1.1 A bill for an act 1.2 relating to state government; creating Department of Direct Care and Treatment 1.3 and Office of Human Services Licensing and Integrity; transferring duties from 1.4 Department of Human Services to new state office; directing commissioners of 1.5 health and human services to contract with third party to administer grant programs 1.6 administered by Department of Health and Department of Human Services; 1.7 directing commissioner of human services to contract with third party to review 1.8 appropriations for information technology projects; providing for 1.9 performance-based budgeting for Department of Human Services; requiring reports; 1.10 amending Minnesota Statutes 2022, sections 15.01; 15.06, subdivision 1; 15A.0815, 1.11 subdivisions 2, 3; 16A.103, subdivision 1a; 16A.11, subdivision 3; 43A.08, 1.12 subdivision 1a; 256.974; 256.9742, subdivision 1; 256.975, by adding a subdivision; 1.13 proposing coding for new law in Minnesota Statutes, chapters 16A; 256; proposing 1.14 coding for new law as Minnesota Statutes, chapters 245J; 246C; repealing 1.15 Minnesota Statutes 2022, section 256.01, subdivision 9. 1.16BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.17 ARTICLE 1 1.18 DEPARTMENT OF DIRECT CARE AND TREATMENT 1.19 Section 1. Minnesota Statutes 2022, section 15.01, is amended to read: 1.20 15.01 DEPARTMENTS OF THE STATE. 1.21 The following agencies are designated as the departments of the state government: the 1.22Department of Administration; the Department of Agriculture; the Department of Commerce; 1.23the Department of Corrections; the Department of Direct Care and Treatment; the Department 1.24of Education; the Department of Employment and Economic Development; the Department 1.25of Health; the Department of Human Rights; the Department of Human Services; the 1.26Department of Information Technology Services; the Department of Iron Range Resources 1.27and Rehabilitation; the Department of Labor and Industry; the Department of Management 1Article 1 Section 1. 23-01192 as introduced01/05/23 REVISOR DTT/AD SENATE STATE OF MINNESOTA S.F. No. 376NINETY-THIRD SESSION (SENATE AUTHORS: DRAHEIM) OFFICIAL STATUSD-PGDATE Introduction and first reading01/17/2023 Referred to State and Local Government and Veterans 2.1and Budget; the Department of Military Affairs; the Department of Natural Resources; the 2.2Department of Public Safety; the Department of Human Services; the Department of 2.3Revenue; the Department of Transportation; the Department of Veterans Affairs; and their 2.4successor departments. 2.5 EFFECTIVE DATE.This section is effective July 1, 2024. 2.6 Sec. 2. Minnesota Statutes 2022, section 15.06, subdivision 1, is amended to read: 2.7 Subdivision 1.Applicability.This section applies to the following departments or 2.8agencies: the Departments of Administration, Agriculture, Commerce, Corrections, Direct 2.9Care and Treatment, Education, Employment and Economic Development, Health, Human 2.10Rights, Human Services, Labor and Industry, Management and Budget, Natural Resources, 2.11Public Safety, Human Services, Revenue, Transportation, and Veterans Affairs; the Housing 2.12Finance and Pollution Control Agencies; the Office of Commissioner of Iron Range 2.13Resources and Rehabilitation; the Department of Information Technology Services; the 2.14Bureau of Mediation Services; and their successor departments and agencies. The heads of 2.15the foregoing departments or agencies are "commissioners." 2.16 EFFECTIVE DATE.This section is effective July 1, 2024. 2.17 Sec. 3. Minnesota Statutes 2022, section 15A.0815, subdivision 2, is amended to read: 2.18 Subd. 2.Group I salary limits.The salary for a position listed in this subdivision shall 2.19not exceed 133 percent of the salary of the governor. This limit must be adjusted annually 2.20on January 1. The new limit must equal the limit for the prior year increased by the percentage 2.21increase, if any, in the Consumer Price Index for all urban consumers from October of the 2.22second prior year to October of the immediately prior year. The commissioner of management 2.23and budget must publish the limit on the department's website. This subdivision applies to 2.24the following positions: 2.25 Commissioner of administration; 2.26 Commissioner of agriculture; 2.27 Commissioner of education; 2.28 Commissioner of commerce; 2.29 Commissioner of corrections; 2.30 Commissioner of direct care and treatment; 2.31 Commissioner of health; 2Article 1 Sec. 3. 23-01192 as introduced01/05/23 REVISOR DTT/AD 3.1 Commissioner, Minnesota Office of Higher Education; 3.2 Commissioner, Housing Finance Agency; 3.3 Commissioner of human rights; 3.4 Commissioner of human services; 3.5 Commissioner of labor and industry; 3.6 Commissioner of management and budget; 3.7 Commissioner of natural resources; 3.8 Commissioner, Pollution Control Agency; 3.9 Commissioner of public safety; 3.10 Commissioner of revenue; 3.11 Commissioner of employment and economic development; 3.12 Commissioner of transportation; and 3.13 Commissioner of veterans affairs. 