1.1 	A bill for an act
1.2 	relating to human services; the governor's budget bill for health and human services; 
1.3 	modifying provisions related to health care, child welfare, child care licensing, the 
1.4 	Department of Health, and the Department of Children, Youth, and Families; 
1.5 	making technical changes to health and human services law; adjusting 
1.6 	appropriations for forecasted programs; imposing certain penalties; appropriating 
1.7 	money;amending Minnesota Statutes 2022, sections 62D.14, subdivision 1; 144.05, 
1.8 	subdivision 6; 144.1501, subdivision 5; 144A.70, subdivisions 3, 5, 6, 7; 144A.71, 
1.9 	subdivision 2, by adding a subdivision; 144A.72, subdivision 1; 144A.73; 245.975, 
1.10 	subdivisions 2, 4, 9; 245A.07, subdivision 6; 245A.10, subdivisions 1, as amended, 
1.11 	2, as amended; 245A.144; 245A.175; 256.029, as amended; 260C.007, subdivisions 
1.12 	5, 6, by adding subdivisions; 260C.212, subdivision 13; 260E.03, by adding a 
1.13 	subdivision; 260E.14, subdivision 3; 260E.36, subdivision 1a; Minnesota Statutes 
1.14 	2023 Supplement, sections 144.1501, subdivision 2; 144.1505, subdivision 2; 
1.15 	145.561, subdivision 4; 245A.16, subdivision 1, as amended; 245A.66, subdivision 
1.16 	4, as amended; 256.4793, subdivision 3; 256.4794, subdivision 3; 256B.0622, 
1.17 	subdivision 8; 256B.0947, subdivision 7; 256M.42, by adding a subdivision; 
1.18 	260.014, by adding a subdivision; 260.761, subdivision 2; 260.762, subdivision 
1.19 	2; 260E.02, subdivision 1, as amended; 260E.03, subdivisions 15a, 15b, 22; 
1.20 	260E.14, subdivision 5; 260E.17, subdivision 1; 260E.18; 260E.20, subdivision 
1.21 	2; 260E.24, subdivisions 2, 7; 260E.33, subdivision 1; 260E.35, subdivision 6; 
1.22 	518A.42, subdivision 3; Laws 2023, chapter 22, section 4, subdivision 2; Laws 
1.23 	2023, chapter 70, article 12, section 30, subdivisions 2, 3; article 14, section 42, 
1.24 	by adding a subdivision; article 20, sections 2, subdivisions 5, 24, 29; 3, 
1.25 	subdivisions 2, 3; 12, as amended; 23; Laws 2023, chapter 75, section 10; Laws 
1.26 	2024, chapter 80, article 1, sections 34, subdivision 2; 96; article 2, sections 5, 
1.27 	subdivision 21; 7, subdivision 2; 10, subdivision 6; 16, subdivision 1; 30, 
1.28 	subdivision 2; 31; 74; article 4, section 26; article 6, section 4; article 7, section 
1.29 	4; proposing coding for new law in Minnesota Statutes, chapters 103I; 142A; 
1.30 	144A; proposing coding for new law as Minnesota Statutes, chapter 142B; repealing 
1.31 	Minnesota Statutes 2022, sections 245.975, subdivision 8; 245A.065; Minnesota 
1.32 	Statutes 2023 Supplement, section 144.0528; Laws 2023, chapter 25, section 190, 
1.33 	subdivision 10; Laws 2023, chapter 70, article 20, section 2, subdivision 31, as 
1.34 	amended; Laws 2024, chapter 80, article 2, sections 1, subdivision 11; 3, 
1.35 	subdivision 3; 4, subdivision 4; 10, subdivision 4; 33; 69; Minnesota Rules, part 
1.36 	9545.0845.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	HEALTH CARE

2.4 	Section 1. REVISOR INSTRUCTION.
 2.5 	When the proposed rule published at Federal Register, volume 88, page 25313, becomes 
2.6 	effective, the revisor of statutes must change: (1) the reference in Minnesota Statutes, section 
2.7 	256B.06, subdivision 4, paragraph (d), from Code of Federal Regulations, title 8, section 
2.8 	103.12, to Code of Federal Regulations, title 42, section 435.4; and (2) the reference in 
2.9 	Minnesota Statutes, section 256L.04, subdivision 10, paragraph (a), from Code of Federal 
2.10 	Regulations, title 8, section 103.12, to Code of Federal Regulations, title 45, section 155.20. 
2.11 	The commissioner of human services shall notify the revisor of statutes when the proposed 
2.12 	rule published at Federal Register, volume 88, page 25313, becomes effective.

2.13 	ARTICLE 2
2.14 	CHILD WELFARE

2.15 	Section 1. Minnesota Statutes 2023 Supplement, section 260.761, subdivision 2, is amended 
2.16 	to read:
2.17 		Subd. 2.Notice to Tribes of services or court proceedings involving an Indian 
2.18 	child. (a) When a child-placing agency has information that a family assessment, 
2.19 	investigation, or noncaregiver sex human trafficking assessment being conducted may 
2.20 	involve an Indian child, the child-placing agency shall notify the Indian child's Tribe of the 
2.21 	family assessment, investigation, or noncaregiver sex human trafficking assessment according 
2.22 	to section 260E.18. The child-placing agency shall provide initial notice by telephone and 
2.23 	by email or facsimile and shall include the child's full name and date of birth; the full names 
2.24 	and dates of birth of the child's biological parents; and if known the full names and dates 
2.25 	of birth of the child's grandparents and of the child's Indian custodian. If information 
2.26 	regarding the child's grandparents or Indian custodian is not immediately available, the 
2.27 	child-placing agency shall continue to request this information and shall notify the Tribe 
2.28 	when it is received. Notice shall be provided to all Tribes to which the child may have any 
2.29 	Tribal lineage. The child-placing agency shall request that the Tribe or a designated Tribal 
2.30 	representative participate in evaluating the family circumstances, identifying family and 
2.31 	Tribal community resources, and developing case plans. The child-placing agency shall 
2.32 	continue to include the Tribe in service planning and updates as to the progress of the case.
3.1 	(b) When a child-placing agency has information that a child receiving services may be 
3.2 	an Indian child, the child-placing agency shall notify the Tribe by telephone and by email 
3.3 	or facsimile of the child's full name and date of birth, the full names and dates of birth of 
3.4 	the child's biological parents, and, if known, the full names and dates of birth of the child's 
3.5 	grandparents and of the child's Indian custodian. This notification must be provided for the 
3.6 	Tribe to determine if the child is a member or eligible for Tribal membership, and the agency 
3.7 	must provide this notification to the Tribe within seven days of receiving information that 
3.8 	the child may be an Indian child. If information regarding the child's grandparents or Indian 
3.9 	custodian is not available within the seven-day period, the child-placing agency shall continue 
3.10 	to request this information and shall notify the Tribe when it is received. Notice shall be 
3.11 	provided to all Tribes to which the child may have any Tribal lineage.
3.12 	(c) In all child placement proceedings, when a court has reason to believe that a child 
3.13 	placed in emergency protective care is an Indian child, the court administrator or a designee 
3.14 	shall, as soon as possible and before a hearing takes place, notify the Tribal social services 
3.15 	agency by telephone and by email or facsimile of the date, time, and location of the 
3.16 	emergency protective care or other initial hearing. The court shall make efforts to allow 
3.17 	appearances by telephone or video conference for Tribal representatives, parents, and Indian 
3.18 	custodians.
3.19 	(d) The child-placing agency or individual petitioner shall effect service of any petition 
3.20 	governed by sections 260.751 to 260.835 by certified mail or registered mail, return receipt 
3.21 	requested upon the Indian child's parents, Indian custodian, and Indian child's Tribe at least 
3.22 	10 days before the admit-deny hearing is held. If the identity or location of the Indian child's 
3.23 	parents or Indian custodian and Tribe cannot be determined, the child-placing agency shall 
3.24 	provide the notice required in this paragraph to the United States Secretary of the Interior, 
3.25 	Bureau of Indian Affairs by certified mail, return receipt requested.
3.26 	(e) A Tribe, the Indian child's parents, or the Indian custodian may request up to 20 
3.27 	additional days to prepare for the admit-deny hearing. The court shall allow appearances 
3.28 	by telephone, video conference, or other electronic medium for Tribal representatives, the 
3.29 	Indian child's parents, or the Indian custodian.
3.30 	(f) A child-placing agency or individual petitioner must provide the notices required 
3.31 	under this subdivision at the earliest possible time to facilitate involvement of the Indian 
3.32 	child's Tribe. Nothing in this subdivision is intended to hinder the ability of the child-placing 
3.33 	agency, individual petitioner, and the court to respond to an emergency situation. Lack of 
3.34 	participation by a Tribe shall not prevent the Tribe from intervening in services and 
3.35 	proceedings at a later date. A Tribe may participate in a case at any time. At any stage of 
4.1 	the child-placing agency's involvement with an Indian child, the agency shall provide full 
4.2 	cooperation to the Tribal social services agency, including disclosure of all data concerning 
4.3 	the Indian child. Nothing in this subdivision relieves the child-placing agency of satisfying 
4.4 	the notice requirements in state or federal law.

4.5 	EFFECTIVE DATE. This section is effective July 1, 2025.

4.6 	Sec. 2. Minnesota Statutes 2023 Supplement, section 260.762, subdivision 2, is amended 
4.7 	to read:
4.8 		Subd. 2.Requirements for child-placing agencies and individual petitioners. A 
4.9 	child-placing agency or individual petitioner shall:
4.10 	(1) work with the Indian child's Tribe and family to develop an alternative plan to 
4.11 	out-of-home placement;
4.12 	(2) before making a decision that may affect an Indian child's safety and well-being or 
4.13 	when contemplating out-of-home placement of an Indian child, seek guidance from the 
4.14 	Indian child's Tribe on family structure, how the family can seek help, what family and 
4.15 	Tribal resources are available, and what barriers the family faces at that time that could 
4.16 	threaten its preservation; and
4.17 	(3) request participation of the Indian child's Tribe at the earliest possible time and 
4.18 	request the Tribe's active participation throughout the case.; and
4.19 	(4) notify the Indian child's Tribe or Tribes by telephone and by email or facsimile 
4.20 	immediately but no later than 24 hours after receiving information on a missing child as 
4.21 	defined under section 260C.212, subdivision 13, paragraph (a).

4.22 	Sec. 3. Minnesota Statutes 2022, section 260C.007, subdivision 5, is amended to read:
4.23 		Subd. 5.Child abuse. "Child abuse" means an act that involves a minor victim that 
4.24 	constitutes a violation of section 609.221, 609.222, 609.223, 609.224, 609.2242, 609.282,
4.25 	609.322, 609.324, 609.342, 609.343, 609.344, 609.345, 609.3458, 609.377, 609.378, 
4.26 	617.246, or that is physical or sexual abuse as defined in section 260E.03, or an act committed 
4.27 	in another state that involves a minor victim and would constitute a violation of one of these 
4.28 	sections if committed in this state.

4.29 	EFFECTIVE DATE. This section is effective July 1, 2025.

5.1 	Sec. 4. Minnesota Statutes 2022, section 260C.007, subdivision 6, is amended to read:
5.2 		Subd. 6.Child in need of protection or services. "Child in need of protection or 
5.3 	services" means a child who is in need of protection or services because the child:
5.4 	(1) is abandoned or without parent, guardian, or custodian;
5.5 	(2)(i) has been a victim of physical or sexual abuse as defined in section 260E.03, 
5.6 	subdivision 18 or 20, (ii) resides with or has resided with a victim of child abuse as defined 
5.7 	in subdivision 5 or domestic child abuse as defined in subdivision 13, (iii) resides with or 
5.8 	would reside with a perpetrator of domestic child abuse as defined in subdivision 13 or child 
5.9 	abuse as defined in subdivision 5 or 13, or (iv) is a victim of emotional maltreatment as 
5.10 	defined in subdivision 15;
5.11 	(3) is without necessary food, clothing, shelter, education, or other required care for the 
5.12 	child's physical or mental health or morals because the child's parent, guardian, or custodian 
5.13 	is unable or unwilling to provide that care;
5.14 	(4) is without the special care made necessary by a physical, mental, or emotional 
5.15 	condition because the child's parent, guardian, or custodian is unable or unwilling to provide 
5.16 	that care;
5.17 	(5) is medically neglected, which includes, but is not limited to, the withholding of 
5.18 	medically indicated treatment from an infant with a disability with a life-threatening 
5.19 	condition. The term "withholding of medically indicated treatment" means the failure to 
5.20 	respond to the infant's life-threatening conditions by providing treatment, including 
5.21 	appropriate nutrition, hydration, and medication which, in the treating physician's, advanced 
5.22 	practice registered nurse's, or physician assistant's reasonable medical judgment, will be 
5.23 	most likely to be effective in ameliorating or correcting all conditions, except that the term 
5.24 	does not include the failure to provide treatment other than appropriate nutrition, hydration, 
5.25 	or medication to an infant when, in the treating physician's, advanced practice registered 
5.26 	nurse's, or physician assistant's reasonable medical judgment:
5.27 	(i) the infant is chronically and irreversibly comatose;
5.28 	(ii) the provision of the treatment would merely prolong dying, not be effective in 
5.29 	ameliorating or correcting all of the infant's life-threatening conditions, or otherwise be 
5.30 	futile in terms of the survival of the infant; or
5.31 	(iii) the provision of the treatment would be virtually futile in terms of the survival of 
5.32 	the infant and the treatment itself under the circumstances would be inhumane;
6.1 	(6) is one whose parent, guardian, or other custodian for good cause desires to be relieved 
6.2 	of the child's care and custody, including a child who entered foster care under a voluntary 
6.3 	placement agreement between the parent and the responsible social services agency under 
6.4 	section 260C.227;
6.5 	(7) has been placed for adoption or care in violation of law;
6.6 	(8) is without proper parental care because of the emotional, mental, or physical disability, 
6.7 	or state of immaturity of the child's parent, guardian, or other custodian;
6.8 	(9) is one whose behavior, condition, or environment is such as to be injurious or 
6.9 	dangerous to the child or others. An injurious or dangerous environment may include, but 
6.10 	is not limited to, the exposure of a child to criminal activity in the child's home;
6.11 	(10) is experiencing growth delays, which may be referred to as failure to thrive, that 
6.12 	have been diagnosed by a physician and are due to parental neglect;
6.13 	(11) is a sexually exploited youth;
6.14 	(12) is a labor trafficked youth;
6.15 	(12) (13) has committed a delinquent act or a juvenile petty offense before becoming 
6.16 	ten years old;
6.17 	(13) (14) is a runaway;
6.18 	(14) (15) is a habitual truant;
6.19 	(15) (16) has been found incompetent to proceed or has been found not guilty by reason 
6.20 	of mental illness or mental deficiency in connection with a delinquency proceeding, a 
6.21 	certification under section 260B.125, an extended jurisdiction juvenile prosecution, or a 
6.22 	proceeding involving a juvenile petty offense; or
6.23 	(16) (17) has a parent whose parental rights to one or more other children were 
6.24 	involuntarily terminated or whose custodial rights to another child have been involuntarily 
6.25 	transferred to a relative and there is a case plan prepared by the responsible social services 
6.26 	agency documenting a compelling reason why filing the termination of parental rights 
6.27 	petition under section 260C.503, subdivision 2, is not in the best interests of the child.

6.28 	EFFECTIVE DATE. This section is effective July 1, 2025.

7.1 	Sec. 5. Minnesota Statutes 2022, section 260C.007, is amended by adding a subdivision 
7.2 	to read:
7.3 		Subd. 33.Labor trafficked youth.  For the purposes of this section, "labor trafficked 
7.4 	youth" means a child, as defined in subdivision 4, who:
7.5 	(1) is a labor trafficking victim as defined in section 609.281, subdivision 6; or
7.6 	(2) is a victim of severe forms of trafficking in persons as defined in United States Code, 
7.7 	title 22, section 7102(11)(B).

7.8 	EFFECTIVE DATE. This section is effective July 1, 2025.

7.9 	Sec. 6. Minnesota Statutes 2022, section 260C.007, is amended by adding a subdivision 
7.10 	to read:
7.11 		Subd. 34.Human trafficking. For purposes of this section, "human trafficking" includes 
7.12 	labor trafficking as defined in section 609.281, subdivision 5; sex trafficking as defined in 
7.13 	section 609.321, subdivision 7a; and severe forms of trafficking in persons as defined in 
7.14 	United States Code, title 22, section 7102(11).

7.15 	EFFECTIVE DATE. This section is effective July 1, 2025.

7.16 	Sec. 7. Minnesota Statutes 2022, section 260C.212, subdivision 13, is amended to read:
7.17 		Subd. 13.Protecting Responding to missing and runaway children and youth at 
7.18 	risk of sex and preventing human trafficking or commercial sexual exploitation. (a) 
7.19 	For purposes of this subdivision, "missing child or youth" means a child, as defined by 
7.20 	section 260C.007, subdivision 4, who is under the legal custody of a responsible social 
7.21 	services agency, as defined by section 260C.007, subdivision 22, and is absent from the 
7.22 	foster care setting, including family foster home, residential facility or independent living 
7.23 	setting, or home of the parent or guardian during a trial home visit, and cannot be located.
7.24 	(a) (b) The local responsible social services agency shall develop protocols to 
7.25 	expeditiously locate any missing child missing from foster care or youth.
7.26 	(b) (c) When the local responsible social services agency shall report learns that a child 
7.27 	or youth is missing, the agency staff must immediately, but no later than 24 hours, after 
7.28 	receiving information on a missing or abducted child:
7.29 	(1) report to the local law enforcement agency for entry into the National Crime 
7.30 	Information Center (NCIC) database of the Federal Bureau of Investigation, and to the 
7.31 	National Center for Missing and Exploited Children and document having made this report.
8.1 	When making a report to local law enforcement and National Center for Missing and 
8.2 	Exploited Children, the agency must include, when reasonably possible:
8.3 	(i) a photo of the child or youth;
8.4 	(ii) a description of the child or youth's physical features, such as height, weight, sex, 
8.5 	ethnicity, race, hair color, and eye color; and
8.6 	(iii) endangerment information, such as the child or youth's pregnancy status, 
8.7 	prescriptions, medications, suicidal tendencies, vulnerability to being trafficked, and other 
8.8 	health or risk factors; and
8.9 	(2) notify the court, parties to the case, parents and relatives who are not parties as the 
8.10 	agency deems appropriate, and any Tribe who has legal responsibility or received notice 
8.11 	under section 260.761, subdivision 2, but has not yet determined enrollment or eligibility 
8.12 	status.
8.13 	(c) (d) While the child or youth is missing, the local responsible social services agency 
8.14 	shall must:
8.15 	(1) implement protocols to expeditiously locate the child or youth;
8.16 	(2) maintain regular communication with law enforcement agencies and the National 
8.17 	Center for Missing and Exploited Children in efforts to provide a safe recovery of the missing 
8.18 	child or youth and document this communication;
8.19 	(3) share information pertaining to the child or youth's recovery, and circumstances 
8.20 	related to recovery, with law enforcement agencies and the National Center for Missing 
8.21 	and Exploited Children; and
8.22 	(4) not discharge a child or youth from foster care or close the social services case until 
8.23 	diligent efforts have been exhausted to locate the child or youth and the court terminates 
8.24 	the agency's jurisdiction.
8.25 	(d) (e) When the child or youth is located, the local responsible social services agency 
8.26 	shall must:
8.27 	(1) notify all individuals and agencies that require notification in paragraph (c) of the 
8.28 	child or youth's return;
8.29 	(2) interview the child or youth to determine and document, on a form approved by the 
8.30 	commissioner of human services, what the child or youth experienced while missing and 
8.31 	the primary factors that contributed to the child's running away or otherwise being absent
8.32 	child or youth's absence from care and,:
9.1 	(3) to the extent possible and appropriate, respond to those the primary contributing
9.2 	factors in current and subsequent placements.;
9.3 	(e) The local social services agency shall determine what the child experienced while 
9.4 	absent from care, including screening (4) screen the child or youth's reported experience 
9.5 	to determine identify if the child or youth is a possible sex victim of human trafficking or 
9.6 	commercial sexual exploitation victim, as defined in section 260C.007, subdivision 31 33.
9.7 	(f) (5) if the child or youth is identified to have been a victim of human trafficking, the 
9.8 	local social services agency shall must report immediately, but no later than 24 hours, to 
9.9 	the local law enforcement agency any reasonable cause to believe a child is, or is at risk of 
9.10 	being, a sex trafficking or commercial sexual exploitation victim.
9.11 	(g) (f) With respect to any child or youth for whom the responsible social services agency 
9.12 	has responsibility for placement, care, or supervision, the local responsible social services 
9.13 	agency shall determine:
9.14 	(1) identify and document any reasonable cause to believe that the child or youth is a 
9.15 	human trafficking victim as defined in section 260C.007, subdivision 33, or a youth at risk 
9.16 	of sex trafficking or commercial sexual exploitation as defined by the commissioner of 
9.17 	human services; and
9.18 	(2) provide access to appropriate services, which may include services under Safe Harbor,
9.19 	as described in section 145.4717 145.4716,with respect to any child for whom the local 
9.20 	social services agency has responsibility for placement, care, or supervision when the local 
9.21 	social services agency has reasonable cause to believe that the child is, or is at risk of being, 
9.22 	a sex trafficking or commercial sexual exploitation victim. amending the child or youth's 
9.23 	out-of-home placement plan in subdivision 1, as necessary.

9.24 	EFFECTIVE DATE. This section is effective July 1, 2024, except for paragraph (f), 
9.25 	which is effective July 1, 2025.

9.26 	Sec. 8. Minnesota Statutes 2023 Supplement, section 260E.02, subdivision 1, as amended 
9.27 	by Laws 2024, chapter 80, article 8, section 31, is amended to read:
9.28 		Subdivision 1.Establishment of team. A county shall establish a multidisciplinary 
9.29 	child protection team that may include, but is not limited to, the director of the local welfare 
9.30 	agency or designees, the county attorney or designees, the county sheriff or designees, 
9.31 	representatives of health and education, representatives of mental health, representatives of 
9.32 	agencies providing specialized services or responding to youth who experience or are at 
9.33 	risk of experiencing sex or labor trafficking or sexual exploitation, or other appropriate 
10.1 	human services, children's services, or community-based agencies, and parent groups. As 
10.2 	used in this section, a "community-based agency" may include, but is not limited to, schools, 
10.3 	social services agencies, family service and mental health collaboratives, children's advocacy 
10.4 	centers, early childhood and family education programs, Head Start, or other agencies 
10.5 	serving children and families. A member of the team must be designated as the lead person 
10.6 	of the team responsible for the planning process to develop standards for the team's activities 
10.7 	with battered women's and domestic abuse programs and services.

10.8 	EFFECTIVE DATE. This section is effective July 1, 2025.

10.9 	Sec. 9. Minnesota Statutes 2022, section 260E.03, is amended by adding a subdivision to 
10.10 	read:
10.11 		Subd. 11a.Labor trafficking. "Labor trafficking" means the subjection of a child to 
10.12 	the acts listed in section 609.281, subdivision 5, limited to the purposes of forced or coerced 
10.13 	labor or services as defined by section 609.281, subdivision 4, and debt bondage as defined 
10.14 	by section 609.281, subdivision 3, regardless of whether the alleged offender is a 
10.15 	noncaregiver human trafficker as defined in subdivision 17a.

10.16 	EFFECTIVE DATE. This section is effective July 1, 2025.

10.17 	Sec. 10. Minnesota Statutes 2023 Supplement, section 260E.03, subdivision 15a, is 
10.18 	amended to read:
10.19 		Subd. 15a.Noncaregiver sex human trafficker. "Noncaregiver sex human trafficker" 
10.20 	means an individual who is alleged to have engaged in the act of sex or labor trafficking a 
10.21 	child and who is not a person responsible for the child's care, who does not have a significant 
10.22 	relationship with the child as defined in section 609.341, and who is not a person in a current 
10.23 	or recent position of authority as defined in section 609.341, subdivision 10.

10.24 	EFFECTIVE DATE. This section is effective July 1, 2025.

10.25 	Sec. 11. Minnesota Statutes 2023 Supplement, section 260E.03, subdivision 15b, is 
10.26 	amended to read:
10.27 		Subd. 15b.Noncaregiver sex human trafficking assessment. "Noncaregiver sex human
10.28 	trafficking assessment" is a comprehensive assessment of child safety, the risk of subsequent 
10.29 	child maltreatment, and strengths and needs of the child and family. The local welfare 
10.30 	agency shall only perform a noncaregiver sex human trafficking assessment when a 
10.31 	maltreatment report alleges sex or labor trafficking of a child by someone other than the 
10.32 	child's caregiver. A noncaregiver sex human trafficking assessment does not include a 
11.1 	determination of whether child maltreatment occurred. A noncaregiver sex human trafficking 
11.2 	assessment includes a determination of a family's need for services to address the safety of 
11.3 	the child or children, the safety of family members, and the risk of subsequent child 
11.4 	maltreatment.

