<div class="xtend"><a id="pl.1.1"></a><var>1.1</var>CONFERENCE COMMITTEE REPORT ON S.F. No. 1458<br />
         		
         <div class="xtend_ce"><a id="pl.1.2"></a><var>1.2</var>A bill for an act<br />
            		
         </div><a id="pl.1.3"></a><var>1.3</var>relating to state government; establishing the health and human services budget; <br />
         		<a id="pl.1.4"></a><var>1.4</var>modifying provisions governing children and family services, chemical and <br />
         		<a id="pl.1.5"></a><var>1.5</var>mental health services, withdrawal management programs, direct care and <br />
         		<a id="pl.1.6"></a><var>1.6</var>treatment, health care, continuing care, Department of Health programs, <br />
         		<a id="pl.1.7"></a><var>1.7</var>health care delivery, health licensing boards, and MNsure; making changes <br />
         		<a id="pl.1.8"></a><var>1.8</var>to medical assistance, general assistance, MFIP, Northstar Care for Children, <br />
         		<a id="pl.1.9"></a><var>1.9</var>MinnesotaCare, child care assistance, and group residential housing programs; <br />
         		<a id="pl.1.10"></a><var>1.10</var>establishing uniform requirements for public assistance programs related <br />
         		<a id="pl.1.11"></a><var>1.11</var>to income calculation, reporting income, and correcting overpayments and <br />
         		<a id="pl.1.12"></a><var>1.12</var>underpayments; creating the Department of MNsure; modifying requirements <br />
         		<a id="pl.1.13"></a><var>1.13</var>for reporting maltreatment of minors; establishing the Minnesota ABLE plan <br />
         		<a id="pl.1.14"></a><var>1.14</var>and accounts; modifying child support provisions; establishing standards for <br />
         		<a id="pl.1.15"></a><var>1.15</var>withdrawal management programs; modifying requirements for background <br />
         		<a id="pl.1.16"></a><var>1.16</var>studies; making changes to provisions governing the health information <br />
         		<a id="pl.1.17"></a><var>1.17</var>exchange; authorizing rulemaking; requiring reports; making technical changes; <br />
         		<a id="pl.1.18"></a><var>1.18</var>modifying certain fees for Department of Health programs; modifying fees <br />
         		<a id="pl.1.19"></a><var>1.19</var>of certain health-related licensing boards; making human services forecast <br />
         		<a id="pl.1.20"></a><var>1.20</var>adjustments; appropriating money;amending Minnesota Statutes 2014, sections <br />
         		<a id="pl.1.21"></a><var>1.21</var>13.3806, subdivision 4; 13.46, subdivisions 2, 7; 13.461, by adding a subdivision;
         <br />
         		<a id="pl.1.22"></a><var>1.22</var>15.01; 15A.0815, subdivision 2; 16A.724, subdivision 2; 43A.241; 62A.02, <br />
         		<a id="pl.1.23"></a><var>1.23</var>subdivision 2; 62A.045; 62J.497, subdivisions 1, 3, 4, 5; 62J.498; 62J.4981; <br />
         		<a id="pl.1.24"></a><var>1.24</var>62J.4982, subdivisions 4, 5; 62J.692, subdivision 4; 62M.01, subdivision <br />
         		<a id="pl.1.25"></a><var>1.25</var>2; 62M.02, subdivisions 12, 14, 15, 17, by adding subdivisions; 62M.05, <br />
         		<a id="pl.1.26"></a><var>1.26</var>subdivisions 3a, 3b, 4; 62M.06, subdivisions 2, 3; 62M.07; 62M.09, subdivision <br />
         		<a id="pl.1.27"></a><var>1.27</var>3; 62M.10, subdivision 7; 62M.11; 62Q.02; 62U.02, subdivisions 1, 2, 3, 4; <br />
         		<a id="pl.1.28"></a><var>1.28</var>62U.04, subdivision 11; 62V.02, subdivisions 2, 11, by adding a subdivision; <br />
         		<a id="pl.1.29"></a><var>1.29</var>62V.03; 62V.05; 62V.06; 62V.07; 62V.08; 119B.011, subdivision 15; 119B.025, <br />
         		<a id="pl.1.30"></a><var>1.30</var>subdivision 1; 119B.035, subdivision 4; 119B.07; 119B.09, subdivision 4; <br />
         		<a id="pl.1.31"></a><var>1.31</var>119B.10, subdivision 1; 119B.11, subdivision 2a; 119B.125, by adding a <br />
         		<a id="pl.1.32"></a><var>1.32</var>subdivision; 144.057, subdivision 1; 144.1501, subdivisions 1, 2, 3, 4; 144.215, <br />
         		<a id="pl.1.33"></a><var>1.33</var>by adding a subdivision; 144.225, subdivision 4; 144.291, subdivision 2; 144.293,
         <br />
         		<a id="pl.1.34"></a><var>1.34</var>subdivisions 6, 8; 144.298, subdivisions 2, 3; 144.3831, subdivision 1; 144.9501,
         <br />
         		<a id="pl.1.35"></a><var>1.35</var>subdivisions 6d, 22b, 26b, by adding subdivisions; 144.9505; 144.9508; <br />
         		<a id="pl.1.36"></a><var>1.36</var>144A.70, subdivision 6, by adding a subdivision; 144A.71; 144A.72; 144A.73; <br />
         		<a id="pl.1.37"></a><var>1.37</var>144D.01, by adding a subdivision; 144E.001, by adding a subdivision; 144E.275, <br />
         		<a id="pl.1.38"></a><var>1.38</var>subdivision 1, by adding a subdivision; 144E.50; 144F.01, subdivision 5; <br />
         		<a id="pl.1.39"></a><var>1.39</var>145.928, by adding a subdivision; 145A.131, subdivision 1; 148.57, subdivisions <br />
         		<a id="pl.1.40"></a><var>1.40</var>1, 2; 148.59; 148E.075; 148E.080, subdivisions 1, 2; 148E.180, subdivisions 2, <br />
         		<a id="pl.1.41"></a><var>1.41</var>5; 149A.20, subdivisions 5, 6; 149A.40, subdivision 11; 149A.65; 149A.92, <br />
         		<a id="pl.1.42"></a><var>1.42</var>subdivision 1; 149A.97, subdivision 7; 150A.091, subdivisions 4, 5, 11, by adding
         <br />
         		<a id="pl.1.43"></a><var>1.43</var>subdivisions; 150A.31; 151.065, subdivisions 1, 2, 3, 4; 151.58, subdivisions 2, <br />
         		<a id="pl.2.1"></a><var>2.1</var>5; 157.16; 169.686, subdivision 3; 174.29, subdivision 1; 174.30, subdivisions 3,
         <br />
         		<a id="pl.2.2"></a><var>2.2</var>4, by adding subdivisions; 245.4661, subdivisions 5, 6, by adding subdivisions; <br />
         		<a id="pl.2.3"></a><var>2.3</var>245.467, subdivision 6; 245.469, by adding a subdivision; 245.4876, subdivision <br />
         		<a id="pl.2.4"></a><var>2.4</var>7; 245.4889, subdivision 1, by adding a subdivision; 245C.03, by adding a <br />
         		<a id="pl.2.5"></a><var>2.5</var>subdivision; 245C.08, subdivision 1; 245C.10, by adding subdivisions; 245C.12; <br />
         		<a id="pl.2.6"></a><var>2.6</var>246.18, subdivision 8; 246.54, subdivision 1; 246B.01, subdivision 2b; 246B.10; <br />
         		<a id="pl.2.7"></a><var>2.7</var>253B.18, subdivisions 4c, 5; 254B.05, subdivision 5; 254B.12, subdivision 2; <br />
         		<a id="pl.2.8"></a><var>2.8</var>256.01, by adding subdivisions; 256.015, subdivision 7; 256.017, subdivision <br />
         		<a id="pl.2.9"></a><var>2.9</var>1; 256.478; 256.741, subdivisions 1, 2; 256.962, subdivision 5, by adding a <br />
         		<a id="pl.2.10"></a><var>2.10</var>subdivision; 256.969, subdivisions 1, 2b, 3a, 3c, 9; 256.975, subdivision 8; <br />
         		<a id="pl.2.11"></a><var>2.11</var>256B.056, subdivision 5c; 256B.057, subdivision 9; 256B.059, subdivision <br />
         		<a id="pl.2.12"></a><var>2.12</var>5; 256B.06, by adding a subdivision; 256B.0615, subdivision 3; 256B.0622, <br />
         		<a id="pl.2.13"></a><var>2.13</var>subdivisions 1, 2, 3, 4, 5, 7, 8, 9, 10, by adding a subdivision; 256B.0624, <br />
         		<a id="pl.2.14"></a><var>2.14</var>subdivision 7; 256B.0625, subdivisions 3b, 9, 13, 13e, 13h, 14, 17, 17a, 18a, <br />
         		<a id="pl.2.15"></a><var>2.15</var>18e, 31, 48, 57, 58, by adding subdivisions; 256B.0631; 256B.072; 256B.0757; <br />
         		<a id="pl.2.16"></a><var>2.16</var>256B.0916, subdivisions 2, 11, by adding a subdivision; 256B.441, by adding <br />
         		<a id="pl.2.17"></a><var>2.17</var>a subdivision; 256B.49, subdivision 26, by adding a subdivision; 256B.4913, <br />
         		<a id="pl.2.18"></a><var>2.18</var>subdivisions 4a, 5; 256B.4914, subdivisions 2, 8, 10, 14, 15; 256B.69, <br />
         		<a id="pl.2.19"></a><var>2.19</var>subdivisions 5a, 5i, 6, 9c, 9d, by adding a subdivision; 256B.75; 256B.76, <br />
         		<a id="pl.2.20"></a><var>2.20</var>subdivisions 2, 4, 7; 256B.767; 256D.01, subdivision 1a; 256D.02, subdivision <br />
         		<a id="pl.2.21"></a><var>2.21</var>8, by adding subdivisions; 256D.06, subdivision 1; 256D.405, subdivision 3; <br />
         		<a id="pl.2.22"></a><var>2.22</var>256E.35, subdivision 2, by adding a subdivision; 256I.03, subdivisions 3, <br />
         		<a id="pl.2.23"></a><var>2.23</var>7, by adding subdivisions; 256I.04; 256I.05, subdivisions 1c, 1g; 256I.06, <br />
         		<a id="pl.2.24"></a><var>2.24</var>subdivisions 2, 6, 7, 8; 256J.08, subdivisions 26, 86; 256J.24, subdivisions <br />
         		<a id="pl.2.25"></a><var>2.25</var>5, 5a; 256J.30, subdivisions 1, 9; 256J.35; 256J.40; 256J.95, subdivision 19; <br />
         		<a id="pl.2.26"></a><var>2.26</var>256K.45, subdivisions 1a, 6; 256L.01, subdivisions 3a, 5; 256L.03, subdivision <br />
         		<a id="pl.2.27"></a><var>2.27</var>5; 256L.04, subdivisions 1a, 1c, 7b; 256L.05, subdivisions 3, 3a, 4, by adding <br />
         		<a id="pl.2.28"></a><var>2.28</var>a subdivision; 256L.06, subdivision 3; 256L.11, by adding a subdivision; <br />
         		<a id="pl.2.29"></a><var>2.29</var>256L.121, subdivision 1; 256L.15, subdivision 2; 256N.22, subdivisions 9, <br />
         		<a id="pl.2.30"></a><var>2.30</var>10; 256N.24, subdivision 4; 256N.25, subdivision 1; 256N.27, subdivision 2; <br />
         		<a id="pl.2.31"></a><var>2.31</var>256P.001; 256P.01, subdivision 3, by adding subdivisions; 256P.02, by adding <br />
         		<a id="pl.2.32"></a><var>2.32</var>a subdivision; 256P.03, subdivision 1; 256P.04, subdivisions 1, 4; 256P.05, <br />
         		<a id="pl.2.33"></a><var>2.33</var>subdivision 1; 257.0755, subdivisions 1, 2; 257.0761, subdivision 1; 257.0766, <br />
         		<a id="pl.2.34"></a><var>2.34</var>subdivision 1; 257.0769, subdivision 1; 257.75, subdivisions 3, 5; 259A.75; <br />
         		<a id="pl.2.35"></a><var>2.35</var>260C.007, subdivisions 27, 32; 260C.203; 260C.212, subdivision 1, by adding <br />
         		<a id="pl.2.36"></a><var>2.36</var>subdivisions; 260C.221; 260C.331, subdivision 1; 260C.451, subdivisions 2, 6; <br />
         		<a id="pl.2.37"></a><var>2.37</var>260C.515, subdivision 5; 260C.521, subdivisions 1, 2; 260C.607, subdivision <br />
         		<a id="pl.2.38"></a><var>2.38</var>4; 282.241, subdivision 1; 290.0671, subdivision 6; 297A.70, subdivision 7; <br />
         		<a id="pl.2.39"></a><var>2.39</var>514.73; 514.981, subdivision 2; 518A.26, subdivision 14; 518A.32, subdivision <br />
         		<a id="pl.2.40"></a><var>2.40</var>2; 518A.39, subdivision 1, by adding a subdivision; 518A.41, subdivisions 1, 3, <br />
         		<a id="pl.2.41"></a><var>2.41</var>4, 14, 15; 518A.43, by adding a subdivision; 518A.46, subdivision 3, by adding <br />
         		<a id="pl.2.42"></a><var>2.42</var>a subdivision; 518A.51; 518A.53, subdivisions 1, 4, 10; 518A.60; 518C.802; <br />
         		<a id="pl.2.43"></a><var>2.43</var>580.032, subdivision 1; 626.556, subdivisions 1, as amended, 2, 3, 6a, 7, as <br />
         		<a id="pl.2.44"></a><var>2.44</var>amended, 10, 10e, 10j, 10m, 11c, by adding subdivisions; Laws 2008, chapter <br />
         		<a id="pl.2.45"></a><var>2.45</var>363, article 18, section 3, subdivision 5; Laws 2013, chapter 108, article 14, <br />
         		<a id="pl.2.46"></a><var>2.46</var>section 12, as amended; Laws 2014, chapter 189, sections 5; 10; 11; 16; 17; 18; <br />
         		<a id="pl.2.47"></a><var>2.47</var>19; 23; 24; 27; 28; 29; 31; 43; 50; 51; 73; Laws 2014, chapter 312, article 24, <br />
         		<a id="pl.2.48"></a><var>2.48</var>section 45, subdivision 2; proposing coding for new law in Minnesota Statutes, <br />
         		<a id="pl.2.49"></a><var>2.49</var>chapters 15; 62A; 62M; 62Q; 62V; 144; 144D; 245; 246B; 256B; 256E; 256M; <br />
         		<a id="pl.2.50"></a><var>2.50</var>256P; 518A; proposing coding for new law as Minnesota Statutes, chapters 245F; <br />
         		<a id="pl.2.51"></a><var>2.51</var>256Q; repealing Minnesota Statutes 2014, sections 62V.04; 62V.09; 62V.11; <br />
         		<a id="pl.2.52"></a><var>2.52</var>144E.52; 148E.060, subdivision 12; 256.969, subdivisions 23, 30; 256B.69, <br />
         		<a id="pl.2.53"></a><var>2.53</var>subdivision 32; 256D.0513; 256D.06, subdivision 8; 256D.09, subdivision 6; <br />
         		<a id="pl.2.54"></a><var>2.54</var>256D.49; 256J.38; 256L.02, subdivision 3; 256L.05, subdivisions 1b, 1c, 3c, 5; <br />
         		<a id="pl.2.55"></a><var>2.55</var>256L.11, subdivision 7; 257.0768; 290.0671, subdivision 6a; Minnesota Rules, <br />
         		<a id="pl.2.56"></a><var>2.56</var>parts 3400.0170, subparts 5, 6, 12, 13; 8840.5900, subparts 12, 14.<br />
         		<a id="pl.2.57"></a><var>2.57</var>May 17, 2015<br />
         		<a id="pl.3.1"></a><var>3.1</var>The Honorable Sandra L. Pappas<br />
         		<a id="pl.3.2"></a><var>3.2</var>President of the Senate<br />
         		<a id="pl.3.3"></a><var>3.3</var>The Honorable Kurt L. Daudt<br />
         		<a id="pl.3.4"></a><var>3.4</var>Speaker of the House of Representatives<br />
         		<a id="pl.3.5"></a><var>3.5</var>We, the undersigned conferees for S.F. No. 1458 report that we have agreed upon <br />
         		<a id="pl.3.6"></a><var>3.6</var>the items in dispute and recommend as follows:<br />
         		<a id="pl.3.7"></a><var>3.7</var>That the House recede from its amendments and that S.F. No. 1458 be further <br />
         		<a id="pl.3.8"></a><var>3.8</var>amended as follows:<br />
         		<a id="pl.3.9"></a><var>3.9</var>Delete everything after the enacting clause and insert:<br />
         		<br />
         		<a id="bill.1.0.0"></a><div class="xtend_ce"><a id="pl.3.10"></a><var>3.10</var>"<b>ARTICLE 1</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.3.11"></a><var>3.11</var><b>CHILDREN AND FAMILY SERVICES</b><br />
            		
         </div><br />
         		<a id="bill.1.1.0"></a><a id="pl.3.12"></a><var>3.12</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 119B.125, is amended by adding a <br />
         		<a id="pl.3.13"></a><var>3.13</var>subdivision to read:<br />
         		<a id="pl.3.14"></a><var>3.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Failure to comply with attendance record requirements.</b> (a) In <br />
         		<a id="pl.3.15"></a><var>3.15</var>establishing an overpayment claim for failure to provide attendance records in compliance
         <br />
         		<a id="pl.3.16"></a><var>3.16</var>with section 119B.125, subdivision 6, the county or commissioner is limited to the
         six <br />
         		<a id="pl.3.17"></a><var>3.17</var>years prior to the date the county or the commissioner requested the attendance records.<br />
         		<a id="pl.3.18"></a><var>3.18</var>(b) The commissioner may periodically audit child care providers to determine <br />
         		<a id="pl.3.19"></a><var>3.19</var>compliance with section 119B.125, subdivision 6.<br />
         		<a id="pl.3.20"></a><var>3.20</var>(c) When the commissioner or county establishes an overpayment claim against a <br />
         		<a id="pl.3.21"></a><var>3.21</var>current or former provider, the commissioner or county must provide notice of the
         claim to <br />
         		<a id="pl.3.22"></a><var>3.22</var>the provider. A notice of overpayment claim must specify the reason for the overpayment,
         <br />
         		<a id="pl.3.23"></a><var>3.23</var>the authority for making the overpayment claim, the time period in which the overpayment
         <br />
         		<a id="pl.3.24"></a><var>3.24</var>occurred, the amount of the overpayment, and the provider's right to appeal.<br />
         		<a id="pl.3.25"></a><var>3.25</var>(d) The commissioner or county shall seek to recoup or recover overpayments paid <br />
         		<a id="pl.3.26"></a><var>3.26</var>to a current or former provider.<br />
         		<a id="pl.3.27"></a><var>3.27</var>(e) When a provider has been disqualified or convicted of fraud under section <br />
         		<a id="pl.3.28"></a><var>3.28</var>256.98, theft under section 609.52, or a federal crime relating to theft of state
         funds <br />
         		<a id="pl.3.29"></a><var>3.29</var>or fraudulent billing for a program administered by the commissioner or a county,
         <br />
         		<a id="pl.3.30"></a><var>3.30</var>recoupment or recovery must be sought regardless of the amount of overpayment.<br />
         		<br />
         		<a id="bill.1.2.0"></a><a id="pl.3.31"></a><var>3.31</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 119B.13, subdivision 6, is amended to read:<br />
         		<a id="pl.3.32"></a><var>3.32</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Provider payments.</b> (a) The provider shall bill for services provided <br />
         		<a id="pl.3.33"></a><var>3.33</var>within ten days of the end of the service period. If bills are submitted within ten
         days of <br />
         		<a id="pl.3.34"></a><var>3.34</var>the end of the service period, payments under the child care fund shall be made within
         30 <br />
         		<a id="pl.4.1"></a><var>4.1</var>days of receiving a bill from the provider. Counties or the state may establish policies
         that <br />
         		<a id="pl.4.2"></a><var>4.2</var>make payments on a more frequent basis.<br />
         		<a id="pl.4.3"></a><var>4.3</var>(b) If a provider has received an authorization of care and been issued a billing
         form <br />
         		<a id="pl.4.4"></a><var>4.4</var>for an eligible family, the bill must be submitted within 60 days of the last date
         of service on <br />
         		<a id="pl.4.5"></a><var>4.5</var>the bill. A bill submitted more than 60 days after the last date of service must be
         paid if the <br />
         		<a id="pl.4.6"></a><var>4.6</var>county determines that the provider has shown good cause why the bill was not submitted
         <br />
         		<a id="pl.4.7"></a><var>4.7</var>within 60 days. Good cause must be defined in the county's child care fund plan under
         <br />
         		<a id="pl.4.8"></a><var>4.8</var>section 
         <statute_ref>119B.08, subdivision 3</statute_ref>, and the definition of good cause must include county error. <br />
         		<a id="pl.4.9"></a><var>4.9</var>Any bill submitted more than a year after the last date of service on the bill must
         not be paid.<br />
         		<a id="pl.4.10"></a><var>4.10</var>(c) If a provider provided care for a time period without receiving an authorization
         <br />
         		<a id="pl.4.11"></a><var>4.11</var>of care and a billing form for an eligible family, payment of child care assistance
         may only <br />
         		<a id="pl.4.12"></a><var>4.12</var>be made retroactively for a maximum of six months from the date the provider is issued
         <br />
         		<a id="pl.4.13"></a><var>4.13</var>an authorization of care and billing form.<br />
         		<a id="pl.4.14"></a><var>4.14</var>(d) A county or the commissioner may refuse to issue a child care authorization <br />
         		<a id="pl.4.15"></a><var>4.15</var>to a licensed or legal nonlicensed provider, revoke an existing child care authorization
         <br />
         		<a id="pl.4.16"></a><var>4.16</var>to a licensed or legal nonlicensed provider, stop payment issued to a licensed or
         legal <br />
         		<a id="pl.4.17"></a><var>4.17</var>nonlicensed provider, or refuse to pay a bill submitted by a licensed or legal nonlicensed
         <br />
         		<a id="pl.4.18"></a><var>4.18</var>provider if:<br />
         		<a id="pl.4.19"></a><var>4.19</var>(1) the provider admits to intentionally giving the county materially false information
         <br />
         		<a id="pl.4.20"></a><var>4.20</var>on the provider's billing forms;<br />
         		<a id="pl.4.21"></a><var>4.21</var>(2) a county or the commissioner finds by a preponderance of the evidence that the <br />
         		<a id="pl.4.22"></a><var>4.22</var>provider intentionally gave the county materially false information on the provider's
         <br />
         		<a id="pl.4.23"></a><var>4.23</var>billing forms, or provided false attendance records to a county or the commissioner;<br />
         		<a id="pl.4.24"></a><var>4.24</var>(3) the provider is in violation of child care assistance program rules, until the
         <br />
         		<a id="pl.4.25"></a><var>4.25</var>agency determines those violations have been corrected;<br />
         		<a id="pl.4.26"></a><var>4.26</var>&#160;&#160;&#160;&#160;(4) the provider is operating after receipt of: <br />
         		<a id="pl.4.27"></a><var>4.27</var>&#160;&#160;&#160;&#160;(i) an order of suspension or of the provider's license issued by the commissioner;<br />
         		<a id="pl.4.28"></a><var>4.28</var>&#160;&#160;&#160;&#160;(ii) an order of revocation of the provider's license,; or <br />
         		<a id="pl.4.29"></a><var>4.29</var>&#160;&#160;&#160;&#160;the provider has been issued an order citing violations of licensing standards that
         <br />
         		<a id="pl.4.30"></a><var>4.30</var>affect the health and safety of children in care due to the nature, chronicity, or
         severity <br />
         		<a id="pl.4.31"></a><var>4.31</var>of the licensing violations, until the licensing agency determines those violations
         have <br />
         		<a id="pl.4.32"></a><var>4.32</var>been corrected; (iii) a final order of conditional license issued by the commissioner for as <br />
         		<a id="pl.4.33"></a><var>4.33</var>long as the conditional license is in effect;<br />
         		<a id="pl.4.34"></a><var>4.34</var>(5) the provider submits false attendance reports or refuses to provide documentation
         <br />
         		<a id="pl.4.35"></a><var>4.35</var>of the child's attendance upon request; or<br />
         		<a id="pl.4.36"></a><var>4.36</var>(6) the provider gives false child care price information.<br />
         		<a id="pl.5.1"></a><var>5.1</var>(e) For purposes of paragraph (d), clauses (3), (5), and (6), the county or the <br />
         		<a id="pl.5.2"></a><var>5.2</var>commissioner may withhold the provider's authorization or payment for a period of time <br />
         		<a id="pl.5.3"></a><var>5.3</var>not to exceed three months beyond the time the condition has been corrected.<br />
         		<a id="pl.5.4"></a><var>5.4</var>(e) (f) A county's payment policies must be included in the county's child care plan <br />
         		<a id="pl.5.5"></a><var>5.5</var>under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>. If payments are made by the state, in addition to <br />
         		<a id="pl.5.6"></a><var>5.6</var>being in compliance with this subdivision, the payments must be made in compliance
         <br />
         		<a id="pl.5.7"></a><var>5.7</var>with section 
         <statute_ref>16A.124</statute_ref>.<br />
         		<br />
         		<a id="bill.1.3.0"></a><a id="pl.5.8"></a><var>5.8</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 245C.03, is amended by adding a subdivision <br />
         		<a id="pl.5.9"></a><var>5.9</var>to read:<br />
         		<a id="pl.5.10"></a><var>5.10</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Providers of group residential housing or supplementary services.</b><br />
         		 <a id="pl.5.11"></a><var>5.11</var>The commissioner shall conduct background studies on any individual required under
         <br />
         		<a id="pl.5.12"></a><var>5.12</var>section 256I.04 to have a background study completed under this chapter.<br />
         		<a id="pl.5.13"></a><var>5.13</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.4.0"></a><a id="pl.5.14"></a><var>5.14</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 245C.03, is amended by adding a subdivision <br />
         		<a id="pl.5.15"></a><var>5.15</var>to read:<br />
         		<a id="pl.5.16"></a><var>5.16</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Child protection workers or social services staff having responsibility </b><br />
         		<a id="pl.5.17"></a><var>5.17</var><b>for child protective duties.</b> (a) The commissioner must complete background studies, <br />
         		<a id="pl.5.18"></a><var>5.18</var>according to paragraph (b) and 245C.04, subdivision 10, when initiated by a county
         social <br />
         		<a id="pl.5.19"></a><var>5.19</var>services agency or by a local welfare agency according to section 626.559, subdivision
         1b.<br />
         		<a id="pl.5.20"></a><var>5.20</var>(b) For background studies completed by the commissioner under this subdivision, <br />
         		<a id="pl.5.21"></a><var>5.21</var>the commissioner shall not make a disqualification decision, but shall provide the
         <br />
         		<a id="pl.5.22"></a><var>5.22</var>background study information received to the county that initiated the study.<br />
         		<br />
         		<a id="bill.1.5.0"></a><a id="pl.5.23"></a><var>5.23</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 245C.04, is amended by adding a subdivision <br />
         		<a id="pl.5.24"></a><var>5.24</var>to read:<br />
         		<a id="pl.5.25"></a><var>5.25</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Child protection workers or social services staff having responsibility </b><br />
         		<a id="pl.5.26"></a><var>5.26</var><b>for child protective duties.</b> The commissioner shall conduct background studies of <br />
         		<a id="pl.5.27"></a><var>5.27</var>employees of county social services and local welfare agencies having responsibility
         <br />
         		<a id="pl.5.28"></a><var>5.28</var>for child protection duties when the background study is initiated according to section
         <br />
         		<a id="pl.5.29"></a><var>5.29</var>626.559, subdivision 1b.<br />
         		<br />
         		<a id="bill.1.6.0"></a><a id="pl.5.30"></a><var>5.30</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 245C.10, is amended by adding a subdivision <br />
         		<a id="pl.5.31"></a><var>5.31</var>to read:<br />
         		<a id="pl.6.1"></a><var>6.1</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Providers of group residential housing or supplementary services.</b><br />
         		 <a id="pl.6.2"></a><var>6.2</var>The commissioner shall recover the cost of background studies initiated by providers
         of <br />
         		<a id="pl.6.3"></a><var>6.3</var>group residential housing or supplementary services under section 256I.04 through
         a fee <br />
         		<a id="pl.6.4"></a><var>6.4</var>of no more than $20 per study. The fees collected under this subdivision are appropriated
         <br />
         		<a id="pl.6.5"></a><var>6.5</var>to the commissioner for the purpose of conducting background studies.<br />
         		<a id="pl.6.6"></a><var>6.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.7.0"></a><a id="pl.6.7"></a><var>6.7</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 245C.10, is amended by adding a subdivision <br />
         		<a id="pl.6.8"></a><var>6.8</var>to read:<br />
         		<a id="pl.6.9"></a><var>6.9</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Child protection workers or social services staff having responsibility </b><br />
         		<a id="pl.6.10"></a><var>6.10</var><b>for child protective duties.</b> The commissioner shall recover the cost of background studies <br />
         		<a id="pl.6.11"></a><var>6.11</var>initiated by county social services agencies and local welfare agencies for individuals
         <br />
         		<a id="pl.6.12"></a><var>6.12</var>who are required to have a background study under section 626.559, subdivision 1b,
         <br />
         		<a id="pl.6.13"></a><var>6.13</var>through a fee of no more than $20 per study. The fees collected under this subdivision
         are <br />
         		<a id="pl.6.14"></a><var>6.14</var>appropriated to the commissioner for the purpose of conducting background studies.<br />
         		<br />
         		<a id="bill.1.8.0"></a><a id="pl.6.15"></a><var>6.15</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 256.01, is amended by adding a subdivision <br />
         		<a id="pl.6.16"></a><var>6.16</var>to read:<br />
         		<a id="pl.6.17"></a><var>6.17</var>&#160;&#160;&#160;&#160;Subd. 12a. <b>Department of Human Services child fatality and near fatality </b><br />
         		<a id="pl.6.18"></a><var>6.18</var><b>review team.</b> The commissioner shall establish a Department of Human Services child <br />
         		<a id="pl.6.19"></a><var>6.19</var>fatality and near fatality review team to review child fatalities and near fatalities
         due to <br />
         		<a id="pl.6.20"></a><var>6.20</var>child maltreatment and child fatalities and near fatalities that occur in licensed
         facilities <br />
         		<a id="pl.6.21"></a><var>6.21</var>and are not due to natural causes. The review team shall assess the entire child protection
         <br />
         		<a id="pl.6.22"></a><var>6.22</var>services process from the point of a mandated reporter reporting the alleged maltreatment
         <br />
         		<a id="pl.6.23"></a><var>6.23</var>through the ongoing case management process. Department staff shall lead and conduct
         <br />
         		<a id="pl.6.24"></a><var>6.24</var>on-site local reviews and utilize supervisors from local county and tribal child welfare
         <br />
         		<a id="pl.6.25"></a><var>6.25</var>agencies as peer reviewers. The review process must focus on critical elements of
         the case <br />
         		<a id="pl.6.26"></a><var>6.26</var>and on the involvement of the child and family with the county or tribal child welfare
         <br />
         		<a id="pl.6.27"></a><var>6.27</var>agency. The review team shall identify necessary program improvement planning to <br />
         		<a id="pl.6.28"></a><var>6.28</var>address any practice issues identified and training and technical assistance needs
         of <br />
         		<a id="pl.6.29"></a><var>6.29</var>the local agency. Summary reports of each review shall be provided to the state child
         <br />
         		<a id="pl.6.30"></a><var>6.30</var>mortality review panel when completed.<br />
         		<br />
         		<a id="bill.1.9.0"></a><a id="pl.6.31"></a><var>6.31</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 256.017, subdivision 1, is amended to read:<br />
         		<a id="pl.6.32"></a><var>6.32</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authority and purpose.</b> The commissioner shall administer a <br />
         		<a id="pl.6.33"></a><var>6.33</var>compliance system for the Minnesota family investment program, the food stamp or food
         <br />
         		<a id="pl.7.1"></a><var>7.1</var>support program, emergency assistance, general assistance, medical assistance, emergency
         <br />
         		<a id="pl.7.2"></a><var>7.2</var>general assistance, Minnesota supplemental assistance, group residential housing, <br />
         		<a id="pl.7.3"></a><var>7.3</var>preadmission screening, alternative care grants, the child care assistance program,
         and <br />
         		<a id="pl.7.4"></a><var>7.4</var>all other programs administered by the commissioner or on behalf of the commissioner
         <br />
         		<a id="pl.7.5"></a><var>7.5</var>under the powers and authorities named in section 
         <statute_ref>256.01, subdivision 2</statute_ref>. The purpose of <br />
         		<a id="pl.7.6"></a><var>7.6</var>the compliance system is to permit the commissioner to supervise the administration
         of <br />
         		<a id="pl.7.7"></a><var>7.7</var>public assistance programs and to enforce timely and accurate distribution of benefits,
         <br />
         		<a id="pl.7.8"></a><var>7.8</var>completeness of service and efficient and effective program management and operations,
         <br />
         		<a id="pl.7.9"></a><var>7.9</var>to increase uniformity and consistency in the administration and delivery of public
         <br />
         		<a id="pl.7.10"></a><var>7.10</var>assistance programs throughout the state, and to reduce the possibility of sanctions
         and <br />
         		<a id="pl.7.11"></a><var>7.11</var>fiscal disallowances for noncompliance with federal regulations and state statutes.
         The <br />
         		<a id="pl.7.12"></a><var>7.12</var>commissioner, or the commissioner's representative, may issue administrative subpoenas
         <br />
         		<a id="pl.7.13"></a><var>7.13</var>as needed in administering the compliance system.<br />
         		<a id="pl.7.14"></a><var>7.14</var>&#160;&#160;&#160;&#160;The commissioner shall utilize training, technical assistance, and monitoring <br />
         		<a id="pl.7.15"></a><var>7.15</var>activities, as specified in section 
         <statute_ref>256.01, subdivision 2</statute_ref>, to encourage county agency <br />
         		<a id="pl.7.16"></a><var>7.16</var>compliance with written policies and procedures.<br />
         		<br />
         		<a id="bill.1.10.0"></a><a id="pl.7.17"></a><var>7.17</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 256.741, subdivision 1, is amended to read:<br />
         		<a id="pl.7.18"></a><var>7.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) The term "direct support" as used in this chapter and <br />
         		<a id="pl.7.19"></a><var>7.19</var>chapters 257, 518, 518A, and 518C refers to an assigned support payment from an obligor
         <br />
         		<a id="pl.7.20"></a><var>7.20</var>which is paid directly to a recipient of public assistance.<br />
         		<a id="pl.7.21"></a><var>7.21</var>&#160;&#160;&#160;&#160;(b) The term "public assistance" as used in this chapter and chapters 257, 518, 518A,
         <br />
         		<a id="pl.7.22"></a><var>7.22</var>and 518C, includes any form of assistance provided under the AFDC program formerly
         <br />
         		<a id="pl.7.23"></a><var>7.23</var>codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, MFIP and MFIP-R formerly codified under chapter <br />
         		<a id="pl.7.24"></a><var>7.24</var>256, MFIP under chapter 256J, work first program formerly codified under chapter 256K;
         <br />
         		<a id="pl.7.25"></a><var>7.25</var>child care assistance provided through the child care fund under chapter 119B; any
         form <br />
         		<a id="pl.7.26"></a><var>7.26</var>of medical assistance under chapter 256B; MinnesotaCare under chapter 256L; and foster <br />
         		<a id="pl.7.27"></a><var>7.27</var>care as provided under title IV-E of the Social Security Act. MinnesotaCare and health <br />
         		<a id="pl.7.28"></a><var>7.28</var>plans subsidized by federal premium tax credits or federal cost-sharing reductions
         are not <br />
         		<a id="pl.7.29"></a><var>7.29</var>considered public assistance for purposes of a child support referral.<br />
         		<a id="pl.7.30"></a><var>7.30</var>&#160;&#160;&#160;&#160;(c) The term "child support agency" as used in this section refers to the public <br />
         		<a id="pl.7.31"></a><var>7.31</var>authority responsible for child support enforcement.<br />
         		<a id="pl.7.32"></a><var>7.32</var>&#160;&#160;&#160;&#160;(d) The term "public assistance agency" as used in this section refers to a public
         <br />
         		<a id="pl.7.33"></a><var>7.33</var>authority providing public assistance to an individual.<br />
         		<a id="pl.7.34"></a><var>7.34</var>&#160;&#160;&#160;&#160;(e) The terms "child support" and "arrears" as used in this section have the meanings
         <br />
         		<a id="pl.7.35"></a><var>7.35</var>provided in section 
         <statute_ref>518A.26</statute_ref>.<br />
         		<a id="pl.8.1"></a><var>8.1</var>&#160;&#160;&#160;&#160;(f) The term "maintenance" as used in this section has the meaning provided in <br />
         		<a id="pl.8.2"></a><var>8.2</var>section 
         <statute_ref>518.003</statute_ref>.<br />
         		<br />
         		<a id="bill.1.11.0"></a><a id="pl.8.3"></a><var>8.3</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 256.741, subdivision 2, is amended to read:<br />
         		<a id="pl.8.4"></a><var>8.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Assignment of support and maintenance rights.</b> (a) An individual <br />
         		<a id="pl.8.5"></a><var>8.5</var>receiving public assistance in the form of assistance under any of the following programs:
         <br />
         		<a id="pl.8.6"></a><var>8.6</var>the AFDC program formerly codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, MFIP under chapter <br />
         		<a id="pl.8.7"></a><var>8.7</var>256J, MFIP-R and MFIP formerly codified under chapter 256, or work first program <br />
         		<a id="pl.8.8"></a><var>8.8</var>formerly codified under chapter 256K is considered to have assigned to the state at
         the <br />
         		<a id="pl.8.9"></a><var>8.9</var>time of application all rights to child support and maintenance from any other person
         the <br />
         		<a id="pl.8.10"></a><var>8.10</var>applicant or recipient may have in the individual's own behalf or in the behalf of
         any other <br />
         		<a id="pl.8.11"></a><var>8.11</var>family member for whom application for public assistance is made. An assistance unit
         is <br />
         		<a id="pl.8.12"></a><var>8.12</var>ineligible for the Minnesota family investment program unless the caregiver assigns
         all <br />
         		<a id="pl.8.13"></a><var>8.13</var>rights to child support and maintenance benefits according to this section.<br />
         		<a id="pl.8.14"></a><var>8.14</var>&#160;&#160;&#160;&#160;(1) The assignment is effective as to any current child support and current <br />
         		<a id="pl.8.15"></a><var>8.15</var>maintenance.<br />
         		<a id="pl.8.16"></a><var>8.16</var>&#160;&#160;&#160;&#160;(2) Any child support or maintenance arrears that accrue while an individual is <br />
         		<a id="pl.8.17"></a><var>8.17</var>receiving public assistance in the form of assistance under any of the programs listed
         in <br />
         		<a id="pl.8.18"></a><var>8.18</var>this paragraph are permanently assigned to the state.<br />
         		<a id="pl.8.19"></a><var>8.19</var>&#160;&#160;&#160;&#160;(3) The assignment of current child support and current maintenance ends on the <br />
         		<a id="pl.8.20"></a><var>8.20</var>date the individual ceases to receive or is no longer eligible to receive public assistance
         <br />
         		<a id="pl.8.21"></a><var>8.21</var>under any of the programs listed in this paragraph.<br />
         		<a id="pl.8.22"></a><var>8.22</var>&#160;&#160;&#160;&#160;(b) An individual receiving public assistance in the form of medical assistance, <br />
         		<a id="pl.8.23"></a><var>8.23</var>including MinnesotaCare, is considered to have assigned to the state at the time of <br />
         		<a id="pl.8.24"></a><var>8.24</var>application all rights to medical support from any other person the individual may
         have <br />
         		<a id="pl.8.25"></a><var>8.25</var>in the individual's own behalf or in the behalf of any other family member for whom
         <br />
         		<a id="pl.8.26"></a><var>8.26</var>medical assistance is provided.<br />
         		<a id="pl.8.27"></a><var>8.27</var>&#160;&#160;&#160;&#160;(1) An assignment made after September 30, 1997, is effective as to any medical <br />
         		<a id="pl.8.28"></a><var>8.28</var>support accruing after the date of medical assistance or MinnesotaCare eligibility.<br />
         		<a id="pl.8.29"></a><var>8.29</var>&#160;&#160;&#160;&#160;(2) Any medical support arrears that accrue while an individual is receiving public
         <br />
         		<a id="pl.8.30"></a><var>8.30</var>assistance in the form of medical assistance, including MinnesotaCare, are permanently <br />
         		<a id="pl.8.31"></a><var>8.31</var>assigned to the state.<br />
         		<a id="pl.8.32"></a><var>8.32</var>&#160;&#160;&#160;&#160;(3) The assignment of current medical support ends on the date the individual ceases
         <br />
         		<a id="pl.8.33"></a><var>8.33</var>to receive or is no longer eligible to receive public assistance in the form of medical
         <br />
         		<a id="pl.8.34"></a><var>8.34</var>assistance or MinnesotaCare.<br />
         		<a id="pl.9.1"></a><var>9.1</var>&#160;&#160;&#160;&#160;(c) An individual receiving public assistance in the form of child care assistance
         <br />
         		<a id="pl.9.2"></a><var>9.2</var>under the child care fund pursuant to chapter 119B is considered to have assigned
         to the <br />
         		<a id="pl.9.3"></a><var>9.3</var>state at the time of application all rights to child care support from any other person
         the <br />
         		<a id="pl.9.4"></a><var>9.4</var>individual may have in the individual's own behalf or in the behalf of any other family
         <br />
         		<a id="pl.9.5"></a><var>9.5</var>member for whom child care assistance is provided.<br />
         		<a id="pl.9.6"></a><var>9.6</var>&#160;&#160;&#160;&#160;(1) The assignment is effective as to any current child care support.<br />
         		<a id="pl.9.7"></a><var>9.7</var>&#160;&#160;&#160;&#160;(2) Any child care support arrears that accrue while an individual is receiving public
         <br />
         		<a id="pl.9.8"></a><var>9.8</var>assistance in the form of child care assistance under the child care fund in chapter
         119B <br />
         		<a id="pl.9.9"></a><var>9.9</var>are permanently assigned to the state.<br />
         		<a id="pl.9.10"></a><var>9.10</var>&#160;&#160;&#160;&#160;(3) The assignment of current child care support ends on the date the individual <br />
         		<a id="pl.9.11"></a><var>9.11</var>ceases to receive or is no longer eligible to receive public assistance in the form
         of child <br />
         		<a id="pl.9.12"></a><var>9.12</var>care assistance under the child care fund under chapter 119B.<br />
         		<br />
         		<a id="bill.1.12.0"></a><a id="pl.9.13"></a><var>9.13</var>&#160;&#160;&#160;&#160;Sec. 12. <b>[256E.28] CHILD PROTECTION GRANTS TO ADDRESS CHILD </b><br />
         		<a id="pl.9.14"></a><var>9.14</var><b>WELFARE DISPARITIES.</b><br />
         		<a id="pl.9.15"></a><var>9.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Child welfare disparities grant program established.</b>  The <br />
         		<a id="pl.9.16"></a><var>9.16</var>commissioner may award grants to eligible entities for the development, implementation,
         <br />
         		<a id="pl.9.17"></a><var>9.17</var>and evaluation of activities to address racial disparities and disproportionality
         in the child <br />
         		<a id="pl.9.18"></a><var>9.18</var>welfare system by: <br />
         		<a id="pl.9.19"></a><var>9.19</var>&#160;&#160;&#160;&#160;(1) identifying and addressing structural factors that contribute to inequities in
         <br />
         		<a id="pl.9.20"></a><var>9.20</var>outcomes;<br />
         		<a id="pl.9.21"></a><var>9.21</var>&#160;&#160;&#160;&#160;(2) identifying and implementing strategies to reduce racial disparities in treatment
         <br />
         		<a id="pl.9.22"></a><var>9.22</var>and outcomes;<br />
         		<a id="pl.9.23"></a><var>9.23</var>&#160;&#160;&#160;&#160;(3) using cultural values, beliefs, and practices of families, communities, and tribes
         <br />
         		<a id="pl.9.24"></a><var>9.24</var>for case planning, service design, and decision-making processes;<br />
         		<a id="pl.9.25"></a><var>9.25</var>&#160;&#160;&#160;&#160;(4) using placement and reunification strategies to maintain and support relationships
         <br />
         		<a id="pl.9.26"></a><var>9.26</var>and connections between parents, siblings, children, kin, significant others, and
         tribes; and<br />
         		<a id="pl.9.27"></a><var>9.27</var>&#160;&#160;&#160;&#160;(5) supporting families in the context of their communities and tribes to safely divert
         <br />
         		<a id="pl.9.28"></a><var>9.28</var>them from the child welfare system, whenever possible.<br />
         		<a id="pl.9.29"></a><var>9.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>State-community partnerships; plan.</b> The commissioner, in partnership <br />
         		<a id="pl.9.30"></a><var>9.30</var>with the legislative task force on child protection; culturally based community <br />
         		<a id="pl.9.31"></a><var>9.31</var>organizations; the Indian Affairs Council under section 3.922; the Council on Affairs
         of <br />
         		<a id="pl.9.32"></a><var>9.32</var>Chicano/Latino People under section 3.9223; the Council on Black Minnesotans under
         <br />
         		<a id="pl.9.33"></a><var>9.33</var>section 3.9225; the Council on Asian-Pacific Minnesotans under section 3.9226; the
         <br />
         		<a id="pl.9.34"></a><var>9.34</var>American Indian Child Welfare Advisory Council under section 260.835; counties; and
         <br />
         		<a id="pl.10.1"></a><var>10.1</var>tribal governments, shall develop and implement a comprehensive, coordinated plan
         to <br />
         		<a id="pl.10.2"></a><var>10.2</var>award funds under this section for the priority areas identified in subdivision 1.<br />
         		<a id="pl.10.3"></a><var>10.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Measurable outcomes.</b> The commissioner, in consultation with the <br />
         		<a id="pl.10.4"></a><var>10.4</var>state-community partners listed in subdivision 2, shall establish measurable outcomes
         to <br />
         		<a id="pl.10.5"></a><var>10.5</var>determine the effectiveness of the grants and other activities funded under this section
         in <br />
         		<a id="pl.10.6"></a><var>10.6</var>reducing disparities identified in subdivision 1. The development of measurable outcomes
         <br />
         		<a id="pl.10.7"></a><var>10.7</var>must be completed before any funds are distributed under this section.<br />
         		<a id="pl.10.8"></a><var>10.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Process.</b> (a) The commissioner, in consultation with the state-community <br />
         		<a id="pl.10.9"></a><var>10.9</var>partners listed in subdivision 2, shall develop the criteria and procedures to allocate
         <br />
         		<a id="pl.10.10"></a><var>10.10</var>competitive grants under this section. In developing the criteria, the commissioner
         shall <br />
         		<a id="pl.10.11"></a><var>10.11</var>establish an administrative cost limit for grant recipients. A county awarded a grant
         shall <br />
         		<a id="pl.10.12"></a><var>10.12</var>not spend more than three percent of the grant on administrative costs. When a grant
         <br />
         		<a id="pl.10.13"></a><var>10.13</var>is awarded, the commissioner must provide a grant recipient with information on the
         <br />
         		<a id="pl.10.14"></a><var>10.14</var>outcomes established according to subdivision 3.<br />
         		<a id="pl.10.15"></a><var>10.15</var>&#160;&#160;&#160;&#160;(b) A grant recipient must coordinate its activities with other entities receiving
         funds <br />
         		<a id="pl.10.16"></a><var>10.16</var>under this section that are in the grant recipient's service area.<br />
         		<a id="pl.10.17"></a><var>10.17</var>&#160;&#160;&#160;&#160;(c) Grant funds must not be used to supplant any state or federal funds received <br />
         		<a id="pl.10.18"></a><var>10.18</var>for child welfare services.<br />
         		<a id="pl.10.19"></a><var>10.19</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Grant program criteria.</b> (a) The commissioner shall award competitive <br />
         		<a id="pl.10.20"></a><var>10.20</var>grants to eligible applicants for local or regional projects and initiatives directed
         at <br />
         		<a id="pl.10.21"></a><var>10.21</var>reducing disparities in the child welfare system.<br />
         		<a id="pl.10.22"></a><var>10.22</var>&#160;&#160;&#160;&#160;(b) The commissioner may award up to 20 percent of the funds available as planning
         <br />
         		<a id="pl.10.23"></a><var>10.23</var>grants. Planning grants must be used to address such areas as community assessment,
         <br />
         		<a id="pl.10.24"></a><var>10.24</var>coordination activities, and development of community-supported strategies. <br />
         		<a id="pl.10.25"></a><var>10.25</var>&#160;&#160;&#160;&#160;(c) Eligible applicants may include, but are not limited to, faith-based organizations,
         <br />
         		<a id="pl.10.26"></a><var>10.26</var>social service organizations, community nonprofit organizations, counties, and tribal
         <br />
         		<a id="pl.10.27"></a><var>10.27</var>governments. Applicants must submit proposals to the commissioner. A proposal must
         <br />
         		<a id="pl.10.28"></a><var>10.28</var>specify the strategies to be implemented to address one or more of the priority areas
         in <br />
         		<a id="pl.10.29"></a><var>10.29</var>subdivision 1 and must be targeted to achieve the outcomes established according to
         <br />
         		<a id="pl.10.30"></a><var>10.30</var>subdivision 3.<br />
         		<a id="pl.10.31"></a><var>10.31</var>&#160;&#160;&#160;&#160;(d) The commissioner shall give priority to applicants who demonstrate that their
         <br />
         		<a id="pl.10.32"></a><var>10.32</var>proposed project or initiative:<br />
         		<a id="pl.10.33"></a><var>10.33</var>&#160;&#160;&#160;&#160;(1) is supported by the community the applicant will serve;<br />
         		<a id="pl.10.34"></a><var>10.34</var>&#160;&#160;&#160;&#160;(2) is evidence-based;<br />
         		<a id="pl.10.35"></a><var>10.35</var>&#160;&#160;&#160;&#160;(3) is designed to complement other related community activities;<br />
         		<a id="pl.10.36"></a><var>10.36</var>&#160;&#160;&#160;&#160;(4) utilizes strategies that positively impact priority areas;<br />
         		<a id="pl.11.1"></a><var>11.1</var>&#160;&#160;&#160;&#160;(5) reflects culturally appropriate approaches; or<br />
         		<a id="pl.11.2"></a><var>11.2</var>&#160;&#160;&#160;&#160;(6) will be implemented through or with community-based organizations that reflect
         <br />
         		<a id="pl.11.3"></a><var>11.3</var>the culture of the population to be reached.<br />
         		<a id="pl.11.4"></a><var>11.4</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Evaluation.</b> (a) Using the outcomes established according to subdivision <br />
         		<a id="pl.11.5"></a><var>11.5</var>3, the commissioner shall conduct a biennial evaluation of the grant program funded
         under <br />
         		<a id="pl.11.6"></a><var>11.6</var>this section. Grant recipients shall cooperate with the commissioner in the evaluation
         and <br />
         		<a id="pl.11.7"></a><var>11.7</var>shall provide the commissioner with the information needed to conduct the evaluation.<br />
         		<a id="pl.11.8"></a><var>11.8</var>&#160;&#160;&#160;&#160;(b) The commissioner shall consult with the legislative task force on child protection
         <br />
         		<a id="pl.11.9"></a><var>11.9</var>during the evaluation process and shall submit a biennial evaluation report to the
         task <br />
         		<a id="pl.11.10"></a><var>11.10</var>force and to the chairs and ranking minority members of the house of representatives
         and <br />
         		<a id="pl.11.11"></a><var>11.11</var>senate committees with jurisdiction over child protection funding. <br />
         		<a id="pl.11.12"></a><var>11.12</var>&#160;&#160;&#160;&#160;Subd. 7. <b>American Indian child welfare projects.</b> Of the amount appropriated for <br />
         		<a id="pl.11.13"></a><var>11.13</var>purposes of this section, the commissioner shall award $75,000 to each tribe authorized
         to <br />
         		<a id="pl.11.14"></a><var>11.14</var>provide tribal delivery of child welfare services under section 256.01, subdivision
         14b. To <br />
         		<a id="pl.11.15"></a><var>11.15</var>receive funds under this subdivision, a participating tribe is not required to apply
         to the <br />
         		<a id="pl.11.16"></a><var>11.16</var>commissioner for grant funds. Participating tribes are also eligible for competitive
         grant <br />
         		<a id="pl.11.17"></a><var>11.17</var>funds under this section.<br />
         		<br />
         		<a id="bill.1.13.0"></a><a id="pl.11.18"></a><var>11.18</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 256E.35, subdivision 2, is amended to read:<br />
         		<a id="pl.11.19"></a><var>11.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br />
         		<a id="pl.11.20"></a><var>11.20</var>&#160;&#160;&#160;&#160;(b) "Eligible educational institution" means the following:<br />
         		<a id="pl.11.21"></a><var>11.21</var>&#160;&#160;&#160;&#160;(1) an institution of higher education described in section 101 or 102 of the Higher
         <br />
         		<a id="pl.11.22"></a><var>11.22</var>Education Act of 1965; or<br />
         		<a id="pl.11.23"></a><var>11.23</var>&#160;&#160;&#160;&#160;(2) an area vocational education school, as defined in subparagraph (C) or (D) of
         <br />
         		<a id="pl.11.24"></a><var>11.24</var>United States Code, title 20, chapter 44, section 2302 (3) (the Carl D. Perkins Vocational
         <br />
         		<a id="pl.11.25"></a><var>11.25</var>and Applied Technology Education Act), which is located within any state, as defined
         in <br />
         		<a id="pl.11.26"></a><var>11.26</var>United States Code, title 20, chapter 44, section 2302 (30). This clause is applicable
         only <br />
         		<a id="pl.11.27"></a><var>11.27</var>to the extent section 2302 is in effect on August 1, 2008.<br />
         		<a id="pl.11.28"></a><var>11.28</var>&#160;&#160;&#160;&#160;(b) (c) "Family asset account" means a savings account opened by a household <br />
         		<a id="pl.11.29"></a><var>11.29</var>participating in the Minnesota family assets for independence initiative.<br />
         		<a id="pl.11.30"></a><var>11.30</var>&#160;&#160;&#160;&#160;(c) (d) "Fiduciary organization" means:<br />
         		<a id="pl.11.31"></a><var>11.31</var>&#160;&#160;&#160;&#160;(1) a community action agency that has obtained recognition under section 
         <statute_ref>256E.31</statute_ref>;<br />
         		<a id="pl.11.32"></a><var>11.32</var>&#160;&#160;&#160;&#160;(2) a federal community development credit union serving the seven-county <br />
         		<a id="pl.11.33"></a><var>11.33</var>metropolitan area; or<br />
         		<a id="pl.11.34"></a><var>11.34</var>&#160;&#160;&#160;&#160;(3) a women-oriented economic development agency serving the seven-county <br />
         		<a id="pl.11.35"></a><var>11.35</var>metropolitan area.<br />
         		<a id="pl.12.1"></a><var>12.1</var>(e) "Financial coach" means a person who:<br />
         		<a id="pl.12.2"></a><var>12.2</var>(1) has completed an intensive financial literacy training workshop that includes
         <br />
         		<a id="pl.12.3"></a><var>12.3</var>curriculum on budgeting to increase savings, debt reduction and asset building, building
         a <br />
         		<a id="pl.12.4"></a><var>12.4</var>good credit rating, and consumer protection;<br />
         		<a id="pl.12.5"></a><var>12.5</var>(2) participates in ongoing statewide family assets for independence in Minnesota
         <br />
         		<a id="pl.12.6"></a><var>12.6</var>(FAIM) network training meetings under FAIM program supervision; and<br />
         		<a id="pl.12.7"></a><var>12.7</var>(3) provides financial coaching to program participants under subdivision 4a.<br />
         		<a id="pl.12.8"></a><var>12.8</var>&#160;&#160;&#160;&#160;(d) (f) "Financial institution" means a bank, bank and trust, savings bank, savings <br />
         		<a id="pl.12.9"></a><var>12.9</var>association, or credit union, the deposits of which are insured by the Federal Deposit
         <br />
         		<a id="pl.12.10"></a><var>12.10</var>Insurance Corporation or the National Credit Union Administration.<br />
         		<a id="pl.12.11"></a><var>12.11</var>&#160;&#160;&#160;&#160;(g) "Household" means all individuals who share use of a dwelling unit as primary
         <br />
         		<a id="pl.12.12"></a><var>12.12</var>quarters for living and eating separate from other individuals.<br />
         		<a id="pl.12.13"></a><var>12.13</var>&#160;&#160;&#160;&#160;(e) (h) "Permissible use" means:<br />
         		<a id="pl.12.14"></a><var>12.14</var>&#160;&#160;&#160;&#160;(1) postsecondary educational expenses at an eligible educational institution as <br />
         		<a id="pl.12.15"></a><var>12.15</var>defined in paragraph (g) (b), including books, supplies, and equipment required for <br />
         		<a id="pl.12.16"></a><var>12.16</var>courses of instruction;<br />
         		<a id="pl.12.17"></a><var>12.17</var>&#160;&#160;&#160;&#160;(2) acquisition costs of acquiring, constructing, or reconstructing a residence, <br />
         		<a id="pl.12.18"></a><var>12.18</var>including any usual or reasonable settlement, financing, or other closing costs;<br />
         		<a id="pl.12.19"></a><var>12.19</var>&#160;&#160;&#160;&#160;(3) business capitalization expenses for expenditures on capital, plant, equipment,
         <br />
         		<a id="pl.12.20"></a><var>12.20</var>working capital, and inventory expenses of a legitimate business pursuant to a business
         <br />
         		<a id="pl.12.21"></a><var>12.21</var>plan approved by the fiduciary organization; and<br />
         		<a id="pl.12.22"></a><var>12.22</var>&#160;&#160;&#160;&#160;(4) acquisition costs of a principal residence within the meaning of section 1034
         of <br />
         		<a id="pl.12.23"></a><var>12.23</var>the Internal Revenue Code of 1986 which do not exceed 100 percent of the average area
         <br />
         		<a id="pl.12.24"></a><var>12.24</var>purchase price applicable to the residence determined according to section 143(e)(2)
         and <br />
         		<a id="pl.12.25"></a><var>12.25</var>(3) of the Internal Revenue Code of 1986.<br />
         		<a id="pl.12.26"></a><var>12.26</var>&#160;&#160;&#160;&#160;(f) "Household" means all individuals who share use of a dwelling unit as primary
         <br />
         		<a id="pl.12.27"></a><var>12.27</var>quarters for living and eating separate from other individuals.<br />
         		<a id="pl.12.28"></a><var>12.28</var>&#160;&#160;&#160;&#160;(g) "Eligible educational institution" means the following:<br />
         		<a id="pl.12.29"></a><var>12.29</var>&#160;&#160;&#160;&#160;(1) an institution of higher education described in section 101 or 102 of the Higher
         <br />
         		<a id="pl.12.30"></a><var>12.30</var>Education Act of 1965; or<br />
         		<a id="pl.12.31"></a><var>12.31</var>&#160;&#160;&#160;&#160;(2) an area vocational education school, as defined in subparagraph (C) or (D) of
         <br />
         		<a id="pl.12.32"></a><var>12.32</var>United States Code, title 20, chapter 44, section 2302 (3) (the Carl D. Perkins Vocational
         <br />
         		<a id="pl.12.33"></a><var>12.33</var>and Applied Technology Education Act), which is located within any state, as defined
         in <br />
         		<a id="pl.12.34"></a><var>12.34</var>United States Code, title 20, chapter 44, section 2302 (30). This clause is applicable
         only <br />
         		<a id="pl.12.35"></a><var>12.35</var>to the extent section 2302 is in effect on August 1, 2008.<br />
         		<br />
         		<a id="bill.1.14.0"></a><a id="pl.13.1"></a><var>13.1</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 256E.35, is amended by adding a subdivision <br />
         		<a id="pl.13.2"></a><var>13.2</var>to read:<br />
         		<a id="pl.13.3"></a><var>13.3</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Financial coaching.</b> A financial coach shall provide the following <br />
         		<a id="pl.13.4"></a><var>13.4</var>to program participants:<br />
         		<a id="pl.13.5"></a><var>13.5</var>(1) financial education relating to budgeting, debt reduction, asset-specific training,
         <br />
         		<a id="pl.13.6"></a><var>13.6</var>and financial stability activities;<br />
         		<a id="pl.13.7"></a><var>13.7</var>(2) asset-specific training related to buying a home, acquiring postsecondary <br />
         		<a id="pl.13.8"></a><var>13.8</var>education, or starting or expanding a small business; and<br />
         		<a id="pl.13.9"></a><var>13.9</var>(3) financial stability education and training to improve and sustain financial security.<br />
         		<br />
         		<a id="bill.1.15.0"></a><a id="pl.13.10"></a><var>13.10</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 256I.03, subdivision 3, is amended to read:<br />
         		<a id="pl.13.11"></a><var>13.11</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Group residential housing.</b> "Group residential housing" means a group <br />
         		<a id="pl.13.12"></a><var>13.12</var>living situation that provides at a minimum room and board to unrelated persons who
         <br />
         		<a id="pl.13.13"></a><var>13.13</var>meet the eligibility requirements of section 
         <statute_ref>256I.04</statute_ref>. This definition includes foster care <br />
         		<a id="pl.13.14"></a><var>13.14</var>settings or community residential settings for a single adult. To receive payment for a <br />
         		<a id="pl.13.15"></a><var>13.15</var>group residence rate, the residence must meet the requirements under section 
         <statute_ref>256I.04</statute_ref>, <br />
         		<a id="pl.13.16"></a><var>13.16</var>subdivision subdivisions 2a to 2f.<br />
         		<br />
         		<a id="bill.1.16.0"></a><a id="pl.13.17"></a><var>13.17</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 256I.03, subdivision 7, is amended to read:<br />
         		<a id="pl.13.18"></a><var>13.18</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Countable income.</b> "Countable income" means all income received by <br />
         		<a id="pl.13.19"></a><var>13.19</var>an applicant or recipient less any applicable exclusions or disregards. For a recipient
         of <br />
         		<a id="pl.13.20"></a><var>13.20</var>any cash benefit from the SSI program, countable income means the SSI benefit limit
         in <br />
         		<a id="pl.13.21"></a><var>13.21</var>effect at the time the person is in a GRH a recipient of group residential housing, less the <br />
         		<a id="pl.13.22"></a><var>13.22</var>medical assistance personal needs allowance under section 256B.35. If the SSI limit <br />
         		<a id="pl.13.23"></a><var>13.23</var>has been or benefit is reduced for a person due to events occurring prior to the persons <br />
         		<a id="pl.13.24"></a><var>13.24</var>entering the GRH setting other than receipt of additional income, countable income means <br />
         		<a id="pl.13.25"></a><var>13.25</var>actual income less any applicable exclusions and disregards.<br />
         		<br />
         		<a id="bill.1.17.0"></a><a id="pl.13.26"></a><var>13.26</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.13.27"></a><var>13.27</var>to read:<br />
         		<a id="pl.13.28"></a><var>13.28</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Direct contact.</b> "Direct contact" means providing face-to-face care, <br />
         		<a id="pl.13.29"></a><var>13.29</var>training, supervision, counseling, consultation, or medication assistance to recipients
         of <br />
         		<a id="pl.13.30"></a><var>13.30</var>group residential housing.<br />
         		<br />
         		<a id="bill.1.18.0"></a><a id="pl.13.31"></a><var>13.31</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.13.32"></a><var>13.32</var>to read:<br />
         		<a id="pl.14.1"></a><var>14.1</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Habitability inspection.</b> "Habitability inspection" means an inspection to <br />
         		<a id="pl.14.2"></a><var>14.2</var>determine whether the housing occupied by an individual meets the habitability standards
         <br />
         		<a id="pl.14.3"></a><var>14.3</var>specified by the commissioner. The standards must be provided to the applicant in
         writing <br />
         		<a id="pl.14.4"></a><var>14.4</var>and posted on the Department of Human Services Web site.<br />
         		<br />
         		<a id="bill.1.19.0"></a><a id="pl.14.5"></a><var>14.5</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.14.6"></a><var>14.6</var>to read:<br />
         		<a id="pl.14.7"></a><var>14.7</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Long-term homelessness.</b> "Long-term homelessness" means lacking a <br />
         		<a id="pl.14.8"></a><var>14.8</var>permanent place to live:<br />
         		<a id="pl.14.9"></a><var>14.9</var>(1) continuously for one year or more; or<br />
         		<a id="pl.14.10"></a><var>14.10</var>(2) at least four times in the past three years.<br />
         		<br />
         		<a id="bill.1.20.0"></a><a id="pl.14.11"></a><var>14.11</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.14.12"></a><var>14.12</var>to read:<br />
         		<a id="pl.14.13"></a><var>14.13</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Professional statement of need.</b> "Professional statement of need" means <br />
         		<a id="pl.14.14"></a><var>14.14</var>a statement about an individual's illness, injury, or incapacity that is signed by
         a qualified <br />
         		<a id="pl.14.15"></a><var>14.15</var>professional. The statement must specify that the individual has an illness or incapacity
         <br />
         		<a id="pl.14.16"></a><var>14.16</var>which limits the individual's ability to work and provide self-support. The statement
         <br />
         		<a id="pl.14.17"></a><var>14.17</var>must also specify that the individual needs assistance to access or maintain housing,
         as <br />
         		<a id="pl.14.18"></a><var>14.18</var>evidenced by the need for two or more of the following services:<br />
         		<a id="pl.14.19"></a><var>14.19</var>(1) tenancy supports to assist an individual with finding the individual's own <br />
         		<a id="pl.14.20"></a><var>14.20</var>home, landlord negotiation, securing furniture and household supplies, understanding
         <br />
         		<a id="pl.14.21"></a><var>14.21</var>and maintaining tenant responsibilities, conflict negotiation, and budgeting and financial
         <br />
         		<a id="pl.14.22"></a><var>14.22</var>education;<br />
         		<a id="pl.14.23"></a><var>14.23</var>(2) supportive services to assist with basic living and social skills, household <br />
         		<a id="pl.14.24"></a><var>14.24</var>management, monitoring of overall well-being, and problem solving;<br />
         		<a id="pl.14.25"></a><var>14.25</var>(3) employment supports to assist with maintaining or increasing employment, <br />
         		<a id="pl.14.26"></a><var>14.26</var>increasing earnings, understanding and utilizing appropriate benefits and services,
         <br />
         		<a id="pl.14.27"></a><var>14.27</var>improving physical or mental health, moving toward self-sufficiency, and achieving
         <br />
         		<a id="pl.14.28"></a><var>14.28</var>personal goals; or<br />
         		<a id="pl.14.29"></a><var>14.29</var>(4) health supervision services to assist in the preparation and administration of
         <br />
         		<a id="pl.14.30"></a><var>14.30</var>medications other than injectables, the provision of therapeutic diets, taking vital
         signs, or <br />
         		<a id="pl.14.31"></a><var>14.31</var>providing assistance in dressing, grooming, bathing, or with walking devices.<br />
         		<br />
         		<a id="bill.1.21.0"></a><a id="pl.14.32"></a><var>14.32</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.14.33"></a><var>14.33</var>to read:<br />
         		<a id="pl.15.1"></a><var>15.1</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Prospective budgeting.</b> "Prospective budgeting" means estimating the <br />
         		<a id="pl.15.2"></a><var>15.2</var>amount of monthly income a person will have in the payment month.<br />
         		<br />
         		<a id="bill.1.22.0"></a><a id="pl.15.3"></a><var>15.3</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.15.4"></a><var>15.4</var>to read:<br />
         		<a id="pl.15.5"></a><var>15.5</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Qualified professional.</b> "Qualified professional" means an individual as <br />
         		<a id="pl.15.6"></a><var>15.6</var>defined in section 256J.08, subdivision 73a, or Minnesota Rules, part 9530.6450, subpart
         <br />
         		<a id="pl.15.7"></a><var>15.7</var>3, 4, or 5; or an individual approved by the director of human services or a designee
         <br />
         		<a id="pl.15.8"></a><var>15.8</var>of the director.<br />
         		<br />
         		<a id="bill.1.23.0"></a><a id="pl.15.9"></a><var>15.9</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.15.10"></a><var>15.10</var>to read:<br />
         		<a id="pl.15.11"></a><var>15.11</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Supportive housing.</b> "Supportive housing" means housing with support <br />
         		<a id="pl.15.12"></a><var>15.12</var>services according to the continuum of care coordinated assessment system established
         <br />
         		<a id="pl.15.13"></a><var>15.13</var>under Code of Federal Regulations, title 24, section 578.3.<br />
         		<br />
         		<a id="bill.1.24.0"></a><a id="pl.15.14"></a><var>15.14</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 256I.04, subdivision 1, is amended to read:<br />
         		<a id="pl.15.15"></a><var>15.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Individual eligibility requirements.</b> An individual is eligible for <br />
         		<a id="pl.15.16"></a><var>15.16</var>and entitled to a group residential housing payment to be made on the individual's
         behalf <br />
         		<a id="pl.15.17"></a><var>15.17</var>if the agency has approved the individual's residence in a group residential housing
         setting <br />
         		<a id="pl.15.18"></a><var>15.18</var>and the individual meets the requirements in paragraph (a) or (b).<br />
         		<a id="pl.15.19"></a><var>15.19</var>(a) The individual is aged, blind, or is over 18 years of age and disabled as <br />
         		<a id="pl.15.20"></a><var>15.20</var>determined under the criteria used by the title II program of the Social Security
         Act, and <br />
         		<a id="pl.15.21"></a><var>15.21</var>meets the resource restrictions and standards of section 
         <statute_ref>256P.02</statute_ref>, and the individual's <br />
         		<a id="pl.15.22"></a><var>15.22</var>countable income after deducting the (1) exclusions and disregards of the SSI program,
         <br />
         		<a id="pl.15.23"></a><var>15.23</var>(2) the medical assistance personal needs allowance under section 
         <statute_ref>256B.35</statute_ref>, and (3) an <br />
         		<a id="pl.15.24"></a><var>15.24</var>amount equal to the income actually made available to a community spouse by an elderly
         <br />
         		<a id="pl.15.25"></a><var>15.25</var>waiver participant under the provisions of sections 
         <statute_ref>256B.0575, paragraph (a)</statute_ref>, clause <br />
         		<a id="pl.15.26"></a><var>15.26</var>(4), and 
         <statute_ref>256B.058, subdivision 2</statute_ref>, is less than the monthly rate specified in the agency's <br />
         		<a id="pl.15.27"></a><var>15.27</var>agreement with the provider of group residential housing in which the individual resides.<br />
         		<a id="pl.15.28"></a><var>15.28</var>(b) The individual meets a category of eligibility under section 
         <statute_ref>256D.05, subdivision <br />
            		<a id="pl.15.29"></a><var>15.29</var>1
         </statute_ref>, paragraph (a), clauses (1), (3), (5) to (9), and (14), and paragraph (b), if applicable, and <br />
         		<a id="pl.15.30"></a><var>15.30</var>the individual's resources are less than the standards specified by section 
         <statute_ref>256P.02</statute_ref>, and <br />
         		<a id="pl.15.31"></a><var>15.31</var>the individual's countable income as determined under sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref>, less <br />
         		<a id="pl.15.32"></a><var>15.32</var>the medical assistance personal needs allowance under section 
         <statute_ref>256B.35</statute_ref> is less than the <br />
         		<a id="pl.16.1"></a><var>16.1</var>monthly rate specified in the agency's agreement with the provider of group residential
         <br />
         		<a id="pl.16.2"></a><var>16.2</var>housing in which the individual resides.<br />
         		<a id="pl.16.3"></a><var>16.3</var><b>EFFECTIVE DATE.</b>This section is effective September 1, 2015.<br />
         		<br />
         		<a id="bill.1.25.0"></a><a id="pl.16.4"></a><var>16.4</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256I.04, subdivision 1a, is amended to read:<br />
         		<a id="pl.16.5"></a><var>16.5</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>County approval.</b> (a) A county agency may not approve a group <br />
         		<a id="pl.16.6"></a><var>16.6</var>residential housing payment for an individual in any setting with a rate in excess
         of the <br />
         		<a id="pl.16.7"></a><var>16.7</var>MSA equivalent rate for more than 30 days in a calendar year unless the county agency <br />
         		<a id="pl.16.8"></a><var>16.8</var>has developed or approved individual has a plan for the individual which specifies that:<br />
         		<a id="pl.16.9"></a><var>16.9</var>&#160;&#160;&#160;&#160;(1) the individual has an illness or incapacity which prevents the person from living
         <br />
         		<a id="pl.16.10"></a><var>16.10</var>independently in the community; and<br />
         		<a id="pl.16.11"></a><var>16.11</var>&#160;&#160;&#160;&#160;(2) the individual's illness or incapacity requires the services which are available
         in <br />
         		<a id="pl.16.12"></a><var>16.12</var>the group residence.<br />
         		<a id="pl.16.13"></a><var>16.13</var>&#160;&#160;&#160;&#160;The plan must be signed or countersigned by any of the following employees of the
         <br />
         		<a id="pl.16.14"></a><var>16.14</var>county of financial responsibility: the director of human services or a designee of
         the <br />
         		<a id="pl.16.15"></a><var>16.15</var>director; a social worker; or a case aide professional statement of need under section <br />
         		<a id="pl.16.16"></a><var>16.16</var>256I.03, subdivision 12.<br />
         		<a id="pl.16.17"></a><var>16.17</var>&#160;&#160;&#160;&#160;(b) If a county agency determines that an applicant is ineligible due to not meeting
         <br />
         		<a id="pl.16.18"></a><var>16.18</var>eligibility requirements under this section, a county agency may accept a signed personal
         <br />
         		<a id="pl.16.19"></a><var>16.19</var>statement from the applicant in lieu of documentation verifying ineligibility.<br />
         		<a id="pl.16.20"></a><var>16.20</var>(c) Effective July 1, 2016, to be eligible for supplementary service payments, <br />
         		<a id="pl.16.21"></a><var>16.21</var>providers must enroll in the provider enrollment system identified by the commissioner.<br />
         		<br />
         		<a id="bill.1.26.0"></a><a id="pl.16.22"></a><var>16.22</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256I.04, subdivision 2a, is amended to read:<br />
         		<a id="pl.16.23"></a><var>16.23</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>License required</b><b>; staffing qualifications</b><b>.</b> A county (a) Except <br />
         		<a id="pl.16.24"></a><var>16.24</var>as provided in paragraph (b), an agency may not enter into an agreement with an <br />
         		<a id="pl.16.25"></a><var>16.25</var>establishment to provide group residential housing unless:<br />
         		<a id="pl.16.26"></a><var>16.26</var>(1) the establishment is licensed by the Department of Health as a hotel and <br />
         		<a id="pl.16.27"></a><var>16.27</var>restaurant; a board and lodging establishment; a residential care home; a boarding care <br />
         		<a id="pl.16.28"></a><var>16.28</var>home before March 1, 1985; or a supervised living facility, and the service provider
         <br />
         		<a id="pl.16.29"></a><var>16.29</var>for residents of the facility is licensed under chapter 245A. However, an establishment
         <br />
         		<a id="pl.16.30"></a><var>16.30</var>licensed by the Department of Health to provide lodging need not also be licensed
         to <br />
         		<a id="pl.16.31"></a><var>16.31</var>provide board if meals are being supplied to residents under a contract with a food
         vendor <br />
         		<a id="pl.16.32"></a><var>16.32</var>who is licensed by the Department of Health;<br />
         		<a id="pl.16.33"></a><var>16.33</var>(2) the residence is: (i) licensed by the commissioner of human services under <br />
         		<a id="pl.16.34"></a><var>16.34</var>Minnesota Rules, parts 9555.5050 to 9555.6265; (ii) certified by a county human services
         <br />
         		<a id="pl.17.1"></a><var>17.1</var>agency prior to July 1, 1992, using the standards under Minnesota Rules, parts 9555.5050
         <br />
         		<a id="pl.17.2"></a><var>17.2</var>to 9555.6265; (iii) a residence licensed by the commissioner under Minnesota Rules, parts <br />
         		<a id="pl.17.3"></a><var>17.3</var>2960.0010 to 2960.0120, with a variance under section 
         <statute_ref>245A.04</statute_ref>, subdivision 9; or (iv) <br />
         		<a id="pl.17.4"></a><var>17.4</var>licensed under section 
         <statute_ref>245D.02, subdivision 4a</statute_ref>, as a community residential setting by <br />
         		<a id="pl.17.5"></a><var>17.5</var>the commissioner of human services; or<br />
         		<a id="pl.17.6"></a><var>17.6</var>(3) the establishment is registered under chapter 144D and provides three meals a
         <br />
         		<a id="pl.17.7"></a><var>17.7</var>day, or is an establishment voluntarily registered under section 
         <statute_ref>144D.025</statute_ref> as a supportive <br />
         		<a id="pl.17.8"></a><var>17.8</var>housing establishment; or.<br />
         		<a id="pl.17.9"></a><var>17.9</var>(4) an establishment voluntarily registered under section 
         <statute_ref>144D.025</statute_ref>, other than <br />
         		<a id="pl.17.10"></a><var>17.10</var>a supportive housing establishment under clause (3), is not eligible to provide group
         <br />
         		<a id="pl.17.11"></a><var>17.11</var>residential housing.<br />
         		<a id="pl.17.12"></a><var>17.12</var>(b) The requirements under clauses (1) to (4) paragraph (a) do not apply to <br />
         		<a id="pl.17.13"></a><var>17.13</var>establishments exempt from state licensure because they are:<br />
         		<a id="pl.17.14"></a><var>17.14</var>(1) located on Indian reservations and subject to tribal health and safety <br />
         		<a id="pl.17.15"></a><var>17.15</var>requirements.; or<br />
         		<a id="pl.17.16"></a><var>17.16</var>&#160;&#160;&#160;&#160;(2) a supportive housing establishment that has an approved habitability inspection
         <br />
         		<a id="pl.17.17"></a><var>17.17</var>and an individual lease agreement and that serves people who have experienced long-term
         <br />
         		<a id="pl.17.18"></a><var>17.18</var>homelessness and were referred through a coordinated assessment in section 256I.03,
         <br />
         		<a id="pl.17.19"></a><var>17.19</var>subdivision 15.<br />
         		<a id="pl.17.20"></a><var>17.20</var>&#160;&#160;&#160;&#160;(c) Supportive housing establishments and emergency shelters must participate in <br />
         		<a id="pl.17.21"></a><var>17.21</var>the homeless management information system.<br />
         		<a id="pl.17.22"></a><var>17.22</var>&#160;&#160;&#160;&#160;(d) Effective July 1, 2016, an agency shall not have an agreement with a provider
         <br />
         		<a id="pl.17.23"></a><var>17.23</var>of group residential housing or supplementary services unless all staff members who
         <br />
         		<a id="pl.17.24"></a><var>17.24</var>have direct contact with recipients:<br />
         		<a id="pl.17.25"></a><var>17.25</var>&#160;&#160;&#160;&#160;(1) have skills and knowledge acquired through one or more of the following:<br />
         		<a id="pl.17.26"></a><var>17.26</var>&#160;&#160;&#160;&#160;(i) a course of study in a health- or human services-related field leading to a bachelor
         <br />
         		<a id="pl.17.27"></a><var>17.27</var>of arts, bachelor of science, or associate's degree;<br />
         		<a id="pl.17.28"></a><var>17.28</var>&#160;&#160;&#160;&#160;(ii) one year of experience with the target population served;<br />
         		<a id="pl.17.29"></a><var>17.29</var>&#160;&#160;&#160;&#160;(iii) experience as a certified peer specialist according to section 256B.0615; or<br />
         		<a id="pl.17.30"></a><var>17.30</var>&#160;&#160;&#160;&#160;(iv) meeting the requirements for unlicensed personnel under sections 144A.43 <br />
         		<a id="pl.17.31"></a><var>17.31</var>to 144A.483;<br />
         		<a id="pl.17.32"></a><var>17.32</var>&#160;&#160;&#160;&#160;(2) hold a current Minnesota driver's license appropriate to the vehicle driven <br />
         		<a id="pl.17.33"></a><var>17.33</var>if transporting recipients;<br />
         		<a id="pl.17.34"></a><var>17.34</var>&#160;&#160;&#160;&#160;(3) complete training on vulnerable adults mandated reporting and child <br />
         		<a id="pl.17.35"></a><var>17.35</var>maltreatment mandated reporting, where applicable; and<br />
         		<a id="pl.18.1"></a><var>18.1</var>&#160;&#160;&#160;&#160;(4) complete group residential housing orientation training offered by the <br />
         		<a id="pl.18.2"></a><var>18.2</var>commissioner.<br />
         		<br />
         		<a id="bill.1.27.0"></a><a id="pl.18.3"></a><var>18.3</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256I.04, subdivision 2b, is amended to read:<br />
         		<a id="pl.18.4"></a><var>18.4</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Group residential housing agreements.</b> (a) Agreements between county <br />
         		<a id="pl.18.5"></a><var>18.5</var>agencies and providers of group residential housing or supplementary services must be in <br />
         		<a id="pl.18.6"></a><var>18.6</var>writing on a form developed and approved by the commissioner and must specify the name <br />
         		<a id="pl.18.7"></a><var>18.7</var>and address under which the establishment subject to the agreement does business and
         <br />
         		<a id="pl.18.8"></a><var>18.8</var>under which the establishment, or service provider, if different from the group residential
         <br />
         		<a id="pl.18.9"></a><var>18.9</var>housing establishment, is licensed by the Department of Health or the Department of
         <br />
         		<a id="pl.18.10"></a><var>18.10</var>Human Services; the specific license or registration from the Department of Health
         or the <br />
         		<a id="pl.18.11"></a><var>18.11</var>Department of Human Services held by the provider and the number of beds subject to
         <br />
         		<a id="pl.18.12"></a><var>18.12</var>that license; the address of the location or locations at which group residential
         housing is <br />
         		<a id="pl.18.13"></a><var>18.13</var>provided under this agreement; the per diem and monthly rates that are to be paid
         from <br />
         		<a id="pl.18.14"></a><var>18.14</var>group residential housing or supplementary service funds for each eligible resident at each <br />
         		<a id="pl.18.15"></a><var>18.15</var>location; the number of beds at each location which are subject to the group residential <br />
         		<a id="pl.18.16"></a><var>18.16</var>housing agreement; whether the license holder is a not-for-profit corporation under section
         <br />
         		<a id="pl.18.17"></a><var>18.17</var>501(c)(3) of the Internal Revenue Code; and a statement that the agreement is subject
         to <br />
         		<a id="pl.18.18"></a><var>18.18</var>the provisions of sections 
         <statute_ref>256I.01</statute_ref> to 
         <statute_ref>256I.06</statute_ref> and subject to any changes to those sections. <br />
         		<a id="pl.18.19"></a><var>18.19</var>(b) Providers are required to verify the following minimum requirements in the <br />
         		<a id="pl.18.20"></a><var>18.20</var>agreement:<br />
         		<a id="pl.18.21"></a><var>18.21</var>(1) current license or registration, including authorization if managing or monitoring
         <br />
         		<a id="pl.18.22"></a><var>18.22</var>medications;<br />
         		<a id="pl.18.23"></a><var>18.23</var>(2) all staff who have direct contact with recipients meet the staff qualifications;<br />
         		<a id="pl.18.24"></a><var>18.24</var>(3) the provision of group residential housing;<br />
         		<a id="pl.18.25"></a><var>18.25</var>(4) the provision of supplementary services, if applicable;<br />
         		<a id="pl.18.26"></a><var>18.26</var>(5) reports of adverse events, including recipient death or serious injury; and<br />
         		<a id="pl.18.27"></a><var>18.27</var>(6) submission of residency requirements that could result in recipient eviction.
         <br />
         		<a id="pl.18.28"></a><var>18.28</var>Group residential housing (c) Agreements may be terminated with or without cause by <br />
         		<a id="pl.18.29"></a><var>18.29</var>either the county commissioner, the agency, or the provider with two calendar months prior <br />
         		<a id="pl.18.30"></a><var>18.30</var>notice. The commissioner may immediately terminate an agreement under subdivision 2d.<br />
         		<br />
         		<a id="bill.1.28.0"></a><a id="pl.18.31"></a><var>18.31</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256I.04, subdivision 2c, is amended to read:<br />
         		<a id="pl.18.32"></a><var>18.32</var>&#160;&#160;&#160;&#160;Subd. 2c. <b>Crisis shelters</b><b> Background study requirements</b><b>.</b> Secure crisis shelters <br />
         		<a id="pl.18.33"></a><var>18.33</var>for battered women and their children designated by the Minnesota Department of <br />
         		<a id="pl.18.34"></a><var>18.34</var>Corrections are not group residences under this chapter. (a) Effective July 1, 2016, a <br />
         		<a id="pl.19.1"></a><var>19.1</var>provider of group residential housing or supplementary services must initiate background
         <br />
         		<a id="pl.19.2"></a><var>19.2</var>studies in accordance with chapter 245C of the following individuals:<br />
         		<a id="pl.19.3"></a><var>19.3</var>(1) controlling individuals as defined in section 245A.02;<br />
         		<a id="pl.19.4"></a><var>19.4</var>(2) managerial officials as defined in section 245A.02; and<br />
         		<a id="pl.19.5"></a><var>19.5</var>(3) all employees and volunteers of the establishment who have direct contact <br />
         		<a id="pl.19.6"></a><var>19.6</var>with recipients, or who have unsupervised access to recipients, their personal property,
         <br />
         		<a id="pl.19.7"></a><var>19.7</var>or their private data.<br />
         		<a id="pl.19.8"></a><var>19.8</var>(b) The provider of group residential housing or supplementary services must  <br />
         		<a id="pl.19.9"></a><var>19.9</var>maintain compliance with all requirements established for entities initiating background
         <br />
         		<a id="pl.19.10"></a><var>19.10</var>studies under chapter 245C.<br />
         		<a id="pl.19.11"></a><var>19.11</var>(c)  Effective July 1, 2017, a provider of group residential housing or supplementary
         <br />
         		<a id="pl.19.12"></a><var>19.12</var>services must demonstrate that all individuals required to have a background study
         <br />
         		<a id="pl.19.13"></a><var>19.13</var>according to paragraph (a) have a notice stating either that:<br />
         		<a id="pl.19.14"></a><var>19.14</var>(1) the individual is not disqualified under section 245C.14; or<br />
         		<a id="pl.19.15"></a><var>19.15</var>(2)  the individual is disqualified, but the individual has been issued a set-aside
         of  <br />
         		<a id="pl.19.16"></a><var>19.16</var>the disqualification for that setting under section 245C.22.<br />
         		<br />
         		<a id="bill.1.29.0"></a><a id="pl.19.17"></a><var>19.17</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256I.04, is amended by adding a subdivision <br />
         		<a id="pl.19.18"></a><var>19.18</var>to read:<br />
         		<a id="pl.19.19"></a><var>19.19</var>&#160;&#160;&#160;&#160;Subd. 2d. <b>Conditions of payment; commissioner's right to suspend or terminate </b><br />
         		<a id="pl.19.20"></a><var>19.20</var><b>agreement.</b> (a) Group residential housing or supplementary services must be provided  <br />
         		<a id="pl.19.21"></a><var>19.21</var>to the satisfaction of the commissioner, as determined at the sole discretion of the
         <br />
         		<a id="pl.19.22"></a><var>19.22</var>commissioner's authorized representative, and in accordance with all applicable federal,
         <br />
         		<a id="pl.19.23"></a><var>19.23</var>state, and local laws, ordinances, rules, and regulations, including business registration
         <br />
         		<a id="pl.19.24"></a><var>19.24</var>requirements of the Office of the Secretary of State. A provider shall not receive
         payment <br />
         		<a id="pl.19.25"></a><var>19.25</var>for services or housing found by the commissioner to be performed or provided in <br />
         		<a id="pl.19.26"></a><var>19.26</var>violation of federal, state, or local law, ordinance, rule, or regulation.<br />
         		<a id="pl.19.27"></a><var>19.27</var>(b) The commissioner has the right to suspend or terminate the agreement  <br />
         		<a id="pl.19.28"></a><var>19.28</var>immediately when the commissioner determines the health or welfare of the housing
         or <br />
         		<a id="pl.19.29"></a><var>19.29</var>service recipients is endangered, or when the commissioner has reasonable cause to
         believe <br />
         		<a id="pl.19.30"></a><var>19.30</var>that the provider has breached a material term of the agreement under subdivision
         2b.<br />
         		<a id="pl.19.31"></a><var>19.31</var>(c) Notwithstanding paragraph (b), if the commissioner learns of a curable material
         <br />
         		<a id="pl.19.32"></a><var>19.32</var>breach of the agreement by the provider, the commissioner shall provide the provider
         <br />
         		<a id="pl.19.33"></a><var>19.33</var>with a written notice of the breach and allow ten days to cure the breach. If the
         provider <br />
         		<a id="pl.19.34"></a><var>19.34</var>does not cure the breach within the time allowed, the provider shall be in default
         of the <br />
         		<a id="pl.19.35"></a><var>19.35</var>agreement and the commissioner may terminate the agreement immediately thereafter.
         If <br />
         		<a id="pl.20.1"></a><var>20.1</var>the provider has breached a material term of the agreement and cure is not possible,
         the <br />
         		<a id="pl.20.2"></a><var>20.2</var>commissioner may immediately terminate the agreement.<br />
         		<br />
         		<a id="bill.1.30.0"></a><a id="pl.20.3"></a><var>20.3</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 256I.04, is amended by adding a subdivision <br />
         		<a id="pl.20.4"></a><var>20.4</var>to read:<br />
         		<a id="pl.20.5"></a><var>20.5</var>&#160;&#160;&#160;&#160;Subd. 2e. <b>Providers holding health or human services licenses.</b> (a) Except <br />
         		<a id="pl.20.6"></a><var>20.6</var>for facilities with only a board and lodging license, when group residential housing
         or <br />
         		<a id="pl.20.7"></a><var>20.7</var>supplementary service staff are also operating under a license issued by the Department
         of <br />
         		<a id="pl.20.8"></a><var>20.8</var>Health or the Department of Human Services, the minimum staff qualification requirements
         <br />
         		<a id="pl.20.9"></a><var>20.9</var>for the setting shall be the qualifications listed under the related licensing standards.<br />
         		<a id="pl.20.10"></a><var>20.10</var>(b) A background study completed for the licensed service must also satisfy the <br />
         		<a id="pl.20.11"></a><var>20.11</var>background study requirements under this section, if the provider has established
         the  <br />
         		<a id="pl.20.12"></a><var>20.12</var>background study contact person according to chapter 245C and as directed by the <br />
         		<a id="pl.20.13"></a><var>20.13</var>Department of Human Services.<br />
         		<br />
         		<a id="bill.1.31.0"></a><a id="pl.20.14"></a><var>20.14</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 256I.04, is amended by adding a subdivision <br />
         		<a id="pl.20.15"></a><var>20.15</var>to read:<br />
         		<a id="pl.20.16"></a><var>20.16</var>&#160;&#160;&#160;&#160;Subd. 2f. <b>Required services.</b> In licensed and registered settings under subdivision <br />
         		<a id="pl.20.17"></a><var>20.17</var>2a, providers shall ensure that participants have at a minimum:<br />
         		<a id="pl.20.18"></a><var>20.18</var>(1) food preparation and service for three nutritional meals a day on site;<br />
         		<a id="pl.20.19"></a><var>20.19</var>(2) a bed, clothing storage, linen, bedding, laundering, and laundry supplies or <br />
         		<a id="pl.20.20"></a><var>20.20</var>service;<br />
         		<a id="pl.20.21"></a><var>20.21</var>(3) housekeeping, including cleaning and lavatory supplies or service; and<br />
         		<a id="pl.20.22"></a><var>20.22</var>(4) maintenance and operation of the building and grounds, including heat, water,
         <br />
         		<a id="pl.20.23"></a><var>20.23</var>garbage removal, electricity, telephone for the site, cooling, supplies, and parts
         and tools <br />
         		<a id="pl.20.24"></a><var>20.24</var>to repair and maintain equipment and facilities.<br />
         		<br />
         		<a id="bill.1.32.0"></a><a id="pl.20.25"></a><var>20.25</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 256I.04, is amended by adding a subdivision <br />
         		<a id="pl.20.26"></a><var>20.26</var>to read:<br />
         		<a id="pl.20.27"></a><var>20.27</var>&#160;&#160;&#160;&#160;Subd. 2g. <b>Crisis shelters.</b> Secure crisis shelters for battered women and their <br />
         		<a id="pl.20.28"></a><var>20.28</var>children designated by the Minnesota Department of Corrections are not group residences
         <br />
         		<a id="pl.20.29"></a><var>20.29</var>under this chapter.<br />
         		<br />
         		<a id="bill.1.33.0"></a><a id="pl.20.30"></a><var>20.30</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 256I.04, subdivision 3, is amended to read:<br />
         		<a id="pl.21.1"></a><var>21.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Moratorium on development of group residential housing beds.</b> (a) <br />
         		<a id="pl.21.2"></a><var>21.2</var>County Agencies shall not enter into agreements for new group residential housing beds <br />
         		<a id="pl.21.3"></a><var>21.3</var>with total rates in excess of the MSA equivalent rate except:<br />
         		<a id="pl.21.4"></a><var>21.4</var>(1) for group residential housing establishments licensed under Minnesota Rules, <br />
         		<a id="pl.21.5"></a><var>21.5</var>parts 9525.0215 to 9525.0355, provided the facility is needed to meet the census reduction
         <br />
         		<a id="pl.21.6"></a><var>21.6</var>targets for persons with developmental disabilities at regional treatment centers;<br />
         		<a id="pl.21.7"></a><var>21.7</var>(2) up to 80 beds in a single, specialized facility located in Hennepin County that
         will <br />
         		<a id="pl.21.8"></a><var>21.8</var>provide housing for chronic inebriates who are repetitive users of detoxification
         centers <br />
         		<a id="pl.21.9"></a><var>21.9</var>and are refused placement in emergency shelters because of their state of intoxication,
         <br />
         		<a id="pl.21.10"></a><var>21.10</var>and planning for the specialized facility must have been initiated before July 1,
         1991, <br />
         		<a id="pl.21.11"></a><var>21.11</var>in anticipation of receiving a grant from the Housing Finance Agency under section
         <br />
         		
         <statute_ref><a id="pl.21.12"></a><var>21.12</var>462A.05, subdivision 20a
         </statute_ref>, paragraph (b);<br />
         		<a id="pl.21.13"></a><var>21.13</var>(3) notwithstanding the provisions of subdivision 2a, for up to 190 supportive <br />
         		<a id="pl.21.14"></a><var>21.14</var>housing units in Anoka, Dakota, Hennepin, or Ramsey County for homeless adults with
         a <br />
         		<a id="pl.21.15"></a><var>21.15</var>mental illness, a history of substance abuse, or human immunodeficiency virus or acquired
         <br />
         		<a id="pl.21.16"></a><var>21.16</var>immunodeficiency syndrome. For purposes of this section, "homeless adult" means a
         <br />
         		<a id="pl.21.17"></a><var>21.17</var>person who is living on the street or in a shelter or discharged from a regional treatment
         <br />
         		<a id="pl.21.18"></a><var>21.18</var>center, community hospital, or residential treatment program and has no appropriate
         <br />
         		<a id="pl.21.19"></a><var>21.19</var>housing available and lacks the resources and support necessary to access appropriate
         <br />
         		<a id="pl.21.20"></a><var>21.20</var>housing. At least 70 percent of the supportive housing units must serve homeless adults
         <br />
         		<a id="pl.21.21"></a><var>21.21</var>with mental illness, substance abuse problems, or human immunodeficiency virus or
         <br />
         		<a id="pl.21.22"></a><var>21.22</var>acquired immunodeficiency syndrome who are about to be or, within the previous six
         <br />
         		<a id="pl.21.23"></a><var>21.23</var>months, has been discharged from a regional treatment center, or a state-contracted
         <br />
         		<a id="pl.21.24"></a><var>21.24</var>psychiatric bed in a community hospital, or a residential mental health or chemical
         <br />
         		<a id="pl.21.25"></a><var>21.25</var>dependency treatment program. If a person meets the requirements of subdivision 1,
         <br />
         		<a id="pl.21.26"></a><var>21.26</var>paragraph (a), and receives a federal or state housing subsidy, the group residential
         housing <br />
         		<a id="pl.21.27"></a><var>21.27</var>rate for that person is limited to the supplementary rate under section 
         <statute_ref>256I.05, subdivision <br />
            		<a id="pl.21.28"></a><var>21.28</var>1a
         </statute_ref>, and is determined by subtracting the amount of the person's countable income that
         <br />
         		<a id="pl.21.29"></a><var>21.29</var>exceeds the MSA equivalent rate from the group residential housing supplementary rate.
         <br />
         		<a id="pl.21.30"></a><var>21.30</var>A resident in a demonstration project site who no longer participates in the demonstration
         <br />
         		<a id="pl.21.31"></a><var>21.31</var>program shall retain eligibility for a group residential housing payment in an amount
         <br />
         		<a id="pl.21.32"></a><var>21.32</var>determined under section 
         <statute_ref>256I.06, subdivision 8</statute_ref>, using the MSA equivalent rate. Service <br />
         		<a id="pl.21.33"></a><var>21.33</var>funding under section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>, will end June 30, 1997, if federal matching <br />
         		<a id="pl.21.34"></a><var>21.34</var>funds are available and the services can be provided through a managed care entity.
         If <br />
         		<a id="pl.21.35"></a><var>21.35</var>federal matching funds are not available, then service funding will continue under
         section <br />
         		
         <statute_ref><a id="pl.21.36"></a><var>21.36</var>256I.05, subdivision 1a
         </statute_ref>;<br />
         		<a id="pl.22.1"></a><var>22.1</var>(4) for an additional two beds, resulting in a total of 32 beds, for a facility located
         in <br />
         		<a id="pl.22.2"></a><var>22.2</var>Hennepin County providing services for recovering and chemically dependent men that
         <br />
         		<a id="pl.22.3"></a><var>22.3</var>has had a group residential housing contract with the county and has been licensed
         as a <br />
         		<a id="pl.22.4"></a><var>22.4</var>board and lodge facility with special services since 1980;<br />
         		<a id="pl.22.5"></a><var>22.5</var>(5) for a group residential housing provider located in the city of St. Cloud, or
         a county <br />
         		<a id="pl.22.6"></a><var>22.6</var>contiguous to the city of St. Cloud, that operates a 40-bed facility, that received
         financing <br />
         		<a id="pl.22.7"></a><var>22.7</var>through the Minnesota Housing Finance Agency Ending Long-Term Homelessness <br />
         		<a id="pl.22.8"></a><var>22.8</var>Initiative and serves chemically dependent clientele, providing 24-hour-a-day supervision;<br />
         		<a id="pl.22.9"></a><var>22.9</var>(6) for a new 65-bed facility in Crow Wing County that will serve chemically <br />
         		<a id="pl.22.10"></a><var>22.10</var>dependent persons, operated by a group residential housing provider that currently
         <br />
         		<a id="pl.22.11"></a><var>22.11</var>operates a 304-bed facility in Minneapolis, and a 44-bed facility in Duluth;<br />
         		<a id="pl.22.12"></a><var>22.12</var>(7) for a group residential housing provider that operates two ten-bed facilities,
         one <br />
         		<a id="pl.22.13"></a><var>22.13</var>located in Hennepin County and one located in Ramsey County, that provide community
         <br />
         		<a id="pl.22.14"></a><var>22.14</var>support and 24-hour-a-day supervision to serve the mental health needs of individuals
         <br />
         		<a id="pl.22.15"></a><var>22.15</var>who have chronically lived unsheltered; and<br />
         		<a id="pl.22.16"></a><var>22.16</var>(8) for a group residential facility in Hennepin County with a capacity of up to 48
         <br />
         		<a id="pl.22.17"></a><var>22.17</var>beds that has been licensed since 1978 as a board and lodging facility and that until
         August <br />
         		<a id="pl.22.18"></a><var>22.18</var>1, 2007, operated as a licensed chemical dependency treatment program.<br />
         		<a id="pl.22.19"></a><var>22.19</var>&#160;&#160;&#160;&#160;(b) A county An agency may enter into a group residential housing agreement for <br />
         		<a id="pl.22.20"></a><var>22.20</var>beds with rates in excess of the MSA equivalent rate in addition to those currently
         covered <br />
         		<a id="pl.22.21"></a><var>22.21</var>under a group residential housing agreement if the additional beds are only a replacement
         <br />
         		<a id="pl.22.22"></a><var>22.22</var>of beds with rates in excess of the MSA equivalent rate which have been made available
         <br />
         		<a id="pl.22.23"></a><var>22.23</var>due to closure of a setting, a change of licensure or certification which removes
         the beds <br />
         		<a id="pl.22.24"></a><var>22.24</var>from group residential housing payment, or as a result of the downsizing of a group
         <br />
         		<a id="pl.22.25"></a><var>22.25</var>residential housing setting. The transfer of available beds from one county agency to <br />
         		<a id="pl.22.26"></a><var>22.26</var>another can only occur by the agreement of both counties agencies.<br />
         		<br />
         		<a id="bill.1.34.0"></a><a id="pl.22.27"></a><var>22.27</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2014, section 256I.04, subdivision 4, is amended to read:<br />
         		<a id="pl.22.28"></a><var>22.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Rental assistance.</b> For participants in the Minnesota supportive housing <br />
         		<a id="pl.22.29"></a><var>22.29</var>demonstration program under subdivision 3, paragraph (a), clause (5), notwithstanding
         <br />
         		<a id="pl.22.30"></a><var>22.30</var>the provisions of section 
         <statute_ref>256I.06, subdivision 8</statute_ref>, the amount of the group residential <br />
         		<a id="pl.22.31"></a><var>22.31</var>housing payment for room and board must be calculated by subtracting 30 percent of
         the <br />
         		<a id="pl.22.32"></a><var>22.32</var>recipient's adjusted income as defined by the United States Department of Housing
         and <br />
         		<a id="pl.22.33"></a><var>22.33</var>Urban Development for the Section 8 program from the fair market rent established
         for the <br />
         		<a id="pl.22.34"></a><var>22.34</var>recipient's living unit by the federal Department of Housing and Urban Development.
         This <br />
         		<a id="pl.22.35"></a><var>22.35</var>payment shall be regarded as a state housing subsidy for the purposes of subdivision
         3. <br />
         		<a id="pl.23.1"></a><var>23.1</var>Notwithstanding the provisions of section 
         <statute_ref>256I.06, subdivision 6</statute_ref>, the recipient's countable <br />
         		<a id="pl.23.2"></a><var>23.2</var>income will only be adjusted when a change of greater than $100 in a month occurs
         or <br />
         		<a id="pl.23.3"></a><var>23.3</var>upon annual redetermination of eligibility, whichever is sooner. The commissioner is <br />
         		<a id="pl.23.4"></a><var>23.4</var>directed to study the feasibility of developing a rental assistance program to serve
         persons <br />
         		<a id="pl.23.5"></a><var>23.5</var>traditionally served in group residential housing settings and report to the legislature
         by <br />
         		<a id="pl.23.6"></a><var>23.6</var>February 15, 1999.<br />
         		<br />
         		<a id="bill.1.35.0"></a><a id="pl.23.7"></a><var>23.7</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 256I.05, subdivision 1c, is amended to read:<br />
         		<a id="pl.23.8"></a><var>23.8</var>&#160;&#160;&#160;&#160;Subd. 1c. <b>Rate increases.</b> A county An agency may not increase the rates <br />
         		<a id="pl.23.9"></a><var>23.9</var>negotiated for group residential housing above those in effect on June 30, 1993, except
         as <br />
         		<a id="pl.23.10"></a><var>23.10</var>provided in paragraphs (a) to (f).<br />
         		<a id="pl.23.11"></a><var>23.11</var>(a) A county An agency may increase the rates for group residential housing settings <br />
         		<a id="pl.23.12"></a><var>23.12</var>to the MSA equivalent rate for those settings whose current rate is below the MSA
         <br />
         		<a id="pl.23.13"></a><var>23.13</var>equivalent rate.<br />
         		<a id="pl.23.14"></a><var>23.14</var>(b) A county An agency may increase the rates for residents in adult foster care <br />
         		<a id="pl.23.15"></a><var>23.15</var>whose difficulty of care has increased. The total group residential housing rate for
         these <br />
         		<a id="pl.23.16"></a><var>23.16</var>residents must not exceed the maximum rate specified in subdivisions 1 and 1a. County <br />
         		<a id="pl.23.17"></a><var>23.17</var>Agencies must not include nor increase group residential housing difficulty of care
         rates <br />
         		<a id="pl.23.18"></a><var>23.18</var>for adults in foster care whose difficulty of care is eligible for funding by home
         and <br />
         		<a id="pl.23.19"></a><var>23.19</var>community-based waiver programs under title XIX of the Social Security Act.<br />
         		<a id="pl.23.20"></a><var>23.20</var>(c) The room and board rates will be increased each year when the MSA equivalent <br />
         		<a id="pl.23.21"></a><var>23.21</var>rate is adjusted for SSI cost-of-living increases by the amount of the annual SSI
         increase, <br />
         		<a id="pl.23.22"></a><var>23.22</var>less the amount of the increase in the medical assistance personal needs allowance
         under <br />
         		<a id="pl.23.23"></a><var>23.23</var>section 
         <statute_ref>256B.35</statute_ref>.<br />
         		<a id="pl.23.24"></a><var>23.24</var>(d) When a group residential housing rate is used to pay for an individual's room
         <br />
         		<a id="pl.23.25"></a><var>23.25</var>and board, or other costs necessary to provide room and board, the rate payable to
         <br />
         		<a id="pl.23.26"></a><var>23.26</var>the residence must continue for up to 18 calendar days per incident that the person
         is <br />
         		<a id="pl.23.27"></a><var>23.27</var>temporarily absent from the residence, not to exceed 60 days in a calendar year, if
         the <br />
         		<a id="pl.23.28"></a><var>23.28</var>absence or absences have received the prior approval of the county agency's social
         service <br />
         		<a id="pl.23.29"></a><var>23.29</var>staff. Prior approval is not required for emergency absences due to crisis, illness,
         or injury.<br />
         		<a id="pl.23.30"></a><var>23.30</var>(e) For facilities meeting substantial change criteria within the prior year. Substantial
         <br />
         		<a id="pl.23.31"></a><var>23.31</var>change criteria exists if the group residential housing establishment experiences
         a 25 <br />
         		<a id="pl.23.32"></a><var>23.32</var>percent increase or decrease in the total number of its beds, if the net cost of capital
         <br />
         		<a id="pl.23.33"></a><var>23.33</var>additions or improvements is in excess of 15 percent of the current market value of
         the <br />
         		<a id="pl.23.34"></a><var>23.34</var>residence, or if the residence physically moves, or changes its licensure, and incurs
         a <br />
         		<a id="pl.23.35"></a><var>23.35</var>resulting increase in operation and property costs.<br />
         		<a id="pl.24.1"></a><var>24.1</var>(f) Until June 30, 1994, a county an agency may increase by up to five percent the <br />
         		<a id="pl.24.2"></a><var>24.2</var>total rate paid for recipients of assistance under sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref> or 
         <statute_ref>256D.33</statute_ref> <br />
         		<a id="pl.24.3"></a><var>24.3</var>to 
         <statute_ref>256D.54</statute_ref> who reside in residences that are licensed by the commissioner of health as <br />
         		<a id="pl.24.4"></a><var>24.4</var>a boarding care home, but are not certified for the purposes of the medical assistance
         <br />
         		<a id="pl.24.5"></a><var>24.5</var>program. However, an increase under this clause must not exceed an amount equivalent
         to <br />
         		<a id="pl.24.6"></a><var>24.6</var>65 percent of the 1991 medical assistance reimbursement rate for nursing home resident
         <br />
         		<a id="pl.24.7"></a><var>24.7</var>class A, in the geographic grouping in which the facility is located, as established
         under <br />
         		<a id="pl.24.8"></a><var>24.8</var>Minnesota Rules, parts 9549.0050 to 9549.0058.<br />
         		<br />
         		<a id="bill.1.36.0"></a><a id="pl.24.9"></a><var>24.9</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2014, section 256I.05, subdivision 1g, is amended to read:<br />
         		<a id="pl.24.10"></a><var>24.10</var>&#160;&#160;&#160;&#160;Subd. 1g. <b>Supplementary service rate for certain facilities.</b> On or after July 1, <br />
         		<a id="pl.24.11"></a><var>24.11</var>2005, a county An agency may negotiate a supplementary service rate for recipients of <br />
         		<a id="pl.24.12"></a><var>24.12</var>assistance under section 
         <statute_ref>256I.04, subdivision 1</statute_ref>, paragraph (a) or (b), who relocate from a <br />
         		<a id="pl.24.13"></a><var>24.13</var>homeless shelter licensed and registered prior to December 31, 1996, by the Minnesota
         <br />
         		<a id="pl.24.14"></a><var>24.14</var>Department of Health under section 
         <statute_ref>157.17</statute_ref>, to have experienced long-term homelessness <br />
         		<a id="pl.24.15"></a><var>24.15</var>and who live in a supportive housing establishment developed and funded in whole or in <br />
         		<a id="pl.24.16"></a><var>24.16</var>part with funds provided specifically as part of the plan to end long-term homelessness
         <br />
         		<a id="pl.24.17"></a><var>24.17</var>required under Laws 2003, chapter 128, article 15, section 9, not to exceed $456.75 under <br />
         		<a id="pl.24.18"></a><var>24.18</var>section 256I.04, subdivision 2a, paragraph (b), clause (2).<br />
         		<br />
         		<a id="bill.1.37.0"></a><a id="pl.24.19"></a><var>24.19</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2014, section 256I.06, subdivision 2, is amended to read:<br />
         		<a id="pl.24.20"></a><var>24.20</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Time of payment.</b> A county agency may make payments to a group <br />
         		<a id="pl.24.21"></a><var>24.21</var>residence in advance for an individual whose stay in the group residence is expected
         <br />
         		<a id="pl.24.22"></a><var>24.22</var>to last beyond the calendar month for which the payment is made and who does not <br />
         		<a id="pl.24.23"></a><var>24.23</var>expect to receive countable earned income during the month for which the payment is
         <br />
         		<a id="pl.24.24"></a><var>24.24</var>made. Group residential housing payments made by a county agency on behalf of an <br />
         		<a id="pl.24.25"></a><var>24.25</var>individual who is not expected to remain in the group residence beyond the month for
         <br />
         		<a id="pl.24.26"></a><var>24.26</var>which payment is made must be made subsequent to the individual's departure from the
         <br />
         		<a id="pl.24.27"></a><var>24.27</var>group residence. Group residential housing payments made by a county agency on behalf <br />
         		<a id="pl.24.28"></a><var>24.28</var>of an individual with countable earned income must be made subsequent to receipt of
         a <br />
         		<a id="pl.24.29"></a><var>24.29</var>monthly household report form.<br />
         		<a id="pl.24.30"></a><var>24.30</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2016.<br />
         		<br />
         		<a id="bill.1.38.0"></a><a id="pl.24.31"></a><var>24.31</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2014, section 256I.06, subdivision 6, is amended to read:<br />
         		<a id="pl.24.32"></a><var>24.32</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Reports.</b> Recipients must report changes in circumstances that affect <br />
         		<a id="pl.24.33"></a><var>24.33</var>eligibility or group residential housing payment amounts, other than changes in earned <br />
         		<a id="pl.25.1"></a><var>25.1</var>income, within ten days of the change. Recipients with countable earned income must <br />
         		<a id="pl.25.2"></a><var>25.2</var>complete a monthly household report form at least once every six months. If the report <br />
         		<a id="pl.25.3"></a><var>25.3</var>form is not received before the end of the month in which it is due, the county agency
         <br />
         		<a id="pl.25.4"></a><var>25.4</var>must terminate eligibility for group residential housing payments. The termination
         shall <br />
         		<a id="pl.25.5"></a><var>25.5</var>be effective on the first day of the month following the month in which the report
         was due. <br />
         		<a id="pl.25.6"></a><var>25.6</var>If a complete report is received within the month eligibility was terminated, the
         individual <br />
         		<a id="pl.25.7"></a><var>25.7</var>is considered to have continued an application for group residential housing payment
         <br />
         		<a id="pl.25.8"></a><var>25.8</var>effective the first day of the month the eligibility was terminated.<br />
         		<a id="pl.25.9"></a><var>25.9</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2016.<br />
         		<br />
         		<a id="bill.1.39.0"></a><a id="pl.25.10"></a><var>25.10</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2014, section 256I.06, subdivision 7, is amended to read:<br />
         		<a id="pl.25.11"></a><var>25.11</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Determination of rates.</b> The agency in the county in which a group <br />
         		<a id="pl.25.12"></a><var>25.12</var>residence is located will shall determine the amount of group residential housing rate to <br />
         		<a id="pl.25.13"></a><var>25.13</var>be paid on behalf of an individual in the group residence regardless of the individual's <br />
         		<a id="pl.25.14"></a><var>25.14</var>county agency of financial responsibility.<br />
         		<br />
         		<a id="bill.1.40.0"></a><a id="pl.25.15"></a><var>25.15</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2014, section 256I.06, subdivision 8, is amended to read:<br />
         		<a id="pl.25.16"></a><var>25.16</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Amount of group residential housing payment.</b> (a) The amount of <br />
         		<a id="pl.25.17"></a><var>25.17</var>a group residential housing payment to be made on behalf of an eligible individual
         is <br />
         		<a id="pl.25.18"></a><var>25.18</var>determined by subtracting the individual's countable income under section 
         <statute_ref>256I.04, <br />
            		<a id="pl.25.19"></a><var>25.19</var>subdivision 1
         </statute_ref>, for a whole calendar month from the group residential housing charge for <br />
         		<a id="pl.25.20"></a><var>25.20</var>that same month. The group residential housing charge is determined by multiplying
         the <br />
         		<a id="pl.25.21"></a><var>25.21</var>group residential housing rate times the period of time the individual was a resident
         or <br />
         		<a id="pl.25.22"></a><var>25.22</var>temporarily absent under section 
         <statute_ref>256I.05, subdivision 1c</statute_ref>, paragraph (d).<br />
         		<a id="pl.25.23"></a><var>25.23</var>(b) For an individual with earned income under paragraph (a), prospective budgeting
         <br />
         		<a id="pl.25.24"></a><var>25.24</var>must be used to determine the amount of the individual's payment for the following
         <br />
         		<a id="pl.25.25"></a><var>25.25</var>six-month period. An increase in income shall not affect an individual's eligibility
         or <br />
         		<a id="pl.25.26"></a><var>25.26</var>payment amount until the month following the reporting month. A decrease in income
         shall <br />
         		<a id="pl.25.27"></a><var>25.27</var>be effective the first day of the month after the month in which the decrease is reported.<br />
         		<a id="pl.25.28"></a><var>25.28</var><b>EFFECTIVE DATE.</b>Paragraph (b) is effective April 1, 2016.<br />
         		<br />
         		<a id="bill.1.41.0"></a><a id="pl.25.29"></a><var>25.29</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2014, section 256J.21, subdivision 2, as amended by Laws <br />
         		<a id="pl.25.30"></a><var>25.30</var>2015, chapter 21, article 1, section 60, is amended to read:<br />
         		<a id="pl.25.31"></a><var>25.31</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Income exclusions.</b> The following must be excluded in determining a <br />
         		<a id="pl.25.32"></a><var>25.32</var>family's available income:<br />
         		<a id="pl.26.1"></a><var>26.1</var>&#160;&#160;&#160;&#160;(1) payments for basic care, difficulty of care, and clothing allowances received
         for <br />
         		<a id="pl.26.2"></a><var>26.2</var>providing family foster care to children or adults under Minnesota Rules, parts 9555.5050
         <br />
         		<a id="pl.26.3"></a><var>26.3</var>to 9555.6265, 9560.0521, and 9560.0650 to 9560.0655, payments for family foster care
         <br />
         		<a id="pl.26.4"></a><var>26.4</var>for children under section 
         <statute_ref>260C.4411</statute_ref> or chapter 256N, and payments received and used <br />
         		<a id="pl.26.5"></a><var>26.5</var>for care and maintenance of a third-party beneficiary who is not a household member;<br />
         		<a id="pl.26.6"></a><var>26.6</var>&#160;&#160;&#160;&#160;(2) reimbursements for employment training received through the Workforce <br />
         		<a id="pl.26.7"></a><var>26.7</var>Investment Act of 1998, United States Code, title 20, chapter 73, section 9201;<br />
         		<a id="pl.26.8"></a><var>26.8</var>&#160;&#160;&#160;&#160;(3) reimbursement for out-of-pocket expenses incurred while performing volunteer <br />
         		<a id="pl.26.9"></a><var>26.9</var>services, jury duty, employment, or informal carpooling arrangements directly related
         to <br />
         		<a id="pl.26.10"></a><var>26.10</var>employment;<br />
         		<a id="pl.26.11"></a><var>26.11</var>&#160;&#160;&#160;&#160;(4) all educational assistance, except the county agency must count graduate student
         <br />
         		<a id="pl.26.12"></a><var>26.12</var>teaching assistantships, fellowships, and other similar paid work as earned income
         and, <br />
         		<a id="pl.26.13"></a><var>26.13</var>after allowing deductions for any unmet and necessary educational expenses, shall
         <br />
         		<a id="pl.26.14"></a><var>26.14</var>count scholarships or grants awarded to graduate students that do not require teaching
         <br />
         		<a id="pl.26.15"></a><var>26.15</var>or research as unearned income;<br />
         		<a id="pl.26.16"></a><var>26.16</var>&#160;&#160;&#160;&#160;(5) loans, regardless of purpose, from public or private lending institutions, <br />
         		<a id="pl.26.17"></a><var>26.17</var>governmental lending institutions, or governmental agencies;<br />
         		<a id="pl.26.18"></a><var>26.18</var>&#160;&#160;&#160;&#160;(6) loans from private individuals, regardless of purpose, provided an applicant or
         <br />
         		<a id="pl.26.19"></a><var>26.19</var>participant documents that the lender expects repayment;<br />
         		<a id="pl.26.20"></a><var>26.20</var>&#160;&#160;&#160;&#160;(7)(i) state income tax refunds; and<br />
         		<a id="pl.26.21"></a><var>26.21</var>&#160;&#160;&#160;&#160;(ii) federal income tax refunds;<br />
         		<a id="pl.26.22"></a><var>26.22</var>&#160;&#160;&#160;&#160;(8)(i) federal earned income credits;<br />
         		<a id="pl.26.23"></a><var>26.23</var>&#160;&#160;&#160;&#160;(ii) Minnesota working family credits;<br />
         		<a id="pl.26.24"></a><var>26.24</var>&#160;&#160;&#160;&#160;(iii) state homeowners and renters credits under chapter 290A; and<br />
         		<a id="pl.26.25"></a><var>26.25</var>&#160;&#160;&#160;&#160;(iv) federal or state tax rebates;<br />
         		<a id="pl.26.26"></a><var>26.26</var>&#160;&#160;&#160;&#160;(9) funds received for reimbursement, replacement, or rebate of personal or real <br />
         		<a id="pl.26.27"></a><var>26.27</var>property when these payments are made by public agencies, awarded by a court, solicited
         <br />
         		<a id="pl.26.28"></a><var>26.28</var>through public appeal, or made as a grant by a federal agency, state or local government,
         <br />
         		<a id="pl.26.29"></a><var>26.29</var>or disaster assistance organizations, subsequent to a presidential declaration of
         disaster;<br />
         		<a id="pl.26.30"></a><var>26.30</var>&#160;&#160;&#160;&#160;(10) the portion of an insurance settlement that is used to pay medical, funeral,
         and <br />
         		<a id="pl.26.31"></a><var>26.31</var>burial expenses, or to repair or replace insured property;<br />
         		<a id="pl.26.32"></a><var>26.32</var>&#160;&#160;&#160;&#160;(11) reimbursements for medical expenses that cannot be paid by medical assistance;<br />
         		<a id="pl.26.33"></a><var>26.33</var>&#160;&#160;&#160;&#160;(12) payments by a vocational rehabilitation program administered by the state <br />
         		<a id="pl.26.34"></a><var>26.34</var>under chapter 268A, except those payments that are for current living expenses;<br />
         		<a id="pl.26.35"></a><var>26.35</var>&#160;&#160;&#160;&#160;(13) in-kind income, including any payments directly made by a third party to a <br />
         		<a id="pl.26.36"></a><var>26.36</var>provider of goods and services;<br />
         		<a id="pl.27.1"></a><var>27.1</var>&#160;&#160;&#160;&#160;(14) assistance payments to correct underpayments, but only for the month in which
         <br />
         		<a id="pl.27.2"></a><var>27.2</var>the payment is received;<br />
         		<a id="pl.27.3"></a><var>27.3</var>&#160;&#160;&#160;&#160;(15) payments for short-term emergency needs under section 
         <statute_ref>256J.626, subdivision 2</statute_ref>;<br />
         		<a id="pl.27.4"></a><var>27.4</var>&#160;&#160;&#160;&#160;(16) funeral and cemetery payments as provided by section 
         <statute_ref>256.935</statute_ref>;<br />
         		<a id="pl.27.5"></a><var>27.5</var>&#160;&#160;&#160;&#160;(17) nonrecurring cash gifts of $30 or less, not exceeding $30 per participant in
         <br />
         		<a id="pl.27.6"></a><var>27.6</var>a calendar month;<br />
         		<a id="pl.27.7"></a><var>27.7</var>&#160;&#160;&#160;&#160;(18) any form of energy assistance payment made through Public Law 97-35, <br />
         		<a id="pl.27.8"></a><var>27.8</var>Low-Income Home Energy Assistance Act of 1981, payments made directly to energy <br />
         		<a id="pl.27.9"></a><var>27.9</var>providers by other public and private agencies, and any form of credit or rebate payment
         <br />
         		<a id="pl.27.10"></a><var>27.10</var>issued by energy providers;<br />
         		<a id="pl.27.11"></a><var>27.11</var>&#160;&#160;&#160;&#160;(19) Supplemental Security Income (SSI), including retroactive SSI payments and <br />
         		<a id="pl.27.12"></a><var>27.12</var>other income of an SSI recipient, except as described in section 
         <statute_ref>256J.37, subdivision 3b</statute_ref>;<br />
         		<a id="pl.27.13"></a><var>27.13</var>&#160;&#160;&#160;&#160;(20) Minnesota supplemental aid, including retroactive payments;<br />
         		<a id="pl.27.14"></a><var>27.14</var>&#160;&#160;&#160;&#160;(21) proceeds from the sale of real or personal property;<br />
         		<a id="pl.27.15"></a><var>27.15</var>&#160;&#160;&#160;&#160;(22) adoption or kinship assistance payments under chapter 256N or 259A and <br />
         		<a id="pl.27.16"></a><var>27.16</var>Minnesota permanency demonstration title IV-E waiver payments;<br />
         		<a id="pl.27.17"></a><var>27.17</var>&#160;&#160;&#160;&#160;(23) state-funded family subsidy program payments made under section 
         <statute_ref>252.32</statute_ref> to <br />
         		<a id="pl.27.18"></a><var>27.18</var>help families care for children with developmental disabilities, consumer support
         grant <br />
         		<a id="pl.27.19"></a><var>27.19</var>funds under section 
         <statute_ref>256.476</statute_ref>, and resources and services for a disabled household member <br />
         		<a id="pl.27.20"></a><var>27.20</var>under one of the home and community-based waiver services programs under chapter 256B;<br />
         		<a id="pl.27.21"></a><var>27.21</var>&#160;&#160;&#160;&#160;(24) interest payments and dividends from property that is not excluded from and <br />
         		<a id="pl.27.22"></a><var>27.22</var>that does not exceed the asset limit;<br />
         		<a id="pl.27.23"></a><var>27.23</var>&#160;&#160;&#160;&#160;(25) rent rebates;<br />
         		<a id="pl.27.24"></a><var>27.24</var>&#160;&#160;&#160;&#160;(26) income earned by a minor caregiver, minor child through age 6, or a minor <br />
         		<a id="pl.27.25"></a><var>27.25</var>child who is at least a half-time student in an approved elementary or secondary education
         <br />
         		<a id="pl.27.26"></a><var>27.26</var>program;<br />
         		<a id="pl.27.27"></a><var>27.27</var>&#160;&#160;&#160;&#160;(27) income earned by a caregiver under age 20 who is at least a half-time student
         in <br />
         		<a id="pl.27.28"></a><var>27.28</var>an approved elementary or secondary education program;<br />
         		<a id="pl.27.29"></a><var>27.29</var>&#160;&#160;&#160;&#160;(28) MFIP child care payments under section 
         <statute_ref>119B.05</statute_ref>;<br />
         		<a id="pl.27.30"></a><var>27.30</var>&#160;&#160;&#160;&#160;(29) all other payments made through MFIP to support a caregiver's pursuit of <br />
         		<a id="pl.27.31"></a><var>27.31</var>greater economic stability;<br />
         		<a id="pl.27.32"></a><var>27.32</var>&#160;&#160;&#160;&#160;(30) income a participant receives related to shared living expenses;<br />
         		<a id="pl.27.33"></a><var>27.33</var>&#160;&#160;&#160;&#160;(31) reverse mortgages;<br />
         		<a id="pl.27.34"></a><var>27.34</var>&#160;&#160;&#160;&#160;(32) benefits provided by the Child Nutrition Act of 1966, United States Code, title
         <br />
         		<a id="pl.27.35"></a><var>27.35</var>42, chapter 13A, sections 1771 to 1790;<br />
         		<a id="pl.28.1"></a><var>28.1</var>&#160;&#160;&#160;&#160;(33) benefits provided by the women, infants, and children (WIC) nutrition program,
         <br />
         		<a id="pl.28.2"></a><var>28.2</var>United States Code, title 42, chapter 13A, section 1786;<br />
         		<a id="pl.28.3"></a><var>28.3</var>&#160;&#160;&#160;&#160;(34) benefits from the National School Lunch Act, United States Code, title 42, <br />
         		<a id="pl.28.4"></a><var>28.4</var>chapter 13, sections 1751 to 1769e;<br />
         		<a id="pl.28.5"></a><var>28.5</var>&#160;&#160;&#160;&#160;(35) relocation assistance for displaced persons under the Uniform Relocation <br />
         		<a id="pl.28.6"></a><var>28.6</var>Assistance and Real Property Acquisition Policies Act of 1970, United States Code,
         title <br />
         		<a id="pl.28.7"></a><var>28.7</var>42, chapter 61, subchapter II, section 4636, or the National Housing Act, United States
         <br />
         		<a id="pl.28.8"></a><var>28.8</var>Code, title 12, chapter 13, sections 1701 to 1750jj;<br />
         		<a id="pl.28.9"></a><var>28.9</var>&#160;&#160;&#160;&#160;(36) benefits from the Trade Act of 1974, United States Code, title 19, chapter <br />
         		<a id="pl.28.10"></a><var>28.10</var>12, part 2, sections 2271 to 2322;<br />
         		<a id="pl.28.11"></a><var>28.11</var>&#160;&#160;&#160;&#160;(37) war reparations payments to Japanese Americans and Aleuts under United <br />
         		<a id="pl.28.12"></a><var>28.12</var>States Code, title 50, sections 1989 to 1989d;<br />
         		<a id="pl.28.13"></a><var>28.13</var>&#160;&#160;&#160;&#160;(38) payments to veterans or their dependents as a result of legal settlements <br />
         		<a id="pl.28.14"></a><var>28.14</var>regarding Agent Orange or other chemical exposure under Public Law 101-239, section
         <br />
         		<a id="pl.28.15"></a><var>28.15</var>10405, paragraph (a)(2)(E);<br />
         		<a id="pl.28.16"></a><var>28.16</var>&#160;&#160;&#160;&#160;(39) income that is otherwise specifically excluded from MFIP consideration in <br />
         		<a id="pl.28.17"></a><var>28.17</var>federal law, state law, or federal regulation;<br />
         		<a id="pl.28.18"></a><var>28.18</var>&#160;&#160;&#160;&#160;(40) security and utility deposit refunds;<br />
         		<a id="pl.28.19"></a><var>28.19</var>&#160;&#160;&#160;&#160;(41) American Indian tribal land settlements excluded under Public Laws 98-123, <br />
         		<a id="pl.28.20"></a><var>28.20</var>98-124, and 99-377 to the Mississippi Band Chippewa Indians of White Earth, Leech
         <br />
         		<a id="pl.28.21"></a><var>28.21</var>Lake, and Mille Lacs reservations and payments to members of the White Earth Band,
         <br />
         		<a id="pl.28.22"></a><var>28.22</var>under United States Code, title 25, chapter 9, section 331, and chapter 16, section
         1407;<br />
         		<a id="pl.28.23"></a><var>28.23</var>&#160;&#160;&#160;&#160;(42) all income of the minor parent's parents and stepparents when determining the
         <br />
         		<a id="pl.28.24"></a><var>28.24</var>grant for the minor parent in households that include a minor parent living with parents
         or <br />
         		<a id="pl.28.25"></a><var>28.25</var>stepparents on MFIP with other children;<br />
         		<a id="pl.28.26"></a><var>28.26</var>&#160;&#160;&#160;&#160;(43) income of the minor parent's parents and stepparents equal to 200 percent of
         the <br />
         		<a id="pl.28.27"></a><var>28.27</var>federal poverty guideline for a family size not including the minor parent and the
         minor <br />
         		<a id="pl.28.28"></a><var>28.28</var>parent's child in households that include a minor parent living with parents or stepparents
         <br />
         		<a id="pl.28.29"></a><var>28.29</var>not on MFIP when determining the grant for the minor parent. The remainder of income
         is <br />
         		<a id="pl.28.30"></a><var>28.30</var>deemed as specified in section 
         <statute_ref>256J.37, subdivision 1b</statute_ref>;<br />
         		<a id="pl.28.31"></a><var>28.31</var>&#160;&#160;&#160;&#160;(44) payments made to children eligible for relative custody assistance under section
         <br />
         		
         <statute_ref><a id="pl.28.32"></a><var>28.32</var>257.85
         </statute_ref>;<br />
         		<a id="pl.28.33"></a><var>28.33</var>&#160;&#160;&#160;&#160;(45) vendor payments for goods and services made on behalf of a client unless the
         <br />
         		<a id="pl.28.34"></a><var>28.34</var>client has the option of receiving the payment in cash;<br />
         		<a id="pl.28.35"></a><var>28.35</var>&#160;&#160;&#160;&#160;(46) the principal portion of a contract for deed payment;<br />
         		<a id="pl.29.1"></a><var>29.1</var>&#160;&#160;&#160;&#160;(47) cash payments to individuals enrolled for full-time service as a volunteer under
         <br />
         		<a id="pl.29.2"></a><var>29.2</var>AmeriCorps programs including AmeriCorps VISTA, AmeriCorps State, AmeriCorps <br />
         		<a id="pl.29.3"></a><var>29.3</var>National, and AmeriCorps NCCC; and<br />
         		<a id="pl.29.4"></a><var>29.4</var>&#160;&#160;&#160;&#160;(48) housing assistance grants under section 
         <statute_ref>256J.35</statute_ref>, paragraph (a); and<br />
         		<a id="pl.29.5"></a><var>29.5</var>&#160;&#160;&#160;&#160;(49) child support payments of up to $100 for an assistance unit with one child and
         <br />
         		<a id="pl.29.6"></a><var>29.6</var>up to $200 for an assistance unit with two or more children.<br />
         		<br />
         		<a id="bill.1.42.0"></a><a id="pl.29.7"></a><var>29.7</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2014, section 256J.24, subdivision 5a, is amended to read:<br />
         		<a id="pl.29.8"></a><var>29.8</var>&#160;&#160;&#160;&#160;Subd. 5a. <b>Food portion of MFIP transitional standard.</b> The commissioner shall <br />
         		<a id="pl.29.9"></a><var>29.9</var>adjust the food portion of the MFIP transitional standard as needed to reflect adjustments
         <br />
         		<a id="pl.29.10"></a><var>29.10</var>to the Supplemental Nutrition Assistance Program and maintain compliance with federal <br />
         		<a id="pl.29.11"></a><var>29.11</var>waivers related to the Supplemental Nutrition Assistance Program under the United
         States <br />
         		<a id="pl.29.12"></a><var>29.12</var>Department of Agriculture. The commissioner shall publish the transitional standard <br />
         		<a id="pl.29.13"></a><var>29.13</var>including a breakdown of the cash and food portions for an assistance unit of sizes
         one to <br />
         		<a id="pl.29.14"></a><var>29.14</var>ten in the State Register whenever an adjustment is made.<br />
         		<br />
         		<a id="bill.1.43.0"></a><a id="pl.29.15"></a><var>29.15</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2014, section 256J.33, subdivision 4, is amended to read:<br />
         		<a id="pl.29.16"></a><var>29.16</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Monthly income test.</b> A county agency must apply the monthly income test <br />
         		<a id="pl.29.17"></a><var>29.17</var>retrospectively for each month of MFIP eligibility. An assistance unit is not eligible
         when <br />
         		<a id="pl.29.18"></a><var>29.18</var>the countable income equals or exceeds the MFIP standard of need or the family wage
         level <br />
         		<a id="pl.29.19"></a><var>29.19</var>for the assistance unit. The income applied against the monthly income test must include:<br />
         		<a id="pl.29.20"></a><var>29.20</var>(1) gross earned income from employment, prior to mandatory payroll deductions, <br />
         		<a id="pl.29.21"></a><var>29.21</var>voluntary payroll deductions, wage authorizations, and after the disregards in section
         <br />
         		
         <statute_ref><a id="pl.29.22"></a><var>29.22</var>256J.21, subdivision 4
         </statute_ref>, and the allocations in section 
         <statute_ref>256J.36</statute_ref>, unless the employment <br />
         		<a id="pl.29.23"></a><var>29.23</var>income is specifically excluded under section 
         <statute_ref>256J.21, subdivision 2</statute_ref>;<br />
         		<a id="pl.29.24"></a><var>29.24</var>(2) gross earned income from self-employment less deductions for self-employment <br />
         		<a id="pl.29.25"></a><var>29.25</var>expenses in section 
         <statute_ref>256J.37, subdivision 5</statute_ref>, but prior to any reductions for personal or <br />
         		<a id="pl.29.26"></a><var>29.26</var>business state and federal income taxes, personal FICA, personal health and life insurance,
         <br />
         		<a id="pl.29.27"></a><var>29.27</var>and after the disregards in section 
         <statute_ref>256J.21, subdivision 4</statute_ref>, and the allocations in section <br />
         		
         <statute_ref><a id="pl.29.28"></a><var>29.28</var>256J.36
         </statute_ref>;<br />
         		<a id="pl.29.29"></a><var>29.29</var>(3) unearned income after deductions for allowable expenses in section 
         <statute_ref>256J.37, <br />
            		<a id="pl.29.30"></a><var>29.30</var>subdivision 9
         </statute_ref>, and allocations in section 
         <statute_ref>256J.36</statute_ref>, unless the income has been specifically <br />
         		<a id="pl.29.31"></a><var>29.31</var>excluded in section 
         <statute_ref>256J.21, subdivision 2</statute_ref>;<br />
         		<a id="pl.29.32"></a><var>29.32</var>(4) gross earned income from employment as determined under clause (1) which <br />
         		<a id="pl.29.33"></a><var>29.33</var>is received by a member of an assistance unit who is a minor child or minor caregiver
         <br />
         		<a id="pl.29.34"></a><var>29.34</var>and less than a half-time student;<br />
         		<a id="pl.30.1"></a><var>30.1</var>(5) child support and received by an assistance unit, excluded under section 256J.21, <br />
         		<a id="pl.30.2"></a><var>30.2</var>subdivision 2, clause (49), or section 256P.06, subdivision 3, clause (2), item (xvi);<br />
         		<a id="pl.30.3"></a><var>30.3</var>(6) spousal support received by an assistance unit;<br />
         		<a id="pl.30.4"></a><var>30.4</var>(6) (7) the income of a parent when that parent is not included in the assistance unit;<br />
         		<a id="pl.30.5"></a><var>30.5</var>(7) (8) the income of an eligible relative and spouse who seek to be included in <br />
         		<a id="pl.30.6"></a><var>30.6</var>the assistance unit; and<br />
         		<a id="pl.30.7"></a><var>30.7</var>(8) (9) the unearned income of a minor child included in the assistance unit.<br />
         		<br />
         		<a id="bill.1.44.0"></a><a id="pl.30.8"></a><var>30.8</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2014, section 256K.45, subdivision 1a, is amended to read:<br />
         		<a id="pl.30.9"></a><var>30.9</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br />
         		<a id="pl.30.10"></a><var>30.10</var>(b) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.30.11"></a><var>30.11</var>(c) "Homeless youth" means a person 21 24 years of age or younger who is <br />
         		<a id="pl.30.12"></a><var>30.12</var>unaccompanied by a parent or guardian and is without shelter where appropriate care
         and <br />
         		<a id="pl.30.13"></a><var>30.13</var>supervision are available, whose parent or legal guardian is unable or unwilling to
         provide <br />
         		<a id="pl.30.14"></a><var>30.14</var>shelter and care, or who lacks a fixed, regular, and adequate nighttime residence.
         The <br />
         		<a id="pl.30.15"></a><var>30.15</var>following are not fixed, regular, or adequate nighttime residences:<br />
         		<a id="pl.30.16"></a><var>30.16</var>(1) a supervised publicly or privately operated shelter designed to provide temporary
         <br />
         		<a id="pl.30.17"></a><var>30.17</var>living accommodations;<br />
         		<a id="pl.30.18"></a><var>30.18</var>(2) an institution or a publicly or privately operated shelter designed to provide
         <br />
         		<a id="pl.30.19"></a><var>30.19</var>temporary living accommodations;<br />
         		<a id="pl.30.20"></a><var>30.20</var>(3) transitional housing;<br />
         		<a id="pl.30.21"></a><var>30.21</var>(4) a temporary placement with a peer, friend, or family member that has not offered
         <br />
         		<a id="pl.30.22"></a><var>30.22</var>permanent residence, a residential lease, or temporary lodging for more than 30 days;
         or<br />
         		<a id="pl.30.23"></a><var>30.23</var>(5) a public or private place not designed for, nor ordinarily used as, a regular
         <br />
         		<a id="pl.30.24"></a><var>30.24</var>sleeping accommodation for human beings.<br />
         		<a id="pl.30.25"></a><var>30.25</var>Homeless youth does not include persons incarcerated or otherwise detained under <br />
         		<a id="pl.30.26"></a><var>30.26</var>federal or state law.<br />
         		<a id="pl.30.27"></a><var>30.27</var>(d) "Youth at risk of homelessness" means a person 21 24 years of age or younger <br />
         		<a id="pl.30.28"></a><var>30.28</var>whose status or circumstances indicate a significant danger of experiencing homelessness
         <br />
         		<a id="pl.30.29"></a><var>30.29</var>in the near future. Status or circumstances that indicate a significant danger may
         include: <br />
         		<a id="pl.30.30"></a><var>30.30</var>(1) youth exiting out-of-home placements; (2) youth who previously were homeless;
         (3) <br />
         		<a id="pl.30.31"></a><var>30.31</var>youth whose parents or primary caregivers are or were previously homeless; (4) youth
         <br />
         		<a id="pl.30.32"></a><var>30.32</var>who are exposed to abuse and neglect in their homes; (5) youth who experience conflict
         <br />
         		<a id="pl.30.33"></a><var>30.33</var>with parents due to chemical or alcohol dependency, mental health disabilities, or
         other <br />
         		<a id="pl.30.34"></a><var>30.34</var>disabilities; and (6) runaways.<br />
         		<a id="pl.31.1"></a><var>31.1</var>(e) "Runaway" means an unmarried child under the age of 18 years who is absent <br />
         		<a id="pl.31.2"></a><var>31.2</var>from the home of a parent or guardian or other lawful placement without the consent
         of <br />
         		<a id="pl.31.3"></a><var>31.3</var>the parent, guardian, or lawful custodian.<br />
         		<br />
         		<a id="bill.1.45.0"></a><a id="pl.31.4"></a><var>31.4</var>&#160;&#160;&#160;&#160;Sec. 45. Minnesota Statutes 2014, section 256K.45, subdivision 6, is amended to read:<br />
         		<a id="pl.31.5"></a><var>31.5</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Funding.</b>  Funds appropriated for this section may be expended on <br />
         		<a id="pl.31.6"></a><var>31.6</var>programs described under subdivisions 3 to 5, technical assistance, and capacity building
         <br />
         		<a id="pl.31.7"></a><var>31.7</var>to meet the greatest need on a statewide basis. The commissioner will provide outreach, <br />
         		<a id="pl.31.8"></a><var>31.8</var>technical assistance, and program development support to increase capacity to new
         and <br />
         		<a id="pl.31.9"></a><var>31.9</var>existing service providers to better meet needs statewide, particularly in areas where
         <br />
         		<a id="pl.31.10"></a><var>31.10</var>services for homeless youth have not been established, especially in greater Minnesota.<br />
         		<br />
         		<a id="bill.1.46.0"></a><a id="pl.31.11"></a><var>31.11</var>&#160;&#160;&#160;&#160;Sec. 46. <b>[256M.41] CHILD PROTECTION GRANT ALLOCATION.</b><br />
         		<a id="pl.31.12"></a><var>31.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Formula for county staffing funds.</b> (a) The commissioner shall <br />
         		<a id="pl.31.13"></a><var>31.13</var>allocate state funds appropriated under this section to each county board on a calendar
         <br />
         		<a id="pl.31.14"></a><var>31.14</var>year basis in an amount determined according to the following formula:<br />
         		<a id="pl.31.15"></a><var>31.15</var>&#160;&#160;&#160;&#160;(1) 50 percent must be distributed on the basis of the child population residing in
         the <br />
         		<a id="pl.31.16"></a><var>31.16</var>county as determined by the most recent data of the state demographer;<br />
         		<a id="pl.31.17"></a><var>31.17</var>&#160;&#160;&#160;&#160;(2) 25 percent must be distributed on the basis of the number of screened-in <br />
         		<a id="pl.31.18"></a><var>31.18</var>reports of child maltreatment under sections 626.556 and 626.5561, and in the county
         as <br />
         		<a id="pl.31.19"></a><var>31.19</var>determined by the most recent data of the commissioner; and<br />
         		<a id="pl.31.20"></a><var>31.20</var>&#160;&#160;&#160;&#160;(3) 25 percent must be distributed on the basis of the number of open child <br />
         		<a id="pl.31.21"></a><var>31.21</var>protection case management cases in the county as determined by the most recent data
         of <br />
         		<a id="pl.31.22"></a><var>31.22</var>the commissioner.<br />
         		<a id="pl.31.23"></a><var>31.23</var>&#160;&#160;&#160;&#160;(b) Notwithstanding this subdivision, no county shall be awarded an allocation of
         <br />
         		<a id="pl.31.24"></a><var>31.24</var>less than $75,000.<br />
         		<a id="pl.31.25"></a><var>31.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Prohibition on supplanting existing funds.</b> Funds received under this <br />
         		<a id="pl.31.26"></a><var>31.26</var>section must be used to address staffing for child protection or expand child protection
         <br />
         		<a id="pl.31.27"></a><var>31.27</var>services. Funds must not be used to supplant current county expenditures for these
         <br />
         		<a id="pl.31.28"></a><var>31.28</var>purposes.<br />
         		<a id="pl.31.29"></a><var>31.29</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Payments based on performance.</b> (a) The commissioner shall make <br />
         		<a id="pl.31.30"></a><var>31.30</var>payments under this section to each county board on a calendar year basis in an amount
         <br />
         		<a id="pl.31.31"></a><var>31.31</var>determined under paragraph (b).<br />
         		<a id="pl.31.32"></a><var>31.32</var>&#160;&#160;&#160;&#160;(b) Calendar year allocations under subdivision 1 shall be paid to counties in the
         <br />
         		<a id="pl.31.33"></a><var>31.33</var>following manner:<br />
         		<a id="pl.32.1"></a><var>32.1</var>&#160;&#160;&#160;&#160;(1) 80 percent of the allocation as determined in subdivision 1 must be paid to <br />
         		<a id="pl.32.2"></a><var>32.2</var>counties on or before July 10 of each year;<br />
         		<a id="pl.32.3"></a><var>32.3</var>&#160;&#160;&#160;&#160;(2) ten percent of the allocation shall be withheld until the commissioner determines
         <br />
         		<a id="pl.32.4"></a><var>32.4</var>if the county has met the performance outcome threshold of 90 percent based on <br />
         		<a id="pl.32.5"></a><var>32.5</var>face-to-face contact with alleged child victims. In order to receive the performance
         <br />
         		<a id="pl.32.6"></a><var>32.6</var>allocation, the county child protection workers must have a timely face-to-face contact
         <br />
         		<a id="pl.32.7"></a><var>32.7</var>with at least 90 percent of all alleged child victims of screened-in maltreatment
         reports. <br />
         		<a id="pl.32.8"></a><var>32.8</var>The standard requires that each initial face-to-face contact occur consistent with
         timelines <br />
         		<a id="pl.32.9"></a><var>32.9</var>defined in section 626.556, subdivision 10, paragraph (i). The commissioner shall
         make <br />
         		<a id="pl.32.10"></a><var>32.10</var>threshold determinations in January of each year and payments to counties meeting
         the <br />
         		<a id="pl.32.11"></a><var>32.11</var>performance outcome threshold shall occur in February of each year. Any withheld funds
         <br />
         		<a id="pl.32.12"></a><var>32.12</var>from this appropriation for counties that do not meet this requirement shall be reallocated
         <br />
         		<a id="pl.32.13"></a><var>32.13</var>by the commissioner to those counties meeting the requirement; and<br />
         		<a id="pl.32.14"></a><var>32.14</var>(3) ten percent of the allocation shall be withheld until the commissioner determines
         <br />
         		<a id="pl.32.15"></a><var>32.15</var>that the county has met the performance outcome threshold of 90 percent based on <br />
         		<a id="pl.32.16"></a><var>32.16</var>face-to-face visits by the case manager. In order to receive the performance allocation,
         the <br />
         		<a id="pl.32.17"></a><var>32.17</var>total number of visits made by caseworkers on a monthly basis to children in foster
         care <br />
         		<a id="pl.32.18"></a><var>32.18</var>and children receiving child protection services while residing in their home must
         be at <br />
         		<a id="pl.32.19"></a><var>32.19</var>least 90 percent of the total number of such visits that would occur if every child
         were <br />
         		<a id="pl.32.20"></a><var>32.20</var>visited once per month. The commissioner shall make such determinations in January
         <br />
         		<a id="pl.32.21"></a><var>32.21</var>of each year and payments to counties meeting the performance outcome threshold <br />
         		<a id="pl.32.22"></a><var>32.22</var>shall occur in February of each year. Any withheld funds from this appropriation for
         <br />
         		<a id="pl.32.23"></a><var>32.23</var>counties that do not meet this requirement shall be reallocated by the commissioner
         to <br />
         		<a id="pl.32.24"></a><var>32.24</var>those counties meeting the requirement. For 2015, the commissioner shall only apply
         <br />
         		<a id="pl.32.25"></a><var>32.25</var>the standard for monthly foster care visits.<br />
         		<a id="pl.32.26"></a><var>32.26</var>(c) The commissioner shall work with stakeholders and the Human Services <br />
         		<a id="pl.32.27"></a><var>32.27</var>Performance Council under section 402A.16 to develop recommendations for specific
         <br />
         		<a id="pl.32.28"></a><var>32.28</var>outcome measures that counties should meet in order to receive funds withheld under
         <br />
         		<a id="pl.32.29"></a><var>32.29</var>paragraph (b), and include in those recommendations a determination as to whether
         <br />
         		<a id="pl.32.30"></a><var>32.30</var>the performance measures under paragraph (b) should be modified or phased out. The
         <br />
         		<a id="pl.32.31"></a><var>32.31</var>commissioner shall report the recommendations to the legislative committees having
         <br />
         		<a id="pl.32.32"></a><var>32.32</var>jurisdiction over child protection issues by January 1, 2018.<br />
         		<br />
         		<a id="bill.1.47.0"></a><a id="pl.32.33"></a><var>32.33</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2014, section 256N.22, subdivision 9, is amended to read:<br />
         		<a id="pl.32.34"></a><var>32.34</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Death </b><b>or incapacity </b><b>of relative custodian or </b><b>dissolution</b><b> modification  </b><br />
         		<a id="pl.32.35"></a><var>32.35</var><b>of custody.</b> The Northstar kinship assistance agreement ends upon death or dissolution <br />
         		<a id="pl.33.1"></a><var>33.1</var>incapacity of the relative custodian or modification  of the order for permanent legal and <br />
         		<a id="pl.33.2"></a><var>33.2</var>physical custody of both relative custodians in the case of assignment of custody to two <br />
         		<a id="pl.33.3"></a><var>33.3</var>individuals, or the sole relative custodian in the case of assignment of custody to
         one <br />
         		<a id="pl.33.4"></a><var>33.4</var>individual in which legal or physical custody is removed from the relative custodian. <br />
         		<a id="pl.33.5"></a><var>33.5</var>In the case of a relative custodian's death or incapacity, Northstar kinship assistance <br />
         		<a id="pl.33.6"></a><var>33.6</var>eligibility may be continued according to subdivision 10.<br />
         		<br />
         		<a id="bill.1.48.0"></a><a id="pl.33.7"></a><var>33.7</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2014, section 256N.22, subdivision 10, is amended to read:<br />
         		<a id="pl.33.8"></a><var>33.8</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Assigning a </b><b>successor relative custodian for a </b><b>child's Northstar </b><br />
         		<a id="pl.33.9"></a><var>33.9</var><b>kinship assistance </b><b>to a court-appointed guardian or custodian</b><b>.</b> (a) Northstar kinship <br />
         		<a id="pl.33.10"></a><var>33.10</var>assistance may be continued with the written consent of the commissioner to In the event <br />
         		<a id="pl.33.11"></a><var>33.11</var>of the death or incapacity of the relative custodian, eligibility for Northstar kinship
         <br />
         		<a id="pl.33.12"></a><var>33.12</var>assistance and title IV-E assistance, if applicable, is not affected if the relative
         custodian <br />
         		<a id="pl.33.13"></a><var>33.13</var>is replaced by a successor named in the Northstar kinship assistance benefit agreement.
         <br />
         		<a id="pl.33.14"></a><var>33.14</var>Northstar kinship assistance shall be paid to a named successor who is not the child's
         legal <br />
         		<a id="pl.33.15"></a><var>33.15</var>parent, biological parent or stepparent, or other adult living in the home of the
         legal parent, <br />
         		<a id="pl.33.16"></a><var>33.16</var>biological parent, or stepparent. <br />
         		<a id="pl.33.17"></a><var>33.17</var>(b) In order to receive Northstar kinship assistance, a named successor must:<br />
         		<a id="pl.33.18"></a><var>33.18</var>(1) meet the background study requirements in subdivision 4;<br />
         		<a id="pl.33.19"></a><var>33.19</var>(2) renegotiate the agreement consistent with section 256N.25, subdivision 2, <br />
         		<a id="pl.33.20"></a><var>33.20</var>including cooperating with an assessment under section 256N.24;<br />
         		<a id="pl.33.21"></a><var>33.21</var>(3) be ordered by the court to be the child's legal relative custodian in a modification
         <br />
         		<a id="pl.33.22"></a><var>33.22</var>proceeding under section 260C.521, subdivision 2; and<br />
         		<a id="pl.33.23"></a><var>33.23</var>(4) satisfy the requirements in this paragraph within one year of the relative <br />
         		<a id="pl.33.24"></a><var>33.24</var>custodian's death or incapacity unless the commissioner certifies that the named successor
         <br />
         		<a id="pl.33.25"></a><var>33.25</var>made reasonable attempts to satisfy the requirements within one year and failure to
         satisfy <br />
         		<a id="pl.33.26"></a><var>33.26</var>the requirements was not the responsibility of the named successor.<br />
         		<a id="pl.33.27"></a><var>33.27</var>(c) Payment of Northstar kinship assistance to the successor guardian may be <br />
         		<a id="pl.33.28"></a><var>33.28</var>temporarily approved through the policies, procedures, requirements, and deadlines
         under <br />
         		<a id="pl.33.29"></a><var>33.29</var>section 256N.28, subdivision 2. Ongoing payment shall begin in the month when all
         the <br />
         		<a id="pl.33.30"></a><var>33.30</var>requirements in paragraph (b) are satisfied.<br />
         		<a id="pl.33.31"></a><var>33.31</var>(d) Continued payment of Northstar kinship assistance may occur in the event of the
         <br />
         		<a id="pl.33.32"></a><var>33.32</var>death or incapacity of the relative custodian when no successor has been named in
         the <br />
         		<a id="pl.33.33"></a><var>33.33</var>benefit agreement when the commissioner gives written consent to an individual who is a <br />
         		<a id="pl.33.34"></a><var>33.34</var>guardian or custodian appointed by a court for the child upon the death of both relative
         <br />
         		<a id="pl.33.35"></a><var>33.35</var>custodians in the case of assignment of custody to two individuals, or the sole relative
         <br />
         		<a id="pl.34.1"></a><var>34.1</var>custodian in the case of assignment of custody to one individual, unless the child
         is under <br />
         		<a id="pl.34.2"></a><var>34.2</var>the custody of a county, tribal, or child-placing agency.<br />
         		<a id="pl.34.3"></a><var>34.3</var>(b) (e) Temporary assignment of Northstar kinship assistance may be approved <br />
         		<a id="pl.34.4"></a><var>34.4</var>for a maximum of six consecutive months from the death or incapacity of the relative <br />
         		<a id="pl.34.5"></a><var>34.5</var>custodian or custodians as provided in paragraph (a) and must adhere to the policies
         and, <br />
         		<a id="pl.34.6"></a><var>34.6</var>procedures, requirements, and deadlines under section 256N.28, subdivision 2, that are <br />
         		<a id="pl.34.7"></a><var>34.7</var>prescribed by the commissioner. If a court has not appointed a permanent legal guardian
         <br />
         		<a id="pl.34.8"></a><var>34.8</var>or custodian within six months, the Northstar kinship assistance must terminate and
         must <br />
         		<a id="pl.34.9"></a><var>34.9</var>not be resumed.<br />
         		<a id="pl.34.10"></a><var>34.10</var>(c) (f) Upon assignment of assistance payments under this subdivision paragraphs <br />
         		<a id="pl.34.11"></a><var>34.11</var>(d) and (e), assistance must be provided from funds other than title IV-E.<br />
         		<br />
         		<a id="bill.1.49.0"></a><a id="pl.34.12"></a><var>34.12</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2014, section 256N.24, subdivision 4, is amended to read:<br />
         		<a id="pl.34.13"></a><var>34.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Extraordinary levels.</b> (a) The assessment tool established under <br />
         		<a id="pl.34.14"></a><var>34.14</var>subdivision 2 must provide a mechanism through which up to five levels can be added
         <br />
         		<a id="pl.34.15"></a><var>34.15</var>to the supplemental difficulty of care for a particular child under section 
         <statute_ref>256N.26</statute_ref>, <br />
         		<a id="pl.34.16"></a><var>34.16</var>subdivision 4. In establishing the assessment tool, the commissioner must design the
         tool <br />
         		<a id="pl.34.17"></a><var>34.17</var>so that the levels applicable to the portions of the assessment other than the extraordinary
         <br />
         		<a id="pl.34.18"></a><var>34.18</var>levels can accommodate the requirements of this subdivision.<br />
         		<a id="pl.34.19"></a><var>34.19</var>(b) These extraordinary levels are available when all of the following circumstances
         <br />
         		<a id="pl.34.20"></a><var>34.20</var>apply:<br />
         		<a id="pl.34.21"></a><var>34.21</var>(1) the child has extraordinary needs as determined by the assessment tool provided
         <br />
         		<a id="pl.34.22"></a><var>34.22</var>for under subdivision 2, and the child meets other requirements established by the
         <br />
         		<a id="pl.34.23"></a><var>34.23</var>commissioner, such as a minimum score on the assessment tool;<br />
         		<a id="pl.34.24"></a><var>34.24</var>(2) the child's extraordinary needs require extraordinary care and intense supervision
         <br />
         		<a id="pl.34.25"></a><var>34.25</var>that is provided by the child's caregiver as part of the parental duties as described
         in the <br />
         		<a id="pl.34.26"></a><var>34.26</var>supplemental difficulty of care rate, section 
         <statute_ref>256N.02, subdivision 21</statute_ref>. This extraordinary <br />
         		<a id="pl.34.27"></a><var>34.27</var>care provided by the caregiver is required so that the child can be safely cared for
         in the <br />
         		<a id="pl.34.28"></a><var>34.28</var>home and community, and prevents residential placement;<br />
         		<a id="pl.34.29"></a><var>34.29</var>(3) the child is physically living in a foster family setting, as defined in Minnesota
         <br />
         		<a id="pl.34.30"></a><var>34.30</var>Rules, part 2960.3010, subpart 23, in a foster residence setting, or physically living in the <br />
         		<a id="pl.34.31"></a><var>34.31</var>home with the adoptive parent or relative custodian; and<br />
         		<a id="pl.34.32"></a><var>34.32</var>(4) the child is receiving the services for which the child is eligible through medical
         <br />
         		<a id="pl.34.33"></a><var>34.33</var>assistance programs or other programs that provide necessary services for children
         with <br />
         		<a id="pl.34.34"></a><var>34.34</var>disabilities or other medical and behavioral conditions to live with the child's family,
         but <br />
         		<a id="pl.34.35"></a><var>34.35</var>the agency with caregiver's input has identified a specific support gap that cannot
         be met <br />
         		<a id="pl.35.1"></a><var>35.1</var>through home and community support waivers or other programs that are designed to
         <br />
         		<a id="pl.35.2"></a><var>35.2</var>provide support for children with special needs.<br />
         		<a id="pl.35.3"></a><var>35.3</var>(c) The agency completing an assessment, under subdivision 2, that suggests an <br />
         		<a id="pl.35.4"></a><var>35.4</var>extraordinary level must document as part of the assessment, the following:<br />
         		<a id="pl.35.5"></a><var>35.5</var>(1) the assessment tool that determined that the child's needs or disabilities require
         <br />
         		<a id="pl.35.6"></a><var>35.6</var>extraordinary care and intense supervision;<br />
         		<a id="pl.35.7"></a><var>35.7</var>(2) a summary of the extraordinary care and intense supervision that is provided by
         <br />
         		<a id="pl.35.8"></a><var>35.8</var>the caregiver as part of the parental duties as described in the supplemental difficulty
         of <br />
         		<a id="pl.35.9"></a><var>35.9</var>care rate, section 
         <statute_ref>256N.02, subdivision 21</statute_ref>;<br />
         		<a id="pl.35.10"></a><var>35.10</var>(3) confirmation that the child is currently physically residing in the foster family
         <br />
         		<a id="pl.35.11"></a><var>35.11</var>setting or in the home with the adoptive parent or relative custodian;<br />
         		<a id="pl.35.12"></a><var>35.12</var>(4) the efforts of the agency, caregiver, parents, and others to request support services
         <br />
         		<a id="pl.35.13"></a><var>35.13</var>in the home and community that would ease the degree of parental duties provided by
         the <br />
         		<a id="pl.35.14"></a><var>35.14</var>caregiver for the care and supervision of the child. This would include documentation
         of <br />
         		<a id="pl.35.15"></a><var>35.15</var>the services provided for the child's needs or disabilities, and the services that
         were denied <br />
         		<a id="pl.35.16"></a><var>35.16</var>or not available from the local social service agency, community agency, the local
         school <br />
         		<a id="pl.35.17"></a><var>35.17</var>district, local public health department, the parent, or child's medical insurance
         provider;<br />
         		<a id="pl.35.18"></a><var>35.18</var>(5) the specific support gap identified that places the child's safety and well-being
         at <br />
         		<a id="pl.35.19"></a><var>35.19</var>risk in the home or community and is necessary to prevent residential placement; and<br />
         		<a id="pl.35.20"></a><var>35.20</var>(6) the extraordinary care and intense supervision provided by the foster, adoptive,
         <br />
         		<a id="pl.35.21"></a><var>35.21</var>or guardianship caregivers to maintain the child safely in the child's home and prevent
         <br />
         		<a id="pl.35.22"></a><var>35.22</var>residential placement that cannot be supported by medical assistance or other programs
         <br />
         		<a id="pl.35.23"></a><var>35.23</var>that provide services, necessary care for children with disabilities, or other medical
         or <br />
         		<a id="pl.35.24"></a><var>35.24</var>behavioral conditions in the home or community.<br />
         		<a id="pl.35.25"></a><var>35.25</var>(d) An agency completing an assessment under subdivision 2 that suggests <br />
         		<a id="pl.35.26"></a><var>35.26</var>an extraordinary level is appropriate must forward the assessment and required <br />
         		<a id="pl.35.27"></a><var>35.27</var>documentation to the commissioner. If the commissioner approves, the extraordinary
         <br />
         		<a id="pl.35.28"></a><var>35.28</var>levels must be retroactive to the date the assessment was forwarded.<br />
         		<br />
         		<a id="bill.1.50.0"></a><a id="pl.35.29"></a><var>35.29</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2014, section 256N.25, subdivision 1, is amended to read:<br />
         		<a id="pl.35.30"></a><var>35.30</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Agreement; Northstar kinship assistance; adoption assistance.</b> (a) <br />
         		<a id="pl.35.31"></a><var>35.31</var>In order to receive Northstar kinship assistance or adoption assistance benefits on
         behalf <br />
         		<a id="pl.35.32"></a><var>35.32</var>of an eligible child, a written, binding agreement between the caregiver or caregivers,
         <br />
         		<a id="pl.35.33"></a><var>35.33</var>the financially responsible agency, or, if there is no financially responsible agency,
         the <br />
         		<a id="pl.35.34"></a><var>35.34</var>agency designated by the commissioner, and the commissioner must be established prior
         <br />
         		<a id="pl.35.35"></a><var>35.35</var>to finalization of the adoption or a transfer of permanent legal and physical custody.
         The <br />
         		<a id="pl.36.1"></a><var>36.1</var>agreement must be negotiated with the caregiver or caregivers under subdivision 2 and <br />
         		<a id="pl.36.2"></a><var>36.2</var>renegotiated under subdivision 3, if applicable.<br />
         		<a id="pl.36.3"></a><var>36.3</var>(b) The agreement must be on a form approved by the commissioner and must <br />
         		<a id="pl.36.4"></a><var>36.4</var>specify the following:<br />
         		<a id="pl.36.5"></a><var>36.5</var>(1) duration of the agreement;<br />
         		<a id="pl.36.6"></a><var>36.6</var>(2) the nature and amount of any payment, services, and assistance to be provided
         <br />
         		<a id="pl.36.7"></a><var>36.7</var>under such agreement;<br />
         		<a id="pl.36.8"></a><var>36.8</var>(3) the child's eligibility for Medicaid services;<br />
         		<a id="pl.36.9"></a><var>36.9</var>(4) the terms of the payment, including any child care portion as specified in section
         <br />
         		
         <statute_ref><a id="pl.36.10"></a><var>36.10</var>256N.24, subdivision 3
         </statute_ref>;<br />
         		<a id="pl.36.11"></a><var>36.11</var>(5) eligibility for reimbursement of nonrecurring expenses associated with adopting
         <br />
         		<a id="pl.36.12"></a><var>36.12</var>or obtaining permanent legal and physical custody of the child, to the extent that
         the <br />
         		<a id="pl.36.13"></a><var>36.13</var>total cost does not exceed $2,000 per child;<br />
         		<a id="pl.36.14"></a><var>36.14</var>(6) that the agreement must remain in effect regardless of the state of which the
         <br />
         		<a id="pl.36.15"></a><var>36.15</var>adoptive parents or relative custodians are residents at any given time;<br />
         		<a id="pl.36.16"></a><var>36.16</var>(7) provisions for modification of the terms of the agreement, including renegotiation
         <br />
         		<a id="pl.36.17"></a><var>36.17</var>of the agreement; and<br />
         		<a id="pl.36.18"></a><var>36.18</var>(8) the effective date of the agreement; and<br />
         		<a id="pl.36.19"></a><var>36.19</var>(9) the successor relative custodian or custodians for Northstar kinship assistance,
         <br />
         		<a id="pl.36.20"></a><var>36.20</var>when applicable. The successor relative custodian or custodians may be added or changed
         <br />
         		<a id="pl.36.21"></a><var>36.21</var>by mutual agreement under subdivision 3.<br />
         		<a id="pl.36.22"></a><var>36.22</var>(c) The caregivers, the commissioner, and the financially responsible agency, or,
         if <br />
         		<a id="pl.36.23"></a><var>36.23</var>there is no financially responsible agency, the agency designated by the commissioner,
         must <br />
         		<a id="pl.36.24"></a><var>36.24</var>sign the agreement. A copy of the signed agreement must be given to each party. Once
         <br />
         		<a id="pl.36.25"></a><var>36.25</var>signed by all parties, the commissioner shall maintain the official record of the
         agreement.<br />
         		<a id="pl.36.26"></a><var>36.26</var>(d) The effective date of the Northstar kinship assistance agreement must be the date
         <br />
         		<a id="pl.36.27"></a><var>36.27</var>of the court order that transfers permanent legal and physical custody to the relative.
         The <br />
         		<a id="pl.36.28"></a><var>36.28</var>effective date of the adoption assistance agreement is the date of the finalized adoption
         <br />
         		<a id="pl.36.29"></a><var>36.29</var>decree.<br />
         		<a id="pl.36.30"></a><var>36.30</var>(e) Termination or disruption of the preadoptive placement or the foster care <br />
         		<a id="pl.36.31"></a><var>36.31</var>placement prior to assignment of custody makes the agreement with that caregiver void.<br />
         		<br />
         		<a id="bill.1.51.0"></a><a id="pl.36.32"></a><var>36.32</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2014, section 256N.27, subdivision 2, is amended to read:<br />
         		<a id="pl.36.33"></a><var>36.33</var>&#160;&#160;&#160;&#160;Subd. 2. <b>State share.</b> The commissioner shall pay the state share of the maintenance <br />
         		<a id="pl.36.34"></a><var>36.34</var>payments as determined under subdivision 4, and an identical share of the pre-Northstar
         <br />
         		<a id="pl.36.35"></a><var>36.35</var>Care foster care program under section 
         <statute_ref>260C.4411, subdivision 1</statute_ref>, the relative custody <br />
         		<a id="pl.37.1"></a><var>37.1</var>assistance program under section 
         <statute_ref>257.85</statute_ref>, and the pre-Northstar Care for Children adoption <br />
         		<a id="pl.37.2"></a><var>37.2</var>assistance program under chapter 259A. The commissioner may transfer funds into the <br />
         		<a id="pl.37.3"></a><var>37.3</var>account if a deficit occurs.<br />
         		<br />
         		<a id="bill.1.52.0"></a><a id="pl.37.4"></a><var>37.4</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2014, section 257.75, subdivision 3, is amended to read:<br />
         		<a id="pl.37.5"></a><var>37.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Effect of recognition.</b> (a) Subject to subdivision 2 and section 
         <statute_ref>257.55, <br />
            		<a id="pl.37.6"></a><var>37.6</var>subdivision 1
         </statute_ref>, paragraph (g) or (h), the recognition has the force and effect of a judgment or
         <br />
         		<a id="pl.37.7"></a><var>37.7</var>order determining the existence of the parent and child relationship under section
         
         <statute_ref>257.66</statute_ref>. If <br />
         		<a id="pl.37.8"></a><var>37.8</var>the conditions in section 
         <statute_ref>257.55, subdivision 1</statute_ref>, paragraph (g) or (h), exist, the recognition <br />
         		<a id="pl.37.9"></a><var>37.9</var>creates only a presumption of paternity for purposes of sections 
         <statute_ref>257.51</statute_ref> to 
         <statute_ref>257.74</statute_ref>. Once a <br />
         		<a id="pl.37.10"></a><var>37.10</var>recognition has been properly executed and filed with the state registrar of vital
         statistics, <br />
         		<a id="pl.37.11"></a><var>37.11</var>if there are no competing presumptions of paternity, a judicial or administrative
         court may <br />
         		<a id="pl.37.12"></a><var>37.12</var>not allow further action to determine parentage regarding the signator of the recognition.
         <br />
         		<a id="pl.37.13"></a><var>37.13</var>An action to determine custody and parenting time may be commenced pursuant to <br />
         		<a id="pl.37.14"></a><var>37.14</var>chapter 518 without an adjudication of parentage. Until an a temporary or permanent <br />
         		<a id="pl.37.15"></a><var>37.15</var>order is entered granting custody to another, the mother has sole custody. <br />
         		<a id="pl.37.16"></a><var>37.16</var>(b) Following commencement of an action to determine custody or parenting time <br />
         		<a id="pl.37.17"></a><var>37.17</var>under chapter 518, the court may, pursuant to section 518.131, grant temporary parenting
         <br />
         		<a id="pl.37.18"></a><var>37.18</var>time rights and temporary custody to either parent. <br />
         		<a id="pl.37.19"></a><var>37.19</var>(c) The recognition is:<br />
         		<a id="pl.37.20"></a><var>37.20</var>(1) a basis for bringing an action for the following:<br />
         		<a id="pl.37.21"></a><var>37.21</var>(i) to award temporary custody or parenting time pursuant to section 518.131;<br />
         		<a id="pl.37.22"></a><var>37.22</var>(ii) to award permanent custody or parenting time to either parent,;<br />
         		<a id="pl.37.23"></a><var>37.23</var>(iii) establishing a child support obligation which may include up to the two years <br />
         		<a id="pl.37.24"></a><var>37.24</var>immediately preceding the commencement of the action,;<br />
         		<a id="pl.37.25"></a><var>37.25</var>(iv) ordering a contribution by a parent under section 
         <statute_ref>256.87</statute_ref>, or;<br />
         		<a id="pl.37.26"></a><var>37.26</var>(v) ordering a contribution to the reasonable expenses of the mother's pregnancy and
         <br />
         		<a id="pl.37.27"></a><var>37.27</var>confinement, as provided under section 
         <statute_ref>257.66, subdivision 3</statute_ref>,; or <br />
         		<a id="pl.37.28"></a><var>37.28</var>(vi) ordering reimbursement for the costs of blood or genetic testing, as provided <br />
         		<a id="pl.37.29"></a><var>37.29</var>under section 
         <statute_ref>257.69, subdivision 2</statute_ref>;<br />
         		<a id="pl.37.30"></a><var>37.30</var>(2) determinative for all other purposes related to the existence of the parent and
         <br />
         		<a id="pl.37.31"></a><var>37.31</var>child relationship; and<br />
         		<a id="pl.37.32"></a><var>37.32</var>(3) entitled to full faith and credit in other jurisdictions.<br />
         		<a id="pl.37.33"></a><var>37.33</var><b>EFFECTIVE DATE.</b>This section is effective March 1, 2016.<br />
         		<br />
         		<a id="bill.1.53.0"></a><a id="pl.37.34"></a><var>37.34</var>&#160;&#160;&#160;&#160;Sec. 53. Minnesota Statutes 2014, section 257.75, subdivision 5, is amended to read:<br />
         		<a id="pl.38.1"></a><var>38.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Recognition form.</b> (a) The commissioner of human services shall prepare <br />
         		<a id="pl.38.2"></a><var>38.2</var>a form for the recognition of parentage under this section. In preparing the form,
         the <br />
         		<a id="pl.38.3"></a><var>38.3</var>commissioner shall consult with the individuals specified in subdivision 6. The recognition
         <br />
         		<a id="pl.38.4"></a><var>38.4</var>form must be drafted so that the force and effect of the recognition, the alternatives
         to <br />
         		<a id="pl.38.5"></a><var>38.5</var>executing a recognition, and the benefits and responsibilities of establishing paternity, and <br />
         		<a id="pl.38.6"></a><var>38.6</var>the limitations of the recognition of parentage for purposes of exercising and enforcing
         <br />
         		<a id="pl.38.7"></a><var>38.7</var>custody or parenting time are clear and understandable. The form must include a notice <br />
         		<a id="pl.38.8"></a><var>38.8</var>regarding the finality of a recognition and the revocation procedure under subdivision
         <br />
         		<a id="pl.38.9"></a><var>38.9</var>2. The form must include a provision for each parent to verify that the parent has
         read <br />
         		<a id="pl.38.10"></a><var>38.10</var>or viewed the educational materials prepared by the commissioner of human services
         <br />
         		<a id="pl.38.11"></a><var>38.11</var>describing the recognition of paternity. The individual providing the form to the
         parents <br />
         		<a id="pl.38.12"></a><var>38.12</var>for execution shall provide oral notice of the rights, responsibilities, and alternatives
         to <br />
         		<a id="pl.38.13"></a><var>38.13</var>executing the recognition. Notice may be provided by audiotape, videotape, or similar
         <br />
         		<a id="pl.38.14"></a><var>38.14</var>means. Each parent must receive a copy of the recognition.<br />
         		<a id="pl.38.15"></a><var>38.15</var>(b) The form must include the following:<br />
         		<a id="pl.38.16"></a><var>38.16</var>(1) a notice regarding the finality of a recognition and the revocation procedure
         <br />
         		<a id="pl.38.17"></a><var>38.17</var>under subdivision 2;<br />
         		<a id="pl.38.18"></a><var>38.18</var>(2) a notice, in large print, that the recognition does not establish an enforceable
         right <br />
         		<a id="pl.38.19"></a><var>38.19</var>to legal custody, physical custody, or parenting time until such rights are awarded
         pursuant <br />
         		<a id="pl.38.20"></a><var>38.20</var>to a court action to establish custody and parenting time;<br />
         		<a id="pl.38.21"></a><var>38.21</var>(3) a notice stating that when a court awards custody and parenting time under <br />
         		<a id="pl.38.22"></a><var>38.22</var>chapter 518, there is no presumption for or against joint physical custody, except
         when <br />
         		<a id="pl.38.23"></a><var>38.23</var>domestic abuse, as defined in section 518B.01, subdivision 2, paragraph (a), has occurred
         <br />
         		<a id="pl.38.24"></a><var>38.24</var>between the parties;<br />
         		<a id="pl.38.25"></a><var>38.25</var>(4) a notice that the recognition of parentage is a basis for:<br />
         		<a id="pl.38.26"></a><var>38.26</var>(i) bringing a court action to award temporary or permanent custody or parenting time;<br />
         		<a id="pl.38.27"></a><var>38.27</var>(ii) establishing a child support obligation that may include the two years <br />
         		<a id="pl.38.28"></a><var>38.28</var>immediately preceding the commencement of the action; <br />
         		<a id="pl.38.29"></a><var>38.29</var>(iii) ordering a contribution by a parent under section 256.87;<br />
         		<a id="pl.38.30"></a><var>38.30</var>(iv) ordering a contribution to the reasonable expenses of the mother's pregnancy
         <br />
         		<a id="pl.38.31"></a><var>38.31</var>and confinement, as provided under section 257.66, subdivision 3; and<br />
         		<a id="pl.38.32"></a><var>38.32</var>(v) ordering reimbursement for the costs of blood or genetic testing, as provided
         <br />
         		<a id="pl.38.33"></a><var>38.33</var>under section 257.69, subdivision 2; and<br />
         		<a id="pl.38.34"></a><var>38.34</var>(5) a provision for each parent to verify that the parent has read or viewed the <br />
         		<a id="pl.38.35"></a><var>38.35</var>educational materials prepared by the commissioner of human services describing the
         <br />
         		<a id="pl.38.36"></a><var>38.36</var>recognition of paternity. <br />
         		<a id="pl.39.1"></a><var>39.1</var>(c) The individual providing the form to the parents for execution shall provide oral
         <br />
         		<a id="pl.39.2"></a><var>39.2</var>notice of the rights, responsibilities, and alternatives to executing the recognition.
         Notice <br />
         		<a id="pl.39.3"></a><var>39.3</var>may be provided in audio or video format, or by other similar means. Each parent must
         <br />
         		<a id="pl.39.4"></a><var>39.4</var>receive a copy of the recognition.<br />
         		<a id="pl.39.5"></a><var>39.5</var><b>EFFECTIVE DATE.</b>This section is effective March 1, 2016.<br />
         		<br />
         		<a id="bill.1.54.0"></a><a id="pl.39.6"></a><var>39.6</var>&#160;&#160;&#160;&#160;Sec. 54. Minnesota Statutes 2014, section 259A.75, is amended to read:<br />
         		<a id="pl.39.7"></a><var>39.7</var><b>259A.75 REIMBURSEMENT OF CERTAIN AGENCY COSTS; PURCHASE </b><br />
         		<a id="pl.39.8"></a><var>39.8</var><b>OF SERVICE CONTRACTS</b><b> AND TRIBAL CUSTOMARY ADOPTIONS</b><b>.</b><br />
         		<a id="pl.39.9"></a><var>39.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General information.</b> (a) Subject to the procedures required by <br />
         		<a id="pl.39.10"></a><var>39.10</var>the commissioner and the provisions of this section, a Minnesota county or tribal social <br />
         		<a id="pl.39.11"></a><var>39.11</var>services agency shall receive a reimbursement from the commissioner equal to 100 percent <br />
         		<a id="pl.39.12"></a><var>39.12</var>of the reasonable and appropriate cost for contracted adoption placement services
         identified <br />
         		<a id="pl.39.13"></a><var>39.13</var>for a specific child that are not reimbursed under other federal or state funding
         sources.<br />
         		<a id="pl.39.14"></a><var>39.14</var>(b) The commissioner may spend up to $16,000 for each purchase of service <br />
         		<a id="pl.39.15"></a><var>39.15</var>contract. Only one contract per child per adoptive placement is permitted. Funds <br />
         		<a id="pl.39.16"></a><var>39.16</var>encumbered and obligated under the contract for the child remain available until the
         terms <br />
         		<a id="pl.39.17"></a><var>39.17</var>of the contract are fulfilled or the contract is terminated.<br />
         		<a id="pl.39.18"></a><var>39.18</var>(c) The commissioner shall set aside an amount not to exceed five percent of the <br />
         		<a id="pl.39.19"></a><var>39.19</var>total amount of the fiscal year appropriation from the state for the adoption assistance
         <br />
         		<a id="pl.39.20"></a><var>39.20</var>program to reimburse a Minnesota county or tribal social services placing agencies agency <br />
         		<a id="pl.39.21"></a><var>39.21</var>for child-specific adoption placement services. When adoption assistance payments
         for <br />
         		<a id="pl.39.22"></a><var>39.22</var>children's needs exceed 95 percent of the total amount of the fiscal year appropriation
         from <br />
         		<a id="pl.39.23"></a><var>39.23</var>the state for the adoption assistance program, the amount of reimbursement available
         to <br />
         		<a id="pl.39.24"></a><var>39.24</var>placing agencies for adoption services is reduced correspondingly.<br />
         		<a id="pl.39.25"></a><var>39.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Purchase of service contract </b><b>child eligibility criteria.</b> (a) A child who is <br />
         		<a id="pl.39.26"></a><var>39.26</var>the subject of a purchase of service contract must:<br />
         		<a id="pl.39.27"></a><var>39.27</var>(1) have the goal of adoption, which may include an adoption in accordance with <br />
         		<a id="pl.39.28"></a><var>39.28</var>tribal law;<br />
         		<a id="pl.39.29"></a><var>39.29</var>(2) be under the guardianship of the commissioner of human services or be a ward of
         <br />
         		<a id="pl.39.30"></a><var>39.30</var>tribal court pursuant to section 
         <statute_ref>260.755, subdivision 20</statute_ref>; and<br />
         		<a id="pl.39.31"></a><var>39.31</var>(3) meet all of the special needs criteria according to section 
         <statute_ref>259A.10, subdivision 2</statute_ref>.<br />
         		<a id="pl.39.32"></a><var>39.32</var>(b) A child under the guardianship of the commissioner must have an identified <br />
         		<a id="pl.39.33"></a><var>39.33</var>adoptive parent and a fully executed adoption placement agreement according to section
         <br />
         		
         <statute_ref><a id="pl.39.34"></a><var>39.34</var>260C.613, subdivision 1
         </statute_ref>, paragraph (a).<br />
         		<a id="pl.40.1"></a><var>40.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Agency eligibility criteria.</b> (a) A Minnesota county or tribal social <br />
         		<a id="pl.40.2"></a><var>40.2</var>services agency shall receive reimbursement for child-specific adoption placement
         <br />
         		<a id="pl.40.3"></a><var>40.3</var>services for an eligible child that it purchases from a private adoption agency licensed
         in <br />
         		<a id="pl.40.4"></a><var>40.4</var>Minnesota or any other state or tribal social services agency.<br />
         		<a id="pl.40.5"></a><var>40.5</var>(b) Reimbursement for adoption services is available only for services provided <br />
         		<a id="pl.40.6"></a><var>40.6</var>prior to the date of the adoption decree.<br />
         		<a id="pl.40.7"></a><var>40.7</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Application and eligibility determination.</b> (a) A county or tribal social <br />
         		<a id="pl.40.8"></a><var>40.8</var>services agency may request reimbursement of costs for adoption placement services
         by <br />
         		<a id="pl.40.9"></a><var>40.9</var>submitting a complete purchase of service application, according to the requirements
         and <br />
         		<a id="pl.40.10"></a><var>40.10</var>procedures and on forms prescribed by the commissioner.<br />
         		<a id="pl.40.11"></a><var>40.11</var>(b) The commissioner shall determine eligibility for reimbursement of adoption <br />
         		<a id="pl.40.12"></a><var>40.12</var>placement services. If determined eligible, the commissioner of human services shall
         <br />
         		<a id="pl.40.13"></a><var>40.13</var>sign the purchase of service agreement, making this a fully executed contract. No
         <br />
         		<a id="pl.40.14"></a><var>40.14</var>reimbursement under this section shall be made to an agency for services provided
         prior to <br />
         		<a id="pl.40.15"></a><var>40.15</var>the fully executed contract.<br />
         		<a id="pl.40.16"></a><var>40.16</var>(c) Separate purchase of service agreements shall be made, and separate records <br />
         		<a id="pl.40.17"></a><var>40.17</var>maintained, on each child. Only one agreement per child per adoptive placement is
         <br />
         		<a id="pl.40.18"></a><var>40.18</var>permitted. For siblings who are placed together, services shall be planned and provided
         to <br />
         		<a id="pl.40.19"></a><var>40.19</var>best maximize efficiency of the contracted hours.<br />
         		<a id="pl.40.20"></a><var>40.20</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Reimbursement process.</b> (a) The agency providing adoption services is <br />
         		<a id="pl.40.21"></a><var>40.21</var>responsible to track and record all service activity, including billable hours, on
         a form <br />
         		<a id="pl.40.22"></a><var>40.22</var>prescribed by the commissioner. The agency shall submit this form to the state for
         <br />
         		<a id="pl.40.23"></a><var>40.23</var>reimbursement after services have been completed.<br />
         		<a id="pl.40.24"></a><var>40.24</var>(b) The commissioner shall make the final determination whether or not the <br />
         		<a id="pl.40.25"></a><var>40.25</var>requested reimbursement costs are reasonable and appropriate and if the services have
         <br />
         		<a id="pl.40.26"></a><var>40.26</var>been completed according to the terms of the purchase of service agreement.<br />
         		<a id="pl.40.27"></a><var>40.27</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Retention of purchase of service records.</b> Agencies entering into <br />
         		<a id="pl.40.28"></a><var>40.28</var>purchase of service contracts shall keep a copy of the agreements, service records,
         and all <br />
         		<a id="pl.40.29"></a><var>40.29</var>applicable billing and invoicing according to the department's record retention schedule.
         <br />
         		<a id="pl.40.30"></a><var>40.30</var>Agency records shall be provided upon request by the commissioner.<br />
         		<a id="pl.40.31"></a><var>40.31</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Tribal customary adoptions.</b> (a) The commissioner shall enter into <br />
         		<a id="pl.40.32"></a><var>40.32</var>grant contracts with Minnesota tribal social services agencies to provide child-specific
         <br />
         		<a id="pl.40.33"></a><var>40.33</var>recruitment and adoption placement services for Indian children under the jurisdiction
         <br />
         		<a id="pl.40.34"></a><var>40.34</var>of tribal court.<br />
         		<a id="pl.40.35"></a><var>40.35</var>(b) Children served under these grant contracts must meet the child eligibility <br />
         		<a id="pl.40.36"></a><var>40.36</var>criteria in subdivision 2.<br />
         		<br />
         		<a id="bill.1.55.0"></a><a id="pl.41.1"></a><var>41.1</var>&#160;&#160;&#160;&#160;Sec. 55. Minnesota Statutes 2014, section 260C.007, subdivision 27, is amended to read:<br />
         		<a id="pl.41.2"></a><var>41.2</var>&#160;&#160;&#160;&#160;Subd. 27. <b>Relative.</b> "Relative" means a person related to the child by blood, <br />
         		<a id="pl.41.3"></a><var>41.3</var>marriage, or adoption,; the legal parent, guardian, or custodian of the child's siblings; or an <br />
         		<a id="pl.41.4"></a><var>41.4</var>individual who is an important friend with whom the child has resided or had significant
         <br />
         		<a id="pl.41.5"></a><var>41.5</var>contact. For an Indian child, relative includes members of the extended family as
         defined <br />
         		<a id="pl.41.6"></a><var>41.6</var>by the law or custom of the Indian child's tribe or, in the absence of law or custom,
         nieces, <br />
         		<a id="pl.41.7"></a><var>41.7</var>nephews, or first or second cousins, as provided in the Indian Child Welfare Act of
         1978, <br />
         		<a id="pl.41.8"></a><var>41.8</var>United States Code, title 25, section 1903.<br />
         		<br />
         		<a id="bill.1.56.0"></a><a id="pl.41.9"></a><var>41.9</var>&#160;&#160;&#160;&#160;Sec. 56. Minnesota Statutes 2014, section 260C.007, subdivision 32, is amended to read:<br />
         		<a id="pl.41.10"></a><var>41.10</var>&#160;&#160;&#160;&#160;Subd. 32. <b>Sibling.</b> "Sibling" means one of two or more individuals who have one or <br />
         		<a id="pl.41.11"></a><var>41.11</var>both parents in common through blood, marriage, or adoption, including. This includes <br />
         		<a id="pl.41.12"></a><var>41.12</var>siblings as defined by the child's tribal code or custom. Sibling also includes an individual <br />
         		<a id="pl.41.13"></a><var>41.13</var>who would have been considered a sibling but for a termination of parental rights
         of one <br />
         		<a id="pl.41.14"></a><var>41.14</var>or both parents, suspension of parental rights under tribal code, or other disruption
         of <br />
         		<a id="pl.41.15"></a><var>41.15</var>parental rights such as the death of a parent.<br />
         		<br />
         		<a id="bill.1.57.0"></a><a id="pl.41.16"></a><var>41.16</var>&#160;&#160;&#160;&#160;Sec. 57. Minnesota Statutes 2014, section 260C.203, is amended to read:<br />
         		<a id="pl.41.17"></a><var>41.17</var><b>260C.203 ADMINISTRATIVE OR COURT REVIEW OF PLACEMENTS.</b><br />
         		<a id="pl.41.18"></a><var>41.18</var>&#160;&#160;&#160;&#160;(a) Unless the court is conducting the reviews required under section 
         <statute_ref>260C.202</statute_ref>, <br />
         		<a id="pl.41.19"></a><var>41.19</var>there shall be an administrative review of the out-of-home placement plan of each
         child <br />
         		<a id="pl.41.20"></a><var>41.20</var>placed in foster care no later than 180 days after the initial placement of the child
         in foster <br />
         		<a id="pl.41.21"></a><var>41.21</var>care and at least every six months thereafter if the child is not returned to the
         home of the <br />
         		<a id="pl.41.22"></a><var>41.22</var>parent or parents within that time. The out-of-home placement plan must be monitored
         and <br />
         		<a id="pl.41.23"></a><var>41.23</var>updated at each administrative review. The administrative review shall be conducted
         by <br />
         		<a id="pl.41.24"></a><var>41.24</var>the responsible social services agency using a panel of appropriate persons at least
         one of <br />
         		<a id="pl.41.25"></a><var>41.25</var>whom is not responsible for the case management of, or the delivery of services to,
         either <br />
         		<a id="pl.41.26"></a><var>41.26</var>the child or the parents who are the subject of the review. The administrative review
         shall <br />
         		<a id="pl.41.27"></a><var>41.27</var>be open to participation by the parent or guardian of the child and the child, as
         appropriate.<br />
         		<a id="pl.41.28"></a><var>41.28</var>&#160;&#160;&#160;&#160;(b) As an alternative to the administrative review required in paragraph (a), the
         court <br />
         		<a id="pl.41.29"></a><var>41.29</var>may, as part of any hearing required under the Minnesota Rules of Juvenile Protection
         <br />
         		<a id="pl.41.30"></a><var>41.30</var>Procedure, conduct a hearing to monitor and update the out-of-home placement plan
         <br />
         		<a id="pl.41.31"></a><var>41.31</var>pursuant to the procedure and standard in section 
         <statute_ref>260C.201</statute_ref>, subdivision 6, paragraph <br />
         		<a id="pl.41.32"></a><var>41.32</var>(d). The party requesting review of the out-of-home placement plan shall give parties
         to <br />
         		<a id="pl.41.33"></a><var>41.33</var>the proceeding notice of the request to review and update the out-of-home placement
         <br />
         		<a id="pl.41.34"></a><var>41.34</var>plan. A court review conducted pursuant to section 
         <statute_ref>260C.141, subdivision 2</statute_ref>; 
         <statute_ref>260C.193</statute_ref>; <br />
         		
         <statute_ref><a id="pl.42.1"></a><var>42.1</var>260C.201
         </statute_ref>, subdivision 1; 
         <statute_ref>260C.202</statute_ref>; 
         <statute_ref>260C.204</statute_ref>; 
         <statute_ref>260C.317</statute_ref>; or 
         <statute_ref>260D.06</statute_ref> shall satisfy the <br />
         		<a id="pl.42.2"></a><var>42.2</var>requirement for the review so long as the other requirements of this section are met.<br />
         		<a id="pl.42.3"></a><var>42.3</var>&#160;&#160;&#160;&#160;(c) As appropriate to the stage of the proceedings and relevant court orders, the
         <br />
         		<a id="pl.42.4"></a><var>42.4</var>responsible social services agency or the court shall review:<br />
         		<a id="pl.42.5"></a><var>42.5</var>&#160;&#160;&#160;&#160;(1) the safety, permanency needs, and well-being of the child;<br />
         		<a id="pl.42.6"></a><var>42.6</var>&#160;&#160;&#160;&#160;(2) the continuing necessity for and appropriateness of the placement;<br />
         		<a id="pl.42.7"></a><var>42.7</var>&#160;&#160;&#160;&#160;(3) the extent of compliance with the out-of-home placement plan;<br />
         		<a id="pl.42.8"></a><var>42.8</var>&#160;&#160;&#160;&#160;(4) the extent of progress that has been made toward alleviating or mitigating the
         <br />
         		<a id="pl.42.9"></a><var>42.9</var>causes necessitating placement in foster care;<br />
         		<a id="pl.42.10"></a><var>42.10</var>&#160;&#160;&#160;&#160;(5) the projected date by which the child may be returned to and safely maintained
         in <br />
         		<a id="pl.42.11"></a><var>42.11</var>the home or placed permanently away from the care of the parent or parents or guardian;
         and<br />
         		<a id="pl.42.12"></a><var>42.12</var>&#160;&#160;&#160;&#160;(6) the appropriateness of the services provided to the child.<br />
         		<a id="pl.42.13"></a><var>42.13</var>&#160;&#160;&#160;&#160;(d) When a child is age 16 14 or older, in addition to any administrative review <br />
         		<a id="pl.42.14"></a><var>42.14</var>conducted by the agency, at the in-court review required under section 
         <statute_ref>260C.317</statute_ref>, <br />
         		<a id="pl.42.15"></a><var>42.15</var>subdivision 3, clause (3), or 
         <statute_ref>260C.515, subdivision 5</statute_ref> or 6, the court shall review the <br />
         		<a id="pl.42.16"></a><var>42.16</var>independent living plan required under section 
         <statute_ref>260C.212</statute_ref>, subdivision 1, paragraph (c), <br />
         		<a id="pl.42.17"></a><var>42.17</var>clause (11) (12), and the provision of services to the child related to the well-being of <br />
         		<a id="pl.42.18"></a><var>42.18</var>the child as the child prepares to leave foster care. The review shall include the
         actual <br />
         		<a id="pl.42.19"></a><var>42.19</var>plans related to each item in the plan necessary to the child's future safety and
         well-being <br />
         		<a id="pl.42.20"></a><var>42.20</var>when the child is no longer in foster care.<br />
         		<a id="pl.42.21"></a><var>42.21</var>&#160;&#160;&#160;&#160;(e) At the court review required under paragraph (d) for a child age 16 14 or older, <br />
         		<a id="pl.42.22"></a><var>42.22</var>the following procedures apply:<br />
         		<a id="pl.42.23"></a><var>42.23</var>(1) six months before the child is expected to be discharged from foster care, the
         <br />
         		<a id="pl.42.24"></a><var>42.24</var>responsible social services agency shall give the written notice required under section
         <br />
         		
         <statute_ref><a id="pl.42.25"></a><var>42.25</var>260C.451
         </statute_ref>, subdivision 1, regarding the right to continued access to services for certain <br />
         		<a id="pl.42.26"></a><var>42.26</var>children in foster care past age 18 and of the right to appeal a denial of social
         services <br />
         		<a id="pl.42.27"></a><var>42.27</var>under section 
         <statute_ref>256.045</statute_ref>. The agency shall file a copy of the notice, including the right to <br />
         		<a id="pl.42.28"></a><var>42.28</var>appeal a denial of social services, with the court. If the agency does not file the
         notice by <br />
         		<a id="pl.42.29"></a><var>42.29</var>the time the child is age 17-1/2, the court shall require the agency to give it;<br />
         		<a id="pl.42.30"></a><var>42.30</var>&#160;&#160;&#160;&#160;(2) consistent with the requirements of the independent living plan, the court shall
         <br />
         		<a id="pl.42.31"></a><var>42.31</var>review progress toward or accomplishment of the following goals:<br />
         		<a id="pl.42.32"></a><var>42.32</var>&#160;&#160;&#160;&#160;(i) the child has obtained a high school diploma or its equivalent;<br />
         		<a id="pl.42.33"></a><var>42.33</var>&#160;&#160;&#160;&#160;(ii) the child has completed a driver's education course or has demonstrated the <br />
         		<a id="pl.42.34"></a><var>42.34</var>ability to use public transportation in the child's community;<br />
         		<a id="pl.42.35"></a><var>42.35</var>&#160;&#160;&#160;&#160;(iii) the child is employed or enrolled in postsecondary education;<br />
         		<a id="pl.43.1"></a><var>43.1</var>&#160;&#160;&#160;&#160;(iv) the child has applied for and obtained postsecondary education financial aid
         for <br />
         		<a id="pl.43.2"></a><var>43.2</var>which the child is eligible;<br />
         		<a id="pl.43.3"></a><var>43.3</var>&#160;&#160;&#160;&#160;(v) the child has health care coverage and health care providers to meet the child's
         <br />
         		<a id="pl.43.4"></a><var>43.4</var>physical and mental health needs;<br />
         		<a id="pl.43.5"></a><var>43.5</var>&#160;&#160;&#160;&#160;(vi) the child has applied for and obtained disability income assistance for which
         <br />
         		<a id="pl.43.6"></a><var>43.6</var>the child is eligible;<br />
         		<a id="pl.43.7"></a><var>43.7</var>&#160;&#160;&#160;&#160;(vii) the child has obtained affordable housing with necessary supports, which does
         <br />
         		<a id="pl.43.8"></a><var>43.8</var>not include a homeless shelter;<br />
         		<a id="pl.43.9"></a><var>43.9</var>&#160;&#160;&#160;&#160;(viii) the child has saved sufficient funds to pay for the first month's rent and
         a <br />
         		<a id="pl.43.10"></a><var>43.10</var>damage deposit;<br />
         		<a id="pl.43.11"></a><var>43.11</var>&#160;&#160;&#160;&#160;(ix) the child has an alternative affordable housing plan, which does not include
         a <br />
         		<a id="pl.43.12"></a><var>43.12</var>homeless shelter, if the original housing plan is unworkable;<br />
         		<a id="pl.43.13"></a><var>43.13</var>&#160;&#160;&#160;&#160;(x) the child, if male, has registered for the Selective Service; and<br />
         		<a id="pl.43.14"></a><var>43.14</var>&#160;&#160;&#160;&#160;(xi) the child has a permanent connection to a caring adult; and<br />
         		<a id="pl.43.15"></a><var>43.15</var>&#160;&#160;&#160;&#160;(3) the court shall ensure that the responsible agency in conjunction with the <br />
         		<a id="pl.43.16"></a><var>43.16</var>placement provider assists the child in obtaining the following documents prior to
         the <br />
         		<a id="pl.43.17"></a><var>43.17</var>child's leaving foster care: a Social Security card; the child's birth certificate;
         a state <br />
         		<a id="pl.43.18"></a><var>43.18</var>identification card or driver's license, tribal enrollment identification card, green card, or <br />
         		<a id="pl.43.19"></a><var>43.19</var>school visa; the child's school, medical, and dental records; a contact list of the
         child's <br />
         		<a id="pl.43.20"></a><var>43.20</var>medical, dental, and mental health providers; and contact information for the child's
         <br />
         		<a id="pl.43.21"></a><var>43.21</var>siblings, if the siblings are in foster care.<br />
         		<a id="pl.43.22"></a><var>43.22</var>&#160;&#160;&#160;&#160;(f) For a child who will be discharged from foster care at age 18 or older, the <br />
         		<a id="pl.43.23"></a><var>43.23</var>responsible social services agency is required to develop a personalized transition
         plan as <br />
         		<a id="pl.43.24"></a><var>43.24</var>directed by the youth. The transition plan must be developed during the 90-day period
         <br />
         		<a id="pl.43.25"></a><var>43.25</var>immediately prior to the expected date of discharge. The transition plan must be as
         <br />
         		<a id="pl.43.26"></a><var>43.26</var>detailed as the child may elect and include specific options on housing, health insurance,
         <br />
         		<a id="pl.43.27"></a><var>43.27</var>education, local opportunities for mentors and continuing support services, and work
         force <br />
         		<a id="pl.43.28"></a><var>43.28</var>supports and employment services. The agency shall ensure that the youth receives,
         at <br />
         		<a id="pl.43.29"></a><var>43.29</var>no cost to the youth, a copy of the youth's consumer credit report as defined in section
         <br />
         		
         <statute_ref><a id="pl.43.30"></a><var>43.30</var>13C.001
         </statute_ref> and assistance in interpreting and resolving any inaccuracies in the report. The
         <br />
         		<a id="pl.43.31"></a><var>43.31</var>plan must include information on the importance of designating another individual
         to <br />
         		<a id="pl.43.32"></a><var>43.32</var>make health care treatment decisions on behalf of the child if the child becomes unable
         <br />
         		<a id="pl.43.33"></a><var>43.33</var>to participate in these decisions and the child does not have, or does not want, a
         relative <br />
         		<a id="pl.43.34"></a><var>43.34</var>who would otherwise be authorized to make these decisions. The plan must provide the
         <br />
         		<a id="pl.43.35"></a><var>43.35</var>child with the option to execute a health care directive as provided under chapter
         145C. <br />
         		<a id="pl.44.1"></a><var>44.1</var>The agency shall also provide the youth with appropriate contact information if the
         youth <br />
         		<a id="pl.44.2"></a><var>44.2</var>needs more information or needs help dealing with a crisis situation through age 21.<br />
         		<br />
         		<a id="bill.1.58.0"></a><a id="pl.44.3"></a><var>44.3</var>&#160;&#160;&#160;&#160;Sec. 58. Minnesota Statutes 2014, section 260C.212, subdivision 1, is amended to read:<br />
         		<a id="pl.44.4"></a><var>44.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Out-of-home placement; plan.</b> (a) An out-of-home placement plan <br />
         		<a id="pl.44.5"></a><var>44.5</var>shall be prepared within 30 days after any child is placed in foster care by court
         order or a <br />
         		<a id="pl.44.6"></a><var>44.6</var>voluntary placement agreement between the responsible social services agency and the
         <br />
         		<a id="pl.44.7"></a><var>44.7</var>child's parent pursuant to section 
         <statute_ref>260C.227</statute_ref> or chapter 260D.<br />
         		<a id="pl.44.8"></a><var>44.8</var>&#160;&#160;&#160;&#160;(b) An out-of-home placement plan means a written document which is prepared <br />
         		<a id="pl.44.9"></a><var>44.9</var>by the responsible social services agency jointly with the parent or parents or guardian
         <br />
         		<a id="pl.44.10"></a><var>44.10</var>of the child and in consultation with the child's guardian ad litem, the child's tribe,
         if the <br />
         		<a id="pl.44.11"></a><var>44.11</var>child is an Indian child, the child's foster parent or representative of the foster
         care facility, <br />
         		<a id="pl.44.12"></a><var>44.12</var>and, where appropriate, the child. When a child is age 14 or older, the child may include <br />
         		<a id="pl.44.13"></a><var>44.13</var>two other individuals on the team preparing the child's out-of-home placement plan.
         For <br />
         		<a id="pl.44.14"></a><var>44.14</var>a child in voluntary foster care for treatment under chapter 260D, preparation of
         the <br />
         		<a id="pl.44.15"></a><var>44.15</var>out-of-home placement plan shall additionally include the child's mental health treatment
         <br />
         		<a id="pl.44.16"></a><var>44.16</var>provider. As appropriate, the plan shall be:<br />
         		<a id="pl.44.17"></a><var>44.17</var>&#160;&#160;&#160;&#160;(1) submitted to the court for approval under section 
         <statute_ref>260C.178</statute_ref>, subdivision 7;<br />
         		<a id="pl.44.18"></a><var>44.18</var>&#160;&#160;&#160;&#160;(2) ordered by the court, either as presented or modified after hearing, under section
         <br />
         		
         <statute_ref><a id="pl.44.19"></a><var>44.19</var>260C.178
         </statute_ref>, subdivision 7, or 
         <statute_ref>260C.201</statute_ref>, subdivision 6; and<br />
         		<a id="pl.44.20"></a><var>44.20</var>&#160;&#160;&#160;&#160;(3) signed by the parent or parents or guardian of the child, the child's guardian
         ad <br />
         		<a id="pl.44.21"></a><var>44.21</var>litem, a representative of the child's tribe, the responsible social services agency,
         and, if <br />
         		<a id="pl.44.22"></a><var>44.22</var>possible, the child.<br />
         		<a id="pl.44.23"></a><var>44.23</var>&#160;&#160;&#160;&#160;(c) The out-of-home placement plan shall be explained to all persons involved in its
         <br />
         		<a id="pl.44.24"></a><var>44.24</var>implementation, including the child who has signed the plan, and shall set forth:<br />
         		<a id="pl.44.25"></a><var>44.25</var>&#160;&#160;&#160;&#160;(1) a description of the foster care home or facility selected, including how the
         <br />
         		<a id="pl.44.26"></a><var>44.26</var>out-of-home placement plan is designed to achieve a safe placement for the child in
         the <br />
         		<a id="pl.44.27"></a><var>44.27</var>least restrictive, most family-like, setting available which is in close proximity
         to the home <br />
         		<a id="pl.44.28"></a><var>44.28</var>of the parent or parents or guardian of the child when the case plan goal is reunification,
         <br />
         		<a id="pl.44.29"></a><var>44.29</var>and how the placement is consistent with the best interests and special needs of the
         child <br />
         		<a id="pl.44.30"></a><var>44.30</var>according to the factors under subdivision 2, paragraph (b);<br />
         		<a id="pl.44.31"></a><var>44.31</var>&#160;&#160;&#160;&#160;(2) the specific reasons for the placement of the child in foster care, and when <br />
         		<a id="pl.44.32"></a><var>44.32</var>reunification is the plan, a description of the problems or conditions in the home
         of the <br />
         		<a id="pl.44.33"></a><var>44.33</var>parent or parents which necessitated removal of the child from home and the changes
         the <br />
         		<a id="pl.44.34"></a><var>44.34</var>parent or parents must make in order for the child to safely return home;<br />
         		<a id="pl.45.1"></a><var>45.1</var>&#160;&#160;&#160;&#160;(3) a description of the services offered and provided to prevent removal of the child
         <br />
         		<a id="pl.45.2"></a><var>45.2</var>from the home and to reunify the family including:<br />
         		<a id="pl.45.3"></a><var>45.3</var>&#160;&#160;&#160;&#160;(i) the specific actions to be taken by the parent or parents of the child to eliminate
         <br />
         		<a id="pl.45.4"></a><var>45.4</var>or correct the problems or conditions identified in clause (2), and the time period
         during <br />
         		<a id="pl.45.5"></a><var>45.5</var>which the actions are to be taken; and<br />
         		<a id="pl.45.6"></a><var>45.6</var>&#160;&#160;&#160;&#160;(ii) the reasonable efforts, or in the case of an Indian child, active efforts to
         be made <br />
         		<a id="pl.45.7"></a><var>45.7</var>to achieve a safe and stable home for the child including social and other supportive
         <br />
         		<a id="pl.45.8"></a><var>45.8</var>services to be provided or offered to the parent or parents or guardian of the child,
         the <br />
         		<a id="pl.45.9"></a><var>45.9</var>child, and the residential facility during the period the child is in the residential
         facility;<br />
         		<a id="pl.45.10"></a><var>45.10</var>&#160;&#160;&#160;&#160;(4) a description of any services or resources that were requested by the child or
         the <br />
         		<a id="pl.45.11"></a><var>45.11</var>child's parent, guardian, foster parent, or custodian since the date of the child's
         placement <br />
         		<a id="pl.45.12"></a><var>45.12</var>in the residential facility, and whether those services or resources were provided
         and if <br />
         		<a id="pl.45.13"></a><var>45.13</var>not, the basis for the denial of the services or resources;<br />
         		<a id="pl.45.14"></a><var>45.14</var>&#160;&#160;&#160;&#160;(5) the visitation plan for the parent or parents or guardian, other relatives as
         defined <br />
         		<a id="pl.45.15"></a><var>45.15</var>in section 
         <statute_ref>260C.007</statute_ref>, subdivision 27, and siblings of the child if the siblings are not placed <br />
         		<a id="pl.45.16"></a><var>45.16</var>together in foster care, and whether visitation is consistent with the best interest
         of the <br />
         		<a id="pl.45.17"></a><var>45.17</var>child, during the period the child is in foster care;<br />
         		<a id="pl.45.18"></a><var>45.18</var>&#160;&#160;&#160;&#160;(6) when a child cannot return to or be in the care of either parent, documentation
         <br />
         		<a id="pl.45.19"></a><var>45.19</var>of steps to finalize adoption as the permanency plan for the child, including: (i) through <br />
         		<a id="pl.45.20"></a><var>45.20</var>reasonable efforts to place the child for adoption. At a minimum, the documentation
         must <br />
         		<a id="pl.45.21"></a><var>45.21</var>include consideration of whether adoption is in the best interests of the child, child-specific
         <br />
         		<a id="pl.45.22"></a><var>45.22</var>recruitment efforts such as relative search and the use of state, regional, and national
         <br />
         		<a id="pl.45.23"></a><var>45.23</var>adoption exchanges to facilitate orderly and timely placements in and outside of the
         state. <br />
         		<a id="pl.45.24"></a><var>45.24</var>A copy of this documentation shall be provided to the court in the review required
         under <br />
         		<a id="pl.45.25"></a><var>45.25</var>section 
         <statute_ref>260C.317</statute_ref>, subdivision 3, paragraph (b); and<br />
         		<a id="pl.45.26"></a><var>45.26</var>&#160;&#160;&#160;&#160;(ii) documentation necessary to support the requirements of the kinship placement
         <br />
         		<a id="pl.45.27"></a><var>45.27</var>agreement under section 
         <statute_ref>256N.22</statute_ref> when adoption is determined not to be in the child's <br />
         		<a id="pl.45.28"></a><var>45.28</var>best interests; (7) when a child cannot return to or be in the care of either parent, <br />
         		<a id="pl.45.29"></a><var>45.29</var>documentation of steps to finalize the transfer of permanent legal and physical custody
         <br />
         		<a id="pl.45.30"></a><var>45.30</var>to a relative as the permanency plan for the child. This documentation must support
         the <br />
         		<a id="pl.45.31"></a><var>45.31</var>requirements of the kinship placement agreement under section 256N.22 and must include
         <br />
         		<a id="pl.45.32"></a><var>45.32</var>the reasonable efforts used to determine that it is not appropriate for the child
         to return <br />
         		<a id="pl.45.33"></a><var>45.33</var>home or be adopted, and reasons why permanent placement with a relative through a
         <br />
         		<a id="pl.45.34"></a><var>45.34</var>Northstar kinship assistance arrangement is in the child's best interest; how the
         child meets <br />
         		<a id="pl.45.35"></a><var>45.35</var>the eligibility requirements for Northstar kinship assistance payments; agency efforts
         to <br />
         		<a id="pl.45.36"></a><var>45.36</var>discuss adoption with the child's relative foster parent and reasons why the relative
         foster <br />
         		<a id="pl.46.1"></a><var>46.1</var>parent chose not to pursue adoption, if applicable; and agency efforts to discuss
         with the <br />
         		<a id="pl.46.2"></a><var>46.2</var>child's parent or parents the permanent transfer of permanent legal and physical custody
         or <br />
         		<a id="pl.46.3"></a><var>46.3</var>the reasons why these efforts were not made;<br />
         		<a id="pl.46.4"></a><var>46.4</var>&#160;&#160;&#160;&#160;(7) (8) efforts to ensure the child's educational stability while in foster care, including:<br />
         		<a id="pl.46.5"></a><var>46.5</var>(i) efforts to ensure that the child remains in the same school in which the child
         was <br />
         		<a id="pl.46.6"></a><var>46.6</var>enrolled prior to placement or upon the child's move from one placement to another,
         <br />
         		<a id="pl.46.7"></a><var>46.7</var>including efforts to work with the local education authorities to ensure the child's
         <br />
         		<a id="pl.46.8"></a><var>46.8</var>educational stability; or<br />
         		<a id="pl.46.9"></a><var>46.9</var>(ii) if it is not in the child's best interest to remain in the same school that the
         child <br />
         		<a id="pl.46.10"></a><var>46.10</var>was enrolled in prior to placement or move from one placement to another, efforts
         to <br />
         		<a id="pl.46.11"></a><var>46.11</var>ensure immediate and appropriate enrollment for the child in a new school;<br />
         		<a id="pl.46.12"></a><var>46.12</var>(8) (9) the educational records of the child including the most recent information <br />
         		<a id="pl.46.13"></a><var>46.13</var>available regarding:<br />
         		<a id="pl.46.14"></a><var>46.14</var>&#160;&#160;&#160;&#160;(i) the names and addresses of the child's educational providers;<br />
         		<a id="pl.46.15"></a><var>46.15</var>&#160;&#160;&#160;&#160;(ii) the child's grade level performance;<br />
         		<a id="pl.46.16"></a><var>46.16</var>&#160;&#160;&#160;&#160;(iii) the child's school record;<br />
         		<a id="pl.46.17"></a><var>46.17</var>&#160;&#160;&#160;&#160;(iv) a statement about how the child's placement in foster care takes into account
         <br />
         		<a id="pl.46.18"></a><var>46.18</var>proximity to the school in which the child is enrolled at the time of placement; and<br />
         		<a id="pl.46.19"></a><var>46.19</var>(v) any other relevant educational information;<br />
         		<a id="pl.46.20"></a><var>46.20</var>&#160;&#160;&#160;&#160;(9) (10) the efforts by the local agency to ensure the oversight and continuity of <br />
         		<a id="pl.46.21"></a><var>46.21</var>health care services for the foster child, including:<br />
         		<a id="pl.46.22"></a><var>46.22</var>(i) the plan to schedule the child's initial health screens;<br />
         		<a id="pl.46.23"></a><var>46.23</var>(ii) how the child's known medical problems and identified needs from the screens,
         <br />
         		<a id="pl.46.24"></a><var>46.24</var>including any known communicable diseases, as defined in section 
         <statute_ref>144.4172</statute_ref>, subdivision <br />
         		<a id="pl.46.25"></a><var>46.25</var>2, will be monitored and treated while the child is in foster care;<br />
         		<a id="pl.46.26"></a><var>46.26</var>(iii) how the child's medical information will be updated and shared, including <br />
         		<a id="pl.46.27"></a><var>46.27</var>the child's immunizations;<br />
         		<a id="pl.46.28"></a><var>46.28</var>(iv) who is responsible to coordinate and respond to the child's health care needs,
         <br />
         		<a id="pl.46.29"></a><var>46.29</var>including the role of the parent, the agency, and the foster parent;<br />
         		<a id="pl.46.30"></a><var>46.30</var>(v) who is responsible for oversight of the child's prescription medications;<br />
         		<a id="pl.46.31"></a><var>46.31</var>(vi) how physicians or other appropriate medical and nonmedical professionals <br />
         		<a id="pl.46.32"></a><var>46.32</var>will be consulted and involved in assessing the health and well-being of the child
         and <br />
         		<a id="pl.46.33"></a><var>46.33</var>determine the appropriate medical treatment for the child; and<br />
         		<a id="pl.46.34"></a><var>46.34</var>(vii) the responsibility to ensure that the child has access to medical care through
         <br />
         		<a id="pl.46.35"></a><var>46.35</var>either medical insurance or medical assistance;<br />
         		<a id="pl.46.36"></a><var>46.36</var>(10) (11) the health records of the child including information available regarding:<br />
         		<a id="pl.47.1"></a><var>47.1</var>(i) the names and addresses of the child's health care and dental care providers;<br />
         		<a id="pl.47.2"></a><var>47.2</var>(ii) a record of the child's immunizations;<br />
         		<a id="pl.47.3"></a><var>47.3</var>(iii) the child's known medical problems, including any known communicable <br />
         		<a id="pl.47.4"></a><var>47.4</var>diseases as defined in section 
         <statute_ref>144.4172</statute_ref>, subdivision 2;<br />
         		<a id="pl.47.5"></a><var>47.5</var>(iv) the child's medications; and<br />
         		<a id="pl.47.6"></a><var>47.6</var>(v) any other relevant health care information such as the child's eligibility for
         <br />
         		<a id="pl.47.7"></a><var>47.7</var>medical insurance or medical assistance;<br />
         		<a id="pl.47.8"></a><var>47.8</var>(11) (12) an independent living plan for a child age 16 14 or older. The plan should <br />
         		<a id="pl.47.9"></a><var>47.9</var>include, but not be limited to, the following objectives:<br />
         		<a id="pl.47.10"></a><var>47.10</var>&#160;&#160;&#160;&#160;(i) educational, vocational, or employment planning;<br />
         		<a id="pl.47.11"></a><var>47.11</var>&#160;&#160;&#160;&#160;(ii) health care planning and medical coverage;<br />
         		<a id="pl.47.12"></a><var>47.12</var>&#160;&#160;&#160;&#160;(iii) transportation including, where appropriate, assisting the child in obtaining
         a <br />
         		<a id="pl.47.13"></a><var>47.13</var>driver's license;<br />
         		<a id="pl.47.14"></a><var>47.14</var>&#160;&#160;&#160;&#160;(iv) money management, including the responsibility of the agency to ensure that <br />
         		<a id="pl.47.15"></a><var>47.15</var>the youth annually receives, at no cost to the youth, a consumer report as defined
         under <br />
         		<a id="pl.47.16"></a><var>47.16</var>section 
         <statute_ref>13C.001</statute_ref> and assistance in interpreting and resolving any inaccuracies in the report;<br />
         		<a id="pl.47.17"></a><var>47.17</var>&#160;&#160;&#160;&#160;(v) planning for housing;<br />
         		<a id="pl.47.18"></a><var>47.18</var>&#160;&#160;&#160;&#160;(vi) social and recreational skills; and<br />
         		<a id="pl.47.19"></a><var>47.19</var>&#160;&#160;&#160;&#160;(vii) establishing and maintaining connections with the child's family and <br />
         		<a id="pl.47.20"></a><var>47.20</var>community; and<br />
         		<a id="pl.47.21"></a><var>47.21</var>&#160;&#160;&#160;&#160;(viii) regular opportunities to engage in age-appropriate or developmentally <br />
         		<a id="pl.47.22"></a><var>47.22</var>appropriate activities typical for the child's age group, taking into consideration
         the <br />
         		<a id="pl.47.23"></a><var>47.23</var>capacities of the individual child; and<br />
         		<a id="pl.47.24"></a><var>47.24</var>&#160;&#160;&#160;&#160;(12) (13) for a child in voluntary foster care for treatment under chapter 260D, <br />
         		<a id="pl.47.25"></a><var>47.25</var>diagnostic and assessment information, specific services relating to meeting the mental
         <br />
         		<a id="pl.47.26"></a><var>47.26</var>health care needs of the child, and treatment outcomes.<br />
         		<a id="pl.47.27"></a><var>47.27</var>&#160;&#160;&#160;&#160;(d) The parent or parents or guardian and the child each shall have the right to legal
         <br />
         		<a id="pl.47.28"></a><var>47.28</var>counsel in the preparation of the case plan and shall be informed of the right at
         the time <br />
         		<a id="pl.47.29"></a><var>47.29</var>of placement of the child. The child shall also have the right to a guardian ad litem.
         <br />
         		<a id="pl.47.30"></a><var>47.30</var>If unable to employ counsel from their own resources, the court shall appoint counsel
         <br />
         		<a id="pl.47.31"></a><var>47.31</var>upon the request of the parent or parents or the child or the child's legal guardian.
         The <br />
         		<a id="pl.47.32"></a><var>47.32</var>parent or parents may also receive assistance from any person or social services agency
         <br />
         		<a id="pl.47.33"></a><var>47.33</var>in preparation of the case plan.<br />
         		<a id="pl.47.34"></a><var>47.34</var>&#160;&#160;&#160;&#160;After the plan has been agreed upon by the parties involved or approved or ordered
         <br />
         		<a id="pl.47.35"></a><var>47.35</var>by the court, the foster parents shall be fully informed of the provisions of the
         case plan <br />
         		<a id="pl.47.36"></a><var>47.36</var>and shall be provided a copy of the plan.<br />
         		<a id="pl.48.1"></a><var>48.1</var>&#160;&#160;&#160;&#160;Upon discharge from foster care, the parent, adoptive parent, or permanent legal and
         <br />
         		<a id="pl.48.2"></a><var>48.2</var>physical custodian, as appropriate, and the child, if appropriate, must be provided
         with <br />
         		<a id="pl.48.3"></a><var>48.3</var>a current copy of the child's health and education record.<br />
         		<br />
         		<a id="bill.1.59.0"></a><a id="pl.48.4"></a><var>48.4</var>&#160;&#160;&#160;&#160;Sec. 59. Minnesota Statutes 2014, section 260C.212, is amended by adding a <br />
         		<a id="pl.48.5"></a><var>48.5</var>subdivision to read:<br />
         		<a id="pl.48.6"></a><var>48.6</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Protecting missing and runaway children and youth at risk of sex </b><br />
         		<a id="pl.48.7"></a><var>48.7</var><b>trafficking.</b> (a) The local social services agency shall expeditiously locate any child <br />
         		<a id="pl.48.8"></a><var>48.8</var>missing from foster care.<br />
         		<a id="pl.48.9"></a><var>48.9</var>(b) The local social services agency shall report immediately, but no later than <br />
         		<a id="pl.48.10"></a><var>48.10</var>24 hours, after receiving information on a missing or abducted child to the local
         law <br />
         		<a id="pl.48.11"></a><var>48.11</var>enforcement agency for entry into the National Crime Information Center (NCIC) <br />
         		<a id="pl.48.12"></a><var>48.12</var>database of the Federal Bureau of Investigation, and to the National Center for Missing
         <br />
         		<a id="pl.48.13"></a><var>48.13</var>and Exploited Children.<br />
         		<a id="pl.48.14"></a><var>48.14</var>(c) The local social services agency shall not discharge a child from foster care
         or <br />
         		<a id="pl.48.15"></a><var>48.15</var>close the social services case until diligent efforts have been exhausted to locate
         the child <br />
         		<a id="pl.48.16"></a><var>48.16</var>and the court terminates the agency's jurisdiction.<br />
         		<a id="pl.48.17"></a><var>48.17</var>(d) The local social services agency shall determine the primary factors that <br />
         		<a id="pl.48.18"></a><var>48.18</var>contributed to the child's running away or otherwise being absent from care and, to
         <br />
         		<a id="pl.48.19"></a><var>48.19</var>the extent possible and appropriate, respond to those factors in current and subsequent
         <br />
         		<a id="pl.48.20"></a><var>48.20</var>placements.<br />
         		<a id="pl.48.21"></a><var>48.21</var>(e) The local social services agency shall determine what the child experienced <br />
         		<a id="pl.48.22"></a><var>48.22</var>while absent from care, including screening the child to determine if the child is
         a possible <br />
         		<a id="pl.48.23"></a><var>48.23</var>sex trafficking victim as defined in section 609.321, subdivision 7b.<br />
         		<a id="pl.48.24"></a><var>48.24</var>(f) The local social services agency shall report immediately, but no later than 24
         <br />
         		<a id="pl.48.25"></a><var>48.25</var>hours, to the local law enforcement agency any reasonable cause to believe a child
         is, or is <br />
         		<a id="pl.48.26"></a><var>48.26</var>at risk of being, a sex trafficking victim.<br />
         		<a id="pl.48.27"></a><var>48.27</var>(g) The local social services agency shall determine appropriate services as described
         <br />
         		<a id="pl.48.28"></a><var>48.28</var>in section 145.4717 with respect to any child for whom the local social services agency
         has <br />
         		<a id="pl.48.29"></a><var>48.29</var>responsibility for placement, care, or supervision when the local social services
         agency <br />
         		<a id="pl.48.30"></a><var>48.30</var>has reasonable cause to believe the child is, or is at risk of being, a sex trafficking
         victim.<br />
         		<br />
         		<a id="bill.1.60.0"></a><a id="pl.48.31"></a><var>48.31</var>&#160;&#160;&#160;&#160;Sec. 60. Minnesota Statutes 2014, section 260C.212, is amended by adding a <br />
         		<a id="pl.48.32"></a><var>48.32</var>subdivision to read:<br />
         		<a id="pl.48.33"></a><var>48.33</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Support age-appropriate and developmentally appropriate activities </b><br />
         		<a id="pl.48.34"></a><var>48.34</var><b>for foster children.</b> Responsible social services agencies and child-placing agencies shall <br />
         		<a id="pl.49.1"></a><var>49.1</var>support a foster child's emotional and developmental growth by permitting the child
         <br />
         		<a id="pl.49.2"></a><var>49.2</var>to participate in activities or events that are generally accepted as suitable for
         children <br />
         		<a id="pl.49.3"></a><var>49.3</var>of the same chronological age or are developmentally appropriate for the child. Foster
         <br />
         		<a id="pl.49.4"></a><var>49.4</var>parents and residential facility staff are permitted to allow foster children to participate
         in <br />
         		<a id="pl.49.5"></a><var>49.5</var>extracurricular, social, or cultural activities that are typical for the child's age
         by applying <br />
         		<a id="pl.49.6"></a><var>49.6</var>reasonable and prudent parenting standards. Reasonable and prudent parenting standards
         <br />
         		<a id="pl.49.7"></a><var>49.7</var>are characterized by careful and sensible parenting decisions that maintain the child's
         <br />
         		<a id="pl.49.8"></a><var>49.8</var>health and safety, and are made in the child's best interest.<br />
         		<br />
         		<a id="bill.1.61.0"></a><a id="pl.49.9"></a><var>49.9</var>&#160;&#160;&#160;&#160;Sec. 61. Minnesota Statutes 2014, section 260C.221, is amended to read:<br />
         		<a id="pl.49.10"></a><var>49.10</var><b>260C.221 RELATIVE SEARCH.</b><br />
         		<a id="pl.49.11"></a><var>49.11</var>(a) The responsible social services agency shall exercise due diligence to identify
         <br />
         		<a id="pl.49.12"></a><var>49.12</var>and notify adult relatives prior to placement or within 30 days after the child's
         removal <br />
         		<a id="pl.49.13"></a><var>49.13</var>from the parent. The county agency shall consider placement with a relative under
         this <br />
         		<a id="pl.49.14"></a><var>49.14</var>section without delay and whenever the child must move from or be returned to foster
         <br />
         		<a id="pl.49.15"></a><var>49.15</var>care. The relative search required by this section shall be comprehensive in scope.
         After a <br />
         		<a id="pl.49.16"></a><var>49.16</var>finding that the agency has made reasonable efforts to conduct the relative search
         under <br />
         		<a id="pl.49.17"></a><var>49.17</var>this paragraph, the agency has the continuing responsibility to appropriately involve
         <br />
         		<a id="pl.49.18"></a><var>49.18</var>relatives, who have responded to the notice required under this paragraph, in planning
         <br />
         		<a id="pl.49.19"></a><var>49.19</var>for the child and to continue to consider relatives according to the requirements
         of <br />
         		<a id="pl.49.20"></a><var>49.20</var>section 
         <statute_ref>260C.212, subdivision 2</statute_ref>. At any time during the course of juvenile protection <br />
         		<a id="pl.49.21"></a><var>49.21</var>proceedings, the court may order the agency to reopen its search for relatives when
         it is in <br />
         		<a id="pl.49.22"></a><var>49.22</var>the child's best interest to do so.<br />
         		<a id="pl.49.23"></a><var>49.23</var>(b) The relative search required by this section shall include both maternal relatives <br />
         		<a id="pl.49.24"></a><var>49.24</var>and paternal adult relatives of the child; all adult grandparents; all legal parents, guardians <br />
         		<a id="pl.49.25"></a><var>49.25</var>or custodians; the child's siblings; and any other adult relatives suggested by the
         child's <br />
         		<a id="pl.49.26"></a><var>49.26</var>parents, subject to the exceptions due to family violence in paragraph (c). The search shall <br />
         		<a id="pl.49.27"></a><var>49.27</var>also include getting information from the child in an age-appropriate manner about
         who <br />
         		<a id="pl.49.28"></a><var>49.28</var>the child considers to be family members and important friends with whom the child
         has <br />
         		<a id="pl.49.29"></a><var>49.29</var>resided or had significant contact. The relative search required under this section
         must <br />
         		<a id="pl.49.30"></a><var>49.30</var>fulfill the agency's duties under the Indian Child Welfare Act regarding active efforts
         <br />
         		<a id="pl.49.31"></a><var>49.31</var>to prevent the breakup of the Indian family under United States Code, title 25, section
         <br />
         		<a id="pl.49.32"></a><var>49.32</var>1912(d), and to meet placement preferences under United States Code, title 25, section
         <br />
         		<a id="pl.49.33"></a><var>49.33</var>1915. The relatives must be notified:<br />
         		<a id="pl.50.1"></a><var>50.1</var>(1) of the need for a foster home for the child, the option to become a placement
         <br />
         		<a id="pl.50.2"></a><var>50.2</var>resource for the child, and the possibility of the need for a permanent placement
         for the <br />
         		<a id="pl.50.3"></a><var>50.3</var>child;<br />
         		<a id="pl.50.4"></a><var>50.4</var>(2) of their responsibility to keep the responsible social services agency and the
         court <br />
         		<a id="pl.50.5"></a><var>50.5</var>informed of their current address in order to receive notice in the event that a permanent
         <br />
         		<a id="pl.50.6"></a><var>50.6</var>placement is sought for the child and to receive notice of the permanency progress
         review <br />
         		<a id="pl.50.7"></a><var>50.7</var>hearing under section 260C.204. A relative who fails to provide a current address
         to the <br />
         		<a id="pl.50.8"></a><var>50.8</var>responsible social services agency and the court forfeits the right to receive notice
         of the <br />
         		<a id="pl.50.9"></a><var>50.9</var>possibility of permanent placement and of the permanency progress review hearing under
         <br />
         		<a id="pl.50.10"></a><var>50.10</var>section 260C.204. A decision by a relative not to be identified as a potential permanent
         <br />
         		<a id="pl.50.11"></a><var>50.11</var>placement resource or participate in planning for the child at the beginning of the
         case <br />
         		<a id="pl.50.12"></a><var>50.12</var>shall not affect whether the relative is considered for placement of the child with
         that <br />
         		<a id="pl.50.13"></a><var>50.13</var>relative later;<br />
         		<a id="pl.50.14"></a><var>50.14</var>(3) that the relative may participate in the care and planning for the child, including
         <br />
         		<a id="pl.50.15"></a><var>50.15</var>that the opportunity for such participation may be lost by failing to respond to the
         notice <br />
         		<a id="pl.50.16"></a><var>50.16</var>sent under this subdivision. "Participate in the care and planning" includes, but
         is not <br />
         		<a id="pl.50.17"></a><var>50.17</var>limited to, participation in case planning for the parent and child, identifying the
         strengths <br />
         		<a id="pl.50.18"></a><var>50.18</var>and needs of the parent and child, supervising visits, providing respite and vacation
         visits <br />
         		<a id="pl.50.19"></a><var>50.19</var>for the child, providing transportation to appointments, suggesting other relatives
         who <br />
         		<a id="pl.50.20"></a><var>50.20</var>might be able to help support the case plan, and to the extent possible, helping to
         maintain <br />
         		<a id="pl.50.21"></a><var>50.21</var>the child's familiar and regular activities and contact with friends and relatives;<br />
         		<a id="pl.50.22"></a><var>50.22</var>(4) of the family foster care licensing requirements, including how to complete an
         <br />
         		<a id="pl.50.23"></a><var>50.23</var>application and how to request a variance from licensing standards that do not present
         a <br />
         		<a id="pl.50.24"></a><var>50.24</var>safety or health risk to the child in the home under section 
         <statute_ref>245A.04</statute_ref> and supports that are <br />
         		<a id="pl.50.25"></a><var>50.25</var>available for relatives and children who reside in a family foster home; and<br />
         		<a id="pl.50.26"></a><var>50.26</var>&#160;&#160;&#160;&#160;(5) of the relatives' right to ask to be notified of any court proceedings regarding
         <br />
         		<a id="pl.50.27"></a><var>50.27</var>the child, to attend the hearings, and of a relative's right or opportunity to be
         heard by the <br />
         		<a id="pl.50.28"></a><var>50.28</var>court as required under section 
         <statute_ref>260C.152, subdivision 5</statute_ref>.<br />
         		<a id="pl.50.29"></a><var>50.29</var>(b) (c) A responsible social services agency may disclose private data, as defined <br />
         		<a id="pl.50.30"></a><var>50.30</var>in sections 
         <statute_ref>13.02</statute_ref> and 
         <statute_ref>626.556</statute_ref>, to relatives of the child for the purpose of locating and <br />
         		<a id="pl.50.31"></a><var>50.31</var>assessing a suitable placement and may use any reasonable means of identifying and
         <br />
         		<a id="pl.50.32"></a><var>50.32</var>locating relatives including the Internet or other electronic means of conducting
         a search. <br />
         		<a id="pl.50.33"></a><var>50.33</var>The agency shall disclose data that is necessary to facilitate possible placement
         with <br />
         		<a id="pl.50.34"></a><var>50.34</var>relatives and to ensure that the relative is informed of the needs of the child so
         the <br />
         		<a id="pl.50.35"></a><var>50.35</var>relative can participate in planning for the child and be supportive of services to
         the child <br />
         		<a id="pl.50.36"></a><var>50.36</var>and family. If the child's parent refuses to give the responsible social services
         agency <br />
         		<a id="pl.51.1"></a><var>51.1</var>information sufficient to identify the maternal and paternal relatives of the child,
         the <br />
         		<a id="pl.51.2"></a><var>51.2</var>agency shall ask the juvenile court to order the parent to provide the necessary information.
         <br />
         		<a id="pl.51.3"></a><var>51.3</var>If a parent makes an explicit request that a specific relative not be contacted or
         considered <br />
         		<a id="pl.51.4"></a><var>51.4</var>for placement due to safety reasons including past family or domestic violence, the
         agency <br />
         		<a id="pl.51.5"></a><var>51.5</var>shall bring the parent's request to the attention of the court to determine whether
         the <br />
         		<a id="pl.51.6"></a><var>51.6</var>parent's request is consistent with the best interests of the child and the agency
         shall not <br />
         		<a id="pl.51.7"></a><var>51.7</var>contact the specific relative when the juvenile court finds that contacting the specific
         <br />
         		<a id="pl.51.8"></a><var>51.8</var>relative would endanger the parent, guardian, child, sibling, or any family member.<br />
         		<a id="pl.51.9"></a><var>51.9</var>(c) (d) At a regularly scheduled hearing not later than three months after the child's <br />
         		<a id="pl.51.10"></a><var>51.10</var>placement in foster care and as required in section 
         <statute_ref>260C.202</statute_ref>, the agency shall report to <br />
         		<a id="pl.51.11"></a><var>51.11</var>the court:<br />
         		<a id="pl.51.12"></a><var>51.12</var>(1) its efforts to identify maternal and paternal relatives of the child and to engage
         <br />
         		<a id="pl.51.13"></a><var>51.13</var>the relatives in providing support for the child and family, and document that the
         relatives <br />
         		<a id="pl.51.14"></a><var>51.14</var>have been provided the notice required under paragraph (a); and<br />
         		<a id="pl.51.15"></a><var>51.15</var>(2) its decision regarding placing the child with a relative as required under section
         <br />
         		
         <statute_ref><a id="pl.51.16"></a><var>51.16</var>260C.212, subdivision 2
         </statute_ref>, and to ask relatives to visit or maintain contact with the child in <br />
         		<a id="pl.51.17"></a><var>51.17</var>order to support family connections for the child, when placement with a relative
         is not <br />
         		<a id="pl.51.18"></a><var>51.18</var>possible or appropriate.<br />
         		<a id="pl.51.19"></a><var>51.19</var>(d) (e) Notwithstanding chapter 13, the agency shall disclose data about particular <br />
         		<a id="pl.51.20"></a><var>51.20</var>relatives identified, searched for, and contacted for the purposes of the court's
         review of <br />
         		<a id="pl.51.21"></a><var>51.21</var>the agency's due diligence.<br />
         		<a id="pl.51.22"></a><var>51.22</var>(e) (f) When the court is satisfied that the agency has exercised due diligence to <br />
         		<a id="pl.51.23"></a><var>51.23</var>identify relatives and provide the notice required in paragraph (a), the court may
         find that <br />
         		<a id="pl.51.24"></a><var>51.24</var>reasonable efforts have been made to conduct a relative search to identify and provide
         <br />
         		<a id="pl.51.25"></a><var>51.25</var>notice to adult relatives as required under section 
         <statute_ref>260.012</statute_ref>, paragraph (e), clause (3). If the <br />
         		<a id="pl.51.26"></a><var>51.26</var>court is not satisfied that the agency has exercised due diligence to identify relatives
         and <br />
         		<a id="pl.51.27"></a><var>51.27</var>provide the notice required in paragraph (a), the court may order the agency to continue
         its <br />
         		<a id="pl.51.28"></a><var>51.28</var>search and notice efforts and to report back to the court.<br />
         		<a id="pl.51.29"></a><var>51.29</var>(f) (g) When the placing agency determines that permanent placement proceedings <br />
         		<a id="pl.51.30"></a><var>51.30</var>are necessary because there is a likelihood that the child will not return to a parent's
         <br />
         		<a id="pl.51.31"></a><var>51.31</var>care, the agency must send the notice provided in paragraph (g) (h), may ask the court to <br />
         		<a id="pl.51.32"></a><var>51.32</var>modify the duty of the agency to send the notice required in paragraph (g) (h), or may <br />
         		<a id="pl.51.33"></a><var>51.33</var>ask the court to completely relieve the agency of the requirements of paragraph (g) (h). <br />
         		<a id="pl.51.34"></a><var>51.34</var>The relative notification requirements of paragraph (g) (h) do not apply when the child is <br />
         		<a id="pl.51.35"></a><var>51.35</var>placed with an appropriate relative or a foster home that has committed to adopting
         the <br />
         		<a id="pl.51.36"></a><var>51.36</var>child or taking permanent legal and physical custody of the child and the agency approves
         <br />
         		<a id="pl.52.1"></a><var>52.1</var>of that foster home for permanent placement of the child. The actions ordered by the
         <br />
         		<a id="pl.52.2"></a><var>52.2</var>court under this section must be consistent with the best interests, safety, permanency,
         <br />
         		<a id="pl.52.3"></a><var>52.3</var>and welfare of the child.<br />
         		<a id="pl.52.4"></a><var>52.4</var>(g) (h) Unless required under the Indian Child Welfare Act or relieved of this duty <br />
         		<a id="pl.52.5"></a><var>52.5</var>by the court under paragraph (e) (f), when the agency determines that it is necessary to <br />
         		<a id="pl.52.6"></a><var>52.6</var>prepare for permanent placement determination proceedings, or in anticipation of filing
         a <br />
         		<a id="pl.52.7"></a><var>52.7</var>termination of parental rights petition, the agency shall send notice to the relatives,
         any <br />
         		<a id="pl.52.8"></a><var>52.8</var>adult with whom the child is currently residing, any adult with whom the child has
         resided <br />
         		<a id="pl.52.9"></a><var>52.9</var>for one year or longer in the past, and any adults who have maintained a relationship
         or <br />
         		<a id="pl.52.10"></a><var>52.10</var>exercised visitation with the child as identified in the agency case plan. The notice
         must <br />
         		<a id="pl.52.11"></a><var>52.11</var>state that a permanent home is sought for the child and that the individuals receiving
         the <br />
         		<a id="pl.52.12"></a><var>52.12</var>notice may indicate to the agency their interest in providing a permanent home. The
         notice <br />
         		<a id="pl.52.13"></a><var>52.13</var>must state that within 30 days of receipt of the notice an individual receiving the
         notice must <br />
         		<a id="pl.52.14"></a><var>52.14</var>indicate to the agency the individual's interest in providing a permanent home for
         the child <br />
         		<a id="pl.52.15"></a><var>52.15</var>or that the individual may lose the opportunity to be considered for a permanent placement.<br />
         		<br />
         		<a id="bill.1.62.0"></a><a id="pl.52.16"></a><var>52.16</var>&#160;&#160;&#160;&#160;Sec. 62. Minnesota Statutes 2014, section 260C.331, subdivision 1, is amended to read:<br />
         		<a id="pl.52.17"></a><var>52.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Care, examination, or treatment.</b> (a) Except where parental rights <br />
         		<a id="pl.52.18"></a><var>52.18</var>are terminated,<br />
         		<a id="pl.52.19"></a><var>52.19</var>&#160;&#160;&#160;&#160;(1) whenever legal custody of a child is transferred by the court to a responsible
         <br />
         		<a id="pl.52.20"></a><var>52.20</var>social services agency,<br />
         		<a id="pl.52.21"></a><var>52.21</var>&#160;&#160;&#160;&#160;(2) whenever legal custody is transferred to a person other than the responsible social
         <br />
         		<a id="pl.52.22"></a><var>52.22</var>services agency, but under the supervision of the responsible social services agency,
         or<br />
         		<a id="pl.52.23"></a><var>52.23</var>&#160;&#160;&#160;&#160;(3) whenever a child is given physical or mental examinations or treatment under <br />
         		<a id="pl.52.24"></a><var>52.24</var>order of the court, and no provision is otherwise made by law for payment for the
         care, <br />
         		<a id="pl.52.25"></a><var>52.25</var>examination, or treatment of the child, these costs are a charge upon the welfare
         funds of <br />
         		<a id="pl.52.26"></a><var>52.26</var>the county in which proceedings are held upon certification of the judge of juvenile
         court.<br />
         		<a id="pl.52.27"></a><var>52.27</var>&#160;&#160;&#160;&#160;(b) The court shall order, and the responsible social services agency shall require,
         <br />
         		<a id="pl.52.28"></a><var>52.28</var>the parents or custodian of a child, while the child is under the age of 18, to use
         the <br />
         		<a id="pl.52.29"></a><var>52.29</var>total income and resources attributable to the child for the period of care, examination,
         <br />
         		<a id="pl.52.30"></a><var>52.30</var>or treatment, except for clothing and personal needs allowance as provided in section
         <br />
         		
         <statute_ref><a id="pl.52.31"></a><var>52.31</var>256B.35
         </statute_ref>, to reimburse the county for the cost of care, examination, or treatment. Income
         <br />
         		<a id="pl.52.32"></a><var>52.32</var>and resources attributable to the child include, but are not limited to, Social Security
         <br />
         		<a id="pl.52.33"></a><var>52.33</var>benefits, Supplemental Security Income (SSI), veterans benefits, railroad retirement
         <br />
         		<a id="pl.52.34"></a><var>52.34</var>benefits and child support. When the child is over the age of 18, and continues to
         receive <br />
         		<a id="pl.52.35"></a><var>52.35</var>care, examination, or treatment, the court shall order, and the responsible social
         services <br />
         		<a id="pl.53.1"></a><var>53.1</var>agency shall require, reimbursement from the child for the cost of care, examination,
         or <br />
         		<a id="pl.53.2"></a><var>53.2</var>treatment from the income and resources attributable to the child less the clothing
         and <br />
         		<a id="pl.53.3"></a><var>53.3</var>personal needs allowance. Income does not include earnings from a child over the age
         of <br />
         		<a id="pl.53.4"></a><var>53.4</var>18 who is working as part of a plan under section 
         <statute_ref>260C.212, subdivision 1</statute_ref>, paragraph (c), <br />
         		<a id="pl.53.5"></a><var>53.5</var>clause (11) (12), to transition from foster care, or the income and resources from sources <br />
         		<a id="pl.53.6"></a><var>53.6</var>other than Supplemental Security Income and child support that are needed to complete
         <br />
         		<a id="pl.53.7"></a><var>53.7</var>the requirements listed in section 
         <statute_ref>260C.203</statute_ref>.<br />
         		<a id="pl.53.8"></a><var>53.8</var>&#160;&#160;&#160;&#160;(c) If the income and resources attributable to the child are not enough to reimburse
         <br />
         		<a id="pl.53.9"></a><var>53.9</var>the county for the full cost of the care, examination, or treatment, the court shall
         inquire <br />
         		<a id="pl.53.10"></a><var>53.10</var>into the ability of the parents to support the child and, after giving the parents
         a reasonable <br />
         		<a id="pl.53.11"></a><var>53.11</var>opportunity to be heard, the court shall order, and the responsible social services
         agency <br />
         		<a id="pl.53.12"></a><var>53.12</var>shall require, the parents to contribute to the cost of care, examination, or treatment
         of <br />
         		<a id="pl.53.13"></a><var>53.13</var>the child. When determining the amount to be contributed by the parents, the court
         shall <br />
         		<a id="pl.53.14"></a><var>53.14</var>use a fee schedule based upon ability to pay that is established by the responsible
         social <br />
         		<a id="pl.53.15"></a><var>53.15</var>services agency and approved by the commissioner of human services. The income of
         <br />
         		<a id="pl.53.16"></a><var>53.16</var>a stepparent who has not adopted a child shall be excluded in calculating the parental
         <br />
         		<a id="pl.53.17"></a><var>53.17</var>contribution under this section.<br />
         		<a id="pl.53.18"></a><var>53.18</var>&#160;&#160;&#160;&#160;(d) The court shall order the amount of reimbursement attributable to the parents
         <br />
         		<a id="pl.53.19"></a><var>53.19</var>or custodian, or attributable to the child, or attributable to both sources, withheld
         under <br />
         		<a id="pl.53.20"></a><var>53.20</var>chapter 518A from the income of the parents or the custodian of the child. A parent
         or <br />
         		<a id="pl.53.21"></a><var>53.21</var>custodian who fails to pay without good reason may be proceeded against for contempt,
         or <br />
         		<a id="pl.53.22"></a><var>53.22</var>the court may inform the county attorney, who shall proceed to collect the unpaid
         sums, <br />
         		<a id="pl.53.23"></a><var>53.23</var>or both procedures may be used.<br />
         		<a id="pl.53.24"></a><var>53.24</var>&#160;&#160;&#160;&#160;(e) If the court orders a physical or mental examination for a child, the examination
         <br />
         		<a id="pl.53.25"></a><var>53.25</var>is a medically necessary service for purposes of determining whether the service is
         <br />
         		<a id="pl.53.26"></a><var>53.26</var>covered by a health insurance policy, health maintenance contract, or other health
         <br />
         		<a id="pl.53.27"></a><var>53.27</var>coverage plan. Court-ordered treatment shall be subject to policy, contract, or plan
         <br />
         		<a id="pl.53.28"></a><var>53.28</var>requirements for medical necessity. Nothing in this paragraph changes or eliminates
         <br />
         		<a id="pl.53.29"></a><var>53.29</var>benefit limits, conditions of coverage, co-payments or deductibles, provider restrictions,
         <br />
         		<a id="pl.53.30"></a><var>53.30</var>or other requirements in the policy, contract, or plan that relate to coverage of
         other <br />
         		<a id="pl.53.31"></a><var>53.31</var>medically necessary services.<br />
         		<a id="pl.53.32"></a><var>53.32</var>(f) Notwithstanding paragraph (b), (c), or (d), a parent, custodian, or guardian of
         the <br />
         		<a id="pl.53.33"></a><var>53.33</var>child is not required to use income and resources attributable to the child to reimburse
         <br />
         		<a id="pl.53.34"></a><var>53.34</var>the county for costs of care and is not required to contribute to the cost of care
         of the <br />
         		<a id="pl.53.35"></a><var>53.35</var>child during any period of time when the child is returned to the home of that parent,
         <br />
         		<a id="pl.54.1"></a><var>54.1</var>custodian, or guardian pursuant to a trial home visit under section 
         <statute_ref>260C.201, subdivision <br />
            		<a id="pl.54.2"></a><var>54.2</var>1
         </statute_ref>, paragraph (a).<br />
         		<br />
         		<a id="bill.1.63.0"></a><a id="pl.54.3"></a><var>54.3</var>&#160;&#160;&#160;&#160;Sec. 63. Minnesota Statutes 2014, section 260C.451, subdivision 2, is amended to read:<br />
         		<a id="pl.54.4"></a><var>54.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Independent living plan.</b> Upon the request of any child in foster care <br />
         		<a id="pl.54.5"></a><var>54.5</var>immediately prior to the child's 18th birthday and who is in foster care at the time
         <br />
         		<a id="pl.54.6"></a><var>54.6</var>of the request, the responsible social services agency shall, in conjunction with
         the <br />
         		<a id="pl.54.7"></a><var>54.7</var>child and other appropriate parties, update the independent living plan required under
         <br />
         		<a id="pl.54.8"></a><var>54.8</var>section 
         <statute_ref>260C.212</statute_ref>, subdivision 1, paragraph (c), clause (11) (12), related to the child's <br />
         		<a id="pl.54.9"></a><var>54.9</var>employment, vocational, educational, social, or maturational needs. The agency shall
         <br />
         		<a id="pl.54.10"></a><var>54.10</var>provide continued services and foster care for the child including those services
         that are <br />
         		<a id="pl.54.11"></a><var>54.11</var>necessary to implement the independent living plan.<br />
         		<br />
         		<a id="bill.1.64.0"></a><a id="pl.54.12"></a><var>54.12</var>&#160;&#160;&#160;&#160;Sec. 64. Minnesota Statutes 2014, section 260C.451, subdivision 6, is amended to read:<br />
         		<a id="pl.54.13"></a><var>54.13</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Reentering foster care and accessing services after age 18.</b> (a) <br />
         		<a id="pl.54.14"></a><var>54.14</var>Upon request of an individual between the ages of 18 and 21 who had been under the
         <br />
         		<a id="pl.54.15"></a><var>54.15</var>guardianship of the commissioner and who has left foster care without being adopted,
         the <br />
         		<a id="pl.54.16"></a><var>54.16</var>responsible social services agency which had been the commissioner's agent for purposes
         <br />
         		<a id="pl.54.17"></a><var>54.17</var>of the guardianship shall develop with the individual a plan to increase the individual's
         <br />
         		<a id="pl.54.18"></a><var>54.18</var>ability to live safely and independently using the plan requirements of section 
         <statute_ref>260C.212, <br />
            		<a id="pl.54.19"></a><var>54.19</var>subdivision 1
         </statute_ref>, paragraph (b) (c), clause (11) (12), and to assist the individual to meet <br />
         		<a id="pl.54.20"></a><var>54.20</var>one or more of the eligibility criteria in subdivision 4 if the individual wants to
         reenter <br />
         		<a id="pl.54.21"></a><var>54.21</var>foster care. The agency shall provide foster care as required to implement the plan.
         The <br />
         		<a id="pl.54.22"></a><var>54.22</var>agency shall enter into a voluntary placement agreement under section 
         <statute_ref>260C.229</statute_ref> with the <br />
         		<a id="pl.54.23"></a><var>54.23</var>individual if the plan includes foster care.<br />
         		<a id="pl.54.24"></a><var>54.24</var>(b) Individuals who had not been under the guardianship of the commissioner of <br />
         		<a id="pl.54.25"></a><var>54.25</var>human services prior to age 18 and are between the ages of 18 and 21 may ask to reenter
         <br />
         		<a id="pl.54.26"></a><var>54.26</var>foster care after age 18 and, to the extent funds are available, the responsible social
         <br />
         		<a id="pl.54.27"></a><var>54.27</var>services agency that had responsibility for planning for the individual before discharge
         <br />
         		<a id="pl.54.28"></a><var>54.28</var>from foster care may provide foster care or other services to the individual for the
         purpose <br />
         		<a id="pl.54.29"></a><var>54.29</var>of increasing the individual's ability to live safely and independently and to meet
         the <br />
         		<a id="pl.54.30"></a><var>54.30</var>eligibility criteria in subdivision 3a, if the individual:<br />
         		<a id="pl.54.31"></a><var>54.31</var>(1) was in foster care for the six consecutive months prior to the person's 18th <br />
         		<a id="pl.54.32"></a><var>54.32</var>birthday and was not discharged home, adopted, or received into a relative's home
         under a <br />
         		<a id="pl.54.33"></a><var>54.33</var>transfer of permanent legal and physical custody under section 
         <statute_ref>260C.515, subdivision 4</statute_ref>; or<br />
         		<a id="pl.54.34"></a><var>54.34</var>(2) was discharged from foster care while on runaway status after age 15.<br />
         		<a id="pl.55.1"></a><var>55.1</var>(c) In conjunction with a qualifying and eligible individual under paragraph (b) and
         <br />
         		<a id="pl.55.2"></a><var>55.2</var>other appropriate persons, the responsible social services agency shall develop a
         specific <br />
         		<a id="pl.55.3"></a><var>55.3</var>plan related to that individual's vocational, educational, social, or maturational
         needs <br />
         		<a id="pl.55.4"></a><var>55.4</var>and, to the extent funds are available, provide foster care as required to implement
         the <br />
         		<a id="pl.55.5"></a><var>55.5</var>plan. The agency shall enter into a voluntary placement agreement with the individual
         <br />
         		<a id="pl.55.6"></a><var>55.6</var>if the plan includes foster care.<br />
         		<a id="pl.55.7"></a><var>55.7</var>(d) Youth who left foster care while under guardianship of the commissioner of <br />
         		<a id="pl.55.8"></a><var>55.8</var>human services retain eligibility for foster care for placement at any time between
         the <br />
         		<a id="pl.55.9"></a><var>55.9</var>ages of 18 and 21.<br />
         		<br />
         		<a id="bill.1.65.0"></a><a id="pl.55.10"></a><var>55.10</var>&#160;&#160;&#160;&#160;Sec. 65. Minnesota Statutes 2014, section 260C.515, subdivision 5, is amended to read:<br />
         		<a id="pl.55.11"></a><var>55.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Permanent custody to agency.</b> The court may order permanent custody to <br />
         		<a id="pl.55.12"></a><var>55.12</var>the responsible social services agency for continued placement of the child in foster
         care <br />
         		<a id="pl.55.13"></a><var>55.13</var>but only if it approves the responsible social services agency's compelling reasons
         that no <br />
         		<a id="pl.55.14"></a><var>55.14</var>other permanency disposition order is in the child's best interests and:<br />
         		<a id="pl.55.15"></a><var>55.15</var>(1) the child has reached age 12 16 and has been asked about the child's desired <br />
         		<a id="pl.55.16"></a><var>55.16</var>permanency outcome;<br />
         		<a id="pl.55.17"></a><var>55.17</var>(2) the child is a sibling of a child described in clause (1) and the siblings have
         a <br />
         		<a id="pl.55.18"></a><var>55.18</var>significant positive relationship and are ordered into the same foster home;<br />
         		<a id="pl.55.19"></a><var>55.19</var>(3) (2) the responsible social services agency has made reasonable efforts to locate <br />
         		<a id="pl.55.20"></a><var>55.20</var>and place the child with an adoptive family or a fit and willing relative who would
         either <br />
         		<a id="pl.55.21"></a><var>55.21</var>agree to adopt the child or to a transfer of permanent legal and physical custody
         of the <br />
         		<a id="pl.55.22"></a><var>55.22</var>child, but these efforts have not proven successful; and<br />
         		<a id="pl.55.23"></a><var>55.23</var>(4) (3) the parent will continue to have visitation or contact with the child and will <br />
         		<a id="pl.55.24"></a><var>55.24</var>remain involved in planning for the child.<br />
         		<br />
         		<a id="bill.1.66.0"></a><a id="pl.55.25"></a><var>55.25</var>&#160;&#160;&#160;&#160;Sec. 66. Minnesota Statutes 2014, section 260C.521, subdivision 1, is amended to read:<br />
         		<a id="pl.55.26"></a><var>55.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Child in permanent custody of responsible social services agency.</b><br />
         		 <a id="pl.55.27"></a><var>55.27</var>(a) Court reviews of an order for permanent custody to the responsible social services
         <br />
         		<a id="pl.55.28"></a><var>55.28</var>agency for placement of the child in foster care must be conducted at least yearly
         at an <br />
         		<a id="pl.55.29"></a><var>55.29</var>in-court appearance hearing.<br />
         		<a id="pl.55.30"></a><var>55.30</var>(b) The purpose of the review hearing is to ensure:<br />
         		<a id="pl.55.31"></a><var>55.31</var>(1) the order for permanent custody to the responsible social services agency for
         <br />
         		<a id="pl.55.32"></a><var>55.32</var>placement of the child in foster care continues to be in the best interests of the
         child and <br />
         		<a id="pl.55.33"></a><var>55.33</var>that no other permanency disposition order is in the best interests of the child;<br />
         		<a id="pl.56.1"></a><var>56.1</var>(2) that the agency is assisting the child to build connections to the child's family
         <br />
         		<a id="pl.56.2"></a><var>56.2</var>and community; and<br />
         		<a id="pl.56.3"></a><var>56.3</var>(3) that the agency is appropriately planning with the child for development of <br />
         		<a id="pl.56.4"></a><var>56.4</var>independent living skills for the child and, as appropriate, for the orderly and successful
         <br />
         		<a id="pl.56.5"></a><var>56.5</var>transition to independent living that may occur if the child continues in foster care
         without <br />
         		<a id="pl.56.6"></a><var>56.6</var>another permanency disposition order.<br />
         		<a id="pl.56.7"></a><var>56.7</var>(c) The court must review the child's out-of-home placement plan and the reasonable
         <br />
         		<a id="pl.56.8"></a><var>56.8</var>efforts of the agency to finalize an alternative permanent plan for the child including
         the <br />
         		<a id="pl.56.9"></a><var>56.9</var>agency's efforts to:<br />
         		<a id="pl.56.10"></a><var>56.10</var>(1) ensure that permanent custody to the agency with placement of the child in <br />
         		<a id="pl.56.11"></a><var>56.11</var>foster care continues to be the most appropriate legal arrangement for meeting the
         child's <br />
         		<a id="pl.56.12"></a><var>56.12</var>need for permanency and stability or, if not, to identify and attempt to finalize
         another <br />
         		<a id="pl.56.13"></a><var>56.13</var>permanency disposition order under this chapter that would better serve the child's
         needs <br />
         		<a id="pl.56.14"></a><var>56.14</var>and best interests;<br />
         		<a id="pl.56.15"></a><var>56.15</var>(2) identify a specific foster home for the child, if one has not already been identified;<br />
         		<a id="pl.56.16"></a><var>56.16</var>(3) support continued placement of the child in the identified home, if one has been
         <br />
         		<a id="pl.56.17"></a><var>56.17</var>identified;<br />
         		<a id="pl.56.18"></a><var>56.18</var>(4) ensure appropriate services are provided to address the physical health, mental
         <br />
         		<a id="pl.56.19"></a><var>56.19</var>health, and educational needs of the child during the period of foster care and also
         ensure <br />
         		<a id="pl.56.20"></a><var>56.20</var>appropriate services or assistance to maintain relationships with appropriate family
         <br />
         		<a id="pl.56.21"></a><var>56.21</var>members and the child's community; and<br />
         		<a id="pl.56.22"></a><var>56.22</var>(5) plan for the child's independence upon the child's leaving foster care living
         as <br />
         		<a id="pl.56.23"></a><var>56.23</var>required under section 
         <statute_ref>260C.212, subdivision 1</statute_ref>.<br />
         		<a id="pl.56.24"></a><var>56.24</var>(d) The court may find that the agency has made reasonable efforts to finalize the
         <br />
         		<a id="pl.56.25"></a><var>56.25</var>permanent plan for the child when:<br />
         		<a id="pl.56.26"></a><var>56.26</var>(1) the agency has made reasonable efforts to identify a more legally permanent <br />
         		<a id="pl.56.27"></a><var>56.27</var>home for the child than is provided by an order for permanent custody to the agency
         <br />
         		<a id="pl.56.28"></a><var>56.28</var>for placement in foster care; and<br />
         		<a id="pl.56.29"></a><var>56.29</var>(2) the child has been asked about the child's desired permanency outcome; and<br />
         		<a id="pl.56.30"></a><var>56.30</var>(2) (3) the agency's engagement of the child in planning for independent living is <br />
         		<a id="pl.56.31"></a><var>56.31</var>reasonable and appropriate.<br />
         		<br />
         		<a id="bill.1.67.0"></a><a id="pl.56.32"></a><var>56.32</var>&#160;&#160;&#160;&#160;Sec. 67. Minnesota Statutes 2014, section 260C.521, subdivision 2, is amended to read:<br />
         		<a id="pl.56.33"></a><var>56.33</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Modifying order for permanent legal and physical custody to a </b><br />
         		<a id="pl.56.34"></a><var>56.34</var><b>relative.</b> (a) An order for a relative to have permanent legal and physical custody of a <br />
         		<a id="pl.56.35"></a><var>56.35</var>child may be modified using standards under sections 
         <statute_ref>518.18</statute_ref> and 
         <statute_ref>518.185</statute_ref>.<br />
         		<a id="pl.57.1"></a><var>57.1</var>(b) When a child is receiving Northstar kinship assistance under chapter 256N, if
         <br />
         		<a id="pl.57.2"></a><var>57.2</var>a relative named as permanent legal and physical custodian in an order made under
         this <br />
         		<a id="pl.57.3"></a><var>57.3</var>chapter becomes incapacitated or dies, a successor custodian named in the Northstar
         <br />
         		<a id="pl.57.4"></a><var>57.4</var>Care for Children kinship assistance benefit agreement under section 256N.25 may file
         <br />
         		<a id="pl.57.5"></a><var>57.5</var>a request to modify the order for permanent legal and physical custody to name the
         <br />
         		<a id="pl.57.6"></a><var>57.6</var>successor custodian as the permanent legal and physical custodian of the child. The
         court <br />
         		<a id="pl.57.7"></a><var>57.7</var>may modify the order to name the successor custodian as the permanent legal and physical
         <br />
         		<a id="pl.57.8"></a><var>57.8</var>custodian upon reviewing the background study required under section 245C.33 if the
         <br />
         		<a id="pl.57.9"></a><var>57.9</var>court finds the modification is in the child's best interests.<br />
         		<a id="pl.57.10"></a><var>57.10</var>(c) The social services agency is a party to the proceeding and must receive notice.<br />
         		<br />
         		<a id="bill.1.68.0"></a><a id="pl.57.11"></a><var>57.11</var>&#160;&#160;&#160;&#160;Sec. 68. Minnesota Statutes 2014, section 260C.607, subdivision 4, is amended to read:<br />
         		<a id="pl.57.12"></a><var>57.12</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Content of review.</b> (a) The court shall review:<br />
         		<a id="pl.57.13"></a><var>57.13</var>(1) the agency's reasonable efforts under section 
         <statute_ref>260C.605</statute_ref> to finalize an adoption <br />
         		<a id="pl.57.14"></a><var>57.14</var>for the child as appropriate to the stage of the case; and<br />
         		<a id="pl.57.15"></a><var>57.15</var>(2) the child's current out-of-home placement plan required under section 
         <statute_ref>260C.212</statute_ref>, <br />
         		<a id="pl.57.16"></a><var>57.16</var>subdivision 1, to ensure the child is receiving all services and supports required
         to meet <br />
         		<a id="pl.57.17"></a><var>57.17</var>the child's needs as they relate to the child's:<br />
         		<a id="pl.57.18"></a><var>57.18</var>(i) placement;<br />
         		<a id="pl.57.19"></a><var>57.19</var>(ii) visitation and contact with siblings;<br />
         		<a id="pl.57.20"></a><var>57.20</var>(iii) visitation and contact with relatives;<br />
         		<a id="pl.57.21"></a><var>57.21</var>(iv) medical, mental, and dental health; and<br />
         		<a id="pl.57.22"></a><var>57.22</var>(v) education.<br />
         		<a id="pl.57.23"></a><var>57.23</var>(b) When the child is age 16 14 and older, and as long as the child continues in foster <br />
         		<a id="pl.57.24"></a><var>57.24</var>care, the court shall also review the agency's planning for the child's independent
         living <br />
         		<a id="pl.57.25"></a><var>57.25</var>after leaving foster care including how the agency is meeting the requirements of
         section <br />
         		
         <statute_ref><a id="pl.57.26"></a><var>57.26</var>260C.212, subdivision 1
         </statute_ref>, paragraph (c), clause (11) (12). The court shall use the review <br />
         		<a id="pl.57.27"></a><var>57.27</var>requirements of section 
         <statute_ref>260C.203</statute_ref> in any review conducted under this paragraph.<br />
         		<br />
         		<a id="bill.1.69.0"></a><a id="pl.57.28"></a><var>57.28</var>&#160;&#160;&#160;&#160;Sec. 69. Minnesota Statutes 2014, section 518A.26, subdivision 14, is amended to read:<br />
         		<a id="pl.57.29"></a><var>57.29</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Obligor.</b> "Obligor" means a person obligated to pay maintenance or <br />
         		<a id="pl.57.30"></a><var>57.30</var>support. A person who has primary physical custody of a child is presumed not to be <br />
         		<a id="pl.57.31"></a><var>57.31</var>an obligor for purposes of a child support order under section 
         <statute_ref>518A.34</statute_ref>, unless section <br />
         		<a id="pl.57.32"></a><var>57.32</var><statute_ref>518A.36</statute_ref>, subdivision 3, applies or the court makes specific written findings to overcome
         <br />
         		<a id="pl.57.33"></a><var>57.33</var>this presumption. For purposes of ordering medical support under section 
         <statute_ref>518A.41</statute_ref>, a <br />
         		<a id="pl.58.1"></a><var>58.1</var>parent who has primary physical custody of a child may be an obligor subject to a
         payment <br />
         		<a id="pl.58.2"></a><var>58.2</var>agreement under section 
         <statute_ref>518A.69</statute_ref>.<br />
         		<a id="pl.58.3"></a><var>58.3</var><b>EFFECTIVE DATE.</b>This section is effective March 1, 2016.<br />
         		<br />
         		<a id="bill.1.70.0"></a><a id="pl.58.4"></a><var>58.4</var>&#160;&#160;&#160;&#160;Sec. 70. Minnesota Statutes 2014, section 518A.32, subdivision 2, is amended to read:<br />
         		<a id="pl.58.5"></a><var>58.5</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Methods.</b> Determination of potential income must be made according <br />
         		<a id="pl.58.6"></a><var>58.6</var>to one of three methods, as appropriate:<br />
         		<a id="pl.58.7"></a><var>58.7</var>(1) the parent's probable earnings level based on employment potential, recent <br />
         		<a id="pl.58.8"></a><var>58.8</var>work history, and occupational qualifications in light of prevailing job opportunities
         and <br />
         		<a id="pl.58.9"></a><var>58.9</var>earnings levels in the community;<br />
         		<a id="pl.58.10"></a><var>58.10</var>(2) if a parent is receiving unemployment compensation or workers' compensation, <br />
         		<a id="pl.58.11"></a><var>58.11</var>that parent's income may be calculated using the actual amount of the unemployment
         <br />
         		<a id="pl.58.12"></a><var>58.12</var>compensation or workers' compensation benefit received; or<br />
         		<a id="pl.58.13"></a><var>58.13</var>(3) the amount of income a parent could earn working full time at 150 30 hours per <br />
         		<a id="pl.58.14"></a><var>58.14</var>week at 100 percent of the current federal or state minimum wage, whichever is higher.<br />
         		<a id="pl.58.15"></a><var>58.15</var><b>EFFECTIVE DATE.</b>This section is effective March 1, 2016.<br />
         		<br />
         		<a id="bill.1.71.0"></a><a id="pl.58.16"></a><var>58.16</var>&#160;&#160;&#160;&#160;Sec. 71. Minnesota Statutes 2014, section 518A.39, subdivision 1, is amended to read:<br />
         		<a id="pl.58.17"></a><var>58.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authority.</b> After an order under this chapter or chapter 518 for <br />
         		<a id="pl.58.18"></a><var>58.18</var>maintenance or support money, temporary or permanent, or for the appointment of trustees
         <br />
         		<a id="pl.58.19"></a><var>58.19</var>to receive property awarded as maintenance or support money, the court may from time
         to <br />
         		<a id="pl.58.20"></a><var>58.20</var>time, on motion of either of the parties, a copy of which is served on the public
         authority <br />
         		<a id="pl.58.21"></a><var>58.21</var>responsible for child support enforcement if payments are made through it, or on motion
         <br />
         		<a id="pl.58.22"></a><var>58.22</var>of the public authority responsible for support enforcement, modify the order respecting
         <br />
         		<a id="pl.58.23"></a><var>58.23</var>the amount of maintenance or support money or medical support, and the payment of it, <br />
         		<a id="pl.58.24"></a><var>58.24</var>and also respecting the appropriation and payment of the principal and income of property
         <br />
         		<a id="pl.58.25"></a><var>58.25</var>held in trust, and may make an order respecting these matters which it might have
         made <br />
         		<a id="pl.58.26"></a><var>58.26</var>in the original proceeding, except as herein otherwise provided. A party or the public
         <br />
         		<a id="pl.58.27"></a><var>58.27</var>authority also may bring a motion for contempt of court if the obligor is in arrears
         in <br />
         		<a id="pl.58.28"></a><var>58.28</var>support or maintenance payments.<br />
         		<a id="pl.58.29"></a><var>58.29</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.1.72.0"></a><a id="pl.58.30"></a><var>58.30</var>&#160;&#160;&#160;&#160;Sec. 72. Minnesota Statutes 2014, section 518A.39, is amended by adding a <br />
         		<a id="pl.58.31"></a><var>58.31</var>subdivision to read:<br />
         		<a id="pl.59.1"></a><var>59.1</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Medical support-only modification.</b> (a) The medical support terms of <br />
         		<a id="pl.59.2"></a><var>59.2</var>a support order and determination of the child dependency tax credit may be modified
         <br />
         		<a id="pl.59.3"></a><var>59.3</var>without modification of the full order for support or maintenance, if the order has
         been <br />
         		<a id="pl.59.4"></a><var>59.4</var>established or modified in its entirety within three years from the date of the motion,
         and <br />
         		<a id="pl.59.5"></a><var>59.5</var>upon a showing of one or more of the following:<br />
         		<a id="pl.59.6"></a><var>59.6</var>(1) a change in the availability of appropriate health care coverage or a substantial
         <br />
         		<a id="pl.59.7"></a><var>59.7</var>increase or decrease in health care coverage costs;<br />
         		<a id="pl.59.8"></a><var>59.8</var>(2) a change in the eligibility for medical assistance under chapter 256B;<br />
         		<a id="pl.59.9"></a><var>59.9</var>(3) a party's failure to carry court-ordered coverage, or to provide other medical
         <br />
         		<a id="pl.59.10"></a><var>59.10</var>support as ordered;<br />
         		<a id="pl.59.11"></a><var>59.11</var>(4) the federal child dependency tax credit is not ordered for the same parent who
         is <br />
         		<a id="pl.59.12"></a><var>59.12</var>ordered to carry health care coverage; or<br />
         		<a id="pl.59.13"></a><var>59.13</var>(5) the federal child dependency tax credit is not addressed in the order and the
         <br />
         		<a id="pl.59.14"></a><var>59.14</var>noncustodial parent is ordered to carry health care coverage.<br />
         		<a id="pl.59.15"></a><var>59.15</var>(b) For a motion brought under this subdivision, a modification of the medical <br />
         		<a id="pl.59.16"></a><var>59.16</var>support terms of an order may be made retroactive only with respect to any period
         during <br />
         		<a id="pl.59.17"></a><var>59.17</var>which the petitioning party has pending a motion for modification, but only from the
         date <br />
         		<a id="pl.59.18"></a><var>59.18</var>of service of notice of the motion on the responding party and on the public authority
         if <br />
         		<a id="pl.59.19"></a><var>59.19</var>public assistance is being furnished or the county attorney is the attorney of record.<br />
         		<a id="pl.59.20"></a><var>59.20</var>(c) The court need not hold an evidentiary hearing on a motion brought under this
         <br />
         		<a id="pl.59.21"></a><var>59.21</var>subdivision for modification of medical support only.<br />
         		<a id="pl.59.22"></a><var>59.22</var>(d) Sections 518.14 and 518A.735 shall govern the award of attorney fees for <br />
         		<a id="pl.59.23"></a><var>59.23</var>motions brought under this subdivision.<br />
         		<a id="pl.59.24"></a><var>59.24</var>(e) The PICS originally stated in the order being modified shall be used to determine
         <br />
         		<a id="pl.59.25"></a><var>59.25</var>the modified medical support order under section 518A.41 for motions brought under
         <br />
         		<a id="pl.59.26"></a><var>59.26</var>this subdivision.<br />
         		<a id="pl.59.27"></a><var>59.27</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.1.73.0"></a><a id="pl.59.28"></a><var>59.28</var>&#160;&#160;&#160;&#160;Sec. 73. Minnesota Statutes 2014, section 518A.41, subdivision 1, is amended to read:<br />
         		<a id="pl.59.29"></a><var>59.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> The definitions in this subdivision apply to this chapter <br />
         		<a id="pl.59.30"></a><var>59.30</var>and chapter 518.<br />
         		<a id="pl.59.31"></a><var>59.31</var>&#160;&#160;&#160;&#160;(a) "Health care coverage" means medical, dental, or other health care benefits that
         <br />
         		<a id="pl.59.32"></a><var>59.32</var>are provided by one or more health plans. Health care coverage does not include any
         <br />
         		<a id="pl.59.33"></a><var>59.33</var>form of public coverage.<br />
         		<a id="pl.59.34"></a><var>59.34</var>&#160;&#160;&#160;&#160;(b) "Health carrier" means a carrier as defined in sections 
         <statute_ref>62A.011, subdivision <br />
            		<a id="pl.59.35"></a><var>59.35</var>2
         </statute_ref>, and 
         <statute_ref>62L.02, subdivision 16</statute_ref>.<br />
         		<a id="pl.60.1"></a><var>60.1</var>&#160;&#160;&#160;&#160;(c) "Health plan" means a plan, other than any form of public coverage, that provides
         <br />
         		<a id="pl.60.2"></a><var>60.2</var>medical, dental, or other health care benefits and is:<br />
         		<a id="pl.60.3"></a><var>60.3</var>&#160;&#160;&#160;&#160;(1) provided on an individual or group basis;<br />
         		<a id="pl.60.4"></a><var>60.4</var>&#160;&#160;&#160;&#160;(2) provided by an employer or union;<br />
         		<a id="pl.60.5"></a><var>60.5</var>&#160;&#160;&#160;&#160;(3) purchased in the private market; or<br />
         		<a id="pl.60.6"></a><var>60.6</var>&#160;&#160;&#160;&#160;(4) available to a person eligible to carry insurance for the joint child, including
         a <br />
         		<a id="pl.60.7"></a><var>60.7</var>party's spouse or parent.<br />
         		<a id="pl.60.8"></a><var>60.8</var>Health plan includes, but is not limited to, a plan meeting the definition under section
         <br />
         		
