Minnesota 2025-2026 Regular Session

Minnesota House Bill HF382 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1.1 A bill for an act
2	2	1.2 relating to human services; modifying disability waiver rates; amending Minnesota
3	3	1.3 Statutes 2024, section 256B.4914, subdivisions 5a, 6a, 6b, 6c, 7a, 7b, 7c, 8, 9.
4	4	1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
5	5	1.5 Section 1. Minnesota Statutes 2024, section 256B.4914, subdivision 5a, is amended to
6	6	1.6read:
7	7	1.7 Subd. 5a.Base wage index; calculations.The base wage index must be calculated as
8	8	1.8follows:
9	9	1.9 (1) for supervisory staff, 100 the sum of 60 percent of the median wage for social and
10	10	1.10community service manager (SOC code 11-9151) and 40 percent of the median wage for
11	11	1.11community and social services specialist (SOC code 21-1099), with the exception of the
12	12	1.12supervisor of positive supports professional, positive supports analyst, and positive supports
13	13	1.13specialist, which is 100 percent of the median wage for clinical counseling and school
14	14	1.14psychologist (SOC code 19-3031);
15	15	1.15 (2) for registered nurse staff, 100 percent of the median wage for registered nurses (SOC
16	16	1.16code 29-1141);
17	17	1.17 (3) for licensed practical nurse staff, 100 percent of the median wage for licensed practical
18	18	1.18nurses (SOC code 29-2061);
19	19	1.19 (4) for residential asleep-overnight staff, the minimum wage in Minnesota for large
20	20	1.20employers;
21	21	1.21 (5) for residential direct care staff, the sum of:
22	22	1Section 1.
23	23	REVISOR AGW/VJ 25-0084812/09/24
24	24	State of Minnesota
25	25	This Document can be made available
26	26	in alternative formats upon request
27	27	HOUSE OF REPRESENTATIVES
28	28	H. F. No. 382
29	29	NINETY-FOURTH SESSION
30	30	Authored by Curran, Schomacker, Noor, Gander, Baker and others02/13/2025
31	31	The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (i) 15 percent of the subtotal of 50 percent of the median wage for home health and
32	32	2.2personal care aide (SOC code 31-1120); 30 percent of the median wage for nursing assistant
33	33	2.3(SOC code 31-1131); and 20 percent of the median wage for social and human services
34	34	2.4aide (SOC code 21-1093); and
35	35	2.5 (ii) 85 percent of the subtotal of 40 percent of the median wage for home health and
36	36	2.6personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
37	37	2.7(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
38	38	2.829-2053); and 20 percent of the median wage for social and human services aide (SOC code
39	39	2.921-1093);
40	40	2.10 (6) for adult day services staff, 70 percent of the median wage for nursing assistant (SOC
41	41	2.11code 31-1131); and 30 percent of the median wage for home health and personal care aide
42	42	2.12(SOC code 31-1120);
43	43	2.13 (7) for day support services staff and prevocational services staff, 20 percent of the
44	44	2.14median wage for nursing assistant (SOC code 31-1131); 20 percent of the median wage for
45	45	2.15psychiatric technician (SOC code 29-2053); and 60 percent of the median wage for social
46	46	2.16and human services aide (SOC code 21-1093);
47	47	2.17 (8) for positive supports analyst staff, 100 percent of the median wage for substance
48	48	2.18abuse, behavioral disorder, and mental health counselor (SOC code 21-1018);
49	49	2.19 (9) for positive supports professional staff, 100 percent of the median wage for clinical
50	50	2.20counseling and school psychologist (SOC code 19-3031);
51	51	2.21 (10) for positive supports specialist staff, 100 percent of the median wage for psychiatric
52	52	2.22technicians (SOC code 29-2053);
53	53	2.23 (11) for individualized home supports with family training staff, 20 percent of the median
54	54	2.24wage for nursing aide (SOC code 31-1131); 30 percent of the median wage for community
55	55	2.25social service specialist (SOC code 21-1099); 40 percent of the median wage for social and
56	56	2.26human services aide (SOC code 21-1093); and ten percent of the median wage for psychiatric
57	57	2.27technician (SOC code 29-2053);
58	58	2.28 (12) for individualized home supports with training services staff, 40 percent of the
59	59	2.29median wage for community social service specialist (SOC code 21-1099); 50 percent of
60	60	2.30the median wage for social and human services aide (SOC code 21-1093); and ten percent
61	61	2.31of the median wage for psychiatric technician (SOC code 29-2053);
62	62	2Section 1.