11.5 	EFFECTIVE DATE. This section is effective July 1, 2025.

11.6 	Sec. 12. Minnesota Statutes 2023 Supplement, section 260E.03, subdivision 22, is amended 
11.7 	to read:
11.8 		Subd. 22.Substantial child endangerment. "Substantial child endangerment" means 
11.9 	that a person responsible for a child's care, by act or omission, commits or attempts to 
11.10 	commit an act against a child in the person's care that constitutes any of the following:
11.11 	(1) egregious harm under subdivision 5;
11.12 	(2) abandonment under section 260C.301, subdivision 2;
11.13 	(3) neglect under subdivision 15, paragraph (a), clause (2), that substantially endangers 
11.14 	the child's physical or mental health, including a growth delay, which may be referred to 
11.15 	as failure to thrive, that has been diagnosed by a physician and is due to parental neglect;
11.16 	(4) murder in the first, second, or third degree under section 609.185, 609.19, or 609.195;
11.17 	(5) manslaughter in the first or second degree under section 609.20 or 609.205;
11.18 	(6) assault in the first, second, or third degree under section 609.221, 609.222, or 609.223;
11.19 	(7) sex trafficking, solicitation, inducement, or promotion of prostitution under section 
11.20 	609.322;
11.21 	(8) criminal sexual conduct under sections 609.342 to 609.3451;
11.22 	(9) sexual extortion under section 609.3458;
11.23 	(10) solicitation of children to engage in sexual conduct under section 609.352;
11.24 	(11) malicious punishment or neglect or endangerment of a child under section 609.377 
11.25 	or 609.378;
11.26 	(12) use of a minor in sexual performance under section 617.246; or
11.27 	(13) labor trafficking under sections 609.281 and 609.282; or
11.28 	(13) (14) parental behavior, status, or condition requiring the county attorney to file a 
11.29 	termination of parental rights petition under section 260C.503, subdivision 2.

11.30 	EFFECTIVE DATE. This section is effective July 1, 2025.

12.1 	Sec. 13. Minnesota Statutes 2022, section 260E.14, subdivision 3, is amended to read:
12.2 		Subd. 3.Neglect or, physical abuse, or labor trafficking. (a) The local welfare agency 
12.3 	is responsible for immediately conducting a family assessment or investigation if the report 
12.4 	alleges neglect or physical abuse by a parent, guardian, or individual functioning within the 
12.5 	family unit as a person responsible for the child's care.
12.6 	(b) The local welfare agency is also responsible for assessing or investigating when a 
12.7 	child is identified as a victim of labor trafficking.

12.8 	EFFECTIVE DATE. This section is effective July 1, 2025.

12.9 	Sec. 14. Minnesota Statutes 2023 Supplement, section 260E.14, subdivision 5, is amended 
12.10 	to read:
12.11 		Subd. 5.Law enforcement. (a) The local law enforcement agency is the agency 
12.12 	responsible for investigating a report of maltreatment if a violation of a criminal statute is 
12.13 	alleged.
12.14 	(b) Law enforcement and the responsible agency must coordinate their investigations 
12.15 	or assessments as required under this chapter when: (1) a report alleges maltreatment that 
12.16 	is a violation of a criminal statute by a person who is a parent, guardian, sibling, person 
12.17 	responsible for the child's care within the family unit, or by a person who lives in the child's 
12.18 	household and who has a significant relationship to the child in a setting other than a facility 
12.19 	as defined in section 260E.03; or (2) a report alleges sex or labor trafficking of a child.

12.20 	EFFECTIVE DATE. This section is effective July 1, 2025.

12.21 	Sec. 15. Minnesota Statutes 2023 Supplement, section 260E.17, subdivision 1, is amended 
12.22 	to read:
12.23 		Subdivision 1.Local welfare agency. (a) Upon receipt of a report, the local welfare 
12.24 	agency shall determine whether to conduct a family assessment, an investigation, or a 
12.25 	noncaregiver sex human trafficking assessment as appropriate to prevent or provide a remedy 
12.26 	for maltreatment.
12.27 	(b) The local welfare agency shall conduct an investigation when the report involves 
12.28 	sexual abuse, except as indicated in paragraph (f), or substantial child endangerment.
12.29 	(c) The local welfare agency shall begin an immediate investigation at any time when 
12.30 	the local welfare agency is responding with a family assessment and the local welfare agency 
13.1 	determines that there is reason to believe that sexual abuse, substantial child endangerment, 
13.2 	or a serious threat to the child's safety exists.
13.3 	(d) The local welfare agency may conduct a family assessment for reports that do not 
13.4 	allege sexual abuse, except as indicated in paragraph (f), or substantial child endangerment. 
13.5 	In determining that a family assessment is appropriate, the local welfare agency may consider 
13.6 	issues of child safety, parental cooperation, and the need for an immediate response.
13.7 	(e) The local welfare agency may conduct a family assessment for a report that was 
13.8 	initially screened and assigned for an investigation. In determining that a complete 
13.9 	investigation is not required, the local welfare agency must document the reason for 
13.10 	terminating the investigation and notify the local law enforcement agency if the local law 
13.11 	enforcement agency is conducting a joint investigation.
13.12 	(f) The local welfare agency shall conduct a noncaregiver sex human trafficking 
13.13 	assessment when a maltreatment report alleges sex or labor trafficking of a child and the 
13.14 	alleged offender is a noncaregiver sex human trafficker as defined by section 260E.03, 
13.15 	subdivision 15a.
13.16 	(g) During a noncaregiver sex human trafficking assessment, the local welfare agency 
13.17 	shall initiate an immediate investigation if there is reason to believe that a child's parent, 
13.18 	caregiver, or household member allegedly engaged in the act of sex or labor trafficking a 
13.19 	child or was alleged to have engaged in any conduct requiring the agency to conduct an 
13.20 	investigation.

13.21 	EFFECTIVE DATE. This section is effective July 1, 2025.

13.22 	Sec. 16. Minnesota Statutes 2023 Supplement, section 260E.18, is amended to read:
13.23 	260E.18 NOTICE TO CHILD'S TRIBE.
13.24 	The local welfare agency shall provide immediate notice, according to section 260.761, 
13.25 	subdivision 2, to an Indian child's Tribe when the agency has reason to believe that the 
13.26 	family assessment, investigation, or noncaregiver sex human trafficking assessment may 
13.27 	involve an Indian child. For purposes of this section, "immediate notice" means notice 
13.28 	provided within 24 hours.

13.29 	EFFECTIVE DATE. This section is effective July 1, 2025.

14.1 	Sec. 17. Minnesota Statutes 2023 Supplement, section 260E.20, subdivision 2, is amended 
14.2 	to read:
14.3 		Subd. 2.Face-to-face contact. (a) Upon receipt of a screened in report, the local welfare 
14.4 	agency shall have face-to-face contact with the child reported to be maltreated and with the 
14.5 	child's primary caregiver sufficient to complete a safety assessment and ensure the immediate 
14.6 	safety of the child. When it is possible and the report alleges substantial child endangerment 
14.7 	or sexual abuse, the local welfare agency is not required to provide notice before conducting 
14.8 	the initial face-to-face contact with the child and the child's primary caregiver.
14.9 	(b) Except in a noncaregiver sex human trafficking assessment, the local welfare agency 
14.10 	shall have face-to-face contact with the child and primary caregiver immediately after the 
14.11 	agency screens in a report if sexual abuse or substantial child endangerment is alleged and 
14.12 	within five calendar days of a screened in report for all other reports. If the alleged offender 
14.13 	was not already interviewed as the primary caregiver, the local welfare agency shall also 
14.14 	conduct a face-to-face interview with the alleged offender in the early stages of the 
14.15 	assessment or investigation, except in a noncaregiver sex human trafficking assessment. 
14.16 	Face-to-face contact with the child and primary caregiver in response to a report alleging 
14.17 	sexual abuse or substantial child endangerment may be postponed for no more than five 
14.18 	calendar days if the child is residing in a location that is confirmed to restrict contact with 
14.19 	the alleged offender as established in guidelines issued by the commissioner, or if the local 
14.20 	welfare agency is pursuing a court order for the child's caregiver to produce the child for 
14.21 	questioning under section 260E.22, subdivision 5.
14.22 	(c) At the initial contact with the alleged offender, the local welfare agency or the agency 
14.23 	responsible for assessing or investigating the report must inform the alleged offender of the 
14.24 	complaints or allegations made against the individual in a manner consistent with laws 
14.25 	protecting the rights of the person who made the report. The interview with the alleged 
14.26 	offender may be postponed if it would jeopardize an active law enforcement investigation. 
14.27 	In a noncaregiver sex human trafficking assessment, the local child welfare agency is not 
14.28 	required to inform or interview the alleged offender.
14.29 	(d) The local welfare agency or the agency responsible for assessing or investigating 
14.30 	the report must provide the alleged offender with an opportunity to make a statement, except 
14.31 	in a noncaregiver sex human trafficking assessment. The alleged offender may submit 
14.32 	supporting documentation relevant to the assessment or investigation.

14.33 	EFFECTIVE DATE. This section is effective July 1, 2025.

15.1 	Sec. 18. Minnesota Statutes 2023 Supplement, section 260E.24, subdivision 2, is amended 
15.2 	to read:
15.3 		Subd. 2.Determination after family assessment or a noncaregiver sex human
15.4 	trafficking assessment. After conducting a family assessment or a noncaregiver sex human
15.5 	trafficking assessment, the local welfare agency shall determine whether child protective 
15.6 	services are needed to address the safety of the child and other family members and the risk 
15.7 	of subsequent maltreatment. The local welfare agency must document the information 
15.8 	collected under section 260E.20, subdivision 3, related to the completed family assessment 
15.9 	in the child's or family's case notes.

15.10 	EFFECTIVE DATE. This section is effective July 1, 2025.

15.11 	Sec. 19. Minnesota Statutes 2023 Supplement, section 260E.24, subdivision 7, is amended 
15.12 	to read:
15.13 		Subd. 7.Notification at conclusion of family assessment or a noncaregiver sex human
15.14 	trafficking assessment. Within ten working days of the conclusion of a family assessment 
15.15 	or a noncaregiver sex human trafficking assessment, the local welfare agency shall notify 
15.16 	the parent or guardian of the child of the need for services to address child safety concerns 
15.17 	or significant risk of subsequent maltreatment. The local welfare agency and the family 
15.18 	may also jointly agree that family support and family preservation services are needed.

15.19 	EFFECTIVE DATE. This section is effective July 1, 2025.

15.20 	Sec. 20. Minnesota Statutes 2023 Supplement, section 260E.33, subdivision 1, is amended 
15.21 	to read:
15.22 		Subdivision 1.Following a family assessment or a noncaregiver sex human trafficking 
15.23 	assessment. Administrative reconsideration is not applicable to a family assessment or 
15.24 	noncaregiver sex human trafficking assessment since no determination concerning 
15.25 	maltreatment is made.

15.26 	EFFECTIVE DATE. This section is effective July 1, 2025.

15.27 	Sec. 21. Minnesota Statutes 2023 Supplement, section 260E.35, subdivision 6, is amended 
15.28 	to read:
15.29 		Subd. 6.Data retention. (a) Notwithstanding sections 138.163 and 138.17, a record 
15.30 	maintained or a record derived from a report of maltreatment by a local welfare agency, 
15.31 	agency responsible for assessing or investigating the report, court services agency, or school 
16.1 	under this chapter shall be destroyed as provided in paragraphs (b) to (e) by the responsible 
16.2 	authority.
16.3 	(b) For a report alleging maltreatment that was not accepted for an assessment or an 
16.4 	investigation, a family assessment case, a noncaregiver sex human trafficking assessment 
16.5 	case, and a case where an investigation results in no determination of maltreatment or the 
16.6 	need for child protective services, the record must be maintained for a period of five years 
16.7 	after the date that the report was not accepted for assessment or investigation or the date of 
16.8 	the final entry in the case record. A record of a report that was not accepted must contain 
16.9 	sufficient information to identify the subjects of the report, the nature of the alleged 
16.10 	maltreatment, and the reasons why the report was not accepted. Records under this paragraph 
16.11 	may not be used for employment, background checks, or purposes other than to assist in 
16.12 	future screening decisions and risk and safety assessments.
16.13 	(c) All records relating to reports that, upon investigation, indicate maltreatment or a 
16.14 	need for child protective services shall be maintained for ten years after the date of the final 
16.15 	entry in the case record.
16.16 	(d) All records regarding a report of maltreatment, including a notification of intent to 
16.17 	interview that was received by a school under section 260E.22, subdivision 7, shall be 
16.18 	destroyed by the school when ordered to do so by the agency conducting the assessment or 
16.19 	investigation. The agency shall order the destruction of the notification when other records 
16.20 	relating to the report under investigation or assessment are destroyed under this subdivision.
16.21 	(e) Private or confidential data released to a court services agency under subdivision 3, 
16.22 	paragraph (d), must be destroyed by the court services agency when ordered to do so by the 
16.23 	local welfare agency that released the data. The local welfare agency or agency responsible 
16.24 	for assessing or investigating the report shall order destruction of the data when other records 
16.25 	relating to the assessment or investigation are destroyed under this subdivision.

16.26 	EFFECTIVE DATE. This section is effective July 1, 2025.

16.27 	Sec. 22. Minnesota Statutes 2022, section 260E.36, subdivision 1a, is amended to read:
16.28 		Subd. 1a.Sex Human trafficking and, sexual exploitation and youth missing from 
16.29 	care training requirement. As required by the Child Abuse Prevention and Treatment Act 
16.30 	amendments through Public Law 114-22 and to implement Public Law Laws 113-183 and
16.31 	115-123, all child protection social workers and social services staff who have responsibility 
16.32 	for child protective duties under this chapter or chapter 260C shall complete training 
16.33 	implemented by the commissioner of human services regarding sex identification, prevention 
17.1 	and response to human trafficking and sexual exploitation of children and youth, including 
17.2 	prevention for youth missing from care.

17.3 	EFFECTIVE DATE. This section is effective July 1, 2025.

17.4 	Sec. 23. REVISOR INSTRUCTION.
 17.5 	The revisor of statutes shall renumber the subdivisions in Minnesota Statutes, section 
17.6 	260E.03, in alphabetical order except for subdivision 1 and correct any cross-reference 
17.7 	changes that result.

17.8 	ARTICLE 3
17.9 	CHILD CARE LICENSING

17.10 	Section 1. [142B.171] CHILD CARE WEIGHTED RISK SYSTEM.
17.11 		Subdivision 1.Implementation. The commissioner shall develop and implement a child 
17.12 	care weighted risk system that provides a tiered licensing enforcement framework for child 
17.13 	care licensing requirements in this chapter or Minnesota Rules, chapter 9502 or 9503.
17.14 		Subd. 2. Documented technical assistance.  (a) In lieu of a correction order under section 
17.15 	142B.16, the commissioner shall provide documented technical assistance to a family child 
17.16 	care or child care center license holder if the commissioner finds that:
17.17 	(1) the license holder has failed to comply with a requirement in this chapter or Minnesota 
17.18 	Rules, chapter 9502 or 9503, that the commissioner determines to be low risk as determined 
17.19 	by the child care weighted risk system;
17.20 	(2) the noncompliance does not imminently endanger the health, safety, or rights of the 
17.21 	persons served by the program; and
17.22 	(3) the license holder did not receive documented technical assistance or a correction 
17.23 	order for the same violation at the license holder's most recent annual licensing inspection.
17.24 	(b) Documented technical assistance must include communication from the commissioner 
17.25 	to the child care provider that:
17.26 	(1) states the conditions that constitute a violation of a law or rule;
17.27 	(2) references the specific law or rule violated; and
17.28 	(3) explains remedies for correcting the violation.
17.29 	(c) The commissioner shall not publicly publish documented technical assistance on the 
17.30 	department's website.

18.1 	Sec. 2. REPEALER.
 18.2 	Minnesota Statutes 2022, section 245A.065, is repealed.

18.3 	ARTICLE 4
18.4 	TECHNICAL CORRECTIONS

18.5 	Section 1. Minnesota Statutes 2022, section 245.975, subdivision 2, is amended to read:
18.6 		Subd. 2.Duties. (a) The ombudsperson's duties shall include:
18.7 	(1) advocating on behalf of a family child care provider to address all areas of concern 
18.8 	related to the provision of child care services, including licensing monitoring activities, 
18.9 	licensing actions, and other interactions with state and county licensing staff;
18.10 	(2) providing recommendations for family child care improvement or family child care 
18.11 	provider education;
18.12 	(3) operating a telephone line to answer questions, receive complaints, and discuss 
18.13 	agency actions when a family child care provider believes that the provider's rights or 
18.14 	program may have been adversely affected; and
18.15 	(4) assisting a family child care license applicant with navigating the application process.
18.16 	(b) The ombudsperson must report annually by December 31 to the commissioner of 
18.17 	children, youth, and families and the chairs and ranking minority members of the legislative 
18.18 	committees with jurisdiction over child care on the services provided by the ombudsperson 
18.19 	to child care providers, including the number and locations of child care providers served 
18.20 	and the activities of the ombudsperson in carrying out the duties under this section. The 
18.21 	commissioner shall determine the form of the report and may specify additional reporting 
18.22 	requirements.

18.23 	Sec. 2. Minnesota Statutes 2022, section 245.975, subdivision 4, is amended to read:
18.24 		Subd. 4.Access to records. (a) The ombudsperson or designee, excluding volunteers, 
18.25 	has access to any data of a state agency necessary for the discharge of the ombudsperson's 
18.26 	duties, including records classified as confidential data on individuals or private data on 
18.27 	individuals under chapter 13 or any other law. The ombudsperson's data request must relate 
18.28 	to a specific case and is subject to section 13.03, subdivision 4. If the data concerns an 
18.29 	individual, the ombudsperson or designee shall first obtain the individual's consent. If the 
18.30 	individual is unable to consent and has no parent or legal guardian, then the ombudsperson's 
18.31 	or designee's access to the data is authorized by this section.
19.1 	(b) The ombudsperson and designees must adhere to the Minnesota Government Data 
19.2 	Practices Act and must not disseminate any private or confidential data on individuals unless 
19.3 	specifically authorized by state, local, or federal law or pursuant to a court order.
19.4 	(c) The commissioner of human services; the commissioner of children, youth, and 
19.5 	families; and any county agency must provide the ombudsperson copies of all fix-it tickets, 
19.6 	correction orders, and licensing actions issued to family child care providers.

19.7 	Sec. 3. Minnesota Statutes 2022, section 245.975, subdivision 9, is amended to read:
19.8 		Subd. 9.Posting. (a) The commissioner of children, youth, and families shall post on 
19.9 	the department's website the mailing address, email address, and telephone number for the 
19.10 	office of the ombudsperson. The commissioner shall provide family child care providers 
19.11 	with the mailing address, email address, and telephone number of the ombudsperson's office 
19.12 	on the family child care licensing website and upon request of a family child care applicant 
19.13 	or provider. Counties must provide family child care applicants and providers with the 
19.14 	name, mailing address, email address, and telephone number of the ombudsperson's office 
19.15 	upon request.
19.16 	(b) The ombudsperson must approve all postings and notices required by the department 
19.17 	and counties under this subdivision.

19.18 	Sec. 4. Minnesota Statutes 2023 Supplement, section 256.4793, subdivision 3, is amended 
19.19 	to read:
19.20 		Subd. 3.Special revenue account established. (a) Funds appropriated under this section 
19.21 	shall be transferred to a special revenue account. The commissioner shall retain federal 
19.22 	reimbursement generated under this section. Federal reimbursement shall be transferred to 
19.23 	the special revenue account and is appropriated to the commissioner for the purposes of 
19.24 	this section. The commissioner shall transfer funds for administrative activities that support 
19.25 	implementing prevention services activities to the special revenue fund and shall retain 
19.26 	federal reimbursement generated under this section.
19.27 	(b) The commissioner must provide an annual report to the chairs and ranking minority 
19.28 	members of the legislative committees with jurisdiction over health and human services 
19.29 	policy and finance that identifies the amount of funds appropriated and transferred to this 
19.30 	account under paragraph (a) and how the funds were used.

20.1 	Sec. 5. Minnesota Statutes 2023 Supplement, section 256.4794, subdivision 3, is amended 
20.2 	to read:
20.3 		Subd. 3.Special revenue account established. (a) Funds appropriated under this section 
20.4 	shall be transferred to a special revenue account. The commissioner shall retain federal 
20.5 	reimbursement generated under this section. Federal reimbursement shall be transferred to 
20.6 	the special revenue account and is appropriated to the commissioner for the purposes of 
20.7 	this section. The commissioner shall transfer funds for administrative activities that support 
20.8 	implementing prevention services activities to the special revenue fund and shall retain 
20.9 	federal reimbursement generated under this section.
20.10 	(b) The commissioner must provide an annual report to the chairs and ranking minority 
20.11 	members of the legislative committees with jurisdiction over health and human services 
20.12 	policy and finance that identifies the amount of funds appropriated and transferred to this 
20.13 	account under paragraph (a) and how the funds were used.

20.14 	Sec. 6. Minnesota Statutes 2023 Supplement, section 256B.0622, subdivision 8, is amended 
20.15 	to read:
20.16 		Subd. 8.Medical assistance payment for assertive community treatment and 
20.17 	intensive residential treatment services. (a) Payment for intensive residential treatment 
20.18 	services and assertive community treatment in this section shall be based on one daily rate 
20.19 	per provider inclusive of the following services received by an eligible client in a given 
20.20 	calendar day: all rehabilitative services under this section, staff travel time to provide 
20.21 	rehabilitative services under this section, and nonresidential crisis stabilization services 
20.22 	under section 256B.0624.
20.23 	(b) Except as indicated in paragraph (c), payment will not be made to more than one 
20.24 	entity for each client for services provided under this section on a given day. If services 
20.25 	under this section are provided by a team that includes staff from more than one entity, the 
20.26 	team must determine how to distribute the payment among the members.
20.27 	(c) The commissioner shall determine one rate for each provider that will bill medical 
20.28 	assistance for residential services under this section and one rate for each assertive community 
20.29 	treatment provider. If a single entity provides both services, one rate is established for the 
20.30 	entity's residential services and another rate for the entity's nonresidential services under 
20.31 	this section. A provider is not eligible for payment under this section without authorization 
20.32 	from the commissioner. The commissioner shall develop rates using the following criteria:
21.1 	(1) the provider's cost for services shall include direct services costs, other program 
21.2 	costs, and other costs determined as follows:
21.3 	(i) the direct services costs must be determined using actual costs of salaries, benefits, 
21.4 	payroll taxes, and training of direct service staff and service-related transportation;
21.5 	(ii) other program costs not included in item (i) must be determined as a specified 
21.6 	percentage of the direct services costs as determined by item (i). The percentage used shall 
21.7 	be determined by the commissioner based upon the average of percentages that represent 
21.8 	the relationship of other program costs to direct services costs among the entities that provide 
21.9 	similar services;
21.10 	(iii) physical plant costs calculated based on the percentage of space within the program 
21.11 	that is entirely devoted to treatment and programming. This does not include administrative 
21.12 	or residential space;
21.13 	(iv) assertive community treatment physical plant costs must be reimbursed as part of 
21.14 	the costs described in item (ii); and
21.15 	(v) subject to federal approval, up to an additional five percent of the total rate may be 
21.16 	added to the program rate as a quality incentive based upon the entity meeting performance 
21.17 	criteria specified by the commissioner;
21.18 	(2) actual cost is defined as costs which are allowable, allocable, and reasonable, and 
21.19 	consistent with federal reimbursement requirements under Code of Federal Regulations, 
21.20 	title 48, chapter 1, part 31, relating to for-profit entities, and Office of Management and 
21.21 	Budget Circular Number A-122, relating to nonprofit entities;
21.22 	(3) the number of service units;
21.23 	(4) the degree to which clients will receive services other than services under this section; 
21.24 	and
21.25 	(5) the costs of other services that will be separately reimbursed.
21.26 	(d) The rate for intensive residential treatment services and assertive community treatment 
21.27 	must exclude the medical assistance room and board rate, as defined in section 256B.056, 
21.28 	subdivision 5d, and services not covered under this section, such as partial hospitalization, 
21.29 	home care, and inpatient services.
21.30 	(e) Physician services that are not separately billed may be included in the rate to the 
21.31 	extent that a psychiatrist, or other health care professional providing physician services 
21.32 	within their scope of practice, is a member of the intensive residential treatment services 
22.1 	treatment team. Physician services, whether billed separately or included in the rate, may 
22.2 	be delivered by telehealth. For purposes of this paragraph, "telehealth" has the meaning 
22.3 	given to "mental health telehealth" in section 256B.0625, subdivision 46, when telehealth 
22.4 	is used to provide intensive residential treatment services.
22.5 	(f) When services under this section are provided by an assertive community treatment 
22.6 	provider, case management functions must be an integral part of the team.
22.7 	(g) The rate for a provider must not exceed the rate charged by that provider for the 
22.8 	same service to other payors.
22.9 	(h) The rates for existing programs must be established prospectively based upon the 
22.10 	expenditures and utilization over a prior 12-month period using the criteria established in 
22.11 	paragraph (c). The rates for new programs must be established based upon estimated 
22.12 	expenditures and estimated utilization using the criteria established in paragraph (c).
22.13 	(i) Effective for the rate years beginning on and after January 1, 2024, rates for assertive 
22.14 	community treatment, adult residential crisis stabilization services, and intensive residential 
22.15 	treatment services must be annually adjusted for inflation using the Centers for Medicare 
22.16 	and Medicaid Services Medicare Economic Index, as forecasted in the fourth third quarter 
22.17 	of the calendar year before the rate year. The inflation adjustment must be based on the 
22.18 	12-month period from the midpoint of the previous rate year to the midpoint of the rate year 
22.19 	for which the rate is being determined.
22.20 	(j) Entities who discontinue providing services must be subject to a settle-up process 
22.21 	whereby actual costs and reimbursement for the previous 12 months are compared. In the 
22.22 	event that the entity was paid more than the entity's actual costs plus any applicable 
22.23 	performance-related funding due the provider, the excess payment must be reimbursed to 
22.24 	the department. If a provider's revenue is less than actual allowed costs due to lower 
22.25 	utilization than projected, the commissioner may reimburse the provider to recover its actual 
22.26 	allowable costs. The resulting adjustments by the commissioner must be proportional to the 
22.27 	percent of total units of service reimbursed by the commissioner and must reflect a difference 
22.28 	of greater than five percent.
22.29 	(k) A provider may request of the commissioner a review of any rate-setting decision 
22.30 	made under this subdivision.