3.14 EFFECTIVE DATE.This section is effective July 1, 2024. 3.15 Sec. 4. Minnesota Statutes 2022, section 43A.08, subdivision 1a, is amended to read: 3.16 Subd. 1a.Additional unclassified positions.Appointing authorities for the following 3.17agencies may designate additional unclassified positions according to this subdivision: the 3.18Departments of Administration;, Agriculture;, Commerce;, Corrections;, Direct Care and 3.19Treatment, Education;, Employment and Economic Development;, Explore Minnesota 3.20Tourism;, Management and Budget;, Health;, Human Rights;, Human Services, Labor and 3.21Industry;, Natural Resources;, Public Safety; Human Services;, Revenue;, Transportation;, 3.22and Veterans Affairs;, the Housing Finance and Pollution Control Agencies;, the State 3.23Lottery;, the State Board of Investment;, the Office of Administrative Hearings;, the 3.24Department of Information Technology Services;, the Offices of the Attorney General, 3.25Secretary of State, and State Auditor;, the Minnesota State Colleges and Universities;, the 3.26Minnesota Office of Higher Education;, the Perpich Center for Arts Education;, and the 3.27Minnesota Zoological Board. 3.28 A position designated by an appointing authority according to this subdivision must 3.29meet the following standards and criteria: 3Article 1 Sec. 4. 23-01192 as introduced01/05/23 REVISOR DTT/AD 4.1 (1) the designation of the position would not be contrary to other law relating specifically 4.2to that agency; 4.3 (2) the person occupying the position would report directly to the agency head or deputy 4.4agency head and would be designated as part of the agency head's management team; 4.5 (3) the duties of the position would involve significant discretion and substantial 4.6involvement in the development, interpretation, and implementation of agency policy; 4.7 (4) the duties of the position would not require primarily personnel, accounting, or other 4.8technical expertise where continuity in the position would be important; 4.9 (5) there would be a need for the person occupying the position to be accountable to, 4.10loyal to, and compatible with, the governor and the agency head, the employing statutory 4.11board or commission, or the employing constitutional officer; 4.12 (6) the position would be at the level of division or bureau director or assistant to the 4.13agency head; and 4.14 (7) the commissioner has approved the designation as being consistent with the standards 4.15and criteria in this subdivision. 4.16 EFFECTIVE DATE.This section is effective July 1, 2024. 4.17 Sec. 5. [246C.01] DEPARTMENT OF DIRECT CARE AND TREATMENT. 4.18 (a) The Department of Direct Care and Treatment is created. The governor shall appoint 4.19the commissioner of direct care and treatment under section 15.06. The commissioner shall 4.20develop and maintain direct care and treatment in a manner consistent with sections 245.461 4.21and 245.487 and chapters 246, 246B, 252, 253, 253B, 253C, 253D, 254A, 254B, and 256. 4.22The Department of Direct Care and Treatment shall provide direct care and treatment services 4.23in coordination with counties and other vendors. Direct care and treatment services shall 4.24include: specialized inpatient programs at secure treatment facilities as defined in sections 4.25253B.02, subdivision 18a, and 253D.02, subdivision 13; community preparation services; 4.26regional treatment centers; enterprise services; consultative services; aftercare services; 4.27community-based services and programs; transition services; nursing home services; and 4.28other services consistent with the mission of the Department of Direct Care and Treatment. 4.29 (b) "Community preparation services" means specialized inpatient or outpatient services 4.30or programs operated outside of a secure environment but administered by a secure treatment 4.31facility. 4.32 EFFECTIVE DATE.This section is effective July 1, 2024. 4Article 1 Sec. 5. 23-01192 as introduced01/05/23 REVISOR DTT/AD 5.1 Sec. 6. [246C.05] TRANSFER OF DUTIES. 5.2 (a) Section 15.039 applies to the transfer of duties required by this chapter. 5.3 (b) The commissioner of administration, with the governor's approval, shall issue 5.4reorganization orders under section 16B.37 as necessary to carry out the transfer of duties 5.5required by section 246C.01. The provision of section 16B.37, subdivision 1, stating that 5.6transfers under section 16B.37 may only be to an agency that has existed for at least one 5.7year does not apply to transfers to an agency created by this chapter. 5.8 (c) The initial salary for the commissioner of direct care and treatment is the same as 5.9the salary for the health systems chief executive officer of direct care and treatment at the 5.10Department of Human Services immediately before July 1, 2024. The salary may change 5.11in the manner specified in section 15A.0815. 5.12 (d) The commissioner of management and budget shall ensure that the aggregate cost 5.13for the commissioner of direct care and treatment is not more than the aggregate cost of the 5.14primary executives in the Department of Human Services responsible for management of 5.15direct care and treatment immediately before July 1, 2024. 