| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to mental health; modifying the definition of mental illness; making changes |
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| 3 | 3 | | 1.3 to medical assistance transportation reimbursement rates; establishing a grant |
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| 4 | 4 | | 1.4 program for children at risk of bipolar disorder; requiring a report; appropriating |
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| 5 | 5 | | 1.5 money for the children's first episode of psychosis program; amending Minnesota |
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| 6 | 6 | | 1.6 Statutes 2024, sections 62A.673, subdivision 2; 245.462, subdivision 20; |
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| 7 | 7 | | 1.7 256B.0625, subdivision 17. |
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| 8 | 8 | | 1.8BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 9 | 9 | | 1.9 Section 1. Minnesota Statutes 2024, section 62A.673, subdivision 2, is amended to read: |
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| 10 | 10 | | 1.10 Subd. 2.Definitions.(a) For purposes of this section, the terms defined in this subdivision |
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| 11 | 11 | | 1.11have the meanings given. |
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| 12 | 12 | | 1.12 (b) "Distant site" means a site at which a health care provider is located while providing |
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| 13 | 13 | | 1.13health care services or consultations by means of telehealth. |
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| 14 | 14 | | 1.14 (c) "Health care provider" means a health care professional who is licensed or registered |
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| 15 | 15 | | 1.15by the state to perform health care services within the provider's scope of practice and in |
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| 16 | 16 | | 1.16accordance with state law. A health care provider includes a mental health professional |
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| 17 | 17 | | 1.17under section 245I.04, subdivision 2; a mental health practitioner under section 245I.04, |
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| 18 | 18 | | 1.18subdivision 4; a clinical trainee under section 245I.04, subdivision 6; a treatment coordinator |
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| 19 | 19 | | 1.19under section 245G.11, subdivision 7; an alcohol and drug counselor under section 245G.11, |
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| 20 | 20 | | 1.20subdivision 5; and a recovery peer under section 245G.11, subdivision 8. |
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| 21 | 21 | | 1.21 (d) "Health carrier" has the meaning given in section 62A.011, subdivision 2. |
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| 22 | 22 | | 1.22 (e) "Health plan" has the meaning given in section 62A.011, subdivision 3. Health plan |
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| 23 | 23 | | 1.23includes dental plans as defined in section 62Q.76, subdivision 3, but does not include dental |
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| 24 | 24 | | 1Section 1. |
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| 25 | 25 | | REVISOR DTT/MI 25-0204601/16/25 |
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| 26 | 26 | | State of Minnesota |
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| 27 | 27 | | This Document can be made available |
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| 28 | 28 | | in alternative formats upon request |
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| 29 | 29 | | HOUSE OF REPRESENTATIVES |
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| 30 | 30 | | H. F. No. 2143 |
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| 31 | 31 | | NINETY-FOURTH SESSION |
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| 32 | 32 | | Authored by Momanyi-Hiltsley, Mahamoud, Hollins, Noor, Fischer and others03/10/2025 |
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| 33 | 33 | | The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1plans that provide indemnity-based benefits, regardless of expenses incurred, and are designed |
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| 34 | 34 | | 2.2to pay benefits directly to the policy holder. |
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| 35 | 35 | | 2.3 (f) "Originating site" means a site at which a patient is located at the time health care |
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| 36 | 36 | | 2.4services are provided to the patient by means of telehealth. For purposes of store-and-forward |
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| 37 | 37 | | 2.5technology, the originating site also means the location at which a health care provider |
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| 38 | 38 | | 2.6transfers or transmits information to the distant site. |
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| 39 | 39 | | 2.7 (g) "Store-and-forward technology" means the asynchronous electronic transfer or |
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| 40 | 40 | | 2.8transmission of a patient's medical information or data from an originating site to a distant |
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| 41 | 41 | | 2.9site for the purposes of diagnostic and therapeutic assistance in the care of a patient. |
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| 42 | 42 | | 2.10 (h) "Telehealth" means the delivery of health care services or consultations through the |
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| 43 | 43 | | 2.11use of real time two-way interactive audio and visual communications to provide or support |
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| 44 | 44 | | 2.12health care delivery and facilitate the assessment, diagnosis, consultation, treatment, |
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| 45 | 45 | | 2.13education, and care management of a patient's health care. Telehealth includes the application |
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| 46 | 46 | | 2.14of secure video conferencing, store-and-forward technology, and synchronous interactions |
