1.1 	A bill for an act
1.2 	relating to human services; making technical corrections to health and human 
1.3 	services appropriations and policy provisions; amending Minnesota Statutes 
1.4 	2013 Supplement, section 626.557, subdivision 9; Laws 2013, chapter 1, section 
1.5 	6, as amended; Laws 2013, chapter 108, article 14, sections 2, subdivision 6; 3, 
1.6 	subdivisions 1, 2, 4; 4, subdivision 8; 12.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. Minnesota Statutes 2013 Supplement, section 626.557, subdivision 9, 
1.9 	is amended to read:
1.10 		Subd. 9.Common entry point designation. (a) The commissioner of human 
1.11 	services shall establish a common entry point effective July 1, 2014 2015. The common 
1.12 	entry point is the unit responsible for receiving the report of suspected maltreatment 
1.13 	under this section.
1.14 	(b) The common entry point must be available 24 hours per day to take calls from 
1.15 	reporters of suspected maltreatment. The common entry point shall use a standard intake 
1.16 	form that includes:
1.17 	(1) the time and date of the report;
1.18 	(2) the name, address, and telephone number of the person reporting;
1.19 	(3) the time, date, and location of the incident;
1.20 	(4) the names of the persons involved, including but not limited to, perpetrators, 
1.21 	alleged victims, and witnesses;
1.22 	(5) whether there was a risk of imminent danger to the alleged victim;
1.23 	(6) a description of the suspected maltreatment;
1.24 	(7) the disability, if any, of the alleged victim;
1.25 	(8) the relationship of the alleged perpetrator to the alleged victim;
2.1 	(9) whether a facility was involved and, if so, which agency licenses the facility;
2.2 	(10) any action taken by the common entry point;
2.3 	(11) whether law enforcement has been notified;
2.4 	(12) whether the reporter wishes to receive notification of the initial and final 
2.5 	reports; and
2.6 	(13) if the report is from a facility with an internal reporting procedure, the name, 
2.7 	mailing address, and telephone number of the person who initiated the report internally.
2.8 	(c) The common entry point is not required to complete each item on the form prior 
2.9 	to dispatching the report to the appropriate lead investigative agency.
2.10 	(d) The common entry point shall immediately report to a law enforcement agency 
2.11 	any incident in which there is reason to believe a crime has been committed.
2.12 	(e) If a report is initially made to a law enforcement agency or a lead investigative 
2.13 	agency, those agencies shall take the report on the appropriate common entry point intake 
2.14 	forms and immediately forward a copy to the common entry point.
2.15 	(f) The common entry point staff must receive training on how to screen and 
2.16 	dispatch reports efficiently and in accordance with this section.
2.17 	(g) The commissioner of human services shall maintain a centralized database 
2.18 	for the collection of common entry point data, lead investigative agency data including 
2.19 	maltreatment report disposition, and appeals data. The common entry point shall 
2.20 	have access to the centralized database and must log the reports into the database and 
2.21 	immediately identify and locate prior reports of abuse, neglect, or exploitation.
2.22 	(h) When appropriate, the common entry point staff must refer calls that do not 
2.23 	allege the abuse, neglect, or exploitation of a vulnerable adult to other organizations 
2.24 	that might resolve the reporter's concerns.
2.25 	(i) A common entry point must be operated in a manner that enables the 
2.26 	commissioner of human services to:
2.27 	(1) track critical steps in the reporting, evaluation, referral, response, disposition, 
2.28 	and investigative process to ensure compliance with all requirements for all reports;
2.29 	(2) maintain data to facilitate the production of aggregate statistical reports for 
2.30 	monitoring patterns of abuse, neglect, or exploitation;
2.31 	(3) serve as a resource for the evaluation, management, and planning of preventative 
2.32 	and remedial services for vulnerable adults who have been subject to abuse, neglect, 
2.33 	or exploitation;
2.34 	(4) set standards, priorities, and policies to maximize the efficiency and effectiveness 
2.35 	of the common entry point; and
2.36 	(5) track and manage consumer complaints related to the common entry point.
3.1 	(j) The commissioners of human services and health shall collaborate on the 
3.2 	creation of a system for referring reports to the lead investigative agencies. This system 
3.3 	shall enable the commissioner of human services to track critical steps in the reporting, 
3.4 	evaluation, referral, response, disposition, investigation, notification, determination, and 
3.5 	appeal processes.