23.1 	Sec. 7. Minnesota Statutes 2023 Supplement, section 256B.0947, subdivision 7, is amended 
23.2 	to read:
23.3 		Subd. 7.Medical assistance payment and rate setting. (a) Payment for services in this 
23.4 	section must be based on one daily encounter rate per provider inclusive of the following 
23.5 	services received by an eligible client in a given calendar day: all rehabilitative services, 
23.6 	supports, and ancillary activities under this section, staff travel time to provide rehabilitative 
23.7 	services under this section, and crisis response services under section 256B.0624.
23.8 	(b) Payment must not be made to more than one entity for each client for services 
23.9 	provided under this section on a given day. If services under this section are provided by a 
23.10 	team that includes staff from more than one entity, the team shall determine how to distribute 
23.11 	the payment among the members.
23.12 	(c) The commissioner shall establish regional cost-based rates for entities that will bill 
23.13 	medical assistance for nonresidential intensive rehabilitative mental health services. In 
23.14 	developing these rates, the commissioner shall consider:
23.15 	(1) the cost for similar services in the health care trade area;
23.16 	(2) actual costs incurred by entities providing the services;
23.17 	(3) the intensity and frequency of services to be provided to each client;
23.18 	(4) the degree to which clients will receive services other than services under this section; 
23.19 	and
23.20 	(5) the costs of other services that will be separately reimbursed.
23.21 	(d) The rate for a provider must not exceed the rate charged by that provider for the 
23.22 	same service to other payers.
23.23 	(e) Effective for the rate years beginning on and after January 1, 2024, rates must be 
23.24 	annually adjusted for inflation using the Centers for Medicare and Medicaid Services 
23.25 	Medicare Economic Index, as forecasted in the fourth third quarter of the calendar year 
23.26 	before the rate year. The inflation adjustment must be based on the 12-month period from 
23.27 	the midpoint of the previous rate year to the midpoint of the rate year for which the rate is 
23.28 	being determined.

23.29 	Sec. 8. Minnesota Statutes 2023 Supplement, section 260.014, is amended by adding a 
23.30 	subdivision to read:
23.31 		Subd. 5.Carryforward authority.  Funds appropriated under this section are available 
23.32 	for two fiscal years.

24.1 	Sec. 9. Minnesota Statutes 2023 Supplement, section 518A.42, subdivision 3, is amended 
24.2 	to read:
24.3 		Subd. 3.Exception. (a) This section The minimum basic support amount under 
24.4 	subdivision 2 does not apply to an obligor who is incarcerated or is a recipient of a general 
24.5 	assistance grant, Supplemental Security Income, temporary assistance for needy families 
24.6 	(TANF) grant, or comparable state-funded Minnesota family investment program (MFIP) 
24.7 	benefits.
24.8 	(b) The minimum basic support amount under subdivision 2 does not apply to an obligor 
24.9 	who is a recipient of:
24.10 	(1) a general assistance grant;
24.11 	(2) Supplement Security Income;
24.12 	(3) a Temporary Assistances for Needy Families (TANF) grant; or
24.13 	(4) comparable state-funded Minnesota family investment program (MFIP) benefits.
24.14 	(b) (c) If the court finds the obligor receives no income and completely lacks the ability 
24.15 	to earn income, the minimum basic support amount under this subdivision 2 does not apply.
24.16 	(c) (d) If the obligor's basic support amount is reduced below the minimum basic support 
24.17 	amount due to the application of the parenting expense adjustment, the minimum basic 
24.18 	support amount under this subdivision 2 does not apply and the lesser amount is the guideline 
24.19 	basic support.

24.20 	Sec. 10. Laws 2023, chapter 70, article 14, section 42, is amended by adding a subdivision 
24.21 	to read:
24.22 		Subd. 9.Compensation. Compensation of board members is governed by Minnesota 
24.23 	Statutes, section 15.0575.

24.24 	Sec. 11. Laws 2023, chapter 70, article 20, section 2, subdivision 24, is amended to read:

24.25
24.26	Subd. 24.Grant Programs; Children and 
Economic Support Grants
 		212,877,000
		78,333,000
	
24.27 	(a) Fraud prevention initiative start-up 
24.28 	grants. $400,000 in fiscal year 2024 is for 
24.29 	start-up grants to the Red Lake Nation, White 
24.30 	Earth Nation, and Mille Lacs Band of Ojibwe 
24.31 	to develop a fraud prevention program. This 
25.1 	is a onetime appropriation and is available 
25.2 	until June 30, 2025.
25.3 	(b) American Indian food sovereignty 
25.4 	funding program. $3,000,000 in fiscal year 
25.5 	2024 and $3,000,000 in fiscal year 2025 are 
25.6 	for Minnesota Statutes, section 256E.342. This 
25.7 	appropriation is available until June 30, 2025. 
25.8 	The base for this appropriation is $2,000,000 
25.9 	in fiscal year 2026 and $2,000,000 in fiscal 
25.10 	year 2027.
25.11 	(c) Hennepin County grants to provide 
25.12 	services to people experiencing 
25.13 	homelessness. $11,432,000 in fiscal year 2024 
25.14 	is for grants to maintain capacity for shelters 
25.15 	and services provided to persons experiencing 
25.16 	homelessness in Hennepin County. Of this 
25.17 	amount:
25.18 	(1) $4,500,000 is for a grant to Avivo Village;
25.19 	(2) $2,000,000 is for a grant to the American 
25.20 	Indian Community Development Corporation 
25.21 	Homeward Bound shelter;
25.22 	(3) $1,650,000 is for a grant to the Salvation 
25.23 	Army Harbor Lights shelter;
25.24 	(4) $500,000 is for a grant to Agate Housing 
25.25 	and Services;
25.26 	(5) $1,400,000 is for a grant to Catholic 
25.27 	Charities of St. Paul and Minneapolis;
25.28 	(6) $450,000 is for a grant to Simpson 
25.29 	Housing; and
25.30 	(7) $932,000 is for a grant to Hennepin 
25.31 	County.
25.32 	Nothing shall preclude an eligible organization 
25.33 	receiving funding under this paragraph from 
26.1 	applying for and receiving funding under 
26.2 	Minnesota Statutes, section 256E.33, 256E.36, 
26.3 	256K.45, or 256K.47, nor does receiving 
26.4 	funding under this paragraph count against 
26.5 	any eligible organization in the competitive 
26.6 	processes related to those grant programs 
26.7 	under Minnesota Statutes, section 256E.33, 
26.8 	256E.36, 256K.45, or 256K.47.
26.9 	(d) Diaper distribution grant program. 
26.10 	$545,000 in fiscal year 2024 and $553,000 in 
26.11 	fiscal year 2025 are for a grant to the Diaper 
26.12 	Bank of Minnesota under Minnesota Statutes, 
26.13 	section 256E.38.
26.14 	(e) Prepared meals food relief. $1,654,000 
26.15 	in fiscal year 2024 and $1,638,000 in fiscal 
26.16 	year 2025 are for prepared meals food relief 
26.17 	grants. This is a onetime appropriation.
26.18 	(f) Emergency shelter facilities. $98,456,000 
26.19 	in fiscal year 2024 is for grants to eligible 
26.20 	applicants for emergency shelter facilities. 
26.21 	This is a onetime appropriation and is 
26.22 	available until June 30, 2028.
26.23 	(g) Homeless youth cash stipend pilot 
26.24 	project. $5,302,000 in fiscal year 2024 is for 
26.25 	a grant to Youthprise for the homeless youth 
26.26 	cash stipend pilot project. The grant must be 
26.27 	used to provide cash stipends to homeless 
26.28 	youth, provide cash incentives for stipend 
26.29 	recipients to participate in periodic surveys, 
26.30 	provide youth-designed optional services, and 
26.31 	complete a legislative report. This is a onetime 
26.32 	appropriation and is available until June 30, 
26.33 	2028.
27.1 	(h) Heading Home Ramsey County 
27.2 	continuum of care grants. $11,432,000 in 
27.3 	fiscal year 2024 is for grants to maintain 
27.4 	capacity for shelters and services provided to 
27.5 	people experiencing homelessness in Ramsey 
27.6 	County. Of this amount:
27.7 	(1) $2,286,000 is for a grant to Catholic 
27.8 	Charities of St. Paul and Minneapolis;
27.9 	(2) $1,498,000 is for a grant to More Doors;
27.10 	(3) $1,734,000 is for a grant to Interfaith 
27.11 	Action Project Home;
27.12 	(4) $2,248,000 is for a grant to Ramsey 
27.13 	County;
27.14 	(5) $689,000 is for a grant to Radias Health;
27.15 	(6) $493,000 is for a grant to The Listening 
27.16 	House;
27.17 	(7) $512,000 is for a grant to Face to Face; 
27.18 	and
27.19 	(8) $1,972,000 is for a grant to the city of St. 
27.20 	Paul.
27.21 	Nothing shall preclude an eligible organization 
27.22 	receiving funding under this paragraph from 
27.23 	applying for and receiving funding under 
27.24 	Minnesota Statutes, section 256E.33, 256E.36, 
27.25 	256K.45, or 256K.47, nor does receiving 
27.26 	funding under this paragraph count against 
27.27 	any eligible organization in the competitive 
27.28 	processes related to those grant programs 
27.29 	under Minnesota Statutes, section 256E.33, 
27.30 	256E.36, 256K.45, or 256K.47.
27.31 	(i) Capital for emergency food distribution 
27.32 	facilities. $7,000,000 in fiscal year 2024 is for 
27.33 	improving and expanding the infrastructure 
28.1 	of food shelf facilities. Grant money must be 
28.2 	made available to nonprofit organizations, 
28.3 	federally recognized Tribes, and local units of 
28.4 	government. This is a onetime appropriation 
28.5 	and is available until June 30, 2027.
28.6 	(j) Emergency services program grants.
28.7 	$15,250,000 in fiscal year 2024 and 
28.8 	$14,750,000 in fiscal year 2025 are for 
28.9 	emergency services grants under Minnesota 
28.10 	Statutes, section 256E.36. Any unexpended 
28.11 	amount in the first year does not cancel and 
28.12 	is available in the second year. The base for 
28.13 	this appropriation is $25,000,000 in fiscal year 
28.14 	2026 and $30,000,000 in fiscal year 2027.
28.15 	(k) Homeless Youth Act grants. $15,136,000 
28.16 	in fiscal year 2024 and $15,136,000 in fiscal 
28.17 	year 2025 are for grants under Minnesota 
28.18 	Statutes, section 256K.45, subdivision 1. Any 
28.19 	unexpended amount in the first year does not 
28.20 	cancel and is available in the second year.
28.21 	(l) Transitional housing programs.
28.22 	$3,000,000 in fiscal year 2024 and $3,000,000 
28.23 	in fiscal year 2025 are for transitional housing 
28.24 	programs under Minnesota Statutes, section 
28.25 	256E.33. Any unexpended amount in the first 
28.26 	year does not cancel and is available in the 
28.27 	second year.
28.28 	(m) Safe harbor shelter and housing grants.
28.29 	$2,125,000 in fiscal year 2024 and $2,125,000 
28.30 	in fiscal year 2025 are for grants under 
28.31 	Minnesota Statutes, section 256K.47. Any 
28.32 	unexpended amount in the first year does not 
28.33 	cancel and is available in the second year. The 
28.34 	base for this appropriation is $1,250,000 in 
29.1 	fiscal year 2026 and $1,250,000 in fiscal year 
29.2 	2027.
29.3 	(n) Supplemental nutrition assistance 
29.4 	program (SNAP) outreach. $1,000,000 in 
29.5 	fiscal year 2024 and $1,000,000 in fiscal year 
29.6 	2025 are for the SNAP outreach program 
29.7 	under Minnesota Statutes, section 256D.65. 
29.8 	The base for this appropriation is $500,000 in 
29.9 	fiscal year 2026 and $500,000 in fiscal year 
29.10 	2027.
29.11 	(o) Minnesota Food Assistance Program.
29.12 	Unexpended funds for the Minnesota food 
29.13 	assistance program for fiscal year 2024 do not 
29.14 	cancel but are available in fiscal year 2025.
29.15 	(o) (p)Base level adjustment. The general 
29.16 	fund base is $83,179,000 in fiscal year 2026 
29.17 	and $88,179,000 in fiscal year 2027.

29.18 	Sec. 12. REVIVAL AND REENACTMENT.
 29.19 	Minnesota Statutes 2022, section 256B.051, subdivision 7, is revived and reenacted 
29.20 	effective retroactively from August 1, 2023. The time-limited supplemental rate reduction 
29.21 	in Minnesota Statutes 2022, section 256B.051, subdivision 7, does not restart when the 
29.22 	subdivision is revived and reenacted. Any time frames within or dependent on the subdivision 
29.23 	are based on the original effective date in Laws 2017, First Special Session chapter 6, article 
29.24 	2, section 10.

29.25 	EFFECTIVE DATE. This section is effective the day following final enactment.

29.26 	Sec. 13. REPEALER.
 29.27 	(a) Minnesota Statutes 2022, section 245.975, subdivision 8, is repealed.
29.28 	(b) Laws 2023, chapter 25, section 190, subdivision 10, is repealed.

29.29 	EFFECTIVE DATE. Paragraph (b) is effective the day following final enactment.

30.1 	ARTICLE 5
30.2 	DEPARTMENT OF HEALTH

30.3 	Section 1. Minnesota Statutes 2022, section 62D.14, subdivision 1, is amended to read:
30.4 		Subdivision 1.Examination authority. The commissioner of health may make an 
30.5 	examination of the affairs of any health maintenance organization and its contracts, 
30.6 	agreements, or other arrangements with any participating entity as often as the commissioner 
30.7 	of health deems necessary for the protection of the interests of the people of this state, but 
30.8 	not less frequently than once every three five years. Examinations of participating entities 
30.9 	pursuant to this subdivision shall be limited to their dealings with the health maintenance 
30.10 	organization and its enrollees, except that examinations of major participating entities may 
30.11 	include inspection of the entity's financial statements kept in the ordinary course of business. 
30.12 	The commissioner may require major participating entities to submit the financial statements 
30.13 	directly to the commissioner. Financial statements of major participating entities are subject 
30.14 	to the provisions of section 13.37, subdivision 1, clause (b), upon request of the major 
30.15 	participating entity or the health maintenance organization with which it contracts.

30.16 	Sec. 2. Minnesota Statutes 2022, section 144.05, subdivision 6, is amended to read:
30.17 		Subd. 6.Reports on interagency agreements and intra-agency transfers. The 
30.18 	commissioner of health shall provide quarterly reports to the chairs and ranking minority 
30.19 	members of the legislative committees with jurisdiction over health and human services 
30.20 	policy and finance on: the interagency agreements and intra-agency transfers report per 
30.21 	section 15.0395.
30.22 	(1) interagency agreements or service-level agreements and any renewals or extensions 
30.23 	of existing interagency or service-level agreements with a state department under section 
30.24 	15.01, state agency under section 15.012, or the Department of Information Technology 
30.25 	Services, with a value of more than $100,000, or related agreements with the same department 
30.26 	or agency with a cumulative value of more than $100,000; and
30.27 	(2) transfers of appropriations of more than $100,000 between accounts within or between 
30.28 	agencies.
30.29 	The report must include the statutory citation authorizing the agreement, transfer or dollar 
30.30 	amount, purpose, and effective date of the agreement, duration of the agreement, and a copy 
30.31 	of the agreement.

31.1 	Sec. 3. Minnesota Statutes 2023 Supplement, section 144.1501, subdivision 2, is amended 
31.2 	to read:
31.3 		Subd. 2.Creation of account Availability. (a) A health professional education loan 
31.4 	forgiveness program account is established. The commissioner of health shall use money 
31.5 	from the account to establish a appropriated for health professional education loan forgiveness 
31.6 	program in this section:
31.7 	(1) for medical residents, mental health professionals, and alcohol and drug counselors 
31.8 	agreeing to practice in designated rural areas or underserved urban communities or 
31.9 	specializing in the area of pediatric psychiatry;
31.10 	(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach 
31.11 	at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program 
31.12 	at the undergraduate level or the equivalent at the graduate level;
31.13 	(3) for nurses who agree to practice in a Minnesota nursing home; in an intermediate 
31.14 	care facility for persons with developmental disability; in a hospital if the hospital owns 
31.15 	and operates a Minnesota nursing home and a minimum of 50 percent of the hours worked 
31.16 	by the nurse is in the nursing home; in an assisted living facility as defined in section 
31.17 	144G.08, subdivision 7; or for a home care provider as defined in section 144A.43, 
31.18 	subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per year in the nursing 
31.19 	field in a postsecondary program at the undergraduate level or the equivalent at the graduate 
31.20 	level;
31.21 	(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720 
31.22 	hours per year in their designated field in a postsecondary program at the undergraduate 
31.23 	level or the equivalent at the graduate level. The commissioner, in consultation with the 
31.24 	Healthcare Education-Industry Partnership, shall determine the health care fields where the 
31.25 	need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory 
31.26 	technology, radiologic technology, and surgical technology;
31.27 	(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses 
31.28 	who agree to practice in designated rural areas;
31.29 	(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient 
31.30 	encounters to state public program enrollees or patients receiving sliding fee schedule 
31.31 	discounts through a formal sliding fee schedule meeting the standards established by the 
31.32 	United States Department of Health and Human Services under Code of Federal Regulations, 
31.33 	title 42, section 51, chapter 303; and
32.1 	(7) for nurses employed as a hospital nurse by a nonprofit hospital and providing direct 
32.2 	care to patients at the nonprofit hospital.
32.3 	(b) Appropriations made to the account for health professional education loan forgiveness 
32.4 	in this section do not cancel and are available until expended, except that at the end of each 
32.5 	biennium, any remaining balance in the account that is not committed by contract and not 
32.6 	needed to fulfill existing commitments shall cancel to the fund.

32.7 	Sec. 4. Minnesota Statutes 2022, section 144.1501, subdivision 5, is amended to read:
32.8 		Subd. 5.Penalty for nonfulfillment. If a participant does not fulfill the required 
32.9 	minimum commitment of service according to subdivision 3, the commissioner of health 
32.10 	shall collect from the participant the total amount paid to the participant under the loan 
32.11 	forgiveness program plus interest at a rate established according to section 270C.40. The 
32.12 	commissioner shall deposit the money collected in the health care access fund to be credited 
32.13 	to a dedicated account in the special revenue fund. The balance of the account is appropriated 
32.14 	annually to the commissioner for the health professional education loan forgiveness program 
32.15 	account established in subdivision 2. The commissioner shall allow waivers of all or part 
32.16 	of the money owed the commissioner as a result of a nonfulfillment penalty if emergency 
32.17 	circumstances prevented fulfillment of the minimum service commitment.

32.18 	Sec. 5. Minnesota Statutes 2023 Supplement, section 144.1505, subdivision 2, is amended 
32.19 	to read:
32.20 		Subd. 2.Programs. (a) For advanced practice provider clinical training expansion grants, 
32.21 	the commissioner of health shall award health professional training site grants to eligible 
32.22 	physician assistant, advanced practice registered nurse, pharmacy, dental therapy, and mental 
32.23 	health professional programs to plan and implement expanded clinical training. A planning 
32.24 	grant shall not exceed $75,000, and a three-year training grant shall not exceed $150,000 
32.25 	for the first year, $100,000 for the second year, and $50,000 for the third year $300,000 per 
32.26 	program project. The commissioner may provide a one-year, no-cost extension for grants.
32.27 	(b) For health professional rural and underserved clinical rotations grants, the 
32.28 	commissioner of health shall award health professional training site grants to eligible 
32.29 	physician, physician assistant, advanced practice registered nurse, pharmacy, dentistry, 
32.30 	dental therapy, and mental health professional programs to augment existing clinical training 
32.31 	programs to add rural and underserved rotations or clinical training experiences, such as 
32.32 	credential or certificate rural tracks or other specialized training. For physician and dentist 
32.33 	training, the expanded training must include rotations in primary care settings such as 
33.1 	community clinics, hospitals, health maintenance organizations, or practices in rural 
33.2 	communities.
33.3 	(c) Funds may be used for:
33.4 	(1) establishing or expanding rotations and clinical training;
33.5 	(2) recruitment, training, and retention of students and faculty;
33.6 	(3) connecting students with appropriate clinical training sites, internships, practicums, 
33.7 	or externship activities;
33.8 	(4) travel and lodging for students;
33.9 	(5) faculty, student, and preceptor salaries, incentives, or other financial support;
33.10 	(6) development and implementation of cultural competency training;
33.11 	(7) evaluations;
33.12 	(8) training site improvements, fees, equipment, and supplies required to establish, 
33.13 	maintain, or expand a training program; and
33.14 	(9) supporting clinical education in which trainees are part of a primary care team model.

33.15 	Sec. 6. Minnesota Statutes 2022, section 144A.70, subdivision 3, is amended to read:
33.16 		Subd. 3.Controlling person. "Controlling person" means a business entity or entities, 
33.17 	officer, program administrator, or director, whose responsibilities include the direction of 
33.18 	the management or policies of a supplemental nursing services agency the management and 
33.19 	decision-making authority to establish or control business policy and all other policies of a 
33.20 	supplemental nursing services agency. Controlling person also means an individual who, 
33.21 	directly or indirectly, beneficially owns an interest in a corporation, partnership, or other 
33.22 	business association that is a controlling person.

33.23 	Sec. 7. Minnesota Statutes 2022, section 144A.70, subdivision 5, is amended to read:
33.24 		Subd. 5.Person. "Person" includes an individual, firm, corporation, partnership, limited 
33.25 	liability company, or association.

33.26 	Sec. 8. Minnesota Statutes 2022, section 144A.70, subdivision 6, is amended to read:
33.27 		Subd. 6.Supplemental nursing services agency. "Supplemental nursing services 
33.28 	agency" means a person, firm, corporation, partnership, limited liability company, or 
33.29 	association engaged for hire in the business of providing or procuring temporary employment 
34.1 	in health care facilities for nurses, nursing assistants, nurse aides, and orderlies. Supplemental 
34.2 	nursing services agency does not include an individual who only engages in providing the 
34.3 	individual's services on a temporary basis to health care facilities. Supplemental nursing 
34.4 	services agency does not include a professional home care agency licensed under section 
34.5 	144A.471 that only provides staff to other home care providers.

34.6 	Sec. 9. Minnesota Statutes 2022, section 144A.70, subdivision 7, is amended to read:
34.7 		Subd. 7.Oversight. The commissioner is responsible for the oversight of supplemental 
34.8 	nursing services agencies through annual semiannual unannounced surveys and follow-up 
34.9 	surveys, complaint investigations under sections 144A.51 to 144A.53, and other actions 
34.10 	necessary to ensure compliance with sections 144A.70 to 144A.74.

34.11 	Sec. 10. Minnesota Statutes 2022, section 144A.71, subdivision 2, is amended to read:
34.12 		Subd. 2.Application information and fee. The commissioner shall establish forms and 
34.13 	procedures for processing each supplemental nursing services agency registration application. 
34.14 	An application for a supplemental nursing services agency registration must include at least 
34.15 	the following:
34.16 	(1) the names and addresses of the owner or owners all owners and controlling persons
34.17 	of the supplemental nursing services agency;
34.18 	(2) if the owner is a corporation, copies of its articles of incorporation and current bylaws, 
34.19 	together with the names and addresses of its officers and directors;
34.20 	(3) satisfactory proof of compliance with section 144A.72, subdivision 1, clauses (5) to 
34.21 	(7) if the owner is a limited liability company, copies of its articles of organization and 
34.22 	operating agreement, together with the names and addresses of its officers and directors;
34.23 	(4) documentation that the supplemental nursing services agency has medical malpractice 
34.24 	insurance to insure against the loss, damage, or expense of a claim arising out of the death 
34.25 	or injury of any person as the result of negligence or malpractice in the provision of health 
34.26 	care services by the supplemental nursing services agency or by any employee of the agency;
34.27 	(5) documentation that the supplemental nursing services agency has an employee 
34.28 	dishonesty bond in the amount of $10,000;
34.29 	(6) documentation that the supplemental nursing services agency has insurance coverage 
34.30 	for workers' compensation for all nurses, nurse aids, and orderlies provided or procured by 
34.31 	the agency;
35.1 	(7) documentation that the supplemental nursing services agency filed with the 
35.2 	commissioner of revenue: (i) the name and address of the bank, savings bank, or savings 
35.3 	association in which the supplemental nursing services agency deposits all employee income 
35.4 	tax withholdings; and (ii) the name and address of any nurse, nurse aid, or orderly whose 
35.5 	income is derived from placement by the agency, if the agency purports the income is not 
35.6 	subject to withholding;
35.7 	(4) (8) any other relevant information that the commissioner determines is necessary to 
35.8 	properly evaluate an application for registration;
35.9 	(5) (9) a policy and procedure that describes how the supplemental nursing services 
35.10 	agency's records will be immediately available at all times to the commissioner and facility; 
35.11 	and
35.12 	(6) (10) a nonrefundable registration fee of $2,035.
35.13 	If a supplemental nursing services agency fails to provide the items in this subdivision 
35.14 	to the department, the commissioner shall immediately suspend or refuse to issue the 
35.15 	supplemental nursing services agency registration. The supplemental nursing services agency 
35.16 	may appeal the commissioner's findings according to section 144A.475, subdivisions 3a 
35.17 	and 7, except that the hearing must be conducted by an administrative law judge within 60 
35.18 	calendar days of the request for hearing assignment.

