Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7071

 

 

STATE OF MINNESOTA

 

 

NINETY-THIRD SESSION - 2023

 

_____________________

 

FIFTY-SEVENTH DAY

 

Saint Paul, Minnesota, Wednesday, April 26, 2023

 

 

      The House of Representatives convened at 11:00 a.m. and was called to order by Melissa Hortman, Speaker of the House.

 

      Prayer was offered by Pastor Roger Eng, Living Rock Church, Norwood Young America, Minnesota.

 

      The members of the House gave the pledge of allegiance to the flag of the United States of America.

 

      The roll was called and the following members were present:

 


Acomb

Agbaje

Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bahner

Bakeberg

Baker

Becker-Finn

Bennett

Berg

Bierman

Bliss

Brand

Burkel

Carroll

Cha

Clardy

Coulter

Curran

Daniels

Daudt

Davis

Demuth

Dotseth

Edelson

Elkins

Engen

Feist

Finke

Fischer

Fogelman

Franson

Frazier

Frederick

Freiberg

Garofalo

Gillman

Gomez

Greenman

Grossell

Hansen, R.

Hanson, J.

Harder

Hassan

Heintzeman

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Hudella

Hudson

Huot

Hussein

Igo

Jacob

Johnson

Jordan

Joy

Keeler

Klevorn

Knudsen

Koegel

Kotyza-Witthuhn

Kozlowski

Koznick

Kraft

Kresha

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

McDonald

Mekeland

Moller

Mueller

Murphy

Myers

Nash

Nelson, M.

Nelson, N.

Neu Brindley

Newton

Niska

Noor

Norris

Novotny

O'Driscoll

Olson, B.

Olson, L.

O'Neill

Pelowski

Pérez-Vega

Perryman

Petersburg

Pfarr

Pinto

Pryor

Pursell

Quam

Rehm

Reyer

Richardson

Robbins

Schomacker

Schultz

Scott

Sencer-Mura

Skraba

Smith

Stephenson

Swedzinski

Tabke

Torkelson

Urdahl

Vang

West

Wiener

Wiens

Witte

Wolgamott

Xiong

Youakim

Zeleznikar

Spk. Hortman


 

      A quorum was present.

 

      Davids, Kiel and Nadeau were excused.

 

      The Chief Clerk proceeded to read the Journal of the preceding day.  There being no objection, further reading of the Journal was dispensed with and the Journal was approved as corrected by the Chief Clerk.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7072

PETITIONS AND COMMUNICATIONS

 

 

      The following communications were received:

 

 

STATE OF MINNESOTA

OFFICE OF THE GOVERNOR

SAINT PAUL 55155

 

April 17, 2023

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

The State of Minnesota

 

Dear Speaker Hortman:

 

      Please be advised that I have received, approved, signed, and deposited in the Office of the Secretary of State the following House File:

 

      H. F. No. 1278, relating to public safety; transferring money for the disaster assistance contingency account.

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Tim Walz

                                                                                                                                Governor

 

 

STATE OF MINNESOTA

OFFICE OF THE SECRETARY OF STATE

ST. PAUL 55155

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

 

The Honorable Bobby Joe Champion

President of the Senate

 

      I have the honor to inform you that the following enrolled Act of the 2023 Session of the State Legislature has been received from the Office of the Governor and is deposited in the Office of the Secretary of State for preservation, pursuant to the State Constitution, Article IV, Section 23:

 

 

S. F.

No.

 

H. F.

No.

 

Session Laws

Chapter No.

Time and

Date Approved

2023

 

Date Filed

2023

 

                                1278                        26                                         11:41 a.m.  April 17                              April 17

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Steve Simon

                                                                                                                                Secretary of State


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7073

STATE OF MINNESOTA

OFFICE OF THE GOVERNOR

SAINT PAUL 55155

 

April 18, 2023

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

The State of Minnesota

 

Dear Speaker Hortman:

 

      Please be advised that I have received, approved, signed, and deposited in the Office of the Secretary of State the following House Files:

 

H. F. No. 1656, relating to energy; establishing grant programs to enhance the competitiveness of Minnesota entities in obtaining federal money for energy projects; creating an account; requiring a report; appropriating money.

 

H. F. No. 1581, relating to legislative enactments; making miscellaneous technical corrections to laws and statutes; correcting erroneous, obsolete, and omitted text and references; removing redundant, conflicting, and superseded provisions.

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Tim Walz

                                                                                                                                Governor

 

 

STATE OF MINNESOTA

OFFICE OF THE SECRETARY OF STATE

ST. PAUL 55155

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

 

The Honorable Bobby Joe Champion

President of the Senate

 

      I have the honor to inform you that the following enrolled Acts of the 2023 Session of the State Legislature have been received from the Office of the Governor and are deposited in the Office of the Secretary of State for preservation, pursuant to the State Constitution, Article IV, Section 23:

 

 

S. F.

No.

 

H. F.

No.

 

Session Laws

Chapter No.

Time and

Date Approved

2023

 

Date Filed

2023

 

                               1656                         24                                         10:52 a.m.  April 18                              April 18

                               1581                         25                                         10:52 a.m.  April 18                              April 18

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Steve Simon

                                                                                                                                Secretary of State


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7074

STATE OF MINNESOTA

OFFICE OF THE GOVERNOR

SAINT PAUL 55155

 

April 25, 2023

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

The State of Minnesota

 

Dear Speaker Hortman:

 

      Please be advised that I have received, approved, signed, and deposited in the Office of the Secretary of State the following House File:

 

H. F. No. 42, relating to public safety; amending definitions of labor trafficking; establishing enhanced penalties for labor trafficking when the trafficking occurs over an extended period of time or when a victim dies or suffers great bodily harm; making conforming changes related to the statewide human trafficking assessment; requiring the Sentencing Guidelines Commission to consider assigning a severity level ranking to the labor trafficking crime.

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Tim Walz

                                                                                                                                Governor

 

 

STATE OF MINNESOTA

OFFICE OF THE SECRETARY OF STATE

ST. PAUL 55155

 

The Honorable Melissa Hortman

Speaker of the House of Representatives

 

The Honorable Bobby Joe Champion

President of the Senate

 

      I have the honor to inform you that the following enrolled Act of the 2023 Session of the State Legislature has been received from the Office of the Governor and is deposited in the Office of the Secretary of State for preservation, pursuant to the State Constitution, Article IV, Section 23:

 

 

S. F.

No.

 

H. F.

No.

 

Session Laws

Chapter No.

Time and

Date Approved

2023

 

Date Filed

2023

 

                                  42                           27                                         3:36 p.m.  April 25                                April 25

 

 

                                                                                                                                Sincerely,

 

                                                                                                                                Steve Simon

                                                                                                                                Secretary of State


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7075

REPORTS OF STANDING COMMITTEES AND DIVISIONS

 

 

Liebling from the Committee on Health Finance and Policy to which was referred:

 

H. F. No. 402, A bill for an act relating to health; establishing requirements for certain health care entity transactions; changing the expiration date on moratorium conversion transactions; requiring a health system to return charitable assets received from the state to the general fund in certain circumstances; requiring a study on the regulation of certain transactions; requiring a report; appropriating money; amending Laws 2017, First Special Session chapter 6, article 5, section 11, as amended; proposing coding for new law in Minnesota Statutes, chapter 144.

 

Reported the same back with the following amendments:

 

Delete everything after the enacting clause and insert:

 

"Section 1.  Minnesota Statutes 2022, section 62U.04, subdivision 11, is amended to read:

 

Subd. 11.  Restricted uses of the all-payer claims data.  (a) Notwithstanding subdivision 4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or the commissioner's designee shall only use the data submitted under subdivisions 4 and 5 for the following purposes:

 

(1) to evaluate the performance of the health care home program as authorized under section 62U.03, subdivision 7;

 

(2) to study, in collaboration with the reducing avoidable readmissions effectively (RARE) campaign, hospital readmission trends and rates;

 

(3) to analyze variations in health care costs, quality, utilization, and illness burden based on geographical areas or populations;

 

(4) to evaluate the state innovation model (SIM) testing grant received by the Departments of Health and Human Services, including the analysis of health care cost, quality, and utilization baseline and trend information for targeted populations and communities; and

 

(5) to compile one or more public use files of summary data or tables that must:

 

(i) be available to the public for no or minimal cost by March 1, 2016, and available by web-based electronic data download by June 30, 2019;

 

(ii) not identify individual patients, payers, or providers;

 

(iii) be updated by the commissioner, at least annually, with the most current data available;

 

(iv) contain clear and conspicuous explanations of the characteristics of the data, such as the dates of the data contained in the files, the absence of costs of care for uninsured patients or nonresidents, and other disclaimers that provide appropriate context; and

 

(v) not lead to the collection of additional data elements beyond what is authorized under this section as of June 30, 2015.; and

 

(6) to conduct analyses of the impact of health care transactions on health care costs, market consolidation, and quality under section 145D.01, subdivision 6.


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(b) The commissioner may publish the results of the authorized uses identified in paragraph (a) so long as the data released publicly do not contain information or descriptions in which the identity of individual hospitals, clinics, or other providers may be discerned.

 

(c) Nothing in this subdivision shall be construed to prohibit the commissioner from using the data collected under subdivision 4 to complete the state-based risk adjustment system assessment due to the legislature on October 1, 2015.

 

(d) The commissioner or the commissioner's designee may use the data submitted under subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until July 1, 2023.

 

(e) The commissioner shall consult with the all-payer claims database work group established under subdivision 12 regarding the technical considerations necessary to create the public use files of summary data described in paragraph (a), clause (5).

 

Sec. 2.  [145D.01] REQUIREMENTS FOR CERTAIN HEALTH CARE ENTITY TRANSACTIONS.

 

Subdivision 1.  Definitions.  (a) For purposes of this section, the following terms have the meanings given.

 

(b) "Captive professional entity" means a professional corporation, limited liability company, or other entity formed to render professional services in which a beneficial owner is a health care provider employed by, controlled by, or subject to the direction of a hospital or hospital system.

 

(c) "Commissioner" means the commissioner of health.

 

(d) "Health care entity" means:

 

(1) a hospital;

 

(2) a hospital system;

 

(3) a captive professional entity;

 

(4) a medical foundation;

 

(5) a health care provider group practice;

 

(6) an entity organized or controlled by an entity listed in clauses (1) to (5); or

 

(7) an entity that owns or exercises substantial control over an entity listed in clauses (1) to (5).

