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scs-hhs-appropriation-art14

A bill for an act
relating to BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.1ARTICLE 14
1.2HEALTH AND HUMAN SERVICES APPROPRIATIONS

1.3
Section 1. HEALTH AND HUMAN SERVICES APPROPRIATIONS.
1.4The sums shown in the columns marked "Appropriations" are appropriated to the
1.5agencies and for the purposes specified in this article. The appropriations are from the
1.6general fund, or another named fund, and are available for the fiscal years indicated
1.7for each purpose. The figures "2014" and "2015" used in this article mean that the
1.8appropriations listed under them are available for the fiscal year ending June 30, 2014, or
1.9June 30, 2015, respectively. "The first year" is fiscal year 2014. "The second year" is fiscal
1.10year 2015. "The biennium" is fiscal years 2014 and 2015.
1.11
APPROPRIATIONS
1.12
Available for the Year
1.13
Ending June 30
1.14
2014
2015

1.15
1.16
Sec. 2. COMMISSIONER OF HUMAN
SERVICES
1.17
Subdivision 1.Total Appropriation
$
6,414,415,000
$
6,403,346,000
1.18
Appropriations by Fund
1.19
2014
2015
1.20
General
5,813,520,000
5,837,916,000
1.21
1.22
State Government
Special Revenue
3,815,000
4,915,000
1.23
Health Care Access
337,275,000
303,812,000
1.24
Federal TANF
257,915,000
254,813,000
1.25
Lottery Prize Fund
1,890,000
1,890,000
1.26Receipts for Systems Projects.
1.27Appropriations and federal receipts for
1.28information systems projects for MAXIS,
1.29PRISM, MMIS, and SSIS must be deposited
1.30in the state system account authorized
1.31in Minnesota Statutes, section 256.014.
1.32Money appropriated for computer projects
1.33approved by the commissioner of Minnesota
1.34information technology services, funded
1.35by the legislature, and approved by the
1.36commissioner of management and budget,
2.1may be transferred from one project to
2.2another and from development to operations
2.3as the commissioner of human services
2.4considers necessary. Any unexpended
2.5balance in the appropriation for these
2.6projects does not cancel but is available for
2.7ongoing development and operations.
2.8Nonfederal Share Transfers. The
2.9nonfederal share of activities for which
2.10federal administrative reimbursement is
2.11appropriated to the commissioner may be
2.12transferred to the special revenue fund.
2.13ARRA Supplemental Nutrition Assistance
2.14Benefit Increases. The funds provided for
2.15food support benefit increases under the
2.16Supplemental Nutrition Assistance Program
2.17provisions of the American Recovery and
2.18Reinvestment Act (ARRA) of 2009 must be
2.19used for benefit increases beginning July 1,
2.202009.
2.21Supplemental Nutrition Assistance
2.22Program Employment and Training.
2.23(1) Notwithstanding Minnesota Statutes,
2.24sections 256D.051, subdivisions 1a, 6b,
2.25and 6c, and 256J.626, federal Supplemental
2.26Nutrition Assistance employment and
2.27training funds received as reimbursement of
2.28MFIP consolidated fund grant expenditures
2.29for diversionary work program participants
2.30and child care assistance program
2.31expenditures must be deposited in the general
2.32fund. The amount of funds must be limited to
2.33$4,900,000 per year in fiscal years 2014 and
2.342015, and to $4,400,000 per year in fiscal
3.1years 2016 and 2017, contingent on approval
3.2by the federal Food and Nutrition Service.
3.3(2) Consistent with the receipt of the federal
3.4funds, the commissioner may adjust the
3.5level of working family credit expenditures
3.6claimed as TANF maintenance of effort.
3.7Notwithstanding any contrary provision in
3.8this article, this rider expires June 30, 2017.
3.9TANF Maintenance of Effort. (a) In order
3.10to meet the basic maintenance of effort
3.11(MOE) requirements of the TANF block grant
3.12specified under Code of Federal Regulations,
3.13title 45, section 263.1, the commissioner may
3.14only report nonfederal money expended for
3.15allowable activities listed in the following
3.16clauses as TANF/MOE expenditures:
3.17(1) MFIP cash, diversionary work program,
3.18and food assistance benefits under Minnesota
3.19Statutes, chapter 256J;
3.20(2) the child care assistance programs
3.21under Minnesota Statutes, sections 119B.03
3.22and 119B.05, and county child care
3.23administrative costs under Minnesota
3.24Statutes, section 119B.15;
3.25(3) state and county MFIP administrative
3.26costs under Minnesota Statutes, chapters
3.27256J and 256K;
3.28(4) state, county, and tribal MFIP
3.29employment services under Minnesota
3.30Statutes, chapters 256J and 256K;
3.31(5) expenditures made on behalf of legal
3.32noncitizen MFIP recipients who qualify for
3.33the MinnesotaCare program under Minnesota
3.34Statutes, chapter 256L;
4.1(6) qualifying working family credit
4.2expenditures under Minnesota Statutes,
4.3section 290.0671;
4.4(7) qualifying Minnesota education credit
4.5expenditures under Minnesota Statutes,
4.6section 290.0674; and
4.7(8) qualifying Head Start expenditures under
4.8Minnesota Statutes, section 119A.50.
4.9(b) The commissioner shall ensure that
4.10sufficient qualified nonfederal expenditures
4.11are made each year to meet the state's
4.12TANF/MOE requirements. For the activities
4.13listed in paragraph (a), clauses (2) to
4.14(8), the commissioner may only report
4.15expenditures that are excluded from the
4.16definition of assistance under Code of
4.17Federal Regulations, title 45, section 260.31.
4.18(c) For fiscal years beginning with state fiscal
4.19year 2003, the commissioner shall ensure
4.20that the maintenance of effort used by the
4.21commissioner of management and budget
4.22for the February and November forecasts
4.23required under Minnesota Statutes, section
4.2416A.103, contains expenditures under
4.25paragraph (a), clause (1), equal to at least 16
4.26percent of the total required under Code of
4.27Federal Regulations, title 45, section 263.1.
4.28(d) The requirement in Minnesota Statutes,
4.29section 256.011, subdivision 3, that federal
4.30grants or aids secured or obtained under that
4.31subdivision be used to reduce any direct
4.32appropriations provided by law, do not apply
4.33if the grants or aids are federal TANF funds.
4.34(e) For the federal fiscal years beginning on
4.35or after October 1, 2007, the commissioner
5.1may not claim an amount of TANF/MOE in
5.2excess of the 75 percent standard in Code
5.3of Federal Regulations, title 45, section
5.4263.1(a)(2), except:
5.5(1) to the extent necessary to meet the 80
5.6percent standard under Code of Federal
5.7Regulations, title 45, section 263.1(a)(1),
5.8if it is determined by the commissioner
5.9that the state will not meet the TANF work
5.10participation target rate for the current year;
5.11(2) to provide any additional amounts
5.12under Code of Federal Regulations, title 45,
5.13section 264.5, that relate to replacement of
5.14TANF funds due to the operation of TANF
5.15penalties; and
5.16(3) to provide any additional amounts that
5.17may contribute to avoiding or reducing
5.18TANF work participation penalties through
