Text of MN SF 4699 (2024)

Omnibus Health and Human Services supplemental appropriations and policy provisions

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1.1 A bill for an act​ 1.2 relating to health; correcting an appropriation to the commissioner of health;​ 1.3 amending Laws 2023, chapter 70, article 20, section 3, subdivision 2.​ 1.4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​ 1.5 Section 1. Laws 2023, chapter 70, article 20, section 3, subdivision 2, is amended to read:​ 1.6 Subd. 2. Health Improvement​ 1.7 Appropriations by Fund​ 210,030,000​ 229,600,000​ 1.8 General​ 12,682,000​ 12,392,000​ 1.9 State Government​ 1.10 Special Revenue​ 53,290,000​ 49,051,000​ 1.11 Health Care Access​ 11,713,000​ 11,713,000​ 1.12 Federal TANF​ 1.13 (a) Studies of telehealth expansion and​ 1.14 payment parity. $1,200,000 in fiscal year​ 1.15 2024 is from the general fund for studies of​ 1.16 telehealth expansion and payment parity. This​ 1.17 is a onetime appropriation and is available​ 1.18 until June 30, 2025.​ 1.19 (b) Advancing equity through capacity​ 1.20 building and resource allocation grant​ 1.21 program. $916,000 in fiscal year 2024 and​ 1.22 $916,000 in fiscal year 2025 are from the​ 1.23 general fund for grants under Minnesota​ 1​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ SENATE​ STATE OF MINNESOTA​ S.F. No. 4699​ NINETY-THIRD SESSION​ (SENATE AUTHORS: WIKLUND)​ OFFICIAL STATUS​ D-PG​ DATE​ Introduction and first reading​ 03/07/2024​ Referred to Health and Human Services​ 2.1 Statutes, section 144.9821. This is a onetime​ 2.2 appropriation.​ 2.3 (c) Grant to Minnesota Community Health​ 2.4 Worker Alliance. $971,000 in fiscal year​ 2.5 2024 and $971,000 in fiscal year 2025 are​ 2.6 from the general fund for Minnesota Statutes,​ 2.7 section 144.1462.​ 2.8 (d) Community solutions for healthy child​ 2.9 development grants. $2,730,000 in fiscal year​ 2.10 2024 and $2,730,000 in fiscal year 2025 are​ 2.11 from the general fund for grants under​ 2.12 Minnesota Statutes, section 145.9257. The​ 2.13 base for this appropriation is $2,415,000 in​ 2.14 fiscal year 2026 and $2,415,000 in fiscal year​ 2.15 2027.​ 2.16 (e) Comprehensive Overdose and Morbidity​ 2.17 Prevention Act. $9,794,000 in fiscal year​ 2.18 2024 and $10,458,000 in fiscal year 2025 are​ 2.19 from the general fund for comprehensive​ 2.20 overdose and morbidity prevention strategies​ 2.21 under Minnesota Statutes, section 144.0528.​ 2.22 The base for this appropriation is $10,476,000​ 2.23 in fiscal year 2026 and $10,476,000 in fiscal​ 2.24 year 2027.​ 2.25 (f) Emergency preparedness and response.​ 2.26 $10,486,000 in fiscal year 2024 and​ 2.27 $14,314,000 in fiscal year 2025 are from the​ 2.28 general fund for public health emergency​ 2.29 preparedness and response, the sustainability​ 2.30 of the strategic stockpile, and COVID-19​ 2.31 pandemic response transition. The base for​ 2.32 this appropriation is $11,438,000 in fiscal year​ 2.33 2026 and $11,362,000 in fiscal year 2027.​ 2​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 3.1 (g) Healthy Beginnings, Healthy Families.​ 3.2 (1) $8,440,000 in fiscal year 2024 and​ 3.3 $7,305,000 in fiscal year 2025 are from the​ 3.4 general fund for grants under Minnesota​ 3.5 Statutes, sections 145.9571 to 145.9576. The​ 3.6 base for this appropriation is $1,500,000 in​ 3.7 fiscal year 2026 and $1,500,000 in fiscal year​ 3.8 2027. (2) Of the amount in clause (1),​ 3.9 $400,000 in fiscal year 2024 is to support the​ 3.10 transition from implementation of activities​ 3.11 under Minnesota Statutes, section 145.4235,​ 3.12 to implementation of activities under​ 3.13 Minnesota Statutes, sections 145.9571 to​ 3.14 145.9576. The commissioner shall award four​ 3.15 sole-source grants of $100,000 each to Face​ 3.16 to Face, Cradle of Hope, Division of Indian​ 3.17 Work, and Minnesota Prison Doula Project.