1.1 	A bill for an act
1.2 	relating to health; modifying the hospital nursing educational loan forgiveness 
1.3 	program; appropriating money;amending Minnesota Statutes 2023 Supplement, 
1.4 	section 144.1501, subdivisions 1, 2, 3, 4; Laws 2023, chapter 70, article 20, section 
1.5 	3, subdivisions 1, 2; proposing coding for new law in Minnesota Statutes, chapter 
1.6 	144.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. Minnesota Statutes 2023 Supplement, section 144.1501, subdivision 1, is 
1.9 	amended to read:
1.10 		Subdivision 1.Definitions. (a) For purposes of this section, the following definitions 
1.11 	apply.
1.12 	(b) "Advanced dental therapist" means an individual who is licensed as a dental therapist 
1.13 	under section 150A.06, and who is certified as an advanced dental therapist under section 
1.14 	150A.106.
1.15 	(c) "Alcohol and drug counselor" means an individual who is licensed as an alcohol and 
1.16 	drug counselor under chapter 148F.
1.17 	(d) "Dental therapist" means an individual who is licensed as a dental therapist under 
1.18 	section 150A.06.
1.19 	(e) "Dentist" means an individual who is licensed to practice dentistry.
1.20 	(f) "Designated rural area" means a statutory and home rule charter city or township that 
1.21 	is outside the seven-county metropolitan area as defined in section 473.121, subdivision 2, 
1.22 	excluding the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud.
2.1 	(g) "Emergency circumstances" means those conditions that make it impossible for the 
2.2 	participant to fulfill the service commitment, including death, total and permanent disability, 
2.3 	or temporary disability lasting more than two years.
2.4 	(h) "Hospital nurse" means an individual who is licensed as a registered nurse and who 
2.5 	is providing direct patient care in a nonprofit hospital setting.
2.6 	(i) (h) "Mental health professional" means an individual providing clinical services in 
2.7 	the treatment of mental illness who is qualified in at least one of the ways specified in section 
2.8 	245.462, subdivision 18.
2.9 	(j) (i) "Medical resident" means an individual participating in a medical residency in 
2.10 	family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.
2.11 	(k) (j) "Midlevel practitioner" means a nurse practitioner, nurse-midwife, nurse 
2.12 	anesthetist, advanced clinical nurse specialist, or physician assistant.
2.13 	(l) (k) "Nurse" means an individual who has completed training and received all licensing 
2.14 	or certification necessary to perform duties as a licensed practical nurse or registered nurse.
2.15 	(m) (l) "Nurse-midwife" means a registered nurse who has graduated from a program 
2.16 	of study designed to prepare registered nurses for advanced practice as nurse-midwives.
2.17 	(n) (m) "Nurse practitioner" means a registered nurse who has graduated from a program 
2.18 	of study designed to prepare registered nurses for advanced practice as nurse practitioners.
2.19 	(o) (n) "Pharmacist" means an individual with a valid license issued under chapter 151.
2.20 	(p) (o) "Physician" means an individual who is licensed to practice medicine in the areas 
2.21 	of family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.
2.22 	(q) (p) "Physician assistant" means a person licensed under chapter 147A.
2.23 	(r) (q) "Public health nurse" means a registered nurse licensed in Minnesota who has 
2.24 	obtained a registration certificate as a public health nurse from the Board of Nursing in 
2.25 	accordance with Minnesota Rules, chapter 6316.
2.26 	(s) (r) "Qualified educational loan" means a government, commercial, or foundation 
2.27 	loan for actual costs paid for tuition, reasonable education expenses, and reasonable living 
2.28 	expenses related to the graduate or undergraduate education of a health care professional.
2.29 	(t) (s) "Underserved urban community" means a Minnesota urban area or population 
2.30 	included in the list of designated primary medical care health professional shortage areas 
2.31 	(HPSAs), medically underserved areas (MUAs), or medically underserved populations 
3.1 	(MUPs) maintained and updated by the United States Department of Health and Human 
3.2 	Services.

3.3 	Sec. 2. Minnesota Statutes 2023 Supplement, section 144.1501, subdivision 2, is amended 
3.4 	to read:
3.5 		Subd. 2.Creation of account. (a) A health professional education loan forgiveness 
3.6 	program account is established in the health care access fund. The commissioner of health 
3.7 	shall use money from the account to establish a loan forgiveness program:
3.8 	(1) for medical residents, mental health professionals, and alcohol and drug counselors 
3.9 	agreeing to practice in designated rural areas or underserved urban communities or 
3.10 	specializing in the area of pediatric psychiatry;
3.11 	(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach 
3.12 	at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program 
3.13 	at the undergraduate level or the equivalent at the graduate level;
3.14 	(3) for nurses who agree to practice in a Minnesota nursing home; in an intermediate 
3.15 	care facility for persons with developmental disability; in a hospital if the hospital owns 
3.16 	and operates a Minnesota nursing home and a minimum of 50 percent of the hours worked 
3.17 	by the nurse is in the nursing home; in an assisted living facility as defined in section 
3.18 	144G.08, subdivision 7; or for a home care provider as defined in section 144A.43, 
3.19 	subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per year in the nursing 
3.20 	field in a postsecondary program at the undergraduate level or the equivalent at the graduate 
3.21 	level;
3.22 	(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720 
3.23 	hours per year in their designated field in a postsecondary program at the undergraduate 
3.24 	level or the equivalent at the graduate level. The commissioner, in consultation with the 
3.25 	Healthcare Education-Industry Partnership, shall determine the health care fields where the 
3.26 	need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory 
3.27 	technology, radiologic technology, and surgical technology;
3.28 	(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses 
3.29 	who agree to practice in designated rural areas; and
3.30 	(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient 
3.31 	encounters to state public program enrollees or patients receiving sliding fee schedule 
3.32 	discounts through a formal sliding fee schedule meeting the standards established by the 
4.1 	United States Department of Health and Human Services under Code of Federal Regulations, 
4.2 	title 42, section 51, chapter 303; and.
4.3 	(7) for nurses employed as a hospital nurse by a nonprofit hospital and providing direct 
4.4 	care to patients at the nonprofit hospital.
4.5 	(b) Appropriations made to the account do not cancel and are available until expended, 
4.6 	except that at the end of each biennium, any remaining balance in the account that is not 
4.7 	committed by contract and not needed to fulfill existing commitments shall cancel to the
4.8 	health care access fund.