 

(e) "Health care provider" means a physician licensed under chapter 147, a physician assistant licensed under chapter 147A, or an advanced practice registered nurse as defined in section 148.171, subdivision 3, who provides health care services, including but not limited to medical care, consultation, diagnosis, or treatment.

 

(f) "Health care provider group practice" means two or more health care providers legally organized in a partnership, professional corporation, limited liability company, medical foundation, nonprofit corporation, faculty practice plan, or other similar entity:

 

(1) in which each health care provider who is a member of the group provides substantially the full range of services that a health care provider routinely provides, including but not limited to medical care, consultation, diagnosis, and treatment, through the joint use of shared office space, facilities, equipment, or personnel;


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7077

(2) for which substantially all services of the health care providers who are group members are provided through the group and are billed in the name of the group practice and amounts so received are treated as receipts of the group; or

 

(3) in which the overhead expenses of, and the income from, the group are distributed in accordance with methods previously determined by members of the group.

 

An entity that otherwise meets the definition of health care provider group practice in this paragraph shall be considered a health care provider group practice even if its shareholders, partners, or owners include single health care provider professional corporations, limited liability companies formed to render professional services, or other entities in which beneficial owners are individual health care providers.

 

(g) "Hospital" means a health care facility licensed as a hospital under sections 144.50 to 144.56.

 

(h) "Medical foundation" means a nonprofit legal entity through which physicians or other health care providers perform research or provide medical services.

 

(i)(1) "Transaction" means a single action, or a series of actions within a five-year period, that constitutes:

 

(i) a merger or exchange of a health care entity with another entity;

 

(ii) the sale, lease, or transfer of 40 percent or more of the assets of a health care entity to another entity;

 

(iii) the granting of a security interest of 40 percent or more of the property and assets of a health care entity to another entity;

 

(iv) the transfer of 40 percent or more of the shares or other ownership of a health care entity to another entity;

 

(v) a transfer of control, responsibility for, or governance of a health care entity, including any transfer of membership interests that effectively constitutes such a transfer;

 

(vi) the creation of a new health care entity; or

 

(vii) substantial investment of 40 percent or more in a health care entity that results in sharing of revenues without a change in ownership or voting shares.

 

(2) "Transaction" does not include:

 

(i) a mortgage or other secured loan for business improvement purposes entered into by a health care entity that does not directly affect delivery of health care or governance of the health care entity;

 

(ii) a clinical affiliation of health care entities formed solely for the purpose of collaborating on clinical trials or providing graduate medical education;

 

(iii) the mere offer of employment to, or hiring of, a physician or other individual provider by a health care entity;

 

(iv) a transaction between entities under common ownership or control, either directly or indirectly through one or more intermediaries; or

 

(v) a single action or series of actions within a five-year period involving only entities that operate solely as a nursing home licensed under chapter 144A; a boarding care home licensed under sections 144.50 to 144.56; a supervised living facility licensed under sections 144.50 to 144.56; an assisted living facility licensed under chapter


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7078

144G; a foster care setting licensed under Minnesota Rules, parts 9555.5105 to 9555.6265, for a physical location that is not the primary residence of the license holder; a community residential setting as defined in section 245D.02, subdivision 4a; or a home care provider licensed under sections 144A.471 to 144A.483.

 

Subd. 2.  Notice required.  (a) This subdivision applies to all transactions where:

 

(1) the health care entity involved in the transaction has average revenue of at least $40,000,000 per year; or

 

(2) an entity created by the transaction is projected to have average revenue of at least $40,000,000 per year once the entity is operating at full capacity.

 

(b) A health care entity must provide notice to the attorney general and the commissioner and comply with this subdivision before entering into a transaction.  Notice must be provided at least 90 days before the proposed completion date of the transaction.

 

(c) As part of the notice required under this subdivision, at least 90 days before the proposed completion date of the transaction, a health care entity must affirmatively disclose the following to the attorney general and the commissioner:

 

(1) the entities involved in the transaction;

 

(2) the leadership of the entities involved in the transaction, including all directors, board members, and officers;

 

(3) the services provided by each entity and the attributed revenue for each entity by location;

 

(4) the primary service area for each location;

 

(5) the proposed service area for each location;

 

(6) the current relationships between the entities and the affected health care providers and practices, the locations of affected health care providers and practices, the services provided by affected health care providers and practices, and the proposed relationships between the entities and the affected health care providers and practices;

 

(7) the terms of the transaction agreement or agreements;

 

(8) the acquisition price;

 

(9) markets in which the entities expect postmerger synergies to produce a competitive advantage;

 

(10) potential areas of expansion, whether in existing markets or new markets;

 

(11) plans to close facilities, reduce workforce, or reduce or eliminate services;

 

(12) the experts and consultants used to evaluate the transaction;

 

(13) the number of full-time equivalent positions at each location before and after the transaction by job category, including administrative and contract positions; and

 

(14) any other information requested by the attorney general or commissioner.

 

(d) As part of the notice required under this subdivision, at least 90 days before the proposed completion date of the transaction, a health care entity must affirmatively submit the following to the attorney general and the commissioner:


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7079

(1) the current governing documents for all entities involved in the transaction and any amendments to these documents;

 

(2) the transaction agreement or agreements and all related agreements;

 

(3) any collateral agreements related to the principal transaction, including leases, management contracts, and service contracts;

 

(4) all expert or consultant reports or valuations conducted in evaluating the transaction, including any valuation of the assets that are subject to the transaction prepared within three years preceding the anticipated transaction completion date and any reports of financial or economic analysis conducted in anticipation of the transaction;

 

(5) the results of any projections or modeling of health care utilization or financial impacts related to the transaction, including but not limited to copies of reports by appraisers, accountants, investment bankers, actuaries, and other experts;

 

(6) for a transaction as defined in subdivision 1, paragraph (i), clause (1), item (i) or (v), a financial and economic analysis and report prepared by an independent expert or consultant on the effects of the transaction;

 

(7) for a transaction as defined in subdivision 1, paragraph (i), clause (1), item (i) or (v), an impact analysis report prepared by an independent expert or consultant on the effects of the transaction on communities and the workforce, including any changes in availability or accessibility of services;

 

(8) all documents reflecting the purposes of or restrictions on any related nonprofit entity's charitable assets;

 

(9) copies of all filings submitted to federal regulators, including any Hart-Scott-Rodino filing the entities submitted to the Federal Trade Commission in connection with the transaction;

 

(10) a certification sworn under oath by each board member and chief executive officer for any nonprofit entity involved in the transaction containing the following:  an explanation of how the completed transaction is in the public interest, addressing the factors in subdivision 5, paragraph (a); a disclosure of each declarant's compensation and benefits relating to the transaction for the three years following the transaction's anticipated completion date; and a disclosure of any conflicts of interest;

 

(11) audited and unaudited financial statements from all entities involved in the transaction and tax filings for all entities involved in the transaction covering the preceding five fiscal years; and

 

(12) any other information or documents requested by the attorney general or commissioner.

 

(e) The attorney general may extend the notice and waiting period required under paragraph (b) for an additional 90 days by notifying the health care entity in writing of the extension.

 

(f) The attorney general may waive all or any part of the notice and waiting period required under paragraph (b).

 

(g) The attorney general or the commissioner may hold public listening sessions or forums to obtain input on the transaction from providers or community members who may be impacted by the transaction.

 

(h) The attorney general or the commissioner may bring an action in district court to compel compliance with the notice requirements in this subdivision.

 

Subd. 3.  Prohibited transactions.  No health care entity may enter into a transaction that will:

 

(1) substantially lessen competition; or

 

(2) tend to create a monopoly or monopsony.


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Subd. 4.  Additional requirements for nonprofit health care entities.  A health care entity that is incorporated under chapter 317A or organized under section 322C.1101, or that is a subsidiary of any such entity, must, before entering into a transaction, ensure that:

 

(1) the transaction complies with chapters 317A and 501B and other applicable laws;

 

(2) the transaction does not involve or constitute a breach of charitable trust;

 

(3) the nonprofit health care entity will receive full and fair value for its public benefit assets.  This clause does not apply to a transaction with a public entity or an organization that is exempt under section 501(c)(3) of the Internal Revenue Code of 1986, or any successor section, where the discount between the fair value of the assets and the transaction price will further the charitable purposes of the nonprofit health care entity;

 

(4) the value of the public benefit assets to be transferred has not been manipulated in a manner that causes or has caused the value of the assets to decrease;

 

(5) the proceeds of the transaction will be used in a manner consistent with the public benefit for which the assets are held by the nonprofit health care entity;

 

(6) the transaction will not result in a breach of fiduciary duty; and

 

(7) there are procedures and policies in place to prohibit any officer, director, trustee, or other executive of the nonprofit health care entity from directly or indirectly benefiting from the transaction.

 

Subd. 5.  Attorney general enforcement and supplemental authority.  (a) The attorney general may bring an action in district court to enjoin or unwind a transaction or seek other equitable relief necessary to protect the public interest if a health care entity or transaction violates this section, if the transaction is contrary to the public interest, or if both a health care entity or transaction violates this section and the transaction is contrary to the public interest.  Factors informing whether a transaction is contrary to the public interest include but are not limited to whether the transaction:

 

(1) will harm public health;

 

(2) will reduce the affected community's continued access to affordable and quality care and to the range of services historically provided by the entities or will prevent members of the affected community from receiving a comparable or better patient experience;

 

(3) will have a detrimental impact on competing health care options within primary and dispersed service areas;

 

(4) will have a negative impact on wages paid by, or the number of employees employed by, a health care entity involved in a transaction;

 

(5) will reduce delivery of health care to disadvantaged, uninsured, underinsured, and underserved populations and to populations enrolled in public health care programs;

 

(6) will have a substantial negative impact on medical education and teaching programs, health care workforce training, or medical research;

 

(7) will have a negative impact on the market for health care services, health insurance services, or skilled health care workers;

 

(8) will have a negative impact on wages, collective bargaining units, and collective bargaining agreements of existing or future workers employed by a health care entity involved in a transaction;


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(9) will increase health care costs for patients; or

 

(10) will adversely impact provider cost trends and containment of total health care spending.

