1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to human services; directing the commissioner of human services to provide |
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3 | 3 | | 1.3 updates and seek federal approval for children's mental health projects; funding |
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4 | 4 | | 1.4 gaps in children's residential facilities; establishing crisis stabilization facility; |
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5 | 5 | | 1.5 creating a legislative task force on children's residential facilities; requiring licensing |
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6 | 6 | | 1.6 for facilities for youth with sexual behavior concerns; providing for rulemaking; |
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7 | 7 | | 1.7 requiring a financial study; requiring reports; appropriating money; amending |
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8 | 8 | | 1.8 Minnesota Statutes 2024, sections 245.4874, subdivision 1; 245A.03, subdivision |
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9 | 9 | | 1.9 7; proposing coding for new law in Minnesota Statutes, chapter 245A. |
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10 | 10 | | 1.10BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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11 | 11 | | 1.11 Section 1. Minnesota Statutes 2024, section 245.4874, subdivision 1, is amended to read: |
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12 | 12 | | 1.12 Subdivision 1.Duties of county board.(a) The county board must: |
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13 | 13 | | 1.13 (1) develop a system of affordable and locally available children's mental behavioral |
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14 | 14 | | 1.14health services according to sections 245.487 to 245.4889; |
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15 | 15 | | 1.15 (2) consider the assessment of unmet needs in the county as reported by the local |
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16 | 16 | | 1.16children's mental health advisory council under section 245.4875, subdivision 5, paragraph |
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17 | 17 | | 1.17(b), clause (3). The county shall provide, upon request of the local children's mental health |
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18 | 18 | | 1.18advisory council, readily available data to assist in the determination of unmet needs; |
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19 | 19 | | 1.19 (3) assure that parents and providers in the county receive information about how to |
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20 | 20 | | 1.20gain access to services provided according to sections 245.487 to 245.4889; |
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21 | 21 | | 1.21 (4) coordinate the delivery of children's mental health services with services provided |
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22 | 22 | | 1.22by social services, education, corrections, health, and vocational agencies to improve the |
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23 | 23 | | 1.23availability of mental health services to children and the cost-effectiveness of their delivery; |
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24 | 24 | | 1Section 1. |
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25 | 25 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC |
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26 | 26 | | SENATE |
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27 | 27 | | STATE OF MINNESOTA |
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28 | 28 | | S.F. No. 2349NINETY-FOURTH SESSION |
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29 | 29 | | (SENATE AUTHORS: CHAMPION, Gustafson, Pratt, Coleman and Maye Quade) |
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30 | 30 | | OFFICIAL STATUSD-PGDATE |
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31 | 31 | | Introduction and first reading03/10/2025 |
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32 | 32 | | Referred to Health and Human Services 2.1 (5) assure that mental health services delivered according to sections 245.487 to 245.4889 |
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33 | 33 | | 2.2are delivered expeditiously and are appropriate to the child's diagnostic screening, needs |
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34 | 34 | | 2.3assessment, and individual treatment plan; |
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35 | 35 | | 2.4 (6) provide for case management services to each child with severe emotional disturbance |
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36 | 36 | | 2.5according to sections 245.486; 245.4871, subdivisions 3 and 4; and 245.4881, subdivisions |
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37 | 37 | | 2.61, 3, and 5; |
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38 | 38 | | 2.7 (7) provide for screening and needs assessment of each child under section 245.4885 |
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39 | 39 | | 2.8upon admission to a residential treatment or juvenile detention facility, acute care hospital |
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40 | 40 | | 2.9inpatient treatment, or informal admission to a regional treatment center; |
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41 | 41 | | 2.10 (8) prudently administer grants and purchase-of-service contracts that the county board |
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42 | 42 | | 2.11determines are necessary to fulfill its responsibilities under sections 245.487 to 245.4889; |
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43 | 43 | | 2.12 (9) assure that mental health professionals, mental health practitioners, and case managers |
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44 | 44 | | 2.13employed by or under contract to the county to provide mental health services are qualified |
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45 | 45 | | 2.14under section 245.4871; |
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46 | 46 | | 2.15 (10) assure that children's mental health services are coordinated with adult mental health |
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47 | 47 | | 2.16services specified in sections 245.461 to 245.486 so that a continuum of mental health |
