1.1Senator Abeler moved to amend
H.F. No. 2434, as amended pursuant to Rule 45,
1.2adopted by the Senate May 6, 2025, as follows:
1.3(The text of the amended House File is identical to
S.F. No. 3054.)
1.4Page 23, line 24, before "The" insert "
(a)"
1.5Page 23, lines 27 and 28, delete the new language and reinstate the stricken language
1.6Page 23, after line 31, insert:
1.7"
(b) Notwithstanding paragraph (a), effective January 1, 2026, through December 31,
1.82029, the commissioner must determine each facility's total care-related payment rate
limit
1.9by:
1.10(1) multiplying the facility's quality score, as determined under section 256R.16,
1.11subdivision 1, by 2.0;
1.12(2) subtracting 40 from the amount determined in clause (1), and dividing the total
by
1.13100; and
1.14(3) multiplying the amount determined in clause (2) by the median total care-related
1.15cost per day.
1.16This paragraph expires January 1, 2030."
1.17Page 24, line 2, before "A" insert "
(a)"
1.18Page 24, lines 3 to 5, delete the new language and reinstate the stricken language
1.19Page 24, after line 5, insert:
1.20"
(b) Notwithstanding paragraph (a), effective January 1, 2026, through December 31,
1.212029, a facility's direct care payment rate equals the lesser of (1) the facility's
direct care
1.22costs per standardized day, (2) the facility's direct care costs per standardized
day divided
1.23by its cost to limit ratio, or (3) 104 percent of the previous year's direct care
payment rate.
1.24This paragraph expires January 1, 2030."
1.25Page 24, line 8, before "A" insert "
(a)"
1.26Page 24, line 10, reinstate the stricken language
1.27Page 24, line 11, delete the new language
1.28Page 24, after line 11, insert:
1.29"
(b) Notwithstanding paragraph (a), effective January 1, 2026, through December 31,
1.302029, a facility's other care-related payment rate equals the lesser of (1) the facility's
other
2.1care-related cost per resident day, (2) the facility's other care-related cost per
resident day
2.2divided by its cost to limit ratio, or (3) 104 percent of the previous year's other
care-related
2.3payment rate. This paragraph expires January 1, 2030."
2.4Page 24, line 14, before "A" insert "
(a)"
2.5Page 24, lines 15 and 16, delete the new language
2.6Page 24, after line 16, insert:
2.7"
(b) Notwithstanding paragraph (a), effective January 1, 2026, through December 31,
2.82029, a facility's other operating payment rate equals the lesser of 105 percent of
the median
2.9other operating cost per day or 104 percent of the previous year's other operating
payment
2.10rate. This paragraph expires January 1, 2030."
2.11Page 32, after line 13, insert:
2.12 "Sec. 30. Minnesota Statutes 2024, section 256S.205, subdivision 2, is amended to read:
2.13 Subd. 2.
Rate adjustment application. (a) Effective through September 30, 2023, a
2.14facility may apply to the commissioner for
an initial designation as a disproportionate share
2.15facility. Applications must be submitted annually between September 1 and September
30.
2.16The applying facility must apply in a manner determined by the commissioner. The applying
2.17facility must document each of the following on the application:
2.18(1) the number of customized living residents in the facility on September 1 of the
2.19application year, broken out by specific waiver program; and
2.20(2) the total number of people residing in the facility on September 1 of the application
2.21year.
2.22(b) Effective October 1, 2023, the commissioner must not process any new
initial
2.23applications for disproportionate share facilities
after the September 1 through September
2.2430, 2023, application period.
2.25(c) A facility that
receives received rate floor payments in rate year 2024 may submit
2.26an
annual application under this subdivision to maintain its designation as a disproportionate
2.27share facility
for rate year 2025.
2.28 Sec. 31. Minnesota Statutes 2024, section 256S.205, subdivision 3, is amended to read:
2.29 Subd. 3.
Rate adjustment eligibility criteria. (a)
Effective through September 30, 2023,
2.30Only facilities satisfying all of the following conditions on September 1 of the application
2.31year are eligible for designation as a disproportionate share facility:
3.1(1) at least 83.5 percent of the residents of the facility are customized living residents;
3.2and
3.3(2) at least 70 percent of the customized living residents are elderly waiver participants.
3.4(b) A facility determined eligible for the disproportionate share rate adjustment
in
3.5application year 2023 and receiving payments in rate year 2024 is eligible to receive
payments
3.6in rate
year 2025 years beginning on or after January 1, 2025, only if the commissioner
3.7determines that the facility continues to meet the eligibility requirements under
this
3.8subdivision as determined by the application process under subdivision 2, paragraph
(c).
3.9 Sec. 32. Minnesota Statutes 2024, section 256S.205, subdivision 5, is amended to read:
3.10 Subd. 5.
Rate adjustment; rate floor. (a)
Effective through December 31, 2025,
3.11Notwithstanding the 24-hour customized living monthly service rate limits under section
3.12256S.202, subdivision 2, and the component service rates established under section
256S.201,
3.13subdivision 4, the commissioner must establish a rate floor equal to $141 per resident per
3.14day for 24-hour customized living services provided to an elderly waiver participant
in a
3.15designated disproportionate share facility.
3.16(b) The commissioner must apply the rate floor to the services described in paragraph
3.17(a) provided during the rate year."
3.18Page 34, delete section 33 and insert:
3.19 "Sec. 36.
REPEALER.
3.20(a) Minnesota Statutes 2024, sections 144A.071, subdivision 4c; 256R.02, subdivision
3.2138; 256R.40; 256R.41; and 256R.481, are repealed.
3.22(b) Minnesota Statutes 2024, sections 256R.12, subdivision 10; and 256R.36, are repealed.
3.23(c) Minnesota Statutes 2024, section 256R.23, subdivision 6, is repealed.
3.24(d) Minnesota Statutes 2024, section 256S.205, subdivision 7, is repealed.
3.25EFFECTIVE DATE.Paragraph (a) is effective January 1, 2026. Paragraphs (b) and
3.26(d) are effective the day following final enactment. Paragraph (c) is effective October
1,
3.272025."
3.28Page 34, after line 12, insert:
4.1 "Section 1. Minnesota Statutes 2024, section 144.0724, subdivision 2, is amended to read:
4.2 Subd. 2.
Definitions. For purposes of this section, the following terms have the meanings
4.3given.
4.4(a) "Assessment reference date" or "ARD" means the specific end point for look-back
4.5periods in the MDS assessment process. This look-back period is also called the observation
4.6or assessment period.
4.7(b) "Case mix index" means the weighting factors assigned to the case mix reimbursement
4.8classifications determined by an assessment.
4.9(c) "Index maximization" means classifying a resident who could be assigned to more
4.10than one category, to the category with the highest case mix index.
4.11(d) "Minimum Data Set" or "MDS" means a core set of screening, clinical assessment,
4.12and functional status elements, that include common definitions and coding categories
4.13specified by the Centers for Medicare and Medicaid Services and designated by the
4.14Department of Health.