63	63	REVISOR AGW/VJ 25-0084812/09/24 3.1 (13) for employment support services staff, 50 percent of the median wage for
64	64	3.2rehabilitation counselor (SOC code 21-1015); and 50 percent of the median wage for
65	65	3.3community and social services specialist (SOC code 21-1099);
66	66	3.4 (14) for employment exploration services staff, 50 percent of the median wage for
67	67	3.5education, guidance, school, and vocational counselor (SOC code 21-1012); and 50 percent
68	68	3.6of the median wage for community and social services specialist (SOC code 21-1099);
69	69	3.7 (15) for employment development services staff, 50 percent of the median wage for
70	70	3.8education, guidance, school, and vocational counselors (SOC code 21-1012); and 50 percent
71	71	3.9of the median wage for community and social services specialist (SOC code 21-1099);
72	72	3.10 (16) for individualized home support without training staff, 50 percent of the median
73	73	3.11wage for home health and personal care aide (SOC code 31-1120); and 50 percent of the
74	74	3.12median wage for nursing assistant (SOC code 31-1131); and
75	75	3.13 (17) for night supervision staff, 40 percent of the median wage for home health and
76	76	3.14personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
77	77	3.15(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
78	78	3.1629-2053); and 20 percent of the median wage for social and human services aide (SOC code
79	79	3.1721-1093).
80	80	3.18 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
81	81	3.19whichever is later. The commissioner of human services shall notify the revisor of statutes
82	82	3.20when federal approval is obtained.
83	83	3.21 Sec. 2. Minnesota Statutes 2024, section 256B.4914, subdivision 6a, is amended to read:
84	84	3.22 Subd. 6a.Community residential services; component values and calculation of
85	85	3.23payment rates.(a) Component values for community residential services are:
86	86	3.24 (1) effective upon federal approval until the effective date of clause (2), competitive
87	87	3.25workforce factor: 6.7 percent;
88	88	3.26 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
89	89	3.27workforce factor: 16.76 percent;
90	90	3.28 (2) (3) supervisory span of control ratio: 11 percent;
91	91	3.29 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
92	92	3.30 (4) (5) employee-related cost ratio: 23.6 percent;
93	93	3.31 (5) (6) general administrative support ratio: 13.25 percent;
94	94	3Sec. 2.
95	95	REVISOR AGW/VJ 25-0084812/09/24 4.1 (6) (7) program-related expense ratio: 1.3 percent; and
96	96	4.2 (7) (8) absence and utilization factor ratio: 3.9 percent.
97	97	4.3 (b) Payments for community residential services must be calculated as follows:
98	98	4.4 (1) determine the number of shared direct staffing and individual direct staffing hours
99	99	4.5to meet a recipient's needs provided on site or through monitoring technology;
100	100	4.6 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
101	101	4.7provided in subdivisions 5 and 5a;
102	102	4.8 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
103	103	4.9product of one plus the competitive workforce factor;
104	104	4.10 (4) for a recipient requiring customization for deaf and hard-of-hearing language
105	105	4.11accessibility under subdivision 12, add the customization rate provided in subdivision 12
106	106	4.12to the result of clause (3);
107	107	4.13 (5) multiply the number of shared direct staffing and individual direct staffing hours
108	108	4.14provided on site or through monitoring technology and nursing hours by the appropriate
109	109	4.15staff wages;
110	110	4.16 (6) multiply the number of shared direct staffing and individual direct staffing hours
111	111	4.17provided on site or through monitoring technology and nursing hours by the product of the
112	112	4.18supervision span of control ratio and the appropriate supervisory staff wage in subdivision
113	113	4.195a, clause (1);
114	114	4.20 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
115	115	4.21individual direct staffing hours provided through monitoring technology, and multiply the
116	116	4.22result by one plus the employee vacation, sick, and training allowance ratio. This is defined
117	117	4.23as the direct staffing cost;
118	118	4.24 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
119	119	4.25direct staffing and individual hours provided through monitoring technology, by one plus
120	120	4.26the employee-related cost ratio;
121	121	4.27 (9) for client programming and supports, add $2,260.21 divided by 365. The
122	122	4.28commissioner shall update the amount in this clause as specified in subdivision 5b;
123	123	4.29 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
124	124	4.30by 365 if customized for adapted transport, based on the resident with the highest assessed
125	125	4.31need. The commissioner shall update the amounts in this clause as specified in subdivision
126	126	4.325b;
127	127	4Sec. 2.