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| 47 | 47 | | 2.15between a patient located at an originating site and a health care provider located at a distant |
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| 48 | 48 | | 2.16site. Until July 1, 2025, Telehealth also includes audio-only communication between a |
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| 49 | 49 | | 2.17health care provider and a patient in accordance with subdivision 6, paragraph (b). Telehealth |
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| 50 | 50 | | 2.18does not include communication between health care providers that consists solely of a |
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| 51 | 51 | | 2.19telephone conversation, email, or facsimile transmission. Telehealth does not include |
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| 52 | 52 | | 2.20communication between a health care provider and a patient that consists solely of an email |
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| 53 | 53 | | 2.21or facsimile transmission. Telehealth does not include telemonitoring services as defined |
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| 54 | 54 | | 2.22in paragraph (i). |
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| 55 | 55 | | 2.23 (i) "Telemonitoring services" means the remote monitoring of clinical data related to |
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| 56 | 56 | | 2.24the enrollee's vital signs or biometric data by a monitoring device or equipment that transmits |
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| 57 | 57 | | 2.25the data electronically to a health care provider for analysis. Telemonitoring is intended to |
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| 58 | 58 | | 2.26collect an enrollee's health-related data for the purpose of assisting a health care provider |
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| 59 | 59 | | 2.27in assessing and monitoring the enrollee's medical condition or status. |
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| 60 | 60 | | 2.28 Sec. 2. Minnesota Statutes 2024, section 245.462, subdivision 20, is amended to read: |
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| 61 | 61 | | 2.29 Subd. 20.Mental illness.(a) "Mental illness" means an organic disorder of the brain or |
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| 62 | 62 | | 2.30a clinically significant disorder of thought, mood, perception, orientation, memory, or |
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| 63 | 63 | | 2.31behavior that is detailed in a diagnostic codes list published by the commissioner, and that |
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| 64 | 64 | | 2.32seriously limits a person's capacity to function in primary aspects of daily living such as |
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| 65 | 65 | | 2.33personal relations, living arrangements, work, and recreation. |
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| 66 | 66 | | 2Sec. 2. |
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| 67 | 67 | | REVISOR DTT/MI 25-0204601/16/25 3.1 (b) An "adult with acute mental illness" means an adult who has a mental illness that is |
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| 68 | 68 | | 3.2serious enough to require prompt intervention. |
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| 69 | 69 | | 3.3 (c) For purposes of enrolling in case management and community support services, a |
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| 70 | 70 | | 3.4"person with serious and persistent mental illness" means an adult who has a mental illness |
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| 71 | 71 | | 3.5and meets at least one of the following criteria: |
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| 72 | 72 | | 3.6 (1) the adult has undergone two one or more episodes of inpatient, residential, or crisis |
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| 73 | 73 | | 3.7residential care for a mental illness within the preceding 24 12 months; |
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| 74 | 74 | | 3.8 (2) the adult has experienced a continuous psychiatric hospitalization or residential |
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| 75 | 75 | | 3.9treatment exceeding six months' duration within the preceding 12 months; |
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| 76 | 76 | | 3.10 (3) the adult has been treated by a crisis team two or more times within the preceding |
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| 77 | 77 | | 3.1124 months; |
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| 78 | 78 | | 3.12 (4) the adult: |
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| 79 | 79 | | 3.13 (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, schizoaffective |
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| 80 | 80 | | 3.14disorder, posttraumatic stress disorder, generalized anxiety disorder, panic disorder, eating |
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| 81 | 81 | | 3.15disorder, or borderline personality disorder; |
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| 82 | 82 | | 3.16 (ii) indicates a significant impairment in functioning; and |
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| 83 | 83 | | 3.17 (iii) has a written opinion from a mental health professional, in the last three years, |
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| 84 | 84 | | 3.18stating that the adult is reasonably likely to have future episodes requiring inpatient or |
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| 85 | 85 | | 3.19residential treatment, of a frequency described in clause (1) or (2), or the need for in-home |
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| 86 | 86 | | 3.20services to remain in one's home, unless ongoing case management or community support |
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| 87 | 87 | | 3.21services are provided; |
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| 88 | 88 | | 3.22 (5) the adult has, in the last three five years, been committed by a court as a person who |
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| 89 | 89 | | 3.23is mentally ill with a mental illness under chapter 253B, or the adult's commitment has been |