 

(b) The attorney general may enforce this section under section 8.31.

 

(c) Failure of the entities involved in a transaction to provide timely information as required by the attorney general or the commissioner shall be an independent and sufficient ground for a court to enjoin the transaction or provide other equitable relief, provided the attorney general notified the entities of the inadequacy of the information provided and provided the entities with a reasonable opportunity to remedy the inadequacy.

 

(d) The commissioner shall provide to the attorney general, upon request, data and research on broader market trends, impacts on prices and outcomes, public health and population health considerations, and health care access, for the attorney general to use when evaluating whether a transaction is contrary to the public interest.

 

Subd. 6.  Supplemental authority of commissioner.  (a) Notwithstanding any law to the contrary, the commissioner may use data or information submitted under this section, section 62U.04, and sections 144.695 to 144.703 to conduct analyses of the aggregate impact of health care transactions on access to or the cost of health care services, health care market consolidation, and health care quality.

 

(b) The commissioner shall issue periodic public reports on the number and types of transactions subject to this section and on the aggregate impact of transactions on health care cost, quality, and competition in Minnesota.

 

Subd. 7.  Classification of data.  (a) Data provided by a health care entity to the attorney general and the commissioner under this section is classified as protected nonpublic data as defined in section 13.02, subdivision 13, in the case of data not on individuals or confidential data on individuals as defined in section 13.02, subdivision 3, in the case of data on individuals.  The attorney general or the commissioner may make any data classified as confidential or protected nonpublic under this paragraph accessible to any person, agency, or the public if the attorney general or the commissioner determines that the access will aid the law enforcement process, promote public health or safety, or dispel widespread rumor or unrest.

 

(b) Any information exchanged between the attorney general and the commissioner according to subdivision 5 is classified as confidential data on individuals as defined in section 13.02, subdivision 3, or protected nonpublic data as defined in section 13.02, subdivision 13.  The commissioner may share with the attorney general, according to section 13.05, subdivision 9, any not public data, as defined in section 13.02, subdivision 8a, held by the Department of Health to aid in the investigation and review of the transaction, and the attorney general must maintain this data with the same classification according to section 13.03, subdivision 4, paragraph (d).

 

Subd. 8.  Relation to other law.  (a) The powers and authority under this section are in addition to, and do not affect or limit, all other rights, powers, and authority of the attorney general or the commissioner under chapters 8, 309, 317A, 325D, and 501B, or other law.

 

(b) Nothing in this section shall suspend any obligation imposed under chapters 8, 309, 317A, 325D, and 501B, or other law on the entities involved in a transaction.

 

EFFECTIVE DATE.  This section is effective the day following final enactment and applies to transactions completed on or after that date.  In determining whether a transaction was completed on or after the effective date, any actions or series of actions necessary to the completion of the transaction must be considered.

 

Sec. 3.  [309.715] CHARITABLE ASSETS; RETURN TO GENERAL FUND; OWNERSHIP OR CONTROL OF UNIVERSITY OF MINNESOTA HEALTH CARE FACILITIES.

 

Subdivision 1.  Return of charitable assets.  If a nonprofit health maintenance organization licensed under chapter 62D, or a health system organized as a charitable organization, sells or transfers control to an out-of-state, nonprofit entity or to any for-profit entity, the health maintenance organization or health system must return to the


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7082

general fund an amount equal to the value of any charitable assets the health maintenance organization or health system received from the state.

 

Subd. 2.  University of Minnesota health care facilities; ownership or control.  The importance of the University of Minnesota health care facilities, which are the academic health care facilities licensed by the commissioner of health as M Health Fairview University, or any successor name, to the state of Minnesota shall be recognized based on their status as publicly supported academic health care facilities; their relationship with the University of Minnesota Medical School, a public entity dedicated to medical education, research, and public service; the status of the University of Minnesota as a constitutionally autonomous state entity; and the university's mission as a land grant institution.  The University of Minnesota health care facilities, as charitable assets, must remain dedicated to the university's public health care mission.  As such, the University of Minnesota health care facilities shall not be owned or controlled, directly or indirectly, in whole or in part, by a for-profit entity or an out‑of-state entity, unless the attorney general determines that ownership or control by a for-profit entity or out‑of‑state entity is in the public interest.  A determination under this subdivision must be made using the procedures and authority in section 145D.01 and in consultation with the commissioner of health and the Board of Regents of the University of Minnesota.

 

EFFECTIVE DATE.  This section is effective the day following final enactment and applies to transactions by a health maintenance organization or health system related to selling or transferring control to an out-of-state nonprofit entity or for-profit entity, and to transactions related to transferring ownership or control of the University of Minnesota health care facilities, that are completed on or after that date.

 

Sec. 4.  Laws 2017, First Special Session chapter 6, article 5, section 11, as amended by Laws 2019, First Special Session chapter 9, article 8, section 20, is amended to read:

 

Sec. 11.  MORATORIUM ON CONVERSION TRANSACTIONS.

 

(a) Notwithstanding Laws 2017, chapter 2, article 2, a nonprofit health service plan corporation operating under Minnesota Statutes, chapter 62C, or a nonprofit health maintenance organization operating under Minnesota Statutes, chapter 62D, as of January 1, 2017, may only merge or consolidate with; convert; or transfer, as part of a single transaction or a series of transactions within a 24-month period, all or a material amount of its assets to an entity that is a corporation organized under Minnesota Statutes, chapter 317A; or to a Minnesota nonprofit hospital within the same integrated health system as the health maintenance organization.  For purposes of this section, "material amount" means the lesser of ten percent of such an entity's total admitted net assets as of December 31 of the previous year, or $50,000,000.

 

(b) Paragraph (a) does not apply if the nonprofit service plan corporation or nonprofit health maintenance organization files an intent to dissolve due to insolvency of the corporation in accordance with Minnesota Statutes, chapter 317A, or insolvency proceedings are commenced under Minnesota Statutes, chapter 60B.

 

(c) Nothing in this section shall be construed to authorize a nonprofit health maintenance organization or a nonprofit service plan corporation to engage in any transaction or activities not otherwise permitted under state law.

 

(d) This section expires July 1, 2023 2026.

 

EFFECTIVE DATE.  This section is effective the day following final enactment.

 

Sec. 5.  STUDY AND RECOMMENDATIONS; NONPROFIT HEALTH MAINTENANCE ORGANIZATION CONVERSIONS AND OTHER TRANSACTIONS.

 

(a) The commissioner of health shall study and develop recommendations on the regulation of conversions, mergers, transfers of assets, and other transactions affecting Minnesota-domiciled nonprofit health maintenance organizations and for-profit health maintenance organizations.  The recommendations must at least address:


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7083

(1) monitoring and regulation of Minnesota-domiciled for-profit health maintenance organizations;

 

(2) issues related to public benefit assets held by a nonprofit health maintenance organization, including identifying the portion of the organization's assets that are considered public benefit assets to be protected, establishing a fair and independent process to value the assets, and determining how public benefit assets should be stewarded for the public good;

 

(3) providing a state agency or executive branch office with authority to review and approve or disapprove a nonprofit health maintenance organization's plan to convert to a for-profit organization; and

 

(4) establishing a process for the public to learn about and provide input on a nonprofit health maintenance organization's proposed conversion to a for-profit organization.

 

(b) To fulfill the requirements under this section, the commissioner:

 

(1) may consult with the commissioners of human services and commerce;

 

(2) may enter into one or more contracts for professional or technical services;

 

(3) notwithstanding any law to the contrary, may use data submitted under Minnesota Statutes, sections 62U.04 and 144.695 to 144.703, and other data held by the commissioner for purposes of regulating health maintenance organizations or data already submitted to the commissioner by health carriers; and

 

(4) may collect from health maintenance organizations and their parent or affiliated companies, financial data and other information, including nonpublic data and trade secret data, that are deemed necessary by the commissioner to conduct the study and develop the recommendations under this section.  Health maintenance organizations must provide the commissioner with any information requested by the commissioner under this clause, in the form and manner specified by the commissioner.  Any data collected by the commissioner under this clause is classified as confidential data on individuals as defined in Minnesota Statutes, section 13.02, subdivision 3, or protected nonpublic data as defined in Minnesota Statutes, section 13.02, subdivision 13.

 

(c) No later than October 1, 2023, the commissioner must seek public comments on the regulation of conversion transactions involving nonprofit health maintenance organizations.

 

(d) The commissioner may use the enforcement authority in Minnesota Statutes, section 62D.17, if a health maintenance organization fails to comply with a request for information under paragraph (b), clause (4).

 

(e) The commissioner shall submit preliminary findings from this study to the chairs of the legislative committees with jurisdiction over health and human services by January 15, 2024, and shall submit a final report and recommendations to the legislature by June 30, 2024.

 

Sec. 6.  APPROPRIATIONS.

 

$....... in fiscal year 2024 and $....... in fiscal year 2025 are appropriated from the general fund to the commissioner of health for purposes of Minnesota Statutes, section 145D.01."

 

Correct the title numbers accordingly

 

 

With the recommendation that when so amended the bill be re-referred to the Committee on Ways and Means.

 

      The report was adopted.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7084

Stephenson from the Committee on Commerce Finance and Policy to which was referred:

 

H. F. No. 2988, A bill for an act relating to commerce; modifying workers' compensation self-insurance provisions; amending Minnesota Statutes 2022, sections 79A.01, subdivision 4; 79A.04, subdivisions 7, 9, 10, 16, by adding a subdivision; 79A.08; 79A.13; 79A.24, subdivision 4; 79A.25, subdivisions 1, 2, 3, by adding a subdivision.

 

Reported the same back with the recommendation that the bill be re-referred to the Committee on Labor and Industry Finance and Policy.

 

      The report was adopted.

 

      Pursuant to Joint Rule 2.03 and in accordance with Senate Concurrent Resolution No. 3, H. F. No. 2988 was re‑referred to the Committee on Rules and Legislative Administration.

 

 

INTRODUCTION AND FIRST READING OF HOUSE BILLS

 

 

      The following House Files were introduced:

 

 

      Wiens; Anderson, P. E.; Murphy; Grossell; Fogelman; Joy and Perryman introduced:

 

H. F. No. 3287, A bill for an act relating to transportation; taxes; establishing a temporary reduction in the rates of the motor fuels tax; making transfers; appropriating money.

