1.1 A bill for an act
1.2 relating to human services; establishing grant programs for various purposes related
1.3 to children's mental health; modifying provisions governing long-term care
1.4 consultation services; modifying rates for certain children's mental health services;
1.5 establishing the psychiatric residential treatment facility working group; requiring
1.6 reports; appropriating money; amending Minnesota Statutes 2024, sections
1.7 245.4907, subdivision 3; 245I.04, subdivision 12; 256.01, by adding a subdivision;
1.8 256B.0616, subdivisions 4, 5; 256B.0911, subdivisions 1, 10, 13, 14, 17, by adding
1.9 subdivisions; 256B.4911, subdivision 6; proposing coding for new law in Minnesota
1.10 Statutes, chapter 245.
1.11BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.12 Section 1. Minnesota Statutes 2024, section 245.4907, subdivision 3, is amended to read:
1.13 Subd. 3.Allowable grant activities.Grantees must use grant funding to provide training
1.14for mental health certified family peer specialists specialist candidates and continuing
1.15education to certified family peer specialists as specified in section 256B.0616, subdivision
1.165.
1.17 Sec. 2. [245.4908] YOUTH CARE PROFESSIONAL GRANT PROGRAM.
1.18 Subdivision 1.Establishment.The commissioner of human services must establish a
1.19competitive youth care professional grant to provide funding for required nonfacility specific
1.20and nonprogram specific orientation and training of direct care staff in the following settings
1.21and programs:
1.22 (1) children's residential facilities licensed under Minnesota Rules, parts 2960.0010 to
1.232960.0750;
1Sec. 2.
25-02624 as introduced01/31/25 REVISOR DTT/NB
SENATE
STATE OF MINNESOTA
S.F. No. 1561NINETY-FOURTH SESSION
(SENATE AUTHORS: MANN, Utke and Boldon)
OFFICIAL STATUSD-PGDATE
Introduction and first reading02/17/2025
Referred to Health and Human Services 2.1 (2) children's residential programs certified under Minnesota Rules, parts 2960.0010 to
2.22960.0750; and
2.3 (3) day treatment programs described in section 256B.0943.
2.4 Subd. 2.Eligible applicants.An eligible applicant is a Minnesota-based third-party
2.5training provider that:
2.6 (1) is affiliated with a research institution conducting regular inquiry into child and youth
2.7development;
2.8 (2) has experience developing, facilitating, and evaluating child and youth training
2.9content provided to a Minnesota workforce;
2.10 (3) has expertise in curriculum development for both synchronous and asynchronous
2.11virtual training; and
2.12 (4) has expertise in utilizing learner management systems for transferable electronic
2.13training records.
2.14 Subd. 3.Program development.(a) The commissioner must contract with the grantee
2.15to establish nonfacility specific and nonprogram specific orientation and training curricula
2.16and accompanying assessment mechanisms. The contract must contain a complete list of
2.17orientation and training topics the grantee must include in the curricula and standards for
2.18demonstrating competency in the topics included in the curricula. The curricula must include
2.19how to provide services to a person according to a trauma-informed model of care.
2.20 (b) When developing the nonfacility specific and nonprogram specific orientation and
2.21training curricula, the grantee must consult with children's residential program staff and day
2.22treatment program staff.
2.23 (c) The grantee must include all nonfacility specific and nonprogram specific orientation
2.24and training topics required of the targeted direct care staff under Minnesota Rules, parts
2.252960.0010 to 2960.0750, and as applicable, chapter 245I.
2.26 Subd. 4.Training activities.The grantee must maintain a learning management system
2.27that keeps a record of each training participant's progress toward completing the curricula,
2.28including the results of competency assessments.
2.29 Subd. 5.Youth care professional registry.(a) The grantee must create and maintain
2.30a youth care professional registry. Training participants who have successfully completed
2.31the training program and demonstrated the relevant competencies may elect to be included
2.32on the registry. When a training participant elects to be included on the registry, the grantee
2Sec. 2.