128	128	REVISOR AGW/VJ 25-0084812/09/24 5.1 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
129	129	5.2and individual direct staffing hours provided through monitoring technology that was
130	130	5.3excluded in clause (8);
131	131	5.4 (12) sum the standard general administrative support ratio, the program-related expense
132	132	5.5ratio, and the absence and utilization factor ratio;
133	133	5.6 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
134	134	5.7total payment amount; and
135	135	5.8 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
136	136	5.9to adjust for regional differences in the cost of providing services.
137	137	5.10 EFFECTIVE DATE.This section is effective the day following final enactment.
138	138	5.11 Sec. 3. Minnesota Statutes 2024, section 256B.4914, subdivision 6b, is amended to read:
139	139	5.12 Subd. 6b.Family residential services; component values and calculation of payment
140	140	5.13rates.(a) Component values for family residential services are:
141	141	5.14 (1) effective upon federal approval until the effective date of clause (2), competitive
142	142	5.15workforce factor: 6.7 percent;
143	143	5.16 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
144	144	5.17workforce factor: 16.76 percent;
145	145	5.18 (2) (3) supervisory span of control ratio: 11 percent;
146	146	5.19 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
147	147	5.20 (4) (5) employee-related cost ratio: 23.6 percent;
148	148	5.21 (5) (6) general administrative support ratio: 3.3 percent;
149	149	5.22 (6) (7) program-related expense ratio: 1.3 percent; and
150	150	5.23 (7) (8) absence factor: 1.7 percent.
151	151	5.24 (b) Payments for family residential services must be calculated as follows:
152	152	5.25 (1) determine the number of shared direct staffing and individual direct staffing hours
153	153	5.26to meet a recipient's needs provided on site or through monitoring technology;
154	154	5.27 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
155	155	5.28provided in subdivisions 5 and 5a;
156	156	5.29 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
157	157	5.30product of one plus the competitive workforce factor;
158	158	5Sec. 3.
159	159	REVISOR AGW/VJ 25-0084812/09/24 6.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
160	160	6.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
161	161	6.3to the result of clause (3);
162	162	6.4 (5) multiply the number of shared direct staffing and individual direct staffing hours
163	163	6.5provided on site or through monitoring technology and nursing hours by the appropriate
164	164	6.6staff wages;
165	165	6.7 (6) multiply the number of shared direct staffing and individual direct staffing hours
166	166	6.8provided on site or through monitoring technology and nursing hours by the product of the
167	167	6.9supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
168	168	6.105a, clause (1);
169	169	6.11 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
170	170	6.12individual direct staffing hours provided through monitoring technology, and multiply the
171	171	6.13result by one plus the employee vacation, sick, and training allowance ratio. This is defined
172	172	6.14as the direct staffing cost;
173	173	6.15 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
174	174	6.16and individual direct staffing hours provided through monitoring technology, by one plus
175	175	6.17the employee-related cost ratio;
176	176	6.18 (9) for client programming and supports, add $2,260.21 divided by 365. The
177	177	6.19commissioner shall update the amount in this clause as specified in subdivision 5b;
178	178	6.20 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
179	179	6.21by 365 if customized for adapted transport, based on the resident with the highest assessed
180	180	6.22need. The commissioner shall update the amounts in this clause as specified in subdivision
181	181	6.235b;
182	182	6.24 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
183	183	6.25and individual direct staffing hours provided through monitoring technology that was
184	184	6.26excluded in clause (8);
185	185	6.27 (12) sum the standard general administrative support ratio, the program-related expense
186	186	6.28ratio, and the absence and utilization factor ratio;
187	187	6.29 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
188	188	6.30total payment rate; and
189	189	6.31 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
190	190	6.32to adjust for regional differences in the cost of providing services.