5.19the operation of the excess MOE provisions
5.20of Code of Federal Regulations, title 45,
5.21section 261.43(a)(2).
5.22For the purposes of clauses (1) to (3),
5.23the commissioner may supplement the
5.24MOE claim with working family credit
5.25expenditures or other qualified expenditures
5.26to the extent such expenditures are otherwise
5.27available after considering the expenditures
5.28allowed in this subdivision and subdivisions
5.292 and 3.
5.30(f) Notwithstanding any contrary provision
5.31in this article, paragraphs (a) to (e) expire
5.32June 30, 2017.
5.33Working Family Credit Expenditures
5.34as TANF/MOE. The commissioner may
5.35claim as TANF maintenance of effort up to
6.1$6,707,000 per year of working family credit
6.2expenditures in each fiscal year.
6.3
6.4
Subd. 2.Working Family Credit to be Claimed
for TANF/MOE
6.5The commissioner may count the following
6.6amounts of working family credit
6.7expenditures as TANF/MOE:
6.8(1) fiscal year 2014, $43,576,000;
6.9(2) fiscal year 2015, $43,548,000;
6.10(3) fiscal year 2016, $8,869,000; and
6.11(4) fiscal year 2017, $11,181,000.
6.12
6.13
Subd. 3.TANF Transfer to Federal Child Care
and Development Fund
6.14(a) The following TANF fund amounts
6.15are appropriated to the commissioner for
6.16purposes of MFIP/transition year child care
6.17assistance under Minnesota Statutes, section
6.18119B.05:
6.19(1) fiscal year 2014; $14,020,000; and
6.20(2) fiscal year 2015, $14,020,000.
6.21(b) The commissioner shall authorize the
6.22transfer of sufficient TANF funds to the
6.23federal child care and development fund to
6.24meet this appropriation and shall ensure that
6.25all transferred funds are expended according
6.26to federal child care and development fund
6.27regulations.
6.28
Subd. 4.Central Office
6.29The amounts that may be spent from this
6.30appropriation for each purpose are as follows:
6.31
(a) Operations
6.32
Appropriations by Fund
6.33
General
88,876,000
91,189,000
7.1
7.2
State Government
Special Revenue
3,690,000
4,790,000
7.3
Health Care Access
12,453,000
13,004,000
7.4
Federal TANF
100,000
100,000
7.5DHS Receipt Center Accounting. The
7.6commissioner is authorized to transfer
7.7appropriations to, and account for DHS
7.8receipt center operations in, the special
7.9revenue fund.
7.10Administrative Recovery; Set-Aside. The
7.11commissioner may invoice local entities
7.12through the SWIFT accounting system as an
7.13alternative means to recover the actual cost
7.14of administering the following provisions:
7.15(1) Minnesota Statutes, section 125A.744,
7.16subdivision 3;
7.17(2) Minnesota Statutes, section 245.495,
7.18paragraph (b);
7.19(3) Minnesota Statutes, section 256B.0625,
7.20subdivision 20, paragraph (k);
7.21(4) Minnesota Statutes, section 256B.0924,
7.22subdivision 6, paragraph (g);
7.23(5) Minnesota Statutes, section 256B.0945,
7.24subdivision 4, paragraph (d); and
7.25(6) Minnesota Statutes, section 256F.10,
7.26subdivision 6, paragraph (b).
7.27Systems Modernization. The following
7.28amounts are appropriated for transfer to
7.29the state systems account authorized in
7.30Minnesota Statutes, section 256.014:
7.31(1) $1,825,000 in fiscal year 2014 and
7.32$2,502,000 in fiscal year 2015 is for the
7.33state share of Medicaid-allocated costs of
7.34the health insurance exchange information
8.1technology and operational structure. The
8.2funding base is $3,222,000 in fiscal year 2016
8.3and $3,037,000 in fiscal year 2017 but shall
8.4not be included in the base thereafter; and
8.5(2) $1,000,000 in fiscal year 2014 and
8.6$2,000,000 in fiscal year 2015 are for the
8.7modernization and streamlining of agency
8.8eligibility and child support systems. The
8.9funding base is $2,000,000 in fiscal year
8.102016 and $2,000,000 in fiscal year 2017 but
8.11shall not be included in the base thereafter.
8.12The unexpended balance of the $1,000,000
8.13appropriation in fiscal year 2014 and the
8.14$2,000,000 appropriation in fiscal year 2015
8.15must be transferred from the Department of
8.16Human Services state systems account to
8.17the Office of Enterprise Technology when
8.18the Office of Enterprise Technology has
8.19negotiated a federally approved internal
8.20service fund rates and billing process with
8.21sufficient internal accounting controls to
8.22properly maximize federal reimbursement
8.23to Minnesota for human services system
8.24modernization projects, but not later than
8.25June 30, 2015.
8.26If contingent funding is fully or partially
8.27disbursed under article.., section .., and
8.28transferred to the state systems account, the
8.29unexpended balance of that appropriation
8.30must be transferred to the Office of Enterprise
8.31Technology in accordance with this clause.
8.32Contingent funding must not exceed
8.33$14,297,000 for the biennium.
8.34Base Adjustment. The general fund base
8.35is increased by $646,000 in fiscal year 2016
9.1and $461,000 in fiscal year 2017. The health
9.2access fund base is decreased by $551,000 in
9.3fiscal years 2016 and 2017.
9.4
(b) Children and Families
9.5
Appropriations by Fund
9.6
General
7,569,000
7,519,000
9.7
Federal TANF
2,282,000
2,282,000
9.8Financial Institution Data Match and
9.9Payment of Fees. The commissioner is
9.10authorized to allocate up to $310,000 each
9.11year in fiscal years 2014 and 2015 from the
9.12PRISM special revenue account to make
9.13payments to financial institutions in exchange
9.14for performing data matches between account
9.15information held by financial institutions
9.16and the public authority's database of child
9.17support obligors as authorized by Minnesota
9.18Statutes, section 13B.06, subdivision 7.
9.19
(c) Health Care
9.20
Appropriations by Fund
9.21
General
13,639,000
13,226,000
9.22
Health Care Access
24,602,000
26,728,000
9.23Base Adjustment. The general fund base
9.24is decreased by $86,000 in fiscal year 2016
9.25and by $86,000 in fiscal year 2017. The
9.26health care access fund base is increased
9.27by $7,956,000 in fiscal year 2016 and by
9.28$6,354,000 in fiscal year 2017.
9.29
(d) Continuing Care
9.30
Appropriations by Fund
9.31
General
17,361,000
17,426,000
9.32
9.33
State Government
Special Revenue
125,000
125,000
10.1Base Adjustment. The general fund base is
10.2decreased by $1,000 in fiscal year 2016 and
10.3by $1,000 in fiscal year 2017.
10.4
(e) Chemical and Mental Health
10.5
Appropriations by Fund
10.6
General
4,313,000
4,179,000
10.7
Lottery Prize Fund
157,000
157,000
10.8
Subd. 5.Forecasted Programs
10.9The amounts that may be spent from this
10.10appropriation for each purpose are as follows:
10.11
(a) MFIP/DWP
10.12
Appropriations by Fund
10.13
General
73,742,000
79,302,000
10.14
Federal TANF
80,342,000
76,851,000
10.15
(b) MFIP Child Care Assistance
62,030,000
64,731,000
10.16
(c) General Assistance
54,787,000
56,068,000
10.17General Assistance Standard. The
10.18commissioner shall set the monthly standard
10.19of assistance for general assistance units
10.20consisting of an adult recipient who is
10.21childless and unmarried or living apart
