Minnesota 2025-2026 Regular Session

Minnesota House Bill HF2435 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		1.1 A bill for an act
2		-	1.2 relating to human services; making human services forecast adjustments;
3		-	1.3 appropriating money.
4		-	1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
5		-	1.5Section 1. DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.
6		-	1.6 The dollar amounts shown in the columns marked "Appropriations" are added to or, if
7		-	1.7shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70,
8		-	1.8article 20, from the general fund, or any other fund named, to the commissioner of human
9		-	1.9services for the purposes specified in this act, to be available for the fiscal year indicated
10		-	1.10for each purpose. The figure "2025" used in this act means that the appropriations listed are
11		-	1.11available for the fiscal year ending June 30, 2025.
12		-	1.12 APPROPRIATIONS
13		-	1.13 Available for the Year
14		-	1.14 Ending June 30
15		-	1.15 2025
16		-	1.16Sec. 2. COMMISSIONER OF HUMAN
17		-	1.17SERVICES
18		-	53,115,000$1.18Subdivision 1.Total Appropriation
19		-	1.19 Appropriations by Fund
20		-	1.20 2025
21		-	75,025,0001.21General
22		-	(16,182,000)1.22Health Care Access
23		-	(5,285,000)1.23Federal TANF
24		-	1Sec. 2.
25		-	REVISOR DTT H2435-1HF2435 FIRST ENGROSSMENT
	2	+	1.2 relating to health care; modifying provisions relating to the Department of Health,
	3	+	1.3 health care, pharmacy services, background studies, Department of Human Services
	4	+	1.4 program integrity, health-related licensing boards, and certain fees; providing for
	5	+	1.5 rulemaking; requiring reports; making forecast adjustments; appropriating money;
	6	+	1.6 amending Minnesota Statutes 2024, sections 13.46, subdivisions 2, 3; 62D.21;
	7	+	1.7 62D.211; 103I.005, subdivision 17b; 103I.101, subdivisions 2, 5, 6, by adding a
	8	+	1.8 subdivision; 103I.208, subdivisions 1, 1a, 2; 103I.235, subdivision 1; 103I.525,
	9	+	1.9 subdivisions 2, 6, 8; 103I.531, subdivisions 2, 6, 8; 103I.535, subdivisions 2, 6,
	10	+	1.10 8; 103I.541, subdivisions 2b, 2c, 4; 103I.545, subdivisions 1, 2; 103I.601,
	11	+	1.11 subdivisions 2, 4; 144.0758, subdivision 3; 144.1205, subdivisions 2, 4, 8, 9, 10;
	12	+	1.12 144.121, subdivisions 1a, 2, 5, by adding subdivisions; 144.1215, by adding a
	13	+	1.13 subdivision; 144.122; 144.1222, subdivision 1a; 144.3831, subdivision 1; 144.55,
	14	+	1.14 subdivision 1a; 144.554; 144.608, subdivision 2; 144.615, subdivision 8; 144.966,
	15	+	1.15 subdivision 2; 144A.291, subdivision 2; 144A.43, by adding a subdivision;
	16	+	1.16 144A.474, subdivisions 9, 11; 144A.475, subdivisions 3, 3a, 3b, 3c; 144A.71,
	17	+	1.17 subdivision 2; 144A.753, subdivision 1; 144E.123, subdivision 3; 144G.20,
	18	+	1.18 subdivisions 3, 13, 16, 17; 144G.30, subdivision 7; 144G.31, subdivisions 2, 4, 5,
	19	+	1.19 8; 144G.45, subdivision 6; 145.8811; 148.108, subdivision 1, by adding
	20	+	1.20 subdivisions; 148B.53, subdivision 3; 148E.180, subdivisions 1, 5, 7, by adding
	21	+	1.21 subdivisions; 153B.85, subdivisions 1, 3; 156.015, by adding subdivisions; 157.16,
	22	+	1.22 subdivisions 2, 2a, 3, 3a, by adding a subdivision; 174.30, subdivision 3; 245.095,
	23	+	1.23 subdivision 5, by adding a subdivision; 245A.04, subdivision 1; 245A.05; 245A.07,
	24	+	1.24 subdivision 2; 245C.13, subdivision 2; 245C.14, by adding subdivisions; 245C.15,
	25	+	1.25 subdivisions 1, 4a; 254B.06, by adding a subdivision; 256.9657, subdivisions 2,
	26	+	1.26 3; 256.983, subdivision 4; 256B.04, subdivision 21; 256B.0625, subdivisions 3b,
	27	+	1.27 8e, 13, 13c, 30; 256B.0659, subdivision 21; 256B.0949, subdivision 2; 256B.69,
	28	+	1.28 subdivision 6d; 256B.85, subdivision 12; 256L.03, subdivision 3b; 326.72,
	29	+	1.29 subdivision 1; 326.75, subdivisions 3, 3a; 327.15, subdivisions 2, 3, 4, by adding
	30	+	1.30 a subdivision; Laws 2024, chapter 127, article 67, section 4; proposing coding for
	31	+	1.31 new law in Minnesota Statutes, chapters 144; 153; repealing Minnesota Statutes
	32	+	1.32 2024, sections 103I.550; 148.108, subdivisions 2, 3, 4; 156.015, subdivision 1;
	33	+	1.33 Minnesota Rules, parts 2500.1150; 2500.2030; 4695.2900; 6900.0250, subparts
	34	+	1.34 1, 2; 9100.0400, subparts 1, 3; 9100.0500; 9100.0600.
	35	+	1
	36	+	REVISOR DTT/HL 25-0033803/03/25
26	37		State of Minnesota
27	38		This Document can be made available
28	39		in alternative formats upon request
29	40		HOUSE OF REPRESENTATIVES
30	41		H. F. No. 2435
31	42		NINETY-FOURTH SESSION
32	43		Authored by Bierman03/17/2025
33		-	The bill was read for the first time and referred to the Committee on Health Finance and Policy
34		-	Adoption of Report: Amended and re-referred to the Committee on Ways and Means04/21/2025 2.1Subd. 2.Forecasted Programs
35		-	2.2(a) Minnesota Family
36		-	2.3Investment Program
37		-	2.4(MFIP)/Diversionary Work
38		-	2.5Program (DWP)
39		-	2.6 Appropriations by Fund
40		-	2.7 2025
41		-	(5,951,000)2.8General
42		-	(5,285,000)2.9Federal TANF
43		-	(62,336,000)2.10(b) MFIP Child Care Assistance
44		-	3,737,0002.11(c) General Assistance
45		-	3,428,0002.12(d) Minnesota Supplemental Aid
46		-	11,923,0002.13(e) Housing Support
47		-	(9,526,000)2.14(f) Northstar Care for Children
48		-	(16,182,000)2.15(g) MinnesotaCare
49		-	2.16This appropriation is from the health care
50		-	2.17access fund.
51		-	2.18(h) Medical Assistance
52		-	2.19 Appropriations by Fund
53		-	2.20 2025
54		-	(1,735,000)2.21General
55		-	(443,000)2.22Health Care Access
56		-	135,928,0002.23(i) Behavioral Health Fund
57		-	2.24 Sec. 3. EFFECTIVE DATE.
58		-	2.25 Sections 1 and 2 are effective the day following final enactment.
59		-	2Sec. 3.
60		-	REVISOR DTT H2435-1HF2435 FIRST ENGROSSMENT
	44	+	The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
	45	+	2.2 ARTICLE 1
	46	+	2.3 DEPARTMENT OF HEALTH
	47	+	2.4 Section 1. Minnesota Statutes 2024, section 62D.21, is amended to read:
	48	+	2.5 62D.21 FEES.
	49	+	2.6 Every health maintenance organization subject to sections 62D.01 to 62D.30 shall pay
	50	+	2.7to the commissioner of health the following fees as prescribed by the commissioner of health
	51	+	2.8pursuant to section 144.122 for the following:
	52	+	2.9 (1) filing an application for a certificate of authority: $10,000;
	53	+	2.10 (2) filing an amendment to a certificate of authority: $125;
	54	+	2.11 (3) filing each annual report: $400; and
	55	+	2.12 (4) other filings, as specified by rule.
	56	+	2.13 (4) filing each quarterly report: $200; and
	57	+	2.14 (5) filing annual plan review documents, amendments to plan documents, and quality
	58	+	2.15plans: $125.
	59	+	2.16 EFFECTIVE DATE.This section is effective January 1, 2026.
	60	+	2.17 Sec. 2. Minnesota Statutes 2024, section 62D.211, is amended to read:
	61	+	2.18 62D.211 RENEWAL FEE.
	62	+	2.19 Each health maintenance organization subject to sections 62D.01 to 62D.30 shall submit
	63	+	2.20to the commissioner of health each year before June 15 a certificate of authority renewal
	64	+	2.21fee in the amount of $10,000 $30,000 each plus 20 88 cents per person enrolled in the health
	65	+	2.22maintenance organization on December 31 of the preceding year. The commissioner may
	66	+	2.23adjust the renewal fee in rule under the provisions of chapter 14.
	67	+	2.24 EFFECTIVE DATE.This section is effective January 1, 2026.
	68	+	2.25 Sec. 3. Minnesota Statutes 2024, section 103I.005, subdivision 17b, is amended to read:
	69	+	2.26 Subd. 17b.Temporary boring."Temporary boring" means an excavation that is 15
	70	+	2.27feet or more in depth, is sealed within 72 hours of the time of construction, and is drilled,
	71	+	2.28cored, washed, driven, dug, jetted, or otherwise constructed to:
	72	+	2Article 1 Sec. 3.
	73	+	REVISOR DTT/HL 25-0033803/03/25 3.1 (1) conduct physical, chemical, or biological testing of groundwater, including
	74	+	3.2groundwater quality monitoring;
	75	+	3.3 (2) monitor or measure physical, chemical, radiological, or biological parameters of
	76	+	3.4earth materials or earth fluids, including hydraulic conductivity, bearing capacity, or
	77	+	3.5resistance;
	78	+	3.6 (3) measure groundwater levels, including use of a piezometer; and or
	79	+	3.7 (4) determine groundwater flow direction or velocity.
	80	+	3.8 Sec. 4. Minnesota Statutes 2024, section 103I.101, subdivision 2, is amended to read:
	81	+	3.9 Subd. 2.Duties.The commissioner shall:
	82	+	3.10 (1) regulate the drilling, construction, modification, repair, and sealing of wells and
	83	+	3.11borings;
	84	+	3.12 (2) examine and license:
	85	+	3.13 (i) well contractors;
	86	+	3.14 (ii) persons constructing, repairing, and sealing bored geothermal heat exchangers;
	87	+	3.15 (iii) persons modifying or repairing well casings above the pitless unit or adaptor, well
	88	+	3.16screens, well diameters, and installing well pumps or pumping equipment;
	89	+	3.17 (iv) persons constructing, repairing, and sealing dewatering wells;
	90	+	3.18 (v) persons sealing wells or borings; and
	91	+	3.19 (vi) persons excavating or drilling holes for the installation of elevator borings; and
	92	+	3.20 (vii) persons installing, removing, or maintaining groundwater thermal exchange devices
	93	+	3.21and submerged closed loop heat exchangers;
	94	+	3.22 (3) examine and license environmental well contractors;
	95	+	3.23 (4) license explorers engaged in exploratory boring and examine individuals who
	96	+	3.24supervise or oversee exploratory boring;
	97	+	3.25 (5) after consultation with the commissioner of natural resources and the Pollution
	98	+	3.26Control Agency, establish standards for the design, location, construction, repair, and sealing
	99	+	3.27of wells and borings within the state; and
	100	+	3.28 (6) issue permits for wells, groundwater thermal devices, bored geothermal heat
	101	+	3.29exchangers, installation of submerged closed loop heat exchanger systems, and elevator
	102	+	3.30borings.
	103	+	3Article 1 Sec. 4.
	104	+	REVISOR DTT/HL 25-0033803/03/25 4.1 Sec. 5. Minnesota Statutes 2024, section 103I.101, subdivision 5, is amended to read:
	105	+	4.2 Subd. 5.Commissioner to adopt rules.The commissioner shall adopt rules including:
	106	+	4.3 (1) issuance of licenses for:
	107	+	4.4 (i) qualified well contractors;
	108	+	4.5 (ii) persons constructing, repairing, and sealing dewatering wells;
	109	+	4.6 (iii) persons sealing wells or borings;
	110	+	4.7 (iv) persons installing, modifying, or repairing well casings, well screens, well diameters,
	111	+	4.8and well pumps or pumping equipment;
	112	+	4.9 (v) persons constructing, repairing, and sealing bored geothermal heat exchangers;
	113	+	4.10 (vi) persons constructing, repairing, and sealing elevator borings; and
	114	+	4.11 (vii) persons constructing, repairing, and sealing environmental wells; and
	115	+	4.12 (viii) persons installing, removing, or maintaining groundwater thermal exchange devices
	116	+	4.13and submerged closed loop heat exchangers;
	117	+	4.14 (2) establishment of conditions for examination and review of applications for license
	118	+	4.15and certification;
	119	+	4.16 (3) establishment of conditions for revocation and suspension of license and certification;
	120	+	4.17 (4) establishment of minimum standards for design, location, construction, repair, and
	121	+	4.18sealing of wells and borings to implement the purpose and intent of this chapter;
	122	+	4.19 (5) establishment of a system for reporting on wells and borings drilled and sealed;
	123	+	4.20 (6) establishment of standards for the construction, maintenance, sealing, and water
	124	+	4.21quality monitoring of wells in areas of known or suspected contamination;
	125	+	4.22 (7) establishment of wellhead protection measures for wells serving public water supplies;
	126	+	4.23 (8) establishment of procedures to coordinate collection of well and boring data with
	127	+	4.24other state and local governmental agencies;
	128	+	4.25 (9) establishment of criteria and procedures for submission of well and boring logs,
	129	+	4.26formation samples or well or boring cuttings, water samples, or other special information
	130	+	4.27required for and water resource mapping; and
	131	+	4.28 (10) establishment of minimum standards for design, location, construction, maintenance,
	132	+	4.29repair, sealing, safety, and resource conservation related to borings, including exploratory
	133	+	4.30borings as defined in section 103I.005, subdivision 9.
	134	+	4Article 1 Sec. 5.
	135	+	REVISOR DTT/HL 25-0033803/03/25 5.1 Sec. 6. Minnesota Statutes 2024, section 103I.101, subdivision 6, is amended to read:
	136	+	5.2 Subd. 6.Fees for variances.The commissioner shall charge a nonrefundable application
	137	+	5.3fee of $275 $325 to cover the administrative cost of processing a request for a variance or
	138	+	5.4modification of rules adopted by the commissioner under this chapter.
	139	+	5.5 Sec. 7. Minnesota Statutes 2024, section 103I.101, is amended by adding a subdivision
	140	+	5.6to read:
	141	+	5.7 Subd. 7.Inspection.At a minimum, the commissioner of health shall inspect at least
	142	+	5.825 percent of well construction notifications each year under this section.
	143	+	5.9 Sec. 8. Minnesota Statutes 2024, section 103I.208, subdivision 1, is amended to read:
	144	+	5.10 Subdivision 1.Well notification fee.The well notification fee to be paid by a property
	145	+	5.11owner is:
	146	+	5.12 (1) for construction of a water supply well, $275 $325, which includes the state core
	147	+	5.13function fee;
	148	+	5.14 (2) for a well sealing, $75 $125 for each well or temporary boring, which includes the
	149	+	5.15state core function fee, except that: (i) a single notification and fee of $75 $125 is required
	150	+	5.16for all temporary borings on a single property and sealed within 72 hours of start of
	151	+	5.17construction; and (ii) temporary borings less than 25 feet in depth are exempt from the
	152	+	5.18notification and fee requirements in this chapter;
	153	+	5.19 (3) for construction of a dewatering well, $275 $330, which includes the state core
	154	+	5.20function fee, for each dewatering well, except a dewatering project comprising five or more
	155	+	5.21dewatering wells shall be assessed a single fee of $1,375 $1,620 for the dewatering wells
	156	+	5.22recorded on the notification; and
	157	+	5.23 (4) for construction of an environmental well, $275 $330, which includes the state core
	158	+	5.24function fee, except that a single fee of $275 is required for all environmental wells recorded
	159	+	5.25on the notification that are located on a single property, and except that no fee is required
	160	+	5.26for construction of a temporary boring for each environmental well, except an environmental
	161	+	5.27well site project comprising five or more environmental wells shall be assessed a single fee
	162	+	5.28of $1,620 for the environmental wells recorded on the notification.
	163	+	5.29 Sec. 9. Minnesota Statutes 2024, section 103I.208, subdivision 1a, is amended to read:
	164	+	5.30 Subd. 1a.State core function fee.The state core function fee to be collected by the
	165	+	5.31state and delegated community health boards and used to support state core functions is:
	166	+	5Article 1 Sec. 9.
	167	+	REVISOR DTT/HL 25-0033803/03/25 6.1 (1) for a new well, $20 $40; and
	168	+	6.2 (2) for a well sealing, $5 $15.
	169	+	6.3 Sec. 10. Minnesota Statutes 2024, section 103I.208, subdivision 2, is amended to read:
	170	+	6.4 Subd. 2.Permit fee.(a) The permit fee to be paid by a property owner is:
	171	+	6.5 (1) for a water supply well that is not in use under a maintenance permit, $175 $225
	172	+	6.6annually;
	173	+	6.7 (2) for an environmental well that is unsealed under a maintenance permit, $175 annually
	174	+	6.8except no fee is required for an environmental well owned by a federal agency, state agency,
	175	+	6.9or local unit of government that is unsealed under a maintenance permit. "Local unit of
	176	+	6.10government" means a statutory or home rule charter city, town, county, or soil and water
	177	+	6.11conservation district, a watershed district, an organization formed for the joint exercise of
	178	+	6.12powers under section 471.59, a community health board, or other special purpose district
	179	+	6.13or authority with local jurisdiction in water and related land resources management;
	180	+	6.14 (3) for environmental wells on an environmental well site that are unsealed under a
	181	+	6.15maintenance permit,:
	182	+	6.16 $175 (i) $225 annually for one to ten environmental wells per site regardless of the
	183	+	6.17number of environmental wells located on site;
	184	+	6.18 (ii) $325 annually for 11 to 20 environmental wells per site; and
	185	+	6.19 (iii) $425 annually for 21 or more environmental wells per site;
	186	+	6.20 (4) for a groundwater thermal exchange device, in addition to the notification fee for
	187	+	6.21water supply wells, $275 $350 for systems using 20 gallons per minute or less and $590
	188	+	6.22for systems using over 20 gallons per minute, which includes the state core function fee;
	189	+	6.23 (5) for a bored geothermal heat exchanger with less than ten tons of heating/cooling
	190	+	6.24capacity, $275 $350;
	191	+	6.25 (6) for a bored geothermal heat exchanger with ten to 50 tons of heating/cooling capacity,
	192	+	6.26$515 $590;
	193	+	6.27 (7) for a bored geothermal heat exchanger with greater than 50 tons of heating/cooling
	194	+	6.28capacity, $740 $815;
	195	+	6.29 (8) for a dewatering well that is unsealed under a maintenance permit, $175 $330 annually
	196	+	6.30for each dewatering well, except a dewatering project comprising more than five or more
	197	+	6Article 1 Sec. 10.
	198	+	REVISOR DTT/HL 25-0033803/03/25 7.1dewatering wells shall be issued a single permit for $875 $1,620 annually for dewatering
	199	+	7.2wells recorded on the permit;
	200	+	7.3 (9) for an elevator boring, $275 $325 for each boring; and
	201	+	7.4 (10) for a submerged closed loop heat exchanger system, in addition to the notification
	202	+	7.5fee for water supply wells, $3,250, which includes the state core function fee.
	203	+	7.6 (b) For purposes of this subdivision, an environmental well site includes all of the
	204	+	7.7environmental wells on a single property. A single property is considered one tax parcel or
	205	+	7.8multiple contiguous parcels with the same owner.
	206	+	7.9 Sec. 11. Minnesota Statutes 2024, section 103I.235, subdivision 1, is amended to read:
	207	+	7.10 Subdivision 1.Disclosure of wells to buyer.(a) Before signing an agreement to sell or
	208	+	7.11transfer real property, the seller must disclose in writing to the buyer information about the
	209	+	7.12status and location of all known wells on the property, by delivering to the buyer either a
	210	+	7.13statement by the seller that the seller does not know of any wells on the property, or a
	211	+	7.14disclosure statement indicating the legal description and county, and a map drawn from
	212	+	7.15available information showing the location of each well to the extent practicable. In the
	213	+	7.16disclosure statement, the seller must indicate, for each well, whether the well is in use, not
	214	+	7.17in use, or sealed.
	215	+	7.18 (b) At the time of closing of the sale, the disclosure statement information, name and
	216	+	7.19mailing address of the buyer, and the quartile, section, township, and range in which each
	217	+	7.20well is located must be provided on a well disclosure certificate signed by the seller or a
	218	+	7.21person authorized to act on behalf of the seller.
	219	+	7.22 (c) A well disclosure certificate need not be provided if the seller does not know of any
	220	+	7.23wells on the property and the deed or other instrument of conveyance contains the statement:
	221	+	7.24"The Seller certifies that the Seller does not know of any wells on the described real
	222	+	7.25property."
	223	+	7.26 (d) If a deed is given pursuant to a contract for deed, the well disclosure certificate
	224	+	7.27required by this subdivision shall be signed by the buyer or a person authorized to act on
	225	+	7.28behalf of the buyer. If the buyer knows of no wells on the property, a well disclosure
	226	+	7.29certificate is not required if the following statement appears on the deed followed by the
	227	+	7.30signature of the grantee or, if there is more than one grantee, the signature of at least one
	228	+	7.31of the grantees: "The Grantee certifies that the Grantee does not know of any wells on the
	229	+	7.32described real property." The statement and signature of the grantee may be on the front or
	230	+	7Article 1 Sec. 11.
	231	+	REVISOR DTT/HL 25-0033803/03/25 8.1back of the deed or on an attached sheet and an acknowledgment of the statement by the
	232	+	8.2grantee is not required for the deed to be recordable.
	233	+	8.3 (e) This subdivision does not apply to the sale, exchange, or transfer of real property:
	234	+	8.4 (1) that consists solely of a sale or transfer of severed mineral interests; or
	235	+	8.5 (2) that consists of an individual condominium unit as described in chapters 515 and
	236	+	8.6515B.
	237	+	8.7 (f) For an area owned in common under chapter 515 or 515B the association or other
	238	+	8.8responsible person must report to the commissioner by July 1, 1992, the location and status
	239	+	8.9of all wells in the common area. The association or other responsible person must notify
	240	+	8.10the commissioner within 30 days of any change in the reported status of wells.
	241	+	8.11 (g) If the seller fails to provide a required well disclosure certificate, the buyer, or a
	242	+	8.12person authorized to act on behalf of the buyer, may sign a well disclosure certificate based
	243	+	8.13on the information provided on the disclosure statement required by this section or based
	244	+	8.14on other available information.
	245	+	8.15 (h) A county recorder or registrar of titles may not record a deed or other instrument of
	246	+	8.16conveyance dated after October 31, 1990, for which a certificate of value is required under
	247	+	8.17section 272.115, or any deed or other instrument of conveyance dated after October 31,
	248	+	8.181990, from a governmental body exempt from the payment of state deed tax, unless the
	249	+	8.19deed or other instrument of conveyance contains the statement made in accordance with
	250	+	8.20paragraph (c) or (d) or is accompanied by the well disclosure certificate containing all the
	251	+	8.21information required by paragraph (b) or (d). The county recorder or registrar of titles must
	252	+	8.22not accept a certificate unless it contains all the required information. The county recorder
	253	+	8.23or registrar of titles shall note on each deed or other instrument of conveyance accompanied
	254	+	8.24by a well disclosure certificate that the well disclosure certificate was received. The notation
	255	+	8.25must include the statement "No wells on property" if the disclosure certificate states there
	256	+	8.26are no wells on the property. The well disclosure certificate shall not be filed or recorded
	257	+	8.27in the records maintained by the county recorder or registrar of titles. After noting "No wells
	258	+	8.28on property" on the deed or other instrument of conveyance, the county recorder or registrar
	259	+	8.29of titles shall destroy or return to the buyer the well disclosure certificate. The county
	260	+	8.30recorder or registrar of titles shall collect from the buyer or the person seeking to record a
	261	+	8.31deed or other instrument of conveyance, a fee of $50 $54 for receipt of a completed well
	262	+	8.32disclosure certificate. By the tenth day of each month, the county recorder or registrar of
	263	+	8.33titles shall transmit the well disclosure certificates to the commissioner of health. By the
	264	+	8.34tenth day after the end of each calendar quarter, the county recorder or registrar of titles
	265	+	8Article 1 Sec. 11.
	266	+	REVISOR DTT/HL 25-0033803/03/25 9.1shall transmit to the commissioner of health $42.50 $46.50 of the fee for each well disclosure
	267	+	9.2certificate received during the quarter. The commissioner shall maintain the well disclosure
	268	+	9.3certificate for at least six years. The commissioner may store the certificate as an electronic
	269	+	9.4image. A copy of that image shall be as valid as the original.
	270	+	9.5 (i) No new well disclosure certificate is required under this subdivision if the buyer or
	271	+	9.6seller, or a person authorized to act on behalf of the buyer or seller, certifies on the deed or
	272	+	9.7other instrument of conveyance that the status and number of wells on the property have
	273	+	9.8not changed since the last previously filed well disclosure certificate. The following
	274	+	9.9statement, if followed by the signature of the person making the statement, is sufficient to
	275	+	9.10comply with the certification requirement of this paragraph: "I am familiar with the property
	276	+	9.11described in this instrument and I certify that the status and number of wells on the described
	277	+	9.12real property have not changed since the last previously filed well disclosure certificate."
	278	+	9.13The certification and signature may be on the front or back of the deed or on an attached
	279	+	9.14sheet and an acknowledgment of the statement is not required for the deed or other instrument
	280	+	9.15of conveyance to be recordable.
	281	+	9.16 (j) The commissioner in consultation with county recorders shall prescribe the form for
	282	+	9.17a well disclosure certificate and provide well disclosure certificate forms to county recorders
	283	+	9.18and registrars of titles and other interested persons.
	284	+	9.19 (k) Failure to comply with a requirement of this subdivision does not impair:
	285	+	9.20 (1) the validity of a deed or other instrument of conveyance as between the parties to
	286	+	9.21the deed or instrument or as to any other person who otherwise would be bound by the deed
	287	+	9.22or instrument; or
	288	+	9.23 (2) the record, as notice, of any deed or other instrument of conveyance accepted for
	289	+	9.24filing or recording contrary to the provisions of this subdivision.
	290	+	9.25 Sec. 12. Minnesota Statutes 2024, section 103I.525, subdivision 2, is amended to read:
	291	+	9.26 Subd. 2.Certification fee.(a) The application fee for certification as a representative
	292	+	9.27of a well contractor is $75 $100. The commissioner may not act on an application until the
	293	+	9.28application fee is paid.
	294	+	9.29 (b) The renewal fee for certification as a representative of a well contractor is $75 $100.
	295	+	9.30The commissioner may not renew a certification until the renewal fee is paid.
	296	+	9.31 (c) A certified representative must file an application and a renewal application fee to
	297	+	9.32renew the certification by the date stated in the certification. The renewal application must
	298	+	9Article 1 Sec. 12.
	299	+	REVISOR DTT/HL 25-0033803/03/25 10.1include information that the certified representative has met continuing education
	300	+	10.2requirements established by the commissioner by rule.
	301	+	10.3 Sec. 13. Minnesota Statutes 2024, section 103I.525, subdivision 6, is amended to read:
	302	+	10.4 Subd. 6.License fee.The fee for a well contractor's license is $250 $300.
	303	+	10.5 Sec. 14. Minnesota Statutes 2024, section 103I.525, subdivision 8, is amended to read:
	304	+	10.6 Subd. 8.Renewal.(a) A licensee must file an application and a renewal application fee
	305	+	10.7to renew the license by the date stated in the license.
	306	+	10.8 (b) The renewal application fee for a well contractor's license is $250 $300.
	307	+	10.9 (c) The renewal application must include information that the certified representative
	308	+	10.10of the applicant has met continuing education requirements established by the commissioner
	309	+	10.11by rule.
	310	+	10.12 (d) At the time of the renewal, the commissioner must have on file all properly completed
	311	+	10.13well and boring construction reports, well and boring sealing reports, reports of elevator
	312	+	10.14borings, water sample analysis reports, well and boring permits, and well notifications for
	313	+	10.15work conducted by the licensee since the last license renewal.
	314	+	10.16Sec. 15. Minnesota Statutes 2024, section 103I.531, subdivision 2, is amended to read:
	315	+	10.17 Subd. 2.Certification fee.(a) The application fee for certification as a representative
	316	+	10.18of a limited well/boring contractor is $75 $100. The commissioner may not act on an
	317	+	10.19application until the application fee is paid.
	318	+	10.20 (b) The renewal fee for certification as a representative of a limited well/boring contractor
	319	+	10.21is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
	320	+	10.22 (c) The fee for three or more limited well/boring contractor certifications is $225 $275.
	321	+	10.23 (d) A certified representative must file an application and a renewal application fee to
	322	+	10.24renew the certification by the date stated in the certification. The renewal application must
	323	+	10.25include information that the certified representative has met continuing education
	324	+	10.26requirements established by the commissioner by rule.
	325	+	10.27Sec. 16. Minnesota Statutes 2024, section 103I.531, subdivision 6, is amended to read:
	326	+	10.28 Subd. 6.License fee.The fee for a limited well/boring contractor's license is $75 $100.
	327	+	10.29The fee for three or more limited well/boring contractor licenses is $225 $275.
	328	+	10Article 1 Sec. 16.
	329	+	REVISOR DTT/HL 25-0033803/03/25 11.1 Sec. 17. Minnesota Statutes 2024, section 103I.531, subdivision 8, is amended to read:
	330	+	11.2 Subd. 8.Renewal.(a) A person must file an application and a renewal application fee
	331	+	11.3to renew the limited well/boring contractor's license by the date stated in the license.
	332	+	11.4 (b) The renewal application fee for a limited well/boring contractor's license is $75 $100.
	333	+	11.5 (c) The renewal application must include information that the certified representative
	334	+	11.6of the applicant has met continuing education requirements established by the commissioner
	335	+	11.7by rule.
	336	+	11.8 (d) At the time of the renewal, the commissioner must have on file all properly completed
	337	+	11.9well and boring construction reports, well and boring sealing reports, well and boring
	338	+	11.10permits, water quality sample reports, and well notifications for work conducted by the
	339	+	11.11licensee since the last license renewal.
	340	+	11.12Sec. 18. Minnesota Statutes 2024, section 103I.535, subdivision 2, is amended to read:
	341	+	11.13 Subd. 2.Certification fee.(a) The application fee for certification as a representative
	342	+	11.14of an elevator boring contractor is $75 $100. The commissioner may not act on an application
	343	+	11.15until the application fee is paid.
	344	+	11.16 (b) The renewal fee for certification as a representative of an elevator boring contractor
	345	+	11.17is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
	346	+	11.18 (c) A certified representative must file an application and a renewal application fee to
	347	+	11.19renew the certification by the date stated in the certification. The renewal application must
	348	+	11.20include information that the certified representative has met continuing education
	349	+	11.21requirements established by the commissioner by rule.
	350	+	11.22Sec. 19. Minnesota Statutes 2024, section 103I.535, subdivision 6, is amended to read:
	351	+	11.23 Subd. 6.License fee.The fee for an elevator boring contractor's license is $75 $100.
	352	+	11.24Sec. 20. Minnesota Statutes 2024, section 103I.535, subdivision 8, is amended to read:
	353	+	11.25 Subd. 8.Renewal.(a) A person must file an application and a renewal application fee
	354	+	11.26to renew the license by the date stated in the license.
	355	+	11.27 (b) The renewal application fee for an elevator boring contractor's license is $75 $100.
	356	+	11.28 (c) The renewal application must include information that the certified representative
	357	+	11.29of the applicant has met continuing education requirements established by the commissioner
	358	+	11.30by rule.
	359	+	11Article 1 Sec. 20.
	360	+	REVISOR DTT/HL 25-0033803/03/25 12.1 (d) At the time of renewal, the commissioner must have on file all reports and permits
	361	+	12.2for elevator boring work conducted by the licensee since the last license renewal.
	362	+	12.3 Sec. 21. Minnesota Statutes 2024, section 103I.541, subdivision 2b, is amended to read:
	363	+	12.4 Subd. 2b.Issuance of license.If a person employs a certified representative, submits
	364	+	12.5the bond under subdivision 3, and pays the license fee of $75 $100 for an environmental
	365	+	12.6well contractor license, the commissioner shall issue an environmental well contractor
	366	+	12.7license to the applicant. The fee for an individual registration is $75 $100. The commissioner
	367	+	12.8may not act on an application until the application fee is paid.
	368	+	12.9 Sec. 22. Minnesota Statutes 2024, section 103I.541, subdivision 2c, is amended to read:
	369	+	12.10 Subd. 2c.Certification fee.(a) The application fee for certification as a representative
	370	+	12.11of an environmental well contractor is $75 $100. The commissioner may not act on an
	371	+	12.12application until the application fee is paid.
	372	+	12.13 (b) The renewal fee for certification as a representative of an environmental well
	373	+	12.14contractor is $75 $100. The commissioner may not renew a certification until the renewal
	374	+	12.15fee is paid.
	375	+	12.16 (c) A certified representative must file an application and a renewal application fee to
	376	+	12.17renew the certification by the date stated in the certification. The renewal application must
	377	+	12.18include information that the certified representative has met continuing education
	378	+	12.19requirements established by the commissioner by rule.
	379	+	12.20Sec. 23. Minnesota Statutes 2024, section 103I.541, subdivision 4, is amended to read:
	380	+	12.21 Subd. 4.License renewal.(a) A person must file an application and a renewal application
	381	+	12.22fee to renew the license by the date stated in the license.
	382	+	12.23 (b) The renewal application fee for an environmental well contractor's license is $75
	383	+	12.24$100.
	384	+	12.25 (c) The renewal application must include information that the certified representative
	385	+	12.26of the applicant has met continuing education requirements established by the commissioner
	386	+	12.27by rule.
	387	+	12.28 (d) At the time of the renewal, the commissioner must have on file all well and boring
	388	+	12.29construction reports, well and boring sealing reports, well permits, and notifications for
	389	+	12.30work conducted by the licensed person since the last license renewal.
	390	+	12Article 1 Sec. 23.
	391	+	REVISOR DTT/HL 25-0033803/03/25 13.1 Sec. 24. Minnesota Statutes 2024, section 103I.545, subdivision 1, is amended to read:
	392	+	13.2 Subdivision 1.Drilling machine.(a) A person may not use a drilling machine such as
	393	+	13.3a cable tool, rotary tool, hollow rod tool, or auger for a drilling activity requiring a license
	394	+	13.4under this chapter unless the drilling machine is registered with the commissioner.
	395	+	13.5 (b) A person must apply for the registration on forms prescribed by the commissioner
	396	+	13.6and submit a $75 $125 registration fee.
	397	+	13.7 (c) A registration is valid for one year.
	398	+	13.8 Sec. 25. Minnesota Statutes 2024, section 103I.545, subdivision 2, is amended to read:
	399	+	13.9 Subd. 2.Hoist.(a) A person may not use a machine such as a hoist for an activity
	400	+	13.10requiring a license under this chapter to repair wells or borings, seal wells or borings, or
	401	+	13.11install pumps unless the machine is registered with the commissioner.
	402	+	13.12 (b) A person must apply for the registration on forms prescribed by the commissioner
	403	+	13.13and submit a $75 $125 registration fee.
	404	+	13.14 (c) A registration is valid for one year.
	405	+	13.15Sec. 26. Minnesota Statutes 2024, section 103I.601, subdivision 2, is amended to read:
	406	+	13.16 Subd. 2.License required to make borings.(a) Except as provided in paragraph (d),
	407	+	13.17a person must not make an exploratory boring without an explorer's license. The fee for an
	408	+	13.18explorer's license is $75 $100. The explorer's license is valid until the date prescribed in the
	409	+	13.19license by the commissioner.
	410	+	13.20 (b) A person must file an application and renewal application fee to renew the explorer's
	411	+	13.21license by the date stated in the license. The renewal application fee is $75 $100.
	412	+	13.22 (c) If the licensee submits an application fee after the required renewal date, the licensee:
	413	+	13.23 (1) must include a late fee of $75; and
	414	+	13.24 (2) may not conduct activities authorized by an explorer's license until the renewal
	415	+	13.25application, renewal application fee, late fee, and sealing reports required in subdivision 9
	416	+	13.26are submitted.
	417	+	13.27 (d) An explorer must designate a responsible individual to supervise and oversee the
	418	+	13.28making of exploratory borings.
	419	+	13Article 1 Sec. 26.
	420	+	REVISOR DTT/HL 25-0033803/03/25 14.1 (1) Before an individual supervises or oversees an exploratory boring, the individual
	421	+	14.2must file an application and application fee of $75 $100 to qualify as a certified responsible
	422	+	14.3individual.
	423	+	14.4 (2) The individual must take and pass an examination relating to construction, location,
	424	+	14.5and sealing of exploratory borings. A professional engineer or geoscientist licensed under
	425	+	14.6sections 326.02 to 326.15 or a professional geologist certified by the American Institute of
	426	+	14.7Professional Geologists is not required to take the examination required in this subdivision,
	427	+	14.8but must be certified as a responsible individual to supervise an exploratory boring.
	428	+	14.9 (3) The individual must file an application and a renewal fee of $75 $100 to renew the
	429	+	14.10responsible individual's certification by the date stated in the certification. If the certified
	430	+	14.11responsible individual submits an application fee after the renewal date, the certified
	431	+	14.12responsible individual must include a late fee of $75 and may not supervise or oversee
	432	+	14.13exploratory borings until the renewal application, application fee, and late fee are submitted.
	433	+	14.14Sec. 27. Minnesota Statutes 2024, section 103I.601, subdivision 4, is amended to read:
	434	+	14.15 Subd. 4.Notification and map of borings.(a) By ten days before beginning exploratory
	435	+	14.16boring, an explorer must submit to the commissioner of health a notification of the proposed
	436	+	14.17boring map and a fee of $275 $325 for each boring constructed.
	437	+	14.18 (b) By ten days before beginning exploratory boring, an explorer must submit to the
	438	+	14.19commissioners of health and natural resources a county road map on a single sheet of paper
	439	+	14.20that is 8-1/2 by 11 inches in size and having a scale of one-half inch equal to one mile, as
	440	+	14.21prepared by the Department of Transportation, or a 7.5 minute series topographic map
	441	+	14.22(1:24,000 scale), as prepared by the United States Geological Survey, showing the location
	442	+	14.23of each proposed exploratory boring to the nearest estimated 40 acre parcel. Exploratory
	443	+	14.24boring that is proposed on the map may not be commenced later than 180 days after
	444	+	14.25submission of the map, unless a new map is submitted.
	445	+	14.26Sec. 28. Minnesota Statutes 2024, section 144.0758, subdivision 3, is amended to read:
	446	+	14.27 Subd. 3.Eligible grantees.(a) Organizations eligible to receive grant funding under
	447	+	14.28this section are Minnesota's Tribal Nations in accordance with paragraph (b) and urban
	448	+	14.29American Indian community-based organizations in accordance with paragraph (c).
	449	+	14.30 (b) Minnesota's Tribal Nations may choose to receive funding under this section according
	450	+	14.31to a noncompetitive funding formula specified by the commissioner.
	451	+	14Article 1 Sec. 28.
	452	+	REVISOR DTT/HL 25-0033803/03/25 15.1 (c) Urban American Indian community-based organizations are eligible to apply for
	453	+	15.2funding under this section by submitting a proposal for consideration by the commissioner.
	454	+	15.3 Sec. 29. Minnesota Statutes 2024, section 144.1205, subdivision 2, is amended to read:
	455	+	15.4 Subd. 2.Initial and annual fee.(a) A licensee must pay an initial fee that is equivalent
	456	+	15.5to the annual fee upon issuance of the initial license.
	457	+	15.6 (b) A licensee must pay an annual fee at least 60 days before the anniversary date of the
	458	+	15.7issuance of the license. The annual fee is as follows:
	459	+	LICENSE FEE15.8 TYPE
	460	+	15.9 $25,896
	461	+	$34,50015.10Academic broad scope - type A, B, or C
	462	+	15.11 $31,075
	463	+	$41,40015.12Academic broad scope - type A, B, or C (4-8 locations)
	464	+	15.13 $36,254
	465	+	$48,30015.14Academic broad scope - type A, B, or C (9 or more locations)
	466	+	15.15 $25,896
	467	+	$34,50015.16Medical broad scope - type A
	468	+	15.17 $31,075
	469	+	$41,40015.18Medical broad scope - type A (4-8 locations)
	470	+	15.19 $36,254
	471	+	$48,30015.20Medical broad scope - type A (9 or more locations)
	472	+	$4,784
	473	+	$6,600
	474	+	15.21Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
	475	+	15.22medicine, eye applicators, high dose rate afterloaders, and
	476	+	15.23medical therapy emerging technologies
	477	+	$5,740
	478	+	$7,900
	479	+	15.24Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
	480	+	15.25medicine, eye applicators, high dose rate afterloaders, and
	481	+	15.26medical therapy emerging technologies (4-8 locations)
	482	+	$6,697
	483	+	$9,200
	484	+	15.27Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
	485	+	15.28medicine, eye applicators, high dose rate afterloaders, and
	486	+	15.29medical therapy emerging technologies (9 or more locations)
	487	+	15.30 $11,648
	488	+	$15,50015.31Teletherapy
	489	+	15.32 $11,648
	490	+	$15,50015.33Gamma knife
	491	+	15.34 $2,600
	492	+	$3,50015.35Veterinary medicine
	493	+	15.36 $2,600
	494	+	$3,50015.37In vitro testing lab
	495	+	15.38 $11,440
	496	+	$15,30015.39Nuclear pharmacy
	497	+	15.40 $13,728
	498	+	$18,30015.41Nuclear pharmacy (5 or more locations)
	499	+	15Article 1 Sec. 29.
	500	+	REVISOR DTT/HL 25-0033803/03/25 16.1 $4,992
	501	+	$6,70016.2Radiopharmaceutical distribution (10 CFR 32.72)
	502	+	$11,440
	503	+	$15,300
	504	+	16.3Radiopharmaceutical processing and distribution (10 CFR
	505	+	16.432.72)
	506	+	$13,728
	507	+	$18,300
	508	+	16.5Radiopharmaceutical processing and distribution (10 CFR
	509	+	16.632.72) (5 or more locations)
	510	+	16.7 $4,992
	511	+	$6,70016.8Medical sealed sources - distribution (10 CFR 32.74)
	512	+	$11,440
	513	+	$15,300
	514	+	16.9Medical sealed sources - processing and distribution (10 CFR
	515	+	16.1032.74)
	516	+	$13,728
	517	+	$18,300
	518	+	16.11Medical sealed sources - processing and distribution (10 CFR
	519	+	16.1232.74) (5 or more locations)
	520	+	16.13 $4,888
	521	+	$6,60016.14Well logging - sealed sources
	522	+	$2,600
	523	+	$3,800
	524	+	16.15Measuring systems - (fixed gauge, portable gauge, gas
	525	+	16.16chromatograph, other)
	526	+	$3,120
	527	+	$4,500
	528	+	16.17Measuring systems - (fixed gauge, portable gauge, gas
	529	+	16.18chromatograph, other) (4-8 locations)
	530	+	$3,640
	531	+	$5,200
	532	+	16.19Measuring systems - (fixed gauge, portable gauge, gas
	533	+	16.20chromatograph, other) (9 or more locations)
	534	+	16.21 $1,976
	535	+	$2,70016.22X-ray fluorescent analyzer
	536	+	16.23 $25,896
	537	+	$34,50016.24Manufacturing and distribution - type A broad scope
	538	+	$31,075
	539	+	$41,400
	540	+	16.25Manufacturing and distribution - type A broad scope (4-8
	541	+	16.26locations)
	542	+	$36,254
	543	+	$48,300
	544	+	16.27Manufacturing and distribution - type A broad scope (9 or more
	545	+	16.28locations)
	546	+	16.29 $22,880
	547	+	$30,50016.30Manufacturing and distribution - type B or C broad scope
	548	+	$27,456
	549	+	$36,600
	550	+	16.31Manufacturing and distribution - type B or C broad scope (4-8
	551	+	16.32locations)
	552	+	$32,032
	553	+	$42,700
	554	+	16.33Manufacturing and distribution - type B or C broad scope (9
	555	+	16.34or more locations)
	556	+	16.35 $6,864
	557	+	$9,20016.36Manufacturing and distribution - other
	558	+	16.37 $8,236
	559	+	$11,00016.38Manufacturing and distribution - other (4-8 locations)
	560	+	16.39 $9,609
	561	+	$12,80016.40Manufacturing and distribution - other (9 or more locations)
	562	+	16.41 $24,232
	563	+	$32,30016.42Nuclear laundry
	564	+	16.43 $6,448
	565	+	$8,60016.44Decontamination services
	566	+	16.45 $2,600
	567	+	$3,50016.46Leak test services only
	568	+	16Article 1 Sec. 29.
	569	+	REVISOR DTT/HL 25-0033803/03/25 17.1 $2,600
	570	+	$3,50017.2Instrument calibration service only
	571	+	17.3 $6,448
	572	+	$8,60017.4Service, maintenance, installation, source changes, etc.
