Minnesota 2025-2026 Regular Session

Minnesota House Bill HF671 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; establishing grant programs for various purposes related
3	3	1.3 to children's mental health; modifying provisions governing long-term care
4	4	1.4 consultation services; modifying rates for certain children's mental health services;
5	5	1.5 establishing the psychiatric residential treatment facility working group; requiring
6	6	1.6 reports; appropriating money; amending Minnesota Statutes 2024, sections
7	7	1.7 245.4907, subdivision 3; 245I.04, subdivision 12; 256.01, by adding a subdivision;
8	8	1.8 256B.0616, subdivisions 4, 5; 256B.0911, subdivisions 1, 10, 13, 14, 17, by adding
9	9	1.9 subdivisions; 256B.4911, subdivision 6; proposing coding for new law in Minnesota
10	10	1.10 Statutes, chapter 245.
11	11	1.11BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
12	12	1.12 Section 1. Minnesota Statutes 2024, section 245.4907, subdivision 3, is amended to read:
13	13	1.13 Subd. 3.Allowable grant activities.Grantees must use grant funding to provide training
14	14	1.14for mental health certified family peer specialists specialist candidates and continuing
15	15	1.15education to certified family peer specialists as specified in section 256B.0616, subdivision
16	16	1.165.
17	17	1.17 Sec. 2. [245.4908] YOUTH CARE PROFESSIONAL GRANT PROGRAM.
18	18	1.18 Subdivision 1.Establishment.The commissioner of human services must establish a
19	19	1.19competitive youth care professional grant to provide funding for required nonfacility specific
20	20	1.20and nonprogram specific orientation and training of direct care staff in the following settings
21	21	1.21and programs:
22	22	1.22 (1) children's residential facilities licensed under Minnesota Rules, parts 2960.0010 to
23	23	1.232960.0750;
24	24	1Sec. 2.
25	25	REVISOR DTT/NB 25-0262401/31/25
26	26	State of Minnesota
27	27	This Document can be made available
28	28	in alternative formats upon request
29	29	HOUSE OF REPRESENTATIVES
30	30	H. F. No. 671
31	31	NINETY-FOURTH SESSION
32	32	Authored by Hicks and Curran02/13/2025
33	33	The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (2) children's residential programs certified under Minnesota Rules, parts 2960.0010 to
34	34	2.22960.0750; and
35	35	2.3 (3) day treatment programs described in section 256B.0943.
36	36	2.4 Subd. 2.Eligible applicants.An eligible applicant is a Minnesota-based third-party
37	37	2.5training provider that:
38	38	2.6 (1) is affiliated with a research institution conducting regular inquiry into child and youth
39	39	2.7development;
40	40	2.8 (2) has experience developing, facilitating, and evaluating child and youth training
41	41	2.9content provided to a Minnesota workforce;
42	42	2.10 (3) has expertise in curriculum development for both synchronous and asynchronous
43	43	2.11virtual training; and
44	44	2.12 (4) has expertise in utilizing learner management systems for transferable electronic
45	45	2.13training records.
46	46	2.14 Subd. 3.Program development.(a) The commissioner must contract with the grantee
47	47	2.15to establish nonfacility specific and nonprogram specific orientation and training curricula
48	48	2.16and accompanying assessment mechanisms. The contract must contain a complete list of
49	49	2.17orientation and training topics the grantee must include in the curricula and standards for
50	50	2.18demonstrating competency in the topics included in the curricula. The curricula must include
51	51	2.19how to provide services to a person according to a trauma-informed model of care.
52	52	2.20 (b) When developing the nonfacility specific and nonprogram specific orientation and
53	53	2.21training curricula, the grantee must consult with children's residential program staff and day
54	54	2.22treatment program staff.
55	55	2.23 (c) The grantee must include all nonfacility specific and nonprogram specific orientation
56	56	2.24and training topics required of the targeted direct care staff under Minnesota Rules, parts
57	57	2.252960.0010 to 2960.0750, and as applicable, chapter 245I.
58	58	2.26 Subd. 4.Training activities.The grantee must maintain a learning management system
59	59	2.27that keeps a record of each training participant's progress toward completing the curricula,
60	60	2.28including the results of competency assessments.
61	61	2.29 Subd. 5.Youth care professional registry.(a) The grantee must create and maintain
62	62	2.30a youth care professional registry. Training participants who have successfully completed
63	63	2.31the training program and demonstrated the relevant competencies may elect to be included
64	64	2.32on the registry. When a training participant elects to be included on the registry, the grantee
65	65	2Sec. 2.