​ 3.18 The amount in this clause is a onetime​ 3.19 appropriation.​ 3.20 (h) Help Me Connect. $463,000 in fiscal year​ 3.21 2024 and $921,000 in fiscal year 2025 are​ 3.22 from the general fund for the Help Me​ 3.23 Connect program under Minnesota Statutes,​ 3.24 section 145.988.​ 3.25 (i) Home visiting. $2,000,000 in fiscal year​ 3.26 2024 and $2,000,000 in fiscal year 2025 are​ 3.27 from the general fund for home visiting under​ 3.28 Minnesota Statutes, section 145.87, to provide​ 3.29 home visiting to priority populations under​ 3.30 Minnesota Statutes, section 145.87,​ 3.31 subdivision 1, paragraph (e).​ 3.32 (j) No Surprises Act enforcement.​ 3.33 $1,210,000 in fiscal year 2024 and $1,090,000​ 3.34 in fiscal year 2025 are from the general fund​ 3.35 for implementation of the federal No Surprises​ 3​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 4.1 Act under Minnesota Statutes, section​ 4.2 62Q.021, and an assessment of the feasibility​ 4.3 of a statewide provider directory. The general​ 4.4 fund base for this appropriation is $855,000​ 4.5 in fiscal year 2026 and $855,000 in fiscal year​ 4.6 2027.​ 4.7 (k) Office of African American Health.​ 4.8 $1,000,000 in fiscal year 2024 and $1,000,000​ 4.9 in fiscal year 2025 are from the general fund​ 4.10 for grants under the authority of the Office of​ 4.11 African American Health under Minnesota​ 4.12 Statutes, section 144.0756.​ 4.13 (l) Office of American Indian Health.​ 4.14 $1,000,000 in fiscal year 2024 and $1,000,000​ 4.15 in fiscal year 2025 are from the general fund​ 4.16 for grants under the authority of the Office of​ 4.17 American Indian Health under Minnesota​ 4.18 Statutes, section 144.0757.​ 4.19 (m) Public health system transformation​ 4.20 grants. (1) $9,844,000 in fiscal year 2024 and​ 4.21 $9,844,000 in fiscal year 2025 are from the​ 4.22 general fund for grants under Minnesota​ 4.23 Statutes, section 145A.131, subdivision 1,​ 4.24 paragraph (f).​ 4.25 (2) $535,000 in fiscal year 2024 and $535,000​ 4.26 in fiscal year 2025 are from the general fund​ 4.27 for grants under Minnesota Statutes, section​ 4.28 145A.14, subdivision 2b.​ 4.29 (3) $321,000 in fiscal year 2024 and $321,000​ 4.30 in fiscal year 2025 are from the general fund​ 4.31 for grants under Minnesota Statutes, section​ 4.32 144.0759.​ 4.33 (n) Health care workforce. (1) $1,010,000​ 4.34 in fiscal year 2024 and $2,550,000 in fiscal​ 4​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 5.1 year 2025 are from the health care access fund​ 5.2 for rural training tracks and rural clinicals​ 5.3 grants under Minnesota Statutes, sections​ 5.4 144.1505 and 144.1507. The base for this​ 5.5 appropriation is $4,060,000 in fiscal year 2026​ 5.6 and $3,600,000 in fiscal year 2027.​ 5.7 (2) $420,000 in fiscal year 2024 and $420,000​ 5.8 in fiscal year 2025 are from the health care​ 5.9 access fund for immigrant international​ 5.10 medical graduate training grants under​ 5.11 Minnesota Statutes, section 144.1911.​ 5.12 (3) $5,654,000 in fiscal year 2024 and​ 5.13 $5,550,000 in fiscal year 2025 are from the​ 5.14 health care access fund for site-based clinical​ 5.15 training grants under Minnesota Statutes,​ 5.16 section 144.1508. The base for this​ 5.17 appropriation is $4,657,000 in fiscal year 2026​ 5.18 and $3,451,000 in fiscal year 2027.​ 5.19 (4) $1,000,000 in fiscal year 2024 and​ 5.20 $1,000,000 in fiscal year 2025 are from the​ 5.21 health care access fund for mental health for​ 5.22 health care professional grants. This is a​ 5.23 onetime appropriation and is available until​ 5.24 June 30, 2027.