	573	+	17.5 $7,800
	574	+	$10,40017.6Waste disposal service, prepackaged only
	575	+	17.7 $10,816
	576	+	$14,40017.8Waste disposal
	577	+	17.9 $2,288
	578	+	$3,10017.10Distribution - general licensed devices (sealed sources)
	579	+	17.11 $1,456
	580	+	$2,00017.12Distribution - general licensed material (unsealed sources)
	581	+	17.13 $12,792
	582	+	$17,20017.14Industrial radiography - fixed or temporary location
	583	+	$16,629
	584	+	$22,300
	585	+	17.15Industrial radiography - fixed or temporary location (5 or more
	586	+	17.16locations)
	587	+	17.17 $3,744
	588	+	$5,00017.18Irradiators, self-shielding
	589	+	17.19 $6,968
	590	+	$9,30017.20Irradiators, other, less than 10,000 curies
	591	+	17.21 $12,376
	592	+	$16,50017.22Research and development - type A, B, or C broad scope
	593	+	$14,851
	594	+	$19,800
	595	+	17.23Research and development - type A, B, or C broad scope (4-8
	596	+	17.24locations)
	597	+	$17,326
	598	+	$23,100
	599	+	17.25Research and development - type A, B, or C broad scope (9 or
	600	+	17.26more locations)
	601	+	17.27 $5,824
	602	+	$7,80017.28Research and development - other
	603	+	17.29 $2,600
	604	+	$3,50017.30Storage - no operations
	605	+	17.31 $759
	606	+	$1,10017.32Source material - shielding
	607	+	17.33 $4,784
	608	+	$6,40017.34Special nuclear material plutonium - neutron source in device
	609	+	$4,784
	610	+	$6,400
	611	+	17.35Pacemaker by-product and/or special nuclear material - medical
	612	+	17.36(institution)
	613	+	$6,864
	614	+	$9,200
	615	+	17.37Pacemaker by-product and/or special nuclear material -
	616	+	17.38manufacturing and distribution
	617	+	17.39 $4,992
	618	+	$6,70017.40Accelerator-produced radioactive material
	619	+	17.41 $500
	620	+	$70017.42Nonprofit educational institutions
	621	+	17Article 1 Sec. 29.
	622	+	REVISOR DTT/HL 25-0033803/03/25 18.1 Sec. 30. Minnesota Statutes 2024, section 144.1205, subdivision 4, is amended to read:
	623	+	18.2 Subd. 4.Initial and renewal application fee.A licensee must pay an initial and a
	624	+	18.3renewal application fee according to this subdivision.
	625	+	APPLICATION FEE18.4 TYPE
	626	+	18.5 $6,808
	627	+	$9,10018.6Academic broad scope - type A, B, or C
	628	+	18.7 $4,508
	629	+	$6,00018.8Medical broad scope - type A
	630	+	$1,748
	631	+	$2,350
	632	+	18.9Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
	633	+	18.10medicine, eye applicators, high dose rate afterloaders, and
	634	+	18.11medical therapy emerging technologies
	635	+	18.12 $6,348
	636	+	$8,45018.13Teletherapy
	637	+	18.14 $6,348
	638	+	$8,45018.15Gamma knife
	639	+	18.16 $1,104
	640	+	$1,50018.17Veterinary medicine
	641	+	18.18 $1,104
	642	+	$1,50018.19In vitro testing lab
	643	+	18.20 $5,612
	644	+	$7,50018.21Nuclear pharmacy
	645	+	18.22 $2,484
	646	+	$3,35018.23Radiopharmaceutical distribution (10 CFR 32.72)
	647	+	$5,612
	648	+	$7,500
	649	+	18.24Radiopharmaceutical processing and distribution (10 CFR
	650	+	18.2532.72)
	651	+	18.26 $2,484
	652	+	$3,35018.27Medical sealed sources - distribution (10 CFR 32.74)
	653	+	$5,612
	654	+	$7,500
	655	+	18.28Medical sealed sources - processing and distribution (10 CFR
	656	+	18.2932.74)
	657	+	18.30 $1,840
	658	+	$2,45018.31Well logging - sealed sources
	659	+	$1,104
	660	+	$1,500
	661	+	18.32Measuring systems - (fixed gauge, portable gauge, gas
	662	+	18.33chromatograph, other)
	663	+	18.34 $671
	664	+	$90018.35X-ray fluorescent analyzer
	665	+	18.36 $6,854
	666	+	$9,15018.37Manufacturing and distribution - type A, B, and C broad scope
	667	+	18.38 $2,668
	668	+	$3,55018.39Manufacturing and distribution - other
	669	+	18.40 $11,592
	670	+	$15,45018.41Nuclear laundry
	671	+	18.42 $3,036
	672	+	$4,05018.43Decontamination services
	673	+	18Article 1 Sec. 30.
	674	+	REVISOR DTT/HL 25-0033803/03/25 19.1 $1,104
	675	+	$1,50019.2Leak test services only
	676	+	19.3 $1,104
	677	+	$1,50019.4Instrument calibration service only
	678	+	19.5 $3,036
	679	+	$4,05019.6Service, maintenance, installation, source changes, etc.
	680	+	19.7 $2,576
	681	+	$3,45019.8Waste disposal service, prepackaged only
	682	+	19.9 $1,748
	683	+	$2,35019.10Waste disposal
	684	+	19.11 $1,012
	685	+	$1,35019.12Distribution - general licensed devices (sealed sources)
	686	+	19.13 $598
	687	+	$80019.14Distribution - general licensed material (unsealed sources)
	688	+	19.15 $3,036
	689	+	$4,05019.16Industrial radiography - fixed or temporary location
	690	+	19.17 $1,656
	691	+	$2,25019.18Irradiators, self-shielding
	692	+	19.19 $3,404
	693	+	$4,55019.20Irradiators, other, less than 10,000 curies
	694	+	19.21 $5,704
	695	+	$7,60019.22Research and development - type A, B, or C broad scope
	696	+	19.23 $2,760
	697	+	$3,70019.24Research and development - other
	698	+	19.25 $1,104
	699	+	$1,50019.26Storage - no operations
	700	+	19.27 $156
	701	+	$25019.28Source material - shielding
	702	+	19.29 $1,380
	703	+	$1,85019.30Special nuclear material plutonium - neutron source in device
	704	+	$1,380
	705	+	$1,850
	706	+	19.31Pacemaker by-product and/or special nuclear material - medical
	707	+	19.32(institution)
	708	+	$2,668
	709	+	$3,550
	710	+	19.33Pacemaker by-product and/or special nuclear material -
	711	+	19.34manufacturing and distribution
	712	+	19.35 $4,715
	713	+	$6,30019.36Accelerator-produced radioactive material
	714	+	19.37 $345
	715	+	$50019.38Nonprofit educational institutions
	716	+	19.39Sec. 31. Minnesota Statutes 2024, section 144.1205, subdivision 8, is amended to read:
	717	+	19.40 Subd. 8.Reciprocity fee.A licensee submitting an application for reciprocal recognition
	718	+	19.41of a materials license issued by another agreement state or the United States Nuclear
	719	+	19.42Regulatory Commission for a period of 180 days or less during a calendar year must pay
	720	+	19Article 1 Sec. 31.
	721	+	REVISOR DTT/HL 25-0033803/03/25 20.1$2,400 $3,200. For a period of 181 days or more, the licensee must obtain a license under
	722	+	20.2subdivision 4.
	723	+	20.3 Sec. 32. Minnesota Statutes 2024, section 144.1205, subdivision 9, is amended to read:
	724	+	20.4 Subd. 9.Fees for license amendments.A licensee must pay a fee of $600 $800 to
	725	+	20.5amend a license as follows:
	726	+	20.6 (1) to amend a license requiring review including, but not limited to, addition of isotopes,
	727	+	20.7procedure changes, new authorized users, or a new radiation safety officer; or
	728	+	20.8 (2) to amend a license requiring review and a site visit including, but not limited to,
	729	+	20.9facility move or addition of processes.
	730	+	20.10Sec. 33. Minnesota Statutes 2024, section 144.1205, subdivision 10, is amended to read:
	731	+	20.11 Subd. 10.Fees for general license registrations.A person required to register generally
	732	+	20.12licensed devices according to Minnesota Rules, part 4731.3215, must pay an annual
	733	+	20.13registration fee of $450 $600.
	734	+	20.14Sec. 34. Minnesota Statutes 2024, section 144.121, subdivision 1a, is amended to read:
	735	+	20.15 Subd. 1a.Fees for ionizing radiation-producing equipment.(a) A facility with ionizing
	736	+	20.16radiation-producing equipment and other sources of ionizing radiation must pay an initial
	737	+	20.17or annual renewal registration fee consisting of a base facility fee of $100 $155 and an
	738	+	20.18additional fee for each x-ray tube, as follows:
	739	+	100
	740	+	20.20 130
	741	+	$medical or veterinary equipment20.19 (1)
	742	+	40
	743	+	20.22 60
	744	+	$dental x-ray equipment20.21 (2)
	745	+	100
	746	+	130
	747	+	$x-ray equipment not used on
	748	+	20.24 humans or animals
	749	+	20.23 (3)
	750	+	100
	751	+	130
	752	+	$devices with sources of ionizing
	753	+	20.26 radiation not used on humans or
	754	+	20.27 animals
	755	+	20.25 (4)
	756	+	100
	757	+	20.29 160
	758	+	$security screening system20.28 (5)
	759	+	1,000$radiation therapy and accelerator
	760	+	20.31 x-ray equipment
	761	+	20.30 (6)
	762	+	300$industrial accelerator x-ray
	763	+	20.33 equipment
	764	+	20.32 (7)
	765	+	20Article 1 Sec. 34.
	766	+	REVISOR DTT/HL 25-0033803/03/25 21.1 (b) A facility with radiation therapy and accelerator equipment must pay an initial or
	767	+	21.2annual registration fee of $500. A facility with an industrial accelerator must pay an initial
	768	+	21.3or annual registration fee of $150.
	769	+	21.4 (c) (b) Electron microscopy equipment is exempt from the registration fee requirements
	770	+	21.5of this section.
	771	+	21.6 (d) (c) For purposes of this section, a security screening system means ionizing
	772	+	21.7radiation-producing equipment designed and used for security screening of humans who
	773	+	21.8are in the custody of a correctional or detention facility, and used by the facility to image
	774	+	21.9and identify contraband items concealed within or on all sides of a human body. For purposes
	775	+	21.10of this section, a correctional or detention facility is a facility licensed under section 241.021
	776	+	21.11and operated by a state agency or political subdivision charged with detection, enforcement,
	777	+	21.12or incarceration in respect to state criminal and traffic laws. The commissioner shall adopt
	778	+	21.13rules to establish requirements for the use of security screening systems. Notwithstanding
	779	+	21.14section 14.125, the authority to adopt these rules does not expire.
	780	+	21.15Sec. 35. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	781	+	21.16to read:
	782	+	21.17 Subd. 1e.Fee for service provider of ionizing radiation-producing equipment.A
	783	+	21.18service provider of ionizing radiation-producing equipment and other sources of ionizing
	784	+	21.19radiation must pay an initial or annual renewal fee of $115.
	785	+	21.20Sec. 36. Minnesota Statutes 2024, section 144.121, subdivision 2, is amended to read:
	786	+	21.21 Subd. 2.Inspections.Periodic radiation safety inspections of the x-ray equipment and
	787	+	21.22other sources of ionizing radiation shall be made by the commissioner of health. The
	788	+	21.23frequency of safety inspections shall be prescribed by the commissioner on the basis of
	789	+	21.24based on the frequency of radiation exposure risk to occupational and public health from
	790	+	21.25use of the x-ray equipment and other source of ionizing radiation, provided that each source
	791	+	21.26shall be inspected at least once every four years.
	792	+	21.27Sec. 37. Minnesota Statutes 2024, section 144.121, subdivision 5, is amended to read:
	793	+	21.28 Subd. 5.Examination for individual operating x-ray systems.(a) An individual in a
	794	+	21.29facility with x-ray systems for use on living humans that is registered under subdivision 1
	795	+	21.30may not operate, nor may the facility allow the individual to operate, x-ray systems unless
	796	+	21.31the individual has passed a national or state examination.
	797	+	21.32 (b) Individuals who may operate x-ray systems include:
	798	+	21Article 1 Sec. 37.
	799	+	REVISOR DTT/HL 25-0033803/03/25 22.1 (1) an individual who has passed the American Registry of Radiologic Technologists
	800	+	22.2(ARRT) registry for radiography examination;
	801	+	22.3 (2) an individual who has passed the American Chiropractic Registry of Radiologic
	802	+	22.4Technologists (ACRRT) registry examination and is limited to radiography of spines and
	803	+	22.5extremities;
	804	+	22.6 (3) a registered limited scope x-ray operator and a registered bone densitometry equipment
	805	+	22.7operator who passed the examination requirements in paragraphs (d) and (e) and practices
	806	+	22.8according to subdivision 5a;
	807	+	22.9 (4) an x-ray operator who has the original certificate or the original letter of passing the
	808	+	22.10examination that was required before January 1, 2008, under Minnesota Statutes 2008,
	809	+	22.11section 144.121, subdivision 5a, paragraph (b), clause (1);
	810	+	22.12 (5) an individual who has passed the American Registry of Radiologic Technologists
	811	+	22.13(ARRT) registry for radiation therapy examination according to subdivision 5e;
	812	+	22.14 (6) a cardiovascular technologist according to subdivision 5c;
	813	+	22.15 (7) a nuclear medicine technologist according to subdivision 5d;
	814	+	22.16 (8) an individual who has passed the examination for a dental hygienist under section
	815	+	22.17150A.06 and only operates dental x-ray systems;
	816	+	22.18 (9) an individual who has passed the examination for a dental therapist under section
	817	+	22.19150A.06 and only operates dental x-ray systems;
	818	+	22.20 (10) an individual who has passed the examination for a dental assistant under section
	819	+	22.21150A.06 and only operates dental x-ray systems;
	820	+	22.22 (11) an individual who has passed the examination under Minnesota Rules, part
	821	+	22.233100.8500, subpart 3 3100.1320, and only operates dental x-ray systems; and
	822	+	22.24 (12) a qualified practitioner who is licensed by a health-related licensing board with
	823	+	22.25active practice authority and is working within the practitioner's scope of practice.
	824	+	22.26 (c) Except for individuals under clauses (3) and (4), an individual who is participating
	825	+	22.27in a training or educational program in any of the occupations listed in paragraph (b) is
	826	+	22.28exempt from the examination requirement within the scope and for the duration of the
	827	+	22.29training or educational program.
	828	+	22.30 (d) The Minnesota examination for limited scope x-ray operators must include:
	829	+	22Article 1 Sec. 37.
	830	+	REVISOR DTT/HL 25-0033803/03/25 23.1 (1) radiation protection, radiation physics and radiobiology, equipment operation and
	831	+	23.2quality assurance, image acquisition and technical evaluation, and patient interactions and
	832	+	23.3management; and
	833	+	23.4 (2) at least one of the following regions of the human anatomy: chest, extremities, skull
	834	+	23.5and sinus, spine, or podiatry. The examinations must include the anatomy of, and radiographic
	835	+	23.6positions and projections for, the specific regions.
	836	+	23.7 (e) The examination for bone densitometry equipment operators must include:
	837	+	23.8 (1) osteoporosis, bone physiology, bone health and patient education, patient preparation,
	838	+	23.9fundamental principals, biological effects of radiation, units of measurements, radiation
	839	+	23.10protection in bone densitometry, fundamentals of x-ray production, quality control, measuring
	840	+	23.11bone mineral testing, determining quality in bone mineral testing, file and database
	841	+	23.12management; and
	842	+	23.13 (2) dual x-ray absorptiometry scanning of the lumbar spine, proximal femur, and forearm.
	843	+	23.14The examination must include the anatomy, scan acquisition, and scan analysis for these
	844	+	23.15three procedures.
	845	+	23.16 (f) A limited scope x-ray operator, and a bone densitometry equipment operator, who
	846	+	23.17are required to take an examination under this subdivision must submit to the commissioner
	847	+	23.18a registration application for the examination and a $25 processing fee. The processing fee
	848	+	23.19shall be deposited in the state treasury and credited to the state government special revenue
	849	+	23.20fund.
	850	+	23.21Sec. 38. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	851	+	23.22to read:
	852	+	23.23 Subd. 10.Service provider practice; service technician.(a) A service technician is a
	853	+	23.24service provider who performs one or more of the following, including but not limited to:
	854	+	23.25assembly, installation, calibration, equipment performance evaluation, preventive
	855	+	23.26maintenance, repair, replacement, or disabling of ionizing radiation-producing equipment
	856	+	23.27and other sources of ionizing radiation. A service technician may not perform an equipment
	857	+	23.28performance evaluation on computed tomography, medical cone beam computed tomography,
	858	+	23.29and fluoroscopy equipment.
	859	+	23.30 (b) In order to provide service technician services, a service provider must register with
	860	+	23.31the commissioner as a service technician, meet the applicable requirements in Minnesota
	861	+	23.32Rules, chapter 4732, and pay the fee in subdivision 1e.
	862	+	23Article 1 Sec. 38.
	863	+	REVISOR DTT/HL 25-0033803/03/25 24.1 Sec. 39. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	864	+	24.2to read:
	865	+	24.3 Subd. 11.Service provider practice; vendor.(a) A vendor is a service provider who
	866	+	24.4performs one or more of the following services, including but not limited to: sales, leasing,
	867	+	24.5lending, transferring, disposal, or demonstration of ionizing radiation-producing equipment
	868	+	24.6and other sources of ionizing radiation.
	869	+	24.7 (b) In order to provide vendor services, a service provider must register with the
	870	+	24.8commissioner as a vendor, meet the applicable requirements in Minnesota Rules, chapter
	871	+	24.94732, and pay the fee in subdivision 1e.
	872	+	24.10Sec. 40. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	873	+	24.11to read:
	874	+	24.12 Subd. 12.Service provider practice; qualified medical physicist.(a) A qualified
	875	+	24.13medical physicist is a service provider who provides medical physics services and must be
	876	+	24.14certified in diagnostic medical physics, diagnostic radiological physics, radiological physics,
	877	+	24.15diagnostic imaging physics, or diagnostic radiology physics by the American Board of
	878	+	24.16Radiology, the American Board of Medical Physics, or the Canadian College of Physicists
	879	+	24.17in Medicine.
	880	+	24.18 (b) In order to provide medical physics services a service provider must register with
	881	+	24.19the commissioner as a qualified medical physicist, meet the applicable requirements in
	882	+	24.20Minnesota Rules, chapter 4732, and pay the fee in subdivision 1e.
	883	+	24.21Sec. 41. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	884	+	24.22to read:
	885	+	24.23 Subd. 13.Service provider practice; qualified expert.(a) A qualified expert is a service
	886	+	24.24provider who provides expert physics services, and must be certified in the appropriate
	887	+	24.25fields or specialties in which physics services are provided by the American Board of Health
	888	+	24.26Physics, the American Board of Medical Physics, the American Board of Radiology, the
	889	+	24.27American Board of Science in Nuclear Medicine, or the Canadian College of Physicists in
	890	+	24.28Medicine.
	891	+	24.29 (b) In order to provide health physics services, a service provider must register with the
	892	+	24.30commissioner as a qualified expert, meet the applicable requirements in Minnesota Rules,
	893	+	24.31chapter 4732, and pay the fee in subdivision 1e.
	894	+	24Article 1 Sec. 41.
	895	+	REVISOR DTT/HL 25-0033803/03/25 25.1 Sec. 42. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	896	+	25.2to read:
	897	+	25.3 Subd. 14.Service provider practice; physicist assistant.(a) A physicist assistant is a
	898	+	25.4service provider who provides expert physics or medical physics services under the
	899	+	25.5supervision of a qualified expert or a qualified medical physicist and must be deemed
	900	+	25.6competent by a qualified expert or a qualified medical physicist in the appropriate fields or
	901	+	25.7specialties in which services are provided.
	902	+	25.8 (b) In order to provide health physics or medical physics services under the supervision
	903	+	25.9of a qualified expert or a qualified medical physicist, a physicist assistant must register with
	904	+	25.10the commissioner as a physicist assistant, meet the applicable requirements in Minnesota
	905	+	25.11Rules, chapter 4732, and pay the fee under subdivision 1e.
	906	+	25.12 (c) Supervision as used in this subdivision refers to either personal or general supervision
	907	+	25.13of a physicist assistant by a qualified expert or a qualified medical physicist according to
	908	+	25.14Minnesota Rules, chapter 4732.
	909	+	25.15Sec. 43. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
	910	+	25.16to read:
	911	+	25.17 Subd. 15.Service provider compliance.A service provider registered with the
	912	+	25.18commissioner under Minnesota Rules, chapter 4732, must, upon renewal of registration,
	913	+	25.19comply with the applicable requirements under this section and submit the fee under
	914	+	25.20subdivision 1e.
	915	+	25.21Sec. 44. Minnesota Statutes 2024, section 144.1215, is amended by adding a subdivision
	916	+	25.22to read:
	917	+	25.23 Subd. 5.Rulemaking authority.The commissioner shall adopt rules to implement this
	918	+	25.24section. Notwithstanding section 14.125, the authority to adopt these rules does not expire.
	919	+	25.25Sec. 45. Minnesota Statutes 2024, section 144.122, is amended to read:
	920	+	25.26 144.122 LICENSE, PERMIT, AND SURVEY FEES.
	921	+	25.27 (a) The state commissioner of health, by rule, may prescribe procedures and fees for
	922	+	25.28filing with the commissioner as prescribed by statute and for the issuance of original and
	923	+	25.29renewal permits, licenses, registrations, and certifications issued under authority of the
	924	+	25.30commissioner. The expiration dates of the various licenses, permits, registrations, and
	925	+	25.31certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
	926	+	25Article 1 Sec. 45.
	927	+	REVISOR DTT/HL 25-0033803/03/25 26.1application and examination fees and a penalty fee for renewal applications submitted after
	928	+	26.2the expiration date of the previously issued permit, license, registration, and certification.
	929	+	26.3The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
	930	+	26.4registrations, and certifications when the application therefor is submitted during the last
	931	+	26.5three months of the permit, license, registration, or certification period. Fees proposed to
	932	+	26.6be prescribed in the rules shall be first approved by the Department of Management and
	933	+	26.7Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
	934	+	26.8in an amount so that the total fees collected by the commissioner will, where practical,
	935	+	26.9approximate the cost to the commissioner in administering the program. All fees collected
	936	+	26.10shall be deposited in the state treasury and credited to the state government special revenue
	937	+	26.11fund unless otherwise specifically appropriated by law for specific purposes.
	938	+	26.12 (b) The commissioner may charge a fee for voluntary certification of medical laboratories
	939	+	26.13and environmental laboratories, and for environmental and medical laboratory services
	940	+	26.14provided by the department, without complying with paragraph (a) or chapter 14. Fees
	941	+	26.15charged for environment and medical laboratory services provided by the department must
	942	+	26.16be approximately equal to the costs of providing the services.
	943	+	26.17 (c) The commissioner may develop a schedule of fees for diagnostic evaluations
	944	+	26.18conducted at clinics held by the services for children with disabilities program. All receipts
	945	+	26.19generated by the program are annually appropriated to the commissioner for use in the
	946	+	26.20maternal and child health program.
	947	+	26.21 (d) The commissioner shall set license fees for hospitals and nursing homes that are not
	948	+	26.22boarding care homes at the following levels:
	949	+	$7,655 plus $16 per bed $9,52426.23The Joint Commission on Accreditation
	950	+	26.24of Healthcare Organizations (JCAHO)
	951	+	26.25(TJC) and American Osteopathic
	952	+	26.26Association (AOA) hospitals
	953	+	$5,280 $6,318 plus $250 $317 per bed26.27Non-JCAHO Non-TJC and non-AOA
	954	+	26.28hospitals
	955	+	$600 plus $16 per bed26.29Fees collected per hospital for the
	956	+	26.30Minnesota Adverse Health Care Events
	957	+	26.31Reporting
	958	+	$183 plus $91 per bed until June 30, 2018.
	959	+	26.33 $183 plus $100 per bed between July 1,
	960	+	26.32Nursing home
	961	+	26.34 2018, and June 30, 2020. $183 $238 plus
	962	+	26.35 $105 $142 per bed beginning July 1, 2020.
	963	+	26.36 The commissioner shall set license fees for outpatient surgical centers, boarding care
	964	+	26.37homes, supervised living facilities, assisted living facilities, and assisted living facilities
	965	+	26.38with dementia care at the following levels:
	966	+	26Article 1 Sec. 45.
	967	+	REVISOR DTT/HL 25-0033803/03/25 $3,712 $1,96627.1Outpatient surgical centers
	968	+	$2,20027.2Fees collected per outpatient surgical
	969	+	27.3center for the Minnesota Adverse Health
	970	+	27.4Care Events Reporting
	971	+	$183 $220 plus $91 $110 per bed27.5Boarding care homes
	972	+	$183 $238 plus $91 $118 per bed.27.6Supervised living facilities
	973	+	$3,000 plus $100 per resident.27.7Assisted living facilities with dementia
	974	+	27.8care
	975	+	$2,000 plus $75 per resident.27.9Assisted living facilities
	976	+	27.10Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
	977	+	27.11received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
	978	+	27.12or later.
	979	+	27.13 (e) Unless prohibited by federal law, the commissioner of health shall charge applicants
	980	+	27.14the following fees to cover the cost of any initial certification surveys required to determine
	981	+	27.15a provider's eligibility to participate in the Medicare or Medicaid program:
	982	+	900$27.16Prospective payment surveys for hospitals
	983	+	1,200$27.17Swing bed surveys for nursing homes
	984	+	1,400$27.18Psychiatric hospitals
	985	+	1,100$27.19Rural health facilities
	986	+	500$27.20Portable x-ray providers
	987	+	1,800$27.21Home health agencies
	988	+	800$27.22Outpatient therapy agencies
	989	+	2,100$27.23End stage renal dialysis providers
	990	+	800$27.24Independent therapists
	991	+	1,200$27.25Comprehensive rehabilitation outpatient facilities
	992	+	1,700$27.26Hospice providers
	993	+	1,800$27.27Ambulatory surgical providers
	994	+	4,200$27.28Hospitals
	995	+	Actual surveyor costs: average
	996	+	surveyor cost x number of hours for
	997	+	the survey process.
	998	+	27.29Other provider categories or additional
	999	+	27.30resurveys required to complete initial
	1000	+	27.31certification
	1001	+	27.32 These fees shall be submitted at the time of the application for federal certification and
	1002	+	27.33shall not be refunded. All fees collected after the date that the imposition of fees is not
	1003	+	27.34prohibited by federal law shall be deposited in the state treasury and credited to the state
	1004	+	27.35government special revenue fund.
	1005	+	27Article 1 Sec. 45.
	1006	+	REVISOR DTT/HL 25-0033803/03/25 28.1 (f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
	1007	+	28.2on assisted living facilities and assisted living facilities with dementia care under paragraph
	1008	+	28.3(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
	1009	+	28.4 (1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
	1010	+	28.5to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
	1011	+	28.6and community-based waiver services under chapter 256S and section 256B.49 comprise
	1012	+	28.7more than 50 percent of the facility's capacity in the calendar year prior to the year in which
	1013	+	28.8the renewal application is submitted; and
	1014	+	28.9 (2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
	1015	+	28.10to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
	1016	+	28.11and community-based waiver services under chapter 256S and section 256B.49 comprise
	1017	+	28.12less than 50 percent of the facility's capacity during the calendar year prior to the year in
	1018	+	28.13which the renewal application is submitted.
	1019	+	28.14The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
	1020	+	28.15paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
	1021	+	28.16method for determining capacity thresholds in this paragraph in consultation with the
	1022	+	28.17commissioner of human services and must coordinate the administration of this paragraph
	1023	+	28.18with the commissioner of human services for purposes of verification.
	1024	+	28.19 (g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per
	1025	+	28.20hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited
	1026	+	28.21to the state government special revenue fund and credited toward trauma hospital designations
	1027	+	28.22under sections 144.605 and 144.6071.
	1028	+	28.23Sec. 46. Minnesota Statutes 2024, section 144.122, is amended to read:
	1029	+	28.24 144.122 LICENSE, PERMIT, AND SURVEY FEES.
	1030	+	28.25 (a) The state commissioner of health, by rule, may prescribe procedures and fees for
	1031	+	28.26filing with the commissioner as prescribed by statute and for the issuance of original and
	1032	+	28.27renewal permits, licenses, registrations, and certifications issued under authority of the
	1033	+	28.28commissioner. The expiration dates of the various licenses, permits, registrations, and
	1034	+	28.29certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
	1035	+	28.30application and examination fees and a penalty fee for renewal applications submitted after
	1036	+	28.31the expiration date of the previously issued permit, license, registration, and certification.
	1037	+	28.32The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
	1038	+	28.33registrations, and certifications when the application therefor is submitted during the last
	1039	+	28Article 1 Sec. 46.
	1040	+	REVISOR DTT/HL 25-0033803/03/25 29.1three months of the permit, license, registration, or certification period. Fees proposed to
	1041	+	29.2be prescribed in the rules shall be first approved by the Department of Management and
	1042	+	29.3Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
	1043	+	29.4in an amount so that the total fees collected by the commissioner will, where practical,
	1044	+	29.5approximate the cost to the commissioner in administering the program. All fees collected
	1045	+	29.6shall be deposited in the state treasury and credited to the state government special revenue
	1046	+	29.7fund unless otherwise specifically appropriated by law for specific purposes.
	1047	+	29.8 (b) The commissioner may charge a fee for voluntary certification of medical laboratories
	1048	+	29.9and environmental laboratories, and for environmental and medical laboratory services
	1049	+	29.10provided by the department, without complying with paragraph (a) or chapter 14. Fees
	1050	+	29.11charged for environment and medical laboratory services provided by the department must
	1051	+	29.12be approximately equal to the costs of providing the services.
	1052	+	29.13 (c) The commissioner may develop a schedule of fees for diagnostic evaluations
	1053	+	29.14conducted at clinics held by the services for children with disabilities program. All receipts
	1054	+	29.15generated by the program are annually appropriated to the commissioner for use in the
	1055	+	29.16maternal and child health program.
	1056	+	29.17 (d) The commissioner shall set license fees for hospitals and nursing homes that are not
	1057	+	29.18boarding care homes at the following levels:
	1058	+	$7,655 plus $16 per bed29.19Joint Commission on Accreditation of
	1059	+	29.20Healthcare Organizations (JCAHO) and
	1060	+	29.21American Osteopathic Association (AOA)
	1061	+	29.22hospitals
	1062	+	$5,280 plus $250 per bed29.23Non-JCAHO and non-AOA hospitals
	1063	+	$183 plus $91 per bed until June 30, 2018.
	1064	+	29.25 $183 plus $100 per bed between July 1, 2018,
	1065	+	29.24Nursing home
	1066	+	29.26 and June 30, 2020. $183 plus $105 per bed
	1067	+	29.27 beginning July 1, 2020.
	1068	+	29.28 The commissioner shall set license fees for outpatient surgical centers, boarding care
	1069	+	29.29homes, supervised living facilities, assisted living facilities, and assisted living facilities
	1070	+	29.30with dementia care at the following levels:
	1071	+	$3,71229.31Outpatient surgical centers
	1072	+	$183 plus $91 per bed29.32Boarding care homes
	1073	+	$183 plus $91 per bed.29.33Supervised living facilities
	1074	+	$3,000 plus $100 $150 per resident.29.34Assisted living facilities with dementia care
	1075	+	$2,000 plus $75 $125 per resident.29.35Assisted living facilities
	1076	+	29Article 1 Sec. 46.
	1077	+	REVISOR DTT/HL 25-0033803/03/25 30.1Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
	1078	+	30.2received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
	1079	+	30.3or later.
	1080	+	30.4 (e) Unless prohibited by federal law, the commissioner of health shall charge applicants
	1081	+	30.5the following fees to cover the cost of any initial certification surveys required to determine
	1082	+	30.6a provider's eligibility to participate in the Medicare or Medicaid program:
	1083	+	900$30.7Prospective payment surveys for hospitals
	1084	+	1,200$30.8Swing bed surveys for nursing homes
	1085	+	1,400$30.9Psychiatric hospitals
	1086	+	1,100$30.10Rural health facilities
	1087	+	500$30.11Portable x-ray providers
	1088	+	1,800$30.12Home health agencies
	1089	+	800$30.13Outpatient therapy agencies
	1090	+	2,100$30.14End stage renal dialysis providers
	1091	+	800$30.15Independent therapists
	1092	+	1,200$30.16Comprehensive rehabilitation outpatient facilities
	1093	+	1,700$30.17Hospice providers
	1094	+	1,800$30.18Ambulatory surgical providers
	1095	+	4,200$30.19Hospitals
	1096	+	Actual surveyor costs: average
	1097	+	surveyor cost x number of hours for
	1098	+	the survey process.
	1099	+	30.20Other provider categories or additional
	1100	+	30.21resurveys required to complete initial
	1101	+	30.22certification
	1102	+	30.23 These fees shall be submitted at the time of the application for federal certification and
	1103	+	30.24shall not be refunded. All fees collected after the date that the imposition of fees is not
	1104	+	30.25prohibited by federal law shall be deposited in the state treasury and credited to the state
	1105	+	30.26government special revenue fund.
	1106	+	30.27 (f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
	1107	+	30.28on assisted living facilities and assisted living facilities with dementia care under paragraph
	1108	+	30.29(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
	1109	+	30.30 (1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
	1110	+	30.31to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
	1111	+	30.32and community-based waiver services under chapter 256S and section 256B.49 comprise
	1112	+	30.33more than 50 percent of the facility's capacity in the calendar year prior to the year in which
	1113	+	30.34the renewal application is submitted; and
	1114	+	30Article 1 Sec. 46.
	1115	+	REVISOR DTT/HL 25-0033803/03/25 31.1 (2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
	1116	+	31.2to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
	1117	+	31.3and community-based waiver services under chapter 256S and section 256B.49 comprise
	1118	+	31.4less than 50 percent of the facility's capacity during the calendar year prior to the year in
	1119	+	31.5which the renewal application is submitted.
	1120	+	31.6The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
	1121	+	31.7paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
	1122	+	31.8method for determining capacity thresholds in this paragraph in consultation with the
	1123	+	31.9commissioner of human services and must coordinate the administration of this paragraph
	1124	+	31.10with the commissioner of human services for purposes of verification.
	1125	+	31.11 (g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per
	1126	+	31.12hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited
	1127	+	31.13to the state government special revenue fund and credited toward trauma hospital designations
	1128	+	31.14under sections 144.605 and 144.6071.
	1129	+	31.15Sec. 47. Minnesota Statutes 2024, section 144.1222, subdivision 1a, is amended to read:
	1130	+	31.16 Subd. 1a.Fees.All plans and specifications for public pool and spa construction,
	1131	+	31.17installation, or alteration or requests for a variance that are submitted to the commissioner
	1132	+	31.18according to Minnesota Rules, part 4717.3975, shall be accompanied by the appropriate
	1133	+	31.19fees. All public pool construction plans submitted for review after January 1, 2009, must
	1134	+	31.20be certified by a professional engineer registered in the state of Minnesota. If the
	1135	+	31.21commissioner determines, upon review of the plans, that inadequate fees were paid, the
	1136	+	31.22necessary additional fees shall be paid before plan approval. For purposes of determining
	1137	+	31.23fees, a project is defined as a proposal to construct or install a public pool, spa, special
	1138	+	31.24purpose pool, or wading pool and all associated water treatment equipment and drains,
	1139	+	31.25gutters, decks, water recreation features, spray pads, and those design and safety features
	1140	+	31.26that are within five feet of any pool or spa. Plans submitted less than 30 days prior to
	1141	+	31.27construction are subject to 50 percent of the original plan review fee. The commissioner
	1142	+	31.28shall charge the following fees for plan review and inspection of public pools and spas and
	1143	+	31.29for requests for variance from the public pool and spa rules:
	1144	+	31.30 (1) each pool, $1,500 $1,600;
	1145	+	31.31 (2) each spa pool, $800 $900;
	1146	+	31.32 (3) each slide, $600 $650;
	1147	+	31Article 1 Sec. 47.
	1148	+	REVISOR DTT/HL 25-0033803/03/25 32.1 (4) projects valued at $250,000 or more, the greater of the sum of the fees in clauses (1),
	1149	+	32.2(2), and (3) or 0.5 percent of the documented estimated project cost to a maximum fee of
	1150	+	32.3$15,000;
	1151	+	32.4 (5) alterations to an existing pool without changing the size or configuration of the pool,
	1152	+	32.5$600 $700;
	1153	+	32.6 (6) removal or replacement of pool disinfection equipment only, $100 $200; and
	1154	+	32.7 (7) request for variance from the public pool and spa rules, $500 $550.
	1155	+	32.8 Sec. 48. [144.1223] REGISTERED SANITARIANS AND REGISTERED
	1156	+	32.9ENVIRONMENT AL HEALTH SPECIALIST APPLICATION FEES.
	1157	+	32.10 (a) Fees to be submitted with initial or renewal applications are as follows:
	1158	+	32.11 (1) initial application fee, $55;
	1159	+	32.12 (2) biennial renewal application fee, $55; and
	1160	+	32.13 (3) penalty for late submission of renewal application, $20, if not renewed by designated
	1161	+	32.14renewal date.
	1162	+	32.15 (b) Additionally, a $5 technology fee must be paid with the initial registration or
	1163	+	32.16registration renewal.
	1164	+	32.17Sec. 49. Minnesota Statutes 2024, section 144.3831, subdivision 1, is amended to read:
	1165	+	32.18 Subdivision 1.Fee setting.The commissioner of health may assess an annual fee of
	1166	+	32.19$9.72 $15.22 for every service connection to a public water supply that is owned or operated
	1167	+	32.20by a home rule charter city, a statutory city, a city of the first class, or a town. The
	1168	+	32.21commissioner of health may also assess an annual fee for every service connection served
	1169	+	32.22by a water user district defined in section 110A.02.
	1170	+	32.23Sec. 50. Minnesota Statutes 2024, section 144.55, subdivision 1a, is amended to read:
	1171	+	32.24 Subd. 1a.License fee.The annual license fee for outpatient surgical centers is $1,512
	1172	+	32.25$1,966.
	1173	+	32Article 1 Sec. 50.
	1174	+	REVISOR DTT/HL 25-0033803/03/25 33.1 Sec. 51. Minnesota Statutes 2024, section 144.554, is amended to read:
	1175	+	33.2 144.554 HEALTH FACILITIES CONSTRUCTION PLAN SUBMITTAL AND
	1176	+	33.3FEES.
	1177	+	33.4 For hospitals, nursing homes, assisted living facilities, boarding care homes, residential
	1178	+	33.5hospices, supervised living facilities, freestanding outpatient surgical centers, and end-stage
	1179	+	33.6renal disease facilities, the commissioner shall collect a fee for the review and approval of
	1180	+	33.7architectural, mechanical, and electrical plans and specifications submitted before
	1181	+	33.8construction begins for each project relative to construction of new buildings, additions to
	1182	+	33.9existing buildings, or remodeling or alterations of existing buildings. All fees collected in
	1183	+	33.10this section shall be deposited in the state treasury and credited to the state government
	1184	+	33.11special revenue fund. Fees must be paid at the time of submission of final plans for review
	1185	+	33.12and are not refundable. The fee is calculated as follows:
	1186	+	Fee33.13 Construction project total estimated cost
	1187	+	$30 $4533.14 $0 - $10,000
	1188	+	$150 $22533.15 $10,001 - $50,000
	1189	+	$300 $45033.16 $50,001 - $100,000
	1190	+	$450 $67533.17 $100,001 - $150,000
	1191	+	$600 $90033.18 $150,001 - $200,000
	1192	+	$750 $1,12533.19 $200,001 - $250,000
	1193	+	$900 $1,35033.20 $250,001 - $300,000
	1194	+	$1,050 $1,57533.21 $300,001 - $350,000
	1195	+	$1,200 $1,80033.22 $350,001 - $400,000
	1196	+	$1,350 $2,02533.23 $400,001 - $450,000
	1197	+	$1,500 $2,25033.24 $450,001 - $500,000
	1198	+	$1,650 $2,47533.25 $500,001 - $550,000
	1199	+	$1,800 $2,70033.26 $550,001 - $600,000
	1200	+	$1,950 $2,92533.27 $600,001 - $650,000
	1201	+	$2,100 $3,15033.28 $650,001 - $700,000
	1202	+	$2,250 $3,37533.29 $700,001 - $750,000
	1203	+	$2,400 $3,60033.30 $750,001 - $800,000
	1204	+	$2,550 $3,82533.31 $800,001 - $850,000
	1205	+	$2,700 $4,05033.32 $850,001 - $900,000
	1206	+	$2,850 $4,27533.33 $900,001 - $950,000
	1207	+	$3,000 $4,50033.34 $950,001 - $1,000,000
	1208	+	$3,150 $4,72533.35 $1,000,001 - $1,050,000
	1209	+	$3,300 $4,95033.36 $1,050,001 - $1,100,000
	1210	+	33Article 1 Sec. 51.
	1211	+	REVISOR DTT/HL 25-0033803/03/25 $3,450 $5,17534.1 $1,100,001 - $1,150,000
	1212	+	$3,600 $5,40034.2 $1,150,001 - $1,200,000
	1213	+	$3,750 $5,62534.3 $1,200,001 - $1,250,000
	1214	+	$3,900 $5,85034.4 $1,250,001 - $1,300,000
	1215	+	$4,050 $6,07534.5 $1,300,001 - $1,350,000
	1216	+	$4,200 $6,30034.6 $1,350,001 - $1,400,000
	1217	+	$4,350 $6,52534.7 $1,400,001 - $1,450,000
	1218	+	$4,500 $6,75034.8 $1,450,001 - $1,500,000
	1219	+	$4,800 $7,20034.9 $1,500,001 and over - $2,000,000
	1220	+	$7,65034.10 $2,000,001 - $3,000,000
	1221	+	$8,10034.11 $3,000,001 - $4,000,000
	1222	+	$8,55034.12 $4,000,001 - $7,000,000
	1223	+	$9,00034.13 $7,000,001 - $15,000,000
	1224	+	$9,45034.14 $15,000,001 - $50,000,000
	1225	+	$9,90034.15 $50,000,001 and over
	1226	+	34.16Sec. 52. Minnesota Statutes 2024, section 144.608, subdivision 2, is amended to read:
	1227	+	34.17 Subd. 2.Council administration.(a) The council must meet at least twice a year but
	1228	+	34.18may meet more frequently at the call of the chair, a majority of the council members, or the
	1229	+	34.19commissioner.
	1230	+	34.20 (b) The terms, compensation, and removal of members of the council are governed by
	1231	+	34.21section 15.059. The council expires June 30, 2025 2035.
	1232	+	34.22 (c) The council may appoint subcommittees and work groups. Subcommittees shall
	1233	+	34.23consist of council members. Work groups may include noncouncil members. Noncouncil
	1234	+	34.24members shall be compensated for work group activities under section 15.059, subdivision
	1235	+	34.253, but shall receive expenses only.
	1236	+	34.26Sec. 53. Minnesota Statutes 2024, section 144.615, subdivision 8, is amended to read:
	1237	+	34.27 Subd. 8.Fees.(a) The biennial license fee for a birth center is $365 $438.
	1238	+	34.28 (b) The temporary license fee is $365 $438.
	1239	+	34.29 (c) Fees shall be collected and deposited according to section 144.122.
	1240	+	34.30Sec. 54. Minnesota Statutes 2024, section 144.966, subdivision 2, is amended to read:
	1241	+	34.31 Subd. 2.Newborn Hearing Screening Advisory Committee.(a) The commissioner
	1242	+	34.32of health shall establish a Newborn Hearing Screening Advisory Committee to advise and
	1243	+	34Article 1 Sec. 54.
	1244	+	REVISOR DTT/HL 25-0033803/03/25 35.1assist the Department of Health; Department of Children, Youth, and Families; and the
	1245	+	35.2Department of Education in:
	1246	+	35.3 (1) developing protocols and timelines for screening, rescreening, and diagnostic
	1247	+	35.4audiological assessment and early medical, audiological, and educational intervention
	1248	+	35.5services for children who are deaf or hard-of-hearing;
	1249	+	35.6 (2) designing protocols for tracking children from birth through age three that may have
	1250	+	35.7passed newborn screening but are at risk for delayed or late onset of permanent hearing
	1251	+	35.8loss;
	1252	+	35.9 (3) designing a technical assistance program to support facilities implementing the
	1253	+	35.10screening program and facilities conducting rescreening and diagnostic audiological
	1254	+	35.11assessment;
	1255	+	35.12 (4) designing implementation and evaluation of a system of follow-up and tracking; and
	1256	+	35.13 (5) evaluating program outcomes to increase effectiveness and efficiency and ensure
	1257	+	35.14culturally appropriate services for children with a confirmed hearing loss and their families.
	1258	+	35.15 (b) The commissioner of health shall appoint at least one member from each of the
	1259	+	35.16following groups with no less than two of the members being deaf or hard-of-hearing:
	1260	+	35.17 (1) a representative from a consumer organization representing culturally deaf persons;
	1261	+	35.18 (2) a parent with a child with hearing loss representing a parent organization;
	1262	+	35.19 (3) a consumer from an organization representing oral communication options;
	1263	+	35.20 (4) a consumer from an organization representing cued speech communication options;
	1264	+	35.21 (5) an audiologist who has experience in evaluation and intervention of infants and
	1265	+	35.22young children;
	1266	+	35.23 (6) a speech-language pathologist who has experience in evaluation and intervention of
	1267	+	35.24infants and young children;
	1268	+	35.25 (7) two primary care providers who have experience in the care of infants and young
	1269	+	35.26children, one of which shall be a pediatrician;
	1270	+	35.27 (8) a representative from the early hearing detection intervention teams;
	1271	+	35.28 (9) a representative from the Department of Education resource center for the deaf and
	1272	+	35.29hard-of-hearing or the representative's designee;
	1273	+	35.30 (10) a representative of the Commission of the Deaf, DeafBlind and Hard of Hearing;
	1274	+	35Article 1 Sec. 54.
