Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF402 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1.1 A bill for an act
2	2	1.2 relating to human services; modifying disability waiver rates; amending Minnesota
3	3	1.3 Statutes 2024, section 256B.4914, subdivisions 5a, 6a, 6b, 6c, 7a, 7b, 7c, 8, 9.
4	4	1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
5	5	1.5 Section 1. Minnesota Statutes 2024, section 256B.4914, subdivision 5a, is amended to
6	6	1.6read:
7	7	1.7 Subd. 5a.Base wage index; calculations.The base wage index must be calculated as
8	8	1.8follows:
9	9	1.9 (1) for supervisory staff, 100 the sum of 60 percent of the median wage for social and
10	10	1.10community service manager (SOC code 11-9151) and 40 percent of the median wage for
11	11	1.11community and social services specialist (SOC code 21-1099), with the exception of the
12	12	1.12supervisor of positive supports professional, positive supports analyst, and positive supports
13	13	1.13specialist, which is 100 percent of the median wage for clinical counseling and school
14	14	1.14psychologist (SOC code 19-3031);
15	15	1.15 (2) for registered nurse staff, 100 percent of the median wage for registered nurses (SOC
16	16	1.16code 29-1141);
17	17	1.17 (3) for licensed practical nurse staff, 100 percent of the median wage for licensed practical
18	18	1.18nurses (SOC code 29-2061);
19	19	1.19 (4) for residential asleep-overnight staff, the minimum wage in Minnesota for large
20	20	1.20employers;
21	21	1.21 (5) for residential direct care staff, the sum of:
22	22	1Section 1.
23	23	25-00848 as introduced12/09/24 REVISOR AGW/VJ
24	24	SENATE
25	25	STATE OF MINNESOTA
26	26	S.F. No. 402NINETY-FOURTH SESSION
27	27	(SENATE AUTHORS: SEEBERGER, Utke, Hoffman, Maye Quade and Abeler)
28	28	OFFICIAL STATUSD-PGDATE
29	29	Introduction and first reading01/21/2025
30	30	Referred to Human Services 2.1 (i) 15 percent of the subtotal of 50 percent of the median wage for home health and
31	31	2.2personal care aide (SOC code 31-1120); 30 percent of the median wage for nursing assistant
32	32	2.3(SOC code 31-1131); and 20 percent of the median wage for social and human services
33	33	2.4aide (SOC code 21-1093); and
34	34	2.5 (ii) 85 percent of the subtotal of 40 percent of the median wage for home health and
35	35	2.6personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
36	36	2.7(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
37	37	2.829-2053); and 20 percent of the median wage for social and human services aide (SOC code
38	38	2.921-1093);
39	39	2.10 (6) for adult day services staff, 70 percent of the median wage for nursing assistant (SOC
40	40	2.11code 31-1131); and 30 percent of the median wage for home health and personal care aide
41	41	2.12(SOC code 31-1120);
42	42	2.13 (7) for day support services staff and prevocational services staff, 20 percent of the
43	43	2.14median wage for nursing assistant (SOC code 31-1131); 20 percent of the median wage for
44	44	2.15psychiatric technician (SOC code 29-2053); and 60 percent of the median wage for social
45	45	2.16and human services aide (SOC code 21-1093);
46	46	2.17 (8) for positive supports analyst staff, 100 percent of the median wage for substance
47	47	2.18abuse, behavioral disorder, and mental health counselor (SOC code 21-1018);
48	48	2.19 (9) for positive supports professional staff, 100 percent of the median wage for clinical
49	49	2.20counseling and school psychologist (SOC code 19-3031);
50	50	2.21 (10) for positive supports specialist staff, 100 percent of the median wage for psychiatric
51	51	2.22technicians (SOC code 29-2053);
52	52	2.23 (11) for individualized home supports with family training staff, 20 percent of the median
53	53	2.24wage for nursing aide (SOC code 31-1131); 30 percent of the median wage for community
54	54	2.25social service specialist (SOC code 21-1099); 40 percent of the median wage for social and
55	55	2.26human services aide (SOC code 21-1093); and ten percent of the median wage for psychiatric
56	56	2.27technician (SOC code 29-2053);
57	57	2.28 (12) for individualized home supports with training services staff, 40 percent of the
58	58	2.29median wage for community social service specialist (SOC code 21-1099); 50 percent of
59	59	2.30the median wage for social and human services aide (SOC code 21-1093); and ten percent
60	60	2.31of the median wage for psychiatric technician (SOC code 29-2053);
61	61	2Section 1.