191	191	6Sec. 3.
192	192	REVISOR AGW/VJ 25-0084812/09/24 7.1 EFFECTIVE DATE.This section is effective the day following final enactment.
193	193	7.2 Sec. 4. Minnesota Statutes 2024, section 256B.4914, subdivision 6c, is amended to read:
194	194	7.3 Subd. 6c.Integrated community supports; component values and calculation of
195	195	7.4payment rates.(a) Component values for integrated community supports are:
196	196	7.5 (1) effective upon federal approval until the effective date of clause (2), competitive
197	197	7.6workforce factor: 6.7 percent;
198	198	7.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
199	199	7.8workforce factor: 16.76 percent;
200	200	7.9 (2) (3) supervisory span of control ratio: 11 percent;
201	201	7.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
202	202	7.11 (4) (5) employee-related cost ratio: 23.6 percent;
203	203	7.12 (5) (6) general administrative support ratio: 13.25 percent;
204	204	7.13 (6) (7) program-related expense ratio: 1.3 percent; and
205	205	7.14 (7) (8) absence and utilization factor ratio: 3.9 percent.
206	206	7.15 (b) Payments for integrated community supports must be calculated as follows:
207	207	7.16 (1) determine the number of shared direct staffing and individual direct staffing hours
208	208	7.17to meet a recipient's needs. The base shared direct staffing hours must be eight hours divided
209	209	7.18by the number of people receiving support in the integrated community support setting, and
210	210	7.19the individual direct staffing hours must be the average number of direct support hours
211	211	7.20provided directly to the service recipient;
212	212	7.21 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
213	213	7.22provided in subdivisions 5 and 5a;
214	214	7.23 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
215	215	7.24product of one plus the competitive workforce factor;
216	216	7.25 (4) for a recipient requiring customization for deaf and hard-of-hearing language
217	217	7.26accessibility under subdivision 12, add the customization rate provided in subdivision 12
218	218	7.27to the result of clause (3);
219	219	7.28 (5) multiply the number of shared direct staffing and individual direct staffing hours in
220	220	7.29clause (1) by the appropriate staff wages;
221	221	7Sec. 4.
222	222	REVISOR AGW/VJ 25-0084812/09/24 8.1 (6) multiply the number of shared direct staffing and individual direct staffing hours in
223	223	8.2clause (1) by the product of the supervisory span of control ratio and the appropriate
224	224	8.3supervisory staff wage in subdivision 5a, clause (1);
225	225	8.4 (7) combine the results of clauses (5) and (6) and multiply the result by one plus the
226	226	8.5employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
227	227	8.6cost;
228	228	8.7 (8) for employee-related expenses, multiply the direct staffing cost by one plus the
229	229	8.8employee-related cost ratio;
230	230	8.9 (9) for client programming and supports, add $2,260.21 divided by 365. The
231	231	8.10commissioner shall update the amount in this clause as specified in subdivision 5b;
232	232	8.11 (10) add the results of clauses (8) and (9);
233	233	8.12 (11) add the standard general administrative support ratio, the program-related expense
234	234	8.13ratio, and the absence and utilization factor ratio;
235	235	8.14 (12) divide the result of clause (10) by one minus the result of clause (11). This is the
236	236	8.15total payment amount; and
237	237	8.16 (13) adjust the result of clause (12) by a factor to be determined by the commissioner
238	238	8.17to adjust for regional differences in the cost of providing services.
239	239	8.18 EFFECTIVE DATE.This section is effective the day following final enactment.
240	240	8.19 Sec. 5. Minnesota Statutes 2024, section 256B.4914, subdivision 7a, is amended to read:
241	241	8.20 Subd. 7a.Adult day services; component values and calculation of payment rates.(a)
242	242	8.21Component values for adult day services are:
243	243	8.22 (1) effective upon federal approval until the effective date of clause (2), competitive
244	244	8.23workforce factor: 6.7 percent;
245	245	8.24 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
246	246	8.25workforce factor: 16.76 percent;
247	247	8.26 (2) (3) supervisory span of control ratio: 11 percent;
248	248	8.27 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
249	249	8.28 (4) (5) employee-related cost ratio: 23.6 percent;
250	250	8.29 (5) (6) program plan support ratio: 5.6 percent;
251	251	8Sec. 5.