25-02624 as introduced01/31/25 REVISOR DTT/NB 3.1must enter the training participant's name and training completion date on the youth care
3.2professional registry.
3.3 (b) If the registrant gives written permission, the grantee must share the registrant's
3.4record with an any child-serving organization that specifically requests the registrant's
3.5record.
3.6 Sec. 3. [245.4909] HIGH-FIDELITY WRAPAROUND GRANTS.
3.7 Subdivision 1.Establishment.The commissioner of human services shall establish a
3.8high-fidelity wraparound grant program to provide additional funding for a comprehensive
3.9child and family-driven response to children experiencing serious mental health or behavioral
3.10challenges through the implementation of a high-fidelity wraparound service model.
3.11 Subd. 2.Eligible applicants.An eligible applicant is a community-based service provider
3.12or a county with a commitment to providing high-fidelity wraparound services. Applicants
3.13other than counties must partner with a county. Applicants must describe county efforts to
3.14leverage an enhanced children's mental health targeted case management rate to support
3.15base funding for high-fidelity wraparound services provided to recipients of medical
3.16assistance.
3.17 Subd. 3.Grant activities.Grantees must comply with relevant mental health targeted
3.18case management services standards described in section 256B.0625, subdivision 20, and
3.19deliver high-fidelity wraparound services through an evidence-based model approved by
3.20the commissioner. Permissible uses of awarded grant money include paying for start-up
3.21costs and ancillary care. A grantee may use awarded grant funds to pay for the provision
3.22of high-fidelity wraparound services, but only after determining and documenting that no
3.23other payor, including the county and medical assistance, is liable for the cost of services.
3.24 Subd. 4.Technical assistance to counties.The commissioner shall clearly communicate
3.25to county human services directors that the delivery of high-fidelity wraparound services
3.26provides an opportunity for a county to apply for an enhanced rate for children's mental
3.27health targeted case management. The commissioner shall provide timely clear direction
3.28and enhanced rate application support to counties that express interest in supporting the
3.29provision of high-fidelity wraparound services.
3.30 Subd. 5.Data collection and outcome measurement.Grantees shall provide the
3.31commissioner with service utilization and outcome data no more frequently than twice per
3.32year. The commissioner shall design the data requirements in consultation with the grantee.
3Sec. 3.
25-02624 as introduced01/31/25 REVISOR DTT/NB 4.1 Sec. 4. Minnesota Statutes 2024, section 245I.04, subdivision 12, is amended to read:
4.2 Subd. 12.Mental health certified family peer specialist qualifications.A mental
4.3health certified family peer specialist must:
4.4 (1) have raised or be currently raising a child with a mental illness or have lived
4.5experience as a youth with a mental illness;
4.6 (2) have experience navigating the children's mental health system; and
4.7 (3) have a valid certification as a mental health certified family peer specialist under
4.8section 256B.0616.
4.9 Sec. 5. Minnesota Statutes 2024, section 256.01, is amended by adding a subdivision to
4.10read:
4.11 Subd. 44.Youth care transition teams.(a) The commissioner shall establish and
4.12maintain youth care transition teams to facilitate the transition of youth from inpatient
4.13psychiatric settings, emergency departments, inpatient hospitalization, juvenile detention
4.14facilities, residential treatment facilities, and child and adolescent behavioral health hospitals
4.15to the community or to a less restrictive care setting. Each multidisciplinary team must
4.16consist of at least one mental health professional as defined in section 245I.04, subdivision
4.172, and a family peer specialist. Teams must coordinate with family caregivers, the setting
4.18from which the child is discharging, community providers, lead agencies, health carriers as
4.19defined in section 62A.011, the Department of Human Services, and other involved parties.
4.20Teams must support the youth's transition to necessary care and treatment in a community
4.21setting or a setting that is less restrictive than the setting from which the youth is discharging.
4.22 (b) The commissioner must ensure that the teams make available at least 90 days of
4.23direct support to the youth and caregivers to support and stabilize the youth's transition to
4.24community.