62	62	25-00848 as introduced12/09/24 REVISOR AGW/VJ 3.1 (13) for employment support services staff, 50 percent of the median wage for
63	63	3.2rehabilitation counselor (SOC code 21-1015); and 50 percent of the median wage for
64	64	3.3community and social services specialist (SOC code 21-1099);
65	65	3.4 (14) for employment exploration services staff, 50 percent of the median wage for
66	66	3.5education, guidance, school, and vocational counselor (SOC code 21-1012); and 50 percent
67	67	3.6of the median wage for community and social services specialist (SOC code 21-1099);
68	68	3.7 (15) for employment development services staff, 50 percent of the median wage for
69	69	3.8education, guidance, school, and vocational counselors (SOC code 21-1012); and 50 percent
70	70	3.9of the median wage for community and social services specialist (SOC code 21-1099);
71	71	3.10 (16) for individualized home support without training staff, 50 percent of the median
72	72	3.11wage for home health and personal care aide (SOC code 31-1120); and 50 percent of the
73	73	3.12median wage for nursing assistant (SOC code 31-1131); and
74	74	3.13 (17) for night supervision staff, 40 percent of the median wage for home health and
75	75	3.14personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
76	76	3.15(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
77	77	3.1629-2053); and 20 percent of the median wage for social and human services aide (SOC code
78	78	3.1721-1093).
79	79	3.18 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
80	80	3.19whichever is later. The commissioner of human services shall notify the revisor of statutes
81	81	3.20when federal approval is obtained.
82	82	3.21 Sec. 2. Minnesota Statutes 2024, section 256B.4914, subdivision 6a, is amended to read:
83	83	3.22 Subd. 6a.Community residential services; component values and calculation of
84	84	3.23payment rates.(a) Component values for community residential services are:
85	85	3.24 (1) effective upon federal approval until the effective date of clause (2), competitive
86	86	3.25workforce factor: 6.7 percent;
87	87	3.26 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
88	88	3.27workforce factor: 16.76 percent;
89	89	3.28 (2) (3) supervisory span of control ratio: 11 percent;
90	90	3.29 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
91	91	3.30 (4) (5) employee-related cost ratio: 23.6 percent;
92	92	3.31 (5) (6) general administrative support ratio: 13.25 percent;
93	93	3Sec. 2.
94	94	25-00848 as introduced12/09/24 REVISOR AGW/VJ 4.1 (6) (7) program-related expense ratio: 1.3 percent; and
95	95	4.2 (7) (8) absence and utilization factor ratio: 3.9 percent.
96	96	4.3 (b) Payments for community residential services must be calculated as follows:
97	97	4.4 (1) determine the number of shared direct staffing and individual direct staffing hours
98	98	4.5to meet a recipient's needs provided on site or through monitoring technology;
99	99	4.6 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
100	100	4.7provided in subdivisions 5 and 5a;
101	101	4.8 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
102	102	4.9product of one plus the competitive workforce factor;
103	103	4.10 (4) for a recipient requiring customization for deaf and hard-of-hearing language
104	104	4.11accessibility under subdivision 12, add the customization rate provided in subdivision 12
105	105	4.12to the result of clause (3);
106	106	4.13 (5) multiply the number of shared direct staffing and individual direct staffing hours
107	107	4.14provided on site or through monitoring technology and nursing hours by the appropriate
108	108	4.15staff wages;
109	109	4.16 (6) multiply the number of shared direct staffing and individual direct staffing hours
110	110	4.17provided on site or through monitoring technology and nursing hours by the product of the
111	111	4.18supervision span of control ratio and the appropriate supervisory staff wage in subdivision
112	112	4.195a, clause (1);
113	113	4.20 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
114	114	4.21individual direct staffing hours provided through monitoring technology, and multiply the
115	115	4.22result by one plus the employee vacation, sick, and training allowance ratio. This is defined
116	116	4.23as the direct staffing cost;
117	117	4.24 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
118	118	4.25direct staffing and individual hours provided through monitoring technology, by one plus
119	119	4.26the employee-related cost ratio;
120	120	4.27 (9) for client programming and supports, add $2,260.21 divided by 365. The
121	121	4.28commissioner shall update the amount in this clause as specified in subdivision 5b;
122	122	4.29 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
123	123	4.30by 365 if customized for adapted transport, based on the resident with the highest assessed
124	124	4.31need. The commissioner shall update the amounts in this clause as specified in subdivision
125	125	4.325b;
126	126	4Sec. 2.
