| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; the Department of Human Services behavioral health |
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| 3 | 3 | | 1.3 policy provisions; updating the Children's Mental Health Act; codifying the |
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| 4 | 4 | | 1.4 intermediate school-linked behavioral health grant program; amending Minnesota |
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| 5 | 5 | | 1.5 Statutes 2024, sections 245.4871, subdivision 4, by adding a subdivision; 245.4881, |
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| 6 | 6 | | 1.6 subdivision 3; proposing coding for new law in Minnesota Statutes, chapter 245. |
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| 7 | 7 | | 1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 8 | 8 | | 1.8 Section 1. Minnesota Statutes 2024, section 245.4871, subdivision 4, is amended to read: |
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| 9 | 9 | | 1.9 Subd. 4.Case management service provider.(a) "Case management service provider" |
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| 10 | 10 | | 1.10means a case manager or case manager associate employed by the county or other entity |
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| 11 | 11 | | 1.11authorized by the county board to provide case management services specified in subdivision |
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| 12 | 12 | | 1.123 for the child with severe emotional disturbance and the child's family. |
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| 13 | 13 | | 1.13 (b) A case manager must: |
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| 14 | 14 | | 1.14 (1) have experience and training in working with children; |
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| 15 | 15 | | 1.15 (2) be a mental health practitioner under section 245I.04, subdivision 4, or have at least |
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| 16 | 16 | | 1.16a bachelor's degree in one of the behavioral sciences or a related field including, but not |
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| 17 | 17 | | 1.17limited to, social work, psychology, or nursing from an accredited college or university or |
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| 18 | 18 | | 1.18meet the requirements of paragraph (d); |
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| 19 | 19 | | 1.19 (3) have experience and training in identifying and assessing a wide range of children's |
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| 20 | 20 | | 1.20needs; |
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| 21 | 21 | | 1.21 (4) be knowledgeable about local community resources and how to use those resources |
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| 22 | 22 | | 1.22for the benefit of children and their families; and |
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| 23 | 23 | | 1Section 1. |
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| 24 | 24 | | REVISOR EB/HL 25-0034302/17/25 |
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| 25 | 25 | | State of Minnesota |
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| 26 | 26 | | This Document can be made available |
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| 27 | 27 | | in alternative formats upon request |
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| 28 | 28 | | HOUSE OF REPRESENTATIVES |
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| 29 | 29 | | H. F. No. 2213 |
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| 30 | 30 | | NINETY-FOURTH SESSION |
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| 31 | 31 | | Authored by Fischer and Schomacker03/12/2025 |
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| 32 | 32 | | The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (5) meet the supervision and continuing education requirements of paragraphs (e), (f), |
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| 33 | 33 | | 2.2and (g), as applicable. |
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| 34 | 34 | | 2.3 (c) A case manager may be a member of any professional discipline that is part of the |
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| 35 | 35 | | 2.4local system of care for children established by the county board. |
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| 36 | 36 | | 2.5 (d) A case manager without who is not a mental health practitioner and does not have |
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| 37 | 37 | | 2.6a bachelor's degree must meet one of the requirements in clauses (1) to (3): |
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| 38 | 38 | | 2.7 (1) have three or four years of experience as a case manager associate; |
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| 39 | 39 | | 2.8 (2) be a registered nurse without a bachelor's degree who has a combination of specialized |
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| 40 | 40 | | 2.9training in psychiatry and work experience consisting of community interaction and |
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| 41 | 41 | | 2.10involvement or community discharge planning in a mental health setting totaling three years; |
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| 42 | 42 | | 2.11or |
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| 43 | 43 | | 2.12 (3) be a person who qualified as a case manager under the 1998 Department of Human |
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| 44 | 44 | | 2.13Services waiver provision and meets the continuing education, supervision, and mentoring |
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| 45 | 45 | | 2.14requirements in this section. |
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| 46 | 46 | | 2.15 (e) A case manager with at least 2,000 hours of supervised experience in the delivery |
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| 47 | 47 | | 2.16of mental health services to children must receive regular ongoing supervision and clinical |
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| 48 | 48 | | 2.17supervision totaling 38 hours per year, of which at least one hour per month must be clinical |
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| 49 | 49 | | 2.18supervision regarding individual service delivery with a case management supervisor. The |
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| 50 | 50 | | 2.19other 26 hours of supervision may be provided by a case manager with two years of |
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| 51 | 51 | | 2.20experience. Group supervision may not constitute more than one-half of the required |
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| 52 | 52 | | 2.21supervision hours. |