4.15(e) "Representative" means a person who is the resident's guardian or conservator,
the
4.16person authorized to pay the nursing home expenses of the resident, a representative
of the
4.17Office of Ombudsman for Long-Term Care whose assistance has been requested, or any
4.18other individual designated by the resident.
4.19(f) "Activities of daily living" includes personal hygiene, dressing, bathing, transferring,
4.20bed mobility, locomotion, eating, and toileting.
4.21(g) "Nursing facility level of care determination" means the assessment process that
4.22results in a determination of a resident's or prospective resident's need for nursing
facility
4.23level of care as established in subdivision 11 for purposes of medical assistance
payment
4.24of long-term care services for:
4.25(1) nursing facility services under chapter 256R;
4.26(2) elderly waiver services under chapter 256S;
and
4.27(3) CADI and BI waiver services under section
256B.49; and
4.28(4) (3) state payment of alternative care services under section
256B.0913.
4.29EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
4.30whichever is later. The commissioner of human services shall notify the revisor of
statutes
4.31when federal approval is obtained.
5.1 Sec. 2. Minnesota Statutes 2024, section 144.0724, subdivision 11, is amended to read:
5.2 Subd. 11.
Nursing facility level of care. (a) For purposes of medical assistance payment
5.3of long-term care services
specified in subdivision 2, paragraph (g), a recipient must be
5.4determined, using assessments defined in subdivision 4, to meet one of the following
nursing
5.5facility level of care criteria:
5.6 (1) the person requires formal clinical monitoring at least once per day;
5.7 (2) the person needs the assistance of another person or constant supervision to begin
5.8and complete at least four of the following activities of living: bathing, bed mobility,
dressing,
5.9eating, grooming, toileting, transferring, and walking;
5.10 (3) the person needs the assistance of another person or constant supervision to begin
5.11and complete toileting, transferring, or positioning and the assistance cannot be
scheduled;
5.12 (4) the person has significant difficulty with memory, using information, daily decision
5.13making, or behavioral needs that require intervention;
5.14 (5) the person has had a qualifying nursing facility stay of at least 90 days;
5.15 (6) the person meets the nursing facility level of care criteria determined 90 days
after
5.16admission or on the first quarterly assessment after admission, whichever is later;
or
5.17 (7) the person is determined to be at risk for nursing facility admission or readmission
5.18through a face-to-face long-term care consultation assessment as specified in section
5.19256B.0911, subdivision 17 to 21, 23, 24, 27, or 28, by a county, tribe, or managed
care
5.20organization under contract with the Department of Human Services. The person is
5.21considered at risk under this clause if the person currently lives alone or will live
alone or
5.22be homeless without the person's current housing and also meets one of the following
criteria:
5.23 (i) the person has experienced a fall resulting in a fracture;
5.24 (ii) the person has been determined to be at risk of maltreatment or neglect, including
5.25self-neglect; or
5.26 (iii) the person has a sensory impairment that substantially impacts functional ability
5.27and maintenance of a community residence.
5.28 (b) The assessment used to establish medical assistance payment for nursing facility
5.29services must be the most recent assessment performed under subdivision 4, paragraphs
(b)
5.30and (c), that occurred no more than 90 calendar days before the effective date of
medical
5.31assistance eligibility for payment of long-term care services. In no case shall medical
6.1assistance payment for long-term care services occur prior to the date of the determination
6.2of nursing facility level of care.
6.3 (c) The assessment used to establish medical assistance payment for long-term care
6.4services provided under chapter 256S and section 256B.49 and alternative care payment
6.5for services provided under section 256B.0913 must be the most recent face-to-face
6.6assessment performed under section 256B.0911, subdivisions 17 to 21, 23, 24, 27, or
28,
6.7that occurred no more than 60 calendar days before the effective date of medical assistance
6.8eligibility for payment of long-term care services.
6.9EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
6.10whichever is later. The commissioner of human services shall notify the revisor of
statutes
6.11when federal approval is obtained.
6.12 Sec. 3. Minnesota Statutes 2024, section 144.0724, is amended by adding a subdivision
6.13to read:
6.14 Subd. 11a. Determination of nursing facility level of care for the brain injury and
6.15community access for disability inclusion waivers. (a) Effective January 1, 2026, or upon
6.16federal approval, whichever is later, a person must be determined to meet one of the
following
6.17nursing facility level of care criteria to be eligible for the brain injury and community
access
6.18for disability inclusion waivers under section 256B.49:
6.19(1) the person requires the assistance of another person or constant supervision to
begin
6.20and complete at least four of the following activities of daily living: bathing, bed
mobility,
6.21dressing, eating, grooming, toileting, transferring, or walking;
6.22(2) the person needs the assistance of another person or constant supervision to begin
6.23and complete toileting, transferring, or positioning and the assistance cannot be
scheduled;
6.24or
6.25(3) the person has significant difficulty with memory, using information, daily decision
6.26making, or behavioral needs that require the person to be constantly supervised or
require
6.27interventions that cannot be scheduled.
6.28(b) Nursing facility level of care determinations for purposes of initial and ongoing
6.29access to the brain injury and community access for disability inclusion waiver programs
6.30must be conducted by a certified assessor under section 256B.0911.
6.31EFFECTIVE DATE.This section is effective the day following final enactment."
6.32Page 48, after line 19, insert:
7.1 "Sec. 16. Minnesota Statutes 2024, section 256.01, is amended by adding a subdivision
7.2to read:
7.3 Subd. 30a. State certified MnCHOICES assessor team. (a) To facilitate the timely
7.4processing of long-term care consultation assessments under section 256B.0911, the
7.5commissioner must establish and maintain a team of assessors certified according to
section
7.6256B.0911, subdivision 13. Members of the state assessment team are authorized to
conduct
7.7assessments under section 256B.0911 throughout the state. The commissioner may deploy
7.8members of the state assessment team to lead agencies with significant backlogs of
pending
7.9or incomplete long-term care consultation assessments to temporarily supplement the
7.10capacity of the lead agency.
7.11(b) The commissioner may deploy a state assessment team member to a hospital, nursing
7.12facility, intermediate care facility, or state-operated facility to expedite an assessment
of a
7.13person who:
7.14(1) is awaiting release or discharge because the person does not meet the applicable
7.15admission criteria or level of care criteria for the setting, but the setting cannot
identify a
7.16setting to which the patient could be safely released or discharged without an assessment;
7.17or
7.18(2) requests transition assistance under section 256B.0911, subdivision 27 or 28.
7.19If the commissioner deploys a state assessment team member under this paragraph, the
7.20commissioner may require any organization receiving grant funds from the MNsure board
7.21of directors that support the organization's medical assistance and MinnesotaCare
enrollment
7.22work to deploy an in-person assistor or navigator to assist the person being assessed
in
7.23expediting the person's application for medical assistance or MinnesotaCare.
7.24(c) Nothing in the subdivision shall be construed to relieve a lead agency of its
obligations
7.25under section 256B.0911, subdivision 14, paragraph (b), to have sufficient numbers
of
7.26certified assessors employed by the lead agency or under contract with the lead agency
to
7.27provide long-term consultation assessment and support planning within the timelines
and
7.28parameters required under section 256B.0911."
