1.1 A bill for an act 1.2 relating to behavioral health; modifying substance use disorder comprehensive 1.3 assessment requirements and treatment provider qualifications; requiring a study 1.4 and report on substance use disorder treatment practice limitations; amending 1.5 Minnesota Statutes 2024, sections 245G.05, subdivision 1; 245G.11, subdivision 1.6 7. 1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.8 Section 1. Minnesota Statutes 2024, section 245G.05, subdivision 1, is amended to read: 1.9 Subdivision 1.Comprehensive assessment.(a) A comprehensive assessment of the 1.10client's substance use disorder must be administered face-to-face by an alcohol and drug 1.11counselor within five calendar days from the day of service initiation for a residential 1.12program or by the end of the fifth day on which a treatment service is provided in a 1.13nonresidential program. The number of days to complete the comprehensive assessment 1.14excludes the day of service initiation. If the comprehensive assessment is not completed 1.15within the required time frame, the person-centered reason for the delay and the planned 1.16completion date must be documented in the client's file. The comprehensive assessment is 1.17complete upon a qualified staff member's dated signature. If the client received a 1.18comprehensive assessment that authorized the treatment service, an alcohol and drug 1.19counselor may use the comprehensive assessment for requirements of this subdivision but 1.20must document a review of the comprehensive assessment and update the comprehensive 1.21assessment as clinically necessary to ensure compliance with this subdivision within 1.22applicable timelines. An alcohol and drug counselor must sign and date the comprehensive 1.23assessment review and update. 1.24 (b) A comprehensive assessment must be administered by: 1Section 1. REVISOR DTT/ES 25-0420802/24/25 State of Minnesota This Document can be made available in alternative formats upon request HOUSE OF REPRESENTATIVES H. F. No. 1993 NINETY-FOURTH SESSION Authored by Frederick, Baker, Hicks and Virnig03/06/2025 The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (1) an alcohol and drug counselor; 2.2 (2) a mental health professional who meets the qualifications under section 245I.04, 2.3subdivision 2, practices within the scope of their professional licensure, and has training in 2.4addiction, co-occurring disorders, and substance use disorder diagnosis and treatment 2.5according to the requirements in section 245G.13, subdivision 2, paragraph (f); 2.6 (3) a clinical trainee who meets the qualifications under section 245I.04, subdivision 6, 2.7practicing under the supervision of a mental health professional who meets the requirements 2.8of clause (2); or 2.9 (4) a licensed registered nurse as defined in section 148.171, subdivision 20, who practices 2.10within the scope of their professional licensure and has training in addiction, co-occurring 2.11disorders, and substance use disorder diagnosis and treatment according to the requirements 2.12in section 245G.13, subdivision 2, paragraph (f). 2.13 (c) If the comprehensive assessment is not completed within the required time frame, 2.14the person-centered reason for the delay and the planned completion date must be documented 2.15in the client's file. The comprehensive assessment is complete upon a qualified staff member's 2.16dated signature. If the client received a comprehensive assessment that authorized the 2.17treatment service, an alcohol and drug counselor may use the comprehensive assessment 2.18to meet the requirements of this subdivision but must document a review of the 2.19comprehensive assessment and update the comprehensive assessment as clinically necessary 2.20to ensure compliance with this subdivision within applicable timelines. A staff member 2.21qualified under paragraph (b) must sign and date the comprehensive assessment review and 2.22update. 2.23 Sec. 2. Minnesota Statutes 2024, section 245G.11, subdivision 7, is amended to read: 2.24 Subd. 7.Treatment coordination provider qualifications.(a) Treatment coordination 2.25must be provided by qualified staff. An individual is qualified to provide treatment 2.26coordination if the individual meets the qualifications of an alcohol and drug counselor 2.27under subdivision 5 or if the individual: 2.28 (1) is skilled in the process of identifying and assessing a wide range of client needs; 2.29 (2) is knowledgeable about local community resources and how to use those resources 2.30for the benefit of the client; 2.31 (3) has successfully completed 30 hours of classroom instruction on treatment 2.32coordination for an individual with substance use disorder specific training on substance 2Sec. 2. REVISOR DTT/ES 25-0420802/24/25 3.1use disorder and co-occurring disorders that is consistent with national evidence-based 3.2practices; and 3.3 (4) has either meets one of the following criteria: 3.4 (i) has a bachelor's degree in one of the behavioral sciences or related fields and at least 3.51,000 hours of supervised experience working with individuals with substance use disorder; 3.6or 3.7 (ii) has current certification as an alcohol and drug counselor, level I, by the Upper 3.8Midwest Indian Council on Addictive Disorders; and or 3.9 (iii) is a mental health practitioner who meets the qualifications under section 245I.04, 3.10subdivision 4. 3.11 (5) has at least 2,000 hours of supervised experience working with individuals with 3.12substance use disorder. 3.13 (b) A treatment coordinator must receive at least one hour of supervision regarding 3.14individual service delivery from an alcohol and drug counselor, or a mental health 3.15professional who has substance use treatment and assessments within the scope of their 3.16practice, on a monthly basis. 3.17 Sec. 3. DIRECTION TO COMMISSIONER; SUBSTANCE USE DISORDER 3.18TREATMENT STAFF REPORT AND RECOMMENDA TIONS. 3.19 The commissioner of human services must, in consultation with the Board of Nursing, 3.20Board of Behavioral Health and Therapy, and Board of Medical Practice, conduct a study 3.21and develop recommendations to the legislature for amendments to Minnesota Statutes, 3.22chapter 245G, that would eliminate any limitations on licensed health professionals' ability 3.23to provide substance use disorder treatment services while practicing within their licensed 3.24or statutory scopes of practice. The commissioner must submit a report on the study and 3.25recommendations to the chairs and ranking minority members of the legislative committees 3.26with jurisdiction over human services finance and policy by January 15, 2027. 3Sec. 3. REVISOR DTT/ES 25-0420802/24/25