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| 90 | 90 | | 3.24stayed or continued; or |
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| 91 | 91 | | 3.25 (6) the adult (i) was eligible under clauses (1) to (5), but the specified time period has |
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| 92 | 92 | | 3.26expired or the adult was eligible as a child under section 245.4871, subdivision 6; and (ii) |
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| 93 | 93 | | 3.27has a written opinion from a mental health professional, in the last three years, stating that |
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| 94 | 94 | | 3.28the adult is reasonably likely to have future episodes requiring inpatient or residential |
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| 95 | 95 | | 3.29treatment, of a frequency described in clause (1) or (2), unless ongoing case management |
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| 96 | 96 | | 3.30or community support services are provided; or |
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| 97 | 97 | | 3.31 (7) (6) the adult was eligible as a child under section 245.4871, subdivision 6, and is |
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| 98 | 98 | | 3.32age 21 or younger. |
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| 99 | 99 | | 3Sec. 2. |
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| 100 | 100 | | REVISOR DTT/MI 25-0204601/16/25 4.1 (d) Adults may continue to receive case management or community support services if, |
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| 101 | 101 | | 4.2in the written opinion of a mental health professional, the person needs case management |
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| 102 | 102 | | 4.3or community support services to maintain the person's recovery. |
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| 103 | 103 | | 4.4 Sec. 3. Minnesota Statutes 2024, section 256B.0625, subdivision 17, is amended to read: |
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| 104 | 104 | | 4.5 Subd. 17.Transportation costs.(a) "Nonemergency medical transportation service" |
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| 105 | 105 | | 4.6means motor vehicle transportation provided by a public or private person that serves |
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| 106 | 106 | | 4.7Minnesota health care program beneficiaries who do not require emergency ambulance |
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| 107 | 107 | | 4.8service, as defined in section 144E.001, subdivision 3, to obtain covered medical services. |
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| 108 | 108 | | 4.9 (b) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means |
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| 109 | 109 | | 4.10a census-tract based classification system under which a geographical area is determined |
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| 110 | 110 | | 4.11to be urban, rural, or super rural. |
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| 111 | 111 | | 4.12 (c) Medical assistance covers medical transportation costs incurred solely for obtaining |
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| 112 | 112 | | 4.13emergency medical care or transportation costs incurred by eligible persons in obtaining |
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| 113 | 113 | | 4.14emergency or nonemergency medical care when paid directly to an ambulance company, |
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| 114 | 114 | | 4.15nonemergency medical transportation company, or other recognized providers of |
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| 115 | 115 | | 4.16transportation services. Medical transportation must be provided by: |
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| 116 | 116 | | 4.17 (1) nonemergency medical transportation providers who meet the requirements of this |
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| 117 | 117 | | 4.18subdivision; |
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| 118 | 118 | | 4.19 (2) ambulances, as defined in section 144E.001, subdivision 2; |
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| 119 | 119 | | 4.20 (3) taxicabs that meet the requirements of this subdivision; |
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| 120 | 120 | | 4.21 (4) public transportation, within the meaning of "public transportation" as defined in |
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| 121 | 121 | | 4.22section 174.22, subdivision 7; or |
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| 122 | 122 | | 4.23 (5) not-for-hire vehicles, including volunteer drivers, as defined in section 65B.472, |
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| 123 | 123 | | 4.24subdivision 1, paragraph (p). |
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| 124 | 124 | | 4.25 (d) Medical assistance covers nonemergency medical transportation provided by |
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| 125 | 125 | | 4.26nonemergency medical transportation providers enrolled in the Minnesota health care |
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| 126 | 126 | | 4.27programs. All nonemergency medical transportation providers must comply with the |
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| 127 | 127 | | 4.28operating standards for special transportation service as defined in sections 174.29 to 174.30 |
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| 128 | 128 | | 4.29and Minnesota Rules, chapter 8840, and all drivers must be individually enrolled with the |
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| 129 | 129 | | 4.30commissioner and reported on the claim as the individual who provided the service. All |
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| 130 | 130 | | 4.31nonemergency medical transportation providers shall bill for nonemergency medical |
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| 131 | 131 | | 4.32transportation services in accordance with Minnesota health care programs criteria. Publicly |
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| 132 | 132 | | 4Sec. 3. |
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| 133 | 133 | | REVISOR DTT/MI 25-0204601/16/25 5.1operated transit systems, volunteers, and not-for-hire vehicles are exempt from the |
