Minnesota 2025-2026 Regular Session

Minnesota House Bill HF2415 Latest Draft

Bill / Introduced Version Filed 03/14/2025

                            1.1	A bill for an act​
1.2 relating to human services; creating the legislative commission on intellectual and​
1.3 developmental disabilities; creating adult foster care and community residential​
1.4 setting licensing moratorium exceptions; limiting authority to modify day treatment​
1.5 and habilitation and prevocational rehabilitation programs; providing appointments;​
1.6 appropriating money; amending Minnesota Statutes 2024, sections 245A.03, by​
1.7 adding a subdivision; 252.291, subdivision 1, by adding a subdivision; proposing​
1.8 coding for new law in Minnesota Statutes, chapter 3.​
1.9BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​
1.10 Section 1. [3.8848] LEGISLATIVE COMMISSION ON INTELLECTUAL AND​
1.11DEVELOPMENT AL DISABILITIES.​
1.12 Subdivision 1.Membership.(a) The legislative commission on intellectual and​
1.13developmental disabilities consists of the following 12 members of the legislature appointed​
1.14by the respective leaders of the caucuses of each chamber:​
1.15 (1) the chair and ranking minority member, or as applicable the cochairs, of the house​
1.16and senate committees with primary jurisdiction over programs serving people with​
1.17intellectual and developmental disabilities at the Department of Human Services;​
1.18 (2) the chair and ranking minority member, or as applicable the cochairs, of the house​
1.19and senate committees with primary jurisdiction over programs serving people with​
1.20intellectual and developmental disabilities at the Department of Labor and Industry; and​
1.21 (3) the chair and ranking minority member, or as applicable the cochairs, of the house​
1.22and senate committees with primary jurisdiction over housing.​
1.23 (b) The commission may elect up to four former legislators who have demonstrated an​
1.24interest in, or have a history of working with, programs that serve people with intellectual​
1​Section 1.​
REVISOR DTT/KR 25-02036​01/15/25 ​
State of Minnesota​
This Document can be made available​
in alternative formats upon request​
HOUSE OF REPRESENTATIVES​
H. F. No.  2415​
NINETY-FOURTH SESSION​
Authored by Schultz​03/17/2025​
The bill was read for the first time and referred to the Committee on Human Services Finance and Policy​ 2.1or developmental disabilities to serve as nonvoting members of the commission. The former​
2.2legislators must not be registered lobbyists.​
2.3 Subd. 2.Definitions.(a) "Direct support professional" means any individual employed​
2.4to provide documented direct support services to a person with an intellectual or​
2.5developmental disability.​
2.6 (b) "Disability services" means services for people with intellectual or developmental​
2.7disabilities provided by a county, billed to a county, managed by a county, or subject to​
2.8county case management.​
2.9 (c) "Government entity" has the meaning given in section 13.02.​
2.10 (d) "Informed choice" has the meaning given in section 256B.4905, subdivision 1a.​
2.11 (e) "Person with an intellectual or developmental disability" means a person who has​
2.12been diagnosed with an intellectual disability or with a developmental disability or related​
2.13condition as defined by any of the following:​
2.14 (1) the current version of the Diagnostic and Statistical Manual of Mental Disorders​
2.15(DSM);​
2.16 (2) the United States Center for Disease Control;​
2.17 (3) the National Institute for Health;​
2.18 (4) the American Psychiatric Association Statistical Manual;​
2.19 (5) Minnesota Statutes; or​
2.20 (6) Minnesota Rules, including Minnesota Rules, part 9525.0016, subpart 2, items A to​
2.21E.​
2.22 (f) "Summary data" has the meaning given in section 13.02.​
2.23 Subd. 3.Terms; vacancies.(a) Each appointing authority must make appointments as​
2.24soon as possible after the beginning of the regular legislative session in an odd-numbered​
2.25year.​
2.26 (b) Members of the commission serve for terms beginning upon appointment and ending​
2.27at the beginning of the regular legislative session in the next odd-numbered year.​
2.28 (c) The appropriate appointing authority must fill a vacancy on the committee by​
2.29appointing a current legislator in a manner that will preserve the representation of the​
2.30standing legislative committees listed in subdivision 1.​
2​Section 1.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 3.1 Subd. 4.Compensation.(a) Legislative members serve without compensation but may​
3.2be reimbursed for their reasonable expenses as members of the legislature.​
3.3 (b) Former legislators must be compensated as provided under section 15.0575,​
3.4subdivision 3.​
3.5 Subd. 5.Chair.The commission must elect a chair at the first meeting of the commission​
3.6in an odd-numbered year and may elect other officers as it determines are necessary. The​
3.7chair alternates between a member of the senate and a member of the house of representatives​
3.8at the start of the regular legislative session in each odd-numbered year. The chair and a​
3.9vice chair may not be from the same chamber.​
3.10 Subd. 6.Administration.The Legislative Coordinating Commission shall provide​
3.11administrative services for the commission. The Legislative Coordinating Commission may,​