4.9 	Sec. 3. Minnesota Statutes 2023 Supplement, section 144.1501, subdivision 3, is amended 
4.10 	to read:
4.11 		Subd. 3.Eligibility. (a) To be eligible to participate in the loan forgiveness program, an 
4.12 	individual must:
4.13 	(1) be a medical or dental resident; a licensed pharmacist; or be enrolled in a training or 
4.14 	education program to become a dentist, dental therapist, advanced dental therapist, mental 
4.15 	health professional, alcohol and drug counselor, pharmacist, public health nurse, midlevel 
4.16 	practitioner, registered nurse, or a licensed practical nurse. The commissioner may also 
4.17 	consider applications submitted by graduates in eligible professions who are licensed and 
4.18 	in practice; and
4.19 	(2) submit an application to the commissioner of health. A nurse applying under 
4.20 	subdivision 2, paragraph (a), clause (7), must also include proof that the applicant is employed 
4.21 	as a hospital nurse.
4.22 	(b) An applicant selected to participate must sign a contract to agree to serve a minimum 
4.23 	three-year full-time service obligation according to subdivision 2, which shall begin no later 
4.24 	than March 31 following completion of required training, with the exception of:
4.25 	(1) a nurse, who must agree to serve a minimum two-year full-time service obligation 
4.26 	according to subdivision 2, which shall begin no later than March 31 following completion 
4.27 	of required training; and
4.28 	(2) a nurse selected under subdivision 2, paragraph (a), clause (7), who must agree to 
4.29 	continue as a hospital nurse for a minimum two-year service obligation; and
4.30 	(3) (2) a nurse who agrees to teach according to subdivision 2, paragraph (a), clause (3), 
4.31 	who must sign a contract to agree to teach for a minimum of two years.

5.1 	Sec. 4. Minnesota Statutes 2023 Supplement, section 144.1501, subdivision 4, is amended 
5.2 	to read:
5.3 		Subd. 4.Loan forgiveness. (a) The commissioner of health may select applicants each 
5.4 	year for participation in the loan forgiveness program, within the limits of available funding. 
5.5 	In considering applications, the commissioner shall give preference to applicants who 
5.6 	document diverse cultural competencies. The commissioner shall distribute available funds 
5.7 	for loan forgiveness proportionally among the eligible professions according to the vacancy 
5.8 	rate for each profession in the required geographic area, facility type, teaching area, patient 
5.9 	group, or specialty type specified in subdivision 2, except for hospital nurses. The 
5.10 	commissioner shall allocate funds for physician loan forgiveness so that 75 percent of the 
5.11 	funds available are used for rural physician loan forgiveness and 25 percent of the funds 
5.12 	available are used for underserved urban communities and pediatric psychiatry loan 
5.13 	forgiveness. If the commissioner does not receive enough qualified applicants each year to 
5.14 	use the entire allocation of funds for any eligible profession, the remaining funds may be 
5.15 	allocated proportionally among the other eligible professions according to the vacancy rate 
5.16 	for each profession in the required geographic area, patient group, or facility type specified 
5.17 	in subdivision 2. Applicants are responsible for securing their own qualified educational 
5.18 	loans. The commissioner shall select participants based on their suitability for practice 
5.19 	serving the required geographic area or facility type specified in subdivision 2, as indicated 
5.20 	by experience or training. The commissioner shall give preference to applicants closest to 
5.21 	completing their training. Except as specified in paragraph (c) (b), for each year that a 
5.22 	participant meets the service obligation required under subdivision 3, up to a maximum of 
5.23 	four years, the commissioner shall make annual disbursements directly to the participant 
5.24 	equivalent to 15 percent of the average educational debt for indebted graduates in their 
5.25 	profession in the year closest to the applicant's selection for which information is available, 
5.26 	not to exceed the balance of the participant's qualifying educational loans. Before receiving 
5.27 	loan repayment disbursements and as requested, the participant must complete and return 
5.28 	to the commissioner a confirmation of practice form provided by the commissioner verifying 
5.29 	that the participant is practicing as required under subdivisions 2 and 3. The participant 
5.30 	must provide the commissioner with verification that the full amount of loan repayment 
5.31 	disbursement received by the participant has been applied toward the designated loans. 
5.32 	After each disbursement, verification must be received by the commissioner and approved 
5.33 	before the next loan repayment disbursement is made. Participants who move their practice 
5.34 	remain eligible for loan repayment as long as they practice as required under subdivision 
5.35 	2.
6.1 	(b) For hospital nurses, the commissioner of health shall select applicants each year for 
6.2 	participation in the hospital nursing education loan forgiveness program, within limits of 
6.3 	available funding for hospital nurses. Before receiving the annual loan repayment 
6.4 	disbursement, the participant must complete and return to the commissioner a confirmation 
6.5 	of practice form provided by the commissioner, verifying that the participant continues to 
6.6 	meet the eligibility requirements under subdivision 3. The participant must provide the 
6.7 	commissioner with verification that the full amount of loan repayment disbursement received 
6.8 	by the participant has been applied toward the designated loans.
6.9 	(c) (b) For each year that a participant who is a nurse and who has agreed to teach 
6.10 	according to subdivision 2 meets the teaching obligation required in subdivision 3, the 
6.11 	commissioner shall make annual disbursements directly to the participant equivalent to 15 
6.12 	percent of the average annual educational debt for indebted graduates in the nursing 
6.13 	profession in the year closest to the participant's selection for which information is available, 
6.14 	not to exceed the balance of the participant's qualifying educational loans.

