| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; the Department of Human Services behavioral health |
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| 3 | 3 | | 1.3 policy provisions; updating the Children's Mental Health Act; codifying the |
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| 4 | 4 | | 1.4 intermediate school-linked behavioral health grant program; amending Minnesota |
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| 5 | 5 | | 1.5 Statutes 2024, sections 245.4871, subdivision 4, by adding a subdivision; 245.4881, |
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| 6 | 6 | | 1.6 subdivision 3; proposing coding for new law in Minnesota Statutes, chapter 245. |
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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 245.4871, subdivision 4, is amended to read: |
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| 9 | 9 | | 1.9 Subd. 4.Case management service provider.(a) "Case management service provider" |
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| 10 | 10 | | 1.10means a case manager or case manager associate employed by the county or other entity |
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| 11 | 11 | | 1.11authorized by the county board to provide case management services specified in subdivision |
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| 12 | 12 | | 1.123 for the child with severe emotional disturbance and the child's family. |
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| 13 | 13 | | 1.13 (b) A case manager must: |
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| 14 | 14 | | 1.14 (1) have experience and training in working with children; |
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| 15 | 15 | | 1.15 (2) be a mental health practitioner under section 245I.04, subdivision 4, or have at least |
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| 16 | 16 | | 1.16a bachelor's degree in one of the behavioral sciences or a related field including, but not |
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| 17 | 17 | | 1.17limited to, social work, psychology, or nursing from an accredited college or university or |
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| 18 | 18 | | 1.18meet the requirements of paragraph (d); |
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| 19 | 19 | | 1.19 (3) have experience and training in identifying and assessing a wide range of children's |
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| 20 | 20 | | 1.20needs; |
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| 21 | 21 | | 1.21 (4) be knowledgeable about local community resources and how to use those resources |
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| 22 | 22 | | 1.22for the benefit of children and their families; and |
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| 23 | 23 | | 1Section 1. |
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| 24 | 24 | | 25-00343 as introduced02/17/25 REVISOR EB/HL |
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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. 2506NINETY-FOURTH SESSION |
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| 28 | 28 | | (SENATE AUTHORS: BOLDON and Wiklund) |
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| 29 | 29 | | OFFICIAL STATUSD-PGDATE |
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| 30 | 30 | | Introduction and first reading03/13/2025 |
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| 31 | 31 | | Referred to Health and Human Services 2.1 (5) meet the supervision and continuing education requirements of paragraphs (e), (f), |
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| 32 | 32 | | 2.2and (g), as applicable. |
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| 33 | 33 | | 2.3 (c) A case manager may be a member of any professional discipline that is part of the |
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| 34 | 34 | | 2.4local system of care for children established by the county board. |
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| 35 | 35 | | 2.5 (d) A case manager without who is not a mental health practitioner and does not have |
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| 36 | 36 | | 2.6a bachelor's degree must meet one of the requirements in clauses (1) to (3): |
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| 37 | 37 | | 2.7 (1) have three or four years of experience as a case manager associate; |
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| 38 | 38 | | 2.8 (2) be a registered nurse without a bachelor's degree who has a combination of specialized |
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| 39 | 39 | | 2.9training in psychiatry and work experience consisting of community interaction and |
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| 40 | 40 | | 2.10involvement or community discharge planning in a mental health setting totaling three years; |
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| 41 | 41 | | 2.11or |
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| 42 | 42 | | 2.12 (3) be a person who qualified as a case manager under the 1998 Department of Human |
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| 43 | 43 | | 2.13Services waiver provision and meets the continuing education, supervision, and mentoring |
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| 44 | 44 | | 2.14requirements in this section. |
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| 45 | 45 | | 2.15 (e) A case manager with at least 2,000 hours of supervised experience in the delivery |
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| 46 | 46 | | 2.16of mental health services to children must receive regular ongoing supervision and clinical |
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| 47 | 47 | | 2.17supervision totaling 38 hours per year, of which at least one hour per month must be clinical |
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| 48 | 48 | | 2.18supervision regarding individual service delivery with a case management supervisor. The |
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| 49 | 49 | | 2.19other 26 hours of supervision may be provided by a case manager with two years of |
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| 50 | 50 | | 2.20experience. Group supervision may not constitute more than one-half of the required |
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| 51 | 51 | | 2.21supervision hours. |
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| 52 | 52 | | 2.22 (f) A case manager without 2,000 hours of supervised experience in the delivery of |
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| 53 | 53 | | 2.23mental health services to children with emotional disturbance must: |