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| 134 | 134 | | 5.2requirements outlined in this paragraph. |
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| 135 | 135 | | 5.3 (e) An organization may be terminated, denied, or suspended from enrollment if: |
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| 136 | 136 | | 5.4 (1) the provider has not initiated background studies on the individuals specified in |
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| 137 | 137 | | 5.5section 174.30, subdivision 10, paragraph (a), clauses (1) to (3); or |
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| 138 | 138 | | 5.6 (2) the provider has initiated background studies on the individuals specified in section |
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| 139 | 139 | | 5.7174.30, subdivision 10, paragraph (a), clauses (1) to (3), and: |
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| 140 | 140 | | 5.8 (i) the commissioner has sent the provider a notice that the individual has been |
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| 141 | 141 | | 5.9disqualified under section 245C.14; and |
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| 142 | 142 | | 5.10 (ii) the individual has not received a disqualification set-aside specific to the special |
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| 143 | 143 | | 5.11transportation services provider under sections 245C.22 and 245C.23. |
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| 144 | 144 | | 5.12 (f) The administrative agency of nonemergency medical transportation must: |
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| 145 | 145 | | 5.13 (1) adhere to the policies defined by the commissioner; |
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| 146 | 146 | | 5.14 (2) pay nonemergency medical transportation providers for services provided to |
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| 147 | 147 | | 5.15Minnesota health care programs beneficiaries to obtain covered medical services; |
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| 148 | 148 | | 5.16 (3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled |
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| 149 | 149 | | 5.17trips, and number of trips by mode; and |
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| 150 | 150 | | 5.18 (4) by July 1, 2016, in accordance with subdivision 18e, utilize a web-based single |
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| 151 | 151 | | 5.19administrative structure assessment tool that meets the technical requirements established |
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| 152 | 152 | | 5.20by the commissioner, reconciles trip information with claims being submitted by providers, |
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| 153 | 153 | | 5.21and ensures prompt payment for nonemergency medical transportation services. |
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| 154 | 154 | | 5.22 (g) Until the commissioner implements the single administrative structure and delivery |
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| 155 | 155 | | 5.23system under subdivision 18e, clients shall obtain their level-of-service certificate from the |
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| 156 | 156 | | 5.24commissioner or an entity approved by the commissioner that does not dispatch rides for |
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| 157 | 157 | | 5.25clients using modes of transportation under paragraph (l), clauses (4), (5), (6), and (7). |
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| 158 | 158 | | 5.26 (h) The commissioner may use an order by the recipient's attending physician, advanced |
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| 159 | 159 | | 5.27practice registered nurse, physician assistant, or a medical or mental health professional to |
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| 160 | 160 | | 5.28certify that the recipient requires nonemergency medical transportation services. |
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| 161 | 161 | | 5.29Nonemergency medical transportation providers shall perform driver-assisted services for |
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| 162 | 162 | | 5.30eligible individuals, when appropriate. Driver-assisted service includes passenger pickup |
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| 163 | 163 | | 5.31at and return to the individual's residence or place of business, assistance with admittance |
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| 164 | 164 | | 5Sec. 3. |
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| 165 | 165 | | REVISOR DTT/MI 25-0204601/16/25 6.1of the individual to the medical facility, and assistance in passenger securement or in securing |
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| 166 | 166 | | 6.2of wheelchairs, child seats, or stretchers in the vehicle. |
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| 167 | 167 | | 6.3 (i) Nonemergency medical transportation providers must take clients to the health care |
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| 168 | 168 | | 6.4provider using the most direct route, and must not exceed 30 miles for a trip to a primary |
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| 169 | 169 | | 6.5care provider or 60 miles for a trip to a specialty care provider, unless the client receives |
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| 170 | 170 | | 6.6authorization from the local agency. |
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| 171 | 171 | | 6.7 (j) Nonemergency medical transportation providers may not bill for separate base rates |
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| 172 | 172 | | 6.8for the continuation of a trip beyond the original destination. Nonemergency medical |
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| 173 | 173 | | 6.9transportation providers must maintain trip logs, which include pickup and drop-off times, |
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| 174 | 174 | | 6.10signed by the medical provider or client, whichever is deemed most appropriate, attesting |
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| 175 | 175 | | 6.11to mileage traveled to obtain covered medical services. Clients requesting client mileage |
