriation is onetime.
58.25 	Base Adjustment. The general fund base for 
58.26 	this appropriation is $7,476,000 in fiscal year 
58.27 	2024, $3,521,000 in fiscal year 2025, and $0 
58.28 	in fiscal year 2026.

58.29 	Sec. 4. Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 29, 
58.30 	is amended to read:

58.31	Subd. 29.Grant Programs; Disabilities Grants
 		31,398,000
		31,010,000
	
58.32 	(a) Training Stipends for Direct Support 
58.33 	Services Providers. $1,000,000 in fiscal year 
59.1 	2022 is from the general fund for stipends for 
59.2 	individual providers of direct support services 
59.3 	as defined in Minnesota Statutes, section 
59.4 	256B.0711, subdivision 1. These stipends are 
59.5 	available to individual providers who have 
59.6 	completed designated voluntary trainings 
59.7 	made available through the State-Provider 
59.8 	Cooperation Committee formed by the State 
59.9 	of Minnesota and the Service Employees 
59.10 	International Union Healthcare Minnesota. 
59.11 	Any unspent appropriation in fiscal year 2022 
59.12 	is available in fiscal year 2023. This is a 
59.13 	onetime appropriation. This appropriation is 
59.14 	available only if the labor agreement between 
59.15 	the state of Minnesota and the Service 
59.16 	Employees International Union Healthcare 
59.17 	Minnesota under Minnesota Statutes, section 
59.18 	179A.54, is approved under Minnesota 
59.19 	Statutes, section 3.855.
59.20 	(b) Parent-to-Parent Peer Support. $125,000 
59.21 	in fiscal year 2022 and $125,000 in fiscal year 
59.22 	2023 are from the general fund for a grant to 
59.23 	an alliance member of Parent to Parent USA 
59.24 	to support the alliance member's 
59.25 	parent-to-parent peer support program for 
59.26 	families of children with a disability or special 
59.27 	health care need.
59.28 	(c) Self-Advocacy Grants. (1) $143,000 in 
59.29 	fiscal year 2022 and $143,000 in fiscal year 
59.30 	2023 are from the general fund for a grant 
59.31 	under Minnesota Statutes, section 256.477, 
59.32 	subdivision 1.
59.33 	(2) $105,000 in fiscal year 2022 and $105,000 
59.34 	in fiscal year 2023 are from the general fund 
60.1 	for subgrants under Minnesota Statutes, 
60.2 	section 256.477, subdivision 2.
60.3 	(d) Minnesota Inclusion Initiative Grants.
60.4 	$150,000 in fiscal year 2022 and $150,000 in 
60.5 	fiscal year 2023 are from the general fund for 
60.6 	grants under Minnesota Statutes, section 
60.7 	256.4772.
60.8 	(e) Grants to Expand Access to Child Care 
60.9 	for Children with Disabilities. $250,000 in 
60.10 	fiscal year 2022 and $250,000 in fiscal year 
60.11 	2023 are from the general fund for grants to 
60.12 	expand access to child care for children with 
60.13 	disabilities. Any unspent amount in fiscal year 
60.14 	2022 is available through June 30, 2023. This 
60.15 	is a onetime appropriation.
60.16 	(f) Parenting with a Disability Pilot Project.
60.17 	The general fund base includes $1,000,000 in 
60.18 	fiscal year 2024 and $0 in fiscal year 2025 to 
60.19 	implement the parenting with a disability pilot 
60.20 	project.
60.21 	(g) Base Level Adjustment. The general fund 
60.22 	base is $29,260,000 in fiscal year 2024 and 
60.23 	$22,260,000 in fiscal year 2025.

60.24 	Sec. 5. Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 31, 
60.25 	is amended to read:

60.26
60.27	Subd. 31.Grant Programs; Adult Mental Health 
Grants

60.28	Appropriations by Fund
	
60.29	General
	98,772,000
	98,703,000
	
60.30
60.31	Opiate Epidemic 
Response
	2,000,000
	2,000,000
	
60.32 	(a) Culturally and Linguistically 
60.33 	Appropriate Services Implementation 
60.34 	Grants. $2,275,000 in fiscal year 2022 and 
61.1 	$2,206,000 in fiscal year 2023 are from the 
61.2 	general fund for grants to disability services, 
61.3 	mental health, and substance use disorder 
61.4 	treatment providers to implement culturally 
61.5 	and linguistically appropriate services 
61.6 	standards, according to the implementation 
61.7 	and transition plan developed by the 
61.8 	commissioner. Any unspent amount in fiscal 
61.9 	year 2022 is available through June 30, 2023.
61.10 	The general fund base for this appropriation 
61.11 	is $1,655,000 in fiscal year 2024 and $0 in 
61.12 	fiscal year 2025.
61.13 	(b) Base Level Adjustment. The general fund 
61.14 	base is $93,295,000 in fiscal year 2024 and 
61.15 	$83,324,000 in fiscal year 2025. The opiate 
61.16 	epidemic response fund base is $2,000,000 in 
61.17 	fiscal year 2024 and $0 in fiscal year 2025.