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| 54 | 54 | | 2.24 (1) begin 40 hours of training approved by the commissioner of human services in case |
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| 55 | 55 | | 2.25management skills and in the characteristics and needs of children with severe emotional |
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| 56 | 56 | | 2.26disturbance before beginning to provide case management services; and |
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| 57 | 57 | | 2.27 (2) receive clinical supervision regarding individual service delivery from a mental |
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| 58 | 58 | | 2.28health professional at least one hour each week until the requirement of 2,000 hours of |
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| 59 | 59 | | 2.29experience is met. |
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| 60 | 60 | | 2.30 (g) A case manager who is not licensed, registered, or certified by a health-related |
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| 61 | 61 | | 2.31licensing board must receive 30 hours of continuing education and training in severe |
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| 62 | 62 | | 2.32emotional disturbance and mental health services every two years. |
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| 63 | 63 | | 2Section 1. |
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| 64 | 64 | | 25-00343 as introduced02/17/25 REVISOR EB/HL 3.1 (h) Clinical supervision must be documented in the child's record. When the case manager |
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| 65 | 65 | | 3.2is not a mental health professional, the county board must provide or contract for needed |
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| 66 | 66 | | 3.3clinical supervision. |
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| 67 | 67 | | 3.4 (i) The county board must ensure that the case manager has the freedom to access and |
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| 68 | 68 | | 3.5coordinate the services within the local system of care that are needed by the child. |
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| 69 | 69 | | 3.6 (j) A case manager associate (CMA) must: |
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| 70 | 70 | | 3.7 (1) work under the direction of a case manager or case management supervisor; |
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| 71 | 71 | | 3.8 (2) be at least 21 years of age; |
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| 72 | 72 | | 3.9 (3) have at least a high school diploma or its equivalent; and |
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| 73 | 73 | | 3.10 (4) meet one of the following criteria: |
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| 74 | 74 | | 3.11 (i) have an associate of arts degree in one of the behavioral sciences or human services; |
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| 75 | 75 | | 3.12 (ii) be a registered nurse without a bachelor's degree; |
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| 76 | 76 | | 3.13 (iii) have three years of life experience as a primary caregiver to a child with serious |
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| 77 | 77 | | 3.14emotional disturbance as defined in subdivision 6 within the previous ten years; |
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| 78 | 78 | | 3.15 (iv) have 6,000 hours work experience as a nondegreed state hospital technician; or |
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| 79 | 79 | | 3.16 (v) have 6,000 hours of supervised work experience in the delivery of mental health |
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| 80 | 80 | | 3.17services to children with emotional disturbances; hours worked as a mental health behavioral |
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| 81 | 81 | | 3.18aide I or II under section 256B.0943, subdivision 7, may count toward the 6,000 hours of |
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| 82 | 82 | | 3.19supervised work experience. |
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| 83 | 83 | | 3.20 Individuals meeting one of the criteria in items (i) to (iv) may qualify as a case manager |
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| 84 | 84 | | 3.21after four years of supervised work experience as a case manager associate. Individuals |
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| 85 | 85 | | 3.22meeting the criteria in item (v) may qualify as a case manager after three years of supervised |
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| 86 | 86 | | 3.23experience as a case manager associate. |
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| 87 | 87 | | 3.24 (k) Case manager associates must meet the following supervision, mentoring, and |
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| 88 | 88 | | 3.25continuing education requirements; |
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| 89 | 89 | | 3.26 (1) have 40 hours of preservice training described under paragraph (f), clause (1); |
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| 90 | 90 | | 3.27 (2) receive at least 40 hours of continuing education in severe emotional disturbance |
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| 91 | 91 | | 3.28and mental health service annually; and |
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| 92 | 92 | | 3.29 (3) receive at least five hours of mentoring per week from a case management mentor. |
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| 93 | 93 | | 3.30A "case management mentor" means a qualified, practicing case manager or case management |
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| 94 | 94 | | 3.31supervisor who teaches or advises and provides intensive training and clinical supervision |
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| 95 | 95 | | 3Section 1. |
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| 96 | 96 | | 25-00343 as introduced02/17/25 REVISOR EB/HL 4.1to one or more case manager associates. Mentoring may occur while providing direct services |
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| 97 | 97 | | 4.2to consumers in the office or in the field and may be provided to individuals or groups of |
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| 98 | 98 | | 4.3case manager associates. At least two mentoring hours per week must be individual and |
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| 99 | 99 | | 4.4face-to-face. |
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| 100 | 100 | | 4.5 (l) A case management supervisor must meet the criteria for a mental health professional |