66	66	REVISOR DTT/NB 25-0262401/31/25 3.1must enter the training participant's name and training completion date on the youth care
67	67	3.2professional registry.
68	68	3.3 (b) If the registrant gives written permission, the grantee must share the registrant's
69	69	3.4record with an any child-serving organization that specifically requests the registrant's
70	70	3.5record.
71	71	3.6 Sec. 3. [245.4909] HIGH-FIDELITY WRAPAROUND GRANTS.
72	72	3.7 Subdivision 1.Establishment.The commissioner of human services shall establish a
73	73	3.8high-fidelity wraparound grant program to provide additional funding for a comprehensive
74	74	3.9child and family-driven response to children experiencing serious mental health or behavioral
75	75	3.10challenges through the implementation of a high-fidelity wraparound service model.
76	76	3.11 Subd. 2.Eligible applicants.An eligible applicant is a community-based service provider
77	77	3.12or a county with a commitment to providing high-fidelity wraparound services. Applicants
78	78	3.13other than counties must partner with a county. Applicants must describe county efforts to
79	79	3.14leverage an enhanced children's mental health targeted case management rate to support
80	80	3.15base funding for high-fidelity wraparound services provided to recipients of medical
81	81	3.16assistance.
82	82	3.17 Subd. 3.Grant activities.Grantees must comply with relevant mental health targeted
83	83	3.18case management services standards described in section 256B.0625, subdivision 20, and
84	84	3.19deliver high-fidelity wraparound services through an evidence-based model approved by
85	85	3.20the commissioner. Permissible uses of awarded grant money include paying for start-up
86	86	3.21costs and ancillary care. A grantee may use awarded grant funds to pay for the provision
87	87	3.22of high-fidelity wraparound services, but only after determining and documenting that no
88	88	3.23other payor, including the county and medical assistance, is liable for the cost of services.
89	89	3.24 Subd. 4.Technical assistance to counties.The commissioner shall clearly communicate
90	90	3.25to county human services directors that the delivery of high-fidelity wraparound services
91	91	3.26provides an opportunity for a county to apply for an enhanced rate for children's mental
92	92	3.27health targeted case management. The commissioner shall provide timely clear direction
93	93	3.28and enhanced rate application support to counties that express interest in supporting the
94	94	3.29provision of high-fidelity wraparound services.
95	95	3.30 Subd. 5.Data collection and outcome measurement.Grantees shall provide the
96	96	3.31commissioner with service utilization and outcome data no more frequently than twice per
97	97	3.32year. The commissioner shall design the data requirements in consultation with the grantee.
98	98	3Sec. 3.
99	99	REVISOR DTT/NB 25-0262401/31/25 4.1 Sec. 4. Minnesota Statutes 2024, section 245I.04, subdivision 12, is amended to read:
100	100	4.2 Subd. 12.Mental health certified family peer specialist qualifications.A mental
101	101	4.3health certified family peer specialist must:
102	102	4.4 (1) have raised or be currently raising a child with a mental illness or have lived
103	103	4.5experience as a youth with a mental illness;
104	104	4.6 (2) have experience navigating the children's mental health system; and
105	105	4.7 (3) have a valid certification as a mental health certified family peer specialist under
106	106	4.8section 256B.0616.
107	107	4.9 Sec. 5. Minnesota Statutes 2024, section 256.01, is amended by adding a subdivision to
108	108	4.10read:
109	109	4.11 Subd. 44.Youth care transition teams.(a) The commissioner shall establish and
110	110	4.12maintain youth care transition teams to facilitate the transition of youth from inpatient
111	111	4.13psychiatric settings, emergency departments, inpatient hospitalization, juvenile detention
112	112	4.14facilities, residential treatment facilities, and child and adolescent behavioral health hospitals
113	113	4.15to the community or to a less restrictive care setting. Each multidisciplinary team must
114	114	4.16consist of at least one mental health professional as defined in section 245I.04, subdivision
115	115	4.172, and a family peer specialist. Teams must coordinate with family caregivers, the setting
116	116	4.18from which the child is discharging, community providers, lead agencies, health carriers as
117	117	4.19defined in section 62A.011, the Department of Human Services, and other involved parties.
118	118	4.20Teams must support the youth's transition to necessary care and treatment in a community
119	119	4.21setting or a setting that is less restrictive than the setting from which the youth is discharging.
120	120	4.22 (b) The commissioner must ensure that the teams make available at least 90 days of
121	121	4.23direct support to the youth and caregivers to support and stabilize the youth's transition to
122	122	4.24community.