127	127	25-00848 as introduced12/09/24 REVISOR AGW/VJ 5.1 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
128	128	5.2and individual direct staffing hours provided through monitoring technology that was
129	129	5.3excluded in clause (8);
130	130	5.4 (12) sum the standard general administrative support ratio, the program-related expense
131	131	5.5ratio, and the absence and utilization factor ratio;
132	132	5.6 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
133	133	5.7total payment amount; and
134	134	5.8 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
135	135	5.9to adjust for regional differences in the cost of providing services.
136	136	5.10 EFFECTIVE DATE.This section is effective the day following final enactment.
137	137	5.11 Sec. 3. Minnesota Statutes 2024, section 256B.4914, subdivision 6b, is amended to read:
138	138	5.12 Subd. 6b.Family residential services; component values and calculation of payment
139	139	5.13rates.(a) Component values for family residential services are:
140	140	5.14 (1) effective upon federal approval until the effective date of clause (2), competitive
141	141	5.15workforce factor: 6.7 percent;
142	142	5.16 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
143	143	5.17workforce factor: 16.76 percent;
144	144	5.18 (2) (3) supervisory span of control ratio: 11 percent;
145	145	5.19 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
146	146	5.20 (4) (5) employee-related cost ratio: 23.6 percent;
147	147	5.21 (5) (6) general administrative support ratio: 3.3 percent;
148	148	5.22 (6) (7) program-related expense ratio: 1.3 percent; and
149	149	5.23 (7) (8) absence factor: 1.7 percent.
150	150	5.24 (b) Payments for family residential services must be calculated as follows:
151	151	5.25 (1) determine the number of shared direct staffing and individual direct staffing hours
152	152	5.26to meet a recipient's needs provided on site or through monitoring technology;
153	153	5.27 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
154	154	5.28provided in subdivisions 5 and 5a;
155	155	5.29 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
156	156	5.30product of one plus the competitive workforce factor;
157	157	5Sec. 3.
158	158	25-00848 as introduced12/09/24 REVISOR AGW/VJ 6.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
159	159	6.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
160	160	6.3to the result of clause (3);
161	161	6.4 (5) multiply the number of shared direct staffing and individual direct staffing hours
162	162	6.5provided on site or through monitoring technology and nursing hours by the appropriate
163	163	6.6staff wages;
164	164	6.7 (6) multiply the number of shared direct staffing and individual direct staffing hours
165	165	6.8provided on site or through monitoring technology and nursing hours by the product of the
166	166	6.9supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
167	167	6.105a, clause (1);
168	168	6.11 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
169	169	6.12individual direct staffing hours provided through monitoring technology, and multiply the
170	170	6.13result by one plus the employee vacation, sick, and training allowance ratio. This is defined
171	171	6.14as the direct staffing cost;
172	172	6.15 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
173	173	6.16and individual direct staffing hours provided through monitoring technology, by one plus
174	174	6.17the employee-related cost ratio;
175	175	6.18 (9) for client programming and supports, add $2,260.21 divided by 365. The
176	176	6.19commissioner shall update the amount in this clause as specified in subdivision 5b;
177	177	6.20 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
178	178	6.21by 365 if customized for adapted transport, based on the resident with the highest assessed
179	179	6.22need. The commissioner shall update the amounts in this clause as specified in subdivision
180	180	6.235b;
181	181	6.24 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
182	182	6.25and individual direct staffing hours provided through monitoring technology that was
183	183	6.26excluded in clause (8);
184	184	6.27 (12) sum the standard general administrative support ratio, the program-related expense
185	185	6.28ratio, and the absence and utilization factor ratio;
186	186	6.29 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
187	187	6.30total payment rate; and
188	188	6.31 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
189	189	6.32to adjust for regional differences in the cost of providing services.