7.29Page 60, delete section 23 and insert:
7.30 "Sec. 27. Minnesota Statutes 2024, section 256B.0911, subdivision 26, is amended to
7.31read:
7.32 Subd. 26.
Determination of institutional level of care. (a) The determination of need
7.33for hospital and intermediate care facility levels of care must be made according
to criteria
8.1developed by the commissioner, and in section
256B.092, using forms developed by the
8.2commissioner.
8.3(b) The determination of need for nursing facility level of care must be made based
on
8.4criteria in section
144.0724, subdivision 11.
This paragraph expires upon the effective date
8.5of paragraph (c).
8.6(c) Effective January 1, 2026, or upon federal approval, whichever is later, the
8.7determination of need for nursing facility level of care must be made based on criteria
in
8.8section 144.0724, subdivision 11, except for determinations of need for purposes of
the
8.9brain injury and community access for disability inclusion waivers under section 256B.49.
8.10(d) Determinations of need for the purposes of the brain injury and community access
8.11for disability inclusion waivers must be made based on criteria in section 144.0724,
8.12subdivision 11a. If a person is found ineligible for waiver services under this paragraph
8.13because of a determination that the person does not meet the criteria in section 144.0724,
8.14subdivision 11a, the lead agency must review the person's latest assessment under
section
8.15256B.0911 to determine if the person meets any of the nursing facility level of care
criteria
8.16under section 144.0724, subdivision 11. If the lead agency determines after the review
that
8.17the person does meet a nursing facility level of care criteria under section 144.0724,
8.18subdivision 11, the lead agency must provide a notice of action to the person informing
the
8.19person specifically that the person's waiver services are being terminated because
the person
8.20meets only a nursing facility level of care of under section 144.0724, subdivision
11, that
8.21is no longer a basis for waiver eligibility. The lead agency must also inform the
person of
8.22other benefits options for which the person may be eligible. For existing waiver participants,
8.23the effective date of the termination of waiver services based on this paragraph must
be no
8.24sooner than 90 days after the date of the assessment under section 256B.0911.
8.25EFFECTIVE DATE.This section is effective the day following final enactment."
8.26Page 61, after line 25, insert:
8.27 "Sec. 29. Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
8.28to read:
8.29 Subd. 36. Cooperation with state certified MnCHOICES assessor teams. (a) In the
8.30event that the commissioner deploys state certified assessors under section 256.01,
8.31subdivision 30a, to temporarily supplement the capacity of the lead agency to perform
8.32long-term care consultation assessments and to meet its obligations under this section,
the
8.33lead agency must cooperate with the commissioner and the state assessor team to implement
9.1a work plan to reduce the backlog and improve both training of lead agency staff and
9.2processes to minimize future backlogs.
9.3(b) In the event that the commissioner deploys state certified assessors under section
9.4256.01, subdivision 30a, to perform an expedited long-term care consultation assessment
9.5under section 256.01, subdivision 30a, at the request of the state assessor, the lead
agency
9.6must ensure that the person is visited by lead agency staff within five days of the
visit by
9.7the state assessor to begin the process of determining financial eligibility for medical
9.8assistance."
9.9Page 71, delete section 31 and insert:
9.10 "Sec. 36. Minnesota Statutes 2024, section 256B.49, subdivision 12, is amended to read:
9.11 Subd. 12.
Informed choice. Persons who are determined
likely to require the level of
9.12care provided in a nursing facility as determined under section 256B.0911, subdivision
26,
9.13or a hospital shall be informed of the home and community-based support alternatives
to
9.14the provision of inpatient hospital services or nursing facility services. Each person
must
9.15be given the choice of either institutional or home and community-based services using
the
9.16provisions described in section
256B.77, subdivision 2, paragraph (p).
9.17 Sec. 37. Minnesota Statutes 2024, section 256B.49, subdivision 13, is amended to read:
9.18 Subd. 13.
Case management. (a) Each recipient of a home and community-based waiver
9.19shall be provided case management services by qualified vendors as described in the
federally
9.20approved waiver application. The case management service activities provided must
include:
9.21(1) finalizing the person-centered written support plan within the timelines established
9.22by the commissioner and section 256B.0911, subdivision 29;
9.23(2) informing the recipient or the recipient's legal guardian or conservator of service
9.24options, including all service options available under the waiver plans;
9.25(3) assisting the recipient in the identification of potential service providers of
chosen
9.26services, including:
9.27(i) available options for case management service and providers;
9.28(ii) providers of services provided in a non-disability-specific setting;
9.29(iii) employment service providers;
9.30(iv) providers of services provided in settings that are not community residential
settings;
9.31and
10.1(v) providers of financial management services;
10.2(4) assisting the recipient to access services and assisting with appeals under section
10.3256.045; and
10.4(5) coordinating, evaluating, and monitoring of the services identified in the service
10.5plan.
10.6(b) The case manager may delegate certain aspects of the case management service
10.7activities to another individual provided there is oversight by the case manager.
The case
10.8manager may not delegate those aspects which require professional judgment including:
10.9(1) finalizing the person-centered support plan;
10.10(2) ongoing assessment and monitoring of the person's needs and adequacy of the
10.11approved person-centered support plan; and
10.12(3) adjustments to the person-centered support plan.
10.13(c) Case management services must be provided by a public or private agency that is
10.14enrolled as a medical assistance provider determined by the commissioner to meet all
of
10.15the requirements in the approved federal waiver plans. If a county agency provides
case
10.16management under contracts with other individuals or agencies and the county agency
10.17utilizes a competitive proposal process for the procurement of contracted case management
10.18services, the competitive proposal process must include evaluation criteria to ensure
that
10.19the county maintains a culturally responsive program for case management services
adequate
10.20to meet the needs of the population of the county. For the purposes of this section,
"culturally
10.21responsive program" means a case management services program that: (1) ensures effective,
10.22equitable, comprehensive, and respectful quality care services that are responsive
to
10.23individuals within a specific population's values, beliefs, practices, health literacy,
preferred
10.24language, and other communication needs; and (2) is designed to address the unique
needs
10.25of individuals who share a common language or racial, ethnic, or social background.
10.26(d) Case management services must not be provided to a recipient by a private agency
10.27that has any financial interest in the provision of any other services included in
the recipient's
10.28support plan. For purposes of this section, "private agency" means any agency that
is not
10.29identified as a lead agency under section 256B.0911, subdivision 10.
10.30(e) For persons who need a positive support transition plan as required in chapter
245D,
10.31the case manager shall participate in the development and ongoing evaluation of the
plan
10.32with the expanded support team. At least quarterly, the case manager, in consultation
with
10.33the expanded support team, shall evaluate the effectiveness of the plan based on progress
11.1evaluation data submitted by the licensed provider to the case manager. The evaluation
must
11.2identify whether the plan has been developed and implemented in a manner to achieve
the
11.3following within the required timelines:
11.4(1) phasing out the use of prohibited procedures;
11.5(2) acquisition of skills needed to eliminate the prohibited procedures within the
plan's
11.6timeline; and
11.7(3) accomplishment of identified outcomes.
