Text of MN HF 1403 (2023)
Aging, disability, behavioral health, substance use disorder, and statewide opioid litigation laws modified and established.
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As introduced
562,859 characters
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A bill for an act
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relating to human services; modifying and establishing laws regarding aging,
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disability, behavioral health, substance use disorder, housing, economic assistance,
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children and family services, health care, licensing, Department of Human Services
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Office of Inspector General, and conversion therapy; requiring reports;
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appropriating money; amending Minnesota Statutes 2022, sections 13.46,
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subdivision 4; 62N.25, subdivision 5; 62Q.1055; 62Q.47; 62V.05, subdivision 4a;
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122A.18, subdivision 8; 169A.70, subdivisions 3, 4; 245.462, subdivisions 3, 12;
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245.4661, subdivision 9; 245.469, subdivision 3; 245.4711, subdivisions 3, 4;
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245.477; 245.4835, subdivision 2; 245.4871, subdivisions 3, 19; 245.4873,
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subdivision 4; 245.4881, subdivisions 3, 4; 245.4885, subdivision 1; 245.4887;
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245.50, subdivision 5; 245A.02, subdivisions 5a, 10b; 245A.03, subdivision 7;
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245A.04, subdivisions 1, 4, 7; 245A.041, by adding a subdivision; 245A.043,
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subdivision 3; 245A.05; 245A.07, subdivisions 1, 2a, 3; 245A.10, subdivisions 3,
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4; 245A.11, subdivision 7, by adding a subdivision; 245A.14, subdivision 4;
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245A.1435; 245A.146, subdivision 3; 245A.16, subdivisions 1, 9, by adding a
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subdivision; 245A.18, subdivision 2; 245A.52, subdivisions 1, 2, 3, 5, by adding
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subdivisions; 245A.66, by adding a subdivision; 245C.02, subdivisions 6a, 11c,
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by adding subdivisions; 245C.03, subdivisions 1, 1a, 4, 5, 5a; 245C.031,
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subdivisions 1, 4; 245C.05, subdivisions 1, 5a, by adding a subdivision; 245C.07;
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245C.08, subdivision 1; 245C.10, subdivision 4; 245C.15, subdivision 4a; 245C.30,
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subdivision 2; 245C.31, subdivision 1; 245C.33, subdivision 4; 245D.03,
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subdivision 1; 245E.06, subdivision 3; 245E.08; 245G.05, subdivision 2; 245G.07,
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subdivision 3a; 245G.13, subdivision 2; 245G.22, subdivision 2; 245H.03, by
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adding a subdivision; 245H.05; 245H.08, subdivisions 4, 5; 245H.13, subdivisions
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3, 7, 9; 245I.20, subdivision 10; 246.0135; 254A.03, subdivision 3; 254A.035,
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subdivision 2; 254A.19, subdivisions 1, 3, 4, by adding subdivisions; 254B.01,
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subdivision 5, by adding subdivisions; 254B.03, subdivisions 1, 2, 5; 254B.04,
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subdivisions 1, 2a, by adding subdivisions; 254B.05, subdivisions 1a, 5; 256.01,
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by adding a subdivision; 256.478, by adding subdivisions; 256.9685, subdivisions
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1a, 1b; 256.9686, by adding a subdivision; 256B.04, subdivision 15; 256B.056,
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by adding a subdivision; 256B.0622, subdivision 8; 256B.0625, subdivisions 3a,
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16, by adding a subdivision; 256B.064; 256B.0911, subdivision 23; 256B.092,
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subdivision 10; 256B.093, subdivision 1; 256B.0946, subdivision 6; 256B.0947,
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subdivision 7a; 256B.27, subdivision 3; 256B.439, subdivisions 3c, 3d; 256B.492;
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256B.493, subdivisions 2a, 4; 256D.02, by adding a subdivision; 256D.07; 256D.09,
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subdivision 2a; 256I.03, subdivision 15, by adding a subdivision; 256I.04,
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subdivision 2; 256I.06, subdivision 3; 256I.09; 256J.08, subdivision 21; 256J.09,
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REVISOR
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State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 1403
NINETY-THIRD SESSION
Authored by Fischer
02/08/2023
The bill was read for the first time and referred to the Committee on Human Services Policy
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subdivision 3; 256J.95, subdivision 5; 256L.03, subdivisions 1, 2; 256L.12,
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subdivision 8; 256N.24, subdivision 12; 256P.01, by adding a subdivision; 256P.04,
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by adding a subdivision; 256S.202, subdivision 1; 260B.157, subdivisions 1, 3;
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260C.157, subdivision 3; 260C.221, subdivision 1; 260C.317, subdivision 3;
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260E.20, subdivision 1; 299A.299, subdivision 1; 325F.69, by adding a subdivision;
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518A.43, subdivision 1b; 524.5-104; 524.5-118, subdivision 2a; 524.5-313; Laws
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2021, First Special Session chapter 7, article 2, section 17; article 6, section 12;
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article 11, section 18; article 13, section 43; article 17, section 20; Laws 2022,
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chapter 98, article 4, section 37; proposing coding for new law in Minnesota
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Statutes, chapters 119B; 214; 245; 245A; repealing Minnesota Statutes 2022,
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sections 169A.70, subdivision 6; 245A.144; 245A.175; 245A.22; 245C.02,
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subdivision 9; 245C.301; 245G.22, subdivision 19; 254A.02, subdivision 8a;
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254A.16, subdivision 6; 254A.19, subdivisions 1a, 2, 5; 254B.04, subdivisions
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2b, 2c; 254B.041, subdivision 2; 254B.13, subdivisions 1, 2, 2a, 4, 5, 6, 7, 8;
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254B.16; 256.9685, subdivisions 1c, 1d; 256B.49, subdivision 23; 256D.63,
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subdivision 1; 256I.03, subdivision 6; 260.835, subdivision 2; 518A.59; Minnesota
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Rules, parts 2960.3070; 2960.3210; 9502.0425, subparts 5, 10; 9505.0235;
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9505.0505, subpart 18; 9505.0520, subpart 9b.
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
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ARTICLE 1
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AGING, DISABILITY, AND BEHAVIORAL HEALTH SERVICES
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Section 1. Minnesota Statutes 2022, section 245.462, subdivision 3, is amended to read:
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Subd. 3. Case management services. "Case management services" means activities
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that are coordinated with the community support services program as defined in subdivision
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6 and are designed to help adults with serious and persistent mental illness in gaining access
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to needed medical, social, educational, vocational, and other necessary services as they
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relate to the client's mental health needs. Case management services include developing a
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functional assessment, an individual assessment summary community support plan, referring
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and assisting the person to obtain needed mental health and other services, ensuring
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coordination of services, and monitoring the delivery of services.
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Sec. 2. Minnesota Statutes 2022, section 245.462, subdivision 12, is amended to read:
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Subd. 12. Individual assessment summary community support plan. "Individual
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assessment summary community support plan" means a written plan developed by a case
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manager on the basis of a diagnostic assessment and functional assessment. The plan
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identifies specific services needed by an adult with serious and persistent mental illness to
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develop independence or improved functioning in daily living, health and medication
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management, social functioning, interpersonal relationships, financial management, housing,
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transportation, and employment.
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Article 1 Sec. 2.
REVISOR
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Sec. 3. Minnesota Statutes 2022, section 245.4661, subdivision 9, is amended to read:
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Subd. 9. Services and programs. (a) The following three distinct grant programs are
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funded under this section:
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(1) mental health crisis services;
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(2) housing with supports for adults with serious mental illness; and
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(3) projects for assistance in transitioning from homelessness (PATH program).
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(b) In addition, the following are eligible for grant funds:
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(1) community education and prevention;
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(2) client outreach;
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(3) early identification and intervention;
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(4) adult outpatient diagnostic assessment and psychological testing;
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(5) peer support services;
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(6) community support program services (CSP);
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(7) adult residential crisis stabilization;
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(8) supported employment;
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(9) assertive community treatment (ACT);
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(10) housing subsidies;
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(11) basic living, social skills, and community intervention;
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(12) emergency response services;
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(13) adult outpatient psychotherapy;
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(14) adult outpatient medication management;
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(15) adult mobile crisis services;
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(16) adult day treatment;
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(17) partial hospitalization;
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(18) adult residential treatment;
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(19) adult mental health targeted case management; and
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(20) intensive community rehabilitative services (ICRS); and
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Article 1 Sec. 3.
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(21) (20) transportation.
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Sec. 4. Minnesota Statutes 2022, section 245.469, subdivision 3, is amended to read:
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Subd. 3. Mental health crisis services. The commissioner of human services shall
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increase access to mental health crisis services for children and adults. In order to increase
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access, the commissioner must:
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(1) develop a central phone number where calls can be routed to the appropriate crisis
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services;
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(2) provide telephone consultation 24 hours a day to mobile crisis teams who are serving
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people with traumatic brain injury or intellectual disabilities who are experiencing a mental
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health crisis;
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(3) expand crisis services across the state, including rural areas of the state and examining
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access per population;
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(4) establish and implement state standards and requirements for crisis services as outlined
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in section 256B.0624; and
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(5) provide grants to adult mental health initiatives, counties, tribes, or community mental
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health providers to establish new mental health crisis residential service capacity.
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Priority will be given to regions that do not have a mental health crisis residential services
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program, do not have an inpatient psychiatric unit within the region, do not have an inpatient
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psychiatric unit within 90 miles, or have a demonstrated need based on the number of crisis
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residential or intensive residential treatment beds available to meet the needs of the residents
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in the region. At least 50 percent of the funds must be distributed to programs in rural
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Minnesota. Grant funds may be used for start-up costs, including but not limited to
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renovations, furnishings, and staff training. Grant applications shall provide details on how
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the intended service will address identified needs and shall demonstrate collaboration with
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crisis teams, other mental health providers, hospitals, and police.
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EFFECTIVE DATE. This section is effective the day following final enactment.
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Sec. 5. Minnesota Statutes 2022, section 245.4711, subdivision 3, is amended to read:
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Subd. 3. Duties of case manager. Upon a determination of eligibility for case
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management services, and if the adult consents to the services, the case manager shall
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complete a written functional assessment according to section 245.462, subdivision 11a.
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The case manager shall develop an individual assessment summary community support
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Article 1 Sec. 5.
REVISOR
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plan for the adult according to subdivision 4, paragraph (a), review the adult's progress, and
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monitor the provision of services. If services are to be provided in a host county that is not
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the county of financial responsibility, the case manager shall consult with the host county
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and obtain a letter demonstrating the concurrence of the host county regarding the provision
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of services.
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Sec. 6. Minnesota Statutes 2022, section 245.4711, subdivision 4, is amended to read:
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Subd. 4. Individual assessment summary community support plan. (a) The case
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manager must develop an individual assessment summary community support plan for each
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adult that incorporates the client's individual treatment plan. The individual treatment plan
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may not be a substitute for the development of an individual assessment summary community
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support plan. The individual assessment summary community support plan must be developed
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within 30 days of client intake and reviewed at least every 180 days after it is developed,
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unless the case manager receives a written request from the client or the client's family for
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a review of the plan every 90 days after it is developed. The case manager is responsible
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for developing the individual assessment summary community support plan based on a
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diagnostic assessment and a functional assessment and for implementing and monitoring
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the delivery of services according to the individual assessment summary community support
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plan. To the extent possible, the adult with serious and persistent mental illness, the person's
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family, advocates, service providers, and significant others must be involved in all phases
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of development and implementation of the individual or family assessment summary
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community support plan.
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(b) The client's individual assessment summary community support plan must state:
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(1) the goals of each service;
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(2) the activities for accomplishing each goal;
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(3) a schedule for each activity; and
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(4) the frequency of face-to-face contacts by the case manager, as appropriate to client
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need and the implementation of the individual assessment summary community support
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plan.
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Sec. 7. Minnesota Statutes 2022, section 245.477, is amended to read:
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245.477 APPEALS.
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Any adult who requests mental health services under sections 245.461 to 245.486 must
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be advised of services available and the right to appeal at the time of the request and each
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Article 1 Sec. 7.
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time the individual assessment summary community support plan or individual treatment
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plan is reviewed. Any adult whose request for mental health services under sections 245.461
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to 245.486 is denied, not acted upon with reasonable promptness, or whose services are
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suspended, reduced, or terminated by action or inaction for which the county board is
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responsible under sections 245.461 to 245.486 may contest that action or inaction before
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the state agency as specified in section 256.045. The commissioner shall monitor the nature
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and frequency of administrative appeals under this section.
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Sec. 8. Minnesota Statutes 2022, section 245.4835, subdivision 2, is amended to read:
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Subd. 2. Failure to maintain expenditures. (a) If a county does not comply with
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subdivision 1, the commissioner shall require the county to develop a corrective action plan
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according to a format and timeline established by the commissioner. If the commissioner
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determines that a county has not developed an acceptable corrective action plan within the
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required timeline, or that the county is not in compliance with an approved corrective action
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plan, the protections provided to that county under section 245.485 do not apply.
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(b) The commissioner shall consider the following factors to determine whether to
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approve a county's corrective action plan:
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(1) the degree to which a county is maximizing revenues for mental health services from
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noncounty sources;
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(2) the degree to which a county is expanding use of alternative services that meet mental
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health needs, but do not count as mental health services within existing reporting systems.
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If approved by the commissioner, the alternative services must be included in the county's
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base as well as subsequent years. The commissioner's approval for alternative services must
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be based on the following criteria:
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(i) the service must be provided to children with emotional disturbance or adults with
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mental illness;
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(ii) the services must be based on an individual treatment plan or individual assessment
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summary community support plan as defined in the Comprehensive Mental Health Act;
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and
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(iii) the services must be supervised by a mental health professional and provided by
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staff who meet the staff qualifications defined in sections 256B.0943, subdivision 7, and
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256B.0623, subdivision 5.
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(c) Additional county expenditures to make up for the prior year's underspending may
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be spread out over a two-year period.
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Article 1 Sec. 8.
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Sec. 9. Minnesota Statutes 2022, section 245.4871, subdivision 3, is amended to read:
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Subd. 3. Case management services. "Case management services" means activities
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that are coordinated with the family community support services and are designed to help
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the child with severe emotional disturbance and the child's family obtain needed mental
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health services, social services, educational services, health services, vocational services,
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recreational services, and related services in the areas of volunteer services, advocacy,
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transportation, and legal services. Case management services include assisting in obtaining
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a comprehensive diagnostic assessment, developing an individual family assessment summary
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community support plan, and assisting the child and the child's family in obtaining needed
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services by coordination with other agencies and assuring continuity of care. Case managers
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must assess and reassess the delivery, appropriateness, and effectiveness of services over
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time.
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Sec. 10. Minnesota Statutes 2022, section 245.4871, subdivision 19, is amended to read:
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Subd. 19. Individual family assessment summary community support
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plan. "Individual family assessment summary community support plan" means a written
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plan developed by a case manager in conjunction with the family and the child with severe
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emotional disturbance on the basis of a diagnostic assessment and a functional assessment.
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The plan identifies specific services needed by a child and the child's family to:
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(1) treat the symptoms and dysfunctions determined in the diagnostic assessment;
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(2) relieve conditions leading to emotional disturbance and improve the personal
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well-being of the child;
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(3) improve family functioning;
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(4) enhance daily living skills;
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(5) improve functioning in education and recreation settings;
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(6) improve interpersonal and family relationships;
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(7) enhance vocational development; and
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(8) assist in obtaining transportation, housing, health services, and employment.
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Sec. 11. Minnesota Statutes 2022, section 245.4873, subdivision 4, is amended to read:
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Subd. 4. Individual case coordination. The case manager designated under section
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245.4881 is responsible for ongoing coordination with any other person responsible for
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planning, development, and delivery of social services, education, corrections, health, or
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Article 1 Sec. 11.
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vocational services for the individual child. The individual family assessment summary
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community support plan developed by the case manager shall reflect the coordination among
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the local service system providers.
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Sec. 12. Minnesota Statutes 2022, section 245.4881, subdivision 3, is amended to read:
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Subd. 3. Duties of case manager. (a) Upon a determination of eligibility for case
8.6
management services, the case manager shall develop an individual family assessment
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summary community support plan for a child as specified in subdivision 4, review the child's
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progress, and monitor the provision of services. If services are to be provided in a host
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county that is not the county of financial responsibility, the case manager shall consult with
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the host county and obtain a letter demonstrating the concurrence of the host county regarding
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the provision of services.
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(b) The case manager shall note in the child's record the services needed by the child
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and the child's family, the services requested by the family, services that are not available,
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and the unmet needs of the child and child's family. The case manager shall note this
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provision in the child's record.
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Sec. 13. Minnesota Statutes 2022, section 245.4881, subdivision 4, is amended to read:
8.17
Subd. 4. Individual family assessment summary community support plan. (a) For
8.18
each child, the case manager must develop an individual family assessment summary
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community support plan that incorporates the child's individual treatment plan. The individual
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treatment plan may not be a substitute for the development of an individual family assessment
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summary community support plan. The case manager is responsible for developing the
8.22
individual family assessment summary community support plan within 30 days of intake
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based on a diagnostic assessment and for implementing and monitoring the delivery of
8.24
services according to the individual family assessment summary community support plan.
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The case manager must review the plan at least every 180 calendar days after it is developed,
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unless the case manager has received a written request from the child's family or an advocate
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for the child for a review of the plan every 90 days after it is developed. To the extent
8.28
appropriate, the child with severe emotional disturbance, the child's family, advocates,
8.29
service providers, and significant others must be involved in all phases of development and
8.30
implementation of the individual family assessment summary community support plan.
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Notwithstanding the lack of an individual family assessment summary community support
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plan, the case manager shall assist the child and child's family in accessing the needed
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services listed in section 245.4884, subdivision 1.
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Article 1 Sec. 13.
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(b) The child's individual family assessment summary community support plan must
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state:
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(1) the goals and expected outcomes of each service and criteria for evaluating the
9.4
effectiveness and appropriateness of the service;
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(2) the activities for accomplishing each goal;
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(3) a schedule for each activity; and
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(4) the frequency of face-to-face contacts by the case manager, as appropriate to client
9.8
need and the implementation of the individual family assessment summary community
9.9
support plan.
9.10
Sec. 14. Minnesota Statutes 2022, section 245.4885, subdivision 1, is amended to read:
9.11
Subdivision 1. Admission criteria. (a) Prior to admission or placement, except in the
9.12
case of an emergency, all children referred for treatment of severe emotional disturbance
9.13
in a treatment foster care setting, residential treatment facility, or informally admitted to a
9.14
regional treatment center shall undergo an assessment to determine the appropriate level of
9.15
care if county funds are used to pay for the child's services. An emergency includes when
9.16
a child is in need of and has been referred for crisis stabilization services under section
9.17
245.4882, subdivision 6. A child who has been referred to residential treatment for crisis
9.18
stabilization services in a residential treatment center is not required to undergo an assessment
9.19
under this section.
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(b) The county board shall determine the appropriate level of care for a child when
9.21
county-controlled funds are used to pay for the child's residential treatment under this
9.22
chapter, including residential treatment provided in a qualified residential treatment program
9.23
as defined in section 260C.007, subdivision 26d. When a county board does not have
9.24
responsibility for a child's placement and the child is enrolled in a prepaid health program
9.25
under section 256B.69, the enrolled child's contracted health plan must determine the
9.26
appropriate level of care for the child. When Indian Health Services funds or funds of a
9.27
tribally owned facility funded under the Indian Self-Determination and Education Assistance
9.28
Act, Public Law 93-638, are used for the child, the Indian Health Services or 638 tribal
9.29
health facility must determine the appropriate level of care for the child. When more than
9.30
one entity bears responsibility for a child's coverage, the entities shall coordinate level of
9.31
care determination activities for the child to the extent possible.
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(c) The child's level of care determination shall determine whether the proposed treatment:
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(1) is necessary;
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Article 1 Sec. 14.
REVISOR
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(2) is appropriate to the child's individual treatment needs;
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(3) cannot be effectively provided in the child's home; and
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(4) provides a length of stay as short as possible consistent with the individual child's
10.4
needs.
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(d) When a level of care determination is conducted, the county board or other entity
10.6
may not determine that a screening of a child, referral, or admission to a residential treatment
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facility is not appropriate solely because services were not first provided to the child in a
10.8
less restrictive setting and the child failed to make progress toward or meet treatment goals
10.9
in the less restrictive setting. The level of care determination must be based on a diagnostic
10.10
assessment of a child that evaluates the child's family, school, and community living
10.11
situations; and an assessment of the child's need for care out of the home using a validated
10.12
tool which assesses a child's functional status and assigns an appropriate level of care to the
10.13
child. The validated tool must be approved by the commissioner of human services and
10.14
may be the validated tool approved for the child's assessment under section 260C.704 if the
10.15
juvenile treatment screening team recommended placement of the child in a qualified
10.16
residential treatment program. If a diagnostic assessment has been completed by a mental
10.17
health professional within the past 180 days, a new diagnostic assessment need not be
10.18
completed unless in the opinion of the current treating mental health professional the child's
10.19
mental health status has changed markedly since the assessment was completed. The child's
10.20
parent shall be notified if an assessment will not be completed and of the reasons. A copy
10.21
of the notice shall be placed in the child's file. Recommendations developed as part of the
10.22
level of care determination process shall include specific community services needed by
10.23
the child and, if appropriate, the child's family, and shall indicate whether these services
10.24
are available and accessible to the child and the child's family. The child and the child's
10.25
family must be invited to any meeting where the level of care determination is discussed
10.26
and decisions regarding residential treatment are made. The child and the child's family
10.27
may invite other relatives, friends, or advocates to attend these meetings.
10.28
(e) During the level of care determination process, the child, child's family, or child's
10.29
legal representative, as appropriate, must be informed of the child's eligibility for case
10.30
management services and family community support services and that an individual family
10.31
assessment summary community support plan is being developed by the case manager, if
10.32
assigned.
10
Article 1 Sec. 14.
REVISOR
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(f) The level of care determination, placement decision, and recommendations for mental
11.2
health services must be documented in the child's record and made available to the child's
11.3
family, as appropriate.
11.4
Sec. 15. Minnesota Statutes 2022, section 245.4887, is amended to read:
11.5
245.4887 APPEALS.
11.6
A child or a child's family, as appropriate, who requests mental health services under
11.7
sections 245.487 to 245.4889 must be advised of services available and the right to appeal
11.8
as described in this section at the time of the request and each time the individual family
11.9
assessment summary community support plan or individual treatment plan is reviewed. A
11.10
child whose request for mental health services under sections 245.487 to 245.4889 is denied,
11.11
not acted upon with reasonable promptness, or whose services are suspended, reduced, or
11.12
terminated by action or inaction for which the county board is responsible under sections
11.13
245.487 to 245.4889 may contest that action or inaction before the state agency according
11.14
to section 256.045. The commissioner shall monitor the nature and frequency of
11.15
administrative appeals under this section.
11.16
Sec. 16. [245.4903] CULTURAL AND ETHNIC MINORITY INFRASTRUCTURE
11.17
GRANT PROGRAM.
11.18
Subdivision 1. Establishment. The commissioner of human services shall establish a
11.19
cultural and ethnic minority infrastructure grant program to ensure that mental health and
11.20
substance use disorder treatment supports and services are culturally specific and culturally
11.21
responsive to meet the cultural needs of the communities served.
11.22
Subd. 2. Eligible applicants. An eligible applicant is a licensed entity or provider from
11.23
a cultural or ethnic minority population who:
11.24
(1) provides mental health or substance use disorder treatment services and supports to
11.25
individuals from cultural and ethnic minority populations, including individuals who are
11.26
lesbian, gay, bisexual, transgender, or queer and from cultural and ethnic minority
11.27
populations;
11.28
(2) provides or is qualified and has the capacity to provide clinical supervision and
11.29
support to members of culturally diverse and ethnic minority communities to qualify as
11.30
mental health and substance use disorder treatment providers; or
11.31
(3) has the capacity and experience to provide training for mental health and substance
11.32
use disorder treatment providers on cultural competency and cultural humility.
11
Article 1 Sec. 16.
REVISOR
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12.1
Subd. 2. Allowable grant activities. (a) The cultural and ethnic minority infrastructure
12.2
grant program grantees must engage in activities and provide supportive services to ensure
12.3
and increase equitable access to culturally specific and responsive care and to build
12.4
organizational and professional capacity for licensure and certification for the communities
12.5
served. Allowable grant activities include but are not limited to:
12.6
(1) workforce development activities focused on recruiting, supporting, training, and
12.7
supervision activities for mental health and substance use disorder practitioners and
12.8
professionals from diverse racial, cultural, and ethnic communities;
12.9
(2) supporting members of culturally diverse and ethnic minority communities to qualify
12.10
as mental health and substance use disorder professionals, practitioners, clinical supervisors,
12.11
recovery peer specialists, mental health certified peer specialists, and mental health certified
12.12
family peer specialists;
12.13
(3) culturally specific outreach, early intervention, trauma-informed services, and recovery
12.14
support in mental health and substance use disorder services;
12.15
(4) provision of trauma-informed, culturally responsive mental health and substance use
12.16
disorder supports and services for children and families, youth, or adults who are from
12.17
cultural and ethnic minority backgrounds and are uninsured or underinsured;
12.18
(5) mental health and substance use disorder service expansion and infrastructure
12.19
improvement activities, particularly in greater Minnesota;
12.20
(6) training for mental health and substance use disorder treatment providers on cultural
12.21
competency and cultural humility; and
12.22
(7) activities to increase the availability of culturally responsive mental health and
12.23
substance use disorder services for children and families, youth, or adults or to increase the
12.24
availability of substance use disorder services for individuals from cultural and ethnic
12.25
minorities in the state.
12.26
(b) The commissioner must assist grantees with meeting third-party credentialing
12.27
requirements, and grantees must obtain all available third-party reimbursement sources as
12.28
a condition of receiving grant funds. Grantees must serve individuals from cultural and
12.29
ethnic minority communities regardless of health coverage status or ability to pay.
12.30
Subd. 3. Data collection and outcomes. Grantees must provide regular data summaries
12.31
to the commissioner for purposes of evaluating the effectiveness of the cultural and ethnic
12.32
minority infrastructure grant program. The commissioner must use identified culturally
12
Article 1 Sec. 16.
REVISOR
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13.1
appropriate outcome measures instruments to evaluate outcomes and must evaluate program
13.2
activities by analyzing whether the program:
13.3
(1) increased access to culturally specific services for individuals from cultural and
13.4
ethnic minority communities across the state;
13.5
(2) increased the number of individuals from cultural and ethnic minority communities
13.6
served by grantees;
13.7
(3) increased cultural responsiveness and cultural competency of mental health and
13.8
substance use disorder treatment providers;
13.9
(4) increased the number of mental health and substance use disorder treatment providers
13.10
and clinical supervisors from cultural and ethnic minority communities;
13.11
(5) increased the number of mental health and substance use disorder treatment
13.12
organizations owned, managed, or led by individuals who are Black, Indigenous, or people
13.13
of color;
13.14
(6) reduced health disparities through improved clinical and functional outcomes for
13.15
those accessing services; and
13.16
(7) led to an overall increase in culturally specific mental health and substance use
13.17
disorder service availability.
13.18
EFFECTIVE DATE. This section is effective the day following final enactment.
13.19
Sec. 17. [245.4906] MENTAL HEALTH CERTIFIED PEER SPECIALIST GRANT
13.20
PROGRAM.
13.21
Subdivision 1. Establishment. The mental health certified peer specialist grant program
13.22
is established in the Department of Human Services to provide funding for training for
13.23
mental health certified peer specialists who provide services to support individuals with
13.24
lived experience of mental illness under section 256B.0615. Certified peer specialists provide
13.25
services to individuals who are receiving assertive community treatment or intensive
13.26
residential treatment services under section 256B.0622, adult rehabilitative mental health
13.27
services under section 256B.0623, or crisis response services under section 256B.0624.
13.28
Mental health certified peer specialist qualifications are defined in section 245I.04,
13.29
subdivision 10, and mental health certified peer specialists' scope of practice is defined in
13.30
section 245I.04, subdivision 11.
13.31
Subd. 2. Activities. Grant funding may be used to provide training for mental health
13.32
certified peer specialists as specified in section 256B.0615, subdivision 5.
13
Article 1 Sec. 17.
REVISOR
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14.1
Subd. 3. Outcomes. Evaluation includes the extent to which individuals receiving peer
14.2
services:
14.3
(1) experience progress on achieving treatment goals; and
14.4
(2) experience a reduction in hospital admissions.
14.5
EFFECTIVE DATE. This section is effective the day following final enactment.
14.6
Sec. 18. [245.4907] MENTAL HEALTH CERTIFIED FAMILY PEER SPECIALIST
14.7
GRANT PROGRAM.
14.8
Subdivision 1. Establishment. The mental health certified peer family specialist grant
14.9
program is established in the Department of Human Services to provide funding for training
14.10
for mental health certified peer family specialists who provide services to support individuals
14.11
with lived experience of mental illness under section 256B.0616. Certified family peer
14.12
specialists provide services to families who have a child with an emotional disturbance or
14.13
severe emotional disturbance under chapter 245. Certified family peer specialists provide
14.14
services to families whose children are receiving inpatient hospitalization under section
14.15
256B.0625, subdivision 1; partial hospitalization under Minnesota Rules, parts 9505.0370,
14.16
subpart 24, and 9505.0372, subpart 9; residential treatment under section 245.4882; children's
14.17
intensive behavioral health services under section 256B.0946; and day treatment, children's
14.18
therapeutic services and supports, or crisis response services under section 256B.0624.
14.19
Mental health certified family peer specialist qualifications are defined in section 245I.04,
14.20
subdivision 12, and mental health certified family peer specialists' scope of practice is
14.21
defined in section 245I.04, subdivision 13.
14.22
Subd. 2. Activities. Grant funding may be used to provide training for mental health
14.23
certified family peer specialists as specified in section 256B.0616, subdivision 5.
14.24
Subd. 3. Outcomes. Evaluation includes the extent to which individuals receiving family
14.25
peer services:
14.26
(1) progress on achieving treatment goals; and
14.27
(2) experience a reduction in hospital admissions.
14.28
EFFECTIVE DATE. This section is effective the day following final enactment.
14
Article 1 Sec. 18.
REVISOR
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15.1
Sec. 19. [245.991] PROJECTS FOR ASSISTANCE IN TRANSITION FROM
15.2
HOMELESSNESS PROGRAM.
15.3
Subdivision 1. Establishment. The projects for assistance in transition from homelessness
15.4
program is established in the Department of Human Services to prevent or end homelessness
15.5
for people with serious mental illness or co-occurring substance use disorder and ensure
15.6
the commissioner may achieve the goals of the housing mission statement in section 245.461,
15.7
subdivision 4.
15.8
Subd. 2. Activities. All projects for assistance in transition from homelessness must
15.9
provide homeless outreach and case management services. Projects may provide clinical
15.10
assessment, habilitation and rehabilitation services, community mental health services,
15.11
substance use disorder treatment, housing transition and sustaining services, direct assistance
15.12
funding, and other activities as determined by the commissioner.
15.13
Subd. 3. Eligibility. Program activities must be provided to people with serious mental
15.14
illness, or with co-occurring substance use disorder, who meet homeless criteria determined
15.15
by the commissioner. People receiving homeless outreach may be presumed eligible until
15.16
serious mental illness can be verified.
15.17
Subd. 4. Outcomes. Evaluation of each project includes the extent to which:
15.18
(1) grantees contact individuals through homeless outreach services;
15.19
(2) grantees enroll individuals in case management services;
15.20
(3) individuals access behavioral health services; and
15.21
(4) individuals transition from homelessness to housing.
15.22
Subd. 5. Federal aid or grants. The commissioner of human services must comply with
15.23
all conditions and requirements necessary to receive federal aid or grants with respect to
15.24
homeless services or programs as specified in section 245.70.
15.25
EFFECTIVE DATE. This section is effective the day following final enactment.
15.26
Sec. 20. [245.992] HOUSING WITH SUPPORT FOR ADULTS WITH SERIOUS
15.27
MENTAL ILLNESS PROGRAM.
15.28
Subdivision 1. Creation. The housing with support for adults with serious mental illness
15.29
program is established in the Department of Human Services to prevent or end homelessness
15.30
for people with serious mental illness, increase the availability of housing with support, and
15.31
ensure the commissioner may achieve the goals of the housing mission statement in section
15.32
245.461, subdivision 4.
15
Article 1 Sec. 20.
REVISOR
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16.1
Subd. 2. Activities. The housing with support for adults with serious mental illness
16.2
program may provide a range of activities and supportive services to assure that people
16.3
obtain and retain permanent supportive housing. Program activities may include case
16.4
management, site-based housing services, housing transition and sustaining services, outreach
16.5
services, community support services, direct assistance funding, and other activities as
16.6
determined by the commissioner.
16.7
Subd. 3. Eligibility. Program activities must be provided to people with serious mental
16.8
illness, or with co-occurring substance use disorder, who meet homeless criteria determined
16.9
by the commissioner.
16.10
Subd. 4. Outcomes. Evaluation of program activities must utilize evidence-based
16.11
practices and must include the extent to which:
16.12
(1) grantees' housing and activities utilize evidence-based practices;
16.13
(2) individuals transition from homelessness to housing;
16.14
(3) individuals retain housing; and
16.15
(4) individuals are satisfied with their housing.
16.16
EFFECTIVE DATE. This section is effective the day following final enactment.
16.17
Sec. 21. Minnesota Statutes 2022, section 245A.03, subdivision 7, is amended to read:
16.18
Subd. 7. Licensing moratorium. (a) The commissioner shall not issue an initial license
16.19
for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult
16.20
foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter
16.21
for a physical location that will not be the primary residence of the license holder for the
16.22
entire period of licensure. If a family child foster care home or family adult foster care home
16.23
license is issued during this moratorium, and the license holder changes the license holder's
16.24
primary residence away from the physical location of the foster care license, the
16.25
commissioner shall revoke the license according to section 245A.07. The commissioner
16.26
shall not issue an initial license for a community residential setting licensed under chapter
16.27
245D. When approving an exception under this paragraph, the commissioner shall consider
16.28
the resource need determination process in paragraph (h), the availability of foster care
16.29
licensed beds in the geographic area in which the licensee seeks to operate, the results of a
16.30
person's choices during their annual assessment and service plan review, and the
16.31
recommendation of the local county board. The determination by the commissioner is final
16.32
and not subject to appeal. Exceptions to the moratorium include:
16
Article 1 Sec. 21.
REVISOR
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17.1
(1) foster care settings a license for a person in a foster care setting that is not the primary
17.2
residence of the license holder and where at least 80 percent of the residents are 55 years
17.3
of age or older;
17.4
(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or
17.5
community residential setting licenses replacing adult foster care licenses in existence on
17.6
December 31, 2013, and determined to be needed by the commissioner under paragraph
17.7
(b);
17.8
(3) new foster care licenses or community residential setting licenses determined to be
17.9
needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD,
17.10
or regional treatment center; restructuring of state-operated services that limits the capacity
17.11
of state-operated facilities; or allowing movement to the community for people who no
17.12
longer require the level of care provided in state-operated facilities as provided under section
17.13
256B.092, subdivision 13, or 256B.49, subdivision 24;
17.14
(4) new foster care licenses or community residential setting licenses determined to be
17.15
needed by the commissioner under paragraph (b) for persons requiring hospital-level care;
17.16
or
17.17
(5) new foster care licenses or community residential setting licenses for people receiving
17.18
customized living or 24-hour customized living services under the brain injury or community
17.19
access for disability inclusion waiver plans under section 256B.49 and residing in the
17.20
customized living setting before July 1, 2022, for which a license is required. A customized
17.21
living service provider subject to this exception may rebut the presumption that a license
17.22
is required by seeking a reconsideration of the commissioner's determination. The
17.23
commissioner's disposition of a request for reconsideration is final and not subject to appeal
17.24
under chapter 14. The exception is available until June 30, 2023. This exception is available
17.25
when:
17.26
(i) the person's customized living services are provided in a customized living service
17.27
setting serving four or fewer people under the brain injury or community access for disability
17.28
inclusion waiver plans under section 256B.49 in a single-family home operational on or
17.29
before June 30, 2021. Operational is defined in section 256B.49, subdivision 28;
17.30
(ii) the person's case manager provided the person with information about the choice of
17.31
service, service provider, and location of service, including in the person's home, to help
17.32
the person make an informed choice; and
17
Article 1 Sec. 21.
REVISOR
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18.1
(iii) the person's services provided in the licensed foster care or community residential
18.2
setting are less than or equal to the cost of the person's services delivered in the customized
18.3
living setting as determined by the lead agency.
18.4
(b) The commissioner shall determine the need for newly licensed foster care homes or
18.5
community residential settings as defined under this subdivision. As part of the determination,
18.6
the commissioner shall consider the availability of foster care capacity in the area in which
18.7
the licensee seeks to operate, and the recommendation of the local county board. The
18.8
determination by the commissioner must be final. A determination of need is not required
18.9
for a change in ownership at the same address.
18.10
(c) When an adult resident served by the program moves out of a foster home that is not
18.11
the primary residence of the license holder according to section 256B.49, subdivision 15,
18.12
paragraph (f), or the adult community residential setting, the county shall immediately
18.13
inform the Department of Human Services Licensing Division. The department may decrease
18.14
the statewide licensed capacity for adult foster care settings.
18.15
(d) Residential settings that would otherwise be subject to the decreased license capacity
18.16
established in paragraph (c) shall be exempt if the license holder's beds are occupied by
18.17
residents whose primary diagnosis is mental illness and the license holder is certified under
18.18
the requirements in subdivision 6a or section 245D.33.
18.19
(e) A resource need determination process, managed at the state level, using the available
18.20
data required by section 144A.351, and other data and information shall be used to determine
18.21
where the reduced capacity determined under section 256B.493 will be implemented. The
18.22
commissioner shall consult with the stakeholders described in section 144A.351, and employ
18.23
a variety of methods to improve the state's capacity to meet the informed decisions of those
18.24
people who want to move out of corporate foster care or community residential settings,
18.25
long-term service needs within budgetary limits, including seeking proposals from service
18.26
providers or lead agencies to change service type, capacity, or location to improve services,
18.27
increase the independence of residents, and better meet needs identified by the long-term
18.28
services and supports reports and statewide data and information.
18.29
(f) At the time of application and reapplication for licensure, the applicant and the license
18.30
holder that are subject to the moratorium or an exclusion established in paragraph (a) are
18.31
required to inform the commissioner whether the physical location where the foster care
18.32
will be provided is or will be the primary residence of the license holder for the entire period
18.33
of licensure. If the primary residence of the applicant or license holder changes, the applicant
18.34
or license holder must notify the commissioner immediately. The commissioner shall print
18
Article 1 Sec. 21.
REVISOR
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19.1
on the foster care license certificate whether or not the physical location is the primary
19.2
residence of the license holder.
19.3
(g) License holders of foster care homes identified under paragraph (f) that are not the
19.4
primary residence of the license holder and that also provide services in the foster care home
19.5
that are covered by a federally approved home and community-based services waiver, as
19.6
authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human
19.7
services licensing division that the license holder provides or intends to provide these
19.8
waiver-funded services.
19.9
(h) The commissioner may adjust capacity to address needs identified in section
19.10
144A.351. Under this authority, the commissioner may approve new licensed settings or
19.11
delicense existing settings. Delicensing of settings will be accomplished through a process
19.12
identified in section 256B.493.
19.13
(i) The commissioner must notify a license holder when its corporate foster care or
19.14
community residential setting licensed beds are reduced under this section. The notice of
19.15
reduction of licensed beds must be in writing and delivered to the license holder by certified
19.16
mail or personal service. The notice must state why the licensed beds are reduced and must
19.17
inform the license holder of its right to request reconsideration by the commissioner. The
19.18
license holder's request for reconsideration must be in writing. If mailed, the request for
19.19
reconsideration must be postmarked and sent to the commissioner within 20 calendar days
19.20
after the license holder's receipt of the notice of reduction of licensed beds. If a request for
19.21
reconsideration is made by personal service, it must be received by the commissioner within
19.22
20 calendar days after the license holder's receipt of the notice of reduction of licensed beds.
19.23
(j) The commissioner shall not issue an initial license for children's residential treatment
19.24
services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this chapter
19.25
for a program that Centers for Medicare and Medicaid Services would consider an institution
19.26
for mental diseases. Facilities that serve only private pay clients are exempt from the
19.27
moratorium described in this paragraph. The commissioner has the authority to manage
19.28
existing statewide capacity for children's residential treatment services subject to the
19.29
moratorium under this paragraph and may issue an initial license for such facilities if the
19.30
initial license would not increase the statewide capacity for children's residential treatment
19.31
services subject to the moratorium under this paragraph.
19.32
EFFECTIVE DATE. This section is effective the day following final enactment.
19
Article 1 Sec. 21.
REVISOR
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20.1
Sec. 22. Minnesota Statutes 2022, section 245A.11, subdivision 7, is amended to read:
20.2
Subd. 7. Adult foster care and community residential settings; variance for alternate
20.3
overnight supervision. (a) The commissioner may grant a variance under section 245A.04,
20.4
subdivision 9, to statutes and rule parts requiring a caregiver to be present in an adult foster
20.5
care home or a community residential setting during normal sleeping hours to allow for
20.6
alternative methods of overnight supervision. The commissioner may grant the variance if
20.7
the local county licensing agency recommends the variance and the county recommendation
20.8
includes documentation verifying that:
20.9
(1) the county has approved the license holder's plan for alternative methods of providing
20.10
overnight supervision and determined the plan protects the residents' health, safety, and
20.11
rights;
20.12
(2) the license holder has obtained written and signed informed consent from each
20.13
resident or each resident's legal representative documenting the resident's or legal
20.14
representative's agreement with the alternative method of overnight supervision; and
20.15
(3) the alternative method of providing overnight supervision, which may include the
20.16
use of technology, is specified for each resident in the resident's: (i) individualized plan of
20.17
care; (ii) individual service support plan under section 256B.092, subdivision 1b, if required;
20.18
or (iii) individual resident placement agreement under Minnesota Rules, part 9555.5105,
20.19
subpart 19, if required.
20.20
(b) To be eligible for a variance under paragraph (a), the adult foster care or community
20.21
residential setting license holder must not have had a conditional license issued under section
20.22
245A.06, or any other licensing sanction issued under section 245A.07 during the prior 24
20.23
months based on failure to provide adequate supervision, health care services, or resident
20.24
safety in the adult foster care home or community residential setting.
20.25
(c) A license holder requesting a variance under this subdivision to utilize technology
20.26
as a component of a plan for alternative overnight supervision may request the commissioner's
20.27
review in the absence of a county recommendation. Upon receipt of such a request from a
20.28
license holder, the commissioner shall review the variance request with the county.
20.29
(d) A variance granted by the commissioner according to this subdivision before January
20.30
1, 2014, to a license holder for an adult foster care home must transfer with the license when
20.31
the license converts to a community residential setting license under chapter 245D. The
20.32
terms and conditions of the variance remain in effect as approved at the time the variance
20.33
was granted.
20
Article 1 Sec. 22.
REVISOR
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21.1
EFFECTIVE DATE. This section is effective the day following final enactment.
21.2
Sec. 23. Minnesota Statutes 2022, section 245A.16, subdivision 1, is amended to read:
21.3
Subdivision 1. Delegation of authority to agencies. (a) County agencies and private
21.4
agencies that have been designated or licensed by the commissioner to perform licensing
21.5
functions and activities under section 245A.04 and background studies for family child care
21.6
under chapter 245C; to recommend denial of applicants under section 245A.05; to issue
21.7
correction orders, to issue variances, and recommend a conditional license under section
21.8
245A.06; or to recommend suspending or revoking a license or issuing a fine under section
21.9
245A.07, shall comply with rules and directives of the commissioner governing those
21.10
functions and with this section. The following variances are excluded from the delegation
21.11
of variance authority and may be issued only by the commissioner:
21.12
(1) dual licensure of family child care and child foster care, dual licensure of child foster
21.13
care and adult foster care or a community residential setting, and dual licensure of adult
21.14
foster care and family child care;
21.15
(2) adult foster care maximum capacity;
21.16
(3) adult foster care minimum age requirement;
21.17
(4) child foster care maximum age requirement;
21.18
(5) variances regarding disqualified individuals except that, before the implementation
21.19
of NETStudy 2.0, county agencies may issue variances under section 245C.30 regarding
21.20
disqualified individuals when the county is responsible for conducting a consolidated
21.21
reconsideration according to sections 245C.25 and 245C.27, subdivision 2, clauses (a) and
21.22
(b), of a county maltreatment determination and a disqualification based on serious or
21.23
recurring maltreatment;
21.24
(6) the required presence of a caregiver in the adult foster care residence during normal
21.25
sleeping hours;
21.26
(7) variances to requirements relating to chemical use problems of a license holder or a
21.27
household member of a license holder; and
21.28
(8) variances to section 245A.53 for a time-limited period. If the commissioner grants
21.29
a variance under this clause, the license holder must provide notice of the variance to all
21.30
parents and guardians of the children in care.
21
Article 1 Sec. 23.
REVISOR
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22.1
Except as provided in section 245A.14, subdivision 4, paragraph (e), a county agency must
22.2
not grant a license holder a variance to exceed the maximum allowable family child care
22.3
license capacity of 14 children.
22.4
(b) A county agency that has been designated by the commissioner to issue family child
22.5
care variances must:
22.6
(1) publish the county agency's policies and criteria for issuing variances on the county's
22.7
public website and update the policies as necessary; and
22.8
(2) annually distribute the county agency's policies and criteria for issuing variances to
22.9
all family child care license holders in the county.
22.10
(c) Before the implementation of NETStudy 2.0, county agencies must report information
22.11
about disqualification reconsiderations under sections 245C.25 and 245C.27, subdivision
22.12
2, paragraphs (a) and (b), and variances granted under paragraph (a), clause (5), to the
22.13
commissioner at least monthly in a format prescribed by the commissioner.
22.14
(d) For family child care programs, the commissioner shall require a county agency to
22.15
conduct one unannounced licensing review at least annually.
22.16
(e) For family adult day services programs, the commissioner may authorize licensing
22.17
reviews every two years after a licensee has had at least one annual review.
22.18
(f) A license issued under this section may be issued for up to two years.
22.19
(g) During implementation of chapter 245D, the commissioner shall consider:
22.20
(1) the role of counties in quality assurance;
22.21
(2) the duties of county licensing staff; and
22.22
(3) the possible use of joint powers agreements, according to section 471.59, with counties
22.23
through which some licensing duties under chapter 245D may be delegated by the
22.24
commissioner to the counties.
22.25
Any consideration related to this paragraph must meet all of the requirements of the corrective
22.26
action plan ordered by the federal Centers for Medicare and Medicaid Services.
22.27
(h) Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or
22.28
successor provisions; and section 245D.061 or successor provisions, for family child foster
22.29
care programs providing out-of-home respite, as identified in section 245D.03, subdivision
22.30
1, paragraph (b), clause (1), is excluded from the delegation of authority to county and
22.31
private agencies.
22
Article 1 Sec. 23.
REVISOR
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23.1
(i) A county agency shall report to the commissioner, in a manner prescribed by the
23.2
commissioner, the following information for a licensed family child care program:
23.3
(1) the results of each licensing review completed, including the date of the review, and
23.4
any licensing correction order issued;
23.5
(2) any death, serious injury, or determination of substantiated maltreatment; and
23.6
(3) any fires that require the service of a fire department within 48 hours of the fire. The
23.7
information under this clause must also be reported to the state fire marshal within two
23.8
business days of receiving notice from a licensed family child care provider.
23.9
EFFECTIVE DATE. This section is effective the day following final enactment.
23.10
Sec. 24. Minnesota Statutes 2022, section 245D.03, subdivision 1, is amended to read:
23.11
Subdivision 1. Applicability. (a) The commissioner shall regulate the provision of home
23.12
and community-based services to persons with disabilities and persons age 65 and older
23.13
pursuant to this chapter. The licensing standards in this chapter govern the provision of
23.14
basic support services and intensive support services.
23.15
(b) Basic support services provide the level of assistance, supervision, and care that is
23.16
necessary to ensure the health and welfare of the person and do not include services that
23.17
are specifically directed toward the training, treatment, habilitation, or rehabilitation of the
23.18
person. Basic support services include:
23.19
(1) in-home and out-of-home respite care services as defined in section 245A.02,
23.20
subdivision 15, and under the brain injury, community alternative care, community access
23.21
for disability inclusion, developmental disabilities, and elderly waiver plans, excluding
23.22
out-of-home respite care provided to children in a family child foster care home licensed
23.23
under Minnesota Rules, parts 2960.3000 to 2960.3100, when the child foster care license
23.24
holder complies with the requirements under section 245D.06, subdivisions 5, 6, 7, and 8,
23.25
or successor provisions; and section 245D.061 or successor provisions, which must be
23.26
stipulated in the statement of intended use required under Minnesota Rules, part 2960.3000,
23.27
subpart 4;
23.28
(2) adult companion services as defined under the brain injury, community access for
23.29
disability inclusion, community alternative care, and elderly waiver plans plan, excluding
23.30
adult companion services provided under the Corporation for National and Community
23.31
Services Senior Companion Program established under the Domestic Volunteer Service
23.32
Act of 1973, Public Law 98-288;
23
Article 1 Sec. 24.
REVISOR
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24.1
(3) personal support as defined under the developmental disabilities waiver plan;
24.2
(4) (3) 24-hour emergency assistance, personal emergency response as defined under
24.3
the community access for disability inclusion and developmental disabilities waiver plans;
24.4
(5) (4) night supervision services as defined under the brain injury, community access
24.5
for disability inclusion, community alternative care, and developmental disabilities waiver
24.6
plans;
24.7
(6) (5) homemaker services as defined under the community access for disability
24.8
inclusion, brain injury, community alternative care, developmental disabilities, and elderly
24.9
waiver plans, excluding providers licensed by the Department of Health under chapter 144A
24.10
and those providers providing cleaning services only;
24.11
(7) (6) individual community living support under section 256S.13; and
24.12
(8) (7) individualized home supports without training services as defined under the brain
24.13
injury, community alternative care, and community access for disability inclusion, and
24.14
developmental disabilities waiver plans.
24.15
(c) Intensive support services provide assistance, supervision, and care that is necessary
24.16
to ensure the health and welfare of the person and services specifically directed toward the
24.17
training, habilitation, or rehabilitation of the person. Intensive support services include:
24.18
(1) intervention services, including:
24.19
(i) positive support services as defined under the brain injury and community access for
24.20
disability inclusion, community alternative care, and developmental disabilities waiver
24.21
plans;
24.22
(ii) in-home or out-of-home crisis respite services as defined under the brain injury,
24.23
community access for disability inclusion, community alternative care, and developmental
24.24
disabilities waiver plans; and
24.25
(iii) specialist services as defined under the current brain injury, community access for
24.26
disability inclusion, community alternative care, and developmental disabilities waiver
24.27
plans;
24.28
(2) in-home support services, including:
24.29
(i) in-home family support and supported living services as defined under the
24.30
developmental disabilities waiver plan;
24.31
(ii) independent living services training as defined under the brain injury and community
24.32
access for disability inclusion waiver plans;
24
Article 1 Sec. 24.
REVISOR
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25.1
(iii) (i) semi-independent living services;
25.2
(iv) (ii) individualized home support with training services as defined under the brain
25.3
injury, community alternative care, community access for disability inclusion, and
25.4
developmental disabilities waiver plans; and
25.5
(v) (iii) individualized home support with family training services as defined under the
25.6
brain injury, community alternative care, community access for disability inclusion, and
25.7
developmental disabilities waiver plans;
25.8
(3) residential supports and services, including:
25.9
(i) supported living services as defined under the developmental disabilities waiver plan
25.10
provided in a family or corporate child foster care residence, a family adult foster care
25.11
residence, a community residential setting, or a supervised living facility;
25.12
(ii) foster care services as defined in the brain injury, community alternative care, and
25.13
community access for disability inclusion waiver plans provided in a family or corporate
25.14
child foster care residence, a family adult foster care residence, or a community residential
25.15
setting;
25.16
(iii) (i) community residential services as defined under the brain injury, community
25.17
alternative care, community access for disability inclusion, and developmental disabilities
25.18
waiver plans provided in a corporate child foster care residence, a community residential
25.19
setting, or a supervised living facility;
25.20
(iv) (ii) family residential services as defined in the brain injury, community alternative
25.21
care, community access for disability inclusion, and developmental disabilities waiver plans
25.22
provided in a family child foster care residence or a family adult foster care residence; and
25.23
(v) (iii) residential services provided to more than four persons with developmental
25.24
disabilities in a supervised living facility, including ICFs/DD;
25.25
(4) day services, including:
25.26
(i) structured day services as defined under the brain injury waiver plan;
25.27
(ii) (i) day services under sections 252.41 to 252.46, and as defined under the brain
25.28
injury, community alternative care, community access for disability inclusion, and
25.29
developmental disabilities waiver plans; and
25.30
(iii) day training and habilitation services under sections 252.41 to 252.46, and as defined
25.31
under the developmental disabilities waiver plan; and
25
Article 1 Sec. 24.
REVISOR
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26.1
(iv) (ii) prevocational services as defined under the brain injury, community alternative
26.2
care, community access for disability inclusion, and developmental disabilities waiver plans;
26.3
and
26.4
(5) employment exploration services as defined under the brain injury, community
26.5
alternative care, community access for disability inclusion, and developmental disabilities
26.6
waiver plans;
26.7
(6) employment development services as defined under the brain injury, community
26.8
alternative care, community access for disability inclusion, and developmental disabilities
26.9
waiver plans;
26.10
(7) employment support services as defined under the brain injury, community alternative
26.11
care, community access for disability inclusion, and developmental disabilities waiver plans;
26.12
and
26.13
(8) integrated community support as defined under the brain injury and community
26.14
access for disability inclusion waiver plans beginning January 1, 2021, and community
26.15
alternative care and developmental disabilities waiver plans beginning January 1, 2023.
26.16
Sec. 25. Minnesota Statutes 2022, section 245G.07, subdivision 3a, is amended to read:
26.17
Subd. 3a. Use of guest speakers. (a) The license holder may allow a guest speaker to
26.18
present information to clients as part of a treatment service provided by an alcohol and drug
26.19
counselor, according to the requirements of this subdivision.
26.20
(b) An alcohol and drug counselor must visually observe and listen to the presentation
26.21
of information by a guest speaker the entire time the guest speaker presents information to
26.22
the clients. The alcohol and drug counselor is responsible for all information the guest
26.23
speaker presents to the clients.
26.24
(c) The presentation of information by a guest speaker constitutes a direct contact service,
26.25
as defined in section 245C.02, subdivision 11.
26.26
(d) The license holder must provide the guest speaker with all training required for staff
26.27
members. If the guest speaker provides direct contact services one day a month or less, the
26.28
license holder must only provide the guest speaker with orientation training on the following
26.29
subjects before the guest speaker provides direct contact services:
26.30
(1) mandatory reporting of maltreatment, as specified in sections 245A.65, 626.557, and
26.31
626.5572 and chapter 260E;
26.32
(2) applicable client confidentiality rules and regulations;
26
Article 1 Sec. 25.
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27.1
(3) ethical standards for client interactions; and
27.2
(4) emergency procedures.
27.3
(e) For a treatment service that includes a guest speaker, in addition to the requirements
27.4
in section 245G.06, subdivision 2a, the alcohol and drug counselor that provides the service
27.5
must also document in the client record the name of the guest speaker, the start and stop
27.6
time of the presentation by the guest speaker, and the topic and summary of the guest speaker
27.7
presentation.
27.8
Sec. 26. Minnesota Statutes 2022, section 246.0135, is amended to read:
27.9
246.0135 OPERATION OF REGIONAL TREATMENT CENTERS.
27.10
(a) The commissioner of human services is prohibited from closing any regional treatment
27.11
center or state-operated nursing home or any program at any of the regional treatment centers
27.12
or state-operated nursing homes, without specific legislative authorization. For persons with
27.13
developmental disabilities who move from one regional treatment center to another regional
27.14
treatment center, the provisions of section 256B.092, subdivision 10, must be followed for
27.15
both the discharge from one regional treatment center and admission to another regional
27.16
treatment center, except that the move is not subject to the consensus requirement of section
27.17
256B.092, subdivision 10, paragraph (b).
27.18
(b) Prior to closing or downsizing a regional treatment center, the commissioner of
27.19
human services shall be responsible for assuring that community-based alternatives developed
27.20
in response are adequate to meet the program needs identified by each county within the
27.21
catchment area and do not require additional local county property tax expenditures.
27.22
(c) The nonfederal share of the cost of alternative treatment or care developed as the
27.23
result of the closure of a regional treatment center, including costs associated with fulfillment
27.24
of responsibilities under chapter 253B shall be paid from state funds appropriated for
27.25
purposes specified in section 246.013.
27.26
(d) The commissioner may not divert state funds used for providing for care or treatment
27.27
of persons residing in a regional treatment center for purposes unrelated to the care and
27.28
treatment of such persons.
27.29
Sec. 27. Minnesota Statutes 2022, section 254B.05, subdivision 1a, is amended to read:
27.30
Subd. 1a. Room and board provider requirements. (a) Effective January 1, 2000,
27.31
vendors of room and board are eligible for behavioral health fund payment if the vendor:
27
Article 1 Sec. 27.
REVISOR
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28.1
(1) has rules prohibiting residents bringing chemicals into the facility or using chemicals
28.2
while residing in the facility and provide consequences for infractions of those rules;
28.3
(2) is determined to meet applicable health and safety requirements;
28.4
(3) is not a jail or prison;
28.5
(4) is not concurrently receiving funds under chapter 256I for the recipient;
28.6
(5) admits individuals who are 18 years of age or older;
28.7
(6) is registered as a board and lodging or lodging establishment according to section
28.8
157.17;
28.9
(7) has awake staff on site 24 hours per day whenever a client is present;
28.10
(8) has staff who are at least 18 years of age and meet the requirements of section
28.11
245G.11, subdivision 1, paragraph (b);
28.12
(9) has emergency behavioral procedures that meet the requirements of section 245G.16;
28.13
(10) meets the requirements of section 245G.08, subdivision 5, if administering
28.14
medications to clients;
28.15
(11) meets the abuse prevention requirements of section 245A.65, including a policy on
28.16
fraternization and the mandatory reporting requirements of section 626.557;
28.17
(12) documents coordination with the treatment provider to ensure compliance with
28.18
section 254B.03, subdivision 2;
28.19
(13) protects client funds and ensures freedom from exploitation by meeting the
28.20
provisions of section 245A.04, subdivision 13;
28.21
(14) has a grievance procedure that meets the requirements of section 245G.15,
28.22
subdivision 2; and
28.23
(15) has sleeping and bathroom facilities for men and women separated by a door that
28.24
is locked, has an alarm, or is supervised by awake staff.
28.25
(b) Programs licensed according to Minnesota Rules, chapter 2960, are exempt from
28.26
paragraph (a), clauses (5) to (15).
28.27
(c) Programs providing children's mental health crisis admissions and stabilization under
28.28
section 245.4882, subdivision 6, are eligible vendors of room and board.
28
Article 1 Sec. 27.
REVISOR
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29.1
(d) Licensed programs providing intensive residential treatment services or residential
29.2
crisis stabilization services pursuant to section 256B.0622 or 256B.0624 are eligible vendors
29.3
of room and board and are exempt from paragraph (a), clauses (6) to (15).
29.4
(e) A vendor that is not licensed as a residential treatment program must have a policy
29.5
to address staffing coverage when a client may unexpectedly need to be present at the room
29.6
and board site.
29.7
Sec. 28. Minnesota Statutes 2022, section 254B.05, subdivision 5, is amended to read:
29.8
Subd. 5. Rate requirements. (a) The commissioner shall establish rates for substance
29.9
use disorder services and service enhancements funded under this chapter.
29.10
(b) Eligible substance use disorder treatment services include:
29.11
(1) outpatient treatment services that are licensed according to sections 245G.01 to
29.12
245G.17, or applicable tribal license;
29.13
(2) comprehensive assessments provided according to sections 245.4863, paragraph (a),
29.14
and 245G.05;
29.15
(3) care coordination services provided according to section 245G.07, subdivision 1,
29.16
paragraph (a), clause (5);
29.17
(4) peer recovery support services provided according to section 245G.07, subdivision
29.18
2, clause (8);
29.19
(5) on July 1, 2019, or upon federal approval, whichever is later, withdrawal management
29.20
services provided according to chapter 245F;
29.21
(6) substance use disorder treatment services with medications for opioid use disorder
29.22
that are licensed according to sections 245G.01 to 245G.17 and 245G.22, or applicable
29.23
tribal license;
29.24
(7) substance use disorder treatment with medications for opioid use disorder plus
29.25
enhanced treatment services that meet the requirements of clause (6) and provide nine hours
29.26
of clinical services each week;
29.27
(8) high, medium, and low intensity residential treatment services that are licensed
29.28
according to sections 245G.01 to 245G.17 and 245G.21 or applicable tribal license which
29.29
provide, respectively, 30, 15, and five hours of clinical services each week;
29
Article 1 Sec. 28.
REVISOR
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30.1
(9) hospital-based treatment services that are licensed according to sections 245G.01 to
30.2
245G.17 or applicable tribal license and licensed as a hospital under sections 144.50 to
30.3
144.56;
30.4
(10) adolescent treatment programs that are licensed as outpatient treatment programs
30.5
according to sections 245G.01 to 245G.18 or as residential treatment programs according
30.6
to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or
30.7
applicable tribal license;
30.8
(11) high-intensity residential treatment services that are licensed according to sections
30.9
245G.01 to 245G.17 and 245G.21 or applicable tribal license, which provide 30 hours of
30.10
clinical services each week provided by a state-operated vendor or to clients who have been
30.11
civilly committed to the commissioner, present the most complex and difficult care needs,
30.12
and are a potential threat to the community; and
30.13
(12) room and board facilities that meet the requirements of subdivision 1a.
30.14
(c) The commissioner shall establish higher rates for programs that meet the requirements
30.15
of paragraph (b) and one of the following additional requirements:
30.16
(1) programs that serve parents with their children if the program:
30.17
(i) provides on-site child care during the hours of treatment activity that:
30.18
(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter
30.19
9503; or
30.20
(B) meets the licensure exclusion criteria of section 245A.03, subdivision 2, paragraph
30.21
(a), clause (6), and meets the requirements is licensed under section chapter 245A and
30.22
sections 245G.01 to 245G.19, subdivision 4; or
30.23
(ii) arranges for off-site child care during hours of treatment activity at a facility that is
30.24
licensed under chapter 245A as:
30.25
(A) a child care center under Minnesota Rules, chapter 9503; or
30.26
(B) a family child care home under Minnesota Rules, chapter 9502;
30.27
(2) culturally specific or culturally responsive programs as defined in section 254B.01,
30.28
subdivision 4a;
30.29
(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
30.30
(4) programs that offer medical services delivered by appropriately credentialed health
30.31
care staff in an amount equal to two hours per client per week if the medical needs of the
30
Article 1 Sec. 28.
REVISOR
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31.1
client and the nature and provision of any medical services provided are documented in the
31.2
client file; or
31.3
(5) programs that offer services to individuals with co-occurring mental health and
31.4
substance use disorder problems if:
31.5
(i) the program meets the co-occurring requirements in section 245G.20;
31.6
(ii) 25 percent of the counseling staff are licensed mental health professionals under
31.7
section 245I.04, subdivision 2, or are students or licensing candidates under the supervision
31.8
of a licensed alcohol and drug counselor supervisor and mental health professional under
31.9
section 245I.04, subdivision 2, except that no more than 50 percent of the mental health
31.10
staff may be students or licensing candidates with time documented to be directly related
31.11
to provisions of co-occurring services;
31.12
(iii) clients scoring positive on a standardized mental health screen receive a mental
31.13
health diagnostic assessment within ten days of admission;
31.14
(iv) the program has standards for multidisciplinary case review that include a monthly
31.15
review for each client that, at a minimum, includes a licensed mental health professional
31.16
and licensed alcohol and drug counselor, and their involvement in the review is documented;
31.17
(v) family education is offered that addresses mental health and substance use disorder
31.18
and the interaction between the two; and
31.19
(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder
31.20
training annually.
31.21
(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
31.22
that provides arrangements for off-site child care must maintain current documentation at
31.23
the substance use disorder facility of the child care provider's current licensure to provide
31.24
child care services. Programs that provide child care according to paragraph (c), clause (1),
31.25
must be deemed in compliance with the licensing requirements in section 245G.19.
31.26
(e) Adolescent residential programs that meet the requirements of Minnesota Rules,
31.27
parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements
31.28
in paragraph (c), clause (4), items (i) to (iv).
31.29
(f) Subject to federal approval, substance use disorder services that are otherwise covered
31.30
as direct face-to-face services may be provided via telehealth as defined in section 256B.0625,
31.31
subdivision 3b. The use of telehealth to deliver services must be medically appropriate to
31.32
the condition and needs of the person being served. Reimbursement shall be at the same
31.33
rates and under the same conditions that would otherwise apply to direct face-to-face services.
31
Article 1 Sec. 28.
REVISOR
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32.1
(g) For the purpose of reimbursement under this section, substance use disorder treatment
32.2
services provided in a group setting without a group participant maximum or maximum
32.3
client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one.
32.4
At least one of the attending staff must meet the qualifications as established under this
32.5
chapter for the type of treatment service provided. A recovery peer may not be included as
32.6
part of the staff ratio.
32.7
(h) Payment for outpatient substance use disorder services that are licensed according
32.8
to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless
32.9
prior authorization of a greater number of hours is obtained from the commissioner.
32.10
Sec. 29. Minnesota Statutes 2022, section 256.01, is amended by adding a subdivision to
32.11
read:
32.12
Subd. 12b. Department of Human Services systemic critical incident review team. (a)
32.13
The commissioner may establish a Department of Human Services systemic critical incident
32.14
review team to review critical incidents reported as required under section 626.557 for
32.15
which the Department of Human Services is responsible under section 626.5572, subdivision
32.16
13; chapter 245D; or Minnesota Rules, chapter 9544. When reviewing a critical incident,
32.17
the systemic critical incident review team shall identify systemic influences to the incident
32.18
rather than determine the culpability of any actors involved in the incident. The systemic
32.19
critical incident review may assess the entire critical incident process from the point of an
32.20
entity reporting the critical incident through the ongoing case management process.
32.21
Department staff shall lead and conduct the reviews and may utilize county staff as reviewers.
32.22
The systemic critical incident review process may include but is not limited to:
32.23
(1) data collection about the incident and actors involved. Data may include the relevant
32.24
critical services; the service provider's policies and procedures applicable to the incident;
32.25
the coordinated service and support plan as defined in section 245D.02, subdivision 4b, for
32.26
the person receiving services; or an interview of an actor involved in the critical incident
32.27
or the review of the critical incident. Actors may include:
32.28
(i) staff of the provider agency;
32.29
(ii) lead agency staff administering home and community-based services delivered by
32.30
the provider;
32.31
(iii) Department of Human Services staff with oversight of home and community-based
32.32
services;
32.33
(iv) Department of Health staff with oversight of home and community-based services;
32
Article 1 Sec. 29.
REVISOR
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33.1
(v) members of the community including advocates, legal representatives, health care
33.2
providers, pharmacy staff, or others with knowledge of the incident or the actors in the
33.3
incident; and
33.4
(vi) staff from the Office of the Ombudsman for Mental Health and Developmental
33.5
Disabilities;
33.6
(2) systemic mapping of the critical incident. The team conducting the systemic mapping
33.7
of the incident may include any actors identified in clause (1), designated representatives
33.8
of other provider agencies, regional teams, and representatives of the local regional quality
33.9
council identified in section 256B.097; and
33.10
(3) analysis of the case for systemic influences.
33.11
Data collected by the critical incident review team shall be aggregated and provided to
33.12
regional teams, participating regional quality councils, and the commissioner. The regional
33.13
teams and quality councils shall analyze the data and make recommendations to the
33.14
commissioner regarding systemic changes that would decrease the number and severity of
33.15
critical incidents in the future or improve the quality of the home and community-based
33.16
service system.
33.17
(b) Cases selected for the systemic critical incident review process shall be selected by
33.18
a selection committee among the following critical incident categories:
33.19
(1) cases of caregiver neglect identified in section 626.5572, subdivision 17;
33.20
(2) cases involving financial exploitation identified in section 626.5572, subdivision 9;
33.21
(3) incidents identified in section 245D.02, subdivision 11;
33.22
(4) incidents identified in Minnesota Rules, part 9544.0110; and
33.23
(5) service terminations reported to the department in accordance with section 245D.10,
33.24
subdivision 3a.
33.25
(c) The systemic critical incident review under this section shall not replace the process
33.26
for screening or investigating cases of alleged maltreatment of an adult under section 626.557.
33.27
The department may select cases for systemic critical incident review, under the jurisdiction
33.28
of the commissioner, reported for suspected maltreatment and closed following initial or
33.29
final disposition.
33.30
(d) The proceedings and records of the review team are confidential data on individuals
33.31
or protected nonpublic data as defined in section 13.02, subdivisions 3 and 13. Data that
33.32
document a person's opinions formed as a result of the review are not subject to discovery
33
Article 1 Sec. 29.
REVISOR
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34.1
or introduction into evidence in a civil or criminal action against a professional, the state,
34.2
or a county agency arising out of the matters that the team is reviewing. Information,
34.3
documents, and records otherwise available from other sources are not immune from
34.4
discovery or use in a civil or criminal action solely because the information, documents,
34.5
and records were assessed or presented during proceedings of the review team. A person
34.6
who presented information before the systemic critical incident review team or who is a
34.7
member of the team shall not be prevented from testifying about matters within the person's
34.8
knowledge. In a civil or criminal proceeding, a person shall not be questioned about opinions
34.9
formed by the person as a result of the review.
34.10
(e) By October 1 of each year, the commissioner shall prepare an annual public report
34.11
containing the following information:
34.12
(1) the number of cases reviewed under each critical incident category identified in
34.13
paragraph (b) and a geographical description of where cases under each category originated;
34.14
(2) an aggregate summary of the systemic themes from the critical incidents examined
34.15
by the critical incident review team during the previous year;
34.16
(3) a synopsis of the conclusions, incident analyses, or exploratory activities taken in
34.17
regard to the critical incidents examined by the critical incident review team; and
34.18
(4) recommendations made to the commissioner regarding systemic changes that could
34.19
decrease the number and severity of critical incidents in the future or improve the quality
34.20
of the home and community-based service system.
34.21
EFFECTIVE DATE. This section is effective the day following final enactment.
34.22
Sec. 30. Minnesota Statutes 2022, section 256.478, is amended by adding a subdivision
34.23
to read:
34.24
Subd. 3. Authorized uses of grant funds. Grant funds may be used for but are not
34.25
limited to the following:
34.26
(1) increasing access to home and community-based services for an individual;
34.27
(2) improving caregiver-child relationships and aiding progress toward treatment goals;
34.28
and
34.29
(3) reducing emergency department visits.
34.30
EFFECTIVE DATE. This section is effective the day following final enactment.
34
Article 1 Sec. 30.
REVISOR
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35.1
Sec. 31. Minnesota Statutes 2022, section 256.478, is amended by adding a subdivision
35.2
to read:
35.3
Subd. 4. Outcomes. Program evaluation is based on but not limited to the following
35.4
criteria:
35.5
(1) expediting discharges for individuals who no longer need hospital level of care;
35.6
(2) individuals obtaining and retaining housing;
35.7
(3) individuals maintaining community living by diverting admission to Anoka Metro
35.8
Regional Treatment Center and Forensic Mental Health Program;
35.9
(4) reducing recidivism rates of individuals returning to state institutions; and
35.10
(5) individuals' ability to live in the least restrictive community setting.
35.11
EFFECTIVE DATE. This section is effective the day following final enactment.
35.12
Sec. 32. Minnesota Statutes 2022, section 256B.0911, subdivision 23, is amended to read:
35.13
Subd. 23. MnCHOICES reassessments; option for alternative and self-directed
35.14
waiver services. (a) At the time of reassessment, the certified assessor shall assess a person
35.15
receiving waiver residential supports and services and currently residing in a setting listed
35.16
in clauses (1) to (5) to determine if the person would prefer to be served in a
35.17
community-living setting as defined in section 256B.49, subdivision 23 256B.492,
35.18
subdivision 1, paragraph (b), or in a setting not controlled by a provider, or to receive
35.19
integrated community supports as described in section 245D.03, subdivision 1, paragraph
35.20
(c), clause (8). The certified assessor shall offer the person through a person-centered
35.21
planning process the option to receive alternative housing and service options. This paragraph
35.22
applies to those currently residing in a:
35.23
(1) community residential setting;
35.24
(2) licensed adult foster care home that is either not the primary residence of the license
35.25
holder or in which the license holder is not the primary caregiver;
35.26
(3) family adult foster care residence;
35.27
(4) customized living setting; or
35.28
(5) supervised living facility.
35.29
(b) At the time of reassessment, the certified assessor shall assess each person receiving
35.30
waiver day services to determine if that person would prefer to receive employment services
35.31
as described in section 245D.03, subdivision 1, paragraph (c), clauses (5) to (7). The certified
35
Article 1 Sec. 32.
REVISOR
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assessor shall describe to the person through a person-centered planning process the option
36.2
to receive employment services.
36.3
(c) At the time of reassessment, the certified assessor shall assess each person receiving
36.4
non-self-directed waiver services to determine if that person would prefer an available
36.5
service and setting option that would permit self-directed services and supports. The certified
36.6
assessor shall describe to the person through a person-centered planning process the option
36.7
to receive self-directed services and supports.
36.8
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
36.9
of human services shall notify the revisor of statutes when federal approval is obtained.
36.10
Sec. 33. Minnesota Statutes 2022, section 256B.092, subdivision 10, is amended to read:
36.11
Subd. 10. Admission of persons to and discharge of persons from regional treatment
36.12
centers. (a) Prior to the admission of a person to a regional treatment center program for
36.13
persons with developmental disabilities, the case manager shall make efforts to secure
36.14
community-based alternatives. If these alternatives are rejected by the person, the person's
36.15
legal guardian or conservator, or the county agency in favor of a regional treatment center
36.16
placement, the case manager shall document the reasons why the alternatives were rejected.
36.17
(b) When discharge of a person from a regional treatment center to a community-based
36.18
service is proposed, the case manager shall convene the screening team and in addition to
36.19
members of the team identified in subdivision 7, the case manager shall invite to the meeting
36.20
the person's parents and near relatives, and the ombudsman established under section 245.92
36.21
if the person is under public guardianship. The meeting shall be convened at a time and
36.22
place that allows for participation of all team members and invited individuals who choose
36.23
to attend. The notice of the meeting shall inform the person's parents and near relatives
36.24
about the screening team process, and their right to request a review if they object to the
36.25
discharge, and shall provide the names and functions of advocacy organizations, and
36.26
information relating to assistance available to individuals interested in establishing private
36.27
guardianships under the provisions of section 252A.03. The screening team meeting shall
36.28
be conducted according to subdivisions 7 and 8. Discharge of the person shall not go forward
36.29
without consensus of the screening team.
36.30
(c) The results of the screening team meeting and individual service plan developed
36.31
according to subdivision 1b shall be used by the interdisciplinary team assembled in
36.32
accordance with Code of Federal Regulations, title 42, section 483.440, to evaluate and
36.33
make recommended modifications to the individual service plan as proposed. The individual
36
Article 1 Sec. 33.
REVISOR
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37.1
service plan shall specify postplacement monitoring to be done by the case manager according
37.2
to section 253B.15, subdivision 1a.
37.3
(d) Notice of the meeting of the interdisciplinary team assembled in accordance with
37.4
Code of Federal Regulations, title 42, section 483.440, shall be sent to all team members
37.5
15 days prior to the meeting, along with a copy of the proposed individual service plan. The
37.6
case manager shall request that proposed providers visit the person and observe the person's
37.7
program at the regional treatment center prior to the discharge. Whenever possible,
37.8
preplacement visits by the person to proposed service sites should also be scheduled in
37.9
advance of the meeting. Members of the interdisciplinary team assembled for the purpose
37.10
of discharge planning shall include but not be limited to the case manager, the person, the
37.11
person's legal guardian or conservator, parents and near relatives, the person's advocate,
37.12
representatives of proposed community service providers, representatives of the regional
37.13
treatment center residential and training and habilitation services, a registered nurse if the
37.14
person has overriding medical needs that impact the delivery of services, and a qualified
37.15
developmental disability professional specializing in behavior management if the person
37.16
to be discharged has behaviors that may result in injury to self or others. The case manager
37.17
may also invite other service providers who have expertise in an area related to specific
37.18
service needs of the person to be discharged.
37.19
(e) The interdisciplinary team shall review the proposed plan to assure that it identifies
37.20
service needs, availability of services, including support services, and the proposed providers'
37.21
abilities to meet the service needs identified in the person's individual service plan. The
37.22
interdisciplinary team shall review the most recent licensing reports of the proposed providers
37.23
and corrective action taken by the proposed provider, if required. The interdisciplinary team
37.24
shall review the current individual program plans for the person and agree to an interim
37.25
individual program plan to be followed for the first 30 days in the person's new living
37.26
arrangement. The interdisciplinary team may suggest revisions to the service plan, and all
37.27
team suggestions shall be documented. If the person is to be discharged to a community
37.28
intermediate care facility for persons with developmental disabilities, the team shall give
37.29
preference to facilities with a licensed capacity of 15 or fewer beds. Thirty days prior to the
37.30
date of discharge, the case manager shall send a final copy of the service plan to all invited
37.31
members of the team, the ombudsman, if the person is under public guardianship, and the
37.32
advocacy system established under United States Code, title 42, section 6042.
37.33
(b) Assessment and support planning must be completed in accordance with requirements
37.34
identified in section 256B.0911.
37
Article 1 Sec. 33.
REVISOR
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38.1
(f) (c) No discharge shall take place until disputes are resolved under section 256.045,
38.2
subdivision 4a, or until a review by the commissioner is completed upon request of the chief
38.3
executive officer or program director of the regional treatment center, or the county agency.
38.4
For persons under public guardianship, the ombudsman may request a review or hearing
38.5
under section 256.045. Notification schedules required under this subdivision may be waived
38.6
by members of the team when judged urgent and with agreement of the parents or near
38.7
relatives participating as members of the interdisciplinary team.
38.8
Sec. 34. Minnesota Statutes 2022, section 256B.439, subdivision 3c, is amended to read:
38.9
Subd. 3c. Contact and demographic information for consumer surveys for home
38.10
and community-based services. For purposes of conducting the consumer surveys under
38.11
subdivision 3a, the commissioner may request contact information of clients and associated
38.12
key representatives and aggregate, de-identified demographic information of clients served
38.13
by the provider. The commissioner may request the following demographic information:
38.14
(1) age; (2) race; (3) ethnicity; and (4) gender identity. Providers must furnish the contact
38.15
and demographic information available to the provider and must provide notice to clients
38.16
and associated key representatives that their contact information and aggregate demographic
38.17
information has been provided to the commissioner.
38.18
Sec. 35. Minnesota Statutes 2022, section 256B.439, subdivision 3d, is amended to read:
38.19
Subd. 3d. Resident experience survey and family survey for assisted living
38.20
facilities. The commissioner shall develop and administer a resident experience survey for
38.21
assisted living facility residents and a family survey for families of assisted living facility
38.22
residents. Money appropriated to the commissioner to administer the resident experience
38.23
survey and family survey is available in either fiscal year of the biennium in which it is
38.24
appropriated. Assisted living facilities licensed under chapter 144G must participate in the
38.25
surveys when the commissioner requests their participation.
38.26
Sec. 36. Minnesota Statutes 2022, section 256B.492, is amended to read:
38.27
256B.492 HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE WITH
38.28
DISABILITIES.
38.29
Subdivision 1. Definitions. (a) For the purposes of this section the following terms have
38.30
the meanings given.
38.31
(b) "Community-living setting" means a single-family home or multifamily dwelling
38.32
unit where a service recipient or a service recipient's family owns or rents and maintains
38
Article 1 Sec. 36.
REVISOR
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39.1
control over the individual unit as demonstrated by a lease agreement. Community-living
39.2
setting does not include a home or dwelling unit that the service provider owns, operates,
39.3
or leases or in which the service provider has a direct or indirect financial interest.
39.4
(c) "Controlling individual" has the meaning given in section 245A.02, subdivision 5a.
39.5
(d) "License holder" has the meaning given in section 245A.02, subdivision 9.
39.6
Subd. 2. Home and community-based waiver settings. (a) Individuals receiving services
39.7
under a home and community-based waiver under section 256B.092 or 256B.49 may receive
39.8
services in the following settings:
39.9
(1) home and community-based settings that comply with all requirements identified by
39.10
the federal Centers for Medicare and Medicaid Services in the Code of Federal Regulations,
39.11
title 42, section 441.301(c), and with the requirements of the federally approved transition
39.12
plan and waiver plans for each home and community-based services waiver; and
39.13
(2) settings required by the Housing Opportunities for Persons with AIDS Program.
39.14
(b) The settings in paragraph (a) must not have the qualities of an institution which
39.15
include, but are not limited to: regimented meal and sleep times, limitations on visitors, and
39.16
lack of privacy. Restrictions agreed to and documented in the person's individual service
39.17
plan shall not result in a residence having the qualities of an institution as long as the
39.18
restrictions for the person are not imposed upon others in the same residence and are the
39.19
least restrictive alternative, imposed for the shortest possible time to meet the person's needs.
39.20
Subd. 3. Community-living settings. (a) Individuals receiving services under a home
39.21
and community-based waiver under section 256B.092 or 256B.49 may receive services in
39.22
community-living settings. Community-living settings must meet the requirements of
39.23
subdivision 2, paragraph (a), clause (1).
39.24
(b) For the purposes of this section, direct financial interest exists if payment passes
39.25
between the license holder or any controlling individual of a licensed program and the
39.26
service recipient or an entity acting on the service recipient's behalf for the purpose of
39.27
obtaining or maintaining a dwelling. For the purposes of this section, indirect financial
39.28
interest exists if the license holder or any controlling individual of a licensed program has
39.29
an ownership or investment interest in the entity that owns, operates, leases, or otherwise
39.30
receives payment from the service recipient or an entity acting on the service recipient's
39.31
behalf for the purpose of obtaining or maintaining a dwelling.
39
Article 1 Sec. 36.
REVISOR
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40.1
(c) To ensure a service recipient or the service recipient's family maintains control over
40.2
the home or dwelling unit, community-living settings are subject to the following
40.3
requirements:
40.4
(1) service recipients must not be required to receive services or share services;
40.5
(2) service recipients must not be required to have a disability or specific diagnosis to
40.6
live in the community-living setting;
40.7
(3) service recipients may hire service providers of their choice;
40.8
(4) service recipients may choose whether to share their household and with whom;
40.9
(5) the home or multifamily dwelling unit must include living, sleeping, bathing, and
40.10
cooking areas;
40.11
(6) service recipients must have lockable access and egress;
40.12
(7) service recipients must be free to receive visitors and leave the settings at times and
40.13
for durations of their own choosing;
40.14
(8) leases must comply with chapter 504B;
40.15
(9) landlords must not charge different rents to tenants who are receiving home and
40.16
community-based services; and
40.17
(10) access to the greater community must be easily facilitated based on the service
40.18
recipient's needs and preferences.
40.19
(d) Nothing in this section prohibits a service recipient from having another person or
40.20
entity not affiliated with the service provider cosign a lease. Nothing in this section prohibits
40.21
a service recipient, during any period in which a service provider has cosigned the service
40.22
recipient's lease, from modifying services with an existing cosigning service provider and,
40.23
subject to the approval of the landlord, maintaining a lease cosigned by the service provider.
40.24
Nothing in this section prohibits a service recipient, during any period in which a service
40.25
provider has cosigned the service recipient's lease, from terminating services with the
40.26
cosigning service provider, receiving services from a new service provider, or, subject to
40.27
the approval of the landlord, maintaining a lease cosigned by the new service provider.
40.28
(e) A lease cosigned by a service provider meets the requirements of paragraph (b) if
40.29
the service recipient and service provider develop and implement a transition plan which
40.30
must provide that, within two years of cosigning the initial lease, the service provider shall
40.31
transfer the lease to the service recipient and other cosigners, if any.
40
Article 1 Sec. 36.
REVISOR
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41.1
(f) In the event the landlord has not approved the transfer of the lease within two years
41.2
of the service provider cosigning the initial lease, the service provider must submit a
41.3
time-limited extension request to the commissioner of human services to continue the
41.4
cosigned lease arrangement. The extension request must include:
41.5
(1) the reason the landlord denied the transfer;
41.6
(2) the plan to overcome the denial to transfer the lease;
41.7
(3) the length of time needed to successfully transfer the lease, not to exceed an additional
41.8
two years;
41.9
(4) a description of how the transition plan was followed, what occurred that led to the
41.10
landlord denying the transfer, and what changes in circumstances or condition, if any, the
41.11
service recipient experienced; and
41.12
(5) a revised transition plan to transfer the cosigned lease between the service provider
41.13
and the service recipient to the service recipient.
41.14
(g) The commissioner must approve an extension under paragraph (f) within sufficient
41.15
time to ensure the continued occupancy by the service recipient.
41.16
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
41.17
of human services shall notify the revisor of statutes when federal approval is obtained.
41.18
Sec. 37. Minnesota Statutes 2022, section 256B.493, subdivision 2a, is amended to read:
41.19
Subd. 2a. Closure process. (a) The commissioner shall work with stakeholders to
41.20
establish a process for the application, review, approval, and implementation of setting
41.21
closures. Voluntary proposals from license holders for consolidation and closure of adult
41.22
foster care or community residential settings are encouraged. Whether voluntary or
41.23
involuntary, all closure plans must include:
41.24
(1) a description of the proposed closure plan, identifying the home or homes and
41.25
occupied beds;
41.26
(2) the proposed timetable for the proposed closure, including the proposed dates for
41.27
notification to people living there and the affected lead agencies, commencement of closure,
41.28
and completion of closure;
41.29
(3) the proposed relocation plan jointly developed by the counties of financial
41.30
responsibility, the people living there and their legal representatives, if any, who wish to
41.31
continue to receive services from the provider, and the providers for current residents of
41.32
any adult foster care home designated for closure; and
41
Article 1 Sec. 37.
