1.1 	A bill for an act
1.2 	relating to human services; modifying payment for customized living;amending 
1.3 	Minnesota Statutes 2022, section 256B.4914, subdivision 6d.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2022, section 256B.4914, subdivision 6d, is amended to 
1.6 	read:
1.7 		Subd. 6d.Payment for customized living. (a) The payment methodology for customized 
1.8 	living and 24-hour customized living must be the customized living tool. The commissioner 
1.9 	shall revise the customized living tool to reflect the services and activities unique to 
1.10 	disability-related recipient needs and adjust for regional differences in the cost of providing 
1.11 	services.
1.12 	(b) The rate adjustments described in section 256S.205 do not apply to rates paid under 
1.13 	this section.
1.14 	(c)(b) Customized living and 24-hour customized living rates determined under this 
1.15 	section shall not include more than 24 hours of support in a daily unit.
1.16 	(d)(c) The commissioner shall establish the following acuity-based customized living 
1.17 	tool input limits, based on case mix, for customized living and 24-hour customized living 
1.18 	rates determined under this section:
1.19 	(1) no more than two hours of mental health management per day for people assessed 
1.20 	for case mixes A, D, and G;
1.21 	(2) no more than four hours of activities of daily living assistance per day for people 
1.22 	assessed for case mix B; and
2.1 	(3) no more than six hours of activities of daily living assistance per day for people 
2.2 	assessed for case mix D.