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48 | 48 | | 2.17services is available to serve persons with mental illness, regardless of the person's age; |
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49 | 49 | | 2.18 (11) assure that culturally competent mental health consultants are used as necessary to |
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50 | 50 | | 2.19assist the county board in assessing and providing appropriate treatment for children of |
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51 | 51 | | 2.20cultural or racial minority heritage; and |
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52 | 52 | | 2.21 (12) assure that a child involved in the juvenile justice system sees a mental health |
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53 | 53 | | 2.22professional for a diagnostic assessment as early as possible; and |
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54 | 54 | | 2.23 (12) (13) consistent with section 245.486, arrange for or provide a children's mental |
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55 | 55 | | 2.24health screening for: |
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56 | 56 | | 2.25 (i) a child receiving child protective services; |
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57 | 57 | | 2.26 (ii) a child in out-of-home placement; |
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58 | 58 | | 2.27 (iii) a child for whom parental rights have been terminated; or |
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59 | 59 | | 2.28 (iv) a child found to be delinquent; or involved in the juvenile justice system. |
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60 | 60 | | 2.29 (v) a child found to have committed a juvenile petty offense for the third or subsequent |
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61 | 61 | | 2.30time. |
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62 | 62 | | 2Section 1. |
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63 | 63 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 3.1 A children's mental health screening and needs assessment is not required when a |
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64 | 64 | | 3.2screening or diagnostic assessment has been performed within the previous 180 days, or |
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65 | 65 | | 3.3the child is currently under the care of a mental health professional. |
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66 | 66 | | 3.4 (b) When a child is receiving protective services or is in out-of-home placement, the |
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67 | 67 | | 3.5court or county agency must notify a parent or guardian whose parental rights have not been |
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68 | 68 | | 3.6terminated of the potential mental health screening and the option to prevent the screening |
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69 | 69 | | 3.7by notifying the court or county agency in writing. |
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70 | 70 | | 3.8 (c) When a child is found to be delinquent or a child is found to have committed a |
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71 | 71 | | 3.9juvenile petty offense for the third or subsequent time involved in the juvenile justice system, |
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72 | 72 | | 3.10the court or county agency must obtain written informed consent from the parent or legal |
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73 | 73 | | 3.11guardian before a screening is conducted unless the court, notwithstanding the parent's |
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74 | 74 | | 3.12failure to consent, determines that the screening is in the child's best interest. |
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75 | 75 | | 3.13 (d) The screening and needs assessment shall be conducted with a screening instrument |
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76 | 76 | | 3.14approved by the commissioner of human services according to criteria that are updated and |
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77 | 77 | | 3.15issued annually to ensure that approved screening instruments are valid and useful for child |
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78 | 78 | | 3.16welfare and juvenile justice populations. Screenings and needs assessments shall be conducted |
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79 | 79 | | 3.17by a mental health practitioner as defined in section 245.4871, subdivision 26, or a probation |
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80 | 80 | | 3.18officer or local social services agency staff person who is trained in the use of the screening |
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81 | 81 | | 3.19and needs instrument. Training in the use of the instrument shall include: |
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82 | 82 | | 3.20 (1) training in the administration of the instrument; |
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83 | 83 | | 3.21 (2) the interpretation of its validity given the child's current circumstances; |
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84 | 84 | | 3.22 (3) the state and federal data practices laws and confidentiality standards; |
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85 | 85 | | 3.23 (4) the parental consent requirement; and |
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86 | 86 | | 3.24 (5) providing respect for families and cultural values. |
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87 | 87 | | 3.25 If the screen indicates a need for assessment, the child's family, or if the family lacks |
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88 | 88 | | 3.26mental health insurance, the local social services agency, in consultation with the child's |
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89 | 89 | | 3.27family, shall have conducted a diagnostic assessment, including a functional assessment. |
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90 | 90 | | 3.28The administration of the screening shall safeguard the privacy of children receiving the |
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91 | 91 | | 3.29screening and their families and shall comply with the Minnesota Government Data Practices |
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92 | 92 | | 3.30Act, chapter 13, and the federal Health Insurance Portability and Accountability Act of |