123	123	4.25 Sec. 6. Minnesota Statutes 2024, section 256B.0616, subdivision 4, is amended to read:
124	124	4.26 Subd. 4.Family peer support specialist program providers.The commissioner shall
125	125	4.27develop a process to certify family peer support specialist programs, in accordance with the
126	126	4.28federal guidelines, in order for the program to bill for reimbursable services. Family peer
127	127	4.29support programs must operate within an existing mental health community provider or
128	128	4.30center.
129	129	4Sec. 6.
130	130	REVISOR DTT/NB 25-0262401/31/25 5.1 Sec. 7. Minnesota Statutes 2024, section 256B.0616, subdivision 5, is amended to read:
131	131	5.2 Subd. 5.Certified family peer specialist training and certification.(a) The
132	132	5.3commissioner shall develop a or approve the use of an existing training and certification
133	133	5.4process for certified certifying family peer specialists. The Family peer specialist candidates
134	134	5.5must have raised or be currently raising a child with a mental illness, or have lived experience
135	135	5.6as a youth with a mental illness; have had experience navigating the children's mental health
136	136	5.7system,; and must demonstrate leadership and advocacy skills and a strong dedication to
137	137	5.8family-driven and family-focused services. The training curriculum must teach participating
138	138	5.9family peer specialists specialist candidates specific skills relevant to providing peer support
139	139	5.10to other parents and youth.
140	140	5.11 (b) In addition to initial training and certification, the commissioner shall develop ongoing
141	141	5.12continuing educational workshops on pertinent issues related to family peer support
142	142	5.13counseling.
143	143	5.14 (c) Initial training leading to certification as a family peer specialist and continuing
144	144	5.15education for certified family peer specialists must be delivered by the commissioner or a
145	145	5.16third-party organization approved by the commissioner. An approved third-party organization
146	146	5.17may also provide continuing education of certified family peer specialists.
147	147	5.18 Sec. 8. Minnesota Statutes 2024, section 256B.0911, subdivision 1, is amended to read:
148	148	5.19 Subdivision 1.Purpose and goal.(a) The purpose of long-term care consultation services
149	149	5.20is to assist persons with long-term or chronic care needs in making care decisions and
150	150	5.21selecting support and service options that meet their needs and reflect their preferences.
151	151	5.22The availability of, and access to, information and other types of assistance, including
152	152	5.23long-term care consultation assessment and support planning, is also intended to prevent
153	153	5.24or delay institutional placements and to provide access to transition assistance after
154	154	5.25placement. Further, the goal of long-term care consultation services is to contain costs
155	155	5.26associated with unnecessary institutional admissions. Long-term care consultation services
156	156	5.27must be available to any person regardless of public program eligibility.
157	157	5.28 (b) The commissioner of human services shall seek to maximize use of available federal
158	158	5.29and state funds and establish the broadest program possible within the funding available.
159	159	5.30 (c) Long-term care consultation services must be coordinated with long-term care options
160	160	5.31counseling, long-term care options counseling for assisted living at critical care transitions,
161	161	5.32the Disability Hub, and preadmission screening.
162	162	5Sec. 8.
163	163	REVISOR DTT/NB 25-0262401/31/25 6.1 (d) A lead agency providing long-term care consultation services shall encourage the
164	164	6.2use of volunteers from families, religious organizations, social clubs, and similar civic and
165	165	6.3service organizations to provide community-based services.
166	166	6.4 Sec. 9. Minnesota Statutes 2024, section 256B.0911, subdivision 10, is amended to read:
167	167	6.5 Subd. 10.Definitions.(a) For purposes of this section, the following definitions apply.
168	168	6.6 (b) "Available service and setting options" or "available options," with respect to the
169	169	6.7home and community-based waivers under chapter 256S and sections 256B.092 and 256B.49,
170	170	6.8means all services and settings defined under the waiver plan for which a waiver applicant
171	171	6.9or waiver participant is eligible.
172	172	6.10 (c) "Competitive employment" means work in the competitive labor market that is
173	173	6.11performed on a full-time or part-time basis in an integrated setting, and for which an
174	174	6.12individual is compensated at or above the minimum wage, but not less than the customary
175	175	6.13wage and level of benefits paid by the employer for the same or similar work performed by
176	176	6.14individuals without disabilities.
177	177	6.15 (d) "Cost-effective" means community services and living arrangements that cost the
178	178	6.16same as or less than institutional care. For an individual found to meet eligibility criteria
179	179	6.17for home and community-based service programs under chapter 256S or section 256B.49,
180	180	6.18"cost-effectiveness" has the meaning found in the federally approved waiver plan for each
181	181	6.19program.