REVISOR
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42.1
(4) documentation from the provider in a format approved by the commissioner that all
42.2
the adult foster care homes or community residential settings receiving a planned closure
42.3
rate adjustment under the plan have accepted joint and severable for recovery of
42.4
overpayments under section 256B.0641, subdivision 2, for the facilities designated for
42.5
closure under this plan.
42.6
(b) The commissioner shall give first priority to closure plans which:
42.7
(1) target counties and geographic areas which have:
42.8
(i) need for other types of services;
42.9
(ii) need for specialized services;
42.10
(iii) higher than average per capita use of licensed corporate foster care or community
42.11
residential settings; or
42.12
(iv) residents not living in the geographic area of their choice;
42.13
(2) demonstrate savings of medical assistance expenditures; and
42.14
(3) demonstrate that alternative services are based on the recipient's choice of provider
42.15
and are consistent with federal law, state law, and federally approved waiver plans.
42.16
The commissioner shall also consider any information provided by people using services,
42.17
their legal representatives, family members, or the lead agency on the impact of the planned
42.18
closure on people and the services they need.
42.19
(c) For each closure plan approved by the commissioner, a contract must be established
42.20
between the commissioner, the counties of financial responsibility, and the participating
42.21
license holder.
42.22
Sec. 38. Minnesota Statutes 2022, section 256B.493, subdivision 4, is amended to read:
42.23
Subd. 4. Review and approval process. (a) To be considered for approval, an application
42.24
must include:
42.25
(1) a description of the proposed closure plan, which must identify the home or homes
42.26
and occupied beds for which a planned closure rate adjustment is requested;
42.27
(2) the proposed timetable for any proposed closure, including the proposed dates for
42.28
notification to residents and the affected lead agencies, commencement of closure, and
42.29
completion of closure;
42.30
(3) the proposed relocation plan jointly developed by the counties of financial
42.31
responsibility, the residents and their legal representatives, if any, who wish to continue to
42
Article 1 Sec. 38.
REVISOR
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43.1
receive services from the provider, and the providers for current residents of any adult foster
43.2
care home designated for closure; and
43.3
(4) documentation in a format approved by the commissioner that all the adult foster
43.4
care homes receiving a planned closure rate adjustment under the plan have accepted joint
43.5
and several liability for recovery of overpayments under section 256B.0641, subdivision 2,
43.6
for the facilities designated for closure under this plan.
43.7
(b) In reviewing and approving closure proposals, the commissioner shall give first
43.8
priority to proposals that:
43.9
(1) target counties and geographic areas which have:
43.10
(i) need for other types of services;
43.11
(ii) need for specialized services;
43.12
(iii) higher than average per capita use of foster care settings where the license holder
43.13
does not reside; or
43.14
(iv) residents not living in the geographic area of their choice;
43.15
(2) demonstrate savings of medical assistance expenditures; and
43.16
(3) demonstrate that alternative services are based on the recipient's choice of provider
43.17
and are consistent with federal law, state law, and federally approved waiver plans.
43.18
The commissioner shall also consider any information provided by service recipients,
43.19
their legal representatives, family members, or the lead agency on the impact of the planned
43.20
closure on the recipients and the services they need.
43.21
(c) The commissioner shall select proposals that best meet the criteria established in this
43.22
subdivision for planned closure of adult foster care settings. The commissioner shall notify
43.23
license holders of the selections approved by the commissioner.
43.24
(d) For each proposal approved by the commissioner, a contract must be established
43.25
between the commissioner, the counties of financial responsibility, and the participating
43.26
license holder.
43.27
EFFECTIVE DATE. This section is effective the day following final enactment.
43.28
Sec. 39. Minnesota Statutes 2022, section 256S.202, subdivision 1, is amended to read:
43.29
Subdivision 1. Customized living monthly service rate limits. (a) Except for a
43.30
participant assigned to case mix classification L, as described in section 256S.18, subdivision
43.31
1, paragraph (b), the customized living monthly service rate limit shall not exceed 50 percent
43
Article 1 Sec. 39.
REVISOR
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44.1
of the monthly case mix budget cap, less the maintenance needs allowance, adjusted at least
44.2
annually in the manner described under section 256S.18, subdivisions 5 and 6.
44.3
(b) The customized living monthly service rate limit for participants assigned to case
44.4
mix classification L must be the monthly service rate limit for participants assigned to case
44.5
mix classification A, reduced by 25 percent.
44.6
Sec. 40. Minnesota Statutes 2022, section 524.5-104, is amended to read:
44.7
524.5-104 FACILITY OF TRANSFER.
44.8
(a) A person who may transfer money or personal property to a minor may do so, as to
44.9
an amount or value not exceeding the amount allowable as a tax exclusion gift under section
44.10
2503(b) of the Internal Revenue Code or a different amount that is approved by the court,
44.11
by transferring it to:
44.12
(1) a person who has the care and custody of the minor and with whom the minor resides;
44.13
(2) a guardian of the minor;
44.14
(3) a custodian under the Uniform Transfers To Minors Act or custodial trustee under
44.15
the Uniform Custodial Trust Act;
44.16
(4) a financial institution as a deposit in an interest-bearing account or certificate in the
44.17
sole name of the minor and giving notice of the deposit to the minor; or
44.18
(5) an ABLE account. A guardian only has the authority to establish an ABLE account.
44.19
The guardian may not administer the ABLE account in the guardian's capacity as guardian.
44.20
The guardian may appoint or name a person to exercise signature authority over an ABLE
44.21
account, including the individual selected by the eligible individual or the eligible individual's
44.22
agent under a power of attorney, conservator, spouse, parent, sibling, grandparent, or
44.23
representative payee, whether an individual or organization, appointed by the Social Security
44.24
Administration, in that order.
44.25
(b) This section does not apply if the person making payment or delivery knows that a
44.26
conservator has been appointed or that a proceeding for appointment of a conservator of
44.27
the minor is pending.
44.28
(c) A person who transfers money or property in compliance with this section is not
44.29
responsible for its proper application.
44.30
(d) A guardian or other person who receives money or property for a minor under
44.31
paragraph (a), clause (1) or (2), may only apply it to the support, care, education, health,
44.32
and welfare of the minor, and may not derive a personal financial benefit except for
44
Article 1 Sec. 40.
REVISOR
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45.1
reimbursement for necessary expenses. Any excess must be preserved for the future support,
45.2
care, education, health, and welfare of the minor and any balance must be transferred to the
45.3
minor upon emancipation or attaining majority.
45.4
EFFECTIVE DATE. This section is effective the day following final enactment.
45.5
Sec. 41. Minnesota Statutes 2022, section 524.5-313, is amended to read:
45.6
524.5-313 POWERS AND DUTIES OF GUARDIAN.
45.7
(a) A guardian shall be subject to the control and direction of the court at all times and
45.8
in all things.
45.9
(b) The court shall grant to a guardian only those powers necessary to provide for the
45.10
demonstrated needs of the person subject to guardianship.
45.11
(c) The court may appoint a guardian if it determines that all the powers and duties listed
45.12
in this section are needed to provide for the needs of the incapacitated person. The court
45.13
may also appoint a guardian if it determines that a guardian is needed to provide for the
45.14
needs of the incapacitated person through the exercise of some, but not all, of the powers
45.15
and duties listed in this section. The duties and powers of a guardian or those which the
45.16
court may grant to a guardian include, but are not limited to:
45.17
(1) the power to have custody of the person subject to guardianship and the power to
45.18
establish a place of abode within or outside the state, except as otherwise provided in this
45.19
clause. The person subject to guardianship or any interested person may petition the court
45.20
to prevent or to initiate a change in abode. A person subject to guardianship may not be
45.21
admitted to a regional treatment center by the guardian except:
45.22
(i) after a hearing under chapter 253B;
45.23
(ii) for outpatient services; or
45.24
(iii) for the purpose of receiving temporary care for a specific period of time not to
45.25
exceed 90 days in any calendar year;
45.26
(2) the duty to provide for the care, comfort, and maintenance needs of the person subject
45.27
to guardianship, including food, clothing, shelter, health care, social and recreational
45.28
requirements, and, whenever appropriate, training, education, and habilitation or
45.29
rehabilitation. The guardian has no duty to pay for these requirements out of personal funds.
45.30
Whenever possible and appropriate, the guardian should meet these requirements through
45.31
governmental benefits or services to which the person subject to guardianship is entitled,
45.32
rather than from the estate of the person subject to guardianship. Failure to satisfy the needs
45
Article 1 Sec. 41.
REVISOR
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46.1
and requirements of this clause shall be grounds for removal of a private guardian, but the
46.2
guardian shall have no personal or monetary liability;
46.3
(3) the duty to take reasonable care of the clothing, furniture, vehicles, and other personal
46.4
effects of the person subject to guardianship, and, if other property requires protection, the
46.5
power to seek appointment of a conservator of the estate. The guardian must give notice by
46.6
mail to interested persons prior to the disposition of the clothing, furniture, vehicles, or
46.7
other personal effects of the person subject to guardianship. The notice must inform the
46.8
person of the right to object to the disposition of the property within ten days of the date of
46.9
mailing and to petition the court for a review of the guardian's proposed actions. Notice of
46.10
the objection must be served by mail or personal service on the guardian and the person
46.11
subject to guardianship unless the person subject to guardianship is the objector. The guardian
46.12
served with notice of an objection to the disposition of the property may not dispose of the
46.13
property unless the court approves the disposition after a hearing;
46.14
(4)(i) the power to give any necessary consent to enable the person subject to guardianship
46.15
to receive necessary medical or other professional care, counsel, treatment, or service, except
46.16
that no guardian may give consent for psychosurgery, electroshock, sterilization, or
46.17
experimental treatment of any kind unless the procedure is first approved by order of the
46.18
court as provided in this clause. The guardian shall not consent to any medical care for the
46.19
person subject to guardianship which violates the known conscientious, religious, or moral
46.20
belief of the person subject to guardianship;
46.21
(ii) a guardian who believes a procedure described in item (i) requiring prior court
46.22
approval to be necessary for the proper care of the person subject to guardianship, shall
46.23
petition the court for an order and, in the case of a public guardianship under chapter 252A,
46.24
obtain the written recommendation of the commissioner of human services. The court shall
46.25
fix the time and place for the hearing and shall give notice to the person subject to
46.26
guardianship in such manner as specified in section 524.5-308 and to interested persons.
46.27
The court shall appoint an attorney to represent the person subject to guardianship who is
46.28
not represented by counsel, provided that such appointment shall expire upon the expiration
46.29
of the appeal time for the order issued by the court under this section or the order dismissing
46.30
a petition, or upon such other time or event as the court may direct. In every case the court
46.31
shall determine if the procedure is in the best interest of the person subject to guardianship.
46.32
In making its determination, the court shall consider a written medical report which
46.33
specifically considers the medical risks of the procedure, whether alternative, less restrictive
46.34
methods of treatment could be used to protect the best interest of the person subject to
46
Article 1 Sec. 41.
REVISOR
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47.1
guardianship, and any recommendation of the commissioner of human services for a public
47.2
person subject to guardianship. The standard of proof is that of clear and convincing evidence;
47.3
(iii) in the case of a petition for sterilization of a person with developmental disabilities
47.4
subject to guardianship, the court shall appoint a licensed physician, a psychologist who is
47.5
qualified in the diagnosis and treatment of developmental disability, and a social worker
47.6
who is familiar with the social history and adjustment of the person subject to guardianship
47.7
or the case manager for the person subject to guardianship to examine or evaluate the person
47.8
subject to guardianship and to provide written reports to the court. The reports shall indicate
47.9
why sterilization is being proposed, whether sterilization is necessary and is the least intrusive
47.10
method for alleviating the problem presented, and whether it is in the best interest of the
47.11
person subject to guardianship. The medical report shall specifically consider the medical
47.12
risks of sterilization, the consequences of not performing the sterilization, and whether
47.13
alternative methods of contraception could be used to protect the best interest of the person
47.14
subject to guardianship;
47.15
(iv) any person subject to guardianship whose right to consent to a sterilization has not
47.16
been restricted under this section or section 252A.101 may be sterilized only if the person
47.17
subject to guardianship consents in writing or there is a sworn acknowledgment by an
47.18
interested person of a nonwritten consent by the person subject to guardianship. The consent
47.19
must certify that the person subject to guardianship has received a full explanation from a
47.20
physician or registered nurse of the nature and irreversible consequences of the sterilization;
47.21
(v) a guardian or the public guardian's designee who acts within the scope of authority
47.22
conferred by letters of guardianship under section 252A.101, subdivision 7, and according
47.23
to the standards established in this chapter or in chapter 252A shall not be civilly or criminally
47.24
liable for the provision of any necessary medical care, including, but not limited to, the
47.25
administration of psychotropic medication or the implementation of aversive and deprivation
47.26
procedures to which the guardian or the public guardian's designee has consented;
47.27
(5) in the event there is no duly appointed conservator of the estate of the person subject
47.28
to guardianship, the guardian shall have the power to approve or withhold approval of any
47.29
contract, except for necessities, which the person subject to guardianship may make or wish
47.30
to make;
47.31
(6) the duty and power to exercise supervisory authority over the person subject to
47.32
guardianship in a manner which limits civil rights and restricts personal freedom only to
47.33
the extent necessary to provide needed care and services. A guardian may not restrict the
47.34
ability of the person subject to guardianship to communicate, visit, or interact with others,
47
Article 1 Sec. 41.
REVISOR
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48.1
including receiving visitors or making or receiving telephone calls, personal mail, or
48.2
electronic communications including through social media, or participating in social activities,
48.3
unless the guardian has good cause to believe restriction is necessary because interaction
48.4
with the person poses a risk of significant physical, psychological, or financial harm to the
48.5
person subject to guardianship, and there is no other means to avoid such significant harm.
48.6
In all cases, the guardian shall provide written notice of the restrictions imposed to the court,
48.7
to the person subject to guardianship, and to the person subject to restrictions. The person
48.8
subject to guardianship or the person subject to restrictions may petition the court to remove
48.9
or modify the restrictions;
48.10
(7) if there is no acting conservator of the estate for the person subject to guardianship,
48.11
the guardian has the power to apply on behalf of the person subject to guardianship for any
48.12
assistance, services, or benefits available to the person subject to guardianship through any
48.13
unit of government;
48.14
(8) unless otherwise ordered by the court, the person subject to guardianship retains the
48.15
right to vote;
48.16
(9) the power to establish an ABLE account for a person subject to guardianship or
48.17
conservatorship. By this provision a guardian only has the authority to establish an ABLE
48.18
account, but may not administer the ABLE account in the guardian's capacity as guardian.
48.19
The guardian may appoint or name a person to exercise signature authority over an ABLE
48.20
account, including the individual selected by the eligible individual or the eligible individual's
48.21
agent under a power of attorney; conservator; spouse; parent; sibling; grandparent; or
48.22
representative payee, whether an individual or organization, appointed by the SSA, in that
48.23
order; and
48.24
(10) if there is no conservator appointed for the person subject to guardianship, the
48.25
guardian has the duty and power to institute suit on behalf of the person subject to
48.26
guardianship and represent the person subject to guardianship in expungement proceedings,
48.27
harassment proceedings, and all civil court proceedings, including but not limited to
48.28
restraining orders, orders for protection, name changes, conciliation court, housing court,
48.29
family court, probate court, and juvenile court, provided that a guardian may not settle or
48.30
compromise any claim or debt owed to the estate without court approval.
48.31
EFFECTIVE DATE. This section is effective the day following final enactment.
48
Article 1 Sec. 41.
REVISOR
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49.1
Sec. 42. Laws 2021, First Special Session chapter 7, article 17, section 20, is amended to
49.2
read:
49.3
Sec. 20. HCBS WORKFORCE DEVELOPMENT GRANT.
49.4
(a) This act includes $0 in fiscal year 2022 and $5,588,000 in fiscal year 2023 to address
49.5
challenges related to attracting and maintaining direct care workers who provide home and
49.6
community-based services for people with disabilities and older adults. The general fund
49.7
base included in this act for this purpose is $5,588,000 in fiscal year 2024 and $0 in fiscal
49.8
year 2025.
49.9
(b) At least 90 percent of funding for this provision must be directed to workers who
49.10
earn 200 300 percent or less of the most current federal poverty level issued by the United
49.11
States Department of Health and Human Services.
49.12
(c) The commissioner must consult with stakeholders to finalize a report detailing the
49.13
final plan for use of the funds. The commissioner must publish the report by March 1, 2022,
49.14
and notify the chairs and ranking minority members of the legislative committees with
49.15
jurisdiction over health and human services policy and finance.
49.16
(d) For the purposes of this section, "subtraction" has the meaning given in Minnesota
49.17
Statutes, section 290.0132, subdivision 1, and the rules in that subdivision apply for this
49.18
section. The definitions in Minnesota Statutes, section 290.01, apply to this section.
49.19
(e) The amount of workforce development grant money received under this section is a
49.20
subtraction.
49.21
(f) Workforce development grant money under this section is excluded from income as
49.22
defined in Minnesota Statutes, sections 290.0674, subdivision 2a, and 290A.03, subdivision
49.23
3.
49.24
(g) Notwithstanding any law to the contrary, payments under this section must not be
49.25
considered income, assets, or personal property for purposes of determining eligibility or
49.26
recertifying eligibility for:
49.27
(1) child care assistance programs under Minnesota Statutes, chapter 119B;
49.28
(2) general assistance, Minnesota supplemental aid, and food support under Minnesota
49.29
Statutes, chapter 256D;
49.30
(3) housing support under Minnesota Statutes, chapter 256I;
49.31
(4) Minnesota family investment program and diversionary work program under
49.32
Minnesota Statutes, chapter 256J; and
49
Article 1 Sec. 42.
REVISOR
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50.1
(5) economic assistance programs under Minnesota Statutes, chapter 256P.
50.2
(h) The commissioner of human services must not consider frontline worker payments
50.3
under this section as income or assets under Minnesota Statutes, section 256B.056,
50.4
subdivision 1a, paragraph (a); 3; or 3c, or for persons with eligibility determined under
50.5
Minnesota Statutes, section 256B.057, subdivision 3, 3a, or 3b.
50.6
Sec. 43. REVISOR INSTRUCTION.
50.7
The revisor of statutes shall renumber Minnesota Statutes, section 245D.03, and correct
50.8
all cross-references.
50.9
EFFECTIVE DATE. This section is effective the day following final enactment.
50.10
Sec. 44. REPEALER.
50.11
Subdivision 1. Minnesota Statutes 2022, section 256B.49, subdivision 23, is repealed.
50.12
Subd. 2. Minnesota Statutes 2022, sections 254B.13, subdivisions 1, 2, 2a, 4, 5, 6, 7,
50.13
and 8; and 254B.16, are repealed.
50.14
EFFECTIVE DATE. The repeal of the section in subdivision 1 is effective the day
50.15
following final enactment, and the repeal of the sections in subdivision 2 is effective upon
50.16
federal approval. The commissioner of human services shall notify the revisor of statutes
50.17
when federal approval is obtained.
50.18
ARTICLE 2
50.19
SUBSTANCE USE DISORDER DIRECT ACCESS
50.20
Section 1. Minnesota Statutes 2022, section 62N.25, subdivision 5, is amended to read:
50.21
Subd. 5. Benefits. Community integrated service networks must offer the health
50.22
maintenance organization benefit set, as defined in chapter 62D, and other laws applicable
50.23
to entities regulated under chapter 62D. Community networks and chemical dependency
50.24
facilities under contract with a community network shall use the assessment criteria in
50.25
Minnesota Rules, parts 9530.6600 to 9530.6655, section 245G.05 when assessing enrollees
50.26
for chemical dependency treatment.
50
Article 2 Section 1.
REVISOR
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51.1
Sec. 2. Minnesota Statutes 2022, section 62Q.1055, is amended to read:
51.2
62Q.1055 CHEMICAL DEPENDENCY.
51.3
All health plan companies shall use the assessment criteria in Minnesota Rules, parts
51.4
9530.6600 to 9530.6655, section 245G.05 when assessing and placing treating enrollees
51.5
for chemical dependency treatment.
51.6
Sec. 3. Minnesota Statutes 2022, section 62Q.47, is amended to read:
51.7
62Q.47 ALCOHOLISM, MENTAL HEALTH, AND CHEMICAL DEPENDENCY
51.8
SERVICES.
51.9
(a) All health plans, as defined in section 62Q.01, that provide coverage for alcoholism,
51.10
mental health, or chemical dependency services, must comply with the requirements of this
51.11
section.
51.12
(b) Cost-sharing requirements and benefit or service limitations for outpatient mental
51.13
health and outpatient chemical dependency and alcoholism services, except for persons
51.14
placed in seeking chemical dependency services under Minnesota Rules, parts 9530.6600
51.15
to 9530.6655 section 245G.05, must not place a greater financial burden on the insured or
51.16
enrollee, or be more restrictive than those requirements and limitations for outpatient medical
51.17
services.
51.18
(c) Cost-sharing requirements and benefit or service limitations for inpatient hospital
51.19
mental health and inpatient hospital and residential chemical dependency and alcoholism
51.20
services, except for persons placed in seeking chemical dependency services under Minnesota
51.21
Rules, parts 9530.6600 to 9530.6655 section 245G.05, must not place a greater financial
51.22
burden on the insured or enrollee, or be more restrictive than those requirements and
51.23
limitations for inpatient hospital medical services.
51.24
(d) A health plan company must not impose an NQTL with respect to mental health and
51.25
substance use disorders in any classification of benefits unless, under the terms of the health
51.26
plan as written and in operation, any processes, strategies, evidentiary standards, or other
51.27
factors used in applying the NQTL to mental health and substance use disorders in the
51.28
classification are comparable to, and are applied no more stringently than, the processes,
51.29
strategies, evidentiary standards, or other factors used in applying the NQTL with respect
51.30
to medical and surgical benefits in the same classification.
51.31
(e) All health plans must meet the requirements of the federal Mental Health Parity Act
51.32
of 1996, Public Law 104-204; Paul Wellstone and Pete Domenici Mental Health Parity and
51
Article 2 Sec. 3.
REVISOR
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52.1
Addiction Equity Act of 2008; the Affordable Care Act; and any amendments to, and federal
52.2
guidance or regulations issued under, those acts.
52.3
(f) The commissioner may require information from health plan companies to confirm
52.4
that mental health parity is being implemented by the health plan company. Information
52.5
required may include comparisons between mental health and substance use disorder
52.6
treatment and other medical conditions, including a comparison of prior authorization
52.7
requirements, drug formulary design, claim denials, rehabilitation services, and other
52.8
information the commissioner deems appropriate.
52.9
(g) Regardless of the health care provider's professional license, if the service provided
52.10
is consistent with the provider's scope of practice and the health plan company's credentialing
52.11
and contracting provisions, mental health therapy visits and medication maintenance visits
52.12
shall be considered primary care visits for the purpose of applying any enrollee cost-sharing
52.13
requirements imposed under the enrollee's health plan.
52.14
(h) By June 1 of each year, beginning June 1, 2021, the commissioner of commerce, in
52.15
consultation with the commissioner of health, shall submit a report on compliance and
52.16
oversight to the chairs and ranking minority members of the legislative committees with
52.17
jurisdiction over health and commerce. The report must:
52.18
(1) describe the commissioner's process for reviewing health plan company compliance
52.19
with United States Code, title 42, section 18031(j), any federal regulations or guidance
52.20
relating to compliance and oversight, and compliance with this section and section 62Q.53;
52.21
(2) identify any enforcement actions taken by either commissioner during the preceding
52.22
12-month period regarding compliance with parity for mental health and substance use
52.23
disorders benefits under state and federal law, summarizing the results of any market conduct
52.24
examinations. The summary must include: (i) the number of formal enforcement actions
52.25
taken; (ii) the benefit classifications examined in each enforcement action; and (iii) the
52.26
subject matter of each enforcement action, including quantitative and nonquantitative
52.27
treatment limitations;
52.28
(3) detail any corrective action taken by either commissioner to ensure health plan
52.29
company compliance with this section, section 62Q.53, and United States Code, title 42,
52.30
section 18031(j); and
52.31
(4) describe the information provided by either commissioner to the public about
52.32
alcoholism, mental health, or chemical dependency parity protections under state and federal
52.33
law.
52
Article 2 Sec. 3.
REVISOR
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53.1
The report must be written in nontechnical, readily understandable language and must be
53.2
made available to the public by, among other means as the commissioners find appropriate,
53.3
posting the report on department websites. Individually identifiable information must be
53.4
excluded from the report, consistent with state and federal privacy protections.
53.5
Sec. 4. Minnesota Statutes 2022, section 169A.70, subdivision 3, is amended to read:
53.6
Subd. 3. Assessment report. (a) The assessment report must be on a form prescribed
53.7
by the commissioner and shall contain an evaluation of the convicted defendant concerning
53.8
the defendant's prior traffic and criminal record, characteristics and history of alcohol and
53.9
chemical use problems, and amenability to rehabilitation through the alcohol safety program.
53.10
The report is classified as private data on individuals as defined in section 13.02, subdivision
53.11
12.
53.12
(b) The assessment report must include:
53.13
(1) a diagnosis of the nature of the offender's chemical and alcohol involvement;
53.14
(2) an assessment of the severity level of the involvement;
53.15
(3) a recommended level of care for the offender in accordance with the criteria contained
53.16
in rules adopted by the commissioner of human services under section 254A.03, subdivision
53.17
3 (substance use disorder treatment rules) section 245G.05;
53.18
(4) an assessment of the offender's placement needs;
53.19
(5) recommendations for other appropriate remedial action or care, including aftercare
53.20
services in section 254B.01, subdivision 3, that may consist of educational programs,
53.21
one-on-one counseling, a program or type of treatment that addresses mental health concerns,
53.22
or a combination of them; and
53.23
(6) a specific explanation why no level of care or action was recommended, if applicable.
53.24
Sec. 5. Minnesota Statutes 2022, section 169A.70, subdivision 4, is amended to read:
53.25
Subd. 4. Assessor standards; rules; assessment time limits. A chemical use assessment
53.26
required by this section must be conducted by an assessor appointed by the court. The
53.27
assessor must meet the training and qualification requirements of rules adopted by the
53.28
commissioner of human services under section 254A.03, subdivision 3 (substance use
53.29
disorder treatment rules) section 245G.11, subdivisions 1 and 5. Notwithstanding section
53.30
13.82 (law enforcement data), the assessor shall have access to any police reports, laboratory
53.31
test results, and other law enforcement data relating to the current offense or previous
53
Article 2 Sec. 5.
REVISOR
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54.1
offenses that are necessary to complete the evaluation. An assessor providing an assessment
54.2
under this section may not have any direct or shared financial interest or referral relationship
54.3
resulting in shared financial gain with a treatment provider, except as authorized under
54.4
section 254A.19, subdivision 3. If an independent assessor is not available, the court may
54.5
use the services of an assessor authorized to perform assessments for the county social
54.6
services agency under a variance granted under rules adopted by the commissioner of human
54.7
services under section 254A.03, subdivision 3. An appointment for the defendant to undergo
54.8
the assessment must be made by the court, a court services probation officer, or the court
54.9
administrator as soon as possible but in no case more than one week after the defendant's
54.10
court appearance. The assessment must be completed no later than three weeks after the
54.11
defendant's court appearance. If the assessment is not performed within this time limit, the
54.12
county where the defendant is to be sentenced shall perform the assessment. The county of
54.13
financial responsibility must be determined under chapter 256G.
54.14
Sec. 6. Minnesota Statutes 2022, section 245A.043, subdivision 3, is amended to read:
54.15
Subd. 3. Change of ownership process. (a) When a change in ownership is proposed
54.16
and the party intends to assume operation without an interruption in service longer than 60
54.17
days after acquiring the program or service, the license holder must provide the commissioner
54.18
with written notice of the proposed change on a form provided by the commissioner at least
54.19
60 days before the anticipated date of the change in ownership. For purposes of this
54.20
subdivision and subdivision 4, "party" means the party that intends to operate the service
54.21
or program.
54.22
(b) The party must submit a license application under this chapter on the form and in
54.23
the manner prescribed by the commissioner at least 30 days before the change in ownership
54.24
is complete, and must include documentation to support the upcoming change. The party
54.25
must comply with background study requirements under chapter 245C and shall pay the
54.26
application fee required under section 245A.10. A party that intends to assume operation
54.27
without an interruption in service longer than 60 days after acquiring the program or service
54.28
is exempt from the requirements of sections 245G.03, subdivision 2, paragraph (b), and
54.29
254B.03, subdivision 2, paragraphs (c) and (d) and (e).
54.30
(c) The commissioner may streamline application procedures when the party is an existing
54.31
license holder under this chapter and is acquiring a program licensed under this chapter or
54.32
service in the same service class as one or more licensed programs or services the party
54.33
operates and those licenses are in substantial compliance. For purposes of this subdivision,
54.34
"substantial compliance" means within the previous 12 months the commissioner did not
54
Article 2 Sec. 6.
REVISOR
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55.1
(1) issue a sanction under section 245A.07 against a license held by the party, or (2) make
55.2
a license held by the party conditional according to section 245A.06.
55.3
(d) Except when a temporary change in ownership license is issued pursuant to
55.4
subdivision 4, the existing license holder is solely responsible for operating the program
55.5
according to applicable laws and rules until a license under this chapter is issued to the
55.6
party.
55.7
(e) If a licensing inspection of the program or service was conducted within the previous
55.8
12 months and the existing license holder's license record demonstrates substantial
55.9
compliance with the applicable licensing requirements, the commissioner may waive the
55.10
party's inspection required by section 245A.04, subdivision 4. The party must submit to the
55.11
commissioner (1) proof that the premises was inspected by a fire marshal or that the fire
55.12
marshal deemed that an inspection was not warranted, and (2) proof that the premises was
55.13
inspected for compliance with the building code or that no inspection was deemed warranted.
55.14
(f) If the party is seeking a license for a program or service that has an outstanding action
55.15
under section 245A.06 or 245A.07, the party must submit a letter as part of the application
55.16
process identifying how the party has or will come into full compliance with the licensing
55.17
requirements.
55.18
(g) The commissioner shall evaluate the party's application according to section 245A.04,
55.19
subdivision 6. If the commissioner determines that the party has remedied or demonstrates
55.20
the ability to remedy the outstanding actions under section 245A.06 or 245A.07 and has
55.21
determined that the program otherwise complies with all applicable laws and rules, the
55.22
commissioner shall issue a license or conditional license under this chapter. The conditional
55.23
license remains in effect until the commissioner determines that the grounds for the action
55.24
are corrected or no longer exist.
55.25
(h) The commissioner may deny an application as provided in section 245A.05. An
55.26
applicant whose application was denied by the commissioner may appeal the denial according
55.27
to section 245A.05.
55.28
(i) This subdivision does not apply to a licensed program or service located in a home
55.29
where the license holder resides.
55.30
Sec. 7. Minnesota Statutes 2022, section 245G.05, subdivision 2, is amended to read:
55.31
Subd. 2. Assessment summary. (a) An alcohol and drug counselor must complete an
55.32
assessment summary within three calendar days from the day of service initiation for a
55.33
residential program and within three calendar days on which a treatment session has been
55
Article 2 Sec. 7.
REVISOR
EB/HL
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56.1
provided from the day of service initiation for a client in a nonresidential program. The
56.2
comprehensive assessment summary is complete upon a qualified staff member's dated
56.3
signature. If the comprehensive assessment is used to authorize the treatment service, the
56.4
alcohol and drug counselor must prepare an assessment summary on the same date the
56.5
comprehensive assessment is completed. If the comprehensive assessment and assessment
56.6
summary are to authorize treatment services, the assessor must determine appropriate level
56.7
of care and services for the client using the dimensions in Minnesota Rules, part 9530.6622,
56.8
criteria established in section 254B.04, subdivision 4, and document the recommendations.
56.9
(b) An assessment summary must include:
56.10
(1) a risk description according to section 245G.05 for each dimension listed in paragraph
56.11
(c);
56.12
(2) a narrative summary supporting the risk descriptions; and
56.13
(3) a determination of whether the client has a substance use disorder.
56.14
(c) An assessment summary must contain information relevant to treatment service
56.15
planning and recorded in the dimensions in clauses (1) to (6). The license holder must
56.16
consider:
56.17
(1) Dimension 1, acute intoxication/withdrawal potential; the client's ability to cope with
56.18
withdrawal symptoms and current state of intoxication;
56.19
(2) Dimension 2, biomedical conditions and complications; the degree to which any
56.20
physical disorder of the client would interfere with treatment for substance use, and the
56.21
client's ability to tolerate any related discomfort. The license holder must determine the
56.22
impact of continued substance use on the unborn child, if the client is pregnant;
56.23
(3) Dimension 3, emotional, behavioral, and cognitive conditions and complications;
56.24
the degree to which any condition or complication is likely to interfere with treatment for
56.25
substance use or with functioning in significant life areas and the likelihood of harm to self
56.26
or others;
56.27
(4) Dimension 4, readiness for change; the support necessary to keep the client involved
56.28
in treatment service;
56.29
(5) Dimension 5, relapse, continued use, and continued problem potential; the degree
56.30
to which the client recognizes relapse issues and has the skills to prevent relapse of either
56.31
substance use or mental health problems; and
56
Article 2 Sec. 7.
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57.1
(6) Dimension 6, recovery environment; whether the areas of the client's life are
57.2
supportive of or antagonistic to treatment participation and recovery.
57.3
Sec. 8. Minnesota Statutes 2022, section 245G.22, subdivision 2, is amended to read:
57.4
Subd. 2. Definitions. (a) For purposes of this section, the terms defined in this subdivision
57.5
have the meanings given them.
57.6
(b) "Diversion" means the use of a medication for the treatment of opioid addiction being
57.7
diverted from intended use of the medication.
57.8
(c) "Guest dose" means administration of a medication used for the treatment of opioid
57.9
addiction to a person who is not a client of the program that is administering or dispensing
57.10
the medication.
57.11
(d) "Medical director" means a practitioner licensed to practice medicine in the
57.12
jurisdiction that the opioid treatment program is located who assumes responsibility for
57.13
administering all medical services performed by the program, either by performing the
57.14
services directly or by delegating specific responsibility to a practitioner of the opioid
57.15
treatment program.
57.16
(e) "Medication used for the treatment of opioid use disorder" means a medication
57.17
approved by the Food and Drug Administration for the treatment of opioid use disorder.
57.18
(f) "Minnesota health care programs" has the meaning given in section 256B.0636.
57.19
(g) "Opioid treatment program" has the meaning given in Code of Federal Regulations,
57.20
title 42, section 8.12, and includes programs licensed under this chapter.
57.21
(h) "Placing authority" has the meaning given in Minnesota Rules, part 9530.6605,
57.22
subpart 21a.
57.23
(i) (h) "Practitioner" means a staff member holding a current, unrestricted license to
57.24
practice medicine issued by the Board of Medical Practice or nursing issued by the Board
57.25
of Nursing and is currently registered with the Drug Enforcement Administration to order
57.26
or dispense controlled substances in Schedules II to V under the Controlled Substances Act,
57.27
United States Code, title 21, part B, section 821. Practitioner includes an advanced practice
57.28
registered nurse and physician assistant if the staff member receives a variance by the state
57.29
opioid treatment authority under section 254A.03 and the federal Substance Abuse and
57.30
Mental Health Services Administration.
57.31
(j) (i) "Unsupervised use" means the use of a medication for the treatment of opioid use
57.32
disorder dispensed for use by a client outside of the program setting.
57
Article 2 Sec. 8.
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58.1
Sec. 9. Minnesota Statutes 2022, section 254A.03, subdivision 3, is amended to read:
58.2
Subd. 3. Rules for substance use disorder care. (a) The commissioner of human
58.3
services shall establish by rule criteria to be used in determining the appropriate level of
58.4
substance use disorder care for each recipient of public assistance seeking treatment for
58.5
substance misuse or substance use disorder. Upon federal approval of a comprehensive
58.6
assessment as a Medicaid benefit, or on July 1, 2018, whichever is later, and notwithstanding
58.7
the criteria in Minnesota Rules, parts 9530.6600 to 9530.6655, An eligible vendor of
58.8
comprehensive assessments under section 254B.05 may determine and approve the
58.9
appropriate level of substance use disorder treatment for a recipient of public assistance.
58.10
The process for determining an individual's financial eligibility for the behavioral health
58.11
fund or determining an individual's enrollment in or eligibility for a publicly subsidized
58.12
health plan is not affected by the individual's choice to access a comprehensive assessment
58.13
for placement.
58.14
(b) The commissioner shall develop and implement a utilization review process for
58.15
publicly funded treatment placements to monitor and review the clinical appropriateness
58.16
and timeliness of all publicly funded placements in treatment.
58.17
(c) If a screen result is positive for alcohol or substance misuse, a brief screening for
58.18
alcohol or substance use disorder that is provided to a recipient of public assistance within
58.19
a primary care clinic, hospital, or other medical setting or school setting establishes medical
58.20
necessity and approval for an initial set of substance use disorder services identified in
58.21
section 254B.05, subdivision 5. The initial set of services approved for a recipient whose
58.22
screen result is positive may include any combination of up to four hours of individual or
58.23
group substance use disorder treatment, two hours of substance use disorder treatment
58.24
coordination, or two hours of substance use disorder peer support services provided by a
58.25
qualified individual according to chapter 245G. A recipient must obtain an assessment
58.26
pursuant to paragraph (a) to be approved for additional treatment services. Minnesota Rules,
58.27
parts 9530.6600 to 9530.6655, and A comprehensive assessment pursuant to section 245G.05
58.28
are not applicable is not required to receive the initial set of services allowed under this
58.29
subdivision. A positive screen result establishes eligibility for the initial set of services
58.30
allowed under this subdivision.
58.31
(d) Notwithstanding Minnesota Rules, parts 9530.6600 to 9530.6655, An individual
58.32
may choose to obtain a comprehensive assessment as provided in section 245G.05.
58.33
Individuals obtaining a comprehensive assessment may access any enrolled provider that
58.34
is licensed to provide the level of service authorized pursuant to section 254A.19, subdivision
58.35
3, paragraph (d). If the individual is enrolled in a prepaid health plan, the individual must
58
Article 2 Sec. 9.
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59.1
comply with any provider network requirements or limitations. This paragraph expires July
59.2
1, 2022.
59.3
(d) An individual may choose to obtain a comprehensive assessment as provided in
59.4
section 245G.05. Individuals obtaining a comprehensive assessment may access any enrolled
59.5
provider that is licensed to provide the level of service authorized pursuant to section
59.6
254A.19, subdivision 3. If the individual is enrolled in a prepaid health plan, the individual
59.7
must comply with any provider network requirements or limitations.
59.8
Sec. 10. Minnesota Statutes 2022, section 254A.19, subdivision 1, is amended to read:
59.9
Subdivision 1. Persons arrested outside of home county. When a chemical use
59.10
assessment is required under Minnesota Rules, parts 9530.6600 to 9530.6655, for a person
59.11
who is arrested and taken into custody by a peace officer outside of the person's county of
59.12
residence, the assessment must be completed by the person's county of residence no later
59.13
than three weeks after the assessment is initially requested. If the assessment is not performed
59.14
within this time limit, the county where the person is to be sentenced shall perform the
59.15
assessment county where the person is detained must give access to an assessor qualified
59.16
under section 254A.19, subdivision 3. The county of financial responsibility is determined
59.17
under chapter 256G.
59.18
Sec. 11. Minnesota Statutes 2022, section 254A.19, subdivision 3, is amended to read:
59.19
Subd. 3. Financial conflicts of interest. Comprehensive assessments. (a) Except as
59.20
provided in paragraph (b), (c), or (d), an assessor conducting a chemical use assessment
59.21
under Minnesota Rules, parts 9530.6600 to 9530.6655, may not have any direct or shared
59.22
financial interest or referral relationship resulting in shared financial gain with a treatment
59.23
provider.
59.24
(b) A county may contract with an assessor having a conflict described in paragraph (a)
59.25
if the county documents that:
59.26
(1) the assessor is employed by a culturally specific service provider or a service provider
59.27
with a program designed to treat individuals of a specific age, sex, or sexual preference;
59.28
(2) the county does not employ a sufficient number of qualified assessors and the only
59.29
qualified assessors available in the county have a direct or shared financial interest or a
59.30
referral relationship resulting in shared financial gain with a treatment provider; or
59.31
(3) the county social service agency has an existing relationship with an assessor or
59.32
service provider and elects to enter into a contract with that assessor to provide both
59
Article 2 Sec. 11.
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60.1
assessment and treatment under circumstances specified in the county's contract, provided
60.2
the county retains responsibility for making placement decisions.
60.3
(c) The county may contract with a hospital to conduct chemical assessments if the
60.4
requirements in subdivision 1a are met.
60.5
An assessor under this paragraph may not place clients in treatment. The assessor shall
60.6
gather required information and provide it to the county along with any required
60.7
documentation. The county shall make all placement decisions for clients assessed by
60.8
assessors under this paragraph.
60.9
(d) An eligible vendor under section 254B.05 conducting a comprehensive assessment
60.10
for an individual seeking treatment shall approve the nature, intensity level, and duration
60.11
of treatment service if a need for services is indicated, but the individual assessed can access
60.12
any enrolled provider that is licensed to provide the level of service authorized, including
60.13
the provider or program that completed the assessment. If an individual is enrolled in a
60.14
prepaid health plan, the individual must comply with any provider network requirements
60.15
or limitations.
60.16
Sec. 12. Minnesota Statutes 2022, section 254A.19, subdivision 4, is amended to read:
60.17
Subd. 4. Civil commitments. A Rule 25 assessment, under Minnesota Rules, part
60.18
9530.6615, For the purposes of determining level of care, a comprehensive assessment does
60.19
not need to be completed for an individual being committed as a chemically dependent
60.20
person, as defined in section 253B.02, and for the duration of a civil commitment under
60.21
section 253B.065, 253B.09, or 253B.095 in order for a county to access the behavioral
60.22
health fund under section 254B.04. The county must determine if the individual meets the
60.23
financial eligibility requirements for the behavioral health fund under section 254B.04.
60.24
Nothing in this subdivision prohibits placement in a treatment facility or treatment program
60.25
governed under this chapter or Minnesota Rules, parts 9530.6600 to 9530.6655.
60.26
Sec. 13. Minnesota Statutes 2022, section 254A.19, is amended by adding a subdivision
60.27
to read:
60.28
Subd. 6. Assessments for detoxification programs. For detoxification programs licensed
60.29
under chapter 245A according to Minnesota Rules, parts 9530.6510 to 9530.6590, a
60.30
"chemical use assessment" is a comprehensive assessment and assessment summary
60.31
completed according to the requirements of section 245G.05 and a "chemical dependency
60.32
assessor" or "assessor" is an individual who meets the qualifications of section 245G.11,
60.33
subdivisions 1 and 5.
60
Article 2 Sec. 13.
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61.1
Sec. 14. Minnesota Statutes 2022, section 254A.19, is amended by adding a subdivision
61.2
to read:
61.3
Subd. 7. Assessments for children's residential facilities. For children's residential
61.4
facilities licensed under chapter 245A according to Minnesota Rules, parts 2960.0010 to
61.5
2960.0220 and 2960.0430 to 2960.0490, a "chemical use assessment" is a comprehensive
61.6
assessment and assessment summary completed according to the requirements of section
61.7
245G.05 and must be completed by an individual who meets the qualifications of section
61.8
245G.11, subdivisions 1 and 5.
61.9
Sec. 15. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
61.10
to read:
61.11
Subd. 2a. Behavioral health fund. "Behavioral health fund" means money allocated
61.12
for payment of treatment services under chapter 254B.
61.13
Sec. 16. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
61.14
to read:
61.15
Subd. 2b. Client. "Client" means an individual who has requested substance use disorder
61.16
services or for whom substance use disorder services have been requested.
61.17
Sec. 17. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
61.18
to read:
61.19
Subd. 2c. Co-payment. "Co-payment" means:
61.20
(1) the amount an insured person is obligated to pay before the person's third-party
61.21
payment source is obligated to make a payment; or
61.22
(2) the amount an insured person is obligated to pay in addition to the amount the person's
61.23
third-party payment source is obligated to pay.
61.24
Sec. 18. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
61.25
to read:
61.26
Subd. 4c. Department. "Department" means the Department of Human Services.
61
Article 2 Sec. 18.
REVISOR
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62.1
Sec. 19. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
62.2
to read:
62.3
Subd. 4d. Drug and Alcohol Abuse Normative Evaluation System or DAANES. "Drug
62.4
and Alcohol Abuse Normative Evaluation System" or "DAANES" means the reporting
62.5
system used to collect all substance use disorder treatment data across all levels of care and
62.6
providers.
62.7
Sec. 20. Minnesota Statutes 2022, section 254B.01, subdivision 5, is amended to read:
62.8
Subd. 5. Local agency. "Local agency" means the agency designated by a board of
62.9
county commissioners, a local social services agency, or a human services board to make
62.10
placements and submit state invoices according to Laws 1986, chapter 394, sections 8 to
62.11
20 authorized under section 254B.03, subdivision 1, to determine financial eligibility for
62.12
the behavioral health fund.
62.13
Sec. 21. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
62.14
to read:
62.15
Subd. 6a. Minor child. "Minor child" means an individual under the age of 18 years.
62.16
Sec. 22. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
62.17
to read:
62.18
Subd. 6b. Policyholder. "Policyholder" means a person who has a third-party payment
62.19
policy under which a third-party payment source has an obligation to pay all or part of a
62.20
client's treatment costs.
62.21
Sec. 23. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
62.22
to read:
62.23
Subd. 9. Responsible relative. "Responsible relative" means a person who is a member
62.24
of the client's household and is the client's spouse or the parent of a minor child who is a
62.25
client.
62.26
Sec. 24. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
62.27
to read:
62.28
Subd. 10. Third-party payment source "Third-party payment source" means a person,
62.29
entity, or public or private agency other than medical assistance or general assistance medical
62
Article 2 Sec. 24.
REVISOR
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63.1
care that has a probable obligation to pay all or part of the costs of a client's substance use
63.2
disorder treatment.
63.3
Sec. 25. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
63.4
to read:
63.5
Subd. 11. Vendor. "Vendor" means a provider of substance use disorder treatment
63.6
services that meets the criteria established in section 254B.05, and that has applied to
63.7
participate as a provider in the medical assistance program according to Minnesota Rules,
63.8
part 9505.0195.
63.9
Sec. 26. Minnesota Statutes 2022, section 254B.03, subdivision 1, is amended to read:
63.10
Subdivision 1. Local agency duties. (a) Every local agency shall must determine financial
63.11
eligibility for substance use disorder services and provide substance use disorder services
63.12
to persons residing within its jurisdiction who meet criteria established by the commissioner
63.13
for placement in a substance use disorder residential or nonresidential treatment service.
63.14
Substance use disorder money must be administered by the local agencies according to law
63.15
and rules adopted by the commissioner under sections 14.001 to 14.69.
63.16
(b) In order to contain costs, the commissioner of human services shall select eligible
63.17
vendors of substance use disorder services who can provide economical and appropriate
63.18
treatment. Unless the local agency is a social services department directly administered by
63.19
a county or human services board, the local agency shall not be an eligible vendor under
63.20
section 254B.05. The commissioner may approve proposals from county boards to provide
63.21
services in an economical manner or to control utilization, with safeguards to ensure that
63.22
necessary services are provided. If a county implements a demonstration or experimental
63.23
medical services funding plan, the commissioner shall transfer the money as appropriate.
63.24
(c) A culturally specific vendor that provides assessments under a variance under
63.25
Minnesota Rules, part 9530.6610, shall be allowed to provide assessment services to persons
63.26
not covered by the variance.
63.27
(d) Notwithstanding Minnesota Rules, parts 9530.6600 to 9530.6655, (c) An individual
63.28
may choose to obtain a comprehensive assessment as provided in section 245G.05.
63.29
Individuals obtaining a comprehensive assessment may access any enrolled provider that
63.30
is licensed to provide the level of service authorized pursuant to section 254A.19, subdivision
63.31
3, paragraph (d). If the individual is enrolled in a prepaid health plan, the individual must
63.32
comply with any provider network requirements or limitations.
63
Article 2 Sec. 26.
REVISOR
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64.1
(e) (d) Beginning July 1, 2022, local agencies shall not make placement location
64.2
determinations.
64.3
Sec. 27. Minnesota Statutes 2022, section 254B.03, subdivision 2, is amended to read:
64.4
Subd. 2. Behavioral health fund payment. (a) Payment from the behavioral health
64.5
fund is limited to payments for services identified in section 254B.05, other than
64.6
detoxification licensed under Minnesota Rules, parts 9530.6510 to 9530.6590, and
64.7
detoxification provided in another state that would be required to be licensed as a substance
64.8
use disorder program if the program were in the state. Out of state vendors must also provide
64.9
the commissioner with assurances that the program complies substantially with state licensing
64.10
requirements and possesses all licenses and certifications required by the host state to provide
64.11
substance use disorder treatment. Vendors receiving payments from the behavioral health
64.12
fund must not require co-payment from a recipient of benefits for services provided under
64.13
this subdivision. The vendor is prohibited from using the client's public benefits to offset
64.14
the cost of services paid under this section. The vendor shall not require the client to use
64.15
public benefits for room or board costs. This includes but is not limited to cash assistance
64.16
benefits under chapters 119B, 256D, and 256J, or SNAP benefits. Retention of SNAP
64.17
benefits is a right of a client receiving services through the behavioral health fund or through
64.18
state contracted managed care entities. Payment from the behavioral health fund shall be
64.19
made for necessary room and board costs provided by vendors meeting the criteria under
64.20
section 254B.05, subdivision 1a, or in a community hospital licensed by the commissioner
64.21
of health according to sections 144.50 to 144.56 to a client who is:
64.22
(1) determined to meet the criteria for placement in a residential substance use disorder
64.23
treatment program according to rules adopted under section 254A.03, subdivision 3; and
64.24
(2) concurrently receiving a substance use disorder treatment service in a program
64.25
licensed by the commissioner and reimbursed by the behavioral health fund.
64.26
(b) A county may, from its own resources, provide substance use disorder services for
64.27
which state payments are not made. A county may elect to use the same invoice procedures
64.28
and obtain the same state payment services as are used for substance use disorder services
64.29
for which state payments are made under this section if county payments are made to the
64.30
state in advance of state payments to vendors. When a county uses the state system for
64.31
payment, the commissioner shall make monthly billings to the county using the most recent
64.32
available information to determine the anticipated services for which payments will be made
64.33
in the coming month. Adjustment of any overestimate or underestimate based on actual
64
Article 2 Sec. 27.
REVISOR
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65.1
expenditures shall be made by the state agency by adjusting the estimate for any succeeding
65.2
month.
65.3
(c) (b) The commissioner shall coordinate substance use disorder services and determine
65.4
whether there is a need for any proposed expansion of substance use disorder treatment
65.5
services. The commissioner shall deny vendor certification to any provider that has not
65.6
received prior approval from the commissioner for the creation of new programs or the
65.7
expansion of existing program capacity. The commissioner shall consider the provider's
65.8
capacity to obtain clients from outside the state based on plans, agreements, and previous
65.9
utilization history, when determining the need for new treatment services.
65.10
(d) (c) At least 60 days prior to submitting an application for new licensure under chapter
65.11
245G, the applicant must notify the county human services director in writing of the
65.12
applicant's intent to open a new treatment program. The written notification must include,
65.13
at a minimum:
65.14
(1) a description of the proposed treatment program; and
65.15
(2) a description of the target population to be served by the treatment program.
65.16
(e) (d) The county human services director may submit a written statement to the
65.17
commissioner, within 60 days of receiving notice from the applicant, regarding the county's
65.18
support of or opposition to the opening of the new treatment program. The written statement
65.19
must include documentation of the rationale for the county's determination. The commissioner
65.20
shall consider the county's written statement when determining whether there is a need for
65.21
the treatment program as required by paragraph (c).
65.22
Sec. 28. Minnesota Statutes 2022, section 254B.03, subdivision 5, is amended to read:
65.23
Subd. 5. Rules; appeal. The commissioner shall adopt rules as necessary to implement
65.24
this chapter. The commissioner shall establish an appeals process for use by recipients when
65.25
services certified by the county are disputed. The commissioner shall adopt rules and
65.26
standards for the appeal process to assure adequate redress for persons referred to
65.27
inappropriate services.
65.28
Sec. 29. Minnesota Statutes 2022, section 254B.04, subdivision 1, is amended to read:
65.29
Subdivision 1. Eligibility. Scope and applicability. (a) Persons eligible for benefits
65.30
under Code of Federal Regulations, title 25, part 20, who meet the income standards of
65.31
section 256B.056, subdivision 4, and are not enrolled in medical assistance, are entitled to
65
Article 2 Sec. 29.
REVISOR
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66.1
behavioral health fund services. State money appropriated for this paragraph must be placed
66.2
in a separate account established for this purpose.
66.3
(b) Persons with dependent children who are determined to be in need of chemical
66.4
dependency treatment pursuant to an assessment under section 260E.20, subdivision 1, or
66.5
a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the
66.6
local agency to access needed treatment services. Treatment services must be appropriate
66.7
for the individual or family, which may include long-term care treatment or treatment in a
66.8
facility that allows the dependent children to stay in the treatment facility. The county shall
66.9
pay for out-of-home placement costs, if applicable.
66.10
(c) Notwithstanding paragraph (a), persons enrolled in medical assistance are eligible
66.11
for room and board services under section 254B.05, subdivision 5, paragraph (b), clause
66.12
(12).
66.13
This section governs the administration of the behavioral health fund, establishes the
66.14
criteria to be applied by local agencies to determine a client's financial eligibility under the
66.15
behavioral health fund, and determines a client's obligation to pay for substance use disorder
66.16
treatment services.
66.17
Sec. 30. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
66.18
to read:
66.19
Subd. 1a. Client eligibility. (a) Persons eligible for benefits under Code of Federal
66.20
Regulations, title 25, part 20, who meet the income standards of section 256B.056,
66.21
subdivision 4, and are not enrolled in medical assistance, are entitled to behavioral health
66.22
fund services. State money appropriated for this paragraph must be placed in a separate
66.23
account established for this purpose.
66.24
(b) Persons with dependent children who are determined to be in need of chemical
66.25
dependency treatment pursuant to an assessment under section 260E.20, subdivision 1, or
66.26
a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the
66.27
local agency to access needed treatment services. Treatment services must be appropriate
66.28
for the individual or family, which may include long-term care treatment or treatment in a
66.29
facility that allows the dependent children to stay in the treatment facility. The county shall
66.30
pay for out-of-home placement costs, if applicable.
66.31
(c) Notwithstanding paragraph (a), persons enrolled in medical assistance are eligible
66.32
for room and board services under section 254B.05, subdivision 5, paragraph (b), clause
66.33
(12).
66
Article 2 Sec. 30.
REVISOR
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67.1
(d) A client is eligible to have substance use disorder treatment paid for with funds from
67.2
the behavioral health fund when the client:
67.3
(1) is eligible for MFIP as determined under chapter 256J;
67.4
(2) is eligible for medical assistance as determined under Minnesota Rules, parts
67.5
9505.0010 to 9505.0150;
67.6
(3) is eligible for general assistance, general assistance medical care, or work readiness
67.7
as determined under Minnesota Rules, parts 9500.1200 to 9500.1318; or
67.8
(4) has income that is within current household size and income guidelines for entitled
67.9
persons, as defined in this subdivision and subdivision 7.
67.10
(e) Clients who meet the financial eligibility requirement in paragraph (a) and who have
67.11
a third-party payment source are eligible for the behavioral health fund if the third-party
67.12
payment source pays less than 100 percent of the cost of treatment services for eligible
67.13
clients.
67.14
(f) A client is ineligible to have substance use disorder treatment services paid for with
67.15
behavioral health fund money if the client:
67.16
(1) has an income that exceeds current household size and income guidelines for entitled
67.17
persons as defined in this subdivision and subdivision 7; or
67.18
(2) has an available third-party payment source that will pay the total cost of the client's
67.19
treatment.
67.20
(g) A client who is disenrolled from a state prepaid health plan during a treatment episode
67.21
is eligible for continued treatment service that is paid for by the behavioral health fund until
67.22
the treatment episode is completed or the client is re-enrolled in a state prepaid health plan
67.23
if the client:
67.24
(1) continues to be enrolled in MinnesotaCare, medical assistance, or general assistance
67.25
medical care; or
67.26
(2) is eligible according to paragraphs (a) and (b) and is determined eligible by a local
67.27
agency under section 254B.04.
67.28
(h) When a county commits a client under chapter 253B to a regional treatment center
67.29
for substance use disorder services and the client is ineligible for the behavioral health fund,
67.30
the county is responsible for the payment to the regional treatment center according to
67.31
section 254B.05, subdivision 4.
67
Article 2 Sec. 30.
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68.1
Sec. 31. Minnesota Statutes 2022, section 254B.04, subdivision 2a, is amended to read:
68.2
Subd. 2a. Eligibility for treatment in residential settings room and board services
68.3
for persons in outpatient substance use disorder treatment. Notwithstanding provisions
68.4
of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's discretion in
68.5
making placements to residential treatment settings, A person eligible for room and board
68.6
services under this section 254B.05, subdivision 5, paragraph (b), clause (12), must score
68.7
at level 4 on assessment dimensions related to readiness to change, relapse, continued use,
68.8
or recovery environment in order to be assigned to services with a room and board component
68.9
reimbursed under this section. Whether a treatment facility has been designated an institution
68.10
for mental diseases under United States Code, title 42, section 1396d, shall not be a factor
68.11
in making placements.
68.12
Sec. 32. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
68.13
to read:
68.14
Subd. 4. Assessment criteria and risk descriptions. (a) The level of care determination
68.15
must follow criteria approved by the commissioner.
68.16
(b) Dimension 1: Acute intoxication/withdrawal potential. A vendor must use the criteria
68.17
in Dimension 1 to determine a client's acute intoxication and withdrawal potential, the
68.18
client's ability to cope with withdrawal symptoms, and the client's current state of
68.19
intoxication.
68.20
"0" The client displays full functioning with good ability to tolerate and cope with
68.21
withdrawal discomfort, and the client shows no signs or symptoms of intoxication or
68.22
withdrawal or diminishing signs or symptoms.
68.23
"1" The client can tolerate and cope with withdrawal discomfort. The client displays
68.24
mild to moderate intoxication or signs and symptoms interfering with daily functioning but
68.25
does not immediately endanger self or others. The client poses a minimal risk of severe
68.26
withdrawal.
68.27
"2" The client has some difficulty tolerating and coping with withdrawal discomfort.
68.28
The client's intoxication may be severe but responds to support and treatment such that the
68.29
client does not immediately endanger self or others. The client displays moderate signs and
68.30
symptoms of withdrawal with moderate risk of severe withdrawal.
68.31
"3" The client tolerates and copes with withdrawal discomfort poorly. The client has
68.32
severe intoxication, such that the client endangers self or others, or intoxication has not
68.33
abated with less intensive services. The client displays severe signs and symptoms of
68
Article 2 Sec. 32.
REVISOR
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69.1
withdrawal, has a risk of severe but manageable withdrawal, or has worsening withdrawal
69.2
despite detoxification at less intensive level.
69.3
"4" The client is incapacitated with severe signs and symptoms. The client displays
69.4
severe withdrawal and is a danger to self or others.
69.5
(c) Dimension 2: biomedical conditions and complications. The vendor must use the
69.6
criteria in Dimension 2 to determine a client's biomedical conditions and complications, the
69.7
degree to which any physical disorder of the client would interfere with treatment for
69.8
substance use, and the client's ability to tolerate any related discomfort. If the client is
69.9
pregnant, the provider must determine the impact of continued substance use on the unborn
69.10
child.
69.11
"0" The client displays full functioning with good ability to cope with physical discomfort.
69.12
"1" The client tolerates and copes with physical discomfort and is able to get the services
69.13
that the client needs.
69.14
"2" The client has difficulty tolerating and coping with physical problems or has other
69.15
biomedical problems that interfere with recovery and treatment. The client neglects or does
69.16
not seek care for serious biomedical problems.
69.17
"3" The client tolerates and copes poorly with physical problems or has poor general
69.18
health. The client neglects the client's medical problems without active assistance.
69.19
"4" The client is unable to participate in substance use disorder treatment and has severe
69.20
medical problems, a condition that requires immediate intervention, or is incapacitated.
69.21
(d) Dimension 3: Emotional, behavioral, and cognitive conditions and complications.
69.22
The vendor must use the criteria in Dimension 3 to determine a client's: emotional, behavioral,
69.23
and cognitive conditions and complications; the degree to which any condition or
69.24
complication is likely to interfere with treatment for substance use or with functioning in
69.25
significant life areas; and the likelihood of harm to self or others.
69.26
"0" The client has good impulse control and coping skills and presents no risk of harm
69.27
to self or others. The client functions in all life areas and displays no emotional, behavioral,
69.28
or cognitive problems or the problems are stable.
69.29
"1" The client has impulse control and coping skills. The client presents a mild to
69.30
moderate risk of harm to self or others or displays symptoms of emotional, behavioral, or
69.31
cognitive problems. The client has a mental health diagnosis and is stable. The client
69.32
functions adequately in significant life areas.
69
Article 2 Sec. 32.
REVISOR
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70.1
"2" The client has difficulty with impulse control and lacks coping skills. The client has
70.2
thoughts of suicide or harm to others without means; however, the thoughts may interfere
70.3
with participation in some activities. The client has difficulty functioning in significant life
70.4
areas. The client has moderate symptoms of emotional, behavioral, or cognitive problems.
70.5
The client is able to participate in most treatment activities.
70.6
"3" The client has a severe lack of impulse control and coping skills. The client also has
70.7
frequent thoughts of suicide or harm to others including a plan and the means to carry out
70.8
the plan. In addition, the client is severely impaired in significant life areas and has severe
70.9
symptoms of emotional, behavioral, or cognitive problems that interfere with the client's
70.10
participation in treatment activities.
70.11
"4" The client has severe emotional or behavioral symptoms that place the client or
70.12
others at acute risk of harm. The client also has intrusive thoughts of harming self or others.
70.13
The client is unable to participate in treatment activities.
70.14
(e) Dimension 4: Readiness for change. The vendor must use the criteria in Dimension
70.15
4 to determine a client's readiness for change and the support necessary to keep the client
70.16
involved in treatment services.
70.17
"0" The client is cooperative, motivated, ready to change, admits problems, committed
70.18
to change, and engaged in treatment as a responsible participant.
70.19
"1" The client is motivated with active reinforcement to explore treatment and strategies
70.20
for change but ambivalent about illness or need for change.
70.21
"2" The client displays verbal compliance, but lacks consistent behaviors; has low
70.22
motivation for change; and is passively involved in treatment.
70.23
"3" The client displays inconsistent compliance, minimal awareness of either the client's
70.24
addiction or mental disorder, and is minimally cooperative.
70.25
"4" The client is:
70.26
(i) noncompliant with treatment and has no awareness of addiction or mental disorder
70.27
and does not want or is unwilling to explore change or is in total denial of the client's illness
70.28
and its implications; or
70.29
(ii) the client is dangerously oppositional to the extent that the client is a threat of
70.30
imminent harm to self and others.
70.31
(f) Dimension 5: Relapse, continued use, and continued problem potential. The vendor
70.32
must use the criteria in Dimension 5 to determine a client's relapse, continued use, and
70
Article 2 Sec. 32.
REVISOR
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71.1
continued problem potential and the degree to which the client recognizes relapse issues
71.2
and has the skills to prevent relapse of either substance use or mental health problems.
71.3
"0" The client recognizes risk well and is able to manage potential problems.
71.4
"1" The client recognizes relapse issues and prevention strategies but displays some
71.5
vulnerability for further substance use or mental health problems.
71.6
"2" The client has:
71.7
(i) minimal recognition and understanding of relapse and recidivism issues and displays
71.8
moderate vulnerability for further substance use or mental health problems; or
71.9
(ii) some coping skills inconsistently applied.
71.10
"3" The client has poor recognition and understanding of relapse and recidivism issues
71.11
and displays moderately high vulnerability for further substance use or mental health
71.12
problems. The client has few coping skills and rarely applies coping skills.
71.13
"4" The client has no coping skills to arrest mental health or addiction illnesses or prevent
71.14
relapse. The client has no recognition or understanding of relapse and recidivism issues and
71.15
displays high vulnerability for further substance use disorder or mental health problems.
71.16
(g) Dimension 6: Recovery environment. The vendor must use the criteria in Dimension
71.17
6 to determine a client's recovery environment, whether the areas of the client's life are
71.18
supportive of or antagonistic to treatment participation and recovery.
71.19
"0" The client is engaged in structured meaningful activity and has a supportive significant
71.20
other, family, and living environment.
71.21
"1" The client has passive social network support, or family and significant other are
71.22
not interested in the client's recovery. The client is engaged in structured meaningful activity.
71.23
"2" The client is engaged in structured, meaningful activity, but peers, family, significant
71.24
other, and living environment are unsupportive, or there is criminal justice involvement by
71.25
the client or among the client's peers, significant other, or in the client's living environment.
71.26
"3" The client is not engaged in structured meaningful activity and the client's peers,
71.27
family, significant other, and living environment are unsupportive, or there is significant
71.28
criminal justice system involvement.
71.29
"4" The client has:
71
Article 2 Sec. 32.
REVISOR
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72.1
(i) a chronically antagonistic significant other, living environment, family, peer group,
72.2
or long-term criminal justice involvement that is harmful to recovery or treatment progress;
72.3
or
72.4
(ii) the client has an actively antagonistic significant other, family, work, or living
72.5
environment that poses an immediate threat to the client's safety and well-being.
72.6
Sec. 33. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
72.7
to read:
72.8
Subd. 5. Local agency responsibility to provide services. The local agency may employ
72.9
individuals to conduct administrative activities and facilitate access to substance use disorder
72.10
treatment services.
72.11
Sec. 34. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
72.12
to read:
72.13
Subd. 6. Local agency to determine client financial eligibility. (a) The local agency
72.14
shall determine a client's financial eligibility for the behavioral health fund according to
72.15
section 254B.04, subdivision 1, with the income calculated prospectively for one year from
72.16
the date of comprehensive assessment. The local agency shall pay for eligible clients
72.17
according to chapter 256G. The local agency shall enter the financial eligibility span within
72.18
ten calendar days of request. Client eligibility must be determined using forms prescribed
72.19
by the department. To determine a client's eligibility, the local agency must determine the
72.20
client's income, the size of the client's household, the availability of a third-party payment
72.21
source, and a responsible relative's ability to pay for the client's substance use disorder
72.22
treatment.
72.23
(b) A client who is a minor child must not be deemed to have income available to pay
72.24
for substance use disorder treatment, unless the minor child is responsible for payment under
72.25
section 144.347 for substance use disorder treatment services sought under section 144.343,
72.26
subdivision 1.
72.27
(c) The local agency must determine the client's household size as follows:
72.28
(1) if the client is a minor child, the household size includes the following persons living
72.29
in the same dwelling unit:
72.30
(i) the client;
72.31
(ii) the client's birth or adoptive parents; and
72
Article 2 Sec. 34.
REVISOR
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73.1
(iii) the client's siblings who are minors; and
73.2
(2) if the client is an adult, the household size includes the following persons living in
73.3
the same dwelling unit:
73.4
(i) the client;
73.5
(ii) the client's spouse;
73.6
(iii) the client's minor children; and
73.7
(iv) the client's spouse's minor children.
73.8
For purposes of this paragraph, household size includes a person listed in clauses (1) and
73.9
(2) who is in an out-of-home placement if a person listed in clause (1) or (2) is contributing
73.10
to the cost of care of the person in out-of-home placement.
73.11
(d) The local agency must determine the client's current prepaid health plan enrollment,
73.12
the availability of a third-party payment source, including the availability of total payment,
73.13
partial payment, and amount of co-payment.
73.14
(e) The local agency must provide the required eligibility information to the department
73.15
in the manner specified by the department.
73.16
(f) The local agency shall require the client and policyholder to conditionally assign to
73.17
the department the client and policyholder's rights and the rights of minor children to benefits
73.18
or services provided to the client if the department is required to collect from a third-party
73.19
pay source.
73.20
(g) The local agency must redetermine a client's eligibility for the behavioral health fund
73.21
every 12 months.
73.22
(h) A client, responsible relative, and policyholder must provide income or wage
73.23
verification, household size verification, and must make an assignment of third-party payment
73.24
rights under paragraph (f). If a client, responsible relative, or policyholder does not comply
73.25
with the provisions of this subdivision, the client is ineligible for behavioral health fund
73.26
payment for substance use disorder treatment, and the client and responsible relative must
73.27
be obligated to pay for the full cost of substance use disorder treatment services provided
73.28
to the client.
73
Article 2 Sec. 34.
REVISOR
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74.1
Sec. 35. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
74.2
to read:
74.3
Subd. 7. Client fees. A client whose household income is within current household size
74.4
and income guidelines for entitled persons as defined in section 254B.04, subdivision 1a,
74.5
must pay no fee for care related to substance use disorder, including drug screens.
74.6
Sec. 36. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
74.7
to read:
74.8
Subd. 8. Vendor must participate in DAANES system. To be eligible for payment
74.9
under the behavioral health fund, a vendor must participate in the Drug and Alcohol Abuse
74.10
Normative Evaluation System (DAANES) or submit to the commissioner the information
74.11
required in the DAANES in the format specified by the commissioner.
74.12
Sec. 37. Minnesota Statutes 2022, section 256D.09, subdivision 2a, is amended to read:
74.13
Subd. 2a. Vendor payments for drug dependent persons. If, at the time of application
74.14
or at any other time, there is a reasonable basis for questioning whether a person applying
74.15
for or receiving financial assistance is drug dependent, as defined in section 254A.02,
74.16
subdivision 5, the person shall be referred for a chemical health assessment, and only
74.17
emergency assistance payments or general assistance vendor payments may be provided
74.18
until the assessment is complete and the results of the assessment made available to the
74.19
county agency. A reasonable basis for referring an individual for an assessment exists when:
74.20
(1) the person has required detoxification two or more times in the past 12 months;
74.21
(2) the person appears intoxicated at the county agency as indicated by two or more of
74.22
the following:
74.23
(i) the odor of alcohol;
74.24
(ii) slurred speech;
74.25
(iii) disconjugate gaze;
74.26
(iv) impaired balance;
74.27
(v) difficulty remaining awake;
74.28
(vi) consumption of alcohol;
74.29
(vii) responding to sights or sounds that are not actually present;
74.30
(viii) extreme restlessness, fast speech, or unusual belligerence;
74
Article 2 Sec. 37.
REVISOR
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75.1
(3) the person has been involuntarily committed for drug dependency at least once in
75.2
the past 12 months; or
75.3
(4) the person has received treatment, including domiciliary care, for drug abuse or
75.4
dependency at least twice in the past 12 months.
75.5
The assessment and determination of drug dependency, if any, must be made by an
75.6
assessor qualified under Minnesota Rules, part 9530.6615, subpart 2 section 245G.11,
75.7
subdivisions 1 and 5, to perform an assessment of chemical use. The county shall only
75.8
provide emergency general assistance or vendor payments to an otherwise eligible applicant
75.9
or recipient who is determined to be drug dependent, except up to 15 percent of the grant
75.10
amount the person would otherwise receive may be paid in cash. Notwithstanding subdivision
75.11
1, the commissioner of human services shall also require county agencies to provide
75.12
assistance only in the form of vendor payments to all eligible recipients who assert substance
75.13
use disorder as a basis for eligibility under section 256D.05, subdivision 1, paragraph (a),
75.14
clauses (1) and (5).
75.15
The determination of drug dependency shall be reviewed at least every 12 months. If
75.16
the county determines a recipient is no longer drug dependent, the county may cease vendor
75.17
payments and provide the recipient payments in cash.
75.18
Sec. 38. Minnesota Statutes 2022, section 256L.03, subdivision 2, is amended to read:
75.19
Subd. 2. Substance use disorder. Beginning July 1, 1993, covered health services shall
75.20
include individual outpatient treatment of substance use disorder by a qualified health
75.21
professional or outpatient program.
75.22
Persons who may need substance use disorder services under the provisions of this
75.23
chapter shall be assessed by a local agency as defined under section 254B.01 must be
75.24
assessed by a qualified professional as defined in section 245G.11, subdivisions 1 and 5,
75.25
and under the assessment provisions of section 254A.03, subdivision 3. A local agency or
75.26
managed care plan under contract with the Department of Human Services must place offer
75.27
services to a person in need of substance use disorder services as provided in Minnesota
75.28
Rules, parts 9530.6600 to 9530.6655 based on the recommendations of section 245G.05.
75.29
Persons who are recipients of medical benefits under the provisions of this chapter and who
75.30
are financially eligible for behavioral health fund services provided under the provisions of
75.31
chapter 254B shall receive substance use disorder treatment services under the provisions
75.32
of chapter 254B only if:
75
Article 2 Sec. 38.
REVISOR
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76.1
(1) they have exhausted the substance use disorder benefits offered under this chapter;
76.2
or
76.3
(2) an assessment indicates that they need a level of care not provided under the provisions
76.4
of this chapter.
76.5
Recipients of covered health services under the children's health plan, as provided in
76.6
Minnesota Statutes 1990, section 256.936, and as amended by Laws 1991, chapter 292,
76.7
article 4, section 17, and recipients of covered health services enrolled in the children's
76.8
health plan or the MinnesotaCare program after October 1, 1992, pursuant to Laws 1992,
76.9
chapter 549, article 4, sections 5 and 17, are eligible to receive substance use disorder
76.10
benefits under this subdivision.
76.11
Sec. 39. Minnesota Statutes 2022, section 256L.12, subdivision 8, is amended to read:
76.12
Subd. 8. Substance use disorder assessments. The managed care plan shall be
76.13
responsible for assessing the need and placement for provision of substance use disorder
76.14
services according to criteria set forth in Minnesota Rules, parts 9530.6600 to 9530.6655
76.15
section 245G.05.
76.16
Sec. 40. Minnesota Statutes 2022, section 260B.157, subdivision 1, is amended to read:
76.17
Subdivision 1. Investigation. Upon request of the court the local social services agency
76.18
or probation officer shall investigate the personal and family history and environment of
76.19
any minor coming within the jurisdiction of the court under section 260B.101 and shall
76.20
report its findings to the court. The court may order any minor coming within its jurisdiction
76.21
to be examined by a duly qualified physician, psychiatrist, or psychologist appointed by the
76.22
court.
76.23
The court shall order a chemical use assessment conducted when a child is (1) found to
76.24
be delinquent for violating a provision of chapter 152, or for committing a felony-level
76.25
violation of a provision of chapter 609 if the probation officer determines that alcohol or
76.26
drug use was a contributing factor in the commission of the offense, or (2) alleged to be
76.27
delinquent for violating a provision of chapter 152, if the child is being held in custody
76.28
under a detention order. The assessor's qualifications must comply with section 245G.11,
76.29
subdivisions 1 and 5, and the assessment criteria shall must comply with Minnesota Rules,
76.30
parts 9530.6600 to 9530.6655 section 245G.05. If funds under chapter 254B are to be used
76.31
to pay for the recommended treatment, the assessment and placement must comply with all
76.32
provisions of Minnesota Rules, parts 9530.6600 to 9530.6655 and 9530.7000 to 9530.7030
76
Article 2 Sec. 40.
REVISOR
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77.1
sections 245G.05 and 254B.04. The commissioner of human services shall reimburse the
77.2
court for the cost of the chemical use assessment, up to a maximum of $100.
77.3
The court shall order a children's mental health screening conducted when a child is
77.4
found to be delinquent. The screening shall be conducted with a screening instrument
77.5
approved by the commissioner of human services and shall be conducted by a mental health
77.6
practitioner as defined in section 245.4871, subdivision 26, or a probation officer who is
77.7
trained in the use of the screening instrument. If the screening indicates a need for assessment,
77.8
the local social services agency, in consultation with the child's family, shall have a diagnostic
77.9
assessment conducted, including a functional assessment, as defined in section 245.4871.
77.10
With the consent of the commissioner of corrections and agreement of the county to pay
77.11
the costs thereof, the court may, by order, place a minor coming within its jurisdiction in
77.12
an institution maintained by the commissioner for the detention, diagnosis, custody and
77.13
treatment of persons adjudicated to be delinquent, in order that the condition of the minor
77.14
be given due consideration in the disposition of the case. Any funds received under the
77.15
provisions of this subdivision shall not cancel until the end of the fiscal year immediately
77.16
following the fiscal year in which the funds were received. The funds are available for use
77.17
by the commissioner of corrections during that period and are hereby appropriated annually
77.18
to the commissioner of corrections as reimbursement of the costs of providing these services
77.19
to the juvenile courts.
77.20
Sec. 41. Minnesota Statutes 2022, section 260B.157, subdivision 3, is amended to read:
77.21
Subd. 3. Juvenile treatment screening team. (a) The local social services agency shall
77.22
establish a juvenile treatment screening team to conduct screenings and prepare case plans
77.23
under this subdivision. The team, which may be the team constituted under section 245.4885
77.24
or 256B.092 or Minnesota Rules, parts 9530.6600 to 9530.6655 chapter 254B, shall consist
77.25
of social workers, juvenile justice professionals, and persons with expertise in the treatment
77.26
of juveniles who are emotionally disabled, chemically dependent, or have a developmental
77.27
disability. The team shall involve parents or guardians in the screening process as appropriate.
77.28
The team may be the same team as defined in section 260C.157, subdivision 3.
77.29
(b) If the court, prior to, or as part of, a final disposition, proposes to place a child:
77.30
(1) for the primary purpose of treatment for an emotional disturbance, and residential
77.31
placement is consistent with section 260.012, a developmental disability, or chemical
77.32
dependency in a residential treatment facility out of state or in one which is within the state
77.33
and licensed by the commissioner of human services under chapter 245A; or
77
Article 2 Sec. 41.
REVISOR
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78.1
(2) in any out-of-home setting potentially exceeding 30 days in duration, including a
78.2
post-dispositional placement in a facility licensed by the commissioner of corrections or
78.3
human services, the court shall notify the county welfare agency. The county's juvenile
78.4
treatment screening team must either:
78.5
(i) screen and evaluate the child and file its recommendations with the court within 14
78.6
days of receipt of the notice; or
78.7
(ii) elect not to screen a given case, and notify the court of that decision within three
78.8
working days.
78.9
(c) If the screening team has elected to screen and evaluate the child, the child may not
78.10
be placed for the primary purpose of treatment for an emotional disturbance, a developmental
78.11
disability, or chemical dependency, in a residential treatment facility out of state nor in a
78.12
residential treatment facility within the state that is licensed under chapter 245A, unless one
78.13
of the following conditions applies:
78.14
(1) a treatment professional certifies that an emergency requires the placement of the
78.15
child in a facility within the state;
78.16
(2) the screening team has evaluated the child and recommended that a residential
78.17
placement is necessary to meet the child's treatment needs and the safety needs of the
78.18
community, that it is a cost-effective means of meeting the treatment needs, and that it will
78.19
be of therapeutic value to the child; or
78.20
(3) the court, having reviewed a screening team recommendation against placement,
78.21
determines to the contrary that a residential placement is necessary. The court shall state
78.22
the reasons for its determination in writing, on the record, and shall respond specifically to
78.23
the findings and recommendation of the screening team in explaining why the
78.24
recommendation was rejected. The attorney representing the child and the prosecuting
78.25
attorney shall be afforded an opportunity to be heard on the matter.
78.26
Sec. 42. Minnesota Statutes 2022, section 260C.157, subdivision 3, is amended to read:
78.27
Subd. 3. Juvenile treatment screening team. (a) The responsible social services agency
78.28
shall establish a juvenile treatment screening team to conduct screenings under this chapter
78.29
and chapter 260D, for a child to receive treatment for an emotional disturbance, a
78.30
developmental disability, or related condition in a residential treatment facility licensed by
78.31
the commissioner of human services under chapter 245A, or licensed or approved by a tribe.
78.32
A screening team is not required for a child to be in: (1) a residential facility specializing
78.33
in prenatal, postpartum, or parenting support; (2) a facility specializing in high-quality
78
Article 2 Sec. 42.
REVISOR
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79.1
residential care and supportive services to children and youth who have been or are at risk
79.2
of becoming victims of sex trafficking or commercial sexual exploitation; (3) supervised
79.3
settings for youth who are 18 years of age or older and living independently; or (4) a licensed
79.4
residential family-based treatment facility for substance abuse consistent with section
79.5
260C.190. Screenings are also not required when a child must be placed in a facility due to
79.6
an emotional crisis or other mental health emergency.
79.7
(b) The responsible social services agency shall conduct screenings within 15 days of a
79.8
request for a screening, unless the screening is for the purpose of residential treatment and
79.9
the child is enrolled in a prepaid health program under section 256B.69, in which case the
79.10
agency shall conduct the screening within ten working days of a request. The responsible
79.11
social services agency shall convene the juvenile treatment screening team, which may be
79.12
constituted under section 245.4885, 254B.05, or 256B.092 or Minnesota Rules, parts
79.13
9530.6600 to 9530.6655. The team shall consist of social workers; persons with expertise
79.14
in the treatment of juveniles who are emotionally disturbed, chemically dependent, or have
79.15
a developmental disability; and the child's parent, guardian, or permanent legal custodian.
79.16
The team may include the child's relatives as defined in section 260C.007, subdivisions 26b
79.17
and 27, the child's foster care provider, and professionals who are a resource to the child's
79.18
family such as teachers, medical or mental health providers, and clergy, as appropriate,
79.19
consistent with the family and permanency team as defined in section 260C.007, subdivision
79.20
16a. Prior to forming the team, the responsible social services agency must consult with the
79.21
child's parents, the child if the child is age 14 or older, and, if applicable, the child's tribe
79.22
to obtain recommendations regarding which individuals to include on the team and to ensure
79.23
that the team is family-centered and will act in the child's best interests. If the child, child's
79.24
parents, or legal guardians raise concerns about specific relatives or professionals, the team
79.25
should not include those individuals. This provision does not apply to paragraph (c).
79.26
(c) If the agency provides notice to tribes under section 260.761, and the child screened
79.27
is an Indian child, the responsible social services agency must make a rigorous and concerted
79.28
effort to include a designated representative of the Indian child's tribe on the juvenile
79.29
treatment screening team, unless the child's tribal authority declines to appoint a
79.30
representative. The Indian child's tribe may delegate its authority to represent the child to
79.31
any other federally recognized Indian tribe, as defined in section 260.755, subdivision 12.
79.32
The provisions of the Indian Child Welfare Act of 1978, United States Code, title 25, sections
79.33
1901 to 1963, and the Minnesota Indian Family Preservation Act, sections 260.751 to
79.34
260.835, apply to this section.
79
Article 2 Sec. 42.
REVISOR
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80.1
(d) If the court, prior to, or as part of, a final disposition or other court order, proposes
80.2
to place a child with an emotional disturbance or developmental disability or related condition
80.3
in residential treatment, the responsible social services agency must conduct a screening.
80.4
If the team recommends treating the child in a qualified residential treatment program, the
80.5
agency must follow the requirements of sections 260C.70 to 260C.714.
80.6
The court shall ascertain whether the child is an Indian child and shall notify the
80.7
responsible social services agency and, if the child is an Indian child, shall notify the Indian
80.8
child's tribe as paragraph (c) requires.
80.9
(e) When the responsible social services agency is responsible for placing and caring
80.10
for the child and the screening team recommends placing a child in a qualified residential
80.11
treatment program as defined in section 260C.007, subdivision 26d, the agency must: (1)
80.12
begin the assessment and processes required in section 260C.704 without delay; and (2)
80.13
conduct a relative search according to section 260C.221 to assemble the child's family and
80.14
permanency team under section 260C.706. Prior to notifying relatives regarding the family
80.15
and permanency team, the responsible social services agency must consult with the child's
80.16
parent or legal guardian, the child if the child is age 14 or older, and, if applicable, the child's
80.17
tribe to ensure that the agency is providing notice to individuals who will act in the child's
80.18
best interests. The child and the child's parents may identify a culturally competent qualified
80.19
individual to complete the child's assessment. The agency shall make efforts to refer the
80.20
assessment to the identified qualified individual. The assessment may not be delayed for
80.21
the purpose of having the assessment completed by a specific qualified individual.
80.22
(f) When a screening team determines that a child does not need treatment in a qualified
80.23
residential treatment program, the screening team must:
80.24
(1) document the services and supports that will prevent the child's foster care placement
80.25
and will support the child remaining at home;
80.26
(2) document the services and supports that the agency will arrange to place the child
80.27
in a family foster home; or
80.28
(3) document the services and supports that the agency has provided in any other setting.
80.29
(g) When the Indian child's tribe or tribal health care services provider or Indian Health
80.30
Services provider proposes to place a child for the primary purpose of treatment for an
80.31
emotional disturbance, a developmental disability, or co-occurring emotional disturbance
80.32
and chemical dependency, the Indian child's tribe or the tribe delegated by the child's tribe
80.33
shall submit necessary documentation to the county juvenile treatment screening team,
80.34
which must invite the Indian child's tribe to designate a representative to the screening team.
80
Article 2 Sec. 42.
REVISOR
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81.1
(h) The responsible social services agency must conduct and document the screening in
81.2
a format approved by the commissioner of human services.
81.3
Sec. 43. Minnesota Statutes 2022, section 260E.20, subdivision 1, is amended to read:
81.4
Subdivision 1. General duties. (a) The local welfare agency shall offer services to
81.5
prevent future maltreatment, safeguarding and enhancing the welfare of the maltreated child,
81.6
and supporting and preserving family life whenever possible.
81.7
(b) If the report alleges a violation of a criminal statute involving maltreatment or child
81.8
endangerment under section 609.378, the local law enforcement agency and local welfare
81.9
agency shall coordinate the planning and execution of their respective investigation and
81.10
assessment efforts to avoid a duplication of fact-finding efforts and multiple interviews.
81.11
Each agency shall prepare a separate report of the results of the agency's investigation or
81.12
assessment.
81.13
(c) In cases of alleged child maltreatment resulting in death, the local agency may rely
81.14
on the fact-finding efforts of a law enforcement investigation to make a determination of
81.15
whether or not maltreatment occurred.
81.16
(d) When necessary, the local welfare agency shall seek authority to remove the child
81.17
from the custody of a parent, guardian, or adult with whom the child is living.
81.18
(e) In performing any of these duties, the local welfare agency shall maintain an
81.19
appropriate record.
81.20
(f) In conducting a family assessment or investigation, the local welfare agency shall
81.21
gather information on the existence of substance abuse and domestic violence.
