1.1 	A bill for an act
1.2 	relating to health; correcting an appropriation to the commissioner of health;
1.3 	amending Laws 2023, chapter 70, article 20, section 3, subdivision 2.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Laws 2023, chapter 70, article 20, section 3, subdivision 2, is amended to read:

1.6	Subd. 2.Health Improvement

1.7	Appropriations by Fund
	
1.8	General
	229,600,000
	210,030,000
	
1.91.10
	State Government 
Special Revenue
	12,392,000
	12,682,000
	
1.11	Health Care Access
	49,051,000
	53,290,000
	
1.12	Federal TANF
	11,713,000
	11,713,000
	
1.13 	(a) Studies of telehealth expansion and 
1.14 	payment parity. $1,200,000 in fiscal year 
1.15 	2024 is from the general fund for studies of 
1.16 	telehealth expansion and payment parity. This 
1.17 	is a onetime appropriation and is available 
1.18 	until June 30, 2025.
1.19 	(b) Advancing equity through capacity 
1.20 	building and resource allocation grant 
1.21 	program. $916,000 in fiscal year 2024 and 
1.22 	$916,000 in fiscal year 2025 are from the 
1.23 	general fund for grants under Minnesota 
2.1 	Statutes, section 144.9821. This is a onetime 
2.2 	appropriation.
2.3 	(c) Grant to Minnesota Community Health 
2.4 	Worker Alliance. $971,000 in fiscal year 
2.5 	2024 and $971,000 in fiscal year 2025 are 
2.6 	from the general fund for Minnesota Statutes, 
2.7 	section 144.1462.
2.8 	(d) Community solutions for healthy child 
2.9 	development grants. $2,730,000 in fiscal year 
2.10 	2024 and $2,730,000 in fiscal year 2025 are 
2.11 	from the general fund for grants under 
2.12 	Minnesota Statutes, section 145.9257. The 
2.13 	base for this appropriation is $2,415,000 in 
2.14 	fiscal year 2026 and $2,415,000 in fiscal year 
2.15 	2027.
2.16 	(e) Comprehensive Overdose and Morbidity 
2.17 	Prevention Act. $9,794,000 in fiscal year 
2.18 	2024 and $10,458,000 in fiscal year 2025 are 
2.19 	from the general fund for comprehensive 
2.20 	overdose and morbidity prevention strategies 
2.21 	under Minnesota Statutes, section 144.0528. 
2.22 	The base for this appropriation is $10,476,000 
2.23 	in fiscal year 2026 and $10,476,000 in fiscal 
2.24 	year 2027.
2.25 	(f) Emergency preparedness and response.
2.26 	$10,486,000 in fiscal year 2024 and 
2.27 	$14,314,000 in fiscal year 2025 are from the 
2.28 	general fund for public health emergency 
2.29 	preparedness and response, the sustainability 
2.30 	of the strategic stockpile, and COVID-19 
2.31 	pandemic response transition. The base for 
2.32 	this appropriation is $11,438,000 in fiscal year 
2.33 	2026 and $11,362,000 in fiscal year 2027.
3.1 	(g) Healthy Beginnings, Healthy Families.
3.2 	(1) $8,440,000 in fiscal year 2024 and 
3.3 	$7,305,000 in fiscal year 2025 are from the 
3.4 	general fund for grants under Minnesota 
3.5 	Statutes, sections 145.9571 to 145.9576. The 
3.6 	base for this appropriation is $1,500,000 in 
3.7 	fiscal year 2026 and $1,500,000 in fiscal year 
3.8 	2027. (2) Of the amount in clause (1), 
3.9 	$400,000 in fiscal year 2024 is to support the 
3.10 	transition from implementation of activities 
3.11 	under Minnesota Statutes, section 145.4235, 
3.12 	to implementation of activities under 
3.13 	Minnesota Statutes, sections 145.9571 to 
3.14 	145.9576. The commissioner shall award four 
3.15 	sole-source grants of $100,000 each to Face 
3.16 	to Face, Cradle of Hope, Division of Indian 
3.17 	Work, and Minnesota Prison Doula Project. 
3.18 	The amount in this clause is a onetime 
3.19 	appropriation.
