1.1 A bill for an act 1.2 relating to human services; modifying provisions relating to aging and disability 1.3 services, behavioral health, Direct Care and Treatment, health care administration, 1.4 the Office of the Inspector General, licensing and disqualification, and department 1.5 operations; establishing human services programs criminal penalties; establishing 1.6 the intermediate school district behavioral health grant program; correcting 1.7 cross-references and making conforming and technical changes; amending 1.8 Minnesota Statutes 2024, sections 13.46, subdivisions 3, 4; 15.471, subdivision 1.9 6; 16A.103, subdivision 1j; 62J.495, subdivision 2; 62M.17, subdivision 2; 1.10 97A.441, subdivision 3; 142B.10, subdivision 14; 142B.30, subdivision 1; 142B.51, 1.11 subdivision 2; 142B.65, subdivision 8; 142B.66, subdivision 3; 142B.70, 1.12 subdivision 7; 142C.06, by adding a subdivision; 142C.11, subdivision 8; 142C.12, 1.13 subdivision 1; 142E.51, subdivisions 5, 6; 144.53; 144.651, subdivisions 2, 4, 20, 1.14 31, 32; 144A.07; 146A.08, subdivision 4; 147.091, subdivision 6; 147A.13, 1.15 subdivision 6; 148.10, subdivision 1; 148.261, subdivision 5; 148.754; 148B.5905; 1.16 148F.09, subdivision 6; 150A.08, subdivision 6; 151.071, subdivision 10; 153.21, 1.17 subdivision 2; 153B.70; 168.012, subdivision 1; 244.052, subdivision 4; 245.4871, 1.18 subdivision 4, by adding a subdivision; 245.4881, subdivision 3; 245.50, subdivision 1.19 2; 245.91, subdivision 2; 245A.04, subdivisions 1, 7; 245A.16, subdivision 1; 1.20 245A.18, subdivision 1; 245A.242, subdivision 2; 245C.05, by adding a 1.21 subdivision; 245C.08, subdivision 3; 245C.22, subdivision 5; 245D.02, subdivision 1.22 4a; 245G.05, subdivision 1; 245G.06, subdivisions 1, 2a, 3a; 245G.07, subdivision 1.23 2; 245G.08, subdivision 6; 245G.09, subdivision 3; 245G.11, subdivision 11; 1.24 245G.18, subdivision 2; 245G.19, subdivision 4, by adding a subdivision; 245G.22, 1.25 subdivisions 1, 14, 15; 246.585; 246C.06, subdivision 11; 246C.12, subdivision 1.26 6; 246C.20; 252.291, subdivision 3; 252.43; 252.46, subdivision 1a; 252.50, 1.27 subdivision 5; 253B.09, subdivision 3a; 253B.10, subdivision 1; 256.01, 1.28 subdivisions 2, 5; 256.019, subdivision 1; 256.0281; 256.0451, subdivisions 1, 3, 1.29 6, 8, 9, 18, 22, 23, 24; 256.4825; 256.93, subdivision 1; 256.98, subdivisions 1, 1.30 7; 256B.0625, subdivision 25c; 256B.092, subdivisions 1a, 10, 11a; 256B.12; 1.31 256B.49, subdivisions 13, 29; 256G.09, subdivisions 4, 5; 299F.77, subdivision 1.32 2; 342.04; 352.91, subdivision 3f; 401.17, subdivision 1; 480.40, subdivision 1; 1.33 507.071, subdivision 1; 611.57, subdivisions 2, 4; 624.7131, subdivisions 1, 2; 1.34 624.7132, subdivisions 1, 2; 624.714, subdivisions 3, 4; 631.40, subdivision 3; 1.35 proposing coding for new law in Minnesota Statutes, chapters 245; 246C; 609; 1.36 repealing Minnesota Statutes 2024, sections 245.4862; 245A.11, subdivision 8; 1.37 246.015, subdivision 3; 246.50, subdivision 2; 246B.04, subdivision 1a; Laws 1.38 2024, chapter 79, article 1, sections 15; 16; 17. 1 REVISOR EB/CH 25-0031102/20/25 State of Minnesota This Document can be made available in alternative formats upon request HOUSE OF REPRESENTATIVES H. F. No. 2115 NINETY-FOURTH SESSION Authored by Schomacker, Noor, Gillman and Keeler03/10/2025 The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 2.2 ARTICLE 1 2.3 AGING AND DISABILITY SERVICES 2.4 Section 1. Minnesota Statutes 2024, section 252.43, is amended to read: 2.5 252.43 COMMISSIONER'S DUTIES. 2.6 (a) The commissioner shall supervise lead agencies' provision of day services to adults 2.7with disabilities. The commissioner shall: 2.8 (1) determine the need for day programs, except for adult day services, under sections 2.9256B.4914 and 252.41 to 252.46 operated in a day services facility licensed under sections 2.10245D.27 to 245D.31; 2.11 (2) establish payment rates as provided under section 256B.4914; 2.12 (3) adopt rules for the administration and provision of day services under sections 2.13245A.01 to 245A.16; 252.28, subdivision 2; or 252.41 to 252.46; or Minnesota Rules, parts 2.149525.1200 to 9525.1330; 2.15 (4) enter into interagency agreements necessary to ensure effective coordination and 2.16provision of day services; 2.17 (5) monitor and evaluate the costs and effectiveness of day services; and 2.18 (6) provide information and technical help to lead agencies and vendors in their 2.19administration and provision of day services. 2.20 (b) A determination of need in paragraph (a), clause (1), shall not be required for a 2.21change in day service provider name or ownership. 2.22 EFFECTIVE DATE.This section is effective July 1, 2025. 2.23 Sec. 2. Minnesota Statutes 2024, section 252.46, subdivision 1a, is amended to read: 2.24 Subd. 1a.Day training and habilitation rates.The commissioner shall establish a 2.25statewide rate-setting methodology rates for all day training and habilitation services and 2.26for transportation delivered as a part of day training and habilitation services as provided 2.27under section 256B.4914. The rate-setting methodology must abide by the principles of 2.28transparency and equitability across the state. The methodology must involve a uniform 2.29process of structuring rates for each service and must promote quality and participant choice. 2.30 EFFECTIVE DATE.This section is effective January 1, 2026. 2Article 1 Sec. 2. REVISOR EB/CH 25-0031102/20/25 3.1 Sec. 3. Minnesota Statutes 2024, section 256B.092, subdivision 1a, is amended to read: 3.2 Subd. 1a.Case management services.(a) Each recipient of a home and community-based 3.3waiver shall be provided case management services by qualified vendors as described in 3.4the federally approved waiver application. 3.5 (b) Case management service activities provided to or arranged for a person include: 3.6 (1) development of the person-centered support plan under subdivision 1b; 3.7 (2) informing the individual or the individual's legal guardian or conservator, or parent 3.8if the person is a minor, of service options, including all service options available under the 3.9waiver plan; 3.10 (3) consulting with relevant medical experts or service providers; 3.11 (4) assisting the person in the identification of potential providers of chosen services, 3.12including: 3.13 (i) providers of services provided in a non-disability-specific setting; 3.14 (ii) employment service providers; 3.15 (iii) providers of services provided in settings that are not controlled by a provider; and 3.16 (iv) providers of financial management services; 3.17 (5) assisting the person to access services and assisting in appeals under section 256.045; 3.18 (6) coordination of services, if coordination is not provided by another service provider; 3.19 (7) evaluation and monitoring of the services identified in the support plan, which must 3.20incorporate at least one annual face-to-face visit by the case manager with each person; and 3.21 (8) reviewing support plans and providing the lead agency with recommendations for 3.22service authorization based upon the individual's needs identified in the support plan. 3.23 (c) Case management service activities that are provided to the person with a 3.24developmental disability shall be provided directly by county agencies or under contract. 3.25If a county agency contracts for case management services, the county agency must provide 3.26each recipient of home and community-based services who is receiving contracted case 3.27management services with the contact information the recipient may use to file a grievance 3.28with the county agency about the quality of the contracted services the recipient is receiving 3.29from a county-contracted case manager. If a county agency provides case management 3.30under contracts with other individuals or agencies and the county agency utilizes a 3.31competitive proposal process for the procurement of contracted case management services, 3Article 1 Sec. 3. REVISOR EB/CH 25-0031102/20/25 4.1the competitive proposal process must include evaluation criteria to ensure that the county 4.2maintains a culturally responsive program for case management services adequate to meet 4.3the needs of the population of the county. For the purposes of this section, "culturally 4.4responsive program" means a case management services program that: (1) ensures effective, 4.5equitable, comprehensive, and respectful quality care services that are responsive to 4.6individuals within a specific population's values, beliefs, practices, health literacy, preferred 4.7language, and other communication needs; and (2) is designed to address the unique needs 4.8of individuals who share a common language or racial, ethnic, or social background. 4.9 (d) Case management services must be provided by a public or private agency that is 4.10enrolled as a medical assistance provider determined by the commissioner to meet all of 4.11the requirements in the approved federal waiver plans. Case management services must not 4.12be provided to a recipient by a private agency that has a financial interest in the provision 4.13of any other services included in the recipient's support plan. For purposes of this section, 4.14"private agency" means any agency that is not identified as a lead agency under section 4.15256B.0911, subdivision 10. 4.16 (e) Case managers are responsible for service provisions listed in paragraphs (a) and 4.17(b). Case managers shall collaborate with consumers, families, legal representatives, and 4.18relevant medical experts and service providers in the development and annual review of the 4.19person-centered support plan and habilitation plan. 4.20 (f) For persons who need a positive support transition plan as required in chapter 245D, 4.21the case manager shall participate in the development and ongoing evaluation of the plan 4.22with the expanded support team. At least quarterly, the case manager, in consultation with 4.23the expanded support team, shall evaluate the effectiveness of the plan based on progress 4.24evaluation data submitted by the licensed provider to the case manager. The evaluation must 4.25identify whether the plan has been developed and implemented in a manner to achieve the 4.26following within the required timelines: 4.27 (1) phasing out the use of prohibited procedures; 4.28 (2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 4.29timeline; and 4.30 (3) accomplishment of identified outcomes. 4.31If adequate progress is not being made, the case manager shall consult with the person's 4.32expanded support team to identify needed modifications and whether additional professional 4.33support is required to provide consultation. 4Article 1 Sec. 3. REVISOR EB/CH 25-0031102/20/25 5.1 (g) The Department of Human Services shall offer ongoing education in case management 5.2to case managers. Case managers shall receive no less than 20 hours of case management 5.3education and disability-related training each year. The education and training must include 5.4person-centered planning, informed choice, informed decision making, cultural competency, 5.5employment planning, community living planning, self-direction options, and use of 5.6technology supports. Case managers must annually pass a competency evaluation, in a form 5.7determined by the commissioner, on informed decision-making topics. By August 1, 2024, 5.8all case managers must complete an employment support training course identified by the 5.9commissioner of human services. For case managers hired after August 1, 2024, this training 5.10must be completed within the first six months of providing case management services. For 5.11the purposes of this section, "person-centered planning" or "person-centered" has the meaning 5.12given in section 256B.0911, subdivision 10. Case managers must document completion of 5.13training in a system identified by the commissioner. 5.14 EFFECTIVE DATE.This section is effective August 1, 2025. 5.15 Sec. 4. Minnesota Statutes 2024, section 256B.092, subdivision 11a, is amended to read: 5.16 Subd. 11a.Residential support services criteria.(a) For the purposes of this subdivision, 5.17"residential support services" means the following residential support services reimbursed 5.18under section 256B.4914: community residential services, customized living services, and 5.1924-hour customized living services. 5.20 (b) In order to increase independent living options for people with disabilities and in 5.21accordance with section 256B.4905, subdivisions 3 and 4 7 and 8, and consistent with 5.22section 245A.03, subdivision 7, the commissioner must establish and implement criteria to 5.23access residential support services. The criteria for accessing residential support services 5.24must prohibit the commissioner from authorizing residential support services unless at least 5.25all of the following conditions are met: 5.26 (1) the individual has complex behavioral health or complex medical needs; and 5.27 (2) the individual's service planning team has considered all other available residential 5.28service options and determined that those options are inappropriate to meet the individual's 5.29support needs. 5.30 (c) Nothing in this subdivision shall be construed as permitting the commissioner to 5.31establish criteria prohibiting the authorization of residential support services for individuals 5.32described in the statewide priorities established in subdivision 12, the transition populations 5Article 1 Sec. 4. REVISOR EB/CH 25-0031102/20/25 6.1in subdivision 13, and the licensing moratorium exception criteria under section 245A.03, 6.2subdivision 7, paragraph (a). 6.3 (d) Individuals with active service agreements for residential support services on the 6.4date that the criteria for accessing residential support services become effective are exempt 6.5from the requirements of this subdivision, and the exemption from the criteria for accessing 6.6residential support services continues to apply for renewals of those service agreements. 6.7 EFFECTIVE DATE.This section is effective 90 days following federal approval of 6.8Laws 2021, First Special Session chapter 7, article 13, section 18. 6.9 Sec. 5. Minnesota Statutes 2024, section 256B.49, subdivision 13, is amended to read: 6.10 Subd. 13.Case management.(a) Each recipient of a home and community-based waiver 6.11shall be provided case management services by qualified vendors as described in the federally 6.12approved waiver application. The case management service activities provided must include: 6.13 (1) finalizing the person-centered written support plan within the timelines established 6.14by the commissioner and section 256B.0911, subdivision 29; 6.15 (2) informing the recipient or the recipient's legal guardian or conservator of service 6.16options, including all service options available under the waiver plans; 6.17 (3) assisting the recipient in the identification of potential service providers of chosen 6.18services, including: 6.19 (i) available options for case management service and providers; 6.20 (ii) providers of services provided in a non-disability-specific setting; 6.21 (iii) employment service providers; 6.22 (iv) providers of services provided in settings that are not community residential settings; 6.23and 6.24 (v) providers of financial management services; 6.25 (4) assisting the recipient to access services and assisting with appeals under section 6.26256.045; and 6.27 (5) coordinating, evaluating, and monitoring of the services identified in the service 6.28plan. 6.29 (b) The case manager may delegate certain aspects of the case management service 6.30activities to another individual provided there is oversight by the case manager. The case 6.31manager may not delegate those aspects which require professional judgment including: 6Article 1 Sec. 5. REVISOR EB/CH 25-0031102/20/25 7.1 (1) finalizing the person-centered support plan; 7.2 (2) ongoing assessment and monitoring of the person's needs and adequacy of the 7.3approved person-centered support plan; and 7.4 (3) adjustments to the person-centered support plan. 7.5 (c) Case management services must be provided by a public or private agency that is 7.6enrolled as a medical assistance provider determined by the commissioner to meet all of 7.7the requirements in the approved federal waiver plans. If a county agency provides case 7.8management under contracts with other individuals or agencies and the county agency 7.9utilizes a competitive proposal process for the procurement of contracted case management 7.10services, the competitive proposal process must include evaluation criteria to ensure that 7.11the county maintains a culturally responsive program for case management services adequate 7.12to meet the needs of the population of the county. For the purposes of this section, "culturally 7.13responsive program" means a case management services program that: (1) ensures effective, 7.14equitable, comprehensive, and respectful quality care services that are responsive to 7.15individuals within a specific population's values, beliefs, practices, health literacy, preferred 7.16language, and other communication needs; and (2) is designed to address the unique needs 7.17of individuals who share a common language or racial, ethnic, or social background. 7.18 (d) Case management services must not be provided to a recipient by a private agency 7.19that has any financial interest in the provision of any other services included in the recipient's 7.20support plan. For purposes of this section, "private agency" means any agency that is not 7.21identified as a lead agency under section 256B.0911, subdivision 10. 7.22 (e) For persons who need a positive support transition plan as required in chapter 245D, 7.23the case manager shall participate in the development and ongoing evaluation of the plan 7.24with the expanded support team. At least quarterly, the case manager, in consultation with 7.25the expanded support team, shall evaluate the effectiveness of the plan based on progress 7.26evaluation data submitted by the licensed provider to the case manager. The evaluation must 7.27identify whether the plan has been developed and implemented in a manner to achieve the 7.28following within the required timelines: 7.29 (1) phasing out the use of prohibited procedures; 7.30 (2) acquisition of skills needed to eliminate the prohibited procedures within the plan's 7.31timeline; and 7.32 (3) accomplishment of identified outcomes. 7Article 1 Sec. 5. REVISOR EB/CH 25-0031102/20/25 8.1If adequate progress is not being made, the case manager shall consult with the person's 8.2expanded support team to identify needed modifications and whether additional professional 8.3support is required to provide consultation. 8.4 (f) The Department of Human Services shall offer ongoing education in case management 8.5to case managers. Case managers shall receive no less than 20 hours of case management 8.6education and disability-related training each year. The education and training must include 8.7person-centered planning, informed choice, informed decision making, cultural competency, 8.8employment planning, community living planning, self-direction options, and use of 8.9technology supports. Case managers must annually pass a competency evaluation, in a form 8.10determined by the commissioner, on informed decision-making topics. By August 1, 2024, 8.11all case managers must complete an employment support training course identified by the 8.12commissioner of human services. For case managers hired after August 1, 2024, this training 8.13must be completed within the first six months of providing case management services. For 8.14the purposes of this section, "person-centered planning" or "person-centered" has the meaning 8.15given in section 256B.0911, subdivision 10. Case managers shall document completion of 8.16training in a system identified by the commissioner. 8.17 EFFECTIVE DATE.This section is effective August 1, 2025. 8.18 Sec. 6. Minnesota Statutes 2024, section 256B.49, subdivision 29, is amended to read: 8.19 Subd. 29.Residential support services criteria.(a) For the purposes of this subdivision, 8.20"residential support services" means the following residential support services reimbursed 8.21under section 256B.4914: community residential services, customized living services, and 8.2224-hour customized living services. 8.23 (b) In order to increase independent living options for people with disabilities and in 8.24accordance with section 256B.4905, subdivisions 3 and 4 7 and 8, and consistent with 8.25section 245A.03, subdivision 7, the commissioner must establish and implement criteria to 8.26access residential support services. The criteria for accessing residential support services 8.27must prohibit the commissioner from authorizing residential support services unless at least 8.28all of the following conditions are met: 8.29 (1) the individual has complex behavioral health or complex medical needs; and 8.30 (2) the individual's service planning team has considered all other available residential 8.31service options and determined that those options are inappropriate to meet the individual's 8.32support needs. 8Article 1 Sec. 6. REVISOR EB/CH 25-0031102/20/25 9.1 (c) Nothing in this subdivision shall be construed as permitting the commissioner to 9.2establish criteria prohibiting the authorization of residential support services for individuals 9.3described in the statewide priorities established in subdivision 12 11a, the transition 9.4populations in subdivision 13 24, and the licensing moratorium exception criteria under 9.5section 245A.03, subdivision 7, paragraph (a). 9.6 (c) (d) Individuals with active service agreements for residential support services on the 9.7date that the criteria for accessing residential support services become effective are exempt 9.8from the requirements of this subdivision, and the exemption from the criteria for accessing 9.9residential support services continues to apply for renewals of those service agreements. 9.10 EFFECTIVE DATE.This section is effective 90 days following federal approval of 9.11Laws 2021, First Special Session chapter 7, article 13, section 30. 9.12 ARTICLE 2 9.13 BEHAVIORAL HEALTH 9.14 Section 1. Minnesota Statutes 2024, section 245.4871, subdivision 4, is amended to read: 9.15 Subd. 4.Case management service provider.(a) "Case management service provider" 9.16means a case manager or case manager associate employed by the county or other entity 9.17authorized by the county board to provide case management services specified in subdivision 9.183 for the child with severe emotional disturbance and the child's family. 9.19 (b) A case manager must: 9.20 (1) have experience and training in working with children; 9.21 (2) be a mental health practitioner under section 245I.04, subdivision 4, or have at least 9.22a bachelor's degree in one of the behavioral sciences or a related field including, but not 9.23limited to, social work, psychology, or nursing from an accredited college or university or 9.24meet the requirements of paragraph (d); 9.25 (3) have experience and training in identifying and assessing a wide range of children's 9.26needs; 9.27 (4) be knowledgeable about local community resources and how to use those resources 9.28for the benefit of children and their families; and 9.29 (5) meet the supervision and continuing education requirements of paragraphs (e), (f), 9.30and (g), as applicable. 9Article 2 Section 1. REVISOR EB/CH 25-0031102/20/25 10.1 (c) A case manager may be a member of any professional discipline that is part of the 10.2local system of care for children established by the county board. 10.3 (d) A case manager without who is not a mental health practitioner and does not have 10.4a bachelor's degree must meet one of the requirements in clauses (1) to (3): 10.5 (1) have three or four years of experience as a case manager associate; 10.6 (2) be a registered nurse without a bachelor's degree who has a combination of specialized 10.7training in psychiatry and work experience consisting of community interaction and 10.8involvement or community discharge planning in a mental health setting totaling three years; 10.9or 10.10 (3) be a person who qualified as a case manager under the 1998 Department of Human 10.11Services waiver provision and meets the continuing education, supervision, and mentoring 10.12requirements in this section. 10.13 (e) A case manager with at least 2,000 hours of supervised experience in the delivery 10.14of mental health services to children must receive regular ongoing supervision and clinical 10.15supervision totaling 38 hours per year, of which at least one hour per month must be clinical 10.16supervision regarding individual service delivery with a case management supervisor. The 10.17other 26 hours of supervision may be provided by a case manager with two years of 10.18experience. Group supervision may not constitute more than one-half of the required 10.19supervision hours. 10.20 (f) A case manager without 2,000 hours of supervised experience in the delivery of 10.21mental health services to children with emotional disturbance must: 10.22 (1) begin 40 hours of training approved by the commissioner of human services in case 10.23management skills and in the characteristics and needs of children with severe emotional 10.24disturbance before beginning to provide case management services; and 10.25 (2) receive clinical supervision regarding individual service delivery from a mental 10.26health professional at least one hour each week until the requirement of 2,000 hours of 10.27experience is met. 10.28 (g) A case manager who is not licensed, registered, or certified by a health-related 10.29licensing board must receive 30 hours of continuing education and training in severe 10.30emotional disturbance and mental health services every two years. 10.31 (h) Clinical supervision must be documented in the child's record. When the case manager 10.32is not a mental health professional, the county board must provide or contract for needed 10.33clinical supervision. 10Article 2 Section 1. REVISOR EB/CH 25-0031102/20/25 11.1 (i) The county board must ensure that the case manager has the freedom to access and 11.2coordinate the services within the local system of care that are needed by the child. 11.3 (j) A case manager associate (CMA) must: 11.4 (1) work under the direction of a case manager or case management supervisor; 11.5 (2) be at least 21 years of age; 11.6 (3) have at least a high school diploma or its equivalent; and 11.7 (4) meet one of the following criteria: 11.8 (i) have an associate of arts degree in one of the behavioral sciences or human services; 11.9 (ii) be a registered nurse without a bachelor's degree; 11.10 (iii) have three years of life experience as a primary caregiver to a child with serious 11.11emotional disturbance as defined in subdivision 6 within the previous ten years; 11.12 (iv) have 6,000 hours work experience as a nondegreed state hospital technician; or 11.13 (v) have 6,000 hours of supervised work experience in the delivery of mental health 11.14services to children with emotional disturbances; hours worked as a mental health behavioral 11.15aide I or II under section 256B.0943, subdivision 7, may count toward the 6,000 hours of 11.16supervised work experience. 11.17 Individuals meeting one of the criteria in items (i) to (iv) may qualify as a case manager 11.18after four years of supervised work experience as a case manager associate. Individuals 11.19meeting the criteria in item (v) may qualify as a case manager after three years of supervised 11.20experience as a case manager associate. 11.21 (k) Case manager associates must meet the following supervision, mentoring, and 11.22continuing education requirements; 11.23 (1) have 40 hours of preservice training described under paragraph (f), clause (1); 11.24 (2) receive at least 40 hours of continuing education in severe emotional disturbance 11.25and mental health service annually; and 11.26 (3) receive at least five hours of mentoring per week from a case management mentor. 11.27A "case management mentor" means a qualified, practicing case manager or case management 11.28supervisor who teaches or advises and provides intensive training and clinical supervision 11.29to one or more case manager associates. Mentoring may occur while providing direct services 11.30to consumers in the office or in the field and may be provided to individuals or groups of 11Article 2 Section 1. REVISOR EB/CH 25-0031102/20/25 12.1case manager associates. At least two mentoring hours per week must be individual and 12.2face-to-face. 12.3 (l) A case management supervisor must meet the criteria for a mental health professional 12.4as specified in subdivision 27. 12.5 (m) An immigrant who does not have the qualifications specified in this subdivision 12.6may provide case management services to child immigrants with severe emotional 12.7disturbance of the same ethnic group as the immigrant if the person: 12.8 (1) is currently enrolled in and is actively pursuing credits toward the completion of a 12.9bachelor's degree in one of the behavioral sciences or related fields at an accredited college 12.10or university; 12.11 (2) completes 40 hours of training as specified in this subdivision; and 12.12 (3) receives clinical supervision at least once a week until the requirements of obtaining 12.13a bachelor's degree and 2,000 hours of supervised experience are met. 12.14 EFFECTIVE DATE.This section is effective the day following final enactment. 12.15Sec. 2. Minnesota Statutes 2024, section 245.4871, is amended by adding a subdivision 12.16to read: 12.17 Subd. 7a.Clinical supervision."Clinical supervision" means the oversight responsibility 12.18for individual treatment plans and individual mental health service delivery, including 12.19oversight provided by the case manager. Clinical supervision must be provided by a mental 12.20health professional. The supervising mental health professional must cosign an individual 12.21treatment plan, and their name must be documented in the client's record. 12.22Sec. 3. Minnesota Statutes 2024, section 245.4881, subdivision 3, is amended to read: 12.23 Subd. 3.Duties of case manager.(a) Upon a determination of eligibility for case 12.24management services, the case manager shall develop an individual family community 12.25support plan for a child as specified in subdivision 4, review the child's progress, and monitor 12.26the provision of services, and if the child and parent or legal guardian consent, complete a 12.27written functional assessment as defined by section 245.4871, subdivision 18a. If services 12.28are to be provided in a host county that is not the county of financial responsibility, the case 12.29manager shall consult with the host county and obtain a letter demonstrating the concurrence 12.30of the host county regarding the provision of services. 12Article 2 Sec. 3. REVISOR EB/CH 25-0031102/20/25 13.1 (b) The case manager shall note in the child's record the services needed by the child 13.2and the child's family, the services requested by the family, services that are not available, 13.3and the unmet needs of the child and child's family. The case manager shall note this 13.4provision in the child's record. 13.5 Sec. 4. [245.4904] INTERMEDIATE SCHOOL DISTRICT BEHAVIORAL HEALTH 13.6GRANT PROGRAM. 13.7 Subdivision 1.Establishment.The commissioner of human services must establish a 13.8grant program to improve behavioral health outcomes for youth attending a qualifying 13.9school unit and to build the capacity of schools to support student and teacher needs in the 13.10classroom. For the purposes of this section, "qualifying school unit" means an intermediate 13.11school district organized under section 136D.01. 13.12 Subd. 2.Eligible applicants.An eligible applicant is an intermediate school district 13.13organized under section 136D.01, and a partner entity or provider that has demonstrated 13.14capacity to serve the youth identified in subdivision 1 that is: 13.15 (1) a mental health clinic certified under section 245I.20; 13.16 (2) a community mental health center under section 256B.0625, subdivision 5; 13.17 (3) an Indian health service facility or a facility owned and operated by a Tribe or Tribal 13.18organization operating under United States Code, title 25, section 5321; 13.19 (4) a provider of children's therapeutic services and supports as defined in section 13.20256B.0943; 13.21 (5) enrolled in medical assistance as a mental health or substance use disorder provider 13.22agency and employs at least two full-time equivalent mental health professionals qualified 13.23according to section 245I.04, subdivision 2, or two alcohol and drug counselors licensed or 13.24exempt from licensure under chapter 148F who are qualified to provide clinical services to 13.25children and families; 13.26 (6) licensed under chapter 245G and in compliance with the applicable requirements in 13.27chapters 245A, 245C, and 260E; section 626.557; and Minnesota Rules, chapter 9544; or 13.28 (7) a licensed professional in private practice as defined in section 245G.01, subdivision 13.2917, who meets the requirements of section 254B.05, subdivision 1, paragraph (b). 13.30 Subd. 3.Allowable grant activities and related expenses.(a) Allowable grant activities 13.31and related expenses include but are not limited to: 13.32 (1) identifying mental health conditions and substance use disorders of students; 13Article 2 Sec. 4. REVISOR EB/CH 25-0031102/20/25 14.1 (2) delivering mental health and substance use disorder treatment and supportive services 14.2to students and their families within the classroom, including via telehealth consistent with 14.3section 256B.0625, subdivision 3b; 14.4 (3) delivering therapeutic interventions and customizing an array of supplementary 14.5learning experiences for students; 14.6 (4) supporting families in meeting their child's needs, including navigating health care, 14.7social service, and juvenile justice systems; 14.8 (5) providing transportation for students receiving behavioral health services when school 14.9is not in session; 14.10 (6) building the capacity of schools to meet the needs of students with mental health and 14.11substance use disorder concerns, including school staff development activities for licensed 14.12and nonlicensed staff; and 14.13 (7) purchasing equipment, connection charges, on-site coordination, set-up fees, and 14.14site fees in order to deliver school-linked behavioral health services via telehealth. 14.15 (b) Grantees must obtain all available third-party reimbursement sources as a condition 14.16of receiving grant funds. For purposes of this grant program, a third-party reimbursement 14.17source does not include a public school as defined in section 120A.20, subdivision 1. Grantees 14.18shall serve students regardless of health coverage status or ability to pay. 14.19 Subd. 4.Calculating the share of the appropriation.(a) Grants must be awarded to 14.20qualifying school units proportionately. 14.21 (b) The commissioner must calculate the share of the appropriation to be used in each 14.22qualifying school unit by multiplying the total appropriation going to the grantees by the 14.23qualifying school unit's average daily membership in a setting of federal instructional level 14.244 or higher and then dividing by the total average daily membership in a setting of federal 14.25instructional level 4 or higher for the same year for all qualifying school units. 14.26 Subd. 5.Data collection and outcome measurement.Grantees must provide data to 14.27the commissioner for the purpose of evaluating the Intermediate School District Behavioral 14.28Health Innovation grant program. The commissioner must consult with grantees to develop 14.29outcome measures for program capacity and performance. 14Article 2 Sec. 4. REVISOR EB/CH 25-0031102/20/25 15.1 ARTICLE 3 15.2 DIRECT CARE AND TREATMENT 15.3 Section 1. Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read: 15.4 Subd. 3.Investigative data.(a) Data on persons, including data on vendors of services, 15.5licensees, and applicants that is collected, maintained, used, or disseminated by the welfare 15.6system in an investigation, authorized by statute, and relating to the enforcement of rules 15.7or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or 15.8protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and 15.9shall not be disclosed except: 15.10 (1) pursuant to section 13.05; 15.11 (2) pursuant to statute or valid court order; 15.12 (3) to a party named in a civil or criminal proceeding, administrative or judicial, for 15.13preparation of defense; 15.14 (4) to an agent of the welfare system or an investigator acting on behalf of a county, 15.15state, or federal government, including a law enforcement officer or attorney in the 15.16investigation or prosecution of a criminal, civil, or administrative proceeding, unless the 15.17commissioner of human services or; the commissioner of children, youth, and families; or 15.18the Direct Care and Treatment executive board determines that disclosure may compromise 15.19a Department of Human Services or; Department of Children, Youth, and Families; or Direct 15.20Care and Treatment ongoing investigation; or 15.21 (5) to provide notices required or permitted by statute. 15.22 The data referred to in this subdivision shall be classified as public data upon submission 15.23to an administrative law judge or court in an administrative or judicial proceeding. Inactive 15.24welfare investigative data shall be treated as provided in section 13.39, subdivision 3. 15.25 (b) Notwithstanding any other provision in law, the commissioner of human services 15.26shall provide all active and inactive investigative data, including the name of the reporter 15.27of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for 15.28mental health and developmental disabilities upon the request of the ombudsman. 15.29 (c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation 15.30by the commissioner of human services of possible overpayments of public funds to a service 15.31provider or recipient may be disclosed if the commissioner determines that it will not 15.32compromise the investigation. 15Article 3 Section 1. REVISOR EB/CH 25-0031102/20/25 16.1 EFFECTIVE DATE.This section is effective July 1, 2025. 16.2 Sec. 2. Minnesota Statutes 2024, section 13.46, subdivision 4, is amended to read: 16.3 Subd. 4.Licensing data.(a) As used in this subdivision: 16.4 (1) "licensing data" are all data collected, maintained, used, or disseminated by the 16.5welfare system pertaining to persons licensed or registered or who apply for licensure or 16.6registration or who formerly were licensed or registered under the authority of the 16.7commissioner of human services; 16.8 (2) "client" means a person who is receiving services from a licensee or from an applicant 16.9for licensure; and 16.10 (3) "personal and personal financial data" are Social Security numbers, identity of and 16.11letters of reference, insurance information, reports from the Bureau of Criminal 16.12Apprehension, health examination reports, and social/home studies. 16.13 (b)(1)(i) Except as provided in paragraph (c), the following data on applicants, license 16.14holders, certification holders, and former licensees are public: name, address, telephone 16.15number of licensees, email addresses except for family child foster care, date of receipt of 16.16a completed application, dates of licensure, licensed capacity, type of client preferred, 16.17variances granted, record of training and education in child care and child development, 16.18type of dwelling, name and relationship of other family members, previous license history, 16.19class of license, the existence and status of complaints, and the number of serious injuries 16.20to or deaths of individuals in the licensed program as reported to the commissioner of human 16.21services; the commissioner of children, youth, and families; the local social services agency; 16.22or any other county welfare agency. For purposes of this clause, a serious injury is one that 16.23is treated by a physician. 16.24 (ii) Except as provided in item (v), when a correction order, an order to forfeit a fine, 16.25an order of license suspension, an order of temporary immediate suspension, an order of 16.26license revocation, an order of license denial, or an order of conditional license has been 16.27issued, or a complaint is resolved, the following data on current and former licensees and 16.28applicants are public: the general nature of the complaint or allegations leading to the 16.29temporary immediate suspension; the substance and investigative findings of the licensing 16.30or maltreatment complaint, licensing violation, or substantiated maltreatment; the existence 16.31of settlement negotiations; the record of informal resolution of a licensing violation; orders 16.32of hearing; findings of fact; conclusions of law; specifications of the final correction order, 16.33fine, suspension, temporary immediate suspension, revocation, denial, or conditional license 16Article 3 Sec. 2. REVISOR EB/CH 25-0031102/20/25 17.1contained in the record of licensing action; whether a fine has been paid; and the status of 17.2any appeal of these actions. 