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93 | 93 | | 3.311996, Public Law 104-191. Screening results are classified as private data on individuals, |
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94 | 94 | | 3.32as defined by section 13.02, subdivision 12. The county board or Tribal nation may provide |
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95 | 95 | | 3Section 1. |
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96 | 96 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 4.1the commissioner with access to the screening results for the purposes of program evaluation |
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97 | 97 | | 4.2and improvement. |
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98 | 98 | | 4.3 (e) When the county board refers clients to providers of children's therapeutic services |
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99 | 99 | | 4.4and supports under section 256B.0943, the county board must clearly identify the desired |
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100 | 100 | | 4.5services components not covered under section 256B.0943 and identify the reimbursement |
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101 | 101 | | 4.6source for those requested services, the method of payment, and the payment rate to the |
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102 | 102 | | 4.7provider. |
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103 | 103 | | 4.8 Sec. 2. Minnesota Statutes 2024, section 245A.03, subdivision 7, is amended to read: |
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104 | 104 | | 4.9 Subd. 7.Licensing moratorium.(a) The commissioner shall not issue an initial license |
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105 | 105 | | 4.10for child foster care licensed under Minnesota Rules, parts 2960.3000 to 2960.3340, which |
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106 | 106 | | 4.11does not include child foster residence settings with residential program certifications for |
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107 | 107 | | 4.12compliance with the Family First Prevention Services Act under section 245A.25, subdivision |
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108 | 108 | | 4.131, paragraph (a), or adult foster care licensed under Minnesota Rules, parts 9555.5105 to |
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109 | 109 | | 4.149555.6265, under this chapter for a physical location that will not be the primary residence |
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110 | 110 | | 4.15of the license holder for the entire period of licensure. If a child foster residence setting that |
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111 | 111 | | 4.16was previously exempt from the licensing moratorium under this paragraph has its Family |
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112 | 112 | | 4.17First Prevention Services Act certification rescinded under section 245A.25, subdivision 9, |
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113 | 113 | | 4.18or if a family adult foster care home license is issued during this moratorium, and the license |
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114 | 114 | | 4.19holder changes the license holder's primary residence away from the physical location of |
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115 | 115 | | 4.20the foster care license, the commissioner shall revoke the license according to section |
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116 | 116 | | 4.21245A.07. The commissioner shall not issue an initial license for a community residential |
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117 | 117 | | 4.22setting licensed under chapter 245D. When approving an exception under this paragraph, |
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118 | 118 | | 4.23the commissioner shall consider the resource need determination process in paragraph (h), |
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119 | 119 | | 4.24the availability of foster care licensed beds in the geographic area in which the licensee |
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120 | 120 | | 4.25seeks to operate, the results of a person's choices during their annual assessment and service |
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121 | 121 | | 4.26plan review, and the recommendation of the local county board. The determination by the |
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122 | 122 | | 4.27commissioner is final and not subject to appeal. Exceptions to the moratorium include: |
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123 | 123 | | 4.28 (1) a license for a person in a foster care setting that is not the primary residence of the |
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124 | 124 | | 4.29license holder and where at least 80 percent of the residents are 55 years of age or older; |
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125 | 125 | | 4.30 (2) foster care licenses replacing foster care licenses in existence on May 15, 2009, or |
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126 | 126 | | 4.31community residential setting licenses replacing adult foster care licenses in existence on |
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127 | 127 | | 4.32December 31, 2013, and determined to be needed by the commissioner under paragraph |
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128 | 128 | | 4.33(b); |
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129 | 129 | | 4Sec. 2. |
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130 | 130 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 5.1 (3) new foster care licenses or community residential setting licenses determined to be |
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131 | 131 | | 5.2needed by the commissioner under paragraph (b) for the closure of a nursing facility, ICF/DD, |
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132 | 132 | | 5.3or regional treatment center; restructuring of state-operated services that limits the capacity |
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133 | 133 | | 5.4of state-operated facilities; or allowing movement to the community for people who no |
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134 | 134 | | 5.5longer require the level of care provided in state-operated facilities as provided under section |