         <statute_ref><a id="pl.60.9"></a><var>60.9</var>62A.011, subdivision 3
         </statute_ref>, except that the exclusion of coverage designed solely to provide <br />
         		<a id="pl.60.10"></a><var>60.10</var>dental or vision care under section 
         <statute_ref>62A.011, subdivision 3</statute_ref>, clause (6), does not apply to <br />
         		<a id="pl.60.11"></a><var>60.11</var>the definition of health plan under this section; a group health plan governed under
         the <br />
         		<a id="pl.60.12"></a><var>60.12</var>federal Employee Retirement Income Security Act of 1974 (ERISA); a self-insured plan
         <br />
         		<a id="pl.60.13"></a><var>60.13</var>under sections 
         <statute_ref>43A.23</statute_ref> to 
         <statute_ref>43A.317</statute_ref> and 
         <statute_ref>471.617</statute_ref>; and a policy, contract, or certificate issued <br />
         		<a id="pl.60.14"></a><var>60.14</var>by a community-integrated service network licensed under chapter 62N.<br />
         		<a id="pl.60.15"></a><var>60.15</var>&#160;&#160;&#160;&#160;(d) "Medical support" means providing health care coverage for a joint child by <br />
         		<a id="pl.60.16"></a><var>60.16</var>carrying health care coverage for the joint child or by contributing to the cost of
         health <br />
         		<a id="pl.60.17"></a><var>60.17</var>care coverage, public coverage, unreimbursed medical expenses, and uninsured medical
         <br />
         		<a id="pl.60.18"></a><var>60.18</var>expenses of the joint child.<br />
         		<a id="pl.60.19"></a><var>60.19</var>&#160;&#160;&#160;&#160;(e) "National medical support notice" means an administrative notice issued by the
         <br />
         		<a id="pl.60.20"></a><var>60.20</var>public authority to enforce health insurance provisions of a support order in accordance
         <br />
         		<a id="pl.60.21"></a><var>60.21</var>with Code of Federal Regulations, title 45, section 303.32, in cases where the public
         <br />
         		<a id="pl.60.22"></a><var>60.22</var>authority provides support enforcement services.<br />
         		<a id="pl.60.23"></a><var>60.23</var>&#160;&#160;&#160;&#160;(f) "Public coverage" means health care benefits provided by any form of medical <br />
         		<a id="pl.60.24"></a><var>60.24</var>assistance under chapter 256B or MinnesotaCare under chapter 256L. Public coverage <br />
         		<a id="pl.60.25"></a><var>60.25</var>does not include MinnesotaCare or health plans subsidized by federal premium tax credits
         <br />
         		<a id="pl.60.26"></a><var>60.26</var>or federal cost-sharing reductions.<br />
         		<a id="pl.60.27"></a><var>60.27</var>&#160;&#160;&#160;&#160;(g) "Uninsured medical expenses" means a joint child's reasonable and necessary <br />
         		<a id="pl.60.28"></a><var>60.28</var>health-related expenses if the joint child is not covered by a health plan or public
         coverage <br />
         		<a id="pl.60.29"></a><var>60.29</var>when the expenses are incurred.<br />
         		<a id="pl.60.30"></a><var>60.30</var>&#160;&#160;&#160;&#160;(h) "Unreimbursed medical expenses" means a joint child's reasonable and necessary
         <br />
         		<a id="pl.60.31"></a><var>60.31</var>health-related expenses if a joint child is covered by a health plan or public coverage
         and <br />
         		<a id="pl.60.32"></a><var>60.32</var>the plan or coverage does not pay for the total cost of the expenses when the expenses
         <br />
         		<a id="pl.60.33"></a><var>60.33</var>are incurred. Unreimbursed medical expenses do not include the cost of premiums. <br />
         		<a id="pl.60.34"></a><var>60.34</var>Unreimbursed medical expenses include, but are not limited to, deductibles, co-payments,
         <br />
         		<a id="pl.60.35"></a><var>60.35</var>and expenses for orthodontia, and prescription eyeglasses and contact lenses, but
         not <br />
         		<a id="pl.60.36"></a><var>60.36</var>over-the-counter medications if coverage is under a health plan.<br />
         		<br />
         		<a id="bill.1.74.0"></a><a id="pl.61.1"></a><var>61.1</var>&#160;&#160;&#160;&#160;Sec. 74. Minnesota Statutes 2014, section 518A.41, subdivision 3, is amended to read:<br />
         		<a id="pl.61.2"></a><var>61.2</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Determining appropriate health care coverage.</b>  In determining whether <br />
         		<a id="pl.61.3"></a><var>61.3</var>a parent has appropriate health care coverage for the joint child, the court must
         consider <br />
         		<a id="pl.61.4"></a><var>61.4</var>the following factors:<br />
         		<a id="pl.61.5"></a><var>61.5</var>&#160;&#160;&#160;&#160;(1) comprehensiveness of health care coverage providing medical benefits. <br />
         		<a id="pl.61.6"></a><var>61.6</var>Dependent health care coverage providing medical benefits is presumed comprehensive
         if <br />
         		<a id="pl.61.7"></a><var>61.7</var>it includes medical and hospital coverage and provides for preventive, emergency,
         acute, <br />
         		<a id="pl.61.8"></a><var>61.8</var>and chronic care; or if it meets the minimum essential coverage definition in United States <br />
         		<a id="pl.61.9"></a><var>61.9</var>Code, title 26, section 5000A(f). If both parents have health care coverage providing <br />
         		<a id="pl.61.10"></a><var>61.10</var>medical benefits that is presumed comprehensive under this paragraph, the court must
         <br />
         		<a id="pl.61.11"></a><var>61.11</var>determine which parent's coverage is more comprehensive by considering what other
         <br />
         		<a id="pl.61.12"></a><var>61.12</var>benefits are included in the coverage;<br />
         		<a id="pl.61.13"></a><var>61.13</var>&#160;&#160;&#160;&#160;(2) accessibility. Dependent health care coverage is accessible if the covered joint
         <br />
         		<a id="pl.61.14"></a><var>61.14</var>child can obtain services from a health plan provider with reasonable effort by the
         parent <br />
         		<a id="pl.61.15"></a><var>61.15</var>with whom the joint child resides. Health care coverage is presumed accessible if:<br />
         		<a id="pl.61.16"></a><var>61.16</var>&#160;&#160;&#160;&#160;(i) primary care is available within 30 minutes or 30 miles of the joint child's residence
         <br />
         		<a id="pl.61.17"></a><var>61.17</var>and specialty care is available within 60 minutes or 60 miles of the joint child's
         residence;<br />
         		<a id="pl.61.18"></a><var>61.18</var>&#160;&#160;&#160;&#160;(ii) the health care coverage is available through an employer and the employee can
         <br />
         		<a id="pl.61.19"></a><var>61.19</var>be expected to remain employed for a reasonable amount of time; and<br />
         		<a id="pl.61.20"></a><var>61.20</var>&#160;&#160;&#160;&#160;(iii) no preexisting conditions exist to unduly delay enrollment in health care <br />
         		<a id="pl.61.21"></a><var>61.21</var>coverage;<br />
         		<a id="pl.61.22"></a><var>61.22</var>&#160;&#160;&#160;&#160;(3) the joint child's special medical needs, if any; and<br />
         		<a id="pl.61.23"></a><var>61.23</var>&#160;&#160;&#160;&#160;(4) affordability. Dependent health care coverage is affordable if it is reasonable
         <br />
         		<a id="pl.61.24"></a><var>61.24</var>in cost. If both parents have health care coverage available for a joint child that
         is <br />
         		<a id="pl.61.25"></a><var>61.25</var>comparable with regard to comprehensiveness of medical benefits, accessibility, and
         the <br />
         		<a id="pl.61.26"></a><var>61.26</var>joint child's special needs, the least costly health care coverage is presumed to
         be the most <br />
         		<a id="pl.61.27"></a><var>61.27</var>appropriate health care coverage for the joint child.<br />
         		<br />
         		<a id="bill.1.75.0"></a><a id="pl.61.28"></a><var>61.28</var>&#160;&#160;&#160;&#160;Sec. 75. Minnesota Statutes 2014, section 518A.41, subdivision 4, is amended to read:<br />
         		<a id="pl.61.29"></a><var>61.29</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Ordering health care coverage.</b> (a) If a joint child is presently enrolled <br />
         		<a id="pl.61.30"></a><var>61.30</var>in health care coverage, the court must order that the parent who currently has the
         joint <br />
         		<a id="pl.61.31"></a><var>61.31</var>child enrolled continue that enrollment unless the parties agree otherwise or a party
         <br />
         		<a id="pl.61.32"></a><var>61.32</var>requests a change in coverage and the court determines that other health care coverage
         is <br />
         		<a id="pl.61.33"></a><var>61.33</var>more appropriate.<br />
         		<a id="pl.61.34"></a><var>61.34</var>&#160;&#160;&#160;&#160;(b) If a joint child is not presently enrolled in health care coverage providing medical
         <br />
         		<a id="pl.61.35"></a><var>61.35</var>benefits, upon motion of a parent or the public authority, the court must determine
         whether <br />
         		<a id="pl.62.1"></a><var>62.1</var>one or both parents have appropriate health care coverage providing medical benefits
         <br />
         		<a id="pl.62.2"></a><var>62.2</var>for the joint child.<br />
         		<a id="pl.62.3"></a><var>62.3</var>&#160;&#160;&#160;&#160;(c) If only one parent has appropriate health care coverage providing medical <br />
         		<a id="pl.62.4"></a><var>62.4</var>benefits available, the court must order that parent to carry the coverage for the
         joint child.<br />
         		<a id="pl.62.5"></a><var>62.5</var>&#160;&#160;&#160;&#160;(d) If both parents have appropriate health care coverage providing medical benefits
         <br />
         		<a id="pl.62.6"></a><var>62.6</var>available, the court must order the parent with whom the joint child resides to carry
         the <br />
         		<a id="pl.62.7"></a><var>62.7</var>coverage for the joint child, unless:<br />
         		<a id="pl.62.8"></a><var>62.8</var>&#160;&#160;&#160;&#160;(1) a party expresses a preference for health care coverage providing medical <br />
         		<a id="pl.62.9"></a><var>62.9</var>benefits available through the parent with whom the joint child does not reside;<br />
         		<a id="pl.62.10"></a><var>62.10</var>&#160;&#160;&#160;&#160;(2) the parent with whom the joint child does not reside is already carrying <br />
         		<a id="pl.62.11"></a><var>62.11</var>dependent health care coverage providing medical benefits for other children and the
         cost <br />
         		<a id="pl.62.12"></a><var>62.12</var>of contributing to the premiums of the other parent's coverage would cause the parent
         with <br />
         		<a id="pl.62.13"></a><var>62.13</var>whom the joint child does not reside extreme hardship; or<br />
         		<a id="pl.62.14"></a><var>62.14</var>&#160;&#160;&#160;&#160;(3) the parties agree as to which parent will carry health care coverage providing
         <br />
         		<a id="pl.62.15"></a><var>62.15</var>medical benefits and agree on the allocation of costs.<br />
         		<a id="pl.62.16"></a><var>62.16</var>&#160;&#160;&#160;&#160;(e) If the exception in paragraph (d), clause (1) or (2), applies, the court must
         <br />
         		<a id="pl.62.17"></a><var>62.17</var>determine which parent has the most appropriate coverage providing medical benefits
         <br />
         		<a id="pl.62.18"></a><var>62.18</var>available and order that parent to carry coverage for the joint child.<br />
         		<a id="pl.62.19"></a><var>62.19</var>&#160;&#160;&#160;&#160;(f) If neither parent has appropriate health care coverage available, the court must
         <br />
         		<a id="pl.62.20"></a><var>62.20</var>order the parents to:<br />
         		<a id="pl.62.21"></a><var>62.21</var>&#160;&#160;&#160;&#160;(1) contribute toward the actual health care costs of the joint children based on
         <br />
         		<a id="pl.62.22"></a><var>62.22</var>a pro rata share; or<br />
         		<a id="pl.62.23"></a><var>62.23</var>&#160;&#160;&#160;&#160;(2) if the joint child is receiving any form of public coverage, the parent with whom
         <br />
         		<a id="pl.62.24"></a><var>62.24</var>the joint child does not reside shall contribute a monthly amount toward the actual
         cost of <br />
         		<a id="pl.62.25"></a><var>62.25</var>public coverage. The amount of the noncustodial parent's contribution is determined
         by <br />
         		<a id="pl.62.26"></a><var>62.26</var>applying the noncustodial parent's PICS to the premium schedule for public coverage scale <br />
         		<a id="pl.62.27"></a><var>62.27</var>for MinnesotaCare under section 256L.15, subdivision 2, paragraph (d). If the noncustodial <br />
         		<a id="pl.62.28"></a><var>62.28</var>parent's PICS meets the eligibility requirements for public coverage MinnesotaCare, the <br />
         		<a id="pl.62.29"></a><var>62.29</var>contribution is the amount the noncustodial parent would pay for the child's premium.
         If <br />
         		<a id="pl.62.30"></a><var>62.30</var>the noncustodial parent's PICS exceeds the eligibility requirements for public coverage, the <br />
         		<a id="pl.62.31"></a><var>62.31</var>contribution is the amount of the premium for the highest eligible income on the appropriate <br />
         		<a id="pl.62.32"></a><var>62.32</var>premium schedule for public coverage scale for MinnesotaCare under section 256L.15, <br />
         		<a id="pl.62.33"></a><var>62.33</var>subdivision 2, paragraph (d). For purposes of determining the premium amount, the <br />
         		<a id="pl.62.34"></a><var>62.34</var>noncustodial parent's household size is equal to one parent plus the child or children
         who <br />
         		<a id="pl.62.35"></a><var>62.35</var>are the subject of the child support order. The custodial parent's obligation is determined
         <br />
         		<a id="pl.62.36"></a><var>62.36</var>under the requirements for public coverage as set forth in chapter 256B or 256L.; or<br />
         		<a id="pl.63.1"></a><var>63.1</var>(3) if the noncustodial parent's PICS meet the eligibility requirement for public
         <br />
         		<a id="pl.63.2"></a><var>63.2</var>coverage under chapter 256B or the noncustodial parent receives public assistance,
         the <br />
         		<a id="pl.63.3"></a><var>63.3</var>noncustodial parent must not be ordered to contribute toward the cost of public coverage.<br />
         		<a id="pl.63.4"></a><var>63.4</var>&#160;&#160;&#160;&#160;(g) If neither parent has appropriate health care coverage available, the court may
         <br />
         		<a id="pl.63.5"></a><var>63.5</var>order the parent with whom the child resides to apply for public coverage for the
         child.<br />
         		<a id="pl.63.6"></a><var>63.6</var>&#160;&#160;&#160;&#160;(h) The commissioner of human services must publish a table with the premium <br />
         		<a id="pl.63.7"></a><var>63.7</var>schedule for public coverage and update the chart for changes to the schedule by July
         <br />
         		<a id="pl.63.8"></a><var>63.8</var>1 of each year.<br />
         		<a id="pl.63.9"></a><var>63.9</var>&#160;&#160;&#160;&#160;(i) If a joint child is not presently enrolled in health care coverage providing dental
         <br />
         		<a id="pl.63.10"></a><var>63.10</var>benefits, upon motion of a parent or the public authority, the court must determine
         whether <br />
         		<a id="pl.63.11"></a><var>63.11</var>one or both parents have appropriate dental health care coverage for the joint child,
         and the <br />
         		<a id="pl.63.12"></a><var>63.12</var>court may order a parent with appropriate dental health care coverage available to
         carry <br />
         		<a id="pl.63.13"></a><var>63.13</var>the coverage for the joint child.<br />
         		<a id="pl.63.14"></a><var>63.14</var>&#160;&#160;&#160;&#160;(j) If a joint child is not presently enrolled in available health care coverage <br />
         		<a id="pl.63.15"></a><var>63.15</var>providing benefits other than medical benefits or dental benefits, upon motion of
         a parent <br />
         		<a id="pl.63.16"></a><var>63.16</var>or the public authority, the court may determine whether that other health care coverage
         <br />
         		<a id="pl.63.17"></a><var>63.17</var>for the joint child is appropriate, and the court may order a parent with that appropriate
         <br />
         		<a id="pl.63.18"></a><var>63.18</var>health care coverage available to carry the coverage for the joint child.<br />
         		<a id="pl.63.19"></a><var>63.19</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2015.<br />
         		<br />
         		<a id="bill.1.76.0"></a><a id="pl.63.20"></a><var>63.20</var>&#160;&#160;&#160;&#160;Sec. 76. Minnesota Statutes 2014, section 518A.41, subdivision 14, is amended to read:<br />
         		<a id="pl.63.21"></a><var>63.21</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Child support enforcement services.</b> The public authority must take <br />
         		<a id="pl.63.22"></a><var>63.22</var>necessary steps to establish and enforce, enforce, and modify an order for medical support <br />
         		<a id="pl.63.23"></a><var>63.23</var>if the joint child receives public assistance or a party completes an application
         for services <br />
         		<a id="pl.63.24"></a><var>63.24</var>from the public authority under section 
         <statute_ref>518A.51</statute_ref>.<br />
         		<a id="pl.63.25"></a><var>63.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.1.77.0"></a><a id="pl.63.26"></a><var>63.26</var>&#160;&#160;&#160;&#160;Sec. 77. Minnesota Statutes 2014, section 518A.41, subdivision 15, is amended to read:<br />
         		<a id="pl.63.27"></a><var>63.27</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Enforcement.</b> (a) Remedies available for collecting and enforcing child <br />
         		<a id="pl.63.28"></a><var>63.28</var>support apply to medical support.<br />
         		<a id="pl.63.29"></a><var>63.29</var>&#160;&#160;&#160;&#160;(b) For the purpose of enforcement, the following are additional support:<br />
         		<a id="pl.63.30"></a><var>63.30</var>&#160;&#160;&#160;&#160;(1) the costs of individual or group health or hospitalization coverage;<br />
         		<a id="pl.63.31"></a><var>63.31</var>&#160;&#160;&#160;&#160;(2) dental coverage;<br />
         		<a id="pl.64.1"></a><var>64.1</var>&#160;&#160;&#160;&#160;(3) medical costs ordered by the court to be paid by either party, including health
         <br />
         		<a id="pl.64.2"></a><var>64.2</var>care coverage premiums paid by the obligee because of the obligor's failure to obtain
         <br />
         		<a id="pl.64.3"></a><var>64.3</var>coverage as ordered; and<br />
         		<a id="pl.64.4"></a><var>64.4</var>&#160;&#160;&#160;&#160;(4) liabilities established under this subdivision.<br />
         		<a id="pl.64.5"></a><var>64.5</var>&#160;&#160;&#160;&#160;(c) A party who fails to carry court-ordered dependent health care coverage is liable
         <br />
         		<a id="pl.64.6"></a><var>64.6</var>for the joint child's uninsured medical expenses unless a court order provides otherwise.
         <br />
         		<a id="pl.64.7"></a><var>64.7</var>A party's failure to carry court-ordered coverage, or to provide other medical support
         as <br />
         		<a id="pl.64.8"></a><var>64.8</var>ordered, is a basis for modification of a medical support order under section 
         <statute_ref>518A.39, <br />
            		<a id="pl.64.9"></a><var>64.9</var>subdivision 2
         </statute_ref> 8, unless it meets the presumption in section 518A.39, subdivision 2.<br />
         		<a id="pl.64.10"></a><var>64.10</var>&#160;&#160;&#160;&#160;(d) Payments by the health carrier or employer for services rendered to the dependents
         <br />
         		<a id="pl.64.11"></a><var>64.11</var>that are directed to a party not owed reimbursement must be endorsed over to and forwarded
         <br />
         		<a id="pl.64.12"></a><var>64.12</var>to the vendor or appropriate party or the public authority. A party retaining insurance
         <br />
         		<a id="pl.64.13"></a><var>64.13</var>reimbursement not owed to the party is liable for the amount of the reimbursement.<br />
         		<a id="pl.64.14"></a><var>64.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.1.78.0"></a><a id="pl.64.15"></a><var>64.15</var>&#160;&#160;&#160;&#160;Sec. 78. Minnesota Statutes 2014, section 518A.43, is amended by adding a <br />
         		<a id="pl.64.16"></a><var>64.16</var>subdivision to read:<br />
         		<a id="pl.64.17"></a><var>64.17</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Income disparity between parties.</b>  The court may deviate from the <br />
         		<a id="pl.64.18"></a><var>64.18</var>presumptive child support obligation under section 518A.34 and elect not to order
         a party <br />
         		<a id="pl.64.19"></a><var>64.19</var>who has between ten and 45 percent parenting time to pay basic support where such
         a <br />
         		<a id="pl.64.20"></a><var>64.20</var>significant disparity of income exists between the parties that an order directing
         payment <br />
         		<a id="pl.64.21"></a><var>64.21</var>of basic support would be detrimental to the parties' joint child.<br />
         		<a id="pl.64.22"></a><var>64.22</var><b>EFFECTIVE DATE.</b>This section is effective March 1, 2016.<br />
         		<br />
         		<a id="bill.1.79.0"></a><a id="pl.64.23"></a><var>64.23</var>&#160;&#160;&#160;&#160;Sec. 79. Minnesota Statutes 2014, section 518A.46, subdivision 3, is amended to read:<br />
         		<a id="pl.64.24"></a><var>64.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Contents of pleadings.</b> (a) In cases involving establishment or <br />
         		<a id="pl.64.25"></a><var>64.25</var>modification of a child support order, the initiating party shall include the following
         <br />
         		<a id="pl.64.26"></a><var>64.26</var>information, if known, in the pleadings:<br />
         		<a id="pl.64.27"></a><var>64.27</var>(1) names, addresses, and dates of birth of the parties;<br />
         		<a id="pl.64.28"></a><var>64.28</var>(2) Social Security numbers of the parties and the minor children of the parties,
         <br />
         		<a id="pl.64.29"></a><var>64.29</var>which information shall be considered private information and shall be available only
         to <br />
         		<a id="pl.64.30"></a><var>64.30</var>the parties, the court, and the public authority;<br />
         		<a id="pl.64.31"></a><var>64.31</var>(3) other support obligations of the obligor;<br />
         		<a id="pl.64.32"></a><var>64.32</var>(4) names and addresses of the parties' employers;<br />
         		<a id="pl.64.33"></a><var>64.33</var>(5) gross income of the parties as calculated in section 
         <statute_ref>518A.29</statute_ref>;<br />
         		<a id="pl.65.1"></a><var>65.1</var>(6) amounts and sources of any other earnings and income of the parties;<br />
         		<a id="pl.65.2"></a><var>65.2</var>(7) health insurance coverage of parties;<br />
         		<a id="pl.65.3"></a><var>65.3</var>(8) types and amounts of public assistance received by the parties, including <br />
         		<a id="pl.65.4"></a><var>65.4</var>Minnesota family investment plan, child care assistance, medical assistance, <br />
         		<a id="pl.65.5"></a><var>65.5</var>MinnesotaCare, title IV-E foster care, or other form of assistance as defined in section <br />
         		
         <statute_ref><a id="pl.65.6"></a><var>65.6</var>256.741, subdivision 1
         </statute_ref>; and<br />
         		<a id="pl.65.7"></a><var>65.7</var>(9) any other information relevant to the computation of the child support obligation
         <br />
         		<a id="pl.65.8"></a><var>65.8</var>under section 
         <statute_ref>518A.34</statute_ref>.<br />
         		<a id="pl.65.9"></a><var>65.9</var>(b) For all matters scheduled in the expedited process, whether or not initiated by
         <br />
         		<a id="pl.65.10"></a><var>65.10</var>the public authority, the nonattorney employee of the public authority shall file
         with the <br />
         		<a id="pl.65.11"></a><var>65.11</var>court and serve on the parties the following information:<br />
         		<a id="pl.65.12"></a><var>65.12</var>(1) information pertaining to the income of the parties available to the public <br />
         		<a id="pl.65.13"></a><var>65.13</var>authority from the Department of Employment and Economic Development;<br />
         		<a id="pl.65.14"></a><var>65.14</var>(2) a statement of the monthly amount of child support, medical support, child care,
         <br />
         		<a id="pl.65.15"></a><var>65.15</var>and arrears currently being charged the obligor on Minnesota IV-D cases;<br />
         		<a id="pl.65.16"></a><var>65.16</var>(3) a statement of the types and amount of any public assistance, as defined in <br />
         		<a id="pl.65.17"></a><var>65.17</var>section 
         <statute_ref>256.741, subdivision 1</statute_ref>, received by the parties; and<br />
         		<a id="pl.65.18"></a><var>65.18</var>(4) any other information relevant to the determination of support that is known to
         <br />
         		<a id="pl.65.19"></a><var>65.19</var>the public authority and that has not been otherwise provided by the parties.<br />
         		<a id="pl.65.20"></a><var>65.20</var>The information must be filed with the court or child support magistrate at least
         <br />
         		<a id="pl.65.21"></a><var>65.21</var>five days before any hearing involving child support, medical support, or child care
         <br />
         		<a id="pl.65.22"></a><var>65.22</var>reimbursement issues.<br />
         		<br />
         		<a id="bill.1.80.0"></a><a id="pl.65.23"></a><var>65.23</var>&#160;&#160;&#160;&#160;Sec. 80. Minnesota Statutes 2014, section 518A.46, is amended by adding a <br />
         		<a id="pl.65.24"></a><var>65.24</var>subdivision to read:<br />
         		<a id="pl.65.25"></a><var>65.25</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Contents of pleadings for medical support modifications.</b> (a) In cases <br />
         		<a id="pl.65.26"></a><var>65.26</var>involving modification of only the medical support portion of a child support order
         <br />
         		<a id="pl.65.27"></a><var>65.27</var>under section 518A.39, subdivision 8, the initiating party shall include the following
         <br />
         		<a id="pl.65.28"></a><var>65.28</var>information, if known, in the pleadings:<br />
         		<a id="pl.65.29"></a><var>65.29</var>(1) names, addresses, and dates of birth of the parties;<br />
         		<a id="pl.65.30"></a><var>65.30</var>(2) Social Security numbers of the parties and the minor children of the parties,
         <br />
         		<a id="pl.65.31"></a><var>65.31</var>which shall be considered private information and shall be available only to the parties,
         <br />
         		<a id="pl.65.32"></a><var>65.32</var>the court, and the public authority;<br />
         		<a id="pl.65.33"></a><var>65.33</var>(3) names and addresses of the parties' employers;<br />
         		<a id="pl.65.34"></a><var>65.34</var>(4) gross income of the parties as stated in the order being modified;<br />
         		<a id="pl.65.35"></a><var>65.35</var>(5) health insurance coverage of the parties; and<br />
         		<a id="pl.66.1"></a><var>66.1</var>(6) any other information relevant to the determination of the medical support <br />
         		<a id="pl.66.2"></a><var>66.2</var>obligation under section 518A.41.<br />
         		<a id="pl.66.3"></a><var>66.3</var>(b) For all matters scheduled in the expedited process, whether or not initiated by
         <br />
         		<a id="pl.66.4"></a><var>66.4</var>the public authority, the nonattorney employee of the public authority shall file
         with the <br />
         		<a id="pl.66.5"></a><var>66.5</var>court and serve on the parties the following information:<br />
         		<a id="pl.66.6"></a><var>66.6</var>(1) a statement of the monthly amount of child support, medical support, child care,
         <br />
         		<a id="pl.66.7"></a><var>66.7</var>and arrears currently being charged the obligor on Minnesota IV-D cases;<br />
         		<a id="pl.66.8"></a><var>66.8</var>(2) a statement of the amount of medical assistance received by the parties; and <br />
         		<a id="pl.66.9"></a><var>66.9</var>(3) any other information relevant to the determination of medical support that is
         <br />
         		<a id="pl.66.10"></a><var>66.10</var>known to the public authority and that has not been otherwise provided by the parties.<br />
         		<a id="pl.66.11"></a><var>66.11</var>The information must be filed with the court or child support magistrate at least
         five <br />
         		<a id="pl.66.12"></a><var>66.12</var>days before the hearing on the motion to modify medical support.<br />
         		<a id="pl.66.13"></a><var>66.13</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.1.81.0"></a><a id="pl.66.14"></a><var>66.14</var>&#160;&#160;&#160;&#160;Sec. 81. Minnesota Statutes 2014, section 518A.51, is amended to read:<br />
         		<a id="pl.66.15"></a><var>66.15</var><b>518A.51 FEES FOR IV-D SERVICES.</b><br />
         		<a id="pl.66.16"></a><var>66.16</var>(a) When a recipient of IV-D services is no longer receiving assistance under the
         <br />
         		<a id="pl.66.17"></a><var>66.17</var>state's title IV-A, IV-E foster care, or medical assistance, or MinnesotaCare programs, the <br />
         		<a id="pl.66.18"></a><var>66.18</var>public authority responsible for child support enforcement must notify the recipient,
         <br />
         		<a id="pl.66.19"></a><var>66.19</var>within five working days of the notification of ineligibility, that IV-D services
         will be <br />
         		<a id="pl.66.20"></a><var>66.20</var>continued unless the public authority is notified to the contrary by the recipient.
         The <br />
         		<a id="pl.66.21"></a><var>66.21</var>notice must include the implications of continuing to receive IV-D services, including
         the <br />
         		<a id="pl.66.22"></a><var>66.22</var>available services and fees, cost recovery fees, and distribution policies relating
         to fees.<br />
         		<a id="pl.66.23"></a><var>66.23</var>(b) An application fee of $25 shall be paid by the person who applies for child <br />
         		<a id="pl.66.24"></a><var>66.24</var>support and maintenance collection services, except persons who are receiving public
         <br />
         		<a id="pl.66.25"></a><var>66.25</var>assistance as defined in section 
         <statute_ref>256.741</statute_ref> and the diversionary work program under section <br />
         		<a id="pl.66.26"></a><var>66.26</var><statute_ref>256J.95</statute_ref>, persons who transfer from public assistance to nonpublic assistance status, and
         <br />
         		<a id="pl.66.27"></a><var>66.27</var>minor parents and parents enrolled in a public secondary school, area learning center,
         or <br />
         		<a id="pl.66.28"></a><var>66.28</var>alternative learning program approved by the commissioner of education.<br />
         		<a id="pl.66.29"></a><var>66.29</var>(c) (b) In the case of an individual who has never received assistance under a state <br />
         		<a id="pl.66.30"></a><var>66.30</var>program funded under title IV-A of the Social Security Act and for whom the public
         <br />
         		<a id="pl.66.31"></a><var>66.31</var>authority has collected at least $500 of support, the public authority must impose
         an <br />
         		<a id="pl.66.32"></a><var>66.32</var>annual federal collections fee of $25 for each case in which services are furnished.
         This <br />
         		<a id="pl.66.33"></a><var>66.33</var>fee must be retained by the public authority from support collected on behalf of the
         <br />
         		<a id="pl.66.34"></a><var>66.34</var>individual, but not from the first $500 collected.<br />
         		<a id="pl.67.1"></a><var>67.1</var>(d) (c) When the public authority provides full IV-D services to an obligee who <br />
         		<a id="pl.67.2"></a><var>67.2</var>has applied for those services, upon written notice to the obligee, the public authority
         <br />
         		<a id="pl.67.3"></a><var>67.3</var>must charge a cost recovery fee of two percent of the amount collected. This fee must
         <br />
         		<a id="pl.67.4"></a><var>67.4</var>be deducted from the amount of the child support and maintenance collected and not
         <br />
         		<a id="pl.67.5"></a><var>67.5</var>assigned under section 
         <statute_ref>256.741</statute_ref> before disbursement to the obligee. This fee does not <br />
         		<a id="pl.67.6"></a><var>67.6</var>apply to an obligee who:<br />
         		<a id="pl.67.7"></a><var>67.7</var>(1) is currently receiving assistance under the state's title IV-A, IV-E foster care, or <br />
         		<a id="pl.67.8"></a><var>67.8</var>medical assistance, or MinnesotaCare programs; or<br />
         		<a id="pl.67.9"></a><var>67.9</var>(2) has received assistance under the state's title IV-A or IV-E foster care programs,
         <br />
         		<a id="pl.67.10"></a><var>67.10</var>until the person has not received this assistance for 24 consecutive months.<br />
         		<a id="pl.67.11"></a><var>67.11</var>(e) (d) When the public authority provides full IV-D services to an obligor who has <br />
         		<a id="pl.67.12"></a><var>67.12</var>applied for such services, upon written notice to the obligor, the public authority
         must <br />
         		<a id="pl.67.13"></a><var>67.13</var>charge a cost recovery fee of two percent of the monthly court-ordered child support
         and <br />
         		<a id="pl.67.14"></a><var>67.14</var>maintenance obligation. The fee may be collected through income withholding, as well
         <br />
         		<a id="pl.67.15"></a><var>67.15</var>as by any other enforcement remedy available to the public authority responsible for
         <br />
         		<a id="pl.67.16"></a><var>67.16</var>child support enforcement.<br />
         		<a id="pl.67.17"></a><var>67.17</var>(f) (e) Fees assessed by state and federal tax agencies for collection of overdue <br />
         		<a id="pl.67.18"></a><var>67.18</var>support owed to or on behalf of a person not receiving public assistance must be imposed
         <br />
         		<a id="pl.67.19"></a><var>67.19</var>on the person for whom these services are provided. The public authority upon written
         <br />
         		<a id="pl.67.20"></a><var>67.20</var>notice to the obligee shall assess a fee of $25 to the person not receiving public
         assistance <br />
         		<a id="pl.67.21"></a><var>67.21</var>for each successful federal tax interception. The fee must be withheld prior to the
         release <br />
         		<a id="pl.67.22"></a><var>67.22</var>of the funds received from each interception and deposited in the general fund.<br />
         		<a id="pl.67.23"></a><var>67.23</var>(g) (f) Federal collections fees collected under paragraph (c) (b) and cost recovery <br />
         		<a id="pl.67.24"></a><var>67.24</var>fees collected under paragraphs (c) and (d) and (e) retained by the commissioner of human <br />
         		<a id="pl.67.25"></a><var>67.25</var>services shall be considered child support program income according to Code of Federal
         <br />
         		<a id="pl.67.26"></a><var>67.26</var>Regulations, title 45, section 304.50, and shall be deposited in the special revenue
         fund <br />
         		<a id="pl.67.27"></a><var>67.27</var>account established under paragraph (i) (h). The commissioner of human services must <br />
         		<a id="pl.67.28"></a><var>67.28</var>elect to recover costs based on either actual or standardized costs.<br />
         		<a id="pl.67.29"></a><var>67.29</var>(h) (g) The limitations of this section on the assessment of fees shall not apply to <br />
         		<a id="pl.67.30"></a><var>67.30</var>the extent inconsistent with the requirements of federal law for receiving funds for
         the <br />
         		<a id="pl.67.31"></a><var>67.31</var>programs under title IV-A and title IV-D of the Social Security Act, United States
         Code, <br />
         		<a id="pl.67.32"></a><var>67.32</var>title 42, sections 601 to 613 and United States Code, title 42, sections 651 to 662.<br />
         		<a id="pl.67.33"></a><var>67.33</var>(i) (h) The commissioner of human services is authorized to establish a special <br />
         		<a id="pl.67.34"></a><var>67.34</var>revenue fund account to receive the federal collections fees collected under paragraph
         (c) <br />
         		<a id="pl.67.35"></a><var>67.35</var>(b) and cost recovery fees collected under paragraphs (c) and (d) and (e).<br />
         		<a id="pl.68.1"></a><var>68.1</var>(j) (i) The nonfederal share of the cost recovery fee revenue must be retained by the <br />
         		<a id="pl.68.2"></a><var>68.2</var>commissioner and distributed as follows:<br />
         		<a id="pl.68.3"></a><var>68.3</var>(1) one-half of the revenue must be transferred to the child support system special
         <br />
         		<a id="pl.68.4"></a><var>68.4</var>revenue account to support the state's administration of the child support enforcement
         <br />
         		<a id="pl.68.5"></a><var>68.5</var>program and its federally mandated automated system;<br />
         		<a id="pl.68.6"></a><var>68.6</var>(2) an additional portion of the revenue must be transferred to the child support
         <br />
         		<a id="pl.68.7"></a><var>68.7</var>system special revenue account for expenditures necessary to administer the fees;
         and<br />
         		<a id="pl.68.8"></a><var>68.8</var>(3) the remaining portion of the revenue must be distributed to the counties to aid
         the <br />
         		<a id="pl.68.9"></a><var>68.9</var>counties in funding their child support enforcement programs.<br />
         		<a id="pl.68.10"></a><var>68.10</var>(k) (j) The nonfederal share of the federal collections fees must be distributed to the <br />
         		<a id="pl.68.11"></a><var>68.11</var>counties to aid them in funding their child support enforcement programs.<br />
         		<a id="pl.68.12"></a><var>68.12</var>(l) (k) The commissioner of human services shall distribute quarterly any of the <br />
         		<a id="pl.68.13"></a><var>68.13</var>funds dedicated to the counties under paragraphs (i) and (j) and (k) using the methodology <br />
         		<a id="pl.68.14"></a><var>68.14</var>specified in section 
         <statute_ref>256.979, subdivision 11</statute_ref>. The funds received by the counties must be <br />
         		<a id="pl.68.15"></a><var>68.15</var>reinvested in the child support enforcement program and the counties must not reduce
         the <br />
         		<a id="pl.68.16"></a><var>68.16</var>funding of their child support programs by the amount of the funding distributed.<br />
         		<a id="pl.68.17"></a><var>68.17</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016, except that the <br />
         		<a id="pl.68.18"></a><var>68.18</var>amendments striking MinnesotaCare are effective July 1, 2015.<br />
         		<br />
         		<a id="bill.1.82.0"></a><a id="pl.68.19"></a><var>68.19</var>&#160;&#160;&#160;&#160;Sec. 82. Minnesota Statutes 2014, section 518A.53, subdivision 1, is amended to read:<br />
         		<a id="pl.68.20"></a><var>68.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For the purpose of this section, the following terms <br />
         		<a id="pl.68.21"></a><var>68.21</var>have the meanings provided in this subdivision unless otherwise stated.<br />
         		<a id="pl.68.22"></a><var>68.22</var>(b) "Payor of funds" means any person or entity that provides funds to an obligor,
         <br />
         		<a id="pl.68.23"></a><var>68.23</var>including an employer as defined under chapter 24 of the Internal Revenue Code, <br />
         		<a id="pl.68.24"></a><var>68.24</var>section 3401(d), an independent contractor, payor of worker's compensation benefits
         or <br />
         		<a id="pl.68.25"></a><var>68.25</var>unemployment benefits, or a financial institution as defined in section 
         <statute_ref>13B.06</statute_ref>.<br />
         		<a id="pl.68.26"></a><var>68.26</var>(c) "Business day" means a day on which state offices are open for regular business.<br />
         		<a id="pl.68.27"></a><var>68.27</var>(d) "Arrears" means amounts owed under a support order that are past due has the <br />
         		<a id="pl.68.28"></a><var>68.28</var>meaning given in section 518A.26, subdivision 3.<br />
         		<a id="pl.68.29"></a><var>68.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.83.0"></a><a id="pl.68.30"></a><var>68.30</var>&#160;&#160;&#160;&#160;Sec. 83. Minnesota Statutes 2014, section 518A.53, subdivision 4, is amended to read:<br />
         		<a id="pl.68.31"></a><var>68.31</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Collection services.</b> (a) The commissioner of human services shall prepare <br />
         		<a id="pl.68.32"></a><var>68.32</var>and make available to the courts a notice of services that explains child support
         and <br />
         		<a id="pl.68.33"></a><var>68.33</var>maintenance collection services available through the public authority, including
         income <br />
         		<a id="pl.69.1"></a><var>69.1</var>withholding, and the fees for such services. Upon receiving a petition for dissolution
         of <br />
         		<a id="pl.69.2"></a><var>69.2</var>marriage or legal separation, the court administrator shall promptly send the notice
         of <br />
         		<a id="pl.69.3"></a><var>69.3</var>services to the petitioner and respondent at the addresses stated in the petition.<br />
         		<a id="pl.69.4"></a><var>69.4</var>(b) Either the obligee or obligor may at any time apply to the public authority for
         <br />
         		<a id="pl.69.5"></a><var>69.5</var>either full IV-D services or for income withholding only services.<br />
         		<a id="pl.69.6"></a><var>69.6</var>(c) For those persons applying for income withholding only services, a monthly <br />
         		<a id="pl.69.7"></a><var>69.7</var>service fee of $15 must be charged to the obligor. This fee is in addition to the
         amount of <br />
         		<a id="pl.69.8"></a><var>69.8</var>the support order and shall be withheld through income withholding. The public authority
         <br />
         		<a id="pl.69.9"></a><var>69.9</var>shall explain the service options in this section to the affected parties and encourage
         the <br />
         		<a id="pl.69.10"></a><var>69.10</var>application for full child support collection services.<br />
         		<a id="pl.69.11"></a><var>69.11</var>(d) If the obligee is not a current recipient of public assistance as defined in section
         <br />
         		
         <statute_ref><a id="pl.69.12"></a><var>69.12</var>256.741
         </statute_ref>, the person who applied for services may at any time choose to terminate either <br />
         		<a id="pl.69.13"></a><var>69.13</var>full IV-D services or income withholding only services regardless of whether income
         <br />
         		<a id="pl.69.14"></a><var>69.14</var>withholding is currently in place. The obligee or obligor may reapply for either full
         IV-D <br />
         		<a id="pl.69.15"></a><var>69.15</var>services or income withholding only services at any time. Unless the applicant is a <br />
         		<a id="pl.69.16"></a><var>69.16</var>recipient of public assistance as defined in section 
         <statute_ref>256.741</statute_ref>, a $25 application fee shall be <br />
         		<a id="pl.69.17"></a><var>69.17</var>charged at the time of each application.<br />
         		<a id="pl.69.18"></a><var>69.18</var>(e) When a person terminates IV-D services, if an arrearage for public assistance
         as <br />
         		<a id="pl.69.19"></a><var>69.19</var>defined in section 
         <statute_ref>256.741</statute_ref> exists, the public authority may continue income withholding, <br />
         		<a id="pl.69.20"></a><var>69.20</var>as well as use any other enforcement remedy for the collection of child support, until
         all <br />
         		<a id="pl.69.21"></a><var>69.21</var>public assistance arrears are paid in full. Income withholding shall be in an amount
         equal <br />
         		<a id="pl.69.22"></a><var>69.22</var>to 20 percent of the support order in effect at the time the services terminated, unless the <br />
         		<a id="pl.69.23"></a><var>69.23</var>court has ordered a specific monthly payback amount to be applied toward the arrears.
         If a <br />
         		<a id="pl.69.24"></a><var>69.24</var>support order includes a specific monthly payback amount, income withholding shall
         be <br />
         		<a id="pl.69.25"></a><var>69.25</var>for the specific monthly payback amount ordered.<br />
         		<a id="pl.69.26"></a><var>69.26</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.84.0"></a><a id="pl.69.27"></a><var>69.27</var>&#160;&#160;&#160;&#160;Sec. 84. Minnesota Statutes 2014, section 518A.53, subdivision 10, is amended to read:<br />
         		<a id="pl.69.28"></a><var>69.28</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Arrearage order.</b> (a) This section does not prevent the court from <br />
         		<a id="pl.69.29"></a><var>69.29</var>ordering the payor of funds to withhold amounts to satisfy the obligor's previous
         arrearage <br />
         		<a id="pl.69.30"></a><var>69.30</var>in support order payments. This remedy shall not operate to exclude availability of
         other <br />
         		<a id="pl.69.31"></a><var>69.31</var>remedies to enforce judgments. The employer or payor of funds shall withhold from
         <br />
         		<a id="pl.69.32"></a><var>69.32</var>the obligor's income an additional amount equal to 20 percent of the monthly child
         <br />
         		<a id="pl.69.33"></a><var>69.33</var>support or maintenance obligation until the arrearage is paid, unless the court has ordered <br />
         		<a id="pl.69.34"></a><var>69.34</var>a specific monthly payback amount toward the arrears. If a support order includes
         a <br />
         		<a id="pl.69.35"></a><var>69.35</var>specific monthly payback amount, the employer or payor of funds shall withhold from
         <br />
         		<a id="pl.70.1"></a><var>70.1</var>the obligor's income an additional amount equal to the specific monthly payback amount
         <br />
         		<a id="pl.70.2"></a><var>70.2</var>ordered until all arrearages are paid.<br />
         		<a id="pl.70.3"></a><var>70.3</var>(b) Notwithstanding any law to the contrary, funds from income sources included <br />
         		<a id="pl.70.4"></a><var>70.4</var>in section 
         <statute_ref>518A.26, subdivision 8</statute_ref>, whether periodic or lump sum, are not exempt from <br />
         		<a id="pl.70.5"></a><var>70.5</var>attachment or execution upon a judgment for child support arrearage.<br />
         		<a id="pl.70.6"></a><var>70.6</var>(c) Absent an order to the contrary, if an arrearage exists at the time a support
         <br />
         		<a id="pl.70.7"></a><var>70.7</var>order would otherwise terminate, income withholding shall continue in effect or may
         be <br />
         		<a id="pl.70.8"></a><var>70.8</var>implemented in an amount equal to the support order plus an additional 20 percent
         of the <br />
         		<a id="pl.70.9"></a><var>70.9</var>monthly child support obligation, until all arrears have been paid in full.<br />
         		<a id="pl.70.10"></a><var>70.10</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.85.0"></a><a id="pl.70.11"></a><var>70.11</var>&#160;&#160;&#160;&#160;Sec. 85. Minnesota Statutes 2014, section 518A.60, is amended to read:<br />
         		<a id="pl.70.12"></a><var>70.12</var><b>518A.60 COLLECTION; ARREARS ONLY.</b><br />
         		<a id="pl.70.13"></a><var>70.13</var>(a) Remedies available for the collection and enforcement of support in this chapter
         <br />
         		<a id="pl.70.14"></a><var>70.14</var>and chapters 256, 257, 518, and 518C also apply to cases in which the child or children
         <br />
         		<a id="pl.70.15"></a><var>70.15</var>for whom support is owed are emancipated and the obligor owes past support or has
         an <br />
         		<a id="pl.70.16"></a><var>70.16</var>accumulated arrearage as of the date of the youngest child's emancipation. Child support
         <br />
         		<a id="pl.70.17"></a><var>70.17</var>arrearages under this section include arrearages for child support, medical support,
         child <br />
         		<a id="pl.70.18"></a><var>70.18</var>care, pregnancy and birth expenses, and unreimbursed medical expenses as defined in
         <br />
         		<a id="pl.70.19"></a><var>70.19</var>section 
         <statute_ref>518A.41, subdivision 1, paragraph (h)</statute_ref>.<br />
         		<a id="pl.70.20"></a><var>70.20</var>(b) This section applies retroactively to any support arrearage that accrued on or
         <br />
         		<a id="pl.70.21"></a><var>70.21</var>before June 3, 1997, and to all arrearages accruing after June 3, 1997.<br />
         		<a id="pl.70.22"></a><var>70.22</var>(c) Past support or pregnancy and confinement expenses ordered for which the <br />
         		<a id="pl.70.23"></a><var>70.23</var>obligor has specific court ordered terms for repayment may not be enforced using drivers'
         <br />
         		<a id="pl.70.24"></a><var>70.24</var>and occupational or professional license suspension, and credit bureau reporting, and <br />
         		<a id="pl.70.25"></a><var>70.25</var>additional income withholding under section 
         <statute_ref>518A.53, subdivision 10</statute_ref>, paragraph (a), <br />
         		<a id="pl.70.26"></a><var>70.26</var>unless the obligor fails to comply with the terms of the court order for repayment.<br />
         		<a id="pl.70.27"></a><var>70.27</var>(d) If an arrearage exists at the time a support order would otherwise terminate <br />
         		<a id="pl.70.28"></a><var>70.28</var>and section 
         <statute_ref>518A.53, subdivision 10</statute_ref>, paragraph (c), does not apply to this section, the <br />
         		<a id="pl.70.29"></a><var>70.29</var>arrearage shall be repaid in an amount equal to the current support order until all
         arrears <br />
         		<a id="pl.70.30"></a><var>70.30</var>have been paid in full, absent a court order to the contrary.<br />
         		<a id="pl.70.31"></a><var>70.31</var>(e) If an arrearage exists according to a support order which fails to establish a
         <br />
         		<a id="pl.70.32"></a><var>70.32</var>monthly support obligation in a specific dollar amount, the public authority, if it
         provides <br />
         		<a id="pl.70.33"></a><var>70.33</var>child support services, or the obligee, may establish a payment agreement which shall
         <br />
         		<a id="pl.70.34"></a><var>70.34</var>equal what the obligor would pay for current support after application of section
         
         <statute_ref>518A.34</statute_ref>, <br />
         		<a id="pl.71.1"></a><var>71.1</var>plus an additional 20 percent of the current support obligation, until all arrears
         have been <br />
         		<a id="pl.71.2"></a><var>71.2</var>paid in full. If the obligor fails to enter into or comply with a payment agreement,
         the <br />
         		<a id="pl.71.3"></a><var>71.3</var>public authority, if it provides child support services, or the obligee, may move
         the district <br />
         		<a id="pl.71.4"></a><var>71.4</var>court or child support magistrate, if section 
         <statute_ref>484.702</statute_ref> applies, for an order establishing <br />
         		<a id="pl.71.5"></a><var>71.5</var>repayment terms.<br />
         		<a id="pl.71.6"></a><var>71.6</var>(f) If there is no longer a current support order because all of the children of the
         <br />
         		<a id="pl.71.7"></a><var>71.7</var>order are emancipated, the public authority may discontinue child support services
         and <br />
         		<a id="pl.71.8"></a><var>71.8</var>close its case under title IV-D of the Social Security Act if:<br />
         		<a id="pl.71.9"></a><var>71.9</var>(1) the arrearage is under $500; or<br />
         		<a id="pl.71.10"></a><var>71.10</var>(2) the arrearage is considered unenforceable by the public authority because there
         <br />
         		<a id="pl.71.11"></a><var>71.11</var>have been no collections for three years, and all administrative and legal remedies
         have <br />
         		<a id="pl.71.12"></a><var>71.12</var>been attempted or are determined by the public authority to be ineffective because
         the <br />
         		<a id="pl.71.13"></a><var>71.13</var>obligor is unable to pay, the obligor has no known income or assets, and there is
         no <br />
         		<a id="pl.71.14"></a><var>71.14</var>reasonable prospect that the obligor will be able to pay in the foreseeable future.<br />
         		<a id="pl.71.15"></a><var>71.15</var>&#160;&#160;&#160;&#160;(g) At least 60 calendar days before the discontinuation of services under paragraph
         <br />
         		<a id="pl.71.16"></a><var>71.16</var>(f), the public authority must mail a written notice to the obligee and obligor at
         the <br />
         		<a id="pl.71.17"></a><var>71.17</var>obligee's and obligor's last known addresses that the public authority intends to
         close the <br />
         		<a id="pl.71.18"></a><var>71.18</var>child support enforcement case and explaining each party's rights. Seven calendar
         days <br />
         		<a id="pl.71.19"></a><var>71.19</var>after the first notice is mailed, the public authority must mail a second notice under
         this <br />
         		<a id="pl.71.20"></a><var>71.20</var>paragraph to the obligee.<br />
         		<a id="pl.71.21"></a><var>71.21</var>&#160;&#160;&#160;&#160;(h) The case must be kept open if the obligee responds before case closure and <br />
         		<a id="pl.71.22"></a><var>71.22</var>provides information that could reasonably lead to collection of arrears. If the case
         is <br />
         		<a id="pl.71.23"></a><var>71.23</var>closed, the obligee may later request that the case be reopened by completing a new
         <br />
         		<a id="pl.71.24"></a><var>71.24</var>application for services, if there is a change in circumstances that could reasonably
         lead to <br />
         		<a id="pl.71.25"></a><var>71.25</var>the collection of arrears.<br />
         		<a id="pl.71.26"></a><var>71.26</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.86.0"></a><a id="pl.71.27"></a><var>71.27</var>&#160;&#160;&#160;&#160;Sec. 86. <b>[518A.685] CONSUMER REPORTING AGENCY; REPORTING </b><br />
         		<a id="pl.71.28"></a><var>71.28</var><b>ARREARS.</b><br />
         		<a id="pl.71.29"></a><var>71.29</var>&#160;&#160;&#160;&#160;(a) If a public authority determines that an obligor has not paid the current monthly
         <br />
         		<a id="pl.71.30"></a><var>71.30</var>support obligation plus any required arrearage payment for three months, the public
         <br />
         		<a id="pl.71.31"></a><var>71.31</var>authority must report this information to a consumer reporting agency.<br />
         		<a id="pl.71.32"></a><var>71.32</var>&#160;&#160;&#160;&#160;(b) Before reporting that an obligor is in arrears for court-ordered child support,
         <br />
         		<a id="pl.71.33"></a><var>71.33</var>the public authority must:<br />
         		<a id="pl.71.34"></a><var>71.34</var>&#160;&#160;&#160;&#160;(1) provide written notice to the obligor that the public authority intends to report
         the <br />
         		<a id="pl.71.35"></a><var>71.35</var>arrears to a consumer reporting agency; and<br />
         		<a id="pl.72.1"></a><var>72.1</var>&#160;&#160;&#160;&#160;(2) mail the written notice to the obligor's last known mailing address at least 30
         <br />
         		<a id="pl.72.2"></a><var>72.2</var>days before the public authority reports the arrears to a consumer reporting agency.<br />
         		<a id="pl.72.3"></a><var>72.3</var>&#160;&#160;&#160;&#160;(c) The obligor may, within 21 days of receipt of the notice, do the following to
         <br />
         		<a id="pl.72.4"></a><var>72.4</var>prevent the public authority from reporting the arrears to a consumer reporting agency:<br />
         		<a id="pl.72.5"></a><var>72.5</var>&#160;&#160;&#160;&#160;(1) pay the arrears in full; or<br />
         		<a id="pl.72.6"></a><var>72.6</var>&#160;&#160;&#160;&#160;(2) request an administrative review. An administrative review is limited to issues
         <br />
         		<a id="pl.72.7"></a><var>72.7</var>of mistaken identity, a pending legal action involving the arrears, or an incorrect
         arrears <br />
         		<a id="pl.72.8"></a><var>72.8</var>balance.<br />
         		<a id="pl.72.9"></a><var>72.9</var>&#160;&#160;&#160;&#160;(d) If the public authority has reported that an obligor is in arrears for court-ordered
         <br />
         		<a id="pl.72.10"></a><var>72.10</var>child support and subsequently determines that the obligor has paid the court-ordered
         <br />
         		<a id="pl.72.11"></a><var>72.11</var>child support arrears in full, or is paying the current monthly support obligation
         plus any <br />
         		<a id="pl.72.12"></a><var>72.12</var>required arrearage payment, the public authority must report to the consumer reporting
         <br />
         		<a id="pl.72.13"></a><var>72.13</var>agency that the obligor is currently paying child support as ordered by the court.<br />
         		<a id="pl.72.14"></a><var>72.14</var>&#160;&#160;&#160;&#160;(e) A public authority that reports arrearage information under this section must
         <br />
         		<a id="pl.72.15"></a><var>72.15</var>make monthly reports to a consumer reporting agency. The monthly report must be <br />
         		<a id="pl.72.16"></a><var>72.16</var>consistent with credit reporting industry standards for child support.<br />
         		<a id="pl.72.17"></a><var>72.17</var>&#160;&#160;&#160;&#160;(f) For purposes of this section, "consumer reporting agency" has the meaning given
         <br />
         		<a id="pl.72.18"></a><var>72.18</var>in section 13C.001, subdivision 4, and United States Code, title 15, section 1681a(f).<br />
         		<a id="pl.72.19"></a><var>72.19</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.1.87.0"></a><a id="pl.72.20"></a><var>72.20</var>&#160;&#160;&#160;&#160;Sec. 87. Minnesota Statutes 2014, section 518C.802, is amended to read:<br />
         		<a id="pl.72.21"></a><var>72.21</var><b>518C.802 CONDITIONS OF RENDITION.</b><br />
         		<a id="pl.72.22"></a><var>72.22</var>(a) Before making demand that the governor of another state surrender an individual
         <br />
         		<a id="pl.72.23"></a><var>72.23</var>charged criminally in this state with having failed to provide for the support of
         an obligee, <br />
         		<a id="pl.72.24"></a><var>72.24</var>the governor of this state may require a prosecutor of this state to demonstrate that
         at least <br />
         		<a id="pl.72.25"></a><var>72.25</var>60 days previously the obligee had initiated proceedings for support pursuant to this
         <br />
         		<a id="pl.72.26"></a><var>72.26</var>chapter or that the proceeding would be of no avail.<br />
         		<a id="pl.72.27"></a><var>72.27</var>(b) If, under this chapter or a law substantially similar to this chapter, the Uniform <br />
         		<a id="pl.72.28"></a><var>72.28</var>Reciprocal Enforcement of Support Act, or the Revised Uniform Reciprocal Enforcement
         <br />
         		<a id="pl.72.29"></a><var>72.29</var>of Support Act, the governor of another state makes a demand that the governor of <br />
         		<a id="pl.72.30"></a><var>72.30</var>this state surrender an individual charged criminally in that state with having failed
         to <br />
         		<a id="pl.72.31"></a><var>72.31</var>provide for the support of a child or other individual to whom a duty of support is
         owed, <br />
         		<a id="pl.72.32"></a><var>72.32</var>the governor may require a prosecutor to investigate the demand and report whether
         <br />
         		<a id="pl.72.33"></a><var>72.33</var>a proceeding for support has been initiated or would be effective. If it appears that
         a <br />
         		<a id="pl.73.1"></a><var>73.1</var>proceeding would be effective but has not been initiated, the governor may delay honoring
         <br />
         		<a id="pl.73.2"></a><var>73.2</var>the demand for a reasonable time to permit the initiation of a proceeding.<br />
         		<a id="pl.73.3"></a><var>73.3</var>(c) If a proceeding for support has been initiated and the individual whose rendition
         is <br />
         		<a id="pl.73.4"></a><var>73.4</var>demanded prevails, the governor may decline to honor the demand. If the petitioner
         prevails <br />
         		<a id="pl.73.5"></a><var>73.5</var>and the individual whose rendition is demanded is subject to a support order, the
         governor <br />
         		<a id="pl.73.6"></a><var>73.6</var>may decline to honor the demand if the individual is complying with the support order.<br />
         		<br />
         		<a id="bill.1.88.0"></a><a id="pl.73.7"></a><var>73.7</var>&#160;&#160;&#160;&#160;Sec. 88. Minnesota Statutes 2014, section 626.556, subdivision 1, as amended by Laws <br />
         		<a id="pl.73.8"></a><var>73.8</var>2015, chapter 4, section 1, is amended to read:<br />
         		<a id="pl.73.9"></a><var>73.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Public policy.</b> (a) The legislature hereby declares that the public <br />
         		<a id="pl.73.10"></a><var>73.10</var>policy of this state is to protect children whose health or welfare may be jeopardized
         <br />
         		<a id="pl.73.11"></a><var>73.11</var>through physical abuse, neglect, or sexual abuse. While it is recognized that most
         parents <br />
         		<a id="pl.73.12"></a><var>73.12</var>want to keep their children safe, sometimes circumstances or conditions interfere
         with <br />
         		<a id="pl.73.13"></a><var>73.13</var>their ability to do so. When this occurs, the health and safety of the children shall must be <br />
         		<a id="pl.73.14"></a><var>73.14</var>of paramount concern. Intervention and prevention efforts shall must address immediate <br />
         		<a id="pl.73.15"></a><var>73.15</var>concerns for child safety and the ongoing risk of abuse or neglect and should engage
         the <br />
         		<a id="pl.73.16"></a><var>73.16</var>protective capacities of families. In furtherance of this public policy, it is the
         intent of the <br />
         		<a id="pl.73.17"></a><var>73.17</var>legislature under this section to:<br />
         		<a id="pl.73.18"></a><var>73.18</var>(1) protect children and promote child safety;<br />
         		<a id="pl.73.19"></a><var>73.19</var>(2) strengthen the family;<br />
         		<a id="pl.73.20"></a><var>73.20</var>(3) make the home, school, and community safe for children by promoting <br />
         		<a id="pl.73.21"></a><var>73.21</var>responsible child care in all settings; and <br />
         		<a id="pl.73.22"></a><var>73.22</var>(4) provide, when necessary, a safe temporary or permanent home environment for <br />
         		<a id="pl.73.23"></a><var>73.23</var>physically or sexually abused or neglected children.<br />
         		<a id="pl.73.24"></a><var>73.24</var>(b) In addition, it is the policy of this state to:<br />
         		<a id="pl.73.25"></a><var>73.25</var>(1) require the reporting of neglect or physical or sexual abuse of children in the
         <br />
         		<a id="pl.73.26"></a><var>73.26</var>home, school, and community settings; <br />
         		<a id="pl.73.27"></a><var>73.27</var>(2) provide for the voluntary reporting of abuse or neglect of children; to require <br />
         		<a id="pl.73.28"></a><var>73.28</var>a family assessment, when appropriate, as the preferred response to reports not alleging
         <br />
         		<a id="pl.73.29"></a><var>73.29</var>substantial child endangerment; <br />
         		<a id="pl.73.30"></a><var>73.30</var>(3) require an investigation when the report alleges sexual abuse or substantial <br />
         		<a id="pl.73.31"></a><var>73.31</var>child endangerment; <br />
         		<a id="pl.73.32"></a><var>73.32</var>(4) provide a family assessment, if appropriate, when the report does not allege <br />
         		<a id="pl.73.33"></a><var>73.33</var>sexual abuse or substantial child endangerment; and <br />
         		<a id="pl.73.34"></a><var>73.34</var>(4) (5) provide protective, family support, and family preservation services when <br />
         		<a id="pl.73.35"></a><var>73.35</var>needed in appropriate cases.<br />
         		<br />
         		<a id="bill.1.89.0"></a><a id="pl.74.1"></a><var>74.1</var>&#160;&#160;&#160;&#160;Sec. 89. Minnesota Statutes 2014, section 626.556, subdivision 2, is amended to read:<br />
         		<a id="pl.74.2"></a><var>74.2</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br />
         		<a id="pl.74.3"></a><var>74.3</var>given them unless the specific content indicates otherwise:<br />
         		<a id="pl.74.4"></a><var>74.4</var>&#160;&#160;&#160;&#160;(a) "Family assessment" means a comprehensive assessment of child safety, risk of
         <br />
         		<a id="pl.74.5"></a><var>74.5</var>subsequent child maltreatment, and family strengths and needs that is applied to a
         child <br />
         		<a id="pl.74.6"></a><var>74.6</var>maltreatment report that does not allege sexual abuse or substantial child endangerment. <br />
         		<a id="pl.74.7"></a><var>74.7</var>Family assessment does not include a determination as to whether child maltreatment
         <br />
         		<a id="pl.74.8"></a><var>74.8</var>occurred but does determine the need for services to address the safety of family
         members <br />
         		<a id="pl.74.9"></a><var>74.9</var>and the risk of subsequent maltreatment.<br />
         		<a id="pl.74.10"></a><var>74.10</var>&#160;&#160;&#160;&#160;(b) "Investigation" means fact gathering related to the current safety of a child
         <br />
         		<a id="pl.74.11"></a><var>74.11</var>and the risk of subsequent maltreatment that determines whether child maltreatment
         <br />
         		<a id="pl.74.12"></a><var>74.12</var>occurred and whether child protective services are needed. An investigation must be
         used <br />
         		<a id="pl.74.13"></a><var>74.13</var>when reports involve sexual abuse or substantial child endangerment, and for reports of <br />
         		<a id="pl.74.14"></a><var>74.14</var>maltreatment in facilities required to be licensed under chapter 245A or 245D; under
         <br />
         		<a id="pl.74.15"></a><var>74.15</var>sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref> and 
         <statute_ref>241.021</statute_ref>; in a school as defined in sections 
         <statute_ref>120A.05, <br />
            		<a id="pl.74.16"></a><var>74.16</var>subdivisions 9
         </statute_ref>, 11, and 13, and 
         <statute_ref>124D.10</statute_ref>; or in a nonlicensed personal care provider <br />
         		<a id="pl.74.17"></a><var>74.17</var>association as defined in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br />
         		<a id="pl.74.18"></a><var>74.18</var>&#160;&#160;&#160;&#160;(c) "Substantial child endangerment" means a person responsible for a child's care,
         <br />
         		<a id="pl.74.19"></a><var>74.19</var>and in the case of sexual abuse includes a person who has a significant relationship
         to the <br />
         		<a id="pl.74.20"></a><var>74.20</var>child as defined in section 
         <statute_ref>609.341</statute_ref>, or a person in a position of authority as defined in <br />
         		<a id="pl.74.21"></a><var>74.21</var>section 
         <statute_ref>609.341</statute_ref>, who by act or omission, commits or attempts to commit an act against a <br />
         		<a id="pl.74.22"></a><var>74.22</var>child under their care that constitutes any of the following:<br />
         		<a id="pl.74.23"></a><var>74.23</var>&#160;&#160;&#160;&#160;(1) egregious harm as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>;<br />
         		<a id="pl.74.24"></a><var>74.24</var>&#160;&#160;&#160;&#160;(2) sexual abuse as defined in paragraph (d);<br />
         		<a id="pl.74.25"></a><var>74.25</var>&#160;&#160;&#160;&#160;(3) abandonment under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>;<br />
         		<a id="pl.74.26"></a><var>74.26</var>&#160;&#160;&#160;&#160;(4) (3) neglect as defined in paragraph (f), clause (2), that substantially endangers <br />
         		<a id="pl.74.27"></a><var>74.27</var>the child's physical or mental health, including a growth delay, which may be referred
         to <br />
         		<a id="pl.74.28"></a><var>74.28</var>as failure to thrive, that has been diagnosed by a physician and is due to parental
         neglect;<br />
         		<a id="pl.74.29"></a><var>74.29</var>&#160;&#160;&#160;&#160;(5) (4) murder in the first, second, or third degree under section 
         <statute_ref>609.185</statute_ref>, 
         <statute_ref>609.19</statute_ref>, or <br />
         		
         <statute_ref><a id="pl.74.30"></a><var>74.30</var>609.195
         </statute_ref>;<br />
         		<a id="pl.74.31"></a><var>74.31</var>&#160;&#160;&#160;&#160;(6) (5) manslaughter in the first or second degree under section 
         <statute_ref>609.20</statute_ref> or 
         <statute_ref>609.205</statute_ref>;<br />
         		<a id="pl.74.32"></a><var>74.32</var>&#160;&#160;&#160;&#160;(7) (6) assault in the first, second, or third degree under section 
         <statute_ref>609.221</statute_ref>, 
         <statute_ref>609.222</statute_ref>, or <br />
         		
         <statute_ref><a id="pl.74.33"></a><var>74.33</var>609.223
         </statute_ref>;<br />
         		<a id="pl.74.34"></a><var>74.34</var>&#160;&#160;&#160;&#160;(8) (7) solicitation, inducement, and promotion of prostitution under section 
         <statute_ref>609.322</statute_ref>;<br />
         		<a id="pl.74.35"></a><var>74.35</var>&#160;&#160;&#160;&#160;(9) (8) criminal sexual conduct under sections 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.3451</statute_ref>;<br />
         		<a id="pl.74.36"></a><var>74.36</var>&#160;&#160;&#160;&#160;(10) (9) solicitation of children to engage in sexual conduct under section 
         <statute_ref>609.352</statute_ref>;<br />
         		<a id="pl.75.1"></a><var>75.1</var>&#160;&#160;&#160;&#160;(11) (10) malicious punishment or neglect or endangerment of a child under section <br />
         		
         <statute_ref><a id="pl.75.2"></a><var>75.2</var>609.377
         </statute_ref> or 
         <statute_ref>609.378</statute_ref>;<br />
         		<a id="pl.75.3"></a><var>75.3</var>&#160;&#160;&#160;&#160;(12) (11) use of a minor in sexual performance under section 
         <statute_ref>617.246</statute_ref>; or<br />
         		<a id="pl.75.4"></a><var>75.4</var>&#160;&#160;&#160;&#160;(13) (12) parental behavior, status, or condition which mandates that the county <br />
         		<a id="pl.75.5"></a><var>75.5</var>attorney file a termination of parental rights petition under section 
         <statute_ref>260C.503, subdivision 2</statute_ref>.<br />
         		<a id="pl.75.6"></a><var>75.6</var>&#160;&#160;&#160;&#160;(d) "Sexual abuse" means the subjection of a child by a person responsible for the
         <br />
         		<a id="pl.75.7"></a><var>75.7</var>child's care, by a person who has a significant relationship to the child, as defined
         in <br />
         		<a id="pl.75.8"></a><var>75.8</var>section 
         <statute_ref>609.341</statute_ref>, or by a person in a position of authority, as defined in section 
         <statute_ref>609.341</statute_ref>, <br />
         		<a id="pl.75.9"></a><var>75.9</var>subdivision 10, to any act which constitutes a violation of section 
         <statute_ref>609.342</statute_ref> (criminal sexual <br />
         		<a id="pl.75.10"></a><var>75.10</var>conduct in the first degree), 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree), <br />
         		
         <statute_ref><a id="pl.75.11"></a><var>75.11</var>609.344
         </statute_ref> (criminal sexual conduct in the third degree), 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct <br />
         		<a id="pl.75.12"></a><var>75.12</var>in the fourth degree), or 
         <statute_ref>609.3451</statute_ref> (criminal sexual conduct in the fifth degree). Sexual <br />
         		<a id="pl.75.13"></a><var>75.13</var>abuse also includes any act which involves a minor which constitutes a violation of
         <br />
         		<a id="pl.75.14"></a><var>75.14</var>prostitution offenses under sections 
         <statute_ref>609.321</statute_ref> to 
         <statute_ref>609.324</statute_ref> or 
         <statute_ref>617.246</statute_ref>. Sexual abuse includes <br />
         		<a id="pl.75.15"></a><var>75.15</var>threatened sexual abuse which includes the status of a parent or household member
         <br />
         		<a id="pl.75.16"></a><var>75.16</var>who has committed a violation which requires registration as an offender under section
         <br />
         		<a id="pl.75.17"></a><var>75.17</var>243.166, subdivision 1b, paragraph (a) or (b), or required registration under section
         <br />
         		<a id="pl.75.18"></a><var>75.18</var>243.166, subdivision 1b, paragraph (a) or (b).<br />
         		<a id="pl.75.19"></a><var>75.19</var>&#160;&#160;&#160;&#160;(e) "Person responsible for the child's care" means (1) an individual functioning
         <br />
         		<a id="pl.75.20"></a><var>75.20</var>within the family unit and having responsibilities for the care of the child such
         as a <br />
         		<a id="pl.75.21"></a><var>75.21</var>parent, guardian, or other person having similar care responsibilities, or (2) an
         individual <br />
         		<a id="pl.75.22"></a><var>75.22</var>functioning outside the family unit and having responsibilities for the care of the
         child <br />
         		<a id="pl.75.23"></a><var>75.23</var>such as a teacher, school administrator, other school employees or agents, or other
         lawful <br />
         		<a id="pl.75.24"></a><var>75.24</var>custodian of a child having either full-time or short-term care responsibilities including,
         <br />
         		<a id="pl.75.25"></a><var>75.25</var>but not limited to, day care, babysitting whether paid or unpaid, counseling, teaching,
         <br />
         		<a id="pl.75.26"></a><var>75.26</var>and coaching.<br />
         		<a id="pl.75.27"></a><var>75.27</var>&#160;&#160;&#160;&#160;(f) "Neglect" means the commission or omission of any of the acts specified under
         <br />
         		<a id="pl.75.28"></a><var>75.28</var>clauses (1) to (9), other than by accidental means:<br />
         		<a id="pl.75.29"></a><var>75.29</var>&#160;&#160;&#160;&#160;(1) failure by a person responsible for a child's care to supply a child with necessary
         <br />
         		<a id="pl.75.30"></a><var>75.30</var>food, clothing, shelter, health, medical, or other care required for the child's physical
         or <br />
         		<a id="pl.75.31"></a><var>75.31</var>mental health when reasonably able to do so;<br />
         		<a id="pl.75.32"></a><var>75.32</var>&#160;&#160;&#160;&#160;(2) failure to protect a child from conditions or actions that seriously endanger
         the <br />
         		<a id="pl.75.33"></a><var>75.33</var>child's physical or mental health when reasonably able to do so, including a growth
         delay, <br />
         		<a id="pl.75.34"></a><var>75.34</var>which may be referred to as a failure to thrive, that has been diagnosed by a physician
         and <br />
         		<a id="pl.75.35"></a><var>75.35</var>is due to parental neglect;<br />
         		<a id="pl.76.1"></a><var>76.1</var>&#160;&#160;&#160;&#160;(3) failure to provide for necessary supervision or child care arrangements <br />
         		<a id="pl.76.2"></a><var>76.2</var>appropriate for a child after considering factors as the child's age, mental ability,
         physical <br />
         		<a id="pl.76.3"></a><var>76.3</var>condition, length of absence, or environment, when the child is unable to care for
         the <br />
         		<a id="pl.76.4"></a><var>76.4</var>child's own basic needs or safety, or the basic needs or safety of another child in
         their care;<br />
         		<a id="pl.76.5"></a><var>76.5</var>&#160;&#160;&#160;&#160;(4) failure to ensure that the child is educated as defined in sections 
         <statute_ref>120A.22</statute_ref> and <br />
         		
         <statute_ref><a id="pl.76.6"></a><var>76.6</var>260C.163, subdivision 11
         </statute_ref>, which does not include a parent's refusal to provide the parent's <br />
         		<a id="pl.76.7"></a><var>76.7</var>child with sympathomimetic medications, consistent with section 
         <statute_ref>125A.091, subdivision 5</statute_ref>;<br />
         		<a id="pl.76.8"></a><var>76.8</var>&#160;&#160;&#160;&#160;(5) nothing in this section shall be construed to mean that a child is neglected solely
         <br />
         		<a id="pl.76.9"></a><var>76.9</var>because the child's parent, guardian, or other person responsible for the child's
         care in <br />
         		<a id="pl.76.10"></a><var>76.10</var>good faith selects and depends upon spiritual means or prayer for treatment or care
         of <br />
         		<a id="pl.76.11"></a><var>76.11</var>disease or remedial care of the child in lieu of medical care; except that a parent,
         guardian, <br />
         		<a id="pl.76.12"></a><var>76.12</var>or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty
         to report <br />
         		<a id="pl.76.13"></a><var>76.13</var>if a lack of medical care may cause serious danger to the child's health. This section
         does <br />
         		<a id="pl.76.14"></a><var>76.14</var>not impose upon persons, not otherwise legally responsible for providing a child with
         <br />
         		<a id="pl.76.15"></a><var>76.15</var>necessary food, clothing, shelter, education, or medical care, a duty to provide that
         care;<br />
         		<a id="pl.76.16"></a><var>76.16</var>&#160;&#160;&#160;&#160;(6) prenatal exposure to a controlled substance, as defined in section 
         <statute_ref>253B.02</statute_ref>, <br />
         		<a id="pl.76.17"></a><var>76.17</var>subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal
         <br />
         		<a id="pl.76.18"></a><var>76.18</var>symptoms in the child at birth, results of a toxicology test performed on the mother
         at <br />
         		<a id="pl.76.19"></a><var>76.19</var>delivery or the child at birth, medical effects or developmental delays during the
         child's <br />
         		<a id="pl.76.20"></a><var>76.20</var>first year of life that medically indicate prenatal exposure to a controlled substance,
         or the <br />
         		<a id="pl.76.21"></a><var>76.21</var>presence of a fetal alcohol spectrum disorder;<br />
         		<a id="pl.76.22"></a><var>76.22</var>&#160;&#160;&#160;&#160;(7) "medical neglect" as defined in section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (5);<br />
         		<a id="pl.76.23"></a><var>76.23</var>&#160;&#160;&#160;&#160;(8) chronic and severe use of alcohol or a controlled substance by a parent or <br />
         		<a id="pl.76.24"></a><var>76.24</var>person responsible for the care of the child that adversely affects the child's basic
         needs <br />
         		<a id="pl.76.25"></a><var>76.25</var>and safety; or<br />
         		<a id="pl.76.26"></a><var>76.26</var>&#160;&#160;&#160;&#160;(9) emotional harm from a pattern of behavior which contributes to impaired <br />
         		<a id="pl.76.27"></a><var>76.27</var>emotional functioning of the child which may be demonstrated by a substantial and
         <br />
         		<a id="pl.76.28"></a><var>76.28</var>observable effect in the child's behavior, emotional response, or cognition that is
         not <br />
         		<a id="pl.76.29"></a><var>76.29</var>within the normal range for the child's age and stage of development, with due regard
         to <br />
         		<a id="pl.76.30"></a><var>76.30</var>the child's culture.<br />
         		<a id="pl.76.31"></a><var>76.31</var>&#160;&#160;&#160;&#160;(g) "Physical abuse" means any physical injury, mental injury, or threatened injury,
         <br />
         		<a id="pl.76.32"></a><var>76.32</var>inflicted by a person responsible for the child's care on a child other than by accidental
         <br />
         		<a id="pl.76.33"></a><var>76.33</var>means, or any physical or mental injury that cannot reasonably be explained by the
         child's <br />
         		<a id="pl.76.34"></a><var>76.34</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions,
         <br />
         		<a id="pl.76.35"></a><var>76.35</var>that have not been authorized under section 
         <statute_ref>125A.0942 </statute_ref>or 
         <statute_ref>245.825</statute_ref>.<br />
         		<a id="pl.77.1"></a><var>77.1</var>&#160;&#160;&#160;&#160;Abuse does not include reasonable and moderate physical discipline of a child <br />
         		<a id="pl.77.2"></a><var>77.2</var>administered by a parent or legal guardian which does not result in an injury. Abuse
         does <br />
         		<a id="pl.77.3"></a><var>77.3</var>not include the use of reasonable force by a teacher, principal, or school employee
         as <br />
         		<a id="pl.77.4"></a><var>77.4</var>allowed by section 
         <statute_ref>121A.582</statute_ref>. Actions which are not reasonable and moderate include, <br />
         		<a id="pl.77.5"></a><var>77.5</var>but are not limited to, any of the following that are done in anger or without regard to the <br />
         		<a id="pl.77.6"></a><var>77.6</var>safety of the child:<br />
         		<a id="pl.77.7"></a><var>77.7</var>&#160;&#160;&#160;&#160;(1) throwing, kicking, burning, biting, or cutting a child;<br />
         		<a id="pl.77.8"></a><var>77.8</var>&#160;&#160;&#160;&#160;(2) striking a child with a closed fist;<br />
         		<a id="pl.77.9"></a><var>77.9</var>&#160;&#160;&#160;&#160;(3) shaking a child under age three;<br />
         		<a id="pl.77.10"></a><var>77.10</var>&#160;&#160;&#160;&#160;(4) striking or other actions which result in any nonaccidental injury to a child
         <br />
         		<a id="pl.77.11"></a><var>77.11</var>under 18 months of age;<br />
         		<a id="pl.77.12"></a><var>77.12</var>&#160;&#160;&#160;&#160;(5) unreasonable interference with a child's breathing;<br />
         		<a id="pl.77.13"></a><var>77.13</var>&#160;&#160;&#160;&#160;(6) threatening a child with a weapon, as defined in section 
         <statute_ref>609.02, subdivision 6</statute_ref>;<br />
         		<a id="pl.77.14"></a><var>77.14</var>&#160;&#160;&#160;&#160;(7) striking a child under age one on the face or head;<br />
         		<a id="pl.77.15"></a><var>77.15</var>&#160;&#160;&#160;&#160;(8) striking a child who is at least age one but under age four on the face or head,
         <br />
         		<a id="pl.77.16"></a><var>77.16</var>which results in an injury;<br />
         		<a id="pl.77.17"></a><var>77.17</var>&#160;&#160;&#160;&#160;(8) (9) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled <br />
         		<a id="pl.77.18"></a><var>77.18</var>substances which were not prescribed for the child by a practitioner, in order to
         control or <br />
         		<a id="pl.77.19"></a><var>77.19</var>punish the child; or other substances that substantially affect the child's behavior,
         motor <br />
         		<a id="pl.77.20"></a><var>77.20</var>coordination, or judgment or that results in sickness or internal injury, or subjects
         the <br />
         		<a id="pl.77.21"></a><var>77.21</var>child to medical procedures that would be unnecessary if the child were not exposed
         <br />
         		<a id="pl.77.22"></a><var>77.22</var>to the substances;<br />
         		<a id="pl.77.23"></a><var>77.23</var>&#160;&#160;&#160;&#160;(9) (10) unreasonable physical confinement or restraint not permitted under section <br />
         		
         <statute_ref><a id="pl.77.24"></a><var>77.24</var>609.379
         </statute_ref>, including but not limited to tying, caging, or chaining; or<br />
         		<a id="pl.77.25"></a><var>77.25</var>&#160;&#160;&#160;&#160;(10) (11) in a school facility or school zone, an act by a person responsible for the <br />
         		<a id="pl.77.26"></a><var>77.26</var>child's care that is a violation under section 
         <statute_ref>121A.58</statute_ref>.<br />
         		<a id="pl.77.27"></a><var>77.27</var>&#160;&#160;&#160;&#160;(h) "Report" means any report communication received by the local welfare agency, <br />
         		<a id="pl.77.28"></a><var>77.28</var>police department, county sheriff, or agency responsible for assessing or investigating <br />
         		<a id="pl.77.29"></a><var>77.29</var>maltreatment child protection pursuant to this section that describes neglect or physical or <br />
         		<a id="pl.77.30"></a><var>77.30</var>sexual abuse of a child and contains sufficient content to identify the child and
         any person <br />
         		<a id="pl.77.31"></a><var>77.31</var>believed to be responsible for the neglect or abuse, if known.<br />
         		<a id="pl.77.32"></a><var>77.32</var>&#160;&#160;&#160;&#160;(i) "Facility" means:<br />
         		<a id="pl.77.33"></a><var>77.33</var>&#160;&#160;&#160;&#160;(1) a licensed or unlicensed day care facility, residential facility, agency, hospital,
         <br />
         		<a id="pl.77.34"></a><var>77.34</var>sanitarium, or other facility or institution required to be licensed under sections
         
         <statute_ref>144.50</statute_ref> to <br />
         		
         <statute_ref><a id="pl.77.35"></a><var>77.35</var>144.58
         </statute_ref>, 
         <statute_ref>241.021</statute_ref>, or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, or chapter 245D;<br />
         		<a id="pl.78.1"></a><var>78.1</var>&#160;&#160;&#160;&#160;(2) a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13; and <br />
         		
         <statute_ref><a id="pl.78.2"></a><var>78.2</var>124D.10
         </statute_ref>; or<br />
         		<a id="pl.78.3"></a><var>78.3</var>&#160;&#160;&#160;&#160;(3) a nonlicensed personal care provider organization as defined in section <br />
         		
         <statute_ref><a id="pl.78.4"></a><var>78.4</var>256B.0625, subdivision 19a
         </statute_ref>.<br />
         		<a id="pl.78.5"></a><var>78.5</var>&#160;&#160;&#160;&#160;(j) "Operator" means an operator or agency as defined in section 
         <statute_ref>245A.02</statute_ref>.<br />
         		<a id="pl.78.6"></a><var>78.6</var>&#160;&#160;&#160;&#160;(k) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.78.7"></a><var>78.7</var>&#160;&#160;&#160;&#160;(l) "Practice of social services," for the purposes of subdivision 3, includes but
         is <br />
         		<a id="pl.78.8"></a><var>78.8</var>not limited to employee assistance counseling and the provision of guardian ad litem
         and <br />
         		<a id="pl.78.9"></a><var>78.9</var>parenting time expeditor services.<br />
         		<a id="pl.78.10"></a><var>78.10</var>&#160;&#160;&#160;&#160;(m) "Mental injury" means an injury to the psychological capacity or emotional <br />
         		<a id="pl.78.11"></a><var>78.11</var>stability of a child as evidenced by an observable or substantial impairment in the
         child's <br />
         		<a id="pl.78.12"></a><var>78.12</var>ability to function within a normal range of performance and behavior with due regard
         to <br />
         		<a id="pl.78.13"></a><var>78.13</var>the child's culture.<br />
         		<a id="pl.78.14"></a><var>78.14</var>&#160;&#160;&#160;&#160;(n) "Threatened injury" means a statement, overt act, condition, or status that <br />
         		<a id="pl.78.15"></a><var>78.15</var>represents a substantial risk of physical or sexual abuse or mental injury. Threatened
         <br />
         		<a id="pl.78.16"></a><var>78.16</var>injury includes, but is not limited to, exposing a child to a person responsible for
         the <br />
         		<a id="pl.78.17"></a><var>78.17</var>child's care, as defined in paragraph (e), clause (1), who has:<br />
         		<a id="pl.78.18"></a><var>78.18</var>&#160;&#160;&#160;&#160;(1) subjected a child to, or failed to protect a child from, an overt act or condition
         <br />
         		<a id="pl.78.19"></a><var>78.19</var>that constitutes egregious harm, as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>, or a <br />
         		<a id="pl.78.20"></a><var>78.20</var>similar law of another jurisdiction;<br />
         		<a id="pl.78.21"></a><var>78.21</var>&#160;&#160;&#160;&#160;(2) been found to be palpably unfit under section 
         <statute_ref>260C.301</statute_ref>, subdivision 1, paragraph <br />
         		<a id="pl.78.22"></a><var>78.22</var>(b), clause (4), or a similar law of another jurisdiction;<br />
         		<a id="pl.78.23"></a><var>78.23</var>&#160;&#160;&#160;&#160;(3) committed an act that has resulted in an involuntary termination of parental rights
         <br />
         		<a id="pl.78.24"></a><var>78.24</var>under section 
         <statute_ref>260C.301</statute_ref>, or a similar law of another jurisdiction; or<br />
         		<a id="pl.78.25"></a><var>78.25</var>&#160;&#160;&#160;&#160;(4) committed an act that has resulted in the involuntary transfer of permanent <br />
         		<a id="pl.78.26"></a><var>78.26</var>legal and physical custody of a child to a relative under Minnesota Statutes 2010,
         section <br />
         		
         <statute_ref><a id="pl.78.27"></a><var>78.27</var>260C.201, subdivision 11
         </statute_ref>, paragraph (d), clause (1), section 
         <statute_ref>260C.515, subdivision 4</statute_ref>, or a <br />
         		<a id="pl.78.28"></a><var>78.28</var>similar law of another jurisdiction.<br />
         		<a id="pl.78.29"></a><var>78.29</var>A child is the subject of a report of threatened injury when the responsible social
         <br />
         		<a id="pl.78.30"></a><var>78.30</var>services agency receives birth match data under paragraph (o) from the Department
         of <br />
         		<a id="pl.78.31"></a><var>78.31</var>Human Services.<br />
         		<a id="pl.78.32"></a><var>78.32</var>(o) Upon receiving data under section 
         <statute_ref>144.225, subdivision 2b</statute_ref>, contained in a <br />
         		<a id="pl.78.33"></a><var>78.33</var>birth record or recognition of parentage identifying a child who is subject to threatened
         <br />
         		<a id="pl.78.34"></a><var>78.34</var>injury under paragraph (n), the Department of Human Services shall send the data to
         the <br />
         		<a id="pl.78.35"></a><var>78.35</var>responsible social services agency. The data is known as "birth match" data. Unless
         the <br />
         		<a id="pl.78.36"></a><var>78.36</var>responsible social services agency has already begun an investigation or assessment
         of the <br />
         		<a id="pl.79.1"></a><var>79.1</var>report due to the birth of the child or execution of the recognition of parentage
         and the <br />
         		<a id="pl.79.2"></a><var>79.2</var>parent's previous history with child protection, the agency shall accept the birth
         match <br />
         		<a id="pl.79.3"></a><var>79.3</var>data as a report under this section. The agency may use either a family assessment
         or <br />
         		<a id="pl.79.4"></a><var>79.4</var>investigation to determine whether the child is safe. All of the provisions of this
         section <br />
         		<a id="pl.79.5"></a><var>79.5</var>apply. If the child is determined to be safe, the agency shall consult with the county
         <br />
         		<a id="pl.79.6"></a><var>79.6</var>attorney to determine the appropriateness of filing a petition alleging the child
         is in need <br />
         		<a id="pl.79.7"></a><var>79.7</var>of protection or services under section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (16), in order to <br />
         		<a id="pl.79.8"></a><var>79.8</var>deliver needed services. If the child is determined not to be safe, the agency and
         the county <br />
         		<a id="pl.79.9"></a><var>79.9</var>attorney shall take appropriate action as required under section 
         <statute_ref>260C.503</statute_ref>, subdivision 2.<br />
         		<a id="pl.79.10"></a><var>79.10</var>&#160;&#160;&#160;&#160;(p) Persons who conduct assessments or investigations under this section shall take
         <br />
         		<a id="pl.79.11"></a><var>79.11</var>into account accepted child-rearing practices of the culture in which a child participates
         <br />
         		<a id="pl.79.12"></a><var>79.12</var>and accepted teacher discipline practices, which are not injurious to the child's
         health, <br />
         		<a id="pl.79.13"></a><var>79.13</var>welfare, and safety.<br />
         		<a id="pl.79.14"></a><var>79.14</var>&#160;&#160;&#160;&#160;(q) "Accidental" means a sudden, not reasonably foreseeable, and unexpected <br />
         		<a id="pl.79.15"></a><var>79.15</var>occurrence or event which:<br />
         		<a id="pl.79.16"></a><var>79.16</var>&#160;&#160;&#160;&#160;(1) is not likely to occur and could not have been prevented by exercise of due <br />
         		<a id="pl.79.17"></a><var>79.17</var>care; and<br />
         		<a id="pl.79.18"></a><var>79.18</var>&#160;&#160;&#160;&#160;(2) if occurring while a child is receiving services from a facility, happens when
         the <br />
         		<a id="pl.79.19"></a><var>79.19</var>facility and the employee or person providing services in the facility are in compliance
         <br />
         		<a id="pl.79.20"></a><var>79.20</var>with the laws and rules relevant to the occurrence or event.<br />
         		<a id="pl.79.21"></a><var>79.21</var>(r) "Nonmaltreatment mistake" means:<br />
         		<a id="pl.79.22"></a><var>79.22</var>(1) at the time of the incident, the individual was performing duties identified in
         the <br />
         		<a id="pl.79.23"></a><var>79.23</var>center's child care program plan required under Minnesota Rules, part 9503.0045;<br />
         		<a id="pl.79.24"></a><var>79.24</var>(2) the individual has not been determined responsible for a similar incident that
         <br />
         		<a id="pl.79.25"></a><var>79.25</var>resulted in a finding of maltreatment for at least seven years;<br />
         		<a id="pl.79.26"></a><var>79.26</var>(3) the individual has not been determined to have committed a similar <br />
         		<a id="pl.79.27"></a><var>79.27</var>nonmaltreatment mistake under this paragraph for at least four years;<br />
         		<a id="pl.79.28"></a><var>79.28</var>(4) any injury to a child resulting from the incident, if treated, is treated only
         with <br />
         		<a id="pl.79.29"></a><var>79.29</var>remedies that are available over the counter, whether ordered by a medical professional
         or <br />
         		<a id="pl.79.30"></a><var>79.30</var>not; and<br />
         		<a id="pl.79.31"></a><var>79.31</var>(5) except for the period when the incident occurred, the facility and the individual
         <br />
         		<a id="pl.79.32"></a><var>79.32</var>providing services were both in compliance with all licensing requirements relevant
         to the <br />
         		<a id="pl.79.33"></a><var>79.33</var>incident.<br />
         		<a id="pl.79.34"></a><var>79.34</var>This definition only applies to child care centers licensed under Minnesota <br />
         		<a id="pl.79.35"></a><var>79.35</var>Rules, chapter 9503. If clauses (1) to (5) apply, rather than making a determination
         of <br />
         		<a id="pl.80.1"></a><var>80.1</var>substantiated maltreatment by the individual, the commissioner of human services shall
         <br />
         		<a id="pl.80.2"></a><var>80.2</var>determine that a nonmaltreatment mistake was made by the individual.<br />
         		<br />
         		<a id="bill.1.90.0"></a><a id="pl.80.3"></a><var>80.3</var>&#160;&#160;&#160;&#160;Sec. 90. Minnesota Statutes 2014, section 626.556, subdivision 3, is amended to read:<br />
         		<a id="pl.80.4"></a><var>80.4</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Persons mandated to report</b><b>; persons voluntarily reporting</b><b>.</b> (a) A <br />
         		<a id="pl.80.5"></a><var>80.5</var>person who knows or has reason to believe a child is being neglected or physically
         or <br />
         		<a id="pl.80.6"></a><var>80.6</var>sexually abused, as defined in subdivision 2, or has been neglected or physically
         or <br />
         		<a id="pl.80.7"></a><var>80.7</var>sexually abused within the preceding three years, shall immediately report the information
         <br />
         		<a id="pl.80.8"></a><var>80.8</var>to the local welfare agency, agency responsible for assessing or investigating the
         report, <br />
         		<a id="pl.80.9"></a><var>80.9</var>police department, or the county sheriff, tribal social services agency, or tribal police <br />
         		<a id="pl.80.10"></a><var>80.10</var>department if the person is:<br />
         		<a id="pl.80.11"></a><var>80.11</var>&#160;&#160;&#160;&#160;(1) a professional or professional's delegate who is engaged in the practice of <br />
         		<a id="pl.80.12"></a><var>80.12</var>the healing arts, social services, hospital administration, psychological or psychiatric
         <br />
         		<a id="pl.80.13"></a><var>80.13</var>treatment, child care, education, correctional supervision, probation and correctional
         <br />
         		<a id="pl.80.14"></a><var>80.14</var>services, or law enforcement; or<br />
         		<a id="pl.80.15"></a><var>80.15</var>&#160;&#160;&#160;&#160;(2) employed as a member of the clergy and received the information while <br />
         		<a id="pl.80.16"></a><var>80.16</var>engaged in ministerial duties, provided that a member of the clergy is not required
         by <br />
         		<a id="pl.80.17"></a><var>80.17</var>this subdivision to report information that is otherwise privileged under section
         
         <statute_ref>595.02, <br />
            		<a id="pl.80.18"></a><var>80.18</var>subdivision 1
         </statute_ref>, paragraph (c).<br />
         		<a id="pl.80.19"></a><var>80.19</var>&#160;&#160;&#160;&#160;The police department or the county sheriff, upon receiving a report, shall <br />
         		<a id="pl.80.20"></a><var>80.20</var>immediately notify the local welfare agency or agency responsible for assessing or
         <br />
         		<a id="pl.80.21"></a><var>80.21</var>investigating the report, orally and in writing. The local welfare agency, or agency
         <br />
         		<a id="pl.80.22"></a><var>80.22</var>responsible for assessing or investigating the report, upon receiving a report, shall
         <br />
         		<a id="pl.80.23"></a><var>80.23</var>immediately notify the local police department or the county sheriff orally and in
         writing. <br />
         		<a id="pl.80.24"></a><var>80.24</var>The county sheriff and the head of every local welfare agency, agency responsible
         <br />
         		<a id="pl.80.25"></a><var>80.25</var>for assessing or investigating reports, and police department shall each designate
         a <br />
         		<a id="pl.80.26"></a><var>80.26</var>person within their agency, department, or office who is responsible for ensuring
         that <br />
         		<a id="pl.80.27"></a><var>80.27</var>the notification duties of this paragraph and paragraph (b) are carried out. Nothing
         in <br />
         		<a id="pl.80.28"></a><var>80.28</var>this subdivision shall be construed to require more than one report from any institution,
         <br />
         		<a id="pl.80.29"></a><var>80.29</var>facility, school, or agency.<br />
         		<a id="pl.80.30"></a><var>80.30</var>&#160;&#160;&#160;&#160;(b) Any person may voluntarily report to the local welfare agency, agency <br />
         		<a id="pl.80.31"></a><var>80.31</var>responsible for assessing or investigating the report, police department, or the county <br />
         		<a id="pl.80.32"></a><var>80.32</var>sheriff, tribal social services agency, or tribal police department if the person knows, <br />
         		<a id="pl.80.33"></a><var>80.33</var>has reason to believe, or suspects a child is being or has been neglected or subjected
         to <br />
         		<a id="pl.80.34"></a><var>80.34</var>physical or sexual abuse. The police department or the county sheriff, upon receiving <br />
         		<a id="pl.80.35"></a><var>80.35</var>a report, shall immediately notify the local welfare agency or agency responsible
         for <br />
         		<a id="pl.81.1"></a><var>81.1</var>assessing or investigating the report, orally and in writing. The local welfare agency
         or <br />
         		<a id="pl.81.2"></a><var>81.2</var>agency responsible for assessing or investigating the report, upon receiving a report,
         shall <br />
         		<a id="pl.81.3"></a><var>81.3</var>immediately notify the local police department or the county sheriff orally and in
         writing.<br />
         		<a id="pl.81.4"></a><var>81.4</var>&#160;&#160;&#160;&#160;(c) A person mandated to report physical or sexual child abuse or neglect occurring
         <br />
         		<a id="pl.81.5"></a><var>81.5</var>within a licensed facility shall report the information to the agency responsible
         for <br />
         		<a id="pl.81.6"></a><var>81.6</var>licensing the facility under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>; 
         <statute_ref>241.021</statute_ref>; 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>; or <br />
         		<a id="pl.81.7"></a><var>81.7</var>chapter 245D; or a nonlicensed personal care provider organization as defined in section
         <br />
         		
         <statute_ref><a id="pl.81.8"></a><var>81.8</var>256B.0625, subdivision 19
         </statute_ref>. A health or corrections agency receiving a report may request <br />
         		<a id="pl.81.9"></a><var>81.9</var>the local welfare agency to provide assistance pursuant to subdivisions 10, 10a, and
         10b. A <br />
         		<a id="pl.81.10"></a><var>81.10</var>board or other entity whose licensees perform work within a school facility, upon
         receiving <br />
         		<a id="pl.81.11"></a><var>81.11</var>a complaint of alleged maltreatment, shall provide information about the circumstances
         of <br />
         		<a id="pl.81.12"></a><var>81.12</var>the alleged maltreatment to the commissioner of education. Section 
         <statute_ref>13.03, subdivision 4</statute_ref>, <br />
         		<a id="pl.81.13"></a><var>81.13</var>applies to data received by the commissioner of education from a licensing entity.<br />
         		<a id="pl.81.14"></a><var>81.14</var>&#160;&#160;&#160;&#160;(d) Any person mandated to report shall receive a summary of the disposition of <br />
         		<a id="pl.81.15"></a><var>81.15</var>any report made by that reporter, including whether the case has been opened for child
         <br />
         		<a id="pl.81.16"></a><var>81.16</var>protection or other services, or if a referral has been made to a community organization,
         <br />
         		<a id="pl.81.17"></a><var>81.17</var>unless release would be detrimental to the best interests of the child. Any person
         who is <br />
         		<a id="pl.81.18"></a><var>81.18</var>not mandated to report shall, upon request to the local welfare agency, receive a
         concise <br />
         		<a id="pl.81.19"></a><var>81.19</var>summary of the disposition of any report made by that reporter, unless release would
         be <br />
         		<a id="pl.81.20"></a><var>81.20</var>detrimental to the best interests of the child. Notification requirements under subdivision <br />
         		<a id="pl.81.21"></a><var>81.21</var>10 apply to all reports received under this section.<br />
         		<a id="pl.81.22"></a><var>81.22</var>&#160;&#160;&#160;&#160;(e) For purposes of this section, "immediately" means as soon as possible but in <br />
         		<a id="pl.81.23"></a><var>81.23</var>no event longer than 24 hours.<br />
         		<br />
         		<a id="bill.1.91.0"></a><a id="pl.81.24"></a><var>81.24</var>&#160;&#160;&#160;&#160;Sec. 91. Minnesota Statutes 2014, section 626.556, subdivision 6a, is amended to read:<br />
         		<a id="pl.81.25"></a><var>81.25</var>&#160;&#160;&#160;&#160;Subd. 6a. <b>Failure to notify.</b> If a local welfare agency receives a report under <br />
         		<a id="pl.81.26"></a><var>81.26</var>subdivision 3, paragraph (a) or (b), and fails to notify the local police department
         or county <br />
         		<a id="pl.81.27"></a><var>81.27</var>sheriff as required by subdivision 3, paragraph (a) or (b) 10, the person within the agency <br />
         		<a id="pl.81.28"></a><var>81.28</var>who is responsible for ensuring that notification is made shall be subject to disciplinary
         <br />
         		<a id="pl.81.29"></a><var>81.29</var>action in keeping with the agency's existing policy or collective bargaining agreement
         on <br />
         		<a id="pl.81.30"></a><var>81.30</var>discipline of employees. If a local police department or a county sheriff receives
         a report <br />
         		<a id="pl.81.31"></a><var>81.31</var>under subdivision 3, paragraph (a) or (b), and fails to notify the local welfare agency
         as <br />
         		<a id="pl.81.32"></a><var>81.32</var>required by subdivision 3, paragraph (a) or (b) 10, the person within the police department <br />
         		<a id="pl.81.33"></a><var>81.33</var>or county sheriff's office who is responsible for ensuring that notification is made
         shall be <br />
         		<a id="pl.81.34"></a><var>81.34</var>subject to disciplinary action in keeping with the agency's existing policy or collective
         <br />
         		<a id="pl.81.35"></a><var>81.35</var>bargaining agreement on discipline of employees.<br />
         		<br />
         		<a id="bill.1.92.0"></a><a id="pl.82.1"></a><var>82.1</var>&#160;&#160;&#160;&#160;Sec. 92. Minnesota Statutes 2014, section 626.556, subdivision 7, as amended by Laws <br />
         		<a id="pl.82.2"></a><var>82.2</var>2015, chapter 4, section 2, is amended to read:<br />
         		<a id="pl.82.3"></a><var>82.3</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Report; information provided to parent</b><b>; reporter</b><b>.</b> (a) An oral report <br />
         		<a id="pl.82.4"></a><var>82.4</var>shall be made immediately by telephone or otherwise. An oral report made by a person
         <br />
         		<a id="pl.82.5"></a><var>82.5</var>required under subdivision 3 to report shall be followed within 72 hours, exclusive
         <br />
         		<a id="pl.82.6"></a><var>82.6</var>of weekends and holidays, by a report in writing to the appropriate police department,
         <br />
         		<a id="pl.82.7"></a><var>82.7</var>the county sheriff, the agency responsible for assessing or investigating the report,
         or <br />
         		<a id="pl.82.8"></a><var>82.8</var>the local welfare agency. <br />
         		<a id="pl.82.9"></a><var>82.9</var>&#160;&#160;&#160;&#160;(b) The local welfare agency shall determine if the report is accepted for an <br />
         		<a id="pl.82.10"></a><var>82.10</var>assessment or investigation to be screened in or out as soon as possible but in no event <br />
         		<a id="pl.82.11"></a><var>82.11</var>longer than 24 hours after the report is received. When determining whether a report will <br />
         		<a id="pl.82.12"></a><var>82.12</var>be screened in or out, the agency receiving the report must consider, when relevant,
         all <br />
         		<a id="pl.82.13"></a><var>82.13</var>previous history, including reports that were screened out. The agency may communicate
         <br />
         		<a id="pl.82.14"></a><var>82.14</var>with treating professionals and individuals specified under subdivision 10, paragraph
         <br />
         		<a id="pl.82.15"></a><var>82.15</var>(i), clause (3), item (iii).<br />
         		<a id="pl.82.16"></a><var>82.16</var>&#160;&#160;&#160;&#160;(b) (c) Any report shall be of sufficient content to identify the child, any person <br />
         		<a id="pl.82.17"></a><var>82.17</var>believed to be responsible for the abuse or neglect of the child if the person is
         known, the <br />
         		<a id="pl.82.18"></a><var>82.18</var>nature and extent of the abuse or neglect and the name and address of the reporter.
         The <br />
         		<a id="pl.82.19"></a><var>82.19</var>local welfare agency or agency responsible for assessing or investigating the report
         shall <br />
         		<a id="pl.82.20"></a><var>82.20</var>accept a report made under subdivision 3 notwithstanding refusal by a reporter to
         provide <br />
         		<a id="pl.82.21"></a><var>82.21</var>the reporter's name or address as long as the report is otherwise sufficient under
         this <br />
         		<a id="pl.82.22"></a><var>82.22</var>paragraph. Written reports received by a police department or the county sheriff shall
         be <br />
         		<a id="pl.82.23"></a><var>82.23</var>forwarded immediately to the local welfare agency or the agency responsible for assessing
         <br />
         		<a id="pl.82.24"></a><var>82.24</var>or investigating the report. The police department or the county sheriff may keep
         copies of <br />
         		<a id="pl.82.25"></a><var>82.25</var>reports received by them. Copies of written reports received by a local welfare department
         <br />
         		<a id="pl.82.26"></a><var>82.26</var>or the agency responsible for assessing or investigating the report shall be forwarded
         <br />
         		<a id="pl.82.27"></a><var>82.27</var>immediately to the local police department or the county sheriff.<br />
         		<a id="pl.82.28"></a><var>82.28</var>&#160;&#160;&#160;&#160;(c) (d) When requested, the agency responsible for assessing or investigating a <br />
         		<a id="pl.82.29"></a><var>82.29</var>report shall inform the reporter within ten days after the report was made, either
         orally or <br />
         		<a id="pl.82.30"></a><var>82.30</var>in writing, whether the report was accepted or not. If the responsible agency determines
         <br />
         		<a id="pl.82.31"></a><var>82.31</var>the report does not constitute a report under this section, the agency shall advise
         the <br />
         		<a id="pl.82.32"></a><var>82.32</var>reporter the report was screened out. Any person mandated to report shall receive a <br />
         		<a id="pl.82.33"></a><var>82.33</var>summary of the disposition of any report made by that reporter, including whether
         the case <br />
         		<a id="pl.82.34"></a><var>82.34</var>has been opened for child protection or other services, or if a referral has been
         made to a <br />
         		<a id="pl.82.35"></a><var>82.35</var>community organization, unless release would be detrimental to the best interests
         of the <br />
         		<a id="pl.82.36"></a><var>82.36</var>child. Any person who is not mandated to report shall, upon request to the local welfare
         <br />
         		<a id="pl.83.1"></a><var>83.1</var>agency, receive a concise summary of the disposition of any report made by that reporter,
         <br />
         		<a id="pl.83.2"></a><var>83.2</var>unless release would be detrimental to the best interests of the child.<br />
         		<a id="pl.83.3"></a><var>83.3</var>&#160;&#160;&#160;&#160;(e) Reports that are screened out must be maintained in accordance with subdivision
         <br />
         		<a id="pl.83.4"></a><var>83.4</var>11c, paragraph (a).<br />
         		<a id="pl.83.5"></a><var>83.5</var>&#160;&#160;&#160;&#160;(f) A local welfare agency or agency responsible for investigating or assessing a
         <br />
         		<a id="pl.83.6"></a><var>83.6</var>report may use a screened-out report for making an offer of social services to the
         subjects <br />
         		<a id="pl.83.7"></a><var>83.7</var>of the screened-out report. A local welfare agency or agency responsible for evaluating
         a <br />
         		<a id="pl.83.8"></a><var>83.8</var>report alleging maltreatment of a child shall consider prior reports, including screened-out
         <br />
         		<a id="pl.83.9"></a><var>83.9</var>reports, to determine whether an investigation or family assessment must be conducted.
         <br />
         		<a id="pl.83.10"></a><var>83.10</var>&#160;&#160;&#160;&#160;(d) (g) Notwithstanding paragraph (a), the commissioner of education must inform <br />
         		<a id="pl.83.11"></a><var>83.11</var>the parent, guardian, or legal custodian of the child who is the subject of a report
         of <br />
         		<a id="pl.83.12"></a><var>83.12</var>alleged maltreatment in a school facility within ten days of receiving the report,
         either <br />
         		<a id="pl.83.13"></a><var>83.13</var>orally or in writing, whether the commissioner is assessing or investigating the report
         <br />
         		<a id="pl.83.14"></a><var>83.14</var>of alleged maltreatment.<br />
         		<a id="pl.83.15"></a><var>83.15</var>&#160;&#160;&#160;&#160;(e) (h) Regardless of whether a report is made under this subdivision, as soon as <br />
         		<a id="pl.83.16"></a><var>83.16</var>practicable after a school receives information regarding an incident that may constitute
         <br />
         		<a id="pl.83.17"></a><var>83.17</var>maltreatment of a child in a school facility, the school shall inform the parent,
         legal <br />
         		<a id="pl.83.18"></a><var>83.18</var>guardian, or custodian of the child that an incident has occurred that may constitute
         <br />
         		<a id="pl.83.19"></a><var>83.19</var>maltreatment of the child, when the incident occurred, and the nature of the conduct
         <br />
         		<a id="pl.83.20"></a><var>83.20</var>that may constitute maltreatment.<br />
         		<a id="pl.83.21"></a><var>83.21</var>&#160;&#160;&#160;&#160;(f) (i) A written copy of a report maintained by personnel of agencies, other than <br />
         		<a id="pl.83.22"></a><var>83.22</var>welfare or law enforcement agencies, which are subject to chapter 13 shall be confidential.
         <br />
         		<a id="pl.83.23"></a><var>83.23</var>An individual subject of the report may obtain access to the original report as provided
         <br />
         		<a id="pl.83.24"></a><var>83.24</var>by subdivision 11.<br />
         		<br />
         		<a id="bill.1.93.0"></a><a id="pl.83.25"></a><var>83.25</var>&#160;&#160;&#160;&#160;Sec. 93. Minnesota Statutes 2014, section 626.556, is amended by adding a subdivision <br />
         		<a id="pl.83.26"></a><var>83.26</var>to read:<br />
         		<a id="pl.83.27"></a><var>83.27</var>&#160;&#160;&#160;&#160;Subd. 7a. <b>Guidance for screening reports.</b> (a) Child protection staff, supervisors, <br />
         		<a id="pl.83.28"></a><var>83.28</var>and others involved in child protection screening shall follow the guidance provided
         <br />
         		<a id="pl.83.29"></a><var>83.29</var>in the child maltreatment screening guidelines issued by the commissioner of human
         <br />
         		<a id="pl.83.30"></a><var>83.30</var>services and, when notified by the commissioner, shall immediately implement updated
         <br />
         		<a id="pl.83.31"></a><var>83.31</var>procedures and protocols.<br />
         		<a id="pl.83.32"></a><var>83.32</var>(b) Any modifications to the screening guidelines must be preapproved by the <br />
         		<a id="pl.83.33"></a><var>83.33</var>commissioner of human services and must not be less protective of children than is
         <br />
         		<a id="pl.83.34"></a><var>83.34</var>mandated by statute. The county agency must consult with the county attorney before
         <br />
         		<a id="pl.83.35"></a><var>83.35</var>proposing modifications to the commissioner. The guidelines may provide additional
         <br />
         		<a id="pl.84.1"></a><var>84.1</var>protections for children but must not limit reports that are screened in or provide
         <br />
         		<a id="pl.84.2"></a><var>84.2</var>additional limits on consideration of reports that were screened out in making screening
         <br />
         		<a id="pl.84.3"></a><var>84.3</var>determinations.<br />
         		<br />
         		<a id="bill.1.94.0"></a><a id="pl.84.4"></a><var>84.4</var>&#160;&#160;&#160;&#160;Sec. 94. Minnesota Statutes 2014, section 626.556, subdivision 10, is amended to read:<br />
         		<a id="pl.84.5"></a><var>84.5</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Duties of local welfare agency and local law enforcement agency upon </b><br />
         		<a id="pl.84.6"></a><var>84.6</var><b>receipt of report</b><b>; mandatory notification between police or sheriff and agency</b><b>.</b> (a) <br />
         		<a id="pl.84.7"></a><var>84.7</var>The police department or the county sheriff shall immediately notify the local welfare
         <br />
         		<a id="pl.84.8"></a><var>84.8</var>agency or agency responsible for child protection reports under this section orally
         and <br />
         		<a id="pl.84.9"></a><var>84.9</var>in writing when a report is received. The local welfare agency or agency responsible
         <br />
         		<a id="pl.84.10"></a><var>84.10</var>for child protection reports shall immediately notify the local police department
         or the <br />
         		<a id="pl.84.11"></a><var>84.11</var>county sheriff orally and in writing when a report is received. The county sheriff
         and the <br />
         		<a id="pl.84.12"></a><var>84.12</var>head of every local welfare agency, agency responsible for child protection reports,
         and <br />
         		<a id="pl.84.13"></a><var>84.13</var>police department shall each designate a person within their agency, department, or
         office <br />
         		<a id="pl.84.14"></a><var>84.14</var>who is responsible for ensuring that the notification duties of this paragraph are
         carried <br />
         		<a id="pl.84.15"></a><var>84.15</var>out. When the alleged maltreatment occurred on tribal land, the local welfare agency
         or <br />
         		<a id="pl.84.16"></a><var>84.16</var>agency responsible for child protection reports and the local police department or
         the <br />
         		<a id="pl.84.17"></a><var>84.17</var>county sheriff shall immediately notify the tribe's social services agency and tribal
         law <br />
         		<a id="pl.84.18"></a><var>84.18</var>enforcement orally and in writing when a report is received.<br />
         		<a id="pl.84.19"></a><var>84.19</var>&#160;&#160;&#160;&#160;(b) Upon receipt of a report, the local welfare agency shall determine whether to <br />
         		<a id="pl.84.20"></a><var>84.20</var>conduct a family assessment or an investigation as appropriate to prevent or provide
         a <br />
         		<a id="pl.84.21"></a><var>84.21</var>remedy for child maltreatment. The local welfare agency:<br />
         		<a id="pl.84.22"></a><var>84.22</var>&#160;&#160;&#160;&#160;(1) shall conduct an investigation on reports involving sexual abuse or substantial <br />
         		<a id="pl.84.23"></a><var>84.23</var>child endangerment;<br />
         		<a id="pl.84.24"></a><var>84.24</var>&#160;&#160;&#160;&#160;(2) shall begin an immediate investigation if, at any time when it is using a family
         <br />
         		<a id="pl.84.25"></a><var>84.25</var>assessment response, it determines that there is reason to believe that sexual abuse or <br />
         		<a id="pl.84.26"></a><var>84.26</var>substantial child endangerment or a serious threat to the child's safety exists;<br />
         		<a id="pl.84.27"></a><var>84.27</var>&#160;&#160;&#160;&#160;(3) may conduct a family assessment for reports that do not allege sexual abuse or <br />
         		<a id="pl.84.28"></a><var>84.28</var>substantial child endangerment. In determining that a family assessment is appropriate,
         <br />
         		<a id="pl.84.29"></a><var>84.29</var>the local welfare agency may consider issues of child safety, parental cooperation,
         and <br />
         		<a id="pl.84.30"></a><var>84.30</var>the need for an immediate response; and<br />
         		<a id="pl.84.31"></a><var>84.31</var>&#160;&#160;&#160;&#160;(4) may conduct a family assessment on a report that was initially screened and <br />
         		<a id="pl.84.32"></a><var>84.32</var>assigned for an investigation. In determining that a complete investigation is not
         required, <br />
         		<a id="pl.84.33"></a><var>84.33</var>the local welfare agency must document the reason for terminating the investigation
         and <br />
         		<a id="pl.84.34"></a><var>84.34</var>notify the local law enforcement agency if the local law enforcement agency is conducting
         <br />
         		<a id="pl.84.35"></a><var>84.35</var>a joint investigation.<br />
         		<a id="pl.85.1"></a><var>85.1</var>&#160;&#160;&#160;&#160;If the report alleges neglect, physical abuse, or sexual abuse by a parent, guardian,
         <br />
         		<a id="pl.85.2"></a><var>85.2</var>or individual functioning within the family unit as a person responsible for the child's
         <br />
         		<a id="pl.85.3"></a><var>85.3</var>care, or sexual abuse by a person with a significant relationship to the child when
         that <br />
         		<a id="pl.85.4"></a><var>85.4</var>person resides in the child's household or by a sibling, the local welfare agency
         shall <br />
         		<a id="pl.85.5"></a><var>85.5</var>immediately conduct a family assessment or investigation as identified in clauses
         (1) <br />
         		<a id="pl.85.6"></a><var>85.6</var>to (4). In conducting a family assessment or investigation, the local welfare agency
         <br />
         		<a id="pl.85.7"></a><var>85.7</var>shall gather information on the existence of substance abuse and domestic violence
         and <br />
         		<a id="pl.85.8"></a><var>85.8</var>offer services for purposes of preventing future child maltreatment, safeguarding
         and <br />
         		<a id="pl.85.9"></a><var>85.9</var>enhancing the welfare of the abused or neglected minor, and supporting and preserving
         <br />
         		<a id="pl.85.10"></a><var>85.10</var>family life whenever possible. If the report alleges a violation of a criminal statute
         <br />
         		<a id="pl.85.11"></a><var>85.11</var>involving sexual abuse, physical abuse, or neglect or endangerment, under section
         <br />
         		
         <statute_ref><a id="pl.85.12"></a><var>85.12</var>609.378
         </statute_ref>, the local law enforcement agency and local welfare agency shall coordinate the <br />
         		<a id="pl.85.13"></a><var>85.13</var>planning and execution of their respective investigation and assessment efforts to
         avoid a <br />
         		<a id="pl.85.14"></a><var>85.14</var>duplication of fact-finding efforts and multiple interviews. Each agency shall prepare
         a <br />
         		<a id="pl.85.15"></a><var>85.15</var>separate report of the results of its investigation or assessment. In cases of alleged child <br />
         		<a id="pl.85.16"></a><var>85.16</var>maltreatment resulting in death, the local agency may rely on the fact-finding efforts
         of a <br />
         		<a id="pl.85.17"></a><var>85.17</var>law enforcement investigation to make a determination of whether or not maltreatment
         <br />
         		<a id="pl.85.18"></a><var>85.18</var>occurred. When necessary the local welfare agency shall seek authority to remove the
         <br />
         		<a id="pl.85.19"></a><var>85.19</var>child from the custody of a parent, guardian, or adult with whom the child is living.
         In <br />
         		<a id="pl.85.20"></a><var>85.20</var>performing any of these duties, the local welfare agency shall maintain appropriate
         records.<br />
         		<a id="pl.85.21"></a><var>85.21</var>&#160;&#160;&#160;&#160;If the family assessment or investigation indicates there is a potential for abuse
         of <br />
         		<a id="pl.85.22"></a><var>85.22</var>alcohol or other drugs by the parent, guardian, or person responsible for the child's
         care, <br />
         		<a id="pl.85.23"></a><var>85.23</var>the local welfare agency shall conduct a chemical use assessment pursuant to Minnesota
         <br />
         		<a id="pl.85.24"></a><var>85.24</var>Rules, part 9530.6615.<br />
         		<a id="pl.85.25"></a><var>85.25</var>&#160;&#160;&#160;&#160;(b) (c)  When a local agency receives a report or otherwise has information indicating <br />
         		<a id="pl.85.26"></a><var>85.26</var>that a child who is a client, as defined in section 
         <statute_ref>245.91</statute_ref>, has been the subject of physical <br />
         		<a id="pl.85.27"></a><var>85.27</var>abuse, sexual abuse, or neglect at an agency, facility, or program as defined in section
         <br />
         		
         <statute_ref><a id="pl.85.28"></a><var>85.28</var>245.91
         </statute_ref>, it shall, in addition to its other duties under this section, immediately inform
         the <br />
         		<a id="pl.85.29"></a><var>85.29</var>ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref>. The commissioner of education <br />
         		<a id="pl.85.30"></a><var>85.30</var>shall inform the ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref> of reports <br />
         		<a id="pl.85.31"></a><var>85.31</var>regarding a child defined as a client in section 
         <statute_ref>245.91</statute_ref> that maltreatment occurred at a <br />
         		<a id="pl.85.32"></a><var>85.32</var>school as defined in sections 
         <statute_ref>120A.05, subdivisions 9, 11, and 13</statute_ref>, and 
         <statute_ref>124D.10</statute_ref>.<br />
         		<a id="pl.85.33"></a><var>85.33</var>&#160;&#160;&#160;&#160;(c) (d)  Authority of the local welfare agency responsible for assessing or <br />
         		<a id="pl.85.34"></a><var>85.34</var>investigating the child abuse or neglect report, the agency responsible for assessing
         or <br />
         		<a id="pl.85.35"></a><var>85.35</var>investigating the report, and of the local law enforcement agency for investigating
         the <br />
         		<a id="pl.85.36"></a><var>85.36</var>alleged abuse or neglect includes, but is not limited to, authority to interview,
         without <br />
         		<a id="pl.86.1"></a><var>86.1</var>parental consent, the alleged victim and any other minors who currently reside with
         or <br />
         		<a id="pl.86.2"></a><var>86.2</var>who have resided with the alleged offender. The interview may take place at school
         or at <br />
         		<a id="pl.86.3"></a><var>86.3</var>any facility or other place where the alleged victim or other minors might be found
         or the <br />
         		<a id="pl.86.4"></a><var>86.4</var>child may be transported to, and the interview conducted at, a place appropriate for
         the <br />
         		<a id="pl.86.5"></a><var>86.5</var>interview of a child designated by the local welfare agency or law enforcement agency.
         <br />
         		<a id="pl.86.6"></a><var>86.6</var>The interview may take place outside the presence of the alleged offender or parent,
         legal <br />
         		<a id="pl.86.7"></a><var>86.7</var>custodian, guardian, or school official. For family assessments, it is the preferred
         practice <br />
         		<a id="pl.86.8"></a><var>86.8</var>to request a parent or guardian's permission to interview the child prior to conducting
         the <br />
         		<a id="pl.86.9"></a><var>86.9</var>child interview, unless doing so would compromise the safety assessment. Except as
         <br />
         		<a id="pl.86.10"></a><var>86.10</var>provided in this paragraph, the parent, legal custodian, or guardian shall be notified
         by <br />
         		<a id="pl.86.11"></a><var>86.11</var>the responsible local welfare or law enforcement agency no later than the conclusion
         of <br />
         		<a id="pl.86.12"></a><var>86.12</var>the investigation or assessment that this interview has occurred. Notwithstanding
         rule 32 <br />
         		<a id="pl.86.13"></a><var>86.13</var>of the Minnesota Rules of Procedure for Juvenile Courts, the juvenile court may, after
         <br />
         		<a id="pl.86.14"></a><var>86.14</var>hearing on an ex parte motion by the local welfare agency, order that, where reasonable
         <br />
         		<a id="pl.86.15"></a><var>86.15</var>cause exists, the agency withhold notification of this interview from the parent,
         legal <br />
         		<a id="pl.86.16"></a><var>86.16</var>custodian, or guardian. If the interview took place or is to take place on school
         property, <br />
         		<a id="pl.86.17"></a><var>86.17</var>the order shall specify that school officials may not disclose to the parent, legal
         custodian, <br />
         		<a id="pl.86.18"></a><var>86.18</var>or guardian the contents of the notification of intent to interview the child on school
         <br />
         		<a id="pl.86.19"></a><var>86.19</var>property, as provided under this paragraph, and any other related information regarding
         <br />
         		<a id="pl.86.20"></a><var>86.20</var>the interview that may be a part of the child's school record. A copy of the order
         shall be <br />
         		<a id="pl.86.21"></a><var>86.21</var>sent by the local welfare or law enforcement agency to the appropriate school official.<br />
         		<a id="pl.86.22"></a><var>86.22</var>&#160;&#160;&#160;&#160;(d) (e) When the local welfare, local law enforcement agency, or the agency <br />
         		<a id="pl.86.23"></a><var>86.23</var>responsible for assessing or investigating a report of maltreatment determines that
         an <br />
         		<a id="pl.86.24"></a><var>86.24</var>interview should take place on school property, written notification of intent to
         interview <br />
         		<a id="pl.86.25"></a><var>86.25</var>the child on school property must be received by school officials prior to the interview.
         <br />
         		<a id="pl.86.26"></a><var>86.26</var>The notification shall include the name of the child to be interviewed, the purpose
         of the <br />
         		<a id="pl.86.27"></a><var>86.27</var>interview, and a reference to the statutory authority to conduct an interview on school
         <br />
         		<a id="pl.86.28"></a><var>86.28</var>property. For interviews conducted by the local welfare agency, the notification shall
         <br />
         		<a id="pl.86.29"></a><var>86.29</var>be signed by the chair of the local social services agency or the chair's designee.
         The <br />
         		<a id="pl.86.30"></a><var>86.30</var>notification shall be private data on individuals subject to the provisions of this
         paragraph. <br />
         		<a id="pl.86.31"></a><var>86.31</var>School officials may not disclose to the parent, legal custodian, or guardian the
         contents <br />
         		<a id="pl.86.32"></a><var>86.32</var>of the notification or any other related information regarding the interview until
         notified <br />
         		<a id="pl.86.33"></a><var>86.33</var>in writing by the local welfare or law enforcement agency that the investigation or
         <br />
         		<a id="pl.86.34"></a><var>86.34</var>assessment has been concluded, unless a school employee or agent is alleged to have
         <br />
         		<a id="pl.86.35"></a><var>86.35</var>maltreated the child. Until that time, the local welfare or law enforcement agency
         or the <br />
         		<a id="pl.87.1"></a><var>87.1</var>agency responsible for assessing or investigating a report of maltreatment shall be
         solely <br />
         		<a id="pl.87.2"></a><var>87.2</var>responsible for any disclosures regarding the nature of the assessment or investigation.<br />
         		<a id="pl.87.3"></a><var>87.3</var>&#160;&#160;&#160;&#160;Except where the alleged offender is believed to be a school official or employee,
         <br />
         		<a id="pl.87.4"></a><var>87.4</var>the time and place, and manner of the interview on school premises shall be within
         the <br />
         		<a id="pl.87.5"></a><var>87.5</var>discretion of school officials, but the local welfare or law enforcement agency shall
         have <br />
         		<a id="pl.87.6"></a><var>87.6</var>the exclusive authority to determine who may attend the interview. The conditions
         as to <br />
         		<a id="pl.87.7"></a><var>87.7</var>time, place, and manner of the interview set by the school officials shall be reasonable
         and <br />
         		<a id="pl.87.8"></a><var>87.8</var>the interview shall be conducted not more than 24 hours after the receipt of the notification
         <br />
         		<a id="pl.87.9"></a><var>87.9</var>unless another time is considered necessary by agreement between the school officials
         and <br />
         		<a id="pl.87.10"></a><var>87.10</var>the local welfare or law enforcement agency. Where the school fails to comply with
         the <br />
         		<a id="pl.87.11"></a><var>87.11</var>provisions of this paragraph, the juvenile court may order the school to comply. Every
         <br />
         		<a id="pl.87.12"></a><var>87.12</var>effort must be made to reduce the disruption of the educational program of the child,
         other <br />
         		<a id="pl.87.13"></a><var>87.13</var>students, or school staff when an interview is conducted on school premises.<br />
         		<a id="pl.87.14"></a><var>87.14</var>&#160;&#160;&#160;&#160;(e) (f) Where the alleged offender or a person responsible for the care of the alleged <br />
         		<a id="pl.87.15"></a><var>87.15</var>victim or other minor prevents access to the victim or other minor by the local welfare
         <br />
         		<a id="pl.87.16"></a><var>87.16</var>agency, the juvenile court may order the parents, legal custodian, or guardian to
         produce <br />
         		<a id="pl.87.17"></a><var>87.17</var>the alleged victim or other minor for questioning by the local welfare agency or the
         local <br />
         		<a id="pl.87.18"></a><var>87.18</var>law enforcement agency outside the presence of the alleged offender or any person
         <br />
         		<a id="pl.87.19"></a><var>87.19</var>responsible for the child's care at reasonable places and times as specified by court
         order.<br />
         		<a id="pl.87.20"></a><var>87.20</var>&#160;&#160;&#160;&#160;(f) (g) Before making an order under paragraph (e) (f), the court shall issue an order <br />
         		<a id="pl.87.21"></a><var>87.21</var>to show cause, either upon its own motion or upon a verified petition, specifying
         the basis <br />
         		<a id="pl.87.22"></a><var>87.22</var>for the requested interviews and fixing the time and place of the hearing. The order
         to <br />
         		<a id="pl.87.23"></a><var>87.23</var>show cause shall be served personally and shall be heard in the same manner as provided
         <br />
         		<a id="pl.87.24"></a><var>87.24</var>in other cases in the juvenile court. The court shall consider the need for appointment
         of a <br />
         		<a id="pl.87.25"></a><var>87.25</var>guardian ad litem to protect the best interests of the child. If appointed, the guardian
         ad <br />
         		<a id="pl.87.26"></a><var>87.26</var>litem shall be present at the hearing on the order to show cause.<br />
         		<a id="pl.87.27"></a><var>87.27</var>&#160;&#160;&#160;&#160;(g) (h) The commissioner of human services, the ombudsman for mental health and <br />
         		<a id="pl.87.28"></a><var>87.28</var>developmental disabilities, the local welfare agencies responsible for investigating
         reports, <br />
         		<a id="pl.87.29"></a><var>87.29</var>the commissioner of education, and the local law enforcement agencies have the right
         to <br />
         		<a id="pl.87.30"></a><var>87.30</var>enter facilities as defined in subdivision 2 and to inspect and copy the facility's
         records, <br />
         		<a id="pl.87.31"></a><var>87.31</var>including medical records, as part of the investigation. Notwithstanding the provisions
         of <br />
         		<a id="pl.87.32"></a><var>87.32</var>chapter 13, they also have the right to inform the facility under investigation that
         they are <br />
         		<a id="pl.87.33"></a><var>87.33</var>conducting an investigation, to disclose to the facility the names of the individuals
         under <br />
         		<a id="pl.87.34"></a><var>87.34</var>investigation for abusing or neglecting a child, and to provide the facility with
         a copy of <br />
         		<a id="pl.87.35"></a><var>87.35</var>the report and the investigative findings.<br />
         		<a id="pl.88.1"></a><var>88.1</var>&#160;&#160;&#160;&#160;(h) (i) The local welfare agency responsible for conducting a family assessment or <br />
         		<a id="pl.88.2"></a><var>88.2</var>investigation shall collect available and relevant information to determine child
         safety, <br />
         		<a id="pl.88.3"></a><var>88.3</var>risk of subsequent child maltreatment, and family strengths and needs and share not
         public <br />
         		<a id="pl.88.4"></a><var>88.4</var>information with an Indian's tribal social services agency without violating any law
         of the <br />
         		<a id="pl.88.5"></a><var>88.5</var>state that may otherwise impose duties of confidentiality on the local welfare agency
         in <br />
         		<a id="pl.88.6"></a><var>88.6</var>order to implement the tribal state agreement. The local welfare agency or the agency
         <br />
         		<a id="pl.88.7"></a><var>88.7</var>responsible for investigating the report shall collect available and relevant information
         <br />
         		<a id="pl.88.8"></a><var>88.8</var>to ascertain whether maltreatment occurred and whether protective services are needed.
         <br />
         		<a id="pl.88.9"></a><var>88.9</var>Information collected includes, when relevant, information with regard to the person
         <br />
         		<a id="pl.88.10"></a><var>88.10</var>reporting the alleged maltreatment, including the nature of the reporter's relationship
         to the <br />
         		<a id="pl.88.11"></a><var>88.11</var>child and to the alleged offender, and the basis of the reporter's knowledge for the
         report; <br />
         		<a id="pl.88.12"></a><var>88.12</var>the child allegedly being maltreated; the alleged offender; the child's caretaker;
         and other <br />
         		<a id="pl.88.13"></a><var>88.13</var>collateral sources having relevant information related to the alleged maltreatment.
         The <br />
         		<a id="pl.88.14"></a><var>88.14</var>local welfare agency or the agency responsible for investigating the report may make
         a <br />
         		<a id="pl.88.15"></a><var>88.15</var>determination of no maltreatment early in an investigation, and close the case and
         retain <br />
         		<a id="pl.88.16"></a><var>88.16</var>immunity, if the collected information shows no basis for a full investigation.<br />
         		<a id="pl.88.17"></a><var>88.17</var>&#160;&#160;&#160;&#160;Information relevant to the assessment or investigation must be asked for, and <br />
         		<a id="pl.88.18"></a><var>88.18</var>may include:<br />
         		<a id="pl.88.19"></a><var>88.19</var>&#160;&#160;&#160;&#160;(1) the child's sex and age,; prior reports of maltreatment, including any <br />
         		<a id="pl.88.20"></a><var>88.20</var>maltreatment reports that were screened out and not accepted for assessment or <br />
         		<a id="pl.88.21"></a><var>88.21</var>investigation; information relating to developmental functioning,; credibility of the child's <br />
         		<a id="pl.88.22"></a><var>88.22</var>statement,; and whether the information provided under this clause is consistent with other <br />
         		<a id="pl.88.23"></a><var>88.23</var>information collected during the course of the assessment or investigation;<br />
         		<a id="pl.88.24"></a><var>88.24</var>&#160;&#160;&#160;&#160;(2) the alleged offender's age, a record check for prior reports of maltreatment,
         and <br />
         		<a id="pl.88.25"></a><var>88.25</var>criminal charges and convictions. The local welfare agency or the agency responsible
         for <br />
         		<a id="pl.88.26"></a><var>88.26</var>assessing or investigating the report must provide the alleged offender with an opportunity
         <br />
         		<a id="pl.88.27"></a><var>88.27</var>to make a statement. The alleged offender may submit supporting documentation relevant
         <br />
         		<a id="pl.88.28"></a><var>88.28</var>to the assessment or investigation;<br />
         		<a id="pl.88.29"></a><var>88.29</var>&#160;&#160;&#160;&#160;(3) collateral source information regarding the alleged maltreatment and care of the
         <br />
         		<a id="pl.88.30"></a><var>88.30</var>child. Collateral information includes, when relevant: (i) a medical examination of
         the <br />
         		<a id="pl.88.31"></a><var>88.31</var>child; (ii) prior medical records relating to the alleged maltreatment or the care
         of the <br />
         		<a id="pl.88.32"></a><var>88.32</var>child maintained by any facility, clinic, or health care professional and an interview
         with <br />
         		<a id="pl.88.33"></a><var>88.33</var>the treating professionals; and (iii) interviews with the child's caretakers, including
         the <br />
         		<a id="pl.88.34"></a><var>88.34</var>child's parent, guardian, foster parent, child care provider, teachers, counselors,
         family <br />
         		<a id="pl.88.35"></a><var>88.35</var>members, relatives, and other persons who may have knowledge regarding the alleged
         <br />
         		<a id="pl.88.36"></a><var>88.36</var>maltreatment and the care of the child; and<br />
         		<a id="pl.89.1"></a><var>89.1</var>&#160;&#160;&#160;&#160;(4) information on the existence of domestic abuse and violence in the home of <br />
         		<a id="pl.89.2"></a><var>89.2</var>the child, and substance abuse.<br />
         		<a id="pl.89.3"></a><var>89.3</var>&#160;&#160;&#160;&#160;Nothing in this paragraph precludes the local welfare agency, the local law <br />
         		<a id="pl.89.4"></a><var>89.4</var>enforcement agency, or the agency responsible for assessing or investigating the report
         <br />
         		<a id="pl.89.5"></a><var>89.5</var>from collecting other relevant information necessary to conduct the assessment or
         <br />
         		<a id="pl.89.6"></a><var>89.6</var>investigation. Notwithstanding sections 
         <statute_ref>13.384</statute_ref> or 
         <statute_ref>144.291</statute_ref> to 144.298, the local welfare <br />
         		<a id="pl.89.7"></a><var>89.7</var>agency has access to medical data and records for purposes of clause (3). Notwithstanding
         <br />
         		<a id="pl.89.8"></a><var>89.8</var>the data's classification in the possession of any other agency, data acquired by
         the <br />
         		<a id="pl.89.9"></a><var>89.9</var>local welfare agency or the agency responsible for assessing or investigating the
         report <br />
         		<a id="pl.89.10"></a><var>89.10</var>during the course of the assessment or investigation are private data on individuals
         and <br />
         		<a id="pl.89.11"></a><var>89.11</var>must be maintained in accordance with subdivision 11. Data of the commissioner of
         <br />
         		<a id="pl.89.12"></a><var>89.12</var>education collected or maintained during and for the purpose of an investigation of
         <br />
         		<a id="pl.89.13"></a><var>89.13</var>alleged maltreatment in a school are governed by this section, notwithstanding the
         data's <br />
         		<a id="pl.89.14"></a><var>89.14</var>classification as educational, licensing, or personnel data under chapter 13.<br />
         		<a id="pl.89.15"></a><var>89.15</var>&#160;&#160;&#160;&#160;In conducting an assessment or investigation involving a school facility as defined
         <br />
         		<a id="pl.89.16"></a><var>89.16</var>in subdivision 2, paragraph (i), the commissioner of education shall collect investigative
         <br />
         		<a id="pl.89.17"></a><var>89.17</var>reports and data that are relevant to a report of maltreatment and are from local
         law <br />
         		<a id="pl.89.18"></a><var>89.18</var>enforcement and the school facility.<br />
         		<a id="pl.89.19"></a><var>89.19</var>&#160;&#160;&#160;&#160;(i) (j) Upon receipt of a report, the local welfare agency shall conduct a face-to-face <br />
         		<a id="pl.89.20"></a><var>89.20</var>contact with the child reported to be maltreated and with the child's primary caregiver
         <br />
         		<a id="pl.89.21"></a><var>89.21</var>sufficient to complete a safety assessment and ensure the immediate safety of the
         child. <br />
         		<a id="pl.89.22"></a><var>89.22</var>The face-to-face contact with the child and primary caregiver shall occur immediately
         <br />
         		<a id="pl.89.23"></a><var>89.23</var>if sexual abuse or substantial child endangerment is alleged and within five calendar <br />
         		<a id="pl.89.24"></a><var>89.24</var>days for all other reports. If the alleged offender was not already interviewed as
         the <br />
         		<a id="pl.89.25"></a><var>89.25</var>primary caregiver, the local welfare agency shall also conduct a face-to-face interview
         <br />
         		<a id="pl.89.26"></a><var>89.26</var>with the alleged offender in the early stages of the assessment or investigation.
         At the <br />
         		<a id="pl.89.27"></a><var>89.27</var>initial contact, the local child welfare agency or the agency responsible for assessing
         or <br />
         		<a id="pl.89.28"></a><var>89.28</var>investigating the report must inform the alleged offender of the complaints or allegations
         <br />
         		<a id="pl.89.29"></a><var>89.29</var>made against the individual in a manner consistent with laws protecting the rights
         of the <br />
         		<a id="pl.89.30"></a><var>89.30</var>person who made the report. The interview with the alleged offender may be postponed
         if <br />
         		<a id="pl.89.31"></a><var>89.31</var>it would jeopardize an active law enforcement investigation.<br />
         		<a id="pl.89.32"></a><var>89.32</var>&#160;&#160;&#160;&#160;(j) (k) When conducting an investigation, the local welfare agency shall use a <br />
         		<a id="pl.89.33"></a><var>89.33</var>question and answer interviewing format with questioning as nondirective as possible
         to <br />
         		<a id="pl.89.34"></a><var>89.34</var>elicit spontaneous responses. For investigations only, the following interviewing
         methods <br />
         		<a id="pl.89.35"></a><var>89.35</var>and procedures must be used whenever possible when collecting information:<br />
         		<a id="pl.89.36"></a><var>89.36</var>&#160;&#160;&#160;&#160;(1) audio recordings of all interviews with witnesses and collateral sources; and<br />
         		<a id="pl.90.1"></a><var>90.1</var>&#160;&#160;&#160;&#160;(2) in cases of alleged sexual abuse, audio-video recordings of each interview with
         <br />
         		<a id="pl.90.2"></a><var>90.2</var>the alleged victim and child witnesses.<br />
         		<a id="pl.90.3"></a><var>90.3</var>&#160;&#160;&#160;&#160;(k) (l) In conducting an assessment or investigation involving a school facility <br />
         		<a id="pl.90.4"></a><var>90.4</var>as defined in subdivision 2, paragraph (i), the commissioner of education shall collect
         <br />
         		<a id="pl.90.5"></a><var>90.5</var>available and relevant information and use the procedures in paragraphs (i), (j) and (k), <br />
         		<a id="pl.90.6"></a><var>90.6</var>and subdivision 3d, except that the requirement for face-to-face observation of the
         child <br />
         		<a id="pl.90.7"></a><var>90.7</var>and face-to-face interview of the alleged offender is to occur in the initial stages
         of the <br />
         		<a id="pl.90.8"></a><var>90.8</var>assessment or investigation provided that the commissioner may also base the assessment
         <br />
         		<a id="pl.90.9"></a><var>90.9</var>or investigation on investigative reports and data received from the school facility
         and <br />
         		<a id="pl.90.10"></a><var>90.10</var>local law enforcement, to the extent those investigations satisfy the requirements
         of <br />
         		<a id="pl.90.11"></a><var>90.11</var>paragraphs (i) and  (j) and (k), and subdivision 3d.<br />
         		<br />
         		<a id="bill.1.95.0"></a><a id="pl.90.12"></a><var>90.12</var>&#160;&#160;&#160;&#160;Sec. 95. Minnesota Statutes 2014, section 626.556, subdivision 10e, is amended to read:<br />
         		<a id="pl.90.13"></a><var>90.13</var>&#160;&#160;&#160;&#160;Subd. 10e. <b>Determinations.</b> (a) The local welfare agency shall conclude the family <br />
         		<a id="pl.90.14"></a><var>90.14</var>assessment or the investigation within 45 days of the receipt of a report. The conclusion
         of <br />
         		<a id="pl.90.15"></a><var>90.15</var>the assessment or investigation may be extended to permit the completion of a criminal
         <br />
         		<a id="pl.90.16"></a><var>90.16</var>investigation or the receipt of expert information requested within 45 days of the
         receipt <br />
         		<a id="pl.90.17"></a><var>90.17</var>of the report.<br />
         		<a id="pl.90.18"></a><var>90.18</var>&#160;&#160;&#160;&#160;(b) After conducting a family assessment, the local welfare agency shall determine
         <br />
         		<a id="pl.90.19"></a><var>90.19</var>whether services are needed to address the safety of the child and other family members
         <br />
         		<a id="pl.90.20"></a><var>90.20</var>and the risk of subsequent maltreatment.<br />
         		<a id="pl.90.21"></a><var>90.21</var>&#160;&#160;&#160;&#160;(c) After conducting an investigation, the local welfare agency shall make two <br />
         		<a id="pl.90.22"></a><var>90.22</var>determinations: first, whether maltreatment has occurred; and second, whether child
         <br />
         		<a id="pl.90.23"></a><var>90.23</var>protective services are needed. No determination of maltreatment shall be made when
         the <br />
         		<a id="pl.90.24"></a><var>90.24</var>alleged perpetrator is a child under the age of ten.<br />
         		<a id="pl.90.25"></a><var>90.25</var>&#160;&#160;&#160;&#160;(d) If the commissioner of education conducts an assessment or investigation, <br />
         		<a id="pl.90.26"></a><var>90.26</var>the commissioner shall determine whether maltreatment occurred and what corrective
         <br />
         		<a id="pl.90.27"></a><var>90.27</var>or protective action was taken by the school facility. If a determination is made
         that <br />
         		<a id="pl.90.28"></a><var>90.28</var>maltreatment has occurred, the commissioner shall report to the employer, the school
         <br />
         		<a id="pl.90.29"></a><var>90.29</var>board, and any appropriate licensing entity the determination that maltreatment occurred
         <br />
         		<a id="pl.90.30"></a><var>90.30</var>and what corrective or protective action was taken by the school facility. In all
         other cases, <br />
         		<a id="pl.90.31"></a><var>90.31</var>the commissioner shall inform the school board or employer that a report was received,
         <br />
         		<a id="pl.90.32"></a><var>90.32</var>the subject of the report, the date of the initial report, the category of maltreatment
         alleged <br />
         		<a id="pl.90.33"></a><var>90.33</var>as defined in paragraph (f), the fact that maltreatment was not determined, and a
         summary <br />
         		<a id="pl.90.34"></a><var>90.34</var>of the specific reasons for the determination.<br />
         		<a id="pl.91.1"></a><var>91.1</var>&#160;&#160;&#160;&#160;(e) When maltreatment is determined in an investigation involving a facility, <br />
         		<a id="pl.91.2"></a><var>91.2</var>the investigating agency shall also determine whether the facility or individual was
         <br />
         		<a id="pl.91.3"></a><var>91.3</var>responsible, or whether both the facility and the individual were responsible for
         the <br />
         		<a id="pl.91.4"></a><var>91.4</var>maltreatment using the mitigating factors in paragraph (i). Determinations under this
         <br />
         		<a id="pl.91.5"></a><var>91.5</var>subdivision must be made based on a preponderance of the evidence and are private
         data <br />
         		<a id="pl.91.6"></a><var>91.6</var>on individuals or nonpublic data as maintained by the commissioner of education.<br />
         		<a id="pl.91.7"></a><var>91.7</var>&#160;&#160;&#160;&#160;(f) For the purposes of this subdivision, "maltreatment" means any of the following
         <br />
         		<a id="pl.91.8"></a><var>91.8</var>acts or omissions:<br />
         		<a id="pl.91.9"></a><var>91.9</var>&#160;&#160;&#160;&#160;(1) physical abuse as defined in subdivision 2, paragraph (g);<br />
         		<a id="pl.91.10"></a><var>91.10</var>&#160;&#160;&#160;&#160;(2) neglect as defined in subdivision 2, paragraph (f);<br />
         		<a id="pl.91.11"></a><var>91.11</var>&#160;&#160;&#160;&#160;(3) sexual abuse as defined in subdivision 2, paragraph (d);<br />
         		<a id="pl.91.12"></a><var>91.12</var>&#160;&#160;&#160;&#160;(4) mental injury as defined in subdivision 2, paragraph (m); or<br />
         		<a id="pl.91.13"></a><var>91.13</var>&#160;&#160;&#160;&#160;(5) maltreatment of a child in a facility as defined in subdivision 2, paragraph (i).<br />
         		<a id="pl.91.14"></a><var>91.14</var>&#160;&#160;&#160;&#160;(g) For the purposes of this subdivision, a determination that child protective <br />
         		<a id="pl.91.15"></a><var>91.15</var>services are needed means that the local welfare agency has documented conditions
         <br />
         		<a id="pl.91.16"></a><var>91.16</var>during the assessment or investigation sufficient to cause a child protection worker,
         as <br />
         		<a id="pl.91.17"></a><var>91.17</var>defined in section 
         <statute_ref>626.559, subdivision 1</statute_ref>, to conclude that a child is at significant risk of <br />
         		<a id="pl.91.18"></a><var>91.18</var>maltreatment if protective intervention is not provided and that the individuals responsible
         <br />
         		<a id="pl.91.19"></a><var>91.19</var>for the child's care have not taken or are not likely to take actions to protect the
         child <br />
         		<a id="pl.91.20"></a><var>91.20</var>from maltreatment or risk of maltreatment.<br />
         		<a id="pl.91.21"></a><var>91.21</var>&#160;&#160;&#160;&#160;(h) This subdivision does not mean that maltreatment has occurred solely because <br />
         		<a id="pl.91.22"></a><var>91.22</var>the child's parent, guardian, or other person responsible for the child's care in
         good faith <br />
         		<a id="pl.91.23"></a><var>91.23</var>selects and depends upon spiritual means or prayer for treatment or care of disease
         <br />
         		<a id="pl.91.24"></a><var>91.24</var>or remedial care of the child, in lieu of medical care. However, if lack of medical
         care <br />
         		<a id="pl.91.25"></a><var>91.25</var>may result in serious danger to the child's health, the local welfare agency may ensure
         <br />
         		<a id="pl.91.26"></a><var>91.26</var>that necessary medical services are provided to the child.<br />
         		<a id="pl.91.27"></a><var>91.27</var>&#160;&#160;&#160;&#160;(i) When determining whether the facility or individual is the responsible party,
         or <br />
         		<a id="pl.91.28"></a><var>91.28</var>whether both the facility and the individual are responsible for determined maltreatment
         in <br />
         		<a id="pl.91.29"></a><var>91.29</var>a facility, the investigating agency shall consider at least the following mitigating
         factors:<br />
         		<a id="pl.91.30"></a><var>91.30</var>&#160;&#160;&#160;&#160;(1) whether the actions of the facility or the individual caregivers were according
         to, <br />
         		<a id="pl.91.31"></a><var>91.31</var>and followed the terms of, an erroneous physician order, prescription, individual
         care plan, <br />
         		<a id="pl.91.32"></a><var>91.32</var>or directive; however, this is not a mitigating factor when the facility or caregiver
         was <br />
         		<a id="pl.91.33"></a><var>91.33</var>responsible for the issuance of the erroneous order, prescription, individual care
         plan, or <br />
         		<a id="pl.91.34"></a><var>91.34</var>directive or knew or should have known of the errors and took no reasonable measures
         to <br />
         		<a id="pl.91.35"></a><var>91.35</var>correct the defect before administering care;<br />
         		<a id="pl.92.1"></a><var>92.1</var>&#160;&#160;&#160;&#160;(2) comparative responsibility between the facility, other caregivers, and <br />
         		<a id="pl.92.2"></a><var>92.2</var>requirements placed upon an employee, including the facility's compliance with related
         <br />
         		<a id="pl.92.3"></a><var>92.3</var>regulatory standards and the adequacy of facility policies and procedures, facility
         training, <br />
         		<a id="pl.92.4"></a><var>92.4</var>an individual's participation in the training, the caregiver's supervision, and facility
         staffing <br />
         		<a id="pl.92.5"></a><var>92.5</var>levels and the scope of the individual employee's authority and discretion; and<br />
         		<a id="pl.92.6"></a><var>92.6</var>&#160;&#160;&#160;&#160;(3) whether the facility or individual followed professional standards in exercising
         <br />
         		<a id="pl.92.7"></a><var>92.7</var>professional judgment.<br />
         		<a id="pl.92.8"></a><var>92.8</var>The evaluation of the facility's responsibility under clause (2) must not be based
         on the <br />
         		<a id="pl.92.9"></a><var>92.9</var>completeness of the risk assessment or risk reduction plan required under section
         
         <statute_ref>245A.66</statute_ref>, <br />
         		<a id="pl.92.10"></a><var>92.10</var>but must be based on the facility's compliance with the regulatory standards for policies
         and <br />
         		<a id="pl.92.11"></a><var>92.11</var>procedures, training, and supervision as cited in Minnesota Statutes and Minnesota
         Rules.<br />
         		<a id="pl.92.12"></a><var>92.12</var>&#160;&#160;&#160;&#160;(j) Notwithstanding paragraph (i), when maltreatment is determined to have been <br />
         		<a id="pl.92.13"></a><var>92.13</var>committed by an individual who is also the facility license holder, both the individual
         and <br />
         		<a id="pl.92.14"></a><var>92.14</var>the facility must be determined responsible for the maltreatment, and both the background
         <br />
         		<a id="pl.92.15"></a><var>92.15</var>study disqualification standards under section 
         <statute_ref>245C.15, subdivision 4</statute_ref>, and the licensing <br />
         		<a id="pl.92.16"></a><var>92.16</var>actions under sections 
         <statute_ref>245A.06</statute_ref> or 
         <statute_ref>245A.07</statute_ref> apply.<br />
         		<a id="pl.92.17"></a><var>92.17</var>(k) Individual counties may implement more detailed definitions or criteria that <br />
         		<a id="pl.92.18"></a><var>92.18</var>indicate which allegations to investigate, as long as a county's policies are consistent
         <br />
         		<a id="pl.92.19"></a><var>92.19</var>with the definitions in the statutes and rules and are approved by the county board.
         Each <br />
         		<a id="pl.92.20"></a><var>92.20</var>local welfare agency shall periodically inform mandated reporters under subdivision
         3 <br />
         		<a id="pl.92.21"></a><var>92.21</var>who work in the county of the definitions of maltreatment in the statutes and rules
         and any <br />
         		<a id="pl.92.22"></a><var>92.22</var>additional definitions or criteria that have been approved by the county board.<br />
         		<br />
         		<a id="bill.1.96.0"></a><a id="pl.92.23"></a><var>92.23</var>&#160;&#160;&#160;&#160;Sec. 96. Minnesota Statutes 2014, section 626.556, subdivision 10j, is amended to read:<br />
         		<a id="pl.92.24"></a><var>92.24</var>&#160;&#160;&#160;&#160;Subd. 10j. <b>Release of data to mandated reporters.</b> (a) A local social services or <br />
         		<a id="pl.92.25"></a><var>92.25</var>child protection agency, or the agency responsible for assessing or investigating
         the report <br />
         		<a id="pl.92.26"></a><var>92.26</var>of maltreatment, may shall provide relevant private data on individuals obtained under <br />
         		<a id="pl.92.27"></a><var>92.27</var>this section to a mandated reporters reporter who made the report and  who have has an <br />
         		<a id="pl.92.28"></a><var>92.28</var>ongoing responsibility for the health, education, or welfare of a child affected by
         the data, <br />
         		<a id="pl.92.29"></a><var>92.29</var>unless the agency determines that providing the data would not be in the best interests <br />
         		<a id="pl.92.30"></a><var>92.30</var>of the child. The agency may provide the data to other mandated reporters with ongoing <br />
         		<a id="pl.92.31"></a><var>92.31</var>responsibility for the health, education, or welfare of the child. Mandated reporters with <br />
         		<a id="pl.92.32"></a><var>92.32</var>ongoing responsibility for the health, education, or welfare of a child affected by
         the data <br />
         		<a id="pl.92.33"></a><var>92.33</var>include the child's teachers or other appropriate school personnel, foster parents,
         health <br />
         		<a id="pl.92.34"></a><var>92.34</var>care providers, respite care workers, therapists, social workers, child care providers,
         <br />
         		<a id="pl.92.35"></a><var>92.35</var>residential care staff, crisis nursery staff, probation officers, and court services
         personnel. <br />
         		<a id="pl.93.1"></a><var>93.1</var>Under this section, a mandated reporter need not have made the report to be considered
         a <br />
         		<a id="pl.93.2"></a><var>93.2</var>person with ongoing responsibility for the health, education, or welfare of a child
         affected <br />
         		<a id="pl.93.3"></a><var>93.3</var>by the data. Data provided under this section must be limited to data pertinent to
         the <br />
         		<a id="pl.93.4"></a><var>93.4</var>individual's responsibility for caring for the child.<br />
         		<a id="pl.93.5"></a><var>93.5</var>(b) A reporter who receives private data on individuals under this subdivision must
         <br />
         		<a id="pl.93.6"></a><var>93.6</var>treat the data according to that classification, regardless of whether the reporter
         is an <br />
         		<a id="pl.93.7"></a><var>93.7</var>employee of a government entity. The remedies and penalties under sections 13.08 and
         <br />
         		<a id="pl.93.8"></a><var>93.8</var>13.09 apply if a reporter releases data in violation of this section or other law.<br />
         		<br />
         		<a id="bill.1.97.0"></a><a id="pl.93.9"></a><var>93.9</var>&#160;&#160;&#160;&#160;Sec. 97. Minnesota Statutes 2014, section 626.556, subdivision 10m, is amended to <br />
         		<a id="pl.93.10"></a><var>93.10</var>read:<br />
         		<a id="pl.93.11"></a><var>93.11</var>&#160;&#160;&#160;&#160;Subd. 10m. <b>Provision of child protective services</b><b>; consultation with county </b><br />
         		<a id="pl.93.12"></a><var>93.12</var><b>attorney</b><b>.</b> (a) The local welfare agency shall create a written plan, in collaboration with <br />
         		<a id="pl.93.13"></a><var>93.13</var>the family whenever possible, within 30 days of the determination that child protective
         <br />
         		<a id="pl.93.14"></a><var>93.14</var>services are needed or upon joint agreement of the local welfare agency and the family
         <br />
         		<a id="pl.93.15"></a><var>93.15</var>that family support and preservation services are needed. Child protective services
         for a <br />
         		<a id="pl.93.16"></a><var>93.16</var>family are voluntary unless ordered by the court.<br />
         		<a id="pl.93.17"></a><var>93.17</var>(b) The local welfare agency shall consult with the county attorney to determine the
         <br />
         		<a id="pl.93.18"></a><var>93.18</var>appropriateness of filing a petition alleging the child is in need of protection or
         services <br />
         		<a id="pl.93.19"></a><var>93.19</var>under section 260C.007, subdivision 6, if:<br />
         		<a id="pl.93.20"></a><var>93.20</var>(1) the family does not accept or comply with a plan for child protective services;
         <br />
         		<a id="pl.93.21"></a><var>93.21</var>(2) voluntary child protective services may not provide sufficient protection for
         the <br />
         		<a id="pl.93.22"></a><var>93.22</var>child; or<br />
         		<a id="pl.93.23"></a><var>93.23</var>(3) the family is not cooperating with an investigation or assessment.<br />
         		<br />
         		<a id="bill.1.98.0"></a><a id="pl.93.24"></a><var>93.24</var>&#160;&#160;&#160;&#160;Sec. 98. Minnesota Statutes 2014, section 626.556, subdivision 11c, is amended to read:<br />
         		<a id="pl.93.25"></a><var>93.25</var>&#160;&#160;&#160;&#160;Subd. 11c. <b>Welfare, court services agency, and school records maintained.</b><br />
         		 <a id="pl.93.26"></a><var>93.26</var>&#160;&#160;&#160;&#160;Notwithstanding sections 
         <statute_ref>138.163</statute_ref> and 
         <statute_ref>138.17</statute_ref>, records maintained or records derived <br />
         		<a id="pl.93.27"></a><var>93.27</var>from reports of abuse by local welfare agencies, agencies responsible for assessing
         or <br />
         		<a id="pl.93.28"></a><var>93.28</var>investigating the report, court services agencies, or schools under this section shall
         be <br />
         		<a id="pl.93.29"></a><var>93.29</var>destroyed as provided in paragraphs (a) to (d) by the responsible authority.<br />
         		<a id="pl.93.30"></a><var>93.30</var>&#160;&#160;&#160;&#160;(a) For reports alleging child maltreatment that were not accepted for assessment <br />
         		<a id="pl.93.31"></a><var>93.31</var>or investigation, family assessment cases, and cases where an investigation results in no <br />
         		<a id="pl.93.32"></a><var>93.32</var>determination of maltreatment or the need for child protective services, the assessment or <br />
         		<a id="pl.93.33"></a><var>93.33</var>investigation records must be maintained for a period of four five years after the date the <br />
         		<a id="pl.93.34"></a><var>93.34</var>report was not accepted for assessment or investigation or of the final entry in the case <br />
         		<a id="pl.94.1"></a><var>94.1</var>record. Records of reports that were not accepted must contain sufficient information to <br />
         		<a id="pl.94.2"></a><var>94.2</var>identify the subjects of the report, the nature of the alleged maltreatment, and the
         reasons <br />
         		<a id="pl.94.3"></a><var>94.3</var>as to why the report was not accepted. Records under this paragraph may not be used for <br />
         		<a id="pl.94.4"></a><var>94.4</var>employment, background checks, or purposes other than to assist in future screening <br />
         		<a id="pl.94.5"></a><var>94.5</var>decisions and risk and safety assessments.<br />
         		<a id="pl.94.6"></a><var>94.6</var>&#160;&#160;&#160;&#160;(b) All records relating to reports which, upon investigation, indicate either <br />
         		<a id="pl.94.7"></a><var>94.7</var>maltreatment or a need for child protective services shall be maintained for ten years
         after <br />
         		<a id="pl.94.8"></a><var>94.8</var>the date of the final entry in the case record.<br />
         		<a id="pl.94.9"></a><var>94.9</var>&#160;&#160;&#160;&#160;(c) All records regarding a report of maltreatment, including any notification of
         intent <br />
         		<a id="pl.94.10"></a><var>94.10</var>to interview which was received by a school under subdivision 10, paragraph (d), shall
         be <br />
         		<a id="pl.94.11"></a><var>94.11</var>destroyed by the school when ordered to do so by the agency conducting the assessment
         or <br />
         		<a id="pl.94.12"></a><var>94.12</var>investigation. The agency shall order the destruction of the notification when other
         records <br />
         		<a id="pl.94.13"></a><var>94.13</var>relating to the report under investigation or assessment are destroyed under this
         subdivision.<br />
         		<a id="pl.94.14"></a><var>94.14</var>&#160;&#160;&#160;&#160;(d) Private or confidential data released to a court services agency under subdivision
         <br />
         		<a id="pl.94.15"></a><var>94.15</var>10h must be destroyed by the court services agency when ordered to do so by the local
         <br />
         		<a id="pl.94.16"></a><var>94.16</var>welfare agency that released the data. The local welfare agency or agency responsible
         for <br />
         		<a id="pl.94.17"></a><var>94.17</var>assessing or investigating the report shall order destruction of the data when other
         records <br />
         		<a id="pl.94.18"></a><var>94.18</var>relating to the assessment or investigation are destroyed under this subdivision.<br />
         		<a id="pl.94.19"></a><var>94.19</var>(e) For reports alleging child maltreatment that were not accepted for assessment
         <br />
         		<a id="pl.94.20"></a><var>94.20</var>or investigation, counties shall maintain sufficient information to identify repeat
         reports <br />
         		<a id="pl.94.21"></a><var>94.21</var>alleging maltreatment of the same child or children for 365 days from the date the
         report <br />
         		<a id="pl.94.22"></a><var>94.22</var>was screened out. The commissioner of human services shall specify to the counties
         the <br />
         		<a id="pl.94.23"></a><var>94.23</var>minimum information needed to accomplish this purpose. Counties shall enter this data
         <br />
         		<a id="pl.94.24"></a><var>94.24</var>into the state social services information system.<br />
         		<br />
         		<a id="bill.1.99.0"></a><a id="pl.94.25"></a><var>94.25</var>&#160;&#160;&#160;&#160;Sec. 99. Minnesota Statutes 2014, section 626.556, is amended by adding a subdivision <br />
         		<a id="pl.94.26"></a><var>94.26</var>to read:<br />
         		<a id="pl.94.27"></a><var>94.27</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Commissioner's duty to provide oversight; quality assurance reviews; </b><br />
         		<a id="pl.94.28"></a><var>94.28</var><b>annual summary of reviews.</b> (a) The commissioner shall develop a plan to perform <br />
         		<a id="pl.94.29"></a><var>94.29</var>quality assurance reviews of local welfare agency screening practices and decisions.
         <br />
         		<a id="pl.94.30"></a><var>94.30</var>The commissioner shall provide oversight and guidance to counties to ensure consistent
         <br />
         		<a id="pl.94.31"></a><var>94.31</var>application of screening guidelines, thorough and appropriate screening decisions,
         and <br />
         		<a id="pl.94.32"></a><var>94.32</var>correct documentation and maintenance of reports. Quality assurance reviews must begin
         <br />
         		<a id="pl.94.33"></a><var>94.33</var>no later than September 30, 2015.<br />
         		<a id="pl.94.34"></a><var>94.34</var>(b) The commissioner shall produce an annual report of the summary results of the
         <br />
         		<a id="pl.94.35"></a><var>94.35</var>reviews. The report must only contain aggregate data and may not include any data
         that <br />
         		<a id="pl.95.1"></a><var>95.1</var>could be used to personally identify any subject whose data is included in the report.
         The <br />
         		<a id="pl.95.2"></a><var>95.2</var>report is public information and must be provided to the chairs and ranking minority
         <br />
         		<a id="pl.95.3"></a><var>95.3</var>members of the legislative committees having jurisdiction over child protection issues.<br />
         		<br />
         		<a id="bill.1.100.0"></a><a id="pl.95.4"></a><var>95.4</var>&#160;&#160;&#160;&#160;Sec. 100. Minnesota Statutes 2014, section 626.559, is amended by adding a <br />
         		<a id="pl.95.5"></a><var>95.5</var>subdivision to read:<br />
         		<a id="pl.95.6"></a><var>95.6</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Background studies.</b> (a) County employees hired on or after July 1, <br />
         		<a id="pl.95.7"></a><var>95.7</var>2015, who have responsibility for child protection duties or current county employees
         who <br />
         		<a id="pl.95.8"></a><var>95.8</var>are assigned new child protection duties on or after July 1, 2015, are required to
         undergo a <br />
         		<a id="pl.95.9"></a><var>95.9</var>background study. A county may complete these background studies by either:<br />
         		<a id="pl.95.10"></a><var>95.10</var>(1) use of the Department of Human Services NetStudy 2.0 system according to <br />
         		<a id="pl.95.11"></a><var>95.11</var>sections 245C.03 and 245C.10; or<br />
         		<a id="pl.95.12"></a><var>95.12</var>(2) an alternative process defined by the county.<br />
         		<a id="pl.95.13"></a><var>95.13</var>(b) County social services agencies and local welfare agencies must initiate <br />
         		<a id="pl.95.14"></a><var>95.14</var>background studies before an individual begins a position allowing direct contact
         with <br />
         		<a id="pl.95.15"></a><var>95.15</var>persons served by the agency.<br />
         		<br />
         		<a id="bill.1.101.0"></a><a id="pl.95.16"></a><var>95.16</var>&#160;&#160;&#160;&#160;Sec. 101. Laws 2014, chapter 189, section 5, is amended to read:<br />
         		<a id="pl.95.17"></a><var>95.17</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2012, section 518C.201, is amended to read:<br />
         		<a id="pl.95.18"></a><var>95.18</var><b>518C.201 BASES FOR JURISDICTION OVER NONRESIDENT.</b><br />
         		<a id="pl.95.19"></a><var>95.19</var>(a) In a proceeding to establish, or enforce, or modify a support order or to determine <br />
         		<a id="pl.95.20"></a><var>95.20</var>parentage of a child, a tribunal of this state may exercise personal jurisdiction
         over a <br />
         		<a id="pl.95.21"></a><var>95.21</var>nonresident individual or the individual's guardian or conservator if:<br />
         		<a id="pl.95.22"></a><var>95.22</var>(1) the individual is personally served with a summons or comparable document <br />
         		<a id="pl.95.23"></a><var>95.23</var>within this state;<br />
         		<a id="pl.95.24"></a><var>95.24</var>(2) the individual submits to the jurisdiction of this state by consent, by entering
         a <br />
         		<a id="pl.95.25"></a><var>95.25</var>general appearance, or by filing a responsive document having the effect of waiving
         any <br />
         		<a id="pl.95.26"></a><var>95.26</var>contest to personal jurisdiction;<br />
         		<a id="pl.95.27"></a><var>95.27</var>(3) the individual resided with the child in this state;<br />
         		<a id="pl.95.28"></a><var>95.28</var>(4) the individual resided in this state and provided prenatal expenses or support
         <br />
         		<a id="pl.95.29"></a><var>95.29</var>for the child;<br />
         		<a id="pl.95.30"></a><var>95.30</var>(5) the child resides in this state as a result of the acts or directives of the individual;<br />
         		<a id="pl.95.31"></a><var>95.31</var>(6) the individual engaged in sexual intercourse in this state and the child may have
         <br />
         		<a id="pl.95.32"></a><var>95.32</var>been conceived by that act of intercourse;<br />
         		<a id="pl.95.33"></a><var>95.33</var>(7) the individual asserted parentage of a child under sections 
         <statute_ref>257.51</statute_ref> to 
         <statute_ref>257.75</statute_ref>; or <br />
         		<a id="pl.96.1"></a><var>96.1</var>(8) there is any other basis consistent with the constitutions of this state and the
         <br />
         		<a id="pl.96.2"></a><var>96.2</var>United States for the exercise of personal jurisdiction.<br />
         		<a id="pl.96.3"></a><var>96.3</var>(b) The bases of personal jurisdiction in paragraph (a) or in any other law of this
         state <br />
         		<a id="pl.96.4"></a><var>96.4</var>may not be used to acquire personal jurisdiction for a tribunal of this state to modify
         a child <br />
         		<a id="pl.96.5"></a><var>96.5</var>support order of another state unless the requirements of section 
         <statute_ref>518C.611</statute_ref> are met, or, in <br />
         		<a id="pl.96.6"></a><var>96.6</var>the case of a foreign support order, unless the requirements of section 
         <statute_ref>518C.615</statute_ref> are met.<br />
         		<br />
         		<a id="bill.1.102.0"></a><a id="pl.96.7"></a><var>96.7</var>&#160;&#160;&#160;&#160;Sec. 102. Laws 2014, chapter 189, section 9, is amended to read:<br />
         		<a id="pl.96.8"></a><var>96.8</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2012, section 518C.205, is amended to read:<br />
         		<a id="pl.96.9"></a><var>96.9</var><b>518C.205 CONTINUING, EXCLUSIVE JURISDICTION TO MODIFY </b><br />
         		<a id="pl.96.10"></a><var>96.10</var><b>CHILD SUPPORT ORDER.</b><br />
         		<a id="pl.96.11"></a><var>96.11</var>&#160;&#160;&#160;&#160;(a) A tribunal of this state that has issued a support order consistent with the law
         <br />
         		<a id="pl.96.12"></a><var>96.12</var>of this state has and shall exercise continuing, exclusive jurisdiction to modify
         its child <br />
         		<a id="pl.96.13"></a><var>96.13</var>support order if the order is the controlling order and:<br />
         		<a id="pl.96.14"></a><var>96.14</var>&#160;&#160;&#160;&#160;(1) at the time of the filing of a request for modification this state is the residence
         of the <br />
         		<a id="pl.96.15"></a><var>96.15</var>obligor, the individual obligee, or the child for whose benefit the support order
         is issued; or<br />
         		<a id="pl.96.16"></a><var>96.16</var>&#160;&#160;&#160;&#160;(2) even if this state is not the residence of the obligor, the individual obligee,
         or the <br />
         		<a id="pl.96.17"></a><var>96.17</var>child for whose benefit the support order is issued, the parties consent in a record
         or in open <br />
         		<a id="pl.96.18"></a><var>96.18</var>court that the tribunal of this state may continue to exercise jurisdiction to modify
         its order.<br />
         		<a id="pl.96.19"></a><var>96.19</var>&#160;&#160;&#160;&#160;(b) A tribunal of this state that has issued a child support order consistent with
         the <br />
         		<a id="pl.96.20"></a><var>96.20</var>law of this state may not exercise continuing, exclusive jurisdiction to modify the
         order if:<br />
         		<a id="pl.96.21"></a><var>96.21</var>&#160;&#160;&#160;&#160;(1) all of the parties who are individuals file consent in a record with the tribunal
         of <br />
         		<a id="pl.96.22"></a><var>96.22</var>this state that a tribunal of another state that has jurisdiction over at least one
         of the parties <br />
         		<a id="pl.96.23"></a><var>96.23</var>who is an individual or that is located in the state of residence of the child may
         modify <br />
         		<a id="pl.96.24"></a><var>96.24</var>the order and assume continuing, exclusive jurisdiction; or<br />
         		<a id="pl.96.25"></a><var>96.25</var>&#160;&#160;&#160;&#160;(2) its order is not the controlling order.<br />
         		<a id="pl.96.26"></a><var>96.26</var>&#160;&#160;&#160;&#160;(c) If a tribunal of another state has issued a child support order pursuant to this <br />
         		<a id="pl.96.27"></a><var>96.27</var>chapter or a law substantially similar to this chapter the Uniform Interstate Family Support <br />
         		<a id="pl.96.28"></a><var>96.28</var>Act which modifies a child support order of a tribunal of this state, tribunals of this
         state <br />
         		<a id="pl.96.29"></a><var>96.29</var>shall recognize the continuing, exclusive jurisdiction of the tribunal of the other
         state.<br />
         		<a id="pl.96.30"></a><var>96.30</var>&#160;&#160;&#160;&#160;(d) A tribunal of this state that lacks continuing, exclusive jurisdiction to modify
         a <br />
         		<a id="pl.96.31"></a><var>96.31</var>child support order may serve as an initiating tribunal to request a tribunal of another
         state <br />
         		<a id="pl.96.32"></a><var>96.32</var>to modify a support order issued in that state.<br />
         		<a id="pl.96.33"></a><var>96.33</var>&#160;&#160;&#160;&#160;(e) A temporary support order issued ex parte or pending resolution of a jurisdictional
         <br />
         		<a id="pl.96.34"></a><var>96.34</var>conflict does not create continuing, exclusive jurisdiction in the issuing tribunal.<br />
         		<br />
         		<a id="bill.1.103.0"></a><a id="pl.97.1"></a><var>97.1</var>&#160;&#160;&#160;&#160;Sec. 103. Laws 2014, chapter 189, section 10, is amended to read:<br />
         		<a id="pl.97.2"></a><var>97.2</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2012, section 518C.206, is amended to read:<br />
         		<a id="pl.97.3"></a><var>97.3</var><b>518C.206 </b><b>ENFORCEMENT AND MODIFICATION OF SUPPORT ORDER </b><br />
         		<a id="pl.97.4"></a><var>97.4</var><b>BY TRIBUNAL HAVING</b><b> CONTINUING JURISDICTION</b><b> TO ENFORCE CHILD </b><br />
         		<a id="pl.97.5"></a><var>97.5</var><b>SUPPORT ORDER</b><b>.</b><br />
         		<a id="pl.97.6"></a><var>97.6</var>(a) A tribunal of this state that has issued a child support order consistent with
         the <br />
         		<a id="pl.97.7"></a><var>97.7</var>law of this state may serve as an initiating tribunal to request a tribunal of another
         state <br />
         		<a id="pl.97.8"></a><var>97.8</var>to enforce:<br />
         		<a id="pl.97.9"></a><var>97.9</var>(1) the order if the order is the controlling order and has not been modified by <br />
         		<a id="pl.97.10"></a><var>97.10</var>a tribunal of another state that assumed jurisdiction pursuant to this chapter or a law <br />
         		<a id="pl.97.11"></a><var>97.11</var>substantially similar to this chapter the Uniform Interstate Family Support Act; or<br />
         		<a id="pl.97.12"></a><var>97.12</var>(2) a money judgment for arrears of support and interest on the order accrued before
         <br />
         		<a id="pl.97.13"></a><var>97.13</var>a determination that an order of a tribunal of another state is the controlling order.<br />
         		<a id="pl.97.14"></a><var>97.14</var>(b) A tribunal of this state having continuing, exclusive jurisdiction over a support <br />
         		<a id="pl.97.15"></a><var>97.15</var>order may act as a responding tribunal to enforce the order. <br />
         		<br />
         		<a id="bill.1.104.0"></a><a id="pl.97.16"></a><var>97.16</var>&#160;&#160;&#160;&#160;Sec. 104. Laws 2014, chapter 189, section 11, is amended to read:<br />
         		<a id="pl.97.17"></a><var>97.17</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2012, section 518C.207, is amended to read:<br />
         		<a id="pl.97.18"></a><var>97.18</var><b>518C.207 </b><b>RECOGNITION</b><b> DETERMINATION</b><b> OF CONTROLLING CHILD </b><br />
         		<a id="pl.97.19"></a><var>97.19</var><b>SUPPORT ORDER.</b><br />
         		<a id="pl.97.20"></a><var>97.20</var>(a) If a proceeding is brought under this chapter and only one tribunal has issued
         a <br />
         		<a id="pl.97.21"></a><var>97.21</var>child support order, the order of that tribunal is controlling controls and must be recognized.<br />
         		<a id="pl.97.22"></a><var>97.22</var>(b) If a proceeding is brought under this chapter, and two or more child support <br />
         		<a id="pl.97.23"></a><var>97.23</var>orders have been issued by tribunals of this state, another state, or a foreign country
         with <br />
         		<a id="pl.97.24"></a><var>97.24</var>regard to the same obligor and child, a tribunal of this state having personal jurisdiction
         <br />
         		<a id="pl.97.25"></a><var>97.25</var>over both the obligor and the individual obligee shall apply the following rules and
         by <br />
         		<a id="pl.97.26"></a><var>97.26</var>order shall determine which order controls and must be recognized:<br />
         		<a id="pl.97.27"></a><var>97.27</var>(1) If only one of the tribunals would have continuing, exclusive jurisdiction under
         <br />
         		<a id="pl.97.28"></a><var>97.28</var>this chapter, the order of that tribunal is controlling controls.<br />
         		<a id="pl.97.29"></a><var>97.29</var>(2) If more than one of the tribunals would have continuing, exclusive jurisdiction
         <br />
         		<a id="pl.97.30"></a><var>97.30</var>under this chapter:<br />
         		<a id="pl.97.31"></a><var>97.31</var>(i) an order issued by a tribunal in the current home state of the child controls;
         or<br />
         		<a id="pl.97.32"></a><var>97.32</var>(ii) if an order has not been issued in the current home state of the child, the order
         <br />
         		<a id="pl.97.33"></a><var>97.33</var>most recently issued controls.<br />
         		<a id="pl.97.34"></a><var>97.34</var>(3) If none of the tribunals would have continuing, exclusive jurisdiction under this
         <br />
         		<a id="pl.97.35"></a><var>97.35</var>chapter, the tribunal of this state shall issue a child support order, which controls.<br />
         		<a id="pl.98.1"></a><var>98.1</var>(c) If two or more child support orders have been issued for the same obligor and
         <br />
         		<a id="pl.98.2"></a><var>98.2</var>child, upon request of a party who is an individual or that is a support enforcement
         agency, <br />
         		<a id="pl.98.3"></a><var>98.3</var>a tribunal of this state having personal jurisdiction over both the obligor and the
         obligee <br />
         		<a id="pl.98.4"></a><var>98.4</var>who is an individual shall determine which order controls under paragraph (b). The
         <br />
         		<a id="pl.98.5"></a><var>98.5</var>request may be filed with a registration for enforcement or registration for modification
         <br />
         		<a id="pl.98.6"></a><var>98.6</var>pursuant to sections 
         <statute_ref>518C.601</statute_ref> to 
         <statute_ref>518C.616</statute_ref>, or may be filed as a separate proceeding.<br />
         		<a id="pl.98.7"></a><var>98.7</var>(d) A request to determine which is the controlling order must be accompanied <br />
         		<a id="pl.98.8"></a><var>98.8</var>by a copy of every child support order in effect and the applicable record of payments.
         <br />
         		<a id="pl.98.9"></a><var>98.9</var>The requesting party shall give notice of the request to each party whose rights may
         <br />
         		<a id="pl.98.10"></a><var>98.10</var>be affected by the determination.<br />
         		<a id="pl.98.11"></a><var>98.11</var>(e) The tribunal that issued the controlling order under paragraph (a), (b), or (c)
         has <br />
         		<a id="pl.98.12"></a><var>98.12</var>continuing jurisdiction to the extent provided in section 
         <statute_ref>518C.205</statute_ref>, or 
         <statute_ref>518C.206</statute_ref>. <br />
         		<a id="pl.98.13"></a><var>98.13</var>(f) A tribunal of this state which determines by order which is the controlling order
         <br />
         		<a id="pl.98.14"></a><var>98.14</var>under paragraph (b), clause (1) or (2), or paragraph (c), or which issues a new controlling
         <br />
         		<a id="pl.98.15"></a><var>98.15</var>child support order under paragraph (b), clause (3), shall state in that order:<br />
         		<a id="pl.98.16"></a><var>98.16</var>(1) the basis upon which the tribunal made its determination;<br />
         		<a id="pl.98.17"></a><var>98.17</var>(2) the amount of prospective support, if any; and<br />
         		<a id="pl.98.18"></a><var>98.18</var>(3) the total amount of consolidated arrears and accrued interest, if any, under all
         of <br />
         		<a id="pl.98.19"></a><var>98.19</var>the orders after all payments made are credited as provided by section 
         <statute_ref>518C.209</statute_ref>.<br />
         		<a id="pl.98.20"></a><var>98.20</var>(g) Within 30 days after issuance of the order determining which is the controlling
         <br />
         		<a id="pl.98.21"></a><var>98.21</var>order, the party obtaining that order shall file a certified copy of it with each
         tribunal that <br />
         		<a id="pl.98.22"></a><var>98.22</var>issued or registered an earlier order of child support. A party or support enforcement
         <br />
         		<a id="pl.98.23"></a><var>98.23</var>agency obtaining the order that fails to file a certified copy is subject to appropriate
         <br />
         		<a id="pl.98.24"></a><var>98.24</var>sanctions by a tribunal in which the issue of failure to file arises. The failure
         to file does <br />
         		<a id="pl.98.25"></a><var>98.25</var>not affect the validity or enforceability of the controlling order.<br />
         		<a id="pl.98.26"></a><var>98.26</var>(h) An order that has been determined to be the controlling order, or a judgment for
         <br />
         		<a id="pl.98.27"></a><var>98.27</var>consolidated arrears of support and interest, if any, made pursuant to this section
         must be <br />
         		<a id="pl.98.28"></a><var>98.28</var>recognized in proceedings under this chapter.<br />
         		<br />
         		<a id="bill.1.105.0"></a><a id="pl.98.29"></a><var>98.29</var>&#160;&#160;&#160;&#160;Sec. 105. Laws 2014, chapter 189, section 16, is amended to read:<br />
         		<a id="pl.98.30"></a><var>98.30</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2012, section 518C.301, is amended to read:<br />
         		<a id="pl.98.31"></a><var>98.31</var><b>518C.301 PROCEEDINGS UNDER THIS CHAPTER.</b><br />
         		<a id="pl.98.32"></a><var>98.32</var>(a) Except as otherwise provided in this chapter, sections 
         <statute_ref>518C.301</statute_ref> to 
         <statute_ref>518C.319</statute_ref> <br />
         		<a id="pl.98.33"></a><var>98.33</var>apply to all proceedings under this chapter. <br />
         		<a id="pl.98.34"></a><var>98.34</var>(b) This chapter provides for the following proceedings:<br />
         		<a id="pl.99.1"></a><var>99.1</var>(1) establishment of an order for spousal support or child support pursuant to <br />
         		<a id="pl.99.2"></a><var>99.2</var>section 
         <statute_ref>518C.401</statute_ref>; <br />
         		<a id="pl.99.3"></a><var>99.3</var>(2) enforcement of a support order and income-withholding order of another state or
         <br />
         		<a id="pl.99.4"></a><var>99.4</var>a foreign country without registration pursuant to sections 
         <statute_ref>518C.501</statute_ref> and 
         <statute_ref>518C.502</statute_ref>; <br />
         		<a id="pl.99.5"></a><var>99.5</var>(3) registration of an order for spousal support or child support of another state
         or a <br />
         		<a id="pl.99.6"></a><var>99.6</var>foreign country for enforcement pursuant to sections 
         <statute_ref>518C.601</statute_ref> to 
         <statute_ref>518C.612</statute_ref>; <br />
         		<a id="pl.99.7"></a><var>99.7</var>(4) modification of an order for child support or spousal support issued by a tribunal
         <br />
         		<a id="pl.99.8"></a><var>99.8</var>of this state pursuant to sections 
         <statute_ref>518C.203</statute_ref> to 
         <statute_ref>518C.206</statute_ref>; <br />
         		<a id="pl.99.9"></a><var>99.9</var>(5) registration of an order for child support of another state or a foreign country
         for <br />
         		<a id="pl.99.10"></a><var>99.10</var>modification pursuant to sections 
         <statute_ref>518C.601</statute_ref> to 
         <statute_ref>518C.612</statute_ref>; <br />
         		<a id="pl.99.11"></a><var>99.11</var>(6) determination of parentage of a child pursuant to section 
         <statute_ref>518C.701</statute_ref>; and <br />
         		<a id="pl.99.12"></a><var>99.12</var>(7) assertion of jurisdiction over nonresidents pursuant to sections 
         <statute_ref>518C.201</statute_ref> and <br />
         		<a id="pl.99.13"></a><var>99.13</var><statute_ref>518C.202</statute_ref>. <br />
         		<a id="pl.99.14"></a><var>99.14</var>(c) (b) An individual petitioner or a support enforcement agency may commence <br />
         		<a id="pl.99.15"></a><var>99.15</var>a proceeding authorized under this chapter by filing a petition in an initiating tribunal
         <br />
         		<a id="pl.99.16"></a><var>99.16</var>for forwarding to a responding tribunal or by filing a petition or a comparable pleading
         <br />
         		<a id="pl.99.17"></a><var>99.17</var>directly in a tribunal of another state or a foreign country which has or can obtain
         personal <br />
         		<a id="pl.99.18"></a><var>99.18</var>jurisdiction over the respondent.<br />
         		<br />
         		<a id="bill.1.106.0"></a><a id="pl.99.19"></a><var>99.19</var>&#160;&#160;&#160;&#160;Sec. 106. Laws 2014, chapter 189, section 17, is amended to read:<br />
         		<a id="pl.99.20"></a><var>99.20</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2012, section 518C.303, is amended to read:<br />
         		<a id="pl.99.21"></a><var>99.21</var><b>518C.303 APPLICATION OF LAW OF THIS STATE.</b><br />
         		<a id="pl.99.22"></a><var>99.22</var>Except as otherwise provided by this chapter, a responding tribunal of this state
         shall:<br />
         		<a id="pl.99.23"></a><var>99.23</var>(1) apply the procedural and substantive law, including the rules on choice of law, <br />
         		<a id="pl.99.24"></a><var>99.24</var>generally applicable to similar proceedings originating in this state and may exercise
         all <br />
         		<a id="pl.99.25"></a><var>99.25</var>powers and provide all remedies available in those proceedings; and<br />
         		<a id="pl.99.26"></a><var>99.26</var>(2) determine the duty of support and the amount payable in accordance with the <br />
         		<a id="pl.99.27"></a><var>99.27</var>law and support guidelines of this state.<br />
         		<br />
         		<a id="bill.1.107.0"></a><a id="pl.99.28"></a><var>99.28</var>&#160;&#160;&#160;&#160;Sec. 107. Laws 2014, chapter 189, section 18, is amended to read:<br />
         		<a id="pl.99.29"></a><var>99.29</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2012, section 518C.304, is amended to read:<br />
         		<a id="pl.99.30"></a><var>99.30</var><b>518C.304 DUTIES OF INITIATING TRIBUNAL.</b><br />
         		<a id="pl.99.31"></a><var>99.31</var>(a) Upon the filing of a petition authorized by this chapter, an initiating tribunal
         of <br />
         		<a id="pl.99.32"></a><var>99.32</var>this state shall forward the petition and its accompanying documents:<br />
         		<a id="pl.99.33"></a><var>99.33</var>(1) to the responding tribunal or appropriate support enforcement agency in the <br />
         		<a id="pl.99.34"></a><var>99.34</var>responding state; or<br />
         		<a id="pl.100.1"></a><var>100.1</var>(2) if the identity of the responding tribunal is unknown, to the state information
         <br />
         		<a id="pl.100.2"></a><var>100.2</var>agency of the responding state with a request that they be forwarded to the appropriate
         <br />
         		<a id="pl.100.3"></a><var>100.3</var>tribunal and that receipt be acknowledged.<br />
         		<a id="pl.100.4"></a><var>100.4</var>(b) If requested by the responding tribunal, a tribunal of this state shall issue
         a <br />
         		<a id="pl.100.5"></a><var>100.5</var>certificate or other documents and make findings required by the law of the responding
         <br />
         		<a id="pl.100.6"></a><var>100.6</var>state. If the responding tribunal is in a foreign country, upon request the tribunal of this <br />
         		<a id="pl.100.7"></a><var>100.7</var>state shall specify the amount of support sought, convert that amount into the equivalent
         <br />
         		<a id="pl.100.8"></a><var>100.8</var>amount in the foreign currency under applicable official or market exchange rate as
         <br />
         		<a id="pl.100.9"></a><var>100.9</var>publicly reported, and provide other documents necessary to satisfy the requirements
         of <br />
         		<a id="pl.100.10"></a><var>100.10</var>the responding foreign tribunal.<br />
         		<br />
         		<a id="bill.1.108.0"></a><a id="pl.100.11"></a><var>100.11</var>&#160;&#160;&#160;&#160;Sec. 108. Laws 2014, chapter 189, section 19, is amended to read:<br />
         		<a id="pl.100.12"></a><var>100.12</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2012, section 518C.305, is amended to read:<br />
         		<a id="pl.100.13"></a><var>100.13</var><b>518C.305 DUTIES AND POWERS OF RESPONDING TRIBUNAL.</b><br />
         		<a id="pl.100.14"></a><var>100.14</var>(a) When a responding tribunal of this state receives a petition or comparable <br />
         		<a id="pl.100.15"></a><var>100.15</var>pleading from an initiating tribunal or directly pursuant to section 
         <statute_ref>518C.301, paragraph (c) <br />
            		<a id="pl.100.16"></a><var>100.16</var>(b)
         </statute_ref>, it shall cause the petition or pleading to be filed and notify the petitioner where
         and <br />
         		<a id="pl.100.17"></a><var>100.17</var>when it was filed. <br />
         		<a id="pl.100.18"></a><var>100.18</var>(b) A responding tribunal of this state, to the extent otherwise authorized by not <br />
         		<a id="pl.100.19"></a><var>100.19</var>prohibited by other law, may do one or more of the following:<br />
         		<a id="pl.100.20"></a><var>100.20</var>(1) establish or enforce a support order, modify a child support order, determine
         the <br />
         		<a id="pl.100.21"></a><var>100.21</var>controlling child support order, or to determine parentage of a child;<br />
         		<a id="pl.100.22"></a><var>100.22</var>(2) order an obligor to comply with a support order, specifying the amount and <br />
         		<a id="pl.100.23"></a><var>100.23</var>the manner of compliance;<br />
         		<a id="pl.100.24"></a><var>100.24</var>(3) order income withholding;<br />
         		<a id="pl.100.25"></a><var>100.25</var>(4) determine the amount of any arrearages, and specify a method of payment;<br />
         		<a id="pl.100.26"></a><var>100.26</var>(5) enforce orders by civil or criminal contempt, or both;<br />
         		<a id="pl.100.27"></a><var>100.27</var>(6) set aside property for satisfaction of the support order;<br />
         		<a id="pl.100.28"></a><var>100.28</var>(7) place liens and order execution on the obligor's property;<br />
         		<a id="pl.100.29"></a><var>100.29</var>(8) order an obligor to keep the tribunal informed of the obligor's current residential
         <br />
         		<a id="pl.100.30"></a><var>100.30</var>address, electronic mail address, telephone number, employer, address of employment,
         <br />
         		<a id="pl.100.31"></a><var>100.31</var>and telephone number at the place of employment;<br />
         		<a id="pl.100.32"></a><var>100.32</var>(9) issue a bench warrant for an obligor who has failed after proper notice to appear
         <br />
         		<a id="pl.100.33"></a><var>100.33</var>at a hearing ordered by the tribunal and enter the bench warrant in any local and
         state <br />
         		<a id="pl.100.34"></a><var>100.34</var>computer systems for criminal warrants;<br />
         		<a id="pl.100.35"></a><var>100.35</var>(10) order the obligor to seek appropriate employment by specified methods;<br />
         		<a id="pl.101.1"></a><var>101.1</var>(11) award reasonable attorney's fees and other fees and costs; and<br />
         		<a id="pl.101.2"></a><var>101.2</var>(12) grant any other available remedy.<br />
         		<a id="pl.101.3"></a><var>101.3</var>(c) A responding tribunal of this state shall include in a support order issued under
         <br />
         		<a id="pl.101.4"></a><var>101.4</var>this chapter, or in the documents accompanying the order, the calculations on which
         <br />
         		<a id="pl.101.5"></a><var>101.5</var>the support order is based.<br />
         		<a id="pl.101.6"></a><var>101.6</var>(d) A responding tribunal of this state may not condition the payment of a support
         <br />
         		<a id="pl.101.7"></a><var>101.7</var>order issued under this chapter upon compliance by a party with provisions for visitation.<br />
         		<a id="pl.101.8"></a><var>101.8</var>(e) If a responding tribunal of this state issues an order under this chapter, the
         <br />
         		<a id="pl.101.9"></a><var>101.9</var>tribunal shall send a copy of the order to the petitioner and the respondent and to
         the <br />
         		<a id="pl.101.10"></a><var>101.10</var>initiating tribunal, if any.<br />
         		<a id="pl.101.11"></a><var>101.11</var>(f) If requested to enforce a support order, arrears, or judgment or modify a support
         <br />
         		<a id="pl.101.12"></a><var>101.12</var>order stated in a foreign currency, a responding tribunal of this state shall convert
         the <br />
         		<a id="pl.101.13"></a><var>101.13</var>amount stated in the foreign currency to the equivalent amount in dollars under the
         <br />
         		<a id="pl.101.14"></a><var>101.14</var>applicable official or market exchange rate as publicly reported.<br />
         		<br />
         		<a id="bill.1.109.0"></a><a id="pl.101.15"></a><var>101.15</var>&#160;&#160;&#160;&#160;Sec. 109. Laws 2014, chapter 189, section 23, is amended to read:<br />
         		<a id="pl.101.16"></a><var>101.16</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2012, section 518C.310, is amended to read:<br />
         		<a id="pl.101.17"></a><var>101.17</var><b>518C.310 DUTIES OF STATE INFORMATION AGENCY.</b><br />
         		<a id="pl.101.18"></a><var>101.18</var>(a) The unit within the Department of Human Services that receives and disseminates
         <br />
         		<a id="pl.101.19"></a><var>101.19</var>incoming interstate actions under title IV-D of the Social Security Act is the State
         <br />
         		<a id="pl.101.20"></a><var>101.20</var>Information Agency under this chapter.<br />
         		<a id="pl.101.21"></a><var>101.21</var>(b) The State Information Agency shall:<br />
         		<a id="pl.101.22"></a><var>101.22</var>(1) compile and maintain a current list, including addresses, of the tribunals in
         this <br />
         		<a id="pl.101.23"></a><var>101.23</var>state which have jurisdiction under this chapter and any support enforcement agencies
         in <br />
         		<a id="pl.101.24"></a><var>101.24</var>this state and transmit a copy to the state information agency of every other state;<br />
         		<a id="pl.101.25"></a><var>101.25</var>(2) maintain a register of names and addresses of tribunals and support enforcement <br />
         		<a id="pl.101.26"></a><var>101.26</var>agencies received from other states;<br />
         		<a id="pl.101.27"></a><var>101.27</var>(3) forward to the appropriate tribunal in the place in this state in which the <br />
         		<a id="pl.101.28"></a><var>101.28</var>individual obligee or the obligor resides, or in which the obligor's property is believed
         <br />
         		<a id="pl.101.29"></a><var>101.29</var>to be located, all documents concerning a proceeding under this chapter received from
         <br />
         		<a id="pl.101.30"></a><var>101.30</var>another state or a foreign country; and<br />
         		<a id="pl.101.31"></a><var>101.31</var>(4) obtain information concerning the location of the obligor and the obligor's <br />
         		<a id="pl.101.32"></a><var>101.32</var>property within this state not exempt from execution, by such means as postal verification
         <br />
         		<a id="pl.101.33"></a><var>101.33</var>and federal or state locator services, examination of telephone directories, requests
         for the <br />
         		<a id="pl.101.34"></a><var>101.34</var>obligor's address from employers, and examination of governmental records, including,
         to <br />
         		<a id="pl.102.1"></a><var>102.1</var>the extent not prohibited by other law, those relating to real property, vital statistics,
         law <br />
         		<a id="pl.102.2"></a><var>102.2</var>enforcement, taxation, motor vehicles, driver's licenses, and Social Security.<br />
         		<br />
         		<a id="bill.1.110.0"></a><a id="pl.102.3"></a><var>102.3</var>&#160;&#160;&#160;&#160;Sec. 110. Laws 2014, chapter 189, section 24, is amended to read:<br />
         		<a id="pl.102.4"></a><var>102.4</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2012, section 518C.311, is amended to read:<br />
         		<a id="pl.102.5"></a><var>102.5</var><b>518C.311 PLEADINGS AND ACCOMPANYING DOCUMENTS.</b><br />
         		<a id="pl.102.6"></a><var>102.6</var>(a) A petitioner seeking to establish or modify a support order, determine parentage
         <br />
         		<a id="pl.102.7"></a><var>102.7</var>of a child, or register and modify a support order of a tribunal of another state
         or a foreign <br />
         		<a id="pl.102.8"></a><var>102.8</var>country, in a proceeding under this chapter must file a petition. Unless otherwise
         ordered <br />
         		<a id="pl.102.9"></a><var>102.9</var>under section 
         <statute_ref>518C.312</statute_ref>, the petition or accompanying documents must provide, so far <br />
         		<a id="pl.102.10"></a><var>102.10</var>as known, the name, residential address, and Social Security numbers of the obligor
         and <br />
         		<a id="pl.102.11"></a><var>102.11</var>the obligee or parent and alleged parent, and the name, sex, residential address, Social <br />
         		<a id="pl.102.12"></a><var>102.12</var>Security number, and date of birth of each child for whom support is sought or whose
         <br />
         		<a id="pl.102.13"></a><var>102.13</var>parenthood parentage is to be determined. Unless filed at the time of registration, the <br />
         		<a id="pl.102.14"></a><var>102.14</var>petition must be accompanied by a certified copy of any support order in effect known <br />
         		<a id="pl.102.15"></a><var>102.15</var>to have been issued by another tribunal. The petition may include any other information <br />
         		<a id="pl.102.16"></a><var>102.16</var>that may assist in locating or identifying the respondent. <br />
         		<a id="pl.102.17"></a><var>102.17</var>(b) The petition must specify the relief sought. The petition and accompanying <br />
         		<a id="pl.102.18"></a><var>102.18</var>documents must conform substantially with the requirements imposed by the forms <br />
         		<a id="pl.102.19"></a><var>102.19</var>mandated by federal law for use in cases filed by a support enforcement agency.<br />
         		<br />
         		<a id="bill.1.111.0"></a><a id="pl.102.20"></a><var>102.20</var>&#160;&#160;&#160;&#160;Sec. 111. Laws 2014, chapter 189, section 27, is amended to read:<br />
         		<a id="pl.102.21"></a><var>102.21</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2012, section 518C.314, is amended to read:<br />
         		<a id="pl.102.22"></a><var>102.22</var><b>518C.314 LIMITED IMMUNITY OF PETITIONER.</b><br />
         		<a id="pl.102.23"></a><var>102.23</var>(a) Participation by a petitioner in a proceeding under this chapter before a <br />
         		<a id="pl.102.24"></a><var>102.24</var>responding tribunal, whether in person, by private attorney, or through services provided
         <br />
         		<a id="pl.102.25"></a><var>102.25</var>by the support enforcement agency, does not confer personal jurisdiction over the
         <br />
         		<a id="pl.102.26"></a><var>102.26</var>petitioner in another proceeding.<br />
         		<a id="pl.102.27"></a><var>102.27</var>(b) A petitioner is not amenable to service of civil process while physically present
         <br />
         		<a id="pl.102.28"></a><var>102.28</var>in this state to participate in a proceeding under this chapter.<br />
         		<a id="pl.102.29"></a><var>102.29</var>(c) The immunity granted by this section does not extend to civil litigation based
         on <br />
         		<a id="pl.102.30"></a><var>102.30</var>acts unrelated to a proceeding under this chapter committed by a party while physically <br />
         		<a id="pl.102.31"></a><var>102.31</var>present in this state to participate in the proceeding.<br />
         		<br />
         		<a id="bill.1.112.0"></a><a id="pl.102.32"></a><var>102.32</var>&#160;&#160;&#160;&#160;Sec. 112. Laws 2014, chapter 189, section 28, is amended to read:<br />
         		<a id="pl.102.33"></a><var>102.33</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2012, section 518C.316, is amended to read:<br />
         		<a id="pl.103.1"></a><var>103.1</var><b>518C.316 SPECIAL RULES OF EVIDENCE AND PROCEDURE.</b><br />
         		<a id="pl.103.2"></a><var>103.2</var>(a) The physical presence of the petitioner a nonresident party who is an individual <br />
         		<a id="pl.103.3"></a><var>103.3</var>in a responding tribunal of this state is not required for the establishment, enforcement, <br />
         		<a id="pl.103.4"></a><var>103.4</var>or modification of a support order or the rendition of a judgment determining parentage
         <br />
         		<a id="pl.103.5"></a><var>103.5</var>of a child.<br />
         		<a id="pl.103.6"></a><var>103.6</var>(b) A verified petition, An affidavit, a document substantially complying with <br />
         		<a id="pl.103.7"></a><var>103.7</var>federally mandated forms, and or a document incorporated by reference in any of them, <br />
         		<a id="pl.103.8"></a><var>103.8</var>not excluded under the hearsay rule if given in person, is admissible in evidence
         if given <br />
         		<a id="pl.103.9"></a><var>103.9</var>under oath penalty of perjury by a party or witness residing outside this state.<br />
         		<a id="pl.103.10"></a><var>103.10</var>(c) A copy of the record of child support payments certified as a true copy of the
         <br />
         		<a id="pl.103.11"></a><var>103.11</var>original by the custodian of the record may be forwarded to a responding tribunal.
         The copy <br />
         		<a id="pl.103.12"></a><var>103.12</var>is evidence of facts asserted in it, and is admissible to show whether payments were
         made.<br />
         		<a id="pl.103.13"></a><var>103.13</var>(d) Copies of bills for testing for parentage of a child, and for prenatal and postnatal
         <br />
         		<a id="pl.103.14"></a><var>103.14</var>health care of the mother and child, furnished to the adverse party at least ten days
         before <br />
         		<a id="pl.103.15"></a><var>103.15</var>trial, are admissible in evidence to prove the amount of the charges billed and that
         the <br />
         		<a id="pl.103.16"></a><var>103.16</var>charges were reasonable, necessary, and customary.<br />
         		<a id="pl.103.17"></a><var>103.17</var>(e) Documentary evidence transmitted from outside this state to a tribunal of this
         state <br />
         		<a id="pl.103.18"></a><var>103.18</var>by telephone, telecopier, or other electronic means that do not provide an original
         record <br />
         		<a id="pl.103.19"></a><var>103.19</var>may not be excluded from evidence on an objection based on the means of transmission.<br />
         		<a id="pl.103.20"></a><var>103.20</var>(f) In a proceeding under this chapter, a tribunal of this state shall permit a party
         <br />
         		<a id="pl.103.21"></a><var>103.21</var>or witness residing outside this state to be deposed or to testify under penalty of
         perjury <br />
         		<a id="pl.103.22"></a><var>103.22</var>by telephone, audiovisual means, or other electronic means at a designated tribunal
         or <br />
         		<a id="pl.103.23"></a><var>103.23</var>other location. A tribunal of this state shall cooperate with other tribunals in designating
         <br />
         		<a id="pl.103.24"></a><var>103.24</var>an appropriate location for the deposition or testimony.<br />
         		<a id="pl.103.25"></a><var>103.25</var>(g) If a party called to testify at a civil hearing refuses to answer on the ground
         that <br />
         		<a id="pl.103.26"></a><var>103.26</var>the testimony may be self-incriminating, the trier of fact may draw an adverse inference
         <br />
         		<a id="pl.103.27"></a><var>103.27</var>from the refusal.<br />
         		<a id="pl.103.28"></a><var>103.28</var>(h) A privilege against disclosure of communications between spouses does not <br />
         		<a id="pl.103.29"></a><var>103.29</var>apply in a proceeding under this chapter.<br />
         		<a id="pl.103.30"></a><var>103.30</var>(i) The defense of immunity based on the relationship of husband and wife or parent
         <br />
         		<a id="pl.103.31"></a><var>103.31</var>and child does not apply in a proceeding under this chapter.<br />
         		<a id="pl.103.32"></a><var>103.32</var>(j) A voluntary acknowledgment of paternity, certified as a true copy, is admissible
         <br />
         		<a id="pl.103.33"></a><var>103.33</var>to establish parentage of a child.<br />
         		<br />
         		<a id="bill.1.113.0"></a><a id="pl.103.34"></a><var>103.34</var>&#160;&#160;&#160;&#160;Sec. 113. Laws 2014, chapter 189, section 29, is amended to read:<br />
         		<a id="pl.103.35"></a><var>103.35</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2012, section 518C.317, is amended to read:<br />
         		<a id="pl.104.1"></a><var>104.1</var><b>518C.317 COMMUNICATIONS BETWEEN TRIBUNALS.</b><br />
         		<a id="pl.104.2"></a><var>104.2</var>A tribunal of this state may communicate with a tribunal outside this state in <br />
         		<a id="pl.104.3"></a><var>104.3</var>writing, by e-mail, or a record, or by telephone, electronic mail, or other means, to obtain <br />
         		<a id="pl.104.4"></a><var>104.4</var>information concerning the laws of that state, the legal effect of a judgment, decree,
         or <br />
         		<a id="pl.104.5"></a><var>104.5</var>order of that tribunal, and the status of a proceeding. A tribunal of this state may
         furnish <br />
         		<a id="pl.104.6"></a><var>104.6</var>similar information by similar means to a tribunal outside this state.<br />
         		<br />
         		<a id="bill.1.114.0"></a><a id="pl.104.7"></a><var>104.7</var>&#160;&#160;&#160;&#160;Sec. 114. Laws 2014, chapter 189, section 31, is amended to read:<br />
         		<a id="pl.104.8"></a><var>104.8</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2012, section 518C.319, is amended to read:<br />
         		<a id="pl.104.9"></a><var>104.9</var><b>518C.319 RECEIPT AND DISBURSEMENT OF PAYMENTS.</b><br />
         		<a id="pl.104.10"></a><var>104.10</var>(a) A support enforcement agency or tribunal of this state shall disburse promptly
         <br />
         		<a id="pl.104.11"></a><var>104.11</var>any amounts received pursuant to a support order, as directed by the order. The agency
         <br />
         		<a id="pl.104.12"></a><var>104.12</var>or tribunal shall furnish to a requesting party or tribunal of another state or a
         foreign <br />
         		<a id="pl.104.13"></a><var>104.13</var>country a certified statement by the custodian of the record of the amounts and dates
         <br />
         		<a id="pl.104.14"></a><var>104.14</var>of all payments received.<br />
         		<a id="pl.104.15"></a><var>104.15</var>(b) If neither the obligor, not nor the obligee who is an individual, nor the child <br />
         		<a id="pl.104.16"></a><var>104.16</var>resides in this state, upon request from the support enforcement agency of this state
         or <br />
         		<a id="pl.104.17"></a><var>104.17</var>another state, the support enforcement agency of this state or a tribunal of this
         state shall:<br />
         		<a id="pl.104.18"></a><var>104.18</var>(1) direct that the support payment be made to the support enforcement agency in <br />
         		<a id="pl.104.19"></a><var>104.19</var>the state in which the obligee is receiving services; and<br />
         		<a id="pl.104.20"></a><var>104.20</var>(2) issue and send to the obligor's employer a conforming income-withholding order
         <br />
         		<a id="pl.104.21"></a><var>104.21</var>or an administrative notice of change of payee, reflecting the redirected payments.<br />
         		<a id="pl.104.22"></a><var>104.22</var>(c) The support enforcement agency of this state receiving redirected payments from
         <br />
         		<a id="pl.104.23"></a><var>104.23</var>another state pursuant to a law similar to paragraph (b) shall furnish to a requesting
         party <br />
         		<a id="pl.104.24"></a><var>104.24</var>or tribunal of the other state a certified statement by the custodian of the record
         of the <br />
         		<a id="pl.104.25"></a><var>104.25</var>amount and dates of all payments received.<br />
         		<br />
         		<a id="bill.1.115.0"></a><a id="pl.104.26"></a><var>104.26</var>&#160;&#160;&#160;&#160;Sec. 115. Laws 2014, chapter 189, section 43, is amended to read:<br />
         		<a id="pl.104.27"></a><var>104.27</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2012, section 518C.604, is amended to read:<br />
         		<a id="pl.104.28"></a><var>104.28</var><b>518C.604 CHOICE OF LAW.</b><br />
         		<a id="pl.104.29"></a><var>104.29</var>(a) Except as otherwise provided in paragraph (d), the law of the issuing state or
         <br />
         		<a id="pl.104.30"></a><var>104.30</var>foreign country governs:<br />
         		<a id="pl.104.31"></a><var>104.31</var>(1) the nature, extent, amount, and duration of current payments under a registered
         <br />
         		<a id="pl.104.32"></a><var>104.32</var>support order;<br />
         		<a id="pl.104.33"></a><var>104.33</var>(2) the computation and payment of arrearages and accrual of interest on the <br />
         		<a id="pl.104.34"></a><var>104.34</var>arrearages under the support order; and<br />
         		<a id="pl.105.1"></a><var>105.1</var>(3) the existence and satisfaction of other obligations under the support order.<br />
         		<a id="pl.105.2"></a><var>105.2</var>(b) In a proceeding for arrearages under a registered support order, the statute of <br />
         		<a id="pl.105.3"></a><var>105.3</var>limitation under the laws of this state or of the issuing state or foreign country,
         whichever <br />
         		<a id="pl.105.4"></a><var>105.4</var>is longer, applies.<br />
         		<a id="pl.105.5"></a><var>105.5</var>(c) A responding tribunal of this state shall apply the procedures and remedies of
         <br />
         		<a id="pl.105.6"></a><var>105.6</var>this state to enforce current support and collect arrears and interest due on a support
         order <br />
         		<a id="pl.105.7"></a><var>105.7</var>of another state or a foreign country registered in this state.<br />
         		<a id="pl.105.8"></a><var>105.8</var>(d) After a tribunal of this state or another state determines which is the controlling
         <br />
         		<a id="pl.105.9"></a><var>105.9</var>order and issues an order consolidating arrears, if any, a tribunal of this state
         shall <br />
         		<a id="pl.105.10"></a><var>105.10</var>prospectively apply the law of the state or foreign country issuing the controlling
         order, <br />
         		<a id="pl.105.11"></a><var>105.11</var>including its law on interest on arrears, on current and future support, and on consolidated
         <br />
         		<a id="pl.105.12"></a><var>105.12</var>arrears.<br />
         		<br />
         		<a id="bill.1.116.0"></a><a id="pl.105.13"></a><var>105.13</var>&#160;&#160;&#160;&#160;Sec. 116. Laws 2014, chapter 189, section 50, is amended to read:<br />
         		<a id="pl.105.14"></a><var>105.14</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2012, section 518C.611, is amended to read:<br />
         		<a id="pl.105.15"></a><var>105.15</var><b>518C.611 MODIFICATION OF CHILD SUPPORT ORDER OF ANOTHER </b><br />
         		<a id="pl.105.16"></a><var>105.16</var><b>STATE.</b><br />
         		<a id="pl.105.17"></a><var>105.17</var>(a) If section 
         <statute_ref>518C.613</statute_ref> does not apply, upon petition a tribunal of this state may <br />
         		<a id="pl.105.18"></a><var>105.18</var>modify a child support order issued in another state that is registered in this state
         if, after <br />
         		<a id="pl.105.19"></a><var>105.19</var>notice and hearing, it finds that: <br />
         		<a id="pl.105.20"></a><var>105.20</var>(1) the following requirements are met:<br />
         		<a id="pl.105.21"></a><var>105.21</var>(i) neither the child, nor the obligee who is an individual, nor the obligor resides
         <br />
         		<a id="pl.105.22"></a><var>105.22</var>in the issuing state;<br />
         		<a id="pl.105.23"></a><var>105.23</var>(ii) a petitioner who is a nonresident of this state seeks modification; and<br />
         		<a id="pl.105.24"></a><var>105.24</var>(iii) the respondent is subject to the personal jurisdiction of the tribunal of this
         state; or<br />
         		<a id="pl.105.25"></a><var>105.25</var>(2) this state is the residence of the child, or a party who is an individual is subject
         to <br />
         		<a id="pl.105.26"></a><var>105.26</var>the personal jurisdiction of the tribunal of this state and all of the parties who
         are individuals <br />
         		<a id="pl.105.27"></a><var>105.27</var>have filed written consents in a record in the issuing tribunal for a tribunal of this state to <br />
         		<a id="pl.105.28"></a><var>105.28</var>modify the support order and assume continuing, exclusive jurisdiction over the order. <br />
         		<a id="pl.105.29"></a><var>105.29</var>(b) Modification of a registered child support order is subject to the same <br />
         		<a id="pl.105.30"></a><var>105.30</var>requirements, procedures, and defenses that apply to the modification of an order
         issued <br />
         		<a id="pl.105.31"></a><var>105.31</var>by a tribunal of this state and the order may be enforced and satisfied in the same
         manner.<br />
         		<a id="pl.105.32"></a><var>105.32</var>(c) A tribunal of this state may not modify any aspect of a child support order that
         <br />
         		<a id="pl.105.33"></a><var>105.33</var>may not be modified under the law of the issuing state, including the duration of
         the <br />
         		<a id="pl.105.34"></a><var>105.34</var>obligation of support. If two or more tribunals have issued child support orders for
         the <br />
         		<a id="pl.106.1"></a><var>106.1</var>same obligor and child, the order that controls and must be recognized under section
         <br />
         		
         <statute_ref><a id="pl.106.2"></a><var>106.2</var>518C.207
         </statute_ref> establishes the aspects of the support order which are nonmodifiable. <br />
         		<a id="pl.106.3"></a><var>106.3</var>(d) In a proceeding to modify a child support order, the law of the state that is
         <br />
         		<a id="pl.106.4"></a><var>106.4</var>determined to have issued the initial controlling order governs the duration of the
         <br />
         		<a id="pl.106.5"></a><var>106.5</var>obligation of support. The obligor's fulfillment of the duty of support established
         by that <br />
         		<a id="pl.106.6"></a><var>106.6</var>order precludes imposition of a further obligation of support by a tribunal of this
         state.<br />
         		<a id="pl.106.7"></a><var>106.7</var>(e) On issuance of an order by a tribunal of this state modifying a child support order <br />
         		<a id="pl.106.8"></a><var>106.8</var>issued in another state, a tribunal of this state becomes the tribunal having continuing,
         <br />
         		<a id="pl.106.9"></a><var>106.9</var>exclusive jurisdiction.<br />
         		<a id="pl.106.10"></a><var>106.10</var>(f) Notwithstanding paragraphs (a) to (d) (e) and section 
         <statute_ref>518C.201</statute_ref>, paragraph (b), <br />
         		<a id="pl.106.11"></a><var>106.11</var>a tribunal of this state retains jurisdiction to modify an order issued by a tribunal
         of this <br />
         		<a id="pl.106.12"></a><var>106.12</var>state if:<br />
         		<a id="pl.106.13"></a><var>106.13</var>(1) one party resides in another state; and<br />
         		<a id="pl.106.14"></a><var>106.14</var>(2) the other party resides outside the United States.<br />
         		<br />
         		<a id="bill.1.117.0"></a><a id="pl.106.15"></a><var>106.15</var>&#160;&#160;&#160;&#160;Sec. 117. Laws 2014, chapter 189, section 51, is amended to read:<br />
         		<a id="pl.106.16"></a><var>106.16</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2012, section 518C.612, is amended to read:<br />
         		<a id="pl.106.17"></a><var>106.17</var><b>518C.612 RECOGNITION OF ORDER MODIFIED IN ANOTHER STATE.</b><br />
         		<a id="pl.106.18"></a><var>106.18</var>If a child support order issued by a tribunal of this state is modified by a tribunal
         of <br />
         		<a id="pl.106.19"></a><var>106.19</var>another state which assumed jurisdiction according to this chapter or a law substantially <br />
         		<a id="pl.106.20"></a><var>106.20</var>similar to this chapter pursuant to the Uniform Interstate Family Support Act, a tribunal of <br />
         		<a id="pl.106.21"></a><var>106.21</var>this state:<br />
         		<a id="pl.106.22"></a><var>106.22</var>(1) may enforce its order that was modified only as to arrears and interest accruing
         <br />
         		<a id="pl.106.23"></a><var>106.23</var>before the modification;<br />
         		<a id="pl.106.24"></a><var>106.24</var>(2) may provide appropriate relief for violations of its order which occurred before
         <br />
         		<a id="pl.106.25"></a><var>106.25</var>the effective date of the modification; and<br />
         		<a id="pl.106.26"></a><var>106.26</var>(3) shall recognize the modifying order of the other state, upon registration, for
         the <br />
         		<a id="pl.106.27"></a><var>106.27</var>purpose of enforcement.<br />
         		<br />
         		<a id="bill.1.118.0"></a><a id="pl.106.28"></a><var>106.28</var>&#160;&#160;&#160;&#160;Sec. 118. Laws 2014, chapter 189, section 52, is amended to read:<br />
         		<a id="pl.106.29"></a><var>106.29</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2012, section 518C.613, is amended to read:<br />
         		<a id="pl.106.30"></a><var>106.30</var><b>518C.613 JURISDICTION TO MODIFY SUPPORT ORDER OF ANOTHER </b><br />
         		<a id="pl.106.31"></a><var>106.31</var><b>STATE WHEN INDIVIDUAL PARTIES RESIDE IN THIS STATE.</b><br />
         		<a id="pl.106.32"></a><var>106.32</var>(a) If all of the parties who are individuals reside in this state and the child does
         not <br />
         		<a id="pl.106.33"></a><var>106.33</var>reside in the issuing state, a tribunal of this state has jurisdiction to enforce
         and to modify <br />
         		<a id="pl.106.34"></a><var>106.34</var>the issuing state's child support order in a proceeding to register that order.<br />
         		<a id="pl.107.1"></a><var>107.1</var>(b) A tribunal of this state exercising jurisdiction as provided in this section shall
         apply <br />
         		<a id="pl.107.2"></a><var>107.2</var>sections 
         <statute_ref>518C.101</statute_ref> to 
         <statute_ref>518C.209</statute_ref> 518C.211 and 
         <statute_ref>518C.601</statute_ref> to 
         <statute_ref>518C.616 </statute_ref>to the enforcement <br />
         		<a id="pl.107.3"></a><var>107.3</var>or modification proceeding. Sections 
         <statute_ref>518C.301</statute_ref> to 
         <statute_ref>518C.508 </statute_ref>and 
         <statute_ref>518C.701</statute_ref> to 
         <statute_ref>518C.802</statute_ref> <br />
         		<a id="pl.107.4"></a><var>107.4</var>do not apply and the tribunal shall apply the procedural and substantive law of this
         state. <br />
         		<br />
         		<a id="bill.1.119.0"></a><a id="pl.107.5"></a><var>107.5</var>&#160;&#160;&#160;&#160;Sec. 119. Laws 2014, chapter 189, section 73, is amended to read:<br />
         		<a id="pl.107.6"></a><var>107.6</var>&#160;&#160;&#160;&#160;Sec. 73. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.107.7"></a><var>107.7</var>This act becomes is effective on the date that the United States deposits the <br />
         		<a id="pl.107.8"></a><var>107.8</var>instrument of ratification for the Hague Convention on the International Recovery
         of Child <br />
         		<a id="pl.107.9"></a><var>107.9</var>Support and Other Forms of Family Maintenance with the Hague Conference on Private
         <br />
         		<a id="pl.107.10"></a><var>107.10</var>International Law July 1, 2015.<br />
         		<a id="pl.107.11"></a><var>107.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015.<br />
         		<br />
         		<a id="bill.1.120.0"></a><a id="pl.107.12"></a><var>107.12</var>&#160;&#160;&#160;&#160;Sec. 120. <b>GROUP RESIDENTIAL HOUSING REPORT ON PROGRAM </b><br />
         		<a id="pl.107.13"></a><var>107.13</var><b>IMPROVEMENTS.</b><br />
         		<a id="pl.107.14"></a><var>107.14</var>(a) The commissioner shall, in coordination with stakeholders and advocates, build
         <br />
         		<a id="pl.107.15"></a><var>107.15</var>on the group residential housing (GRH) reforms made in the 2015 legislative session
         <br />
         		<a id="pl.107.16"></a><var>107.16</var>related to program integrity and uniformity, by restructuring the payment rates, exploring
         <br />
         		<a id="pl.107.17"></a><var>107.17</var>assessment tools, and proposing any other necessary modifications that will result
         in a <br />
         		<a id="pl.107.18"></a><var>107.18</var>more cost-effective program, and report to the members of the legislative committees
         <br />
         		<a id="pl.107.19"></a><var>107.19</var>having jurisdiction over GRH issues by December 15, 2016.<br />
         		<a id="pl.107.20"></a><var>107.20</var>(b) The working group, consisting of the commissioner, stakeholders, and advocates,
         <br />
         		<a id="pl.107.21"></a><var>107.21</var>shall examine the feasibility and fiscal implications of restructuring service rates
         by <br />
         		<a id="pl.107.22"></a><var>107.22</var>eliminating the supplemental service rates, and developing a plan to fund only those
         <br />
         		<a id="pl.107.23"></a><var>107.23</var>services, based on individual need, that are not covered by medical assistance, other
         <br />
         		<a id="pl.107.24"></a><var>107.24</var>insurance, or other programs. In addition, the working group shall analyze the payment
         <br />
         		<a id="pl.107.25"></a><var>107.25</var>structure, and explore different options, including tiered rates for services, and
         provide the <br />
         		<a id="pl.107.26"></a><var>107.26</var>plan and analysis under this paragraph in the report under paragraph (a).<br />
         		<a id="pl.107.27"></a><var>107.27</var>(c) To determine individual need, the working group shall explore assessment tools,
         <br />
         		<a id="pl.107.28"></a><var>107.28</var>and determine the appropriate assessment tool for the different populations served
         by the <br />
         		<a id="pl.107.29"></a><var>107.29</var>GRH program, which include homeless individuals, individuals with mental illness,
         and <br />
         		<a id="pl.107.30"></a><var>107.30</var>individuals who are chemically dependent. The working group shall coordinate efforts
         <br />
         		<a id="pl.107.31"></a><var>107.31</var>with agency staff who have expertise related to these populations, and use relevant
         <br />
         		<a id="pl.107.32"></a><var>107.32</var>information and data that is available, to determine the most appropriate and effective
         <br />
         		<a id="pl.107.33"></a><var>107.33</var>assessment tool or tools, and provide the analysis and an assessment recommendation
         in <br />
         		<a id="pl.107.34"></a><var>107.34</var>the report under paragraph (a).<br />
         		<br />
         		<a id="bill.1.121.0"></a><a id="pl.108.1"></a><var>108.1</var>&#160;&#160;&#160;&#160;Sec. 121. <b>CHILD SUPPORT WORK GROUP.</b><br />
         		<a id="pl.108.2"></a><var>108.2</var>(a) A child support work group is established to review the parenting expense <br />
         		<a id="pl.108.3"></a><var>108.3</var>adjustment in Minnesota Statutes, section 518A.36, and to identify and recommend <br />
         		<a id="pl.108.4"></a><var>108.4</var>changes to the parenting expense adjustment.<br />
         		<a id="pl.108.5"></a><var>108.5</var>(b) Members of the work group shall include:<br />
         		<a id="pl.108.6"></a><var>108.6</var>(1) two members of the house of representatives, one appointed by the speaker of the
         <br />
         		<a id="pl.108.7"></a><var>108.7</var>house and one appointed by the minority leader;<br />
         		<a id="pl.108.8"></a><var>108.8</var>(2) two members of the senate, one appointed by the majority leader and one <br />
         		<a id="pl.108.9"></a><var>108.9</var>appointed by the minority leader;<br />
         		<a id="pl.108.10"></a><var>108.10</var>(3) the commissioner of human services or a designee;<br />
         		<a id="pl.108.11"></a><var>108.11</var>(4) one staff member from the Child Support Division of the Department of Human <br />
         		<a id="pl.108.12"></a><var>108.12</var>Services, appointed by the commissioner;<br />
         		<a id="pl.108.13"></a><var>108.13</var>(5) one representative of the Minnesota State Bar Association, Family Law section,
         <br />
         		<a id="pl.108.14"></a><var>108.14</var>appointed by the section;<br />
         		<a id="pl.108.15"></a><var>108.15</var>(6) one representative of the Minnesota County Attorney's Association, appointed <br />
         		<a id="pl.108.16"></a><var>108.16</var>by the association;<br />
         		<a id="pl.108.17"></a><var>108.17</var>(7) one representative of the Minnesota Legal Services Coalition, appointed by <br />
         		<a id="pl.108.18"></a><var>108.18</var>the coalition;<br />
         		<a id="pl.108.19"></a><var>108.19</var>(8) one representative of the Minnesota Family Support and Recovery Council, <br />
         		<a id="pl.108.20"></a><var>108.20</var>appointed by the council; and<br />
         		<a id="pl.108.21"></a><var>108.21</var>(9) two representatives from parent advocacy groups, one representing custodial <br />
         		<a id="pl.108.22"></a><var>108.22</var>parents and one representing noncustodial parents, appointed by the commissioner of
         <br />
         		<a id="pl.108.23"></a><var>108.23</var>human services.<br />
         		<a id="pl.108.24"></a><var>108.24</var>The commissioner, or the commissioner's designee, shall appoint the work group chair.<br />
         		<a id="pl.108.25"></a><var>108.25</var>(c) The work group shall be authorized to retain the services of an economist to help
         <br />
         		<a id="pl.108.26"></a><var>108.26</var>create an equitable parenting expense adjustment formula. The work group may hire
         an <br />
         		<a id="pl.108.27"></a><var>108.27</var>economist by use of a sole-source contract.<br />
         		<a id="pl.108.28"></a><var>108.28</var>(d) The work group shall issue a report to the chairs and ranking minority members
         <br />
         		<a id="pl.108.29"></a><var>108.29</var>of the legislative committees with jurisdiction over civil law, judiciary, and health
         and <br />
         		<a id="pl.108.30"></a><var>108.30</var>human services by January 15, 2016. The report must include recommendations for <br />
         		<a id="pl.108.31"></a><var>108.31</var>changes to the computation of child support and recommendations on the composition
         <br />
         		<a id="pl.108.32"></a><var>108.32</var>of a permanent child support task force.<br />
         		<a id="pl.108.33"></a><var>108.33</var>(e) Terms, compensation, and removal of members and the filling of vacancies are <br />
         		<a id="pl.108.34"></a><var>108.34</var>governed by Minnesota Statutes, section 15.059.<br />
         		<a id="pl.108.35"></a><var>108.35</var>(f) The work group expires January 16, 2016.<br />
         		<br />
         		<a id="bill.1.122.0"></a><a id="pl.109.1"></a><var>109.1</var>&#160;&#160;&#160;&#160;Sec. 122. <b>INSTRUCTIONS TO THE COMMISSIONER; CHILD </b><br />
         		<a id="pl.109.2"></a><var>109.2</var><b>MALTREATMENT SCREENING GUIDELINES.</b><br />
         		<a id="pl.109.3"></a><var>109.3</var>(a) No later than October 1, 2015, the commissioner of human services shall update
         <br />
         		<a id="pl.109.4"></a><var>109.4</var>the child maltreatment screening guidelines to require agencies to consider prior
         reports that <br />
         		<a id="pl.109.5"></a><var>109.5</var>were not screened in when determining whether a new report will or will not be screened
         <br />
         		<a id="pl.109.6"></a><var>109.6</var>in. The updated guidelines must emphasize that intervention and prevention efforts
         are to <br />
         		<a id="pl.109.7"></a><var>109.7</var>focus on child safety and the ongoing risk of child abuse or neglect, and that the
         health and <br />
         		<a id="pl.109.8"></a><var>109.8</var>safety of children are of paramount concern. The commissioner shall work with a diverse
         <br />
         		<a id="pl.109.9"></a><var>109.9</var>group of community representatives who are experts on limiting cultural and ethnic
         bias <br />
         		<a id="pl.109.10"></a><var>109.10</var>when developing the updated guidelines. The guidelines must be developed with special
         <br />
         		<a id="pl.109.11"></a><var>109.11</var>sensitivity to reducing system bias with regard to screening and assessment tools.<br />
         		<a id="pl.109.12"></a><var>109.12</var>(b) No later than November 1, 2015, the commissioner shall publish and distribute
         <br />
         		<a id="pl.109.13"></a><var>109.13</var>the updated guidelines and ensure that all agency staff have received training on
         the <br />
         		<a id="pl.109.14"></a><var>109.14</var>updated guidelines.<br />
         		<a id="pl.109.15"></a><var>109.15</var>(c) Agency staff must implement the guidelines by January 1, 2016.<br />
         		<br />
         		<a id="bill.1.123.0"></a><a id="pl.109.16"></a><var>109.16</var>&#160;&#160;&#160;&#160;Sec. 123. <b>COMMISSIONER'S DUTY TO PROVIDE TRAINING TO CHILD </b><br />
         		<a id="pl.109.17"></a><var>109.17</var><b>PROTECTION SUPERVISORS.</b><br />
         		<a id="pl.109.18"></a><var>109.18</var>&#160;&#160;&#160;&#160;The commissioner shall establish requirements for competency-based initial <br />
         		<a id="pl.109.19"></a><var>109.19</var>training, support, and continuing education for child protection supervisors. This
         includes <br />
         		<a id="pl.109.20"></a><var>109.20</var>developing a set of competencies specific to child protection supervisor knowledge,
         skills, <br />
         		<a id="pl.109.21"></a><var>109.21</var>and attitudes based on the Minnesota Child Welfare Practice Model. Competency-based
         <br />
         		<a id="pl.109.22"></a><var>109.22</var>training of supervisors must advance continuous emphasis and improvement in skills
         that <br />
         		<a id="pl.109.23"></a><var>109.23</var>promote the use of the client's culture as a resource and the ability to integrate
         the client's <br />
         		<a id="pl.109.24"></a><var>109.24</var>traditions, customs, values, and faith into service delivery.<br />
         		<br />
         		<a id="bill.1.124.0"></a><a id="pl.109.25"></a><var>109.25</var>&#160;&#160;&#160;&#160;Sec. 124. <b>CHILD PROTECTION UPDATED FORMULA.</b><br />
         		<a id="pl.109.26"></a><var>109.26</var>&#160;&#160;&#160;&#160;The commissioner of human services shall evaluate the formulas in Minnesota <br />
         		<a id="pl.109.27"></a><var>109.27</var>Statutes, section 256M.41, and recommend an updated equitable distribution formula
         <br />
         		<a id="pl.109.28"></a><var>109.28</var>beginning in fiscal year 2018, for funding child protection staffing and expanded
         services <br />
         		<a id="pl.109.29"></a><var>109.29</var>to counties and tribes, taking into consideration any relief to counties and tribes
         for child <br />
         		<a id="pl.109.30"></a><var>109.30</var>welfare and foster care costs, additional tribes delivering social services, and any
         other <br />
         		<a id="pl.109.31"></a><var>109.31</var>relevant information that should be considered in developing a new distribution formula.
         <br />
         		<a id="pl.109.32"></a><var>109.32</var>The commissioner shall report to the legislative committees having jurisdiction over
         child <br />
         		<a id="pl.109.33"></a><var>109.33</var>protection issues by December 15, 2016.<br />
         		<br />
         		<a id="bill.1.125.0"></a><a id="pl.110.1"></a><var>110.1</var>&#160;&#160;&#160;&#160;Sec. 125. <b>LEGISLATIVE TASK FORCE; CHILD PROTECTION.</b><br />
         		<a id="pl.110.2"></a><var>110.2</var>(a) A legislative task force is created to:<br />
         		<a id="pl.110.3"></a><var>110.3</var>(1) review the efforts being made to implement the recommendations of the <br />
         		<a id="pl.110.4"></a><var>110.4</var>Governor's Task Force on the Protection of Children, including a review of the roles
         and <br />
         		<a id="pl.110.5"></a><var>110.5</var>functions of the Office of Ombudsperson for Families;<br />
         		<a id="pl.110.6"></a><var>110.6</var>(2) expand the efforts into related areas of the child welfare system;<br />
         		<a id="pl.110.7"></a><var>110.7</var>(3) work with the commissioner of human services and community partners to <br />
         		<a id="pl.110.8"></a><var>110.8</var>establish and evaluate child protection grants to address disparities in child welfare
         <br />
         		<a id="pl.110.9"></a><var>110.9</var>pursuant to Minnesota Statutes, section 256E.28; and<br />
         		<a id="pl.110.10"></a><var>110.10</var>(4) identify additional areas within the child welfare system that need to be addressed
         <br />
         		<a id="pl.110.11"></a><var>110.11</var>by the legislature.<br />
         		<a id="pl.110.12"></a><var>110.12</var>(b) Members of the legislative task force shall include:<br />
         		<a id="pl.110.13"></a><var>110.13</var>(1) the four legislators who served as members of the Governor's Task Force on <br />
         		<a id="pl.110.14"></a><var>110.14</var>the Protection of Children;<br />
         		<a id="pl.110.15"></a><var>110.15</var>(2) two members from the house of representatives appointed by the speaker, one <br />
         		<a id="pl.110.16"></a><var>110.16</var>from the majority party and one from the minority party; and<br />
         		<a id="pl.110.17"></a><var>110.17</var>(3) two members from the senate appointed by the majority leader, one from the <br />
         		<a id="pl.110.18"></a><var>110.18</var>majority party and one from the minority party.<br />
         		<a id="pl.110.19"></a><var>110.19</var>The speaker and the majority leader shall each appoint a chair and vice-chair from
         the <br />
         		<a id="pl.110.20"></a><var>110.20</var>membership of the task force. The gavel shall rotate after each meeting, and the house
         of <br />
         		<a id="pl.110.21"></a><var>110.21</var>representatives shall assume the leadership of the task force first.<br />
         		<a id="pl.110.22"></a><var>110.22</var>(c) The task force may provide oversight and monitoring of:<br />
         		<a id="pl.110.23"></a><var>110.23</var>(1) the efforts by the Department of Human Services, counties, and tribes to <br />
         		<a id="pl.110.24"></a><var>110.24</var>implement laws related to child protection;<br />
         		<a id="pl.110.25"></a><var>110.25</var>(2) efforts by the Department of Human Services, counties, and tribes to implement
         <br />
         		<a id="pl.110.26"></a><var>110.26</var>the recommendations of the Governor's Task Force on the Protection of Children;<br />
         		<a id="pl.110.27"></a><var>110.27</var>(3) efforts by agencies, including but not limited to the Minnesota Department <br />
         		<a id="pl.110.28"></a><var>110.28</var>of Education, the Minnesota Housing Finance Agency, the Minnesota Department of <br />
         		<a id="pl.110.29"></a><var>110.29</var>Corrections, and the Minnesota Department of Public Safety, to work with the Department
         <br />
         		<a id="pl.110.30"></a><var>110.30</var>of Human Services to assure safety and well-being for children at risk of harm or
         children <br />
         		<a id="pl.110.31"></a><var>110.31</var>in the child welfare system; and<br />
         		<a id="pl.110.32"></a><var>110.32</var>(4) efforts by the Department of Human Services, other agencies, counties, and <br />
         		<a id="pl.110.33"></a><var>110.33</var>tribes to implement best practices to ensure every child is protected from maltreatment
         <br />
         		<a id="pl.110.34"></a><var>110.34</var>and neglect and to ensure every child has the opportunity for healthy development.<br />
         		<a id="pl.110.35"></a><var>110.35</var>(d) The task force, in cooperation with the commissioner of human services, shall
         <br />
         		<a id="pl.110.36"></a><var>110.36</var>issue a report to the legislature and governor February 1, 2016. The report must contain
         <br />
         		<a id="pl.111.1"></a><var>111.1</var>information on the progress toward implementation of changes to the child protection
         <br />
         		<a id="pl.111.2"></a><var>111.2</var>system, recommendations for additional legislative changes and procedures affecting
         child <br />
         		<a id="pl.111.3"></a><var>111.3</var>protection and child welfare, and funding needs to implement recommended changes.<br />
         		<a id="pl.111.4"></a><var>111.4</var>(e) The task force shall convene upon the effective date of this section and shall
         <br />
         		<a id="pl.111.5"></a><var>111.5</var>continue until the last day of the 2016 legislative session.<br />
         		<a id="pl.111.6"></a><var>111.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.1.126.0"></a><a id="pl.111.7"></a><var>111.7</var>&#160;&#160;&#160;&#160;Sec. 126. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.111.8"></a><var>111.8</var>The revisor of statutes shall alphabetize the definitions in Minnesota Statutes, section
         <br />
         		<a id="pl.111.9"></a><var>111.9</var>626.556, subdivision 2, and correct related cross-references.<br />
         		<br />
         		<a id="bill.2.0.0"></a><div class="xtend_ce"><a id="pl.111.10"></a><var>111.10</var><b>ARTICLE 2</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.111.11"></a><var>111.11</var><b>CHEMICAL AND MENTAL HEALTH SERVICES</b><br />
            		
         </div><br />
         		<a id="bill.2.1.0"></a><a id="pl.111.12"></a><var>111.12</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 13.46, subdivision 2, is amended to read:<br />
         		<a id="pl.111.13"></a><var>111.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>General.</b> (a) Data on individuals collected, maintained, used, or <br />
         		<a id="pl.111.14"></a><var>111.14</var>disseminated by the welfare system are private data on individuals, and shall not
         be <br />
         		<a id="pl.111.15"></a><var>111.15</var>disclosed except:<br />
         		<a id="pl.111.16"></a><var>111.16</var>&#160;&#160;&#160;&#160;(1) according to section 
         <statute_ref>13.05</statute_ref>;<br />
         		<a id="pl.111.17"></a><var>111.17</var>&#160;&#160;&#160;&#160;(2) according to court order;<br />
         		<a id="pl.111.18"></a><var>111.18</var>&#160;&#160;&#160;&#160;(3) according to a statute specifically authorizing access to the private data;<br />
         		<a id="pl.111.19"></a><var>111.19</var>&#160;&#160;&#160;&#160;(4) to an agent of the welfare system and an investigator acting on behalf of a county,
         <br />
         		<a id="pl.111.20"></a><var>111.20</var>the state, or the federal government, including a law enforcement person or attorney
         in the <br />
         		<a id="pl.111.21"></a><var>111.21</var>investigation or prosecution of a criminal, civil, or administrative proceeding relating
         to <br />
         		<a id="pl.111.22"></a><var>111.22</var>the administration of a program;<br />
         		<a id="pl.111.23"></a><var>111.23</var>&#160;&#160;&#160;&#160;(5) to personnel of the welfare system who require the data to verify an individual's
         <br />
         		<a id="pl.111.24"></a><var>111.24</var>identity; determine eligibility, amount of assistance, and the need to provide services
         <br />
         		<a id="pl.111.25"></a><var>111.25</var>to an individual or family across programs; coordinate services for an individual or <br />
         		<a id="pl.111.26"></a><var>111.26</var>family; evaluate the effectiveness of programs; assess parental contribution amounts; <br />
         		<a id="pl.111.27"></a><var>111.27</var>and investigate suspected fraud;<br />
         		<a id="pl.111.28"></a><var>111.28</var>&#160;&#160;&#160;&#160;(6) to administer federal funds or programs;<br />
         		<a id="pl.111.29"></a><var>111.29</var>&#160;&#160;&#160;&#160;(7) between personnel of the welfare system working in the same program;<br />
         		<a id="pl.111.30"></a><var>111.30</var>&#160;&#160;&#160;&#160;(8) to the Department of Revenue to assess parental contribution amounts for <br />
         		<a id="pl.111.31"></a><var>111.31</var>purposes of section 
         <statute_ref>252.27, subdivision 2a</statute_ref>, administer and evaluate tax refund or tax credit <br />
         		<a id="pl.111.32"></a><var>111.32</var>programs and to identify individuals who may benefit from these programs. The following
         <br />
         		<a id="pl.111.33"></a><var>111.33</var>information may be disclosed under this paragraph: an individual's and their dependent's
         <br />
         		<a id="pl.111.34"></a><var>111.34</var>names, dates of birth, Social Security numbers, income, addresses, and other data
         as <br />
         		<a id="pl.112.1"></a><var>112.1</var>required, upon request by the Department of Revenue. Disclosures by the commissioner
         <br />
         		<a id="pl.112.2"></a><var>112.2</var>of revenue to the commissioner of human services for the purposes described in this
         clause <br />
         		<a id="pl.112.3"></a><var>112.3</var>are governed by section 
         <statute_ref>270B.14, subdivision 1</statute_ref>. Tax refund or tax credit programs include, <br />
         		<a id="pl.112.4"></a><var>112.4</var>but are not limited to, the dependent care credit under section 
         <statute_ref>290.067</statute_ref>, the Minnesota <br />
         		<a id="pl.112.5"></a><var>112.5</var>working family credit under section 
         <statute_ref>290.0671</statute_ref>, the property tax refund and rental credit <br />
         		<a id="pl.112.6"></a><var>112.6</var>under section 
         <statute_ref>290A.04</statute_ref>, and the Minnesota education credit under section 
         <statute_ref>290.0674</statute_ref>;<br />
         		<a id="pl.112.7"></a><var>112.7</var>&#160;&#160;&#160;&#160;(9) between the Department of Human Services, the Department of Employment <br />
         		<a id="pl.112.8"></a><var>112.8</var>and Economic Development, and when applicable, the Department of Education, for <br />
         		<a id="pl.112.9"></a><var>112.9</var>the following purposes:<br />
         		<a id="pl.112.10"></a><var>112.10</var>&#160;&#160;&#160;&#160;(i) to monitor the eligibility of the data subject for unemployment benefits, for
         any <br />
         		<a id="pl.112.11"></a><var>112.11</var>employment or training program administered, supervised, or certified by that agency;<br />
         		<a id="pl.112.12"></a><var>112.12</var>&#160;&#160;&#160;&#160;(ii) to administer any rehabilitation program or child care assistance program, <br />
         		<a id="pl.112.13"></a><var>112.13</var>whether alone or in conjunction with the welfare system;<br />
         		<a id="pl.112.14"></a><var>112.14</var>&#160;&#160;&#160;&#160;(iii) to monitor and evaluate the Minnesota family investment program or the child
         <br />
         		<a id="pl.112.15"></a><var>112.15</var>care assistance program by exchanging data on recipients and former recipients of
         food <br />
         		<a id="pl.112.16"></a><var>112.16</var>support, cash assistance under chapter 256, 256D, 256J, or 256K, child care assistance
         <br />
         		<a id="pl.112.17"></a><var>112.17</var>under chapter 119B, or medical programs under chapter 256B, 256D, or 256L; and<br />
         		<a id="pl.112.18"></a><var>112.18</var>&#160;&#160;&#160;&#160;(iv) to analyze public assistance employment services and program utilization, <br />
         		<a id="pl.112.19"></a><var>112.19</var>cost, effectiveness, and outcomes as implemented under the authority established in
         Title <br />
         		<a id="pl.112.20"></a><var>112.20</var>II, Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of
         <br />
         		<a id="pl.112.21"></a><var>112.21</var>1999. Health records governed by sections 
         <statute_ref>144.291</statute_ref> to 144.298 and "protected health <br />
         		<a id="pl.112.22"></a><var>112.22</var>information" as defined in Code of Federal Regulations, title 45, section 160.103,
         and <br />
         		<a id="pl.112.23"></a><var>112.23</var>governed by Code of Federal Regulations, title 45, parts 160-164, including health
         care <br />
         		<a id="pl.112.24"></a><var>112.24</var>claims utilization information, must not be exchanged under this clause;<br />
         		<a id="pl.112.25"></a><var>112.25</var>&#160;&#160;&#160;&#160;(10) to appropriate parties in connection with an emergency if knowledge of <br />
         		<a id="pl.112.26"></a><var>112.26</var>the information is necessary to protect the health or safety of the individual or
         other <br />
         		<a id="pl.112.27"></a><var>112.27</var>individuals or persons;<br />
         		<a id="pl.112.28"></a><var>112.28</var>&#160;&#160;&#160;&#160;(11) data maintained by residential programs as defined in section 
         <statute_ref>245A.02</statute_ref> may <br />
         		<a id="pl.112.29"></a><var>112.29</var>be disclosed to the protection and advocacy system established in this state according
         <br />
         		<a id="pl.112.30"></a><var>112.30</var>to Part C of Public Law 98-527 to protect the legal and human rights of persons with
         <br />
         		<a id="pl.112.31"></a><var>112.31</var>developmental disabilities or other related conditions who live in residential facilities
         for <br />
         		<a id="pl.112.32"></a><var>112.32</var>these persons if the protection and advocacy system receives a complaint by or on
         behalf <br />
         		<a id="pl.112.33"></a><var>112.33</var>of that person and the person does not have a legal guardian or the state or a designee
         of <br />
         		<a id="pl.112.34"></a><var>112.34</var>the state is the legal guardian of the person;<br />
         		<a id="pl.112.35"></a><var>112.35</var>&#160;&#160;&#160;&#160;(12) to the county medical examiner or the county coroner for identifying or locating
         <br />
         		<a id="pl.112.36"></a><var>112.36</var>relatives or friends of a deceased person;<br />
         		<a id="pl.113.1"></a><var>113.1</var>&#160;&#160;&#160;&#160;(13) data on a child support obligor who makes payments to the public agency <br />
         		<a id="pl.113.2"></a><var>113.2</var>may be disclosed to the Minnesota Office of Higher Education to the extent necessary
         to <br />
         		<a id="pl.113.3"></a><var>113.3</var>determine eligibility under section 
         <statute_ref>136A.121, subdivision 2</statute_ref>, clause (5);<br />
         		<a id="pl.113.4"></a><var>113.4</var>&#160;&#160;&#160;&#160;(14) participant Social Security numbers and names collected by the telephone <br />
         		<a id="pl.113.5"></a><var>113.5</var>assistance program may be disclosed to the Department of Revenue to conduct an <br />
         		<a id="pl.113.6"></a><var>113.6</var>electronic data match with the property tax refund database to determine eligibility
         under <br />
         		<a id="pl.113.7"></a><var>113.7</var>section 
         <statute_ref>237.70, subdivision 4a</statute_ref>;<br />
         		<a id="pl.113.8"></a><var>113.8</var>&#160;&#160;&#160;&#160;(15) the current address of a Minnesota family investment program participant <br />
         		<a id="pl.113.9"></a><var>113.9</var>may be disclosed to law enforcement officers who provide the name of the participant
         <br />
         		<a id="pl.113.10"></a><var>113.10</var>and notify the agency that:<br />
         		<a id="pl.113.11"></a><var>113.11</var>&#160;&#160;&#160;&#160;(i) the participant:<br />
         		<a id="pl.113.12"></a><var>113.12</var>&#160;&#160;&#160;&#160;(A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
         <br />
         		<a id="pl.113.13"></a><var>113.13</var>conviction, for a crime or attempt to commit a crime that is a felony under the laws
         of the <br />
         		<a id="pl.113.14"></a><var>113.14</var>jurisdiction from which the individual is fleeing; or<br />
         		<a id="pl.113.15"></a><var>113.15</var>&#160;&#160;&#160;&#160;(B) is violating a condition of probation or parole imposed under state or federal
         law;<br />
         		<a id="pl.113.16"></a><var>113.16</var>&#160;&#160;&#160;&#160;(ii) the location or apprehension of the felon is within the law enforcement officer's
         <br />
         		<a id="pl.113.17"></a><var>113.17</var>official duties; and<br />
         		<a id="pl.113.18"></a><var>113.18</var>&#160;&#160;&#160;&#160;(iii) the request is made in writing and in the proper exercise of those duties;<br />
         		<a id="pl.113.19"></a><var>113.19</var>&#160;&#160;&#160;&#160;(16) the current address of a recipient of general assistance or general assistance
         <br />
         		<a id="pl.113.20"></a><var>113.20</var>medical care may be disclosed to probation officers and corrections agents who are
         <br />
         		<a id="pl.113.21"></a><var>113.21</var>supervising the recipient and to law enforcement officers who are investigating the
         <br />
         		<a id="pl.113.22"></a><var>113.22</var>recipient in connection with a felony level offense;<br />
         		<a id="pl.113.23"></a><var>113.23</var>&#160;&#160;&#160;&#160;(17) information obtained from food support applicant or recipient households may
         <br />
         		<a id="pl.113.24"></a><var>113.24</var>be disclosed to local, state, or federal law enforcement officials, upon their written
         request, <br />
         		<a id="pl.113.25"></a><var>113.25</var>for the purpose of investigating an alleged violation of the Food Stamp Act, according
         <br />
         		<a id="pl.113.26"></a><var>113.26</var>to Code of Federal Regulations, title 7, section 272.1(c);<br />
         		<a id="pl.113.27"></a><var>113.27</var>&#160;&#160;&#160;&#160;(18) the address, Social Security number, and, if available, photograph of any <br />
         		<a id="pl.113.28"></a><var>113.28</var>member of a household receiving food support shall be made available, on request,
         to a <br />
         		<a id="pl.113.29"></a><var>113.29</var>local, state, or federal law enforcement officer if the officer furnishes the agency
         with the <br />
         		<a id="pl.113.30"></a><var>113.30</var>name of the member and notifies the agency that:<br />
         		<a id="pl.113.31"></a><var>113.31</var>&#160;&#160;&#160;&#160;(i) the member:<br />
         		<a id="pl.113.32"></a><var>113.32</var>&#160;&#160;&#160;&#160;(A) is fleeing to avoid prosecution, or custody or confinement after conviction, for
         a <br />
         		<a id="pl.113.33"></a><var>113.33</var>crime or attempt to commit a crime that is a felony in the jurisdiction the member
         is fleeing;<br />
         		<a id="pl.113.34"></a><var>113.34</var>&#160;&#160;&#160;&#160;(B) is violating a condition of probation or parole imposed under state or federal
         <br />
         		<a id="pl.113.35"></a><var>113.35</var>law; or<br />
         		<a id="pl.114.1"></a><var>114.1</var>&#160;&#160;&#160;&#160;(C) has information that is necessary for the officer to conduct an official duty
         related <br />
         		<a id="pl.114.2"></a><var>114.2</var>to conduct described in subitem (A) or (B);<br />
         		<a id="pl.114.3"></a><var>114.3</var>&#160;&#160;&#160;&#160;(ii) locating or apprehending the member is within the officer's official duties;
         and<br />
         		<a id="pl.114.4"></a><var>114.4</var>&#160;&#160;&#160;&#160;(iii) the request is made in writing and in the proper exercise of the officer's official
         <br />
         		<a id="pl.114.5"></a><var>114.5</var>duty;<br />
         		<a id="pl.114.6"></a><var>114.6</var>&#160;&#160;&#160;&#160;(19) the current address of a recipient of Minnesota family investment program, <br />
         		<a id="pl.114.7"></a><var>114.7</var>general assistance, general assistance medical care, or food support may be disclosed
         to <br />
         		<a id="pl.114.8"></a><var>114.8</var>law enforcement officers who, in writing, provide the name of the recipient and notify
         the <br />
         		<a id="pl.114.9"></a><var>114.9</var>agency that the recipient is a person required to register under section 
         <statute_ref>243.166</statute_ref>, but is not <br />
         		<a id="pl.114.10"></a><var>114.10</var>residing at the address at which the recipient is registered under section 
         <statute_ref>243.166</statute_ref>;<br />
         		<a id="pl.114.11"></a><var>114.11</var>&#160;&#160;&#160;&#160;(20) certain information regarding child support obligors who are in arrears may be
         <br />
         		<a id="pl.114.12"></a><var>114.12</var>made public according to section 
         <statute_ref>518A.74</statute_ref>;<br />
         		<a id="pl.114.13"></a><var>114.13</var>&#160;&#160;&#160;&#160;(21) data on child support payments made by a child support obligor and data on <br />
         		<a id="pl.114.14"></a><var>114.14</var>the distribution of those payments excluding identifying information on obligees may
         be <br />
         		<a id="pl.114.15"></a><var>114.15</var>disclosed to all obligees to whom the obligor owes support, and data on the enforcement
         <br />
         		<a id="pl.114.16"></a><var>114.16</var>actions undertaken by the public authority, the status of those actions, and data
         on the <br />
         		<a id="pl.114.17"></a><var>114.17</var>income of the obligor or obligee may be disclosed to the other party;<br />
         		<a id="pl.114.18"></a><var>114.18</var>&#160;&#160;&#160;&#160;(22) data in the work reporting system may be disclosed under section 
         <statute_ref>256.998, <br />
            		<a id="pl.114.19"></a><var>114.19</var>subdivision 7
         </statute_ref>;<br />
         		<a id="pl.114.20"></a><var>114.20</var>&#160;&#160;&#160;&#160;(23) to the Department of Education for the purpose of matching Department of <br />
         		<a id="pl.114.21"></a><var>114.21</var>Education student data with public assistance data to determine students eligible
         for free <br />
         		<a id="pl.114.22"></a><var>114.22</var>and reduced-price meals, meal supplements, and free milk according to United States
         <br />
         		<a id="pl.114.23"></a><var>114.23</var>Code, title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal
         and <br />
         		<a id="pl.114.24"></a><var>114.24</var>state funds that are distributed based on income of the student's family; and to verify
         <br />
         		<a id="pl.114.25"></a><var>114.25</var>receipt of energy assistance for the telephone assistance plan;<br />
         		<a id="pl.114.26"></a><var>114.26</var>&#160;&#160;&#160;&#160;(24) the current address and telephone number of program recipients and emergency
         <br />
         		<a id="pl.114.27"></a><var>114.27</var>contacts may be released to the commissioner of health or a community health board
         as <br />
         		<a id="pl.114.28"></a><var>114.28</var>defined in section 
         <statute_ref>145A.02, subdivision 5</statute_ref>, when the commissioner or community health <br />
         		<a id="pl.114.29"></a><var>114.29</var>board has reason to believe that a program recipient is a disease case, carrier, suspect
         case, <br />
         		<a id="pl.114.30"></a><var>114.30</var>or at risk of illness, and the data are necessary to locate the person;<br />
         		<a id="pl.114.31"></a><var>114.31</var>&#160;&#160;&#160;&#160;(25) to other state agencies, statewide systems, and political subdivisions of this
         <br />
         		<a id="pl.114.32"></a><var>114.32</var>state, including the attorney general, and agencies of other states, interstate information
         <br />
         		<a id="pl.114.33"></a><var>114.33</var>networks, federal agencies, and other entities as required by federal regulation or
         law for <br />
         		<a id="pl.114.34"></a><var>114.34</var>the administration of the child support enforcement program;<br />
         		<a id="pl.115.1"></a><var>115.1</var>&#160;&#160;&#160;&#160;(26) to personnel of public assistance programs as defined in section 
         <statute_ref>256.741</statute_ref>, for <br />
         		<a id="pl.115.2"></a><var>115.2</var>access to the child support system database for the purpose of administration, including
         <br />
         		<a id="pl.115.3"></a><var>115.3</var>monitoring and evaluation of those public assistance programs;<br />
         		<a id="pl.115.4"></a><var>115.4</var>&#160;&#160;&#160;&#160;(27) to monitor and evaluate the Minnesota family investment program by <br />
         		<a id="pl.115.5"></a><var>115.5</var>exchanging data between the Departments of Human Services and Education, on <br />
         		<a id="pl.115.6"></a><var>115.6</var>recipients and former recipients of food support, cash assistance under chapter 256,
         256D, <br />
         		<a id="pl.115.7"></a><var>115.7</var>256J, or 256K, child care assistance under chapter 119B, or medical programs under
         <br />
         		<a id="pl.115.8"></a><var>115.8</var>chapter 256B, 256D, or 256L;<br />
         		<a id="pl.115.9"></a><var>115.9</var>&#160;&#160;&#160;&#160;(28) to evaluate child support program performance and to identify and prevent <br />
         		<a id="pl.115.10"></a><var>115.10</var>fraud in the child support program by exchanging data between the Department of Human
         <br />
         		<a id="pl.115.11"></a><var>115.11</var>Services, Department of Revenue under section 
         <statute_ref>270B.14, subdivision 1</statute_ref>, paragraphs (a) <br />
         		<a id="pl.115.12"></a><var>115.12</var>and (b), without regard to the limitation of use in paragraph (c), Department of Health,
         <br />
         		<a id="pl.115.13"></a><var>115.13</var>Department of Employment and Economic Development, and other state agencies as is
         <br />
         		<a id="pl.115.14"></a><var>115.14</var>reasonably necessary to perform these functions;<br />
         		<a id="pl.115.15"></a><var>115.15</var>&#160;&#160;&#160;&#160;(29) counties operating child care assistance programs under chapter 119B may <br />
         		<a id="pl.115.16"></a><var>115.16</var>disseminate data on program participants, applicants, and providers to the commissioner
         <br />
         		<a id="pl.115.17"></a><var>115.17</var>of education; or<br />
         		<a id="pl.115.18"></a><var>115.18</var>&#160;&#160;&#160;&#160;(30) child support data on the child, the parents, and relatives of the child may
         be <br />
         		<a id="pl.115.19"></a><var>115.19</var>disclosed to agencies administering programs under titles IV-B and IV-E of the Social
         <br />
         		<a id="pl.115.20"></a><var>115.20</var>Security Act, as authorized by federal law.; or<br />
         		<a id="pl.115.21"></a><var>115.21</var>(31) to a health care provider governed by sections 144.291 to 144.298, to the extent
         <br />
         		<a id="pl.115.22"></a><var>115.22</var>necessary to coordinate services.<br />
         		<a id="pl.115.23"></a><var>115.23</var>&#160;&#160;&#160;&#160;(b) Information on persons who have been treated for drug or alcohol abuse may <br />
         		<a id="pl.115.24"></a><var>115.24</var>only be disclosed according to the requirements of Code of Federal Regulations, title
         <br />
         		<a id="pl.115.25"></a><var>115.25</var>42, sections 2.1 to 2.67.<br />
         		<a id="pl.115.26"></a><var>115.26</var>&#160;&#160;&#160;&#160;(c) Data provided to law enforcement agencies under paragraph (a), clause (15), <br />
         		<a id="pl.115.27"></a><var>115.27</var>(16), (17), or (18), or paragraph (b), are investigative data and are confidential
         or protected <br />
         		<a id="pl.115.28"></a><var>115.28</var>nonpublic while the investigation is active. The data are private after the investigation
         <br />
         		<a id="pl.115.29"></a><var>115.29</var>becomes inactive under section 
         <statute_ref>13.82, subdivision 5</statute_ref>, paragraph (a) or (b).<br />
         		<a id="pl.115.30"></a><var>115.30</var>&#160;&#160;&#160;&#160;(d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but
         are <br />
         		<a id="pl.115.31"></a><var>115.31</var>not subject to the access provisions of subdivision 10, paragraph (b).<br />
         		<a id="pl.115.32"></a><var>115.32</var>&#160;&#160;&#160;&#160;For the purposes of this subdivision, a request will be deemed to be made in writing
         <br />
         		<a id="pl.115.33"></a><var>115.33</var>if made through a computer interface system.<br />
         		<br />
         		<a id="bill.2.2.0"></a><a id="pl.115.34"></a><var>115.34</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 13.46, subdivision 7, is amended to read:<br />
         		<a id="pl.116.1"></a><var>116.1</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Mental health data.</b> (a) Mental health data are private data on individuals <br />
         		<a id="pl.116.2"></a><var>116.2</var>and shall not be disclosed, except:<br />
         		<a id="pl.116.3"></a><var>116.3</var>(1) pursuant to section 
         <statute_ref>13.05</statute_ref>, as determined by the responsible authority for the <br />
         		<a id="pl.116.4"></a><var>116.4</var>community mental health center, mental health division, or provider;<br />
         		<a id="pl.116.5"></a><var>116.5</var>(2) pursuant to court order;<br />
         		<a id="pl.116.6"></a><var>116.6</var>(3) pursuant to a statute specifically authorizing access to or disclosure of mental
         <br />
         		<a id="pl.116.7"></a><var>116.7</var>health data or as otherwise provided by this subdivision; or<br />
         		<a id="pl.116.8"></a><var>116.8</var>(4) to personnel of the welfare system working in the same program or providing <br />
         		<a id="pl.116.9"></a><var>116.9</var>services to the same individual or family to the extent necessary to coordinate services,
         <br />
         		<a id="pl.116.10"></a><var>116.10</var>provided that a health record may be disclosed only as provided under section 144.293;
         <br />
         		<a id="pl.116.11"></a><var>116.11</var>(5) to a health care provider governed by sections 144.291 to 144.298, to the extent
         <br />
         		<a id="pl.116.12"></a><var>116.12</var>necessary to coordinate services; or<br />
         		<a id="pl.116.13"></a><var>116.13</var>(6) with the consent of the client or patient.<br />
         		<a id="pl.116.14"></a><var>116.14</var>(b) An agency of the welfare system may not require an individual to consent to the
         <br />
         		<a id="pl.116.15"></a><var>116.15</var>release of mental health data as a condition for receiving services or for reimbursing
         a <br />
         		<a id="pl.116.16"></a><var>116.16</var>community mental health center, mental health division of a county, or provider under
         <br />
         		<a id="pl.116.17"></a><var>116.17</var>contract to deliver mental health services.<br />
         		<a id="pl.116.18"></a><var>116.18</var>(c) Notwithstanding section 
         <statute_ref>245.69, subdivision 2</statute_ref>, paragraph (f), or any other law <br />
         		<a id="pl.116.19"></a><var>116.19</var>to the contrary, the responsible authority for a community mental health center, mental
         <br />
         		<a id="pl.116.20"></a><var>116.20</var>health division of a county, or a mental health provider must disclose mental health
         data to <br />
         		<a id="pl.116.21"></a><var>116.21</var>a law enforcement agency if the law enforcement agency provides the name of a client
         or <br />
         		<a id="pl.116.22"></a><var>116.22</var>patient and communicates that the:<br />
         		<a id="pl.116.23"></a><var>116.23</var>(1) client or patient is currently involved in an emergency interaction with the law
         <br />
         		<a id="pl.116.24"></a><var>116.24</var>enforcement agency; and<br />
         		<a id="pl.116.25"></a><var>116.25</var>(2) data is necessary to protect the health or safety of the client or patient or
         of <br />
         		<a id="pl.116.26"></a><var>116.26</var>another person.<br />
         		<a id="pl.116.27"></a><var>116.27</var>The scope of disclosure under this paragraph is limited to the minimum necessary for
         <br />
         		<a id="pl.116.28"></a><var>116.28</var>law enforcement to respond to the emergency. Disclosure under this paragraph may include,
         <br />
         		<a id="pl.116.29"></a><var>116.29</var>but is not limited to, the name and telephone number of the psychiatrist, psychologist,
         <br />
         		<a id="pl.116.30"></a><var>116.30</var>therapist, mental health professional, practitioner, or case manager of the client
         or patient. <br />
         		<a id="pl.116.31"></a><var>116.31</var>A law enforcement agency that obtains mental health data under this paragraph shall
         <br />
         		<a id="pl.116.32"></a><var>116.32</var>maintain a record of the requestor, the provider of the information, and the client
         or patient <br />
         		<a id="pl.116.33"></a><var>116.33</var>name. Mental health data obtained by a law enforcement agency under this paragraph
         <br />
         		<a id="pl.116.34"></a><var>116.34</var>are private data on individuals and must not be used by the law enforcement agency
         for <br />
         		<a id="pl.116.35"></a><var>116.35</var>any other purpose. A law enforcement agency that obtains mental health data under
         this <br />
         		<a id="pl.116.36"></a><var>116.36</var>paragraph shall inform the subject of the data that mental health data was obtained.<br />
         		<a id="pl.117.1"></a><var>117.1</var>(d) In the event of a request under paragraph (a), clause (4), a community mental
         <br />
         		<a id="pl.117.2"></a><var>117.2</var>health center, county mental health division, or provider must release mental health
         data to <br />
         		<a id="pl.117.3"></a><var>117.3</var>Criminal Mental Health Court personnel in advance of receiving a copy of a consent
         if the <br />
         		<a id="pl.117.4"></a><var>117.4</var>Criminal Mental Health Court personnel communicate that the:<br />
         		<a id="pl.117.5"></a><var>117.5</var>(1) client or patient is a defendant in a criminal case pending in the district court;<br />
         		<a id="pl.117.6"></a><var>117.6</var>(2) data being requested is limited to information that is necessary to assess whether
         <br />
         		<a id="pl.117.7"></a><var>117.7</var>the defendant is eligible for participation in the Criminal Mental Health Court; and<br />
         		<a id="pl.117.8"></a><var>117.8</var>(3) client or patient has consented to the release of the mental health data and a
         copy <br />
         		<a id="pl.117.9"></a><var>117.9</var>of the consent will be provided to the community mental health center, county mental
         <br />
         		<a id="pl.117.10"></a><var>117.10</var>health division, or provider within 72 hours of the release of the data.<br />
         		<a id="pl.117.11"></a><var>117.11</var>For purposes of this paragraph, "Criminal Mental Health Court" refers to a specialty
         <br />
         		<a id="pl.117.12"></a><var>117.12</var>criminal calendar of the Hennepin County District Court for defendants with mental
         illness <br />
         		<a id="pl.117.13"></a><var>117.13</var>and brain injury where a primary goal of the calendar is to assess the treatment needs
         of <br />
         		<a id="pl.117.14"></a><var>117.14</var>the defendants and to incorporate those treatment needs into voluntary case disposition
         <br />
         		<a id="pl.117.15"></a><var>117.15</var>plans. The data released pursuant to this paragraph may be used for the sole purpose
         of <br />
         		<a id="pl.117.16"></a><var>117.16</var>determining whether the person is eligible for participation in mental health court.
         This <br />
         		<a id="pl.117.17"></a><var>117.17</var>paragraph does not in any way limit or otherwise extend the rights of the court to
         obtain the <br />
         		<a id="pl.117.18"></a><var>117.18</var>release of mental health data pursuant to court order or any other means allowed by
         law.<br />
         		<br />
         		<a id="bill.2.3.0"></a><a id="pl.117.19"></a><var>117.19</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 62Q.55, subdivision 3, is amended to read:<br />
         		<a id="pl.117.20"></a><var>117.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Emergency services.</b> As used in this section, "emergency services" means, <br />
         		<a id="pl.117.21"></a><var>117.21</var>with respect to an emergency medical condition:<br />
         		<a id="pl.117.22"></a><var>117.22</var>(1) a medical screening examination, as required under section 1867 of the Social
         <br />
         		<a id="pl.117.23"></a><var>117.23</var>Security Act, that is within the capability of the emergency department of a hospital,
         <br />
         		<a id="pl.117.24"></a><var>117.24</var>including ancillary services routinely available to the emergency department to evaluate
         <br />
         		<a id="pl.117.25"></a><var>117.25</var>such emergency medical condition; and<br />
         		<a id="pl.117.26"></a><var>117.26</var>(2) within the capabilities of the staff and facilities available at the hospital,
         such <br />
         		<a id="pl.117.27"></a><var>117.27</var>further medical examination and treatment as are required under section 1867 of the
         Social <br />
         		<a id="pl.117.28"></a><var>117.28</var>Security Act to stabilize the patient; and<br />
         		<a id="pl.117.29"></a><var>117.29</var>(3) emergency services as defined in sections 245.462, subdivision 11, and 245.4871,
         <br />
         		<a id="pl.117.30"></a><var>117.30</var>subdivision 14.<br />
         		<br />
         		<a id="bill.2.4.0"></a><a id="pl.117.31"></a><var>117.31</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 144.293, subdivision 6, is amended to read:<br />
         		<a id="pl.117.32"></a><var>117.32</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Consent does not expire.</b> Notwithstanding subdivision 4, if a patient <br />
         		<a id="pl.117.33"></a><var>117.33</var>explicitly gives informed consent to the release of health records for the purposes
         and <br />
         		<a id="pl.118.1"></a><var>118.1</var>restrictions in clauses clause (1) and, (2), or (3), the consent does not expire after one <br />
         		<a id="pl.118.2"></a><var>118.2</var>year for:<br />
         		<a id="pl.118.3"></a><var>118.3</var>&#160;&#160;&#160;&#160;(1) the release of health records to a provider who is being advised or consulted
         with <br />
         		<a id="pl.118.4"></a><var>118.4</var>in connection with the releasing provider's current treatment of the patient;<br />
         		<a id="pl.118.5"></a><var>118.5</var>&#160;&#160;&#160;&#160;(2) the release of health records to an accident and health insurer, health service
         plan <br />
         		<a id="pl.118.6"></a><var>118.6</var>corporation, health maintenance organization, or third-party administrator for purposes
         of <br />
         		<a id="pl.118.7"></a><var>118.7</var>payment of claims, fraud investigation, or quality of care review and studies, provided
         that:<br />
         		<a id="pl.118.8"></a><var>118.8</var>&#160;&#160;&#160;&#160;(i) the use or release of the records complies with sections 
         <statute_ref>72A.49</statute_ref> to 
         <statute_ref>72A.505</statute_ref>;<br />
         		<a id="pl.118.9"></a><var>118.9</var>&#160;&#160;&#160;&#160;(ii) further use or release of the records in individually identifiable form to a
         person <br />
         		<a id="pl.118.10"></a><var>118.10</var>other than the patient without the patient's consent is prohibited; and<br />
         		<a id="pl.118.11"></a><var>118.11</var>&#160;&#160;&#160;&#160;(iii) the recipient establishes adequate safeguards to protect the records from <br />
         		<a id="pl.118.12"></a><var>118.12</var>unauthorized disclosure, including a procedure for removal or destruction of information
         <br />
         		<a id="pl.118.13"></a><var>118.13</var>that identifies the patient; or<br />
         		<a id="pl.118.14"></a><var>118.14</var>&#160;&#160;&#160;&#160;(3) the release of health records to a program in the welfare system, as defined in
         <br />
         		<a id="pl.118.15"></a><var>118.15</var>section 13.46, to the extent necessary to coordinate services for the patient.<br />
         		<br />
         		<a id="bill.2.5.0"></a><a id="pl.118.16"></a><var>118.16</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 144.551, subdivision 1, is amended to read:<br />
         		<a id="pl.118.17"></a><var>118.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Restricted construction or modification.</b> (a) The following <br />
         		<a id="pl.118.18"></a><var>118.18</var>construction or modification may not be commenced:<br />
         		<a id="pl.118.19"></a><var>118.19</var>(1) any erection, building, alteration, reconstruction, modernization, improvement,
         <br />
         		<a id="pl.118.20"></a><var>118.20</var>extension, lease, or other acquisition by or on behalf of a hospital that increases
         the bed <br />
         		<a id="pl.118.21"></a><var>118.21</var>capacity of a hospital, relocates hospital beds from one physical facility, complex,
         or site <br />
         		<a id="pl.118.22"></a><var>118.22</var>to another, or otherwise results in an increase or redistribution of hospital beds
         within <br />
         		<a id="pl.118.23"></a><var>118.23</var>the state; and<br />
         		<a id="pl.118.24"></a><var>118.24</var>(2) the establishment of a new hospital.<br />
         		<a id="pl.118.25"></a><var>118.25</var>(b) This section does not apply to:<br />
         		<a id="pl.118.26"></a><var>118.26</var>(1) construction or relocation within a county by a hospital, clinic, or other health
         <br />
         		<a id="pl.118.27"></a><var>118.27</var>care facility that is a national referral center engaged in substantial programs of
         patient <br />
         		<a id="pl.118.28"></a><var>118.28</var>care, medical research, and medical education meeting state and national needs that
         <br />
         		<a id="pl.118.29"></a><var>118.29</var>receives more than 40 percent of its patients from outside the state of Minnesota;<br />
         		<a id="pl.118.30"></a><var>118.30</var>(2) a project for construction or modification for which a health care facility held
         <br />
         		<a id="pl.118.31"></a><var>118.31</var>an approved certificate of need on May 1, 1984, regardless of the date of expiration
         of <br />
         		<a id="pl.118.32"></a><var>118.32</var>the certificate;<br />
         		<a id="pl.118.33"></a><var>118.33</var>(3) a project for which a certificate of need was denied before July 1, 1990, if a
         <br />
         		<a id="pl.118.34"></a><var>118.34</var>timely appeal results in an order reversing the denial;<br />
         		<a id="pl.119.1"></a><var>119.1</var>(4) a project exempted from certificate of need requirements by Laws 1981, chapter
         <br />
         		<a id="pl.119.2"></a><var>119.2</var>200, section 2;<br />
         		<a id="pl.119.3"></a><var>119.3</var>(5) a project involving consolidation of pediatric specialty hospital services within
         <br />
         		<a id="pl.119.4"></a><var>119.4</var>the Minneapolis-St. Paul metropolitan area that would not result in a net increase
         in the <br />
         		<a id="pl.119.5"></a><var>119.5</var>number of pediatric specialty hospital beds among the hospitals being consolidated;<br />
         		<a id="pl.119.6"></a><var>119.6</var>(6) a project involving the temporary relocation of pediatric-orthopedic hospital
         beds <br />
         		<a id="pl.119.7"></a><var>119.7</var>to an existing licensed hospital that will allow for the reconstruction of a new philanthropic,
         <br />
         		<a id="pl.119.8"></a><var>119.8</var>pediatric-orthopedic hospital on an existing site and that will not result in a net
         increase in <br />
         		<a id="pl.119.9"></a><var>119.9</var>the number of hospital beds. Upon completion of the reconstruction, the licenses of
         both <br />
         		<a id="pl.119.10"></a><var>119.10</var>hospitals must be reinstated at the capacity that existed on each site before the
         relocation;<br />
         		<a id="pl.119.11"></a><var>119.11</var>(7) the relocation or redistribution of hospital beds within a hospital building or
         <br />
         		<a id="pl.119.12"></a><var>119.12</var>identifiable complex of buildings provided the relocation or redistribution does not
         result <br />
         		<a id="pl.119.13"></a><var>119.13</var>in: (i) an increase in the overall bed capacity at that site; (ii) relocation of hospital
         beds <br />
         		<a id="pl.119.14"></a><var>119.14</var>from one physical site or complex to another; or (iii) redistribution of hospital
         beds within <br />
         		<a id="pl.119.15"></a><var>119.15</var>the state or a region of the state;<br />
         		<a id="pl.119.16"></a><var>119.16</var>(8) relocation or redistribution of hospital beds within a hospital corporate system
         <br />
         		<a id="pl.119.17"></a><var>119.17</var>that involves the transfer of beds from a closed facility site or complex to an existing
         site <br />
         		<a id="pl.119.18"></a><var>119.18</var>or complex provided that: (i) no more than 50 percent of the capacity of the closed
         facility <br />
         		<a id="pl.119.19"></a><var>119.19</var>is transferred; (ii) the capacity of the site or complex to which the beds are transferred
         <br />
         		<a id="pl.119.20"></a><var>119.20</var>does not increase by more than 50 percent; (iii) the beds are not transferred outside
         of a <br />
         		<a id="pl.119.21"></a><var>119.21</var>federal health systems agency boundary in place on July 1, 1983; and (iv) the relocation
         or <br />
         		<a id="pl.119.22"></a><var>119.22</var>redistribution does not involve the construction of a new hospital building;<br />
         		<a id="pl.119.23"></a><var>119.23</var>(9) a construction project involving up to 35 new beds in a psychiatric hospital in
         <br />
         		<a id="pl.119.24"></a><var>119.24</var>Rice County that primarily serves adolescents and that receives more than 70 percent
         of its <br />
         		<a id="pl.119.25"></a><var>119.25</var>patients from outside the state of Minnesota;<br />
         		<a id="pl.119.26"></a><var>119.26</var>(10) a project to replace a hospital or hospitals with a combined licensed capacity
         <br />
         		<a id="pl.119.27"></a><var>119.27</var>of 130 beds or less if: (i) the new hospital site is located within five miles of
         the current <br />
         		<a id="pl.119.28"></a><var>119.28</var>site; and (ii) the total licensed capacity of the replacement hospital, either at
         the time of <br />
         		<a id="pl.119.29"></a><var>119.29</var>construction of the initial building or as the result of future expansion, will not
         exceed 70 <br />
         		<a id="pl.119.30"></a><var>119.30</var>licensed hospital beds, or the combined licensed capacity of the hospitals, whichever
         is less;<br />
         		<a id="pl.119.31"></a><var>119.31</var>(11) the relocation of licensed hospital beds from an existing state facility operated
         <br />
         		<a id="pl.119.32"></a><var>119.32</var>by the commissioner of human services to a new or existing facility, building, or
         complex <br />
         		<a id="pl.119.33"></a><var>119.33</var>operated by the commissioner of human services; from one regional treatment center
         <br />
         		<a id="pl.119.34"></a><var>119.34</var>site to another; or from one building or site to a new or existing building or site
         on the <br />
         		<a id="pl.119.35"></a><var>119.35</var>same campus;<br />
         		<a id="pl.120.1"></a><var>120.1</var>(12) the construction or relocation of hospital beds operated by a hospital having
         a <br />
         		<a id="pl.120.2"></a><var>120.2</var>statutory obligation to provide hospital and medical services for the indigent that
         does not <br />
         		<a id="pl.120.3"></a><var>120.3</var>result in a net increase in the number of hospital beds, notwithstanding section 
         <statute_ref>144.552</statute_ref>, 27 <br />
         		<a id="pl.120.4"></a><var>120.4</var>beds, of which 12 serve mental health needs, may be transferred from Hennepin County
         <br />
         		<a id="pl.120.5"></a><var>120.5</var>Medical Center to Regions Hospital under this clause;<br />
         		<a id="pl.120.6"></a><var>120.6</var>(13) a construction project involving the addition of up to 31 new beds in an existing
         <br />
         		<a id="pl.120.7"></a><var>120.7</var>nonfederal hospital in Beltrami County;<br />
         		<a id="pl.120.8"></a><var>120.8</var>(14) a construction project involving the addition of up to eight new beds in an <br />
         		<a id="pl.120.9"></a><var>120.9</var>existing nonfederal hospital in Otter Tail County with 100 licensed acute care beds;<br />
         		<a id="pl.120.10"></a><var>120.10</var>(15) a construction project involving the addition of 20 new hospital beds <br />
         		<a id="pl.120.11"></a><var>120.11</var>used for rehabilitation services in an existing hospital in Carver County serving
         the <br />
         		<a id="pl.120.12"></a><var>120.12</var>southwest suburban metropolitan area. Beds constructed under this clause shall not
         be <br />
         		<a id="pl.120.13"></a><var>120.13</var>eligible for reimbursement under medical assistance, general assistance medical care,
         <br />
         		<a id="pl.120.14"></a><var>120.14</var>or MinnesotaCare;<br />
         		<a id="pl.120.15"></a><var>120.15</var>(16) a project for the construction or relocation of up to 20 hospital beds for the
         <br />
         		<a id="pl.120.16"></a><var>120.16</var>operation of up to two psychiatric facilities or units for children provided that
         the operation <br />
         		<a id="pl.120.17"></a><var>120.17</var>of the facilities or units have received the approval of the commissioner of human
         services;<br />
         		<a id="pl.120.18"></a><var>120.18</var>(17) a project involving the addition of 14 new hospital beds to be used for <br />
         		<a id="pl.120.19"></a><var>120.19</var>rehabilitation services in an existing hospital in Itasca County;<br />
         		<a id="pl.120.20"></a><var>120.20</var>(18) a project to add 20 licensed beds in existing space at a hospital in Hennepin
         <br />
         		<a id="pl.120.21"></a><var>120.21</var>County that closed 20 rehabilitation beds in 2002, provided that the beds are used
         only <br />
         		<a id="pl.120.22"></a><var>120.22</var>for rehabilitation in the hospital's current rehabilitation building. If the beds
         are used for <br />
         		<a id="pl.120.23"></a><var>120.23</var>another purpose or moved to another location, the hospital's licensed capacity is
         reduced <br />
         		<a id="pl.120.24"></a><var>120.24</var>by 20 beds;<br />
         		<a id="pl.120.25"></a><var>120.25</var>(19) a critical access hospital established under section 
         <statute_ref>144.1483</statute_ref>, clause (9), and <br />
         		<a id="pl.120.26"></a><var>120.26</var>section 1820 of the federal Social Security Act, United States Code, title 42, section
         <br />
         		<a id="pl.120.27"></a><var>120.27</var>1395i-4, that delicensed beds since enactment of the Balanced Budget Act of 1997,
         Public <br />
         		<a id="pl.120.28"></a><var>120.28</var>Law 105-33, to the extent that the critical access hospital does not seek to exceed
         the <br />
         		<a id="pl.120.29"></a><var>120.29</var>maximum number of beds permitted such hospital under federal law;<br />
         		<a id="pl.120.30"></a><var>120.30</var>(20) notwithstanding section 
         <statute_ref>144.552</statute_ref>, a project for the construction of a new hospital <br />
         		<a id="pl.120.31"></a><var>120.31</var>in the city of Maple Grove with a licensed capacity of up to 300 beds provided that:<br />
         		<a id="pl.120.32"></a><var>120.32</var>(i) the project, including each hospital or health system that will own or control
         the <br />
         		<a id="pl.120.33"></a><var>120.33</var>entity that will hold the new hospital license, is approved by a resolution of the
         Maple <br />
         		<a id="pl.120.34"></a><var>120.34</var>Grove City Council as of March 1, 2006;<br />
         		<a id="pl.120.35"></a><var>120.35</var>(ii) the entity that will hold the new hospital license will be owned or controlled
         by <br />
         		<a id="pl.120.36"></a><var>120.36</var>one or more not-for-profit hospitals or health systems that have previously submitted
         a <br />
         		<a id="pl.121.1"></a><var>121.1</var>plan or plans for a project in Maple Grove as required under section 
         <statute_ref>144.552</statute_ref>, and the <br />
         		<a id="pl.121.2"></a><var>121.2</var>plan or plans have been found to be in the public interest by the commissioner of
         health <br />
         		<a id="pl.121.3"></a><var>121.3</var>as of April 1, 2005;<br />
         		<a id="pl.121.4"></a><var>121.4</var>(iii) the new hospital's initial inpatient services must include, but are not limited
         <br />
         		<a id="pl.121.5"></a><var>121.5</var>to, medical and surgical services, obstetrical and gynecological services, intensive
         <br />
         		<a id="pl.121.6"></a><var>121.6</var>care services, orthopedic services, pediatric services, noninvasive cardiac diagnostics,
         <br />
         		<a id="pl.121.7"></a><var>121.7</var>behavioral health services, and emergency room services;<br />
         		<a id="pl.121.8"></a><var>121.8</var>(iv) the new hospital:<br />
         		<a id="pl.121.9"></a><var>121.9</var>(A) will have the ability to provide and staff sufficient new beds to meet the growing
         <br />
         		<a id="pl.121.10"></a><var>121.10</var>needs of the Maple Grove service area and the surrounding communities currently being
         <br />
         		<a id="pl.121.11"></a><var>121.11</var>served by the hospital or health system that will own or control the entity that will
         hold <br />
         		<a id="pl.121.12"></a><var>121.12</var>the new hospital license;<br />
         		<a id="pl.121.13"></a><var>121.13</var>(B) will provide uncompensated care;<br />
         		<a id="pl.121.14"></a><var>121.14</var>(C) will provide mental health services, including inpatient beds;<br />
         		<a id="pl.121.15"></a><var>121.15</var>(D) will be a site for workforce development for a broad spectrum of <br />
         		<a id="pl.121.16"></a><var>121.16</var>health-care-related occupations and have a commitment to providing clinical training
         <br />
         		<a id="pl.121.17"></a><var>121.17</var>programs for physicians and other health care providers;<br />
         		<a id="pl.121.18"></a><var>121.18</var>(E) will demonstrate a commitment to quality care and patient safety;<br />
         		<a id="pl.121.19"></a><var>121.19</var>(F) will have an electronic medical records system, including physician order entry;<br />
         		<a id="pl.121.20"></a><var>121.20</var>(G) will provide a broad range of senior services;<br />
         		<a id="pl.121.21"></a><var>121.21</var>(H) will provide emergency medical services that will coordinate care with regional
         <br />
         		<a id="pl.121.22"></a><var>121.22</var>providers of trauma services and licensed emergency ambulance services in order to
         <br />
         		<a id="pl.121.23"></a><var>121.23</var>enhance the continuity of care for emergency medical patients; and<br />
         		<a id="pl.121.24"></a><var>121.24</var>(I) will be completed by December 31, 2009, unless delayed by circumstances <br />
         		<a id="pl.121.25"></a><var>121.25</var>beyond the control of the entity holding the new hospital license; and<br />
         		<a id="pl.121.26"></a><var>121.26</var>(v) as of 30 days following submission of a written plan, the commissioner of health
         <br />
         		<a id="pl.121.27"></a><var>121.27</var>has not determined that the hospitals or health systems that will own or control the
         entity <br />
         		<a id="pl.121.28"></a><var>121.28</var>that will hold the new hospital license are unable to meet the criteria of this clause;<br />
         		<a id="pl.121.29"></a><var>121.29</var>(21) a project approved under section 
         <statute_ref>144.553</statute_ref>;<br />
         		<a id="pl.121.30"></a><var>121.30</var>(22) a project for the construction of a hospital with up to 25 beds in Cass County
         <br />
         		<a id="pl.121.31"></a><var>121.31</var>within a 20-mile radius of the state Ah-Gwah-Ching facility, provided the hospital's
         <br />
         		<a id="pl.121.32"></a><var>121.32</var>license holder is approved by the Cass County Board;<br />
         		<a id="pl.121.33"></a><var>121.33</var>(23) a project for an acute care hospital in Fergus Falls that will increase the bed
         <br />
         		<a id="pl.121.34"></a><var>121.34</var>capacity from 108 to 110 beds by increasing the rehabilitation bed capacity from 14
         to 16 <br />
         		<a id="pl.121.35"></a><var>121.35</var>and closing a separately licensed 13-bed skilled nursing facility;<br />
         		<a id="pl.122.1"></a><var>122.1</var>(24) notwithstanding section 
         <statute_ref>144.552</statute_ref>, a project for the construction and expansion <br />
         		<a id="pl.122.2"></a><var>122.2</var>of a specialty psychiatric hospital in Hennepin County for up to 50 beds, exclusively
         for <br />
         		<a id="pl.122.3"></a><var>122.3</var>patients who are under 21 years of age on the date of admission. The commissioner
         <br />
         		<a id="pl.122.4"></a><var>122.4</var>conducted a public interest review of the mental health needs of Minnesota and the
         Twin <br />
         		<a id="pl.122.5"></a><var>122.5</var>Cities metropolitan area in 2008. No further public interest review shall be conducted
         for <br />
         		<a id="pl.122.6"></a><var>122.6</var>the construction or expansion project under this clause; or<br />
         		<a id="pl.122.7"></a><var>122.7</var>(25) a project for a 16-bed psychiatric hospital in the city of Thief River Falls,
         if <br />
         		<a id="pl.122.8"></a><var>122.8</var>the commissioner finds the project is in the public interest after the public interest
         review <br />
         		<a id="pl.122.9"></a><var>122.9</var>conducted under section 
         <statute_ref>144.552</statute_ref> is complete; or<br />
         		<a id="pl.122.10"></a><var>122.10</var>(26)(i) a project for a 20-bed psychiatric hospital, within an existing facility in
         the <br />
         		<a id="pl.122.11"></a><var>122.11</var>city of Maple Grove, exclusively for patients who are under 21 years of age on the
         date of <br />
         		<a id="pl.122.12"></a><var>122.12</var>admission, if the commissioner finds the project is in the public interest after the
         public <br />
         		<a id="pl.122.13"></a><var>122.13</var>interest review conducted under section 144.552 is complete;<br />
         		<a id="pl.122.14"></a><var>122.14</var>(ii) this project shall serve patients in the continuing care benefit program under
         <br />
         		<a id="pl.122.15"></a><var>122.15</var>section 256.9693. The project may also serve patients not in the continuing care benefit
         <br />
         		<a id="pl.122.16"></a><var>122.16</var>program; and<br />
         		<a id="pl.122.17"></a><var>122.17</var>(iii) if the project ceases to participate in the continuing care benefit program,
         the <br />
         		<a id="pl.122.18"></a><var>122.18</var>commissioner must complete a subsequent public interest review under section 144.552.
         <br />
         		<a id="pl.122.19"></a><var>122.19</var>If the project is found not to be in the public interest, the license must be terminated
         six <br />
         		<a id="pl.122.20"></a><var>122.20</var>months from the date of that finding. If the commissioner of human services terminates
         the <br />
         		<a id="pl.122.21"></a><var>122.21</var>contract without cause or reduces per diem payment rates for patients under the continuing
         <br />
         		<a id="pl.122.22"></a><var>122.22</var>care benefit program below the rates in effect for services provided on December 31,
         2015, <br />
         		<a id="pl.122.23"></a><var>122.23</var>the project may cease to participate in the continuing care benefit program and continue
         to <br />
         		<a id="pl.122.24"></a><var>122.24</var>operate without a subsequent public interest review.<br />
         		<br />
         		<a id="bill.2.6.0"></a><a id="pl.122.25"></a><var>122.25</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 145.56, subdivision 2, is amended to read:<br />
         		<a id="pl.122.26"></a><var>122.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Community-based programs.</b> To the extent funds are appropriated for the <br />
         		<a id="pl.122.27"></a><var>122.27</var>purposes of this subdivision, the commissioner shall establish a grant program to
         fund:<br />
         		<a id="pl.122.28"></a><var>122.28</var>(1) community-based programs to provide education, outreach, and advocacy <br />
         		<a id="pl.122.29"></a><var>122.29</var>services to populations who may be at risk for suicide;<br />
         		<a id="pl.122.30"></a><var>122.30</var>(2) community-based programs that educate community helpers and gatekeepers, <br />
         		<a id="pl.122.31"></a><var>122.31</var>such as family members, spiritual leaders, coaches, and business owners, employers,
         and <br />
         		<a id="pl.122.32"></a><var>122.32</var>coworkers on how to prevent suicide by encouraging help-seeking behaviors;<br />
         		<a id="pl.122.33"></a><var>122.33</var>(3) community-based programs that educate populations at risk for suicide and <br />
         		<a id="pl.122.34"></a><var>122.34</var>community helpers and gatekeepers that must include information on the symptoms <br />
         		<a id="pl.122.35"></a><var>122.35</var>of depression and other psychiatric illnesses, the warning signs of suicide, skills
         for <br />
         		<a id="pl.123.1"></a><var>123.1</var>preventing suicides, and making or seeking effective referrals to intervention and
         <br />
         		<a id="pl.123.2"></a><var>123.2</var>community resources; and<br />
         		<a id="pl.123.3"></a><var>123.3</var>(4) community-based programs to provide evidence-based suicide prevention and <br />
         		<a id="pl.123.4"></a><var>123.4</var>intervention education to school staff, parents, and students in grades kindergarten
         through <br />
         		<a id="pl.123.5"></a><var>123.5</var>12, and for students attending Minnesota colleges and universities;<br />
         		<a id="pl.123.6"></a><var>123.6</var>(5) community-based programs to provide evidence-based suicide prevention and <br />
         		<a id="pl.123.7"></a><var>123.7</var>intervention to public school nurses, teachers, administrators, coaches, school social
         <br />
         		<a id="pl.123.8"></a><var>123.8</var>workers, peace officers, firefighters, emergency medical technicians, advanced emergency
         <br />
         		<a id="pl.123.9"></a><var>123.9</var>medical technicians, paramedics, primary care providers, and others; and<br />
         		<a id="pl.123.10"></a><var>123.10</var>(6) community-based, evidence-based postvention training to mental health <br />
         		<a id="pl.123.11"></a><var>123.11</var>professionals and practitioners in order to provide technical assistance to communities
         <br />
         		<a id="pl.123.12"></a><var>123.12</var>after a suicide and to prevent suicide clusters and contagion.<br />
         		<br />
         		<a id="bill.2.7.0"></a><a id="pl.123.13"></a><var>123.13</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 145.56, subdivision 4, is amended to read:<br />
         		<a id="pl.123.14"></a><var>123.14</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Collection and reporting suicide data.</b> (a) The commissioner shall <br />
         		<a id="pl.123.15"></a><var>123.15</var>coordinate with federal, regional, local, and other state agencies to collect, analyze,
         and <br />
         		<a id="pl.123.16"></a><var>123.16</var>annually issue a public report on Minnesota-specific data on suicide and suicidal
         behaviors.<br />
         		<a id="pl.123.17"></a><var>123.17</var>(b) The commissioner, in consultation with stakeholders, shall submit a detailed <br />
         		<a id="pl.123.18"></a><var>123.18</var>plan identifying proposed methods to improve the timeliness, usefulness, and quality
         of <br />
         		<a id="pl.123.19"></a><var>123.19</var>suicide-related data so that the data can help identify the scope of the suicide problem,
         <br />
         		<a id="pl.123.20"></a><var>123.20</var>identify high-risk groups, set priority prevention activities, and monitor the effects
         of <br />
         		<a id="pl.123.21"></a><var>123.21</var>suicide prevention programs. The report shall include how to improve external cause
         <br />
         		<a id="pl.123.22"></a><var>123.22</var>of injury coding, progress on implementing the Minnesota Violent Death Reporting <br />
         		<a id="pl.123.23"></a><var>123.23</var>System, how to obtain and release data in a timely manner, and how to support the
         use of <br />
         		<a id="pl.123.24"></a><var>123.24</var>psychological autopsies.<br />
         		<a id="pl.123.25"></a><var>123.25</var>(c) The written report must be provided to the chairs and ranking minority members
         <br />
         		<a id="pl.123.26"></a><var>123.26</var>of the house of representatives and senate finance and policy divisions and committees
         <br />
         		<a id="pl.123.27"></a><var>123.27</var>with jurisdiction over health and human services by February 1, 2016.<br />
         		<br />
         		<a id="bill.2.8.0"></a><a id="pl.123.28"></a><var>123.28</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 245.4661, subdivision 5, is amended to read:<br />
         		<a id="pl.123.29"></a><var>123.29</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Planning for pilot projects.</b> (a) Each local plan for a pilot project, with <br />
         		<a id="pl.123.30"></a><var>123.30</var>the exception of the placement of a Minnesota specialty treatment facility as defined
         in <br />
         		<a id="pl.123.31"></a><var>123.31</var>paragraph (c), must be developed under the direction of the county board, or multiple
         <br />
         		<a id="pl.123.32"></a><var>123.32</var>county boards acting jointly, as the local mental health authority. The planning process
         <br />
         		<a id="pl.123.33"></a><var>123.33</var>for each pilot shall include, but not be limited to, mental health consumers, families,
         <br />
         		<a id="pl.123.34"></a><var>123.34</var>advocates, local mental health advisory councils, local and state providers, representatives
         <br />
         		<a id="pl.124.1"></a><var>124.1</var>of state and local public employee bargaining units, and the department of human services.
         <br />
         		<a id="pl.124.2"></a><var>124.2</var>As part of the planning process, the county board or boards shall designate a managing
         <br />
         		<a id="pl.124.3"></a><var>124.3</var>entity responsible for receipt of funds and management of the pilot project.<br />
         		<a id="pl.124.4"></a><var>124.4</var>&#160;&#160;&#160;&#160;(b) For Minnesota specialty treatment facilities, the commissioner shall issue a <br />
         		<a id="pl.124.5"></a><var>124.5</var>request for proposal for regions in which a need has been identified for services.<br />
         		<a id="pl.124.6"></a><var>124.6</var>&#160;&#160;&#160;&#160;(c) For purposes of this section, "Minnesota specialty treatment facility" is defined
         <br />
         		<a id="pl.124.7"></a><var>124.7</var>as an intensive rehabilitative mental health residential treatment service under section <br />
         		