11.8If adequate progress is not being made, the case manager shall consult with the person's
11.9expanded support team to identify needed modifications and whether additional professional
11.10support is required to provide consultation.
11.11(f) The Department of Human Services shall offer ongoing education in case management
11.12to case managers. Case managers shall receive no less than 20 hours of case management
11.13education and disability-related training each year. The education and training must
include
11.14appropriate service authorization under the community access for disability inclusion
waiver,
11.15person-centered planning, informed choice, cultural competency, employment planning,
11.16community living planning, self-direction options, and use of technology supports.
By
11.17August 1, 2024, all case managers must complete an employment support training course
11.18identified by the commissioner of human services. For case managers hired after August
11.191, 2024, this training must be completed within the first six months of providing
case
11.20management services. For the purposes of this section, "person-centered planning"
or
11.21"person-centered" has the meaning given in section 256B.0911, subdivision 10. Case
11.22managers shall document completion of training in a system identified by the commissioner."
11.23Page 73, line 17, strike "as" and delete the new language
11.24Page 73, line 18, delete everything before the period and insert "
on January 1, 2030, and
11.25every two years thereafter, based on wage data by SOC from the Bureau of Labor Statistics
11.26published in the spring approximately 21 months prior to the scheduled update"
11.27Page 76, line 10, before "The" insert "
(a)"
11.28Page 76, line 11, delete the new language
11.29Page 76, after line 22, insert:
11.30"
(b) The commissioner shall update the base wage index under subdivision 5a for changes
11.31in the Consumer Price Index. The commissioner shall adjust these values higher or
lower,
11.32publish these updated values, and load them into the rate management system on January
12.11, 2026, and January 1, 2028, by the percentage change in the CPI-U from the date
of the
12.2previous update to the data available 24 months and one day prior to the scheduled
update.
12.3This paragraph expires December 31, 2029."
12.4Page 77, line 2, delete "
and"
12.5Page 77, line 3, delete the semicolon, and insert "
. This item expires upon the effective
12.6date of item (iv); and"
12.7Page 77, after line 3, insert:
12.8"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
12.9Page 78, line 26, delete "
and"
12.10Page 78, line 27, delete the semicolon, and insert "
. This item expires upon the effective
12.11date of item (iv); and"
12.12Page 78, after line 27, insert:
12.13"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
12.14Page 80, line 19, delete "
and"
12.15Page 80, line 20, delete the semicolon, and insert "
. This item expires upon the effective
12.16date of item (iv); and"
12.17Page 80, after line 20, insert:
12.18"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
12.19Page 82, line 7, delete "
and"
12.20Page 82, line 8, delete the semicolon and insert "
. This item expires upon the effective
12.21date of item (iv); and"
12.22Page 82, after line 8, insert:
12.23"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
12.24Page 82, line 17, delete the new language and reinstate the stricken language
12.25Page 83, line 26, delete everything after the period
12.26Page 83, delete lines 27 to 28
12.27Page 84, line 4, delete "
and"
12.28Page 84, line 5, delete the semicolon, and insert "
. This item expires upon the effective
12.29date of item (iv); and"
13.1Page 84, after line 5, insert:
13.2"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
13.3Page 84, line 14, delete the new language and reinstate the stricken language
13.4Page 85, line 20, delete everything after the period
13.5Page 85, delete lines 21 and 22
13.6Page 85, line 29, delete "
and"
13.7Page 85, line 30, delete the semicolon, and insert "
. This item expires upon the effective
13.8date of item (iv); and"
13.9Page 85, after line 30, insert:
13.10"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
13.11Page 86, line 9, delete the new language and reinstate the stricken language
13.12Page 87, line 17, delete everything after the period
13.13Page 87, delete lines 18 and 19
13.14Page 87, line 31, delete "
and"
13.15Page 88, line 1, delete the semicolon, and insert "
. This item expires upon the effective
13.16date of item (iv); and"
13.17Page 88, after line 1, insert:
13.18"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
13.19Page 89, delete lines 22 to 24, and insert:
13.20"
(e) Effective January 1, 2026, or upon federal approval, whichever is later, providers
13.21may not bill more than nine hours per day for individualized home supports with training
13.22and individualized home supports with family training. This maximum does not limit
a
13.23person's use of other disability waiver services."
13.24Page 90, line 12, delete "
and"
13.25Page 90, line 13, delete the semicolon, and insert "
. This item expires upon the effective
13.26date of item (iv); and"
13.27Page 90, after line 13, insert:
13.28"
(iv) effective January 1, 2030, or upon federal approval, whichever is later, 6.7
percent;"
13.29Page 124, after line 30, insert:
14.1 "Sec. 85.
DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
14.2INCREASE TO PAYMENTS FOR FAMILY RESIDENTIAL AND LIFE SHARING
14.3SERVICES.
14.4Effective January 1, 2026, or upon federal approval, whichever is later, the commissioner
14.5of human services must increase by 51.69 percent payment rates previously established
14.6under Minnesota Statutes, section 256B.4914, subdivision 19, for family residential
services.
14.7Rates for life sharing services must be ten percent higher than the corresponding
family
14.8residential services rate established under this section.
14.9 Sec. 86.
COMMISSIONER OF HUMAN SERVICES; WAIVER CASE
14.10MANAGEMENT EVALUATION AND RATE STUDY.
14.11 Subdivision 1. Reimbursement rate study. The commissioner of human services must
14.12issue a request for proposals to develop and model a proposed reimbursement rate
14.13methodology for waiver case management services under Minnesota Statutes, sections
14.14256B.0913, 256B.092, 256B.0922, and 256B.49, and Minnesota Statutes, chapter 256S.
14.15The proposed methodology for waiver case management reimbursement rates must be
14.16predicated on a methodology that is transparent, culturally responsive, and supports
lead
14.17agency staffing needed to provide high-quality, person-centered, and culturally responsive
14.18case management services. The development of the rate methodology must consider costs
14.19and workforce pressures that impact the delivery of case management services; costs
to
14.20provide culturally responsive case management services as described in Minnesota Statutes,
14.21section 256B.076, subdivision 3; and compensation required to attract and retain qualified
14.22case managers.
14.23 Subd. 2. Evaluation of case management service delivery. The commissioner must
14.24conduct an evaluation of lead agency duties associated with waiver case management;
14.25current caseloads; best practices related to caseloads and case mix; required professional
14.26qualifications, experience, and training of case management professionals; and quality
14.27assurance measures, and make recommendations to improve the quality, consistency,
and
14.28timeliness of the provision of waiver case management services.
14.29 Subd. 3. Community engagement. (a) The commissioner must consult with interested
14.30parties from across each region of the state including, but not limited to, lead agencies,
14.31contracted waiver case management service providers, culturally responsive providers,
14.32individuals receiving services and their families, advocacy organizations, and relevant
14.33experts in the development of the request for proposals under subdivision 1.
