| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; modifying children's mental health programs; |
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| 3 | 3 | | 1.3 appropriating money; amending Minnesota Statutes 2024, sections 245.4901, |
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| 4 | 4 | | 1.4 subdivision 3; 256B.0625, subdivisions 17, 18h; 256B.0943, subdivisions 1, 2. |
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| 5 | 5 | | 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 6 | 6 | | 1.6 Section 1. Minnesota Statutes 2024, section 245.4901, subdivision 3, is amended to read: |
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| 7 | 7 | | 1.7 Subd. 3.Allowable grant activities and related expenses.(a) Allowable grant activities |
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| 8 | 8 | | 1.8and related expenses may include but are not limited to: |
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| 9 | 9 | | 1.9 (1) identifying and diagnosing mental health conditions and substance use disorders of |
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| 10 | 10 | | 1.10students; |
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| 11 | 11 | | 1.11 (2) delivering mental health and substance use disorder treatment and services to students |
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| 12 | 12 | | 1.12and their families, including via telehealth consistent with section 256B.0625, subdivision |
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| 13 | 13 | | 1.133b; |
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| 14 | 14 | | 1.14 (3) supporting families in meeting their child's needs, including accessing needed mental |
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| 15 | 15 | | 1.15health services to support the parent in caregiving and navigating health care, social service, |
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| 16 | 16 | | 1.16and juvenile justice systems; |
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| 17 | 17 | | 1.17 (4) providing transportation for students receiving school-linked behavioral health |
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| 18 | 18 | | 1.18services when school is not in session; |
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| 19 | 19 | | 1.19 (5) building the capacity of schools to meet the needs of students with mental health and |
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| 20 | 20 | | 1.20substance use disorder concerns, including school staff development activities for licensed |
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| 21 | 21 | | 1.21and nonlicensed staff; and |
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| 22 | 22 | | 1Section 1. |
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| 23 | 23 | | REVISOR DTT/EN 25-0203701/16/25 |
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| 24 | 24 | | State of Minnesota |
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| 25 | 25 | | This Document can be made available |
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| 26 | 26 | | in alternative formats upon request |
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| 27 | 27 | | HOUSE OF REPRESENTATIVES |
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| 28 | 28 | | H. F. No. 669 |
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| 29 | 29 | | NINETY-FOURTH SESSION |
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| 30 | 30 | | Authored by Hicks and Curran02/13/2025 |
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| 31 | 31 | | The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (6) purchasing equipment, connection charges, on-site coordination, set-up fees, and |
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| 32 | 32 | | 2.2site fees in order to deliver school-linked behavioral health services via telehealth. |
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| 33 | 33 | | 2.3 (b) Grantees shall obtain all available third-party reimbursement sources as a condition |
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| 34 | 34 | | 2.4of receiving a grant. For purposes of this grant program, a third-party reimbursement source |
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| 35 | 35 | | 2.5excludes a public school as defined in section 120A.20, subdivision 1. Grantees shall serve |
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| 36 | 36 | | 2.6students regardless of health coverage status or ability to pay. |
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| 37 | 37 | | 2.7 Sec. 2. Minnesota Statutes 2024, section 256B.0625, subdivision 17, is amended to read: |
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| 38 | 38 | | 2.8 Subd. 17.Transportation costs.(a) "Nonemergency medical transportation service" |
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| 39 | 39 | | 2.9means motor vehicle transportation provided by a public or private person that serves |
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| 40 | 40 | | 2.10Minnesota health care program beneficiaries who do not require emergency ambulance |
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| 41 | 41 | | 2.11service, as defined in section 144E.001, subdivision 3, to obtain covered medical services. |
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| 42 | 42 | | 2.12 (b) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means |
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| 43 | 43 | | 2.13a census-tract based classification system under which a geographical area is determined |
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| 44 | 44 | | 2.14to be urban, rural, or super rural. |
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| 45 | 45 | | 2.15 (c) Medical assistance covers medical transportation costs incurred solely for obtaining |
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| 46 | 46 | | 2.16emergency medical care or transportation costs incurred by eligible persons in obtaining |
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| 47 | 47 | | 2.17emergency or nonemergency medical care when paid directly to an ambulance company, |