3.20 	(h) Help Me Connect. $463,000 in fiscal year 
3.21 	2024 and $921,000 in fiscal year 2025 are 
3.22 	from the general fund for the Help Me 
3.23 	Connect program under Minnesota Statutes, 
3.24 	section 145.988.
3.25 	(i) Home visiting. $2,000,000 in fiscal year 
3.26 	2024 and $2,000,000 in fiscal year 2025 are 
3.27 	from the general fund for home visiting under 
3.28 	Minnesota Statutes, section 145.87, to provide 
3.29 	home visiting to priority populations under 
3.30 	Minnesota Statutes, section 145.87, 
3.31 	subdivision 1, paragraph (e).
3.32 	(j) No Surprises Act enforcement.
3.33 	$1,210,000 in fiscal year 2024 and $1,090,000 
3.34 	in fiscal year 2025 are from the general fund 
3.35 	for implementation of the federal No Surprises 
4.1 	Act under Minnesota Statutes, section 
4.2 	62Q.021, and an assessment of the feasibility 
4.3 	of a statewide provider directory. The general 
4.4 	fund base for this appropriation is $855,000 
4.5 	in fiscal year 2026 and $855,000 in fiscal year 
4.6 	2027.
4.7 	(k) Office of African American Health.
4.8 	$1,000,000 in fiscal year 2024 and $1,000,000 
4.9 	in fiscal year 2025 are from the general fund 
4.10 	for grants under the authority of the Office of 
4.11 	African American Health under Minnesota 
4.12 	Statutes, section 144.0756.
4.13 	(l) Office of American Indian Health.
4.14 	$1,000,000 in fiscal year 2024 and $1,000,000 
4.15 	in fiscal year 2025 are from the general fund 
4.16 	for grants under the authority of the Office of 
4.17 	American Indian Health under Minnesota 
4.18 	Statutes, section 144.0757.
4.19 	(m) Public health system transformation 
4.20 	grants. (1) $9,844,000 in fiscal year 2024 and 
4.21 	$9,844,000 in fiscal year 2025 are from the 
4.22 	general fund for grants under Minnesota 
4.23 	Statutes, section 145A.131, subdivision 1, 
4.24 	paragraph (f).
4.25 	(2) $535,000 in fiscal year 2024 and $535,000 
4.26 	in fiscal year 2025 are from the general fund 
4.27 	for grants under Minnesota Statutes, section 
4.28 	145A.14, subdivision 2b.
4.29 	(3) $321,000 in fiscal year 2024 and $321,000 
4.30 	in fiscal year 2025 are from the general fund 
4.31 	for grants under Minnesota Statutes, section 
4.32 	144.0759.
4.33 	(n) Health care workforce. (1) $1,010,000 
4.34 	in fiscal year 2024 and $2,550,000 in fiscal 
5.1 	year 2025 are from the health care access fund 
5.2 	for rural training tracks and rural clinicals 
5.3 	grants under Minnesota Statutes, sections 
5.4 	144.1505 and 144.1507. The base for this 
5.5 	appropriation is $4,060,000 in fiscal year 2026 
5.6 	and $3,600,000 in fiscal year 2027.
5.7 	(2) $420,000 in fiscal year 2024 and $420,000 
5.8 	in fiscal year 2025 are from the health care 
5.9 	access fund for immigrant international 
5.10 	medical graduate training grants under 
5.11 	Minnesota Statutes, section 144.1911.
5.12 	(3) $5,654,000 in fiscal year 2024 and 
5.13 	$5,550,000 in fiscal year 2025 are from the 
5.14 	health care access fund for site-based clinical 
5.15 	training grants under Minnesota Statutes, 
5.16 	section 144.1508. The base for this 
5.17 	appropriation is $4,657,000 in fiscal year 2026 
5.18 	and $3,451,000 in fiscal year 2027.