17.3 (iii) When a license denial under section 142A.15 or 245A.05 or a sanction under section 17.4142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling 17.5individual is responsible for maltreatment under section 626.557 or chapter 260E, the identity 17.6of the applicant, license holder, or controlling individual as the individual responsible for 17.7maltreatment is public data at the time of the issuance of the license denial or sanction. 17.8 (iv) When a license denial under section 142A.15 or 245A.05 or a sanction under section 17.9142B.18 or 245A.07 is based on a determination that a license holder, applicant, or controlling 17.10individual is disqualified under chapter 245C, the identity of the license holder, applicant, 17.11or controlling individual as the disqualified individual is public data at the time of the 17.12issuance of the licensing sanction or denial. If the applicant, license holder, or controlling 17.13individual requests reconsideration of the disqualification and the disqualification is affirmed, 17.14the reason for the disqualification and the reason to not set aside the disqualification are 17.15private data. 17.16 (v) A correction order or fine issued to a child care provider for a licensing violation is 17.17private data on individuals under section 13.02, subdivision 12, or nonpublic data under 17.18section 13.02, subdivision 9, if the correction order or fine is seven years old or older. 17.19 (2) For applicants who withdraw their application prior to licensure or denial of a license, 17.20the following data are public: the name of the applicant, the city and county in which the 17.21applicant was seeking licensure, the dates of the commissioner's receipt of the initial 17.22application and completed application, the type of license sought, and the date of withdrawal 17.23of the application. 17.24 (3) For applicants who are denied a license, the following data are public: the name and 17.25address of the applicant, the city and county in which the applicant was seeking licensure, 17.26the dates of the commissioner's receipt of the initial application and completed application, 17.27the type of license sought, the date of denial of the application, the nature of the basis for 17.28the denial, the existence of settlement negotiations, the record of informal resolution of a 17.29denial, orders of hearings, findings of fact, conclusions of law, specifications of the final 17.30order of denial, and the status of any appeal of the denial. 17.31 (4) When maltreatment is substantiated under section 626.557 or chapter 260E and the 17.32victim and the substantiated perpetrator are affiliated with a program licensed under chapter 17.33142B or 245A; the commissioner of human services; commissioner of children, youth, and 17.34families; local social services agency; or county welfare agency may inform the license 17Article 3 Sec. 2. REVISOR EB/CH 25-0031102/20/25 18.1holder where the maltreatment occurred of the identity of the substantiated perpetrator and 18.2the victim. 18.3 (5) Notwithstanding clause (1), for child foster care, only the name of the license holder 18.4and the status of the license are public if the county attorney has requested that data otherwise 18.5classified as public data under clause (1) be considered private data based on the best interests 18.6of a child in placement in a licensed program. 18.7 (c) The following are private data on individuals under section 13.02, subdivision 12, 18.8or nonpublic data under section 13.02, subdivision 9: personal and personal financial data 18.9on family day care program and family foster care program applicants and licensees and 18.10their family members who provide services under the license. 18.11 (d) The following are private data on individuals: the identity of persons who have made 18.12reports concerning licensees or applicants that appear in inactive investigative data, and the 18.13records of clients or employees of the licensee or applicant for licensure whose records are 18.14received by the licensing agency for purposes of review or in anticipation of a contested 18.15matter. The names of reporters of complaints or alleged violations of licensing standards 18.16under chapters 142B, 245A, 245B, 245C, and 245D, and applicable rules and alleged 18.17maltreatment under section 626.557 and chapter 260E, are confidential data and may be 18.18disclosed only as provided in section 260E.21, subdivision 4; 260E.35; or 626.557, 18.19subdivision 12b. 18.20 (e) Data classified as private, confidential, nonpublic, or protected nonpublic under this 18.21subdivision become public data if submitted to a court or administrative law judge as part 18.22of a disciplinary proceeding in which there is a public hearing concerning a license which 18.23has been suspended, immediately suspended, revoked, or denied. 18.24 (f) Data generated in the course of licensing investigations that relate to an alleged 18.25violation of law are investigative data under subdivision 3. 18.26 (g) Data that are not public data collected, maintained, used, or disseminated under this 18.27subdivision that relate to or are derived from a report as defined in section 260E.03, or 18.28626.5572, subdivision 18, are subject to the destruction provisions of sections 260E.35, 18.29subdivision 6, and 626.557, subdivision 12b. 18.30 (h) Upon request, not public data collected, maintained, used, or disseminated under 18.31this subdivision that relate to or are derived from a report of substantiated maltreatment as 18.32defined in section 626.557 or chapter 260E may be exchanged with the Department of 18.33Health for purposes of completing background studies pursuant to section 144.057 and with 18Article 3 Sec. 2. REVISOR EB/CH 25-0031102/20/25 19.1the Department of Corrections for purposes of completing background studies pursuant to 19.2section 241.021. 19.3 (i) Data on individuals collected according to licensing activities under chapters 142B, 19.4245A, and 245C, data on individuals collected by the commissioner of human services 19.5according to investigations under section 626.557 and chapters 142B, 245A, 245B, 245C, 19.6245D, and 260E may be shared with the Department of Human Rights, the Department of 19.7Health, the Department of Corrections, the ombudsman for mental health and developmental 19.8disabilities, and the individual's professional regulatory board when there is reason to believe 19.9that laws or standards under the jurisdiction of those agencies may have been violated or 19.10the information may otherwise be relevant to the board's regulatory jurisdiction. Background 19.11study data on an individual who is the subject of a background study under chapter 245C 19.12for a licensed service for which the commissioner of human services or; commissioner of 19.13children, youth, and families; or the Direct Care and Treatment executive board is the license 19.14holder may be shared with the commissioner and the commissioner's delegate by the licensing 19.15division. Unless otherwise specified in this chapter, the identity of a reporter of alleged 19.16maltreatment or licensing violations may not be disclosed. 19.17 (j) In addition to the notice of determinations required under sections 260E.24, 19.18subdivisions 5 and 7, and 260E.30, subdivision 6, paragraphs (b), (c), (d), (e), and (f), if the 19.19commissioner of children, youth, and families or the local social services agency has 19.20determined that an individual is a substantiated perpetrator of maltreatment of a child based 19.21on sexual abuse, as defined in section 260E.03, and the commissioner or local social services 19.22agency knows that the individual is a person responsible for a child's care in another facility, 19.23the commissioner or local social services agency shall notify the head of that facility of this 19.24determination. The notification must include an explanation of the individual's available 19.25appeal rights and the status of any appeal. If a notice is given under this paragraph, the 19.26government entity making the notification shall provide a copy of the notice to the individual 19.27who is the subject of the notice. 19.28 (k) All not public data collected, maintained, used, or disseminated under this subdivision 19.29and subdivision 3 may be exchanged between the Department of Human Services, Licensing 19.30Division, and the Department of Corrections for purposes of regulating services for which 19.31the Department of Human Services and the Department of Corrections have regulatory 19.32authority. 19.33 EFFECTIVE DATE.This section is effective July 1, 2025. 19Article 3 Sec. 2. REVISOR EB/CH 25-0031102/20/25 20.1 Sec. 3. Minnesota Statutes 2024, section 15.471, subdivision 6, is amended to read: 20.2 Subd. 6.Party.(a) Except as modified by paragraph (b), "party" means a person named 20.3or admitted as a party, or seeking and entitled to be admitted as a party, in a court action or 20.4contested case proceeding, or a person admitted by an administrative law judge for limited 20.5purposes, and who is: 20.6 (1) an unincorporated business, partnership, corporation, association, or organization, 20.7having not more than 500 employees at the time the civil action was filed or the contested 20.8case proceeding was initiated; and 20.9 (2) an unincorporated business, partnership, corporation, association, or organization 20.10whose annual revenues did not exceed $7,000,000 at the time the civil action was filed or 20.11the contested case proceeding was initiated. 20.12 (b) "Party" also includes a partner, officer, shareholder, member, or owner of an entity 20.13described in paragraph (a), clauses (1) and (2). 20.14 (c) "Party" does not include a person providing services pursuant to licensure or 20.15reimbursement on a cost basis by the Department of Health or, the Department of Human 20.16Services, or Direct Care and Treatment when that person is named or admitted or seeking 20.17to be admitted as a party in a matter which involves the licensing or reimbursement rates, 20.18procedures, or methodology applicable to those services. 20.19 EFFECTIVE DATE.This section is effective July 1, 2025. 20.20Sec. 4. Minnesota Statutes 2024, section 16A.103, subdivision 1j, is amended to read: 20.21 Subd. 1j.Federal reimbursement for administrative costs.In preparing the forecast 20.22of state revenues and expenditures under subdivision 1, the commissioner must include 20.23estimates of the amount of federal reimbursement for administrative costs for the Department 20.24of Human Services and; the Department of Children, Youth, and Families; and Direct Care 20.25and Treatment in the forecast as an expenditure reduction. The amount included under this 20.26subdivision must conform with generally accepted accounting principles. 20.27 EFFECTIVE DATE.This section is effective July 1, 2025. 20.28Sec. 5. Minnesota Statutes 2024, section 62J.495, subdivision 2, is amended to read: 20.29 Subd. 2.E-Health Advisory Committee.(a) The commissioner shall establish an 20.30e-Health Advisory Committee governed by section 15.059 to advise the commissioner on 20.31the following matters: 20Article 3 Sec. 5. REVISOR EB/CH 25-0031102/20/25 21.1 (1) assessment of the adoption and effective use of health information technology by 21.2the state, licensed health care providers and facilities, and local public health agencies; 21.3 (2) recommendations for implementing a statewide interoperable health information 21.4infrastructure, to include estimates of necessary resources, and for determining standards 21.5for clinical data exchange, clinical support programs, patient privacy requirements, and 21.6maintenance of the security and confidentiality of individual patient data; 21.7 (3) recommendations for encouraging use of innovative health care applications using 21.8information technology and systems to improve patient care and reduce the cost of care, 21.9including applications relating to disease management and personal health management 21.10that enable remote monitoring of patients' conditions, especially those with chronic 21.11conditions; and 21.12 (4) other related issues as requested by the commissioner. 21.13 (b) The members of the e-Health Advisory Committee shall include the commissioners, 21.14or commissioners' designees, of health, human services, administration, and commerce; a 21.15representative of the Direct Care and Treatment executive board; and additional members 21.16to be appointed by the commissioner to include persons representing Minnesota's local 21.17public health agencies, licensed hospitals and other licensed facilities and providers, private 21.18purchasers, the medical and nursing professions, health insurers and health plans, the state 21.19quality improvement organization, academic and research institutions, consumer advisory 21.20organizations with an interest and expertise in health information technology, and other 21.21stakeholders as identified by the commissioner to fulfill the requirements of section 3013, 21.22paragraph (g), of the HITECH Act. 21.23 (c) This subdivision expires June 30, 2031. 21.24 EFFECTIVE DATE.This section is effective July 1, 2025. 21.25Sec. 6. Minnesota Statutes 2024, section 97A.441, subdivision 3, is amended to read: 21.26 Subd. 3.Angling; residents of state institutions.The commissioner may issue a license, 21.27without a fee, to take fish by angling to a person that is a ward of the commissioner of human 21.28services and a resident of a state institution under the control of the Direct Care and Treatment 21.29executive board upon application by the commissioner of human services. 21.30 EFFECTIVE DATE.This section is effective July 1, 2025. 21Article 3 Sec. 6. REVISOR EB/CH 25-0031102/20/25 22.1 Sec. 7. Minnesota Statutes 2024, section 144.53, is amended to read: 22.2 144.53 FEES. 22.3 Each application for a license, or renewal thereof, to operate a hospital, sanitarium or 22.4other institution for the hospitalization or care of human beings, within the meaning of 22.5sections 144.50 to 144.56, except applications by the Minnesota Veterans Home, the 22.6commissioner of human services Direct Care and Treatment executive board for the licensing 22.7of state institutions, or by the administrator for the licensing of the University of Minnesota 22.8hospitals, shall be accompanied by a fee to be prescribed by the state commissioner of health 22.9pursuant to section 144.122. No fee shall be refunded. Licenses shall expire and shall be 22.10renewed as prescribed by the commissioner of health pursuant to section 144.122. 22.11 No license granted hereunder shall be assignable or transferable. 22.12 EFFECTIVE DATE.This section is effective July 1, 2025. 22.13Sec. 8. Minnesota Statutes 2024, section 144.651, subdivision 2, is amended to read: 22.14 Subd. 2.Definitions.(a) For the purposes of this section, "patient" means a person who 22.15is admitted to an acute care inpatient facility for a continuous period longer than 24 hours, 22.16for the purpose of diagnosis or treatment bearing on the physical or mental health of that 22.17person. For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also 22.18means a person who receives health care services at an outpatient surgical center or at a 22.19birth center licensed under section 144.615. "Patient" also means a minor who is admitted 22.20to a residential program as defined in section 253C.01 paragraph (c). For purposes of 22.21subdivisions 1, 3 to 16, 18, 20 and 30, "patient" also means any person who is receiving 22.22mental health treatment on an outpatient basis or in a community support program or other 22.23community-based program. 22.24 (b) "Resident" means a person who is admitted to a nonacute care facility including 22.25extended care facilities, nursing homes, and boarding care homes for care required because 22.26of prolonged mental or physical illness or disability, recovery from injury or disease, or 22.27advancing age. For purposes of all subdivisions except subdivisions 28 and 29, "resident" 22.28also means a person who is admitted to a facility licensed as a board and lodging facility 22.29under Minnesota Rules, parts 4625.0100 to 4625.2355, a boarding care home under sections 22.30144.50 to 144.56, or a supervised living facility under Minnesota Rules, parts 4665.0100 22.31to 4665.9900, and which operates a rehabilitation program licensed under chapter 245G or 22.32245I, or Minnesota Rules, parts 9530.6510 to 9530.6590. 22Article 3 Sec. 8. REVISOR EB/CH 25-0031102/20/25 23.1 (c) "Residential program" means (1) a hospital-based primary treatment program that 23.2provides residential treatment to minors with emotional disturbance as defined by the 23.3Comprehensive Children's Mental Health Act in sections 245.487 to 245.4889, or (2) a 23.4facility licensed by the state under Minnesota Rules, parts 2960.0580 to 2960.0700, to 23.5provide services to minors on a 24-hour basis. 23.6 EFFECTIVE DATE.This section is effective July 1, 2025. 23.7 Sec. 9. Minnesota Statutes 2024, section 144.651, subdivision 4, is amended to read: 23.8 Subd. 4.Information about rights.Patients and residents shall, at admission, be told 23.9that there are legal rights for their protection during their stay at the facility or throughout 23.10their course of treatment and maintenance in the community and that these are described 23.11in an accompanying written statement of the applicable rights and responsibilities set forth 23.12in this section. In the case of patients admitted to residential programs as defined in section 23.13253C.01 subdivision 2, the written statement shall also describe the right of a person 16 23.14years old or older to request release as provided in section 253B.04, subdivision 2, and shall 23.15list the names and telephone numbers of individuals and organizations that provide advocacy 23.16and legal services for patients in residential programs. Reasonable accommodations shall 23.17be made for people who have communication disabilities and those who speak a language 23.18other than English. Current facility policies, inspection findings of state and local health 23.19authorities, and further explanation of the written statement of rights shall be available to 23.20patients, residents, their guardians or their chosen representatives upon reasonable request 23.21to the administrator or other designated staff person, consistent with chapter 13, the Data 23.22Practices Act, and section 626.557, relating to vulnerable adults. 23.23 EFFECTIVE DATE.This section is effective July 1, 2025. 23.24Sec. 10. Minnesota Statutes 2024, section 144.651, subdivision 20, is amended to read: 23.25 Subd. 20.Grievances.Patients and residents shall be encouraged and assisted, throughout 23.26their stay in a facility or their course of treatment, to understand and exercise their rights 23.27as patients, residents, and citizens. Patients and residents may voice grievances and 23.28recommend changes in policies and services to facility staff and others of their choice, free 23.29from restraint, interference, coercion, discrimination, or reprisal, including threat of discharge. 23.30Notice of the grievance procedure of the facility or program, as well as addresses and 23.31telephone numbers for the Office of Health Facility Complaints and the area nursing home 23.32ombudsman pursuant to the Older Americans Act, section 307(a)(12) shall be posted in a 23.33conspicuous place. 23Article 3 Sec. 10. REVISOR EB/CH 25-0031102/20/25 24.1 Every acute care inpatient facility, every residential program as defined in section 24.2253C.01 subdivision 2, every nonacute care facility, and every facility employing more 24.3than two people that provides outpatient mental health services shall have a written internal 24.4grievance procedure that, at a minimum, sets forth the process to be followed; specifies 24.5time limits, including time limits for facility response; provides for the patient or resident 24.6to have the assistance of an advocate; requires a written response to written grievances; and 24.7provides for a timely decision by an impartial decision maker if the grievance is not otherwise 24.8resolved. Compliance by hospitals, residential programs as defined in section 253C.01 24.9subdivision 2 which are hospital-based primary treatment programs, and outpatient surgery 24.10centers with section 144.691 and compliance by health maintenance organizations with 24.11section 62D.11 is deemed to be compliance with the requirement for a written internal 24.12grievance procedure. 24.13 EFFECTIVE DATE.This section is effective July 1, 2025. 24.14Sec. 11. Minnesota Statutes 2024, section 144.651, subdivision 31, is amended to read: 24.15 Subd. 31.Isolation and restraints.A minor patient who has been admitted to a 24.16residential program as defined in section 253C.01 subdivision 2 has the right to be free from 24.17physical restraint and isolation except in emergency situations involving a likelihood that 24.18the patient will physically harm the patient's self or others. These procedures may not be 24.19used for disciplinary purposes, to enforce program rules, or for the convenience of staff. 24.20Isolation or restraint may be used only upon the prior authorization of a physician, advanced 24.21practice registered nurse, physician assistant, psychiatrist, or licensed psychologist, only 24.22when less restrictive measures are ineffective or not feasible and only for the shortest time 24.23necessary. 24.24 EFFECTIVE DATE.This section is effective July 1, 2025. 24.25Sec. 12. Minnesota Statutes 2024, section 144.651, subdivision 32, is amended to read: 24.26 Subd. 32.Treatment plan.A minor patient who has been admitted to a residential 24.27program as defined in section 253C.01 subdivision 2 has the right to a written treatment 24.28plan that describes in behavioral terms the case problems, the precise goals of the plan, and 24.29the procedures that will be utilized to minimize the length of time that the minor requires 24.30inpatient treatment. The plan shall also state goals for release to a less restrictive facility 24.31and follow-up treatment measures and services, if appropriate. To the degree possible, the 24.32minor patient and the minor patient's parents or guardian shall be involved in the development 24.33of the treatment and discharge plan. 24Article 3 Sec. 12. REVISOR EB/CH 25-0031102/20/25 25.1 EFFECTIVE DATE.This section is effective July 1, 2025. 25.2 Sec. 13. Minnesota Statutes 2024, section 144A.07, is amended to read: 25.3 144A.07 FEES. 25.4 Each application for a license to operate a nursing home, or for a renewal of license, 25.5except an application by the Minnesota Veterans Home or the commissioner of human 25.6services Direct Care and Treatment executive board for the licensing of state institutions, 25.7shall be accompanied by a fee to be prescribed by the commissioner of health pursuant to 25.8section 144.122. No fee shall be refunded. 25.9 EFFECTIVE DATE.This section is effective July 1, 2025. 25.10Sec. 14. Minnesota Statutes 2024, section 146A.08, subdivision 4, is amended to read: 25.11 Subd. 4.Examination; access to medical data.(a) If the commissioner has probable 25.12cause to believe that an unlicensed complementary and alternative health care practitioner 25.13has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or (k), the 25.14commissioner may issue an order directing the practitioner to submit to a mental or physical 25.15examination or substance use disorder evaluation. For the purpose of this subdivision, every 25.16unlicensed complementary and alternative health care practitioner is deemed to have 25.17consented to submit to a mental or physical examination or substance use disorder evaluation 25.18when ordered to do so in writing by the commissioner and further to have waived all 25.19objections to the admissibility of the testimony or examination reports of the health care 25.20provider performing the examination or evaluation on the grounds that the same constitute 25.21a privileged communication. Failure of an unlicensed complementary and alternative health 25.22care practitioner to submit to an examination or evaluation when ordered, unless the failure 25.23was due to circumstances beyond the practitioner's control, constitutes an admission that 25.24the unlicensed complementary and alternative health care practitioner violated subdivision 25.251, paragraph (h), (i), (j), or (k), based on the factual specifications in the examination or 25.26evaluation order and may result in a default and final disciplinary order being entered after 25.27a contested case hearing. An unlicensed complementary and alternative health care 25.28practitioner affected under this paragraph shall at reasonable intervals be given an opportunity 25.29to demonstrate that the practitioner can resume the provision of complementary and 25.30alternative health care practices with reasonable safety to clients. In any proceeding under 25.31this paragraph, neither the record of proceedings nor the orders entered by the commissioner 25.32shall be used against an unlicensed complementary and alternative health care practitioner 25.33in any other proceeding. 25Article 3 Sec. 14. REVISOR EB/CH 25-0031102/20/25 26.1 (b) In addition to ordering a physical or mental examination or substance use disorder 26.2evaluation, the commissioner may, notwithstanding section 13.384; 144.651; 595.02; or 26.3any other law limiting access to medical or other health data, obtain medical data and health 26.4records relating to an unlicensed complementary and alternative health care practitioner 26.5without the practitioner's consent if the commissioner has probable cause to believe that a 26.6practitioner has engaged in conduct prohibited by subdivision 1, paragraph (h), (i), (j), or 26.7(k). The medical data may be requested from a provider as defined in section 144.291, 26.8subdivision 2, paragraph (i), an insurance company, or a government agency, including the 26.9Department of Human Services and Direct Care and Treatment. A provider, insurance 26.10company, or government agency shall comply with any written request of the commissioner 26.11under this subdivision and is not liable in any action for damages for releasing the data 26.12requested by the commissioner if the data are released pursuant to a written request under 26.13this subdivision, unless the information is false and the person or organization giving the 26.14information knew or had reason to believe the information was false. Information obtained 26.15under this subdivision is private data under section 13.41. 26.16 EFFECTIVE DATE.This section is effective July 1, 2025. 26.17Sec. 15. Minnesota Statutes 2024, section 147.091, subdivision 6, is amended to read: 26.18 Subd. 6.Mental examination; access to medical data.(a) If the board has probable 26.19cause to believe that a regulated person comes under subdivision 1, paragraph (1), it may 26.20direct the person to submit to a mental or physical examination. For the purpose of this 26.21subdivision every regulated person is deemed to have consented to submit to a mental or 26.22physical examination when directed in writing by the board and further to have waived all 26.23objections to the admissibility of the examining physicians' testimony or examination reports 26.24on the ground that the same constitute a privileged communication. Failure of a regulated 26.25person to submit to an examination when directed constitutes an admission of the allegations 26.26against the person, unless the failure was due to circumstance beyond the person's control, 26.27in which case a default and final order may be entered without the taking of testimony or 26.28presentation of evidence. A regulated person affected under this paragraph shall at reasonable 26.29intervals be given an opportunity to demonstrate that the person can resume the competent 26.30practice of the regulated profession with reasonable skill and safety to the public. 26.31 In any proceeding under this paragraph, neither the record of proceedings nor the orders 26.32entered by the board shall be used against a regulated person in any other proceeding. 26.33 (b) In addition to ordering a physical or mental examination, the board may, 26.34notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 26Article 3 Sec. 15. REVISOR EB/CH 25-0031102/20/25 27.1other health data, obtain medical data and health records relating to a regulated person or 27.2applicant without the person's or applicant's consent if the board has probable cause to 27.3believe that a regulated person comes under subdivision 1, paragraph (1). The medical data 27.4may be requested from a provider, as defined in section 144.291, subdivision 2, paragraph 27.5(i), an insurance company, or a government agency, including the Department of Human 27.6Services and Direct Care and Treatment. A provider, insurance company, or government 27.7agency shall comply with any written request of the board under this subdivision and is not 27.8liable in any action for damages for releasing the data requested by the board if the data are 27.9released pursuant to a written request under this subdivision, unless the information is false 27.10and the provider giving the information knew, or had reason to believe, the information was 27.11false. Information obtained under this subdivision is classified as private under sections 27.1213.01 to 13.87. 27.13 EFFECTIVE DATE.This section is effective July 1, 2025. 27.14Sec. 16. Minnesota Statutes 2024, section 147A.13, subdivision 6, is amended to read: 27.15 Subd. 6.Mental examination; access to medical data.(a) If the board has probable 27.16cause to believe that a physician assistant comes under subdivision 1, clause (1), it may 27.17direct the physician assistant to submit to a mental or physical examination. For the purpose 27.18of this subdivision, every physician assistant licensed under this chapter is deemed to have 27.19consented to submit to a mental or physical examination when directed in writing by the 27.20board and further to have waived all objections to the admissibility of the examining 27.21physicians' testimony or examination reports on the ground that the same constitute a 27.22privileged communication. Failure of a physician assistant to submit to an examination 27.23when directed constitutes an admission of the allegations against the physician assistant, 27.24unless the failure was due to circumstance beyond the physician assistant's control, in which 27.25case a default and final order may be entered without the taking of testimony or presentation 27.26of evidence. A physician assistant affected under this subdivision shall at reasonable intervals 27.27be given an opportunity to demonstrate that the physician assistant can resume competent 27.28practice with reasonable skill and safety to patients. In any proceeding under this subdivision, 27.29neither the record of proceedings nor the orders entered by the board shall be used against 27.30a physician assistant in any other proceeding. 27.31 (b) In addition to ordering a physical or mental examination, the board may, 27.32notwithstanding sections 13.384, 144.651, or any other law limiting access to medical or 27.33other health data, obtain medical data and health records relating to a licensee or applicant 27Article 3 Sec. 16. REVISOR EB/CH 25-0031102/20/25 28.1without the licensee's or applicant's consent if the board has probable cause to believe that 28.2a physician assistant comes under subdivision 1, clause (1). 28.3 The medical data may be requested from a provider, as defined in section 144.291, 28.4subdivision 2, paragraph (i), an insurance company, or a government agency, including the 28.5Department of Human Services and Direct Care and Treatment. A provider, insurance 28.6company, or government agency shall comply with any written request of the board under 28.7this subdivision and is not liable in any action for damages for releasing the data requested 28.8by the board if the data are released pursuant to a written request under this subdivision, 28.9unless the information is false and the provider giving the information knew, or had reason 28.10to believe, the information was false. Information obtained under this subdivision is classified 28.11as private under chapter 13. 28.12 EFFECTIVE DATE.This section is effective July 1, 2025. 28.13Sec. 17. Minnesota Statutes 2024, section 148.10, subdivision 1, is amended to read: 28.14 Subdivision 1.Grounds.(a) The state Board of Chiropractic Examiners may refuse to 28.15grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice 28.16chiropractic, or may cause the name of a person licensed to be removed from the records 28.17in the office of the court administrator of the district court for: 28.18 (1) advertising that is false or misleading; that violates a rule of the board; or that claims 28.19the cure of any condition or disease; 28.20 (2) the employment of fraud or deception in applying for a license or in passing the 28.21examination provided for in section 148.06 or conduct which subverts or attempts to subvert 28.22the licensing examination process; 28.23 (3) the practice of chiropractic under a false or assumed name or the impersonation of 28.24another practitioner of like or different name; 28.25 (4) the conviction of a crime involving moral turpitude; 28.26 (5) the conviction, during the previous five years, of a felony reasonably related to the 28.27practice of chiropractic; 28.28 (6) habitual intemperance in the use of alcohol or drugs; 28.29 (7) practicing under a license which has not been renewed; 28.30 (8) advanced physical or mental disability; 28Article 3 Sec. 17. REVISOR EB/CH 25-0031102/20/25 29.1 (9) the revocation or suspension of a license to practice chiropractic; or other disciplinary 29.2action against the licensee; or the denial of an application for a license by the proper licensing 29.3authority of another state, territory or country; or failure to report to the board that charges 29.4regarding the person's license have been brought in another state or jurisdiction; 29.5 (10) the violation of, or failure to comply with, the provisions of sections 148.01 to 29.6148.105, the rules of the state Board of Chiropractic Examiners, or a lawful order of the 29.7board; 29.8 (11) unprofessional conduct; 29.9 (12) being unable to practice chiropractic with reasonable skill and safety to patients by 29.10reason of illness, professional incompetence, senility, drunkenness, use of drugs, narcotics, 29.11chemicals or any other type of material, or as a result of any mental or physical condition, 29.12including deterioration through the aging process or loss of motor skills. If the board has 29.13probable cause to believe that a person comes within this clause, it shall direct the person 29.14to submit to a mental or physical examination. For the purpose of this clause, every person 29.15licensed under this chapter shall be deemed to have given consent to submit to a mental or 29.16physical examination when directed in writing by the board and further to have waived all 29.17objections to the admissibility of the examining physicians' testimony or examination reports 29.18on the ground that the same constitute a privileged communication. Failure of a person to 29.19submit to such examination when directed shall constitute an admission of the allegations, 29.20unless the failure was due to circumstances beyond the person's control, in which case a 29.21default and final order may be entered without the taking of testimony or presentation of 29.22evidence. A person affected under this clause shall at reasonable intervals be afforded an 29.23opportunity to demonstrate that the person can resume the competent practice of chiropractic 29.24with reasonable skill and safety to patients. 29.25 In addition to ordering a physical or mental examination, the board may, notwithstanding 29.26section 13.384, 144.651, or any other law limiting access to health data, obtain health data 29.27and health records relating to a licensee or applicant without the licensee's or applicant's 29.28consent if the board has probable cause to believe that a doctor of chiropractic comes under 29.29this clause. The health data may be requested from a provider, as defined in section 144.291, 29.30subdivision 2, paragraph (i), an insurance company, or a government agency, including the 29.31Department of Human Services and Direct Care and Treatment. A provider, insurance 29.32company, or government agency shall comply with any written request of the board under 29.33this subdivision and is not liable in any action for damages for releasing the data requested 29.34by the board if the data are released pursuant to a written request under this subdivision, 29.35unless the information is false and the provider or entity giving the information knew, or 29Article 3 Sec. 17. REVISOR EB/CH 25-0031102/20/25 30.1had reason to believe, the information was false. Information obtained under this subdivision 30.2is classified as private under sections 13.01 to 13.87. 30.3 In any proceeding under this clause, neither the record of proceedings nor the orders 30.4entered by the board shall be used against a person in any other proceeding; 30.5 (13) aiding or abetting an unlicensed person in the practice of chiropractic, except that 30.6it is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate 30.7functions to a qualified person who may or may not be required to obtain a license or 30.8registration to provide health services if that person is practicing within the scope of the 30.9license or registration or delegated authority; 30.10 (14) improper management of health records, including failure to maintain adequate 30.11health records as described in clause (18), to comply with a patient's request made under 30.12sections 144.291 to 144.298 or to furnish a health record or report required by law; 30.13 (15) failure to make reports required by section 148.102, subdivisions 2 and 5, or to 30.14cooperate with an investigation of the board as required by section 148.104, or the submission 30.15of a knowingly false report against another doctor of chiropractic under section 148.10, 30.16subdivision 3; 30.17 (16) splitting fees, or promising to pay a portion of a fee or a commission, or accepting 30.18a rebate; 30.19 (17) revealing a privileged communication from or relating to a patient, except when 30.20otherwise required or permitted by law; 30.21 (18) failing to keep written chiropractic records justifying the course of treatment of the 30.22patient, including, but not limited to, patient histories, examination results, test results, and 30.23x-rays. Unless otherwise required by law, written records need not be retained for more 30.24than seven years and x-rays need not be retained for more than four years; 30.25 (19) exercising influence on the patient or client in such a manner as to exploit the patient 30.26or client for financial gain of the licensee or of a third party which shall include, but not be 30.27limited to, the promotion or sale of services, goods, or appliances; 30.28 (20) gross or repeated malpractice or the failure to practice chiropractic at a level of 30.29care, skill, and treatment which is recognized by a reasonably prudent chiropractor as being 30.30acceptable under similar conditions and circumstances; or 30.31 (21) delegating professional responsibilities to a person when the licensee delegating 30.32such responsibilities knows or has reason to know that the person is not qualified by training, 30.33experience, or licensure to perform them. 30Article 3 Sec. 17. REVISOR EB/CH 25-0031102/20/25 31.1 (b) For the purposes of paragraph (a), clause (2), conduct that subverts or attempts to 31.2subvert the licensing examination process includes, but is not limited to: (1) conduct that 31.3violates the security of the examination materials, such as removing examination materials 31.4from the examination room or having unauthorized possession of any portion of a future, 31.5current, or previously administered licensing examination; (2) conduct that violates the 31.6standard of test administration, such as communicating with another examinee during 31.7administration of the examination, copying another examinee's answers, permitting another 31.8examinee to copy one's answers, or possessing unauthorized materials; or (3) impersonating 31.9an examinee or permitting an impersonator to take the examination on one's own behalf. 31.10 (c) For the purposes of paragraph (a), clauses (4) and (5), conviction as used in these 31.11subdivisions includes a conviction of an offense that if committed in this state would be 31.12deemed a felony without regard to its designation elsewhere, or a criminal proceeding where 31.13a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld 31.14or not entered. 31.15 (d) For the purposes of paragraph (a), clauses (4), (5), and (6), a copy of the judgment 31.16or proceeding under seal of the administrator of the court or of the administrative agency 31.17which entered the same shall be admissible into evidence without further authentication 31.18and shall constitute prima facie evidence of its contents. 