81.22
(g) If the family assessment or investigation indicates there is a potential for abuse of
81.23
alcohol or other drugs by the parent, guardian, or person responsible for the child's care,
81.24
the local welfare agency shall conduct must coordinate a chemical use comprehensive
81.25
assessment pursuant to Minnesota Rules, part 9530.6615 section 245G.05.
81.26
(h) The agency may use either a family assessment or investigation to determine whether
81.27
the child is safe when responding to a report resulting from birth match data under section
81.28
260E.03, subdivision 23, paragraph (c). If the child subject of birth match data is determined
81.29
to be safe, the agency shall consult with the county attorney to determine the appropriateness
81.30
of filing a petition alleging the child is in need of protection or services under section
81.31
260C.007, subdivision 6, clause (16), in order to deliver needed services. If the child is
81.32
determined not to be safe, the agency and the county attorney shall take appropriate action
81.33
as required under section 260C.503, subdivision 2.
81
Article 2 Sec. 43.
REVISOR
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82.1
Sec. 44. Minnesota Statutes 2022, section 299A.299, subdivision 1, is amended to read:
82.2
Subdivision 1. Establishment of team. A county, a multicounty organization of counties
82.3
formed by an agreement under section 471.59, or a city with a population of no more than
82.4
50,000, may establish a multidisciplinary chemical abuse prevention team. The chemical
82.5
abuse prevention team may include, but not be limited to, representatives of health, mental
82.6
health, public health, law enforcement, educational, social service, court service, community
82.7
education, religious, and other appropriate agencies, and parent and youth groups. For
82.8
purposes of this section, "chemical abuse" has the meaning given in Minnesota Rules, part
82.9
9530.6605, subpart 6 section 254A.02, subdivision 6a. When possible the team must
82.10
coordinate its activities with existing local groups, organizations, and teams dealing with
82.11
the same issues the team is addressing.
82.12
Sec. 45. REVISOR INSTRUCTION.
82.13
The revisor of statutes shall renumber the subdivisions in Minnesota Statutes, section
82.14
254B.01, in alphabetical order and correct any cross-reference changes that result.
82.15
Sec. 46. REPEALER.
82.16
Minnesota Statutes 2022, sections 169A.70, subdivision 6; 245G.22, subdivision 19;
82.17
254A.02, subdivision 8a; 254A.16, subdivision 6; 254A.19, subdivisions 1a, 2, and 5;
82.18
254B.04, subdivisions 2b and 2c; and 254B.041, subdivision 2, are repealed.
82.19
ARTICLE 3
82.20
HOUSING AND ECONOMIC ASSISTANCE
82.21
Section 1. Minnesota Statutes 2022, section 256D.02, is amended by adding a subdivision
82.22
to read:
82.23
Subd. 20. Date of application. "Date of application" has the meaning given in section
82.24
256P.01, subdivision 2b.
82.25
Sec. 2. Minnesota Statutes 2022, section 256D.07, is amended to read:
82.26
256D.07 TIME OF PAYMENT OF ASSISTANCE.
82.27
An applicant for general assistance shall be deemed eligible if the application and the
82.28
verification of the statement on that application demonstrate that the applicant is within the
82.29
eligibility criteria established by sections 256D.01 to 256D.21 and any applicable rules of
82.30
the commissioner. Any person requesting general assistance shall be permitted by the county
82
Article 3 Sec. 2.
REVISOR
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83.1
agency to make an application for assistance as soon as administratively possible and in no
83.2
event later than the fourth day following the date on which assistance is first requested, and
83.3
no county agency shall require that a person requesting assistance appear at the offices of
83.4
the county agency more than once prior to the date on which the person is permitted to make
83.5
the application. The application shall be in writing in the manner and upon the form
83.6
prescribed by the commissioner and attested to by the oath of the applicant or in lieu thereof
83.7
shall contain the following declaration which shall be signed by the applicant: "I declare
83.8
that this application has been examined by me and to the best of my knowledge and belief
83.9
is a true and correct statement of every material point." Applications must be submitted
83.10
according to section 256P.04, subdivision 1a. On the date that general assistance is first
83.11
requested, the county agency shall inquire and determine whether the person requesting
83.12
assistance is in immediate need of food, shelter, clothing, assistance for necessary
83.13
transportation, or other emergency assistance pursuant to section 256D.06, subdivision 2.
83.14
A person in need of emergency assistance shall be granted emergency assistance immediately,
83.15
and necessary emergency assistance shall continue for up to 30 days following the date of
83.16
application. A determination of an applicant's eligibility for general assistance shall be made
83.17
by the county agency as soon as the required verifications are received by the county agency
83.18
and in no event later than 30 days following the date that the application is made. Any
83.19
verifications required of the applicant shall be reasonable, and the commissioner shall by
83.20
rule establish reasonable verifications. General assistance shall be granted to an eligible
83.21
applicant without the necessity of first securing action by the board of the county agency.
83.22
The first month's grant must be computed to cover the time period starting with the date a
83.23
signed application form is received by the county agency of application, as defined by
83.24
section 256P.01, subdivision 2b, or from the date that the applicant meets all eligibility
83.25
factors, whichever occurs later.
83.26
If upon verification and due investigation it appears that the applicant provided false
83.27
information and the false information materially affected the applicant's eligibility for general
83.28
assistance or the amount of the applicant's general assistance grant, the county agency may
83.29
refer the matter to the county attorney. The county attorney may commence a criminal
83.30
prosecution or a civil action for the recovery of any general assistance wrongfully received,
83.31
or both.
83.32
Sec. 3. Minnesota Statutes 2022, section 256I.03, subdivision 15, is amended to read:
83.33
Subd. 15. Supportive housing. "Supportive housing" means housing that is not
83.34
time-limited and, provides or coordinates services necessary for a resident to maintain
83.35
housing stability, and is not assisted living licensed under chapter 144G.
83
Article 3 Sec. 3.
REVISOR
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84.1
Sec. 4. Minnesota Statutes 2022, section 256I.03, is amended by adding a subdivision to
84.2
read:
84.3
Subd. 16. Date of application. "Date of application" has the meaning given in section
84.4
256P.01, subdivision 2b.
84.5
Sec. 5. Minnesota Statutes 2022, section 256I.04, subdivision 2, is amended to read:
84.6
Subd. 2. Date of eligibility. An individual who has met the eligibility requirements of
84.7
subdivision 1, shall have a housing support payment made on the individual's behalf from
84.8
the first day of the month in which a signed of the date of application form is received by
84.9
a county agency, as defined by section 256P.01, subdivision 2b, or the first day of the month
84.10
in which all eligibility factors have been met, whichever is later.
84.11
Sec. 6. Minnesota Statutes 2022, section 256I.06, subdivision 3, is amended to read:
84.12
Subd. 3. Filing of application. The county agency must immediately provide an
84.13
application form to any person requesting housing support. Application for housing support
84.14
must be in writing on a form prescribed by the commissioner. Applications must be submitted
84.15
according to section 256P.04, subdivision 1a. The county agency must determine an
84.16
applicant's eligibility for housing support as soon as the required verifications are received
84.17
by the county agency and within 30 days after a signed application is received by the county
84.18
agency for the aged or blind or within 60 days for people with a disability.
84.19
Sec. 7. Minnesota Statutes 2022, section 256I.09, is amended to read:
84.20
256I.09 COMMUNITY LIVING INFRASTRUCTURE.
84.21
The commissioner shall award grants to agencies and multi-Tribal collaboratives through
84.22
an annual competitive process. Grants awarded under this section may be used for: (1)
84.23
outreach to locate and engage people who are homeless or residing in segregated settings
84.24
to screen for basic needs and assist with referral to community living resources; (2) building
84.25
capacity to provide technical assistance and consultation on housing and related support
84.26
service resources for persons with both disabilities and low income; or (3) streamlining the
84.27
administration and monitoring activities related to housing support funds. Agencies may
84.28
collaborate and submit a joint application for funding under this section.
84.29
Sec. 8. Minnesota Statutes 2022, section 256J.08, subdivision 21, is amended to read:
84.30
Subd. 21. Date of application. "Date of application" means the date on which the county
84.31
agency receives an applicant's application as a signed written application, an application
84
Article 3 Sec. 8.
REVISOR
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85.1
submitted by telephone, or an application submitted through Internet telepresence has the
85.2
meaning given in section 256P.01, subdivision 2b.
85.3
Sec. 9. Minnesota Statutes 2022, section 256J.09, subdivision 3, is amended to read:
85.4
Subd. 3. Submitting application form. (a) A county agency must offer, in person or
85.5
by mail, the application forms prescribed by the commissioner as soon as a person makes
85.6
a written or oral inquiry. At that time, the county agency must:
85.7
(1) inform the person that assistance begins on the date that the of application is received
85.8
by the county agency either as a signed written application; an application submitted by
85.9
telephone; or an application submitted through Internet telepresence;, as defined in section
85.10
256P.01, subdivision 2b, or on the date that all eligibility criteria are met, whichever is later;
85.11
(2) inform a person that the person may submit the application by telephone or through
85.12
Internet telepresence;
85.13
(3) inform a person that when the person submits the application by telephone or through
85.14
Internet telepresence, the county agency must receive a signed written application within
85.15
30 days of the date that the person submitted the application by telephone or through Internet
85.16
telepresence of the application submission requirements in section 256P.04, subdivision
85.17
1a;
85.18
(4) inform the person that any delay in submitting the application will reduce the amount
85.19
of assistance paid for the month of application;
85.20
(5) inform a person that the person may submit the application before an interview;
85.21
(6) explain the information that will be verified during the application process by the
85.22
county agency as provided in section 256J.32;
85.23
(7) inform a person about the county agency's average application processing time and
85.24
explain how the application will be processed under subdivision 5;
85.25
(8) explain how to contact the county agency if a person's application information changes
85.26
and how to withdraw the application;
85.27
(9) inform a person that the next step in the application process is an interview and what
85.28
a person must do if the application is approved including, but not limited to, attending
85.29
orientation under section 256J.45 and complying with employment and training services
85.30
requirements in sections 256J.515 to 256J.57;
85
Article 3 Sec. 9.
REVISOR
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86.1
(10) inform the person that an interview must be conducted. The interview may be
86.2
conducted face-to-face in the county office or at a location mutually agreed upon, through
86.3
Internet telepresence, or by telephone;
86.4
(11) explain the child care and transportation services that are available under paragraph
86.5
(c) to enable caregivers to attend the interview, screening, and orientation; and
86.6
(12) identify any language barriers and arrange for translation assistance during
86.7
appointments, including, but not limited to, screening under subdivision 3a, orientation
86.8
under section 256J.45, and assessment under section 256J.521.
86.9
(b) Upon receipt of a signed application, the county agency must stamp the date of receipt
86.10
on the face of the application. The county agency must process the application within the
86.11
time period required under subdivision 5. An applicant may withdraw the application at
86.12
any time by giving written or oral notice to the county agency. The county agency must
86.13
issue a written notice confirming the withdrawal. The notice must inform the applicant of
86.14
the county agency's understanding that the applicant has withdrawn the application and no
86.15
longer wants to pursue it. When, within ten days of the date of the agency's notice, an
86.16
applicant informs a county agency, in writing, that the applicant does not wish to withdraw
86.17
the application, the county agency must reinstate the application and finish processing the
86.18
application.
86.19
(c) Upon a participant's request, the county agency must arrange for transportation and
86.20
child care or reimburse the participant for transportation and child care expenses necessary
86.21
to enable participants to attend the screening under subdivision 3a and orientation under
86.22
section 256J.45.
86.23
Sec. 10. Minnesota Statutes 2022, section 256J.95, subdivision 5, is amended to read:
86.24
Subd. 5. Submitting application form. The eligibility date for the diversionary work
86.25
program begins on the date that the combined of application form (CAF) is received by the
86.26
county agency either as a signed written application; an application submitted by telephone;
86.27
or an application submitted through Internet telepresence;, as defined in section 256P.01,
86.28
subdivision 2b, or on the date that diversionary work program eligibility criteria are met,
86.29
whichever is later. The county agency must inform an applicant that when the applicant
86.30
submits the application by telephone or through Internet telepresence, the county agency
86.31
must receive a signed written application within 30 days of the date that the applicant
86.32
submitted the application by telephone or through Internet telepresence of the application
86.33
submission requirements in section 256P.04, subdivision 1a. The county agency must inform
86.34
the applicant that any delay in submitting the application will reduce the benefits paid for
86
Article 3 Sec. 10.
REVISOR
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87.1
the month of application. The county agency must inform a person that an application may
87.2
be submitted before the person has an interview appointment. Upon receipt of a signed
87.3
application, the county agency must stamp the date of receipt on the face of the application.
87.4
The applicant may withdraw the application at any time prior to approval by giving written
87.5
or oral notice to the county agency. The county agency must follow the notice requirements
87.6
in section 256J.09, subdivision 3, when issuing a notice confirming the withdrawal.
87.7
Sec. 11. Minnesota Statutes 2022, section 256P.01, is amended by adding a subdivision
87.8
to read:
87.9
Subd. 2b. Date of application. "Date of application" means the date on which the agency
87.10
receives an applicant's application as a signed written application, an application submitted
87.11
by telephone, or an application submitted through Internet telepresence. The child care
87.12
assistance program under chapter 119B is exempt from this definition.
87.13
Sec. 12. Minnesota Statutes 2022, section 256P.04, is amended by adding a subdivision
87.14
to read:
87.15
Subd. 1a. Application submission. An agency must offer, in person or by mail, the
87.16
application forms prescribed by the commissioner as soon as a person makes a written or
87.17
oral inquiry about assistance. Applications must be received by the agency as a signed
87.18
written application, an application submitted by telephone, or an application submitted
87.19
through Internet telepresence. When a person submits an application by telephone or through
87.20
Internet telepresence, the agency must receive a signed written application within 30 days
87.21
of the date that the person submitted the application by telephone or through Internet
87.22
telepresence.
87.23
Sec. 13. REVISOR INSTRUCTION.
87.24
The revisor of statutes shall renumber the subdivisions in Minnesota Statutes, sections
87.25
256D.02 and 256I.03, in alphabetical order, excluding the first subdivision in each section,
87.26
and correct any cross-reference changes that result.
87.27
ARTICLE 4
87.28
CHILDREN AND FAMILY SERVICES
87.29
Section 1. Minnesota Statutes 2022, section 256N.24, subdivision 12, is amended to read:
87.30
Subd. 12. Approval of initial assessments, special assessments, and reassessments. (a)
87.31
Any agency completing initial assessments, special assessments, or reassessments must
87
Article 4 Section 1.
REVISOR
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88.1
designate one or more supervisors or other staff to examine and approve assessments
88.2
completed by others in the agency under subdivision 2. The person approving an assessment
88.3
must not be the case manager or staff member completing that assessment.
88.4
(b) In cases where a special assessment or reassessment for Northstar kinship assistance
88.5
and adoption assistance is required under subdivision 8 or 11, the commissioner shall review
88.6
and approve the assessment as part of the eligibility determination process outlined in section
88.7
256N.22, subdivision 7, for Northstar kinship assistance, or section 256N.23, subdivision
88.8
7, for adoption assistance. The assessment determines the maximum of the negotiated
88.9
agreement amount under section 256N.25.
88.10
(c) The effective date of the new rate is effective the calendar month that the assessment
88.11
is approved, or the effective date of the agreement, whichever is later. determined as follows:
88.12
(1) for initial assessments of children in foster care, the new rate is effective based on
88.13
the emergency foster care rate for initial placement pursuant to section 256N.26, subdivision
88.14
6;
88.15
(2) for special assessments, the new rate is effective the date of the finalized adoption
88.16
decree or the date of the court order that transfers permanent legal and physical custody to
88.17
a relative;
88.18
(3) for postpermanency reassessments, the new rate is effective the date that the
88.19
commissioner signs the amendment to the Northstar Adoption Assistance or Northstar
88.20
Kinship Assistance benefit agreement.
88.21
Sec. 2. Minnesota Statutes 2022, section 260C.221, subdivision 1, is amended to read:
88.22
Subdivision 1. Relative search requirements. (a) The responsible social services agency
88.23
shall exercise due diligence to identify and notify adult relatives, as defined in section
88.24
260C.007, subdivision 27, and current caregivers of a child's sibling, prior to placement or
88.25
within 30 days after the child's removal from the parent, regardless of whether a child is
88.26
placed in a relative's home, as required under subdivision 2. The relative search required
88.27
by this section shall be comprehensive in scope.
88.28
(b) The relative search required by this section shall include both maternal and paternal
88.29
adult relatives of the child; all adult grandparents; all legal parents, guardians, or custodians
88.30
of the child's siblings; and any other adult relatives suggested by the child's parents, subject
88.31
to the exceptions due to family violence in subdivision 5, paragraph (b). The search shall
88.32
also include getting information from the child in an age-appropriate manner about who the
88.33
child considers to be family members and important friends with whom the child has resided
88
Article 4 Sec. 2.
REVISOR
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89.1
or had significant contact. The relative search required under this section must fulfill the
89.2
agency's duties under the Indian Child Welfare Act regarding active efforts to prevent the
89.3
breakup of the Indian family under United States Code, title 25, section 1912(d), and to
89.4
meet placement preferences under United States Code, title 25, section 1915.
89.5
(c) The responsible social services agency has a continuing responsibility to search for
89.6
and identify relatives of a child and send the notice to relatives that is required under
89.7
subdivision 2, unless the court has relieved the agency of this duty under subdivision 5,
89.8
paragraph (e).
89.9
Sec. 3. Minnesota Statutes 2022, section 260C.317, subdivision 3, is amended to read:
89.10
Subd. 3. Order; retention of jurisdiction. (a) A certified copy of the findings and the
89.11
order terminating parental rights, and a summary of the court's information concerning the
89.12
child shall be furnished by the court to the commissioner or the agency to which guardianship
89.13
is transferred.
89.14
(b) The orders shall be on a document separate from the findings. The court shall furnish
89.15
the guardian a copy of the order terminating parental rights.
89.16
(c) When the court orders guardianship pursuant to this section, the guardian ad litem
89.17
and counsel for the child shall continue on the case until an adoption decree is entered. An
89.18
in-court appearance hearing must be held every 90 days following termination of parental
89.19
rights for the court to review progress toward an adoptive placement and the specific
89.20
recruitment efforts the agency has taken to find an adoptive family for the child and to
89.21
finalize the adoption or other permanency plan. Review of the progress toward adoption of
89.22
a child under guardianship of the commissioner of human services shall be conducted
89.23
according to section 260C.607.
89.24
(d) Upon terminating parental rights or upon a parent's consent to adoption under
89.25
Minnesota Statutes 2010, section 260C.201, subdivision 11, or section 260C.515, subdivision
89.26
5 3, resulting in an order for guardianship to the commissioner of human services, the court
89.27
shall retain jurisdiction:
89.28
(1) until the child is adopted;
89.29
(2) through the child's minority; or
89.30
(3) as long as the child continues in or reenters foster care, until the individual becomes
89.31
21 years of age according to sections 260C.193, subdivision 6, and 260C.451.
89
Article 4 Sec. 3.
REVISOR
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90.1
Sec. 4. Minnesota Statutes 2022, section 518A.43, subdivision 1b, is amended to read:
90.2
Subd. 1b. Increase in income of custodial parent. In a modification of support under
90.3
section 518A.39, the court may deviate from the presumptive child support obligation under
90.4
section 518A.34 when the only change in circumstances is an increase to the custodial
90.5
parent's income and:,
90.6
(1) the basic support increases;, and:
90.7
(2) (1) the parties' combined gross income is $6,000 or less; or
90.8
(3) (2) the obligor's income is $2,000 or less.
90.9
EFFECTIVE DATE. This section is effective the day following final enactment.
90.10
Sec. 5. REPEALER.
90.11
Subdivision 1. Minnesota Statutes 2022, section 518A.59, is repealed.
90.12
Subd. 2. Minnesota Statutes 2022, section 256D.63, subdivision 1, is repealed.
90.13
EFFECTIVE DATE. The repeal of the section in subdivision 1 is effective the day
90.14
following final enactment.
90.15
ARTICLE 5
90.16
HEALTH CARE
90.17
Section 1. Minnesota Statutes 2022, section 256B.056, is amended by adding a subdivision
90.18
to read:
90.19
Subd. 5d. Medical assistance room and board rate. "Medical assistance room and
90.20
board rate" means an amount equal to 81 percent of the federal poverty guideline for a single
90.21
individual living alone in the community less the medical assistance personal needs allowance
90.22
under section 256B.35. The amount of the room and board rate, as defined in section 256I.03,
90.23
subdivision 2, that exceeds the medical assistance room and board rate is considered a
90.24
remedial care cost. A remedial care cost may be used to meet a spenddown obligation under
90.25
this section. The medical assistance room and board rate is to be adjusted on January 1 of
90.26
each year.
90.27
Sec. 2. Minnesota Statutes 2022, section 256B.0622, subdivision 8, is amended to read:
90.28
Subd. 8. Medical assistance payment for assertive community treatment and
90.29
intensive residential treatment services. (a) Payment for intensive residential treatment
90.30
services and assertive community treatment in this section shall be based on one daily rate
90
Article 5 Sec. 2.
REVISOR
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91.1
per provider inclusive of the following services received by an eligible client in a given
91.2
calendar day: all rehabilitative services under this section, staff travel time to provide
91.3
rehabilitative services under this section, and nonresidential crisis stabilization services
91.4
under section 256B.0624.
91.5
(b) Except as indicated in paragraph (c), payment will not be made to more than one
91.6
entity for each client for services provided under this section on a given day. If services
91.7
under this section are provided by a team that includes staff from more than one entity, the
91.8
team must determine how to distribute the payment among the members.
91.9
(c) The commissioner shall determine one rate for each provider that will bill medical
91.10
assistance for residential services under this section and one rate for each assertive community
91.11
treatment provider. If a single entity provides both services, one rate is established for the
91.12
entity's residential services and another rate for the entity's nonresidential services under
91.13
this section. A provider is not eligible for payment under this section without authorization
91.14
from the commissioner. The commissioner shall develop rates using the following criteria:
91.15
(1) the provider's cost for services shall include direct services costs, other program
91.16
costs, and other costs determined as follows:
91.17
(i) the direct services costs must be determined using actual costs of salaries, benefits,
91.18
payroll taxes, and training of direct service staff and service-related transportation;
91.19
(ii) other program costs not included in item (i) must be determined as a specified
91.20
percentage of the direct services costs as determined by item (i). The percentage used shall
91.21
be determined by the commissioner based upon the average of percentages that represent
91.22
the relationship of other program costs to direct services costs among the entities that provide
91.23
similar services;
91.24
(iii) physical plant costs calculated based on the percentage of space within the program
91.25
that is entirely devoted to treatment and programming. This does not include administrative
91.26
or residential space;
91.27
(iv) assertive community treatment physical plant costs must be reimbursed as part of
91.28
the costs described in item (ii); and
91.29
(v) subject to federal approval, up to an additional five percent of the total rate may be
91.30
added to the program rate as a quality incentive based upon the entity meeting performance
91.31
criteria specified by the commissioner;
91.32
(2) actual cost is defined as costs which are allowable, allocable, and reasonable, and
91.33
consistent with federal reimbursement requirements under Code of Federal Regulations,
91
Article 5 Sec. 2.
REVISOR
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92.1
title 48, chapter 1, part 31, relating to for-profit entities, and Office of Management and
92.2
Budget Circular Number A-122, relating to nonprofit entities;
92.3
(3) the number of service units;
92.4
(4) the degree to which clients will receive services other than services under this section;
92.5
and
92.6
(5) the costs of other services that will be separately reimbursed.
92.7
(d) The rate for intensive residential treatment services and assertive community treatment
92.8
must exclude the medical assistance room and board rate, as defined in section 256I.03,
92.9
subdivision 6 256B.056, subdivision 5d, and services not covered under this section, such
92.10
as partial hospitalization, home care, and inpatient services.
92.11
(e) Physician services that are not separately billed may be included in the rate to the
92.12
extent that a psychiatrist, or other health care professional providing physician services
92.13
within their scope of practice, is a member of the intensive residential treatment services
92.14
treatment team. Physician services, whether billed separately or included in the rate, may
92.15
be delivered by telehealth. For purposes of this paragraph, "telehealth" has the meaning
92.16
given to "mental health telehealth" in section 256B.0625, subdivision 46, when telehealth
92.17
is used to provide intensive residential treatment services.
92.18
(f) When services under this section are provided by an assertive community treatment
92.19
provider, case management functions must be an integral part of the team.
92.20
(g) The rate for a provider must not exceed the rate charged by that provider for the
92.21
same service to other payors.
92.22
(h) The rates for existing programs must be established prospectively based upon the
92.23
expenditures and utilization over a prior 12-month period using the criteria established in
92.24
paragraph (c). The rates for new programs must be established based upon estimated
92.25
expenditures and estimated utilization using the criteria established in paragraph (c).
92.26
(i) Entities who discontinue providing services must be subject to a settle-up process
92.27
whereby actual costs and reimbursement for the previous 12 months are compared. In the
92.28
event that the entity was paid more than the entity's actual costs plus any applicable
92.29
performance-related funding due the provider, the excess payment must be reimbursed to
92.30
the department. If a provider's revenue is less than actual allowed costs due to lower
92.31
utilization than projected, the commissioner may reimburse the provider to recover its actual
92.32
allowable costs. The resulting adjustments by the commissioner must be proportional to the
92
Article 5 Sec. 2.
REVISOR
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93.1
percent of total units of service reimbursed by the commissioner and must reflect a difference
93.2
of greater than five percent.
93.3
(j) A provider may request of the commissioner a review of any rate-setting decision
93.4
made under this subdivision.
93.5
Sec. 3. Minnesota Statutes 2022, section 256B.0625, subdivision 3a, is amended to read:
93.6
Subd. 3a. Sex reassignment surgery Gender confirmation services. Sex reassignment
93.7
surgery is not covered Medical Assistance covers gender confirmation services.
93.8
Sec. 4. Minnesota Statutes 2022, section 256B.0625, subdivision 16, is amended to read:
93.9
Subd. 16. Abortion services. Medical assistance covers abortion services, but only if
93.10
one of the following conditions is met:
93.11
(a) The abortion is a medical necessity. "Medical necessity" means (1) the signed written
93.12
statement of two physicians indicating the abortion is medically necessary to prevent the
93.13
death of the mother, and (2) the patient has given her consent to the abortion in writing
93.14
unless the patient is physically or legally incapable of providing informed consent to the
93.15
procedure, in which case consent will be given as otherwise provided by law;
93.16
(b) The pregnancy is the result of criminal sexual conduct as defined in section 609.342,
93.17
subdivision 1, clauses (a), (b), (c)(i) and (ii), and (e), and subdivision 1a, clauses (a), (b),
93.18
(c)(i) and (ii), and (d), and the incident is reported within 48 hours after the incident occurs
93.19
to a valid law enforcement agency for investigation, unless the victim is physically unable
93.20
to report the criminal sexual conduct, in which case the report shall be made within 48 hours
93.21
after the victim becomes physically able to report the criminal sexual conduct; or
93.22
(c) The pregnancy is the result of incest, but only if the incident and relative are reported
93.23
to a valid law enforcement agency for investigation prior to the abortion.
93.24
(1) the person suffers from a physical disorder, physical injury, or physical illness,
93.25
including a life-endangering physical condition caused by or arising from the pregnancy
93.26
itself that would, as certified by a physician, place the person in danger of death unless the
93.27
abortion is performed;
93.28
(2) the pregnancy resulted from rape;
93.29
(3) the pregnancy resulted from incest; or
93.30
(4) the abortion is being done for other health or therapeutic reasons.
93.31
EFFECTIVE DATE. This section is effective the day following final enactment.
93
Article 5 Sec. 4.
REVISOR
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94.1
Sec. 5. Minnesota Statutes 2022, section 256B.0946, subdivision 6, is amended to read:
94.2
Subd. 6. Excluded services. (a) Services in clauses (1) to (7) are not covered under this
94.3
section and are not eligible for medical assistance payment as components of children's
94.4
intensive behavioral health services, but may be billed separately:
94.5
(1) inpatient psychiatric hospital treatment;
94.6
(2) mental health targeted case management;
94.7
(3) partial hospitalization;
94.8
(4) medication management;
94.9
(5) children's mental health day treatment services;
94.10
(6) crisis response services under section 256B.0624;
94.11
(7) transportation; and
94.12
(8) mental health certified family peer specialist services under section 256B.0616.
94.13
(b) Children receiving intensive behavioral health services are not eligible for medical
94.14
assistance reimbursement for the following services while receiving children's intensive
94.15
behavioral health services:
94.16
(1) psychotherapy and skills training components of children's therapeutic services and
94.17
supports under section 256B.0943;
94.18
(2) mental health behavioral aide services as defined in section 256B.0943, subdivision
94.19
1, paragraph (l);
94.20
(3) home and community-based waiver services;
94.21
(4) mental health residential treatment; and
94.22
(5) medical assistance room and board costs rate, as defined in section 256I.03,
94.23
subdivision 6 256B.056, subdivision 5d.
94.24
Sec. 6. Minnesota Statutes 2022, section 256B.0947, subdivision 7a, is amended to read:
94.25
Subd. 7a. Noncovered services. (a) The rate for intensive rehabilitative mental health
94.26
services does not include medical assistance payment for services in clauses (1) to (7).
94.27
Services not covered under this paragraph may be billed separately:
94.28
(1) inpatient psychiatric hospital treatment;
94.29
(2) partial hospitalization;
94
Article 5 Sec. 6.
REVISOR
EB/HL
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95.1
(3) children's mental health day treatment services;
95.2
(4) physician services outside of care provided by a psychiatrist serving as a member of
95.3
the treatment team;
95.4
(5) medical assistance room and board costs rate, as defined in section 256I.03,
95.5
subdivision 6 256B.056, subdivision 5d;
95.6
(6) home and community-based waiver services; and
95.7
(7) other mental health services identified in the child's individualized education program.
95.8
(b) The following services are not covered under this section and are not eligible for
95.9
medical assistance payment while youth are receiving intensive rehabilitative mental health
95.10
services:
95.11
(1) mental health residential treatment; and
95.12
(2) mental health behavioral aide services, as defined in section 256B.0943, subdivision
95.13
1, paragraph (l).
95.14
Sec. 7. Minnesota Statutes 2022, section 256L.03, subdivision 1, is amended to read:
95.15
Subdivision 1. Covered health services. (a) "Covered health services" means the health
95.16
services reimbursed under chapter 256B, with the exception of special education services,
95.17
home care nursing services, adult dental care services other than services covered under
95.18
section 256B.0625, subdivision 9, orthodontic services, nonemergency medical transportation
95.19
services, personal care assistance and case management services, community first services
95.20
and supports under section 256B.85, behavioral health home services under section
95.21
256B.0757, housing stabilization services under section 256B.051, and nursing home or
95.22
intermediate care facilities services.
95.23
(b) No public funds shall be used for coverage of abortion under MinnesotaCare except
95.24
where the life of the female would be endangered or substantial and irreversible impairment
95.25
of a major bodily function would result if the fetus were carried to term; or where the
95.26
pregnancy is the result of rape or incest.
95.27
(c) (b) Covered health services shall be expanded as provided in this section.
95.28
(d) (c) For the purposes of covered health services under this section, "child" means an
95.29
individual younger than 19 years of age.
95.30
EFFECTIVE DATE. This section is effective the day following final enactment.
95
Article 5 Sec. 7.
REVISOR
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96.1
Sec. 8. REPEALER.
96.2
Subdivision 1. Minnesota Statutes 2022, section 256I.03, subdivision 6, is repealed.
96.3
Subd. 2. Minnesota Rules, part 9505.0235, is repealed.
96.4
EFFECTIVE DATE. The repeal of the subdivision in subdivision 2 is effective the
96.5
day following final enactment.
96.6
ARTICLE 6
96.7
HUMAN SERVICES LICENSING AND OFFICE OF INSPECTOR GENERAL
96.8
Section 1. Minnesota Statutes 2022, section 13.46, subdivision 4, is amended to read:
96.9
Subd. 4. Licensing data. (a) As used in this subdivision:
96.10
(1) "licensing data" are all data collected, maintained, used, or disseminated by the
96.11
welfare system pertaining to persons licensed or registered or who apply for licensure or
96.12
registration or who formerly were licensed or registered under the authority of the
96.13
commissioner of human services. "Licensing data" includes data pertaining to persons or
96.14
government entities certified under chapter 245H or section 245I.20. "License holder"
96.15
includes "certification holder" under section 245H.01, subdivision 4, and a person or
96.16
government entity issued a certification under section 245I.20;
96.17
(2) "client" means a person who is receiving services from a licensee or from an applicant
96.18
for licensure; and
96.19
(3) "personal and personal financial data" are Social Security numbers, identity of and
96.20
letters of reference, insurance information, reports from the Bureau of Criminal
96.21
Apprehension, health examination reports, and social/home studies.
96.22
(b)(1)(i) Except as provided in paragraph (c), the following data on applicants, license
96.23
holders, and former licensees are public: name, address, telephone number of licensees, the
96.24
public email address provided by nonfamily foster care license holder, date of receipt of a
96.25
completed application, dates of licensure, licensed capacity, type of client preferred, variances
96.26
granted, record of training and education in child care and child development, type of
96.27
dwelling, name and relationship of other family members, previous license history, class
96.28
of license, the existence and status of complaints, and the number of serious injuries to or
96.29
deaths of individuals in the licensed program as reported to the commissioner of human
96.30
services, the local social services agency, or any other county welfare agency. For purposes
96.31
of this clause, a serious injury is one that is treated by a physician.
96
Article 6 Section 1.
REVISOR
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97.1
(ii) Except as provided in item (v), when a correction order, an order to forfeit a fine,
97.2
an order of license suspension, an order of temporary immediate suspension, an order of
97.3
license revocation, an order of license denial, or an order of conditional license has been
97.4
issued, or a complaint is resolved, the following data on current and former licensees and
97.5
applicants are public: the general nature of the complaint or allegations leading to the
97.6
temporary immediate suspension; the substance and investigative findings of the licensing
97.7
or maltreatment complaint, licensing violation, or substantiated maltreatment; the existence
97.8
of settlement negotiations; the record of informal resolution of a licensing violation; orders
97.9
of hearing; findings of fact; conclusions of law; specifications of the final correction order,
97.10
fine, suspension, temporary immediate suspension, revocation, denial, or conditional license
97.11
contained in the record of licensing action; whether a fine has been paid; and the status of
97.12
any appeal of these actions.
97.13
(iii) When a license denial under section 245A.05 or a sanction under section 245A.07
97.14
is based on a determination that a license holder, applicant, or controlling individual is
97.15
responsible for maltreatment under section 626.557 or chapter 260E, the identity of the
97.16
applicant, license holder, or controlling individual as the individual responsible for
97.17
maltreatment is public data at the time of the issuance of the license denial or sanction.
97.18
(iv) When a license denial under section 245A.05 or a sanction under section 245A.07
97.19
is based on a determination that a license holder, applicant, or controlling individual is
97.20
disqualified under chapter 245C, the identity of the license holder, applicant, or controlling
97.21
individual as the disqualified individual and the reason for the disqualification are public
97.22
data at the time of the issuance of the licensing sanction or denial. If the applicant, license
97.23
holder, or controlling individual requests reconsideration of the disqualification and the
97.24
disqualification is affirmed, the reason for the disqualification and the reason to not set aside
97.25
the disqualification are public data.
97.26
(v) A correction order or fine issued to a child care provider for a licensing violation is
97.27
private data on individuals under section 13.02, subdivision 12, or nonpublic data under
97.28
section 13.02, subdivision 9, if the correction order or fine is seven years old or older.
97.29
(2) For applicants who withdraw their application prior to licensure or denial of a license,
97.30
the following data are public: the name of the applicant, the city and county in which the
97.31
applicant was seeking licensure, the dates of the commissioner's receipt of the initial
97.32
application and completed application, the type of license sought, and the date of withdrawal
97.33
of the application.
97
Article 6 Section 1.
REVISOR
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98.1
(3) For applicants who are denied a license, the following data are public: the name and
98.2
address of the applicant, the city and county in which the applicant was seeking licensure,
98.3
the dates of the commissioner's receipt of the initial application and completed application,
98.4
the type of license sought, the date of denial of the application, the nature of the basis for
98.5
the denial, the existence of settlement negotiations, the record of informal resolution of a
98.6
denial, orders of hearings, findings of fact, conclusions of law, specifications of the final
98.7
order of denial, and the status of any appeal of the denial.
98.8
(4) When maltreatment is substantiated under section 626.557 or chapter 260E and the
98.9
victim and the substantiated perpetrator are affiliated with a program licensed under chapter
98.10
245A, the commissioner of human services, local social services agency, or county welfare
98.11
agency may inform the license holder where the maltreatment occurred of the identity of
98.12
the substantiated perpetrator and the victim.
98.13
(5) Notwithstanding clause (1), for child foster care, only the name of the license holder
98.14
and the status of the license are public if the county attorney has requested that data otherwise
98.15
classified as public data under clause (1) be considered private data based on the best interests
98.16
of a child in placement in a licensed program.
98.17
(c) The following are private data on individuals under section 13.02, subdivision 12,
98.18
or nonpublic data under section 13.02, subdivision 9: personal and personal financial data
98.19
on family day care program and family foster care program applicants and licensees and
98.20
their family members who provide services under the license.
98.21
(d) The following are private data on individuals: the identity of persons who have made
98.22
reports concerning licensees or applicants that appear in inactive investigative data, and the
98.23
records of clients or employees of the licensee or applicant for licensure whose records are
98.24
received by the licensing agency for purposes of review or in anticipation of a contested
98.25
matter. The names of reporters of complaints or alleged violations of licensing standards
98.26
under chapters 245A, 245B, 245C, and 245D, and applicable rules and alleged maltreatment
98.27
under section 626.557 and chapter 260E, are confidential data and may be disclosed only
98.28
as provided in section 260E.21, subdivision 4; 260E.35; or 626.557, subdivision 12b.
98.29
(e) Data classified as private, confidential, nonpublic, or protected nonpublic under this
98.30
subdivision become public data if submitted to a court or administrative law judge as part
98.31
of a disciplinary proceeding in which there is a public hearing concerning a license which
98.32
has been suspended, immediately suspended, revoked, or denied.
98.33
(f) Data generated in the course of licensing investigations that relate to an alleged
98.34
violation of law are investigative data under subdivision 3.
98
Article 6 Section 1.
REVISOR
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99.1
(g) Data that are not public data collected, maintained, used, or disseminated under this
99.2
subdivision that relate to or are derived from a report as defined in section 260E.03, or
99.3
626.5572, subdivision 18, are subject to the destruction provisions of sections 260E.35,
99.4
subdivision 6, and 626.557, subdivision 12b.
99.5
(h) Upon request, not public data collected, maintained, used, or disseminated under
99.6
this subdivision that relate to or are derived from a report of substantiated maltreatment as
99.7
defined in section 626.557 or chapter 260E may be exchanged with the Department of
99.8
Health for purposes of completing background studies pursuant to section 144.057 and with
99.9
the Department of Corrections for purposes of completing background studies pursuant to
99.10
section 241.021.
99.11
(i) Data on individuals collected according to licensing activities under chapters 245A
99.12
and 245C, data on individuals collected by the commissioner of human services according
99.13
to investigations under section 626.557 and chapters 245A, 245B, 245C, 245D, and 260E
99.14
may be shared with the Department of Human Rights, the Department of Health, the
99.15
Department of Corrections, the ombudsman for mental health and developmental disabilities,
99.16
and the individual's professional regulatory board when there is reason to believe that laws
99.17
or standards under the jurisdiction of those agencies may have been violated or the
99.18
information may otherwise be relevant to the board's regulatory jurisdiction. Background
99.19
study data on an individual who is the subject of a background study under chapter 245C
99.20
for a licensed service for which the commissioner of human services is the license holder
99.21
may be shared with the commissioner and the commissioner's delegate by the licensing
99.22
division. Unless otherwise specified in this chapter, the identity of a reporter of alleged
99.23
maltreatment or licensing violations may not be disclosed.
99.24
(j) In addition to the notice of determinations required under sections 260E.24,
99.25
subdivisions 5 and 7, and 260E.30, subdivision 6, paragraphs (b), (c), (d), (e), and (f), if the
99.26
commissioner or the local social services agency has determined that an individual is a
99.27
substantiated perpetrator of maltreatment of a child based on sexual abuse, as defined in
99.28
section 260E.03, and the commissioner or local social services agency knows that the
99.29
individual is a person responsible for a child's care in another facility, the commissioner or
99.30
local social services agency shall notify the head of that facility of this determination. The
99.31
notification must include an explanation of the individual's available appeal rights and the
99.32
status of any appeal. If a notice is given under this paragraph, the government entity making
99.33
the notification shall provide a copy of the notice to the individual who is the subject of the
99.34
notice.
99
Article 6 Section 1.
REVISOR
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100.1
(k) All not public data collected, maintained, used, or disseminated under this subdivision
100.2
and subdivision 3 may be exchanged between the Department of Human Services, Licensing
100.3
Division, and the Department of Corrections for purposes of regulating services for which
100.4
the Department of Human Services and the Department of Corrections have regulatory
100.5
authority.
100.6
Sec. 2. Minnesota Statutes 2022, section 62V.05, subdivision 4a, is amended to read:
100.7
Subd. 4a. Background study required. (a) The board must initiate background studies
100.8
under section 245C.031 of:
100.9
(1) each navigator;
100.10
(2) each in-person assister; and
100.11
(3) each certified application counselor.
100.12
(b) The board may initiate the background studies required by paragraph (a) using the
100.13
online NETStudy 2.0 system operated by the commissioner of human services.
100.14
(c) The board shall not permit any individual to provide any service or function listed
100.15
in paragraph (a) until the board has received notification from the commissioner of human
100.16
services indicating that the individual:
100.17
(1) the board has evaluated any notification received from the commissioner of human
100.18
services indicating the individual's potential disqualifications and has determined that the
100.19
individual is not disqualified under chapter 245C; or
100.20
(2) the board has determined that the individual is disqualified, but has received granted
100.21
a set aside from the board of that disqualification according to sections 245C.22 and 245C.23.
100.22
(d) The board or its delegate shall review a reconsideration request of an individual in
100.23
paragraph (a), including granting a set aside, according to the procedures and criteria in
100.24
chapter 245C. The board shall notify the individual and the Department of Human Services
100.25
of the board's decision.
100.26
Sec. 3. [119B.162] RECONSIDERATION OF CORRECTION ORDERS.
100.27
(a) If a provider believes that the contents of the commissioner's correction order are in
100.28
error, the provider may ask the Department of Human Services to reconsider the parts of
100.29
the correction order that are alleged to be in error. The request for reconsideration must be
100.30
made in writing and must be postmarked and sent to the commissioner within 30 calendar
100.31
days from the date the correction order was mailed to the provider, and:
100
Article 6 Sec. 3.
REVISOR
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101.1
(1) specify the parts of the correction order that are alleged to be in error;
101.2
(2) explain why they are in error; and
101.3
(3) include documentation to support the allegation of error.
101.4
(b) A request for reconsideration does not stay any provisions or requirements of the
101.5
correction order. The commissioner's disposition of a request for reconsideration is final
101.6
and not subject to appeal under chapter 14. The commissioner's decision is appealable by
101.7
petition for writ of certiorari under chapter 606.
101.8
Sec. 4. Minnesota Statutes 2022, section 122A.18, subdivision 8, is amended to read:
101.9
Subd. 8. Background studies. (a) The Professional Educator Licensing and Standards
101.10
Board and the Board of School Administrators must initiate criminal history background
101.11
studies of all first-time applicants for educator and administrator licenses under their
101.12
jurisdiction. Applicants must include with their licensure applications:
101.13
(1) an executed criminal history consent form, including fingerprints; and
101.14
(2) payment to conduct the background study. The Professional Educator Licensing and
101.15
Standards Board must deposit payments received under this subdivision in an account in
101.16
the special revenue fund. Amounts in the account are annually appropriated to the
101.17
Professional Educator Licensing and Standards Board to pay for the costs of background
101.18
studies on applicants for licensure.
101.19
(b) The background study for all first-time teaching applicants for educator licenses
101.20
must include a review of information from the Bureau of Criminal Apprehension, including
101.21
criminal history data as defined in section 13.87, and must also include a review of the
101.22
national criminal records repository. The superintendent of the Bureau of Criminal
101.23
Apprehension is authorized to exchange fingerprints with the Federal Bureau of Investigation
101.24
for purposes of the criminal history check.
101.25
(c) The Professional Educator Licensing and Standards Board may initiate criminal
101.26
history background studies through the commissioner of human services according to section
101.27
245C.031 to obtain background study data required under this chapter.
101.28
Sec. 5. Minnesota Statutes 2022, section 245A.02, subdivision 5a, is amended to read:
101.29
Subd. 5a. Controlling individual. (a) "Controlling individual" means an owner of a
101.30
program or service provider licensed under this chapter and the following individuals, if
101.31
applicable:
101
Article 6 Sec. 5.
REVISOR
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102.1
(1) each officer of the organization, including the chief executive officer and chief
102.2
financial officer;
102.3
(2) the individual designated as the authorized agent under section 245A.04, subdivision
102.4
1, paragraph (b);
102.5
(3) the individual designated as the compliance officer under section 256B.04, subdivision
102.6
21, paragraph (g);
102.7
(4) each managerial official whose responsibilities include the direction of the
102.8
management or policies of a program; and
102.9
(5) the individual designated as the primary provider of care for a special family child
102.10
care program under section 245A.14, subdivision 4, paragraph (i).; and
102.11
(6) the president and treasurer of the board of directors of a nonprofit corporation.
102.12
(b) Controlling individual does not include:
102.13
(1) a bank, savings bank, trust company, savings association, credit union, industrial
102.14
loan and thrift company, investment banking firm, or insurance company unless the entity
102.15
operates a program directly or through a subsidiary;
102.16
(2) an individual who is a state or federal official, or state or federal employee, or a
102.17
member or employee of the governing body of a political subdivision of the state or federal
102.18
government that operates one or more programs, unless the individual is also an officer,
102.19
owner, or managerial official of the program, receives remuneration from the program, or
102.20
owns any of the beneficial interests not excluded in this subdivision;
102.21
(3) an individual who owns less than five percent of the outstanding common shares of
102.22
a corporation:
102.23
(i) whose securities are exempt under section 80A.45, clause (6); or
102.24
(ii) whose transactions are exempt under section 80A.46, clause (2);
102.25
(4) an individual who is a member of an organization exempt from taxation under section
102.26
290.05, unless the individual is also an officer, owner, or managerial official of the program
102.27
or owns any of the beneficial interests not excluded in this subdivision. This clause does
102.28
not exclude from the definition of controlling individual an organization that is exempt from
102.29
taxation; or
102.30
(5) an employee stock ownership plan trust, or a participant or board member of an
102.31
employee stock ownership plan, unless the participant or board member is a controlling
102.32
individual according to paragraph (a).
102
Article 6 Sec. 5.
REVISOR
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103.1
(c) For purposes of this subdivision, "managerial official" means an individual who has
103.2
the decision-making authority related to the operation of the program, and the responsibility
103.3
for the ongoing management of or direction of the policies, services, or employees of the
103.4
program. A site director who has no ownership interest in the program is not considered to
103.5
be a managerial official for purposes of this definition.
103.6
Sec. 6. Minnesota Statutes 2022, section 245A.02, subdivision 10b, is amended to read:
103.7
Subd. 10b. Owner. "Owner" means an individual or organization that has a direct or
103.8
indirect ownership interest of five percent or more in a program licensed under this chapter.
103.9
For purposes of this subdivision, "direct ownership interest" means the possession of equity
103.10
in capital, stock, or profits of an organization, and "indirect ownership interest" means a
103.11
direct ownership interest in an entity that has a direct or indirect ownership interest in a
103.12
licensed program. For purposes of this chapter, "owner of a nonprofit corporation" means
103.13
the president and treasurer of the board of directors or, for an entity owned by an employee
103.14
stock ownership plan," means the president and treasurer of the entity. A government entity
103.15
or nonprofit corporation that is issued a license under this chapter shall be designated the
103.16
owner.
103.17
Sec. 7. Minnesota Statutes 2022, section 245A.04, subdivision 1, is amended to read:
103.18
Subdivision 1. Application for licensure. (a) An individual, organization, or government
103.19
entity that is subject to licensure under section 245A.03 must apply for a license. The
103.20
application must be made on the forms and in the manner prescribed by the commissioner.
103.21
The commissioner shall provide the applicant with instruction in completing the application
103.22
and provide information about the rules and requirements of other state agencies that affect
103.23
the applicant. An applicant seeking licensure in Minnesota with headquarters outside of
103.24
Minnesota must have a program office located within 30 miles of the Minnesota border.
103.25
An applicant who intends to buy or otherwise acquire a program or services licensed under
103.26
this chapter that is owned by another license holder must apply for a license under this
103.27
chapter and comply with the application procedures in this section and section 245A.03
103.28
245A.043.
103.29
The commissioner shall act on the application within 90 working days after a complete
103.30
application and any required reports have been received from other state agencies or
103.31
departments, counties, municipalities, or other political subdivisions. The commissioner
103.32
shall not consider an application to be complete until the commissioner receives all of the
103.33
required information.
103
Article 6 Sec. 7.
REVISOR
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104.1
When the commissioner receives an application for initial licensure that is incomplete
104.2
because the applicant failed to submit required documents or that is substantially deficient
104.3
because the documents submitted do not meet licensing requirements, the commissioner
104.4
shall provide the applicant written notice that the application is incomplete or substantially
104.5
deficient. In the written notice to the applicant the commissioner shall identify documents
104.6
that are missing or deficient and give the applicant 45 days to resubmit a second application
104.7
that is substantially complete. An applicant's failure to submit a substantially complete
104.8
application after receiving notice from the commissioner is a basis for license denial under
104.9
section 245A.05.
104.10
(b) An application for licensure must identify all controlling individuals as defined in
104.11
section 245A.02, subdivision 5a, and must designate one individual to be the authorized
104.12
agent. The application must be signed by the authorized agent and must include the authorized
104.13
agent's first, middle, and last name; mailing address; and email address. By submitting an
104.14
application for licensure, the authorized agent consents to electronic communication with
104.15
the commissioner throughout the application process. The authorized agent must be
104.16
authorized to accept service on behalf of all of the controlling individuals. A government
104.17
entity that holds multiple licenses under this chapter may designate one authorized agent
104.18
for all licenses issued under this chapter or may designate a different authorized agent for
104.19
each license. Service on the authorized agent is service on all of the controlling individuals.
104.20
It is not a defense to any action arising under this chapter that service was not made on each
104.21
controlling individual. The designation of a controlling individual as the authorized agent
104.22
under this paragraph does not affect the legal responsibility of any other controlling individual
104.23
under this chapter.
104.24
(c) An applicant or license holder must have a policy that prohibits license holders,
104.25
employees, subcontractors, and volunteers, when directly responsible for persons served
104.26
by the program, from abusing prescription medication or being in any manner under the
104.27
influence of a chemical that impairs the individual's ability to provide services or care. The
104.28
license holder must train employees, subcontractors, and volunteers about the program's
104.29
drug and alcohol policy.
104.30
(d) An applicant and license holder must have a program grievance procedure that permits
104.31
persons served by the program and their authorized representatives to bring a grievance to
104.32
the highest level of authority in the program.
104.33
(e) The commissioner may limit communication during the application process to the
104.34
authorized agent or the controlling individuals identified on the license application and for
104.35
whom a background study was initiated under chapter 245C. The commissioner may require
104
Article 6 Sec. 7.
REVISOR
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105.1
the applicant, except for child foster care, to demonstrate competence in the applicable
105.2
licensing requirements by successfully completing a written examination. The commissioner
105.3
may develop a prescribed written examination format.
105.4
(f) When an applicant is an individual, the applicant must provide:
105.5
(1) the applicant's taxpayer identification numbers including the Social Security number
105.6
or Minnesota tax identification number, and federal employer identification number if the
105.7
applicant has employees;
105.8
(2) at the request of the commissioner, a copy of the most recent filing with the secretary
105.9
of state that includes the complete business name, if any;
105.10
(3) if doing business under a different name, the doing business as (DBA) name, as
105.11
registered with the secretary of state;
105.12
(4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique
105.13
Minnesota Provider Identifier (UMPI) number; and
105.14
(5) at the request of the commissioner, the notarized signature of the applicant or
105.15
authorized agent.; and
105.16
(6) except for family foster care providers, an email address that will be made public
105.17
subject to the requirements under section 13.46, subdivision 4, paragraph (b), clause (1),
105.18
item (i).
105.19
(g) When an applicant is an organization, the applicant must provide:
105.20
(1) the applicant's taxpayer identification numbers including the Minnesota tax
105.21
identification number and federal employer identification number;
105.22
(2) at the request of the commissioner, a copy of the most recent filing with the secretary
105.23
of state that includes the complete business name, and if doing business under a different
105.24
name, the doing business as (DBA) name, as registered with the secretary of state;
105.25
(3) the first, middle, and last name, and address for all individuals who will be controlling
105.26
individuals, including all officers, owners, and managerial officials as defined in section
105.27
245A.02, subdivision 5a, and the date that the background study was initiated by the applicant
105.28
for each controlling individual;
105.29
(4) if applicable, the applicant's NPI number and UMPI number;
105.30
(5) the documents that created the organization and that determine the organization's
105.31
internal governance and the relations among the persons that own the organization, have
105.32
an interest in the organization, or are members of the organization, in each case as provided
105
Article 6 Sec. 7.
REVISOR
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106.1
or authorized by the organization's governing statute, which may include a partnership
106.2
agreement, bylaws, articles of organization, organizational chart, and operating agreement,
106.3
or comparable documents as provided in the organization's governing statute; and
106.4
(6) the notarized signature of the applicant or authorized agent.; and
106.5
(7) an email address that will be made public subject to the requirements under section
106.6
13.46, subdivision 4, paragraph (b), clause (1), item (i).
106.7
(h) When the applicant is a government entity, the applicant must provide:
106.8
(1) the name of the government agency, political subdivision, or other unit of government
106.9
seeking the license and the name of the program or services that will be licensed;
106.10
(2) the applicant's taxpayer identification numbers including the Minnesota tax
106.11
identification number and federal employer identification number;
106.12
(3) a letter signed by the manager, administrator, or other executive of the government
106.13
entity authorizing the submission of the license application; and
106.14
(4) if applicable, the applicant's NPI number and UMPI number.; and
106.15
(5) an email address that will be made public subject to the requirements under section
106.16
13.46, subdivision 4, paragraph (b), clause (1), item (i).
106.17
(i) At the time of application for licensure or renewal of a license under this chapter, the
106.18
applicant or license holder must acknowledge on the form provided by the commissioner
106.19
if the applicant or license holder elects to receive any public funding reimbursement from
106.20
the commissioner for services provided under the license that:
106.21
(1) the applicant's or license holder's compliance with the provider enrollment agreement
106.22
or registration requirements for receipt of public funding may be monitored by the
106.23
commissioner as part of a licensing investigation or licensing inspection; and
106.24
(2) noncompliance with the provider enrollment agreement or registration requirements
106.25
for receipt of public funding that is identified through a licensing investigation or licensing
106.26
inspection, or noncompliance with a licensing requirement that is a basis of enrollment for
106.27
reimbursement for a service, may result in:
106.28
(i) a correction order or a conditional license under section 245A.06, or sanctions under
106.29
section 245A.07;
106.30
(ii) nonpayment of claims submitted by the license holder for public program
106.31
reimbursement;
106
Article 6 Sec. 7.
REVISOR
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107.1
(iii) recovery of payments made for the service;
107.2
(iv) disenrollment in the public payment program; or
107.3
(v) other administrative, civil, or criminal penalties as provided by law.
107.4
EFFECTIVE DATE. The change to paragraph (a) is effective the day following final
107.5
enactment.
107.6
Sec. 8. Minnesota Statutes 2022, section 245A.04, subdivision 4, is amended to read:
107.7
Subd. 4. Inspections; waiver. (a) Before issuing a license under this chapter, the
107.8
commissioner shall conduct an inspection of the program. The inspection must include but
107.9
is not limited to:
107.10
(1) an inspection of the physical plant;
107.11
(2) an inspection of records and documents;
107.12
(3) observation of the program in operation; and
107.13
(4) an inspection for the health, safety, and fire standards in licensing requirements for
107.14
a child care license holder.
107.15
(b) The observation in paragraph (a), clause (3), is not required prior to issuing a license
107.16
under subdivision 7. If the commissioner issues a license under this chapter, these
107.17
requirements must be completed within one year after the issuance of the license.
107.18
(c) Before completing a licensing inspection in a family child care program or child care
107.19
center, the licensing agency must offer the license holder an exit interview to discuss
107.20
violations or potential violations of law or rule observed during the inspection and offer
107.21
technical assistance on how to comply with applicable laws and rules. The commissioner
107.22
shall not issue a correction order or negative licensing action for violations of law or rule
107.23
not discussed in an exit interview, unless a license holder chooses not to participate in an
107.24
exit interview or not to complete the exit interview. If the license holder is unable to complete
107.25
the exit interview, the licensing agency must offer an alternate time for the license holder
107.26
to complete the exit interview.
107.27
(d) If a family child care license holder disputes a county licensor's interpretation of a
107.28
licensing requirement during a licensing inspection or exit interview, the license holder
107.29
may, within five business days after the exit interview or licensing inspection, request
107.30
clarification from the commissioner, in writing, in a manner prescribed by the commissioner.
107.31
The license holder's request must describe the county licensor's interpretation of the licensing
107.32
requirement at issue, and explain why the license holder believes the county licensor's
107
Article 6 Sec. 8.
REVISOR
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108.1
interpretation is inaccurate. The commissioner and the county must include the license
108.2
holder in all correspondence regarding the disputed interpretation, and must provide an
108.3
opportunity for the license holder to contribute relevant information that may impact the
108.4
commissioner's decision. The county licensor must not issue a correction order related to
108.5
the disputed licensing requirement until the commissioner has provided clarification to the
108.6
license holder about the licensing requirement.
108.7
(e) The commissioner or the county shall inspect at least annually once each calendar
108.8
year a child care provider licensed under this chapter and Minnesota Rules, chapter 9502
108.9
or 9503, for compliance with applicable licensing standards.
108.10
(f) No later than November 19, 2017, the commissioner shall make publicly available
108.11
on the department's website the results of inspection reports of all child care providers
108.12
licensed under this chapter and under Minnesota Rules, chapter 9502 or 9503, and the
108.13
number of deaths, serious injuries, and instances of substantiated child maltreatment that
108.14
occurred in licensed child care settings each year.
108.15
EFFECTIVE DATE. This section is effective the day following final enactment.
108.16
Sec. 9. Minnesota Statutes 2022, section 245A.04, subdivision 7, is amended to read:
108.17
Subd. 7. Grant of license; license extension. (a) If the commissioner determines that
108.18
the program complies with all applicable rules and laws, the commissioner shall issue a
108.19
license consistent with this section or, if applicable, a temporary change of ownership license
108.20
under section 245A.043. At minimum, the license shall state:
108.21
(1) the name of the license holder;
108.22
(2) the address of the program;
108.23
(3) the effective date and expiration date of the license;
108.24
(4) the type of license;
108.25
(5) the maximum number and ages of persons that may receive services from the program;
108.26
and
108.27
(6) any special conditions of licensure.; and
108.28
(7) the public email address of the program.
108.29
(b) The commissioner may issue a license for a period not to exceed two years if:
108.30
(1) the commissioner is unable to conduct the evaluation or observation required by
108.31
subdivision 4, paragraph (a), clause (4) (3), because the program is not yet operational;
108
Article 6 Sec. 9.
REVISOR
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109.1
(2) certain records and documents are not available because persons are not yet receiving
109.2
services from the program; and
109.3
(3) the applicant complies with applicable laws and rules in all other respects.
109.4
(c) A decision by the commissioner to issue a license does not guarantee that any person
109.5
or persons will be placed or cared for in the licensed program.
109.6
(d) Except as provided in paragraphs (f) and (g), the commissioner shall not issue or
109.7
reissue a license if the applicant, license holder, or controlling individual has:
109.8
(1) been disqualified and the disqualification was not set aside and no variance has been
109.9
granted;
109.10
(2) been denied a license under this chapter, within the past two years;
109.11
(3) had a license issued under this chapter revoked within the past five years;
109.12
(4) an outstanding debt related to a license fee, licensing fine, or settlement agreement
109.13
for which payment is delinquent; or
109.14
(5) failed to submit the information required of an applicant under subdivision 1,
109.15
paragraph (f) or, (g), or (h), after being requested by the commissioner.
109.16
When a license issued under this chapter is revoked under clause (1) or (3), the license
109.17
holder and controlling individual may not hold any license under chapter 245A for five
109.18
years following the revocation, and other licenses held by the applicant, license holder, or
109.19
controlling individual shall also be revoked.
109.20
(e) The commissioner shall not issue or reissue a license under this chapter if an individual
109.21
living in the household where the services will be provided as specified under section
109.22
245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside
109.23
and no variance has been granted.
109.24
(f) Pursuant to section 245A.07, subdivision 1, paragraph (b), when a license issued
109.25
under this chapter has been suspended or revoked and the suspension or revocation is under
109.26
appeal, the program may continue to operate pending a final order from the commissioner.
109.27
If the license under suspension or revocation will expire before a final order is issued, a
109.28
temporary provisional license may be issued provided any applicable license fee is paid
109.29
before the temporary provisional license is issued.
109.30
(g) Notwithstanding paragraph (f), when a revocation is based on the disqualification
109.31
of a controlling individual or license holder, and the controlling individual or license holder
109.32
is ordered under section 245C.17 to be immediately removed from direct contact with
109
Article 6 Sec. 9.
REVISOR
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110.1
persons receiving services or is ordered to be under continuous, direct supervision when
110.2
providing direct contact services, the program may continue to operate only if the program
110.3
complies with the order and submits documentation demonstrating compliance with the
110.4
order. If the disqualified individual fails to submit a timely request for reconsideration, or
110.5
if the disqualification is not set aside and no variance is granted, the order to immediately
110.6
remove the individual from direct contact or to be under continuous, direct supervision
110.7
remains in effect pending the outcome of a hearing and final order from the commissioner.
110.8
(h) For purposes of reimbursement for meals only, under the Child and Adult Care Food
110.9
Program, Code of Federal Regulations, title 7, subtitle B, chapter II, subchapter A, part 226,
110.10
relocation within the same county by a licensed family day care provider, shall be considered
110.11
an extension of the license for a period of no more than 30 calendar days or until the new
110.12
license is issued, whichever occurs first, provided the county agency has determined the
110.13
family day care provider meets licensure requirements at the new location.
110.14
(i) Unless otherwise specified by statute, all licenses issued under this chapter expire at
110.15
12:01 a.m. on the day after the expiration date stated on the license. A license holder must
110.16
apply for and be granted a new license to operate the program or the program must not be
110.17
operated after the expiration date.
110.18
(j) The commissioner shall not issue or reissue a license under this chapter if it has been
110.19
determined that a tribal licensing authority has established jurisdiction to license the program
110.20
or service.
110.21
EFFECTIVE DATE. The changes to paragraphs (b) and (d) are effective the day
110.22
following final enactment.
110.23
Sec. 10. Minnesota Statutes 2022, section 245A.041, is amended by adding a subdivision
110.24
to read:
110.25
Subd. 6. First date of direct contact; documentation requirements. Except for family
110.26
child care, family foster care for children, and family adult day services that the license
110.27
holder provides in the license holder's residence, license holders must document the first
110.28
date that a background study subject has direct contact, as defined in section 245C.02,
110.29
subdivision 11, with a person served by the license holder's program. Unless this chapter
110.30
otherwise requires, if the license holder does not maintain the documentation required by
110.31
this subdivision in the license holder's personnel files, the license holder must provide the
110.32
documentation to the commissioner upon the commissioner's request.
110.33
EFFECTIVE DATE. This section is effective January 1, 2024.
110
Article 6 Sec. 10.
REVISOR
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111.1
Sec. 11. Minnesota Statutes 2022, section 245A.05, is amended to read:
111.2
245A.05 DENIAL OF APPLICATION.
111.3
(a) The commissioner may deny a license if an applicant or controlling individual:
111.4
(1) fails to submit a substantially complete application after receiving notice from the
111.5
commissioner under section 245A.04, subdivision 1;
111.6
(2) fails to comply with applicable laws or rules;
111.7
(3) knowingly withholds relevant information from or gives false or misleading
111.8
information to the commissioner in connection with an application for a license or during
111.9
an investigation;
111.10
(4) has a disqualification that has not been set aside under section 245C.22 and no
111.11
variance has been granted;
111.12
(5) has an individual living in the household who received a background study under
111.13
section 245C.03, subdivision 1, paragraph (a), clause (2), who has a disqualification that
111.14
has not been set aside under section 245C.22, and no variance has been granted;
111.15
(6) is associated with an individual who received a background study under section
111.16
245C.03, subdivision 1, paragraph (a), clause (6), who may have unsupervised access to
111.17
children or vulnerable adults, and who has a disqualification that has not been set aside
111.18
under section 245C.22, and no variance has been granted;
111.19
(7) fails to comply with section 245A.04, subdivision 1, paragraph (f) or (g);
111.20
(8) fails to demonstrate competent knowledge as required by section 245A.04, subdivision
111.21
6;
111.22
(9) has a history of noncompliance as a license holder or controlling individual with
111.23
applicable laws or rules, including but not limited to this chapter and chapters 119B and
111.24
245C;
111.25
(10) is prohibited from holding a license according to section 245.095; or
111.26
(11) for a family foster setting, has or has an individual who is living in the household
111.27
where the licensed services are provided or is otherwise subject to a background study who
111.28
has nondisqualifying background study information, as described in section 245C.05,
111.29
subdivision 4, that reflects on the individual's applicant's ability to safely provide care to
111.30
foster children.
111
Article 6 Sec. 11.
REVISOR
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112.1
(b) An applicant whose application has been denied by the commissioner must be given
112.2
notice of the denial, which must state the reasons for the denial in plain language. Notice
112.3
must be given by certified mail or personal service. The notice must state the reasons the
112.4
application was denied and must inform the applicant of the right to a contested case hearing
112.5
under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The applicant may
112.6
appeal the denial by notifying the commissioner in writing by certified mail or personal
112.7
service. If mailed, the appeal must be postmarked and sent to the commissioner within 20
112.8
calendar days after the applicant received the notice of denial. If an appeal request is made
112.9
by personal service, it must be received by the commissioner within 20 calendar days after
112.10
the applicant received the notice of denial. Section 245A.08 applies to hearings held to
112.11
appeal the commissioner's denial of an application.
112.12
EFFECTIVE DATE. This section is effective the day following final enactment.
112.13
Sec. 12. Minnesota Statutes 2022, section 245A.07, subdivision 1, is amended to read:
112.14
Subdivision 1. Sanctions; appeals; license. (a) In addition to making a license conditional
112.15
under section 245A.06, the commissioner may suspend or revoke the license, impose a fine,
112.16
or secure an injunction against the continuing operation of the program of a license holder
112.17
who:
112.18
(1) does not comply with applicable law or rule, or who;
112.19
(2) has nondisqualifying background study information, as described in section 245C.05,
112.20
subdivision 4, that reflects on the license holder's ability to safely provide care to foster
112.21
children; or
112.22
(3) has an individual living in the household where the licensed services are provided
112.23
or is otherwise subject to a background study and the individual has nondisqualifying
112.24
background study information, as described in section 245C.05, subdivision 4, that reflects
112.25
on the license holder's ability to safely provide care to foster children.
112.26
When applying sanctions authorized under this section, the commissioner shall consider
112.27
the nature, chronicity, or severity of the violation of law or rule and the effect of the violation
112.28
on the health, safety, or rights of persons served by the program.
112.29
(b) If a license holder appeals the suspension or revocation of a license and the license
112.30
holder continues to operate the program pending a final order on the appeal, the commissioner
112.31
shall issue the license holder a temporary provisional license. Unless otherwise specified
112.32
by the commissioner, variances in effect on the date of the license sanction under appeal
112.33
continue under the temporary provisional license. If a license holder fails to comply with
112
Article 6 Sec. 12.
REVISOR
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113.1
applicable law or rule while operating under a temporary provisional license, the
113.2
commissioner may impose additional sanctions under this section and section 245A.06, and
113.3
may terminate any prior variance. If a temporary provisional license is set to expire, a new
113.4
temporary provisional license shall be issued to the license holder upon payment of any fee
113.5
required under section 245A.10. The temporary provisional license shall expire on the date
113.6
the final order is issued. If the license holder prevails on the appeal, a new nonprovisional
113.7
license shall be issued for the remainder of the current license period.
113.8
(c) If a license holder is under investigation and the license issued under this chapter is
113.9
due to expire before completion of the investigation, the program shall be issued a new
113.10
license upon completion of the reapplication requirements and payment of any applicable
113.11
license fee. Upon completion of the investigation, a licensing sanction may be imposed
113.12
against the new license under this section, section 245A.06, or 245A.08.
113.13
(d) Failure to reapply or closure of a license issued under this chapter by the license
113.14
holder prior to the completion of any investigation shall not preclude the commissioner
113.15
from issuing a licensing sanction under this section or section 245A.06 at the conclusion
113.16
of the investigation.
113.17
EFFECTIVE DATE. This section is effective the day following final enactment.
113.18
Sec. 13. Minnesota Statutes 2022, section 245A.07, subdivision 2a, is amended to read:
113.19
Subd. 2a. Immediate suspension expedited hearing. (a) Within five working days of
113.20
receipt of the license holder's timely appeal, the commissioner shall request assignment of
113.21
an administrative law judge. The request must include a proposed date, time, and place of
113.22
a hearing. A hearing must be conducted by an administrative law judge within 30 calendar
113.23
days of the request for assignment, unless an extension is requested by either party and
113.24
granted by the administrative law judge for good cause. The commissioner shall issue a
113.25
notice of hearing by certified mail or personal service at least ten working days before the
113.26
hearing. The scope of the hearing shall be limited solely to the issue of whether the temporary
113.27
immediate suspension should remain in effect pending the commissioner's final order under
113.28
section 245A.08, regarding a licensing sanction issued under subdivision 3 following the
113.29
immediate suspension. For suspensions under subdivision 2, paragraph (a), clause (1), the
113.30
burden of proof in expedited hearings under this subdivision shall be limited to the
113.31
commissioner's demonstration that reasonable cause exists to believe that the license holder's
113.32
actions or failure to comply with applicable law or rule poses, or the actions of other
113.33
individuals or conditions in the program poses an imminent risk of harm to the health, safety,
113.34
or rights of persons served by the program. "Reasonable cause" means there exist specific
113
Article 6 Sec. 13.
REVISOR
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114.1
articulable facts or circumstances which provide the commissioner with a reasonable
114.2
suspicion that there is an imminent risk of harm to the health, safety, or rights of persons
114.3
served by the program. When the commissioner has determined there is reasonable cause
114.4
to order the temporary immediate suspension of a license based on a violation of safe sleep
114.5
requirements, as defined in section 245A.1435, the commissioner is not required to
114.6
demonstrate that an infant died or was injured as a result of the safe sleep violations. For
114.7
suspensions under subdivision 2, paragraph (a), clause (2), the burden of proof in expedited
114.8
hearings under this subdivision shall be limited to the commissioner's demonstration by a
114.9
preponderance of the evidence that, since the license was revoked, the license holder
114.10
committed additional violations of law or rule which may adversely affect the health or
114.11
safety of persons served by the program.
114.12
(b) The administrative law judge shall issue findings of fact, conclusions, and a
114.13
recommendation within ten working days from the date of hearing. The parties shall have
114.14
ten calendar days to submit exceptions to the administrative law judge's report. The record
114.15
shall close at the end of the ten-day period for submission of exceptions. The commissioner's
114.16
final order shall be issued within ten working days from the close of the record. When an
114.17
appeal of a temporary immediate suspension is withdrawn or dismissed, the commissioner
114.18
shall issue a final order affirming the temporary immediate suspension within ten calendar
114.19
days of the commissioner's receipt of the withdrawal or dismissal. Within 90 calendar days
114.20
after an immediate suspension has been issued and the license holder has not submitted a
114.21
timely appeal under subdivision 2, paragraph (b), or within 90 calendar days after a final
114.22
order affirming an immediate suspension, the commissioner shall make a determination
114.23
regarding determine:
114.24
(1) whether a final licensing sanction shall be issued under subdivision 3, paragraph (a),
114.25
clauses (1) to (5). The license holder shall continue to be prohibited from operation of the
114.26
program during this 90-day period.; or
114.27
(2) whether the outcome of related, ongoing investigations or judicial proceedings are
114.28
necessary to determine if a final licensing sanction under subdivision 3, paragraph (a),
114.29
clauses (1) to (5), will be issued, and persons served by the program remain at an imminent
114.30
risk of harm during the investigation period or proceedings. If so, the commissioner shall
114.31
issue a suspension order under subdivision 3, paragraph (a), clause (6).
114.32
(c) When the final order under paragraph (b) affirms an immediate suspension or the
114.33
license holder does not submit a timely appeal of the immediate suspension, and a final
114.34
licensing sanction is issued under subdivision 3 and the license holder appeals that sanction,
114.35
the license holder continues to be prohibited from operation of the program pending a final
114
Article 6 Sec. 13.
REVISOR
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115.1
commissioner's order under section 245A.08, subdivision 5, regarding the final licensing
115.2
sanction.
115.3
(d) The license holder shall continue to be prohibited from operation of the program
115.4
while a suspension order issued under paragraph (b), clause (2), remains in effect.
115.5
(d) (e) For suspensions under subdivision 2, paragraph (a), clause (3), the burden of
115.6
proof in expedited hearings under this subdivision shall be limited to the commissioner's
115.7
demonstration by a preponderance of the evidence that a criminal complaint and warrant
115.8
or summons was issued for the license holder that was not dismissed, and that the criminal
115.9
charge is an offense that involves fraud or theft against a program administered by the
115.10
commissioner.
115.11
Sec. 14. Minnesota Statutes 2022, section 245A.07, subdivision 3, is amended to read:
115.12
Subd. 3. License suspension, revocation, or fine. (a) The commissioner may suspend
115.13
or revoke a license, or impose a fine if:
115.14
(1) a license holder fails to comply fully with applicable laws or rules including but not
115.15
limited to the requirements of this chapter and chapter 245C;
115.16
(2) a license holder, a controlling individual, or an individual living in the household
115.17
where the licensed services are provided or is otherwise subject to a background study has
115.18
been disqualified and the disqualification was not set aside and no variance has been granted;
115.19
(3) a license holder knowingly withholds relevant information from or gives false or
115.20
misleading information to the commissioner in connection with an application for a license,
115.21
in connection with the background study status of an individual, during an investigation,
115.22
or regarding compliance with applicable laws or rules;
115.23
(4) a license holder is excluded from any program administered by the commissioner
115.24
under section 245.095; or
115.25
(5) revocation is required under section 245A.04, subdivision 7, paragraph (d).;
115.26
(6) suspension is necessary under subdivision 2a, paragraph (b), clause (2); or
115.27
(7) for a family foster setting, a license holder, or an individual living in the household
115.28
where the licensed services are provided or who is otherwise subject to a background study
115.29
has nondisqualifying background study information, as described in section 245C.05,
115.30
subdivision 4, that reflects on the license holder's ability to safely provide care to foster
115.31
children.
115
Article 6 Sec. 14.
REVISOR
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116.1
A license holder who has had a license issued under this chapter suspended, revoked,
116.2
or has been ordered to pay a fine must be given notice of the action by certified mail or
116.3
personal service. If mailed, the notice must be mailed to the address shown on the application
116.4
or the last known address of the license holder. The notice must state in plain language the
116.5
reasons the license was suspended or revoked, or a fine was ordered.
116.6
(b) If the license was suspended or revoked, the notice must inform the license holder
116.7
of the right to a contested case hearing under chapter 14 and Minnesota Rules, parts
116.8
1400.8505 to 1400.8612. The license holder may appeal an order suspending or revoking
116.9
a license. The appeal of an order suspending or revoking a license must be made in writing
116.10
by certified mail or personal service. If mailed, the appeal must be postmarked and sent to
116.11
the commissioner within ten calendar days after the license holder receives notice that the
116.12
license has been suspended or revoked. If a request is made by personal service, it must be
116.13
received by the commissioner within ten calendar days after the license holder received the
116.14
order. Except as provided in subdivision 2a, paragraph (c), if a license holder submits a
116.15
timely appeal of an order suspending or revoking a license, the license holder may continue
116.16
to operate the program as provided in section 245A.04, subdivision 7, paragraphs (f) and
116.17
(g), until the commissioner issues a final order on the suspension or revocation.
116.18
(c)(1) If the license holder was ordered to pay a fine, the notice must inform the license
116.19
holder of the responsibility for payment of fines and the right to a contested case hearing
116.20
under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The appeal of an
116.21
order to pay a fine must be made in writing by certified mail or personal service. If mailed,
116.22
the appeal must be postmarked and sent to the commissioner within ten calendar days after
116.23
the license holder receives notice that the fine has been ordered. If a request is made by
116.24
personal service, it must be received by the commissioner within ten calendar days after
116.25
the license holder received the order.
116.26
(2) The license holder shall pay the fines assessed on or before the payment date specified.
116.27
If the license holder fails to fully comply with the order, the commissioner may issue a
116.28
second fine or suspend the license until the license holder complies. If the license holder
116.29
receives state funds, the state, county, or municipal agencies or departments responsible for
116.30
administering the funds shall withhold payments and recover any payments made while the
116.31
license is suspended for failure to pay a fine. A timely appeal shall stay payment of the fine
116.32
until the commissioner issues a final order.
116.33
(3) A license holder shall promptly notify the commissioner of human services, in writing,
116.34
when a violation specified in the order to forfeit a fine is corrected. If upon reinspection the
116.35
commissioner determines that a violation has not been corrected as indicated by the order
116
Article 6 Sec. 14.
REVISOR
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117.1
to forfeit a fine, the commissioner may issue a second fine. The commissioner shall notify
117.2
the license holder by certified mail or personal service that a second fine has been assessed.
117.3
The license holder may appeal the second fine as provided under this subdivision.
117.4
(4) Fines shall be assessed as follows:
117.5
(i) the license holder shall forfeit $1,000 for each determination of maltreatment of a
117.6
child under chapter 260E or the maltreatment of a vulnerable adult under section 626.557
117.7
for which the license holder is determined responsible for the maltreatment under section
117.8
260E.30, subdivision 4, paragraphs (a) and (b), or 626.557, subdivision 9c, paragraph (c);
117.9
(ii) if the commissioner determines that a determination of maltreatment for which the
117.10
license holder is responsible is the result of maltreatment that meets the definition of serious
117.11
maltreatment as defined in section 245C.02, subdivision 18, the license holder shall forfeit
117.12
$5,000;
117.13
(iii) for a program that operates out of the license holder's home and a program licensed
117.14
under Minnesota Rules, parts 9502.0300 to 9502.0445, the fine assessed against the license
117.15
holder shall not exceed $1,000 for each determination of maltreatment;
117.16
(iv) the license holder shall forfeit $200 for each occurrence of a violation of law or rule
117.17
governing matters of health, safety, or supervision, including but not limited to the provision
117.18
of adequate staff-to-child or adult ratios, and failure to comply with background study
117.19
requirements under chapter 245C; and
117.20
(v) the license holder shall forfeit $100 for each occurrence of a violation of law or rule
117.21
other than those subject to a $5,000, $1,000, or $200 fine in items (i) to (iv).
117.22
For purposes of this section, "occurrence" means each violation identified in the
117.23
commissioner's fine order. Fines assessed against a license holder that holds a license to
117.24
provide home and community-based services, as identified in section 245D.03, subdivision
117.25
1, and a community residential setting or day services facility license under chapter 245D
117.26
where the services are provided, may be assessed against both licenses for the same
117.27
occurrence, but the combined amount of the fines shall not exceed the amount specified in
117.28
this clause for that occurrence.
117.29
(5) When a fine has been assessed, the license holder may not avoid payment by closing,
117.30
selling, or otherwise transferring the licensed program to a third party. In such an event, the
117.31
license holder will be personally liable for payment. In the case of a corporation, each
117.32
controlling individual is personally and jointly liable for payment.
117
Article 6 Sec. 14.
REVISOR
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118.1
(d) Except for background study violations involving the failure to comply with an order
118.2
to immediately remove an individual or an order to provide continuous, direct supervision,
118.3
the commissioner shall not issue a fine under paragraph (c) relating to a background study
118.4
violation to a license holder who self-corrects a background study violation before the
118.5
commissioner discovers the violation. A license holder who has previously exercised the
118.6
provisions of this paragraph to avoid a fine for a background study violation may not avoid
118.7
a fine for a subsequent background study violation unless at least 365 days have passed
118.8
since the license holder self-corrected the earlier background study violation.
118.9
EFFECTIVE DATE. Paragraph (a), clause (7), is effective the day following final
118.10
enactment.
118.11
Sec. 15. Minnesota Statutes 2022, section 245A.10, subdivision 3, is amended to read:
118.12
Subd. 3. Application fee for initial license or certification. (a) For fees required under
118.13
subdivision 1, an applicant for an initial license or certification issued by the commissioner
118.14
shall submit a $500 application fee with each new application required under this subdivision.
118.15
An applicant for an initial day services facility license under chapter 245D shall submit a
118.16
$250 application fee with each new application. The application fee shall not be prorated,
118.17
is nonrefundable, and is in lieu of the annual license or certification fee that expires on
118.18
December 31. The commissioner shall not process an application until the application fee
118.19
is paid.
118.20
(b) Except as provided in clauses (1) to (3) and (2), an applicant shall apply for a license
118.21
to provide services at a specific location.
118.22
(1) For a license to provide home and community-based services to persons with
118.23
disabilities or age 65 and older under chapter 245D, an applicant shall submit an application
118.24
to provide services statewide. Notwithstanding paragraph (a), applications received by the
118.25
commissioner between July 1, 2013, and December 31, 2013, for licensure of services
118.26
provided under chapter 245D must include an application fee that is equal to the annual
118.27
license renewal fee under subdivision 4, paragraph (b), or $500, whichever is less.
118.28
Applications received by the commissioner after January 1, 2014, must include the application
118.29
fee required under paragraph (a). Applicants who meet the modified application criteria
118.30
identified in section 245A.042, subdivision 2, are exempt from paying an application fee.
118.31
(2) For a license to provide independent living assistance for youth under section 245A.22,
118.32
an applicant shall submit a single application to provide services statewide.
118
Article 6 Sec. 15.
REVISOR
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119.1
(3) (2) For a license for a private agency to provide foster care or adoption services under
119.2
Minnesota Rules, parts 9545.0755 to 9545.0845, an applicant shall submit a single application
119.3
to provide services statewide.
119.4
(c) The initial application fee charged under this subdivision does not include the
119.5
temporary license surcharge under section 16E.22.
119.6
EFFECTIVE DATE. This section is effective the day following final enactment.
119.7
Sec. 16. Minnesota Statutes 2022, section 245A.10, subdivision 4, is amended to read:
119.8
Subd. 4. License or certification fee for certain programs. (a) Child care centers shall
119.9
pay an annual nonrefundable license fee based on the following schedule:
119.10
Child Care Center
License Fee
119.11
Licensed Capacity
$200
119.12
1 to 24 persons
$300
119.13
25 to 49 persons
$400
119.14
50 to 74 persons
$500
119.15
75 to 99 persons
$600
119.16
100 to 124 persons
$700
119.17
125 to 149 persons
$800
119.18
150 to 174 persons
$900
119.19
175 to 199 persons
$1,000
119.20
200 to 224 persons
$1,100
119.21
225 or more persons
119.22
(b)(1) A program licensed to provide one or more of the home and community-based
119.23
services and supports identified under chapter 245D to persons with disabilities or age 65
119.24
and older, shall pay an annual nonrefundable license fee based on revenues derived from
119.25
the provision of services that would require licensure under chapter 245D during the calendar
119.26
year immediately preceding the year in which the license fee is paid, according to the
119.27
following schedule:
License Fee
119.28
License Holder Annual Revenue
$200
119.29
less than or equal to $10,000
$300
119.30
greater than $10,000 but less than or
119.31
equal to $25,000
$400
119.32
greater than $25,000 but less than or
119.33
equal to $50,000
$500
119.34
greater than $50,000 but less than or
119.35
equal to $100,000
119
Article 6 Sec. 16.
REVISOR
EB/HL
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$600
120.1
greater than $100,000 but less than or
120.2
equal to $150,000
$800
120.3
greater than $150,000 but less than or
120.4
equal to $200,000
$1,000
120.5
greater than $200,000 but less than or
120.6
equal to $250,000
$1,200
120.7
greater than $250,000 but less than or
120.8
equal to $300,000
$1,400
120.9
greater than $300,000 but less than or
120.10
equal to $350,000
$1,600
120.11
greater than $350,000 but less than or
120.12
equal to $400,000
$1,800
120.13
greater than $400,000 but less than or
120.14
equal to $450,000
$2,000
120.15
greater than $450,000 but less than or
120.16
equal to $500,000
$2,250
120.17
greater than $500,000 but less than or
120.18
equal to $600,000
$2,500
120.19
greater than $600,000 but less than or
120.20
equal to $700,000
$2,750
120.21
greater than $700,000 but less than or
120.22
equal to $800,000
$3,000
120.23
greater than $800,000 but less than or
120.24
equal to $900,000
$3,250
120.25
greater than $900,000 but less than or
120.26
equal to $1,000,000
$3,500
120.27
greater than $1,000,000 but less than or
120.28
equal to $1,250,000
$3,750
120.29
greater than $1,250,000 but less than or
120.30
equal to $1,500,000
$4,000
120.31
greater than $1,500,000 but less than or
120.32
equal to $1,750,000
$4,250
120.33
greater than $1,750,000 but less than or
120.34
equal to $2,000,000
$4,500
120.35
greater than $2,000,000 but less than or
120.36
equal to $2,500,000
$4,750
120.37
greater than $2,500,000 but less than or
120.38
equal to $3,000,000
$5,000
120.39
greater than $3,000,000 but less than or
120.40
equal to $3,500,000
$5,500
120.41
greater than $3,500,000 but less than or
120.42
equal to $4,000,000
$6,000
120.43
greater than $4,000,000 but less than or
120.44
equal to $4,500,000
$6,500
120.45
greater than $4,500,000 but less than or
120.46
equal to $5,000,000
120
Article 6 Sec. 16.