252	252	REVISOR AGW/VJ 25-0084812/09/24 9.1 (6) (7) client programming and support ratio: 7.4 percent, updated as specified in
253	253	9.2subdivision 5b;
254	254	9.3 (7) (8) general administrative support ratio: 13.25 percent;
255	255	9.4 (8) (9) program-related expense ratio: 1.8 percent; and
256	256	9.5 (9) (10) absence and utilization factor ratio: 9.4 percent.
257	257	9.6 (b) A unit of service for adult day services is either a day or 15 minutes. A day unit of
258	258	9.7service is six or more hours of time spent providing direct service.
259	259	9.8 (c) Payments for adult day services must be calculated as follows:
260	260	9.9 (1) determine the number of units of service and the staffing ratio to meet a recipient's
261	261	9.10needs;
262	262	9.11 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
263	263	9.12provided in subdivisions 5 and 5a;
264	264	9.13 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
265	265	9.14product of one plus the competitive workforce factor;
266	266	9.15 (4) for a recipient requiring customization for deaf and hard-of-hearing language
267	267	9.16accessibility under subdivision 12, add the customization rate provided in subdivision 12
268	268	9.17to the result of clause (3);
269	269	9.18 (5) multiply the number of day program direct staffing hours and nursing hours by the
270	270	9.19appropriate staff wage;
271	271	9.20 (6) multiply the number of day program direct staffing hours by the product of the
272	272	9.21supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
273	273	9.225a, clause (1);
274	274	9.23 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
275	275	9.24employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
276	276	9.25rate;
277	277	9.26 (8) for program plan support, multiply the result of clause (7) by one plus the program
278	278	9.27plan support ratio;
279	279	9.28 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
280	280	9.29employee-related cost ratio;
281	281	9.30 (10) for client programming and supports, multiply the result of clause (9) by one plus
282	282	9.31the client programming and support ratio;
283	283	9Sec. 5.
284	284	REVISOR AGW/VJ 25-0084812/09/24 10.1 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
285	285	10.2to meet individual needs, updated as specified in subdivision 5b;
286	286	10.3 (12) for adult day bath services, add $7.01 per 15 minute unit;
287	287	10.4 (13) this is the subtotal rate;
288	288	10.5 (14) sum the standard general administrative rate support ratio, the program-related
289	289	10.6expense ratio, and the absence and utilization factor ratio;
290	290	10.7 (15) divide the result of clause (13) by one minus the result of clause (14). This is the
291	291	10.8total payment amount; and
292	292	10.9 (16) adjust the result of clause (15) by a factor to be determined by the commissioner
293	293	10.10to adjust for regional differences in the cost of providing services.
294	294	10.11 EFFECTIVE DATE.This section is effective the day following final enactment.
295	295	10.12Sec. 6. Minnesota Statutes 2024, section 256B.4914, subdivision 7b, is amended to read:
296	296	10.13 Subd. 7b.Day support services; component values and calculation of payment
297	297	10.14rates.(a) Component values for day support services are:
298	298	10.15 (1) effective upon federal approval until the effective date of clause (2), competitive
299	299	10.16workforce factor: 6.7 percent;
300	300	10.17 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
301	301	10.18workforce factor: 16.76 percent;
302	302	10.19 (2) (3) supervisory span of control ratio: 11 percent;
303	303	10.20 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
304	304	10.21 (4) (5) employee-related cost ratio: 23.6 percent;
305	305	10.22 (5) (6) program plan support ratio: 5.6 percent;
306	306	10.23 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
307	307	10.24subdivision 5b;
308	308	10.25 (7) (8) general administrative support ratio: 13.25 percent;
309	309	10.26 (8) (9) program-related expense ratio: 1.8 percent; and
310	310	10.27 (9) (10) absence and utilization factor ratio: 9.4 percent.
311	311	10.28 (b) A unit of service for day support services is 15 minutes.
312	312	10.29 (c) Payments for day support services must be calculated as follows:
313	313	10Sec. 6.