35.19 	Sec. 11. Minnesota Statutes 2022, section 144A.71, is amended by adding a subdivision 
35.20 	to read:
35.21 		Subd. 2a.Renewal applications. An applicant for registration renewal must complete 
35.22 	the registration application form supplied by the department. An application must be 
35.23 	submitted at least 60 days before the expiration of the current registration.

35.24 	Sec. 12. [144A.715] PENALTIES.
35.25 		Subdivision 1.Authority. The fines imposed under this section are in accordance with 
35.26 	section 144.653, subdivision 6.
35.27 		Subd. 2.Fines. Each violation of sections 144A.70 to 144A.74, not corrected at the time 
35.28 	of a follow-up survey, is subject to a fine. A fine must be assessed according to the schedules 
35.29 	established in the sections violated.
35.30 		Subd. 3.Failure to correct. If, upon a subsequent follow-up survey after a fine has been 
35.31 	imposed under subdivision 2, a violation is still not corrected, another fine shall be assessed. 
35.32 	The fine shall be double the amount of the previous fine.
36.1 		Subd. 4.Payment of fines. Payment of fines is due 15 business days from the registrant's 
36.2 	receipt of notice of the fine from the department.

36.3 	Sec. 13. Minnesota Statutes 2022, section 144A.72, subdivision 1, is amended to read:
36.4 		Subdivision 1.Minimum criteria. (a) The commissioner shall require that, as a condition 
36.5 	of registration:
36.6 	(1) all owners and controlling persons must complete a background study under section 
36.7 	144.057 and receive a clearance or set aside of any disqualification;
36.8 	(1) (2) the supplemental nursing services agency shall document that each temporary 
36.9 	employee provided to health care facilities currently meets the minimum licensing, training, 
36.10 	and continuing education standards for the position in which the employee will be working
36.11 	and verifies competency for the position. A violation of this provision may be subject to a 
36.12 	fine of $3,000;
36.13 	(2) (3) the supplemental nursing services agency shall comply with all pertinent 
36.14 	requirements relating to the health and other qualifications of personnel employed in health 
36.15 	care facilities;
36.16 	(3) (4) the supplemental nursing services agency must not restrict in any manner the 
36.17 	employment opportunities of its employees;. A violation of this provision may be subject 
36.18 	to a fine of $3,000;
36.19 	(4) the supplemental nursing services agency shall carry medical malpractice insurance 
36.20 	to insure against the loss, damage, or expense incident to a claim arising out of the death 
36.21 	or injury of any person as the result of negligence or malpractice in the provision of health 
36.22 	care services by the supplemental nursing services agency or by any employee of the agency;
36.23 	(5) the supplemental nursing services agency shall carry an employee dishonesty bond 
36.24 	in the amount of $10,000;
36.25 	(6) the supplemental nursing services agency shall maintain insurance coverage for 
36.26 	workers' compensation for all nurses, nursing assistants, nurse aides, and orderlies provided 
36.27 	or procured by the agency;
36.28 	(7) the supplemental nursing services agency shall file with the commissioner of revenue: 
36.29 	(i) the name and address of the bank, savings bank, or savings association in which the 
36.30 	supplemental nursing services agency deposits all employee income tax withholdings; and 
36.31 	(ii) the name and address of any nurse, nursing assistant, nurse aide, or orderly whose income 
37.1 	is derived from placement by the agency, if the agency purports the income is not subject 
37.2 	to withholding;
37.3 	(8) (5) the supplemental nursing services agency must not, in any contract with any 
37.4 	employee or health care facility, require the payment of liquidated damages, employment 
37.5 	fees, or other compensation should the employee be hired as a permanent employee of a 
37.6 	health care facility;. A violation of this provision may be subject to a fine of $3,000;
37.7 	(9) (6) the supplemental nursing services agency shall document that each temporary 
37.8 	employee provided to health care facilities is an employee of the agency and is not an 
37.9 	independent contractor; and
37.10 	(10) (7) the supplemental nursing services agency shall retain all records for five calendar 
37.11 	years. All records of the supplemental nursing services agency must be immediately available 
37.12 	to the department.
37.13 	(b) In order to retain registration, the supplemental nursing services agency must provide 
37.14 	services to a health care facility during the year in Minnesota within the past 12 months
37.15 	preceding the supplemental nursing services agency's registration renewal date.

37.16 	Sec. 14. Minnesota Statutes 2022, section 144A.73, is amended to read:
37.17 	144A.73 COMPLAINT SYSTEM.
37.18 	The commissioner shall establish a system for reporting complaints against a supplemental 
37.19 	nursing services agency or its employees. Complaints may be made by any member of the 
37.20 	public. Complaints against a supplemental nursing services agency shall be investigated by 
37.21 	the Office of Health Facility Complaints commissioner of health under sections 144A.51
37.22 	to 144A.53.

37.23 	Sec. 15. Minnesota Statutes 2023 Supplement, section 145.561, subdivision 4, is amended 
37.24 	to read:
37.25 		Subd. 4.988 telecommunications fee. (a) In compliance with the National Suicide 
37.26 	Hotline Designation Act of 2020, the commissioner shall impose a monthly statewide fee 
37.27 	on each subscriber of a wireline, wireless, or IP-enabled voice service at a rate that provides
37.28 	must pay a monthly fee to provide for the robust creation, operation, and maintenance of a 
37.29 	statewide 988 suicide prevention and crisis system.
37.30 	(b) The commissioner shall annually recommend to the Public Utilities Commission an 
37.31 	adequate and appropriate fee to implement this section. The amount of the fee must comply 
38.1 	with the limits in paragraph (c). The commissioner shall provide telecommunication service 
38.2 	providers and carriers a minimum of 45 days' notice of each fee change.
38.3 	(c) (b) The amount of the 988 telecommunications fee must not be more than 25 is 12
38.4 	cents per month on or after January 1, 2024, for each consumer access line, including trunk 
38.5 	equivalents as designated by the commission Public Utilities Commission pursuant to section 
38.6 	403.11, subdivision 1. The 988 telecommunications fee must be the same for all subscribers.
38.7 	(d) (c) Each wireline, wireless, and IP-enabled voice telecommunication service provider 
38.8 	shall collect the 988 telecommunications fee and transfer the amounts collected to the 
38.9 	commissioner of public safety in the same manner as provided in section 403.11, subdivision 
38.10 	1, paragraph (d).
38.11 	(e) (d) The commissioner of public safety shall deposit the money collected from the 
38.12 	988 telecommunications fee to the 988 special revenue account established in subdivision 
38.13 	3.
38.14 	(f) (e) All 988 telecommunications fee revenue must be used to supplement, and not 
38.15 	supplant, federal, state, and local funding for suicide prevention.
38.16 	(g) (f) The 988 telecommunications fee amount shall be adjusted as needed to provide 
38.17 	for continuous operation of the lifeline centers and 988 hotline, volume increases, and 
38.18 	maintenance.
38.19 	(h) (g) The commissioner shall annually report to the Federal Communications 
38.20 	Commission on revenue generated by the 988 telecommunications fee.

38.21 	EFFECTIVE DATE. This section is effective the day following final enactment.

38.22 	Sec. 16. REPEALER.
 38.23 	Minnesota Statutes 2023 Supplement, section 144.0528, is repealed.

38.24 	ARTICLE 6
38.25 	DEPARTMENT OF CHILDREN, YOUTH, AND FAMILIES

38.26 	Section 1. [142A.045] CHILDREN, YOUTH, AND FAMILIES 
38.27 	INTERGOVERNMENTAL ADVISORY COMMITTEE.
38.28 	(a) An intergovernmental advisory committee is established to provide advice, 
38.29 	consultation, and recommendations to the commissioner on the planning, design, 
38.30 	administration, funding, and evaluation of services to children, youth, and families. 
38.31 	Notwithstanding section 15.059, the commissioner, the Association of Minnesota Counties, 
39.1 	and the Minnesota Association of County Social Services Administrators must codevelop 
39.2 	and execute a process to administer the committee that ensures each county is represented. 
39.3 	The committee must meet at least quarterly and special meetings may be called by the 
39.4 	committee chair or a majority of the members.
39.5 	(b) Subject to section 15.059, the commissioner may reimburse committee members or 
39.6 	their alternates for allowable expenses while engaged in their official duties as committee 
39.7 	members.
39.8 	(c) Notwithstanding section 15.059, the intergovernmental advisory committee does not 
39.9 	expire.

39.10 	Sec. 2. [142B.47] TRAINING ON RISK OF SUDDEN UNEXPECTED INFANT 
39.11 	DEATH AND ABUSIVE HEAD TRAUMA FOR CHILD FOSTER CARE 
39.12 	PROVIDERS.
39.13 	(a) Licensed child foster care providers that care for infants or children through five 
39.14 	years of age must document that before caregivers assist in the care of infants or children 
39.15 	through five years of age, they are instructed on the standards in section 142B.46 and receive 
39.16 	training on reducing the risk of sudden unexpected infant death and abusive head trauma 
39.17 	from shaking infants and young children. This section does not apply to emergency relative 
39.18 	placement under section 142B.06. The training on reducing the risk of sudden unexpected 
39.19 	infant death and abusive head trauma may be provided as:
39.20 	(1) orientation training to child foster care providers who care for infants or children 
39.21 	through five years of age under Minnesota Rules, part 2960.3070, subpart 1; or
39.22 	(2) in-service training to child foster care providers who care for infants or children 
39.23 	through five years of age under Minnesota Rules, part 2960.3070, subpart 2.
39.24 	(b) Training required under this section must be at least one hour in length and must be 
39.25 	completed at least once every five years. At a minimum, the training must address the risk 
39.26 	factors related to sudden unexpected infant death and abusive head trauma, means of reducing 
39.27 	the risk of sudden unexpected infant death and abusive head trauma, and license holder 
39.28 	communication with parents regarding reducing the risk of sudden unexpected infant death 
39.29 	and abusive head trauma.
39.30 	(c) Training for child foster care providers must be approved by the county or private 
39.31 	licensing agency that is responsible for monitoring the child foster care provider under 
39.32 	section 142B.30. The approved training fulfills, in part, training required under Minnesota 
39.33 	Rules, part 2960.3070.

40.1 	Sec. 3. Minnesota Statutes 2022, section 245A.07, subdivision 6, is amended to read:
40.2 		Subd. 6.Appeal of multiple sanctions. (a) When the license holder appeals more than 
40.3 	one licensing action or sanction that were simultaneously issued by the commissioner, the 
40.4 	license holder shall specify the actions or sanctions that are being appealed.
40.5 	(b) If there are different timelines prescribed in statutes for the licensing actions or 
40.6 	sanctions being appealed, the license holder must submit the appeal within the longest of 
40.7 	those timelines specified in statutes.
40.8 	(c) The appeal must be made in writing by certified mail or, by personal service, or 
40.9 	through the provider licensing and reporting hub. If mailed, the appeal must be postmarked 
40.10 	and sent to the commissioner within the prescribed timeline with the first day beginning 
40.11 	the day after the license holder receives the certified letter. If a request is made by personal 
40.12 	service, it must be received by the commissioner within the prescribed timeline with the 
40.13 	first day beginning the day after the license holder receives the certified letter. If the appeal 
40.14 	is made through the provider hub, the appeal must be received by the commissioner within 
40.15 	the prescribed timeline with the first day beginning the day after the commissioner issued 
40.16 	the order through the hub.
40.17 	(d) When there are different timelines prescribed in statutes for the appeal of licensing 
40.18 	actions or sanctions simultaneously issued by the commissioner, the commissioner shall 
40.19 	specify in the notice to the license holder the timeline for appeal as specified under paragraph 
40.20 	(b).

40.21 	Sec. 4. Minnesota Statutes 2022, section 245A.10, subdivision 1, as amended by Laws 
40.22 	2024, chapter 80, article 2, section 48, is amended to read:
40.23 		Subdivision 1.Application or license fee required, programs exempt from fee. (a) 
40.24 	Unless exempt under paragraph (b), the commissioner shall charge a fee for evaluation of 
40.25 	applications and inspection of programs which are licensed under this chapter.
40.26 	(b) Except as provided under subdivision 2, no application or license fee shall be charged 
40.27 	for a child foster residence setting, adult foster care, or a community residential setting.

40.28 	Sec. 5. Minnesota Statutes 2022, section 245A.10, subdivision 2, as amended by Laws 
40.29 	2024, chapter 80, article 2, section 49, is amended to read:
40.30 		Subd. 2.County fees for applications and licensing inspections. (a) For purposes of 
40.31 	adult foster care and child foster residence setting licensing and licensing the physical plant 
40.32 	of a community residential setting, under this chapter, a county agency may charge a fee to 
41.1 	a corporate applicant or corporate license holder to recover the actual cost of licensing 
41.2 	inspections, not to exceed $500 annually.
41.3 	(b) Counties may elect to reduce or waive the fees in paragraph (a) under the following 
41.4 	circumstances:
41.5 	(1) in cases of financial hardship;
41.6 	(2) if the county has a shortage of providers in the county's area; or
41.7 	(3) for new providers.

41.8 	Sec. 6. Minnesota Statutes 2022, section 245A.144, is amended to read:
41.9 	245A.144 TRAINING ON RISK OF SUDDEN UNEXPECTED INFANT DEATH 
41.10 	AND ABUSIVE HEAD TRAUMA FOR CHILD FOSTER CARE PROVIDERS.
41.11 	(a) Licensed child foster care providers that care for infants or children through five 
41.12 	years of age must document that before staff persons and caregivers assist in the care of 
41.13 	infants or children through five years of age, they are instructed on the standards in section 
41.14 	245A.1435142B.46 and receive training on reducing the risk of sudden unexpected infant 
41.15 	death and abusive head trauma from shaking infants and young children. This section does 
41.16 	not apply to emergency relative placement under section 245A.035. The training on reducing 
41.17 	the risk of sudden unexpected infant death and abusive head trauma may be provided as:
41.18 	(1) orientation training to child foster care providers, who care for infants or children 
41.19 	through five years of age, under Minnesota Rules, part 2960.3070, subpart 1; or
41.20 	(2) in-service training to child foster care providers, who care for infants or children 
41.21 	through five years of age, under Minnesota Rules, part 2960.3070, subpart 2.
41.22 	(b) Training required under this section must be at least one hour in length and must be 
41.23 	completed at least once every five years. At a minimum, the training must address the risk 
41.24 	factors related to sudden unexpected infant death and abusive head trauma, means of reducing 
41.25 	the risk of sudden unexpected infant death and abusive head trauma, and license holder 
41.26 	communication with parents regarding reducing the risk of sudden unexpected infant death 
41.27 	and abusive head trauma.
41.28 	(c) Training for child foster care providers must be approved by the county or private 
41.29 	licensing agency that is responsible for monitoring the child foster care provider under 
41.30 	section 245A.16. The approved training fulfills, in part, training required under Minnesota 
41.31 	Rules, part 2960.3070.

42.1 	Sec. 7. Minnesota Statutes 2023 Supplement, section 245A.16, subdivision 1, as amended 
42.2 	by Laws 2024, chapter 80, article 2, section 65, is amended to read:
42.3 		Subdivision 1.Delegation of authority to agencies. (a) County agencies that have been 
42.4 	designated by the commissioner to perform licensing functions and activities under section 
42.5 	245A.04; to recommend denial of applicants under section 245A.05; to issue correction 
42.6 	orders, to issue variances, and recommend a conditional license under section 245A.06; or 
42.7 	to recommend suspending or revoking a license or issuing a fine under section 245A.07, 
42.8 	shall comply with rules and directives of the commissioner governing those functions and 
42.9 	with this section. The following variances are excluded from the delegation of variance 
42.10 	authority and may be issued only by the commissioner:
42.11 	(1) dual licensure of family child foster care and family adult foster care, dual licensure 
42.12 	of child foster residence setting and community residential setting, and dual licensure of 
42.13 	family adult foster care and family child care;
42.14 	(2) until the responsibility for family child foster care transfers to the commissioner of 
42.15 	children, youth, and families under Laws 2023, chapter 70, article 12, section 30, dual 
42.16 	licensure of family child foster care and family adult foster care;
42.17 	(3) until the responsibility for family child care transfers to the commissioner of children, 
42.18 	youth, and families under Laws 2023, chapter 70, article 12, section 30, dual licensure of 
42.19 	family adult foster care and family child care;
42.20 	(4) adult foster care maximum capacity;
42.21 	(3) (5) adult foster care minimum age requirement;
42.22 	(4) (6) child foster care maximum age requirement;
42.23 	(5) (7) variances regarding disqualified individuals;
42.24 	(6) (8) the required presence of a caregiver in the adult foster care residence during 
42.25 	normal sleeping hours;
42.26 	(7) (9) variances to requirements relating to chemical use problems of a license holder 
42.27 	or a household member of a license holder; and
42.28 	(8) (10) variances to section 142B.46 for the use of a cradleboard for a cultural 
42.29 	accommodation.
42.30 	(b) Once the respective responsibilities transfer from the commissioner of human services 
42.31 	to the commissioner of children, youth, and families, under Laws 2023, chapter 70, article 
42.32 	12, section 30, the commissioners of human services and children, youth, and families must 
43.1 	both approve a variance for dual licensure of family child foster care and family adult foster 
43.2 	care or family adult foster care and family child care. Variances under this paragraph are 
43.3 	excluded from the delegation of variance authority and may be issued only by both 
43.4 	commissioners.
43.5 	(b) (c) For family adult day services programs, the commissioner may authorize licensing 
43.6 	reviews every two years after a licensee has had at least one annual review.
43.7 	(c) (d) A license issued under this section may be issued for up to two years.
43.8 	(d) (e) During implementation of chapter 245D, the commissioner shall consider:
43.9 	(1) the role of counties in quality assurance;
43.10 	(2) the duties of county licensing staff; and
43.11 	(3) the possible use of joint powers agreements, according to section 471.59, with counties 
43.12 	through which some licensing duties under chapter 245D may be delegated by the 
43.13 	commissioner to the counties.
43.14 	Any consideration related to this paragraph must meet all of the requirements of the corrective 
43.15 	action plan ordered by the federal Centers for Medicare and Medicaid Services.
43.16 	(e) (f) Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or 
43.17 	successor provisions; and section 245D.061 or successor provisions, for family child foster 
43.18 	care programs providing out-of-home respite, as identified in section 245D.03, subdivision 
43.19 	1, paragraph (b), clause (1), is excluded from the delegation of authority to county agencies.

43.20 	Sec. 8. Minnesota Statutes 2022, section 245A.175, is amended to read:
43.21 	245A.175 CHILD FOSTER CARE TRAINING REQUIREMENT; MENTAL 
43.22 	HEALTH TRAINING; FETAL ALCOHOL SPECTRUM DISORDERS TRAINING.
43.23 	Prior to a nonemergency placement of a child in a foster care home, the child foster care 
43.24 	license holder and caregivers in foster family and treatment foster care settings, and all staff 
43.25 	providing care in foster residence settings must complete two hours of training that addresses 
43.26 	the causes, symptoms, and key warning signs of mental health disorders; cultural 
43.27 	considerations; and effective approaches for dealing with a child's behaviors. At least one 
43.28 	hour of the annual training requirement for the foster family license holder and caregivers, 
43.29 	and foster residence staff must be on children's mental health issues and treatment. Except 
43.30 	for providers and services under chapter 245D, the annual training must also include at least 
43.31 	one hour of training on fetal alcohol spectrum disorders, which must be counted toward the 
43.32 	12 hours of required in-service training per year. Short-term substitute caregivers are exempt 
44.1 	from these requirements. Training curriculum shall be approved by the commissioner of 
44.2 	human services.

44.3 	Sec. 9. Minnesota Statutes 2023 Supplement, section 245A.66, subdivision 4, as amended 
44.4 	by Laws 2024, chapter 80, article 2, section 73, is amended to read:
44.5 		Subd. 4.Ongoing training requirement. (a) In addition to the orientation training 
44.6 	required by the applicable licensing rules and statutes, children's residential facility license 
44.7 	holders must provide a training annually on the maltreatment of minors reporting 
44.8 	requirements and definitions in chapter 260E to each mandatory reporter, as described in 
44.9 	section 260E.06, subdivision 1.
44.10 	(b) In addition to the orientation training required by the applicable licensing rules and 
44.11 	statutes, all foster residence setting staff and volunteers that are mandatory reporters as 
44.12 	described in section 260E.06, subdivision 1, must complete training each year on the 
44.13 	maltreatment of minors reporting requirements and definitions in chapter 260E.

44.14 	Sec. 10. Minnesota Statutes 2022, section 256.029, as amended by Laws 2024, chapter 
44.15 	80, article 1, section 66, is amended to read:
44.16 	256.029 DOMESTIC VIOLENCE INFORMATIONAL BROCHURE.
44.17 	(a) The commissioner shall provide a domestic violence informational brochure that 
44.18 	provides information about the existence of domestic violence waivers for eligible public 
44.19 	assistance applicants to all applicants of general assistance, medical assistance, and 
44.20 	MinnesotaCare. The brochure must explain that eligible applicants may be temporarily 
44.21 	waived from certain program requirements due to domestic violence. The brochure must 
44.22 	provide information about services and other programs to help victims of domestic violence.
44.23 	(b) The brochure must be funded with TANF funds.
44.24 	(c) The commissioner must work with the commissioner of children, youth, and families 
44.25 	to create a brochure that meets the requirements of this section and section 142G.05.

44.26 	Sec. 11. Minnesota Statutes 2023 Supplement, section 256M.42, is amended by adding a 
44.27 	subdivision to read:
44.28 		Subd. 7.Adult protection grant allocation under Reform 2020. The requirements of 
44.29 	subdivisions 2 to 6 apply to the Reform 2020 adult protection state grants in Minnesota 
44.30 	Statutes 2013 Supplement, section 256M.40, subdivision 1, and Laws 2013, chapter 108, 
45.1 	article 15. The Reform 2020 state adult protection grant must be allocated annually consistent 
45.2 	with the calendar year 2023 allocation made under section 256M.40.

45.3 	Sec. 12. Laws 2023, chapter 70, article 12, section 30, subdivision 2, is amended to read:
45.4 		Subd. 2.Department of Human Services. The powers and duties of the Department 
45.5 	of Human Services with respect to the following responsibilities and related elements are 
45.6 	transferred to the Department of Children, Youth, and Families according to Minnesota 
45.7 	Statutes, section 15.039:
45.8 	(1) family services and community-based collaboratives under Minnesota Statutes, 
45.9 	section 124D.23;
45.10 	(2) child care programs under Minnesota Statutes, chapter 119B;
45.11 	(3) Parent Aware quality rating and improvement system under Minnesota Statutes, 
45.12 	section 124D.142;
45.13 	(4) migrant child care services under Minnesota Statutes, section 256M.50;
45.14 	(5) early childhood and school-age professional development training under Laws 2007, 
45.15 	chapter 147, article 2, section 56;
45.16 	(6) licensure of family child care and child care centers, child foster care, and private 
45.17 	child placing agencies under Minnesota Statutes, chapter 245A;
45.18 	(7) certification of license-exempt child care centers under Minnesota Statutes, chapter 
45.19 	245H;
45.20 	(8) program integrity and fraud related to the Child Care Assistance Program (CCAP), 
45.21 	the Minnesota Family Investment Program (MFIP), and the Supplemental Nutrition 
45.22 	Assistance Program (SNAP) under Minnesota Statutes, chapters 119B and 245E;
45.23 	(9) SNAP under Minnesota Statutes, sections 256D.60 to 256D.63;
45.24 	(10) electronic benefit transactions under Minnesota Statutes, sections 256.9862, 
45.25 	256.9863, 256.9865, 256.987, 256.9871, 256.9872, and 256J.77;
45.26 	(11) Minnesota food assistance program under Minnesota Statutes, section 256D.64;
45.27 	(12) Minnesota food shelf program under Minnesota Statutes, section 256E.34;
45.28 	(13) MFIP and Temporary Assistance for Needy Families (TANF) under Minnesota 
45.29 	Statutes, sections 256.9864 and 256.9865 and chapters 256J and 256P;
45.30 	(14) Diversionary Work Program (DWP) under Minnesota Statutes, section 256J.95;
46.1 	(15) resettlement programs under Minnesota Statutes, section 256B.06, subdivision 6
46.2 	American Indian food sovereignty program under Minnesota Statutes, section 256E.342;
46.3 	(16) child abuse under Minnesota Statutes, chapter 256E;
46.4 	(17) reporting of the maltreatment of minors under Minnesota Statutes, chapter 260E;
46.5 	(18) children in voluntary foster care for treatment under Minnesota Statutes, chapter 
46.6 	260D;
46.7 	(19) juvenile safety and placement under Minnesota Statutes, chapter 260C;
46.8 	(20) the Minnesota Indian Family Preservation Act under Minnesota Statutes, sections 
46.9 	260.751 to 260.835;
46.10 	(21) the Interstate Compact for Juveniles under Minnesota Statutes, section 260.515, 
46.11 	and the Interstate Compact on the Placement of Children under Minnesota Statutes, sections 
46.12 	260.851 to 260.93;
46.13 	(22) adoption under Minnesota Statutes, sections 259.20 to 259.89;
46.14 	(23) Northstar Care for Children under Minnesota Statutes, chapter 256N;
46.15 	(24) child support under Minnesota Statutes, chapters 13, 13B, 214, 256, 256J, 257, 259, 
46.16 	518, 518A, 518C, 551, 552, 571, and 588, and Minnesota Statutes, section 609.375;
46.17 	(25) community action programs under Minnesota Statutes, sections 256E.30 to 256E.32; 
46.18 	and
46.19 	(26) Family Assets for Independence in Minnesota under Minnesota Statutes, section 
46.20 	256E.35.;
46.21 	(27) capital for emergency food distribution facilities under Laws 2023, chapter 70, 
46.22 	article 20, section 2, subdivision 24, paragraph (i);
46.23 	(28) community resource centers under Laws 2023, chapter 70, article 14, section 42;
46.24 	(29) diaper distribution grant program under Minnesota Statutes, section 256E.38;
46.25 	(30) emergency services program under Minnesota Statutes, section 256E.36;
46.26 	(31) emergency shelter facilities grants under Laws 2023, chapter 70, article 11, section 
46.27 	14;
46.28 	(32) Family First Prevention Services Act support and development grant program under 
46.29 	Minnesota Statutes, section 256.4793;
47.1 	(33) Family First Prevention Services Act kinship navigator program under Minnesota 
47.2 	Statutes, section 256.4794;
47.3 	(34) family first prevention and early intervention allocation program under Minnesota 
47.4 	Statutes, section 260.014;
47.5 	(35) grants for prepared meals food relief under Laws 2023, chapter 70, article 12, section 
47.6 	33;
47.7 	(36) Homeless Youth Act under Minnesota Statutes, sections 256K.45 to 256K.451;
47.8 	(37) homeless youth cash stipend pilot under Laws 2023, chapter 70, article 11, section 
47.9 	13;
47.10 	(38) independent living skills for foster youth under Laws 2023, chapter 70, article 14, 
47.11 	section 41;
47.12 	(39) legacy adoption assistance under Minnesota Statutes, chapter 259A;
47.13 	(40) opiate epidemic response fund under Minnesota Statutes, section 256.043;
47.14 	(41) quality parenting initiative grant program under Laws 2023, chapter 70, article 14, 
47.15 	section 1;
47.16 	(42) relative custody assistance under Minnesota Statutes, section 257.85;
47.17 	(43) reimbursement to counties and Tribes for certain out-of-home placements under 
47.18 	Minnesota Statutes, section 477A.0126;
47.19 	(44) safe harbor shelter and housing under Minnesota Statutes, section 256K.47;
47.20 	(45) shelter-linked youth mental health grants under Minnesota Statutes, section 256K.46;
47.21 	(46) Supplemental Nutrition Assistance Program outreach under Minnesota Statutes, 
47.22 	section 256D.65; and
47.23 	(47) transitional housing programs under Minnesota Statutes, section 256E.33.