	1275	+	REVISOR DTT/HL 25-0033803/03/25 36.1 (11) a representative from the Department of Human Services Deaf and Hard-of-Hearing
	1276	+	36.2Services Division;
	1277	+	36.3 (12) one or more of the Part C coordinators from the Department of Education; the
	1278	+	36.4Department of Health; the Department of Children, Youth, and Families; or the Department
	1279	+	36.5of Human Services or the department's designees;
	1280	+	36.6 (13) the Department of Health early hearing detection and intervention coordinators;
	1281	+	36.7 (14) two birth hospital representatives from one rural and one urban hospital;
	1282	+	36.8 (15) a pediatric geneticist;
	1283	+	36.9 (16) an otolaryngologist;
	1284	+	36.10 (17) a representative from the Newborn Screening Advisory Committee under this
	1285	+	36.11subdivision;
	1286	+	36.12 (18) a representative of the Department of Education regional low-incidence facilitators;
	1287	+	36.13 (19) a representative from the deaf mentor program; and
	1288	+	36.14 (20) a representative of the Minnesota State Academy for the Deaf from the Minnesota
	1289	+	36.15State Academies staff.
	1290	+	36.16The commissioner must complete the initial appointments required under this subdivision
	1291	+	36.17by September 1, 2007, and the initial appointments under clauses (19) and (20) by September
	1292	+	36.181, 2019.
	1293	+	36.19 (c) The Department of Health member shall chair the first meeting of the committee. At
	1294	+	36.20the first meeting, the committee shall elect a chair from its membership. The committee
	1295	+	36.21shall meet at the call of the chair, at least four times a year. The committee shall adopt
	1296	+	36.22written bylaws to govern its activities. The Department of Health shall provide technical
	1297	+	36.23and administrative support services as required by the committee. These services shall
	1298	+	36.24include technical support from individuals qualified to administer infant hearing screening,
	1299	+	36.25rescreening, and diagnostic audiological assessments.
	1300	+	36.26 Members of the committee shall receive no compensation for their service, but shall be
	1301	+	36.27reimbursed as provided in section 15.059 for expenses incurred as a result of their duties
	1302	+	36.28as members of the committee.
	1303	+	36.29 (d) By February 15, 2015, and by February 15 of the odd-numbered years after that date,
	1304	+	36.30the commissioner shall report to the chairs and ranking minority members of the legislative
	1305	+	36.31committees with jurisdiction over health and data privacy on the activities of the committee
	1306	+	36.32that have occurred during the past two years.
	1307	+	36Article 1 Sec. 54.
	1308	+	REVISOR DTT/HL 25-0033803/03/25 37.1 (e) This subdivision expires June 30, 2025.
	1309	+	37.2 EFFECTIVE DATE.This section is effective the day following final enactment or
	1310	+	37.3June 30, 2025, whichever is earlier.
	1311	+	37.4 Sec. 55. Minnesota Statutes 2024, section 144A.43, is amended by adding a subdivision
	1312	+	37.5to read:
	1313	+	37.6 Subd. 26a.Serious injury."Serious injury" has the meaning given in section 245.91,
	1314	+	37.7subdivision 6.
	1315	+	37.8 Sec. 56. Minnesota Statutes 2024, section 144A.474, subdivision 9, is amended to read:
	1316	+	37.9 Subd. 9.Follow-up surveys.For providers that have Level 3 or, Level 4, or Level 5
	1317	+	37.10violations under subdivision 11, the department shall conduct a follow-up survey within 90
	1318	+	37.11calendar days of the survey. When conducting a follow-up survey, the surveyor will focus
	1319	+	37.12on whether the previous violations have been corrected and may also address any new
	1320	+	37.13violations that are observed while evaluating the corrections that have been made.
	1321	+	37.14Sec. 57. Minnesota Statutes 2024, section 144A.474, subdivision 11, is amended to read:
	1322	+	37.15 Subd. 11.Fines.(a) Fines and enforcement actions under this subdivision may be assessed
	1323	+	37.16based on the level and scope of the violations described in paragraph (b) and imposed
	1324	+	37.17immediately with no opportunity to correct the violation first as follows:
	1325	+	37.18 (1) Level 1, no fines or enforcement;
	1326	+	37.19 (2) Level 2, a fine of $500 per violation, in addition to any of the enforcement
	1327	+	37.20mechanisms authorized in section 144A.475 for widespread violations;
	1328	+	37.21 (3) Level 3, a fine of $3,000 $1,000 per incident, in addition to any of the enforcement
	1329	+	37.22mechanisms authorized in section 144A.475;
	1330	+	37.23 (4) Level 4, a fine of $5,000 $3,000 per incident, in addition to any of the enforcement
	1331	+	37.24mechanisms authorized in section 144A.475;
	1332	+	37.25 (5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism
	1333	+	37.26authorized in section 144A.475; and
	1334	+	37.27 (5) (6) for maltreatment violations for which the licensee was determined to be responsible
	1335	+	37.28for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000.
	1336	+	37.29A fine of $5,000 may be imposed if the commissioner determines the licensee is responsible
	1337	+	37Article 1 Sec. 57.
	1338	+	REVISOR DTT/HL 25-0033803/03/25 38.1for maltreatment consisting of sexual assault, death, or abuse resulting in serious injury;
	1339	+	38.2and.
	1340	+	38.3 (6) The fines in clauses (1) to (4) (5) are increased and immediate fine imposition is
	1341	+	38.4authorized for both surveys and investigations conducted.
	1342	+	38.5 When a fine is assessed against a facility for substantiated maltreatment, the commissioner
	1343	+	38.6shall not also impose an immediate fine under this chapter for the same circumstance.
	1344	+	38.7 (b) Correction orders for violations are categorized by both level and scope and fines
	1345	+	38.8shall be assessed as follows:
	1346	+	38.9 (1) level of violation:
	1347	+	38.10 (i) Level 1 is a violation that has no potential to cause more than a will cause only
	1348	+	38.11minimal impact on the client and does not affect health or safety;
	1349	+	38.12 (ii) Level 2 is a violation that did not harm a client's health or safety but had the potential
	1350	+	38.13to have harmed a client's health or safety, but was not likely to cause serious injury,
	1351	+	38.14impairment, or death;
	1352	+	38.15 (iii) Level 3 is a violation that harmed a client's health or safety, not including serious
	1353	+	38.16injury, impairment, or death, or a violation that has the potential to lead to serious injury,
	1354	+	38.17impairment, or death or a violation that had the potential to cause more than minimal harm
	1355	+	38.18to the client; and
	1356	+	38.19 (iv) Level 4 is a violation that results in serious injury, impairment, or death harmed a
	1357	+	38.20client's health or safety, not including serious injury or death, or a violation that was likely
	1358	+	38.21to lead to serious injury or death; and
	1359	+	38.22 (v) Level 5 is a violation that results in serious injury or death; and
	1360	+	38.23 (2) scope of violation:
	1361	+	38.24 (i) isolated, when one or a limited number of clients are affected or one or a limited
	1362	+	38.25number of staff are involved or the situation has occurred only occasionally;
	1363	+	38.26 (ii) pattern, when more than a limited number of clients are affected, more than a limited
	1364	+	38.27number of staff are involved, or the situation has occurred repeatedly but is not found to be
	1365	+	38.28pervasive; and
	1366	+	38.29 (iii) widespread, when problems are pervasive or represent a systemic failure that has
	1367	+	38.30affected or has the potential to affect a large portion or all of the clients.
	1368	+	38Article 1 Sec. 57.
	1369	+	REVISOR DTT/HL 25-0033803/03/25 39.1 (c) If the commissioner finds that the applicant or a home care provider has not corrected
	1370	+	39.2violations by the date specified in the correction order or conditional license resulting from
	1371	+	39.3a survey or complaint investigation, the commissioner shall provide a notice of
	1372	+	39.4noncompliance with a correction order by email to the applicant's or provider's last known
	1373	+	39.5email address. The noncompliance notice must list the violations not corrected.
	1374	+	39.6 (d) For every violation identified by the commissioner, the commissioner shall issue an
	1375	+	39.7immediate fine pursuant to paragraph (a), clause (6). The license holder must still correct
	1376	+	39.8the violation in the time specified. The issuance of an immediate fine can occur in addition
	1377	+	39.9to any enforcement mechanism authorized under section 144A.475. The immediate fine
	1378	+	39.10may be appealed as allowed under this subdivision.
	1379	+	39.11 (e) The license holder must pay the fines assessed on or before the payment date specified.
	1380	+	39.12If the license holder fails to fully comply with the order, the commissioner may issue a
	1381	+	39.13second fine or suspend the license until the license holder complies by paying the fine. A
	1382	+	39.14timely appeal shall stay payment of the fine until the commissioner issues a final order.
	1383	+	39.15 (f) A license holder shall promptly notify the commissioner in writing when a violation
	1384	+	39.16specified in the order is corrected. If upon reinspection the commissioner determines that
	1385	+	39.17a violation has not been corrected as indicated by the order, the commissioner may issue a
	1386	+	39.18second fine. The commissioner shall notify the license holder by mail to the last known
	1387	+	39.19address in the licensing record that a second fine has been assessed. The license holder may
	1388	+	39.20appeal the second fine as provided under this subdivision.
	1389	+	39.21 (g) A home care provider that has been assessed a fine under this subdivision has a right
	1390	+	39.22to a reconsideration or a hearing under this section and chapter 14.
	1391	+	39.23 (h) When a fine has been assessed, the license holder may not avoid payment by closing,
	1392	+	39.24selling, or otherwise transferring the licensed program to a third party. In such an event, the
	1393	+	39.25license holder shall be liable for payment of the fine.
	1394	+	39.26 (i) In addition to any fine imposed under this section, the commissioner may assess a
	1395	+	39.27penalty amount based on costs related to an investigation that results in a final order assessing
	1396	+	39.28a fine or other enforcement action authorized by this chapter.
	1397	+	39.29 (j) Fines collected under paragraph (a), clauses (1) to (4), shall be deposited in a dedicated
	1398	+	39.30special revenue account. On an annual basis, the balance in the special revenue account
	1399	+	39.31shall be appropriated to the commissioner to implement the recommendations of the advisory
	1400	+	39.32council established in section 144A.4799 or recommendations from the commissioner after
	1401	+	39.33the advisory council's review and approval.
	1402	+	39Article 1 Sec. 57.
	1403	+	REVISOR DTT/HL 25-0033803/03/25 40.1 (k) Fines collected under paragraph (a), clause (5), shall be deposited in a dedicated
	1404	+	40.2special revenue account and appropriated to the commissioner to provide compensation
	1405	+	40.3according to subdivision 14 to clients subject to maltreatment. A client may choose to receive
	1406	+	40.4compensation from this fund, not to exceed $5,000 for each substantiated finding of
	1407	+	40.5maltreatment, or take civil action. This paragraph expires July 31, 2021.
	1408	+	40.6 Sec. 58. Minnesota Statutes 2024, section 144A.475, subdivision 3, is amended to read:
	1409	+	40.7 Subd. 3.Notice.(a) Prior to any suspension, revocation, or refusal to renew a license,
	1410	+	40.8the home care provider shall be entitled to notice and a hearing as provided by sections
	1411	+	40.914.57 to 14.69. In addition to any other remedy provided by law, the commissioner may,
	1412	+	40.10without a prior contested case hearing, temporarily suspend a license or prohibit delivery
	1413	+	40.11of services by a provider for not more than 90 days, or issue a conditional license if the
	1414	+	40.12commissioner determines that there are level 3 4 violations that do not pose an imminent
	1415	+	40.13risk of harm to the health or safety of persons in the provider's care, provided:
	1416	+	40.14 (1) advance notice is given to the home care provider;
	1417	+	40.15 (2) after notice, the home care provider fails to correct the problem;
	1418	+	40.16 (3) the commissioner has reason to believe that other administrative remedies are not
	1419	+	40.17likely to be effective; and
	1420	+	40.18 (4) there is an opportunity for a contested case hearing within the 30 days unless there
	1421	+	40.19is an extension granted by an administrative law judge pursuant to subdivision 3b.
	1422	+	40.20 (b) If the commissioner determines there are:
	1423	+	40.21 (1) level 4 5 violations; or
	1424	+	40.22 (2) violations that pose an imminent risk of harm to the health or safety of persons in
	1425	+	40.23the provider's care,
	1426	+	40.24the commissioner may immediately temporarily suspend a license, prohibit delivery of
	1427	+	40.25services by a provider, or issue a conditional license without meeting the requirements of
	1428	+	40.26paragraph (a), clauses (1) to (4).
	1429	+	40.27For the purposes of this subdivision, "level 3 4" and "level 4 5" have the meanings given
	1430	+	40.28in section 144A.474, subdivision 11, paragraph (b).
	1431	+	40.29Sec. 59. Minnesota Statutes 2024, section 144A.475, subdivision 3a, is amended to read:
	1432	+	40.30 Subd. 3a.Hearing.Within 15 business days of receipt of the licensee's timely appeal
	1433	+	40.31of a sanction under this section, other than for a temporary suspension, the commissioner
	1434	+	40Article 1 Sec. 59.
	1435	+	REVISOR DTT/HL 25-0033803/03/25 41.1shall request assignment of an administrative law judge. The commissioner's request must
	1436	+	41.2include a proposed date, time, and place of hearing. A hearing must be conducted by an
	1437	+	41.3administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
	1438	+	41.490 calendar days of the request for assignment, unless an extension is requested by either
	1439	+	41.5party and granted by the administrative law judge for good cause or for purposes of discussing
	1440	+	41.6settlement. In no case shall one or more extensions be granted for a total of more than 90
	1441	+	41.7calendar days unless there is a criminal action pending against the licensee. If, while a
	1442	+	41.8licensee continues to operate pending an appeal of an order for revocation, suspension, or
	1443	+	41.9refusal to renew a license, the commissioner identifies one or more new violations of law
	1444	+	41.10that meet the requirements of level 3 4 or 4 5 violations as defined in section 144A.474,
	1445	+	41.11subdivision 11, paragraph (b), the commissioner shall act immediately to temporarily suspend
	1446	+	41.12the license under the provisions in subdivision 3.
	1447	+	41.13Sec. 60. Minnesota Statutes 2024, section 144A.475, subdivision 3b, is amended to read:
	1448	+	41.14 Subd. 3b. Expedited hearing.(a) Within five business days of receipt of the license
	1449	+	41.15holder's timely appeal of a temporary suspension or issuance of a conditional license, the
	1450	+	41.16commissioner shall request assignment of an administrative law judge. The request must
	1451	+	41.17include a proposed date, time, and place of a hearing. A hearing must be conducted by an
	1452	+	41.18administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
	1453	+	41.1930 calendar days of the request for assignment, unless an extension is requested by either
	1454	+	41.20party and granted by the administrative law judge for good cause. The commissioner shall
	1455	+	41.21issue a notice of hearing by certified mail or personal service at least ten business days
	1456	+	41.22before the hearing. Certified mail to the last known address is sufficient. The scope of the
	1457	+	41.23hearing shall be limited solely to the issue of whether the temporary suspension or issuance
	1458	+	41.24of a conditional license should remain in effect and whether there is sufficient evidence to
	1459	+	41.25conclude that the licensee's actions or failure to comply with applicable laws are level 3 4
	1460	+	41.26or 4 5 violations as defined in section 144A.474, subdivision 11, paragraph (b), or that there
	1461	+	41.27were violations that posed an imminent risk of harm to the health and safety of persons in
	1462	+	41.28the provider's care.
	1463	+	41.29 (b) The administrative law judge shall issue findings of fact, conclusions, and a
	1464	+	41.30recommendation within ten business days from the date of hearing. The parties shall have
	1465	+	41.31ten calendar days to submit exceptions to the administrative law judge's report. The record
	1466	+	41.32shall close at the end of the ten-day period for submission of exceptions. The commissioner's
	1467	+	41.33final order shall be issued within ten business days from the close of the record. When an
	1468	+	41.34appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed,
	1469	+	41.35the commissioner shall issue a final order affirming the temporary immediate suspension
	1470	+	41Article 1 Sec. 60.
	1471	+	REVISOR DTT/HL 25-0033803/03/25 42.1or conditional license within ten calendar days of the commissioner's receipt of the
	1472	+	42.2withdrawal or dismissal. The license holder is prohibited from operation during the temporary
	1473	+	42.3suspension period.
	1474	+	42.4 (c) When the final order under paragraph (b) affirms an immediate suspension, and a
	1475	+	42.5final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that
	1476	+	42.6sanction, the licensee is prohibited from operation pending a final commissioner's order
	1477	+	42.7after the contested case hearing conducted under chapter 14.
	1478	+	42.8 (d) A licensee whose license is temporarily suspended must comply with the requirements
	1479	+	42.9for notification and transfer of clients in subdivision 5. These requirements remain if an
	1480	+	42.10appeal is requested.
	1481	+	42.11Sec. 61. Minnesota Statutes 2024, section 144A.475, subdivision 3c, is amended to read:
	1482	+	42.12 Subd. 3c.Immediate temporary suspension.(a) In addition to any other remedies
	1483	+	42.13provided by law, the commissioner may, without a prior contested case hearing, immediately
	1484	+	42.14temporarily suspend a license or prohibit delivery of services by a provider for not more
	1485	+	42.15than 90 days, or issue a conditional license, if the commissioner determines that there are:
	1486	+	42.16 (1) level 4 5 violations; or
	1487	+	42.17 (2) violations that pose an imminent risk of harm to the health or safety of persons in
	1488	+	42.18the provider's care.
	1489	+	42.19 (b) For purposes of this subdivision, "level 4 5" has the meaning given in section
	1490	+	42.20144A.474, subdivision 11, paragraph (b).
	1491	+	42.21 (c) A notice stating the reasons for the immediate temporary suspension or conditional
	1492	+	42.22license and informing the license holder of the right to an expedited hearing under subdivision
	1493	+	42.233b must be delivered by personal service to the address shown on the application or the last
	1494	+	42.24known address of the license holder. The license holder may appeal an order immediately
	1495	+	42.25temporarily suspending a license or issuing a conditional license. The appeal must be made
	1496	+	42.26in writing by certified mail or personal service. If mailed, the appeal must be postmarked
	1497	+	42.27and sent to the commissioner within five calendar days after the license holder receives
	1498	+	42.28notice. If an appeal is made by personal service, it must be received by the commissioner
	1499	+	42.29within five calendar days after the license holder received the order.
	1500	+	42.30 (d) A license holder whose license is immediately temporarily suspended must comply
	1501	+	42.31with the requirements for notification and transfer of clients in subdivision 5. These
	1502	+	42.32requirements remain if an appeal is requested.
	1503	+	42Article 1 Sec. 61.
	1504	+	REVISOR DTT/HL 25-0033803/03/25 43.1 Sec. 62. Minnesota Statutes 2024, section 144A.71, subdivision 2, is amended to read:
	1505	+	43.2 Subd. 2.Application information and fee.The commissioner shall establish forms and
	1506	+	43.3procedures for processing each supplemental nursing services agency registration application.
	1507	+	43.4An application for a supplemental nursing services agency registration must include at least
	1508	+	43.5the following:
	1509	+	43.6 (1) the names and addresses of all owners and controlling persons of the supplemental
	1510	+	43.7nursing services agency;
	1511	+	43.8 (2) if the owner is a corporation, copies of its articles of incorporation and current bylaws,
	1512	+	43.9together with the names and addresses of its officers and directors;
	1513	+	43.10 (3) if the owner is a limited liability company, copies of its articles of organization and
	1514	+	43.11operating agreement, together with the names and addresses of its officers and directors;
	1515	+	43.12 (4) documentation that the supplemental nursing services agency has medical malpractice
	1516	+	43.13insurance to insure against the loss, damage, or expense of a claim arising out of the death
	1517	+	43.14or injury of any person as the result of negligence or malpractice in the provision of health
	1518	+	43.15care services by the supplemental nursing services agency or by any employee of the agency;
	1519	+	43.16 (5) documentation that the supplemental nursing services agency has an employee
	1520	+	43.17dishonesty bond in the amount of $10,000;
	1521	+	43.18 (6) documentation that the supplemental nursing services agency has insurance coverage
	1522	+	43.19for workers' compensation for all nurses, nursing assistants, nurse aides, and orderlies
	1523	+	43.20provided or procured by the agency;
	1524	+	43.21 (7) documentation that the supplemental nursing services agency filed with the
	1525	+	43.22commissioner of revenue: (i) the name and address of the bank, savings bank, or savings
	1526	+	43.23association in which the supplemental nursing services agency deposits all employee income
	1527	+	43.24tax withholdings; and (ii) the name and address of any nurse, nursing assistant, nurse aide,
	1528	+	43.25or orderly whose income is derived from placement by the agency, if the agency purports
	1529	+	43.26the income is not subject to withholding;
	1530	+	43.27 (8) any other relevant information that the commissioner determines is necessary to
	1531	+	43.28properly evaluate an application for registration;
	1532	+	43.29 (9) a policy and procedure that describes how the supplemental nursing services agency's
	1533	+	43.30records will be immediately available at all times to the commissioner and facility; and
	1534	+	43.31 (10) a nonrefundable registration fee of $2,035 $2,442.
	1535	+	43Article 1 Sec. 62.
	1536	+	REVISOR DTT/HL 25-0033803/03/25 44.1 If a supplemental nursing services agency fails to provide the items in this subdivision
	1537	+	44.2to the department, the commissioner shall immediately suspend or refuse to issue the
	1538	+	44.3supplemental nursing services agency registration. The supplemental nursing services agency
	1539	+	44.4may appeal the commissioner's findings according to section 144A.475, subdivisions 3a
	1540	+	44.5and 7, except that the hearing must be conducted by an administrative law judge within 60
	1541	+	44.6calendar days of the request for hearing assignment.
	1542	+	44.7 Sec. 63. Minnesota Statutes 2024, section 144A.753, subdivision 1, is amended to read:
	1543	+	44.8 Subdivision 1.License required; application.(a) A hospice provider may not operate
	1544	+	44.9in the state without a valid license issued by the commissioner.
	1545	+	44.10 (b) Within ten days after receiving an application for a license, the commissioner shall
	1546	+	44.11acknowledge receipt of the application in writing. The acknowledgment must indicate
	1547	+	44.12whether the application appears to be complete or whether additional information is required
	1548	+	44.13before the application is considered complete. Within 90 days after receiving a complete
	1549	+	44.14application, the commissioner shall either grant or deny the license. If an applicant is not
	1550	+	44.15granted or denied a license within 90 days after submitting a complete application, the
	1551	+	44.16license must be deemed granted. An applicant whose license has been deemed granted must
	1552	+	44.17provide written notice to the commissioner before providing hospice care.
	1553	+	44.18 (c) Each application for a hospice provider license, or for a renewal of a license, shall
	1554	+	44.19be accompanied by a fee as follows:
	1555	+	44.20 (1) for revenues no more than $25,000, $125 $150;
	1556	+	44.21 (2) for revenues greater than $25,000 and no more than $100,000, $312.50 $375;
	1557	+	44.22 (3) for revenues greater than $100,000 and no more than $250,000, $625 $750;
	1558	+	44.23 (4) for revenues greater than $250,000 and no more than $350,000, $937.50 $1,125;
	1559	+	44.24 (5) for revenues greater than $350,000 and no more than $450,000, $1,250 $1,500;
	1560	+	44.25 (6) for revenues greater than $450,000 and no more than $550,000, $1,562.50 $1,875;
	1561	+	44.26 (7) for revenues greater than $550,000 and no more than $650,000, $1,875 $2,250;
	1562	+	44.27 (8) for revenues greater than $650,000 and no more than $750,000, $2,187.50 $2,625;
	1563	+	44.28 (9) for revenues greater then $750,000 and no more than $850,000, $2,500 $3,000;
	1564	+	44.29 (10) for revenues greater than $850,000 and no more than $950,000, $2,812.50 $3,375;
	1565	+	44.30 (11) for revenues greater than $950,000 and no more than $1,100,000, $3,125 $3,750;
	1566	+	44Article 1 Sec. 63.
	1567	+	REVISOR DTT/HL 25-0033803/03/25 45.1 (12) for revenues greater than $1,100,000 and no more than $1,275,000, $3,750 $4,500;
	1568	+	45.2 (13) for revenues greater than $1,275,000 and no more than $1,500,000, $4,375 $5,250;
	1569	+	45.3and
	1570	+	45.4 (14) for revenues greater than $1,500,000, $5,000 $6,000.
	1571	+	45.5 Sec. 64. Minnesota Statutes 2024, section 144G.20, subdivision 3, is amended to read:
	1572	+	45.6 Subd. 3.Immediate temporary suspension.(a) In addition to any other remedies
	1573	+	45.7provided by law, the commissioner may, without a prior contested case hearing, immediately
	1574	+	45.8temporarily suspend a license or prohibit delivery of housing or services by a facility for
	1575	+	45.9not more than 90 calendar days or issue a conditional license, if the commissioner determines
	1576	+	45.10that there are:
	1577	+	45.11 (1) Level 4 5 violations; or
	1578	+	45.12 (2) violations that pose an imminent risk of harm to the health or safety of residents.
	1579	+	45.13 (b) For purposes of this subdivision, "Level 4 5" has the meaning given in section
	1580	+	45.14144G.31.
	1581	+	45.15 (c) A notice stating the reasons for the immediate temporary suspension or conditional
	1582	+	45.16license and informing the licensee of the right to an expedited hearing under subdivision
	1583	+	45.1717 must be delivered by personal service to the address shown on the application or the last
	1584	+	45.18known address of the licensee. The licensee may appeal an order immediately temporarily
	1585	+	45.19suspending a license or issuing a conditional license. The appeal must be made in writing
	1586	+	45.20by certified mail or personal service. If mailed, the appeal must be postmarked and sent to
	1587	+	45.21the commissioner within five calendar days after the licensee receives notice. If an appeal
	1588	+	45.22is made by personal service, it must be received by the commissioner within five calendar
	1589	+	45.23days after the licensee received the order.
	1590	+	45.24 (d) A licensee whose license is immediately temporarily suspended must comply with
	1591	+	45.25the requirements for notification and transfer of residents in subdivision 15. The requirements
	1592	+	45.26in subdivision 9 remain if an appeal is requested.
	1593	+	45.27Sec. 65. Minnesota Statutes 2024, section 144G.20, subdivision 13, is amended to read:
	1594	+	45.28 Subd. 13.Notice to facility.(a) Prior to any suspension, revocation, or refusal to renew
	1595	+	45.29a license, the facility shall be entitled to notice and a hearing as provided by sections 14.57
	1596	+	45.30to 14.69. The hearing must commence within 60 calendar days after the proceedings are
	1597	+	45.31initiated. In addition to any other remedy provided by law, the commissioner may, without
	1598	+	45Article 1 Sec. 65.
	1599	+	REVISOR DTT/HL 25-0033803/03/25 46.1a prior contested case hearing, temporarily suspend a license or prohibit delivery of services
	1600	+	46.2by a provider for not more than 90 calendar days, or issue a conditional license if the
	1601	+	46.3commissioner determines that there are Level 3 4 violations that do not pose an imminent
	1602	+	46.4risk of harm to the health or safety of the facility residents, provided:
	1603	+	46.5 (1) advance notice is given to the facility;
	1604	+	46.6 (2) after notice, the facility fails to correct the problem;
	1605	+	46.7 (3) the commissioner has reason to believe that other administrative remedies are not
	1606	+	46.8likely to be effective; and
	1607	+	46.9 (4) there is an opportunity for a contested case hearing within 30 calendar days unless
	1608	+	46.10there is an extension granted by an administrative law judge.
	1609	+	46.11 (b) If the commissioner determines there are Level 4 5 violations or violations that pose
	1610	+	46.12an imminent risk of harm to the health or safety of the facility residents, the commissioner
	1611	+	46.13may immediately temporarily suspend a license, prohibit delivery of services by a facility,
	1612	+	46.14or issue a conditional license without meeting the requirements of paragraph (a), clauses
	1613	+	46.15(1) to (4).
	1614	+	46.16For the purposes of this subdivision, "Level 3 4" and "Level 4 5" have the meanings given
	1615	+	46.17in section 144G.31.
	1616	+	46.18Sec. 66. Minnesota Statutes 2024, section 144G.20, subdivision 16, is amended to read:
	1617	+	46.19 Subd. 16.Hearing.Within 15 business days of receipt of the licensee's timely appeal
	1618	+	46.20of a sanction under this section, other than for a temporary suspension, the commissioner
	1619	+	46.21shall request assignment of an administrative law judge. The commissioner's request must
	1620	+	46.22include a proposed date, time, and place of hearing. A hearing must be conducted by an
	1621	+	46.23administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
	1622	+	46.2490 calendar days of the request for assignment, unless an extension is requested by either
	1623	+	46.25party and granted by the administrative law judge for good cause or for purposes of discussing
	1624	+	46.26settlement. In no case shall one or more extensions be granted for a total of more than 90
	1625	+	46.27calendar days unless there is a criminal action pending against the licensee. If, while a
	1626	+	46.28licensee continues to operate pending an appeal of an order for revocation, suspension, or
	1627	+	46.29refusal to renew a license, the commissioner identifies one or more new violations of law
	1628	+	46.30that meet the requirements of Level 3 4 or Level 4 5 violations as defined in section 144G.31,
	1629	+	46.31the commissioner shall act immediately to temporarily suspend the license.
	1630	+	46Article 1 Sec. 66.
	1631	+	REVISOR DTT/HL 25-0033803/03/25 47.1 Sec. 67. Minnesota Statutes 2024, section 144G.20, subdivision 17, is amended to read:
	1632	+	47.2 Subd. 17.Expedited hearing.(a) Within five business days of receipt of the licensee's
	1633	+	47.3timely appeal of a temporary suspension or issuance of a conditional license, the
	1634	+	47.4commissioner shall request assignment of an administrative law judge. The request must
	1635	+	47.5include a proposed date, time, and place of a hearing. A hearing must be conducted by an
	1636	+	47.6administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
	1637	+	47.730 calendar days of the request for assignment, unless an extension is requested by either
	1638	+	47.8party and granted by the administrative law judge for good cause. The commissioner shall
	1639	+	47.9issue a notice of hearing by certified mail or personal service at least ten business days
	1640	+	47.10before the hearing. Certified mail to the last known address is sufficient. The scope of the
	1641	+	47.11hearing shall be limited solely to the issue of whether the temporary suspension or issuance
	1642	+	47.12of a conditional license should remain in effect and whether there is sufficient evidence to
	1643	+	47.13conclude that the licensee's actions or failure to comply with applicable laws are Level 3 4
	1644	+	47.14or Level 4 5 violations as defined in section 144G.31, or that there were violations that
	1645	+	47.15posed an imminent risk of harm to the resident's health and safety.
	1646	+	47.16 (b) The administrative law judge shall issue findings of fact, conclusions, and a
	1647	+	47.17recommendation within ten business days from the date of hearing. The parties shall have
	1648	+	47.18ten calendar days to submit exceptions to the administrative law judge's report. The record
	1649	+	47.19shall close at the end of the ten-day period for submission of exceptions. The commissioner's
	1650	+	47.20final order shall be issued within ten business days from the close of the record. When an
	1651	+	47.21appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed,
	1652	+	47.22the commissioner shall issue a final order affirming the temporary immediate suspension
	1653	+	47.23or conditional license within ten calendar days of the commissioner's receipt of the
	1654	+	47.24withdrawal or dismissal. The licensee is prohibited from operation during the temporary
	1655	+	47.25suspension period.
	1656	+	47.26 (c) When the final order under paragraph (b) affirms an immediate suspension, and a
	1657	+	47.27final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that
	1658	+	47.28sanction, the licensee is prohibited from operation pending a final commissioner's order
	1659	+	47.29after the contested case hearing conducted under chapter 14.
	1660	+	47.30 (d) A licensee whose license is temporarily suspended must comply with the requirements
	1661	+	47.31for notification and transfer of residents under subdivision 15. These requirements remain
	1662	+	47.32if an appeal is requested.
	1663	+	47Article 1 Sec. 67.
	1664	+	REVISOR DTT/HL 25-0033803/03/25 48.1 Sec. 68. Minnesota Statutes 2024, section 144G.30, subdivision 7, is amended to read:
	1665	+	48.2 Subd. 7.Required follow-up surveys.For assisted living facilities that have Level 3
	1666	+	48.3or, Level 4, or Level 5 violations under section 144G.31, the commissioner shall conduct
	1667	+	48.4a follow-up survey within 90 calendar days of the survey. When conducting a follow-up
	1668	+	48.5survey, the surveyor shall focus on whether the previous violations have been corrected and
	1669	+	48.6may also address any new violations that are observed while evaluating the corrections that
	1670	+	48.7have been made.
	1671	+	48.8 Sec. 69. Minnesota Statutes 2024, section 144G.31, subdivision 2, is amended to read:
	1672	+	48.9 Subd. 2.Levels of violations.Correction orders for violations are categorized by level
	1673	+	48.10as follows:
	1674	+	48.11 (1) Level 1 is a violation that has no potential to cause more than a minimal impact on
	1675	+	48.12the resident will cause only minimal impact on the resident and does not affect health or
	1676	+	48.13safety;
	1677	+	48.14 (2) Level 2 is a violation that did not harm a resident's health or safety but had the
	1678	+	48.15potential to have harmed a resident's health or safety, but was not likely to cause serious
	1679	+	48.16injury, impairment, or death;
	1680	+	48.17 (3) Level 3 is a violation that harmed a resident's health or safety, not including serious
	1681	+	48.18injury, impairment, or death, or a violation that has the potential to lead to serious injury,
	1682	+	48.19impairment, or death or a violation that had the potential to cause more than minimal harm
	1683	+	48.20to the resident; and
	1684	+	48.21 (4) Level 4 is a violation that results in serious injury, impairment, or death. harmed a
	1685	+	48.22resident's health or safety, not including serious injury or death, or a violation that was likely
	1686	+	48.23to lead to serious injury or death; and
	1687	+	48.24 (5) Level 5 is a violation that results in serious injury or death.
	1688	+	48.25Sec. 70. Minnesota Statutes 2024, section 144G.31, subdivision 4, is amended to read:
	1689	+	48.26 Subd. 4.Fine amounts.(a) Fines and enforcement actions under this subdivision may
	1690	+	48.27be assessed based on the level and scope of the violations described in subdivisions 2 and
	1691	+	48.283 as follows and may be imposed immediately with no opportunity to correct the violation
	1692	+	48.29prior to imposition:
	1693	+	48.30 (1) Level 1, no fines or enforcement;
	1694	+	48Article 1 Sec. 70.
	1695	+	REVISOR DTT/HL 25-0033803/03/25 49.1 (2) Level 2, a fine of $500 per violation, in addition to any enforcement mechanism
	1696	+	49.2authorized in section 144G.20 for widespread violations;
	1697	+	49.3 (3) Level 3, a fine of $3,000 $1,000 per violation, in addition to any enforcement
	1698	+	49.4mechanism authorized in section 144G.20;
	1699	+	49.5 (4) Level 4, a fine of $5,000 $3,000 per violation, in addition to any enforcement
	1700	+	49.6mechanism authorized in section 144G.20; and
	1701	+	49.7 (5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism
	1702	+	49.8authorized in section 144G.20; and
	1703	+	49.9 (5) (6) for maltreatment violations for which the licensee was determined to be responsible
	1704	+	49.10for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000
	1705	+	49.11per incident. A fine of $5,000 per incident may be imposed if the commissioner determines
	1706	+	49.12the licensee is responsible for maltreatment consisting of sexual assault, death, or abuse
	1707	+	49.13resulting in serious injury.
	1708	+	49.14 (b) When a fine is assessed against a facility for substantiated maltreatment, the
	1709	+	49.15commissioner shall not also impose an immediate fine under this chapter for the same
	1710	+	49.16circumstance.
	1711	+	49.17Sec. 71. Minnesota Statutes 2024, section 144G.31, subdivision 5, is amended to read:
	1712	+	49.18 Subd. 5.Immediate fine; payment.(a) For every Level 3 or, Level 4, or Level 5
	1713	+	49.19violation, the commissioner may issue an immediate fine. The licensee must still correct
	1714	+	49.20the violation in the time specified. The issuance of an immediate fine may occur in addition
	1715	+	49.21to any enforcement mechanism authorized under section 144G.20. The immediate fine may
	1716	+	49.22be appealed as allowed under this chapter.
	1717	+	49.23 (b) The licensee must pay the fines assessed on or before the payment date specified. If
	1718	+	49.24the licensee fails to fully comply with the order, the commissioner may issue a second fine
	1719	+	49.25or suspend the license until the licensee complies by paying the fine. A timely appeal shall
	1720	+	49.26stay payment of the fine until the commissioner issues a final order.
	1721	+	49.27 (c) A licensee shall promptly notify the commissioner in writing when a violation
	1722	+	49.28specified in the order is corrected. If upon reinspection the commissioner determines that
	1723	+	49.29a violation has not been corrected as indicated by the order, the commissioner may issue
	1724	+	49.30an additional fine. The commissioner shall notify the licensee by mail to the last known
	1725	+	49.31address in the licensing record that a second fine has been assessed. The licensee may appeal
	1726	+	49.32the second fine as provided under this subdivision.
	1727	+	49Article 1 Sec. 71.
	1728	+	REVISOR DTT/HL 25-0033803/03/25 50.1 (d) A facility that has been assessed a fine under this section has a right to a
	1729	+	50.2reconsideration or hearing under this chapter and chapter 14.
	1730	+	50.3 Sec. 72. Minnesota Statutes 2024, section 144G.31, subdivision 8, is amended to read:
	1731	+	50.4 Subd. 8.Deposit of fines.Fines collected under this section shall be deposited in a
	1732	+	50.5dedicated special revenue account. On an annual basis, the balance in the special revenue
	1733	+	50.6account shall be appropriated to the commissioner for special projects to improve resident
	1734	+	50.7quality of care and outcomes in assisted living facilities licensed under this chapter in
	1735	+	50.8Minnesota as recommended by the advisory council established in section 144A.4799 or
	1736	+	50.9as recommended by the commissioner after the advisory council's review and approval.
	1737	+	50.10Sec. 73. Minnesota Statutes 2024, section 144G.45, subdivision 6, is amended to read:
	1738	+	50.11 Subd. 6.New construction; plans.(a) For all new licensure and construction beginning
	1739	+	50.12on or after August 1, 2021, the following must be provided to the commissioner:
	1740	+	50.13 (1) architectural and engineering plans and specifications for new construction must be
	1741	+	50.14prepared and signed by architects and engineers who are registered in Minnesota. Final
	1742	+	50.15working drawings and specifications for proposed construction must be submitted to the
	1743	+	50.16commissioner for review and approval;
	1744	+	50.17 (2) final architectural plans and specifications must include elevations and sections
	1745	+	50.18through the building showing types of construction, and must indicate dimensions and
	1746	+	50.19assignments of rooms and areas, room finishes, door types and hardware, elevations and
	1747	+	50.20details of nurses' work areas, utility rooms, toilet and bathing areas, and large-scale layouts
	1748	+	50.21of dietary and laundry areas. Plans must show the location of fixed equipment and sections
	1749	+	50.22and details of elevators, chutes, and other conveying systems. Fire walls and smoke partitions
	1750	+	50.23must be indicated. The roof plan must show all mechanical installations. The site plan must
	1751	+	50.24indicate the proposed and existing buildings, topography, roadways, walks and utility service
	1752	+	50.25lines; and
	1753	+	50.26 (3) final mechanical and electrical plans and specifications must address the complete
	1754	+	50.27layout and type of all installations, systems, and equipment to be provided. Heating plans
	1755	+	50.28must include heating elements, piping, thermostatic controls, pumps, tanks, heat exchangers,
	1756	+	50.29boilers, breeching, and accessories. Ventilation plans must include room air quantities,
	1757	+	50.30ducts, fire and smoke dampers, exhaust fans, humidifiers, and air handling units. Plumbing
	1758	+	50.31plans must include the fixtures and equipment fixture schedule; water supply and circulating
	1759	+	50.32piping, pumps, tanks, riser diagrams, and building drains; the size, location, and elevation
	1760	+	50.33of water and sewer services; and the building fire protection systems. Electrical plans must
	1761	+	50Article 1 Sec. 73.
	1762	+	REVISOR DTT/HL 25-0033803/03/25 51.1include fixtures and equipment, receptacles, switches, power outlets, circuits, power and
	1763	+	51.2light panels, transformers, and service feeders. Plans must show location of nurse call signals,
	1764	+	51.3cable lines, fire alarm stations, and fire detectors and emergency lighting.
	1765	+	51.4 (b) Unless construction is begun within one year after approval of the final working
	1766	+	51.5drawing and specifications, the drawings must be resubmitted for review and approval.
	1767	+	51.6 (c) The commissioner must be notified within 30 days before completion of construction
	1768	+	51.7so that the commissioner can make arrangements for a final inspection by the commissioner.
	1769	+	51.8 (d) At least one set of complete life safety plans, including changes resulting from
	1770	+	51.9remodeling or alterations, must be kept on file in the facility.
	1771	+	51.10 (e) For new construction beginning on or after July 1, 2025, the licensee must comply
	1772	+	51.11with section 144.554 to submit applicable construction plans and fees to the commissioner.
	1773	+	51.12Sec. 74. Minnesota Statutes 2024, section 145.8811, is amended to read:
	1774	+	51.13 145.8811 MATERNAL AND CHILD HEALTH ADVISORY TASK FORCE
	1775	+	51.14COMMITTEE.
	1776	+	51.15 Subdivision 1.Composition of task force committee.The commissioner shall establish
	1777	+	51.16and appoint a Maternal and Child Health Advisory Task Force Committee consisting of 15
	1778	+	51.17members who will provide equal representation from:
	1779	+	51.18 (1) professionals with expertise in maternal and child health services;
	1780	+	51.19 (2) representatives of community health boards as defined in section 145A.02, subdivision
	1781	+	51.205; and
	1782	+	51.21 (3) consumer representatives interested in the health of mothers and children.
	1783	+	51.22 No members shall be employees of the Minnesota Department of Health. Section 15.059
	1784	+	51.23governs the Maternal and Child Health Advisory Task Force Committee. Notwithstanding
	1785	+	51.24section 15.059, the Maternal and Child Health Advisory Task Force Committee does not
	1786	+	51.25expire.
	1787	+	51.26 Subd. 2.Duties.The advisory task force committee shall meet on a regular basis to
	1788	+	51.27perform the following duties:
	1789	+	51.28 (1) review and report on the health care needs of mothers and children throughout the
	1790	+	51.29state of Minnesota;
	1791	+	51Article 1 Sec. 74.
	1792	+	REVISOR DTT/HL 25-0033803/03/25 52.1 (2) review and report on the type, frequency, and impact of maternal and child health
	1793	+	52.2care services provided to mothers and children under existing maternal and child health
	1794	+	52.3care programs, including programs administered by the commissioner of health;
	1795	+	52.4 (3) establish, review, and report to the commissioner a list of program guidelines and
	1796	+	52.5criteria which the advisory task force committee considers essential to providing an effective
	1797	+	52.6maternal and child health care program to low-income populations and high-risk persons
	1798	+	52.7and fulfilling the purposes defined in section 145.88;
	1799	+	52.8 (4) make recommendations to the commissioner for the use of other federal and state
	1800	+	52.9funds available to meet maternal and child health needs;
	1801	+	52.10 (5) make recommendations to the commissioner of health on priorities for funding the
	1802	+	52.11following maternal and child health services:
	1803	+	52.12 (i) prenatal, delivery, and postpartum care;
	1804	+	52.13 (ii) comprehensive health care for children, especially from birth through five years of
	1805	+	52.14age;
	1806	+	52.15 (iii) adolescent health services;
	1807	+	52.16 (iv) family planning services;
	1808	+	52.17 (v) preventive dental care;
	1809	+	52.18 (vi) special services for chronically ill and disabled children; and
	1810	+	52.19 (vii) any other services that promote the health of mothers and children; and
	1811	+	52.20 (6) establish in consultation with the commissioner statewide outcomes that will improve
	1812	+	52.21the health status of mothers and children.
	1813	+	52.22 EFFECTIVE DATE.This section is effective July 1, 2025.
	1814	+	52.23Sec. 75. Minnesota Statutes 2024, section 157.16, subdivision 2, is amended to read:
	1815	+	52.24 Subd. 2.License renewal.Initial and renewal licenses for all food and beverage service
	1816	+	52.25establishments, youth camps, hotels, motels, lodging establishments, public pools, and
	1817	+	52.26resorts shall be issued on an annual basis. Any person who operates a place of business after
	1818	+	52.27the expiration date of a license or without having submitted an application and paid the fee
	1819	+	52.28shall be deemed to have violated the provisions of this chapter and shall be subject to
	1820	+	52.29enforcement action, as provided in the Health Enforcement Consolidation Act, sections
	1821	+	52.30144.989 to 144.993. In addition, a penalty of $60 $100 shall be added to the total of the
	1822	+	52.31license fee for any food and beverage service establishment operating without a license as
	1823	+	52Article 1 Sec. 75.
	1824	+	REVISOR DTT/HL 25-0033803/03/25 53.1a mobile food unit, a seasonal temporary or seasonal permanent food stand, or a special
	1825	+	53.2event food stand, and a penalty of $120 $200 shall be added to the total of the license fee
	1826	+	53.3for all restaurants, food carts, hotels, motels, lodging establishments, youth camps, public
	1827	+	53.4pools, and resorts operating without a license for a period of up to 30 days. A late fee of
	1828	+	53.5$360 $450 shall be added to the license fee for establishments operating more than 30 days
	1829	+	53.6without a license.