314	314	REVISOR AGW/VJ 25-0084812/09/24 11.1 (1) determine the number of units of service and the staffing ratio to meet a recipient's
315	315	11.2needs;
316	316	11.3 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
317	317	11.4provided in subdivisions 5 and 5a;
318	318	11.5 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
319	319	11.6product of one plus the competitive workforce factor;
320	320	11.7 (4) for a recipient requiring customization for deaf and hard-of-hearing language
321	321	11.8accessibility under subdivision 12, add the customization rate provided in subdivision 12
322	322	11.9to the result of clause (3);
323	323	11.10 (5) multiply the number of day program direct staffing hours and nursing hours by the
324	324	11.11appropriate staff wage;
325	325	11.12 (6) multiply the number of day program direct staffing hours by the product of the
326	326	11.13supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
327	327	11.145a, clause (1);
328	328	11.15 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
329	329	11.16employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
330	330	11.17rate;
331	331	11.18 (8) for program plan support, multiply the result of clause (7) by one plus the program
332	332	11.19plan support ratio;
333	333	11.20 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
334	334	11.21employee-related cost ratio;
335	335	11.22 (10) for client programming and supports, multiply the result of clause (9) by one plus
336	336	11.23the client programming and support ratio;
337	337	11.24 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
338	338	11.25to meet individual needs, updated as specified in subdivision 5b;
339	339	11.26 (12) this is the subtotal rate;
340	340	11.27 (13) sum the standard general administrative rate support ratio, the program-related
341	341	11.28expense ratio, and the absence and utilization factor ratio;
342	342	11.29 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
343	343	11.30total payment amount; and
344	344	11Sec. 6.
345	345	REVISOR AGW/VJ 25-0084812/09/24 12.1 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
346	346	12.2to adjust for regional differences in the cost of providing services.
347	347	12.3 EFFECTIVE DATE.This section is effective the day following final enactment.
348	348	12.4 Sec. 7. Minnesota Statutes 2024, section 256B.4914, subdivision 7c, is amended to read:
349	349	12.5 Subd. 7c.Prevocational services; component values and calculation of payment
350	350	12.6rates.(a) Component values for prevocational services are:
351	351	12.7 (1) effective upon federal approval until the effective date of clause (2), competitive
352	352	12.8workforce factor: 6.7 percent;
353	353	12.9 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
354	354	12.10workforce factor: 16.76 percent;
355	355	12.11 (2) (3) supervisory span of control ratio: 11 percent;
356	356	12.12 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
357	357	12.13 (4) (5) employee-related cost ratio: 23.6 percent;
358	358	12.14 (5) (6) program plan support ratio: 5.6 percent;
359	359	12.15 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
360	360	12.16subdivision 5b;
361	361	12.17 (7) (8) general administrative support ratio: 13.25 percent;
362	362	12.18 (8) (9) program-related expense ratio: 1.8 percent; and
363	363	12.19 (9) (10) absence and utilization factor ratio: 9.4 percent.
364	364	12.20 (b) A unit of service for prevocational services is either a day or 15 minutes. A day unit
365	365	12.21of service is six or more hours of time spent providing direct service.
366	366	12.22 (c) Payments for prevocational services must be calculated as follows:
367	367	12.23 (1) determine the number of units of service and the staffing ratio to meet a recipient's
368	368	12.24needs;
369	369	12.25 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
370	370	12.26provided in subdivisions 5 and 5a;
371	371	12.27 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
372	372	12.28product of one plus the competitive workforce factor;
373	373	12Sec. 7.