15.1(b) The commissioner must collaborate with interested parties from across each region
15.2of the state including, but not limited to, lead agencies, contracted waiver case
management
15.3service providers, culturally responsive providers, individuals receiving services
and their
15.4families, advocacy organizations, and relevant experts in the evaluation of the delivery
of
15.5waiver case management services.
15.6 Subd. 4. Recommendations and reports. By December 15, 2025, the commissioner
15.7of human services must submit a preliminary report to the chairs and ranking minority
15.8members of the legislative committees with jurisdiction over human services policy
and
15.9finance on the initial results of the rate study and service delivery evaluation.
By December
15.1015, 2026, the commissioner of human services must submit to the chairs and ranking
minority
15.11members of committees with jurisdiction over health and human services a report detailing
15.12(1) the waiver rate methodology, including all rate components, and modeled rates;
and (2)
15.13findings and recommendations of the evaluation of case management service delivery.
The
15.14report must include (1) legislative language necessary to modify existing or implement
new
15.15rate methodologies and a detailed fiscal analysis of the proposed rate methodology;
and (2)
15.16legislative language necessary to implement recommendations to improve wavier case
15.17management service delivery.
15.18EFFECTIVE DATE.This section is effective July 1, 2025.
15.19 Sec. 87.
CHAPTER 245D PROVIDER LICENSING TIMELINESS IMPROVEMENT
15.20INITIATIVE.
15.21(a) The commissioner of human services must conduct a comprehensive business process
15.22analysis and redesign of the provider licensing system with a particular focus on
Minnesota
15.23Statutes, chapter 245D, licensing activities.
15.24(b) The commissioner's business process analysis must include at least the following
15.25elements:
15.26(1) a full mapping of the current provider licensing process, including provider inquiry,
15.27application intake, documentation requirements, inspections, background checks, approval
15.28or denial, and renewal processes;
15.29(2) identification of all bottlenecks, backlogs, batches, redundancies, and inefficiencies;
15.30(3) engagement with providers, people receiving services, lead agencies, and advocates
15.31and other stakeholders to gather feedback on process challenges and recommendations
for
15.32improvement; and
16.1(4) analysis of opportunities to incorporate digital and tech solutions or workflow
16.2automation.
16.3(c) When developing a proposal to redesign Minnesota Statutes, chapter 245D, licensing
16.4processes to better service individuals and providers, the commissioner must work
directly
16.5with licensing staff, managers, and leadership and develop revised performance metrics
and
16.6timelines, including a target average time frame for initial license decisions and
renewals
16.7with the creation of a dashboard assuring transparency and ongoing accountability.
16.8(d) By January 1, 2026, the commissioner must submit to the chairs and ranking minority
16.9members of the legislative committees with jurisdiction over human services licensing
and
16.10over long-term services and supports a report that includes:
16.11(1) the findings of the analysis of current Minnesota Statutes, chapter 245D, provider
16.12licensing processes;
16.13(2) the proposed redesign of Minnesota Statutes, chapter 245D, provider licensing
16.14processes;
16.15(3) an implementation plan of agreed upon improvements with timelines and required
16.16resources; and
16.17(4) recommended statutory or regulatory changes, if any, necessary to support
16.18implementation."
16.19Page 125, after line 8, insert:
16.21LONG-TERM SERVICES AND SUPPORTS REFORM
16.22 Section 1. Minnesota Statutes 2024, section 256B.49, is amended by adding a subdivision
16.23to read:
16.24 Subd. 17a. Service authorizations and service agreements; generally. Recipients will
16.25be screened and authorized for services according to the federally approved waiver
16.26application and its subsequent amendments.
16.27 Sec. 2. Minnesota Statutes 2024, section 256B.49, is amended by adding a subdivision to
16.28read:
16.29 Subd. 17b. Service authorizations and service agreements; community access for
16.30disability inclusion waiver services. (a) For service agreements under the community
16.31access for disability inclusion waiver program only, the commissioner must require
lead
17.1agency supervisors to review and accept all service agreements entered by lead agency
staff
17.2into the Medicaid management information system (MMIS) prior to the commissioner's
17.3approval of the service agreement.
17.4(b) For a service agreement under the community access for disability inclusion waiver
17.5with a proposed total authorized amount that exceeds the total authorized amount in
the
17.6recipient's prior service agreement by more than the value of legislatively enacted
rate
17.7increases, the commissioner must manually review and manually approve the service
17.8agreement in the MMIS. For purposes of this paragraph, "prior service agreement" means
17.9the service agreement that was in effect 12 months prior to the start date of the
new proposed
17.10service agreement.
17.11(c) In a format prescribed by the commissioner, lead agencies must submit the following
17.12information for all service agreements subject to the commissioner's approval in paragraph
17.13(b):
17.14(1) changes in the number of units authorized;
17.15(2) new services authorized;
17.16(3) changes in the values used to calculate service rates under section 256B.4914,
except
17.17for automatic adjustments required under section 256B.4914, subdivisions 5 and 5b;
17.18(4) changes in the person's level of need requiring an increase in the amount of services
17.19authorized;
17.20(5) documentation detailing why the previous amount of services is not sufficient
to
17.21meet the person's needs; and
17.22(6) anticipated impact if the total service amount is not increased to the proposed
amount.
17.23(d) Except for rate increases required under section 256B.4914, subdivisions 5 and
5b,
17.24and rate changes authorized by the 2025 legislature, the commissioner must not approve
17.25service agreements under paragraph (b) that are not the result of either a documented
change
17.26in a person's assessed needs or documented evidence that the previous level of service
was
17.27insufficient to meet the person's assessed needs.
17.28(e) This subdivision expires upon full implementation of waiver reimagine. The
17.29commissioner must inform the revisor of statutes when waiver reimagine is fully
17.30implemented.
18.1 Sec. 3. Minnesota Statutes 2024, section 256B.49, subdivision 18, is amended to read:
18.2 Subd. 18.
Payments. The commissioner shall reimburse approved vendors from the
18.3medical assistance account for the costs of providing home and community-based services
18.4to eligible recipients using the invoice processing procedures of the Medicaid management
18.5information system (MMIS).
Recipients will be screened and authorized for services
18.6according to the federally approved waiver application and its subsequent amendments.
18.7 Sec. 4.
DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
18.8LONG-TERM SERVICES AND SUPPORTS REFORM WORK GROUP.
18.9 Subdivision 1. Development of alternative service models for long-term services
18.10and supports. (a) By October 1, 2025, the commissioner of human services must convene
18.11a group of department staff and community partners to assist the commissioner in developing
18.12alternative service models to provide long-term services and supports to people with
limited
18.13dependencies, low-acuity assessed needs, or natural supports. The commissioner is
18.14encouraged to consider increasing available service models; tailoring available services
to
18.15meet the needs of the target population; supplementing or subsidizing family caregivers,
18.16religious organizations, social clubs, and similar civic and service organizations;
exercising
18.17the commissioner's authority under Minnesota Statutes, section 256B.092, subdivision
4a;
18.18reexamining the provision of services under Minnesota Statutes, section 245A.03, subdivision
18.199; reexamining the viability of a demonstration project similar for the target population
to
18.20the projects authorized under Minnesota Statutes, sections 256B.69, subdivision 23,
and
18.21256B.77; modifying licensing and regulator requirements to permit family or other
natural
18.22supports to live with a person with a disability, behavioral health needs, or an older
adult
18.23in licensed settings, such as an assisted living facility or senior living setting;
and tax credits
18.24or other tax incentives to encourage intergenerational living arrangements, accessory
dwelling
18.25units, or other residential arrangements that permit easier access to natural supports.
