1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to health; modifying a provision governing fees assessed by the |
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3 | 3 | | 1.3 commissioner of health; amending Minnesota Statutes 2024, section 144.122. |
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4 | 4 | | 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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5 | 5 | | 1.5 Section 1. Minnesota Statutes 2024, section 144.122, is amended to read: |
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6 | 6 | | 1.6 144.122 LICENSE, PERMIT, AND SURVEY FEES. |
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7 | 7 | | 1.7 (a) The state commissioner of health, by rule, may prescribe procedures and fees for |
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8 | 8 | | 1.8filing with the commissioner as prescribed by statute and for the issuance of original and |
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9 | 9 | | 1.9renewal permits, licenses, registrations, and certifications issued under authority of the |
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10 | 10 | | 1.10commissioner. The expiration dates of the various licenses, permits, registrations, and |
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11 | 11 | | 1.11certifications as prescribed by the rules shall be plainly marked thereon. Fees may include |
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12 | 12 | | 1.12application and examination fees and a penalty fee for renewal applications submitted after |
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13 | 13 | | 1.13the expiration date of the previously issued permit, license, registration, and certification. |
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14 | 14 | | 1.14The commissioner may also prescribe, by rule, reduced fees for permits, licenses, |
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15 | 15 | | 1.15registrations, and certifications when the application therefor is submitted during the last |
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16 | 16 | | 1.16three months of the permit, license, registration, or certification period. Fees proposed to |
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17 | 17 | | 1.17be prescribed in the rules shall be first approved by the Department of Management and |
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18 | 18 | | 1.18Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be |
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19 | 19 | | 1.19in an amount so that the total fees collected by the commissioner will, where practical, |
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20 | 20 | | 1.20approximate the cost to the commissioner in administering the program. All fees collected |
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21 | 21 | | 1.21shall be deposited in the state treasury and credited to the state government special revenue |
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22 | 22 | | 1.22fund unless otherwise specifically appropriated by law for specific purposes. |
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23 | 23 | | 1Section 1. |
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24 | 24 | | 25-04877 as introduced03/12/25 REVISOR SGS/AD |
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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. 2988NINETY-FOURTH SESSION |
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28 | 28 | | (SENATE AUTHORS: WIKLUND) |
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29 | 29 | | OFFICIAL STATUSD-PGDATE |
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30 | 30 | | Introduction and first reading03/27/2025 |
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31 | 31 | | Referred to Health and Human Services 2.1 (b) The commissioner may charge a fee for voluntary certification of medical laboratories |
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32 | 32 | | 2.2and environmental laboratories, and for environmental and medical laboratory services |
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33 | 33 | | 2.3provided by the department, without complying with paragraph (a) or chapter 14. Fees |
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34 | 34 | | 2.4charged for environment and medical laboratory services provided by the department must |
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35 | 35 | | 2.5be approximately equal to the costs of providing the services. |
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36 | 36 | | 2.6 (c) The commissioner may develop a schedule of fees for diagnostic evaluations |
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37 | 37 | | 2.7conducted at clinics held by the services for children with disabilities program. All receipts |
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38 | 38 | | 2.8generated by the program are annually appropriated to the commissioner for use in the |
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39 | 39 | | 2.9maternal and child health program. |
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40 | 40 | | 2.10 (d) The commissioner shall set license fees for hospitals and nursing homes that are not |
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41 | 41 | | 2.11boarding care homes at the following levels: |
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42 | 42 | | $7,655 plus $16 per bed2.12Joint Commission on Accreditation of |
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43 | 43 | | 2.13Healthcare Organizations (JCAHO) and |
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44 | 44 | | 2.14American Osteopathic Association (AOA) |
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45 | 45 | | 2.15hospitals |
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46 | 46 | | $5,280 plus $250 per bed2.16Non-JCAHO and non-AOA hospitals |
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47 | 47 | | $183 plus $91 per bed until June 30, 2018. |
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48 | 48 | | 2.18 $183 plus $100 per bed between July 1, 2018, |
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49 | 49 | | 2.17Nursing home |
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50 | 50 | | 2.19 and June 30, 2020. $183 plus $105 per bed |
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51 | 51 | | 2.20 beginning July 1, 2020. |
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52 | 52 | | 2.21 The commissioner shall set license fees for outpatient surgical centers, boarding care |
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53 | 53 | | 2.22homes, supervised living facilities, assisted living facilities, and assisted living facilities |
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54 | 54 | | 2.23with dementia care at the following levels: |
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55 | 55 | | $3,7122.24Outpatient surgical centers |
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56 | 56 | | $183 plus $91 per bed2.25Boarding care homes |
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57 | 57 | | $183 plus $91 per bed.2.26Supervised living facilities |