3.6 	EFFECTIVE DATE. This section is effective July 1, 2014.

3.7 	Sec. 2. Laws 2013, chapter 1, section 6, as amended by Laws 2013, chapter 108, 
3.8 	article 6, section 32, is amended to read:
3.9 	Sec. 6. TRANSFER.
 3.10 	(a) The commissioner of management and budget shall transfer from the health care 
3.11 	access fund to the general fund up to $21,319,000 in fiscal year 2014; up to $42,314,000 
3.12 	in fiscal year 2015; up to $56,147,000 in fiscal year 2016; and up to $64,683,000 in fiscal 
3.13 	year 2017.
3.14 	(b) The commissioner of human services shall determine the difference between the 
3.15 	actual or forecasted cost to the medical assistance program of adding 19- and 20-year-olds 
3.16 	and parents and relative caretaker populations with income between 100 and 138 percent of 
3.17 	the federal poverty guidelines and the cost of adding those populations that was estimated 
3.18 	during the 2013 legislative session based on the data from the February 2013 forecast.
3.19 	(c) For each fiscal year from 2014 to 2017, the commissioner of human services shall 
3.20 	certify and report to the commissioner of management and budget the actual or forecasted
3.21 	 estimated  cost difference of adding 19- and 20-year-olds and parents and relative caretaker 
3.22 	populations with income between 100 and 138 percent of the federal poverty guidelines, 
3.23 	as determined under paragraph (b), to the commissioner of management and budget at 
3.24 	least four weeks prior to the release of a forecast under Minnesota Statutes, section 
3.25 	16A.103, of each fiscal year.
3.26 	(d) No later than three weeks before the release of the forecast For fiscal years 2014 to 
3.27 	2017, forecasts  under Minnesota Statutes, section 16A.103, prepared by the commissioner 
3.28 	of management and budget shall reduce the include actual or estimated adjustments to 
3.29 	health care access fund transfer transfers  in paragraph (a), by the cumulative differences in 
3.30 	costs reported by the commissioner of human services under according to  paragraph (c)
3.31 	 (e). If, for any fiscal year, the amount of the cumulative cost differences determined under 
3.32 	paragraph (b) is positive, no change is made to the appropriation. If, for any fiscal year, 
3.33 	the amount of the cumulative cost differences determined under paragraph (b) is less than 
3.34 	the amount of the original appropriation, the appropriation for that year must be zero.
4.1 	(e) For each fiscal year from 2014 to 2017, the commissioner of management and 
4.2 	budget must adjust the transfer amounts in paragraph (a) by the cumulative difference in 
4.3 	costs reported by the commissioner of human services under paragraph (c). If, for any 
4.4 	fiscal year, the amount of the cumulative difference in costs reported under paragraph (c) 
4.5 	is positive, no adjustment shall be made.

4.6 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

4.7 	Sec. 3. Laws 2013, chapter 108, article 14, section 2, subdivision 6, is amended to read:

4.8	Subd. 6.Grant Programs
 					
4.9 	The amounts that may be spent from this 
4.10 	appropriation for each purpose are as follows:

4.11	(a) Support Services Grants

4.12	Appropriations by Fund
	
4.13	General
	8,915,000
	13,333,000
	
4.14	Federal TANF
	94,611,000
	94,611,000
	
4.15 	Paid Work Experience. $2,168,000 
4.16 	each year in fiscal years 2015 and 2016 
4.17 	is from the general fund for paid work 
4.18 	experience for long-term MFIP recipients. 
4.19 	Paid work includes full and partial wage 
4.20 	subsidies and other related services such as 
4.21 	job development, marketing, preworksite 
4.22 	training, job coaching, and postplacement 
4.23 	services. These are onetime appropriations. 
4.24 	Unexpended funds for fiscal year 2015 do not 
4.25 	cancel, but are available to the commissioner 
4.26 	for this purpose in fiscal year 2016.
4.27 	Work Study Funding for MFIP 
4.28 	Participants. $250,000 each year in fiscal 
4.29 	years 2015 and 2016 is from the general fund 
4.30 	to pilot work study jobs for MFIP recipients 
4.31 	in approved postsecondary education 
4.32 	programs. This is a onetime appropriation. 
4.33 	Unexpended funds for fiscal year 2015 do 
5.1 	not cancel, but are available for this purpose 
5.2 	in fiscal year 2016.
5.3 	Local Strategies to Reduce Disparities.
5.4 	$2,000,000 each year in fiscal years 2015 
5.5 	and 2016 is from the general fund for 
5.6 	local projects that focus on services for 
5.7 	subgroups within the MFIP caseload 
5.8 	who are experiencing poor employment 
5.9 	outcomes. These are onetime appropriations. 
5.10 	Unexpended funds for fiscal year 2015 do not 
5.11 	cancel, but are available to the commissioner 
5.12 	for this purpose in fiscal year 2016.
5.13 	Home Visiting Collaborations for MFIP 
5.14 	Teen Parents. $200,000 per year in fiscal 
5.15 	years 2014 and 2015 is from the general fund 
5.16 	and $200,000 in fiscal year 2016 is from the 
5.17 	federal TANF fund for technical assistance 
5.18 	and training to support local collaborations 
5.19 	that provide home visiting services for 
5.20 	MFIP teen parents. The general fund 
5.21 	appropriation is onetime. The federal TANF 
5.22 	fund appropriation is added to the base.
5.23 	Performance Bonus Funds for Counties.
5.24 	The TANF fund base is increased by 
5.25 	$1,500,000 each year in fiscal years 2016 
5.26 	and 2017. The commissioner must allocate 
5.27 	this amount each year to counties that exceed 
5.28 	their expected range of performance on the 
5.29 	annualized three-year self-support index 
5.30 	as defined in Minnesota Statutes, section 
5.31 	256J.751, subdivision 2, clause (6). This is a 
5.32 	permanent base adjustment. Notwithstanding 
5.33 	any contrary provisions in this article, this 
5.34 	provision expires June 30, 2016.
6.1 	Base Adjustment. The general fund base is 
6.2 	decreased by $200,000 in fiscal year 2016 
6.3 	and $4,618,000 in fiscal year 2017. The 
6.4 	TANF fund base is increased by $1,700,000 
6.5 	in fiscal years 2016 and 2017.