	1830	+	53.7 Sec. 76. Minnesota Statutes 2024, section 157.16, subdivision 2a, is amended to read:
	1831	+	53.8 Subd. 2a.Food manager certification.An applicant for certification or certification
	1832	+	53.9renewal as a food manager must submit to the commissioner a $35 $45 nonrefundable
	1833	+	53.10certification fee payable to the Department of Health. The commissioner shall issue a
	1834	+	53.11duplicate certificate to replace a lost, destroyed, or mutilated certificate if the applicant
	1835	+	53.12submits a completed application on a form provided by the commissioner for a duplicate
	1836	+	53.13certificate and pays $20 $25 to the department for the cost of duplication. In addition, a $5
	1837	+	53.14technology fee must be paid with the initial certification, certification renewal, or duplicate
	1838	+	53.15certificate application.
	1839	+	53.16Sec. 77. Minnesota Statutes 2024, section 157.16, subdivision 3, is amended to read:
	1840	+	53.17 Subd. 3.Establishment fees; definitions.(a) The following fees are required for food
	1841	+	53.18and beverage service establishments, youth camps, hotels, motels, lodging establishments,
	1842	+	53.19public pools, and resorts licensed under this chapter. Food and beverage service
	1843	+	53.20establishments must pay the highest applicable fee under paragraph (d), clause (1), (2), (3),
	1844	+	53.21or (4). The license fee for new operators previously licensed under this chapter for the same
	1845	+	53.22calendar year is one-half of the appropriate annual license fee, plus any penalty that may
	1846	+	53.23be required. The license fee for operators opening on or after October 1 is one-half of the
	1847	+	53.24appropriate annual license fee, plus any penalty that may be required.
	1848	+	53.25 (b) All food and beverage service establishments, except special event food stands, and
	1849	+	53.26all hotels, motels, lodging establishments, public pools, and resorts shall pay an annual base
	1850	+	53.27fee of $165 $300.
	1851	+	53.28 (c) A special event food stand shall pay a flat fee of $55 $75 annually. "Special event
	1852	+	53.29food stand" means a fee category where food is prepared or served in conjunction with
	1853	+	53.30celebrations, county fairs, or special events from a special event food stand as defined in
	1854	+	53.31section 157.15.
	1855	+	53.32 (d) In addition to the base fee in paragraph (b), each food and beverage service
	1856	+	53.33establishment, other than a special event food stand and a school concession stand, and each
	1857	+	53Article 1 Sec. 77.
	1858	+	REVISOR DTT/HL 25-0033803/03/25 54.1hotel, motel, lodging establishment, public pool, and resort shall pay an additional annual
	1859	+	54.2fee for each fee category, additional food service, or required additional inspection specified
	1860	+	54.3in this paragraph:
	1861	+	54.4 (1) Category 1 establishment, $110 $185. "Category 1 establishment" means a fee
	1862	+	54.5category that provides one or more of the following items or is one of the listed
	1863	+	54.6establishments or facilities:
	1864	+	54.7 (i) serves prepackaged food that is served in the package;
	1865	+	54.8 (ii) serves a continental breakfast such as rolls, coffee, juice, milk, and cold cereal;
	1866	+	54.9 (iii) serves soft drinks, coffee, or nonalcoholic beverages;
	1867	+	54.10 (iv) provides cleaning for eating, drinking, or cooking utensils, when the only food
	1868	+	54.11served is prepared off site;
	1869	+	54.12 (v) a food establishment where the method of food preparation meets the definition of
	1870	+	54.13a low-risk establishment in section 157.20; or
	1871	+	54.14 (vi) operates as a child care facility licensed under section 142B.05 and Minnesota Rules,
	1872	+	54.15chapter 9503.
	1873	+	54.16 (2) Category 2 establishment, $245 $430. "Category 2 establishment" means an
	1874	+	54.17establishment that is not a Category 1 establishment and is either:
	1875	+	54.18 (i) a food establishment where the method of food preparation meets the definition of a
	1876	+	54.19medium-risk establishment in section 157.20; or
	1877	+	54.20 (ii) an elementary or secondary school as defined in section 120A.05.
	1878	+	54.21 (3) Category 3 establishment, $385 $670. "Category 3 establishment" means an
	1879	+	54.22establishment that is not a Category 1 or Category 2 establishment and is either:
	1880	+	54.23 (i) a food establishment where the method of food preparation meets the definition of a
	1881	+	54.24high-risk establishment in section 157.20; or
	1882	+	54.25 (ii) an establishment where 500 or more meals are prepared per day and served at one
	1883	+	54.26or more separate locations.
	1884	+	54.27 (4) Other food and beverage service, including food carts, mobile food units, seasonal
	1885	+	54.28temporary food stands, and seasonal permanent food stands, $85 $150.
	1886	+	54.29 (5) Lodging per sleeping accommodation unit, $11 $15, including hotels, motels, lodging
	1887	+	54.30establishments, and resorts, up to a maximum of $1,100 $1,500. "Lodging per sleeping
	1888	+	54.31accommodation unit" means a fee category including the number of guest rooms, cottages,
	1889	+	54Article 1 Sec. 77.
	1890	+	REVISOR DTT/HL 25-0033803/03/25 55.1or other rental units of a hotel, motel, lodging establishment, or resort; or the number of
	1891	+	55.2beds in a dormitory.
	1892	+	55.3 (6) First public pool, $355 $455; each additional public pool, $200 $300. "Public pool"
	1893	+	55.4means a fee category that has the meaning given in section 144.1222, subdivision 4.
	1894	+	55.5 (7) First spa, $200 $300; each additional spa, $110 $200. "Spa pool" means a fee category
	1895	+	55.6that has the meaning given in Minnesota Rules, part 4717.0250, subpart 9.
	1896	+	55.7 (8) Private sewer or water, $60 $85. "Individual private water" means a fee category
	1897	+	55.8with a water supply other than a community public water supply as defined in Minnesota
	1898	+	55.9Rules, chapter 4720. "Individual private sewer" means a fee category with an individual
	1899	+	55.10sewage treatment system which uses subsurface treatment and disposal.
	1900	+	55.11 (9) Additional food service, $175 $250. "Additional food service" means a location at
	1901	+	55.12a food service establishment, other than the primary food preparation and service area, used
	1902	+	55.13to prepare or serve beverages or food to the public. Additional food service does not apply
	1903	+	55.14to school concession stands.
	1904	+	55.15 (10) Additional inspection fee, $250 $350. "Additional inspection fee" means a fee to
	1905	+	55.16conduct the second inspection each year for elementary and secondary education facility
	1906	+	55.17school lunch programs when required by the Richard B. Russell National School Lunch
	1907	+	55.18Act.
	1908	+	55.19 (11) HACCP verification, $175 $225. "HACCP verification" means an annual fee
	1909	+	55.20category for a business that performs one or more specialized process that requires an
	1910	+	55.21HACCP plan as required in chapter 31 and Minnesota Rules, chapter 4626.
	1911	+	55.22 (e) A fee for review of construction plans must accompany the initial license application
	1912	+	55.23for restaurants, hotels, motels, lodging establishments, resorts, seasonal food stands, and
	1913	+	55.24mobile food units. Plans submitted less than 30 days prior to construction are subject to 50
	1914	+	55.25percent of the original plan review fee. A fee for review of an HACCP plan for specialized
	1915	+	55.26processing must be submitted and approved prior to preparing and serving the specialized
	1916	+	55.27processed food for human consumption. The fees for construction plan reviews and HACCP
	1917	+	55.28plan reviews are as follows:
	1918	+	FeeType55.29Service Area
	1919	+	55.30 $400
	1920	+	$550category 1 establishment55.31Food
	1921	+	55.32 $450
	1922	+	$75055.33 category 2 establishment
	1923	+	55.34 $500
	1924	+	$80055.35 category 3 food establishment
	1925	+	55Article 1 Sec. 77.
	1926	+	REVISOR DTT/HL 25-0033803/03/25 56.1 $250
	1927	+	$40056.2 additional food service
	1928	+	56.3 $500
	1929	+	$60056.4 HACCP Plan Review
	1930	+	56.5 $250
	1931	+	$500food cart56.6Transient food service
	1932	+	56.7 $250
	1933	+	$50056.8 seasonal permanent food stand
	1934	+	56.9 $250
	1935	+	$50056.10 seasonal temporary food stand
	1936	+	56.11 $350
	1937	+	$70056.12 mobile food unit
	1938	+	56.13 $375
	1939	+	$450less than 25 rooms56.14Lodging
	1940	+	56.15 $400
	1941	+	$50056.16 25 to less than 100 rooms
	1942	+	56.17 $500
	1943	+	$60056.18 100 rooms or more
	1944	+	56.19 $350
	1945	+	$40056.20 less than five cabins
	1946	+	56.21 $400
	1947	+	$45056.22 five to less than ten cabins
	1948	+	56.23 $450
	1949	+	$50056.24 ten cabins or more
	1950	+	56.25 (f) When existing food and beverage service establishments, hotels, motels, lodging
	1951	+	56.26establishments, resorts, seasonal food stands, and mobile food units are extensively
	1952	+	56.27remodeled, a fee must be submitted with the remodeling plans. The fee for this construction
	1953	+	56.28plan review is as follows:
	1954	+	FeeType56.29Service Area
	1955	+	56.30 $300
	1956	+	$450category 1 establishment56.31Food
	1957	+	56.32 $350
	1958	+	$50056.33 category 2 establishment
	1959	+	56.34 $400
	1960	+	$55056.35 category 3 establishment
	1961	+	56.36 $250
	1962	+	$40056.37 additional food service
	1963	+	56.38 $250
	1964	+	$400food cart56.39Transient food service
	1965	+	56.40 $250
	1966	+	$40056.41 seasonal permanent food stand
	1967	+	56.42 $250
	1968	+	$40056.43 seasonal temporary food stand
	1969	+	56Article 1 Sec. 77.
	1970	+	REVISOR DTT/HL 25-0033803/03/25 57.1 $250
	1971	+	$40057.2 mobile food unit
	1972	+	57.3 $250
	1973	+	$300less than 25 rooms57.4Lodging
	1974	+	57.5 $300
	1975	+	$35057.6 25 to less than 100 rooms
	1976	+	57.7 $450
	1977	+	$50057.8 100 rooms or more
	1978	+	57.9 $250
	1979	+	$30057.10 less than five cabins
	1980	+	57.11 $350
	1981	+	$40057.12 five to less than ten cabins
	1982	+	57.13 $400
	1983	+	$45057.14 ten cabins or more
	1984	+	57.15 (g) Special event food stands are not required to submit construction or remodeling plans
	1985	+	57.16for review.
	1986	+	57.17 (h) Youth camps shall pay an annual single fee for food and lodging as follows:
	1987	+	57.18 (1) camps with up to 99 campers, $325 $375;
	1988	+	57.19 (2) camps with 100 to 199 campers, $550 $600; and
	1989	+	57.20 (3) camps with 200 or more campers, $750 $800.
	1990	+	57.21 (i) A youth camp which pays fees under paragraph (d) is not required to pay fees under
	1991	+	57.22paragraph (h).
	1992	+	57.23Sec. 78. Minnesota Statutes 2024, section 157.16, subdivision 3a, is amended to read:
	1993	+	57.24 Subd. 3a.Statewide hospitality fee.Every person, firm, or corporation that operates a
	1994	+	57.25licensed boarding establishment, food and beverage service establishment, seasonal temporary
	1995	+	57.26or permanent food stand, special event food stand, mobile food unit, food cart, resort, hotel,
	1996	+	57.27motel, or lodging establishment in Minnesota must submit to the commissioner a $40 $50
	1997	+	57.28annual statewide hospitality fee for each licensed activity. The fee for establishments licensed
	1998	+	57.29by either the Department of Health is required or a local government shall be paid at the
	1999	+	57.30same time the licensure fee is due. For establishments licensed by local governments, the
	2000	+	57.31fee is due to be paid to the Department of Health by the local government by July 1 of each
	2001	+	57.32year.
	2002	+	57Article 1 Sec. 78.
	2003	+	REVISOR DTT/HL 25-0033803/03/25 58.1 Sec. 79. Minnesota Statutes 2024, section 157.16, is amended by adding a subdivision to
	2004	+	58.2read:
	2005	+	58.3 Subd. 3b.Technology fee.Every food and beverage service establishment, youth camp,
	2006	+	58.4hotel, motel, lodging establishment, public pool, and resort licensed under this chapter must
	2007	+	58.5pay a $5 technology fee for each licensed activity for the initial license and with each
	2008	+	58.6renewal.
	2009	+	58.7 Sec. 80. Minnesota Statutes 2024, section 326.72, subdivision 1, is amended to read:
	2010	+	58.8 Subdivision 1.When license required.A person within the state intending to directly
	2011	+	58.9perform or cause to be performed through subcontracting or similar delegation any
	2012	+	58.10asbestos-related work either for financial gain or with respect to the person's own property
	2013	+	58.11shall first apply for and obtain a license from the commissioner. The license shall be in
	2014	+	58.12writing, be dated when issued, contain an expiration date, be signed by the commissioner,
	2015	+	58.13and give the name and address of the person to whom it is issued.
	2016	+	58.14 The domiciled owner of a single family residence is not required to hold a license or
	2017	+	58.15pay a project permit fee to conduct asbestos-related work in the domiciled residence.
	2018	+	58.16 Any person performing any asbestos-related work within the state must be licensed by
	2019	+	58.17the commissioner, whether directly performing asbestos work or causing it to be performed
	2020	+	58.18through subcontracting or similar delegation. A domiciled owner of a single-family residence
	2021	+	58.19is not required to hold a license or pay a project permit fee to conduct asbestos-related work
	2022	+	58.20in the domiciled residence.
	2023	+	58.21Sec. 81. Minnesota Statutes 2024, section 326.75, subdivision 3, is amended to read:
	2024	+	58.22 Subd. 3.Permit fee.Five calendar days before beginning asbestos-related work, a person
	2025	+	58.23shall pay a project permit fee to the commissioner equal to two three percent of the total
	2026	+	58.24costs of the asbestos-related work. For asbestos-related work performed in single or
	2027	+	58.25multifamily residences, of greater than ten but less than 260 linear feet of asbestos-containing
	2028	+	58.26material on pipes, or greater than six but less than 160 square feet of asbestos-containing
	2029	+	58.27material on other facility components, a person shall pay a project permit fee of $35 to the
	2030	+	58.28commissioner.
	2031	+	58.29Sec. 82. Minnesota Statutes 2024, section 326.75, subdivision 3a, is amended to read:
	2032	+	58.30 Subd. 3a.Asbestos-related training course permit fee.The commissioner shall establish
	2033	+	58.31by rule a permit fee to be paid by A training course provider shall pay the commissioner a
	2034	+	58Article 1 Sec. 82.
	2035	+	REVISOR DTT/HL 25-0033803/03/25 59.1fee of $500 on application for a training course permit or and $250 for the renewal of a
	2036	+	59.2permit of each asbestos-related training course required for certification or registration.
	2037	+	59.3 Sec. 83. Minnesota Statutes 2024, section 327.15, subdivision 2, is amended to read:
	2038	+	59.4 Subd. 2.License renewal.Initial and renewal licenses for all manufactured home parks
	2039	+	59.5and recreational camping areas shall be issued annually and shall have an expiration date
	2040	+	59.6included on the license. Any person who operates a manufactured home park or recreational
	2041	+	59.7camping area after the expiration date of a license or without having submitted an application
	2042	+	59.8and paid the fee shall be deemed to have violated the provisions of this chapter and shall
	2043	+	59.9be subject to enforcement action, as provided in the Health Enforcement Consolidation Act,
	2044	+	59.10sections 144.989 to 144.993. In addition, a penalty of $120 $200 shall be added to the total
	2045	+	59.11of the license fee for any manufactured home park or recreational camping area operating
	2046	+	59.12without a license for a period of up to 30 days. A late fee of $360 $450 shall be added to
	2047	+	59.13the license fee for any manufactured home park or recreational camping area operating
	2048	+	59.14more than 30 days without a license.
	2049	+	59.15Sec. 84. Minnesota Statutes 2024, section 327.15, subdivision 3, is amended to read:
	2050	+	59.16 Subd. 3.Fees, manufactured home parks and recreational camping areas.(a) The
	2051	+	59.17following fees are required for manufactured home parks and recreational camping areas
	2052	+	59.18licensed under this chapter. Fees collected under this section shall be deposited in the state
	2053	+	59.19government special revenue fund. Recreational camping areas and manufactured home
	2054	+	59.20parks shall pay the highest applicable base fee under paragraph (b). The license fee for new
	2055	+	59.21operators of a manufactured home park or recreational camping area previously licensed
	2056	+	59.22under this chapter for the same calendar year is one-half of the appropriate annual license
	2057	+	59.23fee, plus any penalty that may be required. The license fee for operators opening on or after
	2058	+	59.24October 1 is one-half of the appropriate annual license fee, plus any penalty that may be
	2059	+	59.25required.
	2060	+	59.26 (b) All manufactured home parks and recreational camping areas shall pay the following
	2061	+	59.27annual base fee:
	2062	+	59.28 (1) a manufactured home park, $165 $280; and
	2063	+	59.29 (2) a recreational camping area with:
	2064	+	59.30 (i) 24 or less sites, $55 $100;
	2065	+	59.31 (ii) 25 to 99 sites, $230 $410; and
	2066	+	59.32 (iii) 100 or more sites, $330 $610.
	2067	+	59Article 1 Sec. 84.
	2068	+	REVISOR DTT/HL 25-0033803/03/25 60.1In addition to the base fee, manufactured home parks and recreational camping areas shall
	2069	+	60.2pay $5 $8 for each licensed site. This paragraph does not apply to special event recreational
	2070	+	60.3camping areas. Operators of a manufactured home park or a recreational camping area also
	2071	+	60.4licensed under section 157.16 for the same location shall pay only one base fee, whichever
	2072	+	60.5is the highest of the base fees found in this section or section 157.16.
	2073	+	60.6 (c) In addition to the fee in paragraph (b), each manufactured home park or recreational
	2074	+	60.7camping area shall pay an additional annual fee for each fee category specified in this
	2075	+	60.8paragraph:
	2076	+	60.9 (1) Manufactured home parks and recreational camping areas with public swimming
	2077	+	60.10pools and spas shall pay the appropriate fees specified in section 157.16.
	2078	+	60.11 (2) Individual private sewer or water, $60 $85. "Individual private water" means a fee
	2079	+	60.12category with a water supply other than a community public water supply as defined in
	2080	+	60.13Minnesota Rules, chapter 4720. "Individual private sewer" means a fee category with a
	2081	+	60.14subsurface sewage treatment system which uses subsurface treatment and disposal.
	2082	+	60.15 (d) The following fees must accompany a plan review application for initial construction
	2083	+	60.16of a manufactured home park or recreational camping area:
	2084	+	60.17 (1) for initial construction of less than 25 sites, $375 $400;
	2085	+	60.18 (2) for initial construction of 25 to 99 sites, $400 $425; and
	2086	+	60.19 (3) for initial construction of 100 or more sites, $500 $525.
	2087	+	60.20 (e) The following fees must accompany a plan review application when an existing
	2088	+	60.21manufactured home park or recreational camping area is expanded:
	2089	+	60.22 (1) for expansion of less than 25 sites, $250 $300;
	2090	+	60.23 (2) for expansion of 25 to 99 sites, $300 $350; and
	2091	+	60.24 (3) for expansion of 100 or more sites, $450 $500.
	2092	+	60.25Sec. 85. Minnesota Statutes 2024, section 327.15, subdivision 4, is amended to read:
	2093	+	60.26 Subd. 4.Fees, special event recreational camping areas.(a) The following fees are
	2094	+	60.27required for special event recreational camping areas licensed under this chapter.
	2095	+	60.28 (b) All special event recreational camping areas shall pay an annual fee of $150 $250
	2096	+	60.29plus $1 $4 for each licensed site.
	2097	+	60.30 (c) A special event recreational camping area shall pay a late fee of $360 $450 for failing
	2098	+	60.31to obtain a license prior to operating.
	2099	+	60Article 1 Sec. 85.
	2100	+	REVISOR DTT/HL 25-0033803/03/25 61.1 (d) The following fees must accompany a plan review application for initial construction
	2101	+	61.2of a special event recreational camping area:
	2102	+	61.3 (1) for initial construction of less than 25 special event recreational camping sites, $375
	2103	+	61.4$475;
	2104	+	61.5 (2) for initial construction of 25 to 99 sites, $400 $500; and
	2105	+	61.6 (3) for initial construction of 100 or more sites, $500 $600.
	2106	+	61.7 (e) The following fees must accompany a plan review application for expansion of a
	2107	+	61.8special event recreational camping area:
	2108	+	61.9 (1) for expansion of less than 25 sites, $250 $300;
	2109	+	61.10 (2) for expansion of 25 to 99 sites, $300 $350; and
	2110	+	61.11 (3) for expansion of 100 or more sites, $450 $500.
	2111	+	61.12Sec. 86. Minnesota Statutes 2024, section 327.15, is amended by adding a subdivision to
	2112	+	61.13read:
	2113	+	61.14 Subd. 5.Technology fee.All manufactured home parks, recreational camping areas,
	2114	+	61.15and special event camping areas must pay a $5 technology fee at initial licensing and upon
	2115	+	61.16each renewal.
	2116	+	61.17Sec. 87. RULEMAKING.
	2117	+	61.18 The Department of Health must adopt rules using the expedited process under Minnesota
	2118	+	61.19Statutes, section 14.389, to amend certain parts in Minnesota Rules, chapter 4695, to conform
	2119	+	61.20with the changes made in this act.
	2120	+	61.21Sec. 88. REPEALER.
	2121	+	61.22 (a) Minnesota Statutes 2024, section 103I.550, is repealed.
	2122	+	61.23 (b) Minnesota Rules, part 4695.2900, is repealed.
	2123	+	61.24 ARTICLE 2
	2124	+	61.25 HEALTH CARE
	2125	+	61.26Section 1. Minnesota Statutes 2024, section 174.30, subdivision 3, is amended to read:
	2126	+	61.27 Subd. 3.Other standards; wheelchair securement; protected transport.(a) A special
	2127	+	61.28transportation service that transports individuals occupying wheelchairs is subject to the
	2128	+	61Article 2 Section 1.
	2129	+	REVISOR DTT/HL 25-0033803/03/25 62.1provisions of sections 299A.11 to 299A.17 concerning wheelchair securement devices. The
	2130	+	62.2commissioners of transportation and public safety shall cooperate in the enforcement of
	2131	+	62.3this section and sections 299A.11 to 299A.17 so that a single inspection is sufficient to
	2132	+	62.4ascertain compliance with sections 299A.11 to 299A.17 and with the standards adopted
	2133	+	62.5under this section. Representatives of the Department of Transportation may inspect
	2134	+	62.6wheelchair securement devices in vehicles operated by special transportation service
	2135	+	62.7providers to determine compliance with sections 299A.11 to 299A.17 and to issue certificates
	2136	+	62.8under section 299A.14, subdivision 4.
	2137	+	62.9 (b) In place of a certificate issued under section 299A.14, the commissioner may issue
	2138	+	62.10a decal under subdivision 4 for a vehicle equipped with a wheelchair securement device if
	2139	+	62.11the device complies with sections 299A.11 to 299A.17 and the decal displays the information
	2140	+	62.12in section 299A.14, subdivision 4.
	2141	+	62.13 (c) For vehicles designated as protected transport under section 256B.0625, subdivision
	2142	+	62.1417, paragraph (l) (n), the commissioner of transportation, during the commissioner's
	2143	+	62.15inspection, shall check to ensure the safety provisions contained in that paragraph are in
	2144	+	62.16working order.
	2145	+	62.17Sec. 2. Minnesota Statutes 2024, section 256.9657, subdivision 2, is amended to read:
	2146	+	62.18 Subd. 2.Hospital surcharge.(a) Effective October 1, 1992 July 1, 2025, each Minnesota
	2147	+	62.19hospital except facilities of the federal Indian Health Service and regional treatment centers
	2148	+	62.20shall pay to the medical assistance account a surcharge equal to 1.4 1.72 percent of net
	2149	+	62.21patient revenues excluding net Medicare revenues reported by that provider to the health
	2150	+	62.22care cost information system according to the schedule in subdivision 4.
	2151	+	62.23 (b) Effective July 1, 1994, the surcharge under paragraph (a) is increased to 1.56 percent.
	2152	+	62.24 (c) (b) Notwithstanding the Medicare cost finding and allowable cost principles, the
	2153	+	62.25hospital surcharge is not an allowable cost for purposes of rate setting under sections
	2154	+	62.26256.9685 to 256.9695.
	2155	+	62.27Sec. 3. Minnesota Statutes 2024, section 256.9657, subdivision 3, is amended to read:
	2156	+	62.28 Subd. 3.Surcharge on HMOs and community integrated service networks.(a)
	2157	+	62.29Effective October 1, 1992 July 1, 2025, each health maintenance organization with a
	2158	+	62.30certificate of authority issued by the commissioner of health under chapter 62D and each
	2159	+	62.31community integrated service network licensed by the commissioner under chapter 62N
	2160	+	62.32shall pay to the commissioner of human services a surcharge equal to six-tenths of one 1.25
	2161	+	62Article 2 Sec. 3.
	2162	+	REVISOR DTT/HL 25-0033803/03/25 63.1percent of the total premium revenues of the health maintenance organization or community
	2163	+	63.2integrated service network as reported to the commissioner of health according to the
	2164	+	63.3schedule in subdivision 4.
	2165	+	63.4 (b) For purposes of this subdivision, total premium revenue means:
	2166	+	63.5 (1) premium revenue recognized on a prepaid basis from individuals and groups for
	2167	+	63.6provision of a specified range of health services over a defined period of time which is
	2168	+	63.7normally one month, excluding premiums paid to a health maintenance organization or
	2169	+	63.8community integrated service network from the Federal Employees Health Benefit Program;
	2170	+	63.9 (2) premiums from Medicare wraparound subscribers for health benefits which
	2171	+	63.10supplement Medicare coverage;
	2172	+	63.11 (3) Medicare revenue, as a result of an arrangement between a health maintenance
	2173	+	63.12organization or a community integrated service network and the Centers for Medicare and
	2174	+	63.13Medicaid Services of the federal Department of Health and Human Services, for services
	2175	+	63.14to a Medicare beneficiary, excluding Medicare revenue that states are prohibited from taxing
	2176	+	63.15under sections 1854, 1860D-12, and 1876 of title XVIII of the federal Social Security Act,
	2177	+	63.16codified as United States Code, title 42, sections 1395mm, 1395w-112, and 1395w-24,
	2178	+	63.17respectively, as they may be amended from time to time; and
	2179	+	63.18 (4) medical assistance revenue, as a result of an arrangement between a health
	2180	+	63.19maintenance organization or community integrated service network and a Medicaid state
	2181	+	63.20agency, for services to a medical assistance beneficiary.
	2182	+	63.21 (c) If advance payments are made under paragraph (b), clause (1) or (2) to the health
	2183	+	63.22maintenance organization or community integrated service network for more than one
	2184	+	63.23reporting period, the portion of the payment that has not yet been earned must be treated as
	2185	+	63.24a liability.
	2186	+	63.25 (c) (d) When a health maintenance organization or community integrated service network
	2187	+	63.26merges or consolidates with or is acquired by another health maintenance organization or
	2188	+	63.27community integrated service network, the surviving corporation or the new corporation
	2189	+	63.28shall be responsible for the annual surcharge originally imposed on each of the entities or
	2190	+	63.29corporations subject to the merger, consolidation, or acquisition, regardless of whether one
	2191	+	63.30of the entities or corporations does not retain a certificate of authority under chapter 62D
	2192	+	63.31or a license under chapter 62N.
	2193	+	63.32 (d) (e) Effective June 15 of each year, the surviving corporation's or the new corporation's
	2194	+	63.33surcharge shall be based on the revenues earned in the previous calendar year by all of the
	2195	+	63Article 2 Sec. 3.
	2196	+	REVISOR DTT/HL 25-0033803/03/25 64.1entities or corporations subject to the merger, consolidation, or acquisition regardless of
	2197	+	64.2whether one of the entities or corporations does not retain a certificate of authority under
	2198	+	64.3chapter 62D or a license under chapter 62N until the total premium revenues of the surviving
	2199	+	64.4corporation include the total premium revenues of all the merged entities as reported to the
	2200	+	64.5commissioner of health.
	2201	+	64.6 (e) (f) When a health maintenance organization or community integrated service network,
	2202	+	64.7which is subject to liability for the surcharge under this chapter, transfers, assigns, sells,
	2203	+	64.8leases, or disposes of all or substantially all of its property or assets, liability for the surcharge
	2204	+	64.9imposed by this chapter is imposed on the transferee, assignee, or buyer of the health
	2205	+	64.10maintenance organization or community integrated service network.
	2206	+	64.11 (f) (g) In the event a health maintenance organization or community integrated service
	2207	+	64.12network converts its licensure to a different type of entity subject to liability for the surcharge
	2208	+	64.13under this chapter, but survives in the same or substantially similar form, the surviving
	2209	+	64.14entity remains liable for the surcharge regardless of whether one of the entities or corporations
	2210	+	64.15does not retain a certificate of authority under chapter 62D or a license under chapter 62N.
	2211	+	64.16 (g) (h) The surcharge assessed to a health maintenance organization or community
	2212	+	64.17integrated service network ends when the entity ceases providing services for premiums
	2213	+	64.18and the cessation is not connected with a merger, consolidation, acquisition, or conversion.
	2214	+	64.19Sec. 4. Minnesota Statutes 2024, section 256B.0625, subdivision 3b, is amended to read:
	2215	+	64.20 Subd. 3b.Telehealth services.(a) Medical assistance covers medically necessary services
	2216	+	64.21and consultations delivered by a health care provider through telehealth in the same manner
	2217	+	64.22as if the service or consultation was delivered through in-person contact. Services or
	2218	+	64.23consultations delivered through telehealth shall be paid at the full allowable rate.
	2219	+	64.24 (b) The commissioner may establish criteria that a health care provider must attest to in
	2220	+	64.25order to demonstrate the safety or efficacy of delivering a particular service through
	2221	+	64.26telehealth. The attestation may include that the health care provider:
	2222	+	64.27 (1) has identified the categories or types of services the health care provider will provide
	2223	+	64.28through telehealth;
	2224	+	64.29 (2) has written policies and procedures specific to services delivered through telehealth
	2225	+	64.30that are regularly reviewed and updated;
	2226	+	64.31 (3) has policies and procedures that adequately address patient safety before, during,
	2227	+	64.32and after the service is delivered through telehealth;
	2228	+	64Article 2 Sec. 4.
	2229	+	REVISOR DTT/HL 25-0033803/03/25 65.1 (4) has established protocols addressing how and when to discontinue telehealth services;
	2230	+	65.2and
	2231	+	65.3 (5) has an established quality assurance process related to delivering services through
	2232	+	65.4telehealth.
	2233	+	65.5 (c) As a condition of payment, a licensed health care provider must document each
	2234	+	65.6occurrence of a health service delivered through telehealth to a medical assistance enrollee.
	2235	+	65.7Health care service records for services delivered through telehealth must meet the
	2236	+	65.8requirements set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and must
	2237	+	65.9document:
	2238	+	65.10 (1) the type of service delivered through telehealth;
	2239	+	65.11 (2) the time the service began and the time the service ended, including an a.m. and p.m.
	2240	+	65.12designation;
	2241	+	65.13 (3) the health care provider's basis for determining that telehealth is an appropriate and
	2242	+	65.14effective means for delivering the service to the enrollee;
	2243	+	65.15 (4) the mode of transmission used to deliver the service through telehealth and records
	2244	+	65.16evidencing that a particular mode of transmission was utilized;
	2245	+	65.17 (5) the location of the originating site and the distant site;
	2246	+	65.18 (6) if the claim for payment is based on a physician's consultation with another physician
	2247	+	65.19through telehealth, the written opinion from the consulting physician providing the telehealth
	2248	+	65.20consultation; and
	2249	+	65.21 (7) compliance with the criteria attested to by the health care provider in accordance
	2250	+	65.22with paragraph (b).
	2251	+	65.23 (d) Telehealth visits provided through audio and visual communication or accessible
	2252	+	65.24video-based platforms may be used to satisfy the face-to-face requirement for reimbursement
	2253	+	65.25under the payment methods that apply to a federally qualified health center, rural health
	2254	+	65.26clinic, Indian health service, 638 tribal clinic, and certified community behavioral health
	2255	+	65.27clinic, if the service would have otherwise qualified for payment if performed in person.
	2256	+	65.28 (e) For purposes of this subdivision, unless otherwise covered under this chapter:
	2257	+	65.29 (1) "telehealth" means the delivery of health care services or consultations using real-time
	2258	+	65.30two-way interactive audio and visual communication or accessible telehealth video-based
	2259	+	65.31platforms to provide or support health care delivery and facilitate the assessment, diagnosis,
	2260	+	65.32consultation, treatment, education, and care management of a patient's health care. Telehealth
	2261	+	65Article 2 Sec. 4.
	2262	+	REVISOR DTT/HL 25-0033803/03/25 66.1includes: the application of secure video conferencing consisting of a real-time, full-motion
	2263	+	66.2synchronized video; store-and-forward technology; and synchronous interactions, between
	2264	+	66.3a patient located at an originating site and a health care provider located at a distant site.
	2265	+	66.4Telehealth does not include communication between health care providers, or between a
	2266	+	66.5health care provider and a patient that consists solely of an audio-only communication,
	2267	+	66.6email, or facsimile transmission or as specified by law, except that between July 1, 2025,
	2268	+	66.7and July 1, 2028, telehealth includes communication between a health care provider and a
	2269	+	66.8patient that solely consists of audio-only communication;
	2270	+	66.9 (2) "health care provider" means a health care provider as defined under section 62A.673;
	2271	+	66.10a community paramedic as defined under section 144E.001, subdivision 5f; a community
	2272	+	66.11health worker who meets the criteria under subdivision 49, paragraph (a); a mental health
	2273	+	66.12certified peer specialist under section 245I.04, subdivision 10; a mental health certified
	2274	+	66.13family peer specialist under section 245I.04, subdivision 12; a mental health rehabilitation
	2275	+	66.14worker under section 245I.04, subdivision 14; a mental health behavioral aide under section
	2276	+	66.15245I.04, subdivision 16; a treatment coordinator under section 245G.11, subdivision 7; an
	2277	+	66.16alcohol and drug counselor under section 245G.11, subdivision 5; or a recovery peer under
	2278	+	66.17section 245G.11, subdivision 8; and
	2279	+	66.18 (3) "originating site," "distant site," and "store-and-forward technology" have the
	2280	+	66.19meanings given in section 62A.673, subdivision 2.
	2281	+	66.20 EFFECTIVE DATE.This section is effective July 1, 2025.
	2282	+	66.21Sec. 5. Minnesota Statutes 2024, section 256B.0625, subdivision 8e, is amended to read:
	2283	+	66.22 Subd. 8e.Chiropractic services.Payment for chiropractic services is limited to
	2284	+	66.23individuals under the age of 21. Coverage for individuals under the age of 21 is limited to
	2285	+	66.24one annual evaluation and 24 visits per year unless prior authorization of a greater number
	2286	+	66.25of visits is obtained.
	2287	+	66.26 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
	2288	+	66.27whichever is later. The commissioner shall notify the revisor of statutes when federal
	2289	+	66.28approval is obtained.
	2290	+	66.29Sec. 6. Minnesota Statutes 2024, section 256B.0625, subdivision 13, is amended to read:
	2291	+	66.30 Subd. 13.Drugs.(a) Medical assistance covers drugs, except for fertility drugs when
	2292	+	66.31specifically used to enhance fertility, if prescribed by a licensed practitioner and dispensed
	2293	+	66.32by a licensed pharmacist, by a physician enrolled in the medical assistance program as a
	2294	+	66Article 2 Sec. 6.
	2295	+	REVISOR DTT/HL 25-0033803/03/25 67.1dispensing physician, or by a physician, a physician assistant, or an advanced practice
	2296	+	67.2registered nurse employed by or under contract with a community health board as defined
	2297	+	67.3in section 145A.02, subdivision 5, for the purposes of communicable disease control.
	2298	+	67.4 (b) The dispensed quantity of a prescription drug must not exceed a 34-day supply unless
	2299	+	67.5authorized by the commissioner or as provided in paragraph (h) or the drug appears on the
	2300	+	67.690-day supply list published by the commissioner. The 90-day supply list shall be published
	2301	+	67.7by the commissioner on the department's website. The commissioner may add to, delete
	2302	+	67.8from, and otherwise modify the 90-day supply list after providing public notice and the
	2303	+	67.9opportunity for a 15-day public comment period. The 90-day supply list may include
	2304	+	67.10cost-effective generic drugs and shall not include controlled substances.
	2305	+	67.11 (c) For the purpose of this subdivision and subdivision 13d, an "active pharmaceutical
	2306	+	67.12ingredient" is defined as a substance that is represented for use in a drug and when used in
	2307	+	67.13the manufacturing, processing, or packaging of a drug becomes an active ingredient of the
	2308	+	67.14drug product. An "excipient" is defined as an inert substance used as a diluent or vehicle
	2309	+	67.15for a drug. The commissioner shall establish a list of active pharmaceutical ingredients and
	2310	+	67.16excipients which are included in the medical assistance formulary. Medical assistance covers
	2311	+	67.17selected active pharmaceutical ingredients and excipients used in compounded prescriptions
	2312	+	67.18when the compounded combination is specifically approved by the commissioner or when
	2313	+	67.19a commercially available product:
	2314	+	67.20 (1) is not a therapeutic option for the patient;
	2315	+	67.21 (2) does not exist in the same combination of active ingredients in the same strengths
	2316	+	67.22as the compounded prescription; and
	2317	+	67.23 (3) cannot be used in place of the active pharmaceutical ingredient in the compounded
	2318	+	67.24prescription.
	2319	+	67.25 (d) Medical assistance covers the following over-the-counter drugs as mandated by
	2320	+	67.26United States Code, title 42, section 1396r-8, when prescribed by a licensed practitioner or
	2321	+	67.27by a licensed pharmacist who meets standards established by the commissioner, in
	2322	+	67.28consultation with the board of pharmacy: antacids, acetaminophen, family planning products,
	2323	+	67.29aspirin, insulin, products for the treatment of lice, vitamins for adults with documented
	2324	+	67.30vitamin deficiencies, vitamins for children under the age of seven and pregnant or nursing
	2325	+	67.31women, and any other over-the-counter drug identified by the commissioner, in consultation
	2326	+	67.32with the Formulary Committee, as necessary, appropriate, and cost-effective for the treatment
	2327	+	67.33of certain specified chronic diseases, conditions, or disorders, and this determination shall
	2328	+	67.34not be subject to the requirements of chapter 14. A pharmacist may prescribe over-the-counter
	2329	+	67Article 2 Sec. 6.
	2330	+	REVISOR DTT/HL 25-0033803/03/25 68.1medications as provided under this paragraph for purposes of receiving reimbursement
	2331	+	68.2under Medicaid. When prescribing over-the-counter drugs under this paragraph, licensed
	2332	+	68.3pharmacists must consult with the recipient to determine necessity, provide drug counseling,
	2333	+	68.4review drug therapy for potential adverse interactions, and make referrals as needed to other
	2334	+	68.5health care professionals.
	2335	+	68.6 (e) Effective January 1, 2006, medical assistance shall not cover drugs that are coverable
	2336	+	68.7under Medicare Part D as defined in the Medicare Prescription Drug, Improvement, and
	2337	+	68.8Modernization Act of 2003, Public Law 108-173, section 1860D-2(e), for individuals eligible
	2338	+	68.9for drug coverage as defined in the Medicare Prescription Drug, Improvement, and
	2339	+	68.10Modernization Act of 2003, Public Law 108-173, section 1860D-1(a)(3)(A). For these
	2340	+	68.11individuals, medical assistance may cover drugs from the drug classes listed in United States
	2341	+	68.12Code, title 42, section 1396r-8(d)(2), subject to this subdivision and subdivisions 13a to
	2342	+	68.1313g, except that drugs listed in United States Code, title 42, section 1396r-8(d)(2)(E), shall
	2343	+	68.14not be covered.
	2344	+	68.15 (f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing
	2345	+	68.16Program and dispensed by 340B covered entities and ambulatory pharmacies under common
	2346	+	68.17ownership of the 340B covered entity. Medical assistance does not cover drugs acquired
	2347	+	68.18through the federal 340B Drug Pricing Program and dispensed by 340B contract pharmacies.
	2348	+	68.19 (g) Notwithstanding paragraph (a), medical assistance covers self-administered hormonal
	2349	+	68.20contraceptives prescribed and dispensed by a licensed pharmacist in accordance with section
	2350	+	68.21151.37, subdivision 14; nicotine replacement medications prescribed and dispensed by a
	2351	+	68.22licensed pharmacist in accordance with section 151.37, subdivision 15; and opiate antagonists
	2352	+	68.23used for the treatment of an acute opiate overdose prescribed and dispensed by a licensed
	2353	+	68.24pharmacist in accordance with section 151.37, subdivision 16.
	2354	+	68.25 (h) Medical assistance coverage for a prescription contraceptive must provide a 12-month
	2355	+	68.26supply for any prescription contraceptive if a 12-month supply is prescribed by the
	2356	+	68.27prescribing health care provider. The prescribing health care provider must determine the
	2357	+	68.28appropriate duration for which to prescribe the prescription contraceptives, up to 12 months.
	2358	+	68.29For purposes of this paragraph, "prescription contraceptive" means any drug or device that
	2359	+	68.30requires a prescription and is approved by the Food and Drug Administration to prevent
	2360	+	68.31pregnancy. Prescription contraceptive does not include an emergency contraceptive drug
	2361	+	68.32approved to prevent pregnancy when administered after sexual contact. For purposes of this
	2362	+	68.33paragraph, "health plan" has the meaning provided in section 62Q.01, subdivision 3.
	2363	+	68Article 2 Sec. 6.
	2364	+	REVISOR DTT/HL 25-0033803/03/25 69.1 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
	2365	+	69.2whichever is later. The commissioner shall notify the revisor of statutes when federal
	2366	+	69.3approval is obtained.
	2367	+	69.4 Sec. 7. Minnesota Statutes 2024, section 256B.0625, subdivision 30, is amended to read:
	2368	+	69.5 Subd. 30.Other clinic services.(a) Medical assistance covers rural health clinic services,
	2369	+	69.6federally qualified health center services, nonprofit community health clinic services, and
	2370	+	69.7public health clinic services. Rural health clinic services and federally qualified health center
	2371	+	69.8services mean services defined in United States Code, title 42, section 1396d(a)(2)(B) and
	2372	+	69.9(C). Payment for rural health clinic and federally qualified health center services shall be
	2373	+	69.10made according to applicable federal law and regulation.
	2374	+	69.11 (b) A federally qualified health center (FQHC) that is beginning initial operation shall
	2375	+	69.12submit an estimate of budgeted costs and visits for the initial reporting period in the form
	2376	+	69.13and detail required by the commissioner. An FQHC that is already in operation shall submit
	2377	+	69.14an initial report using actual costs and visits for the initial reporting period. Within 90 days
	2378	+	69.15of the end of its reporting period, an FQHC shall submit, in the form and detail required by
	2379	+	69.16the commissioner, a report of its operations, including allowable costs actually incurred for
	2380	+	69.17the period and the actual number of visits for services furnished during the period, and other
	2381	+	69.18information required by the commissioner. FQHCs that file Medicare cost reports shall
	2382	+	69.19provide the commissioner with a copy of the most recent Medicare cost report filed with
	2383	+	69.20the Medicare program intermediary for the reporting year which support the costs claimed
	2384	+	69.21on their cost report to the state.
	2385	+	69.22 (c) In order to continue cost-based payment under the medical assistance program
	2386	+	69.23according to paragraphs (a) and (b), an FQHC or rural health clinic must apply for designation
	2387	+	69.24as an essential community provider within six months of final adoption of rules by the
	2388	+	69.25Department of Health according to section 62Q.19, subdivision 7. For those FQHCs and
	2389	+	69.26rural health clinics that have applied for essential community provider status within the
	2390	+	69.27six-month time prescribed, medical assistance payments will continue to be made according
	2391	+	69.28to paragraphs (a) and (b) for the first three years after application. For FQHCs and rural
	2392	+	69.29health clinics that either do not apply within the time specified above or who have had
	2393	+	69.30essential community provider status for three years, medical assistance payments for health
	2394	+	69.31services provided by these entities shall be according to the same rates and conditions
	2395	+	69.32applicable to the same service provided by health care providers that are not FQHCs or rural
	2396	+	69.33health clinics.
	2397	+	69Article 2 Sec. 7.
	2398	+	REVISOR DTT/HL 25-0033803/03/25 70.1 (d) Effective July 1, 1999, the provisions of paragraph (c) requiring an FQHC or a rural
	2399	+	70.2health clinic to make application for an essential community provider designation in order
	2400	+	70.3to have cost-based payments made according to paragraphs (a) and (b) no longer apply.
	2401	+	70.4 (e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall
	2402	+	70.5be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.
	2403	+	70.6 (f) Effective January 1, 2001, through December 31, 2020, each FQHC and rural health
	2404	+	70.7clinic may elect to be paid either under the prospective payment system established in United
	2405	+	70.8States Code, title 42, section 1396a(aa), or under an alternative payment methodology
	2406	+	70.9consistent with the requirements of United States Code, title 42, section 1396a(aa), and
	2407	+	70.10approved by the Centers for Medicare and Medicaid Services. The alternative payment
	2408	+	70.11methodology shall be 100 percent of cost as determined according to Medicare cost
	2409	+	70.12principles.