18.26(b) By October 1, 2026, the commissioner must submit to the chairs and ranking minority
18.27members of the legislative committees with jurisdiction over medical assistance long-term
18.28services and supports a set of proposals that if enacted is estimated to reduce excepted
18.29general fund expenditures relative to the February 2025 forecast during the biennium
18.30beginning July 1, 2027, by at least the amount assumed in subdivision 3, paragraph
(a). An
18.31estimate of the estimated savings as well as a summary of the expected impact on people
18.32served must accompany each proposal.
18.33 Subd. 2. Administration. (a) The commissioner of human services must provide meeting
18.34space and general administrative support to the workgroup.
19.1(b) The commissioner of human services must contract with a third party to provide
19.2facilitation services for the workgroup. Use of a third party for this purpose is
exempt from
19.3state procurement process requirements under Minnesota Statutes, chapter 16C.
19.4(c) The commissioner of human services may contract with a third party or parties
to
19.5provide policy research and analysis, data analysis, and administrative support related
to
19.6drafting the action plan and supporting materials. Use of a third party for these
purposes is
19.7exempt from state procurement process requirements under Minnesota Statutes, chapter
19.816C.
19.9 Subd. 3. Savings determination. (a) When preparing the forecast for state revenues and
19.10expenditures under Minnesota Statutes, section 16A.103, the commissioner of management
19.11and budget must assume a reduction of human services spending of $135,000,000 relative
19.12to the February 2025 forecast for the biennium beginning July 1, 2027, until the end
of the
19.13legislative session that enacts a budget for the Department of Human Services for
the
19.14biennium beginning July 1, 2027.
19.15(b) Upon enactment of a budget for the Department of Human Services for the biennium
19.16beginning July 1, 2027, the legislature must identify enacted provisions that were
19.17recommended by or based on the action plan submitted by the commissioner of human
19.18services under subdivision 1.
19.19(c) To the extent the net savings attributable to the provisions identified by the
legislature
19.20under paragraph (b) for the biennium beginning July 1, 2027, are less than the assumed
19.21savings in paragraph (a), the commissioner of human services must implement the contingent
19.22rate reductions described in subdivision 4.
19.23 Subd. 4. Contingent rate reductions. If upon enactment of a budget for the Department
19.24of Human Services for the biennium beginning July 1, 2027, the net savings for the
biennium
19.25beginning July 1, 2027, attributable to the provisions identified by the legislature
under
19.26subdivision 3, paragraph (b), are less than the assumed savings in subdivision 3,
paragraph
19.27(a), notwithstanding Minnesota Statutes, section 256B.4914, the commissioner of human
19.28services must adjust the competitive workforce factors under Minnesota Statutes, section
19.29256B.4914, subdivisions 6 to 9, to a value that will produce by June 30, 2029, a net
reduction
19.30in expected general fund expenditures relative to the February 2025 forecast equal
to the
19.31difference between the savings attributable to the provisions identified in subdivision
3,
19.32paragraph (b), and the assumed savings in subdivision 3, paragraph (a).
19.33EFFECTIVE DATE.This section is effective July 1, 2025.
20.1 Sec. 5.
DIRECTION TO THE COMMISSIONERS OF HUMAN SERVICES AND
20.2MANAGEMENT AND BUDGET; COST SAVING REFORMS WORKING GROUP.
20.3 Subdivision 1. Identifying cost saving reforms. (a) By October 1, 2025, the
20.4commissioner of human services must convene a group of department staff and community
20.5partners to assist the commissioner in identifying cost saving reforms to licensing
20.6requirements, service standards, provider qualifications, provider duties and responsibilities,
20.7lead agency duties and responsibilities, eligibility, covered services, service authorizations,
20.8service limits, service rate calculations, rate enhancements and add-ons, rate exceptions,
20.9rate limits, budget limits, or any other cost saving reforms to medical assistance
long-term
20.10services and supports and other programs serving people with disabilities, people
with
20.11behavioral health needs, or older adults.
20.12(b) By October 1, 2026, the commissioner must submit to the chairs and ranking minority
20.13members of the legislative committees with jurisdiction over medical assistance long-term
20.14services and supports an action plan that if enacted is estimated to reduce excepted
general
20.15fund expenditures relative to the February 2025 forecast during the biennium beginning
20.16July 1, 2027, by at least the amount assumed in subdivision 3, paragraph (a). Each
strategy
20.17included in the action plan must include an estimate of the estimated savings as well
as a
20.18summary of the expected impact on people served.
20.19 Subd. 2. Administration. (a) The commissioner of human services must provide meeting
20.20space and general administrative support to the workgroup.
20.21(b) The commissioner of human services must contract with a third party to provide
20.22facilitation services for the workgroup. Use of a third party for this purpose is
exempt from
20.23state procurement process requirements under Minnesota Statutes, chapter 16C.
20.24(c) The commissioner of human services may contract with a third party or parties
to
20.25provide policy research and analysis, data analysis, and administrative support related
to
20.26drafting the action plan and supporting materials. Use of a third party for these
purposes is
20.27exempt from state procurement process requirements under Minnesota Statutes, chapter
20.2816C.
20.29 Subd. 3. Savings determination. (a) When preparing the forecast for state revenues and
20.30expenditures under Minnesota Statutes, section 16A.103, the commissioner of management
20.31and budget must assume a reduction of human services spending of $150,000,000 relative
20.32to the February 2025 forecast for the biennium beginning July 1, 2027, until the end
of the
20.33legislative session that enacts a budget for the Department of Human Services for
the
20.34biennium beginning July 1, 2027.
21.1(b) Upon enactment of a budget for the Department of Human Services for the biennium
21.2beginning July 1, 2027, the legislature must identify enacted provisions that were
21.3recommended by or based on the action plan submitted by the commissioner of human
21.4services under subdivision 1.
21.5(c) To the extent the net savings attributable to the provisions identified by the
legislature
21.6under paragraph (b) for the biennium beginning July 1, 2027, are less than the assumed
21.7savings in paragraph (a), the commissioner of human services must implement the contingent
21.8rate reductions described in subdivision 4.