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| 48 | 48 | | 2.18nonemergency medical transportation company, or other recognized providers of |
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| 49 | 49 | | 2.19transportation services. Medical transportation must be provided by: |
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| 50 | 50 | | 2.20 (1) nonemergency medical transportation providers who meet the requirements of this |
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| 51 | 51 | | 2.21subdivision; |
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| 52 | 52 | | 2.22 (2) ambulances, as defined in section 144E.001, subdivision 2; |
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| 53 | 53 | | 2.23 (3) taxicabs that meet the requirements of this subdivision; |
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| 54 | 54 | | 2.24 (4) public transportation, within the meaning of "public transportation" as defined in |
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| 55 | 55 | | 2.25section 174.22, subdivision 7; or |
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| 56 | 56 | | 2.26 (5) not-for-hire vehicles, including volunteer drivers, as defined in section 65B.472, |
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| 57 | 57 | | 2.27subdivision 1, paragraph (p). |
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| 58 | 58 | | 2.28 (d) Medical assistance covers nonemergency medical transportation provided by |
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| 59 | 59 | | 2.29nonemergency medical transportation providers enrolled in the Minnesota health care |
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| 60 | 60 | | 2.30programs. All nonemergency medical transportation providers must comply with the |
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| 61 | 61 | | 2.31operating standards for special transportation service as defined in sections 174.29 to 174.30 |
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| 62 | 62 | | 2.32and Minnesota Rules, chapter 8840, and all drivers must be individually enrolled with the |
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| 63 | 63 | | 2Sec. 2. |
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| 64 | 64 | | REVISOR DTT/EN 25-0203701/16/25 3.1commissioner and reported on the claim as the individual who provided the service. All |
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| 65 | 65 | | 3.2nonemergency medical transportation providers shall bill for nonemergency medical |
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| 66 | 66 | | 3.3transportation services in accordance with Minnesota health care programs criteria. Publicly |
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| 67 | 67 | | 3.4operated transit systems, volunteers, and not-for-hire vehicles are exempt from the |
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| 68 | 68 | | 3.5requirements outlined in this paragraph. |
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| 69 | 69 | | 3.6 (e) An organization may be terminated, denied, or suspended from enrollment if: |
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| 70 | 70 | | 3.7 (1) the provider has not initiated background studies on the individuals specified in |
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| 71 | 71 | | 3.8section 174.30, subdivision 10, paragraph (a), clauses (1) to (3); or |
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| 72 | 72 | | 3.9 (2) the provider has initiated background studies on the individuals specified in section |
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| 73 | 73 | | 3.10174.30, subdivision 10, paragraph (a), clauses (1) to (3), and: |
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| 74 | 74 | | 3.11 (i) the commissioner has sent the provider a notice that the individual has been |
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| 75 | 75 | | 3.12disqualified under section 245C.14; and |
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| 76 | 76 | | 3.13 (ii) the individual has not received a disqualification set-aside specific to the special |
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| 77 | 77 | | 3.14transportation services provider under sections 245C.22 and 245C.23. |
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| 78 | 78 | | 3.15 (f) The administrative agency of nonemergency medical transportation must: |
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| 79 | 79 | | 3.16 (1) adhere to the policies defined by the commissioner; |
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| 80 | 80 | | 3.17 (2) pay nonemergency medical transportation providers for services provided to |
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| 81 | 81 | | 3.18Minnesota health care programs beneficiaries to obtain covered medical services; |
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| 82 | 82 | | 3.19 (3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled |
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| 83 | 83 | | 3.20trips, and number of trips by mode; and |
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| 84 | 84 | | 3.21 (4) by July 1, 2016, in accordance with subdivision 18e, utilize a web-based single |
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| 85 | 85 | | 3.22administrative structure assessment tool that meets the technical requirements established |
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| 86 | 86 | | 3.23by the commissioner, reconciles trip information with claims being submitted by providers, |
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| 87 | 87 | | 3.24and ensures prompt payment for nonemergency medical transportation services. |
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| 88 | 88 | | 3.25 (g) Until the commissioner implements the single administrative structure and delivery |
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| 89 | 89 | | 3.26system under subdivision 18e, clients shall obtain their level-of-service certificate from the |
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| 90 | 90 | | 3.27commissioner or an entity approved by the commissioner that does not dispatch rides for |