 

The bill was read for the first time and referred to the Committee on Transportation Finance and Policy.

 

 

Frederick, Quam and Feist introduced:

 

H. F. No. 3288, A bill for an act relating to claims against the state; providing for the settlement of certain claims; appropriating money.

 

The bill was read for the first time and referred to the Committee on Ways and Means.

 

 

MESSAGES FROM THE SENATE

 

 

      The following message was received from the Senate:

 

 

Madam Speaker:

 

I hereby announce the passage by the Senate of the following House File, herewith returned, as amended by the Senate, in which amendments the concurrence of the House is respectfully requested:

 

H. F. No. 2292, A bill for an act relating to early childhood; modifying provisions for early learning scholarships, Head Start, and early education programs; providing for early childhood educator programs; requiring reports; appropriating money; amending Minnesota Statutes 2022, sections 119A.52; 121A.17, subdivision 3; 121A.19; 124D.13, by adding a subdivision; 124D.141, subdivision 2; 124D.162; 124D.165, subdivisions 2, 3, 4, 6; 125A.13; 179A.03, subdivision 18; proposing coding for new law in Minnesota Statutes, chapter 122A.

 

Thomas S. Bottern, Secretary of the Senate


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7085

           Pinto moved that the House refuse to concur in the Senate amendments to H. F. No. 2292, that the Speaker appoint a Conference Committee of 3 members of the House, and that the House requests that a like committee be appointed by the Senate to confer on the disagreeing votes of the two houses.  The motion prevailed.

 

 

      Long moved that the House recess subject to the call of the Chair.  The motion prevailed.

 

 

RECESS

 

 

RECONVENED

 

      The House reconvened and was called to order by the Speaker.

 

 

MOTIONS AND RESOLUTIONS

 

 

TAKEN FROM THE TABLE

 

      Long moved that S. F. No. 2909, the unofficial engrossment, as amended, be taken from the table.  The motion prevailed.

 

 

      S. F. No. 2909, the unofficial engrossment, as amended, was reported to the House.

 

 

Nash moved to amend S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 11, delete lines 21 to 25

 

Reletter the paragraphs in sequence

 

Page 223, delete article 14

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Nash amendment and the roll was called.  There were 61 yeas and 70 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7086

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

Lislegard

McDonald

Mekeland

Mueller

Murphy

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Myers

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Altendorf moved to amend S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 22, delete lines 19 to 33

 

Page 23, delete lines 1 and 2

 

Reletter the paragraphs in sequence

 

Page 235, delete article 15

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Altendorf amendment and the roll was called.  There were 62 yeas and 69 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7087

Kresha

Lislegard

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Demuth moved to amend S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 58, after line 7, insert:

 

"Sec. 6.  Minnesota Statutes 2022, section 609.065, is amended to read:

 

609.065 JUSTIFIABLE TAKING OF LIFE USE OF DEADLY FORCE IN DEFENSE OF HOME AND PERSON.

 

Subdivision 1.  Definitions.  The intentional taking of the life of another is not authorized by section 609.06, except when necessary in resisting or preventing an offense which the actor reasonably believes exposes the actor or another to great bodily harm or death, or preventing the commission of a felony in the actor's place of abode (a) For purposes of this section, the terms in this subdivision have the meanings given them.

 

(b) "Court order" means an order for protection issued under section 518B.01, a restraining order issued under section 609.748, a no contact order issued under section 629.75, or a substantively similar order issued by any court in this state, another state, the United States, or any subordinate jurisdiction of the United States.

 

(c) "Deadly force" means force used by an individual with the purpose of causing, or which the individual should reasonably know creates a substantial risk of causing, great bodily harm or death.  The intentional discharge of a firearm by an individual at another person, or at a vehicle in which another person is believed to be, constitutes deadly force.  A threat to cause great bodily harm or death, by the production of a weapon or otherwise, constitutes reasonable force and not deadly force, when the individual's objective is limited to creating an expectation that the individual will use deadly force only if authorized by law.

 

(d) "Dwelling" means a building defined under section 609.556, subdivision 3, an overnight stopping accommodation of any kind, or a place of abode, that an individual temporarily or permanently is occupying or intending to occupy as a habitation or home.  A dwelling includes but is not limited to a building or conveyance and


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7088

that building's or conveyance's curtilage and any attached or adjacent deck, porch, appurtenance, or other structure, whether the building or conveyance is used temporarily or permanently for these purposes, is mobile or immobile, or is a motor vehicle, watercraft, motor home, tent, or the equivalent.

 

(e) "Forcible felony" means any crime punishable by imprisonment exceeding one year the elements of which include the use or threatened use of physical force or a deadly weapon against the person of another, including but not limited to:  murder in the first degree under section 609.185; murder in the second degree under section 609.19; manslaughter in the first degree under section 609.20; assault in the first degree under section 609.221; assault in the second degree under section 609.222; assault in the third degree under section 609.223; criminal sexual conduct in the first degree under section 609.342; criminal sexual conduct in the second degree under section 609.343; arson in the first degree under section 609.561; burglary in the first, second, and third degrees under section 609.582; robbery under sections 609.24 and 609.245; and kidnapping under section 609.25.

 

(f) "Good faith" includes honesty in fact in the conduct of the act concerned.

 

(g) "Great bodily harm" has the meaning given in section 609.02, subdivision 8.

 

(h) "Imminent" means the actor infers from all the facts and circumstances that the course of conduct has commenced.

 

(i) "Substantial bodily harm" has the meaning given in section 609.02, subdivision 7a.

 

(j) "Vehicle" means a conveyance of any type.

 

Subd. 2.  Circumstances when authorized.  (a) The use of deadly force by an individual is justified under this section when the act is undertaken:

 

(1) to resist or prevent the commission of a felony in the individual's dwelling;

 

(2) to resist or prevent what the individual reasonably believes is an offense or attempted offense that imminently exposes the individual or another person to substantial bodily harm, great bodily harm, or death; or

 

(3) to resist or prevent what the individual reasonably believes is the commission or imminent commission of a forcible felony.

 

(b) The use of deadly force is not authorized under this section if the individual knows that the person against whom force is being used is a licensed peace officer from this state, another state, the United States, or any subordinate jurisdiction of the United States, who is acting lawfully.

 

Subd. 3.  Degree of force; retreat.  An individual taking defensive action pursuant to subdivision 2 may use all force and means, including deadly force, that the individual in good faith believes is required to succeed in defense.  The individual may meet force with superior force when the individual's objective is defensive; the individual is not required to retreat; and the individual may continue defensive actions against an assailant until the danger has ended.

 

Subd. 4.  Presumptions.  (a) An individual using deadly force is presumed to possess a reasonable belief that there exists an imminent threat of substantial bodily harm, great bodily harm, or death to the individual or another person, if the individual knows or has reason to know that:

 

(1) the person against whom the defensive action is being taken is unlawfully entering or attempting to enter by force or by stealth, or has unlawfully entered by force or by stealth and remains within, the dwelling or occupied vehicle of the individual; or

 

(2) the person against whom the defensive action is being taken is in the process of removing, or attempting to remove, the individual or another person from the dwelling or occupied vehicle of the individual.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7089

(b) An individual is not entitled to the benefit of the presumption in paragraph (a) if the individual knows that the person against whom the defensive action is being taken:

 

(1) is a lawful resident of the dwelling or a lawful possessor of the vehicle, or is otherwise lawfully permitted to enter the dwelling or vehicle; or

 

(2) is a person who has lawful custody of the person being removed from the dwelling or vehicle or whose removal from the dwelling or vehicle is being attempted.  A person who is prohibited by a court order from contacting another individual or from entering a dwelling or possessing a vehicle of another individual is not a lawful resident of that individual's dwelling and is not a lawful possessor of that individual's vehicle.

 

(c) An individual using defensive force is not entitled to the benefit of the presumption in paragraph (a) if the individual is presently engaged in a crime or attempting to escape from the scene of a crime, or is presently using the dwelling or occupied vehicle in furtherance of a crime.

 

(d) An individual is not entitled to the benefit of the presumption in paragraph (a) if the individual knows or has reason to know that the person against whom the defensive action is being taken is a licensed peace officer from this state, another state, the United States, or any subordinate jurisdiction of the United States, who is acting lawfully.

 

Subd. 5.  Criminal investigation; immunity from prosecution.  (a) An individual who uses force, including deadly force, according to this section or as otherwise provided by law in defense of the individual, the individual's dwelling, or another individual is justified in using such force and is immune from any criminal prosecution for that act.

 

(b) A law enforcement agency may arrest an individual using force under circumstances described in this section only after considering any claims or circumstances supporting self-defense or lawful defense of another individual.

 

Subd. 6.  Justifiable use of force; burden of proof.  In a criminal trial, when there is any evidence of justifiable use of force under this section or section 609.06, the state has the burden of proving beyond a reasonable doubt that the defendant's actions were not justifiable.

 

Subd. 7.  Short title.  This section may be cited as the "Defense of Dwelling and Person Act of 2023."

 

EFFECTIVE DATE.  This section is effective August 1, 2023, and applies to uses of deadly force occurring on or after that date."

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Demuth amendment and the roll was called.  There were 62 yeas and 69 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7090

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

Lislegard

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Engen moved to amend S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 7, line 5, delete "295,624,000" and insert "395,624,000"

 

Page 7, line 8, delete "199,570,000" and insert "299,570,000"

 

Page 14, line 3, delete "86,607,000" and insert "186,607,000"

 

Page 14, line 5, delete "86,511,000" and insert "186,511,000"

 

Page 23, after line 15, insert:

 

"(v) School Security Grants

 

$100,000,000 in fiscal year 2024 is to issue school security grants to school districts and charter schools.  The Office of Justice Programs must consult with the Minnesota School Safety Center when making grant determinations.  This appropriation does not cancel but is available until June 30, 2026."

 

Page 23, line 16, delete "(v)" and insert "(w)"

 

Page 34, delete section 15

 

Page 37, delete section 22 and insert:

 

"Sec. 22.  SCHOOL SECURITY GRANTS.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7091

(a) A school district or charter school may apply for a grant in the form and manner specified by the Office of Justice Programs.  The Office of Justice Programs may establish application timelines for the award of grants and may award grants in more than one round.  Applications for the last round of grants must be received by the Office of Justice Programs no later than August 1, 2024.