3.12if funding is available, appoint staff to provide research assistance to the commission. The​
3.13Legislative Coordinating Commission may, if funding is available, employ professional​
3.14and technical assistants as the commission deems necessary to perform duties prescribed​
3.15in this section.​
3.16 Subd. 7.State and local agencies to cooperate.All government entities must comply​
3.17with a request from the commission for information on policies and programs, access to​
3.18public data and fiscal estimates, and preparation of demographic summary data.​
3.19 Subd. 8.Meetings.(a) The ranking senator from the majority party appointed to the​
3.20commission must convene the first meeting of a biennium by February 15 in the​
3.21odd-numbered year.​
3.22 (b) The commission may collaborate in holding meetings with other legislative​
3.23committees it deems relevant or needed.​
3.24 (c) The commission may hold meetings in the capitol complex. The commission must​
3.25hold meetings outside the capitol complex, including in rural areas of the state, at the times​
3.26and places it may designate to gather input directly from self-advocates with an intellectual​
3.27or developmental disability, families of people with intellectual or developmental disabilities,​
3.28legal guardians, counties, and disability service providers.​
3.29 Subd. 9.Commission duties; fact finding, research, and recommendations.(a) The​
3.30members of the commission must develop expertise and knowledge about:​
3.31 (1) the characteristics of people across the spectrum of intellectual and developmental​
3.32disabilities;​
3​Section 1.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 4.1 (2) the short- and long-term needs of people with intellectual or developmental​
4.2disabilities; and​
4.3 (3) the process by which people with intellectual or developmental disabilities access​
4.4education, career exploration, work, housing, transportation, life enrichment, day services,​
4.5and support systems and whether those processes result in informed choices.​
4.6 (b) The commission shall review state and county data, including demographic summary​
4.7data, related to disability services for adults with intellectual and developmental disabilities​
4.8to identify service shortcomings related to case management, housing, work options,​
4.9transportation, availability of qualified direct support professionals, life enrichment​
4.10opportunities, and day services.​
4.11 (c) The commission shall review legislative proposals that affect adults with intellectual​
4.12or developmental disabilities and make recommendations to the relevant standing legislative​
4.13committees regarding the proposals.​
4.14 (d) The commission shall review the most recent Workforce Innovation and Opportunity​
4.15Act Combined State Plan to assess it for any potential negative impact on people with​
4.16intellectual or developmental disabilities, examine the feasibility of amending the combined​
4.17state plan to mitigate or eliminate identified negative impacts to people with intellectual or​
4.18developmental disabilities, and make combined state plan amendment recommendations to​
4.19the Governor's Workforce Development Board and the legislature.​
4.20 (e) The commission shall review the federal Workforce Innovation and Opportunity​
4.21Act, United States Code, title 29, sections 3101 to 3361; accompanying regulation; and​
4.22related agency guidance to assess them for any negative potential impact to people with​
4.23intellectual or developmental disabilities and submit its findings to the Minnesota​
4.24congressional delegation.​
4.25 (f) The commission shall identify and prioritize areas for reform in disability services​
4.26for adults with intellectual or developmental disabilities.​
4.27 Subd. 10.Commission duties; data-based county disability service reform sites.The​
4.28commission shall select and oversee counties to serve as data-based county disability services​
4.29reform sites. Selected counties must include the most densely populated county that agrees​
4.30to participate and the county with the largest geographic area that agrees to participate.​
4.31From money appropriated for this purpose, the commission shall award planning grants to​
4.32selected counties to prepare the county's disability services system reform plans. The​
4.33commission shall monitor the progress of selected counties in developing a disability services​
4​Section 1.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 5.1system reform plan. The commission shall review and approve submitted county disability​
5.2services reform plans.​
5.3 Subd. 11.Disability services reform plan requirements.(a) A county disability services​
5.4system reform plan must be data-based and the plan's reform proposals must be data driven.​
5.5 (b) Selected counties must collect and analyze demographic summary data related to​
5.6the adults with intellectual or developmental disabilities receiving or requesting disability​
5.7services.​
5.8 (c) Selected counties must collect and analyze data on the provision of case management,​
5.9housing, work options, life enrichment, day services, and transportation and on the labor​
5.10supply of direct support professionals in the local labor market. Selected counties must​
5.11clearly identify geographic locations within their county and surrounding counties where​