61.18 	Sec. 6. Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 33, 
61.19 	is amended to read:

61.20
61.21	Subd. 33.Grant Programs; Chemical 
Dependency Treatment Support Grants

61.22	Appropriations by Fund
	
61.23	General
	4,273,000
	4,274,000
	
61.24	Lottery Prize
	1,733,000
	1,733,000
	
61.25
61.26	Opiate Epidemic 
Response
	500,000
	500,000
	
61.27 	(a) Problem Gambling. $225,000 in fiscal 
61.28 	year 2022 and $225,000 in fiscal year 2023 
61.29 	are from the lottery prize fund for a grant to 
61.30 	the state affiliate recognized by the National 
61.31 	Council on Problem Gambling. The affiliate 
61.32 	must provide services to increase public 
61.33 	awareness of problem gambling, education, 
61.34 	training for individuals and organizations 
61.35 	providing effective treatment services to 
62.1 	problem gamblers and their families, and 
62.2 	research related to problem gambling.
62.3 	(b) Recovery Community Organization 
62.4 	Grants. $2,000,000 in fiscal year 2022 and 
62.5 	$2,000,000 in fiscal year 2023 are from the 
62.6 	general fund for grants to recovery community 
62.7 	organizations, as defined in Minnesota 
62.8 	Statutes, section 254B.01, subdivision 8, to 
62.9 	provide for costs and community-based peer 
62.10 	recovery support services that are not 
62.11 	otherwise eligible for reimbursement under 
62.12 	Minnesota Statutes, section 254B.05, as part 
62.13 	of the continuum of care for substance use 
62.14 	disorders. Any unspent amount in fiscal year 
62.15 	2022 is available through June 30, 2023.  The 
62.16 	general fund base for this appropriation is 
62.17 	$2,000,000 in fiscal year 2024 and $0 in fiscal 
62.18 	year 2025
62.19 	(c) Base Level Adjustment. The general fund 
62.20 	base is $4,636,000 in fiscal year 2024 and 
62.21 	$2,636,000 in fiscal year 2025. The opiate 
62.22 	epidemic response fund base is $500,000 in 
62.23 	fiscal year 2024 and $0 in fiscal year 2025.

62.24 	Sec. 7. Laws 2021, First Special Session chapter 7, article 16, section 28, is amended to 
62.25 	read:
62.26 	Sec. 28. CONTINGENT APPROPRIATIONS.
 62.27 	Any appropriation in this act for a purpose included in Minnesota's initial state spending 
62.28 	plan as described in guidance issued by the Centers for Medicare and Medicaid Services 
62.29 	for implementation of section 9817 of the federal American Rescue Plan Act of 2021 is 
62.30 	contingent upon approval of that purpose by the Centers for Medicare and Medicaid Services, 
62.31 	except for the rate increases specified in article 11, sections 12 and 19. This section expires 
62.32 	June 30, 2024.

63.1 	Sec. 8. Laws 2021, First Special Session chapter 7, article 17, section 3, is amended to 
63.2 	read:
63.3 	Sec. 3. GRANTS FOR TECHNOLOGY FOR HCBS RECIPIENTS.
 63.4 	(a) This act includes $500,000 in fiscal year 2022 and $2,000,000 in fiscal year 2023 
63.5 	for the commissioner of human services to issue competitive grants to home and 
63.6 	community-based service providers. Grants must be used to provide technology assistance, 
63.7 	including but not limited to Internet services, to older adults and people with disabilities 
63.8 	who do not have access to technology resources necessary to use remote service delivery 
63.9 	and telehealth. Any unspent amount in fiscal year 2022 is available through June 30, 2023.
63.10 	The general fund base included in this act for this purpose is $1,500,000 in fiscal year 2024 
63.11 	and $0 in fiscal year 2025.
63.12 	(b) All grant activities must be completed by March 31, 2024.
63.13 	(c) This section expires June 30, 2024.

63.14 	Sec. 9. Laws 2021, First Special Session chapter 7, article 17, section 6, is amended to 
63.15 	read:
63.16 	Sec. 6. TRANSITION TO COMMUNITY INITIATIVE.
 63.17 	(a) This act includes $5,500,000 in fiscal year 2022 and $5,500,000 in fiscal year 2023 
63.18 	for additional funding for grants awarded under the transition to community initiative 
63.19 	described in Minnesota Statutes, section 256.478. Any unspent amount in fiscal year 2022 
63.20 	is available through June 30, 2023. The general fund base in this act for this purpose is 
63.21 	$4,125,000 in fiscal year 2024 and $0 in fiscal year 2025.
63.22 	(b) All grant activities must be completed by March 31, 2024.
63.23 	(c) This section expires June 30, 2024.