 

(b) Grants may be awarded in an amount not to exceed $300,000 per district.  The grants must be awarded to schools located in all geographic regions of the state and priority must be given to facilities serving the largest number of students within that geographic region.

 

(c) The Minnesota School Safety Center must prepare a list of vendors authorized to provide the security services and products listed in this paragraph.  A school district or charter school must use grant funds to contract with an approved vendor for implementation and installation of a comprehensive, multilayered, integrated security system, including an evaluation of a school site's current security systems, and training for school staff on using the security systems.  The security systems must include a system to alert local law enforcement of an immediate security threat within each room in the school.  The grants must be used for one or more of the following purposes:

 

(1) bullet-resistant interior doors and windows;

 

(2) ballistic wall panels;

 

(3) magnetic door-locking systems;

 

(4) remote lock-down activation systems;

 

(5) a mass notification system unified with an emergency communication system;

 

(6) an emergency building access system for first responders including fire, emergency medical services, and law enforcement personnel;

 

(7) an access control system with remote door-release capabilities;

 

(8) electronic access controls for main distribution frame and independent distribution frame rooms with a key override;

 

(9) classroom duress alarms linked to a law enforcement and administration notification system;

 

(10) security system training for staff to initiate emergency protocols;

 

(11) ballistic security glass for interior door vision panels and sidelites;

 

(12) electronic access control systems for primary building entrances; and

 

(13) classroom door installations that optimize safety and security.

 

(d) The Minnesota School Safety Center must identify vendors that provide the services and systems required under paragraph (c) and provide districts and charter schools with a list of approved vendors.

 

(e) The Department of Public Safety may retain up to 2.5 percent of the appropriation for the Office of Justice Programs to administer the grant and for the Minnesota School Safety Center to provide districts and charter schools technical assistance.

 

(f) By February 15 following each year a grant is awarded under this section, the Minnesota School Safety Center, Office of Justice Programs, and Department of Public Safety shall report to the chairs and ranking minority members of the legislative committees with jurisdiction over kindergarten through grade 12 education on the


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7092

number and amount of grant awards, a description of each grant recipient's purchased items and vendors contracted for school security systems installation and technical assistance, and considerations on future school security grant funding, management, and installation."

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Engen amendment and the roll was called.  There were 61 yeas and 70 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

      Neu Brindley offered an amendment to S. F. No. 2909, the unofficial engrossment, as amended.

 

 

POINT OF ORDER

 

      Agbaje raised a point of order pursuant to rule 3.21 that the Neu Brindley amendment was not in order.  The Speaker ruled the point of order well taken and the Neu Brindley amendment out of order.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7093

           Neu Brindley appealed the decision of the Speaker.

 

 

      A roll call was requested and properly seconded.

 

 

      The vote was taken on the question "Shall the decision of the Speaker stand as the judgment of the House?" and the roll was called.  There were 70 yeas and 61 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

      Those who voted in the negative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

 

      So it was the judgment of the House that the decision of the Speaker should stand.

 

 

Hudson moved to amend S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 26, line 8, delete "621,145,000" and insert "620,989,000" and delete "658,001,000" and insert "657,689,000"

 

Page 26, line 13, delete "525,399,000" and insert "525,243,000" and delete "557,683,000" and insert "557,371,000"

 

Page 27, line 15, delete "$2,000,000 each year is" and insert "$1,844,000 in fiscal year 2024 and $1,572,000 in fiscal year 2025 are"


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7094

Page 27, line 17, after the period, insert "Beginning in fiscal year 2026, the base for this purpose is $1,045,000."

 

Page 31, line 19, delete "750,000" and insert "906,000" and delete "-0-" and insert "312,000"

 

Page 31, after line 19, insert:

 

"(a) Felony Murder Resentencing"

 

Page 31, after line 22, insert:

 

"(b) Clemency Review Commission

 

$156,000 in fiscal year 2024 and $312,000 in fiscal year 2025 are for representation of offenders charged with repeat violent offenses."

 

Page 115, after line 14, insert:

 

"Sec. 10.  Minnesota Statutes 2022, section 609.1095, subdivision 2, is amended to read:

 

Subd. 2.  Increased sentences for dangerous offender who commits third violent crime.  Whenever a person is convicted of a violent crime that is a felony, and the judge is imposing an executed sentence based on a Sentencing Guidelines presumptive imprisonment sentence, the judge may must impose an aggravated durational departure from the presumptive imprisonment sentence up to the statutory maximum sentence if the offender was at least 18 years old at the time the felony was committed, and:

 

(1) the court determines on the record at the time of sentencing that the offender has two or more prior convictions for violent crimes; and

 

(2) the fact finder determines that the offender is a danger to public safety.  The fact finder may base its determination that the offender is a danger to public safety on the following factors:

 

(i) the offender's past criminal behavior, such as the offender's high frequency rate of criminal activity or juvenile adjudications, or long involvement in criminal activity including juvenile adjudications; or

 

(ii) the fact that the present offense of conviction involved an aggravating factor that would justify a durational departure under the Sentencing Guidelines.

 

EFFECTIVE DATE.  This section is effective August 1, 2023, and applies to crimes committed on or after that date.

 

Sec. 11.  Minnesota Statutes 2022, section 609.1095, subdivision 3, is amended to read:

 

Subd. 3.  Mandatory sentence for dangerous offender who commits third violent felony.  (a) Unless a longer mandatory minimum sentence is otherwise required by law or the court imposes a longer aggravated durational departure under subdivision 2, a person who is convicted of a violent crime that is a felony must be committed to the commissioner of corrections for a mandatory sentence of at least the length of the presumptive sentence under the Sentencing Guidelines if:

 

(1) the court determines on the record at the time of sentencing that the person has two or more prior felony convictions for violent crimes.; and


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7095

(2) either of the following are true:

 

(i) the Sentencing Guidelines presumptive sentence does not presume an executed prison sentence; or

 

(ii) the fact finder does not make the determination under subdivision 2, clause (2).

 

(b) The court shall impose and execute the prison sentence regardless of whether the guidelines presume an executed prison sentence.

 

Any person convicted and sentenced as required by this subdivision is not eligible for probation, parole, discharge, or work release, until that person has served the full term of imprisonment imposed by the court, notwithstanding sections 241.26, 242.19, 243.05, 244.04, 609.12, and 609.135.

 

(b) (c) For purposes of this subdivision, "violent crime" does not include a violation of section 152.023 or 152.024.

 

EFFECTIVE DATE.  This section is effective August 1, 2023, and applies to crimes committed on or after that date.

 

Sec. 12.  Minnesota Statutes 2022, section 609.1095, subdivision 4, is amended to read:

 

Subd. 4.  Increased sentence for offender who commits sixth felony.  Whenever a person is convicted of a felony, and the judge is imposing an executed sentence based on a Sentencing Guidelines presumptive imprisonment sentence, the judge may must impose an aggravated durational departure from the presumptive sentence up to the statutory maximum sentence if the factfinder fact finder determines that the offender has five or more prior felony convictions and that the present offense is a felony that was committed as part of a pattern of criminal conduct.

 

EFFECTIVE DATE.  This section is effective August 1, 2023, and applies to crimes committed on or after that date.

 

Sec. 13.  Minnesota Statutes 2022, section 609.1095, is amended by adding a subdivision to read:

 

Subd. 5.  Consecutive sentences; release.  (a) Any person convicted and sentenced as required by this section must serve any imposed sentences consecutively to any unexpired portion of a previously imposed sentence unless the total time to serve in prison would be longer if a concurrent sentence were imposed.

 

(b) Notwithstanding sections 241.26, 242.19, 243.05, 244.04, 609.12, and 609.135, any person convicted and sentenced as required by this section is not eligible for probation, parole, discharge, or work release until that person has served the entire announced sentence imposed by the court.

 

EFFECTIVE DATE.  This section is effective August 1, 2023, and applies to crimes committed on or after that date."

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

Hudson moved to amend the Hudson amendment to S. F. No. 2909, the unofficial engrossment, as amended, as follows:

 

Page 1, line 15, delete "Clemency Review Commission" and insert "Representation of Repeat Violent Offenders"

 

 

      The motion prevailed and the amendment to the amendment was adopted.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7096

POINT OF ORDER

 

      Lee, K., raised a point of order pursuant to rule 3.21 that the Hudson amendment, as amended, was not in order.  The Speaker ruled the point of order well taken and the Hudson amendment, as amended, out of order.

 

 

      Hudson appealed the decision of the Speaker.

 

 

      A roll call was requested and properly seconded.

 

 

      The vote was taken on the question "Shall the decision of the Speaker stand as the judgment of the House?" and the roll was called.  There were 70 yeas and 61 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

      Those who voted in the negative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Torkelson

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

 

      So it was the judgment of the House that the decision of the Speaker should stand.

 

 

      Daudt was excused between the hours of 3:45 p.m. and 8:10 p.m.

 

      Torkelson was excused for the remainder of today's session.