	2410	+	70.13 (g) Effective for services provided on or after January 1, 2021, all claims for payment
	2411	+	70.14of clinic services provided by FQHCs and rural health clinics shall be paid by the
	2412	+	70.15commissioner, according to an annual election by the FQHC or rural health clinic, under
	2413	+	70.16the current prospective payment system described in paragraph (f) or the alternative payment
	2414	+	70.17methodology described in paragraph (l), or, upon federal approval, for FQHCs that are also
	2415	+	70.18urban Indian organizations under Title V of the federal Indian Health Improvement Act, as
	2416	+	70.19provided under paragraph (k).
	2417	+	70.20 (h) For purposes of this section, "nonprofit community clinic" is a clinic that:
	2418	+	70.21 (1) has nonprofit status as specified in chapter 317A;
	2419	+	70.22 (2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);
	2420	+	70.23 (3) is established to provide health services to low-income population groups, uninsured,
	2421	+	70.24high-risk and special needs populations, underserved and other special needs populations;
	2422	+	70.25 (4) employs professional staff at least one-half of which are familiar with the cultural
	2423	+	70.26background of their clients;
	2424	+	70.27 (5) charges for services on a sliding fee scale designed to provide assistance to
	2425	+	70.28low-income clients based on current poverty income guidelines and family size; and
	2426	+	70.29 (6) does not restrict access or services because of a client's financial limitations or public
	2427	+	70.30assistance status and provides no-cost care as needed.
	2428	+	70.31 (i) Effective for services provided on or after January 1, 2015, all claims for payment
	2429	+	70.32of clinic services provided by FQHCs and rural health clinics shall be paid by the
	2430	+	70Article 2 Sec. 7.
	2431	+	REVISOR DTT/HL 25-0033803/03/25 71.1commissioner. the commissioner shall determine the most feasible method for paying claims
	2432	+	71.2from the following options:
	2433	+	71.3 (1) FQHCs and rural health clinics submit claims directly to the commissioner for
	2434	+	71.4payment, and the commissioner provides claims information for recipients enrolled in a
	2435	+	71.5managed care or county-based purchasing plan to the plan, on a regular basis; or
	2436	+	71.6 (2) FQHCs and rural health clinics submit claims for recipients enrolled in a managed
	2437	+	71.7care or county-based purchasing plan to the plan, and those claims are submitted by the
	2438	+	71.8plan to the commissioner for payment to the clinic.
	2439	+	71.9 (j) For clinic services provided prior to January 1, 2015, the commissioner shall calculate
	2440	+	71.10and pay monthly the proposed managed care supplemental payments to clinics, and clinics
	2441	+	71.11shall conduct a timely review of the payment calculation data in order to finalize all
	2442	+	71.12supplemental payments in accordance with federal law. Any issues arising from a clinic's
	2443	+	71.13review must be reported to the commissioner by January 1, 2017. Upon final agreement
	2444	+	71.14between the commissioner and a clinic on issues identified under this subdivision, and in
	2445	+	71.15accordance with United States Code, title 42, section 1396a(bb), no supplemental payments
	2446	+	71.16for managed care plan or county-based purchasing plan claims for services provided prior
	2447	+	71.17to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics are
	2448	+	71.18unable to resolve issues under this subdivision, the parties shall submit the dispute to the
	2449	+	71.19arbitration process under section 14.57.
	2450	+	71.20 (k) The commissioner shall establish an encounter payment rate that is equivalent to the
	2451	+	71.21all inclusive rate (AIR) payment established by the Indian Health Service and published in
	2452	+	71.22the Federal Register. The encounter rate must be updated annually and must reflect the
	2453	+	71.23changes in the AIR established by the Indian Health Service each calendar year. FQHCs
	2454	+	71.24that are also urban Indian organizations under Title V of the federal Indian Health
	2455	+	71.25Improvement Act may elect to be paid: (1) at the encounter rate established under this
	2456	+	71.26paragraph; (2) under the alternative payment methodology described in paragraph (l); or
	2457	+	71.27(3) under the federally required prospective payment system described in paragraph (f).
	2458	+	71.28FQHCs that elect to be paid at the encounter rate established under this paragraph must
	2459	+	71.29continue to meet all state and federal requirements related to FQHCs and urban Indian
	2460	+	71.30organizations, and must maintain their statuses as FQHCs and urban Indian organizations.
	2461	+	71.31 (l) All claims for payment of clinic services provided by FQHCs and rural health clinics,
	2462	+	71.32that have elected to be paid under this paragraph, shall be paid by the commissioner according
	2463	+	71.33to the following requirements:
	2464	+	71Article 2 Sec. 7.
	2465	+	REVISOR DTT/HL 25-0033803/03/25 72.1 (1) the commissioner shall establish a single medical and single dental organization
	2466	+	72.2encounter rate for each FQHC and rural health clinic when applicable;
	2467	+	72.3 (2) each FQHC and rural health clinic is eligible for same day reimbursement of one
	2468	+	72.4medical and one dental organization encounter rate if eligible medical and dental visits are
	2469	+	72.5provided on the same day;
	2470	+	72.6 (3) the commissioner shall reimburse FQHCs and rural health clinics, in accordance
	2471	+	72.7with current applicable Medicare cost principles, their allowable costs, including direct
	2472	+	72.8patient care costs and patient-related support services. Nonallowable costs include, but are
	2473	+	72.9not limited to:
	2474	+	72.10 (i) general social services and administrative costs;
	2475	+	72.11 (ii) retail pharmacy;
	2476	+	72.12 (iii) patient incentives, food, housing assistance, and utility assistance;
	2477	+	72.13 (iv) external lab and x-ray;
	2478	+	72.14 (v) navigation services;
	2479	+	72.15 (vi) health care taxes;
	2480	+	72.16 (vii) advertising, public relations, and marketing;
	2481	+	72.17 (viii) office entertainment costs, food, alcohol, and gifts;
	2482	+	72.18 (ix) contributions and donations;
	2483	+	72.19 (x) bad debts or losses on awards or contracts;
	2484	+	72.20 (xi) fines, penalties, damages, or other settlements;
	2485	+	72.21 (xii) fundraising, investment management, and associated administrative costs;
	2486	+	72.22 (xiii) research and associated administrative costs;
	2487	+	72.23 (xiv) nonpaid workers;
	2488	+	72.24 (xv) lobbying;
	2489	+	72.25 (xvi) scholarships and student aid; and
	2490	+	72.26 (xvii) nonmedical assistance covered services;
	2491	+	72.27 (4) the commissioner shall review the list of nonallowable costs in the years between
	2492	+	72.28the rebasing process established in clause (5), in consultation with the Minnesota Association
	2493	+	72Article 2 Sec. 7.
	2494	+	REVISOR DTT/HL 25-0033803/03/25 73.1of Community Health Centers, FQHCs, and rural health clinics. The commissioner shall
	2495	+	73.2publish the list and any updates in the Minnesota health care programs provider manual;
	2496	+	73.3 (5) the initial applicable base year organization encounter rates for FQHCs and rural
	2497	+	73.4health clinics shall be computed for services delivered on or after January 1, 2021, and:
	2498	+	73.5 (i) must be determined using each FQHC's and rural health clinic's Medicare cost reports
	2499	+	73.6from 2017 and 2018;
	2500	+	73.7 (ii) must be according to current applicable Medicare cost principles as applicable to
	2501	+	73.8FQHCs and rural health clinics without the application of productivity screens and upper
	2502	+	73.9payment limits or the Medicare prospective payment system FQHC aggregate mean upper
	2503	+	73.10payment limit;
	2504	+	73.11 (iii) must be subsequently rebased every two years thereafter using the Medicare cost
	2505	+	73.12reports that are three and four years prior to the rebasing year. Years in which organizational
	2506	+	73.13cost or claims volume is reduced or altered due to a pandemic, disease, or other public health
	2507	+	73.14emergency shall not be used as part of a base year when the base year includes more than
	2508	+	73.15one year. The commissioner may use the Medicare cost reports of a year unaffected by a
	2509	+	73.16pandemic, disease, or other public health emergency, or previous two consecutive years,
	2510	+	73.17inflated to the base year as established under item (iv);
	2511	+	73.18 (iv) must be inflated to the base year using the inflation factor described in clause (6);
	2512	+	73.19and
	2513	+	73.20 (v) the commissioner must provide for a 60-day appeals process under section 14.57;
	2514	+	73.21 (6) the commissioner shall annually inflate the applicable organization encounter rates
	2515	+	73.22for FQHCs and rural health clinics from the base year payment rate to the effective date by
	2516	+	73.23using the CMS FQHC Market Basket inflator established under United States Code, title
	2517	+	73.2442, section 1395m(o), less productivity;
	2518	+	73.25 (7) FQHCs and rural health clinics that have elected the alternative payment methodology
	2519	+	73.26under this paragraph shall submit all necessary documentation required by the commissioner
	2520	+	73.27to compute the rebased organization encounter rates no later than six months following the
	2521	+	73.28date the applicable Medicare cost reports are due to the Centers for Medicare and Medicaid
	2522	+	73.29Services;
	2523	+	73.30 (8) the commissioner shall reimburse FQHCs and rural health clinics an additional
	2524	+	73.31amount relative to their medical and dental organization encounter rates that is attributable
	2525	+	73.32to the tax required to be paid according to section 295.52, if applicable;
	2526	+	73Article 2 Sec. 7.
	2527	+	REVISOR DTT/HL 25-0033803/03/25 74.1 (9) FQHCs and rural health clinics may submit change of scope requests to the
	2528	+	74.2commissioner if the change of scope would result in an increase or decrease of 2.5 percent
	2529	+	74.3or higher in the medical or dental organization encounter rate currently received by the
	2530	+	74.4FQHC or rural health clinic;
	2531	+	74.5 (10) for FQHCs and rural health clinics seeking a change in scope with the commissioner
	2532	+	74.6under clause (9) that requires the approval of the scope change by the federal Health
	2533	+	74.7Resources Services Administration:
	2534	+	74.8 (i) FQHCs and rural health clinics shall submit the change of scope request, including
	2535	+	74.9the start date of services, to the commissioner within seven business days of submission of
	2536	+	74.10the scope change to the federal Health Resources Services Administration;
	2537	+	74.11 (ii) the commissioner shall establish the effective date of the payment change as the
	2538	+	74.12federal Health Resources Services Administration date of approval of the FQHC's or rural
	2539	+	74.13health clinic's scope change request, or the effective start date of services, whichever is
	2540	+	74.14later; and
	2541	+	74.15 (iii) within 45 days of one year after the effective date established in item (ii), the
	2542	+	74.16commissioner shall conduct a retroactive review to determine if the actual costs established
	2543	+	74.17under clause (3) or encounters result in an increase or decrease of 2.5 percent or higher in
	2544	+	74.18the medical or dental organization encounter rate, and if this is the case, the commissioner
	2545	+	74.19shall revise the rate accordingly and shall adjust payments retrospectively to the effective
	2546	+	74.20date established in item (ii);
	2547	+	74.21 (11) for change of scope requests that do not require federal Health Resources Services
	2548	+	74.22Administration approval, the FQHC and rural health clinic shall submit the request to the
	2549	+	74.23commissioner before implementing the change, and the effective date of the change is the
	2550	+	74.24date the commissioner received the FQHC's or rural health clinic's request, or the effective
	2551	+	74.25start date of the service, whichever is later. The commissioner shall provide a response to
	2552	+	74.26the FQHC's or rural health clinic's request within 45 days of submission and provide a final
	2553	+	74.27approval within 120 days of submission. This timeline may be waived at the mutual
	2554	+	74.28agreement of the commissioner and the FQHC or rural health clinic if more information is
	2555	+	74.29needed to evaluate the request;
	2556	+	74.30 (12) the commissioner, when establishing organization encounter rates for new FQHCs
	2557	+	74.31and rural health clinics, shall consider the patient caseload of existing FQHCs and rural
	2558	+	74.32health clinics in a 60-mile radius for organizations established outside of the seven-county
	2559	+	74.33metropolitan area, and in a 30-mile radius for organizations in the seven-county metropolitan
	2560	+	74Article 2 Sec. 7.
	2561	+	REVISOR DTT/HL 25-0033803/03/25 75.1area. If this information is not available, the commissioner may use Medicare cost reports
	2562	+	75.2or audited financial statements to establish base rates;
	2563	+	75.3 (13) the commissioner, when establishing organization encounter rates under this section
	2564	+	75.4for FQHCs and rural health clinics resulting from a merger of existing clinics or the
	2565	+	75.5acquisition of an existing clinic by another existing clinic, must use the combined costs and
	2566	+	75.6caseloads from the clinics participating in the merger or acquisition to set the encounter rate
	2567	+	75.7for the new clinic organization resulting from the merger or acquisition. The scope of services
	2568	+	75.8for the newly formed clinic must be inclusive of the scope of services of the clinics
	2569	+	75.9participating in the merger or acquisition;
	2570	+	75.10 (13) (14) the commissioner shall establish a quality measures workgroup that includes
	2571	+	75.11representatives from the Minnesota Association of Community Health Centers, FQHCs,
	2572	+	75.12and rural health clinics, to evaluate clinical and nonclinical measures; and
	2573	+	75.13 (14) (15) the commissioner shall not disallow or reduce costs that are related to an
	2574	+	75.14FQHC's or rural health clinic's participation in health care educational programs to the extent
	2575	+	75.15that the costs are not accounted for in the alternative payment methodology encounter rate
	2576	+	75.16established in this paragraph.
	2577	+	75.17 (m) Effective July 1, 2023, an enrolled Indian health service facility or a Tribal health
	2578	+	75.18center operating under a 638 contract or compact may elect to also enroll as a Tribal FQHC.
	2579	+	75.19Requirements that otherwise apply to an FQHC covered in this subdivision do not apply to
	2580	+	75.20a Tribal FQHC enrolled under this paragraph, except that any requirements necessary to
	2581	+	75.21comply with federal regulations do apply to a Tribal FQHC. The commissioner shall establish
	2582	+	75.22an alternative payment method for a Tribal FQHC enrolled under this paragraph that uses
	2583	+	75.23the same method and rates applicable to a Tribal facility or health center that does not enroll
	2584	+	75.24as a Tribal FQHC.
	2585	+	75.25 (n) FQHC reimbursement for mental health targeted case management services is limited
	2586	+	75.26to:
	2587	+	75.27 (1) only those services described under subdivision 20 and provided in accordance with
	2588	+	75.28contracts executed with counties authorized to subcontract for mental health targeted case
	2589	+	75.29management services; and
	2590	+	75.30 (2) an FQHC's actual incurred costs as separately reported on the cost report submitted
	2591	+	75.31to the Centers for Medicare and Medicaid Services and further identified in reports submitted
	2592	+	75.32to the commissioner.
	2593	+	75Article 2 Sec. 7.
	2594	+	REVISOR DTT/HL 25-0033803/03/25 76.1 (o) Counties contracting with FQHCs for mental health targeted case management remain
	2595	+	76.2responsible for the nonfederal share of the cost of the provided mental health targeted case
	2596	+	76.3management services. The commissioner must bill each county for the nonfederal share of
	2597	+	76.4the mental health targeted case management costs as reported by the FQHC.
	2598	+	76.5 EFFECTIVE DATE.This section is effective the day following final enactment.
	2599	+	76.6 Sec. 8. Minnesota Statutes 2024, section 256L.03, subdivision 3b, is amended to read:
	2600	+	76.7 Subd. 3b.Chiropractic services.MinnesotaCare covers the following chiropractic
	2601	+	76.8services for individuals under the age of 21: medically necessary exams, manual manipulation
	2602	+	76.9of the spine, and x-rays.
	2603	+	76.10 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
	2604	+	76.11whichever is later. The commissioner shall notify the revisor of statutes when federal
	2605	+	76.12approval is obtained.
	2606	+	76.13 ARTICLE 3
	2607	+	76.14 PHARMACY
	2608	+	76.15Section 1. Minnesota Statutes 2024, section 256B.0625, subdivision 13c, is amended to
	2609	+	76.16read:
	2610	+	76.17 Subd. 13c.Formulary Committee.(a) The commissioner, after receiving
	2611	+	76.18recommendations from professional medical associations and professional pharmacy
	2612	+	76.19associations, and consumer groups shall designate a Formulary Committee to carry out
	2613	+	76.20duties as described in subdivisions 13 to 13g. The Formulary Committee shall be comprised
	2614	+	76.21of at least five licensed physicians actively engaged in the practice of medicine in Minnesota,
	2615	+	76.22one of whom is an actively practicing psychiatrist, one of whom specializes in the diagnosis
	2616	+	76.23and treatment of rare diseases, one of whom specializes in pediatrics, and one of whom
	2617	+	76.24actively treats persons with disabilities; at least three licensed pharmacists actively engaged
	2618	+	76.25in the practice of pharmacy in Minnesota, one of whom practices outside the metropolitan
	2619	+	76.26counties listed in section 473.121, subdivision 4, one of whom practices in the metropolitan
	2620	+	76.27counties listed in section 473.121, subdivision 4, and one of whom is a practicing hospital
	2621	+	76.28pharmacist; at least two consumer representatives, all of whom must have a personal or
	2622	+	76.29professional connection to medical assistance; and one representative designated by the
	2623	+	76.30Minnesota Rare Disease Advisory Council established under section 256.4835; the remainder
	2624	+	76.31to be made up of health care professionals who are licensed in their field and have recognized
	2625	+	76.32knowledge in the clinically appropriate prescribing, dispensing, and monitoring of covered
	2626	+	76.33outpatient drugs. Members of the Formulary Committee shall not be employed by the
	2627	+	76Article 3 Section 1.
	2628	+	REVISOR DTT/HL 25-0033803/03/25 77.1Department of Human Services or have a personal interest in a pharmaceutical company,
	2629	+	77.2pharmacy benefits manager, health plan company, or their affiliate organizations, but the
	2630	+	77.3committee shall be staffed by an employee of the department who shall serve as an ex
	2631	+	77.4officio, nonvoting member of the committee. For the purposes of this subdivision, "personal
	2632	+	77.5interest" means that a person owns at least five percent of the voting interest or equity
	2633	+	77.6interest in the entity, the equity interest owned by a person represents at least five percent
	2634	+	77.7of that person's net worth, or more than five percent of a person's gross income for the
	2635	+	77.8preceding year was derived from the entity. A committee member must notify the committee
	2636	+	77.9of any potential conflict of interest and recuse themselves from any communications,
	2637	+	77.10discussion, or vote on any matter where a conflict of interest exists. A conflict of interest
	2638	+	77.11alone, without a personal interest, does not preclude an applicant from serving as a member
	2639	+	77.12of the Formulary Committee. Members may be removed from the committee for cause after
	2640	+	77.13a recommendation for removal by a majority of the committee membership. For the purposes
	2641	+	77.14of this subdivision, "cause" does not include offering a differing or dissenting clinical opinion
	2642	+	77.15on a drug or drug class. The department's medical director shall also serve as an ex officio,
	2643	+	77.16nonvoting member for the committee. Committee members shall serve three-year terms
	2644	+	77.17and may be reappointed twice by the commissioner. The committee members shall vote on
	2645	+	77.18a chair and vice chair from among their membership. The chair shall preside over all
	2646	+	77.19committee meetings, and the vice chair shall preside over the meetings if the chair is not
	2647	+	77.20present. The Formulary Committee shall meet at least three times per year. The commissioner
	2648	+	77.21may require more frequent Formulary Committee meetings as needed. An honorarium of
	2649	+	77.22$100 per meeting and reimbursement for mileage shall be paid to each committee member
	2650	+	77.23in attendance. The Formulary Committee expires June 30, 2027. The Formulary Committee
	2651	+	77.24is subject to the Open Meeting Law under chapter 13D. For purposes of establishing a
	2652	+	77.25quorum to transact business, vacant committee member positions do not count in the
	2653	+	77.26calculation as long as at least 60 percent of the committee member positions are filled.
	2654	+	77.27 (b) Notwithstanding section 15.059, the Formulary Committee does not expire.
	2655	+	77.28 EFFECTIVE DATE.This section is effective the day following final enactment.
	2656	+	77.29Sec. 2. Minnesota Statutes 2024, section 256B.69, subdivision 6d, is amended to read:
	2657	+	77.30 Subd. 6d.Prescription drugs.The commissioner may must exclude or modify coverage
	2658	+	77.31for outpatient prescription drugs from the prepaid managed care contracts entered into under
	2659	+	77.32this section. The commissioner may include, exclude, or modify coverage for prescription
	2660	+	77.33drugs, other than those dispensed from outpatient pharmacies, from the prepaid managed
	2661	+	77.34care contracts under this section in order to increase savings to the state by collecting
	2662	+	77Article 3 Sec. 2.
	2663	+	REVISOR DTT/HL 25-0033803/03/25 78.1additional prescription drug rebates. The contracts must maintain incentives for the managed
	2664	+	78.2care plan to manage drug costs and utilization and may require that the managed care plans
	2665	+	78.3maintain an open drug formulary. In order to manage drug costs and utilization, the contracts
	2666	+	78.4may authorize the managed care plans to use preferred drug lists and prior authorization.
	2667	+	78.5This subdivision is contingent on federal approval of the managed care contract changes
	2668	+	78.6and the collection of additional prescription drug rebates.
	2669	+	78.7 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
	2670	+	78.8whichever is later. The commissioner shall notify the revisor of statutes when federal
	2671	+	78.9approval is obtained.
	2672	+	78.10 ARTICLE 4
	2673	+	78.11 BACKGROUND STUDIES
	2674	+	78.12Section 1. Minnesota Statutes 2024, section 245C.13, subdivision 2, is amended to read:
	2675	+	78.13 Subd. 2.Activities pending completion of background study.The subject of a
	2676	+	78.14background study may not perform any activity requiring a background study under
	2677	+	78.15paragraph (c) until the commissioner has issued one of the notices under paragraph (a).
	2678	+	78.16 (a) Notices from the commissioner required prior to activity under paragraph (c) include:
	2679	+	78.17 (1) a notice of the study results under section 245C.17 stating that:
	2680	+	78.18 (i) the individual is not disqualified; or
	2681	+	78.19 (ii) more time is needed to complete the study but the individual is not required to be
	2682	+	78.20removed from direct contact or access to people receiving services prior to completion of
	2683	+	78.21the study as provided under section 245C.17, subdivision 1, paragraph (b) or (c). The notice
	2684	+	78.22that more time is needed to complete the study must also indicate whether the individual is
	2685	+	78.23required to be under continuous direct supervision prior to completion of the background
	2686	+	78.24study. When more time is necessary to complete a background study of an individual
	2687	+	78.25affiliated with a Title IV-E eligible children's residential facility or foster residence setting,
	2688	+	78.26the individual may not work in the facility or setting regardless of whether or not the
	2689	+	78.27individual is supervised;
	2690	+	78.28 (2) a notice that a disqualification has been set aside under section 245C.23; or
	2691	+	78.29 (3) a notice that a variance has been granted related to the individual under section
	2692	+	78.30245C.30.
	2693	+	78.31 (b) For a background study affiliated with a licensed child care center or certified
	2694	+	78.32license-exempt child care center, the notice sent under paragraph (a), clause (1), item (ii),
	2695	+	78Article 4 Section 1.
	2696	+	REVISOR DTT/HL 25-0033803/03/25 79.1must not be issued until the commissioner receives a qualifying result for the individual for
	2697	+	79.2the fingerprint-based national criminal history record check or the fingerprint-based criminal
	2698	+	79.3history information from the Bureau of Criminal Apprehension. The notice must require
	2699	+	79.4the individual to be under continuous direct supervision prior to completion of the remainder
	2700	+	79.5of the background study except as permitted in subdivision 3.
	2701	+	79.6 (c) Activities prohibited prior to receipt of notice under paragraph (a) include:
	2702	+	79.7 (1) being issued a license;
	2703	+	79.8 (2) living in the household where the licensed program will be provided;
	2704	+	79.9 (3) providing direct contact services to persons served by a program unless the subject
	2705	+	79.10is under continuous direct supervision;
	2706	+	79.11 (4) having access to persons receiving services if the background study was completed
	2707	+	79.12under section 144.057, subdivision 1, or 245C.03, subdivision 1, paragraph (a), clause (2),
	2708	+	79.13(5), or (6), unless the subject is under continuous direct supervision;
	2709	+	79.14 (5) for licensed child care centers and certified license-exempt child care centers,
	2710	+	79.15providing direct contact services to persons served by the program;
	2711	+	79.16 (6) for children's residential facilities or foster residence settings, working in the facility
	2712	+	79.17or setting; or
	2713	+	79.18 (7) for background studies affiliated with a personal care provider organization, except
	2714	+	79.19as provided in section 245C.03, subdivision 3b, before a personal care assistant provides
	2715	+	79.20services, the personal care assistance provider agency must initiate a background study of
	2716	+	79.21the personal care assistant under this chapter and the personal care assistance provider
	2717	+	79.22agency must have received a notice from the commissioner that the personal care assistant
	2718	+	79.23is:
	2719	+	79.24 (i) not disqualified under section 245C.14; or
	2720	+	79.25 (ii) disqualified, but the personal care assistant has received a set aside of the
	2721	+	79.26disqualification under section 245C.22.; or
	2722	+	79.27 (8) for background studies affiliated with an early intensive developmental and behavioral
	2723	+	79.28intervention provider, before an individual provides services, the early intensive
	2724	+	79.29developmental and behavioral intervention provider must initiate a background study for
	2725	+	79.30the individual under this chapter and the early intensive developmental and behavioral
	2726	+	79.31intervention provider must have received a notice from the commissioner that the individual
	2727	+	79.32is:
	2728	+	79Article 4 Section 1.
	2729	+	REVISOR DTT/HL 25-0033803/03/25 80.1 (i) not disqualified under section 245C.14; or
	2730	+	80.2 (ii) disqualified, but the individual has received a set aside of the disqualification under
	2731	+	80.3section 245C.22.
	2732	+	80.4 EFFECTIVE DATE.This section is effective January 15, 2026.
	2733	+	80.5 Sec. 2. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to
	2734	+	80.6read:
	2735	+	80.7 Subd. 4c.Two-year disqualification.An individual is disqualified under section
	2736	+	80.8245C.14, subdivision 6, if less than two years has passed since a determination that the
	2737	+	80.9individual violated section 142A.12, 245.095, or 256B.064.
	2738	+	80.10 EFFECTIVE DATE.This section is effective July 1, 2025.
	2739	+	80.11Sec. 3. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to
	2740	+	80.12read:
	2741	+	80.13 Subd. 6.Disqualification from owning, operating, or billing.The commissioner shall
	2742	+	80.14disqualify an individual who is the subject of a background study from any position involving
	2743	+	80.15ownership, management, or control of a program or billing activities if a background study
	2744	+	80.16completed under this chapter shows a violation of section 142A.12, 245.095, or 256B.064.
	2745	+	80.17 EFFECTIVE DATE.This section is effective July 1, 2025.
	2746	+	80.18Sec. 4. Minnesota Statutes 2024, section 245C.15, subdivision 1, is amended to read:
	2747	+	80.19 Subdivision 1.Permanent disqualification.(a) An individual is disqualified under
	2748	+	80.20section 245C.14 if: (1) regardless of how much time has passed since the discharge of the
	2749	+	80.21sentence imposed, if any, for the offense; and (2) unless otherwise specified, regardless of
	2750	+	80.22the level of the offense, the individual has committed any of the following offenses: sections
	2751	+	80.23243.166 (violation of predatory offender registration law); 609.185 (murder in the first
	2752	+	80.24degree); 609.19 (murder in the second degree); 609.195 (murder in the third degree); 609.20
	2753	+	80.25(manslaughter in the first degree); 609.205 (manslaughter in the second degree); a felony
	2754	+	80.26offense under 609.221 or 609.222 (assault in the first or second degree); a felony offense
	2755	+	80.27under sections 609.2242 and 609.2243 (domestic assault), spousal abuse, child abuse or
	2756	+	80.28neglect, or a crime against children; 609.2247 (domestic assault by strangulation); 609.228
	2757	+	80.29(great bodily harm caused by distribution of drugs); 609.245 (aggravated robbery); 609.247,
	2758	+	80.30subdivision 2 or 3 (carjacking in the first or second degree); 609.25 (kidnapping); 609.2661
	2759	+	80.31(murder of an unborn child in the first degree); 609.2662 (murder of an unborn child in the
	2760	+	80Article 4 Sec. 4.
	2761	+	REVISOR DTT/HL 25-0033803/03/25 81.1second degree); 609.2663 (murder of an unborn child in the third degree); 609.322
	2762	+	81.2(solicitation, inducement, and promotion of prostitution); 609.324, subdivision 1 (other
	2763	+	81.3prohibited acts); 609.342 (criminal sexual conduct in the first degree); 609.343 (criminal
	2764	+	81.4sexual conduct in the second degree); 609.344 (criminal sexual conduct in the third degree);
	2765	+	81.5609.345 (criminal sexual conduct in the fourth degree); 609.3451 (criminal sexual conduct
	2766	+	81.6in the fifth degree); 609.3453 (criminal sexual predatory conduct); 609.3458 (sexual
	2767	+	81.7extortion); 609.352 (solicitation of children to engage in sexual conduct); 609.365 (incest);
	2768	+	81.8a felony offense under 609.377 (malicious punishment of a child); 609.3775 (child torture);
	2769	+	81.9a felony offense under 609.378 (neglect or endangerment of a child); 609.561 (arson in the
	2770	+	81.10first degree); 609.66, subdivision 1e (drive-by shooting); 609.749, subdivision 3, 4, or 5
	2771	+	81.11(felony-level harassment or stalking); 609.855, subdivision 5 (shooting at or in a public
	2772	+	81.12transit vehicle or facility); 617.23, subdivision 2, clause (1), or subdivision 3, clause (1)
	2773	+	81.13(indecent exposure involving a minor); 617.246 (use of minors in sexual performance
	2774	+	81.14prohibited); 617.247 (possession of pictorial representations of minors); or, for a child care
	2775	+	81.15background study subject, conviction of a crime that would make the individual ineligible
	2776	+	81.16for employment under United States Code, title 42, section 9858f, except for a felony drug
	2777	+	81.17conviction, regardless of whether a period of disqualification under subdivisions 2 to 4,
	2778	+	81.18would apply if the individual were not a child care background study subject.
	2779	+	81.19 (b) An individual's aiding and abetting, attempt, or conspiracy to commit any of the
	2780	+	81.20offenses listed in paragraph (a), as each of these offenses is defined in Minnesota Statutes,
	2781	+	81.21permanently disqualifies the individual under section 245C.14.
	2782	+	81.22 (c) An individual's offense in any other state or country, where the elements of the offense
	2783	+	81.23are substantially similar to any of the offenses listed in paragraph (a), permanently disqualifies
	2784	+	81.24the individual under section 245C.14.
	2785	+	81.25 (d) When a disqualification is based on a judicial determination other than a conviction,
	2786	+	81.26the disqualification period begins from the date of the court order. When a disqualification
	2787	+	81.27is based on an admission, the disqualification period begins from the date of an admission
	2788	+	81.28in court. When a disqualification is based on an Alford Plea, the disqualification period
	2789	+	81.29begins from the date the Alford Plea is entered in court. When a disqualification is based
	2790	+	81.30on a preponderance of evidence of a disqualifying act, the disqualification date begins from
	2791	+	81.31the date of the dismissal, the date of discharge of the sentence imposed for a conviction for
	2792	+	81.32a disqualifying crime of similar elements, or the date of the incident, whichever occurs last.
	2793	+	81.33 (e) If the individual studied commits one of the offenses listed in paragraph (a) that is
	2794	+	81.34specified as a felony-level only offense, but the sentence or level of offense is a gross
	2795	+	81.35misdemeanor or misdemeanor, the individual is disqualified, but the disqualification
	2796	+	81Article 4 Sec. 4.
	2797	+	REVISOR DTT/HL 25-0033803/03/25 82.1look-back period for the offense is the period applicable to gross misdemeanor or
	2798	+	82.2misdemeanor offenses.
	2799	+	82.3 (f) A child care background study subject shall be disqualified if the individual is
	2800	+	82.4registered, or required to be registered, on a state sex offender registry or repository or the
	2801	+	82.5National Sex Offender Registry.
	2802	+	82.6 EFFECTIVE DATE.This section is effective July 1, 2025.
	2803	+	82.7 Sec. 5. Minnesota Statutes 2024, section 245C.15, subdivision 4a, is amended to read:
	2804	+	82.8 Subd. 4a.Licensed family foster setting disqualifications.(a) Notwithstanding
	2805	+	82.9subdivisions 1 to 4, for a background study affiliated with a licensed family foster setting,
	2806	+	82.10regardless of how much time has passed, an individual is disqualified under section 245C.14
	2807	+	82.11if the individual committed an act that resulted in a felony-level conviction for sections:
	2808	+	82.12609.185 (murder in the first degree); 609.19 (murder in the second degree); 609.195 (murder
	2809	+	82.13in the third degree); 609.20 (manslaughter in the first degree); 609.205 (manslaughter in
	2810	+	82.14the second degree); 609.2112 (criminal vehicular homicide); 609.221 (assault in the first
	2811	+	82.15degree); 609.223, subdivision 2 (assault in the third degree, past pattern of child abuse);
	2812	+	82.16609.223, subdivision 3 (assault in the third degree, victim under four); a felony offense
	2813	+	82.17under sections 609.2242 and 609.2243 (domestic assault, spousal abuse, child abuse or
	2814	+	82.18neglect, or a crime against children); 609.2247 (domestic assault by strangulation); 609.2325
	2815	+	82.19(criminal abuse of a vulnerable adult resulting in the death of a vulnerable adult); 609.245
	2816	+	82.20(aggravated robbery); 609.247, subdivision 2 or 3 (carjacking in the first or second degree);
	2817	+	82.21609.25 (kidnapping); 609.255 (false imprisonment); 609.2661 (murder of an unborn child
	2818	+	82.22in the first degree); 609.2662 (murder of an unborn child in the second degree); 609.2663
	2819	+	82.23(murder of an unborn child in the third degree); 609.2664 (manslaughter of an unborn child
	2820	+	82.24in the first degree); 609.2665 (manslaughter of an unborn child in the second degree);
	2821	+	82.25609.267 (assault of an unborn child in the first degree); 609.2671 (assault of an unborn child
	2822	+	82.26in the second degree); 609.268 (injury or death of an unborn child in the commission of a
	2823	+	82.27crime); 609.322, subdivision 1 (solicitation, inducement, and promotion of prostitution; sex
	2824	+	82.28trafficking in the first degree); 609.324, subdivision 1 (other prohibited acts; engaging in,
	2825	+	82.29hiring, or agreeing to hire minor to engage in prostitution); 609.342 (criminal sexual conduct
	2826	+	82.30in the first degree); 609.343 (criminal sexual conduct in the second degree); 609.344 (criminal
	2827	+	82.31sexual conduct in the third degree); 609.345 (criminal sexual conduct in the fourth degree);
	2828	+	82.32609.3451 (criminal sexual conduct in the fifth degree); 609.3453 (criminal sexual predatory
	2829	+	82.33conduct); 609.3458 (sexual extortion); 609.352 (solicitation of children to engage in sexual
	2830	+	82.34conduct); 609.377 (malicious punishment of a child); 609.3775 (child torture); 609.378
	2831	+	82Article 4 Sec. 5.
	2832	+	REVISOR DTT/HL 25-0033803/03/25 83.1(neglect or endangerment of a child); 609.561 (arson in the first degree); 609.582, subdivision
	2833	+	83.21 (burglary in the first degree); 609.746 (interference with privacy); 617.23 (indecent
	2834	+	83.3exposure); 617.246 (use of minors in sexual performance prohibited); or 617.247 (possession
	2835	+	83.4of pictorial representations of minors).
	2836	+	83.5 (b) Notwithstanding subdivisions 1 to 4, for the purposes of a background study affiliated
	2837	+	83.6with a licensed family foster setting, an individual is disqualified under section 245C.14,
	2838	+	83.7regardless of how much time has passed, if the individual:
	2839	+	83.8 (1) committed an action under paragraph (e) that resulted in death or involved sexual
	2840	+	83.9abuse, as defined in section 260E.03, subdivision 20;
	2841	+	83.10 (2) committed an act that resulted in a gross misdemeanor-level conviction for section
	2842	+	83.11609.3451 (criminal sexual conduct in the fifth degree);
	2843	+	83.12 (3) committed an act against or involving a minor that resulted in a felony-level conviction
	2844	+	83.13for: section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the
	2845	+	83.14third degree); 609.2231 (assault in the fourth degree); or 609.224 (assault in the fifth degree);
	2846	+	83.15or
	2847	+	83.16 (4) committed an act that resulted in a misdemeanor or gross misdemeanor-level
	2848	+	83.17conviction for section 617.293 (dissemination and display of harmful materials to minors).
	2849	+	83.18 (c) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
	2850	+	83.19family foster setting, an individual is disqualified under section 245C.14 if fewer than 20
	2851	+	83.20years have passed since the termination of the individual's parental rights under section
	2852	+	83.21260C.301, subdivision 1, paragraph (b), or if the individual consented to a termination of
	2853	+	83.22parental rights under section 260C.301, subdivision 1, paragraph (a), to settle a petition to
	2854	+	83.23involuntarily terminate parental rights. An individual is disqualified under section 245C.14
	2855	+	83.24if fewer than 20 years have passed since the termination of the individual's parental rights
	2856	+	83.25in any other state or country, where the conditions for the individual's termination of parental
	2857	+	83.26rights are substantially similar to the conditions in section 260C.301, subdivision 1, paragraph
	2858	+	83.27(b).
	2859	+	83.28 (d) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
	2860	+	83.29family foster setting, an individual is disqualified under section 245C.14 if fewer than five
	2861	+	83.30years have passed since a felony-level violation for sections: 152.021 (controlled substance
	2862	+	83.31crime in the first degree); 152.022 (controlled substance crime in the second degree); 152.023
	2863	+	83.32(controlled substance crime in the third degree); 152.024 (controlled substance crime in the
	2864	+	83.33fourth degree); 152.025 (controlled substance crime in the fifth degree); 152.0261 (importing
	2865	+	83.34controlled substances across state borders); 152.0262, subdivision 1, paragraph (b)
	2866	+	83Article 4 Sec. 5.
	2867	+	REVISOR DTT/HL 25-0033803/03/25 84.1(possession of substance with intent to manufacture methamphetamine); 152.027, subdivision
	2868	+	84.26, paragraph (c) (sale or possession of synthetic cannabinoids); 152.096 (conspiracies
	2869	+	84.3prohibited); 152.097 (simulated controlled substances); 152.136 (anhydrous ammonia;
	2870	+	84.4prohibited conduct; criminal penalties; civil liabilities); 152.137 (methamphetamine-related
	2871	+	84.5crimes involving children or vulnerable adults); 169A.24 (felony first-degree driving while
	2872	+	84.6impaired); 243.166 (violation of predatory offender registration requirements); 609.2113
	2873	+	84.7(criminal vehicular operation; bodily harm); 609.2114 (criminal vehicular operation; unborn
	2874	+	84.8child); 609.228 (great bodily harm caused by distribution of drugs); 609.2325 (criminal
	2875	+	84.9abuse of a vulnerable adult not resulting in the death of a vulnerable adult); 609.233 (criminal
	2876	+	84.10neglect); 609.235 (use of drugs to injure or facilitate a crime); 609.24 (simple robbery);
	2877	+	84.11609.247, subdivision 4 (carjacking in the third degree); 609.322, subdivision 1a (solicitation,
	2878	+	84.12inducement, and promotion of prostitution; sex trafficking in the second degree); 609.498,
	2879	+	84.13subdivision 1 (tampering with a witness in the first degree); 609.498, subdivision 1b
	2880	+	84.14(aggravated first-degree witness tampering); 609.562 (arson in the second degree); 609.563
	2881	+	84.15(arson in the third degree); 609.582, subdivision 2 (burglary in the second degree); 609.66
	2882	+	84.16(felony dangerous weapons); 609.687 (adulteration); 609.713 (terroristic threats); 609.749,
	2883	+	84.17subdivision 3, 4, or 5 (felony-level harassment or stalking); 609.855, subdivision 5 (shooting
	2884	+	84.18at or in a public transit vehicle or facility); or 624.713 (certain people not to possess firearms).
	2885	+	84.19 (e) Notwithstanding subdivisions 1 to 4, except as provided in paragraph (a), for a
	2886	+	84.20background study affiliated with a licensed family child foster care license, an individual
	2887	+	84.21is disqualified under section 245C.14 if fewer than five years have passed since:
	2888	+	84.22 (1) a felony-level violation for an act not against or involving a minor that constitutes:
	2889	+	84.23section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the third
	2890	+	84.24degree); 609.2231 (assault in the fourth degree); or 609.224, subdivision 4 (assault in the
	2891	+	84.25fifth degree);
	2892	+	84.26 (2) a violation of an order for protection under section 518B.01, subdivision 14;
	2893	+	84.27 (3) a determination or disposition of the individual's failure to make required reports
	2894	+	84.28under section 260E.06 or 626.557, subdivision 3, for incidents in which the final disposition
	2895	+	84.29under chapter 260E or section 626.557 was substantiated maltreatment and the maltreatment
	2896	+	84.30was recurring or serious;
	2897	+	84.31 (4) a determination or disposition of the individual's substantiated serious or recurring
	2898	+	84.32maltreatment of a minor under chapter 260E, a vulnerable adult under section 626.557, or
	2899	+	84.33serious or recurring maltreatment in any other state, the elements of which are substantially
	2900	+	84Article 4 Sec. 5.
	2901	+	REVISOR DTT/HL 25-0033803/03/25 85.1similar to the elements of maltreatment under chapter 260E or section 626.557 and meet
	2902	+	85.2the definition of serious maltreatment or recurring maltreatment;
	2903	+	85.3 (5) a gross misdemeanor-level violation for sections: 609.224, subdivision 2 (assault in
	2904	+	85.4the fifth degree); 609.2242 and 609.2243 (domestic assault); 609.233 (criminal neglect);
	2905	+	85.5609.377 (malicious punishment of a child); 609.378 (neglect or endangerment of a child);
	2906	+	85.6609.746 (interference with privacy); 609.749 (stalking); or 617.23 (indecent exposure); or
	2907	+	85.7 (6) committing an act against or involving a minor that resulted in a misdemeanor-level
	2908	+	85.8violation of section 609.224, subdivision 1 (assault in the fifth degree).
	2909	+	85.9 (f) For purposes of this subdivision, the disqualification begins from:
	2910	+	85.10 (1) the date of the alleged violation, if the individual was not convicted;
	2911	+	85.11 (2) the date of conviction, if the individual was convicted of the violation but not
	2912	+	85.12committed to the custody of the commissioner of corrections; or
	2913	+	85.13 (3) the date of release from prison, if the individual was convicted of the violation and
	2914	+	85.14committed to the custody of the commissioner of corrections.
	2915	+	85.15Notwithstanding clause (3), if the individual is subsequently reincarcerated for a violation
	2916	+	85.16of the individual's supervised release, the disqualification begins from the date of release
	2917	+	85.17from the subsequent incarceration.
	2918	+	85.18 (g) An individual's aiding and abetting, attempt, or conspiracy to commit any of the
	2919	+	85.19offenses listed in paragraphs (a) and (b), as each of these offenses is defined in Minnesota
	2920	+	85.20Statutes, permanently disqualifies the individual under section 245C.14. An individual is
	2921	+	85.21disqualified under section 245C.14 if fewer than five years have passed since the individual's
	2922	+	85.22aiding and abetting, attempt, or conspiracy to commit any of the offenses listed in paragraphs
	2923	+	85.23(d) and (e).
	2924	+	85.24 (h) An individual's offense in any other state or country, where the elements of the
	2925	+	85.25offense are substantially similar to any of the offenses listed in paragraphs (a) and (b),
	2926	+	85.26permanently disqualifies the individual under section 245C.14. An individual is disqualified
	2927	+	85.27under section 245C.14 if fewer than five years have passed since an offense in any other
	2928	+	85.28state or country, the elements of which are substantially similar to the elements of any
	2929	+	85.29offense listed in paragraphs (d) and (e).
	2930	+	85.30 EFFECTIVE DATE.This section is effective July 1, 2025.
	2931	+	85Article 4 Sec. 5.
	2932	+	REVISOR DTT/HL 25-0033803/03/25 86.1 ARTICLE 5
	2933	+	86.2 DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY
	2934	+	86.3 Section 1. Minnesota Statutes 2024, section 13.46, subdivision 2, is amended to read:
	2935	+	86.4 Subd. 2.General.(a) Data on individuals collected, maintained, used, or disseminated
	2936	+	86.5by the welfare system are private data on individuals, and shall not be disclosed except:
	2937	+	86.6 (1) according to section 13.05;
	2938	+	86.7 (2) according to court order;
	2939	+	86.8 (3) according to a statute specifically authorizing access to the private data;
	2940	+	86.9 (4) to an agent of the welfare system and an or investigator acting on behalf of a county,
	2941	+	86.10the state, or the federal government, including a law enforcement person or attorney in the
	2942	+	86.11investigation or prosecution of a criminal, civil, or administrative proceeding relating to the
	2943	+	86.12administration of a program;
	2944	+	86.13 (5) to personnel of the welfare system who require the data to verify an individual's
	2945	+	86.14identity; determine eligibility, amount of assistance, and the need to provide services to an
	2946	+	86.15individual or family across programs; coordinate services for an individual or family;
	2947	+	86.16evaluate the effectiveness of programs; assess parental contribution amounts; and investigate
	2948	+	86.17suspected fraud;
	2949	+	86.18 (6) to administer federal funds or programs;
	2950	+	86.19 (7) between personnel of the welfare system working in the same program;
	2951	+	86.20 (8) to the Department of Revenue to administer and evaluate tax refund or tax credit
	2952	+	86.21programs and to identify individuals who may benefit from these programs, and prepare
	2953	+	86.22the databases for reports required under section 270C.13 and Laws 2008, chapter 366, article
	2954	+	86.2317, section 6. The following information may be disclosed under this paragraph: an
	2955	+	86.24individual's and their dependent's names, dates of birth, Social Security or individual taxpayer
	2956	+	86.25identification numbers, income, addresses, and other data as required, upon request by the
	2957	+	86.26Department of Revenue. Disclosures by the commissioner of revenue to the commissioner
	2958	+	86.27of human services for the purposes described in this clause are governed by section 270B.14,
	2959	+	86.28subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent
	2960	+	86.29care credit under section 290.067, the Minnesota working family credit under section
	2961	+	86.30290.0671, the property tax refund under section 290A.04, and the Minnesota education
	2962	+	86.31credit under section 290.0674;
	2963	+	86Article 5 Section 1.
