Minnesota 2025-2026 Regular Session

Minnesota House Bill HF685 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 health; providing medical assistance coverage for violence prevention
3	3	1.3 services; requiring initial and final reports on violence prevention services;
4	4	1.4 amending Minnesota Statutes 2024, section 256B.0625, by adding a subdivision;
5	5	1.5 proposing coding for new law in Minnesota Statutes, chapter 256B.
6	6	1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
7	7	1.7 Section 1. Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision
8	8	1.8to read:
9	9	1.9 Subd. 77.Violence prevention services.Medical assistance covers violence prevention
10	10	1.10services, as provided in section 256B.0762.
11	11	1.11 EFFECTIVE DATE.This section is effective January 1, 2026.
12	12	1.12 Sec. 2. [256B.0762] VIOLENCE PREVENTION SERVICES.
13	13	1.13 Subdivision 1.Definitions.(a) For purposes of this section, the following definitions
14	14	1.14apply.
15	15	1.15 (b) "Provider" means a violence prevention services provider that meets the standards
16	16	1.16established by the Health Alliance for Violence Intervention or an equivalent accrediting
17	17	1.17organization.
18	18	1.18 (c) "Violence prevention services" means services provided to promote improved health
19	19	1.19outcomes and positive behavioral and environmental change, prevent injury and recidivism,
20	20	1.20and reduce the likelihood that individuals who are victims of community violence will
21	21	1.21commit or promote violence themselves.
22	22	1Sec. 2.
23	23	REVISOR AGW/KR 25-0150812/19/24
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. 685
29	29	NINETY-FOURTH SESSION
30	30	Authored by Frazier02/13/2025
31	31	The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1 (d) "Violence prevention professional" means an individual certified by the Health
32	32	2.2Alliance for Violence Intervention or an equivalent accrediting organization to provide
33	33	2.3violence prevention services.
34	34	2.4 Subd. 2.Provider requirements.To be eligible to receive reimbursement for the
35	35	2.5provision of violence prevention services, a provider must:
36	36	2.6 (1) meet qualifications to bill as a medical assistance provider or to provide services
37	37	2.7under contract with a medical assistance provider;
38	38	2.8 (2) ensure that all supervisors of violence prevention professionals have been certified
39	39	2.9by the Health Alliance for Violence Intervention or an equivalent accrediting organization
40	40	2.10as violence prevention professionals and have been providing violence prevention services
41	41	2.11for a minimum of two years; and
42	42	2.12 (3) show and maintain evidence that all violence prevention professionals employed by
43	43	2.13or under contract with the provider are certified by the Health Alliance for Violence
44	44	2.14Intervention or an equivalent accrediting organization.
45	45	2.15 Subd. 3.Settings.Violence prevention services may be provided in any setting.
46	46	2.16 Subd. 4.Recipient eligibility; criteria for coverage of services.(a) To be eligible for
47	47	2.17violence prevention services, a recipient must:
48	48	2.18 (1) have received medical treatment for an injury sustained due to an act of community
49	49	2.19violence or be experiencing physical or mental illness symptoms due to exposure to
50	50	2.20community violence;
51	51	2.21 (2) be referred for violence prevention services, as part of a determination of medical
52	52	2.22necessity and coverage, by a physician or other qualified licensed health care practitioner
53	53	2.23based on a determination that the recipient is at elevated risk of a violent injury or retaliation
54	54	2.24resulting from another act of community violence; and
55	55	2.25 (3) meet the criteria in the Minnesota health care programs provider manual for enrollee
56	56	2.26eligibility for violence prevention services.
57	57	2.27 (b) The services recommended through referral under paragraph (a), clause (2), must:
58	58	2.28 (1) meet the criteria for preventive services as specified in Code of Federal Regulations,
59	59	2.29title 42, section 440.130(c);
60	60	2.30 (2) be within the practitioner's scope of practice under state law; and
61	61	2Sec. 2.