REVISOR
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$7,000
121.1
greater than $5,000,000 but less than or
121.2
equal to $7,500,000
$8,500
121.3
greater than $7,500,000 but less than or
121.4
equal to $10,000,000
$10,000
121.5
greater than $10,000,000 but less than or
121.6
equal to $12,500,000
$14,000
121.7
greater than $12,500,000 but less than or
121.8
equal to $15,000,000
$18,000
121.9
greater than $15,000,000
121.10
(2) If requested, the license holder shall provide the commissioner information to verify
121.11
the license holder's annual revenues or other information as needed, including copies of
121.12
documents submitted to the Department of Revenue.
121.13
(3) At each annual renewal, a license holder may elect to pay the highest renewal fee,
121.14
and not provide annual revenue information to the commissioner.
121.15
(4) A license holder that knowingly provides the commissioner incorrect revenue amounts
121.16
for the purpose of paying a lower license fee shall be subject to a civil penalty in the amount
121.17
of double the fee the provider should have paid.
121.18
(5) Notwithstanding clause (1), a license holder providing services under one or more
121.19
licenses under chapter 245B that are in effect on May 15, 2013, shall pay an annual license
121.20
fee for calendar years 2014, 2015, and 2016, equal to the total license fees paid by the license
121.21
holder for all licenses held under chapter 245B for calendar year 2013. For calendar year
121.22
2017 and thereafter, the license holder shall pay an annual license fee according to clause
121.23
(1).
121.24
(c) A substance use disorder treatment program licensed under chapter 245G, to provide
121.25
substance use disorder treatment shall pay an annual nonrefundable license fee based on
121.26
the following schedule:
License Fee
121.27
Licensed Capacity
$600
121.28
1 to 24 persons
$800
121.29
25 to 49 persons
$1,000
121.30
50 to 74 persons
$1,200
121.31
75 to 99 persons
$1,400
121.32
100 or more persons
121.33
(d) A detoxification program licensed under Minnesota Rules, parts 9530.6510 to
121.34
9530.6590, or a withdrawal management program licensed under chapter 245F shall pay
121.35
an annual nonrefundable license fee based on the following schedule:
121
Article 6 Sec. 16.
REVISOR
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License Fee
122.1
Licensed Capacity
$760
122.2
1 to 24 persons
$960
122.3
25 to 49 persons
$1,160
122.4
50 or more persons
122.5
A detoxification program that also operates a withdrawal management program at the same
122.6
location shall only pay one fee based upon the licensed capacity of the program with the
122.7
higher overall capacity.
122.8
(e) Except for child foster care, a residential facility licensed under Minnesota Rules,
122.9
chapter 2960, to serve children shall pay an annual nonrefundable license fee based on the
122.10
following schedule:
License Fee
122.11
Licensed Capacity
$1,000
122.12
1 to 24 persons
$1,100
122.13
25 to 49 persons
$1,200
122.14
50 to 74 persons
$1,300
122.15
75 to 99 persons
$1,400
122.16
100 or more persons
122.17
(f) A residential facility licensed under section 245I.23 or Minnesota Rules, parts
122.18
9520.0500 to 9520.0670, to serve persons with mental illness shall pay an annual
122.19
nonrefundable license fee based on the following schedule:
License Fee
122.20
Licensed Capacity
$2,525
122.21
1 to 24 persons
$2,725
122.22
25 or more persons
122.23
(g) A residential facility licensed under Minnesota Rules, parts 9570.2000 to 9570.3400,
122.24
to serve persons with physical disabilities shall pay an annual nonrefundable license fee
122.25
based on the following schedule:
License Fee
122.26
Licensed Capacity
$450
122.27
1 to 24 persons
$650
122.28
25 to 49 persons
$850
122.29
50 to 74 persons
$1,050
122.30
75 to 99 persons
$1,250
122.31
100 or more persons
122.32
(h) A program licensed to provide independent living assistance for youth under section
122.33
245A.22 shall pay an annual nonrefundable license fee of $1,500.
122
Article 6 Sec. 16.
REVISOR
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123.1
(i) (h) A private agency licensed to provide foster care and adoption services under
123.2
Minnesota Rules, parts 9545.0755 to 9545.0845, shall pay an annual nonrefundable license
123.3
fee of $875.
123.4
(j) (i) A program licensed as an adult day care center licensed under Minnesota Rules,
123.5
parts 9555.9600 to 9555.9730, shall pay an annual nonrefundable license fee based on the
123.6
following schedule:
License Fee
123.7
Licensed Capacity
$500
123.8
1 to 24 persons
$700
123.9
25 to 49 persons
$900
123.10
50 to 74 persons
$1,100
123.11
75 to 99 persons
$1,300
123.12
100 or more persons
123.13
(k) (j) A program licensed to provide treatment services to persons with sexual
123.14
psychopathic personalities or sexually dangerous persons under Minnesota Rules, parts
123.15
9515.3000 to 9515.3110, shall pay an annual nonrefundable license fee of $20,000.
123.16
(l) (k) A mental health clinic certified under section 245I.20 shall pay an annual
123.17
nonrefundable certification fee of $1,550. If the mental health clinic provides services at a
123.18
primary location with satellite facilities, the satellite facilities shall be certified with the
123.19
primary location without an additional charge.
123.20
EFFECTIVE DATE. This section is effective the day following final enactment.
123.21
Sec. 17. Minnesota Statutes 2022, section 245A.11, is amended by adding a subdivision
123.22
to read:
123.23
Subd. 12. License holder qualifications for child foster care. (a) Child foster care
123.24
license holders must maintain the ability to care for a foster child and ensure a safe home
123.25
environment for children placed in their care. License holders must immediately notify the
123.26
licensing agency of:
123.27
(1) any changes to the license holder or household member's physical or behavioral
123.28
health that may affect the license holder's ability to care for a foster child or pose a risk to
123.29
a foster child's health; or
123.30
(2) changes related to the care of a child or vulnerable adult for whom the license holder
123.31
is a parent or legally responsible, including living out of the home for treatment for physical
123.32
or behavioral health, modified parenting time arrangements, legal custody, or placement in
123.33
foster care.
123
Article 6 Sec. 17.
REVISOR
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124.1
(b) The licensing agency may request a license holder or household member to undergo
124.2
an evaluation by a specialist in areas such as physical or behavioral health to evaluate the
124.3
license holder's ability to provide a safe environment for a foster child.
124.4
EFFECTIVE DATE. This section is effective January 1, 2024.
124.5
Sec. 18. Minnesota Statutes 2022, section 245A.14, subdivision 4, is amended to read:
124.6
Subd. 4. Special family child care homes. (a) Nonresidential child care programs
124.7
serving 14 or fewer children that are conducted at a location other than the license holder's
124.8
own residence shall be licensed under this section and the rules governing family child care
124.9
or group family child care if:
124.10
(a) (1) the license holder is the primary provider of care and the nonresidential child
124.11
care program is conducted in a dwelling that is located on a residential lot;
124.12
(b) (2) the license holder is an employer who may or may not be the primary provider
124.13
of care, and the purpose for the child care program is to provide child care services to
124.14
children of the license holder's employees;
124.15
(c) (3) the license holder is a church or religious organization;
124.16
(d) (4) the license holder is a community collaborative child care provider. For purposes
124.17
of this subdivision, a community collaborative child care provider is a provider participating
124.18
in a cooperative agreement with a community action agency as defined in section 256E.31;
124.19
(e) (5) the license holder is a not-for-profit agency that provides child care in a dwelling
124.20
located on a residential lot and the license holder maintains two or more contracts with
124.21
community employers or other community organizations to provide child care services.
124.22
The county licensing agency may grant a capacity variance to a license holder licensed
124.23
under this paragraph clause to exceed the licensed capacity of 14 children by no more than
124.24
five children during transition periods related to the work schedules of parents, if the license
124.25
holder meets the following requirements:
124.26
(1) (i) the program does not exceed a capacity of 14 children more than a cumulative
124.27
total of four hours per day;
124.28
(2) (ii) the program meets a one to seven staff-to-child ratio during the variance period;
124.29
(3) (iii) all employees receive at least an extra four hours of training per year than required
124.30
in the rules governing family child care each year;
124.31
(4) (iv) the facility has square footage required per child under Minnesota Rules, part
124.32
9502.0425;
124
Article 6 Sec. 18.
REVISOR
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125.1
(5) (v) the program is in compliance with local zoning regulations;
125.2
(6) (vi) the program is in compliance with the applicable fire code as follows:
125.3
(i) (A) if the program serves more than five children older than 2-1/2 years of age, but
125.4
no more than five children 2-1/2 years of age or less, the applicable fire code is educational
125.5
occupancy, as provided in Group E Occupancy under the Minnesota State Fire Code 2015
125.6
2020, Section 202; or
125.7
(ii) (B) if the program serves more than five children 2-1/2 years of age or less, the
125.8
applicable fire code is Group I-4 Occupancies Occupancy, as provided in the Minnesota
125.9
State Fire Code 2015 2020, Section 202, unless the rooms in which the children 2-1/2 years
125.10
of age or younger are cared for are located on a level of exit discharge and each of these
125.11
child care rooms has an exit door directly to the exterior, then the applicable fire code is
125.12
Group E occupancies Occupancy, as provided in the Minnesota State Fire Code 2015 2020,
125.13
Section 202; and
125.14
(7) (vii) any age and capacity limitations required by the fire code inspection and square
125.15
footage determinations shall be printed on the license; or
125.16
(f) (6) the license holder is the primary provider of care and has located the licensed
125.17
child care program in a commercial space, if the license holder meets the following
125.18
requirements:
125.19
(1) (i) the program is in compliance with local zoning regulations;
125.20
(2) (ii) the program is in compliance with the applicable fire code as follows:
125.21
(i) (A) if the program serves more than five children older than 2-1/2 years of age, but
125.22
no more than five children 2-1/2 years of age or less, the applicable fire code is educational
125.23
occupancy, as provided in Group E Occupancy under the Minnesota State Fire Code 2015
125.24
2020, Section 202; or
125.25
(ii) (B) if the program serves more than five children 2-1/2 years of age or less, the
125.26
applicable fire code is Group I-4 Occupancies Occupancy, as provided under the Minnesota
125.27
State Fire Code 2015 2020, Section 202, unless the rooms in which the children 2-1/2 years
125.28
of age or younger are cared for are located on a level of exit discharge and each of these
125.29
child care rooms has an exit door directly to the exterior, then the applicable fire code is
125.30
Group E Occupancy, as provided in the Minnesota State Fire Code 2020, Section 202;
125.31
(3) (iii) any age and capacity limitations required by the fire code inspection and square
125.32
footage determinations are printed on the license; and
125
Article 6 Sec. 18.
REVISOR
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126.1
(4) (iv) the license holder prominently displays the license issued by the commissioner
126.2
which contains the statement "This special family child care provider is not licensed as a
126.3
child care center."
126.4
(g) (b) Notwithstanding Minnesota Rules, part 9502.0335, subpart 12, the commissioner
126.5
may issue up to four licenses to an organization licensed under paragraph (b), (c), or (e) (a),
126.6
clause (2), (3), or (5). Each license must have its own primary provider of care as required
126.7
under paragraph (i) (d). Each license must operate as a distinct and separate program in
126.8
compliance with all applicable laws and regulations.
126.9
(h) (c) For licenses issued under paragraph (b), (c), (d), (e), or (f) (a), clause (2), (3),
126.10
(4), (5), or (6), the commissioner may approve up to four licenses at the same location or
126.11
under one contiguous roof if each license holder is able to demonstrate compliance with all
126.12
applicable rules and laws. Each licensed program must operate as a distinct program and
126.13
within the capacity, age, and ratio distributions of each license.
126.14
(i) (d) For a license issued under paragraph (b), (c), or (e) (a), clause (2), (3), or (5), the
126.15
license holder must designate a person to be the primary provider of care at the licensed
126.16
location on a form and in a manner prescribed by the commissioner. The license holder
126.17
shall notify the commissioner in writing before there is a change of the person designated
126.18
to be the primary provider of care. The primary provider of care:
126.19
(1) must be the person who will be the provider of care at the program and present during
126.20
the hours of operation;
126.21
(2) must operate the program in compliance with applicable laws and regulations under
126.22
chapter 245A and Minnesota Rules, chapter 9502;
126.23
(3) is considered a child care background study subject as defined in section 245C.02,
126.24
subdivision 6a, and must comply with background study requirements in chapter 245C;
126.25
(4) must complete the training that is required of license holders in section 245A.50;
126.26
and
126.27
(5) is authorized to communicate with the county licensing agency and the department
126.28
on matters related to licensing.
126.29
(j) (e) For any license issued under this subdivision, the license holder must ensure that
126.30
any other caregiver, substitute, or helper who assists in the care of children meets the training
126.31
requirements in section 245A.50 and background study requirements under chapter 245C.
126
Article 6 Sec. 18.
REVISOR
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127.1
Sec. 19. Minnesota Statutes 2022, section 245A.1435, is amended to read:
127.2
245A.1435 REDUCTION OF RISK OF SUDDEN UNEXPECTED INFANT DEATH
127.3
IN LICENSED PROGRAMS.
127.4
(a) When a license holder is placing an infant to sleep, the license holder must place the
127.5
infant on the infant's back, unless the license holder has documentation from the infant's
127.6
physician, advanced practice registered nurse, or physician assistant directing an alternative
127.7
sleeping position for the infant. The physician, advanced practice registered nurse, or
127.8
physician assistant directive must be on a form approved developed by the commissioner
127.9
and must remain on file at the licensed location. An infant who independently rolls onto its
127.10
stomach after being placed to sleep on its back may be allowed to remain sleeping on its
127.11
stomach if the infant is at least six months of age or the license holder has a signed statement
127.12
from the parent indicating that the infant regularly rolls over at home.
127.13
(b) The license holder must place the infant in a crib directly on a firm mattress with a
127.14
fitted sheet that is appropriate to the mattress size, that fits tightly on the mattress, and
127.15
overlaps the underside of the mattress so it cannot be dislodged by pulling on the corner of
127.16
the sheet with reasonable effort. The license holder must not place anything in the crib with
127.17
the infant except for the infant's pacifier, as defined in Code of Federal Regulations, title
127.18
16, part 1511. The pacifier must be free from any sort of attachment. The requirements of
127.19
this section apply to license holders serving infants younger than one year of age. Licensed
127.20
child care providers must meet the crib requirements under section 245A.146. A correction
127.21
order shall not be issued under this paragraph unless there is evidence that a violation
127.22
occurred when an infant was present in the license holder's care.
127.23
(c) If an infant falls asleep before being placed in a crib, the license holder must move
127.24
the infant to a crib as soon as practicable, and must keep the infant within sight of the license
127.25
holder until the infant is placed in a crib. When an infant falls asleep while being held, the
127.26
license holder must consider the supervision needs of other children in care when determining
127.27
how long to hold the infant before placing the infant in a crib to sleep. The sleeping infant
127.28
must not be in a position where the airway may be blocked or with anything covering the
127.29
infant's face.
127.30
(d) When a license holder places an infant under one year of age down to sleep, the
127.31
infant's clothing or sleepwear must not have weighted materials, a hood, or a bib.
127.32
(e) A license holder may place an infant under one year of age down to sleep wearing
127.33
a helmet if the license holder has signed documentation by a physician, advanced practice
127
Article 6 Sec. 19.
REVISOR
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128.1
registered nurse, physician assistant, licensed occupational therapist, or licensed physical
128.2
therapist on a form developed by the commissioner.
128.3
(d) (f) Placing a swaddled infant down to sleep in a licensed setting is not recommended
128.4
for an infant of any age and is prohibited for any infant who has begun to roll over
128.5
independently. However, with the written consent of a parent or guardian according to this
128.6
paragraph, a license holder may place the infant who has not yet begun to roll over on its
128.7
own down to sleep in a one-piece sleeper equipped with an attached system that fastens
128.8
securely only across the upper torso, with no constriction of the hips or legs, to create a
128.9
swaddle. A swaddle is defined as a one-piece sleepwear that wraps over the infant's arms,
128.10
fastens securely only across the infant's upper torso, and does not constrict the infant's hips
128.11
or legs. If a swaddle is used by a license holder, the license holder must ensure that it meets
128.12
the requirements of paragraph (d) and is not so tight that it restricts the infant's ability to
128.13
breathe or so loose that the fabric could cover the infant's nose and mouth. Prior to any use
128.14
of swaddling for sleep by a provider licensed under this chapter, the license holder must
128.15
obtain informed written consent for the use of swaddling from the parent or guardian of the
128.16
infant on a form provided developed by the commissioner and prepared in partnership with
128.17
the Minnesota Sudden Infant Death Center.
128.18
(g) A license holder may request a variance to this section to permit the use of a
128.19
cradleboard when requested by a parent or guardian for a cultural accommodation. A variance
128.20
for the use of a cradleboard may be issued only by the commissioner. The variance request
128.21
must be submitted on a form developed by the commissioner in partnership with Tribal
128.22
welfare agencies and the Department of Health.
128.23
EFFECTIVE DATE. This section is effective January 1, 2024.
128.24
Sec. 20. Minnesota Statutes 2022, section 245A.146, subdivision 3, is amended to read:
128.25
Subd. 3. License holder documentation of cribs. (a) Annually, from the date printed
128.26
on the license, all license holders shall check all their cribs' brand names and model numbers
128.27
against the United States Consumer Product Safety Commission website listing of unsafe
128.28
cribs.
128.29
(b) The license holder shall maintain written documentation to be reviewed on site for
128.30
each crib showing that the review required in paragraph (a) has been completed, and which
128.31
of the following conditions applies:
128.32
(1) the crib was not identified as unsafe on the United States Consumer Product Safety
128.33
Commission website;
128
Article 6 Sec. 20.
REVISOR
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129.1
(2) the crib was identified as unsafe on the United States Consumer Product Safety
129.2
Commission website, but the license holder has taken the action directed by the United
129.3
States Consumer Product Safety Commission to make the crib safe; or
129.4
(3) the crib was identified as unsafe on the United States Consumer Product Safety
129.5
Commission website, and the license holder has removed the crib so that it is no longer
129.6
used by or accessible to children in care.
129.7
(c) Documentation of the review completed under this subdivision shall be maintained
129.8
by the license holder on site and made available to parents or guardians of children in care
129.9
and the commissioner.
129.10
(d) Notwithstanding Minnesota Rules, part 9502.0425, a family child care provider that
129.11
complies with this section may use a mesh-sided or fabric-sided play yard, pack and play,
129.12
or playpen or crib that has not been identified as unsafe on the United States Consumer
129.13
Product Safety Commission website for the care or sleeping of infants.
129.14
(e) On at least a monthly basis, the family child care license holder shall perform safety
129.15
inspections of every mesh-sided or fabric-sided play yard, pack and play, or playpen used
129.16
by or that is accessible to any child in care, and must document the following:
129.17
(1) there are no tears, holes, or loose or unraveling threads in mesh or fabric sides of
129.18
crib;
129.19
(2) the weave of the mesh on the crib is no larger than one-fourth of an inch;
129.20
(3) no mesh fabric is unsecure or unattached to top rail and floor plate of crib;
129.21
(4) no tears or holes to top rail of crib;
129.22
(5) the mattress floor board is not soft and does not exceed one inch thick;
129.23
(6) the mattress floor board has no rips or tears in covering;
129.24
(7) the mattress floor board in use is a waterproof an original mattress or replacement
129.25
mattress provided by the manufacturer of the crib;
129.26
(8) there are no protruding or loose rivets, metal nuts, or bolts on the crib;
129.27
(9) there are no knobs or wing nuts on outside crib legs;
129.28
(10) there are no missing, loose, or exposed staples; and
129.29
(11) the latches on top and side rails used to collapse crib are secure, they lock properly,
129.30
and are not loose.
129
Article 6 Sec. 20.
REVISOR
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130.1
(f) If a cradleboard is used in a licensed setting, the license holder must check the
130.2
cradleboard not less than monthly to ensure the cradleboard is structurally sound and there
130.3
are no loose or protruding parts. The license holder shall maintain written documentation
130.4
of this review.
130.5
EFFECTIVE DATE. This section is effective January 1, 2024.
130.6
Sec. 21. Minnesota Statutes 2022, section 245A.16, subdivision 1, is amended to read:
130.7
Subdivision 1. Delegation of authority to agencies. (a) County agencies and private
130.8
agencies that have been designated or licensed by the commissioner to perform licensing
130.9
functions and activities under section 245A.04 and background studies for family child care
130.10
under chapter 245C; to recommend denial of applicants under section 245A.05; to issue
130.11
correction orders, to issue variances, and recommend a conditional license under section
130.12
245A.06; or to recommend suspending or revoking a license or issuing a fine under section
130.13
245A.07, shall comply with rules and directives of the commissioner governing those
130.14
functions and with this section. The following variances are excluded from the delegation
130.15
of variance authority and may be issued only by the commissioner:
130.16
(1) dual licensure of family child care and child foster care, dual licensure of child and
130.17
adult foster care, and adult foster care and family child care;
130.18
(2) adult foster care maximum capacity;
130.19
(3) adult foster care minimum age requirement;
130.20
(4) child foster care maximum age requirement;
130.21
(5) variances regarding disqualified individuals except that, before the implementation
130.22
of NETStudy 2.0, county agencies may issue variances under section 245C.30 regarding
130.23
disqualified individuals when the county is responsible for conducting a consolidated
130.24
reconsideration according to sections 245C.25 and 245C.27, subdivision 2, clauses (a) and
130.25
(b), of a county maltreatment determination and a disqualification based on serious or
130.26
recurring maltreatment;
130.27
(6) the required presence of a caregiver in the adult foster care residence during normal
130.28
sleeping hours;
130.29
(7) variances to requirements relating to chemical use problems of a license holder or a
130.30
household member of a license holder; and
130
Article 6 Sec. 21.
REVISOR
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131.1
(8) variances to section 245A.53 for a time-limited period. If the commissioner grants
131.2
a variance under this clause, the license holder must provide notice of the variance to all
131.3
parents and guardians of the children in care.; and
131.4
(9) variances to section 245A.1435 for the use of a cradleboard for a cultural
131.5
accommodation.
131.6
Except as provided in section 245A.14, subdivision 4, paragraph (e), a county agency must
131.7
not grant a license holder a variance to exceed the maximum allowable family child care
131.8
license capacity of 14 children.
131.9
(b) A county agency that has been designated by the commissioner to issue family child
131.10
care variances must:
131.11
(1) publish the county agency's policies and criteria for issuing variances on the county's
131.12
public website and update the policies as necessary; and
131.13
(2) annually distribute the county agency's policies and criteria for issuing variances to
131.14
all family child care license holders in the county.
131.15
(c) Before the implementation of NETStudy 2.0, county agencies must report information
131.16
about disqualification reconsiderations under sections 245C.25 and 245C.27, subdivision
131.17
2, paragraphs (a) and (b), and variances granted under paragraph (a), clause (5), to the
131.18
commissioner at least monthly in a format prescribed by the commissioner.
131.19
(d) (c) For family child care programs, the commissioner shall require a county agency
131.20
to conduct one unannounced licensing review at least annually.
131.21
(e) (d) For family adult day services programs, the commissioner may authorize licensing
131.22
reviews every two years after a licensee has had at least one annual review.
131.23
(f) (e) A license issued under this section may be issued for up to two years.
131.24
(g) (f) During implementation of chapter 245D, the commissioner shall consider:
131.25
(1) the role of counties in quality assurance;
131.26
(2) the duties of county licensing staff; and
131.27
(3) the possible use of joint powers agreements, according to section 471.59, with counties
131.28
through which some licensing duties under chapter 245D may be delegated by the
131.29
commissioner to the counties.
131.30
Any consideration related to this paragraph must meet all of the requirements of the corrective
131.31
action plan ordered by the federal Centers for Medicare and Medicaid Services.
131
Article 6 Sec. 21.
REVISOR
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132.1
(h) (g) Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or
132.2
successor provisions; and section 245D.061 or successor provisions, for family child foster
132.3
care programs providing out-of-home respite, as identified in section 245D.03, subdivision
132.4
1, paragraph (b), clause (1), is excluded from the delegation of authority to county and
132.5
private agencies.
132.6
(i) (h) A county agency shall report to the commissioner, in a manner prescribed by the
132.7
commissioner, the following information for a licensed family child care program:
132.8
(1) the results of each licensing review completed, including the date of the review, and
132.9
any licensing correction order issued;
132.10
(2) any death, serious injury, or determination of substantiated maltreatment; and
132.11
(3) any fires that require the service of a fire department within 48 hours of the fire. The
132.12
information under this clause must also be reported to the state fire marshal within two
132.13
business days of receiving notice from a licensed family child care provider.
132.14
EFFECTIVE DATE. This section is effective the day following final enactment, except
132.15
for the changes to paragraph (a), clauses (7) to (9), which are effective January 1, 2024.
132.16
Sec. 22. Minnesota Statutes 2022, section 245A.16, subdivision 9, is amended to read:
132.17
Subd. 9. Licensed family foster settings. (a) Before recommending to grant a license,
132.18
deny a license under section 245A.05, or revoke a license under section 245A.07 for
132.19
nondisqualifying background study information received under section 245C.05, subdivision
132.20
4, paragraph (a), clause (3), for a licensed family foster setting, a county agency or private
132.21
agency that has been designated or licensed by the commissioner must review the following
132.22
for the license holder, applicant, or an individual living in the household where the licensed
132.23
services are provided or who is otherwise subject to a background study:
132.24
(1) the type of offenses;
132.25
(2) the number of offenses;
132.26
(3) the nature of the offenses;
132.27
(4) the age of the individual at the time of the offenses;
132.28
(5) the length of time that has elapsed since the last offense;
132.29
(6) the relationship of the offenses and the capacity to care for a child;
132.30
(7) evidence of rehabilitation;
132
Article 6 Sec. 22.
REVISOR
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(8) information or knowledge from community members regarding the individual's
133.2
capacity to provide foster care;
133.3
(9) any available information regarding child maltreatment reports or child in need of
133.4
protection or services petitions, or related cases, in which the individual has been involved
133.5
or implicated, and documentation that the individual has remedied issues or conditions
133.6
identified in child protection or court records that are relevant to safely caring for a child;
133.7
(10) a statement from the study subject;
133.8
(11) a statement from the license holder; and
133.9
(12) other aggravating and mitigating factors.
133.10
(b) For purposes of this section, "evidence of rehabilitation" includes but is not limited
133.11
to the following:
133.12
(1) maintaining a safe and stable residence;
133.13
(2) continuous, regular, or stable employment;
133.14
(3) successful participation in an education or job training program;
133.15
(4) positive involvement with the community or extended family;
133.16
(5) compliance with the terms and conditions of probation or parole following the
133.17
individual's most recent conviction;
133.18
(6) if the individual has had a substance use disorder, successful completion of a substance
133.19
use disorder assessment, substance use disorder treatment, and recommended continuing
133.20
care, if applicable, demonstrated abstinence from controlled substances, as defined in section
133.21
152.01, subdivision 4, or the establishment of a sober network;
133.22
(7) if the individual has had a mental illness or documented mental health issues,
133.23
demonstrated completion of a mental health evaluation, participation in therapy or other
133.24
recommended mental health treatment, or appropriate medication management, if applicable;
133.25
(8) if the individual's offense or conduct involved domestic violence, demonstrated
133.26
completion of a domestic violence or anger management program, and the absence of any
133.27
orders for protection or harassment restraining orders against the individual since the previous
133.28
offense or conduct;
133.29
(9) written letters of support from individuals of good repute, including but not limited
133.30
to employers, members of the clergy, probation or parole officers, volunteer supervisors,
133.31
or social services workers;
133
Article 6 Sec. 22.
REVISOR
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134.1
(10) demonstrated remorse for convictions or conduct, or demonstrated positive behavior
134.2
changes; and
134.3
(11) absence of convictions or arrests since the previous offense or conduct, including
134.4
any convictions that were expunged or pardoned.
134.5
(c) An applicant for a family foster setting license must sign all releases of information
134.6
requested by the county or private licensing agency.
134.7
(d) When licensing a relative for a family foster setting, the commissioner shall also
134.8
consider the importance of maintaining the child's relationship with relatives as an additional
134.9
significant factor in determining whether an application will be denied.
134.10
(e) When recommending that the commissioner deny or revoke a license, the county or
134.11
private licensing agency must send a summary of the review completed according to
134.12
paragraph (a), on a form developed by the commissioner, to the commissioner and include
134.13
any recommendation for licensing action.
134.14
EFFECTIVE DATE. This section is effective the day following final enactment.
134.15
Sec. 23. Minnesota Statutes 2022, section 245A.16, is amended by adding a subdivision
134.16
to read:
134.17
Subd. 10. Electronic checklist use by family child care licensors. County staff who
134.18
perform family child care licensing functions must use the commissioner's electronic licensing
134.19
checklist in the manner prescribed by the commissioner.
134.20
EFFECTIVE DATE. This section is effective July 1, 2023.
134.21
Sec. 24. Minnesota Statutes 2022, section 245A.18, subdivision 2, is amended to read:
134.22
Subd. 2. Child passenger restraint systems; training requirement. (a) Programs
134.23
licensed by the Department of Human Services under this chapter and Minnesota Rules,
134.24
chapter 2960, that serve a child or children under eight years of age must document training
134.25
that fulfills the requirements in this subdivision. Sections 245A.60, subdivision 4, and
134.26
245A.61, subdivision 4, describe training requirements for family foster care and foster
134.27
residence settings.
134.28
(b) Before a license holder, staff person, or caregiver transports a child or children under
134.29
age eight in a motor vehicle, the person transporting the child must satisfactorily complete
134.30
training on the proper use and installation of child restraint systems in motor vehicles.
134
Article 6 Sec. 24.
REVISOR
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135.1
Training completed under this section may be used to meet initial or ongoing training under
135.2
Minnesota Rules, part 2960.3070, subparts 1 and 2.
135.3
(c) Training required under this section must be completed at orientation or initial training
135.4
and repeated at least once every five years. At a minimum, the training must address the
135.5
proper use of child restraint systems based on the child's size, weight, and age, and the
135.6
proper installation of a car seat or booster seat in the motor vehicle used by the license
135.7
holder to transport the child or children.
135.8
(d) Training under paragraph (c) must be provided by individuals who are certified and
135.9
approved by the Department of Public Safety, Office of Traffic Safety within the Department
135.10
of Public Safety. License holders may obtain a list of certified and approved trainers through
135.11
the Department of Public Safety website or by contacting the agency.
135.12
(e) Notwithstanding paragraph (a), for an emergency relative placement under section
135.13
245A.035, the commissioner may grant a variance to the training required by this subdivision
135.14
for a relative who completes a child seat safety check up. The child seat safety check up
135.15
trainer must be approved by the Department of Public Safety, Office of Traffic Safety, and
135.16
must provide one-on-one instruction on placing a child of a specific age in the exact child
135.17
passenger restraint in the motor vehicle in which the child will be transported. Once granted
135.18
a variance, and if all other licensing requirements are met, the relative applicant may receive
135.19
a license and may transport a relative foster child younger than eight years of age. A child
135.20
seat safety check up must be completed each time a child requires a different size car seat
135.21
according to car seat and vehicle manufacturer guidelines. A relative license holder must
135.22
complete training that meets the other requirements of this subdivision prior to placement
135.23
of another foster child younger than eight years of age in the home or prior to the renewal
135.24
of the child foster care license.
135.25
EFFECTIVE DATE. This section is effective January 1, 2024.
135.26
Sec. 25. [245A.211] PRONE RESTRAINT PROHIBITION.
135.27
Subdivision 1. Applicability. This section applies to all programs licensed or certified
135.28
under this chapter, chapters 245D, 245F, 245G, 245H, and sections 245I.20 and 245I.23.
135.29
The requirements in this section are in addition to any applicable requirements for the use
135.30
of holds or restraints for each license or certification type.
135.31
Subd. 2. Definitions. (a) "Mechanical restraint" means a restraint device that limits the
135.32
voluntary movement of a person or the person's limbs.
135
Article 6 Sec. 25.
REVISOR
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(b) "Prone restraint" means a restraint that places a person in a face-down position with
136.2
the person's chest in contact with the floor or other surface.
136.3
(c) "Restraint" means a physical hold, physical restraint, manual restraint, restraint
136.4
equipment, or mechanical restraint that holds a person immobile or limits the voluntary
136.5
movement of a person or the person's limbs.
136.6
Subd. 3. Prone restraint prohibition. (a) A license or certification holder must not use
136.7
a prone restraint on any person receiving services in a program, except in the instances
136.8
allowed by paragraphs (b) to (d).
136.9
(b) If a person rolls into a prone position during the use of a restraint, the person must
136.10
be restored to a nonprone position as quickly as possible.
136.11
(c) If the applicable licensing requirements allow a program to use mechanical restraints,
136.12
a person may be briefly held in a prone restraint for the purpose of applying mechanical
136.13
restraints if the person is restored to a nonprone position as quickly as possible.
136.14
(d) If the applicable licensing requirements allow a program to use seclusion, a person
136.15
may be briefly held in a prone restraint to allow staff to safely exit a seclusion room.
136.16
Subd. 4. Contraindicated physical restraints. A license or certification holder must
136.17
not implement a restraint on a person receiving services in a program in a way that is
136.18
contraindicated for any of the person's known medical or psychological conditions. Prior
136.19
to using restraints on a person, the license or certification holder must assess and document
136.20
a determination of any medical or psychological conditions that restraints are contraindicated
136.21
for and the type of restraints that will not be used on the person based on this determination.
136.22
Sec. 26. Minnesota Statutes 2022, section 245A.52, subdivision 1, is amended to read:
136.23
Subdivision 1. Means of escape. (a)(1) At least one emergency escape route separate
136.24
from the main exit from the space must be available in each room used for sleeping by
136.25
anyone receiving licensed care, and (2) a basement used for child care. One means of escape
136.26
must be a stairway or door leading to the floor of exit discharge. The other must be a door
136.27
or window leading directly outside. A window used as an emergency escape route must be
136.28
openable without special knowledge.
136.29
(b) In homes with construction that began before May 2, 2016 March 31, 2020, the
136.30
interior of the window leading directly outside must have a net clear opening area of not
136.31
less than 4.5 square feet or 648 square inches and have minimum clear opening dimensions
136.32
of 20 inches wide and 20 inches high. The net clear opening dimensions shall be the result
136.33
of normal operation of the opening. The opening must be no higher than 48 inches from the
136
Article 6 Sec. 26.
REVISOR
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137.1
floor. The height to the window may be measured from a platform if a platform is located
137.2
below the window.
137.3
(c) In homes with construction that began on or after May 2, 2016 March 31, 2020, the
137.4
interior of the window leading directly outside must have minimum clear opening dimensions
137.5
of 20 inches wide and 24 inches high. The net clear opening dimensions shall be the result
137.6
of normal operation of the opening. The opening must be no higher than 44 inches from the
137.7
floor.
137.8
(d) Additional requirements are dependent on the distance of the openings from the ground
137.9
outside the window: (1) windows or other openings with a sill height not more than 44
137.10
inches above or below the finished ground level adjacent to the opening (grade-floor
137.11
emergency escape and rescue openings) must have a minimum opening of five square feet;
137.12
and (2) non-grade-floor emergency escape and rescue openings must have a minimum
137.13
opening of 5.7 square feet.
137.14
Sec. 27. Minnesota Statutes 2022, section 245A.52, subdivision 2, is amended to read:
137.15
Subd. 2. Door to attached garage. Notwithstanding Minnesota Rules, part 9502.0425,
137.16
subpart 5, day care residences with an attached garage are not required to have a self-closing
137.17
door to the residence. The door to the residence may be If there is an opening between an
137.18
attached garage and a day care residence, there must be a door that is:
137.19
(1) a solid wood bonded-core door at least 1-3/8 inches thick;
137.20
(2) a steel insulated door if the door is at least 1-3/8 inches thick.; or
137.21
(3) a door with a fire protection rating of 20 minutes.
137.22
The separation wall on the garage side between the residence and garage must consist of
137.23
1/2 inch thick gypsum wallboard or its equivalent.
137.24
Sec. 28. Minnesota Statutes 2022, section 245A.52, subdivision 3, is amended to read:
137.25
Subd. 3. Heating and venting systems. (a) Notwithstanding Minnesota Rules, part
137.26
9502.0425, subpart 7, item C, items that can be ignited and support combustion, including
137.27
but not limited to plastic, fabric, and wood products must not be located within:
137.28
(1) 18 inches of a gas or fuel-oil heater or furnace.; or
137.29
(2) 36 inches of a solid-fuel-burning appliance.
137
Article 6 Sec. 28.
REVISOR
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138.1
(b) If a license holder produces manufacturer instructions listing a smaller distance, then
138.2
the manufacturer instructions control the distance combustible items must be from gas,
138.3
fuel-oil, or solid-fuel burning heaters or furnaces.
138.4
Sec. 29. Minnesota Statutes 2022, section 245A.52, subdivision 5, is amended to read:
138.5
Subd. 5. Carbon monoxide and smoke alarms. (a) All homes must have an approved
138.6
and operational carbon monoxide alarm installed within ten feet of each room used for
138.7
sleeping children in care.
138.8
(b) Smoke alarms that have been listed by the Underwriter Laboratory must be properly
138.9
installed and maintained on all levels including basements, but not including crawl spaces
138.10
and uninhabitable attics, and in hallways outside rooms used for sleeping children in care.
138.11
in hallways outside of rooms used for sleeping children and on all levels, including basements
138.12
but not including crawl spaces and uninhabitable attics.
138.13
(c) In homes with construction that began on or after May 2, 2016 March 31, 2020,
138.14
smoke alarms must be installed and maintained in each room used for sleeping children in
138.15
care.
138.16
Sec. 30. Minnesota Statutes 2022, section 245A.52, is amended by adding a subdivision
138.17
to read:
138.18
Subd. 7. Stairways. All stairways must meet the following conditions.
138.19
(1) Stairways of four or more steps must have handrails on at least one side.
138.20
(2) Any open area between the handrail and stair tread must be enclosed with a protective
138.21
guardrail as specified in the State Building Code. At open risers, openings located more
138.22
than 30 inches (762 mm), as measured vertically, to the floor or grade below shall not permit
138.23
the passage of a sphere four inches (102 mm) in diameter.
138.24
(3) Gates or barriers must be used when children between the ages of six and 18 months
138.25
are in care.
138.26
(4) Stairways must be well lit, in good repair, and free of clutter and obstructions.
138.27
Sec. 31. Minnesota Statutes 2022, section 245A.52, is amended by adding a subdivision
138.28
to read:
138.29
Subd. 8. Fire code variances. When a variance is requested of the standards contained
138.30
in subdivision 1, 2, 3, 4, or 5, an applicant or provider must submit written approval from
138
Article 6 Sec. 31.
REVISOR
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139.1
the state fire marshal of the variance requested and the alternative measures identified to
139.2
ensure the safety of children in care.
139.3
Sec. 32. [245A.60] FAMILY CHILD FOSTER CARE TRAINING REQUIREMENTS.
139.4
Subdivision 1. Applicability. This section applies to programs licensed to provide foster
139.5
care for children in the license holder's residence. For the purposes of this section, "foster
139.6
parent" means a license holder under this chapter. For the purposes of this section, "caregiver"
139.7
means a person who provides services to a child according to the child's case plan in a setting
139.8
licensed under Minnesota Rules, parts 2960.3000 to 2960.3340.
139.9
Subd. 2. Orientation. (a) Each foster parent applicant must complete a minimum of six
139.10
hours of orientation before the commissioner will license the applicant. An applicant's
139.11
orientation training hours do not count toward yearly training hours. The commissioner
139.12
may grant a variance to the applicant regarding the number of orientation hours that this
139.13
subdivision requires.
139.14
(b) The foster parent's orientation must include training about the following:
139.15
(1) emergency procedures, including evacuation routes, emergency telephone numbers,
139.16
severe storm and tornado procedures, and the location of alarms and equipment;
139.17
(2) all relevant laws and rules, including this chapter; chapters 260, 260C, 260D, and
139.18
260E; Minnesota Rules, chapter 9560; and related legal issues and reporting requirements;
139.19
(3) cultural diversity, gender sensitivity, culturally specific services, cultural competence,
139.20
and information about discrimination and racial bias to ensure that caregivers are culturally
139.21
competent to care for foster children according to section 260C.212, subdivision 11;
139.22
(4) the foster parent's roles and responsibilities in developing and implementing the
139.23
child's case plan and involvement in court and administrative reviews of the child's placement;
139.24
(5) the licensing agency's requirements;
139.25
(6) one hour relating to reasonable and prudent parenting standards for the child's
139.26
participation in age-appropriate or developmentally appropriate extracurricular, social, or
139.27
cultural activities according to section 260C.212, subdivision 14;
139.28
(7) two hours relating to children's mental health issues according to subdivision 3;
139.29
(8) if subdivision 4 requires, the proper use and installation of child passenger restraint
139.30
systems in motor vehicles;
139
Article 6 Sec. 32.
REVISOR
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140.1
(9) if subdivision 5 requires, at least one hour about reducing the risk of sudden
140.2
unexpected infant death and abusive head trauma from shaking infants and young children;
140.3
and
140.4
(10) if subdivision 6 requires, operating medical equipment.
140.5
Subd. 3. Mental health training. Each foster parent prior to licensure and each caregiver
140.6
prior to caring for a foster child must complete two hours of training that addresses the
140.7
causes, symptoms, and key warning signs of children's mental health disorders; cultural
140.8
considerations; and effective approaches to manage a child's behaviors. Each year, each
140.9
foster parent and caregiver must complete at least one hour of training about children's
140.10
mental health issues and treatment. A short-term substitute caregiver is exempt from this
140.11
subdivision. The commissioner of human services shall approve of a mental health training
140.12
curriculum that satisfies the requirements of this subdivision.
140.13
Subd. 4. Child passenger restraint systems. (a) Each foster parent and caregiver must
140.14
satisfactorily complete training about the proper use and installation of child passenger
140.15
restraint systems in motor vehicles before transporting a child younger than eight years of
140.16
age in a motor vehicle.
140.17
(b) An individual who is certified and approved by the Office of Traffic Safety within
140.18
the Department of Public Safety must provide training about the proper use and installation
140.19
of child passenger restraint systems in motor vehicles to each foster parent and caregiver
140.20
who transports a child. At a minimum, the training must address the proper use of child
140.21
passenger restraint systems based on a child's size, weight, and age, and the proper installation
140.22
of a car seat or booster seat in the motor vehicle that will be transporting the child. A foster
140.23
parent or caregiver who transports a child must repeat the training in this subdivision at
140.24
least once every five years.
140.25
(c) Notwithstanding paragraph (a), for an emergency relative placement under section
140.26
245A.035, the commissioner may grant a variance to the training required by this subdivision
140.27
to a child's relative who completes a child seat safety checkup. The Office of Traffic Safety
140.28
within the Department of Public Safety must approve of the child seat safety checkup trainer
140.29
and must provide one-on-one instruction to the child's relative applicant about placing a
140.30
child of a specific age in the exact child passenger restraint in the motor vehicle that will
140.31
be used to transport the child. Once the commissioner grants a variance to the child's relative,
140.32
the child's relative may transport a relative foster child younger than eight years of age, and
140.33
once the child's relative meets all other licensing requirements, the commissioner may
140.34
license the child's relative applicant. The child's relative must complete a child seat safety
140
Article 6 Sec. 32.
REVISOR
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141.1
checkup each time that the child requires a different sized car seat according to car seat and
141.2
vehicle manufacturer guidelines. A relative license holder must complete training that meets
141.3
the other requirements of this subdivision prior to placement of another foster child younger
141.4
than eight years of age in the relative license holder's home or prior to the renewal of the
141.5
relative license holder's child foster care license.
141.6
Subd. 5. Training about the risk of sudden unexpected infant death and abusive
141.7
head trauma. (a) Each foster parent and caregiver who cares for an infant or a child five
141.8
years of age or younger must satisfactorily complete at least one hour of training about
141.9
reducing the risk of sudden unexpected infant death pursuant to section 245A.1435 and
141.10
abusive head trauma from shaking infants and young children. Each foster parent and
141.11
caregiver must complete this training prior to caring for an infant or a child five years of
141.12
age or younger. The county or private licensing agency monitoring the foster care provider
141.13
under section 245A.16 must approve of the training about reducing the risk of sudden
141.14
unexpected infant death and abusive head trauma from shaking infants and young children.
141.15
(b) At a minimum, the training must address the risk factors related to sudden unexpected
141.16
infant death and abusive head trauma, means of reducing the risk of sudden unexpected
141.17
infant death and abusive head trauma, and license holder communication with parents
141.18
regarding reducing the risk of sudden unexpected infant death and abusive head trauma.
141.19
(c) For emergency relative placements under section 245A.035, this training must be
141.20
completed before a license is issued. Each foster parent and caregiver must complete the
141.21
training in this subdivision at least once every five years.
141.22
Subd. 6. Training on use of medical equipment. (a) If caring for a child who relies on
141.23
medical equipment to sustain the child's life or monitor the child's medical condition, each
141.24
foster parent and caregiver must satisfactorily complete training to operate the child's
141.25
equipment with a health care professional or an individual who provides training on the
141.26
child's equipment.
141.27
(b) A foster parent or caregiver is exempt from this subdivision if:
141.28
(1) the foster parent or caregiver is currently caring for an individual who is using the
141.29
same equipment in the foster home; or
141.30
(2) the foster parent or caregiver has written documentation that the foster parent or
141.31
caregiver has cared for an individual who relied on the same equipment within the past six
141.32
months.
141
Article 6 Sec. 32.
REVISOR
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142.1
Subd. 7. Fetal alcohol spectrum disorders training. Each foster parent and caregiver
142.2
must complete at least one hour of training yearly on fetal alcohol spectrum disorders. A
142.3
provider who is also licensed to provide home and community-based services under chapter
142.4
245D and the provider's staff are exempt from this subdivision. A short-term substitute
142.5
caregiver is exempt from this subdivision. The commissioner of human services shall approve
142.6
a fetal alcohol spectrum disorders training curriculum that satisfies the requirements of this
142.7
subdivision.
142.8
Subd. 8. Yearly training requirement. (a) Each foster parent must complete a minimum
142.9
of 12 hours of training per year. If a foster parent fails to complete the required yearly
142.10
training and does not show good cause why the foster parent did not complete the training,
142.11
the foster parent is prohibited from accepting a new foster child placement until the foster
142.12
parent completes the training. The commissioner may grant a variance to the required number
142.13
of yearly training hours.
142.14
(b) Each year, each foster parent and caregiver must complete one hour of training about
142.15
children's mental health issues according to subdivision 3, and one hour of training about
142.16
fetal alcohol spectrum disorders, if required by subdivision 7.
142.17
(c) Each year, each foster parent and caregiver must complete training about the reporting
142.18
requirements and definitions in chapter 260E, as section 245A.66 requires. Foster parents
142.19
and caregivers caring for youth 18 and older in extended foster care must complete training
142.20
about the reporting requirements and definitions in section 626.557, as section 245A.65,
142.21
subdivision 3 requires.
142.22
(d) At least once every five years, each foster parent and caregiver must complete one
142.23
hour of training about reducing the risk of sudden unexpected infant death and abusive head
142.24
trauma, if required by subdivision 5.
142.25
(e) At least once every five years, each foster parent and caregiver must complete training
142.26
regarding child passenger restraint systems, if required by subdivision 4.
142.27
(f) The commissioner may provide each foster parent with a nonexclusive list of eligible
142.28
training topics and resources that fulfill the remaining hours of required yearly training.
142.29
Subd. 9. Documentation of training. (a) The licensing agency must document the
142.30
trainings that this section requires on a form that the commissioner has developed.
142.31
(b) For training required under subdivision 6, the agency must retain a training and skills
142.32
form on file and update the form each year for each foster care provider who completes
142.33
training about caring for a child who relies on medical equipment to sustain the child's life
142
Article 6 Sec. 32.
REVISOR
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143.1
or monitor the child's medical condition. The agency placing the child must obtain a copy
143.2
of the training and skills form from the foster parent or from the agency supervising the
143.3
foster parent. The agency must retain the form and any updated information on file for the
143.4
placement's duration. The form must be available to the parent or guardian and the child's
143.5
social worker for the social worker to make an informed placement decision. The agency
143.6
must use the training and skills form that the commissioner has developed.
143.7
EFFECTIVE DATE. This section is effective January 1, 2024.
143.8
Sec. 33. [245A.61] FOSTER RESIDENCE SETTING STAFF TRAINING
143.9
REQUIREMENTS.
143.10
Subdivision 1. Applicability. This section applies to foster residence settings, which is
143.11
defined as foster care that a license holder licensed under this chapter provides in a home
143.12
in which the license holder does not reside. Foster residence setting does not include any
143.13
program licensed or certified under Minnesota Rules, parts 2960.0010 to 2960.0710. For
143.14
the purposes of this section, "caregiver" means a person who provides services to a child
143.15
according to the child's case plan in a setting licensed under Minnesota Rules, parts
143.16
2960.3000 to 2960.3340.
143.17
Subd. 2. Orientation. The license holder must ensure that each staff person attends and
143.18
successfully completes at least six hours of orientation training before the staff person has
143.19
unsupervised contact with a foster child. Orientation training hours are not counted toward
143.20
the hours of yearly training. Orientation must include training about the following:
143.21
(1) emergency procedures including evacuation routes, emergency telephone numbers,
143.22
severe storm and tornado procedures, and the location of facility alarms and equipment;
143.23
(2) all relevant laws, rules, and legal issues, including reporting requirements for
143.24
maltreatment, abuse, and neglect specified in chapter 260E and section 626.557 and other
143.25
reporting requirements based on the children's ages;
143.26
(3) cultural diversity, gender sensitivity, culturally specific services, and information
143.27
about discrimination and racial bias to ensure that caregivers are culturally sensitive and
143.28
culturally competent to care for foster children according to section 260C.212, subdivision
143.29
11;
143.30
(4) general and special needs, including disability needs, of children and families served;
143.31
(5) operational policies and procedures of the license holder;
143.32
(6) data practices requirements and issues;
143
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144.1
(7) two hours of training about children's mental health disorders according to subdivision
144.2
3;
144.3
(8) if required by subdivision 4, the proper use and installation of child passenger restraint
144.4
systems in motor vehicles;
144.5
(9) if required by subdivision 5, at least one hour of training about reducing the risk of
144.6
sudden unexpected infant death and abusive head trauma from shaking infants and young
144.7
children; and
144.8
(10) if required by subdivision 6, caring for a child who relies on medical equipment to
144.9
sustain the child's life or monitor the child's medical condition.
144.10
Subd. 3. Mental health training. Prior to caring for a child, a staff person must complete
144.11
two hours of training that addresses the causes, symptoms, and key warning signs of mental
144.12
health disorders; cultural considerations; and effective approaches to manage a child's
144.13
behaviors. A foster residence staff person must complete at least one hour of the yearly
144.14
training requirement regarding children's mental health issues and treatment. The
144.15
commissioner of human services shall approve a mental health training curriculum that
144.16
satisfies the requirements of this subdivision.
144.17
Subd. 4. Child passenger restraint systems. Prior to transporting a child younger than
144.18
eight years of age in a motor vehicle, a license holder, staff person, or caregiver must
144.19
satisfactorily complete training about the proper use and installation of child restraint systems
144.20
in motor vehicles. An individual who is certified and approved by the Office of Traffic
144.21
Safety within the Department of Public Safety must provide training to a license holder,
144.22
staff person, or caregiver about the proper use and installation of child restraint systems in
144.23
motor vehicles.
144.24
At a minimum, the training must address the proper use of child passenger restraint
144.25
systems based on a child's size, weight, and age and the proper installation of a car seat or
144.26
booster seat in the motor vehicle transporting the child. Each license holder, staff person,
144.27
and caregiver transporting a child younger than eight years of age in a motor vehicle must
144.28
complete the training in this subdivision at least once every five years.
144.29
Subd. 5. Training about the risk of sudden unexpected infant death and abusive
144.30
head trauma. (a) A license holder who cares for an infant or a child five years of age or
144.31
younger must document that each staff person has satisfactorily completed at least one hour
144.32
of training about reducing the risk of sudden unexpected infant death pursuant to section
144.33
245A.1435 and abusive head trauma from shaking infants and young children. Each staff
144.34
person must complete the training in this subdivision prior to caring for an infant or a child
144
Article 6 Sec. 33.
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145.1
five years of age or younger. The county or private licensing agency responsible for
145.2
monitoring the child foster care provider under section 245A.16 must approve of the training
145.3
about reducing the risk of sudden unexpected infant death and abusive head trauma from
145.4
shaking infants and young children.
145.5
(b) At a minimum, the training must address the risk factors related to sudden unexpected
145.6
infant death and abusive head trauma, means of reducing the risk of sudden unexpected
145.7
infant death and abusive head trauma, and license holder communication with parents
145.8
regarding reducing the risk of sudden unexpected infant death and abusive head trauma
145.9
from shaking infants and young children.
145.10
(c) Each staff person caring for an infant or a child five years of age or younger must
145.11
complete the training in this subdivision at least once every five years.
145.12
Subd. 6. Training on use of medical equipment. (a) If caring for a child who relies on
145.13
medical equipment to sustain the child's life or monitor a child's medical condition, the
145.14
license holder or staff person must complete training to operate the child's equipment. A
145.15
health care professional or an individual who provides training on the equipment must train
145.16
the license holder or staff person about how to operate the child's equipment.
145.17
(b) A license holder is exempt from this subdivision if:
145.18
(1) the license holder is currently caring for an individual who is using the same
145.19
equipment in the foster home and each staff person has received training to use the
145.20
equipment; or
145.21
(2) the license holder has written documentation that, within the past six months, the
145.22
license holder has cared for an individual who relied on the same equipment and each current
145.23
staff person has received training to use the same equipment.
145.24
Subd. 7. Fetal alcohol spectrum disorders training. (a) For each staff person, at least
145.25
one hour of their yearly training requirement in subdivision 9 must be about fetal alcohol
145.26
spectrum disorders. The commissioner of human services shall approve of a fetal alcohol
145.27
spectrum disorders training curriculum that satisfies the requirements of this subdivision.
145.28
(b) A provider who is also licensed to provide home and community-based services
145.29
under chapter 245D and the provider's staff are exempt from this subdivision.
145.30
Subd. 8. Prudent parenting standards training. The license holder must have at least
145.31
one on-site staff person who is trained regarding the reasonable and prudent parenting
145.32
standards in section 260C.212, subdivision 14, and authorized to apply the reasonable and
145.33
prudent parenting standards to decisions involving the approval of a foster child's
145
Article 6 Sec. 33.
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participation in age-appropriate and developmentally appropriate extracurricular, social, or
146.2
cultural activities. The trained on-site staff person is not required to be available 24 hours
146.3
per day.
146.4
Subd. 9. Yearly training plan and hours. (a) A license holder must develop a yearly
146.5
training plan for staff and volunteers. The license holder must modify training for staff and
146.6
volunteers each year to meet each person's current needs and provide sufficient training to
146.7
accomplish each staff person's duties. To determine the type and amount of training for
146.8
each person, the license holder must consider the foster care program's target population,
146.9
the program's services, and expected outcomes from the services, as well as the employee's
146.10
job description, tasks, and the position's performance indicators.
146.11
(b) A full-time staff person who has direct contact with children must complete at least
146.12
18 hours of in-service training per year, including nine hours of skill development training.
146.13
(c) A part-time direct care staff person must complete sufficient training to competently
146.14
care for children. The amount of training must be at least one hour of training for each 60
146.15
hours that the part-time direct care staff person has worked, up to 18 hours of training per
146.16
part-time employee per year.
146.17
(d) Other foster residence staff and volunteers must complete in-service training
146.18
requirements each year that are consistent with the foster residence staff and volunteers'
146.19
duties.
146.20
(e) Section 245A.66 requires a license holder to ensure that all staff and volunteers have
146.21
training yearly about the reporting requirements and definitions in chapter 260E.
146.22
Subd. 10. Documentation of training. (a) For each staff person and volunteer, the
146.23
license holder must document the date, the number of training hours, and the name of the
146.24
entity that provided the training.
146.25
(b) For training required under subdivision 6, the agency supervising the foster care
146.26
provider must retain a training and skills form on file and update the form each year for
146.27
each staff person who completes training about caring for a child who relies on medical
146.28
equipment to sustain the child's life or monitor a child's medical condition. The agency
146.29
placing the child must obtain a copy of the training and skills form from the foster care
146.30
provider or the agency supervising the foster care provider. The placing agency must retain
146.31
the form and any updated information on file for the placement's duration. The form must
146.32
be available to the child's parent or the child's primary caregiver and the child's social worker
146.33
to make an informed placement decision. The agency must use the training and skills form
146.34
that the commissioner has developed.
146
Article 6 Sec. 33.
REVISOR
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147.1
EFFECTIVE DATE. This section is effective January 1, 2024.
147.2
Sec. 34. Minnesota Statutes 2022, section 245A.66, is amended by adding a subdivision
147.3
to read:
147.4
Subd. 4. Ongoing training requirement. (a) In addition to the orientation training
147.5
required by the applicable licensing rules and statutes, children's residential facility, and
147.6
private child-placing agency, license holders must provide a training annually on the
147.7
maltreatment of minors reporting requirements and definitions in chapter 260E to each
147.8
mandatory reporter, as described in section 260E.06, subdivision 1.
147.9
(b) In addition to the orientation training required by the applicable licensing rules and
147.10
statutes, all family child foster care license holders and caregivers and foster residence
147.11
setting staff and volunteers that are mandatory reporters as described in section 260E.06,
147.12
subdivision 1, must complete training each year on the maltreatment of minors reporting
147.13
requirements and definitions in chapter 260E.
147.14
EFFECTIVE DATE. This section is effective January 1, 2024.
147.15
Sec. 35. Minnesota Statutes 2022, section 245C.02, subdivision 6a, is amended to read:
147.16
Subd. 6a. Child care background study subject. (a) "Child care background study
147.17
subject" means an individual who is affiliated with a licensed child care center, certified
147.18
license-exempt child care center, licensed family child care program, or legal nonlicensed
147.19
child care provider authorized under chapter 119B, and who is:
147.20
(1) employed by a child care provider for compensation;
147.21
(2) assisting in the care of a child for a child care provider;
147.22
(3) a person applying for licensure, certification, or enrollment;
147.23
(4) a controlling individual as defined in section 245A.02, subdivision 5a;
147.24
(5) an individual 13 years of age or older who lives in the household where the licensed
147.25
program will be provided and who is not receiving licensed services from the program;
147.26
(6) an individual ten to 12 years of age who lives in the household where the licensed
147.27
services will be provided when the commissioner has reasonable cause as defined in section
147.28
245C.02, subdivision 15;
147.29
(7) an individual who, without providing direct contact services at a licensed program,
147.30
certified program, or program authorized under chapter 119B, may have unsupervised access
147
Article 6 Sec. 35.
REVISOR
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148.1
to a child receiving services from a program when the commissioner has reasonable cause
148.2
as defined in section 245C.02, subdivision 15; or
148.3
(8) a volunteer, contractor providing services for hire in the program, prospective
148.4
employee, or other individual who has unsupervised physical access to a child served by a
148.5
program and who is not under supervision by an individual listed in clause (1) or (5),
148.6
regardless of whether the individual provides program services.
148.7
(b) Notwithstanding paragraph (a), an individual who is providing services that are not
148.8
part of the child care program is not required to have a background study if:
148.9
(1) the child receiving services is signed out of the child care program for the duration
148.10
that the services are provided;
148.11
(2) the licensed child care center, certified license-exempt child care center, licensed
148.12
family child care program, or legal nonlicensed child care provider authorized under chapter
148.13
119B has obtained advanced written permission from the parent authorizing the child to
148.14
receive the services, which is maintained in the child's record;
148.15
(3) the licensed child care center, certified license-exempt child care center, licensed
148.16
family child care program, or legal nonlicensed child care provider authorized under chapter
148.17
119B maintains documentation on site that identifies the individual service provider and
148.18
the services being provided; and
148.19
(4) the licensed child care center, certified license-exempt child care center, licensed
148.20
family child care program, or legal nonlicensed child care provider authorized under chapter
148.21
119B ensures that the service provider does not have unsupervised access to a child not
148.22
receiving the provider's services.
148.23
Sec. 36. Minnesota Statutes 2022, section 245C.02, subdivision 11c, is amended to read:
148.24
Subd. 11c. Entity. "Entity" means any program, organization, license holder, government
148.25
agency, or agency initiating required to initiate a background study.
148.26
Sec. 37. Minnesota Statutes 2022, section 245C.02, is amended by adding a subdivision
148.27
to read:
148.28
Subd. 11f. Employee. "Employee" means an individual who provides services or seeks
148.29
to provide services for the entity with which they are required to be affiliated in NETStudy
148.30
2.0 and who is subject to oversight by the entity, which includes but is not limited to
148.31
continuous, direct supervision by the entity and being subject to immediate removal from
148.32
providing direct care services by the entity when required.
148
Article 6 Sec. 37.
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149.1
Sec. 38. Minnesota Statutes 2022, section 245C.02, is amended by adding a subdivision
149.2
to read:
149.3
Subd. 22. Volunteer. "Volunteer" means an individual who provides or seeks to provide
149.4
services for an entity without direct compensation for services provided, is required to be
149.5
affiliated in NETStudy 2.0 and is subject to oversight by the entity, including but not limited
149.6
to continuous, direct supervision and immediate removal from providing direct care services
149.7
when required.
149.8
Sec. 39. Minnesota Statutes 2022, section 245C.03, subdivision 1, is amended to read:
149.9
Subdivision 1. Licensed programs. (a) The commissioner shall conduct a background
149.10
study on:
149.11
(1) the person or persons applying for a license;
149.12
(2) an individual age 13 and over living in the household where the licensed program
149.13
will be provided who is not receiving licensed services from the program;
149.14
(3) current or prospective employees or contractors of the applicant who will have direct
149.15
contact with persons served by the facility, agency, or program;
149.16
(4) volunteers or student volunteers who will have direct contact with persons served
149.17
by the program to provide program services if the contact is not under the continuous, direct
149.18
supervision by an individual listed in clause (1) or (3);
149.19
(5) an individual age ten to 12 living in the household where the licensed services will
149.20
be provided when the commissioner has reasonable cause as defined in section 245C.02,
149.21
subdivision 15;
149.22
(6) an individual who, without providing direct contact services at a licensed program,
149.23
may have unsupervised access to children or vulnerable adults receiving services from a
149.24
program, when the commissioner has reasonable cause as defined in section 245C.02,
149.25
subdivision 15;
149.26
(7) all controlling individuals as defined in section 245A.02, subdivision 5a;
149.27
(8) notwithstanding the other requirements in this subdivision, child care background
149.28
study subjects as defined in section 245C.02, subdivision 6a; and
149.29
(9) notwithstanding clause (3), for children's residential facilities and foster residence
149.30
settings, any adult working in the facility, whether or not the individual will have direct
149.31
contact with persons served by the facility.
149
Article 6 Sec. 39.
REVISOR
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150.1
(b) For child foster care when the license holder resides in the home where foster care
150.2
services are provided, a short-term substitute caregiver providing direct contact services for
150.3
a child for less than 72 hours of continuous care is not required to receive a background
150.4
study under this chapter.
150.5
(c) This subdivision applies to the following programs that must be licensed under
150.6
chapter 245A:
150.7
(1) adult foster care;
150.8
(2) child foster care;
150.9
(3) children's residential facilities;
150.10
(4) family child care;
150.11
(5) licensed child care centers;
150.12
(6) licensed home and community-based services under chapter 245D;
150.13
(7) residential mental health programs for adults;
150.14
(8) substance use disorder treatment programs under chapter 245G;
150.15
(9) withdrawal management programs under chapter 245F;
150.16
(10) adult day care centers;
150.17
(11) family adult day services;
150.18
(12) independent living assistance for youth;
150.19
(13) (12) detoxification programs;
150.20
(14) (13) community residential settings; and
150.21
(15) (14) intensive residential treatment services and residential crisis stabilization under
150.22
chapter 245I.
150.23
EFFECTIVE DATE. This section is effective the day following final enactment, except
150.24
for the change to paragraph (a), clause (3), which is effective August 1, 2023.
150.25
Sec. 40. Minnesota Statutes 2022, section 245C.03, subdivision 1, is amended to read:
150.26
Subdivision 1. Licensed programs. (a) The commissioner shall conduct a background
150.27
study on:
150.28
(1) the person or persons applying for a license;
150
Article 6 Sec. 40.
REVISOR
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151.1
(2) an individual age 13 and over living in the household where the licensed program
151.2
will be provided who is not receiving licensed services from the program;
151.3
(3) current or prospective employees or contractors of the applicant who will have direct
151.4
contact with persons served by the facility, agency, or program;
151.5
(4) volunteers or student volunteers who will have direct contact with persons served
151.6
by the program to provide program services if the contact is not under the continuous, direct
151.7
supervision by an individual listed in clause (1) or (3);
151.8
(5) an individual age ten to 12 living in the household where the licensed services will
151.9
be provided when the commissioner has reasonable cause as defined in section 245C.02,
151.10
subdivision 15;
151.11
(6) an individual who, without providing direct contact services at a licensed program,
151.12
may have unsupervised access to children or vulnerable adults receiving services from a
151.13
program, when the commissioner has reasonable cause as defined in section 245C.02,
151.14
subdivision 15;
151.15
(7) all controlling individuals as defined in section 245A.02, subdivision 5a;
151.16
(8) notwithstanding the other requirements in this subdivision, child care background
151.17
study subjects as defined in section 245C.02, subdivision 6a; and
151.18
(9) notwithstanding clause (3), for children's residential facilities and foster residence
151.19
settings, any adult working in the facility, whether or not the individual will have direct
151.20
contact with persons served by the facility.
151.21
(b) For child foster care when the license holder resides in the home where foster care
151.22
services are provided, a short-term substitute caregiver providing direct contact services for
151.23
a child for less than 72 hours of continuous care is not required to receive a background
151.24
study under this chapter.
151.25
(c) This subdivision applies to the following programs that must be licensed under
151.26
chapter 245A:
151.27
(1) adult foster care;
151.28
(2) child foster care;
151.29
(3) children's residential facilities;
151.30
(4) family child care;
151.31
(5) licensed child care centers;
151
Article 6 Sec. 40.
REVISOR
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152.1
(6) licensed home and community-based services under chapter 245D;
152.2
(7) residential mental health programs for adults;
152.3
(8) substance use disorder treatment programs under chapter 245G;
152.4
(9) withdrawal management programs under chapter 245F;
152.5
(10) adult day care centers;
152.6
(11) family adult day services;
152.7
(12) independent living assistance for youth;
152.8
(13) detoxification programs;
152.9
(14) community residential settings; and
152.10
(15) intensive residential treatment services and residential crisis stabilization under
152.11
chapter 245I.
152.12
Sec. 41. Minnesota Statutes 2022, section 245C.03, subdivision 1a, is amended to read:
152.13
Subd. 1a. Procedure. (a) Individuals and organizations that are required under this
152.14
section to have or initiate background studies shall comply with the requirements of this
152.15
chapter.
152.16
(b) All studies conducted under this section shall be conducted according to sections
152.17
299C.60 to 299C.64, including the consent and self-disclosure required in section 299C.62,
152.18
subdivision 2. This requirement does not apply to subdivisions 1, paragraph (c), clauses (2)
152.19
to (5), and 6a.
152.20
Sec. 42. Minnesota Statutes 2022, section 245C.03, subdivision 4, is amended to read:
152.21
Subd. 4. Personnel pool agencies; temporary personnel agencies; educational
152.22
programs; professional services agencies. (a) The commissioner also may conduct studies
152.23
on individuals specified in subdivision 1, paragraph (a), clauses (3) and (4), when the studies
152.24
are initiated by:
152.25
(1) personnel pool agencies;
152.26
(2) temporary personnel agencies;
152.27
(3) educational programs that train individuals by providing direct contact services in
152.28
licensed programs; and
152
Article 6 Sec. 42.
REVISOR
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153.1
(4) professional services agencies that are not licensed and which contract that work
153.2
with licensed programs to provide direct contact services or individuals who provide direct
153.3
contact services.
153.4
(b) Personnel pool agencies, temporary personnel agencies, and professional services
153.5
agencies must employ the individuals providing direct care services for children, people
153.6
with disabilities, or the elderly. Individuals must be affiliated in NETStudy 2.0 and subject
153.7
to oversight by the entity, which includes but is not limited to continuous, direct supervision
153.8
by the entity and being subject to immediate removal from providing direct care services
153.9
by the entity when required.
153.10
Sec. 43. Minnesota Statutes 2022, section 245C.03, subdivision 5, is amended to read:
153.11
Subd. 5. Other state agencies. The commissioner shall conduct background studies on
153.12
applicants and license holders under the jurisdiction of other state agencies who are required
153.13
in other statutory sections to initiate background studies under this chapter, including the
153.14
applicant's or license holder's employees, contractors, and volunteers when required under
153.15
other statutory sections.
153.16
Sec. 44. Minnesota Statutes 2022, section 245C.03, subdivision 5a, is amended to read:
153.17
Subd. 5a. Facilities serving children or adults licensed or regulated by the
153.18
Department of Health. (a) Except as specified in paragraph (b), the commissioner shall
153.19
conduct background studies of:
153.20
(1) individuals providing services who have direct contact, as defined under section
153.21
245C.02, subdivision 11, with patients and residents in hospitals, boarding care homes,
153.22
outpatient surgical centers licensed under sections 144.50 to 144.58; nursing homes and
153.23
home care agencies licensed under chapter 144A; assisted living facilities and assisted living
153.24
facilities with dementia care licensed under chapter 144G; and board and lodging
153.25
establishments that are registered to provide supportive or health supervision services under
153.26
section 157.17;
153.27
(2) individuals specified in subdivision 2 who provide direct contact services in a nursing
153.28
home or a home care agency licensed under chapter 144A; an assisted living facility or
153.29
assisted living facility with dementia care licensed under chapter 144G; or a boarding care
153.30
home licensed under sections 144.50 to 144.58. If the individual undergoing a study resides
153.31
outside of Minnesota, the study must include a check for substantiated findings of
153.32
maltreatment of adults and children in the individual's state of residence when the state
153.33
makes the information available;
153
Article 6 Sec. 44.
REVISOR
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154.1
(3) all other employees in assisted living facilities or assisted living facilities with
154.2
dementia care licensed under chapter 144G, nursing homes licensed under chapter 144A,
154.3
and boarding care homes licensed under sections 144.50 to 144.58. A disqualification of
154.4
an individual in this section shall disqualify the individual from positions allowing direct
154.5
contact with or access to patients or residents receiving services. "Access" means physical
154.6
access to a client or the client's personal property without continuous, direct supervision as
154.7
defined in section 245C.02, subdivision 8, when the employee's employment responsibilities
154.8
do not include providing direct contact services;
154.9
(4) individuals employed by a supplemental nursing services agency, as defined under
154.10
section 144A.70, who are providing services in health care facilities;
154.11
(5) controlling persons of a supplemental nursing services agency, as defined by section
154.12
144A.70; and
154.13
(6) license applicants, owners, managerial officials, and controlling individuals who are
154.14
required under section 144A.476, subdivision 1, or 144G.13, subdivision 1, to undergo a
154.15
background study under this chapter, regardless of the licensure status of the license applicant,
154.16
owner, managerial official, or controlling individual.
154.17
(b) The commissioner of human services shall not conduct An entity shall not initiate a
154.18
background study on any individual identified in paragraph (a), clauses (1) to (5), if the
154.19
individual has a valid license issued by a health-related licensing board as defined in section
154.20
214.01, subdivision 2, and has completed the criminal background check as required in
154.21
section 214.075. An entity that is affiliated with individuals who meet the requirements of
154.22
this paragraph must separate those individuals from the entity's roster for NETStudy 2.0.
154.23
The Department of Human Services is not liable for conducting background studies that
154.24
have been submitted or not removed from the roster in violation of this provision.
154.25
(c) If a facility or program is licensed by the Department of Human Services and the
154.26
Department of Health and is subject to the background study provisions of this chapter, the
154.27
Department of Human Services is solely responsible for the background studies of individuals
154.28
in the jointly licensed program.
154.29
(d) The commissioner of health shall review and make decisions regarding reconsideration
154.30
requests, including whether to grant variances, according to the procedures and criteria in
154.31
this chapter. The commissioner of health shall inform the requesting individual and the
154.32
Department of Human Services of the commissioner of health's decision regarding the
154.33
reconsideration. The commissioner of health's decision to grant or deny a reconsideration
154.34
of a disqualification is a final administrative agency action.
154
Article 6 Sec. 44.
REVISOR
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155.1
Sec. 45. Minnesota Statutes 2022, section 245C.031, subdivision 1, is amended to read:
155.2
Subdivision 1. Alternative background studies. (a) The commissioner shall conduct
155.3
an alternative background study of individuals listed in this section.
155.4
(b) Notwithstanding other sections of this chapter, all alternative background studies
155.5
except subdivision 12 shall be conducted according to this section and with sections 299C.60
155.6
to 299C.64, including the consent and self-disclosure required in section 299C.62, subdivision
155.7
2.
155.8
(c) All terms in this section shall have the definitions provided in section 245C.02.
155.9
(d) The entity that submits an alternative background study request under this section
155.10
shall submit the request to the commissioner according to section 245C.05.
155.11
(e) The commissioner shall comply with the destruction requirements in section 245C.051.
155.12
(f) Background studies conducted under this section are subject to the provisions of
155.13
section 245C.32.
155.14
(g) The commissioner shall forward all information that the commissioner receives under
155.15
section 245C.08 to the entity that submitted the alternative background study request under
155.16
subdivision 2. The commissioner shall not make any eligibility determinations regarding
155.17
background studies conducted under this section.
155.18
Sec. 46. Minnesota Statutes 2022, section 245C.031, subdivision 4, is amended to read:
155.19
Subd. 4. Applicants, licensees, and other occupations regulated by the commissioner
155.20
of health. The commissioner shall conduct an alternative background study, including a
155.21
check of state data, and a national criminal history records check of the following individuals.
155.22
For studies under this section, the following persons shall complete a consent form and
155.23
criminal history disclosure form:
155.24
(1) An applicant for initial licensure, temporary licensure, or relicensure after a lapse in
155.25
licensure as an audiologist or speech-language pathologist or an applicant for initial
155.26
certification as a hearing instrument dispenser who must submit to a background study
155.27
under section 144.0572.
155.28
(2) An applicant for a renewal license or certificate as an audiologist, speech-language
155.29
pathologist, or hearing instrument dispenser who was licensed or obtained a certificate
155.30
before January 1, 2018.
155
Article 6 Sec. 46.
REVISOR
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156.1
Sec. 47. Minnesota Statutes 2022, section 245C.05, subdivision 1, is amended to read:
156.2
Subdivision 1. Individual studied. (a) The individual who is the subject of the
156.3
background study must provide the applicant, license holder, or other entity under section
156.4
245C.04 with sufficient information to ensure an accurate study, including:
156.5
(1) the individual's first, middle, and last name and all other names by which the
156.6
individual has been known;
156.7
(2) current home address, city, and state of residence;
156.8
(3) current zip code;
156.9
(4) sex;
156.10
(5) date of birth;
156.11
(6) driver's license number or state identification number or, for those without a driver's
156.12
license or state identification card, an acceptable form of identification as determined by
156.13
the commissioner; and
156.14
(7) upon implementation of NETStudy 2.0, the home address, city, county, and state of
156.15
residence for the past five years.
156.16
(b) Every subject of a background study conducted or initiated by counties or private
156.17
agencies under this chapter must also provide the home address, city, county, and state of
156.18
residence for the past five years.
156.19
(c) Every subject of a background study related to private agency adoptions or related
156.20
to child foster care licensed through a private agency, who is 18 years of age or older, shall
156.21
also provide the commissioner a signed consent for the release of any information received
156.22
from national crime information databases to the private agency that initiated the background
156.23
study.
156.24
(d) The subject of a background study who is 18 years of age or older shall provide
156.25
fingerprints and a photograph as required in subdivision 5. The subject of a background
156.26
study who is 17 years of age or younger shall provide fingerprints and a photograph only
156.27
as required in subdivision 5a.
156.28
(e) The subject of a background study shall submit a completed criminal and maltreatment
156.29
history records check consent form and criminal history disclosure form for applicable
156.30
national and state level record checks.
156
Article 6 Sec. 47.
REVISOR
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157.1
Sec. 48. Minnesota Statutes 2022, section 245C.05, subdivision 5a, is amended to read:
157.2
Subd. 5a. Background study requirements for minors. (a) A background study
157.3
completed under this chapter on a subject who is required to be studied under section
157.4
245C.03, subdivision 1, and is 17 years of age or younger shall be completed by the
157.5
commissioner for:
157.6
(1) a legal nonlicensed child care provider authorized under chapter 119B;
157.7
(2) a licensed family child care program; or
157.8
(3) a licensed foster care home.
157.9
(b) The subject shall submit to the commissioner only the information under subdivision
157.10
1, paragraph (a).
157.11
(c) Notwithstanding paragraph (b), a subject who is 17 years of age or younger is required
157.12
to submit fingerprints and a photograph, and the commissioner shall conduct a national
157.13
criminal history record check must provide the commissioner with a set of the background
157.14
study subject's classifiable fingerprints and photograph, if:
157.15
(1) the commissioner has reasonable cause to require a national criminal history record
157.16
check defined in section 245C.02, subdivision 15a; or
157.17
(2) under paragraph (a), clauses (1) and (2), the subject is employed by the provider or
157.18
supervises children served by the program.
157.19
(d) A subject who is 17 years of age or younger is required to submit
157.20
non-fingerprint-based data according to section 245C.08, subdivision 1, paragraph (a),
157.21
clause (6), item (iii), and the commissioner shall conduct the check if:
157.22
(1) the commissioner has reasonable cause to require a national criminal history record
157.23
check defined in section 245C.02, subdivision 15a; or
157.24
(2) the subject is employed by the provider or supervises children served by the program
157.25
under paragraph (a), clauses (1) and (2).
157.26
Sec. 49. Minnesota Statutes 2022, section 245C.05, is amended by adding a subdivision
157.27
to read:
157.28
Subd. 8. Study submitted. The entity with which the background study subject is seeking
157.29
affiliation shall initiate the background study in the NETStudy 2.0 system.
157
Article 6 Sec. 49.
REVISOR
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158.1
Sec. 50. Minnesota Statutes 2022, section 245C.07, is amended to read:
158.2
245C.07 STUDY SUBJECT AFFILIATED WITH MULTIPLE FACILITIES.
158.3
(a) Subject to the conditions in paragraph (d), when a license holder, applicant, or other
158.4
entity owns multiple programs or services that are licensed by the Department of Human
158.5
Services, Department of Health, or Department of Corrections, only one background study
158.6
is required for an individual who provides direct contact services in one or more of the
158.7
licensed programs or services if:
158.8
(1) the license holder designates one individual with one address and telephone number
158.9
as the person to receive sensitive background study information for the multiple licensed
158.10
programs or services that depend on the same background study; and
158.11
(2) the individual designated to receive the sensitive background study information is
158.12
capable of determining, upon request of the department, whether a background study subject
158.13
is providing direct contact services in one or more of the license holder's programs or services
158.14
and, if so, at which location or locations.
158.15
(b) When a license holder maintains background study compliance for multiple licensed
158.16
programs according to paragraph (a), and one or more of the licensed programs closes, the
158.17
license holder shall immediately notify the commissioner which staff must be transferred
158.18
to an active license so that the background studies can be electronically paired with the
158.19
license holder's active program.
158.20
(c) When a background study is being initiated by a licensed program or service or a
158.21
foster care provider that is also licensed under chapter 144G, a study subject affiliated with
158.22
multiple licensed programs or services may attach to the background study form a cover
158.23
letter indicating the additional names of the programs or services, addresses, and background
158.24
study identification numbers.
158.25
When the commissioner receives a notice, the commissioner shall notify each program
158.26
or service identified by the background study subject of the study results.
158.27
The background study notice the commissioner sends to the subsequent agencies shall
158.28
satisfy those programs' or services' responsibilities for initiating a background study on that
158.29
individual.
158.30
(d) If a background study was conducted on an individual related to child foster care
158.31
and the requirements under paragraph (a) are met, the background study is transferable
158.32
across all licensed programs. If a background study was conducted on an individual under
158
Article 6 Sec. 50.
REVISOR
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159.1
a license other than child foster care and the requirements under paragraph (a) are met, the
159.2
background study is transferable to all licensed programs except child foster care.
159.3
(e) The provisions of this section that allow a single background study in one or more
159.4
licensed programs or services do not apply to background studies submitted by adoption
159.5
agencies, supplemental nursing services agencies, personnel pool agencies, educational
159.6
programs, professional services agencies, temporary personnel agencies, and unlicensed
159.7
personal care provider organizations.
159.8
(f) For an entity operating under NETStudy 2.0, the entity's active roster must be the
159.9
system used to document when a background study subject is affiliated with multiple entities.
159.10
For a background study to be transferable:
159.11
(1) the background study subject must be on and moving to a roster for which the person
159.12
designated to receive sensitive background study information is the same; and
159.13
(2) the same entity must own or legally control both the roster from which the transfer
159.14
is occurring and the roster to which the transfer is occurring. For an entity that holds or
159.15
controls multiple licenses, or unlicensed personal care provider organizations, there must
159.16
be a common highest level entity that has a legally identifiable structure that can be verified
159.17
through records available from the secretary of state.
159.18
Sec. 51. Minnesota Statutes 2022, section 245C.08, subdivision 1, is amended to read:
159.19
Subdivision 1. Background studies conducted by Department of Human Services. (a)
159.20
For a background study conducted by the Department of Human Services, the commissioner
159.21
shall review:
159.22
(1) information related to names of substantiated perpetrators of maltreatment of
159.23
vulnerable adults that has been received by the commissioner as required under section
159.24
626.557, subdivision 9c, paragraph (j);
159.25
(2) the commissioner's records relating to the maltreatment of minors in licensed
159.26
programs, and from findings of maltreatment of minors as indicated through the social
159.27
service information system;
159.28
(3) information from juvenile courts as required in subdivision 4 for individuals listed
159.29
in section 245C.03, subdivision 1, paragraph (a), when there is reasonable cause;
159.30
(4) information from the Bureau of Criminal Apprehension, including information
159.31
regarding a background study subject's registration in Minnesota as a predatory offender
159.32
under section 243.166;
159
Article 6 Sec. 51.
REVISOR
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160.1
(5) except as provided in clause (6), information received as a result of submission of
160.2
fingerprints for a national criminal history record check, as defined in section 245C.02,
160.3
subdivision 13c, when the commissioner has reasonable cause for a national criminal history
160.4
record check as defined under section 245C.02, subdivision 15a, or as required under section
160.5
144.057, subdivision 1, clause (2);
160.6
(6) for a background study related to a child foster family setting application for licensure,
160.7
foster residence settings, children's residential facilities, a transfer of permanent legal and
160.8
physical custody of a child under sections 260C.503 to 260C.515, or adoptions, and for a
160.9
background study required for family child care, certified license-exempt child care, child
160.10
care centers, and legal nonlicensed child care authorized under chapter 119B, the
160.11
commissioner shall also review:
160.12
(i) information from the child abuse and neglect registry for any state in which the
160.13
background study subject has resided for the past five years;
160.14
(ii) when the background study subject is 18 years of age or older, or a minor under
160.15
section 245C.05, subdivision 5a, paragraph (c), information received following submission
160.16
of fingerprints for a national criminal history record check; and
160.17
(iii) when the background study subject is 18 years of age or older or a minor under
160.18
section 245C.05, subdivision 5a, paragraph (d), for licensed family child care, certified
160.19
license-exempt child care, licensed child care centers, and legal nonlicensed child care
160.20
authorized under chapter 119B, information obtained using non-fingerprint-based data
160.21
including information from the criminal and sex offender registries for any state in which
160.22
the background study subject resided for the past five years and information from the national
160.23
crime information database and the national sex offender registry; and
160.24
(7) for a background study required for family child care, certified license-exempt child
160.25
care centers, licensed child care centers, and legal nonlicensed child care authorized under
160.26
chapter 119B, the background study shall also include, to the extent practicable, a name
160.27
and date-of-birth search of the National Sex Offender Public website.
160.28
(b) Notwithstanding expungement by a court, the commissioner may consider information
160.29
obtained under paragraph (a), clauses (3) and (4), unless the commissioner received notice
160.30
of the petition for expungement and the court order for expungement is directed specifically
160.31
to the commissioner.
160.32
(c) The commissioner shall also review criminal case information received according
160.33
to section 245C.04, subdivision 4a, from the Minnesota court information system that relates
160
Article 6 Sec. 51.
REVISOR
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161.1
to individuals who have already been studied under this chapter and who remain affiliated
161.2
with the agency that initiated the background study.
161.3
(d) When the commissioner has reasonable cause to believe that the identity of a
161.4
background study subject is uncertain, the commissioner may require the subject to provide
161.5
a set of classifiable fingerprints for purposes of completing a fingerprint-based record check
161.6
with the Bureau of Criminal Apprehension. Fingerprints collected under this paragraph
161.7
shall not be saved by the commissioner after they have been used to verify the identity of
161.8
the background study subject against the particular criminal record in question.
161.9
(e) The commissioner may inform the entity that initiated a background study under
161.10
NETStudy 2.0 of the status of processing of the subject's fingerprints.
161.11
Sec. 52. Minnesota Statutes 2022, section 245C.10, subdivision 4, is amended to read:
161.12
Subd. 4. Temporary personnel agencies, personnel pool agencies, educational
161.13
programs, and professional services agencies. The commissioner shall recover the cost
161.14
of the background studies initiated by temporary personnel agencies, personnel pool agencies,
161.15
educational programs, and professional services agencies that initiate background studies
161.16
under section 245C.03, subdivision 4, through a fee of no more than $42 per study charged
161.17
to the agency. The fees collected under this subdivision are appropriated to the commissioner
161.18
for the purpose of conducting background studies.