31.19 (e) For the purposes of paragraph (a), clause (11), unprofessional conduct means any 31.20unethical, deceptive or deleterious conduct or practice harmful to the public, any departure 31.21from or the failure to conform to the minimal standards of acceptable chiropractic practice, 31.22or a willful or careless disregard for the health, welfare or safety of patients, in any of which 31.23cases proof of actual injury need not be established. Unprofessional conduct shall include, 31.24but not be limited to, the following acts of a chiropractor: 31.25 (1) gross ignorance of, or incompetence in, the practice of chiropractic; 31.26 (2) engaging in conduct with a patient that is sexual or may reasonably be interpreted 31.27by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning 31.28to a patient; 31.29 (3) performing unnecessary services; 31.30 (4) charging a patient an unconscionable fee or charging for services not rendered; 31.31 (5) directly or indirectly engaging in threatening, dishonest, or misleading fee collection 31.32techniques; 31Article 3 Sec. 17. REVISOR EB/CH 25-0031102/20/25 32.1 (6) perpetrating fraud upon patients, third-party payors, or others, relating to the practice 32.2of chiropractic, including violations of the Medicare or Medicaid laws or state medical 32.3assistance laws; 32.4 (7) advertising that the licensee will accept for services rendered assigned payments 32.5from any third-party payer as payment in full, if the effect is to give the impression of 32.6eliminating the need of payment by the patient of any required deductible or co-payment 32.7applicable in the patient's health benefit plan. As used in this clause, "advertise" means 32.8solicitation by the licensee by means of handbills, posters, circulars, motion pictures, radio, 32.9newspapers, television, or in any other manner. In addition to the board's power to punish 32.10for violations of this clause, violation of this clause is also a misdemeanor; 32.11 (8) accepting for services rendered assigned payments from any third-party payer as 32.12payment in full, if the effect is to eliminate the need of payment by the patient of any required 32.13deductible or co-payment applicable in the patient's health benefit plan, except as hereinafter 32.14provided; and 32.15 (9) any other act that the board by rule may define. 32.16 EFFECTIVE DATE.This section is effective July 1, 2025. 32.17Sec. 18. Minnesota Statutes 2024, section 148.261, subdivision 5, is amended to read: 32.18 Subd. 5.Examination; access to medical data.The board may take the following 32.19actions if it has probable cause to believe that grounds for disciplinary action exist under 32.20subdivision 1, clause (9) or (10): 32.21 (a) It may direct the applicant or nurse to submit to a mental or physical examination or 32.22substance use disorder evaluation. For the purpose of this subdivision, when a nurse licensed 32.23under sections 148.171 to 148.285 is directed in writing by the board to submit to a mental 32.24or physical examination or substance use disorder evaluation, that person is considered to 32.25have consented and to have waived all objections to admissibility on the grounds of privilege. 32.26Failure of the applicant or nurse to submit to an examination when directed constitutes an 32.27admission of the allegations against the applicant or nurse, unless the failure was due to 32.28circumstances beyond the person's control, and the board may enter a default and final order 32.29without taking testimony or allowing evidence to be presented. A nurse affected under this 32.30paragraph shall, at reasonable intervals, be given an opportunity to demonstrate that the 32.31competent practice of professional, advanced practice registered, or practical nursing can 32.32be resumed with reasonable skill and safety to patients. Neither the record of proceedings 32Article 3 Sec. 18. REVISOR EB/CH 25-0031102/20/25 33.1nor the orders entered by the board in a proceeding under this paragraph, may be used 33.2against a nurse in any other proceeding. 33.3 (b) It may, notwithstanding sections 13.384, 144.651, 595.02, or any other law limiting 33.4access to medical or other health data, obtain medical data and health records relating to a 33.5registered nurse, advanced practice registered nurse, licensed practical nurse, or applicant 33.6for a license without that person's consent. The medical data may be requested from a 33.7provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, 33.8or a government agency, including the Department of Human Services and Direct Care and 33.9Treatment. A provider, insurance company, or government agency shall comply with any 33.10written request of the board under this subdivision and is not liable in any action for damages 33.11for releasing the data requested by the board if the data are released pursuant to a written 33.12request under this subdivision unless the information is false and the provider giving the 33.13information knew, or had reason to believe, the information was false. Information obtained 33.14under this subdivision is classified as private data on individuals as defined in section 13.02. 33.15 EFFECTIVE DATE.This section is effective July 1, 2025. 33.16Sec. 19. Minnesota Statutes 2024, section 148.754, is amended to read: 33.17 148.754 EXAMINATION; ACCESS TO MEDICAL DATA. 33.18 (a) If the board has probable cause to believe that a licensee comes under section 148.75, 33.19paragraph (a), clause (2), it may direct the licensee to submit to a mental or physical 33.20examination. For the purpose of this paragraph, every licensee is deemed to have consented 33.21to submit to a mental or physical examination when directed in writing by the board and 33.22further to have waived all objections to the admissibility of the examining physicians' 33.23testimony or examination reports on the ground that they constitute a privileged 33.24communication. Failure of the licensee to submit to an examination when directed constitutes 33.25an admission of the allegations against the person, unless the failure was due to circumstances 33.26beyond the person's control, in which case a default and final order may be entered without 33.27the taking of testimony or presentation of evidence. A licensee affected under this paragraph 33.28shall, at reasonable intervals, be given an opportunity to demonstrate that the person can 33.29resume the competent practice of physical therapy with reasonable skill and safety to the 33.30public. 33.31 (b) In any proceeding under paragraph (a), neither the record of proceedings nor the 33.32orders entered by the board shall be used against a licensee in any other proceeding. 33Article 3 Sec. 19. REVISOR EB/CH 25-0031102/20/25 34.1 (c) In addition to ordering a physical or mental examination, the board may, 34.2notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 34.3other health data, obtain medical data and health records relating to a licensee or applicant 34.4without the person's or applicant's consent if the board has probable cause to believe that 34.5the person comes under paragraph (a). The medical data may be requested from a provider, 34.6as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, or a 34.7government agency, including the Department of Human Services and Direct Care and 34.8Treatment. A provider, insurance company, or government agency shall comply with any 34.9written request of the board under this paragraph and is not liable in any action for damages 34.10for releasing the data requested by the board if the data are released pursuant to a written 34.11request under this paragraph, unless the information is false and the provider giving the 34.12information knew, or had reason to believe, the information was false. Information obtained 34.13under this paragraph is classified as private under sections 13.01 to 13.87. 34.14 EFFECTIVE DATE.This section is effective July 1, 2025. 34.15Sec. 20. Minnesota Statutes 2024, section 148B.5905, is amended to read: 34.16 148B.5905 MENTAL, PHYSICAL, OR SUBSTANCE USE DISORDER 34.17EXAMINATION OR EVALUATION; ACCESS TO MEDICAL DATA. 34.18 (a) If the board has probable cause to believe section 148B.59, paragraph (a), clause (9), 34.19applies to a licensee or applicant, the board may direct the person to submit to a mental, 34.20physical, or substance use disorder examination or evaluation. For the purpose of this section, 34.21every licensee and applicant is deemed to have consented to submit to a mental, physical, 34.22or substance use disorder examination or evaluation when directed in writing by the board 34.23and to have waived all objections to the admissibility of the examining professionals' 34.24testimony or examination reports on the grounds that the testimony or examination reports 34.25constitute a privileged communication. Failure of a licensee or applicant to submit to an 34.26examination when directed by the board constitutes an admission of the allegations against 34.27the person, unless the failure was due to circumstances beyond the person's control, in which 34.28case a default and final order may be entered without the taking of testimony or presentation 34.29of evidence. A licensee or applicant affected under this paragraph shall at reasonable intervals 34.30be given an opportunity to demonstrate that the person can resume the competent practice 34.31of licensed professional counseling with reasonable skill and safety to the public. In any 34.32proceeding under this paragraph, neither the record of proceedings nor the orders entered 34.33by the board shall be used against a licensee or applicant in any other proceeding. 34Article 3 Sec. 20. REVISOR EB/CH 25-0031102/20/25 35.1 (b) In addition to ordering a physical or mental examination, the board may, 35.2notwithstanding section 13.384, 144.651, or any other law limiting access to medical or 35.3other health data, obtain medical data and health records relating to a licensee or applicant 35.4without the licensee's or applicant's consent if the board has probable cause to believe that 35.5section 148B.59, paragraph (a), clause (9), applies to the licensee or applicant. The medical 35.6data may be requested from a provider, as defined in section 144.291, subdivision 2, 35.7paragraph (i); an insurance company; or a government agency, including the Department 35.8of Human Services and Direct Care and Treatment. A provider, insurance company, or 35.9government agency shall comply with any written request of the board under this subdivision 35.10and is not liable in any action for damages for releasing the data requested by the board if 35.11the data are released pursuant to a written request under this subdivision, unless the 35.12information is false and the provider giving the information knew, or had reason to believe, 35.13the information was false. Information obtained under this subdivision is classified as private 35.14under sections 13.01 to 13.87. 35.15 EFFECTIVE DATE.This section is effective July 1, 2025. 35.16Sec. 21. Minnesota Statutes 2024, section 148F.09, subdivision 6, is amended to read: 35.17 Subd. 6.Mental, physical, or chemical health evaluation.(a) If the board has probable 35.18cause to believe that an applicant or licensee is unable to practice alcohol and drug counseling 35.19with reasonable skill and safety due to a mental or physical illness or condition, the board 35.20may direct the individual to submit to a mental, physical, or chemical dependency 35.21examination or evaluation. 35.22 (1) For the purposes of this section, every licensee and applicant is deemed to have 35.23consented to submit to a mental, physical, or chemical dependency examination or evaluation 35.24when directed in writing by the board and to have waived all objections to the admissibility 35.25of the examining professionals' testimony or examination reports on the grounds that the 35.26testimony or examination reports constitute a privileged communication. 35.27 (2) Failure of a licensee or applicant to submit to an examination when directed by the 35.28board constitutes an admission of the allegations against the person, unless the failure was 35.29due to circumstances beyond the person's control, in which case a default and final order 35.30may be entered without the taking of testimony or presentation of evidence. 35.31 (3) A licensee or applicant affected under this subdivision shall at reasonable intervals 35.32be given an opportunity to demonstrate that the licensee or applicant can resume the 35.33competent practice of licensed alcohol and drug counseling with reasonable skill and safety 35.34to the public. 35Article 3 Sec. 21. REVISOR EB/CH 25-0031102/20/25 36.1 (4) In any proceeding under this subdivision, neither the record of proceedings nor the 36.2orders entered by the board shall be used against the licensee or applicant in any other 36.3proceeding. 36.4 (b) In addition to ordering a physical or mental examination, the board may, 36.5notwithstanding section 13.384 or sections 144.291 to 144.298, or any other law limiting 36.6access to medical or other health data, obtain medical data and health records relating to a 36.7licensee or applicant without the licensee's or applicant's consent if the board has probable 36.8cause to believe that subdivision 1, clause (9), applies to the licensee or applicant. The 36.9medical data may be requested from: 36.10 (1) a provider, as defined in section 144.291, subdivision 2, paragraph (i); 36.11 (2) an insurance company; or 36.12 (3) a government agency, including the Department of Human Services and Direct Care 36.13and Treatment. 36.14 (c) A provider, insurance company, or government agency must comply with any written 36.15request of the board under this subdivision and is not liable in any action for damages for 36.16releasing the data requested by the board if the data are released pursuant to a written request 36.17under this subdivision, unless the information is false and the provider giving the information 36.18knew, or had reason to believe, the information was false. 36.19 (d) Information obtained under this subdivision is private data on individuals as defined 36.20in section 13.02, subdivision 12. 36.21 EFFECTIVE DATE.This section is effective July 1, 2025. 36.22Sec. 22. Minnesota Statutes 2024, section 150A.08, subdivision 6, is amended to read: 36.23 Subd. 6.Medical records.Notwithstanding contrary provisions of sections 13.384 and 36.24144.651 or any other statute limiting access to medical or other health data, the board may 36.25obtain medical data and health records of a licensee or applicant without the licensee's or 36.26applicant's consent if the information is requested by the board as part of the process specified 36.27in subdivision 5. The medical data may be requested from a provider, as defined in section 36.28144.291, subdivision 2, paragraph (h), an insurance company, or a government agency, 36.29including the Department of Human Services and Direct Care and Treatment. A provider, 36.30insurance company, or government agency shall comply with any written request of the 36.31board under this subdivision and shall not be liable in any action for damages for releasing 36.32the data requested by the board if the data are released pursuant to a written request under 36.33this subdivision, unless the information is false and the provider giving the information 36Article 3 Sec. 22. REVISOR EB/CH 25-0031102/20/25 37.1knew, or had reason to believe, the information was false. Information obtained under this 37.2subdivision shall be classified as private under the Minnesota Government Data Practices 37.3Act. 37.4 EFFECTIVE DATE.This section is effective July 1, 2025. 37.5 Sec. 23. Minnesota Statutes 2024, section 151.071, subdivision 10, is amended to read: 37.6 Subd. 10.Mental examination; access to medical data.(a) If the board receives a 37.7complaint and has probable cause to believe that an individual licensed or registered by the 37.8board falls under subdivision 2, clause (14), it may direct the individual to submit to a mental 37.9or physical examination. For the purpose of this subdivision, every licensed or registered 37.10individual is deemed to have consented to submit to a mental or physical examination when 37.11directed in writing by the board and further to have waived all objections to the admissibility 37.12of the examining practitioner's testimony or examination reports on the grounds that the 37.13same constitute a privileged communication. Failure of a licensed or registered individual 37.14to submit to an examination when directed constitutes an admission of the allegations against 37.15the individual, unless the failure was due to circumstances beyond the individual's control, 37.16in which case a default and final order may be entered without the taking of testimony or 37.17presentation of evidence. Pharmacists affected under this paragraph shall at reasonable 37.18intervals be given an opportunity to demonstrate that they can resume the competent practice 37.19of the profession of pharmacy with reasonable skill and safety to the public. Pharmacist 37.20interns, pharmacy technicians, or controlled substance researchers affected under this 37.21paragraph shall at reasonable intervals be given an opportunity to demonstrate that they can 37.22competently resume the duties that can be performed, under this chapter or the rules of the 37.23board, by similarly registered persons with reasonable skill and safety to the public. In any 37.24proceeding under this paragraph, neither the record of proceedings nor the orders entered 37.25by the board shall be used against a licensed or registered individual in any other proceeding. 37.26 (b) Notwithstanding section 13.384, 144.651, or any other law limiting access to medical 37.27or other health data, the board may obtain medical data and health records relating to an 37.28individual licensed or registered by the board, or to an applicant for licensure or registration, 37.29without the individual's consent when the board receives a complaint and has probable cause 37.30to believe that the individual is practicing in violation of subdivision 2, clause (14), and the 37.31data and health records are limited to the complaint. The medical data may be requested 37.32from a provider, as defined in section 144.291, subdivision 2, paragraph (i), an insurance 37.33company, or a government agency, including the Department of Human Services and Direct 37.34Care and Treatment. A provider, insurance company, or government agency shall comply 37Article 3 Sec. 23. REVISOR EB/CH 25-0031102/20/25 38.1with any written request of the board under this subdivision and is not liable in any action 38.2for damages for releasing the data requested by the board if the data are released pursuant 38.3to a written request under this subdivision, unless the information is false and the provider 38.4giving the information knew, or had reason to believe, the information was false. Information 38.5obtained under this subdivision is classified as private under sections 13.01 to 13.87. 38.6 EFFECTIVE DATE.This section is effective July 1, 2025. 38.7 Sec. 24. Minnesota Statutes 2024, section 153.21, subdivision 2, is amended to read: 38.8 Subd. 2.Access to medical data.In addition to ordering a physical or mental examination 38.9or substance use disorder evaluation, the board may, notwithstanding section 13.384, 144.651, 38.10or any other law limiting access to medical or other health data, obtain medical data and 38.11health records relating to a licensee or applicant without the licensee's or applicant's consent 38.12if the board has probable cause to believe that a doctor of podiatric medicine falls within 38.13the provisions of section 153.19, subdivision 1, clause (12). The medical data may be 38.14requested from a provider, as defined in section 144.291, subdivision 2, paragraph (h), an 38.15insurance company, or a government agency, including the Department of Human Services 38.16and Direct Care and Treatment. A provider, insurance company, or government agency 38.17shall comply with any written request of the board under this section and is not liable in 38.18any action for damages for releasing the data requested by the board if the data are released 38.19in accordance with a written request under this section, unless the information is false and 38.20the provider giving the information knew, or had reason to believe, the information was 38.21false. 38.22 EFFECTIVE DATE.This section is effective July 1, 2025. 38.23Sec. 25. Minnesota Statutes 2024, section 153B.70, is amended to read: 38.24 153B.70 GROUNDS FOR DISCIPLINARY ACTION. 38.25 (a) The board may refuse to issue or renew a license, revoke or suspend a license, or 38.26place on probation or reprimand a licensee for one or any combination of the following: 38.27 (1) making a material misstatement in furnishing information to the board; 38.28 (2) violating or intentionally disregarding the requirements of this chapter; 38.29 (3) conviction of a crime, including a finding or verdict of guilt, an admission of guilt, 38.30or a no-contest plea, in this state or elsewhere, reasonably related to the practice of the 38.31profession. Conviction, as used in this clause, includes a conviction of an offense which, if 38.32committed in this state, would be deemed a felony, gross misdemeanor, or misdemeanor, 38Article 3 Sec. 25. REVISOR EB/CH 25-0031102/20/25 39.1without regard to its designation elsewhere, or a criminal proceeding where a finding or 39.2verdict of guilty is made or returned but the adjudication of guilt is either withheld or not 39.3entered; 39.4 (4) making a misrepresentation in order to obtain or renew a license; 39.5 (5) displaying a pattern of practice or other behavior that demonstrates incapacity or 39.6incompetence to practice; 39.7 (6) aiding or assisting another person in violating the provisions of this chapter; 39.8 (7) failing to provide information within 60 days in response to a written request from 39.9the board, including documentation of completion of continuing education requirements; 39.10 (8) engaging in dishonorable, unethical, or unprofessional conduct; 39.11 (9) engaging in conduct of a character likely to deceive, defraud, or harm the public; 39.12 (10) inability to practice due to habitual intoxication, addiction to drugs, or mental or 39.13physical illness; 39.14 (11) being disciplined by another state or territory of the United States, the federal 39.15government, a national certification organization, or foreign nation, if at least one of the 39.16grounds for the discipline is the same or substantially equivalent to one of the grounds in 39.17this section; 39.18 (12) directly or indirectly giving to or receiving from a person, firm, corporation, 39.19partnership, or association a fee, commission, rebate, or other form of compensation for 39.20professional services not actually or personally rendered; 39.21 (13) incurring a finding by the board that the licensee, after the licensee has been placed 39.22on probationary status, has violated the conditions of the probation; 39.23 (14) abandoning a patient or client; 39.24 (15) willfully making or filing false records or reports in the course of the licensee's 39.25practice including, but not limited to, false records or reports filed with state or federal 39.26agencies; 39.27 (16) willfully failing to report child maltreatment as required under the Maltreatment of 39.28Minors Act, chapter 260E; or 39.29 (17) soliciting professional services using false or misleading advertising. 39.30 (b) A license to practice is automatically suspended if (1) a guardian of a licensee is 39.31appointed by order of a court pursuant to sections 524.5-101 to 524.5-502, for reasons other 39Article 3 Sec. 25. REVISOR EB/CH 25-0031102/20/25 40.1than the minority of the licensee, or (2) the licensee is committed by order of a court pursuant 40.2to chapter 253B. The license remains suspended until the licensee is restored to capacity 40.3by a court and, upon petition by the licensee, the suspension is terminated by the board after 40.4a hearing. The licensee may be reinstated to practice, either with or without restrictions, by 40.5demonstrating clear and convincing evidence of rehabilitation. The regulated person is not 40.6required to prove rehabilitation if the subsequent court decision overturns previous court 40.7findings of public risk. 40.8 (c) If the board has probable cause to believe that a licensee or applicant has violated 40.9paragraph (a), clause (10), it may direct the person to submit to a mental or physical 40.10examination. For the purpose of this section, every person is deemed to have consented to 40.11submit to a mental or physical examination when directed in writing by the board and to 40.12have waived all objections to the admissibility of the examining physician's testimony or 40.13examination report on the grounds that the testimony or report constitutes a privileged 40.14communication. Failure of a regulated person to submit to an examination when directed 40.15constitutes an admission of the allegations against the person, unless the failure was due to 40.16circumstances beyond the person's control, in which case a default and final order may be 40.17entered without the taking of testimony or presentation of evidence. A regulated person 40.18affected under this paragraph shall at reasonable intervals be given an opportunity to 40.19demonstrate that the person can resume the competent practice of the regulated profession 40.20with reasonable skill and safety to the public. In any proceeding under this paragraph, neither 40.21the record of proceedings nor the orders entered by the board shall be used against a regulated 40.22person in any other proceeding. 40.23 (d) In addition to ordering a physical or mental examination, the board may, 40.24notwithstanding section 13.384 or 144.293, or any other law limiting access to medical or 40.25other health data, obtain medical data and health records relating to a licensee or applicant 40.26without the person's or applicant's consent if the board has probable cause to believe that a 40.27licensee is subject to paragraph (a), clause (10). The medical data may be requested from 40.28a provider as defined in section 144.291, subdivision 2, paragraph (i), an insurance company, 40.29or a government agency, including the Department of Human Services and Direct Care and 40.30Treatment. A provider, insurance company, or government agency shall comply with any 40.31written request of the board under this section and is not liable in any action for damages 40.32for releasing the data requested by the board if the data are released pursuant to a written 40.33request under this section, unless the information is false and the provider giving the 40.34information knew, or had reason to know, the information was false. Information obtained 40.35under this section is private data on individuals as defined in section 13.02. 40Article 3 Sec. 25. REVISOR EB/CH 25-0031102/20/25 41.1 (e) If the board issues an order of immediate suspension of a license, a hearing must be 41.2held within 30 days of the suspension and completed without delay. 41.3 EFFECTIVE DATE.This section is effective July 1, 2025. 41.4 Sec. 26. Minnesota Statutes 2024, section 168.012, subdivision 1, is amended to read: 41.5 Subdivision 1.Vehicles exempt from tax, fees, or plate display.(a) The following 41.6vehicles are exempt from the provisions of this chapter requiring payment of tax and 41.7registration fees, except as provided in subdivision 1c: 41.8 (1) vehicles owned and used solely in the transaction of official business by the federal 41.9government, the state, or any political subdivision; 41.10 (2) vehicles owned and used exclusively by educational institutions and used solely in 41.11the transportation of pupils to and from those institutions; 41.12 (3) vehicles used solely in driver education programs at nonpublic high schools; 41.13 (4) vehicles owned by nonprofit charities and used exclusively to transport disabled 41.14persons for charitable, religious, or educational purposes; 41.15 (5) vehicles owned by nonprofit charities and used exclusively for disaster response and 41.16related activities; 41.17 (6) vehicles owned by ambulance services licensed under section 144E.10 that are 41.18equipped and specifically intended for emergency response or providing ambulance services; 41.19and 41.20 (7) vehicles owned by a commercial driving school licensed under section 171.34, or 41.21an employee of a commercial driving school licensed under section 171.34, and the vehicle 41.22is used exclusively for driver education and training. 41.23 (b) Provided the general appearance of the vehicle is unmistakable, the following vehicles 41.24are not required to register or display number plates: 41.25 (1) vehicles owned by the federal government; 41.26 (2) fire apparatuses, including fire-suppression support vehicles, owned or leased by the 41.27state or a political subdivision; 41.28 (3) police patrols owned or leased by the state or a political subdivision; and 41.29 (4) ambulances owned or leased by the state or a political subdivision. 41Article 3 Sec. 26. REVISOR EB/CH 25-0031102/20/25 42.1 (c) Unmarked vehicles used in general police work, liquor investigations, or arson 42.2investigations, and passenger automobiles, pickup trucks, and buses owned or operated by 42.3the Department of Corrections or by conservation officers of the Division of Enforcement 42.4and Field Service of the Department of Natural Resources, must be registered and must 42.5display appropriate license number plates, furnished by the registrar at cost. Original and 42.6renewal applications for these license plates authorized for use in general police work and 42.7for use by the Department of Corrections or by conservation officers must be accompanied 42.8by a certification signed by the appropriate chief of police if issued to a police vehicle, the 42.9appropriate sheriff if issued to a sheriff's vehicle, the commissioner of corrections if issued 42.10to a Department of Corrections vehicle, or the appropriate officer in charge if issued to a 42.11vehicle of any other law enforcement agency. The certification must be on a form prescribed 42.12by the commissioner and state that the vehicle will be used exclusively for a purpose 42.13authorized by this section. 42.14 (d) Unmarked vehicles used by the Departments of Revenue and Labor and Industry, 42.15fraud unit, in conducting seizures or criminal investigations must be registered and must 42.16display passenger vehicle classification license number plates, furnished at cost by the 42.17registrar. Original and renewal applications for these passenger vehicle license plates must 42.18be accompanied by a certification signed by the commissioner of revenue or the 42.19commissioner of labor and industry. The certification must be on a form prescribed by the 42.20commissioner and state that the vehicles will be used exclusively for the purposes authorized 42.21by this section. 42.22 (e) Unmarked vehicles used by the Division of Disease Prevention and Control of the 42.23Department of Health must be registered and must display passenger vehicle classification 42.24license number plates. These plates must be furnished at cost by the registrar. Original and 42.25renewal applications for these passenger vehicle license plates must be accompanied by a 42.26certification signed by the commissioner of health. The certification must be on a form 42.27prescribed by the commissioner and state that the vehicles will be used exclusively for the 42.28official duties of the Division of Disease Prevention and Control. 42.29 (f) Unmarked vehicles used by staff of the Gambling Control Board in gambling 42.30investigations and reviews must be registered and must display passenger vehicle 42.31classification license number plates. These plates must be furnished at cost by the registrar. 42.32Original and renewal applications for these passenger vehicle license plates must be 42.33accompanied by a certification signed by the board chair. The certification must be on a 42.34form prescribed by the commissioner and state that the vehicles will be used exclusively 42.35for the official duties of the Gambling Control Board. 42Article 3 Sec. 26. REVISOR EB/CH 25-0031102/20/25 43.1 (g) Unmarked vehicles used in general investigation, surveillance, supervision, and 43.2monitoring by the Department of Human Services' Office of Special Investigations' staff; 43.3the Minnesota Sex Offender Program's executive director and the executive director's staff; 43.4and the Office of Inspector General's staff, including, but not limited to, county fraud 43.5prevention investigators, must be registered and must display passenger vehicle classification 43.6license number plates, furnished by the registrar at cost. Original and renewal applications 43.7for passenger vehicle license plates must be accompanied by a certification signed by the 43.8commissioner of human services. The certification must be on a form prescribed by the 43.9commissioner and state that the vehicles must be used exclusively for the official duties of 43.10the Office of Special Investigations' staff; the Minnesota Sex Offender Program's executive 43.11director and the executive director's staff; and the Office of the Inspector General's staff, 43.12including, but not limited to, contract and county fraud prevention investigators. 43.13 (h) Unmarked vehicles used in general investigation, surveillance, supervision, and 43.14monitoring by the Direct Care and Treatment Office of Special Investigations' staff and 43.15unmarked vehicles used by the Minnesota Sex Offender Program's executive director and 43.16the executive director's staff must be registered and must display passenger vehicle 43.17classification license number plates, furnished by the registrar at cost. Original and renewal 43.18applications for passenger vehicle license plates must be accompanied by a certification 43.19signed by the Direct Care and Treatment executive board. The certification must be on a 43.20form prescribed by the commissioner and state that the vehicles must be used exclusively 43.21for the official duties of the Minnesota Sex Offender Program's executive director and the 43.22executive director's staff, including but not limited to contract and county fraud prevention 43.23investigators. 43.24 (h) (i) Each state hospital and institution for persons who are mentally ill and 43.25developmentally disabled may have one vehicle without the required identification on the 43.26sides of the vehicle. The vehicle must be registered and must display passenger vehicle 43.27classification license number plates. These plates must be furnished at cost by the registrar. 43.28Original and renewal applications for these passenger vehicle license plates must be 43.29accompanied by a certification signed by the hospital administrator. The certification must 43.30be on a form prescribed by the commissioner Direct Care and Treatment executive board 43.31and state that the vehicles will be used exclusively for the official duties of the state hospital 43.32or institution. 43.33 (i) (j) Each county social service agency may have vehicles used for child and vulnerable 43.34adult protective services without the required identification on the sides of the vehicle. The 43.35vehicles must be registered and must display passenger vehicle classification license number 43Article 3 Sec. 26. REVISOR EB/CH 25-0031102/20/25 44.1plates. These plates must be furnished at cost by the registrar. Original and renewal 44.2applications for these passenger vehicle license plates must be accompanied by a certification 44.3signed by the agency administrator. The certification must be on a form prescribed by the 44.4commissioner and state that the vehicles will be used exclusively for the official duties of 44.5the social service agency. 44.6 (j) (k) Unmarked vehicles used in general investigation, surveillance, supervision, and 44.7monitoring by tobacco inspector staff of the Department of Human Services' Alcohol and 44.8Drug Abuse Division for the purposes of tobacco inspections, investigations, and reviews 44.9must be registered and must display passenger vehicle classification license number plates, 44.10furnished at cost by the registrar. Original and renewal applications for passenger vehicle 44.11license plates must be accompanied by a certification signed by the commissioner of human 44.12services. The certification must be on a form prescribed by the commissioner and state that 44.13the vehicles will be used exclusively by tobacco inspector staff for the duties specified in 44.14this paragraph. 44.15 (k) (l) All other motor vehicles must be registered and display tax-exempt number plates, 44.16furnished by the registrar at cost, except as provided in subdivision 1c. All vehicles required 44.17to display tax-exempt number plates must have the name of the state department or political 44.18subdivision, nonpublic high school operating a driver education program, licensed 44.19commercial driving school, or other qualifying organization or entity, plainly displayed on 44.20both sides of the vehicle. This identification must be in a color giving contrast with that of 44.21the part of the vehicle on which it is placed and must endure throughout the term of the 44.22registration. The identification must not be on a removable plate or placard and must be 44.23kept clean and visible at all times; except that a removable plate or placard may be utilized 44.24on vehicles leased or loaned to a political subdivision or to a nonpublic high school driver 44.25education program. 44.26 EFFECTIVE DATE.This section is effective July 1, 2025. 44.27Sec. 27. Minnesota Statutes 2024, section 244.052, subdivision 4, is amended to read: 44.28 Subd. 4.Law enforcement agency; disclosure of information to public.(a) The law 44.29enforcement agency in the area where the predatory offender resides, expects to reside, is 44.30employed, or is regularly found, shall disclose to the public any information regarding the 44.31offender contained in the report forwarded to the agency under subdivision 3, paragraph 44.32(f), that is relevant and necessary to protect the public and to counteract the offender's 44.33dangerousness, consistent with the guidelines in paragraph (b). The extent of the information 44.34disclosed and the community to whom disclosure is made must relate to the level of danger 44Article 3 Sec. 27. REVISOR EB/CH 25-0031102/20/25 45.1posed by the offender, to the offender's pattern of offending behavior, and to the need of 45.2community members for information to enhance their individual and collective safety. 45.3 (b) The law enforcement agency shall employ the following guidelines in determining 45.4the scope of disclosure made under this subdivision: 45.5 (1) if the offender is assigned to risk level I, the agency may maintain information 45.6regarding the offender within the agency and may disclose it to other law enforcement 45.7agencies. Additionally, the agency may disclose the information to any victims of or 45.8witnesses to the offense committed by the offender. The agency shall disclose the information 45.9to victims of the offense committed by the offender who have requested disclosure and to 45.10adult members of the offender's immediate household; 45.11 (2) if the offender is assigned to risk level II, the agency also may disclose the information 45.12to agencies and groups that the offender is likely to encounter for the purpose of securing 45.13those institutions and protecting individuals in their care while they are on or near the 45.14premises of the institution. These agencies and groups include the staff members of public 45.15and private educational institutions, day care establishments, and establishments and 45.16organizations that primarily serve individuals likely to be victimized by the offender. The 45.17agency also may disclose the information to individuals the agency believes are likely to 45.18be victimized by the offender. The agency's belief shall be based on the offender's pattern 45.19of offending or victim preference as documented in the information provided by the 45.20Department of Corrections or, the Department of Human Services, or Direct Care and 45.21Treatment. The agency may disclose the information to property assessors, property 45.22inspectors, code enforcement officials, and child protection officials who are likely to visit 45.23the offender's home in the course of their duties; 45.24 (3) if the offender is assigned to risk level III, the agency shall disclose the information 45.25to the persons and entities described in clauses (1) and (2) and to other members of the 45.26community whom the offender is likely to encounter, unless the law enforcement agency 45.27determines that public safety would be compromised by the disclosure or that a more limited 45.28disclosure is necessary to protect the identity of the victim. 45.29 Notwithstanding the assignment of a predatory offender to risk level II or III, a law 45.30enforcement agency may not make the disclosures permitted or required by clause (2) or 45.31(3), if: the offender is placed or resides in a residential facility. However, if an offender is 45.32placed or resides in a residential facility, the offender and the head of the facility shall 45.33designate the offender's likely residence upon release from the facility and the head of the 45.34facility shall notify the commissioner of corrections or, the commissioner of human services, 45Article 3 Sec. 27. REVISOR EB/CH 25-0031102/20/25 46.1or the Direct Care and Treatment executive board of the offender's likely residence at least 46.214 days before the offender's scheduled release date. The commissioner shall give this 46.3information to the law enforcement agency having jurisdiction over the offender's likely 46.4residence. The head of the residential facility also shall notify the commissioner of corrections 46.5or, the commissioner of human services, or the Direct Care and Treatment executive board 46.6within 48 hours after finalizing the offender's approved relocation plan to a permanent 46.7residence. Within five days after receiving this notification, the appropriate commissioner 46.8shall give to the appropriate law enforcement agency all relevant information the 46.9commissioner has concerning the offender, including information on the risk factors in the 46.10offender's history and the risk level to which the offender was assigned. After receiving this 46.11information, the law enforcement agency shall make the disclosures permitted or required 46.12by clause (2) or (3), as appropriate. 