6.6
6.7	(b) Basic Sliding Fee Child Care Assistance 
Grants
		36,836,000
		42,318,000
	
6.8 	Base Adjustment. The general fund base is 
6.9 	increased by $3,778,000 in fiscal year 2016 
6.10 	and by $3,849,000 in fiscal year 2017.

6.11	(c) Child Care Development Grants
		1,612,000
		1,737,000

6.12	(d) Child Support Enforcement Grants
		50,000
		50,000
	
6.13 	Federal Child Support Demonstration 
6.14 	Grants. Federal administrative 
6.15 	reimbursement resulting from the federal 
6.16 	child support grant expenditures authorized 
6.17 	under United States Code, title 42, section 
6.18 	1315, is appropriated to the commissioner 
6.19 	for this activity.

6.20	(e) Children's Services Grants

6.21	Appropriations by Fund
	
6.22	General
	49,760,000
	52,961,000
	
6.23	Federal TANF
	140,000
	140,000
	
6.24 	Adoption Assistance and Relative Custody 
6.25 	Assistance.$37,453,000 $36,456,000 
6.26 	 in fiscal year 2014 and $37,453,000
6.27 	 $36,855,000  in fiscal year 2015 is for the 
6.28 	adoption assistance and relative custody 
6.29 	assistance programs. The commissioner 
6.30 	shall determine with the commissioner of 
6.31 	Minnesota Management and Budget the 
6.32 	appropriation for Northstar Care for Children 
6.33 	effective January 1, 2015. The commissioner 
6.34 	may transfer appropriations for adoption 
6.35 	assistance, relative custody assistance, and 
7.1 	Northstar Care for Children between fiscal 
7.2 	years and among programs to adjust for 
7.3 	transfers across the programs.
7.4 	Title IV-E Adoption Assistance. Additional 
7.5 	federal reimbursements to the state as a result 
7.6 	of the Fostering Connections to Success 
7.7 	and Increasing Adoptions Act's expanded 
7.8 	eligibility for Title IV-E adoption assistance 
7.9 	are appropriated for postadoption services, 
7.10 	including a parent-to-parent support network.
7.11 	Privatized Adoption Grants. Federal 
7.12 	reimbursement for privatized adoption grant 
7.13 	and foster care recruitment grant expenditures 
7.14 	is appropriated to the commissioner for 
7.15 	adoption grants and foster care and adoption 
7.16 	administrative purposes.
7.17 	Adoption Assistance Incentive Grants.
7.18 	Federal funds available during fiscal years 
7.19 	2014 and 2015 for adoption incentive grants 
7.20 	are appropriated for postadoption services, 
7.21 	including a parent-to-parent support network.
7.22 	Base Adjustment. The general fund base is 
7.23 	increased by $5,913,000 in fiscal year 2016 
7.24 	and by $10,297,000 in fiscal year 2017.

7.25	(f) Child and Community Service Grants
		53,301,000
		53,301,000

7.26	(g) Child and Economic Support Grants
		21,047,000
		20,848,000
	
7.27 	Minnesota Food Assistance Program. 
7.28 	Unexpended funds for the Minnesota food 
7.29 	assistance program for fiscal year 2014 do 
7.30 	not cancel but are available for this purpose 
7.31 	in fiscal year 2015.
7.32 	Transitional Housing. $250,000 each year 
7.33 	is for the transitional housing programs under 
7.34 	Minnesota Statutes, section 256E.33.
8.1 	Emergency Services. $250,000 each year 
8.2 	is for emergency services grants under 
8.3 	Minnesota Statutes, section 256E.36.
8.4 	Family Assets for Independence. $250,000 
8.5 	each year is for the Family Assets for 
8.6 	Independence Minnesota program. This 
8.7 	appropriation is available in either year of the 
8.8 	biennium and may be transferred between 
8.9 	fiscal years.
8.10 	Food Shelf Programs. $375,000 in fiscal 
8.11 	year 2014 and $375,000 in fiscal year 
8.12 	2015 are for food shelf programs under 
8.13 	Minnesota Statutes, section 256E.34. If the 
8.14 	appropriation for either year is insufficient, 
8.15 	the appropriation for the other year is 
8.16 	available for it. Notwithstanding Minnesota 
8.17 	Statutes, section 256E.34, subdivision 4, no 
8.18 	portion of this appropriation may be used 
8.19 	by Hunger Solutions for its administrative 
8.20 	expenses, including but not limited to rent 
8.21 	and salaries.
8.22 	Homeless Youth Act. $2,000,000 in fiscal 
8.23 	year 2014 and $2,000,000 in fiscal year 2015 
8.24 	is for purposes of Minnesota Statutes, section 
8.25 	256K.45.
8.26 	Safe Harbor Shelter and Housing. 
8.27 	$500,000 in fiscal year 2014 and $500,000 in 
8.28 	fiscal year 2015 is for a safe harbor shelter 
8.29 	and housing fund for housing and supportive 
8.30 	services for youth who are sexually exploited. 
8.31 	High-risk adults. $200,000 in fiscal 
8.32 	year 2014 is for a grant to the nonprofit 
8.33 	organization selected to administer the 
8.34 	demonstration project for high-risk adults 
8.35 	under Laws 2007, chapter 54, article 1, 
9.1 	section 19, in order to complete the project. 
9.2 	This is a onetime appropriation.