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| 176 | 176 | | 6.12reimbursement must sign the trip log attesting mileage traveled to obtain covered medical |
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| 177 | 177 | | 6.13services. |
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| 178 | 178 | | 6.14 (k) The administrative agency shall use the level of service process established by the |
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| 179 | 179 | | 6.15commissioner to determine the client's most appropriate mode of transportation. If public |
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| 180 | 180 | | 6.16transit or a certified transportation provider is not available to provide the appropriate service |
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| 181 | 181 | | 6.17mode for the client, the client may receive a onetime service upgrade. |
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| 182 | 182 | | 6.18 (l) The covered modes of transportation are: |
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| 183 | 183 | | 6.19 (1) client reimbursement, which includes client mileage reimbursement provided to |
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| 184 | 184 | | 6.20clients who have their own transportation, or to family or an acquaintance who provides |
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| 185 | 185 | | 6.21transportation to the client; |
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| 186 | 186 | | 6.22 (2) volunteer transport, which includes transportation by volunteers using their own |
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| 187 | 187 | | 6.23vehicle; |
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| 188 | 188 | | 6.24 (3) unassisted transport, which includes transportation provided to a client by a taxicab |
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| 189 | 189 | | 6.25or public transit. If a taxicab or public transit is not available, the client can receive |
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| 190 | 190 | | 6.26transportation from another nonemergency medical transportation provider; |
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| 191 | 191 | | 6.27 (4) assisted transport, which includes transport provided to clients who require assistance |
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| 192 | 192 | | 6.28by a nonemergency medical transportation provider; |
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| 193 | 193 | | 6.29 (5) lift-equipped/ramp transport, which includes transport provided to a client who is |
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| 194 | 194 | | 6.30dependent on a device and requires a nonemergency medical transportation provider with |
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| 195 | 195 | | 6.31a vehicle containing a lift or ramp; |
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| 196 | 196 | | 6.32 (6) protected transport, which includes transport provided to a client who has received |
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| 197 | 197 | | 6.33a prescreening that has deemed other forms of transportation inappropriate and who requires |
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| 198 | 198 | | 6Sec. 3. |
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| 199 | 199 | | REVISOR DTT/MI 25-0204601/16/25 7.1a provider: (i) with a protected vehicle that is not an ambulance or police car and has safety |
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| 200 | 200 | | 7.2locks, a video recorder, and a transparent thermoplastic partition between the passenger and |
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| 201 | 201 | | 7.3the vehicle driver; and (ii) who is certified as a protected transport provider; and |
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| 202 | 202 | | 7.4 (7) stretcher transport, which includes transport for a client in a prone or supine position |
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| 203 | 203 | | 7.5and requires a nonemergency medical transportation provider with a vehicle that can transport |
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| 204 | 204 | | 7.6a client in a prone or supine position. |
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| 205 | 205 | | 7.7 (m) The local agency shall be the single administrative agency and shall administer and |
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| 206 | 206 | | 7.8reimburse for modes defined in paragraph (l) according to paragraphs (p) and (q) when the |
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| 207 | 207 | | 7.9commissioner has developed, made available, and funded the web-based single administrative |
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| 208 | 208 | | 7.10structure, assessment tool, and level of need assessment under subdivision 18e. The local |
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| 209 | 209 | | 7.11agency's financial obligation is limited to funds provided by the state or federal government. |
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| 210 | 210 | | 7.12 (n) The commissioner shall: |
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| 211 | 211 | | 7.13 (1) verify that the mode and use of nonemergency medical transportation is appropriate; |
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| 212 | 212 | | 7.14 (2) verify that the client is going to an approved medical appointment; and |
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| 213 | 213 | | 7.15 (3) investigate all complaints and appeals. |
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| 214 | 214 | | 7.16 (o) The administrative agency shall pay for the services provided in this subdivision and |
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| 215 | 215 | | 7.17seek reimbursement from the commissioner, if appropriate. As vendors of medical care, |
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| 216 | 216 | | 7.18local agencies are subject to the provisions in section 256B.041, the sanctions and monetary |
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| 217 | 217 | | 7.19recovery actions in section 256B.064, and Minnesota Rules, parts 9505.2160 to 9505.2245. |