182	182	6.20 (e) "Independent living" means living in a setting that is not controlled by a provider.
183	183	6.21 (f) "Informed choice" has the meaning given in section 256B.4905, subdivision 1a.
184	184	6.22 (g) "Lead agency" means a county administering or a Tribe or health plan under contract
185	185	6.23with the commissioner to administer long-term care consultation services.
186	186	6.24 (h) "Long-term care consultation services" means the activities described in subdivision
187	187	6.2511.
188	188	6.26 (i) "Long-term care options counseling" means the services provided by sections 256.01,
189	189	6.27subdivision 24, and 256.975, subdivision 7, and also includes telephone assistance and
190	190	6.28follow-up after a long-term care consultation assessment has been completed.
191	191	6.29 (j) "Long-term care options counseling for assisted living at critical care transitions"
192	192	6.30means the services provided under section 256.975, subdivisions subdivision 7e to 7g.
193	193	6.31 (k) "Minnesota health care programs" means the medical assistance program under this
194	194	6.32chapter and the alternative care program under section 256B.0913.
195	195	6Sec. 9.
196	196	REVISOR DTT/NB 25-0262401/31/25 7.1 (l) "Person-centered planning" is a process that includes the active participation of a
197	197	7.2person in the planning of the person's services, including in making meaningful and informed
198	198	7.3choices about the person's own goals, talents, and objectives, as well as making meaningful
199	199	7.4and informed choices about the services the person receives, the settings in which the person
200	200	7.5receives the services, and the setting in which the person lives.
201	201	7.6 (m) "Preadmission screening" means the services provided under section 256.975,
202	202	7.7subdivisions 7a to 7c.
203	203	7.8 Sec. 10. Minnesota Statutes 2024, section 256B.0911, subdivision 13, is amended to read:
204	204	7.9 Subd. 13.MnCHOICES assessor qualifications, training, and certification.(a) The
205	205	7.10commissioner shall develop and implement a curriculum and an assessor certification
206	206	7.11process.
207	207	7.12 (b) MnCHOICES certified assessors must:
208	208	7.13 (1) either have a bachelor's at least an associate's degree in social work human services,
209	209	7.14nursing with a public health nursing certificate, or other closely related field or be a registered
210	210	7.15nurse; and
211	211	7.16 (2) have received training and certification specific to assessment and consultation for
212	212	7.17long-term care services in the state.
213	213	7.18 (c) Certified assessors shall demonstrate best practices in assessment and support
214	214	7.19planning, including person-centered planning principles, and have a common set of skills
215	215	7.20that ensures consistency and equitable access to services statewide.
216	216	7.21 (d) Certified assessors must be recertified every three years.
217	217	7.22 Sec. 11. Minnesota Statutes 2024, section 256B.0911, subdivision 14, is amended to read:
218	218	7.23 Subd. 14.Use of MnCHOICES certified assessors required.(a) Each lead agency
219	219	7.24shall use MnCHOICES certified assessors who have completed MnCHOICES training and
220	220	7.25the certification process determined by the commissioner in subdivision 13.
221	221	7.26 (b) Each lead agency must ensure that the lead agency has sufficient numbers of certified
222	222	7.27assessors to provide long-term consultation assessment and support planning within the
223	223	7.28timelines and parameters of the service.
224	224	7.29 (c) A lead agency may choose, according to departmental policies, to contract with a
225	225	7.30qualified, certified assessor to conduct assessments and reassessments on behalf of the lead
226	226	7.31agency.
227	227	7Sec. 11.
228	228	REVISOR DTT/NB 25-0262401/31/25 8.1 (d) Tribes and health plans under contract with the commissioner must provide long-term
229	229	8.2care consultation services as specified in the contract.
230	230	8.3 (e) A lead agency must provide the commissioner with an administrative contact for
231	231	8.4communication purposes.
232	232	8.5 (f) A lead agency may contract with hospitals to conduct assessments of patients in the
233	233	8.6hospital on behalf of the lead agency when the lead agency has failed to meet its obligations
234	234	8.7under subdivision 17 to complete within 20 working days an assessment of a person in a
235	235	8.8hospital (1) who has requested long-term care consultation services, or (2) for whom
236	236	8.9long-term care consultation services have been recommended and the commissioner has
237	237	8.10also failed to meet the commissioner's obligation under subdivision 34 to complete an
238	238	8.11assessment within ten working days of the recommendation. The contracted assessment
239	239	8.12must be conducted by a hospital employee who is a qualified, certified assessor. The hospital
240	240	8.13employees who perform assessments under the contract between the hospital and the lead
241	241	8.14agency may perform assessments in addition to other duties assigned to the employee by
242	242	8.15the hospital, except the hospital employees who perform the assessments under contract
243	243	8.16with the lead agency must not perform any waiver-related tasks other than assessments.