46.13 (c) As used in paragraph (b), clauses (2) and (3), "likely to encounter" means that: 46.14 (1) the organizations or community members are in a location or in close proximity to 46.15a location where the offender lives or is employed, or which the offender visits or is likely 46.16to visit on a regular basis, other than the location of the offender's outpatient treatment 46.17program; and 46.18 (2) the types of interaction which ordinarily occur at that location and other circumstances 46.19indicate that contact with the offender is reasonably certain. 46.20 (d) A law enforcement agency or official who discloses information under this subdivision 46.21shall make a good faith effort to make the notification within 14 days of receipt of a 46.22confirmed address from the Department of Corrections indicating that the offender will be, 46.23or has been, released from confinement, or accepted for supervision, or has moved to a new 46.24address and will reside at the address indicated. If a change occurs in the release plan, this 46.25notification provision does not require an extension of the release date. 46.26 (e) A law enforcement agency or official who discloses information under this subdivision 46.27shall not disclose the identity or any identifying characteristics of the victims of or witnesses 46.28to the offender's offenses. 46.29 (f) A law enforcement agency shall continue to disclose information on an offender as 46.30required by this subdivision for as long as the offender is required to register under section 46.31243.166. This requirement on a law enforcement agency to continue to disclose information 46.32also applies to an offender who lacks a primary address and is registering under section 46.33243.166, subdivision 3a. 46Article 3 Sec. 27. REVISOR EB/CH 25-0031102/20/25 47.1 (g) A law enforcement agency that is disclosing information on an offender assigned to 47.2risk level III to the public under this subdivision shall inform the commissioner of corrections 47.3what information is being disclosed and forward this information to the commissioner within 47.4two days of the agency's determination. The commissioner shall post this information on 47.5the Internet as required in subdivision 4b. 47.6 (h) A city council may adopt a policy that addresses when information disclosed under 47.7this subdivision must be presented in languages in addition to English. The policy may 47.8address when information must be presented orally, in writing, or both in additional languages 47.9by the law enforcement agency disclosing the information. The policy may provide for 47.10different approaches based on the prevalence of non-English languages in different 47.11neighborhoods. 47.12 (i) An offender who is the subject of a community notification meeting held pursuant 47.13to this section may not attend the meeting. 47.14 (j) When a school, day care facility, or other entity or program that primarily educates 47.15or serves children receives notice under paragraph (b), clause (3), that a level III predatory 47.16offender resides or works in the surrounding community, notice to parents must be made 47.17as provided in this paragraph. If the predatory offender identified in the notice is participating 47.18in programs offered by the facility that require or allow the person to interact with children 47.19other than the person's children, the principal or head of the entity must notify parents with 47.20children at the facility of the contents of the notice received pursuant to this section. The 47.21immunity provisions of subdivision 7 apply to persons disclosing information under this 47.22paragraph. 47.23 (k) When an offender for whom notification was made under this subdivision no longer 47.24resides, is employed, or is regularly found in the area, and the law enforcement agency that 47.25made the notification is aware of this, the agency shall inform the entities and individuals 47.26initially notified of the change in the offender's status. If notification was made under 47.27paragraph (b), clause (3), the agency shall provide the updated information required under 47.28this paragraph in a manner designed to ensure a similar scope of dissemination. However, 47.29the agency is not required to hold a public meeting to do so. 47.30 EFFECTIVE DATE.This section is effective July 1, 2025. 47.31Sec. 28. Minnesota Statutes 2024, section 245.50, subdivision 2, is amended to read: 47.32 Subd. 2.Purpose and authority.(a) The purpose of this section is to enable appropriate 47.33treatment or detoxification services to be provided to individuals, across state lines from 47Article 3 Sec. 28. REVISOR EB/CH 25-0031102/20/25 48.1the individual's state of residence, in qualified facilities that are closer to the homes of 48.2individuals than are facilities available in the individual's home state. 48.3 (b) Unless prohibited by another law and subject to the exceptions listed in subdivision 48.43, a county board or, the commissioner of human services, or the Direct Care and Treatment 48.5executive board may contract with an agency or facility in a bordering state for mental 48.6health, chemical health, or detoxification services for residents of Minnesota, and a Minnesota 48.7mental health, chemical health, or detoxification agency or facility may contract to provide 48.8services to residents of bordering states. Except as provided in subdivision 5, a person who 48.9receives services in another state under this section is subject to the laws of the state in 48.10which services are provided. A person who will receive services in another state under this 48.11section must be informed of the consequences of receiving services in another state, including 48.12the implications of the differences in state laws, to the extent the individual will be subject 48.13to the laws of the receiving state. 48.14 EFFECTIVE DATE.This section is effective July 1, 2025. 48.15Sec. 29. Minnesota Statutes 2024, section 245.91, subdivision 2, is amended to read: 48.16 Subd. 2.Agency."Agency" means the divisions, officials, or employees of the state 48.17Departments of Human Services, Direct Care and Treatment, Health, and Education,; Direct 48.18Care and Treatment; and of local school districts and designated county social service 48.19agencies as defined in section 256G.02, subdivision 7, that are engaged in monitoring, 48.20providing, or regulating services or treatment for mental illness, developmental disability, 48.21substance use disorder, or emotional disturbance. 48.22 EFFECTIVE DATE.This section is effective July 1, 2025. 48.23Sec. 30. Minnesota Statutes 2024, section 246.585, is amended to read: 48.24 246.585 CRISIS SERVICES. 48.25 Within the limits of appropriations, state-operated regional technical assistance must be 48.26available in each region to assist counties, Tribal Nations, residential and day programming 48.27staff vocational service providers, and families, and persons with disabilities to prevent or 48.28resolve crises that could lead to a change in placement person moving to a less integrated 48.29setting. Crisis capacity must be provided on all regional treatment center campuses serving 48.30persons with developmental disabilities. In addition, crisis capacity may be developed to 48.31serve 16 persons in the Twin Cities metropolitan area. Technical assistance and consultation 48Article 3 Sec. 30. REVISOR EB/CH 25-0031102/20/25 49.1must also be available in each region to providers and counties. Staff must be available to 49.2provide: 49.3 (1) individual assessments; 49.4 (2) program plan development and implementation assistance; 49.5 (3) analysis of service delivery problems; and 49.6 (4) assistance with transition planning, including technical assistance to counties, Tribal 49.7Nations, and service providers to develop new services, site the new services, and assist 49.8with community acceptance. 49.9 Sec. 31. Minnesota Statutes 2024, section 246C.06, subdivision 11, is amended to read: 49.10 Subd. 11.Rulemaking.(a) The executive board is authorized to adopt, amend, and 49.11repeal rules in accordance with chapter 14 to the extent necessary to implement this chapter 49.12or any responsibilities of Direct Care and Treatment specified in state law. The 18-month 49.13time limit under section 14.125 does not apply to the rulemaking authority under this 49.14subdivision. 49.15 (b) Until July 1, 2027, the executive board may adopt rules using the expedited 49.16rulemaking process in section 14.389. 49.17 (c) In accordance with section 15.039, all orders, rules, delegations, permits, and other 49.18privileges issued or granted by the Department of Human Services with respect to any 49.19function of Direct Care and Treatment and in effect at the time of the establishment of Direct 49.20Care and Treatment shall continue in effect as if such establishment had not occurred. The 49.21executive board may amend or repeal rules applicable to Direct Care and Treatment that 49.22were established by the Department of Human Services in accordance with chapter 14. 49.23 (d) The executive board must not adopt rules that go into effect or enforce rules prior 49.24to July 1, 2025. 49.25 EFFECTIVE DATE.This section is effective retroactively from July 1, 2024. 49.26Sec. 32. Minnesota Statutes 2024, section 246C.12, subdivision 6, is amended to read: 49.27 Subd. 6.Dissemination of Admission and stay criteria; dissemination.(a) The 49.28executive board shall establish standard admission and continued-stay criteria for 49.29state-operated services facilities to ensure that appropriate services are provided in the least 49.30restrictive setting. 49Article 3 Sec. 32. REVISOR EB/CH 25-0031102/20/25 50.1 (b) The executive board shall periodically disseminate criteria for admission and 50.2continued stay in a state-operated services facility. The executive board shall disseminate 50.3the criteria to the courts of the state and counties. 50.4 EFFECTIVE DATE.This section is effective July 1, 2025. 50.5 Sec. 33. Minnesota Statutes 2024, section 246C.20, is amended to read: 50.6 246C.20 CONTRACT WITH DEPARTMENT OF HUMAN SERVICES FOR 50.7ADMINISTRATIVE SERVICES. 50.8 (a) Direct Care and Treatment shall contract with the Department of Human Services 50.9to provide determinations on issues of county of financial responsibility under chapter 256G 50.10and to provide administrative and judicial review of direct care and treatment matters 50.11according to section 256.045. 50.12 (b) The executive board may prescribe rules necessary to carry out this subdivision 50.13section, except that the executive board must not create any rule purporting to control the 50.14decision making or processes of state human services judges under section 256.045, 50.15subdivision 4, or the decision making or processes of the commissioner of human services 50.16issuing an advisory opinion or recommended order to the executive board under section 50.17256G.09, subdivision 3. The executive board must not create any rule purporting to control 50.18processes for determinations of financial responsibility under chapter 256G or administrative 50.19and judicial review under section 256.045 on matters outside of the jurisdiction of Direct 50.20Care and Treatment. 50.21 (c) The executive board and commissioner of human services may adopt joint rules 50.22necessary to accomplish the purposes of this section. 50.23Sec. 34. [246C.21] INTERVIEW EXPENSES. 50.24 Job applicants for professional, administrative, or highly technical positions recruited 50.25by the Direct Care and Treatment executive board may be reimbursed for necessary travel 50.26expenses to and from interviews arranged by the Direct Care and Treatment executive board. 50.27 EFFECTIVE DATE.This section is effective July 1, 2025. 50.28Sec. 35. [246C.211] FEDERAL GRANTS FOR MINNESOTA INDIANS. 50.29 The Direct Care and Treatment executive board is authorized to enter into contracts with 50.30the United States Departments of Health and Human Services; Education; and Interior, 50Article 3 Sec. 35. REVISOR EB/CH 25-0031102/20/25 51.1Bureau of Indian Affairs, for the purposes of receiving federal grants for the welfare and 51.2relief of Minnesota Indians. 51.3 EFFECTIVE DATE.This section is effective July 1, 2025. 51.4 Sec. 36. Minnesota Statutes 2024, section 252.291, subdivision 3, is amended to read: 51.5 Subd. 3.Duties of commissioner of human services.The commissioner shall: 51.6 (1) establish standard admission criteria for state hospitals and county utilization targets 51.7to limit and reduce the number of intermediate care beds in state hospitals and community 51.8facilities in accordance with approved waivers under United States Code, title 42, sections 51.91396 to 1396p, as amended through December 31, 1987, to assure ensure that appropriate 51.10services are provided in the least restrictive setting; 51.11 (2) define services, including respite care, that may be needed in meeting individual 51.12service plan objectives; 51.13 (3) provide technical assistance so that county boards may establish a request for proposal 51.14system for meeting individual service plan objectives through home and community-based 51.15services; alternative community services; or, if no other alternative will meet the needs of 51.16identifiable individuals for whom the county is financially responsible, a new intermediate 51.17care facility for persons with developmental disabilities; 51.18 (4) establish a client tracking and evaluation system as required under applicable federal 51.19waiver regulations, Code of Federal Regulations, title 42, sections 431, 435, 440, and 441, 51.20as amended through December 31, 1987; and 51.21 (5) develop a state plan for the delivery and funding of residential day and support 51.22services to persons with developmental disabilities in Minnesota. The biennial developmental 51.23disability plan shall include but not be limited to: 51.24 (i) county by county maximum intermediate care bed utilization quotas; 51.25 (ii) plans for the development of the number and types of services alternative to 51.26intermediate care beds; 51.27 (iii) procedures for the administration and management of the plan; 51.28 (iv) procedures for the evaluation of the implementation of the plan; and 51.29 (v) the number, type, and location of intermediate care beds targeted for decertification. 51.30 The commissioner shall modify the plan to ensure conformance with the medical 51.31assistance home and community-based services waiver. 51Article 3 Sec. 36. REVISOR EB/CH 25-0031102/20/25 52.1 EFFECTIVE DATE.This section is effective July 1, 2025. 52.2 Sec. 37. Minnesota Statutes 2024, section 252.50, subdivision 5, is amended to read: 52.3 Subd. 5.Location of programs.(a) In determining the location of state-operated, 52.4community-based programs, the needs of the individual client shall be paramount. The 52.5executive board shall also take into account: 52.6 (1) prioritization of beds services in state-operated, community-based programs for 52.7individuals with complex behavioral needs that cannot be met by private community-based 52.8providers; 52.9 (2) choices made by individuals who chose to move to a more integrated setting, and 52.10shall coordinate with the lead agency to ensure that appropriate person-centered transition 52.11plans are created; 52.12 (3) the personal preferences of the persons being served and their families as determined 52.13by Minnesota Rules, parts 9525.0004 to 9525.0036; 52.14 (4) the location of the support services established by the individual service plans of the 52.15persons being served; 52.16 (5) the appropriate grouping of the persons served; 52.17 (6) the availability of qualified staff; 52.18 (7) the need for state-operated, community-based programs in the geographical region 52.19of the state; and 52.20 (8) a reasonable commuting distance from a regional treatment center or the residences 52.21of the program staff. 52.22 (b) The executive board must locate state-operated, community-based programs in 52.23coordination with the commissioner of human services according to section 252.28. 52.24Sec. 38. Minnesota Statutes 2024, section 253B.09, subdivision 3a, is amended to read: 52.25 Subd. 3a.Reporting judicial commitments; private treatment program or 52.26facility.Notwithstanding section 253B.23, subdivision 9, when a court commits a patient 52.27to a non-state-operated treatment facility or program, the court shall report the commitment 52.28to the commissioner through the supreme court information system for purposes of providing 52.29commitment information for firearm background checks under section 246C.15. If the 52.30patient is committed to a state-operated treatment program, the court shall send a copy of 52.31the commitment order to the commissioner and the executive board. 52Article 3 Sec. 38. REVISOR EB/CH 25-0031102/20/25 53.1 Sec. 39. Minnesota Statutes 2024, section 253B.10, subdivision 1, is amended to read: 53.2 Subdivision 1.Administrative requirements.(a) When a person is committed, the 53.3court shall issue a warrant or an order committing the patient to the custody of the head of 53.4the treatment facility, state-operated treatment program, or community-based treatment 53.5program. The warrant or order shall state that the patient meets the statutory criteria for 53.6civil commitment. 53.7 (b) The executive board shall prioritize civilly committed patients being admitted from 53.8jail or a correctional institution or who are referred to a state-operated treatment facility for 53.9competency attainment or a competency examination under sections 611.40 to 611.59 for 53.10admission to a medically appropriate state-operated direct care and treatment bed based on 53.11the decisions of physicians in the executive medical director's office, using a priority 53.12admissions framework. The framework must account for a range of factors for priority 53.13admission, including but not limited to: 53.14 (1) the length of time the person has been on a waiting list for admission to a 53.15state-operated direct care and treatment program since the date of the order under paragraph 53.16(a), or the date of an order issued under sections 611.40 to 611.59; 53.17 (2) the intensity of the treatment the person needs, based on medical acuity; 53.18 (3) the person's revoked provisional discharge status; 53.19 (4) the person's safety and safety of others in the person's current environment; 53.20 (5) whether the person has access to necessary or court-ordered treatment; 53.21 (6) distinct and articulable negative impacts of an admission delay on the facility referring 53.22the individual for treatment; and 53.23 (7) any relevant federal prioritization requirements. 53.24Patients described in this paragraph must be admitted to a state-operated treatment program 53.25within 48 hours. The commitment must be ordered by the court as provided in section 53.26253B.09, subdivision 1, paragraph (d). Patients committed to a secure treatment facility or 53.27less restrictive setting as ordered by the court under section 253B.18, subdivisions 1 and 2, 53.28must be prioritized for admission to a state-operated treatment program using the priority 53.29admissions framework in this paragraph. 53.30 (c) Upon the arrival of a patient at the designated treatment facility, state-operated 53.31treatment program, or community-based treatment program, the head of the facility or 53.32program shall retain the duplicate of the warrant and endorse receipt upon the original 53Article 3 Sec. 39. REVISOR EB/CH 25-0031102/20/25 54.1warrant or acknowledge receipt of the order. The endorsed receipt or acknowledgment must 54.2be filed in the court of commitment. After arrival, the patient shall be under the control and 54.3custody of the head of the facility or program. 54.4 (d) Copies of the petition for commitment, the court's findings of fact and conclusions 54.5of law, the court order committing the patient, the report of the court examiners, and the 54.6prepetition report, and any medical and behavioral information available shall be provided 54.7at the time of admission of a patient to the designated treatment facility or program to which 54.8the patient is committed. Upon a patient's referral to the executive board for admission 54.9pursuant to subdivision 1, paragraph (b), any inpatient hospital, treatment facility, jail, or 54.10correctional facility that has provided care or supervision to the patient in the previous two 54.11years shall, when requested by the treatment facility or executive board, provide copies of 54.12the patient's medical and behavioral records to the executive board for purposes of 54.13preadmission planning. This information shall be provided by the head of the treatment 54.14facility to treatment facility staff in a consistent and timely manner and pursuant to all 54.15applicable laws. 54.16 (e) Patients described in paragraph (b) must be admitted to a state-operated treatment 54.17program within 48 hours of the Office of Executive Medical Director, under section 246C.09, 54.18or a designee determining that a medically appropriate bed is available. This paragraph 54.19expires on June 30, 2025. 54.20 (f) Within four business days of determining which state-operated direct care and 54.21treatment program or programs are appropriate for an individual, the executive medical 54.22director's office or a designee must notify the source of the referral and the responsible 54.23county human services agency, the individual being ordered to direct care and treatment, 54.24and the district court that issued the order of the determination. The notice shall include 54.25which program or programs are appropriate for the person's priority status. Any interested 54.26person may provide additional information or request updated priority status about the 54.27individual to the executive medical director's office or a designee while the individual is 54.28awaiting admission. Updated priority status of an individual will only be disclosed to 54.29interested persons who are legally authorized to receive private information about the 54.30individual. When an available bed has been identified, the executive medical director's 54.31office or a designee must notify the designated agency and the facility where the individual 54.32is awaiting admission that the individual has been accepted for admission to a particular 54.33state-operated direct care and treatment program and the earliest possible date the admission 54.34can occur. The designated agency or facility where the individual is awaiting admission 54Article 3 Sec. 39. REVISOR EB/CH 25-0031102/20/25 55.1must transport the individual to the admitting state-operated direct care and treatment 55.2program no more than 48 hours after the offered admission date. 55.3 Sec. 40. Minnesota Statutes 2024, section 256.01, subdivision 2, is amended to read: 55.4 Subd. 2.Specific powers.Subject to the provisions of section 241.021, subdivision 2, 55.5the commissioner of human services shall carry out the specific duties in paragraphs (a) 55.6through (bb): 55.7 (a) Administer and supervise the forms of public assistance provided for by state law 55.8and other welfare activities or services that are vested in the commissioner. Administration 55.9and supervision of human services activities or services includes, but is not limited to, 55.10assuring timely and accurate distribution of benefits, completeness of service, and quality 55.11program management. In addition to administering and supervising human services activities 55.12vested by law in the department, the commissioner shall have the authority to: 55.13 (1) require county agency participation in training and technical assistance programs to 55.14promote compliance with statutes, rules, federal laws, regulations, and policies governing 55.15human services; 55.16 (2) monitor, on an ongoing basis, the performance of county agencies in the operation 55.17and administration of human services, enforce compliance with statutes, rules, federal laws, 55.18regulations, and policies governing welfare services and promote excellence of administration 55.19and program operation; 55.20 (3) develop a quality control program or other monitoring program to review county 55.21performance and accuracy of benefit determinations; 55.22 (4) require county agencies to make an adjustment to the public assistance benefits issued 55.23to any individual consistent with federal law and regulation and state law and rule and to 55.24issue or recover benefits as appropriate; 55.25 (5) delay or deny payment of all or part of the state and federal share of benefits and 55.26administrative reimbursement according to the procedures set forth in section 256.017; 55.27 (6) make contracts with and grants to public and private agencies and organizations, 55.28both profit and nonprofit, and individuals, using appropriated funds; and 55.29 (7) enter into contractual agreements with federally recognized Indian Tribes with a 55.30reservation in Minnesota to the extent necessary for the Tribe to operate a federally approved 55.31family assistance program or any other program under the supervision of the commissioner. 55.32The commissioner shall consult with the affected county or counties in the contractual 55Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 56.1agreement negotiations, if the county or counties wish to be included, in order to avoid the 56.2duplication of county and Tribal assistance program services. The commissioner may 56.3establish necessary accounts for the purposes of receiving and disbursing funds as necessary 56.4for the operation of the programs. 56.5The commissioner shall work in conjunction with the commissioner of children, youth, and 56.6families to carry out the duties of this paragraph when necessary and feasible. 56.7 (b) Inform county agencies, on a timely basis, of changes in statute, rule, federal law, 56.8regulation, and policy necessary to county agency administration of the programs. 56.9 (c) Administer and supervise all noninstitutional service to persons with disabilities, 56.10including persons who have vision impairments, and persons who are deaf, deafblind, and 56.11hard-of-hearing or with other disabilities. The commissioner may provide and contract for 56.12the care and treatment of qualified indigent children in facilities other than those located 56.13and available at state hospitals operated by the executive board when it is not feasible to 56.14provide the service in state hospitals operated by the executive board. 56.15 (d) Assist and actively cooperate with other departments, agencies and institutions, local, 56.16state, and federal, by performing services in conformity with the purposes of Laws 1939, 56.17chapter 431. 56.18 (e) Act as the agent of and cooperate with the federal government in matters of mutual 56.19concern relative to and in conformity with the provisions of Laws 1939, chapter 431, 56.20including the administration of any federal funds granted to the state to aid in the performance 56.21of any functions of the commissioner as specified in Laws 1939, chapter 431, and including 56.22the promulgation of rules making uniformly available medical care benefits to all recipients 56.23of public assistance, at such times as the federal government increases its participation in 56.24assistance expenditures for medical care to recipients of public assistance, the cost thereof 56.25to be borne in the same proportion as are grants of aid to said recipients. 56.26 (f) Establish and maintain any administrative units reasonably necessary for the 56.27performance of administrative functions common to all divisions of the department. 56.28 (g) Act as designated guardian of both the estate and the person of all the wards of the 56.29state of Minnesota, whether by operation of law or by an order of court, without any further 56.30act or proceeding whatever, except as to persons committed as developmentally disabled. 56.31 (h) Act as coordinating referral and informational center on requests for service for 56.32newly arrived immigrants coming to Minnesota. 56Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 57.1 (i) The specific enumeration of powers and duties as hereinabove set forth shall in no 57.2way be construed to be a limitation upon the general transfer of powers herein contained. 57.3 (j) Establish county, regional, or statewide schedules of maximum fees and charges 57.4which may be paid by county agencies for medical, dental, surgical, hospital, nursing and 57.5nursing home care and medicine and medical supplies under all programs of medical care 57.6provided by the state and for congregate living care under the income maintenance programs. 57.7 (k) Have the authority to conduct and administer experimental projects to test methods 57.8and procedures of administering assistance and services to recipients or potential recipients 57.9of public welfare. To carry out such experimental projects, it is further provided that the 57.10commissioner of human services is authorized to waive the enforcement of existing specific 57.11statutory program requirements, rules, and standards in one or more counties. The order 57.12establishing the waiver shall provide alternative methods and procedures of administration, 57.13shall not be in conflict with the basic purposes, coverage, or benefits provided by law, and 57.14in no event shall the duration of a project exceed four years. It is further provided that no 57.15order establishing an experimental project as authorized by the provisions of this section 57.16shall become effective until the following conditions have been met: 57.17 (1) the United States Secretary of Health and Human Services has agreed, for the same 57.18project, to waive state plan requirements relative to statewide uniformity; and 57.19 (2) a comprehensive plan, including estimated project costs, shall be approved by the 57.20Legislative Advisory Commission and filed with the commissioner of administration. 57.21 (l) According to federal requirements and in coordination with the commissioner of 57.22children, youth, and families, establish procedures to be followed by local welfare boards 57.23in creating citizen advisory committees, including procedures for selection of committee 57.24members. 57.25 (m) Allocate federal fiscal disallowances or sanctions which are based on quality control 57.26error rates for medical assistance in the following manner: 57.27 (1) one-half of the total amount of the disallowance shall be borne by the county boards 57.28responsible for administering the programs. Disallowances shall be shared by each county 57.29board in the same proportion as that county's expenditures for the sanctioned program are 57.30to the total of all counties' expenditures for medical assistance. Each county shall pay its 57.31share of the disallowance to the state of Minnesota. When a county fails to pay the amount 57.32due hereunder, the commissioner may deduct the amount from reimbursement otherwise 57.33due the county, or the attorney general, upon the request of the commissioner, may institute 57.34civil action to recover the amount due; and 57Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 58.1 (2) notwithstanding the provisions of clause (1), if the disallowance results from knowing 58.2noncompliance by one or more counties with a specific program instruction, and that knowing 58.3noncompliance is a matter of official county board record, the commissioner may require 58.4payment or recover from the county or counties, in the manner prescribed in clause (1), an 58.5amount equal to the portion of the total disallowance which resulted from the noncompliance, 58.6and may distribute the balance of the disallowance according to clause (1). 58.7 (n) Develop and implement special projects that maximize reimbursements and result 58.8in the recovery of money to the state. For the purpose of recovering state money, the 58.9commissioner may enter into contracts with third parties. Any recoveries that result from 58.10projects or contracts entered into under this paragraph shall be deposited in the state treasury 58.11and credited to a special account until the balance in the account reaches $1,000,000. When 58.12the balance in the account exceeds $1,000,000, the excess shall be transferred and credited 58.13to the general fund. All money in the account is appropriated to the commissioner for the 58.14purposes of this paragraph. 58.15 (o) Have the authority to establish and enforce the following county reporting 58.16requirements: 58.17 (1) the commissioner shall establish fiscal and statistical reporting requirements necessary 58.18to account for the expenditure of funds allocated to counties for human services programs. 58.19When establishing financial and statistical reporting requirements, the commissioner shall 58.20evaluate all reports, in consultation with the counties, to determine if the reports can be 58.21simplified or the number of reports can be reduced; 58.22 (2) the county board shall submit monthly or quarterly reports to the department as 58.23required by the commissioner. Monthly reports are due no later than 15 working days after 58.24the end of the month. Quarterly reports are due no later than 30 calendar days after the end 58.25of the quarter, unless the commissioner determines that the deadline must be shortened to 58.2620 calendar days to avoid jeopardizing compliance with federal deadlines or risking a loss 58.27of federal funding. Only reports that are complete, legible, and in the required format shall 58.28be accepted by the commissioner; 58.29 (3) if the required reports are not received by the deadlines established in clause (2), the 58.30commissioner may delay payments and withhold funds from the county board until the next 58.31reporting period. When the report is needed to account for the use of federal funds and the 58.32late report results in a reduction in federal funding, the commissioner shall withhold from 58.33the county boards with late reports an amount equal to the reduction in federal funding until 58.34full federal funding is received; 58Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 59.1 (4) a county board that submits reports that are late, illegible, incomplete, or not in the 59.2required format for two out of three consecutive reporting periods is considered 59.3noncompliant. When a county board is found to be noncompliant, the commissioner shall 59.4notify the county board of the reason the county board is considered noncompliant and 59.5request that the county board develop a corrective action plan stating how the county board 59.6plans to correct the problem. The corrective action plan must be submitted to the 59.7commissioner within 45 days after the date the county board received notice of 59.8noncompliance; 59.9 (5) the final deadline for fiscal reports or amendments to fiscal reports is one year after 59.10the date the report was originally due. If the commissioner does not receive a report by the 59.11final deadline, the county board forfeits the funding associated with the report for that 59.12reporting period and the county board must repay any funds associated with the report 59.13received for that reporting period; 59.14 (6) the commissioner may not delay payments, withhold funds, or require repayment 59.15under clause (3) or (5) if the county demonstrates that the commissioner failed to provide 59.16appropriate forms, guidelines, and technical assistance to enable the county to comply with 59.17the requirements. If the county board disagrees with an action taken by the commissioner 59.18under clause (3) or (5), the county board may appeal the action according to sections 14.57 59.19to 14.69; and 59.20 (7) counties subject to withholding of funds under clause (3) or forfeiture or repayment 59.21of funds under clause (5) shall not reduce or withhold benefits or services to clients to cover 59.22costs incurred due to actions taken by the commissioner under clause (3) or (5). 59.23 (p) Allocate federal fiscal disallowances or sanctions for audit exceptions when federal 59.24fiscal disallowances or sanctions are based on a statewide random sample in direct proportion 59.25to each county's claim for that period. 59.26 (q) Be responsible for ensuring the detection, prevention, investigation, and resolution 59.27of fraudulent activities or behavior by applicants, recipients, and other participants in the 59.28human services programs administered by the department. 59.29 (r) Require county agencies to identify overpayments, establish claims, and utilize all 59.30available and cost-beneficial methodologies to collect and recover these overpayments in 59.31the human services programs administered by the department. 59.32 (s) Have the authority to administer the federal drug rebate program for drugs purchased 59.33under the medical assistance program as allowed by section 1927 of title XIX of the Social 59.34Security Act and according to the terms and conditions of section 1927. Rebates shall be 59Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 60.1collected for all drugs that have been dispensed or administered in an outpatient setting and 60.2that are from manufacturers who have signed a rebate agreement with the United States 60.3Department of Health and Human Services. 60.4 (t) Have the authority to administer a supplemental drug rebate program for drugs 60.5purchased under the medical assistance program. The commissioner may enter into 60.6supplemental rebate contracts with pharmaceutical manufacturers and may require prior 60.7authorization for drugs that are from manufacturers that have not signed a supplemental 60.8rebate contract. Prior authorization of drugs shall be subject to the provisions of section 60.9256B.0625, subdivision 13. 60.10 (u) Operate the department's communication systems account established in Laws 1993, 60.11First Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared 60.12communication costs necessary for the operation of the programs the commissioner 60.13supervises. Each account must be used to manage shared communication costs necessary 60.14for the operations of the programs the commissioner supervises. The commissioner may 60.15distribute the costs of operating and maintaining communication systems to participants in 60.16a manner that reflects actual usage. Costs may include acquisition, licensing, insurance, 60.17maintenance, repair, staff time and other costs as determined by the commissioner. Nonprofit 60.18organizations and state, county, and local government agencies involved in the operation 60.19of programs the commissioner supervises may participate in the use of the department's 60.20communications technology and share in the cost of operation. The commissioner may 60.21accept on behalf of the state any gift, bequest, devise or personal property of any kind, or 60.22money tendered to the state for any lawful purpose pertaining to the communication activities 60.23of the department. Any money received for this purpose must be deposited in the department's 60.24communication systems accounts. Money collected by the commissioner for the use of 60.25communication systems must be deposited in the state communication systems account and 60.26is appropriated to the commissioner for purposes of this section. 60.27 (v) Receive any federal matching money that is made available through the medical 60.28assistance program for the consumer satisfaction survey. Any federal money received for 60.29the survey is appropriated to the commissioner for this purpose. The commissioner may 60.30expend the federal money received for the consumer satisfaction survey in either year of 60.31the biennium. 60.32 (w) Designate community information and referral call centers and incorporate cost 60.33reimbursement claims from the designated community information and referral call centers 60.34into the federal cost reimbursement claiming processes of the department according to 60.35federal law, rule, and regulations. Existing information and referral centers provided by 60Article 3 Sec. 40. REVISOR EB/CH 25-0031102/20/25 61.1Greater Twin Cities United Way or existing call centers for which Greater Twin Cities 61.2United Way has legal authority to represent, shall be included in these designations upon 61.3review by the commissioner and assurance that these services are accredited and in 61.4compliance with national standards. Any reimbursement is appropriated to the commissioner 61.5and all designated information and referral centers shall receive payments according to 61.6normal department schedules established by the commissioner upon final approval of 61.7allocation methodologies from the United States Department of Health and Human Services 61.8Division of Cost Allocation or other appropriate authorities. 