190	190	6Sec. 3.
191	191	25-00848 as introduced12/09/24 REVISOR AGW/VJ 7.1 EFFECTIVE DATE.This section is effective the day following final enactment.
192	192	7.2 Sec. 4. Minnesota Statutes 2024, section 256B.4914, subdivision 6c, is amended to read:
193	193	7.3 Subd. 6c.Integrated community supports; component values and calculation of
194	194	7.4payment rates.(a) Component values for integrated community supports are:
195	195	7.5 (1) effective upon federal approval until the effective date of clause (2), competitive
196	196	7.6workforce factor: 6.7 percent;
197	197	7.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
198	198	7.8workforce factor: 16.76 percent;
199	199	7.9 (2) (3) supervisory span of control ratio: 11 percent;
200	200	7.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
201	201	7.11 (4) (5) employee-related cost ratio: 23.6 percent;
202	202	7.12 (5) (6) general administrative support ratio: 13.25 percent;
203	203	7.13 (6) (7) program-related expense ratio: 1.3 percent; and
204	204	7.14 (7) (8) absence and utilization factor ratio: 3.9 percent.
205	205	7.15 (b) Payments for integrated community supports must be calculated as follows:
206	206	7.16 (1) determine the number of shared direct staffing and individual direct staffing hours
207	207	7.17to meet a recipient's needs. The base shared direct staffing hours must be eight hours divided
208	208	7.18by the number of people receiving support in the integrated community support setting, and
209	209	7.19the individual direct staffing hours must be the average number of direct support hours
210	210	7.20provided directly to the service recipient;
211	211	7.21 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
212	212	7.22provided in subdivisions 5 and 5a;
213	213	7.23 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
214	214	7.24product of one plus the competitive workforce factor;
215	215	7.25 (4) for a recipient requiring customization for deaf and hard-of-hearing language
216	216	7.26accessibility under subdivision 12, add the customization rate provided in subdivision 12
217	217	7.27to the result of clause (3);
218	218	7.28 (5) multiply the number of shared direct staffing and individual direct staffing hours in
219	219	7.29clause (1) by the appropriate staff wages;
220	220	7Sec. 4.
221	221	25-00848 as introduced12/09/24 REVISOR AGW/VJ 8.1 (6) multiply the number of shared direct staffing and individual direct staffing hours in
222	222	8.2clause (1) by the product of the supervisory span of control ratio and the appropriate
223	223	8.3supervisory staff wage in subdivision 5a, clause (1);
224	224	8.4 (7) combine the results of clauses (5) and (6) and multiply the result by one plus the
225	225	8.5employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
226	226	8.6cost;
227	227	8.7 (8) for employee-related expenses, multiply the direct staffing cost by one plus the
228	228	8.8employee-related cost ratio;
229	229	8.9 (9) for client programming and supports, add $2,260.21 divided by 365. The
230	230	8.10commissioner shall update the amount in this clause as specified in subdivision 5b;
231	231	8.11 (10) add the results of clauses (8) and (9);
232	232	8.12 (11) add the standard general administrative support ratio, the program-related expense
233	233	8.13ratio, and the absence and utilization factor ratio;
234	234	8.14 (12) divide the result of clause (10) by one minus the result of clause (11). This is the
235	235	8.15total payment amount; and
236	236	8.16 (13) adjust the result of clause (12) by a factor to be determined by the commissioner
237	237	8.17to adjust for regional differences in the cost of providing services.
238	238	8.18 EFFECTIVE DATE.This section is effective the day following final enactment.
239	239	8.19 Sec. 5. Minnesota Statutes 2024, section 256B.4914, subdivision 7a, is amended to read:
240	240	8.20 Subd. 7a.Adult day services; component values and calculation of payment rates.(a)
241	241	8.21Component values for adult day services are:
242	242	8.22 (1) effective upon federal approval until the effective date of clause (2), competitive
243	243	8.23workforce factor: 6.7 percent;
244	244	8.24 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
245	245	8.25workforce factor: 16.76 percent;
246	246	8.26 (2) (3) supervisory span of control ratio: 11 percent;
247	247	8.27 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
248	248	8.28 (4) (5) employee-related cost ratio: 23.6 percent;
249	249	8.29 (5) (6) program plan support ratio: 5.6 percent;
250	250	8Sec. 5.