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| 91 | 91 | | 3.28clients using modes of transportation under paragraph (l), clauses (4), (5), (6), and (7). |
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| 92 | 92 | | 3.29 (h) The commissioner may use an order by the recipient's attending physician, advanced |
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| 93 | 93 | | 3.30practice registered nurse, physician assistant, or a medical or mental health professional to |
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| 94 | 94 | | 3.31certify that the recipient requires nonemergency medical transportation services. |
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| 95 | 95 | | 3.32Nonemergency medical transportation providers shall perform driver-assisted services for |
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| 96 | 96 | | 3Sec. 2. |
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| 97 | 97 | | REVISOR DTT/EN 25-0203701/16/25 4.1eligible individuals, when appropriate. Driver-assisted service includes passenger pickup |
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| 98 | 98 | | 4.2at and return to the individual's residence or place of business, assistance with admittance |
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| 99 | 99 | | 4.3of the individual to the medical facility, and assistance in passenger securement or in securing |
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| 100 | 100 | | 4.4of wheelchairs, child seats, or stretchers in the vehicle. |
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| 101 | 101 | | 4.5 (i) Nonemergency medical transportation providers must take clients to the health care |
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| 102 | 102 | | 4.6provider using the most direct route, and must not exceed 30 miles for a trip to a primary |
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| 103 | 103 | | 4.7care provider or 60 miles for a trip to a specialty care provider, unless the client receives |
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| 104 | 104 | | 4.8authorization from the local agency. |
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| 105 | 105 | | 4.9 (j) Nonemergency medical transportation providers may not bill for separate base rates |
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| 106 | 106 | | 4.10for the continuation of a trip beyond the original destination. Nonemergency medical |
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| 107 | 107 | | 4.11transportation providers must maintain trip logs, which include pickup and drop-off times, |
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| 108 | 108 | | 4.12signed by the medical provider or client, whichever is deemed most appropriate, attesting |
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| 109 | 109 | | 4.13to mileage traveled to obtain covered medical services. Clients requesting client mileage |
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| 110 | 110 | | 4.14reimbursement must sign the trip log attesting mileage traveled to obtain covered medical |
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| 111 | 111 | | 4.15services. |
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| 112 | 112 | | 4.16 (k) The administrative agency shall use the level of service process established by the |
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| 113 | 113 | | 4.17commissioner to determine the client's most appropriate mode of transportation. The |
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| 114 | 114 | | 4.18administrative agency must provide assisted transport to any client 20 years of age or younger |
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| 115 | 115 | | 4.19found eligible for unassisted transport, unless either the client is 16 years of age or older |
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| 116 | 116 | | 4.20and declines the upgrade, or the client is 15 years of age or younger and the client's parent |
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| 117 | 117 | | 4.21or guardian declines the upgrade on the client's behalf. If public transit or a certified |
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| 118 | 118 | | 4.22transportation provider is not available to provide the appropriate service mode for the client, |
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| 119 | 119 | | 4.23the client may receive a onetime service upgrade. |
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| 120 | 120 | | 4.24 (l) The covered modes of transportation are: |
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| 121 | 121 | | 4.25 (1) client reimbursement, which includes client mileage reimbursement provided to |
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| 122 | 122 | | 4.26clients who have their own transportation, or to family or an acquaintance who provides |
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| 123 | 123 | | 4.27transportation to the client; |
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| 124 | 124 | | 4.28 (2) volunteer transport, which includes transportation by volunteers using their own |
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| 125 | 125 | | 4.29vehicle; |
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| 126 | 126 | | 4.30 (3) unassisted transport, which includes transportation provided to a client by a taxicab |
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| 127 | 127 | | 4.31or public transit. If a taxicab or public transit is not available, the client can receive |
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| 128 | 128 | | 4.32transportation from another nonemergency medical transportation provider; |
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| 129 | 129 | | 4Sec. 2. |
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| 130 | 130 | | REVISOR DTT/EN 25-0203701/16/25 5.1 (4) assisted transport, which includes transport provided to clients who require assistance |
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| 131 | 131 | | 5.2by a nonemergency medical transportation provider; |
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| 132 | 132 | | 5.3 (5) lift-equipped/ramp transport, which includes transport provided to a client who is |