5.16 (e) For an employee affected by the transfer of duties required by section 246C.01, the 5.17employee's seniority accrual at the employee's former agency transfers to the employee's 5.18new agency. 5.19 EFFECTIVE DATE.This section is effective July 1, 2024. 5.20 Sec. 7. REVISOR INSTRUCTION. 5.21 The revisor of statutes, in consultation with staff from the House Research Department; 5.22House Fiscal Analysis; the Office of Senate Counsel, Research and Fiscal Analysis; and 5.23the respective departments shall prepare legislation for introduction in the 2024 legislative 5.24session proposing the statutory changes necessary to implement the transfers of duties that 5.25this article requires. 5.26 EFFECTIVE DATE.This section is effective July 1, 2023. 5.27 ARTICLE 2 5.28 OFFICE OF HUMAN SERVICES LICENSING AND INTEGRITY 5.29 Section 1. Minnesota Statutes 2022, section 15.06, subdivision 1, is amended to read: 5.30 Subdivision 1.Applicability.This section applies to the following departments or 5.31agencies: the Departments of Administration, Agriculture, Commerce, Corrections, 5Article 2 Section 1. 23-01192 as introduced01/05/23 REVISOR DTT/AD 6.1Education, Employment and Economic Development, Health, Human Rights, Labor and 6.2Industry, Management and Budget, Natural Resources, Public Safety, Human Services, 6.3Revenue, Transportation, and Veterans Affairs; the Housing Finance and Pollution Control 6.4Agencies; the Office of Commissioner of Iron Range Resources and Rehabilitation; the 6.5Department of Information Technology Services; the Bureau of Mediation Services; and 6.6their successor departments and agencies. The heads of the foregoing departments or agencies 6.7are "commissioners." This subdivision also applies to the Office of Human Services Licensing 6.8and Integrity. 6.9 EFFECTIVE DATE.This section is effective July 1, 2024. 6.10 Sec. 2. Minnesota Statutes 2022, section 15A.0815, subdivision 3, is amended to read: 6.11 Subd. 3.Group II salary limits.The salary for a position listed in this subdivision shall 6.12not exceed 120 percent of the salary of the governor. This limit must be adjusted annually 6.13on January 1. The new limit must equal the limit for the prior year increased by the percentage 6.14increase, if any, in the Consumer Price Index for all urban consumers from October of the 6.15second prior year to October of the immediately prior year. The commissioner of management 6.16and budget must publish the limit on the department's website. This subdivision applies to 6.17the following positions: 6.18 Executive director of Gambling Control Board; 6.19 Commissioner of Iron Range resources and rehabilitation; 6.20 Commissioner, Bureau of Mediation Services; 6.21 Director, Office of Human Services Licensing and Integrity; 6.22 Ombudsman for mental health and developmental disabilities; 6.23 Ombudsperson for corrections; 6.24 Chair, Metropolitan Council; 6.25 School trust lands director; 6.26 Executive director of pari-mutuel racing; and 6.27 Commissioner, Public Utilities Commission. 6.28 EFFECTIVE DATE.This section is effective July 1, 2024. 6.29 Sec. 3. [245J.01] DEFINITIONS. 6.30 Subdivision 1.Definitions.The definitions in this section apply to chapter 245J. 6Article 2 Sec. 3. 23-01192 as introduced01/05/23 REVISOR DTT/AD 7.1 Subd. 2.Department."Department" means the Department of Human Services, unless 7.2otherwise specified. 7.3 Subd. 3.Commissioner."Commissioner" means the commissioner of human services, 7.4unless otherwise specified. 7.5 Subd. 4.Director."Director" means the director of the Office of Human Services 7.6Licensing and Integrity. 7.7 Subd. 5.Office."Office" means the Office of Human Services Licensing and Integrity. 7.8 Sec. 4. [245J.02] OFFICE OF HUMAN SERVICES LICENSING AND INTEGRITY; 7.9CREATION; DIRECTOR; RESPONSIBILITIES. 7.10 Subdivision 1.Creation.The Office of Human Services Licensing and Integrity is 7.11created. 7.12 Subd. 2.Director.The director of the Office of Human Services Licensing and Integrity 7.13shall be appointed by the governor with the advice and consent of the senate. 7.14 Subd. 3.Responsibilities.The office shall, in coordination with local human services 7.15agencies, where applicable, perform licensing, background studies, and program integrity 7.16functions for all programs administered by the department, which includes the following 7.17specific activities: 7.18 (1) conduct licensing functions related to programs administered by the Department of 7.19Human Services, including adult day care, child care and early education, children's 7.20residential facilities, foster care, home and community-based services, independent living 7.21assistance for youth, outpatient mental health clinics or centers, residential mental health 7.22treatment for adults, and substance use disorder treatment consistent with chapters 245, 7.23245A, 245D, 245F, 245G, 245H, 252, and 256; 7.24 (2) conduct background studies according to sections 144.057, 144A.476, 144A.62, 7.25144A.754, and 157.17, and chapter 245C; 7.26 (3) ensure the detection, prevention, and investigation of fraudulent activities or behavior 7.27by applicants, recipients, providers, and other participants in all programs administered by 7.28the department; 7.29 (4) require county agencies to identify overpayments, establish claims, and utilize all 7.30available and cost-beneficial methodologies to collect and recover overpayments in all 7.31programs administered by the department; 7Article 2 Sec. 4. 