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58 | 58 | | $3,000 plus $100 per resident.2.27Assisted living facilities with dementia care |
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59 | 59 | | $2,000 plus $75 per resident.2.28Assisted living facilities |
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60 | 60 | | 2.29Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if |
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61 | 61 | | 2.30received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017, |
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62 | 62 | | 2.31or later. |
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63 | 63 | | 2.32 (e) Unless prohibited by federal law, the commissioner of health shall charge applicants |
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64 | 64 | | 2.33the following fees to cover the cost of any initial certification surveys required to determine |
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65 | 65 | | 2.34a provider's eligibility to participate in the Medicare or Medicaid program: |
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66 | 66 | | 900$2.35Prospective payment surveys for hospitals |
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67 | 67 | | 1,200$2.36Swing bed surveys for nursing homes |
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68 | 68 | | 2Section 1. |
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69 | 69 | | 25-04877 as introduced03/12/25 REVISOR SGS/AD 1,400$3.1Psychiatric hospitals |
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70 | 70 | | 1,100$3.2Rural health facilities |
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71 | 71 | | 500$3.3Portable x-ray providers |
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72 | 72 | | 1,800$3.4Home health agencies |
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73 | 73 | | 800$3.5Outpatient therapy agencies |
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74 | 74 | | 2,100$3.6End stage renal dialysis providers |
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75 | 75 | | 800$3.7Independent therapists |
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76 | 76 | | 1,200$3.8Comprehensive rehabilitation outpatient facilities |
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77 | 77 | | 1,700$3.9Hospice providers |
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78 | 78 | | 1,800$3.10Ambulatory surgical providers |
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79 | 79 | | 4,200$3.11Hospitals |
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80 | 80 | | Actual surveyor costs: average |
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81 | 81 | | surveyor cost x number of hours for |
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82 | 82 | | the survey process. |
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83 | 83 | | 3.12Other provider categories or additional |
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84 | 84 | | 3.13resurveys required to complete initial |
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85 | 85 | | 3.14certification |
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86 | 86 | | 3.15 These fees shall be submitted at the time of the application for federal certification and |
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87 | 87 | | 3.16shall not be refunded. All fees collected after the date that the imposition of fees is not |
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88 | 88 | | 3.17prohibited by federal law shall be deposited in the state treasury and credited to the state |
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89 | 89 | | 3.18government special revenue fund. |
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90 | 90 | | 3.19 (f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed |
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91 | 91 | | 3.20on assisted living facilities and assisted living facilities with dementia care under paragraph |
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92 | 92 | | 3.21(d), in a revenue-neutral manner in accordance with the requirements of this paragraph: |
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93 | 93 | | 3.22 (1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up |
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94 | 94 | | 3.23to ten percent lower than the applicable fee in paragraph (d) if residents who receive home |
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95 | 95 | | 3.24and community-based waiver services under chapter 256S and section 256B.49 comprise |
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96 | 96 | | 3.25more than 50 percent of the facility's capacity in the calendar year prior to the year in which |
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97 | 97 | | 3.26the renewal application is submitted; and |
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98 | 98 | | 3.27 (2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up |
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99 | 99 | | 3.28to ten percent higher than the applicable fee in paragraph (d) if residents who receive home |
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100 | 100 | | 3.29and community-based waiver services under chapter 256S and section 256B.49 comprise |
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101 | 101 | | 3.30less than 50 percent of the facility's capacity during the calendar year prior to the year in |
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102 | 102 | | 3.31which the renewal application is submitted. |
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103 | 103 | | 3.32The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this |
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104 | 104 | | 3.33paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a |
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105 | 105 | | 3.34method for determining capacity thresholds in this paragraph in consultation with the |
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106 | 106 | | 3.35commissioner of human services and must coordinate the administration of this paragraph |
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107 | 107 | | 3.36with the commissioner of human services for purposes of verification. |
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108 | 108 | | 3Section 1. |
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109 | 109 | | 25-04877 as introduced03/12/25 REVISOR SGS/AD 4.1 (g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per |
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110 | 110 | | 4.2hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited |
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111 | 111 | | 4.3to the state government special revenue fund and credited toward trauma hospital designations |
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112 | 112 | | 4.4under sections 144.605 and 144.6071. |
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113 | 113 | | 4Section 1. |
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114 | 114 | | 25-04877 as introduced03/12/25 REVISOR SGS/AD |
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