9.3	(h) Health Care Grants

9.4	Appropriations by Fund
	
9.5	General
	190,000
	190,000
	
9.6	Health Care Access
	190,000
	190,000
	
9.7 	Emergency Medical Assistance Referral 
9.8 	and Assistance Grants. (a) The 
9.9 	commissioner of human services shall 
9.10 	award grants to nonprofit programs that 
9.11 	provide immigration legal services based 
9.12 	on indigency to provide legal services for 
9.13 	immigration assistance to individuals with 
9.14 	emergency medical conditions or complex 
9.15 	and chronic health conditions who are not 
9.16 	currently eligible for medical assistance 
9.17 	or other public health care programs, but 
9.18 	who may meet eligibility requirements with 
9.19 	immigration assistance.
9.20 	(b) The grantees, in collaboration with 
9.21 	hospitals and safety net providers, shall 
9.22 	provide referral assistance to connect 
9.23 	individuals identified in paragraph (a) with 
9.24 	alternative resources and services to assist in 
9.25 	meeting their health care needs. $100,000 
9.26 	is appropriated in fiscal year 2014 and 
9.27 	$100,000 in fiscal year 2015. This is a 
9.28 	onetime appropriation.
9.29 	Base Adjustment. The general fund is 
9.30 	decreased by $100,000 in fiscal year 2016 
9.31 	and $100,000 in fiscal year 2017.

9.32	(i) Aging and Adult Services Grants
		14,827,000
		15,010,000
	
9.33 	Base Adjustment. The general fund is 
9.34 	increased by $1,150,000 in fiscal year 2016 
9.35 	and $1,151,000 in fiscal year 2017.
10.1 	Community Service Development 
10.2 	Grants and Community Services Grants.
10.3 	Community service development grants and 
10.4 	community services grants are reduced by 
10.5 	$1,150,000 each year. This is a onetime 
10.6 	reduction.

10.7	(j) Deaf and Hard-of-Hearing Grants
		1,771,000
		1,785,000

10.8	(k) Disabilities Grants
		18,605,000
		18,823,000
	
10.9 	Advocating Change Together. $310,000 in 
10.10 	fiscal year 2014 is for a grant to Advocating 
10.11 	Change Together (ACT) to maintain and 
10.12 	promote services for persons with intellectual 
10.13 	and developmental disabilities throughout 
10.14 	the state. This appropriation is onetime. Of 
10.15 	this appropriation:
10.16 	(1) $120,000 is for direct costs associated 
10.17 	with the delivery and evaluation of 
10.18 	peer-to-peer training programs administered 
10.19 	throughout the state, focusing on education, 
10.20 	employment, housing, transportation, and 
10.21 	voting;
10.22 	(2) $100,000 is for delivery of statewide 
10.23 	conferences focusing on leadership and 
10.24 	skill development within the disability 
10.25 	community; and
10.26 	(3) $90,000 is for administrative and general 
10.27 	operating costs associated with managing 
10.28 	or maintaining facilities, program delivery, 
10.29 	staff, and technology.
10.30 	Base Adjustment. The general fund base 
10.31 	is increased by $535,000 in fiscal year 2016 
10.32 	and by $709,000 in fiscal year 2017.

10.33	(l) Adult Mental Health Grants

11.1	Appropriations by Fund
	
11.2	General
	71,199,000
	69,530,000
	
11.3	Health Care Access
	750,000
	750,000
	
11.4	Lottery Prize
	1,733,000
	1,733,000
	
11.5 	Problem Gambling. $225,000 in fiscal year 
11.6 	2014 and $225,000 in fiscal year 2015 is 
11.7 	appropriated from the lottery prize fund for a 
11.8 	grant to the state affiliate recognized by the 
11.9 	National Council on Problem Gambling. The 
11.10 	affiliate must provide services to increase 
11.11 	public awareness of problem gambling, 
11.12 	education and training for individuals and 
11.13 	organizations providing effective treatment 
11.14 	services to problem gamblers and their 
11.15 	families, and research relating to problem 
11.16 	gambling. 
11.17 	Funding Usage. Up to 75 percent of a fiscal 
11.18 	year's appropriations for adult mental health 
11.19 	grants may be used to fund allocations in that 
11.20 	portion of the fiscal year ending December 
11.21 	31.
11.22 	Base Adjustment. The general fund base is 
11.23 	decreased by $4,427,000 in fiscal years 2016 
11.24 	and 2017.
11.25 	Mental Health Pilot Project. $230,000 
11.26 	each year is for a grant to the Zumbro 
11.27 	Valley Mental Health Center. The grant 
11.28 	shall be used to implement a pilot project 
11.29 	to test an integrated behavioral health care 
11.30 	coordination model. The grant recipient must 
11.31 	report measurable outcomes and savings 
11.32 	to the commissioner of human services 
11.33 	by January 15, 2016. This is a onetime 
11.34 	appropriation.
12.1 	High-risk adults.$200,000 in fiscal 
12.2 	year 2014 is for a grant to the nonprofit 
12.3 	organization selected to administer the 
12.4 	demonstration project for high-risk adults 
12.5 	under Laws 2007, chapter 54, article 1, 
12.6 	section 19, in order to complete the project. 
12.7 	This is a onetime appropriation.