61.9 (x) Develop recommended standards for adult foster care homes that address the 61.10components of specialized therapeutic services to be provided by adult foster care homes 61.11with those services. 61.12 (y) Authorize the method of payment to or from the department as part of the human 61.13services programs administered by the department. This authorization includes the receipt 61.14or disbursement of funds held by the department in a fiduciary capacity as part of the human 61.15services programs administered by the department. 61.16 (z) Designate the agencies that operate the Senior LinkAge Line under section 256.975, 61.17subdivision 7, and the Disability Hub under subdivision 24 as the state of Minnesota Aging 61.18and Disability Resource Center under United States Code, title 42, section 3001, the Older 61.19Americans Act Amendments of 2006, and incorporate cost reimbursement claims from the 61.20designated centers into the federal cost reimbursement claiming processes of the department 61.21according to federal law, rule, and regulations. Any reimbursement must be appropriated 61.22to the commissioner and treated consistent with section 256.011. All Aging and Disability 61.23Resource Center designated agencies shall receive payments of grant funding that supports 61.24the activity and generates the federal financial participation according to Board on Aging 61.25administrative granting mechanisms. 61.26 EFFECTIVE DATE.This section is effective July 1, 2025. 61.27Sec. 41. Minnesota Statutes 2024, section 256.01, subdivision 5, is amended to read: 61.28 Subd. 5.Gifts, contributions, pensions and benefits; acceptance.The commissioner 61.29may receive and accept on behalf of patients and residents at the several state hospitals for 61.30persons with mental illness or developmental disabilities during the period of their 61.31hospitalization and while on provisional discharge therefrom, money due and payable to 61.32them as old age and survivors insurance benefits, veterans benefits, pensions or other such 61.33monetary benefits. Such gifts, contributions, pensions and benefits shall be deposited in and 61.34disbursed from the social welfare fund provided for in sections 256.88 to 256.92. 61Article 3 Sec. 41. REVISOR EB/CH 25-0031102/20/25 62.1 EFFECTIVE DATE.This section is effective July 1, 2025. 62.2 Sec. 42. Minnesota Statutes 2024, section 256.019, subdivision 1, is amended to read: 62.3 Subdivision 1.Retention rates.When an assistance recovery amount is collected and 62.4posted by a county agency under the provisions governing public assistance programs 62.5including general assistance medical care formerly codified in chapter 256D, general 62.6assistance, and Minnesota supplemental aid, the county may keep one-half of the recovery 62.7made by the county agency using any method other than recoupment. For medical assistance, 62.8if the recovery is made by a county agency using any method other than recoupment, the 62.9county may keep one-half of the nonfederal share of the recovery. For MinnesotaCare, if 62.10the recovery is collected and posted by the county agency, the county may keep one-half 62.11of the nonfederal share of the recovery. 62.12 This does not apply to recoveries from medical providers or to recoveries begun by the 62.13Department of Human Services' Surveillance and Utilization Review Division, State Hospital 62.14Collections Unit, and the Benefit Recoveries Division or, by the Direct Care and Treatment 62.15State Hospital Collections Unit, the attorney general's office, or child support collections. 62.16 EFFECTIVE DATE.This section is effective July 1, 2025. 62.17Sec. 43. Minnesota Statutes 2024, section 256.0281, is amended to read: 62.18 256.0281 INTERAGENCY DATA EXCHANGE. 62.19 (a) The Department of Human Services, the Department of Health, Direct Care and 62.20Treatment, and the Office of the Ombudsman for Mental Health and Developmental 62.21Disabilities may establish interagency agreements governing the electronic exchange of 62.22data on providers and individuals collected, maintained, or used by each agency when such 62.23exchange is outlined by each agency in an interagency agreement to accomplish the purposes 62.24in clauses (1) to (4): 62.25 (1) to improve provider enrollment processes for home and community-based services 62.26and state plan home care services; 62.27 (2) to improve quality management of providers between state agencies; 62.28 (3) to establish and maintain provider eligibility to participate as providers under 62.29Minnesota health care programs; or 62.30 (4) to meet the quality assurance reporting requirements under federal law under section 62.311915(c) of the Social Security Act related to home and community-based waiver programs. 62Article 3 Sec. 43. REVISOR EB/CH 25-0031102/20/25 63.1 (b) Each interagency agreement must include provisions to ensure anonymity of 63.2individuals, including mandated reporters, and must outline the specific uses of and access 63.3to shared data within each agency. Electronic interfaces between source data systems 63.4developed under these interagency agreements must incorporate these provisions as well 63.5as other HIPAA provisions related to individual data. 63.6 EFFECTIVE DATE.This section is effective July 1, 2025. 63.7 Sec. 44. Minnesota Statutes 2024, section 256.0451, subdivision 1, is amended to read: 63.8 Subdivision 1.Scope.(a) The requirements in this section apply to all fair hearings and 63.9appeals under sections 142A.20, subdivision 2, and 256.045, subdivision 3, paragraph (a), 63.10clauses (1), (2), (3), (5), (6), (7), (10), and (12). Except as provided in subdivisions 3 and 63.1119, the requirements under this section apply to fair hearings and appeals under section 63.12256.045, subdivision 3, paragraph (a), clauses (4), (8), (9), and (11). 63.13 (b) For purposes of this section, "person" means an individual who, on behalf of 63.14themselves or their household, is appealing or disputing or challenging an action, a decision, 63.15or a failure to act, by an agency in the human services system subject to this section. When 63.16a person involved in a proceeding under this section is represented by an attorney or by an 63.17authorized representative, the term "person" also means the person's attorney or authorized 63.18representative. Any notice sent to the person involved in the hearing must also be sent to 63.19the person's attorney or authorized representative. 63.20 (c) For purposes of this section, "agency" means the a county human services agency, 63.21the a state human services agency, and, where applicable, any entity involved under a 63.22contract, subcontract, grant, or subgrant with the state agency or with a county agency, that 63.23provides or operates programs or services in which appeals are governed by section 256.045. 63.24 (d) For purposes of this section, "state agency" means the Department of Human Services; 63.25the Department of Health; the Department of Education; the Department of Children, Youth, 63.26and Families; or Direct Care and Treatment. 63.27Sec. 45. Minnesota Statutes 2024, section 256.0451, subdivision 3, is amended to read: 63.28 Subd. 3.Agency appeal summary.(a) Except in fair hearings and appeals under section 63.29256.045, subdivision 3, paragraph (a), clauses (4), (9), and (10), the agency involved in an 63.30appeal must prepare a state agency appeal summary for each fair hearing appeal. The state 63.31agency appeal summary shall be mailed or otherwise delivered to the person who is involved 63.32in the appeal at least three working days before the date of the hearing. The state agency 63Article 3 Sec. 45. REVISOR EB/CH 25-0031102/20/25 64.1appeal summary must also be mailed or otherwise delivered to the department's Department 64.2of Human Services' Appeals Office at least three working days before the date of the fair 64.3hearing appeal. 64.4 (b) In addition, the human services judge shall confirm that the state agency appeal 64.5summary is mailed or otherwise delivered to the person involved in the appeal as required 64.6under paragraph (a). The person involved in the fair hearing should be provided, through 64.7the state agency appeal summary or other reasonable methods, appropriate information 64.8about the procedures for the fair hearing and an adequate opportunity to prepare. These 64.9requirements apply equally to the state agency or an entity under contract when involved 64.10in the appeal. 64.11 (c) The contents of the state agency appeal summary must be adequate to inform the 64.12person involved in the appeal of the evidence on which the agency relies and the legal basis 64.13for the agency's action or determination. 64.14Sec. 46. Minnesota Statutes 2024, section 256.0451, subdivision 6, is amended to read: 64.15 Subd. 6.Appeal request for emergency assistance or urgent matter.(a) When an 64.16appeal involves an application for emergency assistance, the agency involved shall mail or 64.17otherwise deliver the state agency appeal summary to the department's Department of Human 64.18Services' Appeals Office within two working days of receiving the request for an appeal. 64.19A person may also request that a fair hearing be held on an emergency basis when the issue 64.20requires an immediate resolution. The human services judge shall schedule the fair hearing 64.21on the earliest available date according to the urgency of the issue involved. Issuance of the 64.22recommended decision after an emergency hearing shall be expedited. 64.23 (b) The applicable commissioner or executive board shall issue a written decision within 64.24five working days of receiving the recommended decision, shall immediately inform the 64.25parties of the outcome by telephone, and shall mail the decision no later than two working 64.26days following the date of the decision. 64.27Sec. 47. Minnesota Statutes 2024, section 256.0451, subdivision 8, is amended to read: 64.28 Subd. 8.Subpoenas.A person involved in a fair hearing or the agency may request a 64.29subpoena for a witness, for evidence, or for both. A reasonable number of subpoenas shall 64.30be issued to require the attendance and the testimony of witnesses, and the production of 64.31evidence relating to any issue of fact in the appeal hearing. The request for a subpoena must 64.32show a need for the subpoena and the general relevance to the issues involved. The subpoena 64Article 3 Sec. 47. REVISOR EB/CH 25-0031102/20/25 65.1shall be issued in the name of the Department of Human Services and shall be served and 65.2enforced as provided in section 357.22 and the Minnesota Rules of Civil Procedure. 65.3 An individual or entity served with a subpoena may petition the human services judge 65.4in writing to vacate or modify a subpoena. The human services judge shall resolve such a 65.5petition in a prehearing conference involving all parties and shall make a written decision. 65.6A subpoena may be vacated or modified if the human services judge determines that the 65.7testimony or evidence sought does not relate with reasonable directness to the issues of the 65.8fair hearing appeal; that the subpoena is unreasonable, over broad, or oppressive; that the 65.9evidence sought is repetitious or cumulative; or that the subpoena has not been served 65.10reasonably in advance of the time when the appeal hearing will be held. 65.11Sec. 48. Minnesota Statutes 2024, section 256.0451, subdivision 9, is amended to read: 65.12 Subd. 9.No ex parte contact.The human services judge shall not have ex parte contact 65.13on substantive issues with the agency or with any person or witness in a fair hearing appeal. 65.14No employee of the Department or an agency shall review, interfere with, change, or attempt 65.15to influence the recommended decision of the human services judge in any fair hearing 65.16appeal, except through the procedure allowed in subdivision 18. The limitations in this 65.17subdivision do not affect the applicable commissioner's or executive board's authority to 65.18review or reconsider decisions or make final decisions. 65.19Sec. 49. Minnesota Statutes 2024, section 256.0451, subdivision 18, is amended to read: 65.20 Subd. 18.Inviting comment by department state agency.The human services judge 65.21or the applicable commissioner or executive board may determine that a written comment 65.22by the department state agency about the policy implications of a specific legal issue could 65.23help resolve a pending appeal. Such a written policy comment from the department state 65.24agency shall be obtained only by a written request that is also sent to the person involved 65.25and to the agency or its representative. When such a written comment is received, both the 65.26person involved in the hearing and the agency shall have adequate opportunity to review, 65.27evaluate, and respond to the written comment, including submission of additional testimony 65.28or evidence, and cross-examination concerning the written comment. 65.29Sec. 50. Minnesota Statutes 2024, section 256.0451, subdivision 22, is amended to read: 65.30 Subd. 22.Decisions.A timely, written decision must be issued in every appeal. Each 65.31decision must contain a clear ruling on the issues presented in the appeal hearing and should 65Article 3 Sec. 50. REVISOR EB/CH 25-0031102/20/25 66.1contain a ruling only on questions directly presented by the appeal and the arguments raised 66.2in the appeal. 66.3 (a) A written decision must be issued within 90 days of the date the person involved 66.4requested the appeal unless a shorter time is required by law. An additional 30 days is 66.5provided in those cases where the applicable commissioner or executive board refuses to 66.6accept the recommended decision. In appeals of maltreatment determinations or 66.7disqualifications filed pursuant to section 256.045, subdivision 3, paragraph (a), clause (4), 66.8(8), or (9), that also give rise to possible licensing actions, the 90-day period for issuing 66.9final decisions does not begin until the later of the date that the licensing authority provides 66.10notice to the appeals division that the authority has made the final determination in the 66.11matter or the date the appellant files the last appeal in the consolidated matters. 66.12 (b) The decision must contain both findings of fact and conclusions of law, clearly 66.13separated and identified. The findings of fact must be based on the entire record. Each 66.14finding of fact made by the human services judge shall be supported by a preponderance 66.15of the evidence unless a different standard is required under the regulations of a particular 66.16program. The "preponderance of the evidence" means, in light of the record as a whole, the 66.17evidence leads the human services judge to believe that the finding of fact is more likely to 66.18be true than not true. The legal claims or arguments of a participant do not constitute either 66.19a finding of fact or a conclusion of law, except to the extent the human services judge adopts 66.20an argument as a finding of fact or conclusion of law. 66.21 The decision shall contain at least the following: 66.22 (1) a listing of the date and place of the hearing and the participants at the hearing; 66.23 (2) a clear and precise statement of the issues, including the dispute under consideration 66.24and the specific points which must be resolved in order to decide the case; 66.25 (3) a listing of the material, including exhibits, records, reports, placed into evidence at 66.26the hearing, and upon which the hearing decision is based; 66.27 (4) the findings of fact based upon the entire hearing record. The findings of fact must 66.28be adequate to inform the participants and any interested person in the public of the basis 66.29of the decision. If the evidence is in conflict on an issue which must be resolved, the findings 66.30of fact must state the reasoning used in resolving the conflict; 66.31 (5) conclusions of law that address the legal authority for the hearing and the ruling, and 66.32which give appropriate attention to the claims of the participants to the hearing; 66Article 3 Sec. 50. REVISOR EB/CH 25-0031102/20/25 67.1 (6) a clear and precise statement of the decision made resolving the dispute under 67.2consideration in the hearing; and 67.3 (7) written notice of the right to appeal to district court or to request reconsideration, 67.4and of the actions required and the time limits for taking appropriate action to appeal to 67.5district court or to request a reconsideration. 67.6 (c) The human services judge shall not independently investigate facts or otherwise rely 67.7on information not presented at the hearing. The human services judge may not contact 67.8other agency personnel, except as provided in subdivision 18. The human services judge's 67.9recommended decision must be based exclusively on the testimony and evidence presented 67.10at the hearing, and legal arguments presented, and the human services judge's research and 67.11knowledge of the law. 67.12 (d) The applicable commissioner will or executive board must review the recommended 67.13decision and accept or refuse to accept the decision according to section 142A.20, subdivision 67.143, or 256.045, subdivision 5 or 5a. 67.15Sec. 51. Minnesota Statutes 2024, section 256.0451, subdivision 23, is amended to read: 67.16 Subd. 23.Refusal to accept recommended orders.(a) If the applicable commissioner 67.17or executive board refuses to accept the recommended order from the human services judge, 67.18the person involved, the person's attorney or authorized representative, and the agency shall 67.19be sent a copy of the recommended order, a detailed explanation of the basis for refusing 67.20to accept the recommended order, and the proposed modified order. 67.21 (b) The person involved and the agency shall have at least ten business days to respond 67.22to the proposed modification of the recommended order. The person involved and the agency 67.23may submit a legal argument concerning the proposed modification, and may propose to 67.24submit additional evidence that relates to the proposed modified order. 67.25Sec. 52. Minnesota Statutes 2024, section 256.0451, subdivision 24, is amended to read: 67.26 Subd. 24.Reconsideration.(a) Reconsideration may be requested within 30 days of 67.27the date of the applicable commissioner's or executive board's final order. If reconsideration 67.28is requested under section 142A.20, subdivision 3, or 256.045, subdivision 5 or 5a, the other 67.29participants in the appeal shall be informed of the request. The person seeking reconsideration 67.30has the burden to demonstrate why the matter should be reconsidered. The request for 67.31reconsideration may include legal argument and may include proposed additional evidence 67Article 3 Sec. 52. REVISOR EB/CH 25-0031102/20/25 68.1supporting the request. The other participants shall be sent a copy of all material submitted 68.2in support of the request for reconsideration and must be given ten days to respond. 68.3 (b) When the requesting party raises a question as to the appropriateness of the findings 68.4of fact, the applicable commissioner or executive board shall review the entire record. 68.5 (c) When the requesting party questions the appropriateness of a conclusion of law, the 68.6applicable commissioner or executive board shall consider the recommended decision, the 68.7decision under reconsideration, and the material submitted in connection with the 68.8reconsideration. The applicable commissioner or executive board shall review the remaining 68.9record as necessary to issue a reconsidered decision. 68.10 (d) The applicable commissioner or executive board shall issue a written decision on 68.11reconsideration in a timely fashion. The decision must clearly inform the parties that this 68.12constitutes the final administrative decision, advise the participants of the right to seek 68.13judicial review, and the deadline for doing so. 68.14Sec. 53. Minnesota Statutes 2024, section 256.4825, is amended to read: 68.15 256.4825 REPORT REGARDING PROGRAMS AND SERVICES FOR PEOPLE 68.16WITH DISABILITIES. 68.17 The Minnesota State Council on Disability, the Minnesota Consortium for Citizens with 68.18Disabilities, and the Arc of Minnesota may submit an annual report by January 15 of each 68.19year, beginning in 2012, to the chairs and ranking minority members of the legislative 68.20committees with jurisdiction over programs serving people with disabilities as provided in 68.21this section. The report must describe the existing state policies and goals for programs 68.22serving people with disabilities including, but not limited to, programs for employment, 68.23transportation, housing, education, quality assurance, consumer direction, physical and 68.24programmatic access, and health. The report must provide data and measurements to assess 68.25the extent to which the policies and goals are being met. The commissioner of human 68.26services, the Direct Care and Treatment executive board, and the commissioners of other 68.27state agencies administering programs for people with disabilities shall cooperate with the 68.28Minnesota State Council on Disability, the Minnesota Consortium for Citizens with 68.29Disabilities, and the Arc of Minnesota and provide those organizations with existing 68.30published information and reports that will assist in the preparation of the report. 68.31 EFFECTIVE DATE.This section is effective July 1, 2025. 68Article 3 Sec. 53. REVISOR EB/CH 25-0031102/20/25 69.1 Sec. 54. Minnesota Statutes 2024, section 256.93, subdivision 1, is amended to read: 69.2 Subdivision 1.Limitations.In any case where the guardianship of any child with a 69.3developmental disability or who is disabled, dependent, neglected or delinquent, or a child 69.4born to a mother who was not married to the child's father when the child was conceived 69.5nor when the child was born, has been committed appointed to the commissioner of human 69.6services, and in any case where the guardianship of any person with a developmental 69.7disability has been committed appointed to the commissioner of human services, the court 69.8having jurisdiction of the estate may on such notice as the court may direct, authorize the 69.9commissioner to take possession of the personal property in the estate, liquidate it, and hold 69.10the proceeds in trust for the ward, to be invested, expended and accounted for as provided 69.11by sections 256.88 to 256.92. 69.12Sec. 55. Minnesota Statutes 2024, section 256.98, subdivision 7, is amended to read: 69.13 Subd. 7.Division of recovered amounts.Except for recoveries under chapter 142E, if 69.14the state is responsible for the recovery, the amounts recovered shall be paid to the appropriate 69.15units of government. If the recovery is directly attributable to a county, the county may 69.16retain one-half of the nonfederal share of any recovery from a recipient or the recipient's 69.17estate. 69.18 This subdivision does not apply to recoveries from medical providers or to recoveries 69.19involving the Department of Human services, Services' Surveillance and Utilization Review 69.20Division, state hospital collections unit, and the Benefit Recoveries Division or the Direct 69.21Care and Treatment State Hospital Collections Unit. 69.22 EFFECTIVE DATE.This section is effective July 1, 2025. 69.23Sec. 56. Minnesota Statutes 2024, section 256B.092, subdivision 10, is amended to read: 69.24 Subd. 10.Admission of persons to and discharge of persons from regional treatment 69.25centers.(a) Prior to the admission of a person to a regional treatment center program for 69.26persons with developmental disabilities, the case manager shall make efforts to secure 69.27community-based alternatives. If these alternatives are rejected by the person, the person's 69.28legal guardian or conservator, or the county agency in favor of a regional treatment center 69.29placement, the case manager shall document the reasons why the alternatives were rejected. 69.30 (b) Assessment and support planning must be completed in accordance with requirements 69.31identified in section 256B.0911. 69Article 3 Sec. 56. REVISOR EB/CH 25-0031102/20/25 70.1 (c) No discharge shall take place until disputes are resolved under section 256.045, 70.2subdivision 4a, or until a review by the commissioner Direct Care and Treatment executive 70.3board is completed upon request of the chief executive officer or program director of the 70.4regional treatment center, or the county agency. For persons under public guardianship, the 70.5ombudsman may request a review or hearing under section 256.045. 70.6 EFFECTIVE DATE.This section is effective July 1, 2025. 70.7 Sec. 57. Minnesota Statutes 2024, section 256G.09, subdivision 4, is amended to read: 70.8 Subd. 4.Appeals.A local agency that is aggrieved by the order of the a department or 70.9the executive board may appeal the opinion to the district court of the county responsible 70.10for furnishing assistance or services by serving a written copy of a notice of appeal on the 70.11a commissioner or the executive board and any adverse party of record within 30 days after 70.12the date the department issued the opinion, and by filing the original notice and proof of 70.13service with the court administrator of district court. Service may be made personally or by 70.14mail. Service by mail is complete upon mailing. 70.15 The A commissioner or the executive board may elect to become a party to the 70.16proceedings in district court. The court may consider the matter in or out of chambers and 70.17shall take no new or additional evidence. 70.18 EFFECTIVE DATE.This section is effective July 1, 2025. 70.19Sec. 58. Minnesota Statutes 2024, section 256G.09, subdivision 5, is amended to read: 70.20 Subd. 5.Payment pending appeal.After the a department or the executive board issues 70.21an opinion in any submission under this section, the service or assistance covered by the 70.22submission must be provided or paid pending or during an appeal to the district court. 70.23 EFFECTIVE DATE.This section is effective July 1, 2025. 70.24Sec. 59. Minnesota Statutes 2024, section 299F.77, subdivision 2, is amended to read: 70.25 Subd. 2.Background check.(a) For licenses issued by the commissioner under section 70.26299F.73, the applicant for licensure must provide the commissioner with all of the 70.27information required by Code of Federal Regulations, title 28, section 25.7. The commissioner 70.28shall forward the information to the superintendent of the Bureau of Criminal Apprehension 70.29so that criminal records, histories, and warrant information on the applicant can be retrieved 70.30from the Minnesota Crime Information System and the National Instant Criminal Background 70.31Check System, as well as the civil commitment records maintained by the Department of 70Article 3 Sec. 59. REVISOR EB/CH 25-0031102/20/25 71.1Human Services Direct Care and Treatment. The results must be returned to the commissioner 71.2to determine if the individual applicant is qualified to receive a license. 71.3 (b) For permits issued by a county sheriff or chief of police under section 299F.75, the 71.4applicant for a permit must provide the county sheriff or chief of police with all of the 71.5information required by Code of Federal Regulations, title 28, section 25.7. The county 71.6sheriff or chief of police must check, by means of electronic data transfer, criminal records, 71.7histories, and warrant information on each applicant through the Minnesota Crime 71.8Information System and the National Instant Criminal Background Check System, as well 71.9as the civil commitment records maintained by the Department of Human Services Direct 71.10Care and Treatment. The county sheriff or chief of police shall use the results of the query 71.11to determine if the individual applicant is qualified to receive a permit. 71.12Sec. 60. Minnesota Statutes 2024, section 342.04, is amended to read: 71.13 342.04 STUDIES; REPORTS. 71.14 (a) The office shall conduct a study to determine the expected size and growth of the 71.15regulated cannabis industry and hemp consumer industry, including an estimate of the 71.16demand for cannabis flower and cannabis products, the number and geographic distribution 71.17of cannabis businesses needed to meet that demand, and the anticipated business from 71.18residents of other states. 71.19 (b) The office shall conduct a study to determine the size of the illicit cannabis market, 71.20the sources of illicit cannabis flower and illicit cannabis products in the state, the locations 71.21of citations issued and arrests made for cannabis offenses, and the subareas, such as census 71.22tracts or neighborhoods, that experience a disproportionately large amount of cannabis 71.23enforcement. 71.24 (c) The office shall conduct a study on impaired driving to determine: 71.25 (1) the number of accidents involving one or more drivers who admitted to using cannabis 71.26flower, cannabis products, lower-potency hemp edibles, or hemp-derived consumer products, 71.27or who tested positive for cannabis or tetrahydrocannabinol; 71.28 (2) the number of arrests of individuals for impaired driving in which the individual 71.29tested positive for cannabis or tetrahydrocannabinol; and 71.30 (3) the number of convictions for driving under the influence of cannabis flower, cannabis 71.31products, lower-potency hemp edibles, hemp-derived consumer products, or 71.32tetrahydrocannabinol. 71Article 3 Sec. 60. REVISOR EB/CH 25-0031102/20/25 72.1 (d) The office shall provide preliminary reports on the studies conducted pursuant to 72.2paragraphs (a) to (c) to the legislature by January 15, 2024, and shall provide final reports 72.3to the legislature by January 15, 2025. The reports may be consolidated into a single report 72.4by the office. 72.5 (e) The office shall collect existing data from the Department of Human Services, 72.6Department of Health, Direct Care and Treatment, Minnesota state courts, and hospitals 72.7licensed under chapter 144 on the utilization of mental health and substance use disorder 72.8services, emergency room visits, and commitments to identify any increase in the services 72.9provided or any increase in the number of visits or commitments. The office shall also obtain 72.10summary data from existing first episode psychosis programs on the number of persons 72.11served by the programs and number of persons on the waiting list. All information collected 72.12by the office under this paragraph shall be included in the report required under paragraph 72.13(f). 72.14 (f) The office shall conduct an annual market analysis on the status of the regulated 72.15cannabis industry and submit a report of the findings. The office shall submit the report by 72.16January 15, 2025, and each January 15 thereafter and the report may be combined with the 72.17annual report submitted by the office. The process of completing the market analysis must 72.18include holding public meetings to solicit the input of consumers, market stakeholders, and 72.19potential new applicants and must include an assessment as to whether the office has issued 72.20the necessary number of licenses in order to: 72.21 (1) ensure the sufficient supply of cannabis flower and cannabis products to meet demand; 72.22 (2) provide market stability; 72.23 (3) ensure a competitive market; and 72.24 (4) limit the sale of unregulated cannabis flower and cannabis products. 72.25 (g) The office shall submit an annual report to the legislature by January 15, 2024, and 72.26each January 15 thereafter. The annual report shall include but not be limited to the following: 72.27 (1) the status of the regulated cannabis industry; 72.28 (2) the status of the illicit cannabis market and hemp consumer industry; 72.29 (3) the number of accidents, arrests, and convictions involving drivers who admitted to 72.30using cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived 72.31consumer products or who tested positive for cannabis or tetrahydrocannabinol; 72Article 3 Sec. 60. REVISOR EB/CH 25-0031102/20/25 73.1 (4) the change in potency, if any, of cannabis flower and cannabis products available 73.2through the regulated market; 73.3 (5) progress on providing opportunities to individuals and communities that experienced 73.4a disproportionate, negative impact from cannabis prohibition, including but not limited to 73.5providing relief from criminal convictions and increasing economic opportunities; 73.6 (6) the status of racial and geographic diversity in the cannabis industry; 73.7 (7) proposed legislative changes, including but not limited to recommendations to 73.8streamline licensing systems and related administrative processes; 73.9 (8) information on the adverse effects of second-hand smoke from any cannabis flower, 73.10cannabis products, and hemp-derived consumer products that are consumed by the 73.11combustion or vaporization of the product and the inhalation of smoke, aerosol, or vapor 73.12from the product; and 73.13 (9) recommendations for the levels of funding for: 73.14 (i) a coordinated education program to address and raise public awareness about the top 73.15three adverse health effects, as determined by the commissioner of health, associated with 73.16the use of cannabis flower, cannabis products, lower-potency hemp edibles, or hemp-derived 73.17consumer products by individuals under 21 years of age; 73.18 (ii) a coordinated education program to educate pregnant individuals, breastfeeding 73.19individuals, and individuals who may become pregnant on the adverse health effects of 73.20cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 73.21products; 73.22 (iii) training, technical assistance, and educational materials for home visiting programs, 73.23Tribal home visiting programs, and child welfare workers regarding safe and unsafe use of 73.24cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 73.25products in homes with infants and young children; 73.26 (iv) model programs to educate middle school and high school students on the health 73.27effects on children and adolescents of the use of cannabis flower, cannabis products, 73.28lower-potency hemp edibles, hemp-derived consumer products, and other intoxicating or 73.29controlled substances; 73.30 (v) grants issued through the CanTrain, CanNavigate, CanStartup, and CanGrow 73.31programs; 73Article 3 Sec. 60. REVISOR EB/CH 25-0031102/20/25 74.1 (vi) grants to organizations for community development in social equity communities 74.2through the CanRenew program; 74.3 (vii) training of peace officers and law enforcement agencies on changes to laws involving 74.4cannabis flower, cannabis products, lower-potency hemp edibles, and hemp-derived consumer 74.5products and the law's impact on searches and seizures; 74.6 (viii) training of peace officers to increase the number of drug recognition experts; 74.7 (ix) training of peace officers on the cultural uses of sage and distinguishing use of sage 74.8from the use of cannabis flower, including whether the Board of Peace Officer Standards 74.9and Training should approve or develop training materials; 74.10 (x) the retirement and replacement of drug detection canines; and 74.11 (xi) the Department of Human Services and county social service agencies to address 74.12any increase in demand for services. 74.13 (g) In developing the recommended funding levels under paragraph (f), clause (9), items 74.14(vii) to (xi), the office shall consult with local law enforcement agencies, the Minnesota 74.15Chiefs of Police Association, the Minnesota Sheriff's Association, the League of Minnesota 74.16Cities, the Association of Minnesota Counties, and county social services agencies. 74.17 EFFECTIVE DATE.This section is effective July 1, 2025. 74.18Sec. 61. Minnesota Statutes 2024, section 352.91, subdivision 3f, is amended to read: 74.19 Subd. 3f.Additional Direct Care and Treatment personnel.(a) "Covered correctional 74.20service" means service by a state employee in one of the employment positions specified 74.21in paragraph (b) in the state-operated forensic services program or the Minnesota Sex 74.22Offender Program if at least 75 percent of the employee's working time is spent in direct 74.23contact with patients and the determination of this direct contact is certified to the executive 74.24director by the commissioner of human services or Direct Care and Treatment executive 74.25board. 74.26 (b) The employment positions are: 74.27 (1) baker; 74.28 (2) behavior analyst 2; 74.29 (3) behavior analyst 3; 74.30 (4) certified occupational therapy assistant 1; 74.31 (5) certified occupational therapy assistant 2; 74Article 3 Sec. 61. REVISOR EB/CH 25-0031102/20/25 75.1 (6) client advocate; 75.2 (7) clinical program therapist 2; 75.3 (8) clinical program therapist 3; 75.4 (9) clinical program therapist 4; 75.5 (10) cook; 75.6 (11) culinary supervisor; 75.7 (12) customer services specialist principal; 75.8 (13) dental assistant registered; 75.9 (14) dental hygienist; 75.10 (15) food service worker; 75.11 (16) food services supervisor; 75.12 (17) group supervisor; 75.13 (18) group supervisor assistant; 75.14 (19) human services support specialist; 75.15 (20) licensed alcohol and drug counselor; 75.16 (21) licensed practical nurse; 75.17 (22) management analyst 3; 75.18 (23) music therapist; 75.19 (24) occupational therapist; 75.20 (25) occupational therapist, senior; 75.21 (26) physical therapist; 75.22 (27) psychologist 1; 75.23 (28) psychologist 2; 75.24 (29) psychologist 3; 75.25 (30) recreation program assistant; 75.26 (31) recreation therapist lead; 75.27 (32) recreation therapist senior; 75Article 3 Sec. 61. REVISOR EB/CH 25-0031102/20/25 76.1 (33) rehabilitation counselor senior; 76.2 (34) residential program lead; 76.3 (35) security supervisor; 76.4 (36) skills development specialist; 76.5 (37) social worker senior; 76.6 (38) social worker specialist; 76.7 (39) social worker specialist, senior; 76.8 (40) special education program assistant; 76.9 (41) speech pathology clinician; 76.10 (42) substance use disorder counselor senior; 76.11 (43) work therapy assistant; and 76.12 (44) work therapy program coordinator. 76.13 EFFECTIVE DATE.This section is effective July 1, 2025. 76.14Sec. 62. Minnesota Statutes 2024, section 401.17, subdivision 1, is amended to read: 76.15 Subdivision 1.Establishment; members.(a) The commissioner must establish a 76.16Community Supervision Advisory Committee to develop and make recommendations to 76.17the commissioner on standards for probation, supervised release, and community supervision. 76.18The committee consists of 19 members as follows: 76.19 (1) two directors appointed by the Minnesota Association of Community Corrections 76.20Act Counties; 76.21 (2) two probation directors appointed by the Minnesota Association of County Probation 76.22Officers; 76.23 (3) three county commissioner representatives appointed by the Association of Minnesota 76.24Counties; 76.25 (4) two behavioral health, treatment, or programming providers who work directly with 76.26individuals on correctional supervision, one appointed by the Department of Human Services 76.27Direct Care and Treatment executive board and one appointed by the Minnesota Association 76.28of County Social Service Administrators; 76.29 (5) two representatives appointed by the Minnesota Indian Affairs Council; 76Article 3 Sec. 62. REVISOR EB/CH 25-0031102/20/25 77.1 (6) two commissioner-appointed representatives from the Department of Corrections; 77.2 (7) the chair of the statewide Evidence-Based Practice Advisory Committee; 77.3 (8) three individuals who have been supervised, either individually or collectively, under 77.4each of the state's three community supervision delivery systems appointed by the 77.5commissioner in consultation with the Minnesota Association of County Probation Officers 77.6and the Minnesota Association of Community Corrections Act Counties; 77.7 (9) an advocate for victims of crime appointed by the commissioner; and 77.8 (10) a representative from a community-based research and advocacy entity appointed 77.9by the commissioner. 77.10 (b) When an appointing authority selects an individual for membership on the committee, 77.11the authority must make reasonable efforts to reflect geographic diversity and to appoint 77.12qualified members of protected groups, as defined under section 43A.02, subdivision 33. 77.13 (c) Chapter 15 applies to the extent consistent with this section. 77.14 (d) The commissioner must convene the first meeting of the committee on or before 77.15October 1, 2023. 77.16 EFFECTIVE DATE.This section is effective July 1, 2025. 77.17Sec. 63. Minnesota Statutes 2024, section 507.071, subdivision 1, is amended to read: 77.18 Subdivision 1.Definitions.For the purposes of this section the following terms have 77.19the meanings given: 77.20 (a) "Beneficiary" or "grantee beneficiary" means a person or entity named as a grantee 77.21beneficiary in a transfer on death deed, including a successor grantee beneficiary. 77.22 (b) "County agency" means the county department or office designated to recover medical 77.23assistance benefits from the estates of decedents. 