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| 53 | 53 | | 2.22 (f) A case manager without 2,000 hours of supervised experience in the delivery of |
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| 54 | 54 | | 2.23mental health services to children with emotional disturbance must: |
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| 55 | 55 | | 2.24 (1) begin 40 hours of training approved by the commissioner of human services in case |
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| 56 | 56 | | 2.25management skills and in the characteristics and needs of children with severe emotional |
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| 57 | 57 | | 2.26disturbance before beginning to provide case management services; and |
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| 58 | 58 | | 2.27 (2) receive clinical supervision regarding individual service delivery from a mental |
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| 59 | 59 | | 2.28health professional at least one hour each week until the requirement of 2,000 hours of |
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| 60 | 60 | | 2.29experience is met. |
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| 61 | 61 | | 2.30 (g) A case manager who is not licensed, registered, or certified by a health-related |
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| 62 | 62 | | 2.31licensing board must receive 30 hours of continuing education and training in severe |
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| 63 | 63 | | 2.32emotional disturbance and mental health services every two years. |
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| 64 | 64 | | 2Section 1. |
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| 65 | 65 | | REVISOR EB/HL 25-0034302/17/25 3.1 (h) Clinical supervision must be documented in the child's record. When the case manager |
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| 66 | 66 | | 3.2is not a mental health professional, the county board must provide or contract for needed |
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| 67 | 67 | | 3.3clinical supervision. |
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| 68 | 68 | | 3.4 (i) The county board must ensure that the case manager has the freedom to access and |
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| 69 | 69 | | 3.5coordinate the services within the local system of care that are needed by the child. |
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| 70 | 70 | | 3.6 (j) A case manager associate (CMA) must: |
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| 71 | 71 | | 3.7 (1) work under the direction of a case manager or case management supervisor; |
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| 72 | 72 | | 3.8 (2) be at least 21 years of age; |
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| 73 | 73 | | 3.9 (3) have at least a high school diploma or its equivalent; and |
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| 74 | 74 | | 3.10 (4) meet one of the following criteria: |
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| 75 | 75 | | 3.11 (i) have an associate of arts degree in one of the behavioral sciences or human services; |
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| 76 | 76 | | 3.12 (ii) be a registered nurse without a bachelor's degree; |
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| 77 | 77 | | 3.13 (iii) have three years of life experience as a primary caregiver to a child with serious |
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| 78 | 78 | | 3.14emotional disturbance as defined in subdivision 6 within the previous ten years; |
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| 79 | 79 | | 3.15 (iv) have 6,000 hours work experience as a nondegreed state hospital technician; or |
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| 80 | 80 | | 3.16 (v) have 6,000 hours of supervised work experience in the delivery of mental health |
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| 81 | 81 | | 3.17services to children with emotional disturbances; hours worked as a mental health behavioral |
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| 82 | 82 | | 3.18aide I or II under section 256B.0943, subdivision 7, may count toward the 6,000 hours of |
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| 83 | 83 | | 3.19supervised work experience. |
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| 84 | 84 | | 3.20 Individuals meeting one of the criteria in items (i) to (iv) may qualify as a case manager |
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| 85 | 85 | | 3.21after four years of supervised work experience as a case manager associate. Individuals |
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| 86 | 86 | | 3.22meeting the criteria in item (v) may qualify as a case manager after three years of supervised |
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| 87 | 87 | | 3.23experience as a case manager associate. |
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| 88 | 88 | | 3.24 (k) Case manager associates must meet the following supervision, mentoring, and |
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| 89 | 89 | | 3.25continuing education requirements; |
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| 90 | 90 | | 3.26 (1) have 40 hours of preservice training described under paragraph (f), clause (1); |
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| 91 | 91 | | 3.27 (2) receive at least 40 hours of continuing education in severe emotional disturbance |
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| 92 | 92 | | 3.28and mental health service annually; and |
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| 93 | 93 | | 3.29 (3) receive at least five hours of mentoring per week from a case management mentor. |
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| 94 | 94 | | 3.30A "case management mentor" means a qualified, practicing case manager or case management |
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| 95 | 95 | | 3.31supervisor who teaches or advises and provides intensive training and clinical supervision |
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| 96 | 96 | | 3Section 1. |
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| 97 | 97 | | REVISOR EB/HL 25-0034302/17/25 4.1to one or more case manager associates. Mentoring may occur while providing direct services |
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| 98 | 98 | | 4.2to consumers in the office or in the field and may be provided to individuals or groups of |
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| 99 | 99 | | 4.3case manager associates. At least two mentoring hours per week must be individual and |
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| 100 | 100 | | 4.4face-to-face. |