374	374	REVISOR AGW/VJ 25-0084812/09/24 13.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
375	375	13.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
376	376	13.3to the result of clause (3);
377	377	13.4 (5) multiply the number of day program direct staffing hours and nursing hours by the
378	378	13.5appropriate staff wage;
379	379	13.6 (6) multiply the number of day program direct staffing hours by the product of the
380	380	13.7supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
381	381	13.85a, clause (1);
382	382	13.9 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
383	383	13.10employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
384	384	13.11rate;
385	385	13.12 (8) for program plan support, multiply the result of clause (7) by one plus the program
386	386	13.13plan support ratio;
387	387	13.14 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
388	388	13.15employee-related cost ratio;
389	389	13.16 (10) for client programming and supports, multiply the result of clause (9) by one plus
390	390	13.17the client programming and support ratio;
391	391	13.18 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
392	392	13.19to meet individual needs, updated as specified in subdivision 5b;
393	393	13.20 (12) this is the subtotal rate;
394	394	13.21 (13) sum the standard general administrative rate support ratio, the program-related
395	395	13.22expense ratio, and the absence and utilization factor ratio;
396	396	13.23 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
397	397	13.24total payment amount; and
398	398	13.25 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
399	399	13.26to adjust for regional differences in the cost of providing services.
400	400	13.27 EFFECTIVE DATE.This section is effective the day following final enactment.
401	401	13.28Sec. 8. Minnesota Statutes 2024, section 256B.4914, subdivision 8, is amended to read:
402	402	13.29 Subd. 8. Unit-based services with programming; component values and calculation
403	403	13.30of payment rates.(a) For the purpose of this section, unit-based services with programming
404	404	13.31include employment exploration services, employment development services, employment
405	405	13Sec. 8.
406	406	REVISOR AGW/VJ 25-0084812/09/24 14.1support services, individualized home supports with family training, individualized home
407	407	14.2supports with training, and positive support services provided to an individual outside of
408	408	14.3any service plan for a day program or residential support service.
409	409	14.4 (b) Component values for unit-based services with programming are:
410	410	14.5 (1) effective upon federal approval until the effective date of clause (2), competitive
411	411	14.6workforce factor: 6.7 percent;
412	412	14.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
413	413	14.8workforce factor: 16.76 percent;
414	414	14.9 (2) (3) supervisory span of control ratio: 11 percent;
415	415	14.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
416	416	14.11 (4) (5) employee-related cost ratio: 23.6 percent;
417	417	14.12 (5) (6) program plan support ratio: 15.5 percent;
418	418	14.13 (6) (7) client programming and support ratio: 4.7 percent, updated as specified in
419	419	14.14subdivision 5b;
420	420	14.15 (7) (8) general administrative support ratio: 13.25 percent;
421	421	14.16 (8) (9) program-related expense ratio: 6.1 percent; and
422	422	14.17 (9) (10) absence and utilization factor ratio: 3.9 percent.
423	423	14.18 (c) A unit of service for unit-based services with programming is 15 minutes.
424	424	14.19 (d) Payments for unit-based services with programming must be calculated as follows,
425	425	14.20unless the services are reimbursed separately as part of a residential support services or day
426	426	14.21program payment rate:
427	427	14.22 (1) determine the number of units of service to meet a recipient's needs;
428	428	14.23 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
429	429	14.24provided in subdivisions 5 and 5a;
430	430	14.25 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
431	431	14.26product of one plus the competitive workforce factor;
432	432	14.27 (4) for a recipient requiring customization for deaf and hard-of-hearing language
433	433	14.28accessibility under subdivision 12, add the customization rate provided in subdivision 12
434	434	14.29to the result of clause (3);
435	435	14.30 (5) multiply the number of direct staffing hours by the appropriate staff wage;
436	436	14Sec. 8.
437	437	REVISOR AGW/VJ 25-0084812/09/24 15.1 (6) multiply the number of direct staffing hours by the product of the supervisory span
438	438	15.2of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
439	439	15.3 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
440	440	15.4employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
441	441	15.5rate;
442	442	15.6 (8) for program plan support, multiply the result of clause (7) by one plus the program
443	443	15.7plan support ratio;
444	444	15.8 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
445	445	15.9employee-related cost ratio;
446	446	15.10 (10) for client programming and supports, multiply the result of clause (9) by one plus
447	447	15.11the client programming and support ratio;
448	448	15.12 (11) this is the subtotal rate;
449	449	15.13 (12) sum the standard general administrative support ratio, the program-related expense
450	450	15.14ratio, and the absence and utilization factor ratio;
451	451	15.15 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
452	452	15.16total payment amount;
453	453	15.17 (14) for services provided in a shared manner, divide the total payment in clause (13)
454	454	15.18as follows:
455	455	15.19 (i) for employment exploration services, divide by the number of service recipients, not
456	456	15.20to exceed five;
457	457	15.21 (ii) for employment support services, divide by the number of service recipients, not to
458	458	15.22exceed six;
459	459	15.23 (iii) for individualized home supports with training and individualized home supports
460	460	15.24with family training, divide by the number of service recipients, not to exceed three; and
461	461	15.25 (iv) for night supervision, divide by the number of service recipients, not to exceed two;
462	462	15.26and
463	463	15.27 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
464	464	15.28to adjust for regional differences in the cost of providing services.