23-01192 as introduced01/05/23 REVISOR DTT/AD 8.1 (5) refer cases of fraudulent activities or behavior by applicants, recipients, providers, 8.2and other participants in human services programs to the department or to law enforcement 8.3for resolution as required by law; 8.4 (6) conduct program evaluations and audits of the department to ensure the absence of 8.5waste, fraud, or abuse in any program administered by the department; and 8.6 (7) contract with an independent third party to audit the financial activities of the 8.7Department of Human Services relating to its administration of human services programs. 8.8The third-party auditor shall not duplicate any ongoing audit by the legislative auditor. 8.9 Subd. 4.Annual report.(a) The director shall report annually by February 1 to the 8.10chairs and ranking minority members of the legislative committees with jurisdiction over 8.11human services on the activities of the office to carry out the duties under this section. The 8.12annual report shall include the following: 8.13 (1) information relating to investigations undertaken by the office, including the number 8.14of cases investigated, categorized by type, with a specific section detailing investigations 8.15or audits of the department; 8.16 (2) an accounting of funds recovered as a result of the activities of the office; 8.17 (3) the monetary value that resulted from fraud prevention activities conducted by the 8.18office; and 8.19 (4) any specific recommendations to reduce waste, fraud, or abuse in any program 8.20administered by the department. 8.21 (b) This subdivision does not expire. 8.22 Subd. 5.Access to records.The director or designee has access to data of any state 8.23agency necessary for the discharge of the duties in subdivision 3, including records classified 8.24as confidential data on individuals or private data on individuals under chapter 13, or any 8.25other law. The director's data request must relate to a specific case and is subject to section 8.2613.03, subdivision 4. 8.27 Subd. 6.Access to employees.The director or designee has access to any official or 8.28employee of any state or local agency necessary for the discharge of its duties in subdivision 8.293. No person may interfere with or impede an investigation or audit conducted by the office. 8.30 EFFECTIVE DATE.This section is effective July 1, 2024. 8Article 2 Sec. 4. 23-01192 as introduced01/05/23 REVISOR DTT/AD 9.1 Sec. 5. [245J.03] RELATIONSHIP TO DEPARTMENT OF HUMAN SERVICES. 9.2 (a) The responsibilities in section 245J.02, subdivision 3, shall belong solely to the office 9.3and no other state agency or office. The activities of the office shall be limited to those 9.4necessary to carry out licensing, background studies, and program integrity functions for 9.5all programs administered by the Department of Human Services. The office shall not have 9.6responsibility to develop policies, standards, or legislative proposals regarding licensing, 9.7background studies, or program integrity functions for programs administered by the 9.8Department of Human Services. 9.9 (b) The director is authorized to enter agreements with the commissioner to establish 9.10how the office shall carry out the duties in section 245J.02, subdivision 3, in conformity 9.11with the applicable program policies, procedures, and standards developed by the department. 9.12The director is authorized to enter additional agreements with the commissioner or any 9.13other state agency or office as needed to carry out the duties in section 245J.02, subdivision 9.143. 9.15 Sec. 6. TRANSFER OF DUTIES; OFFICE OF HUMAN SERVICES LICENSING 9.16AND INTEGRITY. 9.17 (a) Minnesota Statutes, section 15.039, applies to the transfer of duties required by 9.18Minnesota Statutes, chapter 245J. 9.19 (b) The commissioner of administration, with approval of the governor, shall issue 9.20reorganization orders under Minnesota Statutes, section 16B.37, as necessary to carry out 9.21the transfer of duties required by Minnesota Statutes, chapter 245J. The provision of 9.22Minnesota Statutes, section 16B.37, subdivision 1, stating that transfers under that section 9.23may be made only to an agency that has been in existence for at least one year does not 9.24apply to transfers to the Office of Human Services Licensing and Integrity created by 9.25Minnesota Statutes, section 245J.02. 