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135 | 135 | | 5.6256B.092, subdivision 13, or 256B.49, subdivision 24; |
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136 | 136 | | 5.7 (4) new foster care licenses or community residential setting licenses determined to be |
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137 | 137 | | 5.8needed by the commissioner under paragraph (b) for persons requiring hospital-level care; |
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138 | 138 | | 5.9or |
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139 | 139 | | 5.10 (5) new community residential setting licenses determined necessary by the commissioner |
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140 | 140 | | 5.11for people affected by the closure of homes with a capacity of five or six beds currently |
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141 | 141 | | 5.12licensed as supervised living facilities licensed under Minnesota Rules, chapter 4665, but |
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142 | 142 | | 5.13not designated as intermediate care facilities. This exception is available until June 30, |
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143 | 143 | | 5.142025.; or |
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144 | 144 | | 5.15 (6) new child foster residence setting or community residential setting licenses determined |
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145 | 145 | | 5.16to be needed by the commissioner under paragraph (b) to allow movement to the community |
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146 | 146 | | 5.17for a person who no longer requires the level of care provided under section 256B.0625, |
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147 | 147 | | 5.18subdivisions 1 and 1a. This exception is available when: |
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148 | 148 | | 5.19 (i) the person has not required the level of care provided in a hospital setting for 30 or |
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149 | 149 | | 5.20more days but has been unable to discharge from the hospital; or |
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150 | 150 | | 5.21 (ii) the person has been unable to discharge from the hospital due to the person's needs |
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151 | 151 | | 5.22being unable to be met within the existing child foster residence setting or community |
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152 | 152 | | 5.23residential setting capacity of the region. |
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153 | 153 | | 5.24 (b) The commissioner shall determine the need for newly licensed foster care homes or |
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154 | 154 | | 5.25community residential settings as defined under this subdivision. As part of the determination, |
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155 | 155 | | 5.26the commissioner shall consider the availability of foster care capacity in the area in which |
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156 | 156 | | 5.27the licensee seeks to operate, and the recommendation of the local county board. The |
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157 | 157 | | 5.28determination by the commissioner must be final. A determination of need is not required |
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158 | 158 | | 5.29for a change in ownership at the same address. |
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159 | 159 | | 5.30 (c) The commissioner may grant a license to a child foster residence setting to prepare |
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160 | 160 | | 5.31beds available in advance for individuals with complex behavioral or medical support needs |
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161 | 161 | | 5.32if the setting accepts individuals described in the exceptions in paragraph (a). |
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162 | 162 | | 5Sec. 2. |
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163 | 163 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 6.1 (c) (d) When an adult resident served by the program moves out of a foster home that |
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164 | 164 | | 6.2is not the primary residence of the license holder according to section 256B.49, subdivision |
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165 | 165 | | 6.315, paragraph (f), or the adult community residential setting, the county shall immediately |
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166 | 166 | | 6.4inform the Department of Human Services Licensing Division. The department may decrease |
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167 | 167 | | 6.5the statewide licensed capacity for adult foster care settings. |
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168 | 168 | | 6.6 (d) (e) Residential settings that would otherwise be subject to the decreased license |
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169 | 169 | | 6.7capacity established in paragraph (c) must be exempt if the license holder's beds are occupied |
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170 | 170 | | 6.8by residents whose primary diagnosis is mental illness and the license holder is certified |
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171 | 171 | | 6.9under the requirements in subdivision 6a or section 245D.33. |
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172 | 172 | | 6.10 (e) (f) A resource need determination process, managed at the state level, using the |
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173 | 173 | | 6.11available data required by section 144A.351, and other data and information must be used |
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174 | 174 | | 6.12to determine where the reduced capacity determined under section 256B.493 will be |
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175 | 175 | | 6.13implemented. The commissioner shall consult with the stakeholders described in section |
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176 | 176 | | 6.14144A.351, and employ a variety of methods to improve the state's capacity to meet the |
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177 | 177 | | 6.15informed decisions of those people who want to move out of corporate foster care or |