47.24 	Sec. 13. Laws 2023, chapter 70, article 12, section 30, subdivision 3, is amended to read:
47.25 		Subd. 3.Department of Education. The powers and duties of the Department of 
47.26 	Education with respect to the following responsibilities and related elements are transferred 
47.27 	to the Department of Children, Youth, and Families according to Minnesota Statutes, section 
47.28 	15.039:
47.29 	(1) Head Start Program and Early Head Start under Minnesota Statutes, sections 119A.50
47.30 	to 119A.545;
48.1 	(2) the early childhood screening program under Minnesota Statutes, sections 121A.16
48.2 	to 121A.19;
48.3 	(3) early learning scholarships under Minnesota Statutes, section 124D.165;
48.4 	(4) the interagency early childhood intervention system under Minnesota Statutes, 
48.5 	sections 125A.259 to 125A.48;
48.6 	(5) voluntary prekindergarten programs and school readiness plus programs under 
48.7 	Minnesota Statutes, section 124D.151;
48.8 	(6) early childhood family education programs under Minnesota Statutes, sections 
48.9 	124D.13 to 124D.135;
48.10 	(7) school readiness under Minnesota Statutes, sections 124D.15 to 124D.16; and
48.11 	(8) after-school community learning programs under Minnesota Statutes, section 
48.12 	124D.2211.; and
48.13 	(9) grow your own program under Minnesota Statutes, section 122A.731.

48.14 	Sec. 14. Laws 2024, chapter 80, article 1, section 34, subdivision 2, is amended to read:
48.15 		Subd. 2.Definitions. (a) For purposes of this section, the following definitions have the 
48.16 	meanings given.
48.17 	(b) "Associated entity" means a provider or vendor owned or controlled by an excluded 
48.18 	individual.
48.19 	(c) "Associated individual" means an individual or entity that has a relationship with 
48.20 	the business or its owners or controlling individuals, such that the individual or entity would 
48.21 	have knowledge of the financial practices of the program in question.
48.22 	(d) "Excluded" means removed under other authorities from a program administered by 
48.23 	a Minnesota state or federal agency, including a final determination to stop payments.
48.24 	(e) "Individual" means a natural person providing products or services as a provider or 
48.25 	vendor.
48.26 	(f) "Provider" means any entity, individual, owner, controlling individual, license holder, 
48.27 	director, or managerial official of an entity receiving payment from a program administered 
48.28 	by a Minnesota state or federal agency.
48.29 	(g) "Vendor" means a private individual or entity contracted to provide services for, on 
48.30 	behalf of, or with money provided by the commissioner.

49.1 	Sec. 15. Laws 2024, chapter 80, article 1, section 96, is amended to read:
49.2 	Sec. 96. REVISOR INSTRUCTION.
 49.3 	The revisor of statutes must renumber sections or subdivisions in Column A as Column 
49.4 	B.

49.5		Column A
	Column B
	
49.6		256.01, subdivision 12
	142A.03, subdivision 7
	
49.7		256.01, subdivision 12a
	142A.03, subdivision 8
	
49.8		256.01, subdivision 15
	142A.03, subdivision 10
	
49.9		256.01, subdivision 36
	142A.03, subdivision 22
	
49.10		256.0112, subdivision 10
	142A.07, subdivision 8
	
49.11		256.019, subdivision 2
	142A.28, subdivision 2
	
49.12		256.043
	142A.50
	
49.13		256.4793
	142A.45
	
49.14		256.4794
	142A.451
	
49.15		256.82
	142A.418
	
49.16		256.9831
	142A.13, subdivision 14
	
49.17		256.9862, subdivision 1
	142A.13, subdivision 10
	
49.18		256.9862, subdivision 2
	142A.13, subdivision 11
	
49.19		256.9863
	142A.13, subdivision 5
	
49.20		256.9865, subdivision 1
	142A.13, subdivision 6
	
49.21		256.9865, subdivision 2
	142A.13, subdivision 7
	
49.22		256.9865, subdivision 3
	142A.13, subdivision 8
	
49.23		256.9865, subdivision 4
	142A.13, subdivision 9
	
49.24		256.987, subdivision 2
	142A.13, subdivision 2
	
49.25		256.987, subdivision 3
	142A.13, subdivision 3
	
49.26		256.987, subdivision 4
	142A.13, subdivision 4
	
49.27		256.9871
	142A.13, subdivision 12
	
49.28		256.9872
	142A.13, subdivision 13
	
49.29		256.997
	142A.30
	
49.30		256.998
	142A.29
	
49.31		256B.06, subdivision 6
	142A.40
	
49.32		256E.20
	142A.41
	
49.33		256E.21
	142A.411
	
49.34		256E.22
	142A.412
	
49.35		256E.24
	142A.413
	
49.36		256E.25
	142A.414
	
50.1		256E.26
	142A.415
	
50.2		256E.27
	142A.416
	
50.3		256E.28
	142A.417
	
50.4		256E.38
	142A.42
	
50.5		256N.001
	142A.60
	
50.6		256N.01
	142A.601
	
50.7		256N.02
	142A.602
	
50.8		256N.20
	142A.603
	
50.9		256N.21
	142A.604
	
50.10		256N.22
	142A.605
	
50.11		256N.23
	142A.606
	
50.12		256N.24
	142A.607
	
50.13		256N.25
	142A.608
	
50.14		256N.26
	142A.609
	
50.15		256N.261
	142A.61
	
50.16		256N.27
	142A.611
	
50.17		256N.28
	142A.612
	
50.18		257.175
	142A.03, subdivision 32
	
50.19		257.33, subdivision 1
	142A.03, subdivision 33
	
50.20		257.33, subdivision 2
	142A.03, subdivision 34
	
50.21		260.014
	142A.452
	
50.22		299A.72
	142A.75
	
50.23		299A.73
	142A.43
	
50.24		299A.95
	142A.76
	
50.25 	The revisor of statutes must correct any statutory cross-references consistent with this 
50.26 	renumbering.

50.27 	Sec. 16. Laws 2024, chapter 80, article 2, section 5, subdivision 21, is amended to read:
50.28 		Subd. 21.Plan for transfer of clients and records upon closure. (a) Except for license 
50.29 	holders who reside on the premises and child care providers, an applicant for initial or 
50.30 	continuing licensure or certification must submit a written plan indicating how the program
50.31 	or private agency will ensure the transfer of clients and records for both open and closed 
50.32 	cases if the program closes. The plan must provide for managing private and confidential 
50.33 	information concerning the clients of the program clients or private agency. The plan must 
50.34 	also provide for notifying affected clients of the closure at least 25 days prior to closure, 
50.35 	including information on how to access their records. A controlling individual of the program 
50.36 	or private agency must annually review and sign the plan.
51.1 	(b) Plans for the transfer of open cases and case records must specify arrangements the 
51.2 	program or private agency will make to transfer clients to another provider or county agency 
51.3 	for continuation of services and to transfer the case record with the client.
51.4 	(c) Plans for the transfer of closed case records must be accompanied by a signed 
51.5 	agreement or other documentation indicating that a county or a similarly licensed provider 
51.6 	has agreed to accept and maintain the program's or private agency's closed case records and 
51.7 	to provide follow-up services as necessary to affected clients.

51.8 	Sec. 17. Laws 2024, chapter 80, article 2, section 7, subdivision 2, is amended to read:
51.9 		Subd. 2.County fees for applications and licensing inspections. (a) A county agency 
51.10 	may charge a license fee to an applicant or license holder not to exceed $50 for a one-year 
51.11 	license or $100 for a two-year license.
51.12 	(b) Counties may allow providers to pay the applicant fee in paragraph (a) on an 
51.13 	installment basis for up to one year. If the provider is receiving child care assistance payments 
51.14 	from the state, the provider may have the fee under paragraph (a) deducted from the child 
51.15 	care assistance payments for up to one year and the state shall reimburse the county for the 
51.16 	county fees collected in this manner.
51.17 	(c) For purposes of child foster care licensing under this chapter, a county agency may 
51.18 	charge a fee to a corporate applicant or corporate license holder to recover the actual cost 
51.19 	of licensing inspections, not to exceed $500 annually.
51.20 	(d) Counties may elect to reduce or waive the fees in paragraph (c) under the following 
51.21 	circumstances:
51.22 	(1) in cases of financial hardship;
51.23 	(2) if the county has a shortage of providers in the county's area; or
51.24 	(3) for new providers.

51.25 	Sec. 18. Laws 2024, chapter 80, article 2, section 10, subdivision 6, is amended to read:
51.26 		Subd. 6.Appeal of multiple sanctions. (a) When the license holder appeals more than 
51.27 	one licensing action or sanction that were simultaneously issued by the commissioner, the 
51.28 	license holder shall specify the actions or sanctions that are being appealed.
51.29 	(b) If there are different timelines prescribed in statutes for the licensing actions or 
51.30 	sanctions being appealed, the license holder must submit the appeal within the longest of 
51.31 	those timelines specified in statutes.
52.1 	(c) The appeal must be made in writing by certified mail or, by personal service, or 
52.2 	through the provider licensing and reporting hub. If mailed, the appeal must be postmarked 
52.3 	and sent to the commissioner within the prescribed timeline with the first day beginning 
52.4 	the day after the license holder receives the certified letter. If a request is made by personal 
52.5 	service, it must be received by the commissioner within the prescribed timeline with the 
52.6 	first day beginning the day after the license holder receives the certified letter. If the appeal 
52.7 	is made through the provider hub, the appeal must be received by the commissioner within 
52.8 	the prescribed timeline with the first day beginning the day after the commissioner issued 
52.9 	the order through the hub.
52.10 	(d) When there are different timelines prescribed in statutes for the appeal of licensing 
52.11 	actions or sanctions simultaneously issued by the commissioner, the commissioner shall 
52.12 	specify in the notice to the license holder the timeline for appeal as specified under paragraph 
52.13 	(b).

52.14 	Sec. 19. Laws 2024, chapter 80, article 2, section 16, subdivision 1, is amended to read:
52.15 		Subdivision 1.Delegation of authority to agencies. (a) County agencies and private 
52.16 	agencies that have been designated or licensed by the commissioner to perform licensing 
52.17 	functions and activities under section 142B.10and background studies for family child care
52.18 	under chapter 245C; to recommend denial of applicants under section 142B.15; to issue 
52.19 	correction orders, to issue variances, and to recommend a conditional license under section 
52.20 	142B.16; or to recommend suspending or revoking a license or issuing a fine under section 
52.21 	142B.18, shall comply with rules and directives of the commissioner governing those 
52.22 	functions and with this section. The following variances are excluded from the delegation 
52.23 	of variance authority and may be issued only by the commissioner:
52.24 	(1) dual licensure of family child care and family child foster care, dual licensure of 
52.25 	family child foster care and family adult foster care, dual licensure of child foster residence 
52.26 	setting and community residential setting, and dual licensure of family adult foster care and 
52.27 	family child care;
52.28 	(2) child foster care maximum age requirement;
52.29 	(3) variances regarding disqualified individuals;
52.30 	(4) variances to requirements relating to chemical use problems of a license holder or a 
52.31 	household member of a license holder; and
53.1 	(5) variances to section 142B.74 for a time-limited period. If the commissioner grants 
53.2 	a variance under this clause, the license holder must provide notice of the variance to all 
53.3 	parents and guardians of the children in care.
53.4 	(b) The commissioners of human services and children, youth, and families must both 
53.5 	approve a variance for dual licensure of family child foster care and family adult foster care 
53.6 	or family adult foster care and family child care. Variances under this paragraph are excluded 
53.7 	from the delegation of variance authority and may be issued only by both commissioners.
53.8 	(c) Except as provided in section 142B.41, subdivision 4, paragraph (e), a county agency 
53.9 	must not grant a license holder a variance to exceed the maximum allowable family child 
53.10 	care license capacity of 14 children.
53.11 	(b) (d) A county agency that has been designated by the commissioner to issue family 
53.12 	child care variances must:
53.13 	(1) publish the county agency's policies and criteria for issuing variances on the county's 
53.14 	public website and update the policies as necessary; and
53.15 	(2) annually distribute the county agency's policies and criteria for issuing variances to 
53.16 	all family child care license holders in the county.
53.17 	(c) (e) Before the implementation of NETStudy 2.0, county agencies must report 
53.18 	information about disqualification reconsiderations under sections 245C.25 and 245C.27, 
53.19 	subdivision 2, paragraphs (a) and (b), and variances granted under paragraph (a), clause 
53.20 	(5), to the commissioner at least monthly in a format prescribed by the commissioner.
53.21 	(d) (f) For family child care programs, the commissioner shall require a county agency 
53.22 	to conduct one unannounced licensing review at least annually.
53.23 	(e) (g) A license issued under this section may be issued for up to two years.
53.24 	(f) (h) A county agency shall report to the commissioner, in a manner prescribed by the 
53.25 	commissioner, the following information for a licensed family child care program:
53.26 	(1) the results of each licensing review completed, including the date of the review, and 
53.27 	any licensing correction order issued;
53.28 	(2) any death, serious injury, or determination of substantiated maltreatment; and
53.29 	(3) any fires that require the service of a fire department within 48 hours of the fire. The 
53.30 	information under this clause must also be reported to the state fire marshal within two 
53.31 	business days of receiving notice from a licensed family child care provider.

54.1 	Sec. 20. Laws 2024, chapter 80, article 2, section 30, subdivision 2, is amended to read:
54.2 		Subd. 2.Maltreatment of minors ongoing training requirement. (a) In addition to 
54.3 	the orientation training required by the applicable licensing rules and statutes, private 
54.4 	child-placing agency license holders must provide a training annually on the maltreatment 
54.5 	of minors reporting requirements and definitions in chapter 260E to each mandatory reporter, 
54.6 	as described in section 260E.06, subdivision 1.
54.7 	(b) In addition to the orientation training required by the applicable licensing rules and 
54.8 	statutes, all family child foster care license holders and caregivers and foster residence 
54.9 	setting staff and volunteers who are mandatory reporters as described in section 260E.06, 
54.10 	subdivision 1, must complete training each year on the maltreatment of minors reporting 
54.11 	requirements and definitions in chapter 260E.

54.12 	Sec. 21. Laws 2024, chapter 80, article 2, section 31, is amended to read:
54.13 	Sec. 31. 142B.80 CHILD FOSTER CARE TRAINING REQUIREMENT; MENTAL 
54.14 	HEALTH TRAINING; FETAL ALCOHOL SPECTRUM DISORDERS TRAINING.
54.15 	Prior to a nonemergency placement of a child in a foster care home, the child foster care 
54.16 	license holder and caregivers in foster family and treatment foster care settings, and all staff 
54.17 	providing care in foster residence settings must complete two hours of training that addresses 
54.18 	the causes, symptoms, and key warning signs of mental health disorders; cultural 
54.19 	considerations; and effective approaches for dealing with a child's behaviors. At least one 
54.20 	hour of the annual training requirement for the foster family license holder and caregivers, 
54.21 	and foster residence staff must be on children's mental health issues and treatment. Except 
54.22 	for providers and services under chapter 245D, the annual training must also include at least 
54.23 	one hour of training on fetal alcohol spectrum disorders, which must be counted toward the 
54.24 	12 hours of required in-service training per year. Short-term substitute caregivers are exempt 
54.25 	from these requirements. Training curriculum shall be approved by the commissioner of 
54.26 	children, youth, and families.

54.27 	Sec. 22. Laws 2024, chapter 80, article 2, section 74, is amended to read:
54.28 	Sec. 74. REVISOR INSTRUCTION.
 54.29 	The revisor of statutes must renumber sections or subdivisions in column A as column 
54.30 	B.

55.1		Column A
	Column B
	
55.2		245A.02, subdivision 2c
	142B.01, subdivision 3
	
55.3		245A.02, subdivision 6a
	142B.01, subdivision 11
	
55.4		245A.02, subdivision 6b
	142B.01, subdivision 12
	
55.5		245A.02, subdivision 10a
	142B.01, subdivision 22
	
55.6		245A.02, subdivision 12
	142B.01, subdivision 23
	
55.7		245A.02, subdivision 16
	142B.01, subdivision 26
	
55.8		245A.02, subdivision 17
	142B.01, subdivision 27
	
55.9		245A.02, subdivision 18
	142B.01, subdivision 28
	
55.10		245A.02, subdivision 19
	142B.01, subdivision 13
	
55.11		245A.03, subdivision 2a
	142B.05, subdivision 3
	
55.12		245A.03, subdivision 2b
	142B.05, subdivision 4
	
55.13		245A.03, subdivision 4
	142B.05, subdivision 6
	
55.14		245A.03, subdivision 4a
	142B.05, subdivision 7
	
55.15		245A.03, subdivision 8
	142B.05, subdivision 10
	
55.16		245A.035
	142B.06
	
55.17		245A.04, subdivision 9a
	142B.10, subdivision 17
	
55.18		245A.04, subdivision 10
	142B.10, subdivision 18
	
55.19		245A.06, subdivision 8
	142B.16, subdivision 5
	
55.20		245A.06, subdivision 9
	142B.16, subdivision 6
	
55.21		245A.065
	142B.17
	
55.22		245A.07, subdivision 4
	142B.18, subdivision 6
	
55.23		245A.07, subdivision 5
	142B.18, subdivision 7
	
55.24		245A.14, subdivision 3
	142B.41, subdivision 3
	
55.25		245A.14, subdivision 4
	142B.41, subdivision 4
	
55.26		245A.14, subdivision 4a
	142B.41, subdivision 5
	
55.27		245A.14, subdivision 6
	142B.41, subdivision 6
	
55.28		245A.14, subdivision 8
	142B.41, subdivision 7
	
55.29		245A.14, subdivision 10
	142B.41, subdivision 8
	
55.30		245A.14, subdivision 11
	142B.41, subdivision 9
	
55.31		245A.14, subdivision 15
	142B.41, subdivision 11
	
55.32		245A.14, subdivision 16
	142B.41, subdivision 12
	
55.33		245A.14, subdivision 17
	142B.41, subdivision 13
	
55.34		245A.1434
	142B.60
	
55.35		245A.144
	142B.47
	
55.36		245A.1445
	142B.48
	
55.37		245A.145
	142B.61
	
55.38		245A.146, subdivision 2
	142B.45, subdivision 2
	
56.1		245A.146, subdivision 3
	142B.45, subdivision 3
	
56.2		245A.146, subdivision 4
	142B.45, subdivision 4
	
56.3		245A.146, subdivision 5
	142B.45, subdivision 5
	
56.4		245A.146, subdivision 6
	142B.45, subdivision 6
	
56.5		245A.147
	142B.75
	
56.6		245A.148
	142B.76
	
56.7		245A.149
	142B.77
	
56.8		245A.15
	142B.78
	
56.9		245A.1511
	142B.79
	
56.10		245A.152
	142B.62
	
56.11		245A.16, subdivision 7
	142B.30, subdivision 7
	
56.12		245A.16, subdivision 9
	142B.30, subdivision 9
	
56.13		245A.16, subdivision 11
	142B.30, subdivision 11
	
56.14		245A.23
	142B.63
	
56.15		245A.40
	142B.65
	
56.16		245A.41
	142B.66
	
56.17		245A.42
	142B.67
	
56.18		245A.50
	142B.70
	
56.19		245A.51
	142B.71
	
56.20		245A.52
	142B.72
	
56.21		245A.53
	142B.74
	
56.22		245A.66, subdivision 2
	142B.54, subdivision 2
	
56.23		245A.66, subdivision 3
	142B.54, subdivision 3
	
56.24 	The revisor of statutes must correct any statutory cross-references consistent with this 
56.25 	renumbering.

56.26 	Sec. 23. Laws 2024, chapter 80, article 4, section 26, is amended to read:
56.27 	Sec. 26. REVISOR INSTRUCTION.
 56.28 	(a) The revisor of statutes shall renumber each section of Minnesota Statutes listed in 
56.29 	column A with the number listed in column B. The revisor shall also make necessary 
56.30 	cross-reference changes consistent with the renumbering. The revisor shall also make any 
56.31 	technical, language, and other changes necessitated by the renumbering and cross-reference 
56.32 	changes in this act.

56.33	Column A
	Column B
	
56.34	119A.50
	142D.12
	
56.35	119A.52
	142D.121
	
57.1	119A.53
	142D.122
	
57.2	119A.535
	142D.123
	
57.3	119A.5411
	142D.124
	
57.4	119A.545
	142D.125
	
57.5	119B.195
	142D.30
	
57.6	119B.196
	142D.24
	
57.7	119B.25
	142D.20
	
57.8	119B.251
	142D.31
	
57.9	119B.252
	142D.32
	
57.10	119B.27
	142D.21
	
57.11	119B.28
	142D.22
	
57.12	119B.29
	142D.23
	
57.13	121A.16
	142D.09
	
57.14	121A.17
	142D.091
	
57.15	121A.18
	142D.092
	
57.16	121A.19
	142D.093
	
57.17	122A.731
	142D.33
	
57.18	124D.13
	142D.10
	
57.19	124D.135
	142D.11
	
57.20	124D.141
	142D.16
	
57.21	124D.142
	142D.13
	
57.22	124D.15
	142D.05
	
57.23	124D.151
	142D.08
	
57.24	124D.16
	142D.06
	
57.25	124D.165
	142D.25
	
57.26	124D.2211
	142D.14
	
57.27	124D.23
	142D.15
	
57.28 	(b) The revisor of statutes shall codify Laws 2017, First Special Session chapter 5, article 
57.29 	8, section 9, as amended by article 4, section 25, as Minnesota Statutes, section 142D.07.
57.30 	(c) The revisor of statutes shall change "commissioner of education" to "commissioner 
57.31 	of children, youth, and families" and change "Department of Education" to "Department of 
57.32 	Children, Youth, and Families" as necessary in Minnesota Statutes, chapters 119A and 120 
57.33 	to 129C, to reflect the changes in this act and Laws 2023, chapter 70, article 12. The revisor 
57.34 	shall also make any technical, language, and other changes resulting from the change of 
57.35 	term to the statutory language, sentence structure, or both, if necessary to preserve the 
57.36 	meaning of the text.

58.1 	Sec. 24. Laws 2024, chapter 80, article 6, section 4, is amended to read:
58.2 	Sec. 4. REVISOR INSTRUCTION.
 58.3 	(a) The revisor of statutes must renumber each section of Minnesota Statutes in Column 
58.4 	A with the number in Column B.

58.5		Column A
	Column B
	
58.6		245.771
	142F.05
	
58.7		256D.60
	142F.10
	
58.8		256D.61
	142F.11
	
58.9		256D.62
	142F.101
	
58.10		256D.63
	142F.102
	
58.11		256D.64
	142F.13
	
58.12		256D.65
	142F.12
	
58.13		256E.30
	142F.30
	
58.14		256E.31
	142F.301
	
58.15		256E.32
	142F.302
	
58.16		256E.33
	142F.51
	
58.17		256E.34
	142F.14
	
58.18		256E.342
	142F.15
	
58.19		256E.35
	142F.20
	
58.20		256E.36
	142F.52
	
58.21		256K.45
	142F.55
	
58.22		256K.451
	142F.56
	
58.23		256K.46
	142F.57
	
58.24		256K.47
	142F.58
	
58.25 	(b) The revisor of statutes must correct any statutory cross-references consistent with 
58.26 	this renumbering.