244	244	8.17The reimbursement by the county to the hospital for each assessment conducted must not
245	245	8.18exceed the sum of the average reimbursement from the commissioner to the county per
246	246	8.19assessment, plus the county share as determined under subdivision 33.
247	247	8.20 Sec. 12. Minnesota Statutes 2024, section 256B.0911, subdivision 17, is amended to read:
248	248	8.21 Subd. 17.MnCHOICES assessments.(a) A person requesting long-term care
249	249	8.22consultation services must be visited by a long-term care consultation team must complete
250	250	8.23an assessment of a person requesting long-term care consultation services or for whom
251	251	8.24long-term care consultation services were recommended within 20 working days after the
252	252	8.25date on which an assessment was requested or recommended. For each day that a lead
253	253	8.26agency is out of compliance with the required timeline for completing an assessment under
254	254	8.27this paragraph, the lead agency shall forfeit to the commissioner of human services a fine
255	255	8.28of $250. The commissioner must deposit all forfeitures under this paragraph into the general
256	256	8.29fund. The commissioner may waive the daily fines in part or in whole upon a determination
257	257	8.30by the commissioner that the lead agency lacks sufficient staff to meet the required timelines.
258	258	8.31If the lead agency is aggrieved by the decision of the commissioner to not waive the fines,
259	259	8.32the lead agency may appeal to the district court having jurisdiction over the lead agency
260	260	8.33responsible for providing the long-term care consultation services at issue under section
261	261	8.34256.045, subdivision 7.
262	262	8Sec. 12.
263	263	REVISOR DTT/NB 25-0262401/31/25 9.1 (b) Assessments must be conducted according to this subdivision and subdivisions 19
264	264	9.2to 21, 23, 24, and 29 to 31.
265	265	9.3 (b) (c) Lead agencies shall use certified assessors to conduct the assessment.
266	266	9.4 (c) (d) For a person with complex health care needs, a public health or registered nurse
267	267	9.5from the team must be consulted.
268	268	9.6 (d) (e) The lead agency must use the MnCHOICES assessment provided by the
269	269	9.7commissioner to complete a comprehensive, conversation-based, person-centered assessment.
270	270	9.8The assessment must include the health, psychological, functional, environmental, and
271	271	9.9social needs of the individual necessary to develop a person-centered assessment summary
272	272	9.10that meets the individual's needs and preferences.
273	273	9.11 (e) (f) Except as provided in subdivision 24, an assessment must be conducted by a
274	274	9.12certified assessor in an in-person conversational interview with the person being assessed.
275	275	9.13 Sec. 13. Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
276	276	9.14to read:
277	277	9.15 Subd. 34.State assessors.(a) The commissioner must create a pool of state employees
278	278	9.16who are qualified, certified assessors. A member of the state-employed certified assessor
279	279	9.17pool may perform other duties as assigned. A member of the state-employed certified
280	280	9.18assessor pool must not be assigned or perform any duties related to appeals under section
281	281	9.19256.045 of certified assessors' decisions regarding eligibility for services and programs as
282	282	9.20defined in subdivision 11, clauses (5), (7) to (10), and (15); certified assessors' decisions
283	283	9.21regarding the need for institutional level of care; or lead agencies' final decisions regarding
284	284	9.22eligibility for public programs.
285	285	9.23 (b) The commissioner must deploy a state-employed certified assessor who must complete
286	286	9.24an assessment within ten business days of a request from a facility if the conditions of
287	287	9.25paragraph (c) or (d) are met. For the purposes of this subdivision, "facility" means a hospital,
288	288	9.26a licensed health care facility, a licensed residential setting, a licensed assisted living facility,
289	289	9.27or any correctional facility enumerated in section 241.91.
290	290	9.28 (c) If a lead agency fails to meet its obligation under subdivision 17 to complete within
291	291	9.2920 working days an assessment of a person in a facility who has requested long-term care
292	292	9.30consultation services or for whom long-term care consultation services have been
293	293	9.31recommended, the facility may request that the commissioner deploy a state-employed
294	294	9.32certified assessor to conduct an assessment of that person on behalf of the lead agency.