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| 101 | 101 | | 4.6as specified in subdivision 27. |
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| 102 | 102 | | 4.7 (m) An immigrant who does not have the qualifications specified in this subdivision |
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| 103 | 103 | | 4.8may provide case management services to child immigrants with severe emotional |
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| 104 | 104 | | 4.9disturbance of the same ethnic group as the immigrant if the person: |
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| 105 | 105 | | 4.10 (1) is currently enrolled in and is actively pursuing credits toward the completion of a |
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| 106 | 106 | | 4.11bachelor's degree in one of the behavioral sciences or related fields at an accredited college |
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| 107 | 107 | | 4.12or university; |
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| 108 | 108 | | 4.13 (2) completes 40 hours of training as specified in this subdivision; and |
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| 109 | 109 | | 4.14 (3) receives clinical supervision at least once a week until the requirements of obtaining |
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| 110 | 110 | | 4.15a bachelor's degree and 2,000 hours of supervised experience are met. |
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| 111 | 111 | | 4.16 EFFECTIVE DATE.This section is effective the day following final enactment. |
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| 112 | 112 | | 4.17 Sec. 2. Minnesota Statutes 2024, section 245.4871, is amended by adding a subdivision |
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| 113 | 113 | | 4.18to read: |
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| 114 | 114 | | 4.19 Subd. 7a.Clinical supervision."Clinical supervision" means the oversight responsibility |
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| 115 | 115 | | 4.20for individual treatment plans and individual mental health service delivery, including |
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| 116 | 116 | | 4.21oversight provided by the case manager. Clinical supervision must be provided by a mental |
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| 117 | 117 | | 4.22health professional. The supervising mental health professional must cosign an individual |
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| 118 | 118 | | 4.23treatment plan, and their name must be documented in the client's record. |
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| 119 | 119 | | 4.24 Sec. 3. Minnesota Statutes 2024, section 245.4881, subdivision 3, is amended to read: |
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| 120 | 120 | | 4.25 Subd. 3.Duties of case manager.(a) Upon a determination of eligibility for case |
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| 121 | 121 | | 4.26management services, the case manager shall develop an individual family community |
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| 122 | 122 | | 4.27support plan for a child as specified in subdivision 4, review the child's progress, and monitor |
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| 123 | 123 | | 4.28the provision of services, and if the child and parent or legal guardian consent, complete a |
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| 124 | 124 | | 4.29written functional assessment as defined by section 245.4871, subdivision 18a. If services |
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| 125 | 125 | | 4.30are to be provided in a host county that is not the county of financial responsibility, the case |
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| 126 | 126 | | 4.31manager shall consult with the host county and obtain a letter demonstrating the concurrence |
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| 127 | 127 | | 4.32of the host county regarding the provision of services. |
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| 128 | 128 | | 4Sec. 3. |
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| 129 | 129 | | 25-00343 as introduced02/17/25 REVISOR EB/HL 5.1 (b) The case manager shall note in the child's record the services needed by the child |
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| 130 | 130 | | 5.2and the child's family, the services requested by the family, services that are not available, |
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| 131 | 131 | | 5.3and the unmet needs of the child and child's family. The case manager shall note this |
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| 132 | 132 | | 5.4provision in the child's record. |
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| 133 | 133 | | 5.5 Sec. 4. [245.4904] INTERMEDIATE SCHOOL DISTRICT BEHAVIORAL HEALTH |
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| 134 | 134 | | 5.6GRANT PROGRAM. |
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| 135 | 135 | | 5.7 Subdivision 1.Establishment.The commissioner of human services must establish a |
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| 136 | 136 | | 5.8grant program to improve behavioral health outcomes for youth attending a qualifying |
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| 137 | 137 | | 5.9school unit and to build the capacity of schools to support student and teacher needs in the |
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| 138 | 138 | | 5.10classroom. For the purposes of this section, "qualifying school unit" means an intermediate |
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| 139 | 139 | | 5.11school district organized under section 136D.01. |
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| 140 | 140 | | 5.12 Subd. 2.Eligible applicants.An eligible applicant is an intermediate school district |
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| 141 | 141 | | 5.13organized under section 136D.01, and a partner entity or provider that has demonstrated |
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| 142 | 142 | | 5.14capacity to serve the youth identified in subdivision 1 that is: |
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| 143 | 143 | | 5.15 (1) a mental health clinic certified under section 245I.20; |
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| 144 | 144 | | 5.16 (2) a community mental health center under section 256B.0625, subdivision 5; |
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| 145 | 145 | | 5.17 (3) an Indian health service facility or a facility owned and operated by a Tribe or Tribal |
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| 146 | 146 | | 5.18organization operating under United States Code, title 25, section 5321; |