58.27 	Sec. 25. Laws 2024, chapter 80, article 7, section 4, is amended to read:
58.28 	Sec. 4. Minnesota Statutes 2022, section 256J.09, is amended by adding a subdivision to 
58.29 	read:
58.30 		Subd. 11.Domestic violence informational brochure. (a) The commissioner shall 
58.31 	provide a domestic violence informational brochure that provides information about the 
58.32 	existence of domestic violence waivers to all MFIP applicants. The brochure must explain 
58.33 	that eligible applicants may be temporarily waived from certain program requirements due 
59.1 	to domestic violence. The brochure must provide information about services and other 
59.2 	programs to help victims of domestic violence.
59.3 	(b) The brochure must be funded with TANF funds.
59.4 	(c) The commissioner must work with the commissioner of human services to create a 
59.5 	brochure that meets the requirements of this section and section 256.029.

59.6 	Sec. 26. CHILD FOSTER RESIDENCE SETTINGS TO STAY AT THE 
59.7 	DEPARTMENT OF HUMAN SERVICES.
 59.8 	The responsibility to license child foster residence settings as defined in Minnesota 
59.9 	Statutes, section 245A.02, subdivision 6e, does not transfer to the Department of Children, 
59.10 	Youth, and Families under Laws 2023, chapter 70, article 12, section 30, and remains with 
59.11 	the Department of Human Services.

59.12 	Sec. 27. DIRECTION TO THE COMMISSIONER OF CHILDREN, YOUTH, AND 
59.13 	FAMILIES; COORDINATION OF SERVICES FOR CHILDREN WITH 
59.14 	DISABILITIES AND MENTAL HEALTH.
 59.15 	The commissioner shall designate a department leader to be responsible for coordination 
59.16 	of services and outcomes around children's mental health and for children with or at risk 
59.17 	for disabilities within and between the Department of Children, Youth, and Families; the 
59.18 	Department of Human Services; and related agencies.

59.19 	Sec. 28. REPEALER.
 59.20 	(a) Laws 2024, chapter 80, article 2, sections 1, subdivision 11; 3, subdivision 3; 4, 
59.21 	subdivision 4; 10, subdivision 4; 33; and 69, are repealed.
59.22 	(b) Minnesota Rules, part 9545.0845, is repealed.

59.23 	Sec. 29. EFFECTIVE DATE; TRANSFER OF RESPONSIBILITIES.
 59.24 	(a) This article is effective July 1, 2024.
59.25 	(b) Notwithstanding paragraph (a), the powers and responsibilities transferred under this 
59.26 	article are effective upon notice of the commissioner of children, youth, and families to the 
59.27 	commissioners of administration, management and budget, and other relevant departments 
59.28 	along with the secretary of the senate, the chief clerk of the house of representatives, and 
59.29 	the chairs and ranking minority members of relevant legislative committees and divisions, 
59.30 	pursuant to Laws 2023, chapter 70, article 12, section 30, subdivision 1.
60.1 	(c) By August 1, 2025, the commissioners of human services and children, youth, and 
60.2 	families shall notify the chairs and ranking minority members of relevant legislative 
60.3 	committees and divisions and the revisor of statutes of any sections of this article or programs 
60.4 	to be transferred that are waiting for federal approval to become effective pursuant to Laws 
60.5 	2023, chapter 70, article 12, section 30, subdivision 1, paragraph (b).

60.6 	ARTICLE 7
60.7 	FORECAST ADJUSTMENTS

60.8	Section 1. HUMAN SERVICES FORECAST ADJUSTMENTS.
 	
60.9 	The sums shown in the columns marked "Appropriations" are added to or, if shown in 
60.10 	parentheses, subtracted from the appropriations in Laws 2023, chapter 61, article 9, and 
60.11 	Laws 2023, chapter 70, article 20, to the commissioner of human services from the general 
60.12 	fund or other named fund for the purposes specified in section 2 and are available for the 
60.13 	fiscal years indicated for each purpose. The figures "2024" and "2025" used in this article 
60.14 	mean that the addition to or subtraction from the appropriation listed under them is available 
60.15 	for the fiscal year ending June 30, 2024, or June 30, 2025, respectively.

60.16				APPROPRIATIONS
	
60.17				Available for the Year
	
60.18				Ending June 30
	
60.19					2024
		2025

60.20
60.21	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES

60.22	Subdivision 1.Total Appropriation
 	$
	137,604,000
	$
	329,432,000

60.23	Appropriations by Fund
	
60.24	General Fund
	139,746,000
	325,606,000
	
60.25
60.26	Health Care Access 
Fund
	10,542,000
	6,224,000
	
60.27	Federal TANF
	(12,684,000)
	(2,398,000)

60.28	Subd. 2.Forecasted Programs

60.29	(a) MFIP/DWP

60.30	Appropriations by Fund
	
60.31	General Fund
	(5,990,000)
	(2,793,000)
	
60.32	Federal TANF
	(12,684,000)
	(2,398,000)

61.1	(b) MFIP Child Care Assistance
		(36,726,000)
		(26,004,000)

61.2	(c) General Assistance
		(567,000)
		292,000

61.3	(d) Minnesota Supplemental Aid
		1,424,000
		1,500,000

61.4	(e) Housing Support
		11,200,000
		14,667,000

61.5	(f) Northstar Care for Children
		(3,697,000)
		(11,309,000)

61.6	(g) MinnesotaCare
		10,542,000
		6,224,000
	
61.7 	These appropriations are from the health care 
61.8 	access fund.

61.9	(h) Medical Assistance
		180,321,000
		352,357,000

61.10	(i) Behavioral Health Fund
		(6,219,000)
		(3,104,000)

61.11 	EFFECTIVE DATE. This section is effective the day following final enactment.

61.12 	ARTICLE 8
61.13 	APPROPRIATIONS

61.14	Section 1. HEALTH AND HUMAN SERVICES APPROPRIATIONS.
 	
61.15 	The sums shown in the columns marked "Appropriations" are added to or, if shown in 
61.16 	parentheses, subtracted from the appropriations in Laws 2023, chapter 70, article 20, to the 
61.17 	agencies and for the purposes specified in this article. The appropriations are from the 
61.18 	general fund or other named fund and are available for the fiscal years indicated for each 
61.19 	purpose. The figures "2024" and "2025" used in this article mean that the addition to or 
61.20 	subtraction from the appropriation listed under them is available for the fiscal year ending 
61.21 	June 30, 2024, or June 30, 2025, respectively. Base adjustments mean the addition to or 
61.22 	subtraction from the base level adjustment set in Laws 2023, chapter 70, article 20. 
61.23 	Supplemental appropriations and reductions to appropriations for the fiscal year ending 
61.24 	June 30, 2024, are effective the day following final enactment unless a different effective 
61.25 	date is explicit.

61.26				APPROPRIATIONS
	
61.27				Available for the Year
	
61.28				Ending June 30
	
61.29					2024
		2025

61.30
61.31	Sec. 2. COMMISSIONER OF HUMAN 
SERVICES.

61.32	Subdivision 1.Total Appropriation.
 	$
	4,967,000
	$
	27,981,000

62.1	Appropriations by Fund
	
62.2		2024
	2025
	
62.3	General
	4,967,000
	29,799,000
	
62.4	Health Care Access
	-0-
	(1,818,000)
	
62.5 	The amounts that may be spent for each 
62.6 	purpose are specified in the following 
62.7 	subdivisions.

62.8	Subd. 2.Central Office; Operations.

62.9	Appropriations by Fund
	
62.10	General
	2,369,000
	19,901,000
	
62.11	Health Care Access
	-0-
	572,000
	
62.12 	(a) Child Welfare Technology System.
62.13 	$15,000,000 in fiscal year 2025 is for 
62.14 	information technology improvements to the 
62.15 	statewide child welfare information system. 
62.16 	This is a onetime appropriation.
62.17 	(b) Base Level Adjustment. The general fund 
62.18 	base is increased by $5,021,000 in fiscal year 
62.19 	2026 and each year thereafter.
62.20 	(c) Base Level Adjustment. The health care 
62.21 	access fund base is increased by $115,000 in 
62.22 	fiscal year 2026 and each year thereafter.

62.23	Subd. 3.Central Office; Children and Families.

62.24	Appropriations by Fund
	
62.25	General
	2,598,000
	4,898,000
	
62.26 	Base Level Adjustment. The general fund 
62.27 	base is increased by $5,025,000 in fiscal year 
62.28 	2026 and each year thereafter.

62.29	Subd. 4.Central Office; Health Care.

62.30	Appropriations by Fund
	
62.31	Health Care Access
	-0-
	72,000
	
62.32 	(a) Continued actuarial and economic 
62.33 	analyses. $72,000 in fiscal year 2025 is from 
63.1 	the health care access fund to continue 
63.2 	actuarial and economic analyses, community 
63.3 	engagement, technology, and implementation 
63.4 	planning, and to prepare and submit a state 
63.5 	innovation waiver under section 1332 of the 
63.6 	federal Affordable Care Act for a Minnesota 
63.7 	public option health care plan. The 
63.8 	commissioner of human services may transfer 
63.9 	funds from this appropriation to the 
63.10 	Department of Commerce or the Board of 
63.11 	Directors of MNsure for uses authorized under 
63.12 	this paragraph. The commissioner is exempt 
63.13 	from the requirements of Minnesota Statutes, 
63.14 	chapter 16C, when entering into a new 
63.15 	contract or amending an existing contract to 
63.16 	complete the work. This is a onetime 
63.17 	appropriation.

63.18	Subd. 5.Forecasted Programs; MinnesotaCare.
 		-0-
		(2,456,000)
	
63.19 	This appropriation is from the health care 
63.20 	access fund.

63.21
63.22	Subd. 6.Forecasted Programs; Medical 
Assistance.
 		-0-
		(6,000)
	
63.23 	This appropriation is from the health care 
63.24 	access fund.

63.25
63.26	Subd. 7.Grant Programs; Children and 
Economic Support Grants.
 		-0-
		5,000,000
	
63.27 	(a) Base Level Adjustment. The general fund 
63.28 	base is increased by $0 in fiscal year 2026 and 
63.29 	each year thereafter.

63.30 	EFFECTIVE DATE. This section is effective the day following final enactment.

63.31	Sec. 3. COMMISSIONER OF HEALTH

63.32	Subdivision 1.Total Appropriation
 	$
	-0-
	$
	4,091,000

64.1	Appropriations by Fund
	
64.2		2024
	2025
	
64.3	General
	-0-
	$4,091,000
	
64.4 	The amount that may be spent for each 
64.5 	purpose is specified in the following 
64.6 	subdivision.

64.7	Subd. 2.Health Protection

64.8	Appropriations by Fund
	
64.9	General
	-0-
	$4,091,000
	
64.10
64.11	State Government 
Special Revenue
	-0-
	(2,880,000)
	
64.12 	Nitrate contamination in private wells.
64.13 	$4,091,000 in fiscal year 2025 is from the 
64.14 	general fund to establish a mitigation program 
64.15 	for contaminated wells, including repairing 
64.16 	and replacing wells and providing home water 
64.17 	treatment such as reverse osmosis treatment 
64.18 	for private wells that are tested at or above the 
64.19 	maximum contaminant level of 10mg/L. This 
64.20 	appropriation is available until June 30, 2027. 
64.21 	This is a onetime appropriation.

64.22	Sec. 4. HEALTH-RELATED BOARDS

64.23	Subdivision 1.Total Appropriation
 	$
	1,500,000
	$
	-0-

64.24	Appropriations by Fund
	
64.25	General
	1,500,000
	-0-
	
64.26 	The amount that may be spent for each 
64.27 	purpose is specified in the following 
64.28 	subdivision.

64.29	Subd. 2.Board of Pharmacy

64.30	Appropriations by Fund
	
64.31	General
	1,500,000
	-0-

64.32 	EFFECTIVE DATE. This section is effective the day following final enactment.

64.33	Sec. 5. PUBLIC OPTION PLANNING.
 					
65.1 	(a) $200,000 in fiscal year 2025 is from the 
65.2 	health care access fund to the commissioner 
65.3 	of commerce to support planning and 
65.4 	development of a public option. The 
65.5 	commissioner of commerce may transfer funds 
65.6 	from this appropriation to the Department of 
65.7 	Human Services or the Board of Directors of 
65.8 	MNsure for uses authorized under this 
65.9 	paragraph. The commissioner of commerce is 
65.10 	exempt from the requirements of Minnesota 
65.11 	Statutes, chapter 16C, when entering into a 
65.12 	new contract or amending an existing contract 
65.13 	to complete the work. This is a onetime 
65.14 	appropriation.
65.15 	(b) $315,000 in fiscal year 2025 is from the 
65.16 	health care access fund to the Board of 
65.17 	Directors of MNsure to support planning and 
65.18 	development of a public option. The 
65.19 	commissioner of commerce may transfer funds 
65.20 	from this appropriation to the Department of 
65.21 	Human Services or the Board of Directors of 
65.22 	MNsure for uses authorized under this 
65.23 	paragraph. The commissioner of commerce is 
65.24 	exempt from the requirements of Minnesota 
65.25 	Statutes, chapter 16C, when entering into a 
65.26 	new contract or amending an existing contract 
65.27 	to complete the work. This is a onetime 
65.28 	appropriation.

65.29	Sec. 6. DEPARTMENT OF EDUCATION.
 	$
	1,822,000
	$
	1,715,000
	
65.30 	(a) Summer EBT. $1,822,000 in fiscal year 
65.31 	2024 and $1,542,000 in fiscal year 2025 are 
65.32 	for administration of the summer electronic 
65.33 	benefits transfer program under Public Law 
65.34 	117-328. Any balance in fiscal year 2024 does 
65.35 	not cancel but is available in fiscal year 2025. 
66.1 	The base for this appropriation is $572,000 in 
66.2 	fiscal year 2026 and each year thereafter.
66.3 	(b) Operating Adjustment DCYF 
66.4 	Transition. $173,000 in fiscal year 2025 is 
66.5 	for the agency to maintain current levels of 
66.6 	service after the transition of staff and 
66.7 	resources to the Department of Children, 
66.8 	Youth, and Families. The base for this 
66.9 	appropriation is $345,000 in fiscal year 2026 
66.10 	and each year thereafter.

66.11 	EFFECTIVE DATE. This section is effective the day following final enactment.

66.12
66.13	Sec. 7. COMMISSIONER OF CHILDREN, 
YOUTH, AND FAMILIES.
 	$
	-0-
	$
	3,279,000
	
66.14 	Base Level Adjustment. The general fund 
66.15 	base is increased by $7,183,000 in fiscal year 
66.16 	2026 and increased by $6,833,000 in fiscal 
66.17 	year 2027.

66.18
66.19	Sec. 8. OFFICE OF THE FAMILY CHILD 
CARE OMBUDSPERSON.
 	$
	-0-
	$
	350,000

66.20 	Sec. 9. [103I.104] MITIGATION OF CONTAMINATION IN PRIVATE WELLS.
66.21 	The commissioner of health shall establish a program for mitigating nitrate contamination 
66.22 	in private wells located in Dodge, Fillmore, Goodhue, Houston, Mower, Olmsted, Wabasha, 
66.23 	and Winona Counties for private wells that are tested at or above the maximum contaminant 
66.24 	level of 10 mg/L. The program must:
66.25 	(1) ensure water samples used to determine if a private well is at or above the 
66.26 	contamination level of 10 mg/L and eligible for mitigation assistance are received from a 
66.27 	laboratory accredited under Minnesota Statutes, section 144.98, subdivision 3a, paragraph 
66.28 	(a), clause (2);
66.29 	(2) prioritize mitigation funds driven toward:
66.30 	(i) private wells that provide drinking water to infants under one year of age and pregnant 
66.31 	people; and
66.32 	(ii) private wells with the highest level of nitrate contamination; and
67.1 	(3) ensure mitigation funds are used on the most cost-effective mitigation option that 
67.2 	provides drinking water with a nitrate level below 10 mg/L and protects groundwater.

67.3 	Sec. 10. Laws 2023, chapter 22, section 4, subdivision 2, is amended to read:
67.4 		Subd. 2.Grants to navigators.
 67.5 	(a) $1,936,000 in fiscal year 2024 is 
67.6 	appropriated from the health care access fund 
67.7 	to the commissioner of human services for 
67.8 	grants to organizations with a MNsure grant 
67.9 	services navigator assister contract in good 
67.10 	standing as of the date of enactment. The grant 
67.11 	payment to each organization must be in 
67.12 	proportion to the number of medical assistance 
67.13 	and MinnesotaCare enrollees each 
67.14 	organization assisted that resulted in a 
67.15 	successful enrollment in the second quarter of 
67.16 	fiscal years 2020 and 2023, as determined by 
67.17 	MNsure's navigator payment process. This is 
67.18 	a onetime appropriation and is available until 
67.19 	June 30, 2025.
67.20 	(b) $3,000,000 in fiscal year 2024 is 
67.21 	appropriated from the health care access fund 
67.22 	to the commissioner of human services for 
67.23 	grants to organizations with a MNsure grant 
67.24 	services navigator assister contract for 
67.25 	successful enrollments in medical assistance 
67.26 	and MinnesotaCare. This is a onetime 
67.27 	appropriation and is available until June 30, 
67.28 	2025.

67.29 	EFFECTIVE DATE. This section is effective the day following final enactment.

67.30 	Sec. 11. Laws 2023, chapter 70, article 20, section 2, subdivision 5, is amended to read:

67.31	Subd. 5.Central Office; Health Care

68.1	Appropriations by Fund
	
68.2	General
	35,807,000
	31,349,000
	
68.3	Health Care Access
	30,668,000
	50,168,000
	
68.4 	(a) Medical assistance and MinnesotaCare 
68.5 	accessibility improvements. $4,000,000 in 
68.6 	fiscal year 2024 is from the general fund for 
68.7 	interactive voice response upgrades and 
68.8 	translation services for medical assistance and 
68.9 	MinnesotaCare enrollees with limited English 
68.10 	proficiency. This appropriation is available 
68.11 	until June 30, 2025.
68.12 	(b) Transforming service delivery. $155,000 
68.13 	in fiscal year 2024 and $180,000 in fiscal year 
68.14 	2025 are from the general fund for 
68.15 	transforming service delivery projects.
68.16 	(c) Improving the Minnesota eligibility 
68.17 	technology system functionality. $1,604,000 
68.18 	in fiscal year 2024 and $711,000 in fiscal year 
68.19 	2025 are from the general fund for improving 
68.20 	the Minnesota eligibility technology system 
68.21 	functionality. The base for this appropriation 
68.22 	is $1,421,000 in fiscal year 2026 and $0 in 
68.23 	fiscal year 2027.
68.24 	(d) Actuarial and economic analyses.
68.25 	$2,500,000 is from the health care access fund 
68.26 	for actuarial and economic analyses, 
68.27 	community engagement, technology, and 
68.28 	implementation planning, and to prepare and 
68.29 	submit a state innovation waiver under section 
68.30 	1332 of the federal Affordable Care Act for a 
68.31 	Minnesota public option health care plan. The 
68.32 	commissioner is exempt from the requirements 
68.33 	of Minnesota Statutes, chapter 16C, when 
68.34 	entering into a new contract or amending an 
68.35 	existing contract to complete the work. The 
69.1 	commissioner of human services may transfer 
69.2 	funds from this appropriation to the 
69.3 	Department of Commerce or the Board of 
69.4 	Directors of MNSure for uses authorized under 
69.5 	this paragraph. This is a onetime appropriation 
69.6 	and is available until June 30, 2025.
69.7 	(e) Contingent appropriation for Minnesota 
69.8 	public option health care plan. $22,000,000 
69.9 	in fiscal year 2025 is from the health care 
69.10 	access fund to implement a Minnesota public 
69.11 	option health care plan. This is a onetime 
69.12 	appropriation and is available upon approval 
69.13 	of a state innovation waiver under section 
69.14 	1332 of the federal Affordable Care Act. This 
69.15 	appropriation is available until June 30, 2027.
69.16 	(f) Carryforward authority. Notwithstanding 
69.17 	Minnesota Statutes, section 16A.28, 
69.18 	subdivision 3, $2,367,000 of the appropriation 
69.19 	in fiscal year 2024 is available until June 30, 
69.20 	2027.
69.21 	(g) Base level adjustment. The general fund 
69.22 	base is $32,315,000 in fiscal year 2026 and 
69.23 	$27,536,000 in fiscal year 2027. The health 
69.24 	care access fund base is $28,168,000 in fiscal 
69.25 	year 2026 and $28,168,000 in fiscal year 2027.

69.26 	Sec. 12. Laws 2023, chapter 70, article 20, section 2, subdivision 24, is amended to read:

69.27
69.28	Subd. 24.Grant Programs; Children and 
Economic Support Grants
 		212,877,000
		78,333,000
	
69.29 	(a) Fraud prevention initiative start-up 
69.30 	grants. $400,000 in fiscal year 2024 is for 
69.31 	start-up grants to the Red Lake Nation, White 
69.32 	Earth Nation, and Mille Lacs Band of Ojibwe 
69.33 	to develop a fraud prevention program. This 
70.1 	is a onetime appropriation and is available 
70.2 	until June 30, 2025.
70.3 	(b) American Indian food sovereignty 
70.4 	funding program. $3,000,000 in fiscal year 
70.5 	2024 and $3,000,000 in fiscal year 2025 are 
70.6 	for Minnesota Statutes, section 256E.342. This 
70.7 	appropriation is available until June 30, 2025. 
70.8 	The base for this appropriation is $2,000,000 
70.9 	in fiscal year 2026 and $2,000,000 in fiscal 
70.10 	year 2027.
70.11 	(c) Hennepin County grants to provide 
70.12 	services to people experiencing 
70.13 	homelessness. $11,432,000 in fiscal year 2024 
70.14 	is for grants to maintain capacity for shelters 
70.15 	and services provided to persons experiencing 
70.16 	homelessness in Hennepin County. Of this 
70.17 	amount:
70.18 	(1) $4,500,000 is for a grant to Avivo Village;
70.19 	(2) $2,000,000 is for a grant to the American 
70.20 	Indian Community Development Corporation 
70.21 	Homeward Bound shelter;
70.22 	(3) $1,650,000 is for a grant to the Salvation 
70.23 	Army Harbor Lights shelter;
70.24 	(4) $500,000 is for a grant to Agate Housing 
70.25 	and Services;
70.26 	(5) $1,400,000 is for a grant to Catholic 
70.27 	Charities of St. Paul and Minneapolis;
70.28 	(6) $450,000 is for a grant to Simpson 
70.29 	Housing; and
70.30 	(7) $932,000 is for a grant to Hennepin 
70.31 	County.
70.32 	Nothing shall preclude an eligible organization 
70.33 	receiving funding under this paragraph from 
71.1 	applying for and receiving funding under 
71.2 	Minnesota Statutes, section 256E.33, 256E.36, 
71.3 	256K.45, or 256K.47, nor does receiving 
71.4 	funding under this paragraph count against 
71.5 	any eligible organization in the competitive 
71.6 	processes related to those grant programs 
71.7 	under Minnesota Statutes, section 256E.33, 
71.8 	256E.36, 256K.45, or 256K.47.
71.9 	(d) Diaper distribution grant program. 
71.10 	$545,000 in fiscal year 2024 and $553,000 in 
71.11 	fiscal year 2025 are for a grant to the Diaper 
71.12 	Bank of Minnesota under Minnesota Statutes, 
71.13 	section 256E.38.
71.14 	(e) Prepared meals food relief. $1,654,000 
71.15 	in fiscal year 2024 and $1,638,000 in fiscal 
71.16 	year 2025 are for prepared meals food relief 
71.17 	grants. This is a onetime appropriation.
71.18 	(f) Emergency shelter facilities. $98,456,000 
71.19 	in fiscal year 2024 is for grants to eligible 
71.20 	applicants for emergency shelter facilities. 
71.21 	This is a onetime appropriation and is 
71.22 	available until June 30, 2028.
71.23 	(g) Homeless youth cash stipend pilot 
71.24 	project. $5,302,000 in fiscal year 2024 is for 
71.25 	a grant to Youthprise for the homeless youth 
71.26 	cash stipend pilot project. The grant must be 
71.27 	used to provide cash stipends to homeless 
71.28 	youth, provide cash incentives for stipend 
71.29 	recipients to participate in periodic surveys, 
71.30 	provide youth-designed optional services, and 
71.31 	complete a legislative report. This is a onetime 
71.32 	appropriation and is available until June 30, 
71.33 	2028 2027.
72.1 	(h) Heading Home Ramsey County 
72.2 	continuum of care grants. $11,432,000 in 
72.3 	fiscal year 2024 is for grants to maintain 
72.4 	capacity for shelters and services provided to 
72.5 	people experiencing homelessness in Ramsey 
72.6 	County. Of this amount:
72.7 	(1) $2,286,000 is for a grant to Catholic 
72.8 	Charities of St. Paul and Minneapolis;
72.9 	(2) $1,498,000 is for a grant to More Doors;
72.10 	(3) $1,734,000 is for a grant to Interfaith 
72.11 	Action Project Home;
72.12 	(4) $2,248,000 is for a grant to Ramsey 
72.13 	County;
72.14 	(5) $689,000 is for a grant to Radias Health;
72.15 	(6) $493,000 is for a grant to The Listening 
72.16 	House;
72.17 	(7) $512,000 is for a grant to Face to Face; 
72.18 	and
72.19 	(8) $1,972,000 is for a grant to the city of St. 
72.20 	Paul.
72.21 	Nothing shall preclude an eligible organization 
72.22 	receiving funding under this paragraph from 
72.23 	applying for and receiving funding under 
72.24 	Minnesota Statutes, section 256E.33, 256E.36, 
72.25 	256K.45, or 256K.47, nor does receiving 
72.26 	funding under this paragraph count against 
72.27 	any eligible organization in the competitive 
72.28 	processes related to those grant programs 
72.29 	under Minnesota Statutes, section 256E.33, 
72.30 	256E.36, 256K.45, or 256K.47.
72.31 	(i) Capital for emergency food distribution 
72.32 	facilities. $7,000,000 in fiscal year 2024 is for 
72.33 	improving and expanding the infrastructure 
73.1 	of food shelf facilities. Grant money must be 
73.2 	made available to nonprofit organizations, 
73.3 	federally recognized Tribes, and local units of 
73.4 	government. This is a onetime appropriation 
73.5 	and is available until June 30, 2027.
73.6 	(j) Emergency services program grants.
73.7 	$15,250,000 in fiscal year 2024 and 
73.8 	$14,750,000 in fiscal year 2025 are for 
73.9 	emergency services grants under Minnesota 
73.10 	Statutes, section 256E.36. Any unexpended 
73.11 	amount in the first year does not cancel and 
73.12 	is available in the second year. The base for 
73.13 	this appropriation is $25,000,000 in fiscal year 
73.14 	2026 and $30,000,000 in fiscal year 2027.
73.15 	(k) Homeless Youth Act grants. $15,136,000 
73.16 	in fiscal year 2024 and $15,136,000 in fiscal 
73.17 	year 2025 are for grants under Minnesota 
73.18 	Statutes, section 256K.45, subdivision 1. Any 
73.19 	unexpended amount in the first year does not 
73.20 	cancel and is available in the second year.
73.21 	(l) Transitional housing programs.
73.22 	$3,000,000 in fiscal year 2024 and $3,000,000 
73.23 	in fiscal year 2025 are for transitional housing 
73.24 	programs under Minnesota Statutes, section 
73.25 	256E.33. Any unexpended amount in the first 
73.26 	year does not cancel and is available in the 
73.27 	second year.
73.28 	(m) Safe harbor shelter and housing grants.
73.29 	$2,125,000 in fiscal year 2024 and $2,125,000 
73.30 	in fiscal year 2025 are for grants under 
73.31 	Minnesota Statutes, section 256K.47. Any 
73.32 	unexpended amount in the first year does not 
73.33 	cancel and is available in the second year. The 
73.34 	base for this appropriation is $1,250,000 in 
74.1 	fiscal year 2026 and $1,250,000 in fiscal year 
74.2 	2027.
74.3 	(n) Supplemental nutrition assistance 
74.4 	program (SNAP) outreach. $1,000,000 in 
74.5 	fiscal year 2024 and $1,000,000 in fiscal year 
74.6 	2025 are for the SNAP outreach program 
74.7 	under Minnesota Statutes, section 256D.65. 
74.8 	The base for this appropriation is $500,000 in 
74.9 	fiscal year 2026 and $500,000 in fiscal year 
74.10 	2027.
74.11 	(o) Base level adjustment. The general fund 
74.12 	base is $83,179,000 in fiscal year 2026 and 
74.13 	$88,179,000 in fiscal year 2027.
74.14 	(p) Minnesota Food Assistance Program.
74.15 	Unexpended funds for the Minnesota food 
74.16 	assistance program for fiscal year 2024 are 
74.17 	available until June 30, 2025.