         <statute_ref><a id="pl.124.8"></a><var>124.8</var>256B.0622, subdivision 
         </statute_ref>2, paragraph (b).<br />
         		<br />
         		<a id="bill.2.9.0"></a><a id="pl.124.9"></a><var>124.9</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 245.4661, subdivision 6, is amended to read:<br />
         		<a id="pl.124.10"></a><var>124.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Duties of commissioner.</b> (a) For purposes of the pilot projects, the <br />
         		<a id="pl.124.11"></a><var>124.11</var>commissioner shall facilitate integration of funds or other resources as needed and
         <br />
         		<a id="pl.124.12"></a><var>124.12</var>requested by each project. These resources may include:<br />
         		<a id="pl.124.13"></a><var>124.13</var>(1) community support services funds administered under Minnesota Rules, parts <br />
         		<a id="pl.124.14"></a><var>124.14</var>9535.1700 to 9535.1760;<br />
         		<a id="pl.124.15"></a><var>124.15</var>(2) other mental health special project funds;<br />
         		<a id="pl.124.16"></a><var>124.16</var>(3) medical assistance, general assistance medical care, MinnesotaCare and group <br />
         		<a id="pl.124.17"></a><var>124.17</var>residential housing if requested by the project's managing entity, and if the commissioner
         <br />
         		<a id="pl.124.18"></a><var>124.18</var>determines this would be consistent with the state's overall health care reform efforts; and<br />
         		<a id="pl.124.19"></a><var>124.19</var>(4) regional treatment center resources consistent with section 
         <statute_ref>246.0136, subdivision <br />
            		<a id="pl.124.20"></a><var>124.20</var>1
         </statute_ref>; and.<br />
         		<a id="pl.124.21"></a><var>124.21</var>(5) funds transferred from section 
         <statute_ref>246.18, subdivision 8</statute_ref>, for grants to providers to <br />
         		<a id="pl.124.22"></a><var>124.22</var>participate in mental health specialty treatment services, awarded to providers through
         <br />
         		<a id="pl.124.23"></a><var>124.23</var>a request for proposal process.<br />
         		<a id="pl.124.24"></a><var>124.24</var>(b) The commissioner shall consider the following criteria in awarding start-up and
         <br />
         		<a id="pl.124.25"></a><var>124.25</var>implementation grants for the pilot projects:<br />
         		<a id="pl.124.26"></a><var>124.26</var>(1) the ability of the proposed projects to accomplish the objectives described in
         <br />
         		<a id="pl.124.27"></a><var>124.27</var>subdivision 2;<br />
         		<a id="pl.124.28"></a><var>124.28</var>(2) the size of the target population to be served; and<br />
         		<a id="pl.124.29"></a><var>124.29</var>(3) geographical distribution.<br />
         		<a id="pl.124.30"></a><var>124.30</var>(c) The commissioner shall review overall status of the projects initiatives at least
         <br />
         		<a id="pl.124.31"></a><var>124.31</var>every two years and recommend any legislative changes needed by January 15 of each
         <br />
         		<a id="pl.124.32"></a><var>124.32</var>odd-numbered year.<br />
         		<a id="pl.124.33"></a><var>124.33</var>(d) The commissioner may waive administrative rule requirements which are <br />
         		<a id="pl.124.34"></a><var>124.34</var>incompatible with the implementation of the pilot project.<br />
         		<a id="pl.125.1"></a><var>125.1</var>(e) The commissioner may exempt the participating counties from fiscal sanctions <br />
         		<a id="pl.125.2"></a><var>125.2</var>for noncompliance with requirements in laws and rules which are incompatible with
         the <br />
         		<a id="pl.125.3"></a><var>125.3</var>implementation of the pilot project.<br />
         		<a id="pl.125.4"></a><var>125.4</var>(f) The commissioner may award grants to an entity designated by a county board or
         <br />
         		<a id="pl.125.5"></a><var>125.5</var>group of county boards to pay for start-up and implementation costs of the pilot project.<br />
         		<br />
         		<a id="bill.2.10.0"></a><a id="pl.125.6"></a><var>125.6</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 245.4661, is amended by adding a <br />
         		<a id="pl.125.7"></a><var>125.7</var>subdivision to read:<br />
         		<a id="pl.125.8"></a><var>125.8</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Services and programs.</b> (a) The following three distinct grant programs <br />
         		<a id="pl.125.9"></a><var>125.9</var>are funded under this section:<br />
         		<a id="pl.125.10"></a><var>125.10</var>(1) mental health crisis services;<br />
         		<a id="pl.125.11"></a><var>125.11</var>(2) housing with supports for adults with serious mental illness; and<br />
         		<a id="pl.125.12"></a><var>125.12</var>(3) projects for assistance in transitioning from homelessness (PATH program).<br />
         		<a id="pl.125.13"></a><var>125.13</var>(b) In addition, the following are eligible for grant funds:<br />
         		<a id="pl.125.14"></a><var>125.14</var>(1) community education and prevention;<br />
         		<a id="pl.125.15"></a><var>125.15</var>(2) client outreach;<br />
         		<a id="pl.125.16"></a><var>125.16</var>(3) early identification and intervention;<br />
         		<a id="pl.125.17"></a><var>125.17</var>(4) adult outpatient diagnostic assessment and psychological testing;<br />
         		<a id="pl.125.18"></a><var>125.18</var>(5) peer support services;<br />
         		<a id="pl.125.19"></a><var>125.19</var>(6) community support program services (CSP);<br />
         		<a id="pl.125.20"></a><var>125.20</var>(7) adult residential crisis stabilization;<br />
         		<a id="pl.125.21"></a><var>125.21</var>(8) supported employment;<br />
         		<a id="pl.125.22"></a><var>125.22</var>(9) assertive community treatment (ACT);<br />
         		<a id="pl.125.23"></a><var>125.23</var>(10) housing subsidies;<br />
         		<a id="pl.125.24"></a><var>125.24</var>(11) basic living, social skills, and community intervention;<br />
         		<a id="pl.125.25"></a><var>125.25</var>(12) emergency response services;<br />
         		<a id="pl.125.26"></a><var>125.26</var>(13) adult outpatient psychotherapy;<br />
         		<a id="pl.125.27"></a><var>125.27</var>(14) adult outpatient medication management;<br />
         		<a id="pl.125.28"></a><var>125.28</var>(15) adult mobile crisis services;<br />
         		<a id="pl.125.29"></a><var>125.29</var>(16) adult day treatment;<br />
         		<a id="pl.125.30"></a><var>125.30</var>(17) partial hospitalization;<br />
         		<a id="pl.125.31"></a><var>125.31</var>(18) adult residential treatment;<br />
         		<a id="pl.125.32"></a><var>125.32</var>(19) adult mental health targeted case management;<br />
         		<a id="pl.125.33"></a><var>125.33</var>(20) intensive community residential services (IRCS); and<br />
         		<a id="pl.125.34"></a><var>125.34</var>(21) transportation.<br />
         		<br />
         		<a id="bill.2.11.0"></a><a id="pl.126.1"></a><var>126.1</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 245.4661, is amended by adding a <br />
         		<a id="pl.126.2"></a><var>126.2</var>subdivision to read:<br />
         		<a id="pl.126.3"></a><var>126.3</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Commissioner duty to report on use of grant funds biennially.</b> By <br />
         		<a id="pl.126.4"></a><var>126.4</var>November 1, 2016, and biennially thereafter, the commissioner of human services shall
         <br />
         		<a id="pl.126.5"></a><var>126.5</var>provide sufficient information to the members of the legislative committees having
         <br />
         		<a id="pl.126.6"></a><var>126.6</var>jurisdiction over mental health funding and policy issues to evaluate the use of funds
         <br />
         		<a id="pl.126.7"></a><var>126.7</var>appropriated under this section of law. The commissioner shall provide, at a minimum,
         <br />
         		<a id="pl.126.8"></a><var>126.8</var>the following information:<br />
         		<a id="pl.126.9"></a><var>126.9</var>&#160;&#160;&#160;&#160;(1) the amount of funding to mental health initiatives, what programs and services
         <br />
         		<a id="pl.126.10"></a><var>126.10</var>were funded in the previous two years, gaps in services that each initiative brought
         to <br />
         		<a id="pl.126.11"></a><var>126.11</var>the attention of the commissioner, and outcome data for the programs and services
         that <br />
         		<a id="pl.126.12"></a><var>126.12</var>were funded; and<br />
         		<a id="pl.126.13"></a><var>126.13</var>&#160;&#160;&#160;&#160;(2) the amount of funding for other targeted services and the location of services.<br />
         		<br />
         		<a id="bill.2.12.0"></a><a id="pl.126.14"></a><var>126.14</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 245.467, subdivision 6, is amended to read:<br />
         		<a id="pl.126.15"></a><var>126.15</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Restricted access to data.</b> The county board shall establish procedures <br />
         		<a id="pl.126.16"></a><var>126.16</var>to ensure that the names and addresses of persons receiving mental health services
         are <br />
         		<a id="pl.126.17"></a><var>126.17</var>disclosed only to:<br />
         		<a id="pl.126.18"></a><var>126.18</var>(1) county employees who are specifically responsible for determining county of <br />
         		<a id="pl.126.19"></a><var>126.19</var>financial responsibility or making payments to providers; and<br />
         		<a id="pl.126.20"></a><var>126.20</var>(2) staff who provide treatment services or case management and their clinical <br />
         		<a id="pl.126.21"></a><var>126.21</var>supervisors.; and<br />
         		<a id="pl.126.22"></a><var>126.22</var>(3) personnel of the welfare system or health care providers who have access to the
         <br />
         		<a id="pl.126.23"></a><var>126.23</var>data under section 13.46, subdivision 7.<br />
         		<a id="pl.126.24"></a><var>126.24</var>Release of mental health data on individuals submitted under subdivisions 4 and 5,
         <br />
         		<a id="pl.126.25"></a><var>126.25</var>to persons other than those specified in this subdivision, or use of this data for
         purposes <br />
         		<a id="pl.126.26"></a><var>126.26</var>other than those stated in subdivisions 4 and 5, results in civil or criminal liability
         under <br />
         		<a id="pl.126.27"></a><var>126.27</var>the standards in section 
         <statute_ref>13.08</statute_ref> or 
         <statute_ref>13.09</statute_ref>.<br />
         		<br />
         		<a id="bill.2.13.0"></a><a id="pl.126.28"></a><var>126.28</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 245.4876, subdivision 7, is amended to read:<br />
         		<a id="pl.126.29"></a><var>126.29</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Restricted access to data.</b> The county board shall establish procedures <br />
         		<a id="pl.126.30"></a><var>126.30</var>to ensure that the names and addresses of children receiving mental health services
         and <br />
         		<a id="pl.126.31"></a><var>126.31</var>their families are disclosed only to:<br />
         		<a id="pl.126.32"></a><var>126.32</var>(1) county employees who are specifically responsible for determining county of <br />
         		<a id="pl.126.33"></a><var>126.33</var>financial responsibility or making payments to providers; and<br />
         		<a id="pl.127.1"></a><var>127.1</var>(2) staff who provide treatment services or case management and their clinical <br />
         		<a id="pl.127.2"></a><var>127.2</var>supervisors.; and<br />
         		<a id="pl.127.3"></a><var>127.3</var>(3) personnel of the welfare system or health care providers who have access to the
         <br />
         		<a id="pl.127.4"></a><var>127.4</var>data under section 13.46, subdivision 7.<br />
         		<a id="pl.127.5"></a><var>127.5</var>Release of mental health data on individuals submitted under subdivisions 5 and 6,
         <br />
         		<a id="pl.127.6"></a><var>127.6</var>to persons other than those specified in this subdivision, or use of this data for
         purposes <br />
         		<a id="pl.127.7"></a><var>127.7</var>other than those stated in subdivisions 5 and 6, results in civil or criminal liability
         under <br />
         		<a id="pl.127.8"></a><var>127.8</var>section 
         <statute_ref>13.08</statute_ref> or 
         <statute_ref>13.09</statute_ref>.<br />
         		<br />
         		<a id="bill.2.14.0"></a><a id="pl.127.9"></a><var>127.9</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 245.4889, subdivision 1, is amended to read:<br />
         		<a id="pl.127.10"></a><var>127.10</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment and authority.</b> (a) The commissioner is authorized <br />
         		<a id="pl.127.11"></a><var>127.11</var>to make grants from available appropriations to assist:<br />
         		<a id="pl.127.12"></a><var>127.12</var>&#160;&#160;&#160;&#160;(1) counties;<br />
         		<a id="pl.127.13"></a><var>127.13</var>&#160;&#160;&#160;&#160;(2) Indian tribes;<br />
         		<a id="pl.127.14"></a><var>127.14</var>&#160;&#160;&#160;&#160;(3) children's collaboratives under section 
         <statute_ref>124D.23</statute_ref> or 
         <statute_ref>245.493</statute_ref>; or<br />
         		<a id="pl.127.15"></a><var>127.15</var>&#160;&#160;&#160;&#160;(4) mental health service providers<br />
         		<a id="pl.127.16"></a><var>127.16</var>for providing services to children with emotional disturbances as defined in section
         <br />
         		<a id="pl.127.17"></a><var>127.17</var><statute_ref>245.4871, subdivision 15</statute_ref>, and their families. The commissioner may also authorize <br />
         		<a id="pl.127.18"></a><var>127.18</var>grants to young adults meeting the criteria for transition services in section 
         <statute_ref>245.4875</statute_ref>, <br />
         		<a id="pl.127.19"></a><var>127.19</var>subdivision 8, and their families.<br />
         		<a id="pl.127.20"></a><var>127.20</var>&#160;&#160;&#160;&#160;(b) The following services are eligible for grants under this section:<br />
         		<a id="pl.127.21"></a><var>127.21</var>&#160;&#160;&#160;&#160;(1) services to children with emotional disturbances as defined in section 245.4871,
         <br />
         		<a id="pl.127.22"></a><var>127.22</var>subdivision 15, and their families;<br />
         		<a id="pl.127.23"></a><var>127.23</var>&#160;&#160;&#160;&#160;(2) transition services under section 245.4875, subdivision 8, for young adults under
         <br />
         		<a id="pl.127.24"></a><var>127.24</var>age 21 and their families;<br />
         		<a id="pl.127.25"></a><var>127.25</var>&#160;&#160;&#160;&#160;(3) respite care services for children with severe emotional disturbances who are
         at <br />
         		<a id="pl.127.26"></a><var>127.26</var>risk of out-of-home placement;<br />
         		<a id="pl.127.27"></a><var>127.27</var>&#160;&#160;&#160;&#160;(4) children's mental health crisis services;<br />
         		<a id="pl.127.28"></a><var>127.28</var>&#160;&#160;&#160;&#160;(5) mental health services for people from cultural and ethnic minorities; <br />
         		<a id="pl.127.29"></a><var>127.29</var>&#160;&#160;&#160;&#160;(6) children's mental health screening and follow-up diagnostic assessment and <br />
         		<a id="pl.127.30"></a><var>127.30</var>treatment;<br />
         		<a id="pl.127.31"></a><var>127.31</var>&#160;&#160;&#160;&#160;(7) services to promote and develop the capacity of providers to use evidence-based
         <br />
         		<a id="pl.127.32"></a><var>127.32</var>practices in providing children's mental health services;<br />
         		<a id="pl.127.33"></a><var>127.33</var>&#160;&#160;&#160;&#160;(8) school-linked mental health services;<br />
         		<a id="pl.127.34"></a><var>127.34</var>&#160;&#160;&#160;&#160;(9) building evidence-based mental health intervention capacity for children birth
         to <br />
         		<a id="pl.127.35"></a><var>127.35</var>age five; <br />
         		<a id="pl.128.1"></a><var>128.1</var>&#160;&#160;&#160;&#160;(10) suicide prevention and counseling services that use text messaging statewide;<br />
         		<a id="pl.128.2"></a><var>128.2</var>&#160;&#160;&#160;&#160;(11) mental health first aid training;<br />
         		<a id="pl.128.3"></a><var>128.3</var>&#160;&#160;&#160;&#160;(12) training for parents, collaborative partners, and mental health providers on
         the <br />
         		<a id="pl.128.4"></a><var>128.4</var>impact of adverse childhood experiences and trauma and development of an interactive
         <br />
         		<a id="pl.128.5"></a><var>128.5</var>Web site to share information and strategies to promote resilience and prevent trauma;<br />
         		<a id="pl.128.6"></a><var>128.6</var>&#160;&#160;&#160;&#160;(13) transition age services to develop or expand mental health treatment and <br />
         		<a id="pl.128.7"></a><var>128.7</var>supports for adolescents and young adults 26 years of age or younger;<br />
         		<a id="pl.128.8"></a><var>128.8</var>&#160;&#160;&#160;&#160;(14) early childhood mental health consultation;<br />
         		<a id="pl.128.9"></a><var>128.9</var>&#160;&#160;&#160;&#160;(15) evidence-based interventions for youth at risk of developing or experiencing
         a <br />
         		<a id="pl.128.10"></a><var>128.10</var>first episode of psychosis, and a public awareness campaign on the signs and symptoms
         of <br />
         		<a id="pl.128.11"></a><var>128.11</var>psychosis; and<br />
         		<a id="pl.128.12"></a><var>128.12</var>&#160;&#160;&#160;&#160;(16) psychiatric consultation for primary care practitioners.<br />
         		<a id="pl.128.13"></a><var>128.13</var>&#160;&#160;&#160;&#160;(c) Services under paragraph (a) (b) must be designed to help each child to function <br />
         		<a id="pl.128.14"></a><var>128.14</var>and remain with the child's family in the community and delivered consistent with
         the <br />
         		<a id="pl.128.15"></a><var>128.15</var>child's treatment plan. Transition services to eligible young adults under paragraph
         (a) (b)  <br />
         		<a id="pl.128.16"></a><var>128.16</var>must be designed to foster independent living in the community.<br />
         		<br />
         		<a id="bill.2.15.0"></a><a id="pl.128.17"></a><var>128.17</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 245.4889, is amended by adding a <br />
         		<a id="pl.128.18"></a><var>128.18</var>subdivision to read:<br />
         		<a id="pl.128.19"></a><var>128.19</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Commissioner duty to report on use of grant funds biennially.</b> By <br />
         		<a id="pl.128.20"></a><var>128.20</var>November 1, 2016, and biennially thereafter, the commissioner of human services shall
         <br />
         		<a id="pl.128.21"></a><var>128.21</var>provide sufficient information to the members of the legislative committees having
         <br />
         		<a id="pl.128.22"></a><var>128.22</var>jurisdiction over mental health funding and policy issues to evaluate the use of funds
         <br />
         		<a id="pl.128.23"></a><var>128.23</var>appropriated under this section. The commissioner shall provide, at a minimum, the
         <br />
         		<a id="pl.128.24"></a><var>128.24</var>following information:<br />
         		<a id="pl.128.25"></a><var>128.25</var>&#160;&#160;&#160;&#160;(1) the amount of funding for children's mental health grants, what programs and <br />
         		<a id="pl.128.26"></a><var>128.26</var>services were funded in the previous two years, and outcome data for the programs
         and <br />
         		<a id="pl.128.27"></a><var>128.27</var>services that were funded; and<br />
         		<a id="pl.128.28"></a><var>128.28</var>&#160;&#160;&#160;&#160;(2) the amount of funding for other targeted services and the location of services.<br />
         		<br />
         		<a id="bill.2.16.0"></a><a id="pl.128.29"></a><var>128.29</var>&#160;&#160;&#160;&#160;Sec. 16. <b>[245.735] EXCELLENCE IN MENTAL HEALTH DEMONSTRATION </b><br />
         		<a id="pl.128.30"></a><var>128.30</var><b>PROJECT.</b><br />
         		<a id="pl.128.31"></a><var>128.31</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Excellence in Mental Health demonstration project.</b> The <br />
         		<a id="pl.128.32"></a><var>128.32</var>commissioner shall develop and execute projects to reform the mental health system
         by <br />
         		<a id="pl.128.33"></a><var>128.33</var>participating in the Excellence in Mental Health demonstration project.<br />
         		<a id="pl.129.1"></a><var>129.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Federal proposal.</b> The commissioner shall develop and submit to the <br />
         		<a id="pl.129.2"></a><var>129.2</var>United States Department of Health and Human Services a proposal for the Excellence
         <br />
         		<a id="pl.129.3"></a><var>129.3</var>in Mental Health demonstration project. The proposal shall include any necessary state
         <br />
         		<a id="pl.129.4"></a><var>129.4</var>plan amendments, waivers, requests for new funding, realignment of existing funding,
         and <br />
         		<a id="pl.129.5"></a><var>129.5</var>other authority necessary to implement the projects specified in subdivision 3.<br />
         		<a id="pl.129.6"></a><var>129.6</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Reform projects.</b> (a) The commissioner shall establish standards for state <br />
         		<a id="pl.129.7"></a><var>129.7</var>certification of clinics as certified community behavioral health clinics, in accordance
         with <br />
         		<a id="pl.129.8"></a><var>129.8</var>the criteria published on or before September 1, 2015, by the United States Department
         <br />
         		<a id="pl.129.9"></a><var>129.9</var>of Health and Human Services. Certification standards established by the commissioner
         <br />
         		<a id="pl.129.10"></a><var>129.10</var>shall require that:<br />
         		<a id="pl.129.11"></a><var>129.11</var>(1) clinic staff have backgrounds in diverse disciplines, include licensed mental
         <br />
         		<a id="pl.129.12"></a><var>129.12</var>health professionals, and are culturally and linguistically trained to serve the needs
         of the <br />
         		<a id="pl.129.13"></a><var>129.13</var>clinic's patient population;<br />
         		<a id="pl.129.14"></a><var>129.14</var>(2) clinic services are available and accessible and that crisis management services
         <br />
         		<a id="pl.129.15"></a><var>129.15</var>are available 24 hours per day;<br />
         		<a id="pl.129.16"></a><var>129.16</var>(3) fees for clinic services are established using a sliding fee scale and services
         to <br />
         		<a id="pl.129.17"></a><var>129.17</var>patients are not denied or limited due to a patient's inability to pay for services;<br />
         		<a id="pl.129.18"></a><var>129.18</var>(4) clinics provide coordination of care across settings and providers to ensure <br />
         		<a id="pl.129.19"></a><var>129.19</var>seamless transitions for patients across the full spectrum of health services, including
         <br />
         		<a id="pl.129.20"></a><var>129.20</var>acute, chronic, and behavioral needs. Care coordination may be accomplished through
         <br />
         		<a id="pl.129.21"></a><var>129.21</var>partnerships or formal contracts with federally qualified health centers, inpatient
         <br />
         		<a id="pl.129.22"></a><var>129.22</var>psychiatric facilities, substance use and detoxification facilities, community-based
         mental <br />
         		<a id="pl.129.23"></a><var>129.23</var>health providers, and other community services, supports, and providers including
         <br />
         		<a id="pl.129.24"></a><var>129.24</var>schools, child welfare agencies, juvenile and criminal justice agencies, Indian Health
         <br />
         		<a id="pl.129.25"></a><var>129.25</var>Services clinics, tribally licensed health care and mental health facilities, urban
         Indian <br />
         		<a id="pl.129.26"></a><var>129.26</var>health clinics, Department of Veterans Affairs medical centers, outpatient clinics,
         drop-in <br />
         		<a id="pl.129.27"></a><var>129.27</var>centers, acute care hospitals, and hospital outpatient clinics;<br />
         		<a id="pl.129.28"></a><var>129.28</var>(5) services provided by clinics include crisis mental health services, emergency
         <br />
         		<a id="pl.129.29"></a><var>129.29</var>crisis intervention services, and stabilization services; screening, assessment, and
         diagnosis <br />
         		<a id="pl.129.30"></a><var>129.30</var>services, including risk assessments and level of care determinations; patient-centered
         <br />
         		<a id="pl.129.31"></a><var>129.31</var>treatment planning; outpatient mental health and substance use services; targeted
         case <br />
         		<a id="pl.129.32"></a><var>129.32</var>management; psychiatric rehabilitation services; peer support and counselor services
         and <br />
         		<a id="pl.129.33"></a><var>129.33</var>family support services; and intensive community-based mental health services, including
         <br />
         		<a id="pl.129.34"></a><var>129.34</var>mental health services for members of the armed forces and veterans; and<br />
         		<a id="pl.130.1"></a><var>130.1</var>(6) clinics comply with quality assurance reporting requirements and other reporting
         <br />
         		<a id="pl.130.2"></a><var>130.2</var>requirements, including any required reporting of encounter data, clinical outcomes
         data, <br />
         		<a id="pl.130.3"></a><var>130.3</var>and quality data.<br />
         		<a id="pl.130.4"></a><var>130.4</var>(b) The commissioner shall establish standards and methodologies for a prospective
         <br />
         		<a id="pl.130.5"></a><var>130.5</var>payment system for medical assistance payments for mental health services delivered
         by <br />
         		<a id="pl.130.6"></a><var>130.6</var>certified community behavioral health clinics, in accordance with guidance issued
         on or <br />
         		<a id="pl.130.7"></a><var>130.7</var>before September 1, 2015, by the Centers for Medicare and Medicaid Services. During
         the <br />
         		<a id="pl.130.8"></a><var>130.8</var>operation of the demonstration project, payments shall comply with federal requirements
         <br />
         		<a id="pl.130.9"></a><var>130.9</var>for a 90 percent enhanced federal medical assistance percentage.<br />
         		<a id="pl.130.10"></a><var>130.10</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Public participation.</b> In developing the projects under subdivision 3, the <br />
         		<a id="pl.130.11"></a><var>130.11</var>commissioner shall consult with mental health providers, advocacy organizations, licensed
         <br />
         		<a id="pl.130.12"></a><var>130.12</var>mental health professionals, and Minnesota public health care program enrollees who
         <br />
         		<a id="pl.130.13"></a><var>130.13</var>receive mental health services and their families.<br />
         		<a id="pl.130.14"></a><var>130.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Information systems support.</b> The commissioner and the state chief <br />
         		<a id="pl.130.15"></a><var>130.15</var>information officer shall provide information systems support to the projects as necessary
         <br />
         		<a id="pl.130.16"></a><var>130.16</var>to comply with federal requirements.<br />
         		<br />
         		<a id="bill.2.17.0"></a><a id="pl.130.17"></a><var>130.17</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 246.18, subdivision 8, is amended to read:<br />
         		<a id="pl.130.18"></a><var>130.18</var>&#160;&#160;&#160;&#160;Subd. 8. <b>State-operated services account.</b> (a) The state-operated services account is <br />
         		<a id="pl.130.19"></a><var>130.19</var>established in the special revenue fund. Revenue generated by new state-operated services
         <br />
         		<a id="pl.130.20"></a><var>130.20</var>listed under this section established after July 1, 2010, that are not enterprise
         activities must <br />
         		<a id="pl.130.21"></a><var>130.21</var>be deposited into the state-operated services account, unless otherwise specified
         in law:<br />
         		<a id="pl.130.22"></a><var>130.22</var>(1) intensive residential treatment services;<br />
         		<a id="pl.130.23"></a><var>130.23</var>(2) foster care services; and<br />
         		<a id="pl.130.24"></a><var>130.24</var>(3) psychiatric extensive recovery treatment services.<br />
         		<a id="pl.130.25"></a><var>130.25</var>(b) Funds deposited in the state-operated services account are available  appropriated <br />
         		<a id="pl.130.26"></a><var>130.26</var>to the commissioner of human services for the purposes of:<br />
         		<a id="pl.130.27"></a><var>130.27</var>(1) providing services needed to transition individuals from institutional settings
         <br />
         		<a id="pl.130.28"></a><var>130.28</var>within state-operated services to the community when those services have no other
         <br />
         		<a id="pl.130.29"></a><var>130.29</var>adequate funding source; and<br />
         		<a id="pl.130.30"></a><var>130.30</var>(2) grants to providers participating in mental health specialty treatment services <br />
         		<a id="pl.130.31"></a><var>130.31</var>under section 
         <statute_ref>245.4661</statute_ref>; and<br />
         		<a id="pl.130.32"></a><var>130.32</var>(3) to fund the operation of the intensive residential treatment service program in <br />
         		<a id="pl.130.33"></a><var>130.33</var>Willmar.<br />
         		<br />
         		<a id="bill.2.18.0"></a><a id="pl.130.34"></a><var>130.34</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 253B.18, subdivision 4c, is amended to read:<br />
         		<a id="pl.131.1"></a><var>131.1</var>&#160;&#160;&#160;&#160;Subd. 4c. <b>Special review board.</b> (a) The commissioner shall establish one or more <br />
         		<a id="pl.131.2"></a><var>131.2</var>panels of a special review board. The board shall consist of three members experienced
         <br />
         		<a id="pl.131.3"></a><var>131.3</var>in the field of mental illness. One member of each special review board panel shall
         be a <br />
         		<a id="pl.131.4"></a><var>131.4</var>psychiatrist or a doctoral level psychologist with forensic experience and one member
         <br />
         		<a id="pl.131.5"></a><var>131.5</var>shall be an attorney. No member shall be affiliated with the Department of Human <br />
         		<a id="pl.131.6"></a><var>131.6</var>Services. The special review board shall meet at least every six months and at the
         call of <br />
         		<a id="pl.131.7"></a><var>131.7</var>the commissioner. It shall hear and consider all petitions for a reduction in custody
         or to <br />
         		<a id="pl.131.8"></a><var>131.8</var>appeal a revocation of provisional discharge. A "reduction in custody" means transfer
         <br />
         		<a id="pl.131.9"></a><var>131.9</var>from a secure treatment facility, discharge, and provisional discharge. Patients may
         be <br />
         		<a id="pl.131.10"></a><var>131.10</var>transferred by the commissioner between secure treatment facilities without a special
         <br />
         		<a id="pl.131.11"></a><var>131.11</var>review board hearing. <br />
         		<a id="pl.131.12"></a><var>131.12</var>&#160;&#160;&#160;&#160;Members of the special review board shall receive compensation and reimbursement <br />
         		<a id="pl.131.13"></a><var>131.13</var>for expenses as established by the commissioner.<br />
         		<a id="pl.131.14"></a><var>131.14</var>&#160;&#160;&#160;&#160;(b) The special review board must review each denied petition under subdivision <br />
         		<a id="pl.131.15"></a><var>131.15</var>5 for barriers and obstacles preventing the patient from progressing in treatment.
         Based <br />
         		<a id="pl.131.16"></a><var>131.16</var>on the cases before the board in the previous year, the special review board shall
         provide <br />
         		<a id="pl.131.17"></a><var>131.17</var>to the commissioner an annual summation of the barriers to treatment progress, and
         <br />
         		<a id="pl.131.18"></a><var>131.18</var>recommendations to achieve the common goal of making progress in treatment.<br />
         		<a id="pl.131.19"></a><var>131.19</var>&#160;&#160;&#160;&#160;(c) A petition filed by a person committed as mentally ill and dangerous to the <br />
         		<a id="pl.131.20"></a><var>131.20</var>public under this section must be heard as provided in subdivision 5 and, as applicable,
         <br />
         		<a id="pl.131.21"></a><var>131.21</var>subdivision 13. A petition filed by a person committed as a sexual psychopathic personality
         <br />
         		<a id="pl.131.22"></a><var>131.22</var>or as a sexually dangerous person under chapter 253D, or committed as both mentally ill <br />
         		<a id="pl.131.23"></a><var>131.23</var>and dangerous to the public under this section and as a sexual psychopathic personality
         or <br />
         		<a id="pl.131.24"></a><var>131.24</var>as a sexually dangerous person must be heard as provided in section 
         <statute_ref>253D.27</statute_ref>.<br />
         		<a id="pl.131.25"></a><var>131.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.2.19.0"></a><a id="pl.131.26"></a><var>131.26</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 253B.18, subdivision 5, is amended to read:<br />
         		<a id="pl.131.27"></a><var>131.27</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Petition; notice of hearing; attendance; order.</b> (a) A petition for <br />
         		<a id="pl.131.28"></a><var>131.28</var>a reduction in custody or revocation of provisional discharge shall be filed with
         the <br />
         		<a id="pl.131.29"></a><var>131.29</var>commissioner and may be filed by the patient or by the head of the treatment facility.
         A <br />
         		<a id="pl.131.30"></a><var>131.30</var>patient may not petition the special review board for six months following commitment
         <br />
         		<a id="pl.131.31"></a><var>131.31</var>under subdivision 3 or following the final disposition of any previous petition and
         <br />
         		<a id="pl.131.32"></a><var>131.32</var>subsequent appeal by the patient.  The head of the treatment facility must schedule a <br />
         		<a id="pl.131.33"></a><var>131.33</var>hearing before the special review board for any patient who has not appeared before
         the <br />
         		<a id="pl.131.34"></a><var>131.34</var>special review board in the previous three years, and schedule a hearing at least
         every <br />
         		<a id="pl.131.35"></a><var>131.35</var>three years thereafter. The medical director may petition at any time.<br />
         		<a id="pl.132.1"></a><var>132.1</var>&#160;&#160;&#160;&#160;(b) Fourteen days prior to the hearing, the committing court, the county attorney
         of <br />
         		<a id="pl.132.2"></a><var>132.2</var>the county of commitment, the designated agency, interested person, the petitioner,
         and <br />
         		<a id="pl.132.3"></a><var>132.3</var>the petitioner's counsel shall be given written notice by the commissioner of the
         time and <br />
         		<a id="pl.132.4"></a><var>132.4</var>place of the hearing before the special review board. Only those entitled to statutory
         notice <br />
         		<a id="pl.132.5"></a><var>132.5</var>of the hearing or those administratively required to attend may be present at the
         hearing. <br />
         		<a id="pl.132.6"></a><var>132.6</var>The patient may designate interested persons to receive notice by providing the names
         <br />
         		<a id="pl.132.7"></a><var>132.7</var>and addresses to the commissioner at least 21 days before the hearing. The board shall
         <br />
         		<a id="pl.132.8"></a><var>132.8</var>provide the commissioner with written findings of fact and recommendations within
         21 <br />
         		<a id="pl.132.9"></a><var>132.9</var>days of the hearing. The commissioner shall issue an order no later than 14 days after
         <br />
         		<a id="pl.132.10"></a><var>132.10</var>receiving the recommendation of the special review board. A copy of the order shall
         be <br />
         		<a id="pl.132.11"></a><var>132.11</var>mailed to every person entitled to statutory notice of the hearing within five days
         after it <br />
         		<a id="pl.132.12"></a><var>132.12</var>is signed. No order by the commissioner shall be effective sooner than 30 days after
         the <br />
         		<a id="pl.132.13"></a><var>132.13</var>order is signed, unless the county attorney, the patient, and the commissioner agree
         that <br />
         		<a id="pl.132.14"></a><var>132.14</var>it may become effective sooner.<br />
         		<a id="pl.132.15"></a><var>132.15</var>&#160;&#160;&#160;&#160;(c) The special review board shall hold a hearing on each petition prior to making
         <br />
         		<a id="pl.132.16"></a><var>132.16</var>its recommendation to the commissioner. The special review board proceedings are not
         <br />
         		<a id="pl.132.17"></a><var>132.17</var>contested cases as defined in chapter 14. Any person or agency receiving notice that
         <br />
         		<a id="pl.132.18"></a><var>132.18</var>submits documentary evidence to the special review board prior to the hearing shall
         also <br />
         		<a id="pl.132.19"></a><var>132.19</var>provide copies to the patient, the patient's counsel, the county attorney of the county
         of <br />
         		<a id="pl.132.20"></a><var>132.20</var>commitment, the case manager, and the commissioner.<br />
         		<a id="pl.132.21"></a><var>132.21</var>&#160;&#160;&#160;&#160;(d) Prior to the final decision by the commissioner, the special review board may
         be <br />
         		<a id="pl.132.22"></a><var>132.22</var>reconvened to consider events or circumstances that occurred subsequent to the hearing.<br />
         		<a id="pl.132.23"></a><var>132.23</var>&#160;&#160;&#160;&#160;(e) In making their recommendations and order, the special review board and <br />
         		<a id="pl.132.24"></a><var>132.24</var>commissioner must consider any statements received from victims under subdivision
         5a.<br />
         		<a id="pl.132.25"></a><var>132.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016, with hearings <br />
         		<a id="pl.132.26"></a><var>132.26</var>starting no later than February 1, 2016.<br />
         		<br />
         		<a id="bill.2.20.0"></a><a id="pl.132.27"></a><var>132.27</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 254B.05, subdivision 5, as amended by <br />
         		<a id="pl.132.28"></a><var>132.28</var>Laws 2015, chapter 21, article 1, section 52, is amended to read:<br />
         		<a id="pl.132.29"></a><var>132.29</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Rate requirements.</b> (a) The commissioner shall establish rates for <br />
         		<a id="pl.132.30"></a><var>132.30</var>chemical dependency services and service enhancements funded under this chapter.<br />
         		<a id="pl.132.31"></a><var>132.31</var>(b) Eligible chemical dependency treatment services include:<br />
         		<a id="pl.132.32"></a><var>132.32</var>(1) outpatient treatment services that are licensed according to Minnesota Rules,
         <br />
         		<a id="pl.132.33"></a><var>132.33</var>parts 9530.6405 to 9530.6480, or applicable tribal license;<br />
         		<a id="pl.132.34"></a><var>132.34</var>(2) medication-assisted therapy services that are licensed according to Minnesota
         <br />
         		<a id="pl.132.35"></a><var>132.35</var>Rules, parts 9530.6405 to 9530.6480 and 9530.6500, or applicable tribal license;<br />
         		<a id="pl.133.1"></a><var>133.1</var>(3) medication-assisted therapy plus enhanced treatment services that meet the <br />
         		<a id="pl.133.2"></a><var>133.2</var>requirements of clause (2) and provide nine hours of clinical services each week;<br />
         		<a id="pl.133.3"></a><var>133.3</var>(4) high, medium, and low intensity residential treatment services that are licensed
         <br />
         		<a id="pl.133.4"></a><var>133.4</var>according to Minnesota Rules, parts 9530.6405 to 9530.6480 and 9530.6505, or applicable
         <br />
         		<a id="pl.133.5"></a><var>133.5</var>tribal license which provide, respectively, 30, 15, and five hours of clinical services
         each <br />
         		<a id="pl.133.6"></a><var>133.6</var>week;<br />
         		<a id="pl.133.7"></a><var>133.7</var>(5) hospital-based treatment services that are licensed according to Minnesota Rules,
         <br />
         		<a id="pl.133.8"></a><var>133.8</var>parts 9530.6405 to 9530.6480, or applicable tribal license and licensed as a hospital
         under <br />
         		<a id="pl.133.9"></a><var>133.9</var>sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref>;<br />
         		<a id="pl.133.10"></a><var>133.10</var>(6) adolescent treatment programs that are licensed as outpatient treatment programs
         <br />
         		<a id="pl.133.11"></a><var>133.11</var>according to Minnesota Rules, parts 9530.6405 to 9530.6485, or as residential treatment
         <br />
         		<a id="pl.133.12"></a><var>133.12</var>programs according to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430
         to <br />
         		<a id="pl.133.13"></a><var>133.13</var>2960.0490, or applicable tribal license; and<br />
         		<a id="pl.133.14"></a><var>133.14</var>(7) high-intensity residential treatment services that are licensed according to <br />
         		<a id="pl.133.15"></a><var>133.15</var>Minnesota Rules, parts 9530.6405 to 9530.6480 and 9530.6505, or applicable tribal
         <br />
         		<a id="pl.133.16"></a><var>133.16</var>license, which provide 30 hours of clinical services each week provided by a state-operated
         <br />
         		<a id="pl.133.17"></a><var>133.17</var>vendor or to clients who have been civilly committed to the commissioner, present
         the <br />
         		<a id="pl.133.18"></a><var>133.18</var>most complex and difficult care needs, and are a potential threat to the community;
         and<br />
         		<a id="pl.133.19"></a><var>133.19</var>(8) room and board facilities that meet the requirements of subdivision 1a.<br />
         		<a id="pl.133.20"></a><var>133.20</var>(c) The commissioner shall establish higher rates for programs that meet the <br />
         		<a id="pl.133.21"></a><var>133.21</var>requirements of paragraph (b) and the following additional requirements:<br />
         		<a id="pl.133.22"></a><var>133.22</var>(1) programs that serve parents with their children if the program:<br />
         		<a id="pl.133.23"></a><var>133.23</var>(i) provides on-site child care during hours of treatment activity that meets the
         <br />
         		<a id="pl.133.24"></a><var>133.24</var>requirements in Minnesota Rules, part 9530.6490, or section 
         <statute_ref>245A.03, subdivision 2</statute_ref>; or<br />
         		<a id="pl.133.25"></a><var>133.25</var>(ii) arranges for off-site child care during hours of treatment activity at a facility
         that <br />
         		<a id="pl.133.26"></a><var>133.26</var>is licensed under chapter 245A as:<br />
         		<a id="pl.133.27"></a><var>133.27</var>(A) a child care center under Minnesota Rules, chapter 9503; or<br />
         		<a id="pl.133.28"></a><var>133.28</var>(B) a family child care home under Minnesota Rules, chapter 9502;<br />
         		<a id="pl.133.29"></a><var>133.29</var>(2) culturally specific programs as defined in section 
         <statute_ref>254B.01, subdivision 4a</statute_ref>, if the <br />
         		<a id="pl.133.30"></a><var>133.30</var>program meets the requirements in Minnesota Rules, part 9530.6605, subpart 13;<br />
         		<a id="pl.133.31"></a><var>133.31</var>(3) programs that offer medical services delivered by appropriately credentialed <br />
         		<a id="pl.133.32"></a><var>133.32</var>health care staff in an amount equal to two hours per client per week if the medical
         <br />
         		<a id="pl.133.33"></a><var>133.33</var>needs of the client and the nature and provision of any medical services provided
         are <br />
         		<a id="pl.133.34"></a><var>133.34</var>documented in the client file; and<br />
         		<a id="pl.133.35"></a><var>133.35</var>(4) programs that offer services to individuals with co-occurring mental health and
         <br />
         		<a id="pl.133.36"></a><var>133.36</var>chemical dependency problems if:<br />
         		<a id="pl.134.1"></a><var>134.1</var>(i) the program meets the co-occurring requirements in Minnesota Rules, part <br />
         		<a id="pl.134.2"></a><var>134.2</var>9530.6495;<br />
         		<a id="pl.134.3"></a><var>134.3</var>(ii) 25 percent of the counseling staff are licensed mental health professionals,
         as <br />
         		<a id="pl.134.4"></a><var>134.4</var>defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (1) to (6), or are students or licensing <br />
         		<a id="pl.134.5"></a><var>134.5</var>candidates under the supervision of a licensed alcohol and drug counselor supervisor
         and <br />
         		<a id="pl.134.6"></a><var>134.6</var>licensed mental health professional, except that no more than 50 percent of the mental
         <br />
         		<a id="pl.134.7"></a><var>134.7</var>health staff may be students or licensing candidates with time documented to be directly
         <br />
         		<a id="pl.134.8"></a><var>134.8</var>related to provisions of co-occurring services;<br />
         		<a id="pl.134.9"></a><var>134.9</var>(iii) clients scoring positive on a standardized mental health screen receive a mental
         <br />
         		<a id="pl.134.10"></a><var>134.10</var>health diagnostic assessment within ten days of admission;<br />
         		<a id="pl.134.11"></a><var>134.11</var>(iv) the program has standards for multidisciplinary case review that include a <br />
         		<a id="pl.134.12"></a><var>134.12</var>monthly review for each client that, at a minimum, includes a licensed mental health
         <br />
         		<a id="pl.134.13"></a><var>134.13</var>professional and licensed alcohol and drug counselor, and their involvement in the
         review <br />
         		<a id="pl.134.14"></a><var>134.14</var>is documented;<br />
         		<a id="pl.134.15"></a><var>134.15</var>(v) family education is offered that addresses mental health and substance abuse <br />
         		<a id="pl.134.16"></a><var>134.16</var>disorders and the interaction between the two; and<br />
         		<a id="pl.134.17"></a><var>134.17</var>(vi) co-occurring counseling staff will receive eight hours of co-occurring disorder
         <br />
         		<a id="pl.134.18"></a><var>134.18</var>training annually.<br />
         		<a id="pl.134.19"></a><var>134.19</var>(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
         <br />
         		<a id="pl.134.20"></a><var>134.20</var>that provides arrangements for off-site child care must maintain current documentation
         at <br />
         		<a id="pl.134.21"></a><var>134.21</var>the chemical dependency facility of the child care provider's current licensure to
         provide <br />
         		<a id="pl.134.22"></a><var>134.22</var>child care services. Programs that provide child care according to paragraph (c),
         clause <br />
         		<a id="pl.134.23"></a><var>134.23</var>(1), must be deemed in compliance with the licensing requirements in Minnesota Rules,
         <br />
         		<a id="pl.134.24"></a><var>134.24</var>part 9530.6490.<br />
         		<a id="pl.134.25"></a><var>134.25</var>(e) Adolescent residential programs that meet the requirements of Minnesota <br />
         		<a id="pl.134.26"></a><var>134.26</var>Rules, parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the
         <br />
         		<a id="pl.134.27"></a><var>134.27</var>requirements in paragraph (c), clause (4), items (i) to (iv).<br />
         		<br />
         		<a id="bill.2.21.0"></a><a id="pl.134.28"></a><var>134.28</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 254B.12, subdivision 2, is amended to read:<br />
         		<a id="pl.134.29"></a><var>134.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Payment methodology for highly specialized vendors.</b> (a) <br />
         		<a id="pl.134.30"></a><var>134.30</var>Notwithstanding subdivision 1, the commissioner shall seek federal authority to develop
         <br />
         		<a id="pl.134.31"></a><var>134.31</var>separate payment methodologies for chemical dependency treatment services provided
         <br />
         		<a id="pl.134.32"></a><var>134.32</var>under the consolidated chemical dependency treatment fund: (1) by a state-operated
         <br />
         		<a id="pl.134.33"></a><var>134.33</var>vendor; or (2) for persons who have been civilly committed to the commissioner, present
         <br />
         		<a id="pl.134.34"></a><var>134.34</var>the most complex and difficult care needs, and are a potential threat to the community.
         A <br />
         		<a id="pl.135.1"></a><var>135.1</var>payment methodology under this subdivision is effective for services provided on or
         after <br />
         		<a id="pl.135.2"></a><var>135.2</var>October 1, 2015, or on or after the receipt of federal approval, whichever is later.<br />
         		<a id="pl.135.3"></a><var>135.3</var>(b) Before implementing an approved payment methodology under paragraph <br />
         		<a id="pl.135.4"></a><var>135.4</var>(a), the commissioner must also receive any necessary legislative approval of required
         <br />
         		<a id="pl.135.5"></a><var>135.5</var>changes to state law or funding.<br />
         		<br />
         		<a id="bill.2.22.0"></a><a id="pl.135.6"></a><var>135.6</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 256B.0615, subdivision 3, is amended to read:<br />
         		<a id="pl.135.7"></a><var>135.7</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> Peer support services may be made available to consumers <br />
         		<a id="pl.135.8"></a><var>135.8</var>of (1) intensive rehabilitative mental health  residential treatment services under section <br />
         		
         <statute_ref><a id="pl.135.9"></a><var>135.9</var>256B.0622
         </statute_ref>; (2) adult rehabilitative mental health services under section 
         <statute_ref>256B.0623</statute_ref>; and <br />
         		<a id="pl.135.10"></a><var>135.10</var>(3) crisis stabilization and mental health mobile crisis intervention services under
         section <br />
         		
         <statute_ref><a id="pl.135.11"></a><var>135.11</var>256B.0624
         </statute_ref>.<br />
         		<br />
         		<a id="bill.2.23.0"></a><a id="pl.135.12"></a><var>135.12</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 256B.0622, subdivision 1, is amended to read:<br />
         		<a id="pl.135.13"></a><var>135.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> Subject to federal approval, medical assistance covers <br />
         		<a id="pl.135.14"></a><var>135.14</var>medically necessary, intensive nonresidential assertive community treatment and intensive <br />
         		<a id="pl.135.15"></a><var>135.15</var>residential rehabilitative mental health treatment services as defined in subdivision 2, for <br />
         		<a id="pl.135.16"></a><var>135.16</var>recipients as defined in subdivision 3, when the services are provided by an entity
         meeting <br />
         		<a id="pl.135.17"></a><var>135.17</var>the standards in this section.<br />
         		<br />
         		<a id="bill.2.24.0"></a><a id="pl.135.18"></a><var>135.18</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 256B.0622, subdivision 2, is amended to read:<br />
         		<a id="pl.135.19"></a><var>135.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the <br />
         		<a id="pl.135.20"></a><var>135.20</var>meanings given them.<br />
         		<a id="pl.135.21"></a><var>135.21</var>&#160;&#160;&#160;&#160;(a) "Intensive nonresidential rehabilitative mental health services" means adult <br />
         		<a id="pl.135.22"></a><var>135.22</var>rehabilitative mental health services as defined in section 
         <statute_ref>256B.0623, subdivision 2</statute_ref>, <br />
         		<a id="pl.135.23"></a><var>135.23</var>paragraph (a), except that these services are provided by a multidisciplinary staff
         using <br />
         		<a id="pl.135.24"></a><var>135.24</var>a total team approach consistent with assertive community treatment, the Fairweather
         <br />
         		<a id="pl.135.25"></a><var>135.25</var>Lodge treatment model, as defined by the standards established by the National Coalition
         <br />
         		<a id="pl.135.26"></a><var>135.26</var>for Community Living, and other evidence-based practices, and directed to recipients
         with <br />
         		<a id="pl.135.27"></a><var>135.27</var>a serious mental illness who require intensive services. "Assertive community treatment" <br />
         		<a id="pl.135.28"></a><var>135.28</var>means intensive nonresidential rehabilitative mental health services provided according
         <br />
         		<a id="pl.135.29"></a><var>135.29</var>to the evidence-based practice of assertive community treatment. Core elements of
         this <br />
         		<a id="pl.135.30"></a><var>135.30</var>service include, but are not limited to:<br />
         		<a id="pl.135.31"></a><var>135.31</var>&#160;&#160;&#160;&#160;(1) a multidisciplinary staff who utilize a total team approach and who serve as a
         <br />
         		<a id="pl.135.32"></a><var>135.32</var>fixed point of responsibility for all service delivery;<br />
         		<a id="pl.135.33"></a><var>135.33</var>&#160;&#160;&#160;&#160;(2) providing services 24 hours per day and 7 days per week;<br />
         		<a id="pl.136.1"></a><var>136.1</var>&#160;&#160;&#160;&#160;(3) providing the majority of services in a community setting;<br />
         		<a id="pl.136.2"></a><var>136.2</var>&#160;&#160;&#160;&#160;(4) offering a low ratio of recipients to staff; and <br />
         		<a id="pl.136.3"></a><var>136.3</var>&#160;&#160;&#160;&#160;(5) providing service that is not time-limited.<br />
         		<a id="pl.136.4"></a><var>136.4</var>&#160;&#160;&#160;&#160;(b) "Intensive residential rehabilitative mental health treatment services" means <br />
         		<a id="pl.136.5"></a><var>136.5</var>short-term, time-limited services provided in a residential setting to recipients
         who are <br />
         		<a id="pl.136.6"></a><var>136.6</var>in need of more restrictive settings and are at risk of significant functional deterioration
         <br />
         		<a id="pl.136.7"></a><var>136.7</var>if they do not receive these services. Services are designed to develop and enhance
         <br />
         		<a id="pl.136.8"></a><var>136.8</var>psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills
         to live <br />
         		<a id="pl.136.9"></a><var>136.9</var>in a more independent setting. Services must be directed toward a targeted discharge
         <br />
         		<a id="pl.136.10"></a><var>136.10</var>date with specified client outcomes and must be consistent with the Fairweather Lodge <br />
         		<a id="pl.136.11"></a><var>136.11</var>treatment model as defined in paragraph (a), and other evidence-based practices.<br />
         		<a id="pl.136.12"></a><var>136.12</var>&#160;&#160;&#160;&#160;(c) "Evidence-based practices" are nationally recognized mental health services that
         <br />
         		<a id="pl.136.13"></a><var>136.13</var>are proven by substantial research to be effective in helping individuals with serious
         <br />
         		<a id="pl.136.14"></a><var>136.14</var>mental illness obtain specific treatment goals.<br />
         		<a id="pl.136.15"></a><var>136.15</var>&#160;&#160;&#160;&#160;(d) "Overnight staff" means a member of the intensive residential rehabilitative <br />
         		<a id="pl.136.16"></a><var>136.16</var>mental health treatment team who is responsible during hours when recipients are <br />
         		<a id="pl.136.17"></a><var>136.17</var>typically asleep.<br />
         		<a id="pl.136.18"></a><var>136.18</var>&#160;&#160;&#160;&#160;(e) "Treatment team" means all staff who provide services under this section to <br />
         		<a id="pl.136.19"></a><var>136.19</var>recipients. At a minimum, this includes the clinical supervisor, mental health professionals
         <br />
         		<a id="pl.136.20"></a><var>136.20</var>as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (1) to (6); mental health practitioners <br />
         		<a id="pl.136.21"></a><var>136.21</var>as defined in section 
         <statute_ref>245.462, subdivision 17</statute_ref>; mental health rehabilitation workers under <br />
         		<a id="pl.136.22"></a><var>136.22</var>section 
         <statute_ref>256B.0623, subdivision 5</statute_ref>, clause (3); and certified peer specialists under section <br />
         		
         <statute_ref><a id="pl.136.23"></a><var>136.23</var>256B.0615
         </statute_ref>.<br />
         		<br />
         		<a id="bill.2.25.0"></a><a id="pl.136.24"></a><var>136.24</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256B.0622, subdivision 3, is amended to read:<br />
         		<a id="pl.136.25"></a><var>136.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> An eligible recipient is an individual who:<br />
         		<a id="pl.136.26"></a><var>136.26</var>(1) is age 18 or older;<br />
         		<a id="pl.136.27"></a><var>136.27</var>(2) is eligible for medical assistance;<br />
         		<a id="pl.136.28"></a><var>136.28</var>(3) is diagnosed with a mental illness;<br />
         		<a id="pl.136.29"></a><var>136.29</var>(4) because of a mental illness, has substantial disability and functional impairment
         <br />
         		<a id="pl.136.30"></a><var>136.30</var>in three or more of the areas listed in section 
         <statute_ref>245.462, subdivision 11a</statute_ref>, so that <br />
         		<a id="pl.136.31"></a><var>136.31</var>self-sufficiency is markedly reduced;<br />
         		<a id="pl.136.32"></a><var>136.32</var>(5) has one or more of the following: a history of two or more recurring or prolonged <br />
         		<a id="pl.136.33"></a><var>136.33</var>inpatient hospitalizations in the past year, significant independent living instability,
         <br />
         		<a id="pl.136.34"></a><var>136.34</var>homelessness, or very frequent use of mental health and related services yielding
         poor <br />
         		<a id="pl.136.35"></a><var>136.35</var>outcomes; and<br />
         		<a id="pl.137.1"></a><var>137.1</var>(6) in the written opinion of a licensed mental health professional, has the need
         for <br />
         		<a id="pl.137.2"></a><var>137.2</var>mental health services that cannot be met with other available community-based services,
         <br />
         		<a id="pl.137.3"></a><var>137.3</var>or is likely to experience a mental health crisis or require a more restrictive setting
         if <br />
         		<a id="pl.137.4"></a><var>137.4</var>intensive rehabilitative mental health services are not provided.<br />
         		<br />
         		<a id="bill.2.26.0"></a><a id="pl.137.5"></a><var>137.5</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256B.0622, subdivision 4, is amended to read:<br />
         		<a id="pl.137.6"></a><var>137.6</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Provider certification and contract requirements.</b> (a) The intensive <br />
         		<a id="pl.137.7"></a><var>137.7</var>nonresidential rehabilitative mental health services assertive community treatment <br />
         		<a id="pl.137.8"></a><var>137.8</var>provider must:<br />
         		<a id="pl.137.9"></a><var>137.9</var>(1) have a contract with the host county to provide intensive adult rehabilitative
         <br />
         		<a id="pl.137.10"></a><var>137.10</var>mental health services; and<br />
         		<a id="pl.137.11"></a><var>137.11</var>(2) be certified by the commissioner as being in compliance with this section and
         <br />
         		<a id="pl.137.12"></a><var>137.12</var>section 
         <statute_ref>256B.0623</statute_ref>.<br />
         		<a id="pl.137.13"></a><var>137.13</var>(b) The intensive residential rehabilitative mental health treatment services provider <br />
         		<a id="pl.137.14"></a><var>137.14</var>must:<br />
         		<a id="pl.137.15"></a><var>137.15</var>(1) be licensed under Minnesota Rules, parts 9520.0500 to 9520.0670;<br />
         		<a id="pl.137.16"></a><var>137.16</var>(2) not exceed 16 beds per site;<br />
         		<a id="pl.137.17"></a><var>137.17</var>(3) comply with the additional standards in this section; and<br />
         		<a id="pl.137.18"></a><var>137.18</var>(4) have a contract with the host county to provide these services.<br />
         		<a id="pl.137.19"></a><var>137.19</var>(c) The commissioner shall develop procedures for counties and providers to submit
         <br />
         		<a id="pl.137.20"></a><var>137.20</var>contracts and other documentation as needed to allow the commissioner to determine
         <br />
         		<a id="pl.137.21"></a><var>137.21</var>whether the standards in this section are met.<br />
         		<br />
         		<a id="bill.2.27.0"></a><a id="pl.137.22"></a><var>137.22</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256B.0622, subdivision 5, is amended to read:<br />
         		<a id="pl.137.23"></a><var>137.23</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Standards applicable to both </b><b>nonresidential</b><b> assertive community </b><br />
         		<a id="pl.137.24"></a><var>137.24</var><b>treatment</b><b> and residential providers.</b> (a) Services must be provided by qualified staff as <br />
         		<a id="pl.137.25"></a><var>137.25</var>defined in section 
         <statute_ref>256B.0623, subdivision 5</statute_ref>, who are trained and supervised according to <br />
         		<a id="pl.137.26"></a><var>137.26</var>section 
         <statute_ref>256B.0623, subdivision 6</statute_ref>, except that mental health rehabilitation workers acting <br />
         		<a id="pl.137.27"></a><var>137.27</var>as overnight staff are not required to comply with section 
         <statute_ref>256B.0623, subdivision 5</statute_ref>, <br />
         		<a id="pl.137.28"></a><var>137.28</var>clause (3) (4), item (iv).<br />
         		<a id="pl.137.29"></a><var>137.29</var>(b) The clinical supervisor must be an active member of the treatment team. The <br />
         		<a id="pl.137.30"></a><var>137.30</var>treatment team must meet with the clinical supervisor at least weekly to discuss recipients'
         <br />
         		<a id="pl.137.31"></a><var>137.31</var>progress and make rapid adjustments to meet recipients' needs. The team meeting shall
         <br />
         		<a id="pl.137.32"></a><var>137.32</var>include recipient-specific case reviews and general treatment discussions among team
         <br />
         		<a id="pl.137.33"></a><var>137.33</var>members. Recipient-specific case reviews and planning must be documented in the <br />
         		<a id="pl.137.34"></a><var>137.34</var>individual recipient's treatment record.<br />
         		<a id="pl.138.1"></a><var>138.1</var>(c) Treatment staff must have prompt access in person or by telephone to a mental
         <br />
         		<a id="pl.138.2"></a><var>138.2</var>health practitioner or mental health professional. The provider must have the capacity
         to <br />
         		<a id="pl.138.3"></a><var>138.3</var>promptly and appropriately respond to emergent needs and make any necessary staffing
         <br />
         		<a id="pl.138.4"></a><var>138.4</var>adjustments to assure the health and safety of recipients.<br />
         		<a id="pl.138.5"></a><var>138.5</var>(d) The initial functional assessment must be completed within ten days of intake
         <br />
         		<a id="pl.138.6"></a><var>138.6</var>and updated at least every three months 30 days for intensive residential treatment services <br />
         		<a id="pl.138.7"></a><var>138.7</var>and every six months for assertive community treatment, or prior to discharge from the <br />
         		<a id="pl.138.8"></a><var>138.8</var>service, whichever comes first.<br />
         		<a id="pl.138.9"></a><var>138.9</var>(e) The initial individual treatment plan must be completed within ten days of intake
         <br />
         		<a id="pl.138.10"></a><var>138.10</var>and for assertive community treatment and within 24 hours of admission for intensive
         <br />
         		<a id="pl.138.11"></a><var>138.11</var>residential treatment services. Within ten days of admission, the initial treatment
         plan <br />
         		<a id="pl.138.12"></a><var>138.12</var>must be refined and further developed for intensive residential treatment services,
         except <br />
         		<a id="pl.138.13"></a><var>138.13</var>for providers certified according to Minnesota Rules, parts 9533.0010 to 9533.0180.
         <br />
         		<a id="pl.138.14"></a><var>138.14</var>The individual treatment plan must be  reviewed with the recipient and updated at least <br />
         		<a id="pl.138.15"></a><var>138.15</var>monthly with the recipient for intensive residential treatment services and at least every <br />
         		<a id="pl.138.16"></a><var>138.16</var>six months for assertive community treatment.<br />
         		<br />
         		<a id="bill.2.28.0"></a><a id="pl.138.17"></a><var>138.17</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256B.0622, subdivision 7, is amended to read:<br />
         		<a id="pl.138.18"></a><var>138.18</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Additional standards for </b><b>nonresidential services</b><b> assertive community </b><br />
         		<a id="pl.138.19"></a><var>138.19</var><b>treatment</b><b>.</b> The standards in this subdivision apply to intensive nonresidential <br />
         		<a id="pl.138.20"></a><var>138.20</var>rehabilitative mental health assertive community treatment services.<br />
         		<a id="pl.138.21"></a><var>138.21</var>(1) The treatment team must use team treatment, not an individual treatment model.<br />
         		<a id="pl.138.22"></a><var>138.22</var>(2) The clinical supervisor must function as a practicing clinician at least on a
         <br />
         		<a id="pl.138.23"></a><var>138.23</var>part-time basis.<br />
         		<a id="pl.138.24"></a><var>138.24</var>(3) The staffing ratio must not exceed ten recipients to one full-time equivalent
         <br />
         		<a id="pl.138.25"></a><var>138.25</var>treatment team position.<br />
         		<a id="pl.138.26"></a><var>138.26</var>(4) Services must be available at times that meet client needs.<br />
         		<a id="pl.138.27"></a><var>138.27</var>(5) The treatment team must actively and assertively engage and reach out to the <br />
         		<a id="pl.138.28"></a><var>138.28</var>recipient's family members and significant others, after obtaining the recipient's
         permission.<br />
         		<a id="pl.138.29"></a><var>138.29</var>(6) The treatment team must establish ongoing communication and collaboration <br />
         		<a id="pl.138.30"></a><var>138.30</var>between the team, family, and significant others and educate the family and significant
         <br />
         		<a id="pl.138.31"></a><var>138.31</var>others about mental illness, symptom management, and the family's role in treatment.<br />
         		<a id="pl.138.32"></a><var>138.32</var>(7) The treatment team must provide interventions to promote positive interpersonal
         <br />
         		<a id="pl.138.33"></a><var>138.33</var>relationships.<br />
         		<br />
         		<a id="bill.2.29.0"></a><a id="pl.138.34"></a><var>138.34</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256B.0622, subdivision 8, is amended to read:<br />
         		<a id="pl.139.1"></a><var>139.1</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Medical assistance payment for intensive rehabilitative mental health </b><br />
         		<a id="pl.139.2"></a><var>139.2</var><b>services.</b> (a) Payment for intensive residential and nonresidential treatment services <br />
         		<a id="pl.139.3"></a><var>139.3</var>and assertive community treatment in this section shall be based on one daily rate per <br />
         		<a id="pl.139.4"></a><var>139.4</var>provider inclusive of the following services received by an eligible recipient in
         a given <br />
         		<a id="pl.139.5"></a><var>139.5</var>calendar day: all rehabilitative services under this section, staff travel time to
         provide <br />
         		<a id="pl.139.6"></a><var>139.6</var>rehabilitative services under this section, and nonresidential crisis stabilization
         services <br />
         		<a id="pl.139.7"></a><var>139.7</var>under section 
         <statute_ref>256B.0624</statute_ref>.<br />
         		<a id="pl.139.8"></a><var>139.8</var>(b) Except as indicated in paragraph (c), payment will not be made to more than one
         <br />
         		<a id="pl.139.9"></a><var>139.9</var>entity for each recipient for services provided under this section on a given day.
         If services <br />
         		<a id="pl.139.10"></a><var>139.10</var>under this section are provided by a team that includes staff from more than one entity,
         the <br />
         		<a id="pl.139.11"></a><var>139.11</var>team must determine how to distribute the payment among the members.<br />
         		<a id="pl.139.12"></a><var>139.12</var>(c) The commissioner shall determine one rate for each provider that will bill <br />
         		<a id="pl.139.13"></a><var>139.13</var>medical assistance for residential services under this section and one rate for each
         <br />
         		<a id="pl.139.14"></a><var>139.14</var>nonresidential assertive community treatment provider. If a single entity provides both <br />
         		<a id="pl.139.15"></a><var>139.15</var>services, one rate is established for the entity's residential services and another
         rate for the <br />
         		<a id="pl.139.16"></a><var>139.16</var>entity's nonresidential services under this section. A provider is not eligible for
         payment <br />
         		<a id="pl.139.17"></a><var>139.17</var>under this section without authorization from the commissioner. The commissioner shall
         <br />
         		<a id="pl.139.18"></a><var>139.18</var>develop rates using the following criteria:<br />
         		<a id="pl.139.19"></a><var>139.19</var>(1) the cost for similar services in the local trade area;<br />
         		<a id="pl.139.20"></a><var>139.20</var>(2) (1) the provider's cost for services shall include direct services costs, other <br />
         		<a id="pl.139.21"></a><var>139.21</var>program costs, and other costs determined as follows:<br />
         		<a id="pl.139.22"></a><var>139.22</var>(i) the direct services costs must be determined using actual costs of salaries, benefits,
         <br />
         		<a id="pl.139.23"></a><var>139.23</var>payroll taxes, and training of direct service staff and service-related transportation;<br />
         		<a id="pl.139.24"></a><var>139.24</var>(ii) other program costs not included in item (i) must be determined as a specified
         <br />
         		<a id="pl.139.25"></a><var>139.25</var>percentage of the direct services costs as determined by item (i). The percentage
         used shall <br />
         		<a id="pl.139.26"></a><var>139.26</var>be determined by the commissioner based upon the average of percentages that represent
         <br />
         		<a id="pl.139.27"></a><var>139.27</var>the relationship of other program costs to direct services costs among the entities
         that <br />
         		<a id="pl.139.28"></a><var>139.28</var>provide similar services;<br />
         		<a id="pl.139.29"></a><var>139.29</var>(iii) in situations where a provider of intensive residential services can demonstrate <br />
         		<a id="pl.139.30"></a><var>139.30</var>actual program-related physical plant costs in excess of the group residential housing
         <br />
         		<a id="pl.139.31"></a><var>139.31</var>reimbursement, the commissioner may include these costs in the program rate, so long
         <br />
         		<a id="pl.139.32"></a><var>139.32</var>as the additional reimbursement does not subsidize the room and board expenses of
         the <br />
         		<a id="pl.139.33"></a><var>139.33</var>program physical plant costs calculated based on the percentage of space within the <br />
         		<a id="pl.139.34"></a><var>139.34</var>program that is entirely devoted to treatment and programming. This does not include
         <br />
         		<a id="pl.139.35"></a><var>139.35</var>administrative or residential space;<br />
         		<a id="pl.140.1"></a><var>140.1</var>(iv) intensive nonresidential services assertive community treatment physical plant <br />
         		<a id="pl.140.2"></a><var>140.2</var>costs must be reimbursed as part of the costs described in item (ii); and<br />
         		<a id="pl.140.3"></a><var>140.3</var>(v) subject to federal approval, up to an additional five percent of the total rate must <br />
         		<a id="pl.140.4"></a><var>140.4</var>may be added to the program rate as a quality incentive based upon the entity meeting
         <br />
         		<a id="pl.140.5"></a><var>140.5</var>performance criteria specified by the commissioner;<br />
         		<a id="pl.140.6"></a><var>140.6</var>(3) (2) actual cost is defined as costs which are allowable, allocable, and reasonable, <br />
         		<a id="pl.140.7"></a><var>140.7</var>and consistent with federal reimbursement requirements under Code of Federal <br />
         		<a id="pl.140.8"></a><var>140.8</var>Regulations, title 48, chapter 1, part 31, relating to for-profit entities, and Office
         of <br />
         		<a id="pl.140.9"></a><var>140.9</var>Management and Budget Circular Number A-122, relating to nonprofit entities;<br />
         		<a id="pl.140.10"></a><var>140.10</var>(4) (3) the number of service units;<br />
         		<a id="pl.140.11"></a><var>140.11</var>(5) (4) the degree to which recipients will receive services other than services under <br />
         		<a id="pl.140.12"></a><var>140.12</var>this section; and<br />
         		<a id="pl.140.13"></a><var>140.13</var>(6) (5) the costs of other services that will be separately reimbursed; and.<br />
         		<a id="pl.140.14"></a><var>140.14</var>(7) input from the local planning process authorized by the adult mental health <br />
         		<a id="pl.140.15"></a><var>140.15</var>initiative under section 
         <statute_ref>245.4661</statute_ref>, regarding recipients' service needs.<br />
         		<a id="pl.140.16"></a><var>140.16</var>(d) The rate for intensive rehabilitative mental health residential treatment services <br />
         		<a id="pl.140.17"></a><var>140.17</var>and assertive community treatment must exclude room and board, as defined in section <br />
         		
         <statute_ref><a id="pl.140.18"></a><var>140.18</var>256I.03, subdivision 6
         </statute_ref>, and services not covered under this section, such as partial <br />
         		<a id="pl.140.19"></a><var>140.19</var>hospitalization, home care, and inpatient services. <br />
         		<a id="pl.140.20"></a><var>140.20</var>(e) Physician services that are not separately billed may be included in the rate to the
         <br />
         		<a id="pl.140.21"></a><var>140.21</var>extent that a psychiatrist, or other health care professional providing physician services <br />
         		<a id="pl.140.22"></a><var>140.22</var>within their scope of practice,  is a member of the treatment team. Physician services, <br />
         		<a id="pl.140.23"></a><var>140.23</var>whether billed separately or included in the rate, may be delivered by telemedicine.
         For <br />
         		<a id="pl.140.24"></a><var>140.24</var>purposes of this paragraph, "telemedicine" has the meaning given to "mental health
         <br />
         		<a id="pl.140.25"></a><var>140.25</var>telemedicine" in section 256B.0625, subdivision 46, when telemedicine is used to provide
         <br />
         		<a id="pl.140.26"></a><var>140.26</var>intensive residential treatment services.<br />
         		<a id="pl.140.27"></a><var>140.27</var>(e) (f) When services under this section are provided by an intensive nonresidential <br />
         		<a id="pl.140.28"></a><var>140.28</var>service assertive community treatment  provider, case management functions must be an <br />
         		<a id="pl.140.29"></a><var>140.29</var>integral part of the team.<br />
         		<a id="pl.140.30"></a><var>140.30</var>(f) (g) The rate for a provider must not exceed the rate charged by that provider for <br />
         		<a id="pl.140.31"></a><var>140.31</var>the same service to other payors.<br />
         		<a id="pl.140.32"></a><var>140.32</var>(g) (h) The rates for existing programs must be established prospectively based upon <br />
         		<a id="pl.140.33"></a><var>140.33</var>the expenditures and utilization over a prior 12-month period using the criteria established
         <br />
         		<a id="pl.140.34"></a><var>140.34</var>in paragraph (c). The rates for new programs must be established based upon estimated <br />
         		<a id="pl.140.35"></a><var>140.35</var>expenditures and estimated utilization using the criteria established in paragraph
         (c).<br />
         		<a id="pl.141.1"></a><var>141.1</var>(h) (i) Entities who discontinue providing services must be subject to a settle-up <br />
         		<a id="pl.141.2"></a><var>141.2</var>process whereby actual costs and reimbursement for the previous 12 months are <br />
         		<a id="pl.141.3"></a><var>141.3</var>compared. In the event that the entity was paid more than the entity's actual costs
         plus <br />
         		<a id="pl.141.4"></a><var>141.4</var>any applicable performance-related funding due the provider, the excess payment must
         <br />
         		<a id="pl.141.5"></a><var>141.5</var>be reimbursed to the department. If a provider's revenue is less than actual allowed
         costs <br />
         		<a id="pl.141.6"></a><var>141.6</var>due to lower utilization than projected, the commissioner may reimburse the provider
         to <br />
         		<a id="pl.141.7"></a><var>141.7</var>recover its actual allowable costs. The resulting adjustments by the commissioner
         must <br />
         		<a id="pl.141.8"></a><var>141.8</var>be proportional to the percent of total units of service reimbursed by the commissioner
         <br />
         		<a id="pl.141.9"></a><var>141.9</var>and must reflect a difference of greater than five percent.<br />
         		<a id="pl.141.10"></a><var>141.10</var>(i) (j) A provider may request of the commissioner a review of any rate-setting <br />
         		<a id="pl.141.11"></a><var>141.11</var>decision made under this subdivision.<br />
         		<br />
         		<a id="bill.2.30.0"></a><a id="pl.141.12"></a><var>141.12</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 256B.0622, subdivision 9, is amended to read:<br />
         		<a id="pl.141.13"></a><var>141.13</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Provider enrollment; rate setting for county-operated entities.</b> Counties <br />
         		<a id="pl.141.14"></a><var>141.14</var>that employ their own staff to provide services under this section shall apply directly
         to <br />
         		<a id="pl.141.15"></a><var>141.15</var>the commissioner for enrollment and rate setting. In this case, a county contract
         is not <br />
         		<a id="pl.141.16"></a><var>141.16</var>required and the commissioner shall perform the program review and rate setting duties <br />
         		<a id="pl.141.17"></a><var>141.17</var>which would otherwise be required of counties under this section.<br />
         		<br />
         		<a id="bill.2.31.0"></a><a id="pl.141.18"></a><var>141.18</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 256B.0622, subdivision 10, is amended to <br />
         		<a id="pl.141.19"></a><var>141.19</var>read:<br />
         		<a id="pl.141.20"></a><var>141.20</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Provider enrollment; rate setting for specialized program.</b> A county <br />
         		<a id="pl.141.21"></a><var>141.21</var>contract is not required for a provider proposing to serve a subpopulation of eligible <br />
         		<a id="pl.141.22"></a><var>141.22</var>recipients may bypass the county approval procedures in this section and receive approval <br />
         		<a id="pl.141.23"></a><var>141.23</var>for provider enrollment and rate setting directly from the commissioner under the <br />
         		<a id="pl.141.24"></a><var>141.24</var>following circumstances:<br />
         		<a id="pl.141.25"></a><var>141.25</var>(1) the provider demonstrates that the subpopulation to be served requires a <br />
         		<a id="pl.141.26"></a><var>141.26</var>specialized program which is not available from county-approved entities; and<br />
         		<a id="pl.141.27"></a><var>141.27</var>(2) the subpopulation to be served is of such a low incidence that it is not feasible
         to <br />
         		<a id="pl.141.28"></a><var>141.28</var>develop a program serving a single county or regional group of counties.<br />
         		<a id="pl.141.29"></a><var>141.29</var>For providers meeting the criteria in clauses (1) and (2), the commissioner shall
         <br />
         		<a id="pl.141.30"></a><var>141.30</var>perform the program review and rate setting duties which would otherwise be required
         of <br />
         		<a id="pl.141.31"></a><var>141.31</var>counties under this section.<br />
         		<br />
         		<a id="bill.2.32.0"></a><a id="pl.141.32"></a><var>141.32</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 256B.0622, is amended by adding a <br />
         		<a id="pl.141.33"></a><var>141.33</var>subdivision to read:<br />
         		<a id="pl.142.1"></a><var>142.1</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Sustainability grants.</b> The commissioner may disburse grant funds <br />
         		<a id="pl.142.2"></a><var>142.2</var>directly to intensive residential treatment services providers and assertive community
         <br />
         		<a id="pl.142.3"></a><var>142.3</var>treatment providers to maintain access to these services.<br />
         		<br />
         		<a id="bill.2.33.0"></a><a id="pl.142.4"></a><var>142.4</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 256B.0624, subdivision 7, is amended to read:<br />
         		<a id="pl.142.5"></a><var>142.5</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Crisis stabilization services.</b> (a) Crisis stabilization services must be <br />
         		<a id="pl.142.6"></a><var>142.6</var>provided by qualified staff of a crisis stabilization services provider entity and
         must meet <br />
         		<a id="pl.142.7"></a><var>142.7</var>the following standards:<br />
         		<a id="pl.142.8"></a><var>142.8</var>(1) a crisis stabilization treatment plan must be developed which meets the criteria
         <br />
         		<a id="pl.142.9"></a><var>142.9</var>in subdivision 11;<br />
         		<a id="pl.142.10"></a><var>142.10</var>(2) staff must be qualified as defined in subdivision 8; and<br />
         		<a id="pl.142.11"></a><var>142.11</var>(3) services must be delivered according to the treatment plan and include <br />
         		<a id="pl.142.12"></a><var>142.12</var>face-to-face contact with the recipient by qualified staff for further assessment,
         help with <br />
         		<a id="pl.142.13"></a><var>142.13</var>referrals, updating of the crisis stabilization treatment plan, supportive counseling,
         skills <br />
         		<a id="pl.142.14"></a><var>142.14</var>training, and collaboration with other service providers in the community.<br />
         		<a id="pl.142.15"></a><var>142.15</var>(b) If crisis stabilization services are provided in a supervised, licensed residential
         <br />
         		<a id="pl.142.16"></a><var>142.16</var>setting, the recipient must be contacted face-to-face daily by a qualified mental
         health <br />
         		<a id="pl.142.17"></a><var>142.17</var>practitioner or mental health professional. The program must have 24-hour-a-day <br />
         		<a id="pl.142.18"></a><var>142.18</var>residential staffing which may include staff who do not meet the qualifications in
         <br />
         		<a id="pl.142.19"></a><var>142.19</var>subdivision 8. The residential staff must have 24-hour-a-day immediate direct or telephone
         <br />
         		<a id="pl.142.20"></a><var>142.20</var>access to a qualified mental health professional or practitioner.<br />
         		<a id="pl.142.21"></a><var>142.21</var>(c) If crisis stabilization services are provided in a supervised, licensed residential
         <br />
         		<a id="pl.142.22"></a><var>142.22</var>setting that serves no more than four adult residents, and no more than two are recipients <br />
         		<a id="pl.142.23"></a><var>142.23</var>of crisis stabilization services one or more individuals are present at the setting to receive <br />
         		<a id="pl.142.24"></a><var>142.24</var>residential crisis stabilization services, the residential staff must include, for at least eight <br />
         		<a id="pl.142.25"></a><var>142.25</var>hours per day, at least one individual who meets the qualifications in subdivision
         8, <br />
         		<a id="pl.142.26"></a><var>142.26</var>paragraph (a), clause (1) or (2).<br />
         		<a id="pl.142.27"></a><var>142.27</var>(d) If crisis stabilization services are provided in a supervised, licensed residential
         <br />
         		<a id="pl.142.28"></a><var>142.28</var>setting that serves more than four adult residents, and one or more are recipients
         of crisis <br />
         		<a id="pl.142.29"></a><var>142.29</var>stabilization services, the residential staff must include, for 24 hours a day, at
         least one <br />
         		<a id="pl.142.30"></a><var>142.30</var>individual who meets the qualifications in subdivision 8. During the first 48 hours
         that a <br />
         		<a id="pl.142.31"></a><var>142.31</var>recipient is in the residential program, the residential program must have at least
         two staff <br />
         		<a id="pl.142.32"></a><var>142.32</var>working 24 hours a day. Staffing levels may be adjusted thereafter according to the
         needs <br />
         		<a id="pl.142.33"></a><var>142.33</var>of the recipient as specified in the crisis stabilization treatment plan.<br />
         		<br />
         		<a id="bill.2.34.0"></a><a id="pl.143.1"></a><var>143.1</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2014, section 256B.0625, is amended by adding a <br />
         		<a id="pl.143.2"></a><var>143.2</var>subdivision to read:<br />
         		<a id="pl.143.3"></a><var>143.3</var>&#160;&#160;&#160;&#160;Subd. 45a. <b>Psychiatric residential treatment facility services for persons under </b><br />
         		<a id="pl.143.4"></a><var>143.4</var><b>21 years of age.</b> (a) Medical assistance covers psychiatric residential treatment facility <br />
         		<a id="pl.143.5"></a><var>143.5</var>services for persons under 21 years of age. Individuals who reach age 21 at the time
         they <br />
         		<a id="pl.143.6"></a><var>143.6</var>are receiving services are eligible to continue receiving services until they no longer
         <br />
         		<a id="pl.143.7"></a><var>143.7</var>require services or until they reach age 22, whichever occurs first.<br />
         		<a id="pl.143.8"></a><var>143.8</var>(b) For purposes of this subdivision, "psychiatric residential treatment facility"
         <br />
         		<a id="pl.143.9"></a><var>143.9</var>means a facility other than a hospital that provides psychiatric services, as described
         in <br />
         		<a id="pl.143.10"></a><var>143.10</var>Code of Federal Regulations, title 42, sections 441.151 to 441.182, to individuals
         under <br />
         		<a id="pl.143.11"></a><var>143.11</var>age 21 in an inpatient setting.<br />
         		<a id="pl.143.12"></a><var>143.12</var>(c) The commissioner shall develop admissions and discharge procedures and <br />
         		<a id="pl.143.13"></a><var>143.13</var>establish rates consistent with guidelines from the federal Centers for Medicare and
         <br />
         		<a id="pl.143.14"></a><var>143.14</var>Medicaid Services.<br />
         		<a id="pl.143.15"></a><var>143.15</var>(d) The commissioner shall enroll up to 150 certified psychiatric residential <br />
         		<a id="pl.143.16"></a><var>143.16</var>treatment facility services beds at up to six sites. The commissioner shall select
         psychiatric <br />
         		<a id="pl.143.17"></a><var>143.17</var>residential treatment facility services providers through a request for proposals
         process. <br />
         		<a id="pl.143.18"></a><var>143.18</var>Providers of state-operated services may respond to the request for proposals.<br />
         		<a id="pl.143.19"></a><var>143.19</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2017, or upon federal <br />
         		<a id="pl.143.20"></a><var>143.20</var>approval, whichever is later. The commissioner of human services shall notify the
         revisor <br />
         		<a id="pl.143.21"></a><var>143.21</var>of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.2.35.0"></a><a id="pl.143.22"></a><var>143.22</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 256B.0625, subdivision 48, is amended to <br />
         		<a id="pl.143.23"></a><var>143.23</var>read:<br />
         		<a id="pl.143.24"></a><var>143.24</var>&#160;&#160;&#160;&#160;Subd. 48. <b>Psychiatric consultation to primary care practitioners.</b>  Medical <br />
         		<a id="pl.143.25"></a><var>143.25</var>assistance covers consultation provided by a psychiatrist, a psychologist, or an advanced <br />
         		<a id="pl.143.26"></a><var>143.26</var>practice registered nurse certified in psychiatric mental health, a licensed independent <br />
         		<a id="pl.143.27"></a><var>143.27</var>clinical social worker, as defined in section 245.462, subdivision 18, clause (2),
         or a <br />
         		<a id="pl.143.28"></a><var>143.28</var>licensed marriage and family therapist, as defined in section 245.462, subdivision
         18, <br />
         		<a id="pl.143.29"></a><var>143.29</var>clause (5), via telephone, e-mail, facsimile, or other means of communication to primary <br />
         		<a id="pl.143.30"></a><var>143.30</var>care practitioners, including pediatricians. The need for consultation and the receipt
         of the <br />
         		<a id="pl.143.31"></a><var>143.31</var>consultation must be documented in the patient record maintained by the primary care
         <br />
         		<a id="pl.143.32"></a><var>143.32</var>practitioner. If the patient consents, and subject to federal limitations and data
         privacy <br />
         		<a id="pl.143.33"></a><var>143.33</var>provisions, the consultation may be provided without the patient present.<br />
         		<br />
         		<a id="bill.2.36.0"></a><a id="pl.144.1"></a><var>144.1</var>&#160;&#160;&#160;&#160;Sec. 36. <b>[256B.7631] CHEMICAL DEPENDENCY PROVIDER RATE </b><br />
         		<a id="pl.144.2"></a><var>144.2</var><b>INCREASE.</b><br />
         		<a id="pl.144.3"></a><var>144.3</var>For the chemical dependency services listed in section 254B.05, subdivision 5, and
         <br />
         		<a id="pl.144.4"></a><var>144.4</var>provided on or after July 1, 2015, payment rates shall be increased by two percent
         over <br />
         		<a id="pl.144.5"></a><var>144.5</var>the rates in effect on January 1, 2014, for vendors who meet the requirements of section
         <br />
         		<a id="pl.144.6"></a><var>144.6</var>254B.05.<br />
         		<br />
         		<a id="bill.2.37.0"></a><a id="pl.144.7"></a><var>144.7</var>&#160;&#160;&#160;&#160;Sec. 37. <b>CLUBHOUSE PROGRAM SERVICES.</b><br />
         		<a id="pl.144.8"></a><var>144.8</var>The commissioner of human services, in consultation with stakeholders, shall <br />
         		<a id="pl.144.9"></a><var>144.9</var>develop service standards and a payment methodology for Clubhouse program services
         <br />
         		<a id="pl.144.10"></a><var>144.10</var>to be covered under medical assistance when provided by a Clubhouse International
         <br />
         		<a id="pl.144.11"></a><var>144.11</var>accredited provider or a provider meeting equivalent standards. The commissioner shall
         <br />
         		<a id="pl.144.12"></a><var>144.12</var>seek federal approval for the service standards and payment methodology. Upon federal
         <br />
         		<a id="pl.144.13"></a><var>144.13</var>approval, the commissioner must seek and obtain legislative approval of the services
         <br />
         		<a id="pl.144.14"></a><var>144.14</var>standards and funding methodology allowing medical assistance coverage of the service.<br />
         		<br />
         		<a id="bill.2.38.0"></a><a id="pl.144.15"></a><var>144.15</var>&#160;&#160;&#160;&#160;Sec. 38. <b>EXCELLENCE IN MENTAL HEALTH DEMONSTRATION PROJECT.</b><br />
         		<a id="pl.144.16"></a><var>144.16</var>By January 15, 2016, the commissioner of human services shall report to the <br />
         		<a id="pl.144.17"></a><var>144.17</var>legislative committees in the house of representatives and senate with jurisdiction
         over <br />
         		<a id="pl.144.18"></a><var>144.18</var>human services issues on the progress of the Excellence in Mental Health demonstration
         <br />
         		<a id="pl.144.19"></a><var>144.19</var>project under Minnesota Statutes, section 245.735. The commissioner shall include
         in <br />
         		<a id="pl.144.20"></a><var>144.20</var>the report any recommendations for legislative changes needed to implement the reform
         <br />
         		<a id="pl.144.21"></a><var>144.21</var>projects specified in Minnesota Statutes, section 245.735, subdivision 3.<br />
         		<br />
         		<a id="bill.2.39.0"></a><a id="pl.144.22"></a><var>144.22</var>&#160;&#160;&#160;&#160;Sec. 39. <b>RATE-SETTING METHODOLOGY FOR COMMUNITY-BASED </b><br />
         		<a id="pl.144.23"></a><var>144.23</var><b>MENTAL HEALTH SERVICES.</b><br />
         		<a id="pl.144.24"></a><var>144.24</var>The commissioner of human services shall conduct a comprehensive analysis <br />
         		<a id="pl.144.25"></a><var>144.25</var>of the current rate-setting methodology for all community-based mental health <br />
         		<a id="pl.144.26"></a><var>144.26</var>services for children and adults. The report shall include an assessment of alternative
         <br />
         		<a id="pl.144.27"></a><var>144.27</var>payment structures, consistent with the intent and direction of the federal Centers
         for <br />
         		<a id="pl.144.28"></a><var>144.28</var>Medicare and Medicaid Services, that could provide adequate reimbursement to sustain
         <br />
         		<a id="pl.144.29"></a><var>144.29</var>community-based mental health services regardless of geographic location. The report
         <br />
         		<a id="pl.144.30"></a><var>144.30</var>shall also include recommendations for establishing pay-for-performance measures for
         <br />
         		<a id="pl.144.31"></a><var>144.31</var>providers delivering services consistent with evidence-based practices. In developing
         the <br />
         		<a id="pl.144.32"></a><var>144.32</var>report, the commissioner shall consult with stakeholders and with outside experts
         in <br />
         		<a id="pl.144.33"></a><var>144.33</var>Medicaid financing. The commissioner shall provide a report on the analysis to the
         chairs <br />
         		<a id="pl.145.1"></a><var>145.1</var>of the legislative committees with jurisdiction over health and human services finance
         <br />
         		<a id="pl.145.2"></a><var>145.2</var>by January 1, 2017.<br />
         		<br />
         		<a id="bill.2.40.0"></a><a id="pl.145.3"></a><var>145.3</var>&#160;&#160;&#160;&#160;Sec. 40. <b>REPORT ON HUMAN SERVICES DATA SHARING TO </b><br />
         		<a id="pl.145.4"></a><var>145.4</var><b>COORDINATE SERVICES AND CARE OF A PATIENT.</b><br />
         		<a id="pl.145.5"></a><var>145.5</var>The commissioner of human services, in coordination with Hennepin County, shall <br />
         		<a id="pl.145.6"></a><var>145.6</var>report to the legislative committees with jurisdiction over health care financing
         on the <br />
         		<a id="pl.145.7"></a><var>145.7</var>fiscal impact, including the estimated savings, resulting from the modifications to
         the Data <br />
         		<a id="pl.145.8"></a><var>145.8</var>Practices Act in the 2015 legislative session, permitting the sharing of public welfare
         data <br />
         		<a id="pl.145.9"></a><var>145.9</var>and allowing the exchange of health records between providers to the extent necessary
         to <br />
         		<a id="pl.145.10"></a><var>145.10</var>coordinate services and care for clients enrolled in public health care programs.
         Counties <br />
         		<a id="pl.145.11"></a><var>145.11</var>shall provide information on the fiscal impact, including the estimated savings, resulting
         <br />
         		<a id="pl.145.12"></a><var>145.12</var>from the modifications to the Data Practices Act in the 2015 legislative session,
         the <br />
         		<a id="pl.145.13"></a><var>145.13</var>number of clients receiving care coordination, and improved outcomes achieved due
         <br />
         		<a id="pl.145.14"></a><var>145.14</var>to data sharing, to the commissioner of human services to include in the report. The
         <br />
         		<a id="pl.145.15"></a><var>145.15</var>commissioner may establish the form in which the information must be provided. The
         <br />
         		<a id="pl.145.16"></a><var>145.16</var>report is due January 1, 2017.<br />
         		<br />
         		<a id="bill.2.41.0"></a><a id="pl.145.17"></a><var>145.17</var>&#160;&#160;&#160;&#160;Sec. 41. <b>COMPREHENSIVE MENTAL HEALTH PROGRAM IN BELTRAMI </b><br />
         		<a id="pl.145.18"></a><var>145.18</var><b>COUNTY.</b><br />
         		<a id="pl.145.19"></a><var>145.19</var>(a) The commissioner of human services shall award a grant to Beltrami County <br />
         		<a id="pl.145.20"></a><var>145.20</var>to fund the planning and development of a comprehensive mental health program <br />
         		<a id="pl.145.21"></a><var>145.21</var>contingent upon Beltrami County providing to the commissioner of human services a
         <br />
         		<a id="pl.145.22"></a><var>145.22</var>formal commitment and plan to fund, operate, and sustain the program and services
         after <br />
         		<a id="pl.145.23"></a><var>145.23</var>the onetime state grant is expended. The county must provide evidence of the funding
         <br />
         		<a id="pl.145.24"></a><var>145.24</var>stream or mechanism, and a sufficient local funding commitment, that will ensure that
         <br />
         		<a id="pl.145.25"></a><var>145.25</var>the onetime state investment in the program will result in a sustainable program without
         <br />
         		<a id="pl.145.26"></a><var>145.26</var>future state grants. The funding stream may include state funding for programs and
         <br />
         		<a id="pl.145.27"></a><var>145.27</var>services for which the individuals served under this section may be eligible. The
         grant <br />
         		<a id="pl.145.28"></a><var>145.28</var>under this section cannot be used for any purpose that could be funded with state
         bond <br />
         		<a id="pl.145.29"></a><var>145.29</var>proceeds. This is a onetime appropriation. <br />
         		<a id="pl.145.30"></a><var>145.30</var>(b) The planning and development of the program by the county must include an <br />
         		<a id="pl.145.31"></a><var>145.31</var>integrated care model for the provision of mental health and substance use disorder
         <br />
         		<a id="pl.145.32"></a><var>145.32</var>treatment for the individuals served under paragraph (c), in collaboration with existing
         <br />
         		<a id="pl.145.33"></a><var>145.33</var>services. The model may include mobile crisis services, crisis residential services,
         <br />
         		<a id="pl.146.1"></a><var>146.1</var>outpatient services, and community-based services. The model must be patient-centered,
         <br />
         		<a id="pl.146.2"></a><var>146.2</var>culturally competent, and based on evidence-based practices.<br />
         		<a id="pl.146.3"></a><var>146.3</var>(c) The comprehensive mental health program will serve individuals who are:<br />
         		<a id="pl.146.4"></a><var>146.4</var>(1) under arrest or subject to arrest who are experiencing a mental health crisis;
         <br />
         		<a id="pl.146.5"></a><var>146.5</var>(2) under a transport hold under Minnesota Statutes, section 253B.05, subdivision
         <br />
         		<a id="pl.146.6"></a><var>146.6</var>2; or<br />
         		<a id="pl.146.7"></a><var>146.7</var>(3)  in immediate need of mental health crisis services.<br />
         		<a id="pl.146.8"></a><var>146.8</var>(d) The commissioner of human services may encourage the commissioners of <br />
         		<a id="pl.146.9"></a><var>146.9</var>the Minnesota Housing Finance Agency, corrections, and health to provide technical
         <br />
         		<a id="pl.146.10"></a><var>146.10</var>assistance and support in the planning and development of the mental health program
         <br />
         		<a id="pl.146.11"></a><var>146.11</var>under paragraph (a). The commissioners of the Minnesota Housing Finance Agency and
         <br />
         		<a id="pl.146.12"></a><var>146.12</var>human services may explore a plan to develop short-term and long-term housing for
         <br />
         		<a id="pl.146.13"></a><var>146.13</var>individuals served by the program, and the possibility of using existing appropriations
         <br />
         		<a id="pl.146.14"></a><var>146.14</var>available in the housing finance budget for low-income housing or homelessness.<br />
         		<a id="pl.146.15"></a><var>146.15</var>(e) The commissioner of human services, in consultation with Beltrami County, <br />
         		<a id="pl.146.16"></a><var>146.16</var>shall report to the senate and house of representatives committees having jurisdiction
         over <br />
         		<a id="pl.146.17"></a><var>146.17</var>mental health issues the status of the planning and development of the mental health
         <br />
         		<a id="pl.146.18"></a><var>146.18</var>program, and the plan to financially support the program and services after the state
         grant <br />
         		<a id="pl.146.19"></a><var>146.19</var>is expended, by November 1, 2017.<br />
         		<br />
         		<a id="bill.2.42.0"></a><a id="pl.146.20"></a><var>146.20</var>&#160;&#160;&#160;&#160;Sec. 42. <b>MENTAL HEALTH CRISIS SERVICES.</b><br />
         		<a id="pl.146.21"></a><var>146.21</var>The commissioner of human services shall increase access to mental health crisis <br />
         		<a id="pl.146.22"></a><var>146.22</var>services for children and adults. In order to increase access, the commissioner must:<br />
         		<a id="pl.146.23"></a><var>146.23</var>(1) develop a central phone number where calls can be routed to the appropriate <br />
         		<a id="pl.146.24"></a><var>146.24</var>crisis services;<br />
         		<a id="pl.146.25"></a><var>146.25</var>(2) provide telephone consultation 24 hours a day to mobile crisis teams who are <br />
         		<a id="pl.146.26"></a><var>146.26</var>serving people with traumatic brain injury or intellectual disabilities who are experiencing
         <br />
         		<a id="pl.146.27"></a><var>146.27</var>a mental health crisis;<br />
         		<a id="pl.146.28"></a><var>146.28</var>(3) expand crisis services across the state, including rural areas of the state and
         <br />
         		<a id="pl.146.29"></a><var>146.29</var>examining access per population;<br />
         		<a id="pl.146.30"></a><var>146.30</var>(4) establish and implement state standards for crisis services; and<br />
         		<a id="pl.146.31"></a><var>146.31</var>(5) provide grants to adult mental health initiatives, counties, tribes, or community
         <br />
         		<a id="pl.146.32"></a><var>146.32</var>mental health providers to establish new mental health crisis residential service
         capacity.<br />
         		<a id="pl.146.33"></a><var>146.33</var>Priority will be given to regions that do not have a mental health crisis residential
         <br />
         		<a id="pl.146.34"></a><var>146.34</var>services program, do not have an inpatient psychiatric unit within the region, do
         not have <br />
         		<a id="pl.146.35"></a><var>146.35</var>an inpatient psychiatric unit within 90 miles, or have a demonstrated need based on
         the <br />
         		<a id="pl.147.1"></a><var>147.1</var>number of crisis residential or intensive residential treatment beds available to
         meet the <br />
         		<a id="pl.147.2"></a><var>147.2</var>needs of the residents in the region. At least 50 percent of the funds must be distributed
         to <br />
         		<a id="pl.147.3"></a><var>147.3</var>programs in rural Minnesota. Grant funds may be used for start-up costs, including
         but not <br />
         		<a id="pl.147.4"></a><var>147.4</var>limited to renovations, furnishings, and staff training. Grant applications shall
         provide <br />
         		<a id="pl.147.5"></a><var>147.5</var>details on how the intended service will address identified needs and shall demonstrate
         <br />
         		<a id="pl.147.6"></a><var>147.6</var>collaboration with crisis teams, other mental health providers, hospitals, and police.<br />
         		<br />
         		<a id="bill.2.43.0"></a><a id="pl.147.7"></a><var>147.7</var>&#160;&#160;&#160;&#160;Sec. 43. <b>INSTRUCTIONS TO THE COMMISSIONER.</b><br />
         		<a id="pl.147.8"></a><var>147.8</var>The commissioner of human services shall, in consultation with stakeholders, develop
         <br />
         		<a id="pl.147.9"></a><var>147.9</var>recommendations on funding for children's mental health crisis residential services
         that will <br />
         		<a id="pl.147.10"></a><var>147.10</var>allow for timely access without requiring county authorization or child welfare placement.<br />
         		<br />
         		<a id="bill.3.0.0"></a><div class="xtend_ce"><a id="pl.147.11"></a><var>147.11</var><b>ARTICLE 3</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.147.12"></a><var>147.12</var><b>WITHDRAWAL MANAGEMENT PROGRAMS</b><br />
            		
         </div><br />
         		<a id="bill.3.1.0"></a><a id="pl.147.13"></a><var>147.13</var>&#160;&#160;&#160;&#160;Section 1. <b>[245F.01] PURPOSE.</b><br />
         		<a id="pl.147.14"></a><var>147.14</var>It is hereby declared to be the public policy of this state that the public interest
         is best <br />
         		<a id="pl.147.15"></a><var>147.15</var>served by providing efficient and effective withdrawal management services to persons
         <br />
         		<a id="pl.147.16"></a><var>147.16</var>in need of  appropriate detoxification, assessment, intervention, and referral services.
         <br />
         		<a id="pl.147.17"></a><var>147.17</var>The services shall vary to address the unique medical needs of each patient and shall
         be <br />
         		<a id="pl.147.18"></a><var>147.18</var>responsive to the language and cultural needs of each patient. Services shall not
         be denied <br />
         		<a id="pl.147.19"></a><var>147.19</var>on the basis of a patient's inability to pay.<br />
         		<br />
         		<a id="bill.3.2.0"></a><a id="pl.147.20"></a><var>147.20</var>&#160;&#160;&#160;&#160;Sec. 2. <b>[245F.02] DEFINITIONS.</b><br />
         		<a id="pl.147.21"></a><var>147.21</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> The terms used in this chapter have the meanings given <br />
         		<a id="pl.147.22"></a><var>147.22</var>them in this section.<br />
         		<a id="pl.147.23"></a><var>147.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Administration of medications.</b> "Administration of medications" means <br />
         		<a id="pl.147.24"></a><var>147.24</var>performing a task to provide medications to a patient, and includes the following
         tasks <br />
         		<a id="pl.147.25"></a><var>147.25</var>performed in the following order:<br />
         		<a id="pl.147.26"></a><var>147.26</var>(1) checking the patient's medication record;<br />
         		<a id="pl.147.27"></a><var>147.27</var>(2) preparing the medication for administration;<br />
         		<a id="pl.147.28"></a><var>147.28</var>(3) administering the medication to the patient;<br />
         		<a id="pl.147.29"></a><var>147.29</var>(4) documenting administration of the medication or the reason for not administering
         <br />
         		<a id="pl.147.30"></a><var>147.30</var>the medication as prescribed; and<br />
         		<a id="pl.147.31"></a><var>147.31</var>(5) reporting information to a licensed practitioner or a registered nurse regarding
         <br />
         		<a id="pl.147.32"></a><var>147.32</var>problems with the administration of the medication or the patient's refusal to take
         the <br />
         		<a id="pl.147.33"></a><var>147.33</var>medication.<br />
         		<a id="pl.148.1"></a><var>148.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Alcohol and drug counselor.</b> "Alcohol and drug counselor" means an <br />
         		<a id="pl.148.2"></a><var>148.2</var>individual qualified under Minnesota Rules, part 9530.6450, subpart 5.<br />
         		<a id="pl.148.3"></a><var>148.3</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Applicant.</b> "Applicant" means an individual, partnership, voluntary <br />
         		<a id="pl.148.4"></a><var>148.4</var>association, corporation, or other public or private organization that submits an
         application <br />
         		<a id="pl.148.5"></a><var>148.5</var>for licensure under this chapter.<br />
         		<a id="pl.148.6"></a><var>148.6</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Care coordination.</b> "Care coordination" means activities intended to bring <br />
         		<a id="pl.148.7"></a><var>148.7</var>together health services, patient needs, and streams of information to facilitate
         the aims <br />
         		<a id="pl.148.8"></a><var>148.8</var>of care. Care coordination includes an ongoing needs assessment, life skills advocacy,
         <br />
         		<a id="pl.148.9"></a><var>148.9</var>treatment follow-up, disease management, education, and other services as needed.
         <br />
         		<a id="pl.148.10"></a><var>148.10</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Chemical.</b> "Chemical" means alcohol, solvents, controlled substances as <br />
         		<a id="pl.148.11"></a><var>148.11</var>defined in section 152.01, subdivision 4, and other mood-altering substances.<br />
         		<a id="pl.148.12"></a><var>148.12</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Clinically managed program.</b> "Clinically managed program" means a <br />
         		<a id="pl.148.13"></a><var>148.13</var>residential setting with staff comprised of a medical director and a licensed practical
         nurse. <br />
         		<a id="pl.148.14"></a><var>148.14</var>A licensed practical nurse must be on site 24 hours a day, seven days a week. A qualified
         <br />
         		<a id="pl.148.15"></a><var>148.15</var>medical professional must be available by telephone or in person for consultation
         24 hours <br />
         		<a id="pl.148.16"></a><var>148.16</var>a day. Patients admitted to this level of service receive medical observation, evaluation,
         <br />
         		<a id="pl.148.17"></a><var>148.17</var>and stabilization services during the detoxification process; access to medications
         <br />
         		<a id="pl.148.18"></a><var>148.18</var>administered by trained, licensed staff to manage withdrawal; and a comprehensive
         <br />
         		<a id="pl.148.19"></a><var>148.19</var>assessment pursuant to Minnesota Rules, part 9530.6422.<br />
         		<a id="pl.148.20"></a><var>148.20</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br />
         		<a id="pl.148.21"></a><var>148.21</var>services or the commissioner's designated representative.<br />
         		<a id="pl.148.22"></a><var>148.22</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Department.</b> "Department" means the Department of Human Services.<br />
         		<a id="pl.148.23"></a><var>148.23</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Direct patient contact.</b> "Direct patient contact" has the meaning given <br />
         		<a id="pl.148.24"></a><var>148.24</var>for "direct contact" in section 245C.02, subdivision 11.<br />
         		<a id="pl.148.25"></a><var>148.25</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Discharge plan.</b> "Discharge plan" means a written plan that states with <br />
         		<a id="pl.148.26"></a><var>148.26</var>specificity the services the program has arranged for the patient to transition back
         into <br />
         		<a id="pl.148.27"></a><var>148.27</var>the community.<br />
         		<a id="pl.148.28"></a><var>148.28</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Licensed practitioner.</b> "Licensed practitioner" means a practitioner as <br />
         		<a id="pl.148.29"></a><var>148.29</var>defined in section 151.01, subdivision 23, who is authorized to prescribe.<br />
         		<a id="pl.148.30"></a><var>148.30</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Medical director.</b> "Medical director" means an individual licensed in <br />
         		<a id="pl.148.31"></a><var>148.31</var>Minnesota as a doctor of osteopathy or physician, or an individual licensed in Minnesota
         <br />
         		<a id="pl.148.32"></a><var>148.32</var>as an advanced practice registered nurse by the Board of Nursing and certified to
         practice <br />
         		<a id="pl.148.33"></a><var>148.33</var>as a clinical nurse specialist or nurse practitioner by a national nurse organization
         <br />
         		<a id="pl.148.34"></a><var>148.34</var>acceptable to the board. The medical director must be employed by or under contract
         with <br />
         		<a id="pl.148.35"></a><var>148.35</var>the license holder to direct and supervise health care for patients of a program licensed
         <br />
         		<a id="pl.148.36"></a><var>148.36</var>under this chapter.<br />
         		<a id="pl.149.1"></a><var>149.1</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Medically monitored program.</b> "Medically monitored program" means <br />
         		<a id="pl.149.2"></a><var>149.2</var>a residential setting with staff that includes a registered nurse and a medical director.
         A <br />
         		<a id="pl.149.3"></a><var>149.3</var>registered nurse must be on site 24 hours a day. A medical director must be on site
         seven <br />
         		<a id="pl.149.4"></a><var>149.4</var>days a week, and patients must have the ability to be seen by a medical director within
         24 <br />
         		<a id="pl.149.5"></a><var>149.5</var>hours. Patients admitted to this level of service receive medical observation, evaluation,
         <br />
         		<a id="pl.149.6"></a><var>149.6</var>and stabilization services during the detoxification process; medications administered
         by <br />
         		<a id="pl.149.7"></a><var>149.7</var>trained, licensed staff to manage withdrawal; and a comprehensive assessment pursuant
         to <br />
         		<a id="pl.149.8"></a><var>149.8</var>Minnesota Rules, part 9530.6422.<br />
         		<a id="pl.149.9"></a><var>149.9</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Nurse.</b> "Nurse" means a person licensed and currently registered to <br />
         		<a id="pl.149.10"></a><var>149.10</var>practice practical or professional nursing as defined in section 148.171, subdivisions
         <br />
         		<a id="pl.149.11"></a><var>149.11</var>14 and 15.<br />
         		<a id="pl.149.12"></a><var>149.12</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Patient.</b> "Patient" means an individual who presents or is presented for <br />
         		<a id="pl.149.13"></a><var>149.13</var>admission to a withdrawal management program that meets the criteria in section 245F.05.<br />
         		<a id="pl.149.14"></a><var>149.14</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Peer recovery support services.</b> "Peer recovery support services" <br />
         		<a id="pl.149.15"></a><var>149.15</var>means mentoring and education, advocacy, and nonclinical recovery support provided
         <br />
         		<a id="pl.149.16"></a><var>149.16</var>by a recovery peer.<br />
         		<a id="pl.149.17"></a><var>149.17</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Program director.</b> "Program director" means the individual who is <br />
         		<a id="pl.149.18"></a><var>149.18</var>designated by the license holder to be responsible for all operations of a withdrawal
         <br />
         		<a id="pl.149.19"></a><var>149.19</var>management program and who meets the qualifications specified in section 245F.15,
         <br />
         		<a id="pl.149.20"></a><var>149.20</var>subdivision 3.<br />
         		<a id="pl.149.21"></a><var>149.21</var>&#160;&#160;&#160;&#160;Subd. 19. <b>Protective procedure.</b> "Protective procedure" means an action taken by a <br />
         		<a id="pl.149.22"></a><var>149.22</var>staff member of a withdrawal management program to protect a patient from imminent
         <br />
         		<a id="pl.149.23"></a><var>149.23</var>danger of harming self or others. Protective procedures include the following actions:<br />
         		<a id="pl.149.24"></a><var>149.24</var>(1) seclusion, which means the temporary placement of a patient, without the <br />
         		<a id="pl.149.25"></a><var>149.25</var>patient's consent, in an environment to prevent social contact; and<br />
         		<a id="pl.149.26"></a><var>149.26</var>(2) physical restraint, which means the restraint of a patient by use of physical
         holds <br />
         		<a id="pl.149.27"></a><var>149.27</var>intended to limit movement of the body.<br />
         		<a id="pl.149.28"></a><var>149.28</var>&#160;&#160;&#160;&#160;Subd. 20. <b>Qualified medical professional.</b> "Qualified medical professional" <br />
         		<a id="pl.149.29"></a><var>149.29</var>means an individual licensed in Minnesota as a doctor of osteopathy or physician,
         or an <br />
         		<a id="pl.149.30"></a><var>149.30</var>individual licensed in Minnesota as an advanced practice registered nurse by the Board
         of <br />
         		<a id="pl.149.31"></a><var>149.31</var>Nursing and certified to practice as a clinical nurse specialist or nurse practitioner
         by a <br />
         		<a id="pl.149.32"></a><var>149.32</var>national nurse organization acceptable to the board.<br />
         		<a id="pl.149.33"></a><var>149.33</var>&#160;&#160;&#160;&#160;Subd. 21. <b>Recovery peer.</b> "Recovery peer" means a person who has progressed in <br />
         		<a id="pl.149.34"></a><var>149.34</var>the person's own recovery from substance use disorder and is willing to serve as a
         peer <br />
         		<a id="pl.149.35"></a><var>149.35</var>to assist others in their recovery.<br />
         		<a id="pl.150.1"></a><var>150.1</var>&#160;&#160;&#160;&#160;Subd. 22. <b>Responsible staff person.</b> "Responsible staff person" means the program <br />
         		<a id="pl.150.2"></a><var>150.2</var>director, the medical director, or a staff person with current licensure as a nurse
         in <br />
         		<a id="pl.150.3"></a><var>150.3</var>Minnesota. The responsible staff person must be on the premises and is authorized
         to <br />
         		<a id="pl.150.4"></a><var>150.4</var>make immediate decisions concerning patient care and safety.<br />
         		<a id="pl.150.5"></a><var>150.5</var>&#160;&#160;&#160;&#160;Subd. 23. <b>Substance.</b> "Substance" means "chemical" as defined in subdivision 6.<br />
         		<a id="pl.150.6"></a><var>150.6</var>&#160;&#160;&#160;&#160;Subd. 24. <b>Substance use disorder.</b> "Substance use disorder" means a pattern of <br />
         		<a id="pl.150.7"></a><var>150.7</var>substance use as defined in the current edition of the Diagnostic and Statistical
         Manual of <br />
         		<a id="pl.150.8"></a><var>150.8</var>Mental Disorders.<br />
         		<a id="pl.150.9"></a><var>150.9</var>&#160;&#160;&#160;&#160;Subd. 25. <b>Technician.</b> "Technician" means a person who meets the qualifications in <br />
         		<a id="pl.150.10"></a><var>150.10</var>section 245F.15, subdivision 6.<br />
         		<a id="pl.150.11"></a><var>150.11</var>&#160;&#160;&#160;&#160;Subd. 26. <b>Withdrawal management program.</b> "Withdrawal management <br />
         		<a id="pl.150.12"></a><var>150.12</var>program" means a licensed program that provides short-term medical services on <br />
         		<a id="pl.150.13"></a><var>150.13</var>a 24-hour basis for the purpose of stabilizing intoxicated patients, managing their
         <br />
         		<a id="pl.150.14"></a><var>150.14</var>withdrawal, and facilitating access to substance use disorder treatment as indicated
         by a <br />
         		<a id="pl.150.15"></a><var>150.15</var>comprehensive assessment.<br />
         		<br />
         		<a id="bill.3.3.0"></a><a id="pl.150.16"></a><var>150.16</var>&#160;&#160;&#160;&#160;Sec. 3. <b>[245F.03] APPLICATION.</b><br />
         		<a id="pl.150.17"></a><var>150.17</var>(a) This chapter establishes minimum standards for withdrawal management <br />
         		<a id="pl.150.18"></a><var>150.18</var>programs licensed by the commissioner that serve one or more unrelated persons. <br />
         		<a id="pl.150.19"></a><var>150.19</var>(b) This chapter does not apply to a withdrawal management program licensed as a <br />
         		<a id="pl.150.20"></a><var>150.20</var>hospital under sections 144.50 to 144.581. A withdrawal management program located
         in <br />
         		<a id="pl.150.21"></a><var>150.21</var>a hospital licensed under sections 144.50 to 144.581 that chooses to be licensed under
         this <br />
         		<a id="pl.150.22"></a><var>150.22</var>chapter is deemed to be in compliance with section 245F.13.<br />
         		<br />
         		<a id="bill.3.4.0"></a><a id="pl.150.23"></a><var>150.23</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[245F.04] PROGRAM LICENSURE.</b><br />
         		<a id="pl.150.24"></a><var>150.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General application and license requirements.</b> An applicant <br />
         		<a id="pl.150.25"></a><var>150.25</var>for licensure as a clinically managed withdrawal management program or medically <br />
         		<a id="pl.150.26"></a><var>150.26</var>monitored withdrawal management program must meet the following requirements, <br />
         		<a id="pl.150.27"></a><var>150.27</var>except where otherwise noted. All programs must comply with federal requirements and
         <br />
         		<a id="pl.150.28"></a><var>150.28</var>the general requirements in chapters 245A and 245C and sections 626.556, 626.557,
         and <br />
         		<a id="pl.150.29"></a><var>150.29</var>626.5572. A withdrawal management program must be located in a hospital licensed under
         <br />
         		<a id="pl.150.30"></a><var>150.30</var>sections 144.50 to 144.581, or must be a supervised living facility with a class B
         license <br />
         		<a id="pl.150.31"></a><var>150.31</var>from the Department of Health under Minnesota Rules, parts 4665.0100 to 4665.9900.<br />
         		<a id="pl.150.32"></a><var>150.32</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Contents of application.</b> Prior to the issuance of a license, an applicant <br />
         		<a id="pl.150.33"></a><var>150.33</var>must submit, on forms provided by the commissioner, documentation demonstrating <br />
         		<a id="pl.150.34"></a><var>150.34</var>the following:<br />
         		<a id="pl.151.1"></a><var>151.1</var>(1) compliance with this section;<br />
         		<a id="pl.151.2"></a><var>151.2</var>(2) compliance with applicable building, fire, and safety codes; health rules; zoning
         <br />
         		<a id="pl.151.3"></a><var>151.3</var>ordinances; and other applicable rules and regulations or documentation that a waiver
         <br />
         		<a id="pl.151.4"></a><var>151.4</var>has been granted. The granting of a waiver does not constitute modification of any
         <br />
         		<a id="pl.151.5"></a><var>151.5</var>requirement of this section;<br />
         		<a id="pl.151.6"></a><var>151.6</var>(3) completion of an assessment of need for a new or expanded program as required
         <br />
         		<a id="pl.151.7"></a><var>151.7</var>by Minnesota Rules, part 9530.6800; and<br />
         		<a id="pl.151.8"></a><var>151.8</var>(4) insurance coverage, including bonding, sufficient to cover all patient funds,
         <br />
         		<a id="pl.151.9"></a><var>151.9</var>property, and interests.<br />
         		<a id="pl.151.10"></a><var>151.10</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Changes in license terms.</b> (a) A license holder must notify the <br />
         		<a id="pl.151.11"></a><var>151.11</var>commissioner before one of the following occurs and the commissioner must determine
         <br />
         		<a id="pl.151.12"></a><var>151.12</var>the need for a new license:<br />
         		<a id="pl.151.13"></a><var>151.13</var>(1) a change in the Department of Health's licensure of the program;<br />
         		<a id="pl.151.14"></a><var>151.14</var>(2) a change in the medical services provided by the program that affects the <br />
         		<a id="pl.151.15"></a><var>151.15</var>program's capacity to provide services required by the program's license designation
         as a <br />
         		<a id="pl.151.16"></a><var>151.16</var>clinically managed program or medically monitored program;<br />
         		<a id="pl.151.17"></a><var>151.17</var>(3) a change in program capacity; or<br />
         		<a id="pl.151.18"></a><var>151.18</var>(4) a change in location.<br />
         		<a id="pl.151.19"></a><var>151.19</var>(b) A license holder must notify the commissioner and apply for a new license <br />
         		<a id="pl.151.20"></a><var>151.20</var>when a change in program ownership occurs.<br />
         		<a id="pl.151.21"></a><var>151.21</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Variances.</b> The commissioner may grant variances to the requirements of <br />
         		<a id="pl.151.22"></a><var>151.22</var>this chapter under section 245A.04, subdivision 9.<br />
         		<br />
         		<a id="bill.3.5.0"></a><a id="pl.151.23"></a><var>151.23</var>&#160;&#160;&#160;&#160;Sec. 5. <b>[245F.05] ADMISSION AND DISCHARGE POLICIES.</b><br />
         		<a id="pl.151.24"></a><var>151.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Admission policy.</b> A license holder must have a written admission <br />
         		<a id="pl.151.25"></a><var>151.25</var>policy containing specific admission criteria. The policy must describe the admission
         <br />
         		<a id="pl.151.26"></a><var>151.26</var>process and the point at which an individual who is eligible under subdivision 2 is
         <br />
         		<a id="pl.151.27"></a><var>151.27</var>admitted to the program. A license holder must not admit individuals who do not meet
         the <br />
         		<a id="pl.151.28"></a><var>151.28</var>admission criteria. The admission policy must be approved and signed by the medical
         <br />
         		<a id="pl.151.29"></a><var>151.29</var>director of the facility and must designate which staff members are authorized to
         admit <br />
         		<a id="pl.151.30"></a><var>151.30</var>and discharge patients. The admission policy must be posted in the area of the facility
         <br />
         		<a id="pl.151.31"></a><var>151.31</var>where patients are admitted and given to all interested individuals upon request.<br />
         		<a id="pl.151.32"></a><var>151.32</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Admission criteria.</b> For an individual to be admitted to a withdrawal <br />
         		<a id="pl.151.33"></a><var>151.33</var>management program, the program must make a determination that the program services
         <br />
         		<a id="pl.151.34"></a><var>151.34</var>are appropriate to the needs of the individual.  A program may only admit individuals
         who <br />
         		<a id="pl.151.35"></a><var>151.35</var>meet the admission criteria and who, at the time of admission:<br />
         		<a id="pl.152.1"></a><var>152.1</var>(1) are impaired as the result of intoxication;<br />
         		<a id="pl.152.2"></a><var>152.2</var>(2) are experiencing physical, mental, or emotional problems due to intoxication or
         <br />
         		<a id="pl.152.3"></a><var>152.3</var>withdrawal from alcohol or other drugs;<br />
         		<a id="pl.152.4"></a><var>152.4</var>(3) are being held under apprehend and hold orders under section 253B.07, <br />
         		<a id="pl.152.5"></a><var>152.5</var>subdivision 2b;<br />
         		<a id="pl.152.6"></a><var>152.6</var>(4) have been committed under chapter 253B, and need temporary placement;<br />
         		<a id="pl.152.7"></a><var>152.7</var>(5) are held under emergency holds or peace and health officer holds under section
         <br />
         		<a id="pl.152.8"></a><var>152.8</var>253B.05, subdivision 1 or 2; or<br />
         		<a id="pl.152.9"></a><var>152.9</var>(6) need to stay temporarily in a protective environment because of a crisis related
         <br />
         		<a id="pl.152.10"></a><var>152.10</var>to substance use disorder. Individuals satisfying this clause may be admitted only
         at the <br />
         		<a id="pl.152.11"></a><var>152.11</var>request of the county of fiscal responsibility, as determined according to section
         256G.02, <br />
         		<a id="pl.152.12"></a><var>152.12</var>subdivision 4. Individuals admitted according to this clause must not be restricted
         to <br />
         		<a id="pl.152.13"></a><var>152.13</var>the facility.<br />
         		<a id="pl.152.14"></a><var>152.14</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Individuals denied admission by program.</b> (a) A license holder must <br />
         		<a id="pl.152.15"></a><var>152.15</var>have a written policy and procedure for addressing the needs of individuals who are
         <br />
         		<a id="pl.152.16"></a><var>152.16</var>denied admission to the program. These individuals include:<br />
         		<a id="pl.152.17"></a><var>152.17</var>(1) individuals whose pregnancy, in combination with their presenting problem, <br />
         		<a id="pl.152.18"></a><var>152.18</var>requires services not provided by the program; and<br />
         		<a id="pl.152.19"></a><var>152.19</var>(2) individuals who are in imminent danger of harming self or others if their <br />
         		<a id="pl.152.20"></a><var>152.20</var>behavior is beyond the behavior management capabilities of the program and staff.<br />
         		<a id="pl.152.21"></a><var>152.21</var>(b) Programs must document denied admissions, including the date and time of <br />
         		<a id="pl.152.22"></a><var>152.22</var>the admission request, reason for the denial of admission, and where the individual
         was <br />
         		<a id="pl.152.23"></a><var>152.23</var>referred. If the individual did not receive a referral, the program must document
         why a <br />
         		<a id="pl.152.24"></a><var>152.24</var>referral was not made. This information must be documented on a form approved by the
         <br />
         		<a id="pl.152.25"></a><var>152.25</var>commissioner and made available to the commissioner upon request.<br />
         		<a id="pl.152.26"></a><var>152.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>License holder responsibilities; denying admission or terminating </b><br />
         		<a id="pl.152.27"></a><var>152.27</var><b>services.</b> (a) If a license holder denies an individual admission to the program or <br />
         		<a id="pl.152.28"></a><var>152.28</var>terminates services to a patient and the denial or termination poses an immediate
         threat to <br />
         		<a id="pl.152.29"></a><var>152.29</var>the patient's or individual's health or requires immediate medical intervention, the
         license <br />
         		<a id="pl.152.30"></a><var>152.30</var>holder must refer the patient or individual to a medical facility capable of admitting
         the <br />
         		<a id="pl.152.31"></a><var>152.31</var>patient or individual.<br />
         		<a id="pl.152.32"></a><var>152.32</var>(b) A license holder must report to a law enforcement agency with proper jurisdiction
         <br />
         		<a id="pl.152.33"></a><var>152.33</var>all denials of admission and terminations of services that involve the commission
         of a crime <br />
         		<a id="pl.152.34"></a><var>152.34</var>against a staff member of the license holder or on the license holder's property,
         as provided <br />
         		<a id="pl.152.35"></a><var>152.35</var>in Code of Federal Regulations, title 42, section 2.12(c)(5), and title 45, parts
         160 to 164.<br />
         		<a id="pl.153.1"></a><var>153.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Discharge and transfer policies.</b> A license holder must have a written <br />
         		<a id="pl.153.2"></a><var>153.2</var>policy and procedure, approved and signed by the medical director, that specifies
         <br />
         		<a id="pl.153.3"></a><var>153.3</var>conditions under which patients may be discharged or transferred. The policy must
         <br />
         		<a id="pl.153.4"></a><var>153.4</var>include the following:<br />
         		<a id="pl.153.5"></a><var>153.5</var>(1) guidelines for determining when a patient is medically stable and whether a <br />
         		<a id="pl.153.6"></a><var>153.6</var>patient is able to be discharged or transferred to a lower level of care;<br />
         		<a id="pl.153.7"></a><var>153.7</var>(2) guidelines for determining when a patient needs a transfer to a higher level of
         care. <br />
         		<a id="pl.153.8"></a><var>153.8</var>Clinically managed program guidelines must include guidelines for transfer to a medically
         <br />
         		<a id="pl.153.9"></a><var>153.9</var>monitored program, hospital, or other acute care facility. Medically monitored program
         <br />
         		<a id="pl.153.10"></a><var>153.10</var>guidelines must include guidelines for transfer to a hospital or other acute care
         facility;<br />
         		<a id="pl.153.11"></a><var>153.11</var>(3) procedures staff must follow when discharging a patient under each of the <br />
         		<a id="pl.153.12"></a><var>153.12</var>following circumstances:<br />
         		<a id="pl.153.13"></a><var>153.13</var>(i) the patient is involved in the commission of a crime against program staff or
         <br />
         		<a id="pl.153.14"></a><var>153.14</var>against a license holder's property. The procedures for a patient discharged under
         this <br />
         		<a id="pl.153.15"></a><var>153.15</var>item must specify how reports must be made to law enforcement agencies with proper
         <br />
         		<a id="pl.153.16"></a><var>153.16</var>jurisdiction as allowed under Code of Federal Regulations, title 42, section 2.12(c)(5),
         and <br />
         		<a id="pl.153.17"></a><var>153.17</var>title 45, parts 160 to 164;<br />
         		<a id="pl.153.18"></a><var>153.18</var>(ii) the patient is in imminent danger of harming self or others and is beyond the
         <br />
         		<a id="pl.153.19"></a><var>153.19</var>license holder's capacity to ensure safety;<br />
         		<a id="pl.153.20"></a><var>153.20</var>(iii) the patient was admitted under chapter 253B; or<br />
         		<a id="pl.153.21"></a><var>153.21</var>(iv) the patient is leaving against staff or medical advice; and<br />
         		<a id="pl.153.22"></a><var>153.22</var>(4) a requirement that staff must document where the patient was referred after <br />
         		<a id="pl.153.23"></a><var>153.23</var>discharge or transfer, and if a referral was not made, the reason the patient was
         not <br />
         		<a id="pl.153.24"></a><var>153.24</var>provided a referral.<br />
         		<br />
         		<a id="bill.3.6.0"></a><a id="pl.153.25"></a><var>153.25</var>&#160;&#160;&#160;&#160;Sec. 6. <b>[245F.06] SCREENING AND COMPREHENSIVE ASSESSMENT.</b><br />
         		<a id="pl.153.26"></a><var>153.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Screening for substance use disorder.</b> A nurse or an alcohol <br />
         		<a id="pl.153.27"></a><var>153.27</var>and drug counselor must screen each patient upon admission to determine whether a
         <br />
         		<a id="pl.153.28"></a><var>153.28</var>comprehensive assessment is indicated. The license holder must screen patients at
         <br />
         		<a id="pl.153.29"></a><var>153.29</var>each admission, except that if the patient has already been determined to suffer from
         a <br />
         		<a id="pl.153.30"></a><var>153.30</var>substance use disorder, subdivision 2 applies.<br />
         		<a id="pl.153.31"></a><var>153.31</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Comprehensive assessment.</b> (a) Prior to a medically stable discharge, <br />
         		<a id="pl.153.32"></a><var>153.32</var>but not later than 72 hours following admission, a license holder must provide a <br />
         		<a id="pl.153.33"></a><var>153.33</var>comprehensive assessment according to section 245.4863, paragraph (a), and Minnesota
         <br />
         		<a id="pl.153.34"></a><var>153.34</var>Rules, part 9530.6422, for each patient who has a positive screening for a substance
         use <br />
         		<a id="pl.153.35"></a><var>153.35</var>disorder. If a patient's medical condition prevents a comprehensive assessment from
         <br />
         		<a id="pl.154.1"></a><var>154.1</var>being completed within 72 hours, the license holder must document why the assessment
         <br />
         		<a id="pl.154.2"></a><var>154.2</var>was not completed. The comprehensive assessment must include documentation of the
         <br />
         		<a id="pl.154.3"></a><var>154.3</var>appropriateness of an involuntary referral through the civil commitment process.<br />
         		<a id="pl.154.4"></a><var>154.4</var>(b) If available to the program, a patient's previous comprehensive assessment may
         <br />
         		<a id="pl.154.5"></a><var>154.5</var>be used in the patient record. If a previously completed comprehensive assessment
         is used, <br />
         		<a id="pl.154.6"></a><var>154.6</var>its contents must be reviewed to ensure the assessment is accurate and current and
         complies <br />
         		<a id="pl.154.7"></a><var>154.7</var>with the requirements of this chapter.   The review must be completed by a staff person
         <br />
         		<a id="pl.154.8"></a><var>154.8</var>qualified according to Minnesota Rules, part 9530.6450, subpart 5. The license holder
         must <br />
         		<a id="pl.154.9"></a><var>154.9</var>document that the review was completed and that the previously completed assessment
         is <br />
         		<a id="pl.154.10"></a><var>154.10</var>accurate and current, or the license holder must complete an updated or new assessment.<br />
         		<br />
         		<a id="bill.3.7.0"></a><a id="pl.154.11"></a><var>154.11</var>&#160;&#160;&#160;&#160;Sec. 7. <b>[245F.07] STABILIZATION PLANNING.</b><br />
         		<a id="pl.154.12"></a><var>154.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Stabilization plan.</b> Within 12 hours of admission, a license <br />
         		<a id="pl.154.13"></a><var>154.13</var>holder must develop an individualized stabilization plan for each patient accepted
         for <br />
         		<a id="pl.154.14"></a><var>154.14</var>stabilization services. The plan must be based on the patient's initial health assessment
         <br />
         		<a id="pl.154.15"></a><var>154.15</var>and continually updated based on new information gathered about the patient's condition
         <br />
         		<a id="pl.154.16"></a><var>154.16</var>from the comprehensive assessment, medical evaluation and consultation, and ongoing
         <br />
         		<a id="pl.154.17"></a><var>154.17</var>monitoring and observations of the patient. The patient must have an opportunity to
         have <br />
         		<a id="pl.154.18"></a><var>154.18</var>direct involvement in the development of the plan. The stabilization plan must:<br />
         		<a id="pl.154.19"></a><var>154.19</var>(1) identify medical needs and goals to be achieved while the patient is receiving
         <br />
         		<a id="pl.154.20"></a><var>154.20</var>services;<br />
         		<a id="pl.154.21"></a><var>154.21</var>(2) specify stabilization services to address the identified medical needs and goals,
         <br />
         		<a id="pl.154.22"></a><var>154.22</var>including amount and frequency of services;<br />
         		<a id="pl.154.23"></a><var>154.23</var>(3) specify the participation of others in the stabilization planning process and
         <br />
         		<a id="pl.154.24"></a><var>154.24</var>specific services where appropriate; and <br />
         		<a id="pl.154.25"></a><var>154.25</var>(4) document the patient's participation in developing the content of the stabilization
         <br />
         		<a id="pl.154.26"></a><var>154.26</var>plan and any updates.<br />
         		<a id="pl.154.27"></a><var>154.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Progress notes.</b> Progress notes must be entered in the patient's file at least <br />
         		<a id="pl.154.28"></a><var>154.28</var>daily and immediately following any significant event, including any change that impacts
         <br />
         		<a id="pl.154.29"></a><var>154.29</var>the medical, behavioral, or legal status of the patient. Progress notes must:<br />
         		<a id="pl.154.30"></a><var>154.30</var>(1) include documentation of the patient's involvement in the stabilization services,
         <br />
         		<a id="pl.154.31"></a><var>154.31</var>including the type and amount of each stabilization service;<br />
         		<a id="pl.154.32"></a><var>154.32</var>(2) include the monitoring and observations of the patient's medical needs;<br />
         		<a id="pl.154.33"></a><var>154.33</var>(3) include documentation of referrals made to other services or agencies;<br />
         		<a id="pl.154.34"></a><var>154.34</var>(4) specify the participation of others; and<br />
         		<a id="pl.154.35"></a><var>154.35</var>(5) be legible, signed, and dated by the staff person completing the documentation.<br />
         		<a id="pl.155.1"></a><var>155.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Discharge plan.</b> Before a patient leaves the facility, the license holder <br />
         		<a id="pl.155.2"></a><var>155.2</var>must conduct discharge planning for the patient, document discharge planning in the
         <br />
         		<a id="pl.155.3"></a><var>155.3</var>patient's record, and provide the patient with a copy of the discharge plan. The discharge
         <br />
         		<a id="pl.155.4"></a><var>155.4</var>plan must include:<br />
         		<a id="pl.155.5"></a><var>155.5</var>(1) referrals made to other services or agencies at the time of transition;<br />
         		<a id="pl.155.6"></a><var>155.6</var>(2) the patient's plan for follow-up, aftercare, or other poststabilization services;<br />
         		<a id="pl.155.7"></a><var>155.7</var>(3) documentation of the patient's participation in the development of the transition
         <br />
         		<a id="pl.155.8"></a><var>155.8</var>plan;<br />
         		<a id="pl.155.9"></a><var>155.9</var>(4) any service that will continue after discharge under the direction of the license
         <br />
         		<a id="pl.155.10"></a><var>155.10</var>holder; and<br />
         		<a id="pl.155.11"></a><var>155.11</var>(5) a stabilization summary and final evaluation of the patient's progress toward
         <br />
         		<a id="pl.155.12"></a><var>155.12</var>treatment objectives.<br />
         		<br />
         		<a id="bill.3.8.0"></a><a id="pl.155.13"></a><var>155.13</var>&#160;&#160;&#160;&#160;Sec. 8. <b>[245F.08] STABILIZATION SERVICES.</b><br />
         		<a id="pl.155.14"></a><var>155.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General.</b> The license holder must encourage patients to remain in <br />
         		<a id="pl.155.15"></a><var>155.15</var>care for an appropriate duration as determined by the patient's stabilization plan,
         and must <br />
         		<a id="pl.155.16"></a><var>155.16</var>encourage all patients to enter programs for ongoing recovery as clinically indicated.
         In <br />
         		<a id="pl.155.17"></a><var>155.17</var>addition, the license holder must offer services that are patient-centered, trauma-informed,
         <br />
         		<a id="pl.155.18"></a><var>155.18</var>and culturally appropriate. Culturally appropriate services must include translation
         services <br />
         		<a id="pl.155.19"></a><var>155.19</var>and dietary services that meet a patient's dietary needs. All services provided to
         the patient <br />
         		<a id="pl.155.20"></a><var>155.20</var>must be documented in the patient's medical record. The following services must be
         <br />
         		<a id="pl.155.21"></a><var>155.21</var>offered unless clinically inappropriate and the justifying clinical rationale is documented:<br />
         		<a id="pl.155.22"></a><var>155.22</var>(1) individual or group motivational counseling sessions;<br />
         		<a id="pl.155.23"></a><var>155.23</var>(2) individual advocacy and case management services;<br />
         		<a id="pl.155.24"></a><var>155.24</var>(3) medical services as required in section 245F.12;<br />
         		<a id="pl.155.25"></a><var>155.25</var>(4) care coordination provided according to subdivision 2;<br />
         		<a id="pl.155.26"></a><var>155.26</var>(5) peer recovery support services provided according to subdivision 3;<br />
         		<a id="pl.155.27"></a><var>155.27</var>(6) patient education provided according to subdivision 4; and<br />
         		<a id="pl.155.28"></a><var>155.28</var>(7) referrals to mutual aid, self-help, and support groups.<br />
         		<a id="pl.155.29"></a><var>155.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Care coordination.</b> Care coordination services must be initiated for each <br />
         		<a id="pl.155.30"></a><var>155.30</var>patient upon admission. The license holder must identify the staff person responsible
         for <br />
         		<a id="pl.155.31"></a><var>155.31</var>the provision of each service. Care coordination services must include:<br />
         		<a id="pl.155.32"></a><var>155.32</var>(1) coordination with significant others to assist in the stabilization planning process
         <br />
         		<a id="pl.155.33"></a><var>155.33</var>whenever possible;<br />
         		<a id="pl.155.34"></a><var>155.34</var>(2) coordination with and follow-up to appropriate medical services as identified
         by <br />
         		<a id="pl.155.35"></a><var>155.35</var>the nurse or licensed practitioner;<br />
         		<a id="pl.156.1"></a><var>156.1</var>(3) referral to substance use disorder services as indicated by the comprehensive
         <br />
         		<a id="pl.156.2"></a><var>156.2</var>assessment;<br />
         		<a id="pl.156.3"></a><var>156.3</var>(4) referral to mental health services as identified in the comprehensive assessment;<br />
         		<a id="pl.156.4"></a><var>156.4</var>(5) referrals to economic assistance, social services, and prenatal care in accordance
         <br />
         		<a id="pl.156.5"></a><var>156.5</var>with the patient's needs;<br />
         		<a id="pl.156.6"></a><var>156.6</var>(6) review and approval of the transition plan prior to discharge, except in an <br />
         		<a id="pl.156.7"></a><var>156.7</var>emergency, by a staff member able to provide direct patient contact;<br />
         		<a id="pl.156.8"></a><var>156.8</var>(7) documentation of the provision of care coordination services in the patient's
         <br />
         		<a id="pl.156.9"></a><var>156.9</var>file; and<br />
         		<a id="pl.156.10"></a><var>156.10</var>(8) addressing cultural and socioeconomic factors affecting the patient's access to
         <br />
         		<a id="pl.156.11"></a><var>156.11</var>services.<br />
         		<a id="pl.156.12"></a><var>156.12</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Peer recovery support services.</b> (a) Peers in recovery serve as mentors or <br />
         		<a id="pl.156.13"></a><var>156.13</var>recovery-support partners for individuals in recovery, and may provide encouragement,
         <br />
         		<a id="pl.156.14"></a><var>156.14</var>self-disclosure of recovery experiences, transportation to appointments, assistance
         with <br />
         		<a id="pl.156.15"></a><var>156.15</var>finding resources that will help locate housing, job search resources, and assistance
         finding <br />
         		<a id="pl.156.16"></a><var>156.16</var>and participating in support groups.<br />
         		<a id="pl.156.17"></a><var>156.17</var>(b) Peer recovery support services are provided by a recovery peer and must be <br />
         		<a id="pl.156.18"></a><var>156.18</var>supervised by the responsible staff person.<br />
         		<a id="pl.156.19"></a><var>156.19</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Patient education.</b> A license holder must provide education to each <br />
         		<a id="pl.156.20"></a><var>156.20</var>patient on the following:<br />
         		<a id="pl.156.21"></a><var>156.21</var>(1) substance use disorder, including the effects of alcohol and other drugs, specific
         <br />
         		<a id="pl.156.22"></a><var>156.22</var>information about the effects of substance use on unborn children, and the signs and
         <br />
         		<a id="pl.156.23"></a><var>156.23</var>symptoms of fetal alcohol spectrum disorders;<br />
         		<a id="pl.156.24"></a><var>156.24</var>(2) tuberculosis and reporting known cases of tuberculosis disease to health care
         <br />
         		<a id="pl.156.25"></a><var>156.25</var>authorities according to section 144.4804;<br />
         		<a id="pl.156.26"></a><var>156.26</var>(3) Hepatitis C treatment and prevention;<br />
         		<a id="pl.156.27"></a><var>156.27</var>(4) HIV as required in section 245A.19, paragraphs (b) and (c);<br />
         		<a id="pl.156.28"></a><var>156.28</var>(5) nicotine cessation options, if applicable;<br />
         		<a id="pl.156.29"></a><var>156.29</var>(6) opioid tolerance and overdose risks, if applicable; and<br />
         		<a id="pl.156.30"></a><var>156.30</var>(7) long-term withdrawal issues related to use of barbiturates and benzodiazepines,
         <br />
         		<a id="pl.156.31"></a><var>156.31</var>if applicable.<br />
         		<a id="pl.156.32"></a><var>156.32</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Mutual aid, self-help, and support groups.</b> The license holder must <br />
         		<a id="pl.156.33"></a><var>156.33</var>refer patients to mutual aid, self-help, and support groups when clinically indicated
         and <br />
         		<a id="pl.156.34"></a><var>156.34</var>to the extent available in the community.<br />
         		<br />
         		<a id="bill.3.9.0"></a><a id="pl.156.35"></a><var>156.35</var>&#160;&#160;&#160;&#160;Sec. 9. <b>[245F.09] PROTECTIVE PROCEDURES.</b><br />
         		<a id="pl.157.1"></a><var>157.1</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Use of protective procedures.</b> (a) Programs must incorporate <br />
         		<a id="pl.157.2"></a><var>157.2</var>person-centered planning and trauma-informed care into its protective procedure policies.
         <br />
         		<a id="pl.157.3"></a><var>157.3</var>Protective procedures may be used only in cases where a less restrictive alternative
         will <br />
         		<a id="pl.157.4"></a><var>157.4</var>not protect the patient or others from harm and when the patient is in imminent danger
         <br />
         		<a id="pl.157.5"></a><var>157.5</var>of harming self or others. When a program uses a protective procedure, the program
         <br />
         		<a id="pl.157.6"></a><var>157.6</var>must continuously observe the patient until the patient may safely be left for 15-minute
         <br />
         		<a id="pl.157.7"></a><var>157.7</var>intervals. Use of the procedure must end when the patient is no longer in imminent
         danger <br />
         		<a id="pl.157.8"></a><var>157.8</var>of harming self or others.<br />
         		<a id="pl.157.9"></a><var>157.9</var>(b) Protective procedures may not be used:<br />
         		<a id="pl.157.10"></a><var>157.10</var>(1) for disciplinary purposes;<br />
         		<a id="pl.157.11"></a><var>157.11</var>(2) to enforce program rules;<br />
         		<a id="pl.157.12"></a><var>157.12</var>(3) for the convenience of staff;<br />
         		<a id="pl.157.13"></a><var>157.13</var>(4) as a part of any patient's health monitoring plan; or<br />
         		<a id="pl.157.14"></a><var>157.14</var>(5) for any reason except in response to specific, current behaviors which create
         an <br />
         		<a id="pl.157.15"></a><var>157.15</var>imminent danger of harm to the patient or others.<br />
         		<a id="pl.157.16"></a><var>157.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Protective procedures plan.</b> A license holder must have a written policy <br />
         		<a id="pl.157.17"></a><var>157.17</var>and procedure that establishes the protective procedures that program staff must follow
         <br />
         		<a id="pl.157.18"></a><var>157.18</var>when a patient is in imminent danger of harming self or others. The policy must be
         <br />
         		<a id="pl.157.19"></a><var>157.19</var>appropriate to the type of facility and the level of staff training. The protective
         procedures <br />
         		<a id="pl.157.20"></a><var>157.20</var>policy must include:<br />
         		<a id="pl.157.21"></a><var>157.21</var>(1) an approval signed and dated by the program director and medical director prior
         <br />
         		<a id="pl.157.22"></a><var>157.22</var>to implementation. Any changes to the policy must also be approved, signed, and dated
         by <br />
         		<a id="pl.157.23"></a><var>157.23</var>the current program director and the medical director prior to implementation;<br />
         		<a id="pl.157.24"></a><var>157.24</var>(2) which protective procedures the license holder will use to prevent patients from
         <br />
         		<a id="pl.157.25"></a><var>157.25</var>imminent danger of harming self or others;<br />
         		<a id="pl.157.26"></a><var>157.26</var>(3) the emergency conditions under which the protective procedures are permitted <br />
         		<a id="pl.157.27"></a><var>157.27</var>to be used, if any;<br />
         		<a id="pl.157.28"></a><var>157.28</var>(4) the patient's health conditions that limit the specific procedures that may be
         used <br />
         		<a id="pl.157.29"></a><var>157.29</var>and alternative means of ensuring safety;<br />
         		<a id="pl.157.30"></a><var>157.30</var>(5) emergency resources the program staff must contact when a patient's behavior <br />
         		<a id="pl.157.31"></a><var>157.31</var>cannot be controlled by the procedures established in the policy;<br />
         		<a id="pl.157.32"></a><var>157.32</var>(6) the training that staff must have before using any protective procedure;<br />
         		<a id="pl.157.33"></a><var>157.33</var>(7) documentation of approved therapeutic holds;<br />
         		<a id="pl.157.34"></a><var>157.34</var>(8) the use of law enforcement personnel as described in subdivision 4;<br />
         		<a id="pl.158.1"></a><var>158.1</var>(9) standards governing emergency use of seclusion. Seclusion must be used only <br />
         		<a id="pl.158.2"></a><var>158.2</var>when less restrictive measures are ineffective or not feasible. The standards in items
         (i) to <br />
         		<a id="pl.158.3"></a><var>158.3</var>(vii) must be met when seclusion is used with a patient:<br />
         		<a id="pl.158.4"></a><var>158.4</var>(i) seclusion must be employed solely for the purpose of preventing a patient from
         <br />
         		<a id="pl.158.5"></a><var>158.5</var>imminent danger of harming self or others;<br />
         		<a id="pl.158.6"></a><var>158.6</var>(ii) seclusion rooms must be equipped in a manner that prevents patients from <br />
         		<a id="pl.158.7"></a><var>158.7</var>self-harm using projections, windows, electrical fixtures, or hard objects, and must
         allow <br />
         		<a id="pl.158.8"></a><var>158.8</var>the patient to be readily observed without being interrupted;<br />
         		<a id="pl.158.9"></a><var>158.9</var>(iii) seclusion must be authorized by the program director, a licensed physician,
         or <br />
         		<a id="pl.158.10"></a><var>158.10</var>a registered nurse. If one of these individuals is not present in the facility, the
         program <br />
         		<a id="pl.158.11"></a><var>158.11</var>director or a licensed physician or registered nurse must be contacted and authorization
         <br />
         		<a id="pl.158.12"></a><var>158.12</var>must be obtained within 30 minutes of initiating seclusion, according to written policies;<br />
         		<a id="pl.158.13"></a><var>158.13</var>(iv) patients must not be placed in seclusion for more than 12 hours at any one time;<br />
         		<a id="pl.158.14"></a><var>158.14</var>(v) once the condition of a patient in seclusion has been determined to be safe <br />
         		<a id="pl.158.15"></a><var>158.15</var>enough to end continuous observation, a patient in seclusion must be observed at a
         <br />
         		<a id="pl.158.16"></a><var>158.16</var>minimum of every 15 minutes for the duration of seclusion and must always be within
         <br />
         		<a id="pl.158.17"></a><var>158.17</var>hearing range of program staff;<br />
         		<a id="pl.158.18"></a><var>158.18</var>(vi) a process for program staff to use to remove a patient to other resources available
         <br />
         		<a id="pl.158.19"></a><var>158.19</var>to the facility if seclusion does not sufficiently assure patient safety; and<br />
         		<a id="pl.158.20"></a><var>158.20</var>(vii) a seclusion area may be used for other purposes, such as intensive observation,
         if <br />
         		<a id="pl.158.21"></a><var>158.21</var>the room meets normal standards of care for the purpose and if the room is not locked;
         and<br />
         		<a id="pl.158.22"></a><var>158.22</var>(10) physical holds may only be used when less restrictive measures are not feasible.
         <br />
         		<a id="pl.158.23"></a><var>158.23</var>The standards in items (i) to (iv) must be met when physical holds are used with a
         patient:<br />
         		<a id="pl.158.24"></a><var>158.24</var>(i) physical holds must be employed solely for preventing a patient from imminent
         <br />
         		<a id="pl.158.25"></a><var>158.25</var>danger of harming self or others;<br />
         		<a id="pl.158.26"></a><var>158.26</var>(ii) physical holds must be authorized by the program director, a licensed physician,
         <br />
         		<a id="pl.158.27"></a><var>158.27</var>or a registered nurse. If one of these individuals is not present in the facility,
         the program <br />
         		<a id="pl.158.28"></a><var>158.28</var>director or a licensed physician or a registered nurse must be contacted and authorization
         <br />
         		<a id="pl.158.29"></a><var>158.29</var>must be obtained within 30 minutes of initiating a physical hold, according to written
         <br />
         		<a id="pl.158.30"></a><var>158.30</var>policies;<br />
         		<a id="pl.158.31"></a><var>158.31</var>(iii) the patient's health concerns must be considered in deciding whether to use
         <br />
         		<a id="pl.158.32"></a><var>158.32</var>physical holds and which holds are appropriate for the patient; and<br />
         		<a id="pl.158.33"></a><var>158.33</var>(iv) only approved holds may be utilized. Prone holds are not allowed and must <br />
         		<a id="pl.158.34"></a><var>158.34</var>not be authorized.<br />
         		<a id="pl.158.35"></a><var>158.35</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Records.</b> Each use of a protective procedure must be documented in the <br />
         		<a id="pl.158.36"></a><var>158.36</var>patient record. The patient record must include:<br />
         		<a id="pl.159.1"></a><var>159.1</var>(1) a description of specific patient behavior precipitating a decision to use a <br />
         		<a id="pl.159.2"></a><var>159.2</var>protective procedure, including date, time, and program staff present;<br />
         		<a id="pl.159.3"></a><var>159.3</var>(2) the specific means used to limit the patient's behavior;<br />
         		<a id="pl.159.4"></a><var>159.4</var>(3) the time the protective procedure began, the time the protective procedure ended,
         <br />
         		<a id="pl.159.5"></a><var>159.5</var>and the time of each staff observation of the patient during the procedure;<br />
         		<a id="pl.159.6"></a><var>159.6</var>(4) the names of the program staff authorizing the use of the protective procedure,
         <br />
         		<a id="pl.159.7"></a><var>159.7</var>the time of the authorization, and the program staff directly involved in the protective
         <br />
         		<a id="pl.159.8"></a><var>159.8</var>procedure and the observation process;<br />
         		<a id="pl.159.9"></a><var>159.9</var>(5) a brief description of the purpose for using the protective procedure, including
         <br />
         		<a id="pl.159.10"></a><var>159.10</var>less restrictive interventions used prior to the decision to use the protective procedure
         <br />
         		<a id="pl.159.11"></a><var>159.11</var>and a description of the behavioral results obtained through the use of the procedure.
         If <br />
         		<a id="pl.159.12"></a><var>159.12</var>a less restrictive intervention was not used, the reasons for not using a less restrictive
         <br />
         		<a id="pl.159.13"></a><var>159.13</var>intervention must be documented;<br />
         		<a id="pl.159.14"></a><var>159.14</var>(6) documentation by the responsible staff person on duty of reassessment of the <br />
         		<a id="pl.159.15"></a><var>159.15</var>patient at least every 15 minutes to determine if seclusion or the physical hold can
         be <br />
         		<a id="pl.159.16"></a><var>159.16</var>terminated;<br />
         		<a id="pl.159.17"></a><var>159.17</var>(7) a description of the physical holds used in escorting a patient; and<br />
         		<a id="pl.159.18"></a><var>159.18</var>(8) any injury to the patient that occurred during the use of a protective procedure.<br />
         		<a id="pl.159.19"></a><var>159.19</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Use of law enforcement.</b> The program must maintain a central log <br />
         		<a id="pl.159.20"></a><var>159.20</var>documenting each incident involving use of law enforcement, including:<br />
         		<a id="pl.159.21"></a><var>159.21</var>(1) the date and time law enforcement arrived at and left the program;<br />
         		<a id="pl.159.22"></a><var>159.22</var>(2) the reason for the use of law enforcement;<br />
         		<a id="pl.159.23"></a><var>159.23</var>(3) if law enforcement used force or a protective procedure and which protective <br />
         		<a id="pl.159.24"></a><var>159.24</var>procedure was used; and<br />
         		<a id="pl.159.25"></a><var>159.25</var>(4) whether any injuries occurred.<br />
         		<a id="pl.159.26"></a><var>159.26</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Administrative review.</b> (a) The license holder must keep a record of all <br />
         		<a id="pl.159.27"></a><var>159.27</var>patient incidents and protective procedures used.  An administrative review of each
         use <br />
         		<a id="pl.159.28"></a><var>159.28</var>of protective procedures must be completed within 72 hours by someone other than the
         <br />
         		<a id="pl.159.29"></a><var>159.29</var>person who used the protective procedure. The record of the administrative review
         of the <br />
         		<a id="pl.159.30"></a><var>159.30</var>use of protective procedures must state whether:<br />
         		<a id="pl.159.31"></a><var>159.31</var>(1) the required documentation was recorded for each use of a protective procedure;<br />
         		<a id="pl.159.32"></a><var>159.32</var>(2) the protective procedure was used according to the policy and procedures;<br />
         		<a id="pl.159.33"></a><var>159.33</var>(3) the staff who implemented the protective procedure was properly trained; and<br />
         		<a id="pl.159.34"></a><var>159.34</var>(4) the behavior met the standards for imminent danger of harming self or others.<br />
         		<a id="pl.160.1"></a><var>160.1</var>(b) The license holder must conduct and document a quarterly review of the use of
         <br />
         		<a id="pl.160.2"></a><var>160.2</var>protective procedures with the goal of reducing the use of protective procedures.
         The <br />
         		<a id="pl.160.3"></a><var>160.3</var>review must include:<br />
         		<a id="pl.160.4"></a><var>160.4</var>(1) any patterns or problems indicated by similarities in the time of day, day of
         the <br />
         		<a id="pl.160.5"></a><var>160.5</var>week, duration of the use of a protective procedure, individuals involved, or other
         factors <br />
         		<a id="pl.160.6"></a><var>160.6</var>associated with the use of protective procedures;<br />
         		<a id="pl.160.7"></a><var>160.7</var>(2) any injuries resulting from the use of protective procedures;<br />
         		<a id="pl.160.8"></a><var>160.8</var>(3) whether law enforcement was involved in the use of a protective procedure;<br />
         		<a id="pl.160.9"></a><var>160.9</var>(4) actions needed to correct deficiencies in the program's implementation of <br />
         		<a id="pl.160.10"></a><var>160.10</var>protective procedures;<br />
         		<a id="pl.160.11"></a><var>160.11</var>(5) an assessment of opportunities missed to avoid the use of protective procedures;
         <br />
         		<a id="pl.160.12"></a><var>160.12</var>and<br />
         		<a id="pl.160.13"></a><var>160.13</var>(6) proposed actions to be taken to minimize the use of protective procedures.<br />
         		<br />
         		<a id="bill.3.10.0"></a><a id="pl.160.14"></a><var>160.14</var>&#160;&#160;&#160;&#160;Sec. 10. <b>[245F.10] PATIENT RIGHTS AND GRIEVANCE PROCEDURES.</b><br />
         		<a id="pl.160.15"></a><var>160.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Patient rights.</b> Patients have the rights in sections 144.651, <br />
         		<a id="pl.160.16"></a><var>160.16</var>148F.165, and 253B.03, as applicable. The license holder must give each patient, upon
         <br />
         		<a id="pl.160.17"></a><var>160.17</var>admission, a written statement of patient rights. Program staff must review the statement
         <br />
         		<a id="pl.160.18"></a><var>160.18</var>with the patient.<br />
         		<a id="pl.160.19"></a><var>160.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Grievance procedure.</b> Upon admission, the license holder must explain <br />
         		<a id="pl.160.20"></a><var>160.20</var>the grievance procedure to the patient or patient's representative and give the patient
         a <br />
         		<a id="pl.160.21"></a><var>160.21</var>written copy of the procedure. The grievance procedure must be posted in a place visible
         <br />
         		<a id="pl.160.22"></a><var>160.22</var>to the patient and must be made available to current and former patients upon request.
         A <br />
         		<a id="pl.160.23"></a><var>160.23</var>license holder's written grievance procedure must include:<br />
         		<a id="pl.160.24"></a><var>160.24</var>(1) staff assistance in developing and processing the grievance;<br />
         		<a id="pl.160.25"></a><var>160.25</var>(2) an initial response to the patient who filed the grievance within 24 hours of
         the <br />
         		<a id="pl.160.26"></a><var>160.26</var>program's receipt of the grievance, and timelines for additional steps to be taken
         to resolve <br />
         		<a id="pl.160.27"></a><var>160.27</var>the grievance, including access to the person with the highest level of authority
         in the <br />
         		<a id="pl.160.28"></a><var>160.28</var>program if the grievance cannot be resolved by other staff members; and<br />
         		<a id="pl.160.29"></a><var>160.29</var>(3) the current addresses and telephone numbers of the Department of Human <br />
         		<a id="pl.160.30"></a><var>160.30</var>Services Licensing Division, Department of Health Office of Health Facilities Complaints,
         <br />
         		<a id="pl.160.31"></a><var>160.31</var>Board of Behavioral Health and Therapy, Board of Medical Practice, Board of Nursing,
         <br />
         		<a id="pl.160.32"></a><var>160.32</var>and Office of the Ombudsman for Mental Health and Developmental Disabilities.<br />
         		<br />
         		<a id="bill.3.11.0"></a><a id="pl.160.33"></a><var>160.33</var>&#160;&#160;&#160;&#160;Sec. 11. <b>[245F.11] PATIENT PROPERTY MANAGEMENT.</b><br />
         		<a id="pl.161.1"></a><var>161.1</var>A license holder must meet the requirements for handling patient funds and property
         <br />
         		<a id="pl.161.2"></a><var>161.2</var>in section 245A.04, subdivision 13, except:<br />
         		<a id="pl.161.3"></a><var>161.3</var>(1) a license holder must establish policies regarding the use of personal property
         to <br />
         		<a id="pl.161.4"></a><var>161.4</var>assure that program activities and the rights of other patients are not infringed,
         and may <br />
         		<a id="pl.161.5"></a><var>161.5</var>take temporary custody of personal property if these policies are violated;<br />
         		<a id="pl.161.6"></a><var>161.6</var>(2) a license holder must retain the patient's property for a minimum of seven days
         <br />
         		<a id="pl.161.7"></a><var>161.7</var>after discharge if the patient does not reclaim the property after discharge; and<br />
         		<a id="pl.161.8"></a><var>161.8</var>(3) the license holder must return to the patient all of the patient's property held
         in <br />
         		<a id="pl.161.9"></a><var>161.9</var>trust at discharge, regardless of discharge status, except that:<br />
         		<a id="pl.161.10"></a><var>161.10</var>(i) drugs, drug paraphernalia, and drug containers that are subject to forfeiture
         under <br />
         		<a id="pl.161.11"></a><var>161.11</var>section 609.5316 must be given over to the custody of a local law enforcement agency
         or, <br />
         		<a id="pl.161.12"></a><var>161.12</var>if giving the property over to the custody of a local law enforcement agency would
         violate <br />
         		<a id="pl.161.13"></a><var>161.13</var>Code of Federal Regulations, title 42, sections 2.1 to 2.67, and title 45, parts 160
         to 164, <br />
         		<a id="pl.161.14"></a><var>161.14</var>destroyed by a staff person designated by the program director; and<br />
         		<a id="pl.161.15"></a><var>161.15</var>(ii) weapons, explosives, and other property that may cause serious harm to self <br />
         		<a id="pl.161.16"></a><var>161.16</var>or others must be transferred to a local law enforcement agency. The patient must
         be <br />
         		<a id="pl.161.17"></a><var>161.17</var>notified of the transfer and the right to reclaim the property if the patient has
         a legal right <br />
         		<a id="pl.161.18"></a><var>161.18</var>to possess the item.<br />
         		<br />
         		<a id="bill.3.12.0"></a><a id="pl.161.19"></a><var>161.19</var>&#160;&#160;&#160;&#160;Sec. 12. <b>[245F.12] MEDICAL SERVICES.</b><br />
         		<a id="pl.161.20"></a><var>161.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Services provided at all programs.</b> Withdrawal management <br />
         		<a id="pl.161.21"></a><var>161.21</var>programs must have:<br />
         		<a id="pl.161.22"></a><var>161.22</var>(1) a standardized data collection tool for collecting health-related information
         about <br />
         		<a id="pl.161.23"></a><var>161.23</var>each patient. The data collection tool must be developed in collaboration with a registered
         <br />
         		<a id="pl.161.24"></a><var>161.24</var>nurse and approved and signed by the medical director; and<br />
         		<a id="pl.161.25"></a><var>161.25</var>(2) written procedures for a nurse to assess and monitor patient health within the
         <br />
         		<a id="pl.161.26"></a><var>161.26</var>nurse's scope of practice. The procedures must:<br />
         		<a id="pl.161.27"></a><var>161.27</var>(i) be approved by the medical director;<br />
         		<a id="pl.161.28"></a><var>161.28</var>(ii) include a follow-up screening conducted between four and 12 hours after service
         <br />
         		<a id="pl.161.29"></a><var>161.29</var>initiation to collect information relating to acute intoxication, other health complaints,
         and <br />
         		<a id="pl.161.30"></a><var>161.30</var>behavioral risk factors that the patient may not have communicated at service initiation;<br />
         		<a id="pl.161.31"></a><var>161.31</var>(iii) specify the physical signs and symptoms that, when present, require consultation
         <br />
         		<a id="pl.161.32"></a><var>161.32</var>with a registered nurse or a physician and that require transfer to an acute care
         facility or <br />
         		<a id="pl.161.33"></a><var>161.33</var>a higher level of care than that provided by the program;<br />
         		<a id="pl.161.34"></a><var>161.34</var>(iv) specify those staff members responsible for monitoring patient health and <br />
         		<a id="pl.161.35"></a><var>161.35</var>provide for hourly observation and for more frequent observation if the initial health
         <br />
         		<a id="pl.162.1"></a><var>162.1</var>assessment or follow-up screening indicates a need for intensive physical or behavioral
         <br />
         		<a id="pl.162.2"></a><var>162.2</var>health monitoring; and<br />
         		<a id="pl.162.3"></a><var>162.3</var>(v) specify the actions to be taken to address specific complicating conditions, <br />
         		<a id="pl.162.4"></a><var>162.4</var>including pregnancy or the presence of physical signs or symptoms of any other medical
         <br />
         		<a id="pl.162.5"></a><var>162.5</var>condition.<br />
         		<a id="pl.162.6"></a><var>162.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Services provided at clinically managed programs.</b> In addition to the <br />
         		<a id="pl.162.7"></a><var>162.7</var>services listed in subdivision 1, clinically managed programs must:<br />
         		<a id="pl.162.8"></a><var>162.8</var>(1) have a licensed practical nurse on site 24 hours a day and a medical director;<br />
         		<a id="pl.162.9"></a><var>162.9</var>(2) provide an initial health assessment conducted by a nurse upon admission;<br />
         		<a id="pl.162.10"></a><var>162.10</var>(3) provide daily on-site medical evaluation by a nurse;<br />
         		<a id="pl.162.11"></a><var>162.11</var>(4) have a registered nurse available by telephone or in person for consultation <br />
         		<a id="pl.162.12"></a><var>162.12</var>24 hours a day;<br />
         		<a id="pl.162.13"></a><var>162.13</var>(5) have a qualified medical professional available by telephone or in person for
         <br />
         		<a id="pl.162.14"></a><var>162.14</var>consultation 24 hours a day; and<br />
         		<a id="pl.162.15"></a><var>162.15</var>(6) have appropriately licensed staff available to administer medications according
         <br />
         		<a id="pl.162.16"></a><var>162.16</var>to prescriber-approved orders.<br />
         		<a id="pl.162.17"></a><var>162.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Services provided at medically monitored programs.</b> In addition to the <br />
         		<a id="pl.162.18"></a><var>162.18</var>services listed in subdivision 1, medically monitored programs must have a registered
         <br />
         		<a id="pl.162.19"></a><var>162.19</var>nurse on site 24 hours a day and a medical director. Medically monitored programs
         must <br />
         		<a id="pl.162.20"></a><var>162.20</var>provide intensive inpatient withdrawal management services which must include:<br />
         		<a id="pl.162.21"></a><var>162.21</var>(1) an initial health assessment conducted by a registered nurse upon admission;<br />
         		<a id="pl.162.22"></a><var>162.22</var>(2) the availability of a medical evaluation and consultation with a registered nurse
         <br />
         		<a id="pl.162.23"></a><var>162.23</var>24 hours a day;<br />
         		<a id="pl.162.24"></a><var>162.24</var>(3) the availability of a qualified medical professional by telephone or in person
         <br />
         		<a id="pl.162.25"></a><var>162.25</var>for consultation 24 hours a day;<br />
         		<a id="pl.162.26"></a><var>162.26</var>(4) the ability to be seen within 24 hours or sooner by a qualified medical <br />
         		<a id="pl.162.27"></a><var>162.27</var>professional if the initial health assessment indicates the need to be seen;<br />
         		<a id="pl.162.28"></a><var>162.28</var>(5) the availability of on-site monitoring of patient care seven days a week by a
         <br />
         		<a id="pl.162.29"></a><var>162.29</var>qualified medical professional; and<br />
         		<a id="pl.162.30"></a><var>162.30</var>(6) appropriately licensed staff available to administer medications according to
         <br />
         		<a id="pl.162.31"></a><var>162.31</var>prescriber-approved orders.<br />
         		<br />
         		<a id="bill.3.13.0"></a><a id="pl.162.32"></a><var>162.32</var>&#160;&#160;&#160;&#160;Sec. 13. <b>[245F.13] MEDICATIONS.</b><br />
         		<a id="pl.162.33"></a><var>162.33</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Administration of medications.</b>  A license holder must employ or <br />
         		<a id="pl.162.34"></a><var>162.34</var>contract with a registered nurse to develop the policies and procedures for medication
         <br />
         		<a id="pl.162.35"></a><var>162.35</var>administration. A registered nurse must provide supervision as defined in section
         148.171, <br />
         		<a id="pl.163.1"></a><var>163.1</var>subdivision 23, for the administration of medications. For clinically managed programs,
         <br />
         		<a id="pl.163.2"></a><var>163.2</var>the registered nurse supervision must include on-site supervision at least monthly
         or more <br />
         		<a id="pl.163.3"></a><var>163.3</var>often as warranted by the health needs of the patient. The medication administration
         <br />
         		<a id="pl.163.4"></a><var>163.4</var>policies and procedures must include:<br />
         		<a id="pl.163.5"></a><var>163.5</var>(1) a provision that patients may carry emergency medication such as nitroglycerin
         <br />
         		<a id="pl.163.6"></a><var>163.6</var>as instructed by their  prescriber;<br />
         		<a id="pl.163.7"></a><var>163.7</var>(2) requirements for recording the patient's use of medication, including staff <br />
         		<a id="pl.163.8"></a><var>163.8</var>signatures with date and time;<br />
         		<a id="pl.163.9"></a><var>163.9</var>(3) guidelines regarding when to inform a licensed practitioner or a registered nurse
         <br />
         		<a id="pl.163.10"></a><var>163.10</var>of problems with medication administration, including failure to administer, patient
         <br />
         		<a id="pl.163.11"></a><var>163.11</var>refusal of a medication, adverse reactions, or errors; and<br />
         		<a id="pl.163.12"></a><var>163.12</var>(4) procedures for acceptance, documentation, and implementation of prescriptions,
         <br />
         		<a id="pl.163.13"></a><var>163.13</var>whether written, oral, telephonic, or electronic.<br />
         		<a id="pl.163.14"></a><var>163.14</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Control of drugs.</b> A license holder must have in place and implement <br />
         		<a id="pl.163.15"></a><var>163.15</var>written policies and procedures relating to control of drugs. The policies and procedures
         <br />
         		<a id="pl.163.16"></a><var>163.16</var>must be developed by a registered nurse and must contain the following provisions:<br />
         		<a id="pl.163.17"></a><var>163.17</var>(1) a requirement that all drugs must be stored in a locked compartment. Schedule
         II <br />
         		<a id="pl.163.18"></a><var>163.18</var>drugs, as defined in section 152.02, subdivision 3, must be stored in a separately
         locked <br />
         		<a id="pl.163.19"></a><var>163.19</var>compartment that is permanently affixed to the physical plant or a medication cart;<br />
         		<a id="pl.163.20"></a><var>163.20</var>(2) a system for accounting for all scheduled drugs each shift;<br />
         		<a id="pl.163.21"></a><var>163.21</var>(3) a procedure for recording a patient's use of medication, including staff signatures
         <br />
         		<a id="pl.163.22"></a><var>163.22</var>with time and date;<br />
         		<a id="pl.163.23"></a><var>163.23</var>(4) a procedure for destruction of discontinued, outdated, or deteriorated medications;<br />
         		<a id="pl.163.24"></a><var>163.24</var>(5) a statement that only authorized personnel are permitted to have access to the
         <br />
         		<a id="pl.163.25"></a><var>163.25</var>keys to the locked drug compartments; and<br />
         		<a id="pl.163.26"></a><var>163.26</var>(6) a statement that no legend drug supply for one patient may be given to another
         <br />
         		<a id="pl.163.27"></a><var>163.27</var>patient.<br />
         		<br />
         		<a id="bill.3.14.0"></a><a id="pl.163.28"></a><var>163.28</var>&#160;&#160;&#160;&#160;Sec. 14. <b>[245F.14] STAFFING REQUIREMENTS AND DUTIES.</b><br />
         		<a id="pl.163.29"></a><var>163.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Program director.</b> A license holder must employ or contract with a <br />
         		<a id="pl.163.30"></a><var>163.30</var>person, on a full-time basis, to serve as program director. The program director must
         be <br />
         		<a id="pl.163.31"></a><var>163.31</var>responsible for all aspects of the facility and the services delivered to the license
         holder's <br />
         		<a id="pl.163.32"></a><var>163.32</var>patients. An individual may serve as program director for more than one program owned
         <br />
         		<a id="pl.163.33"></a><var>163.33</var>by the same license holder.<br />
         		<a id="pl.163.34"></a><var>163.34</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Responsible staff person.</b> During all hours of operation, a license holder <br />
         		<a id="pl.163.35"></a><var>163.35</var>must designate a staff member as the responsible staff person to be present and awake
         <br />
         		<a id="pl.164.1"></a><var>164.1</var>in the facility and be responsible for the program. The responsible staff person must
         <br />
         		<a id="pl.164.2"></a><var>164.2</var>have decision-making authority over the day-to-day operation of the program as well
         <br />
         		<a id="pl.164.3"></a><var>164.3</var>as the authority to direct the activity of or terminate the shift of any staff member
         who <br />
         		<a id="pl.164.4"></a><var>164.4</var>has direct patient contact.<br />
         		<a id="pl.164.5"></a><var>164.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Technician required.</b> A license holder must have one technician awake <br />
         		<a id="pl.164.6"></a><var>164.6</var>and on duty at all times for every ten patients in the program. A license holder may
         assign <br />
         		<a id="pl.164.7"></a><var>164.7</var>technicians according to the need for care of the patients, except that the same technician
         <br />
         		<a id="pl.164.8"></a><var>164.8</var>must not be responsible for more than 15 patients at one time. For purposes of establishing
         <br />
         		<a id="pl.164.9"></a><var>164.9</var>this ratio, all staff whose qualifications meet or exceed those for technicians under
         section <br />
         		<a id="pl.164.10"></a><var>164.10</var>245F.15, subdivision 6, and who are performing the duties of a technician may be counted
         <br />
         		<a id="pl.164.11"></a><var>164.11</var>as technicians. The same individual may not be counted as both a technician and an
         <br />
         		<a id="pl.164.12"></a><var>164.12</var>alcohol and drug counselor.<br />
         		<a id="pl.164.13"></a><var>164.13</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Registered nurse required.</b> A license holder must employ or contract <br />
         		<a id="pl.164.14"></a><var>164.14</var>with a registered nurse, who must be available 24 hours a day by telephone or in person
         <br />
         		<a id="pl.164.15"></a><var>164.15</var>for consultation. The registered nurse is responsible for:<br />
         		<a id="pl.164.16"></a><var>164.16</var>(1) establishing and implementing procedures for the provision of nursing care and
         <br />
         		<a id="pl.164.17"></a><var>164.17</var>delegated medical care, including:<br />
         		<a id="pl.164.18"></a><var>164.18</var>(i) a health monitoring plan;<br />
         		<a id="pl.164.19"></a><var>164.19</var>(ii) a medication control plan;<br />
         		<a id="pl.164.20"></a><var>164.20</var>(iii) training and competency evaluations for staff performing delegated medical and
         <br />
         		<a id="pl.164.21"></a><var>164.21</var>nursing functions;<br />
         		<a id="pl.164.22"></a><var>164.22</var>(iv) handling serious illness, accident, or injury to patients;<br />
         		<a id="pl.164.23"></a><var>164.23</var>(v) an infection control program; and<br />
         		<a id="pl.164.24"></a><var>164.24</var>(vi) a first aid kit;<br />
         		<a id="pl.164.25"></a><var>164.25</var>(2) delegating nursing functions to other staff consistent with their education, <br />
         		<a id="pl.164.26"></a><var>164.26</var>competence, and legal authorization;<br />
         		<a id="pl.164.27"></a><var>164.27</var>(3) assigning, supervising, and evaluating the performance of nursing tasks; and<br />
         		<a id="pl.164.28"></a><var>164.28</var>(4) implementing condition-specific protocols in compliance with section 151.37, <br />
         		<a id="pl.164.29"></a><var>164.29</var>subdivision 2.<br />
         		<a id="pl.164.30"></a><var>164.30</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Medical director required.</b> A license holder must have a medical director <br />
         		<a id="pl.164.31"></a><var>164.31</var>available for medical supervision. The medical director is responsible for ensuring
         the <br />
         		<a id="pl.164.32"></a><var>164.32</var>accurate and safe provision of all health-related services and procedures. A license
         <br />
         		<a id="pl.164.33"></a><var>164.33</var>holder must obtain and document the medical director's annual approval of the following
         <br />
         		<a id="pl.164.34"></a><var>164.34</var>procedures before the procedures may be used:<br />
         		<a id="pl.164.35"></a><var>164.35</var>(1) admission, discharge, and transfer criteria and procedures;<br />
         		<a id="pl.164.36"></a><var>164.36</var>(2) a health services plan;<br />
         		<a id="pl.165.1"></a><var>165.1</var>(3) physical indicators for a referral to a physician, registered nurse, or hospital,
         and <br />
         		<a id="pl.165.2"></a><var>165.2</var>procedures for referral;<br />
         		<a id="pl.165.3"></a><var>165.3</var>(4) procedures to follow in case of accident, injury, or death of a patient;<br />
         		<a id="pl.165.4"></a><var>165.4</var>(5) formulation of condition-specific protocols regarding the medications that <br />
         		<a id="pl.165.5"></a><var>165.5</var>require a withdrawal regimen that will be administered to patients;<br />
         		<a id="pl.165.6"></a><var>165.6</var>(6) an infection control program;<br />
         		<a id="pl.165.7"></a><var>165.7</var>(7) protective procedures; and<br />
         		<a id="pl.165.8"></a><var>165.8</var>(8) a medication control plan.<br />
         		<a id="pl.165.9"></a><var>165.9</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Alcohol and drug counselor.</b> A withdrawal management program must <br />
         		<a id="pl.165.10"></a><var>165.10</var>provide one full-time equivalent alcohol and drug counselor for every 16 patients
         served <br />
         		<a id="pl.165.11"></a><var>165.11</var>by the program.<br />
         		<a id="pl.165.12"></a><var>165.12</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Ensuring staff-to-patient ratio.</b> The responsible staff person under <br />
         		<a id="pl.165.13"></a><var>165.13</var>subdivision 2 must ensure that the program does not exceed the staff-to-patient ratios
         in <br />
         		<a id="pl.165.14"></a><var>165.14</var>subdivisions 3 and 6 and must inform admitting staff of the current staffed capacity
         of <br />
         		<a id="pl.165.15"></a><var>165.15</var>the program for that shift. A license holder must have a written policy for documenting
         <br />
         		<a id="pl.165.16"></a><var>165.16</var>staff-to-patient ratios for each shift and actions to take when staffed capacity is
         reached.<br />
         		<br />
         		<a id="bill.3.15.0"></a><a id="pl.165.17"></a><var>165.17</var>&#160;&#160;&#160;&#160;Sec. 15. <b>[245F.15] STAFF QUALIFICATIONS.</b><br />
         		<a id="pl.165.18"></a><var>165.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Qualifications for all staff who have direct patient contact.</b> (a) All <br />
         		<a id="pl.165.19"></a><var>165.19</var>staff who have direct patient contact must be at least 18 years of age and must, at
         the time <br />
         		<a id="pl.165.20"></a><var>165.20</var>of hiring, document that they meet the requirements in paragraph (b), (c), or (d).<br />
         		<a id="pl.165.21"></a><var>165.21</var>(b) Program directors, supervisors, nurses, and alcohol and drug counselors must be
         <br />
         		<a id="pl.165.22"></a><var>165.22</var>free of substance use problems for at least two years immediately preceding their
         hiring <br />
         		<a id="pl.165.23"></a><var>165.23</var>and must sign a statement attesting to that fact.<br />
         		<a id="pl.165.24"></a><var>165.24</var>(c) Recovery peers must be free of substance use problems for at least one year <br />
         		<a id="pl.165.25"></a><var>165.25</var>immediately preceding their hiring and must sign a statement attesting to that fact.<br />
         		<a id="pl.165.26"></a><var>165.26</var>(d) Technicians and other support staff must be free of substance use problems <br />
         		<a id="pl.165.27"></a><var>165.27</var>for at least six months immediately preceding their hiring and must sign a statement
         <br />
         		<a id="pl.165.28"></a><var>165.28</var>attesting to that fact.  <br />
         		<a id="pl.165.29"></a><var>165.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Continuing employment; no substance use problems.</b> License holders <br />
         		<a id="pl.165.30"></a><var>165.30</var>must require staff to be free from substance use problems as a condition of continuing
         <br />
         		<a id="pl.165.31"></a><var>165.31</var>employment. Staff are not required to sign statements attesting to their freedom from
         <br />
         		<a id="pl.165.32"></a><var>165.32</var>substance use problems after the initial statement required by subdivision 1. Staff
         with <br />
         		<a id="pl.165.33"></a><var>165.33</var>substance use problems must be immediately removed from any responsibilities that
         <br />
         		<a id="pl.165.34"></a><var>165.34</var>include direct patient contact.<br />
         		<a id="pl.165.35"></a><var>165.35</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Program director qualifications.</b> A program director must:<br />
         		<a id="pl.166.1"></a><var>166.1</var>(1) have at least one year of work experience in direct service to individuals <br />
         		<a id="pl.166.2"></a><var>166.2</var>with substance use disorders or one year of work experience in the management or <br />
         		<a id="pl.166.3"></a><var>166.3</var>administration of direct service to individuals with substance use disorders;<br />
         		<a id="pl.166.4"></a><var>166.4</var>(2) have a baccalaureate degree or three years of work experience in administration
         <br />
         		<a id="pl.166.5"></a><var>166.5</var>or personnel supervision in human services; and<br />
         		<a id="pl.166.6"></a><var>166.6</var>(3) know and understand the requirements of this chapter and chapters 245A and <br />
         		<a id="pl.166.7"></a><var>166.7</var>245C, and sections 253B.04, 253B.05, 626.556, 626.557, and 626.5572.<br />
         		<a id="pl.166.8"></a><var>166.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Alcohol and drug counselor qualifications.</b> An alcohol and drug <br />
         		<a id="pl.166.9"></a><var>166.9</var>counselor must meet the requirements in Minnesota Rules, part 9530.6450, subpart 5.<br />
         		<a id="pl.166.10"></a><var>166.10</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Responsible staff person qualifications.</b> Each responsible staff person <br />
         		<a id="pl.166.11"></a><var>166.11</var>must know and understand the requirements of this chapter and sections 245A.65, <br />
         		<a id="pl.166.12"></a><var>166.12</var>253B.04, 253B.05, 626.556, 626.557, and 626.5572. In a clinically managed program,
         the <br />
         		<a id="pl.166.13"></a><var>166.13</var>responsible staff person must be a licensed practical nurse employed by or under contract
         <br />
         		<a id="pl.166.14"></a><var>166.14</var>with the license holder. In a medically monitored program, the responsible staff person
         <br />
         		<a id="pl.166.15"></a><var>166.15</var>must be a registered nurse, program director, or physician.<br />
         		<a id="pl.166.16"></a><var>166.16</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Technician qualifications.</b>  A technician employed by a program must <br />
         		<a id="pl.166.17"></a><var>166.17</var>demonstrate competency, prior to direct patient contact, in the following areas:<br />
         		<a id="pl.166.18"></a><var>166.18</var>(1) knowledge of the client bill of rights in section 148F.165, and staff responsibilities
         <br />
         		<a id="pl.166.19"></a><var>166.19</var>in sections 144.651 and 253B.03;<br />
         		<a id="pl.166.20"></a><var>166.20</var>(2) knowledge of and the ability to perform basic health screening procedures with
         <br />
         		<a id="pl.166.21"></a><var>166.21</var>intoxicated patients that consist of:<br />
         		<a id="pl.166.22"></a><var>166.22</var>(i) blood pressure, pulse, temperature, and respiration readings;<br />
         		<a id="pl.166.23"></a><var>166.23</var>(ii) interviewing to obtain relevant medical history and current health complaints;
         and<br />
         		<a id="pl.166.24"></a><var>166.24</var>(iii) visual observation of a patient's health status, including monitoring a patient's
         <br />
         		<a id="pl.166.25"></a><var>166.25</var>behavior as it relates to health status;<br />
         		<a id="pl.166.26"></a><var>166.26</var>(3) a current first aid certificate from the American Red Cross or an equivalent <br />
         		<a id="pl.166.27"></a><var>166.27</var>organization; a current cardiopulmonary resuscitation certificate from the American
         Red <br />
         		<a id="pl.166.28"></a><var>166.28</var>Cross, the American Heart Association, a community organization, or an equivalent
         <br />
         		<a id="pl.166.29"></a><var>166.29</var>organization; and knowledge of first aid for seizures, trauma, and loss of consciousness;
         and<br />
         		<a id="pl.166.30"></a><var>166.30</var>(4) knowledge of and ability to perform basic activities of daily living and personal
         <br />
         		<a id="pl.166.31"></a><var>166.31</var>hygiene.<br />
         		<a id="pl.166.32"></a><var>166.32</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Recovery peer qualifications.</b> Recovery peers must:<br />
         		<a id="pl.166.33"></a><var>166.33</var>(1) be at least 21 years of age and have a high school diploma or its equivalent;<br />
         		<a id="pl.166.34"></a><var>166.34</var>(2) have a minimum of one year in recovery from substance use disorder;<br />
         		<a id="pl.167.1"></a><var>167.1</var>(3) have completed a curriculum designated by the commissioner that teaches <br />
         		<a id="pl.167.2"></a><var>167.2</var>specific skills and training in the domains of ethics and boundaries, advocacy, mentoring
         <br />
         		<a id="pl.167.3"></a><var>167.3</var>and education, and recovery and wellness support; and<br />
         		<a id="pl.167.4"></a><var>167.4</var>(4) receive supervision in areas specific to the domains of their role by qualified
         <br />
         		<a id="pl.167.5"></a><var>167.5</var>supervisory staff.<br />
         		<a id="pl.167.6"></a><var>167.6</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Personal relationships.</b> A license holder must have a written policy <br />
         		<a id="pl.167.7"></a><var>167.7</var>addressing personal relationships between patients and staff who have direct patient
         <br />
         		<a id="pl.167.8"></a><var>167.8</var>contact. The policy must:<br />
         		<a id="pl.167.9"></a><var>167.9</var>(1) prohibit direct patient contact between a patient and a staff member if the staff
         <br />
         		<a id="pl.167.10"></a><var>167.10</var>member has had a personal relationship with the patient within two years prior to
         the <br />
         		<a id="pl.167.11"></a><var>167.11</var>patient's admission to the program;<br />
         		<a id="pl.167.12"></a><var>167.12</var>(2) prohibit access to a patient's clinical records by a staff member who has had
         a <br />
         		<a id="pl.167.13"></a><var>167.13</var>personal relationship with the patient within two years prior to the patient's admission,
         <br />
         		<a id="pl.167.14"></a><var>167.14</var>unless the patient consents in writing; and<br />
         		<a id="pl.167.15"></a><var>167.15</var>(3) prohibit a clinical relationship between a staff member and a patient if the staff
         <br />
         		<a id="pl.167.16"></a><var>167.16</var>member has had a personal relationship with the patient within two years prior to
         the <br />
         		<a id="pl.167.17"></a><var>167.17</var>patient's admission. If a personal relationship exists, the staff member must report
         the <br />
         		<a id="pl.167.18"></a><var>167.18</var>relationship to the staff member's supervisor and recuse the staff member from a clinical
         <br />
         		<a id="pl.167.19"></a><var>167.19</var>relationship with that patient.<br />
         		<br />
         		<a id="bill.3.16.0"></a><a id="pl.167.20"></a><var>167.20</var>&#160;&#160;&#160;&#160;Sec. 16. <b>[245F.16] PERSONNEL POLICIES AND PROCEDURES.</b><br />
         		<a id="pl.167.21"></a><var>167.21</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Policy requirements.</b> A license holder must have written personnel <br />
         		<a id="pl.167.22"></a><var>167.22</var>policies and must make them available to staff members at all times. The personnel
         <br />
         		<a id="pl.167.23"></a><var>167.23</var>policies must:<br />
         		<a id="pl.167.24"></a><var>167.24</var>(1) ensure that staff member's retention, promotion, job assignment, or pay are not
         <br />
         		<a id="pl.167.25"></a><var>167.25</var>affected by a good faith communication between the staff member and the Department
         <br />
         		<a id="pl.167.26"></a><var>167.26</var>of Human Services, Department of Health, Ombudsman for Mental Health and <br />
         		<a id="pl.167.27"></a><var>167.27</var>Developmental Disabilities, law enforcement, or local agencies that investigate complaints
         <br />
         		<a id="pl.167.28"></a><var>167.28</var>regarding patient rights, health, or safety;<br />
         		<a id="pl.167.29"></a><var>167.29</var>(2) include a job description for each position that specifies job responsibilities,
         <br />
         		<a id="pl.167.30"></a><var>167.30</var>degree of authority to execute job responsibilities, standards of job performance
         related to <br />
         		<a id="pl.167.31"></a><var>167.31</var>specified job responsibilities, and qualifications;<br />
         		<a id="pl.167.32"></a><var>167.32</var>(3) provide for written job performance evaluations for staff members of the license
         <br />
         		<a id="pl.167.33"></a><var>167.33</var>holder at least annually;<br />
         		<a id="pl.167.34"></a><var>167.34</var>(4) describe behavior that constitutes grounds for disciplinary action, suspension,
         or <br />
         		<a id="pl.167.35"></a><var>167.35</var>dismissal, including policies that address substance use problems and meet the requirements
         <br />
         		<a id="pl.168.1"></a><var>168.1</var>of section 245F.15, subdivisions 1 and 2. The policies and procedures must list behaviors
         <br />
         		<a id="pl.168.2"></a><var>168.2</var>or incidents that are considered substance use problems. The list must include:<br />
         		<a id="pl.168.3"></a><var>168.3</var>(i) receiving treatment for substance use disorder within the period specified for
         the <br />
         		<a id="pl.168.4"></a><var>168.4</var>position in the staff qualification requirements;<br />
         		<a id="pl.168.5"></a><var>168.5</var>(ii) substance use that has a negative impact on the staff member's job performance;<br />
         		<a id="pl.168.6"></a><var>168.6</var>(iii) substance use that affects the credibility of treatment services with patients,
         <br />
         		<a id="pl.168.7"></a><var>168.7</var>referral sources, or other members of the community; and<br />
         		<a id="pl.168.8"></a><var>168.8</var>(iv) symptoms of intoxication or withdrawal on the job;<br />
         		<a id="pl.168.9"></a><var>168.9</var>(5) include policies prohibiting personal involvement with patients and policies <br />
         		<a id="pl.168.10"></a><var>168.10</var>prohibiting patient maltreatment as specified under chapter 604 and sections 245A.65,
         <br />
         		<a id="pl.168.11"></a><var>168.11</var>626.556, 626.557, and 626.5572;<br />
         		<a id="pl.168.12"></a><var>168.12</var>(6) include a chart or description of organizational structure indicating the lines
         <br />
         		<a id="pl.168.13"></a><var>168.13</var>of authority and responsibilities;<br />
         		<a id="pl.168.14"></a><var>168.14</var>(7) include a written plan for new staff member orientation that, at a minimum, <br />
         		<a id="pl.168.15"></a><var>168.15</var>includes training related to the specific job functions for which the staff member
         was hired, <br />
         		<a id="pl.168.16"></a><var>168.16</var>program policies and procedures, patient needs, and the areas identified in subdivision
         2, <br />
         		<a id="pl.168.17"></a><var>168.17</var>paragraphs (b) to (e); and<br />
         		<a id="pl.168.18"></a><var>168.18</var>(8) include a policy on the confidentiality of patient information.<br />
         		<a id="pl.168.19"></a><var>168.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Staff development.</b> (a) A license holder must ensure that each staff <br />
         		<a id="pl.168.20"></a><var>168.20</var>member receives orientation training before providing direct patient care and at least
         <br />
         		<a id="pl.168.21"></a><var>168.21</var>30 hours of continuing education every two years.  A written record must be kept to
         <br />
         		<a id="pl.168.22"></a><var>168.22</var>demonstrate completion of training requirements.<br />
         		<a id="pl.168.23"></a><var>168.23</var>(b) Within 72 hours of beginning employment, all staff having direct patient contact
         <br />
         		<a id="pl.168.24"></a><var>168.24</var>must be provided orientation on the following:<br />
         		<a id="pl.168.25"></a><var>168.25</var>(1) specific license holder and staff responsibilities for patient confidentiality;<br />
         		<a id="pl.168.26"></a><var>168.26</var>(2) standards governing the use of protective procedures;<br />
         		<a id="pl.168.27"></a><var>168.27</var>(3) patient ethical boundaries and patient rights, including the rights of patients
         <br />
         		<a id="pl.168.28"></a><var>168.28</var>admitted under chapter 253B;<br />
         		<a id="pl.168.29"></a><var>168.29</var>(4) infection control procedures;<br />
         		<a id="pl.168.30"></a><var>168.30</var>(5) mandatory reporting under sections 245A.65, 626.556, and 626.557, including <br />
         		<a id="pl.168.31"></a><var>168.31</var>specific training covering the facility's policies concerning obtaining patient releases
         <br />
         		<a id="pl.168.32"></a><var>168.32</var>of information;<br />
         		<a id="pl.168.33"></a><var>168.33</var>(6) HIV minimum standards as required in section 245A.19;<br />
         		<a id="pl.168.34"></a><var>168.34</var>(7) motivational counseling techniques and identifying stages of change; and<br />
         		<a id="pl.168.35"></a><var>168.35</var>(8) eight hours of training on the program's protective procedures policy required
         in <br />
         		<a id="pl.168.36"></a><var>168.36</var>section 245F.09, including:<br />
         		<a id="pl.169.1"></a><var>169.1</var>(i) approved therapeutic holds;<br />
         		<a id="pl.169.2"></a><var>169.2</var>(ii) protective procedures used to prevent patients from imminent danger of harming
         <br />
         		<a id="pl.169.3"></a><var>169.3</var>self or others;<br />
         		<a id="pl.169.4"></a><var>169.4</var>(iii) the emergency conditions under which the protective procedures may be used,
         if <br />
         		<a id="pl.169.5"></a><var>169.5</var>any;<br />
         		<a id="pl.169.6"></a><var>169.6</var>(iv) documentation standards for using protective procedures;<br />
         		<a id="pl.169.7"></a><var>169.7</var>(v) how to monitor and respond to patient distress; and<br />
         		<a id="pl.169.8"></a><var>169.8</var>(vi) person-centered planning and trauma-informed care.<br />
         		<a id="pl.169.9"></a><var>169.9</var>(c) All staff having direct patient contact must be provided annual training on the
         <br />
         		<a id="pl.169.10"></a><var>169.10</var>following:<br />
         		<a id="pl.169.11"></a><var>169.11</var>(1) infection control procedures;<br />
         		<a id="pl.169.12"></a><var>169.12</var>(2) mandatory reporting under sections 245A.65, 626.556, and 626.557, including <br />
         		<a id="pl.169.13"></a><var>169.13</var>specific training covering the facility's policies concerning obtaining patient releases
         <br />
         		<a id="pl.169.14"></a><var>169.14</var>of information;<br />
         		<a id="pl.169.15"></a><var>169.15</var>(3) HIV minimum standards as required in section 245A.19; and<br />
         		<a id="pl.169.16"></a><var>169.16</var>(4) motivational counseling techniques and identifying stages of change.<br />
         		<a id="pl.169.17"></a><var>169.17</var>(d) All staff having direct patient contact must be provided training every two <br />
         		<a id="pl.169.18"></a><var>169.18</var>years on the following:<br />
         		<a id="pl.169.19"></a><var>169.19</var>(1) specific license holder and staff responsibilities for patient confidentiality;<br />
         		<a id="pl.169.20"></a><var>169.20</var>(2) standards governing use of protective procedures, including:<br />
         		<a id="pl.169.21"></a><var>169.21</var>(i) approved therapeutic holds;<br />
         		<a id="pl.169.22"></a><var>169.22</var>(ii) protective procedures used to prevent patients from imminent danger of harming
         <br />
         		<a id="pl.169.23"></a><var>169.23</var>self or others;<br />
         		<a id="pl.169.24"></a><var>169.24</var>(iii) the emergency conditions under which the protective procedures may be used,
         if <br />
         		<a id="pl.169.25"></a><var>169.25</var>any;<br />
         		<a id="pl.169.26"></a><var>169.26</var>(iv) documentation standards for using protective procedures;<br />
         		<a id="pl.169.27"></a><var>169.27</var>(v) how to monitor and respond to patient distress; and<br />
         		<a id="pl.169.28"></a><var>169.28</var>(vi) person-centered planning and trauma-informed care; and<br />
         		<a id="pl.169.29"></a><var>169.29</var>(3) patient ethical boundaries and patient rights, including the rights of patients
         <br />
         		<a id="pl.169.30"></a><var>169.30</var>admitted under chapter 253B.<br />
         		<a id="pl.169.31"></a><var>169.31</var>(e) Continuing education that is completed in areas outside of the required topics
         <br />
         		<a id="pl.169.32"></a><var>169.32</var>must provide information to the staff person that is useful to the performance of
         the <br />
         		<a id="pl.169.33"></a><var>169.33</var>individual staff person's duties.<br />
         		<br />
         		<a id="bill.3.17.0"></a><a id="pl.169.34"></a><var>169.34</var>&#160;&#160;&#160;&#160;Sec. 17. <b>[245F.17] PERSONNEL FILES.</b><br />
         		<a id="pl.170.1"></a><var>170.1</var>A license holder must maintain a separate personnel file for each staff member. At
         a <br />
         		<a id="pl.170.2"></a><var>170.2</var>minimum, the file must contain:<br />
         		<a id="pl.170.3"></a><var>170.3</var>(1) a completed application for employment signed by the staff member that <br />
         		<a id="pl.170.4"></a><var>170.4</var>contains the staff member's qualifications for employment and documentation related
         to <br />
         		<a id="pl.170.5"></a><var>170.5</var>the applicant's background study data, as defined in chapter 245C;<br />
         		<a id="pl.170.6"></a><var>170.6</var>(2) documentation of the staff member's current professional license or registration,
         <br />
         		<a id="pl.170.7"></a><var>170.7</var>if relevant;<br />
         		<a id="pl.170.8"></a><var>170.8</var>(3) documentation of orientation and subsequent training;<br />
         		<a id="pl.170.9"></a><var>170.9</var>(4) documentation of a statement of freedom from substance use problems; and<br />
         		<a id="pl.170.10"></a><var>170.10</var>(5) an annual job performance evaluation.<br />
         		<br />
         		<a id="bill.3.18.0"></a><a id="pl.170.11"></a><var>170.11</var>&#160;&#160;&#160;&#160;Sec. 18. <b>[245F.18] POLICY AND PROCEDURES MANUAL.</b><br />
         		<a id="pl.170.12"></a><var>170.12</var>A license holder must develop a written policy and procedures manual that is <br />
         		<a id="pl.170.13"></a><var>170.13</var>alphabetically indexed and has a table of contents, so that staff have immediate access
         <br />
         		<a id="pl.170.14"></a><var>170.14</var>to all policies and procedures, and that consumers of the services, and other authorized
         <br />
         		<a id="pl.170.15"></a><var>170.15</var>parties have access to all policies and procedures. The manual must contain the following
         <br />
         		<a id="pl.170.16"></a><var>170.16</var>materials:<br />
         		<a id="pl.170.17"></a><var>170.17</var>(1) a description of patient education services as required in section 245F.06;<br />
         		<a id="pl.170.18"></a><var>170.18</var>(2) personnel policies that comply with section 245F.16;<br />
         		<a id="pl.170.19"></a><var>170.19</var>(3) admission information and referral and discharge policies that comply with <br />
         		<a id="pl.170.20"></a><var>170.20</var>section 245F.05;<br />
         		<a id="pl.170.21"></a><var>170.21</var>(4) a health monitoring plan that complies with section 245F.12;<br />
         		<a id="pl.170.22"></a><var>170.22</var>(5) a protective procedures policy that complies with section 245F.09, if the program
         <br />
         		<a id="pl.170.23"></a><var>170.23</var>elects to use protective procedures;<br />
         		<a id="pl.170.24"></a><var>170.24</var>(6) policies and procedures for assuring appropriate patient-to-staff ratios that
         <br />
         		<a id="pl.170.25"></a><var>170.25</var>comply with section 245F.14;<br />
         		<a id="pl.170.26"></a><var>170.26</var>(7) policies and procedures for assessing and documenting the susceptibility for <br />
         		<a id="pl.170.27"></a><var>170.27</var>risk of abuse to the patient as the basis for the individual abuse prevention plan
         required <br />
         		<a id="pl.170.28"></a><var>170.28</var>by section 245A.65;<br />
         		<a id="pl.170.29"></a><var>170.29</var>(8) procedures for mandatory reporting as required by sections 245A.65, 626.556, <br />
         		<a id="pl.170.30"></a><var>170.30</var>and 626.557;<br />
         		<a id="pl.170.31"></a><var>170.31</var>(9) a medication control plan that complies with section 245F.13; and<br />
         		<a id="pl.170.32"></a><var>170.32</var>(10) policies and procedures regarding HIV that meet the minimum standards <br />
         		<a id="pl.170.33"></a><var>170.33</var>under section 245A.19.<br />
         		<br />
         		<a id="bill.3.19.0"></a><a id="pl.170.34"></a><var>170.34</var>&#160;&#160;&#160;&#160;Sec. 19. <b>[245F.19] PATIENT RECORDS.</b><br />
         		<a id="pl.171.1"></a><var>171.1</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Patient records required.</b> A license holder must maintain a file of <br />
         		<a id="pl.171.2"></a><var>171.2</var>current patient records on the program premises where the treatment is provided. Each
         <br />
         		<a id="pl.171.3"></a><var>171.3</var>entry in each patient record must be signed and dated by the staff member making the
         <br />
         		<a id="pl.171.4"></a><var>171.4</var>entry. Patient records must be protected against loss, tampering, or unauthorized
         disclosure <br />
         		<a id="pl.171.5"></a><var>171.5</var>in compliance with chapter 13 and section 254A.09; Code of Federal Regulations, title
         42, <br />
         		<a id="pl.171.6"></a><var>171.6</var>sections 2.1 to 2.67; and title 45, parts 160 to 164.<br />
         		<a id="pl.171.7"></a><var>171.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Records retention.</b> A license holder must retain and store records as <br />
         		<a id="pl.171.8"></a><var>171.8</var>required by section 245A.041, subdivisions 3 and 4.<br />
         		<a id="pl.171.9"></a><var>171.9</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Contents of records.</b> Patient records must include the following:<br />
         		<a id="pl.171.10"></a><var>171.10</var>(1) documentation of the patient's presenting problem, any substance use screening,
         <br />
         		<a id="pl.171.11"></a><var>171.11</var>the most recent assessment, and any updates;<br />
         		<a id="pl.171.12"></a><var>171.12</var>(2) a stabilization plan and progress notes as required by section 245F.07, <br />
         		<a id="pl.171.13"></a><var>171.13</var>subdivisions 1 and 2;<br />
         		<a id="pl.171.14"></a><var>171.14</var>(3) a discharge summary as required by section 245F.07, subdivision 3;<br />
         		<a id="pl.171.15"></a><var>171.15</var>(4) an individual abuse prevention plan that complies with section 245A.65, and <br />
         		<a id="pl.171.16"></a><var>171.16</var>related rules;<br />
         		<a id="pl.171.17"></a><var>171.17</var>(5) documentation of referrals made; and<br />
         		<a id="pl.171.18"></a><var>171.18</var>(6) documentation of the monitoring and observations of the patient's medical needs.<br />
         		<br />
         		<a id="bill.3.20.0"></a><a id="pl.171.19"></a><var>171.19</var>&#160;&#160;&#160;&#160;Sec. 20. <b>[245F.20] DATA COLLECTION REQUIRED.</b><br />
         		<a id="pl.171.20"></a><var>171.20</var>The license holder must participate in the drug and alcohol abuse normative <br />
         		<a id="pl.171.21"></a><var>171.21</var>evaluation system (DAANES) by submitting, in a format provided by the commissioner,
         <br />
         		<a id="pl.171.22"></a><var>171.22</var>information concerning each patient admitted to the program. Staff submitting data
         must <br />
         		<a id="pl.171.23"></a><var>171.23</var>be trained by the license holder with the DAANES Web manual.<br />
         		<br />
         		<a id="bill.3.21.0"></a><a id="pl.171.24"></a><var>171.24</var>&#160;&#160;&#160;&#160;Sec. 21. <b>[245F.21] PAYMENT METHODOLOGY.</b><br />
         		<a id="pl.171.25"></a><var>171.25</var>The commissioner shall develop a payment methodology for services provided <br />
         		<a id="pl.171.26"></a><var>171.26</var>under this chapter or by an Indian Health Services facility or a facility owned and
         operated <br />
         		<a id="pl.171.27"></a><var>171.27</var>by a tribe or tribal organization operating under Public Law 93-638 as a 638 facility.
         The <br />
         		<a id="pl.171.28"></a><var>171.28</var>commissioner shall seek federal approval for the methodology. Upon federal approval,
         the <br />
         		<a id="pl.171.29"></a><var>171.29</var>commissioner must seek and obtain legislative approval of the funding methodology
         to <br />
         		<a id="pl.171.30"></a><var>171.30</var>support the service.<br />
         		<br />
         		<a id="bill.4.0.0"></a><div class="xtend_ce"><a id="pl.171.31"></a><var>171.31</var><b>ARTICLE 4</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.171.32"></a><var>171.32</var><b>DIRECT CARE AND TREATMENT</b><br />
            		
         </div><br />
         		<a id="bill.4.1.0"></a><a id="pl.171.33"></a><var>171.33</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 43A.241, is amended to read:<br />
         		<a id="pl.172.1"></a><var>172.1</var><b>43A.241 INSURANCE CONTRIBUTIONS; FORMER </b><b>CORRECTIONS </b><br />
         		<a id="pl.172.2"></a><var>172.2</var><b>EMPLOYEES.</b><br />
         		<a id="pl.172.3"></a><var>172.3</var>(a) This section applies to a person who:<br />
         		<a id="pl.172.4"></a><var>172.4</var>(1) was employed by the commissioner of the Department of Corrections at a state <br />
         		<a id="pl.172.5"></a><var>172.5</var>institution under control of the commissioner, and in that employment was a member
         <br />
         		<a id="pl.172.6"></a><var>172.6</var>of the general plan of the Minnesota State Retirement System; or by the Department <br />
         		<a id="pl.172.7"></a><var>172.7</var>of Human Services;<br />
         		<a id="pl.172.8"></a><var>172.8</var>(2)  was covered by the correctional employee retirement plan under section 352.91 <br />
         		<a id="pl.172.9"></a><var>172.9</var>or the general state employees retirement plan of the Minnesota State Retirement System
         <br />
         		<a id="pl.172.10"></a><var>172.10</var>as defined in section 352.021;<br />
         		<a id="pl.172.11"></a><var>172.11</var>(3) while employed under clause (1), was assaulted by: <br />
         		<a id="pl.172.12"></a><var>172.12</var>an inmate at a state institution under control of the commissioner of the Department
         <br />
         		<a id="pl.172.13"></a><var>172.13</var>of Corrections (i) a person under correctional supervision for a criminal offense; or<br />
         		<a id="pl.172.14"></a><var>172.14</var>(ii) a client or patient at the Minnesota sex offender program, or at a state-operated
         <br />
         		<a id="pl.172.15"></a><var>172.15</var>forensic services program as defined in section 352.91, subdivision 3j, under the
         control of <br />
         		<a id="pl.172.16"></a><var>172.16</var>the commissioner of the Department of Human Services; and<br />
         		<a id="pl.172.17"></a><var>172.17</var>(3)  (4) as a direct result of the assault under clause (3), was determined to be <br />
         		<a id="pl.172.18"></a><var>172.18</var>totally and permanently physically disabled under laws governing the Minnesota State <br />
         		<a id="pl.172.19"></a><var>172.19</var>Retirement System.<br />
         		<a id="pl.172.20"></a><var>172.20</var>(b) For a person to whom this section applies, the commissioner of the Department
         <br />
         		<a id="pl.172.21"></a><var>172.21</var>of Corrections or the commissioner of the Department of Human Services must continue <br />
         		<a id="pl.172.22"></a><var>172.22</var>to make the employer contribution for hospital, medical, and dental benefits under the <br />
         		<a id="pl.172.23"></a><var>172.23</var>State Employee Group Insurance Program after the person terminates state service.
         If <br />
         		<a id="pl.172.24"></a><var>172.24</var>the person had dependent coverage at the time of terminating state service, employer
         <br />
         		<a id="pl.172.25"></a><var>172.25</var>contributions for dependent coverage also must continue under this section. The employer
         <br />
         		<a id="pl.172.26"></a><var>172.26</var>contributions must be in the amount of the employer contribution for active state
         <br />
         		<a id="pl.172.27"></a><var>172.27</var>employees at the time each payment is made. The employer contributions must continue
         <br />
         		<a id="pl.172.28"></a><var>172.28</var>until the person reaches age 65, provided the person makes the required employee <br />
         		<a id="pl.172.29"></a><var>172.29</var>contributions, in the amount required of an active state employee, at the time and
         in <br />
         		<a id="pl.172.30"></a><var>172.30</var>the manner specified by the commissioner.<br />
         		<a id="pl.172.31"></a><var>172.31</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment <br />
         		<a id="pl.172.32"></a><var>172.32</var>and applies to a person assaulted by an inmate, client, or patient on or after that
         date.<br />
         		<br />
         		<a id="bill.4.2.0"></a><a id="pl.172.33"></a><var>172.33</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 246.54, subdivision 1, is amended to read:<br />
         		<a id="pl.172.34"></a><var>172.34</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>County portion for cost of care.</b> (a) Except for chemical <br />
         		<a id="pl.172.35"></a><var>172.35</var>dependency services provided under sections 
         <statute_ref>254B.01</statute_ref> to 
         <statute_ref>254B.09</statute_ref>, the client's county <br />
         		<a id="pl.173.1"></a><var>173.1</var>shall pay to the state of Minnesota a portion of the cost of care provided in a regional
         <br />
         		<a id="pl.173.2"></a><var>173.2</var>treatment center or a state nursing facility to a client legally settled in that county.
         A <br />
         		<a id="pl.173.3"></a><var>173.3</var>county's payment shall be made from the county's own sources of revenue and payments
         <br />
         		<a id="pl.173.4"></a><var>173.4</var>shall equal a percentage of the cost of care, as determined by the commissioner, for
         each <br />
         		<a id="pl.173.5"></a><var>173.5</var>day, or the portion thereof, that the client spends at a regional treatment center
         or a state <br />
         		<a id="pl.173.6"></a><var>173.6</var>nursing facility according to the following schedule:<br />
         		<a id="pl.173.7"></a><var>173.7</var>&#160;&#160;&#160;&#160;(1) zero percent for the first 30 days;<br />
         		<a id="pl.173.8"></a><var>173.8</var>&#160;&#160;&#160;&#160;(2) 20 percent for days 31 to 60 and over if the stay is determined to be clinically <br />
         		<a id="pl.173.9"></a><var>173.9</var>appropriate for the client; and<br />
         		<a id="pl.173.10"></a><var>173.10</var>&#160;&#160;&#160;&#160;(3) 75 percent for any days over 60 100 percent for each day during the stay, <br />
         		<a id="pl.173.11"></a><var>173.11</var>including the day of admission, when the facility determines that it is clinically
         appropriate <br />
         		<a id="pl.173.12"></a><var>173.12</var>for the client to be discharged.<br />
         		<a id="pl.173.13"></a><var>173.13</var>&#160;&#160;&#160;&#160;(b) The increase in the county portion for cost of care under paragraph (a), clause
         <br />
         		<a id="pl.173.14"></a><var>173.14</var>(3), shall be imposed when the treatment facility has determined that it is clinically
         <br />
         		<a id="pl.173.15"></a><var>173.15</var>appropriate for the client to be discharged.<br />
         		<a id="pl.173.16"></a><var>173.16</var>&#160;&#160;&#160;&#160;(c) (b) If payments received by the state under sections 
         <statute_ref>246.50</statute_ref> to 
         <statute_ref>246.53</statute_ref> exceed <br />
         		<a id="pl.173.17"></a><var>173.17</var>80 percent of the cost of care for days over 31 to 60, or 25 percent for days over 60 for <br />
         		<a id="pl.173.18"></a><var>173.18</var>clients who meet the criteria in paragraph (a), clause (2), the county shall be responsible <br />
         		<a id="pl.173.19"></a><var>173.19</var>for paying the state only the remaining amount. The county shall not be entitled to
         <br />
         		<a id="pl.173.20"></a><var>173.20</var>reimbursement from the client, the client's estate, or from the client's relatives,
         except as <br />
         		<a id="pl.173.21"></a><var>173.21</var>provided in section 
         <statute_ref>246.53</statute_ref>.<br />
         		<br />
         		<a id="bill.5.0.0"></a><div class="xtend_ce"><a id="pl.173.22"></a><var>173.22</var><b>ARTICLE 5</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.173.23"></a><var>173.23</var><b>SIMPLIFICATION OF PUBLIC ASSISTANCE PROGRAMS </b><br />
            		
         </div><br />
         		<a id="bill.5.1.0"></a><a id="pl.173.24"></a><var>173.24</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 119B.011, subdivision 15, is amended to <br />
         		<a id="pl.173.25"></a><var>173.25</var>read:<br />
         		<a id="pl.173.26"></a><var>173.26</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Income.</b> "Income" means earned or unearned income received by all <br />
         		<a id="pl.173.27"></a><var>173.27</var>family members, including as defined under section 256P.01, subdivision 3, unearned <br />
         		<a id="pl.173.28"></a><var>173.28</var>income as defined under section 256P.01, subdivision 8, and public assistance cash benefits <br />
         		<a id="pl.173.29"></a><var>173.29</var>and, including the Minnesota family investment program, diversionary work program, <br />
         		<a id="pl.173.30"></a><var>173.30</var>work benefit, Minnesota supplemental aid, general assistance, refugee cash assistance,
         <br />
         		<a id="pl.173.31"></a><var>173.31</var>at-home infant child care subsidy payments, unless specifically excluded and child support <br />
         		<a id="pl.173.32"></a><var>173.32</var>and maintenance distributed to the family under section 
         <statute_ref>256.741, subdivision 15</statute_ref>. The <br />
         		<a id="pl.173.33"></a><var>173.33</var>following are excluded deducted from income: funds used to pay for health insurance <br />
         		<a id="pl.173.34"></a><var>173.34</var>premiums for family members, Supplemental Security Income, scholarships, work-study <br />
         		<a id="pl.173.35"></a><var>173.35</var>income, and grants that cover costs or reimbursement for tuition, fees, books, and
         <br />
         		<a id="pl.174.1"></a><var>174.1</var>educational supplies; student loans for tuition, fees, books, supplies, and living
         expenses; <br />
         		<a id="pl.174.2"></a><var>174.2</var>state and federal earned income tax credits; assistance specifically excluded as income
         by <br />
         		<a id="pl.174.3"></a><var>174.3</var>law; in-kind income such as food support, energy assistance, foster care assistance,
         medical <br />
         		<a id="pl.174.4"></a><var>174.4</var>assistance, child care assistance, and housing subsidies; earned income of full-time
         or <br />
         		<a id="pl.174.5"></a><var>174.5</var>part-time students up to the age of 19, who have not earned a high school diploma
         or GED <br />
         		<a id="pl.174.6"></a><var>174.6</var>high school equivalency diploma including earnings from summer employment; grant <br />
         		<a id="pl.174.7"></a><var>174.7</var>awards under the family subsidy program; nonrecurring lump-sum income only to the
         <br />
         		<a id="pl.174.8"></a><var>174.8</var>extent that it is earmarked and used for the purpose for which it is paid; and any
         income <br />
         		<a id="pl.174.9"></a><var>174.9</var>assigned to the public authority according to section 
         <statute_ref>256.741</statute_ref> and child or spousal support <br />
         		<a id="pl.174.10"></a><var>174.10</var>paid to or on behalf of a person or persons who live outside of the household. Income
         <br />
         		<a id="pl.174.11"></a><var>174.11</var>sources not included in this subdivision and section 256P.06, subdivision 3, are not
         counted.<br />
         		<br />
         		<a id="bill.5.2.0"></a><a id="pl.174.12"></a><var>174.12</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 119B.025, subdivision 1, is amended to read:<br />
         		<a id="pl.174.13"></a><var>174.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Factors which must be verified.</b> (a) The county shall verify the <br />
         		<a id="pl.174.14"></a><var>174.14</var>following at all initial child care applications using the universal application:<br />
         		<a id="pl.174.15"></a><var>174.15</var>(1) identity of adults;<br />
         		<a id="pl.174.16"></a><var>174.16</var>(2) presence of the minor child in the home, if questionable;<br />
         		<a id="pl.174.17"></a><var>174.17</var>(3) relationship of minor child to the parent, stepparent, legal guardian, eligible
         <br />
         		<a id="pl.174.18"></a><var>174.18</var>relative caretaker, or the spouses of any of the foregoing;<br />
         		<a id="pl.174.19"></a><var>174.19</var>(4) age;<br />
         		<a id="pl.174.20"></a><var>174.20</var>(5) immigration status, if related to eligibility;<br />
         		<a id="pl.174.21"></a><var>174.21</var>(6) Social Security number, if given;<br />
         		<a id="pl.174.22"></a><var>174.22</var>(7) income;<br />
         		<a id="pl.174.23"></a><var>174.23</var>(8) spousal support and child support payments made to persons outside the <br />
         		<a id="pl.174.24"></a><var>174.24</var>household;<br />
         		<a id="pl.174.25"></a><var>174.25</var>(9) residence; and<br />
         		<a id="pl.174.26"></a><var>174.26</var>(10) inconsistent information, if related to eligibility.<br />
         		<a id="pl.174.27"></a><var>174.27</var>(b) If a family did not use the universal application or child care addendum to apply
         <br />
         		<a id="pl.174.28"></a><var>174.28</var>for child care assistance, the family must complete the universal application or child
         care <br />
         		<a id="pl.174.29"></a><var>174.29</var>addendum at its next eligibility redetermination and the county must verify the factors
         <br />
         		<a id="pl.174.30"></a><var>174.30</var>listed in paragraph (a) as part of that redetermination. Once a family has completed
         a <br />
         		<a id="pl.174.31"></a><var>174.31</var>universal application or child care addendum, the county shall use the redetermination
         <br />
         		<a id="pl.174.32"></a><var>174.32</var>form described in paragraph (c) for that family's subsequent redeterminations. Eligibility
         <br />
         		<a id="pl.174.33"></a><var>174.33</var>must be redetermined at least every six months. A family is considered to have met
         the <br />
         		<a id="pl.174.34"></a><var>174.34</var>eligibility redetermination requirement if a complete redetermination form and all
         required <br />
         		<a id="pl.174.35"></a><var>174.35</var>verifications are received within 30 days after the date the form was due. Assistance
         shall <br />
         		<a id="pl.175.1"></a><var>175.1</var>be payable retroactively from the redetermination due date. For a family where at
         least <br />
         		<a id="pl.175.2"></a><var>175.2</var>one parent is under the age of 21, does not have a high school or general equivalency
         <br />
         		<a id="pl.175.3"></a><var>175.3</var>diploma, and is a student in a school district or another similar program that provides
         or <br />
         		<a id="pl.175.4"></a><var>175.4</var>arranges for child care, as well as parenting, social services, career and employment
         <br />
         		<a id="pl.175.5"></a><var>175.5</var>supports, and academic support to achieve high school graduation, the redetermination
         of <br />
         		<a id="pl.175.6"></a><var>175.6</var>eligibility shall be deferred beyond six months, but not to exceed 12 months, to the
         end of <br />
         		<a id="pl.175.7"></a><var>175.7</var>the student's school year. If a family reports a change in an eligibility factor before
         the <br />
         		<a id="pl.175.8"></a><var>175.8</var>family's next regularly scheduled redetermination, the county must recalculate eligibility
         <br />
         		<a id="pl.175.9"></a><var>175.9</var>without requiring verification of any eligibility factor that did not change. Changes must <br />
         		<a id="pl.175.10"></a><var>175.10</var>be reported as required by section 256P.07. A change in income occurs on the day the
         <br />
         		<a id="pl.175.11"></a><var>175.11</var>participant received the first payment reflecting the change in income.<br />
         		<a id="pl.175.12"></a><var>175.12</var>(c) The commissioner shall develop a redetermination form to redetermine eligibility
         <br />
         		<a id="pl.175.13"></a><var>175.13</var>and a change report form to report changes that minimize paperwork for the county
         and <br />
         		<a id="pl.175.14"></a><var>175.14</var>the participant.<br />
         		<br />
         		<a id="bill.5.3.0"></a><a id="pl.175.15"></a><var>175.15</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 119B.035, subdivision 4, is amended to read:<br />
         		<a id="pl.175.16"></a><var>175.16</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Assistance.</b> (a) A family is limited to a lifetime total of 12 months of <br />
         		<a id="pl.175.17"></a><var>175.17</var>assistance under subdivision 2. The maximum rate of assistance is equal to 68 percent
         <br />
         		<a id="pl.175.18"></a><var>175.18</var>of the rate established under section 
         <statute_ref>119B.13</statute_ref> for care of infants in licensed family child <br />
         		<a id="pl.175.19"></a><var>175.19</var>care in the applicant's county of residence.<br />
         		<a id="pl.175.20"></a><var>175.20</var>(b) A participating family must report income and other family changes as specified
         in <br />
         		<a id="pl.175.21"></a><var>175.21</var>sections 256P.06 and 256P.07, and the county's plan under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>.<br />
         		<a id="pl.175.22"></a><var>175.22</var>(c) Persons who are admitted to the at-home infant child care program retain their
         <br />
         		<a id="pl.175.23"></a><var>175.23</var>position in any basic sliding fee program. Persons leaving the at-home infant child
         care <br />
         		<a id="pl.175.24"></a><var>175.24</var>program reenter the basic sliding fee program at the position they would have occupied.<br />
         		<a id="pl.175.25"></a><var>175.25</var>(d) Assistance under this section does not establish an employer-employee <br />
         		<a id="pl.175.26"></a><var>175.26</var>relationship between any member of the assisted family and the county or state.<br />
         		<br />
         		<a id="bill.5.4.0"></a><a id="pl.175.27"></a><var>175.27</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 119B.09, subdivision 4, is amended to read:<br />
         		<a id="pl.175.28"></a><var>175.28</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Eligibility; annual income; calculation.</b> Annual income of the applicant <br />
         		<a id="pl.175.29"></a><var>175.29</var>family is the current monthly income of the family multiplied by 12 or the income
         for <br />
         		<a id="pl.175.30"></a><var>175.30</var>the 12-month period immediately preceding the date of application, or income calculated
         <br />
         		<a id="pl.175.31"></a><var>175.31</var>by the method which provides the most accurate assessment of income available to the
         <br />
         		<a id="pl.175.32"></a><var>175.32</var>family. Self-employment income must be calculated based on gross receipts less operating
         <br />
         		<a id="pl.175.33"></a><var>175.33</var>expenses. Income must be recalculated when the family's income changes, but no less
         <br />
         		<a id="pl.175.34"></a><var>175.34</var>often than every six months. For a family where at least one parent is under the age
         of <br />
         		<a id="pl.176.1"></a><var>176.1</var>21, does not have a high school or general equivalency diploma, and is a student in
         a <br />
         		<a id="pl.176.2"></a><var>176.2</var>school district or another similar program that provides or arranges for child care,
         as well <br />
         		<a id="pl.176.3"></a><var>176.3</var>as parenting, social services, career and employment supports, and academic support
         to <br />
         		<a id="pl.176.4"></a><var>176.4</var>achieve high school graduation, income must be recalculated when the family's income
         <br />
         		<a id="pl.176.5"></a><var>176.5</var>changes, but otherwise shall be deferred beyond six months, but not to exceed 12 months,
         <br />
         		<a id="pl.176.6"></a><var>176.6</var>to the end of the student's school year. Included lump sums counted as income under <br />
         		<a id="pl.176.7"></a><var>176.7</var>section 256P.06, subdivision 3, must be annualized over 12 months. Income must be <br />
         		<a id="pl.176.8"></a><var>176.8</var>verified with documentary evidence. If the applicant does not have sufficient evidence
         of <br />
         		<a id="pl.176.9"></a><var>176.9</var>income, verification must be obtained from the source of the income.<br />
         		<br />
         		<a id="bill.5.5.0"></a><a id="pl.176.10"></a><var>176.10</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 256D.01, subdivision 1a, is amended to read:<br />
         		<a id="pl.176.11"></a><var>176.11</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Standards.</b> (a) A principal objective in providing general assistance is <br />
         		<a id="pl.176.12"></a><var>176.12</var>to provide for single adults, childless couples, or children as defined in section
         
         <statute_ref>256D.02, <br />
            		<a id="pl.176.13"></a><var>176.13</var>subdivision 6
         </statute_ref>, ineligible for federal programs who are unable to provide for themselves. <br />
         		<a id="pl.176.14"></a><var>176.14</var>The minimum standard of assistance determines the total amount of the general assistance
         <br />
         		<a id="pl.176.15"></a><var>176.15</var>grant without separate standards for shelter, utilities, or other needs.<br />
         		<a id="pl.176.16"></a><var>176.16</var>(b) The commissioner shall set the standard of assistance for an assistance unit <br />
         		<a id="pl.176.17"></a><var>176.17</var>consisting of an adult recipient who is childless and unmarried or living apart from
         <br />
         		<a id="pl.176.18"></a><var>176.18</var>children and spouse and who does not live with a parent or parents or a legal custodian.
         <br />
         		<a id="pl.176.19"></a><var>176.19</var>When the other standards specified in this subdivision increase, this standard must
         also be <br />
         		<a id="pl.176.20"></a><var>176.20</var>increased by the same percentage.<br />
         		<a id="pl.176.21"></a><var>176.21</var>(c) For an assistance unit consisting of a single adult who lives with a parent or
         <br />
         		<a id="pl.176.22"></a><var>176.22</var>parents, the general assistance standard of assistance is the amount that the aid
         to families <br />
         		<a id="pl.176.23"></a><var>176.23</var>with dependent children standard of assistance, in effect on July 16, 1996, would
         increase <br />
         		<a id="pl.176.24"></a><var>176.24</var>if the recipient were added as an additional minor child to an assistance unit consisting
         <br />
         		<a id="pl.176.25"></a><var>176.25</var>of the recipient's parent and all of that parent's family members, except that the
         standard <br />
         		<a id="pl.176.26"></a><var>176.26</var>may not exceed the standard for a general assistance recipient living alone. Benefits
         <br />
         		<a id="pl.176.27"></a><var>176.27</var>received by a responsible relative of the assistance unit under the Supplemental Security
         <br />
         		<a id="pl.176.28"></a><var>176.28</var>Income program, a workers' compensation program, the Minnesota supplemental aid <br />
         		<a id="pl.176.29"></a><var>176.29</var>program, or any other program based on the responsible relative's disability, and
         any <br />
         		<a id="pl.176.30"></a><var>176.30</var>benefits received by a responsible relative of the assistance unit under the Social
         Security <br />
         		<a id="pl.176.31"></a><var>176.31</var>retirement program, may not be counted in the determination of eligibility or benefit
         <br />
         		<a id="pl.176.32"></a><var>176.32</var>level for the assistance unit. Except as provided below, the assistance unit is ineligible
         <br />
         		<a id="pl.176.33"></a><var>176.33</var>for general assistance if the available resources or the countable income of the assistance
         <br />
         		<a id="pl.176.34"></a><var>176.34</var>unit and the parent or parents with whom the assistance unit lives are such that a
         family <br />
         		<a id="pl.176.35"></a><var>176.35</var>consisting of the assistance unit's parent or parents, the parent or parents' other
         family <br />
         		<a id="pl.177.1"></a><var>177.1</var>members and the assistance unit as the only or additional minor child would be financially
         <br />
         		<a id="pl.177.2"></a><var>177.2</var>ineligible for general assistance. For the purposes of calculating the countable income
         <br />
         		<a id="pl.177.3"></a><var>177.3</var>of the assistance unit's parent or parents, the calculation methods, income deductions, <br />
         		<a id="pl.177.4"></a><var>177.4</var>exclusions, and disregards used when calculating the countable income for a single
         adult <br />
         		<a id="pl.177.5"></a><var>177.5</var>or childless couple must be used follow the provisions under section 256P.06.<br />
         		<a id="pl.177.6"></a><var>177.6</var>(d) For an assistance unit consisting of a childless couple, the standards of assistance
         <br />
         		<a id="pl.177.7"></a><var>177.7</var>are the same as the first and second adult standards of the aid to families with dependent
         <br />
         		<a id="pl.177.8"></a><var>177.8</var>children program in effect on July 16, 1996. If one member of the couple is not included
         <br />
         		<a id="pl.177.9"></a><var>177.9</var>in the general assistance grant, the standard of assistance for the other is the second
         adult <br />
         		<a id="pl.177.10"></a><var>177.10</var>standard of the aid to families with dependent children program as of July 16, 1996.<br />
         		<br />
         		<a id="bill.5.6.0"></a><a id="pl.177.11"></a><var>177.11</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 256D.02, is amended by adding a subdivision <br />
         		<a id="pl.177.12"></a><var>177.12</var>to read:<br />
         		<a id="pl.177.13"></a><var>177.13</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Assistance unit.</b> "Assistance unit" means an individual who is, or an <br />
         		<a id="pl.177.14"></a><var>177.14</var>eligible married couple who live together who are, applying for or receiving benefits
         <br />
         		<a id="pl.177.15"></a><var>177.15</var>under this chapter.<br />
         		<br />
         		<a id="bill.5.7.0"></a><a id="pl.177.16"></a><var>177.16</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 256D.02, is amended by adding a subdivision <br />
         		<a id="pl.177.17"></a><var>177.17</var>to read:<br />
         		<a id="pl.177.18"></a><var>177.18</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Cash assistance benefit.</b> "Cash assistance benefit" means any payment <br />
         		<a id="pl.177.19"></a><var>177.19</var>received as a disability benefit, including veterans or workers' compensation; old
         age, <br />
         		<a id="pl.177.20"></a><var>177.20</var>survivors, and disability insurance; railroad retirement benefits; unemployment benefits;
         <br />
         		<a id="pl.177.21"></a><var>177.21</var>and benefits under any federally aided categorical assistance program, Supplemental
         <br />
         		<a id="pl.177.22"></a><var>177.22</var>Security Income, or other assistance program.<br />
         		<br />
         		<a id="bill.5.8.0"></a><a id="pl.177.23"></a><var>177.23</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 256D.02, subdivision 8, is amended to read:<br />
         		<a id="pl.177.24"></a><var>177.24</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Income.</b> "Income" means any form of income, including remuneration <br />
         		<a id="pl.177.25"></a><var>177.25</var>for services performed as an employee and earned income from rental income and <br />
         		<a id="pl.177.26"></a><var>177.26</var>self-employment earnings as described under section 
         <statute_ref>256P.05</statute_ref> earned income as defined <br />
         		<a id="pl.177.27"></a><var>177.27</var>under section 256P.01, subdivision 3, and unearned income as defined under section
         <br />
         		<a id="pl.177.28"></a><var>177.28</var>256P.01, subdivision 8.<br />
         		<a id="pl.177.29"></a><var>177.29</var>Income includes any payments received as an annuity, retirement, or disability <br />
         		<a id="pl.177.30"></a><var>177.30</var>benefit, including veteran's or workers' compensation; old age, survivors, and disability
         <br />
         		<a id="pl.177.31"></a><var>177.31</var>insurance; railroad retirement benefits; unemployment benefits; and benefits under
         any <br />
         		<a id="pl.177.32"></a><var>177.32</var>federally aided categorical assistance program, supplementary security income, or
         other <br />
         		<a id="pl.177.33"></a><var>177.33</var>assistance program; rents, dividends, interest and royalties; and support and maintenance
         <br />
         		<a id="pl.178.1"></a><var>178.1</var>payments. Such payments may not be considered as available to meet the needs of any
         <br />
         		<a id="pl.178.2"></a><var>178.2</var>person other than the person for whose benefit they are received, unless that person
         is <br />
         		<a id="pl.178.3"></a><var>178.3</var>a family member or a spouse and the income is not excluded under section 
         <statute_ref>256D.01, <br />
            		<a id="pl.178.4"></a><var>178.4</var>subdivision 1a
         </statute_ref>. Goods and services provided in lieu of cash payment shall be excluded <br />
         		<a id="pl.178.5"></a><var>178.5</var>from the definition of income, except that payments made for room, board, tuition
         or <br />
         		<a id="pl.178.6"></a><var>178.6</var>fees by a parent, on behalf of a child enrolled as a full-time student in a postsecondary
         <br />
         		<a id="pl.178.7"></a><var>178.7</var>institution, and payments made on behalf of an applicant or participant which the
         applicant <br />
         		<a id="pl.178.8"></a><var>178.8</var>or participant could legally demand to receive personally in cash, must be included
         as <br />
         		<a id="pl.178.9"></a><var>178.9</var>income. Benefits of an applicant or participant, such as those administered by the
         Social <br />
         		<a id="pl.178.10"></a><var>178.10</var>Security Administration, that are paid to a representative payee, and are spent on
         behalf of <br />
         		<a id="pl.178.11"></a><var>178.11</var>the applicant or participant, are considered available income of the applicant or
         participant.<br />
         		<br />
         		<a id="bill.5.9.0"></a><a id="pl.178.12"></a><var>178.12</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 256D.06, subdivision 1, is amended to read:<br />
         		<a id="pl.178.13"></a><var>178.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Eligibility; amount of assistance.</b> General assistance shall be <br />
         		<a id="pl.178.14"></a><var>178.14</var>granted in an amount that when added to the nonexempt countable income as determined <br />
         		<a id="pl.178.15"></a><var>178.15</var>to be actually available to the assistance unit under section 256P.06, the total amount <br />
         		<a id="pl.178.16"></a><var>178.16</var>equals the applicable standard of assistance for general assistance. In determining
         <br />
         		<a id="pl.178.17"></a><var>178.17</var>eligibility for and the amount of assistance for an individual or married couple,
         the agency <br />
         		<a id="pl.178.18"></a><var>178.18</var>shall apply the earned income disregard as determined in section 
         <statute_ref>256P.03</statute_ref>.<br />
         		<br />
         		<a id="bill.5.10.0"></a><a id="pl.178.19"></a><var>178.19</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 256D.405, subdivision 3, is amended to read:<br />
         		<a id="pl.178.20"></a><var>178.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Reports.</b> Participants must report changes in circumstances according to <br />
         		<a id="pl.178.21"></a><var>178.21</var>section 256P.07 that affect eligibility or assistance payment amounts within ten days of the <br />
         		<a id="pl.178.22"></a><var>178.22</var>change. Participants who do not receive SSI because of excess income must complete
         a <br />
         		<a id="pl.178.23"></a><var>178.23</var>monthly report form if they have earned income, if they have income deemed to them
         <br />
         		<a id="pl.178.24"></a><var>178.24</var>from a financially responsible relative with whom the participant resides, or if they
         have <br />
         		<a id="pl.178.25"></a><var>178.25</var>income deemed to them by a sponsor. If the report form is not received before the
         end of <br />
         		<a id="pl.178.26"></a><var>178.26</var>the month in which it is due, the county agency must terminate assistance. The termination
         <br />
         		<a id="pl.178.27"></a><var>178.27</var>shall be effective on the first day of the month following the month in which the
         report <br />
         		<a id="pl.178.28"></a><var>178.28</var>was due. If a complete report is received within the month the assistance was terminated,
         <br />
         		<a id="pl.178.29"></a><var>178.29</var>the assistance unit is considered to have continued its application for assistance,
         effective <br />
         		<a id="pl.178.30"></a><var>178.30</var>the first day of the month the assistance was terminated.<br />
         		<br />
         		<a id="bill.5.11.0"></a><a id="pl.178.31"></a><var>178.31</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 256I.03, is amended by adding a subdivision <br />
         		<a id="pl.178.32"></a><var>178.32</var>to read:<br />
         		<a id="pl.179.1"></a><var>179.1</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Assistance unit.</b> "Assistance unit" means an individual who is applying <br />
         		<a id="pl.179.2"></a><var>179.2</var>for or receiving benefits under this chapter.<br />
         		<br />
         		<a id="bill.5.12.0"></a><a id="pl.179.3"></a><var>179.3</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 256I.03, subdivision 7, is amended to read:<br />
         		<a id="pl.179.4"></a><var>179.4</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Countable income.</b> "Countable income" means all income received by an <br />
         		<a id="pl.179.5"></a><var>179.5</var>applicant or recipient as described under section 256P.06, less any applicable exclusions <br />
         		<a id="pl.179.6"></a><var>179.6</var>or disregards. For a recipient of any cash benefit from the SSI program, countable
         income <br />
         		<a id="pl.179.7"></a><var>179.7</var>means the SSI benefit limit in effect at the time the person is in a GRH, less the
         medical <br />
         		<a id="pl.179.8"></a><var>179.8</var>assistance personal needs allowance. If the SSI limit has been reduced for a person
         due to <br />
         		<a id="pl.179.9"></a><var>179.9</var>events occurring prior to the persons entering the GRH setting, countable income means
         <br />
         		<a id="pl.179.10"></a><var>179.10</var>actual income less any applicable exclusions and disregards.<br />
         		<br />
         		<a id="bill.5.13.0"></a><a id="pl.179.11"></a><var>179.11</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 256I.04, subdivision 1, is amended to read:<br />
         		<a id="pl.179.12"></a><var>179.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Individual eligibility requirements.</b> An individual is eligible for <br />
         		<a id="pl.179.13"></a><var>179.13</var>and entitled to a group residential housing payment to be made on the individual's
         behalf <br />
         		<a id="pl.179.14"></a><var>179.14</var>if the agency has approved the individual's residence in a group residential housing
         setting <br />
         		<a id="pl.179.15"></a><var>179.15</var>and the individual meets the requirements in paragraph (a) or (b).<br />
         		<a id="pl.179.16"></a><var>179.16</var>(a) The individual is aged, blind, or is over 18 years of age and disabled as <br />
         		<a id="pl.179.17"></a><var>179.17</var>determined under the criteria used by the title II program of the Social Security
         Act, and <br />
         		<a id="pl.179.18"></a><var>179.18</var>meets the resource restrictions and standards of section 
         <statute_ref>256P.02</statute_ref>, and the individual's <br />
         		<a id="pl.179.19"></a><var>179.19</var>countable income after deducting the (1) exclusions and disregards of the SSI program,
         <br />
         		<a id="pl.179.20"></a><var>179.20</var>(2) the medical assistance personal needs allowance under section 
         <statute_ref>256B.35</statute_ref>, and (3) an <br />
         		<a id="pl.179.21"></a><var>179.21</var>amount equal to the income actually made available to a community spouse by an elderly
         <br />
         		<a id="pl.179.22"></a><var>179.22</var>waiver participant under the provisions of sections 
         <statute_ref>256B.0575, paragraph (a)</statute_ref>, clause <br />
         		<a id="pl.179.23"></a><var>179.23</var>(4), and 
         <statute_ref>256B.058, subdivision 2</statute_ref>, is less than the monthly rate specified in the agency's <br />
         		<a id="pl.179.24"></a><var>179.24</var>agreement with the provider of group residential housing in which the individual resides.<br />
         		<a id="pl.179.25"></a><var>179.25</var>(b) The individual meets a category of eligibility under section 
         <statute_ref>256D.05, subdivision <br />
            		<a id="pl.179.26"></a><var>179.26</var>1
         </statute_ref>, paragraph (a), and the individual's resources are less than the standards specified
         by <br />
         		<a id="pl.179.27"></a><var>179.27</var>section 
         <statute_ref>256P.02</statute_ref>, and the individual's countable income as determined under sections <br />
         		<a id="pl.179.28"></a><var>179.28</var><statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.21</statute_ref> section 256P.06, less the medical assistance personal needs allowance <br />
         		<a id="pl.179.29"></a><var>179.29</var>under section 
         <statute_ref>256B.35</statute_ref> is less than the monthly rate specified in the agency's agreement <br />
         		<a id="pl.179.30"></a><var>179.30</var>with the provider of group residential housing in which the individual resides.<br />
         		<br />
         		<a id="bill.5.14.0"></a><a id="pl.179.31"></a><var>179.31</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 256I.06, subdivision 6, is amended to read:<br />
         		<a id="pl.179.32"></a><var>179.32</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Reports.</b> Recipients must report changes in circumstances according <br />
         		<a id="pl.179.33"></a><var>179.33</var>to section 256P.07 that affect eligibility or group residential housing payment amounts <br />
         		<a id="pl.180.1"></a><var>180.1</var>within ten days of the change. Recipients with countable earned income must complete
         <br />
         		<a id="pl.180.2"></a><var>180.2</var>a monthly household report form. If the report form is not received before the end
         of <br />
         		<a id="pl.180.3"></a><var>180.3</var>the month in which it is due, the county agency must terminate eligibility for group
         <br />
         		<a id="pl.180.4"></a><var>180.4</var>residential housing payments. The termination shall be effective on the first day
         of the <br />
         		<a id="pl.180.5"></a><var>180.5</var>month following the month in which the report was due. If a complete report is received
         <br />
         		<a id="pl.180.6"></a><var>180.6</var>within the month eligibility was terminated, the individual is considered to have
         continued <br />
         		<a id="pl.180.7"></a><var>180.7</var>an application for group residential housing payment effective the first day of the
         month <br />
         		<a id="pl.180.8"></a><var>180.8</var>the eligibility was terminated.<br />
         		<br />
         		<a id="bill.5.15.0"></a><a id="pl.180.9"></a><var>180.9</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 256J.08, subdivision 26, is amended to read:<br />
         		<a id="pl.180.10"></a><var>180.10</var>&#160;&#160;&#160;&#160;Subd. 26. <b>Earned income.</b> "Earned income" means cash or in-kind income earned <br />
         		<a id="pl.180.11"></a><var>180.11</var>through the receipt of wages, salary, commissions, profit from employment activities,
         net <br />
         		<a id="pl.180.12"></a><var>180.12</var>profit from self-employment activities, payments made by an employer for regularly
         <br />
         		<a id="pl.180.13"></a><var>180.13</var>accrued vacation or sick leave, and any other profit from activity earned through
         effort or <br />
         		<a id="pl.180.14"></a><var>180.14</var>labor. The income must be in return for, or as a result of, legal activity has the meaning <br />
         		<a id="pl.180.15"></a><var>180.15</var>given in section 256P.01, subdivision 3.<br />
         		<br />
         		<a id="bill.5.16.0"></a><a id="pl.180.16"></a><var>180.16</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 256J.08, subdivision 86, is amended to read:<br />
         		<a id="pl.180.17"></a><var>180.17</var>&#160;&#160;&#160;&#160;Subd. 86. <b>Unearned income.</b> "Unearned income" means income received by <br />
         		<a id="pl.180.18"></a><var>180.18</var>a person that does not meet the definition of earned income. Unearned income includes
         <br />
         		<a id="pl.180.19"></a><var>180.19</var>income from a contract for deed, interest, dividends, unemployment benefits, disability
         <br />
         		<a id="pl.180.20"></a><var>180.20</var>insurance payments, veterans benefits, pension payments, return on capital investment,
         <br />
         		<a id="pl.180.21"></a><var>180.21</var>insurance payments or settlements, severance payments, child support and maintenance
         <br />
         		<a id="pl.180.22"></a><var>180.22</var>payments, and payments for illness or disability whether the premium payments are
         <br />
         		<a id="pl.180.23"></a><var>180.23</var>made in whole or in part by an employer or participant has the meaning given in section <br />
         		<a id="pl.180.24"></a><var>180.24</var>256P.01, subdivision 8.<br />
         		<br />
         		<a id="bill.5.17.0"></a><a id="pl.180.25"></a><var>180.25</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 256J.30, subdivision 1, is amended to read:<br />
         		<a id="pl.180.26"></a><var>180.26</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicant reporting requirements.</b> An applicant must provide <br />
         		<a id="pl.180.27"></a><var>180.27</var>information on an application form and supplemental forms about the applicant's <br />
         		<a id="pl.180.28"></a><var>180.28</var>circumstances which affect MFIP eligibility or the assistance payment. An applicant must <br />
         		<a id="pl.180.29"></a><var>180.29</var>report changes identified in subdivision 9 while the application is pending. When
         an <br />
         		<a id="pl.180.30"></a><var>180.30</var>applicant does not accurately report information on an application, both an overpayment
         <br />
         		<a id="pl.180.31"></a><var>180.31</var>and a referral for a fraud investigation may result. When an applicant does not provide
         <br />
         		<a id="pl.180.32"></a><var>180.32</var>information or documentation, the receipt of the assistance payment may be delayed
         or the <br />
         		<a id="pl.181.1"></a><var>181.1</var>application may be denied depending on the type of information required and its effect
         on <br />
         		<a id="pl.181.2"></a><var>181.2</var>eligibility according to section 256P.07.<br />
         		<br />
         		<a id="bill.5.18.0"></a><a id="pl.181.3"></a><var>181.3</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 256J.30, subdivision 9, is amended to read:<br />
         		<a id="pl.181.4"></a><var>181.4</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Changes that must be reported.</b> A caregiver must report the changes or <br />
         		<a id="pl.181.5"></a><var>181.5</var>anticipated changes specified in clauses (1) to (15) within ten days of the date they
         occur, <br />
         		<a id="pl.181.6"></a><var>181.6</var>at the time of the periodic recertification of eligibility under section 
         <statute_ref>256P.04, subdivisions <br />
            		<a id="pl.181.7"></a><var>181.7</var>8
         </statute_ref> and 9, or within eight calendar days of a reporting period as in subdivision 5, whichever
         <br />
         		<a id="pl.181.8"></a><var>181.8</var>occurs first. A caregiver must report other changes at the time of the periodic recertification
         <br />
         		<a id="pl.181.9"></a><var>181.9</var>of eligibility under section 
         <statute_ref>256P.04, subdivisions 8</statute_ref> and 9, or at the end of a reporting period <br />
         		<a id="pl.181.10"></a><var>181.10</var>under subdivision 5, as applicable. A caregiver must make these reports in writing
         to the <br />
         		<a id="pl.181.11"></a><var>181.11</var>agency. When an agency could have reduced or terminated assistance for one or more
         <br />
         		<a id="pl.181.12"></a><var>181.12</var>payment months if a delay in reporting a change specified under clauses (1) to (14)
         had <br />
         		<a id="pl.181.13"></a><var>181.13</var>not occurred, the agency must determine whether a timely notice under section 
         <statute_ref>256J.31, <br />
            		<a id="pl.181.14"></a><var>181.14</var>subdivision 4
         </statute_ref>, could have been issued on the day that the change occurred. When a timely <br />
         		<a id="pl.181.15"></a><var>181.15</var>notice could have been issued, each month's overpayment subsequent to that notice
         must be <br />
         		<a id="pl.181.16"></a><var>181.16</var>considered a client error overpayment under section 
         <statute_ref>256J.38</statute_ref>. Calculation of overpayments <br />
         		<a id="pl.181.17"></a><var>181.17</var>for late reporting under clause (15) is specified in section 
         <statute_ref>256J.09, subdivision 9</statute_ref>. Changes <br />
         		<a id="pl.181.18"></a><var>181.18</var>in circumstances which must be reported within ten days must also be reported on the
         <br />
         		<a id="pl.181.19"></a><var>181.19</var>MFIP household report form for the reporting period in which those changes occurred.
         <br />
         		<a id="pl.181.20"></a><var>181.20</var>Within ten days, a caregiver must report: changes as specified under section 256P.07.<br />
         		<a id="pl.181.21"></a><var>181.21</var>(1) a change in initial employment;<br />
         		<a id="pl.181.22"></a><var>181.22</var>(2) a change in initial receipt of unearned income;<br />
         		<a id="pl.181.23"></a><var>181.23</var>(3) a recurring change in unearned income;<br />
         		<a id="pl.181.24"></a><var>181.24</var>(4) a nonrecurring change of unearned income that exceeds $30;<br />
         		<a id="pl.181.25"></a><var>181.25</var>(5) the receipt of a lump sum;<br />
         		<a id="pl.181.26"></a><var>181.26</var>(6) an increase in assets that may cause the assistance unit to exceed asset limits;<br />
         		<a id="pl.181.27"></a><var>181.27</var>(7) a change in the physical or mental status of an incapacitated member of the <br />
         		<a id="pl.181.28"></a><var>181.28</var>assistance unit if the physical or mental status is the basis for reducing the hourly
         <br />
         		<a id="pl.181.29"></a><var>181.29</var>participation requirements under section 
         <statute_ref>256J.55, subdivision 1</statute_ref>, or the type of activities <br />
         		<a id="pl.181.30"></a><var>181.30</var>included in an employment plan under section 
         <statute_ref>256J.521, subdivision 2</statute_ref>;<br />
         		<a id="pl.181.31"></a><var>181.31</var>(8) a change in employment status;<br />
         		<a id="pl.181.32"></a><var>181.32</var>(9) the marriage or divorce of an assistance unit member;<br />
         		<a id="pl.181.33"></a><var>181.33</var>(10) the death of a parent, minor child, or financially responsible person;<br />
         		<a id="pl.181.34"></a><var>181.34</var>(11) a change in address or living quarters of the assistance unit;<br />
         		<a id="pl.181.35"></a><var>181.35</var>(12) the sale, purchase, or other transfer of property;<br />
         		<a id="pl.182.1"></a><var>182.1</var>(13) a change in school attendance of a caregiver under age 20 or an employed child;<br />
         		<a id="pl.182.2"></a><var>182.2</var>(14) filing a lawsuit, a workers' compensation claim, or a monetary claim against
         a <br />
         		<a id="pl.182.3"></a><var>182.3</var>third party; and<br />
         		<a id="pl.182.4"></a><var>182.4</var>(15) a change in household composition, including births, returns to and departures
         <br />
         		<a id="pl.182.5"></a><var>182.5</var>from the home of assistance unit members and financially responsible persons, or a
         change <br />
         		<a id="pl.182.6"></a><var>182.6</var>in the custody of a minor child.<br />
         		<br />
         		<a id="bill.5.19.0"></a><a id="pl.182.7"></a><var>182.7</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 256J.35, is amended to read:<br />
         		<a id="pl.182.8"></a><var>182.8</var><b>256J.35 AMOUNT OF ASSISTANCE PAYMENT.</b><br />
         		<a id="pl.182.9"></a><var>182.9</var>Except as provided in paragraphs (a) to (d), the amount of an assistance payment is
         <br />
         		<a id="pl.182.10"></a><var>182.10</var>equal to the difference between the MFIP standard of need or the Minnesota family
         wage <br />
         		<a id="pl.182.11"></a><var>182.11</var>level in section 
         <statute_ref>256J.24</statute_ref> and countable income.<br />
         		<a id="pl.182.12"></a><var>182.12</var>(a) Beginning July 1, 2015, MFIP assistance units are eligible for an MFIP housing
         <br />
         		<a id="pl.182.13"></a><var>182.13</var>assistance grant of $110 per month, unless:<br />
         		<a id="pl.182.14"></a><var>182.14</var>(1) the housing assistance unit is currently receiving public and assisted rental
         <br />
         		<a id="pl.182.15"></a><var>182.15</var>subsidies provided through the Department of Housing and Urban Development (HUD) <br />
         		<a id="pl.182.16"></a><var>182.16</var>and is subject to section 
         <statute_ref>256J.37, subdivision 3a</statute_ref>; or<br />
         		<a id="pl.182.17"></a><var>182.17</var>(2) the assistance unit is a child-only case under section 
         <statute_ref>256J.88</statute_ref>.<br />
         		<a id="pl.182.18"></a><var>182.18</var>(b) When MFIP eligibility exists for the month of application, the amount of the <br />
         		<a id="pl.182.19"></a><var>182.19</var>assistance payment for the month of application must be prorated from the date of
         <br />
         		<a id="pl.182.20"></a><var>182.20</var>application or the date all other eligibility factors are met for that applicant,
         whichever is <br />
         		<a id="pl.182.21"></a><var>182.21</var>later. This provision applies when an applicant loses at least one day of MFIP eligibility.<br />
         		<a id="pl.182.22"></a><var>182.22</var>(c) MFIP overpayments to an assistance unit must be recouped according to section
         <br />
         		<a id="pl.182.23"></a><var>182.23</var><statute_ref>256J.38, subdivision 4</statute_ref> 256P.08, subdivision 6.<br />
         		<a id="pl.182.24"></a><var>182.24</var>(d) An initial assistance payment must not be made to an applicant who is not <br />
         		<a id="pl.182.25"></a><var>182.25</var>eligible on the date payment is made.<br />
         		<br />
         		<a id="bill.5.20.0"></a><a id="pl.182.26"></a><var>182.26</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 256J.40, is amended to read:<br />
         		<a id="pl.182.27"></a><var>182.27</var><b>256J.40 FAIR HEARINGS.</b><br />
         		<a id="pl.182.28"></a><var>182.28</var>Caregivers receiving a notice of intent to sanction or a notice of adverse action
         that <br />
         		<a id="pl.182.29"></a><var>182.29</var>includes a sanction, reduction in benefits, suspension of benefits, denial of benefits,
         or <br />
         		<a id="pl.182.30"></a><var>182.30</var>termination of benefits may request a fair hearing. A request for a fair hearing must
         be <br />
         		<a id="pl.182.31"></a><var>182.31</var>submitted in writing to the county agency or to the commissioner and must be mailed
         <br />
         		<a id="pl.182.32"></a><var>182.32</var>within 30 days after a participant or former participant receives written notice of
         the <br />
         		<a id="pl.182.33"></a><var>182.33</var>agency's action or within 90 days when a participant or former participant shows good
         <br />
         		<a id="pl.182.34"></a><var>182.34</var>cause for not submitting the request within 30 days. A former participant who receives
         a <br />
         		<a id="pl.183.1"></a><var>183.1</var>notice of adverse action due to an overpayment may appeal the adverse action according
         <br />
         		<a id="pl.183.2"></a><var>183.2</var>to the requirements in this section. Issues that may be appealed are:<br />
         		<a id="pl.183.3"></a><var>183.3</var>(1) the amount of the assistance payment;<br />
         		<a id="pl.183.4"></a><var>183.4</var>(2) a suspension, reduction, denial, or termination of assistance;<br />
         		<a id="pl.183.5"></a><var>183.5</var>(3) the basis for an overpayment, the calculated amount of an overpayment, and <br />
         		<a id="pl.183.6"></a><var>183.6</var>the level of recoupment;<br />
         		<a id="pl.183.7"></a><var>183.7</var>(4) the eligibility for an assistance payment; and<br />
         		<a id="pl.183.8"></a><var>183.8</var>(5) the use of protective or vendor payments under section 
         <statute_ref>256J.39, subdivision 2</statute_ref>, <br />
         		<a id="pl.183.9"></a><var>183.9</var>clauses (1) to (3).<br />
         		<a id="pl.183.10"></a><var>183.10</var>Except for benefits issued under section 
         <statute_ref>256J.95</statute_ref>, a county agency must not reduce, <br />
         		<a id="pl.183.11"></a><var>183.11</var>suspend, or terminate payment when an aggrieved participant requests a fair hearing
         <br />
         		<a id="pl.183.12"></a><var>183.12</var>prior to the effective date of the adverse action or within ten days of the mailing
         of the <br />
         		<a id="pl.183.13"></a><var>183.13</var>notice of adverse action, whichever is later, unless the participant requests in writing
         not <br />
         		<a id="pl.183.14"></a><var>183.14</var>to receive continued assistance pending a hearing decision. An appeal request cannot
         <br />
         		<a id="pl.183.15"></a><var>183.15</var>extend benefits for the diversionary work program under section 
         <statute_ref>256J.95</statute_ref> beyond the <br />
         		<a id="pl.183.16"></a><var>183.16</var>four-month time limit. Assistance issued pending a fair hearing is subject to recovery
         <br />
         		<a id="pl.183.17"></a><var>183.17</var>under section 
         <statute_ref>256J.38</statute_ref> 256P.08 when as a result of the fair hearing decision the participant <br />
         		<a id="pl.183.18"></a><var>183.18</var>is determined ineligible for assistance or the amount of the assistance received.
         A county <br />
         		<a id="pl.183.19"></a><var>183.19</var>agency may increase or reduce an assistance payment while an appeal is pending when
         the <br />
         		<a id="pl.183.20"></a><var>183.20</var>circumstances of the participant change and are not related to the issue on appeal.
         The <br />
         		<a id="pl.183.21"></a><var>183.21</var>commissioner's order is binding on a county agency. No additional notice is required
         to <br />
         		<a id="pl.183.22"></a><var>183.22</var>enforce the commissioner's order.<br />
         		<a id="pl.183.23"></a><var>183.23</var>A county agency shall reimburse appellants for reasonable and necessary expenses <br />
         		<a id="pl.183.24"></a><var>183.24</var>of attendance at the hearing, such as child care and transportation costs and for
         the <br />
         		<a id="pl.183.25"></a><var>183.25</var>transportation expenses of the appellant's witnesses and representatives to and from
         the <br />
         		<a id="pl.183.26"></a><var>183.26</var>hearing. Reasonable and necessary expenses do not include legal fees. Fair hearings
         <br />
         		<a id="pl.183.27"></a><var>183.27</var>must be conducted at a reasonable time and date by an impartial human services judge
         <br />
         		<a id="pl.183.28"></a><var>183.28</var>employed by the department. The hearing may be conducted by telephone or at a site
         that <br />
         		<a id="pl.183.29"></a><var>183.29</var>is readily accessible to persons with disabilities.<br />
         		<a id="pl.183.30"></a><var>183.30</var>The appellant may introduce new or additional evidence relevant to the issues on <br />
         		<a id="pl.183.31"></a><var>183.31</var>appeal. Recommendations of the human services judge and decisions of the commissioner
         <br />
         		<a id="pl.183.32"></a><var>183.32</var>must be based on evidence in the hearing record and are not limited to a review of
         the <br />
         		<a id="pl.183.33"></a><var>183.33</var>county agency action.<br />
         		<br />
         		<a id="bill.5.21.0"></a><a id="pl.183.34"></a><var>183.34</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 256J.95, subdivision 19, is amended to read:<br />
         		<a id="pl.184.1"></a><var>184.1</var>&#160;&#160;&#160;&#160;Subd. 19. <b>DWP overpayments and underpayments.</b> DWP benefits are subject <br />
         		<a id="pl.184.2"></a><var>184.2</var>to overpayments and underpayments. Anytime an overpayment or an underpayment is <br />
         		<a id="pl.184.3"></a><var>184.3</var>determined for DWP, the correction shall be calculated using prospective budgeting.
         <br />
         		<a id="pl.184.4"></a><var>184.4</var>Corrections shall be determined based on the policy in section 
         <statute_ref>256J.34, subdivision 1</statute_ref>, <br />
         		<a id="pl.184.5"></a><var>184.5</var>paragraphs (a), (b), and (c). ATM errors must be recovered as specified in section
         
         <statute_ref>256J.38, <br />
            		<a id="pl.184.6"></a><var>184.6</var>subdivision 5
         </statute_ref> 256P.08, subdivision 7. Cross program recoupment of overpayments cannot <br />
         		<a id="pl.184.7"></a><var>184.7</var>be assigned to or from DWP.<br />
         		<br />
         		<a id="bill.5.22.0"></a><a id="pl.184.8"></a><var>184.8</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 256P.001, is amended to read:<br />
         		<a id="pl.184.9"></a><var>184.9</var><b>256P.001 APPLICABILITY.</b><br />
         		<a id="pl.184.10"></a><var>184.10</var>General assistance and Minnesota supplemental aid under chapter 256D, child care <br />
         		<a id="pl.184.11"></a><var>184.11</var>assistance programs under chapter 119B,  and programs governed by chapter 256I or 256J <br />
         		<a id="pl.184.12"></a><var>184.12</var>are subject to the requirements of this chapter, unless otherwise specified or exempted.<br />
         		<br />
         		<a id="bill.5.23.0"></a><a id="pl.184.13"></a><var>184.13</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 256P.01, is amended by adding a subdivision <br />
         		<a id="pl.184.14"></a><var>184.14</var>to read:<br />
         		<a id="pl.184.15"></a><var>184.15</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Assistance unit.</b> "Assistance unit" is defined by program area under <br />
         		<a id="pl.184.16"></a><var>184.16</var>sections 119B.011, subdivision 13; 256D.02, subdivision 1a; 256D.35, subdivision 3a;
         <br />
         		<a id="pl.184.17"></a><var>184.17</var>256I.03, subdivision 1b; and 256J.08, subdivision 7.<br />
         		<br />
         		<a id="bill.5.24.0"></a><a id="pl.184.18"></a><var>184.18</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 256P.01, subdivision 3, is amended to read:<br />
         		<a id="pl.184.19"></a><var>184.19</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Earned income.</b> "Earned income" means cash or in-kind income earned <br />
         		<a id="pl.184.20"></a><var>184.20</var>through the receipt of wages, salary, commissions, bonuses, tips, gratuities, profit from <br />
         		<a id="pl.184.21"></a><var>184.21</var>employment activities, net profit from self-employment activities, payments made by
         <br />
         		<a id="pl.184.22"></a><var>184.22</var>an employer for regularly accrued vacation or sick leave, and any severance pay based <br />
         		<a id="pl.184.23"></a><var>184.23</var>on accrued leave time, payments from training programs at a rate at or greater than
         the <br />
         		<a id="pl.184.24"></a><var>184.24</var>state's minimum wage, royalties, honoraria, or other profit from activity earned through <br />
         		<a id="pl.184.25"></a><var>184.25</var>effort that results from the client's work, service, effort, or labor. The income must be in <br />
         		<a id="pl.184.26"></a><var>184.26</var>return for, or as a result of, legal activity.<br />
         		<br />
         		<a id="bill.5.25.0"></a><a id="pl.184.27"></a><var>184.27</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256P.01, is amended by adding a subdivision <br />
         		<a id="pl.184.28"></a><var>184.28</var>to read:<br />
         		<a id="pl.184.29"></a><var>184.29</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Unearned income.</b> "Unearned income" has the meaning given in section <br />
         		<a id="pl.184.30"></a><var>184.30</var>256P.06, subdivision 3, clause (2).<br />
         		<br />
         		<a id="bill.5.26.0"></a><a id="pl.185.1"></a><var>185.1</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256P.02, is amended by adding a subdivision <br />
         		<a id="pl.185.2"></a><var>185.2</var>to read:<br />
         		<a id="pl.185.3"></a><var>185.3</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Exemption.</b> Participants who qualify for child care assistance programs <br />
         		<a id="pl.185.4"></a><var>185.4</var>under chapter 119B are exempt from this section.<br />
         		<br />
         		<a id="bill.5.27.0"></a><a id="pl.185.5"></a><var>185.5</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256P.03, subdivision 1, is amended to read:<br />
         		<a id="pl.185.6"></a><var>185.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exempted programs.</b> Participants who qualify for child care <br />
         		<a id="pl.185.7"></a><var>185.7</var>assistance programs under chapter 119B, Minnesota supplemental aid under chapter <br />
         		<a id="pl.185.8"></a><var>185.8</var>256D, and for group residential housing under chapter 256I on the basis of eligibility for <br />
         		<a id="pl.185.9"></a><var>185.9</var>Supplemental Security Income are exempt from this section.<br />
         		<br />
         		<a id="bill.5.28.0"></a><a id="pl.185.10"></a><var>185.10</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256P.04, subdivision 1, is amended to read:<br />
         		<a id="pl.185.11"></a><var>185.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exemption.</b> Participants who receive Minnesota supplemental aid <br />
         		<a id="pl.185.12"></a><var>185.12</var>and who maintain Supplemental Security Income eligibility under chapters 256D and
         256I <br />
         		<a id="pl.185.13"></a><var>185.13</var>are exempt from the reporting requirements of this section, except that the policies
         and <br />
         		<a id="pl.185.14"></a><var>185.14</var>procedures for transfers of assets are those used by the medical assistance program
         under <br />
         		<a id="pl.185.15"></a><var>185.15</var>section 
         <statute_ref>256B.0595</statute_ref>. Participants who receive child care assistance under chapter 119B are <br />
         		<a id="pl.185.16"></a><var>185.16</var>exempt from the requirements of this section.<br />
         		<br />
         		<a id="bill.5.29.0"></a><a id="pl.185.17"></a><var>185.17</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256P.04, subdivision 4, is amended to read:<br />
         		<a id="pl.185.18"></a><var>185.18</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Factors to be verified.</b> (a) The agency shall verify the following at <br />
         		<a id="pl.185.19"></a><var>185.19</var>application:<br />
         		<a id="pl.185.20"></a><var>185.20</var>(1) identity of adults;<br />
         		<a id="pl.185.21"></a><var>185.21</var>(2) age, if necessary to determine eligibility;<br />
         		<a id="pl.185.22"></a><var>185.22</var>(3) immigration status;<br />
         		<a id="pl.185.23"></a><var>185.23</var>(4) income;<br />
         		<a id="pl.185.24"></a><var>185.24</var>(5) spousal support and child support payments made to persons outside the <br />
         		<a id="pl.185.25"></a><var>185.25</var>household;<br />
         		<a id="pl.185.26"></a><var>185.26</var>(6) vehicles;<br />
         		<a id="pl.185.27"></a><var>185.27</var>(7) checking and savings accounts;<br />
         		<a id="pl.185.28"></a><var>185.28</var>(8) inconsistent information, if related to eligibility;<br />
         		<a id="pl.185.29"></a><var>185.29</var>(9) residence; and<br />
         		<a id="pl.185.30"></a><var>185.30</var>(10) Social Security number.; and<br />
         		<a id="pl.185.31"></a><var>185.31</var>(11) use of nonrecurring income under section 256P.06, subdivision 3, clause (2),
         <br />
         		<a id="pl.185.32"></a><var>185.32</var>item (ix), for the intended purpose for which it was given and received.<br />
         		<a id="pl.186.1"></a><var>186.1</var>(b) Applicants who are qualified noncitizens and victims of domestic violence as <br />
         		<a id="pl.186.2"></a><var>186.2</var>defined under section 
         <statute_ref>256J.08, subdivision 73</statute_ref>, clause (7), are not required to verify the <br />
         		<a id="pl.186.3"></a><var>186.3</var>information in paragraph (a), clause (10). When a Social Security number is not provided
         <br />
         		<a id="pl.186.4"></a><var>186.4</var>to the agency for verification, this requirement is satisfied when each member of
         the <br />
         		<a id="pl.186.5"></a><var>186.5</var>assistance unit cooperates with the procedures for verification of Social Security
         numbers, <br />
         		<a id="pl.186.6"></a><var>186.6</var>issuance of duplicate cards, and issuance of new numbers which have been established
         <br />
         		<a id="pl.186.7"></a><var>186.7</var>jointly between the Social Security Administration and the commissioner.<br />
         		<br />
         		<a id="bill.5.30.0"></a><a id="pl.186.8"></a><var>186.8</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 256P.05, subdivision 1, is amended to read:<br />
         		<a id="pl.186.9"></a><var>186.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exempted programs.</b> Participants who qualify for child care <br />
         		<a id="pl.186.10"></a><var>186.10</var>assistance programs under chapter 119B,  Minnesota supplemental aid under chapter <br />
         		<a id="pl.186.11"></a><var>186.11</var>256D, and for group residential housing under chapter 256I on the basis of eligibility for <br />
         		<a id="pl.186.12"></a><var>186.12</var>Supplemental Security Income are exempt from this section.<br />
         		<br />
         		<a id="bill.5.31.0"></a><a id="pl.186.13"></a><var>186.13</var>&#160;&#160;&#160;&#160;Sec. 31. <b>[256P.06] INCOME CALCULATIONS.</b><br />
         		<a id="pl.186.14"></a><var>186.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reporting of income.</b> To determine eligibility, the county agency <br />
         		<a id="pl.186.15"></a><var>186.15</var>must evaluate income received by members of the assistance unit, or by other persons
         <br />
         		<a id="pl.186.16"></a><var>186.16</var>whose income is considered available to the assistance unit, and only count income
         that <br />
         		<a id="pl.186.17"></a><var>186.17</var>is available to the assistance unit. Income is available if the individual has legal
         access <br />
         		<a id="pl.186.18"></a><var>186.18</var>to the income.<br />
         		<a id="pl.186.19"></a><var>186.19</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Exempted individuals.</b> The following members of an assistance unit <br />
         		<a id="pl.186.20"></a><var>186.20</var>under chapters 119B and 256J are exempt from having their earned income count towards
         <br />
         		<a id="pl.186.21"></a><var>186.21</var>the income of an assistance unit:<br />
         		<a id="pl.186.22"></a><var>186.22</var>(1) children under six years old;<br />
         		<a id="pl.186.23"></a><var>186.23</var>(2) caregivers under 20 years of age enrolled at least half-time in school; and<br />
         		<a id="pl.186.24"></a><var>186.24</var>(3) minors enrolled in school full time.<br />
         		<a id="pl.186.25"></a><var>186.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Income inclusions.</b> The following must be included in determining the <br />
         		<a id="pl.186.26"></a><var>186.26</var>income of an assistance unit:<br />
         		<a id="pl.186.27"></a><var>186.27</var>(1) earned income; and<br />
         		<a id="pl.186.28"></a><var>186.28</var>(2) unearned income, which includes:<br />
         		<a id="pl.186.29"></a><var>186.29</var>(i) interest and dividends from investments and savings;<br />
         		<a id="pl.186.30"></a><var>186.30</var>(ii) capital gains as defined by the Internal Revenue Service from any sale of real
         <br />
         		<a id="pl.186.31"></a><var>186.31</var>property;<br />
         		<a id="pl.186.32"></a><var>186.32</var>(iii) proceeds from rent and contract for deed payments in excess of the principal
         <br />
         		<a id="pl.186.33"></a><var>186.33</var>and interest portion owed on property;<br />
         		<a id="pl.186.34"></a><var>186.34</var>(iv) income from trusts, excluding special needs and supplemental needs trusts;<br />
         		<a id="pl.187.1"></a><var>187.1</var>(v) interest income from loans made by the participant or household;<br />
         		<a id="pl.187.2"></a><var>187.2</var>(vi) cash prizes and winnings;<br />
         		<a id="pl.187.3"></a><var>187.3</var>(vii) unemployment insurance income;<br />
         		<a id="pl.187.4"></a><var>187.4</var>(viii) retirement, survivors, and disability insurance payments;<br />
         		<a id="pl.187.5"></a><var>187.5</var>(ix) nonrecurring income over $60 per quarter unless earmarked and used for the <br />
         		<a id="pl.187.6"></a><var>187.6</var>purpose for which it is intended. Income and use of this income is subject to verification
         <br />
         		<a id="pl.187.7"></a><var>187.7</var>requirements under section 256P.04;<br />
         		<a id="pl.187.8"></a><var>187.8</var>(x) retirement benefits;<br />
         		<a id="pl.187.9"></a><var>187.9</var>(xi) cash assistance benefits, as defined by each program in chapters 119B, 256D,
         <br />
         		<a id="pl.187.10"></a><var>187.10</var>256I, and 256J;<br />
         		<a id="pl.187.11"></a><var>187.11</var>(xii) tribal per capita payments unless excluded by federal and state law;<br />
         		<a id="pl.187.12"></a><var>187.12</var>(xiii) income and payments from service and rehabilitation programs that meet <br />
         		<a id="pl.187.13"></a><var>187.13</var>or exceed the state's minimum wage rate;<br />
         		<a id="pl.187.14"></a><var>187.14</var>(xiv) income from members of the United States armed forces unless excluded from <br />
         		<a id="pl.187.15"></a><var>187.15</var>income taxes according to federal or state law;<br />
         		<a id="pl.187.16"></a><var>187.16</var>(xv) all child support payments for programs under chapters 119B, 256D, and 256I;<br />
         		<a id="pl.187.17"></a><var>187.17</var>(xvi) the amount of current child support received that exceeds $100 for assistance
         <br />
         		<a id="pl.187.18"></a><var>187.18</var>units with one child and $200 for assistance units with two or more children for programs
         <br />
         		<a id="pl.187.19"></a><var>187.19</var>under chapter 256J; and<br />
         		<a id="pl.187.20"></a><var>187.20</var>(xvii) spousal support.<br />
         		<br />
         		<a id="bill.5.32.0"></a><a id="pl.187.21"></a><var>187.21</var>&#160;&#160;&#160;&#160;Sec. 32. <b>[256P.07] REPORTING OF INCOME AND CHANGES.</b><br />
         		<a id="pl.187.22"></a><var>187.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exempted programs.</b> Participants who qualify for Minnesota <br />
         		<a id="pl.187.23"></a><var>187.23</var>supplemental aid under chapter 256D and for group residential housing under chapter
         256I <br />
         		<a id="pl.187.24"></a><var>187.24</var>on the basis of eligibility for Supplemental Security Income are exempt from this
         section.<br />
         		<a id="pl.187.25"></a><var>187.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Reporting requirements.</b> An applicant or participant must provide <br />
         		<a id="pl.187.26"></a><var>187.26</var>information on an application and any subsequent reporting forms about the assistance
         <br />
         		<a id="pl.187.27"></a><var>187.27</var>unit's circumstances that affect eligibility or benefits. An applicant or assistance
         unit must <br />
         		<a id="pl.187.28"></a><var>187.28</var>report changes identified in subdivision 3. When information is not accurately reported,
         <br />
         		<a id="pl.187.29"></a><var>187.29</var>both an overpayment and a referral for a fraud investigation may result. When information
         <br />
         		<a id="pl.187.30"></a><var>187.30</var>or documentation is not provided, the receipt of any benefit may be delayed or denied,
         <br />
         		<a id="pl.187.31"></a><var>187.31</var>depending on the type of information required and its effect on eligibility.<br />
         		<a id="pl.187.32"></a><var>187.32</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Changes that must be reported.</b> An assistance unit must report the <br />
         		<a id="pl.187.33"></a><var>187.33</var>changes or anticipated changes specified in clauses (1) to (12) within ten days of
         the date <br />
         		<a id="pl.187.34"></a><var>187.34</var>they occur, at the time of recertification of eligibility under section 256P.04, subdivisions
         <br />
         		<a id="pl.187.35"></a><var>187.35</var>8 and 9, or within eight calendar days of a reporting period, whichever occurs first.
         An <br />
         		<a id="pl.188.1"></a><var>188.1</var>assistance unit must report other changes at the time of recertification of eligibility
         under <br />
         		<a id="pl.188.2"></a><var>188.2</var>section 256P.04, subdivisions 8 and 9, or at the end of a reporting period, as applicable.
         <br />
         		<a id="pl.188.3"></a><var>188.3</var>When an agency could have reduced or terminated assistance for one or more payment
         <br />
         		<a id="pl.188.4"></a><var>188.4</var>months if a delay in reporting a change specified under clauses (1) to (12) had not
         occurred, <br />
         		<a id="pl.188.5"></a><var>188.5</var>the agency must determine whether a timely notice could have been issued on the day
         <br />
         		<a id="pl.188.6"></a><var>188.6</var>that the change occurred. When a timely notice could have been issued, each month's
         <br />
         		<a id="pl.188.7"></a><var>188.7</var>overpayment subsequent to that notice must be considered a client error overpayment
         <br />
         		<a id="pl.188.8"></a><var>188.8</var>under section 119B.11, subdivision 2a, or 256P.08. Changes in circumstances that must
         <br />
         		<a id="pl.188.9"></a><var>188.9</var>be reported within ten days must also be reported for the reporting period in which
         those <br />
         		<a id="pl.188.10"></a><var>188.10</var>changes occurred. Within ten days, an assistance unit must report:<br />
         		<a id="pl.188.11"></a><var>188.11</var>(1) a change in earned income of $100 per month or greater;<br />
         		<a id="pl.188.12"></a><var>188.12</var>(2) a change in unearned income of $50 per month or greater;<br />
         		<a id="pl.188.13"></a><var>188.13</var>(3) a change in employment status and hours;<br />
         		<a id="pl.188.14"></a><var>188.14</var>(4) a change in address or residence;<br />
         		<a id="pl.188.15"></a><var>188.15</var>(5) a change in household composition with the exception of programs under <br />
         		<a id="pl.188.16"></a><var>188.16</var>chapter 256I;<br />
         		<a id="pl.188.17"></a><var>188.17</var>(6) a receipt of a lump-sum payment;<br />
         		<a id="pl.188.18"></a><var>188.18</var>(7) an increase in assets if over $9,000 with the exception of programs under chapter
         <br />
         		<a id="pl.188.19"></a><var>188.19</var>119B;<br />
         		<a id="pl.188.20"></a><var>188.20</var>(8) a change in citizenship or immigration status;<br />
         		<a id="pl.188.21"></a><var>188.21</var>(9) a change in family status with the exception of programs under chapter 256I;<br />
         		<a id="pl.188.22"></a><var>188.22</var>(10) a change in disability status of a unit member, with the exception of programs
         <br />
         		<a id="pl.188.23"></a><var>188.23</var>under chapter 119B;<br />
         		<a id="pl.188.24"></a><var>188.24</var>(11) a new rent subsidy or a change in rent subsidy; and<br />
         		<a id="pl.188.25"></a><var>188.25</var>(12) a sale, purchase, or transfer of real property.<br />
         		<a id="pl.188.26"></a><var>188.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>MFIP-specific reporting.</b> In addition to subdivision 3, an assistance unit <br />
         		<a id="pl.188.27"></a><var>188.27</var>under chapter 256J, within ten days of the change, must report:<br />
         		<a id="pl.188.28"></a><var>188.28</var>(1) a pregnancy not resulting in birth when there are no other minor children; and<br />
         		<a id="pl.188.29"></a><var>188.29</var>(2) a change in school attendance of a parent under 20 years of age or of an <br />
         		<a id="pl.188.30"></a><var>188.30</var>employed child.<br />
         		<a id="pl.188.31"></a><var>188.31</var>&#160;&#160;&#160;&#160;Subd. 5. <b>DWP-specific reporting.</b> In addition to subdivisions 3 and 4, an assistance <br />
         		<a id="pl.188.32"></a><var>188.32</var>unit participating in the diversionary work program under section 256J.95 must report
         <br />
         		<a id="pl.188.33"></a><var>188.33</var>on an application:<br />
         		<a id="pl.188.34"></a><var>188.34</var>(1) shelter expenses; and<br />
         		<a id="pl.188.35"></a><var>188.35</var>(2) utility expenses.<br />
         		<a id="pl.189.1"></a><var>189.1</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Child care assistance programs-specific reporting.</b> In addition to <br />
         		<a id="pl.189.2"></a><var>189.2</var>subdivision 3, an assistance unit under chapter 119B, within ten days of the change,
         must <br />
         		<a id="pl.189.3"></a><var>189.3</var>report:<br />
         		<a id="pl.189.4"></a><var>189.4</var>(1) a change in a parentally responsible individual's visitation schedule or custody
         <br />
         		<a id="pl.189.5"></a><var>189.5</var>arrangement for any child receiving child care assistance program benefits; and<br />
         		<a id="pl.189.6"></a><var>189.6</var>(2) a change in authorized activity status.<br />
         		<a id="pl.189.7"></a><var>189.7</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Minnesota supplemental aid-specific reporting.</b> In addition to <br />
         		<a id="pl.189.8"></a><var>189.8</var>subdivision 3, an assistance unit participating in the Minnesota supplemental aid
         program <br />
         		<a id="pl.189.9"></a><var>189.9</var>under section 256D.44, subdivision 5, paragraph (f), within ten days of the change,
         must <br />
         		<a id="pl.189.10"></a><var>189.10</var>report shelter expenses.<br />
         		<br />
         		<a id="bill.5.33.0"></a><a id="pl.189.11"></a><var>189.11</var>&#160;&#160;&#160;&#160;Sec. 33. <b>[256P.08] CORRECTION OF OVERPAYMENTS AND </b><br />
         		<a id="pl.189.12"></a><var>189.12</var><b>UNDERPAYMENTS.</b><br />
         		<a id="pl.189.13"></a><var>189.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exempted programs.</b> Participants who qualify for child care <br />
         		<a id="pl.189.14"></a><var>189.14</var>assistance programs under chapter 119B or group residential housing under chapter
         256I <br />
         		<a id="pl.189.15"></a><var>189.15</var>are exempt from this section.<br />
         		<a id="pl.189.16"></a><var>189.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Scope of overpayment.</b> (a) When a participant or former participant <br />
         		<a id="pl.189.17"></a><var>189.17</var>receives an overpayment due to client or ATM error, or due to assistance received
         while <br />
         		<a id="pl.189.18"></a><var>189.18</var>an appeal is pending and the participant or former participant is determined ineligible
         <br />
         		<a id="pl.189.19"></a><var>189.19</var>for assistance or for less assistance than was received, except as provided for interim
         <br />
         		<a id="pl.189.20"></a><var>189.20</var>assistance in section 256D.06, subdivision 5, the county agency must recoup or recover
         <br />
         		<a id="pl.189.21"></a><var>189.21</var>the overpayment using the following methods:<br />
         		<a id="pl.189.22"></a><var>189.22</var>(1) reconstruct each affected budget month and corresponding payment month;<br />
         		<a id="pl.189.23"></a><var>189.23</var>(2) use the policies and procedures that were in effect for the payment month; and<br />
         		<a id="pl.189.24"></a><var>189.24</var>(3) do not allow employment disregards in the calculation of the overpayment when
         <br />
         		<a id="pl.189.25"></a><var>189.25</var>the unit has not reported within two calendar months following the end of the month
         in <br />
         		<a id="pl.189.26"></a><var>189.26</var>which the income was received.<br />
         		<a id="pl.189.27"></a><var>189.27</var>(b) Establishment of an overpayment is limited to six years prior to the month of
         <br />
         		<a id="pl.189.28"></a><var>189.28</var>discovery due to client error or an intentional program violation determined under
         section <br />
         		<a id="pl.189.29"></a><var>189.29</var>256.046. <br />
         		<a id="pl.189.30"></a><var>189.30</var>(c) A participant or former participant is not responsible for overpayments due to
         <br />
         		<a id="pl.189.31"></a><var>189.31</var>agency error, unless the amount of the overpayment is large enough that a reasonable
         <br />
         		<a id="pl.189.32"></a><var>189.32</var>person would know it is an error.<br />
         		<a id="pl.189.33"></a><var>189.33</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Notice of overpayment.</b> When a county agency discovers that a participant <br />
         		<a id="pl.189.34"></a><var>189.34</var>or former participant has received an overpayment for one or more months, the county
         <br />
         		<a id="pl.189.35"></a><var>189.35</var>agency must notify the participant or former participant of the overpayment in writing.
         <br />
         		<a id="pl.190.1"></a><var>190.1</var>A notice of overpayment must specify the reason for the overpayment, the authority
         for <br />
         		<a id="pl.190.2"></a><var>190.2</var>citing the overpayment, the time period in which the overpayment occurred, the amount
         of <br />
         		<a id="pl.190.3"></a><var>190.3</var>the overpayment, and the participant's or former participant's right to appeal. No
         limit <br />
         		<a id="pl.190.4"></a><var>190.4</var>applies to the period in which the county agency is required to recoup or recover
         an <br />
         		<a id="pl.190.5"></a><var>190.5</var>overpayment according to subdivisions 4, 5, and 6.<br />
         		<a id="pl.190.6"></a><var>190.6</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Recovering general assistance and Minnesota supplemental aid </b><br />
         		<a id="pl.190.7"></a><var>190.7</var><b>overpayments.</b> (a) If an amount of assistance is paid to an assistance unit in excess of the <br />
         		<a id="pl.190.8"></a><var>190.8</var>payment due, it shall be recoverable by the agency. The agency shall give written
         notice to <br />
         		<a id="pl.190.9"></a><var>190.9</var>the participant of its intention to recover the overpayment.<br />
         		<a id="pl.190.10"></a><var>190.10</var>(b) If the individual is no longer receiving assistance, the agency may request <br />
         		<a id="pl.190.11"></a><var>190.11</var>voluntary repayment or pursue civil recovery.<br />
         		<a id="pl.190.12"></a><var>190.12</var>(c) If the individual is receiving assistance, except as provided for interim assistance
         <br />
         		<a id="pl.190.13"></a><var>190.13</var>in section 256D.06, subdivision 5, when an overpayment occurs the agency shall recover
         <br />
         		<a id="pl.190.14"></a><var>190.14</var>the overpayment by withholding an amount equal to:<br />
         		<a id="pl.190.15"></a><var>190.15</var>(1) three percent of the assistance unit's standard of need for all Minnesota <br />
         		<a id="pl.190.16"></a><var>190.16</var>supplemental aid assistance units, and nonfraud cases for general assistance; and<br />
         		<a id="pl.190.17"></a><var>190.17</var>(2) ten percent where fraud has occurred in general assistance cases; or<br />
         		<a id="pl.190.18"></a><var>190.18</var>(3) the amount of the monthly general assistance or Minnesota supplemental aid <br />
         		<a id="pl.190.19"></a><var>190.19</var>payment, whichever is less.<br />
         		<a id="pl.190.20"></a><var>190.20</var>(d) In cases when there is both an overpayment and underpayment, the county <br />
         		<a id="pl.190.21"></a><var>190.21</var>agency shall offset one against the other in correcting the payment.<br />
         		<a id="pl.190.22"></a><var>190.22</var>(e) Overpayments may also be voluntarily repaid, in part or in full, by the individual,
         <br />
         		<a id="pl.190.23"></a><var>190.23</var>in addition to the assistance reductions provided in this subdivision, to include
         further <br />
         		<a id="pl.190.24"></a><var>190.24</var>voluntary reductions in the grant level agreed to in writing by the individual, until
         the <br />
         		<a id="pl.190.25"></a><var>190.25</var>total amount of the overpayment is repaid.<br />
         		<a id="pl.190.26"></a><var>190.26</var>(f) The county agency shall make reasonable efforts to recover overpayments to <br />
         		<a id="pl.190.27"></a><var>190.27</var>individuals no longer on assistance. The agency need not attempt to recover overpayments
         <br />
         		<a id="pl.190.28"></a><var>190.28</var>of less than $35 paid to an individual no longer on assistance if the individual does
         not <br />
         		<a id="pl.190.29"></a><var>190.29</var>receive assistance again within three years, unless the individual has been convicted
         of <br />
         		<a id="pl.190.30"></a><var>190.30</var>violating section 256.98.<br />
         		<a id="pl.190.31"></a><var>190.31</var>(g) Establishment of an overpayment is limited to 12 months prior to the month of
         <br />
         		<a id="pl.190.32"></a><var>190.32</var>discovery due to agency error and six years prior to the month of discovery due to
         client <br />
         		<a id="pl.190.33"></a><var>190.33</var>error or an intentional program violation determined under section 256.046.<br />
         		<a id="pl.190.34"></a><var>190.34</var>(h) Residents of licensed residential facilities shall not have overpayments recovered
         <br />
         		<a id="pl.190.35"></a><var>190.35</var>from their personal needs allowance.<br />
         		<a id="pl.191.1"></a><var>191.1</var>(i) Overpayments by another maintenance benefit program shall not be recovered <br />
         		<a id="pl.191.2"></a><var>191.2</var>from the general assistance or Minnesota supplemental aid grant.<br />
         		<a id="pl.191.3"></a><var>191.3</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Recovering MFIP overpayments.</b> A county agency must initiate efforts <br />
         		<a id="pl.191.4"></a><var>191.4</var>to recover overpayments paid to a former participant or caregiver. Caregivers, both
         <br />
         		<a id="pl.191.5"></a><var>191.5</var>parental and nonparental, and minor caregivers of an assistance unit at the time an
         <br />
         		<a id="pl.191.6"></a><var>191.6</var>overpayment occurs, whether receiving assistance or not, are jointly and individually
         <br />
         		<a id="pl.191.7"></a><var>191.7</var>liable for repayment of the overpayment. The county agency must request repayment
         <br />
         		<a id="pl.191.8"></a><var>191.8</var>from the former participants and caregivers. When an agreement for repayment is <br />
         		<a id="pl.191.9"></a><var>191.9</var>not completed within six months of the date of discovery or when there is a default
         on <br />
         		<a id="pl.191.10"></a><var>191.10</var>an agreement for repayment after six months, the county agency must initiate recovery
         <br />
         		<a id="pl.191.11"></a><var>191.11</var>consistent with chapter 270A or section 541.05. When a person has been disqualified
         <br />
         		<a id="pl.191.12"></a><var>191.12</var>or convicted of fraud under section 256.98, recovery must be sought regardless of
         the <br />
         		<a id="pl.191.13"></a><var>191.13</var>amount of overpayment. When an overpayment is less than $35, and is not the result
         of a <br />
         		<a id="pl.191.14"></a><var>191.14</var>fraud conviction under section 256.98, the county agency must not seek recovery under
         <br />
         		<a id="pl.191.15"></a><var>191.15</var>this subdivision. The county agency must retain information about all overpayments
         <br />
         		<a id="pl.191.16"></a><var>191.16</var>regardless of the amount. When an adult, adult caregiver, or minor caregiver reapplies
         for <br />
         		<a id="pl.191.17"></a><var>191.17</var>assistance, the overpayment must be recouped under subdivision 6.<br />
         		<a id="pl.191.18"></a><var>191.18</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Recouping overpayments from MFIP participants.</b> A participant may <br />
         		<a id="pl.191.19"></a><var>191.19</var>voluntarily repay, in part or in full, an overpayment even if assistance is reduced
         under this <br />
         		<a id="pl.191.20"></a><var>191.20</var>subdivision, until  the total amount of the overpayment is repaid. When an overpayment
         <br />
         		<a id="pl.191.21"></a><var>191.21</var>occurs due to fraud, the county agency must recover from the overpaid assistance unit,
         <br />
         		<a id="pl.191.22"></a><var>191.22</var>including child-only cases, ten percent of the applicable standard or the amount of
         the <br />
         		<a id="pl.191.23"></a><var>191.23</var>monthly assistance payment, whichever is less. When a nonfraud overpayment occurs,
         <br />
         		<a id="pl.191.24"></a><var>191.24</var>the county agency must recover from the overpaid assistance unit, including child-only
         <br />
         		<a id="pl.191.25"></a><var>191.25</var>cases, three percent of the MFIP standard of need or the amount of the monthly assistance
         <br />
         		<a id="pl.191.26"></a><var>191.26</var>payment, whichever is less.<br />
         		<a id="pl.191.27"></a><var>191.27</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Recovering automatic teller machine errors.</b> For recipients receiving <br />
         		<a id="pl.191.28"></a><var>191.28</var>benefits by electronic benefit transfer, if the overpayment is a result of an ATM
         dispensing <br />
         		<a id="pl.191.29"></a><var>191.29</var>funds in error to the recipient, the agency may recover the ATM error by immediately
         <br />
         		<a id="pl.191.30"></a><var>191.30</var>withdrawing funds from the recipient's electronic benefit transfer account, up to
         the <br />
         		<a id="pl.191.31"></a><var>191.31</var>amount of the error.<br />
         		<a id="pl.191.32"></a><var>191.32</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Scope of underpayments.</b> A county agency must issue a corrective <br />
         		<a id="pl.191.33"></a><var>191.33</var>payment for underpayments made to a participant or to a person who would be a <br />
         		<a id="pl.191.34"></a><var>191.34</var>participant if an agency or client error causing the underpayment had not occurred.
         <br />
         		<a id="pl.191.35"></a><var>191.35</var>Corrective payments are limited to 12 months prior to the month of discovery. The
         county <br />
         		<a id="pl.191.36"></a><var>191.36</var>agency must issue the corrective payment according to subdivision 10.<br />
         		<a id="pl.192.1"></a><var>192.1</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Identifying the underpayment.</b> An underpayment may be identified by <br />
         		<a id="pl.192.2"></a><var>192.2</var>a county agency, participant, former participant, or person who would be a participant
         <br />
         		<a id="pl.192.3"></a><var>192.3</var>except for agency or client error.<br />
         		<a id="pl.192.4"></a><var>192.4</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Issuing corrective payments.</b> A county agency must correct an <br />
         		<a id="pl.192.5"></a><var>192.5</var>underpayment within seven calendar days after the underpayment has been identified,
         <br />
         		<a id="pl.192.6"></a><var>192.6</var>by adding the corrective payment amount to the monthly assistance payment of the <br />
         		<a id="pl.192.7"></a><var>192.7</var>participant, issuing a separate payment to a participant or former participant, or
         reducing <br />
         		<a id="pl.192.8"></a><var>192.8</var>an existing overpayment balance. When an underpayment occurs in a payment month <br />
         		<a id="pl.192.9"></a><var>192.9</var>and is not identified until the next payment month or later, the county agency must
         first <br />
         		<a id="pl.192.10"></a><var>192.10</var>subtract the underpayment from any overpayment balance before issuing the corrective
         <br />
         		<a id="pl.192.11"></a><var>192.11</var>payment. The county agency must not apply an underpayment in a current payment month
         <br />
         		<a id="pl.192.12"></a><var>192.12</var>against an overpayment balance. When an underpayment in the current payment month
         <br />
         		<a id="pl.192.13"></a><var>192.13</var>is identified, the corrective payment must be issued  within seven calendar days after
         the <br />
         		<a id="pl.192.14"></a><var>192.14</var>underpayment is identified. Corrective payments must be excluded when determining
         the <br />
         		<a id="pl.192.15"></a><var>192.15</var>applicant's or participant's income and resources for the month of payment. The county
         <br />
         		<a id="pl.192.16"></a><var>192.16</var>agency must correct underpayments using the following methods:<br />
         		<a id="pl.192.17"></a><var>192.17</var>(1) reconstruct each affected budget month and corresponding payment month; and <br />
         		<a id="pl.192.18"></a><var>192.18</var>(2) use the policies and procedures that were in effect for the payment month.<br />
         		<a id="pl.192.19"></a><var>192.19</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Appeals.</b> A participant may appeal an underpayment, an overpayment, <br />
         		<a id="pl.192.20"></a><var>192.20</var>and a reduction in an assistance payment made to recoup the overpayment under <br />
         		<a id="pl.192.21"></a><var>192.21</var>subdivisions 4 and 6. The participant's appeal of each issue must be timely under
         section <br />
         		<a id="pl.192.22"></a><var>192.22</var>256.045. When an appeal based on the notice issued under subdivision 3 is not timely,
         the <br />
         		<a id="pl.192.23"></a><var>192.23</var>fact or the amount of that overpayment must not be considered as a part of a later
         appeal, <br />
         		<a id="pl.192.24"></a><var>192.24</var>including an appeal of a reduction in an assistance payment to recoup that overpayment.<br />
         		<br />
         		<a id="bill.5.34.0"></a><a id="pl.192.25"></a><var>192.25</var>&#160;&#160;&#160;&#160;Sec. 34. <b> REPEALER.</b><br />
         		<a id="pl.192.26"></a><var>192.26</var>(a) Minnesota Statutes 2014, sections 256D.0513; 256D.06, subdivision 8; 256D.09, <br />
         		<a id="pl.192.27"></a><var>192.27</var>subdivision 6; 256D.49; and 256J.38, are repealed.<br />
         		<a id="pl.192.28"></a><var>192.28</var>(b) Minnesota Rules, part 3400.0170, subparts 5, 6, 12, and 13, are repealed.<br />
         		<br />
         		<a id="bill.5.35.0"></a><a id="pl.192.29"></a><var>192.29</var>&#160;&#160;&#160;&#160;Sec. 35. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.192.30"></a><var>192.30</var>This article is effective August 1, 2016.<br />
         		<br />
         		<a id="bill.6.0.0"></a><div class="xtend_ce"><a id="pl.193.1"></a><var>193.1</var><b>ARTICLE 6</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.193.2"></a><var>193.2</var><b>NURSING FACILITY PAYMENT REFORM AND WORKFORCE </b><br />
            		<a id="pl.193.3"></a><var>193.3</var><b>DEVELOPMENT</b><br />
            		