6.15 	Sec. 5. [144.1521] HOSPITAL NURSING EDUCATIONAL LOAN FORGIVENESS 
6.16 	PROGRAM.
6.17 		Subdivision 1.Definitions. (a) For purposes of this section, the following definitions 
6.18 	apply.
6.19 	(b) "Emergency circumstances" means those conditions that make it impossible for the 
6.20 	participant to fulfill the service commitment, including death, total and permanent disability, 
6.21 	or temporary disability lasting more than two years.
6.22 	(c) "Hospital nurse" means an individual who is licensed as a registered nurse and who 
6.23 	is providing direct patient care in a nonprofit hospital setting.
6.24 	(d) "Qualified educational loan" means a government, commercial, or foundation loan 
6.25 	for actual costs paid for tuition, reasonable education expenses, and reasonable living 
6.26 	expenses related to the graduate or undergraduate education of a health care professional.
6.27 		Subd. 2.Creation of account. (a) A hospital nursing education loan forgiveness program 
6.28 	account is established in the health care access fund. The commissioner of health shall use 
6.29 	money from the account to establish a loan forgiveness program for licensed registered 
6.30 	nurses employed as hospital nurses by a nonprofit hospital and who provide direct care to 
6.31 	patients at the nonprofit hospital.
6.32 	(b) Appropriations made to the account do not cancel and are available until expended.
7.1 		Subd. 3.Eligibility. (a) To be eligible to participate in the hospital nursing loan 
7.2 	forgiveness program, an individual must: (1) be a hospital nurse who has been employed 
7.3 	as a hospital nurse for at least three years; (2) submit an application to the commissioner of 
7.4 	health; and (3) submit proof that the applicant is employed as a hospital nurse and has been 
7.5 	so employed for at least three years.
7.6 	(b) The commissioner must accept a signed work verification form from the applicant's 
7.7 	supervisor as proof of the applicant's tenure providing direct patient care in a nonprofit 
7.8 	hospital setting.
7.9 	(c) An applicant selected to participate in the loan forgiveness program must sign a 
7.10 	contract to agree to continue as a hospital nurse for a minimum two-year service obligation.
7.11 		Subd. 4.Loan forgiveness. (a) Within the limits of available funding, the commissioner 
7.12 	of health shall select applicants each year for participation in the loan forgiveness program. 
7.13 	If the total requests from eligible applicants exceeds the available funding, the commissioner 
7.14 	shall randomly select grantees from among eligible applicants.
7.15 	(b) Applicants are responsible for securing their own qualified educational loans.
7.16 	(c) For each year that a participant meets the service obligation required under subdivision 
7.17 	3, up to a maximum of four years, the commissioner shall make annual disbursements 
7.18 	directly to the participant equivalent to 15 percent of the average educational debt for 
7.19 	indebted graduates in their profession in the year closest to the applicant's selection for 
7.20 	which information is available, not to exceed the balance of the participant's qualifying 
7.21 	educational loans. Before receiving loan repayment disbursements and as requested, the 
7.22 	participant must complete and return to the commissioner a confirmation of practice form 
7.23 	provided by the commissioner verifying that the participant is practicing as required under 
7.24 	subdivisions 2 and 3.
7.25 	(d) The participant must provide the commissioner with verification that the full amount 
7.26 	of loan repayment disbursement received by the participant has been applied toward the 
7.27 	designated loans. After each disbursement, verification must be received by the commissioner 
7.28 	and approved before the next loan repayment disbursement is made.
7.29 	(e) Participants who move their practice remain eligible for loan repayment as long as 
7.30 	they practice as required under subdivisions 2 and 3.
7.31 		Subd. 5.Penalty for nonfulfillment. (a) If a participant does not fulfill the required 
7.32 	minimum commitment of service according to subdivision 3, the commissioner of health 
7.33 	shall collect from the participant the total amount paid to the participant under the loan 
8.1 	forgiveness program. The commissioner shall deposit the money collected from the 
8.2 	participant in the health care access fund to be credited to the hospital nursing education 
8.3 	loan forgiveness program account established in subdivision 2.
8.4 	(b) The commissioner shall allow waivers of all or part of the money owed to the 
8.5 	commissioner as a result of a nonfulfillment penalty if the participant is unable to fulfill the 
8.6 	minimum service commitment due to emergency circumstances, life changes outside the 
8.7 	applicant's control, inability to obtain required hours as a result of a scheduling decision by 
8.8 	the hospital, or other circumstances as determined by the commissioner.
8.9 		Subd. 6.Rules. The commissioner may adopt rules to implement this section.