295	295	9Sec. 13.
296	296	REVISOR DTT/NB 25-0262401/31/25 10.1 (d) If at any time a lead agency informs a facility that the lead agency will not meet its
297	297	10.2obligation under subdivision 17 to complete an assessment of the person in the facility who
298	298	10.3has requested long-term care consultation services or for whom long-term care services
299	299	10.4were requested, the facility may request that the commissioner deploy a state-employed
300	300	10.5certified assessor to conduct the assessment of that person on behalf of the lead agency.
301	301	10.6 (e) For each assessment conducted under this subdivision, the commissioner shall recoup
302	302	10.7from the lead agency the sum of the average reimbursement from the commissioner to the
303	303	10.8lead agency per assessment, plus the county share as determined under subdivision 33.
304	304	10.9 Sec. 14. Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
305	305	10.10to read:
306	306	10.11 Subd. 35.Report on assessment completions.(a) The commissioner shall issue a public
307	307	10.12report twice per year containing summary data on the completion of assessments under this
308	308	10.13section. Lead agencies must submit to the commissioner in the form and manner determined
309	309	10.14by the commissioner all summary data the commissioner requests for the purposes of the
310	310	10.15report.
311	311	10.16 (b) The report must include:
312	312	10.17 (1) the total number of assessments performed since the previous reporting period;
313	313	10.18 (2) the total number of initial assessments performed since the previous reporting period;
314	314	10.19 (3) the total number of reassessments performed since the previous reporting period;
315	315	10.20 (4) the number and percentage of assessments completed within the required timeline,
316	316	10.21by a lead agency;
317	317	10.22 (5) the average length of time to complete an assessment, by a lead agency;
318	318	10.23 (6) the number and percentage of all assessments performed on behalf of a lead agency
319	319	10.24by a state-employed assessor under subdivision 34, by a lead agency;
320	320	10.25 (7) the number and percentage of all assessments performed on behalf of a lead agency
321	321	10.26by a hospital under subdivision 14, paragraph (f), by a lead agency;
322	322	10.27 (8) summary data of the location in which the assessments were performed; and
323	323	10.28 (9) other information the commissioner determines is valuable to assess the capacity of
324	324	10.29lead agencies to complete assessments within the timelines prescribed by law.
325	325	10Sec. 14.
326	326	REVISOR DTT/NB 25-0262401/31/25 11.1 Sec. 15. Minnesota Statutes 2024, section 256B.4911, subdivision 6, is amended to read:
327	327	11.2 Subd. 6.Services provided by parents and spouses.(a) This subdivision limits medical
328	328	11.3assistance payments under the consumer-directed community supports option for personal
329	329	11.4assistance services provided by a parent to the parent's minor child or by a participant's
330	330	11.5spouse. This subdivision applies to the consumer-directed community supports option
331	331	11.6available under all of the following:
332	332	11.7 (1) alternative care program;
333	333	11.8 (2) brain injury waiver;
334	334	11.9 (3) community alternative care waiver;
335	335	11.10 (4) community access for disability inclusion waiver;
336	336	11.11 (5) developmental disabilities waiver; and
337	337	11.12 (6) elderly waiver.
338	338	11.13 (b) For the purposes of this subdivision, "parent" means a parent, stepparent, or legal
339	339	11.14guardian of a minor.
340	340	11.15 (c) If multiple parents are providing personal assistance services to their minor child or
341	341	11.16children, each parent may provide up to 40 hours of personal assistance services in any
342	342	11.17seven-day period regardless of the number of children served. The total number of hours
343	343	11.18of medical assistance home and community-based services provided by all of the parents
344	344	11.19must not exceed 80 hours in a seven-day period regardless of the number of children served.
345	345	11.20 (d) If only one parent is providing personal assistance services to a minor child or
346	346	11.21children, the parent may provide up to 60 hours of medical assistance home and
347	347	11.22community-based services in a seven-day period regardless of the number of children served.
348	348	11.23 (e) A parent may provide personal assistance services to a minor child who has an
349	349	11.24assessed activity of daily living dependency requiring supervision, direction, cueing, or
350	350	11.25hands-on assistance, including when provided while traveling temporarily out-of-state.
351	351	11.26 (f) If a participant's spouse is providing personal assistance services, the spouse may
352	352	11.27provide up to 60 hours of medical assistance home and community-based services in a
353	353	11.28seven-day period.
354	354	11.29 (f) (g) This subdivision must not be construed to permit an increase in the total authorized
355	355	11.30consumer-directed community supports budget for an individual.