161.19
Sec. 53. Minnesota Statutes 2022, section 245C.15, subdivision 4a, is amended to read:
161.20
Subd. 4a. Licensed family foster setting disqualifications. (a) Notwithstanding
161.21
subdivisions 1 to 4, for a background study affiliated with a licensed family foster setting,
161.22
regardless of how much time has passed, an individual is disqualified under section 245C.14
161.23
if the individual committed an act that resulted in a felony-level conviction for sections:
161.24
609.185 (murder in the first degree); 609.19 (murder in the second degree); 609.195 (murder
161.25
in the third degree); 609.20 (manslaughter in the first degree); 609.205 (manslaughter in
161.26
the second degree); 609.2112 (criminal vehicular homicide); 609.221 (assault in the first
161.27
degree); 609.223, subdivision 2 (assault in the third degree, past pattern of child abuse);
161.28
609.223, subdivision 3 (assault in the third degree, victim under four); a felony offense
161.29
under sections 609.2242 and 609.2243 (domestic assault, spousal abuse, child abuse or
161.30
neglect, or a crime against children); 609.2247 (domestic assault by strangulation); 609.2325
161.31
(criminal abuse of a vulnerable adult resulting in the death of a vulnerable adult); 609.245
161.32
(aggravated robbery); 609.25 (kidnapping); 609.255 (false imprisonment); 609.2661 (murder
161.33
of an unborn child in the first degree); 609.2662 (murder of an unborn child in the second
161
Article 6 Sec. 53.
REVISOR
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162.1
degree); 609.2663 (murder of an unborn child in the third degree); 609.2664 (manslaughter
162.2
of an unborn child in the first degree); 609.2665 (manslaughter of an unborn child in the
162.3
second degree); 609.267 (assault of an unborn child in the first degree); 609.2671 (assault
162.4
of an unborn child in the second degree); 609.268 (injury or death of an unborn child in the
162.5
commission of a crime); 609.322, subdivision 1 (solicitation, inducement, and promotion
162.6
of prostitution; sex trafficking in the first degree); 609.324, subdivision 1 (other prohibited
162.7
acts; engaging in, hiring, or agreeing to hire minor to engage in prostitution); 609.342
162.8
(criminal sexual conduct in the first degree); 609.343 (criminal sexual conduct in the second
162.9
degree); 609.344 (criminal sexual conduct in the third degree); 609.345 (criminal sexual
162.10
conduct in the fourth degree); 609.3451 (criminal sexual conduct in the fifth degree);
162.11
609.3453 (criminal sexual predatory conduct); 609.352 (solicitation of children to engage
162.12
in sexual conduct); 609.377 (malicious punishment of a child); 609.378 (neglect or
162.13
endangerment of a child); 609.561 (arson in the first degree); 609.582, subdivision 1 (burglary
162.14
in the first degree); 609.746 (interference with privacy); 617.23 (indecent exposure); 617.246
162.15
(use of minors in sexual performance prohibited); or 617.247 (possession of pictorial
162.16
representations of minors).
162.17
(b) Notwithstanding subdivisions 1 to 4, for the purposes of a background study affiliated
162.18
with a licensed family foster setting, an individual is disqualified under section 245C.14,
162.19
regardless of how much time has passed, if the individual:
162.20
(1) committed an action under paragraph (e) that resulted in death or involved sexual
162.21
abuse, as defined in section 260E.03, subdivision 20;, or 626.5572, subdivision 2, paragraph
162.22
(a), clause (4), or paragraph (c);
162.23
(2) committed an act that resulted in a gross misdemeanor-level conviction for section
162.24
609.3451 (criminal sexual conduct in the fifth degree);
162.25
(3) committed an act against or involving a minor that resulted in a felony-level conviction
162.26
for: section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the
162.27
third degree); 609.2231 (assault in the fourth degree); or 609.224 (assault in the fifth degree);
162.28
or
162.29
(4) committed an act that resulted in a misdemeanor or gross misdemeanor-level
162.30
conviction for section 617.293 (dissemination and display of harmful materials to minors).
162.31
(c) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
162.32
family foster setting, an individual is disqualified under section 245C.14 if fewer than 20
162.33
years have passed since the termination of the individual's parental rights under section
162.34
260C.301, subdivision 1, paragraph (b), or if the individual consented to a termination of
162
Article 6 Sec. 53.
REVISOR
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163.1
parental rights under section 260C.301, subdivision 1, paragraph (a), to settle a petition to
163.2
involuntarily terminate parental rights. An individual is disqualified under section 245C.14
163.3
if fewer than 20 years have passed since the termination of the individual's parental rights
163.4
in any other state or country, where the conditions for the individual's termination of parental
163.5
rights are substantially similar to the conditions in section 260C.301, subdivision 1, paragraph
163.6
(b).
163.7
(d) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
163.8
family foster setting, an individual is disqualified under section 245C.14 if fewer than five
163.9
years have passed since a felony-level violation for sections: 152.021 (controlled substance
163.10
crime in the first degree); 152.022 (controlled substance crime in the second degree); 152.023
163.11
(controlled substance crime in the third degree); 152.024 (controlled substance crime in the
163.12
fourth degree); 152.025 (controlled substance crime in the fifth degree); 152.0261 (importing
163.13
controlled substances across state borders); 152.0262, subdivision 1, paragraph (b)
163.14
(possession of substance with intent to manufacture methamphetamine); 152.027, subdivision
163.15
6, paragraph (c) (sale or possession of synthetic cannabinoids); 152.096 (conspiracies
163.16
prohibited); 152.097 (simulated controlled substances); 152.136 (anhydrous ammonia;
163.17
prohibited conduct; criminal penalties; civil liabilities); 152.137 (methamphetamine-related
163.18
crimes involving children or vulnerable adults); 169A.24 (felony first-degree driving while
163.19
impaired); 243.166 (violation of predatory offender registration requirements); 609.2113
163.20
(criminal vehicular operation; bodily harm); 609.2114 (criminal vehicular operation; unborn
163.21
child); 609.228 (great bodily harm caused by distribution of drugs); 609.2325 (criminal
163.22
abuse of a vulnerable adult not resulting in the death of a vulnerable adult); 609.233 (criminal
163.23
neglect); 609.235 (use of drugs to injure or facilitate a crime); 609.24 (simple robbery);
163.24
609.322, subdivision 1a (solicitation, inducement, and promotion of prostitution; sex
163.25
trafficking in the second degree); 609.498, subdivision 1 (tampering with a witness in the
163.26
first degree); 609.498, subdivision 1b (aggravated first-degree witness tampering); 609.562
163.27
(arson in the second degree); 609.563 (arson in the third degree); 609.582, subdivision 2
163.28
(burglary in the second degree); 609.66 (felony dangerous weapons); 609.687 (adulteration);
163.29
609.713 (terroristic threats); 609.749, subdivision 3, 4, or 5 (felony-level harassment or
163.30
stalking); 609.855, subdivision 5 (shooting at or in a public transit vehicle or facility); or
163.31
624.713 (certain people not to possess firearms).
163.32
(e) Notwithstanding subdivisions 1 to 4, except as provided in paragraph (a), for a
163.33
background study affiliated with a licensed family child foster care license, an individual
163.34
is disqualified under section 245C.14 if fewer than five years have passed since:
163
Article 6 Sec. 53.
REVISOR
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164.1
(1) a felony-level violation for an act not against or involving a minor that constitutes:
164.2
section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the third
164.3
degree); 609.2231 (assault in the fourth degree); or 609.224, subdivision 4 (assault in the
164.4
fifth degree);
164.5
(2) a violation of an order for protection under section 518B.01, subdivision 14;
164.6
(3) a determination or disposition of the individual's failure to make required reports
164.7
under section 260E.06 or 626.557, subdivision 3, for incidents in which the final disposition
164.8
under chapter 260E or section 626.557 was substantiated maltreatment and the maltreatment
164.9
was recurring or serious;
164.10
(4) a determination or disposition of the individual's substantiated serious or recurring
164.11
maltreatment of a minor under chapter 260E, a vulnerable adult under section 626.557, or
164.12
serious or recurring maltreatment in any other state, the elements of which are substantially
164.13
similar to the elements of maltreatment under chapter 260E or section 626.557 and meet
164.14
the definition of serious maltreatment or recurring maltreatment;
164.15
(5) a gross misdemeanor-level violation for sections: 609.224, subdivision 2 (assault in
164.16
the fifth degree); 609.2242 and 609.2243 (domestic assault); 609.233 (criminal neglect);
164.17
609.377 (malicious punishment of a child); 609.378 (neglect or endangerment of a child);
164.18
609.746 (interference with privacy); 609.749 (stalking); or 617.23 (indecent exposure); or
164.19
(6) committing an act against or involving a minor that resulted in a misdemeanor-level
164.20
violation of section 609.224, subdivision 1 (assault in the fifth degree).
164.21
(f) For purposes of this subdivision, the disqualification begins from:
164.22
(1) the date of the alleged violation, if the individual was not convicted;
164.23
(2) the date of conviction, if the individual was convicted of the violation but not
164.24
committed to the custody of the commissioner of corrections; or
164.25
(3) the date of release from prison, if the individual was convicted of the violation and
164.26
committed to the custody of the commissioner of corrections.
164.27
Notwithstanding clause (3), if the individual is subsequently reincarcerated for a violation
164.28
of the individual's supervised release, the disqualification begins from the date of release
164.29
from the subsequent incarceration.
164.30
(g) An individual's aiding and abetting, attempt, or conspiracy to commit any of the
164.31
offenses listed in paragraphs (a) and (b), as each of these offenses is defined in Minnesota
164.32
Statutes, permanently disqualifies the individual under section 245C.14. An individual is
164
Article 6 Sec. 53.
REVISOR
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165.1
disqualified under section 245C.14 if fewer than five years have passed since the individual's
165.2
aiding and abetting, attempt, or conspiracy to commit any of the offenses listed in paragraphs
165.3
(d) and (e).
165.4
(h) An individual's offense in any other state or country, where the elements of the
165.5
offense are substantially similar to any of the offenses listed in paragraphs (a) and (b),
165.6
permanently disqualifies the individual under section 245C.14. An individual is disqualified
165.7
under section 245C.14 if fewer than five years have passed since an offense in any other
165.8
state or country, the elements of which are substantially similar to the elements of any
165.9
offense listed in paragraphs (d) and (e).
165.10
EFFECTIVE DATE. This section is effective the day following final enactment.
165.11
Sec. 54. Minnesota Statutes 2022, section 245C.30, subdivision 2, is amended to read:
165.12
Subd. 2. Disclosure of reason for disqualification. (a) The commissioner may not grant
165.13
a variance for a disqualified individual unless the applicant, license-exempt child care center
165.14
certification holder, or license holder requests the variance and the disqualified individual
165.15
provides written consent for the commissioner to disclose to the applicant, license-exempt
165.16
child care center certification holder, or license holder the reason for the disqualification.
165.17
(b) This subdivision does not apply to programs licensed to provide family child care
165.18
for children, foster care for children in the provider's own home, or foster care or day care
165.19
services for adults in the provider's own home. When the commissioner grants a variance
165.20
for a disqualified individual in connection with a license to provide the services specified
165.21
in this paragraph, the disqualified individual's consent is not required to disclose the reason
165.22
for the disqualification to the license holder in the variance issued under subdivision 1,
165.23
provided that the commissioner may not disclose the reason for the disqualification if the
165.24
disqualification is based on a felony-level conviction for a drug-related offense within the
165.25
past five years.
165.26
Sec. 55. Minnesota Statutes 2022, section 245C.31, subdivision 1, is amended to read:
165.27
Subdivision 1. Board determines disciplinary or corrective action. (a) The
165.28
commissioner shall notify a health-related licensing board as defined in section 214.01,
165.29
subdivision 2, if the commissioner determines that an individual who is licensed by the
165.30
health-related licensing board and who is included on the board's roster list provided in
165.31
accordance with subdivision 3a is responsible for substantiated maltreatment under section
165.32
626.557 or chapter 260E, in accordance with subdivision 2. Upon receiving notification,
165
Article 6 Sec. 55.
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166.1
the health-related licensing board shall make a determination as to whether to impose
166.2
disciplinary or corrective action under chapter 214.
166.3
(b) This section does not apply to a background study of an individual regulated by a
166.4
health-related licensing board if the individual's study is related to child foster care, adult
166.5
foster care, or family child care licensure.
166.6
Sec. 56. Minnesota Statutes 2022, section 245C.33, subdivision 4, is amended to read:
166.7
Subd. 4. Information commissioner reviews. (a) The commissioner shall review the
166.8
following information regarding the background study subject:
166.9
(1) the information under section 245C.08, subdivisions 1, 3, and 4;
166.10
(2) information from the child abuse and neglect registry for any state in which the
166.11
subject has resided for the past five years; and
166.12
(3) information from national crime information databases, when required under section
166.13
245C.08.
166.14
(b) The commissioner shall provide any information collected under this subdivision to
166.15
the county or private agency that initiated the background study. The commissioner shall
166.16
also provide the agency:
166.17
(1) with a notice whether the information collected shows that the subject of the
166.18
background study has a conviction listed in United States Code, title 42, section
166.19
671(a)(20)(A); and.
166.20
(2) for background studies conducted under subdivision 1, paragraph (a), the date of all
166.21
adoption-related background studies completed on the subject by the commissioner after
166.22
June 30, 2007, and the name of the county or private agency that initiated the adoption-related
166.23
background study.
166.24
Sec. 57. Minnesota Statutes 2022, section 245E.06, subdivision 3, is amended to read:
166.25
Subd. 3. Appeal of department action. A provider's rights related to the department's
166.26
action taken under this chapter against a provider are established in sections 119B.16 and,
166.27
119B.161, and 119B.162.
166
Article 6 Sec. 57.
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167.1
Sec. 58. Minnesota Statutes 2022, section 245E.08, is amended to read:
167.2
245E.08 REPORTING OF SUSPECTED FRAUDULENT ACTIVITY.
167.3
(a) A person who, in good faith, makes a report of or testifies in any action or proceeding
167.4
in which financial misconduct is alleged, and who is not involved in, has not participated
167.5
in, or has not aided and abetted, conspired, or colluded in the financial misconduct, shall
167.6
have immunity from any liability, civil or criminal, that results by reason of the person's
167.7
report or testimony. For the purpose of any proceeding, the good faith of any person reporting
167.8
or testifying under this provision shall be presumed.
167.9
(b) If a person that is or has been involved in, participated in, aided and abetted, conspired,
167.10
or colluded in the financial misconduct reports the financial misconduct, the department
167.11
may consider that person's report and assistance in investigating the misconduct as a
167.12
mitigating factor in the department's pursuit of civil, criminal, or administrative remedies.
167.13
(c) After an investigation is complete, the reporter's name must be kept confidential.
167.14
The subject of the report may compel disclosure of the reporter's name only with the consent
167.15
of the reporter or upon a written finding by a district court that the report was false and there
167.16
is evidence that the report was made in bad faith. This paragraph does not alter disclosure
167.17
responsibilities or obligations under the Rules of Criminal Procedure, except that when the
167.18
identity of the reporter is relevant to a criminal prosecution the district court shall conduct
167.19
an in-camera review before determining whether to order disclosure of the reporter's identity.
167.20
Sec. 59. Minnesota Statutes 2022, section 245G.13, subdivision 2, is amended to read:
167.21
Subd. 2. Staff development. (a) A license holder must ensure that each staff member
167.22
has the training described in this subdivision.
167.23
(b) Each staff member must be trained every two years in:
167.24
(1) client confidentiality rules and regulations and client ethical boundaries; and
167.25
(2) emergency procedures and client rights as specified in sections 144.651, 148F.165,
167.26
and 253B.03.
167.27
(c) Annually each staff member with direct contact must be trained on mandatory
167.28
reporting as specified in sections 245A.65, 626.557, and 626.5572, and chapter 260E,
167.29
including specific training covering the license holder's policies for obtaining a release of
167.30
client information.
167.31
(d) Upon employment and annually thereafter, each staff member with direct contact
167.32
must receive training on HIV minimum standards according to section 245A.19.
167
Article 6 Sec. 59.
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168.1
(e) The license holder must ensure that each mandatory reporter, as described in section
168.2
260E.06, subdivision 1, is trained on the maltreatment of minors reporting requirements
168.3
and definitions in chapter 260E before the mandatory reporter has direct contact, as defined
168.4
in section 245C.02, subdivision 11, with a person served by the program.
168.5
(e) (f) A treatment director, supervisor, nurse, or counselor must have a minimum of 12
168.6
hours of training in co-occurring disorders that includes competencies related to philosophy,
168.7
trauma-informed care, screening, assessment, diagnosis and person-centered treatment
168.8
planning, documentation, programming, medication, collaboration, mental health
168.9
consultation, and discharge planning. A new staff member who has not obtained the training
168.10
must complete the training within six months of employment. A staff member may request,
168.11
and the license holder may grant, credit for relevant training obtained before employment,
168.12
which must be documented in the staff member's personnel file.
168.13
EFFECTIVE DATE. This section is effective January 1, 2024.
168.14
Sec. 60. Minnesota Statutes 2022, section 245H.03, is amended by adding a subdivision
168.15
to read:
168.16
Subd. 5. Notification required. (a) A certification holder must notify the commissioner,
168.17
in a manner prescribed by the commissioner, and obtain the commissioner's approval before
168.18
making any changes:
168.19
(1) to the certification holder as defined in section 245H.01, subdivision 4;
168.20
(2) to the certification holder contact person as defined in section 245H.01, subdivision
168.21
4a;
168.22
(3) to the certification holder information on file with the secretary of state or Department
168.23
of Revenue;
168.24
(4) in the location of the program certified under this chapter;
168.25
(5) to the ages of children served by the program; or
168.26
(6) to the certified center's schedule including its:
168.27
(i) yearly schedule;
168.28
(ii) hours of operation; or
168.29
(iii) days of the week it is open.
168.30
(b) When, for reasons beyond the certification holder's control, a certification holder
168.31
cannot provide the commissioner with prior notice of the changes in paragraph (a), the
168
Article 6 Sec. 60.
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169.1
certification holder must notify the commissioner by the tenth business day after the change
169.2
and must provide any additional information requested by the commissioner.
169.3
(c) When a certification holder notifies the commissioner of a change to the certification
169.4
holder information on file with the secretary of state, the certification holder must provide
169.5
documentation of the change.
169.6
(d) Upon implementation of the provider licensing and reporting hub, certification holders
169.7
must enter and update information in the hub in a manner prescribed by the commissioner.
169.8
EFFECTIVE DATE. This section is effective August 1, 2023.
169.9
Sec. 61. Minnesota Statutes 2022, section 245H.05, is amended to read:
169.10
245H.05 MONITORING AND INSPECTIONS.
169.11
(a) The commissioner must conduct an on-site inspection of a certified license-exempt
169.12
child care center at least annually once each calendar year to determine compliance with
169.13
the health, safety, and fire standards specific to a certified license-exempt child care center.
169.14
(b) No later than November 19, 2017, the commissioner shall make publicly available
169.15
on the department's website the results of inspection reports for all certified centers including
169.16
the number of deaths, serious injuries, and instances of substantiated child maltreatment
169.17
that occurred in certified centers each year.
169.18
EFFECTIVE DATE. This section is effective the day following final enactment.
169.19
Sec. 62. Minnesota Statutes 2022, section 245H.08, subdivision 4, is amended to read:
169.20
Subd. 4. Maximum group size. (a) For a child six weeks old through 16 months old,
169.21
the maximum group size shall be no more than eight children.
169.22
(b) For a child 16 months old through 33 months old, the maximum group size shall be
169.23
no more than 14 children.
169.24
(c) For a child 33 months old through prekindergarten, a maximum group size shall be
169.25
no more than 20 children.
169.26
(d) For a child in kindergarten through 13 years old, a maximum group size shall be no
169.27
more than 30 children.
169.28
(e) The maximum group size applies at all times except during group activity coordination
169.29
time not exceeding 15 minutes, during a meal, outdoor activity, field trip, nap and rest, and
169
Article 6 Sec. 62.
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170.1
special activity including a film, guest speaker, indoor large muscle activity, or holiday
170.2
program.
170.3
(f) Notwithstanding paragraph (d), a certified center may continue to serve a child 14
170.4
years of age or older if one of the following conditions is true:
170.5
(1) the child remains eligible for child care assistance under section 119B.09, subdivision
170.6
1, paragraph (e); or
170.7
(2) the certified center serves only school-age children in a setting that has students
170.8
enrolled in no grade higher than 8th grade.
170.9
Sec. 63. Minnesota Statutes 2022, section 245H.08, subdivision 5, is amended to read:
170.10
Subd. 5. Ratios. (a) The minimally acceptable staff-to-child ratios are:
1:4
170.11
six weeks old through 16 months old
1:7
170.12
16 months old through 33 months old
1:10
170.13
33 months old through prekindergarten
1:15
170.14
kindergarten through 13 years old
170.15
(b) Kindergarten includes a child of sufficient age to have attended the first day of
170.16
kindergarten or who is eligible to enter kindergarten within the next four months.
170.17
(c) For mixed groups, the ratio for the age group of the youngest child applies.
170.18
(d) Notwithstanding paragraph (a), a certified center may continue to serve a child 14
170.19
years of age or older if one of the following conditions is true:
170.20
(1) the child remains eligible for child care assistance under section 119B.09, subdivision
170.21
1, paragraph (e); or
170.22
(2) the certified center serves only school-age children in a setting that has students
170.23
enrolled in no grade higher than 8th grade.
170.24
EFFECTIVE DATE. This section is effective August 1, 2023.
170.25
Sec. 64. Minnesota Statutes 2022, section 245H.13, subdivision 3, is amended to read:
170.26
Subd. 3. Administration of medication. (a) A certified center that chooses to administer
170.27
medicine must meet the requirements in this subdivision.
170.28
(b) The certified center must obtain written permission from the child's parent or legal
170.29
guardian before administering prescription medicine, nonprescription medicine, diapering
170.30
product, sunscreen lotion, and insect repellent.
170
Article 6 Sec. 64.
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171.1
(c) The certified center must administer nonprescription medicine, diapering product,
171.2
sunscreen lotion, and insect repellent according to the manufacturer's instructions unless
171.3
provided written instructions by a licensed health professional to use a product differently.
171.4
(d) The certified center must obtain and follow written instructions from the prescribing
171.5
health professional before administering prescription medicine. Medicine with the child's
171.6
first and last name and current prescription information on the label is considered written
171.7
instructions.
171.8
(e) The certified center must ensure all prescription and nonprescription medicine is:
171.9
(1) kept in the medicine's original container with a legible label stating the child's first
171.10
and last name;
171.11
(2) given only to the child whose name is on the label;
171.12
(3) not given after an expiration date on the label; and
171.13
(4) returned to the child's parent or legal guardian or destroyed, if unused.
171.14
(f) The certified center must document in the child's record the administration of
171.15
prescription and nonprescription medication, including the child's first and last name; the
171.16
name of the medication or prescription number; the date, time, and dosage; and the name
171.17
and signature of the person who administered the medicine. This documentation must be
171.18
available to the child's parent or legal guardian.
171.19
(g) The certified center must store prescription and nonprescription medicines, insect
171.20
repellents, and diapering products according to directions on the original container.
171.21
EFFECTIVE DATE. This section is effective August 1, 2023.
171.22
Sec. 65. Minnesota Statutes 2022, section 245H.13, subdivision 7, is amended to read:
171.23
Subd. 7. Risk reduction plan. (a) The certified center must develop a risk reduction
171.24
plan that identifies risks to children served by the child care center. The assessment of risk
171.25
must include risks presented by (1) the physical plant where the certified services are
171.26
provided, including electrical hazards; and (2) the environment, including the proximity to
171.27
busy roads and bodies of water.
171.28
(b) The certification holder must establish policies and procedures to minimize identified
171.29
risks. After any change to the risk reduction plan, the certification holder must inform staff
171.30
of the change in the risk reduction plan and document that staff were informed of the change.
171
Article 6 Sec. 65.
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172.1
(c) If middle-school-age children are enrolled in the center and combined with elementary
172.2
children, the certification holder must establish policies and procedures to ensure adequate
172.3
supervision as defined in subdivision 10 when children are grouped together.
172.4
EFFECTIVE DATE. This section is effective August 1, 2023.
172.5
Sec. 66. Minnesota Statutes 2022, section 245H.13, subdivision 9, is amended to read:
172.6
Subd. 9. Behavior guidance. The certified center must ensure that staff and volunteers
172.7
use positive behavior guidance and do not subject children to:
172.8
(1) corporal punishment, including but not limited to rough handling, shoving, hair
172.9
pulling, ear pulling, shaking, slapping, kicking, biting, pinching, hitting, and spanking;
172.10
(2) humiliation;
172.11
(3) abusive language;
172.12
(4) the use of mechanical restraints, including tying;
172.13
(5) the use of physical restraints other than to physically hold a child when containment
172.14
is necessary to protect a child or others from harm; or
172.15
(6) prone restraints, as prohibited by section 245A.211; or
172.16
(6) (7) the withholding or forcing of food and other basic needs.
172.17
Sec. 67. Minnesota Statutes 2022, section 245I.20, subdivision 10, is amended to read:
172.18
Subd. 10. Application procedures. (a) The applicant for certification must submit any
172.19
documents that the commissioner requires on forms approved by the commissioner.
172.20
(b) Upon submitting an application for certification, an applicant must pay the application
172.21
fee required by section 245A.10, subdivision 3.
172.22
(c) The commissioner must act on an application within 90 working days of receiving
172.23
a completed application.
172.24
(d) When the commissioner receives an application for initial certification that is
172.25
incomplete because the applicant failed to submit required documents or is deficient because
172.26
the submitted documents do not meet certification requirements, the commissioner must
172.27
provide the applicant with written notice that the application is incomplete or deficient. In
172.28
the notice, the commissioner must identify the particular documents that are missing or
172.29
deficient and give the applicant 45 days to submit a second application that is complete. An
172
Article 6 Sec. 67.
REVISOR
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173.1
applicant's failure to submit a complete application within 45 days after receiving notice
173.2
from the commissioner is a basis for certification denial.
173.3
(e) The commissioner must give notice of a denial to an applicant when the commissioner
173.4
has made the decision to deny the certification application. In the notice of denial, the
173.5
commissioner must state the reasons for the denial in plain language. The commissioner
173.6
must send or deliver the notice of denial to an applicant by certified mail or personal service.
173.7
In the notice of denial, the commissioner must state the reasons that the commissioner denied
173.8
the application and must inform the applicant of the applicant's right to request a contested
173.9
case hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The
173.10
applicant may appeal the denial by notifying the commissioner in writing by certified mail
173.11
or personal service. If mailed, the appeal must be postmarked and sent to the commissioner
173.12
within 20 calendar days after the applicant received the notice of denial. If an applicant
173.13
delivers an appeal by personal service, the commissioner must receive the appeal within 20
173.14
calendar days after the applicant received the notice of denial.
173.15
(f) The commissioner may require the applicant or certification holder to provide an
173.16
email address for the certification holder that will be made public subject to the requirements
173.17
under section 13.46, subdivision 4, paragraph (b), clause (1), item (i).
173.18
Sec. 68. Minnesota Statutes 2022, section 256.9685, subdivision 1a, is amended to read:
173.19
Subd. 1a. Administrative reconsideration. Notwithstanding section 256B.04,
173.20
subdivision 15, the commissioner shall establish an administrative reconsideration process
173.21
for appeals of inpatient hospital services determined to be medically unnecessary. A
173.22
physician, advanced practice registered nurse, physician assistant, or hospital may request
173.23
a reconsideration of the decision that inpatient hospital services are not medically necessary
173.24
by submitting a written request for review to the commissioner within 30 calendar days
173.25
after receiving the date of the notice of the decision was mailed. The request for
173.26
reconsideration process shall take place prior to the procedures of subdivision 1b and shall
173.27
be conducted be reviewed by the at least one medical review agent that is independent of
173.28
the case under reconsideration. The medical review agent shall make a recommendation to
173.29
the commissioner. The commissioner's decision on reconsideration is final and not subject
173.30
to appeal under chapter 14.
173.31
Sec. 69. Minnesota Statutes 2022, section 256.9685, subdivision 1b, is amended to read:
173.32
Subd. 1b. Appeal of reconsideration. Notwithstanding section 256B.72, the
173.33
commissioner may recover inpatient hospital payments for services that have been determined
173
Article 6 Sec. 69.
REVISOR
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174.1
to be medically unnecessary after the reconsideration and determinations. A physician,
174.2
advanced practice registered nurse, physician assistant, or hospital may appeal the result of
174.3
the reconsideration process by submitting a written request for review to the commissioner
174.4
within 30 days after receiving notice of the action. The commissioner shall review the
174.5
medical record and information submitted during the reconsideration process and the medical
174.6
review agent's basis for the determination that the services were not medically necessary
174.7
for inpatient hospital services. The commissioner shall issue an order upholding or reversing
174.8
the decision of the reconsideration process based on the review. The commissioner's decision
174.9
under subdivision 1a is appealable by petition for writ of certiorari under chapter 606.
174.10
Sec. 70. Minnesota Statutes 2022, section 256.9686, is amended by adding a subdivision
174.11
to read:
174.12
Subd. 7a. Medical review agent. "Medical review agent" means the representative of
174.13
the commissioner who is authorized by the commissioner to administer medical record
174.14
reviews; conduct administrative reconsiderations as defined by section 256.9685, subdivision
174.15
1a; and perform other functions as stipulated in the terms of the agent's contract with the
174.16
department. Medical records reviews and administrative reconsiderations will be performed
174.17
by medical professionals within their scope of expertise, including but not limited to
174.18
physicians, physician assistants, advanced practice registered nurses, and registered nurses.
174.19
The medical professional performing the review or reconsideration must be on staff with
174.20
the medical review agent, in good standing, and licensed to practice in the state where the
174.21
medical professional resides.
174.22
Sec. 71. Minnesota Statutes 2022, section 256B.04, subdivision 15, is amended to read:
174.23
Subd. 15. Utilization review. (a) Establish on a statewide basis a new program to
174.24
safeguard against unnecessary or inappropriate use of medical assistance services, against
174.25
excess payments, against unnecessary or inappropriate hospital admissions or lengths of
174.26
stay, and against underutilization of services in prepaid health plans, long-term care facilities
174.27
or any health care delivery system subject to fixed rate reimbursement. In implementing
174.28
the program, the state agency shall utilize both prepayment and postpayment review systems
174.29
to determine if utilization is reasonable and necessary. The determination of whether services
174.30
are reasonable and necessary shall be made by the commissioner in consultation with a
174.31
professional services advisory group or health care consultant appointed by the commissioner.
174.32
(b) Contracts entered into for purposes of meeting the requirements of this subdivision
174.33
shall not be subject to the set-aside provisions of chapter 16C.
174
Article 6 Sec. 71.
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175.1
(c) A recipient aggrieved by the commissioner's termination of services or denial of
175.2
future services may appeal pursuant to section 256.045. Unless otherwise provided by law,
175.3
a vendor aggrieved by the commissioner's determination that services provided were not
175.4
reasonable or necessary may appeal pursuant to the contested case procedures of chapter
175.5
14. To appeal, the vendor shall notify the commissioner in writing within 30 days of receiving
175.6
the commissioner's notice. The appeal request shall specify each disputed item, the reason
175.7
for the dispute, an estimate of the dollar amount involved for each disputed item, the
175.8
computation that the vendor believes is correct, the authority in statute or rule upon which
175.9
the vendor relies for each disputed item, the name and address of the person or firm with
175.10
whom contacts may be made regarding the appeal, and other information required by the
175.11
commissioner.
175.12
(d) The commissioner may select providers to provide case management services to
175.13
recipients who use health care services inappropriately or to recipients who are eligible for
175.14
other managed care projects. The providers shall be selected based upon criteria that may
175.15
include a comparison with a peer group of providers related to the quality, quantity, or cost
175.16
of health care services delivered or a review of sanctions previously imposed by health care
175.17
services programs or the provider's professional licensing board.
175.18
Sec. 72. Minnesota Statutes 2022, section 256B.064, is amended to read:
175.19
256B.064 SANCTIONS; MONETARY RECOVERY.
175.20
Subdivision 1. Terminating payments to ineligible vendors individuals or entities. The
175.21
commissioner may terminate payments under this chapter to any person or facility that,
175.22
under applicable federal law or regulation, has been determined to be ineligible for payments
175.23
under title XIX of the Social Security Act.
175.24
Subd. 1a. Grounds for sanctions against vendors. (a) The commissioner may impose
175.25
sanctions against a vendor of medical care any individual or entity that receives payments
175.26
from medical assistance or provides goods or services for which payment is made from
175.27
medical assistance for any of the following: (1) fraud, theft, or abuse in connection with the
175.28
provision of medical care goods and services to recipients of public assistance for which
175.29
payment is made from medical assistance; (2) a pattern of presentment of false or duplicate
175.30
claims or claims for services not medically necessary; (3) a pattern of making false statements
175.31
of material facts for the purpose of obtaining greater compensation than that to which the
175.32
vendor individual or entity is legally entitled; (4) suspension or termination as a Medicare
175.33
vendor; (5) refusal to grant the state agency access during regular business hours to examine
175.34
all records necessary to disclose the extent of services provided to program recipients and
175
Article 6 Sec. 72.
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176.1
appropriateness of claims for payment; (6) failure to repay an overpayment or a fine finally
176.2
established under this section; (7) failure to correct errors in the maintenance of health
176.3
service or financial records for which a fine was imposed or after issuance of a warning by
176.4
the commissioner; and (8) any reason for which a vendor an individual or entity could be
176.5
excluded from participation in the Medicare program under section 1128, 1128A, or
176.6
1866(b)(2) of the Social Security Act. For the purposes of this section, goods or services
176.7
for which payment is made from medical assistance includes but is not limited to care and
176.8
services identified in section 256B.0625 or provided pursuant to any federally approved
176.9
waiver.
176.10
(b) The commissioner may impose sanctions against a pharmacy provider for failure to
176.11
respond to a cost of dispensing survey under section 256B.0625, subdivision 13e, paragraph
176.12
(h).
176.13
Subd. 1b. Sanctions available. The commissioner may impose the following sanctions
176.14
for the conduct described in subdivision 1a: suspension or withholding of payments to a
176.15
vendor an individual or entity and suspending or terminating participation in the program,
176.16
or imposition of a fine under subdivision 2, paragraph (f). When imposing sanctions under
176.17
this section, the commissioner shall consider the nature, chronicity, or severity of the conduct
176.18
and the effect of the conduct on the health and safety of persons served by the vendor
176.19
individual or entity. The commissioner shall suspend a vendor's an individual's or entity's
176.20
participation in the program for a minimum of five years if the vendor individual or entity
176.21
is convicted of a crime, received a stay of adjudication, or entered a court-ordered diversion
176.22
program for an offense related to a provision of a health service under medical assistance,
176.23
including a federally approved waiver, or health care fraud. Regardless of imposition of
176.24
sanctions, the commissioner may make a referral to the appropriate state licensing board.
176.25
Subd. 1c. Grounds for and methods of monetary recovery. (a) The commissioner
176.26
may obtain monetary recovery from a vendor who an individual or entity that has been
176.27
improperly paid by the department either as a result of conduct described in subdivision 1a
176.28
or as a result of a vendor or department an error by the individual or entity submitting the
176.29
claim or by the department, regardless of whether the error was intentional. Patterns need
176.30
not be proven as a precondition to monetary recovery of erroneous or false claims, duplicate
176.31
claims, claims for services not medically necessary, or claims based on false statements.
176.32
(b) The commissioner may obtain monetary recovery using methods including but not
176.33
limited to the following: assessing and recovering money improperly paid and debiting from
176.34
future payments any money improperly paid. The commissioner shall charge interest on
176.35
money to be recovered if the recovery is to be made by installment payments or debits,
176
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177.1
except when the monetary recovery is of an overpayment that resulted from a department
177.2
error. The interest charged shall be the rate established by the commissioner of revenue
177.3
under section 270C.40.
177.4
Subd. 1d. Investigative costs. The commissioner may seek recovery of investigative
177.5
costs from any vendor of medical care or services who individual or entity that willfully
177.6
submits a claim for reimbursement for services that the vendor individual or entity knows,
177.7
or reasonably should have known, is a false representation and that results in the payment
177.8
of public funds for which the vendor individual or entity is ineligible. Billing errors that
177.9
result in unintentional overcharges shall not be grounds for investigative cost recoupment.
177.10
Subd. 2. Imposition of monetary recovery and sanctions. (a) The commissioner shall
177.11
determine any monetary amounts to be recovered and sanctions to be imposed upon a vendor
177.12
of medical care an individual or entity under this section. Except as provided in paragraphs
177.13
(b) and (d), neither a monetary recovery nor a sanction will be imposed by the commissioner
177.14
without prior notice and an opportunity for a hearing, according to chapter 14, on the
177.15
commissioner's proposed action, provided that the commissioner may suspend or reduce
177.16
payment to a vendor of medical care an individual or entity, except a nursing home or
177.17
convalescent care facility, after notice and prior to the hearing if in the commissioner's
177.18
opinion that action is necessary to protect the public welfare and the interests of the program.
177.19
(b) Except when the commissioner finds good cause not to suspend payments under
177.20
Code of Federal Regulations, title 42, section 455.23 (e) or (f), the commissioner shall
177.21
withhold or reduce payments to a vendor of medical care an individual or entity without
177.22
providing advance notice of such withholding or reduction if either of the following occurs:
177.23
(1) the vendor individual or entity is convicted of a crime involving the conduct described
177.24
in subdivision 1a; or
177.25
(2) the commissioner determines there is a credible allegation of fraud for which an
177.26
investigation is pending under the program. Allegations are considered credible when they
177.27
have an indicium of reliability and the state agency has reviewed all allegations, facts, and
177.28
evidence carefully and acts judiciously on a case-by-case basis. A credible allegation of
177.29
fraud is an allegation which has been verified by the state, from any source, including but
177.30
not limited to:
177.31
(i) fraud hotline complaints;
177.32
(ii) claims data mining; and
177
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178.1
(iii) patterns identified through provider audits, civil false claims cases, and law
178.2
enforcement investigations.
178.3
Allegations are considered to be credible when they have an indicia of reliability and
178.4
the state agency has reviewed all allegations, facts, and evidence carefully and acts
178.5
judiciously on a case-by-case basis.
178.6
(c) The commissioner must send notice of the withholding or reduction of payments
178.7
under paragraph (b) within five days of taking such action unless requested in writing by a
178.8
law enforcement agency to temporarily withhold the notice. The notice must:
178.9
(1) state that payments are being withheld according to paragraph (b);
178.10
(2) set forth the general allegations as to the nature of the withholding action, but need
178.11
not disclose any specific information concerning an ongoing investigation;
178.12
(3) except in the case of a conviction for conduct described in subdivision 1a, state that
178.13
the withholding is for a temporary period and cite the circumstances under which withholding
178.14
will be terminated;
178.15
(4) identify the types of claims to which the withholding applies; and
178.16
(5) inform the vendor individual or entity of the right to submit written evidence for
178.17
consideration by the commissioner.
178.18
(d) The withholding or reduction of payments will not continue after the commissioner
178.19
determines there is insufficient evidence of fraud by the vendor individual or entity, or after
178.20
legal proceedings relating to the alleged fraud are completed, unless the commissioner has
178.21
sent notice of intention to impose monetary recovery or sanctions under paragraph (a). Upon
178.22
conviction for a crime related to the provision, management, or administration of a health
178.23
service under medical assistance, a payment held pursuant to this section by the commissioner
178.24
or a managed care organization that contracts with the commissioner under section 256B.035
178.25
is forfeited to the commissioner or managed care organization, regardless of the amount
178.26
charged in the criminal complaint or the amount of criminal restitution ordered.
178.27
(d) (e) The commissioner shall suspend or terminate a vendor's an individual's or entity's
178.28
participation in the program without providing advance notice and an opportunity for a
178.29
hearing when the suspension or termination is required because of the vendor's individual's
178.30
or entity's exclusion from participation in Medicare. Within five days of taking such action,
178.31
the commissioner must send notice of the suspension or termination. The notice must:
178.32
(1) state that suspension or termination is the result of the vendor's individual's or entity's
178.33
exclusion from Medicare;
178
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179.1
(2) identify the effective date of the suspension or termination; and
179.2
(3) inform the vendor individual or entity of the need to be reinstated to Medicare before
179.3
reapplying for participation in the program.
179.4
(e) (f) Upon receipt of a notice under paragraph (a) that a monetary recovery or sanction
179.5
is to be imposed, a vendor an individual or entity may request a contested case, as defined
179.6
in section 14.02, subdivision 3, by filing with the commissioner a written request of appeal.
179.7
The appeal request must be received by the commissioner no later than 30 days after the
179.8
date the notification of monetary recovery or sanction was mailed to the vendor individual
179.9
or entity. The appeal request must specify:
179.10
(1) each disputed item, the reason for the dispute, and an estimate of the dollar amount
179.11
involved for each disputed item;
179.12
(2) the computation that the vendor individual or entity believes is correct;
179.13
(3) the authority in statute or rule upon which the vendor individual or entity relies for
179.14
each disputed item;
179.15
(4) the name and address of the person or entity with whom contacts may be made
179.16
regarding the appeal; and
179.17
(5) other information required by the commissioner.
179.18
(f) (g) The commissioner may order a vendor an individual or entity to forfeit a fine for
179.19
failure to fully document services according to standards in this chapter and Minnesota
179.20
Rules, chapter 9505. The commissioner may assess fines if specific required components
179.21
of documentation are missing. The fine for incomplete documentation shall equal 20 percent
179.22
of the amount paid on the claims for reimbursement submitted by the vendor individual or
179.23
entity, or up to $5,000, whichever is less. If the commissioner determines that a vendor an
179.24
individual or entity repeatedly violated this chapter, chapter 254B or 245G, or Minnesota
179.25
Rules, chapter 9505, related to the provision of services to program recipients and the
179.26
submission of claims for payment, the commissioner may order a vendor an individual or
179.27
entity to forfeit a fine based on the nature, severity, and chronicity of the violations, in an
179.28
amount of up to $5,000 or 20 percent of the value of the claims, whichever is greater. The
179.29
commissioner may issue fines under this paragraph in place of or in addition to full monetary
179.30
recovery of the value of the claims submitted under subdivision 1c.
179.31
(g) (h) The vendor individual or entity shall pay the fine assessed on or before the
179.32
payment date specified. If the vendor individual or entity fails to pay the fine, the
179
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180.1
commissioner may withhold or reduce payments and recover the amount of the fine. A
180.2
timely appeal shall stay payment of the fine until the commissioner issues a final order.
180.3
Subd. 3. Vendor Mandates on prohibited payments. (a) The commissioner shall
180.4
maintain and publish a list of each excluded individual and entity that was convicted of a
180.5
crime related to the provision, management, or administration of a medical assistance health
180.6
service, or suspended or terminated under subdivision 2. Medical assistance payments cannot
180.7
be made by a vendor an individual or entity for items or services furnished either directly
180.8
or indirectly by an excluded individual or entity, or at the direction of excluded individuals
180.9
or entities.
180.10
(b) The vendor entity must check the exclusion list on a monthly basis and document
180.11
the date and time the exclusion list was checked and the name and title of the person who
180.12
checked the exclusion list. The vendor entity must immediately terminate payments to an
180.13
individual or entity on the exclusion list.
180.14
(c) A vendor's An entity's requirement to check the exclusion list and to terminate
180.15
payments to individuals or entities on the exclusion list applies to each individual or entity
180.16
on the exclusion list, even if the named individual or entity is not responsible for direct
180.17
patient care or direct submission of a claim to medical assistance.
180.18
(d) A vendor An entity that pays medical assistance program funds to an individual or
180.19
entity on the exclusion list must refund any payment related to either items or services
180.20
rendered by an individual or entity on the exclusion list from the date the individual or entity
180.21
is first paid or the date the individual or entity is placed on the exclusion list, whichever is
180.22
later, and a vendor an entity may be subject to:
180.23
(1) sanctions under subdivision 2;
180.24
(2) a civil monetary penalty of up to $25,000 for each determination by the department
180.25
that the vendor employed or contracted with an individual or entity on the exclusion list;
180.26
and
180.27
(3) other fines or penalties allowed by law.
180.28
Subd. 4. Notice. (a) The department shall serve the notice required under subdivision 2
180.29
shall be served by certified mail at the address submitted to the department by the vendor
180.30
individual or entity. Service is complete upon mailing. The commissioner shall place an
180.31
affidavit of the certified mailing in the vendor's file as an indication of the address and the
180.32
date of mailing.
180
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181.1
(b) The department shall give notice in writing to a recipient placed in the Minnesota
181.2
restricted recipient program under section 256B.0646 and Minnesota Rules, part 9505.2200.
181.3
The department shall send the notice shall be sent by first class mail to the recipient's current
181.4
address on file with the department. A recipient placed in the Minnesota restricted recipient
181.5
program may contest the placement by submitting a written request for a hearing to the
181.6
department within 90 days of the notice being mailed.
181.7
Subd. 5. Immunity; good faith reporters. (a) A person who makes a good faith report
181.8
is immune from any civil or criminal liability that might otherwise arise from reporting or
181.9
participating in the investigation. Nothing in this subdivision affects a vendor's an individual's
181.10
or entity's responsibility for an overpayment established under this subdivision.
181.11
(b) A person employed by a lead investigative agency who is conducting or supervising
181.12
an investigation or enforcing the law according to the applicable law or rule is immune from
181.13
any civil or criminal liability that might otherwise arise from the person's actions, if the
181.14
person is acting in good faith and exercising due care.
181.15
(c) For purposes of this subdivision, "person" includes a natural person or any form of
181.16
a business or legal entity.
181.17
(d) After an investigation is complete, the reporter's name must be kept confidential.
181.18
The subject of the report may compel disclosure of the reporter's name only with the consent
181.19
of the reporter or upon a written finding by a district court that the report was false and there
181.20
is evidence that the report was made in bad faith. This subdivision does not alter disclosure
181.21
responsibilities or obligations under the Rules of Criminal Procedure, except that when the
181.22
identity of the reporter is relevant to a criminal prosecution the district court shall conduct
181.23
an in-camera review before determining whether to order disclosure of the reporter's identity.
181.24
Sec. 73. Minnesota Statutes 2022, section 256B.27, subdivision 3, is amended to read:
181.25
Subd. 3. Access to medical records. The commissioner of human services, with the
181.26
written consent of the recipient, on file with the local welfare agency, shall be allowed
181.27
access in the manner and within the time prescribed by the commissioner to all personal
181.28
medical records of medical assistance recipients solely for the purposes of investigating
181.29
whether or not: (a) a vendor of medical care has submitted a claim for reimbursement, a
181.30
cost report or a rate application which is duplicative, erroneous, or false in whole or in part,
181.31
or which results in the vendor obtaining greater compensation than the vendor is legally
181.32
entitled to; or (b) the medical care was medically necessary. When the commissioner is
181.33
investigating a possible overpayment of Medicaid funds, the commissioner must be given
181.34
immediate access without prior notice to the vendor's office during regular business hours
181
Article 6 Sec. 73.
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182.1
and to documentation and records related to services provided and submission of claims
182.2
for services provided. The department shall document in writing the need for immediate
182.3
access to records related to a specific investigation. Denying the commissioner access to
182.4
records is cause for the vendor's immediate suspension of payment or termination according
182.5
to section 256B.064. All providers receiving medical assistance payments must make those
182.6
records available immediately to the commissioner upon request. Any records not provided
182.7
to the commissioner at the date and time of the request are inadmissible if offered as evidence
182.8
by the provider in any proceeding to contest sanctions against or monetary recovery from
182.9
the provider. The determination of provision of services not medically necessary shall be
182.10
made by the commissioner. Notwithstanding any other law to the contrary, a vendor of
182.11
medical care shall not be subject to any civil or criminal liability for providing access to
182.12
medical records to the commissioner of human services pursuant to this section.
182.13
Sec. 74. Minnesota Statutes 2022, section 524.5-118, subdivision 2a, is amended to read:
182.14
Subd. 2a. Procedure; state licensing agency data. (a) The court shall request the
182.15
commissioner of human services to provide the court within 25 working days of receipt of
182.16
the request with licensing agency data for licenses directly related to the responsibilities of
182.17
a professional fiduciary if the study subject indicates current or prior affiliation from the
182.18
following agencies in Minnesota:
182.19
(1) Lawyers Responsibility Board;
182.20
(2) State Board of Accountancy;
182.21
(3) Board of Social Work;
182.22
(4) Board of Psychology;
182.23
(5) Board of Nursing;
182.24
(6) Board of Medical Practice;
182.25
(7) Department of Education;
182.26
(8) (7) Department of Commerce;
182.27
(9) (8) Board of Chiropractic Examiners;
182.28
(10) (9) Board of Dentistry;
182.29
(11) (10) Board of Marriage and Family Therapy;
182.30
(12) (11) Department of Human Services;
182.31
(13) (12) Peace Officer Standards and Training (POST) Board; and
182
Article 6 Sec. 74.
REVISOR
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183.1
(14) (13) Professional Educator Licensing and Standards Board.
183.2
(b) The commissioner shall enter into agreements with these agencies to provide the
183.3
commissioner with electronic access to the relevant licensing data, and to provide the
183.4
commissioner with a quarterly list of new sanctions issued by the agency.
183.5
(c) The commissioner shall provide to the court the electronically available data
183.6
maintained in the agency's database, including whether the proposed guardian or conservator
183.7
is or has been licensed by the agency, and if the licensing agency database indicates a
183.8
disciplinary action or a sanction against the individual's license, including a condition,
183.9
suspension, revocation, or cancellation.
183.10
(d) If the proposed guardian or conservator has resided in a state other than Minnesota
183.11
in the previous ten years, licensing agency data under this section shall also include the
183.12
licensing agency data from any other state where the proposed guardian or conservator
183.13
reported to have resided during the previous ten years if the study subject indicates current
183.14
or prior affiliation. If the proposed guardian or conservator has or has had a professional
183.15
license in another state that is directly related to the responsibilities of a professional fiduciary
183.16
from one of the agencies listed under paragraph (a), state licensing agency data shall also
183.17
include data from the relevant licensing agency of that state.
183.18
(e) The commissioner is not required to repeat a search for Minnesota or out-of-state
183.19
licensing data on an individual if the commissioner has provided this information to the
183.20
court within the prior five years.
183.21
(f) The commissioner shall review the information in paragraph (c) at least once every
183.22
four months to determine if an individual who has been studied within the previous five
183.23
years:
183.24
(1) has new disciplinary action or sanction against the individual's license; or
183.25
(2) did not disclose a prior or current affiliation with a Minnesota licensing agency.
183.26
(g) If the commissioner's review in paragraph (f) identifies new information, the
183.27
commissioner shall provide any new information to the court.
183.28
Sec. 75. REVISOR INSTRUCTION.
183.29
The revisor of statutes shall renumber the subdivisions in Minnesota Statutes, section
183.30
245C.02, in alphabetical order and correct any cross-reference changes that result.
183
Article 6 Sec. 75.
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184.1
Sec. 76. REPEALER.
184.2
Subdivision 1. (a) Minnesota Statutes 2022, sections 245A.144; and 245A.175, are
184.3
repealed.
184.4
(b) Minnesota Rules, parts 2960.3070; and 2960.3210, are repealed.
184.5
(c) Minnesota Rules, part 9502.0425, subparts 5 and 10, are repealed.
184.6
Subd. 2. Minnesota Statutes 2022, section 245A.22, is repealed.
184.7
Subd. 3. (a) Minnesota Statutes 2022, sections 245C.02, subdivision 9; and 245C.301,
184.8
are repealed.
184.9
(b) Minnesota Statutes 2022, section 256.9685, subdivisions 1c and 1d, and Minnesota
184.10
Rules, parts 9505.0505, subpart 18; and 9505.0520, subpart 9b, are repealed.
184.11
EFFECTIVE DATE. Subdivision 1 is effective January 1, 2024; subdivision 2 is
184.12
effective the day following final enactment; and subdivision 3 is effective August 1, 2023.
184.13
ARTICLE 7
184.14
MISCELLANEOUS
184.15
Section 1. Minnesota Statutes 2022, section 245.50, subdivision 5, is amended to read:
184.16
Subd. 5. Special contracts; bordering states. (a) An individual who is detained,
184.17
committed, or placed on an involuntary basis under chapter 253B may be confined or treated
184.18
in a bordering state pursuant to a contract under this section. An individual who is detained,
184.19
committed, or placed on an involuntary basis under the civil law of a bordering state may
184.20
be confined or treated in Minnesota pursuant to a contract under this section. A peace or
184.21
health officer who is acting under the authority of the sending state may transport an
184.22
individual to a receiving agency that provides services pursuant to a contract under this
184.23
section and may transport the individual back to the sending state under the laws of the
184.24
sending state. Court orders valid under the law of the sending state are granted recognition
184.25
and reciprocity in the receiving state for individuals covered by a contract under this section
184.26
to the extent that the court orders relate to confinement for treatment or care of mental
184.27
illness, chemical dependency, or detoxification. Such treatment or care may address other
184.28
conditions that may be co-occurring with the mental illness or chemical dependency. These
184.29
court orders are not subject to legal challenge in the courts of the receiving state. Individuals
184.30
who are detained, committed, or placed under the law of a sending state and who are
184.31
transferred to a receiving state under this section continue to be in the legal custody of the
184.32
authority responsible for them under the law of the sending state. Except in emergencies,
184
Article 7 Section 1.
REVISOR
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185.1
those individuals may not be transferred, removed, or furloughed from a receiving agency
185.2
without the specific approval of the authority responsible for them under the law of the
185.3
sending state.
185.4
(b) While in the receiving state pursuant to a contract under this section, an individual
185.5
shall be subject to the sending state's laws and rules relating to length of confinement,
185.6
reexaminations, and extensions of confinement. No individual may be sent to another state
185.7
pursuant to a contract under this section until the receiving state has enacted a law recognizing
185.8
the validity and applicability of this section.
185.9
(c) If an individual receiving services pursuant to a contract under this section leaves
185.10
the receiving agency without permission and the individual is subject to involuntary
185.11
confinement under the law of the sending state, the receiving agency shall use all reasonable
185.12
means to return the individual to the receiving agency. The receiving agency shall
185.13
immediately report the absence to the sending agency. The receiving state has the primary
185.14
responsibility for, and the authority to direct, the return of these individuals within its borders
185.15
and is liable for the cost of the action to the extent that it would be liable for costs of its
185.16
own resident.
185.17
(d) Responsibility for payment for the cost of care remains with the sending agency.
185.18
(e) This subdivision also applies to county contracts under subdivision 2 which include
185.19
emergency care and treatment provided to a county resident in a bordering state.
185.20
(f) If a Minnesota resident is admitted to a facility in a bordering state under this chapter,
185.21
a physician, a licensed psychologist who has a doctoral degree in psychology, or an advanced
185.22
practice registered nurse certified in mental health, an individual who is licensed in the
185.23
bordering state, may act as a court examiner under sections 253B.07, 253B.08, 253B.092,
185.24
253B.12, and 253B.17 subject to the same requirements and limitations in section 253B.02,
185.25
subdivision subdivisions 4d and 7. An examiner under section 253B.02, subdivision 7, may
185.26
initiate an emergency hold under section 253B.051 on a Minnesota resident who is in a
185.27
hospital that is under contract with a Minnesota governmental entity under this section
185.28
provided the resident, in the opinion of the examiner, meets the criteria in section 253B.051.
185.29
(g) This section shall apply to detoxification services that are unrelated to treatment
185.30
whether the services are provided on a voluntary or involuntary basis.
185.31
Sec. 2. Minnesota Statutes 2022, section 254A.035, subdivision 2, is amended to read:
185.32
Subd. 2. Membership terms, compensation, removal and expiration. The membership
185.33
of this council shall be composed of 17 persons who are American Indians and who are
185
Article 7 Sec. 2.
REVISOR
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186.1
appointed by the commissioner. The commissioner shall appoint one representative from
186.2
each of the following groups: Red Lake Band of Chippewa Indians; Fond du Lac Band,
186.3
Minnesota Chippewa Tribe; Grand Portage Band, Minnesota Chippewa Tribe; Leech Lake
186.4
Band, Minnesota Chippewa Tribe; Mille Lacs Band, Minnesota Chippewa Tribe; Bois Forte
186.5
Band, Minnesota Chippewa Tribe; White Earth Band, Minnesota Chippewa Tribe; Lower
186.6
Sioux Indian Reservation; Prairie Island Sioux Indian Reservation; Shakopee Mdewakanton
186.7
Sioux Indian Reservation; Upper Sioux Indian Reservation; International Falls Northern
186.8
Range; Duluth Urban Indian Community; and two representatives from the Minneapolis
186.9
Urban Indian Community and two from the St. Paul Urban Indian Community. The terms,
186.10
compensation, and removal of American Indian Advisory Council members shall be as
186.11
provided in section 15.059. The council expires June 30, 2023.
186.12
Sec. 3. Minnesota Statutes 2022, section 256B.093, subdivision 1, is amended to read:
186.13
Subdivision 1. State traumatic brain injury program. (a) The commissioner of human
186.14
services shall:
186.15
(1) maintain a statewide traumatic brain injury program;
186.16
(2) supervise and coordinate services and policies for persons with traumatic brain
186.17
injuries;
186.18
(3) contract with qualified agencies or employ staff to provide statewide administrative
186.19
case management and consultation;
186.20
(4) maintain an advisory committee to provide recommendations in reports to the
186.21
commissioner regarding program and service needs of persons with brain injuries;
186.22
(5) investigate the need for the development of rules or statutes for the brain injury home
186.23
and community-based services waiver; and
186.24
(6) investigate present and potential models of service coordination which can be
186.25
delivered at the local level.
186.26
(b) The advisory committee required by paragraph (a), clause (4), must consist of no
186.27
fewer than ten members and no more than 30 members. The commissioner shall appoint
186.28
all advisory committee members to one- or two-year terms and appoint one member as
186.29
chair. The advisory committee expires on June 30, 2023.
186
Article 7 Sec. 3.
REVISOR
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187.1
Sec. 4. Laws 2021, First Special Session chapter 7, article 2, section 17, the effective date,
187.2
is amended to read:
187.3
EFFECTIVE DATE. This section is effective July 1, 2021, except subdivision 6,
187.4
paragraph (b), is effective upon federal approval and subdivision 15 is effective the day
187.5
following final enactment. The commissioner of human services shall notify the revisor of
187.6
statutes when federal approval is obtained.
187.7
Sec. 5. Laws 2021, First Special Session chapter 7, article 6, section 12, the effective date,
187.8
is amended to read:
187.9
EFFECTIVE DATE. This section is effective July 1, 2021, or upon federal approval,
187.10
whichever is later. The commissioner of human services shall notify the revisor of statutes
187.11
when federal approval is obtained.
187.12
Sec. 6. Laws 2021, First Special Session chapter 7, article 11, section 18, the effective
187.13
date, is amended to read:
187.14
EFFECTIVE DATE. This section is effective July 1, 2021, or upon federal approval,
187.15
whichever is later, except paragraph (f) is effective the day following final enactment. The
187.16
commissioner shall notify the revisor of statutes when federal approval is obtained.
187.17
Sec. 7. Laws 2021, First Special Session chapter 7, article 13, section 43, the effective
187.18
date, is amended to read:
187.19
EFFECTIVE DATE. This section is effective January 1, 2022, or upon federal approval,
187.20
whichever is later, except the fifth sentence in paragraph (d) is effective January 1, 2022.
187.21
The commissioner of human services shall notify the revisor of statutes when federal approval
187.22
is obtained.
187.23
Sec. 8. Laws 2022, chapter 98, article 4, section 37, the effective date, is amended to read:
187.24
EFFECTIVE DATE. This section is effective July 1, 2022, or upon federal approval,
187.25
whichever is later. The commissioner of human services shall notify the revisor of statutes
187.26
when federal approval is obtained.
187.27
Sec. 9. REPEALER.
187.28
Minnesota Statutes 2022, section 260.835, subdivision 2, is repealed.
187
Article 7 Sec. 9.
REVISOR
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01/26/23
188.1
ARTICLE 8
188.2
PROHIBITION ON CONVERSION THERAPY
188.3
Section 1. [214.078] PROTECTION FROM CONVERSION THERAPY.
188.4
Subdivision 1. Definition. "Conversion therapy" means any practice by a mental health
188.5
practitioner as defined in section 245I.04, subdivision 4, or mental health professional as
188.6
defined in section 245I.04, subdivision 2, that seeks to change an individual's sexual
188.7
orientation or gender identity, including efforts to change behaviors or gender expressions
188.8
or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of
188.9
the same gender. Conversion therapy does not include counseling that provides assistance
188.10
to an individual undergoing gender transition, or counseling that provides acceptance,
188.11
support, and understanding of an individual or facilitates an individual's coping, social
188.12
support, and identity exploration and development, including sexual-orientation-neutral
188.13
interventions to prevent or address unlawful conduct or unsafe sexual practices, as long as
188.14
the counseling does not seek to change an individual's sexual orientation or gender identity.
188.15
Subd. 2. Prohibition. (a) No mental health practitioner or mental health professional
188.16
shall engage in conversion therapy with a client younger than 18 years of age or with a
188.17
vulnerable adult as defined in section 626.5572, subdivision 21.
188.18
(b) Conversion therapy attempted by a mental health practitioner or mental health
188.19
professional with a client younger than 18 years of age or with a vulnerable adult shall be
188.20
considered unprofessional conduct that may subject the mental health practitioner or mental
188.21
health professional to disciplinary action by the licensing board of the mental health
188.22
practitioner or mental health professional.
188.23
EFFECTIVE DATE. This section is effective the day following final enactment.
188.24
Sec. 2. Minnesota Statutes 2022, section 256B.0625, is amended by adding a subdivision
188.25
to read:
188.26
Subd. 5n. Conversion therapy. Conversion therapy, as defined in section 214.078,
188.27
subdivision 1, is not covered.
188.28
Sec. 3. Minnesota Statutes 2022, section 325F.69, is amended by adding a subdivision to
188.29
read:
188.30
Subd. 7. Advertisement and sales; misrepresentation of conversion therapy. (a) For
188.31
purposes of this subdivision, "conversion therapy" means services or products that are
188.32
intended to change an individual's sexual orientation or gender identity, including efforts
188
Article 8 Sec. 3.
REVISOR
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23-00276
01/26/23
189.1
to change behaviors and gender expressions or to eliminate or reduce sexual or romantic
189.2
attractions or feelings toward individuals of the same gender.
189.3
(b) No person or entity shall, while conducting any trade or commerce, use or employ
189.4
any fraud, false pretense, false promise, false guarantee, misrepresentation, false or
189.5
misleading statements, or deceptive practice by advertising or otherwise offering conversion
189.6
therapy services that could reasonably be interpreted or inferred as representing
189.7
homosexuality as a mental disease, disorder, or illness, or guaranteeing to change an
189.8
individual's sexual orientation or gender identity.
189
Article 8 Sec. 3.
REVISOR
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01/26/23
169A.70 ALCOHOL SAFETY PROGRAMS; CHEMICAL USE ASSESSMENTS.
Subd. 6. Method of assessment. (a) As used in this subdivision, "collateral contact" means an
oral or written communication initiated by an assessor for the purpose of gathering information
from an individual or agency, other than the offender, to verify or supplement information provided
by the offender during an assessment under this section. The term includes contacts with family
members and criminal justice agencies.
(b) An assessment conducted under this section must include at least one personal interview
with the offender designed to make a determination about the extent of the offender's past and
present chemical and alcohol use or abuse. It must also include collateral contacts and a review of
relevant records or reports regarding the offender including, but not limited to, police reports, arrest
reports, driving records, chemical testing records, and test refusal records. If the offender has a
probation officer, the officer must be the subject of a collateral contact under this subdivision. If
an assessor is unable to make collateral contacts, the assessor shall specify why collateral contacts
were not made.
245A.144 TRAINING ON RISK OF SUDDEN UNEXPECTED INFANT DEATH AND
ABUSIVE HEAD TRAUMA FOR CHILD FOSTER CARE PROVIDERS.
(a) Licensed child foster care providers that care for infants or children through five years of
age must document that before staff persons and caregivers assist in the care of infants or children
through five years of age, they are instructed on the standards in section 245A.1435 and receive
training on reducing the risk of sudden unexpected infant death and abusive head trauma from
shaking infants and young children. This section does not apply to emergency relative placement
under section 245A.035. The training on reducing the risk of sudden unexpected infant death and
abusive head trauma may be provided as:
(1) orientation training to child foster care providers, who care for infants or children through
five years of age, under Minnesota Rules, part 2960.3070, subpart 1; or
(2) in-service training to child foster care providers, who care for infants or children through
five years of age, under Minnesota Rules, part 2960.3070, subpart 2.
(b) Training required under this section must be at least one hour in length and must be completed
at least once every five years. At a minimum, the training must address the risk factors related to
sudden unexpected infant death and abusive head trauma, means of reducing the risk of sudden
unexpected infant death and abusive head trauma, and license holder communication with parents
regarding reducing the risk of sudden unexpected infant death and abusive head trauma.
(c) Training for child foster care providers must be approved by the county or private licensing
agency that is responsible for monitoring the child foster care provider under section 245A.16. The
approved training fulfills, in part, training required under Minnesota Rules, part 2960.3070.
245A.175 CHILD FOSTER CARE TRAINING REQUIREMENT; MENTAL HEALTH
TRAINING; FETAL ALCOHOL SPECTRUM DISORDERS TRAINING.
Prior to a nonemergency placement of a child in a foster care home, the child foster care license
holder and caregivers in foster family and treatment foster care settings, and all staff providing care
in foster residence settings must complete two hours of training that addresses the causes, symptoms,
and key warning signs of mental health disorders; cultural considerations; and effective approaches
for dealing with a child's behaviors. At least one hour of the annual training requirement for the
foster family license holder and caregivers, and foster residence staff must be on children's mental
health issues and treatment. Except for providers and services under chapter 245D, the annual
training must also include at least one hour of training on fetal alcohol spectrum disorders, which
must be counted toward the 12 hours of required in-service training per year. Short-term substitute
caregivers are exempt from these requirements. Training curriculum shall be approved by the
commissioner of human services.
245A.22 INDEPENDENT LIVING ASSISTANCE FOR YOUTH.
Subdivision 1. Independent living assistance for youth. "Independent living assistance for
youth" means a nonresidential program that provides a system of services that includes training,
counseling, instruction, supervision, and assistance provided to youth according to the youth's
independent living plan, when the placements in the program are made by the county agency.
Services may include assistance in locating housing, budgeting, meal preparation, shopping, personal
appearance, counseling, and related social support services needed to meet the youth's needs and
improve the youth's ability to conduct such tasks independently. Such services shall not extend to
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youths needing 24-hour per day supervision and services. Youths needing a 24-hour per day program
of supervision and services shall not be accepted or retained in an independent living assistance
program.
Subd. 2. Admission. (a) The license holder shall accept as clients in the independent living
assistance program only youth ages 16 to 21 who are in out-of-home placement, leaving out-of-home
placement, at risk of becoming homeless, or homeless.
(b) Youth who have current drug or alcohol problems, a recent history of violent behaviors, or
a mental health disorder or issue that is not being resolved through counseling or treatment are not
eligible to receive the services described in subdivision 1.
(c) Youth who are not employed, participating in employment training, or enrolled in an academic
program are not eligible to receive transitional housing or independent living assistance.
(d) The commissioner may grant a variance under section 245A.04, subdivision 9, to requirements
in this section.
Subd. 3. Independent living plan. (a) Unless an independent living plan has been developed
by the local agency, the license holder shall develop a plan based on the client's individual needs
that specifies objectives for the client. The services provided shall include those specified in this
section. The plan shall identify the persons responsible for implementation of each part of the plan.
The plan shall be reviewed as necessary, but at least annually.
(b) The following services, or adequate access to referrals for the following services, must be
made available to the targeted youth participating in the programs described in subdivision 1:
(1) counseling services for the youth and their families, if appropriate, on site, to help with
problems that contributed to the homelessness or could impede making the transition to independent
living;
(2) educational, vocational, or employment services;
(3) health care;
(4) transportation services including, where appropriate, assisting the child in obtaining a driver's
license;
(5) money management skills training;
(6) planning for ongoing housing;
(7) social and recreational skills training; and
(8) assistance establishing and maintaining connections with the child's family and community.
Subd. 4. Records. (a) The license holder shall maintain a record for each client.
(b) For each client the record maintained by the license holder shall document the following:
(1) admission information;
(2) the independent living plan;
(3) delivery of the services required of the license holder in the independent living plan;
(4) the client's progress toward obtaining the objectives identified in the independent living
plan; and
(5) a termination summary after service is terminated.
(c) If the license holder manages the client's money, the record maintained by the license holder
shall also include the following:
(1) written permission from the client or the client's legal guardian to manage the client's money;
(2) the reasons the license holder is to manage the client's money; and
(3) a complete record of the use of the client's money and reconciliation of the account.
Subd. 5. Service termination plan. The license holder, in conjunction with the county agency,
shall establish a service termination plan that specifies how independent living assistance services
will be terminated and the actions to be performed by the involved agencies, including necessary
referrals for other ongoing services.
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Subd. 6. Place of residence provided by program. When a client's place of residence is
provided by the license holder as part of the independent living assistance program, the place of
residence is not subject to separate licensure.
Subd. 7. General licensing requirements apply. In addition to the requirements of this section,
providers of independent living assistance are subject to general licensing requirements of this
chapter.
245C.02 DEFINITIONS.
Subd. 9. Contractor. "Contractor" means any individual, regardless of employer, who is
providing program services for hire under the control of the provider.
245C.301 NOTIFICATION OF SET-ASIDE OR VARIANCE.
(a) Except as provided under paragraphs (b) and (c), if required by the commissioner, family
child care providers and child care centers must provide a written notification to parents considering
enrollment of a child or parents of a child attending the family child care or child care center if the
program employs or has living in the home any individual who is the subject of either a set-aside
or variance.
(b) Notwithstanding paragraph (a), family child care license holders are not required to disclose
that the program has an individual living in the home who is the subject of a set-aside or variance
if:
(1) the household member resides in the residence where the family child care is provided;
(2) the subject of the set-aside or variance is under the age of 18 years; and
(3) the set-aside or variance relates to a disqualification under section 245C.15, subdivision 4,
for a misdemeanor-level theft crime as defined in section 609.52.
(c) The notice specified in paragraph (a) is not required when the period of disqualification in
section 245C.15, subdivisions 2 to 4, has been exceeded.
245G.22 OPIOID TREATMENT PROGRAMS.
Subd. 19. Placing authorities. A program must provide certain notification and client-specific
updates to placing authorities for a client who is enrolled in Minnesota health care programs. At
the request of the placing authority, the program must provide client-specific updates, including
but not limited to informing the placing authority of positive drug testings and changes in medications
used for the treatment of opioid use disorder ordered for the client.
254A.02 DEFINITIONS.
Subd. 8a. Placing authority. "Placing authority" means a county, prepaid health plan, or tribal
governing board governed by Minnesota Rules, parts 9530.6600 to 9530.6655.
254A.16 RESPONSIBILITIES OF THE COMMISSIONER.
Subd. 6. Monitoring. The commissioner shall gather and placing authorities shall provide
information to measure compliance with Minnesota Rules, parts 9530.6600 to 9530.6655. The
commissioner shall specify the format for data collection to facilitate tracking, aggregating, and
using the information.
254A.19 CHEMICAL USE ASSESSMENTS.
Subd. 1a. Emergency room patients. A county may enter into a contract with a hospital to
provide chemical use assessments under Minnesota Rules, parts 9530.6600 to 9530.6655, for patients
admitted to an emergency room or inpatient hospital when:
(1) an assessor is not available; and
(2) detoxification services in the county are at full capacity.
Subd. 2. Probation officer as contact. When a chemical use assessment is required under
Minnesota Rules, parts 9530.6600 to 9530.6655, for a person who is on probation or under other
correctional supervision, the assessor, either orally or in writing, shall contact the person's probation
officer to verify or supplement the information provided by the person.
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Subd. 5. Assessment via telehealth. Notwithstanding Minnesota Rules, part 9530.6615, subpart
3, item A, a chemical use assessment may be conducted via telehealth as defined in section
256B.0625, subdivision 3b.
254B.04 ELIGIBILITY FOR BEHAVIORAL HEALTH FUND SERVICES.
Subd. 2b. Eligibility for placement in opioid treatment programs. Prior to placement of an
individual who is determined by the assessor to require treatment for opioid addiction, the assessor
must provide educational information concerning treatment options for opioid addiction, including
the use of a medication for the use of opioid addiction. The commissioner shall develop educational
materials supported by research and updated periodically that must be used by assessors to comply
with this requirement.
Subd. 2c. Eligibility to receive peer recovery support and treatment service
coordination. Notwithstanding Minnesota Rules, part 9530.6620, subpart 6, a placing authority
may authorize peer recovery support and treatment service coordination for a person who scores a
severity of one or more in dimension 4, 5, or 6, under Minnesota Rules, part 9530.6622. Authorization
for peer recovery support and treatment service coordination under this subdivision does not need
to be provided in conjunction with treatment services under Minnesota Rules, part 9530.6622,
subpart 4, 5, or 6.
254B.041 SUBSTANCE USE DISORDER RULES.
Subd. 2. Vendor collections; rule amendment. The commissioner may amend Minnesota
Rules, parts 9530.7000 to 9530.7025, to require a vendor of substance use disorder transitional and
extended care rehabilitation services to collect the cost of care received under a program from an
eligible person who has been determined to be partially responsible for treatment costs, and to remit
the collections to the commissioner. The commissioner shall pay to a vendor, for the collections,
an amount equal to five percent of the collections remitted to the commissioner by the vendor.
254B.13 PILOT PROJECTS; CHEMICAL HEALTH CARE.
Subdivision 1. Authorization for navigator pilot projects. The commissioner may approve
and implement navigator pilot projects developed under the planning process required under Laws
2009, chapter 79, article 7, section 26, to provide alternatives to and enhance coordination of the
delivery of chemical health services required under section 254B.03.
Subd. 2. Program design and implementation. (a) The commissioner and counties participating
in the navigator pilot projects shall continue to work in partnership to refine and implement the
navigator pilot projects initiated under Laws 2009, chapter 79, article 7, section 26.
(b) The commissioner and counties participating in the navigator pilot projects shall complete
the planning phase and, if approved by the commissioner for implementation, enter into agreements
governing the operation of the navigator pilot projects.
Subd. 2a. Eligibility for navigator pilot program. (a) To be considered for participation in a
navigator pilot program, an individual must:
(1) be a resident of a county with an approved navigator program;
(2) be eligible for behavioral health fund services;
(3) be a voluntary participant in the navigator program;
(4) satisfy one of the following items:
(i) have at least one severity rating of three or above in dimension four, five, or six in a
comprehensive assessment under section 245G.05, subdivision 2, paragraph (c), clauses (4) to (6);
or
(ii) have at least one severity rating of two or above in dimension four, five, or six in a
comprehensive assessment under section 245G.05, subdivision 2, paragraph (c), clauses (4) to (6),
and be currently participating in a Rule 31 treatment program under chapter 245G or be within 60
days following discharge after participation in a Rule 31 treatment program; and
(5) have had at least two treatment episodes in the past two years, not limited to episodes
reimbursed by the behavioral health fund. An admission to an emergency room, a detoxification
program, or a hospital may be substituted for one treatment episode if it resulted from the individual's
substance use disorder.
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(b) New eligibility criteria may be added as mutually agreed upon by the commissioner and
participating navigator programs.
Subd. 4. Notice of navigator pilot project discontinuation. Each county's participation in the
navigator pilot project may be discontinued for any reason by the county or the commissioner of
human services after 30 days' written notice to the other party.
Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this chapter, the
commissioner may authorize navigator pilot projects to use the behavioral health fund to pay for
nontreatment navigator pilot services:
(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph (a); and
(2) by vendors in addition to those authorized under section 254B.05 when not providing
substance use disorder treatment services.
(b) For purposes of this section, "nontreatment navigator pilot services" include navigator
services, peer support, family engagement and support, housing support, rent subsidies, supported
employment, and independent living skills.
(c) State expenditures for substance use disorder services and nontreatment navigator pilot
services provided by or through the navigator pilot projects must not be greater than the behavioral
health fund expected share of forecasted expenditures in the absence of the navigator pilot projects.
The commissioner may restructure the schedule of payments between the state and participating
counties under the local agency share and division of cost provisions under section 254B.03,
subdivisions 3 and 4, as necessary to facilitate the operation of the navigator pilot projects.
(d) The commissioner may waive administrative rule requirements that are incompatible with
the implementation of the navigator pilot project, except that any substance use disorder treatment
funded under this section must continue to be provided by a licensed treatment provider.
(e) The commissioner shall not approve or enter into any agreement related to navigator pilot
projects authorized under this section that puts current or future federal funding at risk.
(f) The commissioner shall provide participating navigator pilot projects with transactional data,
reports, provider data, and other data generated by county activity to assess and measure outcomes.
This information must be transmitted or made available in an acceptable form to participating
navigator pilot projects at least once every six months or within a reasonable time following the
commissioner's receipt of information from the counties needed to comply with this paragraph.
Subd. 6. Duties of county board. The county board, or other county entity that is approved to
administer a navigator pilot project, shall:
(1) administer the navigator pilot project in a manner consistent with the objectives described
in subdivision 2 and the planning process in subdivision 5;
(2) ensure that no one is denied substance use disorder treatment services for which they would
otherwise be eligible under section 254A.03, subdivision 3; and
(3) provide the commissioner with timely and pertinent information as negotiated in agreements
governing operation of the navigator pilot projects.
Subd. 7. Managed care. An individual who is eligible for the navigator pilot program under
subdivision 2a is excluded from mandatory enrollment in managed care until these services are
included in the health plan's benefit set.
Subd. 8. Authorization for continuation of navigator pilots. The navigator pilot projects
implemented pursuant to subdivision 1 are authorized to continue operation after July 1, 2013,
under existing agreements governing operation of the pilot projects.
254B.16 PILOT PROJECTS; TREATMENT FOR PREGNANT AND POSTPARTUM
WOMEN WITH SUBSTANCE USE DISORDER.
Subdivision 1. Pilot projects established. (a) Within the limits of federal funds available
specifically for this purpose, the commissioner of human services shall establish pilot projects to
provide substance use disorder treatment and services to pregnant and postpartum women with a
primary diagnosis of substance use disorder, including opioid use disorder. Pilot projects funded
under this section must:
(1) promote flexible uses of funds to provide treatment and services to pregnant and postpartum
women with substance use disorders;
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(2) fund family-based treatment and services for pregnant and postpartum women with substance
use disorders;
(3) identify gaps in services along the continuum of care that are provided to pregnant and
postpartum women with substance use disorders; and
(4) encourage new approaches to service delivery and service delivery models.
(b) A pilot project funded under this section must provide at least a portion of its treatment and
services to women who receive services on an outpatient basis.
Subd. 2. Federal funds. The commissioner shall apply for any available grant funds from the
federal Center for Substance Abuse Treatment for these pilot projects.
256.9685 ESTABLISHMENT OF INPATIENT HOSPITAL PAYMENT SYSTEM.
Subd. 1c. Judicial review. A hospital, physician, advanced practice registered nurse, or physician
assistant aggrieved by an order of the commissioner under subdivision 1b may appeal the order to
the district court of the county in which the physician, advanced practice registered nurse, physician
assistant, or hospital is located by:
(1) serving a written copy of a notice of appeal upon the commissioner within 30 days after the
date the commissioner issued the order; and
(2) filing the original notice of appeal and proof of service with the court administrator of the
district court. The appeal shall be treated as a dispositive motion under the Minnesota General Rules
of Practice, rule 115. The district court scope of review shall be as set forth in section 14.69.
Subd. 1d. Transmittal of record. Within 30 days after being served with the notice of appeal,
the commissioner shall transmit to the district court the original or certified copy of the entire record
considered by the commissioner in making the final agency decision. The district court shall not
consider evidence that was not included in the record before the commissioner.
256B.49 HOME AND COMMUNITY-BASED SERVICE WAIVERS FOR PERSONS
WITH DISABILITIES.
Subd. 23. Community-living settings. (a) For the purposes of this chapter, "community-living
settings" means a single-family home or multifamily dwelling unit where a service recipient or a
service recipient's family owns or rents, and maintains control over the individual unit as
demonstrated by a lease agreement. Community-living settings does not include a home or dwelling
unit that the service provider owns, operates, or leases or in which the service provider has a direct
or indirect financial interest.
(b) To ensure a service recipient or the service recipient's family maintains control over the
home or dwelling unit, community-living settings are subject to the following requirements:
(1) service recipients must not be required to receive services or share services;
(2) service recipients must not be required to have a disability or specific diagnosis to live in
the community-living setting;
(3) service recipients may hire service providers of their choice;
(4) service recipients may choose whether to share their household and with whom;
(5) the home or multifamily dwelling unit must include living, sleeping, bathing, and cooking
areas;
(6) service recipients must have lockable access and egress;
(7) service recipients must be free to receive visitors and leave the settings at times and for
durations of their own choosing;
(8) leases must comply with chapter 504B;
(9) landlords must not charge different rents to tenants who are receiving home and
community-based services; and
(10) access to the greater community must be easily facilitated based on the service recipient's
needs and preferences.
(c) Nothing in this section prohibits a service recipient from having another person or entity
not affiliated with the service provider cosign a lease. Nothing in this section prohibits a service
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recipient, during any period in which a service provider has cosigned the service recipient's lease,
from modifying services with an existing cosigning service provider and, subject to the approval
of the landlord, maintaining a lease cosigned by the service provider. Nothing in this section prohibits
a service recipient, during any period in which a service provider has cosigned the service recipient's
lease, from terminating services with the cosigning service provider, receiving services from a new
service provider, and, subject to the approval of the landlord, maintaining a lease cosigned by the
new service provider.
(d) A lease cosigned by a service provider meets the requirements of paragraph (a) if the service
recipient and service provider develop and implement a transition plan which must provide that,
within two years of cosigning the initial lease, the service provider shall transfer the lease to the
service recipient and other cosigners, if any.
(e) In the event the landlord has not approved the transfer of the lease within two years of the
service provider cosigning the initial lease, the service provider must submit a time-limited extension
request to the commissioner of human services to continue the cosigned lease arrangement. The
extension request must include:
(1) the reason the landlord denied the transfer;
(2) the plan to overcome the denial to transfer the lease;
(3) the length of time needed to successfully transfer the lease, not to exceed an additional two
years;
(4) a description of how the transition plan was followed, what occurred that led to the landlord
denying the transfer, and what changes in circumstances or condition, if any, the service recipient
experienced; and
(5) a revised transition plan to transfer the cosigned lease between the service provider and the
service recipient to the service recipient.
The commissioner must approve an extension within sufficient time to ensure the continued
occupancy by the service recipient.
256D.63 EXPIRATION OF SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM
BENEFITS AND REPORTING REQUIREMENTS.
Subdivision 1. Expiration of SNAP benefits. Supplemental Nutrition Assistance Program
(SNAP) benefits shall not be stored off line or expunged from a recipient's account unless the
benefits have not been accessed for 12 months after the month they were issued.
256I.03 DEFINITIONS.
Subd. 6. Medical assistance room and board rate. "Medical assistance room and board rate"
means an amount equal to 81 percent of the federal poverty guideline for a single individual living
alone in the community less the medical assistance personal needs allowance under section 256B.35.
For the purposes of this section, the amount of the room and board rate that exceeds the medical
assistance room and board rate is considered a remedial care cost. A remedial care cost may be
used to meet a spenddown obligation under section 256B.056, subdivision 5. The medical assistance
room and board rate is to be adjusted on the first day of January of each year.
260.835 AMERICAN INDIAN CHILD WELFARE ADVISORY COUNCIL.
Subd. 2. Expiration. The American Indian Child Welfare Advisory Council expires June 30,
2023.
518A.59 NOTICE OF INTEREST ON LATE CHILD SUPPORT.
Any judgment or decree of dissolution or legal separation containing a requirement of child
support and any determination of parentage, order under chapter 518C, order under section 256.87,
or order under section 260B.331 or 260C.331 must include a notice to the parties that section
548.091, subdivision 1a, provides for interest to begin accruing on a payment or installment of child
support whenever the unpaid amount due is greater than the current support due.
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2960.3070 FOSTER PARENT TRAINING.
Subpart 1. Orientation. A nonrelative foster parent must complete a minimum of six
hours of orientation before admitting a foster child. Orientation is required for relative foster
parents who will be licensed as a child's foster parents. Orientation for relatives must be
completed within 30 days following the initial placement. The foster parent's orientation
must include items A to E:
A. emergency procedures, including evacuation routes, emergency telephone
numbers, severe storm and tornado procedures, and location of alarms and equipment;
B. relevant laws and rules, including, but not limited to, chapter 9560 and
Minnesota Statutes, chapters 245A, 260, 260C, and 260E, and legal issues and reporting
requirements;
C. cultural diversity, gender sensitivity, culturally specific services, cultural
competence, and information about discrimination and racial bias issues to ensure that
caregivers will be culturally competent to care for foster children according to Minnesota
Statutes, section 260C.212, subdivision 11;
D. information about the role and responsibilities of the foster parent in the
development and implementation of the case plan and in court and administrative reviews
of the child's placement; and
E. requirements of the licensing agency.
Subp. 2. In-service training. Each foster parent must complete a minimum of 12
hours of training per year in one or more of the areas in this subpart or in other areas as
agreed upon by the licensing agency and the foster parent. If the foster parent has not
completed the required annual training at the time of relicensure and does not show good
cause why the training was not completed, the foster parent may not accept new foster
children until the training is completed. The nonexclusive list of topics in items A to Z
provides examples of in-service training topics that could be useful to a foster parent:
A. cultural competence and transcultural placements;
B. adoption and permanency;
C. crisis intervention, including suicide prevention;
D. sexual offender behaviors;
E. children's psychological, spiritual, cultural, sexual, emotional, intellectual, and
social development;
F. legal issues including liability;
G. foster family relationships with placing agencies and other service providers;
H. first aid and life-sustaining treatment such as cardiopulmonary resuscitation;
I. preparing foster children for independent living;
J. parenting children who suffered physical, emotional, or sexual abuse or domestic
violence;
K. chemical dependency, and signs or symptoms of alcohol and drug abuse;
L. mental health and emotional disturbance issues;
M. Americans with Disabilities Act and Individuals With Disabilities Education
Act;
N. caring for children with disabilities and disability-related issues regarding
developmental disabilities, emotional and behavioral disorders, and specific learning
disabilities;
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Repealed Minnesota Rules: 23-00276
O. privacy issues of foster children;
P. physical and nonphysical behavior guidance, crisis de-escalation, and discipline
techniques, including how to handle aggression for specific age groups and specific issues
such as developmental disabilities, chemical dependency, emotional disturbances, learning
disabilities, and past abuse;
Q. birth families and reunification;
R. effects of foster care on foster families;
S. home safety;
T. emergency procedures;
U. child and family wellness;
V. sexual orientation;
W. disability bias and discrimination;
X. management of sexual perpetration, violence, bullying, and exploitative
behaviors;
Y. medical technology-dependent or medically fragile conditions; and
Z. separation, loss, and attachment.
Subp. 3. Medical equipment training. Foster parents who care for children who rely
on medical equipment to sustain life or monitor a medical condition must meet the
requirements of Minnesota Statutes, section 245A.155.