5.12there are no disability services, insufficient disability services, and poor-quality disability​
5.13services, including the following disability services: case management; education and​
5.14training opportunities for direct care professionals; intermediate care facility services; all​
5.15service types described in section 256B.4914; transportation; prevocational rehabilitation;​
5.16and vocational exploration options provided to students in grades 7 through 12.​
5.17 (d) Selected counties must review strengths and weaknesses of county-contracted and​
5.18county-employed case managers using information gathered directly from self-advocates,​
5.19families, and legal guardians. Selected counties must develop a plan to enhance the​
5.20knowledge and expertise of all case managers related to the needs and informed choices of​
5.21adults with intellectual or developmental disabilities and to hold case managers accountable​
5.22for ensuring people are making informed choices about their services.​
5.23 (e) Selected counties must develop a plan to collaborate with existing regional higher​
5.24education providers for education and training of direct support professionals. The skills​
5.25targeted for improvement must include knowledge and understanding of the spectrum of​
5.26intellectual and developmental disabilities in adults.​
5.27 (f) Selected counties must develop a plan to collaborate with an existing work options​
5.28provider to develop a business model that delivers a full array of work options, prevocational​
5.29rehabilitation, life enrichment, and day services programs. The county plan must identify​
5.30the employment status of people with intellectual or developmental disabilities who have​
5.31lost their chosen work option or day services and determine how to reengage them in their​
5.32work option or day service of choice.​
5​Section 1.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 6.1 (g) Selected counties must develop a plan to ensure the availability of a full array of​
6.2housing options ranging from intermediate care facilities for people with developmental​
6.3disabilities to independent living and home ownership with contracted provider services.​
6.4 (h) Selected counties must develop a plan to collaborate with local school districts to​
6.5offer vocational exploration opportunities for people with intellectual and developmental​
6.6disabilities in grades 7 through 12.​
6.7 (i) Selected counties must develop a plan to provide efficient and timely transportation​
6.8that meets the needs and informed choices of people with an intellectual or developmental​
6.9disability.​
6.10 (j) When developing the plans described in this subdivision, selected counties must​
6.11directly seek advice and counsel from self-advocates with intellectual or developmental​
6.12disabilities, legal guardians, and families of people with an intellectual or developmental​
6.13disability who are being served within the county.​
6.14 (k) Each selected county must develop a plan to implement each of its proposed county​
6.15disability services system reforms and identify the implementation costs. Each selected​
6.16county must identify existing sources of funding and identify where an absence of funding​
6.17or insufficient funding prohibits implementation of the proposed reforms.​
6.18 Subd. 12.Report.By December 31 of each even-numbered year, the commission must​
6.19submit a report on the commission's work and recommendations to the committees of the​
6.20senate and house of representatives from which the commission membership is drawn​
6.21according to subdivision 1. The standing human services committee of either chamber may​
6.22request interim reports.​
6.23 EFFECTIVE DATE.This section is effective July 1, 2025.​
6.24 Sec. 2. Minnesota Statutes 2024, section 245A.03, is amended by adding a subdivision to​
6.25read:​
6.26 Subd. 7a.Licensing moratorium exception; data-based county disability service​
6.27reform sites.(a) Notwithstanding subdivision 7 and section 256B.493, the commissioner​
6.28must issue additional new foster care licenses or new community residential setting licenses​
6.29requested by a local county board in a county disability services reform plan approved by​
6.30the legislative commission on intellectual and developmental disabilities provided that the​
6.31applicant meets all licensing requirements.​
6.32 (b) Notwithstanding subdivision 7 and section 256B.493, new and existing foster care​
6.33licenses and new and existing community residential setting licenses issued to providers in​
6​Sec. 2.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 7.1counties with a county disability services reform plan approved by the legislative commission​
7.2on intellectual and developmental disabilities are not subject to the commissioner's authority​
7.3to delicense a setting or reduce licensed capacity following either a resource need​
7.4determination process or when an adult resident served by the licensed program moves​
7.5provided that in either case the licensee continues to meet all license requirements.​
7.6 Sec. 3. Minnesota Statutes 2024, section 252.291, subdivision 1, is amended to read:​
7.7 Subdivision 1.Moratorium.Notwithstanding any law or rule to the contrary, the​