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178 | 178 | | 6.16community residential settings, long-term service needs within budgetary limits, including |
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179 | 179 | | 6.17seeking proposals from service providers or lead agencies to change service type, capacity, |
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180 | 180 | | 6.18or location to improve services, increase the independence of residents, and better meet |
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181 | 181 | | 6.19needs identified by the long-term services and supports reports and statewide data and |
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182 | 182 | | 6.20information. |
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183 | 183 | | 6.21 (f) (g) At the time of application and reapplication for licensure, the applicant and the |
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184 | 184 | | 6.22license holder that are subject to the moratorium or an exclusion established in paragraph |
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185 | 185 | | 6.23(a) are required to inform the commissioner whether the physical location where the foster |
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186 | 186 | | 6.24care will be provided is or will be the primary residence of the license holder for the entire |
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187 | 187 | | 6.25period of licensure. If the primary residence of the applicant or license holder changes, the |
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188 | 188 | | 6.26applicant or license holder must notify the commissioner immediately. The commissioner |
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189 | 189 | | 6.27shall print on the foster care license certificate whether or not the physical location is the |
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190 | 190 | | 6.28primary residence of the license holder. |
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191 | 191 | | 6.29 (g) (h) License holders of foster care homes identified under paragraph (f) that are not |
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192 | 192 | | 6.30the primary residence of the license holder and that also provide services in the foster care |
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193 | 193 | | 6.31home that are covered by a federally approved home and community-based services waiver, |
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194 | 194 | | 6.32as authorized under chapter 256S or section 256B.092 or 256B.49, must inform the human |
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195 | 195 | | 6.33services licensing division that the license holder provides or intends to provide these |
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196 | 196 | | 6.34waiver-funded services. |
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197 | 197 | | 6Sec. 2. |
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198 | 198 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 7.1 (h) (i) The commissioner may adjust capacity to address needs identified in section |
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199 | 199 | | 7.2144A.351. Under this authority, the commissioner may approve new licensed settings or |
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200 | 200 | | 7.3delicense existing settings. Delicensing of settings will be accomplished through a process |
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201 | 201 | | 7.4identified in section 256B.493. |
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202 | 202 | | 7.5 (i) (j) The commissioner must notify a license holder when its corporate foster care or |
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203 | 203 | | 7.6community residential setting licensed beds are reduced under this section. The notice of |
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204 | 204 | | 7.7reduction of licensed beds must be in writing and delivered to the license holder by certified |
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205 | 205 | | 7.8mail or personal service. The notice must state why the licensed beds are reduced and must |
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206 | 206 | | 7.9inform the license holder of its right to request reconsideration by the commissioner. The |
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207 | 207 | | 7.10license holder's request for reconsideration must be in writing. If mailed, the request for |
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208 | 208 | | 7.11reconsideration must be postmarked and sent to the commissioner within 20 calendar days |
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209 | 209 | | 7.12after the license holder's receipt of the notice of reduction of licensed beds. If a request for |
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210 | 210 | | 7.13reconsideration is made by personal service, it must be received by the commissioner within |
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211 | 211 | | 7.1420 calendar days after the license holder's receipt of the notice of reduction of licensed beds. |
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212 | 212 | | 7.15 (j) (k) The commissioner shall not issue an initial license for children's residential |
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213 | 213 | | 7.16treatment services licensed under Minnesota Rules, parts 2960.0580 to 2960.0700, under |
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214 | 214 | | 7.17this chapter for a program that Centers for Medicare and Medicaid Services would consider |
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215 | 215 | | 7.18an institution for mental diseases. Facilities that serve only private pay clients are exempt |
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216 | 216 | | 7.19from the moratorium described in this paragraph. The commissioner has the authority to |
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217 | 217 | | 7.20manage existing statewide capacity for children's residential treatment services subject to |
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218 | 218 | | 7.21the moratorium under this paragraph and may issue an initial license for such facilities if |
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219 | 219 | | 7.22the initial license would not increase the statewide capacity for children's residential treatment |