         </div><br />
         		<a id="bill.6.1.0"></a><a id="pl.193.4"></a><var>193.4</var>&#160;&#160;&#160;&#160;Section 1. <b>[144.1503] HOME AND COMMUNITY-BASED SERVICES </b><br />
         		<a id="pl.193.5"></a><var>193.5</var><b>EMPLOYEE SCHOLARSHIP PROGRAM.</b><br />
         		<a id="pl.193.6"></a><var>193.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Creation.</b> The home and community-based services employee <br />
         		<a id="pl.193.7"></a><var>193.7</var>scholarship grant program is established for the purpose of assisting qualified provider
         <br />
         		<a id="pl.193.8"></a><var>193.8</var>applicants to fund employee scholarships for education in nursing and other health
         care <br />
         		<a id="pl.193.9"></a><var>193.9</var>fields.<br />
         		<a id="pl.193.10"></a><var>193.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Provision of grants.</b> The commissioner shall make grants available <br />
         		<a id="pl.193.11"></a><var>193.11</var>to qualified providers of older adult services. Grants must be used by home and <br />
         		<a id="pl.193.12"></a><var>193.12</var>community-based service providers to recruit and train staff through the establishment
         of <br />
         		<a id="pl.193.13"></a><var>193.13</var>an employee scholarship fund.<br />
         		<a id="pl.193.14"></a><var>193.14</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> (a) Eligible providers must primarily provide services to <br />
         		<a id="pl.193.15"></a><var>193.15</var>individuals who are 65 years of age and older in home and community-based settings,
         <br />
         		<a id="pl.193.16"></a><var>193.16</var>including housing with services establishments as defined in section 144D.01, subdivision
         <br />
         		<a id="pl.193.17"></a><var>193.17</var>4; adult day care as defined in section 245A.02, subdivision 2a; and home care services
         as <br />
         		<a id="pl.193.18"></a><var>193.18</var>defined in section 144A.43, subdivision 3.<br />
         		<a id="pl.193.19"></a><var>193.19</var>(b) Qualifying providers must establish a home and community-based services <br />
         		<a id="pl.193.20"></a><var>193.20</var>employee scholarship program, as specified in subdivision 4. Providers that receive
         <br />
         		<a id="pl.193.21"></a><var>193.21</var>funding under this section must use the funds to award scholarships to employees who
         <br />
         		<a id="pl.193.22"></a><var>193.22</var>work an average of at least 16 hours per week for the provider.<br />
         		<a id="pl.193.23"></a><var>193.23</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Home and community-based services employee scholarship program.</b><br />
         		 <a id="pl.193.24"></a><var>193.24</var>Each qualifying provider under this section must propose a home and community-based
         <br />
         		<a id="pl.193.25"></a><var>193.25</var>services employee scholarship program. Providers must establish criteria by which
         <br />
         		<a id="pl.193.26"></a><var>193.26</var>funds are to be distributed among employees. At a minimum, the scholarship program
         <br />
         		<a id="pl.193.27"></a><var>193.27</var>must cover employee costs related to a course of study that is expected to lead to
         career <br />
         		<a id="pl.193.28"></a><var>193.28</var>advancement with the provider or in the field of long-term care, including home care,
         <br />
         		<a id="pl.193.29"></a><var>193.29</var>care of persons with disabilities, or nursing.<br />
         		<a id="pl.193.30"></a><var>193.30</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Participating providers.</b> The commissioner shall publish a request for <br />
         		<a id="pl.193.31"></a><var>193.31</var>proposals in the State Register, specifying provider eligibility requirements, criteria
         for <br />
         		<a id="pl.193.32"></a><var>193.32</var>a qualifying employee scholarship program, provider selection criteria, documentation
         <br />
         		<a id="pl.193.33"></a><var>193.33</var>required for program participation, maximum award amount, and methods of evaluation.
         <br />
         		<a id="pl.193.34"></a><var>193.34</var>The commissioner must publish additional requests for proposals each year in which
         <br />
         		<a id="pl.193.35"></a><var>193.35</var>funding is available for this purpose.<br />
         		<a id="pl.194.1"></a><var>194.1</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Application requirements.</b> Eligible providers seeking a grant shall submit <br />
         		<a id="pl.194.2"></a><var>194.2</var>an application to the commissioner.  Applications must contain a complete description
         of <br />
         		<a id="pl.194.3"></a><var>194.3</var>the employee scholarship program being proposed by the applicant, including the need
         for <br />
         		<a id="pl.194.4"></a><var>194.4</var>the organization to enhance the education of its workforce, the process for determining
         <br />
         		<a id="pl.194.5"></a><var>194.5</var>which employees will be eligible for scholarships, any other sources of funding for
         <br />
         		<a id="pl.194.6"></a><var>194.6</var>scholarships, the expected degrees or credentials eligible for scholarships, the amount
         of <br />
         		<a id="pl.194.7"></a><var>194.7</var>funding sought for the scholarship program, a proposed budget detailing how funds
         will <br />
         		<a id="pl.194.8"></a><var>194.8</var>be spent, and plans for retaining eligible employees after completion of their scholarship.<br />
         		<a id="pl.194.9"></a><var>194.9</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Selection process.</b> The commissioner shall determine a maximum <br />
         		<a id="pl.194.10"></a><var>194.10</var>award for grants and make grant selections based on the information provided in the
         <br />
         		<a id="pl.194.11"></a><var>194.11</var>grant application, including the demonstrated need for an applicant provider to enhance
         <br />
         		<a id="pl.194.12"></a><var>194.12</var>the education of its workforce, the proposed employee scholarship selection process,
         <br />
         		<a id="pl.194.13"></a><var>194.13</var>the applicant's proposed budget, and other criteria as determined by the commissioner.
         <br />
         		<a id="pl.194.14"></a><var>194.14</var>Notwithstanding any law or rule to the contrary, funds awarded to grantees in a grant
         <br />
         		<a id="pl.194.15"></a><var>194.15</var>agreement do not lapse until the grant agreement expires.<br />
         		<a id="pl.194.16"></a><var>194.16</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Reporting requirements.</b> Participating providers shall submit an invoice <br />
         		<a id="pl.194.17"></a><var>194.17</var>for reimbursement and a report to the commissioner on a schedule determined by the
         <br />
         		<a id="pl.194.18"></a><var>194.18</var>commissioner and on a form supplied by the commissioner. The report shall include
         <br />
         		<a id="pl.194.19"></a><var>194.19</var>the amount spent on scholarships; the number of employees who received scholarships;
         <br />
         		<a id="pl.194.20"></a><var>194.20</var>and, for each scholarship recipient, the name of the recipient, the current position
         of <br />
         		<a id="pl.194.21"></a><var>194.21</var>the recipient, the amount awarded, the educational institution attended, the nature
         of <br />
         		<a id="pl.194.22"></a><var>194.22</var>the educational program, and the expected or actual program completion date. During
         <br />
         		<a id="pl.194.23"></a><var>194.23</var>the grant period, the commissioner may require and collect from grant recipients other
         <br />
         		<a id="pl.194.24"></a><var>194.24</var>information necessary to evaluate the program.<br />
         		<br />
         		<a id="bill.6.2.0"></a><a id="pl.194.25"></a><var>194.25</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 144A.071, subdivision 4a, is amended to read:<br />
         		<a id="pl.194.26"></a><var>194.26</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Exceptions for replacement beds.</b>  It is in the best interest of the state <br />
         		<a id="pl.194.27"></a><var>194.27</var>to ensure that nursing homes and boarding care homes continue to meet the physical
         <br />
         		<a id="pl.194.28"></a><var>194.28</var>plant licensing and certification requirements by permitting certain construction
         projects. <br />
         		<a id="pl.194.29"></a><var>194.29</var>Facilities should be maintained in condition to satisfy the physical and emotional
         needs <br />
         		<a id="pl.194.30"></a><var>194.30</var>of residents while allowing the state to maintain control over nursing home expenditure
         <br />
         		<a id="pl.194.31"></a><var>194.31</var>growth.<br />
         		<a id="pl.194.32"></a><var>194.32</var>&#160;&#160;&#160;&#160;The commissioner of health in coordination with the commissioner of human <br />
         		<a id="pl.194.33"></a><var>194.33</var>services, may approve the renovation, replacement, upgrading, or relocation of a nursing
         <br />
         		<a id="pl.194.34"></a><var>194.34</var>home or boarding care home, under the following conditions:<br />
         		<a id="pl.195.1"></a><var>195.1</var>&#160;&#160;&#160;&#160;(a) to license or certify beds in a new facility constructed to replace a facility
         or to <br />
         		<a id="pl.195.2"></a><var>195.2</var>make repairs in an existing facility that was destroyed or damaged after June 30,
         1987, by <br />
         		<a id="pl.195.3"></a><var>195.3</var>fire, lightning, or other hazard provided:<br />
         		<a id="pl.195.4"></a><var>195.4</var>&#160;&#160;&#160;&#160;(i) destruction was not caused by the intentional act of or at the direction of a
         <br />
         		<a id="pl.195.5"></a><var>195.5</var>controlling person of the facility;<br />
         		<a id="pl.195.6"></a><var>195.6</var>&#160;&#160;&#160;&#160;(ii) at the time the facility was destroyed or damaged the controlling persons of
         the <br />
         		<a id="pl.195.7"></a><var>195.7</var>facility maintained insurance coverage for the type of hazard that occurred in an
         amount <br />
         		<a id="pl.195.8"></a><var>195.8</var>that a reasonable person would conclude was adequate;<br />
         		<a id="pl.195.9"></a><var>195.9</var>&#160;&#160;&#160;&#160;(iii) the net proceeds from an insurance settlement for the damages caused by the
         <br />
         		<a id="pl.195.10"></a><var>195.10</var>hazard are applied to the cost of the new facility or repairs;<br />
         		<a id="pl.195.11"></a><var>195.11</var>&#160;&#160;&#160;&#160;(iv) the number of licensed and certified beds in the new facility does not exceed
         the <br />
         		<a id="pl.195.12"></a><var>195.12</var>number of licensed and certified beds in the destroyed facility; and<br />
         		<a id="pl.195.13"></a><var>195.13</var>&#160;&#160;&#160;&#160;(v) the commissioner determines that the replacement beds are needed to prevent an
         <br />
         		<a id="pl.195.14"></a><var>195.14</var>inadequate supply of beds.<br />
         		<a id="pl.195.15"></a><var>195.15</var>Project construction costs incurred for repairs authorized under this clause shall
         not be <br />
         		<a id="pl.195.16"></a><var>195.16</var>considered in the dollar threshold amount defined in subdivision 2;<br />
         		<a id="pl.195.17"></a><var>195.17</var>&#160;&#160;&#160;&#160;(b) to license or certify beds that are moved from one location to another within
         a <br />
         		<a id="pl.195.18"></a><var>195.18</var>nursing home facility, provided the total costs of remodeling performed in conjunction
         <br />
         		<a id="pl.195.19"></a><var>195.19</var>with the relocation of beds does not exceed $1,000,000;<br />
         		<a id="pl.195.20"></a><var>195.20</var>&#160;&#160;&#160;&#160;(c) to license or certify beds in a project recommended for approval under section
         <br />
         		
         <statute_ref><a id="pl.195.21"></a><var>195.21</var>144A.073
         </statute_ref>;<br />
         		<a id="pl.195.22"></a><var>195.22</var>&#160;&#160;&#160;&#160;(d) to license or certify beds that are moved from an existing state nursing home
         to <br />
         		<a id="pl.195.23"></a><var>195.23</var>a different state facility, provided there is no net increase in the number of state
         nursing <br />
         		<a id="pl.195.24"></a><var>195.24</var>home beds;<br />
         		<a id="pl.195.25"></a><var>195.25</var>&#160;&#160;&#160;&#160;(e) to certify and license as nursing home beds boarding care beds in a certified
         <br />
         		<a id="pl.195.26"></a><var>195.26</var>boarding care facility if the beds meet the standards for nursing home licensure,
         or in a <br />
         		<a id="pl.195.27"></a><var>195.27</var>facility that was granted an exception to the moratorium under section 
         <statute_ref>144A.073</statute_ref>, and if <br />
         		<a id="pl.195.28"></a><var>195.28</var>the cost of any remodeling of the facility does not exceed $1,000,000. If boarding
         care <br />
         		<a id="pl.195.29"></a><var>195.29</var>beds are licensed as nursing home beds, the number of boarding care beds in the facility
         <br />
         		<a id="pl.195.30"></a><var>195.30</var>must not increase beyond the number remaining at the time of the upgrade in licensure.
         <br />
         		<a id="pl.195.31"></a><var>195.31</var>The provisions contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of the facilities <br />
         		<a id="pl.195.32"></a><var>195.32</var>do not apply to facilities that satisfy these requirements;<br />
         		<a id="pl.195.33"></a><var>195.33</var>&#160;&#160;&#160;&#160;(f) to license and certify up to 40 beds transferred from an existing facility owned
         and <br />
         		<a id="pl.195.34"></a><var>195.34</var>operated by the Amherst H. Wilder Foundation in the city of St. Paul to a new unit
         at the <br />
         		<a id="pl.195.35"></a><var>195.35</var>same location as the existing facility that will serve persons with Alzheimer's disease
         and <br />
         		<a id="pl.195.36"></a><var>195.36</var>other related disorders. The transfer of beds may occur gradually or in stages, provided
         <br />
         		<a id="pl.196.1"></a><var>196.1</var>the total number of beds transferred does not exceed 40. At the time of licensure
         and <br />
         		<a id="pl.196.2"></a><var>196.2</var>certification of a bed or beds in the new unit, the commissioner of health shall delicense
         <br />
         		<a id="pl.196.3"></a><var>196.3</var>and decertify the same number of beds in the existing facility. As a condition of
         receiving <br />
         		<a id="pl.196.4"></a><var>196.4</var>a license or certification under this clause, the facility must make a written commitment
         <br />
         		<a id="pl.196.5"></a><var>196.5</var>to the commissioner of human services that it will not seek to receive an increase
         in its <br />
         		<a id="pl.196.6"></a><var>196.6</var>property-related payment rate as a result of the transfers allowed under this paragraph;<br />
         		<a id="pl.196.7"></a><var>196.7</var>&#160;&#160;&#160;&#160;(g) to license and certify nursing home beds to replace currently licensed and certified
         <br />
         		<a id="pl.196.8"></a><var>196.8</var>boarding care beds which may be located either in a remodeled or renovated boarding
         care <br />
         		<a id="pl.196.9"></a><var>196.9</var>or nursing home facility or in a remodeled, renovated, newly constructed, or replacement
         <br />
         		<a id="pl.196.10"></a><var>196.10</var>nursing home facility within the identifiable complex of health care facilities in
         which the <br />
         		<a id="pl.196.11"></a><var>196.11</var>currently licensed boarding care beds are presently located, provided that the number
         of <br />
         		<a id="pl.196.12"></a><var>196.12</var>boarding care beds in the facility or complex are decreased by the number to be licensed
         <br />
         		<a id="pl.196.13"></a><var>196.13</var>as nursing home beds and further provided that, if the total costs of new construction,
         <br />
         		<a id="pl.196.14"></a><var>196.14</var>replacement, remodeling, or renovation exceed ten percent of the appraised value of
         <br />
         		<a id="pl.196.15"></a><var>196.15</var>the facility or $200,000, whichever is less, the facility makes a written commitment
         to <br />
         		<a id="pl.196.16"></a><var>196.16</var>the commissioner of human services that it will not seek to receive an increase in
         its <br />
         		<a id="pl.196.17"></a><var>196.17</var>property-related payment rate by reason of the new construction, replacement, remodeling,
         <br />
         		<a id="pl.196.18"></a><var>196.18</var>or renovation. The provisions contained in section 
         <statute_ref>144A.073</statute_ref> regarding the upgrading of <br />
         		<a id="pl.196.19"></a><var>196.19</var>facilities do not apply to facilities that satisfy these requirements;<br />
         		<a id="pl.196.20"></a><var>196.20</var>&#160;&#160;&#160;&#160;(h) to license as a nursing home and certify as a nursing facility a facility that
         is <br />
         		<a id="pl.196.21"></a><var>196.21</var>licensed as a boarding care facility but not certified under the medical assistance
         program, <br />
         		<a id="pl.196.22"></a><var>196.22</var>but only if the commissioner of human services certifies to the commissioner of health
         that <br />
         		<a id="pl.196.23"></a><var>196.23</var>licensing the facility as a nursing home and certifying the facility as a nursing
         facility will <br />
         		<a id="pl.196.24"></a><var>196.24</var>result in a net annual savings to the state general fund of $200,000 or more;<br />
         		<a id="pl.196.25"></a><var>196.25</var>&#160;&#160;&#160;&#160;(i) to certify, after September 30, 1992, and prior to July 1, 1993, existing nursing
         <br />
         		<a id="pl.196.26"></a><var>196.26</var>home beds in a facility that was licensed and in operation prior to January 1, 1992;<br />
         		<a id="pl.196.27"></a><var>196.27</var>&#160;&#160;&#160;&#160;(j) to license and certify new nursing home beds to replace beds in a facility acquired
         <br />
         		<a id="pl.196.28"></a><var>196.28</var>by the Minneapolis Community Development Agency as part of redevelopment activities
         <br />
         		<a id="pl.196.29"></a><var>196.29</var>in a city of the first class, provided the new facility is located within three miles
         of the site <br />
         		<a id="pl.196.30"></a><var>196.30</var>of the old facility. Operating and property costs for the new facility must be determined
         <br />
         		<a id="pl.196.31"></a><var>196.31</var>and allowed under section 
         <statute_ref>256B.431</statute_ref> or 
         <statute_ref>256B.434</statute_ref>;<br />
         		<a id="pl.196.32"></a><var>196.32</var>&#160;&#160;&#160;&#160;(k) to license and certify up to 20 new nursing home beds in a community-operated
         <br />
         		<a id="pl.196.33"></a><var>196.33</var>hospital and attached convalescent and nursing care facility with 40 beds on April
         21, <br />
         		<a id="pl.196.34"></a><var>196.34</var>1991, that suspended operation of the hospital in April 1986. The commissioner of
         human <br />
         		<a id="pl.196.35"></a><var>196.35</var>services shall provide the facility with the same per diem property-related payment
         rate <br />
         		<a id="pl.196.36"></a><var>196.36</var>for each additional licensed and certified bed as it will receive for its existing
         40 beds;<br />
         		<a id="pl.197.1"></a><var>197.1</var>&#160;&#160;&#160;&#160;(l) to license or certify beds in renovation, replacement, or upgrading projects as
         <br />
         		<a id="pl.197.2"></a><var>197.2</var>defined in section 
         <statute_ref>144A.073</statute_ref>, subdivision 1, so long as the cumulative total costs of the <br />
         		<a id="pl.197.3"></a><var>197.3</var>facility's remodeling projects do not exceed $1,000,000;<br />
         		<a id="pl.197.4"></a><var>197.4</var>&#160;&#160;&#160;&#160;(m) to license and certify beds that are moved from one location to another for the
         <br />
         		<a id="pl.197.5"></a><var>197.5</var>purposes of converting up to five four-bed wards to single or double occupancy rooms
         <br />
         		<a id="pl.197.6"></a><var>197.6</var>in a nursing home that, as of January 1, 1993, was county-owned and had a licensed
         <br />
         		<a id="pl.197.7"></a><var>197.7</var>capacity of 115 beds;<br />
         		<a id="pl.197.8"></a><var>197.8</var>&#160;&#160;&#160;&#160;(n) to allow a facility that on April 16, 1993, was a 106-bed licensed and certified
         <br />
         		<a id="pl.197.9"></a><var>197.9</var>nursing facility located in Minneapolis to layaway all of its licensed and certified
         nursing <br />
         		<a id="pl.197.10"></a><var>197.10</var>home beds. These beds may be relicensed and recertified in a newly constructed teaching
         <br />
         		<a id="pl.197.11"></a><var>197.11</var>nursing home facility affiliated with a teaching hospital upon approval by the legislature.
         <br />
         		<a id="pl.197.12"></a><var>197.12</var>The proposal must be developed in consultation with the interagency committee on <br />
         		<a id="pl.197.13"></a><var>197.13</var>long-term care planning. The beds on layaway status shall have the same status as
         <br />
         		<a id="pl.197.14"></a><var>197.14</var>voluntarily delicensed and decertified beds, except that beds on layaway status remain
         <br />
         		<a id="pl.197.15"></a><var>197.15</var>subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>. This layaway provision expires July 1, 1998;<br />
         		<a id="pl.197.16"></a><var>197.16</var>&#160;&#160;&#160;&#160;(o) to allow a project which will be completed in conjunction with an approved <br />
         		<a id="pl.197.17"></a><var>197.17</var>moratorium exception project for a nursing home in southern Cass County and which
         is <br />
         		<a id="pl.197.18"></a><var>197.18</var>directly related to that portion of the facility that must be repaired, renovated,
         or replaced, <br />
         		<a id="pl.197.19"></a><var>197.19</var>to correct an emergency plumbing problem for which a state correction order has been
         <br />
         		<a id="pl.197.20"></a><var>197.20</var>issued and which must be corrected by August 31, 1993;<br />
         		<a id="pl.197.21"></a><var>197.21</var>&#160;&#160;&#160;&#160;(p) to allow a facility that on April 16, 1993, was a 368-bed licensed and certified
         <br />
         		<a id="pl.197.22"></a><var>197.22</var>nursing facility located in Minneapolis to layaway, upon 30 days prior written notice
         to <br />
         		<a id="pl.197.23"></a><var>197.23</var>the commissioner, up to 30 of the facility's licensed and certified beds by converting
         <br />
         		<a id="pl.197.24"></a><var>197.24</var>three-bed wards to single or double occupancy. Beds on layaway status shall have the
         <br />
         		<a id="pl.197.25"></a><var>197.25</var>same status as voluntarily delicensed and decertified beds except that beds on layaway
         <br />
         		<a id="pl.197.26"></a><var>197.26</var>status remain subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>, remain subject to the license <br />
         		<a id="pl.197.27"></a><var>197.27</var>application and renewal fees under section 
         <statute_ref>144A.07</statute_ref> and shall be subject to a $100 per bed <br />
         		<a id="pl.197.28"></a><var>197.28</var>reactivation fee. In addition, at any time within three years of the effective date
         of the <br />
         		<a id="pl.197.29"></a><var>197.29</var>layaway, the beds on layaway status may be:<br />
         		<a id="pl.197.30"></a><var>197.30</var>&#160;&#160;&#160;&#160;(1) relicensed and recertified upon relocation and reactivation of some or all of
         <br />
         		<a id="pl.197.31"></a><var>197.31</var>the beds to an existing licensed and certified facility or facilities located in Pine
         River, <br />
         		<a id="pl.197.32"></a><var>197.32</var>Brainerd, or International Falls; provided that the total project construction costs
         related to <br />
         		<a id="pl.197.33"></a><var>197.33</var>the relocation of beds from layaway status for any facility receiving relocated beds
         may <br />
         		<a id="pl.197.34"></a><var>197.34</var>not exceed the dollar threshold provided in subdivision 2 unless the construction
         project <br />
         		<a id="pl.197.35"></a><var>197.35</var>has been approved through the moratorium exception process under section 
         <statute_ref>144A.073</statute_ref>;<br />
         		<a id="pl.198.1"></a><var>198.1</var>&#160;&#160;&#160;&#160;(2) relicensed and recertified, upon reactivation of some or all of the beds within
         the <br />
         		<a id="pl.198.2"></a><var>198.2</var>facility which placed the beds in layaway status, if the commissioner has determined
         a <br />
         		<a id="pl.198.3"></a><var>198.3</var>need for the reactivation of the beds on layaway status.<br />
         		<a id="pl.198.4"></a><var>198.4</var>&#160;&#160;&#160;&#160;The property-related payment rate of a facility placing beds on layaway status <br />
         		<a id="pl.198.5"></a><var>198.5</var>must be adjusted by the incremental change in its rental per diem after recalculating
         the <br />
         		<a id="pl.198.6"></a><var>198.6</var>rental per diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The <br />
         		<a id="pl.198.7"></a><var>198.7</var>property-related payment rate for a facility relicensing and recertifying beds from
         layaway <br />
         		<a id="pl.198.8"></a><var>198.8</var>status must be adjusted by the incremental change in its rental per diem after recalculating
         <br />
         		<a id="pl.198.9"></a><var>198.9</var>its rental per diem using the number of beds after the relicensing to establish the
         facility's <br />
         		<a id="pl.198.10"></a><var>198.10</var>capacity day divisor, which shall be effective the first day of the month following
         the <br />
         		<a id="pl.198.11"></a><var>198.11</var>month in which the relicensing and recertification became effective. Any beds remaining
         <br />
         		<a id="pl.198.12"></a><var>198.12</var>on layaway status more than three years after the date the layaway status became effective
         <br />
         		<a id="pl.198.13"></a><var>198.13</var>must be removed from layaway status and immediately delicensed and decertified;<br />
         		<a id="pl.198.14"></a><var>198.14</var>&#160;&#160;&#160;&#160;(q) to license and certify beds in a renovation and remodeling project to convert
         12 <br />
         		<a id="pl.198.15"></a><var>198.15</var>four-bed wards into 24 two-bed rooms, expand space, and add improvements in a nursing
         <br />
         		<a id="pl.198.16"></a><var>198.16</var>home that, as of January 1, 1994, met the following conditions: the nursing home was
         <br />
         		<a id="pl.198.17"></a><var>198.17</var>located in Ramsey County; had a licensed capacity of 154 beds; and had been ranked
         <br />
         		<a id="pl.198.18"></a><var>198.18</var>among the top 15 applicants by the 1993 moratorium exceptions advisory review panel.
         <br />
         		<a id="pl.198.19"></a><var>198.19</var>The total project construction cost estimate for this project must not exceed the
         cost <br />
         		<a id="pl.198.20"></a><var>198.20</var>estimate submitted in connection with the 1993 moratorium exception process;<br />
         		<a id="pl.198.21"></a><var>198.21</var>&#160;&#160;&#160;&#160;(r) to license and certify up to 117 beds that are relocated from a licensed and certified
         <br />
         		<a id="pl.198.22"></a><var>198.22</var>138-bed nursing facility located in St. Paul to a hospital with 130 licensed hospital
         beds <br />
         		<a id="pl.198.23"></a><var>198.23</var>located in South St. Paul, provided that the nursing facility and hospital are owned
         by the <br />
         		<a id="pl.198.24"></a><var>198.24</var>same or a related organization and that prior to the date the relocation is completed
         the <br />
         		<a id="pl.198.25"></a><var>198.25</var>hospital ceases operation of its inpatient hospital services at that hospital. After
         relocation, <br />
         		<a id="pl.198.26"></a><var>198.26</var>the nursing facility's status shall be the same as it was prior to relocation. The
         nursing <br />
         		<a id="pl.198.27"></a><var>198.27</var>facility's property-related payment rate resulting from the project authorized in
         this <br />
         		<a id="pl.198.28"></a><var>198.28</var>paragraph shall become effective no earlier than April 1, 1996. For purposes of calculating
         <br />
         		<a id="pl.198.29"></a><var>198.29</var>the incremental change in the facility's rental per diem resulting from this project,
         the <br />
         		<a id="pl.198.30"></a><var>198.30</var>allowable appraised value of the nursing facility portion of the existing health care
         facility <br />
         		<a id="pl.198.31"></a><var>198.31</var>physical plant prior to the renovation and relocation may not exceed $2,490,000;<br />
         		<a id="pl.198.32"></a><var>198.32</var>&#160;&#160;&#160;&#160;(s) to license and certify two beds in a facility to replace beds that were voluntarily
         <br />
         		<a id="pl.198.33"></a><var>198.33</var>delicensed and decertified on June 28, 1991;<br />
         		<a id="pl.198.34"></a><var>198.34</var>&#160;&#160;&#160;&#160;(t) to allow 16 licensed and certified beds located on July 1, 1994, in a 142-bed
         <br />
         		<a id="pl.198.35"></a><var>198.35</var>nursing home and 21-bed boarding care home facility in Minneapolis, notwithstanding
         <br />
         		<a id="pl.198.36"></a><var>198.36</var>the licensure and certification after July 1, 1995, of the Minneapolis facility as
         a 147-bed <br />
         		<a id="pl.199.1"></a><var>199.1</var>nursing home facility after completion of a construction project approved in 1993
         under <br />
         		<a id="pl.199.2"></a><var>199.2</var>section 
         <statute_ref>144A.073</statute_ref>, to be laid away upon 30 days' prior written notice to the commissioner. <br />
         		<a id="pl.199.3"></a><var>199.3</var>Beds on layaway status shall have the same status as voluntarily delicensed or decertified
         <br />
         		<a id="pl.199.4"></a><var>199.4</var>beds except that they shall remain subject to the surcharge in section 
         <statute_ref>256.9657</statute_ref>. The <br />
         		<a id="pl.199.5"></a><var>199.5</var>16 beds on layaway status may be relicensed as nursing home beds and recertified at
         <br />
         		<a id="pl.199.6"></a><var>199.6</var>any time within five years of the effective date of the layaway upon relocation of
         some <br />
         		<a id="pl.199.7"></a><var>199.7</var>or all of the beds to a licensed and certified facility located in Watertown, provided
         that <br />
         		<a id="pl.199.8"></a><var>199.8</var>the total project construction costs related to the relocation of beds from layaway
         status <br />
         		<a id="pl.199.9"></a><var>199.9</var>for the Watertown facility may not exceed the dollar threshold provided in subdivision
         <br />
         		<a id="pl.199.10"></a><var>199.10</var>2 unless the construction project has been approved through the moratorium exception
         <br />
         		<a id="pl.199.11"></a><var>199.11</var>process under section 
         <statute_ref>144A.073</statute_ref>.<br />
         		<a id="pl.199.12"></a><var>199.12</var>&#160;&#160;&#160;&#160;The property-related payment rate of the facility placing beds on layaway status must
         <br />
         		<a id="pl.199.13"></a><var>199.13</var>be adjusted by the incremental change in its rental per diem after recalculating the
         rental per <br />
         		<a id="pl.199.14"></a><var>199.14</var>diem as provided in section 
         <statute_ref>256B.431</statute_ref>, subdivision 3a, paragraph (c). The property-related <br />
         		<a id="pl.199.15"></a><var>199.15</var>payment rate for the facility relicensing and recertifying beds from layaway status
         must be <br />
         		<a id="pl.199.16"></a><var>199.16</var>adjusted by the incremental change in its rental per diem after recalculating its
         rental per <br />
         		<a id="pl.199.17"></a><var>199.17</var>diem using the number of beds after the relicensing to establish the facility's capacity
         day <br />
         		<a id="pl.199.18"></a><var>199.18</var>divisor, which shall be effective the first day of the month following the month in
         which <br />
         		<a id="pl.199.19"></a><var>199.19</var>the relicensing and recertification became effective. Any beds remaining on layaway
         <br />
         		<a id="pl.199.20"></a><var>199.20</var>status more than five years after the date the layaway status became effective must
         be <br />
         		<a id="pl.199.21"></a><var>199.21</var>removed from layaway status and immediately delicensed and decertified;<br />
         		<a id="pl.199.22"></a><var>199.22</var>&#160;&#160;&#160;&#160;(u) to license and certify beds that are moved within an existing area of a facility
         or <br />
         		<a id="pl.199.23"></a><var>199.23</var>to a newly constructed addition which is built for the purpose of eliminating three-
         and <br />
         		<a id="pl.199.24"></a><var>199.24</var>four-bed rooms and adding space for dining, lounge areas, bathing rooms, and ancillary
         <br />
         		<a id="pl.199.25"></a><var>199.25</var>service areas in a nursing home that, as of January 1, 1995, was located in Fridley
         and had <br />
         		<a id="pl.199.26"></a><var>199.26</var>a licensed capacity of 129 beds;<br />
         		<a id="pl.199.27"></a><var>199.27</var>&#160;&#160;&#160;&#160;(v) to relocate 36 beds in Crow Wing County and four beds from Hennepin County <br />
         		<a id="pl.199.28"></a><var>199.28</var>to a 160-bed facility in Crow Wing County, provided all the affected beds are under
         <br />
         		<a id="pl.199.29"></a><var>199.29</var>common ownership;<br />
         		<a id="pl.199.30"></a><var>199.30</var>&#160;&#160;&#160;&#160;(w) to license and certify a total replacement project of up to 49 beds located in
         <br />
         		<a id="pl.199.31"></a><var>199.31</var>Norman County that are relocated from a nursing home destroyed by flood and whose
         <br />
         		<a id="pl.199.32"></a><var>199.32</var>residents were relocated to other nursing homes. The operating cost payment rates
         for <br />
         		<a id="pl.199.33"></a><var>199.33</var>the new nursing facility shall be determined based on the interim and settle-up payment
         <br />
         		<a id="pl.199.34"></a><var>199.34</var>provisions of Minnesota Rules, part 9549.0057, and the reimbursement provisions of <br />
         		<a id="pl.199.35"></a><var>199.35</var>section 
         <statute_ref>256B.431</statute_ref>. Property-related reimbursement rates shall be determined under section <br />
         		
         <statute_ref><a id="pl.200.1"></a><var>200.1</var>256B.431
         </statute_ref>, taking into account any federal or state flood-related loans or grants provided
         <br />
         		<a id="pl.200.2"></a><var>200.2</var>to the facility;<br />
         		<a id="pl.200.3"></a><var>200.3</var>&#160;&#160;&#160;&#160;(x) to license and certify a total to the licensee of a nursing home in Polk County <br />
         		<a id="pl.200.4"></a><var>200.4</var>that was destroyed by flood in 1997 replacement project projects with a total of up to 129 <br />
         		<a id="pl.200.5"></a><var>200.5</var>beds, with at least 25 beds to be located in Polk County that are relocated from a nursing <br />
         		<a id="pl.200.6"></a><var>200.6</var>home destroyed by flood and whose residents were relocated to other nursing homes. and <br />
         		<a id="pl.200.7"></a><var>200.7</var>up to 104 beds distributed among up to three other counties. These beds may only be
         <br />
         		<a id="pl.200.8"></a><var>200.8</var>distributed to counties with fewer than the median number of age intensity adjusted
         beds <br />
         		<a id="pl.200.9"></a><var>200.9</var>per thousand, as most recently published by the commissioner of human services. If
         the <br />
         		<a id="pl.200.10"></a><var>200.10</var>licensee chooses to distribute beds outside of Polk County under this paragraph, prior
         to <br />
         		<a id="pl.200.11"></a><var>200.11</var>distributing the beds, the commissioner of health must approve the location in which
         the <br />
         		<a id="pl.200.12"></a><var>200.12</var>licensee plans to distribute the beds. The commissioner of health shall consult with
         the <br />
         		<a id="pl.200.13"></a><var>200.13</var>commissioner of human services prior to approving the location of the proposed beds.
         <br />
         		<a id="pl.200.14"></a><var>200.14</var>The licensee may combine these beds with beds relocated from other nursing facilities
         <br />
         		<a id="pl.200.15"></a><var>200.15</var>as provided in section 144A.073, subdivision 3c. The operating cost payment rates for <br />
         		<a id="pl.200.16"></a><var>200.16</var>the new nursing facility facilities shall be determined based on the interim and settle-up <br />
         		<a id="pl.200.17"></a><var>200.17</var>payment provisions of section 256B.431, 256B.434, or 256B.441 or Minnesota Rules, part <br />
         		<a id="pl.200.18"></a><var>200.18</var>9549.0057, and the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref>, except that subdivision <br />
         		<a id="pl.200.19"></a><var>200.19</var>26, paragraphs (a) and (b), shall not apply until the second rate year after the settle-up
         cost <br />
         		<a id="pl.200.20"></a><var>200.20</var>report is filed. Property-related reimbursement rates shall be determined under section
         <br />
         		<a id="pl.200.21"></a><var>200.21</var><statute_ref>256B.431</statute_ref>, taking into account any federal or state flood-related loans or grants provided
         to <br />
         		<a id="pl.200.22"></a><var>200.22</var>the facility; parts 9549.0010 to 9549.0080. Property-related reimbursement rates shall <br />
         		<a id="pl.200.23"></a><var>200.23</var>be determined under section 256B.431, 256B.434, or 256B.441. If the replacement beds
         <br />
         		<a id="pl.200.24"></a><var>200.24</var>permitted under this paragraph are combined with beds from other nursing facilities,
         the <br />
         		<a id="pl.200.25"></a><var>200.25</var>rates shall be calculated as the weighted average of rates determined as provided
         in this <br />
         		<a id="pl.200.26"></a><var>200.26</var>paragraph and section 256B.441, subdivision 60;<br />
         		<a id="pl.200.27"></a><var>200.27</var>&#160;&#160;&#160;&#160;(y) to license and certify beds in a renovation and remodeling project to convert
         13 <br />
         		<a id="pl.200.28"></a><var>200.28</var>three-bed wards into 13 two-bed rooms and 13 single-bed rooms, expand space, and <br />
         		<a id="pl.200.29"></a><var>200.29</var>add improvements in a nursing home that, as of January 1, 1994, met the following
         <br />
         		<a id="pl.200.30"></a><var>200.30</var>conditions: the nursing home was located in Ramsey County, was not owned by a hospital
         <br />
         		<a id="pl.200.31"></a><var>200.31</var>corporation, had a licensed capacity of 64 beds, and had been ranked among the top
         15 <br />
         		<a id="pl.200.32"></a><var>200.32</var>applicants by the 1993 moratorium exceptions advisory review panel. The total project
         <br />
         		<a id="pl.200.33"></a><var>200.33</var>construction cost estimate for this project must not exceed the cost estimate submitted
         in <br />
         		<a id="pl.200.34"></a><var>200.34</var>connection with the 1993 moratorium exception process;<br />
         		<a id="pl.200.35"></a><var>200.35</var>&#160;&#160;&#160;&#160;(z) to license and certify up to 150 nursing home beds to replace an existing 285
         <br />
         		<a id="pl.200.36"></a><var>200.36</var>bed nursing facility located in St. Paul. The replacement project shall include both
         the <br />
         		<a id="pl.201.1"></a><var>201.1</var>renovation of existing buildings and the construction of new facilities at the existing
         <br />
         		<a id="pl.201.2"></a><var>201.2</var>site. The reduction in the licensed capacity of the existing facility shall occur
         during the <br />
         		<a id="pl.201.3"></a><var>201.3</var>construction project as beds are taken out of service due to the construction process.
         Prior <br />
         		<a id="pl.201.4"></a><var>201.4</var>to the start of the construction process, the facility shall provide written information
         to the <br />
         		<a id="pl.201.5"></a><var>201.5</var>commissioner of health describing the process for bed reduction, plans for the relocation
         <br />
         		<a id="pl.201.6"></a><var>201.6</var>of residents, and the estimated construction schedule. The relocation of residents
         shall be <br />
         		<a id="pl.201.7"></a><var>201.7</var>in accordance with the provisions of law and rule;<br />
         		<a id="pl.201.8"></a><var>201.8</var>&#160;&#160;&#160;&#160;(aa) to allow the commissioner of human services to license an additional 36 beds
         <br />
         		<a id="pl.201.9"></a><var>201.9</var>to provide residential services for the physically disabled under Minnesota Rules,
         parts <br />
         		<a id="pl.201.10"></a><var>201.10</var>9570.2000 to 9570.3400, in a 198-bed nursing home located in Red Wing, provided that <br />
         		<a id="pl.201.11"></a><var>201.11</var>the total number of licensed and certified beds at the facility does not increase;<br />
         		<a id="pl.201.12"></a><var>201.12</var>&#160;&#160;&#160;&#160;(bb) to license and certify a new facility in St. Louis County with 44 beds <br />
         		<a id="pl.201.13"></a><var>201.13</var>constructed to replace an existing facility in St. Louis County with 31 beds, which
         has <br />
         		<a id="pl.201.14"></a><var>201.14</var>resident rooms on two separate floors and an antiquated elevator that creates safety
         <br />
         		<a id="pl.201.15"></a><var>201.15</var>concerns for residents and prevents nonambulatory residents from residing on the second
         <br />
         		<a id="pl.201.16"></a><var>201.16</var>floor. The project shall include the elimination of three- and four-bed rooms;<br />
         		<a id="pl.201.17"></a><var>201.17</var>&#160;&#160;&#160;&#160;(cc) to license and certify four beds in a 16-bed certified boarding care home in
         <br />
         		<a id="pl.201.18"></a><var>201.18</var>Minneapolis to replace beds that were voluntarily delicensed and decertified on or
         <br />
         		<a id="pl.201.19"></a><var>201.19</var>before March 31, 1992. The licensure and certification is conditional upon the facility
         <br />
         		<a id="pl.201.20"></a><var>201.20</var>periodically assessing and adjusting its resident mix and other factors which may
         <br />
         		<a id="pl.201.21"></a><var>201.21</var>contribute to a potential institution for mental disease declaration. The commissioner
         of <br />
         		<a id="pl.201.22"></a><var>201.22</var>human services shall retain the authority to audit the facility at any time and shall
         require <br />
         		<a id="pl.201.23"></a><var>201.23</var>the facility to comply with any requirements necessary to prevent an institution for
         mental <br />
         		<a id="pl.201.24"></a><var>201.24</var>disease declaration, including delicensure and decertification of beds, if necessary;<br />
         		<a id="pl.201.25"></a><var>201.25</var>&#160;&#160;&#160;&#160;(dd) to license and certify 72 beds in an existing facility in Mille Lacs County with
         <br />
         		<a id="pl.201.26"></a><var>201.26</var>80 beds as part of a renovation project. The renovation must include construction
         of <br />
         		<a id="pl.201.27"></a><var>201.27</var>an addition to accommodate ten residents with beginning and midstage dementia in a
         <br />
         		<a id="pl.201.28"></a><var>201.28</var>self-contained living unit; creation of three resident households where dining, activities,
         <br />
         		<a id="pl.201.29"></a><var>201.29</var>and support spaces are located near resident living quarters; designation of four
         beds <br />
         		<a id="pl.201.30"></a><var>201.30</var>for rehabilitation in a self-contained area; designation of 30 private rooms; and
         other <br />
         		<a id="pl.201.31"></a><var>201.31</var>improvements;<br />
         		<a id="pl.201.32"></a><var>201.32</var>&#160;&#160;&#160;&#160;(ee) to license and certify beds in a facility that has undergone replacement or <br />
         		<a id="pl.201.33"></a><var>201.33</var>remodeling as part of a planned closure under section 
         <statute_ref>256B.437</statute_ref>;<br />
         		<a id="pl.201.34"></a><var>201.34</var>&#160;&#160;&#160;&#160;(ff) to license and certify a total replacement project of up to 124 beds located
         <br />
         		<a id="pl.201.35"></a><var>201.35</var>in Wilkin County that are in need of relocation from a nursing home significantly
         <br />
         		<a id="pl.201.36"></a><var>201.36</var>damaged by flood. The operating cost payment rates for the new nursing facility shall
         be <br />
         		<a id="pl.202.1"></a><var>202.1</var>determined based on the interim and settle-up payment provisions of Minnesota Rules,
         <br />
         		<a id="pl.202.2"></a><var>202.2</var>part 9549.0057, and the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref>. Property-related <br />
         		<a id="pl.202.3"></a><var>202.3</var>reimbursement rates shall be determined under section 
         <statute_ref>256B.431</statute_ref>, taking into account any <br />
         		<a id="pl.202.4"></a><var>202.4</var>federal or state flood-related loans or grants provided to the facility;<br />
         		<a id="pl.202.5"></a><var>202.5</var>&#160;&#160;&#160;&#160;(gg) to allow the commissioner of human services to license an additional nine beds
         <br />
         		<a id="pl.202.6"></a><var>202.6</var>to provide residential services for the physically disabled under Minnesota Rules,
         parts <br />
         		<a id="pl.202.7"></a><var>202.7</var>9570.2000 to 9570.3400, in a 240-bed nursing home located in Duluth, provided that the <br />
         		<a id="pl.202.8"></a><var>202.8</var>total number of licensed and certified beds at the facility does not increase;<br />
         		<a id="pl.202.9"></a><var>202.9</var>&#160;&#160;&#160;&#160;(hh) to license and certify up to 120 new nursing facility beds to replace beds in
         a <br />
         		<a id="pl.202.10"></a><var>202.10</var>facility in Anoka County, which was licensed for 98 beds as of July 1, 2000, provided
         the <br />
         		<a id="pl.202.11"></a><var>202.11</var>new facility is located within four miles of the existing facility and is in Anoka
         County. <br />
         		<a id="pl.202.12"></a><var>202.12</var>Operating and property rates shall be determined and allowed under section 
         <statute_ref>256B.431 </statute_ref>and <br />
         		<a id="pl.202.13"></a><var>202.13</var>Minnesota Rules, parts 9549.0010 to 9549.0080, or section 
         <statute_ref>256B.434</statute_ref> or 
         <statute_ref>256B.441</statute_ref>; or<br />
         		<a id="pl.202.14"></a><var>202.14</var>&#160;&#160;&#160;&#160;(ii) to transfer up to 98 beds of a 129-licensed bed facility located in Anoka County
         <br />
         		<a id="pl.202.15"></a><var>202.15</var>that, as of March 25, 2001, is in the active process of closing, to a 122-licensed
         bed nonprofit <br />
         		<a id="pl.202.16"></a><var>202.16</var>nursing facility located in the city of Columbia Heights or its affiliate. The transfer
         is <br />
         		<a id="pl.202.17"></a><var>202.17</var>effective when the receiving facility notifies the commissioner in writing of the
         number of <br />
         		<a id="pl.202.18"></a><var>202.18</var>beds accepted. The commissioner shall place all transferred beds on layaway status
         held in <br />
         		<a id="pl.202.19"></a><var>202.19</var>the name of the receiving facility. The layaway adjustment provisions of section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.202.20"></a><var>202.20</var>subdivision 30, do not apply to this layaway. The receiving facility may only remove
         the <br />
         		<a id="pl.202.21"></a><var>202.21</var>beds from layaway for recertification and relicensure at the receiving facility's
         current <br />
         		<a id="pl.202.22"></a><var>202.22</var>site, or at a newly constructed facility located in Anoka County. The receiving facility
         <br />
         		<a id="pl.202.23"></a><var>202.23</var>must receive statutory authorization before removing these beds from layaway status,
         or <br />
         		<a id="pl.202.24"></a><var>202.24</var>may remove these beds from layaway status if removal from layaway status is part of
         a <br />
         		<a id="pl.202.25"></a><var>202.25</var>moratorium exception project approved by the commissioner under section 
         <statute_ref>144A.073</statute_ref>.<br />
         		<br />
         		<a id="bill.6.3.0"></a><a id="pl.202.26"></a><var>202.26</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 256B.0913, subdivision 4, is amended to read:<br />
         		<a id="pl.202.27"></a><var>202.27</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Eligibility for funding for services for nonmedical assistance recipients.</b><br />
         		 <a id="pl.202.28"></a><var>202.28</var>&#160;&#160;&#160;&#160;(a) Funding for services under the alternative care program is available to persons
         who <br />
         		<a id="pl.202.29"></a><var>202.29</var>meet the following criteria:<br />
         		<a id="pl.202.30"></a><var>202.30</var>&#160;&#160;&#160;&#160;(1) the person has been determined by a community assessment under section <br />
         		
         <statute_ref><a id="pl.202.31"></a><var>202.31</var>256B.0911
         </statute_ref> to be a person who would require the level of care provided in a nursing <br />
         		<a id="pl.202.32"></a><var>202.32</var>facility, as determined under section 256B.0911, subdivision 4e, but for the provision
         of <br />
         		<a id="pl.202.33"></a><var>202.33</var>services under the alternative care program;<br />
         		<a id="pl.202.34"></a><var>202.34</var>&#160;&#160;&#160;&#160;(2) the person is age 65 or older;<br />
         		<a id="pl.203.1"></a><var>203.1</var>&#160;&#160;&#160;&#160;(3) the person would be eligible for medical assistance within 135 days of admission
         <br />
         		<a id="pl.203.2"></a><var>203.2</var>to a nursing facility;<br />
         		<a id="pl.203.3"></a><var>203.3</var>&#160;&#160;&#160;&#160;(4) the person is not ineligible for the payment of long-term care services by the
         <br />
         		<a id="pl.203.4"></a><var>203.4</var>medical assistance program due to an asset transfer penalty under section 
         <statute_ref>256B.0595</statute_ref> or <br />
         		<a id="pl.203.5"></a><var>203.5</var>equity interest in the home exceeding $500,000 as stated in section 
         <statute_ref>256B.056</statute_ref>;<br />
         		<a id="pl.203.6"></a><var>203.6</var>&#160;&#160;&#160;&#160;(5) the person needs long-term care services that are not funded through other <br />
         		<a id="pl.203.7"></a><var>203.7</var>state or federal funding, or other health insurance or other third-party insurance
         such as <br />
         		<a id="pl.203.8"></a><var>203.8</var>long-term care insurance;<br />
         		<a id="pl.203.9"></a><var>203.9</var>&#160;&#160;&#160;&#160;(6) except for individuals described in clause (7), the monthly cost of the alternative
         <br />
         		<a id="pl.203.10"></a><var>203.10</var>care services funded by the program for this person does not exceed 75 percent of
         the <br />
         		<a id="pl.203.11"></a><var>203.11</var>monthly limit described under section 
         <statute_ref>256B.0915, subdivision 3a</statute_ref>. This monthly limit <br />
         		<a id="pl.203.12"></a><var>203.12</var>does not prohibit the alternative care client from payment for additional services,
         but in no <br />
         		<a id="pl.203.13"></a><var>203.13</var>case may the cost of additional services purchased under this section exceed the difference
         <br />
         		<a id="pl.203.14"></a><var>203.14</var>between the client's monthly service limit defined under section 
         <statute_ref>256B.0915, subdivision <br />
            		<a id="pl.203.15"></a><var>203.15</var>3
         </statute_ref>, and the alternative care program monthly service limit defined in this paragraph.
         If <br />
         		<a id="pl.203.16"></a><var>203.16</var>care-related supplies and equipment or environmental modifications and adaptations
         are or <br />
         		<a id="pl.203.17"></a><var>203.17</var>will be purchased for an alternative care services recipient, the costs may be prorated
         on a <br />
         		<a id="pl.203.18"></a><var>203.18</var>monthly basis for up to 12 consecutive months beginning with the month of purchase.
         <br />
         		<a id="pl.203.19"></a><var>203.19</var>If the monthly cost of a recipient's other alternative care services exceeds the monthly
         <br />
         		<a id="pl.203.20"></a><var>203.20</var>limit established in this paragraph, the annual cost of the alternative care services
         shall be <br />
         		<a id="pl.203.21"></a><var>203.21</var>determined. In this event, the annual cost of alternative care services shall not
         exceed 12 <br />
         		<a id="pl.203.22"></a><var>203.22</var>times the monthly limit described in this paragraph;<br />
         		<a id="pl.203.23"></a><var>203.23</var>&#160;&#160;&#160;&#160;(7) for individuals assigned a case mix classification A as described under section
         <br />
         		
         <statute_ref><a id="pl.203.24"></a><var>203.24</var>256B.0915, subdivision 3a
         </statute_ref>, paragraph (a), with (i) no dependencies in activities of daily <br />
         		<a id="pl.203.25"></a><var>203.25</var>living, or (ii) up to two dependencies in bathing, dressing, grooming, walking, and
         eating <br />
         		<a id="pl.203.26"></a><var>203.26</var>when the dependency score in eating is three or greater as determined by an assessment
         <br />
         		<a id="pl.203.27"></a><var>203.27</var>performed under section 
         <statute_ref>256B.0911</statute_ref>, the monthly cost of alternative care services funded <br />
         		<a id="pl.203.28"></a><var>203.28</var>by the program cannot exceed $593 per month for all new participants enrolled in <br />
         		<a id="pl.203.29"></a><var>203.29</var>the program on or after July 1, 2011. This monthly limit shall be applied to all other
         <br />
         		<a id="pl.203.30"></a><var>203.30</var>participants who meet this criteria at reassessment. This monthly limit shall be increased
         <br />
         		<a id="pl.203.31"></a><var>203.31</var>annually as described in section 
         <statute_ref>256B.0915, subdivision 3a</statute_ref>, paragraph paragraphs (a) and <br />
         		<a id="pl.203.32"></a><var>203.32</var>(e). This monthly limit does not prohibit the alternative care client from payment for
         <br />
         		<a id="pl.203.33"></a><var>203.33</var>additional services, but in no case may the cost of additional services purchased
         exceed the <br />
         		<a id="pl.203.34"></a><var>203.34</var>difference between the client's monthly service limit defined in this clause and the
         limit <br />
         		<a id="pl.203.35"></a><var>203.35</var>described in clause (6) for case mix classification A; and<br />
         		<a id="pl.203.36"></a><var>203.36</var>(8) the person is making timely payments of the assessed monthly fee.<br />
         		<a id="pl.204.1"></a><var>204.1</var>A person is ineligible if payment of the fee is over 60 days past due, unless the
         person <br />
         		<a id="pl.204.2"></a><var>204.2</var>agrees to:<br />
         		<a id="pl.204.3"></a><var>204.3</var>&#160;&#160;&#160;&#160;(i) the appointment of a representative payee;<br />
         		<a id="pl.204.4"></a><var>204.4</var>&#160;&#160;&#160;&#160;(ii) automatic payment from a financial account;<br />
         		<a id="pl.204.5"></a><var>204.5</var>&#160;&#160;&#160;&#160;(iii) the establishment of greater family involvement in the financial management
         of <br />
         		<a id="pl.204.6"></a><var>204.6</var>payments; or<br />
         		<a id="pl.204.7"></a><var>204.7</var>&#160;&#160;&#160;&#160;(iv) another method acceptable to the lead agency to ensure prompt fee payments.<br />
         		<a id="pl.204.8"></a><var>204.8</var>&#160;&#160;&#160;&#160;The lead agency may extend the client's eligibility as necessary while making <br />
         		<a id="pl.204.9"></a><var>204.9</var>arrangements to facilitate payment of past-due amounts and future premium payments.
         <br />
         		<a id="pl.204.10"></a><var>204.10</var>Following disenrollment due to nonpayment of a monthly fee, eligibility shall not
         be <br />
         		<a id="pl.204.11"></a><var>204.11</var>reinstated for a period of 30 days.<br />
         		<a id="pl.204.12"></a><var>204.12</var>&#160;&#160;&#160;&#160;(b) Alternative care funding under this subdivision is not available for a person
         who <br />
         		<a id="pl.204.13"></a><var>204.13</var>is a medical assistance recipient or who would be eligible for medical assistance
         without a <br />
         		<a id="pl.204.14"></a><var>204.14</var>spenddown or waiver obligation. A person whose initial application for medical assistance
         <br />
         		<a id="pl.204.15"></a><var>204.15</var>and the elderly waiver program is being processed may be served under the alternative
         care <br />
         		<a id="pl.204.16"></a><var>204.16</var>program for a period up to 60 days. If the individual is found to be eligible for
         medical <br />
         		<a id="pl.204.17"></a><var>204.17</var>assistance, medical assistance must be billed for services payable under the federally
         <br />
         		<a id="pl.204.18"></a><var>204.18</var>approved elderly waiver plan and delivered from the date the individual was found
         eligible <br />
         		<a id="pl.204.19"></a><var>204.19</var>for the federally approved elderly waiver plan. Notwithstanding this provision, alternative
         <br />
         		<a id="pl.204.20"></a><var>204.20</var>care funds may not be used to pay for any service the cost of which: (i) is payable
         by <br />
         		<a id="pl.204.21"></a><var>204.21</var>medical assistance; (ii) is used by a recipient to meet a waiver obligation; or (iii)
         is used to <br />
         		<a id="pl.204.22"></a><var>204.22</var>pay a medical assistance income spenddown for a person who is eligible to participate
         in the <br />
         		<a id="pl.204.23"></a><var>204.23</var>federally approved elderly waiver program under the special income standard provision.<br />
         		<a id="pl.204.24"></a><var>204.24</var>&#160;&#160;&#160;&#160;(c) Alternative care funding is not available for a person who resides in a licensed
         <br />
         		<a id="pl.204.25"></a><var>204.25</var>nursing home, certified boarding care home, hospital, or intermediate care facility,
         except <br />
         		<a id="pl.204.26"></a><var>204.26</var>for case management services which are provided in support of the discharge planning
         <br />
         		<a id="pl.204.27"></a><var>204.27</var>process for a nursing home resident or certified boarding care home resident to assist
         with <br />
         		<a id="pl.204.28"></a><var>204.28</var>a relocation process to a community-based setting.<br />
         		<a id="pl.204.29"></a><var>204.29</var>&#160;&#160;&#160;&#160;(d) Alternative care funding is not available for a person whose income is greater
         <br />
         		<a id="pl.204.30"></a><var>204.30</var>than the maintenance needs allowance under section 
         <statute_ref>256B.0915, subdivision 1d</statute_ref>, but equal <br />
         		<a id="pl.204.31"></a><var>204.31</var>to or less than 120 percent of the federal poverty guideline effective July 1 in the
         fiscal <br />
         		<a id="pl.204.32"></a><var>204.32</var>year for which alternative care eligibility is determined, who would be eligible for
         the <br />
         		<a id="pl.204.33"></a><var>204.33</var>elderly waiver with a waiver obligation.<br />
         		<br />
         		<a id="bill.6.4.0"></a><a id="pl.204.34"></a><var>204.34</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 256B.0915, subdivision 3a, is amended to read:<br />
         		<a id="pl.205.1"></a><var>205.1</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Elderly waiver cost limits.</b> (a) The monthly limit for the cost of <br />
         		<a id="pl.205.2"></a><var>205.2</var>waivered services to an individual elderly waiver client except for individuals described
         <br />
         		<a id="pl.205.3"></a><var>205.3</var>in paragraphs (b) and (d) shall be the weighted average monthly nursing facility rate
         of <br />
         		<a id="pl.205.4"></a><var>205.4</var>the case mix resident class to which the elderly waiver client would be assigned under
         <br />
         		<a id="pl.205.5"></a><var>205.5</var>Minnesota Rules, parts 9549.0050 to 9549.0059, less the recipient's maintenance needs
         <br />
         		<a id="pl.205.6"></a><var>205.6</var>allowance as described in subdivision 1d, paragraph (a), until the first day of the
         state <br />
         		<a id="pl.205.7"></a><var>205.7</var>fiscal year in which the resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for <br />
         		<a id="pl.205.8"></a><var>205.8</var>nursing home rate determination is implemented. Effective on the first day of the state <br />
         		<a id="pl.205.9"></a><var>205.9</var>fiscal year in which the resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for <br />
         		<a id="pl.205.10"></a><var>205.10</var>nursing home rate determination is implemented and the first day of each subsequent
         state <br />
         		<a id="pl.205.11"></a><var>205.11</var>fiscal year, the monthly limit for the cost of waivered services to an individual
         elderly <br />
         		<a id="pl.205.12"></a><var>205.12</var>waiver client shall be the rate monthly limit of the case mix resident class to which the <br />
         		<a id="pl.205.13"></a><var>205.13</var>waiver client would be assigned under Minnesota Rules, parts 9549.0050 to 9549.0059,
         in <br />
         		<a id="pl.205.14"></a><var>205.14</var>effect on the last day of the previous state fiscal year, adjusted by any legislatively
         adopted <br />
         		<a id="pl.205.15"></a><var>205.15</var>home and community-based services percentage rate adjustment.<br />
         		<a id="pl.205.16"></a><var>205.16</var>&#160;&#160;&#160;&#160;(b) The monthly limit for the cost of waivered services under paragraph (a) to an <br />
         		<a id="pl.205.17"></a><var>205.17</var>individual elderly waiver client assigned to a case mix classification A under paragraph <br />
         		<a id="pl.205.18"></a><var>205.18</var>(a) with:<br />
         		<a id="pl.205.19"></a><var>205.19</var>(1) no dependencies in activities of daily living; or<br />
         		<a id="pl.205.20"></a><var>205.20</var>(2) up to two dependencies in bathing, dressing, grooming, walking, and eating <br />
         		<a id="pl.205.21"></a><var>205.21</var>when the dependency score in eating is three or greater as determined by an assessment
         <br />
         		<a id="pl.205.22"></a><var>205.22</var>performed under section 
         <statute_ref>256B.0911</statute_ref> shall be $1,750 per month effective on July 1, 2011, <br />
         		<a id="pl.205.23"></a><var>205.23</var>for all new participants enrolled in the program on or after July 1, 2011. This monthly
         <br />
         		<a id="pl.205.24"></a><var>205.24</var>limit shall be applied to all other participants who meet this criteria at reassessment.
         This <br />
         		<a id="pl.205.25"></a><var>205.25</var>monthly limit shall be increased annually as described in paragraph paragraphs (a) and (e).<br />
         		<a id="pl.205.26"></a><var>205.26</var>(c) If extended medical supplies and equipment or environmental modifications are
         <br />
         		<a id="pl.205.27"></a><var>205.27</var>or will be purchased for an elderly waiver client, the costs may be prorated for up
         to <br />
         		<a id="pl.205.28"></a><var>205.28</var>12 consecutive months beginning with the month of purchase. If the monthly cost of
         a <br />
         		<a id="pl.205.29"></a><var>205.29</var>recipient's waivered services exceeds the monthly limit established in paragraph (a)
         or, <br />
         		<a id="pl.205.30"></a><var>205.30</var>(b), (d), or (e), the annual cost of all waivered services shall be determined. In this event, <br />
         		<a id="pl.205.31"></a><var>205.31</var>the annual cost of all waivered services shall not exceed 12 times the monthly limit
         of <br />
         		<a id="pl.205.32"></a><var>205.32</var>waivered services as described in paragraph (a) or,  (b), (d), or (e).<br />
         		<a id="pl.205.33"></a><var>205.33</var>(d) Effective July 1, 2013, the monthly cost limit of waiver services, including <br />
         		<a id="pl.205.34"></a><var>205.34</var>any necessary home care services described in section 
         <statute_ref>256B.0651, subdivision 2</statute_ref>, for <br />
         		<a id="pl.205.35"></a><var>205.35</var>individuals who meet the criteria as ventilator-dependent given in section 
         <statute_ref>256B.0651</statute_ref>, <br />
         		<a id="pl.205.36"></a><var>205.36</var>subdivision 1, paragraph (g), shall be the average of the monthly medical assistance
         <br />
         		<a id="pl.206.1"></a><var>206.1</var>amount established for home care services as described in section 
         <statute_ref>256B.0652, subdivision <br />
            		<a id="pl.206.2"></a><var>206.2</var>7
         </statute_ref>, and the annual average contracted amount established by the commissioner for nursing
         <br />
         		<a id="pl.206.3"></a><var>206.3</var>facility services for ventilator-dependent individuals. This monthly limit shall be
         increased <br />
         		<a id="pl.206.4"></a><var>206.4</var>annually as described in paragraph paragraphs (a) and (e).<br />
         		<a id="pl.206.5"></a><var>206.5</var>(e) Effective July 1, 2016, and each July 1 thereafter, the monthly cost limits for
         <br />
         		<a id="pl.206.6"></a><var>206.6</var>elderly waiver services in effect on the previous June 30 shall be increased by the
         <br />
         		<a id="pl.206.7"></a><var>206.7</var>difference between any legislatively adopted home and community-based provider rate
         <br />
         		<a id="pl.206.8"></a><var>206.8</var>increases effective on July 1 or since the previous July 1 and the average statewide
         <br />
         		<a id="pl.206.9"></a><var>206.9</var>percentage increase in nursing facility operating payment rates under sections 256B.431,
         <br />
         		<a id="pl.206.10"></a><var>206.10</var>256B.434, and 256B.441, effective the previous January 1. This paragraph shall only
         <br />
         		<a id="pl.206.11"></a><var>206.11</var>apply if the average statewide percentage increase in nursing facility operating payment
         <br />
         		<a id="pl.206.12"></a><var>206.12</var>rates is greater than any legislatively adopted home and community-based provider
         rate <br />
         		<a id="pl.206.13"></a><var>206.13</var>increases effective on July 1, or occurring since the previous July 1.<br />
         		<a id="pl.206.14"></a><var>206.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.6.5.0"></a><a id="pl.206.15"></a><var>206.15</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 256B.0915, subdivision 3e, is amended to read:<br />
         		<a id="pl.206.16"></a><var>206.16</var>&#160;&#160;&#160;&#160;Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living <br />
         		<a id="pl.206.17"></a><var>206.17</var>services shall be a monthly rate authorized by the lead agency within the parameters
         <br />
         		<a id="pl.206.18"></a><var>206.18</var>established by the commissioner. The payment agreement must delineate the amount of
         <br />
         		<a id="pl.206.19"></a><var>206.19</var>each component service included in the recipient's customized living service plan.
         The <br />
         		<a id="pl.206.20"></a><var>206.20</var>lead agency, with input from the provider of customized living services, shall ensure
         that <br />
         		<a id="pl.206.21"></a><var>206.21</var>there is a documented need within the parameters established by the commissioner for
         all <br />
         		<a id="pl.206.22"></a><var>206.22</var>component customized living services authorized.<br />
         		<a id="pl.206.23"></a><var>206.23</var>(b) The payment rate must be based on the amount of component services to be <br />
         		<a id="pl.206.24"></a><var>206.24</var>provided utilizing component rates established by the commissioner. Counties and tribes
         <br />
         		<a id="pl.206.25"></a><var>206.25</var>shall use tools issued by the commissioner to develop and document customized living
         <br />
         		<a id="pl.206.26"></a><var>206.26</var>service plans and rates.<br />
         		<a id="pl.206.27"></a><var>206.27</var>(c) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.206.28"></a><var>206.28</var>waiver or medical assistance services and must reflect economies of scale. Customized
         <br />
         		<a id="pl.206.29"></a><var>206.29</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.206.30"></a><var>206.30</var>&#160;&#160;&#160;&#160;(d) With the exception of individuals described in subdivision 3a, paragraph (b),
         the <br />
         		<a id="pl.206.31"></a><var>206.31</var>individualized monthly authorized payment for the customized living service plan shall
         not <br />
         		<a id="pl.206.32"></a><var>206.32</var>exceed 50 percent of the greater of either the statewide or any of the geographic
         groups' <br />
         		<a id="pl.206.33"></a><var>206.33</var>weighted average monthly nursing facility rate of the case mix resident class to which
         the <br />
         		<a id="pl.206.34"></a><var>206.34</var>elderly waiver eligible client would be assigned under Minnesota Rules, parts 9549.0050
         to <br />
         		<a id="pl.206.35"></a><var>206.35</var>9549.0059, less the maintenance needs allowance as described in subdivision 1d, paragraph
         <br />
         		<a id="pl.207.1"></a><var>207.1</var>(a), until the July 1 of the state fiscal year in which the resident assessment system
         as <br />
         		<a id="pl.207.2"></a><var>207.2</var>described in section 
         <statute_ref>256B.438</statute_ref> for nursing home rate determination is implemented. <br />
         		<a id="pl.207.3"></a><var>207.3</var>Effective on July 1 of the state fiscal year in which the resident assessment system
         as <br />
         		<a id="pl.207.4"></a><var>207.4</var>described in section 
         <statute_ref>256B.438</statute_ref> for nursing home rate determination is implemented and <br />
         		<a id="pl.207.5"></a><var>207.5</var>July 1 of each subsequent state fiscal year, the individualized monthly authorized
         payment <br />
         		<a id="pl.207.6"></a><var>207.6</var>for the services described in this clause shall not exceed the limit which was in
         effect on <br />
         		<a id="pl.207.7"></a><var>207.7</var>June 30 of the previous state fiscal year updated annually based on legislatively
         adopted <br />
         		<a id="pl.207.8"></a><var>207.8</var>changes to all service rate maximums for home and community-based service providers.<br />
         		<a id="pl.207.9"></a><var>207.9</var>(e) Effective July 1, 2011, the individualized monthly payment for the customized
         <br />
         		<a id="pl.207.10"></a><var>207.10</var>living service plan for individuals described in subdivision 3a, paragraph (b), must
         be the <br />
         		<a id="pl.207.11"></a><var>207.11</var>monthly authorized payment limit for customized living for individuals classified
         as case <br />
         		<a id="pl.207.12"></a><var>207.12</var>mix A, reduced by 25 percent. This rate limit must be applied to all new participants
         <br />
         		<a id="pl.207.13"></a><var>207.13</var>enrolled in the program on or after July 1, 2011, who meet the criteria described
         in <br />
         		<a id="pl.207.14"></a><var>207.14</var>subdivision 3a, paragraph (b). This monthly limit also applies to all other participants
         who <br />
         		<a id="pl.207.15"></a><var>207.15</var>meet the criteria described in subdivision 3a, paragraph (b), at reassessment.<br />
         		<a id="pl.207.16"></a><var>207.16</var>&#160;&#160;&#160;&#160;(f) Customized living services are delivered by a provider licensed by the <br />
         		<a id="pl.207.17"></a><var>207.17</var>Department of Health as a class A or class F home care provider and provided in a
         <br />
         		<a id="pl.207.18"></a><var>207.18</var>building that is registered as a housing with services establishment under chapter
         144D. <br />
         		<a id="pl.207.19"></a><var>207.19</var>Licensed home care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.207.20"></a><var>207.20</var>(g) A provider may not bill or otherwise charge an elderly waiver participant or their
         <br />
         		<a id="pl.207.21"></a><var>207.21</var>family for additional units of any allowable component service beyond those available
         <br />
         		<a id="pl.207.22"></a><var>207.22</var>under the service rate limits described in paragraph (d), nor for additional units
         of any <br />
         		<a id="pl.207.23"></a><var>207.23</var>allowable component service beyond those approved in the service plan by the lead
         agency.<br />
         		<a id="pl.207.24"></a><var>207.24</var>(h) Effective July 1, 2016, and each July 1 thereafter, individualized service rate
         <br />
         		<a id="pl.207.25"></a><var>207.25</var>limits for customized living services under this subdivision shall be increased by
         the <br />
         		<a id="pl.207.26"></a><var>207.26</var>difference between any legislatively adopted home and community-based provider rate
         <br />
         		<a id="pl.207.27"></a><var>207.27</var>increases effective on July 1 or since the previous July 1 and the average statewide
         <br />
         		<a id="pl.207.28"></a><var>207.28</var>percentage increase in nursing facility operating payment rates under sections 256B.431,
         <br />
         		<a id="pl.207.29"></a><var>207.29</var>256B.434, and 256B.441, effective the previous January 1. This paragraph shall only
         <br />
         		<a id="pl.207.30"></a><var>207.30</var>apply if the average statewide percentage increase in nursing facility operating payment
         <br />
         		<a id="pl.207.31"></a><var>207.31</var>rates is greater than any legislatively adopted home and community-based provider
         rate <br />
         		<a id="pl.207.32"></a><var>207.32</var>increases effective on July 1, or occurring since the previous July 1.<br />
         		<a id="pl.207.33"></a><var>207.33</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.6.6.0"></a><a id="pl.207.34"></a><var>207.34</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 256B.0915, subdivision 3h, is amended to read:<br />
         		<a id="pl.208.1"></a><var>208.1</var>&#160;&#160;&#160;&#160;Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> (a) The <br />
         		<a id="pl.208.2"></a><var>208.2</var>payment rate for 24-hour customized living services is a monthly rate authorized by
         the <br />
         		<a id="pl.208.3"></a><var>208.3</var>lead agency within the parameters established by the commissioner of human services.
         <br />
         		<a id="pl.208.4"></a><var>208.4</var>The payment agreement must delineate the amount of each component service included
         <br />
         		<a id="pl.208.5"></a><var>208.5</var>in each recipient's customized living service plan. The lead agency, with input from
         <br />
         		<a id="pl.208.6"></a><var>208.6</var>the provider of customized living services, shall ensure that there is a documented
         need <br />
         		<a id="pl.208.7"></a><var>208.7</var>within the parameters established by the commissioner for all component customized
         <br />
         		<a id="pl.208.8"></a><var>208.8</var>living services authorized. The lead agency shall not authorize 24-hour customized
         living <br />
         		<a id="pl.208.9"></a><var>208.9</var>services unless there is a documented need for 24-hour supervision.<br />
         		<a id="pl.208.10"></a><var>208.10</var>(b) For purposes of this section, "24-hour supervision" means that the recipient <br />
         		<a id="pl.208.11"></a><var>208.11</var>requires assistance due to needs related to one or more of the following:<br />
         		<a id="pl.208.12"></a><var>208.12</var>&#160;&#160;&#160;&#160;(1) intermittent assistance with toileting, positioning, or transferring;<br />
         		<a id="pl.208.13"></a><var>208.13</var>&#160;&#160;&#160;&#160;(2) cognitive or behavioral issues;<br />
         		<a id="pl.208.14"></a><var>208.14</var>&#160;&#160;&#160;&#160;(3) a medical condition that requires clinical monitoring; or<br />
         		<a id="pl.208.15"></a><var>208.15</var>&#160;&#160;&#160;&#160;(4) for all new participants enrolled in the program on or after July 1, 2011, and
         <br />
         		<a id="pl.208.16"></a><var>208.16</var>all other participants at their first reassessment after July 1, 2011, dependency
         in at <br />
         		<a id="pl.208.17"></a><var>208.17</var>least three of the following activities of daily living as determined by assessment
         under <br />
         		<a id="pl.208.18"></a><var>208.18</var>section 
         <statute_ref>256B.0911</statute_ref>: bathing; dressing; grooming; walking; or eating when the dependency <br />
         		<a id="pl.208.19"></a><var>208.19</var>score in eating is three or greater; and needs medication management and at least
         50 <br />
         		<a id="pl.208.20"></a><var>208.20</var>hours of service per month. The lead agency shall ensure that the frequency and mode
         <br />
         		<a id="pl.208.21"></a><var>208.21</var>of supervision of the recipient and the qualifications of staff providing supervision
         are <br />
         		<a id="pl.208.22"></a><var>208.22</var>described and meet the needs of the recipient.<br />
         		<a id="pl.208.23"></a><var>208.23</var>(c) The payment rate for 24-hour customized living services must be based on the <br />
         		<a id="pl.208.24"></a><var>208.24</var>amount of component services to be provided utilizing component rates established
         by the <br />
         		<a id="pl.208.25"></a><var>208.25</var>commissioner. Counties and tribes will use tools issued by the commissioner to develop
         <br />
         		<a id="pl.208.26"></a><var>208.26</var>and document customized living plans and authorize rates.<br />
         		<a id="pl.208.27"></a><var>208.27</var>(d) Component service rates must not exceed payment rates for comparable elderly <br />
         		<a id="pl.208.28"></a><var>208.28</var>waiver or medical assistance services and must reflect economies of scale.<br />
         		<a id="pl.208.29"></a><var>208.29</var>(e) The individually authorized 24-hour customized living payments, in combination
         <br />
         		<a id="pl.208.30"></a><var>208.30</var>with the payment for other elderly waiver services, including case management, must
         not <br />
         		<a id="pl.208.31"></a><var>208.31</var>exceed the recipient's community budget cap specified in subdivision 3a. Customized
         <br />
         		<a id="pl.208.32"></a><var>208.32</var>living services must not include rent or raw food costs.<br />
         		<a id="pl.208.33"></a><var>208.33</var>(f) The individually authorized 24-hour customized living payment rates shall not
         <br />
         		<a id="pl.208.34"></a><var>208.34</var>exceed the 95 percentile of statewide monthly authorizations for 24-hour customized
         <br />
         		<a id="pl.208.35"></a><var>208.35</var>living services in effect and in the Medicaid management information systems on March
         <br />
         		<a id="pl.208.36"></a><var>208.36</var>31, 2009, for each case mix resident class under Minnesota Rules, parts 9549.0050
         <br />
         		<a id="pl.209.1"></a><var>209.1</var>to 9549.0059, to which elderly waiver service clients are assigned. When there are
         <br />
         		<a id="pl.209.2"></a><var>209.2</var>fewer than 50 authorizations in effect in the case mix resident class, the commissioner
         <br />
         		<a id="pl.209.3"></a><var>209.3</var>shall multiply the calculated service payment rate maximum for the A classification
         by <br />
         		<a id="pl.209.4"></a><var>209.4</var>the standard weight for that classification under Minnesota Rules, parts 9549.0050
         to <br />
         		<a id="pl.209.5"></a><var>209.5</var>9549.0059, to determine the applicable payment rate maximum. Service payment rate
         <br />
         		<a id="pl.209.6"></a><var>209.6</var>maximums shall be updated annually based on legislatively adopted changes to all service
         <br />
         		<a id="pl.209.7"></a><var>209.7</var>rates for home and community-based service providers.<br />
         		<a id="pl.209.8"></a><var>209.8</var>&#160;&#160;&#160;&#160;(g) Notwithstanding the requirements of paragraphs (d) and (f), the commissioner <br />
         		<a id="pl.209.9"></a><var>209.9</var>may establish alternative payment rate systems for 24-hour customized living services
         in <br />
         		<a id="pl.209.10"></a><var>209.10</var>housing with services establishments which are freestanding buildings with a capacity
         of <br />
         		<a id="pl.209.11"></a><var>209.11</var>16 or fewer, by applying a single hourly rate for covered component services provided
         <br />
         		<a id="pl.209.12"></a><var>209.12</var>in either:<br />
         		<a id="pl.209.13"></a><var>209.13</var>&#160;&#160;&#160;&#160;(1) licensed corporate adult foster homes; or<br />
         		<a id="pl.209.14"></a><var>209.14</var>&#160;&#160;&#160;&#160;(2) specialized dementia care units which meet the requirements of section 
         <statute_ref>144D.065 <br />
            		
         </statute_ref><a id="pl.209.15"></a><var>209.15</var>and in which:<br />
         		<a id="pl.209.16"></a><var>209.16</var>&#160;&#160;&#160;&#160;(i) each resident is offered the option of having their own apartment; or<br />
         		<a id="pl.209.17"></a><var>209.17</var>&#160;&#160;&#160;&#160;(ii) the units are licensed as board and lodge establishments with maximum capacity
         <br />
         		<a id="pl.209.18"></a><var>209.18</var>of eight residents, and which meet the requirements of Minnesota Rules, part 9555.6205,
         <br />
         		<a id="pl.209.19"></a><var>209.19</var>subparts 1, 2, 3, and 4, item A.<br />
         		<a id="pl.209.20"></a><var>209.20</var>(h) Twenty-four-hour customized living services are delivered by a provider licensed
         <br />
         		<a id="pl.209.21"></a><var>209.21</var>by the Department of Health as a class A or class F home care provider and provided
         in a <br />
         		<a id="pl.209.22"></a><var>209.22</var>building that is registered as a housing with services establishment under chapter
         144D. <br />
         		<a id="pl.209.23"></a><var>209.23</var>Licensed home care providers are subject to section 
         <statute_ref>256B.0651, subdivision 14</statute_ref>.<br />
         		<a id="pl.209.24"></a><var>209.24</var>(i) A provider may not bill or otherwise charge an elderly waiver participant or their
         <br />
         		<a id="pl.209.25"></a><var>209.25</var>family for additional units of any allowable component service beyond those available
         <br />
         		<a id="pl.209.26"></a><var>209.26</var>under the service rate limits described in paragraph (e), nor for additional units
         of any <br />
         		<a id="pl.209.27"></a><var>209.27</var>allowable component service beyond those approved in the service plan by the lead
         agency.<br />
         		<a id="pl.209.28"></a><var>209.28</var>(j) Effective July 1, 2016, and each July 1 thereafter, individualized service rate
         <br />
         		<a id="pl.209.29"></a><var>209.29</var>limits for 24-hour customized living services under this subdivision shall be increased
         by <br />
         		<a id="pl.209.30"></a><var>209.30</var>the difference between any legislatively adopted home and community-based provider
         <br />
         		<a id="pl.209.31"></a><var>209.31</var>rate increases effective on July 1 or since the previous July 1 and the average statewide
         <br />
         		<a id="pl.209.32"></a><var>209.32</var>percentage increase in nursing facility operating payment rates under sections 256B.431,
         <br />
         		<a id="pl.209.33"></a><var>209.33</var>256B.434, and 256B.441, effective the previous January 1. This paragraph shall only
         <br />
         		<a id="pl.209.34"></a><var>209.34</var>apply if the average statewide percentage increase in nursing facility operating payment
         <br />
         		<a id="pl.209.35"></a><var>209.35</var>rates is greater than any legislatively adopted home and community-based provider
         rate <br />
         		<a id="pl.209.36"></a><var>209.36</var>increases effective on July 1, or occurring since the previous July 1.<br />
         		<a id="pl.210.1"></a><var>210.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.6.7.0"></a><a id="pl.210.2"></a><var>210.2</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 256B.431, subdivision 2b, is amended to read:<br />
         		<a id="pl.210.3"></a><var>210.3</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Operating costs after July 1, 1985.</b> (a) For rate years beginning on or <br />
         		<a id="pl.210.4"></a><var>210.4</var>after July 1, 1985, the commissioner shall establish procedures for determining per
         diem <br />
         		<a id="pl.210.5"></a><var>210.5</var>reimbursement for operating costs.<br />
         		<a id="pl.210.6"></a><var>210.6</var>(b) The commissioner shall contract with an econometric firm with recognized <br />
         		<a id="pl.210.7"></a><var>210.7</var>expertise in and access to national economic change indices that can be applied to
         the <br />
         		<a id="pl.210.8"></a><var>210.8</var>appropriate cost categories when determining the operating cost payment rate.<br />
         		<a id="pl.210.9"></a><var>210.9</var>(c) The commissioner shall analyze and evaluate each nursing facility's cost report
         <br />
         		<a id="pl.210.10"></a><var>210.10</var>of allowable operating costs incurred by the nursing facility during the reporting
         year <br />
         		<a id="pl.210.11"></a><var>210.11</var>immediately preceding the rate year for which the payment rate becomes effective.<br />
         		<a id="pl.210.12"></a><var>210.12</var>(d) The commissioner shall establish limits on actual allowable historical operating
         <br />
         		<a id="pl.210.13"></a><var>210.13</var>cost per diems based on cost reports of allowable operating costs for the reporting
         year <br />
         		<a id="pl.210.14"></a><var>210.14</var>that begins October 1, 1983, taking into consideration relevant factors including
         resident <br />
         		<a id="pl.210.15"></a><var>210.15</var>needs, geographic location, and size of the nursing facility. In developing the geographic
         <br />
         		<a id="pl.210.16"></a><var>210.16</var>groups for purposes of reimbursement under this section, the commissioner shall ensure
         <br />
         		<a id="pl.210.17"></a><var>210.17</var>that nursing facilities in any county contiguous to the Minneapolis-St. Paul seven-county
         <br />
         		<a id="pl.210.18"></a><var>210.18</var>metropolitan area are included in the same geographic group. The limits established
         by <br />
         		<a id="pl.210.19"></a><var>210.19</var>the commissioner shall not be less, in the aggregate, than the 60th percentile of
         total <br />
         		<a id="pl.210.20"></a><var>210.20</var>actual allowable historical operating cost per diems for each group of nursing facilities
         <br />
         		<a id="pl.210.21"></a><var>210.21</var>established under subdivision 1 based on cost reports of allowable operating costs
         in the <br />
         		<a id="pl.210.22"></a><var>210.22</var>previous reporting year. For rate years beginning on or after July 1, 1989, facilities
         located <br />
         		<a id="pl.210.23"></a><var>210.23</var>in geographic group I as described in Minnesota Rules, part 9549.0052, on January
         1, <br />
         		<a id="pl.210.24"></a><var>210.24</var>1989, may choose to have the commissioner apply either the care related limits or
         the <br />
         		<a id="pl.210.25"></a><var>210.25</var>other operating cost limits calculated for facilities located in geographic group
         II, or <br />
         		<a id="pl.210.26"></a><var>210.26</var>both, if either of the limits calculated for the group II facilities is higher. The
         efficiency <br />
         		<a id="pl.210.27"></a><var>210.27</var>incentive for geographic group I nursing facilities must be calculated based on geographic
         <br />
         		<a id="pl.210.28"></a><var>210.28</var>group I limits. The phase-in must be established utilizing the chosen limits. For
         purposes <br />
         		<a id="pl.210.29"></a><var>210.29</var>of these exceptions to the geographic grouping requirements, the definitions in Minnesota
         <br />
         		<a id="pl.210.30"></a><var>210.30</var>Rules, parts 9549.0050 to 9549.0059 (Emergency), and 9549.0010 to 9549.0080, apply.
         <br />
         		<a id="pl.210.31"></a><var>210.31</var>The limits established under this paragraph remain in effect until the commissioner
         <br />
         		<a id="pl.210.32"></a><var>210.32</var>establishes a new base period. Until the new base period is established, the commissioner
         <br />
         		<a id="pl.210.33"></a><var>210.33</var>shall adjust the limits annually using the appropriate economic change indices established
         <br />
         		<a id="pl.210.34"></a><var>210.34</var>in paragraph (e). In determining allowable historical operating cost per diems for
         purposes <br />
         		<a id="pl.210.35"></a><var>210.35</var>of setting limits and nursing facility payment rates, the commissioner shall divide
         the <br />
         		<a id="pl.211.1"></a><var>211.1</var>allowable historical operating costs by the actual number of resident days, except
         that <br />
         		<a id="pl.211.2"></a><var>211.2</var>where a nursing facility is occupied at less than 90 percent of licensed capacity
         days, the <br />
         		<a id="pl.211.3"></a><var>211.3</var>commissioner may establish procedures to adjust the computation of the per diem to
         <br />
         		<a id="pl.211.4"></a><var>211.4</var>an imputed occupancy level at or below 90 percent. The commissioner shall establish
         <br />
         		<a id="pl.211.5"></a><var>211.5</var>efficiency incentives as appropriate. The commissioner may establish efficiency incentives
         <br />
         		<a id="pl.211.6"></a><var>211.6</var>for different operating cost categories. The commissioner shall consider establishing
         <br />
         		<a id="pl.211.7"></a><var>211.7</var>efficiency incentives in care related cost categories. The commissioner may combine
         one <br />
         		<a id="pl.211.8"></a><var>211.8</var>or more operating cost categories and may use different methods for calculating payment
         <br />
         		<a id="pl.211.9"></a><var>211.9</var>rates for each operating cost category or combination of operating cost categories.
         For the <br />
         		<a id="pl.211.10"></a><var>211.10</var>rate year beginning on July 1, 1985, the commissioner shall:<br />
         		<a id="pl.211.11"></a><var>211.11</var>(1) allow nursing facilities that have an average length of stay of 180 days or less
         in <br />
         		<a id="pl.211.12"></a><var>211.12</var>their skilled nursing level of care, 125 percent of the care related limit and 105
         percent <br />
         		<a id="pl.211.13"></a><var>211.13</var>of the other operating cost limit established by rule; and<br />
         		<a id="pl.211.14"></a><var>211.14</var>(2) exempt nursing facilities licensed on July 1, 1983, by the commissioner to <br />
         		<a id="pl.211.15"></a><var>211.15</var>provide residential services for the physically disabled under Minnesota Rules, parts
         <br />
         		<a id="pl.211.16"></a><var>211.16</var>9570.2000 to 9570.3600, from the care related limits and allow 105 percent of the
         other <br />
         		<a id="pl.211.17"></a><var>211.17</var>operating cost limit established by rule.<br />
         		<a id="pl.211.18"></a><var>211.18</var>For the purpose of calculating the other operating cost efficiency incentive for <br />
         		<a id="pl.211.19"></a><var>211.19</var>nursing facilities referred to in clause (1) or (2), the commissioner shall use the
         other <br />
         		<a id="pl.211.20"></a><var>211.20</var>operating cost limit established by rule before application of the 105 percent.<br />
         		<a id="pl.211.21"></a><var>211.21</var>(e) The commissioner shall establish a composite index or indices by determining <br />
         		<a id="pl.211.22"></a><var>211.22</var>the appropriate economic change indicators to be applied to specific operating cost
         <br />
         		<a id="pl.211.23"></a><var>211.23</var>categories or combination of operating cost categories.<br />
         		<a id="pl.211.24"></a><var>211.24</var>(f) Each nursing facility shall receive an operating cost payment rate equal to the
         sum <br />
         		<a id="pl.211.25"></a><var>211.25</var>of the nursing facility's operating cost payment rates for each operating cost category.
         The <br />
         		<a id="pl.211.26"></a><var>211.26</var>operating cost payment rate for an operating cost category shall be the lesser of
         the nursing <br />
         		<a id="pl.211.27"></a><var>211.27</var>facility's historical operating cost in the category increased by the appropriate
         index <br />
         		<a id="pl.211.28"></a><var>211.28</var>established in paragraph (e) for the operating cost category plus an efficiency incentive
         <br />
         		<a id="pl.211.29"></a><var>211.29</var>established pursuant to paragraph (d) or the limit for the operating cost category
         increased <br />
         		<a id="pl.211.30"></a><var>211.30</var>by the same index. If a nursing facility's actual historic operating costs are greater
         than the <br />
         		<a id="pl.211.31"></a><var>211.31</var>prospective payment rate for that rate year, there shall be no retroactive cost settle
         up. In <br />
         		<a id="pl.211.32"></a><var>211.32</var>establishing payment rates for one or more operating cost categories, the commissioner
         may <br />
         		<a id="pl.211.33"></a><var>211.33</var>establish separate rates for different classes of residents based on their relative
         care needs.<br />
         		<a id="pl.211.34"></a><var>211.34</var>(g) The commissioner shall include the reported actual real estate tax liability or
         <br />
         		<a id="pl.211.35"></a><var>211.35</var>payments in lieu of real estate tax of each nursing facility as an operating cost
         of that <br />
         		<a id="pl.211.36"></a><var>211.36</var>nursing facility. Allowable costs under this subdivision for payments made by a nonprofit
         <br />
         		<a id="pl.212.1"></a><var>212.1</var>nursing facility that are in lieu of real estate taxes shall not exceed the amount
         which the <br />
         		<a id="pl.212.2"></a><var>212.2</var>nursing facility would have paid to a city or township and county for fire, police,
         sanitation <br />
         		<a id="pl.212.3"></a><var>212.3</var>services, and road maintenance costs had real estate taxes been levied on that property
         <br />
         		<a id="pl.212.4"></a><var>212.4</var>for those purposes. For rate years beginning on or after July 1, 1987, the reported
         actual <br />
         		<a id="pl.212.5"></a><var>212.5</var>real estate tax liability or payments in lieu of real estate tax of nursing facilities
         shall be <br />
         		<a id="pl.212.6"></a><var>212.6</var>adjusted to include an amount equal to one-half of the dollar change in real estate
         taxes <br />
         		<a id="pl.212.7"></a><var>212.7</var>from the prior year. The commissioner shall include a reported actual special assessment,
         <br />
         		<a id="pl.212.8"></a><var>212.8</var>and reported actual license fees required by the Minnesota Department of Health, for
         each <br />
         		<a id="pl.212.9"></a><var>212.9</var>nursing facility as an operating cost of that nursing facility. For rate years beginning
         <br />
         		<a id="pl.212.10"></a><var>212.10</var>on or after July 1, 1989, the commissioner shall include a nursing facility's reported
         <br />
         		<a id="pl.212.11"></a><var>212.11</var>Public Employee Retirement Act contribution for the reporting year as apportioned
         to the <br />
         		<a id="pl.212.12"></a><var>212.12</var>care-related operating cost categories and other operating cost categories multiplied
         by <br />
         		<a id="pl.212.13"></a><var>212.13</var>the appropriate composite index or indices established pursuant to paragraph (e) as
         costs <br />
         		<a id="pl.212.14"></a><var>212.14</var>under this paragraph. Total adjusted real estate tax liability, payments in lieu of
         real <br />
         		<a id="pl.212.15"></a><var>212.15</var>estate tax, actual special assessments paid, the indexed Public Employee Retirement
         Act <br />
         		<a id="pl.212.16"></a><var>212.16</var>contribution, and license fees paid as required by the Minnesota Department of Health,
         <br />
         		<a id="pl.212.17"></a><var>212.17</var>for each nursing facility (1) shall be divided by actual resident days in order to
         compute <br />
         		<a id="pl.212.18"></a><var>212.18</var>the operating cost payment rate for this operating cost category, (2) shall not be
         used to <br />
         		<a id="pl.212.19"></a><var>212.19</var>compute the care-related operating cost limits or other operating cost limits established
         <br />
         		<a id="pl.212.20"></a><var>212.20</var>by the commissioner, and (3) shall not be increased by the composite index or indices
         <br />
         		<a id="pl.212.21"></a><var>212.21</var>established pursuant to paragraph (e), unless otherwise indicated in this paragraph.<br />
         		<a id="pl.212.22"></a><var>212.22</var>(h) For rate years beginning on or after July 1, 1987, the commissioner shall adjust
         <br />
         		<a id="pl.212.23"></a><var>212.23</var>the rates of a nursing facility that meets the criteria for the special dietary needs
         of its <br />
         		<a id="pl.212.24"></a><var>212.24</var>residents and the requirements in section 
         <statute_ref>31.651</statute_ref>. The adjustment for raw food cost shall <br />
         		<a id="pl.212.25"></a><var>212.25</var>be the difference between the nursing facility's allowable historical raw food cost
         per <br />
         		<a id="pl.212.26"></a><var>212.26</var>diem and 115 percent of the median historical allowable raw food cost per diem of
         the <br />
         		<a id="pl.212.27"></a><var>212.27</var>corresponding geographic group.<br />
         		<a id="pl.212.28"></a><var>212.28</var>The rate adjustment shall be reduced by the applicable phase-in percentage as <br />
         		<a id="pl.212.29"></a><var>212.29</var>provided under subdivision 2h.<br />
         		<br />
         		<a id="bill.6.8.0"></a><a id="pl.212.30"></a><var>212.30</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 256B.431, subdivision 36, is amended to read:<br />
         		<a id="pl.212.31"></a><var>212.31</var>&#160;&#160;&#160;&#160;Subd. 36. <b>Employee scholarship costs and training in English as a second </b><br />
         		<a id="pl.212.32"></a><var>212.32</var><b>language.</b> (a) For the period between July 1, 2001, and June 30, 2003, the commissioner <br />
         		<a id="pl.212.33"></a><var>212.33</var>shall provide to each nursing facility reimbursed under this section, section 
         <statute_ref>256B.434</statute_ref>, <br />
         		<a id="pl.212.34"></a><var>212.34</var>or any other section, a scholarship per diem of 25 cents to the total operating payment
         <br />
         		<a id="pl.212.35"></a><var>212.35</var>rate. For the 27-month period beginning October 1, 2015, through December 31, 2017, <br />
         		<a id="pl.213.1"></a><var>213.1</var>the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing
         <br />
         		<a id="pl.213.2"></a><var>213.2</var>facility with no scholarship per diem that is requesting a scholarship per diem to
         be added <br />
         		<a id="pl.213.3"></a><var>213.3</var>to the external fixed payment rate to be used:<br />
         		<a id="pl.213.4"></a><var>213.4</var>(1) for employee scholarships that satisfy the following requirements:<br />
         		<a id="pl.213.5"></a><var>213.5</var>(i) scholarships are available to all employees who work an average of at least 20  <br />
         		<a id="pl.213.6"></a><var>213.6</var>ten hours per week at the facility except the administrator, department supervisors, and <br />
         		<a id="pl.213.7"></a><var>213.7</var>registered nurses and to reimburse student loan expenses for newly hired and recently <br />
         		<a id="pl.213.8"></a><var>213.8</var>graduated registered nurses and licensed practical nurses, and training expenses for
         <br />
         		<a id="pl.213.9"></a><var>213.9</var>nursing assistants as defined in section 144A.611, subdivision 2, who are newly hired
         and <br />
         		<a id="pl.213.10"></a><var>213.10</var>have graduated within the last 12 months; and<br />
         		<a id="pl.213.11"></a><var>213.11</var>(ii) the course of study is expected to lead to career advancement with the facility
         or <br />
         		<a id="pl.213.12"></a><var>213.12</var>in long-term care, including medical care interpreter services and social work; and<br />
         		<a id="pl.213.13"></a><var>213.13</var>(2) to provide job-related training in English as a second language.<br />
         		<a id="pl.213.14"></a><var>213.14</var>(b) A facility receiving All facilities may annually request a rate adjustment under <br />
         		<a id="pl.213.15"></a><var>213.15</var>this subdivision may submit by submitting information to the commissioner on a schedule <br />
         		<a id="pl.213.16"></a><var>213.16</var>determined by the commissioner and on in a form supplied by the commissioner a <br />
         		<a id="pl.213.17"></a><var>213.17</var>calculation of the scholarship per diem, including: the amount received from this
         rate <br />
         		<a id="pl.213.18"></a><var>213.18</var>adjustment; the amount used for training in English as a second language; the number
         of <br />
         		<a id="pl.213.19"></a><var>213.19</var>persons receiving the training; the name of the person or entity providing the training;
         <br />
         		<a id="pl.213.20"></a><var>213.20</var>and for each scholarship recipient, the name of the recipient, the amount awarded,
         the <br />
         		<a id="pl.213.21"></a><var>213.21</var>educational institution attended, the nature of the educational program, the program
         <br />
         		<a id="pl.213.22"></a><var>213.22</var>completion date, and a determination of the per diem amount of these costs based on
         <br />
         		<a id="pl.213.23"></a><var>213.23</var>actual resident days. The commissioner shall allow a scholarship payment rate equal to <br />
         		<a id="pl.213.24"></a><var>213.24</var>the reported and allowable costs divided by resident days.<br />
         		<a id="pl.213.25"></a><var>213.25</var>(c) On July 1, 2003, the commissioner shall remove the 25 cent scholarship per diem <br />
         		<a id="pl.213.26"></a><var>213.26</var>from the total operating payment rate of each facility.<br />
         		<a id="pl.213.27"></a><var>213.27</var>(d) For rate years beginning after June 30, 2003, the commissioner shall provide to
         <br />
         		<a id="pl.213.28"></a><var>213.28</var>each facility the scholarship per diem determined in paragraph (b). In calculating the per <br />
         		<a id="pl.213.29"></a><var>213.29</var>diem under paragraph (b), the commissioner shall allow only costs related to tuition and, <br />
         		<a id="pl.213.30"></a><var>213.30</var>direct educational expenses, and reasonable costs as defined by the commissioner for child <br />
         		<a id="pl.213.31"></a><var>213.31</var>care costs and transportation expenses related to direct educational expenses.<br />
         		<a id="pl.213.32"></a><var>213.32</var>(d) The rate increase under this subdivision is an optional rate add-on that the facility
         <br />
         		<a id="pl.213.33"></a><var>213.33</var>must request from the commissioner in a manner prescribed by the commissioner. The
         <br />
         		<a id="pl.213.34"></a><var>213.34</var>rate increase must be used for scholarships as specified in this subdivision.<br />
         		<a id="pl.213.35"></a><var>213.35</var>(e) For instances in which a rate adjustment will be 15 cents or greater, nursing
         <br />
         		<a id="pl.213.36"></a><var>213.36</var>facilities that close beds during a rate year may request to have their scholarship
         <br />
         		<a id="pl.214.1"></a><var>214.1</var>adjustment under paragraph (b) recalculated by the commissioner for the remainder
         of the <br />
         		<a id="pl.214.2"></a><var>214.2</var>rate year to reflect the reduction in resident days compared to the cost report year.<br />
         		<br />
         		<a id="bill.6.9.0"></a><a id="pl.214.3"></a><var>214.3</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 256B.434, subdivision 4, is amended to read:<br />
         		<a id="pl.214.4"></a><var>214.4</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Alternate rates for nursing facilities.</b> (a) For nursing facilities which <br />
         		<a id="pl.214.5"></a><var>214.5</var>have their payment rates determined under this section rather than section 
         <statute_ref>256B.431</statute_ref>, the <br />
         		<a id="pl.214.6"></a><var>214.6</var>commissioner shall establish a rate under this subdivision. The nursing facility must
         enter <br />
         		<a id="pl.214.7"></a><var>214.7</var>into a written contract with the commissioner.<br />
         		<a id="pl.214.8"></a><var>214.8</var>&#160;&#160;&#160;&#160;(b) A nursing facility's case mix payment rate for the first rate year of a facility's
         <br />
         		<a id="pl.214.9"></a><var>214.9</var>contract under this section is the payment rate the facility would have received under
         <br />
         		<a id="pl.214.10"></a><var>214.10</var>section 
         <statute_ref>256B.431</statute_ref>.<br />
         		<a id="pl.214.11"></a><var>214.11</var>&#160;&#160;&#160;&#160;(c) A nursing facility's case mix payment rates for the second and subsequent years <br />
         		<a id="pl.214.12"></a><var>214.12</var>of a facility's contract under this section are the previous rate year's contract
         payment rates <br />
         		<a id="pl.214.13"></a><var>214.13</var>plus an inflation adjustment and, for facilities reimbursed under this section or
         section <br />
         		
         <statute_ref><a id="pl.214.14"></a><var>214.14</var>256B.431
         </statute_ref>, an adjustment to include the cost of any increase in Health Department licensing
         <br />
         		<a id="pl.214.15"></a><var>214.15</var>fees for the facility taking effect on or after July 1, 2001. The index for the inflation
         <br />
         		<a id="pl.214.16"></a><var>214.16</var>adjustment must be based on the change in the Consumer Price Index-All Items (United
         <br />
         		<a id="pl.214.17"></a><var>214.17</var>States City average) (CPI-U) forecasted by the commissioner of management and budget's
         <br />
         		<a id="pl.214.18"></a><var>214.18</var>national economic consultant, as forecasted in the fourth quarter of the calendar
         year <br />
         		<a id="pl.214.19"></a><var>214.19</var>preceding the rate year. The inflation adjustment must be based on the 12-month period
         <br />
         		<a id="pl.214.20"></a><var>214.20</var>from the midpoint of the previous rate year to the midpoint of the rate year for which
         the <br />
         		<a id="pl.214.21"></a><var>214.21</var>rate is being determined. For the rate years beginning on July 1, 1999, July 1, 2000,
         July <br />
         		<a id="pl.214.22"></a><var>214.22</var>1, 2001, July 1, 2002, July 1, 2003, July 1, 2004, July 1, 2005, July 1, 2006, July
         1, 2007, <br />
         		<a id="pl.214.23"></a><var>214.23</var>July 1, 2008, October 1, 2009, and October 1, 2010, this paragraph shall apply only
         to the <br />
         		<a id="pl.214.24"></a><var>214.24</var>property-related payment rate. For the rate years beginning on October 1, 2011, October
         1, <br />
         		<a id="pl.214.25"></a><var>214.25</var>2012, October 1, 2013, October 1, 2014, October 1, 2015, and October January 1, 2016, and <br />
         		<a id="pl.214.26"></a><var>214.26</var>January 1, 2017, the rate adjustment under this paragraph shall be suspended. Beginning <br />
         		<a id="pl.214.27"></a><var>214.27</var>in 2005, adjustment to the property payment rate under this section and section 
         <statute_ref>256B.431 <br />
            		
         </statute_ref><a id="pl.214.28"></a><var>214.28</var>shall be effective on October 1. In determining the amount of the property-related
         payment <br />
         		<a id="pl.214.29"></a><var>214.29</var>rate adjustment under this paragraph, the commissioner shall determine the proportion
         of <br />
         		<a id="pl.214.30"></a><var>214.30</var>the facility's rates that are property-related based on the facility's most recent
         cost report.<br />
         		<a id="pl.214.31"></a><var>214.31</var>&#160;&#160;&#160;&#160;(d) The commissioner shall develop additional incentive-based payments of up to <br />
         		<a id="pl.214.32"></a><var>214.32</var>five percent above a facility's operating payment rate for achieving outcomes specified
         <br />
         		<a id="pl.214.33"></a><var>214.33</var>in a contract. The commissioner may solicit contract amendments and implement those
         <br />
         		<a id="pl.214.34"></a><var>214.34</var>which, on a competitive basis, best meet the state's policy objectives. The commissioner
         <br />
         		<a id="pl.214.35"></a><var>214.35</var>shall limit the amount of any incentive payment and the number of contract amendments
         <br />
         		<a id="pl.215.1"></a><var>215.1</var>under this paragraph to operate the incentive payments within funds appropriated for
         this <br />
         		<a id="pl.215.2"></a><var>215.2</var>purpose. The contract amendments may specify various levels of payment for various
         <br />
         		<a id="pl.215.3"></a><var>215.3</var>levels of performance. Incentive payments to facilities under this paragraph may be
         in the <br />
         		<a id="pl.215.4"></a><var>215.4</var>form of time-limited rate adjustments or onetime supplemental payments. In establishing
         <br />
         		<a id="pl.215.5"></a><var>215.5</var>the specified outcomes and related criteria, the commissioner shall consider the following
         <br />
         		<a id="pl.215.6"></a><var>215.6</var>state policy objectives:<br />
         		<a id="pl.215.7"></a><var>215.7</var>&#160;&#160;&#160;&#160;(1) successful diversion or discharge of residents to the residents' prior home or
         other <br />
         		<a id="pl.215.8"></a><var>215.8</var>community-based alternatives;<br />
         		<a id="pl.215.9"></a><var>215.9</var>&#160;&#160;&#160;&#160;(2) adoption of new technology to improve quality or efficiency;<br />
         		<a id="pl.215.10"></a><var>215.10</var>&#160;&#160;&#160;&#160;(3) improved quality as measured in the Nursing Home Report Card;<br />
         		<a id="pl.215.11"></a><var>215.11</var>&#160;&#160;&#160;&#160;(4) reduced acute care costs; and<br />
         		<a id="pl.215.12"></a><var>215.12</var>&#160;&#160;&#160;&#160;(5) any additional outcomes proposed by a nursing facility that the commissioner <br />
         		<a id="pl.215.13"></a><var>215.13</var>finds desirable.<br />
         		<a id="pl.215.14"></a><var>215.14</var>&#160;&#160;&#160;&#160;(e) Notwithstanding the threshold in section 
         <statute_ref>256B.431, subdivision 16</statute_ref>, facilities that <br />
         		<a id="pl.215.15"></a><var>215.15</var>take action to come into compliance with existing or pending requirements of the life
         <br />
         		<a id="pl.215.16"></a><var>215.16</var>safety code provisions or federal regulations governing sprinkler systems must receive
         <br />
         		<a id="pl.215.17"></a><var>215.17</var>reimbursement for the costs associated with compliance if all of the following conditions
         <br />
         		<a id="pl.215.18"></a><var>215.18</var>are met:<br />
         		<a id="pl.215.19"></a><var>215.19</var>&#160;&#160;&#160;&#160;(1) the expenses associated with compliance occurred on or after January 1, 2005,
         <br />
         		<a id="pl.215.20"></a><var>215.20</var>and before December 31, 2008;<br />
         		<a id="pl.215.21"></a><var>215.21</var>&#160;&#160;&#160;&#160;(2) the costs were not otherwise reimbursed under subdivision 4f or section <br />
         		<a id="pl.215.22"></a><var>215.22</var><statute_ref>144A.071</statute_ref> or 
         <statute_ref>144A.073</statute_ref>; and<br />
         		<a id="pl.215.23"></a><var>215.23</var>&#160;&#160;&#160;&#160;(3) the total allowable costs reported under this paragraph are less than the minimum
         <br />
         		<a id="pl.215.24"></a><var>215.24</var>threshold established under section 
         <statute_ref>256B.431, subdivision 15</statute_ref>, paragraph (e), and <br />
         		<a id="pl.215.25"></a><var>215.25</var>subdivision 16.<br />
         		<a id="pl.215.26"></a><var>215.26</var>The commissioner shall use money appropriated for this purpose to provide to qualifying
         <br />
         		<a id="pl.215.27"></a><var>215.27</var>nursing facilities a rate adjustment beginning October 1, 2007, and ending September
         30, <br />
         		<a id="pl.215.28"></a><var>215.28</var>2008. Nursing facilities that have spent money or anticipate the need to spend money
         <br />
         		<a id="pl.215.29"></a><var>215.29</var>to satisfy the most recent life safety code requirements by (1) installing a sprinkler
         <br />
         		<a id="pl.215.30"></a><var>215.30</var>system or (2) replacing all or portions of an existing sprinkler system may submit
         to the <br />
         		<a id="pl.215.31"></a><var>215.31</var>commissioner by June 30, 2007, on a form provided by the commissioner the actual <br />
         		<a id="pl.215.32"></a><var>215.32</var>costs of a completed project or the estimated costs, based on a project bid, of a
         planned <br />
         		<a id="pl.215.33"></a><var>215.33</var>project. The commissioner shall calculate a rate adjustment equal to the allowable
         <br />
         		<a id="pl.215.34"></a><var>215.34</var>costs of the project divided by the resident days reported for the report year ending
         <br />
         		<a id="pl.215.35"></a><var>215.35</var>September 30, 2006. If the costs from all projects exceed the appropriation for this
         <br />
         		<a id="pl.215.36"></a><var>215.36</var>purpose, the commissioner shall allocate the money appropriated on a pro rata basis
         to the <br />
         		<a id="pl.216.1"></a><var>216.1</var>qualifying facilities by reducing the rate adjustment determined for each facility
         by an <br />
         		<a id="pl.216.2"></a><var>216.2</var>equal percentage. Facilities that used estimated costs when requesting the rate adjustment
         <br />
         		<a id="pl.216.3"></a><var>216.3</var>shall report to the commissioner by January 31, 2009, on the use of this money on
         a <br />
         		<a id="pl.216.4"></a><var>216.4</var>form provided by the commissioner. If the nursing facility fails to provide the report,
         the <br />
         		<a id="pl.216.5"></a><var>216.5</var>commissioner shall recoup the money paid to the facility for this purpose. If the
         facility <br />
         		<a id="pl.216.6"></a><var>216.6</var>reports expenditures allowable under this subdivision that are less than the amount
         received <br />
         		<a id="pl.216.7"></a><var>216.7</var>in the facility's annualized rate adjustment, the commissioner shall recoup the difference.<br />
         		<br />
         		<a id="bill.6.10.0"></a><a id="pl.216.8"></a><var>216.8</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 256B.434, is amended by adding a <br />
         		<a id="pl.216.9"></a><var>216.9</var>subdivision to read:<br />
         		<a id="pl.216.10"></a><var>216.10</var>&#160;&#160;&#160;&#160;Subd. 4i. <b>Construction project rate adjustments for certain nursing facilities.</b><br />
         		 <a id="pl.216.11"></a><var>216.11</var>(a) This subdivision applies to nursing facilities with at least 120 active beds as
         of January <br />
         		<a id="pl.216.12"></a><var>216.12</var>1, 2015, that have projects approved in 2015 under the nursing facility moratorium
         <br />
         		<a id="pl.216.13"></a><var>216.13</var>exception process in section 144A.073. When each facility's moratorium exception <br />
         		<a id="pl.216.14"></a><var>216.14</var>construction project is completed, the facility must receive the rate adjustment allowed
         <br />
         		<a id="pl.216.15"></a><var>216.15</var>under subdivision 4f. In addition to that rate adjustment, facilities with at least
         120 <br />
         		<a id="pl.216.16"></a><var>216.16</var>active beds, but not more than 149 active beds, as of January 1, 2015, must have their
         <br />
         		<a id="pl.216.17"></a><var>216.17</var>construction project rate adjustment increased by an additional $4; and facilities
         with at <br />
         		<a id="pl.216.18"></a><var>216.18</var>least 150 active beds, but not more than 160 active beds, as of January 1, 2015, must
         have <br />
         		<a id="pl.216.19"></a><var>216.19</var>their construction project rate adjustment increased by an additional $12.50.<br />
         		<a id="pl.216.20"></a><var>216.20</var>(b) Notwithstanding any other law to the contrary, money available under section <br />
         		<a id="pl.216.21"></a><var>216.21</var>144A.073, subdivision 11, after the completion of the moratorium exception approval
         <br />
         		<a id="pl.216.22"></a><var>216.22</var>process in 2015 under section 144A.073, subdivision 3, shall be used to reduce the
         fiscal <br />
         		<a id="pl.216.23"></a><var>216.23</var>impact to the medical assistance budget for the increases allowed in this subdivision.<br />
         		<br />
         		<a id="bill.6.11.0"></a><a id="pl.216.24"></a><var>216.24</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 256B.441, subdivision 1, is amended to read:<br />
         		<a id="pl.216.25"></a><var>216.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b> </b><b>Rebasing</b><b> Calculation</b><b> of nursing facility operating payment </b><br />
         		<a id="pl.216.26"></a><var>216.26</var><b>rates.</b> (a) The commissioner shall rebase nursing facility operating payment rates to align <br />
         		<a id="pl.216.27"></a><var>216.27</var>payments to facilities with the cost of providing care. The rebased calculate operating <br />
         		<a id="pl.216.28"></a><var>216.28</var>payment rates shall be calculated using the statistical and cost report filed by each nursing <br />
         		<a id="pl.216.29"></a><var>216.29</var>facility for the report period ending one year 15 months prior to the rate year.<br />
         		<a id="pl.216.30"></a><var>216.30</var>&#160;&#160;&#160;&#160;(b) The new operating payment rates based on this section shall take effect beginning <br />
         		<a id="pl.216.31"></a><var>216.31</var>with the rate year beginning October 1, 2008, and shall be phased in over eight rate years <br />
         		<a id="pl.216.32"></a><var>216.32</var>through October 1, 2015. For each year of the phase-in, the operating payment rates
         shall <br />
         		<a id="pl.216.33"></a><var>216.33</var>be calculated using the statistical and cost report filed by each nursing facility
         for the <br />
         		<a id="pl.216.34"></a><var>216.34</var>report period ending one year prior to the rate year January 1, 2016.<br />
         		<a id="pl.217.1"></a><var>217.1</var>&#160;&#160;&#160;&#160;(c) Operating payment rates shall be rebased on October 1, 2016, and every two <br />
         		<a id="pl.217.2"></a><var>217.2</var>years after that date.<br />
         		<a id="pl.217.3"></a><var>217.3</var>&#160;&#160;&#160;&#160;(d) (c) Each cost reporting year shall begin on October 1 and end on the following <br />
         		<a id="pl.217.4"></a><var>217.4</var>September 30. Beginning in 2014, A statistical and cost report shall be filed by each <br />
         		<a id="pl.217.5"></a><var>217.5</var>nursing facility by February 1 in a form and manner specified by the commissioner. <br />
         		<a id="pl.217.6"></a><var>217.6</var>Notice of rates shall be distributed by August November 15 and the rates shall go into <br />
         		<a id="pl.217.7"></a><var>217.7</var>effect on October January 1 for one year.<br />
         		<a id="pl.217.8"></a><var>217.8</var>&#160;&#160;&#160;&#160;(e) Effective October 1, 2014, property rates shall be rebased in accordance with
         <br />
         		<a id="pl.217.9"></a><var>217.9</var>section 
         <statute_ref>256B.431</statute_ref> and Minnesota Rules, chapter 9549. The commissioner shall determine <br />
         		<a id="pl.217.10"></a><var>217.10</var>what the property payment rate for a nursing facility would be had the facility not
         had its <br />
         		<a id="pl.217.11"></a><var>217.11</var>property rate determined under section 
         <statute_ref>256B.434</statute_ref>. The commissioner shall allow nursing <br />
         		<a id="pl.217.12"></a><var>217.12</var>facilities to provide information affecting this rate determination that would have
         been <br />
         		<a id="pl.217.13"></a><var>217.13</var>filed annually under Minnesota Rules, chapter 9549, and nursing facilities shall report
         <br />
         		<a id="pl.217.14"></a><var>217.14</var>information necessary to determine allowable debt. The commissioner shall use this
         <br />
         		<a id="pl.217.15"></a><var>217.15</var>information to determine the property payment rate.<br />
         		<br />
         		<a id="bill.6.12.0"></a><a id="pl.217.16"></a><var>217.16</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 256B.441, subdivision 5, is amended to read:<br />
         		<a id="pl.217.17"></a><var>217.17</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Administrative costs.</b> "Administrative costs" means the direct costs for <br />
         		<a id="pl.217.18"></a><var>217.18</var>administering the overall activities of the nursing home. These costs include salaries
         and <br />
         		<a id="pl.217.19"></a><var>217.19</var>wages of the administrator, assistant administrator, business office employees, security
         <br />
         		<a id="pl.217.20"></a><var>217.20</var>guards, and associated fringe benefits and payroll taxes, fees, contracts, or purchases
         <br />
         		<a id="pl.217.21"></a><var>217.21</var>related to business office functions, licenses, and permits except as provided in
         the <br />
         		<a id="pl.217.22"></a><var>217.22</var>external fixed costs category, employee recognition, travel including meals and lodging,
         <br />
         		<a id="pl.217.23"></a><var>217.23</var>all training except as specified in subdivision 11, voice and data communication or
         <br />
         		<a id="pl.217.24"></a><var>217.24</var>transmission, office supplies, property and liability insurance and other forms of insurance <br />
         		<a id="pl.217.25"></a><var>217.25</var>not designated to other areas, personnel recruitment, legal services, accounting services,
         <br />
         		<a id="pl.217.26"></a><var>217.26</var>management or business consultants, data processing, information technology, Web <br />
         		<a id="pl.217.27"></a><var>217.27</var>site, central or home office costs, business meetings and seminars, postage, fees
         for <br />
         		<a id="pl.217.28"></a><var>217.28</var>professional organizations, subscriptions, security services, advertising, board of
         director's <br />
         		<a id="pl.217.29"></a><var>217.29</var>fees, working capital interest expense, and bad debts and bad debt collection fees.<br />
         		<br />
         		<a id="bill.6.13.0"></a><a id="pl.217.30"></a><var>217.30</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 256B.441, subdivision 6, is amended to read:<br />
         		<a id="pl.217.31"></a><var>217.31</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Allowed costs.</b> (a) "Allowed costs" means the amounts reported by the <br />
         		<a id="pl.217.32"></a><var>217.32</var>facility which are necessary for the operation of the facility and the care of residents
         <br />
         		<a id="pl.217.33"></a><var>217.33</var>and which are reviewed by the department for accuracy; reasonableness, in accordance
         <br />
         		<a id="pl.217.34"></a><var>217.34</var>with the requirements set forth in title XVIII of the federal Social Security Act
         and the <br />
         		<a id="pl.218.1"></a><var>218.1</var>interpretations in the provider reimbursement manual; and compliance with this section
         <br />
         		<a id="pl.218.2"></a><var>218.2</var>and generally accepted accounting principles. All references to costs in this section
         shall <br />
         		<a id="pl.218.3"></a><var>218.3</var>be assumed to refer to allowed costs.<br />
         		<a id="pl.218.4"></a><var>218.4</var>(b) For facilities where employees are represented by collective bargaining agents,
         <br />
         		<a id="pl.218.5"></a><var>218.5</var>costs related to the salaries and wages, payroll taxes, and employer's share of fringe
         benefit <br />
         		<a id="pl.218.6"></a><var>218.6</var>costs, except employer health insurance costs, for facility employees who are members
         of <br />
         		<a id="pl.218.7"></a><var>218.7</var>the bargaining unit are allowed costs only if:<br />
         		<a id="pl.218.8"></a><var>218.8</var>(1) these costs are incurred pursuant to a collective bargaining agreement. The <br />
         		<a id="pl.218.9"></a><var>218.9</var>commissioner shall allow until March 1 following the date on which the cost report
         was <br />
         		<a id="pl.218.10"></a><var>218.10</var>required to be submitted for a collective bargaining agent to notify the commissioner
         if <br />
         		<a id="pl.218.11"></a><var>218.11</var>a collective bargaining agreement, effective on the last day of the cost reporting
         year, <br />
         		<a id="pl.218.12"></a><var>218.12</var>was not in effect; or<br />
         		<a id="pl.218.13"></a><var>218.13</var>(2) the collective bargaining agent notifies the commissioner by October 1 following
         <br />
         		<a id="pl.218.14"></a><var>218.14</var>the date on which the cost report was required to be submitted that these costs are
         <br />
         		<a id="pl.218.15"></a><var>218.15</var>incurred pursuant to an agreement or understanding between the facility and the collective
         <br />
         		<a id="pl.218.16"></a><var>218.16</var>bargaining agent.<br />
         		<a id="pl.218.17"></a><var>218.17</var>(c) In any year when a portion of a facility's reported costs are not allowed costs
         <br />
         		<a id="pl.218.18"></a><var>218.18</var>under paragraph (b), when calculating the operating payment rate for the facility,
         the <br />
         		<a id="pl.218.19"></a><var>218.19</var>commissioner shall use the facility's allowed costs from the facility's second most
         recent <br />
         		<a id="pl.218.20"></a><var>218.20</var>cost report in place of the nonallowed costs. For the purpose of setting the price
         for other <br />
         		<a id="pl.218.21"></a><var>218.21</var>operating costs under subdivision 51, the price shall be reduced by the difference
         between <br />
         		<a id="pl.218.22"></a><var>218.22</var>the nonallowed costs and the allowed costs from the facility's second most recent
         cost <br />
         		<a id="pl.218.23"></a><var>218.23</var>report.<br />
         		<br />
         		<a id="bill.6.14.0"></a><a id="pl.218.24"></a><var>218.24</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.218.25"></a><var>218.25</var>subdivision to read:<br />
         		<a id="pl.218.26"></a><var>218.26</var>&#160;&#160;&#160;&#160;Subd. 11a. <b>Employer health insurance costs.</b> "Employer health insurance costs" <br />
         		<a id="pl.218.27"></a><var>218.27</var>means premium expenses for group coverage and reinsurance, actual expenses incurred
         <br />
         		<a id="pl.218.28"></a><var>218.28</var>for self-insured plans, and employer contributions to employee health reimbursement
         and <br />
         		<a id="pl.218.29"></a><var>218.29</var>health savings accounts. Premium and expense costs and contributions are allowable
         for <br />
         		<a id="pl.218.30"></a><var>218.30</var>employees who meet the definition of full-time employees and their spouse and dependents
         <br />
         		<a id="pl.218.31"></a><var>218.31</var>under the federal Affordable Care Act, Public Law 111-148, and part-time employees.<br />
         		<br />
         		<a id="bill.6.15.0"></a><a id="pl.218.32"></a><var>218.32</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 256B.441, subdivision 13, is amended to read:<br />
         		<a id="pl.218.33"></a><var>218.33</var>&#160;&#160;&#160;&#160;Subd. 13. <b>External fixed costs.</b> "External fixed costs" means costs related to the <br />
         		<a id="pl.218.34"></a><var>218.34</var>nursing home surcharge under section 
         <statute_ref>256.9657, subdivision 1</statute_ref>; licensure fees under <br />
         		<a id="pl.219.1"></a><var>219.1</var>section 
         <statute_ref>144.122</statute_ref>; until September 30, 2013, long-term care consultation fees under <br />
         		<a id="pl.219.2"></a><var>219.2</var>section 
         <statute_ref>256B.0911, subdivision 6</statute_ref>; family advisory council fee under section 
         <statute_ref>144A.33</statute_ref>; <br />
         		<a id="pl.219.3"></a><var>219.3</var>scholarships under section 
         <statute_ref>256B.431, subdivision 36</statute_ref>; planned closure rate adjustments <br />
         		<a id="pl.219.4"></a><var>219.4</var>under section 
         <statute_ref>256B.437</statute_ref>; or single bed room incentives under section 
         <statute_ref>256B.431, <br />
            		<a id="pl.219.5"></a><var>219.5</var>subdivision 42
         </statute_ref>; property taxes and property insurance, assessments, and payments in <br />
         		<a id="pl.219.6"></a><var>219.6</var>lieu of taxes; employer health insurance costs; quality improvement incentive payment
         <br />
         		<a id="pl.219.7"></a><var>219.7</var>rate adjustments under subdivision 46c; performance-based incentive payments under
         <br />
         		<a id="pl.219.8"></a><var>219.8</var>subdivision 46d; special dietary needs under subdivision 51b; and PERA.<br />
         		<br />
         		<a id="bill.6.16.0"></a><a id="pl.219.9"></a><var>219.9</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 256B.441, subdivision 14, is amended to read:<br />
         		<a id="pl.219.10"></a><var>219.10</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Facility average case mix index.</b> "Facility average case mix index" <br />
         		<a id="pl.219.11"></a><var>219.11</var>or "CMI" means a numerical value score that describes the relative resource use for <br />
         		<a id="pl.219.12"></a><var>219.12</var>all residents within the groups under the resource utilization group (RUG-III) (RUG) <br />
         		<a id="pl.219.13"></a><var>219.13</var>classification system prescribed by the commissioner based on an assessment of each
         <br />
         		<a id="pl.219.14"></a><var>219.14</var>resident. The facility average CMI shall be computed as the standardized days divided
         by <br />
         		<a id="pl.219.15"></a><var>219.15</var>total days for all residents in the facility. The RUG's weights used in this section shall be <br />
         		<a id="pl.219.16"></a><var>219.16</var>as follows for each RUG's class: SE3 1.605; SE2 1.247; SE1 1.081; RAD 1.509; RAC <br />
         		<a id="pl.219.17"></a><var>219.17</var>1.259; RAB 1.109; RAA 0.957; SSC 1.453; SSB 1.224; SSA 1.047; CC2 1.292; CC1 <br />
         		<a id="pl.219.18"></a><var>219.18</var>1.200; CB2 1.086; CB1 1.017; CA2 0.908; CA1 0.834; IB2 0.877; IB1 0.817; IA2 0.720;
         <br />
         		<a id="pl.219.19"></a><var>219.19</var>IA1 0.676; BB2 0.956; BB1 0.885; BA2 0.716; BA1 0.673; PE2 1.199; PE1 1.104; PD2 <br />
         		<a id="pl.219.20"></a><var>219.20</var>1.023; PD1 0.948; PC2 0.926; PC1 0.860; PB2 0.786; PB1 0.734; PA2 0.691; PA1 0.651;
         <br />
         		<a id="pl.219.21"></a><var>219.21</var>BC1 0.651; and DDF 1.000 shall be based on the system prescribed in section 256B.438.<br />
         		<br />
         		<a id="bill.6.17.0"></a><a id="pl.219.22"></a><var>219.22</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 256B.441, subdivision 17, is amended to read:<br />
         		<a id="pl.219.23"></a><var>219.23</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Fringe benefit costs.</b> "Fringe benefit costs" means the costs for group life, <br />
         		<a id="pl.219.24"></a><var>219.24</var>health, dental, workers' compensation, and other employee insurances and pension, except <br />
         		<a id="pl.219.25"></a><var>219.25</var>for the Public Employees Retirement Association and employer health insurance costs;
         <br />
         		<a id="pl.219.26"></a><var>219.26</var>profit sharing,; and retirement plans for which the employer pays all or a portion of the costs.<br />
         		<br />
         		<a id="bill.6.18.0"></a><a id="pl.219.27"></a><var>219.27</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 256B.441, subdivision 30, is amended to read:<br />
         		<a id="pl.219.28"></a><var>219.28</var>&#160;&#160;&#160;&#160;Subd. 30. <b>Peer groups</b><b> Median total care-related cost per diem and other </b><br />
         		<a id="pl.219.29"></a><var>219.29</var><b>operating per diem determined</b><b>.</b> Facilities shall be classified into three groups by county. <br />
         		<a id="pl.219.30"></a><var>219.30</var>The groups shall consist of:<br />
         		<a id="pl.219.31"></a><var>219.31</var>&#160;&#160;&#160;&#160;(1) group one: facilities in Anoka, Benton, Carlton, Carver, Chisago, Dakota, <br />
         		<a id="pl.219.32"></a><var>219.32</var>Dodge, Goodhue, Hennepin, Isanti, Mille Lacs, Morrison, Olmsted, Ramsey, Rice, Scott,
         <br />
         		<a id="pl.219.33"></a><var>219.33</var>Sherburne, St. Louis, Stearns, Steele, Wabasha, Washington, Winona, or Wright County;<br />
         		<a id="pl.220.1"></a><var>220.1</var>&#160;&#160;&#160;&#160;(2) group two: facilities in Aitkin, Beltrami, Blue Earth, Brown, Cass, Clay, <br />
         		<a id="pl.220.2"></a><var>220.2</var>Cook, Crow Wing, Faribault, Fillmore, Freeborn, Houston, Hubbard, Itasca, Kanabec,
         <br />
         		<a id="pl.220.3"></a><var>220.3</var>Koochiching, Lake, Lake of the Woods, Le Sueur, Martin, McLeod, Meeker, Mower, <br />
         		<a id="pl.220.4"></a><var>220.4</var>Nicollet, Norman, Pine, Roseau, Sibley, Todd, Wadena, Waseca, Watonwan, or Wilkin
         <br />
         		<a id="pl.220.5"></a><var>220.5</var>County; and<br />
         		<a id="pl.220.6"></a><var>220.6</var>&#160;&#160;&#160;&#160;(3) group three: facilities in all other counties (a) The commissioner shall determine <br />
         		<a id="pl.220.7"></a><var>220.7</var>the median total care-related per diem to be used in subdivision 50 and the median
         other <br />
         		<a id="pl.220.8"></a><var>220.8</var>operating per diem to be used in subdivision 51 using the cost reports from nursing
         <br />
         		<a id="pl.220.9"></a><var>220.9</var>facilities in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington Counties.<br />
         		<a id="pl.220.10"></a><var>220.10</var>(b) The median total care-related per diem shall be equal to the median direct care
         <br />
         		<a id="pl.220.11"></a><var>220.11</var>cost for a RUG's weight of 1.00 for facilities located in the counties listed in paragraph
         (a).<br />
         		<a id="pl.220.12"></a><var>220.12</var>(c) The median other operating per diem shall be equal to the median other <br />
         		<a id="pl.220.13"></a><var>220.13</var>operating per diem for facilities located in the counties listed in paragraph (a).
         The other <br />
         		<a id="pl.220.14"></a><var>220.14</var>operating per diem shall be the sum of each facility's administrative costs, dietary
         costs, <br />
         		<a id="pl.220.15"></a><var>220.15</var>housekeeping costs, laundry costs, and maintenance and plant operations costs divided
         <br />
         		<a id="pl.220.16"></a><var>220.16</var>by each facility's resident days.<br />
         		<br />
         		<a id="bill.6.19.0"></a><a id="pl.220.17"></a><var>220.17</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 256B.441, subdivision 31, is amended to read:<br />
         		<a id="pl.220.18"></a><var>220.18</var>&#160;&#160;&#160;&#160;Subd. 31. <b>Prior system operating cost payment rate.</b> "Prior system operating cost <br />
         		<a id="pl.220.19"></a><var>220.19</var>payment rate" means the operating cost payment rate in effect on September 30, 2008 <br />
         		<a id="pl.220.20"></a><var>220.20</var>December 31, 2015, under Minnesota Rules and Minnesota Statutes, not including planned <br />
         		<a id="pl.220.21"></a><var>220.21</var>closure rate adjustments under section 
         <statute_ref>256B.437</statute_ref> or single bed room incentives under <br />
         		<a id="pl.220.22"></a><var>220.22</var>section 
         <statute_ref>256B.431, subdivision 42</statute_ref> inclusive of health insurance plus property insurance <br />
         		<a id="pl.220.23"></a><var>220.23</var>costs from external fixed, but not including rate increases allowed under subdivision
         55a.<br />
         		<br />
         		<a id="bill.6.20.0"></a><a id="pl.220.24"></a><var>220.24</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 256B.441, subdivision 33, is amended to read:<br />
         		<a id="pl.220.25"></a><var>220.25</var>&#160;&#160;&#160;&#160;Subd. 33. <b>Rate year.</b> "Rate year" means the 12-month period beginning on October <br />
         		<a id="pl.220.26"></a><var>220.26</var>January 1 following the second most recent reporting year.<br />
         		<br />
         		<a id="bill.6.21.0"></a><a id="pl.220.27"></a><var>220.27</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 256B.441, subdivision 35, is amended to read:<br />
         		<a id="pl.220.28"></a><var>220.28</var>&#160;&#160;&#160;&#160;Subd. 35. <b>Reporting period.</b> "Reporting period" means the one-year period <br />
         		<a id="pl.220.29"></a><var>220.29</var>beginning on October 1 and ending on the following September 30 during which incurred
         <br />
         		<a id="pl.220.30"></a><var>220.30</var>costs are accumulated and then reported on the statistical and cost report. If a facility is <br />
         		<a id="pl.220.31"></a><var>220.31</var>reporting for an interim or settle-up period, the reporting period beginning date
         may be a <br />
         		<a id="pl.220.32"></a><var>220.32</var>date other than October 1. An interim or settle-up report must cover at least five
         months, <br />
         		<a id="pl.220.33"></a><var>220.33</var>but no more than 17 months, and must always end on September 30.<br />
         		<br />
         		<a id="bill.6.22.0"></a><a id="pl.221.1"></a><var>221.1</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 256B.441, subdivision 40, is amended to read:<br />
         		<a id="pl.221.2"></a><var>221.2</var>&#160;&#160;&#160;&#160;Subd. 40. <b>Standardized days.</b> "Standardized days" means the sum of resident days <br />
         		<a id="pl.221.3"></a><var>221.3</var>by case mix category multiplied by the RUG index for each category. When a facility has <br />
         		<a id="pl.221.4"></a><var>221.4</var>resident days at a penalty classification, these days shall be reported as resident
         days at the <br />
         		<a id="pl.221.5"></a><var>221.5</var>RUG class established immediately after the penalty period, if available, and otherwise,
         at <br />
         		<a id="pl.221.6"></a><var>221.6</var>the RUG class in effect before the penalty began.<br />
         		<br />
         		<a id="bill.6.23.0"></a><a id="pl.221.7"></a><var>221.7</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 256B.441, subdivision 44, is amended to read:<br />
         		<a id="pl.221.8"></a><var>221.8</var>&#160;&#160;&#160;&#160;Subd. 44. <b>Calculation of a quality score.</b> (a) The commissioner shall determine <br />
         		<a id="pl.221.9"></a><var>221.9</var>a quality score for each nursing facility using quality measures established in section
         <br />
         		
         <statute_ref><a id="pl.221.10"></a><var>221.10</var>256B.439
         </statute_ref>, according to methods determined by the commissioner in consultation with <br />
         		<a id="pl.221.11"></a><var>221.11</var>stakeholders and experts, and using the most recently available data as provided in <br />
         		<a id="pl.221.12"></a><var>221.12</var>the Minnesota Nursing Home Report Card. These methods shall be exempt from the <br />
         		<a id="pl.221.13"></a><var>221.13</var>rulemaking requirements under chapter 14.<br />
         		<a id="pl.221.14"></a><var>221.14</var>(b) For each quality measure, a score shall be determined with a maximum the  number <br />
         		<a id="pl.221.15"></a><var>221.15</var>of points available and number of points assigned as determined by the commissioner <br />
         		<a id="pl.221.16"></a><var>221.16</var>using the methodology established according to this subdivision. The scores determined <br />
         		<a id="pl.221.17"></a><var>221.17</var>for all quality measures shall be totaled. The determination of the quality measures to be <br />
         		<a id="pl.221.18"></a><var>221.18</var>used and the methods of calculating scores may be revised annually by the commissioner.<br />
         		<a id="pl.221.19"></a><var>221.19</var>(c) For the initial rate year under the new payment system, the quality measures <br />
         		<a id="pl.221.20"></a><var>221.20</var>shall include:<br />
         		<a id="pl.221.21"></a><var>221.21</var>(1) staff turnover;<br />
         		<a id="pl.221.22"></a><var>221.22</var>(2) staff retention;<br />
         		<a id="pl.221.23"></a><var>221.23</var>(3) use of pool staff;<br />
         		<a id="pl.221.24"></a><var>221.24</var>(4) quality indicators from the minimum data set; and<br />
         		<a id="pl.221.25"></a><var>221.25</var>(5) survey deficiencies.<br />
         		<a id="pl.221.26"></a><var>221.26</var>(d) Beginning July 1, 2013 January 1, 2016, the quality score shall be a value <br />
         		<a id="pl.221.27"></a><var>221.27</var>between zero and 100, using data as provided in the Minnesota nursing home report
         <br />
         		<a id="pl.221.28"></a><var>221.28</var>card, with include up to  50 percent derived from points related to  the Minnesota quality <br />
         		<a id="pl.221.29"></a><var>221.29</var>indicators score,  up to 40 percent derived from points related to  the resident quality of life <br />
         		<a id="pl.221.30"></a><var>221.30</var>score, and up to  ten percent derived from points related to  the state inspection results score.<br />
         		<a id="pl.221.31"></a><var>221.31</var>(e) (d)  The commissioner, in cooperation with the commissioner of health, may <br />
         		<a id="pl.221.32"></a><var>221.32</var>adjust the formula in paragraph (d) (c), or the methodology for computing the total quality <br />
         		<a id="pl.221.33"></a><var>221.33</var>score, effective July 1 of any year beginning in 2014 2017, with five months advance <br />
         		<a id="pl.221.34"></a><var>221.34</var>public notice. In changing the formula, the commissioner shall consider quality measure
         <br />
         		<a id="pl.221.35"></a><var>221.35</var>priorities registered by report card users, advice of stakeholders, and available
         research.<br />
         		<br />
         		<a id="bill.6.24.0"></a><a id="pl.222.1"></a><var>222.1</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 256B.441, subdivision 46c, is amended to <br />
         		<a id="pl.222.2"></a><var>222.2</var>read:<br />
         		<a id="pl.222.3"></a><var>222.3</var>&#160;&#160;&#160;&#160;Subd. 46c. <b>Quality improvement incentive system beginning October 1, 2015.</b><br />
         		 <a id="pl.222.4"></a><var>222.4</var>The commissioner shall develop a quality improvement incentive program in consultation
         <br />
         		<a id="pl.222.5"></a><var>222.5</var>with stakeholders. The annual funding pool available for quality improvement incentive
         <br />
         		<a id="pl.222.6"></a><var>222.6</var>payments shall be equal to 0.8 percent of all operating payments, not including any
         rate <br />
         		<a id="pl.222.7"></a><var>222.7</var>components resulting from equitable cost-sharing for publicly owned nursing facility
         <br />
         		<a id="pl.222.8"></a><var>222.8</var>program participation under subdivision 55a, critical access nursing facility program
         <br />
         		<a id="pl.222.9"></a><var>222.9</var>participation under subdivision 63, or performance-based incentive payment program
         <br />
         		<a id="pl.222.10"></a><var>222.10</var>participation under section 
         <statute_ref>256B.434, subdivision 4</statute_ref>, paragraph (d). For the period from <br />
         		<a id="pl.222.11"></a><var>222.11</var>October 1, 2015, to December 31, 2016, rate adjustments provided under this subdivision
         <br />
         		<a id="pl.222.12"></a><var>222.12</var>shall be effective for 15 months. Beginning October 1, 2015 January 1, 2017, annual <br />
         		<a id="pl.222.13"></a><var>222.13</var>rate adjustments provided under this subdivision shall be effective for one year,
         starting <br />
         		<a id="pl.222.14"></a><var>222.14</var>October January  1 and ending the following September 30 December 31. The increase in <br />
         		<a id="pl.222.15"></a><var>222.15</var>this subdivision shall be included in the external fixed payment rate under subdivisions
         <br />
         		<a id="pl.222.16"></a><var>222.16</var>13 and 53.<br />
         		<br />
         		<a id="bill.6.25.0"></a><a id="pl.222.17"></a><var>222.17</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.222.18"></a><var>222.18</var>subdivision to read:<br />
         		<a id="pl.222.19"></a><var>222.19</var>&#160;&#160;&#160;&#160;Subd. 46d. <b>Performance-based incentive payments.</b> The commissioner shall <br />
         		<a id="pl.222.20"></a><var>222.20</var>develop additional incentive-based payments of up to five percent above a facility's
         <br />
         		<a id="pl.222.21"></a><var>222.21</var>operating payment rate for achieving outcomes specified in a contract. The commissioner
         <br />
         		<a id="pl.222.22"></a><var>222.22</var>may solicit proposals and select those which, on a competitive basis, best meet the
         state's <br />
         		<a id="pl.222.23"></a><var>222.23</var>policy objectives. The commissioner shall limit the amount of any incentive payment
         <br />
         		<a id="pl.222.24"></a><var>222.24</var>and the number of contract amendments under this subdivision to operate the incentive
         <br />
         		<a id="pl.222.25"></a><var>222.25</var>payments within funds appropriated for this purpose. The commissioner shall approve
         <br />
         		<a id="pl.222.26"></a><var>222.26</var>proposals through a memorandum of understanding which shall specify various levels
         of <br />
         		<a id="pl.222.27"></a><var>222.27</var>payment for various levels of performance. Incentive payments to facilities under
         this <br />
         		<a id="pl.222.28"></a><var>222.28</var>subdivision shall be in the form of time-limited rate adjustments which shall be included
         <br />
         		<a id="pl.222.29"></a><var>222.29</var>in the external fixed payment rate under subdivisions 13 and 53. In establishing the
         <br />
         		<a id="pl.222.30"></a><var>222.30</var>specified outcomes and related criteria, the commissioner shall consider the following
         <br />
         		<a id="pl.222.31"></a><var>222.31</var>state policy objectives:<br />
         		<a id="pl.222.32"></a><var>222.32</var>(1) successful diversion or discharge of residents to the residents' prior home or
         other <br />
         		<a id="pl.222.33"></a><var>222.33</var>community-based alternatives;<br />
         		<a id="pl.222.34"></a><var>222.34</var>(2) adoption of new technology to improve quality or efficiency;<br />
         		<a id="pl.222.35"></a><var>222.35</var>(3) improved quality as measured in the Minnesota Nursing Home Report Card;<br />
         		<a id="pl.223.1"></a><var>223.1</var>(4) reduced acute care costs; and<br />
         		<a id="pl.223.2"></a><var>223.2</var>(5) any additional outcomes proposed by a nursing facility that the commissioner <br />
         		<a id="pl.223.3"></a><var>223.3</var>finds desirable.<br />
         		<br />
         		<a id="bill.6.26.0"></a><a id="pl.223.4"></a><var>223.4</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256B.441, subdivision 48, is amended to read:<br />
         		<a id="pl.223.5"></a><var>223.5</var>&#160;&#160;&#160;&#160;Subd. 48. <b>Calculation of </b><b>operating</b><b> care-related</b><b> per diems.</b> The direct care per <br />
         		<a id="pl.223.6"></a><var>223.6</var>diem for each facility shall be the facility's direct care costs divided by its standardized
         <br />
         		<a id="pl.223.7"></a><var>223.7</var>days. The other care-related per diem shall be the sum of the facility's activities
         costs, <br />
         		<a id="pl.223.8"></a><var>223.8</var>other direct care costs, raw food costs, therapy costs, and social services costs,
         divided by <br />
         		<a id="pl.223.9"></a><var>223.9</var>the facility's resident days. The other operating per diem shall be the sum of the facility's <br />
         		<a id="pl.223.10"></a><var>223.10</var>administrative costs, dietary costs, housekeeping costs, laundry costs, and maintenance
         <br />
         		<a id="pl.223.11"></a><var>223.11</var>and plant operations costs divided by the facility's resident days.<br />
         		<br />
         		<a id="bill.6.27.0"></a><a id="pl.223.12"></a><var>223.12</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256B.441, subdivision 50, is amended to read:<br />
         		<a id="pl.223.13"></a><var>223.13</var>&#160;&#160;&#160;&#160;Subd. 50. <b>Determination of total care-related limit.</b> (a) The limit on the median <br />
         		<a id="pl.223.14"></a><var>223.14</var>total care-related per diem shall be determined for each peer group and facility type group <br />
         		<a id="pl.223.15"></a><var>223.15</var>combination. A facility's total care-related per diems shall be limited to 120 percent
         of the <br />
         		<a id="pl.223.16"></a><var>223.16</var>median for the facility's peer and facility type group. The facility-specific direct
         care costs <br />
         		<a id="pl.223.17"></a><var>223.17</var>used in making this comparison and in the calculation of the median shall be based
         on a <br />
         		<a id="pl.223.18"></a><var>223.18</var>RUG's weight of 1.00. A facility that is above that limit shall have its total care-related
         per <br />
         		<a id="pl.223.19"></a><var>223.19</var>diem reduced to the limit. If a reduction of the total care-related per diem is necessary
         <br />
         		<a id="pl.223.20"></a><var>223.20</var>because of this limit, the reduction shall be made proportionally to both the direct
         care per <br />
         		<a id="pl.223.21"></a><var>223.21</var>diem and the other care-related per diem according to subdivision 30.<br />
         		<a id="pl.223.22"></a><var>223.22</var>&#160;&#160;&#160;&#160;(b) Beginning with rates determined for October 1, 2016, the A facility's total <br />
         		<a id="pl.223.23"></a><var>223.23</var>care-related limit shall be a variable amount based on each facility's quality score,
         as <br />
         		<a id="pl.223.24"></a><var>223.24</var>determined under subdivision 44, in accordance with clauses (1) to (4) (3):<br />
         		<a id="pl.223.25"></a><var>223.25</var>&#160;&#160;&#160;&#160;(1) for each facility, the commissioner shall determine the quality score, subtract 40,
         <br />
         		<a id="pl.223.26"></a><var>223.26</var>divide by 40, and convert to a percentage the quality score shall be multiplied by 0.5625;<br />
         		<a id="pl.223.27"></a><var>223.27</var>&#160;&#160;&#160;&#160;(2) if the value determined in clause (1) is less than zero, the total care-related limit
         <br />
         		<a id="pl.223.28"></a><var>223.28</var>shall be 105 percent of the median for the facility's peer and facility type group add 89.375 <br />
         		<a id="pl.223.29"></a><var>223.29</var>to the amount determined in clause (1), and divide the total by 100; and<br />
         		<a id="pl.223.30"></a><var>223.30</var>&#160;&#160;&#160;&#160;(3) if the value determined in clause (1) is greater than 100 percent, the total <br />
         		<a id="pl.223.31"></a><var>223.31</var>care-related limit shall be 125 percent of the median for the facility's peer and
         facility type <br />
         		<a id="pl.223.32"></a><var>223.32</var>group; and multiply the amount determined in clause (2) by the median total care-related <br />
         		<a id="pl.223.33"></a><var>223.33</var>per diem determined in subdivision 30, paragraph (b).<br />
         		<a id="pl.224.1"></a><var>224.1</var>&#160;&#160;&#160;&#160;(4) if the value determined in clause (1) is greater than zero and less than 100 <br />
         		<a id="pl.224.2"></a><var>224.2</var>percent, the total care-related limit shall be 105 percent of the median for the facility's
         peer <br />
         		<a id="pl.224.3"></a><var>224.3</var>and facility type group plus one-fifth of the percentage determined in clause (1).<br />
         		<a id="pl.224.4"></a><var>224.4</var>(c) A RUG's weight of 1.00 shall be used in the calculation of the median total <br />
         		<a id="pl.224.5"></a><var>224.5</var>care-related per diem, and in comparisons of facility-specific direct care costs to
         the median.<br />
         		<a id="pl.224.6"></a><var>224.6</var>(d) A facility that is above its total care-related limit as determined according
         to <br />
         		<a id="pl.224.7"></a><var>224.7</var>paragraph (b) shall have its total care-related per diem reduced to its limit. If
         a reduction <br />
         		<a id="pl.224.8"></a><var>224.8</var>of the total care-related per diem is necessary due to this limit, the reduction shall
         be made <br />
         		<a id="pl.224.9"></a><var>224.9</var>proportionally to both the direct care per diem and the other care-related per diem.<br />
         		<br />
         		<a id="bill.6.28.0"></a><a id="pl.224.10"></a><var>224.10</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256B.441, subdivision 51, is amended to read:<br />
         		<a id="pl.224.11"></a><var>224.11</var>&#160;&#160;&#160;&#160;Subd. 51. <b>Determination of other operating </b><b>limit</b><b> price</b><b>.</b> The limit on the A price <br />
         		<a id="pl.224.12"></a><var>224.12</var>for other operating per diem costs shall be determined for each peer group. A facility's <br />
         		<a id="pl.224.13"></a><var>224.13</var>other operating per diem shall be limited to The price shall be calculated as 105 percent <br />
         		<a id="pl.224.14"></a><var>224.14</var>of the median for its peer group other operating per diem described in subdivision 30, <br />
         		<a id="pl.224.15"></a><var>224.15</var>paragraph (c). A facility that is above that limit shall have its other operating per diem <br />
         		<a id="pl.224.16"></a><var>224.16</var>reduced to the limit.<br />
         		<br />
         		<a id="bill.6.29.0"></a><a id="pl.224.17"></a><var>224.17</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256B.441, subdivision 51a, is amended to <br />
         		<a id="pl.224.18"></a><var>224.18</var>read:<br />
         		<a id="pl.224.19"></a><var>224.19</var>&#160;&#160;&#160;&#160;Subd. 51a. <b>Exception </b><b>allowing contracting</b><b> for specialized care</b><b> facilities</b><b>.</b> (a) <br />
         		<a id="pl.224.20"></a><var>224.20</var>For rate years beginning on or after October January 1, 2016, the commissioner may <br />
         		<a id="pl.224.21"></a><var>224.21</var>negotiate increases to the care-related limit for nursing facilities that provide
         specialized <br />
         		<a id="pl.224.22"></a><var>224.22</var>care, at a cost to the general fund not to exceed $600,000 per year. The commissioner
         <br />
         		<a id="pl.224.23"></a><var>224.23</var>shall publish a request for proposals annually, and may negotiate increases to the
         limits <br />
         		<a id="pl.224.24"></a><var>224.24</var>that shall apply for either one or two years before the increase shall be subject
         to a new <br />
         		<a id="pl.224.25"></a><var>224.25</var>proposal and negotiation. the care-related limit may for specialized care facilities shall <br />
         		<a id="pl.224.26"></a><var>224.26</var>be increased by up to 50 percent.<br />
         		<a id="pl.224.27"></a><var>224.27</var>&#160;&#160;&#160;&#160;(b) In selecting facilities with which to negotiate, the commissioner shall consider:
         <br />
         		<a id="pl.224.28"></a><var>224.28</var>"Specialized care facilities" are defined as a facility having a program licensed
         under <br />
         		<a id="pl.224.29"></a><var>224.29</var>chapter 245A and Minnesota Rules, chapter 9570, or a facility with 96 beds on January
         1, <br />
         		<a id="pl.224.30"></a><var>224.30</var>2015, located in Robbinsdale that specializes in the treatment of Huntington's Disease.<br />
         		<a id="pl.224.31"></a><var>224.31</var>&#160;&#160;&#160;&#160;(1) the diagnoses or other circumstances of residents in the specialized program that
         <br />
         		<a id="pl.224.32"></a><var>224.32</var>require care that costs substantially more than the RUG's rates associated with those
         <br />
         		<a id="pl.224.33"></a><var>224.33</var>residents;<br />
         		<a id="pl.225.1"></a><var>225.1</var>&#160;&#160;&#160;&#160;(2) the nature of the specialized program or programs offered to meet the needs <br />
         		<a id="pl.225.2"></a><var>225.2</var>of these individuals; and<br />
         		<a id="pl.225.3"></a><var>225.3</var>&#160;&#160;&#160;&#160;(3) outcomes achieved by the specialized program.<br />
         		<br />
         		<a id="bill.6.30.0"></a><a id="pl.225.4"></a><var>225.4</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.225.5"></a><var>225.5</var>subdivision to read:<br />
         		<a id="pl.225.6"></a><var>225.6</var>&#160;&#160;&#160;&#160;Subd. 51b. <b>Special dietary needs.</b> The commissioner shall adjust the rates of <br />
         		<a id="pl.225.7"></a><var>225.7</var>a nursing facility that meets the criteria for the special dietary needs of its residents
         and <br />
         		<a id="pl.225.8"></a><var>225.8</var>the requirements in section 31.651 or 31.658. The adjustment for raw food cost shall
         be <br />
         		<a id="pl.225.9"></a><var>225.9</var>the difference between the nursing facility's most recently reported allowable raw
         food <br />
         		<a id="pl.225.10"></a><var>225.10</var>cost per diem and 115 percent of the median allowable raw food cost per diem. For
         rate <br />
         		<a id="pl.225.11"></a><var>225.11</var>years beginning on or after January 1, 2016, this amount shall be removed from allowable
         <br />
         		<a id="pl.225.12"></a><var>225.12</var>raw food per diem costs under operating costs and included in the external fixed per
         <br />
         		<a id="pl.225.13"></a><var>225.13</var>diem rate under subdivisions 13 and 53.<br />
         		<br />
         		<a id="bill.6.31.0"></a><a id="pl.225.14"></a><var>225.14</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 256B.441, subdivision 53, is amended to read:<br />
         		<a id="pl.225.15"></a><var>225.15</var>&#160;&#160;&#160;&#160;Subd. 53. <b>Calculation of payment rate for external fixed costs.</b> The commissioner <br />
         		<a id="pl.225.16"></a><var>225.16</var>shall calculate a payment rate for external fixed costs.<br />
         		<a id="pl.225.17"></a><var>225.17</var>&#160;&#160;&#160;&#160;(a) For a facility licensed as a nursing home, the portion related to section 
         <statute_ref>256.9657 <br />
            		
         </statute_ref><a id="pl.225.18"></a><var>225.18</var>shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding
         care <br />
         		<a id="pl.225.19"></a><var>225.19</var>home, the portion related to section 
         <statute_ref>256.9657</statute_ref> shall be equal to $8.86 multiplied by the <br />
         		<a id="pl.225.20"></a><var>225.20</var>result of its number of nursing home beds divided by its total number of licensed
         beds.<br />
         		<a id="pl.225.21"></a><var>225.21</var>&#160;&#160;&#160;&#160;(b) The portion related to the licensure fee under section 
         <statute_ref>144.122</statute_ref>, paragraph (d), <br />
         		<a id="pl.225.22"></a><var>225.22</var>shall be the amount of the fee divided by actual resident days.<br />
         		<a id="pl.225.23"></a><var>225.23</var>&#160;&#160;&#160;&#160;(c) The portion related to development and education of resident and family advisory <br />
         		<a id="pl.225.24"></a><var>225.24</var>councils under section 144A.33 shall be $5 divided by 365.<br />
         		<a id="pl.225.25"></a><var>225.25</var>&#160;&#160;&#160;&#160;(d) The portion related to scholarships shall be determined under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.225.26"></a><var>225.26</var>subdivision 36.<br />
         		<a id="pl.225.27"></a><var>225.27</var>&#160;&#160;&#160;&#160;(d) Until September 30, 2013, the portion related to long-term care consultation shall
         <br />
         		<a id="pl.225.28"></a><var>225.28</var>be determined according to section 
         <statute_ref>256B.0911, subdivision 6</statute_ref>.<br />
         		<a id="pl.225.29"></a><var>225.29</var>&#160;&#160;&#160;&#160;(e) The portion related to development and education of resident and family advisory
         <br />
         		<a id="pl.225.30"></a><var>225.30</var>councils under section 
         <statute_ref>144A.33</statute_ref> shall be $5 divided by 365.<br />
         		<a id="pl.225.31"></a><var>225.31</var>&#160;&#160;&#160;&#160;(f) (e) The portion related to planned closure rate adjustments shall be as determined <br />
         		<a id="pl.225.32"></a><var>225.32</var>under section 
         <statute_ref>256B.437, subdivision 6</statute_ref>, and Minnesota Statutes 2010, section 
         <statute_ref>256B.436</statute_ref>. <br />
         		<a id="pl.225.33"></a><var>225.33</var>Planned closure rate adjustments that take effect before October 1, 2014, shall no
         longer <br />
         		<a id="pl.225.34"></a><var>225.34</var>be included in the payment rate for external fixed costs beginning October 1, 2016.
         <br />
         		<a id="pl.226.1"></a><var>226.1</var>Planned closure rate adjustments that take effect on or after October 1, 2014, shall
         no <br />
         		<a id="pl.226.2"></a><var>226.2</var>longer be included in the payment rate for external fixed costs beginning on October
         1 of <br />
         		<a id="pl.226.3"></a><var>226.3</var>the first year not less than two years after their effective date.<br />
         		<a id="pl.226.4"></a><var>226.4</var>(f) The single bed room incentives shall be as determined under section 256B.431,
         <br />
         		<a id="pl.226.5"></a><var>226.5</var>subdivision 42.<br />
         		<a id="pl.226.6"></a><var>226.6</var>&#160;&#160;&#160;&#160;(g) The portions related to property insurance, real estate taxes, special assessments, <br />
         		<a id="pl.226.7"></a><var>226.7</var>and payments made in lieu of real estate taxes directly identified or allocated to
         the nursing <br />
         		<a id="pl.226.8"></a><var>226.8</var>facility shall be the actual amounts divided by actual resident days.<br />
         		<a id="pl.226.9"></a><var>226.9</var>&#160;&#160;&#160;&#160;(h) The portion related to employer health insurance costs shall be the allowable <br />
         		<a id="pl.226.10"></a><var>226.10</var>costs divided by resident days.<br />
         		<a id="pl.226.11"></a><var>226.11</var>&#160;&#160;&#160;&#160;(i) The portion related to the Public Employees Retirement Association shall be <br />
         		<a id="pl.226.12"></a><var>226.12</var>actual costs divided by resident days.<br />
         		<a id="pl.226.13"></a><var>226.13</var>&#160;&#160;&#160;&#160;(i) The single bed room incentives shall be as determined under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.226.14"></a><var>226.14</var>subdivision 42. Single bed room incentives that take effect before October 1, 2014,
         shall <br />
         		<a id="pl.226.15"></a><var>226.15</var>no longer be included in the payment rate for external fixed costs beginning October
         1, <br />
         		<a id="pl.226.16"></a><var>226.16</var>2016. Single bed room incentives that take effect on or after October 1, 2014, shall
         no <br />
         		<a id="pl.226.17"></a><var>226.17</var>longer be included in the payment rate for external fixed costs beginning on October
         1 of <br />
         		<a id="pl.226.18"></a><var>226.18</var>the first year not less than two years after their effective date.<br />
         		<a id="pl.226.19"></a><var>226.19</var>(j) The portion related to quality improvement incentive payment rate adjustments
         <br />
         		<a id="pl.226.20"></a><var>226.20</var>shall be as determined under subdivision 46c.<br />
         		<a id="pl.226.21"></a><var>226.21</var>(k) The portion related to performance-based incentive payments shall be as <br />
         		<a id="pl.226.22"></a><var>226.22</var>determined under subdivision 46d.<br />
         		<a id="pl.226.23"></a><var>226.23</var>(l) The portion related to special dietary needs shall be the per diem amount <br />
         		<a id="pl.226.24"></a><var>226.24</var>determined under subdivision 51b.<br />
         		<a id="pl.226.25"></a><var>226.25</var>&#160;&#160;&#160;&#160;(j) (m) The payment rate for external fixed costs shall be the sum of the amounts in <br />
         		<a id="pl.226.26"></a><var>226.26</var>paragraphs (a) to (i) (l).<br />
         		<br />
         		<a id="bill.6.32.0"></a><a id="pl.226.27"></a><var>226.27</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 256B.441, subdivision 54, is amended to read:<br />
         		<a id="pl.226.28"></a><var>226.28</var>&#160;&#160;&#160;&#160;Subd. 54. <b>Determination of total payment rates.</b> In rate years when rates are <br />
         		<a id="pl.226.29"></a><var>226.29</var>rebased, The total care-related per diem, other operating price, and external fixed per <br />
         		<a id="pl.226.30"></a><var>226.30</var>diem for each facility shall be converted to payment rates. The total payment rate for <br />
         		<a id="pl.226.31"></a><var>226.31</var>a RUG's weight of 1.00 shall be the sum of the total care-related payment rate, other
         <br />
         		<a id="pl.226.32"></a><var>226.32</var>operating payment rate, efficiency incentive, external fixed cost rate, and the property rate <br />
         		<a id="pl.226.33"></a><var>226.33</var>determined under section 
         <statute_ref>256B.434</statute_ref>. To determine a total payment rate for each RUG's <br />
         		<a id="pl.226.34"></a><var>226.34</var>level, the total care-related payment rate shall be divided into the direct care payment
         rate <br />
         		<a id="pl.227.1"></a><var>227.1</var>and the other care-related payment rate, and the direct care payment rate multiplied
         by the <br />
         		<a id="pl.227.2"></a><var>227.2</var>RUG's weight for each RUG's level using the weights in subdivision 14.<br />
         		<br />
         		<a id="bill.6.33.0"></a><a id="pl.227.3"></a><var>227.3</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 256B.441, subdivision 55a, is amended to <br />
         		<a id="pl.227.4"></a><var>227.4</var>read:<br />
         		<a id="pl.227.5"></a><var>227.5</var>&#160;&#160;&#160;&#160;Subd. 55a. <b>Alternative to phase-in for publicly owned nursing facilities.</b> (a) For <br />
         		<a id="pl.227.6"></a><var>227.6</var>operating payment rates implemented between October 1, 2011, and the day before the <br />
         		<a id="pl.227.7"></a><var>227.7</var>phase-in under subdivision 55 is complete operating payment rates are determined under <br />
         		<a id="pl.227.8"></a><var>227.8</var>this section, the commissioner shall allow nursing facilities whose physical plant is owned <br />
         		<a id="pl.227.9"></a><var>227.9</var>or whose license is held by a city, county, or hospital district to apply for a higher
         payment <br />
         		<a id="pl.227.10"></a><var>227.10</var>rate under this section if the local governmental entity agrees to pay a specified
         portion <br />
         		<a id="pl.227.11"></a><var>227.11</var>of the nonfederal share of medical assistance costs. Nursing facilities that apply
         shall be <br />
         		<a id="pl.227.12"></a><var>227.12</var>eligible to select an operating payment rate, with a weight of 1.00, up to the rate
         calculated <br />
         		<a id="pl.227.13"></a><var>227.13</var>in subdivision 54, without application of the phase-in under subdivision 55. The rates
         for <br />
         		<a id="pl.227.14"></a><var>227.14</var>the other RUGs shall be computed as provided under subdivision 54.<br />
         		<a id="pl.227.15"></a><var>227.15</var>(b) For operating payment rates implemented beginning the day when the phase-in <br />
         		<a id="pl.227.16"></a><var>227.16</var>under subdivision 55 is complete operating payment rates are determined under this <br />
         		<a id="pl.227.17"></a><var>227.17</var>section, the commissioner shall allow nursing facilities whose physical plant is owned or
         <br />
         		<a id="pl.227.18"></a><var>227.18</var>whose license is held by a city, county, or hospital district to apply for a higher
         payment <br />
         		<a id="pl.227.19"></a><var>227.19</var>rate under this section if the local governmental entity agrees to pay a specified
         portion of <br />
         		<a id="pl.227.20"></a><var>227.20</var>the nonfederal share of medical assistance costs. Nursing facilities that apply are
         eligible <br />
         		<a id="pl.227.21"></a><var>227.21</var>to select an operating payment rate with a weight of 1.00, up to an amount determined
         by <br />
         		<a id="pl.227.22"></a><var>227.22</var>the commissioner to be allowable under the Medicare upper payment limit test. The
         rates <br />
         		<a id="pl.227.23"></a><var>227.23</var>for the other RUGs shall be computed under subdivision 54. The rate increase allowed
         in <br />
         		<a id="pl.227.24"></a><var>227.24</var>this paragraph shall take effect only upon federal approval.<br />
         		<a id="pl.227.25"></a><var>227.25</var>(c) Rates determined under this subdivision shall take effect beginning October 1, <br />
         		<a id="pl.227.26"></a><var>227.26</var>2011, based on cost reports for the reporting year ending September 30, 2010, and
         in <br />
         		<a id="pl.227.27"></a><var>227.27</var>future rate years, rates determined for nursing facilities participating under this
         subdivision <br />
         		<a id="pl.227.28"></a><var>227.28</var>shall take effect on October 1 of each year in accordance with the rate year in subdivision <br />
         		<a id="pl.227.29"></a><var>227.29</var>33, based on the most recent available cost report.<br />
         		<a id="pl.227.30"></a><var>227.30</var>(d) Eligible nursing facilities that wish to participate under this subdivision shall
         <br />
         		<a id="pl.227.31"></a><var>227.31</var>make an application to the commissioner by August 31, 2011, or by June September 30 <br />
         		<a id="pl.227.32"></a><var>227.32</var>of any subsequent year.<br />
         		<a id="pl.227.33"></a><var>227.33</var>(e) For each participating nursing facility, the public entity that owns the physical
         <br />
         		<a id="pl.227.34"></a><var>227.34</var>plant or is the license holder of the nursing facility shall pay to the state the
         entire <br />
         		<a id="pl.227.35"></a><var>227.35</var>nonfederal share of medical assistance payments received as a result of the difference
         <br />
         		<a id="pl.228.1"></a><var>228.1</var>between the nursing facility's payment rate under paragraph (a) or (b), and the rates
         that <br />
         		<a id="pl.228.2"></a><var>228.2</var>the nursing facility would otherwise be paid without application of this subdivision
         under <br />
         		<a id="pl.228.3"></a><var>228.3</var>subdivision 54 or 55 as determined by the commissioner.<br />
         		<a id="pl.228.4"></a><var>228.4</var>(f) The commissioner may, at any time, reduce the payments under this subdivision
         <br />
         		<a id="pl.228.5"></a><var>228.5</var>based on the commissioner's determination that the payments shall cause nursing facility
         <br />
         		<a id="pl.228.6"></a><var>228.6</var>rates to exceed the state's Medicare upper payment limit or any other federal limitation.
         If <br />
         		<a id="pl.228.7"></a><var>228.7</var>the commissioner determines a reduction is necessary, the commissioner shall reduce
         all <br />
         		<a id="pl.228.8"></a><var>228.8</var>payment rates for participating nursing facilities by a percentage applied to the
         amount of <br />
         		<a id="pl.228.9"></a><var>228.9</var>increase they would otherwise receive under this subdivision and shall notify participating
         <br />
         		<a id="pl.228.10"></a><var>228.10</var>facilities of the reductions. If payments to a nursing facility are reduced, payments
         under <br />
         		<a id="pl.228.11"></a><var>228.11</var>section 
         <statute_ref>256B.19</statute_ref>, subdivision 1e, shall be reduced accordingly.<br />
         		<br />
         		<a id="bill.6.34.0"></a><a id="pl.228.12"></a><var>228.12</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2014, section 256B.441, subdivision 56, is amended to read:<br />
         		<a id="pl.228.13"></a><var>228.13</var>&#160;&#160;&#160;&#160;Subd. 56. <b>Hold harmless.</b> (a) For the rate years beginning October 1, 2008, to <br />
         		<a id="pl.228.14"></a><var>228.14</var>October on or after January 1, 2016, no nursing facility shall receive an operating a cost <br />
         		<a id="pl.228.15"></a><var>228.15</var>payment rate, including the property insurance portion of operating costs plus the health <br />
         		<a id="pl.228.16"></a><var>228.16</var>insurance component of external fixed, less than its operating prior system cost payment <br />
         		<a id="pl.228.17"></a><var>228.17</var>rate under section 
         <statute_ref>256B.434</statute_ref>. For rate years beginning between October 1, 2009, and <br />
         		<a id="pl.228.18"></a><var>228.18</var>October 1, 2015, no nursing facility shall receive an operating payment rate less
         than its <br />
         		<a id="pl.228.19"></a><var>228.19</var>operating payment rate in effect on September 30, 2009, which included operating costs <br />
         		<a id="pl.228.20"></a><var>228.20</var>inclusive of health insurance costs plus the property insurance component of external
         <br />
         		<a id="pl.228.21"></a><var>228.21</var>fixed. The comparison of operating payment rates under this section shall be made for a
         <br />
         		<a id="pl.228.22"></a><var>228.22</var>RUG's rate with a weight of 1.00.<br />
         		<a id="pl.228.23"></a><var>228.23</var>(b) For rate years beginning on or after January 1, 2016, no facility shall be subject
         <br />
         		<a id="pl.228.24"></a><var>228.24</var>to a care-related payment rate limit reduction greater than five percent of the median
         <br />
         		<a id="pl.228.25"></a><var>228.25</var>determined in subdivision 30.<br />
         		<br />
         		<a id="bill.6.35.0"></a><a id="pl.228.26"></a><var>228.26</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 256B.441, subdivision 63, is amended to read:<br />
         		<a id="pl.228.27"></a><var>228.27</var>&#160;&#160;&#160;&#160;Subd. 63. <b>Critical access nursing facilities.</b> (a) The commissioner, in consultation <br />
         		<a id="pl.228.28"></a><var>228.28</var>with the commissioner of health, may designate certain nursing facilities as critical
         access <br />
         		<a id="pl.228.29"></a><var>228.29</var>nursing facilities. The designation shall be granted on a competitive basis, within
         the <br />
         		<a id="pl.228.30"></a><var>228.30</var>limits of funds appropriated for this purpose.<br />
         		<a id="pl.228.31"></a><var>228.31</var>(b) The commissioner shall request proposals from nursing facilities every <br />
         		<a id="pl.228.32"></a><var>228.32</var>two years. Proposals must be submitted in the form and according to the timelines
         <br />
         		<a id="pl.228.33"></a><var>228.33</var>established by the commissioner. In selecting applicants to designate, the commissioner,
         <br />
         		<a id="pl.228.34"></a><var>228.34</var>in consultation with the commissioner of health, and with input from stakeholders,
         shall <br />
         		<a id="pl.229.1"></a><var>229.1</var>develop criteria designed to preserve access to nursing facility services in isolated
         areas, <br />
         		<a id="pl.229.2"></a><var>229.2</var>rebalance long-term care, and improve quality. Beginning in fiscal year 2015, to the
         <br />
         		<a id="pl.229.3"></a><var>229.3</var>extent practicable, the commissioner shall ensure an even distribution of designations
         <br />
         		<a id="pl.229.4"></a><var>229.4</var>across the state.<br />
         		<a id="pl.229.5"></a><var>229.5</var>(c) The commissioner shall allow the benefits in clauses (1) to (5) for nursing <br />
         		<a id="pl.229.6"></a><var>229.6</var>facilities designated as critical access nursing facilities:<br />
         		<a id="pl.229.7"></a><var>229.7</var>(1) partial rebasing, with the commissioner allowing a designated facility operating
         <br />
         		<a id="pl.229.8"></a><var>229.8</var>payment rates being the sum of up to 60 percent of the operating payment rate determined
         <br />
         		<a id="pl.229.9"></a><var>229.9</var>in accordance with subdivision 54 and at least 40 percent, with the sum of the two
         portions <br />
         		<a id="pl.229.10"></a><var>229.10</var>being equal to 100 percent, of the operating payment rate that would have been allowed
         <br />
         		<a id="pl.229.11"></a><var>229.11</var>had the facility not been designated. The commissioner may adjust these percentages
         by <br />
         		<a id="pl.229.12"></a><var>229.12</var>up to 20 percent and may approve a request for less than the amount allowed;<br />
         		<a id="pl.229.13"></a><var>229.13</var>(2) enhanced payments for leave days. Notwithstanding section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.229.14"></a><var>229.14</var>subdivision 2r, upon designation as a critical access nursing facility, the commissioner
         <br />
         		<a id="pl.229.15"></a><var>229.15</var>shall limit payment for leave days to 60 percent of that nursing facility's total
         payment rate <br />
         		<a id="pl.229.16"></a><var>229.16</var>for the involved resident, and shall allow this payment only when the occupancy of
         the <br />
         		<a id="pl.229.17"></a><var>229.17</var>nursing facility, inclusive of bed hold days, is equal to or greater than 90 percent;<br />
         		<a id="pl.229.18"></a><var>229.18</var>(3) two designated critical access nursing facilities, with up to 100 beds in active
         <br />
         		<a id="pl.229.19"></a><var>229.19</var>service, may jointly apply to the commissioner of health for a waiver of Minnesota
         <br />
         		<a id="pl.229.20"></a><var>229.20</var>Rules, part 4658.0500, subpart 2, in order to jointly employ a director of nursing.
         The <br />
         		<a id="pl.229.21"></a><var>229.21</var>commissioner of health will consider each waiver request independently based on the
         <br />
         		<a id="pl.229.22"></a><var>229.22</var>criteria under Minnesota Rules, part 4658.0040;<br />
         		<a id="pl.229.23"></a><var>229.23</var>(4) the minimum threshold under section 256B.431, subdivision 15, paragraph (e), <br />
         		<a id="pl.229.24"></a><var>229.24</var>shall be 40 percent of the amount that would otherwise apply; and<br />
         		<a id="pl.229.25"></a><var>229.25</var>(5) notwithstanding subdivision 58, beginning October 1, 2014, the quality-based <br />
         		<a id="pl.229.26"></a><var>229.26</var>rate limits under subdivision 50 shall apply to designated critical access nursing
         facilities.<br />
         		<a id="pl.229.27"></a><var>229.27</var>(d) Designation of a critical access nursing facility shall be for a period of two
         <br />
         		<a id="pl.229.28"></a><var>229.28</var>years, after which the benefits allowed under paragraph (c) shall be removed. Designated
         <br />
         		<a id="pl.229.29"></a><var>229.29</var>facilities may apply for continued designation.<br />
         		<a id="pl.229.30"></a><var>229.30</var>(e) This subdivision is suspended and no state or federal funding shall be <br />
         		<a id="pl.229.31"></a><var>229.31</var>appropriated or allocated for the purposes of this subdivision from January 1, 2016,
         to <br />
         		<a id="pl.229.32"></a><var>229.32</var>December 31, 2017.<br />
         		<br />
         		<a id="bill.6.36.0"></a><a id="pl.229.33"></a><var>229.33</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.229.34"></a><var>229.34</var>subdivision to read:<br />
         		<a id="pl.230.1"></a><var>230.1</var>&#160;&#160;&#160;&#160;Subd. 65. <b>Nursing facility in Golden Valley.</b> Effective for the rate year beginning <br />
         		<a id="pl.230.2"></a><var>230.2</var>January 1, 2016, and all subsequent rate years, the operating payment rate for a facility
         <br />
         		<a id="pl.230.3"></a><var>230.3</var>located in the city of Golden Valley at 3915 Golden Valley Road with 44 licensed <br />
         		<a id="pl.230.4"></a><var>230.4</var>rehabilitation beds as of January 7, 2015, must be calculated without the application
         of <br />
         		<a id="pl.230.5"></a><var>230.5</var>subdivisions 50 and 51.<br />
         		<br />
         		<a id="bill.6.37.0"></a><a id="pl.230.6"></a><var>230.6</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.230.7"></a><var>230.7</var>subdivision to read:<br />
         		<a id="pl.230.8"></a><var>230.8</var>&#160;&#160;&#160;&#160;Subd. 66. <b>Nursing facilities in border cities.</b> Effective for the rate year beginning <br />
         		<a id="pl.230.9"></a><var>230.9</var>January 1, 2016, and annually thereafter, operating payment rates of a nonprofit nursing
         <br />
         		<a id="pl.230.10"></a><var>230.10</var>facility that exists on January 1, 2015, is located anywhere within the boundaries
         of the <br />
         		<a id="pl.230.11"></a><var>230.11</var>city of Breckenridge, and is reimbursed under this section, section 256B.431, or section
         <br />
         		<a id="pl.230.12"></a><var>230.12</var>256B.434, shall be adjusted to be equal to the median RUG's rates, including comparable
         <br />
         		<a id="pl.230.13"></a><var>230.13</var>rate components as determined by the commissioner, for the equivalent RUG's weight
         of <br />
         		<a id="pl.230.14"></a><var>230.14</var>the nonprofit nursing facility or facilities located in an adjacent city in another
         state and <br />
         		<a id="pl.230.15"></a><var>230.15</var>in cities contiguous to the adjacent city. The Minnesota facility's operating payment
         rate <br />
         		<a id="pl.230.16"></a><var>230.16</var>with a weight of 1.0 shall be computed by dividing the adjacent city's nursing facilities
         <br />
         		<a id="pl.230.17"></a><var>230.17</var>median operating payment rate with a weight of 1.02 by 1.02. If the adjustments under
         <br />
         		<a id="pl.230.18"></a><var>230.18</var>this subdivision result in a rate that exceeds the limits in subdivisions 50 and 51
         in a given <br />
         		<a id="pl.230.19"></a><var>230.19</var>rate year, the facility's rate shall not be subject to those limits for that rate
         year. This <br />
         		<a id="pl.230.20"></a><var>230.20</var>subdivision shall apply only if it results in a higher operating payment rate than
         would <br />
         		<a id="pl.230.21"></a><var>230.21</var>otherwise be determined under this section, section 256B.431, or section 256B.434.<br />
         		<br />
         		<a id="bill.6.38.0"></a><a id="pl.230.22"></a><var>230.22</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2014, section 256B.441, is amended by adding a <br />
         		<a id="pl.230.23"></a><var>230.23</var>subdivision to read:<br />
         		<a id="pl.230.24"></a><var>230.24</var>&#160;&#160;&#160;&#160;Subd. 67. <b>Nursing facility; contract with insurance provider.</b> Within the projected <br />
         		<a id="pl.230.25"></a><var>230.25</var>cost of nursing facility payment reform under this section, for a facility that did
         not provide <br />
         		<a id="pl.230.26"></a><var>230.26</var>employee health insurance coverage as of May 1, 2015, if the facility has a signed
         contract <br />
         		<a id="pl.230.27"></a><var>230.27</var>with a health insurance provider to begin providing employee health insurance coverage
         <br />
         		<a id="pl.230.28"></a><var>230.28</var>by January 1, 2016, the facility shall be paid for the employer health insurance costs
         <br />
         		<a id="pl.230.29"></a><var>230.29</var>portion of external fixed costs under subdivisions 13 and 53 beginning January 1,
         2016.<br />
         		<br />
         		<a id="bill.6.39.0"></a><a id="pl.230.30"></a><var>230.30</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2014, section 256B.50, subdivision 1, is amended to read:<br />
         		<a id="pl.230.31"></a><var>230.31</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> A provider may appeal from a determination of a payment <br />
         		<a id="pl.230.32"></a><var>230.32</var>rate established pursuant to this chapter or allowed costs under section 256B.441 and <br />
         		<a id="pl.230.33"></a><var>230.33</var>reimbursement rules of the commissioner if the appeal, if successful, would result
         in <br />
         		<a id="pl.231.1"></a><var>231.1</var>a change to the provider's payment rate or to the calculation of maximum charges to
         <br />
         		<a id="pl.231.2"></a><var>231.2</var>therapy vendors as provided by section 
         <statute_ref>256B.433, subdivision 3</statute_ref>. Appeals must be filed <br />
         		<a id="pl.231.3"></a><var>231.3</var>in accordance with procedures in this section. This section does not apply to a request
         <br />
         		<a id="pl.231.4"></a><var>231.4</var>from a resident or long-term care facility for reconsideration of the classification
         of a <br />
         		<a id="pl.231.5"></a><var>231.5</var>resident under section 
         <statute_ref>144.0722</statute_ref>.<br />
         		<a id="pl.231.6"></a><var>231.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015, and applies to appeals <br />
         		<a id="pl.231.7"></a><var>231.7</var>filed on or after that date.<br />
         		<br />
         		<a id="bill.6.40.0"></a><a id="pl.231.8"></a><var>231.8</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2014, section 256I.05, subdivision 2, is amended to read:<br />
         		<a id="pl.231.9"></a><var>231.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Monthly rates; exemptions.</b> This subdivision applies to a residence <br />
         		<a id="pl.231.10"></a><var>231.10</var>that on August 1, 1984, was licensed by the commissioner of health only as a boarding
         <br />
         		<a id="pl.231.11"></a><var>231.11</var>care home, certified by the commissioner of health as an intermediate care facility,
         and <br />
         		<a id="pl.231.12"></a><var>231.12</var>licensed by the commissioner of human services under Minnesota Rules, parts 9520.0500
         <br />
         		<a id="pl.231.13"></a><var>231.13</var>to 9520.0690. Notwithstanding the provisions of subdivision 1c, the rate paid to a
         <br />
         		<a id="pl.231.14"></a><var>231.14</var>facility reimbursed under this subdivision shall be determined under section 
         <statute_ref>256B.431</statute_ref>, <br />
         		<a id="pl.231.15"></a><var>231.15</var>or under section 
         <statute_ref>256B.434</statute_ref>, or 256B.441, if the facility is accepted by the commissioner <br />
         		<a id="pl.231.16"></a><var>231.16</var>for participation in the alternative payment demonstration project. The rate paid
         to this <br />
         		<a id="pl.231.17"></a><var>231.17</var>facility shall also include adjustments to the group residential housing rate according
         to <br />
         		<a id="pl.231.18"></a><var>231.18</var>subdivision 1, and any adjustments applicable to supplemental service rates statewide.<br />
         		<br />
         		<a id="bill.6.41.0"></a><a id="pl.231.19"></a><var>231.19</var>&#160;&#160;&#160;&#160;Sec. 41. <b>DIRECTION TO COMMISSIONER; NURSING FACILITY PAYMENT </b><br />
         		<a id="pl.231.20"></a><var>231.20</var><b>REFORM REPORT.</b><br />
         		<a id="pl.231.21"></a><var>231.21</var>By January 1, 2017, the commissioner of human services shall evaluate and report to
         <br />
         		<a id="pl.231.22"></a><var>231.22</var>the house of representatives and senate committees and divisions with jurisdiction
         over <br />
         		<a id="pl.231.23"></a><var>231.23</var>nursing facility payment rates on:<br />
         		<a id="pl.231.24"></a><var>231.24</var>(1) the impact of using cost report data to set rates without accounting for cost
         <br />
         		<a id="pl.231.25"></a><var>231.25</var>report to rate year inflation;<br />
         		<a id="pl.231.26"></a><var>231.26</var>(2) the impact of the quality adjusted care limits;<br />
         		<a id="pl.231.27"></a><var>231.27</var>(3) the ability of nursing facilities to attract and retain employees, including how
         rate <br />
         		<a id="pl.231.28"></a><var>231.28</var>increases are being passed through to employees, under the new payment system;<br />
         		<a id="pl.231.29"></a><var>231.29</var>(4) the efficacy of the critical access nursing facility program under Minnesota <br />
         		<a id="pl.231.30"></a><var>231.30</var>Statutes, section 256B.441, subdivision 63, given the new nursing facility payment
         system;<br />
         		<a id="pl.231.31"></a><var>231.31</var>(5) creating a process for the commissioner to designate certain facilities as <br />
         		<a id="pl.231.32"></a><var>231.32</var>specialized care facilities for difficult-to-serve populations; and<br />
         		<a id="pl.231.33"></a><var>231.33</var>(6) limiting the hold harmless in Minnesota Statutes, section 256B.441, subdivision
         <br />
         		<a id="pl.231.34"></a><var>231.34</var>56.<br />
         		<br />
         		<a id="bill.6.42.0"></a><a id="pl.232.1"></a><var>232.1</var>&#160;&#160;&#160;&#160;Sec. 42. <b>PROPERTY RATE SETTING.</b><br />
         		<a id="pl.232.2"></a><var>232.2</var>The commissioner shall conduct a study, in consultation with stakeholders and <br />
         		<a id="pl.232.3"></a><var>232.3</var>experts, of property rate setting, based on a rental value or other approach for Minnesota
         <br />
         		<a id="pl.232.4"></a><var>232.4</var>nursing facilities, and shall report the findings to the house of representatives
         and senate <br />
         		<a id="pl.232.5"></a><var>232.5</var>committees and divisions with jurisdiction over nursing facility payment rates by
         March 1, <br />
         		<a id="pl.232.6"></a><var>232.6</var>2016, for a system implementation date of January 1, 2017. The commissioner shall:<br />
         		<a id="pl.232.7"></a><var>232.7</var>(1) contract with at least two firms to conduct appraisals of all nursing facilities
         in <br />
         		<a id="pl.232.8"></a><var>232.8</var>the medical assistance program. Each firm shall conduct appraisals of approximately
         <br />
         		<a id="pl.232.9"></a><var>232.9</var>equal portions of all nursing facilities assigned to them at random. The appraisals
         shall <br />
         		<a id="pl.232.10"></a><var>232.10</var>determine the value of the land, building, and equipment of each nursing facility,
         taking <br />
         		<a id="pl.232.11"></a><var>232.11</var>into account the quality of construction and current condition of the building;<br />
         		<a id="pl.232.12"></a><var>232.12</var>(2) use the information from the appraisals to complete the design of a rental value
         <br />
         		<a id="pl.232.13"></a><var>232.13</var>or other system and calculate a replacement value and an effective age for each nursing
         <br />
         		<a id="pl.232.14"></a><var>232.14</var>facility. Nursing facilities may request an appraisal by a second firm which shall
         be <br />
         		<a id="pl.232.15"></a><var>232.15</var>assigned randomly by the commissioner. The commissioner shall use the findings of
         <br />
         		<a id="pl.232.16"></a><var>232.16</var>the second appraisal. If the second firm increases the appraisal value by more than
         five <br />
         		<a id="pl.232.17"></a><var>232.17</var>percent, the state shall pay for the second appraisal. Otherwise, the nursing facility
         shall <br />
         		<a id="pl.232.18"></a><var>232.18</var>pay the cost of the appraisal. Results of appraisals are not otherwise subject to
         appeal <br />
         		<a id="pl.232.19"></a><var>232.19</var>under section 256B.50; and<br />
         		<a id="pl.232.20"></a><var>232.20</var>(3) include in the report required under this section the following items:<br />
         		<a id="pl.232.21"></a><var>232.21</var>(i) a description of the proposed rental value or other system;<br />
         		<a id="pl.232.22"></a><var>232.22</var>(ii) options for adjusting the system parameters that vary the cost of implementing
         <br />
         		<a id="pl.232.23"></a><var>232.23</var>the new property rate system and an analysis of individual nursing facilities under
         the <br />
         		<a id="pl.232.24"></a><var>232.24</var>current property payment rate and the rates under various approaches to calculating
         rates <br />
         		<a id="pl.232.25"></a><var>232.25</var>under the rental value or other system;<br />
         		<a id="pl.232.26"></a><var>232.26</var>(iii) recommended steps for transition to the rental value or other system;<br />
         		<a id="pl.232.27"></a><var>232.27</var>(iv) an analysis of the expected long-term incentives of the rental value or other
         <br />
         		<a id="pl.232.28"></a><var>232.28</var>system for nursing facilities to maintain and replace buildings, including how the
         current <br />
         		<a id="pl.232.29"></a><var>232.29</var>exceptions to the moratorium process under Minnesota Statutes, section 144A.073, may
         <br />
         		<a id="pl.232.30"></a><var>232.30</var>be adapted; and<br />
         		<a id="pl.232.31"></a><var>232.31</var>(v) bill language for implementation of the rental value or other system.<br />
         		<br />
         		<a id="bill.6.43.0"></a><a id="pl.232.32"></a><var>232.32</var>&#160;&#160;&#160;&#160;Sec. 43. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.232.33"></a><var>232.33</var>The revisor of statutes, in consultation with the House Research Department, Office
         <br />
         		<a id="pl.232.34"></a><var>232.34</var>of Senate Counsel, Research, and Fiscal Analysis, Department of Human Services, and
         <br />
         		<a id="pl.232.35"></a><var>232.35</var>stakeholders, shall prepare legislation for the 2016 legislative session to recodify
         laws <br />
         		<a id="pl.233.1"></a><var>233.1</var>governing nursing home payments and rates in Minnesota Statutes, chapter 256B, and
         in <br />
         		<a id="pl.233.2"></a><var>233.2</var>Minnesota Rules, chapter 9549.<br />
         		<a id="pl.233.3"></a><var>233.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.6.44.0"></a><a id="pl.233.4"></a><var>233.4</var>&#160;&#160;&#160;&#160;Sec. 44. <b> REPEALER.</b><br />
         		<a id="pl.233.5"></a><var>233.5</var>Minnesota Statutes 2014, sections 256B.434, subdivision 19b; and 256B.441, <br />
         		<a id="pl.233.6"></a><var>233.6</var>subdivisions 14a, 19, 50a, 52, 55, 58, and 62, are repealed.<br />
         		<br />
         		<a id="bill.7.0.0"></a><div class="xtend_ce"><a id="pl.233.7"></a><var>233.7</var><b>ARTICLE 7</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.233.8"></a><var>233.8</var><b>CONTINUING CARE</b><br />
            		
         </div><br />
         		<a id="bill.7.1.0"></a><a id="pl.233.9"></a><var>233.9</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 13.461, is amended by adding a <br />
         		<a id="pl.233.10"></a><var>233.10</var>subdivision to read:<br />
         		<a id="pl.233.11"></a><var>233.11</var>&#160;&#160;&#160;&#160;Subd. 32. <b>ABLE accounts and designated beneficiaries.</b> Data on ABLE accounts <br />
         		<a id="pl.233.12"></a><var>233.12</var>and designated beneficiaries of ABLE accounts are classified under section 256Q.05,
         <br />
         		<a id="pl.233.13"></a><var>233.13</var>subdivision 7.<br />
         		<br />
         		<a id="bill.7.2.0"></a><a id="pl.233.14"></a><var>233.14</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 144.057, subdivision 1, is amended to read:<br />
         		<a id="pl.233.15"></a><var>233.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Background studies required.</b> The commissioner of health shall <br />
         		<a id="pl.233.16"></a><var>233.16</var>contract with the commissioner of human services to conduct background studies of:<br />
         		<a id="pl.233.17"></a><var>233.17</var>(1) individuals providing services which have direct contact, as defined under <br />
         		<a id="pl.233.18"></a><var>233.18</var>section 
         <statute_ref>245C.02, subdivision 11</statute_ref>, with patients and residents in hospitals, boarding care <br />
         		<a id="pl.233.19"></a><var>233.19</var>homes, outpatient surgical centers licensed under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>; nursing <br />
         		<a id="pl.233.20"></a><var>233.20</var>homes and home care agencies licensed under chapter 144A; residential care homes <br />
         		<a id="pl.233.21"></a><var>233.21</var>licensed under chapter 144B, and board and lodging establishments that are registered
         to <br />
         		<a id="pl.233.22"></a><var>233.22</var>provide supportive or health supervision services under section 
         <statute_ref>157.17</statute_ref>;<br />
         		<a id="pl.233.23"></a><var>233.23</var>(2) individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, who perform direct <br />
         		<a id="pl.233.24"></a><var>233.24</var>contact services in a nursing home or a home care agency licensed under chapter 144A
         <br />
         		<a id="pl.233.25"></a><var>233.25</var>or a boarding care home licensed under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>, and. If the individual <br />
         		<a id="pl.233.26"></a><var>233.26</var>under study resides outside Minnesota, the study must be at least as comprehensive as <br />
         		<a id="pl.233.27"></a><var>233.27</var>that of a Minnesota resident and include a search of information from the criminal
         justice <br />
         		<a id="pl.233.28"></a><var>233.28</var>data communications network in the state where the subject of the study resides include a <br />
         		<a id="pl.233.29"></a><var>233.29</var>check for substantiated findings of maltreatment of adults and children in the individual's
         <br />
         		<a id="pl.233.30"></a><var>233.30</var>state of residence when the information is made available by that state, and must
         include a <br />
         		<a id="pl.233.31"></a><var>233.31</var>check of the National Crime Information Center database;<br />
         		<a id="pl.233.32"></a><var>233.32</var>(3) beginning July 1, 1999, all other employees in nursing homes licensed under <br />
         		<a id="pl.233.33"></a><var>233.33</var>chapter 144A, and boarding care homes licensed under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>. A <br />
         		<a id="pl.234.1"></a><var>234.1</var>disqualification of an individual in this section shall disqualify the individual
         from <br />
         		<a id="pl.234.2"></a><var>234.2</var>positions allowing direct contact or access to patients or residents receiving services.
         <br />
         		<a id="pl.234.3"></a><var>234.3</var>"Access" means physical access to a client or the client's personal property without
         <br />
         		<a id="pl.234.4"></a><var>234.4</var>continuous, direct supervision as defined in section 
         <statute_ref>245C.02, subdivision 8</statute_ref>, when the <br />
         		<a id="pl.234.5"></a><var>234.5</var>employee's employment responsibilities do not include providing direct contact services;<br />
         		<a id="pl.234.6"></a><var>234.6</var>(4) individuals employed by a supplemental nursing services agency, as defined <br />
         		<a id="pl.234.7"></a><var>234.7</var>under section 
         <statute_ref>144A.70</statute_ref>, who are providing services in health care facilities; and<br />
         		<a id="pl.234.8"></a><var>234.8</var>(5) controlling persons of a supplemental nursing services agency, as defined under
         <br />
         		<a id="pl.234.9"></a><var>234.9</var>section 
         <statute_ref>144A.70</statute_ref>.<br />
         		<a id="pl.234.10"></a><var>234.10</var>If a facility or program is licensed by the Department of Human Services and <br />
         		<a id="pl.234.11"></a><var>234.11</var>subject to the background study provisions of chapter 245C and is also licensed by
         the <br />
         		<a id="pl.234.12"></a><var>234.12</var>Department of Health, the Department of Human Services is solely responsible for the
         <br />
         		<a id="pl.234.13"></a><var>234.13</var>background studies of individuals in the jointly licensed programs.<br />
         		<br />
         		<a id="bill.7.3.0"></a><a id="pl.234.14"></a><var>234.14</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 245A.06, is amended by adding a subdivision <br />
         		<a id="pl.234.15"></a><var>234.15</var>to read:<br />
         		<a id="pl.234.16"></a><var>234.16</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Correction orders and conditional licenses for programs licensed as </b><br />
         		<a id="pl.234.17"></a><var>234.17</var><b>home and community-based services.</b> (a) For programs licensed under both this chapter <br />
         		<a id="pl.234.18"></a><var>234.18</var>and chapter 245D, if the license holder operates more than one service site under
         a single <br />
         		<a id="pl.234.19"></a><var>234.19</var>license governed by chapter 245D, the order issued under this section shall be specific
         to <br />
         		<a id="pl.234.20"></a><var>234.20</var>the service site or sites at which the violations of applicable law or rules occurred.
         The <br />
         		<a id="pl.234.21"></a><var>234.21</var>order shall not apply to other service sites governed by chapter 245D and operated
         by the <br />
         		<a id="pl.234.22"></a><var>234.22</var>same license holder unless the commissioner has included in the order the articulable
         basis <br />
         		<a id="pl.234.23"></a><var>234.23</var>for applying the order to another service site.<br />
         		<a id="pl.234.24"></a><var>234.24</var>(b) If the commissioner has issued more than one license to the license holder under
         <br />
         		<a id="pl.234.25"></a><var>234.25</var>this chapter, the conditions imposed under this section shall be specific to the license
         for <br />
         		<a id="pl.234.26"></a><var>234.26</var>the program at which the violations of applicable law or rules occurred and shall
         not apply <br />
         		<a id="pl.234.27"></a><var>234.27</var>to other licenses held by the same license holder if those programs are being operated
         in <br />
         		<a id="pl.234.28"></a><var>234.28</var>substantial compliance with applicable law and rules.<br />
         		<br />
         		<a id="bill.7.4.0"></a><a id="pl.234.29"></a><var>234.29</var>&#160;&#160;&#160;&#160;Sec. 4. <b>[245A.081] SETTLEMENT AGREEMENT.</b><br />
         		<a id="pl.234.30"></a><var>234.30</var>(a) A license holder who has made a timely appeal pursuant to section 245A.06, <br />
         		<a id="pl.234.31"></a><var>234.31</var>subdivision 4, or 245A.07, subdivision 3, or the commissioner may initiate a discussion
         <br />
         		<a id="pl.234.32"></a><var>234.32</var>about a possible settlement agreement related to the licensing sanction. For the purposes
         <br />
         		<a id="pl.234.33"></a><var>234.33</var>of this section, the following conditions apply to a settlement agreement reached
         by the <br />
         		<a id="pl.234.34"></a><var>234.34</var>parties:<br />
         		<a id="pl.235.1"></a><var>235.1</var>(1) if the parties enter into a settlement agreement, the effect of the agreement
         shall <br />
         		<a id="pl.235.2"></a><var>235.2</var>be that the appeal is withdrawn and the agreement shall constitute the full agreement
         <br />
         		<a id="pl.235.3"></a><var>235.3</var>between the commissioner and the party who filed the appeal; and<br />
         		<a id="pl.235.4"></a><var>235.4</var>(2) the settlement agreement must identify the agreed upon actions the license holder
         <br />
         		<a id="pl.235.5"></a><var>235.5</var>has taken and will take in order to achieve and maintain compliance with the licensing
         <br />
         		<a id="pl.235.6"></a><var>235.6</var>requirements that the commissioner determined the license holder had violated.<br />
         		<a id="pl.235.7"></a><var>235.7</var>(b) Neither the license holder nor the commissioner is required to initiate a <br />
         		<a id="pl.235.8"></a><var>235.8</var>settlement discussion under this section.<br />
         		<a id="pl.235.9"></a><var>235.9</var>(c) If a settlement discussion is initiated by the license holder, the commissioner
         <br />
         		<a id="pl.235.10"></a><var>235.10</var>shall respond to the license holder within 14 calendar days of receipt of the license
         <br />
         		<a id="pl.235.11"></a><var>235.11</var>holder's submission.<br />
         		<a id="pl.235.12"></a><var>235.12</var>(d) If the commissioner agrees to engage in settlement discussions, the commissioner
         <br />
         		<a id="pl.235.13"></a><var>235.13</var>may decide at any time not to continue settlement discussions with a license holder.<br />
         		<br />
         		<a id="bill.7.5.0"></a><a id="pl.235.14"></a><var>235.14</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 245A.155, subdivision 1, is amended to read:<br />
         		<a id="pl.235.15"></a><var>235.15</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Licensed foster care and respite care.</b> This section applies to <br />
         		<a id="pl.235.16"></a><var>235.16</var>foster care agencies and licensed foster care providers who place, supervise, or care
         for <br />
         		<a id="pl.235.17"></a><var>235.17</var>individuals who rely on medical monitoring equipment to sustain life or monitor a
         medical <br />
         		<a id="pl.235.18"></a><var>235.18</var>condition that could become life-threatening without proper use of the medical equipment <br />
         		<a id="pl.235.19"></a><var>235.19</var>in respite care or foster care.<br />
         		<br />
         		<a id="bill.7.6.0"></a><a id="pl.235.20"></a><var>235.20</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 245A.155, subdivision 2, is amended to read:<br />
         		<a id="pl.235.21"></a><var>235.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Foster care agency requirements.</b> In order for an agency to place an <br />
         		<a id="pl.235.22"></a><var>235.22</var>individual who relies on medical equipment to sustain life or monitor a medical condition
         <br />
         		<a id="pl.235.23"></a><var>235.23</var>that could become life-threatening without proper use of the medical equipment with a <br />
         		<a id="pl.235.24"></a><var>235.24</var>foster care provider, the agency must ensure that the foster care provider has received
         the <br />
         		<a id="pl.235.25"></a><var>235.25</var>training to operate such equipment as observed and confirmed by a qualified source,
         <br />
         		<a id="pl.235.26"></a><var>235.26</var>and that the provider:<br />
         		<a id="pl.235.27"></a><var>235.27</var>(1) is currently caring for an individual who is using the same equipment in the <br />
         		<a id="pl.235.28"></a><var>235.28</var>foster home; or<br />
         		<a id="pl.235.29"></a><var>235.29</var>(2) has written documentation that the foster care provider has cared for an <br />
         		<a id="pl.235.30"></a><var>235.30</var>individual who relied on such equipment within the past six months; or<br />
         		<a id="pl.235.31"></a><var>235.31</var>(3) has successfully completed training with the individual being placed with the
         <br />
         		<a id="pl.235.32"></a><var>235.32</var>provider.<br />
         		<br />
         		<a id="bill.7.7.0"></a><a id="pl.235.33"></a><var>235.33</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 245A.65, subdivision 2, is amended to read:<br />
         		<a id="pl.236.1"></a><var>236.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Abuse prevention plans.</b> All license holders shall establish and enforce <br />
         		<a id="pl.236.2"></a><var>236.2</var>ongoing written program abuse prevention plans and individual abuse prevention plans
         as <br />
         		<a id="pl.236.3"></a><var>236.3</var>required under section 
         <statute_ref>626.557, subdivision 14</statute_ref>.<br />
         		<a id="pl.236.4"></a><var>236.4</var>(a) The scope of the program abuse prevention plan is limited to the population, <br />
         		<a id="pl.236.5"></a><var>236.5</var>physical plant, and environment within the control of the license holder and the location
         <br />
         		<a id="pl.236.6"></a><var>236.6</var>where licensed services are provided. In addition to the requirements in section 
         <statute_ref>626.557, <br />
            		<a id="pl.236.7"></a><var>236.7</var>subdivision 14
         </statute_ref>, the program abuse prevention plan shall meet the requirements in clauses <br />
         		<a id="pl.236.8"></a><var>236.8</var>(1) to (5).<br />
         		<a id="pl.236.9"></a><var>236.9</var>(1) The assessment of the population shall include an evaluation of the following
         <br />
         		<a id="pl.236.10"></a><var>236.10</var>factors: age, gender, mental functioning, physical and emotional health or behavior
         of the <br />
         		<a id="pl.236.11"></a><var>236.11</var>client; the need for specialized programs of care for clients; the need for training
         of staff to <br />
         		<a id="pl.236.12"></a><var>236.12</var>meet identified individual needs; and the knowledge a license holder may have regarding
         <br />
         		<a id="pl.236.13"></a><var>236.13</var>previous abuse that is relevant to minimizing risk of abuse for clients.<br />
         		<a id="pl.236.14"></a><var>236.14</var>(2) The assessment of the physical plant where the licensed services are provided
         <br />
         		<a id="pl.236.15"></a><var>236.15</var>shall include an evaluation of the following factors: the condition and design of
         the <br />
         		<a id="pl.236.16"></a><var>236.16</var>building as it relates to the safety of the clients; and the existence of areas in
         the building <br />
         		<a id="pl.236.17"></a><var>236.17</var>which are difficult to supervise.<br />
         		<a id="pl.236.18"></a><var>236.18</var>(3) The assessment of the environment for each facility and for each site when living
         <br />
         		<a id="pl.236.19"></a><var>236.19</var>arrangements are provided by the agency shall include an evaluation of the following
         <br />
         		<a id="pl.236.20"></a><var>236.20</var>factors: the location of the program in a particular neighborhood or community; the
         type <br />
         		<a id="pl.236.21"></a><var>236.21</var>of grounds and terrain surrounding the building; the type of internal programming;
         and <br />
         		<a id="pl.236.22"></a><var>236.22</var>the program's staffing patterns.<br />
         		<a id="pl.236.23"></a><var>236.23</var>(4) The license holder shall provide an orientation to the program abuse prevention
         <br />
         		<a id="pl.236.24"></a><var>236.24</var>plan for clients receiving services. If applicable, the client's legal representative
         must be <br />
         		<a id="pl.236.25"></a><var>236.25</var>notified of the orientation. The license holder shall provide this orientation for
         each new <br />
         		<a id="pl.236.26"></a><var>236.26</var>person within 24 hours of admission, or for persons who would benefit more from a
         later <br />
         		<a id="pl.236.27"></a><var>236.27</var>orientation, the orientation may take place within 72 hours.<br />
         		<a id="pl.236.28"></a><var>236.28</var>(5) The license holder's governing body or the governing body's delegated <br />
         		<a id="pl.236.29"></a><var>236.29</var>representative shall review the plan at least annually using the assessment factors in the <br />
         		<a id="pl.236.30"></a><var>236.30</var>plan and any substantiated maltreatment findings that occurred since the last review.
         The <br />
         		<a id="pl.236.31"></a><var>236.31</var>governing body or the governing body's delegated representative shall revise the plan, <br />
         		<a id="pl.236.32"></a><var>236.32</var>if necessary, to reflect the review results.<br />
         		<a id="pl.236.33"></a><var>236.33</var>(6) A copy of the program abuse prevention plan shall be posted in a prominent <br />
         		<a id="pl.236.34"></a><var>236.34</var>location in the program and be available upon request to mandated reporters, persons
         <br />
         		<a id="pl.236.35"></a><var>236.35</var>receiving services, and legal representatives.<br />
         		<a id="pl.237.1"></a><var>237.1</var>(b) In addition to the requirements in section 
         <statute_ref>626.557, subdivision 14</statute_ref>, the individual <br />
         		<a id="pl.237.2"></a><var>237.2</var>abuse prevention plan shall meet the requirements in clauses (1) and (2).<br />
         		<a id="pl.237.3"></a><var>237.3</var>(1) The plan shall include a statement of measures that will be taken to minimize
         the <br />
         		<a id="pl.237.4"></a><var>237.4</var>risk of abuse to the vulnerable adult when the individual assessment required in section
         <br />
         		
         <statute_ref><a id="pl.237.5"></a><var>237.5</var>626.557, subdivision 14
         </statute_ref>, paragraph (b), indicates the need for measures in addition to the <br />
         		<a id="pl.237.6"></a><var>237.6</var>specific measures identified in the program abuse prevention plan. The measures shall
         <br />
         		<a id="pl.237.7"></a><var>237.7</var>include the specific actions the program will take to minimize the risk of abuse within
         <br />
         		<a id="pl.237.8"></a><var>237.8</var>the scope of the licensed services, and will identify referrals made when the vulnerable
         <br />
         		<a id="pl.237.9"></a><var>237.9</var>adult is susceptible to abuse outside the scope or control of the licensed services.
         When <br />
         		<a id="pl.237.10"></a><var>237.10</var>the assessment indicates that the vulnerable adult does not need specific risk reduction
         <br />
         		<a id="pl.237.11"></a><var>237.11</var>measures in addition to those identified in the program abuse prevention plan, the
         <br />
         		<a id="pl.237.12"></a><var>237.12</var>individual abuse prevention plan shall document this determination.<br />
         		<a id="pl.237.13"></a><var>237.13</var>(2) An individual abuse prevention plan shall be developed for each new person as
         <br />
         		<a id="pl.237.14"></a><var>237.14</var>part of the initial individual program plan or service plan required under the applicable
         <br />
         		<a id="pl.237.15"></a><var>237.15</var>licensing rule. The review and evaluation of the individual abuse prevention plan
         shall <br />
         		<a id="pl.237.16"></a><var>237.16</var>be done as part of the review of the program plan or service plan. The person receiving
         <br />
         		<a id="pl.237.17"></a><var>237.17</var>services shall participate in the development of the individual abuse prevention plan
         to the <br />
         		<a id="pl.237.18"></a><var>237.18</var>full extent of the person's abilities. If applicable, the person's legal representative
         shall be <br />
         		<a id="pl.237.19"></a><var>237.19</var>given the opportunity to participate with or for the person in the development of
         the plan. <br />
         		<a id="pl.237.20"></a><var>237.20</var>The interdisciplinary team shall document the review of all abuse prevention plans
         at least <br />
         		<a id="pl.237.21"></a><var>237.21</var>annually, using the individual assessment and any reports of abuse relating to the
         person. <br />
         		<a id="pl.237.22"></a><var>237.22</var>The plan shall be revised to reflect the results of this review.<br />
         		<br />
         		<a id="bill.7.8.0"></a><a id="pl.237.23"></a><var>237.23</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 245C.08, subdivision 1, is amended to read:<br />
         		<a id="pl.237.24"></a><var>237.24</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Background studies conducted by Department of Human </b><br />
         		<a id="pl.237.25"></a><var>237.25</var><b>Services.</b> (a) For a background study conducted by the Department of Human Services, <br />
         		<a id="pl.237.26"></a><var>237.26</var>the commissioner shall review:<br />
         		<a id="pl.237.27"></a><var>237.27</var>&#160;&#160;&#160;&#160;(1) information related to names of substantiated perpetrators of maltreatment of
         <br />
         		<a id="pl.237.28"></a><var>237.28</var>vulnerable adults that has been received by the commissioner as required under section
         <br />
         		
         <statute_ref><a id="pl.237.29"></a><var>237.29</var>626.557, subdivision 9c
         </statute_ref>, paragraph (j);<br />
         		<a id="pl.237.30"></a><var>237.30</var>&#160;&#160;&#160;&#160;(2) the commissioner's records relating to the maltreatment of minors in licensed
         <br />
         		<a id="pl.237.31"></a><var>237.31</var>programs, and from findings of maltreatment of minors as indicated through the social
         <br />
         		<a id="pl.237.32"></a><var>237.32</var>service information system;<br />
         		<a id="pl.237.33"></a><var>237.33</var>&#160;&#160;&#160;&#160;(3) information from juvenile courts as required in subdivision 4 for individuals
         <br />
         		<a id="pl.237.34"></a><var>237.34</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), when there is reasonable cause;<br />
         		<a id="pl.238.1"></a><var>238.1</var>&#160;&#160;&#160;&#160;(4) information from the Bureau of Criminal Apprehension, including information <br />
         		<a id="pl.238.2"></a><var>238.2</var>regarding a background study subject's registration in Minnesota as a predatory offender
         <br />
         		<a id="pl.238.3"></a><var>238.3</var>under section 
         <statute_ref>243.166</statute_ref>;<br />
         		<a id="pl.238.4"></a><var>238.4</var>&#160;&#160;&#160;&#160;(5) except as provided in clause (6), information from the national crime information
         <br />
         		<a id="pl.238.5"></a><var>238.5</var>system when the commissioner has reasonable cause as defined under section 
         <statute_ref>245C.05</statute_ref>, <br />
         		<a id="pl.238.6"></a><var>238.6</var>subdivision 5, or as required under section 144.057, subdivision 1, clause (2); and<br />
         		<a id="pl.238.7"></a><var>238.7</var>&#160;&#160;&#160;&#160;(6) for a background study related to a child foster care application for licensure,
         a <br />
         		<a id="pl.238.8"></a><var>238.8</var>transfer of permanent legal and physical custody of a child under sections 
         <statute_ref>260C.503</statute_ref> to <br />
         		
         <statute_ref><a id="pl.238.9"></a><var>238.9</var>260C.515
         </statute_ref>, or adoptions, the commissioner shall also review:<br />
         		<a id="pl.238.10"></a><var>238.10</var>&#160;&#160;&#160;&#160;(i) information from the child abuse and neglect registry for any state in which the
         <br />
         		<a id="pl.238.11"></a><var>238.11</var>background study subject has resided for the past five years; and<br />
         		<a id="pl.238.12"></a><var>238.12</var>&#160;&#160;&#160;&#160;(ii) information from national crime information databases, when the background <br />
         		<a id="pl.238.13"></a><var>238.13</var>study subject is 18 years of age or older.<br />
         		<a id="pl.238.14"></a><var>238.14</var>&#160;&#160;&#160;&#160;(b) Notwithstanding expungement by a court, the commissioner may consider <br />
         		<a id="pl.238.15"></a><var>238.15</var>information obtained under paragraph (a), clauses (3) and (4), unless the commissioner
         <br />
         		<a id="pl.238.16"></a><var>238.16</var>received notice of the petition for expungement and the court order for expungement
         is <br />
         		<a id="pl.238.17"></a><var>238.17</var>directed specifically to the commissioner.<br />
         		<a id="pl.238.18"></a><var>238.18</var>&#160;&#160;&#160;&#160;(c) The commissioner shall also review criminal case information received according
         <br />
         		<a id="pl.238.19"></a><var>238.19</var>to section 
         <statute_ref>245C.04, subdivision 4a</statute_ref>, from the Minnesota court information system that <br />
         		<a id="pl.238.20"></a><var>238.20</var>relates to individuals who have already been studied under this chapter and who remain
         <br />
         		<a id="pl.238.21"></a><var>238.21</var>affiliated with the agency that initiated the background study.<br />
         		<a id="pl.238.22"></a><var>238.22</var>&#160;&#160;&#160;&#160;(d) When the commissioner has reasonable cause to believe that the identity of <br />
         		<a id="pl.238.23"></a><var>238.23</var>a background study subject is uncertain, the commissioner may require the subject
         to <br />
         		<a id="pl.238.24"></a><var>238.24</var>provide a set of classifiable fingerprints for purposes of completing a fingerprint-based
         <br />
         		<a id="pl.238.25"></a><var>238.25</var>record check with the Bureau of Criminal Apprehension. Fingerprints collected under
         this <br />
         		<a id="pl.238.26"></a><var>238.26</var>paragraph shall not be saved by the commissioner after they have been used to verify
         the <br />
         		<a id="pl.238.27"></a><var>238.27</var>identity of the background study subject against the particular criminal record in
         question.<br />
         		<a id="pl.238.28"></a><var>238.28</var>&#160;&#160;&#160;&#160;(e) The commissioner may inform the entity that initiated a background study under
         <br />
         		<a id="pl.238.29"></a><var>238.29</var>NETStudy 2.0 of the status of processing of the subject's fingerprints.<br />
         		<br />
         		<a id="bill.7.9.0"></a><a id="pl.238.30"></a><var>238.30</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 245C.12, is amended to read:<br />
         		<a id="pl.238.31"></a><var>238.31</var><b>245C.12 BACKGROUND STUDY; TRIBAL ORGANIZATIONS.</b><br />
         		<a id="pl.238.32"></a><var>238.32</var>&#160;&#160;&#160;&#160;(a) For the purposes of background studies completed by tribal organizations <br />
         		<a id="pl.238.33"></a><var>238.33</var>performing licensing activities otherwise required of the commissioner under this
         chapter, <br />
         		<a id="pl.238.34"></a><var>238.34</var>after obtaining consent from the background study subject, tribal licensing agencies
         shall <br />
         		<a id="pl.239.1"></a><var>239.1</var>have access to criminal history data in the same manner as county licensing agencies
         and <br />
         		<a id="pl.239.2"></a><var>239.2</var>private licensing agencies under this chapter.<br />
         		<a id="pl.239.3"></a><var>239.3</var>&#160;&#160;&#160;&#160;(b) Tribal organizations may contract with the commissioner to obtain background <br />
         		<a id="pl.239.4"></a><var>239.4</var>study data on individuals under tribal jurisdiction related to adoptions according
         to <br />
         		<a id="pl.239.5"></a><var>239.5</var>section 
         <statute_ref>245C.34</statute_ref>. Tribal organizations may also contract with the commissioner to obtain <br />
         		<a id="pl.239.6"></a><var>239.6</var>background study data on individuals under tribal jurisdiction related to child foster
         care <br />
         		<a id="pl.239.7"></a><var>239.7</var>according to section 
         <statute_ref>245C.34</statute_ref>.<br />
         		<a id="pl.239.8"></a><var>239.8</var>&#160;&#160;&#160;&#160;(c) For the purposes of background studies completed to comply with a tribal <br />
         		<a id="pl.239.9"></a><var>239.9</var>organization's licensing requirements for individuals affiliated with a tribally licensed
         <br />
         		<a id="pl.239.10"></a><var>239.10</var>nursing facility, the commissioner shall obtain criminal history data from the National
         <br />
         		<a id="pl.239.11"></a><var>239.11</var>Criminal Records Repository in accordance with section 245C.32.<br />
         		<br />
         		<a id="bill.7.10.0"></a><a id="pl.239.12"></a><var>239.12</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 245D.02, is amended by adding a <br />
         		<a id="pl.239.13"></a><var>239.13</var>subdivision to read:<br />
         		<a id="pl.239.14"></a><var>239.14</var>&#160;&#160;&#160;&#160;Subd. 37. <b>Working day.</b> "Working day" means Monday, Tuesday, Wednesday, <br />
         		<a id="pl.239.15"></a><var>239.15</var>Thursday, or Friday, excluding any legal holiday.<br />
         		<br />
         		<a id="bill.7.11.0"></a><a id="pl.239.16"></a><var>239.16</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 245D.05, subdivision 1, is amended to read:<br />
         		<a id="pl.239.17"></a><var>239.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Health needs.</b> (a) The license holder is responsible for meeting <br />
         		<a id="pl.239.18"></a><var>239.18</var>health service needs assigned in the coordinated service and support plan or the <br />
         		<a id="pl.239.19"></a><var>239.19</var>coordinated service and support plan addendum, consistent with the person's health
         needs. <br />
         		<a id="pl.239.20"></a><var>239.20</var>Unless directed otherwise in the coordinated service and support plan or the coordinated
         <br />
         		<a id="pl.239.21"></a><var>239.21</var>service and support plan addendum, the license holder is responsible for promptly <br />
         		<a id="pl.239.22"></a><var>239.22</var>notifying the person's legal representative, if any, and the case manager of changes
         in a <br />
         		<a id="pl.239.23"></a><var>239.23</var>person's physical and mental health needs affecting health service needs assigned
         to the <br />
         		<a id="pl.239.24"></a><var>239.24</var>license holder in the coordinated service and support plan or the coordinated service
         <br />
         		<a id="pl.239.25"></a><var>239.25</var>and support plan addendum, when discovered by the license holder, unless the license
         <br />
         		<a id="pl.239.26"></a><var>239.26</var>holder has reason to know the change has already been reported. The license holder
         <br />
         		<a id="pl.239.27"></a><var>239.27</var>must document when the notice is provided.<br />
         		<a id="pl.239.28"></a><var>239.28</var>(b) If responsibility for meeting the person's health service needs has been assigned
         <br />
         		<a id="pl.239.29"></a><var>239.29</var>to the license holder in the coordinated service and support plan or the coordinated
         service <br />
         		<a id="pl.239.30"></a><var>239.30</var>and support plan addendum, the license holder must maintain documentation on how the
         <br />
         		<a id="pl.239.31"></a><var>239.31</var>person's health needs will be met, including a description of the procedures the license
         <br />
         		<a id="pl.239.32"></a><var>239.32</var>holder will follow in order to:<br />
         		<a id="pl.240.1"></a><var>240.1</var>(1) provide medication setup, assistance, or administration according to this chapter.
         <br />
         		<a id="pl.240.2"></a><var>240.2</var>Unlicensed staff responsible for medication setup or medication administration under
         this <br />
         		<a id="pl.240.3"></a><var>240.3</var>section must complete training according to section 
         <statute_ref>245D.09</statute_ref>, subdivision 4a, paragraph (d);<br />
         		<a id="pl.240.4"></a><var>240.4</var>(2) monitor health conditions according to written instructions from a licensed <br />
         		<a id="pl.240.5"></a><var>240.5</var>health professional;<br />
         		<a id="pl.240.6"></a><var>240.6</var>(3) assist with or coordinate medical, dental, and other health service appointments;
         or<br />
         		<a id="pl.240.7"></a><var>240.7</var>(4) use medical equipment, devices, or adaptive aides or technology safely and <br />
         		<a id="pl.240.8"></a><var>240.8</var>correctly according to written instructions from a licensed health professional.<br />
         		<br />
         		<a id="bill.7.12.0"></a><a id="pl.240.9"></a><var>240.9</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 245D.05, subdivision 2, is amended to read:<br />
         		<a id="pl.240.10"></a><var>240.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Medication administration.</b> (a) For purposes of this subdivision, <br />
         		<a id="pl.240.11"></a><var>240.11</var>"medication administration" means:<br />
         		<a id="pl.240.12"></a><var>240.12</var>(1) checking the person's medication record;<br />
         		<a id="pl.240.13"></a><var>240.13</var>(2) preparing the medication as necessary;<br />
         		<a id="pl.240.14"></a><var>240.14</var>(3) administering the medication or treatment to the person;<br />
         		<a id="pl.240.15"></a><var>240.15</var>(4) documenting the administration of the medication or treatment or the reason for
         <br />
         		<a id="pl.240.16"></a><var>240.16</var>not administering the medication or treatment; and<br />
         		<a id="pl.240.17"></a><var>240.17</var>(5) reporting to the prescriber or a nurse any concerns about the medication or <br />
         		<a id="pl.240.18"></a><var>240.18</var>treatment, including side effects, effectiveness, or a pattern of the person refusing
         to <br />
         		<a id="pl.240.19"></a><var>240.19</var>take the medication or treatment as prescribed. Adverse reactions must be immediately
         <br />
         		<a id="pl.240.20"></a><var>240.20</var>reported to the prescriber or a nurse.<br />
         		<a id="pl.240.21"></a><var>240.21</var>(b)(1) If responsibility for medication administration is assigned to the license
         holder <br />
         		<a id="pl.240.22"></a><var>240.22</var>in the coordinated service and support plan or the coordinated service and support
         plan <br />
         		<a id="pl.240.23"></a><var>240.23</var>addendum, the license holder must implement medication administration procedures to
         <br />
         		<a id="pl.240.24"></a><var>240.24</var>ensure a person takes medications and treatments as prescribed. The license holder
         must <br />
         		<a id="pl.240.25"></a><var>240.25</var>ensure that the requirements in clauses (2) and (3) have been met before administering
         <br />
         		<a id="pl.240.26"></a><var>240.26</var>medication or treatment.<br />
         		<a id="pl.240.27"></a><var>240.27</var>(2) The license holder must obtain written authorization from the person or the <br />
         		<a id="pl.240.28"></a><var>240.28</var>person's legal representative to administer medication or treatment and must obtain <br />
         		<a id="pl.240.29"></a><var>240.29</var>reauthorization annually as needed. This authorization shall remain in effect unless it is <br />
         		<a id="pl.240.30"></a><var>240.30</var>withdrawn in writing and may be withdrawn at any time. If the person or the person's
         <br />
         		<a id="pl.240.31"></a><var>240.31</var>legal representative refuses to authorize the license holder to administer medication,
         the <br />
         		<a id="pl.240.32"></a><var>240.32</var>medication must not be administered. The refusal to authorize medication administration
         <br />
         		<a id="pl.240.33"></a><var>240.33</var>must be reported to the prescriber as expediently as possible.<br />
         		<a id="pl.241.1"></a><var>241.1</var>(3) For a license holder providing intensive support services, the medication or <br />
         		<a id="pl.241.2"></a><var>241.2</var>treatment must be administered according to the license holder's medication administration
         <br />
         		<a id="pl.241.3"></a><var>241.3</var>policy and procedures as required under section 
         <statute_ref>245D.11, subdivision 2</statute_ref>, clause (3).<br />
         		<a id="pl.241.4"></a><var>241.4</var>(c) The license holder must ensure the following information is documented in the
         <br />
         		<a id="pl.241.5"></a><var>241.5</var>person's medication administration record:<br />
         		<a id="pl.241.6"></a><var>241.6</var>(1) the information on the current prescription label or the prescriber's current
         <br />
         		<a id="pl.241.7"></a><var>241.7</var>written or electronically recorded order or prescription that includes the person's
         name, <br />
         		<a id="pl.241.8"></a><var>241.8</var>description of the medication or treatment to be provided, and the frequency and other
         <br />
         		<a id="pl.241.9"></a><var>241.9</var>information needed to safely and correctly administer the medication or treatment
         to <br />
         		<a id="pl.241.10"></a><var>241.10</var>ensure effectiveness;<br />
         		<a id="pl.241.11"></a><var>241.11</var>(2) information on any risks or other side effects that are reasonable to expect,
         and <br />
         		<a id="pl.241.12"></a><var>241.12</var>any contraindications to its use. This information must be readily available to all
         staff <br />
         		<a id="pl.241.13"></a><var>241.13</var>administering the medication;<br />
         		<a id="pl.241.14"></a><var>241.14</var>(3) the possible consequences if the medication or treatment is not taken or <br />
         		<a id="pl.241.15"></a><var>241.15</var>administered as directed;<br />
         		<a id="pl.241.16"></a><var>241.16</var>(4) instruction on when and to whom to report the following:<br />
         		<a id="pl.241.17"></a><var>241.17</var>(i) if a dose of medication is not administered or treatment is not performed as <br />
         		<a id="pl.241.18"></a><var>241.18</var>prescribed, whether by error by the staff or the person or by refusal by the person;
         and<br />
         		<a id="pl.241.19"></a><var>241.19</var>(ii) the occurrence of possible adverse reactions to the medication or treatment;<br />
         		<a id="pl.241.20"></a><var>241.20</var>(5) notation of any occurrence of a dose of medication not being administered or <br />
         		<a id="pl.241.21"></a><var>241.21</var>treatment not performed as prescribed, whether by error by the staff or the person
         or by <br />
         		<a id="pl.241.22"></a><var>241.22</var>refusal by the person, or of adverse reactions, and when and to whom the report was
         <br />
         		<a id="pl.241.23"></a><var>241.23</var>made; and<br />
         		<a id="pl.241.24"></a><var>241.24</var>(6) notation of when a medication or treatment is started, administered, changed,
         or <br />
         		<a id="pl.241.25"></a><var>241.25</var>discontinued.<br />
         		<br />
         		<a id="bill.7.13.0"></a><a id="pl.241.26"></a><var>241.26</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 245D.06, subdivision 1, is amended to read:<br />
         		<a id="pl.241.27"></a><var>241.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Incident response and reporting. </b> (a) The license holder must <br />
         		<a id="pl.241.28"></a><var>241.28</var>respond to incidents under section 
         <statute_ref>245D.02, subdivision 11</statute_ref>, that occur while providing <br />
         		<a id="pl.241.29"></a><var>241.29</var>services to protect the health and safety of and minimize risk of harm to the person.<br />
         		<a id="pl.241.30"></a><var>241.30</var>(b) The license holder must maintain information about and report incidents to the
         <br />
         		<a id="pl.241.31"></a><var>241.31</var>person's legal representative or designated emergency contact and case manager within
         <br />
         		<a id="pl.241.32"></a><var>241.32</var>24 hours of an incident occurring while services are being provided, within 24 hours
         of <br />
         		<a id="pl.241.33"></a><var>241.33</var>discovery or receipt of information that an incident occurred, unless the license
         holder <br />
         		<a id="pl.241.34"></a><var>241.34</var>has reason to know that the incident has already been reported, or as otherwise directed
         <br />
         		<a id="pl.241.35"></a><var>241.35</var>in a person's coordinated service and support plan or coordinated service and support
         <br />
         		<a id="pl.242.1"></a><var>242.1</var>plan addendum. An incident of suspected or alleged maltreatment must be reported as
         <br />
         		<a id="pl.242.2"></a><var>242.2</var>required under paragraph (d), and an incident of serious injury or death must be reported
         <br />
         		<a id="pl.242.3"></a><var>242.3</var>as required under paragraph (e).<br />
         		<a id="pl.242.4"></a><var>242.4</var>(c) When the incident involves more than one person, the license holder must not <br />
         		<a id="pl.242.5"></a><var>242.5</var>disclose personally identifiable information about any other person when making the
         report <br />
         		<a id="pl.242.6"></a><var>242.6</var>to each person and case manager unless the license holder has the consent of the person.<br />
         		<a id="pl.242.7"></a><var>242.7</var>(d) Within 24 hours of reporting maltreatment as required under section 
         <statute_ref>626.556 <br />
            		
         </statute_ref><a id="pl.242.8"></a><var>242.8</var>or 
         <statute_ref>626.557</statute_ref>, the license holder must inform the case manager of the report unless there is <br />
         		<a id="pl.242.9"></a><var>242.9</var>reason to believe that the case manager is involved in the suspected maltreatment.
         The <br />
         		<a id="pl.242.10"></a><var>242.10</var>license holder must disclose the nature of the activity or occurrence reported and
         the <br />
         		<a id="pl.242.11"></a><var>242.11</var>agency that received the report.<br />
         		<a id="pl.242.12"></a><var>242.12</var>(e) The license holder must report the death or serious injury of the person as <br />
         		<a id="pl.242.13"></a><var>242.13</var>required in paragraph (b) and to the Department of Human Services Licensing Division,
         <br />
         		<a id="pl.242.14"></a><var>242.14</var>and the Office of Ombudsman for Mental Health and Developmental Disabilities as <br />
         		<a id="pl.242.15"></a><var>242.15</var>required under section 
         <statute_ref>245.94, subdivision 2a</statute_ref>, within 24 hours of the death or serious <br />
         		<a id="pl.242.16"></a><var>242.16</var>injury, or receipt of information that the death or serious injury occurred, unless the license <br />
         		<a id="pl.242.17"></a><var>242.17</var>holder has reason to know that the death or serious injury has already been reported.<br />
         		<a id="pl.242.18"></a><var>242.18</var>(f) When a death or serious injury occurs in a facility certified as an intermediate
         <br />
         		<a id="pl.242.19"></a><var>242.19</var>care facility for persons with developmental disabilities, the death or serious injury
         must <br />
         		<a id="pl.242.20"></a><var>242.20</var>be reported to the Department of Health, Office of Health Facility Complaints, and
         the <br />
         		<a id="pl.242.21"></a><var>242.21</var>Office of Ombudsman for Mental Health and Developmental Disabilities, as required
         <br />
         		<a id="pl.242.22"></a><var>242.22</var>under sections 
         <statute_ref>245.91</statute_ref> and 
         <statute_ref>245.94, subdivision 2a</statute_ref>, unless the license holder has reason to <br />
         		<a id="pl.242.23"></a><var>242.23</var>know that the death or serious injury has already been reported.<br />
         		<a id="pl.242.24"></a><var>242.24</var>(g) The license holder must conduct an internal review of incident reports of deaths
         <br />
         		<a id="pl.242.25"></a><var>242.25</var>and serious injuries that occurred while services were being provided and that were
         not <br />
         		<a id="pl.242.26"></a><var>242.26</var>reported by the program as alleged or suspected maltreatment, for identification of
         incident <br />
         		<a id="pl.242.27"></a><var>242.27</var>patterns, and implementation of corrective action as necessary to reduce occurrences.
         <br />
         		<a id="pl.242.28"></a><var>242.28</var>The review must include an evaluation of whether related policies and procedures were
         <br />
         		<a id="pl.242.29"></a><var>242.29</var>followed, whether the policies and procedures were adequate, whether there is a need
         for <br />
         		<a id="pl.242.30"></a><var>242.30</var>additional staff training, whether the reported event is similar to past events with
         the <br />
         		<a id="pl.242.31"></a><var>242.31</var>persons or the services involved, and whether there is a need for corrective action
         by the <br />
         		<a id="pl.242.32"></a><var>242.32</var>license holder to protect the health and safety of persons receiving services. Based
         on <br />
         		<a id="pl.242.33"></a><var>242.33</var>the results of this review, the license holder must develop, document, and implement
         a <br />
         		<a id="pl.242.34"></a><var>242.34</var>corrective action plan designed to correct current lapses and prevent future lapses
         in <br />
         		<a id="pl.242.35"></a><var>242.35</var>performance by staff or the license holder, if any.<br />
         		<a id="pl.243.1"></a><var>243.1</var>(h) The license holder must verbally report the emergency use of manual restraint
         <br />
         		<a id="pl.243.2"></a><var>243.2</var>of a person as required in paragraph (b) within 24 hours of the occurrence. The license
         <br />
         		<a id="pl.243.3"></a><var>243.3</var>holder must ensure the written report and internal review of all incident reports
         of the <br />
         		<a id="pl.243.4"></a><var>243.4</var>emergency use of manual restraints are completed according to the requirements in
         section <br />
         		
         <statute_ref><a id="pl.243.5"></a><var>243.5</var>245D.061
         </statute_ref> or successor provisions.<br />
         		<br />
         		<a id="bill.7.14.0"></a><a id="pl.243.6"></a><var>243.6</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 245D.06, subdivision 2, is amended to read:<br />
         		<a id="pl.243.7"></a><var>243.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Environment and safety.</b> The license holder must:<br />
         		<a id="pl.243.8"></a><var>243.8</var>(1) ensure the following when the license holder is the owner, lessor, or tenant <br />
         		<a id="pl.243.9"></a><var>243.9</var>of the service site:<br />
         		<a id="pl.243.10"></a><var>243.10</var>(i) the service site is a safe and hazard-free environment;<br />
         		<a id="pl.243.11"></a><var>243.11</var>(ii) that toxic substances or dangerous items are inaccessible to persons served by
         <br />
         		<a id="pl.243.12"></a><var>243.12</var>the program only to protect the safety of a person receiving services when a known
         safety <br />
         		<a id="pl.243.13"></a><var>243.13</var>threat exists and not as a substitute for staff supervision or interactions with a
         person who <br />
         		<a id="pl.243.14"></a><var>243.14</var>is receiving services. If toxic substances or dangerous items are made inaccessible,
         the <br />
         		<a id="pl.243.15"></a><var>243.15</var>license holder must document an assessment of the physical plant, its environment,
         and its <br />
         		<a id="pl.243.16"></a><var>243.16</var>population identifying the risk factors which require toxic substances or dangerous
         items <br />
         		<a id="pl.243.17"></a><var>243.17</var>to be inaccessible and a statement of specific measures to be taken to minimize the
         safety <br />
         		<a id="pl.243.18"></a><var>243.18</var>risk to persons receiving services and to restore accessibility to all persons receiving
         <br />
         		<a id="pl.243.19"></a><var>243.19</var>services at the service site;<br />
         		<a id="pl.243.20"></a><var>243.20</var>(iii) doors are locked from the inside to prevent a person from exiting only when
         <br />
         		<a id="pl.243.21"></a><var>243.21</var>necessary to protect the safety of a person receiving services and not as a substitute
         for <br />
         		<a id="pl.243.22"></a><var>243.22</var>staff supervision or interactions with the person. If doors are locked from the inside,
         the <br />
         		<a id="pl.243.23"></a><var>243.23</var>license holder must document an assessment of the physical plant, the environment
         and <br />
         		<a id="pl.243.24"></a><var>243.24</var>the population served, identifying the risk factors which require the use of locked
         doors, <br />
         		<a id="pl.243.25"></a><var>243.25</var>and a statement of specific measures to be taken to minimize the safety risk to persons
         <br />
         		<a id="pl.243.26"></a><var>243.26</var>receiving services at the service site; and<br />
         		<a id="pl.243.27"></a><var>243.27</var>(iv) a staff person is available at the service site who is trained in basic first
         aid and, <br />
         		<a id="pl.243.28"></a><var>243.28</var>when required in a person's coordinated service and support plan or coordinated service
         <br />
         		<a id="pl.243.29"></a><var>243.29</var>and support plan addendum, cardiopulmonary resuscitation (CPR) whenever persons are
         <br />
         		<a id="pl.243.30"></a><var>243.30</var>present and staff are required to be at the site to provide direct support service.
         The CPR <br />
         		<a id="pl.243.31"></a><var>243.31</var>training must include in-person instruction, hands-on practice, and an observed skills <br />
         		<a id="pl.243.32"></a><var>243.32</var>assessment under the direct supervision of a CPR instructor;<br />
         		<a id="pl.243.33"></a><var>243.33</var>(2) maintain equipment, vehicles, supplies, and materials owned or leased by the <br />
         		<a id="pl.243.34"></a><var>243.34</var>license holder in good condition when used to provide services;<br />
         		<a id="pl.244.1"></a><var>244.1</var>(3) follow procedures to ensure safe transportation, handling, and transfers of the
         <br />
         		<a id="pl.244.2"></a><var>244.2</var>person and any equipment used by the person, when the license holder is responsible
         for <br />
         		<a id="pl.244.3"></a><var>244.3</var>transportation of a person or a person's equipment;<br />
         		<a id="pl.244.4"></a><var>244.4</var>(4) be prepared for emergencies and follow emergency response procedures to <br />
         		<a id="pl.244.5"></a><var>244.5</var>ensure the person's safety in an emergency; and<br />
         		<a id="pl.244.6"></a><var>244.6</var>(5) follow universal precautions and sanitary practices, including hand washing, for
         <br />
         		<a id="pl.244.7"></a><var>244.7</var>infection prevention and control, and to prevent communicable diseases.<br />
         		<br />
         		<a id="bill.7.15.0"></a><a id="pl.244.8"></a><var>244.8</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 245D.06, subdivision 7, is amended to read:<br />
         		<a id="pl.244.9"></a><var>244.9</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Permitted actions and procedures.</b> (a) Use of the instructional techniques <br />
         		<a id="pl.244.10"></a><var>244.10</var>and intervention procedures as identified in paragraphs (b) and (c) is permitted when
         used <br />
         		<a id="pl.244.11"></a><var>244.11</var>on an intermittent or continuous basis. When used on a continuous basis, it must be
         <br />
         		<a id="pl.244.12"></a><var>244.12</var>addressed in a person's coordinated service and support plan addendum as identified
         in <br />
         		<a id="pl.244.13"></a><var>244.13</var>sections 
         <statute_ref>245D.07</statute_ref> and 
         <statute_ref>245D.071</statute_ref>. For purposes of this chapter, the requirements of this <br />
         		<a id="pl.244.14"></a><var>244.14</var>subdivision supersede the requirements identified in Minnesota Rules, part 9525.2720.<br />
         		<a id="pl.244.15"></a><var>244.15</var>(b) Physical contact or instructional techniques must use the least restrictive <br />
         		<a id="pl.244.16"></a><var>244.16</var>alternative possible to meet the needs of the person and may be used:<br />
         		<a id="pl.244.17"></a><var>244.17</var>(1) to calm or comfort a person by holding that person with no resistance from <br />
         		<a id="pl.244.18"></a><var>244.18</var>that person;<br />
         		<a id="pl.244.19"></a><var>244.19</var>(2) to protect a person known to be at risk of injury due to frequent falls as a result
         <br />
         		<a id="pl.244.20"></a><var>244.20</var>of a medical condition;<br />
         		<a id="pl.244.21"></a><var>244.21</var>(3) to facilitate the person's completion of a task or response when the person does
         <br />
         		<a id="pl.244.22"></a><var>244.22</var>not resist or the person's resistance is minimal in intensity and duration;<br />
         		<a id="pl.244.23"></a><var>244.23</var>(4) to block or redirect a person's limbs or body without holding the person or <br />
         		<a id="pl.244.24"></a><var>244.24</var>limiting the person's movement to interrupt the person's behavior that may result
         in injury <br />
         		<a id="pl.244.25"></a><var>244.25</var>to self or others with less than 60 seconds of physical contact by staff; or<br />
         		<a id="pl.244.26"></a><var>244.26</var>(5) to redirect a person's behavior when the behavior does not pose a serious threat
         <br />
         		<a id="pl.244.27"></a><var>244.27</var>to the person or others and the behavior is effectively redirected with less than
         60 seconds <br />
         		<a id="pl.244.28"></a><var>244.28</var>of physical contact by staff.<br />
         		<a id="pl.244.29"></a><var>244.29</var>(c) Restraint may be used as an intervention procedure to:<br />
         		<a id="pl.244.30"></a><var>244.30</var>(1) allow a licensed health care professional to safely conduct a medical examination
         <br />
         		<a id="pl.244.31"></a><var>244.31</var>or to provide medical treatment ordered by a licensed health care professional to a person <br />
         		<a id="pl.244.32"></a><var>244.32</var>necessary to promote healing or recovery from an acute, meaning short-term, medical
         <br />
         		<a id="pl.244.33"></a><var>244.33</var>condition;<br />
         		<a id="pl.244.34"></a><var>244.34</var>(2) assist in the safe evacuation or redirection of a person in the event of an <br />
         		<a id="pl.244.35"></a><var>244.35</var>emergency and the person is at imminent risk of harm; or<br />
         		<a id="pl.245.1"></a><var>245.1</var>(3) position a person with physical disabilities in a manner specified in the person's
         <br />
         		<a id="pl.245.2"></a><var>245.2</var>coordinated service and support plan addendum.<br />
         		<a id="pl.245.3"></a><var>245.3</var>Any use of manual restraint as allowed in this paragraph must comply with the restrictions
         <br />
         		<a id="pl.245.4"></a><var>245.4</var>identified in subdivision 6, paragraph (b).<br />
         		<a id="pl.245.5"></a><var>245.5</var>(d) Use of adaptive aids or equipment, orthotic devices, or other medical equipment
         <br />
         		<a id="pl.245.6"></a><var>245.6</var>ordered by a licensed health professional to treat a diagnosed medical condition do
         not in <br />
         		<a id="pl.245.7"></a><var>245.7</var>and of themselves constitute the use of mechanical restraint.<br />
         		<br />
         		<a id="bill.7.16.0"></a><a id="pl.245.8"></a><var>245.8</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 245D.07, subdivision 2, is amended to read:<br />
         		<a id="pl.245.9"></a><var>245.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Service planning requirements for basic support services.</b> (a) License <br />
         		<a id="pl.245.10"></a><var>245.10</var>holders providing basic support services must meet the requirements of this subdivision.<br />
         		<a id="pl.245.11"></a><var>245.11</var>(b) Within 15 calendar days of service initiation the license holder must complete <br />
         		<a id="pl.245.12"></a><var>245.12</var>a preliminary coordinated service and support plan addendum based on the coordinated
         <br />
         		<a id="pl.245.13"></a><var>245.13</var>service and support plan.<br />
         		<a id="pl.245.14"></a><var>245.14</var>(c) Within 60 calendar days of service initiation the license holder must review <br />
         		<a id="pl.245.15"></a><var>245.15</var>and revise as needed the preliminary coordinated service and support plan addendum
         to <br />
         		<a id="pl.245.16"></a><var>245.16</var>document the services that will be provided including how, when, and by whom services
         <br />
         		<a id="pl.245.17"></a><var>245.17</var>will be provided, and the person responsible for overseeing the delivery and coordination
         <br />
         		<a id="pl.245.18"></a><var>245.18</var>of services.<br />
         		<a id="pl.245.19"></a><var>245.19</var>(d) The license holder must participate in service planning and support team <br />
         		<a id="pl.245.20"></a><var>245.20</var>meetings for the person following stated timelines established in the person's coordinated
         <br />
         		<a id="pl.245.21"></a><var>245.21</var>service and support plan or as requested by the person or the person's legal representative,
         <br />
         		<a id="pl.245.22"></a><var>245.22</var>the support team or the expanded support team.<br />
         		<br />
         		<a id="bill.7.17.0"></a><a id="pl.245.23"></a><var>245.23</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 245D.071, subdivision 5, is amended to read:<br />
         		<a id="pl.245.24"></a><var>245.24</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Service plan review and evaluation.</b> (a) The license holder must give the <br />
         		<a id="pl.245.25"></a><var>245.25</var>person or the person's legal representative and case manager an opportunity to participate
         <br />
         		<a id="pl.245.26"></a><var>245.26</var>in the ongoing review and development of the service plan and the methods used to
         support <br />
         		<a id="pl.245.27"></a><var>245.27</var>the person and accomplish outcomes identified in subdivisions 3 and 4. The license
         holder, <br />
         		<a id="pl.245.28"></a><var>245.28</var>in coordination with the person's support team or expanded support team, must meet
         <br />
         		<a id="pl.245.29"></a><var>245.29</var>with the person, the person's legal representative, and the case manager, and participate
         <br />
         		<a id="pl.245.30"></a><var>245.30</var>in service plan review meetings following stated timelines established in the person's
         <br />
         		<a id="pl.245.31"></a><var>245.31</var>coordinated service and support plan or coordinated service and support plan addendum
         or <br />
         		<a id="pl.245.32"></a><var>245.32</var>within 30 days of a written request by the person, the person's legal representative,
         or the <br />
         		<a id="pl.245.33"></a><var>245.33</var>case manager, at a minimum of once per year. The purpose of the service plan review
         <br />
         		<a id="pl.245.34"></a><var>245.34</var>is to determine whether changes are needed to the service plan based on the assessment
         <br />
         		<a id="pl.246.1"></a><var>246.1</var>information, the license holder's evaluation of progress towards accomplishing outcomes,
         <br />
         		<a id="pl.246.2"></a><var>246.2</var>or other information provided by the support team or expanded support team.<br />
         		<a id="pl.246.3"></a><var>246.3</var>(b) The license holder must summarize the person's status and progress toward <br />
         		<a id="pl.246.4"></a><var>246.4</var>achieving the identified outcomes and make recommendations and identify the rationale
         <br />
         		<a id="pl.246.5"></a><var>246.5</var>for changing, continuing, or discontinuing implementation of supports and methods
         <br />
         		<a id="pl.246.6"></a><var>246.6</var>identified in subdivision 4 in a written report sent to the person or the person's legal <br />
         		<a id="pl.246.7"></a><var>246.7</var>representative and case manager five working days prior to the review meeting, unless
         the <br />
         		<a id="pl.246.8"></a><var>246.8</var>person, the person's legal representative, or the case manager requests to receive
         the report <br />
         		<a id="pl.246.9"></a><var>246.9</var>available at the time of the progress review meeting. The report must be sent at least <br />
         		<a id="pl.246.10"></a><var>246.10</var>five working days prior to the progress review meeting if requested by the team in
         the <br />
         		<a id="pl.246.11"></a><var>246.11</var>coordinated service and support plan or coordinated service and support plan addendum.<br />
         		<a id="pl.246.12"></a><var>246.12</var>(c) The license holder must send the coordinated service and support plan addendum <br />
         		<a id="pl.246.13"></a><var>246.13</var>to the person, the person's legal representative, and the case manager by mail within
         ten <br />
         		<a id="pl.246.14"></a><var>246.14</var>working days of the progress review meeting. Within ten working days of the progress <br />
         		<a id="pl.246.15"></a><var>246.15</var>review meeting mailing of the coordinated service and support plan addendum, the license <br />
         		<a id="pl.246.16"></a><var>246.16</var>holder must obtain dated signatures from the person or the person's legal representative
         <br />
         		<a id="pl.246.17"></a><var>246.17</var>and the case manager to document approval of any changes to the coordinated service
         and <br />
         		<a id="pl.246.18"></a><var>246.18</var>support plan addendum.<br />
         		<a id="pl.246.19"></a><var>246.19</var>(d) If, within ten working days of submitting changes to the coordinated service <br />
         		<a id="pl.246.20"></a><var>246.20</var>and support plan and coordinated service and support plan addendum, the person or
         the <br />
         		<a id="pl.246.21"></a><var>246.21</var>person's legal representative or case manager has not signed and returned to the license
         <br />
         		<a id="pl.246.22"></a><var>246.22</var>holder the coordinated service and support plan or coordinated service and support
         plan <br />
         		<a id="pl.246.23"></a><var>246.23</var>addendum or has not proposed written modifications to the license holder's submission,
         the <br />
         		<a id="pl.246.24"></a><var>246.24</var>submission is deemed approved and the coordinated service and support plan addendum
         <br />
         		<a id="pl.246.25"></a><var>246.25</var>becomes effective and remains in effect until the legal representative or case manager
         <br />
         		<a id="pl.246.26"></a><var>246.26</var>submits a written request to revise the coordinated service and support plan addendum.<br />
         		<br />
         		<a id="bill.7.18.0"></a><a id="pl.246.27"></a><var>246.27</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 245D.09, subdivision 3, is amended to read:<br />
         		<a id="pl.246.28"></a><var>246.28</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Staff qualifications.</b> (a) The license holder must ensure that staff providing <br />
         		<a id="pl.246.29"></a><var>246.29</var>direct support, or staff who have responsibilities related to supervising or managing
         the <br />
         		<a id="pl.246.30"></a><var>246.30</var>provision of direct support service, are competent as demonstrated through skills
         and <br />
         		<a id="pl.246.31"></a><var>246.31</var>knowledge training, experience, and education relevant to the primary disability of
         the <br />
         		<a id="pl.246.32"></a><var>246.32</var>person and to meet the person's needs and additional requirements as written in the
         <br />
         		<a id="pl.246.33"></a><var>246.33</var>coordinated service and support plan or coordinated service and support plan addendum,
         <br />
         		<a id="pl.246.34"></a><var>246.34</var>or when otherwise required by the case manager or the federal waiver plan. The license
         <br />
         		<a id="pl.246.35"></a><var>246.35</var>holder must verify and maintain evidence of staff competency, including documentation
         of:<br />
         		<a id="pl.247.1"></a><var>247.1</var>(1) education and experience qualifications relevant to the job responsibilities <br />
         		<a id="pl.247.2"></a><var>247.2</var>assigned to the staff and to the primary disability of persons served by the program,
         <br />
         		<a id="pl.247.3"></a><var>247.3</var>including a valid degree and transcript, or a current license, registration, or certification,
         <br />
         		<a id="pl.247.4"></a><var>247.4</var>when a degree or licensure, registration, or certification is required by this chapter
         or in the <br />
         		<a id="pl.247.5"></a><var>247.5</var>coordinated service and support plan or coordinated service and support plan addendum;<br />
         		<a id="pl.247.6"></a><var>247.6</var>(2) demonstrated competency in the orientation and training areas required under <br />
         		<a id="pl.247.7"></a><var>247.7</var>this chapter, and when applicable, completion of continuing education required to
         <br />
         		<a id="pl.247.8"></a><var>247.8</var>maintain professional licensure, registration, or certification requirements. Competency
         in <br />
         		<a id="pl.247.9"></a><var>247.9</var>these areas is determined by the license holder through knowledge testing or observed
         <br />
         		<a id="pl.247.10"></a><var>247.10</var>skill assessment conducted by the trainer or instructor or by an individual who has been <br />
         		<a id="pl.247.11"></a><var>247.11</var>previously deemed competent by the trainer or instructor in the area being assessed; and<br />
         		<a id="pl.247.12"></a><var>247.12</var>(3) except for a license holder who is the sole direct support staff, periodic <br />
         		<a id="pl.247.13"></a><var>247.13</var>performance evaluations completed by the license holder of the direct support staff
         <br />
         		<a id="pl.247.14"></a><var>247.14</var>person's ability to perform the job functions based on direct observation.<br />
         		<a id="pl.247.15"></a><var>247.15</var>(b) Staff under 18 years of age may not perform overnight duties or administer <br />
         		<a id="pl.247.16"></a><var>247.16</var>medication.<br />
         		<br />
         		<a id="bill.7.19.0"></a><a id="pl.247.17"></a><var>247.17</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 245D.09, subdivision 5, is amended to read:<br />
         		<a id="pl.247.18"></a><var>247.18</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Annual training.</b>  A license holder must provide annual training to direct <br />
         		<a id="pl.247.19"></a><var>247.19</var>support staff on the topics identified in subdivision 4, clauses (3) to (10). If the direct <br />
         		<a id="pl.247.20"></a><var>247.20</var>support staff has a first aid certification, annual training under subdivision 4,
         clause (9), is <br />
         		<a id="pl.247.21"></a><var>247.21</var>not required as long as the certification remains current. A license holder must provide a <br />
         		<a id="pl.247.22"></a><var>247.22</var>minimum of 24 hours of annual training to direct service staff providing intensive
         services <br />
         		<a id="pl.247.23"></a><var>247.23</var>and having fewer than five years of documented experience and 12 hours of annual <br />
         		<a id="pl.247.24"></a><var>247.24</var>training to direct service staff providing intensive services and having five or more
         years <br />
         		<a id="pl.247.25"></a><var>247.25</var>of documented experience in topics described in subdivisions 4 and 4a, paragraphs
         (a) to <br />
         		<a id="pl.247.26"></a><var>247.26</var>(f). Training on relevant topics received from sources other than the license holder
         may <br />
         		<a id="pl.247.27"></a><var>247.27</var>count toward training requirements. A license holder must provide a minimum of 12
         hours <br />
         		<a id="pl.247.28"></a><var>247.28</var>of annual training to direct service staff providing basic services and having fewer
         than <br />
         		<a id="pl.247.29"></a><var>247.29</var>five years of documented experience and six hours of annual training to direct service
         staff <br />
         		<a id="pl.247.30"></a><var>247.30</var>providing basic services and having five or more years of documented experience.<br />
         		<br />
         		<a id="bill.7.20.0"></a><a id="pl.247.31"></a><var>247.31</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 245D.22, subdivision 4, is amended to read:<br />
         		<a id="pl.247.32"></a><var>247.32</var>&#160;&#160;&#160;&#160;Subd. 4. <b>First aid must be available on site.</b> (a) A staff person trained in first <br />
         		<a id="pl.247.33"></a><var>247.33</var>aid must be available on site and, when required in a person's coordinated service
         and <br />
         		<a id="pl.247.34"></a><var>247.34</var>support plan or coordinated service and support plan addendum, be able to provide
         <br />
         		<a id="pl.248.1"></a><var>248.1</var>cardiopulmonary resuscitation, whenever persons are present and staff are required
         to be <br />
         		<a id="pl.248.2"></a><var>248.2</var>at the site to provide direct service. The CPR training must include in-person instruction, <br />
         		<a id="pl.248.3"></a><var>248.3</var>hands-on practice, and an observed skills assessment under the direct supervision
         of a <br />
         		<a id="pl.248.4"></a><var>248.4</var>CPR instructor.<br />
         		<a id="pl.248.5"></a><var>248.5</var>(b) A facility must have first aid kits readily available for use by, and that meet
         <br />
         		<a id="pl.248.6"></a><var>248.6</var>the needs of, persons receiving services and staff. At a minimum, the first aid kit
         must <br />
         		<a id="pl.248.7"></a><var>248.7</var>be equipped with accessible first aid supplies including bandages, sterile compresses,
         <br />
         		<a id="pl.248.8"></a><var>248.8</var>scissors, an ice bag or cold pack, an oral or surface thermometer, mild liquid soap,
         <br />
         		<a id="pl.248.9"></a><var>248.9</var>adhesive tape, and first aid manual.<br />
         		<br />
         		<a id="bill.7.21.0"></a><a id="pl.248.10"></a><var>248.10</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 245D.31, subdivision 3, is amended to read:<br />
         		<a id="pl.248.11"></a><var>248.11</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Staff ratio requirement for each person receiving services.</b> The case <br />
         		<a id="pl.248.12"></a><var>248.12</var>manager, in consultation with the interdisciplinary team, must determine at least
         once each <br />
         		<a id="pl.248.13"></a><var>248.13</var>year which of the ratios in subdivisions 4, 5, and 6 is appropriate for each person
         receiving <br />
         		<a id="pl.248.14"></a><var>248.14</var>services on the basis of the characteristics described in subdivisions 4, 5, and 6.
         The ratio <br />
         		<a id="pl.248.15"></a><var>248.15</var>assigned each person and the documentation of how the ratio was arrived at must be
         kept <br />
         		<a id="pl.248.16"></a><var>248.16</var>in each person's individual service plan. Documentation must include an assessment
         of the <br />
         		<a id="pl.248.17"></a><var>248.17</var>person with respect to the characteristics in subdivisions 4, 5, and 6 recorded on a standard <br />
         		<a id="pl.248.18"></a><var>248.18</var>assessment form required by the commissioner.<br />
         		<br />
         		<a id="bill.7.22.0"></a><a id="pl.248.19"></a><var>248.19</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 245D.31, subdivision 4, is amended to read:<br />
         		<a id="pl.248.20"></a><var>248.20</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Person requiring staff ratio of one to four.</b> A person must be assigned a <br />
         		<a id="pl.248.21"></a><var>248.21</var>staff ratio requirement of one to four if:<br />
         		<a id="pl.248.22"></a><var>248.22</var>(1) on a daily basis the person requires total care and monitoring or constant <br />
         		<a id="pl.248.23"></a><var>248.23</var>hand-over-hand physical guidance to successfully complete at least three of the following
         <br />
         		<a id="pl.248.24"></a><var>248.24</var>activities: toileting, communicating basic needs, eating, or ambulating; or is not capable <br />
         		<a id="pl.248.25"></a><var>248.25</var>of taking appropriate action for self-preservation under emergency conditions; or<br />
         		<a id="pl.248.26"></a><var>248.26</var>(2) the person engages in conduct that poses an imminent risk of physical harm to
         <br />
         		<a id="pl.248.27"></a><var>248.27</var>self or others at a documented level of frequency, intensity, or duration requiring
         frequent <br />
         		<a id="pl.248.28"></a><var>248.28</var>daily ongoing intervention and monitoring as established in the person's coordinated
         <br />
         		<a id="pl.248.29"></a><var>248.29</var>service and support plan or coordinated service and support plan addendum.<br />
         		<br />
         		<a id="bill.7.23.0"></a><a id="pl.248.30"></a><var>248.30</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 245D.31, subdivision 5, is amended to read:<br />
         		<a id="pl.248.31"></a><var>248.31</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Person requiring staff ratio of one to eight.</b> A person must be assigned a <br />
         		<a id="pl.248.32"></a><var>248.32</var>staff ratio requirement of one to eight if:<br />
         		<a id="pl.248.33"></a><var>248.33</var>(1) the person does not meet the requirements in subdivision 4; and<br />
         		<a id="pl.249.1"></a><var>249.1</var>(2) on a daily basis the person requires verbal prompts or spot checks and minimal
         <br />
         		<a id="pl.249.2"></a><var>249.2</var>or no physical assistance to successfully complete at least four three of the following <br />
         		<a id="pl.249.3"></a><var>249.3</var>activities: toileting, communicating basic needs, eating, or ambulating, or taking <br />
         		<a id="pl.249.4"></a><var>249.4</var>appropriate action for self-preservation under emergency conditions.<br />
         		<br />
         		<a id="bill.7.24.0"></a><a id="pl.249.5"></a><var>249.5</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 252.27, subdivision 2a, is amended to read:<br />
         		<a id="pl.249.6"></a><var>249.6</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Contribution amount.</b> (a) The natural or adoptive parents of a minor <br />
         		<a id="pl.249.7"></a><var>249.7</var>child, including a child determined eligible for medical assistance without consideration
         of <br />
         		<a id="pl.249.8"></a><var>249.8</var>parental income, must contribute to the cost of services used by making monthly payments
         <br />
         		<a id="pl.249.9"></a><var>249.9</var>on a sliding scale based on income, unless the child is married or has been married,
         parental <br />
         		<a id="pl.249.10"></a><var>249.10</var>rights have been terminated, or the child's adoption is subsidized according to chapter
         <br />
         		<a id="pl.249.11"></a><var>249.11</var>259A or through title IV-E of the Social Security Act. The parental contribution is
         a partial <br />
         		<a id="pl.249.12"></a><var>249.12</var>or full payment for medical services provided for diagnostic, therapeutic, curing,
         treating, <br />
         		<a id="pl.249.13"></a><var>249.13</var>mitigating, rehabilitation, maintenance, and personal care services as defined in
         United <br />
         		<a id="pl.249.14"></a><var>249.14</var>States Code, title 26, section 213, needed by the child with a chronic illness or
         disability.<br />
         		<a id="pl.249.15"></a><var>249.15</var>&#160;&#160;&#160;&#160;(b) For households with adjusted gross income equal to or greater than 275 percent
         <br />
         		<a id="pl.249.16"></a><var>249.16</var>of federal poverty guidelines, the parental contribution shall be computed by applying
         the <br />
         		<a id="pl.249.17"></a><var>249.17</var>following schedule of rates to the adjusted gross income of the natural or adoptive
         parents:<br />
         		<a id="pl.249.18"></a><var>249.18</var>&#160;&#160;&#160;&#160;(1) if the adjusted gross income is equal to or greater than 275 percent of federal
         <br />
         		<a id="pl.249.19"></a><var>249.19</var>poverty guidelines and less than or equal to 545 percent of federal poverty guidelines,
         <br />
         		<a id="pl.249.20"></a><var>249.20</var>the parental contribution shall be determined using a sliding fee scale established
         by the <br />
         		<a id="pl.249.21"></a><var>249.21</var>commissioner of human services which begins at 
         <statute_ref>2.48 2.23 </statute_ref>percent of adjusted gross <br />
         		<a id="pl.249.22"></a><var>249.22</var>income at 275 percent of federal poverty guidelines and increases to 
         <statute_ref>6.75 6.08 </statute_ref>percent of <br />
         		<a id="pl.249.23"></a><var>249.23</var>adjusted gross income for those with adjusted gross income up to 545 percent of federal
         <br />
         		<a id="pl.249.24"></a><var>249.24</var>poverty guidelines;<br />
         		<a id="pl.249.25"></a><var>249.25</var>&#160;&#160;&#160;&#160;(2) if the adjusted gross income is greater than 545 percent of federal poverty <br />
         		<a id="pl.249.26"></a><var>249.26</var>guidelines and less than 675 percent of federal poverty guidelines, the parental <br />
         		<a id="pl.249.27"></a><var>249.27</var>contribution shall be 
         <statute_ref>6.75 6.08 </statute_ref>percent of adjusted gross income;<br />
         		<a id="pl.249.28"></a><var>249.28</var>&#160;&#160;&#160;&#160;(3) if the adjusted gross income is equal to or greater than 675 percent of federal
         <br />
         		<a id="pl.249.29"></a><var>249.29</var>poverty guidelines and less than 975 percent of federal poverty guidelines, the parental
         <br />
         		<a id="pl.249.30"></a><var>249.30</var>contribution shall be determined using a sliding fee scale established by the commissioner
         <br />
         		<a id="pl.249.31"></a><var>249.31</var>of human services which begins at 
         <statute_ref>6.75 6.08 </statute_ref>percent of adjusted gross income at 675 percent <br />
         		<a id="pl.249.32"></a><var>249.32</var>of federal poverty guidelines and increases to nine 8.1 percent of adjusted gross income <br />
         		<a id="pl.249.33"></a><var>249.33</var>for those with adjusted gross income up to 975 percent of federal poverty guidelines;
         and<br />
         		<a id="pl.250.1"></a><var>250.1</var>&#160;&#160;&#160;&#160;(4) if the adjusted gross income is equal to or greater than 975 percent of federal
         <br />
         		<a id="pl.250.2"></a><var>250.2</var>poverty guidelines, the parental contribution shall be 
         <statute_ref>11.25 10.13 </statute_ref>percent of adjusted <br />
         		<a id="pl.250.3"></a><var>250.3</var>gross income.<br />
         		<a id="pl.250.4"></a><var>250.4</var>&#160;&#160;&#160;&#160;If the child lives with the parent, the annual adjusted gross income is reduced by
         <br />
         		<a id="pl.250.5"></a><var>250.5</var>$2,400 prior to calculating the parental contribution. If the child resides in an
         institution <br />
         		<a id="pl.250.6"></a><var>250.6</var>specified in section 
         <statute_ref>256B.35</statute_ref>, the parent is responsible for the personal needs allowance <br />
         		<a id="pl.250.7"></a><var>250.7</var>specified under that section in addition to the parental contribution determined under
         this <br />
         		<a id="pl.250.8"></a><var>250.8</var>section. The parental contribution is reduced by any amount required to be paid directly
         to <br />
         		<a id="pl.250.9"></a><var>250.9</var>the child pursuant to a court order, but only if actually paid.<br />
         		<a id="pl.250.10"></a><var>250.10</var>&#160;&#160;&#160;&#160;(c) The household size to be used in determining the amount of contribution under
         <br />
         		<a id="pl.250.11"></a><var>250.11</var>paragraph (b) includes natural and adoptive parents and their dependents, including
         the <br />
         		<a id="pl.250.12"></a><var>250.12</var>child receiving services. Adjustments in the contribution amount due to annual changes
         <br />
         		<a id="pl.250.13"></a><var>250.13</var>in the federal poverty guidelines shall be implemented on the first day of July following
         <br />
         		<a id="pl.250.14"></a><var>250.14</var>publication of the changes.<br />
         		<a id="pl.250.15"></a><var>250.15</var>&#160;&#160;&#160;&#160;(d) For purposes of paragraph (b), "income" means the adjusted gross income of the
         <br />
         		<a id="pl.250.16"></a><var>250.16</var>natural or adoptive parents determined according to the previous year's federal tax
         form, <br />
         		<a id="pl.250.17"></a><var>250.17</var>except, effective retroactive to July 1, 2003, taxable capital gains to the extent
         the funds <br />
         		<a id="pl.250.18"></a><var>250.18</var>have been used to purchase a home shall not be counted as income.<br />
         		<a id="pl.250.19"></a><var>250.19</var>&#160;&#160;&#160;&#160;(e) The contribution shall be explained in writing to the parents at the time eligibility
         <br />
         		<a id="pl.250.20"></a><var>250.20</var>for services is being determined. The contribution shall be made on a monthly basis
         <br />
         		<a id="pl.250.21"></a><var>250.21</var>effective with the first month in which the child receives services. Annually upon
         <br />
         		<a id="pl.250.22"></a><var>250.22</var>redetermination or at termination of eligibility, if the contribution exceeded the
         cost of <br />
         		<a id="pl.250.23"></a><var>250.23</var>services provided, the local agency or the state shall reimburse that excess amount
         to <br />
         		<a id="pl.250.24"></a><var>250.24</var>the parents, either by direct reimbursement if the parent is no longer required to
         pay a <br />
         		<a id="pl.250.25"></a><var>250.25</var>contribution, or by a reduction in or waiver of parental fees until the excess amount
         is <br />
         		<a id="pl.250.26"></a><var>250.26</var>exhausted. All reimbursements must include a notice that the amount reimbursed may
         be <br />
         		<a id="pl.250.27"></a><var>250.27</var>taxable income if the parent paid for the parent's fees through an employer's health
         care <br />
         		<a id="pl.250.28"></a><var>250.28</var>flexible spending account under the Internal Revenue Code, section 125, and that the
         <br />
         		<a id="pl.250.29"></a><var>250.29</var>parent is responsible for paying the taxes owed on the amount reimbursed.<br />
         		<a id="pl.250.30"></a><var>250.30</var>&#160;&#160;&#160;&#160;(f) The monthly contribution amount must be reviewed at least every 12 months; <br />
         		<a id="pl.250.31"></a><var>250.31</var>when there is a change in household size; and when there is a loss of or gain in income
         <br />
         		<a id="pl.250.32"></a><var>250.32</var>from one month to another in excess of ten percent. The local agency shall mail a
         written <br />
         		<a id="pl.250.33"></a><var>250.33</var>notice 30 days in advance of the effective date of a change in the contribution amount.
         <br />
         		<a id="pl.250.34"></a><var>250.34</var>A decrease in the contribution amount is effective in the month that the parent verifies
         a <br />
         		<a id="pl.250.35"></a><var>250.35</var>reduction in income or change in household size.<br />
         		<a id="pl.251.1"></a><var>251.1</var>&#160;&#160;&#160;&#160;(g) Parents of a minor child who do not live with each other shall each pay the <br />
         		<a id="pl.251.2"></a><var>251.2</var>contribution required under paragraph (a). An amount equal to the annual court-ordered
         <br />
         		<a id="pl.251.3"></a><var>251.3</var>child support payment actually paid on behalf of the child receiving services shall
         be <br />
         		<a id="pl.251.4"></a><var>251.4</var>deducted from the adjusted gross income of the parent making the payment prior to
         <br />
         		<a id="pl.251.5"></a><var>251.5</var>calculating the parental contribution under paragraph (b).<br />
         		<a id="pl.251.6"></a><var>251.6</var>&#160;&#160;&#160;&#160;(h) The contribution under paragraph (b) shall be increased by an additional five
         <br />
         		<a id="pl.251.7"></a><var>251.7</var>percent if the local agency determines that insurance coverage is available but not
         <br />
         		<a id="pl.251.8"></a><var>251.8</var>obtained for the child. For purposes of this section, "available" means the insurance
         is a <br />
         		<a id="pl.251.9"></a><var>251.9</var>benefit of employment for a family member at an annual cost of no more than five percent
         <br />
         		<a id="pl.251.10"></a><var>251.10</var>of the family's annual income. For purposes of this section, "insurance" means health
         <br />
         		<a id="pl.251.11"></a><var>251.11</var>and accident insurance coverage, enrollment in a nonprofit health service plan, health
         <br />
         		<a id="pl.251.12"></a><var>251.12</var>maintenance organization, self-insured plan, or preferred provider organization.<br />
         		<a id="pl.251.13"></a><var>251.13</var>&#160;&#160;&#160;&#160;Parents who have more than one child receiving services shall not be required <br />
         		<a id="pl.251.14"></a><var>251.14</var>to pay more than the amount for the child with the highest expenditures. There shall
         <br />
         		<a id="pl.251.15"></a><var>251.15</var>be no resource contribution from the parents. The parent shall not be required to
         pay <br />
         		<a id="pl.251.16"></a><var>251.16</var>a contribution in excess of the cost of the services provided to the child, not counting
         <br />
         		<a id="pl.251.17"></a><var>251.17</var>payments made to school districts for education-related services. Notice of an increase
         in <br />
         		<a id="pl.251.18"></a><var>251.18</var>fee payment must be given at least 30 days before the increased fee is due.<br />
         		<a id="pl.251.19"></a><var>251.19</var>&#160;&#160;&#160;&#160;(i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year
         if, <br />
         		<a id="pl.251.20"></a><var>251.20</var>in the 12 months prior to July 1:<br />
         		<a id="pl.251.21"></a><var>251.21</var>&#160;&#160;&#160;&#160;(1) the parent applied for insurance for the child;<br />
         		<a id="pl.251.22"></a><var>251.22</var>&#160;&#160;&#160;&#160;(2) the insurer denied insurance;<br />
         		<a id="pl.251.23"></a><var>251.23</var>&#160;&#160;&#160;&#160;(3) the parents submitted a complaint or appeal, in writing to the insurer, submitted
         <br />
         		<a id="pl.251.24"></a><var>251.24</var>a complaint or appeal, in writing, to the commissioner of health or the commissioner
         of <br />
         		<a id="pl.251.25"></a><var>251.25</var>commerce, or litigated the complaint or appeal; and<br />
         		<a id="pl.251.26"></a><var>251.26</var>&#160;&#160;&#160;&#160;(4) as a result of the dispute, the insurer reversed its decision and granted insurance.<br />
         		<a id="pl.251.27"></a><var>251.27</var>&#160;&#160;&#160;&#160;For purposes of this section, "insurance" has the meaning given in paragraph (h).<br />
         		<a id="pl.251.28"></a><var>251.28</var>&#160;&#160;&#160;&#160;A parent who has requested a reduction in the contribution amount under this <br />
         		<a id="pl.251.29"></a><var>251.29</var>paragraph shall submit proof in the form and manner prescribed by the commissioner
         or <br />
         		<a id="pl.251.30"></a><var>251.30</var>county agency, including, but not limited to, the insurer's denial of insurance, the
         written <br />
         		<a id="pl.251.31"></a><var>251.31</var>letter or complaint of the parents, court documents, and the written response of the
         insurer <br />
         		<a id="pl.251.32"></a><var>251.32</var>approving insurance. The determinations of the commissioner or county agency under
         this <br />
         		<a id="pl.251.33"></a><var>251.33</var>paragraph are not rules subject to chapter 14.<br />
         		<br />
         		<a id="bill.7.25.0"></a><a id="pl.251.34"></a><var>251.34</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256.478, is amended to read:<br />
         		<a id="pl.252.1"></a><var>252.1</var><b>256.478 HOME AND COMMUNITY-BASED SERVICES TRANSITIONS </b><br />
         		<a id="pl.252.2"></a><var>252.2</var><b>GRANTS.</b><br />
         		<a id="pl.252.3"></a><var>252.3</var>(a) The commissioner shall make available home and community-based services <br />
         		<a id="pl.252.4"></a><var>252.4</var>transition grants to serve individuals who do not meet eligibility criteria for the
         medical <br />
         		<a id="pl.252.5"></a><var>252.5</var>assistance program under section 
         <statute_ref>256B.056</statute_ref> or 
         <statute_ref>256B.057</statute_ref>, but who otherwise meet the <br />
         		<a id="pl.252.6"></a><var>252.6</var>criteria under section 
         <statute_ref>256B.092, subdivision 13</statute_ref>, or 
         <statute_ref>256B.49, subdivision 24</statute_ref>.<br />
         		<a id="pl.252.7"></a><var>252.7</var>(b) For the purposes of this section, the commissioner has the authority to transfer
         <br />
         		<a id="pl.252.8"></a><var>252.8</var>funds between the medical assistance account and the home and community-based <br />
         		<a id="pl.252.9"></a><var>252.9</var>services transitions grants account.<br />
         		<br />
         		<a id="bill.7.26.0"></a><a id="pl.252.10"></a><var>252.10</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256.975, is amended by adding a subdivision <br />
         		<a id="pl.252.11"></a><var>252.11</var>to read:<br />
         		<a id="pl.252.12"></a><var>252.12</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Regional and local dementia grants.</b> (a) The Minnesota Board on <br />
         		<a id="pl.252.13"></a><var>252.13</var>Aging shall award competitive grants to eligible applicants for regional and local
         projects <br />
         		<a id="pl.252.14"></a><var>252.14</var>and initiatives targeted to a designated community, which may consist of a specific
         <br />
         		<a id="pl.252.15"></a><var>252.15</var>geographic area or population, to increase awareness of Alzheimer's disease and other
         <br />
         		<a id="pl.252.16"></a><var>252.16</var>dementias, increase the rate of cognitive testing in the population at risk for dementias,
         <br />
         		<a id="pl.252.17"></a><var>252.17</var>promote the benefits of early diagnosis of dementias, or connect caregivers of persons
         <br />
         		<a id="pl.252.18"></a><var>252.18</var>with dementia to education and resources.<br />
         		<a id="pl.252.19"></a><var>252.19</var>(b) The project areas for grants include:<br />
         		<a id="pl.252.20"></a><var>252.20</var>(1) local or community-based initiatives to promote the benefits of physician <br />
         		<a id="pl.252.21"></a><var>252.21</var>consultations for all individuals who suspect a memory or cognitive problem;<br />
         		<a id="pl.252.22"></a><var>252.22</var>(2) local or community-based initiatives to promote the benefits of early diagnosis
         of <br />
         		<a id="pl.252.23"></a><var>252.23</var>Alzheimer's disease and other dementias; and<br />
         		<a id="pl.252.24"></a><var>252.24</var>(3) local or community-based initiatives to provide informational materials and <br />
         		<a id="pl.252.25"></a><var>252.25</var>other resources to caregivers of persons with dementia.<br />
         		<a id="pl.252.26"></a><var>252.26</var>(c) Eligible applicants for local and regional grants may include, but are not limited
         <br />
         		<a id="pl.252.27"></a><var>252.27</var>to, community health boards, school districts, colleges and universities, community
         <br />
         		<a id="pl.252.28"></a><var>252.28</var>clinics, tribal communities, nonprofit organizations, and other health care organizations.<br />
         		<a id="pl.252.29"></a><var>252.29</var>(d) Applicants must:<br />
         		<a id="pl.252.30"></a><var>252.30</var>(1) describe the proposed initiative, including the targeted community and how the
         <br />
         		<a id="pl.252.31"></a><var>252.31</var>initiative meets the requirements of this subdivision; and<br />
         		<a id="pl.252.32"></a><var>252.32</var>(2) identify the proposed outcomes of the initiative and the evaluation process to
         be <br />
         		<a id="pl.252.33"></a><var>252.33</var>used to measure these outcomes.<br />
         		<a id="pl.252.34"></a><var>252.34</var>(e) In awarding the regional and local dementia grants, the Minnesota Board on <br />
         		<a id="pl.252.35"></a><var>252.35</var>Aging must give priority to applicants who demonstrate that the proposed project:<br />
         		<a id="pl.253.1"></a><var>253.1</var>(1) is supported by and appropriately targeted to the community the applicant serves;<br />
         		<a id="pl.253.2"></a><var>253.2</var>(2) is designed to coordinate with other community activities related to other health
         <br />
         		<a id="pl.253.3"></a><var>253.3</var>initiatives, particularly those initiatives targeted at the elderly;<br />
         		<a id="pl.253.4"></a><var>253.4</var>(3) is conducted by an applicant able to demonstrate expertise in the project areas;<br />
         		<a id="pl.253.5"></a><var>253.5</var>(4) utilizes and enhances existing activities and resources or involves innovative
         <br />
         		<a id="pl.253.6"></a><var>253.6</var>approaches to achieve success in the project areas; and <br />
         		<a id="pl.253.7"></a><var>253.7</var>(5) strengthens community relationships and partnerships in order to achieve the <br />
         		<a id="pl.253.8"></a><var>253.8</var>project areas.<br />
         		<a id="pl.253.9"></a><var>253.9</var>(f) The board shall divide the state into specific geographic regions and allocate
         a <br />
         		<a id="pl.253.10"></a><var>253.10</var>percentage of the money available for the local and regional dementia grants to projects
         or <br />
         		<a id="pl.253.11"></a><var>253.11</var>initiatives aimed at each geographic region.<br />
         		<a id="pl.253.12"></a><var>253.12</var>(g) The board shall award any available grants by January 1, 2016, and each July 1
         <br />
         		<a id="pl.253.13"></a><var>253.13</var>thereafter.<br />
         		<a id="pl.253.14"></a><var>253.14</var>(h) Each grant recipient shall report to the board on the progress of the initiative
         at <br />
         		<a id="pl.253.15"></a><var>253.15</var>least once during the grant period, and within two months of the end of the grant
         period <br />
         		<a id="pl.253.16"></a><var>253.16</var>shall submit a final report to the board that includes the outcome results.<br />
         		<a id="pl.253.17"></a><var>253.17</var>(i) The Minnesota Board on Aging shall:<br />
         		<a id="pl.253.18"></a><var>253.18</var>(1) develop the criteria and procedures to allocate the grants under this subdivision,
         <br />
         		<a id="pl.253.19"></a><var>253.19</var>evaluate all applicants on a competitive basis and award the grants, and select qualified
         <br />
         		<a id="pl.253.20"></a><var>253.20</var>providers to offer technical assistance to grant applicants and grantees. The selected
         <br />
         		<a id="pl.253.21"></a><var>253.21</var>provider shall provide applicants and grantees assistance with project design, evaluation
         <br />
         		<a id="pl.253.22"></a><var>253.22</var>methods, materials, and training; and<br />
         		<a id="pl.253.23"></a><var>253.23</var>(2) submit by January 15, 2017, and on each January 15 thereafter, a progress <br />
         		<a id="pl.253.24"></a><var>253.24</var>report on the dementia grants programs under this subdivision to the chairs and ranking
         <br />
         		<a id="pl.253.25"></a><var>253.25</var>minority members of the senate and house of representatives committees and divisions
         <br />
         		<a id="pl.253.26"></a><var>253.26</var>with jurisdiction over health finance and policy. The report shall include:<br />
         		<a id="pl.253.27"></a><var>253.27</var>(i) information on each grant recipient;<br />
         		<a id="pl.253.28"></a><var>253.28</var>(ii) a summary of all projects or initiatives undertaken with each grant;<br />
         		<a id="pl.253.29"></a><var>253.29</var>(iii) the measurable outcomes established by each grantee, an explanation of the <br />
         		<a id="pl.253.30"></a><var>253.30</var>evaluation process used to determine whether the outcomes were met, and the results
         of <br />
         		<a id="pl.253.31"></a><var>253.31</var>the evaluation; and<br />
         		<a id="pl.253.32"></a><var>253.32</var>(iv) an accounting of how the grant funds were spent.<br />
         		<a id="pl.253.33"></a><var>253.33</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015.<br />
         		<br />
         		<a id="bill.7.27.0"></a><a id="pl.253.34"></a><var>253.34</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256B.056, subdivision 5c, is amended to read:<br />
         		<a id="pl.254.1"></a><var>254.1</var>&#160;&#160;&#160;&#160;Subd. 5c. <b>Excess income standard.</b> (a) The excess income standard for parents <br />
         		<a id="pl.254.2"></a><var>254.2</var>and caretaker relatives, pregnant women, infants, and children ages two through 20
         is the <br />
         		<a id="pl.254.3"></a><var>254.3</var>standard specified in subdivision 4, paragraph (b).<br />
         		<a id="pl.254.4"></a><var>254.4</var>(b) The excess income standard for a person whose eligibility is based on blindness,
         <br />
         		<a id="pl.254.5"></a><var>254.5</var>disability, or age of 65 or more years shall equal 75 80 percent of the federal poverty <br />
         		<a id="pl.254.6"></a><var>254.6</var>guidelines.<br />
         		<a id="pl.254.7"></a><var>254.7</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.7.28.0"></a><a id="pl.254.8"></a><var>254.8</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256B.057, subdivision 9, is amended to read:<br />
         		<a id="pl.254.9"></a><var>254.9</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br />
         		<a id="pl.254.10"></a><var>254.10</var>for a person who is employed and who:<br />
         		<a id="pl.254.11"></a><var>254.11</var>(1) but for excess earnings or assets, meets the definition of disabled under the
         <br />
         		<a id="pl.254.12"></a><var>254.12</var>Supplemental Security Income program;<br />
         		<a id="pl.254.13"></a><var>254.13</var>(2) meets the asset limits in paragraph (d); and<br />
         		<a id="pl.254.14"></a><var>254.14</var>(3) pays a premium and other obligations under paragraph (e).<br />
         		<a id="pl.254.15"></a><var>254.15</var>&#160;&#160;&#160;&#160;(b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible
         <br />
         		<a id="pl.254.16"></a><var>254.16</var>for medical assistance under this subdivision, a person must have more than $65 of
         earned <br />
         		<a id="pl.254.17"></a><var>254.17</var>income. Earned income must have Medicare, Social Security, and applicable state and
         <br />
         		<a id="pl.254.18"></a><var>254.18</var>federal taxes withheld. The person must document earned income tax withholding. Any
         <br />
         		<a id="pl.254.19"></a><var>254.19</var>spousal income or assets shall be disregarded for purposes of eligibility and premium
         <br />
         		<a id="pl.254.20"></a><var>254.20</var>determinations.<br />
         		<a id="pl.254.21"></a><var>254.21</var>(c) After the month of enrollment, a person enrolled in medical assistance under <br />
         		<a id="pl.254.22"></a><var>254.22</var>this subdivision who:<br />
         		<a id="pl.254.23"></a><var>254.23</var>(1) is temporarily unable to work and without receipt of earned income due to a <br />
         		<a id="pl.254.24"></a><var>254.24</var>medical condition, as verified by a physician; or<br />
         		<a id="pl.254.25"></a><var>254.25</var>(2) loses employment for reasons not attributable to the enrollee, and is without
         <br />
         		<a id="pl.254.26"></a><var>254.26</var>receipt of earned income may retain eligibility for up to four consecutive months
         after the <br />
         		<a id="pl.254.27"></a><var>254.27</var>month of job loss. To receive a four-month extension, enrollees must verify the medical
         <br />
         		<a id="pl.254.28"></a><var>254.28</var>condition or provide notification of job loss. All other eligibility requirements
         must be met <br />
         		<a id="pl.254.29"></a><var>254.29</var>and the enrollee must pay all calculated premium costs for continued eligibility.<br />
         		<a id="pl.254.30"></a><var>254.30</var>(d) For purposes of determining eligibility under this subdivision, a person's assets
         <br />
         		<a id="pl.254.31"></a><var>254.31</var>must not exceed $20,000, excluding:<br />
         		<a id="pl.254.32"></a><var>254.32</var>(1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br />
         		<a id="pl.254.33"></a><var>254.33</var>(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans,
         <br />
         		<a id="pl.254.34"></a><var>254.34</var>Keogh plans, and pension plans;<br />
         		<a id="pl.254.35"></a><var>254.35</var>(3) medical expense accounts set up through the person's employer; and<br />
         		<a id="pl.255.1"></a><var>255.1</var>(4) spousal assets, including spouse's share of jointly held assets.<br />
         		<a id="pl.255.2"></a><var>255.2</var>(e) All enrollees must pay a premium to be eligible for medical assistance under this
         <br />
         		<a id="pl.255.3"></a><var>255.3</var>subdivision, except as provided under clause (5).<br />
         		<a id="pl.255.4"></a><var>255.4</var>(1) An enrollee must pay the greater of a $65 $35 premium or the premium calculated <br />
         		<a id="pl.255.5"></a><var>255.5</var>based on the person's gross earned and unearned income and the applicable family size
         <br />
         		<a id="pl.255.6"></a><var>255.6</var>using a sliding fee scale established by the commissioner, which begins at one percent
         of <br />
         		<a id="pl.255.7"></a><var>255.7</var>income at 100 percent of the federal poverty guidelines and increases to 7.5 percent
         of <br />
         		<a id="pl.255.8"></a><var>255.8</var>income for those with incomes at or above 300 percent of the federal poverty guidelines.<br />
         		<a id="pl.255.9"></a><var>255.9</var>(2) Annual adjustments in the premium schedule based upon changes in the federal <br />
         		<a id="pl.255.10"></a><var>255.10</var>poverty guidelines shall be effective for premiums due in July of each year.<br />
         		<a id="pl.255.11"></a><var>255.11</var>(3) All enrollees who receive unearned income must pay five one-half of one  percent <br />
         		<a id="pl.255.12"></a><var>255.12</var>of unearned income in addition to the premium amount, except as provided under clause
         (5).<br />
         		<a id="pl.255.13"></a><var>255.13</var>(4) Increases in benefits under title II of the Social Security Act shall not be counted
         <br />
         		<a id="pl.255.14"></a><var>255.14</var>as income for purposes of this subdivision until July 1 of each year.<br />
         		<a id="pl.255.15"></a><var>255.15</var>(5) Effective July 1, 2009, American Indians are exempt from paying premiums as <br />
         		<a id="pl.255.16"></a><var>255.16</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public
         <br />
         		<a id="pl.255.17"></a><var>255.17</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets
         the <br />
         		<a id="pl.255.18"></a><var>255.18</var>definition of Indian according to Code of Federal Regulations, title 42, section 
         <statute_ref>447.50</statute_ref>.<br />
         		<a id="pl.255.19"></a><var>255.19</var>(f) A person's eligibility and premium shall be determined by the local county <br />
         		<a id="pl.255.20"></a><var>255.20</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br />
         		<a id="pl.255.21"></a><var>255.21</var>the commissioner.<br />
         		<a id="pl.255.22"></a><var>255.22</var>(g) Any required premium shall be determined at application and redetermined at <br />
         		<a id="pl.255.23"></a><var>255.23</var>the enrollee's six-month income review or when a change in income or household size
         is <br />
         		<a id="pl.255.24"></a><var>255.24</var>reported. Enrollees must report any change in income or household size within ten
         days <br />
         		<a id="pl.255.25"></a><var>255.25</var>of when the change occurs. A decreased premium resulting from a reported change in
         <br />
         		<a id="pl.255.26"></a><var>255.26</var>income or household size shall be effective the first day of the next available billing
         month <br />
         		<a id="pl.255.27"></a><var>255.27</var>after the change is reported. Except for changes occurring from annual cost-of-living
         <br />
         		<a id="pl.255.28"></a><var>255.28</var>increases, a change resulting in an increased premium shall not affect the premium
         amount <br />
         		<a id="pl.255.29"></a><var>255.29</var>until the next six-month review.<br />
         		<a id="pl.255.30"></a><var>255.30</var>(h) Premium payment is due upon notification from the commissioner of the <br />
         		<a id="pl.255.31"></a><var>255.31</var>premium amount required. Premiums may be paid in installments at the discretion of
         <br />
         		<a id="pl.255.32"></a><var>255.32</var>the commissioner.<br />
         		<a id="pl.255.33"></a><var>255.33</var>(i) Nonpayment of the premium shall result in denial or termination of medical <br />
         		<a id="pl.255.34"></a><var>255.34</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists
         <br />
         		<a id="pl.255.35"></a><var>255.35</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items
         B to <br />
         		<a id="pl.255.36"></a><var>255.36</var>D, are met. Except when an installment agreement is accepted by the commissioner,
         all <br />
         		<a id="pl.256.1"></a><var>256.1</var>persons disenrolled for nonpayment of a premium must pay any past due premiums as
         well <br />
         		<a id="pl.256.2"></a><var>256.2</var>as current premiums due prior to being reenrolled. Nonpayment shall include payment
         with <br />
         		<a id="pl.256.3"></a><var>256.3</var>a returned, refused, or dishonored instrument. The commissioner may require a guaranteed
         <br />
         		<a id="pl.256.4"></a><var>256.4</var>form of payment as the only means to replace a returned, refused, or dishonored instrument.<br />
         		<a id="pl.256.5"></a><var>256.5</var>(j) For enrollees whose income does not exceed 200 percent of the federal poverty
         <br />
         		<a id="pl.256.6"></a><var>256.6</var>guidelines and who are also enrolled in Medicare, the commissioner shall reimburse
         <br />
         		<a id="pl.256.7"></a><var>256.7</var>the enrollee for Medicare part B premiums under section 
         <statute_ref>256B.0625, subdivision 15</statute_ref>, <br />
         		<a id="pl.256.8"></a><var>256.8</var>paragraph (a).<br />
         		<a id="pl.256.9"></a><var>256.9</var><b>EFFECTIVE DATE.</b>This section is effective September 1, 2015.<br />
         		<br />
         		<a id="bill.7.29.0"></a><a id="pl.256.10"></a><var>256.10</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256B.059, subdivision 5, is amended to read:<br />
         		<a id="pl.256.11"></a><var>256.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Asset availability.</b> (a) At the time of initial determination of eligibility for <br />
         		<a id="pl.256.12"></a><var>256.12</var>medical assistance benefits following the first continuous period of institutionalization
         on <br />
         		<a id="pl.256.13"></a><var>256.13</var>or after October 1, 1989, assets considered available to the institutionalized spouse
         shall <br />
         		<a id="pl.256.14"></a><var>256.14</var>be the total value of all assets in which either spouse has an ownership interest,
         reduced by <br />
         		<a id="pl.256.15"></a><var>256.15</var>the following amount for the community spouse:<br />
         		<a id="pl.256.16"></a><var>256.16</var>(1) prior to July 1, 1994, the greater of:<br />
         		<a id="pl.256.17"></a><var>256.17</var>(i) $14,148;<br />
         		<a id="pl.256.18"></a><var>256.18</var>(ii) the lesser of the spousal share or $70,740; or<br />
         		<a id="pl.256.19"></a><var>256.19</var>(iii) the amount required by court order to be paid to the community spouse;<br />
         		<a id="pl.256.20"></a><var>256.20</var>(2) for persons whose date of initial determination of eligibility for medical <br />
         		<a id="pl.256.21"></a><var>256.21</var>assistance following their first continuous period of institutionalization occurs
         on or after <br />
         		<a id="pl.256.22"></a><var>256.22</var>July 1, 1994, the greater of:<br />
         		<a id="pl.256.23"></a><var>256.23</var>(i) $20,000;<br />
         		<a id="pl.256.24"></a><var>256.24</var>(ii) the lesser of the spousal share or $70,740; or<br />
         		<a id="pl.256.25"></a><var>256.25</var>(iii) the amount required by court order to be paid to the community spouse.<br />
         		<a id="pl.256.26"></a><var>256.26</var>The value of assets transferred for the sole benefit of the community spouse under
         section <br />
         		