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| 147 | 147 | | 5.19 (4) a provider of children's therapeutic services and supports as defined in section |
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| 148 | 148 | | 5.20256B.0943; |
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| 149 | 149 | | 5.21 (5) enrolled in medical assistance as a mental health or substance use disorder provider |
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| 150 | 150 | | 5.22agency and employs at least two full-time equivalent mental health professionals qualified |
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| 151 | 151 | | 5.23according to section 245I.04, subdivision 2, or two alcohol and drug counselors licensed or |
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| 152 | 152 | | 5.24exempt from licensure under chapter 148F who are qualified to provide clinical services to |
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| 153 | 153 | | 5.25children and families; |
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| 154 | 154 | | 5.26 (6) licensed under chapter 245G and in compliance with the applicable requirements in |
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| 155 | 155 | | 5.27chapters 245A, 245C, and 260E; section 626.557; and Minnesota Rules, chapter 9544; or |
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| 156 | 156 | | 5.28 (7) a licensed professional in private practice as defined in section 245G.01, subdivision |
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| 157 | 157 | | 5.2917, who meets the requirements of section 254B.05, subdivision 1, paragraph (b). |
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| 158 | 158 | | 5.30 Subd. 3.Allowable grant activities and related expenses.(a) Allowable grant activities |
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| 159 | 159 | | 5.31and related expenses include but are not limited to: |
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| 160 | 160 | | 5.32 (1) identifying mental health conditions and substance use disorders of students; |
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| 161 | 161 | | 5Sec. 4. |
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| 162 | 162 | | 25-00343 as introduced02/17/25 REVISOR EB/HL 6.1 (2) delivering mental health and substance use disorder treatment and supportive services |
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| 163 | 163 | | 6.2to students and their families within the classroom, including via telehealth consistent with |
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| 164 | 164 | | 6.3section 256B.0625, subdivision 3b; |
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| 165 | 165 | | 6.4 (3) delivering therapeutic interventions and customizing an array of supplementary |
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| 166 | 166 | | 6.5learning experiences for students; |
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| 167 | 167 | | 6.6 (4) supporting families in meeting their child's needs, including navigating health care, |
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| 168 | 168 | | 6.7social service, and juvenile justice systems; |
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| 169 | 169 | | 6.8 (5) providing transportation for students receiving behavioral health services when school |
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| 170 | 170 | | 6.9is not in session; |
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| 171 | 171 | | 6.10 (6) building the capacity of schools to meet the needs of students with mental health and |
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| 172 | 172 | | 6.11substance use disorder concerns, including school staff development activities for licensed |
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| 173 | 173 | | 6.12and nonlicensed staff; and |
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| 174 | 174 | | 6.13 (7) purchasing equipment, connection charges, on-site coordination, set-up fees, and |
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| 175 | 175 | | 6.14site fees in order to deliver school-linked behavioral health services via telehealth. |
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| 176 | 176 | | 6.15 (b) Grantees must obtain all available third-party reimbursement sources as a condition |
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| 177 | 177 | | 6.16of receiving grant funds. For purposes of this grant program, a third-party reimbursement |
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| 178 | 178 | | 6.17source does not include a public school as defined in section 120A.20, subdivision 1. Grantees |
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| 179 | 179 | | 6.18shall serve students regardless of health coverage status or ability to pay. |
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| 180 | 180 | | 6.19 Subd. 4.Calculating the share of the appropriation.(a) Grants must be awarded to |
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| 181 | 181 | | 6.20qualifying school units proportionately. |
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| 182 | 182 | | 6.21 (b) The commissioner must calculate the share of the appropriation to be used in each |
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| 183 | 183 | | 6.22qualifying school unit by multiplying the total appropriation going to the grantees by the |
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| 184 | 184 | | 6.23qualifying school unit's average daily membership in a setting of federal instructional level |
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| 185 | 185 | | 6.244 or higher and then dividing by the total average daily membership in a setting of federal |
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| 186 | 186 | | 6.25instructional level 4 or higher for the same year for all qualifying school units. |
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| 187 | 187 | | 6.26 Subd. 5.Data collection and outcome measurement.Grantees must provide data to |
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| 188 | 188 | | 6.27the commissioner for the purpose of evaluating the Intermediate School District Behavioral |
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| 189 | 189 | | 6.28Health Innovation grant program. The commissioner must consult with grantees to develop |
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| 190 | 190 | | 6.29outcome measures for program capacity and performance. |
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| 191 | 191 | | 6Sec. 4. |
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| 192 | 192 | | 25-00343 as introduced02/17/25 REVISOR EB/HL |
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