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| 133 | 133 | | 5.4dependent on a device and requires a nonemergency medical transportation provider with |
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| 134 | 134 | | 5.5a vehicle containing a lift or ramp; |
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| 135 | 135 | | 5.6 (6) protected transport, which includes transport provided to a client who has received |
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| 136 | 136 | | 5.7a prescreening that has deemed other forms of transportation inappropriate and who requires |
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| 137 | 137 | | 5.8a provider: (i) with a protected vehicle that is not an ambulance or police car and has safety |
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| 138 | 138 | | 5.9locks, a video recorder, and a transparent thermoplastic partition between the passenger and |
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| 139 | 139 | | 5.10the vehicle driver; and (ii) who is certified as a protected transport provider; and |
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| 140 | 140 | | 5.11 (7) stretcher transport, which includes transport for a client in a prone or supine position |
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| 141 | 141 | | 5.12and requires a nonemergency medical transportation provider with a vehicle that can transport |
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| 142 | 142 | | 5.13a client in a prone or supine position. |
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| 143 | 143 | | 5.14 (m) The local agency shall be the single administrative agency and shall administer and |
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| 144 | 144 | | 5.15reimburse for modes defined in paragraph (l) according to paragraphs (p) and (q) when the |
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| 145 | 145 | | 5.16commissioner has developed, made available, and funded the web-based single administrative |
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| 146 | 146 | | 5.17structure, assessment tool, and level of need assessment under subdivision 18e. The local |
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| 147 | 147 | | 5.18agency's financial obligation is limited to funds provided by the state or federal government. |
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| 148 | 148 | | 5.19 (n) The commissioner shall: |
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| 149 | 149 | | 5.20 (1) verify that the mode and use of nonemergency medical transportation is appropriate; |
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| 150 | 150 | | 5.21 (2) verify that the client is going to an approved medical appointment; and |
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| 151 | 151 | | 5.22 (3) investigate all complaints and appeals. |
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| 152 | 152 | | 5.23 (o) The administrative agency shall pay for the services provided in this subdivision and |
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| 153 | 153 | | 5.24seek reimbursement from the commissioner, if appropriate. As vendors of medical care, |
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| 154 | 154 | | 5.25local agencies are subject to the provisions in section 256B.041, the sanctions and monetary |
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| 155 | 155 | | 5.26recovery actions in section 256B.064, and Minnesota Rules, parts 9505.2160 to 9505.2245. |
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| 156 | 156 | | 5.27 (p) Payments for nonemergency medical transportation must be paid based on the client's |
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| 157 | 157 | | 5.28assessed mode under paragraph (k), not the type of vehicle used to provide the service. The |
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| 158 | 158 | | 5.29medical assistance reimbursement rates for nonemergency medical transportation services |
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| 159 | 159 | | 5.30that are payable by or on behalf of the commissioner for nonemergency medical |
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| 160 | 160 | | 5.31transportation services are: |
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| 161 | 161 | | 5.32 (1) $0.22 per mile for client reimbursement; |
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| 162 | 162 | | 5Sec. 2. |
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| 163 | 163 | | REVISOR DTT/EN 25-0203701/16/25 6.1 (2) up to 100 percent of the Internal Revenue Service business deduction rate for volunteer |
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| 164 | 164 | | 6.2transport; |
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| 165 | 165 | | 6.3 (3) equivalent to the standard fare for unassisted transport when provided by public |
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| 166 | 166 | | 6.4transit, and $12.10 for the base rate and $1.43 per mile when provided by a nonemergency |
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| 167 | 167 | | 6.5medical transportation provider; |
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| 168 | 168 | | 6.6 (4) $14.30 for the base rate and $1.43 per mile for assisted transport; |
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| 169 | 169 | | 6.7 (5) $19.80 for the base rate and $1.70 per mile for lift-equipped/ramp transport; |
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| 170 | 170 | | 6.8 (6) $75 for the base rate and $2.40 per mile for protected transport; and |
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| 171 | 171 | | 6.9 (7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip for |
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| 172 | 172 | | 6.10an additional attendant if deemed medically necessary. |
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| 173 | 173 | | 6.11 (q) The base rate for nonemergency medical transportation services in areas defined |
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| 174 | 174 | | 6.12under RUCA to be super rural is equal to 111.3 percent of the respective base rate in |