77.24 (c) "Grantor owner" means an owner, whether individually, as a joint tenant, or as a 77.25tenant in common, named as a grantor in a transfer on death deed upon whose death the 77.26conveyance or transfer of the described real property is conditioned. Grantor owner does 77.27not include a spouse who joins in a transfer on death deed solely for the purpose of conveying 77.28or releasing statutory or other marital interests in the real property to be conveyed or 77.29transferred by the transfer on death deed. 77.30 (d) "Owner" means a person having an ownership or other interest in all or part of the 77.31real property to be conveyed or transferred by a transfer on death deed either at the time the 77Article 3 Sec. 63. REVISOR EB/CH 25-0031102/20/25 78.1deed is executed or at the time the transfer becomes effective. Owner does not include a 78.2spouse who joins in a transfer on death deed solely for the purpose of conveying or releasing 78.3statutory or other marital interests in the real property to be conveyed or transferred by the 78.4transfer on death deed. 78.5 (e) "Property" and "interest in real property" mean any interest in real property located 78.6in this state which is transferable on the death of the owner and includes, without limitation, 78.7an interest in real property defined in chapter 500, a mortgage, a deed of trust, a security 78.8interest in, or a security pledge of, an interest in real property, including the rights to 78.9payments of the indebtedness secured by the security instrument, a judgment, a tax lien, 78.10both the seller's and purchaser's interest in a contract for deed, land contract, purchase 78.11agreement, or earnest money contract for the sale and purchase of real property, including 78.12the rights to payments under such contracts, or any other lien on, or interest in, real property. 78.13 (f) "Recorded" means recorded in the office of the county recorder or registrar of titles, 78.14as appropriate for the real property described in the instrument to be recorded. 78.15 (g) "State agency" means the Department of Human Services or any successor agency 78.16or Direct Care and Treatment or any successor agency. 78.17 (h) "Transfer on death deed" means a deed authorized under this section. 78.18 EFFECTIVE DATE.This section is effective July 1, 2025. 78.19Sec. 64. Minnesota Statutes 2024, section 611.57, subdivision 2, is amended to read: 78.20 Subd. 2.Membership.(a) The Certification Advisory Committee consists of the 78.21following members: 78.22 (1) a mental health professional, as defined in section 245I.02, subdivision 27, with 78.23community behavioral health experience, appointed by the governor; 78.24 (2) a board-certified forensic psychiatrist with experience in competency evaluations, 78.25providing competency attainment services, or both, appointed by the governor; 78.26 (3) a board-certified forensic psychologist with experience in competency evaluations, 78.27providing competency attainment services, or both, appointed by the governor; 78.28 (4) the president of the Minnesota Corrections Association or a designee; 78.29 (5) the Direct Care and Treatment deputy commissioner chief executive officer or a 78.30designee; 78Article 3 Sec. 64. REVISOR EB/CH 25-0031102/20/25 79.1 (6) the president of the Minnesota Association of County Social Service Administrators 79.2or a designee; 79.3 (7) the president of the Minnesota Association of Community Mental Health Providers 79.4or a designee; 79.5 (8) the president of the Minnesota Sheriffs' Association or a designee; and 79.6 (9) the executive director of the National Alliance on Mental Illness Minnesota or a 79.7designee. 79.8 (b) Members of the advisory committee serve without compensation and at the pleasure 79.9of the appointing authority. Vacancies shall be filled by the appointing authority consistent 79.10with the qualifications of the vacating member required by this subdivision. 79.11 EFFECTIVE DATE.This section is effective July 1, 2025. 79.12Sec. 65. Minnesota Statutes 2024, section 611.57, subdivision 4, is amended to read: 79.13 Subd. 4.Duties.The Certification Advisory Committee shall consult with the Department 79.14of Human Services, the Department of Health, and the Department of Corrections, and 79.15Direct Care and Treatment; make recommendations to the Minnesota Competency Attainment 79.16Board regarding competency attainment curriculum, certification requirements for 79.17competency attainment programs including jail-based programs, and certification of 79.18individuals to provide competency attainment services; and provide information and 79.19recommendations on other issues relevant to competency attainment as requested by the 79.20board. 79.21 EFFECTIVE DATE.This section is effective July 1, 2025. 79.22Sec. 66. Minnesota Statutes 2024, section 624.7131, subdivision 1, is amended to read: 79.23 Subdivision 1.Information.Any person may apply for a transferee permit by providing 79.24the following information in writing to the chief of police of an organized full time police 79.25department of the municipality in which the person resides or to the county sheriff if there 79.26is no such local chief of police: 79.27 (1) the name, residence, telephone number, and driver's license number or 79.28nonqualification certificate number, if any, of the proposed transferee; 79.29 (2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical 79.30characteristics, if any, of the proposed transferee; 79Article 3 Sec. 66. REVISOR EB/CH 25-0031102/20/25 80.1 (3) a statement that the proposed transferee authorizes the release to the local police 80.2authority of commitment information about the proposed transferee maintained by the 80.3commissioner of human services Direct Care and Treatment executive board, to the extent 80.4that the information relates to the proposed transferee's eligibility to possess a pistol or 80.5semiautomatic military-style assault weapon under section 624.713, subdivision 1; and 80.6 (4) a statement by the proposed transferee that the proposed transferee is not prohibited 80.7by section 624.713 from possessing a pistol or semiautomatic military-style assault weapon. 80.8 The statements shall be signed and dated by the person applying for a permit. At the 80.9time of application, the local police authority shall provide the applicant with a dated receipt 80.10for the application. The statement under clause (3) must comply with any applicable 80.11requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect 80.12to consent to disclosure of alcohol or drug abuse patient records. 80.13Sec. 67. Minnesota Statutes 2024, section 624.7131, subdivision 2, is amended to read: 80.14 Subd. 2.Investigation.The chief of police or sheriff shall check criminal histories, 80.15records and warrant information relating to the applicant through the Minnesota Crime 80.16Information System, the national criminal record repository, and the National Instant Criminal 80.17Background Check System. The chief of police or sheriff shall also make a reasonable effort 80.18to check other available state and local record-keeping systems. The chief of police or sheriff 80.19shall obtain commitment information from the commissioner of human services Direct Care 80.20and Treatment executive board as provided in section 246C.15. 80.21Sec. 68. Minnesota Statutes 2024, section 624.7132, subdivision 1, is amended to read: 80.22 Subdivision 1.Required information.Except as provided in this section and section 80.23624.7131, every person who agrees to transfer a pistol or semiautomatic military-style 80.24assault weapon shall report the following information in writing to the chief of police of 80.25the organized full-time police department of the municipality where the proposed transferee 80.26resides or to the appropriate county sheriff if there is no such local chief of police: 80.27 (1) the name, residence, telephone number, and driver's license number or 80.28nonqualification certificate number, if any, of the proposed transferee; 80.29 (2) the sex, date of birth, height, weight, and color of eyes, and distinguishing physical 80.30characteristics, if any, of the proposed transferee; 80.31 (3) a statement that the proposed transferee authorizes the release to the local police 80.32authority of commitment information about the proposed transferee maintained by the 80Article 3 Sec. 68. REVISOR EB/CH 25-0031102/20/25 81.1commissioner of human services Direct Care and Treatment executive board, to the extent 81.2that the information relates to the proposed transferee's eligibility to possess a pistol or 81.3semiautomatic military-style assault weapon under section 624.713, subdivision 1; 81.4 (4) a statement by the proposed transferee that the transferee is not prohibited by section 81.5624.713 from possessing a pistol or semiautomatic military-style assault weapon; and 81.6 (5) the address of the place of business of the transferor. 81.7 The report shall be signed and dated by the transferor and the proposed transferee. The 81.8report shall be delivered by the transferor to the chief of police or sheriff no later than three 81.9days after the date of the agreement to transfer, excluding weekends and legal holidays. 81.10The statement under clause (3) must comply with any applicable requirements of Code of 81.11Federal Regulations, title 42, sections 2.31 to 2.35, with respect to consent to disclosure of 81.12alcohol or drug abuse patient records. 81.13Sec. 69. Minnesota Statutes 2024, section 624.7132, subdivision 2, is amended to read: 81.14 Subd. 2.Investigation.Upon receipt of a transfer report, the chief of police or sheriff 81.15shall check criminal histories, records and warrant information relating to the proposed 81.16transferee through the Minnesota Crime Information System, the national criminal record 81.17repository, and the National Instant Criminal Background Check System. The chief of police 81.18or sheriff shall also make a reasonable effort to check other available state and local 81.19record-keeping systems. The chief of police or sheriff shall obtain commitment information 81.20from the commissioner of human services Direct Care and Treatment executive board as 81.21provided in section 246C.15. 81.22Sec. 70. Minnesota Statutes 2024, section 624.714, subdivision 3, is amended to read: 81.23 Subd. 3.Form and contents of application.(a) Applications for permits to carry must 81.24be an official, standardized application form, adopted under section 624.7151, and must set 81.25forth in writing only the following information: 81.26 (1) the applicant's name, residence, telephone number, if any, and driver's license number 81.27or state identification card number; 81.28 (2) the applicant's sex, date of birth, height, weight, and color of eyes and hair, and 81.29distinguishing physical characteristics, if any; 81.30 (3) the township or statutory city or home rule charter city, and county, of all Minnesota 81.31residences of the applicant in the last five years, though not including specific addresses; 81Article 3 Sec. 70. REVISOR EB/CH 25-0031102/20/25 82.1 (4) the township or city, county, and state of all non-Minnesota residences of the applicant 82.2in the last five years, though not including specific addresses; 82.3 (5) a statement that the applicant authorizes the release to the sheriff of commitment 82.4information about the applicant maintained by the commissioner of human services Direct 82.5Care and Treatment executive board or any similar agency or department of another state 82.6where the applicant has resided, to the extent that the information relates to the applicant's 82.7eligibility to possess a firearm; and 82.8 (6) a statement by the applicant that, to the best of the applicant's knowledge and belief, 82.9the applicant is not prohibited by law from possessing a firearm. 82.10 (b) The statement under paragraph (a), clause (5), must comply with any applicable 82.11requirements of Code of Federal Regulations, title 42, sections 2.31 to 2.35, with respect 82.12to consent to disclosure of alcohol or drug abuse patient records. 82.13 (c) An applicant must submit to the sheriff an application packet consisting only of the 82.14following items: 82.15 (1) a completed application form, signed and dated by the applicant; 82.16 (2) an accurate photocopy of the certificate described in subdivision 2a, paragraph (c), 82.17that is submitted as the applicant's evidence of training in the safe use of a pistol; and 82.18 (3) an accurate photocopy of the applicant's current driver's license, state identification 82.19card, or the photo page of the applicant's passport. 82.20 (d) In addition to the other application materials, a person who is otherwise ineligible 82.21for a permit due to a criminal conviction but who has obtained a pardon or expungement 82.22setting aside the conviction, sealing the conviction, or otherwise restoring applicable rights, 82.23must submit a copy of the relevant order. 82.24 (e) Applications must be submitted in person. 82.25 (f) The sheriff may charge a new application processing fee in an amount not to exceed 82.26the actual and reasonable direct cost of processing the application or $100, whichever is 82.27less. Of this amount, $10 must be submitted to the commissioner and deposited into the 82.28general fund. 82.29 (g) This subdivision prescribes the complete and exclusive set of items an applicant is 82.30required to submit in order to apply for a new or renewal permit to carry. The applicant 82.31must not be asked or required to submit, voluntarily or involuntarily, any information, fees, 82.32or documentation beyond that specifically required by this subdivision. This paragraph does 82Article 3 Sec. 70. REVISOR EB/CH 25-0031102/20/25 83.1not apply to alternate training evidence accepted by the sheriff under subdivision 2a, 83.2paragraph (d). 83.3 (h) Forms for new and renewal applications must be available at all sheriffs' offices and 83.4the commissioner must make the forms available on the Internet. 83.5 (i) Application forms must clearly display a notice that a permit, if granted, is void and 83.6must be immediately returned to the sheriff if the permit holder is or becomes prohibited 83.7by law from possessing a firearm. The notice must list the applicable state criminal offenses 83.8and civil categories that prohibit a person from possessing a firearm. 83.9 (j) Upon receipt of an application packet and any required fee, the sheriff must provide 83.10a signed receipt indicating the date of submission. 83.11Sec. 71. Minnesota Statutes 2024, section 624.714, subdivision 4, is amended to read: 83.12 Subd. 4.Investigation.(a) The sheriff must check, by means of electronic data transfer, 83.13criminal records, histories, and warrant information on each applicant through the Minnesota 83.14Crime Information System and the National Instant Criminal Background Check System. 83.15The sheriff shall also make a reasonable effort to check other available and relevant federal, 83.16state, or local record-keeping systems. The sheriff must obtain commitment information 83.17from the commissioner of human services Direct Care and Treatment executive board as 83.18provided in section 246C.15 or, if the information is reasonably available, as provided by 83.19a similar statute from another state. 83.20 (b) When an application for a permit is filed under this section, the sheriff must notify 83.21the chief of police, if any, of the municipality where the applicant resides. The police chief 83.22may provide the sheriff with any information relevant to the issuance of the permit. 83.23 (c) The sheriff must conduct a background check by means of electronic data transfer 83.24on a permit holder through the Minnesota Crime Information System and the National 83.25Instant Criminal Background Check System at least yearly to ensure continuing eligibility. 83.26The sheriff may also conduct additional background checks by means of electronic data 83.27transfer on a permit holder at any time during the period that a permit is in effect. 83.28Sec. 72. Minnesota Statutes 2024, section 631.40, subdivision 3, is amended to read: 83.29 Subd. 3.Departments of Human Services; Children, Youth, and Families; and 83.30Health licensees.When a person who is affiliated with a program or facility governed 83.31licensed by the Department of Human Services,; Department of Children, Youth, and 83.32Families,; or Department of Health is convicted of a disqualifying crime, the probation 83Article 3 Sec. 72. REVISOR EB/CH 25-0031102/20/25 84.1officer or corrections agent shall notify the commissioner of the conviction, as provided in 84.2chapter 245C. 84.3 EFFECTIVE DATE.This section is effective July 1, 2025. 84.4 Sec. 73. REVISOR INSTRUCTION. 84.5 (a) The revisor of statutes shall renumber Minnesota Statutes, section 252.50, subdivision 84.65, as Minnesota Statutes, section 246C.11, subdivision 4a. 84.7 (b) The revisor of statutes shall renumber Minnesota Statutes, section 252.52, as 84.8Minnesota Statutes, section 246C.191. 84.9 (c) The revisor of statutes shall make necessary cross-reference changes consistent with 84.10the renumbering in this section. 84.11 EFFECTIVE DATE.This section is effective July 1, 2025. 84.12Sec. 74. REPEALER. 84.13 (a) Minnesota Statutes 2024, sections 245.4862; 246.015, subdivision 3; 246.50, 84.14subdivision 2; and 246B.04, subdivision 1a, are repealed. 84.15 (b) Laws 2024, chapter 79, article 1, sections 15; 16; and 17, are repealed. 84.16 EFFECTIVE DATE.This section is effective July 1, 2025. 84.17 ARTICLE 4 84.18 HEALTH CARE ADMINISTRATION 84.19Section 1. Minnesota Statutes 2024, section 62M.17, subdivision 2, is amended to read: 84.20 Subd. 2.Effect of change in prior authorization clinical criteria.(a) If, during a plan 84.21year, or a calendar year for fee-for-service providers under chapters 256B and 256L, a 84.22utilization review organization changes coverage terms for a health care service or the 84.23clinical criteria used to conduct prior authorizations for a health care service, the change in 84.24coverage terms or change in clinical criteria shall not apply until the next plan year, or the 84.25next calendar year for fee-for-service providers under chapters 256B and 256L, for any 84.26enrollee who received prior authorization for a health care service using the coverage terms 84.27or clinical criteria in effect before the effective date of the change. 84.28 (b) Paragraph (a) does not apply if a utilization review organization changes coverage 84.29terms for a drug or device that has been deemed unsafe by the United States Food and Drug 84.30Administration (FDA); that has been withdrawn by either the FDA or the product 84Article 4 Section 1. REVISOR EB/CH 25-0031102/20/25 85.1manufacturer; or when an independent source of research, clinical guidelines, or 85.2evidence-based standards has issued drug- or device-specific warnings or recommended 85.3changes in drug or device usage. 85.4 (c) Paragraph (a) does not apply if a utilization review organization changes coverage 85.5terms for a service or the clinical criteria used to conduct prior authorizations for a service 85.6when an independent source of research, clinical guidelines, or evidence-based standards 85.7has recommended changes in usage of the service for reasons related to patient harm. This 85.8paragraph expires December 31, 2025, for health benefit plans offered, sold, issued, or 85.9renewed on or after that date. 85.10 (d) Effective January 1, 2026, and applicable to health benefit plans offered, sold, issued, 85.11or renewed on or after that date, paragraph (a) does not apply if a utilization review 85.12organization changes coverage terms for a service or the clinical criteria used to conduct 85.13prior authorizations for a service when an independent source of research, clinical guidelines, 85.14or evidence-based standards has recommended changes in usage of the service for reasons 85.15related to previously unknown and imminent patient harm. 85.16 (e) Paragraph (a) does not apply if a utilization review organization removes a brand 85.17name drug from its formulary or places a brand name drug in a benefit category that increases 85.18the enrollee's cost, provided the utilization review organization (1) adds to its formulary a 85.19generic or multisource brand name drug rated as therapeutically equivalent according to 85.20the FDA Orange Book, or a biologic drug rated as interchangeable according to the FDA 85.21Purple Book, at a lower cost to the enrollee, and (2) provides at least a 60-day notice to 85.22prescribers, pharmacists, and affected enrollees. 85.23Sec. 2. Minnesota Statutes 2024, section 256B.0625, subdivision 25c, is amended to read: 85.24 Subd. 25c.Applicability of utilization review provisions.Effective January 1, 2026, 85.25the following provisions of chapter 62M apply to the commissioner when delivering services 85.26under chapters 256B and 256L: 62M.02, subdivisions 1 to 5, 7 to 12, 13, 14 to 18, and 21; 85.2762M.04; 62M.05, subdivisions 1 to 4; 62M.06, subdivisions 1 to 3; 62M.07; 62M.072; 85.2862M.09; 62M.10; 62M.12; and 62M.17, subdivision 2; and 62M.18. 85Article 4 Sec. 2. REVISOR EB/CH 25-0031102/20/25 86.1 ARTICLE 5 86.2 HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL 86.3 Section 1. Minnesota Statutes 2024, section 142E.51, subdivision 5, is amended to read: 86.4 Subd. 5.Administrative disqualification of child care providers caring for children 86.5receiving child care assistance.(a) The department shall pursue an administrative 86.6disqualification, if the child care provider is accused of committing an intentional program 86.7violation, in lieu of a criminal action when it has not been pursued. Intentional program 86.8violations include intentionally making false or misleading statements; receiving or providing 86.9a kickback, as defined in subdivision 6, paragraph (b); intentionally misrepresenting, 86.10concealing, or withholding facts; and repeatedly and intentionally violating program 86.11regulations under this chapter. Intent may be proven by demonstrating a pattern of conduct 86.12that violates program rules under this chapter. 86.13 (b) To initiate an administrative disqualification, the commissioner must send written 86.14notice using a signature-verified confirmed delivery method to the provider against whom 86.15the action is being taken. Unless otherwise specified under this chapter or Minnesota Rules, 86.16chapter 3400, the commissioner must send the written notice at least 15 calendar days before 86.17the adverse action's effective date. The notice shall state (1) the factual basis for the agency's 86.18determination, (2) the action the agency intends to take, (3) the dollar amount of the monetary 86.19recovery or recoupment, if known, and (4) the provider's right to appeal the agency's proposed 86.20action. 86.21 (c) The provider may appeal an administrative disqualification by submitting a written 86.22request to the state agency. A provider's request must be received by the state agency no 86.23later than 30 days after the date the commissioner mails the notice. 86.24 (d) The provider's appeal request must contain the following: 86.25 (1) each disputed item, the reason for the dispute, and, if applicable, an estimate of the 86.26dollar amount involved for each disputed item; 86.27 (2) the computation the provider believes to be correct, if applicable; 86.28 (3) the statute or rule relied on for each disputed item; and 86.29 (4) the name, address, and telephone number of the person at the provider's place of 86.30business with whom contact may be made regarding the appeal. 86.31 (e) On appeal, the issuing agency bears the burden of proof to demonstrate by a 86.32preponderance of the evidence that the provider committed an intentional program violation. 86Article 5 Section 1. REVISOR EB/CH 25-0031102/20/25 87.1 (f) The hearing is subject to the requirements of section 142A.20. The human services 87.2judge may combine a fair hearing and administrative disqualification hearing into a single 87.3hearing if the factual issues arise out of the same or related circumstances and the provider 87.4receives prior notice that the hearings will be combined. 87.5 (g) A provider found to have committed an intentional program violation and is 87.6administratively disqualified must be disqualified, for a period of three years for the first 87.7offense and permanently for any subsequent offense, from receiving any payments from 87.8any child care program under this chapter. 87.9 (h) Unless a timely and proper appeal made under this section is received by the 87.10department, the administrative determination of the department is final and binding. 87.11Sec. 2. Minnesota Statutes 2024, section 142E.51, subdivision 6, is amended to read: 87.12 Subd. 6.Prohibited hiring practice practices.(a) It is prohibited to hire a child care 87.13center employee when, as a condition of employment, the employee is required to have one 87.14or more children who are eligible for or receive child care assistance, if: 87.15 (1) the individual hiring the employee is, or is acting at the direction of or in cooperation 87.16with, a child care center provider, center owner, director, manager, license holder, or other 87.17controlling individual; and 87.18 (2) the individual hiring the employee knows or has reason to know the purpose in hiring 87.19the employee is to obtain child care assistance program funds. 87.20 (b) Program applicants, participants, and providers are prohibited from receiving or 87.21providing a kickback or payment in exchange for obtaining or attempting to obtain child 87.22care assistance benefits for their own financial gain. This paragraph does not apply to: 87.23 (1) marketing or promotional offerings that directly benefit an applicant or recipient's 87.24child or dependent for whom the child care provider is providing child care services; or 87.25 (2) child care provider discounts, scholarships, or other financial assistance allowed 87.26under section 142E.17, subdivision 7. 87.27 (c) An attempt to buy or sell access to a family's child care subsidy benefits to an 87.28unauthorized person by an applicant, a participant, or a provider is a kickback, an intentional 87.29program violation under subdivision 5, and wrongfully obtaining assistance under section 87.30256.98. 87Article 5 Sec. 2. REVISOR EB/CH 25-0031102/20/25 88.1 Sec. 3. Minnesota Statutes 2024, section 144.651, subdivision 2, is amended to read: 88.2 Subd. 2.Definitions.For the purposes of this section, "patient" means a person who is 88.3admitted to an acute care inpatient facility for a continuous period longer than 24 hours, for 88.4the purpose of diagnosis or treatment bearing on the physical or mental health of that person. 88.5For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also means a 88.6person who receives health care services at an outpatient surgical center or at a birth center 88.7licensed under section 144.615. "Patient" also means a minor person who is admitted to a 88.8residential program as defined in section 253C.01. "Patient" also means a person who is 88.9admitted to a residential substance use disorder treatment program licensed according to 88.10Minnesota Rules, parts 2960.0430 to 2960.0490. For purposes of subdivisions 1, 3 to 16, 88.1118, 20 and 30, "patient" also means any person who is receiving mental health treatment or 88.12substance use disorder treatment on an outpatient basis or in a community support program 88.13or other community-based program. "Resident" means a person who is admitted to a nonacute 88.14care facility including extended care facilities, nursing homes, and boarding care homes for 88.15care required because of prolonged mental or physical illness or disability, recovery from 88.16injury or disease, or advancing age. For purposes of all subdivisions except subdivisions 88.1728 and 29, "resident" also means a person who is admitted to a facility licensed as a board 88.18and lodging facility under Minnesota Rules, parts 4625.0100 to 4625.2355, a boarding care 88.19home under sections 144.50 to 144.56, or a supervised living facility under Minnesota Rules, 88.20parts 4665.0100 to 4665.9900, and which that operates a rehabilitation withdrawal 88.21management program licensed under chapter 245F, a residential substance use disorder 88.22treatment program licensed under chapter 245G or, an intensive residential treatment services 88.23or residential crisis stabilization program licensed under chapter 245I, or a detoxification 88.24program licensed under Minnesota Rules, parts 9530.6510 to 9530.6590. 88.25Sec. 4. Minnesota Statutes 2024, section 245A.04, subdivision 1, is amended to read: 88.26 Subdivision 1.Application for licensure.(a) An individual, organization, or government 88.27entity that is subject to licensure under section 245A.03 must apply for a license. The 88.28application must be made on the forms and in the manner prescribed by the commissioner. 88.29The commissioner shall provide the applicant with instruction in completing the application 88.30and provide information about the rules and requirements of other state agencies that affect 88.31the applicant. An applicant seeking licensure in Minnesota with headquarters outside of 88.32Minnesota must have a program office located within 30 miles of the Minnesota border. 88.33An applicant who intends to buy or otherwise acquire a program or services licensed under 88.34this chapter that is owned by another license holder must apply for a license under this 88.35chapter and comply with the application procedures in this section and section 245A.043. 88Article 5 Sec. 4. REVISOR EB/CH 25-0031102/20/25 89.1 The commissioner shall act on the application within 90 working days after a complete 89.2application and any required reports have been received from other state agencies or 89.3departments, counties, municipalities, or other political subdivisions. The commissioner 89.4shall not consider an application to be complete until the commissioner receives all of the 89.5required information. 89.6 When the commissioner receives an application for initial licensure that is incomplete 89.7because the applicant failed to submit required documents or that is substantially deficient 89.8because the documents submitted do not meet licensing requirements, the commissioner 89.9shall provide the applicant written notice that the application is incomplete or substantially 89.10deficient. In the written notice to the applicant the commissioner shall identify documents 89.11that are missing or deficient and give the applicant 45 days to resubmit a second application 89.12that is substantially complete. An applicant's failure to submit a substantially complete 89.13application after receiving notice from the commissioner is a basis for license denial under 89.14section 245A.043. 89.15 (b) An application for licensure must identify all controlling individuals as defined in 89.16section 245A.02, subdivision 5a, and must designate one individual to be the authorized 89.17agent. The application must be signed by the authorized agent and must include the authorized 89.18agent's first, middle, and last name; mailing address; and email address. By submitting an 89.19application for licensure, the authorized agent consents to electronic communication with 89.20the commissioner throughout the application process. The authorized agent must be 89.21authorized to accept service on behalf of all of the controlling individuals. A government 89.22entity that holds multiple licenses under this chapter may designate one authorized agent 89.23for all licenses issued under this chapter or may designate a different authorized agent for 89.24each license. Service on the authorized agent is service on all of the controlling individuals. 89.25It is not a defense to any action arising under this chapter that service was not made on each 89.26controlling individual. The designation of a controlling individual as the authorized agent 89.27under this paragraph does not affect the legal responsibility of any other controlling individual 89.28under this chapter. 89.29 (c) An applicant or license holder must have a policy that prohibits license holders, 89.30employees, subcontractors, and volunteers, when directly responsible for persons served 89.31by the program, from abusing prescription medication or being in any manner under the 89.32influence of a chemical that impairs the individual's ability to provide services or care. The 89.33license holder must train employees, subcontractors, and volunteers about the program's 89.34drug and alcohol policy before the employee, subcontractor, or volunteer has direct contact, 89.35as defined in section 245C.02, subdivision 11, with a person served by the program. 89Article 5 Sec. 4. REVISOR EB/CH 25-0031102/20/25 90.1 (d) An applicant and license holder must have a program grievance procedure that permits 90.2persons served by the program and their authorized representatives to bring a grievance to 90.3the highest level of authority in the program. 90.4 (e) The commissioner may limit communication during the application process to the 90.5authorized agent or the controlling individuals identified on the license application and for 90.6whom a background study was initiated under chapter 245C. Upon implementation of the 90.7provider licensing and reporting hub, applicants and license holders must use the hub in the 90.8manner prescribed by the commissioner. The commissioner may require the applicant, 90.9except for child foster care, to demonstrate competence in the applicable licensing 90.10requirements by successfully completing a written examination. The commissioner may 90.11develop a prescribed written examination format. 90.12 (f) When an applicant is an individual, the applicant must provide: 90.13 (1) the applicant's taxpayer identification numbers including the Social Security number 90.14or Minnesota tax identification number, and federal employer identification number if the 90.15applicant has employees; 90.16 (2) at the request of the commissioner, a copy of the most recent filing with the secretary 90.17of state that includes the complete business name, if any; 90.18 (3) if doing business under a different name, the doing business as (DBA) name, as 90.19registered with the secretary of state; 90.20 (4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique 90.21Minnesota Provider Identifier (UMPI) number; and 90.22 (5) at the request of the commissioner, the notarized signature of the applicant or 90.23authorized agent. 90.24 (g) When an applicant is an organization, the applicant must provide: 90.25 (1) the applicant's taxpayer identification numbers including the Minnesota tax 90.26identification number and federal employer identification number; 90.27 (2) at the request of the commissioner, a copy of the most recent filing with the secretary 90.28of state that includes the complete business name, and if doing business under a different 90.29name, the doing business as (DBA) name, as registered with the secretary of state; 90.30 (3) the first, middle, and last name, and address for all individuals who will be controlling 90.31individuals, including all officers, owners, and managerial officials as defined in section 90Article 5 Sec. 4. REVISOR EB/CH 25-0031102/20/25 91.1245A.02, subdivision 5a, and the date that the background study was initiated by the applicant 91.2for each controlling individual; 91.3 (4) if applicable, the applicant's NPI number and UMPI number; 91.4 (5) the documents that created the organization and that determine the organization's 91.5internal governance and the relations among the persons that own the organization, have 91.6an interest in the organization, or are members of the organization, in each case as provided 91.7or authorized by the organization's governing statute, which may include a partnership 91.8agreement, bylaws, articles of organization, organizational chart, and operating agreement, 91.9or comparable documents as provided in the organization's governing statute; and 91.10 (6) the notarized signature of the applicant or authorized agent. 91.11 (h) When the applicant is a government entity, the applicant must provide: 91.12 (1) the name of the government agency, political subdivision, or other unit of government 91.13seeking the license and the name of the program or services that will be licensed; 91.14 (2) the applicant's taxpayer identification numbers including the Minnesota tax 91.15identification number and federal employer identification number; 91.16 (3) a letter signed by the manager, administrator, or other executive of the government 91.17entity authorizing the submission of the license application; and 91.18 (4) if applicable, the applicant's NPI number and UMPI number. 91.19 (i) At the time of application for licensure or renewal of a license under this chapter, the 91.20applicant or license holder must acknowledge on the form provided by the commissioner 91.21if the applicant or license holder elects to receive any public funding reimbursement from 91.22the commissioner for services provided under the license that: 91.23 (1) the applicant's or license holder's compliance with the provider enrollment agreement 91.24or registration requirements for receipt of public funding may be monitored by the 91.25commissioner as part of a licensing investigation or licensing inspection; and 91.26 (2) noncompliance with the provider enrollment agreement or registration requirements 91.27for receipt of public funding that is identified through a licensing investigation or licensing 91.28inspection, or noncompliance with a licensing requirement that is a basis of enrollment for 91.29reimbursement for a service, may result in: 91.30 (i) a correction order or a conditional license under section 245A.06, or sanctions under 91.31section 245A.07; 91Article 5 Sec. 4. REVISOR EB/CH 25-0031102/20/25 92.1 (ii) nonpayment of claims submitted by the license holder for public program 92.2reimbursement; 92.3 (iii) recovery of payments made for the service; 92.4 (iv) disenrollment in the public payment program; or 92.5 (v) other administrative, civil, or criminal penalties as provided by law. 92.6 Sec. 5. Minnesota Statutes 2024, section 245A.04, subdivision 7, is amended to read: 92.7 Subd. 7.Grant of license; license extension.(a) If the commissioner determines that 92.8the program complies with all applicable rules and laws, the commissioner shall issue a 92.9license consistent with this section or, if applicable, a temporary change of ownership license 92.10under section 245A.043. At minimum, the license shall state: 92.11 (1) the name of the license holder; 92.12 (2) the address of the program; 92.13 (3) the effective date and expiration date of the license; 92.14 (4) the type of license; 92.15 (5) the maximum number and ages of persons that may receive services from the program; 92.16and 92.17 (6) any special conditions of licensure. 92.18 (b) The commissioner may issue a license for a period not to exceed two years if: 92.19 (1) the commissioner is unable to conduct the observation required by subdivision 4, 92.20paragraph (a), clause (3), because the program is not yet operational; 92.21 (2) certain records and documents are not available because persons are not yet receiving 92.22services from the program; and 92.23 (3) the applicant complies with applicable laws and rules in all other respects. 92.24 (c) A decision by the commissioner to issue a license does not guarantee that any person 92.25or persons will be placed or cared for in the licensed program. 92.26 (d) Except as provided in paragraphs (i) and (j), the commissioner shall not issue a 92.27license if the applicant, license holder, or an affiliated controlling individual has: 92.28 (1) been disqualified and the disqualification was not set aside and no variance has been 92.29granted; 92Article 5 Sec. 5. REVISOR EB/CH 25-0031102/20/25 93.1 (2) been denied a license under this chapter or chapter 142B within the past two years; 93.2 (3) had a license issued under this chapter or chapter 142B revoked within the past five 93.3years; or 93.4 (4) failed to submit the information required of an applicant under subdivision 1, 93.5paragraph (f), (g), or (h), after being requested by the commissioner. 93.6 When a license issued under this chapter or chapter 142B is revoked, the license holder 93.7and each affiliated controlling individual with a revoked license may not hold any license 93.8under chapter 245A for five years following the revocation, and other licenses held by the 93.9applicant or license holder or licenses affiliated with each controlling individual shall also 93.10be revoked. 93.11 (e) Notwithstanding paragraph (d), the commissioner may elect not to revoke a license 93.12affiliated with a license holder or controlling individual that had a license revoked within 93.13the past five years if the commissioner determines that (1) the license holder or controlling 93.14individual is operating the program in substantial compliance with applicable laws and rules 93.15and (2) the program's continued operation is in the best interests of the community being 93.16served. 93.17 (f) Notwithstanding paragraph (d), the commissioner may issue a new license in response 93.18to an application that is affiliated with an applicant, license holder, or controlling individual 93.19that had an application denied within the past two years or a license revoked within the past 93.20five years if the commissioner determines that (1) the applicant or controlling individual 93.21has operated one or more programs in substantial compliance with applicable laws and rules 93.22and (2) the program's operation would be in the best interests of the community to be served. 