         <statute_ref><a id="pl.256.27"></a><var>256.27</var>256B.0595, subdivision 4
         </statute_ref>, in combination with other assets available to the community <br />
         		<a id="pl.256.28"></a><var>256.28</var>spouse under this section, cannot exceed the limit for the community spouse asset
         <br />
         		<a id="pl.256.29"></a><var>256.29</var>allowance determined under subdivision 3 or 4. Assets that exceed this allowance shall
         be <br />
         		<a id="pl.256.30"></a><var>256.30</var>considered available to the institutionalized spouse whether or not  converted to income. If <br />
         		<a id="pl.256.31"></a><var>256.31</var>the community spouse asset allowance has been increased under subdivision 4, then
         the <br />
         		<a id="pl.256.32"></a><var>256.32</var>assets considered available to the institutionalized spouse under this subdivision
         shall be <br />
         		<a id="pl.256.33"></a><var>256.33</var>further reduced by the value of additional amounts allowed under subdivision 4.<br />
         		<a id="pl.256.34"></a><var>256.34</var>(b) An institutionalized spouse may be found eligible for medical assistance even
         <br />
         		<a id="pl.256.35"></a><var>256.35</var>though assets in excess of the allowable amount are found to be available under paragraph
         <br />
         		<a id="pl.257.1"></a><var>257.1</var>(a) if the assets are owned jointly or individually by the community spouse, and the
         <br />
         		<a id="pl.257.2"></a><var>257.2</var>institutionalized spouse cannot use those assets to pay for the cost of care without
         the <br />
         		<a id="pl.257.3"></a><var>257.3</var>consent of the community spouse, and if: (i) the institutionalized spouse assigns
         to the <br />
         		<a id="pl.257.4"></a><var>257.4</var>commissioner the right to support from the community spouse under section 
         <statute_ref>256B.14, <br />
            		<a id="pl.257.5"></a><var>257.5</var>subdivision 3
         </statute_ref>; (ii) the institutionalized spouse lacks the ability to execute an assignment <br />
         		<a id="pl.257.6"></a><var>257.6</var>due to a physical or mental impairment; or (iii) the denial of eligibility would cause
         an <br />
         		<a id="pl.257.7"></a><var>257.7</var>imminent threat to the institutionalized spouse's health and well-being.<br />
         		<a id="pl.257.8"></a><var>257.8</var>(c) After the month in which the institutionalized spouse is determined eligible for
         <br />
         		<a id="pl.257.9"></a><var>257.9</var>medical assistance, during the continuous period of institutionalization, no assets
         of the <br />
         		<a id="pl.257.10"></a><var>257.10</var>community spouse are considered available to the institutionalized spouse, unless
         the <br />
         		<a id="pl.257.11"></a><var>257.11</var>institutionalized spouse has been found eligible under paragraph (b).<br />
         		<a id="pl.257.12"></a><var>257.12</var>(d) Assets determined to be available to the institutionalized spouse under this <br />
         		<a id="pl.257.13"></a><var>257.13</var>section must be used for the health care or personal needs of the institutionalized
         spouse.<br />
         		<a id="pl.257.14"></a><var>257.14</var>(e) For purposes of this section, assets do not include assets excluded under the
         <br />
         		<a id="pl.257.15"></a><var>257.15</var>Supplemental Security Income program.<br />
         		<br />
         		<a id="bill.7.30.0"></a><a id="pl.257.16"></a><var>257.16</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 256B.0916, subdivision 2, is amended to read:<br />
         		<a id="pl.257.17"></a><var>257.17</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Distribution of funds; partnerships.</b> (a) Beginning with fiscal year 2000, <br />
         		<a id="pl.257.18"></a><var>257.18</var>the commissioner shall distribute all funding available for home and community-based
         <br />
         		<a id="pl.257.19"></a><var>257.19</var>waiver services for persons with developmental disabilities to individual counties
         or to <br />
         		<a id="pl.257.20"></a><var>257.20</var>groups of counties that form partnerships to jointly plan, administer, and authorize
         funding <br />
         		<a id="pl.257.21"></a><var>257.21</var>for eligible individuals. The commissioner shall encourage counties to form partnerships
         <br />
         		<a id="pl.257.22"></a><var>257.22</var>that have a sufficient number of recipients and funding to adequately manage the risk
         <br />
         		<a id="pl.257.23"></a><var>257.23</var>and maximize use of available resources.<br />
         		<a id="pl.257.24"></a><var>257.24</var>&#160;&#160;&#160;&#160;(b) Counties must submit a request for funds and a plan for administering the <br />
         		<a id="pl.257.25"></a><var>257.25</var>program as required by the commissioner. The plan must identify the number of clients
         to <br />
         		<a id="pl.257.26"></a><var>257.26</var>be served, their ages, and their priority listing based on:<br />
         		<a id="pl.257.27"></a><var>257.27</var>&#160;&#160;&#160;&#160;(1) requirements in Minnesota Rules, part 9525.1880; and<br />
         		<a id="pl.257.28"></a><var>257.28</var>&#160;&#160;&#160;&#160;(2) statewide priorities identified in section 
         <statute_ref>256B.092, subdivision 12</statute_ref>.<br />
         		<a id="pl.257.29"></a><var>257.29</var>The plan must also identify changes made to improve services to eligible persons and
         to <br />
         		<a id="pl.257.30"></a><var>257.30</var>improve program management.<br />
         		<a id="pl.257.31"></a><var>257.31</var>&#160;&#160;&#160;&#160;(c) In allocating resources to counties, priority must be given to groups of counties
         <br />
         		<a id="pl.257.32"></a><var>257.32</var>that form partnerships to jointly plan, administer, and authorize funding for eligible
         <br />
         		<a id="pl.257.33"></a><var>257.33</var>individuals and to counties determined by the commissioner to have sufficient waiver
         <br />
         		<a id="pl.257.34"></a><var>257.34</var>capacity to maximize resource use.<br />
         		<a id="pl.258.1"></a><var>258.1</var>&#160;&#160;&#160;&#160;(d) Within 30 days after receiving the county request for funds and plans, the <br />
         		<a id="pl.258.2"></a><var>258.2</var>commissioner shall provide a written response to the plan that includes the level
         of <br />
         		<a id="pl.258.3"></a><var>258.3</var>resources available to serve additional persons.<br />
         		<a id="pl.258.4"></a><var>258.4</var>&#160;&#160;&#160;&#160;(e) Counties are eligible to receive medical assistance administrative reimbursement
         <br />
         		<a id="pl.258.5"></a><var>258.5</var>for administrative costs under criteria established by the commissioner.<br />
         		<a id="pl.258.6"></a><var>258.6</var>(f) The commissioner shall manage waiver allocations in such a manner as to fully
         <br />
         		<a id="pl.258.7"></a><var>258.7</var>use available state and federal waiver appropriations.<br />
         		<a id="pl.258.8"></a><var>258.8</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.7.31.0"></a><a id="pl.258.9"></a><var>258.9</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 256B.0916, subdivision 11, is amended to <br />
         		<a id="pl.258.10"></a><var>258.10</var>read:<br />
         		<a id="pl.258.11"></a><var>258.11</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Excess spending.</b> County and tribal agencies are responsible for spending <br />
         		<a id="pl.258.12"></a><var>258.12</var>in excess of the allocation made by the commissioner. In the event a county or tribal
         agency <br />
         		<a id="pl.258.13"></a><var>258.13</var>spends in excess of the allocation made by the commissioner for a given allocation
         period, <br />
         		<a id="pl.258.14"></a><var>258.14</var>they must submit a corrective action plan to the commissioner for approval. The plan must <br />
         		<a id="pl.258.15"></a><var>258.15</var>state the actions the agency will take to correct their overspending for the year two years <br />
         		<a id="pl.258.16"></a><var>258.16</var>following the period when the overspending occurred. Failure to correct overspending <br />
         		<a id="pl.258.17"></a><var>258.17</var>shall result in recoupment of spending in excess of the allocation. The commissioner <br />
         		<a id="pl.258.18"></a><var>258.18</var>shall recoup spending in excess of the allocation only in cases where statewide spending
         <br />
         		<a id="pl.258.19"></a><var>258.19</var>exceeds the appropriation designated for the home and community-based services waivers. <br />
         		<a id="pl.258.20"></a><var>258.20</var>Nothing in this subdivision shall be construed as reducing the county's responsibility
         to <br />
         		<a id="pl.258.21"></a><var>258.21</var>offer and make available feasible home and community-based options to eligible waiver
         <br />
         		<a id="pl.258.22"></a><var>258.22</var>recipients within the resources allocated to them for that purpose.<br />
         		<a id="pl.258.23"></a><var>258.23</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.7.32.0"></a><a id="pl.258.24"></a><var>258.24</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 256B.0916, is amended by adding a <br />
         		<a id="pl.258.25"></a><var>258.25</var>subdivision to read:<br />
         		<a id="pl.258.26"></a><var>258.26</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Use of waiver allocations.</b> County and tribal agencies are responsible <br />
         		<a id="pl.258.27"></a><var>258.27</var>for spending the annual allocation made by the commissioner. In the event a county
         or <br />
         		<a id="pl.258.28"></a><var>258.28</var>tribal agency spends less than 97 percent of the allocation, while maintaining a list
         of <br />
         		<a id="pl.258.29"></a><var>258.29</var>persons waiting for waiver services, the county or tribal agency must submit a corrective
         <br />
         		<a id="pl.258.30"></a><var>258.30</var>action plan to the commissioner for approval. The commissioner may determine a plan
         <br />
         		<a id="pl.258.31"></a><var>258.31</var>is unnecessary given the size of the allocation and capacity for new enrollment. The
         <br />
         		<a id="pl.258.32"></a><var>258.32</var>plan must state the actions the agency will take to assure reasonable and timely access
         <br />
         		<a id="pl.258.33"></a><var>258.33</var>to home and community-based waiver services for persons waiting for services. If a
         <br />
         		<a id="pl.259.1"></a><var>259.1</var>county or tribe does not submit a plan when required or implement the changes required,
         <br />
         		<a id="pl.259.2"></a><var>259.2</var>the commissioner shall assure access to waiver services within the county's or tribe's
         <br />
         		<a id="pl.259.3"></a><var>259.3</var>available allocation and take other actions needed to assure that all waiver participants
         in <br />
         		<a id="pl.259.4"></a><var>259.4</var>that county or tribe are receiving appropriate waiver services to meet their needs.<br />
         		<a id="pl.259.5"></a><var>259.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.7.33.0"></a><a id="pl.259.6"></a><var>259.6</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 256B.49, subdivision 26, is amended to read:<br />
         		<a id="pl.259.7"></a><var>259.7</var>&#160;&#160;&#160;&#160;Subd. 26. <b>Excess allocations.</b> (a) Effective through June 30, 2018, county and <br />
         		<a id="pl.259.8"></a><var>259.8</var>tribal agencies will be responsible for authorizations in excess of the annual allocation <br />
         		<a id="pl.259.9"></a><var>259.9</var>made by the commissioner. In the event a county or tribal agency authorizes in excess
         <br />
         		<a id="pl.259.10"></a><var>259.10</var>of the allocation made by the commissioner for a given allocation period, the county
         or <br />
         		<a id="pl.259.11"></a><var>259.11</var>tribal agency must submit a corrective action plan to the commissioner for approval. <br />
         		<a id="pl.259.12"></a><var>259.12</var>The plan must state the actions the agency will take to correct their overspending
         for <br />
         		<a id="pl.259.13"></a><var>259.13</var>the year two years following the period when the overspending occurred. Failure to <br />
         		<a id="pl.259.14"></a><var>259.14</var>correct overauthorizations shall result in recoupment of authorizations in excess
         of the <br />
         		<a id="pl.259.15"></a><var>259.15</var>allocation. The commissioner shall recoup funds spent in excess of the allocation only <br />
         		<a id="pl.259.16"></a><var>259.16</var>in cases where statewide spending exceeds the appropriation designated for the home
         <br />
         		<a id="pl.259.17"></a><var>259.17</var>and community-based services waivers. Nothing in this subdivision shall be construed <br />
         		<a id="pl.259.18"></a><var>259.18</var>as reducing the county's responsibility to offer and make available feasible home
         and <br />
         		<a id="pl.259.19"></a><var>259.19</var>community-based options to eligible waiver recipients within the resources allocated
         <br />
         		<a id="pl.259.20"></a><var>259.20</var>to them for that purpose.<br />
         		<a id="pl.259.21"></a><var>259.21</var>(b) Effective July 1, 2018, county and tribal agencies will be responsible for <br />
         		<a id="pl.259.22"></a><var>259.22</var>spending in  excess of the annual allocation made by the commissioner. In the event
         a <br />
         		<a id="pl.259.23"></a><var>259.23</var>county or tribal  agency spends in excess of the allocation made by the commissioner
         for a <br />
         		<a id="pl.259.24"></a><var>259.24</var>given allocation  period, the county or tribal agency must submit a corrective action
         plan to <br />
         		<a id="pl.259.25"></a><var>259.25</var>the   commissioner for approval. The plan must state the actions the agency will take
         to <br />
         		<a id="pl.259.26"></a><var>259.26</var>correct  its overspending for the two years following the period when the overspending
         <br />
         		<a id="pl.259.27"></a><var>259.27</var>occurred.  The commissioner shall recoup funds spent in excess of the allocation only
         in <br />
         		<a id="pl.259.28"></a><var>259.28</var>cases when  statewide spending exceeds the appropriation designated for the home and
         <br />
         		<a id="pl.259.29"></a><var>259.29</var>community-based services waivers. Nothing in this subdivision shall be construed as
         <br />
         		<a id="pl.259.30"></a><var>259.30</var>reducing the county or tribe's responsibility to offer and make available feasible
         home and <br />
         		<a id="pl.259.31"></a><var>259.31</var>community-based options to eligible waiver recipients within the resources allocated
         to <br />
         		<a id="pl.259.32"></a><var>259.32</var>it for that purpose.<br />
         		<br />
         		<a id="bill.7.34.0"></a><a id="pl.259.33"></a><var>259.33</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2014, section 256B.49, is amended by adding a <br />
         		<a id="pl.259.34"></a><var>259.34</var>subdivision to read:<br />
         		<a id="pl.260.1"></a><var>260.1</var>&#160;&#160;&#160;&#160;Subd. 27. <b>Use of waiver allocations.</b> (a) Effective until June 30, 2018, county <br />
         		<a id="pl.260.2"></a><var>260.2</var>and tribal agencies are responsible for authorizing the annual allocation made by
         the <br />
         		<a id="pl.260.3"></a><var>260.3</var>commissioner. In the event a county or tribal agency authorizes less than 97 percent
         of <br />
         		<a id="pl.260.4"></a><var>260.4</var>the allocation, while maintaining a list of persons waiting for waiver services, the
         county <br />
         		<a id="pl.260.5"></a><var>260.5</var>or tribal agency must submit a corrective action plan to the commissioner for approval.
         <br />
         		<a id="pl.260.6"></a><var>260.6</var>The commissioner may determine a plan is unnecessary given the size of the allocation
         <br />
         		<a id="pl.260.7"></a><var>260.7</var>and capacity for new enrollment. The plan must state the actions the agency will take
         <br />
         		<a id="pl.260.8"></a><var>260.8</var>to assure reasonable and timely access to home and community-based waiver services
         <br />
         		<a id="pl.260.9"></a><var>260.9</var>for persons waiting for services. <br />
         		<a id="pl.260.10"></a><var>260.10</var>(b) Effective July 1, 2018, county and tribal agencies are responsible for spending
         <br />
         		<a id="pl.260.11"></a><var>260.11</var>the annual allocation made by the commissioner. In the event a county or tribal agency
         <br />
         		<a id="pl.260.12"></a><var>260.12</var>spends less than 97 percent of the allocation, while maintaining a list of persons
         waiting <br />
         		<a id="pl.260.13"></a><var>260.13</var>for waiver services, the county or tribal agency must submit a corrective action plan
         to the <br />
         		<a id="pl.260.14"></a><var>260.14</var>commissioner for approval. The commissioner may determine a plan is unnecessary given
         <br />
         		<a id="pl.260.15"></a><var>260.15</var>the size of the allocation and capacity for new enrollment. The plan must state the
         actions <br />
         		<a id="pl.260.16"></a><var>260.16</var>the agency will take to assure reasonable and timely access to home and community-based
         <br />
         		<a id="pl.260.17"></a><var>260.17</var>waiver services for persons waiting for services.<br />
         		<a id="pl.260.18"></a><var>260.18</var>(c) If a county or tribe does not submit a plan when required or implement the <br />
         		<a id="pl.260.19"></a><var>260.19</var>changes required, the commissioner shall assure access to waiver services within the
         <br />
         		<a id="pl.260.20"></a><var>260.20</var>county or tribe's available allocation, and take other actions needed to assure that
         all <br />
         		<a id="pl.260.21"></a><var>260.21</var>waiver participants in that county or tribe are receiving appropriate waiver services
         <br />
         		<a id="pl.260.22"></a><var>260.22</var>to meet their needs.<br />
         		<br />
         		<a id="bill.7.35.0"></a><a id="pl.260.23"></a><var>260.23</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 256B.4913, subdivision 4a, is amended to <br />
         		<a id="pl.260.24"></a><var>260.24</var>read:<br />
         		<a id="pl.260.25"></a><var>260.25</var>&#160;&#160;&#160;&#160;Subd. 4a. <b>Rate stabilization adjustment.</b> (a) For purposes of this subdivision, <br />
         		<a id="pl.260.26"></a><var>260.26</var>"implementation period" means the period beginning January 1, 2014, and ending on
         <br />
         		<a id="pl.260.27"></a><var>260.27</var>the last day of the month in which the rate management system is populated with the
         <br />
         		<a id="pl.260.28"></a><var>260.28</var>data necessary to calculate rates for substantially all individuals receiving home
         and <br />
         		<a id="pl.260.29"></a><var>260.29</var>community-based waiver services under sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>. "Banding <br />
         		<a id="pl.260.30"></a><var>260.30</var>period" means the time period beginning on January 1, 2014, and ending upon the <br />
         		<a id="pl.260.31"></a><var>260.31</var>expiration of the 12-month period defined in paragraph (c), clause (5).<br />
         		<a id="pl.260.32"></a><var>260.32</var>(b) For purposes of this subdivision, the historical rate for all service recipients
         means <br />
         		<a id="pl.260.33"></a><var>260.33</var>the individual reimbursement rate for a recipient in effect on December 1, 2013, except
         that:<br />
         		<a id="pl.260.34"></a><var>260.34</var>(1) for a day service recipient who was not authorized to receive these waiver <br />
         		<a id="pl.260.35"></a><var>260.35</var>services prior to January 1, 2014; added a new service or services on or after January
         1, <br />
         		<a id="pl.261.1"></a><var>261.1</var>2014; or changed providers on or after January 1, 2014, the historical rate must be
         the <br />
         		<a id="pl.261.2"></a><var>261.2</var>authorized rate for the provider in the county of service, effective December 1, 2013;
         or<br />
         		<a id="pl.261.3"></a><var>261.3</var>(2) for a unit-based service with programming or a unit-based service without <br />
         		<a id="pl.261.4"></a><var>261.4</var>programming recipient who was not authorized to receive these waiver services prior
         to <br />
         		<a id="pl.261.5"></a><var>261.5</var>January 1, 2014; added a new service or services on or after January 1, 2014; or changed
         <br />
         		<a id="pl.261.6"></a><var>261.6</var>providers on or after January 1, 2014, the historical rate must be the weighted average
         <br />
         		<a id="pl.261.7"></a><var>261.7</var>authorized rate for each provider number in the county of service, effective December
         1, <br />
         		<a id="pl.261.8"></a><var>261.8</var>2013; or<br />
         		<a id="pl.261.9"></a><var>261.9</var>(3) for residential service recipients who change providers on or after January 1,
         <br />
         		<a id="pl.261.10"></a><var>261.10</var>2014, the historical rate must be set by each lead agency within their county aggregate
         <br />
         		<a id="pl.261.11"></a><var>261.11</var>budget using their respective methodology for residential services effective December
         1, <br />
         		<a id="pl.261.12"></a><var>261.12</var>2013, for determining the provider rate for a similarly situated recipient being served
         by <br />
         		<a id="pl.261.13"></a><var>261.13</var>that provider.<br />
         		<a id="pl.261.14"></a><var>261.14</var>(c) The commissioner shall adjust individual reimbursement rates determined under
         <br />
         		<a id="pl.261.15"></a><var>261.15</var>this section so that the unit rate is no higher or lower than:<br />
         		<a id="pl.261.16"></a><var>261.16</var>(1) 0.5 percent from the historical rate for the implementation period;<br />
         		<a id="pl.261.17"></a><var>261.17</var>(2) 0.5 percent from the rate in effect in clause (1), for the 12-month period <br />
         		<a id="pl.261.18"></a><var>261.18</var>immediately following the time period of clause (1);<br />
         		<a id="pl.261.19"></a><var>261.19</var>(3) 1.0 0.5 percent from the rate in effect in clause (2), for the 12-month period <br />
         		<a id="pl.261.20"></a><var>261.20</var>immediately following the time period of clause (2);<br />
         		<a id="pl.261.21"></a><var>261.21</var>(4) 1.0 percent from the rate in effect in clause (3), for the 12-month period <br />
         		<a id="pl.261.22"></a><var>261.22</var>immediately following the time period of clause (3); and<br />
         		<a id="pl.261.23"></a><var>261.23</var>(5) 1.0 percent from the rate in effect in clause (4), for the 12-month period <br />
         		<a id="pl.261.24"></a><var>261.24</var>immediately following the time period of clause (4); and<br />
         		<a id="pl.261.25"></a><var>261.25</var>(6) no adjustment to the rate in effect in clause (5) for the 12-month period <br />
         		<a id="pl.261.26"></a><var>261.26</var>immediately following the time period of clause (5). During this banding rate period,
         the <br />
         		<a id="pl.261.27"></a><var>261.27</var>commissioner shall not enforce any rate decrease or increase that would otherwise
         result <br />
         		<a id="pl.261.28"></a><var>261.28</var>from the end of the banding period. The commissioner shall, upon enactment, seek federal
         <br />
         		<a id="pl.261.29"></a><var>261.29</var>approval for the addition of this banding period.<br />
         		<a id="pl.261.30"></a><var>261.30</var>(d) The commissioner shall review all changes to rates that were in effect on <br />
         		<a id="pl.261.31"></a><var>261.31</var>December 1, 2013, to verify that the rates in effect produce the equivalent level
         of spending <br />
         		<a id="pl.261.32"></a><var>261.32</var>and service unit utilization on an annual basis as those in effect on October 31,
         2013.<br />
         		<a id="pl.261.33"></a><var>261.33</var>(e) By December 31, 2014, the commissioner shall complete the review in paragraph
         <br />
         		<a id="pl.261.34"></a><var>261.34</var>(d), adjust rates to provide equivalent annual spending, and make appropriate adjustments.<br />
         		<a id="pl.261.35"></a><var>261.35</var>(f) During the banding period, the Medicaid Management Information System <br />
         		<a id="pl.261.36"></a><var>261.36</var>(MMIS) service agreement rate must be adjusted to account for change in an individual's
         <br />
         		<a id="pl.262.1"></a><var>262.1</var>need. The commissioner shall adjust the Medicaid Management Information System <br />
         		<a id="pl.262.2"></a><var>262.2</var>(MMIS) service agreement rate by:<br />
         		<a id="pl.262.3"></a><var>262.3</var>(1) calculating a service rate under section 
         <statute_ref>256B.4914, subdivision 6</statute_ref>, 7, 8, or 9, for <br />
         		<a id="pl.262.4"></a><var>262.4</var>the individual with variables reflecting the level of service in effect on December
         1, 2013;<br />
         		<a id="pl.262.5"></a><var>262.5</var>(2) calculating a service rate under section 
         <statute_ref>256B.4914, subdivision 6</statute_ref>, 7, 8, or <br />
         		<a id="pl.262.6"></a><var>262.6</var>9, for the individual with variables reflecting the updated level of service at the
         time <br />
         		<a id="pl.262.7"></a><var>262.7</var>of application; and<br />
         		<a id="pl.262.8"></a><var>262.8</var>(3) adding to or subtracting from the Medicaid Management Information System <br />
         		<a id="pl.262.9"></a><var>262.9</var>(MMIS) service agreement rate, the difference between the values in clauses (1) and
         (2).<br />
         		<a id="pl.262.10"></a><var>262.10</var>(g) This subdivision must not apply to rates for recipients served by providers new
         <br />
         		<a id="pl.262.11"></a><var>262.11</var>to a given county after January 1, 2014. Providers of personal supports services who
         also <br />
         		<a id="pl.262.12"></a><var>262.12</var>acted as fiscal support entities must be treated as new providers as of January 1,
         2014.<br />
         		<br />
         		<a id="bill.7.36.0"></a><a id="pl.262.13"></a><var>262.13</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2014, section 256B.4913, subdivision 5, is amended to read:<br />
         		<a id="pl.262.14"></a><var>262.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Stakeholder consultation</b><b> and county training</b><b>.</b> (a) The commissioner <br />
         		<a id="pl.262.15"></a><var>262.15</var>shall continue consultation on regular intervals with the existing stakeholder group
         <br />
         		<a id="pl.262.16"></a><var>262.16</var>established as part of the rate-setting methodology process and others, to gather
         input, <br />
         		<a id="pl.262.17"></a><var>262.17</var>concerns, and data, to assist in the full implementation of the new rate payment system
         and <br />
         		<a id="pl.262.18"></a><var>262.18</var>to make pertinent information available to the public through the department's Web
         site.<br />
         		<a id="pl.262.19"></a><var>262.19</var>(b) The commissioner shall offer training at least annually for county personnel <br />
         		<a id="pl.262.20"></a><var>262.20</var>responsible for administering the rate-setting framework in a manner consistent with
         this <br />
         		<a id="pl.262.21"></a><var>262.21</var>section and section 256B.4914.<br />
         		<a id="pl.262.22"></a><var>262.22</var>(c) The commissioner shall maintain an online instruction manual explaining the <br />
         		<a id="pl.262.23"></a><var>262.23</var>rate-setting framework. The manual shall be consistent with this section and section
         <br />
         		<a id="pl.262.24"></a><var>262.24</var>256B.4914, and shall be accessible to all stakeholders including recipients, representatives
         <br />
         		<a id="pl.262.25"></a><var>262.25</var>of recipients, county or tribal agencies, and license holders.<br />
         		<a id="pl.262.26"></a><var>262.26</var>(d) The commissioner shall not defer to the county or tribal agency on matters of
         <br />
         		<a id="pl.262.27"></a><var>262.27</var>technical application of the rate-setting framework, and a county or tribal agency
         shall not <br />
         		<a id="pl.262.28"></a><var>262.28</var>set rates in a manner that conflicts with this section or section 256B.4914.<br />
         		<br />
         		<a id="bill.7.37.0"></a><a id="pl.262.29"></a><var>262.29</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2014, section 256B.4914, subdivision 2, is amended to read:<br />
         		<a id="pl.262.30"></a><var>262.30</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the following terms have the <br />
         		<a id="pl.262.31"></a><var>262.31</var>meanings given them, unless the context clearly indicates otherwise.<br />
         		<a id="pl.262.32"></a><var>262.32</var>(b) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.262.33"></a><var>262.33</var>(c) "Component value" means underlying factors that are part of the cost of providing
         <br />
         		<a id="pl.262.34"></a><var>262.34</var>services that are built into the waiver rates methodology to calculate service rates.<br />
         		<a id="pl.263.1"></a><var>263.1</var>(d) "Customized living tool" means a methodology for setting service rates that <br />
         		<a id="pl.263.2"></a><var>263.2</var>delineates and documents the amount of each component service included in a recipient's
         <br />
         		<a id="pl.263.3"></a><var>263.3</var>customized living service plan.<br />
         		<a id="pl.263.4"></a><var>263.4</var>(e) "Disability waiver rates system" means a statewide system that establishes rates
         <br />
         		<a id="pl.263.5"></a><var>263.5</var>that are based on uniform processes and captures the individualized nature of waiver
         <br />
         		<a id="pl.263.6"></a><var>263.6</var>services and recipient needs.<br />
         		<a id="pl.263.7"></a><var>263.7</var>(f) "Individual staffing" means the time spent as a one-to-one interaction specific
         to <br />
         		<a id="pl.263.8"></a><var>263.8</var>an individual recipient by staff brought in solely to provide direct support and assistance <br />
         		<a id="pl.263.9"></a><var>263.9</var>with activities of daily living, instrumental activities of daily living, and training
         to <br />
         		<a id="pl.263.10"></a><var>263.10</var>participants, and is based on the requirements in each individual's coordinated service
         and <br />
         		<a id="pl.263.11"></a><var>263.11</var>support plan under section 
         <statute_ref>245D.02, subdivision 4b</statute_ref>; any coordinated service and support <br />
         		<a id="pl.263.12"></a><var>263.12</var>plan addendum under section 
         <statute_ref>245D.02, subdivision 4c</statute_ref>;  and an assessment tool; and. <br />
         		<a id="pl.263.13"></a><var>263.13</var>Provider observation of an individual's needs must also be considered.<br />
         		<a id="pl.263.14"></a><var>263.14</var>(g) "Lead agency" means a county, partnership of counties, or tribal agency charged
         <br />
         		<a id="pl.263.15"></a><var>263.15</var>with administering waivered services under sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>.<br />
         		<a id="pl.263.16"></a><var>263.16</var>(h) "Median" means the amount that divides distribution into two equal groups, <br />
         		<a id="pl.263.17"></a><var>263.17</var>one-half above the median and one-half below the median.<br />
         		<a id="pl.263.18"></a><var>263.18</var>(i) "Payment or rate" means reimbursement to an eligible provider for services <br />
         		<a id="pl.263.19"></a><var>263.19</var>provided to a qualified individual based on an approved service authorization.<br />
         		<a id="pl.263.20"></a><var>263.20</var>(j) "Rates management system" means a Web-based software application that uses <br />
         		<a id="pl.263.21"></a><var>263.21</var>a framework and component values, as determined by the commissioner, to establish
         <br />
         		<a id="pl.263.22"></a><var>263.22</var>service rates.<br />
         		<a id="pl.263.23"></a><var>263.23</var>(k) "Recipient" means a person receiving home and community-based services <br />
         		<a id="pl.263.24"></a><var>263.24</var>funded under any of the disability waivers.<br />
         		<a id="pl.263.25"></a><var>263.25</var>(l) "Shared staffing" means time spent by employees, not defined under paragraph <br />
         		<a id="pl.263.26"></a><var>263.26</var>(f), providing or available to provide more than one individual with direct support
         and <br />
         		<a id="pl.263.27"></a><var>263.27</var>assistance with activities of daily living as defined under section 
         <statute_ref>256B.0659, subdivision 1</statute_ref>, <br />
         		<a id="pl.263.28"></a><var>263.28</var>paragraph (b); instrumental activities of daily living as defined under section 
         <statute_ref>256B.0659</statute_ref>, <br />
         		<a id="pl.263.29"></a><var>263.29</var>subdivision 1, paragraph (i); ancillary activities needed to support individual services;
         and <br />
         		<a id="pl.263.30"></a><var>263.30</var>training to participants, and is based on the requirements in each individual's coordinated
         <br />
         		<a id="pl.263.31"></a><var>263.31</var>service and support plan under section 
         <statute_ref>245D.02, subdivision 4b</statute_ref>; any coordinated service <br />
         		<a id="pl.263.32"></a><var>263.32</var>and support plan addendum under section 
         <statute_ref>245D.02, subdivision 4c</statute_ref>; an assessment tool; and <br />
         		<a id="pl.263.33"></a><var>263.33</var>provider observation of an individual's service need. Total shared staffing hours
         are divided <br />
         		<a id="pl.263.34"></a><var>263.34</var>proportionally by the number of individuals who receive the shared service provisions.<br />
         		<a id="pl.263.35"></a><var>263.35</var>(m) "Staffing ratio" means the number of recipients a service provider employee <br />
         		<a id="pl.263.36"></a><var>263.36</var>supports during a unit of service based on a uniform assessment tool, provider observation,
         <br />
         		<a id="pl.264.1"></a><var>264.1</var>case history, and the recipient's services of choice, and not based on the staffing
         ratios <br />
         		<a id="pl.264.2"></a><var>264.2</var>under section 
         <statute_ref>245D.31</statute_ref>.<br />
         		<a id="pl.264.3"></a><var>264.3</var>&#160;&#160;&#160;&#160;(n) "Unit of service" means the following:<br />
         		<a id="pl.264.4"></a><var>264.4</var>&#160;&#160;&#160;&#160;(1) for residential support services under subdivision 6, a unit of service is a day.
         <br />
         		<a id="pl.264.5"></a><var>264.5</var>Any portion of any calendar day, within allowable Medicaid rules, where an individual
         <br />
         		<a id="pl.264.6"></a><var>264.6</var>spends time in a residential setting is billable as a day;<br />
         		<a id="pl.264.7"></a><var>264.7</var>&#160;&#160;&#160;&#160;(2) for day services under subdivision 7:<br />
         		<a id="pl.264.8"></a><var>264.8</var>&#160;&#160;&#160;&#160;(i) for day training and habilitation services, a unit of service is either:<br />
         		<a id="pl.264.9"></a><var>264.9</var>&#160;&#160;&#160;&#160;(A) a day unit of service is defined as six or more hours of time spent providing
         <br />
         		<a id="pl.264.10"></a><var>264.10</var>direct services and transportation; or<br />
         		<a id="pl.264.11"></a><var>264.11</var>&#160;&#160;&#160;&#160;(B) a partial day unit of service is defined as fewer than six hours of time spent
         <br />
         		<a id="pl.264.12"></a><var>264.12</var>providing direct services and transportation; and<br />
         		<a id="pl.264.13"></a><var>264.13</var>&#160;&#160;&#160;&#160;(C) for new day service recipients after January 1, 2014, 15 minute units of <br />
         		<a id="pl.264.14"></a><var>264.14</var>service must be used for fewer than six hours of time spent providing direct services
         <br />
         		<a id="pl.264.15"></a><var>264.15</var>and transportation;<br />
         		<a id="pl.264.16"></a><var>264.16</var>&#160;&#160;&#160;&#160;(ii) for adult day and structured day services, a unit of service is a day or 15 minutes.
         <br />
         		<a id="pl.264.17"></a><var>264.17</var>A day unit of service is six or more hours of time spent providing direct services;<br />
         		<a id="pl.264.18"></a><var>264.18</var>&#160;&#160;&#160;&#160;(iii) for prevocational services, a unit of service is a day or an hour. A day unit
         of <br />
         		<a id="pl.264.19"></a><var>264.19</var>service is six or more hours of time spent providing direct service;<br />
         		<a id="pl.264.20"></a><var>264.20</var>&#160;&#160;&#160;&#160;(3) for unit-based services with programming under subdivision 8:<br />
         		<a id="pl.264.21"></a><var>264.21</var>&#160;&#160;&#160;&#160;(i) for supported living services, a unit of service is a day or 15 minutes. When
         a <br />
         		<a id="pl.264.22"></a><var>264.22</var>day rate is authorized, any portion of a calendar day where an individual receives
         services <br />
         		<a id="pl.264.23"></a><var>264.23</var>is billable as a day; and<br />
         		<a id="pl.264.24"></a><var>264.24</var>&#160;&#160;&#160;&#160;(ii) for all other services, a unit of service is 15 minutes; and<br />
         		<a id="pl.264.25"></a><var>264.25</var>&#160;&#160;&#160;&#160;(4) for unit-based services without programming under subdivision 9:<br />
         		<a id="pl.264.26"></a><var>264.26</var>&#160;&#160;&#160;&#160;(i) for respite services, a unit of service is a day or 15 minutes. When a day rate
         is <br />
         		<a id="pl.264.27"></a><var>264.27</var>authorized, any portion of a calendar day when an individual receives services is
         billable <br />
         		<a id="pl.264.28"></a><var>264.28</var>as a day; and<br />
         		<a id="pl.264.29"></a><var>264.29</var>&#160;&#160;&#160;&#160;(ii) for all other services, a unit of service is 15 minutes.<br />
         		<br />
         		<a id="bill.7.38.0"></a><a id="pl.264.30"></a><var>264.30</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2014, section 256B.4914, subdivision 6, is amended to read:<br />
         		<a id="pl.264.31"></a><var>264.31</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Payments for residential support services.</b> (a) Payments for residential <br />
         		<a id="pl.264.32"></a><var>264.32</var>support services, as defined in sections 
         <statute_ref>256B.092, subdivision 11</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, <br />
         		<a id="pl.264.33"></a><var>264.33</var>subdivision 22, must be calculated as follows:<br />
         		<a id="pl.264.34"></a><var>264.34</var>(1) determine the number of shared staffing and individual direct staff hours to meet
         <br />
         		<a id="pl.264.35"></a><var>264.35</var>a recipient's needs provided on site or through monitoring technology;<br />
         		<a id="pl.265.1"></a><var>265.1</var>(2) personnel hourly wage rate must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.265.2"></a><var>265.2</var>Minnesota-specific rates or rates derived by the commissioner as provided in subdivision
         <br />
         		<a id="pl.265.3"></a><var>265.3</var>5. This is defined as the direct-care rate;<br />
         		<a id="pl.265.4"></a><var>265.4</var>(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.265.5"></a><var>265.5</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.265.6"></a><var>265.6</var>to the result of clause (2). This is defined as the customized direct-care rate;<br />
         		<a id="pl.265.7"></a><var>265.7</var>(4) multiply the number of shared and individual direct staff hours provided on site
         <br />
         		<a id="pl.265.8"></a><var>265.8</var>or through monitoring technology and nursing hours by the appropriate staff wages
         in <br />
         		<a id="pl.265.9"></a><var>265.9</var>subdivision 5, paragraph (a), or the customized direct-care rate;<br />
         		<a id="pl.265.10"></a><var>265.10</var>(5) multiply the number of shared and individual direct staff hours provided on site
         <br />
         		<a id="pl.265.11"></a><var>265.11</var>or through monitoring technology and nursing hours by the product of the supervision
         <br />
         		<a id="pl.265.12"></a><var>265.12</var>span of control ratio in subdivision 5, paragraph (b), clause (1), and the appropriate
         <br />
         		<a id="pl.265.13"></a><var>265.13</var>supervision wage in subdivision 5, paragraph (a), clause (16);<br />
         		<a id="pl.265.14"></a><var>265.14</var>(6) combine the results of clauses (4) and (5), excluding any shared and individual
         <br />
         		<a id="pl.265.15"></a><var>265.15</var>direct staff hours provided through monitoring technology, and multiply the result
         by one <br />
         		<a id="pl.265.16"></a><var>265.16</var>plus the employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         <br />
         		<a id="pl.265.17"></a><var>265.17</var>(b), clause (2). This is defined as the direct staffing cost;<br />
         		<a id="pl.265.18"></a><var>265.18</var>(7) for employee-related expenses, multiply the direct staffing cost, excluding any
         <br />
         		<a id="pl.265.19"></a><var>265.19</var>shared and individual direct staff hours provided through monitoring technology, by
         one <br />
         		<a id="pl.265.20"></a><var>265.20</var>plus the employee-related cost ratio in subdivision 5, paragraph (b), clause (3);<br />
         		<a id="pl.265.21"></a><var>265.21</var>(8) for client programming and supports, the commissioner shall add $2,179; and<br />
         		<a id="pl.265.22"></a><var>265.22</var>(9) for transportation, if provided, the commissioner shall add $1,680, or $3,000
         if <br />
         		<a id="pl.265.23"></a><var>265.23</var>customized for adapted transport, based on the resident with the highest assessed
         need.<br />
         		<a id="pl.265.24"></a><var>265.24</var>(b) The total rate must be calculated using the following steps:<br />
         		<a id="pl.265.25"></a><var>265.25</var>(1) subtotal paragraph (a), clauses (7) to (9), and the direct staffing cost of any
         <br />
         		<a id="pl.265.26"></a><var>265.26</var>shared and individual direct staff hours provided through monitoring technology that
         <br />
         		<a id="pl.265.27"></a><var>265.27</var>was excluded in clause (7);<br />
         		<a id="pl.265.28"></a><var>265.28</var>(2) sum the standard general and administrative rate, the program-related expense
         <br />
         		<a id="pl.265.29"></a><var>265.29</var>ratio, and the absence and utilization ratio;<br />
         		<a id="pl.265.30"></a><var>265.30</var>(3) divide the result of clause (1) by one minus the result of clause (2). This is
         <br />
         		<a id="pl.265.31"></a><var>265.31</var>the total payment amount; and<br />
         		<a id="pl.265.32"></a><var>265.32</var>(4) adjust the result of clause (3) by a factor to be determined by the commissioner
         <br />
         		<a id="pl.265.33"></a><var>265.33</var>to adjust for regional differences in the cost of providing services.<br />
         		<a id="pl.265.34"></a><var>265.34</var>(c) The payment methodology for customized living, 24-hour customized living, and
         <br />
         		<a id="pl.265.35"></a><var>265.35</var>residential care services must be the customized living tool. Revisions to the customized
         <br />
         		<a id="pl.266.1"></a><var>266.1</var>living tool must be made to reflect the services and activities unique to disability-related
         <br />
         		<a id="pl.266.2"></a><var>266.2</var>recipient needs.<br />
         		<a id="pl.266.3"></a><var>266.3</var>(d) The commissioner shall establish a Monitoring Technology Review Panel to <br />
         		<a id="pl.266.4"></a><var>266.4</var>annually review and approve the plans, safeguards, and rates that include residential
         <br />
         		<a id="pl.266.5"></a><var>266.5</var>direct care provided remotely through monitoring technology. Lead agencies shall submit
         <br />
         		<a id="pl.266.6"></a><var>266.6</var>individual service plans that include supervision using monitoring technology to the
         <br />
         		<a id="pl.266.7"></a><var>266.7</var>Monitoring Technology Review Panel for approval. Individual service plans that include
         <br />
         		<a id="pl.266.8"></a><var>266.8</var>supervision using monitoring technology as of December 31, 2013, shall be submitted
         to <br />
         		<a id="pl.266.9"></a><var>266.9</var>the Monitoring Technology Review Panel, but the plans are not subject to approval.<br />
         		<a id="pl.266.10"></a><var>266.10</var>(e) (d) For individuals enrolled prior to January 1, 2014, the days of service <br />
         		<a id="pl.266.11"></a><var>266.11</var>authorized must meet or exceed the days of service used to convert service agreements
         <br />
         		<a id="pl.266.12"></a><var>266.12</var>in effect on December 1, 2013, and must not result in a reduction in spending or service
         <br />
         		<a id="pl.266.13"></a><var>266.13</var>utilization due to conversion during the implementation period under section 
         <statute_ref>256B.4913, <br />
            		<a id="pl.266.14"></a><var>266.14</var>subdivision 4a
         </statute_ref>. If during the implementation period, an individual's historical rate, <br />
         		<a id="pl.266.15"></a><var>266.15</var>including adjustments required under section 
         <statute_ref>256B.4913, subdivision 4a</statute_ref>, paragraph (c), <br />
         		<a id="pl.266.16"></a><var>266.16</var>is equal to or greater than the rate determined in this subdivision, the number of
         days <br />
         		<a id="pl.266.17"></a><var>266.17</var>authorized for the individual is 365.<br />
         		<a id="pl.266.18"></a><var>266.18</var>(f) (e) The number of days authorized for all individuals enrolling after January 1, <br />
         		<a id="pl.266.19"></a><var>266.19</var>2014, in residential services must include every day that services start and end.<br />
         		<br />
         		<a id="bill.7.39.0"></a><a id="pl.266.20"></a><var>266.20</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2014, section 256B.4914, subdivision 8, is amended to read:<br />
         		<a id="pl.266.21"></a><var>266.21</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Payments for unit-based services with programming.</b> Payments for <br />
         		<a id="pl.266.22"></a><var>266.22</var>unit-based with program services with programming, including behavior programming, <br />
         		<a id="pl.266.23"></a><var>266.23</var>housing access coordination, in-home family support, independent living skills training,
         <br />
         		<a id="pl.266.24"></a><var>266.24</var>hourly supported living services, and supported employment provided to an individual
         <br />
         		<a id="pl.266.25"></a><var>266.25</var>outside of any day or residential service plan must be calculated as follows, unless
         the <br />
         		<a id="pl.266.26"></a><var>266.26</var>services are authorized separately under subdivision 6 or 7:<br />
         		<a id="pl.266.27"></a><var>266.27</var>&#160;&#160;&#160;&#160;(1) determine the number of units of service to meet a recipient's needs;<br />
         		<a id="pl.266.28"></a><var>266.28</var>&#160;&#160;&#160;&#160;(2) personnel hourly wage rate must be based on the 2009 Bureau of Labor Statistics
         <br />
         		<a id="pl.266.29"></a><var>266.29</var>Minnesota-specific rates or rates derived by the commissioner as provided in subdivision
         5;<br />
         		<a id="pl.266.30"></a><var>266.30</var>&#160;&#160;&#160;&#160;(3) for a recipient requiring customization for deaf and hard-of-hearing language
         <br />
         		<a id="pl.266.31"></a><var>266.31</var>accessibility under subdivision 12, add the customization rate provided in subdivision
         12 <br />
         		<a id="pl.266.32"></a><var>266.32</var>to the result of clause (2). This is defined as the customized direct-care rate;<br />
         		<a id="pl.266.33"></a><var>266.33</var>&#160;&#160;&#160;&#160;(4) multiply the number of direct staff hours by the appropriate staff wage in <br />
         		<a id="pl.266.34"></a><var>266.34</var>subdivision 5, paragraph (a), or the customized direct-care rate;<br />
         		<a id="pl.267.1"></a><var>267.1</var>&#160;&#160;&#160;&#160;(5) multiply the number of direct staff hours by the product of the supervision span
         <br />
         		<a id="pl.267.2"></a><var>267.2</var>of control ratio in subdivision 5, paragraph (e), clause (1), and the appropriate
         supervision <br />
         		<a id="pl.267.3"></a><var>267.3</var>wage in subdivision 5, paragraph (a), clause (16);<br />
         		<a id="pl.267.4"></a><var>267.4</var>&#160;&#160;&#160;&#160;(6) combine the results of clauses (4) and (5), and multiply the result by one plus
         <br />
         		<a id="pl.267.5"></a><var>267.5</var>the employee vacation, sick, and training allowance ratio in subdivision 5, paragraph
         (e), <br />
         		<a id="pl.267.6"></a><var>267.6</var>clause (2). This is defined as the direct staffing rate;<br />
         		<a id="pl.267.7"></a><var>267.7</var>&#160;&#160;&#160;&#160;(7) for program plan support, multiply the result of clause (6) by one plus the <br />
         		<a id="pl.267.8"></a><var>267.8</var>program plan supports ratio in subdivision 5, paragraph (e), clause (4);<br />
         		<a id="pl.267.9"></a><var>267.9</var>&#160;&#160;&#160;&#160;(8) for employee-related expenses, multiply the result of clause (7) by one plus the
         <br />
         		<a id="pl.267.10"></a><var>267.10</var>employee-related cost ratio in subdivision 5, paragraph (e), clause (3);<br />
         		<a id="pl.267.11"></a><var>267.11</var>&#160;&#160;&#160;&#160;(9) for client programming and supports, multiply the result of clause (8) by one
         plus <br />
         		<a id="pl.267.12"></a><var>267.12</var>the client programming and supports ratio in subdivision 5, paragraph (e), clause
         (5);<br />
         		<a id="pl.267.13"></a><var>267.13</var>&#160;&#160;&#160;&#160;(10) this is the subtotal rate;<br />
         		<a id="pl.267.14"></a><var>267.14</var>&#160;&#160;&#160;&#160;(11) sum the standard general and administrative rate, the program-related expense
         <br />
         		<a id="pl.267.15"></a><var>267.15</var>ratio, and the absence and utilization factor ratio;<br />
         		<a id="pl.267.16"></a><var>267.16</var>&#160;&#160;&#160;&#160;(12) divide the result of clause (10) by one minus the result of clause (11). This
         is <br />
         		<a id="pl.267.17"></a><var>267.17</var>the total payment amount;<br />
         		<a id="pl.267.18"></a><var>267.18</var>&#160;&#160;&#160;&#160;(13) for supported employment provided in a shared manner, divide the total <br />
         		<a id="pl.267.19"></a><var>267.19</var>payment amount in clause (12) by the number of service recipients, not to exceed three.
         <br />
         		<a id="pl.267.20"></a><var>267.20</var>For independent living skills training provided in a shared manner, divide the total
         <br />
         		<a id="pl.267.21"></a><var>267.21</var>payment amount in clause (12) by the number of service recipients, not to exceed two;
         and<br />
         		<a id="pl.267.22"></a><var>267.22</var>&#160;&#160;&#160;&#160;(14) adjust the result of clause (13) by a factor to be determined by the commissioner
         <br />
         		<a id="pl.267.23"></a><var>267.23</var>to adjust for regional differences in the cost of providing services.<br />
         		<br />
         		<a id="bill.7.40.0"></a><a id="pl.267.24"></a><var>267.24</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2014, section 256B.4914, subdivision 10, is amended to <br />
         		<a id="pl.267.25"></a><var>267.25</var>read:<br />
         		<a id="pl.267.26"></a><var>267.26</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Updating payment values and additional information.</b> (a) From <br />
         		<a id="pl.267.27"></a><var>267.27</var>January 1, 2014, through December 31, 2017, the commissioner shall develop and <br />
         		<a id="pl.267.28"></a><var>267.28</var>implement uniform procedures to refine terms and adjust values used to calculate payment
         <br />
         		<a id="pl.267.29"></a><var>267.29</var>rates in this section.<br />
         		<a id="pl.267.30"></a><var>267.30</var>(b) No later than July 1, 2014, the commissioner shall, within available resources,
         <br />
         		<a id="pl.267.31"></a><var>267.31</var>begin to conduct research and gather data and information from existing state systems
         or <br />
         		<a id="pl.267.32"></a><var>267.32</var>other outside sources on the following items:<br />
         		<a id="pl.267.33"></a><var>267.33</var>(1) differences in the underlying cost to provide services and care across the state;
         and<br />
         		<a id="pl.268.1"></a><var>268.1</var>(2) mileage, vehicle type, lift requirements, incidents of individual and shared rides,
         <br />
         		<a id="pl.268.2"></a><var>268.2</var>and units of transportation for all day services, which must be collected from providers
         <br />
         		<a id="pl.268.3"></a><var>268.3</var>using the rate management worksheet and entered into the rates management system;
         and<br />
         		<a id="pl.268.4"></a><var>268.4</var>(3) the distinct underlying costs for services provided by a license holder under <br />
         		<a id="pl.268.5"></a><var>268.5</var>sections 245D.05, 245D.06, 245D.07, 245D.071, 245D.081, and 245D.09, and for services
         <br />
         		<a id="pl.268.6"></a><var>268.6</var>provided by a license holder certified under section 
         <statute_ref>245D.33</statute_ref>.<br />
         		<a id="pl.268.7"></a><var>268.7</var>(c) Using a statistically valid set of rates management system data, the commissioner,
         <br />
         		<a id="pl.268.8"></a><var>268.8</var>in consultation with stakeholders, shall analyze for each service the average difference
         <br />
         		<a id="pl.268.9"></a><var>268.9</var>in the rate on December 31, 2013, and the framework rate at the individual, provider,
         <br />
         		<a id="pl.268.10"></a><var>268.10</var>lead agency, and state levels. The commissioner shall issue semiannual reports to
         the <br />
         		<a id="pl.268.11"></a><var>268.11</var>stakeholders on the difference in rates by service and by county during the banding
         period <br />
         		<a id="pl.268.12"></a><var>268.12</var>under section 
         <statute_ref>256B.4913, subdivision 4a</statute_ref>. The commissioner shall issue the first report <br />
         		<a id="pl.268.13"></a><var>268.13</var>by October 1, 2014.<br />
         		<a id="pl.268.14"></a><var>268.14</var>(d) No later than July 1, 2014, the commissioner, in consultation with stakeholders,
         <br />
         		<a id="pl.268.15"></a><var>268.15</var>shall begin the review and evaluation of the following values already in subdivisions
         6 to <br />
         		<a id="pl.268.16"></a><var>268.16</var>9, or issues that impact all services, including, but not limited to:<br />
         		<a id="pl.268.17"></a><var>268.17</var>(1) values for transportation rates for day services;<br />
         		<a id="pl.268.18"></a><var>268.18</var>(2) values for transportation rates in residential services;<br />
         		<a id="pl.268.19"></a><var>268.19</var>(3) values for services where monitoring technology replaces staff time;<br />
         		<a id="pl.268.20"></a><var>268.20</var>(4) values for indirect services;<br />
         		<a id="pl.268.21"></a><var>268.21</var>(5) values for nursing;<br />
         		<a id="pl.268.22"></a><var>268.22</var>(6) component values for independent living skills;<br />
         		<a id="pl.268.23"></a><var>268.23</var>(7) component values for family foster care that reflect licensing requirements;<br />
         		<a id="pl.268.24"></a><var>268.24</var>(8) adjustments to other components to replace the budget neutrality factor;<br />
         		<a id="pl.268.25"></a><var>268.25</var>(9) remote monitoring technology for nonresidential services;<br />
         		<a id="pl.268.26"></a><var>268.26</var>(10) values for basic and intensive services in residential services;<br />
         		<a id="pl.268.27"></a><var>268.27</var>(11) values for the facility use rate in day services, and the weightings used in the <br />
         		<a id="pl.268.28"></a><var>268.28</var>day service ratios and adjustments to those weightings;<br />
         		<a id="pl.268.29"></a><var>268.29</var>(12) values for workers' compensation as part of employee-related expenses;<br />
         		<a id="pl.268.30"></a><var>268.30</var>(13) values for unemployment insurance as part of employee-related expenses;<br />
         		<a id="pl.268.31"></a><var>268.31</var>(14) a component value to reflect costs for individuals with rates previously adjusted
         <br />
         		<a id="pl.268.32"></a><var>268.32</var>for the inclusion of group residential housing rate 3 costs, only for any individual
         enrolled <br />
         		<a id="pl.268.33"></a><var>268.33</var>as of December 31, 2013; and<br />
         		<a id="pl.268.34"></a><var>268.34</var>(15) any changes in state or federal law with an impact on the underlying cost of
         <br />
         		<a id="pl.268.35"></a><var>268.35</var>providing home and community-based services.<br />
         		<a id="pl.269.1"></a><var>269.1</var>(e) The commissioner shall report to the chairs and the ranking minority members of
         <br />
         		<a id="pl.269.2"></a><var>269.2</var>the legislative committees and divisions with jurisdiction over health and human services
         <br />
         		<a id="pl.269.3"></a><var>269.3</var>policy and finance with the information and data gathered under paragraphs (b) to
         (d) <br />
         		<a id="pl.269.4"></a><var>269.4</var>on the following dates:<br />
         		<a id="pl.269.5"></a><var>269.5</var>(1) January 15, 2015, with preliminary results and data;<br />
         		<a id="pl.269.6"></a><var>269.6</var>(2) January 15, 2016, with a status implementation update, and additional data <br />
         		<a id="pl.269.7"></a><var>269.7</var>and summary information;<br />
         		<a id="pl.269.8"></a><var>269.8</var>(3) January 15, 2017, with the full report; and<br />
         		<a id="pl.269.9"></a><var>269.9</var>(4) January 15, 2019, with another full report, and a full report once every four
         <br />
         		<a id="pl.269.10"></a><var>269.10</var>years thereafter.<br />
         		<a id="pl.269.11"></a><var>269.11</var>(f) Based on the commissioner's evaluation of the information and data collected in
         <br />
         		<a id="pl.269.12"></a><var>269.12</var>paragraphs (b) to (d), the commissioner shall make recommendations to the legislature
         by <br />
         		<a id="pl.269.13"></a><var>269.13</var>January 15, 2015, to address any issues identified during the first year of implementation.
         <br />
         		<a id="pl.269.14"></a><var>269.14</var>After January 15, 2015, the commissioner may make recommendations to the legislature
         <br />
         		<a id="pl.269.15"></a><var>269.15</var>to address potential issues.<br />
         		<a id="pl.269.16"></a><var>269.16</var>(g) The commissioner shall implement a regional adjustment factor to all rate <br />
         		<a id="pl.269.17"></a><var>269.17</var>calculations in subdivisions 6 to 9, effective no later than January 1, 2015. Prior
         to <br />
         		<a id="pl.269.18"></a><var>269.18</var>implementation, the commissioner shall consult with stakeholders on the methodology
         to <br />
         		<a id="pl.269.19"></a><var>269.19</var>calculate the adjustment.<br />
         		<a id="pl.269.20"></a><var>269.20</var>(h) The commissioner shall provide a public notice via LISTSERV in October of <br />
         		<a id="pl.269.21"></a><var>269.21</var>each year beginning October 1, 2014, containing information detailing legislatively
         <br />
         		<a id="pl.269.22"></a><var>269.22</var>approved changes in:<br />
         		<a id="pl.269.23"></a><var>269.23</var>(1) calculation values including derived wage rates and related employee and <br />
         		<a id="pl.269.24"></a><var>269.24</var>administrative factors;<br />
         		<a id="pl.269.25"></a><var>269.25</var>(2) service utilization;<br />
         		<a id="pl.269.26"></a><var>269.26</var>(3) county and tribal allocation changes; and<br />
         		<a id="pl.269.27"></a><var>269.27</var>(4) information on adjustments made to calculation values and the timing of those
         <br />
         		<a id="pl.269.28"></a><var>269.28</var>adjustments.<br />
         		<a id="pl.269.29"></a><var>269.29</var>The information in this notice must be effective January 1 of the following year.<br />
         		<a id="pl.269.30"></a><var>269.30</var>(i) No later than July 1, 2016, the commissioner shall develop and implement, in <br />
         		<a id="pl.269.31"></a><var>269.31</var>consultation with stakeholders, a methodology sufficient to determine the shared staffing
         <br />
         		<a id="pl.269.32"></a><var>269.32</var>levels necessary to meet, at a minimum, health and welfare needs of individuals who
         <br />
         		<a id="pl.269.33"></a><var>269.33</var>will be living together in shared residential settings, and the required shared staffing
         <br />
         		<a id="pl.269.34"></a><var>269.34</var>activities described in subdivision 2, paragraph (l). This determination methodology
         must <br />
         		<a id="pl.269.35"></a><var>269.35</var>ensure staffing levels are adaptable to meet the needs and desired outcomes for current
         and <br />
         		<a id="pl.269.36"></a><var>269.36</var>prospective residents in shared residential settings.<br />
         		<a id="pl.270.1"></a><var>270.1</var>(j) When the available shared staffing hours in a residential setting are insufficient
         to <br />
         		<a id="pl.270.2"></a><var>270.2</var>meet the needs of an individual who enrolled in residential services after January
         1, 2014, <br />
         		<a id="pl.270.3"></a><var>270.3</var>or insufficient to meet the needs of an individual with a service agreement adjustment
         <br />
         		<a id="pl.270.4"></a><var>270.4</var>described in section 256B.4913, subdivision 4a, paragraph (f), then individual staffing
         <br />
         		<a id="pl.270.5"></a><var>270.5</var>hours shall be used.<br />
         		<a id="pl.270.6"></a><var>270.6</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.7.41.0"></a><a id="pl.270.7"></a><var>270.7</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2014, section 256B.4914, subdivision 14, is amended to <br />
         		<a id="pl.270.8"></a><var>270.8</var>read:<br />
         		<a id="pl.270.9"></a><var>270.9</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Exceptions.</b> (a) In a format prescribed by the commissioner, lead <br />
         		<a id="pl.270.10"></a><var>270.10</var>agencies must identify individuals with exceptional needs that cannot be met under
         the <br />
         		<a id="pl.270.11"></a><var>270.11</var>disability waiver rate system. The commissioner shall use that information to evaluate
         <br />
         		<a id="pl.270.12"></a><var>270.12</var>and, if necessary, approve an alternative payment rate for those individuals. Whether <br />
         		<a id="pl.270.13"></a><var>270.13</var>granted, denied, or modified, the commissioner shall respond to all exception requests
         in <br />
         		<a id="pl.270.14"></a><var>270.14</var>writing. The commissioner shall include in the written response the basis for the
         action <br />
         		<a id="pl.270.15"></a><var>270.15</var>and provide notification of the right to appeal under paragraph (h).<br />
         		<a id="pl.270.16"></a><var>270.16</var>(b) Lead agencies must act on an exception request within 30 days and notify the <br />
         		<a id="pl.270.17"></a><var>270.17</var>initiator of the request of their recommendation in writing. A lead agency shall submit all <br />
         		<a id="pl.270.18"></a><var>270.18</var>exception requests along with its recommendation to the state commissioner.<br />
         		<a id="pl.270.19"></a><var>270.19</var>(c) An application for a rate exception may be submitted for the following criteria:<br />
         		<a id="pl.270.20"></a><var>270.20</var>(1) an individual has service needs that cannot be met through additional units <br />
         		<a id="pl.270.21"></a><var>270.21</var>of service; or<br />
         		<a id="pl.270.22"></a><var>270.22</var>(2) an individual's rate determined under subdivisions 6, 7, 8, and 9 results is so <br />
         		<a id="pl.270.23"></a><var>270.23</var>insufficient that it has resulted in an individual being discharged receiving a notice of <br />
         		<a id="pl.270.24"></a><var>270.24</var>discharge from the individual's provider; or<br />
         		<a id="pl.270.25"></a><var>270.25</var>(3) an individual's service needs, including behavioral changes, require a level of
         <br />
         		<a id="pl.270.26"></a><var>270.26</var>service which necessitates a change in provider or which requires the current provider
         to <br />
         		<a id="pl.270.27"></a><var>270.27</var>propose service changes beyond those currently authorized.<br />
         		<a id="pl.270.28"></a><var>270.28</var>(d) Exception requests must include the following information:<br />
         		<a id="pl.270.29"></a><var>270.29</var>(1) the service needs required by each individual that are not accounted for in <br />
         		<a id="pl.270.30"></a><var>270.30</var>subdivisions 6, 7, 8, and 9;<br />
         		<a id="pl.270.31"></a><var>270.31</var>(2) the service rate requested and the difference from the rate determined in <br />
         		<a id="pl.270.32"></a><var>270.32</var>subdivisions 6, 7, 8, and 9;<br />
         		<a id="pl.270.33"></a><var>270.33</var>(3) a basis for the underlying costs used for the rate exception and any accompanying
         <br />
         		<a id="pl.270.34"></a><var>270.34</var>documentation; and<br />
         		<a id="pl.270.35"></a><var>270.35</var>(4) the duration of the rate exception; and<br />
         		<a id="pl.271.1"></a><var>271.1</var>(5) any contingencies for approval.<br />
         		<a id="pl.271.2"></a><var>271.2</var>(e) Approved rate exceptions shall be managed within lead agency allocations under
         <br />
         		<a id="pl.271.3"></a><var>271.3</var>sections 
         <statute_ref>256B.092</statute_ref> and 
         <statute_ref>256B.49</statute_ref>.<br />
         		<a id="pl.271.4"></a><var>271.4</var>(f) Individual disability waiver recipients, an interested party, or the license holder <br />
         		<a id="pl.271.5"></a><var>271.5</var>that would receive the rate exception increase may request that a lead agency submit an <br />
         		<a id="pl.271.6"></a><var>271.6</var>exception request. A lead agency that denies such a request shall notify the individual
         <br />
         		<a id="pl.271.7"></a><var>271.7</var>waiver recipient, interested party, or license holder  of its decision and the reasons for <br />
         		<a id="pl.271.8"></a><var>271.8</var>denying the request in writing no later than 30 days after the individual's request has been <br />
         		<a id="pl.271.9"></a><var>271.9</var>made and shall submit its denial to the commissioner in accordance with paragraph (b).
         <br />
         		<a id="pl.271.10"></a><var>271.10</var>The reasons for the denial must be based on the failure to meet the criteria in paragraph
         (c).<br />
         		<a id="pl.271.11"></a><var>271.11</var>(g) The commissioner shall determine whether to approve or deny an exception <br />
         		<a id="pl.271.12"></a><var>271.12</var>request no more than 30 days after receiving the request. If the commissioner denies
         the <br />
         		<a id="pl.271.13"></a><var>271.13</var>request, the commissioner shall notify the lead agency and the individual disability
         waiver <br />
         		<a id="pl.271.14"></a><var>271.14</var>recipient, the interested party, and the license holder in writing of the reasons for the denial.<br />
         		<a id="pl.271.15"></a><var>271.15</var>(h) The individual disability waiver recipient may appeal any denial of an exception
         <br />
         		<a id="pl.271.16"></a><var>271.16</var>request by either the lead agency or the commissioner, pursuant to sections 
         <statute_ref>256.045</statute_ref> and <br />
         		
         <statute_ref><a id="pl.271.17"></a><var>271.17</var>256.0451
         </statute_ref>. When the denial of an exception request results in the proposed demission of a <br />
         		<a id="pl.271.18"></a><var>271.18</var>waiver recipient from a residential or day habilitation program, the commissioner
         shall <br />
         		<a id="pl.271.19"></a><var>271.19</var>issue a temporary stay of demission, when requested by the disability waiver recipient,
         <br />
         		<a id="pl.271.20"></a><var>271.20</var>consistent with the provisions of section 
         <statute_ref>256.045, subdivisions 4a</statute_ref> and 6, paragraph (c). <br />
         		<a id="pl.271.21"></a><var>271.21</var>The temporary stay shall remain in effect until the lead agency can provide an informed
         <br />
         		<a id="pl.271.22"></a><var>271.22</var>choice of appropriate, alternative services to the disability waiver.<br />
         		<a id="pl.271.23"></a><var>271.23</var>(i) Providers may petition lead agencies to update values that were entered <br />
         		<a id="pl.271.24"></a><var>271.24</var>incorrectly or erroneously into the rate management system, based on past service
         level <br />
         		<a id="pl.271.25"></a><var>271.25</var>discussions and determination in subdivision 4, without applying for a rate exception.<br />
         		<a id="pl.271.26"></a><var>271.26</var>(j) The starting date for the rate exception will be the later of the date of the
         <br />
         		<a id="pl.271.27"></a><var>271.27</var>recipient's change in support or the date of the request to the lead agency for an
         exception.<br />
         		<a id="pl.271.28"></a><var>271.28</var>(k) The commissioner shall track all exception requests received and their <br />
         		<a id="pl.271.29"></a><var>271.29</var>dispositions. The commissioner shall issue quarterly public exceptions statistical
         reports, <br />
         		<a id="pl.271.30"></a><var>271.30</var>including the number of exception requests received and the numbers granted, denied,
         <br />
         		<a id="pl.271.31"></a><var>271.31</var>withdrawn, and pending. The report shall include the average amount of time required
         to <br />
         		<a id="pl.271.32"></a><var>271.32</var>process exceptions.<br />
         		<a id="pl.271.33"></a><var>271.33</var>(l) No later than January 15, 2016, the commissioner shall provide research <br />
         		<a id="pl.271.34"></a><var>271.34</var>findings on the estimated fiscal impact, the primary cost drivers, and common population
         <br />
         		<a id="pl.271.35"></a><var>271.35</var>characteristics of recipients with needs that cannot be met by the framework rates.<br />
         		<a id="pl.272.1"></a><var>272.1</var>(m) No later than July 1, 2016, the commissioner shall develop and implement, <br />
         		<a id="pl.272.2"></a><var>272.2</var>in consultation with stakeholders, a process to determine eligibility for rate exceptions
         <br />
         		<a id="pl.272.3"></a><var>272.3</var>for individuals with rates determined under the methodology in section 256B.4913,
         <br />
         		<a id="pl.272.4"></a><var>272.4</var>subdivision 4a. Determination of eligibility for an exception will occur as annual
         service <br />
         		<a id="pl.272.5"></a><var>272.5</var>renewals are completed.<br />
         		<a id="pl.272.6"></a><var>272.6</var>(n) Approved rate exceptions will be implemented at such time that the individual's
         <br />
         		<a id="pl.272.7"></a><var>272.7</var>rate is no longer banded and remain in effect in all cases until an individual's needs
         change <br />
         		<a id="pl.272.8"></a><var>272.8</var>as defined in paragraph (c).<br />
         		<br />
         		<a id="bill.7.42.0"></a><a id="pl.272.9"></a><var>272.9</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2014, section 256B.4914, subdivision 15, is amended to <br />
         		<a id="pl.272.10"></a><var>272.10</var>read:<br />
         		<a id="pl.272.11"></a><var>272.11</var>&#160;&#160;&#160;&#160;Subd. 15. <b>County or tribal allocations.</b> (a) Upon implementation of the disability <br />
         		<a id="pl.272.12"></a><var>272.12</var>waiver rates management system on January 1, 2014, the commissioner shall establish
         <br />
         		<a id="pl.272.13"></a><var>272.13</var>a method of tracking and reporting the fiscal impact of the disability waiver rates
         <br />
         		<a id="pl.272.14"></a><var>272.14</var>management system on individual lead agencies.<br />
         		<a id="pl.272.15"></a><var>272.15</var>(b) Beginning January 1, 2014, the commissioner shall make annual adjustments to <br />
         		<a id="pl.272.16"></a><var>272.16</var>lead agencies' home and community-based waivered service budget allocations to adjust
         <br />
         		<a id="pl.272.17"></a><var>272.17</var>for rate differences and the resulting impact on county allocations upon implementation
         of <br />
         		<a id="pl.272.18"></a><var>272.18</var>the disability waiver rates system.<br />
         		<a id="pl.272.19"></a><var>272.19</var>(c) During the first two years of implementation under section 
         <statute_ref>256B.4913</statute_ref>, Lead <br />
         		<a id="pl.272.20"></a><var>272.20</var>agencies exceeding their allocations shall be subject to the provisions under sections <br />
         		<a id="pl.272.21"></a><var>272.21</var><statute_ref>256B.092 256B.0916, subdivision 11,</statute_ref> and 
         <statute_ref>256B.49</statute_ref> shall only be held liable for spending <br />
         		<a id="pl.272.22"></a><var>272.22</var>in excess of their allocations after a reallocation of resources by the commissioner
         under <br />
         		<a id="pl.272.23"></a><var>272.23</var>paragraph (b). The commissioner shall reallocate resources under sections 
         <statute_ref>256B.092, <br />
            		<a id="pl.272.24"></a><var>272.24</var>subdivision 12
         </statute_ref>, and 
         <statute_ref>256B.49, subdivision 11a</statute_ref>. The commissioner shall notify lead <br />
         		<a id="pl.272.25"></a><var>272.25</var>agencies of this process by July 1, 2014 256B.49, subdivision 26.<br />
         		<br />
         		<a id="bill.7.43.0"></a><a id="pl.272.26"></a><var>272.26</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2014, section 256B.492, is amended to read:<br />
         		<a id="pl.272.27"></a><var>272.27</var><b>256B.492 HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE </b><br />
         		<a id="pl.272.28"></a><var>272.28</var><b>WITH DISABILITIES.</b><br />
         		<a id="pl.272.29"></a><var>272.29</var>(a) Individuals receiving services under a home and community-based waiver under <br />
         		<a id="pl.272.30"></a><var>272.30</var>section 
         <statute_ref>256B.092</statute_ref> or 
         <statute_ref>256B.49</statute_ref> may receive services in the following settings:<br />
         		<a id="pl.272.31"></a><var>272.31</var>(1) an individual's own home or family home and community-based settings that <br />
         		<a id="pl.272.32"></a><var>272.32</var>comply with all requirements identified by the federal Centers for Medicare and Medicaid
         <br />
         		<a id="pl.272.33"></a><var>272.33</var>Services in the Code of Federal Regulations, title 42, section 441.301(c), and with
         the <br />
         		<a id="pl.273.1"></a><var>273.1</var>requirements of the federally approved transition plan and waiver plans for each home
         <br />
         		<a id="pl.273.2"></a><var>273.2</var>and community-based services waiver; and<br />
         		<a id="pl.273.3"></a><var>273.3</var>(2) a licensed adult foster care or child foster care setting of up to five people or
         <br />
         		<a id="pl.273.4"></a><var>273.4</var>community residential setting of up to five people; and settings required by the Housing <br />
         		<a id="pl.273.5"></a><var>273.5</var>Opportunities for Persons with AIDS Program.<br />
         		<a id="pl.273.6"></a><var>273.6</var>(3) community living settings as defined in section 
         <statute_ref>256B.49</statute_ref>, subdivision 23, where <br />
         		<a id="pl.273.7"></a><var>273.7</var>individuals with disabilities may reside in all of the units in a building of four
         or fewer units, <br />
         		<a id="pl.273.8"></a><var>273.8</var>and who receive services under a home and community-based waiver occupy no more <br />
         		<a id="pl.273.9"></a><var>273.9</var>than the greater of four or 25 percent of the units in a multifamily building of more
         than <br />
         		<a id="pl.273.10"></a><var>273.10</var>four units, unless required by the Housing Opportunities for Persons with AIDS Program.<br />
         		<a id="pl.273.11"></a><var>273.11</var>(b) The settings in paragraph (a) must not:<br />
         		<a id="pl.273.12"></a><var>273.12</var>(1) be located in a building that is a publicly or privately operated facility that
         <br />
         		<a id="pl.273.13"></a><var>273.13</var>provides institutional treatment or custodial care;<br />
         		<a id="pl.273.14"></a><var>273.14</var>(2) be located in a building on the grounds of or adjacent to a public or private
         <br />
         		<a id="pl.273.15"></a><var>273.15</var>institution;<br />
         		<a id="pl.273.16"></a><var>273.16</var>(3) be a housing complex designed expressly around an individual's diagnosis or <br />
         		<a id="pl.273.17"></a><var>273.17</var>disability, unless required by the Housing Opportunities for Persons with AIDS Program;<br />
         		<a id="pl.273.18"></a><var>273.18</var>(4) be segregated based on a disability, either physically or because of setting <br />
         		<a id="pl.273.19"></a><var>273.19</var>characteristics, from the larger community; and<br />
         		<a id="pl.273.20"></a><var>273.20</var>(5) have the qualities of an institution which include, but are not limited to: <br />
         		<a id="pl.273.21"></a><var>273.21</var>regimented meal and sleep times, limitations on visitors, and lack of privacy. Restrictions
         <br />
         		<a id="pl.273.22"></a><var>273.22</var>agreed to and documented in the person's individual service plan shall not result
         in a <br />
         		<a id="pl.273.23"></a><var>273.23</var>residence having the qualities of an institution as long as the restrictions for the
         person are <br />
         		<a id="pl.273.24"></a><var>273.24</var>not imposed upon others in the same residence and are the least restrictive alternative,
         <br />
         		<a id="pl.273.25"></a><var>273.25</var>imposed for the shortest possible time to meet the person's needs.<br />
         		<a id="pl.273.26"></a><var>273.26</var>(c) The provisions of paragraphs (a) and (b) do not apply to any setting in which
         <br />
         		<a id="pl.273.27"></a><var>273.27</var>individuals receive services under a home and community-based waiver as of July 1,
         <br />
         		<a id="pl.273.28"></a><var>273.28</var>2012, and the setting does not meet the criteria of this section.<br />
         		<a id="pl.273.29"></a><var>273.29</var>(d) Notwithstanding paragraph (c), a program in Hennepin County established as <br />
         		<a id="pl.273.30"></a><var>273.30</var>part of a Hennepin County demonstration project is qualified for the exception allowed
         <br />
         		<a id="pl.273.31"></a><var>273.31</var>under paragraph (c).<br />
         		<a id="pl.273.32"></a><var>273.32</var>(e) Notwithstanding paragraphs (a) and (b), a program in Hennepin County, located
         <br />
         		<a id="pl.273.33"></a><var>273.33</var>in the city of Golden Valley, within the city of Golden Valley's Highway 55 West <br />
         		<a id="pl.273.34"></a><var>273.34</var>redevelopment area, that is not a provider-owned or controlled home and community-based
         <br />
         		<a id="pl.273.35"></a><var>273.35</var>setting, and is scheduled to open by July 1, 2016, is exempt from the restrictions
         in <br />
         		<a id="pl.274.1"></a><var>274.1</var>paragraphs (a) and (b). If the program fails to comply with the Centers for Medicare
         and <br />
         		<a id="pl.274.2"></a><var>274.2</var>Medicaid Services rules for home and community-based settings, the exemption is void.<br />
         		<a id="pl.274.3"></a><var>274.3</var>(f) The commissioner shall submit an amendment to the waiver plan no later than <br />
         		<a id="pl.274.4"></a><var>274.4</var>December 31, 2012.<br />
         		<a id="pl.274.5"></a><var>274.5</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.7.44.0"></a><a id="pl.274.6"></a><var>274.6</var>&#160;&#160;&#160;&#160;Sec. 44. <b>[256Q.01] PLAN ESTABLISHED.</b><br />
         		<a id="pl.274.7"></a><var>274.7</var>&#160;&#160;&#160;&#160;A savings plan known as the Minnesota ABLE plan is established. In establishing <br />
         		<a id="pl.274.8"></a><var>274.8</var>this plan, the legislature seeks to encourage and assist individuals and families
         in saving <br />
         		<a id="pl.274.9"></a><var>274.9</var>private funds for the purpose of supporting individuals with disabilities to maintain
         health, <br />
         		<a id="pl.274.10"></a><var>274.10</var>independence, and quality of life, and to provide secure funding for disability-related
         <br />
         		<a id="pl.274.11"></a><var>274.11</var>expenses on behalf of designated beneficiaries with disabilities that will supplement,
         but <br />
         		<a id="pl.274.12"></a><var>274.12</var>not supplant, benefits provided through private insurance, the Medicaid program under
         <br />
         		<a id="pl.274.13"></a><var>274.13</var>title XIX of the Social Security Act, the Supplemental Security Income program under
         <br />
         		<a id="pl.274.14"></a><var>274.14</var>title XVI of the Social Security Act, the beneficiary's employment, and other sources.<br />
         		<br />
         		<a id="bill.7.45.0"></a><a id="pl.274.15"></a><var>274.15</var>&#160;&#160;&#160;&#160;Sec. 45. <b>[256Q.02] CITATION.</b><br />
         		<a id="pl.274.16"></a><var>274.16</var>&#160;&#160;&#160;&#160;This chapter may be cited as the "Minnesota Achieving a Better Life Experience <br />
         		<a id="pl.274.17"></a><var>274.17</var>Act" or "Minnesota ABLE Act."<br />
         		<br />
         		<a id="bill.7.46.0"></a><a id="pl.274.18"></a><var>274.18</var>&#160;&#160;&#160;&#160;Sec. 46. <b>[256Q.03] DEFINITIONS.</b><br />
         		<a id="pl.274.19"></a><var>274.19</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Scope.</b> For the purposes of this chapter, the terms defined in this <br />
         		<a id="pl.274.20"></a><var>274.20</var>section have the meanings given them.<br />
         		<a id="pl.274.21"></a><var>274.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>ABLE account.</b> "ABLE account" has the meaning given in section <br />
         		<a id="pl.274.22"></a><var>274.22</var>529A(e)(6) of the Internal Revenue Code.<br />
         		<a id="pl.274.23"></a><var>274.23</var>&#160;&#160;&#160;&#160;Subd. 3. <b>ABLE plan or plan.</b> "ABLE plan" or "plan" means the qualified ABLE <br />
         		<a id="pl.274.24"></a><var>274.24</var>program, as defined in section 529A(b) of the Internal Revenue Code, provided for
         <br />
         		<a id="pl.274.25"></a><var>274.25</var>in this chapter.<br />
         		<a id="pl.274.26"></a><var>274.26</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Account.</b> "Account" means the formal record of transactions relating to an <br />
         		<a id="pl.274.27"></a><var>274.27</var>ABLE plan beneficiary.<br />
         		<a id="pl.274.28"></a><var>274.28</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Account owner.</b> "Account owner" means the designated beneficiary <br />
         		<a id="pl.274.29"></a><var>274.29</var>of the account.<br />
         		<a id="pl.274.30"></a><var>274.30</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Annual contribution limit.</b> "Annual contribution limit" has the meaning <br />
         		<a id="pl.274.31"></a><var>274.31</var>given in section 529A(b)(2) of the Internal Revenue Code.<br />
         		<a id="pl.275.1"></a><var>275.1</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Application.</b> "Application" means the form executed by a prospective <br />
         		<a id="pl.275.2"></a><var>275.2</var>account owner to enter into a participation agreement and open an account in the plan.
         <br />
         		<a id="pl.275.3"></a><var>275.3</var>The application incorporates by reference the participation agreement.<br />
         		<a id="pl.275.4"></a><var>275.4</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Board.</b> "Board" means the State Board of Investment.<br />
         		<a id="pl.275.5"></a><var>275.5</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br />
         		<a id="pl.275.6"></a><var>275.6</var>services.<br />
         		<a id="pl.275.7"></a><var>275.7</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Contribution.</b> "Contribution" means a payment directly allocated to <br />
         		<a id="pl.275.8"></a><var>275.8</var>an account for the benefit of a beneficiary.<br />
         		<a id="pl.275.9"></a><var>275.9</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Department.</b> "Department" means the Department of Human Services.<br />
         		<a id="pl.275.10"></a><var>275.10</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Designated beneficiary or beneficiary.</b> "Designated beneficiary" or <br />
         		<a id="pl.275.11"></a><var>275.11</var>"beneficiary" has the meaning given in section 529A(e)(3) of the Internal Revenue
         Code <br />
         		<a id="pl.275.12"></a><var>275.12</var>and further defined through regulations issued under that section.<br />
         		<a id="pl.275.13"></a><var>275.13</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Earnings.</b> "Earnings" means the total account balance minus the <br />
         		<a id="pl.275.14"></a><var>275.14</var>investment in the account.<br />
         		<a id="pl.275.15"></a><var>275.15</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Eligible individual.</b> "Eligible individual" has the meaning given in <br />
         		<a id="pl.275.16"></a><var>275.16</var>section 529A(e)(1) of the Internal Revenue Code and further defined through regulations
         <br />
         		<a id="pl.275.17"></a><var>275.17</var>issued under that section.<br />
         		<a id="pl.275.18"></a><var>275.18</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Executive director.</b> "Executive director" means the executive director of <br />
         		<a id="pl.275.19"></a><var>275.19</var>the State Board of Investment.<br />
         		<a id="pl.275.20"></a><var>275.20</var>&#160;&#160;&#160;&#160;Subd. 16. <b>Internal Revenue Code.</b> "Internal Revenue Code" means the Internal <br />
         		<a id="pl.275.21"></a><var>275.21</var>Revenue Code of 1986, as amended.<br />
         		<a id="pl.275.22"></a><var>275.22</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Investment in the account.</b> "Investment in the account" means the sum <br />
         		<a id="pl.275.23"></a><var>275.23</var>of all contributions made to an account by a particular date minus the aggregate amount
         <br />
         		<a id="pl.275.24"></a><var>275.24</var>of contributions included in distributions or rollover distributions, if any, made
         from the <br />
         		<a id="pl.275.25"></a><var>275.25</var>account as of that date.<br />
         		<a id="pl.275.26"></a><var>275.26</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Member of the family.</b> "Member of the family" has the meaning given in <br />
         		<a id="pl.275.27"></a><var>275.27</var>section 529A(e)(4) of the Internal Revenue Code.<br />
         		<a id="pl.275.28"></a><var>275.28</var>&#160;&#160;&#160;&#160;Subd. 19. <b>Participation agreement.</b> "Participation agreement" means an agreement <br />
         		<a id="pl.275.29"></a><var>275.29</var>to participate in the Minnesota ABLE plan between an account owner and the state <br />
         		<a id="pl.275.30"></a><var>275.30</var>through its agencies, the commissioner, and the board.<br />
         		<a id="pl.275.31"></a><var>275.31</var>&#160;&#160;&#160;&#160;Subd. 20. <b>Person.</b> "Person" means an individual, trust, estate, partnership, <br />
         		<a id="pl.275.32"></a><var>275.32</var>association, company, corporation, or the state.<br />
         		<a id="pl.275.33"></a><var>275.33</var>&#160;&#160;&#160;&#160;Subd. 21. <b>Plan administrator.</b> "Plan administrator" means the person selected by <br />
         		<a id="pl.275.34"></a><var>275.34</var>the commissioner and the board to administer the daily operations of the ABLE plan
         and <br />
         		<a id="pl.275.35"></a><var>275.35</var>provide record keeping, investment management, and other services for the plan.<br />
         		<a id="pl.276.1"></a><var>276.1</var>&#160;&#160;&#160;&#160;Subd. 22. <b>Qualified disability expense.</b> "Qualified disability expense" has the <br />
         		<a id="pl.276.2"></a><var>276.2</var>meaning given in section 529A(e)(5) of the Internal Revenue Code and further defined
         <br />
         		<a id="pl.276.3"></a><var>276.3</var>through regulations issued under that section.<br />
         		<a id="pl.276.4"></a><var>276.4</var>&#160;&#160;&#160;&#160;Subd. 23. <b>Qualified distribution.</b> "Qualified distribution" means a withdrawal from <br />
         		<a id="pl.276.5"></a><var>276.5</var>an ABLE account to pay the qualified disability expenses of the beneficiary of the
         account. <br />
         		<a id="pl.276.6"></a><var>276.6</var>A qualified withdrawal may be made by the beneficiary, by an agent of the beneficiary
         <br />
         		<a id="pl.276.7"></a><var>276.7</var>who has the power of attorney, or by the beneficiary's legal guardian.<br />
         		<a id="pl.276.8"></a><var>276.8</var>&#160;&#160;&#160;&#160;Subd. 24. <b>Rollover distribution.</b> "Rollover distribution" means a transfer of funds  <br />
         		<a id="pl.276.9"></a><var>276.9</var>made:<br />
         		<a id="pl.276.10"></a><var>276.10</var>&#160;&#160;&#160;&#160;(1) from one account in another state's qualified ABLE program to an account for <br />
         		<a id="pl.276.11"></a><var>276.11</var>the benefit of the same designated beneficiary or an eligible individual who is a
         family  <br />
         		<a id="pl.276.12"></a><var>276.12</var>member of the former designated beneficiary; or<br />
         		<a id="pl.276.13"></a><var>276.13</var>&#160;&#160;&#160;&#160;(2) from one account to another account for the benefit of an eligible individual
         who <br />
         		<a id="pl.276.14"></a><var>276.14</var>is a family member of the former designated beneficiary.<br />
         		<a id="pl.276.15"></a><var>276.15</var>&#160;&#160;&#160;&#160;Subd. 25. <b>Total account balance.</b> "Total account balance" means the amount in an <br />
         		<a id="pl.276.16"></a><var>276.16</var>account on a particular date or the fair market value of an account on a particular
         date.<br />
         		<br />
         		<a id="bill.7.47.0"></a><a id="pl.276.17"></a><var>276.17</var>&#160;&#160;&#160;&#160;Sec. 47. <b>[256Q.04] ABLE PLAN REQUIREMENTS.</b><br />
         		<a id="pl.276.18"></a><var>276.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>State residency requirement.</b> The designated beneficiary of an <br />
         		<a id="pl.276.19"></a><var>276.19</var>ABLE account must be a resident of Minnesota, or the resident of a state that has
         entered <br />
         		<a id="pl.276.20"></a><var>276.20</var>into a contract with Minnesota to provide its residents access to the Minnesota ABLE
         plan.<br />
         		<a id="pl.276.21"></a><var>276.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Single account requirement.</b> No more than one ABLE account shall be <br />
         		<a id="pl.276.22"></a><var>276.22</var>established per beneficiary, except as permitted under section 529A(c)(4) of the Internal
         <br />
         		<a id="pl.276.23"></a><var>276.23</var>Revenue Code.<br />
         		<a id="pl.276.24"></a><var>276.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Accounts-type plan.</b> The plan must be operated as an accounts-type <br />
         		<a id="pl.276.25"></a><var>276.25</var>plan. A separate account must be maintained for each designated beneficiary for whom
         <br />
         		<a id="pl.276.26"></a><var>276.26</var>contributions are made.<br />
         		<a id="pl.276.27"></a><var>276.27</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Contribution and account requirements.</b> Contributions to an ABLE <br />
         		<a id="pl.276.28"></a><var>276.28</var>account are subject to the requirements of section 529A(b)(2) of the Internal Revenue
         <br />
         		<a id="pl.276.29"></a><var>276.29</var>Code prohibiting noncash contributions and contributions in excess of the annual <br />
         		<a id="pl.276.30"></a><var>276.30</var>contribution limit. The total account balance may not exceed the maximum account 
         <br />
         		<a id="pl.276.31"></a><var>276.31</var>balance limit imposed under section 136G.09, subdivision 8.<br />
         		<a id="pl.276.32"></a><var>276.32</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Limited investment direction.</b> Designated beneficiaries may not direct <br />
         		<a id="pl.276.33"></a><var>276.33</var>the investment of assets in their accounts more than twice in any calendar year.<br />
         		<a id="pl.276.34"></a><var>276.34</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Security for loans.</b> An interest in an account must not be used as security <br />
         		<a id="pl.276.35"></a><var>276.35</var>for a loan.<br />
         		<br />
         		<a id="bill.7.48.0"></a><a id="pl.277.1"></a><var>277.1</var>&#160;&#160;&#160;&#160;Sec. 48. <b>[256Q.05] ABLE PLAN ADMINISTRATION.</b><br />
         		<a id="pl.277.2"></a><var>277.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Plan to comply with federal law.</b> The commissioner shall ensure <br />
         		<a id="pl.277.3"></a><var>277.3</var>that the plan meets the requirements for an ABLE account under section 529A of the
         <br />
         		<a id="pl.277.4"></a><var>277.4</var>Internal Revenue Code, including any regulations released after the effective date
         of this <br />
         		<a id="pl.277.5"></a><var>277.5</var>section. The commissioner may request a private letter ruling or rulings from the
         Internal <br />
         		<a id="pl.277.6"></a><var>277.6</var>Revenue Service or Secretary of Health and Human Services and must take any necessary
         <br />
         		<a id="pl.277.7"></a><var>277.7</var>steps to ensure that the plan qualifies under relevant provisions of federal law.<br />
         		<a id="pl.277.8"></a><var>277.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Plan rules and procedures.</b> (a) The commissioner shall establish the <br />
         		<a id="pl.277.9"></a><var>277.9</var>rules, terms, and conditions for the plan, subject to the requirements of this chapter
         and <br />
         		<a id="pl.277.10"></a><var>277.10</var>section 529A of the Internal Revenue Code.<br />
         		<a id="pl.277.11"></a><var>277.11</var>&#160;&#160;&#160;&#160;(b) The commissioner shall prescribe the application forms, procedures, and other
         <br />
         		<a id="pl.277.12"></a><var>277.12</var>requirements that apply to the plan.<br />
         		<a id="pl.277.13"></a><var>277.13</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Consultation with other state agencies; annual fee.</b> In designing and <br />
         		<a id="pl.277.14"></a><var>277.14</var>establishing the plan's requirements and in negotiating or entering into contracts
         with third <br />
         		<a id="pl.277.15"></a><var>277.15</var>parties under subdivision 4, the commissioner shall consult with the executive director
         of <br />
         		<a id="pl.277.16"></a><var>277.16</var>the board and the commissioner of the Office of Higher Education. The commissioner
         and <br />
         		<a id="pl.277.17"></a><var>277.17</var>the executive director shall establish an annual fee, equal to a percentage of the
         average <br />
         		<a id="pl.277.18"></a><var>277.18</var>daily net assets of the plan, to be imposed on account owners to recover the costs
         of <br />
         		<a id="pl.277.19"></a><var>277.19</var>administration, record keeping, and investment management as provided in subdivision
         5.<br />
         		<a id="pl.277.20"></a><var>277.20</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Administration.</b> The commissioner shall administer the plan, including <br />
         		<a id="pl.277.21"></a><var>277.21</var>accepting and processing applications, verifying state residency, verifying eligibility,
         <br />
         		<a id="pl.277.22"></a><var>277.22</var>maintaining account records, making payments, and undertaking any other necessary
         <br />
         		<a id="pl.277.23"></a><var>277.23</var>tasks to administer the plan. Notwithstanding other requirements of this chapter,
         the <br />
         		<a id="pl.277.24"></a><var>277.24</var>commissioner shall adopt rules for purposes of implementing and administering the
         plan. <br />
         		<a id="pl.277.25"></a><var>277.25</var>The commissioner may contract with one or more third parties to carry out some or
         all of <br />
         		<a id="pl.277.26"></a><var>277.26</var>these administrative duties, including providing incentives. The commissioner and
         the <br />
         		<a id="pl.277.27"></a><var>277.27</var>board may jointly contract with third-party providers, if the commissioner and board
         <br />
         		<a id="pl.277.28"></a><var>277.28</var>determine that it is desirable to contract with the same entity or entities for administration
         <br />
         		<a id="pl.277.29"></a><var>277.29</var>and investment management.<br />
         		<a id="pl.277.30"></a><var>277.30</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Authority to impose fees.</b> The commissioner, or the commissioner's <br />
         		<a id="pl.277.31"></a><var>277.31</var>designee, may impose annual fees, as provided in subdivision 3, on account owners
         to <br />
         		<a id="pl.277.32"></a><var>277.32</var>recover the costs of administration. The commissioner must keep the fees as low as
         <br />
         		<a id="pl.277.33"></a><var>277.33</var>possible, consistent with efficient administration, so that the returns on savings
         invested in <br />
         		<a id="pl.277.34"></a><var>277.34</var>the plan are as high as possible.<br />
         		<a id="pl.277.35"></a><var>277.35</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Federally mandated reporting.</b> (a) As required under section 529A(d) of <br />
         		<a id="pl.277.36"></a><var>277.36</var>the Internal Revenue Code, the commissioner or the commissioner's designee shall submit
         <br />
         		<a id="pl.278.1"></a><var>278.1</var>a notice to the Secretary of the Treasury upon the establishment of each ABLE account.
         <br />
         		<a id="pl.278.2"></a><var>278.2</var>The notice must contain the name and state of residence of the designated beneficiary
         and <br />
         		<a id="pl.278.3"></a><var>278.3</var>other information as the secretary may require.<br />
         		<a id="pl.278.4"></a><var>278.4</var>&#160;&#160;&#160;&#160;(b) As required under section 529A(d) of the Internal Revenue Code, the <br />
         		<a id="pl.278.5"></a><var>278.5</var>commissioner or the commissioner's designee shall submit electronically on a monthly
         <br />
         		<a id="pl.278.6"></a><var>278.6</var>basis to the Commissioner of Social Security, in a manner specified by the Commissioner
         <br />
         		<a id="pl.278.7"></a><var>278.7</var>of Social Security, statements on relevant distributions and account balances from
         all <br />
         		<a id="pl.278.8"></a><var>278.8</var>ABLE accounts.<br />
         		<a id="pl.278.9"></a><var>278.9</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Data.</b> (a) Data on ABLE accounts and designated beneficiaries of ABLE <br />
         		<a id="pl.278.10"></a><var>278.10</var>accounts are private data on individuals or nonpublic data as defined in section 13.02.<br />
         		<a id="pl.278.11"></a><var>278.11</var>&#160;&#160;&#160;&#160;(b) The commissioner may share or disseminate data classified as private or <br />
         		<a id="pl.278.12"></a><var>278.12</var>nonpublic in this subdivision as follows:<br />
         		<a id="pl.278.13"></a><var>278.13</var>&#160;&#160;&#160;&#160;(1) with other state or federal agencies, only to the extent necessary to verify <br />
         		<a id="pl.278.14"></a><var>278.14</var>identity of, determine the eligibility of, or process applications for an eligible
         individual <br />
         		<a id="pl.278.15"></a><var>278.15</var>participating in the Minnesota ABLE plan; and<br />
         		<a id="pl.278.16"></a><var>278.16</var>&#160;&#160;&#160;&#160;(2) with a nongovernmental person, only to the extent necessary to carry out the <br />
         		<a id="pl.278.17"></a><var>278.17</var>functions of the Minnesota ABLE plan, provided the commissioner has entered into <br />
         		<a id="pl.278.18"></a><var>278.18</var>a data-sharing agreement with the person, as provided in section 13.05, subdivision
         6, <br />
         		<a id="pl.278.19"></a><var>278.19</var>prior to sharing data under this clause or a contract with that person that complies
         with <br />
         		<a id="pl.278.20"></a><var>278.20</var>section 13.05, subdivision 11, as applicable.<br />
         		<br />
         		<a id="bill.7.49.0"></a><a id="pl.278.21"></a><var>278.21</var>&#160;&#160;&#160;&#160;Sec. 49. <b>[256Q.06] PLAN ACCOUNTS.</b><br />
         		<a id="pl.278.22"></a><var>278.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Contributions to an account.</b> Any person may make contributions <br />
         		<a id="pl.278.23"></a><var>278.23</var>to an ABLE account on behalf of a designated beneficiary. Contributions to an account
         <br />
         		<a id="pl.278.24"></a><var>278.24</var>made by persons other than the account owner become the property of the account owner.
         <br />
         		<a id="pl.278.25"></a><var>278.25</var>A person does not acquire an interest in an ABLE account by making contributions to
         <br />
         		<a id="pl.278.26"></a><var>278.26</var>an account. Contributions to an account must be made in cash, by check, or by other
         <br />
         		<a id="pl.278.27"></a><var>278.27</var>commercially acceptable means, as permitted by the Internal Revenue Service and <br />
         		<a id="pl.278.28"></a><var>278.28</var>approved by the plan administrator in cooperation with the commissioner and the board.<br />
         		<a id="pl.278.29"></a><var>278.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Contribution and account limitations.</b> Contributions to an ABLE <br />
         		<a id="pl.278.30"></a><var>278.30</var>account are subject to the requirements of section 529A(b) of the Internal Revenue
         Code. <br />
         		<a id="pl.278.31"></a><var>278.31</var>The total account balance of an ABLE account may not exceed the maximum account <br />
         		<a id="pl.278.32"></a><var>278.32</var>balance limit imposed under section 136G.09, subdivision 8. The plan administrator
         must <br />
         		<a id="pl.278.33"></a><var>278.33</var>reject any portion of a contribution to an account that exceeds the annual contribution
         limit <br />
         		<a id="pl.278.34"></a><var>278.34</var>or that would cause the total account balance to exceed the maximum account balance
         <br />
         		<a id="pl.278.35"></a><var>278.35</var>limit imposed under section 136G.09, subdivision 8.<br />
         		<a id="pl.279.1"></a><var>279.1</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Authority of account owner.</b> An account owner is the only person <br />
         		<a id="pl.279.2"></a><var>279.2</var>entitled to:<br />
         		<a id="pl.279.3"></a><var>279.3</var>&#160;&#160;&#160;&#160;(1) request distributions;<br />
         		<a id="pl.279.4"></a><var>279.4</var>&#160;&#160;&#160;&#160;(2) request rollover distributions; or<br />
         		<a id="pl.279.5"></a><var>279.5</var>&#160;&#160;&#160;&#160;(3) change the beneficiary of an ABLE account to a member of the family of the <br />
         		<a id="pl.279.6"></a><var>279.6</var>current beneficiary, but only if the beneficiary to whom the ABLE account is transferred
         <br />
         		<a id="pl.279.7"></a><var>279.7</var>is an eligible individual.<br />
         		<a id="pl.279.8"></a><var>279.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Effect of plan changes on participation agreement.</b> Amendments to <br />
         		<a id="pl.279.9"></a><var>279.9</var>this chapter automatically amend the participation agreement. Any amendments to the
         <br />
         		<a id="pl.279.10"></a><var>279.10</var>operating procedures and policies of the plan automatically amend the participation
         <br />
         		<a id="pl.279.11"></a><var>279.11</var>agreement after adoption by the commissioner or the board.<br />
         		<a id="pl.279.12"></a><var>279.12</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Special account to hold plan assets in trust.</b> All assets of the plan, <br />
         		<a id="pl.279.13"></a><var>279.13</var>including contributions to accounts, are held in trust for the exclusive benefit of
         account <br />
         		<a id="pl.279.14"></a><var>279.14</var>owners. Assets must be held in a separate account in the state treasury to be known
         as <br />
         		<a id="pl.279.15"></a><var>279.15</var>the Minnesota ABLE plan account or in accounts with the third-party provider selected
         <br />
         		<a id="pl.279.16"></a><var>279.16</var>pursuant to section 256Q.05, subdivision 4. Plan assets are not subject to claims
         by creditors <br />
         		<a id="pl.279.17"></a><var>279.17</var>of the state, are not part of the general fund, and are not subject to appropriation
         by the <br />
         		<a id="pl.279.18"></a><var>279.18</var>state. Payments from the Minnesota ABLE plan account shall be made under this chapter.<br />
         		<br />
         		<a id="bill.7.50.0"></a><a id="pl.279.19"></a><var>279.19</var>&#160;&#160;&#160;&#160;Sec. 50. <b>[256Q.07] INVESTMENT OF ABLE ACCOUNTS.</b><br />
         		<a id="pl.279.20"></a><var>279.20</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>State Board of Investment to invest.</b> The State Board of Investment <br />
         		<a id="pl.279.21"></a><var>279.21</var>shall invest the money deposited in accounts in the plan.<br />
         		<a id="pl.279.22"></a><var>279.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Permitted investments.</b> The board may invest the accounts in any <br />
         		<a id="pl.279.23"></a><var>279.23</var>permitted investment under section 11A.24, except that the accounts may be invested
         <br />
         		<a id="pl.279.24"></a><var>279.24</var>without limit in investment options from open-ended investment companies registered
         <br />
         		<a id="pl.279.25"></a><var>279.25</var>under the federal Investment Company Act of 1940, United States Code, title 15, sections
         <br />
         		<a id="pl.279.26"></a><var>279.26</var>80a-1 to 80a-64.<br />
         		<a id="pl.279.27"></a><var>279.27</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Contracting authority.</b> The board may contract with one or more third <br />
         		<a id="pl.279.28"></a><var>279.28</var>parties for investment management, record keeping, or other services in connection
         with <br />
         		<a id="pl.279.29"></a><var>279.29</var>investing the accounts. The board and commissioner may jointly contract with third-party
         <br />
         		<a id="pl.279.30"></a><var>279.30</var>providers, if the commissioner and board determine that it is desirable to contract
         with the <br />
         		<a id="pl.279.31"></a><var>279.31</var>same entity or entities for administration and investment management.<br />
         		<br />
         		<a id="bill.7.51.0"></a><a id="pl.279.32"></a><var>279.32</var>&#160;&#160;&#160;&#160;Sec. 51. <b>[256Q.08] ACCOUNT DISTRIBUTIONS.</b><br />
         		<a id="pl.279.33"></a><var>279.33</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Qualified distribution methods.</b> (a) Qualified distributions may <br />
         		<a id="pl.279.34"></a><var>279.34</var>be made:<br />
         		<a id="pl.280.1"></a><var>280.1</var>&#160;&#160;&#160;&#160;(1) directly to participating providers of goods and services that are qualified <br />
         		<a id="pl.280.2"></a><var>280.2</var>disability expenses, if purchased for a beneficiary;<br />
         		<a id="pl.280.3"></a><var>280.3</var>&#160;&#160;&#160;&#160;(2) in the form of a check payable to both the beneficiary and provider of goods or
         <br />
         		<a id="pl.280.4"></a><var>280.4</var>services that are qualified disability expenses; or<br />
         		<a id="pl.280.5"></a><var>280.5</var>&#160;&#160;&#160;&#160;(3) directly to the beneficiary, if the beneficiary has already paid qualified disability
         <br />
         		<a id="pl.280.6"></a><var>280.6</var>expenses.<br />
         		<a id="pl.280.7"></a><var>280.7</var>&#160;&#160;&#160;&#160;(b) Qualified distributions must be withdrawn proportionally from contributions and
         <br />
         		<a id="pl.280.8"></a><var>280.8</var>earnings in an account owner's account on the date of distribution as provided in
         section <br />
         		<a id="pl.280.9"></a><var>280.9</var>529A of the Internal Revenue Code.<br />
         		<a id="pl.280.10"></a><var>280.10</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Distributions upon death of a beneficiary.</b> Upon the death of a <br />
         		<a id="pl.280.11"></a><var>280.11</var>beneficiary, the amount remaining in the beneficiary's account must be distributed
         pursuant <br />
         		<a id="pl.280.12"></a><var>280.12</var>to section 529A(f) of the Internal Revenue Code.<br />
         		<a id="pl.280.13"></a><var>280.13</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Nonqualified distribution.</b> An account owner may request a nonqualified <br />
         		<a id="pl.280.14"></a><var>280.14</var>distribution from an account at any time. Nonqualified distributions are based on
         the total <br />
         		<a id="pl.280.15"></a><var>280.15</var>account balances in an account owner's account and must be withdrawn proportionally
         <br />
         		<a id="pl.280.16"></a><var>280.16</var>from contributions and earnings as provided in section 529A of the Internal Revenue
         <br />
         		<a id="pl.280.17"></a><var>280.17</var>Code. The earnings portion of a nonqualified distribution is subject to a federal
         additional <br />
         		<a id="pl.280.18"></a><var>280.18</var>tax pursuant to section 529A of the Internal Revenue Code. For purposes of this <br />
         		<a id="pl.280.19"></a><var>280.19</var>subdivision, "earnings portion" means the ratio of the earnings in the account to
         the total <br />
         		<a id="pl.280.20"></a><var>280.20</var>account balance, immediately prior to the distribution, multiplied by the distribution.<br />
         		<br />
         		<a id="bill.7.52.0"></a><a id="pl.280.21"></a><var>280.21</var>&#160;&#160;&#160;&#160;Sec. 52. <b>INDIVIDUAL PROVIDERS OF DIRECT SUPPORT SERVICES.</b><br />
         		<a id="pl.280.22"></a><var>280.22</var>The labor agreement between the state of Minnesota and the Service Employees <br />
         		<a id="pl.280.23"></a><var>280.23</var>International Union Healthcare Minnesota, submitted to the Legislative Coordinating
         <br />
         		<a id="pl.280.24"></a><var>280.24</var>Commission on March 2, 2015, is ratified.<br />
         		<a id="pl.280.25"></a><var>280.25</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015.<br />
         		<br />
         		<a id="bill.7.53.0"></a><a id="pl.280.26"></a><var>280.26</var>&#160;&#160;&#160;&#160;Sec. 53. <b>RATE INCREASE FOR DIRECT SUPPORT SERVICES PROVIDERS </b><br />
         		<a id="pl.280.27"></a><var>280.27</var><b>WORKFORCE NEGOTIATIONS.</b><br />
         		<a id="pl.280.28"></a><var>280.28</var>&#160;&#160;&#160;&#160;(a) If the labor agreement between the state of Minnesota and the Service Employees
         <br />
         		<a id="pl.280.29"></a><var>280.29</var>International Union Healthcare Minnesota under Minnesota Statutes, section 179A.54,
         is <br />
         		<a id="pl.280.30"></a><var>280.30</var>approved pursuant to Minnesota Statutes, sections 3.855 and 179A.22, the commissioner
         <br />
         		<a id="pl.280.31"></a><var>280.31</var>of human services shall increase reimbursement rates, individual budgets, grants,
         or <br />
         		<a id="pl.280.32"></a><var>280.32</var>allocations by 1.53 percent for services provided on or after July 1, 2015, and by
         an <br />
         		<a id="pl.280.33"></a><var>280.33</var>additional 0.2 percent for services provided on or after July 1, 2016, to implement
         the <br />
         		<a id="pl.280.34"></a><var>280.34</var>minimum hourly wage and paid time off provisions of that agreement.<br />
         		<a id="pl.281.1"></a><var>281.1</var>&#160;&#160;&#160;&#160;(b) The rate changes described in this section apply to direct support services <br />
         		<a id="pl.281.2"></a><var>281.2</var>provided through a covered program, as defined in Minnesota Statutes, section 256B.0711,
         <br />
         		<a id="pl.281.3"></a><var>281.3</var>subdivision 1.<br />
         		<br />
         		<a id="bill.7.54.0"></a><a id="pl.281.4"></a><var>281.4</var>&#160;&#160;&#160;&#160;Sec. 54. <b>CONSUMER-DIRECTED COMMUNITY SUPPORTS BUDGET </b><br />
         		<a id="pl.281.5"></a><var>281.5</var><b>METHODOLOGY EXCEPTION.</b><br />
         		<a id="pl.281.6"></a><var>281.6</var>(a) No later than September 30, 2015, if necessary, the commissioner of human <br />
         		<a id="pl.281.7"></a><var>281.7</var>services shall submit an amendment to the Centers for Medicare and Medicaid Services
         <br />
         		<a id="pl.281.8"></a><var>281.8</var>for the home and community-based services waivers authorized under Minnesota Statutes,
         <br />
         		<a id="pl.281.9"></a><var>281.9</var>sections 256B.092 and 256B.49, to establish an exception to the consumer-directed
         <br />
         		<a id="pl.281.10"></a><var>281.10</var>community supports budget methodology to provide up to 20 percent more funds for:<br />
         		<a id="pl.281.11"></a><var>281.11</var>(1) consumer-directed community supports participants who have graduated <br />
         		<a id="pl.281.12"></a><var>281.12</var>from high school and have a coordinated service and support plan which identifies
         the <br />
         		<a id="pl.281.13"></a><var>281.13</var>need for more services under consumer-directed community supports, either prior to
         <br />
         		<a id="pl.281.14"></a><var>281.14</var>graduation or in order to increase the amount of time a person works or to improve
         their <br />
         		<a id="pl.281.15"></a><var>281.15</var>employment opportunities, than the amount they are eligible to receive under the current
         <br />
         		<a id="pl.281.16"></a><var>281.16</var>consumer-directed community supports budget methodology; and<br />
         		<a id="pl.281.17"></a><var>281.17</var>(2) home and community-based waiver participants who are currently using licensed
         <br />
         		<a id="pl.281.18"></a><var>281.18</var>services for employment supports or services during the day which cost more annually
         <br />
         		<a id="pl.281.19"></a><var>281.19</var>than the person would spend under a consumer-directed community supports plan for
         <br />
         		<a id="pl.281.20"></a><var>281.20</var>individualized employment supports or services during the day.<br />
         		<a id="pl.281.21"></a><var>281.21</var>(b) The exception under paragraph (a) is limited to those persons who can <br />
         		<a id="pl.281.22"></a><var>281.22</var>demonstrate either that they will have to leave consumer-directed community supports
         and <br />
         		<a id="pl.281.23"></a><var>281.23</var>use other waiver services because their need for day or employment supports cannot
         be <br />
         		<a id="pl.281.24"></a><var>281.24</var>met within the consumer-directed community supports budget limits or they will move
         <br />
         		<a id="pl.281.25"></a><var>281.25</var>to consumer-directed community supports and their services will cost less than services
         <br />
         		<a id="pl.281.26"></a><var>281.26</var>currently being used.<br />
         		<a id="pl.281.27"></a><var>281.27</var><b>EFFECTIVE DATE.</b>The exception under this section is effective October 1, 2015, <br />
         		<a id="pl.281.28"></a><var>281.28</var>or upon federal approval, whichever is later. The commissioner of human services shall
         <br />
         		<a id="pl.281.29"></a><var>281.29</var>notify the revisor of statutes when this occurs.<br />
         		<br />
         		<a id="bill.7.55.0"></a><a id="pl.281.30"></a><var>281.30</var>&#160;&#160;&#160;&#160;Sec. 55. <b>HOME AND COMMUNITY-BASED SERVICES INCENTIVE POOL.</b><br />
         		<a id="pl.281.31"></a><var>281.31</var>&#160;&#160;&#160;&#160;The commissioner of human services shall develop an initiative to provide <br />
         		<a id="pl.281.32"></a><var>281.32</var>incentives for innovation in achieving integrated competitive employment, living in
         <br />
         		<a id="pl.281.33"></a><var>281.33</var>the most integrated setting, and other outcomes determined by the commissioner. The
         <br />
         		<a id="pl.281.34"></a><var>281.34</var>commissioner shall seek requests for proposals and shall contract with one or more
         entities <br />
         		<a id="pl.282.1"></a><var>282.1</var>to provide incentive payments for meeting identified outcomes. The initial requests
         for <br />
         		<a id="pl.282.2"></a><var>282.2</var>proposals must be issued by October 1, 2016.<br />
         		<br />
         		<a id="bill.7.56.0"></a><a id="pl.282.3"></a><var>282.3</var>&#160;&#160;&#160;&#160;Sec. 56. <b>DIRECTION TO COMMISSIONER; REPORTS REQUIRED.</b><br />
         		<a id="pl.282.4"></a><var>282.4</var>The commissioner of human services shall develop and submit reports to the chairs
         <br />
         		<a id="pl.282.5"></a><var>282.5</var>and ranking minority members of the house of representatives and senate committees
         and <br />
         		<a id="pl.282.6"></a><var>282.6</var>divisions with jurisdiction over health and human services policy and finance on the
         <br />
         		<a id="pl.282.7"></a><var>282.7</var>implementation of Minnesota Statutes, sections 256B.0916, subdivisions 2, 11, and
         12, <br />
         		<a id="pl.282.8"></a><var>282.8</var>and 256B.49, subdivisions 26 and 27. The commissioner shall submit two reports, one
         by <br />
         		<a id="pl.282.9"></a><var>282.9</var>February 15, 2018, and the second by February 15, 2019.<br />
         		<br />
         		<a id="bill.7.57.0"></a><a id="pl.282.10"></a><var>282.10</var>&#160;&#160;&#160;&#160;Sec. 57. <b>INSTRUCTIONS TO THE COMMISSIONER.</b><br />
         		<a id="pl.282.11"></a><var>282.11</var>The commissioner shall determine the number of individuals who were determined <br />
         		<a id="pl.282.12"></a><var>282.12</var>to be ineligible to receive community first services and supports because they did
         not <br />
         		<a id="pl.282.13"></a><var>282.13</var>require constant supervision and cuing in order to accomplish activities of daily
         living. <br />
         		<a id="pl.282.14"></a><var>282.14</var>The commissioner shall issue a report with these findings to the chairs and ranking
         <br />
         		<a id="pl.282.15"></a><var>282.15</var>minority members of the house and senate committees with jurisdiction over human <br />
         		<a id="pl.282.16"></a><var>282.16</var>services programs.<br />
         		<br />
         		<a id="bill.7.58.0"></a><a id="pl.282.17"></a><var>282.17</var>&#160;&#160;&#160;&#160;Sec. 58. <b> REPEALER.</b><br />
         		<a id="pl.282.18"></a><var>282.18</var>Laws 2012, chapter 247, article 4, section 47, as amended by Laws 2014, chapter <br />
         		<a id="pl.282.19"></a><var>282.19</var>312, article 27, section 72, is repealed upon the effective date of section 54.<br />
         		<br />
         		<a id="bill.8.0.0"></a><div class="xtend_ce"><a id="pl.282.20"></a><var>282.20</var><b>ARTICLE 8</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.282.21"></a><var>282.21</var><b>HEALTH DEPARTMENT AND PUBLIC HEALTH</b><br />
            		
         </div><br />
         		<a id="bill.8.1.0"></a><a id="pl.282.22"></a><var>282.22</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 16A.724, subdivision 2, is amended to read:<br />
         		<a id="pl.282.23"></a><var>282.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Transfers.</b> (a) Notwithstanding section 
         <statute_ref>295.581</statute_ref>, to the extent available <br />
         		<a id="pl.282.24"></a><var>282.24</var>resources in the health care access fund exceed expenditures in that fund, effective
         for <br />
         		<a id="pl.282.25"></a><var>282.25</var>the biennium beginning July 1, 2007, the commissioner of management and budget shall
         <br />
         		<a id="pl.282.26"></a><var>282.26</var>transfer the excess funds from the health care access fund to the general fund on
         June 30 <br />
         		<a id="pl.282.27"></a><var>282.27</var>of each year, provided that the amount transferred in any fiscal biennium shall not
         exceed <br />
         		<a id="pl.282.28"></a><var>282.28</var>$96,000,000. The purpose of this transfer is to meet the rate increase required under
         Laws <br />
         		<a id="pl.282.29"></a><var>282.29</var>2003, First Special Session chapter 14, article 13C, section 2, subdivision 6.<br />
         		<a id="pl.282.30"></a><var>282.30</var>&#160;&#160;&#160;&#160;(b) For fiscal years 2006 to 2011, MinnesotaCare shall be a forecasted program, and,
         <br />
         		<a id="pl.282.31"></a><var>282.31</var>if necessary, the commissioner shall reduce these transfers from the health care access
         <br />
         		<a id="pl.282.32"></a><var>282.32</var>fund to the general fund to meet annual MinnesotaCare expenditures or, if necessary,
         <br />
         		<a id="pl.283.1"></a><var>283.1</var>transfer sufficient funds from the general fund to the health care access fund to
         meet <br />
         		<a id="pl.283.2"></a><var>283.2</var>annual MinnesotaCare expenditures.<br />
         		<a id="pl.283.3"></a><var>283.3</var>(c) Notwithstanding section 
         <statute_ref>295.581</statute_ref>, to the extent available resources in the health <br />
         		<a id="pl.283.4"></a><var>283.4</var>care access fund exceed expenditures in that fund after the transfer required in paragraph
         <br />
         		<a id="pl.283.5"></a><var>283.5</var>(a), effective for the biennium beginning July 1, 2013, the commissioner of management
         <br />
         		<a id="pl.283.6"></a><var>283.6</var>and budget shall transfer $1,000,000 each fiscal year from the health access fund
         to <br />
         		<a id="pl.283.7"></a><var>283.7</var>the medical education and research costs fund established under section 
         <statute_ref>62J.692</statute_ref>, for <br />
         		<a id="pl.283.8"></a><var>283.8</var>distribution under section 
         <statute_ref>62J.692, subdivision 4</statute_ref>, paragraph (c).<br />
         		<br />
         		<a id="bill.8.2.0"></a><a id="pl.283.9"></a><var>283.9</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 62J.498, is amended to read:<br />
         		<a id="pl.283.10"></a><var>283.10</var><b>62J.498 HEALTH INFORMATION EXCHANGE.</b><br />
         		<a id="pl.283.11"></a><var>283.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> The following definitions apply to sections 
         <statute_ref>62J.498</statute_ref> to <br />
         		
         <statute_ref><a id="pl.283.12"></a><var>283.12</var>62J.4982
         </statute_ref>:<br />
         		<a id="pl.283.13"></a><var>283.13</var>(a) "Clinical data repository" means a real time database that consolidates data from
         <br />
         		<a id="pl.283.14"></a><var>283.14</var>a variety of clinical sources to present a unified view of a single patient and is
         used by a <br />
         		<a id="pl.283.15"></a><var>283.15</var>state-certified health information exchange service provider to enable health information
         <br />
         		<a id="pl.283.16"></a><var>283.16</var>exchange among health care providers that are not related health care entities as
         defined in <br />
         		<a id="pl.283.17"></a><var>283.17</var>section 144.291, subdivision 2, paragraph (j). This does not include clinical data
         that are <br />
         		<a id="pl.283.18"></a><var>283.18</var>submitted to the commissioner for public health purposes required or permitted by
         law, <br />
         		<a id="pl.283.19"></a><var>283.19</var>including any rules adopted by the commissioner.<br />
         		<a id="pl.283.20"></a><var>283.20</var>(a) (b) "Clinical transaction" means any meaningful use transaction or other health <br />
         		<a id="pl.283.21"></a><var>283.21</var>information exchange transaction that is not covered by section 
         <statute_ref>62J.536</statute_ref>.<br />
         		<a id="pl.283.22"></a><var>283.22</var>(b) (c) "Commissioner" means the commissioner of health.<br />
         		<a id="pl.283.23"></a><var>283.23</var>(c) "Direct health information exchange" means the electronic transmission of <br />
         		<a id="pl.283.24"></a><var>283.24</var>health-related information through a direct connection between the electronic health
         <br />
         		<a id="pl.283.25"></a><var>283.25</var>record systems of health care providers without the use of a health data intermediary.<br />
         		<a id="pl.283.26"></a><var>283.26</var>(d) "Health care provider" or "provider" means a health care provider or provider
         as <br />
         		<a id="pl.283.27"></a><var>283.27</var>defined in section 
         <statute_ref>62J.03, subdivision 8</statute_ref>.<br />
         		<a id="pl.283.28"></a><var>283.28</var>(e) "Health data intermediary" means an entity that provides the infrastructure <br />
         		<a id="pl.283.29"></a><var>283.29</var>technical capabilities or related products and services to connect computer systems or <br />
         		<a id="pl.283.30"></a><var>283.30</var>other electronic devices used by health care providers, laboratories, pharmacies,
         health <br />
         		<a id="pl.283.31"></a><var>283.31</var>plans, third-party administrators, or pharmacy benefit managers to facilitate the
         secure <br />
         		<a id="pl.283.32"></a><var>283.32</var>transmission of health information, including enable health information exchange among <br />
         		<a id="pl.283.33"></a><var>283.33</var>health care providers that are not related health care entities as defined in section
         144.291, <br />
         		<a id="pl.283.34"></a><var>283.34</var>subdivision 2, paragraph (j). This includes but is not limited to: health information
         service <br />
         		<a id="pl.283.35"></a><var>283.35</var>providers (HISP), electronic health record vendors, and pharmaceutical electronic data <br />
         		<a id="pl.284.1"></a><var>284.1</var>intermediaries as defined in section 
         <statute_ref>62J.495</statute_ref>. This does not include health care providers <br />
         		<a id="pl.284.2"></a><var>284.2</var>engaged in direct health information exchange.<br />
         		<a id="pl.284.3"></a><var>284.3</var>(f) "Health information exchange" means the electronic transmission of health-related
         <br />
         		<a id="pl.284.4"></a><var>284.4</var>information between organizations according to nationally recognized standards.<br />
         		<a id="pl.284.5"></a><var>284.5</var>(g) "Health information exchange service provider" means a health data intermediary
         <br />
         		<a id="pl.284.6"></a><var>284.6</var>or health information organization that has been issued a certificate of authority by the <br />
         		<a id="pl.284.7"></a><var>284.7</var>commissioner under section 
         <statute_ref>62J.4981</statute_ref>.<br />
         		<a id="pl.284.8"></a><var>284.8</var>(h) "Health information organization" means an organization that oversees, governs,
         <br />
         		<a id="pl.284.9"></a><var>284.9</var>and facilitates the health information exchange of health-related information among <br />
         		<a id="pl.284.10"></a><var>284.10</var>organizations according to nationally recognized standards health care providers that are <br />
         		<a id="pl.284.11"></a><var>284.11</var>not related health care entities as defined in section 144.291, subdivision 2, paragraph
         (j), <br />
         		<a id="pl.284.12"></a><var>284.12</var>to improve coordination of patient care and the efficiency of health care delivery.<br />
         		<a id="pl.284.13"></a><var>284.13</var>(i) "HITECH Act" means the Health Information Technology for Economic and <br />
         		<a id="pl.284.14"></a><var>284.14</var>Clinical Health Act as defined in section 
         <statute_ref>62J.495</statute_ref>.<br />
         		<a id="pl.284.15"></a><var>284.15</var>(j) "Major participating entity" means:<br />
         		<a id="pl.284.16"></a><var>284.16</var>(1) a participating entity that receives compensation for services that is greater
         <br />
         		<a id="pl.284.17"></a><var>284.17</var>than 30 percent of the health information organization's gross annual revenues from
         the <br />
         		<a id="pl.284.18"></a><var>284.18</var>health information exchange service provider;<br />
         		<a id="pl.284.19"></a><var>284.19</var>(2) a participating entity providing administrative, financial, or management services
         <br />
         		<a id="pl.284.20"></a><var>284.20</var>to the health information organization, if the total payment for all services provided
         by the <br />
         		<a id="pl.284.21"></a><var>284.21</var>participating entity exceeds three percent of the gross revenue of the health information
         <br />
         		<a id="pl.284.22"></a><var>284.22</var>organization; and<br />
         		<a id="pl.284.23"></a><var>284.23</var>(3) a participating entity that nominates or appoints 30 percent or more of the board
         <br />
         		<a id="pl.284.24"></a><var>284.24</var>of directors or equivalent governing body of the health information organization.<br />
         		<a id="pl.284.25"></a><var>284.25</var>(k) "Master patient index" means an electronic database that holds unique identifiers
         <br />
         		<a id="pl.284.26"></a><var>284.26</var>of patients registered at a care facility and is used by a state-certified health
         information <br />
         		<a id="pl.284.27"></a><var>284.27</var>exchange service provider to enable health information exchange among health care
         <br />
         		<a id="pl.284.28"></a><var>284.28</var>providers that are not related health care entities as defined in section 144.291,
         subdivision <br />
         		<a id="pl.284.29"></a><var>284.29</var>2, paragraph (j). This does not include data that are submitted to the commissioner
         for <br />
         		<a id="pl.284.30"></a><var>284.30</var>public health purposes required or permitted by law, including any rules adopted by
         the <br />
         		<a id="pl.284.31"></a><var>284.31</var>commissioner.<br />
         		<a id="pl.284.32"></a><var>284.32</var>(k) (l) "Meaningful use" means use of certified electronic health record technology <br />
         		<a id="pl.284.33"></a><var>284.33</var>that includes e-prescribing, and is connected in a manner that provides for the electronic
         <br />
         		<a id="pl.284.34"></a><var>284.34</var>exchange of health information and used for the submission of clinical quality measures
         <br />
         		<a id="pl.284.35"></a><var>284.35</var>to improve quality, safety, and efficiency and reduce health disparities; engage patients
         <br />
         		<a id="pl.284.36"></a><var>284.36</var>and families; improve care coordination and population and public health; and maintain
         <br />
         		<a id="pl.285.1"></a><var>285.1</var>privacy and security of patient health information as established by the Center for <br />
         		<a id="pl.285.2"></a><var>285.2</var>Medicare and Medicaid Services and the Minnesota Department of Human Services <br />
         		<a id="pl.285.3"></a><var>285.3</var>pursuant to sections 4101, 4102, and 4201 of the HITECH Act.<br />
         		<a id="pl.285.4"></a><var>285.4</var>(l) (m) "Meaningful use transaction" means an electronic transaction that a health <br />
         		<a id="pl.285.5"></a><var>285.5</var>care provider must exchange to receive Medicare or Medicaid incentives or avoid <br />
         		<a id="pl.285.6"></a><var>285.6</var>Medicare penalties pursuant to sections 4101, 4102, and 4201 of the HITECH Act.<br />
         		<a id="pl.285.7"></a><var>285.7</var>(m) (n) "Participating entity" means any of the following persons, health care <br />
         		<a id="pl.285.8"></a><var>285.8</var>providers, companies, or other organizations with which a health information organization
         <br />
         		<a id="pl.285.9"></a><var>285.9</var>or health data intermediary has contracts or other agreements for the provision of
         health <br />
         		<a id="pl.285.10"></a><var>285.10</var>information exchange service providers services:<br />
         		<a id="pl.285.11"></a><var>285.11</var>(1) a health care facility licensed under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref>, a nursing home <br />
         		<a id="pl.285.12"></a><var>285.12</var>licensed under sections 
         <statute_ref>144A.02</statute_ref> to 
         <statute_ref>144A.10</statute_ref>, and any other health care facility otherwise <br />
         		<a id="pl.285.13"></a><var>285.13</var>licensed under the laws of this state or registered with the commissioner;<br />
         		<a id="pl.285.14"></a><var>285.14</var>(2) a health care provider, and any other health care professional otherwise licensed
         <br />
         		<a id="pl.285.15"></a><var>285.15</var>under the laws of this state or registered with the commissioner;<br />
         		<a id="pl.285.16"></a><var>285.16</var>(3) a group, professional corporation, or other organization that provides the <br />
         		<a id="pl.285.17"></a><var>285.17</var>services of individuals or entities identified in clause (2), including but not limited
         to a <br />
         		<a id="pl.285.18"></a><var>285.18</var>medical clinic, a medical group, a home health care agency, an urgent care center,
         and <br />
         		<a id="pl.285.19"></a><var>285.19</var>an emergent care center;<br />
         		<a id="pl.285.20"></a><var>285.20</var>(4) a health plan as defined in section 
         <statute_ref>62A.011, subdivision 3</statute_ref>; and<br />
         		<a id="pl.285.21"></a><var>285.21</var>(5) a state agency as defined in section 
         <statute_ref>13.02, subdivision 17</statute_ref>.<br />
         		<a id="pl.285.22"></a><var>285.22</var>(n) (o) "Reciprocal agreement" means an arrangement in which two or more health <br />
         		<a id="pl.285.23"></a><var>285.23</var>information exchange service providers agree to share in-kind services and resources
         to <br />
         		<a id="pl.285.24"></a><var>285.24</var>allow for the pass-through of meaningful use clinical transactions.<br />
         		<a id="pl.285.25"></a><var>285.25</var>(o) (p) "State-certified health data intermediary" means a health data intermediary <br />
         		<a id="pl.285.26"></a><var>285.26</var>that: has been issued a certificate of authority to operate in Minnesota.<br />
         		<a id="pl.285.27"></a><var>285.27</var>(1) provides a subset of the meaningful use transaction capabilities necessary for
         <br />
         		<a id="pl.285.28"></a><var>285.28</var>hospitals and providers to achieve meaningful use of electronic health records;<br />
         		<a id="pl.285.29"></a><var>285.29</var>(2) is not exclusively engaged in the exchange of meaningful use transactions <br />
         		<a id="pl.285.30"></a><var>285.30</var>covered by section 
         <statute_ref>62J.536</statute_ref>; and<br />
         		<a id="pl.285.31"></a><var>285.31</var>(3) has been issued a certificate of authority to operate in Minnesota.<br />
         		<a id="pl.285.32"></a><var>285.32</var>(p) (q) "State-certified health information organization" means a nonprofit health <br />
         		<a id="pl.285.33"></a><var>285.33</var>information organization that provides transaction capabilities necessary to fully support <br />
         		<a id="pl.285.34"></a><var>285.34</var>clinical transactions required for meaningful use of electronic health records that has been <br />
         		<a id="pl.285.35"></a><var>285.35</var>issued a certificate of authority to operate in Minnesota.<br />
         		<a id="pl.286.1"></a><var>286.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Health information exchange oversight.</b> (a) The commissioner shall <br />
         		<a id="pl.286.2"></a><var>286.2</var>protect the public interest on matters pertaining to health information exchange.
         The <br />
         		<a id="pl.286.3"></a><var>286.3</var>commissioner shall:<br />
         		<a id="pl.286.4"></a><var>286.4</var>(1) review and act on applications from health data intermediaries and health <br />
         		<a id="pl.286.5"></a><var>286.5</var>information organizations for certificates of authority to operate in Minnesota;<br />
         		<a id="pl.286.6"></a><var>286.6</var>(2) provide ongoing monitoring to ensure compliance with criteria established under
         <br />
         		<a id="pl.286.7"></a><var>286.7</var>sections 
         <statute_ref>62J.498</statute_ref> to 
         <statute_ref>62J.4982</statute_ref>;<br />
         		<a id="pl.286.8"></a><var>286.8</var>(3) respond to public complaints related to health information exchange services;<br />
         		<a id="pl.286.9"></a><var>286.9</var>(4) take enforcement actions as necessary, including the imposition of fines, <br />
         		<a id="pl.286.10"></a><var>286.10</var>suspension, or revocation of certificates of authority as outlined in section 
         <statute_ref>62J.4982</statute_ref>;<br />
         		<a id="pl.286.11"></a><var>286.11</var>(5) provide a biennial report on the status of health information exchange services
         <br />
         		<a id="pl.286.12"></a><var>286.12</var>that includes but is not limited to:<br />
         		<a id="pl.286.13"></a><var>286.13</var>(i) recommendations on actions necessary to ensure that health information exchange
         <br />
         		<a id="pl.286.14"></a><var>286.14</var>services are adequate to meet the needs of Minnesota citizens and providers statewide;<br />
         		<a id="pl.286.15"></a><var>286.15</var>(ii) recommendations on enforcement actions to ensure that health information <br />
         		<a id="pl.286.16"></a><var>286.16</var>exchange service providers act in the public interest without causing disruption in
         health <br />
         		<a id="pl.286.17"></a><var>286.17</var>information exchange services;<br />
         		<a id="pl.286.18"></a><var>286.18</var>(iii) recommendations on updates to criteria for obtaining certificates of authority
         <br />
         		<a id="pl.286.19"></a><var>286.19</var>under this section; and<br />
         		<a id="pl.286.20"></a><var>286.20</var>(iv) recommendations on standard operating procedures for health information <br />
         		<a id="pl.286.21"></a><var>286.21</var>exchange, including but not limited to the management of consumer preferences; and<br />
         		<a id="pl.286.22"></a><var>286.22</var>(6) other duties necessary to protect the public interest.<br />
         		<a id="pl.286.23"></a><var>286.23</var>(b) As part of the application review process for certification under paragraph (a),
         <br />
         		<a id="pl.286.24"></a><var>286.24</var>prior to issuing a certificate of authority, the commissioner shall:<br />
         		<a id="pl.286.25"></a><var>286.25</var>(1) hold public hearings that provide an adequate opportunity for participating <br />
         		<a id="pl.286.26"></a><var>286.26</var>entities and consumers to provide feedback and recommendations on the application
         under <br />
         		<a id="pl.286.27"></a><var>286.27</var>consideration. The commissioner shall make all portions of the application classified as <br />
         		<a id="pl.286.28"></a><var>286.28</var>public data available to the public for at least ten days in advance of the hearing while <br />
         		<a id="pl.286.29"></a><var>286.29</var>an application is under consideration. At the request of the commissioner, the applicant <br />
         		<a id="pl.286.30"></a><var>286.30</var>shall participate in the a public hearing by presenting an overview of their application and <br />
         		<a id="pl.286.31"></a><var>286.31</var>responding to questions from interested parties; and<br />
         		<a id="pl.286.32"></a><var>286.32</var>(2) make available all feedback and recommendations gathered at the hearing <br />
         		<a id="pl.286.33"></a><var>286.33</var>available to the public prior to issuing a certificate of authority; and<br />
         		<a id="pl.286.34"></a><var>286.34</var>(3) consult with hospitals, physicians, and other professionals eligible to receive <br />
         		<a id="pl.286.35"></a><var>286.35</var>meaningful use incentive payments or subject to penalties as established in the HITECH
         <br />
         		<a id="pl.287.1"></a><var>287.1</var>Act, and their respective statewide associations, providers prior to issuing a certificate of <br />
         		<a id="pl.287.2"></a><var>287.2</var>authority.<br />
         		<a id="pl.287.3"></a><var>287.3</var>(c) When the commissioner is actively considering a suspension or revocation of a
         <br />
         		<a id="pl.287.4"></a><var>287.4</var>certificate of authority as described in section 
         <statute_ref>62J.4982, subdivision 3</statute_ref>, all investigatory <br />
         		<a id="pl.287.5"></a><var>287.5</var>data that are collected, created, or maintained related to the suspension or revocation
         <br />
         		<a id="pl.287.6"></a><var>287.6</var>are classified as confidential data on individuals and as protected nonpublic data
         in the <br />
         		<a id="pl.287.7"></a><var>287.7</var>case of data not on individuals.<br />
         		<a id="pl.287.8"></a><var>287.8</var>(d) The commissioner may disclose data classified as protected nonpublic or <br />
         		<a id="pl.287.9"></a><var>287.9</var>confidential under paragraph (c) if disclosing the data will protect the health or
         safety of <br />
         		<a id="pl.287.10"></a><var>287.10</var>patients.<br />
         		<a id="pl.287.11"></a><var>287.11</var>(e) After the commissioner makes a final determination regarding a suspension or <br />
         		<a id="pl.287.12"></a><var>287.12</var>revocation of a certificate of authority, all minutes, orders for hearing, findings
         of fact, <br />
         		<a id="pl.287.13"></a><var>287.13</var>conclusions of law, and the specification of the final disciplinary action, are classified
         <br />
         		<a id="pl.287.14"></a><var>287.14</var>as public data.<br />
         		<br />
         		<a id="bill.8.3.0"></a><a id="pl.287.15"></a><var>287.15</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 62J.4981, is amended to read:<br />
         		<a id="pl.287.16"></a><var>287.16</var><b>62J.4981 CERTIFICATE OF AUTHORITY TO PROVIDE HEALTH </b><br />
         		<a id="pl.287.17"></a><var>287.17</var><b>INFORMATION EXCHANGE SERVICES.</b><br />
         		<a id="pl.287.18"></a><var>287.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Authority to require organizations to apply.</b> The commissioner <br />
         		<a id="pl.287.19"></a><var>287.19</var>shall require an entity providing health information exchange services a health data <br />
         		<a id="pl.287.20"></a><var>287.20</var>intermediary or a health information organization to apply for a certificate of authority <br />
         		<a id="pl.287.21"></a><var>287.21</var>under this section. An applicant may continue to operate until the commissioner acts
         <br />
         		<a id="pl.287.22"></a><var>287.22</var>on the application. If the application is denied, the applicant is considered a health
         <br />
         		<a id="pl.287.23"></a><var>287.23</var>information organization exchange service provider whose certificate of authority has <br />
         		<a id="pl.287.24"></a><var>287.24</var>been revoked under section 
         <statute_ref>62J.4982, subdivision 2</statute_ref>, paragraph (d).<br />
         		<a id="pl.287.25"></a><var>287.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Certificate of authority for health data intermediaries.</b> (a) A health <br />
         		<a id="pl.287.26"></a><var>287.26</var>data intermediary that provides health information exchange services for the transmission <br />
         		<a id="pl.287.27"></a><var>287.27</var>of one or more clinical transactions necessary for hospitals, providers, or eligible
         <br />
         		<a id="pl.287.28"></a><var>287.28</var>professionals to achieve meaningful use must be registered with certified by the state and <br />
         		<a id="pl.287.29"></a><var>287.29</var>comply with requirements established in this section.<br />
         		<a id="pl.287.30"></a><var>287.30</var>(b) Notwithstanding any law to the contrary, any corporation organized to do so <br />
         		<a id="pl.287.31"></a><var>287.31</var>may apply to the commissioner for a certificate of authority to establish and operate
         as <br />
         		<a id="pl.287.32"></a><var>287.32</var>a health data intermediary in compliance with this section. No person shall establish
         or <br />
         		<a id="pl.287.33"></a><var>287.33</var>operate a health data intermediary in this state, nor sell or offer to sell, or solicit
         offers <br />
         		<a id="pl.287.34"></a><var>287.34</var>to purchase or receive advance or periodic consideration in conjunction with a health
         <br />
         		<a id="pl.288.1"></a><var>288.1</var>data intermediary contract unless the organization has a certificate of authority
         or has an <br />
         		<a id="pl.288.2"></a><var>288.2</var>application under active consideration under this section.<br />
         		<a id="pl.288.3"></a><var>288.3</var>(c) In issuing the certificate of authority, the commissioner shall determine whether
         <br />
         		<a id="pl.288.4"></a><var>288.4</var>the applicant for the certificate of authority has demonstrated that the applicant
         meets <br />
         		<a id="pl.288.5"></a><var>288.5</var>the following minimum criteria:<br />
         		<a id="pl.288.6"></a><var>288.6</var>(1) interoperate with at least one state-certified health information organization;<br />
         		<a id="pl.288.7"></a><var>288.7</var>(2) provide an option for Minnesota entities to connect to their services through
         at <br />
         		<a id="pl.288.8"></a><var>288.8</var>least one state-certified health information organization;<br />
         		<a id="pl.288.9"></a><var>288.9</var>(3) have a record locator service as defined in section 
         <statute_ref>144.291, subdivision 2</statute_ref>, <br />
         		<a id="pl.288.10"></a><var>288.10</var>paragraph (i), that is compliant with the requirements of section 
         <statute_ref>144.293, subdivision 8</statute_ref>, <br />
         		<a id="pl.288.11"></a><var>288.11</var>when conducting meaningful use transactions; and<br />
         		<a id="pl.288.12"></a><var>288.12</var>(4) (1) hold reciprocal agreements with at least one state-certified health information <br />
         		<a id="pl.288.13"></a><var>288.13</var>organization to enable access to record locator services to find patient data, and for the <br />
         		<a id="pl.288.14"></a><var>288.14</var>transmission and receipt of meaningful use clinical transactions consistent with the <br />
         		<a id="pl.288.15"></a><var>288.15</var>format and content required by national standards established by Centers for Medicare
         <br />
         		<a id="pl.288.16"></a><var>288.16</var>and Medicaid Services. Reciprocal agreements must meet the requirements established in <br />
         		<a id="pl.288.17"></a><var>288.17</var>subdivision 5.; and<br />
         		<a id="pl.288.18"></a><var>288.18</var>(2) participate in statewide shared health information exchange services as defined
         <br />
         		<a id="pl.288.19"></a><var>288.19</var>by the commissioner to support interoperability between state-certified health information
         <br />
         		<a id="pl.288.20"></a><var>288.20</var>organizations and state-certified health data intermediaries.<br />
         		<a id="pl.288.21"></a><var>288.21</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Certificate of authority for health information organizations.</b><br />
         		 <a id="pl.288.22"></a><var>288.22</var>(a) A health information organization that provides all electronic capabilities for the <br />
         		<a id="pl.288.23"></a><var>288.23</var>transmission of clinical transactions necessary for meaningful use of electronic health
         <br />
         		<a id="pl.288.24"></a><var>288.24</var>records must obtain a certificate of authority from the commissioner and demonstrate <br />
         		<a id="pl.288.25"></a><var>288.25</var>compliance with the criteria in paragraph (c).<br />
         		<a id="pl.288.26"></a><var>288.26</var>(b) Notwithstanding any law to the contrary, a nonprofit corporation organized to <br />
         		<a id="pl.288.27"></a><var>288.27</var>do so an organization may apply for a certificate of authority to establish and operate a <br />
         		<a id="pl.288.28"></a><var>288.28</var>health information organization under this section. No person shall establish or operate
         a <br />
         		<a id="pl.288.29"></a><var>288.29</var>health information organization in this state, nor sell or offer to sell, or solicit
         offers <br />
         		<a id="pl.288.30"></a><var>288.30</var>to purchase or receive advance or periodic consideration in conjunction with a health
         <br />
         		<a id="pl.288.31"></a><var>288.31</var>information organization or health information contract unless the organization has
         a <br />
         		<a id="pl.288.32"></a><var>288.32</var>certificate of authority under this section.<br />
         		<a id="pl.288.33"></a><var>288.33</var>(c) In issuing the certificate of authority, the commissioner shall determine whether
         <br />
         		<a id="pl.288.34"></a><var>288.34</var>the applicant for the certificate of authority has demonstrated that the applicant
         meets <br />
         		<a id="pl.288.35"></a><var>288.35</var>the following minimum criteria:<br />
         		<a id="pl.288.36"></a><var>288.36</var>(1) the entity is a legally established, nonprofit organization;<br />
         		<a id="pl.289.1"></a><var>289.1</var>(2) appropriate insurance, including liability insurance, for the operation of the
         <br />
         		<a id="pl.289.2"></a><var>289.2</var>health information organization is in place and sufficient to protect the interest
         of the <br />
         		<a id="pl.289.3"></a><var>289.3</var>public and participating entities;<br />
         		<a id="pl.289.4"></a><var>289.4</var>(3) strategic and operational plans clearly address governance, technical <br />
         		<a id="pl.289.5"></a><var>289.5</var>infrastructure, legal and policy issues, finance, and business operations in regard
         to how <br />
         		<a id="pl.289.6"></a><var>289.6</var>the organization will expand technical capacity of the health information organization <br />
         		<a id="pl.289.7"></a><var>289.7</var>to support providers in achieving meaningful use of electronic health records health <br />
         		<a id="pl.289.8"></a><var>289.8</var>information exchange goals over time;<br />
         		<a id="pl.289.9"></a><var>289.9</var>(4) the entity addresses the parameters to be used with participating entities and
         <br />
         		<a id="pl.289.10"></a><var>289.10</var>other health information organizations exchange service providers for meaningful use <br />
         		<a id="pl.289.11"></a><var>289.11</var>clinical transactions, compliance with Minnesota law, and interstate health information <br />
         		<a id="pl.289.12"></a><var>289.12</var>exchange in trust agreements;<br />
         		<a id="pl.289.13"></a><var>289.13</var>(5) the entity's board of directors or equivalent governing body is composed of <br />
         		<a id="pl.289.14"></a><var>289.14</var>members that broadly represent the health information organization's participating
         entities <br />
         		<a id="pl.289.15"></a><var>289.15</var>and consumers;<br />
         		<a id="pl.289.16"></a><var>289.16</var>(6) the entity maintains a professional staff responsible to the board of directors or <br />
         		<a id="pl.289.17"></a><var>289.17</var>equivalent governing body  with the capacity to ensure accountability to the organization's <br />
         		<a id="pl.289.18"></a><var>289.18</var>mission;<br />
         		<a id="pl.289.19"></a><var>289.19</var>(7) the organization is compliant with criteria established under the Health <br />
         		<a id="pl.289.20"></a><var>289.20</var>Information Exchange Accreditation Program of the Electronic Healthcare Network <br />
         		<a id="pl.289.21"></a><var>289.21</var>Accreditation Commission (EHNAC) or equivalent criteria established national <br />
         		<a id="pl.289.22"></a><var>289.22</var>certification and accreditation programs designated by the commissioner;<br />
         		<a id="pl.289.23"></a><var>289.23</var>(8) the entity maintains a the capability to query for patient information based on <br />
         		<a id="pl.289.24"></a><var>289.24</var>national standards. The query capability may utilize a master patient index, clinical
         <br />
         		<a id="pl.289.25"></a><var>289.25</var>data repository, or record locator service as defined in section 
         <statute_ref>144.291</statute_ref>, subdivision 2, <br />
         		<a id="pl.289.26"></a><var>289.26</var>paragraph (i), that is. The entity must be compliant with the requirements of section <br />
         		
         <statute_ref><a id="pl.289.27"></a><var>289.27</var>144.293
         </statute_ref>, subdivision 8, when conducting meaningful use clinical transactions;<br />
         		<a id="pl.289.28"></a><var>289.28</var>(9) the organization demonstrates interoperability with all other state-certified
         health <br />
         		<a id="pl.289.29"></a><var>289.29</var>information organizations using nationally recognized standards;<br />
         		<a id="pl.289.30"></a><var>289.30</var>(10) the organization demonstrates compliance with all privacy and security <br />
         		<a id="pl.289.31"></a><var>289.31</var>requirements required by state and federal law; and<br />
         		<a id="pl.289.32"></a><var>289.32</var>(11) the organization uses financial policies and procedures consistent with generally
         <br />
         		<a id="pl.289.33"></a><var>289.33</var>accepted accounting principles and has an independent audit of the organization's
         <br />
         		<a id="pl.289.34"></a><var>289.34</var>financials on an annual basis.<br />
         		<a id="pl.289.35"></a><var>289.35</var>(d) Health information organizations that have obtained a certificate of authority
         must:<br />
         		<a id="pl.290.1"></a><var>290.1</var>(1) meet the requirements established for connecting to the Nationwide Health <br />
         		<a id="pl.290.2"></a><var>290.2</var>Information Network (NHIN) within the federally mandated timeline or within a time
         <br />
         		<a id="pl.290.3"></a><var>290.3</var>frame established by the commissioner and published in the State Register. If the
         state <br />
         		<a id="pl.290.4"></a><var>290.4</var>timeline for implementation varies from the federal timeline, the State Register notice
         <br />
         		<a id="pl.290.5"></a><var>290.5</var>shall include an explanation for the variation National eHealth Exchange;<br />
         		<a id="pl.290.6"></a><var>290.6</var>(2) annually submit strategic and operational plans for review by the commissioner
         <br />
         		<a id="pl.290.7"></a><var>290.7</var>that address:<br />
         		<a id="pl.290.8"></a><var>290.8</var>(i) increasing adoption rates to include a sufficient number of participating entities
         to <br />
         		<a id="pl.290.9"></a><var>290.9</var>achieve financial sustainability; and<br />
         		<a id="pl.290.10"></a><var>290.10</var>(ii) (i) progress in achieving objectives included in previously submitted strategic <br />
         		<a id="pl.290.11"></a><var>290.11</var>and operational plans across the following domains: business and technical operations,
         <br />
         		<a id="pl.290.12"></a><var>290.12</var>technical infrastructure, legal and policy issues, finance, and organizational governance;<br />
         		<a id="pl.290.13"></a><var>290.13</var>(3) develop and maintain a business plan that addresses:<br />
         		<a id="pl.290.14"></a><var>290.14</var>(i) (ii) plans for ensuring the necessary capacity to support meaningful use clinical <br />
         		<a id="pl.290.15"></a><var>290.15</var>transactions;<br />
         		<a id="pl.290.16"></a><var>290.16</var>(ii) (iii) approach for attaining financial sustainability, including public and private <br />
         		<a id="pl.290.17"></a><var>290.17</var>financing strategies, and rate structures;<br />
         		<a id="pl.290.18"></a><var>290.18</var>(iii) (iv) rates of adoption, utilization, and transaction volume, and mechanisms to <br />
         		<a id="pl.290.19"></a><var>290.19</var>support health information exchange; and<br />
         		<a id="pl.290.20"></a><var>290.20</var>(iv) (v) an explanation of methods employed to address the needs of community <br />
         		<a id="pl.290.21"></a><var>290.21</var>clinics, critical access hospitals, and free clinics in accessing health information
         exchange <br />
         		<a id="pl.290.22"></a><var>290.22</var>services;<br />
         		<a id="pl.290.23"></a><var>290.23</var>(4) annually submit a rate plan to the commissioner outlining fee structures for health
         <br />
         		<a id="pl.290.24"></a><var>290.24</var>information exchange services for approval by the commissioner. The commissioner <br />
         		<a id="pl.290.25"></a><var>290.25</var>shall approve the rate plan if it:<br />
         		<a id="pl.290.26"></a><var>290.26</var>(i) distributes costs equitably among users of health information services;<br />
         		<a id="pl.290.27"></a><var>290.27</var>(ii) provides predictable costs for participating entities;<br />
         		<a id="pl.290.28"></a><var>290.28</var>(iii) covers all costs associated with conducting the full range of meaningful use
         <br />
         		<a id="pl.290.29"></a><var>290.29</var>clinical transactions, including access to health information retrieved through other
         <br />
         		<a id="pl.290.30"></a><var>290.30</var>state-certified health information exchange service providers; and<br />
         		<a id="pl.290.31"></a><var>290.31</var>(iv) provides for a predictable revenue stream for the health information organization
         <br />
         		<a id="pl.290.32"></a><var>290.32</var>and generates sufficient resources to maintain operating costs and develop technical
         <br />
         		<a id="pl.290.33"></a><var>290.33</var>infrastructure necessary to serve the public interest;<br />
         		<a id="pl.290.34"></a><var>290.34</var>(5) (3) enter into reciprocal agreements with all other state-certified health <br />
         		<a id="pl.290.35"></a><var>290.35</var>information organizations and state-certified health data intermediaries to enable access <br />
         		<a id="pl.290.36"></a><var>290.36</var>to record locator services to find patient data, and for the transmission and receipt of <br />
         		<a id="pl.291.1"></a><var>291.1</var>meaningful use clinical transactions consistent with the format and content required by <br />
         		<a id="pl.291.2"></a><var>291.2</var>national standards established by Centers for Medicare and Medicaid Services. Reciprocal <br />
         		<a id="pl.291.3"></a><var>291.3</var>agreements must meet the requirements in subdivision 5; and<br />
         		<a id="pl.291.4"></a><var>291.4</var>(4) participate in statewide shared health information exchange services as defined
         <br />
         		<a id="pl.291.5"></a><var>291.5</var>by the commissioner to support interoperability between state-certified health information
         <br />
         		<a id="pl.291.6"></a><var>291.6</var>organizations and state-certified health data intermediaries; and<br />
         		<a id="pl.291.7"></a><var>291.7</var>(6) (5) comply with additional requirements for the certification or recertification of <br />
         		<a id="pl.291.8"></a><var>291.8</var>health information organizations that may be established by the commissioner.<br />
         		<a id="pl.291.9"></a><var>291.9</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Application for certificate of authority for health information exchange </b><br />
         		<a id="pl.291.10"></a><var>291.10</var><b>service providers.</b> (a) Each application for a certificate of authority shall be in a form <br />
         		<a id="pl.291.11"></a><var>291.11</var>prescribed by the commissioner and verified by an officer or authorized representative
         <br />
         		<a id="pl.291.12"></a><var>291.12</var>of the applicant. Each application shall include the following in addition to information <br />
         		<a id="pl.291.13"></a><var>291.13</var>described in the criteria in subdivisions 2 and 3:<br />
         		<a id="pl.291.14"></a><var>291.14</var>(1) for health information organizations only, a copy of the basic organizational <br />
         		<a id="pl.291.15"></a><var>291.15</var>document, if any, of the applicant and of each major participating entity, such as
         the <br />
         		<a id="pl.291.16"></a><var>291.16</var>articles of incorporation, or other applicable documents, and all amendments to it;<br />
         		<a id="pl.291.17"></a><var>291.17</var>(2) for health information organizations only, a list of the names, addresses, and <br />
         		<a id="pl.291.18"></a><var>291.18</var>official positions of the following:<br />
         		<a id="pl.291.19"></a><var>291.19</var>(i) all members of the board of directors or equivalent governing body, and the <br />
         		<a id="pl.291.20"></a><var>291.20</var>principal officers and, if applicable, shareholders of the applicant organization;
         and<br />
         		<a id="pl.291.21"></a><var>291.21</var>(ii) all members of the board of directors or equivalent governing body, and the <br />
         		<a id="pl.291.22"></a><var>291.22</var>principal officers of each major participating entity and, if applicable, each shareholder
         <br />
         		<a id="pl.291.23"></a><var>291.23</var>beneficially owning more than ten percent of any voting stock of the major participating
         <br />
         		<a id="pl.291.24"></a><var>291.24</var>entity;<br />
         		<a id="pl.291.25"></a><var>291.25</var>(3) for health information organizations only, the name and address of each <br />
         		<a id="pl.291.26"></a><var>291.26</var>participating entity and the agreed-upon duration of each contract or agreement if
         <br />
         		<a id="pl.291.27"></a><var>291.27</var>applicable;<br />
         		<a id="pl.291.28"></a><var>291.28</var>(4) a copy of each standard agreement or contract intended to bind the participating
         <br />
         		<a id="pl.291.29"></a><var>291.29</var>entities and the health information organization exchange service provider. Contractual <br />
         		<a id="pl.291.30"></a><var>291.30</var>provisions shall be consistent with the purposes of this section, in regard to the
         services to <br />
         		<a id="pl.291.31"></a><var>291.31</var>be performed under the standard agreement or contract, the manner in which payment
         for <br />
         		<a id="pl.291.32"></a><var>291.32</var>services is determined, the nature and extent of responsibilities to be retained by
         the health <br />
         		<a id="pl.291.33"></a><var>291.33</var>information organization, and contractual termination provisions;<br />
         		<a id="pl.291.34"></a><var>291.34</var>(5) a copy of each contract intended to bind major participating entities and the
         <br />
         		<a id="pl.291.35"></a><var>291.35</var>health information organization. Contract information filed with the commissioner
         under <br />
         		<a id="pl.291.36"></a><var>291.36</var>this section shall be nonpublic as defined in section 
         <statute_ref>13.02, subdivision 9</statute_ref>;<br />
         		<a id="pl.292.1"></a><var>292.1</var>(6) (5) a statement generally describing the health information organization exchange <br />
         		<a id="pl.292.2"></a><var>292.2</var>service provider, its health information exchange contracts, facilities, and personnel, <br />
         		<a id="pl.292.3"></a><var>292.3</var>including a statement describing the manner in which the applicant proposes to provide
         <br />
         		<a id="pl.292.4"></a><var>292.4</var>participants with comprehensive health information exchange services;<br />
         		<a id="pl.292.5"></a><var>292.5</var>(7) financial statements showing the applicant's assets, liabilities, and sources
         <br />
         		<a id="pl.292.6"></a><var>292.6</var>of financial support, including a copy of the applicant's most recent certified financial
         <br />
         		<a id="pl.292.7"></a><var>292.7</var>statement;<br />
         		<a id="pl.292.8"></a><var>292.8</var>(8) strategic and operational plans that specifically address how the organization
         <br />
         		<a id="pl.292.9"></a><var>292.9</var>will expand technical capacity of the health information organization to support providers
         <br />
         		<a id="pl.292.10"></a><var>292.10</var>in achieving meaningful use of electronic health records over time, a description
         of <br />
         		<a id="pl.292.11"></a><var>292.11</var>the proposed method of marketing the services, a schedule of proposed charges, and
         a <br />
         		<a id="pl.292.12"></a><var>292.12</var>financial plan that includes a three-year projection of the expenses and income and
         other <br />
         		<a id="pl.292.13"></a><var>292.13</var>sources of future capital;<br />
         		<a id="pl.292.14"></a><var>292.14</var>(9) (6) a statement reasonably describing the geographic area or areas to be served <br />
         		<a id="pl.292.15"></a><var>292.15</var>and the type or types of participants to be served;<br />
         		<a id="pl.292.16"></a><var>292.16</var>(10) (7) a description of the complaint procedures to be used as required under <br />
         		<a id="pl.292.17"></a><var>292.17</var>this section;<br />
         		<a id="pl.292.18"></a><var>292.18</var>(11) (8) a description of the mechanism by which participating entities will have an <br />
         		<a id="pl.292.19"></a><var>292.19</var>opportunity to participate in matters of policy and operation;<br />
         		<a id="pl.292.20"></a><var>292.20</var>(12) (9) a copy of any pertinent agreements between the health information <br />
         		<a id="pl.292.21"></a><var>292.21</var>organization and insurers, including liability insurers, demonstrating coverage is
         in place;<br />
         		<a id="pl.292.22"></a><var>292.22</var>(13) (10) a copy of the conflict of interest policy that applies to all members of the <br />
         		<a id="pl.292.23"></a><var>292.23</var>board of directors or equivalent governing body and the principal officers of the health <br />
         		<a id="pl.292.24"></a><var>292.24</var>information organization; and<br />
         		<a id="pl.292.25"></a><var>292.25</var>(14) (11) other information as the commissioner may reasonably require to be <br />
         		<a id="pl.292.26"></a><var>292.26</var>provided.<br />
         		<a id="pl.292.27"></a><var>292.27</var>(b) Within 30 45 days after the receipt of the application for a certificate of authority, <br />
         		<a id="pl.292.28"></a><var>292.28</var>the commissioner shall determine whether or not the application submitted meets the
         <br />
         		<a id="pl.292.29"></a><var>292.29</var>requirements for completion in paragraph (a), and notify the applicant of any further
         <br />
         		<a id="pl.292.30"></a><var>292.30</var>information required for the application to be processed.<br />
         		<a id="pl.292.31"></a><var>292.31</var>(c) Within 90 days after the receipt of a complete application for a certificate of
         <br />
         		<a id="pl.292.32"></a><var>292.32</var>authority, the commissioner shall issue a certificate of authority to the applicant
         if the <br />
         		<a id="pl.292.33"></a><var>292.33</var>commissioner determines that the applicant meets the minimum criteria requirements
         <br />
         		<a id="pl.292.34"></a><var>292.34</var>of subdivision 2 for health data intermediaries or subdivision 3 for health information
         <br />
         		<a id="pl.292.35"></a><var>292.35</var>organizations. If the commissioner determines that the applicant is not qualified,
         the <br />
         		<a id="pl.292.36"></a><var>292.36</var>commissioner shall notify the applicant and specify the reasons for disqualification.<br />
         		<a id="pl.293.1"></a><var>293.1</var>(d) Upon being granted a certificate of authority to operate as a state-certified health <br />
         		<a id="pl.293.2"></a><var>293.2</var>information organization or state-certified health data intermediary, the organization must <br />
         		<a id="pl.293.3"></a><var>293.3</var>operate in compliance with the provisions of this section. Noncompliance may result
         in <br />
         		<a id="pl.293.4"></a><var>293.4</var>the imposition of a fine or the suspension or revocation of the certificate of authority
         <br />
         		<a id="pl.293.5"></a><var>293.5</var>according to section 
         <statute_ref>62J.4982</statute_ref>.<br />
         		<a id="pl.293.6"></a><var>293.6</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Reciprocal agreements between health information exchange entities.</b><br />
         		 <a id="pl.293.7"></a><var>293.7</var>(a) Reciprocal agreements between two health information organizations or between
         a <br />
         		<a id="pl.293.8"></a><var>293.8</var>health information organization and a health data intermediary must include a fair
         and <br />
         		<a id="pl.293.9"></a><var>293.9</var>equitable model for charges between the entities that:<br />
         		<a id="pl.293.10"></a><var>293.10</var>(1) does not impede the secure transmission of clinical transactions necessary to <br />
         		<a id="pl.293.11"></a><var>293.11</var>achieve meaningful use;<br />
         		<a id="pl.293.12"></a><var>293.12</var>(2) does not charge a fee for the exchange of meaningful use transactions transmitted
         <br />
         		<a id="pl.293.13"></a><var>293.13</var>according to nationally recognized standards where no additional value-added service
         <br />
         		<a id="pl.293.14"></a><var>293.14</var>is rendered to the sending or receiving health information organization or health
         data <br />
         		<a id="pl.293.15"></a><var>293.15</var>intermediary either directly or on behalf of the client;<br />
         		<a id="pl.293.16"></a><var>293.16</var>(3) is consistent with fair market value and proportionately reflects the value-added
         <br />
         		<a id="pl.293.17"></a><var>293.17</var>services accessed as a result of the agreement; and<br />
         		<a id="pl.293.18"></a><var>293.18</var>(4) prevents health care stakeholders from being charged multiple times for the <br />
         		<a id="pl.293.19"></a><var>293.19</var>same service.<br />
         		<a id="pl.293.20"></a><var>293.20</var>(b) Reciprocal agreements must include comparable quality of service standards that
         <br />
         		<a id="pl.293.21"></a><var>293.21</var>ensure equitable levels of services.<br />
         		<a id="pl.293.22"></a><var>293.22</var>(c) Reciprocal agreements are subject to review and approval by the commissioner.<br />
         		<a id="pl.293.23"></a><var>293.23</var>(d) Nothing in this section precludes a state-certified health information organization
         <br />
         		<a id="pl.293.24"></a><var>293.24</var>or state-certified health data intermediary from entering into contractual agreements
         for <br />
         		<a id="pl.293.25"></a><var>293.25</var>the provision of value-added services beyond meaningful use transactions.<br />
         		<a id="pl.293.26"></a><var>293.26</var>(e) The commissioner of human services or health, when providing access to data or
         <br />
         		<a id="pl.293.27"></a><var>293.27</var>services through a certified health information organization, must offer the same
         data or <br />
         		<a id="pl.293.28"></a><var>293.28</var>services directly through any certified health information organization at the same
         pricing, <br />
         		<a id="pl.293.29"></a><var>293.29</var>if the health information organization pays for all connection costs to the state
         data or <br />
         		<a id="pl.293.30"></a><var>293.30</var>service. For all external connectivity to the respective agencies through existing
         or future <br />
         		<a id="pl.293.31"></a><var>293.31</var>information exchange implementations, the respective agency shall establish the required
         <br />
         		<a id="pl.293.32"></a><var>293.32</var>connectivity methods as well as protocol standards to be utilized.<br />
         		<a id="pl.293.33"></a><var>293.33</var>&#160;&#160;&#160;&#160;Subd. 6. <b>State participation in health information exchange.</b> A state agency that <br />
         		<a id="pl.293.34"></a><var>293.34</var>connects to a health information exchange service provider for the purpose of exchanging
         <br />
         		<a id="pl.293.35"></a><var>293.35</var>meaningful use transactions must ensure that the contracted health information exchange
         <br />
         		<a id="pl.293.36"></a><var>293.36</var>service provider has reciprocal agreements in place as required by this section. The
         <br />
         		<a id="pl.294.1"></a><var>294.1</var>reciprocal agreements must provide equal access to information supplied by the agency
         as <br />
         		<a id="pl.294.2"></a><var>294.2</var>necessary for meaningful use by the participating entities of the other health information
         <br />
         		<a id="pl.294.3"></a><var>294.3</var>service providers.<br />
         		<br />
         		<a id="bill.8.4.0"></a><a id="pl.294.4"></a><var>294.4</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 62J.4982, subdivision 4, is amended to read:<br />
         		<a id="pl.294.5"></a><var>294.5</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Coordination.</b> (a) The commissioner shall, to the extent possible, seek <br />
         		<a id="pl.294.6"></a><var>294.6</var>the advice of the Minnesota e-Health Advisory Committee, in the review and update
         of <br />
         		<a id="pl.294.7"></a><var>294.7</var>criteria for the certification and recertification of health information exchange
         service <br />
         		<a id="pl.294.8"></a><var>294.8</var>providers when implementing sections 
         <statute_ref>62J.498</statute_ref> to 
         <statute_ref>62J.4982</statute_ref>.<br />
         		<a id="pl.294.9"></a><var>294.9</var>(b) By January 1, 2011, the commissioner shall report to the governor and the chairs
         <br />
         		<a id="pl.294.10"></a><var>294.10</var>of the senate and house of representatives committees having jurisdiction over health
         <br />
         		<a id="pl.294.11"></a><var>294.11</var>information policy issues on the status of health information exchange in Minnesota,
         and <br />
         		<a id="pl.294.12"></a><var>294.12</var>provide recommendations on further action necessary to facilitate the secure electronic
         <br />
         		<a id="pl.294.13"></a><var>294.13</var>movement of health information among health providers that will enable Minnesota <br />
         		<a id="pl.294.14"></a><var>294.14</var>providers and hospitals to meet meaningful use exchange requirements.<br />
         		<br />
         		<a id="bill.8.5.0"></a><a id="pl.294.15"></a><var>294.15</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 62J.4982, subdivision 5, is amended to read:<br />
         		<a id="pl.294.16"></a><var>294.16</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Fees and monetary penalties.</b> (a) The commissioner shall assess fees <br />
         		<a id="pl.294.17"></a><var>294.17</var>on every health information exchange service provider subject to sections 
         <statute_ref>62J.4981</statute_ref> and <br />
         		
         <statute_ref><a id="pl.294.18"></a><var>294.18</var>62J.4982
         </statute_ref> as follows:<br />
         		<a id="pl.294.19"></a><var>294.19</var>(1) filing an application for certificate of authority to operate as a health information
         <br />
         		<a id="pl.294.20"></a><var>294.20</var>organization, $10,500 $7,000;<br />
         		<a id="pl.294.21"></a><var>294.21</var>(2) filing an application for certificate of authority to operate as a health data
         <br />
         		<a id="pl.294.22"></a><var>294.22</var>intermediary, $7,000;<br />
         		<a id="pl.294.23"></a><var>294.23</var>(3) annual health information organization certificate fee, $14,000 $7,000; and <br />
         		<a id="pl.294.24"></a><var>294.24</var>(4) annual health data intermediary certificate fee, $7,000; and<br />
         		<a id="pl.294.25"></a><var>294.25</var>(5) fees for other filings, as specified by rule.<br />
         		<a id="pl.294.26"></a><var>294.26</var>(b) Fees collected under this section shall be deposited in the state treasury and
         <br />
         		<a id="pl.294.27"></a><var>294.27</var>credited to the state government special revenue fund.<br />
         		<a id="pl.294.28"></a><var>294.28</var>(b) (c) Administrative monetary penalties imposed under this subdivision shall <br />
         		<a id="pl.294.29"></a><var>294.29</var>be credited to an account in the special revenue fund and are appropriated to the
         <br />
         		<a id="pl.294.30"></a><var>294.30</var>commissioner for the purposes of sections 
         <statute_ref>62J.498</statute_ref> to 
         <statute_ref>62J.4982</statute_ref>.<br />
         		<br />
         		<a id="bill.8.6.0"></a><a id="pl.294.31"></a><var>294.31</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 62J.692, subdivision 4, is amended to read:<br />
         		<a id="pl.294.32"></a><var>294.32</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Distribution of funds.</b> (a) The commissioner shall annually distribute the <br />
         		<a id="pl.294.33"></a><var>294.33</var>available medical education funds to all qualifying applicants based on a public program
         <br />
         		<a id="pl.295.1"></a><var>295.1</var>volume factor, which is determined by the total volume of public program revenue <br />
         		<a id="pl.295.2"></a><var>295.2</var>received by each training site as a percentage of all public program revenue received
         by <br />
         		<a id="pl.295.3"></a><var>295.3</var>all training sites in the fund pool.<br />
         		<a id="pl.295.4"></a><var>295.4</var>&#160;&#160;&#160;&#160;Public program revenue for the distribution formula includes revenue from medical
         <br />
         		<a id="pl.295.5"></a><var>295.5</var>assistance, prepaid medical assistance, general assistance medical care, and prepaid
         <br />
         		<a id="pl.295.6"></a><var>295.6</var>general assistance medical care. Training sites that receive no public program revenue
         <br />
         		<a id="pl.295.7"></a><var>295.7</var>are ineligible for funds available under this subdivision. For purposes of determining
         <br />
         		<a id="pl.295.8"></a><var>295.8</var>training-site level grants to be distributed under this paragraph, total statewide
         average <br />
         		<a id="pl.295.9"></a><var>295.9</var>costs per trainee for medical residents is based on audited clinical training costs
         per trainee <br />
         		<a id="pl.295.10"></a><var>295.10</var>in primary care clinical medical education programs for medical residents. Total statewide
         <br />
         		<a id="pl.295.11"></a><var>295.11</var>average costs per trainee for dental residents is based on audited clinical training
         costs <br />
         		<a id="pl.295.12"></a><var>295.12</var>per trainee in clinical medical education programs for dental students. Total statewide
         <br />
         		<a id="pl.295.13"></a><var>295.13</var>average costs per trainee for pharmacy residents is based on audited clinical training
         <br />
         		<a id="pl.295.14"></a><var>295.14</var>costs per trainee in clinical medical education programs for pharmacy students. Training
         <br />
         		<a id="pl.295.15"></a><var>295.15</var>sites whose training site level grant is less than $5,000, based on the formula described
         <br />
         		<a id="pl.295.16"></a><var>295.16</var>in this paragraph, or that train fewer than 0.1 FTE eligible trainees, are ineligible
         for <br />
         		<a id="pl.295.17"></a><var>295.17</var>funds available under this subdivision. No training sites shall receive a grant per
         FTE <br />
         		<a id="pl.295.18"></a><var>295.18</var>trainee that is in excess of the 95th percentile grant per FTE across all eligible
         training <br />
         		<a id="pl.295.19"></a><var>295.19</var>sites; grants in excess of this amount will be redistributed to other eligible sites
         based on <br />
         		<a id="pl.295.20"></a><var>295.20</var>the formula described in this paragraph.<br />
         		<a id="pl.295.21"></a><var>295.21</var>(b) For funds distributed in fiscal years 2014 and 2015, the distribution formula
         shall <br />
         		<a id="pl.295.22"></a><var>295.22</var>include a supplemental public program volume factor, which is determined by providing
         <br />
         		<a id="pl.295.23"></a><var>295.23</var>a supplemental payment to training sites whose public program revenue accounted for
         <br />
         		<a id="pl.295.24"></a><var>295.24</var>at least 0.98 percent of the total public program revenue received by all eligible
         training <br />
         		<a id="pl.295.25"></a><var>295.25</var>sites. The supplemental public program volume factor shall be equal to ten percent
         of each <br />
         		<a id="pl.295.26"></a><var>295.26</var>training site's grant for funds distributed in fiscal year 2014 and for funds distributed
         in <br />
         		<a id="pl.295.27"></a><var>295.27</var>fiscal year 2015. Grants to training sites whose public program revenue accounted
         for less <br />
         		<a id="pl.295.28"></a><var>295.28</var>than 0.98 percent of the total public program revenue received by all eligible training
         sites <br />
         		<a id="pl.295.29"></a><var>295.29</var>shall be reduced by an amount equal to the total value of the supplemental payment.
         For <br />
         		<a id="pl.295.30"></a><var>295.30</var>fiscal year 2016 and beyond, the distribution of funds shall be based solely on the
         public <br />
         		<a id="pl.295.31"></a><var>295.31</var>program volume factor as described in paragraph (a).<br />
         		<a id="pl.295.32"></a><var>295.32</var>(c) Of available medical education funds, $1,000,000 shall be distributed each <br />
         		<a id="pl.295.33"></a><var>295.33</var>year for grants to family medicine residency programs located outside the seven-county
         <br />
         		<a id="pl.295.34"></a><var>295.34</var>metropolitan area, as defined in section 
         <statute_ref>473.121, subdivision 4</statute_ref>, focused on eduction and <br />
         		<a id="pl.295.35"></a><var>295.35</var>training of family medicine physicians to serve communities outside the metropolitan
         area. <br />
         		<a id="pl.295.36"></a><var>295.36</var>To be eligible for a grant under this paragraph, a family medicine residency program
         must <br />
         		<a id="pl.296.1"></a><var>296.1</var>demonstrate that over the most recent three calendar years, at least 25 percent of
         its residents <br />
         		<a id="pl.296.2"></a><var>296.2</var>practice in Minnesota communities outside the metropolitan area. Grant funds must
         be <br />
         		<a id="pl.296.3"></a><var>296.3</var>allocated proportionally based on the number of residents per eligible residency program.<br />
         		<a id="pl.296.4"></a><var>296.4</var>&#160;&#160;&#160;&#160;(d) Funds distributed shall not be used to displace current funding appropriations <br />
         		<a id="pl.296.5"></a><var>296.5</var>from federal or state sources.<br />
         		<a id="pl.296.6"></a><var>296.6</var>&#160;&#160;&#160;&#160;(e) (d)  Funds shall be distributed to the sponsoring institutions indicating the amount <br />
         		<a id="pl.296.7"></a><var>296.7</var>to be distributed to each of the sponsor's clinical medical education programs based
         on the <br />
         		<a id="pl.296.8"></a><var>296.8</var>criteria in this subdivision and in accordance with the commissioner's approval letter.
         Each <br />
         		<a id="pl.296.9"></a><var>296.9</var>clinical medical education program must distribute funds allocated under paragraphs
         (a) <br />
         		<a id="pl.296.10"></a><var>296.10</var>and (b) to the training sites as specified in the commissioner's approval letter.
         Sponsoring <br />
         		<a id="pl.296.11"></a><var>296.11</var>institutions, which are accredited through an organization recognized by the Department
         <br />
         		<a id="pl.296.12"></a><var>296.12</var>of Education or the Centers for Medicare and Medicaid Services, may contract directly
         <br />
         		<a id="pl.296.13"></a><var>296.13</var>with training sites to provide clinical training. To ensure the quality of clinical
         training, <br />
         		<a id="pl.296.14"></a><var>296.14</var>those accredited sponsoring institutions must:<br />
         		<a id="pl.296.15"></a><var>296.15</var>&#160;&#160;&#160;&#160;(1) develop contracts specifying the terms, expectations, and outcomes of the clinical
         <br />
         		<a id="pl.296.16"></a><var>296.16</var>training conducted at sites; and<br />
         		<a id="pl.296.17"></a><var>296.17</var>&#160;&#160;&#160;&#160;(2) take necessary action if the contract requirements are not met. Action may include
         <br />
         		<a id="pl.296.18"></a><var>296.18</var>the withholding of payments under this section or the removal of students from the
         site.<br />
         		<a id="pl.296.19"></a><var>296.19</var>&#160;&#160;&#160;&#160;(f) (e)  Use of funds is limited to expenses related to clinical training program costs <br />
         		<a id="pl.296.20"></a><var>296.20</var>for eligible programs.<br />
         		<a id="pl.296.21"></a><var>296.21</var>&#160;&#160;&#160;&#160;(g) (f)  Any funds not distributed in accordance with the commissioner's approval <br />
         		<a id="pl.296.22"></a><var>296.22</var>letter must be returned to the medical education and research fund within 30 days
         of <br />
         		<a id="pl.296.23"></a><var>296.23</var>receiving notice from the commissioner. The commissioner shall distribute returned
         funds <br />
         		<a id="pl.296.24"></a><var>296.24</var>to the appropriate training sites in accordance with the commissioner's approval letter.<br />
         		<a id="pl.296.25"></a><var>296.25</var>&#160;&#160;&#160;&#160;(h) (g)  A maximum of $150,000 of the funds dedicated to the commissioner <br />
         		<a id="pl.296.26"></a><var>296.26</var>under section 
         <statute_ref>297F.10, subdivision 1</statute_ref>, clause (2), may be used by the commissioner for <br />
         		<a id="pl.296.27"></a><var>296.27</var>administrative expenses associated with implementing this section.<br />
         		<br />
         		<a id="bill.8.7.0"></a><a id="pl.296.28"></a><var>296.28</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 62Q.37, subdivision 2, is amended to read:<br />
         		<a id="pl.296.29"></a><var>296.29</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the <br />
         		<a id="pl.296.30"></a><var>296.30</var>meanings given them.<br />
         		<a id="pl.296.31"></a><var>296.31</var>(a) "Commissioner" means the commissioner of health for purposes of regulating <br />
         		<a id="pl.296.32"></a><var>296.32</var>health maintenance organizations and community integrated service networks, the <br />
         		<a id="pl.296.33"></a><var>296.33</var>commissioner of commerce for purposes of regulating nonprofit health service plan
         <br />
         		<a id="pl.296.34"></a><var>296.34</var>corporations, or the commissioner of human services for the purpose of contracting
         with <br />
         		<a id="pl.297.1"></a><var>297.1</var>managed care organizations serving persons enrolled in programs under chapter 256B,
         <br />
         		<a id="pl.297.2"></a><var>297.2</var>256D, or 256L.<br />
         		<a id="pl.297.3"></a><var>297.3</var>(b) "Health plan company" means (i) a nonprofit health service plan corporation <br />
         		<a id="pl.297.4"></a><var>297.4</var>operating under chapter 62C; (ii) a health maintenance organization operating under
         <br />
         		<a id="pl.297.5"></a><var>297.5</var>chapter 62D; (iii) a community integrated service network operating under chapter
         62N; <br />
         		<a id="pl.297.6"></a><var>297.6</var>or (iv) a managed care organization operating under chapter 256B, 256D, or 256L.<br />
         		<a id="pl.297.7"></a><var>297.7</var>(c) "Nationally recognized independent organization" means (i) an organization <br />
         		<a id="pl.297.8"></a><var>297.8</var>that sets specific national standards governing health care quality assurance processes,
         <br />
         		<a id="pl.297.9"></a><var>297.9</var>utilization review, provider credentialing, marketing, and other topics covered by
         <br />
         		<a id="pl.297.10"></a><var>297.10</var>this chapter and other chapters and audits and provides accreditation to those health
         <br />
         		<a id="pl.297.11"></a><var>297.11</var>plan companies that meet those standards. The American Accreditation Health Care <br />
         		<a id="pl.297.12"></a><var>297.12</var>Commission (URAC), the National Committee for Quality Assurance (NCQA), and <br />
         		<a id="pl.297.13"></a><var>297.13</var>the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and the <br />
         		<a id="pl.297.14"></a><var>297.14</var>Accreditation Association for Ambulatory Health Care (AAAHC) are, at a minimum, <br />
         		<a id="pl.297.15"></a><var>297.15</var>defined as nationally recognized independent organizations; and (ii) the Centers for
         <br />
         		<a id="pl.297.16"></a><var>297.16</var>Medicare and Medicaid Services for purposes of reviews or audits conducted of health
         <br />
         		<a id="pl.297.17"></a><var>297.17</var>plan companies under Part C of Title XVIII of the Social Security Act or under section
         <br />
         		<a id="pl.297.18"></a><var>297.18</var>1876 of the Social Security Act.<br />
         		<a id="pl.297.19"></a><var>297.19</var>(d) "Performance standard" means those standards relating to quality management <br />
         		<a id="pl.297.20"></a><var>297.20</var>and improvement, access and availability of service, utilization review, provider
         selection, <br />
         		<a id="pl.297.21"></a><var>297.21</var>provider credentialing, marketing, member rights and responsibilities, complaints,
         appeals, <br />
         		<a id="pl.297.22"></a><var>297.22</var>grievance systems, enrollee information and materials, enrollment and disenrollment,
         <br />
         		<a id="pl.297.23"></a><var>297.23</var>subcontractual relationships and delegation, confidentiality, continuity and coordination
         of <br />
         		<a id="pl.297.24"></a><var>297.24</var>care, assurance of adequate capacity and services, coverage and authorization of services,
         <br />
         		<a id="pl.297.25"></a><var>297.25</var>practice guidelines, health information systems, and financial solvency.<br />
         		<br />
         		<a id="bill.8.8.0"></a><a id="pl.297.26"></a><var>297.26</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 62U.04, subdivision 11, is amended to read:<br />
         		<a id="pl.297.27"></a><var>297.27</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Restricted uses of the all-payer claims data.</b> (a) Notwithstanding <br />
         		<a id="pl.297.28"></a><var>297.28</var>subdivision 4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or
         the <br />
         		<a id="pl.297.29"></a><var>297.29</var>commissioner's designee shall only use the data submitted under subdivisions 4 and
         5 for <br />
         		<a id="pl.297.30"></a><var>297.30</var>the following purposes:<br />
         		<a id="pl.297.31"></a><var>297.31</var>(1) to evaluate the performance of the health care home program as authorized under
         <br />
         		<a id="pl.297.32"></a><var>297.32</var>sections 
         <statute_ref>256B.0751, subdivision 6</statute_ref>, and 
         <statute_ref>256B.0752, subdivision 2</statute_ref>;<br />
         		<a id="pl.297.33"></a><var>297.33</var>(2) to study, in collaboration with the reducing avoidable readmissions effectively
         <br />
         		<a id="pl.297.34"></a><var>297.34</var>(RARE) campaign, hospital readmission trends and rates;<br />
         		<a id="pl.298.1"></a><var>298.1</var>(3) to analyze variations in health care costs, quality, utilization, and illness
         burden <br />
         		<a id="pl.298.2"></a><var>298.2</var>based on geographical areas or populations; and<br />
         		<a id="pl.298.3"></a><var>298.3</var>(4) to evaluate the state innovation model (SIM) testing grant received by the <br />
         		<a id="pl.298.4"></a><var>298.4</var>Departments of Health and Human Services, including the analysis of health care cost,
         <br />
         		<a id="pl.298.5"></a><var>298.5</var>quality, and utilization baseline and trend information for targeted populations and
         <br />
         		<a id="pl.298.6"></a><var>298.6</var>communities.; and<br />
         		<a id="pl.298.7"></a><var>298.7</var>(5) to compile one or more public use files of summary data or tables that must:<br />
         		<a id="pl.298.8"></a><var>298.8</var>(i) be available to the public for no or minimal cost by March 1, 2016, and available
         <br />
         		<a id="pl.298.9"></a><var>298.9</var>by Web-based electronic data download by June 30, 2019;<br />
         		<a id="pl.298.10"></a><var>298.10</var>(ii) not identify individual patients, payers, or providers;<br />
         		<a id="pl.298.11"></a><var>298.11</var>(iii) be updated by the commissioner, at least annually, with the most current data
         <br />
         		<a id="pl.298.12"></a><var>298.12</var>available; <br />
         		<a id="pl.298.13"></a><var>298.13</var>(iv) contain clear and conspicuous explanations of the characteristics of the data,
         <br />
         		<a id="pl.298.14"></a><var>298.14</var>such as the dates of the data contained in the files, the absence of costs of care
         for uninsured <br />
         		<a id="pl.298.15"></a><var>298.15</var>patients or nonresidents, and other disclaimers that provide appropriate context;
         and<br />
         		<a id="pl.298.16"></a><var>298.16</var>(v) not lead to the collection of additional data elements beyond what is authorized
         <br />
         		<a id="pl.298.17"></a><var>298.17</var>under this section as of June 30, 2015.<br />
         		<a id="pl.298.18"></a><var>298.18</var>(b) The commissioner may publish the results of the authorized uses identified <br />
         		<a id="pl.298.19"></a><var>298.19</var>in paragraph (a) so long as the data released publicly do not contain information
         or <br />
         		<a id="pl.298.20"></a><var>298.20</var>descriptions in which the identity of individual hospitals, clinics, or other providers
         may <br />
         		<a id="pl.298.21"></a><var>298.21</var>be discerned.<br />
         		<a id="pl.298.22"></a><var>298.22</var>(c) Nothing in this subdivision shall be construed to prohibit the commissioner from
         <br />
         		<a id="pl.298.23"></a><var>298.23</var>using the data collected under subdivision 4 to complete the state-based risk adjustment
         <br />
         		<a id="pl.298.24"></a><var>298.24</var>system assessment due to the legislature on October 1, 2015.<br />
         		<a id="pl.298.25"></a><var>298.25</var>(d) The commissioner or the commissioner's designee may use the data submitted <br />
         		<a id="pl.298.26"></a><var>298.26</var>under subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3),
         until <br />
         		<a id="pl.298.27"></a><var>298.27</var>July 1, 2016.<br />
         		<a id="pl.298.28"></a><var>298.28</var>(e) The commissioner shall consult with the all-payer claims database work group <br />
         		<a id="pl.298.29"></a><var>298.29</var>established under subdivision 12 regarding the technical considerations necessary
         to create <br />
         		<a id="pl.298.30"></a><var>298.30</var>the public use files of summary data described in paragraph (a), clause (5).<br />
         		<br />
         		<a id="bill.8.9.0"></a><a id="pl.298.31"></a><var>298.31</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 62U.10, is amended by adding a subdivision <br />
         		<a id="pl.298.32"></a><var>298.32</var>to read:<br />
         		<a id="pl.298.33"></a><var>298.33</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Projected spending baseline.</b> Beginning February 15, 2016, and each <br />
         		<a id="pl.298.34"></a><var>298.34</var>February 15 thereafter, the commissioner of health shall report the projected impact
         on <br />
         		<a id="pl.298.35"></a><var>298.35</var>spending from specified health indicators related to various preventable illnesses
         and <br />
         		<a id="pl.299.1"></a><var>299.1</var>death. The impacts shall be reported over a ten-year time frame using a baseline forecast
         <br />
         		<a id="pl.299.2"></a><var>299.2</var>of private and public health care and long-term care spending for residents of this
         state, <br />
         		<a id="pl.299.3"></a><var>299.3</var>beginning with calendar year 2009 projected estimates of costs, and updated annually
         <br />
         		<a id="pl.299.4"></a><var>299.4</var>for each of the following health indicators:<br />
         		<a id="pl.299.5"></a><var>299.5</var>(1) costs related to rates of obesity, including obesity-related cancers, coronary
         <br />
         		<a id="pl.299.6"></a><var>299.6</var>heart disease, stroke, and arthritis;<br />
         		<a id="pl.299.7"></a><var>299.7</var>(2) costs related to the utilization of tobacco products;<br />
         		<a id="pl.299.8"></a><var>299.8</var>(3) costs related to hypertension;<br />
         		<a id="pl.299.9"></a><var>299.9</var>(4) costs related to diabetes or prediabetes; and<br />
         		<a id="pl.299.10"></a><var>299.10</var>(5) costs related to dementia and chronic disease among an elderly population over
         <br />
         		<a id="pl.299.11"></a><var>299.11</var>60, including additional long-term care costs.<br />
         		<br />
         		<a id="bill.8.10.0"></a><a id="pl.299.12"></a><var>299.12</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 62U.10, is amended by adding a subdivision <br />
         		<a id="pl.299.13"></a><var>299.13</var>to read:<br />
         		<a id="pl.299.14"></a><var>299.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Outcomes reporting; savings determination.</b> (a) Beginning November 1, <br />
         		<a id="pl.299.15"></a><var>299.15</var>2016, and each November 1 thereafter, the commissioner of health shall determine the
         <br />
         		<a id="pl.299.16"></a><var>299.16</var>actual total private and public health care and long-term care spending for Minnesota
         <br />
         		<a id="pl.299.17"></a><var>299.17</var>residents related to each health indicator projected in subdivision 6 for the most
         recent <br />
         		<a id="pl.299.18"></a><var>299.18</var>calendar year available. The commissioner shall determine the difference between the
         <br />
         		<a id="pl.299.19"></a><var>299.19</var>projected and actual spending for each health indicator and for each year, and determine
         <br />
         		<a id="pl.299.20"></a><var>299.20</var>the savings attributable to changes in these health indicators. The assumptions and
         <br />
         		<a id="pl.299.21"></a><var>299.21</var>research methods used to calculate actual spending must be determined to be appropriate
         <br />
         		<a id="pl.299.22"></a><var>299.22</var>by an independent actuarial consultant. If the actual spending is less than the projected
         <br />
         		<a id="pl.299.23"></a><var>299.23</var>spending, the commissioner, in consultation with the commissioners of human services
         <br />
         		<a id="pl.299.24"></a><var>299.24</var>and management and budget, shall use the proportion of spending for state-administered
         <br />
         		<a id="pl.299.25"></a><var>299.25</var>health care programs to total private and public health care spending for each health
         <br />
         		<a id="pl.299.26"></a><var>299.26</var>indicator for the calendar year two years before the current calendar year to determine
         <br />
         		<a id="pl.299.27"></a><var>299.27</var>the percentage of the calculated aggregate savings amount accruing to state-administered
         <br />
         		<a id="pl.299.28"></a><var>299.28</var>health care programs.<br />
         		<a id="pl.299.29"></a><var>299.29</var>(b) The commissioner may use the data submitted under section 62U.04, subdivisions
         <br />
         		<a id="pl.299.30"></a><var>299.30</var>4 and 5, to complete the activities required under this section, but may only report
         publicly <br />
         		<a id="pl.299.31"></a><var>299.31</var>on regional data aggregated to granularity of 25,000 lives or greater for this purpose.
         <br />
         		<br />
         		<a id="bill.8.11.0"></a><a id="pl.299.32"></a><var>299.32</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 62U.10, is amended by adding a subdivision <br />
         		<a id="pl.299.33"></a><var>299.33</var>to read:<br />
         		<a id="pl.300.1"></a><var>300.1</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Transfers.</b> When accumulated annual savings accruing to <br />
         		<a id="pl.300.2"></a><var>300.2</var>state-administered health care programs, as calculated under subdivision 7, meet or
         <br />
         		<a id="pl.300.3"></a><var>300.3</var>exceed $50,000,000 for all health indicators in aggregate statewide, the commissioner
         of <br />
         		<a id="pl.300.4"></a><var>300.4</var>health shall certify that event to the commissioner of management and budget, no later
         <br />
         		<a id="pl.300.5"></a><var>300.5</var>than December 15 of each year. In the next fiscal year following the certification,
         the <br />
         		<a id="pl.300.6"></a><var>300.6</var>commissioner of management and budget shall transfer $50,000,000 from the general
         <br />
         		<a id="pl.300.7"></a><var>300.7</var>fund to the health care access fund. This transfer shall repeat in each fiscal year
         following <br />
         		<a id="pl.300.8"></a><var>300.8</var>subsequent certifications of additional cumulative savings, up to $50,000,000 per
         year. <br />
         		<a id="pl.300.9"></a><var>300.9</var>The amount necessary to make the transfer is appropriated from the general fund to
         the <br />
         		<a id="pl.300.10"></a><var>300.10</var>commissioner of management and budget.<br />
         		<br />
         		<a id="bill.8.12.0"></a><a id="pl.300.11"></a><var>300.11</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 144.1501, subdivision 1, is amended to read:<br />
         		<a id="pl.300.12"></a><var>300.12</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following definitions <br />
         		<a id="pl.300.13"></a><var>300.13</var>apply.<br />
         		<a id="pl.300.14"></a><var>300.14</var>(b) "Advanced dental therapist" means an individual who is licensed as a dental <br />
         		<a id="pl.300.15"></a><var>300.15</var>therapist under section 150A.06, and who is certified as an advanced dental therapist
         <br />
         		<a id="pl.300.16"></a><var>300.16</var>under section 150A.106.<br />
         		<a id="pl.300.17"></a><var>300.17</var>(c) "Dental therapist" means an individual who is licensed as a dental therapist <br />
         		<a id="pl.300.18"></a><var>300.18</var>under section 150A.06.<br />
         		<a id="pl.300.19"></a><var>300.19</var>(b) (d) "Dentist" means an individual who is licensed to practice dentistry.<br />
         		<a id="pl.300.20"></a><var>300.20</var>(c) (e) "Designated rural area" means a statutory and home rule charter city or <br />
         		<a id="pl.300.21"></a><var>300.21</var>township that is:<br />
         		<a id="pl.300.22"></a><var>300.22</var>(1) outside the seven-county metropolitan area as defined in section 
         <statute_ref>473.121</statute_ref>, <br />
         		<a id="pl.300.23"></a><var>300.23</var>subdivision 2; and, excluding the cities of Duluth, Mankato, Moorhead, Rochester, and <br />
         		<a id="pl.300.24"></a><var>300.24</var>St. Cloud.<br />
         		<a id="pl.300.25"></a><var>300.25</var>(2) has a population under 15,000.<br />
         		<a id="pl.300.26"></a><var>300.26</var>(d) (f) "Emergency circumstances" means those conditions that make it impossible <br />
         		<a id="pl.300.27"></a><var>300.27</var>for the participant to fulfill the service commitment, including death, total and
         permanent <br />
         		<a id="pl.300.28"></a><var>300.28</var>disability, or temporary disability lasting more than two years.<br />
         		<a id="pl.300.29"></a><var>300.29</var>(g) "Mental health professional" means an individual providing clinical services in
         <br />
         		<a id="pl.300.30"></a><var>300.30</var>the treatment of mental illness who is qualified in at least one of the ways specified
         in <br />
         		<a id="pl.300.31"></a><var>300.31</var>section 245.462, subdivision 18.<br />
         		<a id="pl.300.32"></a><var>300.32</var>(e) (h) "Medical resident" means an individual participating in a medical residency <br />
         		<a id="pl.300.33"></a><var>300.33</var>in family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.<br />
         		<a id="pl.300.34"></a><var>300.34</var>(f) (i) "Midlevel practitioner" means a nurse practitioner, nurse-midwife, nurse <br />
         		<a id="pl.300.35"></a><var>300.35</var>anesthetist, advanced clinical nurse specialist, or physician assistant.<br />
         		<a id="pl.301.1"></a><var>301.1</var>(g) (j) "Nurse" means an individual who has completed training and received <br />
         		<a id="pl.301.2"></a><var>301.2</var>all licensing or certification necessary to perform duties as a licensed practical
         nurse <br />
         		<a id="pl.301.3"></a><var>301.3</var>or registered nurse.<br />
         		<a id="pl.301.4"></a><var>301.4</var>(h) (k) "Nurse-midwife" means a registered nurse who has graduated from a program <br />
         		<a id="pl.301.5"></a><var>301.5</var>of study designed to prepare registered nurses for advanced practice as nurse-midwives.<br />
         		<a id="pl.301.6"></a><var>301.6</var>(i) (l) "Nurse practitioner" means a registered nurse who has graduated from a <br />
         		<a id="pl.301.7"></a><var>301.7</var>program of study designed to prepare registered nurses for advanced practice as nurse
         <br />
         		<a id="pl.301.8"></a><var>301.8</var>practitioners.<br />
         		<a id="pl.301.9"></a><var>301.9</var>(j) (m) "Pharmacist" means an individual with a valid license issued under chapter <br />
         		<a id="pl.301.10"></a><var>301.10</var>151.<br />
         		<a id="pl.301.11"></a><var>301.11</var>(k) (n) "Physician" means an individual who is licensed to practice medicine in <br />
         		<a id="pl.301.12"></a><var>301.12</var>the areas of family practice, internal medicine, obstetrics and gynecology, pediatrics,
         <br />
         		<a id="pl.301.13"></a><var>301.13</var>or psychiatry.<br />
         		<a id="pl.301.14"></a><var>301.14</var>(l) (o) "Physician assistant" means a person licensed under chapter 147A.<br />
         		<a id="pl.301.15"></a><var>301.15</var>(p) "Public health nurse" means a registered nurse licensed in Minnesota who has <br />
         		<a id="pl.301.16"></a><var>301.16</var>obtained a registration certificate as a public health nurse from the Board of Nursing
         in <br />
         		<a id="pl.301.17"></a><var>301.17</var>accordance with Minnesota Rules, chapter 6316.<br />
         		<a id="pl.301.18"></a><var>301.18</var>(m) (q) "Qualified educational loan" means a government, commercial, or foundation <br />
         		<a id="pl.301.19"></a><var>301.19</var>loan for actual costs paid for tuition, reasonable education expenses, and reasonable
         living <br />
         		<a id="pl.301.20"></a><var>301.20</var>expenses related to the graduate or undergraduate education of a health care professional.<br />
         		<a id="pl.301.21"></a><var>301.21</var>(n) (r) "Underserved urban community" means a Minnesota urban area or population <br />
         		<a id="pl.301.22"></a><var>301.22</var>included in the list of designated primary medical care health professional shortage
         areas <br />
         		<a id="pl.301.23"></a><var>301.23</var>(HPSAs), medically underserved areas (MUAs), or medically underserved populations
         <br />
         		<a id="pl.301.24"></a><var>301.24</var>(MUPs) maintained and updated by the United States Department of Health and Human
         <br />
         		<a id="pl.301.25"></a><var>301.25</var>Services.<br />
         		<br />
         		<a id="bill.8.13.0"></a><a id="pl.301.26"></a><var>301.26</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 144.1501, subdivision 2, is amended to read:<br />
         		<a id="pl.301.27"></a><var>301.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Creation of account.</b> (a) A health professional education loan forgiveness <br />
         		<a id="pl.301.28"></a><var>301.28</var>program account is established. The commissioner of health shall use money from the
         <br />
         		<a id="pl.301.29"></a><var>301.29</var>account to establish a loan forgiveness program:<br />
         		<a id="pl.301.30"></a><var>301.30</var>&#160;&#160;&#160;&#160;(1) for medical residents and mental health professionals agreeing to practice <br />
         		<a id="pl.301.31"></a><var>301.31</var>in designated rural areas or underserved urban communities or specializing in the
         area <br />
         		<a id="pl.301.32"></a><var>301.32</var>of pediatric psychiatry;<br />
         		<a id="pl.301.33"></a><var>301.33</var>&#160;&#160;&#160;&#160;(2) for midlevel practitioners agreeing to practice in designated rural areas or to
         <br />
         		<a id="pl.301.34"></a><var>301.34</var>teach at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary
         <br />
         		<a id="pl.301.35"></a><var>301.35</var>program at the undergraduate level or the equivalent at the graduate level;<br />
         		<a id="pl.302.1"></a><var>302.1</var>&#160;&#160;&#160;&#160;(3) for nurses who agree to practice in a Minnesota nursing home or; an intermediate <br />
         		<a id="pl.302.2"></a><var>302.2</var>care facility for persons with developmental disability; or a hospital if the hospital owns <br />
         		<a id="pl.302.3"></a><var>302.3</var>and operates a Minnesota nursing home and a minimum of 50 percent of the hours worked
         <br />
         		<a id="pl.302.4"></a><var>302.4</var>by the nurse is in the nursing home; or agree to teach at least 12 credit hours, or 720 hours <br />
         		<a id="pl.302.5"></a><var>302.5</var>per year in the nursing field in a postsecondary program at the undergraduate level
         or the <br />
         		<a id="pl.302.6"></a><var>302.6</var>equivalent at the graduate level;<br />
         		<a id="pl.302.7"></a><var>302.7</var>&#160;&#160;&#160;&#160;(4) for other health care technicians agreeing to teach at least 12 credit hours,
         or 720 <br />
         		<a id="pl.302.8"></a><var>302.8</var>hours per year in their designated field in a postsecondary program at the undergraduate
         <br />
         		<a id="pl.302.9"></a><var>302.9</var>level or the equivalent at the graduate level. The commissioner, in consultation with
         <br />
         		<a id="pl.302.10"></a><var>302.10</var>the Healthcare Education-Industry Partnership, shall determine the health care fields
         <br />
         		<a id="pl.302.11"></a><var>302.11</var>where the need is the greatest, including, but not limited to, respiratory therapy,
         clinical <br />
         		<a id="pl.302.12"></a><var>302.12</var>laboratory technology, radiologic technology, and surgical technology;<br />
         		<a id="pl.302.13"></a><var>302.13</var>&#160;&#160;&#160;&#160;(5) for pharmacists, advanced dental therapists, dental therapists, and public health <br />
         		<a id="pl.302.14"></a><var>302.14</var>nurses  who agree to practice in designated rural areas; and<br />
         		<a id="pl.302.15"></a><var>302.15</var>&#160;&#160;&#160;&#160;(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
         <br />
         		<a id="pl.302.16"></a><var>302.16</var>encounters to state public program enrollees or patients receiving sliding fee schedule
         <br />
         		<a id="pl.302.17"></a><var>302.17</var>discounts through a formal sliding fee schedule meeting the standards established
         by <br />
         		<a id="pl.302.18"></a><var>302.18</var>the United States Department of Health and Human Services under Code of Federal <br />
         		<a id="pl.302.19"></a><var>302.19</var>Regulations, title 42, section 51, chapter 303.<br />
         		<a id="pl.302.20"></a><var>302.20</var>&#160;&#160;&#160;&#160;(b) Appropriations made to the account do not cancel and are available until <br />
         		<a id="pl.302.21"></a><var>302.21</var>expended, except that at the end of each biennium, any remaining balance in the account
         <br />
         		<a id="pl.302.22"></a><var>302.22</var>that is not committed by contract and not needed to fulfill existing commitments shall
         <br />
         		<a id="pl.302.23"></a><var>302.23</var>cancel to the fund.<br />
         		<br />
         		<a id="bill.8.14.0"></a><a id="pl.302.24"></a><var>302.24</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 144.1501, subdivision 3, is amended to read:<br />
         		<a id="pl.302.25"></a><var>302.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Eligibility.</b> (a) To be eligible to participate in the loan forgiveness program, <br />
         		<a id="pl.302.26"></a><var>302.26</var>an individual must:<br />
         		<a id="pl.302.27"></a><var>302.27</var>(1) be a medical or dental resident,; a licensed pharmacist; or be enrolled in  a training <br />
         		<a id="pl.302.28"></a><var>302.28</var>or education program to become a dentist, dental therapist, advanced dental therapist, <br />
         		<a id="pl.302.29"></a><var>302.29</var>mental health professional, pharmacist, public health nurse, midlevel practitioner, <br />
         		<a id="pl.302.30"></a><var>302.30</var>registered nurse, or a licensed practical nurse training program . The commissioner may <br />
         		<a id="pl.302.31"></a><var>302.31</var>also consider applications submitted by graduates in eligible professions who are
         licensed <br />
         		<a id="pl.302.32"></a><var>302.32</var>and in practice; and<br />
         		<a id="pl.302.33"></a><var>302.33</var>(2) submit an application to the commissioner of health. If fewer applications are <br />
         		<a id="pl.302.34"></a><var>302.34</var>submitted by dental students or residents than there are dentist participant slots
         available, <br />
         		<a id="pl.303.1"></a><var>303.1</var>the commissioner may consider applications submitted by dental program graduates <br />
         		<a id="pl.303.2"></a><var>303.2</var>who are licensed dentists.<br />
         		<a id="pl.303.3"></a><var>303.3</var>(b) An applicant selected to participate must sign a contract to agree to serve a
         <br />
         		<a id="pl.303.4"></a><var>303.4</var>minimum three-year full-time service obligation according to subdivision 2, which
         <br />
         		<a id="pl.303.5"></a><var>303.5</var>shall begin no later than March 31 following completion of required training, with the <br />
         		<a id="pl.303.6"></a><var>303.6</var>exception of a nurse, who must agree to serve a minimum two-year full-time service
         <br />
         		<a id="pl.303.7"></a><var>303.7</var>obligation according to subdivision 2, which shall begin no later than March 31 following
         <br />
         		<a id="pl.303.8"></a><var>303.8</var>completion of required training.<br />
         		<br />
         		<a id="bill.8.15.0"></a><a id="pl.303.9"></a><var>303.9</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 144.1501, subdivision 4, is amended to read:<br />
         		<a id="pl.303.10"></a><var>303.10</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Loan forgiveness.</b> The commissioner of health may select applicants <br />
         		<a id="pl.303.11"></a><var>303.11</var>each year for participation in the loan forgiveness program, within the limits of
         available <br />
         		<a id="pl.303.12"></a><var>303.12</var>funding. In considering applications, the commissioner shall give preference to applicants
         <br />
         		<a id="pl.303.13"></a><var>303.13</var>who document diverse cultural competencies. The commissioner shall distribute available <br />
         		<a id="pl.303.14"></a><var>303.14</var>funds for loan forgiveness proportionally among the eligible professions according
         to the <br />
         		<a id="pl.303.15"></a><var>303.15</var>vacancy rate for each profession in the required geographic area, facility type, teaching
         <br />
         		<a id="pl.303.16"></a><var>303.16</var>area, patient group, or specialty type specified in subdivision 2. The commissioner
         shall <br />
         		<a id="pl.303.17"></a><var>303.17</var>allocate funds for physician loan forgiveness so that 75 percent of the funds available
         are <br />
         		<a id="pl.303.18"></a><var>303.18</var>used for rural physician loan forgiveness and 25 percent of the funds available are
         used <br />
         		<a id="pl.303.19"></a><var>303.19</var>for underserved urban communities and pediatric psychiatry loan forgiveness. If the
         <br />
         		<a id="pl.303.20"></a><var>303.20</var>commissioner does not receive enough qualified applicants each year to use the entire
         <br />
         		<a id="pl.303.21"></a><var>303.21</var>allocation of funds for any eligible profession, the remaining funds may be allocated
         <br />
         		<a id="pl.303.22"></a><var>303.22</var>proportionally among the other eligible professions according to the vacancy rate
         for <br />
         		<a id="pl.303.23"></a><var>303.23</var>each profession in the required geographic area, patient group, or facility type specified
         <br />
         		<a id="pl.303.24"></a><var>303.24</var>in subdivision 2. Applicants are responsible for securing their own qualified educational
         <br />
         		<a id="pl.303.25"></a><var>303.25</var>loans. The commissioner shall select participants based on their suitability for practice
         <br />
         		<a id="pl.303.26"></a><var>303.26</var>serving the required geographic area or facility type specified in subdivision 2,
         as indicated <br />
         		<a id="pl.303.27"></a><var>303.27</var>by experience or training. The commissioner shall give preference to applicants closest
         to <br />
         		<a id="pl.303.28"></a><var>303.28</var>completing their training. For each year that a participant meets the service obligation
         <br />
         		<a id="pl.303.29"></a><var>303.29</var>required under subdivision 3, up to a maximum of four years, the commissioner shall
         make <br />
         		<a id="pl.303.30"></a><var>303.30</var>annual disbursements directly to the participant equivalent to 15 percent of the average
         <br />
         		<a id="pl.303.31"></a><var>303.31</var>educational debt for indebted graduates in their profession in the year closest to
         the <br />
         		<a id="pl.303.32"></a><var>303.32</var>applicant's selection for which information is available, not to exceed the balance
         of the <br />
         		<a id="pl.303.33"></a><var>303.33</var>participant's qualifying educational loans. Before receiving loan repayment disbursements
         <br />
         		<a id="pl.303.34"></a><var>303.34</var>and as requested, the participant must complete and return to the commissioner a <br />
         		<a id="pl.303.35"></a><var>303.35</var>confirmation of practice form provided by the commissioner verifying that the participant
         <br />
         		<a id="pl.304.1"></a><var>304.1</var>is practicing as required under subdivisions 2 and 3. The participant must provide
         the <br />
         		<a id="pl.304.2"></a><var>304.2</var>commissioner with verification that the full amount of loan repayment disbursement
         <br />
         		<a id="pl.304.3"></a><var>304.3</var>received by the participant has been applied toward the designated loans. After each
         <br />
         		<a id="pl.304.4"></a><var>304.4</var>disbursement, verification must be received by the commissioner and approved before
         the <br />
         		<a id="pl.304.5"></a><var>304.5</var>next loan repayment disbursement is made. Participants who move their practice remain
         <br />
         		<a id="pl.304.6"></a><var>304.6</var>eligible for loan repayment as long as they practice as required under subdivision
         2.<br />
         		<br />
         		<a id="bill.8.16.0"></a><a id="pl.304.7"></a><var>304.7</var>&#160;&#160;&#160;&#160;Sec. 16. <b>[144.1506] PRIMARY CARE RESIDENCY EXPANSION GRANT </b><br />
         		<a id="pl.304.8"></a><var>304.8</var><b>PROGRAM.</b><br />
         		<a id="pl.304.9"></a><var>304.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> For purposes of this section, the following definitions <br />
         		<a id="pl.304.10"></a><var>304.10</var>apply:<br />
         		<a id="pl.304.11"></a><var>304.11</var>(1) "eligible primary care residency program" means a program that meets the <br />
         		<a id="pl.304.12"></a><var>304.12</var>following criteria:<br />
         		<a id="pl.304.13"></a><var>304.13</var>(i) is located in Minnesota;<br />
         		<a id="pl.304.14"></a><var>304.14</var>(ii) trains medical residents in the specialties of family medicine, general internal
         <br />
         		<a id="pl.304.15"></a><var>304.15</var>medicine, general pediatrics, psychiatry, geriatrics, or general surgery; and<br />
         		<a id="pl.304.16"></a><var>304.16</var>(iii) is accredited by the Accreditation Council for Graduate Medical Education or
         <br />
         		<a id="pl.304.17"></a><var>304.17</var>presents a credible plan to obtain accreditation;<br />
         		<a id="pl.304.18"></a><var>304.18</var>(2) "eligible project" means a project to establish a new eligible primary care <br />
         		<a id="pl.304.19"></a><var>304.19</var>residency program or create at least one new residency slot in an existing eligible
         primary <br />
         		<a id="pl.304.20"></a><var>304.20</var>care residency program; and<br />
         		<a id="pl.304.21"></a><var>304.21</var>(3) "new residency slot" means the creation of a new residency position and the <br />
         		<a id="pl.304.22"></a><var>304.22</var>execution of a contract with a new resident in a residency program.<br />
         		<a id="pl.304.23"></a><var>304.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Expansion grant program.</b> (a) The commissioner of health shall award <br />
         		<a id="pl.304.24"></a><var>304.24</var>primary care residency expansion grants to eligible primary care residency programs
         to <br />
         		<a id="pl.304.25"></a><var>304.25</var>plan and implement new residency slots. A planning grant shall not exceed $75,000,
         and a <br />
         		<a id="pl.304.26"></a><var>304.26</var>training grant shall not exceed $150,000 per new residency slot for the first year,
         $100,000 <br />
         		<a id="pl.304.27"></a><var>304.27</var>for the second year, and $50,000 for the third year of the new residency slot.<br />
         		<a id="pl.304.28"></a><var>304.28</var>(b) Funds may be spent to cover the costs of:<br />
         		<a id="pl.304.29"></a><var>304.29</var>(1) planning related to establishing an accredited primary care residency program;<br />
         		<a id="pl.304.30"></a><var>304.30</var>(2) obtaining accreditation by the Accreditation Council for Graduate Medical <br />
         		<a id="pl.304.31"></a><var>304.31</var>Education or another national body that accredits residency programs;<br />
         		<a id="pl.304.32"></a><var>304.32</var>(3) establishing new residency programs or new resident training slots;<br />
         		<a id="pl.304.33"></a><var>304.33</var>(4) recruitment, training, and retention of new residents and faculty;<br />
         		<a id="pl.304.34"></a><var>304.34</var>(5) travel and lodging for new residents;<br />
         		<a id="pl.304.35"></a><var>304.35</var>(6) faculty, new resident, and preceptor salaries related to new residency slots;<br />
         		<a id="pl.305.1"></a><var>305.1</var>(7) training site improvements, fees, equipment, and supplies required for new <br />
         		<a id="pl.305.2"></a><var>305.2</var>primary care resident training slots; and<br />
         		<a id="pl.305.3"></a><var>305.3</var>(8) supporting clinical education in which trainees are part of a primary care team
         <br />
         		<a id="pl.305.4"></a><var>305.4</var>model.<br />
         		<a id="pl.305.5"></a><var>305.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Applications for expansion grants.</b> Eligible primary care residency <br />
         		<a id="pl.305.6"></a><var>305.6</var>programs seeking a grant shall apply to the commissioner. Applications must include
         the <br />
         		<a id="pl.305.7"></a><var>305.7</var>number of new primary care residency slots planned or under contract; attestation
         that <br />
         		<a id="pl.305.8"></a><var>305.8</var>funding will be used to support an increase in the number of available residency slots;
         <br />
         		<a id="pl.305.9"></a><var>305.9</var>a description of the training to be received by the new residents, including the location
         <br />
         		<a id="pl.305.10"></a><var>305.10</var>of training; a description of the project, including all costs associated with the
         project; <br />
         		<a id="pl.305.11"></a><var>305.11</var>all sources of funds for the project; detailed uses of all funds for the project;
         the results <br />
         		<a id="pl.305.12"></a><var>305.12</var>expected; and a plan to maintain the new residency slot after the grant period. The
         <br />
         		<a id="pl.305.13"></a><var>305.13</var>applicant must describe achievable objectives, a timetable, and roles and capabilities
         of <br />
         		<a id="pl.305.14"></a><var>305.14</var>responsible individuals in the organization.<br />
         		<a id="pl.305.15"></a><var>305.15</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Consideration of expansion grant applications.</b> The commissioner shall <br />
         		<a id="pl.305.16"></a><var>305.16</var>review each application to determine whether or not the residency program application
         <br />
         		<a id="pl.305.17"></a><var>305.17</var>is complete and whether the proposed new residency program and any new residency <br />
         		<a id="pl.305.18"></a><var>305.18</var>slots are eligible for a grant.  The commissioner shall award grants to support up
         to six <br />
         		<a id="pl.305.19"></a><var>305.19</var>family medicine, general internal medicine, or general pediatrics residents; four
         psychiatry <br />
         		<a id="pl.305.20"></a><var>305.20</var>residents; two geriatrics residents; and two general surgery residents.  If insufficient
         <br />
         		<a id="pl.305.21"></a><var>305.21</var>applications are received from any eligible specialty, funds may be redistributed
         to <br />
         		<a id="pl.305.22"></a><var>305.22</var>applications from other eligible specialties. <br />
         		<a id="pl.305.23"></a><var>305.23</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Program oversight.</b> During the grant period, the commissioner may <br />
         		<a id="pl.305.24"></a><var>305.24</var>require and collect from grantees any information necessary to evaluate the program.
         <br />
         		<a id="pl.305.25"></a><var>305.25</var>Appropriations made to the program do not cancel and are available until expended.<br />
         		<br />
         		<a id="bill.8.17.0"></a><a id="pl.305.26"></a><var>305.26</var>&#160;&#160;&#160;&#160;Sec. 17. <b>[144.1911] INTERNATIONAL MEDICAL GRADUATES ASSISTANCE </b><br />
         		<a id="pl.305.27"></a><var>305.27</var><b>PROGRAM.</b><br />
         		<a id="pl.305.28"></a><var>305.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> The international medical graduates assistance <br />
         		<a id="pl.305.29"></a><var>305.29</var>program is established to address barriers to practice and facilitate pathways to
         assist <br />
         		<a id="pl.305.30"></a><var>305.30</var>immigrant international medical graduates to integrate into the Minnesota health <br />
         		<a id="pl.305.31"></a><var>305.31</var>care delivery system, with the goal of increasing access to primary care in rural
         and <br />
         		<a id="pl.305.32"></a><var>305.32</var>underserved areas of the state.<br />
         		<a id="pl.305.33"></a><var>305.33</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For the purposes of this section, the following terms <br />
         		<a id="pl.305.34"></a><var>305.34</var>have the meanings given. <br />
         		<a id="pl.305.35"></a><var>305.35</var>(b) "Commissioner" means the commissioner of health. <br />
         		<a id="pl.306.1"></a><var>306.1</var>(c) "Immigrant international medical graduate" means an international medical <br />
         		<a id="pl.306.2"></a><var>306.2</var>graduate who was born outside the United States, now resides permanently in the United
         <br />
         		<a id="pl.306.3"></a><var>306.3</var>States, and who did not enter the United States on a J1 or similar nonimmigrant visa
         <br />
         		<a id="pl.306.4"></a><var>306.4</var>following acceptance into a United States medical residency or fellowship program.
         <br />
         		<a id="pl.306.5"></a><var>306.5</var>(d) "International medical graduate" means a physician who received a basic medical
         <br />
         		<a id="pl.306.6"></a><var>306.6</var>degree or qualification from a medical school located outside the United States and
         Canada. <br />
         		<a id="pl.306.7"></a><var>306.7</var>(e) "Minnesota immigrant international medical graduate" means an immigrant <br />
         		<a id="pl.306.8"></a><var>306.8</var>international medical graduate who has lived in Minnesota for at least two years.
         <br />
         		<a id="pl.306.9"></a><var>306.9</var>(f) "Rural community" means a statutory and home rule charter city or township that
         <br />
         		<a id="pl.306.10"></a><var>306.10</var>is outside the seven-county metropolitan area as defined in section 473.121, subdivision
         2, <br />
         		<a id="pl.306.11"></a><var>306.11</var>excluding the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud.<br />
         		<a id="pl.306.12"></a><var>306.12</var>(g) "Underserved community" means a Minnesota area or population included in <br />
         		<a id="pl.306.13"></a><var>306.13</var>the list of designated primary medical care health professional shortage areas, medically
         <br />
         		<a id="pl.306.14"></a><var>306.14</var>underserved areas, or medically underserved populations (MUPs) maintained and updated
         <br />
         		<a id="pl.306.15"></a><var>306.15</var>by the United States Department of Health and Human Services. <br />
         		<a id="pl.306.16"></a><var>306.16</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Program administration.</b> (a) In administering the international medical <br />
         		<a id="pl.306.17"></a><var>306.17</var>graduates assistance program, the commissioner shall: <br />
         		<a id="pl.306.18"></a><var>306.18</var>(1) provide overall coordination for the planning, development, and implementation
         <br />
         		<a id="pl.306.19"></a><var>306.19</var>of a comprehensive system for integrating qualified immigrant international medical
         <br />
         		<a id="pl.306.20"></a><var>306.20</var>graduates into the Minnesota health care delivery system, particularly those willing
         to <br />
         		<a id="pl.306.21"></a><var>306.21</var>serve in rural or underserved communities of the state; <br />
         		<a id="pl.306.22"></a><var>306.22</var>(2) develop and maintain, in partnership with community organizations working <br />
         		<a id="pl.306.23"></a><var>306.23</var>with international medical graduates, a voluntary roster of immigrant international
         medical <br />
         		<a id="pl.306.24"></a><var>306.24</var>graduates interested in entering the Minnesota health workforce to assist in planning
         <br />
         		<a id="pl.306.25"></a><var>306.25</var>and program administration, including making available summary reports that show the
         <br />
         		<a id="pl.306.26"></a><var>306.26</var>aggregate number and distribution, by geography and specialty, of immigrant international
         <br />
         		<a id="pl.306.27"></a><var>306.27</var>medical graduates in Minnesota; <br />
         		<a id="pl.306.28"></a><var>306.28</var>(3) work with graduate clinical medical training programs to address barriers <br />
         		<a id="pl.306.29"></a><var>306.29</var>faced by immigrant international medical graduates in securing residency positions
         in <br />
         		<a id="pl.306.30"></a><var>306.30</var>Minnesota, including the requirement that applicants for residency positions be recent
         <br />
         		<a id="pl.306.31"></a><var>306.31</var>graduates of medical school. The annual report required in subdivision 10 shall include
         <br />
         		<a id="pl.306.32"></a><var>306.32</var>any progress in addressing these barriers; <br />
         		<a id="pl.306.33"></a><var>306.33</var>(4) develop a system to assess and certify the clinical readiness of eligible immigrant
         <br />
         		<a id="pl.306.34"></a><var>306.34</var>international medical graduates to serve in a residency program. The system shall
         <br />
         		<a id="pl.306.35"></a><var>306.35</var>include assessment methods, an operating plan, and a budget. Initially, the commissioner
         <br />
         		<a id="pl.306.36"></a><var>306.36</var>may develop assessments for clinical readiness for practice of one or more primary
         <br />
         		<a id="pl.307.1"></a><var>307.1</var>care specialties, and shall add additional assessments as resources are available.
         The <br />
         		<a id="pl.307.2"></a><var>307.2</var>commissioner may contract with an independent entity or another state agency to conduct
         <br />
         		<a id="pl.307.3"></a><var>307.3</var>the assessments. In order to be assessed for clinical readiness for residency, an
         eligible <br />
         		<a id="pl.307.4"></a><var>307.4</var>international medical graduate must have obtained a certification from the Educational
         <br />
         		<a id="pl.307.5"></a><var>307.5</var>Commission of Foreign Medical Graduates. The commissioner shall issue a Minnesota
         <br />
         		<a id="pl.307.6"></a><var>307.6</var>certificate of clinical readiness for residency to those who pass the assessment;<br />
         		<a id="pl.307.7"></a><var>307.7</var>(5) explore and facilitate more streamlined pathways for immigrant international <br />
         		<a id="pl.307.8"></a><var>307.8</var>medical graduates to serve in nonphysician professions in the Minnesota workforce;
         and <br />
         		<a id="pl.307.9"></a><var>307.9</var>(6) study, in consultation with the Board of Medical Practice and other stakeholders,
         <br />
         		<a id="pl.307.10"></a><var>307.10</var>changes necessary in health professional licensure and regulation to ensure full utilization
         <br />
         		<a id="pl.307.11"></a><var>307.11</var>of immigrant international medical graduates in the Minnesota health care delivery
         <br />
         		<a id="pl.307.12"></a><var>307.12</var>system. The commissioner shall include recommendations in the annual report required
         <br />
         		<a id="pl.307.13"></a><var>307.13</var>under subdivision 10, due January 15, 2017.<br />
         		<a id="pl.307.14"></a><var>307.14</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Career guidance and support services.</b> (a) The commissioner shall <br />
         		<a id="pl.307.15"></a><var>307.15</var>award grants to eligible nonprofit organizations to provide career guidance and support
         <br />
         		<a id="pl.307.16"></a><var>307.16</var>services to immigrant international medical graduates seeking to enter the Minnesota
         <br />
         		<a id="pl.307.17"></a><var>307.17</var>health workforce. Eligible grant activities include the following:<br />
         		<a id="pl.307.18"></a><var>307.18</var>(1) educational and career navigation, including information on training and <br />
         		<a id="pl.307.19"></a><var>307.19</var>licensing requirements for physician and nonphysician health care professions, and
         <br />
         		<a id="pl.307.20"></a><var>307.20</var>guidance in determining which pathway is best suited for an individual international
         <br />
         		<a id="pl.307.21"></a><var>307.21</var>medical graduate based on the graduate's skills, experience, resources, and interests;
         <br />
         		<a id="pl.307.22"></a><var>307.22</var>(2) support in becoming proficient in medical English; <br />
         		<a id="pl.307.23"></a><var>307.23</var>(3) support in becoming proficient in the use of information technology, including
         <br />
         		<a id="pl.307.24"></a><var>307.24</var>computer skills and use of electronic health record technology; <br />
         		<a id="pl.307.25"></a><var>307.25</var>(4) support for increasing knowledge of and familiarity with the United States <br />
         		<a id="pl.307.26"></a><var>307.26</var>health care system; <br />
         		<a id="pl.307.27"></a><var>307.27</var>(5) support for other foundational skills identified by the commissioner; <br />
         		<a id="pl.307.28"></a><var>307.28</var>(6) support for immigrant international medical graduates in becoming certified <br />
         		<a id="pl.307.29"></a><var>307.29</var>by the Educational Commission on Foreign Medical Graduates, including help with <br />
         		<a id="pl.307.30"></a><var>307.30</var>preparation for required licensing examinations and financial assistance for fees;
         and<br />
         		<a id="pl.307.31"></a><var>307.31</var>(7) assistance to international medical graduates in registering with the program's
         <br />
         		<a id="pl.307.32"></a><var>307.32</var>Minnesota international medical graduate roster.<br />
         		<a id="pl.307.33"></a><var>307.33</var>(b) The commissioner shall award the initial grants under this subdivision by <br />
         		<a id="pl.307.34"></a><var>307.34</var>December 31, 2015.<br />
         		<a id="pl.308.1"></a><var>308.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Clinical preparation.</b> (a) The commissioner shall award grants to support <br />
         		<a id="pl.308.2"></a><var>308.2</var>clinical preparation for Minnesota international medical graduates needing additional
         <br />
         		<a id="pl.308.3"></a><var>308.3</var>clinical preparation or experience to qualify for residency. The grant program shall
         include:<br />
         		<a id="pl.308.4"></a><var>308.4</var>(1) proposed training curricula;<br />
         		<a id="pl.308.5"></a><var>308.5</var>(2) associated policies and procedures for clinical training sites, which must be
         part <br />
         		<a id="pl.308.6"></a><var>308.6</var>of existing clinical medical education programs in Minnesota; and<br />
         		<a id="pl.308.7"></a><var>308.7</var>(3) monthly stipends for international medical graduate participants. Priority shall
         <br />
         		<a id="pl.308.8"></a><var>308.8</var>be given to primary care sites in rural or underserved areas of the state, and international
         <br />
         		<a id="pl.308.9"></a><var>308.9</var>medical graduate participants must commit to serving at least five years in a rural
         or <br />
         		<a id="pl.308.10"></a><var>308.10</var>underserved community of the state.<br />
         		<a id="pl.308.11"></a><var>308.11</var>(b) The policies and procedures for the clinical preparation grants must be developed
         <br />
         		<a id="pl.308.12"></a><var>308.12</var>by December 31, 2015, including an implementation schedule that begins awarding grants
         <br />
         		<a id="pl.308.13"></a><var>308.13</var>to clinical preparation programs beginning in June of 2016.<br />
         		<a id="pl.308.14"></a><var>308.14</var>&#160;&#160;&#160;&#160;Subd. 6. <b>International medical graduate primary care residency grant program </b><br />
         		<a id="pl.308.15"></a><var>308.15</var><b>and revolving account.</b> (a) The commissioner shall award grants to support primary <br />
         		<a id="pl.308.16"></a><var>308.16</var>care residency positions designated for Minnesota immigrant physicians who are willing
         <br />
         		<a id="pl.308.17"></a><var>308.17</var>to serve in rural or underserved areas of the state. No grant shall exceed $150,000
         per <br />
         		<a id="pl.308.18"></a><var>308.18</var>residency position per year. Eligible primary care residency grant recipients include
         <br />
         		<a id="pl.308.19"></a><var>308.19</var>accredited family medicine, internal medicine, obstetrics and gynecology, psychiatry,
         and <br />
         		<a id="pl.308.20"></a><var>308.20</var>pediatric residency programs.  Eligible primary care residency programs shall apply
         to the <br />
         		<a id="pl.308.21"></a><var>308.21</var>commissioner.  Applications must include the number of anticipated residents to be
         funded <br />
         		<a id="pl.308.22"></a><var>308.22</var>using grant funds and a budget.  Notwithstanding any law to the contrary, funds awarded
         <br />
         		<a id="pl.308.23"></a><var>308.23</var>to grantees in a grant agreement do not lapse until the grant agreement expires. Before
         any <br />
         		<a id="pl.308.24"></a><var>308.24</var>funds are distributed, a grant recipient shall provide the commissioner with the following:<br />
         		<a id="pl.308.25"></a><var>308.25</var>(1) a copy of the signed contract between the primary care residency program and <br />
         		<a id="pl.308.26"></a><var>308.26</var>the participating international medical graduate;<br />
         		<a id="pl.308.27"></a><var>308.27</var>(2) certification that the participating international medical graduate has lived
         in <br />
         		<a id="pl.308.28"></a><var>308.28</var>Minnesota for at least two years and is certified by the Educational Commission on
         <br />
         		<a id="pl.308.29"></a><var>308.29</var>Foreign Medical Graduates.  Residency programs may also require that participating
         <br />
         		<a id="pl.308.30"></a><var>308.30</var>international medical graduates hold a Minnesota certificate of clinical readiness
         for <br />
         		<a id="pl.308.31"></a><var>308.31</var>residency, once the certificates become available; and<br />
         		<a id="pl.308.32"></a><var>308.32</var>(3) verification that the participating international medical graduate has executed
         a <br />
         		<a id="pl.308.33"></a><var>308.33</var>participant agreement pursuant to paragraph (b).<br />
         		<a id="pl.308.34"></a><var>308.34</var>(b) Upon acceptance by a participating residency program, international medical <br />
         		<a id="pl.308.35"></a><var>308.35</var>graduates shall enter into an agreement with the commissioner to provide primary <br />
         		<a id="pl.308.36"></a><var>308.36</var>care for at least five years in a rural or underserved area of Minnesota after graduating
         <br />
         		<a id="pl.309.1"></a><var>309.1</var>from the residency program and make payments to the revolving international medical
         <br />
         		<a id="pl.309.2"></a><var>309.2</var>graduate residency account for five years beginning in their second year of postresidency
         <br />
         		<a id="pl.309.3"></a><var>309.3</var>employment.  Participants shall pay $15,000 or ten percent of their annual compensation
         <br />
         		<a id="pl.309.4"></a><var>309.4</var>each year, whichever is less.<br />
         		<a id="pl.309.5"></a><var>309.5</var>(c) A revolving international medical graduate residency account is established <br />
         		<a id="pl.309.6"></a><var>309.6</var>as an account in the special revenue fund in the state treasury. The commissioner
         of <br />
         		<a id="pl.309.7"></a><var>309.7</var>management and budget shall credit to the account appropriations, payments, and <br />
         		<a id="pl.309.8"></a><var>309.8</var>transfers to the account. Earnings, such as interest, dividends, and any other earnings
         <br />
         		<a id="pl.309.9"></a><var>309.9</var>arising from fund assets, must be credited to the account. Funds in the account are
         <br />
         		<a id="pl.309.10"></a><var>309.10</var>appropriated annually to the commissioner to award grants and administer the grant
         <br />
         		<a id="pl.309.11"></a><var>309.11</var>program established in paragraph (a). Notwithstanding any law to the contrary, any
         funds <br />
         		<a id="pl.309.12"></a><var>309.12</var>deposited in the account do not expire. The commissioner may accept contributions
         to the <br />
         		<a id="pl.309.13"></a><var>309.13</var>account from private sector entities subject to the following provisions:<br />
         		<a id="pl.309.14"></a><var>309.14</var>(1) the contributing entity may not specify the recipient or recipients of any grant
         <br />
         		<a id="pl.309.15"></a><var>309.15</var>issued under this subdivision;<br />
         		<a id="pl.309.16"></a><var>309.16</var>(2) the commissioner shall make public the identity of any private contributor to
         the <br />
         		<a id="pl.309.17"></a><var>309.17</var>account, as well as the amount of the contribution provided; and<br />
         		<a id="pl.309.18"></a><var>309.18</var>(3) a contributing entity may not specify that the recipient or recipients of any
         funds <br />
         		<a id="pl.309.19"></a><var>309.19</var>use specific products or services, nor may the contributing entity imply that a contribution
         <br />
         		<a id="pl.309.20"></a><var>309.20</var>is an endorsement of any specific product or service.<br />
         		<a id="pl.309.21"></a><var>309.21</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Voluntary hospital programs.</b>  A hospital may establish residency <br />
         		<a id="pl.309.22"></a><var>309.22</var>programs for foreign-trained physicians to become candidates for licensure to practice
         <br />
         		<a id="pl.309.23"></a><var>309.23</var>medicine in the state of Minnesota. A hospital may partner with organizations, such
         as <br />
         		<a id="pl.309.24"></a><var>309.24</var>the New Americans Alliance for Development, to screen for and identify foreign-trained
         <br />
         		<a id="pl.309.25"></a><var>309.25</var>physicians eligible for a hospital's particular residency program.<br />
         		<a id="pl.309.26"></a><var>309.26</var>&#160;&#160;&#160;&#160;Subd. 8. <b> Board of Medical Practice.</b>  Nothing in this section alters the authority of <br />
         		<a id="pl.309.27"></a><var>309.27</var>the Board of Medical Practice to regulate the practice of medicine. <br />
         		<a id="pl.309.28"></a><var>309.28</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Consultation with stakeholders.</b> The commissioner shall administer the <br />
         		<a id="pl.309.29"></a><var>309.29</var>international medical graduates assistance program, including the grant programs described
         <br />
         		<a id="pl.309.30"></a><var>309.30</var>under subdivisions 4, 5, and 6, in consultation with representatives of the following
         sectors:<br />
         		<a id="pl.309.31"></a><var>309.31</var>(1) state agencies: <br />
         		<a id="pl.309.32"></a><var>309.32</var>(i) Board of Medical Practice; <br />
         		<a id="pl.309.33"></a><var>309.33</var>(ii) Office of Higher Education; and<br />
         		<a id="pl.309.34"></a><var>309.34</var>(iii) Department of Employment and Economic Development;<br />
         		<a id="pl.309.35"></a><var>309.35</var>(2) health care industry: <br />
         		<a id="pl.309.36"></a><var>309.36</var>(i) a health care employer in a rural or underserved area of Minnesota; <br />
         		<a id="pl.310.1"></a><var>310.1</var>(ii) a health plan company; <br />
         		<a id="pl.310.2"></a><var>310.2</var>(iii) the Minnesota Medical Association; <br />
         		<a id="pl.310.3"></a><var>310.3</var>(iv) licensed physicians experienced in working with international medical <br />
         		<a id="pl.310.4"></a><var>310.4</var>graduates; and <br />
         		<a id="pl.310.5"></a><var>310.5</var>(v) the Minnesota Academy of Physician Assistants;<br />
         		<a id="pl.310.6"></a><var>310.6</var>(3) community-based organizations: <br />
         		<a id="pl.310.7"></a><var>310.7</var>(i) organizations serving immigrant and refugee communities of Minnesota;<br />
         		<a id="pl.310.8"></a><var>310.8</var>(ii) organizations serving the international medical graduate community, such as the
         <br />
         		<a id="pl.310.9"></a><var>310.9</var>New Americans Alliance for Development and Women's Initiative for Self Empowerment;
         <br />
         		<a id="pl.310.10"></a><var>310.10</var>and<br />
         		<a id="pl.310.11"></a><var>310.11</var>(iii) the Minnesota Association of Community Health Centers;<br />
         		<a id="pl.310.12"></a><var>310.12</var>(4) higher education: <br />
         		<a id="pl.310.13"></a><var>310.13</var>(i) University of Minnesota; <br />
         		<a id="pl.310.14"></a><var>310.14</var>(ii) Mayo Clinic School of Health Professions;<br />
         		<a id="pl.310.15"></a><var>310.15</var>(iii) graduate medical education programs not located at the University of Minnesota
         <br />
         		<a id="pl.310.16"></a><var>310.16</var>or Mayo Clinic School of Health Professions; and <br />
         		<a id="pl.310.17"></a><var>310.17</var>(iv) Minnesota physician assistant education program; and <br />
         		<a id="pl.310.18"></a><var>310.18</var>(5) two international medical graduates. <br />
         		<a id="pl.310.19"></a><var>310.19</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Report.</b> The commissioner shall submit an annual report to the chairs and <br />
         		<a id="pl.310.20"></a><var>310.20</var>ranking minority members of the legislative committees with jurisdiction over health
         care <br />
         		<a id="pl.310.21"></a><var>310.21</var>and higher education on the progress of the integration of international medical graduates
         <br />
         		<a id="pl.310.22"></a><var>310.22</var>into the Minnesota health care delivery system. The report shall include recommendations
         <br />
         		<a id="pl.310.23"></a><var>310.23</var>on actions needed for continued progress integrating international medical graduates.
         The <br />
         		<a id="pl.310.24"></a><var>310.24</var>report shall be submitted by January 15 each year, beginning January 15, 2016. <br />
         		<br />
         		<a id="bill.8.18.0"></a><a id="pl.310.25"></a><var>310.25</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 144.291, subdivision 2, is amended to read:<br />
         		<a id="pl.310.26"></a><var>310.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For the purposes of sections 
         <statute_ref>144.291</statute_ref> to 
         <statute_ref>144.298</statute_ref>, the following <br />
         		<a id="pl.310.27"></a><var>310.27</var>terms have the meanings given.<br />
         		<a id="pl.310.28"></a><var>310.28</var>&#160;&#160;&#160;&#160;(a) "Group purchaser" has the meaning given in section 
         <statute_ref>62J.03</statute_ref>, subdivision 6.<br />
         		<a id="pl.310.29"></a><var>310.29</var>&#160;&#160;&#160;&#160;(b) "Health information exchange" means a legal arrangement between health care <br />
         		<a id="pl.310.30"></a><var>310.30</var>providers and group purchasers to enable and oversee the business and legal issues
         <br />
         		<a id="pl.310.31"></a><var>310.31</var>involved in the electronic exchange of health records between the entities for the
         delivery <br />
         		<a id="pl.310.32"></a><var>310.32</var>of patient care.<br />
         		<a id="pl.310.33"></a><var>310.33</var>&#160;&#160;&#160;&#160;(c) "Health record" means any information, whether oral or recorded in any form or
         <br />
         		<a id="pl.310.34"></a><var>310.34</var>medium, that relates to the past, present, or future physical or mental health or
         condition of <br />
         		<a id="pl.311.1"></a><var>311.1</var>a patient; the provision of health care to a patient; or the past, present, or future
         payment <br />
         		<a id="pl.311.2"></a><var>311.2</var>for the provision of health care to a patient.<br />
         		<a id="pl.311.3"></a><var>311.3</var>&#160;&#160;&#160;&#160;(d) "Identifying information" means the patient's name, address, date of birth, <br />
         		<a id="pl.311.4"></a><var>311.4</var>gender, parent's or guardian's name regardless of the age of the patient, and other
         <br />
         		<a id="pl.311.5"></a><var>311.5</var>nonclinical data which can be used to uniquely identify a patient.<br />
         		<a id="pl.311.6"></a><var>311.6</var>&#160;&#160;&#160;&#160;(e) "Individually identifiable form" means a form in which the patient is or can be
         <br />
         		<a id="pl.311.7"></a><var>311.7</var>identified as the subject of the health records.<br />
         		<a id="pl.311.8"></a><var>311.8</var>&#160;&#160;&#160;&#160;(f) "Medical emergency" means medically necessary care which is immediately <br />
         		<a id="pl.311.9"></a><var>311.9</var>needed to preserve life, prevent serious impairment to bodily functions, organs, or
         parts, <br />
         		<a id="pl.311.10"></a><var>311.10</var>or prevent placing the physical or mental health of the patient in serious jeopardy.<br />
         		<a id="pl.311.11"></a><var>311.11</var>&#160;&#160;&#160;&#160;(g) "Patient" means a natural person who has received health care services from a
         <br />
         		<a id="pl.311.12"></a><var>311.12</var>provider for treatment or examination of a medical, psychiatric, or mental condition,
         the <br />
         		<a id="pl.311.13"></a><var>311.13</var>surviving spouse and parents of a deceased patient, or a person the patient appoints
         in <br />
         		<a id="pl.311.14"></a><var>311.14</var>writing as a representative, including a health care agent acting according to chapter
         145C, <br />
         		<a id="pl.311.15"></a><var>311.15</var>unless the authority of the agent has been limited by the principal in the principal's
         health <br />
         		<a id="pl.311.16"></a><var>311.16</var>care directive. Except for minors who have received health care services under sections
         <br />
         		
         <statute_ref><a id="pl.311.17"></a><var>311.17</var>144.341
         </statute_ref> to 
         <statute_ref>144.347</statute_ref>, in the case of a minor, patient includes a parent or guardian, or a <br />
         		<a id="pl.311.18"></a><var>311.18</var>person acting as a parent or guardian in the absence of a parent or guardian.<br />
         		<a id="pl.311.19"></a><var>311.19</var>(h) "Patient information service" means a service providing the following query <br />
         		<a id="pl.311.20"></a><var>311.20</var>options: a record locator service as defined in section 144.291, subdivision 2, paragraph
         <br />
         		<a id="pl.311.21"></a><var>311.21</var>(i), or a master patient index or clinical data repository as defined in section 62J.498,
         <br />
         		<a id="pl.311.22"></a><var>311.22</var>subdivision 1.<br />
         		<a id="pl.311.23"></a><var>311.23</var>&#160;&#160;&#160;&#160;(h) (i) "Provider" means:<br />
         		<a id="pl.311.24"></a><var>311.24</var>&#160;&#160;&#160;&#160;(1) any person who furnishes health care services and is regulated to furnish the
         <br />
         		<a id="pl.311.25"></a><var>311.25</var>services under chapter 147, 147A, 147B, 147C, 147D, 148, 148B, 148D, 148F, 150A, <br />
         		<a id="pl.311.26"></a><var>311.26</var>151, 153, or 153A;<br />
         		<a id="pl.311.27"></a><var>311.27</var>&#160;&#160;&#160;&#160;(2) a home care provider licensed under section 
         <statute_ref>144A.46 144A.471</statute_ref>;<br />
         		<a id="pl.311.28"></a><var>311.28</var>&#160;&#160;&#160;&#160;(3) a health care facility licensed under this chapter or chapter 144A; and<br />
         		<a id="pl.311.29"></a><var>311.29</var>&#160;&#160;&#160;&#160;(4) a physician assistant registered under chapter 147A.<br />
         		<a id="pl.311.30"></a><var>311.30</var>&#160;&#160;&#160;&#160;(i) (j) "Record locator service" means an electronic index of patient identifying <br />
         		<a id="pl.311.31"></a><var>311.31</var>information that directs providers in a health information exchange to the location
         of <br />
         		<a id="pl.311.32"></a><var>311.32</var>patient health records held by providers and group purchasers.<br />
         		<a id="pl.311.33"></a><var>311.33</var>&#160;&#160;&#160;&#160;(j) (k) "Related health care entity" means an affiliate, as defined in section 
         <statute_ref>144.6521, <br />
            		<a id="pl.311.34"></a><var>311.34</var>subdivision 3
         </statute_ref>, paragraph (b), of the provider releasing the health records.<br />
         		<br />
         		<a id="bill.8.19.0"></a><a id="pl.311.35"></a><var>311.35</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 144.293, subdivision 5, is amended to read:<br />
         		<a id="pl.312.1"></a><var>312.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Exceptions to consent requirement.</b> (a) This section does not prohibit the <br />
         		<a id="pl.312.2"></a><var>312.2</var>release of health records:<br />
         		<a id="pl.312.3"></a><var>312.3</var>&#160;&#160;&#160;&#160;(1) for a medical emergency when the provider is unable to obtain the patient's <br />
         		<a id="pl.312.4"></a><var>312.4</var>consent due to the patient's condition or the nature of the medical emergency;<br />
         		<a id="pl.312.5"></a><var>312.5</var>&#160;&#160;&#160;&#160;(2) to other providers within related health care entities when necessary for the
         <br />
         		<a id="pl.312.6"></a><var>312.6</var>current treatment of the patient; or<br />
         		<a id="pl.312.7"></a><var>312.7</var>&#160;&#160;&#160;&#160;(3) to a health care facility licensed by this chapter, chapter 144A, or to the same
         <br />
         		<a id="pl.312.8"></a><var>312.8</var>types of health care facilities licensed by this chapter and chapter 144A that are
         licensed <br />
         		<a id="pl.312.9"></a><var>312.9</var>in another state when a patient:<br />
         		<a id="pl.312.10"></a><var>312.10</var>&#160;&#160;&#160;&#160;(i) is returning to the health care facility and unable to provide consent; or<br />
         		<a id="pl.312.11"></a><var>312.11</var>&#160;&#160;&#160;&#160;(ii) who resides in the health care facility, has services provided by an outside
         <br />
         		<a id="pl.312.12"></a><var>312.12</var>resource under Code of Federal Regulations, title 42, section 483.75(h), and is unable
         <br />
         		<a id="pl.312.13"></a><var>312.13</var>to provide consent.<br />
         		<a id="pl.312.14"></a><var>312.14</var>(b) A provider may release a deceased patient's health care records to another provider
         <br />
         		<a id="pl.312.15"></a><var>312.15</var>for the purposes of diagnosing or treating the deceased patient's surviving adult
         child.<br />
         		<a id="pl.312.16"></a><var>312.16</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.20.0"></a><a id="pl.312.17"></a><var>312.17</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 144.293, subdivision 8, is amended to read:<br />
         		<a id="pl.312.18"></a><var>312.18</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Record locator </b><b>or patient information </b><b>service.</b> (a) A provider or group <br />
         		<a id="pl.312.19"></a><var>312.19</var>purchaser may release patient identifying information and information about the location
         <br />
         		<a id="pl.312.20"></a><var>312.20</var>of the patient's health records to a record locator or patient information service without <br />
         		<a id="pl.312.21"></a><var>312.21</var>consent from the patient, unless the patient has elected to be excluded from the service
         <br />
         		<a id="pl.312.22"></a><var>312.22</var>under paragraph (d). The Department of Health may not access the record locator or <br />
         		<a id="pl.312.23"></a><var>312.23</var>patient information service or receive data from the record locator service. Only a <br />
         		<a id="pl.312.24"></a><var>312.24</var>provider may have access to patient identifying information in a record locator or patient <br />
         		<a id="pl.312.25"></a><var>312.25</var>information service. Except in the case of a medical emergency, a provider participating in <br />
         		<a id="pl.312.26"></a><var>312.26</var>a health information exchange using a record locator or patient information service does <br />
         		<a id="pl.312.27"></a><var>312.27</var>not have access to patient identifying information and information about the location
         of <br />
         		<a id="pl.312.28"></a><var>312.28</var>the patient's health records unless the patient specifically consents to the access.
         A consent <br />
         		<a id="pl.312.29"></a><var>312.29</var>does not expire but may be revoked by the patient at any time by providing written
         notice <br />
         		<a id="pl.312.30"></a><var>312.30</var>of the revocation to the provider.<br />
         		<a id="pl.312.31"></a><var>312.31</var>&#160;&#160;&#160;&#160;(b) A health information exchange maintaining a record locator or patient <br />
         		<a id="pl.312.32"></a><var>312.32</var>information service must maintain an audit log of providers accessing information in a <br />
         		<a id="pl.312.33"></a><var>312.33</var>record locator the service that at least contains information on:<br />
         		<a id="pl.312.34"></a><var>312.34</var>&#160;&#160;&#160;&#160;(1) the identity of the provider accessing the information;<br />
         		<a id="pl.312.35"></a><var>312.35</var>&#160;&#160;&#160;&#160;(2) the identity of the patient whose information was accessed by the provider; and<br />
         		<a id="pl.313.1"></a><var>313.1</var>&#160;&#160;&#160;&#160;(3) the date the information was accessed.<br />
         		<a id="pl.313.2"></a><var>313.2</var>&#160;&#160;&#160;&#160;(c) No group purchaser may in any way require a provider to participate in a record
         <br />
         		<a id="pl.313.3"></a><var>313.3</var>locator or patient information service as a condition of payment or participation.<br />
         		<a id="pl.313.4"></a><var>313.4</var>&#160;&#160;&#160;&#160;(d) A provider or an entity operating a record locator or patient information service <br />
         		<a id="pl.313.5"></a><var>313.5</var>must provide a mechanism under which patients may exclude their identifying information
         <br />
         		<a id="pl.313.6"></a><var>313.6</var>and information about the location of their health records from a record locator or patient <br />
         		<a id="pl.313.7"></a><var>313.7</var>information service. At a minimum, a consent form that permits a provider to access <br />
         		<a id="pl.313.8"></a><var>313.8</var>a record locator or patient information service must include a conspicuous check-box <br />
         		<a id="pl.313.9"></a><var>313.9</var>option that allows a patient to exclude all of the patient's information from the
         record <br />
         		<a id="pl.313.10"></a><var>313.10</var>locator service. A provider participating in a health information exchange with a record
         <br />
         		<a id="pl.313.11"></a><var>313.11</var>locator or patient information service who receives a patient's request to exclude all of the <br />
         		<a id="pl.313.12"></a><var>313.12</var>patient's information from the record locator service or to have a specific provider contact <br />
         		<a id="pl.313.13"></a><var>313.13</var>excluded from the record locator service is responsible for removing that information <br />
         		<a id="pl.313.14"></a><var>313.14</var>from the record locator service.<br />
         		<br />
         		<a id="bill.8.21.0"></a><a id="pl.313.15"></a><var>313.15</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 144.298, subdivision 2, is amended to read:<br />
         		<a id="pl.313.16"></a><var>313.16</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Liability of provider or other person.</b> A person who does any of the <br />
         		<a id="pl.313.17"></a><var>313.17</var>following is liable to the patient for compensatory damages caused by an unauthorized
         <br />
         		<a id="pl.313.18"></a><var>313.18</var>release or an intentional, unauthorized access, plus costs and reasonable attorney
         fees:<br />
         		<a id="pl.313.19"></a><var>313.19</var>&#160;&#160;&#160;&#160;(1) negligently or intentionally requests or releases a health record in violation
         <br />
         		<a id="pl.313.20"></a><var>313.20</var>of sections 
         <statute_ref>144.291</statute_ref> to 
         <statute_ref>144.297</statute_ref>;<br />
         		<a id="pl.313.21"></a><var>313.21</var>&#160;&#160;&#160;&#160;(2) forges a signature on a consent form or materially alters the consent form of
         <br />
         		<a id="pl.313.22"></a><var>313.22</var>another person without the person's consent;<br />
         		<a id="pl.313.23"></a><var>313.23</var>&#160;&#160;&#160;&#160;(3) obtains a consent form or the health records of another person under false <br />
         		<a id="pl.313.24"></a><var>313.24</var>pretenses; or<br />
         		<a id="pl.313.25"></a><var>313.25</var>(4) intentionally violates sections 
         <statute_ref>144.291</statute_ref> to 
         <statute_ref>144.297</statute_ref> by intentionally accessing a <br />
         		<a id="pl.313.26"></a><var>313.26</var>record locator or patient information service without authorization.<br />
         		<br />
         		<a id="bill.8.22.0"></a><a id="pl.313.27"></a><var>313.27</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 144.298, subdivision 3, is amended to read:<br />
         		<a id="pl.313.28"></a><var>313.28</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Liability for record locator </b><b>or patient information </b><b>service.</b> A patient <br />
         		<a id="pl.313.29"></a><var>313.29</var>is entitled to receive compensatory damages plus costs and reasonable attorney fees
         <br />
         		<a id="pl.313.30"></a><var>313.30</var>if a health information exchange maintaining a record locator or patient information <br />
         		<a id="pl.313.31"></a><var>313.31</var>service, or an entity maintaining a record locator or patient information service for a <br />
         		<a id="pl.313.32"></a><var>313.32</var>health information exchange, negligently or intentionally violates the provisions
         of section <br />
         		