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| 175 | 175 | | 6.13paragraph (p), clauses (1) to (7). The mileage rate for nonemergency medical transportation |
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| 176 | 176 | | 6.14services in areas defined under RUCA to be rural or super rural areas is: |
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| 177 | 177 | | 6.15 (1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage |
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| 178 | 178 | | 6.16rate in paragraph (p), clauses (1) to (7); and |
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| 179 | 179 | | 6.17 (2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage |
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| 180 | 180 | | 6.18rate in paragraph (p), clauses (1) to (7). |
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| 181 | 181 | | 6.19 (r) For purposes of reimbursement rates for nonemergency medical transportation services |
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| 182 | 182 | | 6.20under paragraphs (p) and (q), the zip code of the recipient's place of residence shall determine |
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| 183 | 183 | | 6.21whether the urban, rural, or super rural reimbursement rate applies. |
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| 184 | 184 | | 6.22 (s) The commissioner, when determining reimbursement rates for nonemergency medical |
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| 185 | 185 | | 6.23transportation under paragraphs (p) and (q), shall exempt all modes of transportation listed |
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| 186 | 186 | | 6.24under paragraph (l) from Minnesota Rules, part 9505.0445, item R, subitem (2). |
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| 187 | 187 | | 6.25 (t) Effective for the first day of each calendar quarter in which the price of gasoline as |
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| 188 | 188 | | 6.26posted publicly by the United States Energy Information Administration exceeds $3.00 per |
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| 189 | 189 | | 6.27gallon, the commissioner shall adjust the rate paid per mile in paragraph (p) by one percent |
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| 190 | 190 | | 6.28up or down for every increase or decrease of ten cents for the price of gasoline. The increase |
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| 191 | 191 | | 6.29or decrease must be calculated using a base gasoline price of $3.00. The percentage increase |
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| 192 | 192 | | 6.30or decrease must be calculated using the average of the most recently available price of all |
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| 193 | 193 | | 6.31grades of gasoline for Minnesota as posted publicly by the United States Energy Information |
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| 194 | 194 | | 6.32Administration. |
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| 195 | 195 | | 6Sec. 2. |
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| 196 | 196 | | REVISOR DTT/EN 25-0203701/16/25 7.1 (u) The medical assistance reimbursement rates for unassisted transport and assisted |
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| 197 | 197 | | 7.2transport provided to clients under the age of 21 by a nonemergency medical transportation |
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| 198 | 198 | | 7.3service provider certified as a type III school bus provider are equal to 125 percent of the |
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| 199 | 199 | | 7.4respective base and mileage rates in paragraph (p), clauses (3) and (4). |
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| 200 | 200 | | 7.5 EFFECTIVE DATE.This section is effective January 1, 2026. |
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| 201 | 201 | | 7.6 Sec. 3. Minnesota Statutes 2024, section 256B.0625, subdivision 18h, is amended to read: |
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| 202 | 202 | | 7.7 Subd. 18h.Nonemergency medical transportation provisions related to managed |
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| 203 | 203 | | 7.8care.(a) The following nonemergency medical transportation (NEMT) subdivisions apply |
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| 204 | 204 | | 7.9to managed care plans and county-based purchasing plans: |
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| 205 | 205 | | 7.10 (1) subdivision 17, paragraphs paragraph (a), (b), (i), and (n); |
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| 206 | 206 | | 7.11 (2) subdivision 17, paragraph (c); |
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| 207 | 207 | | 7.12 (3) subdivision 17, paragraph (l); |
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| 208 | 208 | | 7.13 (4) subdivision 17, paragraph (q); |
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| 209 | 209 | | 7.14 (5) subdivision 17, paragraph (u); |
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| 210 | 210 | | 7.15 (2) (6) subdivision 18; and |
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| 211 | 211 | | 7.16 (3) (7) subdivision 18a. |
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| 212 | 212 | | 7.17 (b) A nonemergency medical transportation provider must comply with the operating |
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| 213 | 213 | | 7.18standards for special transportation service specified in sections 174.29 to 174.30 and |
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| 214 | 214 | | 7.19Minnesota Rules, chapter 8840. Publicly operated transit systems, volunteers, and not-for-hire |
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| 215 | 215 | | 7.20vehicles are exempt from the requirements in this paragraph. |
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| 216 | 216 | | 7.21 (c) Managed care plans and county-based purchasing plans must provide a fuel adjustment |
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| 217 | 217 | | 7.22for NEMT rates when fuel exceeds $3 per gallon. This paragraph expires if federal approval |