93.23 (g) In determining whether a program's operation would be in the best interests of the 93.24community to be served, the commissioner shall consider factors such as the number of 93.25persons served, the availability of alternative services available in the surrounding 93.26community, the management structure of the program, whether the program provides 93.27culturally specific services, and other relevant factors. 93.28 (h) The commissioner shall not issue or reissue a license under this chapter if an individual 93.29living in the household where the services will be provided as specified under section 93.30245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside 93.31and no variance has been granted. 93.32 (i) Pursuant to section 245A.07, subdivision 1, paragraph (b), when a license issued 93.33under this chapter has been suspended or revoked and the suspension or revocation is under 93Article 5 Sec. 5. REVISOR EB/CH 25-0031102/20/25 94.1appeal, the program may continue to operate pending a final order from the commissioner. 94.2If the license under suspension or revocation will expire before a final order is issued, a 94.3temporary provisional license may be issued provided any applicable license fee is paid 94.4before the temporary provisional license is issued. 94.5 (j) Notwithstanding paragraph (i), when a revocation is based on the disqualification of 94.6a controlling individual or license holder, and the controlling individual or license holder 94.7is ordered under section 245C.17 to be immediately removed from direct contact with 94.8persons receiving services or is ordered to be under continuous, direct supervision when 94.9providing direct contact services, the program may continue to operate only if the program 94.10complies with the order and submits documentation demonstrating compliance with the 94.11order. If the disqualified individual fails to submit a timely request for reconsideration, or 94.12if the disqualification is not set aside and no variance is granted, the order to immediately 94.13remove the individual from direct contact or to be under continuous, direct supervision 94.14remains in effect pending the outcome of a hearing and final order from the commissioner. 94.15 (k) Unless otherwise specified by statute, all licenses issued under this chapter expire 94.16at 12:01 a.m. on the day after the expiration date stated on the license. A license holder must 94.17apply for and be granted comply with the requirements in section 245A.10 and be reissued 94.18a new license to operate the program or the program must not be operated after the expiration 94.19date. Adult foster care, family adult day services, child foster residence setting, and 94.20community residential services license holders must apply for and be granted a new license 94.21to operate the program or the program must not be operated after the expiration date. Upon 94.22implementation of the provider licensing and reporting hub, licenses may be issued each 94.23calendar year. 94.24 (l) The commissioner shall not issue or reissue a license under this chapter if it has been 94.25determined that a Tribal licensing authority has established jurisdiction to license the program 94.26or service. 94.27 (m) The commissioner of human services may coordinate and share data with the 94.28commissioner of children, youth, and families to enforce this section. 94.29Sec. 6. Minnesota Statutes 2024, section 245A.16, subdivision 1, is amended to read: 94.30 Subdivision 1.Delegation of authority to agencies.(a) County agencies that have been 94.31designated by the commissioner to perform licensing functions and activities under section 94.32245A.04; to recommend denial of applicants under section 245A.05; to issue correction 94.33orders, to issue variances, and recommend a conditional license under section 245A.06; or 94.34to recommend suspending or revoking a license or issuing a fine under section 245A.07, 94Article 5 Sec. 6. REVISOR EB/CH 25-0031102/20/25 95.1shall comply with rules and directives of the commissioner governing those functions and 95.2with this section. The following variances are excluded from the delegation of variance 95.3authority and may be issued only by the commissioner: 95.4 (1) dual licensure of child foster residence setting and community residential setting; 95.5 (2) until the responsibility for family child foster care transfers to the commissioner of 95.6children, youth, and families under Laws 2023, chapter 70, article 12, section 30, dual 95.7licensure of family child foster care and family adult foster care; 95.8 (3) until the responsibility for family child care transfers to the commissioner of children, 95.9youth, and families under Laws 2023, chapter 70, article 12, section 30, dual licensure of 95.10family adult foster care and family child care; 95.11 (4) adult foster care or community residential setting maximum capacity; 95.12 (5) adult foster care or community residential setting minimum age requirement; 95.13 (6) child foster care maximum age requirement; 95.14 (7) variances regarding disqualified individuals; 95.15 (8) the required presence of a caregiver in the adult foster care residence during normal 95.16sleeping hours; 95.17 (9) variances to requirements relating to chemical use problems of a license holder or a 95.18household member of a license holder; and 95.19 (10) variances to section 142B.46 for the use of a cradleboard for a cultural 95.20accommodation. 95.21 (b) Once the respective responsibilities transfer from the commissioner of human services 95.22to the commissioner of children, youth, and families, under Laws 2023, chapter 70, article 95.2312, section 30, the commissioners of human services and children, youth, and families must 95.24both approve a variance for dual licensure of family child foster care and family adult foster 95.25care or family adult foster care and family child care. Variances under this paragraph are 95.26excluded from the delegation of variance authority and may be issued only by both 95.27commissioners. 95.28 (c) For family adult day services programs, the commissioner may authorize licensing 95.29reviews every two years after a licensee has had at least one annual review. 95.30 (d) A (c) An adult foster care, family adult day services, child foster residence setting, 95.31or community residential services license issued under this section may be issued for up to 95.32two years until implementation of the provider licensing and reporting hub. Upon 95Article 5 Sec. 6. REVISOR EB/CH 25-0031102/20/25 96.1implementation of the provider licensing and reporting hub, licenses may be issued each 96.2calendar year. 96.3 (e) (d) During implementation of chapter 245D, the commissioner shall consider: 96.4 (1) the role of counties in quality assurance; 96.5 (2) the duties of county licensing staff; and 96.6 (3) the possible use of joint powers agreements, according to section 471.59, with counties 96.7through which some licensing duties under chapter 245D may be delegated by the 96.8commissioner to the counties. 96.9Any consideration related to this paragraph must meet all of the requirements of the corrective 96.10action plan ordered by the federal Centers for Medicare and Medicaid Services. 96.11 (f) (e) Licensing authority specific to section 245D.06, subdivisions 5, 6, 7, and 8, or 96.12successor provisions; and section 245D.061 or successor provisions, for family child foster 96.13care programs providing out-of-home respite, as identified in section 245D.03, subdivision 96.141, paragraph (b), clause (1), is excluded from the delegation of authority to county agencies. 96.15Sec. 7. Minnesota Statutes 2024, section 245A.242, subdivision 2, is amended to read: 96.16 Subd. 2.Emergency overdose treatment.(a) A license holder must maintain a supply 96.17of opiate antagonists as defined in section 604A.04, subdivision 1, available for emergency 96.18treatment of opioid overdose and must have a written standing order protocol by a physician 96.19who is licensed under chapter 147, advanced practice registered nurse who is licensed under 96.20chapter 148, or physician assistant who is licensed under chapter 147A, that permits the 96.21license holder to maintain a supply of opiate antagonists on site. A license holder must 96.22require staff to undergo training in the specific mode of administration used at the program, 96.23which may include intranasal administration, intramuscular injection, or both, before the 96.24staff has direct contact, as defined in section 245C.02, subdivision 11, with a person served 96.25by the program. 96.26 (b) Notwithstanding any requirements to the contrary in Minnesota Rules, chapters 2960 96.27and 9530, and Minnesota Statutes, chapters 245F, 245G, and 245I: 96.28 (1) emergency opiate antagonist medications are not required to be stored in a locked 96.29area and staff and adult clients may carry this medication on them and store it in an unlocked 96.30location; 96.31 (2) staff persons who only administer emergency opiate antagonist medications only 96.32require the training required by paragraph (a), which any knowledgeable trainer may provide. 96Article 5 Sec. 7. REVISOR EB/CH 25-0031102/20/25 97.1The trainer is not required to be a registered nurse or part of an accredited educational 97.2institution; and 97.3 (3) nonresidential substance use disorder treatment programs that do not administer 97.4client medications beyond emergency opiate antagonist medications are not required to 97.5have the policies and procedures required in section 245G.08, subdivisions 5 and 6, and 97.6must instead describe the program's procedures for administering opiate antagonist 97.7medications in the license holder's description of health care services under section 245G.08, 97.8subdivision 1. 97.9 Sec. 8. Minnesota Statutes 2024, section 245C.05, is amended by adding a subdivision to 97.10read: 97.11 Subd. 9.Electronic signature.For documentation requiring a signature under this 97.12chapter, use of an electronic signature as defined under section 325L.02, paragraph (h), is 97.13allowed. 97.14Sec. 9. Minnesota Statutes 2024, section 245C.08, subdivision 3, is amended to read: 97.15 Subd. 3.Arrest and investigative information.(a) For any background study completed 97.16under this section, if the commissioner has reasonable cause to believe the information is 97.17pertinent to the disqualification of an individual, the commissioner also may review arrest 97.18and investigative information from: 97.19 (1) the Bureau of Criminal Apprehension; 97.20 (2) the commissioners of children, youth, and families; health; and human services; 97.21 (3) a county attorney prosecutor; 97.22 (4) a county sheriff; 97.23 (5) (4) a county agency; 97.24 (6) (5) a local chief of police law enforcement agency; 97.25 (7) (6) other states; 97.26 (8) (7) the courts; 97.27 (9) (8) the Federal Bureau of Investigation; 97.28 (10) (9) the National Criminal Records Repository; and 97.29 (11) (10) criminal records from other states. 97Article 5 Sec. 9. REVISOR EB/CH 25-0031102/20/25 98.1 (b) Except when specifically required by law, the commissioner is not required to conduct 98.2more than one review of a subject's records from the Federal Bureau of Investigation if a 98.3review of the subject's criminal history with the Federal Bureau of Investigation has already 98.4been completed by the commissioner and there has been no break in the subject's affiliation 98.5with the entity that initiated the background study. 98.6 (c) If the commissioner conducts a national criminal history record check when required 98.7by law and uses the information from the national criminal history record check to make a 98.8disqualification determination, the data obtained is private data and cannot be shared with 98.9private agencies or prospective employers of the background study subject. 98.10 (d) If the commissioner conducts a national criminal history record check when required 98.11by law and uses the information from the national criminal history record check to make a 98.12disqualification determination, the license holder or entity that submitted the study is not 98.13required to obtain a copy of the background study subject's disqualification letter under 98.14section 245C.17, subdivision 3. 98.15Sec. 10. Minnesota Statutes 2024, section 245C.22, subdivision 5, is amended to read: 98.16 Subd. 5.Scope of set-aside.(a) If the commissioner sets aside a disqualification under 98.17this section, the disqualified individual remains disqualified, but may hold a license and 98.18have direct contact with or access to persons receiving services. Except as provided in 98.19paragraph (b), the commissioner's set-aside of a disqualification is limited solely to the 98.20licensed program, applicant, or agency specified in the set aside notice under section 245C.23. 98.21For personal care provider organizations, financial management services organizations, 98.22community first services and supports organizations, unlicensed home and community-based 98.23organizations, and consumer-directed community supports organizations, the commissioner's 98.24set-aside may further be limited to a specific individual who is receiving services. For new 98.25background studies required under section 245C.04, subdivision 1, paragraph (h), if an 98.26individual's disqualification was previously set aside for the license holder's program and 98.27the new background study results in no new information that indicates the individual may 98.28pose a risk of harm to persons receiving services from the license holder, the previous 98.29set-aside shall remain in effect. 98.30 (b) If the commissioner has previously set aside an individual's disqualification for one 98.31or more programs or agencies, and the individual is the subject of a subsequent background 98.32study for a different program or agency, the commissioner shall determine whether the 98.33disqualification is set aside for the program or agency that initiated the subsequent 98Article 5 Sec. 10. REVISOR EB/CH 25-0031102/20/25 99.1background study. A notice of a set-aside under paragraph (c) shall be issued within 15 99.2working days if all of the following criteria are met: 99.3 (1) the subsequent background study was initiated in connection with a program licensed 99.4or regulated under the same provisions of law and rule for at least one program for which 99.5the individual's disqualification was previously set aside by the commissioner; 99.6 (2) the individual is not disqualified for an offense specified in section 245C.15, 99.7subdivision 1 or 2; 99.8 (3) the commissioner has received no new information to indicate that the individual 99.9may pose a risk of harm to any person served by the program; and 99.10 (4) the previous set-aside was not limited to a specific person receiving services. 99.11 (c) Notwithstanding paragraph (b), clause (2), for an individual who is employed in the 99.12substance use disorder field, if the commissioner has previously set aside an individual's 99.13disqualification for one or more programs or agencies in the substance use disorder treatment 99.14field, and the individual is the subject of a subsequent background study for a different 99.15program or agency in the substance use disorder treatment field, the commissioner shall set 99.16aside the disqualification for the program or agency in the substance use disorder treatment 99.17field that initiated the subsequent background study when the criteria under paragraph (b), 99.18clauses (1), (3), and (4), are met and the individual is not disqualified for an offense specified 99.19in section 245C.15, subdivision 1. A notice of a set-aside under paragraph (d) shall be issued 99.20within 15 working days. 99.21 (d) When a disqualification is set aside under paragraph (b), the notice of background 99.22study results issued under section 245C.17, in addition to the requirements under section 99.23245C.17, shall state that the disqualification is set aside for the program or agency that 99.24initiated the subsequent background study. The notice must inform the individual that the 99.25individual may request reconsideration of the disqualification under section 245C.21 on the 99.26basis that the information used to disqualify the individual is incorrect. 99.27Sec. 11. Minnesota Statutes 2024, section 245D.02, subdivision 4a, is amended to read: 99.28 Subd. 4a.Community residential setting."Community residential setting" means a 99.29residential program as identified in section 245A.11, subdivision 8, where residential supports 99.30and services identified in section 245D.03, subdivision 1, paragraph (c), clause (3), items 99.31(i) and (ii), are provided to adults, as defined in section 245A.02, subdivision 2, and the 99.32license holder is the owner, lessor, or tenant of the facility licensed according to this chapter, 99.33and the license holder does not reside in the facility. 99Article 5 Sec. 11. REVISOR EB/CH 25-0031102/20/25 100.1 EFFECTIVE DATE.This section is effective August 1, 2025. 100.2Sec. 12. Minnesota Statutes 2024, section 245G.05, subdivision 1, is amended to read: 100.3 Subdivision 1.Comprehensive assessment.A comprehensive assessment of the client's 100.4substance use disorder must be administered face-to-face by an alcohol and drug counselor 100.5within five calendar days from the day of service initiation for a residential program or by 100.6the end of the fifth day on which a treatment service is provided in a nonresidential program. 100.7The number of days to complete the comprehensive assessment excludes the day of service 100.8initiation. If the comprehensive assessment is not completed within the required time frame, 100.9the person-centered reason for the delay and the planned completion date must be documented 100.10in the client's file. The comprehensive assessment is complete upon a qualified staff member's 100.11dated signature. If the client previously received a comprehensive assessment that authorized 100.12the treatment service, an alcohol and drug counselor may use the comprehensive assessment 100.13for requirements of this subdivision but must document a review of the comprehensive 100.14assessment and update the comprehensive assessment as clinically necessary to ensure 100.15compliance with this subdivision within applicable timelines. An alcohol and drug counselor 100.16must sign and date the comprehensive assessment review and update. 100.17Sec. 13. Minnesota Statutes 2024, section 245G.06, subdivision 1, is amended to read: 100.18 Subdivision 1.General.Each client must have a person-centered individual treatment 100.19plan developed by an alcohol and drug counselor within ten days from the day of service 100.20initiation for a residential program, by the end of the tenth day on which a treatment session 100.21has been provided from the day of service initiation for a client in a nonresidential program, 100.22not to exceed 30 days. Opioid treatment programs must complete the individual treatment 100.23plan within 21 14 days from the day of service initiation. The number of days to complete 100.24the individual treatment plan excludes the day of service initiation. The individual treatment 100.25plan must be signed by the client and the alcohol and drug counselor and document the 100.26client's involvement in the development of the plan. The individual treatment plan is 100.27developed upon the qualified staff member's dated signature. Treatment planning must 100.28include ongoing assessment of client needs. An individual treatment plan must be updated 100.29based on new information gathered about the client's condition, the client's level of 100.30participation, and on whether methods identified have the intended effect. A change to the 100.31plan must be signed by the client and the alcohol and drug counselor. If the client chooses 100.32to have family or others involved in treatment services, the client's individual treatment plan 100.33must include how the family or others will be involved in the client's treatment. If a client 100.34is receiving treatment services or an assessment via telehealth and the alcohol and drug 100Article 5 Sec. 13. REVISOR EB/CH 25-0031102/20/25 101.1counselor documents the reason the client's signature cannot be obtained, the alcohol and 101.2drug counselor may document the client's verbal approval or electronic written approval of 101.3the treatment plan or change to the treatment plan in lieu of the client's signature. 101.4Sec. 14. Minnesota Statutes 2024, section 245G.06, subdivision 2a, is amended to read: 101.5 Subd. 2a.Documentation of treatment services.The license holder must ensure that 101.6the staff member who provides the treatment service documents in the client record the 101.7date, type, and amount of each treatment service provided to a client and the client's response 101.8to each treatment service within seven days of providing the treatment service. In addition 101.9to the other requirements of this subdivision, if a guest speaker presents information during 101.10a treatment service, the alcohol and drug counselor who provided the service and is 101.11responsible for the information presented by the guest speaker must document the name of 101.12the guest speaker, date of service, time the presentation began, time the presentation ended, 101.13and a summary of the topic presentation. 101.14Sec. 15. Minnesota Statutes 2024, section 245G.06, subdivision 3a, is amended to read: 101.15 Subd. 3a.Frequency of treatment plan reviews.(a) A license holder must ensure that 101.16the alcohol and drug counselor responsible for a client's treatment plan completes and 101.17documents a treatment plan review that meets the requirements of subdivision 3 in each 101.18client's file, according to the frequencies required in this subdivision. All ASAM levels 101.19referred to in this chapter are those described in section 254B.19, subdivision 1. 101.20 (b) For a client receiving residential ASAM level 3.3 or 3.5 high-intensity services or 101.21residential hospital-based services, a treatment plan review must be completed once every 101.2214 days. 101.23 (c) For a client receiving residential ASAM level 3.1 low-intensity services or any other 101.24residential level not listed in paragraph (b), a treatment plan review must be completed once 101.25every 30 days. 101.26 (d) For a client receiving nonresidential ASAM level 2.5 partial hospitalization services, 101.27a treatment plan review must be completed once every 14 days. 101.28 (e) For a client receiving nonresidential ASAM level 1.0 outpatient or 2.1 intensive 101.29outpatient services or any other nonresidential level not included in paragraph (d), a treatment 101.30plan review must be completed once every 30 days. 101.31 (f) For a client receiving nonresidential opioid treatment program services according to 101.32section 245G.22, a treatment plan review must be completed: 101Article 5 Sec. 15. REVISOR EB/CH 25-0031102/20/25 102.1 (1) weekly for the ten weeks following completion of the treatment plan; and 102.2 (2) monthly thereafter. 102.3Treatment plan reviews must be completed more frequently when clinical needs warrant. 102.4 (g) The ten-week time frame in paragraph (f), clause (1), may include a client's previous 102.5time at another opioid treatment program licensed in Minnesota under section 245G.22 if: 102.6 (1) the client was enrolled in the other opioid treatment program immediately prior to 102.7admission to the license holder's program; 102.8 (2) the client did not miss taking a daily dose of medication to treat an opioid use disorder; 102.9and 102.10 (3) the license holder obtains from the previous opioid treatment program the client's 102.11number of days in comprehensive treatment, discharge summary, amount of daily milligram 102.12dose of medication for opioid use disorder, and previous three drug abuse test results. 102.13 (g) (h) Notwithstanding paragraphs (e) and (f), clause (2), for a client in a nonresidential 102.14program with a treatment plan that clearly indicates less than five hours of skilled treatment 102.15services will be provided to the client each month, a treatment plan review must be completed 102.16once every 90 days. Treatment plan reviews must be completed more frequently when 102.17clinical needs warrant. 102.18Sec. 16. Minnesota Statutes 2024, section 245G.07, subdivision 2, is amended to read: 102.19 Subd. 2.Additional treatment service.A license holder may provide or arrange the 102.20following additional treatment service as a part of the client's individual treatment plan: 102.21 (1) relationship counseling provided by a qualified professional to help the client identify 102.22the impact of the client's substance use disorder on others and to help the client and persons 102.23in the client's support structure identify and change behaviors that contribute to the client's 102.24substance use disorder; 102.25 (2) therapeutic recreation to allow the client to participate in recreational activities 102.26without the use of mood-altering chemicals and to plan and select leisure activities that do 102.27not involve the inappropriate use of chemicals; 102.28 (3) stress management and physical well-being to help the client reach and maintain an 102.29appropriate level of health, physical fitness, and well-being; 102.30 (4) living skills development to help the client learn basic skills necessary for independent 102.31living; 102Article 5 Sec. 16. REVISOR EB/CH 25-0031102/20/25 103.1 (5) employment or educational services to help the client become financially independent; 103.2 (6) socialization skills development to help the client live and interact with others in a 103.3positive and productive manner; 103.4 (7) room, board, and supervision at the treatment site to provide the client with a safe 103.5and appropriate environment to gain and practice new skills; and 103.6 (8) peer recovery support services must be provided one-to-one and face-to-face, 103.7including through the Internet, by a recovery peer qualified according to section 245I.04, 103.8subdivision 18. Peer recovery support services must be provided according to sections 103.9254B.05, subdivision 5, and 254B.052. 103.10Sec. 17. Minnesota Statutes 2024, section 245G.08, subdivision 6, is amended to read: 103.11 Subd. 6.Control of drugs.A license holder must have and implement written policies 103.12and procedures developed by a registered nurse that contain: 103.13 (1) a requirement that each drug must be stored in a locked compartment. A Schedule 103.14II drug, as defined by section 152.02, subdivision 3, must be stored in a separately locked 103.15compartment, permanently affixed to the physical plant or medication cart; 103.16 (2) a documentation system which that accounts for all scheduled drugs each shift 103.17schedule II to V drugs listed in section 152.02, subdivisions 3 to 6; 103.18 (3) a procedure for recording the client's use of medication, including the signature of 103.19the staff member who completed the administration of the medication with the time and 103.20date; 103.21 (4) a procedure to destroy a discontinued, outdated, or deteriorated medication; 103.22 (5) a statement that only authorized personnel are permitted access to the keys to a locked 103.23compartment; 103.24 (6) a statement that no legend drug supply for one client shall be given to another client; 103.25and 103.26 (7) a procedure for monitoring the available supply of an opiate antagonist as defined 103.27in section 604A.04, subdivision 1, on site and replenishing the supply when needed. 103.28Sec. 18. Minnesota Statutes 2024, section 245G.09, subdivision 3, is amended to read: 103.29 Subd. 3.Contents.(a) Client records must contain the following: 103.30 (1) documentation that the client was given: 103Article 5 Sec. 18. REVISOR EB/CH 25-0031102/20/25 104.1 (i) information on client rights and responsibilities, and grievance procedures, on the 104.2day of service initiation; 104.3 (ii) information on tuberculosis, and HIV, and that the client was provided within 72 104.4hours of service initiation; 104.5 (iii) an orientation to the program abuse prevention plan required under section 245A.65, 104.6subdivision 2, paragraph (a), clause (4). If the client has an opioid use disorder, the record 104.7must contain documentation that the client was provided within 24 hours of admission or, 104.8for clients who would benefit from a later orientation, 72 hours; and 104.9 (iv) opioid educational information material according to section 245G.04, subdivision 104.103, on the day of service initiation; 104.11 (2) an initial services plan completed according to section 245G.04; 104.12 (3) a comprehensive assessment completed according to section 245G.05; 104.13 (4) an individual abuse prevention plan according to sections 245A.65, subdivision 2, 104.14and 626.557, subdivision 14, when applicable; 104.15 (5) an individual treatment plan according to section 245G.06, subdivisions 1 and 1a; 104.16 (6) documentation of treatment services, significant events, appointments, concerns, and 104.17treatment plan reviews according to section 245G.06, subdivisions 2a, 2b, 3, and 3a; and 104.18 (7) a summary at the time of service termination according to section 245G.06, 104.19subdivision 4. 104.20 (b) For a client that transfers to another of the license holder's licensed treatment locations, 104.21the license holder is not required to complete new documents or orientation for the client, 104.22except that the client must receive an orientation to the new location's grievance procedure, 104.23program abuse prevention plan, and maltreatment of minor and vulnerable adults reporting 104.24procedures. 104.25Sec. 19. Minnesota Statutes 2024, section 245G.11, subdivision 11, is amended to read: 104.26 Subd. 11.Individuals with temporary permit.An individual with a temporary permit 104.27from the Board of Behavioral Health and Therapy may provide substance use disorder 104.28treatment service services and complete comprehensive assessments, individual treatment 104.29plans, treatment plan reviews, and service discharge summaries according to this subdivision 104.30if they meet the requirements of either paragraph (a) or (b). 104Article 5 Sec. 19. REVISOR EB/CH 25-0031102/20/25 105.1 (a) An individual with a temporary permit must be supervised by a licensed alcohol and 105.2drug counselor assigned by the license holder. The supervising licensed alcohol and drug 105.3counselor must document the amount and type of supervision provided at least on a weekly 105.4basis. The supervision must relate to the clinical practice. 105.5 (b) An individual with a temporary permit must be supervised by a clinical supervisor 105.6approved by the Board of Behavioral Health and Therapy. The supervision must be 105.7documented and meet the requirements of section 148F.04, subdivision 4. 105.8Sec. 20. Minnesota Statutes 2024, section 245G.18, subdivision 2, is amended to read: 105.9 Subd. 2.Alcohol and drug counselor qualifications.In addition to the requirements 105.10specified in section 245G.11, subdivisions 1 and 5, an alcohol and drug counselor providing 105.11treatment service to an adolescent must have: 105.12 (1) an additional 30 hours of training or classroom instruction or one three-credit semester 105.13college course in adolescent development. This The training, classroom instruction, or 105.14college course must be completed no later than six months after the counselor first provides 105.15treatment services to adolescents and need only be completed one time; and. The training 105.16must be interactive and must not consist only of reading information. An alcohol and drug 105.17counselor who is also qualified as a mental health professional under section 245I.04, 105.18subdivision 2, is exempt from the requirement in this subdivision. 105.19 (2) at least 150 hours of supervised experience as an adolescent counselor, either as a 105.20student or as a staff member. 105.21Sec. 21. Minnesota Statutes 2024, section 245G.19, subdivision 4, is amended to read: 105.22 Subd. 4.Additional licensing requirements.During the times the license holder is 105.23responsible for the supervision of a child, except for license holders described in subdivision 105.245, the license holder must meet the following standards: 105.25 (1) child and adult ratios in Minnesota Rules, part 9502.0367; 105.26 (2) day care training in section 142B.70; 105.27 (3) behavior guidance in Minnesota Rules, part 9502.0395; 105.28 (4) activities and equipment in Minnesota Rules, part 9502.0415; 105.29 (5) physical environment in Minnesota Rules, part 9502.0425; 105.30 (6) physical space requirements in section 142B.72; and 105Article 5 Sec. 21. REVISOR EB/CH 25-0031102/20/25 106.1 (7) water, food, and nutrition in Minnesota Rules, part 9502.0445, unless the license 106.2holder has a license from the Department of Health. 106.3Sec. 22. Minnesota Statutes 2024, section 245G.19, is amended by adding a subdivision 106.4to read: 106.5 Subd. 5.Child care license exemption.(a) License holders that only provide supervision 106.6of children for less than three hours a day while the child's parent is in the same building 106.7or contiguous building as allowed by the exclusion from licensure in section 245A.03, 106.8subdivision 2, paragraph (a), clause (6), are exempt from the requirements of subdivision 106.94, if the requirements of this subdivision are met. 106.10 (b) During the times the license holder is responsible for the supervision of the child, 106.11there must always be a staff member present that is responsible for supervising the child 106.12who is trained in cardiopulmonary resuscitation (CPR) and first aid. This staff person must 106.13be able to immediately contact the child's parent at all times. 106.14Sec. 23. Minnesota Statutes 2024, section 245G.22, subdivision 1, is amended to read: 106.15 Subdivision 1.Additional requirements.(a) An opioid treatment program licensed 106.16under this chapter must also: (1) comply with the requirements of this section and Code of 106.17Federal Regulations, title 42, part 8; (2) be registered as a narcotic treatment program with 106.18the Drug Enforcement Administration; (3) be accredited through an accreditation body 106.19approved by the Division of Pharmacologic Therapy of the Center for Substance Abuse 106.20Treatment; (4) be certified through the Division of Pharmacologic Therapy of the Center 106.21for Substance Abuse Treatment; and (5) hold a license from the Minnesota Board of 106.22Pharmacy or equivalent agency meet the requirements for dispensing by a practitioner in 106.23section 151.37, subdivision 2, and Minnesota Rules, parts 6800.9950 to 6800.9954. 106.24 (b) A license holder operating under the dispensing by practitioner requirements in 106.25section 151.37, subdivision 2, and Minnesota Rules, parts 6800.9950 to 6800.9954, must 106.26maintain documentation that the practitioner responsible for complying with the above 106.27statute and rules has signed a statement attesting that they are the practitioner responsible 106.28for complying with the applicable statutes and rules. If more than one person is responsible 106.29for compliance, all practitioners must sign a statement. 106.30 (b) (c) Where a standard in this section differs from a standard in an otherwise applicable 106.31administrative rule or statute, the standard of this section applies. 106Article 5 Sec. 23. REVISOR EB/CH 25-0031102/20/25 107.1Sec. 24. Minnesota Statutes 2024, section 245G.22, subdivision 14, is amended to read: 107.2 Subd. 14.Central registry.(a) A license holder must comply with requirements to 107.3submit information and necessary consents to the state central registry for each client 107.4admitted, as specified by the commissioner. The license holder must submit data concerning 107.5medication used for the treatment of opioid use disorder. The data must be submitted in a 107.6method determined by the commissioner and the original information must be kept in the 107.7client's record. The information must be submitted for each client at admission and discharge. 107.8The program must document the date the information was submitted. The client's failure to 107.9provide the information shall prohibit participation in an opioid treatment program. The 107.10information submitted must include the client's: 107.11 (1) full name and all aliases; 107.12 (2) date of admission; 107.13 (3) date of birth; 107.14 (4) Social Security number or Alien Registration Number, if any; and 107.15 (5) current or previous enrollment status in another opioid treatment program;. 107.16 (6) government-issued photo identification card number; and 107.17 (7) driver's license number, if any. 107.18 (b) The requirements in paragraph (a) are effective upon the commissioner's 107.19implementation of changes to the drug and alcohol abuse normative evaluation system or 107.20development of an electronic system by which to submit the data. 107.21Sec. 25. Minnesota Statutes 2024, section 245G.22, subdivision 15, is amended to read: 107.22 Subd. 15.Nonmedication treatment services; documentation.(a) The program must 107.23offer at least 50 consecutive minutes of individual or group therapy treatment services as 107.24defined in section 245G.07, subdivision 1, paragraph (a), clause (1), per week, for the first 107.25ten weeks following the day of service initiation, and at least 50 consecutive minutes per 107.26month thereafter. As clinically appropriate, the program may offer these services cumulatively 107.27and not consecutively in increments of no less than 15 minutes over the required time period, 107.28and for a total of 60 minutes of treatment services over the time period, and must document 107.29the reason for providing services cumulatively in the client's record. The program may offer 107.30additional levels of service when deemed clinically necessary. 107.31 (b) The ten-week time frame may include a client's previous time at another opioid 107.32treatment program licensed in Minnesota under this section if: 107Article 5 Sec. 25. REVISOR EB/CH 25-0031102/20/25 108.1 (1) the client was enrolled in the other opioid treatment program immediately prior to 108.2admission to the license holder's program; 108.3 (2) the client did not miss taking a daily dose of medication to treat an opioid use disorder; 108.4and 108.5 (3) the license holder obtains from the previous opioid treatment program the client's 108.6number of days in comprehensive maintenance treatment, discharge summary, amount of 108.7daily milligram dose of medication for opioid use disorder, and previous three drug abuse 108.8test results. 108.9 (b) (c) Notwithstanding the requirements of comprehensive assessments in section 108.10245G.05, the assessment must be completed within 21 days from the day of service initiation. 108.11Sec. 26. Minnesota Statutes 2024, section 256.98, subdivision 1, is amended to read: 108.12 Subdivision 1.Wrongfully obtaining assistance.(a) A person who commits any of the 108.13following acts or omissions with intent to defeat the purposes of sections 145.891 to 145.897, 108.14the MFIP program formerly codified in sections 256.031 to 256.0361, the AFDC program 108.15formerly codified in sections 256.72 to 256.871, chapter 142G, 256B, 256D, 256I, 256K, 108.16or 256L, child care assistance programs, and emergency assistance programs under section 108.17256D.06, is guilty of theft and shall be sentenced under section 609.52, subdivision 3, clauses 108.18(1) to (5): 108.19 (1) obtains or attempts to obtain, or aids or abets any person to obtain by means of a 108.20willfully false statement or representation, by intentional concealment of any material fact, 108.21or by impersonation or other fraudulent device, assistance or the continued receipt of 108.22assistance, to include child care assistance or food benefits produced according to sections 108.23145.891 to 145.897 and MinnesotaCare services according to sections 256.9365, 256.94, 108.24and 256L.01 to 256L.15, to which the person is not entitled or assistance greater than that 108.25to which the person is entitled; 108.26 (2) knowingly aids or abets in buying or in any way disposing of the property of a 108.27recipient or applicant of assistance without the consent of the county agency; or 108.28 (3) obtains or attempts to obtain, alone or in collusion with others, the receipt of payments 108.29to which the individual is not entitled as a provider of subsidized child care, or by furnishing 108.30or concurring in receiving or providing any prohibited payment, as defined in section 108.31609.542, subdivision 2, including a kickback, or by submitting or aiding or abetting the 108.32submission of a willfully false claim for child care assistance. 108Article 5 Sec. 26. REVISOR EB/CH 25-0031102/20/25 109.1 (b) The continued receipt of assistance to which the person is not entitled or greater than 109.2that to which the person is entitled as a result of any of the acts, failure to act, or concealment 109.3described in this subdivision shall be deemed to be continuing offenses from the date that 109.4the first act or failure to act occurred. 109.5Sec. 27. Minnesota Statutes 2024, section 256B.12, is amended to read: 109.6 256B.12 LEGAL REPRESENTATION. 109.7 The attorney general or the appropriate county attorney appearing at the direction of the 109.8attorney general shall be the attorney for the state agency, and the county attorney of the 109.9appropriate county shall be the attorney for the local agency in all matters pertaining hereto. 