2960.3210 STAFF TRAINING REQUIREMENTS.
Subpart 1. Orientation. The license holder must ensure that all staff attend and
successfully complete at least six hours of orientation training before having unsupervised
contact with foster children. The number of hours of orientation training are not counted as
part of the hours of annual training. Orientation training must include at least the topics in
items A to F:
A. emergency procedures, including evacuation routes, emergency telephone
numbers, severe storm and tornado procedures, and location of facility alarms and equipment;
B. relevant statutes and administrative rules and legal issues, including reporting
requirements for abuse and neglect specified in Minnesota Statutes, chapter 260E and section
626.557, and other reporting requirements based on the ages of the children;
C. cultural diversity and gender sensitivity, culturally specific services, and
information about discrimination and racial bias issues to ensure that caregivers have cultural
sensitivity and will be culturally competent to care for children according to Minnesota
Statutes, section 260C.212, subdivision 11;
D. general and special needs, including disability needs, of children and families
served;
E. operational policies and procedures of the license holder; and
F. data practices regulations and issues.
Subp. 2. Personnel training. The license holder must provide training for staff that
is modified annually to meet the current needs of individual staff persons. The license holder
must develop an annual training plan for employees that addresses items A to C.
A. Full-time and part-time direct care staff and volunteers must have sufficient
training to accomplish their duties. To determine the type and amount of training an employee
needs, the license holder must consider the foster care program's target population, services
the program delivers, and outcomes expected from the services, as well as the employee's
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position description, tasks to be performed, and the performance indicators for the position.
The license holder and staff who care for children who rely on medical equipment to sustain
life or monitor a medical condition must meet the requirements of Minnesota Statutes,
section 245A.155.
B. Full-time staff who have direct contact with children must complete at least
18 hours of in-service training per year. One-half of the training must be skill development
training. Other foster home staff and volunteers must complete in-service training
requirements consistent with their duties.
C. Part-time direct care staff must receive sufficient training to competently care
for children. The amount of training must be provided at least at a ratio of one hour of
training for each 60 hours worked, up to 18 hours of training per part-time employee per
year.
Subp. 3. Documentation of training. The license holder must document the date and
number of hours of orientation and in-service training completed by each staff person in
each topic area and the name of the entity that provided the training.
9502.0425 PHYSICAL ENVIRONMENT.
Subp. 5. Occupancy separations. Day care residences with an attached garage must
have a self-closing, tight fitting solid wood bonded core door at least 1-3/8 inch thick, or
door with a fire protection rating of 20 minutes or greater and a separation wall consisting
of 5/8 inch thick gypsum wallboard or its equivalent on the garage side between the residence
and garage.
Subp. 10. Stairways. All stairways must meet the following conditions.
A. Stairways of three or more steps must have handrails.
B. Any open area between the handrail and stair tread must be enclosed with a
protective guardrail as specified in the State Building Code. The back of the stair risers must
be enclosed.
C. Gates or barriers must be used when children between the ages of 6 and 18
months are in care.
D. Stairways must be well-lighted, in good repair, and free of clutter and
obstructions.
9505.0235 ABORTION SERVICES.
Subpart 1. Definition. For purposes of this part, "abortion related services" means
services provided in connection with an elective abortion except those services which would
otherwise be provided in the course of a pregnancy. Examples of abortion related services
include hospitalization when the abortion is performed in an inpatient setting, the use of a
facility when the abortion is performed in an outpatient setting, counseling about the abortion,
general and local anesthesia provided in connection with the abortion, and antibiotics
provided directly after the abortion.
Medically necessary services that are not considered to be abortion related include
family planning services as defined in part 9505.0280, subpart 1, history and physical
examination, tests for pregnancy and venereal disease, blood tests, rubella titer, ultrasound
tests, rhoGAM(TM), pap smear, and laboratory examinations for the purpose of detecting
fetal abnormalities.
Treatment for infection or other complications of the abortion are covered services.
Subp. 2. Payment limitation. Unless otherwise provided by law, an abortion related
service provided to a recipient is eligible for medical assistance payment if the abortion
meets the conditions in item A, B, or C.
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Repealed Minnesota Rules: 23-00276
A. The abortion must be necessary to prevent the death of a pregnant woman who
has given her written consent to the abortion. If the pregnant woman is physically or legally
incapable of giving her written consent to the procedure, authorization for the abortion must
be obtained as specified in Minnesota Statutes, section 144.343. The necessity of the abortion
to prevent the death of the pregnant woman must be certified in writing by two physicians
before the abortion is performed.
B. The pregnancy is the result of criminal sexual conduct as defined in Minnesota
Statutes, section 609.342, paragraphs (c) to (f). The conduct must be reported to a law
enforcement agency within 48 hours after its occurrence. If the victim is physically unable
to report the criminal sexual conduct within 48 hours after its occurrence, the report must
be made within 48 hours after the victim becomes physically able to report the criminal
sexual conduct.
C. The pregnancy is the result of incest. Before the abortion, the incest and the
name of the relative allegedly committing the incest must be reported to a law enforcement
agency.
9505.0505 DEFINITIONS.
Subp. 18. Medical review agent. "Medical review agent" means the representative
of the commissioner who is authorized by the commissioner to administer procedures for
admission certifications, medical record reviews and reconsideration, and perform other
functions as stipulated in the terms of the agent's contract with the department.
9505.0520 INPATIENT ADMISSION CERTIFICATION.
Subp. 9b. Reconsideration; physician advisers appointed by medical review
agent. Upon receipt of a request for reconsideration under subpart 9, the medical review
agent shall appoint at least three physician advisers who did not take part in the decision to
deny or withdraw all or part of the admission certification. Each physician adviser shall
determine the medical necessity of the admission or the continued stay or, in the case of a
readmission, determine whether the admission and readmission meet the criteria in part
9505.0540. The reconsideration decision must be the majority opinion of the physician
advisers. In making the decision, the three physician advisers shall use the criteria of medical
necessity set out in part 9505.0530.
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Repealed Minnesota Rules: 23-00276
As enrolled or final
321,969 characters
1.1
A bill for an act
1.2
relating to human services; modifying and establishing laws regarding aging,
1.3
disability, behavioral health, substance use disorder, and statewide opioid litigation;
1.4
amending Minnesota Statutes 2022, sections 3.757, subdivision 1; 62N.25,
1.5
subdivision 5; 62Q.1055; 62Q.47; 169A.70, subdivisions 3, 4; 245.462, subdivisions
1.6
3, 12; 245.4711, subdivisions 3, 4; 245.477; 245.4835, subdivision 2; 245.4871,
1.7
subdivisions 3, 19; 245.4873, subdivision 4; 245.4881, subdivisions 3, 4; 245.4885,
1.8
subdivision 1; 245.4887; 245.50, subdivision 5; 245A.03, subdivision 7; 245A.043,
1.9
subdivision 3; 245A.16, subdivision 1; 245D.03, subdivision 1; 245F.06,
1.10
subdivision 2; 245G.01, by adding subdivisions; 245G.02, subdivision 2; 245G.05,
1.11
subdivision 1, by adding a subdivision; 245G.06, subdivisions 1, 3, 4, by adding
1.12
subdivisions; 245G.07, subdivision 2; 245G.09, subdivision 3; 245G.11, subdivision
1.13
8; 245G.22, subdivisions 2, 15, 17; 245I.04, by adding subdivisions; 245I.10,
1.14
subdivision 6; 246.0135; 254A.03, subdivision 3; 254A.035, subdivision 2;
1.15
254A.19, subdivisions 1, 3, 4, by adding subdivisions; 254B.01, subdivisions 5,
1.16
8, by adding subdivisions; 254B.03, subdivisions 1, 2, 5; 254B.04, subdivisions
1.17
1, 2a, by adding subdivisions; 254B.05, subdivisions 1, 1a, 5; 256.01, by adding
1.18
a subdivision; 256.045, subdivision 3; 256B.0615, subdivisions 1, 5; 256B.0911,
1.19
subdivision 23; 256B.092, subdivision 10; 256B.093, subdivision 1; 256B.439,
1.20
subdivisions 3c, 3d, by adding a subdivision; 256B.492; 256B.493, subdivisions
1.21
2a, 4; 256D.09, subdivision 2a; 256L.03, subdivision 2; 256L.12, subdivision 8;
1.22
256S.202, subdivision 1; 260B.157, subdivisions 1, 3; 260C.157, subdivision 3;
1.23
260E.20, subdivision 1; 299A.299, subdivision 1; 524.5-104; 524.5-313; Laws
1.24
2021, First Special Session chapter 7, article 2, section 17; article 6, section 12;
1.25
article 11, section 18; article 13, section 43; article 17, section 20; Laws 2022,
1.26
chapter 98, article 4, section 37; proposing coding for new law in Minnesota
1.27
Statutes, chapter 254B; repealing Minnesota Statutes 2022, sections 169A.70,
1.28
subdivision 6; 245G.05, subdivision 2; 245G.06, subdivision 2; 245G.22,
1.29
subdivision 19; 254A.02, subdivision 8a; 254A.16, subdivision 6; 254A.19,
1.30
subdivisions 1a, 2, 5; 254B.04, subdivisions 2b, 2c; 254B.041, subdivision 2;
1.31
254B.13, subdivisions 1, 2, 2a, 4, 5, 6, 7, 8; 254B.16; 256.041, subdivision 10;
1.32
256B.49, subdivision 23; 260.835, subdivision 2; Minnesota Rules, parts 9530.7000,
1.33
subparts 1, 2, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 17a, 19, 20, 21; 9530.7005; 9530.7010;
1.34
9530.7012; 9530.7015, subparts 1, 2a, 4, 5, 6; 9530.7020, subparts 1, 1a, 2;
1.35
9530.7021; 9530.7022, subpart 1; 9530.7025; 9530.7030, subpart 1.
1
REVISOR
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Printed
Page No.
State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 1403
NINETY-THIRD SESSION
Authored by Fischer and Curran
02/08/2023
The bill was read for the first time and referred to the Committee on Human Services Policy
Adoption of Report: Placed on the General Register as Amended
03/13/2023
Read for the Second Time
Calendar for the Day, Amended
04/25/2023
Read Third Time as Amended
Passed by the House as Amended and transmitted to the Senate to include Floor Amendments
Passed by the Senate as Amended and returned to the House
05/15/2023
The House concurred in the Senate Amendments
Read Third Time as Amended by the Senate
Bill was repassed as Amended by the Senate
2.1
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
2.2
ARTICLE 1
2.3
AGING, DISABILITY, AND BEHAVIORAL HEALTH SERVICES
2.4
Section 1. Minnesota Statutes 2022, section 245.462, subdivision 3, is amended to read:
2.5
Subd. 3. Case management services. "Case management services" means activities
2.6
that are coordinated with the community support services program as defined in subdivision
2.7
6 and are designed to help adults with serious and persistent mental illness in gaining access
2.8
to needed medical, social, educational, vocational, and other necessary services as they
2.9
relate to the client's mental health needs. Case management services include developing a
2.10
functional assessment, an individual assessment summary community support plan, referring
2.11
and assisting the person to obtain needed mental health and other services, ensuring
2.12
coordination of services, and monitoring the delivery of services.
2.13
Sec. 2. Minnesota Statutes 2022, section 245.462, subdivision 12, is amended to read:
2.14
Subd. 12. Individual assessment summary community support plan. "Individual
2.15
assessment summary community support plan" means a written plan developed by a case
2.16
manager on the basis of a diagnostic assessment and functional assessment. The plan
2.17
identifies specific services needed by an adult with serious and persistent mental illness to
2.18
develop independence or improved functioning in daily living, health and medication
2.19
management, social functioning, interpersonal relationships, financial management, housing,
2.20
transportation, and employment.
2.21
Sec. 3. Minnesota Statutes 2022, section 245.4711, subdivision 3, is amended to read:
2.22
Subd. 3. Duties of case manager. Upon a determination of eligibility for case
2.23
management services, and if the adult consents to the services, the case manager shall
2.24
complete a written functional assessment according to section 245.462, subdivision 11a.
2.25
The case manager shall develop an individual assessment summary community support
2.26
plan for the adult according to subdivision 4, paragraph (a), review the adult's progress, and
2.27
monitor the provision of services. If services are to be provided in a host county that is not
2.28
the county of financial responsibility, the case manager shall consult with the host county
2.29
and obtain a letter demonstrating the concurrence of the host county regarding the provision
2.30
of services.
2
Article 1 Sec. 3.
REVISOR
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3.1
Sec. 4. Minnesota Statutes 2022, section 245.4711, subdivision 4, is amended to read:
3.2
Subd. 4. Individual assessment summary community support plan. (a) The case
3.3
manager must develop an individual assessment summary community support plan for each
3.4
adult that incorporates the client's individual treatment plan. The individual treatment plan
3.5
may not be a substitute for the development of an individual assessment summary community
3.6
support plan. The individual assessment summary community support plan must be developed
3.7
within 30 days of client intake and reviewed at least every 180 days after it is developed,
3.8
unless the case manager receives a written request from the client or the client's family for
3.9
a review of the plan every 90 days after it is developed. The case manager is responsible
3.10
for developing the individual assessment summary community support plan based on a
3.11
diagnostic assessment and a functional assessment and for implementing and monitoring
3.12
the delivery of services according to the individual assessment summary community support
3.13
plan. To the extent possible, the adult with serious and persistent mental illness, the person's
3.14
family, advocates, service providers, and significant others must be involved in all phases
3.15
of development and implementation of the individual or family assessment summary
3.16
community support plan.
3.17
(b) The client's individual assessment summary community support plan must state:
3.18
(1) the goals of each service;
3.19
(2) the activities for accomplishing each goal;
3.20
(3) a schedule for each activity; and
3.21
(4) the frequency of face-to-face contacts by the case manager, as appropriate to client
3.22
need and the implementation of the individual assessment summary community support
3.23
plan.
3.24
Sec. 5. Minnesota Statutes 2022, section 245.477, is amended to read:
3.25
245.477 APPEALS.
3.26
Any adult who requests mental health services under sections 245.461 to 245.486 must
3.27
be advised of services available and the right to appeal at the time of the request and each
3.28
time the individual assessment summary community support plan or individual treatment
3.29
plan is reviewed. Any adult whose request for mental health services under sections 245.461
3.30
to 245.486 is denied, not acted upon with reasonable promptness, or whose services are
3.31
suspended, reduced, or terminated by action or inaction for which the county board is
3.32
responsible under sections 245.461 to 245.486 may contest that action or inaction before
3
Article 1 Sec. 5.
REVISOR
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4.1
the state agency as specified in section 256.045. The commissioner shall monitor the nature
4.2
and frequency of administrative appeals under this section.
4.3
Sec. 6. Minnesota Statutes 2022, section 245.4835, subdivision 2, is amended to read:
4.4
Subd. 2. Failure to maintain expenditures. (a) If a county does not comply with
4.5
subdivision 1, the commissioner shall require the county to develop a corrective action plan
4.6
according to a format and timeline established by the commissioner. If the commissioner
4.7
determines that a county has not developed an acceptable corrective action plan within the
4.8
required timeline, or that the county is not in compliance with an approved corrective action
4.9
plan, the protections provided to that county under section 245.485 do not apply.
4.10
(b) The commissioner shall consider the following factors to determine whether to
4.11
approve a county's corrective action plan:
4.12
(1) the degree to which a county is maximizing revenues for mental health services from
4.13
noncounty sources;
4.14
(2) the degree to which a county is expanding use of alternative services that meet mental
4.15
health needs, but do not count as mental health services within existing reporting systems.
4.16
If approved by the commissioner, the alternative services must be included in the county's
4.17
base as well as subsequent years. The commissioner's approval for alternative services must
4.18
be based on the following criteria:
4.19
(i) the service must be provided to children with emotional disturbance or adults with
4.20
mental illness;
4.21
(ii) the services must be based on an individual treatment plan or individual assessment
4.22
summary community support plan as defined in the Comprehensive Mental Health Act;
4.23
and
4.24
(iii) the services must be supervised by a mental health professional and provided by
4.25
staff who meet the staff qualifications defined in sections 256B.0943, subdivision 7, and
4.26
256B.0623, subdivision 5.
4.27
(c) Additional county expenditures to make up for the prior year's underspending may
4.28
be spread out over a two-year period.
4.29
Sec. 7. Minnesota Statutes 2022, section 245.4871, subdivision 3, is amended to read:
4.30
Subd. 3. Case management services. "Case management services" means activities
4.31
that are coordinated with the family community support services and are designed to help
4
Article 1 Sec. 7.
REVISOR
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5.1
the child with severe emotional disturbance and the child's family obtain needed mental
5.2
health services, social services, educational services, health services, vocational services,
5.3
recreational services, and related services in the areas of volunteer services, advocacy,
5.4
transportation, and legal services. Case management services include assisting in obtaining
5.5
a comprehensive diagnostic assessment, developing an individual family assessment summary
5.6
community support plan, and assisting the child and the child's family in obtaining needed
5.7
services by coordination with other agencies and assuring continuity of care. Case managers
5.8
must assess and reassess the delivery, appropriateness, and effectiveness of services over
5.9
time.
5.10
Sec. 8. Minnesota Statutes 2022, section 245.4871, subdivision 19, is amended to read:
5.11
Subd. 19. Individual family assessment summary community support
5.12
plan. "Individual family assessment summary community support plan" means a written
5.13
plan developed by a case manager in conjunction with the family and the child with severe
5.14
emotional disturbance on the basis of a diagnostic assessment and a functional assessment.
5.15
The plan identifies specific services needed by a child and the child's family to:
5.16
(1) treat the symptoms and dysfunctions determined in the diagnostic assessment;
5.17
(2) relieve conditions leading to emotional disturbance and improve the personal
5.18
well-being of the child;
5.19
(3) improve family functioning;
5.20
(4) enhance daily living skills;
5.21
(5) improve functioning in education and recreation settings;
5.22
(6) improve interpersonal and family relationships;
5.23
(7) enhance vocational development; and
5.24
(8) assist in obtaining transportation, housing, health services, and employment.
5.25
Sec. 9. Minnesota Statutes 2022, section 245.4873, subdivision 4, is amended to read:
5.26
Subd. 4. Individual case coordination. The case manager designated under section
5.27
245.4881 is responsible for ongoing coordination with any other person responsible for
5.28
planning, development, and delivery of social services, education, corrections, health, or
5.29
vocational services for the individual child. The individual family assessment summary
5.30
community support plan developed by the case manager shall reflect the coordination among
5.31
the local service system providers.
5
Article 1 Sec. 9.
REVISOR
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6.1
Sec. 10. Minnesota Statutes 2022, section 245.4881, subdivision 3, is amended to read:
6.2
Subd. 3. Duties of case manager. (a) Upon a determination of eligibility for case
6.3
management services, the case manager shall develop an individual family assessment
6.4
summary community support plan for a child as specified in subdivision 4, review the child's
6.5
progress, and monitor the provision of services. If services are to be provided in a host
6.6
county that is not the county of financial responsibility, the case manager shall consult with
6.7
the host county and obtain a letter demonstrating the concurrence of the host county regarding
6.8
the provision of services.
6.9
(b) The case manager shall note in the child's record the services needed by the child
6.10
and the child's family, the services requested by the family, services that are not available,
6.11
and the unmet needs of the child and child's family. The case manager shall note this
6.12
provision in the child's record.
6.13
Sec. 11. Minnesota Statutes 2022, section 245.4881, subdivision 4, is amended to read:
6.14
Subd. 4. Individual family assessment summary community support plan. (a) For
6.15
each child, the case manager must develop an individual family assessment summary
6.16
community support plan that incorporates the child's individual treatment plan. The individual
6.17
treatment plan may not be a substitute for the development of an individual family assessment
6.18
summary community support plan. The case manager is responsible for developing the
6.19
individual family assessment summary community support plan within 30 days of intake
6.20
based on a diagnostic assessment and for implementing and monitoring the delivery of
6.21
services according to the individual family assessment summary community support plan.
6.22
The case manager must review the plan at least every 180 calendar days after it is developed,
6.23
unless the case manager has received a written request from the child's family or an advocate
6.24
for the child for a review of the plan every 90 days after it is developed. To the extent
6.25
appropriate, the child with severe emotional disturbance, the child's family, advocates,
6.26
service providers, and significant others must be involved in all phases of development and
6.27
implementation of the individual family assessment summary community support plan.
6.28
Notwithstanding the lack of an individual family assessment summary community support
6.29
plan, the case manager shall assist the child and child's family in accessing the needed
6.30
services listed in section 245.4884, subdivision 1.
6.31
(b) The child's individual family assessment summary community support plan must
6.32
state:
6.33
(1) the goals and expected outcomes of each service and criteria for evaluating the
6.34
effectiveness and appropriateness of the service;
6
Article 1 Sec. 11.
REVISOR
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7.1
(2) the activities for accomplishing each goal;
7.2
(3) a schedule for each activity; and
7.3
(4) the frequency of face-to-face contacts by the case manager, as appropriate to client
7.4
need and the implementation of the individual family assessment summary community
7.5
support plan.
7.6
Sec. 12. Minnesota Statutes 2022, section 245.4885, subdivision 1, is amended to read:
7.7
Subdivision 1. Admission criteria. (a) Prior to admission or placement, except in the
7.8
case of an emergency, all children referred for treatment of severe emotional disturbance
7.9
in a treatment foster care setting, residential treatment facility, or informally admitted to a
7.10
regional treatment center shall undergo an assessment to determine the appropriate level of
7.11
care if county funds are used to pay for the child's services. An emergency includes when
7.12
a child is in need of and has been referred for crisis stabilization services under section
7.13
245.4882, subdivision 6. A child who has been referred to residential treatment for crisis
7.14
stabilization services in a residential treatment center is not required to undergo an assessment
7.15
under this section.
7.16
(b) The county board shall determine the appropriate level of care for a child when
7.17
county-controlled funds are used to pay for the child's residential treatment under this
7.18
chapter, including residential treatment provided in a qualified residential treatment program
7.19
as defined in section 260C.007, subdivision 26d. When a county board does not have
7.20
responsibility for a child's placement and the child is enrolled in a prepaid health program
7.21
under section 256B.69, the enrolled child's contracted health plan must determine the
7.22
appropriate level of care for the child. When Indian Health Services funds or funds of a
7.23
tribally owned facility funded under the Indian Self-Determination and Education Assistance
7.24
Act, Public Law 93-638, are used for the child, the Indian Health Services or 638 tribal
7.25
health facility must determine the appropriate level of care for the child. When more than
7.26
one entity bears responsibility for a child's coverage, the entities shall coordinate level of
7.27
care determination activities for the child to the extent possible.
7.28
(c) The child's level of care determination shall determine whether the proposed treatment:
7.29
(1) is necessary;
7.30
(2) is appropriate to the child's individual treatment needs;
7.31
(3) cannot be effectively provided in the child's home; and
7
Article 1 Sec. 12.
REVISOR
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8.1
(4) provides a length of stay as short as possible consistent with the individual child's
8.2
needs.
8.3
(d) When a level of care determination is conducted, the county board or other entity
8.4
may not determine that a screening of a child, referral, or admission to a residential treatment
8.5
facility is not appropriate solely because services were not first provided to the child in a
8.6
less restrictive setting and the child failed to make progress toward or meet treatment goals
8.7
in the less restrictive setting. The level of care determination must be based on a diagnostic
8.8
assessment of a child that evaluates the child's family, school, and community living
8.9
situations; and an assessment of the child's need for care out of the home using a validated
8.10
tool which assesses a child's functional status and assigns an appropriate level of care to the
8.11
child. The validated tool must be approved by the commissioner of human services and
8.12
may be the validated tool approved for the child's assessment under section 260C.704 if the
8.13
juvenile treatment screening team recommended placement of the child in a qualified
8.14
residential treatment program. If a diagnostic assessment has been completed by a mental
8.15
health professional within the past 180 days, a new diagnostic assessment need not be
8.16
completed unless in the opinion of the current treating mental health professional the child's
8.17
mental health status has changed markedly since the assessment was completed. The child's
8.18
parent shall be notified if an assessment will not be completed and of the reasons. A copy
8.19
of the notice shall be placed in the child's file. Recommendations developed as part of the
8.20
level of care determination process shall include specific community services needed by
8.21
the child and, if appropriate, the child's family, and shall indicate whether these services
8.22
are available and accessible to the child and the child's family. The child and the child's
8.23
family must be invited to any meeting where the level of care determination is discussed
8.24
and decisions regarding residential treatment are made. The child and the child's family
8.25
may invite other relatives, friends, or advocates to attend these meetings.
8.26
(e) During the level of care determination process, the child, child's family, or child's
8.27
legal representative, as appropriate, must be informed of the child's eligibility for case
8.28
management services and family community support services and that an individual family
8.29
assessment summary community support plan is being developed by the case manager, if
8.30
assigned.
8.31
(f) The level of care determination, placement decision, and recommendations for mental
8.32
health services must be documented in the child's record and made available to the child's
8.33
family, as appropriate.
8
Article 1 Sec. 12.
REVISOR
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HF1403 THIRD ENGROSSMENT
9.1
Sec. 13. Minnesota Statutes 2022, section 245.4887, is amended to read:
9.2
245.4887 APPEALS.
9.3
A child or a child's family, as appropriate, who requests mental health services under
9.4
sections 245.487 to 245.4889 must be advised of services available and the right to appeal
9.5
as described in this section at the time of the request and each time the individual family
9.6
assessment summary community support plan or individual treatment plan is reviewed. A
9.7
child whose request for mental health services under sections 245.487 to 245.4889 is denied,
9.8
not acted upon with reasonable promptness, or whose services are suspended, reduced, or
9.9
terminated by action or inaction for which the county board is responsible under sections
9.10
245.487 to 245.4889 may contest that action or inaction before the state agency according
9.11
to section 256.045. The commissioner shall monitor the nature and frequency of
9.12
administrative appeals under this section.
9.13
Sec. 14. Minnesota Statutes 2022, section 245A.03, subdivision 7, is amended to read:
9.14
Subd. 7. Licensing moratorium. (a) The commissioner shall not issue an initial license
9.15
for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, or adult
9.16
foster care licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, under this chapter
9.17
for a physical location that will not be the primary residence of the license holder for the
9.18
entire period of licensure. If a family child foster care home or family adult foster care home
9.19
license is issued during this moratorium, and the license holder changes the license holder's
9.20
primary residence away from the physical location of the foster care license, the
9.21
commissioner shall revoke the license according to section 245A.07. The commissioner
9.22
shall not issue an initial license for a community residential setting licensed under chapter
9.23
245D. When approving an exception under this paragraph, the commissioner shall consider
9.24
the resource need determination process in paragraph (h), the availability of foster care
9.25
licensed beds in the geographic area in which the licensee seeks to operate, the results of a
9.26
person's choices during their annual assessment and service plan review, and the
9.27
recommendation of the local county board. The determination by the commissioner is final
9.28
and not subject to appeal. Exceptions to the moratorium include:
9.29
(1) foster care settings a license for a person in a foster care setting that is not the primary
9.30
residence of the license holder and where at least 80 percent of the residents are 55 years
9.31
of age or older;
9.32
(2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or
9.33
community residential setting licenses replacing adult foster care licenses in existence on
9
Article 1 Sec. 14.
REVISOR
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HF1403 THIRD ENGROSSMENT
10.1
December 31, 2013, and determined to be needed by the commissioner under paragraph
10.2
(b);
10.3
(3) new foster care licenses or community residential setting licenses determined to be
10.4
needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD,
10.5
or regional treatment center; restructuring of state-operated services that limits the capacity
10.6
of state-operated facilities; or allowing movement to the community for people who no
10.7
longer require the level of care provided in state-operated facilities as provided under section
10.8
256B.092, subdivision 13, or 256B.49, subdivision 24;
10.9
(4) new foster care licenses or community residential setting licenses determined to be
10.10
needed by the commissioner under paragraph (b) for persons requiring hospital-level care;
10.11
or
10.12
(5) new foster care licenses or community residential setting licenses for people receiving
10.13
customized living or 24-hour customized living services under the brain injury or community
10.14
access for disability inclusion waiver plans under section 256B.49 and residing in the
10.15
customized living setting before July 1, 2022, for which a license is required. A customized
10.16
living service provider subject to this exception may rebut the presumption that a license
10.17
is required by seeking a reconsideration of the commissioner's determination. The
10.18
commissioner's disposition of a request for reconsideration is final and not subject to appeal
10.19
under chapter 14. The exception is available until June 30, 2023. This exception is available
10.20
when:
10.21
(i) the person's customized living services are provided in a customized living service
10.22
setting serving four or fewer people under the brain injury or community access for disability
10.23
inclusion waiver plans under section 256B.49 in a single-family home operational on or
10.24
before June 30, 2021. Operational is defined in section 256B.49, subdivision 28;
10.25
(ii) the person's case manager provided the person with information about the choice of
10.26
service, service provider, and location of service, including in the person's home, to help
10.27
the person make an informed choice; and
10.28
(iii) the person's services provided in the licensed foster care or community residential
10.29
setting are less than or equal to the cost of the person's services delivered in the customized
10.30
living setting as determined by the lead agency.
10.31
(b) The commissioner shall determine the need for newly licensed foster care homes or
10.32
community residential settings as defined under this subdivision. As part of the determination,
10.33
the commissioner shall consider the availability of foster care capacity in the area in which
10.34
the licensee seeks to operate, and the recommendation of the local county board. The
10
Article 1 Sec. 14.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
11.1
determination by the commissioner must be final. A determination of need is not required
11.2
for a change in ownership at the same address.
11.3
(c) When an adult resident served by the program moves out of a foster home that is not
11.4
the primary residence of the license holder according to section 256B.49, subdivision 15,
11.5
paragraph (f), or the adult community residential setting, the county shall immediately
11.6
inform the Department of Human Services Licensing Division. The department may decrease
11.7
the statewide licensed capacity for adult foster care settings.
11.8
(d) Residential settings that would otherwise be subject to the decreased license capacity
11.9
established in paragraph (c) shall be exempt if the license holder's beds are occupied by
11.10
residents whose primary diagnosis is mental illness and the license holder is certified under
11.11
the requirements in subdivision 6a or section 245D.33.
11.12
(e) A resource need determination process, managed at the state level, using the available
11.13
data required by section 144A.351, and other data and information shall be used to determine
11.14
where the reduced capacity determined under section 256B.493 will be implemented. The
11.15
commissioner shall consult with the stakeholders described in section 144A.351, and employ
11.16
a variety of methods to improve the state's capacity to meet the informed decisions of those
11.17
people who want to move out of corporate foster care or community residential settings,
11.18
long-term service needs within budgetary limits, including seeking proposals from service
11.19
providers or lead agencies to change service type, capacity, or location to improve services,
11.20
increase the independence of residents, and better meet needs identified by the long-term
11.21
services and supports reports and statewide data and information.
11.22
(f) At the time of application and reapplication for licensure, the applicant and the license
11.23
holder that are subject to the moratorium or an exclusion established in paragraph (a) are
11.24
required to inform the commissioner whether the physical location where the foster care
11.25
will be provided is or will be the primary residence of the license holder for the entire period
11.26
of licensure. If the primary residence of the applicant or license holder changes, the applicant
11.27
or license holder must notify the commissioner immediately. The commissioner shall print
11.28
on the foster care license certificate whether or not the physical location is the primary
11.29
residence of the license holder.
11.30
(g) License holders of foster care homes identified under paragraph (f) that are not the
11.31
primary residence of the license holder and that also provide services in the foster care home
11.32
that are covered by a federally approved home and community-based services waiver, as
11.33
authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human
11
Article 1 Sec. 14.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
12.1
services licensing division that the license holder provides or intends to provide these
12.2
waiver-funded services.
12.3
(h) The commissioner may adjust capacity to address needs identified in section
12.4
144A.351. Under this authority, the commissioner may approve new licensed settings or
12.5
delicense existing settings. Delicensing of settings will be accomplished through a process
12.6
identified in section 256B.493.
12.7
(i) The commissioner must notify a license holder when its corporate foster care or
12.8
community residential setting licensed beds are reduced under this section. The notice of
12.9
reduction of licensed beds must be in writing and delivered to the license holder by certified
12.10
mail or personal service. The notice must state why the licensed beds are reduced and must
12.11
inform the license holder of its right to request reconsideration by the commissioner. The
12.12
license holder's request for reconsideration must be in writing. If mailed, the request for
12.13
reconsideration must be postmarked and sent to the commissioner within 20 calendar days
12.14
after the license holder's receipt of the notice of reduction of licensed beds. If a request for
12.15
reconsideration is made by personal service, it must be received by the commissioner within
12.16
20 calendar days after the license holder's receipt of the notice of reduction of licensed beds.
12.17
(j) The commissioner shall not issue an initial license for children's residential treatment
12.18
services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under this chapter
12.19
for a program that Centers for Medicare and Medicaid Services would consider an institution
12.20
for mental diseases. Facilities that serve only private pay clients are exempt from the
12.21
moratorium described in this paragraph. The commissioner has the authority to manage
12.22
existing statewide capacity for children's residential treatment services subject to the
12.23
moratorium under this paragraph and may issue an initial license for such facilities if the
12.24
initial license would not increase the statewide capacity for children's residential treatment
12.25
services subject to the moratorium under this paragraph.
12.26
EFFECTIVE DATE. This section is effective the day following final enactment.
12.27
Sec. 15. Minnesota Statutes 2022, section 245A.16, subdivision 1, is amended to read:
12.28
Subdivision 1. Delegation of authority to agencies. (a) County agencies and private
12.29
agencies that have been designated or licensed by the commissioner to perform licensing
12.30
functions and activities under section 245A.04 and background studies for family child care
12.31
under chapter 245C; to recommend denial of applicants under section 245A.05; to issue
12.32
correction orders, to issue variances, and recommend a conditional license under section
12.33
245A.06; or to recommend suspending or revoking a license or issuing a fine under section
12.34
245A.07, shall comply with rules and directives of the commissioner governing those
12
Article 1 Sec. 15.
REVISOR
DTT
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HF1403 THIRD ENGROSSMENT
13.1
functions and with this section. The following variances are excluded from the delegation
13.2
of variance authority and may be issued only by the commissioner:
13.3
(1) dual licensure of family child care and family child foster care, dual licensure of
13.4
family child foster care and family adult foster care, dual licensure of child foster residence
13.5
setting and community residential setting, and dual licensure of family adult foster care and
13.6
family child care;
13.7
(2) adult foster care maximum capacity;
13.8
(3) adult foster care minimum age requirement;
13.9
(4) child foster care maximum age requirement;
13.10
(5) variances regarding disqualified individuals except that, before the implementation
13.11
of NETStudy 2.0, county agencies may issue variances under section 245C.30 regarding
13.12
disqualified individuals when the county is responsible for conducting a consolidated
13.13
reconsideration according to sections 245C.25 and 245C.27, subdivision 2, clauses (a) and
13.14
(b), of a county maltreatment determination and a disqualification based on serious or
13.15
recurring maltreatment;
13.16
(6) the required presence of a caregiver in the adult foster care residence during normal
13.17
sleeping hours;
13.18
(7) variances to requirements relating to chemical use problems of a license holder or a
13.19
household member of a license holder; and
13.20
(8) variances to section 245A.53 for a time-limited period. If the commissioner grants
13.21
a variance under this clause, the license holder must provide notice of the variance to all
13.22
parents and guardians of the children in care.
13.23
Except as provided in section 245A.14, subdivision 4, paragraph (e), a county agency must
13.24
not grant a license holder a variance to exceed the maximum allowable family child care
13.25
license capacity of 14 children.
13.26
(b) A county agency that has been designated by the commissioner to issue family child
13.27
care variances must:
13.28
(1) publish the county agency's policies and criteria for issuing variances on the county's
13.29
public website and update the policies as necessary; and
13.30
(2) annually distribute the county agency's policies and criteria for issuing variances to
13.31
all family child care license holders in the county.
13
Article 1 Sec. 15.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
14.1
(c) Before the implementation of NETStudy 2.0, county agencies must report information
14.2
about disqualification reconsiderations under sections 245C.25 and 245C.27, subdivision
14.3
2, paragraphs (a) and (b), and variances granted under paragraph (a), clause (5), to the
14.4
commissioner at least monthly in a format prescribed by the commissioner.
14.5
(d) For family child care programs, the commissioner shall require a county agency to
14.6
conduct one unannounced licensing review at least annually.
14.7
(e) For family adult day services programs, the commissioner may authorize licensing
14.8
reviews every two years after a licensee has had at least one annual review.
14.9
(f) A license issued under this section may be issued for up to two years.
14.10
(g) During implementation of chapter 245D, the commissioner shall consider:
14.11
(1) the role of counties in quality assurance;
14.12
(2) the duties of county licensing staff; and
14.13
(3) the possible use of joint powers agreements, according to section 471.59, with counties
14.14
through which some licensing duties under chapter 245D may be delegated by the
14.15
commissioner to the counties.
14.16
Any consideration related to this paragraph must meet all of the requirements of the corrective
14.17
action plan ordered by the federal Centers for Medicare and Medicaid Services.
14.18
(h) Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or
14.19
successor provisions; and section 245D.061 or successor provisions, for family child foster
14.20
care programs providing out-of-home respite, as identified in section 245D.03, subdivision
14.21
1, paragraph (b), clause (1), is excluded from the delegation of authority to county and
14.22
private agencies.
14.23
(i) A county agency shall report to the commissioner, in a manner prescribed by the
14.24
commissioner, the following information for a licensed family child care program:
14.25
(1) the results of each licensing review completed, including the date of the review, and
14.26
any licensing correction order issued;
14.27
(2) any death, serious injury, or determination of substantiated maltreatment; and
14.28
(3) any fires that require the service of a fire department within 48 hours of the fire. The
14.29
information under this clause must also be reported to the state fire marshal within two
14.30
business days of receiving notice from a licensed family child care provider.
14.31
EFFECTIVE DATE. This section is effective the day following final enactment.
14
Article 1 Sec. 15.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
15.1
Sec. 16. Minnesota Statutes 2022, section 245D.03, subdivision 1, is amended to read:
15.2
Subdivision 1. Applicability. (a) The commissioner shall regulate the provision of home
15.3
and community-based services to persons with disabilities and persons age 65 and older
15.4
pursuant to this chapter. The licensing standards in this chapter govern the provision of
15.5
basic support services and intensive support services.
15.6
(b) Basic support services provide the level of assistance, supervision, and care that is
15.7
necessary to ensure the health and welfare of the person and do not include services that
15.8
are specifically directed toward the training, treatment, habilitation, or rehabilitation of the
15.9
person. Basic support services include:
15.10
(1) in-home and out-of-home respite care services as defined in section 245A.02,
15.11
subdivision 15, and under the brain injury, community alternative care, community access
15.12
for disability inclusion, developmental disabilities, and elderly waiver plans, excluding
15.13
out-of-home respite care provided to children in a family child foster care home licensed
15.14
under Minnesota Rules, parts 2960.3000 to 2960.3100, when the child foster care license
15.15
holder complies with the requirements under section 245D.06, subdivisions 5, 6, 7, and 8,
15.16
or successor provisions; and section 245D.061 or successor provisions, which must be
15.17
stipulated in the statement of intended use required under Minnesota Rules, part 2960.3000,
15.18
subpart 4;
15.19
(2) adult companion services as defined under the brain injury, community access for
15.20
disability inclusion, community alternative care, and elderly waiver plans plan, excluding
15.21
adult companion services provided under the Corporation for National and Community
15.22
Services Senior Companion Program established under the Domestic Volunteer Service
15.23
Act of 1973, Public Law 98-288;
15.24
(3) personal support as defined under the developmental disabilities waiver plan;
15.25
(4) (3) 24-hour emergency assistance, personal emergency response as defined under
15.26
the community access for disability inclusion and developmental disabilities waiver plans;
15.27
(5) (4) night supervision services as defined under the brain injury, community access
15.28
for disability inclusion, community alternative care, and developmental disabilities waiver
15.29
plans;
15.30
(6) (5) homemaker services as defined under the community access for disability
15.31
inclusion, brain injury, community alternative care, developmental disabilities, and elderly
15.32
waiver plans, excluding providers licensed by the Department of Health under chapter 144A
15.33
and those providers providing cleaning services only;
15
Article 1 Sec. 16.
REVISOR
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HF1403 THIRD ENGROSSMENT
16.1
(7) (6) individual community living support under section 256S.13; and
16.2
(8) (7) individualized home supports without training services as defined under the brain
16.3
injury, community alternative care, and community access for disability inclusion, and
16.4
developmental disabilities waiver plans.
16.5
(c) Intensive support services provide assistance, supervision, and care that is necessary
16.6
to ensure the health and welfare of the person and services specifically directed toward the
16.7
training, habilitation, or rehabilitation of the person. Intensive support services include:
16.8
(1) intervention services, including:
16.9
(i) positive support services as defined under the brain injury and community access for
16.10
disability inclusion, community alternative care, and developmental disabilities waiver
16.11
plans;
16.12
(ii) in-home or out-of-home crisis respite services as defined under the brain injury,
16.13
community access for disability inclusion, community alternative care, and developmental
16.14
disabilities waiver plans; and
16.15
(iii) specialist services as defined under the current brain injury, community access for
16.16
disability inclusion, community alternative care, and developmental disabilities waiver
16.17
plans;
16.18
(2) in-home support services, including:
16.19
(i) in-home family support and supported living services as defined under the
16.20
developmental disabilities waiver plan;
16.21
(ii) independent living services training as defined under the brain injury and community
16.22
access for disability inclusion waiver plans;
16.23
(iii) (i) semi-independent living services;
16.24
(iv) (ii) individualized home support with training services as defined under the brain
16.25
injury, community alternative care, community access for disability inclusion, and
16.26
developmental disabilities waiver plans; and
16.27
(v) (iii) individualized home support with family training services as defined under the
16.28
brain injury, community alternative care, community access for disability inclusion, and
16.29
developmental disabilities waiver plans;
16.30
(3) residential supports and services, including:
16
Article 1 Sec. 16.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
17.1
(i) supported living services as defined under the developmental disabilities waiver plan
17.2
provided in a family or corporate child foster care residence, a family adult foster care
17.3
residence, a community residential setting, or a supervised living facility;
17.4
(ii) foster care services as defined in the brain injury, community alternative care, and
17.5
community access for disability inclusion waiver plans provided in a family or corporate
17.6
child foster care residence, a family adult foster care residence, or a community residential
17.7
setting;
17.8
(iii) (i) community residential services as defined under the brain injury, community
17.9
alternative care, community access for disability inclusion, and developmental disabilities
17.10
waiver plans provided in a corporate child foster care residence, a community residential
17.11
setting, or a supervised living facility;
17.12
(iv) (ii) family residential services as defined in the brain injury, community alternative
17.13
care, community access for disability inclusion, and developmental disabilities waiver plans
17.14
provided in a family child foster care residence or a family adult foster care residence; and
17.15
(v) (iii) residential services provided to more than four persons with developmental
17.16
disabilities in a supervised living facility, including ICFs/DD;
17.17
(4) day services, including:
17.18
(i) structured day services as defined under the brain injury waiver plan;
17.19
(ii) (i) day support services under sections 252.41 to 252.46, and as defined under the
17.20
brain injury, community alternative care, community access for disability inclusion, and
17.21
developmental disabilities waiver plans;
17.22
(iii) (ii) day training and habilitation services under sections 252.41 to 252.46, and as
17.23
defined under the developmental disabilities waiver plan; and
17.24
(iv) (iii) prevocational services as defined under the brain injury, community alternative
17.25
care, community access for disability inclusion, and developmental disabilities waiver plans;
17.26
and
17.27
(5) employment exploration services as defined under the brain injury, community
17.28
alternative care, community access for disability inclusion, and developmental disabilities
17.29
waiver plans;
17.30
(6) employment development services as defined under the brain injury, community
17.31
alternative care, community access for disability inclusion, and developmental disabilities
17.32
waiver plans;
17
Article 1 Sec. 16.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
18.1
(7) employment support services as defined under the brain injury, community alternative
18.2
care, community access for disability inclusion, and developmental disabilities waiver plans;
18.3
and
18.4
(8) integrated community support as defined under the brain injury and community
18.5
access for disability inclusion waiver plans beginning January 1, 2021, and community
18.6
alternative care and developmental disabilities waiver plans beginning January 1, 2023.
18.7
Sec. 17. Minnesota Statutes 2022, section 245G.22, subdivision 15, is amended to read:
18.8
Subd. 15. Nonmedication treatment services; documentation. (a) The program must
18.9
offer at least 50 consecutive minutes of individual or group therapy treatment services as
18.10
defined in section 245G.07, subdivision 1, paragraph (a), clause (1), per week, for the first
18.11
ten weeks following the day of service initiation, and at least 50 consecutive minutes per
18.12
month thereafter. As clinically appropriate, the program may offer these services cumulatively
18.13
and not consecutively in increments of no less than 15 minutes over the required time period,
18.14
and for a total of 60 minutes of treatment services over the time period, and must document
18.15
the reason for providing services cumulatively in the client's record. The program may offer
18.16
additional levels of service when deemed clinically necessary.
18.17
(b) Notwithstanding the requirements of comprehensive assessments in section 245G.05,
18.18
the assessment must be completed within 21 days from the day of service initiation.
18.19
(c) Notwithstanding the requirements of individual treatment plans set forth in section
18.20
245G.06:
18.21
(1) treatment plan contents for a maintenance client are not required to include goals
18.22
the client must reach to complete treatment and have services terminated;
18.23
(2) treatment plans for a client in a taper or detox status must include goals the client
18.24
must reach to complete treatment and have services terminated; and
18.25
(3) for the ten weeks following the day of service initiation for all new admissions,
18.26
readmissions, and transfers, a weekly treatment plan review must be documented once the
18.27
treatment plan is completed. Subsequently, the counselor must document treatment plan
18.28
reviews in the six dimensions at least once monthly or, when clinical need warrants, more
18.29
frequently.
18.30
Sec. 18. Minnesota Statutes 2022, section 245G.22, subdivision 17, is amended to read:
18.31
Subd. 17. Policies and procedures. (a) A license holder must develop and maintain the
18.32
policies and procedures required in this subdivision.
18
Article 1 Sec. 18.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
19.1
(b) For a program that is not open every day of the year, the license holder must maintain
19.2
a policy and procedure that covers requirements under section 245G.22, subdivisions 6 and
19.3
7. Unsupervised use of medication used for the treatment of opioid use disorder for days
19.4
that the program is closed for business, including but not limited to Sundays and state and
19.5
federal holidays, must meet the requirements under section 245G.22, subdivisions 6 and 7.
19.6
(c) The license holder must maintain a policy and procedure that includes specific
19.7
measures to reduce the possibility of diversion. The policy and procedure must:
19.8
(1) specifically identify and define the responsibilities of the medical and administrative
19.9
staff for performing diversion control measures; and
19.10
(2) include a process for contacting no less than five percent of clients who have
19.11
unsupervised use of medication, excluding clients approved solely under subdivision 6,
19.12
paragraph (a), to require clients to physically return to the program each month. The system
19.13
must require clients to return to the program within a stipulated time frame and turn in all
19.14
unused medication containers related to opioid use disorder treatment. The license holder
19.15
must document all related contacts on a central log and the outcome of the contact for each
19.16
client in the client's record. The medical director must be informed of each outcome that
19.17
results in a situation in which a possible diversion issue was identified.
19.18
(d) Medication used for the treatment of opioid use disorder must be ordered,
19.19
administered, and dispensed according to applicable state and federal regulations and the
19.20
standards set by applicable accreditation entities. If a medication order requires assessment
19.21
by the person administering or dispensing the medication to determine the amount to be
19.22
administered or dispensed, the assessment must be completed by an individual whose
19.23
professional scope of practice permits an assessment. For the purposes of enforcement of
19.24
this paragraph, the commissioner has the authority to monitor the person administering or
19.25
dispensing the medication for compliance with state and federal regulations and the relevant
19.26
standards of the license holder's accreditation agency and may issue licensing actions
19.27
according to sections 245A.05, 245A.06, and 245A.07, based on the commissioner's
19.28
determination of noncompliance.
19.29
(e) A counselor in an opioid treatment program must not supervise more than 50 clients.
19.30
(f) Notwithstanding paragraph (e), from July 1, 2023, to June 30, 2024, a counselor in
19.31
an opioid treatment program may supervise up to 60 clients. The license holder may continue
19.32
to serve a client who was receiving services at the program on June 30, 2024, at a counselor
19.33
to client ratio of up to one to 60 and is not required to discharge any clients in order to return
19.34
to the counselor to client ratio of one to 50. The license holder may not, however, serve a
19
Article 1 Sec. 18.
REVISOR
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20.1
new client after June 30, 2024, unless the counselor who would supervise the new client is
20.2
supervising fewer than 50 existing clients.
20.3
EFFECTIVE DATE. This section is effective July 1, 2023.
20.4
Sec. 19. Minnesota Statutes 2022, section 246.0135, is amended to read:
20.5
246.0135 OPERATION OF REGIONAL TREATMENT CENTERS.
20.6
(a) The commissioner of human services is prohibited from closing any regional treatment
20.7
center or state-operated nursing home or any program at any of the regional treatment centers
20.8
or state-operated nursing homes, without specific legislative authorization. For persons with
20.9
developmental disabilities who move from one regional treatment center to another regional
20.10
treatment center, the provisions of section 256B.092, subdivision 10, must be followed for
20.11
both the discharge from one regional treatment center and admission to another regional
20.12
treatment center, except that the move is not subject to the consensus requirement of section
20.13
256B.092, subdivision 10, paragraph (b).
20.14
(b) Prior to closing or downsizing a regional treatment center, the commissioner of
20.15
human services shall be responsible for assuring that community-based alternatives developed
20.16
in response are adequate to meet the program needs identified by each county within the
20.17
catchment area and do not require additional local county property tax expenditures.
20.18
(c) The nonfederal share of the cost of alternative treatment or care developed as the
20.19
result of the closure of a regional treatment center, including costs associated with fulfillment
20.20
of responsibilities under chapter 253B shall be paid from state funds appropriated for
20.21
purposes specified in section 246.013.
20.22
(d) The commissioner may not divert state funds used for providing for care or treatment
20.23
of persons residing in a regional treatment center for purposes unrelated to the care and
20.24
treatment of such persons.
20.25
Sec. 20. Minnesota Statutes 2022, section 254A.035, subdivision 2, is amended to read:
20.26
Subd. 2. Membership terms, compensation, removal and expiration. The membership
20.27
of this council shall be composed of 17 persons who are American Indians and who are
20.28
appointed by the commissioner. The commissioner shall appoint one representative from
20.29
each of the following groups: Red Lake Band of Chippewa Indians; Fond du Lac Band,
20.30
Minnesota Chippewa Tribe; Grand Portage Band, Minnesota Chippewa Tribe; Leech Lake
20.31
Band, Minnesota Chippewa Tribe; Mille Lacs Band, Minnesota Chippewa Tribe; Bois Forte
20.32
Band, Minnesota Chippewa Tribe; White Earth Band, Minnesota Chippewa Tribe; Lower
20
Article 1 Sec. 20.
REVISOR
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HF1403 THIRD ENGROSSMENT
21.1
Sioux Indian Reservation; Prairie Island Sioux Indian Reservation; Shakopee Mdewakanton
21.2
Sioux Indian Reservation; Upper Sioux Indian Reservation; International Falls Northern
21.3
Range; Duluth Urban Indian Community; and two representatives from the Minneapolis
21.4
Urban Indian Community and two from the St. Paul Urban Indian Community. The terms,
21.5
compensation, and removal of American Indian Advisory Council members shall be as
21.6
provided in section 15.059. The council expires June 30, 2023.
21.7
Sec. 21. Minnesota Statutes 2022, section 254B.05, subdivision 1a, is amended to read:
21.8
Subd. 1a. Room and board provider requirements. (a) Effective January 1, 2000,
21.9
vendors of room and board are eligible for behavioral health fund payment if the vendor:
21.10
(1) has rules prohibiting residents bringing chemicals into the facility or using chemicals
21.11
while residing in the facility and provide consequences for infractions of those rules;
21.12
(2) is determined to meet applicable health and safety requirements;
21.13
(3) is not a jail or prison;
21.14
(4) is not concurrently receiving funds under chapter 256I for the recipient;
21.15
(5) admits individuals who are 18 years of age or older;
21.16
(6) is registered as a board and lodging or lodging establishment according to section
21.17
157.17;
21.18
(7) has awake staff on site 24 hours per day whenever a client is present;
21.19
(8) has staff who are at least 18 years of age and meet the requirements of section
21.20
245G.11, subdivision 1, paragraph (b);
21.21
(9) has emergency behavioral procedures that meet the requirements of section 245G.16;
21.22
(10) meets the requirements of section 245G.08, subdivision 5, if administering
21.23
medications to clients;
21.24
(11) meets the abuse prevention requirements of section 245A.65, including a policy on
21.25
fraternization and the mandatory reporting requirements of section 626.557;
21.26
(12) documents coordination with the treatment provider to ensure compliance with
21.27
section 254B.03, subdivision 2;
21.28
(13) protects client funds and ensures freedom from exploitation by meeting the
21.29
provisions of section 245A.04, subdivision 13;
21
Article 1 Sec. 21.
REVISOR
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HF1403 THIRD ENGROSSMENT
22.1
(14) has a grievance procedure that meets the requirements of section 245G.15,
22.2
subdivision 2; and
22.3
(15) has sleeping and bathroom facilities for men and women separated by a door that
22.4
is locked, has an alarm, or is supervised by awake staff.
22.5
(b) Programs licensed according to Minnesota Rules, chapter 2960, are exempt from
22.6
paragraph (a), clauses (5) to (15).
22.7
(c) Programs providing children's mental health crisis admissions and stabilization under
22.8
section 245.4882, subdivision 6, are eligible vendors of room and board.
22.9
(d) Licensed programs providing intensive residential treatment services or residential
22.10
crisis stabilization services pursuant to section 256B.0622 or 256B.0624 are eligible vendors
22.11
of room and board and are exempt from paragraph (a), clauses (6) to (15).
22.12
(e) A vendor that is not licensed as a residential treatment program must have a policy
22.13
to address staffing coverage when a client may unexpectedly need to be present at the room
22.14
and board site.
22.15
Sec. 22. Minnesota Statutes 2022, section 254B.05, subdivision 5, is amended to read:
22.16
Subd. 5. Rate requirements. (a) The commissioner shall establish rates for substance
22.17
use disorder services and service enhancements funded under this chapter.
22.18
(b) Eligible substance use disorder treatment services include:
22.19
(1) outpatient treatment services that are licensed according to sections 245G.01 to
22.20
245G.17, or applicable tribal license;
22.21
(2) comprehensive assessments provided according to sections 245.4863, paragraph (a),
22.22
and 245G.05;
22.23
(3) care coordination services provided according to section 245G.07, subdivision 1,
22.24
paragraph (a), clause (5);
22.25
(4) peer recovery support services provided according to section 245G.07, subdivision
22.26
2, clause (8);
22.27
(5) on July 1, 2019, or upon federal approval, whichever is later, withdrawal management
22.28
services provided according to chapter 245F;
22.29
(6) substance use disorder treatment services with medications for opioid use disorder
22.30
that are licensed according to sections 245G.01 to 245G.17 and 245G.22, or applicable
22.31
tribal license;
22
Article 1 Sec. 22.
REVISOR
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HF1403 THIRD ENGROSSMENT
23.1
(7) substance use disorder treatment with medications for opioid use disorder plus
23.2
enhanced treatment services that meet the requirements of clause (6) and provide nine hours
23.3
of clinical services each week;
23.4
(8) high, medium, and low intensity residential treatment services that are licensed
23.5
according to sections 245G.01 to 245G.17 and 245G.21 or applicable tribal license which
23.6
provide, respectively, 30, 15, and five hours of clinical services each week;
23.7
(9) hospital-based treatment services that are licensed according to sections 245G.01 to
23.8
245G.17 or applicable tribal license and licensed as a hospital under sections 144.50 to
23.9
144.56;
23.10
(10) adolescent treatment programs that are licensed as outpatient treatment programs
23.11
according to sections 245G.01 to 245G.18 or as residential treatment programs according
23.12
to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or
23.13
applicable tribal license;
23.14
(11) high-intensity residential treatment services that are licensed according to sections
23.15
245G.01 to 245G.17 and 245G.21 or applicable tribal license, which provide 30 hours of
23.16
clinical services each week provided by a state-operated vendor or to clients who have been
23.17
civilly committed to the commissioner, present the most complex and difficult care needs,
23.18
and are a potential threat to the community; and
23.19
(12) room and board facilities that meet the requirements of subdivision 1a.
23.20
(c) The commissioner shall establish higher rates for programs that meet the requirements
23.21
of paragraph (b) and one of the following additional requirements:
23.22
(1) programs that serve parents with their children if the program:
23.23
(i) provides on-site child care during the hours of treatment activity that:
23.24
(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter
23.25
9503; or
23.26
(B) meets the licensure exclusion criteria of section 245A.03, subdivision 2, paragraph
23.27
(a), clause (6), and meets the requirements is licensed under section chapter 245A and
23.28
sections 245G.01 to 245G.19, subdivision 4; or
23.29
(ii) arranges for off-site child care during hours of treatment activity at a facility that is
23.30
licensed under chapter 245A as:
23.31
(A) a child care center under Minnesota Rules, chapter 9503; or
23.32
(B) a family child care home under Minnesota Rules, chapter 9502;
23
Article 1 Sec. 22.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
24.1
(2) culturally specific or culturally responsive programs as defined in section 254B.01,
24.2
subdivision 4a;
24.3
(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
24.4
(4) programs that offer medical services delivered by appropriately credentialed health
24.5
care staff in an amount equal to two hours per client per week if the medical needs of the
24.6
client and the nature and provision of any medical services provided are documented in the
24.7
client file; or
24.8
(5) programs that offer services to individuals with co-occurring mental health and
24.9
substance use disorder problems if:
24.10
(i) the program meets the co-occurring requirements in section 245G.20;
24.11
(ii) 25 percent of the counseling staff are licensed mental health professionals under
24.12
section 245I.04, subdivision 2, or are students or licensing candidates under the supervision
24.13
of a licensed alcohol and drug counselor supervisor and mental health professional under
24.14
section 245I.04, subdivision 2, except that no more than 50 percent of the mental health
24.15
staff may be students or licensing candidates with time documented to be directly related
24.16
to provisions of co-occurring services;
24.17
(iii) clients scoring positive on a standardized mental health screen receive a mental
24.18
health diagnostic assessment within ten days of admission;
24.19
(iv) the program has standards for multidisciplinary case review that include a monthly
24.20
review for each client that, at a minimum, includes a licensed mental health professional
24.21
and licensed alcohol and drug counselor, and their involvement in the review is documented;
24.22
(v) family education is offered that addresses mental health and substance use disorder
24.23
and the interaction between the two; and
24.24
(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder
24.25
training annually.
24.26
(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
24.27
that provides arrangements for off-site child care must maintain current documentation at
24.28
the substance use disorder facility of the child care provider's current licensure to provide
24.29
child care services. Programs that provide child care according to paragraph (c), clause (1),
24.30
must be deemed in compliance with the licensing requirements in section 245G.19.
24
Article 1 Sec. 22.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
25.1
(e) Adolescent residential programs that meet the requirements of Minnesota Rules,
25.2
parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements
25.3
in paragraph (c), clause (4), items (i) to (iv).
25.4
(f) Subject to federal approval, substance use disorder services that are otherwise covered
25.5
as direct face-to-face services may be provided via telehealth as defined in section 256B.0625,
25.6
subdivision 3b. The use of telehealth to deliver services must be medically appropriate to
25.7
the condition and needs of the person being served. Reimbursement shall be at the same
25.8
rates and under the same conditions that would otherwise apply to direct face-to-face services.
25.9
(g) For the purpose of reimbursement under this section, substance use disorder treatment
25.10
services provided in a group setting without a group participant maximum or maximum
25.11
client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one.
25.12
At least one of the attending staff must meet the qualifications as established under this
25.13
chapter for the type of treatment service provided. A recovery peer may not be included as
25.14
part of the staff ratio.
25.15
(h) Payment for outpatient substance use disorder services that are licensed according
25.16
to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless
25.17
prior authorization of a greater number of hours is obtained from the commissioner.
25.18
Sec. 23. Minnesota Statutes 2022, section 256.01, is amended by adding a subdivision to
25.19
read:
25.20
Subd. 12b. Department of Human Services systemic critical incident review team. (a)
25.21
The commissioner may establish a Department of Human Services systemic critical incident
25.22
review team to review critical incidents reported as required under section 626.557 for
25.23
which the Department of Human Services is responsible under section 626.5572, subdivision
25.24
13; chapter 245D; or Minnesota Rules, chapter 9544. When reviewing a critical incident,
25.25
the systemic critical incident review team shall identify systemic influences to the incident
25.26
rather than determine the culpability of any actors involved in the incident. The systemic
25.27
critical incident review may assess the entire critical incident process from the point of an
25.28
entity reporting the critical incident through the ongoing case management process.
25.29
Department staff shall lead and conduct the reviews and may utilize county staff as reviewers.
25.30
The systemic critical incident review process may include but is not limited to:
25.31
(1) data collection about the incident and actors involved. Data may include the relevant
25.32
critical services; the service provider's policies and procedures applicable to the incident;
25.33
the community support plan as defined in section 245D.02, subdivision 4b, for the person
25
Article 1 Sec. 23.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
26.1
receiving services; or an interview of an actor involved in the critical incident or the review
26.2
of the critical incident. Actors may include:
26.3
(i) staff of the provider agency;
26.4
(ii) lead agency staff administering home and community-based services delivered by
26.5
the provider;
26.6
(iii) Department of Human Services staff with oversight of home and community-based
26.7
services;
26.8
(iv) Department of Health staff with oversight of home and community-based services;
26.9
(v) members of the community including advocates, legal representatives, health care
26.10
providers, pharmacy staff, or others with knowledge of the incident or the actors in the
26.11
incident; and
26.12
(vi) staff from the Office of the Ombudsman for Mental Health and Developmental
26.13
Disabilities and the Office of Ombudsman for Long-Term Care;
26.14
(2) systemic mapping of the critical incident. The team conducting the systemic mapping
26.15
of the incident may include any actors identified in clause (1), designated representatives
26.16
of other provider agencies, regional teams, and representatives of the local regional quality
26.17
council identified in section 256B.097; and
26.18
(3) analysis of the case for systemic influences.
26.19
Data collected by the critical incident review team shall be aggregated and provided to
26.20
regional teams, participating regional quality councils, and the commissioner. The regional
26.21
teams and quality councils shall analyze the data and make recommendations to the
26.22
commissioner regarding systemic changes that would decrease the number and severity of
26.23
critical incidents in the future or improve the quality of the home and community-based
26.24
service system.
26.25
(b) Cases selected for the systemic critical incident review process shall be selected by
26.26
a selection committee among the following critical incident categories:
26.27
(1) cases of caregiver neglect identified in section 626.5572, subdivision 17;
26.28
(2) cases involving financial exploitation identified in section 626.5572, subdivision 9;
26.29
(3) incidents identified in section 245D.02, subdivision 11;
26.30
(4) behavior interventions identified in Minnesota Rules, part 9544.0110;
26
Article 1 Sec. 23.
REVISOR
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HF1403 THIRD ENGROSSMENT
27.1
(5) service terminations reported to the department in accordance with section 245D.10,
27.2
subdivision 3a; and
27.3
(6) other incidents determined by the commissioner.
27.4
(c) The systemic critical incident review under this section shall not replace the process
27.5
for screening or investigating cases of alleged maltreatment of an adult under section 626.557.
27.6
The department may select cases for systemic critical incident review, under the jurisdiction
27.7
of the commissioner, reported for suspected maltreatment and closed following initial or
27.8
final disposition.
27.9
(d) The proceedings and records of the review team are confidential data on individuals
27.10
or protected nonpublic data as defined in section 13.02, subdivisions 3 and 13. Data that
27.11
document a person's opinions formed as a result of the review are not subject to discovery
27.12
or introduction into evidence in a civil or criminal action against a professional, the state,
27.13
or a county agency arising out of the matters that the team is reviewing. Information,
27.14
documents, and records otherwise available from other sources are not immune from
27.15
discovery or use in a civil or criminal action solely because the information, documents,
27.16
and records were assessed or presented during proceedings of the review team. A person
27.17
who presented information before the systemic critical incident review team or who is a
27.18
member of the team shall not be prevented from testifying about matters within the person's
27.19
knowledge. In a civil or criminal proceeding, a person shall not be questioned about opinions
27.20
formed by the person as a result of the review.
27.21
(e) By October 1 of each year, the commissioner shall prepare an annual public report
27.22
containing the following information:
27.23
(1) the number of cases reviewed under each critical incident category identified in
27.24
paragraph (b) and a geographical description of where cases under each category originated;
27.25
(2) an aggregate summary of the systemic themes from the critical incidents examined
27.26
by the critical incident review team during the previous year;
27.27
(3) a synopsis of the conclusions, incident analyses, or exploratory activities taken in
27.28
regard to the critical incidents examined by the critical incident review team; and
27.29
(4) recommendations made to the commissioner regarding systemic changes that could
27.30
decrease the number and severity of critical incidents in the future or improve the quality
27.31
of the home and community-based service system.
27.32
EFFECTIVE DATE. This section is effective the day following final enactment.
27
Article 1 Sec. 23.
REVISOR
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HF1403 THIRD ENGROSSMENT
28.1
Sec. 24. Minnesota Statutes 2022, section 256B.0911, subdivision 23, is amended to read:
28.2
Subd. 23. MnCHOICES reassessments; option for alternative and self-directed
28.3
waiver services. (a) At the time of reassessment, the certified assessor shall assess a person
28.4
receiving waiver residential supports and services and currently residing in a setting listed
28.5
in clauses (1) to (5) to determine if the person would prefer to be served in a
28.6
community-living setting as defined in section 256B.49, subdivision 23 256B.492,
28.7
subdivision 1, paragraph (b), or in a setting not controlled by a provider, or to receive
28.8
integrated community supports as described in section 245D.03, subdivision 1, paragraph
28.9
(c), clause (8). The certified assessor shall offer the person through a person-centered
28.10
planning process the option to receive alternative housing and service options. This paragraph
28.11
applies to those currently residing in a:
28.12
(1) community residential setting;
28.13
(2) licensed adult foster care home that is either not the primary residence of the license
28.14
holder or in which the license holder is not the primary caregiver;
28.15
(3) family adult foster care residence;
28.16
(4) customized living setting; or
28.17
(5) supervised living facility.
28.18
(b) At the time of reassessment, the certified assessor shall assess each person receiving
28.19
waiver day services to determine if that person would prefer to receive employment services
28.20
as described in section 245D.03, subdivision 1, paragraph (c), clauses (5) to (7). The certified
28.21
assessor shall describe to the person through a person-centered planning process the option
28.22
to receive employment services.
28.23
(c) At the time of reassessment, the certified assessor shall assess each person receiving
28.24
non-self-directed waiver services to determine if that person would prefer an available
28.25
service and setting option that would permit self-directed services and supports. The certified
28.26
assessor shall describe to the person through a person-centered planning process the option
28.27
to receive self-directed services and supports.
28.28
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
28.29
of human services shall notify the revisor of statutes when federal approval is obtained.
28.30
Sec. 25. Minnesota Statutes 2022, section 256B.092, subdivision 10, is amended to read:
28.31
Subd. 10. Admission of persons to and discharge of persons from regional treatment
28.32
centers. (a) Prior to the admission of a person to a regional treatment center program for
28
Article 1 Sec. 25.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
29.1
persons with developmental disabilities, the case manager shall make efforts to secure
29.2
community-based alternatives. If these alternatives are rejected by the person, the person's
29.3
legal guardian or conservator, or the county agency in favor of a regional treatment center
29.4
placement, the case manager shall document the reasons why the alternatives were rejected.
29.5
(b) When discharge of a person from a regional treatment center to a community-based
29.6
service is proposed, the case manager shall convene the screening team and in addition to
29.7
members of the team identified in subdivision 7, the case manager shall invite to the meeting
29.8
the person's parents and near relatives, and the ombudsman established under section 245.92
29.9
if the person is under public guardianship. The meeting shall be convened at a time and
29.10
place that allows for participation of all team members and invited individuals who choose
29.11
to attend. The notice of the meeting shall inform the person's parents and near relatives
29.12
about the screening team process, and their right to request a review if they object to the
29.13
discharge, and shall provide the names and functions of advocacy organizations, and
29.14
information relating to assistance available to individuals interested in establishing private
29.15
guardianships under the provisions of section 252A.03. The screening team meeting shall
29.16
be conducted according to subdivisions 7 and 8. Discharge of the person shall not go forward
29.17
without consensus of the screening team.
29.18
(c) The results of the screening team meeting and individual service plan developed
29.19
according to subdivision 1b shall be used by the interdisciplinary team assembled in
29.20
accordance with Code of Federal Regulations, title 42, section 483.440, to evaluate and
29.21
make recommended modifications to the individual service plan as proposed. The individual
29.22
service plan shall specify postplacement monitoring to be done by the case manager according
29.23
to section 253B.15, subdivision 1a.
29.24
(d) Notice of the meeting of the interdisciplinary team assembled in accordance with
29.25
Code of Federal Regulations, title 42, section 483.440, shall be sent to all team members
29.26
15 days prior to the meeting, along with a copy of the proposed individual service plan. The
29.27
case manager shall request that proposed providers visit the person and observe the person's
29.28
program at the regional treatment center prior to the discharge. Whenever possible,
29.29
preplacement visits by the person to proposed service sites should also be scheduled in
29.30
advance of the meeting. Members of the interdisciplinary team assembled for the purpose
29.31
of discharge planning shall include but not be limited to the case manager, the person, the
29.32
person's legal guardian or conservator, parents and near relatives, the person's advocate,
29.33
representatives of proposed community service providers, representatives of the regional
29.34
treatment center residential and training and habilitation services, a registered nurse if the
29.35
person has overriding medical needs that impact the delivery of services, and a qualified
29
Article 1 Sec. 25.
REVISOR
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developmental disability professional specializing in behavior management if the person
30.2
to be discharged has behaviors that may result in injury to self or others. The case manager
30.3
may also invite other service providers who have expertise in an area related to specific
30.4
service needs of the person to be discharged.
30.5
(e) The interdisciplinary team shall review the proposed plan to assure that it identifies
30.6
service needs, availability of services, including support services, and the proposed providers'
30.7
abilities to meet the service needs identified in the person's individual service plan. The
30.8
interdisciplinary team shall review the most recent licensing reports of the proposed providers
30.9
and corrective action taken by the proposed provider, if required. The interdisciplinary team
30.10
shall review the current individual program plans for the person and agree to an interim
30.11
individual program plan to be followed for the first 30 days in the person's new living
30.12
arrangement. The interdisciplinary team may suggest revisions to the service plan, and all
30.13
team suggestions shall be documented. If the person is to be discharged to a community
30.14
intermediate care facility for persons with developmental disabilities, the team shall give
30.15
preference to facilities with a licensed capacity of 15 or fewer beds. Thirty days prior to the
30.16
date of discharge, the case manager shall send a final copy of the service plan to all invited
30.17
members of the team, the ombudsman, if the person is under public guardianship, and the
30.18
advocacy system established under United States Code, title 42, section 6042.
30.19
(b) Assessment and support planning must be completed in accordance with requirements
30.20
identified in section 256B.0911.
30.21
(f) (c) No discharge shall take place until disputes are resolved under section 256.045,
30.22
subdivision 4a, or until a review by the commissioner is completed upon request of the chief
30.23
executive officer or program director of the regional treatment center, or the county agency.
30.24
For persons under public guardianship, the ombudsman may request a review or hearing
30.25
under section 256.045. Notification schedules required under this subdivision may be waived
30.26
by members of the team when judged urgent and with agreement of the parents or near
30.27
relatives participating as members of the interdisciplinary team.
30.28
Sec. 26. Minnesota Statutes 2022, section 256B.093, subdivision 1, is amended to read:
30.29
Subdivision 1. State traumatic brain injury program. (a) The commissioner of human
30.30
services shall:
30.31
(1) maintain a statewide traumatic brain injury program;
30.32
(2) supervise and coordinate services and policies for persons with traumatic brain
30.33
injuries;
30
Article 1 Sec. 26.
REVISOR
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(3) contract with qualified agencies or employ staff to provide statewide administrative
31.2
case management and consultation;
31.3
(4) maintain an advisory committee to provide recommendations in reports to the
31.4
commissioner regarding program and service needs of persons with brain injuries;
31.5
(5) investigate the need for the development of rules or statutes for the brain injury home
31.6
and community-based services waiver; and
31.7
(6) investigate present and potential models of service coordination which can be
31.8
delivered at the local level.
31.9
(b) The advisory committee required by paragraph (a), clause (4), must consist of no
31.10
fewer than ten members and no more than 30 members. The commissioner shall appoint
31.11
all advisory committee members to one- or two-year terms and appoint one member as
31.12
chair. The advisory committee expires on June 30, 2023.
31.13
Sec. 27. Minnesota Statutes 2022, section 256B.439, subdivision 3c, is amended to read:
31.14
Subd. 3c. Contact and demographic information for consumer surveys for home
31.15
and community-based services. For purposes of conducting the consumer surveys under
31.16
subdivision 3a, the commissioner may request contact information of clients and associated
31.17
key representatives and aggregate, de-identified demographic information of clients served
31.18
by the provider. The commissioner may request the following demographic information:
31.19
(1) age; (2) race; (3) ethnicity; and (4) gender identity. Providers must furnish the contact
31.20
and demographic information available to the provider and must provide notice to clients
31.21
and associated key representatives that their contact information and aggregate demographic
31.22
information has been provided to the commissioner.
31.23
Sec. 28. Minnesota Statutes 2022, section 256B.439, subdivision 3d, is amended to read:
31.24
Subd. 3d. Resident experience survey and family survey for assisted living
31.25
facilities. The commissioner shall develop and administer a resident experience survey for
31.26
assisted living facility residents and a family survey for families of assisted living facility
31.27
residents. Money appropriated to the commissioner to administer the resident experience
31.28
survey and family survey is available in either fiscal year of the biennium in which it is
31.29
appropriated. Assisted living facilities licensed under chapter 144G must participate in the
31.30
surveys when the commissioner requests their participation.
31
Article 1 Sec. 28.
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Sec. 29. Minnesota Statutes 2022, section 256B.439, is amended by adding a subdivision
32.2
to read:
32.3
Subd. 3e. Demographic information for home and community-based services report
32.4
card. (a) For purposes of including relevant information in the home and community-based
32.5
services report card for consumers on the populations served by providers and for other
32.6
data analysis, the commissioner may request from providers the following summary data
32.7
about clients served by the provider:
32.8
(1) age;
32.9
(2) race;
32.10
(3) ethnicity; and
32.11
(4) gender identity.
32.12
(b) For the purposes of this subdivision, "summary data" has the meaning given in section
32.13
13.02, subdivision 19. Providers must furnish the summary data only if the data on individuals
32.14
is available to the provider. A provider is not required to collect any demographic data from
32.15
clients for the sole purpose of providing the information requested by the commissioner
32.16
under this subdivision. If a provider furnishes the requested summary data to the
32.17
commissioner, the provider must provide notice to clients and associated key representatives
32.18
that the client's demographic information was included in the summary data provided to the
32.19
commissioner.
32.20
Sec. 30. Minnesota Statutes 2022, section 256B.492, is amended to read:
32.21
256B.492 HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE WITH
32.22
DISABILITIES.
32.23
Subdivision 1. Definitions. (a) For the purposes of this section the following terms have
32.24
the meanings given.
32.25
(b) "Community-living setting" means a single-family home or multifamily dwelling
32.26
unit where a service recipient or a service recipient's family owns or rents and maintains
32.27
control over the individual unit as demonstrated by a lease agreement. Community-living
32.28
setting does not include a home or dwelling unit that the service provider owns, operates,
32.29
or leases or in which the service provider has a direct or indirect financial interest.
32.30
(c) "Controlling individual" has the meaning given in section 245A.02, subdivision 5a.
32.31
(d) "License holder" has the meaning given in section 245A.02, subdivision 9.
32
Article 1 Sec. 30.
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Subd. 2. Home and community-based waiver settings. (a) Individuals receiving services
33.2
under a home and community-based waiver under section 256B.092 or 256B.49 may receive
33.3
services in the following settings:
33.4
(1) home and community-based settings that comply with all requirements identified by
33.5
the federal Centers for Medicare and Medicaid Services in the Code of Federal Regulations,
33.6
title 42, section 441.301(c), and with the requirements of the federally approved transition
33.7
plan and waiver plans for each home and community-based services waiver; and
33.8
(2) settings required by the Housing Opportunities for Persons with AIDS Program.
33.9
(b) The settings in paragraph (a) must not have the qualities of an institution which
33.10
include, but are not limited to: regimented meal and sleep times, limitations on visitors, and
33.11
lack of privacy. Restrictions agreed to and documented in the person's individual service
33.12
plan shall not result in a residence having the qualities of an institution as long as the
33.13
restrictions for the person are not imposed upon others in the same residence and are the
33.14
least restrictive alternative, imposed for the shortest possible time to meet the person's needs.
33.15
Subd. 3. Community-living settings. (a) Individuals receiving services under a home
33.16
and community-based waiver under section 256B.092 or 256B.49 may receive services in
33.17
community-living settings. Community-living settings must meet the requirements of
33.18
subdivision 2, paragraph (a), clause (1).
33.19
(b) For the purposes of this section, direct financial interest exists if payment passes
33.20
between the license holder or any controlling individual of a licensed program and the
33.21
service recipient or an entity acting on the service recipient's behalf for the purpose of
33.22
obtaining or maintaining a dwelling. For the purposes of this section, indirect financial
33.23
interest exists if the license holder or any controlling individual of a licensed program has
33.24
an ownership or investment interest in the entity that owns, operates, leases, or otherwise
33.25
receives payment from the service recipient or an entity acting on the service recipient's
33.26
behalf for the purpose of obtaining or maintaining a dwelling.
33.27
(c) To ensure a service recipient or the service recipient's family maintains control over
33.28
the home or dwelling unit, community-living settings are subject to the following
33.29
requirements:
33.30
(1) service recipients must not be required to receive services or share services;
33.31
(2) service recipients must not be required to have a disability or specific diagnosis to
33.32
live in the community-living setting;
33.33
(3) service recipients may hire service providers of their choice;
33
Article 1 Sec. 30.
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(4) service recipients may choose whether to share their household and with whom;
34.2
(5) the home or multifamily dwelling unit must include living, sleeping, bathing, and
34.3
cooking areas;
34.4
(6) service recipients must have lockable access and egress;
34.5
(7) service recipients must be free to receive visitors and leave the settings at times and
34.6
for durations of their own choosing;
34.7
(8) leases must comply with chapter 504B;
34.8
(9) landlords must not charge different rents to tenants who are receiving home and
34.9
community-based services; and
34.10
(10) access to the greater community must be easily facilitated based on the service
34.11
recipient's needs and preferences.
34.12
(d) Nothing in this section prohibits a service recipient from having another person or
34.13
entity not affiliated with the service provider cosign a lease. Nothing in this section prohibits
34.14
a service recipient, during any period in which a service provider has cosigned the service
34.15
recipient's lease, from modifying services with an existing cosigning service provider and,
34.16
subject to the approval of the landlord, maintaining a lease cosigned by the service provider.
34.17
Nothing in this section prohibits a service recipient, during any period in which a service
34.18
provider has cosigned the service recipient's lease, from terminating services with the
34.19
cosigning service provider, receiving services from a new service provider, or, subject to
34.20
the approval of the landlord, maintaining a lease cosigned by the new service provider.
34.21
(e) A lease cosigned by a service provider meets the requirements of paragraph (b) if
34.22
the service recipient and service provider develop and implement a transition plan which
34.23
must provide that, within two years of cosigning the initial lease, the service provider shall
34.24
transfer the lease to the service recipient and other cosigners, if any.
34.25
(f) In the event the landlord has not approved the transfer of the lease within two years
34.26
of the service provider cosigning the initial lease, the service provider must submit a
34.27
time-limited extension request to the commissioner of human services to continue the
34.28
cosigned lease arrangement. The extension request must include:
34.29
(1) the reason the landlord denied the transfer;
34.30
(2) the plan to overcome the denial to transfer the lease;
34.31
(3) the length of time needed to successfully transfer the lease, not to exceed an additional
34.32
two years;
34
Article 1 Sec. 30.
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(4) a description of how the transition plan was followed, what occurred that led to the
35.2
landlord denying the transfer, and what changes in circumstances or condition, if any, the
35.3
service recipient experienced; and
35.4
(5) a revised transition plan to transfer the cosigned lease between the service provider
35.5
and the service recipient to the service recipient.
35.6
(g) The commissioner must approve an extension under paragraph (f) within sufficient
35.7
time to ensure the continued occupancy by the service recipient.
35.8
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
35.9
of human services shall notify the revisor of statutes when federal approval is obtained.
35.10
Sec. 31. Minnesota Statutes 2022, section 256B.493, subdivision 2a, is amended to read:
35.11
Subd. 2a. Closure process. (a) The commissioner shall work with stakeholders to
35.12
establish a process for the application, review, approval, and implementation of setting
35.13
closures. Voluntary proposals from license holders for consolidation and closure of adult
35.14
foster care or community residential settings are encouraged. Whether voluntary or
35.15
involuntary, all closure plans must include:
35.16
(1) a description of the proposed closure plan, identifying the home or homes and
35.17
occupied beds;
35.18
(2) the proposed timetable for the proposed closure, including the proposed dates for
35.19
notification to people living there and the affected lead agencies, commencement of closure,
35.20
and completion of closure;
35.21
(3) the proposed relocation plan jointly developed by the counties of financial
35.22
responsibility, the people living there and their legal representatives, if any, who wish to
35.23
continue to receive services from the provider, and the providers for current residents of
35.24
any adult foster care home designated for closure; and
35.25
(4) documentation from the provider in a format approved by the commissioner that all
35.26
the adult foster care homes or community residential settings receiving a planned closure
35.27
rate adjustment under the plan have accepted joint and severable for recovery of
35.28
overpayments under section 256B.0641, subdivision 2, for the facilities designated for
35.29
closure under this plan.
35.30
(b) The commissioner shall give first priority to closure plans which:
35.31
(1) target counties and geographic areas which have:
35.32
(i) need for other types of services;
35
Article 1 Sec. 31.
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36.1
(ii) need for specialized services;
36.2
(iii) higher than average per capita use of licensed corporate foster care or community
36.3
residential settings; or
36.4
(iv) residents not living in the geographic area of their choice;
36.5
(2) demonstrate savings of medical assistance expenditures; and
36.6
(3) demonstrate that alternative services are based on the recipient's choice of provider
36.7
and are consistent with federal law, state law, and federally approved waiver plans.
36.8
The commissioner shall also consider any information provided by people using services,
36.9
their legal representatives, family members, or the lead agency on the impact of the planned
36.10
closure on people and the services they need.
36.11
(c) For each closure plan approved by the commissioner, a contract must be established
36.12
between the commissioner, the counties of financial responsibility, and the participating
36.13
license holder.
36.14
Sec. 32. Minnesota Statutes 2022, section 256B.493, subdivision 4, is amended to read:
36.15
Subd. 4. Review and approval process. (a) To be considered for approval, an application
36.16
must include:
36.17
(1) a description of the proposed closure plan, which must identify the home or homes
36.18
and occupied beds for which a planned closure rate adjustment is requested;
36.19
(2) the proposed timetable for any proposed closure, including the proposed dates for
36.20
notification to residents and the affected lead agencies, commencement of closure, and
36.21
completion of closure;
36.22
(3) the proposed relocation plan jointly developed by the counties of financial
36.23
responsibility, the residents and their legal representatives, if any, who wish to continue to
36.24
receive services from the provider, and the providers for current residents of any adult foster
36.25
care home designated for closure; and
36.26
(4) documentation in a format approved by the commissioner that all the adult foster
36.27
care homes receiving a planned closure rate adjustment under the plan have accepted joint
36.28
and several liability for recovery of overpayments under section 256B.0641, subdivision 2,
36.29
for the facilities designated for closure under this plan.
36.30
(b) In reviewing and approving closure proposals, the commissioner shall give first
36.31
priority to proposals that:
36
Article 1 Sec. 32.
REVISOR
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37.1
(1) target counties and geographic areas which have:
37.2
(i) need for other types of services;
37.3
(ii) need for specialized services;
37.4
(iii) higher than average per capita use of foster care settings where the license holder
37.5
does not reside; or
37.6
(iv) residents not living in the geographic area of their choice;
37.7
(2) demonstrate savings of medical assistance expenditures; and
37.8
(3) demonstrate that alternative services are based on the recipient's choice of provider
37.9
and are consistent with federal law, state law, and federally approved waiver plans.
37.10
The commissioner shall also consider any information provided by service recipients,
37.11
their legal representatives, family members, or the lead agency on the impact of the planned
37.12
closure on the recipients and the services they need.
37.13
(c) The commissioner shall select proposals that best meet the criteria established in this
37.14
subdivision for planned closure of adult foster care settings. The commissioner shall notify
37.15
license holders of the selections approved by the commissioner.
37.16
(d) For each proposal approved by the commissioner, a contract must be established
37.17
between the commissioner, the counties of financial responsibility, and the participating
37.18
license holder.
37.19
EFFECTIVE DATE. This section is effective the day following final enactment.