5.19 	(4) $1,000,000 in fiscal year 2024 and 
5.20 	$1,000,000 in fiscal year 2025 are from the 
5.21 	health care access fund for mental health for 
5.22 	health care professional grants. This is a 
5.23 	onetime appropriation and is available until 
5.24 	June 30, 2027.
5.25 	(5) $502,000 in fiscal year 2024 and $502,000 
5.26 	in fiscal year 2025 are from the health care 
5.27 	access fund for workforce research and data 
5.28 	analysis of shortages, maldistribution of health 
5.29 	care providers in Minnesota, and the factors 
5.30 	that influence decisions of health care 
5.31 	providers to practice in rural areas of 
5.32 	Minnesota.
5.33 	(o) School health. $800,000 in fiscal year 
5.34 	2024 and $1,300,000 in fiscal year 2025 are 
6.1 	from the general fund for grants under 
6.2 	Minnesota Statutes, section 145.903. The base 
6.3 	for this appropriation is $2,300,000 in fiscal 
6.4 	year 2026 and $2,300,000 in fiscal year 2027.
6.5 	(p) Long COVID. $3,146,000 in fiscal year 
6.6 	2024 and $3,146,000 in fiscal year 2025 are 
6.7 	from the general fund for grants and to 
6.8 	implement Minnesota Statutes, section 
6.9 	145.361.
6.10 	(q) Workplace safety grants. $4,400,000 in 
6.11 	fiscal year 2024 is from the general fund for 
6.12 	grants to health care entities to improve 
6.13 	employee safety or security. This is a onetime 
6.14 	appropriation and is available until June 30, 
6.15 	2027. The commissioner may use up to ten 
6.16 	percent of this appropriation for 
6.17 	administration.
6.18 	(r) Clinical dental education innovation 
6.19 	grants. $1,122,000 in fiscal year 2024 and 
6.20 	$1,122,000 in fiscal year 2025 are from the 
6.21 	general fund for clinical dental education 
6.22 	innovation grants under Minnesota Statutes, 
6.23 	section 144.1913.
6.24 	(s) Emmett Louis Till Victims Recovery 
6.25 	Program. $500,000 in fiscal year 2024 is from 
6.26 	the general fund for a grant to the Emmett 
6.27 	Louis Till Victims Recovery Program. The 
6.28 	commissioner must not use any of this 
6.29 	appropriation for administration. This is a 
6.30 	onetime appropriation and is available until 
6.31 	June 30, 2025.
6.32 	(t) Center for health care affordability.
6.33 	$2,752,000 in fiscal year 2024 and $3,989,000 
6.34 	in fiscal year 2025 are from the general fund 
7.1 	to establish a center for health care 
7.2 	affordability and to implement Minnesota 
7.3 	Statutes, section 62J.312. The general fund 
7.4 	base for this appropriation is $3,988,000 in 
7.5 	fiscal year 2026 and $3,988,000 in fiscal year 
7.6 	2027.
7.7 	(u) Federally qualified health centers 
7.8 	apprenticeship program. $690,000 in fiscal 
7.9 	year 2024 and $690,000 in fiscal year 2025 
7.10 	are from the general fund for grants under 
7.11 	Minnesota Statutes, section 145.9272.
7.12 	(v) Alzheimer's public information 
7.13 	program. $80,000 in fiscal year 2024 and 
7.14 	$80,000 in fiscal year 2025 are from the 
7.15 	general fund for grants to community-based 
7.16 	organizations to co-create culturally specific 
7.17 	messages to targeted communities and to 
7.18 	promote public awareness materials online 
7.19 	through diverse media channels.
7.20 	(w) Keeping Nurses at the Bedside Act; 
7.21 	contingent appropriation. The appropriations 
7.22 	in this paragraph are contingent upon 
7.23 	legislative enactment of 2023 Senate File 1384 
7.24 	by the 93rd Legislature. The appropriations 
7.25 	in this paragraph are available until June 30, 
7.26 	2027.
7.27 	(1) $5,317,000 in fiscal year 2024 and 
7.28 	$5,317,000 in fiscal year 2025 are from the 
7.29 	general fund for loan forgiveness under 
7.30 	Minnesota Statutes, section 144.1501, for 
7.31 	eligible nurses who have agreed to work as 
7.32 	hospital nurses in accordance with Minnesota 
7.33 	Statutes, section 144.1501, subdivision 2, 
7.34 	paragraph (a), clause (7).