8.10 	Sec. 6. Laws 2023, chapter 70, article 20, section 3, subdivision 1, is amended to read:

8.128.11
	Subdivision 1.Total Appropriation
 	$
	432,805,000
	$
	416,822,000
411,505,000

8.13	Appropriations by Fund
	
8.14		2024
	2025
	
8.168.15
	General
	287,367,000
	265,615,000
260,298,000
	
8.17
8.18	State Government 
Special Revenue
	84,674,000
	86,204,000
	
8.19	Health Care Access
	49,051,000
	53,290,000
	
8.20	Federal TANF
	11,713,000
	11,713,000
	
8.21 	The amounts that may be spent for each 
8.22 	purpose are specified in the following 
8.23 	subdivisions.

8.24 	Sec. 7. Laws 2023, chapter 70, article 20, section 3, subdivision 2, is amended to read:

8.25	Subd. 2.Health Improvement

8.26	Appropriations by Fund
	
8.288.27
	General
	229,600,000
	210,030,000
204,713,000
	
8.29
8.30	State Government 
Special Revenue
	12,392,000
	12,682,000
	
8.31	Health Care Access
	49,051,000
	53,290,000
	
8.32	Federal TANF
	11,713,000
	11,713,000
	
8.33 	(a) Studies of telehealth expansion and 
8.34 	payment parity. $1,200,000 in fiscal year 
9.1 	2024 is from the general fund for studies of 
9.2 	telehealth expansion and payment parity. This 
9.3 	is a onetime appropriation and is available 
9.4 	until June 30, 2025.
9.5 	(b) Advancing equity through capacity 
9.6 	building and resource allocation grant 
9.7 	program. $916,000 in fiscal year 2024 and 
9.8 	$916,000 in fiscal year 2025 are from the 
9.9 	general fund for grants under Minnesota 
9.10 	Statutes, section 144.9821. This is a onetime 
9.11 	appropriation.
9.12 	(c) Grant to Minnesota Community Health 
9.13 	Worker Alliance. $971,000 in fiscal year 
9.14 	2024 and $971,000 in fiscal year 2025 are 
9.15 	from the general fund for Minnesota Statutes, 
9.16 	section 144.1462.
9.17 	(d) Community solutions for healthy child 
9.18 	development grants. $2,730,000 in fiscal year 
9.19 	2024 and $2,730,000 in fiscal year 2025 are 
9.20 	from the general fund for grants under 
9.21 	Minnesota Statutes, section 145.9257. The 
9.22 	base for this appropriation is $2,415,000 in 
9.23 	fiscal year 2026 and $2,415,000 in fiscal year 
9.24 	2027.
9.25 	(e) Comprehensive Overdose and Morbidity 
9.26 	Prevention Act. $9,794,000 in fiscal year 
9.27 	2024 and $10,458,000 in fiscal year 2025 are 
9.28 	from the general fund for comprehensive 
9.29 	overdose and morbidity prevention strategies 
9.30 	under Minnesota Statutes, section 144.0528. 
9.31 	The base for this appropriation is $10,476,000 
9.32 	in fiscal year 2026 and $10,476,000 in fiscal 
9.33 	year 2027.
10.1 	(f) Emergency preparedness and response.
10.2 	$10,486,000 in fiscal year 2024 and 
10.3 	$14,314,000 in fiscal year 2025 are from the 
10.4 	general fund for public health emergency 
10.5 	preparedness and response, the sustainability 
10.6 	of the strategic stockpile, and COVID-19 
10.7 	pandemic response transition. The base for 
10.8 	this appropriation is $11,438,000 in fiscal year 
10.9 	2026 and $11,362,000 in fiscal year 2027.
10.10 	(g) Healthy Beginnings, Healthy Families.
10.11 	(1) $8,440,000 in fiscal year 2024 and 
10.12 	$7,305,000 in fiscal year 2025 are from the 
10.13 	general fund for grants under Minnesota 
10.14 	Statutes, sections 145.9571 to 145.9576. The 
10.15 	base for this appropriation is $1,500,000 in 
10.16 	fiscal year 2026 and $1,500,000 in fiscal year 
10.17 	2027. (2) Of the amount in clause (1), 
10.18 	$400,000 in fiscal year 2024 is to support the 
10.19 	transition from implementation of activities 
10.20 	under Minnesota Statutes, section 145.4235, 
10.21 	to implementation of activities under 
10.22 	Minnesota Statutes, sections 145.9571 to 
10.23 	145.9576. The commissioner shall award four 
10.24 	sole-source grants of $100,000 each to Face 
10.25 	to Face, Cradle of Hope, Division of Indian 
10.26 	Work, and Minnesota Prison Doula Project. 
10.27 	The amount in this clause is a onetime 
10.28 	appropriation.
10.29 	(h) Help Me Connect. $463,000 in fiscal year 
10.30 	2024 and $921,000 in fiscal year 2025 are 
10.31 	from the general fund for the Help Me 
10.32 	Connect program under Minnesota Statutes, 
10.33 	section 145.988.
10.34 	(i) Home visiting. $2,000,000 in fiscal year 
10.35 	2024 and $2,000,000 in fiscal year 2025 are 
11.1 	from the general fund for home visiting under 
11.2 	Minnesota Statutes, section 145.87, to provide 
11.3 	home visiting to priority populations under 
11.4 	Minnesota Statutes, section 145.87, 
11.5 	subdivision 1, paragraph (e).