356	356	11Sec. 15.
357	357	REVISOR DTT/NB 25-0262401/31/25 12.1 Sec. 16. PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY WORKING
358	358	12.2GROUP.
359	359	12.3 (a) By July 15, 2025, the commissioner of human services must convene a working
360	360	12.4group with participation from organizations operating psychiatric residential treatment
361	361	12.5facilities, advocates, health care experts, juvenile detention experts, county representatives,
362	362	12.6and at least one employee of Direct Care and Treatment appointed by the chief executive
363	363	12.7officer of Direct Care and Treatment, and at least two employees of the Department of
364	364	12.8Human Services, one of whom must have expertise in behavioral health and one of whom
365	365	12.9must have expertise in licensing of residential facilities.
366	366	12.10 (b) By January 15, 2026, the psychiatric residential treatment facility working group
367	367	12.11must submit a report to the chairs and ranking minority members of the legislative committees
368	368	12.12with jurisdiction over children's mental health and juvenile detention. The submitted report
369	369	12.13must include recommendations:
370	370	12.14 (1) to amend the state medical assistance plan to expand access to care provided in
371	371	12.15psychiatric residential treatment facilities with consideration being given to enhancing
372	372	12.16flexibilities to serve a continuum of mental health needs;
373	373	12.17 (2) to develop licensing standards for psychiatric residential treatment facilities to reflect
374	374	12.18needed flexibilities and broad inclusion of settings where care can be delivered, including
375	375	12.19in settings operated by Direct Care and Treatment; and
376	376	12.20 (3) to update the rate methodology for services provided in psychiatric residential
377	377	12.21treatment facilities to assure high quality of care with required individualization.
378	378	12.22 (c) When developing the recommendations required under paragraph (b), the working
379	379	12.23group must:
380	380	12.24 (1) consider how best to meet the needs of children with high levels of complexity,
381	381	12.25aggression, and related barriers to being served by community providers; and
382	382	12.26 (2) determine what would be required, including needed infrastructure, staffing, and
383	383	12.27sustainable funding sources, to allow qualified residential treatment programs to transition
384	384	12.28to a psychiatric residential treatment facility standard of care.
385	385	12.29 EFFECTIVE DATE.This section is effective the day following final enactment.
386	386	12.30Sec. 17. MENTAL HEALTH COLLABORATION HUB INNOVATION PILOT.
387	387	12.31 (a) The commissioner of human services shall provide funding and technical assistance
388	388	12.32to and establish a data sharing agreement with the Mental Health Collaboration Hub to
389	389	12Sec. 17.
390	390	REVISOR DTT/NB 25-0262401/31/25 13.1support the Hub's pilot project to develop and implement innovative care pathways and care
391	391	13.2facility decompression strategies. This pilot project must fund, track, and evaluate activities
392	392	13.3that expedite transitions of children from inappropriate care settings to appropriate care
393	393	13.4settings. A steering committee of expert Mental Health Collaboration Hub participants
394	394	13.5representing the continuum of children's behavioral health care will guide funding
395	395	13.6determinations to support the transition of up to 200 children per year.
396	396	13.7 (b) On January 1, 2027, and each January 1 for the subsequent four years, the Mental
397	397	13.8Health Collaboration Hub must submit a report to the commissioner and chairs and ranking
398	398	13.9minority members of the legislative committees with jurisdiction over children's mental
399	399	13.10health and juvenile detention. The report must describe how the awarded grant money was
400	400	13.11spent and summarize the impact the pilot project had on participating children, families,
401	401	13.12and providers.
402	402	13.13Sec. 18. ROOM AND BOARD COSTS IN CHILDREN'S RESIDENTIAL
403	403	13.14FACILITIES.
404	404	13.15 Notwithstanding Laws 2023, chapter 70, article 9, section 41, the room and board rate
405	405	13.16for children's residential treatment services provided under Minnesota Statutes, section
406	406	13.17245.4882, to individuals who do not have a placement under Minnesota Statutes, chapter
407	407	13.18260C or 260D, must be equal to the proportion of the service provider's per day IV-E program
408	408	13.19contract rate that relates to room and board. The commissioner of human services must
409	409	13.20update the behavioral health fund room and board rate schedule to include these room and
410	410	13.21board rates by provider.
411	411	13.22 EFFECTIVE DATE.This section is effective July 1, 2025, and the new rates apply to
412	412	13.23room and board provided on or after that date.