21.9 Subd. 4. Contingent rate reductions. If upon enactment of a budget for the Department
21.10of Human Services for the biennium beginning July 1, 2027, the net savings for the
biennium
21.11beginning July 1, 2027, attributable to the provisions identified by the legislature
under
21.12subdivision 3, paragraph (b), are less than the assumed savings in subdivision 3,
paragraph
21.13(a), notwithstanding Minnesota Statutes, section 256B.4914, the commissioner of human
21.14services must adjust the competitive workforce factors under Minnesota Statutes, section
21.15256B.4914, subdivisions 6 to 9, to a value that will produce by June 30, 2029, a net
reduction
21.16in expected general fund expenditures relative to the February 2025 forecast equal
to the
21.17difference between the savings attributable to the provisions identified in subdivision
3,
21.18paragraph (b), and the assumed savings in subdivision 3, paragraph (a).
21.19EFFECTIVE DATE.This section is effective July 1, 2025.
21.20 Sec. 6.
DIRECTION TO COMMISSIONER OF HUMAN SERVICES; OPTIONAL
21.21CONSULTATION SERVICES.
21.22The commissioner of human services must consider submitting a medical assistance
21.23state plan amendment to permit consultation services that are currently required under
the
21.24community first services and supports program to be an optional service for individuals
21.25receiving waiver case management services under Minnesota Statutes, sections 256B.0913,
21.26256B.092, 256B.0922, and 256B.49, or Minnesota Statutes, chapter 256S.
21.27 Sec. 7.
DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES;
21.28LONG-TERM CARE CONSULTATION SERVICES PAYMENT REFORM.
21.29 Subdivision 1. Development of alternative payment methodology for long-term care
21.30consultation services. (a) The commissioner of human services must develop a proposal
21.31for a long-term care consultation services payment methodology that does not rely
on a
21.32time study to determine reimbursement to the counties for providing long-term care
22.1consultation services under Minnesota Statutes, section 256B.0911. The new reimbursement
22.2methodology must be a methodology that:
22.3(1) results in a flat reimbursement amount per long-term care consultation assessment
22.4under Minnesota Statutes, section 256B.0911;
22.5(2) reduces excepted general fund expenditures relative to the February 2025 forecast
22.6during the biennium beginning July 1, 2027, by at least the amount assumed in subdivision
22.72, paragraph (a);
22.8(3) preserves the commissioner's ability to allocate to medical assistance costs incurred
22.9by counties for providing long-term care consultation services; and
22.10(4) does not jeopardize the commissioner's ability to allocate other local administrative
22.11costs to medical assistance or other federal programs.
22.12(b) By October 1, 2026, the commissioner must submit to the chairs and ranking minority
22.13members of the legislative committees with jurisdiction over medical assistance long-term
22.14services and supports the proposal developed under paragraph (a) and any draft legislation
22.15required to implement the proposal.
22.16 Subd. 2. Savings determination. (a) When preparing the forecast for state revenues and
22.17expenditures under Minnesota Statutes, section 16A.103, the commissioner of management
22.18and budget must assume a reduction of human services spending of $18,000,000 relative
22.19to the February 2025 forecast for the biennium beginning July 1, 2027, until the end
of the
22.20legislative session that enacts a budget for the Department of Human Services for
the
22.21biennium beginning July 1, 2027.
22.22(b) Upon enactment of a budget for the Department of Human Services for the biennium
22.23beginning July 1, 2027, the legislature must identify enacted provisions that were
22.24recommended by or based on the proposal submitted by the commissioner of human services
22.25under subdivision 1.
22.26(c) To the extent the net savings attributable to the provisions identified by the
legislature
22.27under paragraph (b) for the biennium beginning July 1, 2027, are less than the assumed
22.28savings in paragraph (a), the commissioner of human services shall implement the contingent
22.29reductions in reimbursement to counties described in subdivision 4.
22.30 Subd. 3. Contingent reimbursement reductions. If upon enactment of a budget for
22.31the Department of Human Services for the biennium beginning July 1, 2027, the net
savings
22.32for the biennium beginning July 1, 2027, attributable to the provisions identified
by the
22.33legislature under subdivision 2, paragraph (b), are less than the assumed savings
in
23.1subdivision 2, paragraph (a), notwithstanding Minnesota Statutes, section 256B.0911,
23.2subdivision 33, the commissioner of human services must reduce the percentage of the
23.3nonfederal share for the provision of long-term care consultation services the state
pays to
23.4the counties as reimbursement to a value that will produce by June 30, 2029, a net
reduction
23.5in expected general fund expenditures relative to the February 2025 forecast equal
to the
23.6difference between the savings attributable to the provisions identified in subdivision
2,
23.7paragraph (b), and the assumed savings in subdivision 2, paragraph (a).
23.8EFFECTIVE DATE.This section is effective July 1, 2025.
23.9 Sec. 8.
DIRECTIONS TO THE COMMISSIONERS OF HUMAN SERVICES AND
23.10MANAGEMENT AND BUDGET; ADDITIONAL OFFSETS TO CONTINGENT
23.11REIMBURSEMENT REDUCTIONS.
23.12(a) When preparing the forecast for state revenues and expenditures under Minnesota
23.13Statutes, section 16A.103, the commissioner of management and budget, in consultation
23.14with the commissioner of human services, must estimate the net reduction in estimated
23.15spending for the biennium beginning July 1, 2027, attributable to the amendments in
sections
23.161 to 3 and 6 of this article that exceed the general fund reductions included in this
act for
23.17these sections of this article.
23.18(b) The commissioner of management and budget must reduce the assumed reductions
23.19in human services spending required under section 7, subdivision 2, paragraph (a),
of this
23.20article by the amount identified in paragraph (a).
23.21(c) If the amount identified in paragraph (a) exceeds the assumed reductions required
23.22under section 7, subdivision 2, paragraph (a), of this article, notwithstanding Minnesota
23.23Statutes, section 256B.0911, subdivision 33, the commissioner of human services must
23.24increase the percentage of the nonfederal share for the provision of long-term care
23.25consultation services the state pays to the counties as reimbursement to a value that
will
23.26produce, by June 30, 2029, a net zero change in expected general fund expenditures
relative
23.27to the February 2025 forecast for these services. "
23.28Page 137, delete sections 19 and 21
23.29Page 138, delete sections 22 and 23
23.30Page 139, line 10, delete the new language and reinstate the stricken language
23.31Page 140, line 11, reinstate the stricken language
23.32Page 140, line 12, delete the new language and reinstate the stricken language
24.1Pages 140 to 142, delete sections 25 to 27
24.2Pages 178 to 179, delete sections 2 to 5
24.3Page 180, line 6, delete everything after "
plan" and insert a period
24.4Page 180, delete lines 7 to 11
24.5Page 241, after line 9, insert:
24.6 "Sec. 22.
[256.4751] MINNESOTA HOMELESS STUDY GRANTS.
24.7 Subdivision 1. Minnesota homeless study grant program established. The
24.8commissioner shall establish a grant program for activities directly related to a
triennial
24.9Minnesota homeless study.
24.10 Subd. 2. Eligibility. Minnesota-based nonprofits with experience conducting point-in-time
24.11study of prevalence of homelessness in Minnesota are eligible for grants under this
section.