​ 5.25 (5) $502,000 in fiscal year 2024 and $502,000​ 5.26 in fiscal year 2025 are from the health care​ 5.27 access fund for workforce research and data​ 5.28 analysis of shortages, maldistribution of health​ 5.29 care providers in Minnesota, and the factors​ 5.30 that influence decisions of health care​ 5.31 providers to practice in rural areas of​ 5.32 Minnesota.​ 5.33 (o) School health. $800,000 in fiscal year​ 5.34 2024 and $1,300,000 in fiscal year 2025 are​ 5​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 6.1 from the general fund for grants under​ 6.2 Minnesota Statutes, section 145.903. The base​ 6.3 for this appropriation is $2,300,000 in fiscal​ 6.4 year 2026 and $2,300,000 in fiscal year 2027.​ 6.5 (p) Long COVID. $3,146,000 in fiscal year​ 6.6 2024 and $3,146,000 in fiscal year 2025 are​ 6.7 from the general fund for grants and to​ 6.8 implement Minnesota Statutes, section​ 6.9 145.361.​ 6.10 (q) Workplace safety grants. $4,400,000 in​ 6.11 fiscal year 2024 is from the general fund for​ 6.12 grants to health care entities to improve​ 6.13 employee safety or security. This is a onetime​ 6.14 appropriation and is available until June 30,​ 6.15 2027. The commissioner may use up to ten​ 6.16 percent of this appropriation for​ 6.17 administration.​ 6.18 (r) Clinical dental education innovation​ 6.19 grants. $1,122,000 in fiscal year 2024 and​ 6.20 $1,122,000 in fiscal year 2025 are from the​ 6.21 general fund for clinical dental education​ 6.22 innovation grants under Minnesota Statutes,​ 6.23 section 144.1913.​ 6.24 (s) Emmett Louis Till Victims Recovery​ 6.25 Program. $500,000 in fiscal year 2024 is from​ 6.26 the general fund for a grant to the Emmett​ 6.27 Louis Till Victims Recovery Program. The​ 6.28 commissioner must not use any of this​ 6.29 appropriation for administration. This is a​ 6.30 onetime appropriation and is available until​ 6.31 June 30, 2025.​ 6.32 (t) Center for health care affordability.​ 6.33 $2,752,000 in fiscal year 2024 and $3,989,000​ 6.34 in fiscal year 2025 are from the general fund​ 6​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 7.1 to establish a center for health care​ 7.2 affordability and to implement Minnesota​ 7.3 Statutes, section 62J.312. The general fund​ 7.4 base for this appropriation is $3,988,000 in​ 7.5 fiscal year 2026 and $3,988,000 in fiscal year​ 7.6 2027.​ 7.7 (u) Federally qualified health centers​ 7.8 apprenticeship program. $690,000 in fiscal​ 7.9 year 2024 and $690,000 in fiscal year 2025​ 7.10 are from the general fund for grants under​ 7.11 Minnesota Statutes, section 145.9272.​ 7.12 (v) Alzheimer's public information​ 7.13 program. $80,000 in fiscal year 2024 and​ 7.14 $80,000 in fiscal year 2025 are from the​ 7.15 general fund for grants to community-based​ 7.16 organizations to co-create culturally specific​ 7.17 messages to targeted communities and to​ 7.18 promote public awareness materials online​ 7.19 through diverse media channels.​ 7.20 (w) Keeping Nurses at the Bedside Act;​ 7.21 contingent appropriation. The appropriations​ 7.22 in this paragraph are contingent upon​ 7.23 legislative enactment of 2023 Senate File 1384​ 7.24 by the 93rd Legislature. The appropriations​ 7.25 in this paragraph are available until June 30,​ 7.26 2027.​ 7.27 (1) $5,317,000 in fiscal year 2024 and​ 7.28 $5,317,000 in fiscal year 2025 are from the​ 7.29 general fund for loan forgiveness under​ 7.30 Minnesota Statutes, section 144.1501, for​ 7.31 eligible nurses who have agreed to work as​ 7.32 hospital nurses in accordance with Minnesota​ 7.33 Statutes, section 144.1501, subdivision 2,​ 7.34 paragraph (a), clause (7).​ 7​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 8.1 (2) $66,000 in fiscal year 2024 and $66,000​ 8.2 in fiscal year 2025 are from the general fund​ 8.3 for loan forgiveness under Minnesota Statutes,​ 8.4 section 144.1501, for eligible nurses who have​ 8.5 agreed to teach in accordance with Minnesota​ 8.6 Statutes, section 144.1501, subdivision 2,​ 8.7 paragraph (a), clause (3).