4.25 Sec. 6. Minnesota Statutes 2024, section 256B.0616, subdivision 4, is amended to read:
4.26 Subd. 4.Family peer support specialist program providers.The commissioner shall
4.27develop a process to certify family peer support specialist programs, in accordance with the
4.28federal guidelines, in order for the program to bill for reimbursable services. Family peer
4.29support programs must operate within an existing mental health community provider or
4.30center.
4Sec. 6.
25-02624 as introduced01/31/25 REVISOR DTT/NB 5.1 Sec. 7. Minnesota Statutes 2024, section 256B.0616, subdivision 5, is amended to read:
5.2 Subd. 5.Certified family peer specialist training and certification.(a) The
5.3commissioner shall develop a or approve the use of an existing training and certification
5.4process for certified certifying family peer specialists. The Family peer specialist candidates
5.5must have raised or be currently raising a child with a mental illness, or have lived experience
5.6as a youth with a mental illness; have had experience navigating the children's mental health
5.7system,; and must demonstrate leadership and advocacy skills and a strong dedication to
5.8family-driven and family-focused services. The training curriculum must teach participating
5.9family peer specialists specialist candidates specific skills relevant to providing peer support
5.10to other parents and youth.
5.11 (b) In addition to initial training and certification, the commissioner shall develop ongoing
5.12continuing educational workshops on pertinent issues related to family peer support
5.13counseling.
5.14 (c) Initial training leading to certification as a family peer specialist and continuing
5.15education for certified family peer specialists must be delivered by the commissioner or a
5.16third-party organization approved by the commissioner. An approved third-party organization
5.17may also provide continuing education of certified family peer specialists.
5.18 Sec. 8. Minnesota Statutes 2024, section 256B.0911, subdivision 1, is amended to read:
5.19 Subdivision 1.Purpose and goal.(a) The purpose of long-term care consultation services
5.20is to assist persons with long-term or chronic care needs in making care decisions and
5.21selecting support and service options that meet their needs and reflect their preferences.
5.22The availability of, and access to, information and other types of assistance, including
5.23long-term care consultation assessment and support planning, is also intended to prevent
5.24or delay institutional placements and to provide access to transition assistance after
5.25placement. Further, the goal of long-term care consultation services is to contain costs
5.26associated with unnecessary institutional admissions. Long-term care consultation services
5.27must be available to any person regardless of public program eligibility.
5.28 (b) The commissioner of human services shall seek to maximize use of available federal
5.29and state funds and establish the broadest program possible within the funding available.
5.30 (c) Long-term care consultation services must be coordinated with long-term care options
5.31counseling, long-term care options counseling for assisted living at critical care transitions,
5.32the Disability Hub, and preadmission screening.
5Sec. 8.
25-02624 as introduced01/31/25 REVISOR DTT/NB 6.1 (d) A lead agency providing long-term care consultation services shall encourage the
6.2use of volunteers from families, religious organizations, social clubs, and similar civic and
6.3service organizations to provide community-based services.
6.4 Sec. 9. Minnesota Statutes 2024, section 256B.0911, subdivision 10, is amended to read:
6.5 Subd. 10.Definitions.(a) For purposes of this section, the following definitions apply.
6.6 (b) "Available service and setting options" or "available options," with respect to the
6.7home and community-based waivers under chapter 256S and sections 256B.092 and 256B.49,
6.8means all services and settings defined under the waiver plan for which a waiver applicant
6.9or waiver participant is eligible.
6.10 (c) "Competitive employment" means work in the competitive labor market that is
6.11performed on a full-time or part-time basis in an integrated setting, and for which an
6.12individual is compensated at or above the minimum wage, but not less than the customary
6.13wage and level of benefits paid by the employer for the same or similar work performed by
6.14individuals without disabilities.
6.15 (d) "Cost-effective" means community services and living arrangements that cost the
6.16same as or less than institutional care. For an individual found to meet eligibility criteria
6.17for home and community-based service programs under chapter 256S or section 256B.49,
6.18"cost-effectiveness" has the meaning found in the federally approved waiver plan for each
6.19program.