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| 101 | 101 | | 4.5 (l) A case management supervisor must meet the criteria for a mental health professional |
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| 102 | 102 | | 4.6as specified in subdivision 27. |
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| 103 | 103 | | 4.7 (m) An immigrant who does not have the qualifications specified in this subdivision |
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| 104 | 104 | | 4.8may provide case management services to child immigrants with severe emotional |
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| 105 | 105 | | 4.9disturbance of the same ethnic group as the immigrant if the person: |
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| 106 | 106 | | 4.10 (1) is currently enrolled in and is actively pursuing credits toward the completion of a |
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| 107 | 107 | | 4.11bachelor's degree in one of the behavioral sciences or related fields at an accredited college |
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| 108 | 108 | | 4.12or university; |
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| 109 | 109 | | 4.13 (2) completes 40 hours of training as specified in this subdivision; and |
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| 110 | 110 | | 4.14 (3) receives clinical supervision at least once a week until the requirements of obtaining |
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| 111 | 111 | | 4.15a bachelor's degree and 2,000 hours of supervised experience are met. |
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| 112 | 112 | | 4.16 EFFECTIVE DATE.This section is effective the day following final enactment. |
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| 113 | 113 | | 4.17 Sec. 2. Minnesota Statutes 2024, section 245.4871, is amended by adding a subdivision |
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| 114 | 114 | | 4.18to read: |
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| 115 | 115 | | 4.19 Subd. 7a.Clinical supervision."Clinical supervision" means the oversight responsibility |
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| 116 | 116 | | 4.20for individual treatment plans and individual mental health service delivery, including |
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| 117 | 117 | | 4.21oversight provided by the case manager. Clinical supervision must be provided by a mental |
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| 118 | 118 | | 4.22health professional. The supervising mental health professional must cosign an individual |
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| 119 | 119 | | 4.23treatment plan, and their name must be documented in the client's record. |
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| 120 | 120 | | 4.24 Sec. 3. Minnesota Statutes 2024, section 245.4881, subdivision 3, is amended to read: |
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| 121 | 121 | | 4.25 Subd. 3.Duties of case manager.(a) Upon a determination of eligibility for case |
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| 122 | 122 | | 4.26management services, the case manager shall develop an individual family community |
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| 123 | 123 | | 4.27support plan for a child as specified in subdivision 4, review the child's progress, and monitor |
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| 124 | 124 | | 4.28the provision of services, and if the child and parent or legal guardian consent, complete a |
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| 125 | 125 | | 4.29written functional assessment as defined by section 245.4871, subdivision 18a. If services |
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| 126 | 126 | | 4.30are to be provided in a host county that is not the county of financial responsibility, the case |
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| 127 | 127 | | 4.31manager shall consult with the host county and obtain a letter demonstrating the concurrence |
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| 128 | 128 | | 4.32of the host county regarding the provision of services. |
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| 129 | 129 | | 4Sec. 3. |
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| 130 | 130 | | REVISOR EB/HL 25-0034302/17/25 5.1 (b) The case manager shall note in the child's record the services needed by the child |
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| 131 | 131 | | 5.2and the child's family, the services requested by the family, services that are not available, |
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| 132 | 132 | | 5.3and the unmet needs of the child and child's family. The case manager shall note this |
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| 133 | 133 | | 5.4provision in the child's record. |
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| 134 | 134 | | 5.5 Sec. 4. [245.4904] INTERMEDIATE SCHOOL DISTRICT BEHAVIORAL HEALTH |
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| 135 | 135 | | 5.6GRANT PROGRAM. |
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| 136 | 136 | | 5.7 Subdivision 1.Establishment.The commissioner of human services must establish a |
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| 137 | 137 | | 5.8grant program to improve behavioral health outcomes for youth attending a qualifying |
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| 138 | 138 | | 5.9school unit and to build the capacity of schools to support student and teacher needs in the |
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| 139 | 139 | | 5.10classroom. For the purposes of this section, "qualifying school unit" means an intermediate |
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| 140 | 140 | | 5.11school district organized under section 136D.01. |
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| 141 | 141 | | 5.12 Subd. 2.Eligible applicants.An eligible applicant is an intermediate school district |
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| 142 | 142 | | 5.13organized under section 136D.01, and a partner entity or provider that has demonstrated |
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| 143 | 143 | | 5.14capacity to serve the youth identified in subdivision 1 that is: |
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| 144 | 144 | | 5.15 (1) a mental health clinic certified under section 245I.20; |
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| 145 | 145 | | 5.16 (2) a community mental health center under section 256B.0625, subdivision 5; |
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| 146 | 146 | | 5.17 (3) an Indian health service facility or a facility owned and operated by a Tribe or Tribal |