11.6 	(j) No Surprises Act enforcement.
11.7 	$1,210,000 in fiscal year 2024 and $1,090,000 
11.8 	in fiscal year 2025 are from the general fund 
11.9 	for implementation of the federal No Surprises 
11.10 	Act under Minnesota Statutes, section 
11.11 	62Q.021, and an assessment of the feasibility 
11.12 	of a statewide provider directory. The general 
11.13 	fund base for this appropriation is $855,000 
11.14 	in fiscal year 2026 and $855,000 in fiscal year 
11.15 	2027.
11.16 	(k) Office of African American Health.
11.17 	$1,000,000 in fiscal year 2024 and $1,000,000 
11.18 	in fiscal year 2025 are from the general fund 
11.19 	for grants under the authority of the Office of 
11.20 	African American Health under Minnesota 
11.21 	Statutes, section 144.0756.
11.22 	(l) Office of American Indian Health.
11.23 	$1,000,000 in fiscal year 2024 and $1,000,000 
11.24 	in fiscal year 2025 are from the general fund 
11.25 	for grants under the authority of the Office of 
11.26 	American Indian Health under Minnesota 
11.27 	Statutes, section 144.0757.
11.28 	(m) Public health system transformation 
11.29 	grants. (1) $9,844,000 in fiscal year 2024 and 
11.30 	$9,844,000 in fiscal year 2025 are from the 
11.31 	general fund for grants under Minnesota 
11.32 	Statutes, section 145A.131, subdivision 1, 
11.33 	paragraph (f).
12.1 	(2) $535,000 in fiscal year 2024 and $535,000 
12.2 	in fiscal year 2025 are from the general fund 
12.3 	for grants under Minnesota Statutes, section 
12.4 	145A.14, subdivision 2b.
12.5 	(3) $321,000 in fiscal year 2024 and $321,000 
12.6 	in fiscal year 2025 are from the general fund 
12.7 	for grants under Minnesota Statutes, section 
12.8 	144.0759.
12.9 	(n) Health care workforce. (1) $1,010,000 
12.10 	in fiscal year 2024 and $2,550,000 in fiscal 
12.11 	year 2025 are from the health care access fund 
12.12 	for rural training tracks and rural clinicals 
12.13 	grants under Minnesota Statutes, sections 
12.14 	144.1505 and 144.1507. The base for this 
12.15 	appropriation is $4,060,000 in fiscal year 2026 
12.16 	and $3,600,000 in fiscal year 2027.
12.17 	(2) $420,000 in fiscal year 2024 and $420,000 
12.18 	in fiscal year 2025 are from the health care 
12.19 	access fund for immigrant international 
12.20 	medical graduate training grants under 
12.21 	Minnesota Statutes, section 144.1911.
12.22 	(3) $5,654,000 in fiscal year 2024 and 
12.23 	$5,550,000 in fiscal year 2025 are from the 
12.24 	health care access fund for site-based clinical 
12.25 	training grants under Minnesota Statutes, 
12.26 	section 144.1508. The base for this 
12.27 	appropriation is $4,657,000 in fiscal year 2026 
12.28 	and $3,451,000 in fiscal year 2027.
12.29 	(4) $1,000,000 in fiscal year 2024 and 
12.30 	$1,000,000 in fiscal year 2025 are from the 
12.31 	health care access fund for mental health for 
12.32 	health care professional grants. This is a 
12.33 	onetime appropriation and is available until 
12.34 	June 30, 2027.
13.1 	(5) $502,000 in fiscal year 2024 and $502,000 
13.2 	in fiscal year 2025 are from the health care 
13.3 	access fund for workforce research and data 
13.4 	analysis of shortages, maldistribution of health 
13.5 	care providers in Minnesota, and the factors 
13.6 	that influence decisions of health care 
13.7 	providers to practice in rural areas of 
13.8 	Minnesota.
13.9 	(o) School health. $800,000 in fiscal year 
13.10 	2024 and $1,300,000 in fiscal year 2025 are 
13.11 	from the general fund for grants under 
13.12 	Minnesota Statutes, section 145.903. The base 
13.13 	for this appropriation is $2,300,000 in fiscal 
13.14 	year 2026 and $2,300,000 in fiscal year 2027.
13.15 	(p) Long COVID. $3,146,000 in fiscal year 
13.16 	2024 and $3,146,000 in fiscal year 2025 are 
13.17 	from the general fund for grants and to 
13.18 	implement Minnesota Statutes, section 
13.19 	145.361.
13.20 	(q) Workplace safety grants. $4,400,000 in 
13.21 	fiscal year 2024 is from the general fund for 
13.22 	grants to health care entities to improve 
13.23 	employee safety or security. This is a onetime 
13.24 	appropriation and is available until June 30, 
13.25 	2027. The commissioner may use up to ten 
13.26 	percent of this appropriation for 
13.27 	administration.
13.28 	(r) Clinical dental education innovation 
13.29 	grants. $1,122,000 in fiscal year 2024 and 
13.30 	$1,122,000 in fiscal year 2025 are from the 
13.31 	general fund for clinical dental education 