37.20
Sec. 33. Minnesota Statutes 2022, section 256S.202, subdivision 1, is amended to read:
37.21
Subdivision 1. Customized living monthly service rate limits. (a) Except for a
37.22
participant assigned to case mix classification L, as described in section 256S.18, subdivision
37.23
1, paragraph (b), the customized living monthly service rate limit shall not exceed 50 percent
37.24
of the monthly case mix budget cap, less the maintenance needs allowance, adjusted at least
37.25
annually in the manner described under section 256S.18, subdivisions 5 and 6.
37.26
(b) The customized living monthly service rate limit for participants assigned to case
37.27
mix classification L must be the monthly service rate limit for participants assigned to case
37.28
mix classification A, reduced by 25 percent.
37
Article 1 Sec. 33.
REVISOR
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38.1
Sec. 34. Minnesota Statutes 2022, section 524.5-104, is amended to read:
38.2
524.5-104 FACILITY OF TRANSFER.
38.3
(a) A person who may transfer money or personal property to a minor may do so, as to
38.4
an amount or value not exceeding the amount allowable as a tax exclusion gift under section
38.5
2503(b) of the Internal Revenue Code or a different amount that is approved by the court,
38.6
by transferring it to:
38.7
(1) a person who has the care and custody of the minor and with whom the minor resides;
38.8
(2) a guardian of the minor;
38.9
(3) a custodian under the Uniform Transfers To Minors Act or custodial trustee under
38.10
the Uniform Custodial Trust Act;
38.11
(4) a financial institution as a deposit in an interest-bearing account or certificate in the
38.12
sole name of the minor and giving notice of the deposit to the minor; or
38.13
(5) an ABLE account. A guardian only has the authority to establish an ABLE account.
38.14
The guardian may not administer the ABLE account in the guardian's capacity as guardian.
38.15
The guardian may appoint or name a person to exercise signature authority over an ABLE
38.16
account, including the individual selected by the eligible individual or the eligible individual's
38.17
agent under a power of attorney, conservator, spouse, parent, sibling, grandparent, or
38.18
representative payee, whether an individual or organization, appointed by the Social Security
38.19
Administration, in that order.
38.20
(b) This section does not apply if the person making payment or delivery knows that a
38.21
conservator has been appointed or that a proceeding for appointment of a conservator of
38.22
the minor is pending.
38.23
(c) A person who transfers money or property in compliance with this section is not
38.24
responsible for its proper application.
38.25
(d) A guardian or other person who receives money or property for a minor under
38.26
paragraph (a), clause (1) or (2), may only apply it to the support, care, education, health,
38.27
and welfare of the minor, and may not derive a personal financial benefit except for
38.28
reimbursement for necessary expenses. Any excess must be preserved for the future support,
38.29
care, education, health, and welfare of the minor and any balance must be transferred to the
38.30
minor upon emancipation or attaining majority.
38.31
EFFECTIVE DATE. This section is effective the day following final enactment.
38
Article 1 Sec. 34.
REVISOR
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39.1
Sec. 35. Minnesota Statutes 2022, section 524.5-313, is amended to read:
39.2
524.5-313 POWERS AND DUTIES OF GUARDIAN.
39.3
(a) A guardian shall be subject to the control and direction of the court at all times and
39.4
in all things.
39.5
(b) The court shall grant to a guardian only those powers necessary to provide for the
39.6
demonstrated needs of the person subject to guardianship.
39.7
(c) The court may appoint a guardian if it determines that all the powers and duties listed
39.8
in this section are needed to provide for the needs of the incapacitated person. The court
39.9
may also appoint a guardian if it determines that a guardian is needed to provide for the
39.10
needs of the incapacitated person through the exercise of some, but not all, of the powers
39.11
and duties listed in this section. The duties and powers of a guardian or those which the
39.12
court may grant to a guardian include, but are not limited to:
39.13
(1) the power to have custody of the person subject to guardianship and the power to
39.14
establish a place of abode within or outside the state, except as otherwise provided in this
39.15
clause. The person subject to guardianship or any interested person may petition the court
39.16
to prevent or to initiate a change in abode. A person subject to guardianship may not be
39.17
admitted to a regional treatment center by the guardian except:
39.18
(i) after a hearing under chapter 253B;
39.19
(ii) for outpatient services; or
39.20
(iii) for the purpose of receiving temporary care for a specific period of time not to
39.21
exceed 90 days in any calendar year;
39.22
(2) the duty to provide for the care, comfort, and maintenance needs of the person subject
39.23
to guardianship, including food, clothing, shelter, health care, social and recreational
39.24
requirements, and, whenever appropriate, training, education, and habilitation or
39.25
rehabilitation. The guardian has no duty to pay for these requirements out of personal funds.
39.26
Whenever possible and appropriate, the guardian should meet these requirements through
39.27
governmental benefits or services to which the person subject to guardianship is entitled,
39.28
rather than from the estate of the person subject to guardianship. Failure to satisfy the needs
39.29
and requirements of this clause shall be grounds for removal of a private guardian, but the
39.30
guardian shall have no personal or monetary liability;
39.31
(3) the duty to take reasonable care of the clothing, furniture, vehicles, and other personal
39.32
effects of the person subject to guardianship, and, if other property requires protection, the
39.33
power to seek appointment of a conservator of the estate. The guardian must give notice by
39
Article 1 Sec. 35.
REVISOR
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40.1
mail to interested persons prior to the disposition of the clothing, furniture, vehicles, or
40.2
other personal effects of the person subject to guardianship. The notice must inform the
40.3
person of the right to object to the disposition of the property within ten days of the date of
40.4
mailing and to petition the court for a review of the guardian's proposed actions. Notice of
40.5
the objection must be served by mail or personal service on the guardian and the person
40.6
subject to guardianship unless the person subject to guardianship is the objector. The guardian
40.7
served with notice of an objection to the disposition of the property may not dispose of the
40.8
property unless the court approves the disposition after a hearing;
40.9
(4)(i) the power to give any necessary consent to enable the person subject to guardianship
40.10
to receive necessary medical or other professional care, counsel, treatment, or service, except
40.11
that no guardian may give consent for psychosurgery, electroshock, sterilization, or
40.12
experimental treatment of any kind unless the procedure is first approved by order of the
40.13
court as provided in this clause. The guardian shall not consent to any medical care for the
40.14
person subject to guardianship which violates the known conscientious, religious, or moral
40.15
belief of the person subject to guardianship;
40.16
(ii) a guardian who believes a procedure described in item (i) requiring prior court
40.17
approval to be necessary for the proper care of the person subject to guardianship, shall
40.18
petition the court for an order and, in the case of a public guardianship under chapter 252A,
40.19
obtain the written recommendation of the commissioner of human services. The court shall
40.20
fix the time and place for the hearing and shall give notice to the person subject to
40.21
guardianship in such manner as specified in section 524.5-308 and to interested persons.
40.22
The court shall appoint an attorney to represent the person subject to guardianship who is
40.23
not represented by counsel, provided that such appointment shall expire upon the expiration
40.24
of the appeal time for the order issued by the court under this section or the order dismissing
40.25
a petition, or upon such other time or event as the court may direct. In every case the court
40.26
shall determine if the procedure is in the best interest of the person subject to guardianship.
40.27
In making its determination, the court shall consider a written medical report which
40.28
specifically considers the medical risks of the procedure, whether alternative, less restrictive
40.29
methods of treatment could be used to protect the best interest of the person subject to
40.30
guardianship, and any recommendation of the commissioner of human services for a public
40.31
person subject to guardianship. The standard of proof is that of clear and convincing evidence;
40.32
(iii) in the case of a petition for sterilization of a person with developmental disabilities
40.33
subject to guardianship, the court shall appoint a licensed physician, a psychologist who is
40.34
qualified in the diagnosis and treatment of developmental disability, and a social worker
40.35
who is familiar with the social history and adjustment of the person subject to guardianship
40
Article 1 Sec. 35.
REVISOR
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41.1
or the case manager for the person subject to guardianship to examine or evaluate the person
41.2
subject to guardianship and to provide written reports to the court. The reports shall indicate
41.3
why sterilization is being proposed, whether sterilization is necessary and is the least intrusive
41.4
method for alleviating the problem presented, and whether it is in the best interest of the
41.5
person subject to guardianship. The medical report shall specifically consider the medical
41.6
risks of sterilization, the consequences of not performing the sterilization, and whether
41.7
alternative methods of contraception could be used to protect the best interest of the person
41.8
subject to guardianship;
41.9
(iv) any person subject to guardianship whose right to consent to a sterilization has not
41.10
been restricted under this section or section 252A.101 may be sterilized only if the person
41.11
subject to guardianship consents in writing or there is a sworn acknowledgment by an
41.12
interested person of a nonwritten consent by the person subject to guardianship. The consent
41.13
must certify that the person subject to guardianship has received a full explanation from a
41.14
physician or registered nurse of the nature and irreversible consequences of the sterilization;
41.15
(v) a guardian or the public guardian's designee who acts within the scope of authority
41.16
conferred by letters of guardianship under section 252A.101, subdivision 7, and according
41.17
to the standards established in this chapter or in chapter 252A shall not be civilly or criminally
41.18
liable for the provision of any necessary medical care, including, but not limited to, the
41.19
administration of psychotropic medication or the implementation of aversive and deprivation
41.20
procedures to which the guardian or the public guardian's designee has consented;
41.21
(5) in the event there is no duly appointed conservator of the estate of the person subject
41.22
to guardianship, the guardian shall have the power to approve or withhold approval of any
41.23
contract, except for necessities, which the person subject to guardianship may make or wish
41.24
to make;
41.25
(6) the duty and power to exercise supervisory authority over the person subject to
41.26
guardianship in a manner which limits civil rights and restricts personal freedom only to
41.27
the extent necessary to provide needed care and services. A guardian may not restrict the
41.28
ability of the person subject to guardianship to communicate, visit, or interact with others,
41.29
including receiving visitors or making or receiving telephone calls, personal mail, or
41.30
electronic communications including through social media, or participating in social activities,
41.31
unless the guardian has good cause to believe restriction is necessary because interaction
41.32
with the person poses a risk of significant physical, psychological, or financial harm to the
41.33
person subject to guardianship, and there is no other means to avoid such significant harm.
41.34
In all cases, the guardian shall provide written notice of the restrictions imposed to the court,
41.35
to the person subject to guardianship, and to the person subject to restrictions. The person
41
Article 1 Sec. 35.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
42.1
subject to guardianship or the person subject to restrictions may petition the court to remove
42.2
or modify the restrictions;
42.3
(7) if there is no acting conservator of the estate for the person subject to guardianship,
42.4
the guardian has the power to apply on behalf of the person subject to guardianship for any
42.5
assistance, services, or benefits available to the person subject to guardianship through any
42.6
unit of government;
42.7
(8) unless otherwise ordered by the court, the person subject to guardianship retains the
42.8
right to vote;
42.9
(9) the power to establish an ABLE account for a person subject to guardianship or
42.10
conservatorship. By this provision a guardian only has the authority to establish an ABLE
42.11
account, but may not administer the ABLE account in the guardian's capacity as guardian.
42.12
The guardian may appoint or name a person to exercise signature authority over an ABLE
42.13
account, including the individual selected by the eligible individual or the eligible individual's
42.14
agent under a power of attorney; conservator; spouse; parent; sibling; grandparent; or
42.15
representative payee, whether an individual or organization, appointed by the SSA, in that
42.16
order; and
42.17
(10) if there is no conservator appointed for the person subject to guardianship, the
42.18
guardian has the duty and power to institute suit on behalf of the person subject to
42.19
guardianship and represent the person subject to guardianship in expungement proceedings,
42.20
harassment proceedings, and all civil court proceedings, including but not limited to
42.21
restraining orders, orders for protection, name changes, conciliation court, housing court,
42.22
family court, probate court, and juvenile court, provided that a guardian may not settle or
42.23
compromise any claim or debt owed to the estate without court approval.
42.24
EFFECTIVE DATE. This section is effective the day following final enactment.
42.25
Sec. 36. Laws 2021, First Special Session chapter 7, article 17, section 20, is amended to
42.26
read:
42.27
Sec. 20. HCBS WORKFORCE DEVELOPMENT GRANT.
42.28
Subdivision 1. Appropriation. (a) This act includes $0 in fiscal year 2022 and $5,588,000
42.29
in fiscal year 2023 to address challenges related to attracting and maintaining direct care
42.30
workers who provide home and community-based services for people with disabilities and
42.31
older adults. The general fund base included in this act for this purpose is $5,588,000 in
42.32
fiscal year 2024 and $0 in fiscal year 2025.
42
Article 1 Sec. 36.
REVISOR
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HF1403 THIRD ENGROSSMENT
43.1
(b) At least 90 percent of funding for this provision must be directed to workers who
43.2
earn 200 300 percent or less of the most current federal poverty level issued by the United
43.3
States Department of Health and Human Services.
43.4
(c) The commissioner must consult with stakeholders to finalize a report detailing the
43.5
final plan for use of the funds. The commissioner must publish the report by March 1, 2022,
43.6
and notify the chairs and ranking minority members of the legislative committees with
43.7
jurisdiction over health and human services policy and finance.
43.8
Subd. 2. Public assistance eligibility. Notwithstanding any law to the contrary, workforce
43.9
development grant money received under this section is not income, assets, or personal
43.10
property for purposes of determining eligibility or recertifying eligibility for:
43.11
(1) child care assistance programs under Minnesota Statutes, chapter 119B;
43.12
(2) general assistance, Minnesota supplemental aid, and food support under Minnesota
43.13
Statutes, chapter 256D;
43.14
(3) housing support under Minnesota Statutes, chapter 256I;
43.15
(4) Minnesota family investment program and diversionary work program under
43.16
Minnesota Statutes, chapter 256J; and
43.17
(5) economic assistance programs under Minnesota Statutes, chapter 256P.
43.18
Subd. 3. Medical assistance eligibility. Notwithstanding any law to the contrary,
43.19
workforce development grant money received under this section is not income or assets for
43.20
the purposes of determining eligibility for medical assistance under Minnesota Statutes,
43.21
section 256B.056, subdivision 1a, paragraph (a); 3; or 3c; or 256B.057, subdivision 3, 3a,
43.22
or 3b.
43.23
Sec. 37. DIRECTION TO COMMISSIONER; BRAIN INJURY AND COMMUNITY
43.24
ACCESS FOR DISABILITY INCLUSION WAIVER CUSTOMIZED LIVING
43.25
SERVICES PROVIDERS LOCATED IN HENNEPIN AND ITASCA COUNTIES.
43.26
The commissioner of human services shall determine the brain injury (BI) or community
43.27
access for disability inclusion (CADI) waiver customized living and 24-hour customized
43.28
living size limitation exception applies to:
43.29
(1) two United States Department of Housing and Urban Development-subsidized
43.30
housing settings created on September 29, 1980, that are located in the city of Minneapolis,
43.31
provide customized living and 24-hour customized living services for clients enrolled in
43
Article 1 Sec. 37.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
44.1
the BI and CADI waiver, and had a capacity to service six clients in the setting as of July
44.2
1, 2022; and
44.3
(2) one United States Department of Housing and Urban Development-subsidized housing
44.4
setting created on April 15, 1991, that is located in the city of Grand Rapids, provides
44.5
customized living and 24-hour customized living services for clients enrolled in the BI and
44.6
CADI waiver, and had a capacity to service eight clients in the setting as of July 1, 2022.
44.7
Sec. 38. REPEALER.
44.8
Minnesota Statutes 2022, sections 254B.13, subdivisions 1, 2, 2a, 4, 5, 6, 7, and 8;
44.9
254B.16; 256.041, subdivision 10; 256B.49, subdivision 23; and 260.835, subdivision 2,
44.10
are repealed.
44.11
EFFECTIVE DATE. This section is effective the day following final enactment.
44.12
ARTICLE 2
44.13
SUBSTANCE USE DISORDER DIRECT ACCESS
44.14
Section 1. Minnesota Statutes 2022, section 62N.25, subdivision 5, is amended to read:
44.15
Subd. 5. Benefits. Community integrated service networks must offer the health
44.16
maintenance organization benefit set, as defined in chapter 62D, and other laws applicable
44.17
to entities regulated under chapter 62D. Community networks and chemical dependency
44.18
facilities under contract with a community network shall use the assessment criteria in
44.19
Minnesota Rules, parts 9530.6600 to 9530.6655, section 245G.05 when assessing enrollees
44.20
for chemical dependency treatment.
44.21
Sec. 2. Minnesota Statutes 2022, section 62Q.1055, is amended to read:
44.22
62Q.1055 CHEMICAL DEPENDENCY.
44.23
All health plan companies shall use the assessment criteria in Minnesota Rules, parts
44.24
9530.6600 to 9530.6655, section 245G.05 when assessing and placing treating enrollees
44.25
for chemical dependency treatment.
44
Article 2 Sec. 2.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
45.1
Sec. 3. Minnesota Statutes 2022, section 62Q.47, is amended to read:
45.2
62Q.47 ALCOHOLISM, MENTAL HEALTH, AND CHEMICAL DEPENDENCY
45.3
SERVICES.
45.4
(a) All health plans, as defined in section 62Q.01, that provide coverage for alcoholism,
45.5
mental health, or chemical dependency services, must comply with the requirements of this
45.6
section.
45.7
(b) Cost-sharing requirements and benefit or service limitations for outpatient mental
45.8
health and outpatient chemical dependency and alcoholism services, except for persons
45.9
placed in seeking chemical dependency services under Minnesota Rules, parts 9530.6600
45.10
to 9530.6655 section 245G.05, must not place a greater financial burden on the insured or
45.11
enrollee, or be more restrictive than those requirements and limitations for outpatient medical
45.12
services.
45.13
(c) Cost-sharing requirements and benefit or service limitations for inpatient hospital
45.14
mental health and inpatient hospital and residential chemical dependency and alcoholism
45.15
services, except for persons placed in seeking chemical dependency services under Minnesota
45.16
Rules, parts 9530.6600 to 9530.6655 section 245G.05, must not place a greater financial
45.17
burden on the insured or enrollee, or be more restrictive than those requirements and
45.18
limitations for inpatient hospital medical services.
45.19
(d) A health plan company must not impose an NQTL with respect to mental health and
45.20
substance use disorders in any classification of benefits unless, under the terms of the health
45.21
plan as written and in operation, any processes, strategies, evidentiary standards, or other
45.22
factors used in applying the NQTL to mental health and substance use disorders in the
45.23
classification are comparable to, and are applied no more stringently than, the processes,
45.24
strategies, evidentiary standards, or other factors used in applying the NQTL with respect
45.25
to medical and surgical benefits in the same classification.
45.26
(e) All health plans must meet the requirements of the federal Mental Health Parity Act
45.27
of 1996, Public Law 104-204; Paul Wellstone and Pete Domenici Mental Health Parity and
45.28
Addiction Equity Act of 2008; the Affordable Care Act; and any amendments to, and federal
45.29
guidance or regulations issued under, those acts.
45.30
(f) The commissioner may require information from health plan companies to confirm
45.31
that mental health parity is being implemented by the health plan company. Information
45.32
required may include comparisons between mental health and substance use disorder
45.33
treatment and other medical conditions, including a comparison of prior authorization
45
Article 2 Sec. 3.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
46.1
requirements, drug formulary design, claim denials, rehabilitation services, and other
46.2
information the commissioner deems appropriate.
46.3
(g) Regardless of the health care provider's professional license, if the service provided
46.4
is consistent with the provider's scope of practice and the health plan company's credentialing
46.5
and contracting provisions, mental health therapy visits and medication maintenance visits
46.6
shall be considered primary care visits for the purpose of applying any enrollee cost-sharing
46.7
requirements imposed under the enrollee's health plan.
46.8
(h) By June 1 of each year, beginning June 1, 2021, the commissioner of commerce, in
46.9
consultation with the commissioner of health, shall submit a report on compliance and
46.10
oversight to the chairs and ranking minority members of the legislative committees with
46.11
jurisdiction over health and commerce. The report must:
46.12
(1) describe the commissioner's process for reviewing health plan company compliance
46.13
with United States Code, title 42, section 18031(j), any federal regulations or guidance
46.14
relating to compliance and oversight, and compliance with this section and section 62Q.53;
46.15
(2) identify any enforcement actions taken by either commissioner during the preceding
46.16
12-month period regarding compliance with parity for mental health and substance use
46.17
disorders benefits under state and federal law, summarizing the results of any market conduct
46.18
examinations. The summary must include: (i) the number of formal enforcement actions
46.19
taken; (ii) the benefit classifications examined in each enforcement action; and (iii) the
46.20
subject matter of each enforcement action, including quantitative and nonquantitative
46.21
treatment limitations;
46.22
(3) detail any corrective action taken by either commissioner to ensure health plan
46.23
company compliance with this section, section 62Q.53, and United States Code, title 42,
46.24
section 18031(j); and
46.25
(4) describe the information provided by either commissioner to the public about
46.26
alcoholism, mental health, or chemical dependency parity protections under state and federal
46.27
law.
46.28
The report must be written in nontechnical, readily understandable language and must be
46.29
made available to the public by, among other means as the commissioners find appropriate,
46.30
posting the report on department websites. Individually identifiable information must be
46.31
excluded from the report, consistent with state and federal privacy protections.
46
Article 2 Sec. 3.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
47.1
Sec. 4. Minnesota Statutes 2022, section 169A.70, subdivision 3, is amended to read:
47.2
Subd. 3. Assessment report. (a) The assessment report must be on a form prescribed
47.3
by the commissioner and shall contain an evaluation of the convicted defendant concerning
47.4
the defendant's prior traffic and criminal record, characteristics and history of alcohol and
47.5
chemical use problems, and amenability to rehabilitation through the alcohol safety program.
47.6
The report is classified as private data on individuals as defined in section 13.02, subdivision
47.7
12.
47.8
(b) The assessment report must include:
47.9
(1) a diagnosis of the nature of the offender's chemical and alcohol involvement;
47.10
(2) an assessment of the severity level of the involvement;
47.11
(3) a recommended level of care for the offender in accordance with the criteria contained
47.12
identified in rules adopted by the commissioner of human services under section 254A.03,
47.13
subdivision 3 (substance use disorder treatment rules) section 254B.19, subdivision 1;
47.14
(4) an assessment of the offender's placement needs;
47.15
(5) recommendations for other appropriate remedial action or care, including aftercare
47.16
services in section 254B.01, subdivision 3, that may consist of educational programs,
47.17
one-on-one counseling, a program or type of treatment that addresses mental health concerns,
47.18
or a combination of them; and
47.19
(6) a specific explanation why no level of care or action was recommended, if applicable.
47.20
Sec. 5. Minnesota Statutes 2022, section 169A.70, subdivision 4, is amended to read:
47.21
Subd. 4. Assessor standards; rules; assessment time limits. A chemical use assessment
47.22
required by this section must be conducted by an assessor appointed by the court. The
47.23
assessor must meet the training and qualification requirements of rules adopted by the
47.24
commissioner of human services under section 254A.03, subdivision 3 (substance use
47.25
disorder treatment rules) section 245G.11, subdivisions 1 and 5. Notwithstanding section
47.26
13.82 (law enforcement data), the assessor shall have access to any police reports, laboratory
47.27
test results, and other law enforcement data relating to the current offense or previous
47.28
offenses that are necessary to complete the evaluation. An assessor providing an assessment
47.29
under this section may not have any direct or shared financial interest or referral relationship
47.30
resulting in shared financial gain with a treatment provider, except as authorized under
47.31
section 254A.19, subdivision 3. If an independent assessor is not available, the court may
47.32
use the services of an assessor authorized to perform assessments for the county social
47
Article 2 Sec. 5.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
48.1
services agency under a variance granted under rules adopted by the commissioner of human
48.2
services under section 254A.03, subdivision 3. An appointment for the defendant to undergo
48.3
the assessment must be made by the court, a court services probation officer, or the court
48.4
administrator as soon as possible but in no case more than one week after the defendant's
48.5
court appearance. The assessment must be completed no later than three weeks after the
48.6
defendant's court appearance. If the assessment is not performed within this time limit, the
48.7
county where the defendant is to be sentenced shall perform the assessment. The county of
48.8
financial responsibility must be determined under chapter 256G.
48.9
Sec. 6. Minnesota Statutes 2022, section 245A.043, subdivision 3, is amended to read:
48.10
Subd. 3. Change of ownership process. (a) When a change in ownership is proposed
48.11
and the party intends to assume operation without an interruption in service longer than 60
48.12
days after acquiring the program or service, the license holder must provide the commissioner
48.13
with written notice of the proposed change on a form provided by the commissioner at least
48.14
60 days before the anticipated date of the change in ownership. For purposes of this
48.15
subdivision and subdivision 4, "party" means the party that intends to operate the service
48.16
or program.
48.17
(b) The party must submit a license application under this chapter on the form and in
48.18
the manner prescribed by the commissioner at least 30 days before the change in ownership
48.19
is complete, and must include documentation to support the upcoming change. The party
48.20
must comply with background study requirements under chapter 245C and shall pay the
48.21
application fee required under section 245A.10. A party that intends to assume operation
48.22
without an interruption in service longer than 60 days after acquiring the program or service
48.23
is exempt from the requirements of sections 245G.03, subdivision 2, paragraph (b), and
48.24
254B.03, subdivision 2, paragraphs (c) and (d) and (e).
48.25
(c) The commissioner may streamline application procedures when the party is an existing
48.26
license holder under this chapter and is acquiring a program licensed under this chapter or
48.27
service in the same service class as one or more licensed programs or services the party
48.28
operates and those licenses are in substantial compliance. For purposes of this subdivision,
48.29
"substantial compliance" means within the previous 12 months the commissioner did not
48.30
(1) issue a sanction under section 245A.07 against a license held by the party, or (2) make
48.31
a license held by the party conditional according to section 245A.06.
48.32
(d) Except when a temporary change in ownership license is issued pursuant to
48.33
subdivision 4, the existing license holder is solely responsible for operating the program
48
Article 2 Sec. 6.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
49.1
according to applicable laws and rules until a license under this chapter is issued to the
49.2
party.
49.3
(e) If a licensing inspection of the program or service was conducted within the previous
49.4
12 months and the existing license holder's license record demonstrates substantial
49.5
compliance with the applicable licensing requirements, the commissioner may waive the
49.6
party's inspection required by section 245A.04, subdivision 4. The party must submit to the
49.7
commissioner (1) proof that the premises was inspected by a fire marshal or that the fire
49.8
marshal deemed that an inspection was not warranted, and (2) proof that the premises was
49.9
inspected for compliance with the building code or that no inspection was deemed warranted.
49.10
(f) If the party is seeking a license for a program or service that has an outstanding action
49.11
under section 245A.06 or 245A.07, the party must submit a letter as part of the application
49.12
process identifying how the party has or will come into full compliance with the licensing
49.13
requirements.
49.14
(g) The commissioner shall evaluate the party's application according to section 245A.04,
49.15
subdivision 6. If the commissioner determines that the party has remedied or demonstrates
49.16
the ability to remedy the outstanding actions under section 245A.06 or 245A.07 and has
49.17
determined that the program otherwise complies with all applicable laws and rules, the
49.18
commissioner shall issue a license or conditional license under this chapter. The conditional
49.19
license remains in effect until the commissioner determines that the grounds for the action
49.20
are corrected or no longer exist.
49.21
(h) The commissioner may deny an application as provided in section 245A.05. An
49.22
applicant whose application was denied by the commissioner may appeal the denial according
49.23
to section 245A.05.
49.24
(i) This subdivision does not apply to a licensed program or service located in a home
49.25
where the license holder resides.
49.26
Sec. 7. Minnesota Statutes 2022, section 245F.06, subdivision 2, is amended to read:
49.27
Subd. 2. Comprehensive assessment and assessment summary. (a) Prior to a medically
49.28
stable discharge, but not later than 72 hours following admission, a license holder must
49.29
provide a comprehensive assessment and assessment summary according to sections
49.30
245.4863, paragraph (a), and 245G.05, for each patient who has a positive screening for a
49.31
substance use disorder. If a patient's medical condition prevents a comprehensive assessment
49.32
from being completed within 72 hours, the license holder must document why the assessment
49
Article 2 Sec. 7.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
50.1
was not completed. The comprehensive assessment must include documentation of the
50.2
appropriateness of an involuntary referral through the civil commitment process.
50.3
(b) If available to the program, a patient's previous comprehensive assessment may be
50.4
used in the patient record. If a previously completed comprehensive assessment is used, its
50.5
contents must be reviewed to ensure the assessment is accurate and current and complies
50.6
with the requirements of this chapter. The review must be completed by a staff person
50.7
qualified according to section 245G.11, subdivision 5. The license holder must document
50.8
that the review was completed and that the previously completed assessment is accurate
50.9
and current, or the license holder must complete an updated or new assessment.
50.10
Sec. 8. Minnesota Statutes 2022, section 245G.01, is amended by adding a subdivision to
50.11
read:
50.12
Subd. 4a. American Society of Addiction Medicine criteria or ASAM
50.13
criteria. "American Society of Addiction Medicine criteria" or "ASAM criteria" has the
50.14
meaning provided in section 254B.01, subdivision 2a.
50.15
EFFECTIVE DATE. This section is effective January 1, 2024.
50.16
Sec. 9. Minnesota Statutes 2022, section 245G.01, is amended by adding a subdivision to
50.17
read:
50.18
Subd. 20c. Protective factors. "Protective factors" means the actions or efforts a person
50.19
can take to reduce the negative impact of certain issues, such as substance use disorders,
50.20
mental health disorders, and risk of suicide. Protective factors include connecting to positive
50.21
supports in the community, a nutritious diet, exercise, attending counseling or 12-step
50.22
groups, and taking appropriate medications.
50.23
Sec. 10. Minnesota Statutes 2022, section 245G.01, is amended by adding a subdivision
50.24
to read:
50.25
Subd. 20d. Skilled treatment services. "Skilled treatment services" has the meaning
50.26
provided in section 254B.01, subdivision 10.
50.27
Sec. 11. Minnesota Statutes 2022, section 245G.02, subdivision 2, is amended to read:
50.28
Subd. 2. Exemption from license requirement. This chapter does not apply to a county
50.29
or recovery community organization that is providing a service for which the county or
50.30
recovery community organization is an eligible vendor under section 254B.05. This chapter
50.31
does not apply to an organization whose primary functions are information, referral,
50
Article 2 Sec. 11.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
51.1
diagnosis, case management, and assessment for the purposes of client placement, education,
51.2
support group services, or self-help programs. This chapter does not apply to the activities
51.3
of a licensed professional in private practice. A license holder providing the initial set of
51.4
substance use disorder services allowable under section 254A.03, subdivision 3, paragraph
51.5
(c), to an individual referred to a licensed nonresidential substance use disorder treatment
51.6
program after a positive screen for alcohol or substance misuse is exempt from sections
51.7
245G.05; 245G.06, subdivisions 1, 1a, 2, and 4; 245G.07, subdivisions 1, paragraph (a),
51.8
clauses (2) to (4), and 2, clauses (1) to (7); and 245G.17.
51.9
EFFECTIVE DATE. This section is effective January 1, 2024.
51.10
Sec. 12. Minnesota Statutes 2022, section 245G.05, subdivision 1, is amended to read:
51.11
Subdivision 1. Comprehensive assessment. (a) A comprehensive assessment of the
51.12
client's substance use disorder must be administered face-to-face by an alcohol and drug
51.13
counselor within three five calendar days from the day of service initiation for a residential
51.14
program or within three calendar days on which a treatment session has been provided of
51.15
the day of service initiation for a client by the end of the fifth day on which a treatment
51.16
service is provided in a nonresidential program. The number of days to complete the
51.17
comprehensive assessment excludes the day of service initiation. If the comprehensive
51.18
assessment is not completed within the required time frame, the person-centered reason for
51.19
the delay and the planned completion date must be documented in the client's file. The
51.20
comprehensive assessment is complete upon a qualified staff member's dated signature. If
51.21
the client received a comprehensive assessment that authorized the treatment service, an
51.22
alcohol and drug counselor may use the comprehensive assessment for requirements of this
51.23
subdivision but must document a review of the comprehensive assessment and update the
51.24
comprehensive assessment as clinically necessary to ensure compliance with this subdivision
51.25
within applicable timelines. The comprehensive assessment must include sufficient
51.26
information to complete the assessment summary according to subdivision 2 and the
51.27
individual treatment plan according to section 245G.06. The comprehensive assessment
51.28
must include information about the client's needs that relate to substance use and personal
51.29
strengths that support recovery, including:
51.30
(1) age, sex, cultural background, sexual orientation, living situation, economic status,
51.31
and level of education;
51.32
(2) a description of the circumstances on the day of service initiation;
51.33
(3) a list of previous attempts at treatment for substance misuse or substance use disorder,
51.34
compulsive gambling, or mental illness;
51
Article 2 Sec. 12.
REVISOR
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52.1
(4) a list of substance use history including amounts and types of substances used,
52.2
frequency and duration of use, periods of abstinence, and circumstances of relapse, if any.
52.3
For each substance used within the previous 30 days, the information must include the date
52.4
of the most recent use and address the absence or presence of previous withdrawal symptoms;
52.5
(5) specific problem behaviors exhibited by the client when under the influence of
52.6
substances;
52.7
(6) the client's desire for family involvement in the treatment program, family history
52.8
of substance use and misuse, history or presence of physical or sexual abuse, and level of
52.9
family support;
52.10
(7) physical and medical concerns or diagnoses, current medical treatment needed or
52.11
being received related to the diagnoses, and whether the concerns need to be referred to an
52.12
appropriate health care professional;
52.13
(8) mental health history, including symptoms and the effect on the client's ability to
52.14
function; current mental health treatment; and psychotropic medication needed to maintain
52.15
stability. The assessment must utilize screening tools approved by the commissioner pursuant
52.16
to section 245.4863 to identify whether the client screens positive for co-occurring disorders;
52.17
(9) arrests and legal interventions related to substance use;
52.18
(10) a description of how the client's use affected the client's ability to function
52.19
appropriately in work and educational settings;
52.20
(11) ability to understand written treatment materials, including rules and the client's
52.21
rights;
52.22
(12) a description of any risk-taking behavior, including behavior that puts the client at
52.23
risk of exposure to blood-borne or sexually transmitted diseases;
52.24
(13) social network in relation to expected support for recovery;
52.25
(14) leisure time activities that are associated with substance use;
52.26
(15) whether the client is pregnant and, if so, the health of the unborn child and the
52.27
client's current involvement in prenatal care;
52.28
(16) whether the client recognizes needs related to substance use and is willing to follow
52.29
treatment recommendations; and
52.30
(17) information from a collateral contact may be included, but is not required.
52
Article 2 Sec. 12.
REVISOR
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HF1403 THIRD ENGROSSMENT
53.1
(b) If the client is identified as having opioid use disorder or seeking treatment for opioid
53.2
use disorder, the program must provide educational information to the client concerning:
53.3
(1) risks for opioid use disorder and dependence;
53.4
(2) treatment options, including the use of a medication for opioid use disorder;
53.5
(3) the risk of and recognizing opioid overdose; and
53.6
(4) the use, availability, and administration of naloxone to respond to opioid overdose.
53.7
(c) The commissioner shall develop educational materials that are supported by research
53.8
and updated periodically. The license holder must use the educational materials that are
53.9
approved by the commissioner to comply with this requirement.
53.10
(d) If the comprehensive assessment is completed to authorize treatment service for the
53.11
client, at the earliest opportunity during the assessment interview the assessor shall determine
53.12
if:
53.13
(1) the client is in severe withdrawal and likely to be a danger to self or others;
53.14
(2) the client has severe medical problems that require immediate attention; or
53.15
(3) the client has severe emotional or behavioral symptoms that place the client or others
53.16
at risk of harm.
53.17
If one or more of the conditions in clauses (1) to (3) are present, the assessor must end the
53.18
assessment interview and follow the procedures in the program's medical services plan
53.19
under section 245G.08, subdivision 2, to help the client obtain the appropriate services. The
53.20
assessment interview may resume when the condition is resolved. An alcohol and drug
53.21
counselor must sign and date the comprehensive assessment review and update.
53.22
EFFECTIVE DATE. This section is effective January 1, 2024.
53.23
Sec. 13. Minnesota Statutes 2022, section 245G.05, is amended by adding a subdivision
53.24
to read:
53.25
Subd. 3. Comprehensive assessment requirements. (a) A comprehensive assessment
53.26
must meet the requirements under section 245I.10, subdivision 6, paragraphs (b) and (c).
53.27
It must also include:
53.28
(1) a diagnosis of a substance use disorder or a finding that the client does not meet the
53.29
criteria for a substance use disorder;
53
Article 2 Sec. 13.
REVISOR
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54.1
(2) a determination of whether the individual screens positive for co-occurring mental
54.2
health disorders using a screening tool approved by the commissioner pursuant to section
54.3
245.4863;
54.4
(3) a risk rating and summary to support the risk ratings within each of the dimensions
54.5
listed in section 254B.04, subdivision 4; and
54.6
(4) a recommendation for the ASAM level of care identified in section 254B.19,
54.7
subdivision 1.
54.8
(b) If the individual is assessed for opioid use disorder, the program must provide
54.9
educational material to the client within 24 hours of service initiation on:
54.10
(1) risks for opioid use disorder and dependence;
54.11
(2) treatment options, including the use of a medication for opioid use disorder;
54.12
(3) the risk and recognition of opioid overdose; and
54.13
(4) the use, availability, and administration of an opiate antagonist to respond to opioid
54.14
overdose.
54.15
If the client is identified as having opioid use disorder at a later point, the required educational
54.16
material must be provided at that point. The license holder must use the educational materials
54.17
that are approved by the commissioner to comply with this requirement.
54.18
EFFECTIVE DATE. This section is effective January 1, 2024.
54.19
Sec. 14. Minnesota Statutes 2022, section 245G.06, subdivision 1, is amended to read:
54.20
Subdivision 1. General. Each client must have a person-centered individual treatment
54.21
plan developed by an alcohol and drug counselor within ten days from the day of service
54.22
initiation for a residential program and within five calendar days, by the end of the tenth
54.23
day on which a treatment session has been provided from the day of service initiation for
54.24
a client in a nonresidential program, not to exceed 30 days. Opioid treatment programs must
54.25
complete the individual treatment plan within 21 days from the day of service initiation.
54.26
The number of days to complete the individual treatment plan excludes the day of service
54.27
initiation. The individual treatment plan must be signed by the client and the alcohol and
54.28
drug counselor and document the client's involvement in the development of the plan. The
54.29
individual treatment plan is developed upon the qualified staff member's dated signature.
54.30
Treatment planning must include ongoing assessment of client needs. An individual treatment
54.31
plan must be updated based on new information gathered about the client's condition, the
54.32
client's level of participation, and on whether methods identified have the intended effect.
54
Article 2 Sec. 14.
REVISOR
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HF1403 THIRD ENGROSSMENT
55.1
A change to the plan must be signed by the client and the alcohol and drug counselor. If the
55.2
client chooses to have family or others involved in treatment services, the client's individual
55.3
treatment plan must include how the family or others will be involved in the client's treatment.
55.4
If a client is receiving treatment services or an assessment via telehealth and the alcohol
55.5
and drug counselor documents the reason the client's signature cannot be obtained, the
55.6
alcohol and drug counselor may document the client's verbal approval or electronic written
55.7
approval of the treatment plan or change to the treatment plan in lieu of the client's signature.
55.8
EFFECTIVE DATE. This section is effective January 1, 2024.
55.9
Sec. 15. Minnesota Statutes 2022, section 245G.06, is amended by adding a subdivision
55.10
to read:
55.11
Subd. 1a. Individual treatment plan contents and process. (a) After completing a
55.12
client's comprehensive assessment, the license holder must complete an individual treatment
55.13
plan. The license holder must:
55.14
(1) base the client's individual treatment plan on the client's comprehensive assessment;
55.15
(2) use a person-centered, culturally appropriate planning process that allows the client's
55.16
family and other natural supports to observe and participate in the client's individual treatment
55.17
services, assessments, and treatment planning;
55.18
(3) identify the client's treatment goals in relation to any or all of the applicable ASAM
55.19
six dimensions identified in section 254B.04, subdivision 4, to ensure measurable treatment
55.20
objectives, a treatment strategy, and a schedule for accomplishing the client's treatment
55.21
goals and objectives;
55.22
(4) document the ASAM level of care identified in section 254B.19, subdivision 1, under
55.23
which the client is receiving services;
55.24
(5) identify the participants involved in the client's treatment planning. The client must
55.25
participate in the client's treatment planning. If applicable, the license holder must document
55.26
the reasons that the license holder did not involve the client's family or other natural supports
55.27
in the client's treatment planning;
55.28
(6) identify resources to refer the client to when the client's needs will be addressed
55.29
concurrently by another provider; and
55.30
(7) identify maintenance strategy goals and methods designed to address relapse
55.31
prevention and to strengthen the client's protective factors.
55.32
EFFECTIVE DATE. This section is effective January 1, 2024.
55
Article 2 Sec. 15.
REVISOR
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HF1403 THIRD ENGROSSMENT
56.1
Sec. 16. Minnesota Statutes 2022, section 245G.06, subdivision 3, is amended to read:
56.2
Subd. 3. Treatment plan review. A treatment plan review must be entered in a client's
56.3
file weekly or after each treatment service, whichever is less frequent, completed by the
56.4
alcohol and drug counselor responsible for the client's treatment plan. The review must
56.5
indicate the span of time covered by the review and each of the six dimensions listed in
56.6
section 245G.05, subdivision 2, paragraph (c). The review and must:
56.7
(1) address each goal in the document client goals addressed since the last treatment
56.8
plan review and whether the identified methods to address the goals are continue to be
56.9
effective;
56.10
(2) include document monitoring of any physical and mental health problems and include
56.11
toxicology results for alcohol and substance use, when available;
56.12
(3) document the participation of others involved in the individual's treatment planning,
56.13
including when services are offered to the client's family or significant others;
56.14
(4) if changes to the treatment plan are determined to be necessary, document staff
56.15
recommendations for changes in the methods identified in the treatment plan and whether
56.16
the client agrees with the change; and
56.17
(5) include a review and evaluation of the individual abuse prevention plan according
56.18
to section 245A.65.; and
56.19
(6) document any referrals made since the previous treatment plan review.
56.20
EFFECTIVE DATE. This section is effective January 1, 2024.
56.21
Sec. 17. Minnesota Statutes 2022, section 245G.06, is amended by adding a subdivision
56.22
to read:
56.23
Subd. 3a. Frequency of treatment plan reviews. (a) A license holder must ensure that
56.24
the alcohol and drug counselor responsible for a client's treatment plan completes and
56.25
documents a treatment plan review that meets the requirements of subdivision 3 in each
56.26
client's file, according to the frequencies required in this subdivision. All ASAM levels
56.27
referred to in this chapter are those described in section 254B.19, subdivision 1.
56.28
(b) For a client receiving residential ASAM level 3.3 or 3.5 high-intensity services or
56.29
residential hospital-based services, a treatment plan review must be completed once every
56.30
14 days.
56
Article 2 Sec. 17.
REVISOR
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HF1403 THIRD ENGROSSMENT
57.1
(c) For a client receiving residential ASAM level 3.1 low-intensity services or any other
57.2
residential level not listed in paragraph (b), a treatment plan review must be completed once
57.3
every 30 days.
57.4
(d) For a client receiving nonresidential ASAM level 2.5 partial hospitalization services,
57.5
a treatment plan review must be completed once every 14 days.
57.6
(e) For a client receiving nonresidential ASAM level 1.0 outpatient or 2.1 intensive
57.7
outpatient services or any other nonresidential level not included in paragraph (d), a treatment
57.8
plan review must be completed once every 30 days.
57.9
(f) For a client receiving nonresidential opioid treatment program services according to
57.10
section 245G.22:
57.11
(1) a treatment plan review must be completed weekly for the ten weeks following
57.12
completion of the treatment plan; and
57.13
(2) monthly thereafter.
57.14
Treatment plan reviews must be completed more frequently when clinical needs warrant.
57.15
(g) Notwithstanding paragraphs (e) and (f), clause (2), for a client in a nonresidential
57.16
program with a treatment plan that clearly indicates less than five hours of skilled treatment
57.17
services will be provided to the client each month, a treatment plan review must be completed
57.18
once every 90 days. Treatment plan reviews must be completed more frequently when
57.19
clinical needs warrant.
57.20
EFFECTIVE DATE. This section is effective January 1, 2024.
57.21
Sec. 18. Minnesota Statutes 2022, section 245G.06, subdivision 4, is amended to read:
57.22
Subd. 4. Service discharge summary. (a) An alcohol and drug counselor must write a
57.23
service discharge summary for each client. The service discharge summary must be
57.24
completed within five days of the client's service termination. A copy of the client's service
57.25
discharge summary must be provided to the client upon the client's request.
57.26
(b) The service discharge summary must be recorded in the six dimensions listed in
57.27
section 245G.05, subdivision 2, paragraph (c) 254B.04, subdivision 4, and include the
57.28
following information:
57.29
(1) the client's issues, strengths, and needs while participating in treatment, including
57.30
services provided;
57
Article 2 Sec. 18.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
58.1
(2) the client's progress toward achieving each goal identified in the individual treatment
58.2
plan;
58.3
(3) a risk description according to section 245G.05 rating and description for each of
58.4
the ASAM six dimensions;
58.5
(4) the reasons for and circumstances of service termination. If a program discharges a
58.6
client at staff request, the reason for discharge and the procedure followed for the decision
58.7
to discharge must be documented and comply with the requirements in section 245G.14,
58.8
subdivision 3, clause (3);
58.9
(5) the client's living arrangements at service termination;
58.10
(6) continuing care recommendations, including transitions between more or less intense
58.11
services, or more frequent to less frequent services, and referrals made with specific attention
58.12
to continuity of care for mental health, as needed; and
58.13
(7) service termination diagnosis.
58.14
EFFECTIVE DATE. This section is effective January 1, 2024.
58.15
Sec. 19. Minnesota Statutes 2022, section 245G.09, subdivision 3, is amended to read:
58.16
Subd. 3. Contents. Client records must contain the following:
58.17
(1) documentation that the client was given information on client rights and
58.18
responsibilities, grievance procedures, tuberculosis, and HIV, and that the client was provided
58.19
an orientation to the program abuse prevention plan required under section 245A.65,
58.20
subdivision 2, paragraph (a), clause (4). If the client has an opioid use disorder, the record
58.21
must contain documentation that the client was provided educational information according
58.22
to section 245G.05, subdivision 1 3, paragraph (b);
58.23
(2) an initial services plan completed according to section 245G.04;
58.24
(3) a comprehensive assessment completed according to section 245G.05;
58.25
(4) an assessment summary completed according to section 245G.05, subdivision 2;
58.26
(5) (4) an individual abuse prevention plan according to sections 245A.65, subdivision
58.27
2, and 626.557, subdivision 14, when applicable;
58.28
(6) (5) an individual treatment plan according to section 245G.06, subdivisions 1 and
58.29
2;
58
Article 2 Sec. 19.
REVISOR
DTT
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HF1403 THIRD ENGROSSMENT
59.1
(7) (6) documentation of treatment services, significant events, appointments, concerns,
59.2
and treatment plan reviews according to section 245G.06, subdivisions 2a, 2b, and 3, and
59.3
3a; and
59.4
(8) (7) a summary at the time of service termination according to section 245G.06,
59.5
subdivision 4.
59.6
EFFECTIVE DATE. This section is effective January 1, 2024.
59.7
Sec. 20. Minnesota Statutes 2022, section 245G.22, subdivision 2, is amended to read:
59.8
Subd. 2. Definitions. (a) For purposes of this section, the terms defined in this subdivision
59.9
have the meanings given them.
59.10
(b) "Diversion" means the use of a medication for the treatment of opioid addiction being
59.11
diverted from intended use of the medication.
59.12
(c) "Guest dose" means administration of a medication used for the treatment of opioid
59.13
addiction to a person who is not a client of the program that is administering or dispensing
59.14
the medication.
59.15
(d) "Medical director" means a practitioner licensed to practice medicine in the
59.16
jurisdiction that the opioid treatment program is located who assumes responsibility for
59.17
administering all medical services performed by the program, either by performing the
59.18
services directly or by delegating specific responsibility to a practitioner of the opioid
59.19
treatment program.
59.20
(e) "Medication used for the treatment of opioid use disorder" means a medication
59.21
approved by the Food and Drug Administration for the treatment of opioid use disorder.
59.22
(f) "Minnesota health care programs" has the meaning given in section 256B.0636.
59.23
(g) "Opioid treatment program" has the meaning given in Code of Federal Regulations,
59.24
title 42, section 8.12, and includes programs licensed under this chapter.
59.25
(h) "Placing authority" has the meaning given in Minnesota Rules, part 9530.6605,
59.26
subpart 21a.
59.27
(i) (h) "Practitioner" means a staff member holding a current, unrestricted license to
59.28
practice medicine issued by the Board of Medical Practice or nursing issued by the Board
59.29
of Nursing and is currently registered with the Drug Enforcement Administration to order
59.30
or dispense controlled substances in Schedules II to V under the Controlled Substances Act,
59.31
United States Code, title 21, part B, section 821. Practitioner includes an advanced practice
59.32
registered nurse and physician assistant if the staff member receives a variance by the state
59
Article 2 Sec. 20.
REVISOR
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HF1403 THIRD ENGROSSMENT
60.1
opioid treatment authority under section 254A.03 and the federal Substance Abuse and
60.2
Mental Health Services Administration.
60.3
(j) (i) "Unsupervised use" means the use of a medication for the treatment of opioid use
60.4
disorder dispensed for use by a client outside of the program setting.
60.5
Sec. 21. Minnesota Statutes 2022, section 245I.10, subdivision 6, is amended to read:
60.6
Subd. 6. Standard diagnostic assessment; required elements. (a) Only a mental health
60.7
professional or a clinical trainee may complete a standard diagnostic assessment of a client.
60.8
A standard diagnostic assessment of a client must include a face-to-face interview with a
60.9
client and a written evaluation of the client. The assessor must complete a client's standard
60.10
diagnostic assessment within the client's cultural context. An alcohol and drug counselor
60.11
may gather and document the information in paragraphs (b) and (c) when completing a
60.12
comprehensive assessment according to section 245G.05.
60.13
(b) When completing a standard diagnostic assessment of a client, the assessor must
60.14
gather and document information about the client's current life situation, including the
60.15
following information:
60.16
(1) the client's age;
60.17
(2) the client's current living situation, including the client's housing status and household
60.18
members;
60.19
(3) the status of the client's basic needs;
60.20
(4) the client's education level and employment status;
60.21
(5) the client's current medications;
60.22
(6) any immediate risks to the client's health and safety, including withdrawal symptoms,
60.23
medical conditions, and behavioral and emotional symptoms;
60.24
(7) the client's perceptions of the client's condition;
60.25
(8) the client's description of the client's symptoms, including the reason for the client's
60.26
referral;
60.27
(9) the client's history of mental health and substance use disorder treatment; and
60.28
(10) cultural influences on the client.; and
60.29
(11) substance use history, if applicable, including:
60
Article 2 Sec. 21.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
61.1
(i) amounts and types of substances, frequency and duration, route of administration,
61.2
periods of abstinence, and circumstances of relapse; and
61.3
(ii) the impact to functioning when under the influence of substances, including legal
61.4
interventions.
61.5
(c) If the assessor cannot obtain the information that this paragraph requires without
61.6
retraumatizing the client or harming the client's willingness to engage in treatment, the
61.7
assessor must identify which topics will require further assessment during the course of the
61.8
client's treatment. The assessor must gather and document information related to the following
61.9
topics:
61.10
(1) the client's relationship with the client's family and other significant personal
61.11
relationships, including the client's evaluation of the quality of each relationship;
61.12
(2) the client's strengths and resources, including the extent and quality of the client's
61.13
social networks;
61.14
(3) important developmental incidents in the client's life;
61.15
(4) maltreatment, trauma, potential brain injuries, and abuse that the client has suffered;
61.16
(5) the client's history of or exposure to alcohol and drug usage and treatment; and
61.17
(6) the client's health history and the client's family health history, including the client's
61.18
physical, chemical, and mental health history.
61.19
(d) When completing a standard diagnostic assessment of a client, an assessor must use
61.20
a recognized diagnostic framework.
61.21
(1) When completing a standard diagnostic assessment of a client who is five years of
61.22
age or younger, the assessor must use the current edition of the DC: 0-5 Diagnostic
61.23
Classification of Mental Health and Development Disorders of Infancy and Early Childhood
61.24
published by Zero to Three.
61.25
(2) When completing a standard diagnostic assessment of a client who is six years of
61.26
age or older, the assessor must use the current edition of the Diagnostic and Statistical
61.27
Manual of Mental Disorders published by the American Psychiatric Association.
61.28
(3) When completing a standard diagnostic assessment of a client who is five years of
61.29
age or younger, an assessor must administer the Early Childhood Service Intensity Instrument
61.30
(ECSII) to the client and include the results in the client's assessment.
61
Article 2 Sec. 21.
REVISOR
DTT
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HF1403 THIRD ENGROSSMENT
62.1
(4) When completing a standard diagnostic assessment of a client who is six to 17 years
62.2
of age, an assessor must administer the Child and Adolescent Service Intensity Instrument
62.3
(CASII) to the client and include the results in the client's assessment.
62.4
(5) When completing a standard diagnostic assessment of a client who is 18 years of
62.5
age or older, an assessor must use either (i) the CAGE-AID Questionnaire or (ii) the criteria
62.6
in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders
62.7
published by the American Psychiatric Association to screen and assess the client for a
62.8
substance use disorder.
62.9
(e) When completing a standard diagnostic assessment of a client, the assessor must
62.10
include and document the following components of the assessment:
62.11
(1) the client's mental status examination;
62.12
(2) the client's baseline measurements; symptoms; behavior; skills; abilities; resources;
62.13
vulnerabilities; safety needs, including client information that supports the assessor's findings
62.14
after applying a recognized diagnostic framework from paragraph (d); and any differential
62.15
diagnosis of the client; and
62.16
(3) an explanation of: (i) how the assessor diagnosed the client using the information
62.17
from the client's interview, assessment, psychological testing, and collateral information
62.18
about the client; (ii) the client's needs; (iii) the client's risk factors; (iv) the client's strengths;
62.19
and (v) the client's responsivity factors.
62.20
(f) When completing a standard diagnostic assessment of a client, the assessor must
62.21
consult the client and the client's family about which services that the client and the family
62.22
prefer to treat the client. The assessor must make referrals for the client as to services required
62.23
by law.
62.24
Sec. 22. Minnesota Statutes 2022, section 254A.03, subdivision 3, is amended to read:
62.25
Subd. 3. Rules for substance use disorder care. (a) The commissioner of human
62.26
services shall establish by rule criteria to be used in determining the appropriate level of
62.27
substance use disorder care for each recipient of public assistance seeking treatment for
62.28
substance misuse or substance use disorder. Upon federal approval of a comprehensive
62.29
assessment as a Medicaid benefit, or on July 1, 2018, whichever is later, and notwithstanding
62.30
the criteria in Minnesota Rules, parts 9530.6600 to 9530.6655, An eligible vendor of
62.31
comprehensive assessments under section 254B.05 may determine and approve the
62.32
appropriate level of substance use disorder treatment for a recipient of public assistance.
62.33
The process for determining an individual's financial eligibility for the behavioral health
62
Article 2 Sec. 22.
REVISOR
DTT
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HF1403 THIRD ENGROSSMENT
63.1
fund or determining an individual's enrollment in or eligibility for a publicly subsidized
63.2
health plan is not affected by the individual's choice to access a comprehensive assessment
63.3
for placement.
63.4
(b) The commissioner shall develop and implement a utilization review process for
63.5
publicly funded treatment placements to monitor and review the clinical appropriateness
63.6
and timeliness of all publicly funded placements in treatment.
63.7
(c) If a screen result is positive for alcohol or substance misuse, a brief screening for
63.8
alcohol or substance use disorder that is provided to a recipient of public assistance within
63.9
a primary care clinic, hospital, or other medical setting or school setting establishes medical
63.10
necessity and approval for an initial set of substance use disorder services identified in
63.11
section 254B.05, subdivision 5. The initial set of services approved for a recipient whose
63.12
screen result is positive may include any combination of up to four hours of individual or
63.13
group substance use disorder treatment, two hours of substance use disorder treatment
63.14
coordination, or two hours of substance use disorder peer support services provided by a
63.15
qualified individual according to chapter 245G. A recipient must obtain an assessment
63.16
pursuant to paragraph (a) to be approved for additional treatment services. Minnesota Rules,
63.17
parts 9530.6600 to 9530.6655, and A comprehensive assessment pursuant to section 245G.05
63.18
are not applicable is not required to receive the initial set of services allowed under this
63.19
subdivision. A positive screen result establishes eligibility for the initial set of services
63.20
allowed under this subdivision.
63.21
(d) Notwithstanding Minnesota Rules, parts 9530.6600 to 9530.6655, An individual
63.22
may choose to obtain a comprehensive assessment as provided in section 245G.05.
63.23
Individuals obtaining a comprehensive assessment may access any enrolled provider that
63.24
is licensed to provide the level of service authorized pursuant to section 254A.19, subdivision
63.25
3, paragraph (d). If the individual is enrolled in a prepaid health plan, the individual must
63.26
comply with any provider network requirements or limitations. This paragraph expires July
63.27
1, 2022.
63.28
(d) An individual may choose to obtain a comprehensive assessment as provided in
63.29
section 245G.05. Individuals obtaining a comprehensive assessment may access any enrolled
63.30
provider that is licensed to provide the level of service authorized pursuant to section
63.31
254A.19, subdivision 3. If the individual is enrolled in a prepaid health plan, the individual
63.32
must comply with any provider network requirements or limitations.
63
Article 2 Sec. 22.
REVISOR
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HF1403 THIRD ENGROSSMENT
64.1
Sec. 23. Minnesota Statutes 2022, section 254A.19, subdivision 1, is amended to read:
64.2
Subdivision 1. Persons arrested outside of home county. When a chemical use
64.3
assessment is required under Minnesota Rules, parts 9530.6600 to 9530.6655, for a person
64.4
who is arrested and taken into custody by a peace officer outside of the person's county of
64.5
residence, the assessment must be completed by the person's county of residence no later
64.6
than three weeks after the assessment is initially requested. If the assessment is not performed
64.7
within this time limit, the county where the person is to be sentenced shall perform the
64.8
assessment county where the person is detained must give access to an assessor qualified
64.9
under section 254A.19, subdivision 3. The county of financial responsibility is determined
64.10
under chapter 256G.
64.11
Sec. 24. Minnesota Statutes 2022, section 254A.19, subdivision 3, is amended to read:
64.12
Subd. 3. Financial conflicts of interest. Comprehensive assessments. (a) Except as
64.13
provided in paragraph (b), (c), or (d), an assessor conducting a chemical use assessment
64.14
under Minnesota Rules, parts 9530.6600 to 9530.6655, may not have any direct or shared
64.15
financial interest or referral relationship resulting in shared financial gain with a treatment
64.16
provider.
64.17
(b) A county may contract with an assessor having a conflict described in paragraph (a)
64.18
if the county documents that:
64.19
(1) the assessor is employed by a culturally specific service provider or a service provider
64.20
with a program designed to treat individuals of a specific age, sex, or sexual preference;
64.21
(2) the county does not employ a sufficient number of qualified assessors and the only
64.22
qualified assessors available in the county have a direct or shared financial interest or a
64.23
referral relationship resulting in shared financial gain with a treatment provider; or
64.24
(3) the county social service agency has an existing relationship with an assessor or
64.25
service provider and elects to enter into a contract with that assessor to provide both
64.26
assessment and treatment under circumstances specified in the county's contract, provided
64.27
the county retains responsibility for making placement decisions.
64.28
(c) The county may contract with a hospital to conduct chemical assessments if the
64.29
requirements in subdivision 1a are met.
64.30
An assessor under this paragraph may not place clients in treatment. The assessor shall
64.31
gather required information and provide it to the county along with any required
64.32
documentation. The county shall make all placement decisions for clients assessed by
64.33
assessors under this paragraph.
64
Article 2 Sec. 24.
REVISOR
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HF1403 THIRD ENGROSSMENT
65.1
(d) An eligible vendor under section 254B.05 conducting a comprehensive assessment
65.2
for an individual seeking treatment shall approve the nature, intensity level, and duration
65.3
of treatment service if a need for services is indicated, but the individual assessed can access
65.4
any enrolled provider that is licensed to provide the level of service authorized, including
65.5
the provider or program that completed the assessment. If an individual is enrolled in a
65.6
prepaid health plan, the individual must comply with any provider network requirements
65.7
or limitations.
65.8
Sec. 25. Minnesota Statutes 2022, section 254A.19, subdivision 4, is amended to read:
65.9
Subd. 4. Civil commitments. A Rule 25 assessment, under Minnesota Rules, part
65.10
9530.6615, For the purposes of determining level of care, a comprehensive assessment does
65.11
not need to be completed for an individual being committed as a chemically dependent
65.12
person, as defined in section 253B.02, and for the duration of a civil commitment under
65.13
section 253B.065, 253B.09, or 253B.095 in order for a county to access the behavioral
65.14
health fund under section 254B.04. The county must determine if the individual meets the
65.15
financial eligibility requirements for the behavioral health fund under section 254B.04.
65.16
Nothing in this subdivision prohibits placement in a treatment facility or treatment program
65.17
governed under this chapter or Minnesota Rules, parts 9530.6600 to 9530.6655.
65.18
Sec. 26. Minnesota Statutes 2022, section 254A.19, is amended by adding a subdivision
65.19
to read:
65.20
Subd. 6. Assessments for detoxification programs. For detoxification programs licensed
65.21
under chapter 245A according to Minnesota Rules, parts 9530.6510 to 9530.6590, a
65.22
"chemical use assessment" is a comprehensive assessment completed according to the
65.23
requirements of section 245G.05 and a "chemical dependency assessor" or "assessor" is an
65.24
individual who meets the qualifications of section 245G.11, subdivisions 1 and 5.
65.25
Sec. 27. Minnesota Statutes 2022, section 254A.19, is amended by adding a subdivision
65.26
to read:
65.27
Subd. 7. Assessments for children's residential facilities. For children's residential
65.28
facilities licensed under chapter 245A according to Minnesota Rules, parts 2960.0010 to
65.29
2960.0220 and 2960.0430 to 2960.0490, a "chemical use assessment" is a comprehensive
65.30
assessment completed according to the requirements of section 245G.05 and must be
65.31
completed by an individual who meets the qualifications of section 245G.11, subdivisions
65.32
1 and 5.
65
Article 2 Sec. 27.
REVISOR
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HF1403 THIRD ENGROSSMENT
66.1
Sec. 28. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
66.2
to read:
66.3
Subd. 2a. American Society of Addiction Medicine criteria or ASAM
66.4
criteria. "American Society of Addiction Medicine criteria" or "ASAM criteria" means the
66.5
clinical guidelines for purposes of assessment, treatment, placement, and transfer or discharge
66.6
of individuals with substance use disorders. The ASAM criteria are contained in the most
66.7
current edition of the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related,
66.8
and Co-Occurring Conditions.
66.9
Sec. 29. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
66.10
to read:
66.11
Subd. 2b. Behavioral health fund. "Behavioral health fund" means money allocated
66.12
for payment of treatment services under chapter 254B.
66.13
Sec. 30. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
66.14
to read:
66.15
Subd. 2c. Client. "Client" means an individual who has requested substance use disorder
66.16
services or for whom substance use disorder services have been requested.
66.17
Sec. 31. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
66.18
to read:
66.19
Subd. 2d. Co-payment. "Co-payment" means:
66.20
(1) the amount an insured person is obligated to pay before the person's third-party
66.21
payment source is obligated to make a payment; or
66.22
(2) the amount an insured person is obligated to pay in addition to the amount the person's
66.23
third-party payment source is obligated to pay.
66.24
Sec. 32. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
66.25
to read:
66.26
Subd. 4c. Department. "Department" means the Department of Human Services.
66
Article 2 Sec. 32.
REVISOR
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HF1403 THIRD ENGROSSMENT
67.1
Sec. 33. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
67.2
to read:
67.3
Subd. 4d. Drug and Alcohol Abuse Normative Evaluation System or DAANES. "Drug
67.4
and Alcohol Abuse Normative Evaluation System" or "DAANES" means the reporting
67.5
system used to collect all substance use disorder treatment data across all levels of care and
67.6
providers.
67.7
Sec. 34. Minnesota Statutes 2022, section 254B.01, subdivision 5, is amended to read:
67.8
Subd. 5. Local agency. "Local agency" means the agency designated by a board of
67.9
county commissioners, a local social services agency, or a human services board to make
67.10
placements and submit state invoices according to Laws 1986, chapter 394, sections 8 to
67.11
20 authorized under section 254B.03, subdivision 1, to determine financial eligibility for
67.12
the behavioral health fund.
67.13
Sec. 35. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
67.14
to read:
67.15
Subd. 6a. Minor child. "Minor child" means an individual under the age of 18 years.
67.16
Sec. 36. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
67.17
to read:
67.18
Subd. 6b. Policyholder. "Policyholder" means a person who has a third-party payment
67.19
policy under which a third-party payment source has an obligation to pay all or part of a
67.20
client's treatment costs.
67.21
Sec. 37. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
67.22
to read:
67.23
Subd. 9. Responsible relative. "Responsible relative" means a person who is a member
67.24
of the client's household and is the client's spouse or the parent of a minor child who is a
67.25
client.
67.26
Sec. 38. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
67.27
to read:
67.28
Subd. 10. Skilled treatment services. "Skilled treatment services" includes the treatment
67.29
services described in section 245G.07, subdivisions 1, paragraph (a), clauses (1) to (4), and
67
Article 2 Sec. 38.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
68.1
2, clauses (1) to (6). Skilled treatment services must be provided by qualified professionals
68.2
as identified in section 245G.07, subdivision 3.
68.3
Sec. 39. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
68.4
to read:
68.5
Subd. 11. Third-party payment source "Third-party payment source" means a person,
68.6
entity, or public or private agency other than medical assistance or general assistance medical
68.7
care that has a probable obligation to pay all or part of the costs of a client's substance use
68.8
disorder treatment.
68.9
Sec. 40. Minnesota Statutes 2022, section 254B.01, is amended by adding a subdivision
68.10
to read:
68.11
Subd. 12. Vendor. "Vendor" means a provider of substance use disorder treatment
68.12
services that meets the criteria established in section 254B.05, and that has applied to
68.13
participate as a provider in the medical assistance program according to Minnesota Rules,
68.14
part 9505.0195.
68.15
Sec. 41. Minnesota Statutes 2022, section 254B.03, subdivision 1, is amended to read:
68.16
Subdivision 1. Local agency duties. (a) Every local agency shall must determine financial
68.17
eligibility for substance use disorder services and provide substance use disorder services
68.18
to persons residing within its jurisdiction who meet criteria established by the commissioner
68.19
for placement in a substance use disorder residential or nonresidential treatment service.
68.20
Substance use disorder money must be administered by the local agencies according to law
68.21
and rules adopted by the commissioner under sections 14.001 to 14.69.
68.22
(b) In order to contain costs, the commissioner of human services shall select eligible
68.23
vendors of substance use disorder services who can provide economical and appropriate
68.24
treatment. Unless the local agency is a social services department directly administered by
68.25
a county or human services board, the local agency shall not be an eligible vendor under
68.26
section 254B.05. The commissioner may approve proposals from county boards to provide
68.27
services in an economical manner or to control utilization, with safeguards to ensure that
68.28
necessary services are provided. If a county implements a demonstration or experimental
68.29
medical services funding plan, the commissioner shall transfer the money as appropriate.
68.30
(c) A culturally specific vendor that provides assessments under a variance under
68.31
Minnesota Rules, part 9530.6610, shall be allowed to provide assessment services to persons
68.32
not covered by the variance.
68
Article 2 Sec. 41.
REVISOR
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HF1403 THIRD ENGROSSMENT
69.1
(d) Notwithstanding Minnesota Rules, parts 9530.6600 to 9530.6655, (c) An individual
69.2
may choose to obtain a comprehensive assessment as provided in section 245G.05.
69.3
Individuals obtaining a comprehensive assessment may access any enrolled provider that
69.4
is licensed to provide the level of service authorized pursuant to section 254A.19, subdivision
69.5
3, paragraph (d). If the individual is enrolled in a prepaid health plan, the individual must
69.6
comply with any provider network requirements or limitations.
69.7
(e) (d) Beginning July 1, 2022, local agencies shall not make placement location
69.8
determinations.
69.9
Sec. 42. Minnesota Statutes 2022, section 254B.03, subdivision 2, is amended to read:
69.10
Subd. 2. Behavioral health fund payment. (a) Payment from the behavioral health
69.11
fund is limited to payments for services identified in section 254B.05, other than
69.12
detoxification licensed under Minnesota Rules, parts 9530.6510 to 9530.6590, and
69.13
detoxification provided in another state that would be required to be licensed as a substance
69.14
use disorder program if the program were in the state. Out of state vendors must also provide
69.15
the commissioner with assurances that the program complies substantially with state licensing
69.16
requirements and possesses all licenses and certifications required by the host state to provide
69.17
substance use disorder treatment. Vendors receiving payments from the behavioral health
69.18
fund must not require co-payment from a recipient of benefits for services provided under
69.19
this subdivision. The vendor is prohibited from using the client's public benefits to offset
69.20
the cost of services paid under this section. The vendor shall not require the client to use
69.21
public benefits for room or board costs. This includes but is not limited to cash assistance
69.22
benefits under chapters 119B, 256D, and 256J, or SNAP benefits. Retention of SNAP
69.23
benefits is a right of a client receiving services through the behavioral health fund or through
69.24
state contracted managed care entities. Payment from the behavioral health fund shall be
69.25
made for necessary room and board costs provided by vendors meeting the criteria under
69.26
section 254B.05, subdivision 1a, or in a community hospital licensed by the commissioner
69.27
of health according to sections 144.50 to 144.56 to a client who is:
69.28
(1) determined to meet the criteria for placement in a residential substance use disorder
69.29
treatment program according to rules adopted under section 254A.03, subdivision 3; and
69.30
(2) concurrently receiving a substance use disorder treatment service in a program
69.31
licensed by the commissioner and reimbursed by the behavioral health fund.
69.32
(b) A county may, from its own resources, provide substance use disorder services for
69.33
which state payments are not made. A county may elect to use the same invoice procedures
69.34
and obtain the same state payment services as are used for substance use disorder services
69
Article 2 Sec. 42.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
70.1
for which state payments are made under this section if county payments are made to the
70.2
state in advance of state payments to vendors. When a county uses the state system for
70.3
payment, the commissioner shall make monthly billings to the county using the most recent
70.4
available information to determine the anticipated services for which payments will be made
70.5
in the coming month. Adjustment of any overestimate or underestimate based on actual
70.6
expenditures shall be made by the state agency by adjusting the estimate for any succeeding
70.7
month.
70.8
(c) (b) The commissioner shall coordinate substance use disorder services and determine
70.9
whether there is a need for any proposed expansion of substance use disorder treatment
70.10
services. The commissioner shall deny vendor certification to any provider that has not
70.11
received prior approval from the commissioner for the creation of new programs or the
70.12
expansion of existing program capacity. The commissioner shall consider the provider's
70.13
capacity to obtain clients from outside the state based on plans, agreements, and previous
70.14
utilization history, when determining the need for new treatment services.
70.15
(d) (c) At least 60 days prior to submitting an application for new licensure under chapter
70.16
245G, the applicant must notify the county human services director in writing of the
70.17
applicant's intent to open a new treatment program. The written notification must include,
70.18
at a minimum:
70.19
(1) a description of the proposed treatment program; and
70.20
(2) a description of the target population to be served by the treatment program.
70.21
(e) (d) The county human services director may submit a written statement to the
70.22
commissioner, within 60 days of receiving notice from the applicant, regarding the county's
70.23
support of or opposition to the opening of the new treatment program. The written statement
70.24
must include documentation of the rationale for the county's determination. The commissioner
70.25
shall consider the county's written statement when determining whether there is a need for
70.26
the treatment program as required by paragraph (c).
70.27
Sec. 43. Minnesota Statutes 2022, section 254B.03, subdivision 5, is amended to read:
70.28
Subd. 5. Rules; appeal. The commissioner shall adopt rules as necessary to implement
70.29
this chapter. The commissioner shall establish an appeals process for use by recipients when
70.30
services certified by the county are disputed. The commissioner shall adopt rules and
70.31
standards for the appeal process to assure adequate redress for persons referred to
70.32
inappropriate services.
70
Article 2 Sec. 43.
REVISOR
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HF1403 THIRD ENGROSSMENT
71.1
Sec. 44. Minnesota Statutes 2022, section 254B.04, subdivision 1, is amended to read:
71.2
Subdivision 1. Eligibility. Scope and applicability. (a) Persons eligible for benefits
71.3
under Code of Federal Regulations, title 25, part 20, who meet the income standards of
71.4
section 256B.056, subdivision 4, and are not enrolled in medical assistance, are entitled to
71.5
behavioral health fund services. State money appropriated for this paragraph must be placed
71.6
in a separate account established for this purpose.
71.7
(b) Persons with dependent children who are determined to be in need of chemical
71.8
dependency treatment pursuant to an assessment under section 260E.20, subdivision 1, or
71.9
a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the
71.10
local agency to access needed treatment services. Treatment services must be appropriate
71.11
for the individual or family, which may include long-term care treatment or treatment in a
71.12
facility that allows the dependent children to stay in the treatment facility. The county shall
71.13
pay for out-of-home placement costs, if applicable.
71.14
(c) Notwithstanding paragraph (a), persons enrolled in medical assistance are eligible
71.15
for room and board services under section 254B.05, subdivision 5, paragraph (b), clause
71.16
(12).
71.17
This section governs the administration of the behavioral health fund, establishes the
71.18
criteria to be applied by local agencies to determine a client's financial eligibility under the
71.19
behavioral health fund, and determines a client's obligation to pay for substance use disorder
71.20
treatment services.
71.21
Sec. 45. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
71.22
to read:
71.23
Subd. 1a. Client eligibility. (a) Persons eligible for benefits under Code of Federal
71.24
Regulations, title 25, part 20, who meet the income standards of section 256B.056,
71.25
subdivision 4, and are not enrolled in medical assistance, are entitled to behavioral health
71.26
fund services. State money appropriated for this paragraph must be placed in a separate
71.27
account established for this purpose.
71.28
(b) Persons with dependent children who are determined to be in need of chemical
71.29
dependency treatment pursuant to an assessment under section 260E.20, subdivision 1, or
71.30
a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the
71.31
local agency to access needed treatment services. Treatment services must be appropriate
71.32
for the individual or family, which may include long-term care treatment or treatment in a
71
Article 2 Sec. 45.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
72.1
facility that allows the dependent children to stay in the treatment facility. The county shall
72.2
pay for out-of-home placement costs, if applicable.
72.3
(c) Notwithstanding paragraph (a), persons enrolled in medical assistance are eligible
72.4
for room and board services under section 254B.05, subdivision 5, paragraph (b), clause
72.5
(12).
72.6
(d) A client is eligible to have substance use disorder treatment paid for with funds from
72.7
the behavioral health fund when the client:
72.8
(1) is eligible for MFIP as determined under chapter 256J;
72.9
(2) is eligible for medical assistance as determined under Minnesota Rules, parts
72.10
9505.0010 to 9505.0150;
72.11
(3) is eligible for general assistance, general assistance medical care, or work readiness
72.12
as determined under Minnesota Rules, parts 9500.1200 to 9500.1318; or
72.13
(4) has income that is within current household size and income guidelines for entitled
72.14
persons, as defined in this subdivision and subdivision 7.
72.15
(e) Clients who meet the financial eligibility requirement in paragraph (a) and who have
72.16
a third-party payment source are eligible for the behavioral health fund if the third-party
72.17
payment source pays less than 100 percent of the cost of treatment services for eligible
72.18
clients.
72.19
(f) A client is ineligible to have substance use disorder treatment services paid for with
72.20
behavioral health fund money if the client:
72.21
(1) has an income that exceeds current household size and income guidelines for entitled
72.22
persons as defined in this subdivision and subdivision 7; or
72.23
(2) has an available third-party payment source that will pay the total cost of the client's
72.24
treatment.
72.25
(g) A client who is disenrolled from a state prepaid health plan during a treatment episode
72.26
is eligible for continued treatment service that is paid for by the behavioral health fund until
72.27
the treatment episode is completed or the client is re-enrolled in a state prepaid health plan
72.28
if the client:
72.29
(1) continues to be enrolled in MinnesotaCare, medical assistance, or general assistance
72.30
medical care; or
72.31
(2) is eligible according to paragraphs (a) and (b) and is determined eligible by a local
72.32
agency under section 254B.04.
72
Article 2 Sec. 45.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
73.1
(h) When a county commits a client under chapter 253B to a regional treatment center
73.2
for substance use disorder services and the client is ineligible for the behavioral health fund,
73.3
the county is responsible for the payment to the regional treatment center according to
73.4
section 254B.05, subdivision 4.
73.5
Sec. 46. Minnesota Statutes 2022, section 254B.04, subdivision 2a, is amended to read:
73.6
Subd. 2a. Eligibility for treatment in residential settings room and board services
73.7
for persons in outpatient substance use disorder treatment. Notwithstanding provisions
73.8
of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's discretion in
73.9
making placements to residential treatment settings, A person eligible for room and board
73.10
services under this section 254B.05, subdivision 5, paragraph (b), clause (12), must score
73.11
at level 4 on assessment dimensions related to readiness to change, relapse, continued use,
73.12
or recovery environment in order to be assigned to services with a room and board component
73.13
reimbursed under this section. Whether a treatment facility has been designated an institution
73.14
for mental diseases under United States Code, title 42, section 1396d, shall not be a factor
73.15
in making placements.
73.16
Sec. 47. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
73.17
to read:
73.18
Subd. 4. Assessment criteria and risk descriptions. (a) The level of care determination
73.19
must follow criteria approved by the commissioner.
73.20
(b) Dimension 1: Acute intoxication and withdrawal potential. A vendor must use the
73.21
following criteria in Dimension 1 to determine a client's acute intoxication and withdrawal
73.22
potential, the client's ability to cope with withdrawal symptoms, and the client's current
73.23
state of intoxication.
73.24
(c) Dimension 2: Biomedical conditions and complications. The vendor must use the
73.25
following criteria in Dimension 2 to determine a client's biomedical conditions and
73.26
complications, the degree to which any physical disorder of the client would interfere with
73.27
treatment for substance use, and the client's ability to tolerate any related discomfort. If the
73.28
client is pregnant, the provider must determine the impact of continued substance use on
73.29
the unborn child.
73.30
(d) Dimension 3: Emotional, behavioral, and cognitive conditions and complications.
73.31
The vendor must use the following criteria in Dimension 3 to determine a client's emotional,
73.32
behavioral, and cognitive conditions and complications; the degree to which any condition
73
Article 2 Sec. 47.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
74.1
or complication is likely to interfere with treatment for substance use or with functioning
74.2
in significant life areas; and the likelihood of harm to self or others.
74.3
(e) Dimension 4: Readiness for change. The vendor must use the following criteria in
74.4
Dimension 4 to determine a client's readiness for change and the support necessary to keep
74.5
the client involved in treatment services.
74.6
(f) Dimension 5: Relapse, continued use, and continued problem potential. The vendor
74.7
must use the following criteria in Dimension 5 to determine a client's relapse, continued
74.8
use, and continued problem potential and the degree to which the client recognizes relapse
74.9
issues and has the skills to prevent relapse of either substance use or mental health problems.
74.10
(g) Dimension 6: Recovery environment. The vendor must use the following criteria in
74.11
Dimension 6 to determine a client's recovery environment, whether the areas of the client's
74.12
life are supportive of or antagonistic to treatment participation and recovery.
74.13
Sec. 48. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
74.14
to read:
74.15
Subd. 5. Local agency responsibility to provide services. The local agency may employ
74.16
individuals to conduct administrative activities and facilitate access to substance use disorder
74.17
treatment services.
74.18
Sec. 49. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
74.19
to read:
74.20
Subd. 6. Local agency to determine client financial eligibility. (a) The local agency
74.21
shall determine a client's financial eligibility for the behavioral health fund according to
74.22
section 254B.04, subdivision 1a, with the income calculated prospectively for one year from
74.23
the date of comprehensive assessment. The local agency shall pay for eligible clients
74.24
according to chapter 256G. The local agency shall enter the financial eligibility span within
74.25
ten calendar days of request. Client eligibility must be determined using forms prescribed
74.26
by the department. To determine a client's eligibility, the local agency must determine the
74.27
client's income, the size of the client's household, the availability of a third-party payment
74.28
source, and a responsible relative's ability to pay for the client's substance use disorder
74.29
treatment.
74.30
(b) A client who is a minor child must not be deemed to have income available to pay
74.31
for substance use disorder treatment, unless the minor child is responsible for payment under
74
Article 2 Sec. 49.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
75.1
section 144.347 for substance use disorder treatment services sought under section 144.343,
75.2
subdivision 1.
75.3
(c) The local agency must determine the client's household size as follows:
75.4
(1) if the client is a minor child, the household size includes the following persons living
75.5
in the same dwelling unit:
75.6
(i) the client;
75.7
(ii) the client's birth or adoptive parents; and
75.8
(iii) the client's siblings who are minors; and
75.9
(2) if the client is an adult, the household size includes the following persons living in
75.10
the same dwelling unit:
75.11
(i) the client;
75.12
(ii) the client's spouse;
75.13
(iii) the client's minor children; and
75.14
(iv) the client's spouse's minor children.
75.15
For purposes of this paragraph, household size includes a person listed in clauses (1) and
75.16
(2) who is in an out-of-home placement if a person listed in clause (1) or (2) is contributing
75.17
to the cost of care of the person in out-of-home placement.
75.18
(d) The local agency must determine the client's current prepaid health plan enrollment,
75.19
the availability of a third-party payment source, including the availability of total payment,
75.20
partial payment, and amount of co-payment.
75.21
(e) The local agency must provide the required eligibility information to the department
75.22
in the manner specified by the department.
75.23
(f) The local agency shall require the client and policyholder to conditionally assign to
75.24
the department the client and policyholder's rights and the rights of minor children to benefits
75.25
or services provided to the client if the department is required to collect from a third-party
75.26
pay source.
75.27
(g) The local agency must redetermine a client's eligibility for the behavioral health fund
75.28
every 12 months.
75.29
(h) A client, responsible relative, and policyholder must provide income or wage
75.30
verification, household size verification, and must make an assignment of third-party payment
75.31
rights under paragraph (f). If a client, responsible relative, or policyholder does not comply
75
Article 2 Sec. 49.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
76.1
with the provisions of this subdivision, the client is ineligible for behavioral health fund
76.2
payment for substance use disorder treatment, and the client and responsible relative must
76.3
be obligated to pay for the full cost of substance use disorder treatment services provided
76.4
to the client.
76.5
Sec. 50. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
76.6
to read:
76.7
Subd. 7. Client fees. A client whose household income is within current household size
76.8
and income guidelines for entitled persons as defined in section 254B.04, subdivision 1a,
76.9
must pay no fee for care related to substance use disorder, including drug screens.
76.10
Sec. 51. Minnesota Statutes 2022, section 254B.04, is amended by adding a subdivision
76.11
to read:
76.12
Subd. 8. Vendor must participate in DAANES system. To be eligible for payment
76.13
under the behavioral health fund, a vendor must participate in the Drug and Alcohol Abuse
76.14
Normative Evaluation System (DAANES) or submit to the commissioner the information
76.15
required in the DAANES in the format specified by the commissioner.
76.16
Sec. 52. Minnesota Statutes 2022, section 254B.05, subdivision 5, is amended to read:
76.17
Subd. 5. Rate requirements. (a) The commissioner shall establish rates for substance
76.18
use disorder services and service enhancements funded under this chapter.
76.19
(b) Eligible substance use disorder treatment services include:
76.20
(1) outpatient treatment services that are licensed according to sections 245G.01 to
76.21
245G.17, or applicable tribal license; those licensed, as applicable, according to chapter
76.22
245G or applicable Tribal license and provided according to the following ASAM levels
76.23
of care:
76.24
(i) ASAM level 0.5 early intervention services provided according to section 254B.19,
76.25
subdivision 1, clause (1);
76.26
(ii) ASAM level 1.0 outpatient services provided according to section 254B.19,
76.27
subdivision 1, clause (2);
76.28
(iii) ASAM level 2.1 intensive outpatient services provided according to section 254B.19,
76.29
subdivision 1, clause (3);
76.30
(iv) ASAM level 2.5 partial hospitalization services provided according to section
76.31
254B.19, subdivision 1, clause (4);
76
Article 2 Sec. 52.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
77.1
(v) ASAM level 3.1 clinically managed low-intensity residential services provided
77.2
according to section 254B.19, subdivision 1, clause (5);
77.3
(vi) ASAM level 3.3 clinically managed population-specific high-intensity residential
77.4
services provided according to section 254B.19, subdivision 1, clause (6); and
77.5
(vii) ASAM level 3.5 clinically managed high-intensity residential services provided
77.6
according to section 254B.19, subdivision 1, clause (7);
77.7
(2) comprehensive assessments provided according to sections 245.4863, paragraph (a),
77.8
and 245G.05;
77.9
(3) care treatment coordination services provided according to section 245G.07,
77.10
subdivision 1, paragraph (a), clause (5);
77.11
(4) peer recovery support services provided according to section 245G.07, subdivision
77.12
2, clause (8);
77.13
(5) on July 1, 2019, or upon federal approval, whichever is later, withdrawal management
77.14
services provided according to chapter 245F;
77.15
(6) substance use disorder treatment services with medications for opioid use disorder
77.16
that are provided in an opioid treatment program licensed according to sections 245G.01
77.17
to 245G.17 and 245G.22, or applicable tribal license;
77.18
(7) substance use disorder treatment with medications for opioid use disorder plus
77.19
enhanced treatment services that meet the requirements of clause (6) and provide nine hours
77.20
of clinical services each week;
77.21
(8) high, medium, and low intensity residential treatment services that are licensed
77.22
according to sections 245G.01 to 245G.17 and 245G.21 or applicable tribal license which
77.23
provide, respectively, 30, 15, and five hours of clinical services each week;
77.24
(9) (8) hospital-based treatment services that are licensed according to sections 245G.01
77.25
to 245G.17 or applicable tribal license and licensed as a hospital under sections 144.50 to
77.26
144.56;
77.27
(10) (9) adolescent treatment programs that are licensed as outpatient treatment programs
77.28
according to sections 245G.01 to 245G.18 or as residential treatment programs according
77.29
to Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or
77.30
applicable tribal license;
77.31
(11) high-intensity residential treatment (10) ASAM 3.5 clinically managed high-intensity
77.32
residential services that are licensed according to sections 245G.01 to 245G.17 and 245G.21
77
Article 2 Sec. 52.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
78.1
or applicable tribal license, which provide 30 hours of clinical services each week ASAM
78.2
level of care 3.5 according to section 254B.19, subdivision 1, clause (7), and are provided
78.3
by a state-operated vendor or to clients who have been civilly committed to the commissioner,
78.4
present the most complex and difficult care needs, and are a potential threat to the community;
78.5
and
78.6
(12) (11) room and board facilities that meet the requirements of subdivision 1a.