10.22from parents or a legal guardian at $203.
10.23The commissioner may reduce this amount
10.24according to Laws 1997, chapter 85, article
10.253, section 54.
10.26Emergency General Assistance. The
10.27amount appropriated for emergency general
10.28assistance funds is limited to no more
10.29than $6,729,812 in fiscal year 2014 and
10.30$6,729,812 in fiscal year 2015. Funds
10.31to counties shall be allocated by the
10.32commissioner using the allocation method in
10.33Minnesota Statutes, section 256D.06.
10.34
(d) MN Supplemental Assistance
38,646,000
39,821,000
11.1
(e) Group Residential Housing
140,447,000
149,984,000
11.2
(f) MinnesotaCare
299,280,000
261,917,000
11.3This appropriation is from the health care
11.4access fund.
11.5
(g) Medical Assistance
4,616,041,000
4,621,227,000
11.6Medical Eligibility for Inmates in Medical
11.7Institutions. The commissioner of human
11.8services shall execute an interagency
11.9agreement with the commissioner of
11.10corrections to recover the medical assistance
11.11cost attributable to medical assistance
11.12eligibility for inmates of public institutions
11.13admitted to hospitals on an inpatient basis.
11.14The amount that must be recovered from
11.15the Department of Corrections shall include
11.16all state medical assistance costs, including
11.17administrative costs, attributable to inmates
11.18under state and county jurisdiction admitted
11.19to hospitals on an inpatient basis.
11.20
(h) Alternative Care
47,058,000
47,078,000
11.21Alternative Care Transfer. Any money
11.22allocated to the alternative care program that
11.23is not spent for the purposes indicated does
11.24not cancel but shall be transferred to the
11.25medical assistance account.
11.26
(i) CD Treatment Fund
81,440,000
74,875,000
11.27Balance Transfer. The commissioner must
11.28transfer $18,188,000 from the consolidated
11.29chemical dependency treatment fund to the
11.30general fund by September 30, 2013.
11.31
Subd. 6.Grant Programs
11.32The amounts that may be spent from this
11.33appropriation for each purpose are as follows:
12.1
(a) Support Services Grants
12.2
Appropriations by Fund
12.3
General
11,333,000
11,133,000
12.4
Federal TANF
94,611,000
94,611,000
12.5Paid Work Experience. $1,159,000 in fiscal
12.6year 2014, and $1,009,000 in fiscal year
12.72015 is from the general fund for paid work
12.8experience for long-term MFIP recipients.
12.9Paid work includes full and partial wage
12.10subsidies and other related services such as
12.11job development, marketing, preworksite
12.12training, job coaching, and postplacement
12.13services. Unexpended funds for fiscal year
12.142014 do not cancel but are available to the
12.15commissioner for this purpose in fiscal year
12.162015.
12.17Work Study Funding for MFIP
12.18Participants. $250,000 each year is from
12.19the general fund to pilot work study jobs for
12.20MFIP recipients in approved postsecondary
12.21education programs. This is a onetime
12.22appropriation. Unexpended funds for fiscal
12.23year 2014 do not cancel but are available for
12.24this purpose in fiscal year 2015.
12.25Base Adjustment. The general fund base is
12.26decreased by $2,418,000 in fiscal years 2016
12.27and 2017.
12.28
12.29
(b) Basic Sliding Fee Child Care Assistance
Grants
39,039,000
40,391,000
12.30
(c) Child Care Development Grants
1,487,000
1,487,000
12.31
(d) Child Support Enforcement Grants
50,000
50,000
12.32Federal Child Support Demonstration
12.33Grants. Federal administrative
12.34reimbursement resulting from the federal
13.1child support grant expenditures authorized
13.2under United States Code, title 42, section
13.31315, is appropriated to the commissioner
13.4for this activity.
13.5
(e) Children's Services Grants
13.6
Appropriations by Fund
13.7
General
49,810,000
50,260,000
13.8
Federal TANF
140,000
140,000
13.9Adoption Assistance and Relative Custody
13.10Assistance. The commissioner may transfer
13.11unencumbered appropriation balances for
13.12adoption assistance and relative custody
13.13assistance between fiscal years and between
13.14programs.
13.15Title IV-E Adoption Assistance. Additional
13.16federal reimbursements to the state as a result
13.17of the Fostering Connections to Success
13.18and Increasing Adoptions Act's expanded
13.19eligibility for Title IV-E adoption assistance
13.20are appropriated for postadoption services,
13.21including a parent-to-parent support network.
13.22Privatized Adoption Grants. Federal
13.23reimbursement for privatized adoption grant
13.24and foster care recruitment grant expenditures
13.25is appropriated to the commissioner for
13.26adoption grants and foster care and adoption
13.27administrative purposes.
13.28Adoption Assistance Incentive Grants.
13.29 Federal funds available during fiscal years
13.302014 and 2015 for adoption incentive grants
13.31are appropriated for postadoption services,
13.32including a parent-to-parent support network.
13.33Adoption Assistance Incentive Grants.
13.34Federal funds available during fiscal years
13.352014 and 2015 for adoption incentive grants
14.1are appropriated to the commissioner for
14.2these purposes.
14.3Base Adjustment. The general fund base is
14.4decreased by $466,000 in fiscal year 2016
14.5and by $822,000 in fiscal year 2017.
14.6
(f) Child and Community Service Grants
53,301,000
53,301,000
14.7
(g) Child and Economic Support Grants
20,972,000
20,973,000
14.8Minnesota Food Assistance Program.
14.9Unexpended funds for the Minnesota food
14.10assistance program for fiscal year 2014 do
14.11not cancel but are available for this purpose
14.12in fiscal year 2015.
14.13Family Assets for Independence. $250,000
14.14each year is for the Family Assets for
14.15Independence Minnesota program. This
14.16appropriation is available in either year of the
14.17biennium and may be transferred between
14.18fiscal years.
14.19Food Shelf Programs. $500,000 in fiscal
14.20year 2014 and $500,000 in fiscal year
14.212015 are for food shelf programs under
14.22Minnesota Statutes, section 256E.34. If the
14.23appropriation for either year is insufficient,
14.24the appropriation for the other year is
14.25available for it.
14.26Homeless Youth Act. $4,000,000 is
14.27appropriated from the general fund to the
14.28commissioner of human services for the
14.29biennium ending June 30, 2015, for purposes
14.30of Minnesota Statutes, section 256K.45.
14.31
(h) Health Care Grants
14.32
Appropriations by Fund
14.33
General
190,000
190,000
14.34
Health Care Access
190,000
1,413,000
15.1Emergency Medical Assistance Referral
15.2and Assistance Grants. (a) The
15.3commissioner of human services shall
15.4award grants to nonprofit programs that
15.5provide immigration legal services based
15.6on indigency to provide legal services for
15.7immigration assistance to individuals with
15.8emergency medical conditions or complex
15.9and chronic health conditions who are not
15.10currently eligible for medical assistance
15.11or other public health care programs, but
15.12who may meet eligibility requirements with
15.13immigration assistance.