 

 

      S. F. No. 2909, A bill for an act relating to state government; providing for certain judiciary, public safety, corrections, human rights, firearm, clemency, rehabilitation and reinvestment, supervised release board, expungement, community supervision, and 911 Emergency Communication System policy; providing for reports; authorizing rulemaking; appropriating money for judiciary, courts, civil legal services, Guardian ad Litem Board, Uniform Laws Commission, Board on Judicial Standards, Board of Public Defense, human rights, sentencing


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7097

guidelines, public safety, emergency management, criminal apprehension, fire marshal, firefighters, Office of Justice programs, Peace Officer Standards and Training Board, Private Detective Board, corrections, incarceration and release, probation, juveniles, and Ombudsperson for Corrections; amending Minnesota Statutes 2022, sections 13.072, subdivision 1; 13.825, subdivision 3; 13.871, subdivisions 8, 14; 13A.02, subdivisions 1, 2; 144.6586, subdivision 2; 145.4712; 152.01, by adding a subdivision; 152.021, subdivisions 1, 2; 152.022, subdivisions 1, 2; 152.023, subdivision 2; 152.18, subdivision 1; 181.981, subdivision 1; 214.10, subdivision 10; 241.01, subdivision 3a; 241.021, subdivision 1d; 243.05, subdivision 1; 244.03; 244.05, subdivisions 1b, 2, 3, 4, 5, by adding a subdivision; 244.052, subdivision 4a; 244.101, subdivision 1; 244.19, subdivisions 1, 5; 244.195, subdivisions 1, 2, by adding subdivisions; 244.20; 244.21; 297I.06, subdivision 1; 299A.38; 299A.41, subdivisions 3, 4, by adding a subdivision; 299A.52; 299A.642, subdivision 15; 299A.73, by adding a subdivision; 299C.10, subdivision 1; 299C.106, subdivision 3; 299C.11, subdivision 3; 299C.111; 299C.17; 299C.53, subdivision 3; 299N.02, subdivision 3; 326.32, subdivision 10; 326.3381, subdivision 3; 357.021, subdivision 2; 363A.06, subdivision 1; 401.01; 401.02; 401.025, subdivision 1; 401.06; 401.09; 401.10; 401.11; 401.14, subdivision 3; 401.16; 403.02, subdivisions 7, 9a, 11b, 16a, 17, 17c, 18, 19, 19a, 20, 20a, 21, by adding subdivisions; 403.025; 403.03, subdivision 2; 403.05; 403.06; 403.07; 403.08; 403.09, subdivision 2; 403.10, subdivisions 2, 3; 403.11; 403.113; 403.15, subdivisions 1, 2, 3, 4, 5, 6, by adding a subdivision; 609.05, by adding a subdivision; 609.106, subdivision 2, by adding a subdivision; 609.11, subdivision 8, by adding a subdivision; 609.14, subdivision 1, by adding a subdivision; 609.2231, subdivision 4; 609.2233; 609.3455, subdivisions 2, 5; 609.35; 609.52, subdivision 3; 609.527, subdivision 1, by adding a subdivision; 609.582, subdivisions 3, 4; 609.595, subdivisions 1a, 2; 609.749, subdivision 3; 609A.01; 609A.02, subdivision 3; 609A.03, subdivisions 5, 7a, 9; 611.23; 611A.03, subdivision 1; 611A.211, subdivision 1; 611A.31, subdivisions 2, 3, by adding a subdivision; 611A.32; 626.15; 626.5531, subdivision 1; 626.843, by adding a subdivision; 626.8451, subdivision 1; 626.8469, subdivision 1; 626.8473, subdivision 3; 638.01; 641.15, subdivision 2; 641.155; Laws 2021, First Special Session chapter 11, article 1, section 15, subdivision 3; proposing coding for new law in Minnesota Statutes, chapters 243; 244; 299A; 299C; 401; 609; 609A; 626; 638; repealing Minnesota Statutes 2022, sections 244.18; 244.19, subdivisions 6, 7, 8; 244.22; 244.24; 244.30; 299C.80, subdivision 7; 403.02, subdivision 13; 403.09, subdivision 3; 638.02; 638.03; 638.04; 638.05; 638.06; 638.07; 638.075; 638.08.

 

 

      The bill was read for the third time, as amended, and placed upon its final passage.

 

      The question was taken on the passage of the bill and the roll was called.  There were 69 yeas and 60 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

      Those who voted in the negative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

Lislegard

McDonald

Mekeland

Mueller

Murphy

Myers


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7098

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

 

      The bill was passed, as amended, and its title agreed to.

 

 

      There being no objection, the order of business reverted to Reports of Standing Committees and Divisions.

 

 

REPORTS OF STANDING COMMITTEES AND DIVISIONS

 

 

Long from the Committee on Rules and Legislative Administration to which was referred:

 

H. F. No. 2988, A bill for an act relating to commerce; modifying workers' compensation self-insurance provisions; amending Minnesota Statutes 2022, sections 79A.01, subdivision 4; 79A.04, subdivisions 7, 9, 10, 16, by adding a subdivision; 79A.08; 79A.13; 79A.24, subdivision 4; 79A.25, subdivisions 1, 2, 3, by adding a subdivision.

 

Reported the same back with the recommendation that the bill be re-referred to the Committee on Labor and Industry Finance and Policy.

 

Joint Rule 2.03 has been waived for any subsequent committee action on this bill.

 

      The report was adopted.

 

 

MESSAGES FROM THE SENATE

 

 

      The following messages were received from the Senate:

 

 

Madam Speaker:

 

I hereby announce the Senate refuses to concur in the House amendments to the following Senate File: 

 

S. F. No. 2934, A bill for an act relating to human services; establishing an office of addiction and recovery; establishing the Minnesota board of recovery services; establishing title protection for sober homes; modifying provisions governing disability services, aging services, and behavioral health; modifying medical assistance eligibility requirements for certain populations; making technical and conforming changes; establishing certain grants; requiring reports; appropriating money; amending Minnesota Statutes 2022, sections 4.046, subdivisions 6, 7, by adding a subdivision; 179A.54, by adding a subdivision; 241.021, subdivision 1; 241.31, subdivision 5; 241.415; 245A.03, subdivision 7; 245A.11, subdivisions 7, 7a; 245D.04, subdivision 3; 245G.01, by adding subdivisions; 245G.02, subdivision 2; 245G.05, subdivision 1, by adding a subdivision; 245G.06, subdivisions 1, 3, 4, by adding subdivisions; 245G.08, subdivision 3; 245G.09, subdivision 3; 245G.22, subdivision 15; 245I.10, subdivision 6; 246.54, subdivisions 1a, 1b; 252.27, subdivision 2a; 254B.01, subdivision 8, by adding subdivisions; 254B.04, by adding a subdivision; 254B.05, subdivisions 1, 5; 256.043, subdivisions 3, 3a; 256.9754; 256B.04, by adding a subdivision; 256B.056, subdivision 3; 256B.057, subdivision 9; 256B.0625, subdivisions 17, 17a, 18h, 22,


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7099

by adding a subdivision; 256B.0638, subdivisions 2, 4, 5; 256B.0659, subdivisions 1, 12, 19, 24; 256B.073, subdivision 3, by adding a subdivision; 256B.0759, subdivision 2; 256B.0911, subdivision 13; 256B.0913, subdivisions 4, 5; 256B.0917, subdivision 1b; 256B.0922, subdivision 1; 256B.0949, subdivision 15; 256B.14, subdivision 2; 256B.434, by adding a subdivision; 256B.49, subdivisions 11, 28; 256B.4905, subdivision 5a; 256B.4911, by adding a subdivision; 256B.4912, by adding subdivisions; 256B.4914, subdivisions 3, as amended, 4, 5, 5a, 5b, 5c, 5d, 5e, 8, 9, 10, 10a, 10c, 12, 14, by adding a subdivision; 256B.492; 256B.5012, by adding subdivisions; 256B.766; 256B.85, subdivision 7, by adding a subdivision; 256B.851, subdivisions 5, 6; 256I.05, by adding subdivisions; 256M.42; 256R.02, subdivision 19; 256R.17, subdivision 2; 256R.25; 256R.47; 256R.481; 256R.53, by adding subdivisions; 256S.15, subdivision 2; 256S.18, by adding a subdivision; 256S.19, subdivision 3; 256S.203, subdivisions 1, 2; 256S.205, subdivisions 3, 5; 256S.21; 256S.2101, subdivisions 1, 2, by adding subdivisions; 256S.211, by adding subdivisions; 256S.212; 256S.213; 256S.214; 256S.215, subdivisions 2, 3, 4, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17; Laws 2019, chapter 63, article 3, section 1, as amended; Laws 2021, First Special Session chapter 7, article 16, section 28, as amended; article 17, sections 16; 20; proposing coding for new law in Minnesota Statutes, chapters 121A; 144A; 245; 245D; 254B; 256; 256I; 256S; 325F; repealing Minnesota Statutes 2022, sections 245G.05, subdivision 2; 246.18, subdivisions 2, 2a; 256B.0638, subdivisions 1, 2, 3, 4, 5, 6; 256B.0759, subdivision 6; 256B.0917, subdivisions 1a, 6, 7a, 13; 256B.4914, subdivision 9a; 256S.19, subdivision 4.

 

The Senate respectfully requests that a Conference Committee be appointed thereon.  The Senate has appointed as such committee:

 

Senators Hoffman, Abeler, and Fateh.

 

Said Senate File is herewith transmitted to the House with the request that the House appoint a like committee.

 

Thomas S. Bottern, Secretary of the Senate

 

 

      Noor moved that the House accede to the request of the Senate and that the Speaker appoint a Conference Committee of 3 members of the House to meet with a like committee appointed by the Senate on the disagreeing votes of the two houses on S. F. No. 2934.  The motion prevailed.

 

 

Madam Speaker:

 

I hereby announce the Senate refuses to concur in the House amendments to the following Senate File: 

 

S. F. No. 3035, A bill for an act relating to state government; establishing the biennial budget for the Department of Employment and Economic Development, Explore Minnesota, Department of Labor and Industry, Workers' Compensation Court of Appeals, and Bureau of Mediation Services; modifying miscellaneous policy provisions; requiring reports; appropriating money; amending Minnesota Statutes 2022, sections 15.71, by adding subdivisions; 15.72, by adding a subdivision; 116J.5492, subdivisions 8, 10; 116J.55, subdivisions 1, 5, 6; 116J.871, subdivision 2; 116J.8748, subdivisions 3, 4, 6, by adding a subdivision; 116L.361, subdivision 7; 116L.362, subdivision 1; 116L.364, subdivision 3; 116L.56, subdivision 2; 116L.561, subdivision 5; 116L.562, subdivision 2; 116U.05; 116U.10; 116U.15; 116U.20; 116U.30; 116U.35; 175.16, subdivision 1; 177.26, subdivisions 1, 2; 177.27, subdivisions 4, 7; 178.01; 178.011, subdivision 7; 178.03, subdivision 1; 178.11; 179.86, subdivisions 1, 3, by adding subdivisions; 181.14, subdivision 1; 181.635, subdivisions 1, 2, 3, 4, 6; 181.85, subdivisions 2, 4; 181.86, subdivision 1; 181.87, subdivisions 2, 3, 7; 181.88; 181.89, subdivision 2, by adding a subdivision; 181.9435, subdivision 1; 181.9436; 182.654, subdivision 11; 182.666, subdivisions 1, 2, 3, 4, 5, by adding a subdivision; 326B.092, subdivision 6; 326B.096; 326B.103, subdivision 13, by adding subdivisions; 326B.106, subdivisions 1, 4, by adding a subdivision; 326B.802, subdivision 15; 337.01, subdivision 3; 337.05, subdivision 1; 341.21, subdivisions 2a, 2b, 2c, 4f, 7, by adding a subdivision; 341.221; 341.25; 341.27; 341.28, subdivisions 2, 3, by


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7100

adding subdivisions; 341.30, subdivision 4; 341.32, subdivision 2; 341.321; 341.33; 341.355; 469.40, subdivision 11; 469.47, subdivisions 1, 5, 6; Laws 2021, First Special Session chapter 10, article 2, section 24; proposing coding for new law in Minnesota Statutes, chapters 116J; 116L; 116U; 179; 181; 182; 341; repealing Minnesota Statutes 2022, section 177.26, subdivision 3.