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| 218 | 218 | | 7.20 (p) Payments for nonemergency medical transportation must be paid based on the client's |
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| 219 | 219 | | 7.21assessed mode under paragraph (k), not the type of vehicle used to provide the service. The |
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| 220 | 220 | | 7.22medical assistance reimbursement rates for nonemergency medical transportation services |
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| 221 | 221 | | 7.23that are payable by or on behalf of the commissioner for nonemergency medical |
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| 222 | 222 | | 7.24transportation services are: |
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| 223 | 223 | | 7.25 (1) $0.22 per mile for client reimbursement; |
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| 224 | 224 | | 7.26 (2) up to 100 percent of the Internal Revenue Service business deduction rate for volunteer |
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| 225 | 225 | | 7.27transport; |
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| 226 | 226 | | 7.28 (3) equivalent to the standard fare for unassisted transport when provided by public |
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| 227 | 227 | | 7.29transit, and $12.10 for the base rate and $1.43 per mile when provided by a nonemergency |
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| 228 | 228 | | 7.30medical transportation provider; |
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| 229 | 229 | | 7.31 (4) $14.30 for the base rate and $1.43 per mile for assisted transport; |
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| 230 | 230 | | 7.32 (5) $19.80 for the base rate and $1.70 per mile for lift-equipped/ramp transport; |
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| 231 | 231 | | 7Sec. 3. |
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| 232 | 232 | | REVISOR DTT/MI 25-0204601/16/25 8.1 (6) $75 for the base rate for the first 100 miles and an additional $75 for trips over 100 |
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| 233 | 233 | | 8.2miles and $2.40 per mile for protected transport; and |
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| 234 | 234 | | 8.3 (7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip for |
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| 235 | 235 | | 8.4an additional attendant if deemed medically necessary. |
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| 236 | 236 | | 8.5 (q) The base rate for nonemergency medical transportation services in areas defined |
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| 237 | 237 | | 8.6under RUCA to be super rural is equal to 111.3 percent of the respective base rate in |
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| 238 | 238 | | 8.7paragraph (p), clauses (1) to (7). The mileage rate for nonemergency medical transportation |
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| 239 | 239 | | 8.8services in areas defined under RUCA to be rural or super rural areas is: |
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| 240 | 240 | | 8.9 (1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage |
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| 241 | 241 | | 8.10rate in paragraph (p), clauses (1) to (7); and |
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| 242 | 242 | | 8.11 (2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage |
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| 243 | 243 | | 8.12rate in paragraph (p), clauses (1) to (7). |
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| 244 | 244 | | 8.13 (r) For purposes of reimbursement rates for nonemergency medical transportation services |
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| 245 | 245 | | 8.14under paragraphs (p) and (q), the zip code of the recipient's place of residence shall determine |
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| 246 | 246 | | 8.15whether the urban, rural, or super rural reimbursement rate applies. |
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| 247 | 247 | | 8.16 (s) The commissioner, when determining reimbursement rates for nonemergency medical |
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| 248 | 248 | | 8.17transportation under paragraphs (p) and (q), shall exempt all modes of transportation listed |
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| 249 | 249 | | 8.18under paragraph (l) from Minnesota Rules, part 9505.0445, item R, subitem (2). |
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| 250 | 250 | | 8.19 (t) Effective for the first day of each calendar quarter in which the price of gasoline as |
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| 251 | 251 | | 8.20posted publicly by the United States Energy Information Administration exceeds $3.00 per |
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| 252 | 252 | | 8.21gallon, the commissioner shall adjust the rate paid per mile in paragraph (p) by one percent |
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| 253 | 253 | | 8.22up or down for every increase or decrease of ten cents for the price of gasoline. The increase |
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| 254 | 254 | | 8.23or decrease must be calculated using a base gasoline price of $3.00. The percentage increase |
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| 255 | 255 | | 8.24or decrease must be calculated using the average of the most recently available price of all |
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| 256 | 256 | | 8.25grades of gasoline for Minnesota as posted publicly by the United States Energy Information |
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| 257 | 257 | | 8.26Administration. |
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| 258 | 258 | | 8.27 Sec. 4. EARLY EPISODE OF BIPOLAR DISORDER GRANT PROGRAM. |
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| 259 | 259 | | 8.28 Subdivision 1.Creation.The early episode of bipolar disorder grant program is |
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| 260 | 260 | | 8.29established in the Department of Human Services to fund evidence-based interventions for |