​ 8.8 (3) $545,000 in fiscal year 2024 and $879,000​ 8.9 in fiscal year 2025 are from the general fund​ 8.10 to administer Minnesota Statutes, section​ 8.11 144.7057; to perform the evaluation duties​ 8.12 described in Minnesota Statutes, section​ 8.13 144.7058; to continue prevention of violence​ 8.14 in health care program activities; to analyze​ 8.15 potential links between adverse events and​ 8.16 understaffing; to convene stakeholder groups​ 8.17 and create a best practices toolkit; and for a​ 8.18 report on the current status of the state's​ 8.19 nursing workforce employed by hospitals. The​ 8.20 base for this appropriation is $624,000 in fiscal​ 8.21 year 2026 and $454,000 in fiscal year 2027.​ 8.22 (x) Supporting healthy development of​ 8.23 babies. $260,000 in fiscal year 2024 and​ 8.24 $260,000 in fiscal year 2025 are from the​ 8.25 general fund for a grant to the Amherst H.​ 8.26 Wilder Foundation for the African American​ 8.27 Babies Coalition initiative. The base for this​ 8.28 appropriation is $520,000 in fiscal year 2026​ 8.29 and $0 in fiscal year 2027. Any appropriation​ 8.30 in fiscal year 2026 is available until June 30,​ 8.31 2027. This paragraph expires on June 30,​ 8.32 2027.​ 8.33 (y) Health professional education loan​ 8.34 forgiveness. $2,780,000 in fiscal year 2024​ 8.35 is from the general fund for eligible mental​ 8​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 9.1 health professional loan forgiveness under​ 9.2 Minnesota Statutes, section 144.1501. This is​ 9.3 a onetime appropriation. The commissioner​ 9.4 may use up to ten percent of this appropriation​ 9.5 for administration.​ 9.6 (z) Primary care residency expansion grant​ 9.7 program. $400,000 in fiscal year 2024 and​ 9.8 $400,000 in fiscal year 2025 are from the​ 9.9 general fund for a psychiatry resident under​ 9.10 Minnesota Statutes, section 144.1506.​ 9.11 (aa) Pediatric primary care mental health​ 9.12 training grant program. $1,000,000 in fiscal​ 9.13 year 2024 and $1,000,000 in fiscal year 2025​ 9.14 are from the general fund for grants under​ 9.15 Minnesota Statutes, section 144.1509. The​ 9.16 commissioner may use up to ten percent of​ 9.17 this appropriation for administration.​ 9.18 (bb) Mental health cultural community​ 9.19 continuing education grant program.​ 9.20 $500,000 in fiscal year 2024 and $500,000 in​ 9.21 fiscal year 2025 are from the general fund for​ 9.22 grants under Minnesota Statutes, section​ 9.23 144.1511. The commissioner may use up to​ 9.24 ten percent of this appropriation for​ 9.25 administration.​ 9.26 (cc) Labor trafficking services grant​ 9.27 program. $500,000 in fiscal year 2024 and​ 9.28 $500,000 in fiscal year 2025 are from the​ 9.29 general fund for grants under Minnesota​ 9.30 Statutes, section 144.3885.​ 9.31 (dd) Palliative Care Advisory Council.​ 9.32 $40,000 in fiscal year 2024 and $40,000 in​ 9.33 fiscal year 2025 are from the general fund for​ 9​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 10.1 grants under Minnesota Statutes, section​ 10.2 144.059.​ 10.3 (ee) Analysis of a universal health care​ 10.4 financing system. $1,815,000 in fiscal year​ 10.5 2024 and $580,000 in fiscal year 2025 are​ 10.6 from the general fund to the commissioner to​ 10.7 contract for an analysis of the benefits and​ 10.8 costs of a legislative proposal for a universal​ 10.9 health care financing system and a similar​ 10.10 analysis of the current health care financing​ 10.11 system. The base for this appropriation is​ 10.12 $580,000 in fiscal year 2026 and $0 in fiscal​ 10.13 year 2027. This appropriation is available until​ 10.14 June 30, 2027.