9.26 (c) The commissioner of management and budget shall ensure that the aggregate cost 9.27for the Office of Human Services Licensing and Integrity is not more than the aggregate 9.28amount of the Department of Human Services budget activities that relate to the 9.29responsibilities listed in Minnesota Statutes, section 245J.02, subdivision 3, as of June 30, 9.302024. 9.31 (d) For an employee affected by the transfer of duties required by Minnesota Statutes, 9.32chapter 245J, the seniority accrued by the employee at the employee's former agency transfers 9.33to the employee's new position at the Office of Human Services Licensing and Integrity. 9Article 2 Sec. 6. 23-01192 as introduced01/05/23 REVISOR DTT/AD 10.1 EFFECTIVE DATE.This section is effective July 1, 2024. 10.2 Sec. 7. DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES. 10.3 (a) Prior to July 1, 2024, the commissioner of human services shall review examples 10.4from states that operate decentralized offices of licensing, background studies, or program 10.5integrity activities for state human services programs in order to develop any necessary 10.6agreements or policies for the Office of Human Services Licensing and Integrity to conduct 10.7the responsibilities in Minnesota Statutes, section 245J.02, subdivision 3. 10.8 (b) By February 1, 2024, the commissioner of human services shall identify any divisions 10.9of the Department of Human Services that could not be transferred to the Office of Human 10.10Services Licensing and Integrity without avoidable financial waste. The commissioner of 10.11human services shall report to the chairs and ranking minority members of the legislative 10.12committees with jurisdiction over human services on the divisions of the Department of 10.13Human Services that the commissioner believes should remain within the Department of 10.14Human Services. 10.15 (c) Effective July 1, 2024, the Department of Human Services shall not duplicate any 10.16activity performed by the Office of Human Services Licensing and Integrity to carry out 10.17the responsibilities in Minnesota Statutes, section 245J.02, subdivision 3. Prior to July 1, 10.182024, the commissioner of human services shall seek any federal waivers necessary to 10.19comply with this paragraph. 10.20 EFFECTIVE DATE.This section is effective the day following final enactment. 10.21Sec. 8. REVISOR INSTRUCTION. 10.22 The revisor of statutes, in consultation with staff from the House Research Department; 10.23House Fiscal Analysis; the Office of Senate Counsel, Research and Fiscal Analysis; and 10.24the Department of Human Services, shall prepare legislation by January 31, 2024, to make 10.25any statutory changes necessary to achieve the transfer of duties from the Department of 10.26Human Services to the Office of Human Services Licensing and Integrity required by this 10.27article. 10.28 EFFECTIVE DATE.This section is effective the day following final enactment. 10Article 2 Sec. 8. 23-01192 as introduced01/05/23 REVISOR DTT/AD 11.1 ARTICLE 3 11.2 DEPARTMENT OF HUMAN SERVICES 11.3 PERFORMANCE-BASED BUDGETING; 11.4 GRANT PROGRAM ADMINISTRATION; 11.5 IT APPROPRIATIONS REVIEW 11.6 Section 1. Minnesota Statutes 2022, section 16A.103, subdivision 1a, is amended to read: 11.7 Subd. 1a.Forecast parameters.(a) Except as provided in paragraph (b), the forecast 11.8must assume the continuation of current laws and reasonable estimates of projected growth 11.9in the national and state economies and affected populations. Revenue must be estimated 11.10for all sources provided for in current law. Expenditures must be estimated for all obligations 11.11imposed by law and those projected to occur as a result of variables outside the control of 11.12the legislature. Expenditure estimates must not include an allowance for inflation. 11.13 (b) Notwithstanding paragraph (a) and any appropriations established in law, all 11.14expenditures for the Department of Human Services and the Department of Direct Care and 11.15Treatment estimated for the November forecast must be zero. The forecasted expenditures 11.16in the February forecast must be zero for the Department of Human Services and the 11.17Department of Direct Care and Treatment if they were zero in the preceding November 11.18forecast as a result of the requirements of this paragraph. The commissioner shall not apply 11.19this paragraph to forecasted expenditures for the current biennium, but shall apply the 11.20requirements of this paragraph to the forecasted expenditures for the next two bienniums. 11.21 EFFECTIVE DATE.This section is effective July 1, 2023. 11.22Sec. 2. Minnesota Statutes 2022, section 16A.11, subdivision 3, is amended to read: 11.23 Subd. 3.Part two: detailed budget.(a) Part two of the budget, the detailed budget 11.24estimates both of expenditures and revenues, must contain any statements on the financial 11.25plan which the governor believes desirable or which may be required by the legislature. 