15.14(b) The grantees, in collaboration with
15.15hospitals and safety net providers, shall
15.16provide referral assistance to connect
15.17individuals identified in paragraph (a) with
15.18alternative resources and services to assist in
15.19meeting their health care needs. $100,000
15.20is appropriated in fiscal year 2014 and
15.21$100,000 in fiscal year 2015. This is a
15.22onetime appropriation.
15.23Base Adjustment. The general fund is
15.24decreased by $100,000 in fiscal year 2016
15.25and $100,000 in fiscal year 2017. The health
15.26care access fund is decreased by $1,223,000
15.27in fiscal years 2016 and 2017.
15.28
(i) Aging and Adult Services Grants
22,043,000
22,910,000
15.29Base Adjustment. The general fund is
15.30increased by $5,000 in fiscal year 2016 and
15.31$5,000 in fiscal year 2017.
15.32
(j) Deaf and Hard-of-Hearing Grants
1,767,000
1,767,000
15.33
(k) Disabilities Grants
17,844,000
17,426,000
16.1Advocating Change Together. $310,000 in
16.2fiscal year 2014 for a grant to Advocating
16.3Change Together (ACT) to maintain and
16.4promote services for persons with intellectual
16.5and developmental disabilities throughout
16.6the state. Of this appropriation:
16.7(1) $120,000 is for direct costs associated
16.8with the delivery and evaluation of
16.9peer-to-peer training programs administered
16.10throughout the state, focusing on education,
16.11employment, housing, transportation, and
16.12voting;
16.13(2) $100,000 is for delivery of statewide
16.14conferences focusing on leadership and
16.15skill development within the disability
16.16community; and
16.17(3) $90,000 is for administrative and general
16.18operating costs associated with managing
16.19or maintaining facilities, program delivery,
16.20staff, and technology. This is a onetime
16.21appropriation.
16.22Base Adjustment. The general fund base
16.23is increased by $448,000 in fiscal year 2016
16.24and by $470,000 in fiscal year 2017.
16.25
(l) Adult Mental Health Grants
16.26
Appropriations by Fund
16.27
General
70,777,000
69,108,000
16.28
Health Care Access
750,000
750,000
16.29
Lottery Prize
1,733,000
1,733,000
16.30Problem Gambling. $225,000 in fiscal year
16.312014 and $225,000 in fiscal year 2015 is
16.32appropriated from the lottery prize fund to the
16.33commissioner of human services for a grant to
16.34the state affiliate recognized by the National
16.35Council on Problem Gambling. The affiliate
17.1must provide services to increase public
17.2awareness of problem gambling, education
17.3and training for individuals and organizations
17.4providing effective treatment services to
17.5problem gamblers and their families, and
17.6research relating to problem gambling. These
17.7services must be complementary to and not
17.8duplicative of the services provided through
17.9the problem gambling program administered
17.10by the commissioner of human services.
17.11Funding Usage. Up to 75 percent of a fiscal
17.12year's appropriations for adult mental health
17.13grants may be used to fund allocations in that
17.14portion of the fiscal year ending December
17.1531.
17.16Base Adjustment. The general fund base is
17.17decreased by $4,197,000 in fiscal year 2016
17.18and by $4,197,000 in fiscal year 2017.
17.19
(m) Child Mental Health Grants
15,233,000
15,234,000
17.20Mental Health First Aid Training. $45,000
17.21for the biennium ending June 30, 2015,
17.22is appropriated from the general fund to
17.23the commissioner of human services to
17.24train teachers, social service personnel, law
17.25enforcement, and others who come into
17.26contact with children with mental illnesses,
17.27in children and adolescents mental health
17.28first aid training.
17.29Funding Usage. Up to 75 percent of a fiscal
17.30year's appropriation for child mental health
17.31grants may be used to fund allocations in that
17.32portion of the fiscal year ending December
17.3331.
17.34
(n) CD Treatment Support Grants
1,636,000
1,996,000
18.1SBIRT Training. $300,000 each year is
18.2for grants to train primary care clinicians to
18.3provide substance abuse brief intervention
18.4and referral to treatment (SBIRT). This is a
18.5onetime appropriation.
18.6Fetal Alcohol Syndrome Grant. (a)
18.7$360,000 is appropriated in fiscal year 2015
18.8to the commissioner of human services for
18.9a grant to the Minnesota Organization on
18.10Fetal Alcohol Syndrome (MOFAS). This is a
18.11onetime appropriation.
18.12(b) Grant money must be used to reduce the
18.13incidence of FASD and other prenatal drug
18.14related effects in children in Minnesota by
18.15identifying and serving pregnant women
18.16suspected of or known to use or abuse alcohol
18.17or other drugs. Grant recipients must provide
18.18intensive services to chemically dependent
18.19women in order to increase positive birth
18.20outcomes. The organization may retain two
18.21percent of the grant money for administrative
18.22costs.
18.23(c) A grant recipient must report to the
18.24commissioner of human services annually
18.25by January 15 on the services and programs
18.26funded by the appropriation. The report must
18.27include measurable outcomes, including
18.28the number of pregnant women served and
18.29toxic-free babies born in the previous year.
18.30Base Adjustment. The general fund base is
18.31decreased by $660,000 in fiscal year 2016
18.32and $660,000 in fiscal year 2017.
18.33
Subd. 7.State-Operated Services
185,320,000
185,320,000
18.34Transfer Authority Related to
18.35State-Operated Services. Money
19.1appropriated for state-operated services
19.2may be transferred between fiscal years
19.3of the biennium with the approval of the
19.4commissioner of management and budget.
19.5The amounts that may be spent from the
19.6appropriation for each purpose are as follows:
19.7
(a) SOS Mental Health
115,738,000
115,738,000
19.8Dedicated Receipts Available. Of the
19.9revenue received under Minnesota Statutes,
19.10section 246.18, subdivision 8, paragraph
19.11(a), $1,000,000 each year is available for
19.12the purposes of paragraph (b), clause (1),
19.13of that subdivision, $1,000,000 each year
19.14is available to transfer to the adult mental
19.15health budget activity for the purposes of
19.16paragraph (b), clause (2), of that subdivision,
19.17and up to $2,713,000 each year is available
19.18for the purposes of paragraph (b), clause (3),
19.19of that subdivision.
19.20
(b) SOS MN Security Hospital
69,582,000
69,582,000
19.21
Subd. 8.Sex Offender Program
76,769,000
79,745,000
19.22Transfer Authority Related to Minnesota
19.23Sex Offender Program. Money
19.24appropriated for the Minnesota sex offender
19.25program may be transferred between fiscal
19.26years of the biennium with the approval of the
19.27commissioner of management and budget.
19.28
Subd. 9.Technical Activities
80,440,000
80,829,000
19.29This appropriation is from the federal TANF
19.30fund.
19.31Base Adjustment. The federal TANF fund
19.32base is increased by $278,000 in fiscal year
19.332016 and increased by $651,000 in fiscal
19.34year 2017.
20.1
Subd. 10.Transfer.

