1.1 A bill for an act 1.2 relating to human services; modifying community first services and supports 1.3 payment rates; amending Minnesota Statutes 2022, section 256B.851, subdivisions 1.4 3, 4, 5. 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.6 Section 1. Minnesota Statutes 2022, section 256B.851, subdivision 3, is amended to read: 1.7 Subd. 3.Payment rates; base wage index.When initially establishing (a) Beginning 1.8January 1, 2024, and every two years thereafter, the commissioner must establish the base 1.9wage component values, the commissioner must use using the Minnesota-specific median 1.10wage for the standard occupational classification (SOC) codes published by the Bureau of 1.11Labor Statistics in the most recently available edition of the Occupational Handbook available 1.12January 1, 2021. The commissioner must calculate the base wage component values as 1.13follows for: 1.14 (1) for personal care assistance services, CFSS, extended personal care assistance services, 1.15and extended CFSS., the base wage component value equals the median wage for personal 1.16care aide (SOC code 31-1120); 1.17 (2) for enhanced rate personal care assistance services and enhanced rate CFSS., the 1.18base wage component value equals the product of median wage for personal care aide (SOC 1.19code 31-1120) and the value of the enhanced rate under section 256B.0659, subdivision 1.2017a 256B.85, subdivision 7a; and 1.21 (3) for qualified professional services and CFSS worker training and development., the 1.22base wage component value equals the sum of 70 percent of the median wage for registered 1.23nurse (SOC code 29-1141), 15 percent of the median wage for health care social worker 1Section 1. 23-00663 as introduced12/14/22 REVISOR AGW/HL SENATE STATE OF MINNESOTA S.F. No. 695NINETY-THIRD SESSION (SENATE AUTHORS: FATEH, Utke, Hoffman, Mitchell and Abeler) OFFICIAL STATUSD-PGDATE Introduction and first reading01/25/2023 Referred to Health and Human Services 2.1(SOC code 21-1099), and 15 percent of the median wage for social and human service 2.2assistant (SOC code 21-1093). 2.3 (b) The commissioner must publish on the department's website the current base wage 2.4component values. 2.5 EFFECTIVE DATE.This section is effective January 1, 2024. 2.6 Sec. 2. Minnesota Statutes 2022, section 256B.851, subdivision 4, is amended to read: 2.7 Subd. 4.Payment rates; total wage index.(a) The commissioner must multiply the 2.8base wage component values in subdivision 3 by one plus the appropriate competitive 2.9workforce factor. The product is products are the total wage component value values. The 2.10commissioner must publish on the department's website the current total wage component 2.11values. 2.12 (b) For personal care assistance services, CFSS, extended personal care assistance 2.13services, extended CFSS, enhanced rate personal care assistance services, and enhanced 2.14rate CFSS, the initial competitive workforce factor is 4.7 percent. Beginning January 1, 2.152024, and every two years thereafter, the commissioner must adjust the total wage component 2.16values in this paragraph by applying an updated competitive workforce factor using the 2.17most recently available data. The commissioner must calculate the biennial update to the 2.18competitive workforce factor after establishing the base wage component values required 2.19in subdivision 3. The commissioner must determine the updated competitive workforce 2.20factor by adjusting it toward the percent difference between: 2.21 (1) the median wage for personal care aide (SOC code 39-9021); and 2.22 (2) the weighted average wage for all other SOC codes with the same Bureau of Labor 2.23Statistics classifications for education, experience, and training required for job competency. 2.24 (c) For each biennial update of the competitive workforce factor under paragraph (b), 2.25the commissioner must not increase or decrease the competitive workforce factor from its 2.26previous value by more than three percentage points. If, after a biennial adjustment, the 2.27competitive workforce factor is less than or equal to zero, the competitive workforce factor 2.28must be zero. The commissioner must publish on the department's website the updated 2.29competitive workforce factor. 2.30 (c) (d) For qualified professional services and CFSS worker training and development, 2.31the competitive workforce factor is zero percent. 2.32 EFFECTIVE DATE.This section is effective January 1, 2024. 2Sec. 2. 23-00663 as introduced12/14/22 REVISOR AGW/HL 3.1 Sec. 3. Minnesota Statutes 2022, section 256B.851, subdivision 5, is amended to read: 3.2 Subd. 5.Payment rates; component values.(a) The commissioner must use the 3.3following component values: 3.4 (1) employee vacation, sick, and training factor, 8.71 percent; 3.5 (2) employer taxes and workers' compensation factor, 11.56 percent; 3.6 (3) employee benefits factor, 12.04 percent; 3.7 (4) client programming and supports factor, 2.30 percent; 3.8 (5) program plan support factor, 7.00 percent; 3.9 (6) general business and administrative expenses factor, 13.25 percent; 3.10 (7) program administration expenses factor, 2.90 percent; and 3.11 (8) absence and utilization factor, 3.90 percent. 3.12 (b) For purposes of implementation, the commissioner shall use the following 3.13implementation components: 3.14 (1) personal care assistance services and CFSS: 75.45 percent; 3.15 (2) enhanced rate personal care assistance services and enhanced rate CFSS: 75.45 3.16percent; and 3.17 (3) qualified professional services and CFSS worker training and development: 75.45 3.18percent. 3.19 (c) Beginning January 1, 2026, and every two years thereafter, the implementation 3.20components under paragraph (b) must be increased by two percentage points until the value 3.21of each implementation component is 100 percent. 3.22 (d) Beginning January 1, 2024, and every two years thereafter, the component value in 3.23paragraph (a), clause (4), shall be updated for changes in the Consumer Price Index by the 3.24difference between the most recent update and the data available six months and one day 3.25before the scheduled update. 3.26 EFFECTIVE DATE.This section is effective January 1, 2024. 3Sec. 3. 23-00663 as introduced12/14/22 REVISOR AGW/HL