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220 | 220 | | 7.23services subject to the moratorium under this paragraph. |
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221 | 221 | | 7.24 Sec. 3. [245A.0952] ADOPTION OF RULES FOR LICENSURE FOR YOUTH |
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222 | 222 | | 7.25WITH SEXUAL BEHAVIOR CONCERNS. |
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223 | 223 | | 7.26 The commissioner of human services shall adopt rules to govern the licensure of treatment |
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224 | 224 | | 7.27facilities for youth with sexual behavior concerns. |
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225 | 225 | | 7.28 Sec. 4. DIRECTION TO COMMISSIONERS; RULES ON RESTRICTIVE |
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226 | 226 | | 7.29PROCEDURES. |
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227 | 227 | | 7.30 The commissioner of corrections and the commissioner of human services must amend |
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228 | 228 | | 7.31Minnesota Rules, part 2960.0710, to require training to ensure trauma-responsive and |
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229 | 229 | | 7.32culturally appropriate practices. Notwithstanding any other requirements for good cause |
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230 | 230 | | 7.33exempt rulemaking, the commissioner may use the procedure under Minnesota Statutes, |
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231 | 231 | | 7Sec. 4. |
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232 | 232 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 8.1section 14.388, subdivision 1, clause (3), for changes to Minnesota Rules pursuant to this |
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233 | 233 | | 8.2section. Minnesota Statutes, section 14.386, does not apply to rules adopted pursuant to this |
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234 | 234 | | 8.3section except as provided under Minnesota Statutes, section 14.388. |
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235 | 235 | | 8.4 Sec. 5. LEGISLATIVE TASK FORCE ON CHILDREN'S RESIDENTIAL MENTAL |
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236 | 236 | | 8.5HEALTH FACILITY LICENSING. |
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237 | 237 | | 8.6 Subdivision 1.Establishment.A legislative task force is established to create specific |
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238 | 238 | | 8.7licensing standards for unique levels of mental health care for children's residential facilities |
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239 | 239 | | 8.8licensed under Minnesota Rules, parts 2960.0580 to 2960.0690. |
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240 | 240 | | 8.9 Subd. 2.Duties.The task force shall: |
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241 | 241 | | 8.10 (1) identify gaps in the current licensing system; |
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242 | 242 | | 8.11 (2) review any national, interstate, or nongovernmental licensing systems or best practices; |
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243 | 243 | | 8.12 (3) solicit comments from state agencies, Tribal Nations, cities, counties, providers, |
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244 | 244 | | 8.13patients, and stakeholders on potential licensing changes; and |
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245 | 245 | | 8.14 (4) draft a report identifying what changes to Minnesota Rules are required to implement |
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246 | 246 | | 8.15specific licensing standards for unique levels of mental health care for children's residential |
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247 | 247 | | 8.16facilities licensed under Minnesota Rules, parts 2960.0580 to 2960.0690. |
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248 | 248 | | 8.17 Subd. 3.Membership.(a) The task force shall include the following members: |
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249 | 249 | | 8.18 (1) two members from the house of representatives, one appointed by each of the leaders |
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250 | 250 | | 8.19of the two largest caucuses; |
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251 | 251 | | 8.20 (2) two members from the senate, one appointed by the majority leader and one appointed |
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252 | 252 | | 8.21by the minority leader; |
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253 | 253 | | 8.22 (3) the commissioner of human services or a designee; |
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254 | 254 | | 8.23 (4) the commissioner of corrections or a designee; |
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255 | 255 | | 8.24 (5) the commissioner of children, youth, and families or a designee; |
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256 | 256 | | 8.25 (6) two county employees, one from the seven-county metropolitan area and one from |
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257 | 257 | | 8.26outside the seven-county metropolitan area, appointed by the commissioner of human |
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258 | 258 | | 8.27services; |
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259 | 259 | | 8.28 (7) the ombudsperson for families; |
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260 | 260 | | 8.29 (8) two children's residential facility providers, appointed by the commissioner of human |
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261 | 261 | | 8.30services; and |
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262 | 262 | | 8Sec. 5. |
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263 | 263 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 9.1 (9) two members of the community who have been patients of a children's residential |
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264 | 264 | | 9.2facility and received mental health services or had an immediate family member who did, |
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265 | 265 | | 9.3appointed by the commissioner of human services. |
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266 | 266 | | 9.4 (b) The speaker of the house and the senate majority leader shall each appoint a member |