20.2
Sec. 3. COMMISSIONER OF HEALTH
20.3
Subdivision 1.Total Appropriation
$
158,383,000
$
154,610,000
20.4
Appropriations by Fund
20.5
2014
2015
20.6
General
78,947,000
73,751,000
20.7
20.8
State Government
Special Revenue
48,680,000
50,703,000
20.9
Health Care Access
18,743,000
18,143,000
20.10
Federal TANF
11,713,000
11,713,000
20.11
Special Revenue
300,000
300,000
20.12The amounts that may be spent for each
20.13purpose are specified in the following
20.14subdivisions.
20.15
Subd 2.Health Improvement
20.16
Appropriations by Fund
20.17
General
52,335,000
47,139,000
20.18
20.19
State Government
Special Revenue
1,033,000
1,033,000
20.20
Health Care Access
9,219,000
9,219,000
20.21
Federal TANF
11,713,000
11,713,000
Statewide Health Improvement Program. $7,500,000 in fiscal year 2014 and $7,500,000
20.24in fiscal year 2015 are appropriated from
20.25the health care access fund for the statewide
20.26health improvement program under
20.27Minnesota Statutes, section 145.986.
20.28Statewide Cancer Surveillance System.
20.29 Of the general fund appropriation, $350,000
20.30in fiscal year 2014 and $350,000 in fiscal
20.31year 2015 are appropriated to develop and
20.32implement a new cancer reporting system
20.33under Minnesota Statutes, sections 144.671
20.34to 144.69. Any information technology
20.35development or support costs necessary
20.36for the cancer surveillance system must
21.1be incorporated into the agency's service
21.2level agreement and paid to the Office of
21.3Enterprise Technology.
21.4Minnesota Poison Information Center.
21.5 $250,000 in fiscal year 2014 and $250,000
21.6in fiscal year 2015 are for regional poison
21.7information centers according to Minnesota
21.8Statutes, section 145.93.
21.9Text Message Suicide Prevention Program.
21.10 $1,500,000 is appropriated for the biennium
21.11ending June 30, 2015, for a grant to a
21.12nonprofit organization to establish and
21.13implement a statewide text message suicide
21.14prevention program. The program shall
21.15implement a suicide prevention counseling
21.16text line designed to use text messaging to
21.17connect with crisis counselors and to obtain
21.18emergency information and referrals to
21.19local resources in the local community. The
21.20program shall include training within schools
21.21and communities to encourage the use of the
21.22program.
21.23TANF Appropriations. (1) $1,156,000 of
21.24the TANF funds is appropriated each year of
21.25the biennium to the commissioner for family
21.26planning grants under Minnesota Statutes,
21.27section 145.925.
21.28(2) $3,579,000 of the TANF funds is
21.29appropriated each year of the biennium to
21.30the commissioner for home visiting and
21.31nutritional services listed under Minnesota
21.32Statutes, section 145.882, subdivision 7,
21.33clauses (6) and (7). Funds must be distributed
21.34to community health boards according to
22.1Minnesota Statutes, section 145A.131,
22.2subdivision 1.
22.3(3) $2,000,000 of the TANF funds is
22.4appropriated each year of the biennium to
22.5the commissioner for decreasing racial and
22.6ethnic disparities in infant mortality rates
22.7under Minnesota Statutes, section 145.928,
22.8subdivision 7.
22.9(4) $4,978,000 of the TANF funds is
22.10appropriated each year of the biennium to the
22.11commissioner for the family home visiting
22.12grant program according to Minnesota
22.13Statutes, section 145A.17. $4,000,000 of the
22.14funding must be distributed to community
22.15health boards according to Minnesota
22.16Statutes, section 145A.131, subdivision 1.
22.17$978,000 of the funding must be distributed
22.18to tribal governments based on Minnesota
22.19Statutes, section 145A.14, subdivision 2a.
22.20(5) The commissioner may use up to 6.23
22.21percent of the funds appropriated each fiscal
22.22year to conduct the ongoing evaluations
22.23required under Minnesota Statutes, section
22.24145A.17, subdivision 7, and training and
22.25technical assistance as required under
22.26Minnesota Statutes, section 145A.17,
22.27subdivisions 4 and 5.
22.28TANF Carryforward. Any unexpended
22.29balance of the TANF appropriation in the
22.30first year of the biennium does not cancel but
22.31is available for the second year.
22.32
Subd. 3.Policy Quality and Compliance
22.33
Appropriations by Fund
22.34
General
9,391,000
9,391,000
23.1
23.2
State Government
Special Revenue
14,434,000
16,454,000
23.3
Health Care Access
9,524,000
8,924,000
23.4Base Level Adjustment. The state
23.5government special revenue fund base shall
23.6be reduced by $2,000 in fiscal year 2017. The
23.7health care access base shall be increased by
23.8$600,000 in fiscal year 2016 and decreased
23.9by $600,000 in fiscal year 2017.
23.10
Subd. 4.Health Protection
23.11
Appropriations by Fund
23.12
General
9,449,000
9,449,000
23.13
23.14
State Government
Special Revenue
33,213,000
33,216,000
23.15
Special Revenue
300,000
300,000
23.16Infectious Disease Laboratory. Of the
23.17general fund appropriation, $200,000 in
23.18fiscal year 2014 and $200,000 in fiscal year
23.192015 are appropriated to the commissioner
23.20to monitor infectious disease trends and
23.21investigate infectious disease outbreaks.
23.22Surveillance for Elevated Blood Lead
23.23Levels. Of the general fund appropriation,
23.24$100,000 in fiscal year 2014 and $100,000
23.25in fiscal year 2015 are appropriated to the
23.26commissioner for the blood lead surveillance
23.27system under Minnesota Statutes, section
23.28144.9502.
23.29Base Level Adjustment. The state
23.30government special revenue base is increased
23.31by $6,000 in fiscal year 2016 and by $13,000
23.32in fiscal year 2017.
23.33
Subd. 5.Administrative Support Services
7,772,000
7,772,000
23.34Regional Support for Local Public Health
23.35Departments. $350,000 in fiscal year
24.12014 and $350,000 in fiscal year 2015
24.2are appropriated to the commissioner for
24.3regional staff who provide specialized
24.4expertise to local public health departments.