         <statute_ref><a id="pl.313.33"></a><var>313.33</var>144.293, subdivision 8
         </statute_ref>.<br />
         		<br />
         		<a id="bill.8.23.0"></a><a id="pl.314.1"></a><var>314.1</var>&#160;&#160;&#160;&#160;Sec. 23. <b>[144.3875] EARLY DENTAL PREVENTION INITIATIVE.</b><br />
         		<a id="pl.314.2"></a><var>314.2</var>(a) The commissioner of health, in collaboration with the commissioner of human <br />
         		<a id="pl.314.3"></a><var>314.3</var>services, shall implement a statewide initiative to increase awareness among communities
         <br />
         		<a id="pl.314.4"></a><var>314.4</var>of color and recent immigrants on the importance of early preventive dental intervention
         <br />
         		<a id="pl.314.5"></a><var>314.5</var>for infants and toddlers before and after primary teeth appear.<br />
         		<a id="pl.314.6"></a><var>314.6</var>(b) The commissioner shall develop educational materials and information for <br />
         		<a id="pl.314.7"></a><var>314.7</var>expectant and new parents within the targeted communities that include the importance
         <br />
         		<a id="pl.314.8"></a><var>314.8</var>of early dental care to prevent early cavities, including proper cleaning techniques
         and <br />
         		<a id="pl.314.9"></a><var>314.9</var>feeding habits, before and after primary teeth appear.<br />
         		<a id="pl.314.10"></a><var>314.10</var>(c) The commissioner shall develop a distribution plan to ensure that the materials
         <br />
         		<a id="pl.314.11"></a><var>314.11</var>are distributed to expectant and new parents within the targeted communities, including,
         <br />
         		<a id="pl.314.12"></a><var>314.12</var>but not limited to, making the materials available to health care providers, community
         <br />
         		<a id="pl.314.13"></a><var>314.13</var>clinics, WIC sites, and other relevant sites within the targeted communities.<br />
         		<a id="pl.314.14"></a><var>314.14</var>(d) In developing these materials and distribution plan, the commissioner shall work
         <br />
         		<a id="pl.314.15"></a><var>314.15</var>collaboratively with members of the targeted communities, dental providers, pediatricians,
         <br />
         		<a id="pl.314.16"></a><var>314.16</var>child care providers, and home visiting nurses.<br />
         		<a id="pl.314.17"></a><var>314.17</var>(e) The commissioner shall, with input from stakeholders listed in paragraph (d),
         <br />
         		<a id="pl.314.18"></a><var>314.18</var>develop and pilot incentives to encourage early dental care within one year of an
         infant's <br />
         		<a id="pl.314.19"></a><var>314.19</var>teeth erupting.<br />
         		<br />
         		<a id="bill.8.24.0"></a><a id="pl.314.20"></a><var>314.20</var>&#160;&#160;&#160;&#160;Sec. 24. <b>[144.4961] MINNESOTA RADON LICENSING ACT.</b><br />
         		<a id="pl.314.21"></a><var>314.21</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Citation.</b> This section may be cited as the "Minnesota Radon <br />
         		<a id="pl.314.22"></a><var>314.22</var>Licensing Act."<br />
         		<a id="pl.314.23"></a><var>314.23</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) As used in this section, the following terms have the <br />
         		<a id="pl.314.24"></a><var>314.24</var>meanings given them.<br />
         		<a id="pl.314.25"></a><var>314.25</var>(b) "Mitigation" means the act of repairing or altering a building or building design
         <br />
         		<a id="pl.314.26"></a><var>314.26</var>for the purpose in whole or in part of reducing the concentration of radon in the
         indoor <br />
         		<a id="pl.314.27"></a><var>314.27</var>atmosphere.<br />
         		<a id="pl.314.28"></a><var>314.28</var>(c) "Radon" means both the radioactive, gaseous element produced by the <br />
         		<a id="pl.314.29"></a><var>314.29</var>disintegration of radium, and the short-lived radionuclides that are decay products
         of radon.<br />
         		<a id="pl.314.30"></a><var>314.30</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Rulemaking.</b> The commissioner of health shall adopt rules for licensure <br />
         		<a id="pl.314.31"></a><var>314.31</var>and enforcement of applicable laws and rules relating to indoor radon in dwellings
         and <br />
         		<a id="pl.314.32"></a><var>314.32</var>other buildings, with the exception of newly constructed Minnesota homes according
         <br />
         		<a id="pl.314.33"></a><var>314.33</var>to section 326B.106, subdivision 6. The commissioner shall coordinate, oversee, and
         <br />
         		<a id="pl.314.34"></a><var>314.34</var>implement all state functions in matters concerning the presence, effects, measurement,
         <br />
         		<a id="pl.314.35"></a><var>314.35</var>and mitigation of risks of radon in dwellings and other buildings.<br />
         		<a id="pl.315.1"></a><var>315.1</var>&#160;&#160;&#160;&#160;Subd. 4. <b>System tag.</b> All radon mitigation systems installed in Minnesota on or after <br />
         		<a id="pl.315.2"></a><var>315.2</var>October 1, 2017, must have a radon mitigation system tag provided by the commissioner.
         <br />
         		<a id="pl.315.3"></a><var>315.3</var>A radon mitigation professional must attach the tag to the radon mitigation system
         in <br />
         		<a id="pl.315.4"></a><var>315.4</var>a visible location.<br />
         		<a id="pl.315.5"></a><var>315.5</var>&#160;&#160;&#160;&#160;Subd. 5. <b>License required annually.</b> A license is required annually for every <br />
         		<a id="pl.315.6"></a><var>315.6</var>person, firm, or corporation that sells a device or performs a service for compensation
         <br />
         		<a id="pl.315.7"></a><var>315.7</var>to detect the presence of radon in the indoor atmosphere, performs laboratory analysis,
         <br />
         		<a id="pl.315.8"></a><var>315.8</var>or performs a service to mitigate radon in the indoor atmosphere. This section does
         not <br />
         		<a id="pl.315.9"></a><var>315.9</var>apply to retail stores that only sell or distribute radon sampling but are not engaged
         in the <br />
         		<a id="pl.315.10"></a><var>315.10</var>manufacture of radon sampling devices.<br />
         		<a id="pl.315.11"></a><var>315.11</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Exemptions.</b> Radon systems installed in newly constructed Minnesota <br />
         		<a id="pl.315.12"></a><var>315.12</var>homes according to section 326B.106, subdivision 6, prior to the issuance of a certificate
         <br />
         		<a id="pl.315.13"></a><var>315.13</var>of occupancy are not required to follow the requirements of this section.<br />
         		<a id="pl.315.14"></a><var>315.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>License applications and other reports.</b> The professionals, companies, <br />
         		<a id="pl.315.15"></a><var>315.15</var>and laboratories listed in subdivision 8 must submit applications for licenses, system
         <br />
         		<a id="pl.315.16"></a><var>315.16</var>tags, and any other reporting required under this section and Minnesota Rules on forms
         <br />
         		<a id="pl.315.17"></a><var>315.17</var>prescribed by the commissioner.<br />
         		<a id="pl.315.18"></a><var>315.18</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Licensing fees.</b> (a) All radon license applications submitted to the <br />
         		<a id="pl.315.19"></a><var>315.19</var>commissioner of health must be accompanied by the required fees. If the commissioner
         <br />
         		<a id="pl.315.20"></a><var>315.20</var>determines that insufficient fees were paid, the necessary additional fees must be
         paid <br />
         		<a id="pl.315.21"></a><var>315.21</var>before the commissioner approves the application. The commissioner shall charge the
         <br />
         		<a id="pl.315.22"></a><var>315.22</var>following fees for each radon license:<br />
         		<a id="pl.315.23"></a><var>315.23</var>(1) Each measurement professional license, $300 per year. "Measurement <br />
         		<a id="pl.315.24"></a><var>315.24</var>professional" means any person who performs a test to determine the presence and <br />
         		<a id="pl.315.25"></a><var>315.25</var>concentration of radon in a building they do not own or lease; provides professional
         or <br />
         		<a id="pl.315.26"></a><var>315.26</var>expert advice on radon testing, radon exposure, or health risks related to radon exposure;
         <br />
         		<a id="pl.315.27"></a><var>315.27</var>or makes representations of doing any of these activities.<br />
         		<a id="pl.315.28"></a><var>315.28</var>(2) Each mitigation professional license, $500 per year. "Mitigation professional"
         <br />
         		<a id="pl.315.29"></a><var>315.29</var>means an individual who performs radon mitigation in a building they do not own or
         <br />
         		<a id="pl.315.30"></a><var>315.30</var>lease; provides professional or expert advice on radon mitigation or radon entry routes;
         <br />
         		<a id="pl.315.31"></a><var>315.31</var>or provides on-site supervision of radon mitigation and mitigation technicians; or
         makes <br />
         		<a id="pl.315.32"></a><var>315.32</var>representations of doing any of these activities. This license also permits the licensee
         to <br />
         		<a id="pl.315.33"></a><var>315.33</var>perform the activities of a measurement professional described in clause (1).<br />
         		<a id="pl.315.34"></a><var>315.34</var>(3) Each mitigation company license, $500 per year. "Mitigation company" means <br />
         		<a id="pl.315.35"></a><var>315.35</var>any business or government entity that performs or authorizes employees to perform
         radon <br />
         		<a id="pl.315.36"></a><var>315.36</var>mitigation. This fee is waived if the company is a sole proprietorship.<br />
         		<a id="pl.316.1"></a><var>316.1</var>(4) Each radon analysis laboratory license, $500 per year. "Radon analysis <br />
         		<a id="pl.316.2"></a><var>316.2</var>laboratory" means a business entity or government entity that analyzes passive radon
         <br />
         		<a id="pl.316.3"></a><var>316.3</var>detection devices to determine the presence and concentration of radon in the devices.
         <br />
         		<a id="pl.316.4"></a><var>316.4</var>This fee is waived if the laboratory is a government entity and is only distributing
         test kits <br />
         		<a id="pl.316.5"></a><var>316.5</var>for the general public to use in Minnesota.<br />
         		<a id="pl.316.6"></a><var>316.6</var>(5) Each Minnesota Department of Health radon mitigation system tag, $75 per tag.
         <br />
         		<a id="pl.316.7"></a><var>316.7</var>"Minnesota Department of Health radon mitigation system tag" or "system tag" means
         a <br />
         		<a id="pl.316.8"></a><var>316.8</var>unique identifiable radon system label provided by the commissioner of health.<br />
         		<a id="pl.316.9"></a><var>316.9</var>(b) Fees collected under this section shall be deposited in the state treasury and
         <br />
         		<a id="pl.316.10"></a><var>316.10</var>credited to the state government special revenue fund.<br />
         		<a id="pl.316.11"></a><var>316.11</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Enforcement.</b> The commissioner shall enforce this section under the <br />
         		<a id="pl.316.12"></a><var>316.12</var>provisions of sections 144.989 to 144.993.<br />
         		<a id="pl.316.13"></a><var>316.13</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015, except subdivisions 4 <br />
         		<a id="pl.316.14"></a><var>316.14</var>and 5, which are effective October 1, 2017.<br />
         		<br />
         		<a id="bill.8.25.0"></a><a id="pl.316.15"></a><var>316.15</var>&#160;&#160;&#160;&#160;Sec. 25. <b>[144.566] VIOLENCE AGAINST HEALTH CARE WORKERS.</b><br />
         		<a id="pl.316.16"></a><var>316.16</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) The following definitions apply to this section and <br />
         		<a id="pl.316.17"></a><var>316.17</var>have the meanings given.<br />
         		<a id="pl.316.18"></a><var>316.18</var>(b) "Act of violence" means an act by a patient or visitor against a health care <br />
         		<a id="pl.316.19"></a><var>316.19</var>worker that includes kicking, scratching, urinating, sexually harassing, or any act
         defined <br />
         		<a id="pl.316.20"></a><var>316.20</var>in sections 609.221 to 609.2241.<br />
         		<a id="pl.316.21"></a><var>316.21</var>(c) "Commissioner" means the commissioner of health.<br />
         		<a id="pl.316.22"></a><var>316.22</var>(d) "Health care worker" means any person, whether licensed or unlicensed, <br />
         		<a id="pl.316.23"></a><var>316.23</var>employed by, volunteering in, or under contract with a hospital, who has direct contact
         <br />
         		<a id="pl.316.24"></a><var>316.24</var>with a patient of the hospital for purposes of either medical care or emergency response
         to <br />
         		<a id="pl.316.25"></a><var>316.25</var>situations potentially involving violence.<br />
         		<a id="pl.316.26"></a><var>316.26</var>(e) "Hospital" means any facility licensed as a hospital under section 144.55.<br />
         		<a id="pl.316.27"></a><var>316.27</var>(f) "Incident response" means the actions taken by hospital administration and health
         <br />
         		<a id="pl.316.28"></a><var>316.28</var>care workers during and following an act of violence.<br />
         		<a id="pl.316.29"></a><var>316.29</var>(g) "Interfere" means to prevent, impede, discourage, or delay a health care worker's
         <br />
         		<a id="pl.316.30"></a><var>316.30</var>ability to report acts of violence, including by retaliating or threatening to retaliate
         against <br />
         		<a id="pl.316.31"></a><var>316.31</var>a health care worker.<br />
         		<a id="pl.316.32"></a><var>316.32</var>(h) "Preparedness" means the actions taken by hospital administration and health <br />
         		<a id="pl.316.33"></a><var>316.33</var>care workers to prevent a single act of violence or acts of violence generally.<br />
         		<a id="pl.317.1"></a><var>317.1</var>(i) "Retaliate" means to discharge, discipline, threaten, otherwise discriminate <br />
         		<a id="pl.317.2"></a><var>317.2</var>against, or penalize a health care worker regarding the health care worker's compensation,
         <br />
         		<a id="pl.317.3"></a><var>317.3</var>terms, conditions, location, or privileges of employment.<br />
         		<a id="pl.317.4"></a><var>317.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Hospital duties.</b> (a) All hospitals must design and implement preparedness <br />
         		<a id="pl.317.5"></a><var>317.5</var>and incident response action plans to acts of violence by January 15, 2016, and review
         the <br />
         		<a id="pl.317.6"></a><var>317.6</var>plan at least annually thereafter.<br />
         		<a id="pl.317.7"></a><var>317.7</var>(b) A hospital shall designate a committee of representatives of health care workers
         <br />
         		<a id="pl.317.8"></a><var>317.8</var>employed by the hospital, including nonmanagerial health care workers, nonclinical
         <br />
         		<a id="pl.317.9"></a><var>317.9</var>staff, administrators, patient safety experts, and other appropriate personnel to
         develop <br />
         		<a id="pl.317.10"></a><var>317.10</var>preparedness and incident response action plans to acts of violence. The hospital
         shall, in <br />
         		<a id="pl.317.11"></a><var>317.11</var>consultation with the designated committee, implement the plans under paragraph (a).
         <br />
         		<a id="pl.317.12"></a><var>317.12</var>Nothing in this paragraph shall require the establishment of a separate committee
         solely <br />
         		<a id="pl.317.13"></a><var>317.13</var>for the purpose required by this subdivision.<br />
         		<a id="pl.317.14"></a><var>317.14</var>(c) A hospital shall provide training to all health care workers employed or <br />
         		<a id="pl.317.15"></a><var>317.15</var>contracted with the hospital on safety during acts of violence. Each health care worker
         <br />
         		<a id="pl.317.16"></a><var>317.16</var>must receive safety training annually and upon hire. Training must, at a minimum,
         include:<br />
         		<a id="pl.317.17"></a><var>317.17</var>(1) safety guidelines for response to and de-escalation of an act of violence;<br />
         		<a id="pl.317.18"></a><var>317.18</var>(2) ways to identify potentially violent or abusive situations; and<br />
         		<a id="pl.317.19"></a><var>317.19</var>(3) the hospital's incident response reaction plan and violence prevention plan.<br />
         		<a id="pl.317.20"></a><var>317.20</var>(d) As part of its annual review required under paragraph (a), the hospital must <br />
         		<a id="pl.317.21"></a><var>317.21</var>review with the designated committee:<br />
         		<a id="pl.317.22"></a><var>317.22</var>(1) the effectiveness of its preparedness and incident response action plans;<br />
         		<a id="pl.317.23"></a><var>317.23</var>(2) the most recent gap analysis as provided by the commissioner; and<br />
         		<a id="pl.317.24"></a><var>317.24</var>(3) the number of acts of violence that occurred in the hospital during the previous
         <br />
         		<a id="pl.317.25"></a><var>317.25</var>year, including injuries sustained, if any, and the unit in which the incident occurred.<br />
         		<a id="pl.317.26"></a><var>317.26</var>(e) A hospital shall make its action plans and the information listed in paragraph
         <br />
         		<a id="pl.317.27"></a><var>317.27</var>(d) available to local law enforcement and, if any of its workers are represented
         by a <br />
         		<a id="pl.317.28"></a><var>317.28</var>collective bargaining unit, to the exclusive bargaining representatives of those collective
         <br />
         		<a id="pl.317.29"></a><var>317.29</var>bargaining units.<br />
         		<a id="pl.317.30"></a><var>317.30</var>(f) A hospital, including any individual, partner, association, or any person or group
         <br />
         		<a id="pl.317.31"></a><var>317.31</var>of persons acting directly or indirectly in the interest of the hospital, shall not
         interfere <br />
         		<a id="pl.317.32"></a><var>317.32</var>with or discourage a health care worker if the health care worker wishes to contact
         law <br />
         		<a id="pl.317.33"></a><var>317.33</var>enforcement or the commissioner regarding an act of violence.<br />
         		<a id="pl.317.34"></a><var>317.34</var>(g) The commissioner may impose an administrative fine of up to $250 for failure to
         <br />
         		<a id="pl.317.35"></a><var>317.35</var>comply with the requirements of subdivision 2.<br />
         		<br />
         		<a id="bill.8.26.0"></a><a id="pl.318.1"></a><var>318.1</var>&#160;&#160;&#160;&#160;Sec. 26. <b>[144.586] REQUIREMENTS FOR CERTAIN NOTICES AND </b><br />
         		<a id="pl.318.2"></a><var>318.2</var><b>DISCHARGE PLANNING.</b><br />
         		<a id="pl.318.3"></a><var>318.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Observation stay notice.</b> (a) Each hospital, as defined under <br />
         		<a id="pl.318.4"></a><var>318.4</var>section 144.50, subdivision 2, shall provide oral and written notice to each patient
         that <br />
         		<a id="pl.318.5"></a><var>318.5</var>the hospital places in observation status of such placement not later than 24 hours
         after <br />
         		<a id="pl.318.6"></a><var>318.6</var>such placement. The oral and written notices must include:<br />
         		<a id="pl.318.7"></a><var>318.7</var>(1) a statement that the patient is not admitted to the hospital but is under observation
         <br />
         		<a id="pl.318.8"></a><var>318.8</var>status;<br />
         		<a id="pl.318.9"></a><var>318.9</var>(2) a statement that observation status may affect the patient's Medicare coverage
         for:<br />
         		<a id="pl.318.10"></a><var>318.10</var>(i) hospital services, including medications and pharmaceutical supplies; or<br />
         		<a id="pl.318.11"></a><var>318.11</var>(ii) home or community-based care or care at a skilled nursing facility upon the <br />
         		<a id="pl.318.12"></a><var>318.12</var>patient's discharge; and<br />
         		<a id="pl.318.13"></a><var>318.13</var>(3) a recommendation that the patient contact the patient's health insurance provider
         <br />
         		<a id="pl.318.14"></a><var>318.14</var>or the Office of the Ombudsman for Long-Term Care or Office of the Ombudsman for <br />
         		<a id="pl.318.15"></a><var>318.15</var>State Managed Health Care Programs or the Beneficiary and Family Centered Care <br />
         		<a id="pl.318.16"></a><var>318.16</var>Quality Improvement Organization to better understand the implications of placement
         in <br />
         		<a id="pl.318.17"></a><var>318.17</var>observation status.<br />
         		<a id="pl.318.18"></a><var>318.18</var>(b) The hospital shall document the date in the patient's record that the notice <br />
         		<a id="pl.318.19"></a><var>318.19</var>required in paragraph (a) was provided to the patient, the patient's designated <br />
         		<a id="pl.318.20"></a><var>318.20</var>representative such as the patient's health care agent, legal guardian, conservator,
         or <br />
         		<a id="pl.318.21"></a><var>318.21</var>another person acting as the patient's representative.<br />
         		<a id="pl.318.22"></a><var>318.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Postacute care discharge planning.</b> Each hospital, including hospitals <br />
         		<a id="pl.318.23"></a><var>318.23</var>designated as critical access hospitals, must comply with the federal hospital requirements
         <br />
         		<a id="pl.318.24"></a><var>318.24</var>for discharge planning which include:<br />
         		<a id="pl.318.25"></a><var>318.25</var>(1) conducting a discharge planning evaluation that includes an evaluation of:<br />
         		<a id="pl.318.26"></a><var>318.26</var>(i) the likelihood of the patient needing posthospital services and of the availability
         <br />
         		<a id="pl.318.27"></a><var>318.27</var>of those services; and<br />
         		<a id="pl.318.28"></a><var>318.28</var>(ii) the patient's capacity for self-care or the possibility of the patient being
         cared for <br />
         		<a id="pl.318.29"></a><var>318.29</var>in the environment from which the patient entered the hospital;<br />
         		<a id="pl.318.30"></a><var>318.30</var>(2) timely completion of the discharge planning evaluation under clause (1) by <br />
         		<a id="pl.318.31"></a><var>318.31</var>hospital personnel so that appropriate arrangements for posthospital care are made
         before <br />
         		<a id="pl.318.32"></a><var>318.32</var>discharge, and to avoid unnecessary delays in discharge;<br />
         		<a id="pl.318.33"></a><var>318.33</var>(3) including the discharge planning evaluation under clause (1) in the patient's
         <br />
         		<a id="pl.318.34"></a><var>318.34</var>medical record for use in establishing an appropriate discharge plan. The hospital
         must <br />
         		<a id="pl.318.35"></a><var>318.35</var>discuss the results of the evaluation with the patient or individual acting on behalf
         of the <br />
         		<a id="pl.318.36"></a><var>318.36</var>patient. The hospital must reassess the patient's discharge plan if the hospital determines
         <br />
         		<a id="pl.319.1"></a><var>319.1</var>that there are factors that may affect continuing care needs or the appropriateness
         of <br />
         		<a id="pl.319.2"></a><var>319.2</var>the discharge plan; and<br />
         		<a id="pl.319.3"></a><var>319.3</var>(4) providing counseling, as needed, for the patient and family members or interested
         <br />
         		<a id="pl.319.4"></a><var>319.4</var>persons to prepare them for posthospital care. The hospital must provide a list of
         available <br />
         		<a id="pl.319.5"></a><var>319.5</var>Medicare-eligible home care agencies or skilled nursing facilities that serve the
         patient's <br />
         		<a id="pl.319.6"></a><var>319.6</var>geographic area, or other area requested by the patient if such care or placement
         is <br />
         		<a id="pl.319.7"></a><var>319.7</var>indicated and appropriate. Once the patient has designated their preferred providers,
         the <br />
         		<a id="pl.319.8"></a><var>319.8</var>hospital will assist the patient in securing care covered by their health plan or
         within the <br />
         		<a id="pl.319.9"></a><var>319.9</var>care network. The hospital must not specify or otherwise limit the qualified providers
         that <br />
         		<a id="pl.319.10"></a><var>319.10</var>are available to the patient. The hospital must document in the patient's record that
         the list <br />
         		<a id="pl.319.11"></a><var>319.11</var>was presented to the patient or to the individual acting on the patient's behalf.<br />
         		<br />
         		<a id="bill.8.27.0"></a><a id="pl.319.12"></a><var>319.12</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 144.9501, subdivision 6d, is amended to read:<br />
         		<a id="pl.319.13"></a><var>319.13</var>&#160;&#160;&#160;&#160;Subd. 6d. <b>Certified lead firm.</b> "Certified lead firm" means a person that employs <br />
         		<a id="pl.319.14"></a><var>319.14</var>individuals to perform regulated lead work, with the exception of renovation, and that <br />
         		<a id="pl.319.15"></a><var>319.15</var>is certified by the commissioner under section 
         <statute_ref>144.9505</statute_ref>.<br />
         		<br />
         		<a id="bill.8.28.0"></a><a id="pl.319.16"></a><var>319.16</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 144.9501, is amended by adding a <br />
         		<a id="pl.319.17"></a><var>319.17</var>subdivision to read:<br />
         		<a id="pl.319.18"></a><var>319.18</var>&#160;&#160;&#160;&#160;Subd. 6e. <b>Certified renovation firm.</b> "Certified renovation firm" means a person <br />
         		<a id="pl.319.19"></a><var>319.19</var>that employs individuals to perform renovation and is certified by the commissioner
         <br />
         		<a id="pl.319.20"></a><var>319.20</var>under section 144.9505.<br />
         		<br />
         		<a id="bill.8.29.0"></a><a id="pl.319.21"></a><var>319.21</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 144.9501, subdivision 22b, is amended to <br />
         		<a id="pl.319.22"></a><var>319.22</var>read:<br />
         		<a id="pl.319.23"></a><var>319.23</var>&#160;&#160;&#160;&#160;Subd. 22b. <b>Lead sampling technician.</b> "Lead sampling technician" means an <br />
         		<a id="pl.319.24"></a><var>319.24</var>individual who performs clearance inspections for renovation sites and lead dust sampling
         <br />
         		<a id="pl.319.25"></a><var>319.25</var>for nonabatement sites, and who is registered with the commissioner under section <br />
         		<a id="pl.319.26"></a><var>319.26</var><statute_ref>144.9505</statute_ref>.<br />
         		<a id="pl.319.27"></a><var>319.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.8.30.0"></a><a id="pl.319.28"></a><var>319.28</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 144.9501, subdivision 26b, is amended to <br />
         		<a id="pl.319.29"></a><var>319.29</var>read:<br />
         		<a id="pl.319.30"></a><var>319.30</var>&#160;&#160;&#160;&#160;Subd. 26b. <b>Renovation.</b> "Renovation" means the modification of any pre-1978 <br />
         		<a id="pl.319.31"></a><var>319.31</var>affected property that results in the disturbance of known or presumed lead-containing <br />
         		<a id="pl.319.32"></a><var>319.32</var>painted surfaces defined under section 144.9508, unless that activity is performed as an <br />
         		<a id="pl.320.1"></a><var>320.1</var>abatement lead hazard reduction. A renovation performed for the purpose of converting a <br />
         		<a id="pl.320.2"></a><var>320.2</var>building or part of a building into an affected property is a renovation under this
         subdivision.<br />
         		<a id="pl.320.3"></a><var>320.3</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.8.31.0"></a><a id="pl.320.4"></a><var>320.4</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 144.9501, is amended by adding a <br />
         		<a id="pl.320.5"></a><var>320.5</var>subdivision to read:<br />
         		<a id="pl.320.6"></a><var>320.6</var>&#160;&#160;&#160;&#160;Subd. 26c. <b>Lead renovator.</b> "Lead renovator" means an individual who directs <br />
         		<a id="pl.320.7"></a><var>320.7</var>individuals who perform renovations. A lead renovator also performs renovation, surface
         <br />
         		<a id="pl.320.8"></a><var>320.8</var>coating testing, and cleaning verification.<br />
         		<a id="pl.320.9"></a><var>320.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.8.32.0"></a><a id="pl.320.10"></a><var>320.10</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 144.9505, is amended to read:<br />
         		<a id="pl.320.11"></a><var>320.11</var><b>144.9505 </b><b>LICENSING</b><b> CREDENTIALING</b><b> OF LEAD FIRMS AND </b><br />
         		<a id="pl.320.12"></a><var>320.12</var><b>PROFESSIONALS.</b><br />
         		<a id="pl.320.13"></a><var>320.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Licensing </b><b>and</b><b>,</b><b> certification</b><b>; generally</b><b>, and permitting</b><b>.</b> (a) All <br />
         		<a id="pl.320.14"></a><var>320.14</var>Fees received shall be paid collected under this section shall be deposited into the state <br />
         		<a id="pl.320.15"></a><var>320.15</var>treasury and credited to the lead abatement licensing and certification account and are <br />
         		<a id="pl.320.16"></a><var>320.16</var>appropriated to the commissioner to cover costs incurred under this section and section
         <br />
         		<a id="pl.320.17"></a><var>320.17</var><statute_ref>144.9508</statute_ref> state government special revenue fund.<br />
         		<a id="pl.320.18"></a><var>320.18</var>(b) Persons shall not advertise or otherwise present themselves as lead supervisors,
         <br />
         		<a id="pl.320.19"></a><var>320.19</var>lead workers, lead inspectors, lead risk assessors, lead sampling technicians, lead
         project <br />
         		<a id="pl.320.20"></a><var>320.20</var>designers, or renovation firms, or  lead firms unless they have licenses or certificates issued <br />
         		<a id="pl.320.21"></a><var>320.21</var>by or are registered with the commissioner under this section.<br />
         		<a id="pl.320.22"></a><var>320.22</var>(c) The fees required in this section for inspectors, risk assessors, and certified
         lead <br />
         		<a id="pl.320.23"></a><var>320.23</var>firms are waived for state or local government employees performing services for or
         <br />
         		<a id="pl.320.24"></a><var>320.24</var>as an assessing agency.<br />
         		<a id="pl.320.25"></a><var>320.25</var>(d) An individual who is the owner of property on which regulated lead work is to
         be <br />
         		<a id="pl.320.26"></a><var>320.26</var>performed or an adult individual who is related to the property owner, as defined
         under <br />
         		<a id="pl.320.27"></a><var>320.27</var>section 
         <statute_ref>245A.02, subdivision 13</statute_ref>, is exempt from the requirements to obtain a license and <br />
         		<a id="pl.320.28"></a><var>320.28</var>pay a fee according to this section.<br />
         		<a id="pl.320.29"></a><var>320.29</var>(e) A person that employs individuals to perform regulated lead work outside of the
         <br />
         		<a id="pl.320.30"></a><var>320.30</var>person's property must obtain certification as a certified lead firm. An individual
         who <br />
         		<a id="pl.320.31"></a><var>320.31</var>performs regulated lead work lead hazard reduction, lead hazard screens, lead inspections, <br />
         		<a id="pl.320.32"></a><var>320.32</var>lead risk assessments, clearance inspections, lead project designer services, lead
         sampling <br />
         		<a id="pl.320.33"></a><var>320.33</var>technician services, swab team services, and activities performed to comply with lead
         <br />
         		<a id="pl.321.1"></a><var>321.1</var>orders must be employed by a certified lead firm, unless the individual is a sole proprietor
         <br />
         		<a id="pl.321.2"></a><var>321.2</var>and does not employ any other individual who performs regulated lead work individuals, <br />
         		<a id="pl.321.3"></a><var>321.3</var>the individual is employed by a person that does not perform regulated lead work outside
         <br />
         		<a id="pl.321.4"></a><var>321.4</var>of the person's property, or the individual is employed by an assessing agency.<br />
         		<a id="pl.321.5"></a><var>321.5</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Lead worker license.</b> Before an individual performs regulated lead work <br />
         		<a id="pl.321.6"></a><var>321.6</var>as a worker, the individual shall first obtain a license from the commissioner. No
         license <br />
         		<a id="pl.321.7"></a><var>321.7</var>shall be issued unless the individual shows evidence of successfully completing a
         training <br />
         		<a id="pl.321.8"></a><var>321.8</var>course in lead hazard control. The commissioner shall specify the course of training
         and <br />
         		<a id="pl.321.9"></a><var>321.9</var>testing requirements and shall charge a $50 fee annually for the license. License fees are <br />
         		<a id="pl.321.10"></a><var>321.10</var>nonrefundable and must be submitted with each application. The license must be carried
         <br />
         		<a id="pl.321.11"></a><var>321.11</var>by the individual and be readily available for review by the commissioner and other
         public <br />
         		<a id="pl.321.12"></a><var>321.12</var>health officials charged with the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.321.13"></a><var>321.13</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Lead supervisor license.</b> Before an individual performs regulated lead <br />
         		<a id="pl.321.14"></a><var>321.14</var>work as a supervisor, the individual shall first obtain a license from the commissioner.
         No <br />
         		<a id="pl.321.15"></a><var>321.15</var>license shall be issued unless the individual shows evidence of experience and successful
         <br />
         		<a id="pl.321.16"></a><var>321.16</var>completion of a training course in lead hazard control. The commissioner shall specify
         <br />
         		<a id="pl.321.17"></a><var>321.17</var>the course of training, experience, and testing requirements and shall charge a $50
         fee <br />
         		<a id="pl.321.18"></a><var>321.18</var>annually for the license. License fees are nonrefundable and must be submitted with <br />
         		<a id="pl.321.19"></a><var>321.19</var>each application. The license must be carried by the individual and be readily available
         <br />
         		<a id="pl.321.20"></a><var>321.20</var>for review by the commissioner and other public health officials charged with the
         health, <br />
         		<a id="pl.321.21"></a><var>321.21</var>safety, and welfare of the state's citizens.<br />
         		<a id="pl.321.22"></a><var>321.22</var>&#160;&#160;&#160;&#160;Subd. 1c. <b>Lead inspector license.</b> Before an individual performs lead inspection <br />
         		<a id="pl.321.23"></a><var>321.23</var>services, the individual shall first obtain a license from the commissioner. No license
         shall <br />
         		<a id="pl.321.24"></a><var>321.24</var>be issued unless the individual shows evidence of successfully completing a training
         <br />
         		<a id="pl.321.25"></a><var>321.25</var>course in lead inspection. The commissioner shall specify the course of training and
         <br />
         		<a id="pl.321.26"></a><var>321.26</var>testing requirements and shall charge a $50 fee annually for the license. License fees are <br />
         		<a id="pl.321.27"></a><var>321.27</var>nonrefundable and must be submitted with each application. The license must be carried
         <br />
         		<a id="pl.321.28"></a><var>321.28</var>by the individual and be readily available for review by the commissioner and other
         public <br />
         		<a id="pl.321.29"></a><var>321.29</var>health officials charged with the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.321.30"></a><var>321.30</var>&#160;&#160;&#160;&#160;Subd. 1d. <b>Lead risk assessor license.</b> Before an individual performs lead risk <br />
         		<a id="pl.321.31"></a><var>321.31</var>assessor services, the individual shall first obtain a license from the commissioner.
         No <br />
         		<a id="pl.321.32"></a><var>321.32</var>license shall be issued unless the individual shows evidence of experience and successful
         <br />
         		<a id="pl.321.33"></a><var>321.33</var>completion of a training course in lead risk assessment. The commissioner shall specify
         <br />
         		<a id="pl.321.34"></a><var>321.34</var>the course of training, experience, and testing requirements and shall charge a $100
         fee <br />
         		<a id="pl.321.35"></a><var>321.35</var>annually for the license. License fees are nonrefundable and must be submitted with <br />
         		<a id="pl.321.36"></a><var>321.36</var>each application. The license must be carried by the individual and be readily available
         <br />
         		<a id="pl.322.1"></a><var>322.1</var>for review by the commissioner and other public health officials charged with the
         health, <br />
         		<a id="pl.322.2"></a><var>322.2</var>safety, and welfare of the state's citizens.<br />
         		<a id="pl.322.3"></a><var>322.3</var>&#160;&#160;&#160;&#160;Subd. 1e. <b>Lead project designer license.</b> Before an individual performs lead <br />
         		<a id="pl.322.4"></a><var>322.4</var>project designer services, the individual shall first obtain a license from the commissioner.
         <br />
         		<a id="pl.322.5"></a><var>322.5</var>No license shall be issued unless the individual shows evidence of experience and
         <br />
         		<a id="pl.322.6"></a><var>322.6</var>successful completion of a training course in lead project design. The commissioner
         shall <br />
         		<a id="pl.322.7"></a><var>322.7</var>specify the course of training, experience, and testing requirements and shall charge
         a <br />
         		<a id="pl.322.8"></a><var>322.8</var>$100 fee annually for the license. License fees are nonrefundable and must be submitted <br />
         		<a id="pl.322.9"></a><var>322.9</var>with each application. The license must be carried by the individual and be readily
         <br />
         		<a id="pl.322.10"></a><var>322.10</var>available for review by the commissioner and other public health officials charged
         with <br />
         		<a id="pl.322.11"></a><var>322.11</var>the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.322.12"></a><var>322.12</var>&#160;&#160;&#160;&#160;Subd. 1f. <b>Lead sampling technician.</b> An individual performing lead sampling <br />
         		<a id="pl.322.13"></a><var>322.13</var>technician services shall first register with the commissioner. The commissioner shall
         not <br />
         		<a id="pl.322.14"></a><var>322.14</var>register an individual unless the individual shows evidence of successfully completing
         a <br />
         		<a id="pl.322.15"></a><var>322.15</var>training course in lead sampling. The commissioner shall specify the course of training
         <br />
         		<a id="pl.322.16"></a><var>322.16</var>and testing requirements. Proof of registration must be carried by the individual
         and be <br />
         		<a id="pl.322.17"></a><var>322.17</var>readily available for review by the commissioner and other public health officials
         charged <br />
         		<a id="pl.322.18"></a><var>322.18</var>with the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.322.19"></a><var>322.19</var>&#160;&#160;&#160;&#160;Subd. 1g. <b>Certified lead firm.</b> A person who employs individuals to perform <br />
         		<a id="pl.322.20"></a><var>322.20</var>regulated lead work, with the exception of renovation, outside of the person's property <br />
         		<a id="pl.322.21"></a><var>322.21</var>must obtain certification as a lead firm. The certificate must be in writing, contain
         an <br />
         		<a id="pl.322.22"></a><var>322.22</var>expiration date, be signed by the commissioner, and give the name and address of the
         <br />
         		<a id="pl.322.23"></a><var>322.23</var>person to whom it is issued.  A lead firm certificate is valid for one year. The certification <br />
         		<a id="pl.322.24"></a><var>322.24</var>fee is $100, is nonrefundable, and must be submitted with each application. The lead firm <br />
         		<a id="pl.322.25"></a><var>322.25</var>certificate or a copy of the certificate must be readily available at the worksite
         for review <br />
         		<a id="pl.322.26"></a><var>322.26</var>by the contracting entity, the commissioner, and other public health officials charged
         with <br />
         		<a id="pl.322.27"></a><var>322.27</var>the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.322.28"></a><var>322.28</var>&#160;&#160;&#160;&#160;Subd. 1h. <b>Certified renovation firm.</b> A person who employs individuals to <br />
         		<a id="pl.322.29"></a><var>322.29</var>perform renovation activities outside of the person's property must obtain certification
         <br />
         		<a id="pl.322.30"></a><var>322.30</var>as a renovation firm. The certificate must be in writing, contain an expiration date,
         be <br />
         		<a id="pl.322.31"></a><var>322.31</var>signed by the commissioner, and give the name and address of the person to whom it
         is <br />
         		<a id="pl.322.32"></a><var>322.32</var>issued. A renovation firm certificate is valid for two years. The certification fee
         is $100, <br />
         		<a id="pl.322.33"></a><var>322.33</var>is nonrefundable, and must be submitted with each application. The renovation firm
         <br />
         		<a id="pl.322.34"></a><var>322.34</var>certificate or a copy of the certificate must be readily available at the worksite
         for review <br />
         		<a id="pl.322.35"></a><var>322.35</var>by the contracting entity, the commissioner, and other public health officials charged
         with <br />
         		<a id="pl.322.36"></a><var>322.36</var>the health, safety, and welfare of the state's citizens.<br />
         		<a id="pl.323.1"></a><var>323.1</var>&#160;&#160;&#160;&#160;Subd. 1i. <b>Lead training course.</b> Before a person provides training to lead <br />
         		<a id="pl.323.2"></a><var>323.2</var>workers, lead supervisors, lead inspectors, lead risk assessors, lead project designers,
         lead <br />
         		<a id="pl.323.3"></a><var>323.3</var>sampling technicians, and lead renovators, the person shall first obtain a permit
         from the <br />
         		<a id="pl.323.4"></a><var>323.4</var>commissioner. The permit must be in writing, contain an expiration date, be signed
         by <br />
         		<a id="pl.323.5"></a><var>323.5</var>the commissioner, and give the name and address of the person to whom it is issued.
         <br />
         		<a id="pl.323.6"></a><var>323.6</var>A training course permit is valid for two years. Training course permit fees shall
         be <br />
         		<a id="pl.323.7"></a><var>323.7</var>nonrefundable and must be submitted with each application in the amount of $500 for
         an <br />
         		<a id="pl.323.8"></a><var>323.8</var>initial training course, $250 for renewal of a permit for an initial training course,
         $250 for <br />
         		<a id="pl.323.9"></a><var>323.9</var>a refresher training course, and $125 for renewal of a permit of a refresher training
         course.<br />
         		<a id="pl.323.10"></a><var>323.10</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensed building contractor; information.</b> The commissioner shall <br />
         		<a id="pl.323.11"></a><var>323.11</var>provide health and safety information on lead abatement and lead hazard reduction
         to all <br />
         		<a id="pl.323.12"></a><var>323.12</var>residential building contractors licensed under section 
         <statute_ref>326B.805</statute_ref>. The information must <br />
         		<a id="pl.323.13"></a><var>323.13</var>include the lead-safe practices and any other materials describing ways to protect
         the <br />
         		<a id="pl.323.14"></a><var>323.14</var>health and safety of both employees and residents.<br />
         		<a id="pl.323.15"></a><var>323.15</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Notice of regulated lead work.</b> (a) At least five working days before <br />
         		<a id="pl.323.16"></a><var>323.16</var>starting work at each regulated lead worksite, the person performing the regulated
         lead <br />
         		<a id="pl.323.17"></a><var>323.17</var>work shall give written notice to the commissioner and the appropriate board of health.<br />
         		<a id="pl.323.18"></a><var>323.18</var>(b) This provision does not apply to lead hazard screen, lead inspection, lead risk
         <br />
         		<a id="pl.323.19"></a><var>323.19</var>assessment, lead sampling technician, renovation, or lead project design activities.<br />
         		<a id="pl.323.20"></a><var>323.20</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Duties of contracting entity.</b> A contracting entity intending to have <br />
         		<a id="pl.323.21"></a><var>323.21</var>regulated lead work performed for its benefit shall include in the specifications
         and <br />
         		<a id="pl.323.22"></a><var>323.22</var>contracts for the work a requirement that the work be performed by contractors and
         <br />
         		<a id="pl.323.23"></a><var>323.23</var>subcontractors licensed by the commissioner under sections 
         <statute_ref>144.9501</statute_ref> to 
         <statute_ref>144.9512</statute_ref> and <br />
         		<a id="pl.323.24"></a><var>323.24</var>according to rules adopted by the commissioner related to regulated lead work. No
         <br />
         		<a id="pl.323.25"></a><var>323.25</var>contracting entity shall allow regulated lead work to be performed for its benefit
         unless the <br />
         		<a id="pl.323.26"></a><var>323.26</var>contracting entity has seen that the person has a valid license or certificate. A
         contracting <br />
         		<a id="pl.323.27"></a><var>323.27</var>entity's failure to comply with this subdivision does not relieve a person from any
         <br />
         		<a id="pl.323.28"></a><var>323.28</var>responsibility under sections 
         <statute_ref>144.9501</statute_ref> to 
         <statute_ref>144.9512</statute_ref>.<br />
         		<a id="pl.323.29"></a><var>323.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.8.33.0"></a><a id="pl.323.30"></a><var>323.30</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 144.9508, is amended to read:<br />
         		<a id="pl.323.31"></a><var>323.31</var><b>144.9508 RULES.</b><br />
         		<a id="pl.323.32"></a><var>323.32</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Sampling and analysis.</b> The commissioner shall adopt, by rule, <br />
         		<a id="pl.323.33"></a><var>323.33</var>methods for:<br />
         		<a id="pl.324.1"></a><var>324.1</var>(1) lead inspections, lead hazard screens, lead risk assessments, and clearance <br />
         		<a id="pl.324.2"></a><var>324.2</var>inspections;<br />
         		<a id="pl.324.3"></a><var>324.3</var>(2) environmental surveys of lead in paint, soil, dust, and drinking water to determine
         <br />
         		<a id="pl.324.4"></a><var>324.4</var>areas at high risk for toxic lead exposure;<br />
         		<a id="pl.324.5"></a><var>324.5</var>(3) soil sampling for soil used as replacement soil;<br />
         		<a id="pl.324.6"></a><var>324.6</var>(4) drinking water sampling, which shall be done in accordance with lab certification
         <br />
         		<a id="pl.324.7"></a><var>324.7</var>requirements and analytical techniques specified by Code of Federal Regulations, title
         <br />
         		<a id="pl.324.8"></a><var>324.8</var>40, section 141.89; and<br />
         		<a id="pl.324.9"></a><var>324.9</var>(5) sampling to determine whether at least 25 percent of the soil samples collected
         <br />
         		<a id="pl.324.10"></a><var>324.10</var>from a census tract within a standard metropolitan statistical area contain lead in
         <br />
         		<a id="pl.324.11"></a><var>324.11</var>concentrations that exceed 100 parts per million.<br />
         		<a id="pl.324.12"></a><var>324.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Regulated lead work standards and methods.</b> (a) The commissioner shall <br />
         		<a id="pl.324.13"></a><var>324.13</var>adopt rules establishing regulated lead work standards and methods in accordance with
         the <br />
         		<a id="pl.324.14"></a><var>324.14</var>provisions of this section, for lead in paint, dust, drinking water, and soil in a
         manner that <br />
         		<a id="pl.324.15"></a><var>324.15</var>protects public health and the environment for all residences, including residences
         also <br />
         		<a id="pl.324.16"></a><var>324.16</var>used for a commercial purpose, child care facilities, playgrounds, and schools.<br />
         		<a id="pl.324.17"></a><var>324.17</var>(b) In the rules required by this section, the commissioner shall require lead hazard
         <br />
         		<a id="pl.324.18"></a><var>324.18</var>reduction of intact paint only if the commissioner finds that the intact paint is
         on a <br />
         		<a id="pl.324.19"></a><var>324.19</var>chewable or lead-dust producing surface that is a known source of actual lead exposure
         to <br />
         		<a id="pl.324.20"></a><var>324.20</var>a specific individual. The commissioner shall prohibit methods that disperse lead
         dust into <br />
         		<a id="pl.324.21"></a><var>324.21</var>the air that could accumulate to a level that would exceed the lead dust standard
         specified <br />
         		<a id="pl.324.22"></a><var>324.22</var>under this section. The commissioner shall work cooperatively with the commissioner
         <br />
         		<a id="pl.324.23"></a><var>324.23</var>of administration to determine which lead hazard reduction methods adopted under this
         <br />
         		<a id="pl.324.24"></a><var>324.24</var>section may be used for lead-safe practices including prohibited practices, preparation,
         <br />
         		<a id="pl.324.25"></a><var>324.25</var>disposal, and cleanup. The commissioner shall work cooperatively with the commissioner
         <br />
         		<a id="pl.324.26"></a><var>324.26</var>of the Pollution Control Agency to develop disposal procedures. In adopting rules
         under <br />
         		<a id="pl.324.27"></a><var>324.27</var>this section, the commissioner shall require the best available technology for regulated
         <br />
         		<a id="pl.324.28"></a><var>324.28</var>lead work methods, paint stabilization, and repainting.<br />
         		<a id="pl.324.29"></a><var>324.29</var>(c) The commissioner of health shall adopt regulated lead work standards and <br />
         		<a id="pl.324.30"></a><var>324.30</var>methods for lead in bare soil in a manner to protect public health and the environment.
         <br />
         		<a id="pl.324.31"></a><var>324.31</var>The commissioner shall adopt a maximum standard of 100 parts of lead per million in
         <br />
         		<a id="pl.324.32"></a><var>324.32</var>bare soil. The commissioner shall set a soil replacement standard not to exceed 25
         parts <br />
         		<a id="pl.324.33"></a><var>324.33</var>of lead per million. Soil lead hazard reduction methods shall focus on erosion control
         <br />
         		<a id="pl.324.34"></a><var>324.34</var>and covering of bare soil.<br />
         		<a id="pl.324.35"></a><var>324.35</var>(d) The commissioner shall adopt regulated lead work standards and methods for lead
         <br />
         		<a id="pl.324.36"></a><var>324.36</var>in dust in a manner to protect the public health and environment. Dust standards shall
         use <br />
         		<a id="pl.325.1"></a><var>325.1</var>a weight of lead per area measure and include dust on the floor, on the window sills,
         and <br />
         		<a id="pl.325.2"></a><var>325.2</var>on window wells. Lead hazard reduction methods for dust shall focus on dust removal
         and <br />
         		<a id="pl.325.3"></a><var>325.3</var>other practices which minimize the formation of lead dust from paint, soil, or other
         sources.<br />
         		<a id="pl.325.4"></a><var>325.4</var>(e) The commissioner shall adopt lead hazard reduction standards and methods for <br />
         		<a id="pl.325.5"></a><var>325.5</var>lead in drinking water both at the tap and public water supply system or private well
         <br />
         		<a id="pl.325.6"></a><var>325.6</var>in a manner to protect the public health and the environment. The commissioner may
         <br />
         		<a id="pl.325.7"></a><var>325.7</var>adopt the rules for controlling lead in drinking water as contained in Code of Federal
         <br />
         		<a id="pl.325.8"></a><var>325.8</var>Regulations, title 40, part 141. Drinking water lead hazard reduction methods may
         include <br />
         		<a id="pl.325.9"></a><var>325.9</var>an educational approach of minimizing lead exposure from lead in drinking water.<br />
         		<a id="pl.325.10"></a><var>325.10</var>(f) The commissioner of the Pollution Control Agency shall adopt rules to ensure that
         <br />
         		<a id="pl.325.11"></a><var>325.11</var>removal of exterior lead-based coatings from residences and steel structures by abrasive
         <br />
         		<a id="pl.325.12"></a><var>325.12</var>blasting methods is conducted in a manner that protects health and the environment.<br />
         		<a id="pl.325.13"></a><var>325.13</var>(g) All regulated lead work standards shall provide reasonable margins of safety that
         <br />
         		<a id="pl.325.14"></a><var>325.14</var>are consistent with more than a summary review of scientific evidence and an emphasis
         on <br />
         		<a id="pl.325.15"></a><var>325.15</var>overprotection rather than underprotection when the scientific evidence is ambiguous.<br />
         		<a id="pl.325.16"></a><var>325.16</var>(h) No unit of local government shall have an ordinance or regulation governing <br />
         		<a id="pl.325.17"></a><var>325.17</var>regulated lead work standards or methods for lead in paint, dust, drinking water,
         or soil <br />
         		<a id="pl.325.18"></a><var>325.18</var>that require a different regulated lead work standard or method than the standards
         or <br />
         		<a id="pl.325.19"></a><var>325.19</var>methods established under this section.<br />
         		<a id="pl.325.20"></a><var>325.20</var>(i) Notwithstanding paragraph (h), the commissioner may approve the use by a unit
         <br />
         		<a id="pl.325.21"></a><var>325.21</var>of local government of an innovative lead hazard reduction method which is consistent
         <br />
         		<a id="pl.325.22"></a><var>325.22</var>in approach with methods established under this section.<br />
         		<a id="pl.325.23"></a><var>325.23</var>(j) The commissioner shall adopt rules for issuing lead orders required under section
         <br />
         		
         <statute_ref><a id="pl.325.24"></a><var>325.24</var>144.9504
         </statute_ref>, rules for notification of abatement or interim control activities requirements,
         <br />
         		<a id="pl.325.25"></a><var>325.25</var>and other rules necessary to implement sections 
         <statute_ref>144.9501</statute_ref> to 
         <statute_ref>144.9512</statute_ref>.<br />
         		<a id="pl.325.26"></a><var>325.26</var>(k) The commissioner shall adopt rules consistent with section 402(c)(3) of the <br />
         		<a id="pl.325.27"></a><var>325.27</var>Toxic Substances Control Act to ensure that renovation in a pre-1978 affected property
         <br />
         		<a id="pl.325.28"></a><var>325.28</var>where a child or pregnant female resides is conducted in a manner that protects health
         <br />
         		<a id="pl.325.29"></a><var>325.29</var>and the environment. Notwithstanding sections 14.125 and 14.128, the authority to adopt <br />
         		<a id="pl.325.30"></a><var>325.30</var>these rules does not expire.<br />
         		<a id="pl.325.31"></a><var>325.31</var>(l) The commissioner shall adopt rules consistent with sections 406(a) and 406(b)
         <br />
         		<a id="pl.325.32"></a><var>325.32</var>of the Toxic Substances Control Act. Notwithstanding sections 14.125 and 14.128, the <br />
         		<a id="pl.325.33"></a><var>325.33</var>authority to adopt these rules does not expire.<br />
         		<a id="pl.325.34"></a><var>325.34</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Lead standards for exterior surfaces and street dust.</b> The <br />
         		<a id="pl.325.35"></a><var>325.35</var>commissioner may, by rule, establish lead standards for exterior horizontal surfaces,
         <br />
         		<a id="pl.326.1"></a><var>326.1</var>concrete or other impervious surfaces, and street dust on residential property to
         protect the <br />
         		<a id="pl.326.2"></a><var>326.2</var>public health and the environment.<br />
         		<a id="pl.326.3"></a><var>326.3</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensure and certification.</b> The commissioner shall adopt rules to license <br />
         		<a id="pl.326.4"></a><var>326.4</var>lead supervisors, lead workers, lead project designers, lead inspectors, lead risk
         assessors, <br />
         		<a id="pl.326.5"></a><var>326.5</var>and lead sampling technicians. The commissioner shall also adopt rules requiring <br />
         		<a id="pl.326.6"></a><var>326.6</var>certification of firms that perform regulated lead work. The commissioner shall require
         <br />
         		<a id="pl.326.7"></a><var>326.7</var>periodic renewal of licenses and certificates and shall establish the renewal periods.<br />
         		<a id="pl.326.8"></a><var>326.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Lead training course.</b> The commissioner shall establish by rule <br />
         		<a id="pl.326.9"></a><var>326.9</var>requirements for training course providers and the renewal period for each lead-related
         <br />
         		<a id="pl.326.10"></a><var>326.10</var>training course required for certification or licensure. The commissioner shall establish
         <br />
         		<a id="pl.326.11"></a><var>326.11</var>criteria in rules for the content and presentation of training courses intended to
         qualify <br />
         		<a id="pl.326.12"></a><var>326.12</var>trainees for licensure under subdivision 3. The commissioner shall establish criteria
         in <br />
         		<a id="pl.326.13"></a><var>326.13</var>rules for the content and presentation of training courses for lead renovation and
         lead <br />
         		<a id="pl.326.14"></a><var>326.14</var>sampling technicians. Training course permit fees shall be nonrefundable and must be <br />
         		<a id="pl.326.15"></a><var>326.15</var>submitted with each application in the amount of $500 for an initial training course,
         $250 <br />
         		<a id="pl.326.16"></a><var>326.16</var>for renewal of a permit for an initial training course, $250 for a refresher training
         course, <br />
         		<a id="pl.326.17"></a><var>326.17</var>and $125 for renewal of a permit of a refresher training course.<br />
         		<a id="pl.326.18"></a><var>326.18</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Variances.</b> In adopting the rules required under this section, the <br />
         		<a id="pl.326.19"></a><var>326.19</var>commissioner shall provide variance procedures for any provision in rules adopted
         under <br />
         		<a id="pl.326.20"></a><var>326.20</var>this section, except for the numerical standards for the concentrations of lead in
         paint, <br />
         		<a id="pl.326.21"></a><var>326.21</var>dust, bare soil, and drinking water. A variance shall be considered only according
         to the <br />
         		<a id="pl.326.22"></a><var>326.22</var>procedures and criteria in Minnesota Rules, parts 4717.7000 to 4717.7050.<br />
         		<a id="pl.326.23"></a><var>326.23</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.34.0"></a><a id="pl.326.24"></a><var>326.24</var>&#160;&#160;&#160;&#160;Sec. 34. <b>[144.999] LIFE-SAVING ALLERGY MEDICATION.</b><br />
         		<a id="pl.326.25"></a><var>326.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following terms <br />
         		<a id="pl.326.26"></a><var>326.26</var>have the meanings given.<br />
         		<a id="pl.326.27"></a><var>326.27</var>(b) "Administer" means the direct application of an epinephrine auto-injector to <br />
         		<a id="pl.326.28"></a><var>326.28</var>the body of an individual.<br />
         		<a id="pl.326.29"></a><var>326.29</var>(c) "Authorized entity" means entities that fall in the categories of recreation camps,
         <br />
         		<a id="pl.326.30"></a><var>326.30</var>colleges and universities, preschools and daycares, and any other category of entities
         or <br />
         		<a id="pl.326.31"></a><var>326.31</var>organizations that the commissioner authorizes to obtain and administer epinephrine
         <br />
         		<a id="pl.326.32"></a><var>326.32</var>auto-injectors without a prescription. This definition does not include a school covered
         <br />
         		<a id="pl.326.33"></a><var>326.33</var>under section 121A.2207.<br />
         		<a id="pl.326.34"></a><var>326.34</var>(d) "Commissioner" means the commissioner of health.<br />
         		<a id="pl.327.1"></a><var>327.1</var>(e) "Epinephrine auto-injector" means a single-use device used for the automatic <br />
         		<a id="pl.327.2"></a><var>327.2</var>injection of a premeasured dose of epinephrine into the human body.<br />
         		<a id="pl.327.3"></a><var>327.3</var>(f) "Provide" means to supply one or more epinephrine auto-injectors to an <br />
         		<a id="pl.327.4"></a><var>327.4</var>individual or the individual's parent, legal guardian, or caretaker.<br />
         		<a id="pl.327.5"></a><var>327.5</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Commissioner duties.</b> The commissioner may identify additional <br />
         		<a id="pl.327.6"></a><var>327.6</var>categories of entities or organizations to be authorized entities if the commissioner
         <br />
         		<a id="pl.327.7"></a><var>327.7</var>determines that individuals may come in contact with allergens capable of causing
         <br />
         		<a id="pl.327.8"></a><var>327.8</var>anaphylaxis. Beginning July 1, 2016, the commissioner may annually review the <br />
         		<a id="pl.327.9"></a><var>327.9</var>categories of authorized entities and may authorize additional categories of authorized
         <br />
         		<a id="pl.327.10"></a><var>327.10</var>entities as the commissioner deems appropriate. The commissioner may contract with
         a <br />
         		<a id="pl.327.11"></a><var>327.11</var>vendor to perform the review and identification of authorized entities.<br />
         		<a id="pl.327.12"></a><var>327.12</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Obtaining and storing epinephrine auto-injectors.</b> (a) Notwithstanding <br />
         		<a id="pl.327.13"></a><var>327.13</var>section 151.37, an authorized entity may obtain and possess epinephrine auto-injectors
         <br />
         		<a id="pl.327.14"></a><var>327.14</var>to be provided or administered to an individual if, in good faith, an owner, manager,
         <br />
         		<a id="pl.327.15"></a><var>327.15</var>employee, or agent of an authorized entity believes that the individual is experiencing
         <br />
         		<a id="pl.327.16"></a><var>327.16</var>anaphylaxis regardless of whether the individual has a prescription for an epinephrine
         <br />
         		<a id="pl.327.17"></a><var>327.17</var>auto-injector. The administration of an epinephrine auto-injector in accordance with
         <br />
         		<a id="pl.327.18"></a><var>327.18</var>this section is not the practice of medicine.<br />
         		<a id="pl.327.19"></a><var>327.19</var>(b) An authorized entity may obtain epinephrine auto-injectors from pharmacies <br />
         		<a id="pl.327.20"></a><var>327.20</var>licensed as wholesale drug distributors pursuant to section 151.47. Prior to obtaining
         an <br />
         		<a id="pl.327.21"></a><var>327.21</var>epinephrine auto-injector, an owner, manager, or authorized agent of the entity must
         <br />
         		<a id="pl.327.22"></a><var>327.22</var>present to the pharmacy a valid certificate of training obtained pursuant to subdivision
         5.<br />
         		<a id="pl.327.23"></a><var>327.23</var>(c) An authorized entity shall store epinephrine auto-injectors in a location readily
         <br />
         		<a id="pl.327.24"></a><var>327.24</var>accessible in an emergency and in accordance with the epinephrine auto-injector's
         <br />
         		<a id="pl.327.25"></a><var>327.25</var>instructions for use and any additional requirements that may be established by the
         <br />
         		<a id="pl.327.26"></a><var>327.26</var>commissioner. An authorized entity shall designate employees or agents who have <br />
         		<a id="pl.327.27"></a><var>327.27</var>completed the training program required under subdivision 5 to be responsible for
         the <br />
         		<a id="pl.327.28"></a><var>327.28</var>storage, maintenance, and control of epinephrine auto-injectors obtained and possessed
         <br />
         		<a id="pl.327.29"></a><var>327.29</var>by the authorized entity.<br />
         		<a id="pl.327.30"></a><var>327.30</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Use of epinephrine auto-injectors.</b> (a) An owner, manager, employee, or <br />
         		<a id="pl.327.31"></a><var>327.31</var>agent of an authorized entity who has completed the training required under subdivision
         5 <br />
         		<a id="pl.327.32"></a><var>327.32</var>may:<br />
         		<a id="pl.327.33"></a><var>327.33</var>(1) provide an epinephrine auto-injector for immediate administration to an <br />
         		<a id="pl.327.34"></a><var>327.34</var>individual or the individual's parent, legal guardian, or caregiver if the owner,
         manager, <br />
         		<a id="pl.327.35"></a><var>327.35</var>employee, or agent believes, in good faith, the individual is experiencing anaphylaxis,
         <br />
         		<a id="pl.328.1"></a><var>328.1</var>regardless of whether the individual has a prescription for an epinephrine auto-injector
         or <br />
         		<a id="pl.328.2"></a><var>328.2</var>has previously been diagnosed with an allergy; or<br />
         		<a id="pl.328.3"></a><var>328.3</var>(2) administer an epinephrine auto-injector to an individual who the owner, manager,
         <br />
         		<a id="pl.328.4"></a><var>328.4</var>employee, or agent believes, in good faith, is experiencing anaphylaxis, regardless
         of <br />
         		<a id="pl.328.5"></a><var>328.5</var>whether the individual has a prescription for an epinephrine auto-injector or has
         previously <br />
         		<a id="pl.328.6"></a><var>328.6</var>been diagnosed with an allergy.<br />
         		<a id="pl.328.7"></a><var>328.7</var>(b) Nothing in this section shall be construed to require any authorized entity to
         <br />
         		<a id="pl.328.8"></a><var>328.8</var>maintain a stock of epinephrine auto-injectors.<br />
         		<a id="pl.328.9"></a><var>328.9</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Training.</b> (a) In order to use an epinephrine auto-injector as authorized <br />
         		<a id="pl.328.10"></a><var>328.10</var>under subdivision 4, an individual must complete, every two years, an anaphylaxis
         training <br />
         		<a id="pl.328.11"></a><var>328.11</var>program conducted by a nationally recognized organization experienced in training
         <br />
         		<a id="pl.328.12"></a><var>328.12</var>laypersons in emergency health treatment, a statewide organization with experience
         <br />
         		<a id="pl.328.13"></a><var>328.13</var>providing training on allergies and anaphylaxis under the supervision of board-certified
         <br />
         		<a id="pl.328.14"></a><var>328.14</var>allergy medical advisors, or an entity or individual approved by the commissioner
         to <br />
         		<a id="pl.328.15"></a><var>328.15</var>provide an anaphylaxis training program. The commissioner may approve specific entities
         <br />
         		<a id="pl.328.16"></a><var>328.16</var>or individuals to conduct the training program or may approve categories of entities
         or <br />
         		<a id="pl.328.17"></a><var>328.17</var>individuals to conduct the training program. Training may be conducted online or in
         <br />
         		<a id="pl.328.18"></a><var>328.18</var>person and, at a minimum, must cover:<br />
         		<a id="pl.328.19"></a><var>328.19</var>(1) how to recognize signs and symptoms of severe allergic reactions, including <br />
         		<a id="pl.328.20"></a><var>328.20</var>anaphylaxis;<br />
         		<a id="pl.328.21"></a><var>328.21</var>(2) standards and procedures for the storage and administration of an epinephrine
         <br />
         		<a id="pl.328.22"></a><var>328.22</var>auto-injector; and<br />
         		<a id="pl.328.23"></a><var>328.23</var>(3) emergency follow-up procedures.<br />
         		<a id="pl.328.24"></a><var>328.24</var>(b) The entity or individual conducting the training shall issue a certificate to
         each <br />
         		<a id="pl.328.25"></a><var>328.25</var>person who successfully completes the anaphylaxis training program. The commissioner
         <br />
         		<a id="pl.328.26"></a><var>328.26</var>may develop, approve, and disseminate a standard certificate of completion. The <br />
         		<a id="pl.328.27"></a><var>328.27</var>certificate of completion shall be valid for two years from the date issued.<br />
         		<a id="pl.328.28"></a><var>328.28</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Good samaritan protections.</b> Any act or omission taken pursuant to <br />
         		<a id="pl.328.29"></a><var>328.29</var>this section by an authorized entity that possesses and makes available epinephrine
         <br />
         		<a id="pl.328.30"></a><var>328.30</var>auto-injectors and its employees or agents, a pharmacy or manufacturer that dispenses
         <br />
         		<a id="pl.328.31"></a><var>328.31</var>epinephrine auto-injectors to an authorized entity, or an individual or entity that
         conducts <br />
         		<a id="pl.328.32"></a><var>328.32</var>the training described in subdivision 5 is considered "emergency care, advice, or
         <br />
         		<a id="pl.328.33"></a><var>328.33</var>assistance" under section 604A.01.<br />
         		<br />
         		<a id="bill.8.35.0"></a><a id="pl.328.34"></a><var>328.34</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 144A.70, subdivision 6, is amended to read:<br />
         		<a id="pl.329.1"></a><var>329.1</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Supplemental nursing services agency.</b> "Supplemental nursing services <br />
         		<a id="pl.329.2"></a><var>329.2</var>agency" means a person, firm, corporation, partnership, or association engaged for
         hire <br />
         		<a id="pl.329.3"></a><var>329.3</var>in the business of providing or procuring temporary employment in health care facilities
         <br />
         		<a id="pl.329.4"></a><var>329.4</var>for nurses, nursing assistants, nurse aides, and orderlies, and other licensed health <br />
         		<a id="pl.329.5"></a><var>329.5</var>professionals. Supplemental nursing services agency does not include an individual who <br />
         		<a id="pl.329.6"></a><var>329.6</var>only engages in providing the individual's services on a temporary basis to health
         care <br />
         		<a id="pl.329.7"></a><var>329.7</var>facilities. Supplemental nursing services agency does not include a professional home
         <br />
         		<a id="pl.329.8"></a><var>329.8</var>care agency licensed as a Class A provider under section 
         <statute_ref>144A.46</statute_ref> and rules adopted <br />
         		<a id="pl.329.9"></a><var>329.9</var>thereunder 144A.471 that only provides staff to other home care providers.<br />
         		<br />
         		<a id="bill.8.36.0"></a><a id="pl.329.10"></a><var>329.10</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2014, section 144A.70, is amended by adding a <br />
         		<a id="pl.329.11"></a><var>329.11</var>subdivision to read:<br />
         		<a id="pl.329.12"></a><var>329.12</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Oversight.</b> The commissioner is responsible for the oversight of <br />
         		<a id="pl.329.13"></a><var>329.13</var>supplemental nursing services agencies through annual unannounced surveys, complaint
         <br />
         		<a id="pl.329.14"></a><var>329.14</var>investigations under sections 144A.51 to 144A.53, and other actions necessary to ensure
         <br />
         		<a id="pl.329.15"></a><var>329.15</var>compliance with sections 144A.70 to 144A.74.<br />
         		<br />
         		<a id="bill.8.37.0"></a><a id="pl.329.16"></a><var>329.16</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2014, section 144A.71, is amended to read:<br />
         		<a id="pl.329.17"></a><var>329.17</var><b>144A.71 SUPPLEMENTAL NURSING SERVICES AGENCY </b><br />
         		<a id="pl.329.18"></a><var>329.18</var><b>REGISTRATION.</b><br />
         		<a id="pl.329.19"></a><var>329.19</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Duty to register.</b> A person who operates a supplemental nursing <br />
         		<a id="pl.329.20"></a><var>329.20</var>services agency shall register the agency annually with the commissioner. Each separate <br />
         		<a id="pl.329.21"></a><var>329.21</var>location of the business of a supplemental nursing services agency shall register
         the agency <br />
         		<a id="pl.329.22"></a><var>329.22</var>with the commissioner. Each separate location of the business of a supplemental nursing
         <br />
         		<a id="pl.329.23"></a><var>329.23</var>services agency shall have a separate registration. Fees collected under this section shall be <br />
         		<a id="pl.329.24"></a><var>329.24</var>deposited in the state treasury and credited to the state government special revenue
         fund.<br />
         		<a id="pl.329.25"></a><var>329.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application information and fee.</b> The commissioner shall establish forms <br />
         		<a id="pl.329.26"></a><var>329.26</var>and procedures for processing each supplemental nursing services agency registration
         <br />
         		<a id="pl.329.27"></a><var>329.27</var>application. An application for a supplemental nursing services agency registration
         must <br />
         		<a id="pl.329.28"></a><var>329.28</var>include at least the following:<br />
         		<a id="pl.329.29"></a><var>329.29</var>(1) the names and addresses of the owner or owners of the supplemental nursing <br />
         		<a id="pl.329.30"></a><var>329.30</var>services agency;<br />
         		<a id="pl.329.31"></a><var>329.31</var>(2) if the owner is a corporation, copies of its articles of incorporation and current
         <br />
         		<a id="pl.329.32"></a><var>329.32</var>bylaws, together with the names and addresses of its officers and directors;<br />
         		<a id="pl.329.33"></a><var>329.33</var>(3) satisfactory proof of compliance with section 
         <statute_ref>144A.72, subdivision 1</statute_ref>, clauses <br />
         		<a id="pl.329.34"></a><var>329.34</var>(5) to (7);<br />
         		<a id="pl.330.1"></a><var>330.1</var>(4) any other relevant information that the commissioner determines is necessary <br />
         		<a id="pl.330.2"></a><var>330.2</var>to properly evaluate an application for registration; and<br />
         		<a id="pl.330.3"></a><var>330.3</var>(5) the annual registration fee for a supplemental nursing services agency, which <br />
         		<a id="pl.330.4"></a><var>330.4</var>is $891. a policy and procedure that describes how the supplemental nursing services <br />
         		<a id="pl.330.5"></a><var>330.5</var>agency's records will be immediately available at all times to the commissioner; and<br />
         		<a id="pl.330.6"></a><var>330.6</var>(6) a registration fee of $2,035.<br />
         		<a id="pl.330.7"></a><var>330.7</var>If a supplemental nursing services agency fails to provide the items in this <br />
         		<a id="pl.330.8"></a><var>330.8</var>subdivision to the department, the commissioner shall immediately suspend or refuse
         to <br />
         		<a id="pl.330.9"></a><var>330.9</var>issue the supplemental nursing services agency registration. The supplemental nursing
         <br />
         		<a id="pl.330.10"></a><var>330.10</var>services agency may appeal the commissioner's findings according to section 144A.475,
         <br />
         		<a id="pl.330.11"></a><var>330.11</var>subdivisions 3a and 7, except that the hearing must be conducted by an administrative
         law <br />
         		<a id="pl.330.12"></a><var>330.12</var>judge within 60 calendar days of the request for hearing assignment.<br />
         		<a id="pl.330.13"></a><var>330.13</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Registration not transferable.</b> A registration issued by the commissioner <br />
         		<a id="pl.330.14"></a><var>330.14</var>according to this section is effective for a period of one year from the date of its
         issuance <br />
         		<a id="pl.330.15"></a><var>330.15</var>unless the registration is revoked or suspended under section 
         <statute_ref>144A.72, subdivision 2</statute_ref>, or <br />
         		<a id="pl.330.16"></a><var>330.16</var>unless the supplemental nursing services agency is sold or ownership or management
         <br />
         		<a id="pl.330.17"></a><var>330.17</var>is transferred. When a supplemental nursing services agency is sold or ownership or
         <br />
         		<a id="pl.330.18"></a><var>330.18</var>management is transferred, the registration of the agency must be voided and the new
         <br />
         		<a id="pl.330.19"></a><var>330.19</var>owner or operator may apply for a new registration.<br />
         		<br />
         		<a id="bill.8.38.0"></a><a id="pl.330.20"></a><var>330.20</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2014, section 144A.72, is amended to read:<br />
         		<a id="pl.330.21"></a><var>330.21</var><b>144A.72 REGISTRATION REQUIREMENTS; PENALTIES.</b><br />
         		<a id="pl.330.22"></a><var>330.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Minimum criteria.</b> (a) The commissioner shall require that, as a <br />
         		<a id="pl.330.23"></a><var>330.23</var>condition of registration:<br />
         		<a id="pl.330.24"></a><var>330.24</var>(1) the supplemental nursing services agency shall document that each temporary <br />
         		<a id="pl.330.25"></a><var>330.25</var>employee provided to health care facilities currently meets the minimum licensing,
         training, <br />
         		<a id="pl.330.26"></a><var>330.26</var>and continuing education standards for the position in which the employee will be
         working;<br />
         		<a id="pl.330.27"></a><var>330.27</var>(2) the supplemental nursing services agency shall comply with all pertinent <br />
         		<a id="pl.330.28"></a><var>330.28</var>requirements relating to the health and other qualifications of personnel employed
         in <br />
         		<a id="pl.330.29"></a><var>330.29</var>health care facilities;<br />
         		<a id="pl.330.30"></a><var>330.30</var>(3) the supplemental nursing services agency must not restrict in any manner the <br />
         		<a id="pl.330.31"></a><var>330.31</var>employment opportunities of its employees;<br />
         		<a id="pl.330.32"></a><var>330.32</var>(4) the supplemental nursing services agency shall carry medical malpractice <br />
         		<a id="pl.330.33"></a><var>330.33</var>insurance to insure against the loss, damage, or expense incident to a claim arising
         out <br />
         		<a id="pl.330.34"></a><var>330.34</var>of the death or injury of any person as the result of negligence or malpractice in
         the <br />
         		<a id="pl.331.1"></a><var>331.1</var>provision of health care services by the supplemental nursing services agency or by
         any <br />
         		<a id="pl.331.2"></a><var>331.2</var>employee of the agency;<br />
         		<a id="pl.331.3"></a><var>331.3</var>(5) the supplemental nursing services agency shall carry an employee dishonesty <br />
         		<a id="pl.331.4"></a><var>331.4</var>bond in the amount of $10,000;<br />
         		<a id="pl.331.5"></a><var>331.5</var>(6) the supplemental nursing services agency shall maintain insurance coverage <br />
         		<a id="pl.331.6"></a><var>331.6</var>for workers' compensation for all nurses, nursing assistants, nurse aides, and orderlies
         <br />
         		<a id="pl.331.7"></a><var>331.7</var>provided or procured by the agency;<br />
         		<a id="pl.331.8"></a><var>331.8</var>(7) the supplemental nursing services agency shall file with the commissioner of <br />
         		<a id="pl.331.9"></a><var>331.9</var>revenue: (i) the name and address of the bank, savings bank, or savings association
         <br />
         		<a id="pl.331.10"></a><var>331.10</var>in which the supplemental nursing services agency deposits all employee income tax
         <br />
         		<a id="pl.331.11"></a><var>331.11</var>withholdings; and (ii) the name and address of any nurse, nursing assistant, nurse
         aide, or <br />
         		<a id="pl.331.12"></a><var>331.12</var>orderly whose income is derived from placement by the agency, if the agency purports
         <br />
         		<a id="pl.331.13"></a><var>331.13</var>the income is not subject to withholding;<br />
         		<a id="pl.331.14"></a><var>331.14</var>(8) the supplemental nursing services agency must not, in any contract with any <br />
         		<a id="pl.331.15"></a><var>331.15</var>employee or health care facility, require the payment of liquidated damages, employment
         <br />
         		<a id="pl.331.16"></a><var>331.16</var>fees, or other compensation should the employee be hired as a permanent employee of
         a <br />
         		<a id="pl.331.17"></a><var>331.17</var>health care facility; and<br />
         		<a id="pl.331.18"></a><var>331.18</var>(9) the supplemental nursing services agency shall document that each temporary <br />
         		<a id="pl.331.19"></a><var>331.19</var>employee provided to health care facilities is an employee of the agency and is not
         <br />
         		<a id="pl.331.20"></a><var>331.20</var>an independent contractor.; and<br />
         		<a id="pl.331.21"></a><var>331.21</var>(10) the supplemental nursing services agency shall retain all records for five <br />
         		<a id="pl.331.22"></a><var>331.22</var>calendar years. All records of the supplemental nursing services agency must be <br />
         		<a id="pl.331.23"></a><var>331.23</var>immediately available to the department.<br />
         		<a id="pl.331.24"></a><var>331.24</var>(b) In order to retain registration, the supplemental nursing services agency must
         <br />
         		<a id="pl.331.25"></a><var>331.25</var>provide services to a health care facility during the year preceding the supplemental
         <br />
         		<a id="pl.331.26"></a><var>331.26</var>nursing services agency's registration renewal date.<br />
         		<a id="pl.331.27"></a><var>331.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Penalties.</b> A pattern of Failure to comply with this section shall subject <br />
         		<a id="pl.331.28"></a><var>331.28</var>the supplemental nursing services agency to revocation or nonrenewal of its registration.
         <br />
         		<a id="pl.331.29"></a><var>331.29</var>Violations of section 
         <statute_ref>144A.74</statute_ref> are subject to a fine equal to 200 percent of the amount <br />
         		<a id="pl.331.30"></a><var>331.30</var>billed or received in excess of the maximum permitted under that section.<br />
         		<a id="pl.331.31"></a><var>331.31</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Revocation.</b> Notwithstanding subdivision 2, the registration of a <br />
         		<a id="pl.331.32"></a><var>331.32</var>supplemental nursing services agency that knowingly supplies to a health care facility
         a <br />
         		<a id="pl.331.33"></a><var>331.33</var>person with an illegally or fraudulently obtained or issued diploma, registration,
         license, <br />
         		<a id="pl.331.34"></a><var>331.34</var>certificate, or background study shall be revoked by the commissioner. The commissioner
         <br />
         		<a id="pl.331.35"></a><var>331.35</var>shall notify the supplemental nursing services agency 15 days in advance of the date
         <br />
         		<a id="pl.331.36"></a><var>331.36</var>of revocation.<br />
         		<a id="pl.332.1"></a><var>332.1</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Hearing.</b> (a) No supplemental nursing services agency's registration <br />
         		<a id="pl.332.2"></a><var>332.2</var>may be revoked without a hearing held as a contested case in accordance with chapter <br />
         		<a id="pl.332.3"></a><var>332.3</var>14. The hearing must commence within 60 days after the proceedings are initiated <br />
         		<a id="pl.332.4"></a><var>332.4</var>section 144A.475, subdivisions 3a and 7, except the hearing must be conducted by an
         <br />
         		<a id="pl.332.5"></a><var>332.5</var>administrative law judge within 60 calendar days of the request for assignment.<br />
         		<a id="pl.332.6"></a><var>332.6</var>(b) If a controlling person has been notified by the commissioner of health that the
         <br />
         		<a id="pl.332.7"></a><var>332.7</var>supplemental nursing services agency will not receive an initial registration or that
         a <br />
         		<a id="pl.332.8"></a><var>332.8</var>renewal of the registration has been denied, the controlling person or a legal representative
         <br />
         		<a id="pl.332.9"></a><var>332.9</var>on behalf of the supplemental nursing services agency may request and receive a hearing
         <br />
         		<a id="pl.332.10"></a><var>332.10</var>on the denial. This The hearing shall be held as a contested case in accordance with <br />
         		<a id="pl.332.11"></a><var>332.11</var>chapter 14 a contested case in accordance with section 144A.475, subdivisions 3a and 7, <br />
         		<a id="pl.332.12"></a><var>332.12</var>except the hearing must be conducted by an administrative law judge within 60 calendar
         <br />
         		<a id="pl.332.13"></a><var>332.13</var>days of the request for assignment.<br />
         		<a id="pl.332.14"></a><var>332.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Period of ineligibility.</b> (a) The controlling person of a supplemental <br />
         		<a id="pl.332.15"></a><var>332.15</var>nursing services agency whose registration has not been renewed or has been revoked
         <br />
         		<a id="pl.332.16"></a><var>332.16</var>because of noncompliance with the provisions of sections 
         <statute_ref>144A.70</statute_ref> to 
         <statute_ref>144A.74</statute_ref> shall not <br />
         		<a id="pl.332.17"></a><var>332.17</var>be eligible to apply for nor will be granted a registration for five years following
         the <br />
         		<a id="pl.332.18"></a><var>332.18</var>effective date of the nonrenewal or revocation.<br />
         		<a id="pl.332.19"></a><var>332.19</var>(b) The commissioner shall not issue or renew a registration to a supplemental <br />
         		<a id="pl.332.20"></a><var>332.20</var>nursing services agency if a controlling person includes any individual or entity
         who was <br />
         		<a id="pl.332.21"></a><var>332.21</var>a controlling person of a supplemental nursing services agency whose registration
         was <br />
         		<a id="pl.332.22"></a><var>332.22</var>not renewed or was revoked as described in paragraph (a) for five years following
         the <br />
         		<a id="pl.332.23"></a><var>332.23</var>effective date of nonrenewal or revocation.<br />
         		<br />
         		<a id="bill.8.39.0"></a><a id="pl.332.24"></a><var>332.24</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2014, section 144A.73, is amended to read:<br />
         		<a id="pl.332.25"></a><var>332.25</var><b>144A.73 COMPLAINT SYSTEM.</b><br />
         		<a id="pl.332.26"></a><var>332.26</var>The commissioner shall establish a system for reporting complaints against a <br />
         		<a id="pl.332.27"></a><var>332.27</var>supplemental nursing services agency or its employees. Complaints may be made by <br />
         		<a id="pl.332.28"></a><var>332.28</var>any member of the public. Written complaints must be forwarded to the employer of <br />
         		<a id="pl.332.29"></a><var>332.29</var>each person against whom a complaint is made. The employer shall promptly report to
         <br />
         		<a id="pl.332.30"></a><var>332.30</var>the commissioner any corrective action taken Complaints against a supplemental nursing <br />
         		<a id="pl.332.31"></a><var>332.31</var>services agency shall be investigated by the Office of Health Facility Complaints
         under <br />
         		<a id="pl.332.32"></a><var>332.32</var>Minnesota Statutes, sections 144A.51 to 144A.53.<br />
         		<br />
         		<a id="bill.8.40.0"></a><a id="pl.332.33"></a><var>332.33</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2014, section 144A.75, subdivision 13, is amended to read:<br />
         		<a id="pl.333.1"></a><var>333.1</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Residential hospice facility.</b> (a) "Residential hospice facility" means <br />
         		<a id="pl.333.2"></a><var>333.2</var>a facility that resembles a single-family home located in a residential area that
         directly <br />
         		<a id="pl.333.3"></a><var>333.3</var>provides 24-hour residential and support services in a home-like setting for hospice
         patients <br />
         		<a id="pl.333.4"></a><var>333.4</var>as an integral part of the continuum of home care provided by a hospice and that houses:<br />
         		<a id="pl.333.5"></a><var>333.5</var>(1) no more than eight hospice patients; or<br />
         		<a id="pl.333.6"></a><var>333.6</var>(2) at least nine and no more than 12 hospice patients with the approval of the local
         <br />
         		<a id="pl.333.7"></a><var>333.7</var>governing authority, notwithstanding section 
         <statute_ref>462.357, subdivision 8</statute_ref>.<br />
         		<a id="pl.333.8"></a><var>333.8</var>(b) Residential hospice facility also means a facility that directly provides 24-hour
         <br />
         		<a id="pl.333.9"></a><var>333.9</var>residential and support services for hospice patients and that:<br />
         		<a id="pl.333.10"></a><var>333.10</var>(1) houses no more than 21 hospice patients;<br />
         		<a id="pl.333.11"></a><var>333.11</var>(2) meets hospice certification regulations adopted pursuant to title XVIII of the
         <br />
         		<a id="pl.333.12"></a><var>333.12</var>federal Social Security Act, United States Code, title 42, section 1395, et seq.;
         and<br />
         		<a id="pl.333.13"></a><var>333.13</var>(3) is located on St. Anthony Avenue in St. Paul, Minnesota, and was licensed as a
         <br />
         		<a id="pl.333.14"></a><var>333.14</var>40-bed non-Medicare certified nursing home as of January 1, 2015.<br />
         		<a id="pl.333.15"></a><var>333.15</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.41.0"></a><a id="pl.333.16"></a><var>333.16</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2014, section 144D.01, is amended by adding a <br />
         		<a id="pl.333.17"></a><var>333.17</var>subdivision to read:<br />
         		<a id="pl.333.18"></a><var>333.18</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Direct-care staff.</b> "Direct-care staff" means staff and employees who <br />
         		<a id="pl.333.19"></a><var>333.19</var>provide home care services listed in section 144A.471, subdivisions 6 and 7.<br />
         		<br />
         		<a id="bill.8.42.0"></a><a id="pl.333.20"></a><var>333.20</var>&#160;&#160;&#160;&#160;Sec. 42. <b>[144D.066] ENFORCEMENT OF DEMENTIA CARE TRAINING </b><br />
         		<a id="pl.333.21"></a><var>333.21</var><b>REQUIREMENTS.</b><br />
         		<a id="pl.333.22"></a><var>333.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Enforcement.</b> (a) The commissioner shall enforce the dementia care <br />
         		<a id="pl.333.23"></a><var>333.23</var>training standards for staff working in housing with services settings and for housing
         <br />
         		<a id="pl.333.24"></a><var>333.24</var>managers according to clauses (1) to (3):<br />
         		<a id="pl.333.25"></a><var>333.25</var>&#160;&#160;&#160;&#160;(1) for dementia care training requirements in section 144D.065, the commissioner
         <br />
         		<a id="pl.333.26"></a><var>333.26</var>shall review training records as part of the home care provider survey process for
         direct <br />
         		<a id="pl.333.27"></a><var>333.27</var>care staff and supervisors of direct care staff, in accordance with section 144A.474.
         The <br />
         		<a id="pl.333.28"></a><var>333.28</var>commissioner may also request and review training records at any time during the year;<br />
         		<a id="pl.333.29"></a><var>333.29</var>&#160;&#160;&#160;&#160;(2) for dementia care training standards in section 144D.065, the commissioner <br />
         		<a id="pl.333.30"></a><var>333.30</var>shall review training records for maintenance, housekeeping, and food service staff
         and <br />
         		<a id="pl.333.31"></a><var>333.31</var>other staff not providing direct care working in housing with services settings as
         part of <br />
         		<a id="pl.333.32"></a><var>333.32</var>the housing with services registration application and renewal application process
         in <br />
         		<a id="pl.333.33"></a><var>333.33</var>accordance with section 144D.03. The commissioner may also request and review training
         <br />
         		<a id="pl.333.34"></a><var>333.34</var>records at any time during the year; and<br />
         		<a id="pl.334.1"></a><var>334.1</var>&#160;&#160;&#160;&#160;(3) for housing managers, the commissioner shall review the statement verifying <br />
         		<a id="pl.334.2"></a><var>334.2</var>compliance with the required training described in section 144D.10, paragraph (d),
         <br />
         		<a id="pl.334.3"></a><var>334.3</var>through the housing with services registration application and renewal application
         process <br />
         		<a id="pl.334.4"></a><var>334.4</var>in accordance with section 144D.03. The commissioner may also request and review <br />
         		<a id="pl.334.5"></a><var>334.5</var>training records at any time during the year.<br />
         		<a id="pl.334.6"></a><var>334.6</var>&#160;&#160;&#160;&#160;(b) The commissioner shall specify the required forms and what constitutes sufficient
         <br />
         		<a id="pl.334.7"></a><var>334.7</var>training records for the items listed in paragraph (a), clauses (1) to (3).<br />
         		<a id="pl.334.8"></a><var>334.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Fines for noncompliance.</b> (a) Beginning January 1, 2017, the <br />
         		<a id="pl.334.9"></a><var>334.9</var>commissioner may impose a $200 fine for every staff person required to obtain dementia
         <br />
         		<a id="pl.334.10"></a><var>334.10</var>care training who does not have training records to show compliance. For violations
         of <br />
         		<a id="pl.334.11"></a><var>334.11</var>subdivision 1, paragraph (a), clause (1), the fine will be imposed upon the home care
         <br />
         		<a id="pl.334.12"></a><var>334.12</var>provider, and may be appealed under the contested case procedure in section 144A.475,
         <br />
         		<a id="pl.334.13"></a><var>334.13</var>subdivisions 3a, 4, and 7. For violations of subdivision 1, paragraph (a), clauses
         (2) and <br />
         		<a id="pl.334.14"></a><var>334.14</var>(3), the fine will be imposed on the housing with services registrant and may be appealed
         <br />
         		<a id="pl.334.15"></a><var>334.15</var>under the contested case procedure in section 144A.475, subdivisions 3a, 4, and 7.
         Prior <br />
         		<a id="pl.334.16"></a><var>334.16</var>to imposing the fine, the commissioner must allow two weeks for staff to complete
         the <br />
         		<a id="pl.334.17"></a><var>334.17</var>required training. Fines collected under this section shall be deposited in the state
         treasury <br />
         		<a id="pl.334.18"></a><var>334.18</var>and credited to the state government special revenue fund.<br />
         		<a id="pl.334.19"></a><var>334.19</var>&#160;&#160;&#160;&#160;(b) The housing with services registrant and home care provider must allow <br />
         		<a id="pl.334.20"></a><var>334.20</var>for the required training as part of employee and staff duties. Imposition of a fine
         <br />
         		<a id="pl.334.21"></a><var>334.21</var>by the commissioner does not negate the need for the required training. Continued
         <br />
         		<a id="pl.334.22"></a><var>334.22</var>noncompliance with the requirements of sections 144D.065 and 144D.10 may result in
         <br />
         		<a id="pl.334.23"></a><var>334.23</var>revocation or nonrenewal of the housing with services registration or home care license.
         <br />
         		<a id="pl.334.24"></a><var>334.24</var>The commissioner shall make public the list of all housing with services establishments
         <br />
         		<a id="pl.334.25"></a><var>334.25</var>that have complied with the training requirements. <br />
         		<a id="pl.334.26"></a><var>334.26</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Technical assistance.</b> From January 1, 2016, to December 31, 2016, <br />
         		<a id="pl.334.27"></a><var>334.27</var>the commissioner shall provide technical assistance instead of imposing fines for
         <br />
         		<a id="pl.334.28"></a><var>334.28</var>noncompliance with the training requirements. During the year of technical assistance,
         <br />
         		<a id="pl.334.29"></a><var>334.29</var>the commissioner shall review the training records to determine if the records meet
         the <br />
         		<a id="pl.334.30"></a><var>334.30</var>requirements and inform the home care provider. The commissioner shall also provide
         <br />
         		<a id="pl.334.31"></a><var>334.31</var>information about available training resources.<br />
         		<br />
         		<a id="bill.8.43.0"></a><a id="pl.334.32"></a><var>334.32</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2014, section 145.4131, subdivision 1, is amended to read:<br />
         		<a id="pl.334.33"></a><var>334.33</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Forms.</b> (a) Within 90 days of July 1, 1998, the commissioner shall <br />
         		<a id="pl.334.34"></a><var>334.34</var>prepare a reporting form for use by physicians or facilities performing abortions.
         A copy <br />
         		<a id="pl.335.1"></a><var>335.1</var>of this section shall be attached to the form. A physician or facility performing
         an abortion <br />
         		<a id="pl.335.2"></a><var>335.2</var>shall obtain a form from the commissioner.<br />
         		<a id="pl.335.3"></a><var>335.3</var>(b) The form shall require the following information:<br />
         		<a id="pl.335.4"></a><var>335.4</var>(1) the number of abortions performed by the physician in the previous calendar <br />
         		<a id="pl.335.5"></a><var>335.5</var>year, reported by month;<br />
         		<a id="pl.335.6"></a><var>335.6</var>(2) the method used for each abortion;<br />
         		<a id="pl.335.7"></a><var>335.7</var>(3) the approximate gestational age expressed in one of the following increments:<br />
         		<a id="pl.335.8"></a><var>335.8</var>(i) less than nine weeks;<br />
         		<a id="pl.335.9"></a><var>335.9</var>(ii) nine to ten weeks;<br />
         		<a id="pl.335.10"></a><var>335.10</var>(iii) 11 to 12 weeks;<br />
         		<a id="pl.335.11"></a><var>335.11</var>(iv) 13 to 15 weeks;<br />
         		<a id="pl.335.12"></a><var>335.12</var>(v) 16 to 20 weeks;<br />
         		<a id="pl.335.13"></a><var>335.13</var>(vi) 21 to 24 weeks;<br />
         		<a id="pl.335.14"></a><var>335.14</var>(vii) 25 to 30 weeks;<br />
         		<a id="pl.335.15"></a><var>335.15</var>(viii) 31 to 36 weeks; or<br />
         		<a id="pl.335.16"></a><var>335.16</var>(ix) 37 weeks to term;<br />
         		<a id="pl.335.17"></a><var>335.17</var>(4) the age of the woman at the time the abortion was performed;<br />
         		<a id="pl.335.18"></a><var>335.18</var>(5) the specific reason for the abortion, including, but not limited to, the following:<br />
         		<a id="pl.335.19"></a><var>335.19</var>(i) the pregnancy was a result of rape;<br />
         		<a id="pl.335.20"></a><var>335.20</var>(ii) the pregnancy was a result of incest;<br />
         		<a id="pl.335.21"></a><var>335.21</var>(iii) economic reasons;<br />
         		<a id="pl.335.22"></a><var>335.22</var>(iv) the woman does not want children at this time;<br />
         		<a id="pl.335.23"></a><var>335.23</var>(v) the woman's emotional health is at stake;<br />
         		<a id="pl.335.24"></a><var>335.24</var>(vi) the woman's physical health is at stake;<br />
         		<a id="pl.335.25"></a><var>335.25</var>(vii) the woman will suffer substantial and irreversible impairment of a major bodily
         <br />
         		<a id="pl.335.26"></a><var>335.26</var>function if the pregnancy continues;<br />
         		<a id="pl.335.27"></a><var>335.27</var>(viii) the pregnancy resulted in fetal anomalies; or<br />
         		<a id="pl.335.28"></a><var>335.28</var>(ix) unknown or the woman refused to answer;<br />
         		<a id="pl.335.29"></a><var>335.29</var>(6) the number of prior induced abortions;<br />
         		<a id="pl.335.30"></a><var>335.30</var>(7) the number of prior spontaneous abortions;<br />
         		<a id="pl.335.31"></a><var>335.31</var>(8) whether the abortion was paid for by:<br />
         		<a id="pl.335.32"></a><var>335.32</var>(i) private coverage;<br />
         		<a id="pl.335.33"></a><var>335.33</var>(ii) public assistance health coverage; or<br />
         		<a id="pl.335.34"></a><var>335.34</var>(iii) self-pay;<br />
         		<a id="pl.335.35"></a><var>335.35</var>(9) whether coverage was under:<br />
         		<a id="pl.335.36"></a><var>335.36</var>(i) a fee-for-service plan;<br />
         		<a id="pl.336.1"></a><var>336.1</var>(ii) a capitated private plan; or<br />
         		<a id="pl.336.2"></a><var>336.2</var>(iii) other;<br />
         		<a id="pl.336.3"></a><var>336.3</var>(10) complications, if any, for each abortion and for the aftermath of each abortion.
         <br />
         		<a id="pl.336.4"></a><var>336.4</var>Space for a description of any complications shall be available on the form; and<br />
         		<a id="pl.336.5"></a><var>336.5</var>(11) the medical specialty of the physician performing the abortion;<br />
         		<a id="pl.336.6"></a><var>336.6</var>(12) whether the abortion resulted in a born alive infant, as defined in section <br />
         		<a id="pl.336.7"></a><var>336.7</var>145.423, subdivision 4, and:<br />
         		<a id="pl.336.8"></a><var>336.8</var>(i) any medical actions taken to preserve the life of the born alive infant;<br />
         		<a id="pl.336.9"></a><var>336.9</var>(ii) whether the born alive infant survived; and<br />
         		<a id="pl.336.10"></a><var>336.10</var>(iii) the status of the born alive infant, should the infant survive, if known.<br />
         		<br />
         		<a id="bill.8.44.0"></a><a id="pl.336.11"></a><var>336.11</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2014, section 145.423, is amended to read:<br />
         		<a id="pl.336.12"></a><var>336.12</var><b>145.423 ABORTION; LIVE BIRTHS.</b><br />
         		<a id="pl.336.13"></a><var>336.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Recognition; medical care.</b> A live child born born alive infant as a <br />
         		<a id="pl.336.14"></a><var>336.14</var>result of an abortion shall be fully recognized as a human person, and accorded immediate
         <br />
         		<a id="pl.336.15"></a><var>336.15</var>protection under the law. All reasonable measures consistent with good medical practice,
         <br />
         		<a id="pl.336.16"></a><var>336.16</var>including the compilation of appropriate medical records, shall be taken by the responsible <br />
         		<a id="pl.336.17"></a><var>336.17</var>medical personnel to preserve the life and health of the child born alive infant.<br />
         		<a id="pl.336.18"></a><var>336.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Physician required.</b> When an abortion is performed after the twentieth <br />
         		<a id="pl.336.19"></a><var>336.19</var>week of pregnancy, a physician, other than the physician performing the abortion,
         shall <br />
         		<a id="pl.336.20"></a><var>336.20</var>be immediately accessible to take all reasonable measures consistent with good medical
         <br />
         		<a id="pl.336.21"></a><var>336.21</var>practice, including the compilation of appropriate medical records, to preserve the
         life and <br />
         		<a id="pl.336.22"></a><var>336.22</var>health of any live birth born alive infant that is the result of the abortion.<br />
         		<a id="pl.336.23"></a><var>336.23</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Death.</b> If a child born alive infant described in subdivision 1 dies after <br />
         		<a id="pl.336.24"></a><var>336.24</var>birth, the body shall be disposed of in accordance with the provisions of section
         
         <statute_ref>145.1621</statute_ref>.<br />
         		<a id="pl.336.25"></a><var>336.25</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Definition of born alive infant.</b> (a) In determining the meaning of <br />
         		<a id="pl.336.26"></a><var>336.26</var>any Minnesota statute, or of any ruling, regulation, or interpretation of the various
         <br />
         		<a id="pl.336.27"></a><var>336.27</var>administrative bureaus and agencies of Minnesota, the words "person," "human being,"
         <br />
         		<a id="pl.336.28"></a><var>336.28</var>"child," and "individual" shall include every infant member of the species Homo sapiens
         <br />
         		<a id="pl.336.29"></a><var>336.29</var>who is born alive at any stage of development.<br />
         		<a id="pl.336.30"></a><var>336.30</var>(b) As used in this section, the term "born alive," with respect to a member of the
         <br />
         		<a id="pl.336.31"></a><var>336.31</var>species Homo sapiens, means the complete expulsion or extraction from his or her mother
         <br />
         		<a id="pl.336.32"></a><var>336.32</var>of that member, at any stage of development, who, after such expulsion or extraction,
         <br />
         		<a id="pl.336.33"></a><var>336.33</var>breathes or has a beating heart, pulsation of the umbilical cord, or definite movement
         of <br />
         		<a id="pl.336.34"></a><var>336.34</var>voluntary muscles, regardless of whether the umbilical cord has been cut, and regardless
         <br />
         		<a id="pl.337.1"></a><var>337.1</var>of whether the expulsion or extraction occurs as a result of a natural or induced
         labor, <br />
         		<a id="pl.337.2"></a><var>337.2</var>cesarean section, or induced abortion.<br />
         		<a id="pl.337.3"></a><var>337.3</var>(c) Nothing in this section shall be construed to affirm, deny, expand, or contract
         any <br />
         		<a id="pl.337.4"></a><var>337.4</var>legal status or legal right applicable to any member of the species Homo sapiens at
         any <br />
         		<a id="pl.337.5"></a><var>337.5</var>point prior to being born alive, as defined in this section.<br />
         		<a id="pl.337.6"></a><var>337.6</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Civil and disciplinary actions.</b> (a) Any person upon whom an abortion <br />
         		<a id="pl.337.7"></a><var>337.7</var>has been performed, or the parent or guardian of the mother if the mother is a minor,
         <br />
         		<a id="pl.337.8"></a><var>337.8</var>and the abortion results in the infant having been born alive, may maintain an action
         for <br />
         		<a id="pl.337.9"></a><var>337.9</var>death of or injury to the born alive infant against the person who performed the abortion
         <br />
         		<a id="pl.337.10"></a><var>337.10</var>if the death or injury was a result of simple negligence, gross negligence, wantonness,
         <br />
         		<a id="pl.337.11"></a><var>337.11</var>willfulness, intentional conduct, or another violation of the legal standard of care.<br />
         		<a id="pl.337.12"></a><var>337.12</var>(b) Any responsible medical personnel that does not take all reasonable measures <br />
         		<a id="pl.337.13"></a><var>337.13</var>consistent with good medical practice to preserve the life and health of the born
         alive <br />
         		<a id="pl.337.14"></a><var>337.14</var>infant, as required by subdivision 1, may be subject to the suspension or revocation
         of that <br />
         		<a id="pl.337.15"></a><var>337.15</var>person's professional license by the professional board with authority over that person.
         <br />
         		<a id="pl.337.16"></a><var>337.16</var>Any person who has performed an abortion and against whom judgment has been rendered
         <br />
         		<a id="pl.337.17"></a><var>337.17</var>pursuant to paragraph (a) shall be subject to an automatic suspension of the person's
         <br />
         		<a id="pl.337.18"></a><var>337.18</var>professional license for at least one year and said license shall be reinstated only
         after the <br />
         		<a id="pl.337.19"></a><var>337.19</var>person's professional board requires compliance with this section by all board licensees.<br />
         		<a id="pl.337.20"></a><var>337.20</var>(c) Nothing in this subdivision shall be construed to hold the mother of the born
         alive <br />
         		<a id="pl.337.21"></a><var>337.21</var>infant criminally or civilly liable for the actions of a physician, nurse, or other
         licensed <br />
         		<a id="pl.337.22"></a><var>337.22</var>health care provider in violation of this section to which the mother did not give
         her consent.<br />
         		<a id="pl.337.23"></a><var>337.23</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Protection of privacy in court proceedings.</b> In every civil action <br />
         		<a id="pl.337.24"></a><var>337.24</var>brought under this section, the court shall rule whether the anonymity of any female
         <br />
         		<a id="pl.337.25"></a><var>337.25</var>upon whom an abortion has been performed or attempted shall be preserved from public
         <br />
         		<a id="pl.337.26"></a><var>337.26</var>disclosure if she does not give her consent to such disclosure. The court, upon motion
         or <br />
         		<a id="pl.337.27"></a><var>337.27</var>sua sponte, shall make such a ruling and, upon determining that her anonymity should
         <br />
         		<a id="pl.337.28"></a><var>337.28</var>be preserved, shall issue orders to the parties, witnesses, and counsel and shall
         direct the <br />
         		<a id="pl.337.29"></a><var>337.29</var>sealing of the record and exclusion of individuals from courtrooms or hearing rooms
         to <br />
         		<a id="pl.337.30"></a><var>337.30</var>the extent necessary to safeguard her identity from public disclosure. Each order
         must be <br />
         		<a id="pl.337.31"></a><var>337.31</var>accompanied by specific written findings explaining why the anonymity of the female
         <br />
         		<a id="pl.337.32"></a><var>337.32</var>should be preserved from public disclosure, why the order is essential to that end,
         how the <br />
         		<a id="pl.337.33"></a><var>337.33</var>order is narrowly tailored to serve that interest, and why no reasonable, less restrictive
         <br />
         		<a id="pl.337.34"></a><var>337.34</var>alternative exists. This section may not be construed to conceal the identity of the
         plaintiff <br />
         		<a id="pl.337.35"></a><var>337.35</var>or of witnesses from the defendant.<br />
         		<a id="pl.338.1"></a><var>338.1</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Status of born alive infant.</b> Unless the abortion is performed to save the <br />
         		<a id="pl.338.2"></a><var>338.2</var>life of the woman or fetus, or, unless one or both of the parents of the born alive
         infant <br />
         		<a id="pl.338.3"></a><var>338.3</var>agree within 30 days of the birth to accept the parental rights and responsibilities
         for the <br />
         		<a id="pl.338.4"></a><var>338.4</var>child, the child shall be an abandoned ward of the state and the parents shall have
         no <br />
         		<a id="pl.338.5"></a><var>338.5</var>parental rights or obligations as if the parental rights had been terminated pursuant
         to <br />
         		<a id="pl.338.6"></a><var>338.6</var>section 260C.301. The child shall be provided for pursuant to chapter 256J.<br />
         		<a id="pl.338.7"></a><var>338.7</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Severability.</b> If any one or more provision, section, subdivision, sentence, <br />
         		<a id="pl.338.8"></a><var>338.8</var>clause, phrase, or word of this section or the application of it to any person or
         circumstance <br />
         		<a id="pl.338.9"></a><var>338.9</var>is found to be unconstitutional, it is declared to be severable and the balance of
         this section <br />
         		<a id="pl.338.10"></a><var>338.10</var>shall remain effective notwithstanding such unconstitutionality. The legislature intends
         <br />
         		<a id="pl.338.11"></a><var>338.11</var>that it would have passed this section, and each provision, section, subdivision,
         sentence, <br />
         		<a id="pl.338.12"></a><var>338.12</var>clause, phrase, or word, regardless of the fact that any one provision, section, subdivision,
         <br />
         		<a id="pl.338.13"></a><var>338.13</var>sentence, clause, phrase, or word is declared unconstitutional.<br />
         		<a id="pl.338.14"></a><var>338.14</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Short title.</b> This act may be cited as the "Born Alive Infants Protection Act."<br />
         		<br />
         		<a id="bill.8.45.0"></a><a id="pl.338.15"></a><var>338.15</var>&#160;&#160;&#160;&#160;Sec. 45. Minnesota Statutes 2014, section 145.928, subdivision 13, is amended to read:<br />
         		<a id="pl.338.16"></a><var>338.16</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Report</b><b> Reports</b><b>.</b> (a) The commissioner shall submit a biennial report <br />
         		<a id="pl.338.17"></a><var>338.17</var>to the legislature on the local community projects, tribal government, and community
         <br />
         		<a id="pl.338.18"></a><var>338.18</var>health board prevention activities funded under this section. These reports must include
         <br />
         		<a id="pl.338.19"></a><var>338.19</var>information on grant recipients, activities that were conducted using grant funds,
         <br />
         		<a id="pl.338.20"></a><var>338.20</var>evaluation data, and outcome measures, if available. These reports are due by January
         15 <br />
         		<a id="pl.338.21"></a><var>338.21</var>of every other year, beginning in the year 2003.<br />
         		<a id="pl.338.22"></a><var>338.22</var>(b) The commissioner shall submit an annual report to the chairs and ranking <br />
         		<a id="pl.338.23"></a><var>338.23</var>minority members of the house of representatives and senate committees with jurisdiction
         <br />
         		<a id="pl.338.24"></a><var>338.24</var>over public health on grants made under subdivision 7 to decrease racial and ethnic
         <br />
         		<a id="pl.338.25"></a><var>338.25</var>disparities in infant mortality rates. The report must provide specific information
         on the <br />
         		<a id="pl.338.26"></a><var>338.26</var>amount of each grant awarded to each agency or organization, the population served
         <br />
         		<a id="pl.338.27"></a><var>338.27</var>by each agency or organization, outcomes of the programs funded by each grant, and
         <br />
         		<a id="pl.338.28"></a><var>338.28</var>the amount of the appropriation retained by the commissioner for administrative and
         <br />
         		<a id="pl.338.29"></a><var>338.29</var>associated expenses. The commissioner shall issue a report each January 15 for the
         <br />
         		<a id="pl.338.30"></a><var>338.30</var>previous fiscal year beginning January 15, 2016.<br />
         		<br />
         		<a id="bill.8.46.0"></a><a id="pl.338.31"></a><var>338.31</var>&#160;&#160;&#160;&#160;Sec. 46. Minnesota Statutes 2014, section 145.928, is amended by adding a subdivision <br />
         		<a id="pl.338.32"></a><var>338.32</var>to read:<br />
         		<a id="pl.338.33"></a><var>338.33</var>&#160;&#160;&#160;&#160;Subd. 15. <b>Promising strategies.</b> For all grants awarded under this section, the <br />
         		<a id="pl.338.34"></a><var>338.34</var>commissioner shall consider applicants that present evidence of a promising strategy
         to <br />
         		<a id="pl.339.1"></a><var>339.1</var>accomplish the applicant's objective. A promising strategy shall be given the same
         weight <br />
         		<a id="pl.339.2"></a><var>339.2</var>as a research or evidence-based strategy based on potential value and measurable outcomes.<br />
         		<br />
         		<a id="bill.8.47.0"></a><a id="pl.339.3"></a><var>339.3</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2014, section 145.986, subdivision 1a, is amended to read:<br />
         		<a id="pl.339.4"></a><var>339.4</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Grants to local communities.</b> (a) Beginning July 1, 2009, the <br />
         		<a id="pl.339.5"></a><var>339.5</var>commissioner of health shall award competitive grants to community health boards and
         <br />
         		<a id="pl.339.6"></a><var>339.6</var>tribal governments to convene, coordinate, and implement evidence-based strategies
         <br />
         		<a id="pl.339.7"></a><var>339.7</var>targeted at reducing the percentage of Minnesotans who are obese or overweight and
         <br />
         		<a id="pl.339.8"></a><var>339.8</var>to reduce the use of tobacco. Grants shall be awarded to all community health boards
         <br />
         		<a id="pl.339.9"></a><var>339.9</var>and tribal governments whose proposals demonstrate the ability to implement programs
         <br />
         		<a id="pl.339.10"></a><var>339.10</var>designed to achieve the purposes in subdivision 1 and other requirements of this section.<br />
         		<a id="pl.339.11"></a><var>339.11</var>&#160;&#160;&#160;&#160;(b) Grantee activities shall:<br />
         		<a id="pl.339.12"></a><var>339.12</var>&#160;&#160;&#160;&#160;(1) be based on scientific evidence;<br />
         		<a id="pl.339.13"></a><var>339.13</var>&#160;&#160;&#160;&#160;(2) be based on community input;<br />
         		<a id="pl.339.14"></a><var>339.14</var>&#160;&#160;&#160;&#160;(3) address behavior change at the individual, community, and systems levels;<br />
         		<a id="pl.339.15"></a><var>339.15</var>&#160;&#160;&#160;&#160;(4) occur in community, school, work site, and health care settings;<br />
         		<a id="pl.339.16"></a><var>339.16</var>&#160;&#160;&#160;&#160;(5) be focused on policy, systems, and environmental changes that support healthy
         <br />
         		<a id="pl.339.17"></a><var>339.17</var>behaviors; and<br />
         		<a id="pl.339.18"></a><var>339.18</var>(6) address the health disparities and inequities that exist in the grantee's community.<br />
         		<a id="pl.339.19"></a><var>339.19</var>&#160;&#160;&#160;&#160;(c) To receive a grant under this section, community health boards and tribal <br />
         		<a id="pl.339.20"></a><var>339.20</var>governments must submit proposals to the commissioner. A local match of ten percent
         <br />
         		<a id="pl.339.21"></a><var>339.21</var>of the total funding allocation is required. This local match may include funds donated
         <br />
         		<a id="pl.339.22"></a><var>339.22</var>by community partners.<br />
         		<a id="pl.339.23"></a><var>339.23</var>&#160;&#160;&#160;&#160;(d) In order to receive a grant, community health boards and tribal governments <br />
         		<a id="pl.339.24"></a><var>339.24</var>must submit a health improvement plan to the commissioner of health for approval.
         The <br />
         		<a id="pl.339.25"></a><var>339.25</var>commissioner may require the plan to identify a community leadership team, community
         <br />
         		<a id="pl.339.26"></a><var>339.26</var>partners, and a community action plan that includes an assessment of area strengths
         and <br />
         		<a id="pl.339.27"></a><var>339.27</var>needs, proposed action strategies, technical assistance needs, and a staffing plan.<br />
         		<a id="pl.339.28"></a><var>339.28</var>&#160;&#160;&#160;&#160;(e) The grant recipient must implement the health improvement plan, evaluate the <br />
         		<a id="pl.339.29"></a><var>339.29</var>effectiveness of the strategies, and modify or discontinue strategies found to be
         ineffective.<br />
         		<a id="pl.339.30"></a><var>339.30</var>&#160;&#160;&#160;&#160;(f) Grant recipients shall report their activities and their progress toward the <br />
         		<a id="pl.339.31"></a><var>339.31</var>outcomes established under subdivision 2 to the commissioner in a format and at a
         time <br />
         		<a id="pl.339.32"></a><var>339.32</var>specified by the commissioner.<br />
         		<a id="pl.339.33"></a><var>339.33</var>&#160;&#160;&#160;&#160;(g) All grant recipients shall be held accountable for making progress toward the
         <br />
         		<a id="pl.339.34"></a><var>339.34</var>measurable outcomes established in subdivision 2. The commissioner shall require a
         <br />
         		<a id="pl.340.1"></a><var>340.1</var>corrective action plan and may reduce the funding level of grant recipients that do
         not <br />
         		<a id="pl.340.2"></a><var>340.2</var>make adequate progress toward the measurable outcomes.<br />
         		<a id="pl.340.3"></a><var>340.3</var>(h) Beginning November 1, 2015, the commissioner shall offer grant recipients the
         <br />
         		<a id="pl.340.4"></a><var>340.4</var>option of using a grant awarded under this subdivision to implement health improvement
         <br />
         		<a id="pl.340.5"></a><var>340.5</var>strategies that improve the health status, delay the expression of dementia, or slow
         the <br />
         		<a id="pl.340.6"></a><var>340.6</var>progression of dementia, for a targeted population at risk for dementia and shall
         award <br />
         		<a id="pl.340.7"></a><var>340.7</var>at least two of the grants awarded on November 1, 2015, for these purposes. The grants
         <br />
         		<a id="pl.340.8"></a><var>340.8</var>must meet all other requirements of this section. The commissioner shall coordinate
         grant <br />
         		<a id="pl.340.9"></a><var>340.9</var>planning activities with the commissioner of human services, the Minnesota Board on
         <br />
         		<a id="pl.340.10"></a><var>340.10</var>Aging, and community-based organizations with a focus on dementia. Each grant must
         <br />
         		<a id="pl.340.11"></a><var>340.11</var>include selected outcomes and evaluation measures related to the incidence or progression
         <br />
         		<a id="pl.340.12"></a><var>340.12</var>of dementia among the targeted population using the procedure described in subdivision
         2. <br />
         		<br />
         		<a id="bill.8.48.0"></a><a id="pl.340.13"></a><var>340.13</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2014, section 145.986, subdivision 2, is amended to read:<br />
         		<a id="pl.340.14"></a><var>340.14</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Outcomes.</b> (a) The commissioner shall set measurable outcomes to meet <br />
         		<a id="pl.340.15"></a><var>340.15</var>the goals specified in subdivision 1, and annually review the progress of grant recipients
         <br />
         		<a id="pl.340.16"></a><var>340.16</var>in meeting the outcomes.<br />
         		<a id="pl.340.17"></a><var>340.17</var>&#160;&#160;&#160;&#160;(b) The commissioner shall measure current public health status, using existing <br />
         		<a id="pl.340.18"></a><var>340.18</var>measures and data collection systems when available, to determine baseline data against
         <br />
         		<a id="pl.340.19"></a><var>340.19</var>which progress shall be monitored.<br />
         		<a id="pl.340.20"></a><var>340.20</var>(c) For grants awarded on or after July 1, 2016, the commissioner, in coordination
         <br />
         		<a id="pl.340.21"></a><var>340.21</var>with each grant recipient under section 145.986, must identify:<br />
         		<a id="pl.340.22"></a><var>340.22</var>(1) each geographic area or population to be targeted;<br />
         		<a id="pl.340.23"></a><var>340.23</var>(2) the policy, systems, or environmental strategy to be used to address one or more
         <br />
         		<a id="pl.340.24"></a><var>340.24</var>of the health indicators listed in section 62U.10, subdivision 6; and<br />
         		<a id="pl.340.25"></a><var>340.25</var>(3) the selected outcomes and evaluation measures for the grant, related to one or
         <br />
         		<a id="pl.340.26"></a><var>340.26</var>more of the health indicators listed in section 62U.10, subdivision 6, within the
         geographic <br />
         		<a id="pl.340.27"></a><var>340.27</var>area or among the population targeted.<br />
         		<br />
         		<a id="bill.8.49.0"></a><a id="pl.340.28"></a><var>340.28</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2014, section 145.986, subdivision 4, is amended to read:<br />
         		<a id="pl.340.29"></a><var>340.29</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Evaluation.</b> (a) Using the outcome measures established in subdivision 3, <br />
         		<a id="pl.340.30"></a><var>340.30</var>the commissioner shall conduct a biennial evaluation of the statewide health improvement
         <br />
         		<a id="pl.340.31"></a><var>340.31</var>program funded under this section. Grant recipients shall cooperate with the commissioner
         <br />
         		<a id="pl.340.32"></a><var>340.32</var>in the evaluation and provide the commissioner with the information necessary to conduct
         <br />
         		<a id="pl.340.33"></a><var>340.33</var>the evaluation, including information on any impact on the health indicators listed in <br />
         		<a id="pl.340.34"></a><var>340.34</var>section 62U.10, subdivision 6, within the geographic area or among the population
         targeted.<br />
         		<a id="pl.341.1"></a><var>341.1</var>(b) Grant recipients will collect, monitor, and submit to the Department of Health
         <br />
         		<a id="pl.341.2"></a><var>341.2</var>baseline and annual data and provide information to improve the quality and impact
         of <br />
         		<a id="pl.341.3"></a><var>341.3</var>community health improvement strategies.<br />
         		<a id="pl.341.4"></a><var>341.4</var>(c) For the purposes of carrying out the grant program under this section, including
         <br />
         		<a id="pl.341.5"></a><var>341.5</var>for administrative purposes, the commissioner shall award contracts to appropriate
         entities <br />
         		<a id="pl.341.6"></a><var>341.6</var>to assist in designing and implementing evaluation systems.<br />
         		<a id="pl.341.7"></a><var>341.7</var>(d) Contracts awarded under paragraph (c) may be used to:<br />
         		<a id="pl.341.8"></a><var>341.8</var>(1) develop grantee monitoring and reporting systems to track grantee progress, <br />
         		<a id="pl.341.9"></a><var>341.9</var>including aggregated and disaggregated data;<br />
         		<a id="pl.341.10"></a><var>341.10</var>(2) manage, analyze, and report program evaluation data results; and<br />
         		<a id="pl.341.11"></a><var>341.11</var>(3) utilize innovative support tools to analyze and predict the impact of prevention
         <br />
         		<a id="pl.341.12"></a><var>341.12</var>strategies on health outcomes and state health care costs over time.<br />
         		<br />
         		<a id="bill.8.50.0"></a><a id="pl.341.13"></a><var>341.13</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2014, section 145A.131, subdivision 1, is amended to read:<br />
         		<a id="pl.341.14"></a><var>341.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Funding formula for community health boards.</b> (a) Base funding <br />
         		<a id="pl.341.15"></a><var>341.15</var>for each community health board eligible for a local public health grant under section
         <br />
         		
         <statute_ref><a id="pl.341.16"></a><var>341.16</var>145A.03, subdivision 7
         </statute_ref>, shall be determined by each community health board's fiscal year <br />
         		<a id="pl.341.17"></a><var>341.17</var>2003 allocations, prior to unallotment, for the following grant programs: community
         <br />
         		<a id="pl.341.18"></a><var>341.18</var>health services subsidy; state and federal maternal and child health special projects
         grants; <br />
         		<a id="pl.341.19"></a><var>341.19</var>family home visiting grants; TANF MN ENABL grants; TANF youth risk behavior grants;
         <br />
         		<a id="pl.341.20"></a><var>341.20</var>and available women, infants, and children grant funds in fiscal year 2003, prior
         to <br />
         		<a id="pl.341.21"></a><var>341.21</var>unallotment, distributed based on the proportion of WIC participants served in fiscal
         year <br />
         		<a id="pl.341.22"></a><var>341.22</var>2003 within the CHS service area.<br />
         		<a id="pl.341.23"></a><var>341.23</var>(b) Base funding for a community health board eligible for a local public health <br />
         		<a id="pl.341.24"></a><var>341.24</var>grant under section 
         <statute_ref>145A.03, subdivision 7</statute_ref>, as determined in paragraph (a), shall be <br />
         		<a id="pl.341.25"></a><var>341.25</var>adjusted by the percentage difference between the base, as calculated in paragraph
         (a), <br />
         		<a id="pl.341.26"></a><var>341.26</var>and the funding available for the local public health grant.<br />
         		<a id="pl.341.27"></a><var>341.27</var>(c) Multicounty or multicity community health boards shall receive a local <br />
         		<a id="pl.341.28"></a><var>341.28</var>partnership base of up to $5,000 per year for each county or city in the case of a
         multicity <br />
         		<a id="pl.341.29"></a><var>341.29</var>community health board included in the community health board.<br />
         		<a id="pl.341.30"></a><var>341.30</var>(d) The State Community Health Advisory Committee may recommend a formula <br />
         		<a id="pl.341.31"></a><var>341.31</var>to the commissioner to use in distributing state and federal funds to community health <br />
         		<a id="pl.341.32"></a><var>341.32</var>boards organized and operating under sections 
         <statute_ref>145A.03</statute_ref> to 
         <statute_ref>145A.131</statute_ref> to achieve locally <br />
         		<a id="pl.341.33"></a><var>341.33</var>identified priorities under section 
         <statute_ref>145A.04</statute_ref>, subdivision 1a, for use in distributing funds to <br />
         		<a id="pl.341.34"></a><var>341.34</var>community health boards beginning January 1, 2006, and thereafter.<br />
         		<a id="pl.342.1"></a><var>342.1</var>(e) Notwithstanding any adjustment in paragraph (b), community health boards, all
         <br />
         		<a id="pl.342.2"></a><var>342.2</var>or a portion of which are located outside of the counties of Anoka, Chisago, Carver,
         <br />
         		<a id="pl.342.3"></a><var>342.3</var>Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, and Wright, are eligible
         <br />
         		<a id="pl.342.4"></a><var>342.4</var>to receive an increase equal to ten percent of the grant award to the community health
         <br />
         		<a id="pl.342.5"></a><var>342.5</var>board under paragraph (a) starting July 1, 2015. The increase in calendar year 2015
         shall <br />
         		<a id="pl.342.6"></a><var>342.6</var>be prorated for the last six months of the year. For calendar years beginning on or
         after <br />
         		<a id="pl.342.7"></a><var>342.7</var>January 1, 2016, the amount distributed under this paragraph shall be adjusted each
         year <br />
         		<a id="pl.342.8"></a><var>342.8</var>based on available funding and the number of eligible community health boards.<br />
         		<br />
         		<a id="bill.8.51.0"></a><a id="pl.342.9"></a><var>342.9</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2014, section 149A.20, subdivision 5, is amended to read:<br />
         		<a id="pl.342.10"></a><var>342.10</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Examinations.</b> After having met the educational requirements of <br />
         		<a id="pl.342.11"></a><var>342.11</var>subdivision 4, a person must attain a passing score on the National Board Examination
         <br />
         		<a id="pl.342.12"></a><var>342.12</var>administered by the Conference of Funeral Service Examining Boards of the United <br />
         		<a id="pl.342.13"></a><var>342.13</var>States, Inc. or any other examination that, in the determination of the commissioner,
         <br />
         		<a id="pl.342.14"></a><var>342.14</var>adequately and accurately assesses the knowledge and skills required to practice <br />
         		<a id="pl.342.15"></a><var>342.15</var>mortuary science. In addition, a person must attain a passing score on the state licensing
         <br />
         		<a id="pl.342.16"></a><var>342.16</var>examination administered by or on behalf of the commissioner. The state examination
         <br />
         		<a id="pl.342.17"></a><var>342.17</var>shall encompass the laws and rules of Minnesota that pertain to the practice of mortuary
         <br />
         		<a id="pl.342.18"></a><var>342.18</var>science. The commissioner shall make available copies of all pertinent laws and rules
         <br />
         		<a id="pl.342.19"></a><var>342.19</var>prior to administration of the state licensing examination. If a passing score is not attained <br />
         		<a id="pl.342.20"></a><var>342.20</var>on the state examination, the individual must wait two weeks before they can retake
         <br />
         		<a id="pl.342.21"></a><var>342.21</var>the examination.<br />
         		<br />
         		<a id="bill.8.52.0"></a><a id="pl.342.22"></a><var>342.22</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2014, section 149A.20, subdivision 6, is amended to read:<br />
         		<a id="pl.342.23"></a><var>342.23</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Internship.</b> (a) A person who attains a passing score on both examinations <br />
         		<a id="pl.342.24"></a><var>342.24</var>in subdivision 5 must complete a registered internship under the direct supervision
         of an <br />
         		<a id="pl.342.25"></a><var>342.25</var>individual currently licensed to practice mortuary science in Minnesota. Interns must
         file <br />
         		<a id="pl.342.26"></a><var>342.26</var>with the commissioner:<br />
         		<a id="pl.342.27"></a><var>342.27</var>&#160;&#160;&#160;&#160;(1) the appropriate fee; and<br />
         		<a id="pl.342.28"></a><var>342.28</var>&#160;&#160;&#160;&#160;(2) a registration form indicating the name and home address of the intern, the <br />
         		<a id="pl.342.29"></a><var>342.29</var>date the internship begins, and the name, license number, and business address of
         the <br />
         		<a id="pl.342.30"></a><var>342.30</var>supervising mortuary science licensee.<br />
         		<a id="pl.342.31"></a><var>342.31</var>&#160;&#160;&#160;&#160;(b) Any changes in information provided in the registration must be immediately <br />
         		<a id="pl.342.32"></a><var>342.32</var>reported to the commissioner. The internship shall be a minimum of one calendar year <br />
         		<a id="pl.342.33"></a><var>342.33</var>and a maximum of three calendar years in duration; 2,080 hours to be completed within a <br />
         		<a id="pl.342.34"></a><var>342.34</var>three-year period, however, the commissioner may waive up to three months 520 hours of <br />
         		<a id="pl.343.1"></a><var>343.1</var>the internship time requirement upon satisfactory completion of a clinical or practicum
         <br />
         		<a id="pl.343.2"></a><var>343.2</var>in mortuary science administered through the program of mortuary science of the <br />
         		<a id="pl.343.3"></a><var>343.3</var>University of Minnesota or a substantially similar program approved by the commissioner. <br />
         		<a id="pl.343.4"></a><var>343.4</var>Registrations must be renewed on an annual basis if they exceed one calendar year.
         During <br />
         		<a id="pl.343.5"></a><var>343.5</var>the internship period, the intern must be under the direct supervision of a person
         holding a <br />
         		<a id="pl.343.6"></a><var>343.6</var>current license to practice mortuary science in Minnesota. An intern may be registered
         <br />
         		<a id="pl.343.7"></a><var>343.7</var>under only one licensee at any given time and may be directed and supervised only
         by <br />
         		<a id="pl.343.8"></a><var>343.8</var>the registered licensee. The registered licensee shall have only one intern registered
         at <br />
         		<a id="pl.343.9"></a><var>343.9</var>any given time. The commissioner shall issue to each registered intern a registration
         <br />
         		<a id="pl.343.10"></a><var>343.10</var>permit that must be displayed with the other establishment and practice licenses.
         While <br />
         		<a id="pl.343.11"></a><var>343.11</var>under the direct supervision of the licensee, the intern must actively participate in the <br />
         		<a id="pl.343.12"></a><var>343.12</var>embalming of at least 25 dead human bodies and in the arrangements for and direction
         of <br />
         		<a id="pl.343.13"></a><var>343.13</var>at least 25 funerals complete 25 case reports in each of the following areas: embalming, <br />
         		<a id="pl.343.14"></a><var>343.14</var>funeral arrangements, and services. Case reports, on forms provided by the commissioner, <br />
         		<a id="pl.343.15"></a><var>343.15</var>shall be completed by the intern, signed by the supervising licensee, and filed with the <br />
         		<a id="pl.343.16"></a><var>343.16</var>commissioner for at least 25 embalmings and funerals in which the intern participates prior <br />
         		<a id="pl.343.17"></a><var>343.17</var>to the completion of the internship. Information contained in these reports that identifies <br />
         		<a id="pl.343.18"></a><var>343.18</var>the subject or the family of the subject embalmed or the subject or the family of
         the subject <br />
         		<a id="pl.343.19"></a><var>343.19</var>of the funeral shall be classified as licensing data under section 
         <statute_ref>13.41, subdivision 2</statute_ref>.<br />
         		<br />
         		<a id="bill.8.53.0"></a><a id="pl.343.20"></a><var>343.20</var>&#160;&#160;&#160;&#160;Sec. 53. Minnesota Statutes 2014, section 149A.40, subdivision 11, is amended to read:<br />
         		<a id="pl.343.21"></a><var>343.21</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Continuing education.</b> The commissioner may shall require 15 <br />
         		<a id="pl.343.22"></a><var>343.22</var>continuing education hours for renewal of a license to practice mortuary science. Nine <br />
         		<a id="pl.343.23"></a><var>343.23</var>of the hours must be in the following areas: body preparation, care, or handling,
         3 CE <br />
         		<a id="pl.343.24"></a><var>343.24</var>hours; professional practices, 3 CE hours; regulation and ethics, 3 CE hours. Continuing
         <br />
         		<a id="pl.343.25"></a><var>343.25</var>education hours shall be reported to the commissioner every other year based on the
         <br />
         		<a id="pl.343.26"></a><var>343.26</var>licensee's license number. Licensees whose license ends in an odd number must report
         CE <br />
         		<a id="pl.343.27"></a><var>343.27</var>hours at renewal time every odd year. If a licensee's license ends in an even number,
         the <br />
         		<a id="pl.343.28"></a><var>343.28</var>licensee must report the licensee's CE hours at renewal time every even year.<br />
         		<br />
         		<a id="bill.8.54.0"></a><a id="pl.343.29"></a><var>343.29</var>&#160;&#160;&#160;&#160;Sec. 54. Minnesota Statutes 2014, section 149A.65, is amended to read:<br />
         		<a id="pl.343.30"></a><var>343.30</var><b>149A.65 FEES.</b><br />
         		<a id="pl.343.31"></a><var>343.31</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Generally.</b> This section establishes the fees for registrations, <br />
         		<a id="pl.343.32"></a><var>343.32</var>examinations, initial and renewal licenses, and late fees authorized under the provisions
         <br />
         		<a id="pl.343.33"></a><var>343.33</var>of this chapter.<br />
         		<a id="pl.343.34"></a><var>343.34</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Mortuary science fees.</b> Fees for mortuary science are:<br />
         		<a id="pl.344.1"></a><var>344.1</var>&#160;&#160;&#160;&#160;(1) $50 $75 for the initial and renewal registration of a mortuary science intern;<br />
         		<a id="pl.344.2"></a><var>344.2</var>&#160;&#160;&#160;&#160;(2) $100 $125 for the mortuary science examination;<br />
         		<a id="pl.344.3"></a><var>344.3</var>&#160;&#160;&#160;&#160;(3) $125 $200 for issuance of initial and renewal mortuary science licenses;<br />
         		<a id="pl.344.4"></a><var>344.4</var>&#160;&#160;&#160;&#160;(4) $25 $100 late fee charge for a license renewal; and<br />
         		<a id="pl.344.5"></a><var>344.5</var>&#160;&#160;&#160;&#160;(5) $200 $250 for issuing a mortuary science license by endorsement.<br />
         		<a id="pl.344.6"></a><var>344.6</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Funeral directors.</b> The license renewal fee for funeral directors is $125 <br />
         		<a id="pl.344.7"></a><var>344.7</var>$200. The late fee charge for a license renewal is $25 $100.<br />
         		<a id="pl.344.8"></a><var>344.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Funeral establishments.</b> The initial and renewal fee for funeral <br />
         		<a id="pl.344.9"></a><var>344.9</var>establishments is $300 $425. The late fee charge for a license renewal is $25 $100.<br />
         		<a id="pl.344.10"></a><var>344.10</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Crematories.</b> The initial and renewal fee for a crematory is $300 $425. <br />
         		<a id="pl.344.11"></a><var>344.11</var>The late fee charge for a license renewal is $25 $100.<br />
         		<a id="pl.344.12"></a><var>344.12</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Alkaline hydrolysis facilities.</b> The initial and renewal fee for an alkaline <br />
         		<a id="pl.344.13"></a><var>344.13</var>hydrolysis facility is $300 $425. The late fee charge for a license renewal is $25 $100.<br />
         		<a id="pl.344.14"></a><var>344.14</var>&#160;&#160;&#160;&#160;Subd. 7. <b>State government special revenue fund.</b> Fees collected by the <br />
         		<a id="pl.344.15"></a><var>344.15</var>commissioner under this section must be deposited in the state treasury and credited
         to <br />
         		<a id="pl.344.16"></a><var>344.16</var>the state government special revenue fund.<br />
         		<br />
         		<a id="bill.8.55.0"></a><a id="pl.344.17"></a><var>344.17</var>&#160;&#160;&#160;&#160;Sec. 55. Minnesota Statutes 2014, section 149A.92, subdivision 1, is amended to read:<br />
         		<a id="pl.344.18"></a><var>344.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Exemption</b><b> Establishment update</b><b>.</b> All funeral establishments <br />
         		<a id="pl.344.19"></a><var>344.19</var>having a preparation and embalming room that has not been used for the preparation
         <br />
         		<a id="pl.344.20"></a><var>344.20</var>or embalming of a dead human body in the 12 calendar months prior to July 1, 1997,
         <br />
         		<a id="pl.344.21"></a><var>344.21</var>are exempt from the minimum requirements in subdivisions 2 to 6, except as provided
         <br />
         		<a id="pl.344.22"></a><var>344.22</var>in this section. (a) Notwithstanding subdivision 11, a funeral establishment with other <br />
         		<a id="pl.344.23"></a><var>344.23</var>establishment locations that uses one preparation and embalming room for all establishment
         <br />
         		<a id="pl.344.24"></a><var>344.24</var>locations has until July 1, 2017, to bring the other establishment locations that
         are not used <br />
         		<a id="pl.344.25"></a><var>344.25</var>for preparation or embalming into compliance with this section so long as the preparation
         <br />
         		<a id="pl.344.26"></a><var>344.26</var>and embalming room that is used complies with the minimum standards in this section.<br />
         		<a id="pl.344.27"></a><var>344.27</var>(b) At the time that ownership of a funeral establishment changes, the physical <br />
         		<a id="pl.344.28"></a><var>344.28</var>location of the establishment changes, or the building housing the funeral establishment
         or <br />
         		<a id="pl.344.29"></a><var>344.29</var>business space of the establishment is remodeled the existing preparation and embalming
         <br />
         		<a id="pl.344.30"></a><var>344.30</var>room must be brought into compliance with the minimum standards in this section and in <br />
         		<a id="pl.344.31"></a><var>344.31</var>accordance with subdivision 11.<br />
         		<br />
         		<a id="bill.8.56.0"></a><a id="pl.344.32"></a><var>344.32</var>&#160;&#160;&#160;&#160;Sec. 56. Minnesota Statutes 2014, section 149A.97, subdivision 7, is amended to read:<br />
         		<a id="pl.344.33"></a><var>344.33</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Reports to commissioner.</b> Every funeral provider lawfully doing business <br />
         		<a id="pl.344.34"></a><var>344.34</var>in Minnesota that accepts funds under subdivision 2 must make a complete annual report
         <br />
         		<a id="pl.345.1"></a><var>345.1</var>to the commissioner. The reports may be on forms provided by the commissioner or <br />
         		<a id="pl.345.2"></a><var>345.2</var>substantially similar forms containing, at least, identification and the state of
         each trust <br />
         		<a id="pl.345.3"></a><var>345.3</var>account, including all transactions involving principal and accrued interest, and
         must be <br />
         		<a id="pl.345.4"></a><var>345.4</var>filed by March 31 of the calendar year following the reporting year along with a filing
         fee <br />
         		<a id="pl.345.5"></a><var>345.5</var>of $25 for each report. Fees shall be paid to the commissioner of management and budget,
         <br />
         		<a id="pl.345.6"></a><var>345.6</var>state of Minnesota, for deposit in the state government special revenue fund in the
         state <br />
         		<a id="pl.345.7"></a><var>345.7</var>treasury. Reports must be signed by an authorized representative of the funeral provider
         <br />
         		<a id="pl.345.8"></a><var>345.8</var>and notarized under oath. All reports to the commissioner shall be reviewed for account
         <br />
         		<a id="pl.345.9"></a><var>345.9</var>inaccuracies or possible violations of this section. If the commissioner has a reasonable
         <br />
         		<a id="pl.345.10"></a><var>345.10</var>belief to suspect that there are account irregularities or possible violations of
         this section, <br />
         		<a id="pl.345.11"></a><var>345.11</var>the commissioner shall report that belief, in a timely manner, to the state auditor or other <br />
         		<a id="pl.345.12"></a><var>345.12</var>state agencies as determined by the commissioner. The commissioner may require a <br />
         		<a id="pl.345.13"></a><var>345.13</var>funeral provider reporting preneed trust accounts under this section to arrange for
         and <br />
         		<a id="pl.345.14"></a><var>345.14</var>pay an independent third-party auditing firm to complete an audit of the preneed trust
         <br />
         		<a id="pl.345.15"></a><var>345.15</var>accounts every other year. The funeral provider shall report the findings of the audit
         to the <br />
         		<a id="pl.345.16"></a><var>345.16</var>commissioner by March 31 of the calendar year following the reporting year. This report
         is <br />
         		<a id="pl.345.17"></a><var>345.17</var>in addition to the annual report. The commissioner shall also file an annual letter with the <br />
         		<a id="pl.345.18"></a><var>345.18</var>state auditor disclosing whether or not any irregularities or possible violations
         were detected <br />
         		<a id="pl.345.19"></a><var>345.19</var>in review of the annual trust fund reports filed by the funeral providers. This letter
         shall be <br />
         		<a id="pl.345.20"></a><var>345.20</var>filed with the state auditor by May 31 of the calendar year following the reporting
         year.<br />
         		<br />
         		<a id="bill.8.57.0"></a><a id="pl.345.21"></a><var>345.21</var>&#160;&#160;&#160;&#160;Sec. 57. Minnesota Statutes 2014, section 157.15, subdivision 8, is amended to read:<br />
         		<a id="pl.345.22"></a><var>345.22</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Lodging establishment.</b> "Lodging establishment" means: (1) a building, <br />
         		<a id="pl.345.23"></a><var>345.23</var>structure, enclosure, or any part thereof used as, maintained as, advertised as, or
         held out to <br />
         		<a id="pl.345.24"></a><var>345.24</var>be a place where sleeping accommodations are furnished to the public as regular roomers,
         <br />
         		<a id="pl.345.25"></a><var>345.25</var>for periods of one week or more, and having five or more beds to let to the public.; or (2) a <br />
         		<a id="pl.345.26"></a><var>345.26</var>building, structure, or enclosure or any part thereof located within ten miles distance
         from <br />
         		<a id="pl.345.27"></a><var>345.27</var>a hospital or medical center and maintained as, advertised as, or held out to be a
         place <br />
         		<a id="pl.345.28"></a><var>345.28</var>where sleeping accommodations are furnished exclusively to patients, their families,
         and <br />
         		<a id="pl.345.29"></a><var>345.29</var>caregivers while the patient is receiving or waiting to receive health care treatments
         or <br />
         		<a id="pl.345.30"></a><var>345.30</var>procedures for periods of one week or more, and where no supportive services, as defined
         <br />
         		<a id="pl.345.31"></a><var>345.31</var>under section 157.17, subdivision 1, paragraph (a), or health supervision services,
         as <br />
         		<a id="pl.345.32"></a><var>345.32</var>defined under section 157.17, subdivision 1, paragraph (b), or home care services,
         as <br />
         		<a id="pl.345.33"></a><var>345.33</var>defined under section 144A.471, subdivisions 6 and 7, are provided.<br />
         		<a id="pl.345.34"></a><var>345.34</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.58.0"></a><a id="pl.346.1"></a><var>346.1</var>&#160;&#160;&#160;&#160;Sec. 58. <b>WORKING GROUP ON VIOLENCE AGAINST ASIAN WOMEN </b><br />
         		<a id="pl.346.2"></a><var>346.2</var><b>AND CHILDREN.</b><br />
         		<a id="pl.346.3"></a><var>346.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Establishment.</b> The commissioner of health, in collaboration with <br />
         		<a id="pl.346.4"></a><var>346.4</var>the commissioners of human services and public safety, and the Council on Asian-Pacific
         <br />
         		<a id="pl.346.5"></a><var>346.5</var>Minnesotans, shall create a multidisciplinary working group to address violence against
         <br />
         		<a id="pl.346.6"></a><var>346.6</var>Asian women and children by July 1, 2015.<br />
         		<a id="pl.346.7"></a><var>346.7</var>&#160;&#160;&#160;&#160;Subd. 2. <b>The working group.</b> The commissioner of health, in collaboration with <br />
         		<a id="pl.346.8"></a><var>346.8</var>the commissioners of human services and public safety, and the Council on Asian-Pacific
         <br />
         		<a id="pl.346.9"></a><var>346.9</var>Minnesotans, shall appoint 15 members representing the following groups to participate
         in <br />
         		<a id="pl.346.10"></a><var>346.10</var>the working group:<br />
         		<a id="pl.346.11"></a><var>346.11</var>(1) advocates;<br />
         		<a id="pl.346.12"></a><var>346.12</var>(2) survivors;<br />
         		<a id="pl.346.13"></a><var>346.13</var>(3) service providers;<br />
         		<a id="pl.346.14"></a><var>346.14</var>(4) community leaders;<br />
         		<a id="pl.346.15"></a><var>346.15</var>(5) city and county attorneys;<br />
         		<a id="pl.346.16"></a><var>346.16</var>(6) city officials;<br />
         		<a id="pl.346.17"></a><var>346.17</var>(7) law enforcement; and<br />
         		<a id="pl.346.18"></a><var>346.18</var>(8) health professionals.<br />
         		<a id="pl.346.19"></a><var>346.19</var>&#160;&#160;&#160;&#160;At least eight of the members of the working group must be from the Asian-Pacific
         <br />
         		<a id="pl.346.20"></a><var>346.20</var>Islander community.<br />
         		<a id="pl.346.21"></a><var>346.21</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Duties.</b> (a) The working group must study the nature, scope, and prevalence <br />
         		<a id="pl.346.22"></a><var>346.22</var>of violence against Asian women and children in Minnesota, including domestic violence,
         <br />
         		<a id="pl.346.23"></a><var>346.23</var>trafficking, international abusive marriage, stalking, sexual assault, and other violence.<br />
         		<a id="pl.346.24"></a><var>346.24</var>(b) The working group may:<br />
         		<a id="pl.346.25"></a><var>346.25</var>(1) evaluate the adequacy and effectiveness of existing support programs;<br />
         		<a id="pl.346.26"></a><var>346.26</var>(2) conduct a needs assessment of culturally and linguistically appropriate programs
         <br />
         		<a id="pl.346.27"></a><var>346.27</var>and interventions;<br />
         		<a id="pl.346.28"></a><var>346.28</var>(3) identify barriers in delivering services to Asian women and children;<br />
         		<a id="pl.346.29"></a><var>346.29</var>(4) identify promising prevention and intervention strategies in addressing violence
         <br />
         		<a id="pl.346.30"></a><var>346.30</var>against Asian women and children; and<br />
         		<a id="pl.346.31"></a><var>346.31</var>(5) propose mechanisms to collect and monitor data on violence against Asian <br />
         		<a id="pl.346.32"></a><var>346.32</var>women and children.<br />
         		<a id="pl.346.33"></a><var>346.33</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Chair.</b> The commissioner of health shall designate one member to serve as <br />
         		<a id="pl.346.34"></a><var>346.34</var>chair of the working group.<br />
         		<a id="pl.347.1"></a><var>347.1</var>&#160;&#160;&#160;&#160;Subd. 5. <b>First meeting.</b> The chair shall convene the first meeting by September <br />
         		<a id="pl.347.2"></a><var>347.2</var>10, 2015.<br />
         		<a id="pl.347.3"></a><var>347.3</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Compensation; expense reimbursement.</b> Members of the working group <br />
         		<a id="pl.347.4"></a><var>347.4</var>shall be compensated and reimbursed for expenses under Minnesota Statutes, section
         <br />
         		<a id="pl.347.5"></a><var>347.5</var>15.059, subdivision 3.<br />
         		<a id="pl.347.6"></a><var>347.6</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Report.</b> By January 1, 2017, the working group must submit its <br />
         		<a id="pl.347.7"></a><var>347.7</var>recommendations and any draft legislation necessary to implement those recommendations
         <br />
         		<a id="pl.347.8"></a><var>347.8</var>to the commissioners of health, human services, and public safety, and the Council
         on <br />
         		<a id="pl.347.9"></a><var>347.9</var>Asian-Pacific Minnesotans. The Council on Asian-Pacific Minnesotans shall submit a
         <br />
         		<a id="pl.347.10"></a><var>347.10</var>report of findings and recommendations to the chair and ranking minority members of
         the <br />
         		<a id="pl.347.11"></a><var>347.11</var>committees in the house of representatives and senate having jurisdiction over health
         and <br />
         		<a id="pl.347.12"></a><var>347.12</var>human services and public safety by February 15, 2017.<br />
         		<a id="pl.347.13"></a><var>347.13</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Sunset.</b> The working group on violence against Asian women and children <br />
         		<a id="pl.347.14"></a><var>347.14</var>sunsets the day after the Council on Asian-Pacific Minnesotans submits the report
         under <br />
         		<a id="pl.347.15"></a><var>347.15</var>subdivision 7.<br />
         		<a id="pl.347.16"></a><var>347.16</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.8.59.0"></a><a id="pl.347.17"></a><var>347.17</var>&#160;&#160;&#160;&#160;Sec. 59. <b>HEALTH EQUITY GRANTS.</b><br />
         		<a id="pl.347.18"></a><var>347.18</var>For the competitive grants awarded under Laws 2014, chapter 312, article 30, <br />
         		<a id="pl.347.19"></a><var>347.19</var>section 3, subdivision 2, the commissioner of health shall consider applicants who
         present <br />
         		<a id="pl.347.20"></a><var>347.20</var>evidence of a promising strategy to accomplish the applicant's objective. A promising
         <br />
         		<a id="pl.347.21"></a><var>347.21</var>strategy shall be given the same weight as a research or evidence-based strategy based
         on <br />
         		<a id="pl.347.22"></a><var>347.22</var>potential value and measurable outcomes.<br />
         		<a id="pl.347.23"></a><var>347.23</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.9.0.0"></a><div class="xtend_ce"><a id="pl.347.24"></a><var>347.24</var><b>ARTICLE 9</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.347.25"></a><var>347.25</var><b>HEALTH CARE DELIVERY</b><br />
            		
         </div><br />
         		<a id="bill.9.1.0"></a><a id="pl.347.26"></a><var>347.26</var>&#160;&#160;&#160;&#160;Section 1. <b>[62A.67] SHORT TITLE.</b><br />
         		<a id="pl.347.27"></a><var>347.27</var>Sections 62A.67 to 62A.672 may be cited as the "Minnesota Telemedicine Act."<br />
         		<a id="pl.347.28"></a><var>347.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.9.2.0"></a><a id="pl.347.29"></a><var>347.29</var>&#160;&#160;&#160;&#160;Sec. 2. <b>[62A.671] DEFINITIONS.</b><br />
         		<a id="pl.348.1"></a><var>348.1</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Applicability.</b> For purposes of sections 62A.67 to 62A.672, the <br />
         		<a id="pl.348.2"></a><var>348.2</var>terms defined in this section have the meanings given.<br />
         		<a id="pl.348.3"></a><var>348.3</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Distant site.</b> "Distant site" means a site at which a licensed health care <br />
         		<a id="pl.348.4"></a><var>348.4</var>provider is located while providing health care services or consultations by means
         of <br />
         		<a id="pl.348.5"></a><var>348.5</var>telemedicine.<br />
         		<a id="pl.348.6"></a><var>348.6</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Health care provider.</b> "Health care provider" has the meaning provided <br />
         		<a id="pl.348.7"></a><var>348.7</var>in section 62A.63, subdivision 2.<br />
         		<a id="pl.348.8"></a><var>348.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Health carrier.</b> "Health carrier" has the meaning provided in section <br />
         		<a id="pl.348.9"></a><var>348.9</var>62A.011, subdivision 2.<br />
         		<a id="pl.348.10"></a><var>348.10</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Health plan.</b> "Health plan" means a health plan as defined in section <br />
         		<a id="pl.348.11"></a><var>348.11</var>62A.011, subdivision 3, and includes dental plans as defined in section 62Q.76, subdivision
         <br />
         		<a id="pl.348.12"></a><var>348.12</var>3, but does not include dental plans that provide indemnity-based benefits, regardless
         of <br />
         		<a id="pl.348.13"></a><var>348.13</var>expenses incurred and are designed to pay benefits directly to the policyholder.<br />
         		<a id="pl.348.14"></a><var>348.14</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Licensed health care provider.</b> "Licensed health care provider" means a <br />
         		<a id="pl.348.15"></a><var>348.15</var>health care provider who is:<br />
         		<a id="pl.348.16"></a><var>348.16</var>(1) licensed under chapter 147, 147A, 148, 148B, 148E, 148F, 150A, or 153; a <br />
         		<a id="pl.348.17"></a><var>348.17</var>mental health professional as defined under section 245.462, subdivision 18, or 245.4871,
         <br />
         		<a id="pl.348.18"></a><var>348.18</var>subdivision 27; or vendor of medical care defined in section 256B.02, subdivision
         7; and<br />
         		<a id="pl.348.19"></a><var>348.19</var>(2) authorized within their respective scope of practice to provide the particular
         <br />
         		<a id="pl.348.20"></a><var>348.20</var>service with no supervision or under general supervision.<br />
         		<a id="pl.348.21"></a><var>348.21</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Originating site.</b> "Originating site" means a site including, but not limited <br />
         		<a id="pl.348.22"></a><var>348.22</var>to, a health care facility at which a patient is located at the time health care services
         are <br />
         		<a id="pl.348.23"></a><var>348.23</var>provided to the patient by means of telemedicine.<br />
         		<a id="pl.348.24"></a><var>348.24</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Store-and-forward technology.</b> "Store-and-forward technology" means <br />
         		<a id="pl.348.25"></a><var>348.25</var>the transmission of a patient's medical information from an originating site to a
         health care <br />
         		<a id="pl.348.26"></a><var>348.26</var>provider at a distant site without the patient being present, or the delivery of telemedicine
         <br />
         		<a id="pl.348.27"></a><var>348.27</var>that does not occur in real time via synchronous transmissions.<br />
         		<a id="pl.348.28"></a><var>348.28</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Telemedicine.</b> "Telemedicine" means the delivery of health care services <br />
         		<a id="pl.348.29"></a><var>348.29</var>or consultations while the patient is at an originating site and the licensed health
         care <br />
         		<a id="pl.348.30"></a><var>348.30</var>provider is at a distant site. A communication between licensed health care providers
         <br />
         		<a id="pl.348.31"></a><var>348.31</var>that consists solely of a telephone conversation, e-mail, or facsimile transmission
         does <br />
         		<a id="pl.348.32"></a><var>348.32</var>not constitute telemedicine consultations or services. A communication between a <br />
         		<a id="pl.348.33"></a><var>348.33</var>licensed health care provider and a patient that consists solely of an e-mail or facsimile
         <br />
         		<a id="pl.348.34"></a><var>348.34</var>transmission does not constitute telemedicine consultations or services. Telemedicine
         may <br />
         		<a id="pl.348.35"></a><var>348.35</var>be provided by means of real-time two-way, interactive audio and visual communications,
         <br />
         		<a id="pl.348.36"></a><var>348.36</var>including the application of secure video conferencing or store-and-forward technology
         <br />
         		<a id="pl.349.1"></a><var>349.1</var>to provide or support health care delivery, which facilitate the assessment, diagnosis,
         <br />
         		<a id="pl.349.2"></a><var>349.2</var>consultation, treatment, education, and care management of a patient's health care.<br />
         		<a id="pl.349.3"></a><var>349.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.9.3.0"></a><a id="pl.349.4"></a><var>349.4</var>&#160;&#160;&#160;&#160;Sec. 3. <b>[62A.672] COVERAGE OF TELEMEDICINE SERVICES.</b><br />
         		<a id="pl.349.5"></a><var>349.5</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Coverage of telemedicine.</b> (a) A health plan sold, issued, or renewed <br />
         		<a id="pl.349.6"></a><var>349.6</var>by a health carrier for which coverage of benefits begins on or after January 1, 2017,
         shall <br />
         		<a id="pl.349.7"></a><var>349.7</var>include coverage for telemedicine benefits in the same manner as any other benefits
         covered <br />
         		<a id="pl.349.8"></a><var>349.8</var>under the policy, plan, or contract, and shall comply with the regulations of this
         section.<br />
         		<a id="pl.349.9"></a><var>349.9</var>(b) Nothing in this section shall be construed to:<br />
         		<a id="pl.349.10"></a><var>349.10</var>(1) require a health carrier to provide coverage for services that are not medically
         <br />
         		<a id="pl.349.11"></a><var>349.11</var>necessary;<br />
         		<a id="pl.349.12"></a><var>349.12</var>(2) prohibit a health carrier from establishing criteria that a health care provider
         <br />
         		<a id="pl.349.13"></a><var>349.13</var>must meet to demonstrate the safety or efficacy of delivering a particular service
         via <br />
         		<a id="pl.349.14"></a><var>349.14</var>telemedicine for which the health carrier does not already reimburse other health
         <br />
         		<a id="pl.349.15"></a><var>349.15</var>care providers for delivering via telemedicine, so long as the criteria are not unduly
         <br />
         		<a id="pl.349.16"></a><var>349.16</var>burdensome or unreasonable for the particular service; or<br />
         		<a id="pl.349.17"></a><var>349.17</var>(3) prevent a health carrier from requiring a health care provider to agree to certain
         <br />
         		<a id="pl.349.18"></a><var>349.18</var>documentation or billing practices designed to protect the health carrier or patients
         from <br />
         		<a id="pl.349.19"></a><var>349.19</var>fraudulent claims so long as the practices are not unduly burdensome or unreasonable
         <br />
         		<a id="pl.349.20"></a><var>349.20</var>for the particular service.<br />
         		<a id="pl.349.21"></a><var>349.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Parity between telemedicine and in-person services.</b> A health carrier <br />
         		<a id="pl.349.22"></a><var>349.22</var>shall not exclude a service for coverage solely because the service is provided via
         <br />
         		<a id="pl.349.23"></a><var>349.23</var>telemedicine and is not provided through in-person consultation or contact between
         a <br />
         		<a id="pl.349.24"></a><var>349.24</var>licensed health care provider and a patient.<br />
         		<a id="pl.349.25"></a><var>349.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Reimbursement for telemedicine services.</b> (a) A health carrier shall <br />
         		<a id="pl.349.26"></a><var>349.26</var>reimburse the distant site licensed health care provider for covered services delivered
         via <br />
         		<a id="pl.349.27"></a><var>349.27</var>telemedicine on the same basis and at the same rate as the health carrier would apply
         to <br />
         		<a id="pl.349.28"></a><var>349.28</var>those services if the services had been delivered in person by the distant site licensed
         <br />
         		<a id="pl.349.29"></a><var>349.29</var>health care provider.<br />
         		<a id="pl.349.30"></a><var>349.30</var>(b) It is not a violation of this subdivision for a health carrier to include a <br />
         		<a id="pl.349.31"></a><var>349.31</var>deductible, co-payment, or coinsurance requirement for a health care service provided
         via <br />
         		<a id="pl.349.32"></a><var>349.32</var>telemedicine, provided that the deductible, co-payment, or coinsurance is not in addition
         <br />
         		<a id="pl.349.33"></a><var>349.33</var>to, and does not exceed, the deductible, co-payment, or coinsurance applicable if
         the same <br />
         		<a id="pl.349.34"></a><var>349.34</var>services were provided through in-person contact.<br />
         		<a id="pl.350.1"></a><var>350.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.9.4.0"></a><a id="pl.350.2"></a><var>350.2</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 62U.02, subdivision 1, is amended to read:<br />
         		<a id="pl.350.3"></a><var>350.3</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Development.</b> (a) The commissioner of health shall develop a <br />
         		<a id="pl.350.4"></a><var>350.4</var>standardized set of measures by which to assess the quality of health care services
         offered <br />
         		<a id="pl.350.5"></a><var>350.5</var>by health care providers, including health care providers certified as health care
         homes <br />
         		<a id="pl.350.6"></a><var>350.6</var>under section 
         <statute_ref>256B.0751</statute_ref>. Quality measures must be based on medical evidence and be <br />
         		<a id="pl.350.7"></a><var>350.7</var>developed through a process in which providers participate. The measures shall be
         used <br />
         		<a id="pl.350.8"></a><var>350.8</var>for the quality incentive payment system developed in subdivision 2 and must:<br />
         		<a id="pl.350.9"></a><var>350.9</var>&#160;&#160;&#160;&#160;(1) include uniform definitions, measures, and forms for submission of data, to the
         <br />
         		<a id="pl.350.10"></a><var>350.10</var>greatest extent possible;<br />
         		<a id="pl.350.11"></a><var>350.11</var>&#160;&#160;&#160;&#160;(2) seek to avoid increasing the administrative burden on health care providers;<br />
         		<a id="pl.350.12"></a><var>350.12</var>&#160;&#160;&#160;&#160;(3) be initially based on existing quality indicators for physician and hospital <br />
         		<a id="pl.350.13"></a><var>350.13</var>services, which are measured and reported publicly by quality measurement organizations,
         <br />
         		<a id="pl.350.14"></a><var>350.14</var>including, but not limited to, Minnesota Community Measurement and specialty societies;<br />
         		<a id="pl.350.15"></a><var>350.15</var>&#160;&#160;&#160;&#160;(4) place a priority on measures of health care outcomes, rather than process <br />
         		<a id="pl.350.16"></a><var>350.16</var>measures, wherever possible; and<br />
         		<a id="pl.350.17"></a><var>350.17</var>&#160;&#160;&#160;&#160;(5) incorporate measures for primary care, including preventive services, coronary
         <br />
         		<a id="pl.350.18"></a><var>350.18</var>artery and heart disease, diabetes, asthma, depression, and other measures as determined
         <br />
         		<a id="pl.350.19"></a><var>350.19</var>by the commissioner.<br />
         		<a id="pl.350.20"></a><var>350.20</var>&#160;&#160;&#160;&#160;(b) Effective July 1, 2016, the commissioner shall stratify quality measures by race,
         <br />
         		<a id="pl.350.21"></a><var>350.21</var>ethnicity, preferred language, and country of origin beginning with five measures,
         and <br />
         		<a id="pl.350.22"></a><var>350.22</var>stratifying additional measures to the extent resources are available. On or after
         January 1, <br />
         		<a id="pl.350.23"></a><var>350.23</var>2018, the commissioner may require measures to be stratified by other sociodemographic
         <br />
         		<a id="pl.350.24"></a><var>350.24</var>factors that according to reliable data are correlated with health disparities and
         have an <br />
         		<a id="pl.350.25"></a><var>350.25</var>impact on performance on quality or cost indicators. New methods of stratifying data
         <br />
         		<a id="pl.350.26"></a><var>350.26</var>under this paragraph must be tested and evaluated through pilot projects prior to
         adding <br />
         		<a id="pl.350.27"></a><var>350.27</var>them to the statewide system. In determining whether to add additional sociodemographic
         <br />
         		<a id="pl.350.28"></a><var>350.28</var>factors and developing the methodology to be used, the commissioner shall consider
         the <br />
         		<a id="pl.350.29"></a><var>350.29</var>reporting burden on providers and determine whether there are alternative sources
         of data <br />
         		<a id="pl.350.30"></a><var>350.30</var>that could be used. The commissioner shall ensure that categories and data collection
         <br />
         		<a id="pl.350.31"></a><var>350.31</var>methods are developed in consultation with those communities impacted by health <br />
         		<a id="pl.350.32"></a><var>350.32</var>disparities using culturally appropriate community engagement principles and methods.
         <br />
         		<a id="pl.350.33"></a><var>350.33</var>The commissioner shall implement this paragraph in coordination with the contracting
         <br />
         		<a id="pl.350.34"></a><var>350.34</var>entity retained under section 62U.02, subdivision 4, in order to build upon the data
         <br />
         		<a id="pl.350.35"></a><var>350.35</var>stratification methodology that has been developed and tested by the entity. Nothing
         in <br />
         		<a id="pl.351.1"></a><var>351.1</var>this paragraph expands or changes the commissioner's authority to collect, analyze,
         or <br />
         		<a id="pl.351.2"></a><var>351.2</var>report health care data. Any data collected to implement this paragraph must be data
         that <br />
         		<a id="pl.351.3"></a><var>351.3</var>is available or is authorized to be collected under other laws. Nothing in this paragraph
         <br />
         		<a id="pl.351.4"></a><var>351.4</var>grants authority to the commissioner to collect or analyze patient-level or patient-specific
         <br />
         		<a id="pl.351.5"></a><var>351.5</var>data of the patient characteristics identified under this paragraph.<br />
         		<a id="pl.351.6"></a><var>351.6</var>&#160;&#160;&#160;&#160;(b) (c) The measures shall be reviewed at least annually by the commissioner.<br />
         		<br />
         		<a id="bill.9.5.0"></a><a id="pl.351.7"></a><var>351.7</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 62U.02, subdivision 2, is amended to read:<br />
         		<a id="pl.351.8"></a><var>351.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Quality incentive payments.</b> (a) By July 1, 2009, the commissioner <br />
         		<a id="pl.351.9"></a><var>351.9</var>shall develop a system of quality incentive payments under which providers are eligible
         <br />
         		<a id="pl.351.10"></a><var>351.10</var>for quality-based payments that are in addition to existing payment levels, based
         upon <br />
         		<a id="pl.351.11"></a><var>351.11</var>a comparison of provider performance against specified targets, and improvement over
         <br />
         		<a id="pl.351.12"></a><var>351.12</var>time. The targets must be based upon and consistent with the quality measures established
         <br />
         		<a id="pl.351.13"></a><var>351.13</var>under subdivision 1.<br />
         		<a id="pl.351.14"></a><var>351.14</var>&#160;&#160;&#160;&#160;(b) To the extent possible, the payment system must adjust for variations in patient
         <br />
         		<a id="pl.351.15"></a><var>351.15</var>population in order to reduce incentives to health care providers to avoid high-risk
         patients <br />
         		<a id="pl.351.16"></a><var>351.16</var>or populations, including those with risk factors related to race, ethnicity, language, <br />
         		<a id="pl.351.17"></a><var>351.17</var>country of origin, and sociodemographic factors.<br />
         		<a id="pl.351.18"></a><var>351.18</var>&#160;&#160;&#160;&#160;(c) The requirements of section 
         <statute_ref>62Q.101</statute_ref> do not apply under this incentive payment <br />
         		<a id="pl.351.19"></a><var>351.19</var>system.<br />
         		<br />
         		<a id="bill.9.6.0"></a><a id="pl.351.20"></a><var>351.20</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 62U.02, subdivision 3, is amended to read:<br />
         		<a id="pl.351.21"></a><var>351.21</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Quality transparency.</b> (a) The commissioner shall establish standards for <br />
         		<a id="pl.351.22"></a><var>351.22</var>measuring health outcomes, establish a system for risk adjusting quality measures,
         and <br />
         		<a id="pl.351.23"></a><var>351.23</var>issue annual public reports on provider quality beginning July 1, 2010.<br />
         		<a id="pl.351.24"></a><var>351.24</var>(b) Effective July 1, 2017, the risk adjustment system established under this <br />
         		<a id="pl.351.25"></a><var>351.25</var>subdivision shall adjust for patient characteristics identified under subdivision
         1, paragraph <br />
         		<a id="pl.351.26"></a><var>351.26</var>(b), that are correlated with health disparities and have an impact on performance
         on cost <br />
         		<a id="pl.351.27"></a><var>351.27</var>and quality measures. The risk adjustment method may consist of reporting based on
         an <br />
         		<a id="pl.351.28"></a><var>351.28</var>actual-to-expected comparison that reflects the characteristics of the patient population
         <br />
         		<a id="pl.351.29"></a><var>351.29</var>served by the clinic or hospital. The commissioner shall implement this paragraph
         in <br />
         		<a id="pl.351.30"></a><var>351.30</var>coordination with any contracting entity retained under section 62U.02, subdivision
         4.<br />
         		<a id="pl.351.31"></a><var>351.31</var>&#160;&#160;&#160;&#160;(c) By January 1, 2010, physician clinics and hospitals shall submit standardized <br />
         		<a id="pl.351.32"></a><var>351.32</var>electronic information on the outcomes and processes associated with patient care
         to <br />
         		<a id="pl.351.33"></a><var>351.33</var>the commissioner or the commissioner's designee. In addition to measures of care <br />
         		<a id="pl.351.34"></a><var>351.34</var>processes and outcomes, the report may include other measures designated by the <br />
         		<a id="pl.352.1"></a><var>352.1</var>commissioner, including, but not limited to, care infrastructure and patient satisfaction.
         <br />
         		<a id="pl.352.2"></a><var>352.2</var>The commissioner shall ensure that any quality data reporting requirements established
         <br />
         		<a id="pl.352.3"></a><var>352.3</var>under this subdivision are not duplicative of publicly reported, communitywide quality
         <br />
         		<a id="pl.352.4"></a><var>352.4</var>reporting activities currently under way in Minnesota. Nothing in this subdivision
         is <br />
         		<a id="pl.352.5"></a><var>352.5</var>intended to replace or duplicate current privately supported activities related to
         quality <br />
         		<a id="pl.352.6"></a><var>352.6</var>measurement and reporting in Minnesota.<br />
         		<br />
         		<a id="bill.9.7.0"></a><a id="pl.352.7"></a><var>352.7</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 62U.02, subdivision 4, is amended to read:<br />
         		<a id="pl.352.8"></a><var>352.8</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Contracting.</b> The commissioner may contract with a private entity or <br />
         		<a id="pl.352.9"></a><var>352.9</var>consortium of private entities to complete the tasks in subdivisions 1 to 3. The private
         <br />
         		<a id="pl.352.10"></a><var>352.10</var>entity or consortium must be nonprofit and have governance that includes representatives
         <br />
         		<a id="pl.352.11"></a><var>352.11</var>from the following stakeholder groups: health care providers, including providers serving <br />
         		<a id="pl.352.12"></a><var>352.12</var>high concentrations of patients and communities impacted by health disparities;, health <br />
         		<a id="pl.352.13"></a><var>352.13</var>plan companies,; consumers, including consumers representing groups who experience <br />
         		<a id="pl.352.14"></a><var>352.14</var>health disparities;, employers or other health care purchasers,; and state government. No <br />
         		<a id="pl.352.15"></a><var>352.15</var>one stakeholder group shall have a majority of the votes on any issue or hold extraordinary
         <br />
         		<a id="pl.352.16"></a><var>352.16</var>powers not granted to any other governance stakeholder.<br />
         		<br />
         		<a id="bill.9.8.0"></a><a id="pl.352.17"></a><var>352.17</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 144E.001, is amended by adding a subdivision <br />
         		<a id="pl.352.18"></a><var>352.18</var>to read:<br />
         		<a id="pl.352.19"></a><var>352.19</var>&#160;&#160;&#160;&#160;Subd. 5h. <b>Community medical response emergency medical technician.</b><br />
         		 <a id="pl.352.20"></a><var>352.20</var>"Community medical response emergency medical technician" or "CEMT" means <br />
         		<a id="pl.352.21"></a><var>352.21</var>a person who is certified as an emergency medical technician, who is a member of a
         <br />
         		<a id="pl.352.22"></a><var>352.22</var>registered medical response unit under section 144E.275, and who meets the requirements
         <br />
         		<a id="pl.352.23"></a><var>352.23</var>for additional certification as a CEMT as specified in section 144E.275, subdivision
         7.<br />
         		<br />
         		<a id="bill.9.9.0"></a><a id="pl.352.24"></a><var>352.24</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 144E.275, subdivision 1, is amended to read:<br />
         		<a id="pl.352.25"></a><var>352.25</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definition.</b> For purposes of this section, the following definitions <br />
         		<a id="pl.352.26"></a><var>352.26</var>apply:<br />
         		<a id="pl.352.27"></a><var>352.27</var>(a) "Medical response unit" means an organized service recognized by a local <br />
         		<a id="pl.352.28"></a><var>352.28</var>political subdivision whose primary responsibility is to respond to medical emergencies
         to <br />
         		<a id="pl.352.29"></a><var>352.29</var>provide initial medical care before the arrival of a licensed ambulance service. Medical <br />
         		<a id="pl.352.30"></a><var>352.30</var>response units may also provide CEMT services as permitted under subdivision 7.<br />
         		<a id="pl.352.31"></a><var>352.31</var>(b) "Specialized medical response unit" means an organized service recognized by a
         <br />
         		<a id="pl.352.32"></a><var>352.32</var>board-approved authority other than a local political subdivision that responds to
         medical <br />
         		<a id="pl.352.33"></a><var>352.33</var>emergencies as needed or as required by local procedure or protocol.<br />
         		<br />
         		<a id="bill.9.10.0"></a><a id="pl.353.1"></a><var>353.1</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 144E.275, is amended by adding a <br />
         		<a id="pl.353.2"></a><var>353.2</var>subdivision to read:<br />
         		<a id="pl.353.3"></a><var>353.3</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Community medical response emergency medical technician.</b> (a) To be <br />
         		<a id="pl.353.4"></a><var>353.4</var>eligible for certification by the board as a CEMT, an individual shall:<br />
         		<a id="pl.353.5"></a><var>353.5</var>(1) be currently certified as an EMT or AEMT;<br />
         		<a id="pl.353.6"></a><var>353.6</var>(2) have two years of service as an EMT or AEMT;<br />
         		<a id="pl.353.7"></a><var>353.7</var>(3) be a member of a registered medical response unit as defined under this section;<br />
         		<a id="pl.353.8"></a><var>353.8</var>(4) successfully complete a CEMT training program from a college or university that
         <br />
         		<a id="pl.353.9"></a><var>353.9</var>has been approved by the board or accredited by a board-approved national accrediting
         <br />
         		<a id="pl.353.10"></a><var>353.10</var>organization. The training must include clinical experience under the supervision
         of the <br />
         		<a id="pl.353.11"></a><var>353.11</var>medical response unit medical director, an advanced practice registered nurse, a physician
         <br />
         		<a id="pl.353.12"></a><var>353.12</var>assistant, or a public health nurse operating under the direct authority of a local
         unit <br />
         		<a id="pl.353.13"></a><var>353.13</var>of government; <br />
         		<a id="pl.353.14"></a><var>353.14</var>(5) successfully complete a training program that includes training in providing <br />
         		<a id="pl.353.15"></a><var>353.15</var>culturally appropriate care; and<br />
         		<a id="pl.353.16"></a><var>353.16</var>(6) complete a board-approved application form.<br />
         		<a id="pl.353.17"></a><var>353.17</var>(b) A CEMT must practice in accordance with protocols and supervisory standards <br />
         		<a id="pl.353.18"></a><var>353.18</var>established by the medical response unit medical director in accordance with section
         <br />
         		<a id="pl.353.19"></a><var>353.19</var>144E.265.<br />
         		<a id="pl.353.20"></a><var>353.20</var>(c) A CEMT may provide services within the CEMT skill set as approved by the <br />
         		<a id="pl.353.21"></a><var>353.21</var>medical response unit medical director.<br />
         		<a id="pl.353.22"></a><var>353.22</var>(d) A CEMT may provide episodic individual patient education and prevention <br />
         		<a id="pl.353.23"></a><var>353.23</var>education but only as directed by a patient care plan developed by the patient's primary
         <br />
         		<a id="pl.353.24"></a><var>353.24</var>physician, an advanced practice registered nurse, or a physician assistant, in conjunction
         <br />
         		<a id="pl.353.25"></a><var>353.25</var>with the medical response unit medical director and relevant local health care providers.
         <br />
         		<a id="pl.353.26"></a><var>353.26</var>The patient care plan must ensure that the services provided by the CEMT are consistent
         <br />
         		<a id="pl.353.27"></a><var>353.27</var>with services offered by the patient's health care home, if one exists, that the patient
         <br />
         		<a id="pl.353.28"></a><var>353.28</var>receives the necessary services, and that there is no duplication of services to the
         patient.<br />
         		<a id="pl.353.29"></a><var>353.29</var>(e) A CEMT is subject to all certification, disciplinary, complaint, and other <br />
         		<a id="pl.353.30"></a><var>353.30</var>regulatory requirements that apply to EMTs under this chapter.<br />
         		<a id="pl.353.31"></a><var>353.31</var>(f) A CEMT may not provide services as defined in section 144A.471, subdivisions <br />
         		<a id="pl.353.32"></a><var>353.32</var>6 and 7, except a CEMT may provide verbal or visual reminders to the patient to:<br />
         		<a id="pl.353.33"></a><var>353.33</var>(1) take a regularly scheduled medication, but not to provide or bring the patient
         <br />
         		<a id="pl.353.34"></a><var>353.34</var>medication; and<br />
         		<a id="pl.353.35"></a><var>353.35</var>(2) follow regularly scheduled treatment or exercise plans.<br />
         		<br />
         		<a id="bill.9.11.0"></a><a id="pl.354.1"></a><var>354.1</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 151.58, subdivision 2, is amended to read:<br />
         		<a id="pl.354.2"></a><var>354.2</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> For purposes of this section only, the terms defined in this <br />
         		<a id="pl.354.3"></a><var>354.3</var>subdivision have the meanings given.<br />
         		<a id="pl.354.4"></a><var>354.4</var>(a) "Automated drug distribution system" or "system" means a mechanical system <br />
         		<a id="pl.354.5"></a><var>354.5</var>approved by the board that performs operations or activities, other than compounding
         or <br />
         		<a id="pl.354.6"></a><var>354.6</var>administration, related to the storage, packaging, or dispensing of drugs, and collects,
         <br />
         		<a id="pl.354.7"></a><var>354.7</var>controls, and maintains all required transaction information and records.<br />
         		<a id="pl.354.8"></a><var>354.8</var>(b) "Health care facility" means a nursing home licensed under section 
         <statute_ref>144A.02</statute_ref>; <br />
         		<a id="pl.354.9"></a><var>354.9</var>a housing with services establishment registered under section 
         <statute_ref>144D.01, subdivision 4</statute_ref>, <br />
         		<a id="pl.354.10"></a><var>354.10</var>in which a home provider licensed under chapter 144A is providing centralized storage
         <br />
         		<a id="pl.354.11"></a><var>354.11</var>of medications; a boarding care home licensed under sections 144.50 to 144.58 that is <br />
         		<a id="pl.354.12"></a><var>354.12</var>providing centralized storage of medications; or a Minnesota sex offender program facility <br />
         		<a id="pl.354.13"></a><var>354.13</var>operated by the Department of Human Services.<br />
         		<a id="pl.354.14"></a><var>354.14</var>(c) "Managing pharmacy" means a pharmacy licensed by the board that controls and <br />
         		<a id="pl.354.15"></a><var>354.15</var>is responsible for the operation of an automated drug distribution system.<br />
         		<br />
         		<a id="bill.9.12.0"></a><a id="pl.354.16"></a><var>354.16</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 151.58, subdivision 5, is amended to read:<br />
         		<a id="pl.354.17"></a><var>354.17</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Operation of automated drug distribution systems.</b> (a) The managing <br />
         		<a id="pl.354.18"></a><var>354.18</var>pharmacy and the pharmacist in charge are responsible for the operation of an automated
         <br />
         		<a id="pl.354.19"></a><var>354.19</var>drug distribution system.<br />
         		<a id="pl.354.20"></a><var>354.20</var>(b) Access to an automated drug distribution system must be limited to pharmacy <br />
         		<a id="pl.354.21"></a><var>354.21</var>and nonpharmacy personnel authorized to procure drugs from the system, except that
         field <br />
         		<a id="pl.354.22"></a><var>354.22</var>service technicians may access a system located in a health care facility for the
         purposes of <br />
         		<a id="pl.354.23"></a><var>354.23</var>servicing and maintaining it while being monitored either by the managing pharmacy,
         or a <br />
         		<a id="pl.354.24"></a><var>354.24</var>licensed nurse within the health care facility. In the case of an automated drug distribution
         <br />
         		<a id="pl.354.25"></a><var>354.25</var>system that is not physically located within a licensed pharmacy, access for the purpose
         <br />
         		<a id="pl.354.26"></a><var>354.26</var>of procuring drugs shall be limited to licensed nurses. Each person authorized to
         access <br />
         		<a id="pl.354.27"></a><var>354.27</var>the system must be assigned an individual specific access code. Alternatively, access
         to <br />
         		<a id="pl.354.28"></a><var>354.28</var>the system may be controlled through the use of biometric identification procedures.
         A <br />
         		<a id="pl.354.29"></a><var>354.29</var>policy specifying time access parameters, including time-outs, logoffs, and lockouts,
         <br />
         		<a id="pl.354.30"></a><var>354.30</var>must be in place.<br />
         		<a id="pl.354.31"></a><var>354.31</var>(c) For the purposes of this section only, the requirements of section 
         <statute_ref>151.215</statute_ref> are met <br />
         		<a id="pl.354.32"></a><var>354.32</var>if the following clauses are met:<br />
         		<a id="pl.354.33"></a><var>354.33</var>(1) a pharmacist employed by and working at the managing pharmacy, or at a <br />
         		<a id="pl.354.34"></a><var>354.34</var>pharmacy that is acting as a central services pharmacy for the managing pharmacy,
         <br />
         		<a id="pl.354.35"></a><var>354.35</var>pursuant to Minnesota Rules, part 6800.4075, must review, interpret, and approve all
         <br />
         		<a id="pl.355.1"></a><var>355.1</var>prescription drug orders before any drug is distributed from the system to be administered
         <br />
         		<a id="pl.355.2"></a><var>355.2</var>to a patient. A pharmacy technician may perform data entry of prescription drug orders
         <br />
         		<a id="pl.355.3"></a><var>355.3</var>provided that a pharmacist certifies the accuracy of the data entry before the drug
         can <br />
         		<a id="pl.355.4"></a><var>355.4</var>be released from the automated drug distribution system. A pharmacist employed by
         <br />
         		<a id="pl.355.5"></a><var>355.5</var>and working at the managing pharmacy must certify the accuracy of the filling of any
         <br />
         		<a id="pl.355.6"></a><var>355.6</var>cassettes, canisters, or other containers that contain drugs that will be loaded into
         the <br />
         		<a id="pl.355.7"></a><var>355.7</var>automated drug distribution system, unless the filled cassettes, canisters, or containers <br />
         		<a id="pl.355.8"></a><var>355.8</var>have been provided by a repackager registered with the United States Food and Drug
         <br />
         		<a id="pl.355.9"></a><var>355.9</var>Administration and licensed by the board as a manufacturer; and<br />
         		<a id="pl.355.10"></a><var>355.10</var>(2) when the automated drug dispensing system is located and used within the <br />
         		<a id="pl.355.11"></a><var>355.11</var>managing pharmacy, a pharmacist must personally supervise and take responsibility
         for all <br />
         		<a id="pl.355.12"></a><var>355.12</var>packaging and labeling associated with the use of an automated drug distribution system.<br />
         		<a id="pl.355.13"></a><var>355.13</var>(d) Access to drugs when a pharmacist has not reviewed and approved the <br />
         		<a id="pl.355.14"></a><var>355.14</var>prescription drug order is permitted only when a formal and written decision to allow
         such <br />
         		<a id="pl.355.15"></a><var>355.15</var>access is issued by the pharmacy and the therapeutics committee or its equivalent.
         The <br />
         		<a id="pl.355.16"></a><var>355.16</var>committee must specify the patient care circumstances in which such access is allowed,
         <br />
         		<a id="pl.355.17"></a><var>355.17</var>the drugs that can be accessed, and the staff that are allowed to access the drugs.<br />
         		<a id="pl.355.18"></a><var>355.18</var>(e) In the case of an automated drug distribution system that does not utilize bar
         <br />
         		<a id="pl.355.19"></a><var>355.19</var>coding in the loading process, the loading of a system located in a health care facility
         may <br />
         		<a id="pl.355.20"></a><var>355.20</var>be performed by a pharmacy technician, so long as the activity is continuously supervised,
         <br />
         		<a id="pl.355.21"></a><var>355.21</var>through a two-way audiovisual system by a pharmacist on duty within the managing <br />
         		<a id="pl.355.22"></a><var>355.22</var>pharmacy. In the case of an automated drug distribution system that utilizes bar coding
         <br />
         		<a id="pl.355.23"></a><var>355.23</var>in the loading process, the loading of a system located in a health care facility
         may be <br />
         		<a id="pl.355.24"></a><var>355.24</var>performed by a pharmacy technician or a licensed nurse, provided that the managing
         <br />
         		<a id="pl.355.25"></a><var>355.25</var>pharmacy retains an electronic record of loading activities.<br />
         		<a id="pl.355.26"></a><var>355.26</var>(f) The automated drug distribution system must be under the supervision of a <br />
         		<a id="pl.355.27"></a><var>355.27</var>pharmacist. The pharmacist is not required to be physically present at the site of
         the <br />
         		<a id="pl.355.28"></a><var>355.28</var>automated drug distribution system if the system is continuously monitored electronically
         <br />
         		<a id="pl.355.29"></a><var>355.29</var>by the managing pharmacy. A pharmacist on duty within a pharmacy licensed by the <br />
         		<a id="pl.355.30"></a><var>355.30</var>board must be continuously available to address any problems detected by the monitoring
         <br />
         		<a id="pl.355.31"></a><var>355.31</var>or to answer questions from the staff of the health care facility. The licensed pharmacy
         <br />
         		<a id="pl.355.32"></a><var>355.32</var>may be the managing pharmacy or a pharmacy which is acting as a central services <br />
         		<a id="pl.355.33"></a><var>355.33</var>pharmacy, pursuant to Minnesota Rules, part 6800.4075, for the managing pharmacy.<br />
         		<br />
         		<a id="bill.9.13.0"></a><a id="pl.355.34"></a><var>355.34</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 256B.0625, subdivision 3b, is amended to <br />
         		<a id="pl.355.35"></a><var>355.35</var>read:<br />
         		<a id="pl.356.1"></a><var>356.1</var>&#160;&#160;&#160;&#160;Subd. 3b. <b>Telemedicine </b><b>consultations</b><b> services</b><b>.</b> (a) Medical assistance covers <br />
         		<a id="pl.356.2"></a><var>356.2</var>medically necessary services and consultations delivered by a licensed health care
         provider <br />
         		<a id="pl.356.3"></a><var>356.3</var>via telemedicine consultations. Telemedicine consultations must be made via two-way, <br />
         		<a id="pl.356.4"></a><var>356.4</var>interactive video or store-and-forward technology. Store-and-forward technology includes
         <br />
         		<a id="pl.356.5"></a><var>356.5</var>telemedicine consultations that do not occur in real time via synchronous transmissions,
         <br />
         		<a id="pl.356.6"></a><var>356.6</var>and that do not require a face-to-face encounter with the patient for all or any part
         of any <br />
         		<a id="pl.356.7"></a><var>356.7</var>such telemedicine consultation. The patient record must include a written opinion
         from the <br />
         		<a id="pl.356.8"></a><var>356.8</var>consulting physician providing the telemedicine consultation. A communication between
         <br />
         		<a id="pl.356.9"></a><var>356.9</var>two physicians that consists solely of a telephone conversation is not a telemedicine
         <br />
         		<a id="pl.356.10"></a><var>356.10</var>consultation in the same manner as if the service or consultation was delivered in person. <br />
         		<a id="pl.356.11"></a><var>356.11</var>Coverage is limited to three telemedicine consultations services per recipient enrollee per <br />
         		<a id="pl.356.12"></a><var>356.12</var>calendar week. Telemedicine consultations services shall be paid at the full allowable rate.<br />
         		<a id="pl.356.13"></a><var>356.13</var>(b) The commissioner shall establish criteria that a health care provider must attest
         <br />
         		<a id="pl.356.14"></a><var>356.14</var>to in order to demonstrate the safety or efficacy of delivering a particular service
         via <br />
         		<a id="pl.356.15"></a><var>356.15</var>telemedicine. The attestation may include that the health care provider:<br />
         		<a id="pl.356.16"></a><var>356.16</var>(1) has identified the categories or types of services the health care provider will
         <br />
         		<a id="pl.356.17"></a><var>356.17</var>provide via telemedicine;<br />
         		<a id="pl.356.18"></a><var>356.18</var>(2) has written policies and procedures specific to telemedicine services that are
         <br />
         		<a id="pl.356.19"></a><var>356.19</var>regularly reviewed and updated;<br />
         		<a id="pl.356.20"></a><var>356.20</var>(3) has policies and procedures that adequately address patient safety before, during,
         <br />
         		<a id="pl.356.21"></a><var>356.21</var>and after the telemedicine service is rendered;<br />
         		<a id="pl.356.22"></a><var>356.22</var>(4) has established protocols addressing how and when to discontinue telemedicine
         <br />
         		<a id="pl.356.23"></a><var>356.23</var>services; and<br />
         		<a id="pl.356.24"></a><var>356.24</var>(5) has an established quality assurance process related to telemedicine services.<br />
         		<a id="pl.356.25"></a><var>356.25</var>(c) As a condition of payment, a licensed health care provider must document <br />
         		<a id="pl.356.26"></a><var>356.26</var>each occurrence of a health service provided by telemedicine to a medical assistance
         <br />
         		<a id="pl.356.27"></a><var>356.27</var>enrollee. Health care service records for services provided by telemedicine must meet
         <br />
         		<a id="pl.356.28"></a><var>356.28</var>the requirements set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and
         <br />
         		<a id="pl.356.29"></a><var>356.29</var>must document:<br />
         		<a id="pl.356.30"></a><var>356.30</var>(1) the type of service provided by telemedicine;<br />
         		<a id="pl.356.31"></a><var>356.31</var>(2) the time the service began and the time the service ended, including an a.m. and
         <br />
         		<a id="pl.356.32"></a><var>356.32</var>p.m. designation;<br />
         		<a id="pl.356.33"></a><var>356.33</var>(3) the licensed health care provider's basis for determining that telemedicine is
         an <br />
         		<a id="pl.356.34"></a><var>356.34</var>appropriate and effective means for delivering the service to the enrollee; <br />
         		<a id="pl.356.35"></a><var>356.35</var>(4) the mode of transmission of the telemedicine service and records evidencing that
         <br />
         		<a id="pl.356.36"></a><var>356.36</var>a particular mode of transmission was utilized;<br />
         		<a id="pl.357.1"></a><var>357.1</var>(5) the location of the originating site and the distant site;<br />
         		<a id="pl.357.2"></a><var>357.2</var>(6) if the claim for payment is based on a physician's telemedicine consultation <br />
         		<a id="pl.357.3"></a><var>357.3</var>with another physician, the written opinion from the consulting physician providing
         the <br />
         		<a id="pl.357.4"></a><var>357.4</var>telemedicine consultation; and<br />
         		<a id="pl.357.5"></a><var>357.5</var>(7) compliance with the criteria attested to by the health care provider in accordance
         <br />
         		<a id="pl.357.6"></a><var>357.6</var>with paragraph (b).<br />
         		<a id="pl.357.7"></a><var>357.7</var>(d) For purposes of this subdivision, unless otherwise covered under this chapter,
         <br />
         		<a id="pl.357.8"></a><var>357.8</var>"telemedicine" is defined as the delivery of health care services or consultations
         while <br />
         		<a id="pl.357.9"></a><var>357.9</var>the patient is at an originating site and the licensed health care provider is at
         a distant <br />
         		<a id="pl.357.10"></a><var>357.10</var>site. A communication between licensed health care providers, or a licensed health
         care <br />
         		<a id="pl.357.11"></a><var>357.11</var>provider and a patient that consists solely of a telephone conversation, e-mail, or
         facsimile <br />
         		<a id="pl.357.12"></a><var>357.12</var>transmission does not constitute telemedicine consultations or services. Telemedicine
         may <br />
         		<a id="pl.357.13"></a><var>357.13</var>be provided by means of real-time two-way, interactive audio and visual communications,
         <br />
         		<a id="pl.357.14"></a><var>357.14</var>including the application of secure video conferencing or store-and-forward technology
         <br />
         		<a id="pl.357.15"></a><var>357.15</var>to provide or support health care delivery, which facilitate the assessment, diagnosis,
         <br />
         		<a id="pl.357.16"></a><var>357.16</var>consultation, treatment, education, and care management of a patient's health care.<br />
         		<a id="pl.357.17"></a><var>357.17</var>(e) For purposes of this section, "licensed health care provider" is defined under
         <br />
         		<a id="pl.357.18"></a><var>357.18</var>section 62A.671, subdivision 6; "health care provider" is defined under section 62A.671,
         <br />
         		<a id="pl.357.19"></a><var>357.19</var>subdivision 3; and "originating site" is defined under section 62A.671, subdivision
         7.<br />
         		<a id="pl.357.20"></a><var>357.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.9.14.0"></a><a id="pl.357.21"></a><var>357.21</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 256B.0625, subdivision 13, is amended to <br />
         		<a id="pl.357.22"></a><var>357.22</var>read:<br />
         		<a id="pl.357.23"></a><var>357.23</var>&#160;&#160;&#160;&#160;Subd. 13. <b>Drugs.</b> (a) Medical assistance covers drugs, except for fertility drugs <br />
         		<a id="pl.357.24"></a><var>357.24</var>when specifically used to enhance fertility, if prescribed by a licensed practitioner
         and <br />
         		<a id="pl.357.25"></a><var>357.25</var>dispensed by a licensed pharmacist, by a physician enrolled in the medical assistance
         <br />
         		<a id="pl.357.26"></a><var>357.26</var>program as a dispensing physician, or by a physician, physician assistant, or a nurse
         <br />
         		<a id="pl.357.27"></a><var>357.27</var>practitioner employed by or under contract with a community health board as defined
         in <br />
         		<a id="pl.357.28"></a><var>357.28</var>section 
         <statute_ref>145A.02, subdivision 5</statute_ref>, for the purposes of communicable disease control.<br />
         		<a id="pl.357.29"></a><var>357.29</var>(b) The dispensed quantity of a prescription drug must not exceed a 34-day supply,
         <br />
         		<a id="pl.357.30"></a><var>357.30</var>unless authorized by the commissioner.<br />
         		<a id="pl.357.31"></a><var>357.31</var>(c) For the purpose of this subdivision and subdivision 13d, an "active <br />
         		<a id="pl.357.32"></a><var>357.32</var>pharmaceutical ingredient" is defined as a substance that is represented for use in
         a drug <br />
         		<a id="pl.357.33"></a><var>357.33</var>and when used in the manufacturing, processing, or packaging of a drug becomes an
         <br />
         		<a id="pl.357.34"></a><var>357.34</var>active ingredient of the drug product. An "excipient" is defined as an inert substance
         <br />
         		<a id="pl.357.35"></a><var>357.35</var>used as a diluent or vehicle for a drug. The commissioner shall establish a list of
         active <br />
         		<a id="pl.358.1"></a><var>358.1</var>pharmaceutical ingredients and excipients which are included in the medical assistance
         <br />
         		<a id="pl.358.2"></a><var>358.2</var>formulary. Medical assistance covers selected active pharmaceutical ingredients and
         <br />
         		<a id="pl.358.3"></a><var>358.3</var>excipients used in compounded prescriptions when the compounded combination is <br />
         		<a id="pl.358.4"></a><var>358.4</var>specifically approved by the commissioner or when a commercially available product:<br />
         		<a id="pl.358.5"></a><var>358.5</var>(1) is not a therapeutic option for the patient;<br />
         		<a id="pl.358.6"></a><var>358.6</var>(2) does not exist in the same combination of active ingredients in the same strengths
         <br />
         		<a id="pl.358.7"></a><var>358.7</var>as the compounded prescription; and<br />
         		<a id="pl.358.8"></a><var>358.8</var>(3) cannot be used in place of the active pharmaceutical ingredient in the <br />
         		<a id="pl.358.9"></a><var>358.9</var>compounded prescription.<br />
         		<a id="pl.358.10"></a><var>358.10</var>(d) Medical assistance covers the following over-the-counter drugs when prescribed
         <br />
         		<a id="pl.358.11"></a><var>358.11</var>by a licensed practitioner or by a licensed pharmacist who meets standards established
         by <br />
         		<a id="pl.358.12"></a><var>358.12</var>the commissioner, in consultation with the board of pharmacy: antacids, acetaminophen,
         <br />
         		<a id="pl.358.13"></a><var>358.13</var>family planning products, aspirin, insulin, products for the treatment of lice, vitamins
         for <br />
         		<a id="pl.358.14"></a><var>358.14</var>adults with documented vitamin deficiencies, vitamins for children under the age of
         seven <br />
         		<a id="pl.358.15"></a><var>358.15</var>and pregnant or nursing women, and any other over-the-counter drug identified by the
         <br />
         		<a id="pl.358.16"></a><var>358.16</var>commissioner, in consultation with the formulary committee, as necessary, appropriate,
         <br />
         		<a id="pl.358.17"></a><var>358.17</var>and cost-effective for the treatment of certain specified chronic diseases, conditions,
         <br />
         		<a id="pl.358.18"></a><var>358.18</var>or disorders, and this determination shall not be subject to the requirements of chapter
         <br />
         		<a id="pl.358.19"></a><var>358.19</var>14. A pharmacist may prescribe over-the-counter medications as provided under this
         <br />
         		<a id="pl.358.20"></a><var>358.20</var>paragraph for purposes of receiving reimbursement under Medicaid. When prescribing
         <br />
         		<a id="pl.358.21"></a><var>358.21</var>over-the-counter drugs under this paragraph, licensed pharmacists must consult with
         <br />
         		<a id="pl.358.22"></a><var>358.22</var>the recipient to determine necessity, provide drug counseling, review drug therapy
         <br />
         		<a id="pl.358.23"></a><var>358.23</var>for potential adverse interactions, and make referrals as needed to other health care
         <br />
         		<a id="pl.358.24"></a><var>358.24</var>professionals. Over-the-counter medications must be dispensed in a quantity that is
         the <br />
         		<a id="pl.358.25"></a><var>358.25</var>lower lowest of: (1) the number of dosage units contained in the manufacturer's original <br />
         		<a id="pl.358.26"></a><var>358.26</var>package; and (2) the number of dosage units required to complete the patient's course of <br />
         		<a id="pl.358.27"></a><var>358.27</var>therapy; or (3) if applicable, the number of dosage units dispensed from a system using <br />
         		<a id="pl.358.28"></a><var>358.28</var>retrospective billing, as provided under subdivision 13e, paragraph (b).<br />
         		<a id="pl.358.29"></a><var>358.29</var>(e) Effective January 1, 2006, medical assistance shall not cover drugs that <br />
         		<a id="pl.358.30"></a><var>358.30</var>are coverable under Medicare Part D as defined in the Medicare Prescription Drug,
         <br />
         		<a id="pl.358.31"></a><var>358.31</var>Improvement, and Modernization Act of 2003, Public Law 108-173, section 1860D-2(e),
         <br />
         		<a id="pl.358.32"></a><var>358.32</var>for individuals eligible for drug coverage as defined in the Medicare Prescription
         <br />
         		<a id="pl.358.33"></a><var>358.33</var>Drug, Improvement, and Modernization Act of 2003, Public Law 108-173, section <br />
         		<a id="pl.358.34"></a><var>358.34</var>1860D-1(a)(3)(A). For these individuals, medical assistance may cover drugs from the
         <br />
         		<a id="pl.358.35"></a><var>358.35</var>drug classes listed in United States Code, title 42, section 1396r-8(d)(2), subject
         to this <br />
         		<a id="pl.359.1"></a><var>359.1</var>subdivision and subdivisions 13a to 13g, except that drugs listed in United States
         Code, <br />
         		<a id="pl.359.2"></a><var>359.2</var>title 42, section 1396r-8(d)(2)(E), shall not be covered.<br />
         		<a id="pl.359.3"></a><var>359.3</var>(f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing
         <br />
         		<a id="pl.359.4"></a><var>359.4</var>Program and dispensed by 340B covered entities and ambulatory pharmacies under <br />
         		<a id="pl.359.5"></a><var>359.5</var>common ownership of the 340B covered entity. Medical assistance does not cover drugs
         <br />
         		<a id="pl.359.6"></a><var>359.6</var>acquired through the federal 340B Drug Pricing Program and dispensed by 340B contract
         <br />
         		<a id="pl.359.7"></a><var>359.7</var>pharmacies.<br />
         		<a id="pl.359.8"></a><var>359.8</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016, or upon federal <br />
         		<a id="pl.359.9"></a><var>359.9</var>approval, whichever is later.<br />
         		<br />
         		<a id="bill.9.15.0"></a><a id="pl.359.10"></a><var>359.10</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 256B.0625, subdivision 13e, is amended to <br />
         		<a id="pl.359.11"></a><var>359.11</var>read:<br />
         		<a id="pl.359.12"></a><var>359.12</var>&#160;&#160;&#160;&#160;Subd. 13e. <b>Payment rates.</b> (a) The basis for determining the amount of payment <br />
         		<a id="pl.359.13"></a><var>359.13</var>shall be the lower of the actual acquisition costs of the drugs or the maximum allowable
         <br />
         		<a id="pl.359.14"></a><var>359.14</var>cost by the commissioner plus the fixed dispensing fee; or the usual and customary
         price <br />
         		<a id="pl.359.15"></a><var>359.15</var>charged to the public. The amount of payment basis must be reduced to reflect all
         discount <br />
         		<a id="pl.359.16"></a><var>359.16</var>amounts applied to the charge by any provider/insurer agreement or contract for submitted
         <br />
         		<a id="pl.359.17"></a><var>359.17</var>charges to medical assistance programs. The net submitted charge may not be greater
         <br />
         		<a id="pl.359.18"></a><var>359.18</var>than the patient liability for the service. The pharmacy dispensing fee shall be $3.65
         <br />
         		<a id="pl.359.19"></a><var>359.19</var>for legend prescription drugs, except that the dispensing fee for intravenous solutions <br />
         		<a id="pl.359.20"></a><var>359.20</var>which must be compounded by the pharmacist shall be $8 per bag, $14 per bag for cancer
         <br />
         		<a id="pl.359.21"></a><var>359.21</var>chemotherapy products, and $30 per bag for total parenteral nutritional products dispensed
         <br />
         		<a id="pl.359.22"></a><var>359.22</var>in one liter quantities, or $44 per bag for total parenteral nutritional products
         dispensed in <br />
         		<a id="pl.359.23"></a><var>359.23</var>quantities greater than one liter. The pharmacy dispensing fee for over the counter drugs <br />
         		<a id="pl.359.24"></a><var>359.24</var>shall be $3.65, except that the fee shall be $1.31 for retrospectively billing pharmacies
         <br />
         		<a id="pl.359.25"></a><var>359.25</var>when billing for quantities less than the number of units contained in the manufacturer's
         <br />
         		<a id="pl.359.26"></a><var>359.26</var>original package. Actual acquisition cost includes quantity and other special discounts <br />
         		<a id="pl.359.27"></a><var>359.27</var>except time and cash discounts. The actual acquisition cost of a drug shall be estimated
         <br />
         		<a id="pl.359.28"></a><var>359.28</var>by the commissioner at wholesale acquisition cost plus four percent for independently
         <br />
         		<a id="pl.359.29"></a><var>359.29</var>owned pharmacies located in a designated rural area within Minnesota, and at wholesale
         <br />
         		<a id="pl.359.30"></a><var>359.30</var>acquisition cost plus two percent for all other pharmacies. A pharmacy is "independently
         <br />
         		<a id="pl.359.31"></a><var>359.31</var>owned" if it is one of four or fewer pharmacies under the same ownership nationally.
         A <br />
         		<a id="pl.359.32"></a><var>359.32</var>"designated rural area" means an area defined as a small rural area or isolated rural
         area <br />
         		<a id="pl.359.33"></a><var>359.33</var>according to the four-category classification of the Rural Urban Commuting Area system
         <br />
         		<a id="pl.359.34"></a><var>359.34</var>developed for the United States Health Resources and Services Administration. Effective
         <br />
         		<a id="pl.359.35"></a><var>359.35</var>January 1, 2014, the actual acquisition cost of a drug acquired through the federal
         340B <br />
         		<a id="pl.360.1"></a><var>360.1</var>Drug Pricing Program shall be estimated by the commissioner at wholesale acquisition
         <br />
         		<a id="pl.360.2"></a><var>360.2</var>cost minus 40 percent. Wholesale acquisition cost is defined as the manufacturer's
         list <br />
         		<a id="pl.360.3"></a><var>360.3</var>price for a drug or biological to wholesalers or direct purchasers in the United States,
         not <br />
         		<a id="pl.360.4"></a><var>360.4</var>including prompt pay or other discounts, rebates, or reductions in price, for the
         most <br />
         		<a id="pl.360.5"></a><var>360.5</var>recent month for which information is available, as reported in wholesale price guides
         or <br />
         		<a id="pl.360.6"></a><var>360.6</var>other publications of drug or biological pricing data. The maximum allowable cost
         of a <br />
         		<a id="pl.360.7"></a><var>360.7</var>multisource drug may be set by the commissioner and it shall be comparable to, but
         no <br />
         		<a id="pl.360.8"></a><var>360.8</var>higher than, the maximum amount paid by other third-party payors in this state who
         have <br />
         		<a id="pl.360.9"></a><var>360.9</var>maximum allowable cost programs. Establishment of the amount of payment for drugs
         <br />
         		<a id="pl.360.10"></a><var>360.10</var>shall not be subject to the requirements of the Administrative Procedure Act.<br />
         		<a id="pl.360.11"></a><var>360.11</var>&#160;&#160;&#160;&#160;(b) Pharmacies dispensing prescriptions to residents of long-term care facilities <br />
         		<a id="pl.360.12"></a><var>360.12</var>using an automated drug distribution system meeting the requirements of section 151.58,
         <br />
         		<a id="pl.360.13"></a><var>360.13</var>or a packaging system meeting the packaging standards set forth in Minnesota Rules,
         part <br />
         		<a id="pl.360.14"></a><var>360.14</var>6800.2700, that govern the return of unused drugs to the pharmacy for reuse, may employ
         <br />
         		<a id="pl.360.15"></a><var>360.15</var>retrospective billing for prescription drugs dispensed to long-term care facility
         residents. <br />
         		<a id="pl.360.16"></a><var>360.16</var>A retrospectively billing pharmacy must submit a claim only for the quantity of medication
         <br />
         		<a id="pl.360.17"></a><var>360.17</var>used by the enrolled recipient during the defined billing period. A retrospectively
         billing <br />
         		<a id="pl.360.18"></a><var>360.18</var>pharmacy must use a billing period not less than one calendar month or 30 days.<br />
         		<a id="pl.360.19"></a><var>360.19</var>&#160;&#160;&#160;&#160;(c) An additional dispensing fee of $.30 may be added to the dispensing fee paid to <br />
         		<a id="pl.360.20"></a><var>360.20</var>pharmacists for legend drug prescriptions dispensed to residents of long-term care
         facilities <br />
         		<a id="pl.360.21"></a><var>360.21</var>when a unit dose blister card system, approved by the department, is used. Under this
         type <br />
         		<a id="pl.360.22"></a><var>360.22</var>of dispensing system, the pharmacist must dispense a 30-day supply of drug. The National
         <br />
         		<a id="pl.360.23"></a><var>360.23</var>Drug Code (NDC) from the drug container used to fill the blister card must be identified
         on <br />
         		<a id="pl.360.24"></a><var>360.24</var>the claim to the department. The unit dose blister card containing the drug must meet
         the <br />
         		<a id="pl.360.25"></a><var>360.25</var>packaging standards set forth in Minnesota Rules, part 6800.2700, that govern the
         return of <br />
         		<a id="pl.360.26"></a><var>360.26</var>unused drugs to the pharmacy for reuse. The A pharmacy provider will be using packaging <br />
         		<a id="pl.360.27"></a><var>360.27</var>that meets the standards set forth in Minnesota Rules, part 6800.2700, is required to credit <br />
         		<a id="pl.360.28"></a><var>360.28</var>the department for the actual acquisition cost of all unused drugs that are eligible
         for reuse, <br />
         		<a id="pl.360.29"></a><var>360.29</var>unless the pharmacy is using retrospective billing. The commissioner may permit the drug <br />
         		<a id="pl.360.30"></a><var>360.30</var>clozapine to be dispensed in a quantity that is less than a 30-day supply.<br />
         		<a id="pl.360.31"></a><var>360.31</var>&#160;&#160;&#160;&#160;(c) (d) Whenever a maximum allowable cost has been set for a multisource drug, <br />
         		<a id="pl.360.32"></a><var>360.32</var>payment shall be the lower of the usual and customary price charged to the public
         or the <br />
         		<a id="pl.360.33"></a><var>360.33</var>maximum allowable cost established by the commissioner unless prior authorization
         <br />
         		<a id="pl.360.34"></a><var>360.34</var>for the brand name product has been granted according to the criteria established
         by <br />
         		<a id="pl.360.35"></a><var>360.35</var>the Drug Formulary Committee as required by subdivision 13f, paragraph (a), and the
         <br />
         		<a id="pl.361.1"></a><var>361.1</var>prescriber has indicated "dispense as written" on the prescription in a manner consistent
         <br />
         		<a id="pl.361.2"></a><var>361.2</var>with section 
         <statute_ref>151.21, subdivision 2</statute_ref>.<br />
         		<a id="pl.361.3"></a><var>361.3</var>&#160;&#160;&#160;&#160;(d) (e) The basis for determining the amount of payment for drugs administered in <br />
         		<a id="pl.361.4"></a><var>361.4</var>an outpatient setting shall be the lower of the usual and customary cost submitted
         by <br />
         		<a id="pl.361.5"></a><var>361.5</var>the provider, 106 percent of the average sales price as determined by the United States
         <br />
         		<a id="pl.361.6"></a><var>361.6</var>Department of Health and Human Services pursuant to title XVIII, section 1847a of
         the <br />
         		<a id="pl.361.7"></a><var>361.7</var>federal Social Security Act, the specialty pharmacy rate, or the maximum allowable
         cost <br />
         		<a id="pl.361.8"></a><var>361.8</var>set by the commissioner. If average sales price is unavailable, the amount of payment
         <br />
         		<a id="pl.361.9"></a><var>361.9</var>must be lower of the usual and customary cost submitted by the provider, the wholesale
         <br />
         		<a id="pl.361.10"></a><var>361.10</var>acquisition cost, the specialty pharmacy rate, or the maximum allowable cost set by
         the <br />
         		<a id="pl.361.11"></a><var>361.11</var>commissioner. Effective January 1, 2014, the commissioner shall discount the payment
         <br />
         		<a id="pl.361.12"></a><var>361.12</var>rate for drugs obtained through the federal 340B Drug Pricing Program by 20 percent.
         The <br />
         		<a id="pl.361.13"></a><var>361.13</var>payment for drugs administered in an outpatient setting shall be made to the administering
         <br />
         		<a id="pl.361.14"></a><var>361.14</var>facility or practitioner. A retail or specialty pharmacy dispensing a drug for administration
         <br />
         		<a id="pl.361.15"></a><var>361.15</var>in an outpatient setting is not eligible for direct reimbursement.<br />
         		<a id="pl.361.16"></a><var>361.16</var>&#160;&#160;&#160;&#160;(e) (f) The commissioner may negotiate lower reimbursement rates for specialty <br />
         		<a id="pl.361.17"></a><var>361.17</var>pharmacy products than the rates specified in paragraph (a). The commissioner may
         <br />
         		<a id="pl.361.18"></a><var>361.18</var>require individuals enrolled in the health care programs administered by the department
         <br />
         		<a id="pl.361.19"></a><var>361.19</var>to obtain specialty pharmacy products from providers with whom the commissioner has
         <br />
         		<a id="pl.361.20"></a><var>361.20</var>negotiated lower reimbursement rates. Specialty pharmacy products are defined as those
         <br />
         		<a id="pl.361.21"></a><var>361.21</var>used by a small number of recipients or recipients with complex and chronic diseases
         <br />
         		<a id="pl.361.22"></a><var>361.22</var>that require expensive and challenging drug regimens. Examples of these conditions
         <br />
         		<a id="pl.361.23"></a><var>361.23</var>include, but are not limited to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis
         <br />
         		<a id="pl.361.24"></a><var>361.24</var>C, growth hormone deficiency, Crohn's Disease, rheumatoid arthritis, and certain forms
         <br />
         		<a id="pl.361.25"></a><var>361.25</var>of cancer. Specialty pharmaceutical products include injectable and infusion therapies,
         <br />
         		<a id="pl.361.26"></a><var>361.26</var>biotechnology drugs, antihemophilic factor products, high-cost therapies, and therapies
         <br />
         		<a id="pl.361.27"></a><var>361.27</var>that require complex care. The commissioner shall consult with the formulary committee
         <br />
         		<a id="pl.361.28"></a><var>361.28</var>to develop a list of specialty pharmacy products subject to this paragraph. In consulting
         <br />
         		<a id="pl.361.29"></a><var>361.29</var>with the formulary committee in developing this list, the commissioner shall take
         into <br />
         		<a id="pl.361.30"></a><var>361.30</var>consideration the population served by specialty pharmacy products, the current delivery
         <br />
         		<a id="pl.361.31"></a><var>361.31</var>system and standard of care in the state, and access to care issues. The commissioner
         shall <br />
         		<a id="pl.361.32"></a><var>361.32</var>have the discretion to adjust the reimbursement rate to prevent access to care issues.<br />
         		<a id="pl.361.33"></a><var>361.33</var>(f) (g) Home infusion therapy services provided by home infusion therapy <br />
         		<a id="pl.361.34"></a><var>361.34</var>pharmacies must be paid at rates according to subdivision 8d.<br />
         		<a id="pl.361.35"></a><var>361.35</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016, or upon federal <br />
         		<a id="pl.361.36"></a><var>361.36</var>approval, whichever is later.<br />
         		<br />
         		<a id="bill.9.16.0"></a><a id="pl.362.1"></a><var>362.1</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 256B.072, is amended to read:<br />
         		<a id="pl.362.2"></a><var>362.2</var><b>256B.072 PERFORMANCE REPORTING AND QUALITY IMPROVEMENT </b><br />
         		<a id="pl.362.3"></a><var>362.3</var><b>SYSTEM.</b><br />
         		<a id="pl.362.4"></a><var>362.4</var>(a) The commissioner of human services shall establish a performance reporting <br />
         		<a id="pl.362.5"></a><var>362.5</var>system for health care providers who provide health care services to public program
         <br />
         		<a id="pl.362.6"></a><var>362.6</var>recipients covered under chapters 256B, 256D, and 256L, reporting separately for <br />
         		<a id="pl.362.7"></a><var>362.7</var>managed care and fee-for-service recipients.<br />
         		<a id="pl.362.8"></a><var>362.8</var>(b) The measures used for the performance reporting system for medical groups <br />
         		<a id="pl.362.9"></a><var>362.9</var>shall include measures of care for asthma, diabetes, hypertension, and coronary artery
         <br />
         		<a id="pl.362.10"></a><var>362.10</var>disease and measures of preventive care services. The measures used for the performance
         <br />
         		<a id="pl.362.11"></a><var>362.11</var>reporting system for inpatient hospitals shall include measures of care for acute
         myocardial <br />
         		<a id="pl.362.12"></a><var>362.12</var>infarction, heart failure, and pneumonia, and measures of care and prevention of surgical
         <br />
         		<a id="pl.362.13"></a><var>362.13</var>infections. In the case of a medical group, the measures used shall be consistent
         with <br />
         		<a id="pl.362.14"></a><var>362.14</var>measures published by nonprofit Minnesota or national organizations that produce and
         <br />
         		<a id="pl.362.15"></a><var>362.15</var>disseminate health care quality measures or evidence-based health care guidelines.
         In <br />
         		<a id="pl.362.16"></a><var>362.16</var>the case of inpatient hospital measures, the commissioner shall appoint the Minnesota
         <br />
         		<a id="pl.362.17"></a><var>362.17</var>Hospital Association and Stratis Health to advise on the development of the performance
         <br />
         		<a id="pl.362.18"></a><var>362.18</var>measures to be used for hospital reporting. To enable a consistent measurement process
         <br />
         		<a id="pl.362.19"></a><var>362.19</var>across the community, the commissioner may use measures of care provided for patients
         in <br />
         		<a id="pl.362.20"></a><var>362.20</var>addition to those identified in paragraph (a). The commissioner shall ensure collaboration
         <br />
         		<a id="pl.362.21"></a><var>362.21</var>with other health care reporting organizations so that the measures described in this
         <br />
         		<a id="pl.362.22"></a><var>362.22</var>section are consistent with those reported by those organizations and used by other
         <br />
         		<a id="pl.362.23"></a><var>362.23</var>purchasers in Minnesota.<br />
         		<a id="pl.362.24"></a><var>362.24</var>(c) The commissioner may require providers to submit information in a required <br />
         		<a id="pl.362.25"></a><var>362.25</var>format to a health care reporting organization or to cooperate with the information
         collection <br />
         		<a id="pl.362.26"></a><var>362.26</var>procedures of that organization. The commissioner may collaborate with a reporting
         <br />
         		<a id="pl.362.27"></a><var>362.27</var>organization to collect information reported and to prevent duplication of reporting.<br />
         		<a id="pl.362.28"></a><var>362.28</var>(d) By October 1, 2007, and annually thereafter, the commissioner shall report <br />
         		<a id="pl.362.29"></a><var>362.29</var>through a public Web site the results by medical groups and hospitals, where possible,
         <br />
         		<a id="pl.362.30"></a><var>362.30</var>of the measures under this section, and shall compare the results by medical groups
         and <br />
         		<a id="pl.362.31"></a><var>362.31</var>hospitals for patients enrolled in public programs to patients enrolled in private
         health <br />
         		<a id="pl.362.32"></a><var>362.32</var>plans. To achieve this reporting, the commissioner may collaborate with a health care
         <br />
         		<a id="pl.362.33"></a><var>362.33</var>reporting organization that operates a Web site suitable for this purpose.<br />
         		<a id="pl.362.34"></a><var>362.34</var>(e) Performance measures must be stratified as provided under section 62U.02, <br />
         		<a id="pl.362.35"></a><var>362.35</var>subdivision 1, paragraph (b), and risk-adjusted as specified in section 62U.02, subdivision
         <br />
         		<a id="pl.362.36"></a><var>362.36</var>3, paragraph (b).<br />
         		<br />
         		<a id="bill.9.17.0"></a><a id="pl.363.1"></a><var>363.1</var>&#160;&#160;&#160;&#160;Sec. 17. <b>PROPOSAL FOR CHILD PROTECTION FOCUSED "COMMUNITY </b><br />
         		<a id="pl.363.2"></a><var>363.2</var><b>MEDICAL RESPONSE EMERGENCY MEDICAL TECHNICIAN" (CEMT) </b><br />
         		<a id="pl.363.3"></a><var>363.3</var><b>MODEL.</b><br />
         		<a id="pl.363.4"></a><var>363.4</var>The commissioner shall develop a proposal for a pilot project to create a <br />
         		<a id="pl.363.5"></a><var>363.5</var>community-based support system that coordinates services between child protection
         <br />
         		<a id="pl.363.6"></a><var>363.6</var>services and community emergency medical technicians. This pilot project model shall
         <br />
         		<a id="pl.363.7"></a><var>363.7</var>be developed with the input of stakeholders that represent both child protection services
         <br />
         		<a id="pl.363.8"></a><var>363.8</var>and community emergency medical technicians.   The model must be designed so that
         the <br />
         		<a id="pl.363.9"></a><var>363.9</var>collaborative effort results in increased safety for children and increased support
         for <br />
         		<a id="pl.363.10"></a><var>363.10</var>families.   The pilot project model must be reviewed by the Task Force on the Protection
         of <br />
         		<a id="pl.363.11"></a><var>363.11</var>Children, and the commissioner shall make recommendations for the pilot project to
         the <br />
         		<a id="pl.363.12"></a><var>363.12</var>members of the legislative committees with primary jurisdiction over CEMT and child
         <br />
         		<a id="pl.363.13"></a><var>363.13</var>protection issues no later than January 15, 2016.<br />
         		<br />
         		<a id="bill.9.18.0"></a><a id="pl.363.14"></a><var>363.14</var>&#160;&#160;&#160;&#160;Sec. 18. <b>COMMUNITY MEDICAL RESPONSE EMERGENCY MEDICAL </b><br />
         		<a id="pl.363.15"></a><var>363.15</var><b>TECHNICIAN SERVICES COVERED UNDER THE MEDICAL ASSISTANCE </b><br />
         		<a id="pl.363.16"></a><var>363.16</var><b>PROGRAM.</b><br />
         		<a id="pl.363.17"></a><var>363.17</var>(a) The commissioner of human services, in consultation with representatives of <br />
         		<a id="pl.363.18"></a><var>363.18</var>emergency medical service providers, public health nurses, community health workers,
         <br />
         		<a id="pl.363.19"></a><var>363.19</var>the Minnesota State Fire Chiefs Association, the Minnesota Professional Firefighters
         <br />
         		<a id="pl.363.20"></a><var>363.20</var>Association, the Minnesota State Firefighters Department Association, Minnesota <br />
         		<a id="pl.363.21"></a><var>363.21</var>Academy of Family Physicians, Minnesota Licensed Practical Nurses Association, <br />
         		<a id="pl.363.22"></a><var>363.22</var>Minnesota Nurses Association, and local public health agencies, shall determine specified
         <br />
         		<a id="pl.363.23"></a><var>363.23</var>services and payment rates for these services to be performed by community medical
         <br />
         		<a id="pl.363.24"></a><var>363.24</var>response emergency medical technicians certified under Minnesota Statutes, section
         <br />
         		<a id="pl.363.25"></a><var>363.25</var>144E.275, subdivision 7, and covered by medical assistance under Minnesota Statutes,
         <br />
         		<a id="pl.363.26"></a><var>363.26</var>section 256B.0625. Services must be in the CEMT skill set and may include interventions
         <br />
         		<a id="pl.363.27"></a><var>363.27</var>intended to prevent avoidable ambulance transportation or hospital emergency department
         <br />
         		<a id="pl.363.28"></a><var>363.28</var>use.<br />
         		<a id="pl.363.29"></a><var>363.29</var>(b) In order to be eligible for payment, services provided by a community medical
         <br />
         		<a id="pl.363.30"></a><var>363.30</var>response emergency medical technician must be:<br />
         		<a id="pl.363.31"></a><var>363.31</var>(1) ordered by a medical response unit medical director;<br />
         		<a id="pl.363.32"></a><var>363.32</var>(2) part of a patient care plan that has been developed in coordination with the <br />
         		<a id="pl.363.33"></a><var>363.33</var>patient's primary physician, advanced practice registered nurse, and relevant local
         health <br />
         		<a id="pl.363.34"></a><var>363.34</var>care providers; and<br />
         		<a id="pl.364.1"></a><var>364.1</var>(3) billed by an eligible medical assistance enrolled provider that employs or <br />
         		<a id="pl.364.2"></a><var>364.2</var>contracts with the community medical response emergency medical technician.<br />
         		<a id="pl.364.3"></a><var>364.3</var>In determining the community medical response emergency medical technician services
         <br />
         		<a id="pl.364.4"></a><var>364.4</var>to include under medical assistance coverage, the commissioner of human services shall
         <br />
         		<a id="pl.364.5"></a><var>364.5</var>consider the potential of hospital admittance and emergency room utilization reductions
         as <br />
         		<a id="pl.364.6"></a><var>364.6</var>well as increased access to quality care in rural communities.<br />
         		<a id="pl.364.7"></a><var>364.7</var>(c) The commissioner of human services shall submit the list of services to be <br />
         		<a id="pl.364.8"></a><var>364.8</var>covered by medical assistance to the chairs and ranking minority members of the <br />
         		<a id="pl.364.9"></a><var>364.9</var>legislative committees with jurisdiction over health and human services policy and
         <br />
         		<a id="pl.364.10"></a><var>364.10</var>spending by February 15, 2016. These services shall not be covered by medical assistance
         <br />
         		<a id="pl.364.11"></a><var>364.11</var>until legislation providing coverage for the services is enacted in law.<br />
         		<br />
         		<a id="bill.9.19.0"></a><a id="pl.364.12"></a><var>364.12</var>&#160;&#160;&#160;&#160;Sec. 19. <b>EVALUATION OF COMMUNITY MEDICAL RESPONSE </b><br />
         		<a id="pl.364.13"></a><var>364.13</var><b>EMERGENCY MEDICAL TECHNICIAN SERVICES.</b><br />
         		<a id="pl.364.14"></a><var>364.14</var>If legislation is enacted to cover community medical response emergency medical <br />
         		<a id="pl.364.15"></a><var>364.15</var>technician services with medical assistance, the commissioner of human services shall
         <br />
         		<a id="pl.364.16"></a><var>364.16</var>evaluate the effect of medical assistance and MinnesotaCare coverage for those services
         <br />
         		<a id="pl.364.17"></a><var>364.17</var>on the cost and quality of care under those programs and the coordination of those
         services <br />
         		<a id="pl.364.18"></a><var>364.18</var>with the health care home services. The commissioner shall present findings to the
         chairs <br />
         		<a id="pl.364.19"></a><var>364.19</var>and ranking minority members of the legislative committees with jurisdiction over
         health <br />
         		<a id="pl.364.20"></a><var>364.20</var>and human services policy and spending by December 1, 2017. The commissioner shall
         <br />
         		<a id="pl.364.21"></a><var>364.21</var>require medical assistance and MinnesotaCare enrolled providers that employ or contract
         <br />
         		<a id="pl.364.22"></a><var>364.22</var>with community medical response emergency medical technicians to provide to the <br />
         		<a id="pl.364.23"></a><var>364.23</var>commissioner, in the form and manner specified by the commissioner, the utilization,
         cost, <br />
         		<a id="pl.364.24"></a><var>364.24</var>and quality data necessary to conduct this evaluation.<br />
         		<br />
         		<a id="bill.10.0.0"></a><div class="xtend_ce"><a id="pl.364.25"></a><var>364.25</var><b>ARTICLE 10</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.364.26"></a><var>364.26</var><b>HEALTH LICENSING BOARDS</b><br />
            		
         </div><br />
         		<a id="bill.10.1.0"></a><a id="pl.364.27"></a><var>364.27</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 148.52, is amended to read:<br />
         		<a id="pl.364.28"></a><var>364.28</var><b>148.52 BOARD OF OPTOMETRY.</b><br />
         		<a id="pl.364.29"></a><var>364.29</var>The Board of Optometry shall consist of two public members as defined by section <br />
         		
         <statute_ref><a id="pl.364.30"></a><var>364.30</var>214.02
         </statute_ref> and five qualified Minnesota licensed optometrists appointed by the governor. <br />
         		<a id="pl.364.31"></a><var>364.31</var>Membership terms, compensation of members, removal of members, the filling of <br />
         		<a id="pl.364.32"></a><var>364.32</var>membership vacancies, and fiscal year and reporting requirements shall be as provided
         in <br />
         		<a id="pl.364.33"></a><var>364.33</var>sections 
         <statute_ref>214.07</statute_ref> to 
         <statute_ref>214.09</statute_ref>.<br />
         		<a id="pl.365.1"></a><var>365.1</var>The provision of staff, administrative services and office space; the review and <br />
         		<a id="pl.365.2"></a><var>365.2</var>processing of complaints; the setting of board fees; and other provisions relating
         to board <br />
         		<a id="pl.365.3"></a><var>365.3</var>operations shall be as provided in chapter 214.<br />
         		<br />
         		<a id="bill.10.2.0"></a><a id="pl.365.4"></a><var>365.4</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 148.54, is amended to read:<br />
         		<a id="pl.365.5"></a><var>365.5</var><b>148.54 BOARD; SEAL.</b><br />
         		<a id="pl.365.6"></a><var>365.6</var>The Board of Optometry shall elect from among its members a president, vice <br />
         		<a id="pl.365.7"></a><var>365.7</var>president, and secretary and may adopt a seal.<br />
         		<br />
         		<a id="bill.10.3.0"></a><a id="pl.365.8"></a><var>365.8</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 148.57, subdivision 1, is amended to read:<br />
         		<a id="pl.365.9"></a><var>365.9</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Examination.</b> (a) A person not authorized to practice optometry in <br />
         		<a id="pl.365.10"></a><var>365.10</var>the state and desiring to do so shall apply to the state Board of Optometry by filling
         out <br />
         		<a id="pl.365.11"></a><var>365.11</var>and swearing to an application for a license granted by the board and accompanied
         by a <br />
         		<a id="pl.365.12"></a><var>365.12</var>fee in an amount of $87 established by the board, not to exceed the amount specified in <br />
         		<a id="pl.365.13"></a><var>365.13</var>section 148.59. With the submission of the application form, the candidate shall prove <br />
         		<a id="pl.365.14"></a><var>365.14</var>that the candidate:<br />
         		<a id="pl.365.15"></a><var>365.15</var>(1) is of good moral character;<br />
         		<a id="pl.365.16"></a><var>365.16</var>(2) has obtained a clinical doctorate degree from a board-approved school or college
         <br />
         		<a id="pl.365.17"></a><var>365.17</var>of optometry, or is currently enrolled in the final year of study at such an institution;
         and<br />
         		<a id="pl.365.18"></a><var>365.18</var>(3) has passed all parts of an examination.<br />
         		<a id="pl.365.19"></a><var>365.19</var>(b) The examination shall include both a written portion and a clinical practical
         <br />
         		<a id="pl.365.20"></a><var>365.20</var>portion and shall thoroughly test the fitness of the candidate to practice in this
         state. In <br />
         		<a id="pl.365.21"></a><var>365.21</var>regard to the written and clinical practical examinations, the board may:<br />
         		<a id="pl.365.22"></a><var>365.22</var>(1) prepare, administer, and grade the examination itself;<br />
         		<a id="pl.365.23"></a><var>365.23</var>(2) recognize and approve in whole or in part an examination prepared, administered
         <br />
         		<a id="pl.365.24"></a><var>365.24</var>and graded by a national board of examiners in optometry; or<br />
         		<a id="pl.365.25"></a><var>365.25</var>(3) administer a recognized and approved examination prepared and graded by or <br />
         		<a id="pl.365.26"></a><var>365.26</var>under the direction of a national board of examiners in optometry.<br />
         		<a id="pl.365.27"></a><var>365.27</var>(c) The board shall issue a license to each applicant who satisfactorily passes the
         <br />
         		<a id="pl.365.28"></a><var>365.28</var>examinations and fulfills the other requirements stated in this section and section 
         <statute_ref>148.575 <br />
            		<a id="pl.365.29"></a><var>365.29</var></statute_ref>for board certification for the use of legend drugs. Applicants for initial licensure
         do not <br />
         		<a id="pl.365.30"></a><var>365.30</var>need to apply for or possess a certificate as referred to in sections 
         <statute_ref>148.571</statute_ref> to 
         <statute_ref>148.574</statute_ref>. The <br />
         		<a id="pl.365.31"></a><var>365.31</var>fees mentioned in this section are for the use of the board and in no case shall be
         refunded.<br />
         		<br />
         		<a id="bill.10.4.0"></a><a id="pl.365.32"></a><var>365.32</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 148.57, subdivision 2, is amended to read:<br />
         		<a id="pl.366.1"></a><var>366.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Endorsement.</b> (a) An optometrist who holds a current license from <br />
         		<a id="pl.366.2"></a><var>366.2</var>another state, and who has practiced in that state not less than three years immediately
         <br />
         		<a id="pl.366.3"></a><var>366.3</var>preceding application, may apply for licensure in Minnesota by filling out and swearing
         <br />
         		<a id="pl.366.4"></a><var>366.4</var>to an application for license by endorsement furnished by the board. The completed
         <br />
         		<a id="pl.366.5"></a><var>366.5</var>application with all required documentation shall be filed at the board office along
         with a <br />
         		<a id="pl.366.6"></a><var>366.6</var>fee of $87 established by the board, not to exceed the amount specified in section 148.59. <br />
         		<a id="pl.366.7"></a><var>366.7</var>The application fee shall be for the use of the board and in no case shall be refunded.<br />
         		<a id="pl.366.8"></a><var>366.8</var>(b) To verify that the applicant possesses the knowledge and ability essential to the
         <br />
         		<a id="pl.366.9"></a><var>366.9</var>practice of optometry in this state, the applicant must provide evidence of:<br />
         		<a id="pl.366.10"></a><var>366.10</var>(1) having obtained a clinical doctorate degree from a board-approved school <br />
         		<a id="pl.366.11"></a><var>366.11</var>or college of optometry;<br />
         		<a id="pl.366.12"></a><var>366.12</var>(2) successful completion of both written and practical examinations for licensure
         in <br />
         		<a id="pl.366.13"></a><var>366.13</var>the applicant's original state of licensure that thoroughly tested the fitness of
         the applicant <br />
         		<a id="pl.366.14"></a><var>366.14</var>to practice;<br />
         		<a id="pl.366.15"></a><var>366.15</var>(3) successful completion of an examination of Minnesota state optometry laws;<br />
         		<a id="pl.366.16"></a><var>366.16</var>(4) compliance with the requirements for board certification in section 
         <statute_ref>148.575</statute_ref>;<br />
         		<a id="pl.366.17"></a><var>366.17</var>(5) compliance with all continuing education required for license renewal in every
         <br />
         		<a id="pl.366.18"></a><var>366.18</var>state in which the applicant currently holds an active license to practice; and<br />
         		<a id="pl.366.19"></a><var>366.19</var>(6) being in good standing with every state board from which a license has been <br />
         		<a id="pl.366.20"></a><var>366.20</var>issued.<br />
         		<a id="pl.366.21"></a><var>366.21</var>(c) Documentation from a national certification system or program, approved by <br />
         		<a id="pl.366.22"></a><var>366.22</var>the board, which supports any of the listed requirements, may be used as evidence.
         The <br />
         		<a id="pl.366.23"></a><var>366.23</var>applicant may then be issued a license if the requirements for licensure in the other
         state <br />
         		<a id="pl.366.24"></a><var>366.24</var>are deemed by the board to be equivalent to those of sections 
         <statute_ref>148.52</statute_ref> to 
         <statute_ref>148.62</statute_ref>.<br />
         		<br />
         		<a id="bill.10.5.0"></a><a id="pl.366.25"></a><var>366.25</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 148.57, is amended by adding a subdivision <br />
         		<a id="pl.366.26"></a><var>366.26</var>to read:<br />
         		<a id="pl.366.27"></a><var>366.27</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Change of address.</b>  A person regulated by the board shall maintain a <br />
         		<a id="pl.366.28"></a><var>366.28</var>current name and address with the board and shall notify the board in writing within
         30 <br />
         		<a id="pl.366.29"></a><var>366.29</var>days of any change in name or address. If a name change only is requested, the regulated
         <br />
         		<a id="pl.366.30"></a><var>366.30</var>person must request revised credentials and return the current credentials to the
         board. <br />
         		<a id="pl.366.31"></a><var>366.31</var>The board may require the regulated person to substantiate the name change by submitting
         <br />
         		<a id="pl.366.32"></a><var>366.32</var>official documentation from a court of law or agency authorized under law to receive
         and <br />
         		<a id="pl.366.33"></a><var>366.33</var>officially record a name change. If an address change only is requested, no request
         for <br />
         		<a id="pl.366.34"></a><var>366.34</var>revised credentials is required. If the regulated person's current credentials have
         been lost, <br />
         		<a id="pl.366.35"></a><var>366.35</var>stolen, or destroyed, the person shall provide a written explanation to the board.<br />
         		<br />
         		<a id="bill.10.6.0"></a><a id="pl.367.1"></a><var>367.1</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 148.574, is amended to read:<br />
         		<a id="pl.367.2"></a><var>367.2</var><b>148.574 PROHIBITIONS RELATING TO LEGEND DRUGS</b><b>; </b><br />
         		<a id="pl.367.3"></a><var>367.3</var><b>AUTHORIZING SALES BY PHARMACISTS UNDER CERTAIN CONDITIONS</b><b>.</b><br />
         		<a id="pl.367.4"></a><var>367.4</var>&#160;&#160;&#160;&#160;An optometrist shall not purchase, possess, administer, prescribe or give any legend
         <br />
         		<a id="pl.367.5"></a><var>367.5</var>drug as defined in section 
         <statute_ref>151.01</statute_ref> or 
         <statute_ref>152.02</statute_ref> to any person except as is expressly authorized <br />
         		<a id="pl.367.6"></a><var>367.6</var>by sections 
         <statute_ref>148.571</statute_ref> to 
         <statute_ref>148.577</statute_ref>. Nothing in chapter 151 shall prevent a pharmacist from <br />
         		<a id="pl.367.7"></a><var>367.7</var>selling topical ocular drugs to an optometrist authorized to use such drugs according
         to <br />
         		<a id="pl.367.8"></a><var>367.8</var>sections 
         <statute_ref>148.571</statute_ref> to 
         <statute_ref>148.577</statute_ref>. Notwithstanding sections 
         <statute_ref>151.37</statute_ref> and 
         <statute_ref>152.12</statute_ref>, an optometrist <br />
         		<a id="pl.367.9"></a><var>367.9</var>is prohibited from dispensing legend drugs at retail, unless the legend drug is within
         the <br />
         		<a id="pl.367.10"></a><var>367.10</var>scope designated in section 
         <statute_ref>148.56, subdivision 1</statute_ref>, and is administered to the eye through <br />
         		<a id="pl.367.11"></a><var>367.11</var>an ophthalmic good as defined in section 
         <statute_ref>145.711, subdivision 4</statute_ref>.<br />
         		<br />
         		<a id="bill.10.7.0"></a><a id="pl.367.12"></a><var>367.12</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 148.575, subdivision 2, is amended to read:<br />
         		<a id="pl.367.13"></a><var>367.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Board certified</b><b> Requirements</b><b> defined.</b> "Board certified" means that A <br />
         		<a id="pl.367.14"></a><var>367.14</var>licensed optometrist has been issued a certificate by the Board of Optometry certifying <br />
         		<a id="pl.367.15"></a><var>367.15</var>that the optometrist has complied shall comply with the following requirements for the use <br />
         		<a id="pl.367.16"></a><var>367.16</var>of legend drugs described in section 
         <statute_ref>148.576</statute_ref>:<br />
         		<a id="pl.367.17"></a><var>367.17</var>(1) successful completion of at least 60 hours of study in general and ocular <br />
         		<a id="pl.367.18"></a><var>367.18</var>pharmacology emphasizing drugs used for examination or treatment purposes, their <br />
         		<a id="pl.367.19"></a><var>367.19</var>systemic effects and management or referral of adverse reactions;<br />
         		<a id="pl.367.20"></a><var>367.20</var>(2) (1) successful completion of at least 100 hours of study in the examination, <br />
         		<a id="pl.367.21"></a><var>367.21</var>diagnosis, and treatment of conditions of the human eye with legend drugs;<br />
         		<a id="pl.367.22"></a><var>367.22</var>(3) (2) successful completion of two years of supervised clinical experience in <br />
         		<a id="pl.367.23"></a><var>367.23</var>differential diagnosis of eye disease or disorders as part of optometric training
         or one year <br />
         		<a id="pl.367.24"></a><var>367.24</var>of that experience and ten years of actual clinical experience as a licensed optometrist;
         and<br />
         		<a id="pl.367.25"></a><var>367.25</var>(4) (3) successful completion of a nationally standardized examination approved or <br />
         		<a id="pl.367.26"></a><var>367.26</var>administered by the board on the subject of treatment and management of ocular disease.<br />
         		<br />
         		<a id="bill.10.8.0"></a><a id="pl.367.27"></a><var>367.27</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 148.577, is amended to read:<br />
         		<a id="pl.367.28"></a><var>367.28</var><b>148.577 STANDARD OF CARE.</b><br />
         		<a id="pl.367.29"></a><var>367.29</var>A licensed optometrist who is board certified under section 
         <statute_ref>148.575</statute_ref> is held to the <br />
         		<a id="pl.367.30"></a><var>367.30</var>same standard of care in the use of those legend drugs as physicians licensed by the
         state <br />
         		<a id="pl.367.31"></a><var>367.31</var>of Minnesota.<br />
         		<br />
         		<a id="bill.10.9.0"></a><a id="pl.367.32"></a><var>367.32</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 148.59, is amended to read:<br />
         		<a id="pl.368.1"></a><var>368.1</var><b>148.59 LICENSE RENEWAL; </b><b>FEE</b><b> LICENSE AND REGISTRATION FEES</b><b>.</b><br />
         		<a id="pl.368.2"></a><var>368.2</var>A licensed optometrist shall pay to the state Board of Optometry a fee as set by the
         <br />
         		<a id="pl.368.3"></a><var>368.3</var>board in order to renew a license as provided by board rule. No fees shall be refunded. <br />
         		<a id="pl.368.4"></a><var>368.4</var>Fees may not exceed the following amounts but may be adjusted lower by board direction
         <br />
         		<a id="pl.368.5"></a><var>368.5</var>and are for the exclusive use of the board: <br />
         		<a id="pl.368.6"></a><var>368.6</var>(1) optometry licensure application, $160;<br />
         		<a id="pl.368.7"></a><var>368.7</var>(2) optometry annual licensure renewal, $135;<br />
         		<a id="pl.368.8"></a><var>368.8</var>(3) optometry late penalty fee, $75;<br />
         		<a id="pl.368.9"></a><var>368.9</var>(4) annual license renewal card, $10;<br />
         		<a id="pl.368.10"></a><var>368.10</var>(5) continuing education provider application, $45;<br />
         		<a id="pl.368.11"></a><var>368.11</var>(6) emeritus registration, $10;<br />
         		<a id="pl.368.12"></a><var>368.12</var>(7) endorsement/reciprocity application, $160;<br />
         		<a id="pl.368.13"></a><var>368.13</var>(8) replacement of initial license, $12; and<br />
         		<a id="pl.368.14"></a><var>368.14</var>(9) license verification, $50.<br />
         		<br />
         		<a id="bill.10.10.0"></a><a id="pl.368.15"></a><var>368.15</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 148.603, is amended to read:<br />
         		<a id="pl.368.16"></a><var>368.16</var><b>148.603 </b><b>FORMS OF</b><b> GROUNDS FOR</b><b> DISCIPLINARY </b><b>ACTIONS</b><b> ACTION</b><b>.</b><br />
         		<a id="pl.368.17"></a><var>368.17</var>When grounds exist under section 
         <statute_ref>148.57, subdivision 3</statute_ref>, or other statute or rule <br />
         		<a id="pl.368.18"></a><var>368.18</var>which the board is authorized to enforce, the board may take one or more of the following
         <br />
         		<a id="pl.368.19"></a><var>368.19</var>disciplinary actions, provided that disciplinary or corrective action may not be imposed
         <br />
         		<a id="pl.368.20"></a><var>368.20</var>by the board on any regulated person except after a contested case hearing conducted
         <br />
         		<a id="pl.368.21"></a><var>368.21</var>pursuant to chapter 14 or by consent of the parties:<br />
         		<a id="pl.368.22"></a><var>368.22</var>(1) deny an application for a credential;<br />
         		<a id="pl.368.23"></a><var>368.23</var>(2) revoke the regulated person's credential;<br />
         		<a id="pl.368.24"></a><var>368.24</var>(3) suspend the regulated person's credential;<br />
         		<a id="pl.368.25"></a><var>368.25</var>(4) impose limitations on the regulated person's credential;<br />
         		<a id="pl.368.26"></a><var>368.26</var>(5) impose conditions on the regulated person's credential;<br />
         		<a id="pl.368.27"></a><var>368.27</var>(6) censure or reprimand the regulated person;<br />
         		<a id="pl.368.28"></a><var>368.28</var>(7) impose a civil penalty not exceeding $10,000 for each separate violation, the
         <br />
         		<a id="pl.368.29"></a><var>368.29</var>amount of the civil penalty to be fixed so as to deprive the person of any economic
         <br />
         		<a id="pl.368.30"></a><var>368.30</var>advantage gained by reason of the violation or to discourage similar violations or
         to <br />
         		<a id="pl.368.31"></a><var>368.31</var>reimburse the board for the cost of the investigation and proceeding. For purposes
         of <br />
         		<a id="pl.368.32"></a><var>368.32</var>this section, the cost of the investigation and proceeding may include, but is not
         limited <br />
         		<a id="pl.368.33"></a><var>368.33</var>to, fees paid for services provided by the Office of Administrative Hearings, legal
         and <br />
         		<a id="pl.368.34"></a><var>368.34</var>investigative services provided by the Office of the Attorney General, court reporters,
         <br />
         		<a id="pl.369.1"></a><var>369.1</var>witnesses, reproduction of records, board members' per diem compensation, board staff
         <br />
         		<a id="pl.369.2"></a><var>369.2</var>time, and travel costs and expenses incurred by board staff and board members; or<br />
         		<a id="pl.369.3"></a><var>369.3</var>(8) when grounds exist under section 
         <statute_ref>148.57, subdivision 3</statute_ref>, or a board rule, enter <br />
         		<a id="pl.369.4"></a><var>369.4</var>into an agreement with the regulated person for corrective action which may include
         <br />
         		<a id="pl.369.5"></a><var>369.5</var>requiring the regulated person:<br />
         		<a id="pl.369.6"></a><var>369.6</var>(i) to complete an educational course or activity;<br />
         		<a id="pl.369.7"></a><var>369.7</var>(ii) to submit to the executive director or designated board member a written <br />
         		<a id="pl.369.8"></a><var>369.8</var>protocol or reports designed to prevent future violations of the same kind;<br />
         		<a id="pl.369.9"></a><var>369.9</var>(iii) to meet with a board member or board designee to discuss prevention of future
         <br />
         		<a id="pl.369.10"></a><var>369.10</var>violations of the same kind; or<br />
         		<a id="pl.369.11"></a><var>369.11</var>(iv) to perform other action justified by the facts.<br />
         		<a id="pl.369.12"></a><var>369.12</var>Listing the measures in clause (8) does not preclude the board from including <br />
         		<a id="pl.369.13"></a><var>369.13</var>them in an order for disciplinary action. The board may refuse to grant a license or <br />
         		<a id="pl.369.14"></a><var>369.14</var>may impose disciplinary action as described in section 148.607 against any optometrist
         <br />
         		<a id="pl.369.15"></a><var>369.15</var>for the following:<br />
         		<a id="pl.369.16"></a><var>369.16</var>(1) failure to demonstrate the qualifications or satisfy the requirements for a license
         <br />
         		<a id="pl.369.17"></a><var>369.17</var>contained in this chapter or in rules of the board. The burden of proof shall be on
         the <br />
         		<a id="pl.369.18"></a><var>369.18</var>applicant to demonstrate the qualifications or the satisfaction of the requirements;<br />
         		<a id="pl.369.19"></a><var>369.19</var>(2) obtaining a license by fraud or cheating, or attempting to subvert the licensing
         <br />
         		<a id="pl.369.20"></a><var>369.20</var>examination process. Conduct which subverts or attempts to subvert the licensing <br />
         		<a id="pl.369.21"></a><var>369.21</var>examination process includes, but is not limited to: (i) conduct which violates the
         <br />
         		<a id="pl.369.22"></a><var>369.22</var>security of the examination materials, such as removing examination materials from
         the <br />
         		<a id="pl.369.23"></a><var>369.23</var>examination room or having unauthorized possession of any portion of a future, current,
         or <br />
         		<a id="pl.369.24"></a><var>369.24</var>previously administered licensing examination; (ii) conduct which violates the standard
         of <br />
         		<a id="pl.369.25"></a><var>369.25</var>test administration, such as communicating with another examinee during administration
         <br />
         		<a id="pl.369.26"></a><var>369.26</var>of the examination, copying another examinee's answers, permitting another examinee
         <br />
         		<a id="pl.369.27"></a><var>369.27</var>to copy one's answers, or possessing unauthorized materials; or (iii) impersonating
         an <br />
         		<a id="pl.369.28"></a><var>369.28</var>examinee or permitting an impersonator to take the examination on one's own behalf;<br />
         		<a id="pl.369.29"></a><var>369.29</var>(3) conviction, during the previous five years, of a felony or gross misdemeanor,
         <br />
         		<a id="pl.369.30"></a><var>369.30</var>reasonably related to the practice of optometry. Conviction as used in this section
         shall <br />
         		<a id="pl.369.31"></a><var>369.31</var>include a conviction of an offense which if committed in this state would be deemed
         a <br />
         		<a id="pl.369.32"></a><var>369.32</var>felony or gross misdemeanor without regard to its designation elsewhere, or a criminal
         <br />
         		<a id="pl.369.33"></a><var>369.33</var>proceeding where a finding or verdict of guilt is made or returned but the adjudication
         of <br />
         		<a id="pl.369.34"></a><var>369.34</var>guilt is either withheld or not entered thereon;<br />
         		<a id="pl.369.35"></a><var>369.35</var>(4) revocation, suspension, restriction, limitation, or other disciplinary action
         against <br />
         		<a id="pl.369.36"></a><var>369.36</var>the person's optometry license in another state or jurisdiction, failure to report
         to the <br />
         		<a id="pl.370.1"></a><var>370.1</var>board that charges regarding the person's license have been brought in another state
         or <br />
         		<a id="pl.370.2"></a><var>370.2</var>jurisdiction, or having been refused a license by any other state or jurisdiction;<br />
         		<a id="pl.370.3"></a><var>370.3</var>(5) advertising which is false or misleading, which violates any rule of the board,
         or <br />
         		<a id="pl.370.4"></a><var>370.4</var>which claims without substantiation the positive cure of any disease;<br />
         		<a id="pl.370.5"></a><var>370.5</var>(6) violating a rule adopted by the board or an order of the board, a state or federal
         <br />
         		<a id="pl.370.6"></a><var>370.6</var>law, which relates to the practice of optometry, or a state or federal narcotics or
         controlled <br />
         		<a id="pl.370.7"></a><var>370.7</var>substance law;<br />
         		<a id="pl.370.8"></a><var>370.8</var>(7) engaging in any unethical conduct; conduct likely to deceive, defraud, or harm
         <br />
         		<a id="pl.370.9"></a><var>370.9</var>the public, or demonstrating a willful or careless disregard for the health, welfare,
         or <br />
         		<a id="pl.370.10"></a><var>370.10</var>safety of a patient; or practice of optometry which is professionally incompetent,
         in that <br />
         		<a id="pl.370.11"></a><var>370.11</var>it may create unnecessary danger to any patient's life, health, or safety, which in
         any of <br />
         		<a id="pl.370.12"></a><var>370.12</var>the cases, proof of actual injury need not be established;<br />
         		<a id="pl.370.13"></a><var>370.13</var>(8) failure to supervise an optometrist's assistant or failure to supervise an <br />
         		<a id="pl.370.14"></a><var>370.14</var>optometrist under any agreement with the board;<br />
         		<a id="pl.370.15"></a><var>370.15</var>(9) aiding or abetting an unlicensed person in the practice of optometry, except that
         <br />
         		<a id="pl.370.16"></a><var>370.16</var>it is not a violation of this section for an optometrist to employ, supervise, or
         delegate <br />
         		<a id="pl.370.17"></a><var>370.17</var>functions to a qualified person who may or may not be required to obtain a license
         or <br />
         		<a id="pl.370.18"></a><var>370.18</var>registration to provide health services if that person is practicing within the scope
         of that <br />
         		<a id="pl.370.19"></a><var>370.19</var>person's license or registration or delegated authority;<br />
         		<a id="pl.370.20"></a><var>370.20</var>(10) adjudication as mentally incompetent, mentally ill, or developmentally <br />
         		<a id="pl.370.21"></a><var>370.21</var>disabled, or as a chemically dependent person, a person dangerous to the public, a
         sexually <br />
         		<a id="pl.370.22"></a><var>370.22</var>dangerous person, or a person who has a sexual psychopathic personality by a court
         of <br />
         		<a id="pl.370.23"></a><var>370.23</var>competent jurisdiction, within or without this state. Such adjudication shall automatically
         <br />
         		<a id="pl.370.24"></a><var>370.24</var>suspend a license for the duration of the license unless the board orders otherwise;<br />
         		<a id="pl.370.25"></a><var>370.25</var>(11) engaging in unprofessional conduct which includes any departure from or the <br />
         		<a id="pl.370.26"></a><var>370.26</var>failure to conform to the minimal standards of acceptable and prevailing practice
         in which <br />
         		<a id="pl.370.27"></a><var>370.27</var>case actual injury to a patient need not be established;<br />
         		<a id="pl.370.28"></a><var>370.28</var>(12) inability to practice optometry with reasonable skill and safety to patients
         <br />
         		<a id="pl.370.29"></a><var>370.29</var>by reason of illness, use of alcohol, drugs, narcotics, chemicals, or any other type
         of <br />
         		<a id="pl.370.30"></a><var>370.30</var>material or as a result of any mental or physical condition, including deterioration
         through <br />
         		<a id="pl.370.31"></a><var>370.31</var>the aging process or loss of motor skills;<br />
         		<a id="pl.370.32"></a><var>370.32</var>(13) revealing a privileged communication from or relating to a patient except when
         <br />
         		<a id="pl.370.33"></a><var>370.33</var>otherwise required or permitted by law;<br />
         		<a id="pl.370.34"></a><var>370.34</var>(14) improper management of medical records, including failure to maintain <br />
         		<a id="pl.370.35"></a><var>370.35</var>adequate medical records, to comply with a patient's request made pursuant to sections
         <br />
         		<a id="pl.370.36"></a><var>370.36</var>144.291 to 144.298 or to furnish a medical record or report required by law;<br />
         		<a id="pl.371.1"></a><var>371.1</var>(15) fee splitting, including without limitation:<br />
         		<a id="pl.371.2"></a><var>371.2</var>(i) paying, offering to pay, receiving, or agreeing to receive a commission, rebate,
         or <br />
         		<a id="pl.371.3"></a><var>371.3</var>remuneration, directly or indirectly, primarily for the referral of patients or the
         prescription <br />
         		<a id="pl.371.4"></a><var>371.4</var>of drugs or devices; and<br />
         		<a id="pl.371.5"></a><var>371.5</var>(ii) dividing fees with another optometrist, other health care provider, or a <br />
         		<a id="pl.371.6"></a><var>371.6</var>professional corporation, unless the division is in proportion to the services provided
         <br />
         		<a id="pl.371.7"></a><var>371.7</var>and the responsibility assumed by each professional and the optometrist has disclosed
         <br />
         		<a id="pl.371.8"></a><var>371.8</var>the terms of the division;<br />
         		<a id="pl.371.9"></a><var>371.9</var>(16) engaging in abusive or fraudulent billing practices, including violations of
         the <br />
         		<a id="pl.371.10"></a><var>371.10</var>federal Medicare and Medicaid laws or state medical assistance laws;<br />
         		<a id="pl.371.11"></a><var>371.11</var>(17) becoming addicted or habituated to a drug or intoxicant;<br />
         		<a id="pl.371.12"></a><var>371.12</var>(18) prescribing a drug or device for other than accepted therapeutic or experimental
         <br />
         		<a id="pl.371.13"></a><var>371.13</var>or investigative purposes authorized by the state or a federal agency;<br />
         		<a id="pl.371.14"></a><var>371.14</var>(19) engaging in conduct with a patient which is sexual or may reasonably be <br />
         		<a id="pl.371.15"></a><var>371.15</var>interpreted by the patient as sexual, or in any verbal behavior which is seductive
         or <br />
         		<a id="pl.371.16"></a><var>371.16</var>sexually demeaning to a patient;<br />
         		<a id="pl.371.17"></a><var>371.17</var>(20) failure to make reports as required by section 148.604 or to cooperate with an
         <br />
         		<a id="pl.371.18"></a><var>371.18</var>investigation of the board as required by section 148.606;<br />
         		<a id="pl.371.19"></a><var>371.19</var>(21) knowingly providing false or misleading information that is directly related
         to <br />
         		<a id="pl.371.20"></a><var>371.20</var>the care of a patient; and<br />
         		<a id="pl.371.21"></a><var>371.21</var>(22) practice of a board-regulated profession under lapsed or nonrenewed credentials.<br />
         		<br />
         		<a id="bill.10.11.0"></a><a id="pl.371.22"></a><var>371.22</var>&#160;&#160;&#160;&#160;Sec. 11. <b>[148.604] REPORTING OBLIGATIONS.</b><br />
         		<a id="pl.371.23"></a><var>371.23</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Permission to report.</b> A person who has knowledge of any conduct <br />
         		<a id="pl.371.24"></a><var>371.24</var>constituting grounds for discipline under sections 148.52 to 148.62 may report the
         <br />
         		<a id="pl.371.25"></a><var>371.25</var>violation to the board.<br />
         		<a id="pl.371.26"></a><var>371.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Institutions.</b> Any hospital, clinic, prepaid medical plan, or other health <br />
         		<a id="pl.371.27"></a><var>371.27</var>care institution or organization located in this state shall report to the board any
         action <br />
         		<a id="pl.371.28"></a><var>371.28</var>taken by the institution or organization or any of its administrators or medical or
         other <br />
         		<a id="pl.371.29"></a><var>371.29</var>committees to revoke, suspend, restrict, or condition an optometrist's privilege to
         practice <br />
         		<a id="pl.371.30"></a><var>371.30</var>or treat patients in the institution, or as part of the organization, any denial of
         privileges, <br />
         		<a id="pl.371.31"></a><var>371.31</var>or any other disciplinary action. The institution or organization shall also report
         the <br />
         		<a id="pl.371.32"></a><var>371.32</var>resignation of any optometrist prior to the conclusion of any disciplinary proceeding,
         or <br />
         		<a id="pl.371.33"></a><var>371.33</var>prior to the commencement of formal charges but after the optometrist had knowledge
         <br />
         		<a id="pl.371.34"></a><var>371.34</var>that formal charges were contemplated or in preparation. Each report made under this
         <br />
         		<a id="pl.371.35"></a><var>371.35</var>subdivision must state the nature of the action taken, state in detail the reasons
         for <br />
         		<a id="pl.372.1"></a><var>372.1</var>the action, and identify the specific patient medical records upon which the action
         was <br />
         		<a id="pl.372.2"></a><var>372.2</var>based. No report shall be required of an optometrist voluntarily limiting the practice
         of <br />
         		<a id="pl.372.3"></a><var>372.3</var>the optometrist at a hospital provided that the optometrist notifies all hospitals
         where the <br />
         		<a id="pl.372.4"></a><var>372.4</var>optometrist has privileges of the voluntary limitation and the reasons for it.<br />
         		<a id="pl.372.5"></a><var>372.5</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Licensed professionals.</b> A licensed optometrist shall report to the board <br />
         		<a id="pl.372.6"></a><var>372.6</var>personal knowledge of any conduct by any optometrist which the person reasonably <br />
         		<a id="pl.372.7"></a><var>372.7</var>believes constitutes grounds for disciplinary action under sections 148.52 to 148.62,
         <br />
         		<a id="pl.372.8"></a><var>372.8</var>including any conduct indicating that the person may be incompetent, may have engaged
         <br />
         		<a id="pl.372.9"></a><var>372.9</var>in unprofessional conduct, or may be physically unable to safely engage in the practice
         <br />
         		<a id="pl.372.10"></a><var>372.10</var>of optometry.<br />
         		<a id="pl.372.11"></a><var>372.11</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Self-reporting.</b> An optometrist shall report to the board any personal <br />
         		<a id="pl.372.12"></a><var>372.12</var>action which would require that a report be filed with the board by any person, health
         care <br />
         		<a id="pl.372.13"></a><var>372.13</var>facility, business, or organization pursuant to subdivisions 2 and 3.<br />
         		<a id="pl.372.14"></a><var>372.14</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Deadlines; forms; rulemaking.</b> Reports required by subdivisions 2 to <br />
         		<a id="pl.372.15"></a><var>372.15</var>4 must be submitted not later than 30 days after the occurrence of the reportable
         event <br />
         		<a id="pl.372.16"></a><var>372.16</var>or transaction. The board may provide forms for the submission of reports required
         by <br />
         		<a id="pl.372.17"></a><var>372.17</var>this section, may require that reports be submitted on the forms provided, and may
         adopt <br />
         		<a id="pl.372.18"></a><var>372.18</var>rules necessary to ensure prompt and accurate reporting.<br />
         		<a id="pl.372.19"></a><var>372.19</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Subpoenas.</b> The board may issue subpoenas for the production of any <br />
         		<a id="pl.372.20"></a><var>372.20</var>reports required by subdivisions 2 to 4 or any related documents.<br />
         		<br />
         		<a id="bill.10.12.0"></a><a id="pl.372.21"></a><var>372.21</var>&#160;&#160;&#160;&#160;Sec. 12. <b>[148.605] IMMUNITY.</b><br />
         		<a id="pl.372.22"></a><var>372.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Reporting.</b> Any person, health care facility, business, or organization <br />
         		<a id="pl.372.23"></a><var>372.23</var>is immune from civil liability or criminal prosecution for submitting a report to
         the <br />
         		<a id="pl.372.24"></a><var>372.24</var>board pursuant to section 148.604 or for otherwise reporting to the board violations
         or <br />
         		<a id="pl.372.25"></a><var>372.25</var>alleged violations of section 148.603, if they are acting in good faith and in the
         exercise <br />
         		<a id="pl.372.26"></a><var>372.26</var>of reasonable care.<br />
         		<a id="pl.372.27"></a><var>372.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Investigation; indemnification.</b> (a) Members of the board, persons <br />
         		<a id="pl.372.28"></a><var>372.28</var>employed by the board, and consultants retained by the board for the purpose of <br />
         		<a id="pl.372.29"></a><var>372.29</var>investigation of violations, the preparation of charges, and management of board orders
         on <br />
         		<a id="pl.372.30"></a><var>372.30</var>behalf of the board are immune from civil liability and criminal prosecution for any
         actions, <br />
         		<a id="pl.372.31"></a><var>372.31</var>transactions, or publications in the execution of, or relating to, their duties under
         sections <br />
         		<a id="pl.372.32"></a><var>372.32</var>148.52 to 148.62, if they are acting in good faith and in the exercise of reasonable
         care.<br />
         		<a id="pl.372.33"></a><var>372.33</var>(b) Members of the board and persons employed by the board or engaged in <br />
         		<a id="pl.372.34"></a><var>372.34</var>maintaining records and making reports regarding adverse health care events are immune
         <br />
         		<a id="pl.372.35"></a><var>372.35</var>from civil liability and criminal prosecution for any actions, transactions, or publications
         <br />
         		<a id="pl.373.1"></a><var>373.1</var>in the execution of, or relating to, their duties under sections 148.52 to 148.62,
         if they are <br />
         		<a id="pl.373.2"></a><var>373.2</var>acting in good faith and in the exercise of reasonable care.<br />
         		<a id="pl.373.3"></a><var>373.3</var>(c) For purposes of this section, a member of the board or a consultant described
         in <br />
         		<a id="pl.373.4"></a><var>373.4</var>paragraph (a) is considered a state employee under section 3.736, subdivision 9.<br />
         		<br />
         		<a id="bill.10.13.0"></a><a id="pl.373.5"></a><var>373.5</var>&#160;&#160;&#160;&#160;Sec. 13. <b>[148.606] OPTOMETRIST COOPERATION.</b><br />
         		<a id="pl.373.6"></a><var>373.6</var>An optometrist who is the subject of an investigation by or on behalf of the board
         <br />
         		<a id="pl.373.7"></a><var>373.7</var>shall cooperate fully with the investigation. Cooperation includes responding fully
         and <br />
         		<a id="pl.373.8"></a><var>373.8</var>promptly to any question raised by or on behalf of the board relating to the subject
         of the <br />
         		<a id="pl.373.9"></a><var>373.9</var>investigation and providing copies of patient medical records, as reasonably requested
         <br />
         		<a id="pl.373.10"></a><var>373.10</var>by the board, to assist the board in its investigation. If the board does not have
         written <br />
         		<a id="pl.373.11"></a><var>373.11</var>consent from a patient permitting access to the patient's records, the optometrist
         shall <br />
         		<a id="pl.373.12"></a><var>373.12</var>delete any data in the record which identifies the patient before providing it to
         the board. <br />
         		<a id="pl.373.13"></a><var>373.13</var>The board shall maintain any records obtained pursuant to this section as investigative
         <br />
         		<a id="pl.373.14"></a><var>373.14</var>data pursuant to chapter 13.<br />
         		<br />
         		<a id="bill.10.14.0"></a><a id="pl.373.15"></a><var>373.15</var>&#160;&#160;&#160;&#160;Sec. 14. <b>[148.607] DISCIPLINARY ACTIONS.</b><br />
         		<a id="pl.373.16"></a><var>373.16</var>When the board finds that a licensed optometrist under section 148.57 has violated
         a <br />
         		<a id="pl.373.17"></a><var>373.17</var>provision or provisions of sections 148.52 to 148.62, it may do one or more of the
         following:<br />
         		<a id="pl.373.18"></a><var>373.18</var>(1) revoke the license;<br />
         		<a id="pl.373.19"></a><var>373.19</var>(2) suspend the license;<br />
         		<a id="pl.373.20"></a><var>373.20</var>(3) impose limitations or conditions on the optometrist's practice of optometry, <br />
         		<a id="pl.373.21"></a><var>373.21</var>including the limitation of scope of practice to designated field specialties; the
         imposition <br />
         		<a id="pl.373.22"></a><var>373.22</var>of retraining or rehabilitation requirements; the requirement of practice under supervision;
         <br />
         		<a id="pl.373.23"></a><var>373.23</var>or the conditioning of continued practice on demonstration of knowledge or skills
         by <br />
         		<a id="pl.373.24"></a><var>373.24</var>appropriate examination or other review of skill and competence;<br />
         		<a id="pl.373.25"></a><var>373.25</var>(4) impose a civil penalty not exceeding $10,000 for each separate violation, the
         <br />
         		<a id="pl.373.26"></a><var>373.26</var>amount of the civil penalty to be fixed so as to deprive the optometrist of any economic
         <br />
         		<a id="pl.373.27"></a><var>373.27</var>advantage gained by reason of the violation charged or to reimburse the board for
         the cost <br />
         		<a id="pl.373.28"></a><var>373.28</var>of the investigation and proceeding; and<br />
         		<a id="pl.373.29"></a><var>373.29</var>(5) censure or reprimand the licensed optometrist.<br />
         		<br />
         		<a id="bill.10.15.0"></a><a id="pl.373.30"></a><var>373.30</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 148E.075, is amended to read:<br />
         		<a id="pl.373.31"></a><var>373.31</var><b>148E.075 </b><b>INACTIVE LICENSES</b><b> ALTERNATE LICENSES</b><b>.</b><br />
         		<a id="pl.373.32"></a><var>373.32</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Inactive status</b><b> Temporary leave license</b><b>.</b> (a) A licensee qualifies <br />
         		<a id="pl.373.33"></a><var>373.33</var>for inactive status under either of the circumstances described in paragraph (b) or
         (c).<br />
         		<a id="pl.374.1"></a><var>374.1</var>&#160;&#160;&#160;&#160;(b) A licensee qualifies for inactive status when the licensee is granted temporary
         <br />
         		<a id="pl.374.2"></a><var>374.2</var>leave from active practice. A licensee qualifies for temporary leave from active practice if <br />
         		<a id="pl.374.3"></a><var>374.3</var>the licensee demonstrates to the satisfaction of the board that the licensee is not
         engaged <br />
         		<a id="pl.374.4"></a><var>374.4</var>in the practice of social work in any setting, including settings in which social
         workers are <br />
         		<a id="pl.374.5"></a><var>374.5</var>exempt from licensure according to section 
         <statute_ref>148E.065</statute_ref>. A licensee who is granted temporary <br />
         		<a id="pl.374.6"></a><var>374.6</var>leave from active practice may reactivate the license according to section 
         <statute_ref>148E.080</statute_ref>.<br />
         		<a id="pl.374.7"></a><var>374.7</var>&#160;&#160;&#160;&#160;(b) A licensee may maintain a temporary leave license for no more than four <br />
         		<a id="pl.374.8"></a><var>374.8</var>consecutive years.<br />
         		<a id="pl.374.9"></a><var>374.9</var>&#160;&#160;&#160;&#160;(c) A licensee qualifies for inactive status when a licensee is granted an emeritus
         <br />
         		<a id="pl.374.10"></a><var>374.10</var>license. A licensee qualifies for an emeritus license if the licensee demonstrates
         to the <br />
         		<a id="pl.374.11"></a><var>374.11</var>satisfaction of the board that:<br />
         		<a id="pl.374.12"></a><var>374.12</var>&#160;&#160;&#160;&#160;(1) the licensee is retired from social work practice; and<br />
         		<a id="pl.374.13"></a><var>374.13</var>&#160;&#160;&#160;&#160;(2) the licensee is not engaged in the practice of social work in any setting, including
         <br />
         		<a id="pl.374.14"></a><var>374.14</var>settings in which social workers are exempt from licensure according to section 
         <statute_ref>148E.065</statute_ref>.<br />
         		<a id="pl.374.15"></a><var>374.15</var>A licensee who possesses an emeritus license may reactivate the license according
         to <br />
         		<a id="pl.374.16"></a><var>374.16</var>section 
         <statute_ref>148E.080</statute_ref>.<br />
         		<a id="pl.374.17"></a><var>374.17</var>&#160;&#160;&#160;&#160;(c) A licensee who is granted temporary leave from active practice may reactivate
         <br />
         		<a id="pl.374.18"></a><var>374.18</var>the license according to section 148E.080. If a licensee does not apply for reactivation
         <br />
         		<a id="pl.374.19"></a><var>374.19</var>within 60 days following the end of the consecutive four-year period, the license
         <br />
         		<a id="pl.374.20"></a><var>374.20</var>automatically expires. An individual with an expired license may apply for new licensure
         <br />
         		<a id="pl.374.21"></a><var>374.21</var>according to section 148E.055.<br />
         		<a id="pl.374.22"></a><var>374.22</var>&#160;&#160;&#160;&#160;(d) Except as provided in paragraph (e), a licensee who holds a temporary leave <br />
         		<a id="pl.374.23"></a><var>374.23</var>license must not practice, attempt to practice, offer to practice, or advertise or
         hold out as <br />
         		<a id="pl.374.24"></a><var>374.24</var>authorized to practice social work.<br />
         		<a id="pl.374.25"></a><var>374.25</var>&#160;&#160;&#160;&#160;(e) The board may grant a variance to the requirements of paragraph (d) if a licensee
         <br />
         		<a id="pl.374.26"></a><var>374.26</var>on temporary leave license provides emergency social work services. A variance is
         <br />
         		<a id="pl.374.27"></a><var>374.27</var>granted only if the board provides the variance in writing to the licensee. The board
         may <br />
         		<a id="pl.374.28"></a><var>374.28</var>impose conditions or restrictions on the variance.<br />
         		<a id="pl.374.29"></a><var>374.29</var>&#160;&#160;&#160;&#160;(f) In making representations of professional status to the public, when holding a
         <br />
         		<a id="pl.374.30"></a><var>374.30</var>temporary leave license, a licensee must state that the license is not active and
         that the <br />
         		<a id="pl.374.31"></a><var>374.31</var>licensee cannot practice social work.<br />
         		<a id="pl.374.32"></a><var>374.32</var>&#160;&#160;&#160;&#160;Subd. 1a. <b>Emeritus inactive license.</b> (a) A licensee qualifies for an emeritus inactive <br />
         		<a id="pl.374.33"></a><var>374.33</var>license if the licensee demonstrates to the satisfaction of the board that the licensee
         is:<br />
         		<a id="pl.374.34"></a><var>374.34</var>(1) retired from social work practice; and<br />
         		<a id="pl.374.35"></a><var>374.35</var>(2) not engaged in the practice of social work in any setting, including settings
         in <br />
         		<a id="pl.374.36"></a><var>374.36</var>which social workers are exempt from licensure according to section 148E.065.<br />
         		<a id="pl.375.1"></a><var>375.1</var>(b) A licensee with an emeritus inactive license may apply for reactivation according
         <br />
         		<a id="pl.375.2"></a><var>375.2</var>to section 148E.080 only during the four years following the granting of the emeritus
         <br />
         		<a id="pl.375.3"></a><var>375.3</var>inactive license. However, after four years following the granting of the emeritus
         inactive <br />
         		<a id="pl.375.4"></a><var>375.4</var>license, an individual may apply for new licensure according to section 148E.055.<br />
         		<a id="pl.375.5"></a><var>375.5</var>(c) Except as provided in paragraph (d), a licensee who holds an emeritus inactive
         <br />
         		<a id="pl.375.6"></a><var>375.6</var>license must not practice, attempt to practice, offer to practice, or advertise or
         hold out as <br />
         		<a id="pl.375.7"></a><var>375.7</var>authorized to practice social work.<br />
         		<a id="pl.375.8"></a><var>375.8</var>(d) The board may grant a variance to the requirements of paragraph (c) if a licensee
         <br />
         		<a id="pl.375.9"></a><var>375.9</var>on emeritus inactive license provides emergency social work services. A variance is
         <br />
         		<a id="pl.375.10"></a><var>375.10</var>granted only if the board provides the variance in writing to the licensee. The board
         may <br />
         		<a id="pl.375.11"></a><var>375.11</var>impose conditions or restrictions on the variance.<br />
         		<a id="pl.375.12"></a><var>375.12</var>(e) In making representations of professional status to the public, when holding <br />
         		<a id="pl.375.13"></a><var>375.13</var>an emeritus inactive license, a licensee must state that the license is not active
         and that <br />
         		<a id="pl.375.14"></a><var>375.14</var>the licensee cannot practice social work.<br />
         		<a id="pl.375.15"></a><var>375.15</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Emeritus active license.</b> (a) A licensee qualifies for an emeritus active <br />
         		<a id="pl.375.16"></a><var>375.16</var>license if the applicant demonstrates to the satisfaction of the board that the licensee
         is:<br />
         		<a id="pl.375.17"></a><var>375.17</var>(1) retired from social work practice; and<br />
         		<a id="pl.375.18"></a><var>375.18</var>(2) in compliance with the supervised practice requirements, as applicable, under
         <br />
         		<a id="pl.375.19"></a><var>375.19</var>sections 148E.100 to 148E.125.<br />
         		<a id="pl.375.20"></a><var>375.20</var>(b) A licensee who is issued an emeritus active license is only authorized to engage
         in:<br />
         		<a id="pl.375.21"></a><var>375.21</var>(1) pro bono or unpaid social work practice as specified in section 148E.010, <br />
         		<a id="pl.375.22"></a><var>375.22</var>subdivisions 6 and 11; or<br />
         		<a id="pl.375.23"></a><var>375.23</var>(2) paid social work practice not to exceed 240 clock hours per calendar year, for
         the <br />
         		<a id="pl.375.24"></a><var>375.24</var>exclusive purpose to provide licensing supervision as specified in sections 148E.100
         to <br />
         		<a id="pl.375.25"></a><var>375.25</var>148E.125; and<br />
         		<a id="pl.375.26"></a><var>375.26</var>(3) the authorized scope of practice specified in section 148E.050.<br />
         		<a id="pl.375.27"></a><var>375.27</var>(c) An emeritus active license must be renewed according to the requirements <br />
         		<a id="pl.375.28"></a><var>375.28</var>specified in section 148E.070, subdivisions 1, 2, 3, 4, and 5.<br />
         		<a id="pl.375.29"></a><var>375.29</var>(d) At the time of license renewal a licensee must provide evidence satisfactory to
         the <br />
         		<a id="pl.375.30"></a><var>375.30</var>board that the licensee has, during the renewal term, completed 20 clock hours of
         continuing <br />
         		<a id="pl.375.31"></a><var>375.31</var>education, including at least two clock hours in ethics, as specified in section 148E.130:<br />
         		<a id="pl.375.32"></a><var>375.32</var>(1) for licensed independent clinical social workers, at least 12 clock hours must
         be <br />
         		<a id="pl.375.33"></a><var>375.33</var>in the clinical content areas specified in section 148E.055, subdivision 5; and<br />
         		<a id="pl.375.34"></a><var>375.34</var>(2) for social workers providing supervision according to sections 148E.100 to <br />
         		<a id="pl.375.35"></a><var>375.35</var>148E.125, at least three clock hours must be in the practice of supervision.<br />
         		<a id="pl.376.1"></a><var>376.1</var>(e) Independent study hours must not consist of more than eight clock hours of <br />
         		<a id="pl.376.2"></a><var>376.2</var>continuing education per renewal term.<br />
         		<a id="pl.376.3"></a><var>376.3</var>(f) Failure to renew an active emeritus license on the expiration date will result
         in an <br />
         		<a id="pl.376.4"></a><var>376.4</var>expired license as specified in section 148E.070, subdivision 5.<br />
         		<a id="pl.376.5"></a><var>376.5</var>(g) The board may grant a variance to the requirements of paragraph (b) if a licensee
         <br />
         		<a id="pl.376.6"></a><var>376.6</var>holding an emeritus active license provides emergency social work services. A variance
         is <br />
         		<a id="pl.376.7"></a><var>376.7</var>granted only if the board provides the variance in writing to the licensee. The board
         may <br />
         		<a id="pl.376.8"></a><var>376.8</var>impose conditions or restrictions on the variance.<br />
         		<a id="pl.376.9"></a><var>376.9</var>(h) In making representations of professional status to the public, when holding an
         <br />
         		<a id="pl.376.10"></a><var>376.10</var>emeritus active license, a licensee must state that an emeritus active license authorizes
         only <br />
         		<a id="pl.376.11"></a><var>376.11</var>pro bono or unpaid social work practice, or paid social work practice not to exceed
         240 <br />
         		<a id="pl.376.12"></a><var>376.12</var>clock hours per calendar year, for the exclusive purpose to provide licensing supervision
         <br />
         		<a id="pl.376.13"></a><var>376.13</var>as specified in sections 148E.100 to 148E.125.<br />
         		<a id="pl.376.14"></a><var>376.14</var>(i) Notwithstanding the time limit and emeritus active license renewal requirements
         <br />
         		<a id="pl.376.15"></a><var>376.15</var>specified in this section, a licensee who possesses an emeritus active license may
         <br />
         		<a id="pl.376.16"></a><var>376.16</var>reactivate the license according to section 148E.080 or apply for new licensure according
         <br />
         		<a id="pl.376.17"></a><var>376.17</var>to section 148E.055.<br />
         		<a id="pl.376.18"></a><var>376.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application.</b> A licensee may apply for inactive status temporary leave <br />
         		<a id="pl.376.19"></a><var>376.19</var>license, emeritus inactive license, or emeritus active license:<br />
         		<a id="pl.376.20"></a><var>376.20</var>&#160;&#160;&#160;&#160;(1) at any time when currently licensed under section 148E.055, 148E.0555, <br />
         		<a id="pl.376.21"></a><var>376.21</var>148E.0556, or 148E.0557, or when licensed as specified in section 148E.075, by <br />
         		<a id="pl.376.22"></a><var>376.22</var>submitting an application for a temporary leave from active practice or for an emeritus <br />
         		<a id="pl.376.23"></a><var>376.23</var>license form required by the board; or<br />
         		<a id="pl.376.24"></a><var>376.24</var>&#160;&#160;&#160;&#160;(2) as an alternative to applying for the renewal of a license by so recording on
         the <br />
         		<a id="pl.376.25"></a><var>376.25</var>application for license renewal form required by the board and submitting the completed, <br />
         		<a id="pl.376.26"></a><var>376.26</var>signed application to the board.<br />
         		<a id="pl.376.27"></a><var>376.27</var>&#160;&#160;&#160;&#160;An application that is not completed or signed, or that is not accompanied by the
         <br />
         		<a id="pl.376.28"></a><var>376.28</var>correct fee, must be returned to the applicant, along with any fee submitted, and
         is void. <br />
         		<a id="pl.376.29"></a><var>376.29</var>For applications submitted electronically, a "signed application" means providing
         an <br />
         		<a id="pl.376.30"></a><var>376.30</var>attestation as specified by the board.<br />
         		<a id="pl.376.31"></a><var>376.31</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Fee.</b> (a) Regardless of when the application for inactive status temporary <br />
         		<a id="pl.376.32"></a><var>376.32</var>leave license or emeritus inactive license is submitted, the temporary leave license or <br />
         		<a id="pl.376.33"></a><var>376.33</var>emeritus inactive license fee specified in section 
         <statute_ref>148E.180</statute_ref>, whichever is applicable, must <br />
         		<a id="pl.376.34"></a><var>376.34</var>accompany the application. A licensee who is approved for inactive status temporary <br />
         		<a id="pl.376.35"></a><var>376.35</var>leave license or emeritus inactive license before the license expiration date is not entitled <br />
         		<a id="pl.376.36"></a><var>376.36</var>to receive a refund for any portion of the license or renewal fee.<br />
         		<a id="pl.377.1"></a><var>377.1</var>&#160;&#160;&#160;&#160;(b) If an application for temporary leave or emeritus active license is received after <br />
         		<a id="pl.377.2"></a><var>377.2</var>the license expiration date, the licensee must pay a renewal late fee as specified
         in section <br />
         		
         <statute_ref><a id="pl.377.3"></a><var>377.3</var>148E.180
         </statute_ref> in addition to the temporary leave fee.<br />
         		<a id="pl.377.4"></a><var>377.4</var>&#160;&#160;&#160;&#160;(c) Regardless of when the application for emeritus active license is submitted, <br />
         		<a id="pl.377.5"></a><var>377.5</var>the emeritus active license fee is one-half of the renewal fee for the applicable
         license <br />
         		<a id="pl.377.6"></a><var>377.6</var>specified in section 148E.180, subdivision 3, and must accompany the application.
         A <br />
         		<a id="pl.377.7"></a><var>377.7</var>licensee who is approved for emeritus active license before the license expiration
         date is <br />
         		<a id="pl.377.8"></a><var>377.8</var>not entitled to receive a refund for any portion of the license or renewal fee.<br />
         		<a id="pl.377.9"></a><var>377.9</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Time limits for temporary leaves.</b> A licensee may maintain an inactive <br />
         		<a id="pl.377.10"></a><var>377.10</var>license on temporary leave for no more than five consecutive years. If a licensee
         does <br />
         		<a id="pl.377.11"></a><var>377.11</var>not apply for reactivation within 60 days following the end of the consecutive five-year
         <br />
         		<a id="pl.377.12"></a><var>377.12</var>period, the license automatically expires.<br />
         		<a id="pl.377.13"></a><var>377.13</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Time limits for emeritus license.</b> A licensee with an emeritus license may <br />
         		<a id="pl.377.14"></a><var>377.14</var>not apply for reactivation according to section 
         <statute_ref>148E.080</statute_ref> after five years following the <br />
         		<a id="pl.377.15"></a><var>377.15</var>granting of the emeritus license. However, after five years following the granting
         of the <br />
         		<a id="pl.377.16"></a><var>377.16</var>emeritus license, an individual may apply for new licensure according to section 
         <statute_ref>148E.055</statute_ref>.<br />
         		<a id="pl.377.17"></a><var>377.17</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Prohibition on practice.</b> (a) Except as provided in paragraph (b), a <br />
         		<a id="pl.377.18"></a><var>377.18</var>licensee whose license is inactive must not practice, attempt to practice, offer to
         practice, <br />
         		<a id="pl.377.19"></a><var>377.19</var>or advertise or hold out as authorized to practice social work.<br />
         		<a id="pl.377.20"></a><var>377.20</var>&#160;&#160;&#160;&#160;(b) The board may grant a variance to the requirements of paragraph (a) if a licensee
         <br />
         		<a id="pl.377.21"></a><var>377.21</var>on inactive status provides emergency social work services. A variance is granted
         only <br />
         		<a id="pl.377.22"></a><var>377.22</var>if the board provides the variance in writing to the licensee. The board may impose
         <br />
         		<a id="pl.377.23"></a><var>377.23</var>conditions or restrictions on the variance.<br />
         		<a id="pl.377.24"></a><var>377.24</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Representations of professional status.</b> In making representations of <br />
         		<a id="pl.377.25"></a><var>377.25</var>professional status to the public, a licensee whose license is inactive must state
         that the <br />
         		<a id="pl.377.26"></a><var>377.26</var>license is inactive and that the licensee cannot practice social work.<br />
         		<a id="pl.377.27"></a><var>377.27</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Disciplinary or other action.</b> The board may resolve any pending <br />
         		<a id="pl.377.28"></a><var>377.28</var>complaints against a licensee before approving an application for inactive status an <br />
         		<a id="pl.377.29"></a><var>377.29</var>alternate license specified in this section. The board may take action according to sections <br />
         		
         <statute_ref><a id="pl.377.30"></a><var>377.30</var>148E.255
         </statute_ref> to 
         <statute_ref>148E.270</statute_ref> against a licensee whose license is inactive who is issued an <br />
         		<a id="pl.377.31"></a><var>377.31</var>alternate license specified in this section based on conduct occurring before the license is <br />
         		<a id="pl.377.32"></a><var>377.32</var>inactive or conduct occurring while the license is inactive effective.<br />
         		<br />
         		<a id="bill.10.16.0"></a><a id="pl.377.33"></a><var>377.33</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 148E.080, subdivision 1, is amended to read:<br />
         		<a id="pl.377.34"></a><var>377.34</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Mailing notices to licensees on temporary leave.</b> The board must <br />
         		<a id="pl.377.35"></a><var>377.35</var>mail a notice for reactivation to a licensee on temporary leave at least 45 days before
         the <br />
         		<a id="pl.378.1"></a><var>378.1</var>expiration date of the license according to section 148E.075, subdivision 4 1. Mailing <br />
         		<a id="pl.378.2"></a><var>378.2</var>the notice by United States mail to the licensee's last known mailing address constitutes
         <br />
         		<a id="pl.378.3"></a><var>378.3</var>valid mailing. Failure to receive the reactivation notice does not relieve a licensee
         of the <br />
         		<a id="pl.378.4"></a><var>378.4</var>obligation to comply with the provisions of this section to reactivate a license.<br />
         		<br />
         		<a id="bill.10.17.0"></a><a id="pl.378.5"></a><var>378.5</var>&#160;&#160;&#160;&#160;Sec. 17. Minnesota Statutes 2014, section 148E.080, subdivision 2, is amended to read:<br />
         		<a id="pl.378.6"></a><var>378.6</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Reactivation from a temporary leave or emeritus status.</b> To reactivate a <br />
         		<a id="pl.378.7"></a><var>378.7</var>license from a temporary leave or emeritus status, a licensee must do the following
         within <br />
         		<a id="pl.378.8"></a><var>378.8</var>the time period specified in section 
         <statute_ref>148E.075</statute_ref>, subdivisions 4 and 5 1, 1a, and 1b:<br />
         		<a id="pl.378.9"></a><var>378.9</var>&#160;&#160;&#160;&#160;(1) complete an application form specified by the board;<br />
         		<a id="pl.378.10"></a><var>378.10</var>&#160;&#160;&#160;&#160;(2) document compliance with the continuing education requirements specified in <br />
         		<a id="pl.378.11"></a><var>378.11</var>subdivision 4;<br />
         		<a id="pl.378.12"></a><var>378.12</var>&#160;&#160;&#160;&#160;(3) submit a supervision plan, if required;<br />
         		<a id="pl.378.13"></a><var>378.13</var>&#160;&#160;&#160;&#160;(4) pay the reactivation of an inactive licensee a license fee specified in section <br />
         		
         <statute_ref><a id="pl.378.14"></a><var>378.14</var>148E.180
         </statute_ref>; and<br />
         		<a id="pl.378.15"></a><var>378.15</var>&#160;&#160;&#160;&#160;(5) pay the wall certificate fee according to section 
         <statute_ref>148E.095, subdivision 1</statute_ref>, <br />
         		<a id="pl.378.16"></a><var>378.16</var>paragraph (b) or (c), if the licensee needs a duplicate license.<br />
         		<br />
         		<a id="bill.10.18.0"></a><a id="pl.378.17"></a><var>378.17</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 148E.180, subdivision 2, is amended to read:<br />
         		<a id="pl.378.18"></a><var>378.18</var>&#160;&#160;&#160;&#160;Subd. 2. <b>License fees.</b> License fees are as follows:<br />
         		<a id="pl.378.19"></a><var>378.19</var>&#160;&#160;&#160;&#160;(1) for a licensed social worker, $81;<br />
         		<a id="pl.378.20"></a><var>378.20</var>&#160;&#160;&#160;&#160;(2) for a licensed graduate social worker, $144;<br />
         		<a id="pl.378.21"></a><var>378.21</var>&#160;&#160;&#160;&#160;(3) for a licensed independent social worker, $216;<br />
         		<a id="pl.378.22"></a><var>378.22</var>&#160;&#160;&#160;&#160;(4) for a licensed independent clinical social worker, $238.50;<br />
         		<a id="pl.378.23"></a><var>378.23</var>&#160;&#160;&#160;&#160;(5) for an emeritus inactive license, $43.20; and<br />
         		<a id="pl.378.24"></a><var>378.24</var>&#160;&#160;&#160;&#160;(6) for an emeritus active license, one-half of the renewal fee specified in subdivision
         <br />
         		<a id="pl.378.25"></a><var>378.25</var>3; and<br />
         		<a id="pl.378.26"></a><var>378.26</var>&#160;&#160;&#160;&#160;(7) for a temporary leave fee, the same as the renewal fee specified in subdivision 3.<br />
         		<a id="pl.378.27"></a><var>378.27</var>&#160;&#160;&#160;&#160;If the licensee's initial license term is less or more than 24 months, the required
         <br />
         		<a id="pl.378.28"></a><var>378.28</var>license fees must be prorated proportionately.<br />
         		<br />
         		<a id="bill.10.19.0"></a><a id="pl.378.29"></a><var>378.29</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 148E.180, subdivision 5, is amended to read:<br />
         		<a id="pl.378.30"></a><var>378.30</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Late fees.</b> Late fees are as follows:<br />
         		<a id="pl.378.31"></a><var>378.31</var>&#160;&#160;&#160;&#160;(1) renewal late fee, one-fourth of the renewal fee specified in subdivision 3; and<br />
         		<a id="pl.378.32"></a><var>378.32</var>&#160;&#160;&#160;&#160;(2) supervision plan late fee, $40.; and<br />
         		<a id="pl.379.1"></a><var>379.1</var>&#160;&#160;&#160;&#160;(3) license late fee, $100 plus the prorated share of the license fee specified in
         <br />
         		<a id="pl.379.2"></a><var>379.2</var>subdivision 2 for the number of months during which the individual practiced social
         <br />
         		<a id="pl.379.3"></a><var>379.3</var>work without a license.<br />
         		<br />
         		<a id="bill.10.20.0"></a><a id="pl.379.4"></a><var>379.4</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 150A.091, subdivision 4, is amended to read:<br />
         		<a id="pl.379.5"></a><var>379.5</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Annual license fees.</b> Each limited faculty or resident dentist shall submit <br />
         		<a id="pl.379.6"></a><var>379.6</var>with an annual license renewal application a fee established by the board not to exceed
         <br />
         		<a id="pl.379.7"></a><var>379.7</var>the following amounts:<br />
         		<a id="pl.379.8"></a><var>379.8</var>(1) limited faculty dentist, $168; and<br />
         		<a id="pl.379.9"></a><var>379.9</var>(2) resident dentist or dental provider, $59 $85.<br />
         		<br />
         		<a id="bill.10.21.0"></a><a id="pl.379.10"></a><var>379.10</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 150A.091, subdivision 5, is amended to read:<br />
         		<a id="pl.379.11"></a><var>379.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Biennial license or permit fees.</b> Each of the following applicants shall <br />
         		<a id="pl.379.12"></a><var>379.12</var>submit with a biennial license or permit renewal application a fee as established
         by the <br />
         		<a id="pl.379.13"></a><var>379.13</var>board, not to exceed the following amounts:<br />
         		<a id="pl.379.14"></a><var>379.14</var>(1) dentist or full faculty dentist, $336 $475;<br />
         		<a id="pl.379.15"></a><var>379.15</var>(2) dental therapist, $180 $300;<br />
         		<a id="pl.379.16"></a><var>379.16</var>(3) dental hygienist, $118 $200;<br />
         		<a id="pl.379.17"></a><var>379.17</var>(4) licensed dental assistant, $80 $150; and<br />
         		<a id="pl.379.18"></a><var>379.18</var>(5) dental assistant with a permit as described in Minnesota Rules, part 3100.8500,
         <br />
         		<a id="pl.379.19"></a><var>379.19</var>subpart 3, $24.<br />
         		<br />
         		<a id="bill.10.22.0"></a><a id="pl.379.20"></a><var>379.20</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 150A.091, subdivision 11, is amended to read:<br />
         		<a id="pl.379.21"></a><var>379.21</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Certificate application fee for anesthesia/sedation.</b> Each dentist <br />
         		<a id="pl.379.22"></a><var>379.22</var>shall submit with a general anesthesia or moderate sedation application or, a contracted <br />
         		<a id="pl.379.23"></a><var>379.23</var>sedation provider application, or biennial renewal,  a fee as established by the board not to <br />
         		<a id="pl.379.24"></a><var>379.24</var>exceed the following amounts:<br />
         		<a id="pl.379.25"></a><var>379.25</var>(1) for both a general anesthesia and moderate sedation application, $250 $400;<br />
         		<a id="pl.379.26"></a><var>379.26</var>(2) for a general anesthesia application only, $250 $400;<br />
         		<a id="pl.379.27"></a><var>379.27</var>(3) for a moderate sedation application only, $250 $400; and<br />
         		<a id="pl.379.28"></a><var>379.28</var>(4) for a contracted sedation provider application, $250 $400.<br />
         		<br />
         		<a id="bill.10.23.0"></a><a id="pl.379.29"></a><var>379.29</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 150A.091, is amended by adding a <br />
         		<a id="pl.379.30"></a><var>379.30</var>subdivision to read:<br />
         		<a id="pl.380.1"></a><var>380.1</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Advanced dental therapy examination fee.</b> Any dental therapist eligible <br />
         		<a id="pl.380.2"></a><var>380.2</var>to sit for the advanced dental therapy certification examination must submit with
         the <br />
         		<a id="pl.380.3"></a><var>380.3</var>application a fee as established by the board, not to exceed $250.<br />
         		<br />
         		<a id="bill.10.24.0"></a><a id="pl.380.4"></a><var>380.4</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 150A.091, is amended by adding a <br />
         		<a id="pl.380.5"></a><var>380.5</var>subdivision to read:<br />
         		<a id="pl.380.6"></a><var>380.6</var>&#160;&#160;&#160;&#160;Subd. 18. <b>Corporation or professional firm late fee.</b> Any corporation or <br />
         		<a id="pl.380.7"></a><var>380.7</var>professional firm whose annual fee is not postmarked or otherwise received by the
         board <br />
         		<a id="pl.380.8"></a><var>380.8</var>by the due date of December 31 shall, in addition to the fee, submit a late fee as
         established <br />
         		<a id="pl.380.9"></a><var>380.9</var>by the board, not to exceed $15.<br />
         		<br />
         		<a id="bill.10.25.0"></a><a id="pl.380.10"></a><var>380.10</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 150A.31, is amended to read:<br />
         		<a id="pl.380.11"></a><var>380.11</var><b>150A.31 FEES.</b><br />
         		<a id="pl.380.12"></a><var>380.12</var>(a) The initial biennial registration fee is $50.<br />
         		<a id="pl.380.13"></a><var>380.13</var>(b) The biennial renewal registration fee is $25 not to exceed $80.<br />
         		<a id="pl.380.14"></a><var>380.14</var>(c) The fees specified in this section are nonrefundable and shall be deposited in
         <br />
         		<a id="pl.380.15"></a><var>380.15</var>the state government special revenue fund.<br />
         		<br />
         		<a id="bill.10.26.0"></a><a id="pl.380.16"></a><var>380.16</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 151.01, subdivision 15a, is amended to read:<br />
         		<a id="pl.380.17"></a><var>380.17</var>&#160;&#160;&#160;&#160;Subd. 15a. <b>Pharmacy technician.</b>  "Pharmacy technician" means a person not <br />
         		<a id="pl.380.18"></a><var>380.18</var>licensed as a pharmacist or registered as a pharmacist intern, who assists the pharmacist <br />
         		<a id="pl.380.19"></a><var>380.19</var>in the preparation and dispensing of medications by performing computer entry of <br />
         		<a id="pl.380.20"></a><var>380.20</var>prescription data and other manipulative tasks. A pharmacy technician shall not perform
         <br />
         		<a id="pl.380.21"></a><var>380.21</var>tasks specifically reserved to a licensed pharmacist or requiring has been trained in <br />
         		<a id="pl.380.22"></a><var>380.22</var>pharmacy tasks that do not require the professional judgment of a licensed pharmacist. A <br />
         		<a id="pl.380.23"></a><var>380.23</var>pharmacy technician may not perform tasks specifically reserved to a licensed pharmacist.<br />
         		<br />
         		<a id="bill.10.27.0"></a><a id="pl.380.24"></a><var>380.24</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 151.01, subdivision 27, is amended to read:<br />
         		<a id="pl.380.25"></a><var>380.25</var>&#160;&#160;&#160;&#160;Subd. 27. <b>Practice of pharmacy.</b> "Practice of pharmacy" means:<br />
         		<a id="pl.380.26"></a><var>380.26</var>&#160;&#160;&#160;&#160;(1) interpretation and evaluation of prescription drug orders;<br />
         		<a id="pl.380.27"></a><var>380.27</var>&#160;&#160;&#160;&#160;(2) compounding, labeling, and dispensing drugs and devices (except labeling by <br />
         		<a id="pl.380.28"></a><var>380.28</var>a manufacturer or packager of nonprescription drugs or commercially packaged legend
         <br />
         		<a id="pl.380.29"></a><var>380.29</var>drugs and devices);<br />
         		<a id="pl.380.30"></a><var>380.30</var>&#160;&#160;&#160;&#160;(3) participation in clinical interpretations and monitoring of drug therapy for <br />
         		<a id="pl.380.31"></a><var>380.31</var>assurance of safe and effective use of drugs, including the performance of laboratory
         tests <br />
         		<a id="pl.380.32"></a><var>380.32</var>that are waived under the federal Clinical Laboratory Improvement Act of 1988, United
         <br />
         		<a id="pl.381.1"></a><var>381.1</var>States Code, title 42, section 263a et seq., provided that a pharmacist may interpret
         the <br />
         		<a id="pl.381.2"></a><var>381.2</var>results of laboratory tests but may modify drug therapy only pursuant to a protocol
         or <br />
         		<a id="pl.381.3"></a><var>381.3</var>collaborative practice agreement;<br />
         		<a id="pl.381.4"></a><var>381.4</var>&#160;&#160;&#160;&#160;(4) participation in drug and therapeutic device selection; drug administration for
         first <br />
         		<a id="pl.381.5"></a><var>381.5</var>dosage and medical emergencies; drug regimen reviews; and drug or drug-related research;<br />
         		<a id="pl.381.6"></a><var>381.6</var>&#160;&#160;&#160;&#160;(5) participation in administration of influenza vaccines to all eligible individuals
         ten <br />
         		<a id="pl.381.7"></a><var>381.7</var>six years of age and older and all other vaccines to patients 18 13 years of age and older <br />
         		<a id="pl.381.8"></a><var>381.8</var>by written protocol with a physician licensed under chapter 147, a physician assistant
         <br />
         		<a id="pl.381.9"></a><var>381.9</var>authorized to prescribe drugs under chapter 147A, or an advanced practice registered
         <br />
         		<a id="pl.381.10"></a><var>381.10</var>nurse authorized to prescribe drugs under section 
         <statute_ref>148.235</statute_ref>, provided that:<br />
         		<a id="pl.381.11"></a><var>381.11</var>(i) the protocol includes, at a minimum:<br />
         		<a id="pl.381.12"></a><var>381.12</var>(A) the name, dose, and route of each vaccine that may be given;<br />
         		<a id="pl.381.13"></a><var>381.13</var>(B) the patient population for whom the vaccine may be given;<br />
         		<a id="pl.381.14"></a><var>381.14</var>(C) contraindications and precautions to the vaccine;<br />
         		<a id="pl.381.15"></a><var>381.15</var>(D) the procedure for handling an adverse reaction;<br />
         		<a id="pl.381.16"></a><var>381.16</var>(E) the name, signature, and address of the physician, physician assistant, or <br />
         		<a id="pl.381.17"></a><var>381.17</var>advanced practice registered nurse;<br />
         		<a id="pl.381.18"></a><var>381.18</var>(F) a telephone number at which the physician, physician assistant, or advanced <br />
         		<a id="pl.381.19"></a><var>381.19</var>practice registered nurse can be contacted; and<br />
         		<a id="pl.381.20"></a><var>381.20</var>(G) the date and time period for which the protocol is valid;<br />
         		<a id="pl.381.21"></a><var>381.21</var>&#160;&#160;&#160;&#160;(ii) the pharmacist has successfully completed a program approved by the <br />
         		<a id="pl.381.22"></a><var>381.22</var>Accreditation Council for Pharmacy Education specifically for the administration of
         <br />
         		<a id="pl.381.23"></a><var>381.23</var>immunizations or a program approved by the board;<br />
         		<a id="pl.381.24"></a><var>381.24</var>&#160;&#160;&#160;&#160;(iii) the pharmacist utilizes the Minnesota Immunization Information Connection <br />
         		<a id="pl.381.25"></a><var>381.25</var>to assess the immunization status of individuals prior to the administration of vaccines,
         <br />
         		<a id="pl.381.26"></a><var>381.26</var>except when administering influenza vaccines to individuals age nine and older;<br />
         		<a id="pl.381.27"></a><var>381.27</var>&#160;&#160;&#160;&#160;(iv) the pharmacist reports the administration of the immunization to the patient's <br />
         		<a id="pl.381.28"></a><var>381.28</var>primary physician or clinic or to the Minnesota Immunization Information Connection; and<br />
         		<a id="pl.381.29"></a><var>381.29</var>(iv) (v) the pharmacist complies with guidelines for vaccines and immunizations <br />
         		<a id="pl.381.30"></a><var>381.30</var>established by the federal Advisory Committee on Immunization Practices, except that
         a <br />
         		<a id="pl.381.31"></a><var>381.31</var>pharmacist does not need to comply with those portions of the guidelines that establish
         <br />
         		<a id="pl.381.32"></a><var>381.32</var>immunization schedules when administering a vaccine pursuant to a valid, patient-specific
         <br />
         		<a id="pl.381.33"></a><var>381.33</var>order issued by a physician licensed under chapter 147, a physician assistant authorized
         to <br />
         		<a id="pl.381.34"></a><var>381.34</var>prescribe drugs under chapter 147A, or an advanced practice nurse authorized to prescribe
         <br />
         		<a id="pl.381.35"></a><var>381.35</var>drugs under section 
         <statute_ref>148.235</statute_ref>, provided that the order is consistent with the United States <br />
         		<a id="pl.381.36"></a><var>381.36</var>Food and Drug Administration approved labeling of the vaccine;<br />
         		<a id="pl.382.1"></a><var>382.1</var>&#160;&#160;&#160;&#160;(6) participation in the initiation, management, modification, and discontinuation
         <br />
         		<a id="pl.382.2"></a><var>382.2</var>of drug therapy according to a written protocol or collaborative practice agreement
         <br />
         		<a id="pl.382.3"></a><var>382.3</var>between: (i) one or more pharmacists and one or more dentists, optometrists, physicians,
         <br />
         		<a id="pl.382.4"></a><var>382.4</var>podiatrists, or veterinarians; or (ii) one or more pharmacists and one or more physician
         <br />
         		<a id="pl.382.5"></a><var>382.5</var>assistants authorized to prescribe, dispense, and administer under chapter 147A, or
         <br />
         		<a id="pl.382.6"></a><var>382.6</var>advanced practice nurses authorized to prescribe, dispense, and administer under section
         <br />
         		