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267 | 267 | | 9.5from the task force to be chair and vice-chair. The chair and vice-chair shall rotate after |
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268 | 268 | | 9.6each meeting. |
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269 | 269 | | 9.7 Subd. 4.Meetings.(a) The task force shall meet at least once per month. The meetings |
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270 | 270 | | 9.8shall take place in person in the Capitol complex. The chair may direct that a meeting be |
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271 | 271 | | 9.9conducted electronically if doing so would facilitate public testimony or would protect the |
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272 | 272 | | 9.10health or safety of the members of the task force. |
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273 | 273 | | 9.11 (b) The task force shall invite input from the public, the leadership of advocacy groups, |
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274 | 274 | | 9.12and provider organizations. |
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275 | 275 | | 9.13 (c) The chair designated by the speaker of the house shall convene the first meeting of |
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276 | 276 | | 9.14the task force no later than August 1, 2025. |
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277 | 277 | | 9.15 Subd. 5.Expenses; per diem.Members serving on the task force shall receive the |
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278 | 278 | | 9.16following per diem: |
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279 | 279 | | 9.17 (1) the community members shall receive the per diem listed in Minnesota Statutes, |
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280 | 280 | | 9.18section 15.059, subdivision 3; and |
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281 | 281 | | 9.19 (2) all other task force members shall not receive a per diem. |
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282 | 282 | | 9.20 Subd. 6.Report.The task force shall submit a report with recommendations to the chairs |
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283 | 283 | | 9.21and ranking minority members of the legislative committees with jurisdiction over health |
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284 | 284 | | 9.22and human services finance and policy, children and families, and public safety by January |
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285 | 285 | | 9.2315, 2027. |
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286 | 286 | | 9.24 Subd. 7.Expiration.The task force expires January 31, 2027. |
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287 | 287 | | 9.25 EFFECTIVE DATE.This section is effective the day following final enactment. |
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288 | 288 | | 9.26 Sec. 6. UPDATES ON CHILDREN'S RESIDENTIAL MENTAL HEALTH CRISIS |
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289 | 289 | | 9.27STABILIZATION BENEFIT. |
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290 | 290 | | 9.28 (a) By July 1, 2025, the commissioner must provide an update to the chairs and ranking |
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291 | 291 | | 9.29minority members of the legislative committees with jurisdiction over human services policy |
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292 | 292 | | 9.30and finance on the progress in developing the covered children's residential mental health |
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293 | 293 | | 9.31crisis stabilization benefit required under Laws 2024, chapter 127, article 61, section 30. |
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294 | 294 | | 9Sec. 6. |
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295 | 295 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 10.1 (b) By August 1, 2025, the commissioner must share a draft of the report and |
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296 | 296 | | 10.2recommendations required under Laws 2024, chapter 127, article 61, section 30, paragraphs |
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297 | 297 | | 10.3(b) and (d), with the counties. |
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298 | 298 | | 10.4 Sec. 7. 1115 WAIVER FOR MEDICAL ASSISTANCE REENTRY |
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299 | 299 | | 10.5DEMONSTRATION FOR JUVENILES. |
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300 | 300 | | 10.6 (a) By September 1, 2025, the commissioner of human services must submit an |
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301 | 301 | | 10.7application to the United States Secretary of Health and Human Services to implement a |
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302 | 302 | | 10.8medical assistance reentry demonstration for detained and incarcerated juveniles compliant |
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303 | 303 | | 10.9with the Consolidated Appropriations Act, Public Law 117-328. The application must |
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304 | 304 | | 10.10include behavioral health screening, diagnostic, and targeted case management services |
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305 | 305 | | 10.11provided to detained and incarcerated juveniles 30 days prior to release and 30 days after |
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306 | 306 | | 10.12release. |
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307 | 307 | | 10.13 (b) The commissioner must produce a draft of the application under this section to |
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308 | 308 | | 10.14counties and providers for comment by May 30, 2025. |
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309 | 309 | | 10.15 EFFECTIVE DATE.This section is effective the day following final enactment. |
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310 | 310 | | 10.16Sec. 8. IMPLEMENTATION OF OUTPATIENT AND BEHAVIORAL HEALTH |
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311 | 311 | | 10.17SERVICE RATES. |
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312 | 312 | | 10.18 By July 1, 2025, the commissioner of human services must begin phased implementation |
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313 | 313 | | 10.19of the recommendations from the second report of the Minnesota health care programs |