8.1 	(2) $66,000 in fiscal year 2024 and $66,000 
8.2 	in fiscal year 2025 are from the general fund 
8.3 	for loan forgiveness under Minnesota Statutes, 
8.4 	section 144.1501, for eligible nurses who have 
8.5 	agreed to teach in accordance with Minnesota 
8.6 	Statutes, section 144.1501, subdivision 2, 
8.7 	paragraph (a), clause (3).
8.8 	(3) $545,000 in fiscal year 2024 and $879,000 
8.9 	in fiscal year 2025 are from the general fund 
8.10 	to administer Minnesota Statutes, section 
8.11 	144.7057; to perform the evaluation duties 
8.12 	described in Minnesota Statutes, section 
8.13 	144.7058; to continue prevention of violence 
8.14 	in health care program activities; to analyze 
8.15 	potential links between adverse events and 
8.16 	understaffing; to convene stakeholder groups 
8.17 	and create a best practices toolkit; and for a 
8.18 	report on the current status of the state's 
8.19 	nursing workforce employed by hospitals. The 
8.20 	base for this appropriation is $624,000 in fiscal 
8.21 	year 2026 and $454,000 in fiscal year 2027.
8.22 	(x) Supporting healthy development of 
8.23 	babies. $260,000 in fiscal year 2024 and 
8.24 	$260,000 in fiscal year 2025 are from the 
8.25 	general fund for a grant to the Amherst H. 
8.26 	Wilder Foundation for the African American 
8.27 	Babies Coalition initiative. The base for this 
8.28 	appropriation is $520,000 in fiscal year 2026 
8.29 	and $0 in fiscal year 2027. Any appropriation 
8.30 	in fiscal year 2026 is available until June 30, 
8.31 	2027. This paragraph expires on June 30, 
8.32 	2027.
8.33 	(y) Health professional education loan 
8.34 	forgiveness. $2,780,000 in fiscal year 2024 
8.35 	is from the general fund for eligible mental 
9.1 	health professional loan forgiveness under 
9.2 	Minnesota Statutes, section 144.1501. This is 
9.3 	a onetime appropriation. The commissioner 
9.4 	may use up to ten percent of this appropriation 
9.5 	for administration.
9.6 	(z) Primary care residency expansion grant 
9.7 	program. $400,000 in fiscal year 2024 and 
9.8 	$400,000 in fiscal year 2025 are from the 
9.9 	general fund for a psychiatry resident under 
9.10 	Minnesota Statutes, section 144.1506.
9.11 	(aa) Pediatric primary care mental health 
9.12 	training grant program. $1,000,000 in fiscal 
9.13 	year 2024 and $1,000,000 in fiscal year 2025 
9.14 	are from the general fund for grants under 
9.15 	Minnesota Statutes, section 144.1509. The 
9.16 	commissioner may use up to ten percent of 
9.17 	this appropriation for administration.
9.18 	(bb) Mental health cultural community 
9.19 	continuing education grant program. 
9.20 	$500,000 in fiscal year 2024 and $500,000 in 
9.21 	fiscal year 2025 are from the general fund for 
9.22 	grants under Minnesota Statutes, section 
9.23 	144.1511. The commissioner may use up to 
9.24 	ten percent of this appropriation for 
9.25 	administration.
9.26 	(cc) Labor trafficking services grant 
9.27 	program. $500,000 in fiscal year 2024 and 
9.28 	$500,000 in fiscal year 2025 are from the 
9.29 	general fund for grants under Minnesota 
9.30 	Statutes, section 144.3885.
9.31 	(dd) Palliative Care Advisory Council. 
9.32 	$40,000 in fiscal year 2024 and $40,000 in 
9.33 	fiscal year 2025 are from the general fund for 
10.1 	grants under Minnesota Statutes, section 
10.2 	144.059.
10.3 	(ee) Analysis of a universal health care 
10.4 	financing system. $1,815,000 in fiscal year 
10.5 	2024 and $580,000 in fiscal year 2025 are 
10.6 	from the general fund to the commissioner to 
10.7 	contract for an analysis of the benefits and 
10.8 	costs of a legislative proposal for a universal 
10.9 	health care financing system and a similar 
10.10 	analysis of the current health care financing 
10.11 	system. The base for this appropriation is 
10.12 	$580,000 in fiscal year 2026 and $0 in fiscal 
10.13 	year 2027. This appropriation is available until 
10.14 	June 30, 2027.
10.15 	(ff) Charitable assets public interest review.