7.8commissioner of human services shall deny any request for a determination of need and​
7.9refuse to grant a license pursuant to section 245A.02 for any new intermediate care facility​
7.10for persons with developmental disabilities or for an increase in the licensed capacity of an​
7.11existing facility except as provided in this subdivision and subdivision 2 subdivisions 2 to​
7.122c. The total number of certified intermediate care beds for persons with developmental​
7.13disabilities in community facilities and state hospitals shall not exceed 7,000 beds plus the​
7.14authorized new intermediate care beds under subdivision 2c, except that, to the extent that​
7.15federal authorities disapprove any applications of the commissioner for home and​
7.16community-based waivers under United States Code, title 42, section 1396n, as amended​
7.17through December 31, 1987, the commissioner may authorize new intermediate care beds,​
7.18as necessary, to serve persons with developmental disabilities who would otherwise have​
7.19been served under a proposed waiver. "Certified bed" means an intermediate care bed for​
7.20persons with developmental disabilities certified by the commissioner of health for the​
7.21purposes of the medical assistance program under United States Code, title 42, sections​
7.221396 to 1396p, as amended through December 31, 1987.​
7.23 Sec. 4. Minnesota Statutes 2024, section 252.291, is amended by adding a subdivision to​
7.24read:​
7.25 Subd. 2c.Exception for data-based county disability service reform sites.(a)​
7.26Notwithstanding subdivisions 1 and 2 and section 252.28, subdivision 3, the commissioner​
7.27of health must issue a supervised living facility license under section 144.50, subdivision​
7.287, and certify the setting as an intermediate care facility for persons with developmental​
7.29disabilities, and the commissioner of human services must authorize and grant a license​
7.30under chapter 245A, to a newly constructed or newly established publicly or privately​
7.31operated community intermediate care facility for six or fewer persons with developmental​
7.32disabilities, under the following circumstances:​
7.33 (1) the license applicant meets all licensing and certification requirements; and​
7​Sec. 4.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 8.1 (2) the additional license is requested by a local county board in a county disability​
8.2services reform plan approved by the legislative commission on intellectual and​
8.3developmental disabilities.​
8.4 (b) Notwithstanding section 252.28, subdivision 4, licenses and certifications issued​
8.5under paragraph (a) are not subject to the authority of the commissioner of health or the​
8.6commissioner of human services to involuntarily decertify or involuntary delicense an​
8.7intermediate care facility for persons with developmental disabilities provided the licensee​
8.8continues to meet the licensing and certification requirements.​
8.9 Sec. 5. DIRECTION TO COMMISSIONER OF HUMAN SERVICES;​
8.10PROHIBITION ON MODIFICATIONS TO DAY SERVICES.​
8.11 The commissioner of human services must not propose any rule or policy that modifies,​
8.12reduces availability of, eliminates, or limits admission to any program that provides day​
8.13treatment and habilitation services without consulting the legislative commission on​
8.14intellectual and developmental disabilities. The commissioner of human services must​
8.15receive explicit legislative authority to adopt any rule or implement any policy that modifies,​
8.16reduces availability of, eliminates, or limits admission to programs that provide day treatment​
8.17and habilitation services.​
8.18 EFFECTIVE DATE.This section is effective the day following final enactment.​
8.19 Sec. 6. DIRECTION TO COMMISSIONER OF EMPLOYMENT AND ECONOMIC​
8.20DEVELOPMENT; PROHIBITION ON MODIFICATIONS TO VOCATIONAL​
8.21REHABILITATION SERVICES.​
8.22 The commissioner of employment and economic development must not propose any​
8.23rule or policy that modifies, reduces availability of, eliminates, or limits admission to any​
8.24program that provides prevocational rehabilitative services provided to people with​
8.25intellectual or developmental disabilities without consulting the legislative commission on​
8.26intellectual and developmental disabilities. The commissioner of employment and economic​
8.27development must receive explicit legislative authority to adopt any rule or implement any​
8.28policy that modifies, reduces availability of, eliminates, or limits admission to any program​
8.29that provides prevocational rehabilitation services.​
8.30 EFFECTIVE DATE.This section is effective the day following final enactment.​
8​Sec. 6.​
REVISOR DTT/KR 25-02036​01/15/25 ​ 9.1 Sec. 7. APPROPRIATION; LEGISLATIVE COMMISSION ON INTELLECTUAL​
9.2AND DEVELOPMENT AL DISABILITIES.​
9.3 (a) $600,000 in fiscal year 2026 and $600,000 in fiscal year 2027 are appropriated from​
9.4the general fund to the legislative commission on intellectual and developmental disabilities​
9.5for grants to data-based county disability services reform sites.​
9.6 (b) $300,000 in fiscal year 2026 and $600,000 in fiscal year 2027 are appropriated from​
9.7the general fund to the legislative commission on intellectual and developmental disabilities​
9.8for administration.​
9​Sec. 7.​
REVISOR DTT/KR 25-02036​01/15/25 ​