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314 | 314 | | 10.20fee-for-service outpatient services rate study required under Laws 2021, First Special Session |
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315 | 315 | | 10.21chapter 7, article 17, section 18. |
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316 | 316 | | 10.22 EFFECTIVE DATE.This section is effective the day following final enactment. |
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317 | 317 | | 10.23Sec. 9. MEDICAL ASSISTANCE RESIDENTIAL CHILDREN'S FACILITIES |
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318 | 318 | | 10.24FINANCIAL STUDY. |
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319 | 319 | | 10.25 (a) The commissioner of human services must conduct an analysis of the current financial |
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320 | 320 | | 10.26model for all residential children's facilities. By January 1, 2026, the commissioner must |
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321 | 321 | | 10.27issue a request for proposals for frameworks and modeling of residential children's facilities. |
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322 | 322 | | 10.28Financial models must be predicated on a framework that is transparent, sustainable, |
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323 | 323 | | 10.29culturally responsive, and supportive of staffing needed to treat a patient's assessed needs, |
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324 | 324 | | 10.30quality service delivery, integration of care, and patient choice. The commissioner must |
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325 | 325 | | 10.31consult with providers from across each region of the state, including but not limited to |
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326 | 326 | | 10Sec. 9. |
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327 | 327 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC 11.1culturally responsive providers, in developing the request for proposals and for the duration |
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328 | 328 | | 11.2of the contract. |
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329 | 329 | | 11.3 (b) By January 15, 2027, the commissioner of human services shall submit a report to |
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330 | 330 | | 11.4the chairs and ranking minority members of the legislative committees with jurisdiction |
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331 | 331 | | 11.5over human services policy and finance. The report must include a detailed fiscal analysis |
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332 | 332 | | 11.6and proposed legislation necessary to modify existing or implement sustainable financial |
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333 | 333 | | 11.7models. |
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334 | 334 | | 11.8 Sec. 10. APPROPRIATION; RESIDENTIAL CHILDREN'S FACILITIES |
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335 | 335 | | 11.9FINANCIAL STUDY. |
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336 | 336 | | 11.10 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
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337 | 337 | | 11.11fund to the commissioner of human services for the analysis and reporting required under |
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338 | 338 | | 11.12section 9. |
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339 | 339 | | 11.13Sec. 11. APPROPRIATION; RESIDENTIAL CHILDREN'S FACILITIES INTERIM |
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340 | 340 | | 11.14FINANCIAL GAPS. |
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341 | 341 | | 11.15 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
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342 | 342 | | 11.16fund to the commissioner of human services to address financial gaps for the existing seven |
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343 | 343 | | 11.17children's residential treatment facilities until the financial study under section 9 is |
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344 | 344 | | 11.18implemented. |
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345 | 345 | | 11.19Sec. 12. APPROPRIATION; REGIONAL CONTINUUM OF CARE. |
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346 | 346 | | 11.20 $12,500,000 in fiscal year 2026 and $7,500,000 in fiscal year 2027 are appropriated |
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347 | 347 | | 11.21from the general fund to the commissioner of human services for a grant to Anoka, Carver, |
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348 | 348 | | 11.22Dakota, Hennepin, Olmsted, Ramsey, Scott, and Washington Counties for staffing, programs, |
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349 | 349 | | 11.23services, and facilities for a regional continuum of care to fill gaps for high-need youth who |
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350 | 350 | | 11.24need services. This is a onetime appropriation. |
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351 | 351 | | 11.25Sec. 13. APPROPRIATION; CRISIS STABILIZATION FACILITY. |
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352 | 352 | | 11.26 $2,000,000 in fiscal year 2025 and $9,000,000 in fiscal year 2026 are appropriated from |
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353 | 353 | | 11.27the general fund to the commissioner of human services for a grant to Hennepin County to |
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354 | 354 | | 11.28design and construct or adapt a facility for a regional youth behavioral health crisis |
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355 | 355 | | 11.29stabilization center that will increase access to services that appropriately meet the needs |
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356 | 356 | | 11.30of youth and address a gap in the existing system. |
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357 | 357 | | 11.31 EFFECTIVE DATE.This section is effective the day following final enactment. |
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358 | 358 | | 11Sec. 13. |
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359 | 359 | | 25-00649 as introduced02/27/25 REVISOR DTT/AC |
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