13.32 	innovation grants under Minnesota Statutes, 
13.33 	section 144.1913.
14.1 	(s) Emmett Louis Till Victims Recovery 
14.2 	Program. $500,000 in fiscal year 2024 is from 
14.3 	the general fund for a grant to the Emmett 
14.4 	Louis Till Victims Recovery Program. The 
14.5 	commissioner must not use any of this 
14.6 	appropriation for administration. This is a 
14.7 	onetime appropriation and is available until 
14.8 	June 30, 2025.
14.9 	(t) Center for health care affordability.
14.10 	$2,752,000 in fiscal year 2024 and $3,989,000 
14.11 	in fiscal year 2025 are from the general fund 
14.12 	to establish a center for health care 
14.13 	affordability and to implement Minnesota 
14.14 	Statutes, section 62J.312. The general fund 
14.15 	base for this appropriation is $3,988,000 in 
14.16 	fiscal year 2026 and $3,988,000 in fiscal year 
14.17 	2027.
14.18 	(u) Federally qualified health centers 
14.19 	apprenticeship program. $690,000 in fiscal 
14.20 	year 2024 and $690,000 in fiscal year 2025 
14.21 	are from the general fund for grants under 
14.22 	Minnesota Statutes, section 145.9272.
14.23 	(v) Alzheimer's public information 
14.24 	program. $80,000 in fiscal year 2024 and 
14.25 	$80,000 in fiscal year 2025 are from the 
14.26 	general fund for grants to community-based 
14.27 	organizations to co-create culturally specific 
14.28 	messages to targeted communities and to 
14.29 	promote public awareness materials online 
14.30 	through diverse media channels.
14.31 	(w) Keeping Nurses at the Bedside Act; 
14.32 	contingent appropriation. The appropriations 
14.33 	in this paragraph are contingent upon 
14.34 	legislative enactment of 2023 Senate File 1384 
14.35 	by the 93rd Legislature. The appropriations 
15.1 	in this paragraph are available until June 30, 
15.2 	2027.
15.3 	(1) $5,317,000 in fiscal year 2024 and 
15.4 	$5,317,000 $0 in fiscal year 2025 are from the 
15.5 	general fund for loan forgiveness under 
15.6 	Minnesota Statutes, section 144.1501, for 
15.7 	eligible nurses who have agreed to work as 
15.8 	hospital nurses in accordance with Minnesota 
15.9 	Statutes, section 144.1501, subdivision 2, 
15.10 	paragraph (a), clause (7).
15.11 	(2) $66,000 in fiscal year 2024 and $66,000 
15.12 	in fiscal year 2025 are from the general fund 
15.13 	for loan forgiveness under Minnesota Statutes, 
15.14 	section 144.1501, for eligible nurses who have 
15.15 	agreed to teach in accordance with Minnesota 
15.16 	Statutes, section 144.1501, subdivision 2, 
15.17 	paragraph (a), clause (3).
15.18 	(3) $545,000 in fiscal year 2024 and $879,000 
15.19 	in fiscal year 2025 are from the general fund 
15.20 	to administer Minnesota Statutes, section 
15.21 	144.7057; to perform the evaluation duties 
15.22 	described in Minnesota Statutes, section 
15.23 	144.7058; to continue prevention of violence 
15.24 	in health care program activities; to analyze 
15.25 	potential links between adverse events and 
15.26 	understaffing; to convene stakeholder groups 
15.27 	and create a best practices toolkit; and for a 
15.28 	report on the current status of the state's 
15.29 	nursing workforce employed by hospitals. The 
15.30 	base for this appropriation is $624,000 in fiscal 
15.31 	year 2026 and $454,000 in fiscal year 2027.
15.32 	(x) Supporting healthy development of 
15.33 	babies. $260,000 in fiscal year 2024 and 
15.34 	$260,000 in fiscal year 2025 are from the 
15.35 	general fund for a grant to the Amherst H. 
16.1 	Wilder Foundation for the African American 
16.2 	Babies Coalition initiative. The base for this 
16.3 	appropriation is $520,000 in fiscal year 2026 
16.4 	and $0 in fiscal year 2027. Any appropriation 
16.5 	in fiscal year 2026 is available until June 30, 
16.6 	2027. This paragraph expires on June 30, 
16.7 	2027.
16.8 	(y) Health professional education loan 
16.9 	forgiveness. $2,780,000 in fiscal year 2024 
16.10 	is from the general fund for eligible mental 
16.11 	health professional loan forgiveness under 
16.12 	Minnesota Statutes, section 144.1501. This is 
16.13 	a onetime appropriation. The commissioner 
16.14 	may use up to ten percent of this appropriation 
16.15 	for administration.
16.16 	(z) Primary care residency expansion grant 
16.17 	program. $400,000 in fiscal year 2024 and 
16.18 	$400,000 in fiscal year 2025 are from the 
16.19 	general fund for a psychiatry resident under 
16.20 	Minnesota Statutes, section 144.1506.