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| 218 | 218 | | 7.23is not received for this paragraph at any time. |
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| 219 | 219 | | 7.24 (d) If, for any contract year, federal approval is not received for this the provisions listed |
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| 220 | 220 | | 7.25in paragraph (e), the commissioner must adjust the capitation rates paid to managed care |
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| 221 | 221 | | 7.26plans and county-based purchasing plans for that contract year to reflect the removal of this |
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| 222 | 222 | | 7.27provision those provisions. Contracts between managed care plans and county-based |
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| 223 | 223 | | 7.28purchasing plans and providers to whom this paragraph applies must allow recovery of |
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| 224 | 224 | | 7.29payments from those providers if capitation rates are adjusted in accordance with this |
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| 225 | 225 | | 7.30paragraph. Payment recoveries must not exceed the amount equal to any increase in rates |
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| 226 | 226 | | 7Sec. 3. |
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| 227 | 227 | | REVISOR DTT/EN 25-0203701/16/25 8.1that results from this the provisions listed in paragraph (e). This paragraph expires if federal |
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| 228 | 228 | | 8.2approval is not received for this paragraph at any time. |
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| 229 | 229 | | 8.3 (e) Paragraph (d) applies to the following provisions: |
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| 230 | 230 | | 8.4 (1) paragraph (a), clause (5); and |
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| 231 | 231 | | 8.5 (2) paragraph (c). |
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| 232 | 232 | | 8.6 EFFECTIVE DATE.This section is effective January 1, 2026. |
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| 233 | 233 | | 8.7 Sec. 4. Minnesota Statutes 2024, section 256B.0943, subdivision 1, is amended to read: |
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| 234 | 234 | | 8.8 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have |
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| 235 | 235 | | 8.9the meanings given them. |
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| 236 | 236 | | 8.10 (b) "Children's therapeutic services and supports" means the flexible package of mental |
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| 237 | 237 | | 8.11health services for children who require varying therapeutic and rehabilitative levels of |
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| 238 | 238 | | 8.12intervention to treat a diagnosed emotional disturbance, as defined in section 245.4871, |
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| 239 | 239 | | 8.13subdivision 15, or a diagnosed mental illness, as defined in section 245.462, subdivision |
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| 240 | 240 | | 8.1420. The services are time-limited interventions that are delivered using various treatment |
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| 241 | 241 | | 8.15modalities and combinations of services designed to reach treatment outcomes identified |
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| 242 | 242 | | 8.16in the individual treatment plan. |
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| 243 | 243 | | 8.17 (c) "Clinical trainee" means a staff person who is qualified according to section 245I.04, |
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| 244 | 244 | | 8.18subdivision 6. |
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| 245 | 245 | | 8.19 (d) "Crisis planning" has the meaning given in section 245.4871, subdivision 9a. |
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| 246 | 246 | | 8.20 (e) "Culturally competent provider" means a provider who understands and can utilize |
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| 247 | 247 | | 8.21to a client's benefit the client's culture when providing services to the client. A provider |
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| 248 | 248 | | 8.22may be culturally competent because the provider is of the same cultural or ethnic group |
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| 249 | 249 | | 8.23as the client or the provider has developed the knowledge and skills through training and |
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| 250 | 250 | | 8.24experience to provide services to culturally diverse clients. |
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| 251 | 251 | | 8.25 (f) "Day treatment program" for children means a site-based structured mental health |
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| 252 | 252 | | 8.26program consisting of psychotherapy for three or more individuals and individual or group |
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| 253 | 253 | | 8.27skills training provided by a team, under the treatment supervision of a mental health |
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| 254 | 254 | | 8.28professional. |
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| 255 | 255 | | 8.29 (g) "Direct service time" means the time that a mental health professional, clinical trainee, |
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| 256 | 256 | | 8.30mental health practitioner, or mental health behavioral aide spends face-to-face with a client |
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| 257 | 257 | | 8.31and the client's family or providing covered services through telehealth as defined under |
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| 258 | 258 | | 8.32section 256B.0625, subdivision 3b. Direct service time includes time in which the provider |
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| 259 | 259 | | 8Sec. 4. |