6.20 (e) "Independent living" means living in a setting that is not controlled by a provider.
6.21 (f) "Informed choice" has the meaning given in section 256B.4905, subdivision 1a.
6.22 (g) "Lead agency" means a county administering or a Tribe or health plan under contract
6.23with the commissioner to administer long-term care consultation services.
6.24 (h) "Long-term care consultation services" means the activities described in subdivision
6.2511.
6.26 (i) "Long-term care options counseling" means the services provided by sections 256.01,
6.27subdivision 24, and 256.975, subdivision 7, and also includes telephone assistance and
6.28follow-up after a long-term care consultation assessment has been completed.
6.29 (j) "Long-term care options counseling for assisted living at critical care transitions"
6.30means the services provided under section 256.975, subdivisions subdivision 7e to 7g.
6.31 (k) "Minnesota health care programs" means the medical assistance program under this
6.32chapter and the alternative care program under section 256B.0913.
6Sec. 9.
25-02624 as introduced01/31/25 REVISOR DTT/NB 7.1 (l) "Person-centered planning" is a process that includes the active participation of a
7.2person in the planning of the person's services, including in making meaningful and informed
7.3choices about the person's own goals, talents, and objectives, as well as making meaningful
7.4and informed choices about the services the person receives, the settings in which the person
7.5receives the services, and the setting in which the person lives.
7.6 (m) "Preadmission screening" means the services provided under section 256.975,
7.7subdivisions 7a to 7c.
7.8 Sec. 10. Minnesota Statutes 2024, section 256B.0911, subdivision 13, is amended to read:
7.9 Subd. 13.MnCHOICES assessor qualifications, training, and certification.(a) The
7.10commissioner shall develop and implement a curriculum and an assessor certification
7.11process.
7.12 (b) MnCHOICES certified assessors must:
7.13 (1) either have a bachelor's at least an associate's degree in social work human services,
7.14nursing with a public health nursing certificate, or other closely related field or be a registered
7.15nurse; and
7.16 (2) have received training and certification specific to assessment and consultation for
7.17long-term care services in the state.
7.18 (c) Certified assessors shall demonstrate best practices in assessment and support
7.19planning, including person-centered planning principles, and have a common set of skills
7.20that ensures consistency and equitable access to services statewide.
7.21 (d) Certified assessors must be recertified every three years.
7.22 Sec. 11. Minnesota Statutes 2024, section 256B.0911, subdivision 14, is amended to read:
7.23 Subd. 14.Use of MnCHOICES certified assessors required.(a) Each lead agency
7.24shall use MnCHOICES certified assessors who have completed MnCHOICES training and
7.25the certification process determined by the commissioner in subdivision 13.
7.26 (b) Each lead agency must ensure that the lead agency has sufficient numbers of certified
7.27assessors to provide long-term consultation assessment and support planning within the
7.28timelines and parameters of the service.
7.29 (c) A lead agency may choose, according to departmental policies, to contract with a
7.30qualified, certified assessor to conduct assessments and reassessments on behalf of the lead
7.31agency.
7Sec. 11.
25-02624 as introduced01/31/25 REVISOR DTT/NB 8.1 (d) Tribes and health plans under contract with the commissioner must provide long-term
8.2care consultation services as specified in the contract.
8.3 (e) A lead agency must provide the commissioner with an administrative contact for
8.4communication purposes.
8.5 (f) A lead agency may contract with hospitals to conduct assessments of patients in the
8.6hospital on behalf of the lead agency when the lead agency has failed to meet its obligations
8.7under subdivision 17 to complete within 20 working days an assessment of a person in a
8.8hospital (1) who has requested long-term care consultation services, or (2) for whom
8.9long-term care consultation services have been recommended and the commissioner has
8.10also failed to meet the commissioner's obligation under subdivision 34 to complete an
8.11assessment within ten working days of the recommendation. The contracted assessment
8.12must be conducted by a hospital employee who is a qualified, certified assessor. The hospital
8.13employees who perform assessments under the contract between the hospital and the lead
8.14agency may perform assessments in addition to other duties assigned to the employee by
8.15the hospital, except the hospital employees who perform the assessments under contract
8.16with the lead agency must not perform any waiver-related tasks other than assessments.