11.26The detailed estimates shall include the governor's budget arranged in tabular form. 11.27 (b) Tables listing expenditures for the next biennium must show the appropriation base 11.28for each year. The appropriation base is the amount appropriated for the second year of the 11.29current biennium. The tables must separately show any adjustments to the base required by 11.30current law or policies of the commissioner of management and budget. For forecasted 11.31programs, the tables must also show the amount of the forecast adjustments, based on the 11.32most recent forecast prepared by the commissioner of management and budget under section 11.3316A.103. For all programs, the tables must show the amount of appropriation changes 11Article 3 Sec. 2. 23-01192 as introduced01/05/23 REVISOR DTT/AD 12.1recommended by the governor, after adjustments to the base and forecast adjustments, and 12.2the total recommendation of the governor for that year. 12.3 (c) The detailed estimates must include a separate line listing the total cost of professional 12.4and technical service contracts for the prior biennium and the projected costs of those 12.5contracts for the current and upcoming biennium. They must also include a summary of the 12.6personnel employed by the agency, reflected as full-time equivalent positions. 12.7 (d) The detailed estimates for internal service funds must include the number of full-time 12.8equivalents by program; detail on any loans from the general fund, including dollar amounts 12.9by program; proposed investments in technology or equipment of $100,000 or more; an 12.10explanation of any operating losses or increases in retained earnings; and a history of the 12.11rates that have been charged, with an explanation of any rate changes and the impact of the 12.12rate changes on affected agencies. 12.13 (e) Notwithstanding paragraph (b) and any appropriation established in law in the year 12.14prior to the year in which part two of the budget under paragraph (a) must be submitted, 12.15the appropriation base for any appropriation made to the Department of Human Services 12.16or the Department of Direct Care and Treatment for the next two bienniums must be zero. 12.17The commissioner must display the appropriation base established under this paragraph in 12.18the tables and narrative of part two of the budget under paragraph (a). 12.19 EFFECTIVE DATE.This section is effective July 1, 2023. 12.20Sec. 3. [16A.111] PERFORMANCE-BASED BUDGET. 12.21 Subdivision 1.Performance-based budget.(a) By November 30, 2023, and annually 12.22thereafter, the Department of Human Services and the Department of Direct Care and 12.23Treatment must each submit to the commissioner a proposed detailed operating budget for 12.24the biennium beginning July 1 of the following year using performance-based budgeting, 12.25including a performance-based budget plan. The commissioner of management and budget 12.26shall provide technical assistance to enable the Department of Human Services and the 12.27Department of Direct Care and Treatment to each complete a proposed detailed operating 12.28budget as specified by the commissioner of management and budget. 12.29 (b) The commissioner of management and budget shall adopt policies and procedures 12.30for the Department of Human Services and the Department of Direct Care and Treatment 12.31to implement this section. 12Article 3 Sec. 3. 23-01192 as introduced01/05/23 REVISOR DTT/AD 13.1 (c) As used in this section, "performance-based budgeting" means a method of 13.2determining the budget of a department, institution, or agency for which the budget of the 13.3department, institution, or agency: 13.4 (1) is deemed to be zero in the November forecast, the February forecast, and the 13.5governor's budget recommendations that precede the establishment of a biennial budget; 13.6and 13.7 (2) has justified each proposed expenditure for the biennium covered by the budget as 13.8if it were a new expenditure. 13.9 (d) The Department of Human Services and the Department of Direct Care and Treatment 13.10must each submit to the legislature a detailed operating budget and performance-based 13.11budget plan developed under this subdivision. The information must be submitted to the 13.12legislature at the same time that part two under section 16A.11, subdivision 3, paragraph 13.13(a), of the governor's budget is required to be submitted under section 16A.11, subdivision 13.141. 13.15 Subd. 2.Performance-based budget plan.A performance-based budget plan includes 13.16the following information: 13.17 (1) a description of activities that comprise the agency and a justification for the existence 13.18of each activity by reference to statute or other legal authority; 13.19 (2) for each activity, a quantitative estimate of any adverse impacts that could reasonably 13.20occur if the activity is discontinued and a description of the methods by which the adverse 13.21impact is estimated; 13.22 (3) a list of quantifiable program outcomes that measure the efficiency and effectiveness 13.23of each program; 13.24 (4) for each activity, an itemized account of expenditures required to maintain the activity 13.25at the minimum level of service required by statutory authority and a concise statement of 13.26the quantity and quality of services required at that minimum level; 13.27 (5) for each activity, an itemized account of expenditures required to maintain the quantity 13.28and quality of services being provided and the number of personnel necessary to accomplish 13.29each program; and 13.30 (6) a ranking of all activities that shows the relative contribution of each activity to the 13.31overall goals and purposes of the agency at current service levels. 