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| 147 | 147 | | 5.18organization operating under United States Code, title 25, section 5321; |
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| 148 | 148 | | 5.19 (4) a provider of children's therapeutic services and supports as defined in section |
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| 149 | 149 | | 5.20256B.0943; |
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| 150 | 150 | | 5.21 (5) enrolled in medical assistance as a mental health or substance use disorder provider |
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| 151 | 151 | | 5.22agency and employs at least two full-time equivalent mental health professionals qualified |
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| 152 | 152 | | 5.23according to section 245I.04, subdivision 2, or two alcohol and drug counselors licensed or |
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| 153 | 153 | | 5.24exempt from licensure under chapter 148F who are qualified to provide clinical services to |
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| 154 | 154 | | 5.25children and families; |
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| 155 | 155 | | 5.26 (6) licensed under chapter 245G and in compliance with the applicable requirements in |
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| 156 | 156 | | 5.27chapters 245A, 245C, and 260E; section 626.557; and Minnesota Rules, chapter 9544; or |
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| 157 | 157 | | 5.28 (7) a licensed professional in private practice as defined in section 245G.01, subdivision |
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| 158 | 158 | | 5.2917, who meets the requirements of section 254B.05, subdivision 1, paragraph (b). |
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| 159 | 159 | | 5.30 Subd. 3.Allowable grant activities and related expenses.(a) Allowable grant activities |
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| 160 | 160 | | 5.31and related expenses include but are not limited to: |
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| 161 | 161 | | 5.32 (1) identifying mental health conditions and substance use disorders of students; |
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| 162 | 162 | | 5Sec. 4. |
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| 163 | 163 | | REVISOR EB/HL 25-0034302/17/25 6.1 (2) delivering mental health and substance use disorder treatment and supportive services |
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| 164 | 164 | | 6.2to students and their families within the classroom, including via telehealth consistent with |
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| 165 | 165 | | 6.3section 256B.0625, subdivision 3b; |
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| 166 | 166 | | 6.4 (3) delivering therapeutic interventions and customizing an array of supplementary |
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| 167 | 167 | | 6.5learning experiences for students; |
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| 168 | 168 | | 6.6 (4) supporting families in meeting their child's needs, including navigating health care, |
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| 169 | 169 | | 6.7social service, and juvenile justice systems; |
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| 170 | 170 | | 6.8 (5) providing transportation for students receiving behavioral health services when school |
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| 171 | 171 | | 6.9is not in session; |
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| 172 | 172 | | 6.10 (6) building the capacity of schools to meet the needs of students with mental health and |
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| 173 | 173 | | 6.11substance use disorder concerns, including school staff development activities for licensed |
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| 174 | 174 | | 6.12and nonlicensed staff; and |
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| 175 | 175 | | 6.13 (7) purchasing equipment, connection charges, on-site coordination, set-up fees, and |
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| 176 | 176 | | 6.14site fees in order to deliver school-linked behavioral health services via telehealth. |
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| 177 | 177 | | 6.15 (b) Grantees must obtain all available third-party reimbursement sources as a condition |
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| 178 | 178 | | 6.16of receiving grant funds. For purposes of this grant program, a third-party reimbursement |
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| 179 | 179 | | 6.17source does not include a public school as defined in section 120A.20, subdivision 1. Grantees |
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| 180 | 180 | | 6.18shall serve students regardless of health coverage status or ability to pay. |
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| 181 | 181 | | 6.19 Subd. 4.Calculating the share of the appropriation.(a) Grants must be awarded to |
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| 182 | 182 | | 6.20qualifying school units proportionately. |
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| 183 | 183 | | 6.21 (b) The commissioner must calculate the share of the appropriation to be used in each |
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| 184 | 184 | | 6.22qualifying school unit by multiplying the total appropriation going to the grantees by the |
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| 185 | 185 | | 6.23qualifying school unit's average daily membership in a setting of federal instructional level |
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| 186 | 186 | | 6.244 or higher and then dividing by the total average daily membership in a setting of federal |
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| 187 | 187 | | 6.25instructional level 4 or higher for the same year for all qualifying school units. |
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| 188 | 188 | | 6.26 Subd. 5.Data collection and outcome measurement.Grantees must provide data to |
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| 189 | 189 | | 6.27the commissioner for the purpose of evaluating the Intermediate School District Behavioral |
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| 190 | 190 | | 6.28Health Innovation grant program. The commissioner must consult with grantees to develop |
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| 191 | 191 | | 6.29outcome measures for program capacity and performance. |
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| 192 | 192 | | 6Sec. 4. |
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| 193 | 193 | | REVISOR EB/HL 25-0034302/17/25 |
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