         <statute_ref><a id="pl.382.7"></a><var>382.7</var>148.235
         </statute_ref>. Any changes in drug therapy made pursuant to a protocol or collaborative <br />
         		<a id="pl.382.8"></a><var>382.8</var>practice agreement must be documented by the pharmacist in the patient's medical record
         <br />
         		<a id="pl.382.9"></a><var>382.9</var>or reported by the pharmacist to a practitioner responsible for the patient's care;<br />
         		<a id="pl.382.10"></a><var>382.10</var>&#160;&#160;&#160;&#160;(7) participation in the storage of drugs and the maintenance of records;<br />
         		<a id="pl.382.11"></a><var>382.11</var>&#160;&#160;&#160;&#160;(8) patient counseling on therapeutic values, content, hazards, and uses of drugs
         <br />
         		<a id="pl.382.12"></a><var>382.12</var>and devices; and<br />
         		<a id="pl.382.13"></a><var>382.13</var>&#160;&#160;&#160;&#160;(9) offering or performing those acts, services, operations, or transactions necessary
         <br />
         		<a id="pl.382.14"></a><var>382.14</var>in the conduct, operation, management, and control of a pharmacy.<br />
         		<br />
         		<a id="bill.10.28.0"></a><a id="pl.382.15"></a><var>382.15</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 151.02, is amended to read:<br />
         		<a id="pl.382.16"></a><var>382.16</var><b>151.02 STATE BOARD OF PHARMACY.</b><br />
         		<a id="pl.382.17"></a><var>382.17</var>The Minnesota State Board of Pharmacy shall consist of two three public members <br />
         		<a id="pl.382.18"></a><var>382.18</var>as defined by section 
         <statute_ref>214.02</statute_ref> and five six pharmacists actively engaged in the practice of <br />
         		<a id="pl.382.19"></a><var>382.19</var>pharmacy in this state. Each of said pharmacists shall have had at least five consecutive
         <br />
         		<a id="pl.382.20"></a><var>382.20</var>years of practical experience as a pharmacist immediately preceding appointment.<br />
         		<br />
         		<a id="bill.10.29.0"></a><a id="pl.382.21"></a><var>382.21</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 151.065, subdivision 1, is amended to read:<br />
         		<a id="pl.382.22"></a><var>382.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Application fees.</b> Application fees for licensure and registration <br />
         		<a id="pl.382.23"></a><var>382.23</var>are as follows:<br />
         		<a id="pl.382.24"></a><var>382.24</var>(1) pharmacist licensed by examination, $130 $145;<br />
         		<a id="pl.382.25"></a><var>382.25</var>(2) pharmacist licensed by reciprocity, $225 $240;<br />
         		<a id="pl.382.26"></a><var>382.26</var>(3) pharmacy intern, $30 $37.50;<br />
         		<a id="pl.382.27"></a><var>382.27</var>(4) pharmacy technician, $30 $37.50;<br />
         		<a id="pl.382.28"></a><var>382.28</var>(5) pharmacy, $190 $225;<br />
         		<a id="pl.382.29"></a><var>382.29</var>(6) drug wholesaler, legend drugs only, $200 $235;<br />
         		<a id="pl.382.30"></a><var>382.30</var>(7) drug wholesaler, legend and nonlegend drugs, $200 $235;<br />
         		<a id="pl.382.31"></a><var>382.31</var>(8) drug wholesaler, nonlegend drugs, veterinary legend drugs, or both, $175 $210;<br />
         		<a id="pl.382.32"></a><var>382.32</var>(9) drug wholesaler, medical gases, $150 $175;<br />
         		<a id="pl.382.33"></a><var>382.33</var>(10) drug wholesaler, also licensed as a pharmacy in Minnesota, $125 $150;<br />
         		<a id="pl.382.34"></a><var>382.34</var>(11) drug manufacturer, legend drugs only, $200 $235;<br />
         		<a id="pl.383.1"></a><var>383.1</var>(12) drug manufacturer, legend and nonlegend drugs, $200 $235;<br />
         		<a id="pl.383.2"></a><var>383.2</var>(13) drug manufacturer, nonlegend or veterinary legend drugs, $175 $210;<br />
         		<a id="pl.383.3"></a><var>383.3</var>(14) drug manufacturer, medical gases, $150 $185;<br />
         		<a id="pl.383.4"></a><var>383.4</var>(15) drug manufacturer, also licensed as a pharmacy in Minnesota, $125 $150;<br />
         		<a id="pl.383.5"></a><var>383.5</var>(16) medical gas distributor, $75 $110;<br />
         		<a id="pl.383.6"></a><var>383.6</var>(17) controlled substance researcher, $50 $75; and<br />
         		<a id="pl.383.7"></a><var>383.7</var>(18) pharmacy professional corporation, $100 $125.<br />
         		<br />
         		<a id="bill.10.30.0"></a><a id="pl.383.8"></a><var>383.8</var>&#160;&#160;&#160;&#160;Sec. 30. Minnesota Statutes 2014, section 151.065, subdivision 2, is amended to read:<br />
         		<a id="pl.383.9"></a><var>383.9</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Original license fee.</b> The pharmacist original licensure fee, $130 $145.<br />
         		<br />
         		<a id="bill.10.31.0"></a><a id="pl.383.10"></a><var>383.10</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 151.065, subdivision 3, is amended to read:<br />
         		<a id="pl.383.11"></a><var>383.11</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Annual renewal fees.</b> Annual licensure and registration renewal fees <br />
         		<a id="pl.383.12"></a><var>383.12</var>are as follows:<br />
         		<a id="pl.383.13"></a><var>383.13</var>(1) pharmacist, $130 $145;<br />
         		<a id="pl.383.14"></a><var>383.14</var>(2) pharmacy technician, $30 $37.50;<br />
         		<a id="pl.383.15"></a><var>383.15</var>(3) pharmacy, $190 $225;<br />
         		<a id="pl.383.16"></a><var>383.16</var>(4) drug wholesaler, legend drugs only, $200 $235;<br />
         		<a id="pl.383.17"></a><var>383.17</var>(5) drug wholesaler, legend and nonlegend drugs, $200 $235;<br />
         		<a id="pl.383.18"></a><var>383.18</var>(6) drug wholesaler, nonlegend drugs, veterinary legend drugs, or both, $175 $210;<br />
         		<a id="pl.383.19"></a><var>383.19</var>(7) drug wholesaler, medical gases, $150 $185;<br />
         		<a id="pl.383.20"></a><var>383.20</var>(8) drug wholesaler, also licensed as a pharmacy in Minnesota, $125 $150;<br />
         		<a id="pl.383.21"></a><var>383.21</var>(9) drug manufacturer, legend drugs only, $200 $235;<br />
         		<a id="pl.383.22"></a><var>383.22</var>(10) drug manufacturer, legend and nonlegend drugs, $200 $235;<br />
         		<a id="pl.383.23"></a><var>383.23</var>(11) drug manufacturer, nonlegend, veterinary legend drugs, or both, $175 $210;<br />
         		<a id="pl.383.24"></a><var>383.24</var>(12) drug manufacturer, medical gases, $150 $185;<br />
         		<a id="pl.383.25"></a><var>383.25</var>(13) drug manufacturer, also licensed as a pharmacy in Minnesota, $125 $150;<br />
         		<a id="pl.383.26"></a><var>383.26</var>(14) medical gas distributor, $75 $110;<br />
         		<a id="pl.383.27"></a><var>383.27</var>(15) controlled substance researcher, $50 $75; and<br />
         		<a id="pl.383.28"></a><var>383.28</var>(16) pharmacy professional corporation, $45 $75.<br />
         		<br />
         		<a id="bill.10.32.0"></a><a id="pl.383.29"></a><var>383.29</var>&#160;&#160;&#160;&#160;Sec. 32. Minnesota Statutes 2014, section 151.065, subdivision 4, is amended to read:<br />
         		<a id="pl.383.30"></a><var>383.30</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Miscellaneous fees.</b> Fees for issuance of affidavits and duplicate licenses <br />
         		<a id="pl.383.31"></a><var>383.31</var>and certificates are as follows:<br />
         		<a id="pl.383.32"></a><var>383.32</var>(1) intern affidavit, $15 $20;<br />
         		<a id="pl.383.33"></a><var>383.33</var>(2) duplicate small license, $15 $20; and<br />
         		<a id="pl.384.1"></a><var>384.1</var>(3) duplicate large certificate, $25 $30.<br />
         		<br />
         		<a id="bill.10.33.0"></a><a id="pl.384.2"></a><var>384.2</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 151.102, is amended to read:<br />
         		<a id="pl.384.3"></a><var>384.3</var><b>151.102 PHARMACY TECHNICIAN.</b><br />
         		<a id="pl.384.4"></a><var>384.4</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>General.</b> A pharmacy technician may assist a pharmacist in the <br />
         		<a id="pl.384.5"></a><var>384.5</var>practice of pharmacy by performing nonjudgmental tasks and that are not reserved to, and <br />
         		<a id="pl.384.6"></a><var>384.6</var>do not require the professional judgment of, a licensed pharmacist. A pharmacy technician
         <br />
         		<a id="pl.384.7"></a><var>384.7</var>works under the personal and direct supervision of the pharmacist. A pharmacist may
         <br />
         		<a id="pl.384.8"></a><var>384.8</var>supervise two up to three technicians, as long as the. A pharmacist assumes responsibility <br />
         		<a id="pl.384.9"></a><var>384.9</var>is responsible for all the functions work performed by the technicians who are under the <br />
         		<a id="pl.384.10"></a><var>384.10</var>supervision of the pharmacist. A pharmacy may exceed the ratio of pharmacy technicians <br />
         		<a id="pl.384.11"></a><var>384.11</var>to pharmacists permitted in this subdivision or in rule by a total of one technician
         at <br />
         		<a id="pl.384.12"></a><var>384.12</var>any given time in the pharmacy, provided at least one technician in the pharmacy <br />
         		<a id="pl.384.13"></a><var>384.13</var>holds a valid certification from the Pharmacy Technician Certification Board or from
         <br />
         		<a id="pl.384.14"></a><var>384.14</var>another national certification body for pharmacy technicians that requires passage
         of a <br />
         		<a id="pl.384.15"></a><var>384.15</var>nationally recognized, psychometrically valid certification examination for certification
         as <br />
         		<a id="pl.384.16"></a><var>384.16</var>determined by the Board of Pharmacy. The Board of Pharmacy may, by rule, set ratios
         of <br />
         		<a id="pl.384.17"></a><var>384.17</var>technicians to pharmacists greater than two three to one for the functions specified in rule. <br />
         		<a id="pl.384.18"></a><var>384.18</var>The delegation of any duties, tasks, or functions by a pharmacist to a pharmacy technician
         <br />
         		<a id="pl.384.19"></a><var>384.19</var>is subject to continuing review and becomes the professional and personal responsibility
         of <br />
         		<a id="pl.384.20"></a><var>384.20</var>the pharmacist who directed the pharmacy technician to perform the duty, task, or
         function.<br />
         		<a id="pl.384.21"></a><var>384.21</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Waivers by board permitted.</b> A pharmacist in charge in a pharmacy may <br />
         		<a id="pl.384.22"></a><var>384.22</var>petition the board for authorization to allow a pharmacist to supervise more than
         two three <br />
         		<a id="pl.384.23"></a><var>384.23</var>pharmacy technicians. The pharmacist's petition must include provisions addressing
         the <br />
         		<a id="pl.384.24"></a><var>384.24</var>maintenance of how patient care and safety will be maintained. A petition filed with the <br />
         		<a id="pl.384.25"></a><var>384.25</var>board under this subdivision shall be deemed approved 90 days after the board receives
         <br />
         		<a id="pl.384.26"></a><var>384.26</var>the petition, unless the board denies the petition within 90 days of receipt and notifies
         the <br />
         		<a id="pl.384.27"></a><var>384.27</var>petitioning pharmacist of the petition's denial and the board's reasons for denial.<br />
         		<a id="pl.384.28"></a><var>384.28</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Registration fee.</b> The board shall not register an individual as a pharmacy <br />
         		<a id="pl.384.29"></a><var>384.29</var>technician unless all applicable fees specified in section 
         <statute_ref>151.065</statute_ref> have been paid.<br />
         		<br />
         		<a id="bill.10.34.0"></a><a id="pl.384.30"></a><var>384.30</var>&#160;&#160;&#160;&#160;Sec. 34. <b> REPEALER.</b><br />
         		<a id="pl.384.31"></a><var>384.31</var>Minnesota Statutes 2014, sections 148.57, subdivisions 3 and 4; 148.571; 148.572;
         <br />
         		<a id="pl.384.32"></a><var>384.32</var>148.573, subdivision 1; 148.575, subdivisions 1, 3, 5, and 6; 148.576; 148E.060, <br />
         		<a id="pl.384.33"></a><var>384.33</var>subdivision 12; and 148E.075, subdivisions 4, 5, 6, and 7, are repealed.<br />
         		<br />
         		<a id="bill.11.0.0"></a><div class="xtend_ce"><a id="pl.385.1"></a><var>385.1</var><b>ARTICLE 11</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.385.2"></a><var>385.2</var><b>HEALTH CARE</b><br />
            		
         </div><br />
         		<a id="bill.11.1.0"></a><a id="pl.385.3"></a><var>385.3</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 62A.045, is amended to read:<br />
         		<a id="pl.385.4"></a><var>385.4</var><b>62A.045 PAYMENTS ON BEHALF OF ENROLLEES IN GOVERNMENT </b><br />
         		<a id="pl.385.5"></a><var>385.5</var><b>HEALTH PROGRAMS.</b><br />
         		<a id="pl.385.6"></a><var>385.6</var>(a) As a condition of doing business in Minnesota or providing coverage to <br />
         		<a id="pl.385.7"></a><var>385.7</var>residents of Minnesota covered by this section, each health insurer shall comply with
         the <br />
         		<a id="pl.385.8"></a><var>385.8</var>requirements of the federal Deficit Reduction Act of 2005, Public Law 109-171, including
         <br />
         		<a id="pl.385.9"></a><var>385.9</var>any federal regulations adopted under that act, to the extent that it imposes a requirement
         <br />
         		<a id="pl.385.10"></a><var>385.10</var>that applies in this state and that is not also required by the laws of this state.
         This section <br />
         		<a id="pl.385.11"></a><var>385.11</var>does not require compliance with any provision of the federal act prior to the effective
         date <br />
         		<a id="pl.385.12"></a><var>385.12</var>provided for that provision in the federal act. The commissioner shall enforce this
         section.<br />
         		<a id="pl.385.13"></a><var>385.13</var>For the purpose of this section, "health insurer" includes self-insured plans, group
         <br />
         		<a id="pl.385.14"></a><var>385.14</var>health plans (as defined in section 607(1) of the Employee Retirement Income Security
         <br />
         		<a id="pl.385.15"></a><var>385.15</var>Act of 1974), service benefit plans, managed care organizations, pharmacy benefit
         <br />
         		<a id="pl.385.16"></a><var>385.16</var>managers, or other parties that are by contract legally responsible to pay a claim
         for a <br />
         		<a id="pl.385.17"></a><var>385.17</var>health-care item or service for an individual receiving benefits under paragraph (b).<br />
         		<a id="pl.385.18"></a><var>385.18</var>(b) No plan offered by a health insurer issued or renewed to provide coverage to <br />
         		<a id="pl.385.19"></a><var>385.19</var>a Minnesota resident shall contain any provision denying or reducing benefits because
         <br />
         		<a id="pl.385.20"></a><var>385.20</var>services are rendered to a person who is eligible for or receiving medical benefits
         pursuant <br />
         		<a id="pl.385.21"></a><var>385.21</var>to title XIX of the Social Security Act (Medicaid) in this or any other state; chapter
         256; <br />
         		<a id="pl.385.22"></a><var>385.22</var>256B; or 256D or services pursuant to section 
         <statute_ref>252.27</statute_ref>; 
         <statute_ref>256L.01</statute_ref> to 
         <statute_ref>256L.10</statute_ref>; 
         <statute_ref>260B.331, <br />
            		<a id="pl.385.23"></a><var>385.23</var>subdivision 2
         </statute_ref>; 
         <statute_ref>260C.331, subdivision 2</statute_ref>; or 
         <statute_ref>393.07, subdivision 1</statute_ref> or 2. No health insurer <br />
         		<a id="pl.385.24"></a><var>385.24</var>providing benefits under plans covered by this section shall use eligibility for medical
         <br />
         		<a id="pl.385.25"></a><var>385.25</var>programs named in this section as an underwriting guideline or reason for nonacceptance
         <br />
         		<a id="pl.385.26"></a><var>385.26</var>of the risk.<br />
         		<a id="pl.385.27"></a><var>385.27</var>(c) If payment for covered expenses has been made under state medical programs for
         <br />
         		<a id="pl.385.28"></a><var>385.28</var>health care items or services provided to an individual, and a third party has a legal
         liability <br />
         		<a id="pl.385.29"></a><var>385.29</var>to make payments, the rights of payment and appeal of an adverse coverage decision
         for the <br />
         		<a id="pl.385.30"></a><var>385.30</var>individual, or in the case of a child their responsible relative or caretaker, will
         be subrogated <br />
         		<a id="pl.385.31"></a><var>385.31</var>to the state agency. The state agency may assert its rights under this section within
         three <br />
         		<a id="pl.385.32"></a><var>385.32</var>years of the date the service was rendered. For purposes of this section, "state agency"
         <br />
         		<a id="pl.385.33"></a><var>385.33</var>includes prepaid health plans under contract with the commissioner according to sections
         <br />
         		
         <statute_ref><a id="pl.385.34"></a><var>385.34</var>256B.69
         </statute_ref>, 
         <statute_ref>256D.03, subdivision 4</statute_ref>, paragraph (c), and 
         <statute_ref>256L.12</statute_ref>; children's mental health <br />
         		<a id="pl.385.35"></a><var>385.35</var>collaboratives under section 
         <statute_ref>245.493</statute_ref>; demonstration projects for persons with disabilities <br />
         		<a id="pl.386.1"></a><var>386.1</var>under section 
         <statute_ref>256B.77</statute_ref>; nursing homes under the alternative payment demonstration project <br />
         		<a id="pl.386.2"></a><var>386.2</var>under section 
         <statute_ref>256B.434</statute_ref>; and county-based purchasing entities under section 
         <statute_ref>256B.692</statute_ref>.<br />
         		<a id="pl.386.3"></a><var>386.3</var>(d) Notwithstanding any law to the contrary, when a person covered by a plan <br />
         		<a id="pl.386.4"></a><var>386.4</var>offered by a health insurer receives medical benefits according to any statute listed
         in this <br />
         		<a id="pl.386.5"></a><var>386.5</var>section, payment for covered services or notice of denial for services billed by the
         provider <br />
         		<a id="pl.386.6"></a><var>386.6</var>must be issued directly to the provider. If a person was receiving medical benefits
         through <br />
         		<a id="pl.386.7"></a><var>386.7</var>the Department of Human Services at the time a service was provided, the provider
         must <br />
         		<a id="pl.386.8"></a><var>386.8</var>indicate this benefit coverage on any claim forms submitted by the provider to the
         health <br />
         		<a id="pl.386.9"></a><var>386.9</var>insurer for those services. If the commissioner of human services notifies the health
         <br />
         		<a id="pl.386.10"></a><var>386.10</var>insurer that the commissioner has made payments to the provider, payment for benefits
         or <br />
         		<a id="pl.386.11"></a><var>386.11</var>notices of denials issued by the health insurer must be issued directly to the commissioner.
         <br />
         		<a id="pl.386.12"></a><var>386.12</var>Submission by the department to the health insurer of the claim on a Department of
         <br />
         		<a id="pl.386.13"></a><var>386.13</var>Human Services claim form is proper notice and shall be considered proof of payment
         of <br />
         		<a id="pl.386.14"></a><var>386.14</var>the claim to the provider and supersedes any contract requirements of the health insurer
         <br />
         		<a id="pl.386.15"></a><var>386.15</var>relating to the form of submission. Liability to the insured for coverage is satisfied
         to the <br />
         		<a id="pl.386.16"></a><var>386.16</var>extent that payments for those benefits are made by the health insurer to the provider
         or <br />
         		<a id="pl.386.17"></a><var>386.17</var>the commissioner as required by this section.<br />
         		<a id="pl.386.18"></a><var>386.18</var>(e) When a state agency has acquired the rights of an individual eligible for medical
         <br />
         		<a id="pl.386.19"></a><var>386.19</var>programs named in this section and has health benefits coverage through a health insurer,
         <br />
         		<a id="pl.386.20"></a><var>386.20</var>the health insurer shall not impose requirements that are different from requirements
         <br />
         		<a id="pl.386.21"></a><var>386.21</var>applicable to an agent or assignee of any other individual covered. <br />
         		<a id="pl.386.22"></a><var>386.22</var>(f) A health insurer must process a clean claim made by a state agency for covered
         <br />
         		<a id="pl.386.23"></a><var>386.23</var>expenses paid under state medical programs within 90 business days of the claim's
         <br />
         		<a id="pl.386.24"></a><var>386.24</var>submission. A health insurer must process all other claims made by a state agency
         for <br />
         		<a id="pl.386.25"></a><var>386.25</var>covered expenses paid under a state medical program within the timeline set forth
         in Code <br />
         		<a id="pl.386.26"></a><var>386.26</var>of Federal Regulations, title 42, section 447.45(d)(4).<br />
         		<a id="pl.386.27"></a><var>386.27</var>(g) A health insurer may request a refund of a claim paid in error to the Department
         <br />
         		<a id="pl.386.28"></a><var>386.28</var>of Human Services within two years of the date the payment was made to the department.
         <br />
         		<a id="pl.386.29"></a><var>386.29</var>A request for a refund shall not be honored by the department if the health insurer
         makes <br />
         		<a id="pl.386.30"></a><var>386.30</var>the request after the time period has lapsed.<br />
         		<br />
         		<a id="bill.11.2.0"></a><a id="pl.386.31"></a><var>386.31</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 150A.06, subdivision 1b, is amended to read:<br />
         		<a id="pl.386.32"></a><var>386.32</var>&#160;&#160;&#160;&#160;Subd. 1b. <b>Resident dentists.</b> A person who is a graduate of a dental school and <br />
         		<a id="pl.386.33"></a><var>386.33</var>is an enrolled graduate student or student of an accredited advanced dental education
         <br />
         		<a id="pl.386.34"></a><var>386.34</var>program and who is not licensed to practice dentistry in the state shall obtain from
         the <br />
         		<a id="pl.386.35"></a><var>386.35</var>board a license to practice dentistry as a resident dentist. The license must be designated
         <br />
         		<a id="pl.387.1"></a><var>387.1</var>"resident dentist license" and authorizes the licensee to practice dentistry only
         under the <br />
         		<a id="pl.387.2"></a><var>387.2</var>supervision of a licensed dentist. A University of Minnesota School of Dentistry dental <br />
         		<a id="pl.387.3"></a><var>387.3</var>resident holding a resident dentist license is eligible for enrollment in medical
         assistance, <br />
         		<a id="pl.387.4"></a><var>387.4</var>as provided under section 256B.0625, subdivision 9b. A resident dentist license must be <br />
         		<a id="pl.387.5"></a><var>387.5</var>renewed annually pursuant to the board's rules. An applicant for a resident dentist
         license <br />
         		<a id="pl.387.6"></a><var>387.6</var>shall pay a nonrefundable fee set by the board for issuing and renewing the license.
         The <br />
         		<a id="pl.387.7"></a><var>387.7</var>requirements of sections 
         <statute_ref>150A.01</statute_ref> to 
         <statute_ref>150A.21</statute_ref> apply to resident dentists except as specified <br />
         		<a id="pl.387.8"></a><var>387.8</var>in rules adopted by the board. A resident dentist license does not qualify a person
         for <br />
         		<a id="pl.387.9"></a><var>387.9</var>licensure under subdivision 1.<br />
         		<br />
         		<a id="bill.11.3.0"></a><a id="pl.387.10"></a><var>387.10</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 174.29, subdivision 1, is amended to read:<br />
         		<a id="pl.387.11"></a><var>387.11</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definition.</b> For the purpose of sections 
         <statute_ref>174.29</statute_ref> and 
         <statute_ref>174.30</statute_ref> "special <br />
         		<a id="pl.387.12"></a><var>387.12</var>transportation service" means motor vehicle transportation provided on a regular basis
         <br />
         		<a id="pl.387.13"></a><var>387.13</var>by a public or private entity or person that is designed exclusively or primarily
         to serve <br />
         		<a id="pl.387.14"></a><var>387.14</var>individuals who are elderly or disabled and who are unable to use regular means of
         <br />
         		<a id="pl.387.15"></a><var>387.15</var>transportation but do not require ambulance service, as defined in section 
         <statute_ref>144E.001, <br />
            		<a id="pl.387.16"></a><var>387.16</var>subdivision 3
         </statute_ref>. Special transportation service includes but is not limited to service provided <br />
         		<a id="pl.387.17"></a><var>387.17</var>by specially equipped buses, vans, taxis, and volunteers driving private automobiles.
         <br />
         		<a id="pl.387.18"></a><var>387.18</var>Special transportation service also means those nonemergency medical transportation
         <br />
         		<a id="pl.387.19"></a><var>387.19</var>services under section 256B.0625, subdivision 17, that are subject to the operating
         <br />
         		<a id="pl.387.20"></a><var>387.20</var>standards for special transportation service under sections 174.29 to 174.30 and Minnesota
         <br />
         		<a id="pl.387.21"></a><var>387.21</var>Rules, chapter 8840.<br />
         		<a id="pl.387.22"></a><var>387.22</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.4.0"></a><a id="pl.387.23"></a><var>387.23</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 174.30, subdivision 3, is amended to read:<br />
         		<a id="pl.387.24"></a><var>387.24</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Other standards; wheelchair securement</b><b>; protected transport</b><b>.</b> (a) A <br />
         		<a id="pl.387.25"></a><var>387.25</var>special transportation service that transports individuals occupying wheelchairs is
         subject <br />
         		<a id="pl.387.26"></a><var>387.26</var>to the provisions of sections 
         <statute_ref>299A.11</statute_ref> to 
         <statute_ref>299A.18</statute_ref> concerning wheelchair securement <br />
         		<a id="pl.387.27"></a><var>387.27</var>devices. The commissioners of transportation and public safety shall cooperate in
         the <br />
         		<a id="pl.387.28"></a><var>387.28</var>enforcement of this section and sections 
         <statute_ref>299A.11</statute_ref> to 
         <statute_ref>299A.18</statute_ref> so that a single inspection <br />
         		<a id="pl.387.29"></a><var>387.29</var>is sufficient to ascertain compliance with sections 
         <statute_ref>299A.11</statute_ref> to 
         <statute_ref>299A.18</statute_ref> and with the <br />
         		<a id="pl.387.30"></a><var>387.30</var>standards adopted under this section. Representatives of the Department of Transportation
         <br />
         		<a id="pl.387.31"></a><var>387.31</var>may inspect wheelchair securement devices in vehicles operated by special transportation
         <br />
         		<a id="pl.387.32"></a><var>387.32</var>service providers to determine compliance with sections 
         <statute_ref>299A.11</statute_ref> to 
         <statute_ref>299A.18</statute_ref> and to issue <br />
         		<a id="pl.387.33"></a><var>387.33</var>certificates under section 
         <statute_ref>299A.14, subdivision 4</statute_ref>.<br />
         		<a id="pl.388.1"></a><var>388.1</var>(b) In place of a certificate issued under section 
         <statute_ref>299A.14</statute_ref>, the commissioner may <br />
         		<a id="pl.388.2"></a><var>388.2</var>issue a decal under subdivision 4 for a vehicle equipped with a wheelchair securement
         <br />
         		<a id="pl.388.3"></a><var>388.3</var>device if the device complies with sections 
         <statute_ref>299A.11</statute_ref> to 
         <statute_ref>299A.18</statute_ref> and the decal displays the <br />
         		<a id="pl.388.4"></a><var>388.4</var>information in section 
         <statute_ref>299A.14, subdivision 4</statute_ref>.<br />
         		<a id="pl.388.5"></a><var>388.5</var>(c) For vehicles designated as protected transport under section 256B.0625, <br />
         		<a id="pl.388.6"></a><var>388.6</var>subdivision 17, paragraph (h), the commissioner of transportation, during the <br />
         		<a id="pl.388.7"></a><var>388.7</var>commissioner's inspection, shall check to ensure the safety provisions contained in
         that <br />
         		<a id="pl.388.8"></a><var>388.8</var>paragraph are in working order.<br />
         		<a id="pl.388.9"></a><var>388.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.5.0"></a><a id="pl.388.10"></a><var>388.10</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 174.30, subdivision 4, is amended to read:<br />
         		<a id="pl.388.11"></a><var>388.11</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Vehicle and equipment inspection; rules; decal; complaint contact </b><br />
         		<a id="pl.388.12"></a><var>388.12</var><b>information</b><b>; restrictions on name of service</b><b>.</b> (a) The commissioner shall inspect or <br />
         		<a id="pl.388.13"></a><var>388.13</var>provide for the inspection of vehicles at least annually. In addition to scheduled
         annual <br />
         		<a id="pl.388.14"></a><var>388.14</var>inspections and reinspections scheduled for the purpose of verifying that deficiencies
         have <br />
         		<a id="pl.388.15"></a><var>388.15</var>been corrected, unannounced inspections of any vehicle may be conducted.<br />
         		<a id="pl.388.16"></a><var>388.16</var>&#160;&#160;&#160;&#160;(b) On determining that a vehicle or vehicle equipment is in a condition that is likely
         <br />
         		<a id="pl.388.17"></a><var>388.17</var>to cause an accident or breakdown, the commissioner shall require the vehicle to be
         taken <br />
         		<a id="pl.388.18"></a><var>388.18</var>out of service immediately. The commissioner shall require that vehicles and equipment
         <br />
         		<a id="pl.388.19"></a><var>388.19</var>not meeting standards be repaired and brought into conformance with the standards
         <br />
         		<a id="pl.388.20"></a><var>388.20</var>and shall require written evidence of compliance from the operator before allowing
         the <br />
         		<a id="pl.388.21"></a><var>388.21</var>operator to return the vehicle to service.<br />
         		<a id="pl.388.22"></a><var>388.22</var>&#160;&#160;&#160;&#160;(c) The commissioner shall provide in the rules procedures for inspecting vehicles,
         <br />
         		<a id="pl.388.23"></a><var>388.23</var>removing unsafe vehicles from service, determining and requiring compliance, and <br />
         		<a id="pl.388.24"></a><var>388.24</var>reviewing driver qualifications.<br />
         		<a id="pl.388.25"></a><var>388.25</var>&#160;&#160;&#160;&#160;(d) The commissioner shall design a distinctive decal to be issued to special <br />
         		<a id="pl.388.26"></a><var>388.26</var>transportation service providers with a current certificate of compliance under this
         section. <br />
         		<a id="pl.388.27"></a><var>388.27</var>A decal is valid for one year from the last day of the month in which it is issued.
         A person <br />
         		<a id="pl.388.28"></a><var>388.28</var>who is subject to the operating standards adopted under this section may not provide
         <br />
         		<a id="pl.388.29"></a><var>388.29</var>special transportation service in a vehicle that does not conspicuously display a
         decal <br />
         		<a id="pl.388.30"></a><var>388.30</var>issued by the commissioner.<br />
         		<a id="pl.388.31"></a><var>388.31</var>&#160;&#160;&#160;&#160;(e) All special transportation service providers shall pay an annual fee of $45 <br />
         		<a id="pl.388.32"></a><var>388.32</var>to obtain a decal. Providers of ambulance service, as defined in section 144E.001,
         <br />
         		<a id="pl.388.33"></a><var>388.33</var>subdivision 3, are exempt from the annual fee. Fees collected under this paragraph
         must <br />
         		<a id="pl.388.34"></a><var>388.34</var>be deposited in the trunk highway fund, and are appropriated to the commissioner to
         pay <br />
         		<a id="pl.388.35"></a><var>388.35</var>for costs related to administering the special transportation service program.<br />
         		<a id="pl.389.1"></a><var>389.1</var>&#160;&#160;&#160;&#160;(f) Special transportation service providers shall prominently display in each vehicle
         <br />
         		<a id="pl.389.2"></a><var>389.2</var>all contact information for the submission of complaints regarding the transportation
         <br />
         		<a id="pl.389.3"></a><var>389.3</var>services provided to that individual. All vehicles providing service under section
         <br />
         		
         <statute_ref><a id="pl.389.4"></a><var>389.4</var>473.386
         </statute_ref> shall display contact information for the Metropolitan Council. All other special
         <br />
         		<a id="pl.389.5"></a><var>389.5</var>transportation service vehicles shall display contact information for the commissioner
         of <br />
         		<a id="pl.389.6"></a><var>389.6</var>transportation.<br />
         		<a id="pl.389.7"></a><var>389.7</var>(g) Nonemergency medical transportation providers must comply with Minnesota <br />
         		<a id="pl.389.8"></a><var>389.8</var>Rules, part 8840.5450, except that a provider may use the phrase "nonemergency medical
         <br />
         		<a id="pl.389.9"></a><var>389.9</var>transportation" in its name or in advertisements or information describing the service.<br />
         		<a id="pl.389.10"></a><var>389.10</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.6.0"></a><a id="pl.389.11"></a><var>389.11</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 174.30, is amended by adding a subdivision <br />
         		<a id="pl.389.12"></a><var>389.12</var>to read:<br />
         		<a id="pl.389.13"></a><var>389.13</var>&#160;&#160;&#160;&#160;Subd. 4b. <b>Variance from the standards.</b> A nonemergency medical transportation <br />
         		<a id="pl.389.14"></a><var>389.14</var>provider who was not subject to the standards in this section prior to July 1, 2014,
         must <br />
         		<a id="pl.389.15"></a><var>389.15</var>apply for a variance from the commissioner if the provider cannot meet the standards
         <br />
         		<a id="pl.389.16"></a><var>389.16</var>by January 1, 2017. The commissioner may grant or deny the variance application. <br />
         		<a id="pl.389.17"></a><var>389.17</var>Variances, if granted, shall not exceed 60 days unless extended by the commissioner.<br />
         		<a id="pl.389.18"></a><var>389.18</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.7.0"></a><a id="pl.389.19"></a><var>389.19</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2014, section 174.30, is amended by adding a subdivision <br />
         		<a id="pl.389.20"></a><var>389.20</var>to read:<br />
         		<a id="pl.389.21"></a><var>389.21</var>&#160;&#160;&#160;&#160;Subd. 10. <b>Background studies.</b> (a) Providers of special transportation service <br />
         		<a id="pl.389.22"></a><var>389.22</var>regulated under this section must initiate background studies in accordance with chapter
         <br />
         		<a id="pl.389.23"></a><var>389.23</var>245C on the following individuals:<br />
         		<a id="pl.389.24"></a><var>389.24</var>(1) each person with a direct or indirect ownership interest of five percent or higher
         <br />
         		<a id="pl.389.25"></a><var>389.25</var>in the transportation service provider;<br />
         		<a id="pl.389.26"></a><var>389.26</var>(2) each controlling individual as defined under section 245A.02;<br />
         		<a id="pl.389.27"></a><var>389.27</var>(3) managerial officials as defined in section 245A.02;<br />
         		<a id="pl.389.28"></a><var>389.28</var>(4) each driver employed by the transportation service provider;<br />
         		<a id="pl.389.29"></a><var>389.29</var>(5) each individual employed by the transportation service provider to assist a <br />
         		<a id="pl.389.30"></a><var>389.30</var>passenger during transport; and<br />
         		<a id="pl.389.31"></a><var>389.31</var>(6) all employees of the transportation service agency who provide administrative
         <br />
         		<a id="pl.389.32"></a><var>389.32</var>support, including those who:<br />
         		<a id="pl.390.1"></a><var>390.1</var>(i) may have face-to-face contact with or access to passengers, their personal <br />
         		<a id="pl.390.2"></a><var>390.2</var>property, or their private data;<br />
         		<a id="pl.390.3"></a><var>390.3</var>(ii) perform any scheduling or dispatching tasks; or <br />
         		<a id="pl.390.4"></a><var>390.4</var>(iii) perform any billing activities.<br />
         		<a id="pl.390.5"></a><var>390.5</var>(b) The transportation service provider must initiate the background studies required
         <br />
         		<a id="pl.390.6"></a><var>390.6</var>under paragraph (a) using the online NETStudy system operated by the commissioner
         <br />
         		<a id="pl.390.7"></a><var>390.7</var>of human services.<br />
         		<a id="pl.390.8"></a><var>390.8</var>(c) The transportation service provider shall not permit any individual to provide
         <br />
         		<a id="pl.390.9"></a><var>390.9</var>any service listed in paragraph (a) until the transportation service provider has
         received <br />
         		<a id="pl.390.10"></a><var>390.10</var>notification from the commissioner of human services indicating that the individual:<br />
         		<a id="pl.390.11"></a><var>390.11</var>(1) is not disqualified under chapter 245C; or<br />
         		<a id="pl.390.12"></a><var>390.12</var>(2) is disqualified, but has received a set-aside of that disqualification according
         to <br />
         		<a id="pl.390.13"></a><var>390.13</var>section 245C.23 related to that transportation service provider.<br />
         		<a id="pl.390.14"></a><var>390.14</var>&#160;&#160;&#160;&#160;(d) When a local or contracted agency is authorizing a ride under section 256B.0625,
         <br />
         		<a id="pl.390.15"></a><var>390.15</var>subdivision 17, by a volunteer driver, and the agency authorizing the ride has reason
         <br />
         		<a id="pl.390.16"></a><var>390.16</var>to believe the volunteer driver has a history that would disqualify the individual
         or <br />
         		<a id="pl.390.17"></a><var>390.17</var>that may pose a risk to the health or safety of passengers, the agency may initiate
         a <br />
         		<a id="pl.390.18"></a><var>390.18</var>background study to be completed according to chapter 245C using the commissioner
         <br />
         		<a id="pl.390.19"></a><var>390.19</var>of human services' online NETStudy system, or through contacting the Department of
         <br />
         		<a id="pl.390.20"></a><var>390.20</var>Human Services background study division for assistance. The agency that initiates
         the <br />
         		<a id="pl.390.21"></a><var>390.21</var>background study under this paragraph shall be responsible for providing the volunteer
         <br />
         		<a id="pl.390.22"></a><var>390.22</var>driver with the privacy notice required under section 245C.05, subdivision 2c, and
         <br />
         		<a id="pl.390.23"></a><var>390.23</var>payment for the background study required under section 245C.10, subdivision 11, before
         <br />
         		<a id="pl.390.24"></a><var>390.24</var>the background study is completed.<br />
         		<a id="pl.390.25"></a><var>390.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.11.8.0"></a><a id="pl.390.26"></a><var>390.26</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 245C.03, is amended by adding a subdivision <br />
         		<a id="pl.390.27"></a><var>390.27</var>to read:<br />
         		<a id="pl.390.28"></a><var>390.28</var>&#160;&#160;&#160;&#160;Subd. 11. <b>Providers of special transportation service.</b> The commissioner shall <br />
         		<a id="pl.390.29"></a><var>390.29</var>conduct background studies on any individual required under section 174.30 to have
         a <br />
         		<a id="pl.390.30"></a><var>390.30</var>background study completed under this chapter.<br />
         		<a id="pl.390.31"></a><var>390.31</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.11.9.0"></a><a id="pl.390.32"></a><var>390.32</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 245C.10, is amended by adding a subdivision <br />
         		<a id="pl.390.33"></a><var>390.33</var>to read:<br />
         		<a id="pl.391.1"></a><var>391.1</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Providers of special transportation service.</b> The commissioner shall <br />
         		<a id="pl.391.2"></a><var>391.2</var>recover the cost of background studies initiated by providers of special transportation
         <br />
         		<a id="pl.391.3"></a><var>391.3</var>service under section 174.30 through a fee of no more than $20 per study. The fees
         <br />
         		<a id="pl.391.4"></a><var>391.4</var>collected under this subdivision are appropriated to the commissioner for the purpose
         of <br />
         		<a id="pl.391.5"></a><var>391.5</var>conducting background studies.<br />
         		<a id="pl.391.6"></a><var>391.6</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.11.10.0"></a><a id="pl.391.7"></a><var>391.7</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 256.015, subdivision 7, is amended to read:<br />
         		<a id="pl.391.8"></a><var>391.8</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Cooperation with information requests required.</b> (a) Upon the request <br />
         		<a id="pl.391.9"></a><var>391.9</var>of the commissioner of human services:<br />
         		<a id="pl.391.10"></a><var>391.10</var>(1) any state agency or third-party payer shall cooperate by furnishing information
         to <br />
         		<a id="pl.391.11"></a><var>391.11</var>help establish a third-party liability, as required by the federal Deficit Reduction
         Act of <br />
         		<a id="pl.391.12"></a><var>391.12</var>2005, Public Law 109-171;<br />
         		<a id="pl.391.13"></a><var>391.13</var>(2) any employer or third-party payer shall cooperate by furnishing a data file <br />
         		<a id="pl.391.14"></a><var>391.14</var>containing information about group health insurance plan or medical benefit plan coverage
         <br />
         		<a id="pl.391.15"></a><var>391.15</var>of its employees or insureds within 60 days of the request. The information in the data file <br />
         		<a id="pl.391.16"></a><var>391.16</var>must include at least the following: full name, date of birth, Social Security number
         if <br />
         		<a id="pl.391.17"></a><var>391.17</var>collected and stored in a system routinely used for producing data files by the employer
         <br />
         		<a id="pl.391.18"></a><var>391.18</var>or third-party payer, employer name, policy identification number, group identification
         <br />
         		<a id="pl.391.19"></a><var>391.19</var>number, and plan or coverage type.<br />
         		<a id="pl.391.20"></a><var>391.20</var>(b) For purposes of section 
         <statute_ref>176.191, subdivision 4</statute_ref>, the commissioner of labor and <br />
         		<a id="pl.391.21"></a><var>391.21</var>industry may allow the commissioner of human services and county agencies direct access
         <br />
         		<a id="pl.391.22"></a><var>391.22</var>and data matching on information relating to workers' compensation claims in order
         to <br />
         		<a id="pl.391.23"></a><var>391.23</var>determine whether the claimant has reported the fact of a pending claim and the amount
         <br />
         		<a id="pl.391.24"></a><var>391.24</var>paid to or on behalf of the claimant to the commissioner of human services.<br />
         		<a id="pl.391.25"></a><var>391.25</var>(c) For the purpose of compliance with section 
         <statute_ref>169.09, subdivision 13</statute_ref>, and <br />
         		<a id="pl.391.26"></a><var>391.26</var>federal requirements under Code of Federal Regulations, title 42, section 433.138
         <br />
         		<a id="pl.391.27"></a><var>391.27</var>(d)(4), the commissioner of public safety shall provide accident data as requested
         by <br />
         		<a id="pl.391.28"></a><var>391.28</var>the commissioner of human services. The disclosure shall not violate section 
         <statute_ref>169.09</statute_ref>, <br />
         		<a id="pl.391.29"></a><var>391.29</var>subdivision 13, paragraph (d).<br />
         		<a id="pl.391.30"></a><var>391.30</var>(d) The commissioner of human services and county agencies shall limit its use of
         <br />
         		<a id="pl.391.31"></a><var>391.31</var>information gained from agencies, third-party payers, and employers to purposes directly
         <br />
         		<a id="pl.391.32"></a><var>391.32</var>connected with the administration of its public assistance and child support programs.
         The <br />
         		<a id="pl.391.33"></a><var>391.33</var>provision of information by agencies, third-party payers, and employers to the department
         <br />
         		<a id="pl.391.34"></a><var>391.34</var>under this subdivision is not a violation of any right of confidentiality or data
         privacy.<br />
         		<br />
         		<a id="bill.11.11.0"></a><a id="pl.392.1"></a><var>392.1</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 256.969, subdivision 1, is amended to read:<br />
         		<a id="pl.392.2"></a><var>392.2</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Hospital cost index.</b> (a) The hospital cost index shall be the change <br />
         		<a id="pl.392.3"></a><var>392.3</var>in the Consumer Price Index-All Items (United States city average) (CPI-U) forecasted <br />
         		<a id="pl.392.4"></a><var>392.4</var>by Data Resources, Inc. Centers for Medicare and Medicaid Services Inpatient Hospital <br />
         		<a id="pl.392.5"></a><var>392.5</var>Market Basket. The commissioner shall use the indices as forecasted in the third quarter <br />
         		<a id="pl.392.6"></a><var>392.6</var>of the calendar year prior to the rate year. The hospital cost index may be used to
         adjust <br />
         		<a id="pl.392.7"></a><var>392.7</var>the base year operating payment rate through the rate year on an annually compounded
         <br />
         		<a id="pl.392.8"></a><var>392.8</var>basis for the midpoint of the prior rate year to the midpoint of the current rate year.<br />
         		<a id="pl.392.9"></a><var>392.9</var>(b) For fiscal years beginning on or after July 1, 1993, the commissioner of human
         <br />
         		<a id="pl.392.10"></a><var>392.10</var>services shall not provide automatic annual inflation adjustments for hospital payment
         <br />
         		<a id="pl.392.11"></a><var>392.11</var>rates under medical assistance. The commissioner of management and budget shall <br />
         		<a id="pl.392.12"></a><var>392.12</var>include as a budget change request in each biennial detailed expenditure budget submitted
         <br />
         		<a id="pl.392.13"></a><var>392.13</var>to the legislature under section 
         <statute_ref>16A.11</statute_ref> annual adjustments in hospital payment rates under <br />
         		<a id="pl.392.14"></a><var>392.14</var>medical assistance based upon the hospital cost index.<br />
         		<br />
         		<a id="bill.11.12.0"></a><a id="pl.392.15"></a><var>392.15</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 256.969, subdivision 2b, is amended to read:<br />
         		<a id="pl.392.16"></a><var>392.16</var>&#160;&#160;&#160;&#160;Subd. 2b. <b>Hospital payment rates.</b> (a) For discharges occurring on or after <br />
         		<a id="pl.392.17"></a><var>392.17</var>November 1, 2014, hospital inpatient services for hospitals located in Minnesota shall
         be <br />
         		<a id="pl.392.18"></a><var>392.18</var>paid according to the following:<br />
         		<a id="pl.392.19"></a><var>392.19</var>(1) critical access hospitals as defined by Medicare shall be paid using a cost-based
         <br />
         		<a id="pl.392.20"></a><var>392.20</var>methodology;<br />
         		<a id="pl.392.21"></a><var>392.21</var>(2) long-term hospitals as defined by Medicare shall be paid on a per diem <br />
         		<a id="pl.392.22"></a><var>392.22</var>methodology under subdivision 25;<br />
         		<a id="pl.392.23"></a><var>392.23</var>(3) rehabilitation hospitals or units of hospitals that are recognized as rehabilitation
         <br />
         		<a id="pl.392.24"></a><var>392.24</var>distinct parts as defined by Medicare shall be paid according to the methodology under
         <br />
         		<a id="pl.392.25"></a><var>392.25</var>subdivision 12; and<br />
         		<a id="pl.392.26"></a><var>392.26</var>(4) all other hospitals shall be paid on a diagnosis-related group (DRG) methodology.<br />
         		<a id="pl.392.27"></a><var>392.27</var>&#160;&#160;&#160;&#160;(b) For the period beginning January 1, 2011, through October 31, 2014, rates shall
         <br />
         		<a id="pl.392.28"></a><var>392.28</var>not be rebased, except that a Minnesota long-term hospital shall be rebased effective
         <br />
         		<a id="pl.392.29"></a><var>392.29</var>January 1, 2011, based on its most recent Medicare cost report ending on or before
         <br />
         		<a id="pl.392.30"></a><var>392.30</var>September 1, 2008, with the provisions under subdivisions 9 and 23, based on the rates
         <br />
         		<a id="pl.392.31"></a><var>392.31</var>in effect on December 31, 2010. For rate setting periods after November 1, 2014, in
         <br />
         		<a id="pl.392.32"></a><var>392.32</var>which the base years are updated, a Minnesota long-term hospital's base year shall
         remain <br />
         		<a id="pl.392.33"></a><var>392.33</var>within the same period as other hospitals.<br />
         		<a id="pl.392.34"></a><var>392.34</var>(c) Effective for discharges occurring on and after November 1, 2014, payment rates
         <br />
         		<a id="pl.392.35"></a><var>392.35</var>for hospital inpatient services provided by hospitals located in Minnesota or the
         local trade <br />
         		<a id="pl.393.1"></a><var>393.1</var>area, except for the hospitals paid under the methodologies described in paragraph
         (a), <br />
         		<a id="pl.393.2"></a><var>393.2</var>clauses (2) and (3), shall be rebased, incorporating cost and payment methodologies
         in a <br />
         		<a id="pl.393.3"></a><var>393.3</var>manner similar to Medicare. The base year for the rates effective November 1, 2014,
         shall <br />
         		<a id="pl.393.4"></a><var>393.4</var>be calendar year 2012. The rebasing under this paragraph shall be budget neutral,
         ensuring <br />
         		<a id="pl.393.5"></a><var>393.5</var>that the total aggregate payments under the rebased system are equal to the total
         aggregate <br />
         		<a id="pl.393.6"></a><var>393.6</var>payments that were made for the same number and types of services in the base year.
         <br />
         		<a id="pl.393.7"></a><var>393.7</var>Separate budget neutrality calculations shall be determined for payments made to critical
         <br />
         		<a id="pl.393.8"></a><var>393.8</var>access hospitals and payments made to hospitals paid under the DRG system. Only the
         rate <br />
         		<a id="pl.393.9"></a><var>393.9</var>increases or decreases under subdivision 3a or 3c that applied to the hospitals being
         rebased <br />
         		<a id="pl.393.10"></a><var>393.10</var>during the entire base period shall be incorporated into the budget neutrality calculation.<br />
         		<a id="pl.393.11"></a><var>393.11</var>(d) For discharges occurring on or after November 1, 2014, through June 30, 2016 <br />
         		<a id="pl.393.12"></a><var>393.12</var>the next rebasing that occurs, the rebased rates under paragraph (c) that apply to hospitals <br />
         		<a id="pl.393.13"></a><var>393.13</var>under paragraph (a), clause (4), shall include adjustments to the projected rates that result <br />
         		<a id="pl.393.14"></a><var>393.14</var>in no greater than a five percent increase or decrease from the base year payments
         for any <br />
         		<a id="pl.393.15"></a><var>393.15</var>hospital. Any adjustments to the rates made by the commissioner under this paragraph
         and <br />
         		<a id="pl.393.16"></a><var>393.16</var>paragraph (e) shall maintain budget neutrality as described in paragraph (c).<br />
         		<a id="pl.393.17"></a><var>393.17</var>(e) For discharges occurring on or after November 1, 2014, through June 30, 2016, <br />
         		<a id="pl.393.18"></a><var>393.18</var>the next rebasing that occurs the commissioner may make additional adjustments to the <br />
         		<a id="pl.393.19"></a><var>393.19</var>rebased rates, and when evaluating whether additional adjustments should be made,
         the <br />
         		<a id="pl.393.20"></a><var>393.20</var>commissioner shall consider the impact of the rates on the following:<br />
         		<a id="pl.393.21"></a><var>393.21</var>(1) pediatric services;<br />
         		<a id="pl.393.22"></a><var>393.22</var>(2) behavioral health services;<br />
         		<a id="pl.393.23"></a><var>393.23</var>(3) trauma services as defined by the National Uniform Billing Committee;<br />
         		<a id="pl.393.24"></a><var>393.24</var>(4) transplant services;<br />
         		<a id="pl.393.25"></a><var>393.25</var>(5) obstetric services, newborn services, and behavioral health services provided
         <br />
         		<a id="pl.393.26"></a><var>393.26</var>by hospitals outside the seven-county metropolitan area;<br />
         		<a id="pl.393.27"></a><var>393.27</var>(6) outlier admissions;<br />
         		<a id="pl.393.28"></a><var>393.28</var>(7) low-volume providers; and<br />
         		<a id="pl.393.29"></a><var>393.29</var>(8) services provided by small rural hospitals that are not critical access hospitals.<br />
         		<a id="pl.393.30"></a><var>393.30</var>(f) Hospital payment rates established under paragraph (c) must incorporate the <br />
         		<a id="pl.393.31"></a><var>393.31</var>following:<br />
         		<a id="pl.393.32"></a><var>393.32</var>&#160;&#160;&#160;&#160;(1) for hospitals paid under the DRG methodology, the base year payment rate per <br />
         		<a id="pl.393.33"></a><var>393.33</var>admission is standardized by the applicable Medicare wage index and adjusted by the
         <br />
         		<a id="pl.393.34"></a><var>393.34</var>hospital's disproportionate population adjustment;<br />
         		<a id="pl.393.35"></a><var>393.35</var>&#160;&#160;&#160;&#160;(2) for critical access hospitals, interim per diem payment rates for discharges <br />
         		<a id="pl.393.36"></a><var>393.36</var>between November 1, 2014, and June 30, 2015, shall be based on the ratio of cost <br />
         		<a id="pl.394.1"></a><var>394.1</var>and charges reported on the base year Medicare cost report or reports and applied
         to <br />
         		<a id="pl.394.2"></a><var>394.2</var>medical assistance utilization data. Final settlement payments for a state fiscal
         year must <br />
         		<a id="pl.394.3"></a><var>394.3</var>be determined based on a review of the medical assistance cost report required under
         <br />
         		<a id="pl.394.4"></a><var>394.4</var>subdivision 4b for the applicable state fiscal year set to the same rate of payment that <br />
         		<a id="pl.394.5"></a><var>394.5</var>applied for discharges on October 31, 2014;<br />
         		<a id="pl.394.6"></a><var>394.6</var>&#160;&#160;&#160;&#160;(3) the cost and charge data used to establish hospital payment rates must only <br />
         		<a id="pl.394.7"></a><var>394.7</var>reflect inpatient services covered by medical assistance; and<br />
         		<a id="pl.394.8"></a><var>394.8</var>&#160;&#160;&#160;&#160;(4) in determining hospital payment rates for discharges occurring on or after the
         <br />
         		<a id="pl.394.9"></a><var>394.9</var>rate year beginning January 1, 2011, through December 31, 2012, the hospital payment
         <br />
         		<a id="pl.394.10"></a><var>394.10</var>rate per discharge shall be based on the cost-finding methods and allowable costs
         of the <br />
         		<a id="pl.394.11"></a><var>394.11</var>Medicare program in effect during the base year or years.<br />
         		<a id="pl.394.12"></a><var>394.12</var>(g) The commissioner shall validate the rates effective November 1, 2014, by <br />
         		<a id="pl.394.13"></a><var>394.13</var>applying the rates established under paragraph (c), and any adjustments made to the
         rates <br />
         		<a id="pl.394.14"></a><var>394.14</var>under paragraph (d) or (e), to hospital claims paid in calendar year 2013 to determine
         <br />
         		<a id="pl.394.15"></a><var>394.15</var>whether the total aggregate payments for the same number and types of services under
         the <br />
         		<a id="pl.394.16"></a><var>394.16</var>rebased rates are equal to the total aggregate payments made during calendar year
         2013.<br />
         		<a id="pl.394.17"></a><var>394.17</var>(h) Effective for discharges occurring on or after July 1, 2017, and every two <br />
         		<a id="pl.394.18"></a><var>394.18</var>years thereafter, payment rates under this section shall be rebased to reflect only
         those <br />
         		<a id="pl.394.19"></a><var>394.19</var>changes in hospital costs between the existing base year and the next base year. The
         <br />
         		<a id="pl.394.20"></a><var>394.20</var>commissioner shall establish the base year for each rebasing period considering the
         most <br />
         		<a id="pl.394.21"></a><var>394.21</var>recent year for which filed Medicare cost reports are available. The estimated change
         in <br />
         		<a id="pl.394.22"></a><var>394.22</var>the average payment per hospital discharge resulting from a scheduled rebasing must
         be <br />
         		<a id="pl.394.23"></a><var>394.23</var>calculated and made available to the legislature by January 15 of each year in which
         <br />
         		<a id="pl.394.24"></a><var>394.24</var>rebasing is scheduled to occur, and must include by hospital the differential in payment
         <br />
         		<a id="pl.394.25"></a><var>394.25</var>rates compared to the individual hospital's costs.<br />
         		<a id="pl.394.26"></a><var>394.26</var>(i) Effective for discharges occurring on or after July 1, 2015, payment rates for
         <br />
         		<a id="pl.394.27"></a><var>394.27</var>critical access hospitals located in Minnesota or the local trade area shall be determined
         <br />
         		<a id="pl.394.28"></a><var>394.28</var>using a new cost-based methodology. The commissioner shall establish within the <br />
         		<a id="pl.394.29"></a><var>394.29</var>methodology tiers of payment designed to promote efficiency and cost-effectiveness.
         <br />
         		<a id="pl.394.30"></a><var>394.30</var>Payment rates for hospitals under this paragraph shall be set at a level that does
         not exceed <br />
         		<a id="pl.394.31"></a><var>394.31</var>the total cost for critical access hospitals as reflected in base year cost reports.
         Until the <br />
         		<a id="pl.394.32"></a><var>394.32</var>next rebasing that occurs, the new methodology shall result in no greater than a five
         <br />
         		<a id="pl.394.33"></a><var>394.33</var>percent decrease from the base year payments for any hospital, except a hospital that
         <br />
         		<a id="pl.394.34"></a><var>394.34</var>had payments that were greater than 100 percent of the hospital's costs in the base
         year <br />
         		<a id="pl.394.35"></a><var>394.35</var>shall have their rate set equal to 100 percent of costs in the base year. The rates
         paid for <br />
         		<a id="pl.394.36"></a><var>394.36</var>discharges on and after July 1, 2016, covered under this paragraph shall be increased
         by <br />
         		<a id="pl.395.1"></a><var>395.1</var>the inflation factor in subdivision 1, paragraph (a). The new cost-based rate shall
         be the <br />
         		<a id="pl.395.2"></a><var>395.2</var>final rate and shall not be settled to actual incurred costs. Hospitals shall be assigned
         a <br />
         		<a id="pl.395.3"></a><var>395.3</var>payment tier based on the following criteria:<br />
         		<a id="pl.395.4"></a><var>395.4</var>(1) hospitals that had payments at or below 80 percent of their costs in the base
         year <br />
         		<a id="pl.395.5"></a><var>395.5</var>shall have a rate set that equals 85 percent of their base year costs;<br />
         		<a id="pl.395.6"></a><var>395.6</var>(2) hospitals that had payments that were above 80 percent, up to and including <br />
         		<a id="pl.395.7"></a><var>395.7</var>90 percent of their costs in the base year shall have a rate set that equals 95 percent
         of <br />
         		<a id="pl.395.8"></a><var>395.8</var>their base year costs; and<br />
         		<a id="pl.395.9"></a><var>395.9</var>(3) hospitals that had payments that were above 90 percent of their costs in the base
         <br />
         		<a id="pl.395.10"></a><var>395.10</var>year shall have a rate set that equals 100 percent of their base year costs.<br />
         		<a id="pl.395.11"></a><var>395.11</var>(j) The commissioner may refine the payment tiers and criteria for critical access
         <br />
         		<a id="pl.395.12"></a><var>395.12</var>hospitals to coincide with the next rebasing under paragraph (h). The factors used
         to <br />
         		<a id="pl.395.13"></a><var>395.13</var>develop the new methodology may include, but are not limited to:<br />
         		<a id="pl.395.14"></a><var>395.14</var>(1) the ratio between the hospital's costs for treating medical assistance patients
         and <br />
         		<a id="pl.395.15"></a><var>395.15</var>the hospital's charges to the medical assistance program;<br />
         		<a id="pl.395.16"></a><var>395.16</var>(2) the ratio between the hospital's costs for treating medical assistance patients
         and <br />
         		<a id="pl.395.17"></a><var>395.17</var>the hospital's payments received from the medical assistance program for the care
         of <br />
         		<a id="pl.395.18"></a><var>395.18</var>medical assistance patients;<br />
         		<a id="pl.395.19"></a><var>395.19</var>(3) the ratio between the hospital's charges to the medical assistance program and
         <br />
         		<a id="pl.395.20"></a><var>395.20</var>the hospital's payments received from the medical assistance program for the care
         of <br />
         		<a id="pl.395.21"></a><var>395.21</var>medical assistance patients;<br />
         		<a id="pl.395.22"></a><var>395.22</var>(4) the statewide average increases in the ratios identified in clauses (1), (2),
         and (3);<br />
         		<a id="pl.395.23"></a><var>395.23</var>(5) the proportion of that hospital's costs that are administrative and trends in
         <br />
         		<a id="pl.395.24"></a><var>395.24</var>administrative costs; and<br />
         		<a id="pl.395.25"></a><var>395.25</var>(6) geographic location.<br />
         		<br />
         		<a id="bill.11.13.0"></a><a id="pl.395.26"></a><var>395.26</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 256.969, subdivision 2d, is amended to read:<br />
         		<a id="pl.395.27"></a><var>395.27</var>&#160;&#160;&#160;&#160;Subd. 2d. <b>Interim payments.</b> Notwithstanding subdivision 2b, paragraph (c), for <br />
         		<a id="pl.395.28"></a><var>395.28</var>discharges occurring on or after November 1, 2014, through June 30, 2015 March 1, 2016, <br />
         		<a id="pl.395.29"></a><var>395.29</var>the commissioner may implement an interim payment process to pay hospitals, including
         <br />
         		<a id="pl.395.30"></a><var>395.30</var>payments based on each hospital's average payments per claim for state fiscal years
         2011 <br />
         		<a id="pl.395.31"></a><var>395.31</var>and 2012. These interim payments may be used to pay hospitals if the rebasing under
         <br />
         		<a id="pl.395.32"></a><var>395.32</var>subdivision 2b, paragraph (c), is not implemented by November 1, 2014, or if electronic <br />
         		<a id="pl.395.33"></a><var>395.33</var>systems changes necessary to support the conversion to the International Classification
         of <br />
         		<a id="pl.395.34"></a><var>395.34</var>Diseases, 10th revision (ICD-10) coding system are not completed. Claims paid at interim <br />
         		<a id="pl.396.1"></a><var>396.1</var>payment rates shall be reprocessed and paid at the rates established under subdivision
         2b, <br />
         		<a id="pl.396.2"></a><var>396.2</var>paragraphs (c) and (d), upon implementation of the rebased rates.<br />
         		<br />
         		<a id="bill.11.14.0"></a><a id="pl.396.3"></a><var>396.3</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 256.969, subdivision 3a, is amended to read:<br />
         		<a id="pl.396.4"></a><var>396.4</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Payments.</b> (a) Acute care hospital billings under the medical assistance <br />
         		<a id="pl.396.5"></a><var>396.5</var>program must not be submitted until the recipient is discharged. However, the <br />
         		<a id="pl.396.6"></a><var>396.6</var>commissioner shall establish monthly interim payments for inpatient hospitals that
         have <br />
         		<a id="pl.396.7"></a><var>396.7</var>individual patient lengths of stay over 30 days regardless of diagnostic category.
         Except <br />
         		<a id="pl.396.8"></a><var>396.8</var>as provided in section 
         <statute_ref>256.9693</statute_ref>, medical assistance reimbursement for treatment of <br />
         		<a id="pl.396.9"></a><var>396.9</var>mental illness shall be reimbursed based on diagnostic classifications. Individual
         hospital <br />
         		<a id="pl.396.10"></a><var>396.10</var>payments established under this section and sections 
         <statute_ref>256.9685</statute_ref>, 
         <statute_ref>256.9686</statute_ref>, and 
         <statute_ref>256.9695</statute_ref>, in <br />
         		<a id="pl.396.11"></a><var>396.11</var>addition to third-party and recipient liability, for discharges occurring during the
         rate year <br />
         		<a id="pl.396.12"></a><var>396.12</var>shall not exceed, in aggregate, the charges for the medical assistance covered inpatient
         <br />
         		<a id="pl.396.13"></a><var>396.13</var>services paid for the same period of time to the hospital. Services that have rates
         established <br />
         		<a id="pl.396.14"></a><var>396.14</var>under subdivision 11 or 12, must be limited separately from other services. After
         <br />
         		<a id="pl.396.15"></a><var>396.15</var>consulting with the affected hospitals, the commissioner may consider related hospitals
         <br />
         		<a id="pl.396.16"></a><var>396.16</var>one entity and may merge the payment rates while maintaining separate provider numbers.
         <br />
         		<a id="pl.396.17"></a><var>396.17</var>The operating and property base rates per admission or per day shall be derived from
         the <br />
         		<a id="pl.396.18"></a><var>396.18</var>best Medicare and claims data available when rates are established. The commissioner
         <br />
         		<a id="pl.396.19"></a><var>396.19</var>shall determine the best Medicare and claims data, taking into consideration variables
         of <br />
         		<a id="pl.396.20"></a><var>396.20</var>recency of the data, audit disposition, settlement status, and the ability to set
         rates in a <br />
         		<a id="pl.396.21"></a><var>396.21</var>timely manner. The commissioner shall notify hospitals of payment rates 30 days prior
         to <br />
         		<a id="pl.396.22"></a><var>396.22</var>implementation. The rate setting data must reflect the admissions data used to establish
         <br />
         		<a id="pl.396.23"></a><var>396.23</var>relative values. The commissioner may adjust base year cost, relative value, and case
         mix <br />
         		<a id="pl.396.24"></a><var>396.24</var>index data to exclude the costs of services that have been discontinued by the October
         <br />
         		<a id="pl.396.25"></a><var>396.25</var>1 of the year preceding the rate year or that are paid separately from inpatient services.
         <br />
         		<a id="pl.396.26"></a><var>396.26</var>Inpatient stays that encompass portions of two or more rate years shall have payments
         <br />
         		<a id="pl.396.27"></a><var>396.27</var>established based on payment rates in effect at the time of admission unless the date
         of <br />
         		<a id="pl.396.28"></a><var>396.28</var>admission preceded the rate year in effect by six months or more. In this case, operating
         <br />
         		<a id="pl.396.29"></a><var>396.29</var>payment rates for services rendered during the rate year in effect and established
         based on <br />
         		<a id="pl.396.30"></a><var>396.30</var>the date of admission shall be adjusted to the rate year in effect by the hospital
         cost index.<br />
         		<a id="pl.396.31"></a><var>396.31</var>&#160;&#160;&#160;&#160;(b) For fee-for-service admissions occurring on or after July 1, 2002, the total <br />
         		<a id="pl.396.32"></a><var>396.32</var>payment, before third-party liability and spenddown, made to hospitals for inpatient
         <br />
         		<a id="pl.396.33"></a><var>396.33</var>services is reduced by .5 percent from the current statutory rates.<br />
         		<a id="pl.396.34"></a><var>396.34</var>&#160;&#160;&#160;&#160;(c) In addition to the reduction in paragraph (b), the total payment for fee-for-service
         <br />
         		<a id="pl.396.35"></a><var>396.35</var>admissions occurring on or after July 1, 2003, made to hospitals for inpatient services
         before <br />
         		<a id="pl.397.1"></a><var>397.1</var>third-party liability and spenddown, is reduced five percent from the current statutory
         <br />
         		<a id="pl.397.2"></a><var>397.2</var>rates. Mental health services within diagnosis related groups 424 to 432 or corresponding
         <br />
         		<a id="pl.397.3"></a><var>397.3</var>APR-DRGs, and facilities defined under subdivision 16 are excluded from this paragraph.<br />
         		<a id="pl.397.4"></a><var>397.4</var>&#160;&#160;&#160;&#160;(d) In addition to the reduction in paragraphs (b) and (c), the total payment for
         <br />
         		<a id="pl.397.5"></a><var>397.5</var>fee-for-service admissions occurring on or after August 1, 2005, made to hospitals
         for <br />
         		<a id="pl.397.6"></a><var>397.6</var>inpatient services before third-party liability and spenddown, is reduced 6.0 percent
         from <br />
         		<a id="pl.397.7"></a><var>397.7</var>the current statutory rates. Mental health services within diagnosis related groups
         424 <br />
         		<a id="pl.397.8"></a><var>397.8</var>to 432 or corresponding APR-DRGs, and facilities defined under subdivision 16 are
         <br />
         		<a id="pl.397.9"></a><var>397.9</var>excluded from this paragraph. Payments made to managed care plans shall be reduced
         for <br />
         		<a id="pl.397.10"></a><var>397.10</var>services provided on or after January 1, 2006, to reflect this reduction.<br />
         		<a id="pl.397.11"></a><var>397.11</var>&#160;&#160;&#160;&#160;(e) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         for <br />
         		<a id="pl.397.12"></a><var>397.12</var>fee-for-service admissions occurring on or after July 1, 2008, through June 30, 2009,
         made <br />
         		<a id="pl.397.13"></a><var>397.13</var>to hospitals for inpatient services before third-party liability and spenddown, is
         reduced <br />
         		<a id="pl.397.14"></a><var>397.14</var>3.46 percent from the current statutory rates. Mental health services with diagnosis
         <br />
         		<a id="pl.397.15"></a><var>397.15</var>related groups 424 to 432 or corresponding APR-DRGs, and facilities defined under
         <br />
         		<a id="pl.397.16"></a><var>397.16</var>subdivision 16 are excluded from this paragraph. Payments made to managed care plans
         <br />
         		<a id="pl.397.17"></a><var>397.17</var>shall be reduced for services provided on or after January 1, 2009, through June 30,
         2009, <br />
         		<a id="pl.397.18"></a><var>397.18</var>to reflect this reduction.<br />
         		<a id="pl.397.19"></a><var>397.19</var>&#160;&#160;&#160;&#160;(f) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         <br />
         		<a id="pl.397.20"></a><var>397.20</var>for fee-for-service admissions occurring on or after July 1, 2009, through June 30,
         2011, <br />
         		<a id="pl.397.21"></a><var>397.21</var>made to hospitals for inpatient services before third-party liability and spenddown,
         is <br />
         		<a id="pl.397.22"></a><var>397.22</var>reduced 1.9 percent from the current statutory rates. Mental health services with
         diagnosis <br />
         		<a id="pl.397.23"></a><var>397.23</var>related groups 424 to 432 or corresponding APR-DRGs, and facilities defined under
         <br />
         		<a id="pl.397.24"></a><var>397.24</var>subdivision 16 are excluded from this paragraph. Payments made to managed care plans
         <br />
         		<a id="pl.397.25"></a><var>397.25</var>shall be reduced for services provided on or after July 1, 2009, through June 30,
         2011, <br />
         		<a id="pl.397.26"></a><var>397.26</var>to reflect this reduction.<br />
         		<a id="pl.397.27"></a><var>397.27</var>&#160;&#160;&#160;&#160;(g) In addition to the reductions in paragraphs (b), (c), and (d), the total payment
         <br />
         		<a id="pl.397.28"></a><var>397.28</var>for fee-for-service admissions occurring on or after July 1, 2011, made to hospitals
         for <br />
         		<a id="pl.397.29"></a><var>397.29</var>inpatient services before third-party liability and spenddown, is reduced 1.79 percent
         from <br />
         		<a id="pl.397.30"></a><var>397.30</var>the current statutory rates. Mental health services with diagnosis related groups
         424 to 432 <br />
         		<a id="pl.397.31"></a><var>397.31</var>or corresponding APR-DRGs, and facilities defined under subdivision 16 are excluded
         <br />
         		<a id="pl.397.32"></a><var>397.32</var>from this paragraph. Payments made to managed care plans shall be reduced for services
         <br />
         		<a id="pl.397.33"></a><var>397.33</var>provided on or after July 1, 2011, to reflect this reduction.<br />
         		<a id="pl.397.34"></a><var>397.34</var>(h) In addition to the reductions in paragraphs (b), (c), (d), (f), and (g), the total
         <br />
         		<a id="pl.397.35"></a><var>397.35</var>payment for fee-for-service admissions occurring on or after July 1, 2009, made to
         <br />
         		<a id="pl.397.36"></a><var>397.36</var>hospitals for inpatient services before third-party liability and spenddown, is reduced
         <br />
         		<a id="pl.398.1"></a><var>398.1</var>one percent from the current statutory rates. Facilities defined under subdivision
         16 are <br />
         		<a id="pl.398.2"></a><var>398.2</var>excluded from this paragraph. Payments made to managed care plans shall be reduced
         for <br />
         		<a id="pl.398.3"></a><var>398.3</var>services provided on or after October 1, 2009, to reflect this reduction.<br />
         		<a id="pl.398.4"></a><var>398.4</var>(i) In addition to the reductions in paragraphs (b), (c), (d), (g), and (h), the total
         <br />
         		<a id="pl.398.5"></a><var>398.5</var>payment for fee-for-service admissions occurring on or after July 1, 2011, made to
         <br />
         		<a id="pl.398.6"></a><var>398.6</var>hospitals for inpatient services before third-party liability and spenddown, is reduced
         <br />
         		<a id="pl.398.7"></a><var>398.7</var>1.96 percent from the current statutory rates. Facilities defined under subdivision
         16 are <br />
         		<a id="pl.398.8"></a><var>398.8</var>excluded from this paragraph. Payments made to managed care plans shall be reduced
         for <br />
         		<a id="pl.398.9"></a><var>398.9</var>services provided on or after January 1, 2011, to reflect this reduction.<br />
         		<a id="pl.398.10"></a><var>398.10</var>(j) Effective for discharges on and after November 1, 2014, from hospitals paid <br />
         		<a id="pl.398.11"></a><var>398.11</var>under subdivision 2b, paragraph (a), clauses (1) and (4), the rate adjustments in
         this <br />
         		<a id="pl.398.12"></a><var>398.12</var>subdivision must be incorporated into the rebased rates established under subdivision
         2b, <br />
         		<a id="pl.398.13"></a><var>398.13</var>paragraph (c), and must not be applied to each claim.<br />
         		<a id="pl.398.14"></a><var>398.14</var>(k) Effective for discharges on and after July 1, 2015, from hospitals paid under
         <br />
         		<a id="pl.398.15"></a><var>398.15</var>subdivision 2b, paragraph (a), clauses (2) and (3), the rate adjustments in this subdivision
         <br />
         		<a id="pl.398.16"></a><var>398.16</var>must be incorporated into the rates and must not be applied to each claim.<br />
         		<br />
         		<a id="bill.11.15.0"></a><a id="pl.398.17"></a><var>398.17</var>&#160;&#160;&#160;&#160;Sec. 15. Minnesota Statutes 2014, section 256.969, subdivision 3c, is amended to read:<br />
         		<a id="pl.398.18"></a><var>398.18</var>&#160;&#160;&#160;&#160;Subd. 3c. <b>Rateable reduction and readmissions reduction.</b> (a) The total payment <br />
         		<a id="pl.398.19"></a><var>398.19</var>for fee for service admissions occurring on or after September 1, 2011, to October
         31, <br />
         		<a id="pl.398.20"></a><var>398.20</var>2014, made to hospitals for inpatient services before third-party liability and spenddown,
         <br />
         		<a id="pl.398.21"></a><var>398.21</var>is reduced ten percent from the current statutory rates. Facilities defined under
         subdivision <br />
         		<a id="pl.398.22"></a><var>398.22</var>16, long-term hospitals as determined under the Medicare program, children's hospitals
         <br />
         		<a id="pl.398.23"></a><var>398.23</var>whose inpatients are predominantly under 18 years of age, and payments under managed
         <br />
         		<a id="pl.398.24"></a><var>398.24</var>care are excluded from this paragraph.<br />
         		<a id="pl.398.25"></a><var>398.25</var>(b) Effective for admissions occurring during calendar year 2010 and each year <br />
         		<a id="pl.398.26"></a><var>398.26</var>after, the commissioner shall calculate a readmission rate for admissions to all hospitals
         <br />
         		<a id="pl.398.27"></a><var>398.27</var>occurring within 30 days of a previous discharge using data from the Reducing Avoidable
         <br />
         		<a id="pl.398.28"></a><var>398.28</var>Readmissions Effectively (RARE) campaign. The commissioner may adjust the <br />
         		<a id="pl.398.29"></a><var>398.29</var>readmission rate taking into account factors such as the medical relationship, complicating
         <br />
         		<a id="pl.398.30"></a><var>398.30</var>conditions, and sequencing of treatment between the initial admission and subsequent
         <br />
         		<a id="pl.398.31"></a><var>398.31</var>readmissions.<br />
         		<a id="pl.398.32"></a><var>398.32</var>(c) Effective for payments to all hospitals on or after July 1, 2013, through October
         <br />
         		<a id="pl.398.33"></a><var>398.33</var>31, 2014, the reduction in paragraph (a) is reduced one percentage point for every
         <br />
         		<a id="pl.398.34"></a><var>398.34</var>percentage point reduction in the overall readmissions rate between the two previous
         <br />
         		<a id="pl.398.35"></a><var>398.35</var>calendar years to a maximum of five percent.<br />
         		<a id="pl.399.1"></a><var>399.1</var>(d) The exclusion from the rate reduction in paragraph (a) shall apply to a hospital
         <br />
         		<a id="pl.399.2"></a><var>399.2</var>located in Hennepin County with a licensed capacity of 1,700 beds as of September
         1, <br />
         		<a id="pl.399.3"></a><var>399.3</var>2011, for admissions of children under 18 years of age occurring on or after September
         1, <br />
         		<a id="pl.399.4"></a><var>399.4</var>2011, through August 31, 2013, but shall not apply to payments for admissions occurring
         <br />
         		<a id="pl.399.5"></a><var>399.5</var>on or after September 1, 2013, through October 31, 2014.<br />
         		<a id="pl.399.6"></a><var>399.6</var>(e) Effective for discharges on or after November 1, 2014, from hospitals paid under
         <br />
         		<a id="pl.399.7"></a><var>399.7</var>subdivision 2b, paragraph (a), clauses (1) and (4), the rate adjustments in this subdivision
         <br />
         		<a id="pl.399.8"></a><var>399.8</var>must be incorporated into the rebased rates established under subdivision 2b, paragraph
         <br />
         		<a id="pl.399.9"></a><var>399.9</var>(c), and must not be applied to each claim.<br />
         		<a id="pl.399.10"></a><var>399.10</var>(f) Effective for discharges on and after July 1, 2015, from hospitals paid under
         <br />
         		<a id="pl.399.11"></a><var>399.11</var>subdivision 2b, paragraph (a), clauses (2) and (3), the rate adjustments in this subdivision
         <br />
         		<a id="pl.399.12"></a><var>399.12</var>must be incorporated into the rates and must not be applied to each claim.<br />
         		<br />
         		<a id="bill.11.16.0"></a><a id="pl.399.13"></a><var>399.13</var>&#160;&#160;&#160;&#160;Sec. 16. Minnesota Statutes 2014, section 256.969, subdivision 9, is amended to read:<br />
         		<a id="pl.399.14"></a><var>399.14</var>&#160;&#160;&#160;&#160;Subd. 9. <b>Disproportionate numbers of low-income patients served.</b> (a) For <br />
         		<a id="pl.399.15"></a><var>399.15</var>admissions occurring on or after July 1, 1993, the medical assistance disproportionate
         <br />
         		<a id="pl.399.16"></a><var>399.16</var>population adjustment shall comply with federal law and shall be paid to a hospital,
         <br />
         		<a id="pl.399.17"></a><var>399.17</var>excluding regional treatment centers and facilities of the federal Indian Health Service,
         <br />
         		<a id="pl.399.18"></a><var>399.18</var>with a medical assistance inpatient utilization rate in excess of the arithmetic mean.
         The <br />
         		<a id="pl.399.19"></a><var>399.19</var>adjustment must be determined as follows:<br />
         		<a id="pl.399.20"></a><var>399.20</var>&#160;&#160;&#160;&#160;(1) for a hospital with a medical assistance inpatient utilization rate above the
         <br />
         		<a id="pl.399.21"></a><var>399.21</var>arithmetic mean for all hospitals excluding regional treatment centers and facilities
         of the <br />
         		<a id="pl.399.22"></a><var>399.22</var>federal Indian Health Service but less than or equal to one standard deviation above
         the <br />
         		<a id="pl.399.23"></a><var>399.23</var>mean, the adjustment must be determined by multiplying the total of the operating
         and <br />
         		<a id="pl.399.24"></a><var>399.24</var>property payment rates by the difference between the hospital's actual medical assistance
         <br />
         		<a id="pl.399.25"></a><var>399.25</var>inpatient utilization rate and the arithmetic mean for all hospitals excluding regional
         <br />
         		<a id="pl.399.26"></a><var>399.26</var>treatment centers and facilities of the federal Indian Health Service; and<br />
         		<a id="pl.399.27"></a><var>399.27</var>&#160;&#160;&#160;&#160;(2) for a hospital with a medical assistance inpatient utilization rate above one
         <br />
         		<a id="pl.399.28"></a><var>399.28</var>standard deviation above the mean, the adjustment must be determined by multiplying
         <br />
         		<a id="pl.399.29"></a><var>399.29</var>the adjustment that would be determined under clause (1) for that hospital by 1.1.
         <br />
         		<a id="pl.399.30"></a><var>399.30</var>The commissioner may establish a separate disproportionate population payment rate
         <br />
         		<a id="pl.399.31"></a><var>399.31</var>adjustment for critical access hospitals. The commissioner shall report annually on the <br />
         		<a id="pl.399.32"></a><var>399.32</var>number of hospitals likely to receive the adjustment authorized by this paragraph.
         The <br />
         		<a id="pl.399.33"></a><var>399.33</var>commissioner shall specifically report on the adjustments received by public hospitals
         and <br />
         		<a id="pl.399.34"></a><var>399.34</var>public hospital corporations located in cities of the first class.<br />
         		<a id="pl.400.1"></a><var>400.1</var>&#160;&#160;&#160;&#160;(b) Certified public expenditures made by Hennepin County Medical Center shall <br />
         		<a id="pl.400.2"></a><var>400.2</var>be considered Medicaid disproportionate share hospital payments. Hennepin County <br />
         		<a id="pl.400.3"></a><var>400.3</var>and Hennepin County Medical Center shall report by June 15, 2007, on payments made
         <br />
         		<a id="pl.400.4"></a><var>400.4</var>beginning July 1, 2005, or another date specified by the commissioner, that may qualify
         <br />
         		<a id="pl.400.5"></a><var>400.5</var>for reimbursement under federal law. Based on these reports, the commissioner shall
         <br />
         		<a id="pl.400.6"></a><var>400.6</var>apply for federal matching funds.<br />
         		<a id="pl.400.7"></a><var>400.7</var>&#160;&#160;&#160;&#160;(c) Upon federal approval of the related state plan amendment, paragraph (b) is <br />
         		<a id="pl.400.8"></a><var>400.8</var>effective retroactively from July 1, 2005, or the earliest effective date approved
         by the <br />
         		<a id="pl.400.9"></a><var>400.9</var>Centers for Medicare and Medicaid Services.<br />
         		<a id="pl.400.10"></a><var>400.10</var>&#160;&#160;&#160;&#160;(d) Effective July 1, 2015, disproportionate share hospital (DSH) payments shall <br />
         		<a id="pl.400.11"></a><var>400.11</var>be paid in accordance with a new methodology using 2012 as the base year. Annual <br />
         		<a id="pl.400.12"></a><var>400.12</var>payments made under this paragraph shall equal the total amount of payments made for
         <br />
         		<a id="pl.400.13"></a><var>400.13</var>2012. A licensed children's hospital shall receive only a single DSH factor for children's
         <br />
         		<a id="pl.400.14"></a><var>400.14</var>hospitals. Other DSH factors may be combined to arrive at a single factor for each
         hospital <br />
         		<a id="pl.400.15"></a><var>400.15</var>that is eligible for DSH payments. The new methodology shall make payments only to
         <br />
         		<a id="pl.400.16"></a><var>400.16</var>hospitals located in Minnesota and include the following factors:<br />
         		<a id="pl.400.17"></a><var>400.17</var>&#160;&#160;&#160;&#160;(1) a licensed children's hospital with at least 1,000 fee-for-service discharges
         in <br />
         		<a id="pl.400.18"></a><var>400.18</var>the base year shall receive a factor of 0.868. A licensed children's hospital with
         less than <br />
         		<a id="pl.400.19"></a><var>400.19</var>1,000 fee-for-service discharges in the base year shall receive a factor of 0.7880;<br />
         		<a id="pl.400.20"></a><var>400.20</var>&#160;&#160;&#160;&#160;(2) a hospital that has in effect for the initial rate year a contract with the <br />
         		<a id="pl.400.21"></a><var>400.21</var>commissioner to provide extended psychiatric inpatient services under section 256.9693
         <br />
         		<a id="pl.400.22"></a><var>400.22</var>shall receive a factor of 0.0160;<br />
         		<a id="pl.400.23"></a><var>400.23</var>&#160;&#160;&#160;&#160;(3) a hospital that has received payment from the fee-for-service program for at least
         <br />
         		<a id="pl.400.24"></a><var>400.24</var>20 transplant services in the base year shall receive a factor of 0.0435;<br />
         		<a id="pl.400.25"></a><var>400.25</var>&#160;&#160;&#160;&#160;(4) a hospital that has a medical assistance utilization rate in the base year between
         <br />
         		<a id="pl.400.26"></a><var>400.26</var>20 percent up to one standard deviation above the statewide mean utilization rate
         shall <br />
         		<a id="pl.400.27"></a><var>400.27</var>receive a factor of 0.0468;<br />
         		<a id="pl.400.28"></a><var>400.28</var>&#160;&#160;&#160;&#160;(5) a hospital that has a medical assistance utilization rate in the base year that
         is at <br />
         		<a id="pl.400.29"></a><var>400.29</var>least one standard deviation above the statewide mean utilization rate but is less
         than three <br />
         		<a id="pl.400.30"></a><var>400.30</var>standard deviations above the mean shall receive a factor of 0.2300; and<br />
         		<a id="pl.400.31"></a><var>400.31</var>(6) a hospital that has a medical assistance utilization rate in the base year that
         is <br />
         		<a id="pl.400.32"></a><var>400.32</var>at least three standard deviations above the statewide mean utilization rate shall
         receive <br />
         		<a id="pl.400.33"></a><var>400.33</var>a factor of 0.3711.<br />
         		<a id="pl.400.34"></a><var>400.34</var>&#160;&#160;&#160;&#160;(e) Any payments or portion of payments made to a hospital under this subdivision
         <br />
         		<a id="pl.400.35"></a><var>400.35</var>that are subsequently returned to the commissioner because the payments are found
         to <br />
         		<a id="pl.400.36"></a><var>400.36</var>exceed the hospital-specific DSH limit for that hospital shall be redistributed, proportionate
         <br />
         		<a id="pl.401.1"></a><var>401.1</var>to the number of fee-for-service discharges, to other DSH-eligible nonchildren's hospitals
         <br />
         		<a id="pl.401.2"></a><var>401.2</var>that have a medical assistance utilization rate that is at least one standard deviation
         above <br />
         		<a id="pl.401.3"></a><var>401.3</var>the mean.<br />
         		<br />
         		<a id="bill.11.17.0"></a><a id="pl.401.4"></a><var>401.4</var>&#160;&#160;&#160;&#160;Sec. 17. <b>[256B.0561] PERIODIC DATA MATCHING TO EVALUATE </b><br />
         		<a id="pl.401.5"></a><var>401.5</var><b>CONTINUED ELIGIBILITY.</b><br />
         		<a id="pl.401.6"></a><var>401.6</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definition.</b> For the purposes of this section, "periodic data <br />
         		<a id="pl.401.7"></a><var>401.7</var>matching" means obtaining updated electronic information about medical assistance
         and <br />
         		<a id="pl.401.8"></a><var>401.8</var>MinnesotaCare recipients on the MNsure information system from federal and state data
         <br />
         		<a id="pl.401.9"></a><var>401.9</var>sources accessible to the MNsure information system and using that data to evaluate
         <br />
         		<a id="pl.401.10"></a><var>401.10</var>continued eligibility between regularly scheduled renewals.<br />
         		<a id="pl.401.11"></a><var>401.11</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Periodic data matching.</b> (a) Beginning March 1, 2016, the commissioner <br />
         		<a id="pl.401.12"></a><var>401.12</var>shall conduct periodic data matching to identify recipients who, based on available
         <br />
         		<a id="pl.401.13"></a><var>401.13</var>electronic data, may not meet eligibility criteria for the public health care program
         in <br />
         		<a id="pl.401.14"></a><var>401.14</var>which the recipient is enrolled.  The commissioner shall conduct data matching for
         <br />
         		<a id="pl.401.15"></a><var>401.15</var>medical assistance or MinnesotaCare recipients at least once during a recipient's
         12-month <br />
         		<a id="pl.401.16"></a><var>401.16</var>period of eligibility.<br />
         		<a id="pl.401.17"></a><var>401.17</var>(b) If data matching indicates a recipient may no longer qualify for medical <br />
         		<a id="pl.401.18"></a><var>401.18</var>assistance or MinnesotaCare, the commissioner must notify the recipient and allow
         the <br />
         		<a id="pl.401.19"></a><var>401.19</var>recipient no more than 30 days to confirm the information obtained through the periodic
         <br />
         		<a id="pl.401.20"></a><var>401.20</var>data matching or provide a reasonable explanation for the discrepancy to the state
         or <br />
         		<a id="pl.401.21"></a><var>401.21</var>county agency directly responsible for the recipient's case.  If a recipient does
         not respond <br />
         		<a id="pl.401.22"></a><var>401.22</var>within the advance notice period or does not respond with information that demonstrates
         <br />
         		<a id="pl.401.23"></a><var>401.23</var>eligibility or provides a reasonable explanation for the discrepancy within the 30-day
         time <br />
         		<a id="pl.401.24"></a><var>401.24</var>period, the commissioner shall terminate the recipient's eligibility in the manner
         provided <br />
         		<a id="pl.401.25"></a><var>401.25</var>for by the laws and regulations governing the health care program for which the recipient
         <br />
         		<a id="pl.401.26"></a><var>401.26</var>has been identified as being ineligible.<br />
         		<a id="pl.401.27"></a><var>401.27</var>(c) The commissioner shall not terminate eligibility for a recipient who is <br />
         		<a id="pl.401.28"></a><var>401.28</var>cooperating with the requirements of paragraph (b) and needs additional time to provide
         <br />
         		<a id="pl.401.29"></a><var>401.29</var>information in response to the notification.<br />
         		<a id="pl.401.30"></a><var>401.30</var>(d) Any termination of eligibility for benefits under this section may be appealed
         <br />
         		<a id="pl.401.31"></a><var>401.31</var>as provided for in sections 256.045 to 256.0451, and the laws governing the health
         care <br />
         		<a id="pl.401.32"></a><var>401.32</var>programs for which eligibility is terminated.<br />
         		<a id="pl.401.33"></a><var>401.33</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Recipient communication requirements.</b> The commissioner shall <br />
         		<a id="pl.401.34"></a><var>401.34</var>include in all communications with recipients affected by the periodic data matching
         the <br />
         		<a id="pl.401.35"></a><var>401.35</var>following contact information for: (1) the state or county agency directly responsible
         for <br />
         		<a id="pl.402.1"></a><var>402.1</var>the recipient's case; and (2) consumer assistance partners who may be able to assist
         the <br />
         		<a id="pl.402.2"></a><var>402.2</var>recipient in the periodic data matching process.<br />
         		<a id="pl.402.3"></a><var>402.3</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Report.</b> By September 1, 2017, and each September 1 thereafter, the <br />
         		<a id="pl.402.4"></a><var>402.4</var>commissioner shall submit a report to the chairs and ranking minority members of the
         <br />
         		<a id="pl.402.5"></a><var>402.5</var>house and senate committees with jurisdiction over human services finance that includes
         <br />
         		<a id="pl.402.6"></a><var>402.6</var>the number of cases affected by periodic data matching under this section, the number
         <br />
         		<a id="pl.402.7"></a><var>402.7</var>of recipients identified as possibly ineligible as a result of a periodic data match,
         and the <br />
         		<a id="pl.402.8"></a><var>402.8</var>number of recipients whose eligibility was terminated as a result of a periodic data
         match.  <br />
         		<a id="pl.402.9"></a><var>402.9</var>The report must also specify, for recipients whose eligibility was terminated, how
         many <br />
         		<a id="pl.402.10"></a><var>402.10</var>cases were closed due to failure to cooperate.<br />
         		<a id="pl.402.11"></a><var>402.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Federal compliance.</b> The commissioner shall ensure that the <br />
         		<a id="pl.402.12"></a><var>402.12</var>implementation of this section complies with the Affordable Care Act, including the
         state's <br />
         		<a id="pl.402.13"></a><var>402.13</var>maintenance of effort requirements. The commissioner shall not terminate eligibility
         <br />
         		<a id="pl.402.14"></a><var>402.14</var>under this section if eligibility terminations would not conform with federal requirements,
         <br />
         		<a id="pl.402.15"></a><var>402.15</var>including requirements not yet codified in Minnesota Statutes.<br />
         		<br />
         		<a id="bill.11.18.0"></a><a id="pl.402.16"></a><var>402.16</var>&#160;&#160;&#160;&#160;Sec. 18. Minnesota Statutes 2014, section 256B.06, is amended by adding a <br />
         		<a id="pl.402.17"></a><var>402.17</var>subdivision to read:<br />
         		<a id="pl.402.18"></a><var>402.18</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Legal referral and assistance grants.</b> (a) The commissioner shall award <br />
         		<a id="pl.402.19"></a><var>402.19</var>grants to one or more nonprofit programs that provide legal services based on indigency
         to <br />
         		<a id="pl.402.20"></a><var>402.20</var>provide legal services to individuals with emergency medical conditions or chronic
         health <br />
         		<a id="pl.402.21"></a><var>402.21</var>conditions who are not currently eligible for medical assistance or other public health
         <br />
         		<a id="pl.402.22"></a><var>402.22</var>care programs based on their legal status, but who may meet eligibility requirements
         <br />
         		<a id="pl.402.23"></a><var>402.23</var>with legal assistance.<br />
         		<a id="pl.402.24"></a><var>402.24</var>(b) The grantees, in collaboration with hospitals and safety net providers, shall
         <br />
         		<a id="pl.402.25"></a><var>402.25</var>provide referral assistance to connect individuals identified in paragraph (a) with
         <br />
         		<a id="pl.402.26"></a><var>402.26</var>alternative resources and services to assist in meeting their health care needs. <br />
         		<br />
         		<a id="bill.11.19.0"></a><a id="pl.402.27"></a><var>402.27</var>&#160;&#160;&#160;&#160;Sec. 19. Minnesota Statutes 2014, section 256B.0625, is amended by adding a <br />
         		<a id="pl.402.28"></a><var>402.28</var>subdivision to read:<br />
         		<a id="pl.402.29"></a><var>402.29</var>&#160;&#160;&#160;&#160;Subd. 9b. <b>Dental services provided by faculty members and resident dentists </b><br />
         		<a id="pl.402.30"></a><var>402.30</var><b>at a dental school.</b> (a) A dentist who is not enrolled as a medical assistance provider, <br />
         		<a id="pl.402.31"></a><var>402.31</var>is a faculty or adjunct member at the University of Minnesota or a resident dentist
         <br />
         		<a id="pl.402.32"></a><var>402.32</var>licensed under section 150A.06, subdivision 1b, and is providing dental services at
         a <br />
         		<a id="pl.402.33"></a><var>402.33</var>dental clinic owned or operated by the University of Minnesota, may be enrolled as
         a <br />
         		<a id="pl.402.34"></a><var>402.34</var>medical assistance provider if the provider completes and submits to the commissioner
         an <br />
         		<a id="pl.403.1"></a><var>403.1</var>agreement form developed by the commissioner. The agreement must specify that the
         <br />
         		<a id="pl.403.2"></a><var>403.2</var>faculty or adjunct member or resident dentist:<br />
         		<a id="pl.403.3"></a><var>403.3</var>(1) will not receive payment for the services provided to medical assistance or <br />
         		<a id="pl.403.4"></a><var>403.4</var>MinnesotaCare enrollees performed at the dental clinics owned or operated by the <br />
         		<a id="pl.403.5"></a><var>403.5</var>University of Minnesota;<br />
         		<a id="pl.403.6"></a><var>403.6</var>(2) will not be listed in the medical assistance or MinnesotaCare provider directory;
         <br />
         		<a id="pl.403.7"></a><var>403.7</var>and<br />
         		<a id="pl.403.8"></a><var>403.8</var>(3) is not required to serve medical assistance and MinnesotaCare enrollees when <br />
         		<a id="pl.403.9"></a><var>403.9</var>providing nonvolunteer services in a private practice.<br />
         		<a id="pl.403.10"></a><var>403.10</var>(b) A dentist or resident dentist enrolled under this subdivision as a fee-for-service
         <br />
         		<a id="pl.403.11"></a><var>403.11</var>provider shall not otherwise be enrolled in or receive payments from medical assistance
         or <br />
         		<a id="pl.403.12"></a><var>403.12</var>MinnesotaCare as a fee-for-service provider.<br />
         		<br />
         		<a id="bill.11.20.0"></a><a id="pl.403.13"></a><var>403.13</var>&#160;&#160;&#160;&#160;Sec. 20. Minnesota Statutes 2014, section 256B.0625, subdivision 13h, is amended to <br />
         		<a id="pl.403.14"></a><var>403.14</var>read:<br />
         		<a id="pl.403.15"></a><var>403.15</var>&#160;&#160;&#160;&#160;Subd. 13h. <b>Medication therapy management services.</b> (a) Medical assistance and <br />
         		<a id="pl.403.16"></a><var>403.16</var>general assistance medical care cover covers medication therapy management services <br />
         		<a id="pl.403.17"></a><var>403.17</var>for a recipient taking three or more prescriptions to treat or prevent one or more chronic <br />
         		<a id="pl.403.18"></a><var>403.18</var>medical conditions; a recipient with a drug therapy problem that is identified by the <br />
         		<a id="pl.403.19"></a><var>403.19</var>commissioner or identified by a pharmacist and approved by the commissioner; or prior
         <br />
         		<a id="pl.403.20"></a><var>403.20</var>authorized by the commissioner that has resulted or is likely to result in significant
         <br />
         		<a id="pl.403.21"></a><var>403.21</var>nondrug program costs. The commissioner may cover medical therapy management <br />
         		<a id="pl.403.22"></a><var>403.22</var>services under MinnesotaCare if the commissioner determines this is cost-effective. For <br />
         		<a id="pl.403.23"></a><var>403.23</var>purposes of this subdivision, "medication therapy management" means the provision
         <br />
         		<a id="pl.403.24"></a><var>403.24</var>of the following pharmaceutical care services by a licensed pharmacist to optimize
         the <br />
         		<a id="pl.403.25"></a><var>403.25</var>therapeutic outcomes of the patient's medications:<br />
         		<a id="pl.403.26"></a><var>403.26</var>&#160;&#160;&#160;&#160;(1) performing or obtaining necessary assessments of the patient's health status;<br />
         		<a id="pl.403.27"></a><var>403.27</var>&#160;&#160;&#160;&#160;(2) formulating a medication treatment plan;<br />
         		<a id="pl.403.28"></a><var>403.28</var>&#160;&#160;&#160;&#160;(3) monitoring and evaluating the patient's response to therapy, including safety
         <br />
         		<a id="pl.403.29"></a><var>403.29</var>and effectiveness;<br />
         		<a id="pl.403.30"></a><var>403.30</var>&#160;&#160;&#160;&#160;(4) performing a comprehensive medication review to identify, resolve, and prevent
         <br />
         		<a id="pl.403.31"></a><var>403.31</var>medication-related problems, including adverse drug events;<br />
         		<a id="pl.403.32"></a><var>403.32</var>&#160;&#160;&#160;&#160;(5) documenting the care delivered and communicating essential information to <br />
         		<a id="pl.403.33"></a><var>403.33</var>the patient's other primary care providers;<br />
         		<a id="pl.403.34"></a><var>403.34</var>&#160;&#160;&#160;&#160;(6) providing verbal education and training designed to enhance patient <br />
         		<a id="pl.403.35"></a><var>403.35</var>understanding and appropriate use of the patient's medications;<br />
         		<a id="pl.404.1"></a><var>404.1</var>&#160;&#160;&#160;&#160;(7) providing information, support services, and resources designed to enhance <br />
         		<a id="pl.404.2"></a><var>404.2</var>patient adherence with the patient's therapeutic regimens; and<br />
         		<a id="pl.404.3"></a><var>404.3</var>&#160;&#160;&#160;&#160;(8) coordinating and integrating medication therapy management services within the
         <br />
         		<a id="pl.404.4"></a><var>404.4</var>broader health care management services being provided to the patient.<br />
         		<a id="pl.404.5"></a><var>404.5</var>Nothing in this subdivision shall be construed to expand or modify the scope of practice
         of <br />
         		<a id="pl.404.6"></a><var>404.6</var>the pharmacist as defined in section 
         <statute_ref>151.01, subdivision 27</statute_ref>.<br />
         		<a id="pl.404.7"></a><var>404.7</var>&#160;&#160;&#160;&#160;(b) To be eligible for reimbursement for services under this subdivision, a pharmacist
         <br />
         		<a id="pl.404.8"></a><var>404.8</var>must meet the following requirements:<br />
         		<a id="pl.404.9"></a><var>404.9</var>&#160;&#160;&#160;&#160;(1) have a valid license issued by the Board of Pharmacy of the state in which the
         <br />
         		<a id="pl.404.10"></a><var>404.10</var>medication therapy management service is being performed;<br />
         		<a id="pl.404.11"></a><var>404.11</var>&#160;&#160;&#160;&#160;(2) have graduated from an accredited college of pharmacy on or after May 1996, or
         <br />
         		<a id="pl.404.12"></a><var>404.12</var>completed a structured and comprehensive education program approved by the Board of
         <br />
         		<a id="pl.404.13"></a><var>404.13</var>Pharmacy and the American Council of Pharmaceutical Education for the provision and
         <br />
         		<a id="pl.404.14"></a><var>404.14</var>documentation of pharmaceutical care management services that has both clinical and
         <br />
         		<a id="pl.404.15"></a><var>404.15</var>didactic elements;<br />
         		<a id="pl.404.16"></a><var>404.16</var>&#160;&#160;&#160;&#160;(3) be practicing in an ambulatory care setting as part of a multidisciplinary team
         or <br />
         		<a id="pl.404.17"></a><var>404.17</var>have developed a structured patient care process that is offered in a private or semiprivate
         <br />
         		<a id="pl.404.18"></a><var>404.18</var>patient care area that is separate from the commercial business that also occurs in
         the <br />
         		<a id="pl.404.19"></a><var>404.19</var>setting, or in home settings, including long-term care settings, group homes, and
         facilities <br />
         		<a id="pl.404.20"></a><var>404.20</var>providing assisted living services, but excluding skilled nursing facilities; and<br />
         		<a id="pl.404.21"></a><var>404.21</var>&#160;&#160;&#160;&#160;(4) make use of an electronic patient record system that meets state standards.<br />
         		<a id="pl.404.22"></a><var>404.22</var>&#160;&#160;&#160;&#160;(c) For purposes of reimbursement for medication therapy management services, <br />
         		<a id="pl.404.23"></a><var>404.23</var>the commissioner may enroll individual pharmacists as medical assistance and general <br />
         		<a id="pl.404.24"></a><var>404.24</var>assistance medical care providers. The commissioner may also establish contact <br />
         		<a id="pl.404.25"></a><var>404.25</var>requirements between the pharmacist and recipient, including limiting the number of
         <br />
         		<a id="pl.404.26"></a><var>404.26</var>reimbursable consultations per recipient.<br />
         		<a id="pl.404.27"></a><var>404.27</var>(d) If there are no pharmacists who meet the requirements of paragraph (b) practicing
         <br />
         		<a id="pl.404.28"></a><var>404.28</var>within a reasonable geographic distance of the patient, a pharmacist who meets the
         <br />
         		<a id="pl.404.29"></a><var>404.29</var>requirements may provide the services via two-way interactive video. Reimbursement
         <br />
         		<a id="pl.404.30"></a><var>404.30</var>shall be at the same rates and under the same conditions that would otherwise apply
         to <br />
         		<a id="pl.404.31"></a><var>404.31</var>the services provided. To qualify for reimbursement under this paragraph, the pharmacist
         <br />
         		<a id="pl.404.32"></a><var>404.32</var>providing the services must meet the requirements of paragraph (b), and must be <br />
         		<a id="pl.404.33"></a><var>404.33</var>located within an ambulatory care setting approved by the commissioner that meets the <br />
         		<a id="pl.404.34"></a><var>404.34</var>requirements of paragraph (b), clause (3). The patient must also be located within an <br />
         		<a id="pl.404.35"></a><var>404.35</var>ambulatory care setting approved by the commissioner that meets the requirements of <br />
         		<a id="pl.405.1"></a><var>405.1</var>paragraph (b), clause (3). Services provided under this paragraph may not be transmitted <br />
         		<a id="pl.405.2"></a><var>405.2</var>into the patient's residence.<br />
         		<a id="pl.405.3"></a><var>405.3</var>(e) The commissioner shall establish a pilot project for an intensive medication <br />
         		<a id="pl.405.4"></a><var>405.4</var>therapy management program for patients identified by the commissioner with multiple
         <br />
         		<a id="pl.405.5"></a><var>405.5</var>chronic conditions and a high number of medications who are at high risk of preventable
         <br />
         		<a id="pl.405.6"></a><var>405.6</var>hospitalizations, emergency room use, medication complications, and suboptimal <br />
         		<a id="pl.405.7"></a><var>405.7</var>treatment outcomes due to medication-related problems. For purposes of the pilot <br />
         		<a id="pl.405.8"></a><var>405.8</var>project, medication therapy management services may be provided in a patient's home
         <br />
         		<a id="pl.405.9"></a><var>405.9</var>or community setting, in addition to other authorized settings. The commissioner may
         <br />
         		<a id="pl.405.10"></a><var>405.10</var>waive existing payment policies and establish special payment rates for the pilot
         project. <br />
         		<a id="pl.405.11"></a><var>405.11</var>The pilot project must be designed to produce a net savings to the state compared
         to the <br />
         		<a id="pl.405.12"></a><var>405.12</var>estimated costs that would otherwise be incurred for similar patients without the
         program. <br />
         		<a id="pl.405.13"></a><var>405.13</var>The pilot project must begin by January 1, 2010, and end June 30, 2012.<br />
         		<a id="pl.405.14"></a><var>405.14</var>(e) Medication therapy management services may be delivered into a patient's <br />
         		<a id="pl.405.15"></a><var>405.15</var>residence via secure interactive video if the medication therapy management services
         <br />
         		<a id="pl.405.16"></a><var>405.16</var>are performed electronically during a covered home care visit by an enrolled provider.
         <br />
         		<a id="pl.405.17"></a><var>405.17</var>Reimbursement shall be at the same rates and under the same conditions that would
         <br />
         		<a id="pl.405.18"></a><var>405.18</var>otherwise apply to the services provided. To qualify for reimbursement under this
         <br />
         		<a id="pl.405.19"></a><var>405.19</var>paragraph, the pharmacist providing the services must meet the requirements of paragraph
         <br />
         		<a id="pl.405.20"></a><var>405.20</var>(b) and must be located within an ambulatory care setting that meets the requirements
         of <br />
         		<a id="pl.405.21"></a><var>405.21</var>paragraph (b), clause (3).<br />
         		<br />
         		<a id="bill.11.21.0"></a><a id="pl.405.22"></a><var>405.22</var>&#160;&#160;&#160;&#160;Sec. 21. Minnesota Statutes 2014, section 256B.0625, subdivision 17, is amended to <br />
         		<a id="pl.405.23"></a><var>405.23</var>read:<br />
         		<a id="pl.405.24"></a><var>405.24</var>&#160;&#160;&#160;&#160;Subd. 17. <b>Transportation costs.</b> (a) "Nonemergency medical transportation <br />
         		<a id="pl.405.25"></a><var>405.25</var>service" means motor vehicle transportation provided by a public or private person
         <br />
         		<a id="pl.405.26"></a><var>405.26</var>that serves Minnesota health care program beneficiaries who do not require emergency
         <br />
         		<a id="pl.405.27"></a><var>405.27</var>ambulance service, as defined in section 
         <statute_ref>144E.001, subdivision 3</statute_ref>, to obtain covered <br />
         		<a id="pl.405.28"></a><var>405.28</var>medical services. Nonemergency medical transportation service includes, but is not <br />
         		<a id="pl.405.29"></a><var>405.29</var>limited to, special transportation service, defined in section 
         <statute_ref>174.29, subdivision 1</statute_ref>.<br />
         		<a id="pl.405.30"></a><var>405.30</var>(b) Medical assistance covers medical transportation costs incurred solely for <br />
         		<a id="pl.405.31"></a><var>405.31</var>obtaining emergency medical care or transportation costs incurred by eligible persons
         in <br />
         		<a id="pl.405.32"></a><var>405.32</var>obtaining emergency or nonemergency medical care when paid directly to an ambulance
         <br />
         		<a id="pl.405.33"></a><var>405.33</var>company, common carrier, or other recognized providers of transportation services.
         <br />
         		<a id="pl.405.34"></a><var>405.34</var>Medical transportation must be provided by:<br />
         		<a id="pl.406.1"></a><var>406.1</var>(1) nonemergency medical transportation providers who meet the requirements <br />
         		<a id="pl.406.2"></a><var>406.2</var>of this subdivision;<br />
         		<a id="pl.406.3"></a><var>406.3</var>(2) ambulances, as defined in section 
         <statute_ref>144E.001, subdivision 2</statute_ref>;<br />
         		<a id="pl.406.4"></a><var>406.4</var>(3) taxicabs and;<br />
         		<a id="pl.406.5"></a><var>406.5</var>(4)  public transit, as defined in section 
         <statute_ref>174.22</statute_ref>, subdivision 7; or<br />
         		<a id="pl.406.6"></a><var>406.6</var>(4) (5) not-for-hire vehicles, including volunteer drivers.<br />
         		<a id="pl.406.7"></a><var>406.7</var>(c) Medical assistance covers nonemergency medical transportation provided by <br />
         		<a id="pl.406.8"></a><var>406.8</var>nonemergency medical transportation providers enrolled in the Minnesota health care
         <br />
         		<a id="pl.406.9"></a><var>406.9</var>programs. All nonemergency medical transportation providers must comply with the <br />
         		<a id="pl.406.10"></a><var>406.10</var>operating standards for special transportation service as defined in sections 
         <statute_ref>174.29</statute_ref> to <br />
         		
         <statute_ref><a id="pl.406.11"></a><var>406.11</var>174.30
         </statute_ref> and Minnesota Rules, chapter 8840, and in consultation with the Minnesota <br />
         		<a id="pl.406.12"></a><var>406.12</var>Department of Transportation. All nonemergency medical transportation providers shall
         <br />
         		<a id="pl.406.13"></a><var>406.13</var>bill for nonemergency medical transportation services in accordance with Minnesota
         <br />
         		<a id="pl.406.14"></a><var>406.14</var>health care programs criteria. Publicly operated transit systems, volunteers, and
         <br />
         		<a id="pl.406.15"></a><var>406.15</var>not-for-hire vehicles are exempt from the requirements outlined in this paragraph.<br />
         		<a id="pl.406.16"></a><var>406.16</var>(d) The administrative agency of nonemergency medical transportation must:<br />
         		<a id="pl.406.17"></a><var>406.17</var>(1) adhere to the policies defined by the commissioner in consultation with the <br />
         		<a id="pl.406.18"></a><var>406.18</var>Nonemergency Medical Transportation Advisory Committee;<br />
         		<a id="pl.406.19"></a><var>406.19</var>(2) pay nonemergency medical transportation providers for services provided to <br />
         		<a id="pl.406.20"></a><var>406.20</var>Minnesota health care programs beneficiaries to obtain covered medical services;<br />
         		<a id="pl.406.21"></a><var>406.21</var>(3) provide data monthly to the commissioner on appeals, complaints, no-shows, <br />
         		<a id="pl.406.22"></a><var>406.22</var>canceled trips, and number of trips by mode; and<br />
         		<a id="pl.406.23"></a><var>406.23</var>(4) by July 1, 2016, in accordance with subdivision 18e, utilize a Web-based single
         <br />
         		<a id="pl.406.24"></a><var>406.24</var>administrative structure assessment tool that meets the technical requirements established
         <br />
         		<a id="pl.406.25"></a><var>406.25</var>by the commissioner, reconciles trip information with claims being submitted by <br />
         		<a id="pl.406.26"></a><var>406.26</var>providers, and ensures prompt payment for nonemergency medical transportation services.<br />
         		<a id="pl.406.27"></a><var>406.27</var>&#160;&#160;&#160;&#160;(e) Until the commissioner implements the single administrative structure and <br />
         		<a id="pl.406.28"></a><var>406.28</var>delivery system under subdivision 18e, clients shall obtain their level-of-service
         certificate <br />
         		<a id="pl.406.29"></a><var>406.29</var>from the commissioner or an entity approved by the commissioner that does not dispatch
         <br />
         		<a id="pl.406.30"></a><var>406.30</var>rides for clients using modes of transportation under paragraph (h), clauses (4), (5), (6), <br />
         		<a id="pl.406.31"></a><var>406.31</var>and (7).<br />
         		<a id="pl.406.32"></a><var>406.32</var>&#160;&#160;&#160;&#160;(f) The commissioner may use an order by the recipient's attending physician or a
         <br />
         		<a id="pl.406.33"></a><var>406.33</var>medical or mental health professional to certify that the recipient requires nonemergency
         <br />
         		<a id="pl.406.34"></a><var>406.34</var>medical transportation services. Nonemergency medical transportation providers shall
         <br />
         		<a id="pl.406.35"></a><var>406.35</var>perform driver-assisted services for eligible individuals, when appropriate. Driver-assisted
         <br />
         		<a id="pl.406.36"></a><var>406.36</var>service includes passenger pickup at and return to the individual's residence or place
         of <br />
         		<a id="pl.407.1"></a><var>407.1</var>business, assistance with admittance of the individual to the medical facility, and
         assistance <br />
         		<a id="pl.407.2"></a><var>407.2</var>in passenger securement or in securing of wheelchairs or stretchers in the vehicle.
         <br />
         		<a id="pl.407.3"></a><var>407.3</var>Nonemergency medical transportation providers must have trip logs, which include pickup
         <br />
         		<a id="pl.407.4"></a><var>407.4</var>and drop-off times, signed by the medical provider or client attesting mileage traveled
         to <br />
         		<a id="pl.407.5"></a><var>407.5</var>obtain covered medical services, whichever is deemed most appropriate. Nonemergency
         <br />
         		<a id="pl.407.6"></a><var>407.6</var>medical transportation providers may not bill for separate base rates for the continuation
         <br />
         		<a id="pl.407.7"></a><var>407.7</var>of a trip beyond the original destination. Nonemergency medical transportation providers
         <br />
         		<a id="pl.407.8"></a><var>407.8</var>must take clients to the health care provider, using the most direct route, and must
         not <br />
         		<a id="pl.407.9"></a><var>407.9</var>exceed 30 miles for a trip to a primary care provider or 60 miles for a trip to a
         specialty <br />
         		<a id="pl.407.10"></a><var>407.10</var>care provider, unless the client receives authorization from the local agency. The
         minimum <br />
         		<a id="pl.407.11"></a><var>407.11</var>medical assistance reimbursement rates for special transportation services are:<br />
         		<a id="pl.407.12"></a><var>407.12</var>(1)(i) $17 for the base rate and $1.35 per mile for special transportation services
         to <br />
         		<a id="pl.407.13"></a><var>407.13</var>eligible persons who need a wheelchair-accessible van;<br />
         		<a id="pl.407.14"></a><var>407.14</var>(ii) $11.50 for the base rate and $1.30 per mile for special transportation services
         to <br />
         		<a id="pl.407.15"></a><var>407.15</var>eligible persons who do not need a wheelchair-accessible van; and<br />
         		<a id="pl.407.16"></a><var>407.16</var>(iii) $60 for the base rate and $2.40 per mile, and an attendant rate of $9 per trip,
         <br />
         		<a id="pl.407.17"></a><var>407.17</var>for special transportation services to eligible persons who need a stretcher-accessible
         <br />
         		<a id="pl.407.18"></a><var>407.18</var>vehicle; and<br />
         		<a id="pl.407.19"></a><var>407.19</var>(2) Nonemergency medical transportation providers must take clients to the health <br />
         		<a id="pl.407.20"></a><var>407.20</var>care provider using the most direct route, and must not exceed 30 miles for a trip
         to a <br />
         		<a id="pl.407.21"></a><var>407.21</var>primary care provider or 60 miles for a trip to a specialty care provider, unless
         the client <br />
         		<a id="pl.407.22"></a><var>407.22</var>receives authorization from the local agency.<br />
         		<a id="pl.407.23"></a><var>407.23</var>Nonemergency medical transportation providers may not bill for separate base rates
         <br />
         		<a id="pl.407.24"></a><var>407.24</var>for the continuation of a trip beyond the original destination. Nonemergency medical
         <br />
         		<a id="pl.407.25"></a><var>407.25</var>transportation providers must maintain trip logs, which include pickup and drop-off
         times, <br />
         		<a id="pl.407.26"></a><var>407.26</var>signed by the medical provider or client, whichever is deemed most appropriate, attesting
         <br />
         		<a id="pl.407.27"></a><var>407.27</var>to mileage traveled to obtain covered medical services. Clients requesting client mileage <br />
         		<a id="pl.407.28"></a><var>407.28</var>reimbursement must sign the trip log attesting mileage traveled to obtain covered
         medical <br />
         		<a id="pl.407.29"></a><var>407.29</var>services.<br />
         		<a id="pl.407.30"></a><var>407.30</var>(g) The covered modes of nonemergency medical transportation include <br />
         		<a id="pl.407.31"></a><var>407.31</var>transportation provided directly by clients or family members of clients with their
         own <br />
         		<a id="pl.407.32"></a><var>407.32</var>transportation, volunteers using their own vehicles, taxicabs, and public transit,
         or <br />
         		<a id="pl.407.33"></a><var>407.33</var>provided to a client who needs a stretcher-accessible vehicle, a lift/ramp equipped
         vehicle, <br />
         		<a id="pl.407.34"></a><var>407.34</var>or a vehicle that is not stretcher-accessible or lift/ramp equipped designed to transport
         ten <br />
         		<a id="pl.407.35"></a><var>407.35</var>or fewer persons. Upon implementation of a new rate structure, a new covered mode
         of <br />
         		<a id="pl.407.36"></a><var>407.36</var>nonemergency medical transportation shall include transportation provided to a client
         who <br />
         		<a id="pl.408.1"></a><var>408.1</var>needs a protected vehicle that is not an ambulance or police car and has safety locks,
         a <br />
         		<a id="pl.408.2"></a><var>408.2</var>video recorder, and a transparent thermoplastic partition between the passenger and
         the <br />
         		<a id="pl.408.3"></a><var>408.3</var>vehicle driver.<br />
         		<a id="pl.408.4"></a><var>408.4</var>(h) (g) The administrative agency shall use the level of service process established <br />
         		<a id="pl.408.5"></a><var>408.5</var>by the commissioner in consultation with the Nonemergency Medical Transportation <br />
         		<a id="pl.408.6"></a><var>408.6</var>Advisory Committee to determine the client's most appropriate mode of transportation.
         <br />
         		<a id="pl.408.7"></a><var>408.7</var>If public transit or a certified transportation provider is not available to provide
         the <br />
         		<a id="pl.408.8"></a><var>408.8</var>appropriate service mode for the client, the client may receive a onetime service
         upgrade. <br />
         		<a id="pl.408.9"></a><var>408.9</var>(h) The new covered  modes of transportation, which may not be implemented <br />
         		<a id="pl.408.10"></a><var>408.10</var>without a new rate structure, are:<br />
         		<a id="pl.408.11"></a><var>408.11</var>(1) client reimbursement, which includes client mileage reimbursement provided to
         <br />
         		<a id="pl.408.12"></a><var>408.12</var>clients who have their own transportation,  or to family  or an acquaintance who provides <br />
         		<a id="pl.408.13"></a><var>408.13</var>transportation to the client;<br />
         		<a id="pl.408.14"></a><var>408.14</var>(2) volunteer transport, which includes transportation by volunteers using their <br />
         		<a id="pl.408.15"></a><var>408.15</var>own vehicle;<br />
         		<a id="pl.408.16"></a><var>408.16</var>(3) unassisted transport, which includes transportation provided to a client by a
         <br />
         		<a id="pl.408.17"></a><var>408.17</var>taxicab or public transit. If a taxicab or publicly operated public transit system is not <br />
         		<a id="pl.408.18"></a><var>408.18</var>available, the client can receive transportation from another nonemergency medical
         <br />
         		<a id="pl.408.19"></a><var>408.19</var>transportation provider;<br />
         		<a id="pl.408.20"></a><var>408.20</var>(4) assisted transport, which includes transport provided to clients who require <br />
         		<a id="pl.408.21"></a><var>408.21</var>assistance by a nonemergency medical transportation provider;<br />
         		<a id="pl.408.22"></a><var>408.22</var>(5) lift-equipped/ramp transport, which includes transport provided to a client who
         <br />
         		<a id="pl.408.23"></a><var>408.23</var>is dependent on a device and requires a nonemergency medical transportation provider
         <br />
         		<a id="pl.408.24"></a><var>408.24</var>with a vehicle containing a lift or ramp;<br />
         		<a id="pl.408.25"></a><var>408.25</var>(6) protected transport, which includes transport provided to a client who has <br />
         		<a id="pl.408.26"></a><var>408.26</var>received a prescreening that has deemed other forms of transportation inappropriate
         and <br />
         		<a id="pl.408.27"></a><var>408.27</var>who requires a provider: (i) with a protected vehicle that is not an ambulance or police car <br />
         		<a id="pl.408.28"></a><var>408.28</var>and has safety locks, a video recorder, and a transparent thermoplastic partition
         between <br />
         		<a id="pl.408.29"></a><var>408.29</var>the passenger and the vehicle driver; and (ii) who is certified as a protected transport <br />
         		<a id="pl.408.30"></a><var>408.30</var>provider; and<br />
         		<a id="pl.408.31"></a><var>408.31</var>(7) stretcher transport, which includes transport for a client in a prone or supine
         <br />
         		<a id="pl.408.32"></a><var>408.32</var>position and requires a nonemergency medical transportation provider with a vehicle
         that <br />
         		<a id="pl.408.33"></a><var>408.33</var>can transport a client in a prone or supine position.<br />
         		<a id="pl.408.34"></a><var>408.34</var>(i) In accordance with subdivision 18e, by July 1, 2016, The local agency shall be <br />
         		<a id="pl.408.35"></a><var>408.35</var>the single administrative agency and shall administer and reimburse for modes defined
         in <br />
         		<a id="pl.408.36"></a><var>408.36</var>paragraph (h) according to a new rate structure, once this is adopted paragraphs (l) and <br />
         		<a id="pl.409.1"></a><var>409.1</var>(m) when the commissioner has developed, made available, and funded the Web-based
         <br />
         		<a id="pl.409.2"></a><var>409.2</var>single administrative structure, assessment tool, and level of need assessment under
         <br />
         		<a id="pl.409.3"></a><var>409.3</var>subdivision 18e. The local agency's financial obligation is limited to funds provided
         by <br />
         		<a id="pl.409.4"></a><var>409.4</var>the state or federal government.<br />
         		<a id="pl.409.5"></a><var>409.5</var>(j) The commissioner shall:<br />
         		<a id="pl.409.6"></a><var>409.6</var>(1) in consultation with the Nonemergency Medical Transportation Advisory <br />
         		<a id="pl.409.7"></a><var>409.7</var>Committee, verify that the mode and use of nonemergency medical transportation is
         <br />
         		<a id="pl.409.8"></a><var>409.8</var>appropriate;<br />
         		<a id="pl.409.9"></a><var>409.9</var>(2) verify that the client is going to an approved medical appointment; and<br />
         		<a id="pl.409.10"></a><var>409.10</var>(3) investigate all complaints and appeals.<br />
         		<a id="pl.409.11"></a><var>409.11</var>(k) The administrative agency shall pay for the services provided in this subdivision
         <br />
         		<a id="pl.409.12"></a><var>409.12</var>and seek reimbursement from the commissioner, if appropriate. As vendors of medical
         <br />
         		<a id="pl.409.13"></a><var>409.13</var>care, local agencies are subject to the provisions in section 
         <statute_ref>256B.041</statute_ref>, the sanctions and <br />
         		<a id="pl.409.14"></a><var>409.14</var>monetary recovery actions in section 
         <statute_ref>256B.064</statute_ref>, and Minnesota Rules, parts 9505.2160 <br />
         		<a id="pl.409.15"></a><var>409.15</var>to 9505.2245.<br />
         		<a id="pl.409.16"></a><var>409.16</var>(l)  Payments for nonemergency medical transportation must be paid based on <br />
         		<a id="pl.409.17"></a><var>409.17</var>the client's assessed mode under paragraph (g), not the type of vehicle used to provide
         <br />
         		<a id="pl.409.18"></a><var>409.18</var>the service. The medical assistance reimbursement rates for nonemergency medical <br />
         		<a id="pl.409.19"></a><var>409.19</var>transportation services that are payable by or on behalf of the commissioner for <br />
         		<a id="pl.409.20"></a><var>409.20</var>nonemergency medical transportation services are:<br />
         		<a id="pl.409.21"></a><var>409.21</var>(1) $0.22 per mile for client reimbursement;<br />
         		<a id="pl.409.22"></a><var>409.22</var>(2) up to 100 percent of the Internal Revenue Service business deduction rate for
         <br />
         		<a id="pl.409.23"></a><var>409.23</var>volunteer transport;<br />
         		<a id="pl.409.24"></a><var>409.24</var>(3) equivalent to the standard fare for unassisted transport when provided by public
         <br />
         		<a id="pl.409.25"></a><var>409.25</var>transit, and $11 for the base rate and $1.30 per mile when provided by a nonemergency
         <br />
         		<a id="pl.409.26"></a><var>409.26</var>medical transportation provider;<br />
         		<a id="pl.409.27"></a><var>409.27</var>(4) $13 for the base rate and $1.30 per mile for assisted transport;<br />
         		<a id="pl.409.28"></a><var>409.28</var>(5) $18 for the base rate and $1.55 per mile for lift-equipped/ramp transport;<br />
         		<a id="pl.409.29"></a><var>409.29</var>(6) $75 for the base rate and $2.40 per mile for protected transport; and<br />
         		<a id="pl.409.30"></a><var>409.30</var>(7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip
         <br />
         		<a id="pl.409.31"></a><var>409.31</var>for an additional attendant if deemed medically necessary.<br />
         		<a id="pl.409.32"></a><var>409.32</var>The base rates for special transportation services in areas defined under RUCA to
         be <br />
         		<a id="pl.409.33"></a><var>409.33</var>super rural shall be equal to the reimbursement rate established in paragraph (f),
         clause <br />
         		<a id="pl.409.34"></a><var>409.34</var>(1), plus 11.3 percent, and for special <br />
         		<a id="pl.409.35"></a><var>409.35</var>(m) The base rate for nonemergency medical transportation services in areas <br />
         		<a id="pl.409.36"></a><var>409.36</var>defined under RUCA to be super rural is equal to 111.3 percent of the respective base
         <br />
         		<a id="pl.410.1"></a><var>410.1</var>rate in paragraph (l), clauses (1) to (7). The mileage rate for nonemergency medical
         <br />
         		<a id="pl.410.2"></a><var>410.2</var>transportation services in areas defined under RUCA to be rural or super rural areas is:<br />
         		<a id="pl.410.3"></a><var>410.3</var>(1) for a trip equal to 17 miles or less, mileage reimbursement shall be equal to 125 <br />
         		<a id="pl.410.4"></a><var>410.4</var>percent of the respective mileage rate in paragraph (f) (l), clause clauses  (1) to (7); and<br />
         		<a id="pl.410.5"></a><var>410.5</var>(2) for a trip between 18 and 50 miles, mileage reimbursement shall be equal to <br />
         		<a id="pl.410.6"></a><var>410.6</var>112.5 percent of the respective mileage rate in paragraph (f) (l), clause clauses  (1) to (7).<br />
         		<a id="pl.410.7"></a><var>410.7</var>(m) (n)  For purposes of reimbursement rates for special nonemergency medical  <br />
         		<a id="pl.410.8"></a><var>410.8</var>transportation services under paragraph (c) paragraphs (l) and (m), the zip code of the <br />
         		<a id="pl.410.9"></a><var>410.9</var>recipient's place of residence shall determine whether the urban, rural, or super
         rural <br />
         		<a id="pl.410.10"></a><var>410.10</var>reimbursement rate applies.<br />
         		<a id="pl.410.11"></a><var>410.11</var>(n) (o)  For purposes of this subdivision, "rural urban commuting area" or "RUCA" <br />
         		<a id="pl.410.12"></a><var>410.12</var>means a census-tract based classification system under which a geographical area is
         <br />
         		<a id="pl.410.13"></a><var>410.13</var>determined to be urban, rural, or super rural.<br />
         		<a id="pl.410.14"></a><var>410.14</var>(o) Effective for services provided on or after September 1, 2011, nonemergency <br />
         		<a id="pl.410.15"></a><var>410.15</var>transportation rates, including special transportation, taxi, and other commercial
         carriers, <br />
         		<a id="pl.410.16"></a><var>410.16</var>are reduced 4.5 percent. Payments made to managed care plans and county-based <br />
         		<a id="pl.410.17"></a><var>410.17</var>purchasing plans must be reduced for services provided on or after January 1, 2012,
         <br />
         		<a id="pl.410.18"></a><var>410.18</var>to reflect this reduction.<br />
         		<a id="pl.410.19"></a><var>410.19</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.22.0"></a><a id="pl.410.20"></a><var>410.20</var>&#160;&#160;&#160;&#160;Sec. 22. Minnesota Statutes 2014, section 256B.0625, subdivision 17a, is amended to <br />
         		<a id="pl.410.21"></a><var>410.21</var>read:<br />
         		<a id="pl.410.22"></a><var>410.22</var>&#160;&#160;&#160;&#160;Subd. 17a. <b>Payment for ambulance services.</b> (a) Medical assistance covers <br />
         		<a id="pl.410.23"></a><var>410.23</var>ambulance services. Providers shall bill ambulance services according to Medicare
         <br />
         		<a id="pl.410.24"></a><var>410.24</var>criteria. Nonemergency ambulance services shall not be paid as emergencies. Effective
         <br />
         		<a id="pl.410.25"></a><var>410.25</var>for services rendered on or after July 1, 2001, medical assistance payments for ambulance
         <br />
         		<a id="pl.410.26"></a><var>410.26</var>services shall be paid at the Medicare reimbursement rate or at the medical assistance
         <br />
         		<a id="pl.410.27"></a><var>410.27</var>payment rate in effect on July 1, 2000, whichever is greater.<br />
         		<a id="pl.410.28"></a><var>410.28</var>(b) Effective for services provided on or after September 1, 2011, ambulance <br />
         		<a id="pl.410.29"></a><var>410.29</var>services payment rates are reduced 4.5 percent. Payments made to managed care plans
         <br />
         		<a id="pl.410.30"></a><var>410.30</var>and county-based purchasing plans must be reduced for services provided on or after
         <br />
         		<a id="pl.410.31"></a><var>410.31</var>January 1, 2012, to reflect this reduction.<br />
         		<a id="pl.410.32"></a><var>410.32</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.23.0"></a><a id="pl.411.1"></a><var>411.1</var>&#160;&#160;&#160;&#160;Sec. 23. Minnesota Statutes 2014, section 256B.0625, subdivision 18a, is amended to <br />
         		<a id="pl.411.2"></a><var>411.2</var>read:<br />
         		<a id="pl.411.3"></a><var>411.3</var>&#160;&#160;&#160;&#160;Subd. 18a. <b>Access to medical services.</b> (a) Medical assistance reimbursement for <br />
         		<a id="pl.411.4"></a><var>411.4</var>meals for persons traveling to receive medical care may not exceed $5.50 for breakfast,
         <br />
         		<a id="pl.411.5"></a><var>411.5</var>$6.50 for lunch, or $8 for dinner.<br />
         		<a id="pl.411.6"></a><var>411.6</var>&#160;&#160;&#160;&#160;(b) Medical assistance reimbursement for lodging for persons traveling to receive
         <br />
         		<a id="pl.411.7"></a><var>411.7</var>medical care may not exceed $50 per day unless prior authorized by the local agency.<br />
         		<a id="pl.411.8"></a><var>411.8</var>&#160;&#160;&#160;&#160;(c) Medical assistance direct mileage reimbursement to the eligible person or the <br />
         		<a id="pl.411.9"></a><var>411.9</var>eligible person's driver may not exceed 20 cents per mile.<br />
         		<a id="pl.411.10"></a><var>411.10</var>&#160;&#160;&#160;&#160;(d) Regardless of the number of employees that an enrolled health care provider <br />
         		<a id="pl.411.11"></a><var>411.11</var>may have, medical assistance covers sign and oral language interpreter services when
         <br />
         		<a id="pl.411.12"></a><var>411.12</var>provided by an enrolled health care provider during the course of providing a direct,
         <br />
         		<a id="pl.411.13"></a><var>411.13</var>person-to-person covered health care service to an enrolled recipient with limited
         English <br />
         		<a id="pl.411.14"></a><var>411.14</var>proficiency or who has a hearing loss and uses interpreting services. Coverage for
         <br />
         		<a id="pl.411.15"></a><var>411.15</var>face-to-face oral language interpreter services shall be provided only if the oral
         language <br />
         		<a id="pl.411.16"></a><var>411.16</var>interpreter used by the enrolled health care provider is listed in the registry or
         roster <br />
         		<a id="pl.411.17"></a><var>411.17</var>established under section 
         <statute_ref>144.058</statute_ref>.<br />
         		<a id="pl.411.18"></a><var>411.18</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.24.0"></a><a id="pl.411.19"></a><var>411.19</var>&#160;&#160;&#160;&#160;Sec. 24. Minnesota Statutes 2014, section 256B.0625, subdivision 18e, is amended to <br />
         		<a id="pl.411.20"></a><var>411.20</var>read:<br />
         		<a id="pl.411.21"></a><var>411.21</var>&#160;&#160;&#160;&#160;Subd. 18e. <b>Single administrative structure and delivery system.</b>  The <br />
         		<a id="pl.411.22"></a><var>411.22</var>commissioner, in coordination with the commissioner of transportation,  shall implement <br />
         		<a id="pl.411.23"></a><var>411.23</var>a single administrative structure and delivery system for nonemergency medical <br />
         		<a id="pl.411.24"></a><var>411.24</var>transportation, beginning the latter of the date the single administrative assessment
         tool <br />
         		<a id="pl.411.25"></a><var>411.25</var>required in this subdivision is available for use, as determined by the commissioner
         or by <br />
         		<a id="pl.411.26"></a><var>411.26</var>July 1, 2016.<br />
         		<a id="pl.411.27"></a><var>411.27</var>In coordination with the Department of Transportation, the commissioner shall <br />
         		<a id="pl.411.28"></a><var>411.28</var>develop and authorize a Web-based single administrative structure and assessment <br />
         		<a id="pl.411.29"></a><var>411.29</var>tool, which must operate 24 hours a day, seven days a week, to facilitate the enrollee
         <br />
         		<a id="pl.411.30"></a><var>411.30</var>assessment process for nonemergency medical transportation services. The Web-based
         <br />
         		<a id="pl.411.31"></a><var>411.31</var>tool shall facilitate the transportation eligibility determination process initiated
         by clients <br />
         		<a id="pl.411.32"></a><var>411.32</var>and client advocates; shall include an accessible automated intake and assessment
         <br />
         		<a id="pl.411.33"></a><var>411.33</var>process and real-time identification of level of service eligibility; and shall authorize
         an <br />
         		<a id="pl.411.34"></a><var>411.34</var>appropriate and auditable mode of transportation authorization. The tool shall provide
         a <br />
         		<a id="pl.411.35"></a><var>411.35</var>single framework for reconciling trip information with claiming and collecting complaints
         <br />
         		<a id="pl.412.1"></a><var>412.1</var>regarding inappropriate level of need determinations, inappropriate transportation
         modes <br />
         		<a id="pl.412.2"></a><var>412.2</var>utilized, and interference with accessing nonemergency medical transportation. The
         <br />
         		<a id="pl.412.3"></a><var>412.3</var>Web-based single administrative structure shall operate on a trial basis for one year
         from <br />
         		<a id="pl.412.4"></a><var>412.4</var>implementation and, if approved by the commissioner, shall be permanent thereafter.
         <br />
         		<a id="pl.412.5"></a><var>412.5</var>The commissioner shall seek input from the Nonemergency Medical Transportation <br />
         		<a id="pl.412.6"></a><var>412.6</var>Advisory Committee to ensure the software is effective and user-friendly and make
         <br />
         		<a id="pl.412.7"></a><var>412.7</var>recommendations regarding funding of the single administrative system.<br />
         		<a id="pl.412.8"></a><var>412.8</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2015.<br />
         		<br />
         		<a id="bill.11.25.0"></a><a id="pl.412.9"></a><var>412.9</var>&#160;&#160;&#160;&#160;Sec. 25. Minnesota Statutes 2014, section 256B.0625, subdivision 28a, is amended to <br />
         		<a id="pl.412.10"></a><var>412.10</var>read:<br />
         		<a id="pl.412.11"></a><var>412.11</var>&#160;&#160;&#160;&#160;Subd. 28a. <b>Licensed physician assistant services.</b> (a) Medical assistance covers <br />
         		<a id="pl.412.12"></a><var>412.12</var>services performed by a licensed physician assistant if the service is otherwise covered
         <br />
         		<a id="pl.412.13"></a><var>412.13</var>under this chapter as a physician service and if the service is within the scope of
         practice <br />
         		<a id="pl.412.14"></a><var>412.14</var>of a licensed physician assistant as defined in section 
         <statute_ref>147A.09</statute_ref>.<br />
         		<a id="pl.412.15"></a><var>412.15</var>(b) Licensed physician assistants, who are supervised by a physician certified by
         <br />
         		<a id="pl.412.16"></a><var>412.16</var>the American Board of Psychiatry and Neurology or eligible for board certification
         in <br />
         		<a id="pl.412.17"></a><var>412.17</var>psychiatry, may bill for medication management and evaluation and management services
         <br />
         		<a id="pl.412.18"></a><var>412.18</var>provided to medical assistance enrollees in inpatient hospital settings, and in outpatient <br />
         		<a id="pl.412.19"></a><var>412.19</var>settings after the licensed physician assistant completes 2,000 hours of clinical
         experience <br />
         		<a id="pl.412.20"></a><var>412.20</var>in the evaluation and treatment of mental health, consistent with their authorized scope of <br />
         		<a id="pl.412.21"></a><var>412.21</var>practice, as defined in section 
         <statute_ref>147A.09</statute_ref>, with the exception of performing psychotherapy <br />
         		<a id="pl.412.22"></a><var>412.22</var>or diagnostic assessments or providing clinical supervision.<br />
         		<br />
         		<a id="bill.11.26.0"></a><a id="pl.412.23"></a><var>412.23</var>&#160;&#160;&#160;&#160;Sec. 26. Minnesota Statutes 2014, section 256B.0625, subdivision 31, is amended to <br />
         		<a id="pl.412.24"></a><var>412.24</var>read:<br />
         		<a id="pl.412.25"></a><var>412.25</var>&#160;&#160;&#160;&#160;Subd. 31. <b>Medical supplies and equipment.</b> (a) Medical assistance covers medical <br />
         		<a id="pl.412.26"></a><var>412.26</var>supplies and equipment. Separate payment outside of the facility's payment rate shall
         <br />
         		<a id="pl.412.27"></a><var>412.27</var>be made for wheelchairs and wheelchair accessories for recipients who are residents
         <br />
         		<a id="pl.412.28"></a><var>412.28</var>of intermediate care facilities for the developmentally disabled. Reimbursement for
         <br />
         		<a id="pl.412.29"></a><var>412.29</var>wheelchairs and wheelchair accessories for ICF/DD recipients shall be subject to the
         same <br />
         		<a id="pl.412.30"></a><var>412.30</var>conditions and limitations as coverage for recipients who do not reside in institutions.
         A <br />
         		<a id="pl.412.31"></a><var>412.31</var>wheelchair purchased outside of the facility's payment rate is the property of the
         recipient. <br />
         		<a id="pl.412.32"></a><var>412.32</var>The commissioner may set reimbursement rates for specified categories of medical <br />
         		<a id="pl.412.33"></a><var>412.33</var>supplies at levels below the Medicare payment rate.<br />
         		<a id="pl.413.1"></a><var>413.1</var>(b) Vendors of durable medical equipment, prosthetics, orthotics, or medical supplies
         <br />
         		<a id="pl.413.2"></a><var>413.2</var>must enroll as a Medicare provider.<br />
         		<a id="pl.413.3"></a><var>413.3</var>(c) When necessary to ensure access to durable medical equipment, prosthetics, <br />
         		<a id="pl.413.4"></a><var>413.4</var>orthotics, or medical supplies, the commissioner may exempt a vendor from the Medicare
         <br />
         		<a id="pl.413.5"></a><var>413.5</var>enrollment requirement if:<br />
         		<a id="pl.413.6"></a><var>413.6</var>(1) the vendor supplies only one type of durable medical equipment, prosthetic, <br />
         		<a id="pl.413.7"></a><var>413.7</var>orthotic, or medical supply;<br />
         		<a id="pl.413.8"></a><var>413.8</var>(2) the vendor serves ten or fewer medical assistance recipients per year;<br />
         		<a id="pl.413.9"></a><var>413.9</var>(3) the commissioner finds that other vendors are not available to provide same or
         <br />
         		<a id="pl.413.10"></a><var>413.10</var>similar durable medical equipment, prosthetics, orthotics, or medical supplies; and<br />
         		<a id="pl.413.11"></a><var>413.11</var>(4) the vendor complies with all screening requirements in this chapter and Code of
         <br />
         		<a id="pl.413.12"></a><var>413.12</var>Federal Regulations, title 42, part 455. The commissioner may also exempt a vendor
         from <br />
         		<a id="pl.413.13"></a><var>413.13</var>the Medicare enrollment requirement if the vendor is accredited by a Centers for Medicare
         <br />
         		<a id="pl.413.14"></a><var>413.14</var>and Medicaid Services approved national accreditation organization as complying with
         <br />
         		<a id="pl.413.15"></a><var>413.15</var>the Medicare program's supplier and quality standards and the vendor serves primarily
         <br />
         		<a id="pl.413.16"></a><var>413.16</var>pediatric patients.<br />
         		<a id="pl.413.17"></a><var>413.17</var>(d) Durable medical equipment means a device or equipment that:<br />
         		<a id="pl.413.18"></a><var>413.18</var>(1) can withstand repeated use;<br />
         		<a id="pl.413.19"></a><var>413.19</var>(2) is generally not useful in the absence of an illness, injury, or disability; and<br />
         		<a id="pl.413.20"></a><var>413.20</var>(3) is provided to correct or accommodate a physiological disorder or physical <br />
         		<a id="pl.413.21"></a><var>413.21</var>condition or is generally used primarily for a medical purpose.<br />
         		<a id="pl.413.22"></a><var>413.22</var>(e) Electronic tablets may be considered durable medical equipment if the electronic
         <br />
         		<a id="pl.413.23"></a><var>413.23</var>tablet will be used as an augmentative and alternative communication system as defined
         <br />
         		<a id="pl.413.24"></a><var>413.24</var>under subdivision 31a, paragraph (a). To be covered by medical assistance, the device
         <br />
         		<a id="pl.413.25"></a><var>413.25</var>must be locked in order to prevent use not related to communication.<br />
         		<br />
         		<a id="bill.11.27.0"></a><a id="pl.413.26"></a><var>413.26</var>&#160;&#160;&#160;&#160;Sec. 27. Minnesota Statutes 2014, section 256B.0625, subdivision 57, is amended to <br />
         		<a id="pl.413.27"></a><var>413.27</var>read:<br />
         		<a id="pl.413.28"></a><var>413.28</var>&#160;&#160;&#160;&#160;Subd. 57. <b>Payment for Part B Medicare crossover claims.</b> (a) Effective for <br />
         		<a id="pl.413.29"></a><var>413.29</var>services provided on or after January 1, 2012, medical assistance payment for an enrollee's
         <br />
         		<a id="pl.413.30"></a><var>413.30</var>cost-sharing associated with Medicare Part B is limited to an amount up to the medical
         <br />
         		<a id="pl.413.31"></a><var>413.31</var>assistance total allowed, when the medical assistance rate exceeds the amount paid
         by <br />
         		<a id="pl.413.32"></a><var>413.32</var>Medicare. <br />
         		<a id="pl.413.33"></a><var>413.33</var>(b) Excluded from this limitation are payments for mental health services and <br />
         		<a id="pl.413.34"></a><var>413.34</var>payments for dialysis services provided to end-stage renal disease patients. The exclusion
         <br />
         		<a id="pl.414.1"></a><var>414.1</var>for mental health services does not apply to payments for physician services provided
         by <br />
         		<a id="pl.414.2"></a><var>414.2</var>psychiatrists and advanced practice nurses with a specialty in mental health.<br />
         		<a id="pl.414.3"></a><var>414.3</var>(c) Excluded from this limitation are payments to federally qualified health centers
         <br />
         		<a id="pl.414.4"></a><var>414.4</var>and rural health clinics.<br />
         		<a id="pl.414.5"></a><var>414.5</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2016.<br />
         		<br />
         		<a id="bill.11.28.0"></a><a id="pl.414.6"></a><var>414.6</var>&#160;&#160;&#160;&#160;Sec. 28. Minnesota Statutes 2014, section 256B.0625, subdivision 58, is amended to <br />
         		<a id="pl.414.7"></a><var>414.7</var>read:<br />
         		<a id="pl.414.8"></a><var>414.8</var>&#160;&#160;&#160;&#160;Subd. 58. <b>Early and periodic screening, diagnosis, and treatment services.</b><br />
         		 <a id="pl.414.9"></a><var>414.9</var>Medical assistance covers early and periodic screening, diagnosis, and treatment services
         <br />
         		<a id="pl.414.10"></a><var>414.10</var>(EPSDT). The payment amount for a complete EPSDT screening shall not include charges
         <br />
         		<a id="pl.414.11"></a><var>414.11</var>for vaccines health care services and products that are available at no cost to the provider <br />
         		<a id="pl.414.12"></a><var>414.12</var>and shall not exceed the rate established per Minnesota Rules, part 9505.0445, item
         M, <br />
         		<a id="pl.414.13"></a><var>414.13</var>effective October 1, 2010.<br />
         		<br />
         		<a id="bill.11.29.0"></a><a id="pl.414.14"></a><var>414.14</var>&#160;&#160;&#160;&#160;Sec. 29. Minnesota Statutes 2014, section 256B.0631, is amended to read:<br />
         		<a id="pl.414.15"></a><var>414.15</var><b>256B.0631 MEDICAL ASSISTANCE CO-PAYMENTS.</b><br />
         		<a id="pl.414.16"></a><var>414.16</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Cost-sharing.</b> (a) Except as provided in subdivision 2, the medical <br />
         		<a id="pl.414.17"></a><var>414.17</var>assistance benefit plan shall include the following cost-sharing for all recipients,
         effective <br />
         		<a id="pl.414.18"></a><var>414.18</var>for services provided on or after September 1, 2011:<br />
         		<a id="pl.414.19"></a><var>414.19</var>&#160;&#160;&#160;&#160;(1) $3 per nonpreventive visit, except as provided in paragraph (b). For purposes
         <br />
         		<a id="pl.414.20"></a><var>414.20</var>of this subdivision, a visit means an episode of service which is required because
         of <br />
         		<a id="pl.414.21"></a><var>414.21</var>a recipient's symptoms, diagnosis, or established illness, and which is delivered
         in an <br />
         		<a id="pl.414.22"></a><var>414.22</var>ambulatory setting by a physician or physician ancillary, chiropractor, podiatrist,
         nurse <br />
         		<a id="pl.414.23"></a><var>414.23</var>midwife, advanced practice nurse, audiologist, optician, or optometrist;<br />
         		<a id="pl.414.24"></a><var>414.24</var>&#160;&#160;&#160;&#160;(2) $3.50 for nonemergency visits to a hospital-based emergency room, except that
         <br />
         		<a id="pl.414.25"></a><var>414.25</var>this co-payment shall be increased to $20 upon federal approval;<br />
         		<a id="pl.414.26"></a><var>414.26</var>&#160;&#160;&#160;&#160;(3) $3 per brand-name drug prescription and $1 per generic drug prescription, <br />
         		<a id="pl.414.27"></a><var>414.27</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments
         <br />
         		<a id="pl.414.28"></a><var>414.28</var>shall apply to antipsychotic drugs when used for the treatment of mental illness;<br />
         		<a id="pl.414.29"></a><var>414.29</var>(4) effective January 1, 2012, a family deductible equal to the maximum amount <br />
         		<a id="pl.414.30"></a><var>414.30</var>allowed under Code of Federal Regulations, title 42, part 447.54 $2.75 per month per <br />
         		<a id="pl.414.31"></a><var>414.31</var>family and adjusted annually by the percentage increase in the medical care component
         <br />
         		<a id="pl.414.32"></a><var>414.32</var>of the CPI-U for the period of September to September of the preceding calendar year,
         <br />
         		<a id="pl.414.33"></a><var>414.33</var>rounded to the next higher five-cent increment; and<br />
         		<a id="pl.415.1"></a><var>415.1</var>&#160;&#160;&#160;&#160;(5) for individuals identified by the commissioner with income at or below 100 <br />
         		<a id="pl.415.2"></a><var>415.2</var>percent of the federal poverty guidelines, total monthly cost-sharing must not exceed five <br />
         		<a id="pl.415.3"></a><var>415.3</var>percent of family income. For purposes of this paragraph, family income is the total
         <br />
         		<a id="pl.415.4"></a><var>415.4</var>earned and unearned income of the individual and the individual's spouse, if the spouse
         is <br />
         		<a id="pl.415.5"></a><var>415.5</var>enrolled in medical assistance and also subject to the five percent limit on cost-sharing.
         <br />
         		<a id="pl.415.6"></a><var>415.6</var>This paragraph does not apply to premiums charged to individuals described under section
         <br />
         		<a id="pl.415.7"></a><var>415.7</var>256B.057, subdivision 9.<br />
         		<a id="pl.415.8"></a><var>415.8</var>&#160;&#160;&#160;&#160;(b) Recipients of medical assistance are responsible for all co-payments and <br />
         		<a id="pl.415.9"></a><var>415.9</var>deductibles in this subdivision.<br />
         		<a id="pl.415.10"></a><var>415.10</var>(c) Notwithstanding paragraph (b), the commissioner, through the contracting <br />
         		<a id="pl.415.11"></a><var>415.11</var>process under sections 
         <statute_ref>256B.69</statute_ref> and 
         <statute_ref>256B.692</statute_ref>, may allow managed care plans and <br />
         		<a id="pl.415.12"></a><var>415.12</var>county-based purchasing plans to waive the family deductible under paragraph (a),
         <br />
         		<a id="pl.415.13"></a><var>415.13</var>clause (4). The value of the family deductible shall not be included in the capitation
         <br />
         		<a id="pl.415.14"></a><var>415.14</var>payment to managed care plans and county-based purchasing plans. Managed care plans
         <br />
         		<a id="pl.415.15"></a><var>415.15</var>and county-based purchasing plans shall certify annually to the commissioner the dollar
         <br />
         		<a id="pl.415.16"></a><var>415.16</var>value of the family deductible.<br />
         		<a id="pl.415.17"></a><var>415.17</var>(d) Notwithstanding paragraph (b), the commissioner may waive the collection of <br />
         		<a id="pl.415.18"></a><var>415.18</var>the family deductible described under paragraph (a), clause (4), from individuals
         and <br />
         		<a id="pl.415.19"></a><var>415.19</var>allow long-term care and waivered service providers to assume responsibility for payment.<br />
         		<a id="pl.415.20"></a><var>415.20</var>(e) Notwithstanding paragraph (b), the commissioner, through the contracting <br />
         		<a id="pl.415.21"></a><var>415.21</var>process under section 
         <statute_ref>256B.0756</statute_ref> shall allow the pilot program in Hennepin County to <br />
         		<a id="pl.415.22"></a><var>415.22</var>waive co-payments. The value of the co-payments shall not be included in the capitation
         <br />
         		<a id="pl.415.23"></a><var>415.23</var>payment amount to the integrated health care delivery networks under the pilot program.<br />
         		<a id="pl.415.24"></a><var>415.24</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Exceptions.</b> Co-payments and deductibles shall be subject to the following <br />
         		<a id="pl.415.25"></a><var>415.25</var>exceptions:<br />
         		<a id="pl.415.26"></a><var>415.26</var>(1) children under the age of 21;<br />
         		<a id="pl.415.27"></a><var>415.27</var>(2) pregnant women for services that relate to the pregnancy or any other medical
         <br />
         		<a id="pl.415.28"></a><var>415.28</var>condition that may complicate the pregnancy;<br />
         		<a id="pl.415.29"></a><var>415.29</var>(3) recipients expected to reside for at least 30 days in a hospital, nursing home,
         or <br />
         		<a id="pl.415.30"></a><var>415.30</var>intermediate care facility for the developmentally disabled;<br />
         		<a id="pl.415.31"></a><var>415.31</var>(4) recipients receiving hospice care;<br />
         		<a id="pl.415.32"></a><var>415.32</var>(5) 100 percent federally funded services provided by an Indian health service;<br />
         		<a id="pl.415.33"></a><var>415.33</var>(6) emergency services;<br />
         		<a id="pl.415.34"></a><var>415.34</var>(7) family planning services;<br />
         		<a id="pl.415.35"></a><var>415.35</var>(8) services that are paid by Medicare, resulting in the medical assistance program
         <br />
         		<a id="pl.415.36"></a><var>415.36</var>paying for the coinsurance and deductible;<br />
         		<a id="pl.416.1"></a><var>416.1</var>(9) co-payments that exceed one per day per provider for nonpreventive visits, <br />
         		<a id="pl.416.2"></a><var>416.2</var>eyeglasses, and nonemergency visits to a hospital-based emergency room; and<br />
         		<a id="pl.416.3"></a><var>416.3</var>(10) services, fee-for-service payments subject to volume purchase through <br />
         		<a id="pl.416.4"></a><var>416.4</var>competitive bidding.;<br />
         		<a id="pl.416.5"></a><var>416.5</var>(11) American Indians who meet the requirements in Code of Federal Regulations, <br />
         		<a id="pl.416.6"></a><var>416.6</var>title 42, sections 447.51 and 447.56;<br />
         		<a id="pl.416.7"></a><var>416.7</var>(12) persons needing treatment for breast or cervical cancer as described under <br />
         		<a id="pl.416.8"></a><var>416.8</var>section 256B.057, subdivision 10; and<br />
         		<a id="pl.416.9"></a><var>416.9</var>(13) services that currently have a rating of A or B from the United States Preventive
         <br />
         		<a id="pl.416.10"></a><var>416.10</var>Services Task Force (USPSTF), immunizations recommended by the Advisory Committee
         <br />
         		<a id="pl.416.11"></a><var>416.11</var>on Immunization Practices of the Centers for Disease Control and Prevention, and <br />
         		<a id="pl.416.12"></a><var>416.12</var>preventive services and screenings provided to women as described in Code of Federal
         <br />
         		<a id="pl.416.13"></a><var>416.13</var>Regulations, title 45, section 147.130.<br />
         		<a id="pl.416.14"></a><var>416.14</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Collection.</b> (a) The medical assistance reimbursement to the provider shall <br />
         		<a id="pl.416.15"></a><var>416.15</var>be reduced by the amount of the co-payment or deductible, except that reimbursements
         <br />
         		<a id="pl.416.16"></a><var>416.16</var>shall not be reduced:<br />
         		<a id="pl.416.17"></a><var>416.17</var>&#160;&#160;&#160;&#160;(1) once a recipient has reached the $12 per month maximum for prescription drug <br />
         		<a id="pl.416.18"></a><var>416.18</var>co-payments; or<br />
         		<a id="pl.416.19"></a><var>416.19</var>&#160;&#160;&#160;&#160;(2) for a recipient identified by the commissioner under 100 percent of the federal <br />
         		<a id="pl.416.20"></a><var>416.20</var>poverty guidelines who has met their monthly five percent cost-sharing limit.<br />
         		<a id="pl.416.21"></a><var>416.21</var>&#160;&#160;&#160;&#160;(b) The provider collects the co-payment or deductible from the recipient. Providers
         <br />
         		<a id="pl.416.22"></a><var>416.22</var>may not deny services to recipients who are unable to pay the co-payment or deductible.<br />
         		<a id="pl.416.23"></a><var>416.23</var>&#160;&#160;&#160;&#160;(c) Medical assistance reimbursement to fee-for-service providers and payments to
         <br />
         		<a id="pl.416.24"></a><var>416.24</var>managed care plans shall not be increased as a result of the removal of co-payments
         or <br />
         		<a id="pl.416.25"></a><var>416.25</var>deductibles effective on or after January 1, 2009.<br />
         		<a id="pl.416.26"></a><var>416.26</var><b>EFFECTIVE DATE.</b>The amendment to subdivision 1, paragraph (a), clause (4), is <br />
         		<a id="pl.416.27"></a><var>416.27</var>effective retroactively from January 1, 2014.<br />
         		<br />
         		<a id="bill.11.30.0"></a><a id="pl.416.28"></a><var>416.28</var>&#160;&#160;&#160;&#160;Sec. 30. <b>[256B.0638] OPIOID PRESCRIBING IMPROVEMENT PROGRAM.</b><br />
         		<a id="pl.416.29"></a><var>416.29</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Program established.</b> The commissioner of human services, in <br />
         		<a id="pl.416.30"></a><var>416.30</var>conjunction with the commissioner of health, shall coordinate and implement an opioid
         <br />
         		<a id="pl.416.31"></a><var>416.31</var>prescribing improvement program to reduce opioid dependency and substance use by <br />
         		<a id="pl.416.32"></a><var>416.32</var>Minnesotans due to the prescribing of opioid analgesics by health care providers.<br />
         		<a id="pl.416.33"></a><var>416.33</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the terms defined in this <br />
         		<a id="pl.416.34"></a><var>416.34</var>subdivision have the meanings given them.<br />
         		<a id="pl.416.35"></a><var>416.35</var>(b) "Commissioner" means the commissioner of human services.<br />
         		<a id="pl.417.1"></a><var>417.1</var>(c) "Commissioners" means the commissioner of human services and the <br />
         		<a id="pl.417.2"></a><var>417.2</var>commissioner of health.<br />
         		<a id="pl.417.3"></a><var>417.3</var>(d) "DEA" means the United States Drug Enforcement Administration.<br />
         		<a id="pl.417.4"></a><var>417.4</var>&#160;&#160;&#160;&#160;(e) "Minnesota health care program" means a public health care program <br />
         		<a id="pl.417.5"></a><var>417.5</var>administered by the commissioner of human services under chapters 256B and 256L, and
         <br />
         		<a id="pl.417.6"></a><var>417.6</var>the Minnesota restricted recipient program.<br />
         		<a id="pl.417.7"></a><var>417.7</var>(f) "Opioid disenrollment standards" means parameters of opioid prescribing <br />
         		<a id="pl.417.8"></a><var>417.8</var>practices that fall outside community standard thresholds for prescribing to such
         a degree <br />
         		<a id="pl.417.9"></a><var>417.9</var>that a provider must be disenrolled as a medical assistance provider.<br />
         		<a id="pl.417.10"></a><var>417.10</var>(g) "Opioid prescriber" means a licensed health care provider who prescribes opioids
         <br />
         		<a id="pl.417.11"></a><var>417.11</var>to medical assistance and MinnesotaCare enrollees under the fee-for-service system
         or <br />
         		<a id="pl.417.12"></a><var>417.12</var>under a managed care or county-based purchasing plan.<br />
         		<a id="pl.417.13"></a><var>417.13</var>&#160;&#160;&#160;&#160;(h) "Opioid quality improvement standard thresholds" means parameters of opioid <br />
         		<a id="pl.417.14"></a><var>417.14</var>prescribing practices that fall outside community standards for prescribing to such
         a <br />
         		<a id="pl.417.15"></a><var>417.15</var>degree that quality improvement is required.<br />
         		<a id="pl.417.16"></a><var>417.16</var>(i) "Program" means the statewide opioid prescribing improvement program <br />
         		<a id="pl.417.17"></a><var>417.17</var>established under this section.<br />
         		<a id="pl.417.18"></a><var>417.18</var>(j) "Provider group" means a clinic, hospital, or primary or specialty practice group
         <br />
         		<a id="pl.417.19"></a><var>417.19</var>that employs, contracts with, or is affiliated with an opioid prescriber. Provider
         group does <br />
         		<a id="pl.417.20"></a><var>417.20</var>not include a professional association supported by dues-paying members.<br />
         		<a id="pl.417.21"></a><var>417.21</var>(k) "Sentinel measures" means measures of opioid use that identify variations in <br />
         		<a id="pl.417.22"></a><var>417.22</var>prescribing practices during the prescribing intervals.<br />
         		<a id="pl.417.23"></a><var>417.23</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Opioid prescribing work group.</b> (a) The commissioner of human <br />
         		<a id="pl.417.24"></a><var>417.24</var>services, in consultation with the commissioner of health, shall appoint the following
         <br />
         		<a id="pl.417.25"></a><var>417.25</var>voting members to an opioid prescribing work group:<br />
         		<a id="pl.417.26"></a><var>417.26</var>(1) two consumer members who have been impacted by an opioid abuse disorder or <br />
         		<a id="pl.417.27"></a><var>417.27</var>opioid dependence disorder, either personally or with family members;<br />
         		<a id="pl.417.28"></a><var>417.28</var>(2) one member who is a licensed physician actively practicing in Minnesota and <br />
         		<a id="pl.417.29"></a><var>417.29</var>registered as a practitioner with the DEA;<br />
         		<a id="pl.417.30"></a><var>417.30</var>(3) one member who is a licensed pharmacist actively practicing in Minnesota and <br />
         		<a id="pl.417.31"></a><var>417.31</var>registered as a practitioner with the DEA;<br />
         		<a id="pl.417.32"></a><var>417.32</var>(4) one member who is a licensed nurse practitioner actively practicing in Minnesota
         <br />
         		<a id="pl.417.33"></a><var>417.33</var>and registered as a practitioner with the DEA;<br />
         		<a id="pl.417.34"></a><var>417.34</var>(5) one member who is a licensed dentist actively practicing in Minnesota and <br />
         		<a id="pl.417.35"></a><var>417.35</var>registered as a practitioner with the DEA;<br />
         		<a id="pl.418.1"></a><var>418.1</var>(6) two members who are nonphysician licensed health care professionals actively <br />
         		<a id="pl.418.2"></a><var>418.2</var>engaged in the practice of their profession in Minnesota, and their practice includes
         <br />
         		<a id="pl.418.3"></a><var>418.3</var>treating pain;<br />
         		<a id="pl.418.4"></a><var>418.4</var>(7) one member who is a mental health professional who is licensed or registered <br />
         		<a id="pl.418.5"></a><var>418.5</var>in a mental health profession, who is actively engaged in the practice of that profession
         <br />
         		<a id="pl.418.6"></a><var>418.6</var>in Minnesota, and whose practice includes treating patients with chemical dependency
         <br />
         		<a id="pl.418.7"></a><var>418.7</var>or substance abuse;<br />
         		<a id="pl.418.8"></a><var>418.8</var>(8) one member who is a medical examiner for a Minnesota county;<br />
         		<a id="pl.418.9"></a><var>418.9</var>(9) one member of the Health Services Policy Committee established under section <br />
         		<a id="pl.418.10"></a><var>418.10</var>256B.0625, subdivisions 3c to 3e;<br />
         		<a id="pl.418.11"></a><var>418.11</var>(10) one member who is a medical director of a health plan company doing business
         <br />
         		<a id="pl.418.12"></a><var>418.12</var>in Minnesota;<br />
         		<a id="pl.418.13"></a><var>418.13</var>(11) one member who is a pharmacy director of a health plan company doing <br />
         		<a id="pl.418.14"></a><var>418.14</var>business in Minnesota; and<br />
         		<a id="pl.418.15"></a><var>418.15</var>(12) one member representing Minnesota law enforcement.<br />
         		<a id="pl.418.16"></a><var>418.16</var>(b) In addition, the work group shall include the following nonvoting members:<br />
         		<a id="pl.418.17"></a><var>418.17</var>(1) the medical director for the medical assistance program;<br />
         		<a id="pl.418.18"></a><var>418.18</var>(2) a member representing the Department of Human Services pharmacy unit; and<br />
         		<a id="pl.418.19"></a><var>418.19</var>(3) the medical director for the Department of Labor and Industry.<br />
         		<a id="pl.418.20"></a><var>418.20</var>(c) An honorarium of $200 per meeting and reimbursement for mileage and parking <br />
         		<a id="pl.418.21"></a><var>418.21</var>shall be paid to each voting member in attendance. <br />
         		<a id="pl.418.22"></a><var>418.22</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Program components.</b> (a) The working group shall recommend to the <br />
         		<a id="pl.418.23"></a><var>418.23</var>commissioners the components of the statewide opioid prescribing improvement program,
         <br />
         		<a id="pl.418.24"></a><var>418.24</var>including, but not limited to, the following:<br />
         		<a id="pl.418.25"></a><var>418.25</var>(1) developing criteria for opioid prescribing protocols, including:<br />
         		<a id="pl.418.26"></a><var>418.26</var>(i) prescribing for the interval of up to four days immediately after an acute painful
         <br />
         		<a id="pl.418.27"></a><var>418.27</var>event;<br />
         		<a id="pl.418.28"></a><var>418.28</var>(ii) prescribing for the interval of up to 45 days after an acute painful event; and<br />
         		<a id="pl.418.29"></a><var>418.29</var>(iii) prescribing for chronic pain, which for purposes of this program means pain
         <br />
         		<a id="pl.418.30"></a><var>418.30</var>lasting longer than 45 days after an acute painful event;<br />
         		<a id="pl.418.31"></a><var>418.31</var>(2) developing sentinel measures;<br />
         		<a id="pl.418.32"></a><var>418.32</var>(3) developing educational resources for opioid prescribers about communicating <br />
         		<a id="pl.418.33"></a><var>418.33</var>with patients about pain management and the use of opioids to treat pain;<br />
         		<a id="pl.418.34"></a><var>418.34</var>(4) developing opioid quality improvement standard thresholds and opioid <br />
         		<a id="pl.418.35"></a><var>418.35</var>disenrollment standards for opioid prescribers and provider groups. In developing
         opioid <br />
         		<a id="pl.418.36"></a><var>418.36</var>disenrollment standards, the standards may be described in terms of the length of
         time in <br />
         		<a id="pl.419.1"></a><var>419.1</var>which prescribing practices fall outside community standards and the nature and amount
         <br />
         		<a id="pl.419.2"></a><var>419.2</var>of opioid prescribing that fall outside community standards; and<br />
         		<a id="pl.419.3"></a><var>419.3</var>(5) addressing other program issues as determined by the commissioners.<br />
         		<a id="pl.419.4"></a><var>419.4</var>(b) The opioid prescribing protocols shall not apply to opioids prescribed for patients
         <br />
         		<a id="pl.419.5"></a><var>419.5</var>who are experiencing pain caused by a malignant condition or who are receiving hospice
         <br />
         		<a id="pl.419.6"></a><var>419.6</var>care, or to opioids prescribed as medication-assisted therapy to treat opioid dependency.<br />
         		<a id="pl.419.7"></a><var>419.7</var>(c) All opioid prescribers who prescribe opioids to Minnesota health care program
         <br />
         		<a id="pl.419.8"></a><var>419.8</var>enrollees must participate in the program in accordance with subdivision 5. Any other
         <br />
         		<a id="pl.419.9"></a><var>419.9</var>prescriber who prescribes opioids may comply with the components of this program <br />
         		<a id="pl.419.10"></a><var>419.10</var>described in paragraph (a) on a voluntary basis.<br />
         		<a id="pl.419.11"></a><var>419.11</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Program implementation.</b> (a) The commissioner shall implement the <br />
         		<a id="pl.419.12"></a><var>419.12</var>programs within the Minnesota health care program to improve the health of and quality
         <br />
         		<a id="pl.419.13"></a><var>419.13</var>of care provided to Minnesota health care program enrollees. The commissioner shall
         <br />
         		<a id="pl.419.14"></a><var>419.14</var>annually collect and report to opioid prescribers data showing the sentinel measures
         of <br />
         		<a id="pl.419.15"></a><var>419.15</var>their opioid prescribing patterns compared to their anonymized peers.<br />
         		<a id="pl.419.16"></a><var>419.16</var>(b) The commissioner shall notify an opioid prescriber and all provider groups <br />
         		<a id="pl.419.17"></a><var>419.17</var>with which the opioid prescriber is employed or affiliated when the opioid prescriber's
         <br />
         		<a id="pl.419.18"></a><var>419.18</var>prescribing pattern exceeds the opioid quality improvement standard thresholds. An
         <br />
         		<a id="pl.419.19"></a><var>419.19</var>opioid prescriber and any provider group that receives a notice under this paragraph
         shall <br />
         		<a id="pl.419.20"></a><var>419.20</var>submit to the commissioner a quality improvement plan for review and approval by the
         <br />
         		<a id="pl.419.21"></a><var>419.21</var>commissioner with the goal of bringing the opioid prescriber's prescribing practices
         into <br />
         		<a id="pl.419.22"></a><var>419.22</var>alignment with community standards. A quality improvement plan must include:<br />
         		<a id="pl.419.23"></a><var>419.23</var>(1) components of the program described in subdivision 4, paragraph (a);<br />
         		<a id="pl.419.24"></a><var>419.24</var>(2) internal practice-based measures to review the prescribing practice of the <br />
         		<a id="pl.419.25"></a><var>419.25</var>opioid prescriber and, where appropriate, any other opioid prescribers employed by
         or <br />
         		<a id="pl.419.26"></a><var>419.26</var>affiliated with any of the provider groups with which the opioid prescriber is employed
         or <br />
         		<a id="pl.419.27"></a><var>419.27</var>affiliated; and<br />
         		<a id="pl.419.28"></a><var>419.28</var>(3) appropriate use of the prescription monitoring program under section 152.126.<br />
         		<a id="pl.419.29"></a><var>419.29</var>(c) If, after a year from the commissioner's notice under paragraph (b), the opioid
         <br />
         		<a id="pl.419.30"></a><var>419.30</var>prescriber's prescribing practices do not improve so that they are consistent with
         <br />
         		<a id="pl.419.31"></a><var>419.31</var>community standards, the commissioner shall take one or more of the following steps:<br />
         		<a id="pl.419.32"></a><var>419.32</var>(1) monitor prescribing practices more frequently than annually;<br />
         		<a id="pl.419.33"></a><var>419.33</var>(2) monitor more aspects of the opioid prescriber's prescribing practices than the
         <br />
         		<a id="pl.419.34"></a><var>419.34</var>sentinel measures; or<br />
         		<a id="pl.420.1"></a><var>420.1</var>(3) require the opioid prescriber to participate in additional quality improvement
         <br />
         		<a id="pl.420.2"></a><var>420.2</var>efforts, including but not limited to mandatory use of the prescription monitoring
         program <br />
         		<a id="pl.420.3"></a><var>420.3</var>established under section 152.126.<br />
         		<a id="pl.420.4"></a><var>420.4</var>(d) The commissioner shall terminate from Minnesota health care programs all <br />
         		<a id="pl.420.5"></a><var>420.5</var>opioid prescribers and provider groups whose prescribing practices fall within the
         <br />
         		<a id="pl.420.6"></a><var>420.6</var>applicable opioid disenrollment standards.<br />
         		<a id="pl.420.7"></a><var>420.7</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Data practices.</b> (a) Reports and data identifying an opioid prescriber <br />
         		<a id="pl.420.8"></a><var>420.8</var>are private data on individuals as defined under section 13.02, subdivision 12, until
         an <br />
         		<a id="pl.420.9"></a><var>420.9</var>opioid prescriber is subject to termination as a medical assistance provider under
         this <br />
         		<a id="pl.420.10"></a><var>420.10</var>section. Notwithstanding this data classification, the commissioner shall share with
         all of <br />
         		<a id="pl.420.11"></a><var>420.11</var>the provider groups with which an opioid prescriber is employed or affiliated, a report
         <br />
         		<a id="pl.420.12"></a><var>420.12</var>identifying an opioid prescriber who is subject to quality improvement activities
         under <br />
         		<a id="pl.420.13"></a><var>420.13</var>subdivision 5, paragraph (b) or (c).<br />
         		<a id="pl.420.14"></a><var>420.14</var>(b) Reports and data identifying a provider group are nonpublic data as defined <br />
         		<a id="pl.420.15"></a><var>420.15</var>under section 13.02, subdivision 9, until the provider group is subject to termination
         as a <br />
         		<a id="pl.420.16"></a><var>420.16</var>medical assistance provider under this section.<br />
         		<a id="pl.420.17"></a><var>420.17</var>(c) Upon termination under this section, reports and data identifying an opioid <br />
         		<a id="pl.420.18"></a><var>420.18</var>prescriber or provider group are public, except that any identifying information of
         <br />
         		<a id="pl.420.19"></a><var>420.19</var>Minnesota health care program enrollees must be redacted by the commissioner.<br />
         		<a id="pl.420.20"></a><var>420.20</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Annual report to legislature.</b> By September 15, 2016, and annually <br />
         		<a id="pl.420.21"></a><var>420.21</var>thereafter, the commissioner of human services shall report to the legislature on
         the <br />
         		<a id="pl.420.22"></a><var>420.22</var>implementation of the opioid prescribing improvement program in the Minnesota health
         <br />
         		<a id="pl.420.23"></a><var>420.23</var>care programs. The report must include data on the utilization of opioids within the
         <br />
         		<a id="pl.420.24"></a><var>420.24</var>Minnesota health care programs.<br />
         		<br />
         		<a id="bill.11.31.0"></a><a id="pl.420.25"></a><var>420.25</var>&#160;&#160;&#160;&#160;Sec. 31. Minnesota Statutes 2014, section 256B.0757, is amended to read:<br />
         		<a id="pl.420.26"></a><var>420.26</var><b>256B.0757 COORDINATED CARE THROUGH A HEALTH HOME.</b><br />
         		<a id="pl.420.27"></a><var>420.27</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Provision of coverage.</b> (a) The commissioner shall provide <br />
         		<a id="pl.420.28"></a><var>420.28</var>medical assistance coverage of health home services for eligible individuals with
         chronic <br />
         		<a id="pl.420.29"></a><var>420.29</var>conditions who select a designated provider, a team of health care professionals, or a <br />
         		<a id="pl.420.30"></a><var>420.30</var>health team as the individual's health home.<br />
         		<a id="pl.420.31"></a><var>420.31</var>(b) The commissioner shall implement this section in compliance with the <br />
         		<a id="pl.420.32"></a><var>420.32</var>requirements of the state option to provide health homes for enrollees with chronic
         <br />
         		<a id="pl.420.33"></a><var>420.33</var>conditions, as provided under the Patient Protection and Affordable Care Act, Public
         <br />
         		<a id="pl.420.34"></a><var>420.34</var>Law 111-148, sections 2703 and 3502. Terms used in this section have the meaning <br />
         		<a id="pl.420.35"></a><var>420.35</var>provided in that act.<br />
         		<a id="pl.421.1"></a><var>421.1</var>(c) The commissioner shall establish health homes to serve populations with serious
         <br />
         		<a id="pl.421.2"></a><var>421.2</var>mental illness who meet the eligibility requirements described under subdivision 2,
         clause <br />
         		<a id="pl.421.3"></a><var>421.3</var>(4). The health home services provided by health homes shall focus on both the behavioral
         <br />
         		<a id="pl.421.4"></a><var>421.4</var>and the physical health of these populations.<br />
         		<a id="pl.421.5"></a><var>421.5</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Eligible individual.</b> An individual is eligible for health home services <br />
         		<a id="pl.421.6"></a><var>421.6</var>under this section if the individual is eligible for medical assistance under this
         chapter <br />
         		<a id="pl.421.7"></a><var>421.7</var>and has at least:<br />
         		<a id="pl.421.8"></a><var>421.8</var>(1) two chronic conditions;<br />
         		<a id="pl.421.9"></a><var>421.9</var>(2) one chronic condition and is at risk of having a second chronic condition; or<br />
         		<a id="pl.421.10"></a><var>421.10</var>(3) one serious and persistent mental health condition.; or<br />
         		<a id="pl.421.11"></a><var>421.11</var>(4) a condition that meets the definition in section 245.462, subdivision 20, <br />
         		<a id="pl.421.12"></a><var>421.12</var>paragraph (a), or 245.4871, subdivision 15, clause (2); and has a current diagnostic
         <br />
         		<a id="pl.421.13"></a><var>421.13</var>assessment as defined in Minnesota Rules, part 9505.0372, subpart 1, item B or C,
         as <br />
         		<a id="pl.421.14"></a><var>421.14</var>performed or reviewed by a mental health professional employed by or under contract
         <br />
         		<a id="pl.421.15"></a><var>421.15</var>with the behavioral health home. The commissioner shall establish criteria for determining
         <br />
         		<a id="pl.421.16"></a><var>421.16</var>continued eligibility.<br />
         		<a id="pl.421.17"></a><var>421.17</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Health home services.</b> (a) Health home services means comprehensive and <br />
         		<a id="pl.421.18"></a><var>421.18</var>timely high-quality services that are provided by a health home. These services include:<br />
         		<a id="pl.421.19"></a><var>421.19</var>(1) comprehensive care management;<br />
         		<a id="pl.421.20"></a><var>421.20</var>(2) care coordination and health promotion;<br />
         		<a id="pl.421.21"></a><var>421.21</var>(3) comprehensive transitional care, including appropriate follow-up, from inpatient
         <br />
         		<a id="pl.421.22"></a><var>421.22</var>to other settings;<br />
         		<a id="pl.421.23"></a><var>421.23</var>(4) patient and family support, including authorized representatives;<br />
         		<a id="pl.421.24"></a><var>421.24</var>(5) referral to community and social support services, if relevant; and<br />
         		<a id="pl.421.25"></a><var>421.25</var>(6) use of health information technology to link services, as feasible and appropriate.<br />
         		<a id="pl.421.26"></a><var>421.26</var>(b) The commissioner shall maximize the number and type of services included <br />
         		<a id="pl.421.27"></a><var>421.27</var>in this subdivision to the extent permissible under federal law, including physician,
         <br />
         		<a id="pl.421.28"></a><var>421.28</var>outpatient, mental health treatment, and rehabilitation services necessary for <br />
         		<a id="pl.421.29"></a><var>421.29</var>comprehensive transitional care following hospitalization.<br />
         		<a id="pl.421.30"></a><var>421.30</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Health teams</b><b> Designated provider</b><b>.</b> (a) Health home services <br />
         		<a id="pl.421.31"></a><var>421.31</var>are voluntary and an eligible individual may choose any designated provider. The <br />
         		<a id="pl.421.32"></a><var>421.32</var>commissioner shall establish health teams to support the patient-centered designated <br />
         		<a id="pl.421.33"></a><var>421.33</var>providers to serve as  health home homes and provide the services described in subdivision <br />
         		<a id="pl.421.34"></a><var>421.34</var>3 to individuals eligible under subdivision 2. The commissioner shall apply for grants
         or <br />
         		<a id="pl.421.35"></a><var>421.35</var>contracts as provided under section 3502 of the Patient Protection and Affordable Care Act
         <br />
         		<a id="pl.421.36"></a><var>421.36</var>to establish health teams homes and provide capitated payments to primary care designated <br />
         		<a id="pl.422.1"></a><var>422.1</var>providers. For purposes of this section, "health teams" "designated provider" means <br />
         		<a id="pl.422.2"></a><var>422.2</var>community-based, interdisciplinary, interprofessional teams of health care providers
         that <br />
         		<a id="pl.422.3"></a><var>422.3</var>support primary care practices. These providers may include medical specialists, nurses,
         <br />
         		<a id="pl.422.4"></a><var>422.4</var>advanced practice registered nurses, pharmacists, nutritionists, social workers, behavioral
         <br />
         		<a id="pl.422.5"></a><var>422.5</var>and mental health providers, doctors of chiropractic, licensed complementary and <br />
         		<a id="pl.422.6"></a><var>422.6</var>alternative medicine practitioners, and physician assistants. a provider, clinical practice or <br />
         		<a id="pl.422.7"></a><var>422.7</var>clinical group practice, rural clinic, community health center, community mental health
         <br />
         		<a id="pl.422.8"></a><var>422.8</var>center, or any other entity that is determined by the commissioner to be qualified
         to be a <br />
         		<a id="pl.422.9"></a><var>422.9</var>health home for eligible individuals. This determination must be based on documentation
         <br />
         		<a id="pl.422.10"></a><var>422.10</var>evidencing that the designated provider has the systems and infrastructure in place
         to <br />
         		<a id="pl.422.11"></a><var>422.11</var>provide health home services and satisfies the qualification standards established
         by the <br />
         		<a id="pl.422.12"></a><var>422.12</var>commissioner in consultation with stakeholders and approved by the Centers for Medicare
         <br />
         		<a id="pl.422.13"></a><var>422.13</var>and Medicaid Services.<br />
         		<a id="pl.422.14"></a><var>422.14</var>&#160;&#160;&#160;&#160;(b) The commissioner shall develop and implement certification standards for <br />
         		<a id="pl.422.15"></a><var>422.15</var>designated providers under this subdivision.<br />
         		<a id="pl.422.16"></a><var>422.16</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Payments.</b> The commissioner shall make payments to each health home <br />
         		<a id="pl.422.17"></a><var>422.17</var>and each health team designated provider for the provision of health home services  <br />
         		<a id="pl.422.18"></a><var>422.18</var>described in subdivision 3 to each eligible individual with chronic conditions under <br />
         		<a id="pl.422.19"></a><var>422.19</var>subdivision 2 that selects the health home as a provider.<br />
         		<a id="pl.422.20"></a><var>422.20</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Coordination.</b> The commissioner, to the extent feasible, shall ensure that <br />
         		<a id="pl.422.21"></a><var>422.21</var>the requirements and payment methods for health homes and health teams designated <br />
         		<a id="pl.422.22"></a><var>422.22</var>providers developed under this section are consistent with the requirements and payment <br />
         		<a id="pl.422.23"></a><var>422.23</var>methods for health care homes established under sections 
         <statute_ref>256B.0751</statute_ref> and 
         <statute_ref>256B.0753</statute_ref>. The <br />
         		<a id="pl.422.24"></a><var>422.24</var>commissioner may modify requirements and payment methods under sections 
         <statute_ref>256B.0751</statute_ref> <br />
         		<a id="pl.422.25"></a><var>422.25</var>and 
         <statute_ref>256B.0753</statute_ref> in order to be consistent with federal health home requirements and <br />
         		<a id="pl.422.26"></a><var>422.26</var>payment methods.<br />
         		<a id="pl.422.27"></a><var>422.27</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Evaluation and continued development.</b> (a) For continued certification <br />
         		<a id="pl.422.28"></a><var>422.28</var>under this section, health homes must meet process, outcome, and quality standards
         <br />
         		<a id="pl.422.29"></a><var>422.29</var>developed and specified by the commissioner. The commissioner shall collect data from
         <br />
         		<a id="pl.422.30"></a><var>422.30</var>health homes as necessary to monitor compliance with certification standards.<br />
         		<a id="pl.422.31"></a><var>422.31</var>(b) The commissioner may contract with a private entity to evaluate patient and <br />
         		<a id="pl.422.32"></a><var>422.32</var>family experiences, health care utilization, and costs.<br />
         		<a id="pl.422.33"></a><var>422.33</var>(c) The commissioner shall utilize findings from the implementation of behavioral
         <br />
         		<a id="pl.422.34"></a><var>422.34</var>health homes to determine populations to serve under subsequent health home models
         <br />
         		<a id="pl.422.35"></a><var>422.35</var>for individuals with chronic conditions.<br />
         		<a id="pl.423.1"></a><var>423.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016, or upon federal <br />
         		<a id="pl.423.2"></a><var>423.2</var>approval, whichever is later. The commissioner of human services shall notify the
         revisor <br />
         		<a id="pl.423.3"></a><var>423.3</var>of statutes when federal approval is obtained.<br />
         		<br />
         		<a id="bill.11.32.0"></a><a id="pl.423.4"></a><var>423.4</var>&#160;&#160;&#160;&#160;Sec. 32. <b>[256B.0758] HEALTH CARE DELIVERY PILOT PROGRAM.</b><br />
         		<a id="pl.423.5"></a><var>423.5</var>(a) The commissioner may establish a health care delivery pilot program to test <br />
         		<a id="pl.423.6"></a><var>423.6</var>alternative and innovative integrated health care delivery networks, including accountable
         <br />
         		<a id="pl.423.7"></a><var>423.7</var>care organizations or a community-based collaborative care network created by or <br />
         		<a id="pl.423.8"></a><var>423.8</var>including North Memorial Health Care. If required, the commissioner shall seek federal
         <br />
         		<a id="pl.423.9"></a><var>423.9</var>approval of a new waiver request or amend an existing demonstration pilot project
         waiver.<br />
         		<a id="pl.423.10"></a><var>423.10</var>(b) Individuals eligible for the pilot program shall be individuals who are eligible
         for <br />
         		<a id="pl.423.11"></a><var>423.11</var>medical assistance under section 256B.055. The commissioner may identify individuals
         <br />
         		<a id="pl.423.12"></a><var>423.12</var>to be enrolled in the pilot program based on zip code or whether the individuals would
         <br />
         		<a id="pl.423.13"></a><var>423.13</var>benefit from an integrated health care delivery network.<br />
         		<a id="pl.423.14"></a><var>423.14</var>(c) In developing a payment system for the pilot programs, the commissioner shall
         <br />
         		<a id="pl.423.15"></a><var>423.15</var>establish a total cost of care for the individuals enrolled in the pilot program that
         equals <br />
         		<a id="pl.423.16"></a><var>423.16</var>the cost of care that would otherwise be spent for these enrollees in the prepaid
         medical <br />
         		<a id="pl.423.17"></a><var>423.17</var>assistance program.<br />
         		<br />
         		<a id="bill.11.33.0"></a><a id="pl.423.18"></a><var>423.18</var>&#160;&#160;&#160;&#160;Sec. 33. Minnesota Statutes 2014, section 256B.69, subdivision 5a, is amended to read:<br />
         		<a id="pl.423.19"></a><var>423.19</var>&#160;&#160;&#160;&#160;Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br />
         		<a id="pl.423.20"></a><var>423.20</var>and section 
         <statute_ref>256L.12</statute_ref> shall be entered into or renewed on a calendar year basis. The <br />
         		<a id="pl.423.21"></a><var>423.21</var>commissioner may issue separate contracts with requirements specific to services to
         <br />
         		<a id="pl.423.22"></a><var>423.22</var>medical assistance recipients age 65 and older.<br />
         		<a id="pl.423.23"></a><var>423.23</var>&#160;&#160;&#160;&#160;(b) A prepaid health plan providing covered health services for eligible persons <br />
         		<a id="pl.423.24"></a><var>423.24</var>pursuant to chapters 256B and 256L is responsible for complying with the terms of
         its <br />
         		<a id="pl.423.25"></a><var>423.25</var>contract with the commissioner. Requirements applicable to managed care programs <br />
         		<a id="pl.423.26"></a><var>423.26</var>under chapters 256B and 256L established after the effective date of a contract with
         the <br />
         		<a id="pl.423.27"></a><var>423.27</var>commissioner take effect when the contract is next issued or renewed.<br />
         		<a id="pl.423.28"></a><var>423.28</var>&#160;&#160;&#160;&#160;(c) The commissioner shall withhold five percent of managed care plan payments <br />
         		<a id="pl.423.29"></a><var>423.29</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br />
            		
         </statute_ref><a id="pl.423.30"></a><var>423.30</var>for the prepaid medical assistance program pending completion of performance targets.
         <br />
         		<a id="pl.423.31"></a><var>423.31</var>Each performance target must be quantifiable, objective, measurable, and reasonably
         <br />
         		<a id="pl.423.32"></a><var>423.32</var>attainable, except in the case of a performance target based on a federal or state
         law <br />
         		<a id="pl.423.33"></a><var>423.33</var>or rule. Criteria for assessment of each performance target must be outlined in writing
         <br />
         		<a id="pl.423.34"></a><var>423.34</var>prior to the contract effective date. Clinical or utilization performance targets
         and their <br />
         		<a id="pl.424.1"></a><var>424.1</var>related criteria must consider evidence-based research and reasonable interventions
         when <br />
         		<a id="pl.424.2"></a><var>424.2</var>available or applicable to the populations served, and must be developed with input
         from <br />
         		<a id="pl.424.3"></a><var>424.3</var>external clinical experts and stakeholders, including managed care plans, county-based
         <br />
         		<a id="pl.424.4"></a><var>424.4</var>purchasing plans, and providers. The managed care or county-based purchasing plan
         <br />
         		<a id="pl.424.5"></a><var>424.5</var>must demonstrate, to the commissioner's satisfaction, that the data submitted regarding
         <br />
         		<a id="pl.424.6"></a><var>424.6</var>attainment of the performance target is accurate. The commissioner shall periodically
         <br />
         		<a id="pl.424.7"></a><var>424.7</var>change the administrative measures used as performance targets in order to improve
         plan <br />
         		<a id="pl.424.8"></a><var>424.8</var>performance across a broader range of administrative services. The performance targets
         <br />
         		<a id="pl.424.9"></a><var>424.9</var>must include measurement of plan efforts to contain spending on health care services
         and <br />
         		<a id="pl.424.10"></a><var>424.10</var>administrative activities. The commissioner may adopt plan-specific performance targets
         <br />
         		<a id="pl.424.11"></a><var>424.11</var>that take into account factors affecting only one plan, including characteristics
         of the <br />
         		<a id="pl.424.12"></a><var>424.12</var>plan's enrollee population. The withheld funds must be returned no sooner than July
         of the <br />
         		<a id="pl.424.13"></a><var>424.13</var>following year if performance targets in the contract are achieved. The commissioner
         may <br />
         		<a id="pl.424.14"></a><var>424.14</var>exclude special demonstration projects under subdivision 23.<br />
         		<a id="pl.424.15"></a><var>424.15</var>(d) The commissioner shall require that managed care plans use the assessment and
         <br />
         		<a id="pl.424.16"></a><var>424.16</var>authorization processes, forms, timelines, standards, documentation, and data reporting
         <br />
         		<a id="pl.424.17"></a><var>424.17</var>requirements, protocols, billing processes, and policies consistent with medical assistance
         <br />
         		<a id="pl.424.18"></a><var>424.18</var>fee-for-service or the Department of Human Services contract requirements consistent
         <br />
         		<a id="pl.424.19"></a><var>424.19</var>with medical assistance fee-for-service or the Department of Human Services contract
         <br />
         		<a id="pl.424.20"></a><var>424.20</var>requirements for all personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br />
         		<a id="pl.424.21"></a><var>424.21</var>(e) Effective for services rendered on or after January 1, 2012, the commissioner
         <br />
         		<a id="pl.424.22"></a><var>424.22</var>shall include as part of the performance targets described in paragraph (c) a reduction
         <br />
         		<a id="pl.424.23"></a><var>424.23</var>in the health plan's emergency department utilization rate for medical assistance
         and <br />
         		<a id="pl.424.24"></a><var>424.24</var>MinnesotaCare enrollees, as determined by the commissioner. For 2012, the reduction
         <br />
         		<a id="pl.424.25"></a><var>424.25</var>shall be based on the health plan's utilization in 2009. To earn the return of the
         withhold <br />
         		<a id="pl.424.26"></a><var>424.26</var>each subsequent year, the managed care plan or county-based purchasing plan must <br />
         		<a id="pl.424.27"></a><var>424.27</var>achieve a qualifying reduction of no less than ten percent of the plan's emergency
         <br />
         		<a id="pl.424.28"></a><var>424.28</var>department utilization rate for medical assistance and MinnesotaCare enrollees, excluding
         <br />
         		<a id="pl.424.29"></a><var>424.29</var>enrollees in programs described in subdivisions 23 and 28, compared to the previous
         <br />
         		<a id="pl.424.30"></a><var>424.30</var>measurement year until the final performance target is reached. When measuring <br />
         		<a id="pl.424.31"></a><var>424.31</var>performance, the commissioner must consider the difference in health risk in a managed
         <br />
         		<a id="pl.424.32"></a><var>424.32</var>care or county-based purchasing plan's membership in the baseline year compared to
         the <br />
         		<a id="pl.424.33"></a><var>424.33</var>measurement year, and work with the managed care or county-based purchasing plan to
         <br />
         		<a id="pl.424.34"></a><var>424.34</var>account for differences that they agree are significant.<br />
         		<a id="pl.424.35"></a><var>424.35</var>The withheld funds must be returned no sooner than July 1 and no later than July 31
         <br />
         		<a id="pl.424.36"></a><var>424.36</var>of the following calendar year if the managed care plan or county-based purchasing
         plan <br />
         		<a id="pl.425.1"></a><var>425.1</var>demonstrates to the satisfaction of the commissioner that a reduction in the utilization
         rate <br />
         		<a id="pl.425.2"></a><var>425.2</var>was achieved. The commissioner shall structure the withhold so that the commissioner
         <br />
         		<a id="pl.425.3"></a><var>425.3</var>returns a portion of the withheld funds in amounts commensurate with achieved reductions
         <br />
         		<a id="pl.425.4"></a><var>425.4</var>in utilization less than the targeted amount.<br />
         		<a id="pl.425.5"></a><var>425.5</var>The withhold described in this paragraph shall continue for each consecutive contract
         <br />
         		<a id="pl.425.6"></a><var>425.6</var>period until the plan's emergency room utilization rate for state health care program
         <br />
         		<a id="pl.425.7"></a><var>425.7</var>enrollees is reduced by 25 percent of the plan's emergency room utilization rate for
         medical <br />
         		<a id="pl.425.8"></a><var>425.8</var>assistance and MinnesotaCare enrollees for calendar year 2009. Hospitals shall cooperate
         <br />
         		<a id="pl.425.9"></a><var>425.9</var>with the health plans in meeting this performance target and shall accept payment
         <br />
         		<a id="pl.425.10"></a><var>425.10</var>withholds that may be returned to the hospitals if the performance target is achieved.<br />
         		<a id="pl.425.11"></a><var>425.11</var>(f) Effective for services rendered on or after January 1, 2012, the commissioner
         <br />
         		<a id="pl.425.12"></a><var>425.12</var>shall include as part of the performance targets described in paragraph (c) a reduction
         <br />
         		<a id="pl.425.13"></a><var>425.13</var>in the plan's hospitalization admission rate for medical assistance and MinnesotaCare
         <br />
         		<a id="pl.425.14"></a><var>425.14</var>enrollees, as determined by the commissioner. To earn the return of the withhold each
         <br />
         		<a id="pl.425.15"></a><var>425.15</var>year, the managed care plan or county-based purchasing plan must achieve a qualifying
         <br />
         		<a id="pl.425.16"></a><var>425.16</var>reduction of no less than five percent of the plan's hospital admission rate for medical
         <br />
         		<a id="pl.425.17"></a><var>425.17</var>assistance and MinnesotaCare enrollees, excluding enrollees in programs described
         in <br />
         		<a id="pl.425.18"></a><var>425.18</var>subdivisions 23 and 28, compared to the previous calendar year until the final performance
         <br />
         		<a id="pl.425.19"></a><var>425.19</var>target is reached. When measuring performance, the commissioner must consider the
         <br />
         		<a id="pl.425.20"></a><var>425.20</var>difference in health risk in a managed care or county-based purchasing plan's membership
         <br />
         		<a id="pl.425.21"></a><var>425.21</var>in the baseline year compared to the measurement year, and work with the managed care
         <br />
         		<a id="pl.425.22"></a><var>425.22</var>or county-based purchasing plan to account for differences that they agree are significant.<br />
         		<a id="pl.425.23"></a><var>425.23</var>The withheld funds must be returned no sooner than July 1 and no later than July <br />
         		<a id="pl.425.24"></a><var>425.24</var>31 of the following calendar year if the managed care plan or county-based purchasing
         <br />
         		<a id="pl.425.25"></a><var>425.25</var>plan demonstrates to the satisfaction of the commissioner that this reduction in the
         <br />
         		<a id="pl.425.26"></a><var>425.26</var>hospitalization rate was achieved. The commissioner shall structure the withhold so
         that <br />
         		<a id="pl.425.27"></a><var>425.27</var>the commissioner returns a portion of the withheld funds in amounts commensurate with
         <br />
         		<a id="pl.425.28"></a><var>425.28</var>achieved reductions in utilization less than the targeted amount.<br />
         		<a id="pl.425.29"></a><var>425.29</var>The withhold described in this paragraph shall continue until there is a 25 percent
         <br />
         		<a id="pl.425.30"></a><var>425.30</var>reduction in the hospital admission rate compared to the hospital admission rates
         in <br />
         		<a id="pl.425.31"></a><var>425.31</var>calendar year 2011, as determined by the commissioner. The hospital admissions in
         this <br />
         		<a id="pl.425.32"></a><var>425.32</var>performance target do not include the admissions applicable to the subsequent hospital
         <br />
         		<a id="pl.425.33"></a><var>425.33</var>admission performance target under paragraph (g). Hospitals shall cooperate with the
         <br />
         		<a id="pl.425.34"></a><var>425.34</var>plans in meeting this performance target and shall accept payment withholds that may
         be <br />
         		<a id="pl.425.35"></a><var>425.35</var>returned to the hospitals if the performance target is achieved.<br />
         		<a id="pl.426.1"></a><var>426.1</var>(g) Effective for services rendered on or after January 1, 2012, the commissioner
         <br />
         		<a id="pl.426.2"></a><var>426.2</var>shall include as part of the performance targets described in paragraph (c) a reduction
         in <br />
         		<a id="pl.426.3"></a><var>426.3</var>the plan's hospitalization admission rates for subsequent hospitalizations within
         30 days of <br />
         		<a id="pl.426.4"></a><var>426.4</var>a previous hospitalization of a patient regardless of the reason, for medical assistance
         and <br />
         		<a id="pl.426.5"></a><var>426.5</var>MinnesotaCare enrollees, as determined by the commissioner. To earn the return of
         the <br />
         		<a id="pl.426.6"></a><var>426.6</var>withhold each year, the managed care plan or county-based purchasing plan must achieve
         <br />
         		<a id="pl.426.7"></a><var>426.7</var>a qualifying reduction of the subsequent hospitalization rate for medical assistance
         and <br />
         		<a id="pl.426.8"></a><var>426.8</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions
         23 <br />
         		<a id="pl.426.9"></a><var>426.9</var>and 28, of no less than five percent compared to the previous calendar year until
         the <br />
         		<a id="pl.426.10"></a><var>426.10</var>final performance target is reached.<br />
         		<a id="pl.426.11"></a><var>426.11</var>The withheld funds must be returned no sooner than July 1 and no later than July <br />
         		<a id="pl.426.12"></a><var>426.12</var>31 of the following calendar year if the managed care plan or county-based purchasing
         <br />
         		<a id="pl.426.13"></a><var>426.13</var>plan demonstrates to the satisfaction of the commissioner that a qualifying reduction
         in <br />
         		<a id="pl.426.14"></a><var>426.14</var>the subsequent hospitalization rate was achieved. The commissioner shall structure
         the <br />
         		<a id="pl.426.15"></a><var>426.15</var>withhold so that the commissioner returns a portion of the withheld funds in amounts
         <br />
         		<a id="pl.426.16"></a><var>426.16</var>commensurate with achieved reductions in utilization less than the targeted amount.<br />
         		<a id="pl.426.17"></a><var>426.17</var>The withhold described in this paragraph must continue for each consecutive <br />
         		<a id="pl.426.18"></a><var>426.18</var>contract period until the plan's subsequent hospitalization rate for medical assistance
         and <br />
         		<a id="pl.426.19"></a><var>426.19</var>MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions
         23 <br />
         		<a id="pl.426.20"></a><var>426.20</var>and 28, is reduced by 25 percent of the plan's subsequent hospitalization rate for
         calendar <br />
         		<a id="pl.426.21"></a><var>426.21</var>year 2011. Hospitals shall cooperate with the plans in meeting this performance target
         and <br />
         		<a id="pl.426.22"></a><var>426.22</var>shall accept payment withholds that must be returned to the hospitals if the performance
         <br />
         		<a id="pl.426.23"></a><var>426.23</var>target is achieved.<br />
         		<a id="pl.426.24"></a><var>426.24</var>(h) Effective for services rendered on or after January 1, 2013, through December
         <br />
         		<a id="pl.426.25"></a><var>426.25</var>31, 2013, the commissioner shall withhold 4.5 percent of managed care plan payments
         <br />
         		<a id="pl.426.26"></a><var>426.26</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br />
            		
         </statute_ref><a id="pl.426.27"></a><var>426.27</var>for the prepaid medical assistance program. The withheld funds must be returned no
         <br />
         		<a id="pl.426.28"></a><var>426.28</var>sooner than July 1 and no later than July 31 of the following year. The commissioner
         may <br />
         		<a id="pl.426.29"></a><var>426.29</var>exclude special demonstration projects under subdivision 23.<br />
         		<a id="pl.426.30"></a><var>426.30</var>(i) Effective for services rendered on or after January 1, 2014, the commissioner
         <br />
         		<a id="pl.426.31"></a><var>426.31</var>shall withhold three percent of managed care plan payments under this section and
         <br />
         		<a id="pl.426.32"></a><var>426.32</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br />
         		<a id="pl.426.33"></a><var>426.33</var>assistance program. The withheld funds must be returned no sooner than July 1 and
         <br />
         		<a id="pl.426.34"></a><var>426.34</var>no later than July 31 of the following year. The commissioner may exclude special
         <br />
         		<a id="pl.426.35"></a><var>426.35</var>demonstration projects under subdivision 23.<br />
         		<a id="pl.427.1"></a><var>427.1</var>(j) A managed care plan or a county-based purchasing plan under section 
         <statute_ref>256B.692 <br />
            		
         </statute_ref><a id="pl.427.2"></a><var>427.2</var>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld under this <br />
         		<a id="pl.427.3"></a><var>427.3</var>section that is reasonably expected to be returned.<br />
         		<a id="pl.427.4"></a><var>427.4</var>(k) Contracts between the commissioner and a prepaid health plan are exempt from <br />
         		<a id="pl.427.5"></a><var>427.5</var>the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br />
         		<a id="pl.427.6"></a><var>427.6</var>(a), and 7.<br />
         		<a id="pl.427.7"></a><var>427.7</var>(l) The return of the withhold under paragraphs (h) and (i) is not subject to the
         <br />
         		<a id="pl.427.8"></a><var>427.8</var>requirements of paragraph (c).<br />
         		<a id="pl.427.9"></a><var>427.9</var>(m) Managed care plans and county-based purchasing plans shall maintain current <br />
         		<a id="pl.427.10"></a><var>427.10</var>and fully executed agreements for all subcontractors, including bargaining groups,
         for <br />
         		<a id="pl.427.11"></a><var>427.11</var>administrative services that are expensed to the state's public health care programs.
         <br />
         		<a id="pl.427.12"></a><var>427.12</var>Subcontractor agreements determined to be material, as defined by the commissioner
         after <br />
         		<a id="pl.427.13"></a><var>427.13</var>taking into account state contracting and relevant statutory requirements, must be
         in the <br />
         		<a id="pl.427.14"></a><var>427.14</var>form of a written instrument or electronic document containing the elements of offer,
         <br />
         		<a id="pl.427.15"></a><var>427.15</var>acceptance, consideration, payment terms, scope, duration of the contract, and how
         the <br />
         		<a id="pl.427.16"></a><var>427.16</var>subcontractor services relate to state public health care programs. Upon request,
         the <br />
         		<a id="pl.427.17"></a><var>427.17</var>commissioner shall have access to all subcontractor documentation under this paragraph.
         <br />
         		<a id="pl.427.18"></a><var>427.18</var>Nothing in this paragraph shall allow release of information that is nonpublic data
         <br />
         		<a id="pl.427.19"></a><var>427.19</var>pursuant to section 13.02.<br />
         		<br />
         		<a id="bill.11.34.0"></a><a id="pl.427.20"></a><var>427.20</var>&#160;&#160;&#160;&#160;Sec. 34. Minnesota Statutes 2014, section 256B.69, subdivision 5i, is amended to read:<br />
         		<a id="pl.427.21"></a><var>427.21</var>&#160;&#160;&#160;&#160;Subd. 5i. <b>Administrative expenses.</b> (a) Managed care plan and county-based <br />
         		<a id="pl.427.22"></a><var>427.22</var>purchasing plan Administrative costs for a prepaid health plan provided paid to managed <br />
         		<a id="pl.427.23"></a><var>427.23</var>care plans and county-based purchasing plans under this section or, section 
         <statute_ref>256B.692</statute_ref>, <br />
         		<a id="pl.427.24"></a><var>427.24</var>and section 256L.12 must not exceed by more than five 6.6 percent that prepaid health <br />
         		<a id="pl.427.25"></a><var>427.25</var>plan's or county-based purchasing plan's actual calculated administrative spending
         for the <br />
         		<a id="pl.427.26"></a><var>427.26</var>previous calendar year as a percentage of total revenue of total payments made to all <br />
         		<a id="pl.427.27"></a><var>427.27</var>managed care plans and county-based purchasing plans in aggregate across all state
         public <br />
         		<a id="pl.427.28"></a><var>427.28</var>health care programs, based on payments expected to be made at the beginning of each
         <br />
         		<a id="pl.427.29"></a><var>427.29</var>calendar year. The penalty for exceeding this limit must be the amount of administrative <br />
         		<a id="pl.427.30"></a><var>427.30</var>spending in excess of 105 percent of the actual calculated amount. The commissioner
         may <br />
         		<a id="pl.427.31"></a><var>427.31</var>waive this penalty if the excess administrative spending is the result of unexpected
         shifts <br />
         		<a id="pl.427.32"></a><var>427.32</var>in enrollment or member needs or new program requirements. The commissioner may <br />
         		<a id="pl.427.33"></a><var>427.33</var>reduce or eliminate administrative requirements to meet the administrative cost limit.
         <br />
         		<a id="pl.427.34"></a><var>427.34</var>For purposes of this paragraph, administrative costs do not include premium taxes
         paid <br />
         		<a id="pl.428.1"></a><var>428.1</var>under section 297I.05, subdivision 5, provider surcharges paid under section 256.9657,
         <br />
         		<a id="pl.428.2"></a><var>428.2</var>subdivision 3, and health insurance fees under section 9010 of the Affordable Care
         Act.<br />
         		<a id="pl.428.3"></a><var>428.3</var>&#160;&#160;&#160;&#160;(b) The following expenses are not allowable administrative expenses for rate-setting
         <br />
         		<a id="pl.428.4"></a><var>428.4</var>purposes under this section:<br />
         		<a id="pl.428.5"></a><var>428.5</var>&#160;&#160;&#160;&#160;(1) charitable contributions made by the managed care plan or the county-based <br />
         		<a id="pl.428.6"></a><var>428.6</var>purchasing plan;<br />
         		<a id="pl.428.7"></a><var>428.7</var>&#160;&#160;&#160;&#160;(2) any portion of an individual's compensation in excess of $200,000 paid by the <br />
         		<a id="pl.428.8"></a><var>428.8</var>managed care plan or county-based purchasing plan compensation of individuals within <br />
         		<a id="pl.428.9"></a><var>428.9</var>the organization in excess of $200,000 such that the allocation of compensation for
         an <br />
         		<a id="pl.428.10"></a><var>428.10</var>individual across all state public health care programs in total cannot exceed $200,000;<br />
         		<a id="pl.428.11"></a><var>428.11</var>&#160;&#160;&#160;&#160;(3) any penalties or fines assessed against the managed care plan or county-based
         <br />
         		<a id="pl.428.12"></a><var>428.12</var>purchasing plan; and<br />
         		<a id="pl.428.13"></a><var>428.13</var>&#160;&#160;&#160;&#160;(4) any indirect marketing or advertising expenses of the managed care plan or <br />
         		<a id="pl.428.14"></a><var>428.14</var>county-based purchasing plan, including but not limited to costs to promote the managed <br />
         		<a id="pl.428.15"></a><var>428.15</var>care or county-based purchasing plan, costs of facilities used for special events,
         and costs <br />
         		<a id="pl.428.16"></a><var>428.16</var>of displays, demonstrations, donations, and promotional items such as memorabilia,
         <br />
         		<a id="pl.428.17"></a><var>428.17</var>models, gifts, and souvenirs. The commissioner may classify an item listed in this
         clause <br />
         		<a id="pl.428.18"></a><var>428.18</var>as an allowable administrative expense for rate-setting purposes, if the commissioner
         <br />
         		<a id="pl.428.19"></a><var>428.19</var>determines that the expense is incidental to an activity related to state pubic health
         care <br />
         		<a id="pl.428.20"></a><var>428.20</var>programs that is an allowable cost for purposes of rate setting;<br />
         		<a id="pl.428.21"></a><var>428.21</var>(5) any lobbying and political activities, events, or contributions;<br />
         		<a id="pl.428.22"></a><var>428.22</var>(6) administrative expenses related to the provision of services not covered under
         <br />
         		<a id="pl.428.23"></a><var>428.23</var>the state plan or waiver;<br />
         		<a id="pl.428.24"></a><var>428.24</var>(7) alcoholic beverages and related costs;<br />
         		<a id="pl.428.25"></a><var>428.25</var>(8) membership in any social, dining, or country club or organization; and<br />
         		<a id="pl.428.26"></a><var>428.26</var>&#160;&#160;&#160;&#160;(9) entertainment, including amusement, diversion, and social activities, and any
         <br />
         		<a id="pl.428.27"></a><var>428.27</var>costs directly associated with these costs, including but not limited to tickets to
         shows or <br />
         		<a id="pl.428.28"></a><var>428.28</var>sporting events, meals, lodging, rentals, transportation, and gratuities.<br />
         		<a id="pl.428.29"></a><var>428.29</var>For the purposes of this subdivision, compensation includes salaries, bonuses and
         <br />
         		<a id="pl.428.30"></a><var>428.30</var>incentives, other reportable compensation on an IRS 990 form, retirement and other
         <br />
         		<a id="pl.428.31"></a><var>428.31</var>deferred compensation, and nontaxable benefits. Charitable contributions under clause <br />
         		<a id="pl.428.32"></a><var>428.32</var>(1) include payments for or to any organization or entity selected by the managed
         care <br />
         		<a id="pl.428.33"></a><var>428.33</var>plan or county-based purchasing plan that is operated for charitable, educational,
         political, <br />
         		<a id="pl.428.34"></a><var>428.34</var>religious, or scientific purposes, that are not related to medical and administrative
         services <br />
         		<a id="pl.428.35"></a><var>428.35</var>covered under state public health care programs.<br />
         		<a id="pl.429.1"></a><var>429.1</var>&#160;&#160;&#160;&#160;(c) Payments to a quality improvement organization are an allowable administrative
         <br />
         		<a id="pl.429.2"></a><var>429.2</var>expense for rate-setting purposes under this section, to the extent they are allocated
         to a <br />
         		<a id="pl.429.3"></a><var>429.3</var>state public health care program and approved by the commissioner.<br />
         		<a id="pl.429.4"></a><var>429.4</var>&#160;&#160;&#160;&#160;(d) Where reasonably possible, expenses for an administrative item shall be directly
         <br />
         		<a id="pl.429.5"></a><var>429.5</var>allocated so as to assign costs for an item to an individual state public health care
         program <br />
         		<a id="pl.429.6"></a><var>429.6</var>when the cost can be specifically identified with and benefits the individual state
         public <br />
         		<a id="pl.429.7"></a><var>429.7</var>health care program. For administrative services expensed to the state's public health
         care <br />
         		<a id="pl.429.8"></a><var>429.8</var>programs, managed care plans and county-based purchasing plans must clearly identify
         <br />
         		<a id="pl.429.9"></a><var>429.9</var>and separately record expense items listed under paragraph (b) in their accounting
         systems <br />
         		<a id="pl.429.10"></a><var>429.10</var>in a manner that allows for independent verification of unallowable expenses for purposes
         <br />
         		<a id="pl.429.11"></a><var>429.11</var>of determining payment rates for state public health care programs.<br />
         		<a id="pl.429.12"></a><var>429.12</var>(e) Notwithstanding paragraph (a), the commissioner shall reduce administrative <br />
         		<a id="pl.429.13"></a><var>429.13</var>expenses paid to managed care plans and county-based purchasing plans by .50 of a
         <br />
         		<a id="pl.429.14"></a><var>429.14</var>percentage point for contracts beginning January 1, 2016, and ending December 31,
         <br />
         		<a id="pl.429.15"></a><var>429.15</var>2017. To meet the administrative reductions under this paragraph, the commissioner
         <br />
         		<a id="pl.429.16"></a><var>429.16</var>may reduce or eliminate administrative requirements, exclude additional unallowable
         <br />
         		<a id="pl.429.17"></a><var>429.17</var>administrative expenses identified under this section and resulting from the financial
         <br />
         		<a id="pl.429.18"></a><var>429.18</var>audits conducted under subdivision 9d, and utilize competitive bidding to gain efficiencies
         <br />
         		<a id="pl.429.19"></a><var>429.19</var>through economies of scale from increased enrollment. If the total reduction cannot
         be <br />
         		<a id="pl.429.20"></a><var>429.20</var>achieved through administrative reduction, the commissioner may limit total rate increases
         <br />
         		<a id="pl.429.21"></a><var>429.21</var>on payments to managed care plans and county-based purchasing plans.<br />
         		<br />
         		<a id="bill.11.35.0"></a><a id="pl.429.22"></a><var>429.22</var>&#160;&#160;&#160;&#160;Sec. 35. Minnesota Statutes 2014, section 256B.69, subdivision 9c, is amended to read:<br />
         		<a id="pl.429.23"></a><var>429.23</var>&#160;&#160;&#160;&#160;Subd. 9c. <b>Managed care financial reporting.</b> (a) The commissioner shall collect <br />
         		<a id="pl.429.24"></a><var>429.24</var>detailed data regarding financials, provider payments, provider rate methodologies,
         and <br />
         		<a id="pl.429.25"></a><var>429.25</var>other data as determined by the commissioner. The commissioner, in consultation with
         the <br />
         		<a id="pl.429.26"></a><var>429.26</var>commissioners of health and commerce, and in consultation with managed care plans
         and <br />
         		<a id="pl.429.27"></a><var>429.27</var>county-based purchasing plans, shall set uniform criteria, definitions, and standards
         for the <br />
         		<a id="pl.429.28"></a><var>429.28</var>data to be submitted, and shall require managed care and county-based purchasing plans
         <br />
         		<a id="pl.429.29"></a><var>429.29</var>to comply with these criteria, definitions, and standards when submitting data under
         this <br />
         		<a id="pl.429.30"></a><var>429.30</var>section. In carrying out the responsibilities of this subdivision, the commissioner
         shall <br />
         		<a id="pl.429.31"></a><var>429.31</var>ensure that the data collection is implemented in an integrated and coordinated manner
         <br />
         		<a id="pl.429.32"></a><var>429.32</var>that avoids unnecessary duplication of effort. To the extent possible, the commissioner
         <br />
         		<a id="pl.429.33"></a><var>429.33</var>shall use existing data sources and streamline data collection in order to reduce
         public <br />
         		<a id="pl.429.34"></a><var>429.34</var>and private sector administrative costs. Nothing in this subdivision shall allow release
         of <br />
         		<a id="pl.429.35"></a><var>429.35</var>information that is nonpublic data pursuant to section 
         <statute_ref>13.02</statute_ref>.<br />
         		<a id="pl.430.1"></a><var>430.1</var>(b) Effective January 1, 2014, each managed care and county-based purchasing plan
         <br />
         		<a id="pl.430.2"></a><var>430.2</var>must quarterly provide to the commissioner the following information on state public
         <br />
         		<a id="pl.430.3"></a><var>430.3</var>programs, in the form and manner specified by the commissioner, according to guidelines
         <br />
         		<a id="pl.430.4"></a><var>430.4</var>developed by the commissioner in consultation with managed care plans and county-based
         <br />
         		<a id="pl.430.5"></a><var>430.5</var>purchasing plans under contract:<br />
         		<a id="pl.430.6"></a><var>430.6</var>(1) an income statement by program;<br />
         		<a id="pl.430.7"></a><var>430.7</var>(2) financial statement footnotes;<br />
         		<a id="pl.430.8"></a><var>430.8</var>(3) quarterly profitability by program and population group;<br />
         		<a id="pl.430.9"></a><var>430.9</var>(4) a medical liability summary by program and population group;<br />
         		<a id="pl.430.10"></a><var>430.10</var>(5) received but unpaid claims report by program;<br />
         		<a id="pl.430.11"></a><var>430.11</var>(6) services versus payment lags by program for hospital services, outpatient <br />
         		<a id="pl.430.12"></a><var>430.12</var>services, physician services, other medical services, and pharmaceutical benefits;<br />
         		<a id="pl.430.13"></a><var>430.13</var>(7) utilization reports that summarize utilization and unit cost information by <br />
         		<a id="pl.430.14"></a><var>430.14</var>program for hospitalization services, outpatient services, physician services, and
         other <br />
         		<a id="pl.430.15"></a><var>430.15</var>medical services;<br />
         		<a id="pl.430.16"></a><var>430.16</var>(8) pharmaceutical statistics by program and population group for measures of price
         <br />
         		<a id="pl.430.17"></a><var>430.17</var>and utilization of pharmaceutical services;<br />
         		<a id="pl.430.18"></a><var>430.18</var>(9) subcapitation expenses by population group;<br />
         		<a id="pl.430.19"></a><var>430.19</var>(10) third-party payments by program;<br />
         		<a id="pl.430.20"></a><var>430.20</var>(11) all new, active, and closed subrogation cases by program;<br />
         		<a id="pl.430.21"></a><var>430.21</var>(12) all new, active, and closed fraud and abuse cases by program;<br />
         		<a id="pl.430.22"></a><var>430.22</var>(13) medical loss ratios by program;<br />
         		<a id="pl.430.23"></a><var>430.23</var>(14) administrative expenses by category and subcategory by program that reconcile
         <br />
         		<a id="pl.430.24"></a><var>430.24</var>to other state and federal regulatory agencies, including Minnesota Supplement Report <br />
         		<a id="pl.430.25"></a><var>430.25</var>#1A;<br />
         		<a id="pl.430.26"></a><var>430.26</var>(15) revenues by program, including investment income;<br />
         		<a id="pl.430.27"></a><var>430.27</var>(16) nonadministrative service payments, provider payments, and reimbursement <br />
         		<a id="pl.430.28"></a><var>430.28</var>rates by provider type or service category, by program, paid by the managed care plan
         <br />
         		<a id="pl.430.29"></a><var>430.29</var>under this section or the county-based purchasing plan under section 
         <statute_ref>256B.692</statute_ref> to <br />
         		<a id="pl.430.30"></a><var>430.30</var>providers and vendors for administrative services under contract with the plan, including
         <br />
         		<a id="pl.430.31"></a><var>430.31</var>but not limited to:<br />
         		<a id="pl.430.32"></a><var>430.32</var>(i) individual-level provider payment and reimbursement rate data;<br />
         		<a id="pl.430.33"></a><var>430.33</var>(ii) provider reimbursement rate methodologies by provider type, by program, <br />
         		<a id="pl.430.34"></a><var>430.34</var>including a description of alternative payment arrangements and payments outside the
         <br />
         		<a id="pl.430.35"></a><var>430.35</var>claims process;<br />
         		<a id="pl.430.36"></a><var>430.36</var>(iii) data on implementation of legislatively mandated provider rate changes; and<br />
         		<a id="pl.431.1"></a><var>431.1</var>(iv) individual-level provider payment and reimbursement rate data and plan-specific
         <br />
         		<a id="pl.431.2"></a><var>431.2</var>provider reimbursement rate methodologies by provider type, by program, including
         <br />
         		<a id="pl.431.3"></a><var>431.3</var>alternative payment arrangements and payments outside the claims process, provided
         to <br />
         		<a id="pl.431.4"></a><var>431.4</var>the commissioner under this subdivision are nonpublic data as defined in section 
         <statute_ref>13.02</statute_ref>;<br />
         		<a id="pl.431.5"></a><var>431.5</var>(17) data on the amount of reinsurance or transfer of risk by program; and<br />
         		<a id="pl.431.6"></a><var>431.6</var>(18) contribution to reserve, by program.<br />
         		<a id="pl.431.7"></a><var>431.7</var>(c) In the event a report is published or released based on data provided under <br />
         		<a id="pl.431.8"></a><var>431.8</var>this subdivision, the commissioner shall provide the report to managed care plans
         and <br />
         		<a id="pl.431.9"></a><var>431.9</var>county-based purchasing plans 15 days prior to the publication or release of the report.
         <br />
         		<a id="pl.431.10"></a><var>431.10</var>Managed care plans and county-based purchasing plans shall have 15 days to review
         the <br />
         		<a id="pl.431.11"></a><var>431.11</var>report and provide comment to the commissioner.<br />
         		<a id="pl.431.12"></a><var>431.12</var>The quarterly reports shall be submitted to the commissioner no later than 60 days
         after the <br />
         		<a id="pl.431.13"></a><var>431.13</var>end of the previous quarter, except the fourth-quarter report, which shall be submitted
         by <br />
         		<a id="pl.431.14"></a><var>431.14</var>April 1 of each year. The fourth-quarter report shall include audited financial statements,
         <br />
         		<a id="pl.431.15"></a><var>431.15</var>parent company audited financial statements, an income statement reconciliation report,
         <br />
         		<a id="pl.431.16"></a><var>431.16</var>and any other documentation necessary to reconcile the detailed reports to the audited
         <br />
         		<a id="pl.431.17"></a><var>431.17</var>financial statements.<br />
         		<a id="pl.431.18"></a><var>431.18</var>(d) Managed care plans and county-based purchasing plans shall certify to the <br />
         		<a id="pl.431.19"></a><var>431.19</var>commissioner for the purpose of financial reporting for state public health care programs
         <br />
         		<a id="pl.431.20"></a><var>431.20</var>under this subdivision that costs reported for state public health care programs include:<br />
         		<a id="pl.431.21"></a><var>431.21</var>(1) only services covered under the state plan and waivers, and related allowable
         <br />
         		<a id="pl.431.22"></a><var>431.22</var>administrative expenses; and<br />
         		<a id="pl.431.23"></a><var>431.23</var>(2) the dollar value of unallowable and nonstate plan services, including both <br />
         		<a id="pl.431.24"></a><var>431.24</var>medical and administrative expenditures, that have been excluded.<br />
         		<br />
         		<a id="bill.11.36.0"></a><a id="pl.431.25"></a><var>431.25</var>&#160;&#160;&#160;&#160;Sec. 36. Minnesota Statutes 2014, section 256B.69, subdivision 9d, is amended to read:<br />
         		<a id="pl.431.26"></a><var>431.26</var>&#160;&#160;&#160;&#160;Subd. 9d. <b>Financial </b><b>audit</b><b> and quality assurance audits</b><b>.</b> (a) The legislative <br />
         		<a id="pl.431.27"></a><var>431.27</var>auditor shall contract with an audit firm to conduct a biennial independent third-party
         <br />
         		<a id="pl.431.28"></a><var>431.28</var>financial audit of the information required to be provided by managed care plans and
         <br />
         		<a id="pl.431.29"></a><var>431.29</var>county-based purchasing plans under subdivision 9c, paragraph (b). The audit shall
         be <br />
         		<a id="pl.431.30"></a><var>431.30</var>conducted in accordance with generally accepted government auditing standards issued
         <br />
         		<a id="pl.431.31"></a><var>431.31</var>by the United States Government Accountability Office. The contract with the audit
         <br />
         		<a id="pl.431.32"></a><var>431.32</var>firm shall be designed and administered so as to render the independent third-party
         audit <br />
         		<a id="pl.431.33"></a><var>431.33</var>eligible for a federal subsidy, if available. The contract shall require the audit
         to include <br />
         		<a id="pl.431.34"></a><var>431.34</var>a determination of compliance with the federal Medicaid rate certification process.
         The <br />
         		<a id="pl.431.35"></a><var>431.35</var>contract shall require the audit to determine if the administrative expenses and investment
         <br />
         		<a id="pl.432.1"></a><var>432.1</var>income reported by the managed care plans and county-based purchasing plans are <br />
         		<a id="pl.432.2"></a><var>432.2</var>compliant with state and federal law.<br />
         		<a id="pl.432.3"></a><var>432.3</var>(b) For purposes of this subdivision, "independent third party" means an audit firm
         <br />
         		<a id="pl.432.4"></a><var>432.4</var>that is independent in accordance with government auditing standards issued by the
         United <br />
         		<a id="pl.432.5"></a><var>432.5</var>States Government Accountability Office and licensed in accordance with chapter 326A.
         <br />
         		<a id="pl.432.6"></a><var>432.6</var>An audit firm under contract to provide services in accordance with this subdivision
         must <br />
         		<a id="pl.432.7"></a><var>432.7</var>not have provided services to a managed care plan or county-based purchasing plan
         during <br />
         		<a id="pl.432.8"></a><var>432.8</var>the period for which the audit is being conducted.<br />
         		<a id="pl.432.9"></a><var>432.9</var>(c) (a) The commissioner shall require, in the request for bids and resulting contracts <br />
         		<a id="pl.432.10"></a><var>432.10</var>with managed care plans and county-based purchasing plans under this section and section
         <br />
         		
         <statute_ref><a id="pl.432.11"></a><var>432.11</var>256B.692
         </statute_ref>, that each managed care plan and county-based purchasing plan submit to and <br />
         		<a id="pl.432.12"></a><var>432.12</var>fully cooperate with the independent third-party financial audit audits by the legislative <br />
         		<a id="pl.432.13"></a><var>432.13</var>auditor under subdivision 9e of the information required under subdivision 9c, paragraph <br />
         		<a id="pl.432.14"></a><var>432.14</var>(b). Each contract with a managed care plan or county-based purchasing plan under
         this <br />
         		<a id="pl.432.15"></a><var>432.15</var>section or section 
         <statute_ref>256B.692</statute_ref> must provide the commissioner and, the audit firm legislative <br />
         		<a id="pl.432.16"></a><var>432.16</var>auditor, and vendors contracting with the legislative auditor, access to all data required to <br />
         		<a id="pl.432.17"></a><var>432.17</var>complete the audit. For purposes of this subdivision, the contracting audit firm shall have
         <br />
         		<a id="pl.432.18"></a><var>432.18</var>the same investigative power as the legislative auditor under section 
         <statute_ref>3.978, subdivision 2 <br />
            		<a id="pl.432.19"></a><var>432.19</var></statute_ref>audits under subdivision 9e.<br />
         		<a id="pl.432.20"></a><var>432.20</var>(d) (b) Each managed care plan and county-based purchasing plan providing services <br />
         		<a id="pl.432.21"></a><var>432.21</var>under this section shall provide to the commissioner biweekly encounter data and claims
         <br />
         		<a id="pl.432.22"></a><var>432.22</var>data for state public health care programs and shall participate in a quality assurance
         <br />
         		<a id="pl.432.23"></a><var>432.23</var>program that verifies the timeliness, completeness, accuracy, and consistency of the
         data <br />
         		<a id="pl.432.24"></a><var>432.24</var>provided. The commissioner shall develop written protocols for the quality assurance
         <br />
         		<a id="pl.432.25"></a><var>432.25</var>program and shall make the protocols publicly available. The commissioner shall contract
         <br />
         		<a id="pl.432.26"></a><var>432.26</var>for an independent third-party audit to evaluate the quality assurance protocols as
         to <br />
         		<a id="pl.432.27"></a><var>432.27</var>the capacity of the protocols to ensure complete and accurate data and to evaluate
         the <br />
         		<a id="pl.432.28"></a><var>432.28</var>commissioner's implementation of the protocols. The audit firm under contract to provide <br />
         		<a id="pl.432.29"></a><var>432.29</var>this evaluation must meet the requirements in paragraph (b).<br />
         		<a id="pl.432.30"></a><var>432.30</var>(e) Upon completion of the audit under paragraph (a) and receipt by the legislative
         <br />
         		<a id="pl.432.31"></a><var>432.31</var>auditor, the legislative auditor shall provide copies of the audit report to the commissioner,
         <br />
         		<a id="pl.432.32"></a><var>432.32</var>the state auditor, the attorney general, and the chairs and ranking minority members
         of the <br />
         		<a id="pl.432.33"></a><var>432.33</var>health and human services finance committees of the legislature. (c) Upon completion <br />
         		<a id="pl.432.34"></a><var>432.34</var>of the evaluation under paragraph (d) (b), the commissioner shall provide copies of the <br />
         		<a id="pl.432.35"></a><var>432.35</var>report to the legislative auditor and the chairs and ranking minority members of the
         health <br />
         		<a id="pl.433.1"></a><var>433.1</var>finance committees of the legislature legislative committees with jurisdiction over health <br />
         		<a id="pl.433.2"></a><var>433.2</var>care policy and financing.<br />
         		<a id="pl.433.3"></a><var>433.3</var>(f) (d) Any actuary under contract with the commissioner to provide actuarial <br />
         		<a id="pl.433.4"></a><var>433.4</var>services must meet the independence requirements under the professional code for fellows
         <br />
         		<a id="pl.433.5"></a><var>433.5</var>in the Society of Actuaries and must not have provided actuarial services to a managed
         <br />
         		<a id="pl.433.6"></a><var>433.6</var>care plan or county-based purchasing plan that is under contract with the commissioner
         <br />
         		<a id="pl.433.7"></a><var>433.7</var>pursuant to this section and section 
         <statute_ref>256B.692</statute_ref> during the period in which the actuarial <br />
         		<a id="pl.433.8"></a><var>433.8</var>services are being provided. An actuary or actuarial firm meeting the requirements
         <br />
         		<a id="pl.433.9"></a><var>433.9</var>of this paragraph must certify and attest to the rates paid to the managed care plans
         <br />
         		<a id="pl.433.10"></a><var>433.10</var>and county-based purchasing plans under this section and section 
         <statute_ref>256B.692</statute_ref>, and the <br />
         		<a id="pl.433.11"></a><var>433.11</var>certification and attestation must be auditable.<br />
         		<a id="pl.433.12"></a><var>433.12</var>(e) The commissioner, to the extent of available funding, shall conduct ad hoc audits
         <br />
         		<a id="pl.433.13"></a><var>433.13</var>of state public health care program administrative and medical expenses reported by
         <br />
         		<a id="pl.433.14"></a><var>433.14</var>managed care plans and county-based purchasing plans. This includes: financial and
         <br />
         		<a id="pl.433.15"></a><var>433.15</var>encounter data reported to the commissioner under subdivision 9c, including payments
         to <br />
         		<a id="pl.433.16"></a><var>433.16</var>providers and subcontractors; supporting documentation for expenditures; categorization
         <br />
         		<a id="pl.433.17"></a><var>433.17</var>of administrative and medical expenses; and allocation methods used to attribute <br />
         		<a id="pl.433.18"></a><var>433.18</var>administrative expenses to state public health care programs. These audits also must
         <br />
         		<a id="pl.433.19"></a><var>433.19</var>monitor compliance with data and financial report certification requirements established
         <br />
         		<a id="pl.433.20"></a><var>433.20</var>by the commissioner for the purposes of managed care capitation payment rate-setting.
         <br />
         		<a id="pl.433.21"></a><var>433.21</var>The managed care plans and county-based purchasing plans shall fully cooperate with
         <br />
         		<a id="pl.433.22"></a><var>433.22</var>the audits in this subdivision. The commissioner shall report to the chairs and ranking
         <br />
         		<a id="pl.433.23"></a><var>433.23</var>minority members of the legislative committees with jurisdiction over health and human
         <br />
         		<a id="pl.433.24"></a><var>433.24</var>services policy and finance by February 1, 2016, and each February 1 thereafter, the
         <br />
         		<a id="pl.433.25"></a><var>433.25</var>number of ad hoc audits conducted in the past calendar year and the results of these
         audits.<br />
         		<a id="pl.433.26"></a><var>433.26</var>(g) (f) Nothing in this subdivision shall allow the release of information that is <br />
         		<a id="pl.433.27"></a><var>433.27</var>nonpublic data pursuant to section 
         <statute_ref>13.02</statute_ref>.<br />
         		<br />
         		<a id="bill.11.37.0"></a><a id="pl.433.28"></a><var>433.28</var>&#160;&#160;&#160;&#160;Sec. 37. Minnesota Statutes 2014, section 256B.69, is amended by adding a <br />
         		<a id="pl.433.29"></a><var>433.29</var>subdivision to read:<br />
         		<a id="pl.433.30"></a><var>433.30</var>&#160;&#160;&#160;&#160;Subd. 9e. <b>Financial audits.</b> (a) The legislative auditor shall conduct or contract with <br />
         		<a id="pl.433.31"></a><var>433.31</var>vendors to conduct  independent third-party financial audits of the information required
         to <br />
         		<a id="pl.433.32"></a><var>433.32</var>be provided by managed care plans and county-based purchasing plans under subdivision
         <br />
         		<a id="pl.433.33"></a><var>433.33</var>9c, paragraph (b). The audits by the vendors shall be conducted as vendor resources
         <br />
         		<a id="pl.433.34"></a><var>433.34</var>permit and in accordance with generally accepted government auditing standards issued
         <br />
         		<a id="pl.433.35"></a><var>433.35</var>by the United States Government Accountability Office. The contract with the vendors
         <br />
         		<a id="pl.434.1"></a><var>434.1</var>shall be designed and administered so as to render the independent third-party audits
         <br />
         		<a id="pl.434.2"></a><var>434.2</var>eligible for a federal subsidy, if available. The contract shall require the audits
         to include a <br />
         		<a id="pl.434.3"></a><var>434.3</var>determination of compliance with the federal Medicaid rate certification process.<br />
         		<a id="pl.434.4"></a><var>434.4</var>(b) For purposes of this subdivision, "independent third-party" means a vendor that
         <br />
         		<a id="pl.434.5"></a><var>434.5</var>is independent in accordance with government auditing standards issued by the United
         <br />
         		<a id="pl.434.6"></a><var>434.6</var>States Government Accountability Office.<br />
         		<br />
         		<a id="bill.11.38.0"></a><a id="pl.434.7"></a><var>434.7</var>&#160;&#160;&#160;&#160;Sec. 38. Minnesota Statutes 2014, section 256B.75, is amended to read:<br />
         		<a id="pl.434.8"></a><var>434.8</var><b>256B.75 HOSPITAL OUTPATIENT REIMBURSEMENT.</b><br />
         		<a id="pl.434.9"></a><var>434.9</var>&#160;&#160;&#160;&#160;(a) For outpatient hospital facility fee payments for services rendered on or after
         <br />
         		<a id="pl.434.10"></a><var>434.10</var>October 1, 1992, the commissioner of human services shall pay the lower of (1) submitted
         <br />
         		<a id="pl.434.11"></a><var>434.11</var>charge, or (2) 32 percent above the rate in effect on June 30, 1992, except for those
         <br />
         		<a id="pl.434.12"></a><var>434.12</var>services for which there is a federal maximum allowable payment. Effective for services
         <br />
         		<a id="pl.434.13"></a><var>434.13</var>rendered on or after January 1, 2000, payment rates for nonsurgical outpatient hospital
         <br />
         		<a id="pl.434.14"></a><var>434.14</var>facility fees and emergency room facility fees shall be increased by eight percent
         over the <br />
         		<a id="pl.434.15"></a><var>434.15</var>rates in effect on December 31, 1999, except for those services for which there is
         a federal <br />
         		<a id="pl.434.16"></a><var>434.16</var>maximum allowable payment. Services for which there is a federal maximum allowable
         <br />
         		<a id="pl.434.17"></a><var>434.17</var>payment shall be paid at the lower of (1) submitted charge, or (2) the federal maximum
         <br />
         		<a id="pl.434.18"></a><var>434.18</var>allowable payment. Total aggregate payment for outpatient hospital facility fee services
         <br />
         		<a id="pl.434.19"></a><var>434.19</var>shall not exceed the Medicare upper limit. If it is determined that a provision of
         this <br />
         		<a id="pl.434.20"></a><var>434.20</var>section conflicts with existing or future requirements of the United States government
         with <br />
         		<a id="pl.434.21"></a><var>434.21</var>respect to federal financial participation in medical assistance, the federal requirements
         <br />
         		<a id="pl.434.22"></a><var>434.22</var>prevail. The commissioner may, in the aggregate, prospectively reduce payment rates
         to <br />
         		<a id="pl.434.23"></a><var>434.23</var>avoid reduced federal financial participation resulting from rates that are in excess
         of <br />
         		<a id="pl.434.24"></a><var>434.24</var>the Medicare upper limitations.<br />
         		<a id="pl.434.25"></a><var>434.25</var>&#160;&#160;&#160;&#160;(b) Notwithstanding paragraph (a), payment for outpatient, emergency, and <br />
         		<a id="pl.434.26"></a><var>434.26</var>ambulatory surgery hospital facility fee services for critical access hospitals designated
         <br />
         		<a id="pl.434.27"></a><var>434.27</var>under section 
         <statute_ref>144.1483</statute_ref>, clause (9), shall be paid on a cost-based payment system that is <br />
         		<a id="pl.434.28"></a><var>434.28</var>based on the cost-finding methods and allowable costs of the Medicare program. Effective <br />
         		<a id="pl.434.29"></a><var>434.29</var>for services provided on or after July 1, 2015, rates established for critical access
         hospitals <br />
         		<a id="pl.434.30"></a><var>434.30</var>under this paragraph for the applicable payment year shall be the final payment and
         shall <br />
         		<a id="pl.434.31"></a><var>434.31</var>not be settled to actual costs.<br />
         		<a id="pl.434.32"></a><var>434.32</var>&#160;&#160;&#160;&#160;(c) Effective for services provided on or after July 1, 2003, rates that are based
         <br />
         		<a id="pl.434.33"></a><var>434.33</var>on the Medicare outpatient prospective payment system shall be replaced by a budget
         <br />
         		<a id="pl.434.34"></a><var>434.34</var>neutral prospective payment system that is derived using medical assistance data.
         The <br />
         		<a id="pl.435.1"></a><var>435.1</var>commissioner shall provide a proposal to the 2003 legislature to define and implement
         <br />
         		<a id="pl.435.2"></a><var>435.2</var>this provision.<br />
         		<a id="pl.435.3"></a><var>435.3</var>&#160;&#160;&#160;&#160;(d) For fee-for-service services provided on or after July 1, 2002, the total payment,
         <br />
         		<a id="pl.435.4"></a><var>435.4</var>before third-party liability and spenddown, made to hospitals for outpatient hospital
         <br />
         		<a id="pl.435.5"></a><var>435.5</var>facility services is reduced by .5 percent from the current statutory rate.<br />
         		<a id="pl.435.6"></a><var>435.6</var>&#160;&#160;&#160;&#160;(e) In addition to the reduction in paragraph (d), the total payment for fee-for-service
         <br />
         		<a id="pl.435.7"></a><var>435.7</var>services provided on or after July 1, 2003, made to hospitals for outpatient hospital
         <br />
         		<a id="pl.435.8"></a><var>435.8</var>facility services before third-party liability and spenddown, is reduced five percent
         from <br />
         		<a id="pl.435.9"></a><var>435.9</var>the current statutory rates. Facilities defined under section 
         <statute_ref>256.969, subdivision 16</statute_ref>, are <br />
         		<a id="pl.435.10"></a><var>435.10</var>excluded from this paragraph.<br />
         		<a id="pl.435.11"></a><var>435.11</var>&#160;&#160;&#160;&#160;(f) In addition to the reductions in paragraphs (d) and (e), the total payment for
         <br />
         		<a id="pl.435.12"></a><var>435.12</var>fee-for-service services provided on or after July 1, 2008, made to hospitals for
         outpatient <br />
         		<a id="pl.435.13"></a><var>435.13</var>hospital facility services before third-party liability and spenddown, is reduced
         three <br />
         		<a id="pl.435.14"></a><var>435.14</var>percent from the current statutory rates. Mental health services and facilities defined
         under <br />
         		<a id="pl.435.15"></a><var>435.15</var>section 
         <statute_ref>256.969, subdivision 16</statute_ref>, are excluded from this paragraph.<br />
         		<br />
         		<a id="bill.11.39.0"></a><a id="pl.435.16"></a><var>435.16</var>&#160;&#160;&#160;&#160;Sec. 39. Minnesota Statutes 2014, section 256B.76, subdivision 1, is amended to read:<br />
         		<a id="pl.435.17"></a><var>435.17</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Physician reimbursement. </b> (a) Effective for services rendered on <br />
         		<a id="pl.435.18"></a><var>435.18</var>or after October 1, 1992, the commissioner shall make payments for physician services
         <br />
         		<a id="pl.435.19"></a><var>435.19</var>as follows:<br />
         		<a id="pl.435.20"></a><var>435.20</var>&#160;&#160;&#160;&#160;(1) payment for level one Centers for Medicare and Medicaid Services' common <br />
         		<a id="pl.435.21"></a><var>435.21</var>procedural coding system codes titled "office and other outpatient services," "preventive
         <br />
         		<a id="pl.435.22"></a><var>435.22</var>medicine new and established patient," "delivery, antepartum, and postpartum care,"
         <br />
         		<a id="pl.435.23"></a><var>435.23</var>"critical care," cesarean delivery and pharmacologic management provided to psychiatric
         <br />
         		<a id="pl.435.24"></a><var>435.24</var>patients, and level three codes for enhanced services for prenatal high risk, shall
         be paid <br />
         		<a id="pl.435.25"></a><var>435.25</var>at the lower of (i) submitted charges, or (ii) 25 percent above the rate in effect
         on June <br />
         		<a id="pl.435.26"></a><var>435.26</var>30, 1992. If the rate on any procedure code within these categories is different than
         the <br />
         		<a id="pl.435.27"></a><var>435.27</var>rate that would have been paid under the methodology in section 
         <statute_ref>256B.74, subdivision 2</statute_ref>, <br />
         		<a id="pl.435.28"></a><var>435.28</var>then the larger rate shall be paid;<br />
         		<a id="pl.435.29"></a><var>435.29</var>&#160;&#160;&#160;&#160;(2) payments for all other services shall be paid at the lower of (i) submitted charges,
         <br />
         		<a id="pl.435.30"></a><var>435.30</var>or (ii) 15.4 percent above the rate in effect on June 30, 1992; and<br />
         		<a id="pl.435.31"></a><var>435.31</var>&#160;&#160;&#160;&#160;(3) all physician rates shall be converted from the 50th percentile of 1982 to the
         50th <br />
         		<a id="pl.435.32"></a><var>435.32</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases
         <br />
         		<a id="pl.435.33"></a><var>435.33</var>except that payment rates for home health agency services shall be the rates in effect
         <br />
         		<a id="pl.435.34"></a><var>435.34</var>on September 30, 1992.<br />
         		<a id="pl.436.1"></a><var>436.1</var>&#160;&#160;&#160;&#160;(b) Effective for services rendered on or after January 1, 2000, payment rates for
         <br />
         		<a id="pl.436.2"></a><var>436.2</var>physician and professional services shall be increased by three percent over the rates
         <br />
         		<a id="pl.436.3"></a><var>436.3</var>in effect on December 31, 1999, except for home health agency and family planning
         <br />
         		<a id="pl.436.4"></a><var>436.4</var>agency services. The increases in this paragraph shall be implemented January 1, 2000,
         <br />
         		<a id="pl.436.5"></a><var>436.5</var>for managed care.<br />
         		<a id="pl.436.6"></a><var>436.6</var>(c) Effective for services rendered on or after July 1, 2009, payment rates for <br />
         		<a id="pl.436.7"></a><var>436.7</var>physician and professional services shall be reduced by five percent, except that
         for the <br />
         		<a id="pl.436.8"></a><var>436.8</var>period July 1, 2009, through June 30, 2010, payment rates shall be reduced by 6.5
         percent <br />
         		<a id="pl.436.9"></a><var>436.9</var>for the medical assistance and general assistance medical care programs, over the
         rates in <br />
         		<a id="pl.436.10"></a><var>436.10</var>effect on June 30, 2009. This reduction and the reductions in paragraph (d) do not
         apply <br />
         		<a id="pl.436.11"></a><var>436.11</var>to office or other outpatient visits, preventive medicine visits and family planning
         visits <br />
         		<a id="pl.436.12"></a><var>436.12</var>billed by physicians, advanced practice nurses, or physician assistants in a family
         planning <br />
         		<a id="pl.436.13"></a><var>436.13</var>agency or in one of the following primary care practices: general practice, general
         internal <br />
         		<a id="pl.436.14"></a><var>436.14</var>medicine, general pediatrics, general geriatrics, and family medicine. This reduction
         <br />
         		<a id="pl.436.15"></a><var>436.15</var>and the reductions in paragraph (d) do not apply to federally qualified health centers,
         <br />
         		<a id="pl.436.16"></a><var>436.16</var>rural health centers, and Indian health services. Effective October 1, 2009, payments
         <br />
         		<a id="pl.436.17"></a><var>436.17</var>made to managed care plans and county-based purchasing plans under sections 
         <statute_ref>256B.69</statute_ref>, <br />
         		
         <statute_ref><a id="pl.436.18"></a><var>436.18</var>256B.692
         </statute_ref>, and 
         <statute_ref>256L.12</statute_ref> shall reflect the payment reduction described in this paragraph.<br />
         		<a id="pl.436.19"></a><var>436.19</var>(d) Effective for services rendered on or after July 1, 2010, payment rates for <br />
         		<a id="pl.436.20"></a><var>436.20</var>physician and professional services shall be reduced an additional seven percent over
         <br />
         		<a id="pl.436.21"></a><var>436.21</var>the five percent reduction in rates described in paragraph (c). This additional reduction
         <br />
         		<a id="pl.436.22"></a><var>436.22</var>does not apply to physical therapy services, occupational therapy services, and speech
         <br />
         		<a id="pl.436.23"></a><var>436.23</var>pathology and related services provided on or after July 1, 2010. This additional
         reduction <br />
         		<a id="pl.436.24"></a><var>436.24</var>does not apply to physician services billed by a psychiatrist or an advanced practice
         nurse <br />
         		<a id="pl.436.25"></a><var>436.25</var>with a specialty in mental health. Effective October 1, 2010, payments made to managed
         <br />
         		<a id="pl.436.26"></a><var>436.26</var>care plans and county-based purchasing plans under sections 
         <statute_ref>256B.69</statute_ref>, 
         <statute_ref>256B.692</statute_ref>, and <br />
         		
         <statute_ref><a id="pl.436.27"></a><var>436.27</var>256L.12
         </statute_ref> shall reflect the payment reduction described in this paragraph.<br />
         		<a id="pl.436.28"></a><var>436.28</var>(e) Effective for services rendered on or after September 1, 2011, through June 30,
         <br />
         		<a id="pl.436.29"></a><var>436.29</var>2013, payment rates for physician and professional services shall be reduced three
         percent <br />
         		<a id="pl.436.30"></a><var>436.30</var>from the rates in effect on August 31, 2011. This reduction does not apply to physical
         <br />
         		<a id="pl.436.31"></a><var>436.31</var>therapy services, occupational therapy services, and speech pathology and related
         services.<br />
         		<a id="pl.436.32"></a><var>436.32</var>(f) Effective for services rendered on or after September 1, 2014, payment rates for
         <br />
         		<a id="pl.436.33"></a><var>436.33</var>physician and professional services, including physical therapy, occupational therapy,
         <br />
         		<a id="pl.436.34"></a><var>436.34</var>speech pathology, and mental health services shall be increased by five percent from
         the <br />
         		<a id="pl.436.35"></a><var>436.35</var>rates in effect on August 31, 2014. In calculating this rate increase, the commissioner
         <br />
         		<a id="pl.436.36"></a><var>436.36</var>shall not include in the base rate for August 31, 2014, the rate increase provided
         under <br />
         		<a id="pl.437.1"></a><var>437.1</var>section 
         <statute_ref>256B.76, subdivision 7</statute_ref>. This increase does not apply to federally qualified health <br />
         		<a id="pl.437.2"></a><var>437.2</var>centers, rural health centers, and Indian health services. Payments made to managed
         <br />
         		<a id="pl.437.3"></a><var>437.3</var>care plans and county-based purchasing plans shall not be adjusted to reflect payments
         <br />
         		<a id="pl.437.4"></a><var>437.4</var>under this paragraph.<br />
         		<a id="pl.437.5"></a><var>437.5</var>(g) Effective for services rendered on or after July 1, 2015, payment rates for <br />
         		<a id="pl.437.6"></a><var>437.6</var>physical therapy, occupational therapy, and speech pathology and related services
         provided <br />
         		<a id="pl.437.7"></a><var>437.7</var>by a hospital meeting the criteria specified in section 62Q.19, subdivision 1, paragraph
         <br />
         		<a id="pl.437.8"></a><var>437.8</var>(a), clause (4), shall be increased by 90 percent from the rates in effect on June
         30, 2015. <br />
         		<a id="pl.437.9"></a><var>437.9</var>Payments made to managed care plans and county-based purchasing plans shall not be
         <br />
         		<a id="pl.437.10"></a><var>437.10</var>adjusted to reflect payments under this paragraph.<br />
         		<br />
         		<a id="bill.11.40.0"></a><a id="pl.437.11"></a><var>437.11</var>&#160;&#160;&#160;&#160;Sec. 40. Minnesota Statutes 2014, section 256B.76, subdivision 2, is amended to read:<br />
         		<a id="pl.437.12"></a><var>437.12</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Dental reimbursement. </b> (a) Effective for services rendered on or after <br />
         		<a id="pl.437.13"></a><var>437.13</var>October 1, 1992, the commissioner shall make payments for dental services as follows:<br />
         		<a id="pl.437.14"></a><var>437.14</var>&#160;&#160;&#160;&#160;(1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
         <br />
         		<a id="pl.437.15"></a><var>437.15</var>percent above the rate in effect on June 30, 1992; and<br />
         		<a id="pl.437.16"></a><var>437.16</var>&#160;&#160;&#160;&#160;(2) dental rates shall be converted from the 50th percentile of 1982 to the 50th <br />
         		<a id="pl.437.17"></a><var>437.17</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases.<br />
         		<a id="pl.437.18"></a><var>437.18</var>&#160;&#160;&#160;&#160;(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
         <br />
         		<a id="pl.437.19"></a><var>437.19</var>shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.<br />
         		<a id="pl.437.20"></a><var>437.20</var>&#160;&#160;&#160;&#160;(c) Effective for services rendered on or after January 1, 2000, payment rates for
         <br />
         		<a id="pl.437.21"></a><var>437.21</var>dental services shall be increased by three percent over the rates in effect on December
         <br />
         		<a id="pl.437.22"></a><var>437.22</var>31, 1999.<br />
         		<a id="pl.437.23"></a><var>437.23</var>&#160;&#160;&#160;&#160;(d) Effective for services provided on or after January 1, 2002, payment for <br />
         		<a id="pl.437.24"></a><var>437.24</var>diagnostic examinations and dental x-rays provided to children under age 21 shall
         be the <br />
         		<a id="pl.437.25"></a><var>437.25</var>lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.<br />
         		<a id="pl.437.26"></a><var>437.26</var>&#160;&#160;&#160;&#160;(e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
         <br />
         		<a id="pl.437.27"></a><var>437.27</var>2000, for managed care.<br />
         		<a id="pl.437.28"></a><var>437.28</var>(f) Effective for dental services rendered on or after October 1, 2010, by a <br />
         		<a id="pl.437.29"></a><var>437.29</var>state-operated dental clinic, payment shall be paid on a reasonable cost basis that
         is based <br />
         		<a id="pl.437.30"></a><var>437.30</var>on the Medicare principles of reimbursement. This payment shall be effective for services
         <br />
         		<a id="pl.437.31"></a><var>437.31</var>rendered on or after January 1, 2011, to recipients enrolled in managed care plans
         or <br />
         		<a id="pl.437.32"></a><var>437.32</var>county-based purchasing plans.<br />
         		<a id="pl.437.33"></a><var>437.33</var>(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
         <br />
         		<a id="pl.437.34"></a><var>437.34</var>in paragraph (f), including state and federal shares, are less than $1,850,000 per
         fiscal <br />
         		<a id="pl.437.35"></a><var>437.35</var>year, a supplemental state payment equal to the difference between the total payments
         <br />
         		<a id="pl.438.1"></a><var>438.1</var>in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
         <br />
         		<a id="pl.438.2"></a><var>438.2</var>services for the operation of the dental clinics.<br />
         		<a id="pl.438.3"></a><var>438.3</var>(h) If the cost-based payment system for state-operated dental clinics described in
         <br />
         		<a id="pl.438.4"></a><var>438.4</var>paragraph (f) does not receive federal approval, then state-operated dental clinics
         shall be <br />
         		<a id="pl.438.5"></a><var>438.5</var>designated as critical access dental providers under subdivision 4, paragraph (b),
         and shall <br />
         		<a id="pl.438.6"></a><var>438.6</var>receive the critical access dental reimbursement rate as described under subdivision
         4, <br />
         		<a id="pl.438.7"></a><var>438.7</var>paragraph (a).<br />
         		<a id="pl.438.8"></a><var>438.8</var>(i) Effective for services rendered on or after September 1, 2011, through June 30,
         <br />
         		<a id="pl.438.9"></a><var>438.9</var>2013, payment rates for dental services shall be reduced by three percent. This reduction
         <br />
         		<a id="pl.438.10"></a><var>438.10</var>does not apply to state-operated dental clinics in paragraph (f).<br />
         		<a id="pl.438.11"></a><var>438.11</var>(j) Effective for services rendered on or after January 1, 2014, payment rates for
         <br />
         		<a id="pl.438.12"></a><var>438.12</var>dental services shall be increased by five percent from the rates in effect on December
         <br />
         		<a id="pl.438.13"></a><var>438.13</var>31, 2013. This increase does not apply to state-operated dental clinics in paragraph
         (f), <br />
         		<a id="pl.438.14"></a><var>438.14</var>federally qualified health centers, rural health centers, and Indian health services.
         Effective <br />
         		<a id="pl.438.15"></a><var>438.15</var>January 1, 2014, payments made to managed care plans and county-based purchasing <br />
         		<a id="pl.438.16"></a><var>438.16</var>plans under sections 
         <statute_ref>256B.69</statute_ref>, 
         <statute_ref>256B.692</statute_ref>, and 
         <statute_ref>256L.12</statute_ref> shall reflect the payment increase <br />
         		<a id="pl.438.17"></a><var>438.17</var>described in this paragraph.<br />
         		<a id="pl.438.18"></a><var>438.18</var>(k) Effective for services rendered on or after July 1, 2015, the commissioner shall
         <br />
         		<a id="pl.438.19"></a><var>438.19</var>increase payment rates for services furnished by dental providers located outside
         of the <br />
         		<a id="pl.438.20"></a><var>438.20</var>seven-county metropolitan area by the maximum percentage possible above the rates
         in <br />
         		<a id="pl.438.21"></a><var>438.21</var>effect on June 30, 2015, while remaining within the limits of funding appropriated
         for this <br />
         		<a id="pl.438.22"></a><var>438.22</var>purpose. This increase does not apply to state-operated dental clinics in paragraph
         (f), <br />
         		<a id="pl.438.23"></a><var>438.23</var>federally qualified health centers, rural health centers, and Indian health services.
         Effective <br />
         		<a id="pl.438.24"></a><var>438.24</var>January 1, 2016, payments to managed care plans and county-based purchasing plans
         <br />
         		<a id="pl.438.25"></a><var>438.25</var>under sections 256B.69 and 256B.692 shall reflect the payment increase described in
         this <br />
         		<a id="pl.438.26"></a><var>438.26</var>paragraph. The commissioner shall require managed care and county-based purchasing
         <br />
         		<a id="pl.438.27"></a><var>438.27</var>plans to pass on the full amount of the increase, in the form of higher payment rates
         to <br />
         		<a id="pl.438.28"></a><var>438.28</var>dental providers located outside of the seven-county metropolitan area.<br />
         		<br />
         		<a id="bill.11.41.0"></a><a id="pl.438.29"></a><var>438.29</var>&#160;&#160;&#160;&#160;Sec. 41. Minnesota Statutes 2014, section 256B.76, subdivision 4, as amended by <br />
         		<a id="pl.438.30"></a><var>438.30</var>Laws 2015, chapter 21, article 1, section 58, is amended to read:<br />
         		<a id="pl.438.31"></a><var>438.31</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Critical access dental providers. </b> (a) Effective for dental services <br />
         		<a id="pl.438.32"></a><var>438.32</var>rendered on or after January 1, 2002, the commissioner shall increase reimbursements
         <br />
         		<a id="pl.438.33"></a><var>438.33</var>to dentists and dental clinics deemed by the commissioner to be critical access dental
         <br />
         		<a id="pl.438.34"></a><var>438.34</var>providers. For dental services rendered on or after July 1, 2007, the commissioner
         shall <br />
         		<a id="pl.438.35"></a><var>438.35</var>increase reimbursement by 35 percent above the reimbursement rate that would otherwise
         <br />
         		<a id="pl.439.1"></a><var>439.1</var>be paid to the critical access dental provider. The commissioner shall pay the managed
         <br />
         		<a id="pl.439.2"></a><var>439.2</var>care plans and county-based purchasing plans in amounts sufficient to reflect increased
         <br />
         		<a id="pl.439.3"></a><var>439.3</var>reimbursements to critical access dental providers as approved by the commissioner.<br />
         		<a id="pl.439.4"></a><var>439.4</var>(b) The commissioner shall designate the following dentists and dental clinics as
         <br />
         		<a id="pl.439.5"></a><var>439.5</var>critical access dental providers:<br />
         		<a id="pl.439.6"></a><var>439.6</var>&#160;&#160;&#160;&#160;(1) nonprofit community clinics that:<br />
         		<a id="pl.439.7"></a><var>439.7</var>(i) have nonprofit status in accordance with chapter 317A;<br />
         		<a id="pl.439.8"></a><var>439.8</var>(ii) have tax exempt status in accordance with the Internal Revenue Code, section
         <br />
         		<a id="pl.439.9"></a><var>439.9</var>501(c)(3);<br />
         		<a id="pl.439.10"></a><var>439.10</var>(iii) are established to provide oral health services to patients who are low income,
         <br />
         		<a id="pl.439.11"></a><var>439.11</var>uninsured, have special needs, and are underserved;<br />
         		<a id="pl.439.12"></a><var>439.12</var>(iv) have professional staff familiar with the cultural background of the clinic's
         <br />
         		<a id="pl.439.13"></a><var>439.13</var>patients;<br />
         		<a id="pl.439.14"></a><var>439.14</var>(v) charge for services on a sliding fee scale designed to provide assistance to <br />
         		<a id="pl.439.15"></a><var>439.15</var>low-income patients based on current poverty income guidelines and family size;<br />
         		<a id="pl.439.16"></a><var>439.16</var>(vi) do not restrict access or services because of a patient's financial limitations
         <br />
         		<a id="pl.439.17"></a><var>439.17</var>or public assistance status; and<br />
         		<a id="pl.439.18"></a><var>439.18</var>(vii) have free care available as needed;<br />
         		<a id="pl.439.19"></a><var>439.19</var>&#160;&#160;&#160;&#160;(2) federally qualified health centers, rural health clinics, and public health clinics;<br />
         		<a id="pl.439.20"></a><var>439.20</var>&#160;&#160;&#160;&#160;(3) city or county owned and operated hospital-based dental clinics;<br />
         		<a id="pl.439.21"></a><var>439.21</var>(4) a dental clinic or dental group owned and operated by a nonprofit corporation
         in <br />
         		<a id="pl.439.22"></a><var>439.22</var>accordance with chapter 317A with more than 10,000 patient encounters per year with
         <br />
         		<a id="pl.439.23"></a><var>439.23</var>patients who are uninsured or covered by medical assistance or MinnesotaCare;<br />
         		<a id="pl.439.24"></a><var>439.24</var>(5) a dental clinic owned and operated by the University of Minnesota or the <br />
         		<a id="pl.439.25"></a><var>439.25</var>Minnesota State Colleges and Universities system; and<br />
         		<a id="pl.439.26"></a><var>439.26</var>(6) private practicing dentists if:<br />
         		<a id="pl.439.27"></a><var>439.27</var>(i) the dentist's office is located within a health professional shortage area as
         defined <br />
         		<a id="pl.439.28"></a><var>439.28</var>under Code of Federal Regulations, title 42, part 5, and United States Code, title
         42, <br />
         		<a id="pl.439.29"></a><var>439.29</var>section 254E;<br />
         		<a id="pl.439.30"></a><var>439.30</var>(ii) more than 50 percent of the dentist's patient encounters per year are with patients
         <br />
         		<a id="pl.439.31"></a><var>439.31</var>who are uninsured or covered by medical assistance or MinnesotaCare; and<br />
         		<a id="pl.439.32"></a><var>439.32</var>(iii) the dentist does not restrict access or services because of a patient's financial
         <br />
         		<a id="pl.439.33"></a><var>439.33</var>limitations or public assistance status; and<br />
         		<a id="pl.439.34"></a><var>439.34</var>(iv) (iii) the level of service provided by the dentist is critical to maintaining <br />
         		<a id="pl.439.35"></a><var>439.35</var>adequate levels of patient access within the service area in which the dentist operates.<br />
         		<br />
         		<a id="bill.11.42.0"></a><a id="pl.440.1"></a><var>440.1</var>&#160;&#160;&#160;&#160;Sec. 42. Minnesota Statutes 2014, section 256B.762, is amended to read:<br />
         		<a id="pl.440.2"></a><var>440.2</var><b>256B.762 REIMBURSEMENT FOR HEALTH CARE SERVICES.</b><br />
         		<a id="pl.440.3"></a><var>440.3</var>&#160;&#160;&#160;&#160;(a) Effective for services provided on or after October 1, 2005, payment rates <br />
         		<a id="pl.440.4"></a><var>440.4</var>for the following services shall be increased by five percent over the rates in effect
         on <br />
         		<a id="pl.440.5"></a><var>440.5</var>September 30, 2005, when these services are provided as home health services under
         <br />
         		<a id="pl.440.6"></a><var>440.6</var>section 
         <statute_ref>256B.0625, subdivision 6a</statute_ref>:<br />
         		<a id="pl.440.7"></a><var>440.7</var>&#160;&#160;&#160;&#160;(1) skilled nursing visit;<br />
         		<a id="pl.440.8"></a><var>440.8</var>&#160;&#160;&#160;&#160;(2) physical therapy visit;<br />
         		<a id="pl.440.9"></a><var>440.9</var>&#160;&#160;&#160;&#160;(3) occupational therapy visit;<br />
         		<a id="pl.440.10"></a><var>440.10</var>&#160;&#160;&#160;&#160;(4) speech therapy visit; and<br />
         		<a id="pl.440.11"></a><var>440.11</var>&#160;&#160;&#160;&#160;(5) home health aide visit.<br />
         		<a id="pl.440.12"></a><var>440.12</var>&#160;&#160;&#160;&#160;(b) Effective for services provided on or after July 1, 2015, payment rates for <br />
         		<a id="pl.440.13"></a><var>440.13</var>managed care and fee-for-service visits for the following services shall be increased
         by <br />
         		<a id="pl.440.14"></a><var>440.14</var>ten percent over the rates in effect on June 30, 2015, when these services are provided
         as <br />
         		<a id="pl.440.15"></a><var>440.15</var>home health services under section 256B.0625, subdivision 6a:<br />
         		<a id="pl.440.16"></a><var>440.16</var>&#160;&#160;&#160;&#160;(1) physical therapy;<br />
         		<a id="pl.440.17"></a><var>440.17</var>&#160;&#160;&#160;&#160;(2) occupational therapy; and<br />
         		<a id="pl.440.18"></a><var>440.18</var>&#160;&#160;&#160;&#160;(3) speech therapy.<br />
         		<a id="pl.440.19"></a><var>440.19</var>The commissioner shall adjust managed care and county-based purchasing plan capitation
         <br />
         		<a id="pl.440.20"></a><var>440.20</var>rates to reflect the payment rates under this paragraph.<br />
         		<br />
         		<a id="bill.11.43.0"></a><a id="pl.440.21"></a><var>440.21</var>&#160;&#160;&#160;&#160;Sec. 43. Minnesota Statutes 2014, section 256B.766, is amended to read:<br />
         		<a id="pl.440.22"></a><var>440.22</var><b>256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.</b><br />
         		<a id="pl.440.23"></a><var>440.23</var>(a) Effective for services provided on or after July 1, 2009, total payments for basic
         <br />
         		<a id="pl.440.24"></a><var>440.24</var>care services, shall be reduced by three percent, except that for the period July
         1, 2009, <br />
         		<a id="pl.440.25"></a><var>440.25</var>through June 30, 2011, total payments shall be reduced by 4.5 percent for the medical
         <br />
         		<a id="pl.440.26"></a><var>440.26</var>assistance and general assistance medical care programs, prior to third-party liability
         and <br />
         		<a id="pl.440.27"></a><var>440.27</var>spenddown calculation. Effective July 1, 2010, the commissioner shall classify physical
         <br />
         		<a id="pl.440.28"></a><var>440.28</var>therapy services, occupational therapy services, and speech-language pathology and
         <br />
         		<a id="pl.440.29"></a><var>440.29</var>related services as basic care services. The reduction in this paragraph shall apply
         to <br />
         		<a id="pl.440.30"></a><var>440.30</var>physical therapy services, occupational therapy services, and speech-language pathology
         <br />
         		<a id="pl.440.31"></a><var>440.31</var>and related services provided on or after July 1, 2010.<br />
         		<a id="pl.440.32"></a><var>440.32</var>(b) Payments made to managed care plans and county-based purchasing plans shall <br />
         		<a id="pl.440.33"></a><var>440.33</var>be reduced for services provided on or after October 1, 2009, to reflect the reduction
         <br />
         		<a id="pl.440.34"></a><var>440.34</var>effective July 1, 2009, and payments made to the plans shall be reduced effective
         October <br />
         		<a id="pl.440.35"></a><var>440.35</var>1, 2010, to reflect the reduction effective July 1, 2010.<br />
         		<a id="pl.441.1"></a><var>441.1</var>(c) Effective for services provided on or after September 1, 2011, through June 30,
         <br />
         		<a id="pl.441.2"></a><var>441.2</var>2013, total payments for outpatient hospital facility fees shall be reduced by five
         percent <br />
         		<a id="pl.441.3"></a><var>441.3</var>from the rates in effect on August 31, 2011.<br />
         		<a id="pl.441.4"></a><var>441.4</var>(d) Effective for services provided on or after September 1, 2011, through June <br />
         		<a id="pl.441.5"></a><var>441.5</var>30, 2013, total payments for ambulatory surgery centers facility fees, medical supplies
         <br />
         		<a id="pl.441.6"></a><var>441.6</var>and durable medical equipment not subject to a volume purchase contract, prosthetics
         <br />
         		<a id="pl.441.7"></a><var>441.7</var>and orthotics, renal dialysis services, laboratory services, public health nursing
         services, <br />
         		<a id="pl.441.8"></a><var>441.8</var>physical therapy services, occupational therapy services, speech therapy services,
         <br />
         		<a id="pl.441.9"></a><var>441.9</var>eyeglasses not subject to a volume purchase contract, hearing aids not subject to
         a volume <br />
         		<a id="pl.441.10"></a><var>441.10</var>purchase contract, and anesthesia services shall be reduced by three percent from
         the <br />
         		<a id="pl.441.11"></a><var>441.11</var>rates in effect on August 31, 2011.<br />
         		<a id="pl.441.12"></a><var>441.12</var>(e) Effective for services provided on or after September 1, 2014, payments <br />
         		<a id="pl.441.13"></a><var>441.13</var>for ambulatory surgery centers facility fees, hospice services, renal dialysis services,
         <br />
         		<a id="pl.441.14"></a><var>441.14</var>laboratory services, public health nursing services, eyeglasses not subject to a volume
         <br />
         		<a id="pl.441.15"></a><var>441.15</var>purchase contract, and hearing aids not subject to a volume purchase contract shall
         be <br />
         		<a id="pl.441.16"></a><var>441.16</var>increased by three percent and payments for outpatient hospital facility fees shall
         be <br />
         		<a id="pl.441.17"></a><var>441.17</var>increased by three percent. Payments made to managed care plans and county-based <br />
         		<a id="pl.441.18"></a><var>441.18</var>purchasing plans shall not be adjusted to reflect payments under this paragraph.<br />
         		<a id="pl.441.19"></a><var>441.19</var>(f) Payments for medical supplies and durable medical equipment not subject to a <br />
         		<a id="pl.441.20"></a><var>441.20</var>volume purchase contract, and prosthetics and orthotics, provided on or after July
         1, 2014, <br />
         		<a id="pl.441.21"></a><var>441.21</var>through June 30, 2015, shall be decreased by .33 percent. Payments for medical supplies
         <br />
         		<a id="pl.441.22"></a><var>441.22</var>and durable medical equipment not subject to a volume purchase contract, and prosthetics
         <br />
         		<a id="pl.441.23"></a><var>441.23</var>and orthotics, provided on or after July 1, 2015, shall be increased by three percent
         from <br />
         		<a id="pl.441.24"></a><var>441.24</var>the rates in effect on June 30, 2014 as determined under paragraph (i).<br />
         		<a id="pl.441.25"></a><var>441.25</var>(g) Effective for services provided on or after July 1, 2015, payments for outpatient
         <br />
         		<a id="pl.441.26"></a><var>441.26</var>hospital facility fees, medical supplies and durable medical equipment not subject
         to a <br />
         		<a id="pl.441.27"></a><var>441.27</var>volume purchase contract, prosthetics and orthotics, and laboratory services to a
         hospital <br />
         		<a id="pl.441.28"></a><var>441.28</var>meeting the criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause
         (4), <br />
         		<a id="pl.441.29"></a><var>441.29</var>shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments
         made <br />
         		<a id="pl.441.30"></a><var>441.30</var>to managed care plans and county-based purchasing plans shall not be adjusted to reflect
         <br />
         		<a id="pl.441.31"></a><var>441.31</var>payments under this paragraph.<br />
         		<a id="pl.441.32"></a><var>441.32</var>(h) This section does not apply to physician and professional services, inpatient <br />
         		<a id="pl.441.33"></a><var>441.33</var>hospital services, family planning services, mental health services, dental services,
         <br />
         		<a id="pl.441.34"></a><var>441.34</var>prescription drugs, medical transportation, federally qualified health centers, rural
         health <br />
         		<a id="pl.441.35"></a><var>441.35</var>centers, Indian health services, and Medicare cost-sharing.<br />
         		<a id="pl.442.1"></a><var>442.1</var>(i) Effective July 1, 2015, the medical assistance payment rate for durable medical
         <br />
         		<a id="pl.442.2"></a><var>442.2</var>equipment, prosthetics, orthotics, or supplies shall be restored to the January 1,
         2008, <br />
         		<a id="pl.442.3"></a><var>442.3</var>medical assistance fee schedule, updated to include subsequent rate increases in the
         <br />
         		<a id="pl.442.4"></a><var>442.4</var>Medicare and medical assistance fee schedules, and including individually priced <br />
         		<a id="pl.442.5"></a><var>442.5</var>items for the following categories: enteral nutrition and supplies, customized and
         other <br />
         		<a id="pl.442.6"></a><var>442.6</var>specialized tracheostomy tubes and supplies, electric patient lifts, and durable medical
         <br />
         		<a id="pl.442.7"></a><var>442.7</var>equipment repair and service. This paragraph does not apply to medical supplies and
         <br />
         		<a id="pl.442.8"></a><var>442.8</var>durable medical equipment subject to a volume purchase contract, products subject
         to the <br />
         		<a id="pl.442.9"></a><var>442.9</var>preferred diabetic testing supply program, and items provided to dually eligible recipients
         <br />
         		<a id="pl.442.10"></a><var>442.10</var>when Medicare is the primary payer for the item.<br />
         		<br />
         		<a id="bill.11.44.0"></a><a id="pl.442.11"></a><var>442.11</var>&#160;&#160;&#160;&#160;Sec. 44. Minnesota Statutes 2014, section 256B.767, is amended to read:<br />
         		<a id="pl.442.12"></a><var>442.12</var><b>256B.767 MEDICARE PAYMENT LIMIT.</b><br />
         		<a id="pl.442.13"></a><var>442.13</var>(a) Effective for services rendered on or after July 1, 2010, fee-for-service payment
         <br />
         		<a id="pl.442.14"></a><var>442.14</var>rates for physician and professional services under section 
         <statute_ref>256B.76, subdivision 1</statute_ref>, and <br />
         		<a id="pl.442.15"></a><var>442.15</var>basic care services subject to the rate reduction specified in section 
         <statute_ref>256B.766</statute_ref>, shall not <br />
         		<a id="pl.442.16"></a><var>442.16</var>exceed the Medicare payment rate for the applicable service, as adjusted for any changes
         <br />
         		<a id="pl.442.17"></a><var>442.17</var>in Medicare payment rates after July 1, 2010. The commissioner shall implement this
         <br />
         		<a id="pl.442.18"></a><var>442.18</var>section after any other rate adjustment that is effective July 1, 2010, and shall
         reduce rates <br />
         		<a id="pl.442.19"></a><var>442.19</var>under this section by first reducing or eliminating provider rate add-ons.<br />
         		<a id="pl.442.20"></a><var>442.20</var>(b) This section does not apply to services provided by advanced practice certified
         <br />
         		<a id="pl.442.21"></a><var>442.21</var>nurse midwives licensed under chapter 148 or traditional midwives licensed under chapter
         <br />
         		<a id="pl.442.22"></a><var>442.22</var>147D. Notwithstanding this exemption, medical assistance fee-for-service payment rates
         <br />
         		<a id="pl.442.23"></a><var>442.23</var>for advanced practice certified nurse midwives and licensed traditional midwives shall
         <br />
         		<a id="pl.442.24"></a><var>442.24</var>equal and shall not exceed the medical assistance payment rate to physicians for the
         <br />
         		<a id="pl.442.25"></a><var>442.25</var>applicable service.<br />
         		<a id="pl.442.26"></a><var>442.26</var>(c) This section does not apply to mental health services or physician services billed
         <br />
         		<a id="pl.442.27"></a><var>442.27</var>by a psychiatrist or an advanced practice registered nurse with a specialty in mental
         health.<br />
         		<a id="pl.442.28"></a><var>442.28</var>(d) Effective for durable medical equipment, prosthetics, orthotics, or supplies <br />
         		<a id="pl.442.29"></a><var>442.29</var>provided on or after July 1, 2013, through June 30, 2015, the payment rate for items
         <br />
         		<a id="pl.442.30"></a><var>442.30</var>that are subject to the rates established under Medicare's National Competitive Bidding
         <br />
         		<a id="pl.442.31"></a><var>442.31</var>Program shall be equal to the rate that applies to the same item when not subject
         to the <br />
         		<a id="pl.442.32"></a><var>442.32</var>rate established under Medicare's National Competitive Bidding Program. This paragraph
         <br />
         		<a id="pl.442.33"></a><var>442.33</var>does not apply to mail-order diabetic supplies and does not apply to items provided
         to <br />
         		<a id="pl.442.34"></a><var>442.34</var>dually eligible recipients when Medicare is the primary payer of the item.<br />
         		<a id="pl.443.1"></a><var>443.1</var>(d) Effective July 1, 2015, this section shall not apply to durable medical equipment,
         <br />
         		<a id="pl.443.2"></a><var>443.2</var>prosthetics, orthotics, or supplies.<br />
         		<a id="pl.443.3"></a><var>443.3</var>(e) This section does not apply to physical therapy, occupational therapy, speech
         <br />
         		<a id="pl.443.4"></a><var>443.4</var>pathology and related services, and basic care services provided by a hospital meeting
         the <br />
         		<a id="pl.443.5"></a><var>443.5</var>criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause (4).<br />
         		<br />
         		<a id="bill.11.45.0"></a><a id="pl.443.6"></a><var>443.6</var>&#160;&#160;&#160;&#160;Sec. 45. <b>[256B.79] INTEGRATED CARE FOR HIGH-RISK PREGNANT </b><br />
         		<a id="pl.443.7"></a><var>443.7</var><b>WOMEN.</b><br />
         		<a id="pl.443.8"></a><var>443.8</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following terms <br />
         		<a id="pl.443.9"></a><var>443.9</var>have the meanings given them.<br />
         		<a id="pl.443.10"></a><var>443.10</var>(b) "Adverse outcomes" means maternal opiate addiction, other reportable prenatal
         <br />
         		<a id="pl.443.11"></a><var>443.11</var>substance abuse, low birth weight, or preterm birth.<br />
         		<a id="pl.443.12"></a><var>443.12</var>(c) "Qualified integrated perinatal care collaborative" or "collaborative" means <br />
         		<a id="pl.443.13"></a><var>443.13</var>a combination of (1) members of community-based organizations that represent <br />
         		<a id="pl.443.14"></a><var>443.14</var>communities within the identified targeted populations, and (2) local or tribally
         based <br />
         		<a id="pl.443.15"></a><var>443.15</var>service entities, including health care, public health, social services, mental health,
         <br />
         		<a id="pl.443.16"></a><var>443.16</var>chemical dependency treatment, and community-based providers, determined by the <br />
         		<a id="pl.443.17"></a><var>443.17</var>commissioner to meet the criteria for the provision of integrated care and enhanced
         <br />
         		<a id="pl.443.18"></a><var>443.18</var>services for enrollees within targeted populations.<br />
         		<a id="pl.443.19"></a><var>443.19</var>(d) "Targeted populations" means pregnant medical assistance enrollees residing <br />
         		<a id="pl.443.20"></a><var>443.20</var>in geographic areas identified by the commissioner as being at above-average risk
         for <br />
         		<a id="pl.443.21"></a><var>443.21</var>adverse outcomes.<br />
         		<a id="pl.443.22"></a><var>443.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Pilot program established.</b> The commissioner shall implement a pilot <br />
         		<a id="pl.443.23"></a><var>443.23</var>program to improve birth outcomes and strengthen early parental resilience for pregnant
         <br />
         		<a id="pl.443.24"></a><var>443.24</var>women who are medical assistance enrollees, are at significantly elevated risk for
         adverse <br />
         		<a id="pl.443.25"></a><var>443.25</var>outcomes of pregnancy, and are in targeted populations. The program must promote the
         <br />
         		<a id="pl.443.26"></a><var>443.26</var>provision of integrated care and enhanced services to these pregnant women, including
         <br />
         		<a id="pl.443.27"></a><var>443.27</var>postpartum coordination to ensure ongoing continuity of care, by qualified integrated
         <br />
         		<a id="pl.443.28"></a><var>443.28</var>perinatal care collaboratives. <br />
         		<a id="pl.443.29"></a><var>443.29</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Grant awards.</b> The commissioner shall award grants to qualifying <br />
         		<a id="pl.443.30"></a><var>443.30</var>applicants to support interdisciplinary, integrated perinatal care. Grants must be
         awarded <br />
         		<a id="pl.443.31"></a><var>443.31</var>beginning July 1, 2016. Grant funds must be distributed through a request for proposals
         <br />
         		<a id="pl.443.32"></a><var>443.32</var>process to a designated lead agency within an entity that has been determined to be
         a <br />
         		<a id="pl.443.33"></a><var>443.33</var>qualified integrated perinatal care collaborative or within an entity in the process
         of <br />
         		<a id="pl.443.34"></a><var>443.34</var>meeting the qualifications to become a qualified integrated perinatal care collaborative.
         <br />
         		<a id="pl.443.35"></a><var>443.35</var>Grant awards must be used to support interdisciplinary, team-based needs assessments,
         <br />
         		<a id="pl.444.1"></a><var>444.1</var>planning, and implementation of integrated care and enhanced services for targeted
         <br />
         		<a id="pl.444.2"></a><var>444.2</var>populations. In determining grant award amounts, the commissioner shall consider the
         <br />
         		<a id="pl.444.3"></a><var>444.3</var>identified health and social risks linked to adverse outcomes and attributed to enrollees
         <br />
         		<a id="pl.444.4"></a><var>444.4</var>within the identified targeted population.<br />
         		<a id="pl.444.5"></a><var>444.5</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Eligibility for grants.</b> To be eligible for a grant under this section, an <br />
         		<a id="pl.444.6"></a><var>444.6</var>entity must show that the entity meets or is in the process of meeting qualifications
         <br />
         		<a id="pl.444.7"></a><var>444.7</var>established by the commissioner to be a qualified integrated perinatal care collaborative.
         <br />
         		<a id="pl.444.8"></a><var>444.8</var>These qualifications must include evidence that the entity has or is in the process
         of <br />
         		<a id="pl.444.9"></a><var>444.9</var>developing policies, services, and partnerships to support interdisciplinary, integrated
         care. <br />
         		<a id="pl.444.10"></a><var>444.10</var>The policies, services, and partnerships must meet specific criteria and be approved
         by the <br />
         		<a id="pl.444.11"></a><var>444.11</var>commissioner. The commissioner shall establish a process to review the collaborative's
         <br />
         		<a id="pl.444.12"></a><var>444.12</var>capacity for interdisciplinary, integrated care, to be reviewed at the commissioner's
         <br />
         		<a id="pl.444.13"></a><var>444.13</var>discretion. In determining whether the entity meets the qualifications for a qualified
         <br />
         		<a id="pl.444.14"></a><var>444.14</var>integrated perinatal care collaborative, the commissioner shall verify and review
         whether <br />
         		<a id="pl.444.15"></a><var>444.15</var>the entity's policies, services, and partnerships:<br />
         		<a id="pl.444.16"></a><var>444.16</var>(1) optimize early identification of drug and alcohol dependency and abuse during
         <br />
         		<a id="pl.444.17"></a><var>444.17</var>pregnancy, effectively coordinate referrals and follow-up of identified patients to
         <br />
         		<a id="pl.444.18"></a><var>444.18</var>evidence-based or evidence-informed treatment, and integrate perinatal care services
         with <br />
         		<a id="pl.444.19"></a><var>444.19</var>behavioral health and substance abuse services;<br />
         		<a id="pl.444.20"></a><var>444.20</var>(2) enhance access to, and effective use of, needed health care or tribal health care
         <br />
         		<a id="pl.444.21"></a><var>444.21</var>services, public health or tribal public health services, social services, mental
         health <br />
         		<a id="pl.444.22"></a><var>444.22</var>services, chemical dependency services, or services provided by community-based <br />
         		<a id="pl.444.23"></a><var>444.23</var>providers by bridging cultural gaps within systems of care and by integrating <br />
         		<a id="pl.444.24"></a><var>444.24</var>community-based paraprofessionals such as doulas and community health workers as <br />
         		<a id="pl.444.25"></a><var>444.25</var>routinely available service components;<br />
         		<a id="pl.444.26"></a><var>444.26</var>(3) encourage patient education about prenatal care, birthing, and postpartum <br />
         		<a id="pl.444.27"></a><var>444.27</var>care, and document how patient education is provided. Patient education may include
         <br />
         		<a id="pl.444.28"></a><var>444.28</var>information on nutrition, reproductive life planning, breastfeeding, and parenting;<br />
         		<a id="pl.444.29"></a><var>444.29</var>(4) integrate child welfare case planning with substance abuse treatment planning
         <br />
         		<a id="pl.444.30"></a><var>444.30</var>and monitoring, as appropriate;<br />
         		<a id="pl.444.31"></a><var>444.31</var>(5) effectively systematize screening, collaborative care planning, referrals, and
         <br />
         		<a id="pl.444.32"></a><var>444.32</var>follow up for behavioral and social risks known to be associated with adverse outcomes
         <br />
         		<a id="pl.444.33"></a><var>444.33</var>and known to be prevalent within the targeted populations;<br />
         		<a id="pl.444.34"></a><var>444.34</var>(6) facilitate ongoing continuity of care to include postpartum coordination and <br />
         		<a id="pl.444.35"></a><var>444.35</var>referrals for interconception care, continued treatment for substance abuse, identification
         <br />
         		<a id="pl.444.36"></a><var>444.36</var>and referrals for maternal depression and other chronic mental health conditions,
         <br />
         		<a id="pl.445.1"></a><var>445.1</var>continued medication management for chronic diseases, and appropriate referrals to
         tribal <br />
         		<a id="pl.445.2"></a><var>445.2</var>or county-based social services agencies and tribal or county-based public health
         nursing <br />
         		<a id="pl.445.3"></a><var>445.3</var>services; and<br />
         		<a id="pl.445.4"></a><var>445.4</var>(7) implement ongoing quality improvement activities as determined by the <br />
         		<a id="pl.445.5"></a><var>445.5</var>commissioner, including collection and use of data from qualified providers on metrics
         <br />
         		<a id="pl.445.6"></a><var>445.6</var>of quality such as health outcomes and processes of care, and the use of other data
         that <br />
         		<a id="pl.445.7"></a><var>445.7</var>has been collected by the commissioner.<br />
         		<a id="pl.445.8"></a><var>445.8</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Gaps in communication, support, and care.</b> A collaborative receiving <br />
         		<a id="pl.445.9"></a><var>445.9</var>a grant under this section must develop means of identifying and reporting gaps in
         the <br />
         		<a id="pl.445.10"></a><var>445.10</var>collaborative's communication, administrative support, and direct care that must be
         <br />
         		<a id="pl.445.11"></a><var>445.11</var>remedied for the collaborative to effectively provide integrated care and enhanced
         services <br />
         		<a id="pl.445.12"></a><var>445.12</var>to targeted populations.<br />
         		<a id="pl.445.13"></a><var>445.13</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Report.</b> By January 31, 2019, the commissioner shall report to the chairs <br />
         		<a id="pl.445.14"></a><var>445.14</var>and ranking minority members of the legislative committees with jurisdiction over
         health <br />
         		<a id="pl.445.15"></a><var>445.15</var>and human services policy and finance on the status and progress of the pilot program.
         <br />
         		<a id="pl.445.16"></a><var>445.16</var>The report must:<br />
         		<a id="pl.445.17"></a><var>445.17</var>(1) describe the capacity of collaboratives receiving grants under this section;<br />
         		<a id="pl.445.18"></a><var>445.18</var>(2) contain aggregate information about enrollees served within targeted populations;<br />
         		<a id="pl.445.19"></a><var>445.19</var>(3) describe the utilization of enhanced prenatal services;<br />
         		<a id="pl.445.20"></a><var>445.20</var>(4) for enrollees identified with maternal substance use disorders, describe the <br />
         		<a id="pl.445.21"></a><var>445.21</var>utilization of substance use treatment and dispositions of any child protection cases;<br />
         		<a id="pl.445.22"></a><var>445.22</var>(5) contain data on outcomes within targeted populations and compare these <br />
         		<a id="pl.445.23"></a><var>445.23</var>outcomes to outcomes statewide, using standard categories of race and ethnicity; and<br />
         		<a id="pl.445.24"></a><var>445.24</var>(6) include recommendations for continuing the program or sustaining improvements
         <br />
         		<a id="pl.445.25"></a><var>445.25</var>through other means beyond June 30, 2019.<br />
         		<a id="pl.445.26"></a><var>445.26</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Expiration.</b> This section expires June 30, 2019.<br />
         		<br />
         		<a id="bill.11.46.0"></a><a id="pl.445.27"></a><var>445.27</var>&#160;&#160;&#160;&#160;Sec. 46. Minnesota Statutes 2014, section 256L.01, subdivision 3a, is amended to read:<br />
         		<a id="pl.445.28"></a><var>445.28</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Family.</b> (a) Except as provided in paragraphs (c) and (d), "family" has <br />
         		<a id="pl.445.29"></a><var>445.29</var>the meaning given for family and family size as defined in Code of Federal Regulations,
         <br />
         		<a id="pl.445.30"></a><var>445.30</var>title 26, section 1.36B-1.<br />
         		<a id="pl.445.31"></a><var>445.31</var>(b) The term includes children who are temporarily absent from the household in <br />
         		<a id="pl.445.32"></a><var>445.32</var>settings such as schools, camps, or parenting time with noncustodial parents.<br />
         		<a id="pl.445.33"></a><var>445.33</var>(c) For an individual who does not expect to file a federal tax return and does not
         <br />
         		<a id="pl.445.34"></a><var>445.34</var>expect to be claimed as a dependent for the applicable tax year, "family" has the
         meaning <br />
         		<a id="pl.445.35"></a><var>445.35</var>given in Code of Federal Regulations, title 42, section 435.603(f)(3).<br />
         		<a id="pl.446.1"></a><var>446.1</var>(d) For a married couple, "family" has the meaning given in Code of Federal <br />
         		<a id="pl.446.2"></a><var>446.2</var>Regulations, title 42, section 435.603(f)(4).<br />
         		<a id="pl.446.3"></a><var>446.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.47.0"></a><a id="pl.446.4"></a><var>446.4</var>&#160;&#160;&#160;&#160;Sec. 47. Minnesota Statutes 2014, section 256L.01, subdivision 5, is amended to read:<br />
         		<a id="pl.446.5"></a><var>446.5</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Income.</b>  "Income" has the meaning given for modified adjusted gross <br />
         		<a id="pl.446.6"></a><var>446.6</var>income, as defined in Code of Federal Regulations, title 26, section 1.36B-1., and means a <br />
         		<a id="pl.446.7"></a><var>446.7</var>household's projected annual income for the applicable tax year<br />
         		<a id="pl.446.8"></a><var>446.8</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.48.0"></a><a id="pl.446.9"></a><var>446.9</var>&#160;&#160;&#160;&#160;Sec. 48. Minnesota Statutes 2014, section 256L.03, subdivision 5, is amended to read:<br />
         		<a id="pl.446.10"></a><var>446.10</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Cost-sharing.</b> (a) Except as otherwise provided in this subdivision, the <br />
         		<a id="pl.446.11"></a><var>446.11</var>MinnesotaCare benefit plan shall include the following cost-sharing requirements for
         all <br />
         		<a id="pl.446.12"></a><var>446.12</var>enrollees:<br />
         		<a id="pl.446.13"></a><var>446.13</var>&#160;&#160;&#160;&#160;(1) $3 per prescription for adult enrollees;<br />
         		<a id="pl.446.14"></a><var>446.14</var>&#160;&#160;&#160;&#160;(2) $25 for eyeglasses for adult enrollees;<br />
         		<a id="pl.446.15"></a><var>446.15</var>&#160;&#160;&#160;&#160;(3) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means
         an <br />
         		<a id="pl.446.16"></a><var>446.16</var>episode of service which is required because of a recipient's symptoms, diagnosis,
         or <br />
         		<a id="pl.446.17"></a><var>446.17</var>established illness, and which is delivered in an ambulatory setting by a physician
         or <br />
         		<a id="pl.446.18"></a><var>446.18</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse,
         <br />
         		<a id="pl.446.19"></a><var>446.19</var>audiologist, optician, or optometrist;<br />
         		<a id="pl.446.20"></a><var>446.20</var>&#160;&#160;&#160;&#160;(4) $6 for nonemergency visits to a hospital-based emergency room for services <br />
         		<a id="pl.446.21"></a><var>446.21</var>provided through December 31, 2010, and $3.50 effective January 1, 2011; and<br />
         		<a id="pl.446.22"></a><var>446.22</var>(5) a family deductible equal to the maximum amount allowed under Code of <br />
         		<a id="pl.446.23"></a><var>446.23</var>Federal Regulations, title 42, part 447.54. $2.75 per month per family and adjusted <br />
         		<a id="pl.446.24"></a><var>446.24</var>annually by the percentage increase in the medical care component of the CPI-U for
         <br />
         		<a id="pl.446.25"></a><var>446.25</var>the period of September to September of the preceding calendar year, rounded to the
         <br />
         		<a id="pl.446.26"></a><var>446.26</var>next-higher five cent increment.<br />
         		<a id="pl.446.27"></a><var>446.27</var>&#160;&#160;&#160;&#160;(b) Paragraph (a) does not apply to children under the age of 21 and to American <br />
         		<a id="pl.446.28"></a><var>446.28</var>Indians as defined in Code of Federal Regulations, title 42, section 447.51.<br />
         		<a id="pl.446.29"></a><var>446.29</var>&#160;&#160;&#160;&#160;(c) Paragraph (a), clause (3), does not apply to mental health services.<br />
         		<a id="pl.446.30"></a><var>446.30</var>(d) MinnesotaCare reimbursements to fee-for-service providers and payments to <br />
         		<a id="pl.446.31"></a><var>446.31</var>managed care plans or county-based purchasing plans shall not be increased as a result
         of <br />
         		<a id="pl.446.32"></a><var>446.32</var>the reduction of the co-payments in paragraph (a), clause (4), effective January 1,
         2011.<br />
         		<a id="pl.447.1"></a><var>447.1</var>(e) The commissioner, through the contracting process under section 
         <statute_ref>256L.12</statute_ref>, <br />
         		<a id="pl.447.2"></a><var>447.2</var>may allow managed care plans and county-based purchasing plans to waive the family
         <br />
         		<a id="pl.447.3"></a><var>447.3</var>deductible under paragraph (a), clause (5). The value of the family deductible shall
         not be <br />
         		<a id="pl.447.4"></a><var>447.4</var>included in the capitation payment to managed care plans and county-based purchasing
         <br />
         		<a id="pl.447.5"></a><var>447.5</var>plans. Managed care plans and county-based purchasing plans shall certify annually
         to the <br />
         		<a id="pl.447.6"></a><var>447.6</var>commissioner the dollar value of the family deductible.<br />
         		<a id="pl.447.7"></a><var>447.7</var>(f) The commissioner shall increase co-payments for covered services in a manner <br />
         		<a id="pl.447.8"></a><var>447.8</var>sufficient to reduce the actuarial value of the benefit to 94 percent. The cost-sharing
         <br />
         		<a id="pl.447.9"></a><var>447.9</var>changes described in this paragraph do not apply to eligible recipients or services
         exempt <br />
         		<a id="pl.447.10"></a><var>447.10</var>from cost-sharing under state law. The cost-sharing changes described in this paragraph
         <br />
         		<a id="pl.447.11"></a><var>447.11</var>shall not be implemented prior to January 1, 2016.<br />
         		<a id="pl.447.12"></a><var>447.12</var>(g) The cost-sharing changes authorized under paragraph (f) must satisfy the <br />
         		<a id="pl.447.13"></a><var>447.13</var>requirements for cost-sharing under the Basic Health Program as set forth in Code
         of <br />
         		<a id="pl.447.14"></a><var>447.14</var>Federal Regulations, title 42, sections 600.510 and 600.520.<br />
         		<a id="pl.447.15"></a><var>447.15</var><b>EFFECTIVE DATE.</b>The amendment to paragraph (a), clause (5), is effective <br />
         		<a id="pl.447.16"></a><var>447.16</var>retroactively from January 1, 2014. The amendment to paragraph (b) is effective the
         <br />
         		<a id="pl.447.17"></a><var>447.17</var>day following final enactment.<br />
         		<br />
         		<a id="bill.11.49.0"></a><a id="pl.447.18"></a><var>447.18</var>&#160;&#160;&#160;&#160;Sec. 49. Minnesota Statutes 2014, section 256L.04, subdivision 1c, is amended to read:<br />
         		<a id="pl.447.19"></a><var>447.19</var>&#160;&#160;&#160;&#160;Subd. 1c. <b>General requirements.</b> To be eligible for coverage under MinnesotaCare, <br />
         		<a id="pl.447.20"></a><var>447.20</var>a person must meet the eligibility requirements of this section. A person eligible
         for <br />
         		<a id="pl.447.21"></a><var>447.21</var>MinnesotaCare shall not be considered a qualified individual under section 1312 of
         the <br />
         		<a id="pl.447.22"></a><var>447.22</var>Affordable Care Act, and is not eligible for enrollment in a qualified health plan
         offered <br />
         		<a id="pl.447.23"></a><var>447.23</var>through MNsure under chapter 62V.<br />
         		<a id="pl.447.24"></a><var>447.24</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.50.0"></a><a id="pl.447.25"></a><var>447.25</var>&#160;&#160;&#160;&#160;Sec. 50. Minnesota Statutes 2014, section 256L.04, subdivision 7b, is amended to read:<br />
         		<a id="pl.447.26"></a><var>447.26</var>&#160;&#160;&#160;&#160;Subd. 7b. <b>Annual income limits adjustment.</b> The commissioner shall adjust the <br />
         		<a id="pl.447.27"></a><var>447.27</var>income limits under this section each July 1 by the annual update of the federal poverty <br />
         		<a id="pl.447.28"></a><var>447.28</var>guidelines following publication by the United States Department of Health and Human
         <br />
         		<a id="pl.447.29"></a><var>447.29</var>Services except that the income standards shall not go below those in effect on July
         1, <br />
         		<a id="pl.447.30"></a><var>447.30</var>2009 annually on January 1 as provided in Code of Federal Regulations, title 26, section
         <br />
         		<a id="pl.447.31"></a><var>447.31</var>1.36B-1(h).<br />
         		<a id="pl.447.32"></a><var>447.32</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.51.0"></a><a id="pl.448.1"></a><var>448.1</var>&#160;&#160;&#160;&#160;Sec. 51. Minnesota Statutes 2014, section 256L.05, is amended by adding a subdivision <br />
         		<a id="pl.448.2"></a><var>448.2</var>to read:<br />
         		<a id="pl.448.3"></a><var>448.3</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Eligibility and coverage.</b> For purposes of this chapter, an individual <br />
         		<a id="pl.448.4"></a><var>448.4</var>is eligible for MinnesotaCare following a determination by the commissioner that the
         <br />
         		<a id="pl.448.5"></a><var>448.5</var>individual meets the eligibility criteria for the applicable period of eligibility.
         For an <br />
         		<a id="pl.448.6"></a><var>448.6</var>individual required to pay a premium, coverage is only available in each month of
         the <br />
         		<a id="pl.448.7"></a><var>448.7</var>applicable period of eligibility for which a premium is paid.<br />
         		<a id="pl.448.8"></a><var>448.8</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.52.0"></a><a id="pl.448.9"></a><var>448.9</var>&#160;&#160;&#160;&#160;Sec. 52. Minnesota Statutes 2014, section 256L.05, subdivision 3, is amended to read:<br />
         		<a id="pl.448.10"></a><var>448.10</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Effective date of coverage.</b> (a) The effective date of coverage is the first <br />
         		<a id="pl.448.11"></a><var>448.11</var>day of the month following the month in which eligibility is approved and the first
         premium <br />
         		<a id="pl.448.12"></a><var>448.12</var>payment has been received. The effective date of coverage for new members added to
         the <br />
         		<a id="pl.448.13"></a><var>448.13</var>family is the first day of the month following the month in which the change is reported.
         All <br />
         		<a id="pl.448.14"></a><var>448.14</var>eligibility criteria must be met by the family at the time the new family member is
         added. <br />
         		<a id="pl.448.15"></a><var>448.15</var>The income of the new family member is included with the family's modified adjusted
         gross <br />
         		<a id="pl.448.16"></a><var>448.16</var>income and the adjusted premium begins in the month the new family member is added.<br />
         		<a id="pl.448.17"></a><var>448.17</var>(b) The initial premium must be received by the last working day of the month for
         <br />
         		<a id="pl.448.18"></a><var>448.18</var>coverage to begin the first day of the following month.<br />
         		<a id="pl.448.19"></a><var>448.19</var>(c) Notwithstanding any other law to the contrary, benefits under sections 
         <statute_ref>256L.01</statute_ref> to <br />
         		