​ 10.15 (ff) Charitable assets public interest review.​ 10.16 (1) The appropriations under this paragraph​ 10.17 are contingent upon legislative enactment of​ 10.18 2023 House File 402 by the 93rd Legislature.​ 10.19 (2) $1,584,000 in fiscal year 2024 and​ 10.20 $769,000 in fiscal year 2025 are from the​ 10.21 general fund to review certain health care​ 10.22 entity transactions; to conduct analyses of the​ 10.23 impacts of health care transactions on health​ 10.24 care cost, quality, and competition; and to​ 10.25 issue public reports on health care transactions​ 10.26 in Minnesota and their impacts. The base for​ 10.27 this appropriation is $710,000 in fiscal year​ 10.28 2026 and $710,000 in fiscal year 2027.​ 10.29 (gg) Study of the development of a statewide​ 10.30 registry for provider orders for​ 10.31 life-sustaining treatment. $365,000 in fiscal​ 10.32 year 2024 and $365,000 in fiscal year 2025​ 10.33 are from the general fund for a study of the​ 10.34 development of a statewide registry for​ 10​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 11.1 provider orders for life-sustaining treatment.​ 11.2 This is a onetime appropriation.​ 11.3 (hh) Task Force on Pregnancy Health and​ 11.4 Substance Use Disorders. $199,000 in fiscal​ 11.5 year 2024 and $100,000 in fiscal year 2025​ 11.6 are from the general fund for the Task Force​ 11.7 on Pregnancy Health and Substance Use​ 11.8 Disorders. This is a onetime appropriation and​ 11.9 is available until June 30, 2025.​ 11.10 (ii) 988 Suicide and crisis lifeline. $4,000,000​ 11.11 in fiscal year 2024 is from the general fund​ 11.12 for 988 national suicide prevention lifeline​ 11.13 grants under Minnesota Statutes, section​ 11.14 145.561. This is a onetime appropriation.​ 11.15 (jj) Equitable Health Care Task Force.​ 11.16 $779,000 in fiscal year 2024 and $749,000 in​ 11.17 fiscal year 2025 are from the general fund for​ 11.18 the Equitable Health Care Task Force. This is​ 11.19 a onetime appropriation.​ 11.20 (kk) Psychedelic Medicine Task Force.​ 11.21 $338,000 in fiscal year 2024 and $171,000 in​ 11.22 fiscal year 2025 are from the general fund for​ 11.23 the Psychedelic Medicine Task Force. This is​ 11.24 a onetime appropriation.​ 11.25 (ll) Medical education and research costs.​ 11.26 $300,000 in fiscal year 2024 and $300,000 in​ 11.27 fiscal year 2025 are from the general fund for​ 11.28 the medical education and research costs​ 11.29 program under Minnesota Statutes, section​ 11.30 62J.692.​ 11.31 (mm) Special Guerilla Unit Veterans grant​ 11.32 program. $250,000 in fiscal year 2024 and​ 11.33 $250,000 in fiscal year 2025 are from the​ 11.34 general fund for a grant to the Special​ 11​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 12.1 Guerrilla Units Veterans and Families of the​ 12.2 United States of America to offer​ 12.3 programming and culturally specific and​ 12.4 specialized assistance to support the health​ 12.5 and well-being of Special Guerilla Unit​ 12.6 Veterans. The base for this appropriation is​ 12.7 $500,000 in fiscal year 2026 and $0 in fiscal​ 12.8 year 2027. Any amount appropriated in fiscal​ 12.9 year 2026 is available until June 30, 2027.​ 12.10 This paragraph expires June 30, 2027.​ 12.11 (nn) Safe harbor regional navigator.​ 12.12 $300,000 in fiscal year 2024 and $300,000 in​ 12.13 fiscal year 2025 are for a regional navigator​ 12.14 in northwestern Minnesota. The commissioner​ 12.15 may use up to ten percent of this appropriation​ 12.16 for administration.​ 12.17 (oo) Network adequacy. $798,000 in fiscal​ 12.18 year 2024 and $491,000 in fiscal year 2025​ 12.19 are from the general fund for reviews of​ 12.20 provider networks under Minnesota Statutes,​ 12.21 section 62K.10, to determine network​ 12.22 adequacy.