12.8	(m) Child Mental Health Grants
		18,246,000
		20,636,000
	
12.9 	Text Message Suicide Prevention 
12.10 	Program. $625,000 in fiscal year 2014 and 
12.11 	$625,000 in fiscal year 2015 is for a grant 
12.12 	to a nonprofit organization to establish and 
12.13 	implement a statewide text message suicide 
12.14 	prevention program. The program shall 
12.15 	implement a suicide prevention counseling 
12.16 	text line designed to use text messaging to 
12.17 	connect with crisis counselors and to obtain 
12.18 	emergency information and referrals to 
12.19 	local resources in the local community. The 
12.20 	program shall include training within schools 
12.21 	and communities to encourage the use of the 
12.22 	program.
12.23 	Mental Health First Aid Training. $22,000 
12.24 	in fiscal year 2014 and $23,000 in fiscal 
12.25 	year 2015 is to train teachers, social service 
12.26 	personnel, law enforcement, and others who 
12.27 	come into contact with children with mental 
12.28 	illnesses, in children and adolescents mental 
12.29 	health first aid training.
12.30 	Funding Usage. Up to 75 percent of a fiscal 
12.31 	year's appropriation for child mental health 
12.32 	grants may be used to fund allocations in that 
12.33 	portion of the fiscal year ending December 
12.34 	31.

12.35	(n) CD Treatment Support Grants
		1,816,000
		1,816,000
	
13.1 	SBIRT Training. (1) $300,000 each year is 
13.2 	for grants to train primary care clinicians to 
13.3 	provide substance abuse brief intervention 
13.4 	and referral to treatment (SBIRT). This is a 
13.5 	onetime appropriation. The commissioner of 
13.6 	human services shall apply to SAMHSA for 
13.7 	an SBIRT professional training grant.
13.8 	(2) If the commissioner of human services 
13.9 	receives a grant under clause (1) funds 
13.10 	appropriated under this clause, equal to 
13.11 	the grant amount, up to the available 
13.12 	appropriation, shall be transferred to the 
13.13 	Minnesota Organization on Fetal Alcohol 
13.14 	Syndrome (MOFAS). MOFAS must use 
13.15 	the funds for grants. Grant recipients must 
13.16 	be selected from communities that are 
13.17 	not currently served by federal Substance 
13.18 	Abuse Prevention and Treatment Block 
13.19 	Grant funds. Grant money must be used to 
13.20 	reduce the rates of fetal alcohol syndrome 
13.21 	and fetal alcohol effects, and the number of 
13.22 	drug-exposed infants. Grant money may be 
13.23 	used for prevention and intervention services 
13.24 	and programs, including, but not limited to, 
13.25 	community grants, professional eduction, 
13.26 	public awareness, and diagnosis.
13.27 	Fetal Alcohol Syndrome Grant. $180,000 
13.28 	each year from the general fund is for a 
13.29 	grant to the Minnesota Organization on Fetal 
13.30 	Alcohol Syndrome (MOFAS) to support 
13.31 	nonprofit Fetal Alcohol Spectrum Disorders 
13.32 	(FASD) outreach prevention programs 
13.33 	in Olmsted County. This is a onetime 
13.34 	appropriation.
14.1 	Base Adjustment. The general fund base is 
14.2 	decreased by $480,000 in fiscal year 2016 
14.3 	and $480,000 in fiscal year 2017.

14.4 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

14.5 	Sec. 4. Laws 2013, chapter 108, article 14, section 3, subdivision 1, is amended to read:

14.6
14.7	Subdivision 1.Total Appropriation
 	$
	169,326,000
 169,148,000
	$
	165,531,000
 165,256,000

14.8	Appropriations by Fund
	
14.9		2014
	2015
	
14.10
14.11	General
	79,476,000
 79,451,000
	74,256,000
 74,281,000
	
14.12
14.13	State Government 
Special Revenue
	48,094,000
 48,241,000
	50,119,000
	