251	251	25-00848 as introduced12/09/24 REVISOR AGW/VJ 9.1 (6) (7) client programming and support ratio: 7.4 percent, updated as specified in
252	252	9.2subdivision 5b;
253	253	9.3 (7) (8) general administrative support ratio: 13.25 percent;
254	254	9.4 (8) (9) program-related expense ratio: 1.8 percent; and
255	255	9.5 (9) (10) absence and utilization factor ratio: 9.4 percent.
256	256	9.6 (b) A unit of service for adult day services is either a day or 15 minutes. A day unit of
257	257	9.7service is six or more hours of time spent providing direct service.
258	258	9.8 (c) Payments for adult day services must be calculated as follows:
259	259	9.9 (1) determine the number of units of service and the staffing ratio to meet a recipient's
260	260	9.10needs;
261	261	9.11 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
262	262	9.12provided in subdivisions 5 and 5a;
263	263	9.13 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
264	264	9.14product of one plus the competitive workforce factor;
265	265	9.15 (4) for a recipient requiring customization for deaf and hard-of-hearing language
266	266	9.16accessibility under subdivision 12, add the customization rate provided in subdivision 12
267	267	9.17to the result of clause (3);
268	268	9.18 (5) multiply the number of day program direct staffing hours and nursing hours by the
269	269	9.19appropriate staff wage;
270	270	9.20 (6) multiply the number of day program direct staffing hours by the product of the
271	271	9.21supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
272	272	9.225a, clause (1);
273	273	9.23 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
274	274	9.24employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
275	275	9.25rate;
276	276	9.26 (8) for program plan support, multiply the result of clause (7) by one plus the program
277	277	9.27plan support ratio;
278	278	9.28 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
279	279	9.29employee-related cost ratio;
280	280	9.30 (10) for client programming and supports, multiply the result of clause (9) by one plus
281	281	9.31the client programming and support ratio;
282	282	9Sec. 5.
283	283	25-00848 as introduced12/09/24 REVISOR AGW/VJ 10.1 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
284	284	10.2to meet individual needs, updated as specified in subdivision 5b;
285	285	10.3 (12) for adult day bath services, add $7.01 per 15 minute unit;
286	286	10.4 (13) this is the subtotal rate;
287	287	10.5 (14) sum the standard general administrative rate support ratio, the program-related
288	288	10.6expense ratio, and the absence and utilization factor ratio;
289	289	10.7 (15) divide the result of clause (13) by one minus the result of clause (14). This is the
290	290	10.8total payment amount; and
291	291	10.9 (16) adjust the result of clause (15) by a factor to be determined by the commissioner
292	292	10.10to adjust for regional differences in the cost of providing services.
293	293	10.11 EFFECTIVE DATE.This section is effective the day following final enactment.
294	294	10.12Sec. 6. Minnesota Statutes 2024, section 256B.4914, subdivision 7b, is amended to read:
295	295	10.13 Subd. 7b.Day support services; component values and calculation of payment
296	296	10.14rates.(a) Component values for day support services are:
297	297	10.15 (1) effective upon federal approval until the effective date of clause (2), competitive
298	298	10.16workforce factor: 6.7 percent;
299	299	10.17 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
300	300	10.18workforce factor: 16.76 percent;
301	301	10.19 (2) (3) supervisory span of control ratio: 11 percent;
302	302	10.20 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
303	303	10.21 (4) (5) employee-related cost ratio: 23.6 percent;
304	304	10.22 (5) (6) program plan support ratio: 5.6 percent;
305	305	10.23 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
306	306	10.24subdivision 5b;
307	307	10.25 (7) (8) general administrative support ratio: 13.25 percent;
308	308	10.26 (8) (9) program-related expense ratio: 1.8 percent; and
309	309	10.27 (9) (10) absence and utilization factor ratio: 9.4 percent.
310	310	10.28 (b) A unit of service for day support services is 15 minutes.
311	311	10.29 (c) Payments for day support services must be calculated as follows:
312	312	10Sec. 6.