​ 12.23 (pp) Grant to Minnesota Alliance for​ 12.24 Volunteer Advancement. $278,000 in fiscal​ 12.25 year 2024 is from the general fund for a grant​ 12.26 to the Minnesota Alliance for Volunteer​ 12.27 Advancement to administer needs-based​ 12.28 volunteerism subgrants targeting​ 12.29 underresourced nonprofit organizations in​ 12.30 greater Minnesota. Subgrants must be used to​ 12.31 support the ongoing efforts of selected​ 12.32 organizations to address and minimize​ 12.33 disparities in access to human services through​ 12.34 increased volunteerism. Subgrant applicants​ 12.35 must demonstrate that the populations to be​ 12​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 13.1 served by the subgrantee are underserved or​ 13.2 suffer from or are at risk of homelessness,​ 13.3 hunger, poverty, lack of access to health care,​ 13.4 or deficits in education. The Minnesota​ 13.5 Alliance for Volunteer Advancement must​ 13.6 give priority to organizations that are serving​ 13.7 the needs of vulnerable populations. This is a​ 13.8 onetime appropriation and is available until​ 13.9 June 30, 2025.​ 13.10 (pp)(1) (qq)(1) TANF Appropriations. TANF​ 13.11 funds must be used as follows:​ 13.12 (i) $3,579,000 in fiscal year 2024 and​ 13.13 $3,579,000 in fiscal year 2025 are from the​ 13.14 TANF fund for home visiting and nutritional​ 13.15 services listed under Minnesota Statutes,​ 13.16 section 145.882, subdivision 7, clauses (6) and​ 13.17 (7). Funds must be distributed to community​ 13.18 health boards according to Minnesota Statutes,​ 13.19 section 145A.131, subdivision 1;​ 13.20 (ii) $2,000,000 in fiscal year 2024 and​ 13.21 $2,000,000 in fiscal year 2025 are from the​ 13.22 TANF fund for decreasing racial and ethnic​ 13.23 disparities in infant mortality rates under​ 13.24 Minnesota Statutes, section 145.928,​ 13.25 subdivision 7;​ 13.26 (iii) $4,978,000 in fiscal year 2024 and​ 13.27 $4,978,000 in fiscal year 2025 are from the​ 13.28 TANF fund for the family home visiting grant​ 13.29 program under Minnesota Statutes, section​ 13.30 145A.17. $4,000,000 of the funding in fiscal​ 13.31 year 2024 and $4,000,000 in fiscal year 2025​ 13.32 must be distributed to community health​ 13.33 boards under Minnesota Statutes, section​ 13.34 145A.131, subdivision 1. $978,000 of the​ 13.35 funding in fiscal year 2024 and $978,000 in​ 13​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​ 14.1 fiscal year 2025 must be distributed to Tribal​ 14.2 governments under Minnesota Statutes, section​ 14.3 145A.14, subdivision 2a;​ 14.4 (iv) $1,156,000 in fiscal year 2024 and​ 14.5 $1,156,000 in fiscal year 2025 are from the​ 14.6 TANF fund for sexual and reproductive health​ 14.7 services grants under Minnesota Statutes,​ 14.8 section 145.925; and​ 14.9 (v) the commissioner may use up to 6.23​ 14.10 percent of the funds appropriated from the​ 14.11 TANF fund each fiscal year to conduct the​ 14.12 ongoing evaluations required under Minnesota​ 14.13 Statutes, section 145A.17, subdivision 7, and​ 14.14 training and technical assistance as required​ 14.15 under Minnesota Statutes, section 145A.17,​ 14.16 subdivisions 4 and 5.​ 14.17 (2) TANF Carryforward. Any unexpended​ 14.18 balance of the TANF appropriation in the first​ 14.19 year does not cancel but is available in the​ 14.20 second year.​ 14.21 (qq) (rr) Base level adjustments. The general​ 14.22 fund base is $197,644,000 in fiscal year 2026​ 14.23 and $195,714,000 in fiscal year 2027. The​ 14.24 health care access fund base is $53,354,000​ 14.25 in fiscal year 2026 and $50,962,000 in fiscal​ 14.26 year 2027.​ 14.27 EFFECTIVE DATE. This section is effective retroactively from July 1, 2023.​ 14​ Section 1.​ 24-07315 as introduced​ 02/26/24 REVISOR SGS/AD​