24.5
Sec. 4. HEALTH-RELATED BOARDS
24.6
Subdivision 1.Total Appropriation
$
17,125,000
$
17,075,000
24.7
Appropriations by Fund
24.8
General
7,000
7,000
24.9
24.10
State Government
Special Revenue
17,110,000
17,068,000
24.11The amounts that may be spent for each
24.12purpose are specified in the following
24.13subdivisions.
24.14
Subd. 2.Board of Chiropractic Examiners
470,000
470,000
24.15
Subd. 3.Board of Dentistry
1,820,000
1,820,000
24.16Health Professional Services Program. Of
24.17this appropriation, $704,000 in fiscal year
24.182014 and $704,000 in fiscal year 2015 from
24.19the state government special revenue fund are
24.20for the health professional services program.
24.21
24.22
Subd. 4.Board of Dietetic and Nutrition
Practice
111,000
111,000
24.23
24.24
Subd. 5.Board of Marriage and Family
Therapy
168,000
168,000
24.25
Subd. 6.Board of Medical Practice
3,867,000
3,867,000
24.26
Subd. 7.Board of Nursing
3,637,000
3,637,000
24.27
24.28
Subd. 8.Board of Nursing Home
Administrators
1,625,000
1,575,000
24.29Administrative Services Unit - Operating
24.30Costs. Of this appropriation, $676,000
24.31in fiscal year 2014 and $626,000 in
24.32fiscal year 2015 are for operating costs
24.33of the administrative services unit. The
24.34administrative services unit may receive
25.1and expend reimbursements for services
25.2performed by other agencies.
25.3Administrative Services Unit - Volunteer
25.4Health Care Provider Program. Of this
25.5appropriation, $150,000 in fiscal year 2014
25.6and $150,000 in fiscal year 2015 are to pay
25.7for medical professional liability coverage
25.8required under Minnesota Statutes, section
25.9214.40.
25.10Administrative Services Unit - Contested
25.11Cases and Other Legal Proceedings. Of
25.12this appropriation, $200,000 in fiscal year
25.132014 and $200,000 in fiscal year 2015 are
25.14for costs of contested case hearings and other
25.15unanticipated costs of legal proceedings
25.16involving health-related boards funded
25.17under this section. Upon certification of a
25.18health-related board to the administrative
25.19services unit that the costs will be incurred
25.20and that there is insufficient money available
25.21to pay for the costs out of money currently
25.22available to that board, the administrative
25.23services unit is authorized to transfer money
25.24from this appropriation to the board for
25.25payment of those costs with the approval
25.26of the commissioner of management and
25.27budget.
25.28
Subd. 9.Board of Optometry
107,000
107,000
25.29
Subd. 10.Board of Pharmacy
2,345,000
2,345,000
25.30Prescription Electronic Reporting. Of
25.31this appropriation, $356,000 in fiscal year
25.322014 and $356,000 in fiscal year 2015 from
25.33the state government special revenue fund
25.34are to the board to operate the prescription
26.1electronic reporting system in Minnesota
26.2Statutes, section 152.126.
26.3
Subd. 11.Board of Physical Therapy
346,000
346,000
26.4
Subd. 12.Board of Podiatry
76,000
76,000
26.5
Subd. 13.Board of Psychology
847,000
847,000
26.6
Subd. 14.Board of Social Work
1,054,000
1,054,000
26.7
Subd. 15.Board of Veterinary Medicine
230,000
230,000
26.8
26.9
Subd. 16.Board of Behavioral Health and
Therapy
415,000
415,000