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| 261 | 261 | | 8.30youth and young adults at risk of developing or experiencing an early episode of bipolar |
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| 262 | 262 | | 8.31disorder. Early episode of bipolar disorder services are eligible for children's mental health |
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| 263 | 263 | | 8.32grants as specified in Minnesota Statutes, section 245.4889, subdivision 1, paragraph (b), |
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| 264 | 264 | | 8Sec. 4. |
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| 265 | 265 | | REVISOR DTT/MI 25-0204601/16/25 9.1clause (15). The Department of Human Services shall seek to establish programs around |
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| 266 | 266 | | 9.2Minnesota. |
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| 267 | 267 | | 9.3 Subd. 2.Activities.(a) All grant programs must: |
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| 268 | 268 | | 9.4 (1) provide intensive treatment and support for adolescents and young adults experiencing |
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| 269 | 269 | | 9.5or at risk of experiencing early episodes of bipolar disorder. Intensive treatment and support |
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| 270 | 270 | | 9.6includes medication management, psychoeducation for an individual and an individual's |
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| 271 | 271 | | 9.7family, case management, employment support, education support, cognitive behavioral |
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| 272 | 272 | | 9.8approaches, social skills training, peer and family peer support, crisis planning, and stress |
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| 273 | 273 | | 9.9management; |
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| 274 | 274 | | 9.10 (2) conduct outreach and provide training and guidance to mental health and health care |
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| 275 | 275 | | 9.11professionals, including postsecondary health clinicians, on bipolar disorder symptoms, |
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| 276 | 276 | | 9.12screening tools, the grant program, and best practices; and |
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| 277 | 277 | | 9.13 (3) use all available funding streams. |
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| 278 | 278 | | 9.14 (b) Grant money may also be used to pay for housing or travel expenses for individuals |
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| 279 | 279 | | 9.15receiving services or to address other barriers preventing individuals and their families from |
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| 280 | 280 | | 9.16participating in early episode of bipolar disorder services. |
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| 281 | 281 | | 9.17 Subd. 3.Eligibility.Program activities must be provided to people 15 to 40 years old |
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| 282 | 282 | | 9.18with early signs of or experiencing bipolar disorder. |
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| 283 | 283 | | 9.19 Subd. 4.Outcomes.Evaluation of program activities must utilize evidence-based |
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| 284 | 284 | | 9.20practices and must include the following outcome evaluation criteria: |
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| 285 | 285 | | 9.21 (1) whether individuals experience a reduction in symptoms; |
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| 286 | 286 | | 9.22 (2) whether individuals experience a decrease in inpatient mental health hospitalizations |
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| 287 | 287 | | 9.23or interactions with the criminal justice system; and |
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| 288 | 288 | | 9.24 (3) whether individuals experience an increase in educational attainment or employment. |
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| 289 | 289 | | 9.25 Subd. 5.Federal aid or grants.The commissioner of human services must comply with |
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| 290 | 290 | | 9.26all conditions and requirements necessary to receive federal aid or grants. The Department |
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| 291 | 291 | | 9.27of Human Services must provide a yearly report to the chairs of the senate Finance Committee |
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| 292 | 292 | | 9.28and house of representatives Ways and Means Committee detailing the use of state and |
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| 293 | 293 | | 9.29federal funds, number of programs funded, number of people served, and evaluation data. |
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| 294 | 294 | | 9Sec. 4. |
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| 295 | 295 | | REVISOR DTT/MI 25-0204601/16/25 10.1 Sec. 5. CHILDREN'S FIRST EPISODE OF PSYCHOSIS. |
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| 296 | 296 | | 10.2 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
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| 297 | 297 | | 10.3fund to the commissioner of human services to implement a first episode of psychosis grant |
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| 298 | 298 | | 10.4under Minnesota Statutes, section 245.4905. This amount is added to the base. New money |
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| 299 | 299 | | 10.5may be used to fully fund current programs, increase a current program's capacity, and |
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| 300 | 300 | | 10.6expand programs to outside the metropolitan counties. The commissioner of human services |
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| 301 | 301 | | 10.7must continue to fund current programs to ensure stability and continuity of care, providing |
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| 302 | 302 | | 10.8that the program has met requirements for past usage of funds. |
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| 303 | 303 | | 10Sec. 5. |
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| 304 | 304 | | REVISOR DTT/MI 25-0204601/16/25 |
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