413	413	13.24Sec. 19. RATE INCREASE FOR IN-HOME CHILDREN'S MENTAL HEALTH
414	414	13.25SERVICES.
415	415	13.26 The commissioner must increase by 50 percent:
416	416	13.27 (1) the rates that apply to any claim for any children's mental health service submitted
417	417	13.28with an in-home modifier; and
418	418	13.29 (2) reimbursement rates for mental health provider travel time directly related to a claim
419	419	13.30described in clause (1).
420	420	13Sec. 19.
421	421	REVISOR DTT/NB 25-0262401/31/25 14.1 Sec. 20. APPROPRIATION; BRIDGE TO CHILDREN'S RESIDENTIAL MENTAL
422	422	14.2HEALTH CRISIS STABILIZATION.
423	423	14.3 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
424	424	14.4human services for onetime grants to direct service providers and partnering county human
425	425	14.5services agencies to support the provision of children's residential mental health crisis
426	426	14.6stabilization services until federal approval is obtained for a children's residential mental
427	427	14.7health crisis stabilization benefit under medical assistance. This is a onetime appropriation.
428	428	14.8 Sec. 21. APPROPRIATION; HIGH-FIDELITY WRAPAROUND GRANTS.
429	429	14.9 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
430	430	14.10fund to the commissioner of human services for high-fidelity wraparound grants under
431	431	14.11Minnesota Statutes, section 245.4909.
432	432	14.12Sec. 22. APPROPRIATION; MENTAL HEALTH COLLABORATION HUB
433	433	14.13INNOVATION PILOT.
434	434	14.14 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
435	435	14.15fund to the commissioner of human services for a sole-source grant to the Mental Health
436	436	14.16Collaboration Hub for the Mental Health Collaboration Hub innovation pilot. Up to ten
437	437	14.17percent of this appropriation may be used to support administrative operations of the Mental
438	438	14.18Health Collaboration Hub. The general fund base for this appropriation is $....... in fiscal
439	439	14.19year 2028, $....... in fiscal year 2029, and $0 in fiscal year 2030.
440	440	14.20Sec. 23. APPROPRIATION; PSYCHIATRIC RESIDENTIAL TREATMENT
441	441	14.21FACILITY WORKING GROUP.
442	442	14.22 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
443	443	14.23human services for the psychiatric residential treatment facility working group. This is a
444	444	14.24onetime appropriation.
445	445	14.25Sec. 24. APPROPRIATION; TARGETED RECRUITMENT FOR RESPITE CARE
446	446	14.26ACCESS.
447	447	14.27 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
448	448	14.28human services for competitive grants to private agencies as defined under Minnesota
449	449	14.29Statutes, section 142B.01, for targeted recruitment of licensed respite care providers to
450	450	14.30support children with complex behavioral needs. The commissioner must prioritize: (1)
451	451	14.31culturally specific engagement with families of children requiring respite services and their
452	452	14Sec. 24.
453	453	REVISOR DTT/NB 25-0262401/31/25 15.1communities; (2) targeted recruitment within expert professional groups; and (3) direct
454	454	15.2support to license newly recruited respite care providers, train newly licensed respite care
455	455	15.3providers, and provide individualized care planning for children requiring respite care
456	456	15.4services. The commissioner may also conduct individualized recruitment activities, support
457	457	15.5training for licensed respite providers, and provide crisis response care to assure stability
458	458	15.6and support for children. This is a onetime appropriation.
459	459	15.7 Sec. 25. APPROPRIATION; YOUTH CARE PROFESSIONAL TRAINING
460	460	15.8PROGRAM.
461	461	15.9 $1,900,000 in fiscal year 2026 and $1,700,000 in fiscal year 2027 are appropriated from
462	462	15.10the general fund to the commissioner of human services for youth care professional grants
463	463	15.11under Minnesota Statutes, section 245.4908.
464	464	15.12Sec. 26. APPROPRIATION; YOUTH CARE TRANSITION TEAM GRANTS.
465	465	15.13 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
466	466	15.14fund to the commissioner of human services for youth care transition teams under Minnesota
467	467	15.15Statutes, section 256.01, subdivision 44.
468	468	15.16Sec. 27. REVISOR INSTRUCTION.
469	469	15.17 The revisor of statutes shall renumber Minnesota Statutes, section 245.491, as Minnesota
470	470	15.18statutes, section 245.4919. The revisor shall also make necessary cross-reference changes
471	471	15.19in Minnesota Statutes and Minnesota Rules consistent with the renumbering.
472	472	15Sec. 27.
473	473	REVISOR DTT/NB 25-0262401/31/25