26.10
26.11
Sec. 5. EMERGENCY MEDICAL SERVICES
REGULATORY BOARD
$
2,741,000
$
2,741,000
26.12Regional Grants. $585,000 in fiscal year
26.132014 and $585,000 in fiscal year 2015 are
26.14for regional emergency medical services
26.15programs, to be distributed equally to the
26.16eight emergency medical service regions.
26.17Cooper/Sams Volunteer Ambulance
26.18Program. $700,000 in fiscal year 2014 and
26.19$700,000 in fiscal year 2015 are for the
26.20Cooper/Sams volunteer ambulance program
26.21under Minnesota Statutes, section 144E.40.
26.22(a) Of this amount, $611,000 in fiscal year
26.232014 and $611,000 in fiscal year 2015
26.24are for the ambulance service personnel
26.25longevity award and incentive program under
26.26Minnesota Statutes, section 144E.40.
26.27(b) Of this amount, $89,000 in fiscal year
26.282014 and $89,000 in fiscal year 2015 are
26.29for the operations of the ambulance service
26.30personnel longevity award and incentive
26.31program under Minnesota Statutes, section
26.32144E.40.
27.1Ambulance Training Grant. $361,000 in
27.2fiscal year 2014 and $361,000 in fiscal year
27.32015 are for training grants.
27.4EMSRB Board Operations. $1,095,000 in
27.5fiscal year 2014 and $1,095,000 in fiscal year
27.62015 are for operations.