13.32 EFFECTIVE DATE.This section is effective July 1, 2023. 13Article 3 Sec. 3. 23-01192 as introduced01/05/23 REVISOR DTT/AD 14.1 Sec. 4. DIRECTION TO THE COMMISSIONERS OF HEALTH AND HUMAN 14.2SERVICES; GRANT PROGRAM ADMINISTRATION CONTRACT. 14.3 By December 31, 2023, the commissioner of health and the commissioner of human 14.4services must contract with an independent third party to administer, beginning July 1, 2024, 14.5all grant programs administered by the Department of Health and the Department of Human 14.6Services as of December 31, 2023. The contract shall include the Department of Health and 14.7the Department of Human Services amounts to administer grants and the amounts for grants. 14.8Notwithstanding any law to the contrary, the contract shall allow a maximum of two percent 14.9for administration of the grant funds by the independent third party. 14.10 EFFECTIVE DATE.This section is effective the day following final enactment. 14.11Sec. 5. DIRECTION TO THE COMMISSIONER OF HUMAN SERVICES; HUMAN 14.12SERVICES INFORMATION TECHNOLOGY APPROPRIATIONS REVIEW. 14.13 (a) By December 31, 2023, the commissioner of human services shall contract with a 14.14third party to review, assess, and report on all appropriations for active information 14.15technology projects at the Department of Human Services, beginning January 1, 2024. At 14.16a minimum, the contractor's report shall include: 14.17 (1) a technical assessment of the information technology projects, including whether 14.18the project complies with any legislative requirements; 14.19 (2) an assessment of the feasibility of each information technology project, including 14.20whether each project is on schedule or meets applicable deadlines or performance measures; 14.21 (3) an assessment of the funding for information technology projects, including 14.22identifying waste, insufficient funding, or overspending; and 14.23 (4) recommendations to improve the efficiency or outcome of an information technology 14.24project. 14.25 (b) The contractor shall report its findings to the commissioner and the chairs and ranking 14.26minority members of the legislative committees with jurisdiction over human services by 14.27December 31, 2024. 14.28 EFFECTIVE DATE.This section is effective the day following final enactment. 14Article 3 Sec. 5. 23-01192 as introduced01/05/23 REVISOR DTT/AD 15.1 ARTICLE 4 15.2 MINNESOTA BOARD ON AGING; 15.3 OFFICE OF OMBUDSMAN FOR LONG-TERM CARE 15.4 Section 1. Minnesota Statutes 2022, section 256.974, is amended to read: 15.5 256.974 OFFICE OF OMBUDSMAN FOR LONG-TERM CARE. 15.6 The ombudsman for long-term care is appointed by the governor, serves in the classified 15.7unclassified service under section 256.01, subdivision 7, and may be removed only for just 15.8cause. The ombudsman must be selected without regard to political affiliation and must be 15.9a person who has knowledge and experience concerning the treatment, needs, and rights of 15.10consumers of long-term care and who is highly competent and qualified. A person may not 15.11serve as ombudsman while holding another public office or being employed by the 15.12Department of Human Services. The ombudsman serves in an office within the Minnesota 15.13Board on Aging that incorporates the long-term care ombudsman program required by the 15.14Older Americans Act, as amended, United States Code, title 42, sections 3027(a)(9) and 15.153058g(a), and Code of Federal Regulations, title 45, parts 1321 and 1327. The office shall 15.16be a distinct entity, separately identifiable from other state agencies and may not be an 15.17agency engaged in the provision of nursing home care, hospital care, or home care services 15.18either directly or by contract, or have the responsibility for planning, coordinating, funding, 15.19or administering nursing home care, hospital care, or home care services. 15.20Sec. 2. Minnesota Statutes 2022, section 256.9742, subdivision 1, is amended to read: 15.21 Subdivision 1.Duties.The office ombudsman shall: 15.22 (1) gather information and evaluate any act, practice, policy, procedure, or administrative 15.23action of a long-term care facility, acute care facility, home care service provider, or 15.24government agency that may adversely affect the health, safety, welfare, or rights of any 15.25client; 15.26 (2) mediate or advocate on behalf of clients; 15.27 (3) monitor and evaluate the development and implementation of federal, state, or local 15.28laws, rules, regulations, and policies affecting the rights and benefits of clients; 15.29 (4) comment on and recommend make recommendations to public and private agencies, 15.30the governor, and the legislature regarding laws, rules, regulations, and policies affecting 15.31clients; 15.32 (5) inform public agencies about the problems of clients; 15Article 4 Sec. 2. 