74.18 	EFFECTIVE DATE. This section is effective the day following final enactment.

74.19 	Sec. 13. Laws 2023, chapter 70, article 20, section 2, subdivision 29, is amended to read:

74.20
74.21	Subd. 29.Grant Programs; Adult Mental Health 
Grants
 		132,327,000
		121,270,000
	
74.22 	(a) Mobile crisis grants to Tribal Nations. 
74.23 	$1,000,000 in fiscal year 2024 and $1,000,000 
74.24 	in fiscal year 2025 are for mobile crisis grants 
74.25 	under Minnesota Statutes section, sections
74.26 	245.4661, subdivision 9, paragraph (b), clause 
74.27 	(15), and 245.4889, subdivision 1, paragraph 
74.28 	(b), clause (4), to Tribal Nations.
74.29 	(b) Mental health provider supervision 
74.30 	grant program. $1,500,000 in fiscal year 
74.31 	2024 and $1,500,000 in fiscal year 2025 are 
74.32 	for the mental health provider supervision 
75.1 	grant program under Minnesota Statutes, 
75.2 	section 245.4663.
75.3 	(c) Minnesota State University, Mankato 
75.4 	community behavioral health center. 
75.5 	$750,000 in fiscal year 2024 and $750,000 in 
75.6 	fiscal year 2025 are for a grant to the Center 
75.7 	for Rural Behavioral Health at Minnesota State 
75.8 	University, Mankato to establish a community 
75.9 	behavioral health center and training clinic. 
75.10 	The community behavioral health center must 
75.11 	provide comprehensive, culturally specific, 
75.12 	trauma-informed, practice- and 
75.13 	evidence-based, person- and family-centered 
75.14 	mental health and substance use disorder 
75.15 	treatment services in Blue Earth County and 
75.16 	the surrounding region to individuals of all 
75.17 	ages, regardless of an individual's ability to 
75.18 	pay or place of residence. The community 
75.19 	behavioral health center and training clinic 
75.20 	must also provide training and workforce 
75.21 	development opportunities to students enrolled 
75.22 	in the university's training programs in the 
75.23 	fields of social work, counseling and student 
75.24 	personnel, alcohol and drug studies, 
75.25 	psychology, and nursing. Upon request, the 
75.26 	commissioner must make information 
75.27 	regarding the use of this grant funding 
75.28 	available to the chairs and ranking minority 
75.29 	members of the legislative committees with 
75.30 	jurisdiction over behavioral health. This is a 
75.31 	onetime appropriation and is available until 
75.32 	June 30, 2027.
75.33 	(d) White Earth Nation; adult mental health 
75.34 	initiative. $300,000 in fiscal year 2024 and 
75.35 	$300,000 in fiscal year 2025 are for adult 
76.1 	mental health initiative grants to the White 
76.2 	Earth Nation. This is a onetime appropriation.
76.3 	(e) Mobile crisis grants. $8,472,000 in fiscal 
76.4 	year 2024 and $8,380,000 in fiscal year 2025 
76.5 	are for the mobile crisis grants under 
76.6 	Minnesota Statutes, section sections245.4661, 
76.7 	subdivision 9, paragraph (b), clause (15), and 
76.8 	245.4889, subdivision 1, paragraph (b), clause 
76.9 	(4). This is a onetime appropriation and is 
76.10 	available until June 30, 2027.
76.11 	(f) Base level adjustment. The general fund 
76.12 	base is $121,980,000 in fiscal year 2026 and 
76.13 	$121,980,000 in fiscal year 2027.

76.14 	Sec. 14. Laws 2023, chapter 70, article 20, section 3, subdivision 2, is amended to read:

76.15	Subd. 2.Health Improvement

76.16	Appropriations by Fund
	
76.17	General
	229,600,000
	210,030,000
	
76.18
76.19	State Government 
Special Revenue
	12,392,000
	12,682,000
	
76.20	Health Care Access
	49,051,000
	53,290,000
	
76.21	Federal TANF
	11,713,000
	11,713,000
	
76.22 	(a) Studies of telehealth expansion and 
76.23 	payment parity. $1,200,000 in fiscal year 
76.24 	2024 is from the general fund for studies of 
76.25 	telehealth expansion and payment parity. This 
76.26 	is a onetime appropriation and is available 
76.27 	until June 30, 2025.
76.28 	(b) Advancing equity through capacity 
76.29 	building and resource allocation grant 
76.30 	program. $916,000 in fiscal year 2024 and 
76.31 	$916,000 in fiscal year 2025 are from the 
76.32 	general fund for grants under Minnesota 
76.33 	Statutes, section 144.9821. This is a onetime 
76.34 	appropriation.
77.1 	(c) Grant to Minnesota Community Health 
77.2 	Worker Alliance; program administration 
77.3 	and evaluation. $971,000 in fiscal year 2024 
77.4 	and $971,000 in fiscal year 2025 are from the 
77.5 	general fund for Minnesota Statutes, section 
77.6 	144.1462. Of the total amount appropriated, 
77.7 	$750,000 in fiscal year 2024 and $750,000 in 
77.8 	fiscal year 2025 are for a noncompetitive grant 
77.9 	to the Minnesota Community Health Worker 
77.10 	Alliance.
77.11 	(d) Community solutions for healthy child 
77.12 	development grants. $2,730,000 in fiscal year 
77.13 	2024 and $2,730,000 in fiscal year 2025 are 
77.14 	from the general fund for grants under 
77.15 	Minnesota Statutes, section 145.9257. The 
77.16 	base for this appropriation is $2,415,000 in 
77.17 	fiscal year 2026 and $2,415,000 in fiscal year 
77.18 	2027.
77.19 	(e) Comprehensive Overdose and Morbidity 
77.20 	Prevention Act. $9,794,000 in fiscal year 
77.21 	2024 and $10,458,000 in fiscal year 2025 are 
77.22 	from the general fund for comprehensive 
77.23 	overdose and morbidity prevention strategies 
77.24 	under Minnesota Statutes, section 144.0528. 
77.25 	The base for this appropriation is $10,476,000 
77.26 	in fiscal year 2026 and $10,476,000 in fiscal 
77.27 	year 2027.
77.28 	(f) Emergency preparedness and response.
77.29 	$10,486,000 in fiscal year 2024 and 
77.30 	$14,314,000 in fiscal year 2025 are from the 
77.31 	general fund for public health emergency 
77.32 	preparedness and response, the sustainability 
77.33 	of the strategic stockpile, and COVID-19 
77.34 	pandemic response transition. The base for 
78.1 	this appropriation is $11,438,000 in fiscal year 
78.2 	2026 and $11,362,000 in fiscal year 2027.
78.3 	(g) Healthy Beginnings, Healthy Families.
78.4 	(1) $8,440,000 in fiscal year 2024 and 
78.5 	$7,305,000 in fiscal year 2025 are from the 
78.6 	general fund for grants under Minnesota 
78.7 	Statutes, sections 145.9571 to 145.9576. The 
78.8 	base for this appropriation is $1,500,000 in 
78.9 	fiscal year 2026 and $1,500,000 in fiscal year 
78.10 	2027. (2) Of the amount in clause (1), 
78.11 	$400,000 in fiscal year 2024 is to support the 
78.12 	transition from implementation of activities 
78.13 	under Minnesota Statutes, section 145.4235, 
78.14 	to implementation of activities under 
78.15 	Minnesota Statutes, sections 145.9571 to 
78.16 	145.9576. The commissioner shall award four 
78.17 	sole-source grants of $100,000 each to Face 
78.18 	to Face, Cradle of Hope, Division of Indian 
78.19 	Work, and Minnesota Prison Doula Project. 
78.20 	The amount in this clause is a onetime 
78.21 	appropriation.
78.22 	(h) Help Me Connect. $463,000 in fiscal year 
78.23 	2024 and $921,000 in fiscal year 2025 are 
78.24 	from the general fund for the Help Me 
78.25 	Connect program under Minnesota Statutes, 
78.26 	section 145.988.
78.27 	(i) Home visiting. $2,000,000 in fiscal year 
78.28 	2024 and $2,000,000 in fiscal year 2025 are 
78.29 	from the general fund for home visiting under 
78.30 	Minnesota Statutes, section 145.87, to provide 
78.31 	home visiting to priority populations under 
78.32 	Minnesota Statutes, section 145.87, 
78.33 	subdivision 1, paragraph (e).
78.34 	(j) No Surprises Act enforcement.
78.35 	$1,210,000 in fiscal year 2024 and $1,090,000 
79.1 	in fiscal year 2025 are from the general fund 
79.2 	for implementation of the federal No Surprises 
79.3 	Act under Minnesota Statutes, section 
79.4 	62Q.021, and an assessment of the feasibility 
79.5 	of a statewide provider directory. The general 
79.6 	fund base for this appropriation is $855,000 
79.7 	in fiscal year 2026 and $855,000 in fiscal year 
79.8 	2027.
79.9 	(k) Office of African American Health.
79.10 	$1,000,000 in fiscal year 2024 and $1,000,000 
79.11 	in fiscal year 2025 are from the general fund 
79.12 	for grants under the authority of the Office of 
79.13 	African American Health under Minnesota 
79.14 	Statutes, section 144.0756.
79.15 	(l) Office of American Indian Health.
79.16 	$1,000,000 in fiscal year 2024 and $1,000,000 
79.17 	in fiscal year 2025 are from the general fund 
79.18 	for grants under the authority of the Office of 
79.19 	American Indian Health under Minnesota 
79.20 	Statutes, section 144.0757.
79.21 	(m) Public health system transformation 
79.22 	grants. (1) $9,844,000 in fiscal year 2024 and 
79.23 	$9,844,000 in fiscal year 2025 are from the 
79.24 	general fund for grants under Minnesota 
79.25 	Statutes, section 145A.131, subdivision 1, 
79.26 	paragraph (f).
79.27 	(2) $535,000 in fiscal year 2024 and $535,000 
79.28 	in fiscal year 2025 are from the general fund 
79.29 	for grants under Minnesota Statutes, section 
79.30 	145A.14, subdivision 2b.
79.31 	(3) $321,000 in fiscal year 2024 and $321,000 
79.32 	in fiscal year 2025 are from the general fund 
79.33 	for grants under Minnesota Statutes, section 
79.34 	144.0759.
80.1 	(n) Health care workforce. (1) $1,010,000 
80.2 	in fiscal year 2024 and $2,550,000 in fiscal 
80.3 	year 2025 are from the health care access fund 
80.4 	for rural training tracks and rural clinicals 
80.5 	grants under Minnesota Statutes, sections 
80.6 	144.1505 and 144.1507. The base for this 
80.7 	appropriation is $4,060,000 in fiscal year 2026 
80.8 	and $3,600,000 in fiscal year 2027.
80.9 	(2) $420,000 in fiscal year 2024 and $420,000 
80.10 	in fiscal year 2025 are from the health care 
80.11 	access fund for immigrant international 
80.12 	medical graduate training grants under 
80.13 	Minnesota Statutes, section 144.1911.
80.14 	(3) $5,654,000 in fiscal year 2024 and 
80.15 	$5,550,000 in fiscal year 2025 are from the 
80.16 	health care access fund for site-based clinical 
80.17 	training grants under Minnesota Statutes, 
80.18 	section 144.1508. The base for this 
80.19 	appropriation is $4,657,000 in fiscal year 2026 
80.20 	and $3,451,000 in fiscal year 2027.
80.21 	(4) $1,000,000 in fiscal year 2024 and 
80.22 	$1,000,000 in fiscal year 2025 are from the 
80.23 	health care access fund for mental health for 
80.24 	health care professional grants. This is a 
80.25 	onetime appropriation and is available until 
80.26 	June 30, 2027.
80.27 	(5) $502,000 in fiscal year 2024 and $502,000 
80.28 	in fiscal year 2025 are from the health care 
80.29 	access fund for workforce research and data 
80.30 	analysis of shortages, maldistribution of health 
80.31 	care providers in Minnesota, and the factors 
80.32 	that influence decisions of health care 
80.33 	providers to practice in rural areas of 
80.34 	Minnesota.
81.1 	(o) School health. $800,000 in fiscal year 
81.2 	2024 and $1,300,000 in fiscal year 2025 are 
81.3 	from the general fund for grants under 
81.4 	Minnesota Statutes, section 145.903. The base 
81.5 	for this appropriation is $2,300,000 in fiscal 
81.6 	year 2026 and $2,300,000 in fiscal year 2027.
81.7 	(p) Long COVID. $3,146,000 in fiscal year 
81.8 	2024 and $3,146,000 in fiscal year 2025 are 
81.9 	from the general fund for grants and to 
81.10 	implement Minnesota Statutes, section 
81.11 	145.361.
81.12 	(q) Workplace safety grants. $4,400,000 in 
81.13 	fiscal year 2024 is from the general fund for 
81.14 	grants to health care entities to improve 
81.15 	employee safety or security. This is a onetime 
81.16 	appropriation and is available until June 30, 
81.17 	2027. The commissioner may use up to ten 
81.18 	percent of this appropriation for 
81.19 	administration.
81.20 	(r) Clinical dental education innovation 
81.21 	grants. $1,122,000 in fiscal year 2024 and 
81.22 	$1,122,000 in fiscal year 2025 are from the 
81.23 	general fund for clinical dental education 
81.24 	innovation grants under Minnesota Statutes, 
81.25 	section 144.1913.
81.26 	(s) Emmett Louis Till Victims Recovery 
81.27 	Program. $500,000 in fiscal year 2024 is from 
81.28 	the general fund for a grant to the Emmett 
81.29 	Louis Till Victims Recovery Program. The 
81.30 	commissioner must not use any of this 
81.31 	appropriation for administration. This is a 
81.32 	onetime appropriation and is available until 
81.33 	June 30, 2025.
82.1 	(t) Center for health care affordability.
82.2 	$2,752,000 in fiscal year 2024 and $3,989,000 
82.3 	in fiscal year 2025 are from the general fund 
82.4 	to establish a center for health care 
82.5 	affordability and to implement Minnesota 
82.6 	Statutes, section 62J.312. The general fund 
82.7 	base for this appropriation is $3,988,000 in 
82.8 	fiscal year 2026 and $3,988,000 in fiscal year 
82.9 	2027.
82.10 	(u) Federally qualified health centers 
82.11 	apprenticeship program. $690,000 in fiscal 
82.12 	year 2024 and $690,000 in fiscal year 2025 
82.13 	are from the general fund for grants under 
82.14 	Minnesota Statutes, section 145.9272.
82.15 	(v) Alzheimer's public information 
82.16 	program. $80,000 in fiscal year 2024 and 
82.17 	$80,000 in fiscal year 2025 are from the 
82.18 	general fund for grants to community-based 
82.19 	organizations to co-create culturally specific 
82.20 	messages to targeted communities and to 
82.21 	promote public awareness materials online 
82.22 	through diverse media channels.
82.23 	(w) Keeping Nurses at the Bedside Act; 
82.24 	contingent appropriation Nurse and Patient 
82.25 	Safety Act.The appropriations in this 
82.26 	paragraph are contingent upon legislative 
82.27 	enactment of 2023 Senate File 1384 by the 
82.28 	93rd Legislature. The appropriations in this 
82.29 	paragraph are available until June 30, 2027.
82.30 	(1) $5,317,000 in fiscal year 2024 and 
82.31 	$5,317,000 in fiscal year 2025 are from the 
82.32 	general fund for loan forgiveness under 
82.33 	Minnesota Statutes, section 144.1501, for 
82.34 	eligible nurses who have agreed to work as 
82.35 	hospital nurses in accordance with Minnesota 
83.1 	Statutes, section 144.1501, subdivision 2, 
83.2 	paragraph (a), clause (7).
83.3 	(2) $66,000 in fiscal year 2024 and $66,000 
83.4 	in fiscal year 2025 are from the general fund 
83.5 	for loan forgiveness under Minnesota Statutes, 
83.6 	section 144.1501, for eligible nurses who have 
83.7 	agreed to teach in accordance with Minnesota 
83.8 	Statutes, section 144.1501, subdivision 2, 
83.9 	paragraph (a), clause (3).
83.10 	(3) $545,000 in fiscal year 2024 and $879,000 
83.11 	in fiscal year 2025 are from the general fund 
83.12 	to administer Minnesota Statutes, section 
83.13 	144.7057; to perform the evaluation duties 
83.14 	described in Minnesota Statutes, section 
83.15 	144.7058 144.566; to continue prevention of 
83.16 	violence in health care program activities; to 
83.17 	analyze potential links between adverse events 
83.18 	and understaffing; to convene stakeholder 
83.19 	groups and create a best practices toolkit; and 
83.20 	for a report on the current status of the state's 
83.21 	nursing workforce employed by hospitals, 
83.22 	according to Laws 2023, chapter 75. The base 
83.23 	for this appropriation is $624,000 in fiscal year 
83.24 	2026 and $454,000 in fiscal year 2027.
83.25 	(x) Supporting healthy development of 
83.26 	babies. $260,000 in fiscal year 2024 and 
83.27 	$260,000 in fiscal year 2025 are from the 
83.28 	general fund for a grant to the Amherst H. 
83.29 	Wilder Foundation for the African American 
83.30 	Babies Coalition initiative. The base for this 
83.31 	appropriation is $520,000 in fiscal year 2026 
83.32 	and $0 in fiscal year 2027. Any appropriation 
83.33 	in fiscal year 2026 is available until June 30, 
83.34 	2027. This paragraph expires on June 30, 
83.35 	2027.
84.1 	(y) Health professional education loan 
84.2 	forgiveness. $2,780,000 in fiscal year 2024 
84.3 	is from the general fund for eligible mental 
84.4 	health professional loan forgiveness under 
84.5 	Minnesota Statutes, section 144.1501. This is 
84.6 	a onetime appropriation. The commissioner 
84.7 	may use up to ten percent of this appropriation 
84.8 	for administration.
84.9 	(z) Primary care residency expansion grant 
84.10 	program. $400,000 in fiscal year 2024 and 
84.11 	$400,000 in fiscal year 2025 are from the 
84.12 	general fund for a psychiatry resident under 
84.13 	Minnesota Statutes, section 144.1506.
84.14 	(aa) Pediatric primary care mental health 
84.15 	training grant program. $1,000,000 in fiscal 
84.16 	year 2024 and $1,000,000 in fiscal year 2025 
84.17 	are from the general fund for grants under 
84.18 	Minnesota Statutes, section 144.1509. The 
84.19 	commissioner may use up to ten percent of 
84.20 	this appropriation for administration.
84.21 	(bb) Mental health cultural community 
84.22 	continuing education grant program. 
84.23 	$500,000 in fiscal year 2024 and $500,000 in 
84.24 	fiscal year 2025 are from the general fund for 
84.25 	grants under Minnesota Statutes, section 
84.26 	144.1511. The commissioner may use up to 
84.27 	ten percent of this appropriation for 
84.28 	administration.
84.29 	(cc) Labor trafficking services grant 
84.30 	program. $500,000 in fiscal year 2024 and 
84.31 	$500,000 in fiscal year 2025 are from the 
84.32 	general fund for grants under Minnesota 
84.33 	Statutes, section 144.3885.
85.1 	(dd) Palliative Care Advisory Council. 
85.2 	$40,000 in fiscal year 2024 and $40,000 in 
85.3 	fiscal year 2025 are from the general fund for 
85.4 	grants administration under Minnesota 
85.5 	Statutes, section 144.059.
85.6 	(ee) Analysis of a universal health care 
85.7 	financing system. $1,815,000 in fiscal year 
85.8 	2024 and $580,000 in fiscal year 2025 are 
85.9 	from the general fund to the commissioner to 
85.10 	contract for an analysis of the benefits and 
85.11 	costs of a legislative proposal for a universal 
85.12 	health care financing system and a similar 
85.13 	analysis of the current health care financing 
85.14 	system. The base for this appropriation is 
85.15 	$580,000 in fiscal year 2026 and $0 in fiscal 
85.16 	year 2027. This appropriation is available until 
85.17 	June 30, 2027.
85.18 	(ff) Charitable assets public interest review.
85.19 	(1) The appropriations under this paragraph 
85.20 	are contingent upon legislative enactment of 
85.21 	2023 House File 402 by the 93rd Legislature.
85.22 	(2) $1,584,000 in fiscal year 2024 and 
85.23 	$769,000 in fiscal year 2025 are from the 
85.24 	general fund to review certain health care 
85.25 	entity transactions; to conduct analyses of the 
85.26 	impacts of health care transactions on health 
85.27 	care cost, quality, and competition; and to 
85.28 	issue public reports on health care transactions 
85.29 	in Minnesota and their impacts. The base for 
85.30 	this appropriation is $710,000 in fiscal year 
85.31 	2026 and $710,000 in fiscal year 2027.
85.32 	(gg) Study of the development of a statewide 
85.33 	registry for provider orders for 
85.34 	life-sustaining treatment. $365,000 in fiscal 
85.35 	year 2024 and $365,000 in fiscal year 2025 
86.1 	are from the general fund for a study of the 
86.2 	development of a statewide registry for 
86.3 	provider orders for life-sustaining treatment. 
86.4 	This is a onetime appropriation.
86.5 	(hh) Task Force on Pregnancy Health and 
86.6 	Substance Use Disorders. $199,000 in fiscal 
86.7 	year 2024 and $100,000 in fiscal year 2025 
86.8 	are from the general fund for the Task Force 
86.9 	on Pregnancy Health and Substance Use 
86.10 	Disorders. This is a onetime appropriation and 
86.11 	is available until June 30, 2025.
86.12 	(ii) 988 Suicide and crisis lifeline. $4,000,000 
86.13 	in fiscal year 2024 is from the general fund 
86.14 	for 988 national suicide prevention lifeline 
86.15 	grants under Minnesota Statutes, section 
86.16 	145.561. This is a onetime appropriation.
86.17 	(jj) Equitable Health Care Task Force.
86.18 	$779,000 in fiscal year 2024 and $749,000 in 
86.19 	fiscal year 2025 are from the general fund for 
86.20 	the Equitable Health Care Task Force. This is 
86.21 	a onetime appropriation.
86.22 	(kk) Psychedelic Medicine Task Force.
86.23 	$338,000 in fiscal year 2024 and $171,000 in 
86.24 	fiscal year 2025 are from the general fund for 
86.25 	the Psychedelic Medicine Task Force. This is 
86.26 	a onetime appropriation.
86.27 	(ll) Medical education and research costs.
86.28 	$300,000 in fiscal year 2024 and $300,000 in 
86.29 	fiscal year 2025 are from the general fund for 
86.30 	the medical education and research costs 
86.31 	program under Minnesota Statutes, section 
86.32 	62J.692.
86.33 	(mm) Special Guerilla Unit Veterans grant 
86.34 	program. $250,000 in fiscal year 2024 and 
87.1 	$250,000 in fiscal year 2025 are from the 
87.2 	general fund for a grant to the Special 
87.3 	Guerrilla Units Veterans and Families of the 
87.4 	United States of America to offer 
87.5 	programming and culturally specific and 
87.6 	specialized assistance to support the health 
87.7 	and well-being of Special Guerilla Unit 
87.8 	Veterans. The base for this appropriation is 
87.9 	$500,000 in fiscal year 2026 and $0 in fiscal 
87.10 	year 2027. Any amount appropriated in fiscal 
87.11 	year 2026 is available until June 30, 2027. 
87.12 	This paragraph expires June 30, 2027.
87.13 	(nn) Safe harbor regional navigator. 
87.14 	$300,000 in fiscal year 2024 and $300,000 in 
87.15 	fiscal year 2025 are for a regional navigator 
87.16 	in northwestern Minnesota. The commissioner 
87.17 	may use up to ten percent of this appropriation 
87.18 	for administration.
87.19 	(oo) Network adequacy. $798,000 in fiscal 
87.20 	year 2024 and $491,000 in fiscal year 2025 
87.21 	are from the general fund for reviews of 
87.22 	provider networks under Minnesota Statutes, 
87.23 	section 62K.10, to determine network 
87.24 	adequacy.
87.25 	(pp)(1) TANF Appropriations. TANF funds 
87.26 	must be used as follows:
87.27 	(i) $3,579,000 in fiscal year 2024 and 
87.28 	$3,579,000 in fiscal year 2025 are from the 
87.29 	TANF fund for home visiting and nutritional 
87.30 	services listed under Minnesota Statutes, 
87.31 	section 145.882, subdivision 7, clauses (6) and 
87.32 	(7). Funds must be distributed to community 
87.33 	health boards according to Minnesota Statutes, 
87.34 	section 145A.131, subdivision 1;
88.1 	(ii) $2,000,000 in fiscal year 2024 and 
88.2 	$2,000,000 in fiscal year 2025 are from the 
88.3 	TANF fund for decreasing racial and ethnic 
88.4 	disparities in infant mortality rates under 
88.5 	Minnesota Statutes, section 145.928, 
88.6 	subdivision 7;
88.7 	(iii) $4,978,000 in fiscal year 2024 and 
88.8 	$4,978,000 in fiscal year 2025 are from the 
88.9 	TANF fund for the family home visiting grant 
88.10 	program under Minnesota Statutes, section 
88.11 	145A.17. $4,000,000 of the funding in fiscal 
88.12 	year 2024 and $4,000,000 in fiscal year 2025 
88.13 	must be distributed to community health 
88.14 	boards under Minnesota Statutes, section 
88.15 	145A.131, subdivision 1. $978,000 of the 
88.16 	funding in fiscal year 2024 and $978,000 in 
88.17 	fiscal year 2025 must be distributed to Tribal 
88.18 	governments under Minnesota Statutes, section 
88.19 	145A.14, subdivision 2a;
88.20 	(iv) $1,156,000 in fiscal year 2024 and 
88.21 	$1,156,000 in fiscal year 2025 are from the 
88.22 	TANF fund for sexual and reproductive health 
88.23 	services grants under Minnesota Statutes, 
88.24 	section 145.925; and
88.25 	(v) the commissioner may use up to 6.23 
88.26 	percent of the funds appropriated from the 
88.27 	TANF fund each fiscal year to conduct the 
88.28 	ongoing evaluations required under Minnesota 
88.29 	Statutes, section 145A.17, subdivision 7, and 
88.30 	training and technical assistance as required 
88.31 	under Minnesota Statutes, section 145A.17, 
88.32 	subdivisions 4 and 5.
88.33 	(2) TANF Carryforward. Any unexpended 
88.34 	balance of the TANF appropriation in the first 
89.1 	year does not cancel but is available in the 
89.2 	second year.
89.3 	(qq) Base level adjustments. The general 
89.4 	fund base is $197,644,000 in fiscal year 2026 
89.5 	and $195,714,000 in fiscal year 2027. The 
89.6 	health care access fund base is $53,354,000 
89.7 	in fiscal year 2026 and $50,962,000 in fiscal 
89.8 	year 2027.