14.14	Health Care Access
	29,743,000
	29,143,000
	
14.15	Federal TANF
	11,713,000
	11,713,000
	
14.16	Special Revenue
	300,000
	300,000
	
14.17 	The amounts that may be spent for each 
14.18 	purpose are specified in the following 
14.19 	subdivisions.

14.20 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

14.21 	Sec. 5. Laws 2013, chapter 108, article 14, section 3, subdivision 2, is amended to read:

14.22	Subd. 2.Health Improvement

14.23	Appropriations by Fund
	
14.24
14.25	General
	52,864,000
 52,839,000
	47,644,000
 47,669,000
	
14.26
14.27	State Government 
Special Revenue
	1,033,000
	1,033,000
	
14.28	Health Care Access
	17,500,000
	17,500,000
	
14.29	Federal TANF
	11,713,000
	11,713,000
	
14.30 	Notwithstanding the cancellation requirement 
14.31 	in Minnesota Statutes, section 256J.02, 
14.32 	subdivision 6, TANF funds awarded under 
14.33 	Minnesota Statutes, section 145.928, during 
14.34 	fiscal year 2013 to grantees determined 
14.35 	during the application process to have limited 
15.1 	financial capacity, are available until June 
15.2 	30, 2014.
15.3 	Statewide Health Improvement Program. 
15.4 	$17,500,000 in fiscal year 2014 and 
15.5 	$17,500,000 in fiscal year 2015 is from the 
15.6 	health care access fund for the statewide 
15.7 	health improvement program under 
15.8 	Minnesota Statutes, section 145.986. Funds 
15.9 	appropriated under this paragraph are 
15.10 	available until expended. No more than 16 
15.11 	percent of the SHIP budget may be used 
15.12 	for administration, technical assistance, 
15.13 	and state-level evaluation costs. The 
15.14 	commissioner shall incorporate strategies 
15.15 	for improving health outcomes and reducing 
15.16 	health care costs in populations over age 60 
15.17 	to the menu of statewide health improvement 
15.18 	program strategies.
15.19 	Statewide Cancer Surveillance System. Of 
15.20 	the general fund appropriation, $350,000 in 
15.21 	fiscal year 2014 and $350,000 in fiscal year 
15.22 	2015 is to develop and implement a new 
15.23 	cancer reporting system under Minnesota 
15.24 	Statutes, sections 144.671 to 144.69. Any 
15.25 	information technology development or 
15.26 	support costs necessary for the cancer 
15.27 	surveillance system must be incorporated 
15.28 	into the agency's service level agreement and 
15.29 	paid to the Office of Enterprise Technology.
15.30 	Minnesota Poison Information Center.
15.31 	$500,000 in fiscal year 2014 and $500,000 
15.32 	in fiscal year 2015 from the general fund 
15.33 	is for regional poison information centers 
15.34 	according to Minnesota Statutes, section 
15.35 	145.93.
16.1 	Support Services for Deaf and 
16.2 	Hard-of-Hearing. (a) $365,000 in fiscal 
16.3 	year 2014 and $349,000 in fiscal year 2015 
16.4 	are for providing support services to families 
16.5 	as required under Minnesota Statutes, section 
16.6 	144.966, subdivision 3a.
16.7 	(b) $164,000 in fiscal year 2014 and $156,000 
16.8 	in fiscal year 2015 are for home-based 
16.9 	education in American Sign Language for 
16.10 	families with children who are deaf or have 
16.11 	hearing loss, as required under Minnesota 
16.12 	Statutes, section 144.966, subdivision 3a.
16.13 	Reproductive Health Strategic Plan to 
16.14 	Reduce Health Disparities for Somali 
16.15 	Women. To the extent funds are available 
16.16 	for fiscal years 2014 and 2015 for grants 
16.17 	provided pursuant to Minnesota Statutes, 
16.18 	section 145.928, the commissioner 
16.19 	shall provide a grant to a Somali-based 
16.20 	organization located in the metropolitan area 
16.21 	to develop a reproductive health strategic 
16.22 	plan to eliminate reproductive health 
16.23 	disparities for Somali women. The plan shall 
16.24 	develop initiatives to provide educational 
16.25 	and information resources to health care 
16.26 	providers, community organizations, and 
16.27 	Somali women to ensure effective interaction 
16.28 	with Somali culture and western medicine 
16.29 	and the delivery of appropriate health care 
16.30 	services, and the achievement of better health 
16.31 	outcomes for Somali women. The plan must 
16.32 	engage health care providers, the Somali 
16.33 	community, and Somali health-centered 
16.34 	organizations. The commissioner shall 
16.35 	submit a report to the chairs and ranking 
16.36 	minority members of the senate and house 
17.1 	committees with jurisdiction over health 
17.2 	policy on the strategic plan developed under 
17.3 	this grant for eliminating reproductive health 
17.4 	disparities for Somali women. The report 
17.5 	must be submitted by February 15, 2014.
17.6 	Sexual Violence Prevention. Within 
17.7 	available appropriations, by January 15, 
17.8 	2015, the commissioner must report to the 
17.9 	legislature on its activities to prevent sexual 
17.10 	violence, including activities to promote 
17.11 	coordination of existing state programs and 
17.12 	services to achieve maximum impact on 
17.13 	addressing the root causes of sexual violence.
17.14 	Safe Harbor for Sexually Exploited 
17.15 	Youth. (a) $375,000 in fiscal year 2014 and 
17.16 	$375,000 in fiscal year 2015 are for grants 
17.17 	to six regional navigators under Minnesota 
17.18 	Statutes, section 145.4717.
17.19 	(b) $100,000 in fiscal year 2014 and $100,000 
17.20 	in fiscal year 2015 are for the director of 
17.21 	child sex trafficking prevention position.
17.22 	(c) $50,000 in fiscal year 2015 is for program 
17.23 	evaluation required under Minnesota 
17.24 	Statutes, section 145.4718.
17.25 	TANF Appropriations. (1) $1,156,000 of 
17.26 	the TANF funds is appropriated each year of 
17.27 	the biennium to the commissioner for family 
17.28 	planning grants under Minnesota Statutes, 
17.29 	section 145.925.
17.30 	(2) $3,579,000 of the TANF funds is 
17.31 	appropriated each year of the biennium to 
17.32 	the commissioner for home visiting and 
17.33 	nutritional services listed under Minnesota 
17.34 	Statutes, section 145.882, subdivision 7, 
17.35 	clauses (6) and (7). Funds must be distributed 
18.1 	to community health boards according to 
18.2 	Minnesota Statutes, section 145A.131, 
18.3 	subdivision 1.
18.4 	(3) $2,000,000 of the TANF funds is 
18.5 	appropriated each year of the biennium to 
18.6 	the commissioner for decreasing racial and 
18.7 	ethnic disparities in infant mortality rates 
18.8 	under Minnesota Statutes, section 145.928, 
18.9 	subdivision 7.
18.10 	(4) $4,978,000 of the TANF funds is 
18.11 	appropriated each year of the biennium to the 
18.12 	commissioner for the family home visiting 
18.13 	grant program according to Minnesota 
18.14 	Statutes, section 145A.17. $4,000,000 of the 
18.15 	funding must be distributed to community 
18.16 	health boards according to Minnesota 
18.17 	Statutes, section 145A.131, subdivision 1. 
18.18 	$978,000 of the funding must be distributed 
18.19 	to tribal governments based on Minnesota 
18.20 	Statutes, section 145A.14, subdivision 2a.
18.21 	(5) The commissioner may use up to 6.23 
18.22 	percent of the funds appropriated each fiscal 
18.23 	year to conduct the ongoing evaluations 
18.24 	required under Minnesota Statutes, section 
18.25 	145A.17, subdivision 7, and training and 
18.26 	technical assistance as required under 
18.27 	Minnesota Statutes, section 145A.17, 
18.28 	subdivisions 4 and 5.
18.29 	TANF Carryforward. Any unexpended 
18.30 	balance of the TANF appropriation in the 
18.31 	first year of the biennium does not cancel but 
18.32 	is available for the second year.