24.12 Subd. 3. Study administration and reporting. Beginning in fiscal year 2027, the grantee
24.13must conduct a triennial point-in-time study that includes face-to-face interviews
with people
24.14experiencing homelessness. The grantee must submit a copy of the Minnesota homeless
24.15study and a report that summarizes the findings of the study to the chairs and ranking
24.16minority members of the legislative committees with jurisdiction over human services
and
24.17housing and homelessness by March 1 of the year that is approximately 18 months after
the
24.18date of the point-in-time study.
24.19 Subd. 4. Minnesota homeless study account created. A Minnesota homeless study
24.20account is created in the special revenue fund in the state treasury. Appropriations
made
24.21for the Minnesota homeless study administered under this section must be transferred
to
24.22this account. Money in the Minnesota homeless study account is appropriated to the
24.23commissioner of human services for purposes of this section. Notwithstanding section
24.2416B.98, subdivision 14, for each fiscal year in which a grant is awarded under this
section,
24.25the commissioner may use an amount not to exceed one percent of the money awarded.
24.26 Subd. 5. Carryforward. Notwithstanding section 16A.28, subdivision 3, money in the
24.27Minnesota homeless study account does not cancel."
24.28Page 243, after line 19, insert:
24.29 "Sec. 25.
RESIDENTIAL HOSPICE; IVY HOUSE.
24.30(a) Southern Minnesota Crisis Nursery, DBA Ivy House, may apply under Minnesota
24.31Statutes, sections 144A.75 to 144A.176 to be a licensed residential hospice facility
as defined
25.1in Minnesota Statutes, section 144A.75, subdivision 13, paragraph (a). Nothing in
this
25.2section shall be construed to require the commissioner of health to issue a license
to an
25.3applicant that does not meet the licensing requirements under Minnesota Statutes,
sections
25.4144A.75 to 144A.176.
25.5(b) If Southern Minnesota Crisis Nursery, DBA Ivy House, is issued a residential hospice
25.6facility license under Minnesota Statutes, sections 144A.75 to 144A.176, and meets
all
25.7applicable enrollment criteria under Minnesota Statutes, chapter 256B, it may seek
25.8reimbursement for the provision of hospice respite and end-of-life care for children
under
25.9Minnesota Statutes, section 256B.0625, subdivision 22a. Nothing in this section shall
be
25.10construed to require the commissioner of human services to make payments to any provider
25.11of hospice respite or end-of-life care for children that the provider is not otherwise
lawfully
25.12eligible to receive under Minnesota Statutes, chapter 256B."
25.13Page 245, line 28, delete "
7,764,972,000" and insert "
7,773,337,000" and delete
25.14"
7,919,683,000" and insert "
7,966,009,000"
25.15Page 245, line 32, delete "
7,763,011,000" and insert "
7,771,376,000" and delete
25.16"
7,917,494,000" and insert "
7,963,820,000"
25.17Page 246, line 35, delete "
5,281,000" and insert "
5,032,000"
25.18Page 247, line 7, delete "
$3,536,000" and insert "
$3,385,000" and delete "
$3,352,000"
25.19and insert "
$3,201,000"
25.20Page 247, line 21, delete "
5,513,000" and insert "
13,707,000" and delete "
3,245,000"
25.21and insert "
9,216,000"
25.22Page 248, line 20, delete "
$3,219,000" and insert "
$7,201,000" and delete "
$3,219,000"
25.23and insert "
$5,755,000"
25.24Page 249, line 16, delete "
7,440,131,000" and insert "
7,440,352,000" and delete
25.25"
7,656,740,000" and insert "
7,693,200,000"
25.26Page 249, line 24, delete "
118,318,000" and insert "
122,512,000"
25.27Page 256, line 2, delete "
68,022,000" and insert "
67,522,000" and delete "
28,793,000"
25.28and insert "
28,293,000"
25.29Page 258, delete subdivision 8
25.30Renumber the subdivisions in sequence
25.31Page 265, after line 18, insert:
26.1
26.2
|
"Sec. 127 GRANT PROGRAMS; HOUSING
SUPPORT GRANTS
|
$
|
450,000
|
$
|
450,000
|
26.3Minnesota Homeless Study
26.4$450,000 in fiscal year 2026 and $450,000 in
26.5fiscal year 2027 are for the Minnesota
26.6homeless study under Minnesota Statutes,
26.7section 256.4751."
26.8Page 281, line 11, after "
(a)" insert "
$813,000 of"
26.9Page 281, line 12, delete "
estimated to"
26.10Page 281, line 13, delete everything before "
is"
26.11Page 281, line 16, after "
funding" insert a period
26.12Page 281, after line 29, insert:
26.13 "
Subd. 13. Transfers to and from the workforce incentive grant account. (a) By July
26.1430, 2025, the commissioner must transfer $70,805,000 from the workforce incentive
grant
26.15account in the special revenue fund, under Minnesota Statutes, section 256.4764, subdivision
26.169, to the general fund. This is a onetime transfer.
26.17(b) In fiscal year 2028, the commissioner must transfer $70,805,000 from the general
26.18fund to the workforce incentive grant account in the special revenue fund under Minnesota
26.19Statutes, section 256.4764, subdivision 9. This is a onetime transfer and is available
for the
26.20purposes of the account until June 30, 2029. Any remaining balance cancels to the
general
26.21fund."
26.22Page 281, line 30, after "
enactment" insert "
, except subdivision 13 is effective the day
26.23following final enactment"
26.24Page 284, line 25, delete "
98,775,000" and insert "
173,775,000"
26.25Page 284, line 26, after the period, insert "
The base for fiscal year 2028 includes
26.26$75,000,000 for the renovation of the Anoka Regional Treatment Center Miller Building."
26.27Page 285, line 32, delete "
2,592,000" and insert "
3,092,000" and delete "
2,496,000" and
26.28insert "
2,996,000"
26.29Page 286, line 3, delete "
2,336,000" and insert "
2,836,000" and delete "
2,336,000" and
26.30insert "
2,836,000"
26.31Page 286, delete lines 4 to 7 and insert:
27.1
|
"Subdivision 1.Community Care Hub Grant
|
|
|
|
|
27.2$2,240,000 in fiscal year 2026 and $2,240,000
27.3in fiscal year 2027 are for the community care
27.4hub grant.
27.5
27.6
|
Subd. 2.Spinal Cord and Traumatic Brain
Injury Research
|
|
|
|
|
27.7$500,000 in fiscal year 2026 and $500,000 in
27.8fiscal year 2027 are for a transfer to the spinal
27.9cord and traumatic brain injury grant account
27.10in the special revenue fund under Minnesota
27.11Statutes, section 136A.901, subdivision 1. The
27.12commissioner of management and budget must
27.13include a transfer of $500,000 each year from
27.14the general fund to the spinal cord and
27.15traumatic brain injury grant account in each
27.16forecast prepared under Minnesota Statutes,
27.17section 16A.103."
27.18Adjust amounts accordingly
27.19Renumber the sections in sequence and correct the internal references
27.20Amend the title accordingly
27.21The motion prevailed. #did not prevail. So the amendment was #not adopted.