8.17The reimbursement by the county to the hospital for each assessment conducted must not
8.18exceed the sum of the average reimbursement from the commissioner to the county per
8.19assessment, plus the county share as determined under subdivision 33.
8.20 Sec. 12. Minnesota Statutes 2024, section 256B.0911, subdivision 17, is amended to read:
8.21 Subd. 17.MnCHOICES assessments.(a) A person requesting long-term care
8.22consultation services must be visited by a long-term care consultation team must complete
8.23an assessment of a person requesting long-term care consultation services or for whom
8.24long-term care consultation services were recommended within 20 working days after the
8.25date on which an assessment was requested or recommended. For each day that a lead
8.26agency is out of compliance with the required timeline for completing an assessment under
8.27this paragraph, the lead agency shall forfeit to the commissioner of human services a fine
8.28of $250. The commissioner must deposit all forfeitures under this paragraph into the general
8.29fund. The commissioner may waive the daily fines in part or in whole upon a determination
8.30by the commissioner that the lead agency lacks sufficient staff to meet the required timelines.
8.31If the lead agency is aggrieved by the decision of the commissioner to not waive the fines,
8.32the lead agency may appeal to the district court having jurisdiction over the lead agency
8.33responsible for providing the long-term care consultation services at issue under section
8.34256.045, subdivision 7.
8Sec. 12.
25-02624 as introduced01/31/25 REVISOR DTT/NB 9.1 (b) Assessments must be conducted according to this subdivision and subdivisions 19
9.2to 21, 23, 24, and 29 to 31.
9.3 (b) (c) Lead agencies shall use certified assessors to conduct the assessment.
9.4 (c) (d) For a person with complex health care needs, a public health or registered nurse
9.5from the team must be consulted.
9.6 (d) (e) The lead agency must use the MnCHOICES assessment provided by the
9.7commissioner to complete a comprehensive, conversation-based, person-centered assessment.
9.8The assessment must include the health, psychological, functional, environmental, and
9.9social needs of the individual necessary to develop a person-centered assessment summary
9.10that meets the individual's needs and preferences.
9.11 (e) (f) Except as provided in subdivision 24, an assessment must be conducted by a
9.12certified assessor in an in-person conversational interview with the person being assessed.
9.13 Sec. 13. Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
9.14to read:
9.15 Subd. 34.State assessors.(a) The commissioner must create a pool of state employees
9.16who are qualified, certified assessors. A member of the state-employed certified assessor
9.17pool may perform other duties as assigned. A member of the state-employed certified
9.18assessor pool must not be assigned or perform any duties related to appeals under section
9.19256.045 of certified assessors' decisions regarding eligibility for services and programs as
9.20defined in subdivision 11, clauses (5), (7) to (10), and (15); certified assessors' decisions
9.21regarding the need for institutional level of care; or lead agencies' final decisions regarding
9.22eligibility for public programs.
9.23 (b) The commissioner must deploy a state-employed certified assessor who must complete
9.24an assessment within ten business days of a request from a facility if the conditions of
9.25paragraph (c) or (d) are met. For the purposes of this subdivision, "facility" means a hospital,
9.26a licensed health care facility, a licensed residential setting, a licensed assisted living facility,
9.27or any correctional facility enumerated in section 241.91.
9.28 (c) If a lead agency fails to meet its obligation under subdivision 17 to complete within
9.2920 working days an assessment of a person in a facility who has requested long-term care
9.30consultation services or for whom long-term care consultation services have been
9.31recommended, the facility may request that the commissioner deploy a state-employed
9.32certified assessor to conduct an assessment of that person on behalf of the lead agency.
9Sec. 13.