313	313	25-00848 as introduced12/09/24 REVISOR AGW/VJ 11.1 (1) determine the number of units of service and the staffing ratio to meet a recipient's
314	314	11.2needs;
315	315	11.3 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
316	316	11.4provided in subdivisions 5 and 5a;
317	317	11.5 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
318	318	11.6product of one plus the competitive workforce factor;
319	319	11.7 (4) for a recipient requiring customization for deaf and hard-of-hearing language
320	320	11.8accessibility under subdivision 12, add the customization rate provided in subdivision 12
321	321	11.9to the result of clause (3);
322	322	11.10 (5) multiply the number of day program direct staffing hours and nursing hours by the
323	323	11.11appropriate staff wage;
324	324	11.12 (6) multiply the number of day program direct staffing hours by the product of the
325	325	11.13supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
326	326	11.145a, clause (1);
327	327	11.15 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
328	328	11.16employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
329	329	11.17rate;
330	330	11.18 (8) for program plan support, multiply the result of clause (7) by one plus the program
331	331	11.19plan support ratio;
332	332	11.20 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
333	333	11.21employee-related cost ratio;
334	334	11.22 (10) for client programming and supports, multiply the result of clause (9) by one plus
335	335	11.23the client programming and support ratio;
336	336	11.24 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
337	337	11.25to meet individual needs, updated as specified in subdivision 5b;
338	338	11.26 (12) this is the subtotal rate;
339	339	11.27 (13) sum the standard general administrative rate support ratio, the program-related
340	340	11.28expense ratio, and the absence and utilization factor ratio;
341	341	11.29 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
342	342	11.30total payment amount; and
343	343	11Sec. 6.
344	344	25-00848 as introduced12/09/24 REVISOR AGW/VJ 12.1 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
345	345	12.2to adjust for regional differences in the cost of providing services.
346	346	12.3 EFFECTIVE DATE.This section is effective the day following final enactment.
347	347	12.4 Sec. 7. Minnesota Statutes 2024, section 256B.4914, subdivision 7c, is amended to read:
348	348	12.5 Subd. 7c.Prevocational services; component values and calculation of payment
349	349	12.6rates.(a) Component values for prevocational services are:
350	350	12.7 (1) effective upon federal approval until the effective date of clause (2), competitive
351	351	12.8workforce factor: 6.7 percent;
352	352	12.9 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
353	353	12.10workforce factor: 16.76 percent;
354	354	12.11 (2) (3) supervisory span of control ratio: 11 percent;
355	355	12.12 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
356	356	12.13 (4) (5) employee-related cost ratio: 23.6 percent;
357	357	12.14 (5) (6) program plan support ratio: 5.6 percent;
358	358	12.15 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
359	359	12.16subdivision 5b;
360	360	12.17 (7) (8) general administrative support ratio: 13.25 percent;
361	361	12.18 (8) (9) program-related expense ratio: 1.8 percent; and
362	362	12.19 (9) (10) absence and utilization factor ratio: 9.4 percent.
363	363	12.20 (b) A unit of service for prevocational services is either a day or 15 minutes. A day unit
364	364	12.21of service is six or more hours of time spent providing direct service.
365	365	12.22 (c) Payments for prevocational services must be calculated as follows:
366	366	12.23 (1) determine the number of units of service and the staffing ratio to meet a recipient's
367	367	12.24needs;
368	368	12.25 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
369	369	12.26provided in subdivisions 5 and 5a;
370	370	12.27 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
371	371	12.28product of one plus the competitive workforce factor;
372	372	12Sec. 7.