109.10To prosecute under this chapter or sections 609.466 and, 609.52, subdivision 2, and 609.542 109.11or to recover payments wrongfully made under this chapter, the attorney general or the 109.12appropriate county attorney, acting independently or at the direction of the attorney general 109.13may institute a criminal or civil action. 109.14Sec. 28. Minnesota Statutes 2024, section 480.40, subdivision 1, is amended to read: 109.15 Subdivision 1.Definitions.(a) For purposes of this section and section 480.45, the 109.16following terms have the meanings given. 109.17 (b) "Judicial official" means: 109.18 (1) every Minnesota district court judge, senior judge, retired judge, and every judge of 109.19the Minnesota Court of Appeals and every active, senior, recalled, or retired federal judge 109.20who resides in Minnesota; 109.21 (2) a justice of the Minnesota Supreme Court; 109.22 (3) employees of the Minnesota judicial branch; 109.23 (4) judicial referees and magistrate judges; and 109.24 (5) current and retired judges and current employees of the Office of Administrative 109.25Hearings, Department of Human Services Appeals Division, Workers' Compensation Court 109.26of Appeals, and Tax Court. 109.27 (c) "Personal information" does not include publicly available information. Personal 109.28information means: 109.29 (1) a residential address of a judicial official; 109.30 (2) a residential address of the spouse, domestic partner, or children of a judicial official; 109Article 5 Sec. 28. REVISOR EB/CH 25-0031102/20/25 110.1 (3) a nonjudicial branch issued telephone number or email address of a judicial official; 110.2 (4) the name of any child of a judicial official; and 110.3 (5) the name of any child care facility or school that is attended by a child of a judicial 110.4official if combined with an assertion that the named facility or school is attended by the 110.5child of a judicial official. 110.6 (d) "Publicly available information" means information that is lawfully made available 110.7through federal, state, or local government records or information that a business has a 110.8reasonable basis to believe is lawfully made available to the general public through widely 110.9distributed media, by a judicial official, or by a person to whom the judicial official has 110.10disclosed the information, unless the judicial official has restricted the information to a 110.11specific audience. 110.12 (e) "Law enforcement support organizations" do not include charitable organizations. 110.13 EFFECTIVE DATE.This section is effective the day following final enactment. 110.14Sec. 29. [609.542] HUMAN SERVICES PROGRAMS CRIMES. 110.15 Subdivision 1.Definition.For purposes of this section, "federal health care program" 110.16has the meaning given in United States Code, title 42, section 1320a-7b(f). 110.17 Subd. 2.Prohibited payments made relating to human services programs.A person 110.18is guilty of a crime and may be sentenced as provided in subdivision 5 if the person 110.19intentionally offers or pays any remuneration, including any kickback, bribe, or rebate, 110.20directly or indirectly, overtly or covertly, in cash or in kind, to another person: 110.21 (1) to induce that person to apply for, receive, or induce another person to apply for or 110.22receive an item or service for which payment may be made in whole or in part under a 110.23federal health care program, state behavioral health program under section 254B.04, or 110.24family program under chapter 142E; or 110.25 (2) in return for purchasing, leasing, ordering, or arranging for or inducing the purchasing, 110.26leasing, or ordering of any good, facility, service, or item for which payment may be made 110.27in whole or in part, or which is administered in whole or in part under a federal health care 110.28program, state behavioral health program under section 254B.04, or family program under 110.29chapter 142E. 110.30 Subd. 3.Receipt of prohibited payments relating to human services programs.A 110.31person is guilty of a crime and may be sentenced as provided in subdivision 5 if the person 110Article 5 Sec. 29. REVISOR EB/CH 25-0031102/20/25 111.1intentionally solicits or receives any remuneration, including any kickback, bribe, or rebate, 111.2directly or indirectly, overtly or covertly, in cash or in kind: 111.3 (1) in return for applying for or receiving a human services benefit, service, or grant for 111.4which payment may be made in whole or in part under a federal health care program, state 111.5behavioral health program under section 254B.04, or family program under chapter 142E; 111.6or 111.7 (2) in return for purchasing, leasing, ordering, or arranging for or inducing the purchasing, 111.8leasing, or ordering of any good, facility, service, or item for which payment may be made 111.9in whole or in part under a federal health care program, state behavioral health program 111.10under section 254B.04, or family program under chapter 142E. 111.11 Subd. 4.Exemptions.(a) This section does not apply to remuneration exempted under 111.12the Anti-Kickback Statute, United States Code, title 42, section 1320a-7b(b)(3), or payment 111.13made under a federal health care program which is exempt from liability by United States 111.14Code, title 42, section 1001.952. 111.15 (b) This section does not apply to: 111.16 (1) any amount paid by an employer to a bona fide employee for providing covered 111.17items or services under chapter 142E while acting in the course and scope of employment; 111.18or 111.19 (2) child care provider discounts, scholarships, or other financial assistance to families 111.20allowed under section 142E.17, subdivision 7. 111.21 Subd. 5.Sentence.(a) A person convicted under subdivision 2 or 3 may be sentenced 111.22pursuant to section 609.52, subdivision 3. 111.23 (b) For purposes of sentencing a violation of subdivision 2, "value" means the fair market 111.24value of the good, facility, service, or item that was obtained as a direct or indirect result 111.25of the prohibited payment. 111.26 (c) For purposes of sentencing a violation of subdivision 3, "value" means the amount 111.27of the prohibited payment solicited or received. 111.28 (d) As a matter of law, a claim for any good, facility, service, or item rendered or claimed 111.29to have been rendered in violation of this section is noncompensable and unenforceable at 111.30the time the claim is made. 111.31 Subd. 6.Aggregation.In a prosecution under this section, the value of the money, 111.32property, or benefit received or solicited by the defendant within a six-month period may 111Article 5 Sec. 29. REVISOR EB/CH 25-0031102/20/25 112.1be aggregated and the defendant charged accordingly in applying the provisions of 112.2subdivision 5. 112.3 Subd. 7.False claims.In addition to the penalties provided for in this section, a claim, 112.4as defined in section 15C.01, subdivision 2, that includes items or services resulting from 112.5a violation of this section constitutes a false or fraudulent claim for purposes of section 112.615C.02. 112.7 EFFECTIVE DATE.This section is effective August 1, 2025, and applies to crimes 112.8committed on or after that date. 112.9Sec. 30. MODIFICATION OF DEFINITIONS. 112.10 For the purposes of implementing the provider licensing and reporting hub, the 112.11commissioner of human services may modify definitions in Minnesota Statutes, chapters 112.12142B, 245A, 245D, 245F, 245G, and 245I, and Minnesota Rules, chapters 2960, 9502, 112.139520, 9530, 9543, 9555, and 9570. Definitions changed pursuant to this section do not affect 112.14the rights, responsibilities, or duties of the commissioner; the Department of Human Services; 112.15programs administered, licensed, certified, or funded by the commissioner; or the programs' 112.16employees or clients. This section expires August 31, 2028. 112.17Sec. 31. REPEALER. 112.18 Minnesota Statutes 2024, section 245A.11, subdivision 8, is repealed. 112.19 EFFECTIVE DATE.This section is effective August 1, 2025. 112.20 ARTICLE 6 112.21 CHILDREN AND FAMILIES OFFICE OF THE INSPECTOR GENERAL 112.22Section 1. Minnesota Statutes 2024, section 142B.10, subdivision 14, is amended to read: 112.23 Subd. 14.Grant of license; license extension.(a) If the commissioner determines that 112.24the program complies with all applicable rules and laws, the commissioner shall issue a 112.25license consistent with this section or, if applicable, a temporary change of ownership license 112.26under section 142B.11. At minimum, the license shall state: 112.27 (1) the name of the license holder; 112.28 (2) the address of the program; 112.29 (3) the effective date and expiration date of the license; 112.30 (4) the type of license; 112Article 6 Section 1. REVISOR EB/CH 25-0031102/20/25 113.1 (5) the maximum number and ages of persons that may receive services from the program; 113.2and 113.3 (6) any special conditions of licensure. 113.4 (b) The commissioner may issue a license for a period not to exceed two years if: 113.5 (1) the commissioner is unable to conduct the observation required by subdivision 11, 113.6paragraph (a), clause (3), because the program is not yet operational; 113.7 (2) certain records and documents are not available because persons are not yet receiving 113.8services from the program; and 113.9 (3) the applicant complies with applicable laws and rules in all other respects. 113.10 (c) A decision by the commissioner to issue a license does not guarantee that any person 113.11or persons will be placed or cared for in the licensed program. 113.12 (d) Except as provided in paragraphs (i) and (j), the commissioner shall not issue a 113.13license if the applicant, license holder, or an affiliated controlling individual has: 113.14 (1) been disqualified and the disqualification was not set aside and no variance has been 113.15granted; 113.16 (2) been denied a license under this chapter or chapter 245A within the past two years; 113.17 (3) had a license issued under this chapter or chapter 245A revoked within the past five 113.18years; or 113.19 (4) failed to submit the information required of an applicant under subdivision 1, 113.20paragraph (f), (g), or (h), after being requested by the commissioner. 113.21 When a license issued under this chapter or chapter 245A is revoked, the license holder 113.22and each affiliated controlling individual with a revoked license may not hold any license 113.23under chapter 142B for five years following the revocation, and other licenses held by the 113.24applicant or license holder or licenses affiliated with each controlling individual shall also 113.25be revoked. 113.26 (e) Notwithstanding paragraph (d), the commissioner may elect not to revoke a license 113.27affiliated with a license holder or controlling individual that had a license revoked within 113.28the past five years if the commissioner determines that (1) the license holder or controlling 113.29individual is operating the program in substantial compliance with applicable laws and rules 113.30and (2) the program's continued operation is in the best interests of the community being 113.31served. 113Article 6 Section 1. REVISOR EB/CH 25-0031102/20/25 114.1 (f) Notwithstanding paragraph (d), the commissioner may issue a new license in response 114.2to an application that is affiliated with an applicant, license holder, or controlling individual 114.3that had an application denied within the past two years or a license revoked within the past 114.4five years if the commissioner determines that (1) the applicant or controlling individual 114.5has operated one or more programs in substantial compliance with applicable laws and rules 114.6and (2) the program's operation would be in the best interests of the community to be served. 114.7 (g) In determining whether a program's operation would be in the best interests of the 114.8community to be served, the commissioner shall consider factors such as the number of 114.9persons served, the availability of alternative services available in the surrounding 114.10community, the management structure of the program, whether the program provides 114.11culturally specific services, and other relevant factors. 114.12 (h) The commissioner shall not issue or reissue a license under this chapter if an individual 114.13living in the household where the services will be provided as specified under section 114.14245C.03, subdivision 1, has been disqualified and the disqualification has not been set aside 114.15and no variance has been granted. 114.16 (i) Pursuant to section 142B.18, subdivision 1, paragraph (b), when a license issued 114.17under this chapter has been suspended or revoked and the suspension or revocation is under 114.18appeal, the program may continue to operate pending a final order from the commissioner. 114.19If the license under suspension or revocation will expire before a final order is issued, a 114.20temporary provisional license may be issued provided any applicable license fee is paid 114.21before the temporary provisional license is issued. 114.22 (j) Notwithstanding paragraph (i), when a revocation is based on the disqualification of 114.23a controlling individual or license holder, and the controlling individual or license holder 114.24is ordered under section 245C.17 to be immediately removed from direct contact with 114.25persons receiving services or is ordered to be under continuous, direct supervision when 114.26providing direct contact services, the program may continue to operate only if the program 114.27complies with the order and submits documentation demonstrating compliance with the 114.28order. If the disqualified individual fails to submit a timely request for reconsideration, or 114.29if the disqualification is not set aside and no variance is granted, the order to immediately 114.30remove the individual from direct contact or to be under continuous, direct supervision 114.31remains in effect pending the outcome of a hearing and final order from the commissioner. 114.32 (k) For purposes of reimbursement for meals only, under the Child and Adult Care Food 114.33Program, Code of Federal Regulations, title 7, subtitle B, chapter II, subchapter A, part 226, 114.34relocation within the same county by a licensed family day care provider, shall be considered 114Article 6 Section 1. REVISOR EB/CH 25-0031102/20/25 115.1an extension of the license for a period of no more than 30 calendar days or until the new 115.2license is issued, whichever occurs first, provided the county agency has determined the 115.3family day care provider meets licensure requirements at the new location. 115.4 (l) Unless otherwise specified by statute, all licenses issued under this chapter expire at 115.512:01 a.m. on the day after the expiration date stated on the license. A license holder must 115.6apply for and be granted comply with the requirements in section 142B.12 and be reissued 115.7a new license to operate the program or the program must not be operated after the expiration 115.8date. Child foster care license holders must apply for and be granted a new license to operate 115.9the program or the program must not be operated after the expiration date. Upon 115.10implementation of the provider licensing and reporting hub, licenses may be issued each 115.11calendar year. 115.12 (m) The commissioner shall not issue or reissue a license under this chapter if it has 115.13been determined that a tribal licensing authority has established jurisdiction to license the 115.14program or service. 115.15 (n) The commissioner of children, youth, and families shall coordinate and share data 115.16with the commissioner of human services to enforce this section. 115.17Sec. 2. Minnesota Statutes 2024, section 142B.30, subdivision 1, is amended to read: 115.18 Subdivision 1.Delegation of authority to agencies.(a) County agencies and private 115.19agencies that have been designated or licensed by the commissioner to perform licensing 115.20functions and activities under section 142B.10; to recommend denial of applicants under 115.21section 142B.15; to issue correction orders, to issue variances, and to recommend a 115.22conditional license under section 142B.16; or to recommend suspending or revoking a 115.23license or issuing a fine under section 142B.18, shall comply with rules and directives of 115.24the commissioner governing those functions and with this section. The following variances 115.25are excluded from the delegation of variance authority and may be issued only by the 115.26commissioner: 115.27 (1) dual licensure of family child care and family child foster care; 115.28 (2) child foster care maximum age requirement; 115.29 (3) variances regarding disqualified individuals; 115.30 (4) variances to requirements relating to chemical use problems of a license holder or a 115.31household member of a license holder; and 115Article 6 Sec. 2. REVISOR EB/CH 25-0031102/20/25 116.1 (5) variances to section 142B.74 for a time-limited period. If the commissioner grants 116.2a variance under this clause, the license holder must provide notice of the variance to all 116.3parents and guardians of the children in care. 116.4 (b) The commissioners of human services and children, youth, and families must both 116.5approve a variance for dual licensure of family child foster care and family adult foster care 116.6or family adult foster care and family child care. Variances under this paragraph are excluded 116.7from the delegation of variance authority and may be issued only by both commissioners. 116.8 (c) Except as provided in section 142B.41, subdivision 4, paragraph (e), a county agency 116.9must not grant a license holder a variance to exceed the maximum allowable family child 116.10care license capacity of 14 children. 116.11 (d) A county agency that has been designated by the commissioner to issue family child 116.12care variances must: 116.13 (1) publish the county agency's policies and criteria for issuing variances on the county's 116.14public website and update the policies as necessary; and 116.15 (2) annually distribute the county agency's policies and criteria for issuing variances to 116.16all family child care license holders in the county. 116.17 (e) Before the implementation of NETStudy 2.0, county agencies must report information 116.18about disqualification reconsiderations under sections 245C.25 and 245C.27, subdivision 116.192, paragraphs (a) and (b), and variances granted under paragraph (a), clause (5), to the 116.20commissioner at least monthly in a format prescribed by the commissioner. 116.21 (f) For family child care programs, the commissioner shall require a county agency to 116.22conduct one unannounced licensing review at least annually. 116.23 (g) A child foster care license issued under this section may be issued for up to two years 116.24until implementation of the provider licensing and reporting hub. Upon implementation of 116.25the provider licensing and reporting hub, licenses may be issued each calendar year. 116.26 (h) A county agency shall report to the commissioner, in a manner prescribed by the 116.27commissioner, the following information for a licensed family child care program: 116.28 (1) the results of each licensing review completed, including the date of the review, and 116.29any licensing correction order issued; 116.30 (2) any death, serious injury, or determination of substantiated maltreatment; and 116Article 6 Sec. 2. REVISOR EB/CH 25-0031102/20/25 117.1 (3) any fires that require the service of a fire department within 48 hours of the fire. The 117.2information under this clause must also be reported to the state fire marshal within two 117.3business days of receiving notice from a licensed family child care provider. 117.4Sec. 3. Minnesota Statutes 2024, section 142B.51, subdivision 2, is amended to read: 117.5 Subd. 2.Child passenger restraint systems; training requirement.(a) Programs 117.6licensed by the Department of Human Services under chapter 245A or the Department of 117.7Children, Youth, and Families under this chapter and Minnesota Rules, chapter 2960, that 117.8serve a child or children under eight nine years of age must document training that fulfills 117.9the requirements in this subdivision. 117.10 (b) Before a license holder, staff person, or caregiver transports a child or children under 117.11age eight nine in a motor vehicle, the person transporting the child must satisfactorily 117.12complete training on the proper use and installation of child restraint systems in motor 117.13vehicles. Training completed under this section may be used to meet initial or ongoing 117.14training under Minnesota Rules, part 2960.3070, subparts 1 and 2. 117.15 (c) Training required under this section must be completed at orientation or initial training 117.16and repeated at least once every five years. At a minimum, the training must address the 117.17proper use of child restraint systems based on the child's size, weight, and age, and the 117.18proper installation of a car seat or booster seat in the motor vehicle used by the license 117.19holder to transport the child or children. 117.20 (d) Training under paragraph (c) must be provided by individuals who are certified and 117.21approved by the Office of Traffic Safety within the Department of Public Safety. License 117.22holders may obtain a list of certified and approved trainers through the Department of Public 117.23Safety website or by contacting the agency. 117.24 (e) Notwithstanding paragraph (a), for an emergency relative placement under section 117.25142B.06, the commissioner may grant a variance to the training required by this subdivision 117.26for a relative who completes a child seat safety check up. The child seat safety check up 117.27trainer must be approved by the Department of Public Safety, Office of Traffic Safety, and 117.28must provide one-on-one instruction on placing a child of a specific age in the exact child 117.29passenger restraint in the motor vehicle in which the child will be transported. Once granted 117.30a variance, and if all other licensing requirements are met, the relative applicant may receive 117.31a license and may transport a relative foster child younger than eight years of age. A child 117.32seat safety check up must be completed each time a child requires a different size car seat 117.33according to car seat and vehicle manufacturer guidelines. A relative license holder must 117.34complete training that meets the other requirements of this subdivision prior to placement 117Article 6 Sec. 3. REVISOR EB/CH 25-0031102/20/25 118.1of another foster child younger than eight years of age in the home or prior to the renewal 118.2of the child foster care license. 118.3 EFFECTIVE DATE.This section is effective January 1, 2026. 118.4Sec. 4. Minnesota Statutes 2024, section 142B.65, subdivision 8, is amended to read: 118.5 Subd. 8.Child passenger restraint systems; training requirement.(a) Before a license 118.6holder transports a child or children under age eight nine in a motor vehicle, the person 118.7placing the child or children in a passenger restraint must satisfactorily complete training 118.8on the proper use and installation of child restraint systems in motor vehicles. 118.9 (b) Training required under this subdivision must be repeated at least once every five 118.10years. At a minimum, the training must address the proper use of child restraint systems 118.11based on the child's size, weight, and age, and the proper installation of a car seat or booster 118.12seat in the motor vehicle used by the license holder to transport the child or children. 118.13 (c) Training required under this subdivision must be provided by individuals who are 118.14certified and approved by the Department of Public Safety, Office of Traffic Safety. License 118.15holders may obtain a list of certified and approved trainers through the Department of Public 118.16Safety website or by contacting the agency. 118.17 (d) Child care providers that only transport school-age children as defined in section 118.18142B.01, subdivision 25, in child care buses as defined in section 169.448, subdivision 1, 118.19paragraph (e), are exempt from this subdivision. 118.20 (e) Training completed under this subdivision may be used to meet in-service training 118.21requirements under subdivision 9. Training completed within the previous five years is 118.22transferable upon a staff person's change in employment to another child care center. 118.23 EFFECTIVE DATE.This section is effective January 1, 2026. 118.24Sec. 5. Minnesota Statutes 2024, section 142B.66, subdivision 3, is amended to read: 118.25 Subd. 3.Emergency preparedness.(a) A licensed child care center must have a written 118.26emergency plan for emergencies that require evacuation, sheltering, or other protection of 118.27a child, such as fire, natural disaster, intruder, or other threatening situation that may pose 118.28a health or safety hazard to a child. The plan must be written on a form developed by the 118.29commissioner and must include: 118.30 (1) procedures for an evacuation, relocation, shelter-in-place, or lockdown; 118.31 (2) a designated relocation site and evacuation route; 118Article 6 Sec. 5. REVISOR EB/CH 25-0031102/20/25 119.1 (3) procedures for notifying a child's parent or legal guardian of the evacuation, relocation, 119.2shelter-in-place, or lockdown, including procedures for reunification with families; 119.3 (4) accommodations for a child with a disability or a chronic medical condition; 119.4 (5) procedures for storing a child's medically necessary medicine that facilitates easy 119.5removal during an evacuation or relocation; 119.6 (6) procedures for continuing operations in the period during and after a crisis; 119.7 (7) procedures for communicating with local emergency management officials, law 119.8enforcement officials, or other appropriate state or local authorities; and 119.9 (8) accommodations for infants and toddlers. 119.10 (b) The license holder must train staff persons on the emergency plan at orientation, 119.11when changes are made to the plan, and at least once each calendar year. Training must be 119.12documented in each staff person's personnel file. 119.13 (c) The license holder must conduct drills according to the requirements in Minnesota 119.14Rules, part 9503.0110, subpart 3. The date and time of the drills must be documented. 119.15 (d) The license holder must review and update the emergency plan annually each calendar 119.16year. Documentation of the annual yearly emergency plan review shall be maintained in 119.17the program's administrative records. 119.18 (e) The license holder must include the emergency plan in the program's policies and 119.19procedures as specified under section 142B.10, subdivision 21. The license holder must 119.20provide a physical or electronic copy of the emergency plan to the child's parent or legal 119.21guardian upon enrollment. 119.22 (f) The relocation site and evacuation route must be posted in a visible place as part of 119.23the written procedures for emergencies and accidents in Minnesota Rules, part 9503.0140, 119.24subpart 21. 119.25Sec. 6. Minnesota Statutes 2024, section 142B.70, subdivision 7, is amended to read: 119.26 Subd. 7.Child passenger restraint systems; training requirement.(a) A license 119.27holder must comply with all seat belt and child passenger restraint system requirements 119.28under section 169.685. 119.29 (b) Family and group family child care programs licensed by the Department of Children, 119.30Youth, and Families that serve a child or children under eight nine years of age must 119.31document training that fulfills the requirements in this subdivision. 119Article 6 Sec. 6. REVISOR EB/CH 25-0031102/20/25 120.1 (1) Before a license holder, second adult caregiver, substitute, or helper transports a 120.2child or children under age eight nine in a motor vehicle, the person placing the child or 120.3children in a passenger restraint must satisfactorily complete training on the proper use and 120.4installation of child restraint systems in motor vehicles. Training completed under this 120.5subdivision may be used to meet initial training under subdivision 1 or ongoing training 120.6under subdivision 8. 120.7 (2) Training required under this subdivision must be at least one hour in length, completed 120.8at initial training, and repeated at least once every five years. At a minimum, the training 120.9must address the proper use of child restraint systems based on the child's size, weight, and 120.10age, and the proper installation of a car seat or booster seat in the motor vehicle used by the 120.11license holder to transport the child or children. 120.12 (3) Training under this subdivision must be provided by individuals who are certified 120.13and approved by the Department of Public Safety, Office of Traffic Safety. License holders 120.14may obtain a list of certified and approved trainers through the Department of Public Safety 120.15website or by contacting the agency. 120.16 (c) Child care providers that only transport school-age children as defined in section 120.17142B.01, subdivision 13, paragraph (f), in child care buses as defined in section 169.448, 120.18subdivision 1, paragraph (e), are exempt from this subdivision. 120.19 EFFECTIVE DATE.This section is effective January 1, 2026. 120.20Sec. 7. Minnesota Statutes 2024, section 142C.06, is amended by adding a subdivision to 120.21read: 120.22 Subd. 4.Requirement to post conditional certification.Upon receipt of any order of 120.23conditional certification issued by the commissioner under this section, and notwithstanding 120.24a pending request for reconsideration of the order of conditional certification by the 120.25certification holder, the certification holder shall post the order of conditional certification 120.26in a place that is conspicuous to the people receiving services and all visitors to the facility 120.27for the duration of the conditional certification. When the order of conditional certification 120.28is accompanied by a maltreatment investigation memorandum prepared under chapter 260E, 120.29the investigation memoranda must be posted with the order of conditional certification. 120.30Sec. 8. Minnesota Statutes 2024, section 142C.11, subdivision 8, is amended to read: 120.31 Subd. 8.Required policies.A certified center must have written policies for health and 120.32safety items in subdivisions 1 to 6, 9, and 10. 120Article 6 Sec. 8. REVISOR EB/CH 25-0031102/20/25 121.1Sec. 9. Minnesota Statutes 2024, section 142C.12, subdivision 1, is amended to read: 121.2 Subdivision 1.First aid and cardiopulmonary resuscitation.(a) Before having 121.3unsupervised direct contact with a child, but within 90 days after the first date of direct 121.4contact with a child, the director, all staff persons, substitutes, and unsupervised volunteers 121.5must successfully complete pediatric first aid and pediatric cardiopulmonary resuscitation 121.6(CPR) training, unless the training has been completed within the previous two calendar 121.7years. Staff must complete the pediatric first aid and pediatric CPR training at least every 121.8other calendar year and the center must document the training in the staff person's personnel 121.9record. 121.10 (b) Training completed under this subdivision may be used to meet the in-service training 121.11requirements under subdivision 6. 121.12 (c) Training must include CPR and techniques for providing immediate care to people 121.13experiencing life-threatening cardiac emergencies, choking, bleeding, fractures and sprains, 121.14head injuries, poisoning, and burns. Training developed by the American Heart Association, 121.15the American Red Cross, or another organization that uses nationally recognized, 121.16evidence-based guidelines meets these requirements. 121.17 EFFECTIVE DATE.This section is effective January 1, 2026. 121.18Sec. 10. Minnesota Statutes 2024, section 245A.18, subdivision 1, is amended to read: 121.19 Subdivision 1.Seat belt and child passenger restraint system use.All license holders 121.20that transport children must comply with the requirements of section 142B.51, subdivision 121.211, and license holders that transport a child or children under eight nine years of age must 121.22document training that fulfills the requirements in section 142B.51, subdivision 2. 121.23 EFFECTIVE DATE.This section is effective January 1, 2026. 121Article 6 Sec. 10. REVISOR EB/CH 25-0031102/20/25 Page.Ln 2.2AGING AND DISABILITY SERVICES...............................................ARTICLE 1 Page.Ln 9.12BEHAVIORAL HEALTH......................................................................ARTICLE 2 Page.Ln 15.1DIRECT CARE AND TREATMENT....................................................ARTICLE 3 Page.Ln 84.17HEALTH CARE ADMINISTRATION..................................................ARTICLE 4 Page.Ln 86.1HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL......ARTICLE 5 Page.Ln 112.20 CHILDREN AND FAMILIES OFFICE OF THE INSPECTOR GENERAL..............................................................................................ARTICLE 6 1 APPENDIX Article locations for 25-00311 245.4862 MENTAL HEALTH URGENT CARE AND PSYCHIATRIC CONSULTATION. Subdivision 1.Mental health urgent care and psychiatric consultation.The commissioner shall include mental health urgent care and psychiatric consultation services as part of, but not limited to, the redesign of six community-based behavioral health hospitals and the Anoka-Metro Regional Treatment Center. These services must not duplicate existing services in the region, and must be implemented as specified in subdivisions 3 to 7. Subd. 2.Definitions.For purposes of this section: (a) Mental health urgent care includes: (1) initial mental health screening; (2) mobile crisis assessment and intervention; (3) rapid access to psychiatry, including psychiatric evaluation, initial treatment, and short-term psychiatry; (4) nonhospital crisis stabilization residential beds; and (5) health care navigator services that include, but are not limited to, assisting uninsured individuals in obtaining health care coverage. (b) Psychiatric consultation services includes psychiatric consultation to primary care practitioners. Subd. 3.Rapid access to psychiatry.The commissioner shall develop rapid access to psychiatric services based on the following criteria: (1) the individuals who receive the psychiatric services must be at risk of hospitalization and otherwise unable to receive timely services; (2) where clinically appropriate, the service may be provided via interactive video where the service is provided in conjunction with an emergency room, a local crisis service, or a primary care or behavioral care practitioner; and (3) the commissioner may integrate rapid access to psychiatry with the psychiatric consultation services in subdivision 4. Subd. 4.Collaborative psychiatric consultation.(a) The commissioner shall establish a collaborative psychiatric consultation service based on the following criteria: (1) the service may be available via telephone, interactive video, email, or other means of communication to emergency rooms, local crisis services, mental health professionals, and primary care practitioners, including pediatricians; (2) the service shall be provided by a multidisciplinary team including, at a minimum, a child and adolescent psychiatrist, an adult psychiatrist, and a licensed clinical social worker; (3) the service shall include a triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to other mental health professionals, as well as provision of rapid psychiatric access when other appropriate services are not available; (4) the first priority for this service is to provide the consultations required under section 256B.0625, subdivision 13j; and (5) the service must encourage use of cognitive and behavioral therapies and other evidence-based treatments in addition to or in place of medication, where appropriate. (b) The commissioner shall appoint an interdisciplinary work group to establish appropriate medication and psychotherapy protocols to guide the consultative process, including consultation with the Drug Utilization Review Board, as provided in section 256B.0625, subdivision 13j. Subd. 5.Phased availability.(a) The commissioner may phase in the availability of mental health urgent care services based on the limits of appropriations and the commissioner's determination of level of need and cost-effectiveness. (b) For subdivisions 3 and 4, the first phase must focus on adults in Hennepin and Ramsey Counties and children statewide who are affected by section 256B.0625, subdivision 13j, and must include tracking of costs for the services provided and associated impacts on utilization of inpatient, emergency room, and other services. 1R APPENDIX Repealed Minnesota Statutes: 25-00311 Subd. 6.Limited appropriations.The commissioner shall maximize use of available health care coverage for the services provided under this section. The commissioner's responsibility to provide these services for individuals without health care coverage must not exceed the appropriations for this section. Subd. 7.Flexible implementation.To implement this section, the commissioner shall select the structure and funding method that is the most cost-effective for each county or group of counties. This may include grants, contracts, service agreements with the Direct Care and Treatment executive board, and public-private partnerships. Where feasible, the commissioner shall make any grants under this section a part of the integrated adult mental health initiative grants under section 245.4661. 245A.11 SPECIAL CONDITIONS FOR RESIDENTIAL PROGRAMS. Subd. 8.Community residential setting license.(a) The commissioner shall establish provider standards for residential support services that integrate service standards and the residential setting under one license. The commissioner shall propose statutory language and an implementation plan for licensing requirements for residential support services to the legislature by January 15, 2012, as a component of the quality outcome standards recommendations required by Laws 2010, chapter 352, article 1, section 24. (b) Providers licensed under chapter 245B, and providing, contracting, or arranging for services in settings licensed as adult foster care under Minnesota Rules, parts 9555.5105 to 9555.6265; and meeting the provisions of section 245D.02, subdivision 4a, must be required to obtain a community residential setting license. 246.015 CONSULTATIVE SERVICES; AFTERCARE OF PATIENTS. Subd. 3.Authorization.The Direct Care and Treatment executive board may authorize state-operated services to provide consultative services for courts, state welfare agencies, and supervise the placement and aftercare of patients, on a fee-for-service basis as defined in section 246.50, provisionally or otherwise discharged from a state-operated services facility. State-operated services may also promote and conduct programs of education relating to mental health. The executive board shall administer, expend, and distribute federal funds which may be made available to the state and other funds not appropriated by the legislature, which may be made available to the state for mental health purposes. 246.50 CARE OF CLIENTS AT STATE FACILITIES; DEFINITIONS. Subd. 2.Commissioner."Commissioner" means the commissioner of human services of the state of Minnesota. 246B.04 RULES; EVALUATION. Subd. 1a.Program evaluation.The executive board shall establish an evaluation process to measure outcomes and behavioral changes as a result of treatment compared with incarceration without treatment to determine the value, if any, of treatment in protecting the public. 2R APPENDIX Repealed Minnesota Statutes: 25-00311 Laws 2024, chapter 79, article 1, section 15 Sec. 15. Minnesota Statutes 2022, section 246.41, subdivision 1, is amended to read: Subdivision 1.Acceptance.The commissioner of human services executive board is authorized to accept, for and in on behalf of the state, contributions of money for the use and benefit of persons with developmental disabilities. Laws 2024, chapter 79, article 1, section 16 Sec. 16. Minnesota Statutes 2022, section 246.41, subdivision 2, is amended to read: Subd. 2.Special welfare fund.The executive board shall deposit any money so received by the commissioner shall be deposited executive board under paragraph (a) with the commissioner of management and budget in a special welfare fund, which fund is to be used by the commissioner of human services executive board for the benefit of persons with developmental disabilities within the state, including those within state hospitals. And, without excluding other possible uses, Allowable uses of the money by the executive board include but are not limited to research relating to persons with developmental disabilities shall be considered an appropriate use of such funds; but such funds shall not be used for must not include creation of any structures or installations which by their nature would require state expenditures for their ongoing operation or maintenance without specific legislative enactment therefor for such a project. Laws 2024, chapter 79, article 1, section 17 Sec. 17. Minnesota Statutes 2022, section 246.41, subdivision 3, is amended to read: Subd. 3.Appropriation.There is hereby appropriated from The amount in the special welfare fund in the state treasury to such persons as are entitled thereto to carry out the provisions stated in is annually appropriated to the executive board for the purposes of this section. 3R APPENDIX Repealed Minnesota Session Laws: 25-00311