63.24 	Sec. 10. Laws 2021, First Special Session chapter 7, article 17, section 10, is amended to 
63.25 	read:
63.26 	Sec. 10. PROVIDER CAPACITY GRANTS FOR RURAL AND UNDERSERVED 
63.27 	COMMUNITIES.
 63.28 	(a) This act includes $6,000,000 in fiscal year 2022 and $8,000,000 in fiscal year 2023 
63.29 	for the commissioner to establish a grant program for small provider organizations that 
63.30 	provide services to rural or underserved communities with limited home and 
64.1 	community-based services provider capacity. The grants are available to build organizational 
64.2 	capacity to provide home and community-based services in Minnesota and to build new or 
64.3 	expanded infrastructure to access medical assistance reimbursement. Any unspent amount 
64.4 	in fiscal year 2022 is available through June 30, 2023. The general fund base in this act for 
64.5 	this purpose is $8,000,000 in fiscal year 2024 and $0 in fiscal year 2025.
64.6 	(b) The commissioner shall conduct community engagement, provide technical assistance, 
64.7 	and establish a collaborative learning community related to the grants available under this 
64.8 	section and work with the commissioner of management and budget and the commissioner 
64.9 	of the Department of Administration to mitigate barriers in accessing grant funds. Funding 
64.10 	awarded for the community engagement activities described in this paragraph is exempt 
64.11 	from state solicitation requirements under Minnesota Statutes, section 16B.97, for activities 
64.12 	that occur in fiscal year 2022.
64.13 	(c) All grant activities must be completed by March 31, 2024.
64.14 	(d) This section expires June 30, 2024.

64.15 	Sec. 11. Laws 2021, First Special Session chapter 7, article 17, section 11, is amended to 
64.16 	read:
64.17 	Sec. 11. EXPAND MOBILE CRISIS.
 64.18 	(a) This act includes $8,000,000 in fiscal year 2022 and $8,000,000 in fiscal year 2023 
64.19 	for additional funding for grants for adult mobile crisis services under Minnesota Statutes, 
64.20 	section 245.4661, subdivision 9, paragraph (b), clause (15). Any unspent amount in fiscal 
64.21 	year 2022 is available through June 30, 2023. The general fund base in this act for this 
64.22 	purpose is $4,000,000 in fiscal year 2024 and $0 in fiscal year 2025.
64.23 	(b) Beginning April 1, 2024, counties may fund and continue conducting activities 
64.24 	funded under this section.
64.25 	(c) All grant activities must be completed by March 31, 2024.
64.26 	(d) This section expires June 30, 2024.

65.1 	Sec. 12. Laws 2021, First Special Session chapter 7, article 17, section 12, is amended to 
65.2 	read:
65.3 	Sec. 12. PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY AND CHILD 
65.4 	AND ADOLESCENT MOBILE TRANSITION UNIT.
 65.5 	(a) This act includes $2,500,000 in fiscal year 2022 and $2,500,000 in fiscal year 2023 
65.6 	for the commissioner of human services to create children's mental health transition and 
65.7 	support teams to facilitate transition back to the community of children from psychiatric 
65.8 	residential treatment facilities, and child and adolescent behavioral health hospitals. Any 
65.9 	unspent amount in fiscal year 2022 is available through June 30, 2023. The general fund 
65.10 	base included in this act for this purpose is $1,875,000 in fiscal year 2024 and $0 in fiscal 
65.11 	year 2025.
65.12 	(b) Beginning April 1, 2024, counties may fund and continue conducting activities 
65.13 	funded under this section.
65.14 	(c) This section expires March 31, 2024.

65.15 	Sec. 13. Laws 2021, First Special Session chapter 7, article 17, section 17, subdivision 3, 
65.16 	is amended to read:
65.17 		Subd. 3.Respite services for older adults grants. (a) This act includes $2,000,000 in 
65.18 	fiscal year 2022 and $2,000,000 in fiscal year 2023 for the commissioner of human services 
65.19 	to establish a grant program for respite services for older adults. The commissioner must 
65.20 	award grants on a competitive basis to respite service providers. Any unspent amount in 
65.21 	fiscal year 2022 is available through June 30, 2023. The general fund base included in this 
65.22 	act for this purpose is $2,000,000 in fiscal year 2024 and $0 in fiscal year 2025.
65.23 	(b) All grant activities must be completed by March 31, 2024.
65.24 	(c) This subdivision expires June 30, 2024.