465	465	15.29 EFFECTIVE DATE.This section is effective the day following final enactment.
466	466	15Sec. 8.
467	467	REVISOR AGW/VJ 25-0084812/09/24 16.1 Sec. 9. Minnesota Statutes 2024, section 256B.4914, subdivision 9, is amended to read:
468	468	16.2 Subd. 9. Unit-based services without programming; component values and
469	469	16.3calculation of payment rates.(a) For the purposes of this section, unit-based services
470	470	16.4without programming include individualized home supports without training and night
471	471	16.5supervision provided to an individual outside of any service plan for a day program or
472	472	16.6residential support service. Unit-based services without programming do not include respite.
473	473	16.7 (b) Component values for unit-based services without programming are:
474	474	16.8 (1) effective upon federal approval until the effective date of clause (2), competitive
475	475	16.9workforce factor: 6.7 percent;
476	476	16.10 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
477	477	16.11workforce factor: 16.76 percent;
478	478	16.12 (2) (3) supervisory span of control ratio: 11 percent;
479	479	16.13 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
480	480	16.14 (4) (5) employee-related cost ratio: 23.6 percent;
481	481	16.15 (5) (6) program plan support ratio: 7.0 percent;
482	482	16.16 (6) (7) client programming and support ratio: 2.3 percent, updated as specified in
483	483	16.17subdivision 5b;
484	484	16.18 (7) (8) general administrative support ratio: 13.25 percent;
485	485	16.19 (8) (9) program-related expense ratio: 2.9 percent; and
486	486	16.20 (9) (10) absence and utilization factor ratio: 3.9 percent.
487	487	16.21 (c) A unit of service for unit-based services without programming is 15 minutes.
488	488	16.22 (d) Payments for unit-based services without programming must be calculated as follows
489	489	16.23unless the services are reimbursed separately as part of a residential support services or day
490	490	16.24program payment rate:
491	491	16.25 (1) determine the number of units of service to meet a recipient's needs;
492	492	16.26 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
493	493	16.27provided in subdivisions 5 to 5a;
494	494	16.28 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
495	495	16.29product of one plus the competitive workforce factor;
496	496	16Sec. 9.
497	497	REVISOR AGW/VJ 25-0084812/09/24 17.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
498	498	17.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
499	499	17.3to the result of clause (3);
500	500	17.4 (5) multiply the number of direct staffing hours by the appropriate staff wage;
501	501	17.5 (6) multiply the number of direct staffing hours by the product of the supervisory span
502	502	17.6of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
503	503	17.7 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
504	504	17.8employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
505	505	17.9rate;
506	506	17.10 (8) for program plan support, multiply the result of clause (7) by one plus the program
507	507	17.11plan support ratio;
508	508	17.12 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
509	509	17.13employee-related cost ratio;
510	510	17.14 (10) for client programming and supports, multiply the result of clause (9) by one plus
511	511	17.15the client programming and support ratio;
512	512	17.16 (11) this is the subtotal rate;
513	513	17.17 (12) sum the standard general administrative support ratio, the program-related expense
514	514	17.18ratio, and the absence and utilization factor ratio;
515	515	17.19 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
516	516	17.20total payment amount;
517	517	17.21 (14) for individualized home supports without training provided in a shared manner,
518	518	17.22divide the total payment amount in clause (13) by the number of service recipients, not to
519	519	17.23exceed three; and
520	520	17.24 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
521	521	17.25to adjust for regional differences in the cost of providing services.
522	522	17.26 EFFECTIVE DATE.This section is effective the day following final enactment.
523	523	17Sec. 9.
524	524	REVISOR AGW/VJ 25-0084812/09/24