1.1 A bill for an act 1.2 relating to human services; directing the commissioner of human services to 1.3 authorize indirect billing for individualized home supports. 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.5 Section 1. DIRECTION TO COMMISSIONER; BILLABLE INDIRECT TIME 1.6AUTHORIZATION FOR INDIVIDUALIZED HOME SUPPORTS. 1.7 (a) No later than December 1, 2025, the commissioner of human services must submit 1.8to the federal Centers for Medicare and Medicaid Services all necessary amendments to 1.9home and community-based services waiver plans to allow providers of individualized 1.10home supports with training, individualized home supports without training, and 1.11individualized home supports with family training to bill for the indirect provision of services 1.12described in paragraph (c), provided: 1.13 (1) the services are necessary to ensure continuity of other necessary services and supports 1.14for the service recipient; 1.15 (2) reasonable attempts have been made to directly involve the service recipient in the 1.16service, or the recipient is not able to be directly involved due to illness, injury, or other 1.17factors; or 1.18 (3) the service recipient has made an informed choice to allow for services to be provided 1.19without the service recipient's direct contact. 1.20 (b) For the purposes of this section, "indirect provision of services" means services 1.21provided without direct contact as defined in Minnesota Statutes, section 245C.02, 1.22subdivision 11, and not through remote support as defined in the relevant waiver plan. 1Section 1. REVISOR DTT/HL 25-0063211/19/24 State of Minnesota This Document can be made available in alternative formats upon request HOUSE OF REPRESENTATIVES H. F. No. 1095 NINETY-FOURTH SESSION Authored by Frederick, Curran and Schomacker02/19/2025 The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (c) In the waiver plan amendments submitted under paragraph (a), the commissioner 2.2must seek federal approval of billing for the indirect provision of at least the following 2.3allowable individualized home supports: 2.4 (1) researching, coordinating, and arranging for transportation, necessary equipment, 2.5and all support and training needed to allow a service recipient to safely access the 2.6community; 2.7 (2) arranging and coordinating access to all necessary health care, including scheduling 2.8medical appointments, communicating with health professionals, benefits fact-gathering, 2.9review and analysis, and all support and training needed to support the service recipient's 2.10health and well-being; 2.11 (3) coordinating and advocating to ensure needed legal support, crisis prevention, positive 2.12support strategies, and all support and training needed to maintain the service recipient's 2.13preferences; 2.14 (4) collaborating with employers to ensure maintenance of the service recipient's desired 2.15employment; 2.16 (5) arranging and coordinating access to resources to meet basic needs, including 2.17necessary shelter, food shelf, and telephone and Internet services; 2.18 (6) coordinating to ensure the service recipient is able to continue to live independently 2.19in the service recipient's own home, including collaborating with property management, 2.20coordinating with other home and community-based service providers, meeting with the 2.21recipient's interdisciplinary team members, and ensuring access to proper equipment and 2.22technology and all support and training needed to maintain the service recipient's preferences; 2.23and 2.24 (7) coordinating with other service providers and natural supports as needed for status 2.25changes and crisis management. 2.26 EFFECTIVE DATE.This section is effective July 1, 2025. 2Section 1. REVISOR DTT/HL 25-0063211/19/24