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| 260 | 260 | | REVISOR DTT/EN 25-0203701/16/25 9.1obtains a client's history, develops a client's treatment plan, records individual treatment |
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| 261 | 261 | | 9.2outcomes, or provides service components of children's therapeutic services and supports. |
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| 262 | 262 | | 9.3Direct service time does not include time doing work before and after providing direct |
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| 263 | 263 | | 9.4services, including scheduling or maintaining clinical records. |
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| 264 | 264 | | 9.5 (h) "Direction of mental health behavioral aide" means the activities of a mental health |
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| 265 | 265 | | 9.6professional, clinical trainee, or mental health practitioner in guiding the mental health |
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| 266 | 266 | | 9.7behavioral aide in providing services to a client. The direction of a mental health behavioral |
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| 267 | 267 | | 9.8aide must be based on the client's individual treatment plan and meet the requirements in |
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| 268 | 268 | | 9.9subdivision 6, paragraph (b), clause (7). |
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| 269 | 269 | | 9.10 (i) "Emotional disturbance" has the meaning given in section 245.4871, subdivision 15. |
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| 270 | 270 | | 9.11 (j) "Individual treatment plan" means the plan described in section 245I.10, subdivisions |
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| 271 | 271 | | 9.127 and 8. |
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| 272 | 272 | | 9.13 (k) "Mental health behavioral aide services" means medically necessary one-on-one |
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| 273 | 273 | | 9.14activities performed by a mental health behavioral aide qualified according to section |
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| 274 | 274 | | 9.15245I.04, subdivision 16, to assist a child retain or generalize psychosocial skills as previously |
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| 275 | 275 | | 9.16trained by a mental health professional, clinical trainee, or mental health practitioner and |
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| 276 | 276 | | 9.17as described in the child's individual treatment plan and individual behavior plan. Activities |
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| 277 | 277 | | 9.18involve working directly with the child or child's family as provided in subdivision 9, |
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| 278 | 278 | | 9.19paragraph (b), clause (4). |
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| 279 | 279 | | 9.20 (l) "Mental health certified family peer specialist" means a staff person who is qualified |
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| 280 | 280 | | 9.21according to section 245I.04, subdivision 12. |
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| 281 | 281 | | 9.22 (m) "Mental health practitioner" means a staff person who is qualified according to |
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| 282 | 282 | | 9.23section 245I.04, subdivision 4. |
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| 283 | 283 | | 9.24 (n) "Mental health professional" means a staff person who is qualified according to |
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| 284 | 284 | | 9.25section 245I.04, subdivision 2. |
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| 285 | 285 | | 9.26 (o) "Mental health service plan development" includes: |
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| 286 | 286 | | 9.27 (1) development and revision of a child's individual treatment plan; and |
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| 287 | 287 | | 9.28 (2) administering and reporting standardized outcome measurements approved by the |
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| 288 | 288 | | 9.29commissioner, as periodically needed to evaluate the effectiveness of treatment. |
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| 289 | 289 | | 9.30 (p) "Mental illness," for persons at least age 18 but under age 21, has the meaning given |
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| 290 | 290 | | 9.31in section 245.462, subdivision 20, paragraph (a). |
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| 291 | 291 | | 9Sec. 4. |
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| 292 | 292 | | REVISOR DTT/EN 25-0203701/16/25 10.1 (q) "Psychotherapy" means the treatment described in section 256B.0671, subdivision |
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| 293 | 293 | | 10.211. |
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| 294 | 294 | | 10.3 (r) "Rehabilitative services" or "psychiatric rehabilitation services" means interventions |
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| 295 | 295 | | 10.4to: (1) restore a child or adolescent to an age-appropriate developmental trajectory that had |
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| 296 | 296 | | 10.5been disrupted by a psychiatric illness; or (2) enable the child to self-monitor, compensate |
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| 297 | 297 | | 10.6for, cope with, counteract, or replace psychosocial skills deficits or maladaptive skills |
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| 298 | 298 | | 10.7acquired over the course of a psychiatric illness. Psychiatric rehabilitation services for |
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| 299 | 299 | | 10.8children combine coordinated psychotherapy to address internal psychological, emotional, |
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| 300 | 300 | | 10.9and intellectual processing deficits, and skills training to restore personal and social |
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| 301 | 301 | | 10.10functioning. Psychiatric rehabilitation services establish a progressive series of goals with |