18.33 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

18.34 	Sec. 6. Laws 2013, chapter 108, article 14, section 3, subdivision 4, is amended to read:

19.1	Subd. 4.Health Protection

19.2	Appropriations by Fund
	
19.3	General
	9,201,000
	9,201,000
	
19.4
19.5	State Government 
Special Revenue
	32,633,000
 32,780,000
	32,636,000
	
19.6	Special Revenue
	300,000
	300,000
	
19.7 	Infectious Disease Laboratory. Of the 
19.8 	general fund appropriation, $200,000 in 
19.9 	fiscal year 2014 and $200,000 in fiscal year 
19.10 	2015 are to monitor infectious disease trends 
19.11 	and investigate infectious disease outbreaks.
19.12 	Surveillance for Elevated Blood Lead 
19.13 	Levels. Of the general fund appropriation, 
19.14 	$100,000 in fiscal year 2014 and $100,000 
19.15 	in fiscal year 2015 are for the blood lead 
19.16 	surveillance system under Minnesota 
19.17 	Statutes, section 144.9502.
19.18 	Base Level Adjustment. The state 
19.19 	government special revenue base is increased 
19.20 	by $6,000 in fiscal year 2016 and by $13,000 
19.21 	in fiscal year 2017.

19.22 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

19.23 	Sec. 7. Laws 2013, chapter 108, article 14, section 4, subdivision 8, is amended to read:

19.24
19.25	Subd. 8.Board of Nursing Home 
Administrators
 		3,742,000
		2,252,000
	
19.26 	Administrative Services Unit - Operating 
19.27 	Costs. Of this appropriation, $676,000 
19.28 	in fiscal year 2014 and $626,000 in 
19.29 	fiscal year 2015 are for operating costs 
19.30 	of the administrative services unit. The 
19.31 	administrative services unit may receive 
19.32 	and expend reimbursements for services 
19.33 	performed by other agencies.
20.1 	Administrative Services Unit - Volunteer 
20.2 	Health Care Provider Program. Of this 
20.3 	appropriation, $150,000 in fiscal year 2014 
20.4 	and $150,000 in fiscal year 2015 are to pay 
20.5 	for medical professional liability coverage 
20.6 	required under Minnesota Statutes, section 
20.7 	214.40.
20.8 	Administrative Services Unit - Contested 
20.9 	Cases and Other Legal Proceedings. Of 
20.10 	this appropriation, $200,000 in fiscal year 
20.11 	2014 and $200,000 in fiscal year 2015 are 
20.12 	for costs of contested case hearings and other 
20.13 	unanticipated costs of legal proceedings 
20.14 	involving health-related boards funded 
20.15 	under this section. Upon certification of a 
20.16 	health-related board to the administrative 
20.17 	services unit that the costs will be incurred 
20.18 	and that there is insufficient money available 
20.19 	to pay for the costs out of money currently 
20.20 	available to that board, the administrative 
20.21 	services unit is authorized to transfer money 
20.22 	from this appropriation to the board for 
20.23 	payment of those costs with the approval 
20.24 	of the commissioner of management and 
20.25 	budget. This appropriation does not cancel 
20.26 	and is available until expended.
20.27 	This appropriation includes $44,000 in 
20.28 	fiscal year 2014 for rulemaking. This is 
20.29 	a onetime appropriation. $1,441,000 in 
20.30 	fiscal year 2014 and $420,000 in fiscal year 
20.31 	2015 are for the development of a shared 
20.32 	disciplinary, regulatory, licensing, and 
20.33 	information management system. $391,000 
20.34 	in fiscal year 2014 is a onetime appropriation 
20.35 	for retirement costs in the health-related 
20.36 	boards. This funding may be transferred to 
21.1 	the health boards incurring retirement costs. 
21.2 	These funds are available either year of the 
21.3 	biennium.
21.4 	This appropriation includes $16,000 in fiscal 
21.5 	years 2014 and 2015 for evening security, 
21.6 	$2,000 in fiscal years 2014 and 2015 for a 
21.7 	state vehicle lease, and $18,000 in fiscal 
21.8 	years 2014 and 2015 for shared office space 
21.9 	and administrative support. $205,000 in 
21.10 	fiscal year 2014 and $221,000 in fiscal year 
21.11 	2015 are for shared information technology 
21.12 	services, equipment, and maintenance.
21.13 	The remaining balance of the state 
21.14 	government special revenue fund 
21.15 	appropriation in Laws 2011, First Special 
21.16 	Session chapter 9, article 10, section 8, 
21.17 	subdivision 8, for Board of Nursing Home 
21.18 	Administrators rulemaking, estimated to 
21.19 	be $44,000, is canceled, and the remaining 
21.20 	balance of the state government special 
21.21 	revenue fund appropriation in Laws 2011, 
21.22 	First Special Session chapter 9, article 10, 
21.23 	section 8, subdivision 8, for electronic 
21.24 	licensing system adaptors, estimated to be 
21.25 	$761,000, and for the development and 
21.26 	implementation of a disciplinary, regulatory, 
21.27 	licensing, and information management 
21.28 	system, estimated to be $1,100,000, are 
21.29 	canceled. This paragraph is effective the day 
21.30 	following final enactment.
21.31 	Base Adjustment. The base is decreased by 
21.32 	$370,000 in fiscal years 2016 and 2017.