373	373	25-00848 as introduced12/09/24 REVISOR AGW/VJ 13.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
374	374	13.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
375	375	13.3to the result of clause (3);
376	376	13.4 (5) multiply the number of day program direct staffing hours and nursing hours by the
377	377	13.5appropriate staff wage;
378	378	13.6 (6) multiply the number of day program direct staffing hours by the product of the
379	379	13.7supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
380	380	13.85a, clause (1);
381	381	13.9 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
382	382	13.10employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
383	383	13.11rate;
384	384	13.12 (8) for program plan support, multiply the result of clause (7) by one plus the program
385	385	13.13plan support ratio;
386	386	13.14 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
387	387	13.15employee-related cost ratio;
388	388	13.16 (10) for client programming and supports, multiply the result of clause (9) by one plus
389	389	13.17the client programming and support ratio;
390	390	13.18 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
391	391	13.19to meet individual needs, updated as specified in subdivision 5b;
392	392	13.20 (12) this is the subtotal rate;
393	393	13.21 (13) sum the standard general administrative rate support ratio, the program-related
394	394	13.22expense ratio, and the absence and utilization factor ratio;
395	395	13.23 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
396	396	13.24total payment amount; and
397	397	13.25 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
398	398	13.26to adjust for regional differences in the cost of providing services.
399	399	13.27 EFFECTIVE DATE.This section is effective the day following final enactment.
400	400	13.28Sec. 8. Minnesota Statutes 2024, section 256B.4914, subdivision 8, is amended to read:
401	401	13.29 Subd. 8. Unit-based services with programming; component values and calculation
402	402	13.30of payment rates.(a) For the purpose of this section, unit-based services with programming
403	403	13.31include employment exploration services, employment development services, employment
404	404	13Sec. 8.
405	405	25-00848 as introduced12/09/24 REVISOR AGW/VJ 14.1support services, individualized home supports with family training, individualized home
406	406	14.2supports with training, and positive support services provided to an individual outside of
407	407	14.3any service plan for a day program or residential support service.
408	408	14.4 (b) Component values for unit-based services with programming are:
409	409	14.5 (1) effective upon federal approval until the effective date of clause (2), competitive
410	410	14.6workforce factor: 6.7 percent;
411	411	14.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
412	412	14.8workforce factor: 16.76 percent;
413	413	14.9 (2) (3) supervisory span of control ratio: 11 percent;
414	414	14.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
415	415	14.11 (4) (5) employee-related cost ratio: 23.6 percent;
416	416	14.12 (5) (6) program plan support ratio: 15.5 percent;
417	417	14.13 (6) (7) client programming and support ratio: 4.7 percent, updated as specified in
418	418	14.14subdivision 5b;
419	419	14.15 (7) (8) general administrative support ratio: 13.25 percent;
420	420	14.16 (8) (9) program-related expense ratio: 6.1 percent; and
421	421	14.17 (9) (10) absence and utilization factor ratio: 3.9 percent.
422	422	14.18 (c) A unit of service for unit-based services with programming is 15 minutes.
423	423	14.19 (d) Payments for unit-based services with programming must be calculated as follows,
424	424	14.20unless the services are reimbursed separately as part of a residential support services or day
425	425	14.21program payment rate:
426	426	14.22 (1) determine the number of units of service to meet a recipient's needs;
427	427	14.23 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
428	428	14.24provided in subdivisions 5 and 5a;
429	429	14.25 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
430	430	14.26product of one plus the competitive workforce factor;
431	431	14.27 (4) for a recipient requiring customization for deaf and hard-of-hearing language
432	432	14.28accessibility under subdivision 12, add the customization rate provided in subdivision 12
433	433	14.29to the result of clause (3);
434	434	14.30 (5) multiply the number of direct staffing hours by the appropriate staff wage;
435	435	14Sec. 8.
436	436	25-00848 as introduced12/09/24 REVISOR AGW/VJ 15.1 (6) multiply the number of direct staffing hours by the product of the supervisory span
437	437	15.2of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
438	438	15.3 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
439	439	15.4employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
440	440	15.5rate;
441	441	15.6 (8) for program plan support, multiply the result of clause (7) by one plus the program
442	442	15.7plan support ratio;
443	443	15.8 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
444	444	15.9employee-related cost ratio;
445	445	15.10 (10) for client programming and supports, multiply the result of clause (9) by one plus
446	446	15.11the client programming and support ratio;
447	447	15.12 (11) this is the subtotal rate;
448	448	15.13 (12) sum the standard general administrative support ratio, the program-related expense
449	449	15.14ratio, and the absence and utilization factor ratio;
450	450	15.15 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
451	451	15.16total payment amount;
452	452	15.17 (14) for services provided in a shared manner, divide the total payment in clause (13)
453	453	15.18as follows:
454	454	15.19 (i) for employment exploration services, divide by the number of service recipients, not
455	455	15.20to exceed five;
456	456	15.21 (ii) for employment support services, divide by the number of service recipients, not to
457	457	15.22exceed six;
458	458	15.23 (iii) for individualized home supports with training and individualized home supports
459	459	15.24with family training, divide by the number of service recipients, not to exceed three; and
460	460	15.25 (iv) for night supervision, divide by the number of service recipients, not to exceed two;
461	461	15.26and
462	462	15.27 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
463	463	15.28to adjust for regional differences in the cost of providing services.