25-02624 as introduced01/31/25 REVISOR DTT/NB 10.1 (d) If at any time a lead agency informs a facility that the lead agency will not meet its
10.2obligation under subdivision 17 to complete an assessment of the person in the facility who
10.3has requested long-term care consultation services or for whom long-term care services
10.4were requested, the facility may request that the commissioner deploy a state-employed
10.5certified assessor to conduct the assessment of that person on behalf of the lead agency.
10.6 (e) For each assessment conducted under this subdivision, the commissioner shall recoup
10.7from the lead agency the sum of the average reimbursement from the commissioner to the
10.8lead agency per assessment, plus the county share as determined under subdivision 33.
10.9 Sec. 14. Minnesota Statutes 2024, section 256B.0911, is amended by adding a subdivision
10.10to read:
10.11 Subd. 35.Report on assessment completions.(a) The commissioner shall issue a public
10.12report twice per year containing summary data on the completion of assessments under this
10.13section. Lead agencies must submit to the commissioner in the form and manner determined
10.14by the commissioner all summary data the commissioner requests for the purposes of the
10.15report.
10.16 (b) The report must include:
10.17 (1) the total number of assessments performed since the previous reporting period;
10.18 (2) the total number of initial assessments performed since the previous reporting period;
10.19 (3) the total number of reassessments performed since the previous reporting period;
10.20 (4) the number and percentage of assessments completed within the required timeline,
10.21by a lead agency;
10.22 (5) the average length of time to complete an assessment, by a lead agency;
10.23 (6) the number and percentage of all assessments performed on behalf of a lead agency
10.24by a state-employed assessor under subdivision 34, by a lead agency;
10.25 (7) the number and percentage of all assessments performed on behalf of a lead agency
10.26by a hospital under subdivision 14, paragraph (f), by a lead agency;
10.27 (8) summary data of the location in which the assessments were performed; and
10.28 (9) other information the commissioner determines is valuable to assess the capacity of
10.29lead agencies to complete assessments within the timelines prescribed by law.
10Sec. 14.
25-02624 as introduced01/31/25 REVISOR DTT/NB 11.1 Sec. 15. Minnesota Statutes 2024, section 256B.4911, subdivision 6, is amended to read:
11.2 Subd. 6.Services provided by parents and spouses.(a) This subdivision limits medical
11.3assistance payments under the consumer-directed community supports option for personal
11.4assistance services provided by a parent to the parent's minor child or by a participant's
11.5spouse. This subdivision applies to the consumer-directed community supports option
11.6available under all of the following:
11.7 (1) alternative care program;
11.8 (2) brain injury waiver;
11.9 (3) community alternative care waiver;
11.10 (4) community access for disability inclusion waiver;
11.11 (5) developmental disabilities waiver; and
11.12 (6) elderly waiver.
11.13 (b) For the purposes of this subdivision, "parent" means a parent, stepparent, or legal
11.14guardian of a minor.
11.15 (c) If multiple parents are providing personal assistance services to their minor child or
11.16children, each parent may provide up to 40 hours of personal assistance services in any
11.17seven-day period regardless of the number of children served. The total number of hours
11.18of medical assistance home and community-based services provided by all of the parents
11.19must not exceed 80 hours in a seven-day period regardless of the number of children served.
11.20 (d) If only one parent is providing personal assistance services to a minor child or
11.21children, the parent may provide up to 60 hours of medical assistance home and
11.22community-based services in a seven-day period regardless of the number of children served.
11.23 (e) A parent may provide personal assistance services to a minor child who has an
11.24assessed activity of daily living dependency requiring supervision, direction, cueing, or
11.25hands-on assistance, including when provided while traveling temporarily out-of-state.
11.26 (f) If a participant's spouse is providing personal assistance services, the spouse may
11.27provide up to 60 hours of medical assistance home and community-based services in a
11.28seven-day period.
11.29 (f) (g) This subdivision must not be construed to permit an increase in the total authorized
11.30consumer-directed community supports budget for an individual.