89.9 	Sec. 15. Laws 2023, chapter 70, article 20, section 3, subdivision 3, is amended to read:

89.10	Subd. 3.Health Protection

89.11	Appropriations by Fund
	
89.12	General
	38,125,000
	36,030,000
	
89.13
89.14	State Government 
Special Revenue
	72,282,000
	73,522,000
	
89.15 	(a) Climate resiliency. $506,000 in fiscal year 
89.16 	2024 and $506,000 in fiscal year 2025 are 
89.17 	from the general fund for activities under 
89.18 	Minnesota Statutes, section 144.9981.
89.19 	(b) Lead remediation in schools and child 
89.20 	care settings. $146,000 in fiscal year 2024 
89.21 	and $239,000 in fiscal year 2025 are from the 
89.22 	general fund for grants under Minnesota 
89.23 	Statutes, section 145.9275.
89.24 	(c) MinnesotaOne Health Antimicrobial 
89.25 	Stewardship Collaborative. $312,000 in 
89.26 	fiscal year 2024 and $312,000 in fiscal year 
89.27 	2025 are from the general fund for the 
89.28 	Minnesota One Health Antibiotic Stewardship 
89.29 	Collaborative under Minnesota Statutes, 
89.30 	section 144.0526.
89.31 	(d) Skin-lightening products public 
89.32 	awareness and education grant. $100,000 
89.33 	in fiscal year 2024 and $100,000 in fiscal year 
90.1 	2025 are from the general fund for a grant to 
90.2 	the Beautywell Project for public awareness 
90.3 	and education activities to address issues of 
90.4 	colorism, skin-lightening products, and 
90.5 	chemical exposures from these products. This 
90.6 	is a onetime appropriation.
90.7 	(e) Comprehensive Overdose and Morbidity 
90.8 	Prevention Act; public health laboratory 
90.9 	and infectious disease prevention.
90.10 	$2,432,000 in fiscal year 2024 and $1,732,000 
90.11 	in fiscal year 2025 are from the general fund 
90.12 	for comprehensive overdose and morbidity 
90.13 	prevention strategies under Minnesota 
90.14 	Statutes, section 144.0528.
90.15 	(f) HIV prevention health equity. $2,267,000 
90.16 	in fiscal year 2024 and $2,267,000 in fiscal 
90.17 	year 2025 are from the general fund for equity 
90.18 	in HIV prevention. This is a onetime 
90.19 	appropriation.
90.20 	(g) Green burials and natural organic 
90.21 	reduction study and report. $132,000 in 
90.22 	fiscal year 2024 is from the general fund for 
90.23 	a study and report on green burials and a study 
90.24 	on natural organic reduction.
90.25 	(h) Uninsured and underinsured adult 
90.26 	vaccine program. $1,470,000 in fiscal year 
90.27 	2024 and $1,470,000 in fiscal year 2025 are 
90.28 	from the general fund for the program for 
90.29 	vaccines for uninsured and underinsured 
90.30 	adults. This is a onetime appropriation.
90.31 	(i) Transfer to public health response 
90.32 	contingency account. The commissioner shall 
90.33 	transfer $2,500,000 in fiscal year 2024 from 
90.34 	the general fund to the public health response 
91.1 	contingency account established in Minnesota 
91.2 	Statutes, section 144.4199. This is a onetime 
91.3 	transfer.
91.4 	(j) Base level adjustments. The general fund 
91.5 	base is $32,332,000 in fiscal year 2026 and 
91.6 	$32,162,000 in fiscal year 2027. The state 
91.7 	government special revenue fund base is 
91.8 	$73,391,000 $70,511,000 in fiscal year 2026 
91.9 	and $73,391,000 $70,511,000 in fiscal year 
91.10 	2027.

91.11 	Sec. 16. Laws 2023, chapter 70, article 20, section 12, as amended by Laws 2023, chapter 
91.12 	75, section 13, is amended to read:

91.13
91.14	Sec. 12. COMMISSIONER OF 
MANAGEMENT AND BUDGET
 	$
	12,932,000
	$
	3,412,000
	
91.15 	(a) Outcomes and evaluation consultation. 
91.16 	$450,000 in fiscal year 2024 and $450,000 in 
91.17 	fiscal year 2025 are for outcomes and 
91.18 	evaluation consultation requirements.
91.19 	(b) Department of Children, Youth, and 
91.20 	Families. $11,931,000 in fiscal year 2024 and 
91.21 	$2,066,000 in fiscal year 2025 are to establish 
91.22 	the Department of Children, Youth, and 
91.23 	Families. This is a onetime appropriation.
91.24 	(c) Keeping Nurses at the Bedside Act 
91.25 	impact evaluation; contingent 
91.26 	appropriation.$232,000 in fiscal year 2025 
91.27 	is for the Keeping Nurses at the Bedside Act 
91.28 	impact evaluation. This appropriation is 
91.29 	contingent upon legislative enactment by the 
91.30 	93rd Legislature of a provision substantially 
91.31 	similar to the impact evaluation provision in 
91.32 	2023 S.F. No. 2995, the third engrossment, 
91.33 	article 3, section 22. This is a onetime 
92.1 	appropriation and is available until June 30, 
92.2 	2029.
92.3 	(d) Health care subcabinet. $551,000 in 
92.4 	fiscal year 2024 and $664,000 in fiscal year 
92.5 	2025 are to hire an executive director for the 
92.6 	health care subcabinet and to provide staffing 
92.7 	and administrative support for the health care 
92.8 	subcabinet.
92.9 	(e) Base level adjustment. The general fund 
92.10 	base is $1,114,000 in fiscal year 2026 and 
92.11 	$1,114,000 in fiscal year 2027.

92.12 	Sec. 17. Laws 2023, chapter 70, article 20, section 23, is amended to read:
92.13 	Sec. 23. TRANSFERS.
 92.14 		Subdivision 1.Grants. The commissioner of human services and commissioner of 
92.15 	children, youth, and families, with the approval of the commissioner of management and 
92.16 	budget, may transfer unencumbered appropriation balances for the biennium ending June 
92.17 	30, 2025, within fiscal years among MFIP; general assistance; medical assistance; 
92.18 	MinnesotaCare; MFIP child care assistance under Minnesota Statutes, section 119B.05; 
92.19 	Minnesota supplemental aid program; housing support program; the entitlement portion of 
92.20 	Northstar Care for Children under Minnesota Statutes, chapter 256N; and the entitlement 
92.21 	portion of the behavioral health fund between fiscal years of the biennium. The commissioner 
92.22 	shall report to the chairs and ranking minority members of the legislative committees with 
92.23 	jurisdiction over health and human services quarterly about transfers made under this 
92.24 	subdivision.
92.25 		Subd. 2.Administration. Positions, salary money, and nonsalary administrative money 
92.26 	may be transferred within and between the Department of Human Services and Department 
92.27 	of Children, Youth, and Families as the commissioners consider necessary, with the advance 
92.28 	approval of the commissioner of management and budget. The commissioners shall report 
92.29 	to the chairs and ranking minority members of the legislative committees with jurisdiction 
92.30 	over health and human services finance quarterly about transfers made under this section.

93.1 	Sec. 18. Laws 2023, chapter 75, section 10, is amended to read:
93.2 	Sec. 10. USE OF APPROPRIATION; LOAN FORGIVENESS ADMINISTRATION.
 93.3 	The commissioner of health may also use the appropriation in S.F. No. 2995, article 20, 
93.4 	section 3, subdivision 2, paragraph (w), clause (3), if enacted during 2023 regular legislative 
93.5 	session, Laws 2023, chapter 70, article 20, section 3, subdivision 2, paragraph (w), clause 
93.6 	(3), for administering sections 2 to 5.

93.7 	Sec. 19. REDUCTIONS IN APPROPRIATIONS, CANCELLATIONS, AND 
93.8 	REAPPROPRIATIONS.
 93.9 		Subdivision 1.Central Office Adjustments. (a) The general fund appropriation in Laws 
93.10 	2023, chapter 70, article 20, section 2, subdivision 7, for fiscal year 2024 is reduced by 
93.11 	$136,000 and that amount cancels to the general fund.
93.12 	(b) $136,000 in fiscal year 2025 is appropriated from the general fund to the commissioner 
93.13 	of human services for behavioral health, deaf and hard of hearing, and housing services 
93.14 	administration costs. This appropriation is available until June 30, 2027.
93.15 	(c) The general fund appropriation in Laws 2023, chapter 70, article 20, section 2, 
93.16 	subdivision 5, paragraph (a), for fiscal year 2024 is reduced by $3,216,000, and that amount 
93.17 	cancels to the general fund.
93.18 	(d) $3,216,000 in fiscal year 2025 is appropriated from the general fund to the 
93.19 	commissioner of human services for interactive voice response upgrades and translation 
93.20 	services for medical assistance and MinnesotaCare enrollees with limited English proficiency. 
93.21 	This appropriation is available until June 30, 2027.
93.22 	(e) The TANF appropriations in Laws 2023, chapter 70, article 20, section 3, are reduced 
93.23 	by $1,090,000 for fiscal year 2024 and $1,194,000 for fiscal year 2025, and those amounts 
93.24 	cancel to the TANF fund.
93.25 	(f) $1,090,000 in fiscal year 2024 and $1,194,000 in fiscal year 2025 are appropriated 
93.26 	from the TANF fund to the commissioner of human services for children and families; 
93.27 	administrative costs.
93.28 		Subd. 2.Family Assets for Independence in Minnesota. (a) The general fund 
93.29 	appropriation in Laws 2023, chapter 70, article 20, section 2, subdivision 22, paragraph (o), 
93.30 	for fiscal year 2025 is reduced by $1,391,000, and that amount cancels to the general fund.
94.1 	(b) $1,391,000 in fiscal year 2025 is appropriated from the general fund to the 
94.2 	commissioner of human services for the family assets for independence in Minnesota 
94.3 	program under Minnesota Statutes, section 256E.35. This is a onetime appropriation and is 
94.4 	available until June 30, 2027.
94.5 		Subd. 3.Community Action Agency Grants. (a) The general fund appropriation in 
94.6 	Laws 2023, chapter 70, article 20, section 2, subdivision 23, for fiscal year 2025 is reduced 
94.7 	by $2,704,000, and that amount cancels to the general fund.
94.8 	(b) $2,704,000 in fiscal year 2025 is appropriated from the general fund to the 
94.9 	commissioner of human services for community action agencies under Minnesota Statutes, 
94.10 	section 256E.30.
94.11 		Subd. 4.Fraud Prevention Grants. (a) The general fund appropriation in Laws 2023, 
94.12 	chapter 70, article 20, section 2, subdivision 3, for fiscal year 2025 is reduced by $425,000, 
94.13 	and that amount cancels to the general fund. The general fund base in Laws 2023, chapter 
94.14 	70, article 20, section 2, subdivision 3, paragraph (h), is reduced by $425,000 in fiscal years 
94.15 	2026 and 2027.
94.16 	(b) $425,000 in fiscal year 2025 is appropriated from the general fund to the commissioner 
94.17 	of human services for fraud prevention grants.
94.18 	(c) The general fund appropriation in Laws 2023, chapter 70, article 20, section 2, 
94.19 	subdivision 24, for fiscal year 2025 is reduced by $2,593,000, and that amount cancels to 
94.20 	the general fund. The general fund base in Laws 2023, chapter 70, article 20, section 2, 
94.21 	subdivision 24, paragraph (o), is reduced by $2,593,000 in fiscal years 2026 and 2027.
94.22 	(d) $2,593,000 in fiscal year 2025 is appropriated from the general fund to the 
94.23 	commissioner of human services for fraud prevention grants.

94.24 	EFFECTIVE DATE. The fiscal year 2024 appropriation reductions and cancellations 
94.25 	in this section are effective the day following final enactment.

94.26 	Sec. 20. DEPARTMENT OF CHILDREN, YOUTH, AND FAMILIES FEDERAL 
94.27 	REIMBURSEMENT.
 94.28 	Minnesota Management and Budget shall reflect Department of Children, Youth, and 
94.29 	Families federal reimbursement costs as expenditure reductions in the general fund budgeted 
94.30 	fund balance as they would be reported in conformity with generally accepted accounting 
94.31 	principles.

95.1 	Sec. 21. REPEALER.
 95.2 	Laws 2023, chapter 70, article 20, section 2, subdivision 31, as amended by Laws 2023, 
95.3 	chapter 75, section 12, is repealed.

APPENDIX 

Repealed Minnesota Statutes: 24-08006 

144.0528 COMPREHENSIVE DRUG OVERDOSE AND MORBIDITY PREVENTION ACT.Subdivision 1.Definition. 
For the purpose of this section, "drug overdose and morbidity" means health problems that people experience after inhaling, ingesting, or injecting medicines in quantities that exceed prescription status; medicines taken that are prescribed to a different person; medicines that have been adulterated or adjusted by contaminants intentionally or unintentionally; or nonprescription drugs in amounts that result in morbidity or mortality. 

Subd. 2.Establishment. 
The commissioner of health shall establish a comprehensive drug overdose and morbidity program to conduct comprehensive drug overdose and morbidity prevention activities, epidemiologic investigations and surveillance, and evaluation to monitor, address, and prevent drug overdoses statewide through integrated strategies that include the following: 

(1) advance access to evidence-based nonnarcotic pain management services; 

(2) implement culturally specific interventions and prevention programs with population and community groups in greatest need, including those who are pregnant and their infants; 

(3) enhance overdose prevention and supportive services for people experiencing homelessness. This strategy includes funding for emergency and short-term housing subsidies through the homeless overdose prevention hub and expanding support for syringe services programs serving people experiencing homelessness statewide; 

(4) equip employers to promote health and well-being of employees by addressing substance misuse and drug overdose; 

(5) improve outbreak detection and identification of substances involved in overdoses through the expansion of the Minnesota Drug Overdose and Substance Use Surveillance Activity (MNDOSA); 

(6) implement Tackling Overdose With Networks (TOWN) community prevention programs; 

(7) identify, address, and respond to drug overdose and morbidity in those who are pregnant or have just given birth through multitiered approaches that may: 

(i) promote medication-assisted treatment options; 

(ii) support programs that provide services in accord with evidence-based care models for mental health and substance abuse disorder; 

(iii) collaborate with interdisciplinary and professional organizations that focus on quality improvement initiatives related to substance use disorder; and 

(iv) implement substance use disorder-related recommendations from the maternal mortality review committee, as appropriate; and 

(8) design a system to assess, address, and prevent the impacts of drug overdose and morbidity on those who are pregnant, their infants, and children. Specifically, the commissioner of health may: 

(i) inform health care providers and the public of the prevalence, risks, conditions, and treatments associated with substance use disorders involving or affecting pregnancies, infants, and children; and 

(ii) identify communities, families, infants, and children affected by substance use disorder in order to recommend focused interventions, prevention, and services. 

Subd. 3.Partnerships. 
The commissioner of health may consult with sovereign Tribal nations, the Minnesota Departments of Human Services, Corrections, Public Safety, and Education, local public health agencies, care providers and insurers, community organizations that focus on substance abuse risks and recovery, individuals affected by substance use disorders, and any other individuals, entities, and organizations as necessary to carry out the goals of this section. 

Subd. 4.Grants authorized. 
(a) The commissioner of health may award grants, as funding allows, to entities and organizations focused on addressing and preventing the negative impacts of drug overdose and morbidity. Examples of activities the commissioner may consider for these grant awards include: 

(1) developing, implementing, or promoting drug overdose and morbidity prevention programs and activities; 

(2) community outreach and other efforts addressing the root causes of drug overdose and morbidity; 

(3) identifying risk and protective factors relating to drug overdose and morbidity that contribute to identification, development, or improvement of prevention strategies and community outreach; 

(4) developing or providing trauma-informed drug overdose and morbidity prevention and services; 

(5) developing or providing culturally and linguistically appropriate drug overdose and morbidity prevention and services, and programs that target and serve historically underserved communities; 

(6) working collaboratively with educational institutions, including school districts, to implement drug overdose and morbidity prevention strategies for students, teachers, and administrators; 

(7) working collaboratively with sovereign Tribal nations, care providers, nonprofit organizations, for-profit organizations, government entities, community-based organizations, and other entities to implement substance misuse and drug overdose prevention strategies within their communities; and 

(8) creating or implementing quality improvement initiatives to improve drug overdose and morbidity treatment and outcomes. 

(b) Any organization or government entity receiving grant money under this section must collect and make available to the commissioner of health aggregate data related to the activity funded by the program under this section. The commissioner of health shall use the information and data from the program evaluation to inform the administration of existing Department of Health programming and the development of Department of Health policies, programs, and procedures. 

Subd. 5.Promotion; administration.  
In fiscal years 2026 and beyond, the commissioner may spend up to 25 percent of the total funding appropriated for the comprehensive drug overdose and morbidity program in each fiscal year to promote, administer, support, and evaluate the programs authorized under this section and to provide technical assistance to program grantees. 

Subd. 6.External contributions. 
The commissioner may accept contributions from governmental and nongovernmental sources and may apply for grants to supplement state appropriations for the programs authorized under this section. Contributions and grants received from the sources identified in this subdivision to advance the purpose of this section are appropriated to the commissioner for the comprehensive drug overdose and morbidity program. 

Subd. 7.Program evaluation.  
Beginning February 28, 2024, the commissioner of health shall report every even-numbered year to the legislative committees with jurisdiction over health detailing the expenditures of funds authorized under this section. The commissioner shall use the data to evaluate the effectiveness of the program. The commissioner must include in the report: 

(1) the number of organizations receiving grant money under this section; 

(2) the number of individuals served by the grant programs; 

(3) a description and analysis of the practices implemented by program grantees; and 

(4) best practices recommendations to prevent drug overdose and morbidity, including culturally relevant best practices and recommendations focused on historically underserved communities. 

Subd. 8.Measurement. 
Notwithstanding any law to the contrary, the commissioner of health shall assess and evaluate grants and contracts awarded using available data sources, including but not limited to the Minnesota All Payer Claims Database (MN APCD), the Minnesota Behavioral Risk Factor Surveillance System (BRFSS), the Minnesota Student Survey, vital records, hospitalization data, syndromic surveillance, and the Minnesota Electronic Health Record Consortium. 

245.975 OMBUDSPERSON FOR FAMILY CHILD CARE PROVIDERS.Subd. 8.Office support. 
The commissioner shall provide the ombudsperson with the necessary office space, supplies, equipment, and clerical support to effectively perform the duties under this section. 

245A.065 CHILD CARE FIX-IT TICKET.
(a) In lieu of a correction order under section 245A.06, the commissioner shall issue a fix-it ticket to a family child care or child care center license holder if the commissioner finds that: 

(1) the license holder has failed to comply with a requirement in this chapter or Minnesota Rules, chapter 9502 or 9503, that the commissioner determines to be eligible for a fix-it ticket; 

(2) the violation does not imminently endanger the health, safety, or rights of the persons served by the program; 

(3) the license holder did not receive a fix-it ticket or correction order for the violation at the license holder's last licensing inspection; 

(4) the violation can be corrected at the time of inspection or within 48 hours, excluding Saturdays, Sundays, and holidays; and 

(5) the license holder corrects the violation at the time of inspection or agrees to correct the violation within 48 hours, excluding Saturdays, Sundays, and holidays. 

(b) The fix-it ticket must state: 

(1) the conditions that constitute a violation of the law or rule; 

(2) the specific law or rule violated; and 

(3) that the violation was corrected at the time of inspection or must be corrected within 48 hours, excluding Saturdays, Sundays, and holidays. 

(c) The commissioner shall not publicly publish a fix-it ticket on the department's website. 

(d) Within 48 hours, excluding Saturdays, Sundays, and holidays, of receiving a fix-it ticket, the license holder must correct the violation and within one week submit evidence to the licensing agency that the violation was corrected. 

(e) If the violation is not corrected at the time of inspection or within 48 hours, excluding Saturdays, Sundays, and holidays, or the evidence submitted is insufficient to establish that the license holder corrected the violation, the commissioner must issue a correction order for the violation of Minnesota law or rule identified in the fix-it ticket according to section 245A.06. 

9545.0845PLAN FOR TRANSFER OF RECORDS. 
An applicant for initial or continuing licensure must submit a written plan indicating how the agency will provide for the transfer of records on both open and closed cases if the agency closes. The plan must provide for managing private and confidential information on agency clients, according to Minnesota Statutes, section 259.79. A controlling individual of the agency must sign the plan. 

A.
 Plans for the transfer of open cases and case records must specify arrangements the agency will make to transfer clients to another agency or county for continuation of services and to transfer the case record with the client. 

B.
 Plans for the transfer of closed adoption records must be accompanied by a signed agreement or other documentation indicating that a county or licensed child placing agency has agreed to accept and maintain the agency's closed case records and to provide follow-up services to affected clients.