16.21 	(aa) Pediatric primary care mental health 
16.22 	training grant program. $1,000,000 in fiscal 
16.23 	year 2024 and $1,000,000 in fiscal year 2025 
16.24 	are from the general fund for grants under 
16.25 	Minnesota Statutes, section 144.1509. The 
16.26 	commissioner may use up to ten percent of 
16.27 	this appropriation for administration.
16.28 	(bb) Mental health cultural community 
16.29 	continuing education grant program. 
16.30 	$500,000 in fiscal year 2024 and $500,000 in 
16.31 	fiscal year 2025 are from the general fund for 
16.32 	grants under Minnesota Statutes, section 
16.33 	144.1511. The commissioner may use up to 
16.34 	ten percent of this appropriation for 
16.35 	administration.
17.1 	(cc) Labor trafficking services grant 
17.2 	program. $500,000 in fiscal year 2024 and 
17.3 	$500,000 in fiscal year 2025 are from the 
17.4 	general fund for grants under Minnesota 
17.5 	Statutes, section 144.3885.
17.6 	(dd) Palliative Care Advisory Council. 
17.7 	$40,000 in fiscal year 2024 and $40,000 in 
17.8 	fiscal year 2025 are from the general fund for 
17.9 	grants under Minnesota Statutes, section 
17.10 	144.059.
17.11 	(ee) Analysis of a universal health care 
17.12 	financing system. $1,815,000 in fiscal year 
17.13 	2024 and $580,000 in fiscal year 2025 are 
17.14 	from the general fund to the commissioner to 
17.15 	contract for an analysis of the benefits and 
17.16 	costs of a legislative proposal for a universal 
17.17 	health care financing system and a similar 
17.18 	analysis of the current health care financing 
17.19 	system. The base for this appropriation is 
17.20 	$580,000 in fiscal year 2026 and $0 in fiscal 
17.21 	year 2027. This appropriation is available until 
17.22 	June 30, 2027.
17.23 	(ff) Charitable assets public interest review.
17.24 	(1) The appropriations under this paragraph 
17.25 	are contingent upon legislative enactment of 
17.26 	2023 House File 402 by the 93rd Legislature.
17.27 	(2) $1,584,000 in fiscal year 2024 and 
17.28 	$769,000 in fiscal year 2025 are from the 
17.29 	general fund to review certain health care 
17.30 	entity transactions; to conduct analyses of the 
17.31 	impacts of health care transactions on health 
17.32 	care cost, quality, and competition; and to 
17.33 	issue public reports on health care transactions 
17.34 	in Minnesota and their impacts. The base for 
18.1 	this appropriation is $710,000 in fiscal year 
18.2 	2026 and $710,000 in fiscal year 2027.
18.3 	(gg) Study of the development of a statewide 
18.4 	registry for provider orders for 
18.5 	life-sustaining treatment. $365,000 in fiscal 
18.6 	year 2024 and $365,000 in fiscal year 2025 
18.7 	are from the general fund for a study of the 
18.8 	development of a statewide registry for 
18.9 	provider orders for life-sustaining treatment. 
18.10 	This is a onetime appropriation.
18.11 	(hh) Task Force on Pregnancy Health and 
18.12 	Substance Use Disorders. $199,000 in fiscal 
18.13 	year 2024 and $100,000 in fiscal year 2025 
18.14 	are from the general fund for the Task Force 
18.15 	on Pregnancy Health and Substance Use 
18.16 	Disorders. This is a onetime appropriation and 
18.17 	is available until June 30, 2025.
18.18 	(ii) 988 Suicide and crisis lifeline. $4,000,000 
18.19 	in fiscal year 2024 is from the general fund 
18.20 	for 988 national suicide prevention lifeline 
18.21 	grants under Minnesota Statutes, section 
18.22 	145.561. This is a onetime appropriation.
18.23 	(jj) Equitable Health Care Task Force.
18.24 	$779,000 in fiscal year 2024 and $749,000 in 
18.25 	fiscal year 2025 are from the general fund for 
18.26 	the Equitable Health Care Task Force. This is 
18.27 	a onetime appropriation.
18.28 	(kk) Psychedelic Medicine Task Force.
18.29 	$338,000 in fiscal year 2024 and $171,000 in 
18.30 	fiscal year 2025 are from the general fund for 
18.31 	the Psychedelic Medicine Task Force. This is 
18.32 	a onetime appropriation.
18.33 	(ll) Medical education and research costs.
18.34 	$300,000 in fiscal year 2024 and $300,000 in 
19.1 	fiscal year 2025 are from the general fund for 
19.2 	the medical education and research costs 
19.3 	program under Minnesota Statutes, section 
19.4 	62J.692.
19.5 	(mm) Special Guerilla Unit Veterans grant 
19.6 	program. $250,000 in fiscal year 2024 and 
19.7 	$250,000 in fiscal year 2025 are from the 
19.8 	general fund for a grant to the Special 
19.9 	Guerrilla Units Veterans and Families of the 