	2964	+	REVISOR DTT/HL 25-0033803/03/25 87.1 (9) between the Department of Human Services; the Department of Employment and
	2965	+	87.2Economic Development; the Department of Children, Youth, and Families; Direct Care and
	2966	+	87.3Treatment; and, when applicable, the Department of Education, for the following purposes:
	2967	+	87.4 (i) to monitor the eligibility of the data subject for unemployment benefits, for any
	2968	+	87.5employment or training program administered, supervised, or certified by that agency;
	2969	+	87.6 (ii) to administer any rehabilitation program or child care assistance program, whether
	2970	+	87.7alone or in conjunction with the welfare system;
	2971	+	87.8 (iii) to monitor and evaluate the Minnesota family investment program or the child care
	2972	+	87.9assistance program by exchanging data on recipients and former recipients of Supplemental
	2973	+	87.10Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 142F, 256D,
	2974	+	87.11256J, or 256K, child care assistance under chapter 142E, medical programs under chapter
	2975	+	87.12256B or 256L; and
	2976	+	87.13 (iv) to analyze public assistance employment services and program utilization, cost,
	2977	+	87.14effectiveness, and outcomes as implemented under the authority established in Title II,
	2978	+	87.15Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999.
	2979	+	87.16Health records governed by sections 144.291 to 144.298 and "protected health information"
	2980	+	87.17as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code
	2981	+	87.18of Federal Regulations, title 45, parts 160-164, including health care claims utilization
	2982	+	87.19information, must not be exchanged under this clause;
	2983	+	87.20 (10) to appropriate parties in connection with an emergency if knowledge of the
	2984	+	87.21information is necessary to protect the health or safety of the individual or other individuals
	2985	+	87.22or persons;
	2986	+	87.23 (11) data maintained by residential programs as defined in section 245A.02 may be
	2987	+	87.24disclosed to the protection and advocacy system established in this state according to Part
	2988	+	87.25C of Public Law 98-527 to protect the legal and human rights of persons with developmental
	2989	+	87.26disabilities or other related conditions who live in residential facilities for these persons if
	2990	+	87.27the protection and advocacy system receives a complaint by or on behalf of that person and
	2991	+	87.28the person does not have a legal guardian or the state or a designee of the state is the legal
	2992	+	87.29guardian of the person;
	2993	+	87.30 (12) to the county medical examiner or the county coroner for identifying or locating
	2994	+	87.31relatives or friends of a deceased person;
	2995	+	87Article 5 Section 1.
	2996	+	REVISOR DTT/HL 25-0033803/03/25 88.1 (13) data on a child support obligor who makes payments to the public agency may be
	2997	+	88.2disclosed to the Minnesota Office of Higher Education to the extent necessary to determine
	2998	+	88.3eligibility under section 136A.121, subdivision 2, clause (5);
	2999	+	88.4 (14) participant Social Security or individual taxpayer identification numbers and names
	3000	+	88.5collected by the telephone assistance program may be disclosed to the Department of
	3001	+	88.6Revenue to conduct an electronic data match with the property tax refund database to
	3002	+	88.7determine eligibility under section 237.70, subdivision 4a;
	3003	+	88.8 (15) the current address of a Minnesota family investment program participant may be
	3004	+	88.9disclosed to law enforcement officers who provide the name of the participant and notify
	3005	+	88.10the agency that:
	3006	+	88.11 (i) the participant:
	3007	+	88.12 (A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
	3008	+	88.13conviction, for a crime or attempt to commit a crime that is a felony under the laws of the
	3009	+	88.14jurisdiction from which the individual is fleeing; or
	3010	+	88.15 (B) is violating a condition of probation or parole imposed under state or federal law;
	3011	+	88.16 (ii) the location or apprehension of the felon is within the law enforcement officer's
	3012	+	88.17official duties; and
	3013	+	88.18 (iii) the request is made in writing and in the proper exercise of those duties;
	3014	+	88.19 (16) the current address of a recipient of general assistance may be disclosed to probation
	3015	+	88.20officers and corrections agents who are supervising the recipient and to law enforcement
	3016	+	88.21officers who are investigating the recipient in connection with a felony level offense;
	3017	+	88.22 (17) information obtained from a SNAP applicant or recipient households may be
	3018	+	88.23disclosed to local, state, or federal law enforcement officials, upon their written request, for
	3019	+	88.24the purpose of investigating an alleged violation of the Food and Nutrition Act, according
	3020	+	88.25to Code of Federal Regulations, title 7, section 272.1(c);
	3021	+	88.26 (18) the address, Social Security or individual taxpayer identification number, and, if
	3022	+	88.27available, photograph of any member of a household receiving SNAP benefits shall be made
	3023	+	88.28available, on request, to a local, state, or federal law enforcement officer if the officer
	3024	+	88.29furnishes the agency with the name of the member and notifies the agency that:
	3025	+	88.30 (i) the member:
	3026	+	88.31 (A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a
	3027	+	88.32crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
	3028	+	88Article 5 Section 1.
	3029	+	REVISOR DTT/HL 25-0033803/03/25 89.1 (B) is violating a condition of probation or parole imposed under state or federal law;
	3030	+	89.2or
	3031	+	89.3 (C) has information that is necessary for the officer to conduct an official duty related
	3032	+	89.4to conduct described in subitem (A) or (B);
	3033	+	89.5 (ii) locating or apprehending the member is within the officer's official duties; and
	3034	+	89.6 (iii) the request is made in writing and in the proper exercise of the officer's official duty;
	3035	+	89.7 (19) the current address of a recipient of Minnesota family investment program, general
	3036	+	89.8assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing,
	3037	+	89.9provide the name of the recipient and notify the agency that the recipient is a person required
	3038	+	89.10to register under section 243.166, but is not residing at the address at which the recipient is
	3039	+	89.11registered under section 243.166;
	3040	+	89.12 (20) certain information regarding child support obligors who are in arrears may be
	3041	+	89.13made public according to section 518A.74;
	3042	+	89.14 (21) data on child support payments made by a child support obligor and data on the
	3043	+	89.15distribution of those payments excluding identifying information on obligees may be
	3044	+	89.16disclosed to all obligees to whom the obligor owes support, and data on the enforcement
	3045	+	89.17actions undertaken by the public authority, the status of those actions, and data on the income
	3046	+	89.18of the obligor or obligee may be disclosed to the other party;
	3047	+	89.19 (22) data in the work reporting system may be disclosed under section 142A.29,
	3048	+	89.20subdivision 7;
	3049	+	89.21 (23) to the Department of Education for the purpose of matching Department of Education
	3050	+	89.22student data with public assistance data to determine students eligible for free and
	3051	+	89.23reduced-price meals, meal supplements, and free milk according to United States Code,
	3052	+	89.24title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state
	3053	+	89.25funds that are distributed based on income of the student's family; and to verify receipt of
	3054	+	89.26energy assistance for the telephone assistance plan;
	3055	+	89.27 (24) the current address and telephone number of program recipients and emergency
	3056	+	89.28contacts may be released to the commissioner of health or a community health board as
	3057	+	89.29defined in section 145A.02, subdivision 5, when the commissioner or community health
	3058	+	89.30board has reason to believe that a program recipient is a disease case, carrier, suspect case,
	3059	+	89.31or at risk of illness, and the data are necessary to locate the person;
	3060	+	89.32 (25) to other state agencies, statewide systems, and political subdivisions of this state,
	3061	+	89.33including the attorney general, and agencies of other states, interstate information networks,
	3062	+	89Article 5 Section 1.
	3063	+	REVISOR DTT/HL 25-0033803/03/25 90.1federal agencies, and other entities as required by federal regulation or law for the
	3064	+	90.2administration of the child support enforcement program;
	3065	+	90.3 (26) to personnel of public assistance programs as defined in section 518A.81, for access
	3066	+	90.4to the child support system database for the purpose of administration, including monitoring
	3067	+	90.5and evaluation of those public assistance programs;
	3068	+	90.6 (27) to monitor and evaluate the Minnesota family investment program by exchanging
	3069	+	90.7data between the Departments of Human Services; Children, Youth, and Families; and
	3070	+	90.8Education, on recipients and former recipients of SNAP benefits, cash assistance under
	3071	+	90.9chapter 142F, 256D, 256J, or 256K, child care assistance under chapter 142E, medical
	3072	+	90.10programs under chapter 256B or 256L, or a medical program formerly codified under chapter
	3073	+	90.11256D;
	3074	+	90.12 (28) to evaluate child support program performance and to identify and prevent fraud
	3075	+	90.13in the child support program by exchanging data between the Department of Human Services;
	3076	+	90.14Department of Children, Youth, and Families; Department of Revenue under section 270B.14,
	3077	+	90.15subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph
	3078	+	90.16(c); Department of Health; Department of Employment and Economic Development; and
	3079	+	90.17other state agencies as is reasonably necessary to perform these functions;
	3080	+	90.18 (29) counties and the Department of Children, Youth, and Families operating child care
	3081	+	90.19assistance programs under chapter 142E may disseminate data on program participants,
	3082	+	90.20applicants, and providers to the commissioner of education;
	3083	+	90.21 (30) child support data on the child, the parents, and relatives of the child may be
	3084	+	90.22disclosed to agencies administering programs under titles IV-B and IV-E of the Social
	3085	+	90.23Security Act, as authorized by federal law;
	3086	+	90.24 (31) to a health care provider governed by sections 144.291 to 144.298, to the extent
	3087	+	90.25necessary to coordinate services;
	3088	+	90.26 (32) to the chief administrative officer of a school to coordinate services for a student
	3089	+	90.27and family; data that may be disclosed under this clause are limited to name, date of birth,
	3090	+	90.28gender, and address;
	3091	+	90.29 (33) to county correctional agencies to the extent necessary to coordinate services and
	3092	+	90.30diversion programs; data that may be disclosed under this clause are limited to name, client
	3093	+	90.31demographics, program, case status, and county worker information; or
	3094	+	90.32 (34) between the Department of Human Services and the Metropolitan Council for the
	3095	+	90.33following purposes:
	3096	+	90Article 5 Section 1.
	3097	+	REVISOR DTT/HL 25-0033803/03/25 91.1 (i) to coordinate special transportation service provided under section 473.386 with
	3098	+	91.2services for people with disabilities and elderly individuals funded by or through the
	3099	+	91.3Department of Human Services; and
	3100	+	91.4 (ii) to provide for reimbursement of special transportation service provided under section
	3101	+	91.5473.386.
	3102	+	91.6The data that may be shared under this clause are limited to the individual's first, last, and
	3103	+	91.7middle names; date of birth; residential address; and program eligibility status with expiration
	3104	+	91.8date for the purposes of informing the other party of program eligibility.
	3105	+	91.9 (b) Information on persons who have been treated for substance use disorder may only
	3106	+	91.10be disclosed according to the requirements of Code of Federal Regulations, title 42, sections
	3107	+	91.112.1 to 2.67.
	3108	+	91.12 (c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16),
	3109	+	91.13(17), or (18), or paragraph (b), are investigative data and are confidential or protected
	3110	+	91.14nonpublic while the investigation is active. The data are private after the investigation
	3111	+	91.15becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
	3112	+	91.16 (d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are
	3113	+	91.17not subject to the access provisions of subdivision 10, paragraph (b).
	3114	+	91.18 For the purposes of this subdivision, a request will be deemed to be made in writing if
	3115	+	91.19made through a computer interface system.
	3116	+	91.20Sec. 2. Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read:
	3117	+	91.21 Subd. 3.Investigative data.(a) Data on persons, including data on vendors of services,
	3118	+	91.22licensees, and applicants that is collected, maintained, used, or disseminated by the welfare
	3119	+	91.23system in an investigation, authorized by statute, and relating to the enforcement of rules
	3120	+	91.24or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or
	3121	+	91.25protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and
	3122	+	91.26shall not be disclosed except:
	3123	+	91.27 (1) pursuant to section 13.05;
	3124	+	91.28 (2) pursuant to statute or valid court order;
	3125	+	91.29 (3) to a party named in a civil or criminal proceeding, administrative or judicial, for
	3126	+	91.30preparation of defense;
	3127	+	91.31 (4) to an agent of the welfare system or an investigator acting on behalf of a county,
	3128	+	91.32state, or federal government, including a law enforcement officer or attorney in the
	3129	+	91Article 5 Sec. 2.
	3130	+	REVISOR DTT/HL 25-0033803/03/25 92.1investigation or prosecution of a criminal, civil, or administrative proceeding, unless the
	3131	+	92.2commissioner of human services or commissioner of children, youth, and families determines
	3132	+	92.3that disclosure may compromise a Department of Human Services or Department of Children,
	3133	+	92.4Youth, and Families ongoing investigation; or
	3134	+	92.5 (5) to provide notices required or permitted by statute.
	3135	+	92.6 The data referred to in this subdivision shall be classified as public data upon submission
	3136	+	92.7to an administrative law judge or court in an administrative or judicial proceeding. Inactive
	3137	+	92.8welfare investigative data shall be treated as provided in section 13.39, subdivision 3.
	3138	+	92.9 (b) Notwithstanding any other provision in law, the commissioner of human services
	3139	+	92.10shall provide all active and inactive investigative data, including the name of the reporter
	3140	+	92.11of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for
	3141	+	92.12mental health and developmental disabilities upon the request of the ombudsman.
	3142	+	92.13 (c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation
	3143	+	92.14by the commissioner of human services of possible overpayments of public funds to a service
	3144	+	92.15provider or recipient or the reduction or withholding of payments may be disclosed if the
	3145	+	92.16commissioner determines that it will not compromise the investigation.
	3146	+	92.17 EFFECTIVE DATE.This section is effective July 1, 2025.
	3147	+	92.18Sec. 3. Minnesota Statutes 2024, section 245.095, subdivision 5, is amended to read:
	3148	+	92.19 Subd. 5.Withholding of payments.(a) Except as otherwise provided by state or federal
	3149	+	92.20law, the commissioner may withhold payments to a provider, vendor, individual, associated
	3150	+	92.21individual, or associated entity in any program administered by the commissioner if the
	3151	+	92.22commissioner determines:
	3152	+	92.23 (1) there is a credible allegation of fraud for which an investigation is pending for a
	3153	+	92.24program administered by a Minnesota state or federal agency.;
	3154	+	92.25 (2) the individual, the entity, or an associated individual or entity was convicted of a
	3155	+	92.26crime charged in state or federal court with an offense that involves fraud or theft against
	3156	+	92.27a program administered by the commissioner or another Minnesota state or federal agency.
	3157	+	92.28For purposes of this subdivision, "convicted" means a judgment of conviction has been
	3158	+	92.29entered by a federal, state, or local court, regardless of whether an appeal from the judgment
	3159	+	92.30is pending, and includes a stay of adjudication, a court-ordered diversion program, or a plea
	3160	+	92.31of guilty or nolo contendere;
	3161	+	92Article 5 Sec. 3.
	3162	+	REVISOR DTT/HL 25-0033803/03/25 93.1 (3) the provider is operating after a Minnesota state or federal agency orders the
	3163	+	93.2suspension, revocation, or decertification of the provider's license;
	3164	+	93.3 (4) the provider, vendor, associated individual, or associated entity, including those
	3165	+	93.4receiving funds under any contract or registered program, has a background study
	3166	+	93.5disqualification under chapter 245C that has not been set aside and for which no variance
	3167	+	93.6has been issued, except for a disqualification under sections 245C.14, subdivision 5, and
	3168	+	93.7245C.15, subdivision 4c; or
	3169	+	93.8 (5) by a preponderance of the evidence that the provider, vendor, individual, associated
	3170	+	93.9individual, or associated entity intentionally provided materially false information when
	3171	+	93.10billing the commissioner.
	3172	+	93.11 (b) For purposes of this subdivision, "credible allegation of fraud" means an allegation
	3173	+	93.12that has been verified by the commissioner from any source, including but not limited to:
	3174	+	93.13 (1) fraud hotline complaints;
	3175	+	93.14 (2) claims data mining;
	3176	+	93.15 (3) patterns identified through provider audits, civil false claims cases, and law
	3177	+	93.16enforcement investigations; and
	3178	+	93.17 (4) court filings and other legal documents, including but not limited to police reports,
	3179	+	93.18complaints, indictments, informations, affidavits, declarations, and search warrants.
	3180	+	93.19 (c) The commissioner must send notice of the withholding of payments within five days
	3181	+	93.20of taking such action. The notice must:
	3182	+	93.21 (1) state that payments are being withheld according to this subdivision;
	3183	+	93.22 (2) set forth the general allegations related to the withholding action, except the notice
	3184	+	93.23need not disclose specific information concerning an ongoing investigation;
	3185	+	93.24 (3) state that the withholding is for a temporary period and cite the circumstances under
	3186	+	93.25which the withholding will be terminated; and
	3187	+	93.26 (4) inform the provider, vendor, individual, associated individual, or associated entity
	3188	+	93.27of the right to submit written evidence to contest the withholding action for consideration
	3189	+	93.28by the commissioner.
	3190	+	93.29 (d) If the commissioner withholds payments under this subdivision, the provider, vendor,
	3191	+	93.30individual, associated individual, or associated entity has a right to request administrative
	3192	+	93.31reconsideration. A request for administrative reconsideration must be made in writing, state
	3193	+	93.32with specificity the reasons the payment withholding decision is in error, and include
	3194	+	93Article 5 Sec. 3.
	3195	+	REVISOR DTT/HL 25-0033803/03/25 94.1documents to support the request. Within 60 days from receipt of the request, the
	3196	+	94.2commissioner shall judiciously review allegations, facts, evidence available to the
	3197	+	94.3commissioner, and information submitted by the provider, vendor, individual, associated
	3198	+	94.4individual, or associated entity to determine whether the payment withholding should remain
	3199	+	94.5in place.
	3200	+	94.6 (e) The commissioner shall stop withholding payments if the commissioner determines
	3201	+	94.7there is insufficient evidence of fraud by the provider, vendor, individual, associated
	3202	+	94.8individual, or associated entity or when legal proceedings relating to the alleged fraud are
	3203	+	94.9completed, unless the commissioner has sent notice under subdivision 3 to the provider,
	3204	+	94.10vendor, individual, associated individual, or associated entity.
	3205	+	94.11 (f) The withholding of payments is a temporary action and is not subject to appeal under
	3206	+	94.12section 256.045 or chapter 14.
	3207	+	94.13 EFFECTIVE DATE.This section is effective July 1, 2025.
	3208	+	94.14Sec. 4. Minnesota Statutes 2024, section 245.095, is amended by adding a subdivision to
	3209	+	94.15read:
	3210	+	94.16 Subd. 6.Data practices.The commissioner may exchange information, including claims
	3211	+	94.17data, with state or federal agencies, professional boards, departments, or programs for the
	3212	+	94.18purpose of investigating or prosecuting a criminal, civil, or administrative proceeding related
	3213	+	94.19to suspected fraud or exclusion from any program administered by a state or federal agency.
	3214	+	94.20Sec. 5. Minnesota Statutes 2024, section 245A.04, subdivision 1, is amended to read:
	3215	+	94.21 Subdivision 1.Application for licensure.(a) An individual, organization, or government
	3216	+	94.22entity that is subject to licensure under section 245A.03 must apply for a license. The
	3217	+	94.23application must be made on the forms and in the manner prescribed by the commissioner.
	3218	+	94.24The commissioner shall provide the applicant with instruction in completing the application
	3219	+	94.25and provide information about the rules and requirements of other state agencies that affect
	3220	+	94.26the applicant. An applicant seeking licensure in Minnesota with headquarters outside of
	3221	+	94.27Minnesota must have a program office located within 30 miles of the Minnesota border.
	3222	+	94.28An applicant who intends to buy or otherwise acquire a program or services licensed under
	3223	+	94.29this chapter that is owned by another license holder must apply for a license under this
	3224	+	94.30chapter and comply with the application procedures in this section and section 245A.043.
	3225	+	94.31 The commissioner shall act on the application within 90 working days after a complete
	3226	+	94.32application and any required reports have been received from other state agencies or
	3227	+	94Article 5 Sec. 5.
	3228	+	REVISOR DTT/HL 25-0033803/03/25 95.1departments, counties, municipalities, or other political subdivisions. The commissioner
	3229	+	95.2shall not consider an application to be complete until the commissioner receives all of the
	3230	+	95.3required information. If the applicant or a controlling individual is the subject of a pending
	3231	+	95.4administrative, civil, or criminal investigation, the application is not complete until the
	3232	+	95.5investigation has closed or the related legal proceedings are complete.
	3233	+	95.6 When the commissioner receives an application for initial licensure that is incomplete
	3234	+	95.7because the applicant failed to submit required documents or that is substantially deficient
	3235	+	95.8because the documents submitted do not meet licensing requirements, the commissioner
	3236	+	95.9shall provide the applicant written notice that the application is incomplete or substantially
	3237	+	95.10deficient. In the written notice to the applicant the commissioner shall identify documents
	3238	+	95.11that are missing or deficient and give the applicant 45 days to resubmit a second application
	3239	+	95.12that is substantially complete. An applicant's failure to submit a substantially complete
	3240	+	95.13application after receiving notice from the commissioner is a basis for license denial under
	3241	+	95.14section 245A.043.
	3242	+	95.15 (b) An application for licensure must identify all controlling individuals as defined in
	3243	+	95.16section 245A.02, subdivision 5a, and must designate one individual to be the authorized
	3244	+	95.17agent. The application must be signed by the authorized agent and must include the authorized
	3245	+	95.18agent's first, middle, and last name; mailing address; and email address. By submitting an
	3246	+	95.19application for licensure, the authorized agent consents to electronic communication with
	3247	+	95.20the commissioner throughout the application process. The authorized agent must be
	3248	+	95.21authorized to accept service on behalf of all of the controlling individuals. A government
	3249	+	95.22entity that holds multiple licenses under this chapter may designate one authorized agent
	3250	+	95.23for all licenses issued under this chapter or may designate a different authorized agent for
	3251	+	95.24each license. Service on the authorized agent is service on all of the controlling individuals.
	3252	+	95.25It is not a defense to any action arising under this chapter that service was not made on each
	3253	+	95.26controlling individual. The designation of a controlling individual as the authorized agent
	3254	+	95.27under this paragraph does not affect the legal responsibility of any other controlling individual
	3255	+	95.28under this chapter.
	3256	+	95.29 (c) An applicant or license holder must have a policy that prohibits license holders,
	3257	+	95.30employees, subcontractors, and volunteers, when directly responsible for persons served
	3258	+	95.31by the program, from abusing prescription medication or being in any manner under the
	3259	+	95.32influence of a chemical that impairs the individual's ability to provide services or care. The
	3260	+	95.33license holder must train employees, subcontractors, and volunteers about the program's
	3261	+	95.34drug and alcohol policy.
	3262	+	95Article 5 Sec. 5.
	3263	+	REVISOR DTT/HL 25-0033803/03/25 96.1 (d) An applicant and license holder must have a program grievance procedure that permits
	3264	+	96.2persons served by the program and their authorized representatives to bring a grievance to
	3265	+	96.3the highest level of authority in the program.
	3266	+	96.4 (e) The commissioner may limit communication during the application process to the
	3267	+	96.5authorized agent or the controlling individuals identified on the license application and for
	3268	+	96.6whom a background study was initiated under chapter 245C. Upon implementation of the
	3269	+	96.7provider licensing and reporting hub, applicants and license holders must use the hub in the
	3270	+	96.8manner prescribed by the commissioner. The commissioner may require the applicant,
	3271	+	96.9except for child foster care, to demonstrate competence in the applicable licensing
	3272	+	96.10requirements by successfully completing a written examination. The commissioner may
	3273	+	96.11develop a prescribed written examination format.
	3274	+	96.12 (f) When an applicant is an individual, the applicant must provide:
	3275	+	96.13 (1) the applicant's taxpayer identification numbers including the Social Security number
	3276	+	96.14or Minnesota tax identification number, and federal employer identification number if the
	3277	+	96.15applicant has employees;
	3278	+	96.16 (2) at the request of the commissioner, a copy of the most recent filing with the secretary
	3279	+	96.17of state that includes the complete business name, if any;
	3280	+	96.18 (3) if doing business under a different name, the doing business as (DBA) name, as
	3281	+	96.19registered with the secretary of state;
	3282	+	96.20 (4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique
	3283	+	96.21Minnesota Provider Identifier (UMPI) number; and
	3284	+	96.22 (5) at the request of the commissioner, the notarized signature of the applicant or
	3285	+	96.23authorized agent.
	3286	+	96.24 (g) When an applicant is an organization, the applicant must provide:
	3287	+	96.25 (1) the applicant's taxpayer identification numbers including the Minnesota tax
	3288	+	96.26identification number and federal employer identification number;
	3289	+	96.27 (2) at the request of the commissioner, a copy of the most recent filing with the secretary
	3290	+	96.28of state that includes the complete business name, and if doing business under a different
	3291	+	96.29name, the doing business as (DBA) name, as registered with the secretary of state;
	3292	+	96.30 (3) the first, middle, and last name, and address for all individuals who will be controlling
	3293	+	96.31individuals, including all officers, owners, and managerial officials as defined in section
	3294	+	96Article 5 Sec. 5.
	3295	+	REVISOR DTT/HL 25-0033803/03/25 97.1245A.02, subdivision 5a, and the date that the background study was initiated by the applicant
	3296	+	97.2for each controlling individual;
	3297	+	97.3 (4) if applicable, the applicant's NPI number and UMPI number;
	3298	+	97.4 (5) the documents that created the organization and that determine the organization's
	3299	+	97.5internal governance and the relations among the persons that own the organization, have
	3300	+	97.6an interest in the organization, or are members of the organization, in each case as provided
	3301	+	97.7or authorized by the organization's governing statute, which may include a partnership
	3302	+	97.8agreement, bylaws, articles of organization, organizational chart, and operating agreement,
	3303	+	97.9or comparable documents as provided in the organization's governing statute; and
	3304	+	97.10 (6) the notarized signature of the applicant or authorized agent.
	3305	+	97.11 (h) When the applicant is a government entity, the applicant must provide:
	3306	+	97.12 (1) the name of the government agency, political subdivision, or other unit of government
	3307	+	97.13seeking the license and the name of the program or services that will be licensed;
	3308	+	97.14 (2) the applicant's taxpayer identification numbers including the Minnesota tax
	3309	+	97.15identification number and federal employer identification number;
	3310	+	97.16 (3) a letter signed by the manager, administrator, or other executive of the government
	3311	+	97.17entity authorizing the submission of the license application; and
	3312	+	97.18 (4) if applicable, the applicant's NPI number and UMPI number.
	3313	+	97.19 (i) At the time of application for licensure or renewal of a license under this chapter, the
	3314	+	97.20applicant or license holder must acknowledge on the form provided by the commissioner
	3315	+	97.21if the applicant or license holder elects to receive any public funding reimbursement from
	3316	+	97.22the commissioner for services provided under the license that:
	3317	+	97.23 (1) the applicant's or license holder's compliance with the provider enrollment agreement
	3318	+	97.24or registration requirements for receipt of public funding may be monitored by the
	3319	+	97.25commissioner as part of a licensing investigation or licensing inspection; and
	3320	+	97.26 (2) noncompliance with the provider enrollment agreement or registration requirements
	3321	+	97.27for receipt of public funding that is identified through a licensing investigation or licensing
	3322	+	97.28inspection, or noncompliance with a licensing requirement that is a basis of enrollment for
	3323	+	97.29reimbursement for a service, may result in:
	3324	+	97.30 (i) a correction order or a conditional license under section 245A.06, or sanctions under
	3325	+	97.31section 245A.07;
	3326	+	97Article 5 Sec. 5.
	3327	+	REVISOR DTT/HL 25-0033803/03/25 98.1 (ii) nonpayment of claims submitted by the license holder for public program
	3328	+	98.2reimbursement;
	3329	+	98.3 (iii) recovery of payments made for the service;
	3330	+	98.4 (iv) disenrollment in the public payment program; or
	3331	+	98.5 (v) other administrative, civil, or criminal penalties as provided by law.
	3332	+	98.6 Sec. 6. Minnesota Statutes 2024, section 245A.05, is amended to read:
	3333	+	98.7 245A.05 DENIAL OF APPLICATION.
	3334	+	98.8 (a) The commissioner may deny a license if an applicant or controlling individual:
	3335	+	98.9 (1) fails to submit a substantially complete application after receiving notice from the
	3336	+	98.10commissioner under section 245A.04, subdivision 1;
	3337	+	98.11 (2) fails to comply with applicable laws or rules;
	3338	+	98.12 (3) knowingly withholds relevant information from or gives false or misleading
	3339	+	98.13information to the commissioner in connection with an application for a license or during
	3340	+	98.14an investigation;
	3341	+	98.15 (4) has a disqualification that has not been set aside under section 245C.22 and no
	3342	+	98.16variance has been granted;
	3343	+	98.17 (5) has an individual living in the household who received a background study under
	3344	+	98.18section 245C.03, subdivision 1, paragraph (a), clause (2), who has a disqualification that
	3345	+	98.19has not been set aside under section 245C.22, and no variance has been granted;
	3346	+	98.20 (6) is associated with an individual who received a background study under section
	3347	+	98.21245C.03, subdivision 1, paragraph (a), clause (6), who may have unsupervised access to
	3348	+	98.22children or vulnerable adults, and who has a disqualification that has not been set aside
	3349	+	98.23under section 245C.22, and no variance has been granted;
	3350	+	98.24 (7) fails to comply with section 245A.04, subdivision 1, paragraph (f) or (g);
	3351	+	98.25 (8) fails to demonstrate competent knowledge as required by section 245A.04, subdivision
	3352	+	98.266;
	3353	+	98.27 (9) has a history of noncompliance as a license holder or controlling individual with
	3354	+	98.28applicable laws or rules, including but not limited to this chapter and chapters 142E and
	3355	+	98.29245C; or
	3356	+	98.30 (10) is prohibited from holding a license according to section 245.095.; or
	3357	+	98Article 5 Sec. 6.
	3358	+	REVISOR DTT/HL 25-0033803/03/25 99.1 (11) is the subject of a pending administrative, civil, or criminal investigation.
	3359	+	99.2 (b) An applicant whose application has been denied by the commissioner must be given
	3360	+	99.3notice of the denial, which must state the reasons for the denial in plain language. Notice
	3361	+	99.4must be given by certified mail, by personal service, or through the provider licensing and
	3362	+	99.5reporting hub. The notice must state the reasons the application was denied and must inform
	3363	+	99.6the applicant of the right to a contested case hearing under chapter 14 and Minnesota Rules,
	3364	+	99.7parts 1400.8505 to 1400.8612. The applicant may appeal the denial by notifying the
	3365	+	99.8commissioner in writing by certified mail, by personal service, or through the provider
	3366	+	99.9licensing and reporting hub. If mailed, the appeal must be postmarked and sent to the
	3367	+	99.10commissioner within 20 calendar days after the applicant received the notice of denial. If
	3368	+	99.11an appeal request is made by personal service, it must be received by the commissioner
	3369	+	99.12within 20 calendar days after the applicant received the notice of denial. If the order is issued
	3370	+	99.13through the provider hub, the appeal must be received by the commissioner within 20
	3371	+	99.14calendar days from the date the commissioner issued the order through the hub. Section
	3372	+	99.15245A.08 applies to hearings held to appeal the commissioner's denial of an application.
	3373	+	99.16Sec. 7. Minnesota Statutes 2024, section 245A.07, subdivision 2, is amended to read:
	3374	+	99.17 Subd. 2.Temporary immediate suspension.(a) The commissioner shall act immediately
	3375	+	99.18to temporarily suspend a license issued under this chapter if:
	3376	+	99.19 (1) the license holder's or controlling individual's actions or failure to comply with
	3377	+	99.20applicable law or rule, or the actions of other individuals or conditions in the program, pose
	3378	+	99.21an imminent risk of harm to the health, safety, or rights of persons served by the program;
	3379	+	99.22 (2) while the program continues to operate pending an appeal of an order of revocation,
	3380	+	99.23the commissioner identifies one or more subsequent violations of law or rule which may
	3381	+	99.24adversely affect the health or safety of persons served by the program; or
	3382	+	99.25 (3) the license holder or controlling individual is criminally charged in state or federal
	3383	+	99.26court with an offense that involves fraud or theft against a program administered by the
	3384	+	99.27commissioner a state or federal agency.
	3385	+	99.28 (b) No state funds shall be made available or be expended by any agency or department
	3386	+	99.29of state, county, or municipal government for use by a license holder regulated under this
	3387	+	99.30chapter while a license issued under this chapter is under immediate suspension. A notice
	3388	+	99.31stating the reasons for the immediate suspension and informing the license holder of the
	3389	+	99.32right to an expedited hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to
	3390	+	99.331400.8612, must be delivered by personal service to the address shown on the application
	3391	+	99Article 5 Sec. 7.
	3392	+	REVISOR DTT/HL 25-0033803/03/25 100.1or the last known address of the license holder. The license holder may appeal an order
	3393	+	100.2immediately suspending a license. The appeal of an order immediately suspending a license
	3394	+	100.3must be made in writing by certified mail, personal service, or other means expressly set
	3395	+	100.4forth in the commissioner's order. If mailed, the appeal must be postmarked and sent to the
	3396	+	100.5commissioner within five calendar days after the license holder receives notice that the
	3397	+	100.6license has been immediately suspended. If a request is made by personal service, it must
	3398	+	100.7be received by the commissioner within five calendar days after the license holder received
	3399	+	100.8the order. A license holder and any controlling individual shall discontinue operation of the
	3400	+	100.9program upon receipt of the commissioner's order to immediately suspend the license.
	3401	+	100.10 (c) The commissioner may act immediately to temporarily suspend a license issued
	3402	+	100.11under this chapter if the license holder or controlling individual is the subject of a pending
	3403	+	100.12administrative, civil, or criminal investigation or subject to an administrative or civil action
	3404	+	100.13related to fraud against a program administered by a state or federal agency.
	3405	+	100.14Sec. 8. Minnesota Statutes 2024, section 254B.06, is amended by adding a subdivision to
	3406	+	100.15read:
	3407	+	100.16 Subd. 5.Prohibition of duplicative claim submission.(a) For time-based claims,
	3408	+	100.17submissions must follow the guidelines in the Centers for Medicare and Medicaid Services'
	3409	+	100.18Healthcare Common Procedure Coding System and the American Medical Association's
	3410	+	100.19Current Procedural Terminology to determine the appropriate units of time to report.
	3411	+	100.20 (b) More than half the duration of a time-based code must be spent performing the service
	3412	+	100.21to be eligible under this section. Any provision of service during the remaining balance of
	3413	+	100.22the unit of time is not eligible for any other claims submission and would be considered a
	3414	+	100.23duplicative claim submission.
	3415	+	100.24 (c) A provider may only round up to the next whole number of service units on a
	3416	+	100.25submitted claim when more than one and one-half times the defined value of the code has
	3417	+	100.26occurred and no additional time increment code exists.
	3418	+	100.27 EFFECTIVE DATE.This section is effective July 1, 2025.
	3419	+	100.28Sec. 9. Minnesota Statutes 2024, section 256.983, subdivision 4, is amended to read:
	3420	+	100.29 Subd. 4.Funding.(a) County and Tribal agency reimbursement shall be made through
	3421	+	100.30the settlement provisions applicable to the Supplemental Nutrition Assistance Program
	3422	+	100.31(SNAP), MFIP, child care assistance programs, the medical assistance program, and other
	3423	+	100.32federal and state-funded programs.
	3424	+	100Article 5 Sec. 9.
	3425	+	REVISOR DTT/HL 25-0033803/03/25 101.1 (b) The commissioners will maintain program compliance if for any three consecutive
	3426	+	101.2month period quarter, a county or Tribal agency fails to comply with fraud prevention
	3427	+	101.3investigation program guidelines, or fails to meet the cost-effectiveness standards developed
	3428	+	101.4by the commissioners. This result is contingent on the commissioners providing written
	3429	+	101.5notice, including an offer of technical assistance, within 30 days of the end of the third or
	3430	+	101.6subsequent month quarter of noncompliance. The county or Tribal agency shall be required
	3431	+	101.7to submit a corrective action plan to the commissioners within 30 days of receipt of a notice
	3432	+	101.8of noncompliance. Failure to submit a corrective action plan or, continued deviation from
	3433	+	101.9standards of more than ten percent after submission of a corrective action plan, will result
	3434	+	101.10in denial of funding for each subsequent month, or billing the county or Tribal agency for
	3435	+	101.11fraud prevention investigation (FPI) service provided by the commissioners, or reallocation
	3436	+	101.12of program grant funds, or investigative resources, or both, to other counties or Tribal
	3437	+	101.13agencies. The denial of funding shall apply to the general settlement received by the county
	3438	+	101.14or Tribal agency on a quarterly basis and shall not reduce the grant amount applicable to
	3439	+	101.15the FPI project.
	3440	+	101.16 EFFECTIVE DATE.This section is effective July 1, 2025.
	3441	+	101.17Sec. 10. Minnesota Statutes 2024, section 256B.04, subdivision 21, is amended to read:
	3442	+	101.18 Subd. 21.Provider enrollment.(a) The commissioner shall enroll providers and conduct
	3443	+	101.19screening activities as required by Code of Federal Regulations, title 42, section 455, subpart
	3444	+	101.20E. A provider must enroll each provider-controlled location where direct services are
	3445	+	101.21provided. The commissioner may deny a provider's incomplete application if a provider
	3446	+	101.22fails to respond to the commissioner's request for additional information within 60 days of
	3447	+	101.23the request. The commissioner must conduct a background study under chapter 245C,
	3448	+	101.24including a review of databases in section 245C.08, subdivision 1, paragraph (a), clauses
	3449	+	101.25(1) to (5), for a provider described in this paragraph. The background study requirement
	3450	+	101.26may be satisfied if the commissioner conducted a fingerprint-based background study on
	3451	+	101.27the provider that includes a review of databases in section 245C.08, subdivision 1, paragraph
	3452	+	101.28(a), clauses (1) to (5).
	3453	+	101.29 (b) The commissioner shall revalidate each:
	3454	+	101.30 (1) each provider under this subdivision at least once every five years; and
	3455	+	101.31 (2) each personal care assistance agency under this subdivision once every three years.;
	3456	+	101.32and
	3457	+	101Article 5 Sec. 10.
	3458	+	REVISOR DTT/HL 25-0033803/03/25 102.1 (3) at the commissioner's discretion, any other Medicaid-only provider type the
	3459	+	102.2commissioner deems "high risk" under this subdivision.
	3460	+	102.3 (c) The commissioner shall conduct revalidation as follows:
	3461	+	102.4 (1) provide 30-day notice of the revalidation due date including instructions for
	3462	+	102.5revalidation and a list of materials the provider must submit;
	3463	+	102.6 (2) if a provider fails to submit all required materials by the due date, notify the provider
	3464	+	102.7of the deficiency within 30 days after the due date and allow the provider an additional 30
	3465	+	102.8days from the notification date to comply; and
	3466	+	102.9 (3) if a provider fails to remedy a deficiency within the 30-day time period, give 60-day
	3467	+	102.10notice of termination and immediately suspend the provider's ability to bill. The provider
	3468	+	102.11does not have the right to appeal suspension of ability to bill.
	3469	+	102.12 (d) If a provider fails to comply with any individual provider requirement or condition
	3470	+	102.13of participation, the commissioner may suspend the provider's ability to bill until the provider
	3471	+	102.14comes into compliance. The commissioner's decision to suspend the provider is not subject
	3472	+	102.15to an administrative appeal.
	3473	+	102.16 (e) Correspondence and notifications, including notifications of termination and other
	3474	+	102.17actions, may be delivered electronically to a provider's MN-ITS mailbox. This paragraph
	3475	+	102.18does not apply to correspondences and notifications related to background studies.
	3476	+	102.19 (f) If the commissioner or the Centers for Medicare and Medicaid Services determines
	3477	+	102.20that a provider is designated "high-risk," the commissioner may withhold payment from
	3478	+	102.21providers within that category upon initial enrollment for a 90-day period. The withholding
	3479	+	102.22for each provider must begin on the date of the first submission of a claim.
	3480	+	102.23 (g) An enrolled provider that is also licensed by the commissioner under chapter 245A,
	3481	+	102.24is licensed as a home care provider by the Department of Health under chapter 144A, or is
	3482	+	102.25licensed as an assisted living facility under chapter 144G and has a home and
	3483	+	102.26community-based services designation on the home care license under section 144A.484,
	3484	+	102.27must designate an individual as the entity's compliance officer. The compliance officer
	3485	+	102.28must:
	3486	+	102.29 (1) develop policies and procedures to assure adherence to medical assistance laws and
	3487	+	102.30regulations and to prevent inappropriate claims submissions;
	3488	+	102.31 (2) train the employees of the provider entity, and any agents or subcontractors of the
	3489	+	102.32provider entity including billers, on the policies and procedures under clause (1);
	3490	+	102Article 5 Sec. 10.
	3491	+	REVISOR DTT/HL 25-0033803/03/25 103.1 (3) respond to allegations of improper conduct related to the provision or billing of
	3492	+	103.2medical assistance services, and implement action to remediate any resulting problems;
	3493	+	103.3 (4) use evaluation techniques to monitor compliance with medical assistance laws and
	3494	+	103.4regulations;
	3495	+	103.5 (5) promptly report to the commissioner any identified violations of medical assistance
	3496	+	103.6laws or regulations; and
	3497	+	103.7 (6) within 60 days of discovery by the provider of a medical assistance reimbursement
	3498	+	103.8overpayment, report the overpayment to the commissioner and make arrangements with
	3499	+	103.9the commissioner for the commissioner's recovery of the overpayment.
	3500	+	103.10The commissioner may require, as a condition of enrollment in medical assistance, that a
	3501	+	103.11provider within a particular industry sector or category establish a compliance program that
	3502	+	103.12contains the core elements established by the Centers for Medicare and Medicaid Services.
	3503	+	103.13 (h) The commissioner may revoke the enrollment of an ordering or rendering provider
	3504	+	103.14for a period of not more than one year, if the provider fails to maintain and, upon request
	3505	+	103.15from the commissioner, provide access to documentation relating to written orders or requests
	3506	+	103.16for payment for durable medical equipment, certifications for home health services, or
	3507	+	103.17referrals for other items or services written or ordered by such provider, when the
	3508	+	103.18commissioner has identified a pattern of a lack of documentation. A pattern means a failure
	3509	+	103.19to maintain documentation or provide access to documentation on more than one occasion.
	3510	+	103.20Nothing in this paragraph limits the authority of the commissioner to sanction a provider
	3511	+	103.21under the provisions of section 256B.064.
	3512	+	103.22 (i) The commissioner shall terminate or deny the enrollment of any individual or entity
	3513	+	103.23if the individual or entity has been terminated from participation in Medicare or under the
	3514	+	103.24Medicaid program or Children's Health Insurance Program of any other state. The
	3515	+	103.25commissioner may exempt a rehabilitation agency from termination or denial that would
	3516	+	103.26otherwise be required under this paragraph, if the agency:
	3517	+	103.27 (1) is unable to retain Medicare certification and enrollment solely due to a lack of billing
	3518	+	103.28to the Medicare program;
	3519	+	103.29 (2) meets all other applicable Medicare certification requirements based on an on-site
	3520	+	103.30review completed by the commissioner of health; and
	3521	+	103.31 (3) serves primarily a pediatric population.
	3522	+	103.32 (j) As a condition of enrollment in medical assistance, the commissioner shall require
	3523	+	103.33that a provider designated "moderate" or "high-risk" by the Centers for Medicare and
	3524	+	103Article 5 Sec. 10.
	3525	+	REVISOR DTT/HL 25-0033803/03/25 104.1Medicaid Services or the commissioner permit the Centers for Medicare and Medicaid
	3526	+	104.2Services, its agents, or its designated contractors and the state agency, its agents, or its
	3527	+	104.3designated contractors to conduct unannounced on-site inspections of any provider location.
	3528	+	104.4The commissioner shall publish in the Minnesota Health Care Program Provider Manual a
	3529	+	104.5list of provider types designated "limited," "moderate," or "high-risk," based on the criteria
	3530	+	104.6and standards used to designate Medicare providers in Code of Federal Regulations, title
	3531	+	104.742, section 424.518. The list and criteria are not subject to the requirements of chapter 14.
	3532	+	104.8The commissioner's designations are not subject to administrative appeal.