10.16 	(1) The appropriations under this paragraph 
10.17 	are contingent upon legislative enactment of 
10.18 	2023 House File 402 by the 93rd Legislature.
10.19 	(2) $1,584,000 in fiscal year 2024 and 
10.20 	$769,000 in fiscal year 2025 are from the 
10.21 	general fund to review certain health care 
10.22 	entity transactions; to conduct analyses of the 
10.23 	impacts of health care transactions on health 
10.24 	care cost, quality, and competition; and to 
10.25 	issue public reports on health care transactions 
10.26 	in Minnesota and their impacts. The base for 
10.27 	this appropriation is $710,000 in fiscal year 
10.28 	2026 and $710,000 in fiscal year 2027.
10.29 	(gg) Study of the development of a statewide 
10.30 	registry for provider orders for 
10.31 	life-sustaining treatment. $365,000 in fiscal 
10.32 	year 2024 and $365,000 in fiscal year 2025 
10.33 	are from the general fund for a study of the 
10.34 	development of a statewide registry for 
11.1 	provider orders for life-sustaining treatment. 
11.2 	This is a onetime appropriation.
11.3 	(hh) Task Force on Pregnancy Health and 
11.4 	Substance Use Disorders. $199,000 in fiscal 
11.5 	year 2024 and $100,000 in fiscal year 2025 
11.6 	are from the general fund for the Task Force 
11.7 	on Pregnancy Health and Substance Use 
11.8 	Disorders. This is a onetime appropriation and 
11.9 	is available until June 30, 2025.
11.10 	(ii) 988 Suicide and crisis lifeline. $4,000,000 
11.11 	in fiscal year 2024 is from the general fund 
11.12 	for 988 national suicide prevention lifeline 
11.13 	grants under Minnesota Statutes, section 
11.14 	145.561. This is a onetime appropriation.
11.15 	(jj) Equitable Health Care Task Force.
11.16 	$779,000 in fiscal year 2024 and $749,000 in 
11.17 	fiscal year 2025 are from the general fund for 
11.18 	the Equitable Health Care Task Force. This is 
11.19 	a onetime appropriation.
11.20 	(kk) Psychedelic Medicine Task Force.
11.21 	$338,000 in fiscal year 2024 and $171,000 in 
11.22 	fiscal year 2025 are from the general fund for 
11.23 	the Psychedelic Medicine Task Force. This is 
11.24 	a onetime appropriation.
11.25 	(ll) Medical education and research costs.
11.26 	$300,000 in fiscal year 2024 and $300,000 in 
11.27 	fiscal year 2025 are from the general fund for 
11.28 	the medical education and research costs 
11.29 	program under Minnesota Statutes, section 
11.30 	62J.692.
11.31 	(mm) Special Guerilla Unit Veterans grant 
11.32 	program. $250,000 in fiscal year 2024 and 
11.33 	$250,000 in fiscal year 2025 are from the 
11.34 	general fund for a grant to the Special 
12.1 	Guerrilla Units Veterans and Families of the 
12.2 	United States of America to offer 
12.3 	programming and culturally specific and 
12.4 	specialized assistance to support the health 
12.5 	and well-being of Special Guerilla Unit 
12.6 	Veterans. The base for this appropriation is 
12.7 	$500,000 in fiscal year 2026 and $0 in fiscal 
12.8 	year 2027. Any amount appropriated in fiscal 
12.9 	year 2026 is available until June 30, 2027. 
12.10 	This paragraph expires June 30, 2027.
12.11 	(nn) Safe harbor regional navigator. 
12.12 	$300,000 in fiscal year 2024 and $300,000 in 
12.13 	fiscal year 2025 are for a regional navigator 
12.14 	in northwestern Minnesota. The commissioner 
12.15 	may use up to ten percent of this appropriation 
12.16 	for administration.
12.17 	(oo) Network adequacy. $798,000 in fiscal 
12.18 	year 2024 and $491,000 in fiscal year 2025 
12.19 	are from the general fund for reviews of 
12.20 	provider networks under Minnesota Statutes, 
12.21 	section 62K.10, to determine network 
12.22 	adequacy.