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| 302 | 302 | | 10.11each achievement building upon a prior achievement. |
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| 303 | 303 | | 10.12 (s) "Skills training" means individual, family, or group training, delivered by or under |
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| 304 | 304 | | 10.13the supervision of a mental health professional, designed to facilitate the acquisition of |
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| 305 | 305 | | 10.14psychosocial skills that are medically necessary to rehabilitate the child to an age-appropriate |
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| 306 | 306 | | 10.15developmental trajectory heretofore disrupted by a psychiatric illness or to enable the child |
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| 307 | 307 | | 10.16to self-monitor, compensate for, cope with, counteract, or replace skills deficits or |
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| 308 | 308 | | 10.17maladaptive skills acquired over the course of a psychiatric illness. Skills training is subject |
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| 309 | 309 | | 10.18to the service delivery requirements under subdivision 9, paragraph (b), clause (2). |
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| 310 | 310 | | 10.19 (t) "Standard diagnostic assessment" means the assessment described in section 245I.10, |
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| 311 | 311 | | 10.20subdivision 6. |
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| 312 | 312 | | 10.21 (u) "Treatment supervision" means the supervision described in section 245I.06. |
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| 313 | 313 | | 10.22 (v) "Transition to community living services" means services that: |
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| 314 | 314 | | 10.23 (1) maintain continuity of contact between the children's therapeutic services and supports |
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| 315 | 315 | | 10.24provider and the client and the client's family; |
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| 316 | 316 | | 10.25 (2) facilitate discharge from a hospital, juvenile detention, or residential treatment setting; |
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| 317 | 317 | | 10.26and |
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| 318 | 318 | | 10.27 (3) support the client's integration into the child's family and community. |
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| 319 | 319 | | 10.28Transition to community living services are not intended to provide other types of services |
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| 320 | 320 | | 10.29within children's therapeutic services and supports. |
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| 321 | 321 | | 10.30Sec. 5. Minnesota Statutes 2024, section 256B.0943, subdivision 2, is amended to read: |
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| 322 | 322 | | 10.31 Subd. 2.Covered service components of children's therapeutic services and |
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| 323 | 323 | | 10.32supports.(a) Subject to federal approval, medical assistance covers medically necessary |
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| 324 | 324 | | 10Sec. 5. |
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| 325 | 325 | | REVISOR DTT/EN 25-0203701/16/25 11.1children's therapeutic services and supports when the services are provided by an eligible |
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| 326 | 326 | | 11.2provider entity certified under and meeting the standards in this section. The provider entity |
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| 327 | 327 | | 11.3must make reasonable and good faith efforts to report individual client outcomes to the |
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| 328 | 328 | | 11.4commissioner, using instruments and protocols approved by the commissioner. |
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| 329 | 329 | | 11.5 (b) The service components of children's therapeutic services and supports are: |
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| 330 | 330 | | 11.6 (1) patient and/or family psychotherapy, family psychotherapy, psychotherapy for crisis, |
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| 331 | 331 | | 11.7and group psychotherapy; |
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| 332 | 332 | | 11.8 (2) individual, family, or group skills training provided by a mental health professional, |
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| 333 | 333 | | 11.9clinical trainee, or mental health practitioner; |
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| 334 | 334 | | 11.10 (3) crisis planning; |
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| 335 | 335 | | 11.11 (4) mental health behavioral aide services; |
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| 336 | 336 | | 11.12 (5) direction of a mental health behavioral aide; |
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| 337 | 337 | | 11.13 (6) mental health service plan development; and |
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| 338 | 338 | | 11.14 (7) children's day treatment; and |
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| 339 | 339 | | 11.15 (8) transition to community living services. |
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| 340 | 340 | | 11.16Sec. 6. APPROPRIATION; SCHOOL-LINKED BEHAVIORAL HEALTH GRANTS. |
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| 341 | 341 | | 11.17 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
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| 342 | 342 | | 11.18fund to the commissioner of human services for school-linked behavioral health grants |
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| 343 | 343 | | 11.19under Minnesota Statutes, section 245.4901. |
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| 344 | 344 | | 11Sec. 6. |
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| 345 | 345 | | REVISOR DTT/EN 25-0203701/16/25 |
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