78.7
(c) The commissioner shall establish higher rates for programs that meet the requirements
78.8
of paragraph (b) and one of the following additional requirements:
78.9
(1) programs that serve parents with their children if the program:
78.10
(i) provides on-site child care during the hours of treatment activity that:
78.11
(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter
78.12
9503; or
78.13
(B) meets the licensure exclusion criteria of section 245A.03, subdivision 2, paragraph
78.14
(a), clause (6), and meets the requirements under section 245G.19, subdivision 4; or
78.15
(ii) arranges for off-site child care during hours of treatment activity at a facility that is
78.16
licensed under chapter 245A as:
78.17
(A) a child care center under Minnesota Rules, chapter 9503; or
78.18
(B) a family child care home under Minnesota Rules, chapter 9502;
78.19
(2) culturally specific or culturally responsive programs as defined in section 254B.01,
78.20
subdivision 4a;
78.21
(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
78.22
(4) programs that offer medical services delivered by appropriately credentialed health
78.23
care staff in an amount equal to two hours per client per week if the medical needs of the
78.24
client and the nature and provision of any medical services provided are documented in the
78.25
client file; or
78.26
(5) programs that offer services to individuals with co-occurring mental health and
78.27
substance use disorder problems if:
78.28
(i) the program meets the co-occurring requirements in section 245G.20;
78.29
(ii) 25 percent of the counseling staff are licensed mental health professionals under
78.30
section 245I.04, subdivision 2, or are students or licensing candidates under the supervision
78.31
of a licensed alcohol and drug counselor supervisor and mental health professional under
78
Article 2 Sec. 52.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
79.1
section 245I.04, subdivision 2, except that no more than 50 percent of the mental health
79.2
staff may be students or licensing candidates with time documented to be directly related
79.3
to provisions of co-occurring services;
79.4
(iii) clients scoring positive on a standardized mental health screen receive a mental
79.5
health diagnostic assessment within ten days of admission;
79.6
(iv) the program has standards for multidisciplinary case review that include a monthly
79.7
review for each client that, at a minimum, includes a licensed mental health professional
79.8
and licensed alcohol and drug counselor, and their involvement in the review is documented;
79.9
(v) family education is offered that addresses mental health and substance use disorder
79.10
and the interaction between the two; and
79.11
(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder
79.12
training annually.
79.13
(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program
79.14
that provides arrangements for off-site child care must maintain current documentation at
79.15
the substance use disorder facility of the child care provider's current licensure to provide
79.16
child care services. Programs that provide child care according to paragraph (c), clause (1),
79.17
must be deemed in compliance with the licensing requirements in section 245G.19.
79.18
(e) Adolescent residential programs that meet the requirements of Minnesota Rules,
79.19
parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements
79.20
in paragraph (c), clause (4), items (i) to (iv).
79.21
(f) Subject to federal approval, substance use disorder services that are otherwise covered
79.22
as direct face-to-face services may be provided via telehealth as defined in section 256B.0625,
79.23
subdivision 3b. The use of telehealth to deliver services must be medically appropriate to
79.24
the condition and needs of the person being served. Reimbursement shall be at the same
79.25
rates and under the same conditions that would otherwise apply to direct face-to-face services.
79.26
(g) For the purpose of reimbursement under this section, substance use disorder treatment
79.27
services provided in a group setting without a group participant maximum or maximum
79.28
client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one.
79.29
At least one of the attending staff must meet the qualifications as established under this
79.30
chapter for the type of treatment service provided. A recovery peer may not be included as
79.31
part of the staff ratio.
79
Article 2 Sec. 52.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
80.1
(h) Payment for outpatient substance use disorder services that are licensed according
80.2
to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless
80.3
prior authorization of a greater number of hours is obtained from the commissioner.
80.4
(i) Payment for substance use disorder services under this section must start from the
80.5
day of service initiation, when the comprehensive assessment is completed within the
80.6
required timelines.
80.7
EFFECTIVE DATE. The amendments to paragraph (b), clause (1), items (i) to (iv),
80.8
are effective January 1, 2025, or upon federal approval, whichever is later. The amendments
80.9
to paragraph (b), clause (1), items (v) to (vii), are effective January 1, 2024, or upon federal
80.10
approval, whichever is later. The amendments to paragraph (b), clauses (2) to (11), are
80.11
effective January 1, 2024. Paragraph (i) is effective July 1, 2023.
80.12
Sec. 53. [254B.19] AMERICAN SOCIETY OF ADDICTION MEDICINE
80.13
STANDARDS OF CARE.
80.14
Subdivision 1. Level of care requirements. For each client assigned an ASAM level
80.15
of care, eligible vendors must implement the standards set by the ASAM for the respective
80.16
level of care. Additionally, vendors must meet the following requirements:
80.17
(1) For ASAM level 0.5 early intervention targeting individuals who are at risk of
80.18
developing a substance-related problem but may not have a diagnosed substance use disorder,
80.19
early intervention services may include individual or group counseling, treatment
80.20
coordination, peer recovery support, screening brief intervention, and referral to treatment
80.21
provided according to section 254A.03, subdivision 3, paragraph (c).
80.22
(2) For ASAM level 1.0 outpatient clients, adults must receive up to eight hours per
80.23
week of skilled treatment services and adolescents must receive up to five hours per week.
80.24
Services must be licensed according to section 245G.20 and meet requirements under section
80.25
256B.0759. Peer recovery and treatment coordination may be provided beyond the hourly
80.26
skilled treatment service hours allowable per week.
80.27
(3) For ASAM level 2.1 intensive outpatient clients, adults must receive nine to 19 hours
80.28
per week of skilled treatment services and adolescents must receive six or more hours per
80.29
week. Vendors must be licensed according to section 245G.20 and must meet requirements
80.30
under section 256B.0759. Peer recovery services and treatment coordination may be provided
80.31
beyond the hourly skilled treatment service hours allowable per week. If clinically indicated
80.32
on the client's treatment plan, this service may be provided in conjunction with room and
80.33
board according to section 254B.05, subdivision 1a.
80
Article 2 Sec. 53.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
81.1
(4) For ASAM level 2.5 partial hospitalization clients, adults must receive 20 hours or
81.2
more of skilled treatment services. Services must be licensed according to section 245G.20
81.3
and must meet requirements under section 256B.0759. Level 2.5 is for clients who need
81.4
daily monitoring in a structured setting, as directed by the individual treatment plan and in
81.5
accordance with the limitations in section 254B.05, subdivision 5, paragraph (h). If clinically
81.6
indicated on the client's treatment plan, this service may be provided in conjunction with
81.7
room and board according to section 254B.05, subdivision 1a.
81.8
(5) For ASAM level 3.1 clinically managed low-intensity residential clients, programs
81.9
must provide at least 5 hours of skilled treatment services per week according to each client's
81.10
specific treatment schedule, as directed by the individual treatment plan. Programs must be
81.11
licensed according to section 245G.20 and must meet requirements under section 256B.0759.
81.12
(6) For ASAM level 3.3 clinically managed population-specific high-intensity residential
81.13
clients, programs must be licensed according to section 245G.20 and must meet requirements
81.14
under section 256B.0759. Programs must have 24-hour staffing coverage. Programs must
81.15
be enrolled as a disability responsive program as described in section 254B.01, subdivision
81.16
4b, and must specialize in serving persons with a traumatic brain injury or a cognitive
81.17
impairment so significant, and the resulting level of impairment so great, that outpatient or
81.18
other levels of residential care would not be feasible or effective. Programs must provide,
81.19
at a minimum, daily skilled treatment services seven days a week according to each client's
81.20
specific treatment schedule, as directed by the individual treatment plan.
81.21
(7) For ASAM level 3.5 clinically managed high-intensity residential clients, services
81.22
must be licensed according to section 245G.20 and must meet requirements under section
81.23
256B.0759. Programs must have 24-hour staffing coverage and provide, at a minimum,
81.24
daily skilled treatment services seven days a week according to each client's specific treatment
81.25
schedule, as directed by the individual treatment plan.
81.26
(8) For ASAM level withdrawal management 3.2 clinically managed clients, withdrawal
81.27
management must be provided according to chapter 245F.
81.28
(9) For ASAM level withdrawal management 3.7 medically monitored clients, withdrawal
81.29
management must be provided according to chapter 245F.
81.30
Subd. 2. Patient referral arrangement agreement. The license holder must maintain
81.31
documentation of a formal patient referral arrangement agreement for each of the following
81.32
ASAM levels of care not provided by the license holder:
81.33
(1) level 1.0 outpatient;
81
Article 2 Sec. 53.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
82.1
(2) level 2.1 intensive outpatient;
82.2
(3) level 2.5 partial hospitalization;
82.3
(4) level 3.1 clinically managed low-intensity residential;
82.4
(5) level 3.3 clinically managed population-specific high-intensity residential;
82.5
(6) level 3.5 clinically managed high-intensity residential;
82.6
(7) level withdrawal management 3.2 clinically managed residential withdrawal
82.7
management; and
82.8
(8) level withdrawal management 3.7 medically monitored inpatient withdrawal
82.9
management.
82.10
Subd. 3. Evidence-based practices. All services delivered within the ASAM levels of
82.11
care referenced in subdivision 1, clauses (1) to (7), must have documentation of the
82.12
evidence-based practices being utilized as referenced in the most current edition of the
82.13
ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring
82.14
Conditions.
82.15
Subd. 4. Program outreach plan. Eligible vendors providing services under ASAM
82.16
levels of care referenced in subdivision 1, clauses (2) to (7), must have a program outreach
82.17
plan. The treatment director must document a review and update the plan annually. The
82.18
program outreach plan must include treatment coordination strategies and processes to
82.19
ensure seamless transitions across the continuum of care. The plan must include how the
82.20
provider will:
82.21
(1) increase the awareness of early intervention treatment services, including but not
82.22
limited to the services defined in section 254A.03, subdivision 3, paragraph (c);
82.23
(2) coordinate, as necessary, with certified community behavioral health clinics when
82.24
a license holder is located in a geographic region served by a certified community behavioral
82.25
health clinic;
82.26
(3) establish a referral arrangement agreement with a withdrawal management program
82.27
licensed under chapter 245F when a license holder is located in a geographic region in which
82.28
a withdrawal management program is licensed under chapter 245F. If a withdrawal
82.29
management program licensed under chapter 245F is not geographically accessible, the
82.30
plan must include how the provider will address the client's need for this level of care;
82.31
(4) coordinate with inpatient acute care hospitals, including emergency departments,
82.32
hospital outpatient clinics, urgent care centers, residential crisis settings, medical
82
Article 2 Sec. 53.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
83.1
detoxification inpatient facilities, and ambulatory detoxification providers in the area served
83.2
by the provider to help transition individuals from emergency department or hospital settings
83.3
and minimize the time between assessment and treatment;
83.4
(5) develop and maintain collaboration with local county and Tribal human services
83.5
agencies; and
83.6
(6) collaborate with primary care and mental health settings.
83.7
EFFECTIVE DATE. This section is effective January 1, 2024.
83.8
Sec. 54. Minnesota Statutes 2022, section 256D.09, subdivision 2a, is amended to read:
83.9
Subd. 2a. Vendor payments for drug dependent persons. If, at the time of application
83.10
or at any other time, there is a reasonable basis for questioning whether a person applying
83.11
for or receiving financial assistance is drug dependent, as defined in section 254A.02,
83.12
subdivision 5, the person shall be referred for a chemical health assessment, and only
83.13
emergency assistance payments or general assistance vendor payments may be provided
83.14
until the assessment is complete and the results of the assessment made available to the
83.15
county agency. A reasonable basis for referring an individual for an assessment exists when:
83.16
(1) the person has required detoxification two or more times in the past 12 months;
83.17
(2) the person appears intoxicated at the county agency as indicated by two or more of
83.18
the following:
83.19
(i) the odor of alcohol;
83.20
(ii) slurred speech;
83.21
(iii) disconjugate gaze;
83.22
(iv) impaired balance;
83.23
(v) difficulty remaining awake;
83.24
(vi) consumption of alcohol;
83.25
(vii) responding to sights or sounds that are not actually present;
83.26
(viii) extreme restlessness, fast speech, or unusual belligerence;
83.27
(3) the person has been involuntarily committed for drug dependency at least once in
83.28
the past 12 months; or
83.29
(4) the person has received treatment, including domiciliary care, for drug abuse or
83.30
dependency at least twice in the past 12 months.
83
Article 2 Sec. 54.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
84.1
The assessment and determination of drug dependency, if any, must be made by an
84.2
assessor qualified under Minnesota Rules, part 9530.6615, subpart 2 section 245G.11,
84.3
subdivisions 1 and 5, to perform an assessment of chemical use. The county shall only
84.4
provide emergency general assistance or vendor payments to an otherwise eligible applicant
84.5
or recipient who is determined to be drug dependent, except up to 15 percent of the grant
84.6
amount the person would otherwise receive may be paid in cash. Notwithstanding subdivision
84.7
1, the commissioner of human services shall also require county agencies to provide
84.8
assistance only in the form of vendor payments to all eligible recipients who assert substance
84.9
use disorder as a basis for eligibility under section 256D.05, subdivision 1, paragraph (a),
84.10
clauses (1) and (5).
84.11
The determination of drug dependency shall be reviewed at least every 12 months. If
84.12
the county determines a recipient is no longer drug dependent, the county may cease vendor
84.13
payments and provide the recipient payments in cash.
84.14
Sec. 55. Minnesota Statutes 2022, section 256L.03, subdivision 2, is amended to read:
84.15
Subd. 2. Substance use disorder. Beginning July 1, 1993, covered health services shall
84.16
include individual outpatient treatment of substance use disorder by a qualified health
84.17
professional or outpatient program.
84.18
Persons who may need substance use disorder services under the provisions of this
84.19
chapter shall be assessed by a local agency as defined under section 254B.01 must be
84.20
assessed by a qualified professional as defined in section 245G.11, subdivisions 1 and 5,
84.21
and under the assessment provisions of section 254A.03, subdivision 3. A local agency or
84.22
managed care plan under contract with the Department of Human Services must place offer
84.23
services to a person in need of substance use disorder services as provided in Minnesota
84.24
Rules, parts 9530.6600 to 9530.6655 based on the recommendations of section 245G.05.
84.25
Persons who are recipients of medical benefits under the provisions of this chapter and who
84.26
are financially eligible for behavioral health fund services provided under the provisions of
84.27
chapter 254B shall receive substance use disorder treatment services under the provisions
84.28
of chapter 254B only if:
84.29
(1) they have exhausted the substance use disorder benefits offered under this chapter;
84.30
or
84.31
(2) an assessment indicates that they need a level of care not provided under the provisions
84.32
of this chapter.
84
Article 2 Sec. 55.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
85.1
Recipients of covered health services under the children's health plan, as provided in
85.2
Minnesota Statutes 1990, section 256.936, and as amended by Laws 1991, chapter 292,
85.3
article 4, section 17, and recipients of covered health services enrolled in the children's
85.4
health plan or the MinnesotaCare program after October 1, 1992, pursuant to Laws 1992,
85.5
chapter 549, article 4, sections 5 and 17, are eligible to receive substance use disorder
85.6
benefits under this subdivision.
85.7
Sec. 56. Minnesota Statutes 2022, section 256L.12, subdivision 8, is amended to read:
85.8
Subd. 8. Substance use disorder assessments. The managed care plan shall be
85.9
responsible for assessing the need and placement for provision of substance use disorder
85.10
services according to criteria set forth in Minnesota Rules, parts 9530.6600 to 9530.6655
85.11
section 245G.05.
85.12
Sec. 57. Minnesota Statutes 2022, section 260B.157, subdivision 1, is amended to read:
85.13
Subdivision 1. Investigation. Upon request of the court the local social services agency
85.14
or probation officer shall investigate the personal and family history and environment of
85.15
any minor coming within the jurisdiction of the court under section 260B.101 and shall
85.16
report its findings to the court. The court may order any minor coming within its jurisdiction
85.17
to be examined by a duly qualified physician, psychiatrist, or psychologist appointed by the
85.18
court.
85.19
The court shall order a chemical use assessment conducted when a child is (1) found to
85.20
be delinquent for violating a provision of chapter 152, or for committing a felony-level
85.21
violation of a provision of chapter 609 if the probation officer determines that alcohol or
85.22
drug use was a contributing factor in the commission of the offense, or (2) alleged to be
85.23
delinquent for violating a provision of chapter 152, if the child is being held in custody
85.24
under a detention order. The assessor's qualifications must comply with section 245G.11,
85.25
subdivisions 1 and 5, and the assessment criteria shall must comply with Minnesota Rules,
85.26
parts 9530.6600 to 9530.6655 section 245G.05. If funds under chapter 254B are to be used
85.27
to pay for the recommended treatment, the assessment and placement must comply with all
85.28
provisions of Minnesota Rules, parts 9530.6600 to 9530.6655 and 9530.7000 to 9530.7030
85.29
sections 245G.05 and 254B.04. The commissioner of human services shall reimburse the
85.30
court for the cost of the chemical use assessment, up to a maximum of $100.
85.31
The court shall order a children's mental health screening conducted when a child is
85.32
found to be delinquent. The screening shall be conducted with a screening instrument
85.33
approved by the commissioner of human services and shall be conducted by a mental health
85
Article 2 Sec. 57.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
86.1
practitioner as defined in section 245.4871, subdivision 26, or a probation officer who is
86.2
trained in the use of the screening instrument. If the screening indicates a need for assessment,
86.3
the local social services agency, in consultation with the child's family, shall have a diagnostic
86.4
assessment conducted, including a functional assessment, as defined in section 245.4871.
86.5
With the consent of the commissioner of corrections and agreement of the county to pay
86.6
the costs thereof, the court may, by order, place a minor coming within its jurisdiction in
86.7
an institution maintained by the commissioner for the detention, diagnosis, custody and
86.8
treatment of persons adjudicated to be delinquent, in order that the condition of the minor
86.9
be given due consideration in the disposition of the case. Any funds received under the
86.10
provisions of this subdivision shall not cancel until the end of the fiscal year immediately
86.11
following the fiscal year in which the funds were received. The funds are available for use
86.12
by the commissioner of corrections during that period and are hereby appropriated annually
86.13
to the commissioner of corrections as reimbursement of the costs of providing these services
86.14
to the juvenile courts.
86.15
Sec. 58. Minnesota Statutes 2022, section 260B.157, subdivision 3, is amended to read:
86.16
Subd. 3. Juvenile treatment screening team. (a) The local social services agency shall
86.17
establish a juvenile treatment screening team to conduct screenings and prepare case plans
86.18
under this subdivision. The team, which may be the team constituted under section 245.4885
86.19
or 256B.092 or Minnesota Rules, parts 9530.6600 to 9530.6655 chapter 254B, shall consist
86.20
of social workers, juvenile justice professionals, and persons with expertise in the treatment
86.21
of juveniles who are emotionally disabled, chemically dependent, or have a developmental
86.22
disability. The team shall involve parents or guardians in the screening process as appropriate.
86.23
The team may be the same team as defined in section 260C.157, subdivision 3.
86.24
(b) If the court, prior to, or as part of, a final disposition, proposes to place a child:
86.25
(1) for the primary purpose of treatment for an emotional disturbance, and residential
86.26
placement is consistent with section 260.012, a developmental disability, or chemical
86.27
dependency in a residential treatment facility out of state or in one which is within the state
86.28
and licensed by the commissioner of human services under chapter 245A; or
86.29
(2) in any out-of-home setting potentially exceeding 30 days in duration, including a
86.30
post-dispositional placement in a facility licensed by the commissioner of corrections or
86.31
human services, the court shall notify the county welfare agency. The county's juvenile
86.32
treatment screening team must either:
86
Article 2 Sec. 58.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
87.1
(i) screen and evaluate the child and file its recommendations with the court within 14
87.2
days of receipt of the notice; or
87.3
(ii) elect not to screen a given case, and notify the court of that decision within three
87.4
working days.
87.5
(c) If the screening team has elected to screen and evaluate the child, the child may not
87.6
be placed for the primary purpose of treatment for an emotional disturbance, a developmental
87.7
disability, or chemical dependency, in a residential treatment facility out of state nor in a
87.8
residential treatment facility within the state that is licensed under chapter 245A, unless one
87.9
of the following conditions applies:
87.10
(1) a treatment professional certifies that an emergency requires the placement of the
87.11
child in a facility within the state;
87.12
(2) the screening team has evaluated the child and recommended that a residential
87.13
placement is necessary to meet the child's treatment needs and the safety needs of the
87.14
community, that it is a cost-effective means of meeting the treatment needs, and that it will
87.15
be of therapeutic value to the child; or
87.16
(3) the court, having reviewed a screening team recommendation against placement,
87.17
determines to the contrary that a residential placement is necessary. The court shall state
87.18
the reasons for its determination in writing, on the record, and shall respond specifically to
87.19
the findings and recommendation of the screening team in explaining why the
87.20
recommendation was rejected. The attorney representing the child and the prosecuting
87.21
attorney shall be afforded an opportunity to be heard on the matter.
87.22
Sec. 59. Minnesota Statutes 2022, section 260C.157, subdivision 3, is amended to read:
87.23
Subd. 3. Juvenile treatment screening team. (a) The responsible social services agency
87.24
shall establish a juvenile treatment screening team to conduct screenings under this chapter
87.25
and chapter 260D, for a child to receive treatment for an emotional disturbance, a
87.26
developmental disability, or related condition in a residential treatment facility licensed by
87.27
the commissioner of human services under chapter 245A, or licensed or approved by a tribe.
87.28
A screening team is not required for a child to be in: (1) a residential facility specializing
87.29
in prenatal, postpartum, or parenting support; (2) a facility specializing in high-quality
87.30
residential care and supportive services to children and youth who have been or are at risk
87.31
of becoming victims of sex trafficking or commercial sexual exploitation; (3) supervised
87.32
settings for youth who are 18 years of age or older and living independently; or (4) a licensed
87.33
residential family-based treatment facility for substance abuse consistent with section
87
Article 2 Sec. 59.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
88.1
260C.190. Screenings are also not required when a child must be placed in a facility due to
88.2
an emotional crisis or other mental health emergency.
88.3
(b) The responsible social services agency shall conduct screenings within 15 days of a
88.4
request for a screening, unless the screening is for the purpose of residential treatment and
88.5
the child is enrolled in a prepaid health program under section 256B.69, in which case the
88.6
agency shall conduct the screening within ten working days of a request. The responsible
88.7
social services agency shall convene the juvenile treatment screening team, which may be
88.8
constituted under section 245.4885, 254B.05, or 256B.092 or Minnesota Rules, parts
88.9
9530.6600 to 9530.6655. The team shall consist of social workers; persons with expertise
88.10
in the treatment of juveniles who are emotionally disturbed, chemically dependent, or have
88.11
a developmental disability; and the child's parent, guardian, or permanent legal custodian.
88.12
The team may include the child's relatives as defined in section 260C.007, subdivisions 26b
88.13
and 27, the child's foster care provider, and professionals who are a resource to the child's
88.14
family such as teachers, medical or mental health providers, and clergy, as appropriate,
88.15
consistent with the family and permanency team as defined in section 260C.007, subdivision
88.16
16a. Prior to forming the team, the responsible social services agency must consult with the
88.17
child's parents, the child if the child is age 14 or older, and, if applicable, the child's tribe
88.18
to obtain recommendations regarding which individuals to include on the team and to ensure
88.19
that the team is family-centered and will act in the child's best interests. If the child, child's
88.20
parents, or legal guardians raise concerns about specific relatives or professionals, the team
88.21
should not include those individuals. This provision does not apply to paragraph (c).
88.22
(c) If the agency provides notice to tribes under section 260.761, and the child screened
88.23
is an Indian child, the responsible social services agency must make a rigorous and concerted
88.24
effort to include a designated representative of the Indian child's tribe on the juvenile
88.25
treatment screening team, unless the child's tribal authority declines to appoint a
88.26
representative. The Indian child's tribe may delegate its authority to represent the child to
88.27
any other federally recognized Indian tribe, as defined in section 260.755, subdivision 12.
88.28
The provisions of the Indian Child Welfare Act of 1978, United States Code, title 25, sections
88.29
1901 to 1963, and the Minnesota Indian Family Preservation Act, sections 260.751 to
88.30
260.835, apply to this section.
88.31
(d) If the court, prior to, or as part of, a final disposition or other court order, proposes
88.32
to place a child with an emotional disturbance or developmental disability or related condition
88.33
in residential treatment, the responsible social services agency must conduct a screening.
88.34
If the team recommends treating the child in a qualified residential treatment program, the
88.35
agency must follow the requirements of sections 260C.70 to 260C.714.
88
Article 2 Sec. 59.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
89.1
The court shall ascertain whether the child is an Indian child and shall notify the
89.2
responsible social services agency and, if the child is an Indian child, shall notify the Indian
89.3
child's tribe as paragraph (c) requires.
89.4
(e) When the responsible social services agency is responsible for placing and caring
89.5
for the child and the screening team recommends placing a child in a qualified residential
89.6
treatment program as defined in section 260C.007, subdivision 26d, the agency must: (1)
89.7
begin the assessment and processes required in section 260C.704 without delay; and (2)
89.8
conduct a relative search according to section 260C.221 to assemble the child's family and
89.9
permanency team under section 260C.706. Prior to notifying relatives regarding the family
89.10
and permanency team, the responsible social services agency must consult with the child's
89.11
parent or legal guardian, the child if the child is age 14 or older, and, if applicable, the child's
89.12
tribe to ensure that the agency is providing notice to individuals who will act in the child's
89.13
best interests. The child and the child's parents may identify a culturally competent qualified
89.14
individual to complete the child's assessment. The agency shall make efforts to refer the
89.15
assessment to the identified qualified individual. The assessment may not be delayed for
89.16
the purpose of having the assessment completed by a specific qualified individual.
89.17
(f) When a screening team determines that a child does not need treatment in a qualified
89.18
residential treatment program, the screening team must:
89.19
(1) document the services and supports that will prevent the child's foster care placement
89.20
and will support the child remaining at home;
89.21
(2) document the services and supports that the agency will arrange to place the child
89.22
in a family foster home; or
89.23
(3) document the services and supports that the agency has provided in any other setting.
89.24
(g) When the Indian child's tribe or tribal health care services provider or Indian Health
89.25
Services provider proposes to place a child for the primary purpose of treatment for an
89.26
emotional disturbance, a developmental disability, or co-occurring emotional disturbance
89.27
and chemical dependency, the Indian child's tribe or the tribe delegated by the child's tribe
89.28
shall submit necessary documentation to the county juvenile treatment screening team,
89.29
which must invite the Indian child's tribe to designate a representative to the screening team.
89.30
(h) The responsible social services agency must conduct and document the screening in
89.31
a format approved by the commissioner of human services.
89
Article 2 Sec. 59.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
90.1
Sec. 60. Minnesota Statutes 2022, section 260E.20, subdivision 1, is amended to read:
90.2
Subdivision 1. General duties. (a) The local welfare agency shall offer services to
90.3
prevent future maltreatment, safeguarding and enhancing the welfare of the maltreated child,
90.4
and supporting and preserving family life whenever possible.
90.5
(b) If the report alleges a violation of a criminal statute involving maltreatment or child
90.6
endangerment under section 609.378, the local law enforcement agency and local welfare
90.7
agency shall coordinate the planning and execution of their respective investigation and
90.8
assessment efforts to avoid a duplication of fact-finding efforts and multiple interviews.
90.9
Each agency shall prepare a separate report of the results of the agency's investigation or
90.10
assessment.
90.11
(c) In cases of alleged child maltreatment resulting in death, the local agency may rely
90.12
on the fact-finding efforts of a law enforcement investigation to make a determination of
90.13
whether or not maltreatment occurred.
90.14
(d) When necessary, the local welfare agency shall seek authority to remove the child
90.15
from the custody of a parent, guardian, or adult with whom the child is living.
90.16
(e) In performing any of these duties, the local welfare agency shall maintain an
90.17
appropriate record.
90.18
(f) In conducting a family assessment or investigation, the local welfare agency shall
90.19
gather information on the existence of substance abuse and domestic violence.
90.20
(g) If the family assessment or investigation indicates there is a potential for abuse of
90.21
alcohol or other drugs by the parent, guardian, or person responsible for the child's care,
90.22
the local welfare agency shall conduct must coordinate a chemical use comprehensive
90.23
assessment pursuant to Minnesota Rules, part 9530.6615 section 245G.05.
90.24
(h) The agency may use either a family assessment or investigation to determine whether
90.25
the child is safe when responding to a report resulting from birth match data under section
90.26
260E.03, subdivision 23, paragraph (c). If the child subject of birth match data is determined
90.27
to be safe, the agency shall consult with the county attorney to determine the appropriateness
90.28
of filing a petition alleging the child is in need of protection or services under section
90.29
260C.007, subdivision 6, clause (16), in order to deliver needed services. If the child is
90.30
determined not to be safe, the agency and the county attorney shall take appropriate action
90.31
as required under section 260C.503, subdivision 2.
90
Article 2 Sec. 60.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
91.1
Sec. 61. Minnesota Statutes 2022, section 299A.299, subdivision 1, is amended to read:
91.2
Subdivision 1. Establishment of team. A county, a multicounty organization of counties
91.3
formed by an agreement under section 471.59, or a city with a population of no more than
91.4
50,000, may establish a multidisciplinary chemical abuse prevention team. The chemical
91.5
abuse prevention team may include, but not be limited to, representatives of health, mental
91.6
health, public health, law enforcement, educational, social service, court service, community
91.7
education, religious, and other appropriate agencies, and parent and youth groups. For
91.8
purposes of this section, "chemical abuse" has the meaning given in Minnesota Rules, part
91.9
9530.6605, subpart 6 section 254A.02, subdivision 6a. When possible the team must
91.10
coordinate its activities with existing local groups, organizations, and teams dealing with
91.11
the same issues the team is addressing.
91.12
Sec. 62. REVISOR INSTRUCTION.
91.13
The revisor of statutes shall renumber the subdivisions in Minnesota Statutes, section
91.14
254B.01, in alphabetical order and correct any cross-reference changes that result.
91.15
Sec. 63. REPEALER.
91.16
(a) Minnesota Statutes 2022, sections 169A.70, subdivision 6; 245G.22, subdivision 19;
91.17
254A.02, subdivision 8a; 254A.16, subdivision 6; 254A.19, subdivisions 1a, 2, and 5;
91.18
254B.04, subdivisions 2b and 2c; and 254B.041, subdivision 2, are repealed.
91.19
(b) Minnesota Statutes 2022, sections 245G.05, subdivision 2; and 245G.06, subdivision
91.20
2, are repealed.
91.21
(c) Minnesota Rules, parts 9530.7000, subparts 1, 2, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 17a,
91.22
19, 20, and 21; 9530.7005; 9530.7010; 9530.7012; 9530.7015, subparts 1, 2a, 4, 5, and 6;
91.23
9530.7020, subparts 1, 1a, and 2; 9530.7021; 9530.7022, subpart 1; 9530.7025; and
91.24
9530.7030, subpart 1, are repealed.
91.25
EFFECTIVE DATE. Paragraphs (a) and (c) are effective August 1, 2023. Paragraph
91.26
(b) is effective January 1, 2024.
91
Article 2 Sec. 63.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
92.1
ARTICLE 3
92.2
PEER RECOVERY AND RECOVERY COMMUNITY ORGANIZATION
92.3
REQUIREMENTS
92.4
Section 1. Minnesota Statutes 2022, section 245G.07, subdivision 2, is amended to read:
92.5
Subd. 2. Additional treatment service. A license holder may provide or arrange the
92.6
following additional treatment service as a part of the client's individual treatment plan:
92.7
(1) relationship counseling provided by a qualified professional to help the client identify
92.8
the impact of the client's substance use disorder on others and to help the client and persons
92.9
in the client's support structure identify and change behaviors that contribute to the client's
92.10
substance use disorder;
92.11
(2) therapeutic recreation to allow the client to participate in recreational activities
92.12
without the use of mood-altering chemicals and to plan and select leisure activities that do
92.13
not involve the inappropriate use of chemicals;
92.14
(3) stress management and physical well-being to help the client reach and maintain an
92.15
appropriate level of health, physical fitness, and well-being;
92.16
(4) living skills development to help the client learn basic skills necessary for independent
92.17
living;
92.18
(5) employment or educational services to help the client become financially independent;
92.19
(6) socialization skills development to help the client live and interact with others in a
92.20
positive and productive manner;
92.21
(7) room, board, and supervision at the treatment site to provide the client with a safe
92.22
and appropriate environment to gain and practice new skills; and
92.23
(8) peer recovery support services provided one-to-one by an individual in recovery
92.24
qualified according to section 245G.11, subdivision 8 245I.04, subdivision 18. Peer support
92.25
services include education; advocacy; mentoring through self-disclosure of personal recovery
92.26
experiences; attending recovery and other support groups with a client; accompanying the
92.27
client to appointments that support recovery; assistance accessing resources to obtain housing,
92.28
employment, education, and advocacy services; and nonclinical recovery support to assist
92.29
the transition from treatment into the recovery community.
92.30
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
92.31
of human services shall notify the revisor of statutes when federal approval is obtained.
92
Article 3 Section 1.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
93.1
Sec. 2. Minnesota Statutes 2022, section 245G.11, subdivision 8, is amended to read:
93.2
Subd. 8. Recovery peer qualifications. A recovery peer must:
93.3
(1) have a high school diploma or its equivalent meet the qualifications in section 245I.04,
93.4
subdivision 18; and
93.5
(2) have a minimum of one year in recovery from substance use disorder; provide services
93.6
according to the scope of practice established in section 245I.04, subdivision 19, under the
93.7
supervision of an alcohol and drug counselor.
93.8
(3) hold a current credential from the Minnesota Certification Board, the Upper Midwest
93.9
Indian Council on Addictive Disorders, or the National Association for Alcoholism and
93.10
Drug Abuse Counselors. An individual may also receive a credential from a tribal nation
93.11
when providing peer recovery support services in a tribally licensed program. The credential
93.12
must demonstrate skills and training in the domains of ethics and boundaries, advocacy,
93.13
mentoring and education, and recovery and wellness support; and
93.14
(4) receive ongoing supervision in areas specific to the domains of the recovery peer's
93.15
role by an alcohol and drug counselor.
93.16
EFFECTIVE DATE. This section is effective upon federal approval. The commissioner
93.17
of human services shall notify the revisor of statutes when federal approval is obtained.
93.18
Sec. 3. Minnesota Statutes 2022, section 245I.04, is amended by adding a subdivision to
93.19
read:
93.20
Subd. 18. Recovery peer qualifications. (a) A recovery peer must:
93.21
(1) have a minimum of one year in recovery from substance use disorder; and
93.22
(2) hold a current credential from the Minnesota Certification Board, the Upper Midwest
93.23
Indian Council on Addictive Disorders, or the National Association for Alcoholism and
93.24
Drug Abuse Counselors that demonstrates skills and training in the domains of ethics and
93.25
boundaries, advocacy, mentoring and education, and recovery and wellness support.
93.26
(b) A recovery peer who receives a credential from a Tribal Nation when providing peer
93.27
recovery support services in a tribally licensed program satisfies the requirement in paragraph
93.28
(a), clause (2).
93
Article 3 Sec. 3.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
94.1
Sec. 4. Minnesota Statutes 2022, section 245I.04, is amended by adding a subdivision to
94.2
read:
94.3
Subd. 19. Peer recovery scope of practice. A recovery peer, under the supervision of
94.4
an alcohol and drug counselor, must:
94.5
(1) provide individualized peer support to each client;
94.6
(2) promote a client's recovery goals, self-sufficiency, self-advocacy, and development
94.7
of natural supports; and
94.8
(3) support a client's maintenance of skills that the client has learned from other services.
94.9
Sec. 5. Minnesota Statutes 2022, section 254B.01, subdivision 8, is amended to read:
94.10
Subd. 8. Recovery community organization. "Recovery community organization"
94.11
means an independent, nonprofit organization led and governed by representatives of local
94.12
communities of recovery. A recovery community organization mobilizes resources within
94.13
and outside of the recovery community to increase the prevalence and quality of long-term
94.14
recovery from alcohol and other drug addiction substance use disorder. Recovery community
94.15
organizations provide peer-based recovery support activities such as training of recovery
94.16
peers. Recovery community organizations provide mentorship and ongoing support to
94.17
individuals dealing with a substance use disorder and connect them with the resources that
94.18
can support each person's recovery. A recovery community organization also promotes a
94.19
recovery-focused orientation in community education and outreach programming, and
94.20
organize recovery-focused policy advocacy activities to foster healthy communities and
94.21
reduce the stigma of substance use disorder.
94.22
Sec. 6. Minnesota Statutes 2022, section 254B.05, subdivision 1, is amended to read:
94.23
Subdivision 1. Licensure required. (a) Programs licensed by the commissioner are
94.24
eligible vendors. Hospitals may apply for and receive licenses to be eligible vendors,
94.25
notwithstanding the provisions of section 245A.03. American Indian programs that provide
94.26
substance use disorder treatment, extended care, transitional residence, or outpatient treatment
94.27
services, and are licensed by tribal government are eligible vendors.
94.28
(b) A licensed professional in private practice as defined in section 245G.01, subdivision
94.29
17, who meets the requirements of section 245G.11, subdivisions 1 and 4, is an eligible
94.30
vendor of a comprehensive assessment and assessment summary provided according to
94.31
section 245G.05, and treatment services provided according to sections 245G.06 and
94
Article 3 Sec. 6.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
95.1
245G.07, subdivision 1, paragraphs (a), clauses (1) to (5), and (b); and subdivision 2, clauses
95.2
(1) to (6).
95.3
(c) A county is an eligible vendor for a comprehensive assessment and assessment
95.4
summary when provided by an individual who meets the staffing credentials of section
95.5
245G.11, subdivisions 1 and 5, and completed according to the requirements of section
95.6
245G.05. A county is an eligible vendor of care coordination services when provided by an
95.7
individual who meets the staffing credentials of section 245G.11, subdivisions 1 and 7, and
95.8
provided according to the requirements of section 245G.07, subdivision 1, paragraph (a),
95.9
clause (5).
95.10
(d) A recovery community organization that meets certification the requirements identified
95.11
by the commissioner of clauses (1) to (10) and meets membership or accreditation
95.12
requirements of the Association of Recovery Community Organizations, the Council on
95.13
Accreditation of Peer Recovery Support Services, or a Minnesota statewide recovery
95.14
community organization identified by the commissioner is an eligible vendor of peer support
95.15
services. Eligible vendors under this paragraph must:
95.16
(1) be nonprofit organizations;
95.17
(2) be led and governed by individuals in the recovery community, with more than 50
95.18
percent of the board of directors or advisory board members self-identifying as people in
95.19
personal recovery from substance use disorders;
95.20
(3) primarily focus on recovery from substance use disorders, with missions and visions
95.21
that support this primary focus;
95.22
(4) be grassroots and reflective of and engaged with the community served;
95.23
(5) be accountable to the recovery community through processes that promote the
95.24
involvement and engagement of, and consultation with, people in recovery and their families,
95.25
friends, and recovery allies;
95.26
(6) provide nonclinical peer recovery support services, including but not limited to
95.27
recovery support groups, recovery coaching, telephone recovery support, skill-building
95.28
groups, and harm-reduction activities;
95.29
(7) allow for and support opportunities for all paths toward recovery and refrain from
95.30
excluding anyone based on their chosen recovery path, which may include but is not limited
95.31
to harm reduction paths, faith-based paths, and nonfaith-based paths;
95
Article 3 Sec. 6.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
96.1
(8) be purposeful in meeting the diverse needs of Black, Indigenous, and people of color
96.2
communities, including board and staff development activities, organizational practices,
96.3
service offerings, advocacy efforts, and culturally informed outreach and service plans;
96.4
(9) be stewards of recovery-friendly language that is supportive of and promotes recovery
96.5
across diverse geographical and cultural contexts and reduces stigma; and
96.6
(10) maintain an employee and volunteer code of ethics and easily accessible grievance
96.7
procedures posted in physical spaces, on websites, or on program policies or forms.
96.8
(e) Recovery community organizations approved by the commissioner before June 30,
96.9
2023, shall retain their designation as recovery community organizations.
96.10
(f) A recovery community organization that is aggrieved by an accreditation or
96.11
membership determination and believes it meets the requirements under paragraph (d) may
96.12
appeal the determination under section 256.045, subdivision 3, paragraph (a), clause (15),
96.13
for reconsideration as an eligible vendor.
96.14
(e) (g) Detoxification programs licensed under Minnesota Rules, parts 9530.6510 to
96.15
9530.6590, are not eligible vendors. Programs that are not licensed as a residential or
96.16
nonresidential substance use disorder treatment or withdrawal management program by the
96.17
commissioner or by tribal government or do not meet the requirements of subdivisions 1a
96.18
and 1b are not eligible vendors.
96.19
Sec. 7. Minnesota Statutes 2022, section 256.045, subdivision 3, is amended to read:
96.20
Subd. 3. State agency hearings. (a) State agency hearings are available for the following:
96.21
(1) any person applying for, receiving or having received public assistance, medical
96.22
care, or a program of social services granted by the state agency or a county agency or the
96.23
federal Food and Nutrition Act whose application for assistance is denied, not acted upon
96.24
with reasonable promptness, or whose assistance is suspended, reduced, terminated, or
96.25
claimed to have been incorrectly paid;
96.26
(2) any patient or relative aggrieved by an order of the commissioner under section
96.27
252.27;
96.28
(3) a party aggrieved by a ruling of a prepaid health plan;
96.29
(4) except as provided under chapter 245C, any individual or facility determined by a
96.30
lead investigative agency to have maltreated a vulnerable adult under section 626.557 after
96.31
they have exercised their right to administrative reconsideration under section 626.557;
96
Article 3 Sec. 7.
REVISOR
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HF1403 THIRD ENGROSSMENT
97.1
(5) any person whose claim for foster care payment according to a placement of the
97.2
child resulting from a child protection assessment under chapter 260E is denied or not acted
97.3
upon with reasonable promptness, regardless of funding source;
97.4
(6) any person to whom a right of appeal according to this section is given by other
97.5
provision of law;
97.6
(7) an applicant aggrieved by an adverse decision to an application for a hardship waiver
97.7
under section 256B.15;
97.8
(8) an applicant aggrieved by an adverse decision to an application or redetermination
97.9
for a Medicare Part D prescription drug subsidy under section 256B.04, subdivision 4a;
97.10
(9) except as provided under chapter 245A, an individual or facility determined to have
97.11
maltreated a minor under chapter 260E, after the individual or facility has exercised the
97.12
right to administrative reconsideration under chapter 260E;
97.13
(10) except as provided under chapter 245C, an individual disqualified under sections
97.14
245C.14 and 245C.15, following a reconsideration decision issued under section 245C.23,
97.15
on the basis of serious or recurring maltreatment; a preponderance of the evidence that the
97.16
individual has committed an act or acts that meet the definition of any of the crimes listed
97.17
in section 245C.15, subdivisions 1 to 4; or for failing to make reports required under section
97.18
260E.06, subdivision 1, or 626.557, subdivision 3. Hearings regarding a maltreatment
97.19
determination under clause (4) or (9) and a disqualification under this clause in which the
97.20
basis for a disqualification is serious or recurring maltreatment, shall be consolidated into
97.21
a single fair hearing. In such cases, the scope of review by the human services judge shall
97.22
include both the maltreatment determination and the disqualification. The failure to exercise
97.23
the right to an administrative reconsideration shall not be a bar to a hearing under this section
97.24
if federal law provides an individual the right to a hearing to dispute a finding of
97.25
maltreatment;
97.26
(11) any person with an outstanding debt resulting from receipt of public assistance,
97.27
medical care, or the federal Food and Nutrition Act who is contesting a setoff claim by the
97.28
Department of Human Services or a county agency. The scope of the appeal is the validity
97.29
of the claimant agency's intention to request a setoff of a refund under chapter 270A against
97.30
the debt;
97.31
(12) a person issued a notice of service termination under section 245D.10, subdivision
97.32
3a, by a licensed provider of any residential supports or services listed in section 245D.03,
97.33
subdivision 1, paragraphs (b) and (c), that is not otherwise subject to appeal under subdivision
97.34
4a;
97
Article 3 Sec. 7.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
98.1
(13) an individual disability waiver recipient based on a denial of a request for a rate
98.2
exception under section 256B.4914; or
98.3
(14) a person issued a notice of service termination under section 245A.11, subdivision
98.4
11, that is not otherwise subject to appeal under subdivision 4a.; or
98.5
(15) a recovery community organization seeking medical assistance vendor eligibility
98.6
under section 254B.01, subdivision 8, that is aggrieved by a membership or accreditation
98.7
determination and that believes the organization meets the requirements under section
98.8
254B.05, subdivision 1, paragraph (d), clauses (1) to (10). The scope of the review by the
98.9
human services judge shall be limited to whether the organization meets each of the
98.10
requirements under section 254B.05, subdivision 1, paragraph (d), clauses (1) to (10).
98.11
(b) The hearing for an individual or facility under paragraph (a), clause (4), (9), or (10),
98.12
is the only administrative appeal to the final agency determination specifically, including
98.13
a challenge to the accuracy and completeness of data under section 13.04. Hearings requested
98.14
under paragraph (a), clause (4), apply only to incidents of maltreatment that occur on or
98.15
after October 1, 1995. Hearings requested by nursing assistants in nursing homes alleged
98.16
to have maltreated a resident prior to October 1, 1995, shall be held as a contested case
98.17
proceeding under the provisions of chapter 14. Hearings requested under paragraph (a),
98.18
clause (9), apply only to incidents of maltreatment that occur on or after July 1, 1997. A
98.19
hearing for an individual or facility under paragraph (a), clauses (4), (9), and (10), is only
98.20
available when there is no district court action pending. If such action is filed in district
98.21
court while an administrative review is pending that arises out of some or all of the events
98.22
or circumstances on which the appeal is based, the administrative review must be suspended
98.23
until the judicial actions are completed. If the district court proceedings are completed,
98.24
dismissed, or overturned, the matter may be considered in an administrative hearing.
98.25
(c) For purposes of this section, bargaining unit grievance procedures are not an
98.26
administrative appeal.
98.27
(d) The scope of hearings involving claims to foster care payments under paragraph (a),
98.28
clause (5), shall be limited to the issue of whether the county is legally responsible for a
98.29
child's placement under court order or voluntary placement agreement and, if so, the correct
98.30
amount of foster care payment to be made on the child's behalf and shall not include review
98.31
of the propriety of the county's child protection determination or child placement decision.
98.32
(e) The scope of hearings under paragraph (a), clauses (12) and (14), shall be limited to
98.33
whether the proposed termination of services is authorized under section 245D.10,
98.34
subdivision 3a, paragraph (b), or 245A.11, subdivision 11, and whether the requirements
98
Article 3 Sec. 7.
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H1403-3
HF1403 THIRD ENGROSSMENT
99.1
of section 245D.10, subdivision 3a, paragraphs (c) to (e), or 245A.11, subdivision 2a,
99.2
paragraphs (d) to (f), were met. If the appeal includes a request for a temporary stay of
99.3
termination of services, the scope of the hearing shall also include whether the case
99.4
management provider has finalized arrangements for a residential facility, a program, or
99.5
services that will meet the assessed needs of the recipient by the effective date of the service
99.6
termination.
99.7
(f) A vendor of medical care as defined in section 256B.02, subdivision 7, or a vendor
99.8
under contract with a county agency to provide social services is not a party and may not
99.9
request a hearing under this section, except if assisting a recipient as provided in subdivision
99.10
4.
99.11
(g) An applicant or recipient is not entitled to receive social services beyond the services
99.12
prescribed under chapter 256M or other social services the person is eligible for under state
99.13
law.
99.14
(h) The commissioner may summarily affirm the county or state agency's proposed
99.15
action without a hearing when the sole issue is an automatic change due to a change in state
99.16
or federal law.
99.17
(i) Unless federal or Minnesota law specifies a different time frame in which to file an
99.18
appeal, an individual or organization specified in this section may contest the specified
99.19
action, decision, or final disposition before the state agency by submitting a written request
99.20
for a hearing to the state agency within 30 days after receiving written notice of the action,
99.21
decision, or final disposition, or within 90 days of such written notice if the applicant,
99.22
recipient, patient, or relative shows good cause, as defined in section 256.0451, subdivision
99.23
13, why the request was not submitted within the 30-day time limit. The individual filing
99.24
the appeal has the burden of proving good cause by a preponderance of the evidence.
99.25
Sec. 8. Minnesota Statutes 2022, section 256B.0615, subdivision 1, is amended to read:
99.26
Subdivision 1. Scope. Medical assistance covers mental health certified peer specialist
99.27
services, as established in subdivision 2, subject to federal approval, if provided to recipients
99.28
who are eligible for services under sections 256B.0622, 256B.0623, and 256B.0624 and
99.29
are provided by a mental health certified peer specialist who has completed the training
99.30
under subdivision 5 and is qualified according to section 245I.04, subdivision 10.
99
Article 3 Sec. 8.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
100.1
Sec. 9. Minnesota Statutes 2022, section 256B.0615, subdivision 5, is amended to read:
100.2
Subd. 5. Certified peer specialist training and certification. The commissioner of
100.3
human services shall develop a training and certification process for certified peer specialists.
100.4
The candidates must have had a primary diagnosis of mental illness, be a current or former
100.5
consumer of mental health services, and must demonstrate leadership and advocacy skills
100.6
and a strong dedication to recovery. The training curriculum must teach participating
100.7
consumers specific skills relevant to providing peer support to other consumers. In addition
100.8
to initial training and certification, the commissioner shall develop ongoing continuing
100.9
educational workshops on pertinent issues related to peer support counseling. A certified
100.10
peer specialist is qualified as a mental health certified peer specialist, as defined in section
100.11
245I.04.
100.12
ARTICLE 4
100.13
MISCELLANEOUS
100.14
Section 1. Minnesota Statutes 2022, section 3.757, subdivision 1, is amended to read:
100.15
Subdivision 1. Definitions. (a) For purposes of this section, the following terms have
100.16
the meanings given.
100.17
(b) "Municipality" has the meaning provided in section 466.01, subdivision 1.
100.18
(c) "Opioid litigation" means any civil litigation, demand, or settlement in lieu of litigation
100.19
alleging unlawful conduct related to the marketing, sale, or distribution of opioids in this
100.20
state or other alleged illegal actions that contributed to the excessive use of opioids.
100.21
(d) "Released claim" means any cause of action or other claim that has been released in
100.22
a statewide opioid settlement agreement, including matters identified as a released claim as
100.23
that term or a comparable term is defined in a statewide opioid settlement agreement.
100.24
(e) "Settling defendant" means Johnson & Johnson, AmerisourceBergen Corporation,
100.25
Cardinal Health, Inc., and McKesson Corporation, Teva Pharmaceuticals, Allergan plc,
100.26
CVS Health Corporation, Walgreens Boots Alliance, Inc., and Walmart, Inc., as well as
100.27
related subsidiaries, affiliates, officers, directors, and other related entities specifically named
100.28
as a released entity in a statewide opioid settlement agreement.
100.29
(f) "Statewide opioid settlement agreement" means an agreement, including consent
100.30
judgments, assurances of discontinuance, and related agreements or documents, between
100.31
the attorney general, on behalf of the state, and a settling defendant, to provide or allocate
100
Article 4 Section 1.
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HF1403 THIRD ENGROSSMENT
101.1
remuneration for conduct related to the marketing, sale, or distribution of opioids in this
101.2
state or other alleged illegal actions that contributed to the excessive use of opioids.
101.3
Sec. 2. Minnesota Statutes 2022, section 245.50, subdivision 5, is amended to read:
101.4
Subd. 5. Special contracts; bordering states. (a) An individual who is detained,
101.5
committed, or placed on an involuntary basis under chapter 253B may be confined or treated
101.6
in a bordering state pursuant to a contract under this section. An individual who is detained,
101.7
committed, or placed on an involuntary basis under the civil law of a bordering state may
101.8
be confined or treated in Minnesota pursuant to a contract under this section. A peace or
101.9
health officer who is acting under the authority of the sending state may transport an
101.10
individual to a receiving agency that provides services pursuant to a contract under this
101.11
section and may transport the individual back to the sending state under the laws of the
101.12
sending state. Court orders valid under the law of the sending state are granted recognition
101.13
and reciprocity in the receiving state for individuals covered by a contract under this section
101.14
to the extent that the court orders relate to confinement for treatment or care of mental
101.15
illness, chemical dependency, or detoxification. Such treatment or care may address other
101.16
conditions that may be co-occurring with the mental illness or chemical dependency. These
101.17
court orders are not subject to legal challenge in the courts of the receiving state. Individuals
101.18
who are detained, committed, or placed under the law of a sending state and who are
101.19
transferred to a receiving state under this section continue to be in the legal custody of the
101.20
authority responsible for them under the law of the sending state. Except in emergencies,
101.21
those individuals may not be transferred, removed, or furloughed from a receiving agency
101.22
without the specific approval of the authority responsible for them under the law of the
101.23
sending state.
101.24
(b) While in the receiving state pursuant to a contract under this section, an individual
101.25
shall be subject to the sending state's laws and rules relating to length of confinement,
101.26
reexaminations, and extensions of confinement. No individual may be sent to another state
101.27
pursuant to a contract under this section until the receiving state has enacted a law recognizing
101.28
the validity and applicability of this section.
101.29
(c) If an individual receiving services pursuant to a contract under this section leaves
101.30
the receiving agency without permission and the individual is subject to involuntary
101.31
confinement under the law of the sending state, the receiving agency shall use all reasonable
101.32
means to return the individual to the receiving agency. The receiving agency shall
101.33
immediately report the absence to the sending agency. The receiving state has the primary
101.34
responsibility for, and the authority to direct, the return of these individuals within its borders
101
Article 4 Sec. 2.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
102.1
and is liable for the cost of the action to the extent that it would be liable for costs of its
102.2
own resident.
102.3
(d) Responsibility for payment for the cost of care remains with the sending agency.
102.4
(e) This subdivision also applies to county contracts under subdivision 2 which include
102.5
emergency care and treatment provided to a county resident in a bordering state.
102.6
(f) If a Minnesota resident is admitted to a facility in a bordering state under this chapter,
102.7
a physician, a licensed psychologist who has a doctoral degree in psychology, or an advanced
102.8
practice registered nurse certified in mental health, an individual who is licensed in the
102.9
bordering state, may act as a court examiner under sections 253B.07, 253B.08, 253B.092,
102.10
253B.12, and 253B.17 subject to the same requirements and limitations in section 253B.02,
102.11
subdivision 7 4d. An examiner under section 253B.02, subdivision 7, may initiate an
102.12
emergency hold under section 253B.051 on a Minnesota resident who is in a hospital that
102.13
is under contract with a Minnesota governmental entity under this section provided the
102.14
resident, in the opinion of the examiner, meets the criteria in section 253B.051.
102.15
(g) This section shall apply to detoxification services that are unrelated to treatment
102.16
whether the services are provided on a voluntary or involuntary basis.
102.17
Sec. 3. Laws 2021, First Special Session chapter 7, article 2, section 17, the effective date,
102.18
is amended to read:
102.19
EFFECTIVE DATE. This section is effective July 1, 2021, except subdivision 6,
102.20
paragraph (b), is effective upon federal approval and subdivision 15 is effective the day
102.21
following final enactment. The commissioner of human services shall notify the revisor of
102.22
statutes when federal approval is obtained.
102.23
Sec. 4. Laws 2021, First Special Session chapter 7, article 6, section 12, the effective date,
102.24
is amended to read:
102.25
EFFECTIVE DATE. This section is effective July 1, 2021, or upon federal approval,
102.26
whichever is later. The commissioner of human services shall notify the revisor of statutes
102.27
when federal approval is obtained.
102
Article 4 Sec. 4.
REVISOR
DTT
H1403-3
HF1403 THIRD ENGROSSMENT
103.1
Sec. 5. Laws 2021, First Special Session chapter 7, article 11, section 18, the effective
103.2
date, is amended to read:
103.3
EFFECTIVE DATE. This section is effective July 1, 2021, or upon federal approval,
103.4
whichever is later, except paragraph (f) is effective the day following final enactment. The
103.5
commissioner shall notify the revisor of statutes when federal approval is obtained.
103.6
Sec. 6. Laws 2021, First Special Session chapter 7, article 13, section 43, the effective
103.7
date, is amended to read:
103.8
EFFECTIVE DATE. This section is effective January 1, 2022, or upon federal approval,
103.9
whichever is later, except the fifth sentence in paragraph (d) is effective January 1, 2022.
103.10
The commissioner of human services shall notify the revisor of statutes when federal approval
103.11
is obtained.
103.12
Sec. 7. Laws 2022, chapter 98, article 4, section 37, the effective date, is amended to read:
103.13
EFFECTIVE DATE. This section is effective July 1, 2022, or upon federal approval,
103.14
whichever is later. The commissioner of human services shall notify the revisor of statutes
103.15
when federal approval is obtained.
103
Article 4 Sec. 7.
REVISOR
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H1403-3
HF1403 THIRD ENGROSSMENT
169A.70 ALCOHOL SAFETY PROGRAMS; CHEMICAL USE ASSESSMENTS.
Subd. 6. Method of assessment. (a) As used in this subdivision, "collateral contact" means an
oral or written communication initiated by an assessor for the purpose of gathering information
from an individual or agency, other than the offender, to verify or supplement information provided
by the offender during an assessment under this section. The term includes contacts with family
members and criminal justice agencies.
(b) An assessment conducted under this section must include at least one personal interview
with the offender designed to make a determination about the extent of the offender's past and
present chemical and alcohol use or abuse. It must also include collateral contacts and a review of
relevant records or reports regarding the offender including, but not limited to, police reports, arrest
reports, driving records, chemical testing records, and test refusal records. If the offender has a
probation officer, the officer must be the subject of a collateral contact under this subdivision. If
an assessor is unable to make collateral contacts, the assessor shall specify why collateral contacts
were not made.
245G.05 COMPREHENSIVE ASSESSMENT AND ASSESSMENT SUMMARY.
Subd. 2. Assessment summary. (a) An alcohol and drug counselor must complete an assessment
summary within three calendar days from the day of service initiation for a residential program and
within three calendar days on which a treatment session has been provided from the day of service
initiation for a client in a nonresidential program. The comprehensive assessment summary is
complete upon a qualified staff member's dated signature. If the comprehensive assessment is used
to authorize the treatment service, the alcohol and drug counselor must prepare an assessment
summary on the same date the comprehensive assessment is completed. If the comprehensive
assessment and assessment summary are to authorize treatment services, the assessor must determine
appropriate services for the client using the dimensions in Minnesota Rules, part 9530.6622, and
document the recommendations.
(b) An assessment summary must include:
(1) a risk description according to section 245G.05 for each dimension listed in paragraph (c);
(2) a narrative summary supporting the risk descriptions; and
(3) a determination of whether the client has a substance use disorder.
(c) An assessment summary must contain information relevant to treatment service planning
and recorded in the dimensions in clauses (1) to (6). The license holder must consider:
(1) Dimension 1, acute intoxication/withdrawal potential; the client's ability to cope with
withdrawal symptoms and current state of intoxication;
(2) Dimension 2, biomedical conditions and complications; the degree to which any physical
disorder of the client would interfere with treatment for substance use, and the client's ability to
tolerate any related discomfort. The license holder must determine the impact of continued substance
use on the unborn child, if the client is pregnant;
(3) Dimension 3, emotional, behavioral, and cognitive conditions and complications; the degree
to which any condition or complication is likely to interfere with treatment for substance use or
with functioning in significant life areas and the likelihood of harm to self or others;
(4) Dimension 4, readiness for change; the support necessary to keep the client involved in
treatment service;
(5) Dimension 5, relapse, continued use, and continued problem potential; the degree to which
the client recognizes relapse issues and has the skills to prevent relapse of either substance use or
mental health problems; and
(6) Dimension 6, recovery environment; whether the areas of the client's life are supportive of
or antagonistic to treatment participation and recovery.
245G.06 INDIVIDUAL TREATMENT PLAN.
Subd. 2. Plan contents. An individual treatment plan must be recorded in the six dimensions
listed in section 245G.05, subdivision 2, paragraph (c), must address each issue identified in the
assessment summary, prioritized according to the client's needs and focus, and must include:
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APPENDIX
Repealed Minnesota Statutes: H1403-3
(1) specific goals and methods to address each identified need in the comprehensive assessment
summary, including amount, frequency, and anticipated duration of treatment service. The methods
must be appropriate to the client's language, reading skills, cultural background, and strengths;
(2) resources to refer the client to when the client's needs are to be addressed concurrently by
another provider; and
(3) goals the client must reach to complete treatment and terminate services.
245G.22 OPIOID TREATMENT PROGRAMS.
Subd. 19. Placing authorities. A program must provide certain notification and client-specific
updates to placing authorities for a client who is enrolled in Minnesota health care programs. At
the request of the placing authority, the program must provide client-specific updates, including
but not limited to informing the placing authority of positive drug testings and changes in medications
used for the treatment of opioid use disorder ordered for the client.
254A.02 DEFINITIONS.
Subd. 8a. Placing authority. "Placing authority" means a county, prepaid health plan, or tribal
governing board governed by Minnesota Rules, parts 9530.6600 to 9530.6655.
254A.16 RESPONSIBILITIES OF THE COMMISSIONER.
Subd. 6. Monitoring. The commissioner shall gather and placing authorities shall provide
information to measure compliance with Minnesota Rules, parts 9530.6600 to 9530.6655. The
commissioner shall specify the format for data collection to facilitate tracking, aggregating, and
using the information.
254A.19 CHEMICAL USE ASSESSMENTS.
Subd. 1a. Emergency room patients. A county may enter into a contract with a hospital to
provide chemical use assessments under Minnesota Rules, parts 9530.6600 to 9530.6655, for patients
admitted to an emergency room or inpatient hospital when:
(1) an assessor is not available; and
(2) detoxification services in the county are at full capacity.
Subd. 2. Probation officer as contact. When a chemical use assessment is required under
Minnesota Rules, parts 9530.6600 to 9530.6655, for a person who is on probation or under other
correctional supervision, the assessor, either orally or in writing, shall contact the person's probation
officer to verify or supplement the information provided by the person.
Subd. 5. Assessment via telehealth. Notwithstanding Minnesota Rules, part 9530.6615, subpart
3, item A, a chemical use assessment may be conducted via telehealth as defined in section
256B.0625, subdivision 3b.
254B.04 ELIGIBILITY FOR BEHAVIORAL HEALTH FUND SERVICES.
Subd. 2b. Eligibility for placement in opioid treatment programs. Prior to placement of an
individual who is determined by the assessor to require treatment for opioid addiction, the assessor
must provide educational information concerning treatment options for opioid addiction, including
the use of a medication for the use of opioid addiction. The commissioner shall develop educational
materials supported by research and updated periodically that must be used by assessors to comply
with this requirement.
Subd. 2c. Eligibility to receive peer recovery support and treatment service
coordination. Notwithstanding Minnesota Rules, part 9530.6620, subpart 6, a placing authority
may authorize peer recovery support and treatment service coordination for a person who scores a
severity of one or more in dimension 4, 5, or 6, under Minnesota Rules, part 9530.6622. Authorization
for peer recovery support and treatment service coordination under this subdivision does not need
to be provided in conjunction with treatment services under Minnesota Rules, part 9530.6622,
subpart 4, 5, or 6.
254B.041 SUBSTANCE USE DISORDER RULES.
Subd. 2. Vendor collections; rule amendment. The commissioner may amend Minnesota
Rules, parts 9530.7000 to 9530.7025, to require a vendor of substance use disorder transitional and
extended care rehabilitation services to collect the cost of care received under a program from an
eligible person who has been determined to be partially responsible for treatment costs, and to remit
2R
APPENDIX
Repealed Minnesota Statutes: H1403-3
the collections to the commissioner. The commissioner shall pay to a vendor, for the collections,
an amount equal to five percent of the collections remitted to the commissioner by the vendor.
254B.13 PILOT PROJECTS; CHEMICAL HEALTH CARE.
Subdivision 1. Authorization for navigator pilot projects. The commissioner may approve
and implement navigator pilot projects developed under the planning process required under Laws
2009, chapter 79, article 7, section 26, to provide alternatives to and enhance coordination of the
delivery of chemical health services required under section 254B.03.
Subd. 2. Program design and implementation. (a) The commissioner and counties participating
in the navigator pilot projects shall continue to work in partnership to refine and implement the
navigator pilot projects initiated under Laws 2009, chapter 79, article 7, section 26.
(b) The commissioner and counties participating in the navigator pilot projects shall complete
the planning phase and, if approved by the commissioner for implementation, enter into agreements
governing the operation of the navigator pilot projects.
Subd. 2a. Eligibility for navigator pilot program. (a) To be considered for participation in a
navigator pilot program, an individual must:
(1) be a resident of a county with an approved navigator program;
(2) be eligible for behavioral health fund services;
(3) be a voluntary participant in the navigator program;
(4) satisfy one of the following items:
(i) have at least one severity rating of three or above in dimension four, five, or six in a
comprehensive assessment under section 245G.05, subdivision 2, paragraph (c), clauses (4) to (6);
or
(ii) have at least one severity rating of two or above in dimension four, five, or six in a
comprehensive assessment under section 245G.05, subdivision 2, paragraph (c), clauses (4) to (6),
and be currently participating in a Rule 31 treatment program under chapter 245G or be within 60
days following discharge after participation in a Rule 31 treatment program; and
(5) have had at least two treatment episodes in the past two years, not limited to episodes
reimbursed by the behavioral health fund. An admission to an emergency room, a detoxification
program, or a hospital may be substituted for one treatment episode if it resulted from the individual's
substance use disorder.
(b) New eligibility criteria may be added as mutually agreed upon by the commissioner and
participating navigator programs.
Subd. 4. Notice of navigator pilot project discontinuation. Each county's participation in the
navigator pilot project may be discontinued for any reason by the county or the commissioner of
human services after 30 days' written notice to the other party.
Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this chapter, the
commissioner may authorize navigator pilot projects to use the behavioral health fund to pay for
nontreatment navigator pilot services:
(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph (a); and
(2) by vendors in addition to those authorized under section 254B.05 when not providing
substance use disorder treatment services.
(b) For purposes of this section, "nontreatment navigator pilot services" include navigator
services, peer support, family engagement and support, housing support, rent subsidies, supported
employment, and independent living skills.
(c) State expenditures for substance use disorder services and nontreatment navigator pilot
services provided by or through the navigator pilot projects must not be greater than the behavioral
health fund expected share of forecasted expenditures in the absence of the navigator pilot projects.
The commissioner may restructure the schedule of payments between the state and participating
counties under the local agency share and division of cost provisions under section 254B.03,
subdivisions 3 and 4, as necessary to facilitate the operation of the navigator pilot projects.
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(d) The commissioner may waive administrative rule requirements that are incompatible with
the implementation of the navigator pilot project, except that any substance use disorder treatment
funded under this section must continue to be provided by a licensed treatment provider.
(e) The commissioner shall not approve or enter into any agreement related to navigator pilot
projects authorized under this section that puts current or future federal funding at risk.
(f) The commissioner shall provide participating navigator pilot projects with transactional data,
reports, provider data, and other data generated by county activity to assess and measure outcomes.
This information must be transmitted or made available in an acceptable form to participating
navigator pilot projects at least once every six months or within a reasonable time following the
commissioner's receipt of information from the counties needed to comply with this paragraph.
Subd. 6. Duties of county board. The county board, or other county entity that is approved to
administer a navigator pilot project, shall:
(1) administer the navigator pilot project in a manner consistent with the objectives described
in subdivision 2 and the planning process in subdivision 5;
(2) ensure that no one is denied substance use disorder treatment services for which they would
otherwise be eligible under section 254A.03, subdivision 3; and
(3) provide the commissioner with timely and pertinent information as negotiated in agreements
governing operation of the navigator pilot projects.
Subd. 7. Managed care. An individual who is eligible for the navigator pilot program under
subdivision 2a is excluded from mandatory enrollment in managed care until these services are
included in the health plan's benefit set.
Subd. 8. Authorization for continuation of navigator pilots. The navigator pilot projects
implemented pursuant to subdivision 1 are authorized to continue operation after July 1, 2013,
under existing agreements governing operation of the pilot projects.
254B.16 PILOT PROJECTS; TREATMENT FOR PREGNANT AND POSTPARTUM
WOMEN WITH SUBSTANCE USE DISORDER.
Subdivision 1. Pilot projects established. (a) Within the limits of federal funds available
specifically for this purpose, the commissioner of human services shall establish pilot projects to
provide substance use disorder treatment and services to pregnant and postpartum women with a
primary diagnosis of substance use disorder, including opioid use disorder. Pilot projects funded
under this section must:
(1) promote flexible uses of funds to provide treatment and services to pregnant and postpartum
women with substance use disorders;
(2) fund family-based treatment and services for pregnant and postpartum women with substance
use disorders;
(3) identify gaps in services along the continuum of care that are provided to pregnant and
postpartum women with substance use disorders; and
(4) encourage new approaches to service delivery and service delivery models.
(b) A pilot project funded under this section must provide at least a portion of its treatment and
services to women who receive services on an outpatient basis.
Subd. 2. Federal funds. The commissioner shall apply for any available grant funds from the
federal Center for Substance Abuse Treatment for these pilot projects.
256.041 CULTURAL AND ETHNIC COMMUNITIES LEADERSHIP COUNCIL.
Subd. 10. Expiration. The council expires on June 30, 2025.
256B.49 HOME AND COMMUNITY-BASED SERVICE WAIVERS FOR PERSONS
WITH DISABILITIES.
Subd. 23. Community-living settings. (a) For the purposes of this chapter, "community-living
settings" means a single-family home or multifamily dwelling unit where a service recipient or a
service recipient's family owns or rents, and maintains control over the individual unit as
demonstrated by a lease agreement. Community-living settings does not include a home or dwelling
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unit that the service provider owns, operates, or leases or in which the service provider has a direct
or indirect financial interest.
(b) To ensure a service recipient or the service recipient's family maintains control over the
home or dwelling unit, community-living settings are subject to the following requirements:
(1) service recipients must not be required to receive services or share services;
(2) service recipients must not be required to have a disability or specific diagnosis to live in
the community-living setting;
(3) service recipients may hire service providers of their choice;
(4) service recipients may choose whether to share their household and with whom;
(5) the home or multifamily dwelling unit must include living, sleeping, bathing, and cooking
areas;
(6) service recipients must have lockable access and egress;
(7) service recipients must be free to receive visitors and leave the settings at times and for
durations of their own choosing;
(8) leases must comply with chapter 504B;
(9) landlords must not charge different rents to tenants who are receiving home and
community-based services; and
(10) access to the greater community must be easily facilitated based on the service recipient's
needs and preferences.
(c) Nothing in this section prohibits a service recipient from having another person or entity
not affiliated with the service provider cosign a lease. Nothing in this section prohibits a service
recipient, during any period in which a service provider has cosigned the service recipient's lease,
from modifying services with an existing cosigning service provider and, subject to the approval
of the landlord, maintaining a lease cosigned by the service provider. Nothing in this section prohibits
a service recipient, during any period in which a service provider has cosigned the service recipient's
lease, from terminating services with the cosigning service provider, receiving services from a new
service provider, and, subject to the approval of the landlord, maintaining a lease cosigned by the
new service provider.
(d) A lease cosigned by a service provider meets the requirements of paragraph (a) if the service
recipient and service provider develop and implement a transition plan which must provide that,
within two years of cosigning the initial lease, the service provider shall transfer the lease to the
service recipient and other cosigners, if any.
(e) In the event the landlord has not approved the transfer of the lease within two years of the
service provider cosigning the initial lease, the service provider must submit a time-limited extension
request to the commissioner of human services to continue the cosigned lease arrangement. The
extension request must include:
(1) the reason the landlord denied the transfer;
(2) the plan to overcome the denial to transfer the lease;
(3) the length of time needed to successfully transfer the lease, not to exceed an additional two
years;
(4) a description of how the transition plan was followed, what occurred that led to the landlord
denying the transfer, and what changes in circumstances or condition, if any, the service recipient
experienced; and
(5) a revised transition plan to transfer the cosigned lease between the service provider and the
service recipient to the service recipient.
The commissioner must approve an extension within sufficient time to ensure the continued
occupancy by the service recipient.
260.835 AMERICAN INDIAN CHILD WELFARE ADVISORY COUNCIL.
Subd. 2. Expiration. The American Indian Child Welfare Advisory Council expires June 30,
2023.
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9530.7000 DEFINITIONS.
Subpart 1. Scope. For the purposes of parts 9530.7000 to 9530.7030, the following
terms have the meanings given them.
Subp. 2. Chemical. "Chemical" means alcohol, solvents, and other mood altering
substances, including controlled substances as defined in Minnesota Statutes, chapter 152.
Subp. 5. Chemical dependency treatment services. "Chemical dependency treatment
services" means services provided by chemical dependency treatment programs licensed
according to Minnesota Statutes, chapter 245G, or certified according to parts 2960.0450
to 2960.0490.
Subp. 6. Client. "Client" means an individual who has requested chemical abuse or
dependency services, or for whom chemical abuse or dependency services have been
requested, from a local agency.
Subp. 7. Commissioner. "Commissioner" means the commissioner of the Minnesota
Department of Human Services or the commissioner's designated representative.
Subp. 8. Behavioral health fund. "Behavioral health fund" means money appropriated
for payment of chemical dependency treatment services under Minnesota Statutes, chapter
254B.
Subp. 9. Copayment. "Copayment" means the amount an insured person is obligated
to pay before the person's third-party payment source is obligated to make a payment, or
the amount an insured person is obligated to pay in addition to the amount the person's
third-party payment source is obligated to pay.
Subp. 10. Drug and Alcohol Abuse Normative Evaluation System or
DAANES. "Drug and Alcohol Abuse Normative Evaluation System" or "DAANES" means
the client information system operated by the department's Chemical Dependency Program
Division.
Subp. 11. Department. "Department" means the Minnesota Department of Human
Services.
Subp. 13. Income. "Income" means the total amount of cash received by an individual
from the following sources:
A. cash payments for wages or salaries;
B. cash receipts from nonfarm or farm self-employment, minus deductions allowed
by the federal Internal Revenue Service for business or farm expenses;
C. regular cash payments from social security, railroad retirement, unemployment
compensation, workers' union funds, veterans' benefits, the Minnesota family investment
program, Supplemental Security Income, General Assistance, training stipends, alimony,
child support, and military family allotments;
D. cash payments from private pensions, government employee pensions, and
regular insurance or annuity payments;
E. cash payments for dividends, interest, rents, or royalties; and
F. periodic cash receipts from estates or trusts.
Income does not include capital gains; any cash assets drawn down as withdrawals
from a bank, the sale of property, a house, or a car; tax refunds, gifts, lump sum inheritances,
one time insurance payments, or compensation for injury; court-ordered child support or
health insurance premium payments made by the client or responsible relative; and noncash
benefits such as health insurance, food or rent received in lieu of wages, and noncash benefits
from programs such as Medicare, Medical Assistance, the Supplemental Nutrition Assistance
Program, school lunches, and housing assistance. Annual income is the amount reported
and verified by an individual as current income calculated prospectively to cover one year.
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Subp. 14. Local agency. "Local agency" means the county or multicounty agency
authorized under Minnesota Statutes, sections 254B.01, subdivision 5, and 254B.03,
subdivision 1, to make placements under the behavioral health fund.
Subp. 15. Minor child. "Minor child" means an individual under the age of 18 years.
Subp. 17a. Policyholder. "Policyholder" means a person who has a third-party payment
policy under which a third-party payment source has an obligation to pay all or part of a
client's treatment costs.
Subp. 19. Responsible relative. "Responsible relative" means a person who is a
member of the client's household and is a client's spouse or the parent of a minor child who
is a client.
Subp. 20. Third-party payment source. "Third-party payment source" means a
person, entity, or public or private agency other than medical assistance or general assistance
medical care that has a probable obligation to pay all or part of the costs of a client's chemical
dependency treatment.
Subp. 21. Vendor. "Vendor" means a licensed provider of chemical dependency
treatment services that meets the criteria established in Minnesota Statutes, section 254B.05,
and that has applied according to part 9505.0195 to participate as a provider in the medical
assistance program.
9530.7005 SCOPE AND APPLICABILITY.
Parts 9530.7000 to 9530.7030 govern the administration of the behavioral health fund,
establish the criteria to be applied by local agencies to determine a client's eligibility under
the behavioral health fund, and establish a client's obligation to pay for chemical dependency
treatment services.
These parts must be read in conjunction with Minnesota Statutes, chapter 254B, and
parts 9530.6600 to 9530.6655.
9530.7010 COUNTY RESPONSIBILITY TO PROVIDE SERVICES.
The local agency shall provide chemical dependency treatment services to eligible
clients who have been assessed and placed by the county according to parts 9530.6600 to
9530.6655 and Minnesota Statutes, chapter 256G.
9530.7012 VENDOR AGREEMENTS.
When a local agency enters into an agreement with a vendor of chemical dependency
treatment services, the agreement must distinguish client per unit room and board costs from
per unit chemical dependency treatment services costs.
For purposes of this part, "chemical dependency treatment services costs" are costs,
including related administrative costs, of services that meet the criteria in items A to C:
A. The services are provided within a program licensed according to Minnesota
Statutes, chapter 245G, or certified according to parts 2960.0430 to 2960.0490.
B. The services meet the definition of chemical dependency services in Minnesota
Statutes, section 254B.01, subdivision 3.
C. The services meet the applicable service standards for licensed chemical
dependency treatment programs in item A, but are not under the jurisdiction of the
commissioner.
This part also applies to vendors of room and board services that are provided
concurrently with chemical dependency treatment services according to Minnesota Statutes,
sections 254B.03, subdivision 2, and 254B.05, subdivision 1.
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This part does not apply when a county contracts for chemical dependency services in
an acute care inpatient hospital licensed by the Department of Health under chapter 4640.
9530.7015 CLIENT ELIGIBILITY; BEHAVIORAL HEALTH FUND.
Subpart 1. Client eligibility to have treatment totally paid under the behavioral
health fund. A client who meets the criteria established in item A, B, C, or D shall be
eligible to have chemical dependency treatment paid for totally with funds from the
behavioral health fund.
A. The client is eligible for MFIP as determined under Minnesota Statutes, chapter
256J.
B. The client is eligible for medical assistance as determined under parts 9505.0010
to 9505.0140.
C. The client is eligible for general assistance, general assistance medical care,
or work readiness as determined under parts 9500.1200 to 9500.1272.
D. The client's income is within current household size and income guidelines for
entitled persons, as defined in Minnesota Statutes, section 254B.04, subdivision 1, and as
determined by the local agency under part 9530.7020, subpart 1.
Subp. 2a. Third-party payment source and client eligibility for the behavioral
health fund. Clients who meet the financial eligibility requirement in subpart 1 and who
have a third-party payment source are eligible for the behavioral health fund if the third
party payment source pays less than 100 percent of the treatment services determined
according to parts 9530.6600 to 9530.6655.
Subp. 4. Client ineligible to have treatment paid for from the behavioral health
fund. A client who meets the criteria in item A or B shall be ineligible to have chemical
dependency treatment services paid for with behavioral health funds.
A. The client has an income that exceeds current household size and income
guidelines for entitled persons as defined in Minnesota Statutes, section 254B.04, subdivision
1, and as determined by the local agency under part 9530.7020, subpart 1.
B. The client has an available third-party payment source that will pay the total
cost of the client's treatment.
Subp. 5. Eligibility of clients disenrolled from prepaid health plans. A client who
is disenrolled from a state prepaid health plan during a treatment episode is eligible for
continued treatment service that is paid for by the behavioral health fund, until the treatment
episode is completed or the client is re-enrolled in a state prepaid health plan if the client
meets the criteria in item A or B. The client must:
A. continue to be enrolled in MinnesotaCare, medical assistance, or general
assistance medical care; or
B. be eligible according to subparts 1 and 2a and be determined eligible by a local
agency under part 9530.7020.
Subp. 6. County responsibility. When a county commits a client under Minnesota
Statutes, chapter 253B, to a regional treatment center for chemical dependency treatment
services and the client is ineligible for the behavioral health fund, the county is responsible
for the payment to the regional treatment center according to Minnesota Statutes, section
254B.05, subdivision 4.
9530.7020 LOCAL AGENCY TO DETERMINE CLIENT ELIGIBILITY.
Subpart 1. Local agency duty to determine client eligibility. The local agency shall
determine a client's eligibility for the behavioral health fund at the time the client is assessed
under parts 9530.6600 to 9530.6655. Client eligibility must be determined using forms
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prescribed by the department. To determine a client's eligibility, the local agency must
determine the client's income, the size of the client's household, the availability of a
third-party payment source, and a responsible relative's ability to pay for the client's chemical
dependency treatment, as specified in items A to C.
A. The local agency must determine the client's income. A client who is a minor
child shall not be deemed to have income available to pay for chemical dependency treatment,
unless the minor child is responsible for payment under Minnesota Statutes, section 144.347,
for chemical dependency treatment services sought under Minnesota Statutes, section
144.343, subdivision 1.
B. The local agency must determine the client's household size according to
subitems (1), (2), and (3).
(1) If the client is a minor child, the household size includes the following
persons living in the same dwelling unit:
(a) the client;
(b) the client's birth or adoptive parents; and
(c) the client's siblings who are minors.
(2) If the client is an adult, the household size includes the following persons
living in the same dwelling unit:
(a) the client;
(b) the client's spouse;
(c) the client's minor children; and
(d) the client's spouse's minor children.
(3) For purposes of this item, household size includes a person listed in
subitems (1) and (2) who is in out-of-home placement if a person listed in subitem (1) or
(2) is contributing to the cost of care of the person in out-of-home placement.
C. The local agency must determine the client's current prepaid health plan
enrollment, the availability of a third-party payment source, including the availability of
total payment, partial payment, and amount of copayment.
D. The local agency must provide the required eligibility information to the
department in the manner specified by the department.
E. The local agency shall require the client and policyholder to conditionally
assign to the department the client and policyholder's rights and the rights of minor children
to benefits or services provided to the client if the department is required to collect from a
third-party pay source.
Subp. 1a. Redetermination of client eligibility. The local agency shall redetermine
a client's eligibility for CCDTF every six months after the initial eligibility determination,
if the client has continued to receive uninterrupted chemical dependency treatment services
for that six months. For purposes of this subpart, placement of a client into more than one
chemical dependency treatment program in less than ten working days, or placement of a
client into a residential chemical dependency treatment program followed by nonresidential
chemical dependency treatment services shall be treated as a single placement.
Subp. 2. Client, responsible relative, and policyholder obligation to cooperate. A
client, responsible relative, and policyholder shall provide income or wage verification,
household size verification, and shall make an assignment of third-party payment rights
under subpart 1, item C. If a client, responsible relative, or policyholder does not comply
with the provisions of this subpart, the client shall be deemed to be ineligible to have the
behavioral health fund pay for his or her chemical dependency treatment, and the client and
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responsible relative shall be obligated to pay for the full cost of chemical dependency
treatment services provided to the client.
9530.7021 PAYMENT AGREEMENTS.
When the local agency, the client, and the vendor agree that the vendor will accept
payment from a third-party payment source for an eligible client's treatment, the local agency,
the client, and the vendor shall enter into a third-party payment agreement. The agreement
must stipulate that the vendor will accept, as payment in full for services provided to the
client, the amount the third-party payor is obligated to pay for services provided to the client.
The agreement must be executed in a form prescribed by the commissioner and is not
effective unless an authorized representative of each of the three parties has signed it. The
local agency shall maintain a record of third-party payment agreements into which the local
agency has entered.
The vendor shall notify the local agency as soon as possible and not less than one
business day before discharging a client whose treatment is covered by a payment agreement
under this part if the discharge is caused by disruption of the third-party payment.
9530.7022 CLIENT FEES.
Subpart 1. Income and household size criteria. A client whose household income
is within current household size and income guidelines for entitled persons as defined in
Minnesota Statutes, section 254B.04, subdivision 1, shall pay no fee.
9530.7025 DENIAL OF PAYMENT.
Subpart 1. Denial of payment when required assessment not completed. The
department shall deny payments from the behavioral health fund to vendors for chemical
dependency treatment services provided to clients who have not been assessed and placed
by the county in accordance with parts 9530.6600 to 9530.6655.
Subp. 2. Denial of state participation in behavioral health fund payments when
client found not eligible. The department shall pay vendors from the behavioral health
fund for chemical dependency treatment services provided to clients and shall bill the county
for 100 percent of the costs of chemical dependency treatment services as follows:
A. The department shall bill the county for 100 percent of the costs of a client's
chemical dependency treatment services when the department determines that the client
was not placed in accordance with parts 9530.6600 to 9530.6655.
B. When a county's allocation under Minnesota Statutes, section 254B.02,
subdivisions 1 and 2, has been exhausted, and the county's maintenance of effort has been
met as required under Minnesota Statutes, section 254B.02, subdivision 3, and the local
agency has been notified by the department that the only clients who are eligible to have
their treatment paid for from the behavioral health fund are clients who are eligible under
part 9530.7015, subpart 1, the department shall bill the county for 100 percent of the costs
of a client's chemical dependency treatment services when the department determines that
the client was not eligible under part 9530.7015, subpart 1.
9530.7030 VENDOR MUST PARTICIPATE IN DAANES SYSTEM.
Subpart 1. Participation a condition of eligibility. To be eligible for payment under
the behavioral health fund, a vendor must participate in the Drug and Alcohol Normative
Evaluation System (DAANES) or submit to the commissioner the information required in
DAANES in the format specified by the commissioner.
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