	3533	+	104.9 (k) As a condition of enrollment in medical assistance, the commissioner shall require
	3534	+	104.10that a high-risk provider, or a person with a direct or indirect ownership interest in the
	3535	+	104.11provider of five percent or higher, consent to criminal background checks, including
	3536	+	104.12fingerprinting, when required to do so under state law or by a determination by the
	3537	+	104.13commissioner or the Centers for Medicare and Medicaid Services that a provider is designated
	3538	+	104.14high-risk for fraud, waste, or abuse.
	3539	+	104.15 (l)(1) Upon initial enrollment, reenrollment, and notification of revalidation, all durable
	3540	+	104.16medical equipment, prosthetics, orthotics, and supplies (DMEPOS) medical suppliers
	3541	+	104.17meeting the durable medical equipment provider and supplier definition in clause (3),
	3542	+	104.18operating in Minnesota and receiving Medicaid funds must purchase a surety bond that is
	3543	+	104.19annually renewed and designates the Minnesota Department of Human Services as the
	3544	+	104.20obligee, and must be submitted in a form approved by the commissioner. For purposes of
	3545	+	104.21this clause, the following medical suppliers are not required to obtain a surety bond: a
	3546	+	104.22federally qualified health center, a home health agency, the Indian Health Service, a
	3547	+	104.23pharmacy, and a rural health clinic.
	3548	+	104.24 (2) At the time of initial enrollment or reenrollment, durable medical equipment providers
	3549	+	104.25and suppliers defined in clause (3) must purchase a surety bond of $50,000. If a revalidating
	3550	+	104.26provider's Medicaid revenue in the previous calendar year is up to and including $300,000,
	3551	+	104.27the provider agency must purchase a surety bond of $50,000. If a revalidating provider's
	3552	+	104.28Medicaid revenue in the previous calendar year is over $300,000, the provider agency must
	3553	+	104.29purchase a surety bond of $100,000. The surety bond must allow for recovery of costs and
	3554	+	104.30fees in pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions
	3555	+	104.31from a surety bond must occur within six years from the date the debt is affirmed by a final
	3556	+	104.32agency decision. An agency decision is final when the right to appeal the debt has been
	3557	+	104.33exhausted or the time to appeal has expired under section 256B.064.
	3558	+	104.34 (3) "Durable medical equipment provider or supplier" means a medical supplier that can
	3559	+	104.35purchase medical equipment or supplies for sale or rental to the general public and is able
	3560	+	104Article 5 Sec. 10.
	3561	+	REVISOR DTT/HL 25-0033803/03/25 105.1to perform or arrange for necessary repairs to and maintenance of equipment offered for
	3562	+	105.2sale or rental.
	3563	+	105.3 (m) The Department of Human Services may require a provider to purchase a surety
	3564	+	105.4bond as a condition of initial enrollment, reenrollment, reinstatement, or continued enrollment
	3565	+	105.5if: (1) the provider fails to demonstrate financial viability, (2) the department determines
	3566	+	105.6there is significant evidence of or potential for fraud and abuse by the provider, or (3) the
	3567	+	105.7provider or category of providers is designated high-risk pursuant to paragraph (f) and as
	3568	+	105.8per Code of Federal Regulations, title 42, section 455.450. The surety bond must be in an
	3569	+	105.9amount of $100,000 or ten percent of the provider's payments from Medicaid during the
	3570	+	105.10immediately preceding 12 months, whichever is greater. The surety bond must name the
	3571	+	105.11Department of Human Services as an obligee and must allow for recovery of costs and fees
	3572	+	105.12in pursuing a claim on the bond. This paragraph does not apply if the provider currently
	3573	+	105.13maintains a surety bond under the requirements in section 256B.0659 or 256B.85.
	3574	+	105.14 EFFECTIVE DATE.This section is effective July 1, 2025.
	3575	+	105.15Sec. 11. Minnesota Statutes 2024, section 256B.0659, subdivision 21, is amended to read:
	3576	+	105.16 Subd. 21.Requirements for provider enrollment of personal care assistance provider
	3577	+	105.17agencies.(a) All personal care assistance provider agencies must provide, at the time of
	3578	+	105.18enrollment, reenrollment, and revalidation as a personal care assistance provider agency in
	3579	+	105.19a format determined by the commissioner, information and documentation that includes,
	3580	+	105.20but is not limited to, the following:
	3581	+	105.21 (1) the personal care assistance provider agency's current contact information including
	3582	+	105.22address, telephone number, and email address;
	3583	+	105.23 (2) proof of surety bond coverage for each business location providing services. Upon
	3584	+	105.24new enrollment, or if the provider's Medicaid revenue in the previous calendar year is up
	3585	+	105.25to and including $300,000, the provider agency must purchase a surety bond of $50,000. If
	3586	+	105.26the Medicaid revenue in the previous year is over $300,000, the provider agency must
	3587	+	105.27purchase a surety bond of $100,000. The surety bond must be in a form approved by the
	3588	+	105.28commissioner, must be renewed annually, and must allow for recovery of costs and fees in
	3589	+	105.29pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a
	3590	+	105.30surety bond must occur within six years from the date the debt is affirmed by a final agency
	3591	+	105.31decision. An agency decision is final when the right to appeal the debt has been exhausted
	3592	+	105.32or the time to appeal has expired under section 256B.064;
	3593	+	105Article 5 Sec. 11.
	3594	+	REVISOR DTT/HL 25-0033803/03/25 106.1 (3) proof of fidelity bond coverage in the amount of $20,000 for each business location
	3595	+	106.2providing service;
	3596	+	106.3 (4) proof of workers' compensation insurance coverage identifying the business location
	3597	+	106.4where personal care assistance services are provided;
	3598	+	106.5 (5) proof of liability insurance coverage identifying the business location where personal
	3599	+	106.6care assistance services are provided and naming the department as a certificate holder;
	3600	+	106.7 (6) a copy of the personal care assistance provider agency's written policies and
	3601	+	106.8procedures including: hiring of employees; training requirements; service delivery; and
	3602	+	106.9employee and consumer safety including process for notification and resolution of consumer
	3603	+	106.10grievances, identification and prevention of communicable diseases, and employee
	3604	+	106.11misconduct;
	3605	+	106.12 (7) copies of all other forms the personal care assistance provider agency uses in the
	3606	+	106.13course of daily business including, but not limited to:
	3607	+	106.14 (i) a copy of the personal care assistance provider agency's time sheet if the time sheet
	3608	+	106.15varies from the standard time sheet for personal care assistance services approved by the
	3609	+	106.16commissioner, and a letter requesting approval of the personal care assistance provider
	3610	+	106.17agency's nonstandard time sheet;
	3611	+	106.18 (ii) the personal care assistance provider agency's template for the personal care assistance
	3612	+	106.19care plan; and
	3613	+	106.20 (iii) the personal care assistance provider agency's template for the written agreement
	3614	+	106.21in subdivision 20 for recipients using the personal care assistance choice option, if applicable;
	3615	+	106.22 (8) a list of all training and classes that the personal care assistance provider agency
	3616	+	106.23requires of its staff providing personal care assistance services;
	3617	+	106.24 (9) documentation that the personal care assistance provider agency and staff have
	3618	+	106.25successfully completed all the training required by this section, including the requirements
	3619	+	106.26under subdivision 11, paragraph (d), if enhanced personal care assistance services are
	3620	+	106.27provided and submitted for an enhanced rate under subdivision 17a;
	3621	+	106.28 (10) documentation of the agency's marketing practices;
	3622	+	106.29 (11) disclosure of ownership, leasing, or management of all residential properties that
	3623	+	106.30is used or could be used for providing home care services;
	3624	+	106.31 (12) documentation that the agency will use the following percentages of revenue
	3625	+	106.32generated from the medical assistance rate paid for personal care assistance services for
	3626	+	106Article 5 Sec. 11.
	3627	+	REVISOR DTT/HL 25-0033803/03/25 107.1employee personal care assistant wages and benefits: 72.5 percent of revenue in the personal
	3628	+	107.2care assistance choice option and 72.5 percent of revenue from other personal care assistance
	3629	+	107.3providers. The revenue generated by the qualified professional and the reasonable costs
	3630	+	107.4associated with the qualified professional shall not be used in making this calculation; and
	3631	+	107.5 (13) effective May 15, 2010, documentation that the agency does not burden recipients'
	3632	+	107.6free exercise of their right to choose service providers by requiring personal care assistants
	3633	+	107.7to sign an agreement not to work with any particular personal care assistance recipient or
	3634	+	107.8for another personal care assistance provider agency after leaving the agency and that the
	3635	+	107.9agency is not taking action on any such agreements or requirements regardless of the date
	3636	+	107.10signed.
	3637	+	107.11 (b) Personal care assistance provider agencies shall provide the information specified
	3638	+	107.12in paragraph (a) to the commissioner at the time the personal care assistance provider agency
	3639	+	107.13enrolls as a vendor or upon request from the commissioner. The commissioner shall collect
	3640	+	107.14the information specified in paragraph (a) from all personal care assistance providers
	3641	+	107.15beginning July 1, 2009.
	3642	+	107.16 (c) All personal care assistance provider agencies shall require all employees in
	3643	+	107.17management and supervisory positions and owners of the agency who are active in the
	3644	+	107.18day-to-day management and operations of the agency to complete mandatory training as
	3645	+	107.19determined by the commissioner before submitting an application for enrollment of the
	3646	+	107.20agency as a provider. All personal care assistance provider agencies shall also require
	3647	+	107.21qualified professionals to complete the training required by subdivision 13 before submitting
	3648	+	107.22an application for enrollment of the agency as a provider. Employees in management and
	3649	+	107.23supervisory positions and owners who are active in the day-to-day operations of an agency
	3650	+	107.24who have completed the required training as an employee with a personal care assistance
	3651	+	107.25provider agency do not need to repeat the required training if they are hired by another
	3652	+	107.26agency, if they have completed the training within the past three years. By September 1,
	3653	+	107.272010, the required training must be available with meaningful access according to title VI
	3654	+	107.28of the Civil Rights Act and federal regulations adopted under that law or any guidance from
	3655	+	107.29the United States Health and Human Services Department. The required training must be
	3656	+	107.30available online or by electronic remote connection. The required training must provide for
	3657	+	107.31competency testing. Personal care assistance provider agency billing staff shall complete
	3658	+	107.32training about personal care assistance program financial management. This training is
	3659	+	107.33effective July 1, 2009. Any personal care assistance provider agency enrolled before that
	3660	+	107.34date shall, if it has not already, complete the provider training within 18 months of July 1,
	3661	+	107.352009. Any new owners or employees in management and supervisory positions involved
	3662	+	107Article 5 Sec. 11.
	3663	+	REVISOR DTT/HL 25-0033803/03/25 108.1in the day-to-day operations are required to complete mandatory training as a requisite of
	3664	+	108.2working for the agency. Personal care assistance provider agencies certified for participation
	3665	+	108.3in Medicare as home health agencies are exempt from the training required in this
	3666	+	108.4subdivision. When available, Medicare-certified home health agency owners, supervisors,
	3667	+	108.5or managers must successfully complete the competency test.
	3668	+	108.6 (d) All surety bonds, fidelity bonds, workers' compensation insurance, and liability
	3669	+	108.7insurance required by this subdivision must be maintained continuously. After initial
	3670	+	108.8enrollment, a provider must submit proof of bonds and required coverages at any time at
	3671	+	108.9the request of the commissioner. Services provided while there are lapses in coverage are
	3672	+	108.10not eligible for payment. Lapses in coverage may result in sanctions, including termination.
	3673	+	108.11The commissioner shall send instructions and a due date to submit the requested information
	3674	+	108.12to the personal care assistance provider agency.
	3675	+	108.13 EFFECTIVE DATE.This section is effective July 1, 2025.
	3676	+	108.14Sec. 12. Minnesota Statutes 2024, section 256B.0949, subdivision 2, is amended to read:
	3677	+	108.15 Subd. 2.Definitions.(a) The terms used in this section have the meanings given in this
	3678	+	108.16subdivision.
	3679	+	108.17 (b) "Advanced certification" means a person who has completed advanced certification
	3680	+	108.18in an approved modality under subdivision 13, paragraph (b).
	3681	+	108.19 (c) "Agency" means the legal entity that is enrolled with Minnesota health care programs
	3682	+	108.20as a medical assistance provider according to Minnesota Rules, part 9505.0195, to provide
	3683	+	108.21EIDBI services and that has the legal responsibility to ensure that its employees or contractors
	3684	+	108.22carry out the responsibilities defined in this section. Agency includes a licensed individual
	3685	+	108.23professional who practices independently and acts as an agency.
	3686	+	108.24 (d) "Autism spectrum disorder or a related condition" or "ASD or a related condition"
	3687	+	108.25means either autism spectrum disorder (ASD) as defined in the current version of the
	3688	+	108.26Diagnostic and Statistical Manual of Mental Disorders (DSM) or a condition that is found
	3689	+	108.27to be closely related to ASD, as identified under the current version of the DSM, and meets
	3690	+	108.28all of the following criteria:
	3691	+	108.29 (1) is severe and chronic;
	3692	+	108.30 (2) results in impairment of adaptive behavior and function similar to that of a person
	3693	+	108.31with ASD;
	3694	+	108.32 (3) requires treatment or services similar to those required for a person with ASD; and
	3695	+	108Article 5 Sec. 12.
	3696	+	REVISOR DTT/HL 25-0033803/03/25 109.1 (4) results in substantial functional limitations in three core developmental deficits of
	3697	+	109.2ASD: social or interpersonal interaction; functional communication, including nonverbal
	3698	+	109.3or social communication; and restrictive or repetitive behaviors or hyperreactivity or
	3699	+	109.4hyporeactivity to sensory input; and may include deficits or a high level of support in one
	3700	+	109.5or more of the following domains:
	3701	+	109.6 (i) behavioral challenges and self-regulation;
	3702	+	109.7 (ii) cognition;
	3703	+	109.8 (iii) learning and play;
	3704	+	109.9 (iv) self-care; or
	3705	+	109.10 (v) safety.
	3706	+	109.11 (e) "Person" means a person under 21 years of age.
	3707	+	109.12 (f) "Clinical supervision" means the overall responsibility for the control and direction
	3708	+	109.13of EIDBI service delivery, including individual treatment planning, staff supervision,
	3709	+	109.14individual treatment plan progress monitoring, and treatment review for each person. Clinical
	3710	+	109.15supervision is provided by a qualified supervising professional (QSP) who takes full
	3711	+	109.16professional responsibility for the service provided by each supervisee.
	3712	+	109.17 (g) "Commissioner" means the commissioner of human services, unless otherwise
	3713	+	109.18specified.
	3714	+	109.19 (h) "Comprehensive multidisciplinary evaluation" or "CMDE" means a comprehensive
	3715	+	109.20evaluation of a person to determine medical necessity for EIDBI services based on the
	3716	+	109.21requirements in subdivision 5.
	3717	+	109.22 (i) "Department" means the Department of Human Services, unless otherwise specified.
	3718	+	109.23 (j) "Early intensive developmental and behavioral intervention benefit" or "EIDBI
	3719	+	109.24benefit" means a variety of individualized, intensive treatment modalities approved and
	3720	+	109.25published by the commissioner that are based in behavioral and developmental science
	3721	+	109.26consistent with best practices on effectiveness.
	3722	+	109.27 (k) "Employee" means any person who is employed by an agency, including temporary
	3723	+	109.28and part-time employees, and who performs work for at least 80 hours in a year for that
	3724	+	109.29agency in Minnesota. Employee does not include an independent contractor.
	3725	+	109.30 (k) (l) "Generalizable goals" means results or gains that are observed during a variety
	3726	+	109.31of activities over time with different people, such as providers, family members, other adults,
	3727	+	109Article 5 Sec. 12.
	3728	+	REVISOR DTT/HL 25-0033803/03/25 110.1and people, and in different environments including, but not limited to, clinics, homes,
	3729	+	110.2schools, and the community.
	3730	+	110.3 (l) (m) "Incident" means when any of the following occur:
	3731	+	110.4 (1) an illness, accident, or injury that requires first aid treatment;
	3732	+	110.5 (2) a bump or blow to the head; or
	3733	+	110.6 (3) an unusual or unexpected event that jeopardizes the safety of a person or staff,
	3734	+	110.7including a person leaving the agency unattended.
	3735	+	110.8 (m) (n) "Individual treatment plan" or "ITP" means the person-centered, individualized
	3736	+	110.9written plan of care that integrates and coordinates person and family information from the
	3737	+	110.10CMDE for a person who meets medical necessity for the EIDBI benefit. An individual
	3738	+	110.11treatment plan must meet the standards in subdivision 6.
	3739	+	110.12 (n) (o) "Legal representative" means the parent of a child who is under 18 years of age,
	3740	+	110.13a court-appointed guardian, or other representative with legal authority to make decisions
	3741	+	110.14about service for a person. For the purpose of this subdivision, "other representative with
	3742	+	110.15legal authority to make decisions" includes a health care agent or an attorney-in-fact
	3743	+	110.16authorized through a health care directive or power of attorney.
	3744	+	110.17 (o) (p) "Mental health professional" means a staff person who is qualified according to
	3745	+	110.18section 245I.04, subdivision 2.
	3746	+	110.19 (p) (q) "Person-centered" means a service that both responds to the identified needs,
	3747	+	110.20interests, values, preferences, and desired outcomes of the person or the person's legal
	3748	+	110.21representative and respects the person's history, dignity, and cultural background and allows
	3749	+	110.22inclusion and participation in the person's community.
	3750	+	110.23 (q) (r) "Qualified EIDBI provider" means a person who is a QSP or a level I, level II,
	3751	+	110.24or level III treatment provider.
	3752	+	110.25 EFFECTIVE DATE.This section is effective the day following final enactment.
	3753	+	110.26Sec. 13. Minnesota Statutes 2024, section 256B.85, subdivision 12, is amended to read:
	3754	+	110.27 Subd. 12.Requirements for enrollment of CFSS agency-providers.(a) All CFSS
	3755	+	110.28agency-providers must provide, at the time of enrollment, reenrollment, and revalidation
	3756	+	110.29as a CFSS agency-provider in a format determined by the commissioner, information and
	3757	+	110.30documentation that includes but is not limited to the following:
	3758	+	110Article 5 Sec. 13.
	3759	+	REVISOR DTT/HL 25-0033803/03/25 111.1 (1) the CFSS agency-provider's current contact information including address, telephone
	3760	+	111.2number, and email address;
	3761	+	111.3 (2) proof of surety bond coverage. Upon new enrollment, or if the agency-provider's
	3762	+	111.4Medicaid revenue in the previous calendar year is less than or equal to $300,000, the
	3763	+	111.5agency-provider must purchase a surety bond of $50,000. If the agency-provider's Medicaid
	3764	+	111.6revenue in the previous calendar year is greater than $300,000, the agency-provider must
	3765	+	111.7purchase a surety bond of $100,000. The surety bond must be in a form approved by the
	3766	+	111.8commissioner, must be renewed annually, and must allow for recovery of costs and fees in
	3767	+	111.9pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a
	3768	+	111.10surety bond must occur within six years from the date the debt is affirmed by a final agency
	3769	+	111.11decision. An agency decision is final when the right to appeal the debt has been exhausted
	3770	+	111.12or the time to appeal has expired under section 256B.064;
	3771	+	111.13 (3) proof of fidelity bond coverage in the amount of $20,000 per provider location;
	3772	+	111.14 (4) proof of workers' compensation insurance coverage;
	3773	+	111.15 (5) proof of liability insurance;
	3774	+	111.16 (6) a copy of the CFSS agency-provider's organizational chart identifying the names
	3775	+	111.17and roles of all owners, managing employees, staff, board of directors, and additional
	3776	+	111.18documentation reporting any affiliations of the directors and owners to other service
	3777	+	111.19providers;
	3778	+	111.20 (7) proof that the CFSS agency-provider has written policies and procedures including:
	3779	+	111.21hiring of employees; training requirements; service delivery; and employee and consumer
	3780	+	111.22safety, including the process for notification and resolution of participant grievances, incident
	3781	+	111.23response, identification and prevention of communicable diseases, and employee misconduct;
	3782	+	111.24 (8) proof that the CFSS agency-provider has all of the following forms and documents:
	3783	+	111.25 (i) a copy of the CFSS agency-provider's time sheet; and
	3784	+	111.26 (ii) a copy of the participant's individual CFSS service delivery plan;
	3785	+	111.27 (9) a list of all training and classes that the CFSS agency-provider requires of its staff
	3786	+	111.28providing CFSS services;
	3787	+	111.29 (10) documentation that the CFSS agency-provider and staff have successfully completed
	3788	+	111.30all the training required by this section;
	3789	+	111.31 (11) documentation of the agency-provider's marketing practices;
	3790	+	111Article 5 Sec. 13.
	3791	+	REVISOR DTT/HL 25-0033803/03/25 112.1 (12) disclosure of ownership, leasing, or management of all residential properties that
	3792	+	112.2are used or could be used for providing home care services;
	3793	+	112.3 (13) documentation that the agency-provider will use at least the following percentages
	3794	+	112.4of revenue generated from the medical assistance rate paid for CFSS services for CFSS
	3795	+	112.5support worker wages and benefits: 72.5 percent of revenue from CFSS providers, except
	3796	+	112.6100 percent of the revenue generated by a medical assistance rate increase due to a collective
	3797	+	112.7bargaining agreement under section 179A.54 must be used for support worker wages and
	3798	+	112.8benefits. The revenue generated by the worker training and development services and the
	3799	+	112.9reasonable costs associated with the worker training and development services shall not be
	3800	+	112.10used in making this calculation; and
	3801	+	112.11 (14) documentation that the agency-provider does not burden participants' free exercise
	3802	+	112.12of their right to choose service providers by requiring CFSS support workers to sign an
	3803	+	112.13agreement not to work with any particular CFSS participant or for another CFSS
	3804	+	112.14agency-provider after leaving the agency and that the agency is not taking action on any
	3805	+	112.15such agreements or requirements regardless of the date signed.
	3806	+	112.16 (b) CFSS agency-providers shall provide to the commissioner the information specified
	3807	+	112.17in paragraph (a).
	3808	+	112.18 (c) All CFSS agency-providers shall require all employees in management and
	3809	+	112.19supervisory positions and owners of the agency who are active in the day-to-day management
	3810	+	112.20and operations of the agency to complete mandatory training as determined by the
	3811	+	112.21commissioner. Employees in management and supervisory positions and owners who are
	3812	+	112.22active in the day-to-day operations of an agency who have completed the required training
	3813	+	112.23as an employee with a CFSS agency-provider do not need to repeat the required training if
	3814	+	112.24they are hired by another agency and they have completed the training within the past three
	3815	+	112.25years. CFSS agency-provider billing staff shall complete training about CFSS program
	3816	+	112.26financial management. Any new owners or employees in management and supervisory
	3817	+	112.27positions involved in the day-to-day operations are required to complete mandatory training
	3818	+	112.28as a requisite of working for the agency.
	3819	+	112.29 (d) Agency-providers shall submit all required documentation in this section within 30
	3820	+	112.30days of notification from the commissioner. If an agency-provider fails to submit all the
	3821	+	112.31required documentation, the commissioner may take action under subdivision 23a.
	3822	+	112.32 EFFECTIVE DATE.This section is effective July 1, 2025.
	3823	+	112Article 5 Sec. 13.
	3824	+	REVISOR DTT/HL 25-0033803/03/25 113.1 ARTICLE 6
	3825	+	113.2 HEALTH-RELATED LICENSING BOARDS
	3826	+	113.3Section 1. Minnesota Statutes 2024, section 144A.291, subdivision 2, is amended to read:
	3827	+	113.4 Subd. 2.Amounts.(a) Fees may not exceed the following amounts but may be adjusted
	3828	+	113.5lower by board direction and are for the exclusive use of the board as required to sustain
	3829	+	113.6board operations. The maximum amounts of fees are:
	3830	+	113.7 (1) application for licensure, $200 $300;
	3831	+	113.8 (2) for a prospective applicant for a review of education and experience advisory to the
	3832	+	113.9license application, $100, to be applied to the fee for application for licensure if the latter
	3833	+	113.10is submitted within one year of the request for review of education and experience;
	3834	+	113.11 (3) state examination, $125 $200;
	3835	+	113.12 (4) initial license, $250 if issued between July 1 and December 31, $100 if issued between
	3836	+	113.13January 1 and June 30 $300;
	3837	+	113.14 (5) acting permit, $400;
	3838	+	113.15 (6) renewal license, $250;
	3839	+	113.16 (7) duplicate license, $50;
	3840	+	113.17 (8) reinstatement fee, $250;
	3841	+	113.18 (9) health services executive initial license, $250 $300;
	3842	+	113.19 (10) health services executive renewal license, $250 $300;
	3843	+	113.20 (11) reciprocity verification fee, $50;
	3844	+	113.21 (12) second shared assignment, $250;
	3845	+	113.22 (13) continuing education fees:
	3846	+	113.23 (i) greater than six hours, $50; and
	3847	+	113.24 (ii) seven hours or more, $75;
	3848	+	113.25 (14) education review, $100;
	3849	+	113.26 (15) fee to a sponsor for review of individual continuing education seminars, institutes,
	3850	+	113.27workshops, or home study courses:
	3851	+	113.28 (i) for less than seven clock hours, $30; and
	3852	+	113.29 (ii) for seven or more clock hours, $50;
	3853	+	113Article 6 Section 1.
	3854	+	REVISOR DTT/HL 25-0033803/03/25 114.1 (16) fee to a licensee for review of continuing education seminars, institutes, workshops,
	3855	+	114.2or home study courses not previously approved for a sponsor and submitted with an
	3856	+	114.3application for license renewal:
	3857	+	114.4 (i) for less than seven clock hours total, $30; and
	3858	+	114.5 (ii) for seven or more clock hours total, $50;
	3859	+	114.6 (17) late renewal fee, $75;
	3860	+	114.7 (18) fee to a licensee for verification of licensure status and examination scores, $30;
	3861	+	114.8 (19) registration as a registered continuing education sponsor, $1,000;
	3862	+	114.9 (20) mail labels, $75; and
	3863	+	114.10 (21) annual assisted living program education provider fee, $2,500.
	3864	+	114.11 (b) The revenue generated from the fees must be deposited in an account in the state
	3865	+	114.12government special revenue fund.
	3866	+	114.13 EFFECTIVE DATE.This section is effective July 1, 2025.
	3867	+	114.14Sec. 2. Minnesota Statutes 2024, section 144E.123, subdivision 3, is amended to read:
	3868	+	114.15 Subd. 3.Review.(a) Prehospital care data may be reviewed by the director or its
	3869	+	114.16designees. The data shall be classified as private data on individuals under chapter 13, the
	3870	+	114.17Minnesota Government Data Practices Act.
	3871	+	114.18 (b) The director may share incident-level location data with the Washington/Baltimore
	3872	+	114.19High Intensity Drug Trafficking Area's Overdose Detection Mapping Application Program
	3873	+	114.20(ODMAP) if the ODMAP has the ability to:
	3874	+	114.21 (1) allow secure access to the ODMAP system by authorized users to report information
	3875	+	114.22about an overdose incident;
	3876	+	114.23 (2) allow secure access to the ODMAP system by authorized users to view, in near
	3877	+	114.24real-time, certain information about the overdose incidents reported;
	3878	+	114.25 (3) produce a map in near real-time of the approximate locations of confirmed or
	3879	+	114.26suspected overdose incidents reports; and
	3880	+	114.27 (4) enable access to overdose incident information that assists in state and local decisions
	3881	+	114.28regarding the allocation of public health, public safety, and educational resources for the
	3882	+	114.29purposes of monitoring and reporting data related to suspected overdoses.
	3883	+	114.30 EFFECTIVE DATE.This section is effective the day following final enactment.
	3884	+	114Article 6 Sec. 2.
	3885	+	REVISOR DTT/HL 25-0033803/03/25 115.1Sec. 3. Minnesota Statutes 2024, section 148.108, subdivision 1, is amended to read:
	3886	+	115.2 Subdivision 1.Fees.In addition to the fees established in Minnesota Rules, chapter
	3887	+	115.32500, The board is authorized to charge the fees in this section.
	3888	+	115.4 EFFECTIVE DATE.This section is effective July 1, 2025.
	3889	+	115.5Sec. 4. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3890	+	115.6read:
	3891	+	115.7 Subd. 5.Chiropractic license fees.Fees for chiropractic licensure must not exceed the
	3892	+	115.8following amounts but may be adjusted lower by board action:
	3893	+	115.9 (1) initial application for licensure fee, $600;
	3894	+	115.10 (2) annual renewal of an active license fee, $400;
	3895	+	115.11 (3) annual renewal of an inactive license fee, 75 percent of the current active license
	3896	+	115.12renewal fee under clause (2);
	3897	+	115.13 (4) late renewal penalty fee, $150 per month late; and
	3898	+	115.14 (5) application for reinstatement of a voluntarily retired or inactive license fee, $100.
	3899	+	115.15 EFFECTIVE DATE.This section is effective July 1, 2025.
	3900	+	115.16Sec. 5. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3901	+	115.17read:
	3902	+	115.18 Subd. 6.Acupuncture registration fees.Fees for acupuncture registration must not
	3903	+	115.19exceed the following amounts but may be adjusted lower by board action:
	3904	+	115.20 (1) initial application acupuncture registration fee, $400;
	3905	+	115.21 (2) annual renewal of active acupuncture registration fee, $200;
	3906	+	115.22 (3) annual renewal of inactive acupuncture registration fee, 75 percent of the current
	3907	+	115.23active acupuncture registration renewal fee under clause (2); and
	3908	+	115.24 (4) reinstatement of nonrenewed acupuncture registration fee, $400.
	3909	+	115.25 EFFECTIVE DATE.This section is effective July 1, 2025.
	3910	+	115Article 6 Sec. 5.
	3911	+	REVISOR DTT/HL 25-0033803/03/25 116.1Sec. 6. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3912	+	116.2read:
	3913	+	116.3 Subd. 7.Independent examiner registration fees.Fees for independent examiner
	3914	+	116.4registration must not exceed the following amounts but may be adjusted lower by board
	3915	+	116.5action:
	3916	+	116.6 (1) initial application independent examiner registration fee, $400;
	3917	+	116.7 (2) annual renewal of independent examiner registration fee, $200; and
	3918	+	116.8 (3) reinstatement of nonrenewed independent examiner registration fee, $400.
	3919	+	116.9 EFFECTIVE DATE.This section is effective July 1, 2025.
	3920	+	116.10Sec. 7. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3921	+	116.11read:
	3922	+	116.12 Subd. 8.Animal chiropractic registration fees.Fees for animal chiropractic registration
	3923	+	116.13must not exceed the following amounts but may be adjusted lower by board action:
	3924	+	116.14 (1) initial application animal chiropractic registration fee, $400;
	3925	+	116.15 (2) annual renewal of active animal chiropractic registration fee, $200;
	3926	+	116.16 (3) annual renewal of inactive animal chiropractic registration fee, 75 percent of the
	3927	+	116.17current active animal chiropractic renewal fee under clause (2); and
	3928	+	116.18 (4) reinstatement of nonrenewed animal chiropractic registration fee, $400.
	3929	+	116.19 EFFECTIVE DATE.This section is effective July 1, 2025.
	3930	+	116.20Sec. 8. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3931	+	116.21read:
	3932	+	116.22 Subd. 9.Graduate preceptorship registration fee.The application fee for graduate
	3933	+	116.23preceptorship registration is an amount not to exceed $500, but may be adjusted lower by
	3934	+	116.24board action.
	3935	+	116.25 EFFECTIVE DATE.This section is effective July 1, 2025.
	3936	+	116Article 6 Sec. 8.
	3937	+	REVISOR DTT/HL 25-0033803/03/25 117.1Sec. 9. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
	3938	+	117.2read:
	3939	+	117.3 Subd. 10.Professional firm registration fees.In addition to fees authorized under
	3940	+	117.4chapter 319B, the late renewal penalty fee for professional firm registration is $5 per month
	3941	+	117.5late.
	3942	+	117.6 EFFECTIVE DATE.This section is effective July 1, 2025.
	3943	+	117.7Sec. 10. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision
	3944	+	117.8to read:
	3945	+	117.9 Subd. 11.Miscellaneous fees.Fees under this subdivision must not exceed the following
	3946	+	117.10amounts but may be adjusted lower by board action:
	3947	+	117.11 (1) annual continuing education sponsorship fee, $1,000;
	3948	+	117.12 (2) individual continuing education seminar sponsorship fee, $400;
	3949	+	117.13 (3) mailing list request fee, $500;
	3950	+	117.14 (4) license verification fee, $50;
	3951	+	117.15 (5) duplicate certificate fee, $50; and
	3952	+	117.16 (6) document copies fee, $0.25 per side of document page.
	3953	+	117.17 EFFECTIVE DATE.This section is effective July 1, 2025.
	3954	+	117.18Sec. 11. Minnesota Statutes 2024, section 148B.53, subdivision 3, is amended to read:
	3955	+	117.19 Subd. 3.Fee Fees.Nonrefundable fees are as follows:
	3956	+	117.20 (1) initial license application fee for licensed professional counseling (LPC) - $150;
	3957	+	117.21 (2) initial license fee for LPC - $250;
	3958	+	117.22 (3) annual active license renewal fee for LPC - $250 or equivalent;
	3959	+	117.23 (4) annual inactive license renewal fee for LPC - $125;
	3960	+	117.24 (5) initial license application fee for licensed professional clinical counseling (LPCC) -
	3961	+	117.25$150;
	3962	+	117.26 (6) initial license fee for LPCC - $250;
	3963	+	117.27 (7) annual active license renewal fee for LPCC - $250 or equivalent;
	3964	+	117.28 (8) annual inactive license renewal fee for LPCC - $125;
	3965	+	117Article 6 Sec. 11.
	3966	+	REVISOR DTT/HL 25-0033803/03/25 118.1 (9) license renewal late fee - $100 per month or portion thereof;
	3967	+	118.2 (10) copy of board order or stipulation - $10;
	3968	+	118.3 (11) certificate of good standing or license verification - $25;
	3969	+	118.4 (12) duplicate certificate fee - $25;
	3970	+	118.5 (13) professional firm renewal fee - $25;
	3971	+	118.6 (14) sponsor application for approval of a continuing education course - $60;
	3972	+	118.7 (15) initial registration fee - $50;
	3973	+	118.8 (16) annual registration renewal fee - $25;
	3974	+	118.9 (17) approved supervisor application processing fee - $30; and
	3975	+	118.10 (18) temporary license for members of the military - $250; and
	3976	+	118.11 (19) interstate compact privilege to practice fee - not to exceed $100.
	3977	+	118.12 EFFECTIVE DATE.This section is effective the day following final enactment.
	3978	+	118.13Sec. 12. Minnesota Statutes 2024, section 148E.180, subdivision 1, is amended to read:
	3979	+	118.14 Subdivision 1.Application fees.(a) Nonrefundable application fees for licensure may
	3980	+	118.15not exceed the following amounts but may be adjusted lower by board action:
	3981	+	118.16 (1) for a licensed social worker, $75;
	3982	+	118.17 (2) for a licensed graduate social worker, $75;
	3983	+	118.18 (3) for a licensed independent social worker, $75;
	3984	+	118.19 (4) for a licensed independent clinical social worker, $75;
	3985	+	118.20 (5) for a temporary license, $50; and
	3986	+	118.21 (6) for a license by endorsement, $115; and
	3987	+	118.22 (7) for a compact multistate license, $75.
	3988	+	118.23 (b) The fee for criminal background checks is the fee charged by the Bureau of Criminal
	3989	+	118.24Apprehension. The criminal background check fee must be included with the application
	3990	+	118.25fee as required according to section 148E.055.
	3991	+	118.26 EFFECTIVE DATE.This section is effective the day following final enactment.
	3992	+	118Article 6 Sec. 12.
	3993	+	REVISOR DTT/HL 25-0033803/03/25 119.1Sec. 13. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision
	3994	+	119.2to read:
	3995	+	119.3 Subd. 2a.Compact multistate license fees.Nonrefundable compact multistate license
	3996	+	119.4fees must not exceed the following amounts but may be adjusted lower by board action:
	3997	+	119.5 (1) for a licensed social worker, $115;
	3998	+	119.6 (2) for a licensed graduate social worker, $210;
	3999	+	119.7 (3) for a licensed independent social worker, $305; and
	4000	+	119.8 (4) for a licensed independent clinical social worker, $335.
	4001	+	119.9 EFFECTIVE DATE.This section is effective the day following final enactment.
	4002	+	119.10Sec. 14. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision
	4003	+	119.11to read:
	4004	+	119.12 Subd. 3a.Compact multistate renewal fees.Nonrefundable renewal fees for compact
	4005	+	119.13multistate licensure must not exceed the following amounts but may be adjusted lower by
	4006	+	119.14board action:
	4007	+	119.15 (1) for a licensed social worker, $115;
	4008	+	119.16 (2) for a licensed graduate social worker, $210;
	4009	+	119.17 (3) for a licensed independent social worker, $305; and
	4010	+	119.18 (4) for a licensed independent clinical social worker, $335.
	4011	+	119.19 EFFECTIVE DATE.This section is effective the day following final enactment.
	4012	+	119.20Sec. 15. Minnesota Statutes 2024, section 148E.180, subdivision 5, is amended to read:
	4013	+	119.21 Subd. 5.Late fees.Late fees are the following nonrefundable amounts:
	4014	+	119.22 (1) renewal late fee, one-fourth of the applicable renewal fee specified in subdivision
	4015	+	119.23subdivisions 3 and 3a;
	4016	+	119.24 (2) supervision plan late fee, $40; and
	4017	+	119.25 (3) license late fee, $100 plus the prorated share of the applicable license fee fees specified
	4018	+	119.26in subdivision subdivisions 2 and 2a for the number of months during which the individual
	4019	+	119.27practiced social work without a license.
	4020	+	119.28 EFFECTIVE DATE.This section is effective the day following final enactment.
	4021	+	119Article 6 Sec. 15.
	4022	+	REVISOR DTT/HL 25-0033803/03/25 120.1Sec. 16. Minnesota Statutes 2024, section 148E.180, subdivision 7, is amended to read:
	4023	+	120.2 Subd. 7.Reactivation fees.Reactivation fees are the following nonrefundable amounts:
	4024	+	120.3 (1) reactivation from a temporary leave or emeritus status, the prorated share of the
	4025	+	120.4renewal fee specified in subdivision 3; and
	4026	+	120.5 (2) reactivation of an expired license, 1-1/2 times the applicable renewal fees specified
	4027	+	120.6in subdivision subdivisions 3 and 3a.
	4028	+	120.7 EFFECTIVE DATE.This section is effective the day following final enactment.
	4029	+	120.8Sec. 17. [153.30] FEES.
	4030	+	120.9 Subdivision 1.Nonrefundable fees.The fees in this section are nonrefundable.
	4031	+	120.10 Subd. 2.Fee amounts.The amount of fees must be set by the board so that the total
	4032	+	120.11fees collected by the board equals as closely as possible the anticipated expenditures during
	4033	+	120.12the fiscal biennium, as provided in section 16A.1285. Fees must not exceed the following
	4034	+	120.13amounts but may be adjusted lower by board action:
	4035	+	120.14 (1) application for licensure fee, $1,000;
	4036	+	120.15 (2) renewal licensure fee, $1,000;
	4037	+	120.16 (3) late renewal fee, $250;
	4038	+	120.17 (4) temporary permit fee, $250;
	4039	+	120.18 (5) duplicate license fee or duplicate renewal certificate fee, $25;
	4040	+	120.19 (6) reinstatement fee, $1,250;
	4041	+	120.20 (7) examination administration fee for persons who have not applied for a license or
	4042	+	120.21permit, $50;
	4043	+	120.22 (8) verification of licensure fee, $50;
	4044	+	120.23 (9) label fee, $50;
	4045	+	120.24 (10) list of licensees fee, $50; and
	4046	+	120.25 (11) copies fee, $0.50 per page.
	4047	+	120.26 Subd. 3.Current fee information.Information about fees in effect at any time must
	4048	+	120.27be available from the board office.
	4049	+	120.28 Subd. 4.Deposit of fees.The license fees collected under this section must be deposited
	4050	+	120.29in the state government special revenue fund.
	4051	+	120Article 6 Sec. 17.
	4052	+	REVISOR DTT/HL 25-0033803/03/25 121.1 EFFECTIVE DATE.This section is effective the day following final enactment.
	4053	+	121.2Sec. 18. Minnesota Statutes 2024, section 153B.85, subdivision 1, is amended to read:
	4054	+	121.3 Subdivision 1.Fees.(a) The application fee for initial licensure shall not exceed $600.
	4055	+	121.4 (b) The biennial renewal fee for a license to practice as an orthotist, prosthetist, prosthetist
	4056	+	121.5orthotist, or pedorthist shall not exceed $600.
	4057	+	121.6 (c) The biennial renewal fee for a license to practice as an assistant or a fitter shall not
	4058	+	121.7exceed $300.
	4059	+	121.8 (d) The fee for license restoration shall not exceed $600.
	4060	+	121.9 (e) The fee for license verification shall not exceed $30 $50.
	4061	+	121.10 (f) The fee to obtain a list of licensees shall not exceed $25 $50.
	4062	+	121.11 EFFECTIVE DATE.This section is effective the day following final enactment.
	4063	+	121.12Sec. 19. Minnesota Statutes 2024, section 153B.85, subdivision 3, is amended to read:
	4064	+	121.13 Subd. 3.Late fee.The fee for late license renewal is the license renewal fee in effect at
	4065	+	121.14the time of renewal plus $100 $250.
	4066	+	121.15 EFFECTIVE DATE.This section is effective the day following final enactment.
	4067	+	121.16Sec. 20. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
	4068	+	121.17to read:
	4069	+	121.18 Subd. 1a.Nonrefundable fees.All fees are nonrefundable.
	4070	+	121.19 EFFECTIVE DATE.This section is effective July 1, 2025.
	4071	+	121.20Sec. 21. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
	4072	+	121.21to read:
	4073	+	121.22 Subd. 3.Fee amounts.Fees must not exceed the following amounts but may be adjusted
	4074	+	121.23lower by board action:
	4075	+	121.24 (1) initial application fee, $75;
	4076	+	121.25 (2) state examination fee, $75;
	4077	+	121.26 (3) duplicate license fee, $25;
	4078	+	121.27 (4) continuing education sponsor application fee, $75;
	4079	+	121Article 6 Sec. 21.
	4080	+	REVISOR DTT/HL 25-0033803/03/25 122.1 (5) mailing list fee, $250;
	4081	+	122.2 (6) initial veterinary license fee, $300;
	4082	+	122.3 (7) initial veterinary technician fee, $100;
	4083	+	122.4 (8) active veterinary renewal fee, $300;
	4084	+	122.5 (9) active veterinary technician renewal fee, $100;
	4085	+	122.6 (10) inactive veterinary renewal fee, $150;
	4086	+	122.7 (11) inactive veterinary technician renewal fee, $50;
	4087	+	122.8 (12) institutional license fee, $300;
	4088	+	122.9 (13) active late veterinary renewal fee, $150;
	4089	+	122.10 (14) active late veterinary technician renewal fee, $50;
	4090	+	122.11 (15) inactive late veterinary renewal fee, $100;
	4091	+	122.12 (16) inactive late veterinary technician renewal fee, $25; and
	4092	+	122.13 (17) institutional late renewal fee, $150.
	4093	+	122.14 EFFECTIVE DATE.This section is effective July 1, 2025.
	4094	+	122.15Sec. 22. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
	4095	+	122.16to read:
	4096	+	122.17 Subd. 4.License verification.The board may charge a fee not to exceed $25 per license
	4097	+	122.18verification to a licensee for verification of licensure status provided to other veterinary
	4098	+	122.19licensing boards.
	4099	+	122.20 EFFECTIVE DATE.This section is effective July 1, 2025.
	4100	+	122.21Sec. 23. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
	4101	+	122.22to read:
	4102	+	122.23 Subd. 5.Deposit of fees.The license fees collected under this section must be deposited
	4103	+	122.24in the state government special revenue fund.
	4104	+	122.25Sec. 24. Laws 2024, chapter 127, article 67, section 4, is amended to read:
	4105	+	122.26Sec. 4. BOARD OF PHARMACY
	4106	+	122Article 6 Sec. 24.
	4107	+	REVISOR DTT/HL 25-0033803/03/25 123.1 Appropriations by Fund
	4108	+	-0-1,500,000123.2General
	4109	+	27,000-0-
	4110	+	123.3State Government
	4111	+	123.4Special Revenue
	4112	+	123.5(a) Legal Costs. $1,500,000 in fiscal year
	4113	+	123.62024 is from the general fund for legal costs.
	4114	+	123.7This is a onetime appropriation and is
	4115	+	123.8available until June 30, 2027.
	4116	+	123.9(b) Base Level Adjustment. The state
	4117	+	123.10government special revenue fund base is
	4118	+	123.11increased by $27,000 in fiscal year 2026 and
	4119	+	123.12increased by $27,000 in fiscal year 2027.
	4120	+	123.13 EFFECTIVE DATE.This section is effective June 30, 2025.
	4121	+	123.14Sec. 25. RULEMAKING.
	4122	+	123.15 The Board of Chiropractic Examiners must adopt rules using the expedited process under
	4123	+	123.16Minnesota Statutes, section 14.389, that amend Minnesota Rules, chapter 2500, to conform
	4124	+	123.17with the changes made in this act.
	4125	+	123.18 EFFECTIVE DATE.This section is effective July 1, 2025.
	4126	+	123.19Sec. 26. REPEALER.
	4127	+	123.20 (a) Minnesota Statutes 2024, sections 148.108, subdivisions 2, 3, and 4; and 156.015,
	4128	+	123.21subdivision 1, are repealed.
	4129	+	123.22 (b) Minnesota Rules, parts 2500.1150; 2500.2030; 9100.0400, subparts 1 and 3;
	4130	+	123.239100.0500; and 9100.0600, are repealed.