19.10 	United States of America to offer 
19.11 	programming and culturally specific and 
19.12 	specialized assistance to support the health 
19.13 	and well-being of Special Guerilla Unit 
19.14 	Veterans. The base for this appropriation is 
19.15 	$500,000 in fiscal year 2026 and $0 in fiscal 
19.16 	year 2027. Any amount appropriated in fiscal 
19.17 	year 2026 is available until June 30, 2027. 
19.18 	This paragraph expires June 30, 2027.
19.19 	(nn) Safe harbor regional navigator. 
19.20 	$300,000 in fiscal year 2024 and $300,000 in 
19.21 	fiscal year 2025 are for a regional navigator 
19.22 	in northwestern Minnesota. The commissioner 
19.23 	may use up to ten percent of this appropriation 
19.24 	for administration.
19.25 	(oo) Network adequacy. $798,000 in fiscal 
19.26 	year 2024 and $491,000 in fiscal year 2025 
19.27 	are from the general fund for reviews of 
19.28 	provider networks under Minnesota Statutes, 
19.29 	section 62K.10, to determine network 
19.30 	adequacy.
19.31 	(pp)(1) TANF Appropriations. TANF funds 
19.32 	must be used as follows:
19.33 	(i) $3,579,000 in fiscal year 2024 and 
19.34 	$3,579,000 in fiscal year 2025 are from the 
20.1 	TANF fund for home visiting and nutritional 
20.2 	services listed under Minnesota Statutes, 
20.3 	section 145.882, subdivision 7, clauses (6) and 
20.4 	(7). Funds must be distributed to community 
20.5 	health boards according to Minnesota Statutes, 
20.6 	section 145A.131, subdivision 1;
20.7 	(ii) $2,000,000 in fiscal year 2024 and 
20.8 	$2,000,000 in fiscal year 2025 are from the 
20.9 	TANF fund for decreasing racial and ethnic 
20.10 	disparities in infant mortality rates under 
20.11 	Minnesota Statutes, section 145.928, 
20.12 	subdivision 7;
20.13 	(iii) $4,978,000 in fiscal year 2024 and 
20.14 	$4,978,000 in fiscal year 2025 are from the 
20.15 	TANF fund for the family home visiting grant 
20.16 	program under Minnesota Statutes, section 
20.17 	145A.17. $4,000,000 of the funding in fiscal 
20.18 	year 2024 and $4,000,000 in fiscal year 2025 
20.19 	must be distributed to community health 
20.20 	boards under Minnesota Statutes, section 
20.21 	145A.131, subdivision 1. $978,000 of the 
20.22 	funding in fiscal year 2024 and $978,000 in 
20.23 	fiscal year 2025 must be distributed to Tribal 
20.24 	governments under Minnesota Statutes, section 
20.25 	145A.14, subdivision 2a;
20.26 	(iv) $1,156,000 in fiscal year 2024 and 
20.27 	$1,156,000 in fiscal year 2025 are from the 
20.28 	TANF fund for sexual and reproductive health 
20.29 	services grants under Minnesota Statutes, 
20.30 	section 145.925; and
20.31 	(v) the commissioner may use up to 6.23 
20.32 	percent of the funds appropriated from the 
20.33 	TANF fund each fiscal year to conduct the 
20.34 	ongoing evaluations required under Minnesota 
20.35 	Statutes, section 145A.17, subdivision 7, and 
21.1 	training and technical assistance as required 
21.2 	under Minnesota Statutes, section 145A.17, 
21.3 	subdivisions 4 and 5.
21.4 	(2) TANF Carryforward. Any unexpended 
21.5 	balance of the TANF appropriation in the first 
21.6 	year does not cancel but is available in the 
21.7 	second year.
21.8 	(qq) Base level adjustments. The general 
21.9 	fund base is $197,644,000 in fiscal year 2026 
21.10 	and $195,714,000 in fiscal year 2027. The 
21.11 	health care access fund base is $53,354,000 
21.12 	in fiscal year 2026 and $50,962,000 in fiscal 
21.13 	year 2027.

21.14 	Sec. 8. USE OF APPROPRIATION; LOAN FORGIVENESS ADMINISTRATION.
 21.15 	The commissioner of health may use the appropriation in Minnesota Laws 2023, chapter 
21.16 	70, article 20, section 3, subdivision 2, paragraph (w), clause (3), for administering Minnesota 
21.17 	Statutes, section 144.1521.

21.18 	Sec. 9. APPROPRIATION; HOSPITAL NURSING LOAN FORGIVENESS 
21.19 	PROGRAM.
 21.20 	(a) $30,317,000 in fiscal year 2025 is appropriated from the general fund to the 
21.21 	commissioner of health for the hospital nursing educational loan forgiveness program under 
21.22 	Minnesota Statutes, section 144.1521. The general fund base for this appropriation is 
21.23 	$5,317,000 in fiscal year 2026, $5,317,000 in fiscal year 2027, and $0 in fiscal year 2028.
21.24 	(b) The appropriations in paragraph (a) are available until 2033. The commissioner of 
21.25 	health must deposit the appropriations under this section in the hospital nursing educational 
21.26 	loan forgiveness program account in the health care access fund.