464	464	15.29 EFFECTIVE DATE.This section is effective the day following final enactment.
465	465	15Sec. 8.
466	466	25-00848 as introduced12/09/24 REVISOR AGW/VJ 16.1 Sec. 9. Minnesota Statutes 2024, section 256B.4914, subdivision 9, is amended to read:
467	467	16.2 Subd. 9. Unit-based services without programming; component values and
468	468	16.3calculation of payment rates.(a) For the purposes of this section, unit-based services
469	469	16.4without programming include individualized home supports without training and night
470	470	16.5supervision provided to an individual outside of any service plan for a day program or
471	471	16.6residential support service. Unit-based services without programming do not include respite.
472	472	16.7 (b) Component values for unit-based services without programming are:
473	473	16.8 (1) effective upon federal approval until the effective date of clause (2), competitive
474	474	16.9workforce factor: 6.7 percent;
475	475	16.10 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
476	476	16.11workforce factor: 16.76 percent;
477	477	16.12 (2) (3) supervisory span of control ratio: 11 percent;
478	478	16.13 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
479	479	16.14 (4) (5) employee-related cost ratio: 23.6 percent;
480	480	16.15 (5) (6) program plan support ratio: 7.0 percent;
481	481	16.16 (6) (7) client programming and support ratio: 2.3 percent, updated as specified in
482	482	16.17subdivision 5b;
483	483	16.18 (7) (8) general administrative support ratio: 13.25 percent;
484	484	16.19 (8) (9) program-related expense ratio: 2.9 percent; and
485	485	16.20 (9) (10) absence and utilization factor ratio: 3.9 percent.
486	486	16.21 (c) A unit of service for unit-based services without programming is 15 minutes.
487	487	16.22 (d) Payments for unit-based services without programming must be calculated as follows
488	488	16.23unless the services are reimbursed separately as part of a residential support services or day
489	489	16.24program payment rate:
490	490	16.25 (1) determine the number of units of service to meet a recipient's needs;
491	491	16.26 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
492	492	16.27provided in subdivisions 5 to 5a;
493	493	16.28 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
494	494	16.29product of one plus the competitive workforce factor;
495	495	16Sec. 9.
496	496	25-00848 as introduced12/09/24 REVISOR AGW/VJ 17.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
497	497	17.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
498	498	17.3to the result of clause (3);
499	499	17.4 (5) multiply the number of direct staffing hours by the appropriate staff wage;
500	500	17.5 (6) multiply the number of direct staffing hours by the product of the supervisory span
501	501	17.6of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
502	502	17.7 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
503	503	17.8employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
504	504	17.9rate;
505	505	17.10 (8) for program plan support, multiply the result of clause (7) by one plus the program
506	506	17.11plan support ratio;
507	507	17.12 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
508	508	17.13employee-related cost ratio;
509	509	17.14 (10) for client programming and supports, multiply the result of clause (9) by one plus
510	510	17.15the client programming and support ratio;
511	511	17.16 (11) this is the subtotal rate;
512	512	17.17 (12) sum the standard general administrative support ratio, the program-related expense
513	513	17.18ratio, and the absence and utilization factor ratio;
514	514	17.19 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
515	515	17.20total payment amount;
516	516	17.21 (14) for individualized home supports without training provided in a shared manner,
517	517	17.22divide the total payment amount in clause (13) by the number of service recipients, not to
518	518	17.23exceed three; and
519	519	17.24 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
520	520	17.25to adjust for regional differences in the cost of providing services.
521	521	17.26 EFFECTIVE DATE.This section is effective the day following final enactment.
522	522	17Sec. 9.
523	523	25-00848 as introduced12/09/24 REVISOR AGW/VJ