 

The Senate respectfully requests that a Conference Committee be appointed thereon.  The Senate has appointed as such committee:

 

Senators Champion, McEwen, Mohamed, Hauschild, and Gustafson.

 

Said Senate File is herewith transmitted to the House with the request that the House appoint a like committee.

 

Thomas S. Bottern, Secretary of the Senate

 

 

      Hassan moved that the House accede to the request of the Senate and that the Speaker appoint a Conference Committee of 5 members of the House to meet with a like committee appointed by the Senate on the disagreeing votes of the two houses on S. F. No. 3035.  The motion prevailed.

 

 

Madam Speaker:

 

I hereby announce the passage by the Senate of the following House File, herewith returned, as amended by the Senate, in which amendments the concurrence of the House is respectfully requested:

 

H. F. No. 366, A bill for an act relating to health care; limiting the release of health records in cases related to reproductive health; prohibiting certain acts by certain health-related licensing boards; prohibiting disqualification on background study for accessing or providing reproductive health care; preventing the enforcement of certain judgments related to reproductive health; restricting the enforcement of subpoenas issued in cases related to reproductive health; creating a cause of action for penalties and court costs for lawsuits related to reproductive health; prohibiting extradition of persons charged in another state for acts committed or services received in Minnesota related to reproductive health; amending Minnesota Statutes 2022, sections 147.091, by adding a subdivision; 147A.13, by adding a subdivision; 148.261, by adding a subdivision; 245C.15, by adding a subdivision; 629.01; 629.02; 629.05; 629.06; 629.13; 629.14; proposing coding for new law in Minnesota Statutes, chapters 144; 548; 604.

 

Thomas S. Bottern, Secretary of the Senate

 

 

CONCURRENCE AND REPASSAGE

 

      Agbaje moved that the House concur in the Senate amendments to H. F. No. 366 and that the bill be repassed as amended by the Senate.  The motion prevailed.

 

 

H. F. No. 366, A bill for an act relating to health care; limiting the release of health records in cases related to reproductive health; prohibiting certain acts by certain health-related licensing boards; prohibiting disqualification on background study for accessing or providing reproductive health care; preventing the enforcement of certain


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7101

judgments related to reproductive health; restricting the enforcement of subpoenas issued in cases related to reproductive health; creating a cause of action for penalties and court costs for lawsuits related to reproductive health; prohibiting extradition of persons charged in another state for acts committed or services received in Minnesota related to reproductive health; amending Minnesota Statutes 2022, sections 147.091, by adding a subdivision; 147A.13, by adding a subdivision; 148.261, by adding a subdivision; 151.071, by adding a subdivision; 245C.15, by adding a subdivision; 629.01; 629.02; 629.05; 629.06; 629.13; 629.14; proposing coding for new law in Minnesota Statutes, chapters 144; 548; 604.

 

 

      The bill was read for the third time, as amended by the Senate, and placed upon its repassage.

 

      The question was taken on the repassage of the bill and the roll was called.  There were 70 yeas and 58 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

      Those who voted in the negative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Bliss

Burkel

Daniels

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Neu Brindley

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

 

      The bill was repassed, as amended by the Senate, and its title agreed to.

 

 

ANNOUNCEMENT BY THE SPEAKER

 

      The Speaker announced the appointment of the following members of the House to a Conference Committee on S. F. No. 2934:

 

      Noor, Fischer and Baker.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7102

           Long moved that the House recess subject to the call of the Chair.  The motion prevailed.

 

RECESS

 

 

RECONVENED

 

      The House reconvened and was called to order by Speaker pro tempore Wolgamott.

 

 

      Bliss and Hudson were excused for the remainder of today's session.

 

      Neu Brindley was excused between the hours of 7:15 p.m. and 10:55 p.m.

 

 

MOTIONS AND RESOLUTIONS

 

 

TAKEN FROM THE TABLE

 

      Long moved that H. F. No. 447, the first engrossment, be taken from the table.  The motion prevailed.

 

 

      H. F. No. 447 was reported to the House.

 

 

      The Speaker resumed the Chair.

 

 

Niska moved to amend H. F. No. 447, the first engrossment, as follows:

 

Page 40, after line 11, insert:

 

"Sec. 30.  [363A.265] GENERAL EXCLUSIONS.

 

The physical or sexual attachment to children by an adult is not a protected class under this chapter."

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Niska amendment and the roll was called.  There were 126 yeas and 0 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bahner

Bakeberg

Baker

Becker-Finn

Bennett

Berg

Bierman

Brand

Burkel

Carroll

Cha

Clardy

Coulter

Curran

Daniels

Davis

Demuth

Dotseth

Edelson

Elkins

Engen

Feist

Finke

Fischer

Fogelman

Franson

Frazier

Frederick

Freiberg

Garofalo


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7103

Gillman

Gomez

Greenman

Grossell

Hansen, R.

Hanson, J.

Harder

Hassan

Heintzeman

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Hudella

Huot

Hussein

Igo

Jacob

Johnson

Jordan

Joy

Keeler

Klevorn

Knudsen

Koegel

Kotyza-Witthuhn

Kozlowski

Koznick

Kraft

Kresha

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

McDonald

Mekeland

Moller

Mueller

Murphy

Myers

Nash

Nelson, M.

Nelson, N.

Newton

Niska

Noor

Norris

Novotny

O'Driscoll

Olson, B.

Olson, L.

O'Neill

Pelowski

Pérez-Vega

Perryman

Petersburg

Pfarr

Pinto

Pryor

Pursell

Quam

Rehm

Reyer

Richardson

Robbins

Schomacker

Schultz

Scott

Sencer-Mura

Skraba

Smith

Stephenson

Swedzinski

Tabke

Urdahl

Vang

West

Wiener

Wiens

Witte

Wolgamott

Xiong

Youakim

Zeleznikar

Spk. Hortman


 

 

      The motion prevailed and the amendment was adopted.

 

 

H. F. No. 447, A bill for an act relating to civil law; amending certain policy provisions related to forfeiture, name change, property, survival of cause of action after death, mediation for debtors owning agricultural property, State Board of Public Defense, construction contracts, civil rights, gender identity, data, notaries public, and health care incident open discussion; amending Minnesota Statutes 2022, sections 13.072, subdivision 1; 13.32, subdivisions 3, 5; 13.643, subdivision 6; 15.71, by adding subdivisions; 15.72, by adding a subdivision; 82B.195, subdivision 3; 169A.63, subdivision 8; 245I.12, subdivision 1; 259.11; 259.13, subdivisions 1, 5; 325F.992, subdivision 3; 336.9-601; 337.01, subdivision 3; 337.05, subdivision 1; 357.17; 359.04; 363A.02, subdivision 1; 363A.03, subdivisions 23, 44, by adding a subdivision; 363A.04; 363A.06, subdivision 1; 363A.07, subdivision 2; 363A.08, subdivisions 1, 2, 3, 4, by adding a subdivision; 363A.09, subdivisions 1, 2, 3, 4; 363A.11, subdivisions 1, 2; 363A.12, subdivision 1; 363A.13, subdivisions 1, 2, 3, 4; 363A.15; 363A.16, subdivision 1; 363A.17; 363A.21, subdivision 1; 504B.301; 508.52; 517.04; 517.08, subdivisions 1a, 1b; 518.191, subdivisions 1, 3; 550.365, subdivision 2; 559.209, subdivision 2; 573.01; 573.02, subdivisions 1, 2; 582.039, subdivision 2; 583.25; 583.26, subdivision 2; 600.23; 609.5314, subdivision 3; 611.215, subdivision 1; proposing coding for new law in Minnesota Statutes, chapters 13; 145; 259; 359; 363A; repealing Minnesota Statutes 2022, sections 346.02; 363A.20, subdivision 3; 363A.27; 504B.305; 582.14.

 

 

      The bill was read for the third time, as amended, and placed upon its final passage.

 

      The question was taken on the passage of the bill and the roll was called.  There were 70 yeas and 57 nays as follows:

 

      Those who voted in the affirmative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Lislegard

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman



Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7104

           Those who voted in the negative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Hudson

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

 

      The bill was passed, as amended, and its title agreed to.

 

 

      Lislegard was excused for the remainder of today's session.

 

 

      There being no objection, the order of business reverted to Calendar for the Day.

 

 

CALENDAR FOR THE DAY

 

 

      S. F. No. 2995 was reported to the House.

 

 

      Liebling moved to amend S. F. No. 2995, the unofficial engrossment.

 

 

      Liebling requested a division of the Liebling amendment to S. F. No. 2995, the unofficial engrossment.

 

 

      Liebling further requested that the second portion of the divided Liebling amendment be voted on first.

 

 

      The second portion of the Liebling amendment to S. F. No. 2995, the unofficial engrossment, reads as follows:

 

Page 520, delete section 5

 

Page 528, after line 23, insert:

 

"Sec. 15.  Minnesota Statutes 2022, section 256B.69, subdivision 5a, is amended to read:

 

Subd. 5a.  Managed care contracts.  (a) Managed care contracts under this section and section 256L.12 shall be entered into or renewed on a calendar year basis.  The commissioner may issue separate contracts with requirements specific to services to medical assistance recipients age 65 and older.