         <statute_ref><a id="pl.448.20"></a><var>448.20</var>256L.18
         </statute_ref> are secondary to a plan of insurance or benefit program under which an eligible <br />
         		<a id="pl.448.21"></a><var>448.21</var>person may have coverage and the commissioner shall use cost avoidance techniques
         to <br />
         		<a id="pl.448.22"></a><var>448.22</var>ensure coordination of any other health coverage for eligible persons. The commissioner
         <br />
         		<a id="pl.448.23"></a><var>448.23</var>shall identify eligible persons who may have coverage or benefits under other plans
         of <br />
         		<a id="pl.448.24"></a><var>448.24</var>insurance or who become eligible for medical assistance.<br />
         		<a id="pl.448.25"></a><var>448.25</var>(d) The effective date of coverage for individuals or families who are exempt from
         <br />
         		<a id="pl.448.26"></a><var>448.26</var>paying premiums under section 
         <statute_ref>256L.15, subdivision 1</statute_ref>, paragraph (c), is the first day of <br />
         		<a id="pl.448.27"></a><var>448.27</var>the month following the month in which verification of American Indian status is received <br />
         		<a id="pl.448.28"></a><var>448.28</var>or eligibility is approved, whichever is later.<br />
         		<br />
         		<a id="bill.11.53.0"></a><a id="pl.448.29"></a><var>448.29</var>&#160;&#160;&#160;&#160;Sec. 53. Minnesota Statutes 2014, section 256L.05, subdivision 3a, is amended to read:<br />
         		<a id="pl.448.30"></a><var>448.30</var>&#160;&#160;&#160;&#160;Subd. 3a. <b>Renewal</b><b> Redetermination</b><b> of eligibility.</b> (a) Beginning July 1, 2007, An <br />
         		<a id="pl.448.31"></a><var>448.31</var>enrollee's eligibility must be renewed every 12 months redetermined on an annual basis. <br />
         		<a id="pl.448.32"></a><var>448.32</var>The 12-month period begins in the month after the month the application is approved. The <br />
         		<a id="pl.448.33"></a><var>448.33</var>period of eligibility is the entire calendar year following the year in which eligibility
         is <br />
         		<a id="pl.448.34"></a><var>448.34</var>redetermined. Beginning in calendar year 2015, eligibility redeterminations shall
         occur <br />
         		<a id="pl.449.1"></a><var>449.1</var>during the open enrollment period for qualified health plans as specified in Code
         of <br />
         		<a id="pl.449.2"></a><var>449.2</var>Federal Regulations, title 45, section 155.410.<br />
         		<a id="pl.449.3"></a><var>449.3</var>&#160;&#160;&#160;&#160;(b) Each new period of eligibility must take into account any changes in <br />
         		<a id="pl.449.4"></a><var>449.4</var>circumstances that impact eligibility and premium amount. An enrollee must provide all <br />
         		<a id="pl.449.5"></a><var>449.5</var>the information needed to redetermine eligibility by the first day of the month that
         ends <br />
         		<a id="pl.449.6"></a><var>449.6</var>the eligibility period. The premium for the new period of eligibility must be received
         <br />
         		<a id="pl.449.7"></a><var>449.7</var>Coverage begins as provided in section 
         <statute_ref>256L.06</statute_ref> in order for eligibility to continue.<br />
         		<a id="pl.449.8"></a><var>449.8</var>(c) For children enrolled in MinnesotaCare, the first period of renewal begins the
         <br />
         		<a id="pl.449.9"></a><var>449.9</var>month the enrollee turns 21 years of age.<br />
         		<a id="pl.449.10"></a><var>449.10</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.54.0"></a><a id="pl.449.11"></a><var>449.11</var>&#160;&#160;&#160;&#160;Sec. 54. Minnesota Statutes 2014, section 256L.05, subdivision 4, is amended to read:<br />
         		<a id="pl.449.12"></a><var>449.12</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Application processing.</b> The commissioner of human services shall <br />
         		<a id="pl.449.13"></a><var>449.13</var>determine an applicant's eligibility for MinnesotaCare no more than 30 45 days from the <br />
         		<a id="pl.449.14"></a><var>449.14</var>date that the application is received by the Department of Human Services as set forth in <br />
         		<a id="pl.449.15"></a><var>449.15</var>Code of Federal Regulations, title 42, section 435.912. Beginning January 1, 2000, this <br />
         		<a id="pl.449.16"></a><var>449.16</var>requirement also applies to local county human services agencies that determine eligibility
         <br />
         		<a id="pl.449.17"></a><var>449.17</var>for MinnesotaCare.<br />
         		<a id="pl.449.18"></a><var>449.18</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.55.0"></a><a id="pl.449.19"></a><var>449.19</var>&#160;&#160;&#160;&#160;Sec. 55. Minnesota Statutes 2014, section 256L.06, subdivision 3, is amended to read:<br />
         		<a id="pl.449.20"></a><var>449.20</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Commissioner's duties and payment.</b> (a) Premiums are dedicated to the <br />
         		<a id="pl.449.21"></a><var>449.21</var>commissioner for MinnesotaCare.<br />
         		<a id="pl.449.22"></a><var>449.22</var>&#160;&#160;&#160;&#160;(b) The commissioner shall develop and implement procedures to: (1) require <br />
         		<a id="pl.449.23"></a><var>449.23</var>enrollees to report changes in income; (2) adjust sliding scale premium payments,
         based <br />
         		<a id="pl.449.24"></a><var>449.24</var>upon both increases and decreases in enrollee income, at the time the change in income
         <br />
         		<a id="pl.449.25"></a><var>449.25</var>is reported; and (3) disenroll enrollees from MinnesotaCare for failure to pay required
         <br />
         		<a id="pl.449.26"></a><var>449.26</var>premiums. Failure to pay includes payment with a dishonored check, a returned automatic
         <br />
         		<a id="pl.449.27"></a><var>449.27</var>bank withdrawal, or a refused credit card or debit card payment. The commissioner
         may <br />
         		<a id="pl.449.28"></a><var>449.28</var>demand a guaranteed form of payment, including a cashier's check or a money order,
         as <br />
         		<a id="pl.449.29"></a><var>449.29</var>the only means to replace a dishonored, returned, or refused payment.<br />
         		<a id="pl.449.30"></a><var>449.30</var>&#160;&#160;&#160;&#160;(c) Premiums are calculated on a calendar month basis and may be paid on a <br />
         		<a id="pl.449.31"></a><var>449.31</var>monthly, quarterly, or semiannual basis, with the first payment due upon notice from
         the <br />
         		<a id="pl.449.32"></a><var>449.32</var>commissioner of the premium amount required. The commissioner shall inform applicants
         <br />
         		<a id="pl.449.33"></a><var>449.33</var>and enrollees of these premium payment options. Premium payment is required before
         <br />
         		<a id="pl.450.1"></a><var>450.1</var>enrollment is complete and to maintain eligibility in MinnesotaCare. Premium payments
         <br />
         		<a id="pl.450.2"></a><var>450.2</var>received before noon are credited the same day. Premium payments received after noon
         <br />
         		<a id="pl.450.3"></a><var>450.3</var>are credited on the next working day.<br />
         		<a id="pl.450.4"></a><var>450.4</var>&#160;&#160;&#160;&#160;(d) Nonpayment of the premium will result in disenrollment from the plan <br />
         		<a id="pl.450.5"></a><var>450.5</var>effective for the calendar month following the month for which the premium was due. <br />
         		<a id="pl.450.6"></a><var>450.6</var>Persons disenrolled for nonpayment who pay all past due premiums as well as current <br />
         		<a id="pl.450.7"></a><var>450.7</var>premiums due, including premiums due for the period of disenrollment, within 20 days
         of <br />
         		<a id="pl.450.8"></a><var>450.8</var>disenrollment, shall be reenrolled retroactively to the first day of disenrollment may not <br />
         		<a id="pl.450.9"></a><var>450.9</var>reenroll prior to the first day of the month following the payment of an amount equal
         to <br />
         		<a id="pl.450.10"></a><var>450.10</var>two months' premiums.<br />
         		<a id="pl.450.11"></a><var>450.11</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.56.0"></a><a id="pl.450.12"></a><var>450.12</var>&#160;&#160;&#160;&#160;Sec. 56. Minnesota Statutes 2014, section 256L.121, subdivision 1, is amended to read:<br />
         		<a id="pl.450.13"></a><var>450.13</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Competitive process.</b> The commissioner of human services shall <br />
         		<a id="pl.450.14"></a><var>450.14</var>establish a competitive process for entering into contracts with participating entities
         for <br />
         		<a id="pl.450.15"></a><var>450.15</var>the offering of standard health plans through MinnesotaCare. Coverage through standard
         <br />
         		<a id="pl.450.16"></a><var>450.16</var>health plans must be available to enrollees beginning January 1, 2015. Each standard
         <br />
         		<a id="pl.450.17"></a><var>450.17</var>health plan must cover the health services listed in and meet the requirements of
         section <br />
         		
         <statute_ref><a id="pl.450.18"></a><var>450.18</var>256L.03
         </statute_ref>. The competitive process must meet the requirements of section 1331 of the <br />
         		<a id="pl.450.19"></a><var>450.19</var>Affordable Care Act and be designed to ensure enrollee access to high-quality health
         care <br />
         		<a id="pl.450.20"></a><var>450.20</var>coverage options. The commissioner, to the extent feasible, shall seek to ensure that
         <br />
         		<a id="pl.450.21"></a><var>450.21</var>enrollees have a choice of coverage from more than one participating entity within
         a <br />
         		<a id="pl.450.22"></a><var>450.22</var>geographic area. In counties that were part of a county-based purchasing plan on January
         <br />
         		<a id="pl.450.23"></a><var>450.23</var>1, 2013, the commissioner shall use the medical assistance competitive procurement
         <br />
         		<a id="pl.450.24"></a><var>450.24</var>process under section 
         <statute_ref>256B.69, subdivisions 1</statute_ref> to 32, under which selection of entities is <br />
         		<a id="pl.450.25"></a><var>450.25</var>based on criteria related to provider network access, coordination of health care
         with other <br />
         		<a id="pl.450.26"></a><var>450.26</var>local services, alignment with local public health goals, and other factors.<br />
         		<br />
         		<a id="bill.11.57.0"></a><a id="pl.450.27"></a><var>450.27</var>&#160;&#160;&#160;&#160;Sec. 57. Minnesota Statutes 2014, section 256L.15, subdivision 1, is amended to read:<br />
         		<a id="pl.450.28"></a><var>450.28</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Premium determination</b><b> for MinnesotaCare</b><b>.</b> (a) Families with <br />
         		<a id="pl.450.29"></a><var>450.29</var>children and individuals shall pay a premium determined according to subdivision 2.<br />
         		<a id="pl.450.30"></a><var>450.30</var>&#160;&#160;&#160;&#160;(b) Members of the military and their families who meet the eligibility criteria <br />
         		<a id="pl.450.31"></a><var>450.31</var>for MinnesotaCare upon eligibility approval made within 24 months following the end
         <br />
         		<a id="pl.450.32"></a><var>450.32</var>of the member's tour of active duty shall have their premiums paid by the commissioner.
         <br />
         		<a id="pl.450.33"></a><var>450.33</var>The effective date of coverage for an individual or family who meets the criteria
         of this <br />
         		<a id="pl.451.1"></a><var>451.1</var>paragraph shall be the first day of the month following the month in which eligibility
         is <br />
         		<a id="pl.451.2"></a><var>451.2</var>approved. This exemption applies for 12 months.<br />
         		<a id="pl.451.3"></a><var>451.3</var>(c) Beginning July 1, 2009, American Indians enrolled in MinnesotaCare and their <br />
         		<a id="pl.451.4"></a><var>451.4</var>families shall have their premiums waived by the commissioner in accordance with <br />
         		<a id="pl.451.5"></a><var>451.5</var>section 5006 of the American Recovery and Reinvestment Act of 2009, Public Law 111-5.
         <br />
         		<a id="pl.451.6"></a><var>451.6</var>An individual must document status as an American Indian, as defined under Code of
         <br />
         		<a id="pl.451.7"></a><var>451.7</var>Federal Regulations, title 42, section 
         <statute_ref>447.50</statute_ref>, to qualify for the waiver of premiums.<br />
         		<a id="pl.451.8"></a><var>451.8</var>(d) For premiums effective August 1, 2015, and after, the commissioner, after <br />
         		<a id="pl.451.9"></a><var>451.9</var>consulting with the chairs and ranking minority members of the legislative committees
         <br />
         		<a id="pl.451.10"></a><var>451.10</var>with jurisdiction over human services, shall increase premiums under subdivision 2
         <br />
         		<a id="pl.451.11"></a><var>451.11</var>for recipients based on June 2015 program enrollment. Premium increases shall be <br />
         		<a id="pl.451.12"></a><var>451.12</var>sufficient to increase projected revenue to the fund described in section 16A.724
         by at <br />
         		<a id="pl.451.13"></a><var>451.13</var>least $27,800,000 for the biennium ending June 30, 2017. The commissioner shall publish
         <br />
         		<a id="pl.451.14"></a><var>451.14</var>the revised premium scale on the Department of Human Services Web site and in the
         State <br />
         		<a id="pl.451.15"></a><var>451.15</var>Register no later than June 15, 2015. The revised premium scale applies to all premiums
         <br />
         		<a id="pl.451.16"></a><var>451.16</var>on or after August 1, 2015, in place of the scale under subdivision 2.<br />
         		<a id="pl.451.17"></a><var>451.17</var>(e) By July 1, 2015, the commissioner shall provide the chairs and ranking minority
         <br />
         		<a id="pl.451.18"></a><var>451.18</var>members of the legislative committees with jurisdiction over human services the revised
         <br />
         		<a id="pl.451.19"></a><var>451.19</var>premium scale effective August 1, 2015, and statutory language to codify the revised
         <br />
         		<a id="pl.451.20"></a><var>451.20</var>premium schedule.<br />
         		<a id="pl.451.21"></a><var>451.21</var>(f) Premium changes authorized under paragraph (d) must only apply to enrollees not
         <br />
         		<a id="pl.451.22"></a><var>451.22</var>otherwise excluded from paying premiums under state or federal law. Premium changes
         <br />
         		<a id="pl.451.23"></a><var>451.23</var>authorized under paragraph (d) must satisfy the requirements for premiums for the
         Basic <br />
         		<a id="pl.451.24"></a><var>451.24</var>Health Program under title 42 of the Code of Federal Regulations, section 600.505.<br />
         		<br />
         		<a id="bill.11.58.0"></a><a id="pl.451.25"></a><var>451.25</var>&#160;&#160;&#160;&#160;Sec. 58. Minnesota Statutes 2014, section 256L.15, subdivision 2, is amended to read:<br />
         		<a id="pl.451.26"></a><var>451.26</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Sliding fee scale; monthly individual or family income.</b> (a) The <br />
         		<a id="pl.451.27"></a><var>451.27</var>commissioner shall establish a sliding fee scale to determine the percentage of monthly
         <br />
         		<a id="pl.451.28"></a><var>451.28</var>individual or family income that households at different income levels must pay to
         obtain <br />
         		<a id="pl.451.29"></a><var>451.29</var>coverage through the MinnesotaCare program. The sliding fee scale must be based on
         the <br />
         		<a id="pl.451.30"></a><var>451.30</var>enrollee's monthly individual or family income.<br />
         		<a id="pl.451.31"></a><var>451.31</var>&#160;&#160;&#160;&#160;(b) Beginning January 1, 2014, MinnesotaCare enrollees shall pay premiums <br />
         		<a id="pl.451.32"></a><var>451.32</var>according to the premium scale specified in paragraph (c) with the exception that children <br />
         		<a id="pl.451.33"></a><var>451.33</var>20 years of age and younger in families with income at or below 200 percent of the
         federal <br />
         		<a id="pl.451.34"></a><var>451.34</var>poverty guidelines shall pay no premiums (d).<br />
         		<a id="pl.451.35"></a><var>451.35</var>(c) Paragraph (b) does not apply to:<br />
         		<a id="pl.452.1"></a><var>452.1</var>(1) children 20 years of age or younger; and<br />
         		<a id="pl.452.2"></a><var>452.2</var>(2) individuals with household incomes below 35 percent of the federal poverty <br />
         		<a id="pl.452.3"></a><var>452.3</var>guidelines.<br />
         		<a id="pl.452.4"></a><var>452.4</var>&#160;&#160;&#160;&#160;(c) (d) The following premium scale is established for each individual in the <br />
         		<a id="pl.452.5"></a><var>452.5</var>household who is 21 years of age or older and enrolled in MinnesotaCare:<br />
         		
         <table>
            <col width="50px"></col>
            <col width=""></col>
            <col width=""></col>
            <col width=""></col>
            <tr>
               <td><a id="pl.452.6"></a><var>452.6</var><br />
                  		<a id="pl.452.7"></a><var>452.7</var><br />
                  		
               </td>
               <td><b>Federal Poverty Guideline </b><br />
                  		<b>Greater than or Equal to</b><br />
                  		
               </td>
               <td><b>Less than</b><br />
                  		
               </td>
               <td><b>Individual Premium </b><br />
                  		<b>Amount</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.8"></a><var>452.8</var><br />
                  		
               </td>
               <td>0% 35%<br />
                  		
               </td>
               <td>55%<br />
                  		
               </td>
               <td>$4<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.9"></a><var>452.9</var><br />
                  		
               </td>
               <td>55%<br />
                  		
               </td>
               <td>80%<br />
                  		
               </td>
               <td>$6<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.10"></a><var>452.10</var><br />
                  		
               </td>
               <td>80%<br />
                  		
               </td>
               <td>90%<br />
                  		
               </td>
               <td>$8<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.11"></a><var>452.11</var><br />
                  		
               </td>
               <td>90%<br />
                  		
               </td>
               <td>100%<br />
                  		
               </td>
               <td>$10<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.12"></a><var>452.12</var><br />
                  		
               </td>
               <td>100%<br />
                  		
               </td>
               <td>110%<br />
                  		
               </td>
               <td>$12<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.13"></a><var>452.13</var><br />
                  		
               </td>
               <td>110%<br />
                  		
               </td>
               <td>120%<br />
                  		
               </td>
               <td>$15 $14<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.14"></a><var>452.14</var><br />
                  		
               </td>
               <td>120%<br />
                  		
               </td>
               <td>130%<br />
                  		
               </td>
               <td>$18 $15<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.15"></a><var>452.15</var><br />
                  		
               </td>
               <td>130%<br />
                  		
               </td>
               <td>140%<br />
                  		
               </td>
               <td>$21 $16<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.16"></a><var>452.16</var><br />
                  		
               </td>
               <td>140%<br />
                  		
               </td>
               <td>150%<br />
                  		
               </td>
               <td>$25<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.17"></a><var>452.17</var><br />
                  		
               </td>
               <td>150%<br />
                  		
               </td>
               <td>160%<br />
                  		
               </td>
               <td>$29<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.18"></a><var>452.18</var><br />
                  		
               </td>
               <td>160%<br />
                  		
               </td>
               <td>170%<br />
                  		
               </td>
               <td>$33<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.19"></a><var>452.19</var><br />
                  		
               </td>
               <td>170%<br />
                  		
               </td>
               <td>180%<br />
                  		
               </td>
               <td>$38<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.20"></a><var>452.20</var><br />
                  		
               </td>
               <td>180%<br />
                  		
               </td>
               <td>190%<br />
                  		
               </td>
               <td>$43<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.452.21"></a><var>452.21</var><br />
                  		
               </td>
               <td>190%<br />
                  		
               </td>
               <td></td>
               <td>$50<br />
                  		
               </td>
            </tr>
         </table><a id="pl.452.22"></a><var>452.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.11.59.0"></a><a id="pl.452.23"></a><var>452.23</var>&#160;&#160;&#160;&#160;Sec. 59. Laws 2008, chapter 363, article 18, section 3, subdivision 5, is amended to read:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.452.24"></a><var>452.24</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">Subd. 5.<b>Basic Health Care Grants</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.452.25"></a><var>452.25</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">(a) <b>MinnesotaCare Grants</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.452.26"></a><var>452.26</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom"><b>Health Care Access</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">-0-<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(770,000)<br />
                  		
               </td>
            </tr>
         </table><a id="pl.452.27"></a><var>452.27</var><b>Incentive Program and Outreach Grants.</b> <br />
         		<a id="pl.452.28"></a><var>452.28</var>Of the appropriation for the Minnesota health <br />
         		<a id="pl.452.29"></a><var>452.29</var>care outreach program in Laws 2007, chapter <br />
         		<a id="pl.452.30"></a><var>452.30</var>147, article 19, section 3, subdivision 7, <br />
         		<a id="pl.452.31"></a><var>452.31</var>paragraph (b):<br />
         		<a id="pl.452.32"></a><var>452.32</var>(1) $400,000 in fiscal year 2009 from the <br />
         		<a id="pl.452.33"></a><var>452.33</var>general fund and $200,000 in fiscal year 2009 <br />
         		<a id="pl.452.34"></a><var>452.34</var>from the health care access fund are for the <br />
         		<a id="pl.452.35"></a><var>452.35</var>incentive program under Minnesota Statutes, <br />
         		<a id="pl.452.36"></a><var>452.36</var>section 
         <statute_ref>256.962, subdivision 5</statute_ref>. For the <br />
         		<a id="pl.453.1"></a><var>453.1</var>biennium beginning July 1, 2009, base level <br />
         		<a id="pl.453.2"></a><var>453.2</var>funding for this activity shall be $360,000 <br />
         		<a id="pl.453.3"></a><var>453.3</var>from the general fund and $160,000 from the <br />
         		<a id="pl.453.4"></a><var>453.4</var>health care access fund; and<br />
         		<a id="pl.453.5"></a><var>453.5</var>(2) $100,000 in fiscal year 2009 from the <br />
         		<a id="pl.453.6"></a><var>453.6</var>general fund and $50,000 in fiscal year 2009 <br />
         		<a id="pl.453.7"></a><var>453.7</var>from the health care access fund are for the <br />
         		<a id="pl.453.8"></a><var>453.8</var>outreach grants under Minnesota Statutes, <br />
         		<a id="pl.453.9"></a><var>453.9</var>section 
         <statute_ref>256.962, subdivision 2</statute_ref>. For the <br />
         		<a id="pl.453.10"></a><var>453.10</var>biennium beginning July 1, 2009, base level <br />
         		<a id="pl.453.11"></a><var>453.11</var>funding for this activity shall be $90,000 <br />
         		<a id="pl.453.12"></a><var>453.12</var>from the general fund and $40,000 from the <br />
         		<a id="pl.453.13"></a><var>453.13</var>health care access fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.453.14"></a><var>453.14</var><br />
                  		<a id="pl.453.15"></a><var>453.15</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">(b) <b>MA Basic Health Care Grants - Families </b><br />
                  		<b>and Children</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">-0-<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(17,280,000)<br />
                  		
               </td>
            </tr>
         </table><a id="pl.453.16"></a><var>453.16</var><b>Third-Party Liability.</b> (a) During <br />
         		<a id="pl.453.17"></a><var>453.17</var>fiscal year 2009, the commissioner shall <br />
         		<a id="pl.453.18"></a><var>453.18</var>employ a contractor paid on a percentage <br />
         		<a id="pl.453.19"></a><var>453.19</var>basis to improve third-party collections. <br />
         		<a id="pl.453.20"></a><var>453.20</var>Improvement initiatives may include, but not <br />
         		<a id="pl.453.21"></a><var>453.21</var>be limited to, efforts to improve postpayment <br />
         		<a id="pl.453.22"></a><var>453.22</var>collection from nonresponsive claims and <br />
         		<a id="pl.453.23"></a><var>453.23</var>efforts to uncover third-party payers the <br />
         		<a id="pl.453.24"></a><var>453.24</var>commissioner has been unable to identify.<br />
         		<a id="pl.453.25"></a><var>453.25</var>(b) In fiscal year 2009, the first $1,098,000 <br />
         		<a id="pl.453.26"></a><var>453.26</var>of recoveries, after contract payments and <br />
         		<a id="pl.453.27"></a><var>453.27</var>federal repayments, is appropriated to <br />
         		<a id="pl.453.28"></a><var>453.28</var>the commissioner for technology-related <br />
         		<a id="pl.453.29"></a><var>453.29</var>expenses.<br />
         		<a id="pl.453.30"></a><var>453.30</var><b>Administrative Costs.</b> (a) For contracts <br />
         		<a id="pl.453.31"></a><var>453.31</var>effective on or after January 1, 2009, <br />
         		<a id="pl.453.32"></a><var>453.32</var>the commissioner shall limit aggregate <br />
         		<a id="pl.453.33"></a><var>453.33</var>administrative costs paid to managed care <br />
         		<a id="pl.453.34"></a><var>453.34</var>plans under Minnesota Statutes, section <br />
         		<a id="pl.453.35"></a><var>453.35</var><statute_ref>256B.69</statute_ref>, and to county-based purchasing <br />
         		<a id="pl.454.1"></a><var>454.1</var>plans under Minnesota Statutes, section <br />
         		<a id="pl.454.2"></a><var>454.2</var><statute_ref>256B.692</statute_ref>, to an overall average of 6.6 percent <br />
         		<a id="pl.454.3"></a><var>454.3</var>of total contract payments under Minnesota <br />
         		<a id="pl.454.4"></a><var>454.4</var>Statutes, sections 
         <statute_ref>256B.69</statute_ref> and 
         <statute_ref>256B.692</statute_ref>, <br />
         		<a id="pl.454.5"></a><var>454.5</var>for each calendar year. For purposes of <br />
         		<a id="pl.454.6"></a><var>454.6</var>this paragraph, administrative costs do not <br />
         		<a id="pl.454.7"></a><var>454.7</var>include premium taxes paid under Minnesota <br />
         		<a id="pl.454.8"></a><var>454.8</var>Statutes, section 
         <statute_ref>297I.05, subdivision 5</statute_ref>, and <br />
         		<a id="pl.454.9"></a><var>454.9</var>provider surcharges paid under Minnesota <br />
         		<a id="pl.454.10"></a><var>454.10</var>Statutes, section 
         <statute_ref>256.9657, subdivision 3</statute_ref>.<br />
         		<a id="pl.454.11"></a><var>454.11</var>(b) Notwithstanding any law to the contrary, <br />
         		<a id="pl.454.12"></a><var>454.12</var>the commissioner may reduce or eliminate <br />
         		<a id="pl.454.13"></a><var>454.13</var>administrative requirements to meet the <br />
         		<a id="pl.454.14"></a><var>454.14</var>administrative target under paragraph (a). <br />
         		<a id="pl.454.15"></a><var>454.15</var>(c) Notwithstanding any contrary provision <br />
         		<a id="pl.454.16"></a><var>454.16</var>of this article, this rider shall not expire.<br />
         		<a id="pl.454.17"></a><var>454.17</var><b>Hospital Payment Delay.</b> Notwithstanding <br />
         		<a id="pl.454.18"></a><var>454.18</var>Laws 2005, First Special Session chapter 4, <br />
         		<a id="pl.454.19"></a><var>454.19</var>article 9, section 2, subdivision 6, payments <br />
         		<a id="pl.454.20"></a><var>454.20</var>from the Medicaid Management Information <br />
         		<a id="pl.454.21"></a><var>454.21</var>System that would otherwise have been made <br />
         		<a id="pl.454.22"></a><var>454.22</var>for inpatient hospital services for medical <br />
         		<a id="pl.454.23"></a><var>454.23</var>assistance enrollees are delayed as follows: <br />
         		<a id="pl.454.24"></a><var>454.24</var>(1) for fiscal year 2008, June payments must <br />
         		<a id="pl.454.25"></a><var>454.25</var>be included in the first payments in fiscal <br />
         		<a id="pl.454.26"></a><var>454.26</var>year 2009; and (2) for fiscal year 2009, <br />
         		<a id="pl.454.27"></a><var>454.27</var>June payments must be included in the first <br />
         		<a id="pl.454.28"></a><var>454.28</var>payment of fiscal year 2010. The provisions <br />
         		<a id="pl.454.29"></a><var>454.29</var>of Minnesota Statutes, section 
         <statute_ref>16A.124</statute_ref>, <br />
         		<a id="pl.454.30"></a><var>454.30</var>do not apply to these delayed payments. <br />
         		<a id="pl.454.31"></a><var>454.31</var>Notwithstanding any contrary provision in <br />
         		<a id="pl.454.32"></a><var>454.32</var>this article, this paragraph expires on June <br />
         		<a id="pl.454.33"></a><var>454.33</var>30, 2010.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.454.34"></a><var>454.34</var><br />
                  		<a id="pl.454.35"></a><var>454.35</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">(c) <b>MA Basic Health Care Grants - Elderly and </b><br />
                  		<b>Disabled</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(14,028,000)<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(9,368,000)<br />
                  		
               </td>
            </tr>
         </table><a id="pl.455.1"></a><var>455.1</var><b>Minnesota Disability Health Options Rate </b><br />
         		<a id="pl.455.2"></a><var>455.2</var><b>Setting Methodology.</b> The commissioner <br />
         		<a id="pl.455.3"></a><var>455.3</var>shall develop and implement a methodology <br />
         		<a id="pl.455.4"></a><var>455.4</var>for risk adjusting payments for community <br />
         		<a id="pl.455.5"></a><var>455.5</var>alternatives for disabled individuals (CADI) <br />
         		<a id="pl.455.6"></a><var>455.6</var>and traumatic brain injury (TBI) home <br />
         		<a id="pl.455.7"></a><var>455.7</var>and community-based waiver services <br />
         		<a id="pl.455.8"></a><var>455.8</var>delivered under the Minnesota disability <br />
         		<a id="pl.455.9"></a><var>455.9</var>health options program (MnDHO) effective <br />
         		<a id="pl.455.10"></a><var>455.10</var>January 1, 2009. The commissioner shall <br />
         		<a id="pl.455.11"></a><var>455.11</var>take into account the weighting system used <br />
         		<a id="pl.455.12"></a><var>455.12</var>to determine county waiver allocations in <br />
         		<a id="pl.455.13"></a><var>455.13</var>developing the new payment methodology. <br />
         		<a id="pl.455.14"></a><var>455.14</var>Growth in the number of enrollees receiving <br />
         		<a id="pl.455.15"></a><var>455.15</var>CADI or TBI waiver payments through <br />
         		<a id="pl.455.16"></a><var>455.16</var>MnDHO is limited to an increase of 200 <br />
         		<a id="pl.455.17"></a><var>455.17</var>enrollees in each calendar year from January <br />
         		<a id="pl.455.18"></a><var>455.18</var>2009 through December 2011. If those limits <br />
         		<a id="pl.455.19"></a><var>455.19</var>are reached, additional members may be <br />
         		<a id="pl.455.20"></a><var>455.20</var>enrolled in MnDHO for basic care services <br />
         		<a id="pl.455.21"></a><var>455.21</var>only as defined under Minnesota Statutes, <br />
         		<a id="pl.455.22"></a><var>455.22</var>section 
         <statute_ref>256B.69, subdivision 28</statute_ref>, and the <br />
         		<a id="pl.455.23"></a><var>455.23</var>commissioner may establish a waiting list for <br />
         		<a id="pl.455.24"></a><var>455.24</var>future access of MnDHO members to those <br />
         		<a id="pl.455.25"></a><var>455.25</var>waiver services.<br />
         		<a id="pl.455.26"></a><var>455.26</var><b>MA Basic Elderly and Disabled </b><br />
         		<a id="pl.455.27"></a><var>455.27</var><b>Adjustments.</b> For the fiscal year ending June <br />
         		<a id="pl.455.28"></a><var>455.28</var>30, 2009, the commissioner may adjust the <br />
         		<a id="pl.455.29"></a><var>455.29</var>rates for each service affected by rate changes <br />
         		<a id="pl.455.30"></a><var>455.30</var>under this section in such a manner across <br />
         		<a id="pl.455.31"></a><var>455.31</var>the fiscal year to achieve the necessary cost <br />
         		<a id="pl.455.32"></a><var>455.32</var>savings and minimize disruption to service <br />
         		<a id="pl.455.33"></a><var>455.33</var>providers, notwithstanding the requirements <br />
         		<a id="pl.455.34"></a><var>455.34</var>of Laws 2007, chapter 147, article 7, section <br />
         		<a id="pl.455.35"></a><var>455.35</var>71.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.455.36"></a><var>455.36</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">(d) <b>General Assistance Medical Care Grants</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">-0-<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(6,971,000)<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.456.1"></a><var>456.1</var><br />
                  		
               </td>
               <td colspan="3" align="left" valign="bottom">(e) <b>Other Health Care Grants</b><br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">-0-<br />
                  		
               </td>
               <td align="center" valign="bottom"></td>
               <td align="right" valign="bottom">(17,000)<br />
                  		
               </td>
            </tr>
         </table><a id="pl.456.2"></a><var>456.2</var><b>MinnesotaCare Outreach Grants Special </b><br />
         		<a id="pl.456.3"></a><var>456.3</var><b>Revenue Account.</b> The balance in the <br />
         		<a id="pl.456.4"></a><var>456.4</var>MinnesotaCare outreach grants special <br />
         		<a id="pl.456.5"></a><var>456.5</var>revenue account on July 1, 2009, estimated <br />
         		<a id="pl.456.6"></a><var>456.6</var>to be $900,000, must be transferred to the <br />
         		<a id="pl.456.7"></a><var>456.7</var>general fund.<br />
         		<a id="pl.456.8"></a><var>456.8</var><b>Grants Reduction.</b> Effective July 1, 2008, <br />
         		<a id="pl.456.9"></a><var>456.9</var>base level funding for nonforecast, general <br />
         		<a id="pl.456.10"></a><var>456.10</var>fund health care grants issued under this <br />
         		<a id="pl.456.11"></a><var>456.11</var>paragraph shall be reduced by 1.8 percent at <br />
         		<a id="pl.456.12"></a><var>456.12</var>the allotment level.<br />
         		<br />
         		<a id="bill.11.60.0"></a><a id="pl.456.13"></a><var>456.13</var>&#160;&#160;&#160;&#160;Sec. 60. Laws 2014, chapter 312, article 24, section 45, subdivision 2, is amended to <br />
         		<a id="pl.456.14"></a><var>456.14</var>read:<br />
         		<a id="pl.456.15"></a><var>456.15</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application for and terms of variance.</b> A new provider may apply to the <br />
         		<a id="pl.456.16"></a><var>456.16</var>commissioner, on a form supplied by the commissioner for this purpose, for a variance
         <br />
         		<a id="pl.456.17"></a><var>456.17</var>from special transportation service operating standards. The commissioner may grant
         or <br />
         		<a id="pl.456.18"></a><var>456.18</var>deny the variance application. Variances expire on the earlier of February 1, 2016 2017, or <br />
         		<a id="pl.456.19"></a><var>456.19</var>the date that the commissioner of transportation begins certifying new providers under
         the <br />
         		<a id="pl.456.20"></a><var>456.20</var>terms of this act and successor legislation one year after the date the variance was issued. <br />
         		<a id="pl.456.21"></a><var>456.21</var>The commissioner must not grant variances under this subdivision after June 30, 2016.<br />
         		<a id="pl.456.22"></a><var>456.22</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2016.<br />
         		<br />
         		<a id="bill.11.61.0"></a><a id="pl.456.23"></a><var>456.23</var>&#160;&#160;&#160;&#160;Sec. 61. <b>STATEWIDE OPIOID PRESCRIBING IMPROVEMENT PROGRAM.</b><br />
         		<a id="pl.456.24"></a><var>456.24</var>The commissioner of human services, in collaboration with the commissioner of <br />
         		<a id="pl.456.25"></a><var>456.25</var>health, shall report to the legislature by December 1, 2015, on recommendations made
         <br />
         		<a id="pl.456.26"></a><var>456.26</var>by the opioid prescribing work group under Minnesota Statutes, section 256B.0638,
         <br />
         		<a id="pl.456.27"></a><var>456.27</var>subdivision 4, and steps taken by the commissioner of human services to implement
         the <br />
         		<a id="pl.456.28"></a><var>456.28</var>opioid prescribing improvement program under Minnesota Statutes, section 256B.0638,
         <br />
         		<a id="pl.456.29"></a><var>456.29</var>subdivision 5.<br />
         		<br />
         		<a id="bill.11.62.0"></a><a id="pl.456.30"></a><var>456.30</var>&#160;&#160;&#160;&#160;Sec. 62. <b>TASK FORCE ON HEALTH CARE FINANCING.</b><br />
         		<a id="pl.457.1"></a><var>457.1</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Task force.</b> (a) The governor shall convene a task force on health <br />
         		<a id="pl.457.2"></a><var>457.2</var>care financing to advise the governor and legislature on strategies that will increase
         access <br />
         		<a id="pl.457.3"></a><var>457.3</var>to and improve the quality of health care for Minnesotans. These strategies shall
         include <br />
         		<a id="pl.457.4"></a><var>457.4</var>options for sustainable health care financing, coverage, purchasing, and delivery
         for all <br />
         		<a id="pl.457.5"></a><var>457.5</var>insurance affordability programs, including MNsure, medical assistance, MinnesotaCare,
         <br />
         		<a id="pl.457.6"></a><var>457.6</var>and individuals eligible to purchase coverage with federal advanced premium tax credits
         <br />
         		<a id="pl.457.7"></a><var>457.7</var>and cost-sharing subsidies.<br />
         		<a id="pl.457.8"></a><var>457.8</var>&#160;&#160;&#160;&#160;(b) The task force shall consist of:<br />
         		<a id="pl.457.9"></a><var>457.9</var>&#160;&#160;&#160;&#160;(1) seven members appointed by the senate, four members appointed by the majority
         <br />
         		<a id="pl.457.10"></a><var>457.10</var>leader of the senate, one of whom must be a legislator; and three members appointed
         by <br />
         		<a id="pl.457.11"></a><var>457.11</var>the minority leader of the senate, one of whom must be a legislator;<br />
         		<a id="pl.457.12"></a><var>457.12</var>&#160;&#160;&#160;&#160;(2) seven members of the house of representatives, four members appointed by the <br />
         		<a id="pl.457.13"></a><var>457.13</var>speaker of the house, one of whom must be a legislator; and three members appointed
         by <br />
         		<a id="pl.457.14"></a><var>457.14</var>the minority leader of the house of representatives, one of whom must be a legislator;<br />
         		<a id="pl.457.15"></a><var>457.15</var>&#160;&#160;&#160;&#160;(3) 11 members appointed by the governor, including public and private health care
         <br />
         		<a id="pl.457.16"></a><var>457.16</var>experts and consumer representatives. The consumer representatives must include one
         <br />
         		<a id="pl.457.17"></a><var>457.17</var>member from a nonprofit organization with legal expertise representing low-income
         <br />
         		<a id="pl.457.18"></a><var>457.18</var>consumers, at least one member from a broad-based nonprofit consumer advocacy <br />
         		<a id="pl.457.19"></a><var>457.19</var>organization, and at least one member from an organization representing consumers
         of <br />
         		<a id="pl.457.20"></a><var>457.20</var>color; and<br />
         		<a id="pl.457.21"></a><var>457.21</var>(4) the commissioners of human services, commerce, and health, and the executive <br />
         		<a id="pl.457.22"></a><var>457.22</var>director of MNsure, or their designees.<br />
         		<a id="pl.457.23"></a><var>457.23</var>&#160;&#160;&#160;&#160;(c) The commissioner of human services and a member of the task force voted <br />
         		<a id="pl.457.24"></a><var>457.24</var>by the task force shall serve as cochairs of the task force. The commissioner of human
         <br />
         		<a id="pl.457.25"></a><var>457.25</var>services shall convene the first meeting and the members shall vote on the cochair
         position <br />
         		<a id="pl.457.26"></a><var>457.26</var>at the first meeting.<br />
         		<a id="pl.457.27"></a><var>457.27</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Duties.</b> (a) The task force shall consider opportunities, including <br />
         		<a id="pl.457.28"></a><var>457.28</var>alternatives to MNsure, options under section 1332 of the Patient Protection and Affordable
         <br />
         		<a id="pl.457.29"></a><var>457.29</var>Care Act, and options under a section 1115 waiver of the Social Security Act, including:<br />
         		<a id="pl.457.30"></a><var>457.30</var>&#160;&#160;&#160;&#160;(1) options for providing and financing seamless coverage for persons <br />
         		<a id="pl.457.31"></a><var>457.31</var>otherwise eligible for insurance affordability programs, including medical assistance,
         <br />
         		<a id="pl.457.32"></a><var>457.32</var>MinnesotaCare, and advanced premium tax credits used to purchase commercial <br />
         		<a id="pl.457.33"></a><var>457.33</var>insurance. This includes, but is not limited to: alignment of eligibility and enrollment
         <br />
         		<a id="pl.457.34"></a><var>457.34</var>requirements; smoothing consumer cost-sharing across programs; alignment and <br />
         		<a id="pl.457.35"></a><var>457.35</var>alternatives to benefit sets; alternatives to the individual mandate; the employer
         mandate <br />
         		<a id="pl.457.36"></a><var>457.36</var>and penalties; advanced premium tax credits; and qualified health plans;<br />
         		<a id="pl.458.1"></a><var>458.1</var>&#160;&#160;&#160;&#160;(2) options for transforming health care purchasing and delivery, including, but not
         <br />
         		<a id="pl.458.2"></a><var>458.2</var>limited to: expansion of value-based direct contracting with providers and other entities
         <br />
         		<a id="pl.458.3"></a><var>458.3</var>to reward improved health outcomes and reduced costs, including selective contracting;
         <br />
         		<a id="pl.458.4"></a><var>458.4</var>contracting to provide services to public programs and commercial products; and payment
         <br />
         		<a id="pl.458.5"></a><var>458.5</var>models that support and reward coordination of care across the continuum of services
         <br />
         		<a id="pl.458.6"></a><var>458.6</var>and programs;<br />
         		<a id="pl.458.7"></a><var>458.7</var>&#160;&#160;&#160;&#160;(3) options for alignment, consolidation, and governance of certain operational <br />
         		<a id="pl.458.8"></a><var>458.8</var>components, including, but not limited to: MNsure; program eligibility, enrollment,
         call <br />
         		<a id="pl.458.9"></a><var>458.9</var>centers, and contracting; and the shared eligibility IT platform; and<br />
         		<a id="pl.458.10"></a><var>458.10</var>(4) examining the impact of options on the health care workforce and delivery <br />
         		<a id="pl.458.11"></a><var>458.11</var>system, including, but not limited to, rural and safety net providers, clinics, and
         hospitals.<br />
         		<a id="pl.458.12"></a><var>458.12</var>&#160;&#160;&#160;&#160;(b) In development of the options in paragraph (a), the task force options and <br />
         		<a id="pl.458.13"></a><var>458.13</var>recommendations shall include the following goals:<br />
         		<a id="pl.458.14"></a><var>458.14</var>&#160;&#160;&#160;&#160;(1) seamless consumer experience across all programs;<br />
         		<a id="pl.458.15"></a><var>458.15</var>&#160;&#160;&#160;&#160;(2) reducing barriers to accessibility and affordability of coverage;<br />
         		<a id="pl.458.16"></a><var>458.16</var>&#160;&#160;&#160;&#160;(3) improving sustainable financing of health programs, including impact on the <br />
         		<a id="pl.458.17"></a><var>458.17</var>state budget;<br />
         		<a id="pl.458.18"></a><var>458.18</var>&#160;&#160;&#160;&#160;(4) assessing the impact of options for innovation on their potential to reduce <br />
         		<a id="pl.458.19"></a><var>458.19</var>health disparities;<br />
         		<a id="pl.458.20"></a><var>458.20</var>&#160;&#160;&#160;&#160;(5) expanding innovative health care purchasing and delivery systems strategies that
         <br />
         		<a id="pl.458.21"></a><var>458.21</var>reduce cost and improve health;<br />
         		<a id="pl.458.22"></a><var>458.22</var>&#160;&#160;&#160;&#160;(6) promoting effectively and efficiently aligning program resources and operations;
         <br />
         		<a id="pl.458.23"></a><var>458.23</var>and<br />
         		<a id="pl.458.24"></a><var>458.24</var>&#160;&#160;&#160;&#160;(7) increasing transparency and accountability of program operations.<br />
         		<a id="pl.458.25"></a><var>458.25</var>&#160;&#160;&#160;&#160;Subd. 3. <b>Staff.</b> (a) The commissioner of human services shall provide staff and <br />
         		<a id="pl.458.26"></a><var>458.26</var>administrative services for the task force. The commissioner may accept outside resources
         <br />
         		<a id="pl.458.27"></a><var>458.27</var>to help support its efforts and shall leverage its existing vendor contracts to provide
         <br />
         		<a id="pl.458.28"></a><var>458.28</var>technical expertise to develop options under subdivision 2.  The commissioner of human
         <br />
         		<a id="pl.458.29"></a><var>458.29</var>services shall receive expedited review and publication of competitive procurements
         for <br />
         		<a id="pl.458.30"></a><var>458.30</var>additional vendor support needed to support the task force.<br />
         		<a id="pl.458.31"></a><var>458.31</var>&#160;&#160;&#160;&#160;(b) Technical assistance shall be provided by the Departments of Health, Commerce,
         <br />
         		<a id="pl.458.32"></a><var>458.32</var>Human Services, and Management and Budget.<br />
         		<a id="pl.458.33"></a><var>458.33</var>&#160;&#160;&#160;&#160;Subd. 4. <b>Report.</b> The commissioner of human services shall submit <br />
         		<a id="pl.458.34"></a><var>458.34</var>recommendations by January 15, 2016, to the governor and the chairs and ranking <br />
         		<a id="pl.459.1"></a><var>459.1</var>minority members of the legislative committees with jurisdiction over health, human
         <br />
         		<a id="pl.459.2"></a><var>459.2</var>services, and commerce policy and finance.<br />
         		<a id="pl.459.3"></a><var>459.3</var>&#160;&#160;&#160;&#160;Subd. 5. <b>Expiration.</b> The task force expires the day after submitting the report  <br />
         		<a id="pl.459.4"></a><var>459.4</var>required under subdivision 4.<br />
         		<br />
         		<a id="bill.11.63.0"></a><a id="pl.459.5"></a><var>459.5</var>&#160;&#160;&#160;&#160;Sec. 63. <b>HEALTH DISPARITIES PAYMENT ENHANCEMENT.</b><br />
         		<a id="pl.459.6"></a><var>459.6</var>(a) The commissioner of human services shall develop a methodology to pay a  <br />
         		<a id="pl.459.7"></a><var>459.7</var>higher payment rate for health care providers and services that takes into consideration
         <br />
         		<a id="pl.459.8"></a><var>459.8</var>the higher cost, complexity, and resources needed to serve patients and populations
         <br />
         		<a id="pl.459.9"></a><var>459.9</var>who experience the greatest health disparities in order to achieve the same health
         and  <br />
         		<a id="pl.459.10"></a><var>459.10</var>quality outcomes that are achieved for other patients and populations. In developing
         <br />
         		<a id="pl.459.11"></a><var>459.11</var>the methodology, the commissioner shall take into consideration all existing payment
         <br />
         		<a id="pl.459.12"></a><var>459.12</var>methods and rates, including add-on or enhanced rates paid to providers serving high
         <br />
         		<a id="pl.459.13"></a><var>459.13</var>concentrations of low-income patients or populations or providing access in underserved
         <br />
         		<a id="pl.459.14"></a><var>459.14</var>regions or populations. The new methodology must not result in a net decrease in total
         <br />
         		<a id="pl.459.15"></a><var>459.15</var>payment from all sources for those providers who qualify for additional add-on payments
         <br />
         		<a id="pl.459.16"></a><var>459.16</var>or enhanced payments, including, but not limited to, critical access dental, community
         <br />
         		<a id="pl.459.17"></a><var>459.17</var>clinic add-ons, federally qualified health centers payment rates, and disproportionate
         share  <br />
         		<a id="pl.459.18"></a><var>459.18</var>payments. The commissioner shall develop the methodology in consultation with affected
         <br />
         		<a id="pl.459.19"></a><var>459.19</var>stakeholders, including communities impacted by health disparities, using culturally
         <br />
         		<a id="pl.459.20"></a><var>459.20</var>appropriate methods of community engagement. The proposed methodology must include
         <br />
         		<a id="pl.459.21"></a><var>459.21</var>recommendations for how the methodology could be incorporated into payment methods
         <br />
         		<a id="pl.459.22"></a><var>459.22</var>used in both fee-for-service and managed care plans.<br />
         		<a id="pl.459.23"></a><var>459.23</var>(b) The commissioner shall submit  a report on the analysis and provide options <br />
         		<a id="pl.459.24"></a><var>459.24</var>for  new payment  methodologies that incorporate health disparities to the chairs
         and <br />
         		<a id="pl.459.25"></a><var>459.25</var>ranking minority members of the legislative committees  with jurisdiction over health
         care <br />
         		<a id="pl.459.26"></a><var>459.26</var>policy and finance by February 1, 2016. The scope of the report and the development
         <br />
         		<a id="pl.459.27"></a><var>459.27</var>work described in paragraph (a) is limited to data currently available to the Department
         <br />
         		<a id="pl.459.28"></a><var>459.28</var>of Human Services; analyses of the data for reliability and completeness; analyses
         of <br />
         		<a id="pl.459.29"></a><var>459.29</var>how these data relate to health disparities, outcomes, and expenditures; and options
         for <br />
         		<a id="pl.459.30"></a><var>459.30</var>incorporating these data or measures into a payment methodology.<br />
         		<br />
         		<a id="bill.11.64.0"></a><a id="pl.459.31"></a><var>459.31</var>&#160;&#160;&#160;&#160;Sec. 64. <b>CAPITATION PAYMENT DELAY.</b><br />
         		<a id="pl.459.32"></a><var>459.32</var>&#160;&#160;&#160;&#160;The commissioner of human services shall delay $135,000,000 of the medical <br />
         		<a id="pl.459.33"></a><var>459.33</var>assistance capitation payment to managed care plans and county-based purchasing plans
         <br />
         		<a id="pl.459.34"></a><var>459.34</var>due in May 2017 and the payment due in April 2017 for special needs basic care until
         <br />
         		<a id="pl.460.1"></a><var>460.1</var>July 1, 2017. The payment shall be made no earlier than July 1, 2017, and no later
         than <br />
         		<a id="pl.460.2"></a><var>460.2</var>July 31, 2017.<br />
         		<br />
         		<a id="bill.11.65.0"></a><a id="pl.460.3"></a><var>460.3</var>&#160;&#160;&#160;&#160;Sec. 65. <b> REPEALER.</b><br />
         		<a id="pl.460.4"></a><var>460.4</var>(a) Minnesota Statutes 2014, sections 256.01, subdivision 35; 256.969, subdivisions <br />
         		<a id="pl.460.5"></a><var>460.5</var>23 and 30; and 256B.69, subdivision 32, are repealed effective July 1, 2015.<br />
         		<a id="pl.460.6"></a><var>460.6</var>(b) Minnesota Statutes 2014, sections 256L.02, subdivision 3; and 256L.05, <br />
         		<a id="pl.460.7"></a><var>460.7</var>subdivisions 1b, 1c, 3c, and 5, are repealed effective the day following final enactment.<br />
         		<a id="pl.460.8"></a><var>460.8</var>(c) Minnesota Rules, part 8840.5900, subparts 12 and 14, are repealed effective <br />
         		<a id="pl.460.9"></a><var>460.9</var>January 1, 2016.<br />
         		<br />
         		<a id="bill.12.0.0"></a><div class="xtend_ce"><a id="pl.460.10"></a><var>460.10</var><b>ARTICLE 12</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.460.11"></a><var>460.11</var><b>MNSURE</b><br />
            		
         </div><br />
         		<a id="bill.12.1.0"></a><a id="pl.460.12"></a><var>460.12</var>&#160;&#160;&#160;&#160;Section 1. Minnesota Statutes 2014, section 62A.02, subdivision 2, is amended to read:<br />
         		<a id="pl.460.13"></a><var>460.13</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Approval.</b> (a) The health plan form shall not be issued, nor shall any <br />
         		<a id="pl.460.14"></a><var>460.14</var>application, rider, endorsement, or rate be used in connection with it, until the
         expiration <br />
         		<a id="pl.460.15"></a><var>460.15</var>of 60 days after it has been filed unless the commissioner approves it before that
         time.<br />
         		<a id="pl.460.16"></a><var>460.16</var>(b) Notwithstanding paragraph (a), a rate filed with respect to a policy of accident
         and <br />
         		<a id="pl.460.17"></a><var>460.17</var>sickness insurance as defined in section 
         <statute_ref>62A.01</statute_ref> by an insurer licensed under chapter 60A, <br />
         		<a id="pl.460.18"></a><var>460.18</var>may be used on or after the date of filing with the commissioner. Rates that are not
         approved <br />
         		<a id="pl.460.19"></a><var>460.19</var>or disapproved within the 60-day time period are deemed approved. This paragraph does
         <br />
         		<a id="pl.460.20"></a><var>460.20</var>not apply to Medicare-related coverage as defined in section 
         <statute_ref>62A.3099, subdivision 17</statute_ref>.<br />
         		<a id="pl.460.21"></a><var>460.21</var>(c) For coverage to begin on or after January 1, 2016, and each January 1 thereafter,
         <br />
         		<a id="pl.460.22"></a><var>460.22</var>health plans in the individual and small group markets that are not grandfathered
         plans to <br />
         		<a id="pl.460.23"></a><var>460.23</var>be offered outside MNsure and qualified health plans to be offered inside MNsure must
         <br />
         		<a id="pl.460.24"></a><var>460.24</var>receive rate approval from the commissioner no later than 30 days prior to the beginning
         <br />
         		<a id="pl.460.25"></a><var>460.25</var>of the annual open enrollment period for MNsure. Premium rates for all carriers in
         the <br />
         		<a id="pl.460.26"></a><var>460.26</var>applicable market for the next calendar year must be made available to the public
         by the <br />
         		<a id="pl.460.27"></a><var>460.27</var>commissioner only after all rates for the applicable market are final and approved.
         Final <br />
         		<a id="pl.460.28"></a><var>460.28</var>and approved rates must be publicly released at a uniform time for all individual
         and small <br />
         		<a id="pl.460.29"></a><var>460.29</var>group health plans that are not grandfathered plans to be offered outside MNsure and
         <br />
         		<a id="pl.460.30"></a><var>460.30</var>qualified health plans to be offered inside MNsure, and no later than 30 days prior
         to the <br />
         		<a id="pl.460.31"></a><var>460.31</var>beginning of the annual open enrollment period for MNsure.<br />
         		<br />
         		<a id="bill.12.2.0"></a><a id="pl.460.32"></a><var>460.32</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 62V.03, subdivision 2, is amended to read:<br />
         		<a id="pl.461.1"></a><var>461.1</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Application of other law.</b> (a) MNsure must be reviewed by the legislative <br />
         		<a id="pl.461.2"></a><var>461.2</var>auditor under section 
         <statute_ref>3.971</statute_ref>. The legislative auditor shall audit the books, accounts, and <br />
         		<a id="pl.461.3"></a><var>461.3</var>affairs of MNsure once each year or less frequently as the legislative auditor's funds
         and <br />
         		<a id="pl.461.4"></a><var>461.4</var>personnel permit. Upon the audit of the financial accounts and affairs of MNsure,
         MNsure <br />
         		<a id="pl.461.5"></a><var>461.5</var>is liable to the state for the total cost and expenses of the audit, including the
         salaries paid <br />
         		<a id="pl.461.6"></a><var>461.6</var>to the examiners while actually engaged in making the examination. The legislative
         <br />
         		<a id="pl.461.7"></a><var>461.7</var>auditor may bill MNsure either monthly or at the completion of the audit. All collections
         <br />
         		<a id="pl.461.8"></a><var>461.8</var>received for the audits must be deposited in the general fund and are appropriated
         to <br />
         		<a id="pl.461.9"></a><var>461.9</var>the legislative auditor. Pursuant to section 
         <statute_ref>3.97, subdivision 3a</statute_ref>, the Legislative Audit <br />
         		<a id="pl.461.10"></a><var>461.10</var>Commission is requested to direct the legislative auditor to report by March 1, 2014,
         to <br />
         		<a id="pl.461.11"></a><var>461.11</var>the legislature on any duplication of services that occurs within state government
         as a <br />
         		<a id="pl.461.12"></a><var>461.12</var>result of the creation of MNsure. The legislative auditor may make recommendations
         on <br />
         		<a id="pl.461.13"></a><var>461.13</var>consolidating or eliminating any services deemed duplicative. The board shall reimburse
         <br />
         		<a id="pl.461.14"></a><var>461.14</var>the legislative auditor for any costs incurred in the creation of this report.<br />
         		<a id="pl.461.15"></a><var>461.15</var>(b) Board members of MNsure are subject to sections 
         <statute_ref>10A.07</statute_ref> and 
         <statute_ref>10A.09</statute_ref>. Board <br />
         		<a id="pl.461.16"></a><var>461.16</var>members and the personnel of MNsure are subject to section 
         <statute_ref>10A.071</statute_ref>.<br />
         		<a id="pl.461.17"></a><var>461.17</var>(c) All meetings of the board shall comply with the open meeting law in chapter <br />
         		<a id="pl.461.18"></a><var>461.18</var>13D, except that:.<br />
         		<a id="pl.461.19"></a><var>461.19</var>(1) meetings, or portions of meetings, regarding compensation negotiations with the
         <br />
         		<a id="pl.461.20"></a><var>461.20</var>director or managerial staff may be closed in the same manner and according to the
         same <br />
         		<a id="pl.461.21"></a><var>461.21</var>procedures identified in section 
         <statute_ref>13D.03</statute_ref>;<br />
         		<a id="pl.461.22"></a><var>461.22</var>(2) meetings regarding contract negotiation strategy may be closed in the same <br />
         		<a id="pl.461.23"></a><var>461.23</var>manner and according to the same procedures identified in section 
         <statute_ref>13D.05, subdivision 3</statute_ref>, <br />
         		<a id="pl.461.24"></a><var>461.24</var>paragraph (c); and<br />
         		<a id="pl.461.25"></a><var>461.25</var>(3) meetings, or portions of meetings, regarding not public data described in section
         <br />
         		<a id="pl.461.26"></a><var>461.26</var><statute_ref>62V.06, subdivision 3</statute_ref>, and regarding trade secret information as defined in section 
         <statute_ref>13.37</statute_ref>, <br />
         		<a id="pl.461.27"></a><var>461.27</var>subdivision 1, paragraph (b), are closed to the public, but must otherwise comply
         with <br />
         		<a id="pl.461.28"></a><var>461.28</var>the procedures identified in chapter 13D.<br />
         		<a id="pl.461.29"></a><var>461.29</var>(d) MNsure and provisions specified under this chapter are exempt from:<br />
         		<a id="pl.461.30"></a><var>461.30</var>(1) chapter 14, including section 
         <statute_ref>14.386</statute_ref>, except as specified in section 
         <statute_ref>62V.05</statute_ref>; and<br />
         		<a id="pl.461.31"></a><var>461.31</var>(2) chapters 16B and 16C, with the exception of sections 
         <statute_ref>16C.08, subdivision </statute_ref>2, <br />
         		<a id="pl.461.32"></a><var>461.32</var>paragraph (b), clauses (1) to (8); 
         <statute_ref>16C.086</statute_ref>; 
         <statute_ref>16C.09</statute_ref>, paragraph (a), clauses (1) and (3), <br />
         		<a id="pl.461.33"></a><var>461.33</var>paragraph (b), and paragraph (c); and section 
         <statute_ref>16C.16</statute_ref>. However, MNsure, in consultation <br />
         		<a id="pl.461.34"></a><var>461.34</var>with the commissioner of administration, shall implement policies and procedures to
         <br />
         		<a id="pl.461.35"></a><var>461.35</var>establish an open and competitive procurement process for MNsure that, to the extent
         <br />
         		<a id="pl.461.36"></a><var>461.36</var>practicable, conforms to the principles and procedures contained in chapters 16B and
         16C. <br />
         		<a id="pl.462.1"></a><var>462.1</var>In addition, MNsure may enter into an agreement with the commissioner of administration
         <br />
         		<a id="pl.462.2"></a><var>462.2</var>for other services.<br />
         		<a id="pl.462.3"></a><var>462.3</var>(e) (d)  The board and the Web site are exempt from chapter 60K. Any employee of <br />
         		<a id="pl.462.4"></a><var>462.4</var>MNsure who sells, solicits, or negotiates insurance to individuals or small employers
         must <br />
         		<a id="pl.462.5"></a><var>462.5</var>be licensed as an insurance producer under chapter 60K.<br />
         		<a id="pl.462.6"></a><var>462.6</var>(f) (e)  Section 
         <statute_ref>3.3005</statute_ref> applies to any federal funds received by MNsure.<br />
         		<a id="pl.462.7"></a><var>462.7</var>(g) MNsure is exempt from the following sections in chapter 16E: 
         <statute_ref>16E.01, <br />
            		<a id="pl.462.8"></a><var>462.8</var>subdivision 3
         </statute_ref>, paragraph (b); 
         <statute_ref>16E.03, subdivisions 3</statute_ref> and 4; 
         <statute_ref>16E.04</statute_ref>, subdivision 1, <br />
         		<a id="pl.462.9"></a><var>462.9</var>subdivision 2, paragraph (c), and subdivision 3, paragraph (b); 
         <statute_ref>16E.0465</statute_ref>; 
         <statute_ref>16E.055</statute_ref>; <br />
         		<a id="pl.462.10"></a><var>462.10</var><statute_ref>16E.145</statute_ref>; 
         <statute_ref>16E.15</statute_ref>; 
         <statute_ref>16E.16</statute_ref>; 
         <statute_ref>16E.17</statute_ref>; 
         <statute_ref>16E.18</statute_ref>; and 
         <statute_ref>16E.22</statute_ref>.<br />
         		<a id="pl.462.11"></a><var>462.11</var>(h) (f) A MNsure decision that requires a vote of the board, other than a decision <br />
         		<a id="pl.462.12"></a><var>462.12</var>that applies only to hiring of employees or other internal management of MNsure, is
         an <br />
         		<a id="pl.462.13"></a><var>462.13</var>"administrative action" under section 
         <statute_ref>10A.01, subdivision 2</statute_ref>.<br />
         		<br />
         		<a id="bill.12.3.0"></a><a id="pl.462.14"></a><var>462.14</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 62V.05, subdivision 6, is amended to read:<br />
         		<a id="pl.462.15"></a><var>462.15</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Appeals.</b> (a) The board may conduct hearings, appoint hearing officers, <br />
         		<a id="pl.462.16"></a><var>462.16</var>and recommend final orders related to appeals of any MNsure determinations, except
         for <br />
         		<a id="pl.462.17"></a><var>462.17</var>those determinations identified in paragraph (d). An appeal by a health carrier regarding
         <br />
         		<a id="pl.462.18"></a><var>462.18</var>a specific certification or selection determination made by MNsure under subdivision
         5 <br />
         		<a id="pl.462.19"></a><var>462.19</var>must be conducted as a contested case proceeding under chapter 14, with the report
         or <br />
         		<a id="pl.462.20"></a><var>462.20</var>order of the administrative law judge constituting the final decision in the case,
         subject to <br />
         		<a id="pl.462.21"></a><var>462.21</var>judicial review under sections 
         <statute_ref>14.63 </statute_ref>to 
         <statute_ref>14.69</statute_ref>. For other appeals, the board shall establish <br />
         		<a id="pl.462.22"></a><var>462.22</var>hearing processes which provide for a reasonable opportunity to be heard and timely
         <br />
         		<a id="pl.462.23"></a><var>462.23</var>resolution of the appeal and which are consistent with the requirements of federal
         law and <br />
         		<a id="pl.462.24"></a><var>462.24</var>guidance. An appealing party may be represented by legal counsel at these hearings,
         but <br />
         		<a id="pl.462.25"></a><var>462.25</var>this is not a requirement.<br />
         		<a id="pl.462.26"></a><var>462.26</var>(b) MNsure may establish service-level agreements with state agencies to conduct <br />
         		<a id="pl.462.27"></a><var>462.27</var>hearings for appeals. Notwithstanding section 
         <statute_ref>471.59</statute_ref>, subdivision 1, a state agency is <br />
         		<a id="pl.462.28"></a><var>462.28</var>authorized to enter into service-level agreements for this purpose with MNsure.<br />
         		<a id="pl.462.29"></a><var>462.29</var>(c) For proceedings under this subdivision, MNsure may be represented by an <br />
         		<a id="pl.462.30"></a><var>462.30</var>attorney who is an employee of MNsure.<br />
         		<a id="pl.462.31"></a><var>462.31</var>(d) This subdivision does not apply to appeals of determinations where a state <br />
         		<a id="pl.462.32"></a><var>462.32</var>agency hearing is available under section 
         <statute_ref>256.045</statute_ref>.<br />
         		<a id="pl.462.33"></a><var>462.33</var>(e) An appellant aggrieved by an order of MNsure issued in an eligibility appeal,
         as <br />
         		<a id="pl.462.34"></a><var>462.34</var>defined in Minnesota Rules, part 7700.0101, may appeal the order to the district court
         of <br />
         		<a id="pl.462.35"></a><var>462.35</var>the appellant's county of residence by serving a written copy of a notice of appeal
         upon <br />
         		<a id="pl.463.1"></a><var>463.1</var>MNsure and any other adverse party of record within 30 days after the date MNsure
         <br />
         		<a id="pl.463.2"></a><var>463.2</var>issued the order, the amended order, or order affirming the original order, and by
         filing <br />
         		<a id="pl.463.3"></a><var>463.3</var>the original notice and proof of service with the court administrator of the district
         court. <br />
         		<a id="pl.463.4"></a><var>463.4</var>Service may be made personally or by mail; service by mail is complete upon mailing;
         <br />
         		<a id="pl.463.5"></a><var>463.5</var>no filing fee shall be required by the court administrator in appeals taken pursuant
         to this <br />
         		<a id="pl.463.6"></a><var>463.6</var>subdivision. MNsure shall furnish all parties to the proceedings with a copy of the
         decision <br />
         		<a id="pl.463.7"></a><var>463.7</var>and a transcript of any testimony, evidence, or other supporting papers from the hearing
         <br />
         		<a id="pl.463.8"></a><var>463.8</var>held before the appeals examiner within 45 days after service of the notice of appeal.<br />
         		<a id="pl.463.9"></a><var>463.9</var>(f) Any party aggrieved by the failure of an adverse party to obey an order issued
         <br />
         		<a id="pl.463.10"></a><var>463.10</var>by MNsure may compel performance according to the order in the manner prescribed in
         <br />
         		<a id="pl.463.11"></a><var>463.11</var>sections 586.01 to 586.12.<br />
         		<a id="pl.463.12"></a><var>463.12</var>(g) Any party may obtain a hearing at a special term of the district court by serving
         a <br />
         		<a id="pl.463.13"></a><var>463.13</var>written notice of the time and place of the hearing at least ten days prior to the
         date of <br />
         		<a id="pl.463.14"></a><var>463.14</var>the hearing. The court may consider the matter in or out of chambers, and shall take
         no <br />
         		<a id="pl.463.15"></a><var>463.15</var>new or additional evidence unless it determines that such evidence is necessary for
         a <br />
         		<a id="pl.463.16"></a><var>463.16</var>more equitable disposition of the appeal.<br />
         		<a id="pl.463.17"></a><var>463.17</var>(h) Any party aggrieved by the order of the district court may appeal the order as
         in <br />
         		<a id="pl.463.18"></a><var>463.18</var>other civil cases. No costs or disbursements shall be taxed against any party nor
         shall any <br />
         		<a id="pl.463.19"></a><var>463.19</var>filing fee or bond be required of any party.<br />
         		<a id="pl.463.20"></a><var>463.20</var>(i) If MNsure or district court orders eligibility for qualified health plan coverage
         <br />
         		<a id="pl.463.21"></a><var>463.21</var>through MNsure, or eligibility for federal advance payment of premium tax credits
         <br />
         		<a id="pl.463.22"></a><var>463.22</var>or cost-sharing reductions contingent upon full payment of respective premiums, the
         <br />
         		<a id="pl.463.23"></a><var>463.23</var>premiums must be paid or provided pending appeal to the district court, Court of Appeals,
         <br />
         		<a id="pl.463.24"></a><var>463.24</var>or Supreme Court. Provision of eligibility by MNsure pending appeal does not render
         <br />
         		<a id="pl.463.25"></a><var>463.25</var>moot MNsure's position in a court of law.<br />
         		<br />
         		<a id="bill.12.4.0"></a><a id="pl.463.26"></a><var>463.26</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 62V.05, subdivision 7, is amended to read:<br />
         		<a id="pl.463.27"></a><var>463.27</var>&#160;&#160;&#160;&#160;Subd. 7. <b>Agreements; consultation.</b> (a) The board shall:<br />
         		<a id="pl.463.28"></a><var>463.28</var>(1) establish and maintain an agreement with the chief information officer of the
         <br />
         		<a id="pl.463.29"></a><var>463.29</var>Office of MN.IT Services for information technology services that ensures coordination
         <br />
         		<a id="pl.463.30"></a><var>463.30</var>with public health care programs. The board may establish and maintain agreements
         <br />
         		<a id="pl.463.31"></a><var>463.31</var>with the chief information officer of the Office of MN.IT Services for other information
         <br />
         		<a id="pl.463.32"></a><var>463.32</var>technology services, including an agreement that would permit MNsure to administer
         <br />
         		<a id="pl.463.33"></a><var>463.33</var>eligibility for additional health care and public assistance programs under the authority
         <br />
         		<a id="pl.463.34"></a><var>463.34</var>of the commissioner of human services;<br />
         		<a id="pl.464.1"></a><var>464.1</var>(2) (1) establish and maintain an agreement with the commissioner of human <br />
         		<a id="pl.464.2"></a><var>464.2</var>services for cost allocation and services regarding eligibility determinations and
         <br />
         		<a id="pl.464.3"></a><var>464.3</var>enrollment for public health care programs that use a modified adjusted gross income
         <br />
         		<a id="pl.464.4"></a><var>464.4</var>standard to determine program eligibility. The board may establish and maintain an
         <br />
         		<a id="pl.464.5"></a><var>464.5</var>agreement with the commissioner of human services for other services;<br />
         		<a id="pl.464.6"></a><var>464.6</var>(3) (2) establish and maintain an agreement with the commissioners of commerce and <br />
         		<a id="pl.464.7"></a><var>464.7</var>health for services regarding enforcement of MNsure certification requirements for
         health <br />
         		<a id="pl.464.8"></a><var>464.8</var>plans and dental plans offered through MNsure. The board may establish and maintain
         <br />
         		<a id="pl.464.9"></a><var>464.9</var>agreements with the commissioners of commerce and health for other services; and<br />
         		<a id="pl.464.10"></a><var>464.10</var>(4) (3) establish interagency agreements to transfer funds to other state agencies for <br />
         		<a id="pl.464.11"></a><var>464.11</var>their costs related to implementing and operating MNsure, excluding medical assistance
         <br />
         		<a id="pl.464.12"></a><var>464.12</var>allocatable costs.<br />
         		<a id="pl.464.13"></a><var>464.13</var>(b) The board shall consult with the commissioners of commerce and health <br />
         		<a id="pl.464.14"></a><var>464.14</var>regarding the operations of MNsure.<br />
         		<a id="pl.464.15"></a><var>464.15</var>(c) The board shall consult with Indian tribes and organizations regarding the <br />
         		<a id="pl.464.16"></a><var>464.16</var>operation of MNsure.<br />
         		<a id="pl.464.17"></a><var>464.17</var>(d) Beginning March 15, 2014 2016, and each March 15 thereafter, the board shall <br />
         		<a id="pl.464.18"></a><var>464.18</var>submit a report to the chairs and ranking minority members of the committees in the
         <br />
         		<a id="pl.464.19"></a><var>464.19</var>senate and house of representatives with primary jurisdiction over commerce, health,
         and <br />
         		<a id="pl.464.20"></a><var>464.20</var>human services on all the agreements entered into with the chief information officer
         of the <br />
         		<a id="pl.464.21"></a><var>464.21</var>Office of MN.IT Services, or the commissioners of human services, health, or commerce
         <br />
         		<a id="pl.464.22"></a><var>464.22</var>in accordance with this subdivision. The report shall include the agency in which
         the <br />
         		<a id="pl.464.23"></a><var>464.23</var>agreement is with; the time period of the agreement; the purpose of the agreement;
         and <br />
         		<a id="pl.464.24"></a><var>464.24</var>a summary of the terms of the agreement. A copy of the agreement must be submitted
         <br />
         		<a id="pl.464.25"></a><var>464.25</var>to the extent practicable.<br />
         		<br />
         		<a id="bill.12.5.0"></a><a id="pl.464.26"></a><var>464.26</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 62V.05, subdivision 8, is amended to read:<br />
         		<a id="pl.464.27"></a><var>464.27</var>&#160;&#160;&#160;&#160;Subd. 8. <b>Rulemaking.</b> (a) If the board's policies, procedures, or other statements are <br />
         		<a id="pl.464.28"></a><var>464.28</var>rules, as defined in section 
         <statute_ref>14.02, subdivision 4</statute_ref>, the requirements in either paragraph (b) <br />
         		<a id="pl.464.29"></a><var>464.29</var>or (c) apply, as applicable.<br />
         		<a id="pl.464.30"></a><var>464.30</var>(b) Effective upon enactment until January 1, 2015:<br />
         		<a id="pl.464.31"></a><var>464.31</var>(1) the board shall publish notice of proposed rules in the State Register after <br />
         		<a id="pl.464.32"></a><var>464.32</var>complying with section 
         <statute_ref>14.07, subdivision 2</statute_ref>;<br />
         		<a id="pl.464.33"></a><var>464.33</var>(2) interested parties have 21 days to comment on the proposed rules. The board <br />
         		<a id="pl.464.34"></a><var>464.34</var>must consider comments it receives. After the board has considered all comments and
         <br />
         		<a id="pl.465.1"></a><var>465.1</var>has complied with section 
         <statute_ref>14.07, subdivision 2</statute_ref>, the board shall publish notice of the <br />
         		<a id="pl.465.2"></a><var>465.2</var>final rule in the State Register;<br />
         		<a id="pl.465.3"></a><var>465.3</var>(3) if the adopted rules are the same as the proposed rules, the notice shall state
         that <br />
         		<a id="pl.465.4"></a><var>465.4</var>the rules have been adopted as proposed and shall cite the prior publication. If the
         adopted <br />
         		<a id="pl.465.5"></a><var>465.5</var>rules differ from the proposed rules, the portions of the adopted rules that differ
         from the <br />
         		<a id="pl.465.6"></a><var>465.6</var>proposed rules shall be included in the notice of adoption, together with a citation
         to the <br />
         		<a id="pl.465.7"></a><var>465.7</var>prior State Register that contained the notice of the proposed rules; and<br />
         		<a id="pl.465.8"></a><var>465.8</var>(4) rules published in the State Register before January 1, 2014, take effect upon
         <br />
         		<a id="pl.465.9"></a><var>465.9</var>publication of the notice. Rules published in the State Register on and after January
         1, <br />
         		<a id="pl.465.10"></a><var>465.10</var>2014, take effect 30 days after publication of the notice.<br />
         		<a id="pl.465.11"></a><var>465.11</var>(c) Beginning January 1, 2015, The board may adopt rules to implement any <br />
         		<a id="pl.465.12"></a><var>465.12</var>provisions in this chapter using the expedited rulemaking process in section 
         <statute_ref>14.389</statute_ref>.<br />
         		<a id="pl.465.13"></a><var>465.13</var>(d) The notice of proposed rules required in paragraph (b) must provide information
         <br />
         		<a id="pl.465.14"></a><var>465.14</var>as to where the public may obtain a copy of the rules. The board shall post the proposed
         <br />
         		<a id="pl.465.15"></a><var>465.15</var>rules on the MNsure Web site at the same time the notice is published in the State
         Register.<br />
         		<br />
         		<a id="bill.12.6.0"></a><a id="pl.465.16"></a><var>465.16</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 62V.05, is amended by adding a subdivision <br />
         		<a id="pl.465.17"></a><var>465.17</var>to read:<br />
         		<a id="pl.465.18"></a><var>465.18</var>&#160;&#160;&#160;&#160;Subd. 12. <b>Prohibition on other product lines.</b> MNsure is prohibited from <br />
         		<a id="pl.465.19"></a><var>465.19</var>certifying, selecting, or offering products and policies of coverage that do not meet
         the <br />
         		<a id="pl.465.20"></a><var>465.20</var>definition of health plan or dental plan as provided in section 62V.02.<br />
         		<br />
         		<a id="bill.12.7.0"></a><a id="pl.465.21"></a><var>465.21</var>&#160;&#160;&#160;&#160;Sec. 7. <b>EXPANDED ACCESS TO THE SMALL BUSINESS HEALTH CARE </b><br />
         		<a id="pl.465.22"></a><var>465.22</var><b>TAX CREDIT.</b><br />
         		<a id="pl.465.23"></a><var>465.23</var>(a) The commissioner of human services, in consultation with the Board of Directors
         <br />
         		<a id="pl.465.24"></a><var>465.24</var>of MNsure and the MNsure Legislative Oversight Committee, shall develop a proposal
         <br />
         		<a id="pl.465.25"></a><var>465.25</var>to allow small employers the ability to receive the small business health care tax
         credit <br />
         		<a id="pl.465.26"></a><var>465.26</var>when the small employer pays the premiums on behalf of employees enrolled in either
         a <br />
         		<a id="pl.465.27"></a><var>465.27</var>qualified health plan offered through a small business health options program (SHOP)
         <br />
         		<a id="pl.465.28"></a><var>465.28</var>marketplace or a small group health plan offered outside of the SHOP marketplace within
         <br />
         		<a id="pl.465.29"></a><var>465.29</var>MNsure. To be eligible for the tax credit, the small employer must meet the requirements
         <br />
         		<a id="pl.465.30"></a><var>465.30</var>under the Affordable Care Act, except that employees may be enrolled in a small group
         <br />
         		<a id="pl.465.31"></a><var>465.31</var>health plan product offered outside of MNsure.<br />
         		<a id="pl.465.32"></a><var>465.32</var>(b) The commissioner shall seek all federal waivers and approvals necessary to <br />
         		<a id="pl.465.33"></a><var>465.33</var>implement the proposal in paragraph (a). The commissioner shall submit a draft proposal
         <br />
         		<a id="pl.465.34"></a><var>465.34</var>to the MNsure board and the MNsure Legislative Oversight Committee at least 30 days
         <br />
         		<a id="pl.466.1"></a><var>466.1</var>before submitting a final proposal to the federal government, and shall notify the
         board <br />
         		<a id="pl.466.2"></a><var>466.2</var>and Legislative Oversight Committee of any federal decision or action received regarding
         <br />
         		<a id="pl.466.3"></a><var>466.3</var>the proposal and submitted waiver.<br />
         		<a id="pl.466.4"></a><var>466.4</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.12.8.0"></a><a id="pl.466.5"></a><var>466.5</var>&#160;&#160;&#160;&#160;Sec. 8. <b>EXPANDED ACCESS TO QUALIFIED HEALTH PLANS AND </b><br />
         		<a id="pl.466.6"></a><var>466.6</var><b>SUBSIDIES.</b><br />
         		<a id="pl.466.7"></a><var>466.7</var>The commissioner of commerce, in consultation with the Board of Directors of <br />
         		<a id="pl.466.8"></a><var>466.8</var>MNsure and the MNsure Legislative Oversight Committee, shall develop a proposal to
         <br />
         		<a id="pl.466.9"></a><var>466.9</var>allow individuals to purchase qualified health plans outside of MNsure directly from
         <br />
         		<a id="pl.466.10"></a><var>466.10</var>health plan companies and to allow eligible individuals to receive advanced premium
         tax <br />
         		<a id="pl.466.11"></a><var>466.11</var>credits and cost-sharing reductions when purchasing these health plans. The commissioner
         <br />
         		<a id="pl.466.12"></a><var>466.12</var>shall seek all federal waivers and approvals necessary to implement this proposal.
         <br />
         		<a id="pl.466.13"></a><var>466.13</var>The commissioner shall submit a draft proposal to the MNsure board and the MNsure
         <br />
         		<a id="pl.466.14"></a><var>466.14</var>Legislative Oversight Committee at least 30 days before submitting a final proposal
         to the <br />
         		<a id="pl.466.15"></a><var>466.15</var>federal government and shall notify the board and legislative oversight committee
         of any <br />
         		<a id="pl.466.16"></a><var>466.16</var>federal decision or action related to the proposal.<br />
         		<br />
         		<a id="bill.12.9.0"></a><a id="pl.466.17"></a><var>466.17</var>&#160;&#160;&#160;&#160;Sec. 9. <b> REPEALER.</b><br />
         		<a id="pl.466.18"></a><var>466.18</var>Minnesota Statutes 2014, section 62V.11, subdivision 3, is repealed.<br />
         		<br />
         		<a id="bill.13.0.0"></a><div class="xtend_ce"><a id="pl.466.19"></a><var>466.19</var><b>ARTICLE 13</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.466.20"></a><var>466.20</var><b>HUMAN SERVICES FORECAST ADJUSTMENTS</b><br />
            		
         </div><br />
         		<a id="bill.13.1.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.466.21"></a><var>466.21</var><br />
                  		
               </td>
               <td colspan="7">Section 1. <b>DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.</b><b> </b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.466.22"></a><var>466.22</var>The dollar amounts shown are added to or, if shown in parentheses, are subtracted
         <br />
         		<a id="pl.466.23"></a><var>466.23</var>from the appropriations in Laws 2013, chapter 108, article 14, as amended by Laws
         2014, <br />
         		<a id="pl.466.24"></a><var>466.24</var>chapter 312, article 30, from the general fund, or any other fund named, to the Department
         <br />
         		<a id="pl.466.25"></a><var>466.25</var>of Human Services for the purposes specified in this article, to be available for
         the fiscal <br />
         		<a id="pl.466.26"></a><var>466.26</var>years indicated for each purpose. The figure "2015" used in this article means that
         the <br />
         		<a id="pl.466.27"></a><var>466.27</var>appropriations listed are available for the fiscal year ending June 30, 2015.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.466.28"></a><var>466.28</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>APPROPRIATIONS</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.466.29"></a><var>466.29</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Available for the Year</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.466.30"></a><var>466.30</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Ending June 30</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.466.31"></a><var>466.31</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td></td>
               <td align="center"><b>2015</b><br />
                  		
               </td>
               <td></td>
               <td align="center"></td>
            </tr>
         </table><br />
         		<a id="bill.13.2.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.466.32"></a><var>466.32</var><br />
                  		<a id="pl.466.33"></a><var>466.33</var><br />
                  		
               </td>
               <td colspan="3">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br />
                  		<b>SERVICES</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.1"></a><var>467.1</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>(255,104,000)</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.467.2"></a><var>467.2</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.467.3"></a><var>467.3</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2015<br />
                  		
               </td>
               <td align="center"></td>
            </tr>
            <tr>
               <td><a id="pl.467.4"></a><var>467.4</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(125,910,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.467.5"></a><var>467.5</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">(123,113,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.467.6"></a><var>467.6</var><br />
                  		
               </td>
               <td>TANF<br />
                  		
               </td>
               <td align="right">(6,081,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.7"></a><var>467.7</var><br />
                  		
               </td>
               <td colspan="2">Subd. 2.<b>Forecasted Programs</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.467.8"></a><var>467.8</var><br />
                  		
               </td>
               <td>(a) <b>MFIP/DWP Grants</b><br />
                  		
               </td>
               <td></td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.467.9"></a><var>467.9</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.467.10"></a><var>467.10</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(1,977,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.467.11"></a><var>467.11</var><br />
                  		
               </td>
               <td>TANF<br />
                  		
               </td>
               <td align="right">(7,079,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.12"></a><var>467.12</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">9,733,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.13"></a><var>467.13</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>General Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(1,423,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.14"></a><var>467.14</var><br />
                  		
               </td>
               <td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(1,121,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.15"></a><var>467.15</var><br />
                  		
               </td>
               <td colspan="3">(e) <b>Group Residential Housing Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(6,314,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.16"></a><var>467.16</var><br />
                  		
               </td>
               <td colspan="3">(f) <b>MinnesotaCare Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(75,675,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.467.17"></a><var>467.17</var>This appropriation is from the health care <br />
         		<a id="pl.467.18"></a><var>467.18</var>access fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.19"></a><var>467.19</var><br />
                  		
               </td>
               <td colspan="3">(g) <b>Medical Assistance Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.467.20"></a><var>467.20</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.467.21"></a><var>467.21</var><br />
                  		
               </td>
               <td>General Fund<br />
                  		
               </td>
               <td align="right">(124,557,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
            <tr>
               <td><a id="pl.467.22"></a><var>467.22</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">(47,438,000)<br />
                  		
               </td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.23"></a><var>467.23</var><br />
                  		
               </td>
               <td colspan="3">(h) <b>Alternative Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">0<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.24"></a><var>467.24</var><br />
                  		
               </td>
               <td colspan="3">(i) <b>CD Entitlement Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">(251,000)<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.25"></a><var>467.25</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Technical Activities</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">998,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.467.26"></a><var>467.26</var>This appropriation is from the TANF fund.<br />
         		<br />
         		<a id="bill.13.3.0"></a><a id="pl.467.27"></a><var>467.27</var>&#160;&#160;&#160;&#160;Sec. 3. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.467.28"></a><var>467.28</var>Sections 1 and 2 are effective the day following final enactment.<br />
         		<br />
         		<a id="bill.14.0.0"></a><div class="xtend_ce"><a id="pl.467.29"></a><var>467.29</var><b>ARTICLE 14</b><br />
            		
         </div>
         <div class="xtend_ce"><a id="pl.467.30"></a><var>467.30</var><b>HEALTH AND HUMAN SERVICES APPROPRIATIONS</b><br />
            		
         </div><br />
         		<a id="bill.14.1.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.467.31"></a><var>467.31</var><br />
                  		
               </td>
               <td colspan="7">Section 1. <b>HEALTH AND HUMAN SERVICES APPROPRIATIONS.</b><b> </b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.468.1"></a><var>468.1</var>The sums shown in the columns marked "Appropriations" are appropriated to the <br />
         		<a id="pl.468.2"></a><var>468.2</var>agencies and for the purposes specified in this article. The appropriations are from
         the <br />
         		<a id="pl.468.3"></a><var>468.3</var>general fund, or another named fund, and are available for the fiscal years indicated
         <br />
         		<a id="pl.468.4"></a><var>468.4</var>for each purpose. The figures "2016" and "2017" used in this article mean that the
         <br />
         		<a id="pl.468.5"></a><var>468.5</var>appropriations listed under them are available for the fiscal year ending June 30,
         2016, or <br />
         		<a id="pl.468.6"></a><var>468.6</var>June 30, 2017, respectively. "The first year" is fiscal year 2016. "The second year"
         is fiscal <br />
         		<a id="pl.468.7"></a><var>468.7</var>year 2017. "The biennium" is fiscal years 2016 and 2017.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.468.8"></a><var>468.8</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>APPROPRIATIONS</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.9"></a><var>468.9</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Available for the Year</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.10"></a><var>468.10</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td colspan="4" align="center"><b>Ending June 30</b><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.11"></a><var>468.11</var><br />
                  		
               </td>
               <td></td>
               <td></td>
               <td></td>
               <td></td>
               <td align="center"><b>2016</b><br />
                  		
               </td>
               <td></td>
               <td align="center"><b>2017</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.2.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.468.12"></a><var>468.12</var><br />
                  		<a id="pl.468.13"></a><var>468.13</var><br />
                  		
               </td>
               <td colspan="3">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br />
                  		<b>SERVICES</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.468.14"></a><var>468.14</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>7,236,563,000</b><br />
                  		
               </td>
               <td align="center"><b>$ </b><br />
                  		
               </td>
               <td align="right"><b>7,443,496,000</b><br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.468.15"></a><var>468.15</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.16"></a><var>468.16</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2016<br />
                  		
               </td>
               <td align="center">2017<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.17"></a><var>468.17</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">5,903,939,000 <br />
                  		
               </td>
               <td align="right">6,448,469,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.18"></a><var>468.18</var><br />
                  		<a id="pl.468.19"></a><var>468.19</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">4,514,000<br />
                  		
               </td>
               <td align="right">4,274,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.20"></a><var>468.20</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">1,059,147,000<br />
                  		
               </td>
               <td align="right">725,326,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.21"></a><var>468.21</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">267,070,000<br />
                  		
               </td>
               <td align="right">263,531,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.468.22"></a><var>468.22</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">1,893,000<br />
                  		
               </td>
               <td align="right">1,896,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.468.23"></a><var>468.23</var><b>Receipts for Systems Projects. </b><br />
         		<a id="pl.468.24"></a><var>468.24</var>Appropriations and federal receipts for  <br />
         		<a id="pl.468.25"></a><var>468.25</var>information systems projects for MAXIS, <br />
         		<a id="pl.468.26"></a><var>468.26</var>PRISM, MMIS, ISDS, and SSIS must <br />
         		<a id="pl.468.27"></a><var>468.27</var>be deposited in the state systems account <br />
         		<a id="pl.468.28"></a><var>468.28</var>authorized in Minnesota Statutes, section <br />
         		<a id="pl.468.29"></a><var>468.29</var>256.014. Money appropriated for computer <br />
         		<a id="pl.468.30"></a><var>468.30</var>projects approved by the commissioner <br />
         		<a id="pl.468.31"></a><var>468.31</var>of the Office of MN.IT Services, funded <br />
         		<a id="pl.468.32"></a><var>468.32</var>by the legislature, and approved by the <br />
         		<a id="pl.468.33"></a><var>468.33</var>commissioner of management and budget <br />
         		<a id="pl.468.34"></a><var>468.34</var>may be transferred from one project to <br />
         		<a id="pl.468.35"></a><var>468.35</var>another and from development to operations <br />
         		<a id="pl.468.36"></a><var>468.36</var>as the commissioner of human services <br />
         		<a id="pl.468.37"></a><var>468.37</var>considers necessary. Any unexpended <br />
         		<a id="pl.469.1"></a><var>469.1</var>balance in the appropriation for these <br />
         		<a id="pl.469.2"></a><var>469.2</var>projects does not cancel but is available for <br />
         		<a id="pl.469.3"></a><var>469.3</var>ongoing development and operations.<br />
         		<a id="pl.469.4"></a><var>469.4</var><b>TANF Maintenance of Effort.</b> (a) In order <br />
         		<a id="pl.469.5"></a><var>469.5</var>to meet the basic maintenance of effort <br />
         		<a id="pl.469.6"></a><var>469.6</var>(MOE) requirements of the TANF block grant <br />
         		<a id="pl.469.7"></a><var>469.7</var>specified under Code of Federal Regulations, <br />
         		<a id="pl.469.8"></a><var>469.8</var>title 45, section 263.1, the commissioner may <br />
         		<a id="pl.469.9"></a><var>469.9</var>only report nonfederal money expended for <br />
         		<a id="pl.469.10"></a><var>469.10</var>allowable activities listed in the following <br />
         		<a id="pl.469.11"></a><var>469.11</var>clauses as TANF/MOE expenditures:<br />
         		<a id="pl.469.12"></a><var>469.12</var>(1) MFIP cash, diversionary work program, <br />
         		<a id="pl.469.13"></a><var>469.13</var>and food assistance benefits under Minnesota <br />
         		<a id="pl.469.14"></a><var>469.14</var>Statutes, chapter 256J;<br />
         		<a id="pl.469.15"></a><var>469.15</var>(2) the child care assistance programs <br />
         		<a id="pl.469.16"></a><var>469.16</var>under Minnesota Statutes, sections 119B.03 <br />
         		<a id="pl.469.17"></a><var>469.17</var>and 119B.05, and county child care <br />
         		<a id="pl.469.18"></a><var>469.18</var>administrative costs under Minnesota <br />
         		<a id="pl.469.19"></a><var>469.19</var>Statutes, section 119B.15;<br />
         		<a id="pl.469.20"></a><var>469.20</var>(3) state and county MFIP administrative <br />
         		<a id="pl.469.21"></a><var>469.21</var>costs under Minnesota Statutes, chapters <br />
         		<a id="pl.469.22"></a><var>469.22</var>256J and 256K;<br />
         		<a id="pl.469.23"></a><var>469.23</var>(4) state, county, and tribal MFIP <br />
         		<a id="pl.469.24"></a><var>469.24</var>employment services under Minnesota <br />
         		<a id="pl.469.25"></a><var>469.25</var>Statutes, chapters 256J and 256K;<br />
         		<a id="pl.469.26"></a><var>469.26</var>(5) expenditures made on behalf of legal  <br />
         		<a id="pl.469.27"></a><var>469.27</var>noncitizen MFIP recipients who qualify for <br />
         		<a id="pl.469.28"></a><var>469.28</var>the MinnesotaCare program under Minnesota <br />
         		<a id="pl.469.29"></a><var>469.29</var>Statutes, chapter 256L;<br />
         		<a id="pl.469.30"></a><var>469.30</var>(6) qualifying working family credit <br />
         		<a id="pl.469.31"></a><var>469.31</var>expenditures under Minnesota Statutes, <br />
         		<a id="pl.469.32"></a><var>469.32</var>section 290.0671; and<br />
         		<a id="pl.470.1"></a><var>470.1</var>(7) qualifying Minnesota education credit <br />
         		<a id="pl.470.2"></a><var>470.2</var>expenditures under Minnesota Statutes, <br />
         		<a id="pl.470.3"></a><var>470.3</var>section 290.0674.<br />
         		<a id="pl.470.4"></a><var>470.4</var>(b) The commissioner shall ensure that <br />
         		<a id="pl.470.5"></a><var>470.5</var>sufficient qualified nonfederal expenditures <br />
         		<a id="pl.470.6"></a><var>470.6</var>are made each year to meet the state's <br />
         		<a id="pl.470.7"></a><var>470.7</var>TANF/MOE requirements. For the activities <br />
         		<a id="pl.470.8"></a><var>470.8</var>listed in paragraph (a), clauses (2) to <br />
         		<a id="pl.470.9"></a><var>470.9</var>(7), the commissioner may only report <br />
         		<a id="pl.470.10"></a><var>470.10</var>expenditures that are excluded from the <br />
         		<a id="pl.470.11"></a><var>470.11</var>definition of assistance under Code of <br />
         		<a id="pl.470.12"></a><var>470.12</var>Federal Regulations, title 45, section 260.31.<br />
         		<a id="pl.470.13"></a><var>470.13</var>(c) For fiscal years beginning with state fiscal <br />
         		<a id="pl.470.14"></a><var>470.14</var>year 2003, the commissioner shall ensure <br />
         		<a id="pl.470.15"></a><var>470.15</var>that the maintenance of effort used by the <br />
         		<a id="pl.470.16"></a><var>470.16</var>commissioner of management and budget <br />
         		<a id="pl.470.17"></a><var>470.17</var>for the February and November forecasts <br />
         		<a id="pl.470.18"></a><var>470.18</var>required under Minnesota Statutes, section <br />
         		<a id="pl.470.19"></a><var>470.19</var>16A.103, contains expenditures under <br />
         		<a id="pl.470.20"></a><var>470.20</var>paragraph (a), clause (1), equal to at least 16 <br />
         		<a id="pl.470.21"></a><var>470.21</var>percent of the total required under Code of <br />
         		<a id="pl.470.22"></a><var>470.22</var>Federal Regulations, title 45, section 263.1.<br />
         		<a id="pl.470.23"></a><var>470.23</var>(d) The requirement in Minnesota Statutes, <br />
         		<a id="pl.470.24"></a><var>470.24</var>section 256.011, subdivision 3, that federal <br />
         		<a id="pl.470.25"></a><var>470.25</var>grants or aids secured or obtained under that <br />
         		<a id="pl.470.26"></a><var>470.26</var>subdivision be used to reduce any direct <br />
         		<a id="pl.470.27"></a><var>470.27</var>appropriations provided by law, does not <br />
         		<a id="pl.470.28"></a><var>470.28</var>apply if the grants or aids are federal TANF <br />
         		<a id="pl.470.29"></a><var>470.29</var>funds.<br />
         		<a id="pl.470.30"></a><var>470.30</var>(e) For the federal fiscal years beginning on <br />
         		<a id="pl.470.31"></a><var>470.31</var>or after October 1, 2007, the commissioner <br />
         		<a id="pl.470.32"></a><var>470.32</var>may not claim an amount of TANF/MOE in <br />
         		<a id="pl.470.33"></a><var>470.33</var>excess of the 75 percent standard in Code <br />
         		<a id="pl.470.34"></a><var>470.34</var>of Federal Regulations, title 45, section <br />
         		<a id="pl.470.35"></a><var>470.35</var>263.1(a)(2), except:<br />
         		<a id="pl.471.1"></a><var>471.1</var>(1) to the extent necessary to meet the 80 <br />
         		<a id="pl.471.2"></a><var>471.2</var>percent standard under Code of Federal  <br />
         		<a id="pl.471.3"></a><var>471.3</var>Regulations, title 45, section 263.1(a)(1), <br />
         		<a id="pl.471.4"></a><var>471.4</var>if it is determined by the commissioner <br />
         		<a id="pl.471.5"></a><var>471.5</var>that the state will not meet the TANF work <br />
         		<a id="pl.471.6"></a><var>471.6</var>participation target rate for the current year;<br />
         		<a id="pl.471.7"></a><var>471.7</var>(2) to provide any additional amounts <br />
         		<a id="pl.471.8"></a><var>471.8</var>under Code of Federal Regulations, title 45, <br />
         		<a id="pl.471.9"></a><var>471.9</var>section 264.5, that relate to replacement of <br />
         		<a id="pl.471.10"></a><var>471.10</var>TANF funds due to the operation of TANF <br />
         		<a id="pl.471.11"></a><var>471.11</var>penalties; and<br />
         		<a id="pl.471.12"></a><var>471.12</var>(3) to provide any additional amounts that <br />
         		<a id="pl.471.13"></a><var>471.13</var>may contribute to avoiding or reducing <br />
         		<a id="pl.471.14"></a><var>471.14</var>TANF work participation penalties through  <br />
         		<a id="pl.471.15"></a><var>471.15</var>the operation of the excess MOE provisions <br />
         		<a id="pl.471.16"></a><var>471.16</var>of Code of Federal Regulations, title 45, <br />
         		<a id="pl.471.17"></a><var>471.17</var>section 261.43(a)(2). <br />
         		<a id="pl.471.18"></a><var>471.18</var>(f) For the purposes of paragraph (e), clauses <br />
         		<a id="pl.471.19"></a><var>471.19</var>(1) to (3), the commissioner may supplement <br />
         		<a id="pl.471.20"></a><var>471.20</var>the MOE claim with working family credit <br />
         		<a id="pl.471.21"></a><var>471.21</var>expenditures or other qualified expenditures <br />
         		<a id="pl.471.22"></a><var>471.22</var>to the extent such expenditures are otherwise <br />
         		<a id="pl.471.23"></a><var>471.23</var>available after considering the expenditures <br />
         		<a id="pl.471.24"></a><var>471.24</var>allowed in this subdivision and subdivision 2.<br />
         		<a id="pl.471.25"></a><var>471.25</var>(g) Notwithstanding any contrary provision <br />
         		<a id="pl.471.26"></a><var>471.26</var>in this article, paragraphs (a) to (f) expire <br />
         		<a id="pl.471.27"></a><var>471.27</var>June 30, 2019.<br />
         		<a id="pl.471.28"></a><var>471.28</var><b>Working Family Credit Expenditure </b><br />
         		<a id="pl.471.29"></a><var>471.29</var><b>as TANF/MOE</b>. The commissioner may <br />
         		<a id="pl.471.30"></a><var>471.30</var>claim as TANF maintenance of effort up to <br />
         		<a id="pl.471.31"></a><var>471.31</var>$6,707,000 per year of working family credit <br />
         		<a id="pl.471.32"></a><var>471.32</var>expenditures in each fiscal year.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.471.33"></a><var>471.33</var><br />
                  		<a id="pl.471.34"></a><var>471.34</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Working Family Credit to be Claimed </b><br />
                  		<b>for TANF/MOE</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.472.1"></a><var>472.1</var>The commissioner may count the following <br />
         		<a id="pl.472.2"></a><var>472.2</var>additional amounts of working family credit <br />
         		<a id="pl.472.3"></a><var>472.3</var>expenditures as TANF maintenance of effort: <br />
         		<a id="pl.472.4"></a><var>472.4</var>(1) fiscal year 2016, $0;<br />
         		<a id="pl.472.5"></a><var>472.5</var>(2) fiscal year 2017, $1,283,000;<br />
         		<a id="pl.472.6"></a><var>472.6</var>(3) fiscal year 2018, $0; and <br />
         		<a id="pl.472.7"></a><var>472.7</var>(4) fiscal year 2019, $0.<br />
         		<a id="pl.472.8"></a><var>472.8</var>Notwithstanding any contrary provision in <br />
         		<a id="pl.472.9"></a><var>472.9</var>this article, this subdivision expires June 30, <br />
         		<a id="pl.472.10"></a><var>472.10</var>2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.472.11"></a><var>472.11</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Central Office</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.472.12"></a><var>472.12</var>The amounts that may be spent from this <br />
         		<a id="pl.472.13"></a><var>472.13</var>appropriation for each purpose are as follows:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.472.14"></a><var>472.14</var><br />
                  		
               </td>
               <td colspan="3">(a) <b>Operations</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.472.15"></a><var>472.15</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.472.16"></a><var>472.16</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">115,577,000<br />
                  		
               </td>
               <td align="right">113,733,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.472.17"></a><var>472.17</var><br />
                  		<a id="pl.472.18"></a><var>472.18</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">4,389,000<br />
                  		
               </td>
               <td align="right">4,149,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.472.19"></a><var>472.19</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">9,793,000<br />
                  		
               </td>
               <td align="right">10,076,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.472.20"></a><var>472.20</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">100,000<br />
                  		
               </td>
               <td align="right">100,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.472.21"></a><var>472.21</var><b>Administrative Recovery; Set-Aside.</b> The <br />
         		<a id="pl.472.22"></a><var>472.22</var>commissioner may invoice local entities <br />
         		<a id="pl.472.23"></a><var>472.23</var>through the SWIFT accounting system as an <br />
         		<a id="pl.472.24"></a><var>472.24</var>alternative means to recover the actual cost <br />
         		<a id="pl.472.25"></a><var>472.25</var>of administering the following provisions:<br />
         		<a id="pl.472.26"></a><var>472.26</var>(1) Minnesota Statutes, section 125A.744, <br />
         		<a id="pl.472.27"></a><var>472.27</var>subdivision 3;<br />
         		<a id="pl.472.28"></a><var>472.28</var>(2) Minnesota Statutes, section 245.495, <br />
         		<a id="pl.472.29"></a><var>472.29</var>paragraph (b);<br />
         		<a id="pl.472.30"></a><var>472.30</var>(3) Minnesota Statutes, section 256B.0625, <br />
         		<a id="pl.472.31"></a><var>472.31</var>subdivision 20, paragraph (k);<br />
         		<a id="pl.472.32"></a><var>472.32</var>(4) Minnesota Statutes, section 256B.0924, <br />
         		<a id="pl.472.33"></a><var>472.33</var>subdivision 6, paragraph (g);<br />
         		<a id="pl.473.1"></a><var>473.1</var>(5) Minnesota Statutes, section 256B.0945, <br />
         		<a id="pl.473.2"></a><var>473.2</var>subdivision 4, paragraph (d); and<br />
         		<a id="pl.473.3"></a><var>473.3</var>(6) Minnesota Statutes, section 256F.10, <br />
         		<a id="pl.473.4"></a><var>473.4</var>subdivision 6, paragraph (b).<br />
         		<a id="pl.473.5"></a><var>473.5</var><b>IT Appropriations Generally.</b> This <br />
         		<a id="pl.473.6"></a><var>473.6</var>appropriation includes funds for information <br />
         		<a id="pl.473.7"></a><var>473.7</var>technology projects, services, and support. <br />
         		<a id="pl.473.8"></a><var>473.8</var>Notwithstanding  Minnesota Statutes, <br />
         		<a id="pl.473.9"></a><var>473.9</var>section 16E.0466, funding for information <br />
         		<a id="pl.473.10"></a><var>473.10</var>technology project costs shall be incorporated <br />
         		<a id="pl.473.11"></a><var>473.11</var>into the service level agreement and paid <br />
         		<a id="pl.473.12"></a><var>473.12</var>to the Office of MN.IT Services by the <br />
         		<a id="pl.473.13"></a><var>473.13</var>Department of Human Services under <br />
         		<a id="pl.473.14"></a><var>473.14</var>the rates and mechanism specified in that <br />
         		<a id="pl.473.15"></a><var>473.15</var>agreement.<br />
         		<a id="pl.473.16"></a><var>473.16</var><b>Periodic Data Matching for Medical </b><br />
         		<a id="pl.473.17"></a><var>473.17</var><b>Assistance and MinnesotaCare.</b> $1,598,000 <br />
         		<a id="pl.473.18"></a><var>473.18</var>in fiscal year 2016 and $2,017,000 in fiscal <br />
         		<a id="pl.473.19"></a><var>473.19</var>year 2017 from the general fund are for <br />
         		<a id="pl.473.20"></a><var>473.20</var>periodic data matching for medical assistance <br />
         		<a id="pl.473.21"></a><var>473.21</var>and MinnesotaCare recipients under <br />
         		<a id="pl.473.22"></a><var>473.22</var>Minnesota Statutes, section 256B.0561, and <br />
         		<a id="pl.473.23"></a><var>473.23</var>related administrative services.<br />
         		<a id="pl.473.24"></a><var>473.24</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.473.25"></a><var>473.25</var>base is increased by $1,240,000 in fiscal <br />
         		<a id="pl.473.26"></a><var>473.26</var>year 2018 and by $1,291,000 in fiscal year <br />
         		<a id="pl.473.27"></a><var>473.27</var>2019. The health care access fund base is <br />
         		<a id="pl.473.28"></a><var>473.28</var>decreased by $455,000 in fiscal year 2018 <br />
         		<a id="pl.473.29"></a><var>473.29</var>and by $455,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.473.30"></a><var>473.30</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>Children and Families</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.473.31"></a><var>473.31</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.473.32"></a><var>473.32</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">9,974,000<br />
                  		
               </td>
               <td align="right">9,829,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.473.33"></a><var>473.33</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">2,582,000<br />
                  		
               </td>
               <td align="right">2,582,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.474.1"></a><var>474.1</var><b>Financial Institution Data Match and </b><br />
         		<a id="pl.474.2"></a><var>474.2</var><b>Payment of Fees.</b> The commissioner is <br />
         		<a id="pl.474.3"></a><var>474.3</var>authorized to allocate up to $310,000 each <br />
         		<a id="pl.474.4"></a><var>474.4</var>year in fiscal year 2016 and fiscal year <br />
         		<a id="pl.474.5"></a><var>474.5</var>2017 from the PRISM special revenue <br />
         		<a id="pl.474.6"></a><var>474.6</var>account to make payments to financial <br />
         		<a id="pl.474.7"></a><var>474.7</var>institutions in exchange for performing <br />
         		<a id="pl.474.8"></a><var>474.8</var>data matches between account information <br />
         		<a id="pl.474.9"></a><var>474.9</var>held by financial institutions and the public <br />
         		<a id="pl.474.10"></a><var>474.10</var>authority's database of child support obligors <br />
         		<a id="pl.474.11"></a><var>474.11</var>as authorized by Minnesota Statutes, section <br />
         		<a id="pl.474.12"></a><var>474.12</var>13B.06, subdivision 7. <br />
         		<a id="pl.474.13"></a><var>474.13</var><b>Child Support Work Group.</b> $12,000 in <br />
         		<a id="pl.474.14"></a><var>474.14</var>fiscal year 2016 is from the general fund for <br />
         		<a id="pl.474.15"></a><var>474.15</var>facilitation of the duties of the child support <br />
         		<a id="pl.474.16"></a><var>474.16</var>work group.<br />
         		<a id="pl.474.17"></a><var>474.17</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.474.18"></a><var>474.18</var>base is  increased by $31,000 in fiscal year <br />
         		<a id="pl.474.19"></a><var>474.19</var>2018 and by $31,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.474.20"></a><var>474.20</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>Health Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.474.21"></a><var>474.21</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.474.22"></a><var>474.22</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">16,667,000<br />
                  		
               </td>
               <td align="right">16,309,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.474.23"></a><var>474.23</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">33,185,000<br />
                  		
               </td>
               <td align="right">34,007,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.474.24"></a><var>474.24</var><b>Periodic Data Matching for Medical </b><br />
         		<a id="pl.474.25"></a><var>474.25</var><b>Assistance and MinnesotaCare.</b> $116,000 <br />
         		<a id="pl.474.26"></a><var>474.26</var>in fiscal year 2017 from the health care <br />
         		<a id="pl.474.27"></a><var>474.27</var>access fund is for periodic data matching <br />
         		<a id="pl.474.28"></a><var>474.28</var>for medical assistance and MinnesotaCare <br />
         		<a id="pl.474.29"></a><var>474.29</var>recipients under Minnesota Statutes, section <br />
         		<a id="pl.474.30"></a><var>474.30</var>256B.0561, and related administrative <br />
         		<a id="pl.474.31"></a><var>474.31</var>services.<br />
         		<a id="pl.474.32"></a><var>474.32</var><b>Task Force.</b> Of the general fund <br />
         		<a id="pl.474.33"></a><var>474.33</var>appropriation, $770,000 in fiscal year 2016 is <br />
         		<a id="pl.474.34"></a><var>474.34</var>for administrative services and support to the <br />
         		<a id="pl.475.1"></a><var>475.1</var>Task Force on Health Care Financing. This <br />
         		<a id="pl.475.2"></a><var>475.2</var>is a onetime appropriation.<br />
         		<a id="pl.475.3"></a><var>475.3</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.475.4"></a><var>475.4</var>base is decreased by $98,000 in fiscal year <br />
         		<a id="pl.475.5"></a><var>475.5</var>2019. The health care access fund base is <br />
         		<a id="pl.475.6"></a><var>475.6</var>increased by $43,000 in fiscal year 2018 and <br />
         		<a id="pl.475.7"></a><var>475.7</var>by $150,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.475.8"></a><var>475.8</var><br />
                  		
               </td>
               <td colspan="3">(d) <b>Continuing Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.475.9"></a><var>475.9</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.475.10"></a><var>475.10</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">32,950,000<br />
                  		
               </td>
               <td align="right">29,924,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.475.11"></a><var>475.11</var><br />
                  		<a id="pl.475.12"></a><var>475.12</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">125,000<br />
                  		
               </td>
               <td align="right">125,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.475.13"></a><var>475.13</var><b>Training of Direct Support Services </b><br />
         		<a id="pl.475.14"></a><var>475.14</var><b>Providers.</b> $250,000 in fiscal year 2017 is <br />
         		<a id="pl.475.15"></a><var>475.15</var>for training of individual providers of direct <br />
         		<a id="pl.475.16"></a><var>475.16</var>support services as defined in Minnesota <br />
         		<a id="pl.475.17"></a><var>475.17</var>Statutes, section 256B.0711, subdivision <br />
         		<a id="pl.475.18"></a><var>475.18</var>1. This appropriation is only available <br />
         		<a id="pl.475.19"></a><var>475.19</var>if the labor agreement between the state <br />
         		<a id="pl.475.20"></a><var>475.20</var>of Minnesota and the Service Employees <br />
         		<a id="pl.475.21"></a><var>475.21</var>International Union Healthcare Minnesota <br />
         		<a id="pl.475.22"></a><var>475.22</var>under Minnesota Statutes, section 179A.54, <br />
         		<a id="pl.475.23"></a><var>475.23</var>is approved under Minnesota Statutes, <br />
         		<a id="pl.475.24"></a><var>475.24</var>sections 3.855 and 179A.22.<br />
         		<a id="pl.475.25"></a><var>475.25</var><b>Deaf and Hard-of-Hearing Services </b><br />
         		<a id="pl.475.26"></a><var>475.26</var><b>Division. </b>$650,000 in fiscal year 2016 <br />
         		<a id="pl.475.27"></a><var>475.27</var>and $500,000 in fiscal year 2017 are <br />
         		<a id="pl.475.28"></a><var>475.28</var>from the general fund for the Deaf and <br />
         		<a id="pl.475.29"></a><var>475.29</var>Hard-of-Hearing Services Division under <br />
         		<a id="pl.475.30"></a><var>475.30</var>Minnesota Statutes, section 256C.233. This <br />
         		<a id="pl.475.31"></a><var>475.31</var>is a onetime appropriation. The funds must <br />
         		<a id="pl.475.32"></a><var>475.32</var>be used:<br />
         		<a id="pl.475.33"></a><var>475.33</var>(1) to provide linguistically and culturally <br />
         		<a id="pl.475.34"></a><var>475.34</var>appropriate mental health services;<br />
         		<a id="pl.476.1"></a><var>476.1</var>(2) to ensure that each regional advisory <br />
         		<a id="pl.476.2"></a><var>476.2</var>committee meets at least quarterly;<br />
         		<a id="pl.476.3"></a><var>476.3</var>(3) to increase the number of deafblind <br />
         		<a id="pl.476.4"></a><var>476.4</var>Minnesotans receiving services;<br />
         		<a id="pl.476.5"></a><var>476.5</var>(4) to conduct an analysis of how the regional <br />
         		<a id="pl.476.6"></a><var>476.6</var>offices and staff are operated, in consultation <br />
         		<a id="pl.476.7"></a><var>476.7</var>with the Commission of Deaf, DeafBlind, <br />
         		<a id="pl.476.8"></a><var>476.8</var>and Hard of Hearing Minnesotans;<br />
         		<a id="pl.476.9"></a><var>476.9</var>(5) during fiscal year 2016, to provide direct <br />
         		<a id="pl.476.10"></a><var>476.10</var>services to clients and purchase additional <br />
         		<a id="pl.476.11"></a><var>476.11</var>technology for the technology labs; and<br />
         		<a id="pl.476.12"></a><var>476.12</var>(6) to conduct an analysis of whether <br />
         		<a id="pl.476.13"></a><var>476.13</var>deafblind services are being provided in the <br />
         		<a id="pl.476.14"></a><var>476.14</var>best and most efficient way possible, with <br />
         		<a id="pl.476.15"></a><var>476.15</var>input from deafblind Minnesotans receiving <br />
         		<a id="pl.476.16"></a><var>476.16</var>services.<br />
         		<a id="pl.476.17"></a><var>476.17</var><b>Nursing Facilities.</b> $890,000 in fiscal year <br />
         		<a id="pl.476.18"></a><var>476.18</var>2016 is from the general fund for the nursing <br />
         		<a id="pl.476.19"></a><var>476.19</var>facility property rate setting appraisals and <br />
         		<a id="pl.476.20"></a><var>476.20</var>study. This is a onetime appropriation.<br />
         		<a id="pl.476.21"></a><var>476.21</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.476.22"></a><var>476.22</var>base is decreased by $174,000 in fiscal year <br />
         		<a id="pl.476.23"></a><var>476.23</var>2018 and by $234,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.476.24"></a><var>476.24</var><br />
                  		
               </td>
               <td colspan="3">(e) <b>Chemical and Mental Health</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.476.25"></a><var>476.25</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.476.26"></a><var>476.26</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">7,058,000<br />
                  		
               </td>
               <td align="right">7,240,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.476.27"></a><var>476.27</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">160,000<br />
                  		
               </td>
               <td align="right">163,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.476.28"></a><var>476.28</var><b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.476.29"></a><var>476.29</var>base is decreased by $301,000 in fiscal year <br />
         		<a id="pl.476.30"></a><var>476.30</var>2018 and is decreased by $354,000 in fiscal <br />
         		<a id="pl.476.31"></a><var>476.31</var>year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.476.32"></a><var>476.32</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Forecasted Programs</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.477.1"></a><var>477.1</var>The amounts that may be spent from this <br />
         		<a id="pl.477.2"></a><var>477.2</var>appropriation for each purpose are as follows:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.3"></a><var>477.3</var><br />
                  		
               </td>
               <td colspan="3">(a) <b>MFIP/DWP</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.477.4"></a><var>477.4</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.477.5"></a><var>477.5</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">93,620,000<br />
                  		
               </td>
               <td align="right">98,452,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.477.6"></a><var>477.6</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">85,266,000<br />
                  		
               </td>
               <td align="right">80,971,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.7"></a><var>477.7</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>MFIP Child Care Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">101,315,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">108,521,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.8"></a><var>477.8</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>General Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">55,117,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">57,847,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.477.9"></a><var>477.9</var><b>General Assistance Standard.</b> The <br />
         		<a id="pl.477.10"></a><var>477.10</var>commissioner shall set the monthly standard <br />
         		<a id="pl.477.11"></a><var>477.11</var>of assistance for general assistance units <br />
         		<a id="pl.477.12"></a><var>477.12</var>consisting of an adult recipient who is <br />
         		<a id="pl.477.13"></a><var>477.13</var>childless and unmarried or living apart <br />
         		<a id="pl.477.14"></a><var>477.14</var>from parents or a legal guardian at $203. <br />
         		<a id="pl.477.15"></a><var>477.15</var>The commissioner may reduce this amount <br />
         		<a id="pl.477.16"></a><var>477.16</var>according to Laws 1997, chapter 85, article <br />
         		<a id="pl.477.17"></a><var>477.17</var>3, section 54. <br />
         		<a id="pl.477.18"></a><var>477.18</var><b>Emergency General Assistance.</b> The <br />
         		<a id="pl.477.19"></a><var>477.19</var>amount appropriated for emergency <br />
         		<a id="pl.477.20"></a><var>477.20</var>general assistance is limited to no more <br />
         		<a id="pl.477.21"></a><var>477.21</var>than $6,729,812 in fiscal year 2016 and <br />
         		<a id="pl.477.22"></a><var>477.22</var>$6,729,812 in fiscal year 2017. Funds <br />
         		<a id="pl.477.23"></a><var>477.23</var>to counties shall be allocated by the <br />
         		<a id="pl.477.24"></a><var>477.24</var>commissioner using the allocation method <br />
         		<a id="pl.477.25"></a><var>477.25</var>under Minnesota Statutes, section 256D.06.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.26"></a><var>477.26</var><br />
                  		
               </td>
               <td colspan="3">(d) <b>Minnesota Supplemental Aid</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">39,668,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">41,169,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.27"></a><var>477.27</var><br />
                  		
               </td>
               <td colspan="3">(e) <b>Group Residential Housing</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">155,753,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">167,194,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.28"></a><var>477.28</var><br />
                  		
               </td>
               <td colspan="3">(f) <b>Northstar Care for Children</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">41,096,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">46,337,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.29"></a><var>477.29</var><br />
                  		
               </td>
               <td colspan="3">(g) <b>MinnesotaCare</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">361,114,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">387,081,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.477.30"></a><var>477.30</var>This appropriation is from the health care <br />
         		<a id="pl.477.31"></a><var>477.31</var>access fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.477.32"></a><var>477.32</var><br />
                  		
               </td>
               <td colspan="3">(h) <b>Medical Assistance</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.478.1"></a><var>478.1</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.478.2"></a><var>478.2</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">4,468,089,000 <br />
                  		
               </td>
               <td align="right">4,977,237,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.478.3"></a><var>478.3</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">650,139,000<br />
                  		
               </td>
               <td align="right">288,224,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.478.4"></a><var>478.4</var><b>Behavioral Health Services. </b> $1,000,000 <br />
         		<a id="pl.478.5"></a><var>478.5</var>each fiscal year is for behavioral health <br />
         		<a id="pl.478.6"></a><var>478.6</var>services provided by hospitals identified <br />
         		<a id="pl.478.7"></a><var>478.7</var>under Minnesota Statutes, section 256.969, <br />
         		<a id="pl.478.8"></a><var>478.8</var>subdivision 2b, paragraph (a), clause (4). <br />
         		<a id="pl.478.9"></a><var>478.9</var>The increase in payments shall be made by <br />
         		<a id="pl.478.10"></a><var>478.10</var>increasing the adjustment under Minnesota <br />
         		<a id="pl.478.11"></a><var>478.11</var>Statutes, section 256.969, subdivision 2b, <br />
         		<a id="pl.478.12"></a><var>478.12</var>paragraph (e), clause (2).<br />
         		<a id="pl.478.13"></a><var>478.13</var><b>Base Adjustment.</b> The health care access <br />
         		<a id="pl.478.14"></a><var>478.14</var>fund base for medical assistance is decreased <br />
         		<a id="pl.478.15"></a><var>478.15</var>by $30,917,000 in fiscal year 2018 and by <br />
         		<a id="pl.478.16"></a><var>478.16</var>$16,108,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.478.17"></a><var>478.17</var><br />
                  		
               </td>
               <td colspan="3">(i) <b>Alternative Care</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">43,997,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">43,590,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.478.18"></a><var>478.18</var><b>Alternative Care Transfer.</b> Any money <br />
         		<a id="pl.478.19"></a><var>478.19</var>allocated to the alternative care program  that <br />
         		<a id="pl.478.20"></a><var>478.20</var>is not spent for the purposes indicated does <br />
         		<a id="pl.478.21"></a><var>478.21</var>not cancel but must be transferred to the <br />
         		<a id="pl.478.22"></a><var>478.22</var>medical assistance account. <br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.478.23"></a><var>478.23</var><br />
                  		
               </td>
               <td colspan="3">(j) <b>Chemical Dependency Treatment Fund</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">83,868,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">86,962,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.478.24"></a><var>478.24</var><br />
                  		
               </td>
               <td colspan="3">Subd. 5.<b>Grant Programs</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.478.25"></a><var>478.25</var>The amounts that may be spent from this <br />
         		<a id="pl.478.26"></a><var>478.26</var>appropriation for each purpose are as follows:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.478.27"></a><var>478.27</var><br />
                  		
               </td>
               <td colspan="3">(a) <b>Support Services Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.478.28"></a><var>478.28</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.478.29"></a><var>478.29</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">13,133,000<br />
                  		
               </td>
               <td align="right">8,715,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.478.30"></a><var>478.30</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">96,311,000<br />
                  		
               </td>
               <td align="right">96,311,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.478.31"></a><var>478.31</var><br />
                  		<a id="pl.478.32"></a><var>478.32</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>Basic Sliding Fee Child Care Assistance </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">48,439,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">51,559,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.479.1"></a><var>479.1</var><b>Basic Sliding Fee Waiting List Allocation. </b><br />
         		<a id="pl.479.2"></a><var>479.2</var>Notwithstanding Minnesota Statutes, section <br />
         		<a id="pl.479.3"></a><var>479.3</var>119B.03, $5,413,000 in fiscal year 2016 is to <br />
         		<a id="pl.479.4"></a><var>479.4</var>reduce the basic sliding fee program waiting <br />
         		<a id="pl.479.5"></a><var>479.5</var>list as follows:<br />
         		<a id="pl.479.6"></a><var>479.6</var>(1) The calendar year 2016 allocation shall <br />
         		<a id="pl.479.7"></a><var>479.7</var>be increased to serve families on the waiting <br />
         		<a id="pl.479.8"></a><var>479.8</var>list. To receive funds appropriated for this <br />
         		<a id="pl.479.9"></a><var>479.9</var>purpose, a county must have:<br />
         		<a id="pl.479.10"></a><var>479.10</var>(i) a waiting list in the most recent published <br />
         		<a id="pl.479.11"></a><var>479.11</var>waiting list month; <br />
         		<a id="pl.479.12"></a><var>479.12</var>(ii) an average of at least ten families on the <br />
         		<a id="pl.479.13"></a><var>479.13</var>most recent six months of published waiting <br />
         		<a id="pl.479.14"></a><var>479.14</var>list; and <br />
         		<a id="pl.479.15"></a><var>479.15</var>(iii) total expenditures in calendar year <br />
         		<a id="pl.479.16"></a><var>479.16</var>2014 that met or exceeded 80 percent of the <br />
         		<a id="pl.479.17"></a><var>479.17</var>county's available final allocation.<br />
         		<a id="pl.479.18"></a><var>479.18</var>(2) Funds shall be distributed proportionately <br />
         		<a id="pl.479.19"></a><var>479.19</var>based on the average of the most recent six <br />
         		<a id="pl.479.20"></a><var>479.20</var>months of published waiting lists to counties <br />
         		<a id="pl.479.21"></a><var>479.21</var>that meet the criteria in clause (1).<br />
         		<a id="pl.479.22"></a><var>479.22</var>(3) Allocations in calendar years 2017 <br />
         		<a id="pl.479.23"></a><var>479.23</var>and  beyond shall be calculated using the  <br />
         		<a id="pl.479.24"></a><var>479.24</var>allocation formula in Minnesota Statutes, <br />
         		<a id="pl.479.25"></a><var>479.25</var>section 119B.03.<br />
         		<a id="pl.479.26"></a><var>479.26</var>(4) The guaranteed floor for calendar year <br />
         		<a id="pl.479.27"></a><var>479.27</var>2017 shall be based on the revised calendar <br />
         		<a id="pl.479.28"></a><var>479.28</var>year 2016  allocation. <br />
         		<a id="pl.479.29"></a><var>479.29</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.479.30"></a><var>479.30</var>base is increased by $810,000 in fiscal year <br />
         		<a id="pl.479.31"></a><var>479.31</var>2018 and increased by $821,000 in fiscal <br />
         		<a id="pl.479.32"></a><var>479.32</var>year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.479.33"></a><var>479.33</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>Child Care Development Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,737,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,737,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.480.1"></a><var>480.1</var><br />
                  		
               </td>
               <td colspan="3">(d) <b>Child Support Enforcement Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">50,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">50,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.480.2"></a><var>480.2</var><br />
                  		
               </td>
               <td colspan="3">(e) <b>Children's Services Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="125px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.480.3"></a><var>480.3</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.480.4"></a><var>480.4</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">39,015,000<br />
                  		
               </td>
               <td align="right">38,665,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.480.5"></a><var>480.5</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">140,000<br />
                  		
               </td>
               <td align="right">140,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.480.6"></a><var>480.6</var><b>Safe Place for Newborns. </b>$350,000 from <br />
         		<a id="pl.480.7"></a><var>480.7</var>the general fund in fiscal year 2016 is to <br />
         		<a id="pl.480.8"></a><var>480.8</var>distribute information on the Safe Place <br />
         		<a id="pl.480.9"></a><var>480.9</var>for Newborns law in Minnesota to increase <br />
         		<a id="pl.480.10"></a><var>480.10</var>public awareness of the law. This is a <br />
         		<a id="pl.480.11"></a><var>480.11</var>onetime appropriation.<br />
         		<a id="pl.480.12"></a><var>480.12</var><b>Child Protection. </b>$23,350,000 in fiscal year <br />
         		<a id="pl.480.13"></a><var>480.13</var>2016 and $23,350,000 in fiscal year 2017 <br />
         		<a id="pl.480.14"></a><var>480.14</var>are to address child protection staffing and <br />
         		<a id="pl.480.15"></a><var>480.15</var>services under Minnesota Statutes, section <br />
         		<a id="pl.480.16"></a><var>480.16</var>256M.41. $1,650,000 in fiscal year 2016 and <br />
         		<a id="pl.480.17"></a><var>480.17</var>$1,650,000 in fiscal year 2017 are for child <br />
         		<a id="pl.480.18"></a><var>480.18</var>protection grants to address child welfare <br />
         		<a id="pl.480.19"></a><var>480.19</var>disparities under Minnesota Statutes, section <br />
         		<a id="pl.480.20"></a><var>480.20</var>256E.28. <br />
         		<a id="pl.480.21"></a><var>480.21</var><b>Title IV-E Adoption Assistance.</b> Additional <br />
         		<a id="pl.480.22"></a><var>480.22</var>federal reimbursement to the state as a result <br />
         		<a id="pl.480.23"></a><var>480.23</var>of the Fostering Connections to Success <br />
         		<a id="pl.480.24"></a><var>480.24</var>and Increasing Adoptions Act's expanded <br />
         		<a id="pl.480.25"></a><var>480.25</var>eligibility for title IV-E adoption assistance <br />
         		<a id="pl.480.26"></a><var>480.26</var>is appropriated to the commissioner <br />
         		<a id="pl.480.27"></a><var>480.27</var>for postadoption services, including a <br />
         		<a id="pl.480.28"></a><var>480.28</var>parent-to-parent support network. <br />
         		<a id="pl.480.29"></a><var>480.29</var><b>Adoption Assistance Incentive Grants. </b><br />
         		<a id="pl.480.30"></a><var>480.30</var>Federal funds available during fiscal years <br />
         		<a id="pl.480.31"></a><var>480.31</var>2016 and 2017 for adoption incentive <br />
         		<a id="pl.480.32"></a><var>480.32</var>grants are appropriated to the commissioner <br />
         		<a id="pl.480.33"></a><var>480.33</var>for postadoption services, including a <br />
         		<a id="pl.480.34"></a><var>480.34</var>parent-to-parent support network.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.481.1"></a><var>481.1</var><br />
                  		
               </td>
               <td colspan="3">(f) <b>Children and Community Service Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">56,301,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">56,301,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.481.2"></a><var>481.2</var><br />
                  		
               </td>
               <td colspan="3">(g) <b>Children and Economic Support Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">26,778,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">26,966,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.481.3"></a><var>481.3</var><b>Mobile Food Shelf Grants.</b> (a) $1,000,000 <br />
         		<a id="pl.481.4"></a><var>481.4</var>in fiscal year 2016 and $1,000,000 in <br />
         		<a id="pl.481.5"></a><var>481.5</var>fiscal year 2017 are for a grant to Hunger <br />
         		<a id="pl.481.6"></a><var>481.6</var>Solutions. This is a onetime appropriation <br />
         		<a id="pl.481.7"></a><var>481.7</var>and is available until June 30, 2017.<br />
         		<a id="pl.481.8"></a><var>481.8</var>(b) Hunger Solutions shall award grants of <br />
         		<a id="pl.481.9"></a><var>481.9</var>up to $75,000 on a competitive basis. Grant <br />
         		<a id="pl.481.10"></a><var>481.10</var>applications must include:<br />
         		<a id="pl.481.11"></a><var>481.11</var>(1) the location of the project;<br />
         		<a id="pl.481.12"></a><var>481.12</var>(2) a description of the mobile program, <br />
         		<a id="pl.481.13"></a><var>481.13</var>including size and scope;<br />
         		<a id="pl.481.14"></a><var>481.14</var>(3) evidence regarding the unserved or <br />
         		<a id="pl.481.15"></a><var>481.15</var>underserved nature of the community in <br />
         		<a id="pl.481.16"></a><var>481.16</var>which the project is to be located;<br />
         		<a id="pl.481.17"></a><var>481.17</var>(4) evidence of community support for the <br />
         		<a id="pl.481.18"></a><var>481.18</var>project;<br />
         		<a id="pl.481.19"></a><var>481.19</var>(5) the total cost of the project;<br />
         		<a id="pl.481.20"></a><var>481.20</var>(6) the amount of the grant request and how <br />
         		<a id="pl.481.21"></a><var>481.21</var>funds will be used;<br />
         		<a id="pl.481.22"></a><var>481.22</var>(7) sources of funding or in-kind <br />
         		<a id="pl.481.23"></a><var>481.23</var>contributions for the project that will <br />
         		<a id="pl.481.24"></a><var>481.24</var>supplement any grant award; <br />
         		<a id="pl.481.25"></a><var>481.25</var>(8) a commitment to mobile programs by the <br />
         		<a id="pl.481.26"></a><var>481.26</var>applicant and an ongoing commitment to <br />
         		<a id="pl.481.27"></a><var>481.27</var>maintain the mobile program; and<br />
         		<a id="pl.481.28"></a><var>481.28</var>(9) any additional information requested by <br />
         		<a id="pl.481.29"></a><var>481.29</var>Hunger Solutions.<br />
         		<a id="pl.481.30"></a><var>481.30</var>(c) Priority may be given to applicants who:<br />
         		<a id="pl.481.31"></a><var>481.31</var>(1) serve underserved areas;<br />
         		<a id="pl.482.1"></a><var>482.1</var>(2) create a new or expand an existing mobile <br />
         		<a id="pl.482.2"></a><var>482.2</var>program;<br />
         		<a id="pl.482.3"></a><var>482.3</var>(3) serve areas where a high amount of need <br />
         		<a id="pl.482.4"></a><var>482.4</var>is identified;<br />
         		<a id="pl.482.5"></a><var>482.5</var>(4) provide evidence of strong support for the <br />
         		<a id="pl.482.6"></a><var>482.6</var>project from citizens and other institutions in <br />
         		<a id="pl.482.7"></a><var>482.7</var>the community;<br />
         		<a id="pl.482.8"></a><var>482.8</var>(5) leverage funding for the project from <br />
         		<a id="pl.482.9"></a><var>482.9</var>other private and public sources; and<br />
         		<a id="pl.482.10"></a><var>482.10</var>(6) commit to maintaining the program on a <br />
         		<a id="pl.482.11"></a><var>482.11</var>multilayer basis.<br />
         		<a id="pl.482.12"></a><var>482.12</var><b>Homeless Youth Act. </b>Of this appropriation, <br />
         		<a id="pl.482.13"></a><var>482.13</var>at least $500,000 must be awarded to <br />
         		<a id="pl.482.14"></a><var>482.14</var>providers in greater Minnesota, with at least <br />
         		<a id="pl.482.15"></a><var>482.15</var>25 percent of this amount for new applicant <br />
         		<a id="pl.482.16"></a><var>482.16</var>providers. The commissioner shall provide <br />
         		<a id="pl.482.17"></a><var>482.17</var>outreach and technical assistance to greater <br />
         		<a id="pl.482.18"></a><var>482.18</var>Minnesota providers and new providers to <br />
         		<a id="pl.482.19"></a><var>482.19</var>encourage responding to the request for <br />
         		<a id="pl.482.20"></a><var>482.20</var>proposals.<br />
         		<a id="pl.482.21"></a><var>482.21</var><b>Stearns County Veterans Housing. </b><br />
         		<a id="pl.482.22"></a><var>482.22</var>$85,000 in fiscal year 2016 and $85,000 <br />
         		<a id="pl.482.23"></a><var>482.23</var>in fiscal year 2017 are for a grant to <br />
         		<a id="pl.482.24"></a><var>482.24</var>Stearns County to provide administrative <br />
         		<a id="pl.482.25"></a><var>482.25</var>funding in support of a service provider <br />
         		<a id="pl.482.26"></a><var>482.26</var>serving veterans in Stearns County. The <br />
         		<a id="pl.482.27"></a><var>482.27</var>administrative funding grant may be used to <br />
         		<a id="pl.482.28"></a><var>482.28</var>support group residential housing services, <br />
         		<a id="pl.482.29"></a><var>482.29</var>corrections-related services, veteran services, <br />
         		<a id="pl.482.30"></a><var>482.30</var>and other social services related to the service <br />
         		<a id="pl.482.31"></a><var>482.31</var>provider serving veterans in Stearns County.<br />
         		<a id="pl.482.32"></a><var>482.32</var><b>Safe Harbor.</b> $800,000 in fiscal year 2016 <br />
         		<a id="pl.482.33"></a><var>482.33</var>and $800,000 in fiscal year 2017 are from <br />
         		<a id="pl.482.34"></a><var>482.34</var>the general fund for emergency shelter and <br />
         		<a id="pl.483.1"></a><var>483.1</var>transitional and long-term housing beds for <br />
         		<a id="pl.483.2"></a><var>483.2</var>sexually exploited youth and youth at risk of <br />
         		<a id="pl.483.3"></a><var>483.3</var>sexual exploitation. Of this appropriation, <br />
         		<a id="pl.483.4"></a><var>483.4</var>$150,000 in fiscal year 2016 and $150,000 in <br />
         		<a id="pl.483.5"></a><var>483.5</var>fiscal year 2017 are from the general fund for <br />
         		<a id="pl.483.6"></a><var>483.6</var>statewide youth outreach workers connecting <br />
         		<a id="pl.483.7"></a><var>483.7</var>sexually exploited youth and youth at risk of <br />
         		<a id="pl.483.8"></a><var>483.8</var>sexual exploitation with shelter and services.<br />
         		<a id="pl.483.9"></a><var>483.9</var><b>Minnesota Food Assistance Program. </b><br />
         		<a id="pl.483.10"></a><var>483.10</var>Unexpended funds for the Minnesota food <br />
         		<a id="pl.483.11"></a><var>483.11</var>assistance program for fiscal year 2016 do <br />
         		<a id="pl.483.12"></a><var>483.12</var>not cancel but are available for this purpose <br />
         		<a id="pl.483.13"></a><var>483.13</var>in fiscal year 2017. <br />
         		<a id="pl.483.14"></a><var>483.14</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.483.15"></a><var>483.15</var>base is decreased by $816,000 in fiscal year <br />
         		<a id="pl.483.16"></a><var>483.16</var>2018 and is decreased by $606,000 in fiscal <br />
         		<a id="pl.483.17"></a><var>483.17</var>year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.483.18"></a><var>483.18</var><br />
                  		
               </td>
               <td colspan="3">(h)<b> Health Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.483.19"></a><var>483.19</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.483.20"></a><var>483.20</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">536,000<br />
                  		
               </td>
               <td align="right">2,482,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.483.21"></a><var>483.21</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">3,341,000<br />
                  		
               </td>
               <td align="right">3,465,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.483.22"></a><var>483.22</var><b>Grants for Periodic Data Matching for </b><br />
         		<a id="pl.483.23"></a><var>483.23</var><b>Medical Assistance and MinnesotaCare. </b><br />
         		<a id="pl.483.24"></a><var>483.24</var>Of the general fund appropriation, $26,000 <br />
         		<a id="pl.483.25"></a><var>483.25</var>in fiscal year 2016 and $1,276,000 in fiscal <br />
         		<a id="pl.483.26"></a><var>483.26</var>year 2017 are for grants to counties for <br />
         		<a id="pl.483.27"></a><var>483.27</var>costs related to periodic data matching <br />
         		<a id="pl.483.28"></a><var>483.28</var>for medical assistance and MinnesotaCare <br />
         		<a id="pl.483.29"></a><var>483.29</var>recipients under Minnesota Statutes, <br />
         		<a id="pl.483.30"></a><var>483.30</var>section 256B.0561. The commissioner <br />
         		<a id="pl.483.31"></a><var>483.31</var>must distribute these grants to counties in <br />
         		<a id="pl.483.32"></a><var>483.32</var>proportion to each county's number of cases <br />
         		<a id="pl.483.33"></a><var>483.33</var>in the prior year in the affected programs.<br />
         		<a id="pl.483.34"></a><var>483.34</var><b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.483.35"></a><var>483.35</var>base is increased by $1,637,000 in fiscal year <br />
         		<a id="pl.484.1"></a><var>484.1</var>2018 and increased by $1,229,000 in fiscal <br />
         		<a id="pl.484.2"></a><var>484.2</var>year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.484.3"></a><var>484.3</var><br />
                  		
               </td>
               <td colspan="3">(i) <b>Other Long-Term Care Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,551,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,069,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.484.4"></a><var>484.4</var><b>Transition Populations. </b>$1,551,000 in fiscal <br />
         		<a id="pl.484.5"></a><var>484.5</var>year 2016 and $1,725,000 in fiscal year 2017 <br />
         		<a id="pl.484.6"></a><var>484.6</var>are for home and community-based services <br />
         		<a id="pl.484.7"></a><var>484.7</var>transition grants to assist in providing home <br />
         		<a id="pl.484.8"></a><var>484.8</var>and community-based services and treatment <br />
         		<a id="pl.484.9"></a><var>484.9</var>for transition populations under Minnesota <br />
         		<a id="pl.484.10"></a><var>484.10</var>Statutes, section 256.478.<br />
         		<a id="pl.484.11"></a><var>484.11</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.484.12"></a><var>484.12</var>base is increased by $156,000 in fiscal year <br />
         		<a id="pl.484.13"></a><var>484.13</var>2018 and by $581,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.484.14"></a><var>484.14</var><br />
                  		
               </td>
               <td colspan="3">(j) <b>Aging and Adult Services Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">28,463,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">28,162,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.484.15"></a><var>484.15</var><b>Dementia Grants. </b> $750,000 in fiscal year <br />
         		<a id="pl.484.16"></a><var>484.16</var>2016 and $750,000 in fiscal year 2017 <br />
         		<a id="pl.484.17"></a><var>484.17</var>are for the Minnesota Board on Aging for <br />
         		<a id="pl.484.18"></a><var>484.18</var>regional and local dementia grants authorized <br />
         		<a id="pl.484.19"></a><var>484.19</var>in Minnesota Statutes, section 256.975, <br />
         		<a id="pl.484.20"></a><var>484.20</var>subdivision 11.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.484.21"></a><var>484.21</var><br />
                  		
               </td>
               <td colspan="3">(k) <b>Deaf and Hard-of-Hearing Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,225,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,375,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.484.22"></a><var>484.22</var><b>Deaf, Deafblind, and Hard-of-Hearing </b><br />
         		<a id="pl.484.23"></a><var>484.23</var><b>Grants. </b>$350,000 in fiscal year 2016 and <br />
         		<a id="pl.484.24"></a><var>484.24</var>$500,000 in fiscal year 2017 are for deaf <br />
         		<a id="pl.484.25"></a><var>484.25</var>and hard-of-hearing grants. The funds <br />
         		<a id="pl.484.26"></a><var>484.26</var>must be used to increase the number of <br />
         		<a id="pl.484.27"></a><var>484.27</var>deafblind Minnesotans receiving services <br />
         		<a id="pl.484.28"></a><var>484.28</var>under Minnesota Statutes, section 256C.261, <br />
         		<a id="pl.484.29"></a><var>484.29</var>and to provide linguistically and culturally <br />
         		<a id="pl.484.30"></a><var>484.30</var>appropriate mental health services to children <br />
         		<a id="pl.484.31"></a><var>484.31</var>who are deaf, deafblind, and hard-of-hearing. <br />
         		<a id="pl.484.32"></a><var>484.32</var>This is a onetime appropriation.<br />
         		<a id="pl.485.1"></a><var>485.1</var><b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.485.2"></a><var>485.2</var>base is decreased by $500,000 in fiscal year <br />
         		<a id="pl.485.3"></a><var>485.3</var>2018 and by $500,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.485.4"></a><var>485.4</var><br />
                  		
               </td>
               <td colspan="3">(l) <b>Disabilities Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">20,820,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">20,858,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.485.5"></a><var>485.5</var><b>State Quality Council. </b>$573,000 in fiscal <br />
         		<a id="pl.485.6"></a><var>485.6</var>year 2016 and $600,000 in fiscal year <br />
         		<a id="pl.485.7"></a><var>485.7</var>2017 are for the State Quality Council to <br />
         		<a id="pl.485.8"></a><var>485.8</var>provide technical assistance and monitoring <br />
         		<a id="pl.485.9"></a><var>485.9</var>of person-centered outcomes related to <br />
         		<a id="pl.485.10"></a><var>485.10</var>inclusive community living and employment. <br />
         		<a id="pl.485.11"></a><var>485.11</var>The funding must be used by the State <br />
         		<a id="pl.485.12"></a><var>485.12</var>Quality Council to assure a statewide plan <br />
         		<a id="pl.485.13"></a><var>485.13</var>for systems change in person-centered <br />
         		<a id="pl.485.14"></a><var>485.14</var>planning that will achieve desired outcomes <br />
         		<a id="pl.485.15"></a><var>485.15</var>including increased integrated employment <br />
         		<a id="pl.485.16"></a><var>485.16</var>and community living.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.485.17"></a><var>485.17</var><br />
                  		
               </td>
               <td colspan="3">(m) <b>Adult Mental Health Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.485.18"></a><var>485.18</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.485.19"></a><var>485.19</var><br />
                  		
               </td>
               <td>General<br />
                  		
               </td>
               <td align="right">69,992,000<br />
                  		
               </td>
               <td align="right">71,244,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.485.20"></a><var>485.20</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">1,575,000<br />
                  		
               </td>
               <td align="right">2,473,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.485.21"></a><var>485.21</var><br />
                  		
               </td>
               <td>Lottery Prize<br />
                  		
               </td>
               <td align="right">1,733,000<br />
                  		
               </td>
               <td align="right">1,733,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.485.22"></a><var>485.22</var><b>Funding Usage.</b> Up to 75 percent of a fiscal <br />
         		<a id="pl.485.23"></a><var>485.23</var>year's appropriation for adult mental health <br />
         		<a id="pl.485.24"></a><var>485.24</var>grants may be used to fund allocations in that <br />
         		<a id="pl.485.25"></a><var>485.25</var>portion of the fiscal year ending December <br />
         		<a id="pl.485.26"></a><var>485.26</var>31.<br />
         		<a id="pl.485.27"></a><var>485.27</var><b>Culturally Specific Mental Health </b><br />
         		<a id="pl.485.28"></a><var>485.28</var><b>Services. </b>$100,000 in fiscal year 2016 is for <br />
         		<a id="pl.485.29"></a><var>485.29</var>grants to nonprofit organizations to provide <br />
         		<a id="pl.485.30"></a><var>485.30</var>resources and referrals for culturally specific <br />
         		<a id="pl.485.31"></a><var>485.31</var>mental health services to Southeast Asian <br />
         		<a id="pl.485.32"></a><var>485.32</var>veterans born before 1965 who do not qualify <br />
         		<a id="pl.485.33"></a><var>485.33</var>for services available to veterans formally <br />
         		<a id="pl.485.34"></a><var>485.34</var>discharged from the United States armed <br />
         		<a id="pl.485.35"></a><var>485.35</var>forces.<br />
         		<a id="pl.486.1"></a><var>486.1</var><b>Problem Gambling.</b> $225,000 in fiscal year <br />
         		<a id="pl.486.2"></a><var>486.2</var>2016 and $225,000 in fiscal year 2017 are <br />
         		<a id="pl.486.3"></a><var>486.3</var>from the lottery prize fund for a grant to the <br />
         		<a id="pl.486.4"></a><var>486.4</var>state affiliate recognized by the National <br />
         		<a id="pl.486.5"></a><var>486.5</var>Council on Problem Gambling. The affiliate <br />
         		<a id="pl.486.6"></a><var>486.6</var>must provide services to increase public <br />
         		<a id="pl.486.7"></a><var>486.7</var>awareness of problem gambling, education, <br />
         		<a id="pl.486.8"></a><var>486.8</var>and training for individuals and organizations <br />
         		<a id="pl.486.9"></a><var>486.9</var>providing effective treatment services to <br />
         		<a id="pl.486.10"></a><var>486.10</var>problem gamblers and their families, and <br />
         		<a id="pl.486.11"></a><var>486.11</var>research related to problem gambling.<br />
         		<a id="pl.486.12"></a><var>486.12</var><b>Sustainability Grants.</b> $2,125,000 in fiscal <br />
         		<a id="pl.486.13"></a><var>486.13</var>year 2016 and $2,125,000 in fiscal year 2017 <br />
         		<a id="pl.486.14"></a><var>486.14</var>are for sustainability grants under Minnesota <br />
         		<a id="pl.486.15"></a><var>486.15</var>Statutes, section 256B.0622, subdivision 11.<br />
         		<a id="pl.486.16"></a><var>486.16</var><b>Beltrami County Mental Health Services </b><br />
         		<a id="pl.486.17"></a><var>486.17</var><b>Grant.</b> $1,000,000 in fiscal year 2016 and <br />
         		<a id="pl.486.18"></a><var>486.18</var>$1,000,000 in fiscal year 2017 are from the <br />
         		<a id="pl.486.19"></a><var>486.19</var>general fund for a grant to Beltrami County <br />
         		<a id="pl.486.20"></a><var>486.20</var>to fund the planning and development of <br />
         		<a id="pl.486.21"></a><var>486.21</var>a comprehensive mental health services <br />
         		<a id="pl.486.22"></a><var>486.22</var>program under article 2, section 41, <br />
         		<a id="pl.486.23"></a><var>486.23</var>Comprehensive Mental Health Program <br />
         		<a id="pl.486.24"></a><var>486.24</var>in Beltrami County. This is a onetime <br />
         		<a id="pl.486.25"></a><var>486.25</var>appropriation.<br />
         		<a id="pl.486.26"></a><var>486.26</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.486.27"></a><var>486.27</var>base is increased by $723,000 in fiscal year <br />
         		<a id="pl.486.28"></a><var>486.28</var>2018 and by $723,000 in fiscal year 2019. <br />
         		<a id="pl.486.29"></a><var>486.29</var>The health care access fund base is decreased <br />
         		<a id="pl.486.30"></a><var>486.30</var>by $1,723,000 in fiscal year 2018 and by <br />
         		<a id="pl.486.31"></a><var>486.31</var>$1,723,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.486.32"></a><var>486.32</var><br />
                  		
               </td>
               <td colspan="3">(n) <b>Child Mental Health Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">23,386,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">24,313,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.486.33"></a><var>486.33</var><b>Services and Supports for First Episode </b><br />
         		<a id="pl.486.34"></a><var>486.34</var><b>Psychosis.</b> $177,000 in fiscal year 2017 is <br />
         		<a id="pl.486.35"></a><var>486.35</var>for grants under Minnesota Statutes, section <br />
         		<a id="pl.487.1"></a><var>487.1</var>245.4889, to mental health providers to pilot <br />
         		<a id="pl.487.2"></a><var>487.2</var>evidence-based interventions for youth at risk <br />
         		<a id="pl.487.3"></a><var>487.3</var>of developing or experiencing a first episode <br />
         		<a id="pl.487.4"></a><var>487.4</var>of psychosis and for a public awareness <br />
         		<a id="pl.487.5"></a><var>487.5</var>campaign on the signs and symptoms of <br />
         		<a id="pl.487.6"></a><var>487.6</var>psychosis. The base for these grants is <br />
         		<a id="pl.487.7"></a><var>487.7</var>$236,000 in fiscal year 2018 and $301,000 in <br />
         		<a id="pl.487.8"></a><var>487.8</var>fiscal year 2019.<br />
         		<a id="pl.487.9"></a><var>487.9</var><b>Adverse Childhood Experiences. </b>The base <br />
         		<a id="pl.487.10"></a><var>487.10</var>for grants under Minnesota Statutes, section <br />
         		<a id="pl.487.11"></a><var>487.11</var>245.4889, to children's mental health and <br />
         		<a id="pl.487.12"></a><var>487.12</var>family services collaboratives for adverse <br />
         		<a id="pl.487.13"></a><var>487.13</var>childhood experiences (ACEs) training <br />
         		<a id="pl.487.14"></a><var>487.14</var>grants and for an interactive Web site <br />
         		<a id="pl.487.15"></a><var>487.15</var>connection to support ACEs in Minnesota is <br />
         		<a id="pl.487.16"></a><var>487.16</var>$363,000 in fiscal year 2018 and $363,000 in <br />
         		<a id="pl.487.17"></a><var>487.17</var>fiscal year 2019.<br />
         		<a id="pl.487.18"></a><var>487.18</var><b>Funding Usage.</b> Up to 75 percent of a fiscal <br />
         		<a id="pl.487.19"></a><var>487.19</var>year's appropriation for child mental health <br />
         		<a id="pl.487.20"></a><var>487.20</var>grants may be used to fund allocations in that <br />
         		<a id="pl.487.21"></a><var>487.21</var>portion of the fiscal year ending December <br />
         		<a id="pl.487.22"></a><var>487.22</var>31.<br />
         		<a id="pl.487.23"></a><var>487.23</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.487.24"></a><var>487.24</var>base is increased by $422,000 in fiscal year <br />
         		<a id="pl.487.25"></a><var>487.25</var>2018 and is increased by $487,000 in fiscal <br />
         		<a id="pl.487.26"></a><var>487.26</var>year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.487.27"></a><var>487.27</var><br />
                  		<a id="pl.487.28"></a><var>487.28</var><br />
                  		
               </td>
               <td colspan="3">(o) <b>Chemical Dependency Treatment Support </b><br />
                  		<b>Grants</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,561,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,561,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.487.29"></a><var>487.29</var><b>Chemical Dependency Prevention. </b><br />
         		<a id="pl.487.30"></a><var>487.30</var>$150,000 in fiscal year 2016 and $150,000 <br />
         		<a id="pl.487.31"></a><var>487.31</var>in fiscal year 2017 are for grants to <br />
         		<a id="pl.487.32"></a><var>487.32</var>nonprofit organizations to provide chemical <br />
         		<a id="pl.487.33"></a><var>487.33</var>dependency prevention programs in <br />
         		<a id="pl.487.34"></a><var>487.34</var>secondary schools. When making grants, the <br />
         		<a id="pl.487.35"></a><var>487.35</var>commissioner must consider the expertise, <br />
         		<a id="pl.488.1"></a><var>488.1</var>prior experience, and outcomes achieved <br />
         		<a id="pl.488.2"></a><var>488.2</var>by applicants that have provided prevention <br />
         		<a id="pl.488.3"></a><var>488.3</var>programming in secondary education <br />
         		<a id="pl.488.4"></a><var>488.4</var>environments. An applicant for the grant <br />
         		<a id="pl.488.5"></a><var>488.5</var>funds must provide verification to the <br />
         		<a id="pl.488.6"></a><var>488.6</var>commissioner that the applicant has available <br />
         		<a id="pl.488.7"></a><var>488.7</var>and will contribute sufficient funds to match <br />
         		<a id="pl.488.8"></a><var>488.8</var>the grant given by the commissioner. This is <br />
         		<a id="pl.488.9"></a><var>488.9</var>a onetime appropriation.<br />
         		<a id="pl.488.10"></a><var>488.10</var><b>Fetal Alcohol Syndrome Grants.</b> $250,000 <br />
         		<a id="pl.488.11"></a><var>488.11</var>in fiscal year 2016 and $250,000 in fiscal year <br />
         		<a id="pl.488.12"></a><var>488.12</var>2017 are for grants to be administered by the <br />
         		<a id="pl.488.13"></a><var>488.13</var>Minnesota Organization on Fetal Alcohol <br />
         		<a id="pl.488.14"></a><var>488.14</var>Syndrome to provide comprehensive, <br />
         		<a id="pl.488.15"></a><var>488.15</var>gender-specific services to pregnant and <br />
         		<a id="pl.488.16"></a><var>488.16</var>parenting women suspected of or known <br />
         		<a id="pl.488.17"></a><var>488.17</var>to use or abuse alcohol or other drugs. <br />
         		<a id="pl.488.18"></a><var>488.18</var>This appropriation is for grants to no fewer <br />
         		<a id="pl.488.19"></a><var>488.19</var>than  three eligible recipients. Minnesota <br />
         		<a id="pl.488.20"></a><var>488.20</var>Organization on Fetal Alcohol Syndrome <br />
         		<a id="pl.488.21"></a><var>488.21</var>must report to the commissioner of human <br />
         		<a id="pl.488.22"></a><var>488.22</var>services annually by January 15 on the <br />
         		<a id="pl.488.23"></a><var>488.23</var>grants funded by this appropriation. The <br />
         		<a id="pl.488.24"></a><var>488.24</var>report must include measurable outcomes for <br />
         		<a id="pl.488.25"></a><var>488.25</var>the previous year, including the number of <br />
         		<a id="pl.488.26"></a><var>488.26</var>pregnant women served and the number of <br />
         		<a id="pl.488.27"></a><var>488.27</var>toxic-free babies born.<br />
         		<a id="pl.488.28"></a><var>488.28</var><b>Base Level Adjustment. </b>The general fund <br />
         		<a id="pl.488.29"></a><var>488.29</var>base is decreased by $150,000 in fiscal year <br />
         		<a id="pl.488.30"></a><var>488.30</var>2018 and by $150,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.488.31"></a><var>488.31</var><br />
                  		
               </td>
               <td colspan="3">Subd. 6.<b>DCT State-Operated Services</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table><a id="pl.488.32"></a><var>488.32</var><b>Transfer Authority for State-Operated </b><br />
         		<a id="pl.488.33"></a><var>488.33</var><b>Services.</b> Money appropriated for <br />
         		<a id="pl.488.34"></a><var>488.34</var>state-operated  services may be transferred <br />
         		<a id="pl.488.35"></a><var>488.35</var>between fiscal years of the biennium <br />
         		<a id="pl.489.1"></a><var>489.1</var>with the approval of the commissioner of <br />
         		<a id="pl.489.2"></a><var>489.2</var>management and budget.<br />
         		<a id="pl.489.3"></a><var>489.3</var>The amounts that may be spent from the <br />
         		<a id="pl.489.4"></a><var>489.4</var>appropriation for each purpose are as follows:<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.489.5"></a><var>489.5</var><br />
                  		<a id="pl.489.6"></a><var>489.6</var><br />
                  		
               </td>
               <td colspan="3">(a) <b>DCT State-Operated Services Mental </b><br />
                  		<b>Health</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">130,070,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">131,795,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.489.7"></a><var>489.7</var><b>Increased Capacity at AMRTC. </b>$4,108,000 <br />
         		<a id="pl.489.8"></a><var>489.8</var>in fiscal year 2016 and $4,108,000 in fiscal <br />
         		<a id="pl.489.9"></a><var>489.9</var>year 2017 are to increase the number <br />
         		<a id="pl.489.10"></a><var>489.10</var>of staffed beds at the Anoka Regional <br />
         		<a id="pl.489.11"></a><var>489.11</var>Treatment Center so that 15 additional beds <br />
         		<a id="pl.489.12"></a><var>489.12</var>are available for patients above the number <br />
         		<a id="pl.489.13"></a><var>489.13</var>of beds that are available on June 30, 2015.<br />
         		<a id="pl.489.14"></a><var>489.14</var><b>Transfer. </b>Notwithstanding Minnesota <br />
         		<a id="pl.489.15"></a><var>489.15</var>Statutes, section 246.18, subdivision 8, <br />
         		<a id="pl.489.16"></a><var>489.16</var>the commissioner of human services shall <br />
         		<a id="pl.489.17"></a><var>489.17</var>transfer $2,000,000 in fiscal year 2017 from <br />
         		<a id="pl.489.18"></a><var>489.18</var>the account under Minnesota Statutes, section <br />
         		<a id="pl.489.19"></a><var>489.19</var>246.18, subdivision 8, in the special revenue <br />
         		<a id="pl.489.20"></a><var>489.20</var>fund to the general fund. This is a onetime <br />
         		<a id="pl.489.21"></a><var>489.21</var>transfer for repeal of never implemented <br />
         		<a id="pl.489.22"></a><var>489.22</var>grants for mental health specialty treatment <br />
         		<a id="pl.489.23"></a><var>489.23</var>services.<br />
         		<a id="pl.489.24"></a><var>489.24</var><b>Dedicated Receipts Available.</b> Of the <br />
         		<a id="pl.489.25"></a><var>489.25</var>revenue received under Minnesota  Statutes, <br />
         		<a id="pl.489.26"></a><var>489.26</var>section 246.18, subdivision 8, paragraph <br />
         		<a id="pl.489.27"></a><var>489.27</var>(a), up to $1,000,000 each year is available <br />
         		<a id="pl.489.28"></a><var>489.28</var>for the purposes of Minnesota Statutes, <br />
         		<a id="pl.489.29"></a><var>489.29</var>section 246.18, subdivision 8, paragraph (b), <br />
         		<a id="pl.489.30"></a><var>489.30</var>clause (1); and up to $2,713,000 each year <br />
         		<a id="pl.489.31"></a><var>489.31</var>is available for the purposes of Minnesota <br />
         		<a id="pl.489.32"></a><var>489.32</var>Statutes, section 246.18, subdivision 8, <br />
         		<a id="pl.489.33"></a><var>489.33</var>paragraph (b), clause (3).<br />
         		<a id="pl.489.34"></a><var>489.34</var><b>Transfers from State-Operated Services </b><br />
         		<a id="pl.489.35"></a><var>489.35</var><b>Account.</b> (a) If the commissioner of <br />
         		<a id="pl.490.1"></a><var>490.1</var>human services notifies the commissioner <br />
         		<a id="pl.490.2"></a><var>490.2</var>of management and budget by July 31, <br />
         		<a id="pl.490.3"></a><var>490.3</var>2015, that the fiscal year 2015 general <br />
         		<a id="pl.490.4"></a><var>490.4</var>fund expenditures exceed the general fund <br />
         		<a id="pl.490.5"></a><var>490.5</var>appropriation for state-operated services <br />
         		<a id="pl.490.6"></a><var>490.6</var>mental health to the Department of Human <br />
         		<a id="pl.490.7"></a><var>490.7</var>Services, notwithstanding Minnesota <br />
         		<a id="pl.490.8"></a><var>490.8</var>Statutes, section 246.18, subdivision 8, <br />
         		<a id="pl.490.9"></a><var>490.9</var>the commissioner of human services, <br />
         		<a id="pl.490.10"></a><var>490.10</var>with the approval of the commissioner of <br />
         		<a id="pl.490.11"></a><var>490.11</var>management and budget, shall transfer up <br />
         		<a id="pl.490.12"></a><var>490.12</var>to $1,000,000 in fiscal year 2015 from the <br />
         		<a id="pl.490.13"></a><var>490.13</var>account under Minnesota Statutes, section <br />
         		<a id="pl.490.14"></a><var>490.14</var>246.18, subdivision 8, in the special revenue <br />
         		<a id="pl.490.15"></a><var>490.15</var>fund to the general fund. The amount <br />
         		<a id="pl.490.16"></a><var>490.16</var>transferred under this paragraph must <br />
         		<a id="pl.490.17"></a><var>490.17</var>not exceed the amount of the fiscal year <br />
         		<a id="pl.490.18"></a><var>490.18</var>2015 negative balance in the general fund <br />
         		<a id="pl.490.19"></a><var>490.19</var>appropriation for state-operated services <br />
         		<a id="pl.490.20"></a><var>490.20</var>mental health to the Department of Human <br />
         		<a id="pl.490.21"></a><var>490.21</var>Services. The amount transferred under <br />
         		<a id="pl.490.22"></a><var>490.22</var>this paragraph, up to $1,000,000 in fiscal <br />
         		<a id="pl.490.23"></a><var>490.23</var>year 2015, is appropriated from the general <br />
         		<a id="pl.490.24"></a><var>490.24</var>fund to the commissioner of human services <br />
         		<a id="pl.490.25"></a><var>490.25</var>for state-operated services mental health <br />
         		<a id="pl.490.26"></a><var>490.26</var>expenditures. This paragraph is effective the <br />
         		<a id="pl.490.27"></a><var>490.27</var>day following final enactment and expires <br />
         		<a id="pl.490.28"></a><var>490.28</var>on October 1, 2015. Any amount transferred <br />
         		<a id="pl.490.29"></a><var>490.29</var>under this paragraph that is not expended <br />
         		<a id="pl.490.30"></a><var>490.30</var>by September 30, 2015, shall cancel to <br />
         		<a id="pl.490.31"></a><var>490.31</var>the account from which the amount was <br />
         		<a id="pl.490.32"></a><var>490.32</var>transferred.<br />
         		<a id="pl.490.33"></a><var>490.33</var>(b) If the commissioner of human services <br />
         		<a id="pl.490.34"></a><var>490.34</var>notifies the commissioner of management <br />
         		<a id="pl.490.35"></a><var>490.35</var>and budget by July 31, 2015, that the <br />
         		<a id="pl.490.36"></a><var>490.36</var>balance in fiscal year 2015 in the Minnesota <br />
         		<a id="pl.491.1"></a><var>491.1</var>state-operated community services fund is a <br />
         		<a id="pl.491.2"></a><var>491.2</var>negative amount, notwithstanding Minnesota <br />
         		<a id="pl.491.3"></a><var>491.3</var>Statutes, section 246.18, subdivision 8, the <br />
         		<a id="pl.491.4"></a><var>491.4</var>commissioner of human services, with the <br />
         		<a id="pl.491.5"></a><var>491.5</var>approval of the commissioner of management <br />
         		<a id="pl.491.6"></a><var>491.6</var>and budget, shall transfer up to $3,200,000 <br />
         		<a id="pl.491.7"></a><var>491.7</var>in fiscal year 2015 from the account <br />
         		<a id="pl.491.8"></a><var>491.8</var>under Minnesota Statutes, section 246.18, <br />
         		<a id="pl.491.9"></a><var>491.9</var>subdivision 8, in the special revenue fund <br />
         		<a id="pl.491.10"></a><var>491.10</var>to the Minnesota state-operated community <br />
         		<a id="pl.491.11"></a><var>491.11</var>services fund. The amount transferred under <br />
         		<a id="pl.491.12"></a><var>491.12</var>this paragraph must not exceed the amount <br />
         		<a id="pl.491.13"></a><var>491.13</var>of the fiscal year 2015 negative balance in <br />
         		<a id="pl.491.14"></a><var>491.14</var>the Minnesota state-operated community <br />
         		<a id="pl.491.15"></a><var>491.15</var>services fund. This paragraph is effective the <br />
         		<a id="pl.491.16"></a><var>491.16</var>day following final enactment and expires <br />
         		<a id="pl.491.17"></a><var>491.17</var>on October 1, 2015. Any amount transferred <br />
         		<a id="pl.491.18"></a><var>491.18</var>under this paragraph that is not expended <br />
         		<a id="pl.491.19"></a><var>491.19</var>by September 30, 2015, shall cancel to <br />
         		<a id="pl.491.20"></a><var>491.20</var>the account from which the amount was <br />
         		<a id="pl.491.21"></a><var>491.21</var>transferred.<br />
         		<a id="pl.491.22"></a><var>491.22</var><b>Appropriations Retroactive to Fiscal Year </b><br />
         		<a id="pl.491.23"></a><var>491.23</var><b>2015.</b> If the commissioner of human services <br />
         		<a id="pl.491.24"></a><var>491.24</var>notifies the commissioner of management and <br />
         		<a id="pl.491.25"></a><var>491.25</var>budget by July 31, 2015, that the fiscal year <br />
         		<a id="pl.491.26"></a><var>491.26</var>2015 general fund expenditures exceed the <br />
         		<a id="pl.491.27"></a><var>491.27</var>general fund appropriation for state-operated <br />
         		<a id="pl.491.28"></a><var>491.28</var>services mental health to the Department of <br />
         		<a id="pl.491.29"></a><var>491.29</var>Human Services, up to $5,000,000 of this <br />
         		<a id="pl.491.30"></a><var>491.30</var>appropriation in fiscal year 2016 may be <br />
         		<a id="pl.491.31"></a><var>491.31</var>used in fiscal year 2015 for state-operated <br />
         		<a id="pl.491.32"></a><var>491.32</var>services mental health expenditures. The <br />
         		<a id="pl.491.33"></a><var>491.33</var>commissioner of human services must <br />
         		<a id="pl.491.34"></a><var>491.34</var>report to the commissioner of management <br />
         		<a id="pl.491.35"></a><var>491.35</var>and budget the purpose and amount of any <br />
         		<a id="pl.491.36"></a><var>491.36</var>expenditures under this paragraph, and the <br />
         		<a id="pl.492.1"></a><var>492.1</var>commissioner of management and budget <br />
         		<a id="pl.492.2"></a><var>492.2</var>must approve the total amount attributable to <br />
         		<a id="pl.492.3"></a><var>492.3</var>this paragraph. This paragraph is effective <br />
         		<a id="pl.492.4"></a><var>492.4</var>the day following final enactment and expires <br />
         		<a id="pl.492.5"></a><var>492.5</var>on October 1, 2015.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.492.6"></a><var>492.6</var><br />
                  		<a id="pl.492.7"></a><var>492.7</var><br />
                  		
               </td>
               <td colspan="3">(b) <b>DCT State-Operated Services Enterprise </b><br />
                  		<b>Services</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">9,626,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">6,113,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.492.8"></a><var>492.8</var><b>Community Addiction Recovery </b><br />
         		<a id="pl.492.9"></a><var>492.9</var><b>Enterprise.</b> $9,626,000 in fiscal year 2016 <br />
         		<a id="pl.492.10"></a><var>492.10</var>and $6,113,000 in fiscal year 2017 are for <br />
         		<a id="pl.492.11"></a><var>492.11</var>the C.A.R.E. program. The commissioner <br />
         		<a id="pl.492.12"></a><var>492.12</var>must transfer these amounts to the enterprise <br />
         		<a id="pl.492.13"></a><var>492.13</var>fund for the Community Addiction Recovery <br />
         		<a id="pl.492.14"></a><var>492.14</var>Enterprise. The base for this purpose <br />
         		<a id="pl.492.15"></a><var>492.15</var>is $5,991,000 in fiscal year 2018 and <br />
         		<a id="pl.492.16"></a><var>492.16</var>$5,991,000 in fiscal year 2019.<br />
         		<a id="pl.492.17"></a><var>492.17</var><b>Transfers from Consolidated Chemical </b><br />
         		<a id="pl.492.18"></a><var>492.18</var><b>Dependency Treatment Fund.</b> (a) If the <br />
         		<a id="pl.492.19"></a><var>492.19</var>commissioner of human services notifies the <br />
         		<a id="pl.492.20"></a><var>492.20</var>commissioner of management and budget by <br />
         		<a id="pl.492.21"></a><var>492.21</var>July 31, 2015, that the balance in fiscal year <br />
         		<a id="pl.492.22"></a><var>492.22</var>2015 in the community addiction recovery <br />
         		<a id="pl.492.23"></a><var>492.23</var>enterprise fund is a negative amount, <br />
         		<a id="pl.492.24"></a><var>492.24</var>notwithstanding Minnesota Statutes, section <br />
         		<a id="pl.492.25"></a><var>492.25</var>254B.06, subdivision 1, the commissioner <br />
         		<a id="pl.492.26"></a><var>492.26</var>of human services, with the approval of the <br />
         		<a id="pl.492.27"></a><var>492.27</var>commissioner of management and budget, <br />
         		<a id="pl.492.28"></a><var>492.28</var>shall transfer $2,000,000 in fiscal year 2015 <br />
         		<a id="pl.492.29"></a><var>492.29</var>from the consolidated chemical dependency <br />
         		<a id="pl.492.30"></a><var>492.30</var>treatment fund account in the special revenue <br />
         		<a id="pl.492.31"></a><var>492.31</var>fund to the community addiction recovery <br />
         		<a id="pl.492.32"></a><var>492.32</var>enterprise fund. The amount transferred <br />
         		<a id="pl.492.33"></a><var>492.33</var>under this paragraph must not exceed the <br />
         		<a id="pl.492.34"></a><var>492.34</var>amount of the fiscal year 2015 negative <br />
         		<a id="pl.492.35"></a><var>492.35</var>balance in the community addiction recovery <br />
         		<a id="pl.492.36"></a><var>492.36</var>enterprise fund. This paragraph is effective <br />
         		<a id="pl.493.1"></a><var>493.1</var>the day following final enactment and expires <br />
         		<a id="pl.493.2"></a><var>493.2</var>on October 1, 2015. Any amount transferred <br />
         		<a id="pl.493.3"></a><var>493.3</var>under this paragraph that is not expended <br />
         		<a id="pl.493.4"></a><var>493.4</var>by September 30, 2015, shall cancel to <br />
         		<a id="pl.493.5"></a><var>493.5</var>the account from which the amount was <br />
         		<a id="pl.493.6"></a><var>493.6</var>transferred.<br />
         		<a id="pl.493.7"></a><var>493.7</var>(b) If the commissioner of human services <br />
         		<a id="pl.493.8"></a><var>493.8</var>notifies the commissioner of management <br />
         		<a id="pl.493.9"></a><var>493.9</var>and budget by July 31, 2015, that the <br />
         		<a id="pl.493.10"></a><var>493.10</var>fiscal year 2015 general fund expenditures <br />
         		<a id="pl.493.11"></a><var>493.11</var>exceed the general fund appropriation <br />
         		<a id="pl.493.12"></a><var>493.12</var>for state-operated services mental health <br />
         		<a id="pl.493.13"></a><var>493.13</var>to the Department of Human Services, <br />
         		<a id="pl.493.14"></a><var>493.14</var>notwithstanding Minnesota Statutes, section <br />
         		<a id="pl.493.15"></a><var>493.15</var>254B.06, subdivision 1, the commissioner <br />
         		<a id="pl.493.16"></a><var>493.16</var>of human services, with the approval of the <br />
         		<a id="pl.493.17"></a><var>493.17</var>commissioner of management and budget, <br />
         		<a id="pl.493.18"></a><var>493.18</var>shall transfer $1,500,000 in fiscal year 2015 <br />
         		<a id="pl.493.19"></a><var>493.19</var>from the consolidated chemical dependency <br />
         		<a id="pl.493.20"></a><var>493.20</var>treatment fund account in the special revenue <br />
         		<a id="pl.493.21"></a><var>493.21</var>fund to the general fund. $1,500,000 in <br />
         		<a id="pl.493.22"></a><var>493.22</var>fiscal year 2015 is appropriated from the <br />
         		<a id="pl.493.23"></a><var>493.23</var>general fund to the commissioner of human <br />
         		<a id="pl.493.24"></a><var>493.24</var>services for state-operated services mental <br />
         		<a id="pl.493.25"></a><var>493.25</var>health expenditures. The amount transferred <br />
         		<a id="pl.493.26"></a><var>493.26</var>under this paragraph must not exceed the <br />
         		<a id="pl.493.27"></a><var>493.27</var>amount of the fiscal year 2015 negative <br />
         		<a id="pl.493.28"></a><var>493.28</var>balance in the general fund appropriation <br />
         		<a id="pl.493.29"></a><var>493.29</var>for state-operated services mental health to <br />
         		<a id="pl.493.30"></a><var>493.30</var>the Department of Human Services. This <br />
         		<a id="pl.493.31"></a><var>493.31</var>paragraph is effective the day following final <br />
         		<a id="pl.493.32"></a><var>493.32</var>enactment and expires on October 1, 2015. <br />
         		<a id="pl.493.33"></a><var>493.33</var>Any amount transferred under this paragraph <br />
         		<a id="pl.493.34"></a><var>493.34</var>that is not expended by September 30, 2015, <br />
         		<a id="pl.493.35"></a><var>493.35</var>shall cancel to the account from which the <br />
         		<a id="pl.493.36"></a><var>493.36</var>amount was transferred.<br />
         		<a id="pl.494.1"></a><var>494.1</var><b>Base Level Adjustment. </b> The general fund <br />
         		<a id="pl.494.2"></a><var>494.2</var>base is decreased by $122,000 in fiscal year <br />
         		<a id="pl.494.3"></a><var>494.3</var>2018 and by $122,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.494.4"></a><var>494.4</var><br />
                  		<a id="pl.494.5"></a><var>494.5</var><br />
                  		
               </td>
               <td colspan="3">(c) <b>DCT State-Operated Services Minnesota </b><br />
                  		<b>Security Hospital</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">81,821,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">83,233,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.494.6"></a><var>494.6</var><b>Base Level Adjustment.</b> The general fund <br />
         		<a id="pl.494.7"></a><var>494.7</var>base is increased by $17,000 in fiscal year <br />
         		<a id="pl.494.8"></a><var>494.8</var>2018 and by $34,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.494.9"></a><var>494.9</var><br />
                  		<a id="pl.494.10"></a><var>494.10</var><br />
                  		
               </td>
               <td colspan="3">Subd. 7.<b>DCT Minnesota Sex Offender </b><br />
                  		<b>Program</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">83,686,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">84,927,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.494.11"></a><var>494.11</var><b>Transfer Authority for Minnesota Sex </b><br />
         		<a id="pl.494.12"></a><var>494.12</var><b>Offender Program.</b> Money appropriated <br />
         		<a id="pl.494.13"></a><var>494.13</var>for the Minnesota sex offender program <br />
         		<a id="pl.494.14"></a><var>494.14</var>may be transferred between fiscal years <br />
         		<a id="pl.494.15"></a><var>494.15</var>of the biennium with the approval of the <br />
         		<a id="pl.494.16"></a><var>494.16</var>commissioner of management and budget.<br />
         		<a id="pl.494.17"></a><var>494.17</var><b>Limited Carryforward Allowed. </b><br />
         		<a id="pl.494.18"></a><var>494.18</var>Notwithstanding any contrary provision <br />
         		<a id="pl.494.19"></a><var>494.19</var>in this article, of this appropriation, up to <br />
         		<a id="pl.494.20"></a><var>494.20</var>$875,000 in fiscal year 2016 and $2,625,000 <br />
         		<a id="pl.494.21"></a><var>494.21</var>in fiscal year 2017 are available until June <br />
         		<a id="pl.494.22"></a><var>494.22</var>30, 2019.<br />
         		<a id="pl.494.23"></a><var>494.23</var><b>Minnesota Sex Offender Program.</b> Any <br />
         		<a id="pl.494.24"></a><var>494.24</var>funds from the appropriation made by Laws <br />
         		<a id="pl.494.25"></a><var>494.25</var>2014, chapter 312, article 30, section 2, <br />
         		<a id="pl.494.26"></a><var>494.26</var>subdivision 6, that are not used for payment <br />
         		<a id="pl.494.27"></a><var>494.27</var>of court-ordered costs in compliance with <br />
         		<a id="pl.494.28"></a><var>494.28</var>the United States District Court order of <br />
         		<a id="pl.494.29"></a><var>494.29</var>February 20, 2014, in the matter of Karsjens <br />
         		<a id="pl.494.30"></a><var>494.30</var>et al. v. Jesson et al., including any funds <br />
         		<a id="pl.494.31"></a><var>494.31</var>returned by the court that had been deposited <br />
         		<a id="pl.494.32"></a><var>494.32</var>with the court but not spent, may be used by <br />
         		<a id="pl.494.33"></a><var>494.33</var>the commissioner of human services to offset <br />
         		<a id="pl.494.34"></a><var>494.34</var>past and future litigation expenses in the <br />
         		<a id="pl.495.1"></a><var>495.1</var>same matter and to comply with any future <br />
         		<a id="pl.495.2"></a><var>495.2</var>orders of the United States District Court.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.495.3"></a><var>495.3</var><br />
                  		
               </td>
               <td colspan="3">Subd. 8.<b>Technical Activities</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">82,671,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">83,427,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.495.4"></a><var>495.4</var>This appropriation is from the federal TANF <br />
         		<a id="pl.495.5"></a><var>495.5</var>fund.<br />
         		<a id="pl.495.6"></a><var>495.6</var><b>Base Level Adjustment.</b> The TANF fund <br />
         		<a id="pl.495.7"></a><var>495.7</var>appropriation is increased by $392,000 in <br />
         		<a id="pl.495.8"></a><var>495.8</var>fiscal year 2018 and by $80,000 in fiscal year <br />
         		<a id="pl.495.9"></a><var>495.9</var>2019.<br />
         		<br />
         		<a id="bill.14.3.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.495.10"></a><var>495.10</var><br />
                  		
               </td>
               <td colspan="3">Sec. 3. <b>COMMISSIONER OF HEALTH</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.4"></col>
            <col width="12.1"></col>
            <tr>
               <td><a id="pl.495.11"></a><var>495.11</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$ </b><br />
                  		
               </td>
               <td align="right"><b>188,912,000</b><br />
                  		
               </td>
               <td align="center"><b>$ </b><br />
                  		
               </td>
               <td align="right"><b>188,939,000</b><br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="95px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.495.12"></a><var>495.12</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.13"></a><var>495.13</var><br />
                  		
               </td>
               <td></td>
               <td align="center">2016<br />
                  		
               </td>
               <td align="center">2017<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.14"></a><var>495.14</var><br />
                  		
               </td>
               <td>General <br />
                  		
               </td>
               <td align="right">89,369,000 <br />
                  		
               </td>
               <td align="right">91,357,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.15"></a><var>495.15</var><br />
                  		<a id="pl.495.16"></a><var>495.16</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue <br />
                  		
               </td>
               <td align="right">53,843,000 <br />
                  		
               </td>
               <td align="right">52,448,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.17"></a><var>495.17</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">33,987,000<br />
                  		
               </td>
               <td align="right">33,421,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.18"></a><var>495.18</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.495.19"></a><var>495.19</var>The amounts that may be spent for each <br />
         		<a id="pl.495.20"></a><var>495.20</var>purpose are specified in the following <br />
         		<a id="pl.495.21"></a><var>495.21</var>subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.495.22"></a><var>495.22</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Health Improvement</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.495.23"></a><var>495.23</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.24"></a><var>495.24</var><br />
                  		
               </td>
               <td>General <br />
                  		
               </td>
               <td align="right">68,653,000 <br />
                  		
               </td>
               <td align="right">68,984,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.25"></a><var>495.25</var><br />
                  		<a id="pl.495.26"></a><var>495.26</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue<br />
                  		
               </td>
               <td align="right">6,264,000<br />
                  		
               </td>
               <td align="right">6,182,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.27"></a><var>495.27</var><br />
                  		
               </td>
               <td>Health Care Access<br />
                  		
               </td>
               <td align="right">33,987,000<br />
                  		
               </td>
               <td align="right">33,421,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.495.28"></a><var>495.28</var><br />
                  		
               </td>
               <td>Federal TANF<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
               <td align="right">11,713,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.495.29"></a><var>495.29</var><b>Violence Against Asian Women Working </b><br />
         		<a id="pl.495.30"></a><var>495.30</var><b>Group. </b>$200,000 in fiscal year 2016 from <br />
         		<a id="pl.495.31"></a><var>495.31</var>the general fund is for the working group on <br />
         		<a id="pl.495.32"></a><var>495.32</var>violence against Asian women and children.<br />
         		<a id="pl.495.33"></a><var>495.33</var><b>MERC Program. </b>$1,000,000 in fiscal year <br />
         		<a id="pl.495.34"></a><var>495.34</var>2016 and $1,000,000 in fiscal year 2017 are <br />
         		<a id="pl.495.35"></a><var>495.35</var>from the general fund for the MERC program <br />
         		<a id="pl.496.1"></a><var>496.1</var>under Minnesota Statutes, section 62J.692, <br />
         		<a id="pl.496.2"></a><var>496.2</var>subdivision 4.<br />
         		<a id="pl.496.3"></a><var>496.3</var><b>Poison Information Center Grants. </b><br />
         		<a id="pl.496.4"></a><var>496.4</var>$750,000 in fiscal year 2016 and $750,000 in <br />
         		<a id="pl.496.5"></a><var>496.5</var>fiscal year 2017 are from the general fund <br />
         		<a id="pl.496.6"></a><var>496.6</var>for regional poison information center grants <br />
         		<a id="pl.496.7"></a><var>496.7</var>under Minnesota Statutes, section 145.93.<br />
         		<a id="pl.496.8"></a><var>496.8</var><b>Advanced Care Planning. </b>$250,000 in <br />
         		<a id="pl.496.9"></a><var>496.9</var>fiscal year 2016 is from the general fund <br />
         		<a id="pl.496.10"></a><var>496.10</var>to award a grant to a statewide advance <br />
         		<a id="pl.496.11"></a><var>496.11</var>care planning resource organization that has <br />
         		<a id="pl.496.12"></a><var>496.12</var>expertise in convening and coordinating <br />
         		<a id="pl.496.13"></a><var>496.13</var>community-based strategies to encourage <br />
         		<a id="pl.496.14"></a><var>496.14</var>individuals, families, caregivers, and health <br />
         		<a id="pl.496.15"></a><var>496.15</var>care providers to begin conversations <br />
         		<a id="pl.496.16"></a><var>496.16</var>regarding end-of-life care choices that <br />
         		<a id="pl.496.17"></a><var>496.17</var>express an individual's health care values <br />
         		<a id="pl.496.18"></a><var>496.18</var>and preferences and are based on informed <br />
         		<a id="pl.496.19"></a><var>496.19</var>health care decisions. This is a onetime <br />
         		<a id="pl.496.20"></a><var>496.20</var>appropriation.<br />
         		<a id="pl.496.21"></a><var>496.21</var><b>Early Dental Prevention Initiatives. </b><br />
         		<a id="pl.496.22"></a><var>496.22</var>$172,000 in fiscal year 2016 and $140,000 in <br />
         		<a id="pl.496.23"></a><var>496.23</var>fiscal year 2017 are for the development and <br />
         		<a id="pl.496.24"></a><var>496.24</var>distribution of the early dental prevention <br />
         		<a id="pl.496.25"></a><var>496.25</var>initiative under Minnesota Statutes, section <br />
         		<a id="pl.496.26"></a><var>496.26</var>144.3875.<br />
         		<a id="pl.496.27"></a><var>496.27</var><b>International Medical Graduate </b><br />
         		<a id="pl.496.28"></a><var>496.28</var><b>Assistance Program. </b>(a) $500,000 in fiscal <br />
         		<a id="pl.496.29"></a><var>496.29</var>year 2016 and $500,000 in fiscal year 2017 <br />
         		<a id="pl.496.30"></a><var>496.30</var>are from the health care access fund for <br />
         		<a id="pl.496.31"></a><var>496.31</var>the grant programs and necessary contracts <br />
         		<a id="pl.496.32"></a><var>496.32</var>under Minnesota Statutes, section 144.1911, <br />
         		<a id="pl.496.33"></a><var>496.33</var>subdivisions 3, paragraph (a), clause (4), and <br />
         		<a id="pl.496.34"></a><var>496.34</var>4 and 5. The commissioner may use up to <br />
         		<a id="pl.496.35"></a><var>496.35</var>$133,000 per year of the appropriation for <br />
         		<a id="pl.497.1"></a><var>497.1</var>international medical graduate assistance <br />
         		<a id="pl.497.2"></a><var>497.2</var>program administration duties in Minnesota <br />
         		<a id="pl.497.3"></a><var>497.3</var>Statutes, section 144.1911, subdivisions <br />
         		<a id="pl.497.4"></a><var>497.4</var>3, 9, and 10, and for administering the <br />
         		<a id="pl.497.5"></a><var>497.5</var>grant programs under Minnesota Statutes, <br />
         		<a id="pl.497.6"></a><var>497.6</var>section 144.1911, subdivisions 4, 5, <br />
         		<a id="pl.497.7"></a><var>497.7</var>and 6. The commissioner shall develop <br />
         		<a id="pl.497.8"></a><var>497.8</var>recommendations for any additional funding <br />
         		<a id="pl.497.9"></a><var>497.9</var>required for initiatives needed to achieve the <br />
         		<a id="pl.497.10"></a><var>497.10</var>objectives of Minnesota Statutes, section <br />
         		<a id="pl.497.11"></a><var>497.11</var>144.1911. The commissioner shall report the <br />
         		<a id="pl.497.12"></a><var>497.12</var>funding recommendations to the legislature <br />
         		<a id="pl.497.13"></a><var>497.13</var>by January 15, 2016, in the report required <br />
         		<a id="pl.497.14"></a><var>497.14</var>under Minnesota Statutes, section 144.1911, <br />
         		<a id="pl.497.15"></a><var>497.15</var>subdivision 10. The base for this purpose is <br />
         		<a id="pl.497.16"></a><var>497.16</var>$1,000,000 in fiscal years 2018 and 2019.<br />
         		<a id="pl.497.17"></a><var>497.17</var>(b) $500,000 in fiscal year 2016 and <br />
         		<a id="pl.497.18"></a><var>497.18</var>$500,000 in fiscal year 2017 are from the <br />
         		<a id="pl.497.19"></a><var>497.19</var>health care access fund for transfer to the <br />
         		<a id="pl.497.20"></a><var>497.20</var>revolving international medical graduate <br />
         		<a id="pl.497.21"></a><var>497.21</var>residency account established in Minnesota <br />
         		<a id="pl.497.22"></a><var>497.22</var>Statutes, section 144.1911, subdivision 6. <br />
         		<a id="pl.497.23"></a><var>497.23</var>This is a onetime appropriation.<br />
         		<a id="pl.497.24"></a><var>497.24</var><b>Federally Qualified Health Centers. </b><br />
         		<a id="pl.497.25"></a><var>497.25</var>$1,000,000 in fiscal year 2016 and <br />
         		<a id="pl.497.26"></a><var>497.26</var>$1,000,000 in fiscal year 2017 are from the <br />
         		<a id="pl.497.27"></a><var>497.27</var>general fund to provide subsidies to federally <br />
         		<a id="pl.497.28"></a><var>497.28</var>qualified health centers under Minnesota <br />
         		<a id="pl.497.29"></a><var>497.29</var>Statutes, section 145.9269. This is a onetime <br />
         		<a id="pl.497.30"></a><var>497.30</var>appropriation.<br />
         		<a id="pl.497.31"></a><var>497.31</var><b>Organ Donation. </b>$200,000 in fiscal year <br />
         		<a id="pl.497.32"></a><var>497.32</var>2016 is from the general fund to establish <br />
         		<a id="pl.497.33"></a><var>497.33</var>a grant program to develop and create <br />
         		<a id="pl.497.34"></a><var>497.34</var>culturally appropriate outreach programs that <br />
         		<a id="pl.497.35"></a><var>497.35</var>provide education about the importance of <br />
         		<a id="pl.498.1"></a><var>498.1</var>organ donation. Grants shall be awarded to <br />
         		<a id="pl.498.2"></a><var>498.2</var>a federally designated organ procurement <br />
         		<a id="pl.498.3"></a><var>498.3</var>organization and hospital system that <br />
         		<a id="pl.498.4"></a><var>498.4</var>performs transplants. This is a onetime <br />
         		<a id="pl.498.5"></a><var>498.5</var>appropriation.<br />
         		<a id="pl.498.6"></a><var>498.6</var><b>Primary Care Residency. </b>$1,500,000 in <br />
         		<a id="pl.498.7"></a><var>498.7</var>fiscal year 2016 and $1,500,000 in fiscal <br />
         		<a id="pl.498.8"></a><var>498.8</var>year 2017 are from the general fund for <br />
         		<a id="pl.498.9"></a><var>498.9</var>the purposes of the primary care residency <br />
         		<a id="pl.498.10"></a><var>498.10</var>expansion grant program under Minnesota <br />
         		<a id="pl.498.11"></a><var>498.11</var>Statutes, section 144.1506.<br />
         		<a id="pl.498.12"></a><var>498.12</var><b>Somali Women's Health Pilot Program. </b><br />
         		<a id="pl.498.13"></a><var>498.13</var>(a) The commissioner of health shall <br />
         		<a id="pl.498.14"></a><var>498.14</var>establish a pilot program between one or <br />
         		<a id="pl.498.15"></a><var>498.15</var>more federally qualified health centers, as <br />
         		<a id="pl.498.16"></a><var>498.16</var>defined under Minnesota Statutes, section <br />
         		<a id="pl.498.17"></a><var>498.17</var>145.9269, a nonprofit organization that <br />
         		<a id="pl.498.18"></a><var>498.18</var>helps Somali women, and the Minnesota <br />
         		<a id="pl.498.19"></a><var>498.19</var>Evaluation Studies Institute, to develop <br />
         		<a id="pl.498.20"></a><var>498.20</var>a promising strategy to address the <br />
         		<a id="pl.498.21"></a><var>498.21</var>preventative and primary health care needs <br />
         		<a id="pl.498.22"></a><var>498.22</var>of, and address health inequities experienced <br />
         		<a id="pl.498.23"></a><var>498.23</var>by, first generation Somali women. The <br />
         		<a id="pl.498.24"></a><var>498.24</var>pilot program must collaboratively develop <br />
         		<a id="pl.498.25"></a><var>498.25</var>a patient flow process for first generation <br />
         		<a id="pl.498.26"></a><var>498.26</var>Somali women by:<br />
         		<a id="pl.498.27"></a><var>498.27</var>(1) addressing and identifying clinical and <br />
         		<a id="pl.498.28"></a><var>498.28</var>cultural barriers to Somali women accessing <br />
         		<a id="pl.498.29"></a><var>498.29</var>preventative and primary care, including, <br />
         		<a id="pl.498.30"></a><var>498.30</var>but not limited to, cervical and breast cancer <br />
         		<a id="pl.498.31"></a><var>498.31</var>screenings;<br />
         		<a id="pl.498.32"></a><var>498.32</var>(2) developing a culturally appropriate health <br />
         		<a id="pl.498.33"></a><var>498.33</var>curriculum for Somali women based on <br />
         		<a id="pl.498.34"></a><var>498.34</var>the outcomes from the community-based <br />
         		<a id="pl.498.35"></a><var>498.35</var>participatory research report "Cultural <br />
         		<a id="pl.499.1"></a><var>499.1</var>Traditions and the Reproductive Health <br />
         		<a id="pl.499.2"></a><var>499.2</var>of Somali Refugees and Immigrants" to <br />
         		<a id="pl.499.3"></a><var>499.3</var>increase the health literacy of Somali women <br />
         		<a id="pl.499.4"></a><var>499.4</var>and develop culturally specific health care <br />
         		<a id="pl.499.5"></a><var>499.5</var>information; and<br />
         		<a id="pl.499.6"></a><var>499.6</var>(3) training the federally qualified health <br />
         		<a id="pl.499.7"></a><var>499.7</var>center's providers and staff to enhance <br />
         		<a id="pl.499.8"></a><var>499.8</var>provider and staff cultural competence <br />
         		<a id="pl.499.9"></a><var>499.9</var>regarding the cultural barriers, including <br />
         		<a id="pl.499.10"></a><var>499.10</var>female genital cutting.<br />
         		<a id="pl.499.11"></a><var>499.11</var>(b) The pilot program must develop a process <br />
         		<a id="pl.499.12"></a><var>499.12</var>that results in increased screening rates <br />
         		<a id="pl.499.13"></a><var>499.13</var>for cervical and breast cancer and can be <br />
         		<a id="pl.499.14"></a><var>499.14</var>replicated by other providers serving ethnic <br />
         		<a id="pl.499.15"></a><var>499.15</var>minorities. The pilot program must conduct <br />
         		<a id="pl.499.16"></a><var>499.16</var>an evaluation of the new patient flow process <br />
         		<a id="pl.499.17"></a><var>499.17</var>used by Somali women to access federally <br />
         		<a id="pl.499.18"></a><var>499.18</var>qualified health centers services.<br />
         		<a id="pl.499.19"></a><var>499.19</var>(c) The pilot program must report the <br />
         		<a id="pl.499.20"></a><var>499.20</var>outcomes to the commissioner by June 30, <br />
         		<a id="pl.499.21"></a><var>499.21</var>2017.<br />
         		<a id="pl.499.22"></a><var>499.22</var>(d) $110,000 in fiscal year 2016 is for the <br />
         		<a id="pl.499.23"></a><var>499.23</var>Somali women's health pilot program. Of <br />
         		<a id="pl.499.24"></a><var>499.24</var>this appropriation, the commissioner may <br />
         		<a id="pl.499.25"></a><var>499.25</var>use up to $10,000 to administer the program. <br />
         		<a id="pl.499.26"></a><var>499.26</var>This appropriation is available until June 30, <br />
         		<a id="pl.499.27"></a><var>499.27</var>2017. This is a onetime appropriation.<br />
         		<a id="pl.499.28"></a><var>499.28</var><b>Menthol Cigarette Usage in </b><br />
         		<a id="pl.499.29"></a><var>499.29</var><b>African-American Community </b><br />
         		<a id="pl.499.30"></a><var>499.30</var><b>Intervention Grants.</b> Of the health care <br />
         		<a id="pl.499.31"></a><var>499.31</var>access fund appropriation for the statewide <br />
         		<a id="pl.499.32"></a><var>499.32</var>health improvement program, $200,000 in <br />
         		<a id="pl.499.33"></a><var>499.33</var>fiscal year 2016 is for at least one grant that <br />
         		<a id="pl.499.34"></a><var>499.34</var>must be awarded by the commissioner to <br />
         		<a id="pl.499.35"></a><var>499.35</var>implement strategies and interventions to <br />
         		<a id="pl.500.1"></a><var>500.1</var>reduce the disproportionately high usage of <br />
         		<a id="pl.500.2"></a><var>500.2</var>cigarettes by African-Americans, especially <br />
         		<a id="pl.500.3"></a><var>500.3</var>the use of menthol-flavored cigarettes, as <br />
         		<a id="pl.500.4"></a><var>500.4</var>well as the disproportionate harm tobacco <br />
         		<a id="pl.500.5"></a><var>500.5</var>causes in that community. The grantee shall <br />
         		<a id="pl.500.6"></a><var>500.6</var>engage members of the African-American <br />
         		<a id="pl.500.7"></a><var>500.7</var>community and community-based <br />
         		<a id="pl.500.8"></a><var>500.8</var>organizations. This grant shall be awarded <br />
         		<a id="pl.500.9"></a><var>500.9</var>as part of the statewide health improvement <br />
         		<a id="pl.500.10"></a><var>500.10</var>program grants awarded on November 1, <br />
         		<a id="pl.500.11"></a><var>500.11</var>2015, and must meet the requirements of <br />
         		<a id="pl.500.12"></a><var>500.12</var>Minnesota Statutes, section 145.986.<br />
         		<a id="pl.500.13"></a><var>500.13</var><b>Targeted Home Visiting System.</b> (a) <br />
         		<a id="pl.500.14"></a><var>500.14</var>$75,000 in fiscal year 2016 is for the <br />
         		<a id="pl.500.15"></a><var>500.15</var>commissioner of health, in consultation <br />
         		<a id="pl.500.16"></a><var>500.16</var>with the commissioners of human services <br />
         		<a id="pl.500.17"></a><var>500.17</var>and education, community health boards, <br />
         		<a id="pl.500.18"></a><var>500.18</var>tribal nations, and other home visiting <br />
         		<a id="pl.500.19"></a><var>500.19</var>stakeholders, to design baseline training <br />
         		<a id="pl.500.20"></a><var>500.20</var>for new home visitors to ensure statewide <br />
         		<a id="pl.500.21"></a><var>500.21</var>coordination across home visiting programs.<br />
         		<a id="pl.500.22"></a><var>500.22</var>(b) $575,000 in fiscal year 2016 and <br />
         		<a id="pl.500.23"></a><var>500.23</var>$2,000,000 fiscal year 2017 are to provide <br />
         		<a id="pl.500.24"></a><var>500.24</var>grants to community health boards and <br />
         		<a id="pl.500.25"></a><var>500.25</var>tribal nations for start-up grants for new <br />
         		<a id="pl.500.26"></a><var>500.26</var>nurse-family partnership programs and <br />
         		<a id="pl.500.27"></a><var>500.27</var>for grants to expand existing programs <br />
         		<a id="pl.500.28"></a><var>500.28</var>to serve first-time mothers, prenatally by <br />
         		<a id="pl.500.29"></a><var>500.29</var>28 weeks gestation until the child is two <br />
         		<a id="pl.500.30"></a><var>500.30</var>years of age, who are eligible for medical <br />
         		<a id="pl.500.31"></a><var>500.31</var>assistance under Minnesota Statutes, chapter <br />
         		<a id="pl.500.32"></a><var>500.32</var>256B, or the federal Special Supplemental <br />
         		<a id="pl.500.33"></a><var>500.33</var>Nutrition Program for Women, Infants, and <br />
         		<a id="pl.500.34"></a><var>500.34</var>Children. The commissioner shall award <br />
         		<a id="pl.500.35"></a><var>500.35</var>grants to community health boards or tribal <br />
         		<a id="pl.500.36"></a><var>500.36</var>nations in metropolitan and rural areas of <br />
         		<a id="pl.501.1"></a><var>501.1</var>the state. Priority for all grants shall be <br />
         		<a id="pl.501.2"></a><var>501.2</var>given to nurse-family partnership programs <br />
         		<a id="pl.501.3"></a><var>501.3</var>that provide services through a Minnesota <br />
         		<a id="pl.501.4"></a><var>501.4</var>health care program-enrolled provider that <br />
         		<a id="pl.501.5"></a><var>501.5</var>accepts medical assistance. Additionally, <br />
         		<a id="pl.501.6"></a><var>501.6</var>priority for grants to rural areas shall be <br />
         		<a id="pl.501.7"></a><var>501.7</var>given to community health boards and tribal <br />
         		<a id="pl.501.8"></a><var>501.8</var>nations that expand services within regional <br />
         		<a id="pl.501.9"></a><var>501.9</var>partnerships that provide the nurse-family <br />
         		<a id="pl.501.10"></a><var>501.10</var>partnership program. Funding available <br />
         		<a id="pl.501.11"></a><var>501.11</var>under this paragraph may only be used to <br />
         		<a id="pl.501.12"></a><var>501.12</var>supplement, not to replace, funds being used <br />
         		<a id="pl.501.13"></a><var>501.13</var>for nurse-family partnership home visiting <br />
         		<a id="pl.501.14"></a><var>501.14</var>services as of June 30, 2015.<br />
         		<a id="pl.501.15"></a><var>501.15</var><b>Opiate Antagonists. </b>$270,000 in fiscal <br />
         		<a id="pl.501.16"></a><var>501.16</var>year 2016 and $20,000 in fiscal year 2017 <br />
         		<a id="pl.501.17"></a><var>501.17</var>are from the general fund for grants to the <br />
         		<a id="pl.501.18"></a><var>501.18</var>eight regional emergency medical services <br />
         		<a id="pl.501.19"></a><var>501.19</var>programs to purchase opiate antagonists <br />
         		<a id="pl.501.20"></a><var>501.20</var>and educate and train emergency medical <br />
         		<a id="pl.501.21"></a><var>501.21</var>services persons, as defined in Minnesota <br />
         		<a id="pl.501.22"></a><var>501.22</var>Statutes, section 144.7401, subdivision <br />
         		<a id="pl.501.23"></a><var>501.23</var>4, clauses (1) and (2), in the use of these <br />
         		<a id="pl.501.24"></a><var>501.24</var>antagonists in the event of an opioid or <br />
         		<a id="pl.501.25"></a><var>501.25</var>heroin overdose. For the purposes of <br />
         		<a id="pl.501.26"></a><var>501.26</var>this paragraph, "opiate antagonist" means <br />
         		<a id="pl.501.27"></a><var>501.27</var>naloxone hydrochloride or any similarly <br />
         		<a id="pl.501.28"></a><var>501.28</var>acting drug approved by the federal Food <br />
         		<a id="pl.501.29"></a><var>501.29</var>and Drug Administration for the treatment of <br />
         		<a id="pl.501.30"></a><var>501.30</var>drug overdose. Grants under this paragraph <br />
         		<a id="pl.501.31"></a><var>501.31</var>must be distributed to all eight regional <br />
         		<a id="pl.501.32"></a><var>501.32</var>emergency medical services programs. This <br />
         		<a id="pl.501.33"></a><var>501.33</var>is a onetime appropriation and is available <br />
         		<a id="pl.501.34"></a><var>501.34</var>until June 30, 2017. The commissioner may <br />
         		<a id="pl.501.35"></a><var>501.35</var>use up to $20,000 of the amount for opiate <br />
         		<a id="pl.501.36"></a><var>501.36</var>antagonists for administration.<br />
         		<a id="pl.502.1"></a><var>502.1</var><b>Local and Tribal Public Health Grants.</b> (a) <br />
         		<a id="pl.502.2"></a><var>502.2</var>$894,000 in fiscal year 2016 and $894,000 in <br />
         		<a id="pl.502.3"></a><var>502.3</var>fiscal year 2017 are for an increase in local <br />
         		<a id="pl.502.4"></a><var>502.4</var>public health grants for community health <br />
         		<a id="pl.502.5"></a><var>502.5</var>boards under Minnesota Statutes, section <br />
         		<a id="pl.502.6"></a><var>502.6</var>145A.131, subdivision 1, paragraph (e).<br />
         		<a id="pl.502.7"></a><var>502.7</var>(b) $106,000 in fiscal year 2016 and $106,000 <br />
         		<a id="pl.502.8"></a><var>502.8</var>in fiscal year 2017 are for an increase in <br />
         		<a id="pl.502.9"></a><var>502.9</var>special grants to tribal governments under <br />
         		<a id="pl.502.10"></a><var>502.10</var>Minnesota Statutes, section 145A.14, <br />
         		<a id="pl.502.11"></a><var>502.11</var>subdivision 2a.<br />
         		<a id="pl.502.12"></a><var>502.12</var><b>HCBS Employee Scholarships. </b>$1,000,000 <br />
         		<a id="pl.502.13"></a><var>502.13</var>in fiscal year 2016 and $1,000,000 in fiscal <br />
         		<a id="pl.502.14"></a><var>502.14</var>year 2017 are from the general fund for <br />
         		<a id="pl.502.15"></a><var>502.15</var>the home and community-based services <br />
         		<a id="pl.502.16"></a><var>502.16</var>employee scholarship program under <br />
         		<a id="pl.502.17"></a><var>502.17</var>Minnesota Statutes, section 144.1503. The <br />
         		<a id="pl.502.18"></a><var>502.18</var>commissioner may use up to $50,000 of the <br />
         		<a id="pl.502.19"></a><var>502.19</var>amount for the HCBS employee scholarships <br />
         		<a id="pl.502.20"></a><var>502.20</var>for administration.<br />
         		<a id="pl.502.21"></a><var>502.21</var><b>Family Planning Special Projects. </b><br />
         		<a id="pl.502.22"></a><var>502.22</var>$1,000,000 in fiscal year 2016 and <br />
         		<a id="pl.502.23"></a><var>502.23</var>$1,000,000 in fiscal year 2017 are from the <br />
         		<a id="pl.502.24"></a><var>502.24</var>general fund for family planning special <br />
         		<a id="pl.502.25"></a><var>502.25</var>project grants under Minnesota Statutes, <br />
         		<a id="pl.502.26"></a><var>502.26</var>section 145.925.<br />
         		<a id="pl.502.27"></a><var>502.27</var><b>Positive Alternatives. </b>$1,000,000 in fiscal <br />
         		<a id="pl.502.28"></a><var>502.28</var>year 2016 and $1,000,000 in fiscal year <br />
         		<a id="pl.502.29"></a><var>502.29</var>2017 are from the general fund for positive <br />
         		<a id="pl.502.30"></a><var>502.30</var>abortion alternatives under Minnesota <br />
         		<a id="pl.502.31"></a><var>502.31</var>Statutes, section 145.4235.<br />
         		<a id="pl.502.32"></a><var>502.32</var><b>Safe Harbor for Sexually Exploited Youth. </b><br />
         		<a id="pl.502.33"></a><var>502.33</var>$700,000 in fiscal year 2016 and $700,000 in <br />
         		<a id="pl.502.34"></a><var>502.34</var>fiscal year 2017 are from the general fund <br />
         		<a id="pl.502.35"></a><var>502.35</var>for the safe harbor program under Minnesota <br />
         		<a id="pl.503.1"></a><var>503.1</var>Statutes, sections 145.4716 to 145.4718. <br />
         		<a id="pl.503.2"></a><var>503.2</var>Funds shall be used for grants to increase <br />
         		<a id="pl.503.3"></a><var>503.3</var>the number of regional navigators; training <br />
         		<a id="pl.503.4"></a><var>503.4</var>for professionals who engage with exploited <br />
         		<a id="pl.503.5"></a><var>503.5</var>or at-risk youth; implementing statewide <br />
         		<a id="pl.503.6"></a><var>503.6</var>protocols and best practices for effectively <br />
         		<a id="pl.503.7"></a><var>503.7</var>identifying, interacting with, and referring <br />
         		<a id="pl.503.8"></a><var>503.8</var>sexually exploited youth to appropriate <br />
         		<a id="pl.503.9"></a><var>503.9</var>resources; and program operating costs.<br />
         		<a id="pl.503.10"></a><var>503.10</var><b>Health Care Grants for Uninsured </b><br />
         		<a id="pl.503.11"></a><var>503.11</var><b>Individuals. </b>(a) $125,000 in fiscal year 2016 <br />
         		<a id="pl.503.12"></a><var>503.12</var>and $125,000 in fiscal year 2017 are from <br />
         		<a id="pl.503.13"></a><var>503.13</var>the general fund for dental provider grants <br />
         		<a id="pl.503.14"></a><var>503.14</var>in Minnesota Statutes, section 
         <statute_ref>145.929, <br />
            		<a id="pl.503.15"></a><var>503.15</var>subdivision 1
         </statute_ref>.<br />
         		<a id="pl.503.16"></a><var>503.16</var>(b) $437,500 in fiscal year 2016 and $437,500 <br />
         		<a id="pl.503.17"></a><var>503.17</var>in fiscal year 2017 are from the general fund <br />
         		<a id="pl.503.18"></a><var>503.18</var>for community mental health program grants <br />
         		<a id="pl.503.19"></a><var>503.19</var>in Minnesota Statutes, section 
         <statute_ref>145.929, <br />
            		<a id="pl.503.20"></a><var>503.20</var>subdivision 2
         </statute_ref>.<br />
         		<a id="pl.503.21"></a><var>503.21</var>(c) $1,500,000 in fiscal year 2016 and <br />
         		<a id="pl.503.22"></a><var>503.22</var>$1,500,000 in fiscal year 2017 are from the <br />
         		<a id="pl.503.23"></a><var>503.23</var>general fund for the emergency medical <br />
         		<a id="pl.503.24"></a><var>503.24</var>assistance outlier grant program in Minnesota <br />
         		<a id="pl.503.25"></a><var>503.25</var>Statutes, section 
         <statute_ref>145.929, subdivision 3</statute_ref>. <br />
         		<a id="pl.503.26"></a><var>503.26</var>(d) $437,500 of the general fund <br />
         		<a id="pl.503.27"></a><var>503.27</var>appropriation in fiscal years 2016 and 2017 <br />
         		<a id="pl.503.28"></a><var>503.28</var>is for community health center grants under <br />
         		<a id="pl.503.29"></a><var>503.29</var>Minnesota Statutes, section 
         <statute_ref>145.9269</statute_ref>. A <br />
         		<a id="pl.503.30"></a><var>503.30</var>community health center that receives a grant <br />
         		<a id="pl.503.31"></a><var>503.31</var>from this appropriation is not eligible for a <br />
         		<a id="pl.503.32"></a><var>503.32</var>grant under paragraph (b).<br />
         		<a id="pl.503.33"></a><var>503.33</var>(e) The commissioner may use up to $25,000 <br />
         		<a id="pl.503.34"></a><var>503.34</var>of the appropriations for health care grants <br />
         		<a id="pl.504.1"></a><var>504.1</var>for uninsured individuals in fiscal years 2016 <br />
         		<a id="pl.504.2"></a><var>504.2</var>and 2017 for grant administration.<br />
         		<a id="pl.504.3"></a><var>504.3</var><b>TANF Appropriations.</b> (a) $1,156,000 of <br />
         		<a id="pl.504.4"></a><var>504.4</var>the TANF funds is appropriated each year of <br />
         		<a id="pl.504.5"></a><var>504.5</var>the biennium to the commissioner for family <br />
         		<a id="pl.504.6"></a><var>504.6</var>planning grants under Minnesota Statutes, <br />
         		<a id="pl.504.7"></a><var>504.7</var>section 145.925.<br />
         		<a id="pl.504.8"></a><var>504.8</var>(b) $3,579,000 of the TANF funds is <br />
         		<a id="pl.504.9"></a><var>504.9</var>appropriated each year of the biennium to <br />
         		<a id="pl.504.10"></a><var>504.10</var>the commissioner for home visiting and <br />
         		<a id="pl.504.11"></a><var>504.11</var>nutritional services listed under Minnesota <br />
         		<a id="pl.504.12"></a><var>504.12</var>Statutes, section 145.882, subdivision 7, <br />
         		<a id="pl.504.13"></a><var>504.13</var>clauses (6) and (7). Funds must be distributed <br />
         		<a id="pl.504.14"></a><var>504.14</var>to community health boards according to <br />
         		<a id="pl.504.15"></a><var>504.15</var>Minnesota Statutes, section 145A.131, <br />
         		<a id="pl.504.16"></a><var>504.16</var>subdivision 1.<br />
         		<a id="pl.504.17"></a><var>504.17</var>(c) $2,000,000 of the TANF funds is <br />
         		<a id="pl.504.18"></a><var>504.18</var>appropriated each year of the biennium to <br />
         		<a id="pl.504.19"></a><var>504.19</var>the commissioner for decreasing racial and <br />
         		<a id="pl.504.20"></a><var>504.20</var>ethnic disparities in infant mortality rates <br />
         		<a id="pl.504.21"></a><var>504.21</var>under Minnesota Statutes, section 145.928, <br />
         		<a id="pl.504.22"></a><var>504.22</var>subdivision 7.<br />
         		<a id="pl.504.23"></a><var>504.23</var>(d) $4,978,000 of the TANF funds is <br />
         		<a id="pl.504.24"></a><var>504.24</var>appropriated each year of the biennium to the <br />
         		<a id="pl.504.25"></a><var>504.25</var>commissioner for the family home visiting <br />
         		<a id="pl.504.26"></a><var>504.26</var>grant program according to Minnesota <br />
         		<a id="pl.504.27"></a><var>504.27</var>Statutes, section 145A.17. $4,000,000 of the <br />
         		<a id="pl.504.28"></a><var>504.28</var>funding must be distributed to community <br />
         		<a id="pl.504.29"></a><var>504.29</var>health boards according to Minnesota <br />
         		<a id="pl.504.30"></a><var>504.30</var>Statutes, section 145A.131, subdivision 1. <br />
         		<a id="pl.504.31"></a><var>504.31</var>$978,000 of the funding must be distributed to <br />
         		<a id="pl.504.32"></a><var>504.32</var>tribal governments as provided in Minnesota <br />
         		<a id="pl.504.33"></a><var>504.33</var>Statutes, section 145A.14, subdivision 2a.<br />
         		<a id="pl.504.34"></a><var>504.34</var>(e) The commissioner may use up to 6.23 <br />
         		<a id="pl.504.35"></a><var>504.35</var>percent of the funds appropriated each fiscal <br />
         		<a id="pl.505.1"></a><var>505.1</var>year to conduct the ongoing evaluations <br />
         		<a id="pl.505.2"></a><var>505.2</var>required under Minnesota Statutes, section <br />
         		<a id="pl.505.3"></a><var>505.3</var>145A.17, subdivision 7, and training and <br />
         		<a id="pl.505.4"></a><var>505.4</var>technical assistance as required under <br />
         		<a id="pl.505.5"></a><var>505.5</var>Minnesota Statutes, section 145A.17, <br />
         		<a id="pl.505.6"></a><var>505.6</var>subdivisions 4 and 5.<br />
         		<a id="pl.505.7"></a><var>505.7</var><b>TANF Carryforward.</b> Any unexpended <br />
         		<a id="pl.505.8"></a><var>505.8</var>balance of the TANF appropriation in the <br />
         		<a id="pl.505.9"></a><var>505.9</var>first year of the biennium does not cancel but <br />
         		<a id="pl.505.10"></a><var>505.10</var>is available for the second year.<br />
         		<a id="pl.505.11"></a><var>505.11</var><b>Health Professional Loan Forgiveness. </b><br />
         		<a id="pl.505.12"></a><var>505.12</var>$2,631,000 in fiscal year 2016 and $2,631,000 <br />
         		<a id="pl.505.13"></a><var>505.13</var>in fiscal year 2017 are from the general <br />
         		<a id="pl.505.14"></a><var>505.14</var>fund for the purposes of Minnesota Statutes, <br />
         		<a id="pl.505.15"></a><var>505.15</var>section 144.1501. Of this appropriation, the <br />
         		<a id="pl.505.16"></a><var>505.16</var>commissioner may use up to $131,000 each <br />
         		<a id="pl.505.17"></a><var>505.17</var>year to administer the program.<br />
         		<a id="pl.505.18"></a><var>505.18</var><b>Minnesota Stroke System.</b> $350,000 in <br />
         		<a id="pl.505.19"></a><var>505.19</var>fiscal year 2016 and $350,000 in fiscal <br />
         		<a id="pl.505.20"></a><var>505.20</var>year 2017 are from the general fund for the <br />
         		<a id="pl.505.21"></a><var>505.21</var>Minnesota stroke system.<br />
         		<a id="pl.505.22"></a><var>505.22</var><b>Prevention of Violence in Health Care. </b><br />
         		<a id="pl.505.23"></a><var>505.23</var>$50,000 in fiscal year 2016 is to continue the <br />
         		<a id="pl.505.24"></a><var>505.24</var>prevention of violence in health care program <br />
         		<a id="pl.505.25"></a><var>505.25</var>and creating violence prevention resources <br />
         		<a id="pl.505.26"></a><var>505.26</var>for hospitals and other health care providers <br />
         		<a id="pl.505.27"></a><var>505.27</var>to use in training their staff on violence <br />
         		<a id="pl.505.28"></a><var>505.28</var>prevention. This is a onetime appropriation <br />
         		<a id="pl.505.29"></a><var>505.29</var>and is available until June 30, 2017.<br />
         		<a id="pl.505.30"></a><var>505.30</var><b>Health Care Savings Determinations. </b>(a) <br />
         		<a id="pl.505.31"></a><var>505.31</var>The health care access fund base for the state <br />
         		<a id="pl.505.32"></a><var>505.32</var>health improvement program is decreased by <br />
         		<a id="pl.505.33"></a><var>505.33</var>$261,000 in fiscal year 2016 and decreased <br />
         		<a id="pl.505.34"></a><var>505.34</var>by $110,000 in fiscal year 2017.<br />
         		<a id="pl.506.1"></a><var>506.1</var>(b) $261,000 in fiscal year 2016 and $110,000 <br />
         		<a id="pl.506.2"></a><var>506.2</var>in fiscal year 2017 are from the health care <br />
         		<a id="pl.506.3"></a><var>506.3</var>access fund for the forecasting, cost reporting, <br />
         		<a id="pl.506.4"></a><var>506.4</var>and analysis required by Minnesota Statutes, <br />
         		<a id="pl.506.5"></a><var>506.5</var>section 62U.10, subdivisions 6 and 7.<br />
         		<a id="pl.506.6"></a><var>506.6</var><b>Base Level Adjustments.</b> The general fund <br />
         		<a id="pl.506.7"></a><var>506.7</var>base is decreased by $1,070,000 in fiscal <br />
         		<a id="pl.506.8"></a><var>506.8</var>year 2018 and by $1,020,000 in fiscal year <br />
         		<a id="pl.506.9"></a><var>506.9</var>2019. The state government special revenue <br />
         		<a id="pl.506.10"></a><var>506.10</var>fund base is increased by $33,000 in fiscal <br />
         		<a id="pl.506.11"></a><var>506.11</var>year 2018. The health care access fund base <br />
         		<a id="pl.506.12"></a><var>506.12</var>is increased by $610,000 in fiscal year 2018 <br />
         		<a id="pl.506.13"></a><var>506.13</var>and by $23,000 in fiscal year 2019. <br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12.1"></col>
            <col width="2.5"></col>
            <col width="11.899999999999999"></col>
            <tr>
               <td><a id="pl.506.14"></a><var>506.14</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Health Protection</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="126px"></col>
            <col width="96px"></col>
            <col width="96px"></col>
            <tr>
               <td><a id="pl.506.15"></a><var>506.15</var><br />
                  		
               </td>
               <td colspan="3" align="center">Appropriations by Fund<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.506.16"></a><var>506.16</var><br />
                  		
               </td>
               <td>General <br />
                  		
               </td>
               <td align="right">12,506,000 <br />
                  		
               </td>
               <td align="right">14,149,000<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.506.17"></a><var>506.17</var><br />
                  		<a id="pl.506.18"></a><var>506.18</var><br />
                  		
               </td>
               <td>State Government <br />
                  		Special Revenue <br />
                  		
               </td>
               <td align="right">47,579,000 <br />
                  		
               </td>
               <td align="right">46,266,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.506.19"></a><var>506.19</var><b>Base Level Adjustments.</b> The state <br />
         		<a id="pl.506.20"></a><var>506.20</var>government special revenue fund base is <br />
         		<a id="pl.506.21"></a><var>506.21</var>increased by $322,000 in fiscal year 2018 <br />
         		<a id="pl.506.22"></a><var>506.22</var>and by $300,000 in fiscal year 2019.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.506.23"></a><var>506.23</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Administrative Support Services</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">8,210,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">8,224,000<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.4.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.506.24"></a><var>506.24</var><br />
                  		
               </td>
               <td colspan="3">Sec. 4. <b>HEALTH-RELATED BOARDS</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right"></td>
               <td align="center"></td>
               <td align="right"></td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.6"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.506.25"></a><var>506.25</var><br />
                  		
               </td>
               <td colspan="3">Subdivision 1.<b>Total Appropriation</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>19,707,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>19,597,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.506.26"></a><var>506.26</var>This appropriation is from the state <br />
         		<a id="pl.506.27"></a><var>506.27</var>government special revenue fund. The <br />
         		<a id="pl.506.28"></a><var>506.28</var>amounts that may be spent for each purpose <br />
         		<a id="pl.506.29"></a><var>506.29</var>are specified in the following subdivisions.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.506.30"></a><var>506.30</var><br />
                  		
               </td>
               <td colspan="3">Subd. 2.<b>Board of Chiropractic Examiners</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">507,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">513,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.506.31"></a><var>506.31</var><br />
                  		
               </td>
               <td colspan="3">Subd. 3.<b>Board of Dentistry</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,192,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,206,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.507.1"></a><var>507.1</var>This appropriation includes $864,000 in fiscal <br />
         		<a id="pl.507.2"></a><var>507.2</var>year 2016 and $878,000 in fiscal year 2017 <br />
         		<a id="pl.507.3"></a><var>507.3</var>for the health professional services program.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.507.4"></a><var>507.4</var><br />
                  		<a id="pl.507.5"></a><var>507.5</var><br />
                  		
               </td>
               <td colspan="3">Subd. 4.<b>Board of Dietetics and Nutrition </b><br />
                  		<b>Practice</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">113,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">115,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.507.6"></a><var>507.6</var><br />
                  		<a id="pl.507.7"></a><var>507.7</var><br />
                  		
               </td>
               <td colspan="3">Subd. 5.<b>Board of Marriage and Family </b><br />
                  		<b>Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">234,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">237,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.507.8"></a><var>507.8</var><br />
                  		
               </td>
               <td colspan="3">Subd. 6.<b>Board of Medical Practice</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,933,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">3,962,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.507.9"></a><var>507.9</var><br />
                  		
               </td>
               <td colspan="3">Subd. 7.<b>Board of Nursing</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">4,189,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">4,243,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.507.10"></a><var>507.10</var><br />
                  		<a id="pl.507.11"></a><var>507.11</var><br />
                  		
               </td>
               <td colspan="3">Subd. 8.<b>Board of Nursing Home </b><br />
                  		<b>Administrators</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,365,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,062,000<br />
                  		
               </td>
            </tr>
         </table><a id="pl.507.12"></a><var>507.12</var><b>Administrative Services Unit - Operating </b><br />
         		<a id="pl.507.13"></a><var>507.13</var><b>Costs.</b> Of this appropriation, $1,482,000 <br />
         		<a id="pl.507.14"></a><var>507.14</var>in fiscal year 2016 and $1,497,000 in <br />
         		<a id="pl.507.15"></a><var>507.15</var>fiscal year 2017 are for operating costs <br />
         		<a id="pl.507.16"></a><var>507.16</var>of the administrative services unit. The <br />
         		<a id="pl.507.17"></a><var>507.17</var>administrative services unit may receive <br />
         		<a id="pl.507.18"></a><var>507.18</var>and expend reimbursements for services <br />
         		<a id="pl.507.19"></a><var>507.19</var>performed by other agencies.<br />
         		<a id="pl.507.20"></a><var>507.20</var><b>Administrative Services Unit - Volunteer </b><br />
         		<a id="pl.507.21"></a><var>507.21</var><b>Health Care Provider Program.</b> Of this <br />
         		<a id="pl.507.22"></a><var>507.22</var>appropriation, $150,000 in fiscal year 2016 <br />
         		<a id="pl.507.23"></a><var>507.23</var>and $150,000 in fiscal year 2017 are to pay <br />
         		<a id="pl.507.24"></a><var>507.24</var>for medical professional liability coverage <br />
         		<a id="pl.507.25"></a><var>507.25</var>required under Minnesota Statutes, section <br />
         		<a id="pl.507.26"></a><var>507.26</var>214.40.<br />
         		<a id="pl.507.27"></a><var>507.27</var><b>Administrative Services Unit - Retirement </b><br />
         		<a id="pl.507.28"></a><var>507.28</var><b>Costs.</b> Of this appropriation, $320,000 in <br />
         		<a id="pl.507.29"></a><var>507.29</var>fiscal year 2016 is a onetime appropriation <br />
         		<a id="pl.507.30"></a><var>507.30</var>to the administrative services unit to pay for <br />
         		<a id="pl.507.31"></a><var>507.31</var>the retirement costs of health-related board <br />
         		<a id="pl.507.32"></a><var>507.32</var>employees. This funding may be transferred <br />
         		<a id="pl.507.33"></a><var>507.33</var>to the health board incurring the retirement <br />
         		<a id="pl.507.34"></a><var>507.34</var>costs. These funds are available either year <br />
         		<a id="pl.507.35"></a><var>507.35</var>of the biennium.<br />
         		<a id="pl.508.1"></a><var>508.1</var><b>Administrative Services Unit - Contested </b><br />
         		<a id="pl.508.2"></a><var>508.2</var><b>Cases and Other Legal Proceedings.</b> Of <br />
         		<a id="pl.508.3"></a><var>508.3</var>this appropriation, $200,000 in fiscal year <br />
         		<a id="pl.508.4"></a><var>508.4</var>2016 and $200,000 in fiscal year 2017 are <br />
         		<a id="pl.508.5"></a><var>508.5</var>for costs of contested case hearings and other <br />
         		<a id="pl.508.6"></a><var>508.6</var>unanticipated costs of legal proceedings <br />
         		<a id="pl.508.7"></a><var>508.7</var>involving health-related boards funded <br />
         		<a id="pl.508.8"></a><var>508.8</var>under this section. Upon certification by a <br />
         		<a id="pl.508.9"></a><var>508.9</var>health-related board to the administrative <br />
         		<a id="pl.508.10"></a><var>508.10</var>services unit that the costs will be incurred <br />
         		<a id="pl.508.11"></a><var>508.11</var>and that there is insufficient money available <br />
         		<a id="pl.508.12"></a><var>508.12</var>to pay for the costs out of money currently <br />
         		<a id="pl.508.13"></a><var>508.13</var>available to that board, the administrative <br />
         		<a id="pl.508.14"></a><var>508.14</var>services unit is authorized to transfer money <br />
         		<a id="pl.508.15"></a><var>508.15</var>from this appropriation to the board for <br />
         		<a id="pl.508.16"></a><var>508.16</var>payment of those costs with the approval <br />
         		<a id="pl.508.17"></a><var>508.17</var>of the commissioner of management and <br />
         		<a id="pl.508.18"></a><var>508.18</var>budget. The commissioner of management <br />
         		<a id="pl.508.19"></a><var>508.19</var>and budget must require any board that <br />
         		<a id="pl.508.20"></a><var>508.20</var>has an unexpended balance for an amount <br />
         		<a id="pl.508.21"></a><var>508.21</var>transferred under this paragraph to transfer <br />
         		<a id="pl.508.22"></a><var>508.22</var>the unexpended amount to the administrative <br />
         		<a id="pl.508.23"></a><var>508.23</var>services unit to be deposited in the state <br />
         		<a id="pl.508.24"></a><var>508.24</var>government special revenue fund.<br />
         		
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.25"></a><var>508.25</var><br />
                  		
               </td>
               <td colspan="3">Subd. 9.<b>Board of Optometry</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">138,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">143,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.26"></a><var>508.26</var><br />
                  		
               </td>
               <td colspan="3">Subd. 10.<b>Board of Pharmacy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,847,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">2,888,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.27"></a><var>508.27</var><br />
                  		
               </td>
               <td colspan="3">Subd. 11.<b>Board of Physical Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">354,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">359,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.28"></a><var>508.28</var><br />
                  		
               </td>
               <td colspan="3">Subd. 12.<b>Board of Podiatry</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">78,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">79,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.29"></a><var>508.29</var><br />
                  		
               </td>
               <td colspan="3">Subd. 13.<b>Board of Psychology</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">874,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">884,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.30"></a><var>508.30</var><br />
                  		
               </td>
               <td colspan="3">Subd. 14.<b>Board of Social Work</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,141,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">1,155,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.31"></a><var>508.31</var><br />
                  		
               </td>
               <td colspan="3">Subd. 15.<b>Board of Veterinary Medicine</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">262,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">265,000<br />
                  		
               </td>
            </tr>
         </table>
         <table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.508.32"></a><var>508.32</var><br />
                  		<a id="pl.508.33"></a><var>508.33</var><br />
                  		
               </td>
               <td colspan="3">Subd. 16.<b>Board of Behavioral Health and </b><br />
                  		<b>Therapy</b><br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">480,000<br />
                  		
               </td>
               <td align="center"></td>
               <td align="right">486,000<br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.5.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.509.1"></a><var>509.1</var><br />
                  		<a id="pl.509.2"></a><var>509.2</var><br />
                  		
               </td>
               <td colspan="3">Sec. 5. <b>EMERGENCY MEDICAL SERVICES </b><br />
                  		<b>REGULATORY BOARD</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>2,904,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>3,037,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.509.3"></a><var>509.3</var><b>Cooper/Sams Volunteer Ambulance </b><br />
         		<a id="pl.509.4"></a><var>509.4</var><b>Program.</b> $700,000 in fiscal year 2016 and <br />
         		<a id="pl.509.5"></a><var>509.5</var>$700,000 in fiscal year 2017 are for the <br />
         		<a id="pl.509.6"></a><var>509.6</var>Cooper/Sams volunteer ambulance program <br />
         		<a id="pl.509.7"></a><var>509.7</var>under Minnesota Statutes, section 144E.40.<br />
         		<a id="pl.509.8"></a><var>509.8</var>(a) Of this amount, $611,000 in fiscal year  <br />
         		<a id="pl.509.9"></a><var>509.9</var>2016 and $611,000 in fiscal year 2017 <br />
         		<a id="pl.509.10"></a><var>509.10</var>are for the ambulance service personnel <br />
         		<a id="pl.509.11"></a><var>509.11</var>longevity award and incentive program under <br />
         		<a id="pl.509.12"></a><var>509.12</var>Minnesota Statutes, section 144E.40.<br />
         		<a id="pl.509.13"></a><var>509.13</var>(b) Of this amount, $89,000 in fiscal year <br />
         		<a id="pl.509.14"></a><var>509.14</var>2016 and $89,000 in fiscal year 2017 are <br />
         		<a id="pl.509.15"></a><var>509.15</var>for the operations of the ambulance service <br />
         		<a id="pl.509.16"></a><var>509.16</var>personnel longevity award and incentive <br />
         		<a id="pl.509.17"></a><var>509.17</var>program under Minnesota Statutes, section <br />
         		<a id="pl.509.18"></a><var>509.18</var>144E.40.<br />
         		<a id="pl.509.19"></a><var>509.19</var><b>Ambulance Training Grant.</b> $361,000 in <br />
         		<a id="pl.509.20"></a><var>509.20</var>fiscal year 2016 and $361,000 in fiscal year <br />
         		<a id="pl.509.21"></a><var>509.21</var>2017 are for training grants.<br />
         		<a id="pl.509.22"></a><var>509.22</var><b>EMSRB Board Operations.</b> $1,226,000 in <br />
         		<a id="pl.509.23"></a><var>509.23</var>fiscal year 2016 and $1,360,000 in fiscal year <br />
         		<a id="pl.509.24"></a><var>509.24</var>2017 are for board operations.<br />
         		<a id="pl.509.25"></a><var>509.25</var><b>Regional Grants.</b> $585,000 in fiscal year <br />
         		<a id="pl.509.26"></a><var>509.26</var>2016 and $585,000 in fiscal year 2017 are <br />
         		<a id="pl.509.27"></a><var>509.27</var>for regional emergency medical services <br />
         		<a id="pl.509.28"></a><var>509.28</var>programs, to be distributed equally to the <br />
         		<a id="pl.509.29"></a><var>509.29</var>eight emergency medical service regions.<br />
         		<br />
         		<a id="bill.14.6.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.509.30"></a><var>509.30</var><br />
                  		
               </td>
               <td colspan="3">Sec. 6. <b>COUNCIL ON DISABILITY</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>622,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>629,000</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.7.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.509.31"></a><var>509.31</var><br />
                  		<a id="pl.509.32"></a><var>509.32</var><br />
                  		<a id="pl.509.33"></a><var>509.33</var><br />
                  		
               </td>
               <td colspan="3">Sec. 7. <b>OMBUDSMAN FOR MENTAL </b><br />
                  		<b>HEALTH AND DEVELOPMENTAL </b><br />
                  		<b>DISABILITIES</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>1,917,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>2,032,000</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.8.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.510.1"></a><var>510.1</var><br />
                  		
               </td>
               <td colspan="3">Sec. 8. <b>OMBUDSPERSONS FOR FAMILIES</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>392,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>453,000</b><br />
                  		
               </td>
            </tr>
         </table><br />
         		<a id="bill.14.9.0"></a><table>
            <col width="50px"></col>
            <col width="21.5"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <col width="2.5"></col>
            <col width="12"></col>
            <tr>
               <td><a id="pl.510.2"></a><var>510.2</var><br />
                  		
               </td>
               <td colspan="3">Sec. 9. <b>COMMISSIONER OF COMMERCE</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>210,000</b><br />
                  		
               </td>
               <td align="center"><b>$</b><br />
                  		
               </td>
               <td align="right"><b>213,000</b><br />
                  		
               </td>
            </tr>
         </table><a id="pl.510.3"></a><var>510.3</var>The commissioner of commerce shall <br />
         		<a id="pl.510.4"></a><var>510.4</var>develop a proposal to allow individuals <br />
         		<a id="pl.510.5"></a><var>510.5</var>to purchase qualified health plans outside <br />
         		<a id="pl.510.6"></a><var>510.6</var>of MNsure directly from health plan <br />
         		<a id="pl.510.7"></a><var>510.7</var>companies and to allow eligible individuals <br />
         		<a id="pl.510.8"></a><var>510.8</var>to receive advanced premium tax credits and <br />
         		<a id="pl.510.9"></a><var>510.9</var>cost-sharing reductions when purchasing <br />
         		<a id="pl.510.10"></a><var>510.10</var>qualified health plans outside of MNsure.<br />
         		<br />
         		<a id="bill.14.10.0"></a><a id="pl.510.11"></a><var>510.11</var>&#160;&#160;&#160;&#160;Sec. 10. <b>APPROPRIATION.</b><br />
         		<a id="pl.510.12"></a><var>510.12</var>$455,000,000 is appropriated in fiscal year 2015 from the general fund to the <br />
         		<a id="pl.510.13"></a><var>510.13</var>commissioner of human services. The commissioner of human services must transfer <br />
         		<a id="pl.510.14"></a><var>510.14</var>$455,000,000 from the general fund to the health care access fund by June 30, 2015.<br />
         		<a id="pl.510.15"></a><var>510.15</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br />
         		<br />
         		<a id="bill.14.11.0"></a><a id="pl.510.16"></a><var>510.16</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 256.01, is amended by adding a subdivision <br />
         		<a id="pl.510.17"></a><var>510.17</var>to read:<br />
         		<a id="pl.510.18"></a><var>510.18</var>&#160;&#160;&#160;&#160;Subd. 40. <b>Nonfederal share transfers.</b> The nonfederal share of activities for <br />
         		<a id="pl.510.19"></a><var>510.19</var>which federal administrative reimbursement is appropriated to the commissioner may
         <br />
         		<a id="pl.510.20"></a><var>510.20</var>be transferred to the special revenue fund.<br />
         		<br />
         		<a id="bill.14.12.0"></a><a id="pl.510.21"></a><var>510.21</var>&#160;&#160;&#160;&#160;Sec. 12. <b>TRANSFERS.</b><br />
         		<a id="pl.510.22"></a><var>510.22</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Grants.</b> The commissioner of human services, with the approval of <br />
         		<a id="pl.510.23"></a><var>510.23</var>the commissioner of management and budget, may transfer unencumbered appropriation
         <br />
         		<a id="pl.510.24"></a><var>510.24</var>balances for the biennium ending June 30, 2017, within fiscal years among the MFIP,
         <br />
         		<a id="pl.510.25"></a><var>510.25</var>general assistance, general assistance medical care under Minnesota Statutes 2009
         <br />
         		<a id="pl.510.26"></a><var>510.26</var>Supplement, section 256D.03, subdivision 3, medical assistance, MinnesotaCare, MFIP
         <br />
         		<a id="pl.510.27"></a><var>510.27</var>child care assistance under Minnesota Statutes, section 119B.05, Minnesota supplemental
         <br />
         		<a id="pl.510.28"></a><var>510.28</var>aid, and group residential housing programs, the entitlement portion of Northstar
         Care <br />
         		<a id="pl.510.29"></a><var>510.29</var>for Children under Minnesota Statutes, chapter 256N, and the entitlement portion of
         <br />
         		<a id="pl.510.30"></a><var>510.30</var>the chemical dependency consolidated treatment fund, and between fiscal years of the
         <br />
         		<a id="pl.510.31"></a><var>510.31</var>biennium. The commissioner shall inform the chairs and ranking minority members of
         <br />
         		<a id="pl.511.1"></a><var>511.1</var>the senate Health and Human Services Finance Division and the house of representatives
         <br />
         		<a id="pl.511.2"></a><var>511.2</var>Health and Human Services Finance Committee quarterly about transfers made under <br />
         		<a id="pl.511.3"></a><var>511.3</var>this subdivision.<br />
         		<a id="pl.511.4"></a><var>511.4</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Administration.</b> Positions, salary money, and nonsalary administrative <br />
         		<a id="pl.511.5"></a><var>511.5</var>money may be transferred within the Departments of Health and Human Services as the
         <br />
         		<a id="pl.511.6"></a><var>511.6</var>commissioners consider necessary, with the advance approval of the commissioner of
         <br />
         		<a id="pl.511.7"></a><var>511.7</var>management and budget. The commissioner shall inform the chairs and ranking minority
         <br />
         		<a id="pl.511.8"></a><var>511.8</var>members of the senate Health and Human Services Finance Division and the house of
         <br />
         		<a id="pl.511.9"></a><var>511.9</var>representatives Health and Human Services Finance Committee quarterly about transfers
         <br />
         		<a id="pl.511.10"></a><var>511.10</var>made under this subdivision.<br />
         		<br />
         		<a id="bill.14.13.0"></a><a id="pl.511.11"></a><var>511.11</var>&#160;&#160;&#160;&#160;Sec. 13. <b>INDIRECT COSTS NOT TO FUND PROGRAMS.</b><br />
         		<a id="pl.511.12"></a><var>511.12</var>The commissioners of health and human services shall not use indirect cost <br />
         		<a id="pl.511.13"></a><var>511.13</var>allocations to pay for the operational costs of any program for which they are responsible.<br />
         		<br />
         		<a id="bill.14.14.0"></a><a id="pl.511.14"></a><var>511.14</var>&#160;&#160;&#160;&#160;Sec. 14. <b>EXPIRATION OF UNCODIFIED LANGUAGE.</b><br />
         		<a id="pl.511.15"></a><var>511.15</var>All uncodified language contained in this article expires on June 30, 2017, unless
         a <br />
         		<a id="pl.511.16"></a><var>511.16</var>different expiration date is explicit.<br />
         		<br />
         		<a id="bill.14.15.0"></a><a id="pl.511.17"></a><var>511.17</var>&#160;&#160;&#160;&#160;Sec. 15. <b>EFFECTIVE DATE.</b><br />
         		<a id="pl.511.18"></a><var>511.18</var>This article is effective July 1, 2015, unless a different effective date is specified."<br />
         		<a id="pl.511.19"></a><var>511.19</var>Delete the title and insert:<br />
         		
         <div class="xtend_ce"><a id="pl.511.20"></a><var>511.20</var>"A bill for an act<br />
            		
         </div><a id="pl.511.21"></a><var>511.21</var>relating to state government; establishing the health and human services budget; <br />
         		<a id="pl.511.22"></a><var>511.22</var>modifying provisions governing children and family services, chemical and <br />
         		<a id="pl.511.23"></a><var>511.23</var>mental health services, withdrawal management programs, direct care and <br />
         		<a id="pl.511.24"></a><var>511.24</var>treatment, health care, continuing care, Department of Health and public <br />
         		<a id="pl.511.25"></a><var>511.25</var>health programs, health care delivery, health licensing boards, and MNsure; <br />
         		<a id="pl.511.26"></a><var>511.26</var>making changes to medical assistance, MFIP, Northstar Care for Children, <br />
         		<a id="pl.511.27"></a><var>511.27</var>MinnesotaCare, child care assistance, and group residential housing programs; <br />
         		<a id="pl.511.28"></a><var>511.28</var>establishing uniform requirements for public assistance programs related <br />
         		<a id="pl.511.29"></a><var>511.29</var>to income calculation, reporting income, and correcting overpayments and <br />
         		<a id="pl.511.30"></a><var>511.30</var>underpayments; modifying requirements for reporting maltreatment of minors <br />
         		<a id="pl.511.31"></a><var>511.31</var>and juvenile safety and placement; establishing the Minnesota ABLE plan <br />
         		<a id="pl.511.32"></a><var>511.32</var>and accounts; modifying child support provisions; establishing standards for <br />
         		<a id="pl.511.33"></a><var>511.33</var>withdrawal management programs; modifying requirements for background <br />
         		<a id="pl.511.34"></a><var>511.34</var>studies; making changes to provisions governing the health information <br />
         		<a id="pl.511.35"></a><var>511.35</var>exchange; providing for protection of born alive infants; authorizing rulemaking;
         <br />
         		<a id="pl.511.36"></a><var>511.36</var>requiring reports and studies; making technical changes; modifying certain fees <br />
         		<a id="pl.511.37"></a><var>511.37</var>for Department of Health programs; modifying fees of certain health-related <br />
         		<a id="pl.511.38"></a><var>511.38</var>licensing boards; making human services forecast adjustments; appropriating <br />
         		<a id="pl.511.39"></a><var>511.39</var>money;amending Minnesota Statutes 2014, sections 13.46, subdivisions 2, 7; <br />
         		<a id="pl.511.40"></a><var>511.40</var>13.461, by adding a subdivision; 16A.724, subdivision 2; 43A.241; 62A.02, <br />
         		<a id="pl.511.41"></a><var>511.41</var>subdivision 2; 62A.045; 62J.498; 62J.4981; 62J.4982, subdivisions 4, 5; <br />
         		<a id="pl.512.1"></a><var>512.1</var>62J.692, subdivision 4; 62Q.37, subdivision 2; 62Q.55, subdivision 3; 62U.02, <br />
         		<a id="pl.512.2"></a><var>512.2</var>subdivisions 1, 2, 3, 4; 62U.04, subdivision 11; 62U.10, by adding subdivisions; <br />
         		<a id="pl.512.3"></a><var>512.3</var>62V.03, subdivision 2; 62V.05, subdivisions 6, 7, 8, by adding a subdivision; <br />
         		<a id="pl.512.4"></a><var>512.4</var>119B.011, subdivision 15; 119B.025, subdivision 1; 119B.035, subdivision <br />
         		<a id="pl.512.5"></a><var>512.5</var>4; 119B.09, subdivision 4; 119B.125, by adding a subdivision; 119B.13, <br />
         		<a id="pl.512.6"></a><var>512.6</var>subdivision 6; 144.057, subdivision 1; 144.1501, subdivisions 1, 2, 3, 4; 144.291,
         <br />
         		<a id="pl.512.7"></a><var>512.7</var>subdivision 2; 144.293, subdivisions 5, 6, 8; 144.298, subdivisions 2, 3; 144.551,
         <br />
         		<a id="pl.512.8"></a><var>512.8</var>subdivision 1; 144.9501, subdivisions 6d, 22b, 26b, by adding subdivisions; <br />
         		<a id="pl.512.9"></a><var>512.9</var>144.9505; 144.9508; 144A.071, subdivision 4a; 144A.70, subdivision 6, by <br />
         		<a id="pl.512.10"></a><var>512.10</var>adding a subdivision; 144A.71; 144A.72; 144A.73; 144A.75, subdivision <br />
         		<a id="pl.512.11"></a><var>512.11</var>13; 144D.01, by adding a subdivision; 144E.001, by adding a subdivision; <br />
         		<a id="pl.512.12"></a><var>512.12</var>144E.275, subdivision 1, by adding a subdivision; 145.4131, subdivision 1; <br />
         		<a id="pl.512.13"></a><var>512.13</var>145.423; 145.56, subdivisions 2, 4; 145.928, subdivision 13, by adding a <br />
         		<a id="pl.512.14"></a><var>512.14</var>subdivision; 145.986, subdivisions 1a, 2, 4; 145A.131, subdivision 1; 148.52; <br />
         		<a id="pl.512.15"></a><var>512.15</var>148.54; 148.57, subdivisions 1, 2, by adding a subdivision; 148.574; 148.575, <br />
         		<a id="pl.512.16"></a><var>512.16</var>subdivision 2; 148.577; 148.59; 148.603; 148E.075; 148E.080, subdivisions 1, 2; <br />
         		<a id="pl.512.17"></a><var>512.17</var>148E.180, subdivisions 2, 5; 149A.20, subdivisions 5, 6; 149A.40, subdivision <br />
         		<a id="pl.512.18"></a><var>512.18</var>11; 149A.65; 149A.92, subdivision 1; 149A.97, subdivision 7; 150A.06, <br />
         		<a id="pl.512.19"></a><var>512.19</var>subdivision 1b; 150A.091, subdivisions 4, 5, 11, by adding subdivisions; <br />
         		<a id="pl.512.20"></a><var>512.20</var>150A.31; 151.01, subdivisions 15a, 27; 151.02; 151.065, subdivisions 1, 2, 3, 4; <br />
         		<a id="pl.512.21"></a><var>512.21</var>151.102; 151.58, subdivisions 2, 5; 157.15, subdivision 8; 174.29, subdivision <br />
         		<a id="pl.512.22"></a><var>512.22</var>1; 174.30, subdivisions 3, 4, by adding subdivisions; 245.4661, subdivisions <br />
         		<a id="pl.512.23"></a><var>512.23</var>5, 6, by adding subdivisions; 245.467, subdivision 6; 245.4876, subdivision <br />
         		<a id="pl.512.24"></a><var>512.24</var>7; 245.4889, subdivision 1, by adding a subdivision; 245A.06, by adding a <br />
         		<a id="pl.512.25"></a><var>512.25</var>subdivision; 245A.155, subdivisions 1, 2; 245A.65, subdivision 2; 245C.03, by <br />
         		<a id="pl.512.26"></a><var>512.26</var>adding subdivisions; 245C.04, by adding a subdivision; 245C.08, subdivision 1; <br />
         		<a id="pl.512.27"></a><var>512.27</var>245C.10, by adding subdivisions; 245C.12; 245D.02, by adding a subdivision; <br />
         		<a id="pl.512.28"></a><var>512.28</var>245D.05, subdivisions 1, 2; 245D.06, subdivisions 1, 2, 7; 245D.07, subdivision <br />
         		<a id="pl.512.29"></a><var>512.29</var>2; 245D.071, subdivision 5; 245D.09, subdivisions 3, 5; 245D.22, subdivision <br />
         		<a id="pl.512.30"></a><var>512.30</var>4; 245D.31, subdivisions 3, 4, 5; 246.18, subdivision 8; 246.54, subdivision 1; <br />
         		<a id="pl.512.31"></a><var>512.31</var>252.27, subdivision 2a; 253B.18, subdivisions 4c, 5; 254B.05, subdivision 5, as <br />
         		<a id="pl.512.32"></a><var>512.32</var>amended; 254B.12, subdivision 2; 256.01, by adding subdivisions; 256.015, <br />
         		<a id="pl.512.33"></a><var>512.33</var>subdivision 7; 256.017, subdivision 1; 256.478; 256.741, subdivisions 1, 2; <br />
         		<a id="pl.512.34"></a><var>512.34</var>256.969, subdivisions 1, 2b, 2d, 3a, 3c, 9; 256.975, by adding a subdivision; <br />
         		<a id="pl.512.35"></a><var>512.35</var>256B.056, subdivision 5c; 256B.057, subdivision 9; 256B.059, subdivision <br />
         		<a id="pl.512.36"></a><var>512.36</var>5; 256B.06, by adding a subdivision; 256B.0615, subdivision 3; 256B.0622, <br />
         		<a id="pl.512.37"></a><var>512.37</var>subdivisions 1, 2, 3, 4, 5, 7, 8, 9, 10, by adding a subdivision; 256B.0624, <br />
         		<a id="pl.512.38"></a><var>512.38</var>subdivision 7; 256B.0625, subdivisions 3b, 13, 13e, 13h, 17, 17a, 18a, 18e, <br />
         		<a id="pl.512.39"></a><var>512.39</var>28a, 31, 48, 57, 58, by adding subdivisions; 256B.0631; 256B.072; 256B.0757; <br />
         		<a id="pl.512.40"></a><var>512.40</var>256B.0913, subdivision 4; 256B.0915, subdivisions 3a, 3e, 3h; 256B.0916, <br />
         		<a id="pl.512.41"></a><var>512.41</var>subdivisions 2, 11, by adding a subdivision; 256B.431, subdivisions 2b, 36; <br />
         		<a id="pl.512.42"></a><var>512.42</var>256B.434, subdivision 4, by adding a subdivision; 256B.441, subdivisions 1, <br />
         		<a id="pl.512.43"></a><var>512.43</var>5, 6, 13, 14, 17, 30, 31, 33, 35, 40, 44, 46c, 48, 50, 51, 51a, 53, 54, 55a, 56, <br />
         		<a id="pl.512.44"></a><var>512.44</var>63, by adding subdivisions; 256B.49, subdivision 26, by adding a subdivision; <br />
         		<a id="pl.512.45"></a><var>512.45</var>256B.4913, subdivisions 4a, 5; 256B.4914, subdivisions 2, 6, 8, 10, 14, 15; <br />
         		<a id="pl.512.46"></a><var>512.46</var>256B.492; 256B.50, subdivision 1; 256B.69, subdivisions 5a, 5i, 9c, 9d, by <br />
         		<a id="pl.512.47"></a><var>512.47</var>adding a subdivision; 256B.75; 256B.76, subdivisions 1, 2, 4, as amended; <br />
         		<a id="pl.512.48"></a><var>512.48</var>256B.762; 256B.766; 256B.767; 256D.01, subdivision 1a; 256D.02, subdivision <br />
         		<a id="pl.512.49"></a><var>512.49</var>8, by adding subdivisions; 256D.06, subdivision 1; 256D.405, subdivision 3; <br />
         		<a id="pl.512.50"></a><var>512.50</var>256E.35, subdivision 2, by adding a subdivision; 256I.03, subdivisions 3, <br />
         		<a id="pl.512.51"></a><var>512.51</var>7, by adding subdivisions; 256I.04, subdivisions 1, 1a, 2a, 2b, 2c, 3, 4, by <br />
         		<a id="pl.512.52"></a><var>512.52</var>adding subdivisions; 256I.05, subdivisions 1c, 1g, 2; 256I.06, subdivisions <br />
         		<a id="pl.512.53"></a><var>512.53</var>2, 6, 7, 8; 256J.08, subdivisions 26, 86; 256J.21, subdivision 2, as amended; <br />
         		<a id="pl.512.54"></a><var>512.54</var>256J.24, subdivision 5a; 256J.30, subdivisions 1, 9; 256J.33, subdivision <br />
         		<a id="pl.512.55"></a><var>512.55</var>4; 256J.35; 256J.40; 256J.95, subdivision 19; 256K.45, subdivisions 1a, 6; <br />
         		<a id="pl.512.56"></a><var>512.56</var>256L.01, subdivisions 3a, 5; 256L.03, subdivision 5; 256L.04, subdivisions <br />
         		<a id="pl.512.57"></a><var>512.57</var>1c, 7b; 256L.05, subdivisions 3, 3a, 4, by adding a subdivision; 256L.06, <br />
         		<a id="pl.512.58"></a><var>512.58</var>subdivision 3; 256L.121, subdivision 1; 256L.15, subdivisions 1, 2; 256N.22, <br />
         		<a id="pl.513.1"></a><var>513.1</var>subdivisions 9, 10; 256N.24, subdivision 4; 256N.25, subdivision 1; 256N.27, <br />
         		<a id="pl.513.2"></a><var>513.2</var>subdivision 2; 256P.001; 256P.01, subdivision 3, by adding subdivisions; <br />
         		<a id="pl.513.3"></a><var>513.3</var>256P.02, by adding a subdivision; 256P.03, subdivision 1; 256P.04, subdivisions <br />
         		<a id="pl.513.4"></a><var>513.4</var>1, 4; 256P.05, subdivision 1; 257.75, subdivisions 3, 5; 259A.75; 260C.007, <br />
         		<a id="pl.513.5"></a><var>513.5</var>subdivisions 27, 32; 260C.203; 260C.212, subdivision 1, by adding subdivisions; <br />
         		<a id="pl.513.6"></a><var>513.6</var>260C.221; 260C.331, subdivision 1; 260C.451, subdivisions 2, 6; 260C.515, <br />
         		<a id="pl.513.7"></a><var>513.7</var>subdivision 5; 260C.521, subdivisions 1, 2; 260C.607, subdivision 4; 518A.26, <br />
         		<a id="pl.513.8"></a><var>513.8</var>subdivision 14; 518A.32, subdivision 2; 518A.39, subdivision 1, by adding <br />
         		<a id="pl.513.9"></a><var>513.9</var>a subdivision; 518A.41, subdivisions 1, 3, 4, 14, 15; 518A.43, by adding <br />
         		<a id="pl.513.10"></a><var>513.10</var>a subdivision; 518A.46, subdivision 3, by adding a subdivision; 518A.51; <br />
         		<a id="pl.513.11"></a><var>513.11</var>518A.53, subdivisions 1, 4, 10; 518A.60; 518C.802; 626.556, subdivisions 1, as <br />
         		<a id="pl.513.12"></a><var>513.12</var>amended, 2, 3, 6a, 7, as amended, 10, 10e, 10j, 10m, 11c, by adding subdivisions;
         <br />
         		<a id="pl.513.13"></a><var>513.13</var>626.559, by adding a subdivision; Laws 2008, chapter 363, article 18, section 3, <br />
         		<a id="pl.513.14"></a><var>513.14</var>subdivision 5; Laws 2014, chapter 189, sections 5; 9; 10; 11; 16; 17; 18; 19; 23;
         <br />
         		<a id="pl.513.15"></a><var>513.15</var>24; 27; 28; 29; 31; 43; 50; 51; 52; 73; Laws 2014, chapter 312, article 24, section
         <br />
         		<a id="pl.513.16"></a><var>513.16</var>45, subdivision 2; proposing coding for new law in Minnesota Statutes, chapters <br />
         		<a id="pl.513.17"></a><var>513.17</var>62A; 144; 144D; 148; 245; 245A; 256B; 256E; 256M; 256P; 518A; proposing <br />
         		<a id="pl.513.18"></a><var>513.18</var>coding for new law as Minnesota Statutes, chapters 245F; 256Q; repealing <br />
         		<a id="pl.513.19"></a><var>513.19</var>Minnesota Statutes 2014, sections 62V.11, subdivision 3; 148.57, subdivisions 3, <br />
         		<a id="pl.513.20"></a><var>513.20</var>4; 148.571; 148.572; 148.573, subdivision 1; 148.575, subdivisions 1, 3, 5, 6; <br />
         		<a id="pl.513.21"></a><var>513.21</var>148.576; 148E.060, subdivision 12; 148E.075, subdivisions 4, 5, 6, 7; 256.01, <br />
         		<a id="pl.513.22"></a><var>513.22</var>subdivision 35; 256.969, subdivisions 23, 30; 256B.434, subdivision 19b; <br />
         		<a id="pl.513.23"></a><var>513.23</var>256B.441, subdivisions 14a, 19, 50a, 52, 55, 58, 62; 256B.69, subdivision 32; <br />
         		<a id="pl.513.24"></a><var>513.24</var>256D.0513; 256D.06, subdivision 8; 256D.09, subdivision 6; 256D.49; 256J.38; <br />
         		<a id="pl.513.25"></a><var>513.25</var>256L.02, subdivision 3; 256L.05, subdivisions 1b, 1c, 3c, 5; Laws 2012, chapter <br />
         		<a id="pl.513.26"></a><var>513.26</var>247, article 4, section 47, as amended; Minnesota Rules, parts 3400.0170, <br />
         		<a id="pl.513.27"></a><var>513.27</var>subparts 5, 6, 12, 13; 8840.5900, subparts 12, 14."<br />
         		
         <table>
            <col width="50px"></col>
            <col width="252px"></col>
            <col width="42px"></col>
            <col width="252px"></col>
            <tr>
               <td><a id="pl.514.1"></a><var>514.1</var><br />
                  		
               </td>
               <td colspan="3">We request the adoption of this report and repassage of the bill.<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.2"></a><var>514.2</var><br />
                  		
               </td>
               <td>Senate Conferees:<br />
                  		<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.514.3"></a><var>514.3</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.4"></a><var>514.4</var><br />
                  		
               </td>
               <td>Tony Lourey<br />
                  		
               </td>
               <td></td>
               <td>Kathy Sheran<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.5"></a><var>514.5</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.6"></a><var>514.6</var><br />
                  		
               </td>
               <td>Jeff Hayden<br />
                  		
               </td>
               <td></td>
               <td>Melisa Franzen<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.7"></a><var>514.7</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.514.8"></a><var>514.8</var><br />
                  		
               </td>
               <td>Julie A. Rosen<br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.514.9"></a><var>514.9</var><br />
                  		
               </td>
               <td>House Conferees:<br />
                  		<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.514.10"></a><var>514.10</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.11"></a><var>514.11</var><br />
                  		
               </td>
               <td>Matt Dean<br />
                  		
               </td>
               <td></td>
               <td>Tara Mack<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.12"></a><var>514.12</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.13"></a><var>514.13</var><br />
                  		
               </td>
               <td>Joe Schomacker<br />
                  		
               </td>
               <td></td>
               <td>Joe McDonald<br />
                  		
               </td>
            </tr>
            <tr>
               <td><a id="pl.514.14"></a><var>514.14</var><br />
                  		
               </td>
               <td><span>
                     							.....
                     						</span><br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td><a id="pl.514.15"></a><var>514.15</var><br />
                  		
               </td>
               <td>Nick Zerwas<br />
                  		
               </td>
               <td></td>
               <td></td>
            </tr>
         </table>
      </div>