11Sec. 15.
25-02624 as introduced01/31/25 REVISOR DTT/NB 12.1 Sec. 16. PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY WORKING
12.2GROUP.
12.3 (a) By July 15, 2025, the commissioner of human services must convene a working
12.4group with participation from organizations operating psychiatric residential treatment
12.5facilities, advocates, health care experts, juvenile detention experts, county representatives,
12.6and at least one employee of Direct Care and Treatment appointed by the chief executive
12.7officer of Direct Care and Treatment, and at least two employees of the Department of
12.8Human Services, one of whom must have expertise in behavioral health and one of whom
12.9must have expertise in licensing of residential facilities.
12.10 (b) By January 15, 2026, the psychiatric residential treatment facility working group
12.11must submit a report to the chairs and ranking minority members of the legislative committees
12.12with jurisdiction over children's mental health and juvenile detention. The submitted report
12.13must include recommendations:
12.14 (1) to amend the state medical assistance plan to expand access to care provided in
12.15psychiatric residential treatment facilities with consideration being given to enhancing
12.16flexibilities to serve a continuum of mental health needs;
12.17 (2) to develop licensing standards for psychiatric residential treatment facilities to reflect
12.18needed flexibilities and broad inclusion of settings where care can be delivered, including
12.19in settings operated by Direct Care and Treatment; and
12.20 (3) to update the rate methodology for services provided in psychiatric residential
12.21treatment facilities to assure high quality of care with required individualization.
12.22 (c) When developing the recommendations required under paragraph (b), the working
12.23group must:
12.24 (1) consider how best to meet the needs of children with high levels of complexity,
12.25aggression, and related barriers to being served by community providers; and
12.26 (2) determine what would be required, including needed infrastructure, staffing, and
12.27sustainable funding sources, to allow qualified residential treatment programs to transition
12.28to a psychiatric residential treatment facility standard of care.
12.29 EFFECTIVE DATE.This section is effective the day following final enactment.
12.30Sec. 17. MENTAL HEALTH COLLABORATION HUB INNOVATION PILOT.
12.31 (a) The commissioner of human services shall provide funding and technical assistance
12.32to and establish a data sharing agreement with the Mental Health Collaboration Hub to
12Sec. 17.
25-02624 as introduced01/31/25 REVISOR DTT/NB 13.1support the Hub's pilot project to develop and implement innovative care pathways and care
13.2facility decompression strategies. This pilot project must fund, track, and evaluate activities
13.3that expedite transitions of children from inappropriate care settings to appropriate care
13.4settings. A steering committee of expert Mental Health Collaboration Hub participants
13.5representing the continuum of children's behavioral health care will guide funding
13.6determinations to support the transition of up to 200 children per year.
13.7 (b) On January 1, 2027, and each January 1 for the subsequent four years, the Mental
13.8Health Collaboration Hub must submit a report to the commissioner and chairs and ranking
13.9minority members of the legislative committees with jurisdiction over children's mental
13.10health and juvenile detention. The report must describe how the awarded grant money was
13.11spent and summarize the impact the pilot project had on participating children, families,
13.12and providers.
13.13Sec. 18. ROOM AND BOARD COSTS IN CHILDREN'S RESIDENTIAL
13.14FACILITIES.
13.15 Notwithstanding Laws 2023, chapter 70, article 9, section 41, the room and board rate
13.16for children's residential treatment services provided under Minnesota Statutes, section
13.17245.4882, to individuals who do not have a placement under Minnesota Statutes, chapter
13.18260C or 260D, must be equal to the proportion of the service provider's per day IV-E program
13.19contract rate that relates to room and board. The commissioner of human services must
13.20update the behavioral health fund room and board rate schedule to include these room and
13.21board rates by provider.
13.22 EFFECTIVE DATE.This section is effective July 1, 2025, and the new rates apply to
13.23room and board provided on or after that date.
13.24Sec. 19. RATE INCREASE FOR IN-HOME CHILDREN'S MENTAL HEALTH
13.25SERVICES.
