| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; modifying eligibility for essential community supports; |
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| 3 | 3 | | 1.3 expanding available services under essential community supports; increasing |
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| 4 | 4 | | 1.4 funding for caregiver respite services grants; appropriating money; amending |
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| 5 | 5 | | 1.5 Minnesota Statutes 2024, section 256B.0922, subdivision 1, by adding a |
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| 6 | 6 | | 1.6 subdivision. |
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| 7 | 7 | | 1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 8 | 8 | | 1.8 Section 1. Minnesota Statutes 2024, section 256B.0922, subdivision 1, is amended to read: |
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| 9 | 9 | | 1.9 Subdivision 1.Essential community supports.(a) The purpose of the essential |
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| 10 | 10 | | 1.10community supports program is to provide targeted services to persons age 65 and older |
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| 11 | 11 | | 1.11who need essential community support, but whose needs do not meet the level of care |
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| 12 | 12 | | 1.12required for nursing facility placement under section 144.0724, subdivision 11, and who |
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| 13 | 13 | | 1.13are either 60 years of age or older or are persons with dementia. |
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| 14 | 14 | | 1.14 (b) Essential community supports are available not to exceed $400 per person per month. |
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| 15 | 15 | | 1.15Essential community supports may be used as authorized within an authorization period |
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| 16 | 16 | | 1.16not to exceed 12 months. Services must be available to a person who: |
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| 17 | 17 | | 1.17 (1) is age 65 60 or older or has dementia; |
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| 18 | 18 | | 1.18 (2) is not eligible for medical assistance; |
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| 19 | 19 | | 1.19 (3) has received a community assessment under section 256B.0911, subdivisions 17 to |
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| 20 | 20 | | 1.2021, 23, 24, or 27, and does not require the level of care provided in a nursing facility; |
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| 21 | 21 | | 1.21 (4) meets the financial eligibility criteria for the alternative care program under section |
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| 22 | 22 | | 1.22256B.0913, subdivision 4 under subdivision 3; |
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| 23 | 23 | | 1Section 1. |
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| 24 | 24 | | 25-02553 as introduced01/21/25 REVISOR AGW/MI |
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| 25 | 25 | | SENATE |
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| 26 | 26 | | STATE OF MINNESOTA |
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| 27 | 27 | | S.F. No. 1925NINETY-FOURTH SESSION |
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| 28 | 28 | | (SENATE AUTHORS: MAYE QUADE, Abeler, Hoffman and Kupec) |
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| 29 | 29 | | OFFICIAL STATUSD-PGDATE |
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| 30 | 30 | | Introduction and first reading02/27/2025 |
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| 31 | 31 | | Referred to Human Services 2.1 (5) has an assessment summary; and |
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| 32 | 32 | | 2.2 (6) has been determined by a community assessment under section 256B.0911, |
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| 33 | 33 | | 2.3subdivisions 17 to 21, 23, 24, or 27, to be a person who would require provision of at least |
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| 34 | 34 | | 2.4one of the following services, as defined in the approved elderly waiver plan, in order to |
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| 35 | 35 | | 2.5maintain their community residence: |
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| 36 | 36 | | 2.6 (i) adult day services; |
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| 37 | 37 | | 2.7 (ii) caregiver support; |
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| 38 | 38 | | 2.8 (iii) homemaker support; |
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| 39 | 39 | | 2.9 (iv) chores; |
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| 40 | 40 | | 2.10 (v) a personal emergency response device or system; |
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| 41 | 41 | | 2.11 (vi) home-delivered meals; or |
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| 42 | 42 | | 2.12 (vii) community living assistance as defined by the commissioner; or |
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| 43 | 43 | | 2.13 (viii) respite care. |
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| 44 | 44 | | 2.14 (c) The person receiving any of the essential community supports in this subdivision |
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| 45 | 45 | | 2.15must also receive service coordination, not to exceed $600 in a 12-month authorization |
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| 46 | 46 | | 2.16period, as part of their assessment summary. |
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| 47 | 47 | | 2.17 (d) A person who has been determined to be eligible for essential community supports |
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| 48 | 48 | | 2.18must be reassessed at least annually and continue to meet the criteria in paragraph (b) to |
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| 49 | 49 | | 2.19remain eligible for essential community supports. |
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| 50 | 50 | | 2.20 (e) The commissioner is authorized to use federal matching funds for essential community |
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| 51 | 51 | | 2.21supports as necessary and to meet demand for essential community supports as outlined in |
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| 52 | 52 | | 2.22subdivision 2, and that amount of federal funds is appropriated to the commissioner for this |
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| 53 | 53 | | 2.23purpose. |
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| 54 | 54 | | 2.24 Sec. 2. Minnesota Statutes 2024, section 256B.0922, is amended by adding a subdivision |
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| 55 | 55 | | 2.25to read: |
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| 56 | 56 | | 2.26 Subd. 3.Financial eligibility criteria.(a) To be eligible for essential community |
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| 57 | 57 | | 2.27supports, a person may have an income up to 400 percent of the federal poverty guidelines |
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| 58 | 58 | | 2.28for the household size. When determining financial eligibility under this subdivision, the |
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| 59 | 59 | | 2.29commissioner must use the income methodology described in section 256B.056, subdivision |
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| 60 | 60 | | 2.301a, paragraph (b). |
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| 61 | 61 | | 2.31 (b) No asset limit applies to a person eligible for essential community supports. |
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| 62 | 62 | | 2Sec. 2. |
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| 63 | 63 | | 25-02553 as introduced01/21/25 REVISOR AGW/MI 3.1 Sec. 3. APPROPRIATION; CAREGIVER RESPITE SERVICES GRANTS. |
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| 64 | 64 | | 3.2 $2,000,000 in fiscal year 2026 and $2,000,000 in fiscal year 2027 are appropriated from |
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| 65 | 65 | | 3.3the general fund to the commissioner of human services for caregiver respite services grants |
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| 66 | 66 | | 3.4under Minnesota Statutes, section 256.9756. |
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| 67 | 67 | | 3Sec. 3. |
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| 68 | 68 | | 25-02553 as introduced01/21/25 REVISOR AGW/MI |
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