	4131	+	123.24 (c) Minnesota Rules, part 6900.0250, subparts 1 and 2, are repealed.
	4132	+	123.25 EFFECTIVE DATE.Paragraphs (a) and (b) are effective July 1, 2025. Paragraph (c)
	4133	+	123.26is effective the day following final enactment.
	4134	+	123.27 ARTICLE 7
	4135	+	123.28 FORECAST ADJUSTMENTS
	4136	+	123.29Section 1. DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.
	4137	+	123.30 The dollar amounts shown in the columns marked "Appropriations" are added to or, if
	4138	+	123.31shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70,
	4139	+	123Article 7 Section 1.
	4140	+	REVISOR DTT/HL 25-0033803/03/25 124.1article 20, from the general fund, or any other fund named, to the commissioner of human
	4141	+	124.2services for the purposes specified in this article, to be available for the fiscal year indicated
	4142	+	124.3for each purpose. The figure "2025" used in this article means that the appropriations listed
	4143	+	124.4are available for the fiscal year ending June 30, 2025.
	4144	+	124.5 APPROPRIATIONS
	4145	+	124.6 Available for the Year
	4146	+	124.7 Ending June 30
	4147	+	124.8 2025
	4148	+	124.9Sec. 2. COMMISSIONER OF HUMAN
	4149	+	124.10SERVICES
	4150	+	(224,693,000)$124.11Subdivision 1.Total Appropriation
	4151	+	124.12 Appropriations by Fund
	4152	+	124.13 2025
	4153	+	(202,264,000)124.14General
	4154	+	(17,144,000)124.15Health Care Access
	4155	+	(5,285,000)124.16Federal TANF
	4156	+	124.17Subd. 2.Forecasted Programs
	4157	+	124.18(a) Minnesota Family
	4158	+	124.19Investment Program
	4159	+	124.20(MFIP)/Diversionary Work
	4160	+	124.21Program (DWP)
	4161	+	124.22 Appropriations by Fund
	4162	+	124.23 2025
	4163	+	(5,238,000)124.24General
	4164	+	(5,285,000)124.25Federal TANF
	4165	+	(57,918,000)124.26(b) MFIP Child Care Assistance
	4166	+	1,932,000124.27(c) General Assistance
	4167	+	3,278,000124.28(d) Minnesota Supplemental Aid
	4168	+	9,569,000124.29(e) Housing Support
	4169	+	(9,006,000)124.30(f) Northstar Care for Children
	4170	+	(16,701,000)124.31(g) MinnesotaCare
	4171	+	124.32This appropriation is from the health care
	4172	+	124.33access fund.
	4173	+	124.34(h) Medical Assistance
	4174	+	124Article 7 Sec. 2.
	4175	+	REVISOR DTT/HL 25-0033803/03/25 125.1 Appropriations by Fund
	4176	+	125.2 2025
	4177	+	(155,544,000)125.3General
	4178	+	(443,000)125.4Health Care Access
	4179	+	10,633,000125.5(i) Behavioral Health Fund
	4180	+	125.6Sec. 3. EFFECTIVE DATE.
	4181	+	125.7 Sections 1 and 2 are effective the day following final enactment.
	4182	+	125.8 ARTICLE 8
	4183	+	125.9 DEPARTMENT OF HEALTH APPROPRIATIONS
	4184	+	125.10Section 1. HEALTH APPROPRIATIONS.
	4185	+	125.11 The sums shown in the columns marked "Appropriations" are appropriated to the
	4186	+	125.12commissioner of health for the purposes specified in this article. The appropriations are
	4187	+	125.13from the general fund, or another named fund, and are available for the fiscal years indicated
	4188	+	125.14for each purpose. The figures "2026" and "2027" used in this article mean that the
	4189	+	125.15appropriations listed under them are available for the fiscal year ending June 30, 2026, or
	4190	+	125.16June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is fiscal
	4191	+	125.17year 2027. "The biennium" is fiscal years 2026 and 2027.
	4192	+	125.18 APPROPRIATIONS
	4193	+	125.19 Available for the Year
	4194	+	125.20 Ending June 30
	4195	+	2027125.21 2026
	4196	+	433,094,000$435,545,000$125.22Sec. 2. TOTAL APPROPRIATION
	4197	+	125.23 Appropriations by Fund
	4198	+	2027125.24 2026
	4199	+	269,015,000270,286,000125.25General
	4200	+	98,547,00098,781,000
	4201	+	125.26State Government
	4202	+	125.27Special Revenue
	4203	+	53,819,00054,765,000125.28Health Care Access
	4204	+	11,713,00011,713,000125.29Federal TANF
	4205	+	125.30The amounts that may be spent for each
	4206	+	125.31purpose are specified in this article.
	4207	+	125Article 8 Sec. 2.
	4208	+	REVISOR DTT/HL 25-0033803/03/25 126.1Sec. 3. HEALTH IMPROVEMENT
	4209	+	288,655,000$291,524,000$126.2Subdivision 1.Total Appropriation
	4210	+	126.3 Appropriations by Fund
	4211	+	213,865,000215,788,000126.4General
	4212	+	9,258,0009,258,000
	4213	+	126.5State Government
	4214	+	126.6Special Revenue
	4215	+	53,819,00054,765,000126.7Health Care Access
	4216	+	11,713,00011,713,000126.8Federal TANF
	4217	+	126.9Subd. 2.Substance Use Treatment, Recovery,
	4218	+	126.10and Prevention Grants
	4219	+	126.11$3,000,000 in fiscal year 2026 and $3,000,000
	4220	+	126.12in fiscal year 2027 are for the purposes of
	4221	+	126.13Minnesota Statutes, section 342.72.
	4222	+	126.14Subd. 3.Local and Tribal Public Health
	4223	+	126.15Cannabis Grants
	4224	+	126.16$8,850,000 in fiscal year 2026 and $8,850,000
	4225	+	126.17in fiscal year 2027 are for administration and
	4226	+	126.18grants under Minnesota Statutes, section
	4227	+	126.19144.197, subdivision 4. Of the amount
	4228	+	126.20appropriated, $1,094,000 each year is for
	4229	+	126.21administration and $7,756,000 each year is
	4230	+	126.22for grants.
	4231	+	126.23Sec. 4. HEALTH PROTECTION
	4232	+	123,047,000$123,656,000$126.24Subdivision 1.Total Appropriation
	4233	+	126.25 Appropriations by Fund
	4234	+	33,758,00034,133,000126.26General
	4235	+	89,289,00089,523,000
	4236	+	126.27State Government
	4237	+	126.28Special Revenue
	4238	+	126.29Subd. 2.Asbestos Abatement
	4239	+	126.30$176,000 in fiscal year 2026 and $176,000 in
	4240	+	126.31fiscal year 2027 are from the state government
	4241	+	126.32special revenue fund for asbestos abatement
	4242	+	126.33under Minnesota Statutes, section 326.75.
	4243	+	126Article 8 Sec. 4.
	4244	+	REVISOR DTT/HL 25-0033803/03/25 127.1Subd. 3.Food, Pools, and Lodging Services
	4245	+	127.2$5,483,000 in fiscal year 2026 and $5,483,000
	4246	+	127.3in fiscal year 2027 are from the state
	4247	+	127.4government special revenue fund for
	4248	+	127.5supporting food, pools, and lodging services
	4249	+	127.6program activities under Minnesota Statutes,
	4250	+	127.7chapters 144, 157, and 327, including
	4251	+	127.8inspection, plan review, credentialing,
	4252	+	127.9licensing, and rulemaking and delegated
	4253	+	127.10support activities.
	4254	+	127.11Subd. 4.Public Water Supply
	4255	+	127.12$7,827,000 in fiscal year 2026 and $7,827,000
	4256	+	127.13in fiscal year 2027 are from the state
	4257	+	127.14government special revenue fund for operating
	4258	+	127.15the drinking water protection program,
	4259	+	127.16including implementing the Safe Drinking
	4260	+	127.17Water Act and for providing services to
	4261	+	127.18regulated parties, partners, and the public
	4262	+	127.19under Minnesota Statutes, sections 144.381
	4263	+	127.20to 144.383.
	4264	+	127.21Subd. 5.Radioactive Materials
	4265	+	127.22$200,000 in fiscal year 2026 and $200,000 in
	4266	+	127.23fiscal year 2027 are from the state government
	4267	+	127.24special revenue fund for supporting radioactive
	4268	+	127.25materials program activities, including licensee
	4269	+	127.26inspections, responding to radiological
	4270	+	127.27incidents, and state agreement responsibilities
	4271	+	127.28under Minnesota Statutes, section 144.1205.
	4272	+	127.29Subd. 6.Ionizing Radiation
	4273	+	127.30$993,000 in fiscal year 2026 and $828,000 in
	4274	+	127.31fiscal year 2027 are from the state government
	4275	+	127.32special revenue fund for supporting new
	4276	+	127.33regulatory activities for x-ray service
	4277	+	127.34providers, ongoing inspections of licensed
	4278	+	127Article 8 Sec. 4.
	4279	+	REVISOR DTT/HL 25-0033803/03/25 128.1facilities, and data analysis for program
	4280	+	128.2planning and implementation under Minnesota
	4281	+	128.3Statutes, section 144.121.
	4282	+	128.4Subd. 7.Infectious Disease Prevention, Early
	4283	+	128.5Detection, and Outbreak Response
	4284	+	128.6$1,300,000 in fiscal year 2026 and $1,300,000
	4285	+	128.7in fiscal year 2027 are for infectious disease
	4286	+	128.8prevention, early detection, and outbreak
	4287	+	128.9response activities under Minnesota Statutes,
	4288	+	128.10section 144.05, subdivision 1.
	4289	+	128.11Subd. 8.Licensing and Certification
	4290	+	128.12$1,707,000 in fiscal year 2026 and $1,707,000
	4291	+	128.13in fiscal year 2027 are from the state
	4292	+	128.14government special revenue fund for
	4293	+	128.15administering licensing and certification fees
	4294	+	128.16under Minnesota Statutes, chapter 144A, and
	4295	+	128.17Minnesota Statutes, sections 144.122, 144.55,
	4296	+	128.18and 144.615.
	4297	+	128.19Subd. 9.Assisted Living Licensure
	4298	+	128.20$1,555,000 in fiscal year 2026 and $1,555,000
	4299	+	128.21in fiscal year 2027 are from the state
	4300	+	128.22government special revenue fund for
	4301	+	128.23administering assisted living licensure under
	4302	+	128.24Minnesota Statutes, chapter 144G.
	4303	+	128.25Subd. 10.Engineering Plan Reviews
	4304	+	128.26$224,000 in fiscal year 2026 and $224,000 in
	4305	+	128.27fiscal year 2027 are from the state government
	4306	+	128.28special revenue fund for conducting
	4307	+	128.29engineering plan reviews under Minnesota
	4308	+	128.30Statutes, section 144.554.
	4309	+	128Article 8 Sec. 4.
	4310	+	REVISOR DTT/HL 25-0033803/03/25 129.1Subd. 11.Base Level Adjustments
	4311	+	129.2The state government special revenue fund
	4312	+	129.3base is $89,610,000 in fiscal year 2028 and
	4313	+	129.4$89,610,000 in fiscal year 2029.
	4314	+	21,392,000$20,365,000$129.5Sec. 5. HEALTH OPERATIONS
	4315	+	129.6Sec. 6. TRANSFERS; ADMINISTRATION.
	4316	+	129.7 Positions, salary money, and nonsalary administrative money may be transferred within
	4317	+	129.8the Department of Health as the commissioner deems necessary with the advance approval
	4318	+	129.9of the commissioner of management and budget. The commissioner shall report to the chairs
	4319	+	129.10and ranking minority members of the legislative committees with jurisdiction over health
	4320	+	129.11finance quarterly about transfers made under this section.
	4321	+	129.12Sec. 7. INDIRECT COSTS NOT TO FUND PROGRAMS.
	4322	+	129.13 The commissioner of health shall not use indirect cost allocations to pay for the
	4323	+	129.14operational costs of any program for which the commissioner is responsible.
	4324	+	129.15Sec. 8. EXPIRATION OF UNCODIFIED LANGUAGE.
	4325	+	129.16 All uncodified language contained in this article expires on June 30, 2027, unless a
	4326	+	129.17different expiration date is explicit or an appropriation is made available after June 30, 2027.
	4327	+	129.18 ARTICLE 9
	4328	+	129.19 DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS
	4329	+	129.20Section 1. HUMAN SERVICES APPROPRIATIONS.
	4330	+	129.21 The sums shown in the columns marked "Appropriations" are appropriated to the
	4331	+	129.22commissioner of human services for the purposes specified in this article. The appropriations
	4332	+	129.23are from the general fund, or another named fund, and are available for the fiscal years
	4333	+	129.24indicated for each purpose. The figures "2026" and "2027" used in this article mean that
	4334	+	129.25the appropriations listed under them are available for the fiscal year ending June 30, 2026,
	4335	+	129.26or June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is
	4336	+	129.27fiscal year 2027. "The biennium" is fiscal years 2026 and 2027.
	4337	+	129.28 APPROPRIATIONS
	4338	+	129.29 Available for the Year
	4339	+	129Article 9 Section 1.
	4340	+	REVISOR DTT/HL 25-0033803/03/25 130.1 Ending June 30
	4341	+	2027130.2 2026
	4342	+	5,934,084,000$5,592,495,000$130.3Sec. 2. TOTAL APPROPRIATION
	4343	+	130.4Subdivision 1.Appropriations by Fund
	4344	+	130.5 Appropriations by Fund
	4345	+	2027130.6 2026
	4346	+	4,843,930,0004,417,305,000130.7General
	4347	+	3,978,0003,978,000
	4348	+	130.8State Government
	4349	+	130.9Special Revenue
	4350	+	1,085,483,0001,170,519,000130.10Health Care Access
	4351	+	163,000163,000130.11Lottery Prize
	4352	+	530,000530,000
	4353	+	130.12Family and Medical
	4354	+	130.13Benefit Insurance
	4355	+	130.14The amounts that may be spent for each
	4356	+	130.15purpose are specified in this article.
	4357	+	130.16Subd. 2.Paid Leave
	4358	+	130.17$530,000 each year is from the family and
	4359	+	130.18medical benefit insurance account. This
	4360	+	130.19amount is for the purposes of Minnesota
	4361	+	130.20Statutes, chapter 268B.
	4362	+	130.21Subd. 3.Information Technology Appropriations
	4363	+	130.22(a) IT appropriations generally. This
	4364	+	130.23appropriation includes money for information
	4365	+	130.24technology projects, services, and support.
	4366	+	130.25Notwithstanding Minnesota Statutes, section
	4367	+	130.2616E.0466, funding for information technology
	4368	+	130.27project costs must be incorporated into the
	4369	+	130.28service-level agreement and paid to Minnesota
	4370	+	130.29IT Services by the Department of Human
	4371	+	130.30Services under the rates and mechanism
	4372	+	130.31specified in that agreement.
	4373	+	130.32(b) Receipts for systems project.
	4374	+	130.33Appropriations and federal receipts for
	4375	+	130.34information technology systems projects for
	4376	+	130Article 9 Sec. 2.
	4377	+	REVISOR DTT/HL 25-0033803/03/25 131.1MAXIS, PRISM, MMIS, ISDS, METS, and
	4378	+	131.2SSIS must be deposited in the state systems
	4379	+	131.3account authorized in Minnesota Statutes,
	4380	+	131.4section 256.014. Money appropriated for
	4381	+	131.5information technology projects approved by
	4382	+	131.6the commissioner of Minnesota IT Services
	4383	+	131.7funded by the legislature and approved by the
	4384	+	131.8commissioner of management and budget may
	4385	+	131.9be transferred from one project to another and
	4386	+	131.10from development to operations as the
	4387	+	131.11commissioner of human services deems
	4388	+	131.12necessary. Any unexpended balance in the
	4389	+	131.13appropriation for these projects does not
	4390	+	131.14cancel and is available for ongoing
	4391	+	131.15development and operations.
	4392	+	131.16Sec. 3. CENTRAL OFFICE; OPERATIONS
	4393	+	186,544,000$180,979,000$131.17Subdivision 1.Total Appropriation
	4394	+	131.18 Appropriations by Fund
	4395	+	153,436,000149,398,000131.19General
	4396	+	133,000133,000
	4397	+	131.20State Government
	4398	+	131.21Special Revenue
	4399	+	32,445,00030,918,000131.22Health Care Access
	4400	+	530,000530,000
	4401	+	131.23Family and Medical
	4402	+	131.24Benefits Insurance
	4403	+	131.25Subd. 2.Administrative Recovery; Set-Aside
	4404	+	131.26The commissioner may invoice local entities
	4405	+	131.27through the SWIFT accounting system as an
	4406	+	131.28alternative means to recover the actual cost of
	4407	+	131.29administering the following provisions:
	4408	+	131.30(1) the statewide data management system
	4409	+	131.31authorized in Minnesota Statutes, section
	4410	+	131.32125A.744, subdivision 3;
	4411	+	131.33(2) repayment of the special revenue
	4412	+	131.34maximization account as provided under
	4413	+	131Article 9 Sec. 3.
	4414	+	REVISOR DTT/HL 25-0033803/03/25 132.1Minnesota Statutes, section 245.495,
	4415	+	132.2paragraph (b);
	4416	+	132.3(3) repayment of the special revenue
	4417	+	132.4maximization account as provided under
	4418	+	132.5Minnesota Statutes, section 256B.0625,
	4419	+	132.6subdivision 20, paragraph (k);
	4420	+	132.7(4) targeted case management under
	4421	+	132.8Minnesota Statutes, section 256B.0924,
	4422	+	132.9subdivision 6, paragraph (g);
	4423	+	132.10(5) residential services for children with severe
	4424	+	132.11emotional disturbance under Minnesota
	4425	+	132.12Statutes, section 256B.0945, subdivision 4,
	4426	+	132.13paragraph (d); and
	4427	+	132.14(6) repayment of the special revenue
	4428	+	132.15maximization account as provided under
	4429	+	132.16Minnesota Statutes, section 256F.10,
	4430	+	132.17subdivision 6, paragraph (b).
	4431	+	132.18Subd. 3.Base Level Adjustment
	4432	+	132.19The general fund base for the appropriations
	4433	+	132.20in this section is $153,043,000 in fiscal year
	4434	+	132.212028 and $154,147,000 in fiscal year 2029.
	4435	+	69,348,000$76,557,000$132.22Sec. 4. CENTRAL OFFICE; HEALTH CARE
	4436	+	132.23 Appropriations by Fund
	4437	+	41,180,00048,389,000132.24General
	4438	+	28,168,00028,168,000132.25Health Care Access
	4439	+	22,159,000$22,187,000$
	4440	+	132.26Sec. 5. CENTRAL OFFICE; BEHAVIORAL
	4441	+	132.27HEALTH
	4442	+	132.28 Appropriations by Fund
	4443	+	21,996,00022,024,000132.29General
	4444	+	163,000163,000132.30Lottery Prize
	4445	+	6,421,000$6,932,000$
	4446	+	132.31Sec. 6. CENTRAL OFFICE; HOMELESSNESS,
	4447	+	132.32HOUSING, AND SUPPORT SERVICES
	4448	+	132.33Sec. 7. CENTRAL OFFICE; OFFICE OF
	4449	+	132.34INSPECTOR GENERAL
	4450	+	132Article 9 Sec. 7.
	4451	+	REVISOR DTT/HL 25-0033803/03/25 32,415,000$31,936,000$133.1Subdivision 1.Total Appropriation
	4452	+	133.2 Appropriations by Fund
	4453	+	27,629,00027,150,000133.3General
	4454	+	941,000941,000133.4Health Care Access
	4455	+	3,845,0003,845,000
	4456	+	133.5State Government
	4457	+	133.6Special Revenue
	4458	+	133.7Fund
	4459	+	133.8Subd. 2.Base Level Adjustment
	4460	+	133.9The general fund base for appropriations in
	4461	+	133.10this section is $27,685,000 in fiscal year 2028
	4462	+	133.11and $27,631,000 in fiscal year 2029.
	4463	+	84,802,000$82,545,000$
	4464	+	133.12Sec. 8. FORECASTED PROGRAMS;
	4465	+	133.13GENERAL ASSISTANCE
	4466	+	133.14Money to counties shall be allocated by the
	4467	+	133.15commissioner using the allocation method
	4468	+	133.16under Minnesota Statutes, section 256D.06.
	4469	+	69,089,000$67,113,000$
	4470	+	133.17Sec. 9. FORECASTED PROGRAMS;
	4471	+	133.18MINNESOTA SUPPLEMENTAL
	4472	+	133.19ASSISTANCE
	4473	+	277,747,000$267,065,000$
	4474	+	133.20Sec. 10. FORECASTED PROGRAMS;
	4475	+	133.21HOUSING SUPPORT
	4476	+	130,969,000$79,312,000$
	4477	+	133.22Sec. 11. FORECASTED PROGRAMS;
	4478	+	133.23MINNESOTACARE
	4479	+	133.24This appropriation is from the health care
	4480	+	133.25access fund.
	4481	+	4,890,717,000$4,613,487,000$
	4482	+	133.26Sec. 12. FORECASTED PROGRAMS;
	4483	+	133.27MEDICAL ASSISTANCE
	4484	+	133.28 Appropriations by Fund
	4485	+	4,001,222,0003,585,772,000133.29General
	4486	+	889,495,0001,027,715,000133.30Health Care Access
	4487	+	133.31The health care access fund base for
	4488	+	133.32appropriations in this section is $889,495,000
	4489	+	133.33in fiscal year 2028 and $889,495,000 in fiscal
	4490	+	133.34year 2029.
	4491	+	56,101,000$55,610,000$
	4492	+	133.35Sec. 13. FORECASTED PROGRAMS;
	4493	+	133.36ALTERNATIVE CARE
	4494	+	133Article 9 Sec. 13.
	4495	+	REVISOR DTT/HL 25-0033803/03/25 100,000$100,000$134.1Sec. 14. REFUGEE SERVICES GRANTS
	4496	+	8,176,000$8,176,000$
	4497	+	134.2Sec. 15. GRANT PROGRAMS; HEALTH
	4498	+	134.3CARE GRANTS
	4499	+	134.4 Appropriations by Fund
	4500	+	4,711,0004,711,000134.5General
	4501	+	3,465,0003,465,000134.6Health Care Access
	4502	+	2,655,000$2,655,000$
	4503	+	134.7Sec. 16. GRANT PROGRAMS; AGING AND
	4504	+	134.8ADULT SERVICES GRANTS
	4505	+	92,911,000$87,911,000$
	4506	+	134.9Sec. 17. GRANT PROGRAMS; HOUSING
	4507	+	134.10GRANTS
	4508	+	635,000$635,000$
	4509	+	134.11Sec. 18. GRANT PROGRAMS; ADULT
	4510	+	134.12MENTAL HEALTH GRANTS
	4511	+	277,000$277,000$
	4512	+	134.13Sec. 19. GRANT PROGRAMS; CHILD
	4513	+	134.14MENTAL HEALTH GRANTS
	4514	+	-0-$6,000,000$
	4515	+	134.15Sec. 20. GRANT PROGRAMS; DISABILITIES
	4516	+	134.16GRANTS
	4517	+	134.17$6,000,000 in fiscal year 2026 is for grants to
	4518	+	134.18community-based HIV/AIDS supportive
	4519	+	134.19services providers as defined in Minnesota
	4520	+	134.20Statutes, section 256.01, subdivision 19, and
	4521	+	134.21for payment of allowed health care costs as
	4522	+	134.22defined in Minnesota Statutes, section
	4523	+	134.23256.9365. This is a onetime appropriation and
	4524	+	134.24is available until June 30, 2027.
	4525	+	3,018,000$3,018,000$
	4526	+	134.25Sec. 21. GRANT PROGRAMS; FRAUD
	4527	+	134.26PREVENTION GRANTS
	4528	+	134.27Sec. 22. TRANSFERS.
	4529	+	134.28 Subdivision 1.Grants.The commissioner of human services, with the approval of the
	4530	+	134.29commissioner of management and budget, may transfer unencumbered appropriation balances
	4531	+	134.30for the biennium ending June 30, 2025, within fiscal years among general assistance, medical
	4532	+	134.31assistance, MinnesotaCare, the Minnesota supplemental aid program, the housing support
	4533	+	134.32program, and the entitlement portion of the behavioral health fund between fiscal years of
	4534	+	134.33the biennium. The commissioner shall report to the chairs and ranking minority members
	4535	+	134.34of the legislative committees with jurisdiction over health and human services quarterly
	4536	+	134.35about transfers made under this subdivision.
	4537	+	134Article 9 Sec. 22.
	4538	+	REVISOR DTT/HL 25-0033803/03/25 135.1 Subd. 2.Administration.Positions, salary money, and nonsalary administrative money
	4539	+	135.2may be transferred within the Department of Human Services as the commissioners deem
	4540	+	135.3necessary, with the advance approval of the commissioner of management and budget. The
	4541	+	135.4commissioners shall report to the chairs and ranking minority members of the legislative
	4542	+	135.5committees with jurisdiction over health and human services finance quarterly about transfers
	4543	+	135.6made under this section.
	4544	+	135.7 Subd. 3.Children, youth, and families.Administrative money may be transferred
	4545	+	135.8between the Department of Human Services and Department of Children, Youth, and
	4546	+	135.9Families as the commissioners deem necessary, with the advance approval of the
	4547	+	135.10commissioner of management and budget. The commissioners shall report to the chairs and
	4548	+	135.11ranking minority members of the legislative committees with jurisdiction over children and
	4549	+	135.12families quarterly about transfers made under this section.
	4550	+	135.13 ARTICLE 10
	4551	+	135.14 OTHER AGENCY APPROPRIATIONS
	4552	+	135.15Section 1. OTHER AGENCY APPROPRIATIONS.
	4553	+	135.16 The sums shown in the columns marked "Appropriations" are appropriated to the agencies
	4554	+	135.17and for the purposes specified in this article. The appropriations are from the general fund,
	4555	+	135.18or another named fund, and are available for the fiscal years indicated for each purpose.
	4556	+	135.19The figures "2026" and "2027" used in this article mean that the appropriations listed under
	4557	+	135.20them are available for the fiscal year ending June 30, 2026, or June 30, 2027, respectively.
	4558	+	135.21"The first year" is fiscal year 2026. "The second year" is fiscal year 2027. "The biennium"
	4559	+	135.22is fiscal years 2026 and 2027.
	4560	+	135.23 APPROPRIATIONS
	4561	+	135.24 Available for the Year
	4562	+	135.25 Ending June 30
	4563	+	2027135.26 2026
	4564	+	135.27Sec. 2. HEALTH-RELATED BOARDS
	4565	+	34,262,000$34,372,000$135.28Subdivision 1.Total Appropriation
	4566	+	135.29 Appropriations by Fund
	4567	+	2027135.30 2026
	4568	+	135Article 10 Sec. 2.
	4569	+	REVISOR DTT/HL 25-0033803/03/25 468,000468,000136.1General
	4570	+	33,794,00033,904,000
	4571	+	136.2State Government
	4572	+	136.3Special Revenue
	4573	+	136.4This appropriation is from the state
	4574	+	136.5government special revenue fund unless
	4575	+	136.6specified otherwise. The amounts that may be
	4576	+	136.7spent for each purpose are specified in the
	4577	+	136.8following subdivisions.
	4578	+	1,289,0001,289,000
	4579	+	136.9Subd. 2.Board of Behavioral Health and
	4580	+	136.10Therapy
	4581	+	890,000890,000136.11Subd. 3.Board of Chiropractic Examiners
	4582	+	4,310,0004,308,000136.12Subd. 4.Board of Dentistry
	4583	+	136.13(a) Administrative services unit; operating
	4584	+	136.14costs. Of this appropriation, $1,936,000 in
	4585	+	136.15fiscal year 2026 and $1,936,000 in fiscal year
	4586	+	136.162027 are for operating costs of the
	4587	+	136.17administrative services unit. The
	4588	+	136.18administrative services unit may receive and
	4589	+	136.19expend reimbursements for services it
	4590	+	136.20performs for other agencies.
	4591	+	136.21(b) Administrative services unit; volunteer
	4592	+	136.22health care provider program. Of this
	4593	+	136.23appropriation, $150,000 in fiscal year 2026
	4594	+	136.24and $150,000 in fiscal year 2027 are to pay
	4595	+	136.25for medical professional liability coverage
	4596	+	136.26required under Minnesota Statutes, section
	4597	+	136.27214.40.
	4598	+	136.28(c) Administrative services unit; retirement
	4599	+	136.29costs. Of this appropriation, $237,000 in fiscal
	4600	+	136.30year 2026 and $237,000 in fiscal year 2027
	4601	+	136.31are for the administrative services unit to pay
	4602	+	136.32for the retirement costs of health-related board
	4603	+	136.33employees. This funding may be transferred
	4604	+	136.34to the health board incurring retirement costs.
	4605	+	136.35Any board that has an unexpended balance for
	4606	+	136Article 10 Sec. 2.
	4607	+	REVISOR DTT/HL 25-0033803/03/25 137.1an amount transferred under this paragraph
	4608	+	137.2shall transfer the unexpended amount to the
	4609	+	137.3administrative services unit. If the amount
	4610	+	137.4appropriated in the first year of the biennium
	4611	+	137.5is not sufficient, the amount from the second
	4612	+	137.6year of the biennium is available.
	4613	+	137.7(d) Administrative services unit; contested
	4614	+	137.8cases and other legal proceedings. Of this
	4615	+	137.9appropriation, $200,000 in fiscal year 2026
	4616	+	137.10and $200,000 in fiscal year 2027 are for costs
	4617	+	137.11of contested case hearings and other
	4618	+	137.12unanticipated costs of legal proceedings
	4619	+	137.13involving health-related boards under this
	4620	+	137.14section. Upon certification by a health-related
	4621	+	137.15board to the administrative services unit that
	4622	+	137.16unanticipated costs for legal proceedings will
	4623	+	137.17be incurred and that available appropriations
	4624	+	137.18are insufficient to pay for the unanticipated
	4625	+	137.19costs for that board, the administrative services
	4626	+	137.20unit is authorized to transfer money from this
	4627	+	137.21appropriation to the board for payment of costs
	4628	+	137.22for contested case hearings and other
	4629	+	137.23unanticipated costs of legal proceedings with
	4630	+	137.24the approval of the commissioner of
	4631	+	137.25management and budget. The commissioner
	4632	+	137.26of management and budget must require any
	4633	+	137.27board that has an unexpended balance or an
	4634	+	137.28amount transferred under this paragraph to
	4635	+	137.29transfer the unexpended amount to the
	4636	+	137.30administrative services unit to be deposited in
	4637	+	137.31the state government special revenue fund.
	4638	+	277,000277,000
	4639	+	137.32Subd. 5.Board of Dietetics and Nutrition
	4640	+	137.33Practice
	4641	+	736,000736,000
	4642	+	137.34Subd. 6.Board of Executives for Long-term
	4643	+	137.35Services and Supports
	4644	+	457,000457,000137.36Subd. 7.Board of Marriage and Family Therapy
	4645	+	137Article 10 Sec. 2.
	4646	+	REVISOR DTT/HL 25-0033803/03/25 6,067,0006,113,000138.1Subd. 8.Board of Medical Practice
	4647	+	6,275,0006,275,000138.2Subd. 9.Board of Nursing
	4648	+	560,000560,000
	4649	+	138.3Subd. 10.Board of Occupational Therapy
	4650	+	138.4Practice
	4651	+	280,000280,000138.5Subd. 11.Board of Optometry
	4652	+	6,748,0006,748,000138.6Subd. 12.Board of Pharmacy
	4653	+	138.7 Appropriations by Fund
	4654	+	468,000468,000138.8General
	4655	+	6,280,0006,280,000
	4656	+	138.9State Government
	4657	+	138.10Special Revenue
	4658	+	789,000789,000138.11Subd. 13.Board of Physical Therapy
	4659	+	257,000257,000138.12Subd. 14.Board of Podiatric Medicine
	4660	+	2,781,0002,781,000138.13Subd. 15.Board of Psychology
	4661	+	2,002,0002,068,000138.14Subd. 16.Board of Social Work
	4662	+	544,000544,000138.15Subd. 17.Board of Veterinary Medicine
	4663	+	5,448,000$7,013,000$
	4664	+	138.16Sec. 3. OFFICE OF EMERGENCY MEDICAL
	4665	+	138.17SERVICES
	4666	+	70,000$15,070,000$138.18Sec. 4. BOARD OF DIRECTORS OF MNSURE
	4667	+	337,000$332,000$
	4668	+	138.19Sec. 5. RARE DISEASE ADVISORY
	4669	+	138.20COUNCIL
	4670	+	138Article 10 Sec. 5.
	4671	+	REVISOR DTT/HL 25-0033803/03/25 Page.Ln 2.2DEPARTMENT OF HEALTH...............................................................ARTICLE 1
	4672	+	Page.Ln 61.24HEALTH CARE.....................................................................................ARTICLE 2
	4673	+	Page.Ln 76.13PHARMACY..........................................................................................ARTICLE 3
	4674	+	Page.Ln 78.10BACKGROUND STUDIES...................................................................ARTICLE 4
	4675	+	Page.Ln 86.1DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY..ARTICLE 5
	4676	+	Page.Ln 113.1HEALTH-RELATED LICENSING BOARDS......................................ARTICLE 6
	4677	+	Page.Ln 123.27FORECAST ADJUSTMENTS..............................................................ARTICLE 7
	4678	+	Page.Ln 125.8DEPARTMENT OF HEALTH APPROPRIATIONS.............................ARTICLE 8
	4679	+	Page.Ln 129.18DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS..........ARTICLE 9
	4680	+	Page.Ln 135.13OTHER AGENCY APPROPRIATIONS...............................................ARTICLE 10
	4681	+	1
	4682	+	APPENDIX
	4683	+	Article locations for 25-00338 103I.550 LIMITED PUMP, PITLESS, OR DUG WELL/DRIVE POINT CONTRACTOR.
	4684	+	Subdivision 1.Limited pump or pitless license or certification.A person with a limited
	4685	+	well/boring contractor's license or certification to install well pumps and pumping equipment; or
	4686	+	a person with a limited well/boring contractor's license or certification to install, repair, and modify
	4687	+	pitless units and pitless adapters, well casings above the pitless unit or pitless adapter, and well
	4688	+	screens and well diameters, will be issued a combined license or certification to: (1) install well
	4689	+	pumps and pumping equipment; and (2) install, repair, and modify pitless units and pitless adapters,
	4690	+	well casings above the pitless unit or pitless adapter, well screens, and well diameters.
	4691	+	Subd. 2.Limited dug well/drive point license or certification.A person with a limited
	4692	+	well/boring contractor's license or certification to construct, repair, and seal drive point wells and
	4693	+	dug wells will be issued a well contractor's license or certification.
	4694	+	148.108 FEES.
	4695	+	Subd. 2.Annual renewal of inactive acupuncture registration.The annual renewal of an
	4696	+	inactive acupuncture registration fee is $25.
	4697	+	Subd. 3.Acupuncture reinstatement.The acupuncture reinstatement fee is $50.
	4698	+	Subd. 4.Animal chiropractic.(a) Animal chiropractic registration fee is $125.
	4699	+	(b) Animal chiropractic registration renewal fee is $75.
	4700	+	(c) Animal chiropractic inactive renewal fee is $25.
	4701	+	156.015 FEES.
	4702	+	Subdivision 1.Verification of licensure.The board may charge a fee of $25 per license
	4703	+	verification to a licensee for verification of licensure status provided to other veterinary licensing
	4704	+	boards.
	4705	+	1R
	4706	+	APPENDIX
	4707	+	Repealed Minnesota Statutes: 25-00338 2500.1150FEES.
	4708	+	The fees charged by the board are fixed at the following rates:
	4709	+	A.peer review fee to be paid by a requesting doctor or by a requesting insurance
	4710	+	company, $100;
	4711	+	B.licensing examination regrade fee, $30;
	4712	+	C.copy of a board order or stipulation fee, $10 each;
	4713	+	D.certificate of good standing or licensure verification to other states, $10 each;
	4714	+	E.duplicate of the original license or of an annual renewal, $10;
	4715	+	F.miscellaneous copying fee, 25 cents per page;
	4716	+	G.independent medical examination registration fee, $150;
	4717	+	H.independent examination annual renewal fee, $100;
	4718	+	I.incorporation renewal late charge, $5 per month;
	4719	+	J.computer lists, $100; and
	4720	+	K.computer printed labels, $150.
	4721	+	2500.2030ANNUAL RENEWAL OF INACTIVE LICENSE.
	4722	+	The annual renewal fee for an inactive license is 75 percent of the current fee imposed
	4723	+	by the board for license renewal.
	4724	+	4695.2900APPLICATION FEES.
	4725	+	Fees to be submitted with initial or renewal applications shall be as follows:
	4726	+	A.Initial application fee, $45 plus examination fees.
	4727	+	B.Biennial renewal application fee, $45.
	4728	+	C.Penalty for late submission of renewal application, $10, if not renewed by
	4729	+	designated renewal date.
	4730	+	6900.0250FEES.
	4731	+	Subpart 1.Amounts.The amount of fees may be set by the board with the approval
	4732	+	of the Department of Management and Budget up to the limits provided in this subpart
	4733	+	depending upon the total amount required to sustain board operations under Minnesota
	4734	+	Statutes, section 16A.1285, subdivision 2. Information about fees in effect at any time is
	4735	+	available from the board office. The maximum amount of fees are:
	4736	+	A.application for licensure, $600;
	4737	+	B.renewal license, $600;
	4738	+	C.late renewal fee, $100;
	4739	+	D.temporary permit, $250;
	4740	+	E.duplicate license or duplicate renewal certificate, $10;
	4741	+	F.reinstatement, $650;
	4742	+	G.exam administration to persons who have not applied for a license or permit,
	4743	+	$50;
	4744	+	H.fee for verification of licensure, $30; and
	4745	+	I.miscellaneous fee:
	4746	+	2R
	4747	+	APPENDIX
	4748	+	Repealed Minnesota Rules: 25-00338 (1)labels, $25;
	4749	+	(2)list of licensees, $25; and
	4750	+	(3)copies, 25 cents per page.
	4751	+	Subp. 2.Requirements.Fees must be paid in United States money and are not
	4752	+	refundable.
	4753	+	9100.0400APPLICATION AND EXAMINATION FEES FOR LICENSURE TO
	4754	+	PRACTICE VETERINARY MEDICINE.
	4755	+	Subpart 1.Application fee.
	4756	+	A.A person applying for a license to practice veterinary medicine in Minnesota
	4757	+	or applying for a permit to take the national veterinary medical examination must pay a $50
	4758	+	nonrefundable application fee to the board. Persons submitting concurrent applications for
	4759	+	licensure and a national examination permit shall pay only one application fee.
	4760	+	B.The application fee received supports only the application with which the fee
	4761	+	was submitted. A person who applies more than once must submit the full application fee
	4762	+	with each subsequent application.
	4763	+	Subp. 3.Examination fees.
	4764	+	A.All applicants for veterinary licensure in Minnesota must successfully pass the
	4765	+	Minnesota Veterinary Jurisprudence Examination. The fee for this examination is $50,
	4766	+	payable to the board.
	4767	+	B.An applicant participating in the national veterinary licensing examination
	4768	+	must complete a separate application for the national examination and submit the application
	4769	+	to the board for approval. Payment for the national examination must be made by the
	4770	+	applicant to the national board examination committee after the application for examination
	4771	+	has been approved by the board.
	4772	+	9100.0500INITIAL AND RENEWAL FEE.
	4773	+	Subpart 1.Required for licensure.Each person now licensed to practice veterinary
	4774	+	medicine in this state, or who becomes licensed by the Board of Veterinary Medicine to
	4775	+	engage in the practice, shall pay an initial fee or a biennial license renewal fee if the person
	4776	+	wishes to practice veterinary medicine in the coming two-year period or remain licensed as
	4777	+	a veterinarian. A licensure period begins on March 1 and expires the last day of February
	4778	+	two years later. A licensee with an even-numbered license shall renew by March 1 of
	4779	+	even-numbered years and a licensee with an odd-numbered license shall renew by March
	4780	+	1 of odd-numbered years. For 1996 license renewals, licensees with an even-numbered
	4781	+	license shall renew for two years. Licensees with an odd-numbered license shall renew for
	4782	+	one year and commence renewal for a two-year period in 1997.
	4783	+	Subp. 2.Amount.The initial licensure fee and the biennial renewal fee is $200 and
	4784	+	must be paid to the executive director of the board on or before March 1 of the first year of
	4785	+	the biennial license period. By January 1 of the first year for which the biennial renewal fee
	4786	+	is due, the board shall issue a renewal application to each current licensee to the last address
	4787	+	maintained in the board file. Failure to receive this notice does not relieve the licensee of
	4788	+	the obligation to pay renewal fees so that they are received by the board on or before the
	4789	+	renewal date of March 1.
	4790	+	Initial licenses issued after the start of the licensure renewal period are valid only until
	4791	+	the end of the period.
	4792	+	Subp. 3.Date due.A licensee must apply for a renewal license on or before March
	4793	+	1 of the first year of the biennial license renewal period. A renewal license is valid from
	4794	+	March 1 through the last day of February of the last year of the two-year license renewal
	4795	+	3R
	4796	+	APPENDIX
	4797	+	Repealed Minnesota Rules: 25-00338 period. An application postmarked no later than the last day of February must be considered
	4798	+	to have been received on March 1.
	4799	+	Subp. 4.Late renewal penalty.An applicant for renewal must pay a late renewal
	4800	+	penalty of $100 in addition to the renewal fee if the application for renewal is received after
	4801	+	March 1 of the licensure renewal period. A renewed license issued after March 1 of the
	4802	+	licensure renewal period is valid only to the end of the period regardless of when the renewal
	4803	+	fee is received.
	4804	+	Subp. 4a.Reinstatement fee.An applicant for license renewal whose license has
	4805	+	previously been suspended by official board action for nonrenewal must pay a reinstatement
	4806	+	fee of $50 in addition to the $200 renewal fee and the $100 late renewal penalty.
	4807	+	Subp. 5.Penalty for failure to pay.Within 30 days after the renewal date, a licensee
	4808	+	who has not renewed the license must be notified by letter sent to the last known address
	4809	+	of the licensee in the file of the board that the renewal is overdue and that failure to pay the
	4810	+	current fee and current late fee within 60 days after the renewal date will result in suspension
	4811	+	of the license. A second notice must be sent by registered or certified mail at least seven
	4812	+	days before a board meeting occurring 60 days or more after the renewal date to each licensee
	4813	+	who has not paid the renewal fee and late fee.
	4814	+	Subp. 6.Suspension.The board, by means of a roll call vote, shall suspend the license
	4815	+	of a licensee whose license renewal is at least 60 days overdue and to whom notification
	4816	+	has been sent as provided in subpart 5. Failure of a licensee to receive notification is not
	4817	+	grounds for later challenge by the licensee of the suspension. The former licensee must be
	4818	+	notified by registered or certified letter within seven days of the board action. The suspended
	4819	+	status placed on a license may be removed only on payment of renewal fees and late penalty
	4820	+	fees for each licensure period or part of a period that the license was not renewed. A licensee
	4821	+	who fails to renew a license for five years or more must meet the criteria of Minnesota
	4822	+	Statutes, section 156.071, for relicensure.
	4823	+	Subp. 7.Inactive license.A person holding a current unrestricted license to practice
	4824	+	veterinary medicine in Minnesota may, at the time of the person's next biennial license
	4825	+	renewal date, renew the license as an inactive license at one-half the renewal fee of an
	4826	+	unrestricted license. The license may be continued in an inactive status by renewal on a
	4827	+	biennial basis at one-half the regular license fee.
	4828	+	A.A person holding an inactive license is not permitted to practice veterinary
	4829	+	medicine in Minnesota and remains under the disciplinary authority of the board.
	4830	+	B.A person may convert a current inactive license to an unrestricted license upon
	4831	+	application to and approval by the board. The application must include:
	4832	+	(1)documentation of licensure in good standing and of having met continuing
	4833	+	education requirements of current state of practice, or documentation of having met
	4834	+	Minnesota continuing education requirements retroactive to the date of licensure inactivation;
	4835	+	(2)certification by the applicant that the applicant is not currently under
	4836	+	disciplinary orders or investigation for acts that could result in disciplinary action in any
	4837	+	other jurisdiction; and
	4838	+	(3)payment of a fee equal to the full difference between an inactive and
	4839	+	unrestricted license if converting during the first year of the biennial license cycle or payment
	4840	+	of a fee equal to one-half the difference between an inactive and an unrestricted license if
	4841	+	converting during the second year of the license cycle.
	4842	+	C.Deadline for renewal of an inactive license is March 1 of the first year of the
	4843	+	biennial license renewal period. A late renewal penalty of one-half the inactive renewal fee
	4844	+	must be paid if renewal is received after March 1.
	4845	+	4R
	4846	+	APPENDIX
	4847	+	Repealed Minnesota Rules: 25-00338 9100.0600MISCELLANEOUS FEES.
	4848	+	Subpart 1.Temporary license fee.A person meeting the requirements for issuance
	4849	+	of a temporary permit to practice veterinary medicine under Minnesota Statutes, section
	4850	+	156.072, subdivision 5, pending examination, who desires a temporary permit shall pay a
	4851	+	fee of $50 to the board.
	4852	+	Subp. 2.Duplicate license.A person requesting issuance of a duplicate or replacement
	4853	+	license shall pay a fee of $10 to the board.
	4854	+	5R
	4855	+	APPENDIX
	4856	+	Repealed Minnesota Rules: 25-00338