13.26 The commissioner must increase by 50 percent:
13.27 (1) the rates that apply to any claim for any children's mental health service submitted
13.28with an in-home modifier; and
13.29 (2) reimbursement rates for mental health provider travel time directly related to a claim
13.30described in clause (1).
13Sec. 19.
25-02624 as introduced01/31/25 REVISOR DTT/NB 14.1 Sec. 20. APPROPRIATION; BRIDGE TO CHILDREN'S RESIDENTIAL MENTAL
14.2HEALTH CRISIS STABILIZATION.
14.3 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
14.4human services for onetime grants to direct service providers and partnering county human
14.5services agencies to support the provision of children's residential mental health crisis
14.6stabilization services until federal approval is obtained for a children's residential mental
14.7health crisis stabilization benefit under medical assistance. This is a onetime appropriation.
14.8 Sec. 21. APPROPRIATION; HIGH-FIDELITY WRAPAROUND GRANTS.
14.9 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
14.10fund to the commissioner of human services for high-fidelity wraparound grants under
14.11Minnesota Statutes, section 245.4909.
14.12Sec. 22. APPROPRIATION; MENTAL HEALTH COLLABORATION HUB
14.13INNOVATION PILOT.
14.14 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
14.15fund to the commissioner of human services for a sole-source grant to the Mental Health
14.16Collaboration Hub for the Mental Health Collaboration Hub innovation pilot. Up to ten
14.17percent of this appropriation may be used to support administrative operations of the Mental
14.18Health Collaboration Hub. The general fund base for this appropriation is $....... in fiscal
14.19year 2028, $....... in fiscal year 2029, and $0 in fiscal year 2030.
14.20Sec. 23. APPROPRIATION; PSYCHIATRIC RESIDENTIAL TREATMENT
14.21FACILITY WORKING GROUP.
14.22 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
14.23human services for the psychiatric residential treatment facility working group. This is a
14.24onetime appropriation.
14.25Sec. 24. APPROPRIATION; TARGETED RECRUITMENT FOR RESPITE CARE
14.26ACCESS.
14.27 $....... in fiscal year 2026 is appropriated from the general fund to the commissioner of
14.28human services for competitive grants to private agencies as defined under Minnesota
14.29Statutes, section 142B.01, for targeted recruitment of licensed respite care providers to
14.30support children with complex behavioral needs. The commissioner must prioritize: (1)
14.31culturally specific engagement with families of children requiring respite services and their
14Sec. 24.
25-02624 as introduced01/31/25 REVISOR DTT/NB 15.1communities; (2) targeted recruitment within expert professional groups; and (3) direct
15.2support to license newly recruited respite care providers, train newly licensed respite care
15.3providers, and provide individualized care planning for children requiring respite care
15.4services. The commissioner may also conduct individualized recruitment activities, support
15.5training for licensed respite providers, and provide crisis response care to assure stability
15.6and support for children. This is a onetime appropriation.
15.7 Sec. 25. APPROPRIATION; YOUTH CARE PROFESSIONAL TRAINING
15.8PROGRAM.
15.9 $1,900,000 in fiscal year 2026 and $1,700,000 in fiscal year 2027 are appropriated from
15.10the general fund to the commissioner of human services for youth care professional grants
15.11under Minnesota Statutes, section 245.4908.
15.12Sec. 26. APPROPRIATION; YOUTH CARE TRANSITION TEAM GRANTS.
15.13 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general
15.14fund to the commissioner of human services for youth care transition teams under Minnesota
15.15Statutes, section 256.01, subdivision 44.
15.16Sec. 27. REVISOR INSTRUCTION.
15.17 The revisor of statutes shall renumber Minnesota Statutes, section 245.491, as Minnesota
15.18statutes, section 245.4919. The revisor shall also make necessary cross-reference changes
15.19in Minnesota Statutes and Minnesota Rules consistent with the renumbering.
15Sec. 27.
25-02624 as introduced01/31/25 REVISOR DTT/NB