62	62	REVISOR AGW/KR 25-0150812/19/24 3.1 (3) be designed to prevent further impacts of community violence, prevent future
63	63	3.2community violence, prolong life, and promote the physical and mental health of the
64	64	3.3individual.
65	65	3.4 Subd. 5.Payment rate.(a) Effective January 1, 2026, the violence prevention services
66	66	3.5rate for services provided by a certified violence prevention professional must be at least
67	67	3.6$25 for each 15-minute unit of service. This rate must be adjusted annually for inflation as
68	68	3.7provided in subdivision 6.
69	69	3.8 (b) Services eligible for coverage as violence prevention services include:
70	70	3.9 (1) screening;
71	71	3.10 (2) assessment of needs;
72	72	3.11 (3) development of an individualized service plan;
73	73	3.12 (4) peer support;
74	74	3.13 (5) counseling, including counseling to address and mitigate the impacts of trauma;
75	75	3.14 (6) mentorship;
76	76	3.15 (7) conflict mediation;
77	77	3.16 (8) crisis intervention;
78	78	3.17 (9) patient education;
79	79	3.18 (10) discharge planning;
80	80	3.19 (11) documentation;
81	81	3.20 (12) transportation necessary to access services;
82	82	3.21 (13) care coordination services meeting the criteria in paragraph (c); and
83	83	3.22 (14) any additional services listed as violence prevention services in the Minnesota
84	84	3.23health care programs provider manual.
85	85	3.24 (c) Care coordination services must be part of community violence prevention services
86	86	3.25and must facilitate the recipient's access to appropriate services, including medical, behavioral
87	87	3.26health, social, and other necessary services. These services must be designed to prevent
88	88	3.27further impacts of community violence, prevent future community violence, prolong life,
89	89	3.28and promote the recipient's physical and mental health, in accordance with the individualized
90	90	3.29service plan.
91	91	3Sec. 2.
92	92	REVISOR AGW/KR 25-0150812/19/24 4.1 Subd. 6.Rate adjustments.Effective for rate years beginning on or after January 1,
93	93	4.22027, the commissioner shall adjust payment rates for violence prevention services annually
94	94	4.3for inflation using the Centers for Medicare and Medicaid Services Medicare Economic
95	95	4.4Index, as forecasted in the second quarter of the calendar year before the rate year. The
96	96	4.5inflation adjustment must be based on the 12-month period from the midpoint of the previous
97	97	4.6rate year to the midpoint of the rate year for which the rate is being determined.
98	98	4.7 EFFECTIVE DATE.This section is effective January 1, 2026.
99	99	4.8 Sec. 3. REPORT ON VIOLENCE PREVENTION SERVICES.
100	100	4.9 (a) The commissioner of human services shall report on medical assistance coverage of
101	101	4.10violence prevention services to the chairs and ranking minority members of the legislative
102	102	4.11committees with jurisdiction over health and human services finance and policy. The
103	103	4.12commissioner shall submit an initial report by February 1, 2028, and a final report by
104	104	4.13February 1, 2029.
105	105	4.14 (b) The reports must include but are not limited to:
106	106	4.15 (1) a list of the violence prevention service providers in Minnesota and the number of
107	107	4.16service recipients;
108	108	4.17 (2) the estimated return on investment, including health care savings due to reduced
109	109	4.18hospitalizations;
110	110	4.19 (3) the percentage of client goals met;
111	111	4.20 (4) follow-up information, if available, on whether repeat violent injuries decreased
112	112	4.21since violence prevention services were provided, compared to the period before the services
113	113	4.22were provided; and
114	114	4.23 (5) any other information that can be used to determine the effectiveness of violence
115	115	4.24prevention services and their funding, including recommendations for improvements to
116	116	4.25medical assistance coverage of violence prevention services.
117	117	4Sec. 3.
118	118	REVISOR AGW/KR 25-0150812/19/24