23-01192 as introduced01/05/23 REVISOR DTT/AD 16.1 (6) provide for training of volunteers and promote the development of citizen participation 16.2in the work of the office; 16.3 (7) conduct public forums to obtain information about and publicize issues affecting 16.4clients; 16.5 (8) provide public education regarding the health, safety, welfare, and rights of clients; 16.6and 16.7 (9) collect and analyze data relating to complaints, conditions, and services. 16.8 Sec. 3. [256.9746] ORGANIZATION OF OFFICE OF OMBUDSMAN FOR 16.9LONG-TERM CARE. 16.10 Subdivision 1.Staff.The ombudsman may appoint two deputies and a confidential 16.11secretary in the unclassified service and may appoint other employees as authorized by the 16.12legislature. The ombudsman and the full-time staff are members of the Minnesota State 16.13Retirement Association. 16.14 Subd. 2.Delegation.The ombudsman may delegate to representatives of the office any 16.15authority or duties of the ombudsman except the duty of formally making recommendations 16.16to an agency or facility or reports to the governor or the legislature. 16.17Sec. 4. [256.9747] REIMBURSEMENT TO OFFICE OF OMBUDSMAN FOR 16.18LONG-TERM CARE. 16.19 The commissioner of human services shall obtain federal financial participation for 16.20eligible activity by the ombudsman for long-term care. The ombudsman shall maintain and 16.21transmit to the Department of Human Services documentation that is necessary to obtain 16.22federal funds. 16.23Sec. 5. [256.9748] RECOMMENDA TIONS AND REPORTS TO GOVERNOR. 16.24 Subdivision 1.Specific reports.The ombudsman may send to the governor or the 16.25legislature conclusions and suggestions concerning any matter. Before making public a 16.26conclusion or recommendation that expressly or implicitly criticizes an agency, facility, 16.27program, or person, the ombudsman shall consult with the governor and the agency, facility, 16.28program, or person concerning the conclusion or recommendation. When sending a 16.29conclusion or recommendation to the governor or legislature that is adverse to an agency, 16.30facility, program, or person, the ombudsman shall include a statement made by that agency, 16.31facility, program, or person in defense or mitigation of the office's conclusion or 16Article 4 Sec. 5. 23-01192 as introduced01/05/23 REVISOR DTT/AD 17.1recommendation. The governor may not prohibit the ombudsman from sending conclusions 17.2or suggestions to the legislature or prohibit the ombudsman from making conclusions or 17.3recommendations public. 17.4 Subd. 2.General reports.In addition to conclusions or recommendations the ombudsman 17.5makes to the governor or legislature on an ad hoc basis, the ombudsman shall, at the end 17.6of each biennium, report to the governor concerning the exercise of the ombudsman's 17.7functions during the preceding biennium. 17.8 Sec. 6. Minnesota Statutes 2022, section 256.975, is amended by adding a subdivision to 17.9read: 17.10 Subd. 1b.Executive director; staff.The board may select an executive director of the 17.11board by a vote of a majority of board members. The executive director shall be in the 17.12unclassified service of the state and shall provide administrative support for the board and 17.13provide administrative leadership to implement board mandates, policies, and objectives. 17.14A person may not serve as executive director of the board while being employed by the 17.15Department of Human Services. The executive director shall employ and direct staff 17.16authorized according to state law and necessary to carry out board mandates, policies, 17.17activities, and objectives. The salary of the executive director and staff shall be established 17.18pursuant to chapter 43A. The executive director and staff shall be reimbursed for the actual 17.19and necessary expenses incurred as a result of their board responsibilities. 17.20Sec. 7. SMALL AGENCY ADMINISTRATIVE SUPPORT SERVICES. 17.21 The commissioner of administration shall, under Minnesota Statutes, section 16B.371, 17.22evaluate the needs of the Board on Aging for administrative support services. If after an 17.23evaluation the commissioner requires the board to receive administrative support services, 17.24the commissioner may not designate the Department of Human Services to provide the 17.25required administrative support services. 17.26Sec. 8. REPEALER. 17.27 Minnesota Statutes 2022, section 256.01, subdivision 9, is repealed. 17Article 4 Sec. 8. 23-01192 as introduced01/05/23 REVISOR DTT/AD 256.01 COMMISSIONER OF HUMAN SERVICES; POWERS, DUTIES. Subd. 9.Staff assistance to the Minnesota Board on Aging.The board shall be provided staff assistance from the Department of Human Services through the special consultant on aging, who shall serve as the executive secretary to the board and its committees. 1R APPENDIX Repealed Minnesota Statutes: 23-01192