21.33 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.

21.34 	Sec. 8. Laws 2013, chapter 108, article 14, section 12, is amended to read:
22.1 	Sec. 12. APPROPRIATION ADJUSTMENTS.
 22.2 	(a) The general fund appropriation in section 2, subdivision 5, paragraph (g), 
22.3 	includes up to $53,391,000 in fiscal year 2014; $216,637,000 in fiscal year 2015; 
22.4 	$261,660,000 in fiscal year 2016; and $279,984,000 in fiscal year 2017, for medical 
22.5 	assistance eligibility and administration changes related to:
22.6 	(1) eligibility for children age two to 18 with income up to 275 percent of the federal 
22.7 	poverty guidelines;
22.8 	(2) eligibility for pregnant women with income up to 275 percent of the federal 
22.9 	poverty guidelines;
22.10 	(3) Affordable Care Act enrollment and renewal processes, including elimination 
22.11 	of six-month renewals, ex parte eligibility reviews, preprinted renewal forms, changes 
22.12 	in verification requirements, and other changes in the eligibility determination and 
22.13 	enrollment and renewal process;
22.14 	(4) automatic eligibility for children who turn 18 in foster care until they reach age 26;
22.15 	(5) eligibility related to spousal impoverishment provisions for waiver recipients; and
22.16 	(6) presumptive eligibility determinations by hospitals.
22.17 	(b) the commissioner of human services shall determine the difference between the 
22.18 	actual or forecasted estimated  costs to the medical assistance program attributable to 
22.19 	the program changes in paragraph (a), clauses (1) to (6), and the costs of paragraph (a), 
22.20 	clauses (1) to (6), that were estimated during the 2013 legislative session based on data 
22.21 	from the 2013 February forecast. The costs in this paragraph must be calculated between 
22.22 	January 1, 2014, and June 30, 2017.
22.23 	(c) For each fiscal year from 2014 to 2017, the commissioner of human services 
22.24 	shall certify the actual or forecasted estimated  cost differences to the medical assistance 
22.25 	program determined under paragraph (b), and report the difference in costs to the 
22.26 	commissioner of management and budget at least four weeks prior to a forecast under 
22.27 	Minnesota Statutes, section 16A.103. No later than three weeks before the release of 
22.28 	the forecast For fiscal years 2014 to 2017, forecasts under Minnesota Statutes, section 
22.29 	16A.103, prepared by the commissioner of management and budget shall reduce include 
22.30 	actual or estimated adjustments to  the health care access fund appropriation in section 
22.31 	2, subdivision 5, paragraph (g), by the cumulative difference in costs determined in
22.32 	according to paragraph (b) (d). If for any fiscal year, the amount of the cumulative cost 
22.33 	differences determined under paragraph (b) is positive, no adjustment shall be made to the 
22.34 	health care access fund appropriation. If for any fiscal year, the amount of the cumulative 
22.35 	cost differences determined under paragraph (b) is less than the original appropriation, the 
22.36 	appropriation for that fiscal year is zero.
23.1 	(d) For each fiscal year from 2014 to 2017, the commissioner of management and 
23.2 	budget must adjust the health care access fund appropriation by the cumulative difference 
23.3 	in costs reported by the commissioner of human services under paragraph (b). If, for any 
23.4 	fiscal year, the amount of the cumulative difference in costs determined under paragraph 
23.5 	(b) is positive, no adjustment shall be made to the health care access fund appropriation.
23.6 	(e) This section expires on January 1, 2018.

23.7 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2013.