27.7
Sec. 6. COUNCIL ON DISABILITY
$
614,000
$
614,000

27.8
27.9
27.10
Sec. 7. OMBUDSMAN FOR MENTAL
HEALTH AND DEVELOPMENTAL
DISABILITIES
$
1,654,000
$
1,654,000

27.11
Sec. 8. OMBUDSPERSON FOR FAMILIES
$
333,000
$
334,000

27.12    Sec. 9. Minnesota Statutes 2012, section 256.01, subdivision 34, is amended to read:
27.13    Subd. 34. Federal administrative reimbursement dedicated. Federal
27.14administrative reimbursement resulting from the following activities is appropriated to the
27.15commissioner for the designated purposes:
27.16(1) reimbursement for the Minnesota senior health options project; and
27.17(2) reimbursement related to prior authorization and inpatient admission certification
27.18by a professional review organization. A portion of these funds must be used for activities
27.19to decrease unnecessary pharmaceutical costs in medical assistance.; and
27.20(3) reimbursement resulting from the federal child support grant expenditures
27.21authorized under United States Code, title 42, section 1315.

27.22    Sec. 10. Minnesota Statutes 2012, section 256.01, is amended by adding a subdivision
27.23to read:
27.24    Subd. 35. Federal reimbursement for privatized adoption grants. Federal
27.25reimbursement for privatized adoption grant and foster care recruitment grant expenditures
27.26is appropriated to the commissioner for adoption grants and foster care and adoption
27.27administrative purposes.

27.28    Sec. 11. Minnesota Statutes 2012, section 256.01, is amended by adding a subdivision
27.29to read:
28.1    Subd. 36. DHS receipt center accounting. The commissioner may transfer
28.2appropriations to, and account for DHS receipt center operations in, the special revenue
28.3fund.

28.4    Sec. 12. TRANSFERS AND ADJUSTMENTS.
28.5(a) The appropriation in subdivision 5, paragraph (g), includes up to $59,503,000
28.6in fiscal year 2014; $157,000,000 in fiscal year 2015; $180,446,000 in fiscal year 2016;
28.7and $187,537,000 in fiscal year 2017, for medical assistance eligibility and administration
28.8changes related to:
28.9(1) eligibility for children age two to 18 with income up to 275 percent of the federal
28.10poverty guidelines;
28.11(2) eligibility for pregnant women with income up to 275 percent of the federal
28.12poverty guidelines;
28.13(3) Affordable Care Act enrollment and renewal processes, including elimination
28.14of six-month renewals, ex parte eligibility reviews, preprinted renewal forms, changes
28.15in verification requirements, and other changes in the eligibility determination and
28.16enrollment and renewal process;
28.17(4) automatic eligibility for children who turn 18 in foster care until they reach age 26;
28.18(5) eligibility related to spousal impoverishment provisions for waiver recipients; and
28.19(6) presumptive eligibility determinations by hospitals.
28.20(b) The commissioner of the Department of Human Services shall determine the
28.21difference between the actual costs to the medical assistance program attributable to
28.22the program changes in paragraph (a), clauses (1) to (6), and the costs of paragraph (a),
28.23clauses (1) to (6), that were estimated during the 2013 legislative session based on data
28.24from the 2013 February forecast. The costs in this paragraph must be calculated between
28.25beginning January 1, 2014, and June 30, 2017.
28.26(c) For each fiscal year from 2014 to 2017, the commissioner of human services
28.27shall certify the actual cost differences to the medical assistance program determined
28.28under paragraph (b), and report the costs to the commissioner of management and budget
28.29by June 30 of each fiscal year. In each fiscal year, the commissioner of management
28.30and budget shall reduce the transfer from the health care access fund under section 3
28.31by the amounts determined in paragraph (b). If for any fiscal year the amount of the
28.32cost difference determined under paragraph (b) exceeds the amount of the transfer under
28.33section 3, the transfer for that year must be zero.
28.34(d) This section expires on June 30, 2017.

29.1    Sec. 13. HEALTH CARE ACCESS FUND TRANSFER TO GENERAL FUND
29.2FOR MINNESOTACARE POPULATIONS.
29.3(a) The commissioner of Minnesota management and budget shall transfer from the
29.4health care access fund to the general fund $59,503,000 in fiscal year 2014; $157,000,000
29.5in fiscal year 2015; $180,446,000 in fiscal year 2016; and $187,537,000 in fiscal year
29.62017, for medical assistance changes in section 1.
29.7(b) This section expires on June 30, 2017.

29.8    Sec. 14. HEALTH CARE ACCESS FUND TRANSFER TO GENERAL FUND.
29.9(a) The commissioner of Minnesota management and budget shall transfer from the
29.10health care access fund to the general fund $27,985,000 in fiscal year 2014; $161,544,000
29.11in fiscal year 2015; $105,662,000 in fiscal year 2016; and $124,272,000 in fiscal year
29.122017. For each fiscal year, the commissioner must reduce the amount of the transfer under
29.13this section according to section 1, paragraph (c).
29.14(b) This section expires on June 30, 2017.

29.15    Sec. 15. TRANSFERS.
29.16    Subdivision 1. Grants. The commissioner of human services, with the approval of
29.17the commissioner of management and budget, may transfer unencumbered appropriation
29.18balances for the biennium ending June 30, 2015, within fiscal years among the MFIP,
29.19general assistance, general assistance medical care under Minnesota Statutes 2009
29.20Supplement, section 256D.03, subdivision 3, medical assistance, MinnesotaCare, MFIP
29.21child care assistance under Minnesota Statutes, section 119B.05, Minnesota supplemental
29.22aid, group residential housing programs, the entitlement portion of the chemical
29.23dependency consolidated treatment fund, and between fiscal years of the biennium. The
29.24commissioner shall inform the chairs and ranking minority members of the senate Health
29.25and Human Services Finance Division and the house of representatives Health and Human
29.26Services Finance Committee quarterly about transfers made under this provision.
29.27    Subd. 2. Administration. Positions, salary money, and nonsalary administrative
29.28money may be transferred within the Departments of Human Services and Health as the
29.29commissioners consider necessary, with the advance approval of the commissioner of
29.30management and budget. The commissioner shall inform the chairs and ranking minority
29.31members of the senate Health and Human Services Finance Division and the house of
29.32representatives Health and Human Services Finance Committee quarterly about transfers
29.33made under this provision.

30.1    Sec. 16. INDIRECT COSTS NOT TO FUND PROGRAMS.
30.2The commissioners of health and human services shall not use indirect cost
30.3allocations to pay for the operational costs of any program for which they are responsible.

30.4    Sec. 17. EXPIRATION OF UNCODIFIED LANGUAGE.
30.5All uncodified language contained in this article expires on June 30, 2015, unless a
30.6different expiration date is explicit.

30.7    Sec. 18. EFFECTIVE DATE.
30.8This article is effective July 1, 2013, unless a different effective date is specified.