12.23 	(pp) Grant to Minnesota Alliance for 
12.24 	Volunteer Advancement. $278,000 in fiscal 
12.25 	year 2024 is from the general fund for a grant 
12.26 	to the Minnesota Alliance for Volunteer 
12.27 	Advancement to administer needs-based 
12.28 	volunteerism subgrants targeting 
12.29 	underresourced nonprofit organizations in 
12.30 	greater Minnesota. Subgrants must be used to 
12.31 	support the ongoing efforts of selected 
12.32 	organizations to address and minimize 
12.33 	disparities in access to human services through 
12.34 	increased volunteerism. Subgrant applicants 
12.35 	must demonstrate that the populations to be 
13.1 	served by the subgrantee are underserved or 
13.2 	suffer from or are at risk of homelessness, 
13.3 	hunger, poverty, lack of access to health care, 
13.4 	or deficits in education. The Minnesota 
13.5 	Alliance for Volunteer Advancement must 
13.6 	give priority to organizations that are serving 
13.7 	the needs of vulnerable populations. This is a 
13.8 	onetime appropriation and is available until 
13.9 	June 30, 2025.
13.10 	(pp)(1) (qq)(1)TANF Appropriations. TANF 
13.11 	funds must be used as follows:
13.12 	(i) $3,579,000 in fiscal year 2024 and 
13.13 	$3,579,000 in fiscal year 2025 are from the 
13.14 	TANF fund for home visiting and nutritional 
13.15 	services listed under Minnesota Statutes, 
13.16 	section 145.882, subdivision 7, clauses (6) and 
13.17 	(7). Funds must be distributed to community 
13.18 	health boards according to Minnesota Statutes, 
13.19 	section 145A.131, subdivision 1;
13.20 	(ii) $2,000,000 in fiscal year 2024 and 
13.21 	$2,000,000 in fiscal year 2025 are from the 
13.22 	TANF fund for decreasing racial and ethnic 
13.23 	disparities in infant mortality rates under 
13.24 	Minnesota Statutes, section 145.928, 
13.25 	subdivision 7;
13.26 	(iii) $4,978,000 in fiscal year 2024 and 
13.27 	$4,978,000 in fiscal year 2025 are from the 
13.28 	TANF fund for the family home visiting grant 
13.29 	program under Minnesota Statutes, section 
13.30 	145A.17. $4,000,000 of the funding in fiscal 
13.31 	year 2024 and $4,000,000 in fiscal year 2025 
13.32 	must be distributed to community health 
13.33 	boards under Minnesota Statutes, section 
13.34 	145A.131, subdivision 1. $978,000 of the 
13.35 	funding in fiscal year 2024 and $978,000 in 
14.1 	fiscal year 2025 must be distributed to Tribal 
14.2 	governments under Minnesota Statutes, section 
14.3 	145A.14, subdivision 2a;
14.4 	(iv) $1,156,000 in fiscal year 2024 and 
14.5 	$1,156,000 in fiscal year 2025 are from the 
14.6 	TANF fund for sexual and reproductive health 
14.7 	services grants under Minnesota Statutes, 
14.8 	section 145.925; and
14.9 	(v) the commissioner may use up to 6.23 
14.10 	percent of the funds appropriated from the 
14.11 	TANF fund each fiscal year to conduct the 
14.12 	ongoing evaluations required under Minnesota 
14.13 	Statutes, section 145A.17, subdivision 7, and 
14.14 	training and technical assistance as required 
14.15 	under Minnesota Statutes, section 145A.17, 
14.16 	subdivisions 4 and 5.
14.17 	(2) TANF Carryforward. Any unexpended 
14.18 	balance of the TANF appropriation in the first 
14.19 	year does not cancel but is available in the 
14.20 	second year.
14.21 	(qq) (rr)Base level adjustments. The general 
14.22 	fund base is $197,644,000 in fiscal year 2026 
14.23 	and $195,714,000 in fiscal year 2027. The 
14.24 	health care access fund base is $53,354,000 
14.25 	in fiscal year 2026 and $50,962,000 in fiscal 
14.26 	year 2027.

14.27 	EFFECTIVE DATE. This section is effective retroactively from July 1, 2023.