 

(b) A prepaid health plan providing covered health services for eligible persons pursuant to chapters 256B and 256L is responsible for complying with the terms of its contract with the commissioner.  Requirements applicable to managed care programs under chapters 256B and 256L established after the effective date of a contract with the commissioner take effect when the contract is next issued or renewed.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7105

(c) The commissioner shall withhold five percent of managed care plan payments under this section and county‑based purchasing plan payments under section 256B.692 for the prepaid medical assistance program pending completion of performance targets.  Each performance target must be quantifiable, objective, measurable, and reasonably attainable, except in the case of a performance target based on a federal or state law or rule.  Criteria for assessment of each performance target must be outlined in writing prior to the contract effective date.  Clinical or utilization performance targets and their related criteria must consider evidence-based research and reasonable interventions when available or applicable to the populations served, and must be developed with input from external clinical experts and stakeholders, including managed care plans, county-based purchasing plans, and providers.  The managed care or county-based purchasing plan must demonstrate, to the commissioner's satisfaction, that the data submitted regarding attainment of the performance target is accurate.  The commissioner shall periodically change the administrative measures used as performance targets in order to improve plan performance across a broader range of administrative services.  The performance targets must include measurement of plan efforts to contain spending on health care services and administrative activities.  The commissioner may adopt plan‑specific performance targets that take into account factors affecting only one plan, including characteristics of the plan's enrollee population.  The withheld funds must be returned no sooner than July of the following year if performance targets in the contract are achieved.  The commissioner may exclude special demonstration projects under subdivision 23.

 

(d) The commissioner shall require that managed care plans:

 

(1) use the assessment and authorization processes, forms, timelines, standards, documentation, and data reporting requirements, protocols, billing processes, and policies consistent with medical assistance fee-for-service or the Department of Human Services contract requirements for all personal care assistance services under section 256B.0659 and community first services and supports under section 256B.85; and

 

(2) by January 30 of each year that follows a rate increase for any aspect of services under section 256B.0659 or 256B.85, inform the commissioner and the chairs and ranking minority members of the legislative committees with jurisdiction over rates determined under section 256B.851 of the amount of the rate increase that is paid to each personal care assistance provider agency with which the plan has a contract.; and

 

(3) use a six-month timely filing standard and provide an exemption to the timely filing timelines for the resubmission of claims where there has been a denial, request for more information, or system issue.

 

(e) Effective for services rendered on or after January 1, 2012, the commissioner shall include as part of the performance targets described in paragraph (c) a reduction in the health plan's emergency department utilization rate for medical assistance and MinnesotaCare enrollees, as determined by the commissioner.  For 2012, the reduction shall be based on the health plan's utilization in 2009.  To earn the return of the withhold each subsequent year, the managed care plan or county-based purchasing plan must achieve a qualifying reduction of no less than ten percent of the plan's emergency department utilization rate for medical assistance and MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 and 28, compared to the previous measurement year until the final performance target is reached.  When measuring performance, the commissioner must consider the difference in health risk in a managed care or county-based purchasing plan's membership in the baseline year compared to the measurement year, and work with the managed care or county-based purchasing plan to account for differences that they agree are significant.

 

The withheld funds must be returned no sooner than July 1 and no later than July 31 of the following calendar year if the managed care plan or county-based purchasing plan demonstrates to the satisfaction of the commissioner that a reduction in the utilization rate was achieved.  The commissioner shall structure the withhold so that the commissioner returns a portion of the withheld funds in amounts commensurate with achieved reductions in utilization less than the targeted amount.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7106

The withhold described in this paragraph shall continue for each consecutive contract period until the plan's emergency room utilization rate for state health care program enrollees is reduced by 25 percent of the plan's emergency room utilization rate for medical assistance and MinnesotaCare enrollees for calendar year 2009.  Hospitals shall cooperate with the health plans in meeting this performance target and shall accept payment withholds that may be returned to the hospitals if the performance target is achieved.

 

(f) Effective for services rendered on or after January 1, 2012, the commissioner shall include as part of the performance targets described in paragraph (c) a reduction in the plan's hospitalization admission rate for medical assistance and MinnesotaCare enrollees, as determined by the commissioner.  To earn the return of the withhold each year, the managed care plan or county-based purchasing plan must achieve a qualifying reduction of no less than five percent of the plan's hospital admission rate for medical assistance and MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 and 28, compared to the previous calendar year until the final performance target is reached.  When measuring performance, the commissioner must consider the difference in health risk in a managed care or county-based purchasing plan's membership in the baseline year compared to the measurement year, and work with the managed care or county-based purchasing plan to account for differences that they agree are significant.

 

The withheld funds must be returned no sooner than July 1 and no later than July 31 of the following calendar year if the managed care plan or county-based purchasing plan demonstrates to the satisfaction of the commissioner that this reduction in the hospitalization rate was achieved.  The commissioner shall structure the withhold so that the commissioner returns a portion of the withheld funds in amounts commensurate with achieved reductions in utilization less than the targeted amount.

 

The withhold described in this paragraph shall continue until there is a 25 percent reduction in the hospital admission rate compared to the hospital admission rates in calendar year 2011, as determined by the commissioner.  The hospital admissions in this performance target do not include the admissions applicable to the subsequent hospital admission performance target under paragraph (g).  Hospitals shall cooperate with the plans in meeting this performance target and shall accept payment withholds that may be returned to the hospitals if the performance target is achieved.

 

(g) Effective for services rendered on or after January 1, 2012, the commissioner shall include as part of the performance targets described in paragraph (c) a reduction in the plan's hospitalization admission rates for subsequent hospitalizations within 30 days of a previous hospitalization of a patient regardless of the reason, for medical assistance and MinnesotaCare enrollees, as determined by the commissioner.  To earn the return of the withhold each year, the managed care plan or county-based purchasing plan must achieve a qualifying reduction of the subsequent hospitalization rate for medical assistance and MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 and 28, of no less than five percent compared to the previous calendar year until the final performance target is reached.

 

The withheld funds must be returned no sooner than July 1 and no later than July 31 of the following calendar year if the managed care plan or county-based purchasing plan demonstrates to the satisfaction of the commissioner that a qualifying reduction in the subsequent hospitalization rate was achieved.  The commissioner shall structure the withhold so that the commissioner returns a portion of the withheld funds in amounts commensurate with achieved reductions in utilization less than the targeted amount.

 

The withhold described in this paragraph must continue for each consecutive contract period until the plan's subsequent hospitalization rate for medical assistance and MinnesotaCare enrollees, excluding enrollees in programs described in subdivisions 23 and 28, is reduced by 25 percent of the plan's subsequent hospitalization rate for calendar year 2011.  Hospitals shall cooperate with the plans in meeting this performance target and shall accept payment withholds that must be returned to the hospitals if the performance target is achieved.

 

(h) Effective for services rendered on or after January 1, 2013, through December 31, 2013, the commissioner shall withhold 4.5 percent of managed care plan payments under this section and county-based purchasing plan payments under section 256B.692 for the prepaid medical assistance program.  The withheld funds must be returned no sooner than July 1 and no later than July 31 of the following year.  The commissioner may exclude special demonstration projects under subdivision 23.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7107

(i) Effective for services rendered on or after January 1, 2014, the commissioner shall withhold three percent of managed care plan payments under this section and county-based purchasing plan payments under section 256B.692 for the prepaid medical assistance program.  The withheld funds must be returned no sooner than July 1 and no later than July 31 of the following year.  The commissioner may exclude special demonstration projects under subdivision 23.

 

(j) A managed care plan or a county-based purchasing plan under section 256B.692 may include as admitted assets under section 62D.044 any amount withheld under this section that is reasonably expected to be returned.

 

(k) Contracts between the commissioner and a prepaid health plan are exempt from the set-aside and preference provisions of section 16C.16, subdivisions 6, paragraph (a), and 7.

 

(l) The return of the withhold under paragraphs (h) and (i) is not subject to the requirements of paragraph (c).

 

(m) Managed care plans and county-based purchasing plans shall maintain current and fully executed agreements for all subcontractors, including bargaining groups, for administrative services that are expensed to the state's public health care programs.  Subcontractor agreements determined to be material, as defined by the commissioner after taking into account state contracting and relevant statutory requirements, must be in the form of a written instrument or electronic document containing the elements of offer, acceptance, consideration, payment terms, scope, duration of the contract, and how the subcontractor services relate to state public health care programs.  Upon request, the commissioner shall have access to all subcontractor documentation under this paragraph.  Nothing in this paragraph shall allow release of information that is nonpublic data pursuant to section 13.02.

 

EFFECTIVE DATE.  This section is effective January 1, 2024."

 

Page 553, line 22, delete "This appropriation" and insert "This is a onetime appropriation and"

 

Page 562, line 28, delete "22,373,000" and insert "12,428,000" and delete "34,810,000" and insert "19,195,000"

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      The motion prevailed and the second portion of the Liebling amendment was adopted.

 

 

      Liebling withdrew the first portion of her amendment to S. F. No. 2995, the unofficial engrossment, as amended.

 

 

Backer moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 313, after line 7, insert:

 

"Sec. 5.  Minnesota Statutes 2022, section 144E.101, subdivision 12, is amended to read:

 

Subd. 12.  Mutual aid agreement.  (a) A licensee shall have a written agreement with at least one neighboring licensed ambulance service for the preplanned and organized response of emergency medical services, and other emergency personnel and equipment, to a request for assistance in an emergency when local ambulance transport resources have been expended.  The response is predicated upon formal agreements among participating ambulance services.  A copy of each mutual aid agreement shall be maintained in the files of the licensee and shall be filed with the board for informational purposes only.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7108

(b) A licensee may have a written agreement with a neighboring licensed ambulance service, including a licensed ambulance service from a neighboring state if that service is currently and remains in compliance with its home state licensing requirements, to provide part-time support to the primary service area of the licensee upon the licensee's request.  The agreement may allow the licensee to suspend ambulance services in its primary service area during the times the neighboring licensed ambulance service has agreed to provide all emergency services to the licensee's primary service area.  The agreement may not permit the neighboring licensed ambulance service to serve the licensee's primary service area for more than 12 up to 24 hours per day, provided service by the neighboring licensed ambulance does not exceed 108 hours per calendar week.  This paragraph applies only to an ambulance service whose primary service area is mainly located outside the metropolitan counties listed in section 473.121, subdivision 4, and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud, or an ambulance based in a community with a population of less than 2,500 persons."

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      The motion prevailed and the amendment was adopted.

 

 

Quam moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 10, after line 21, insert:

 

"(j) Effective for discharges occurring on or after July 1, 2023, payment rates under this section must be rebased to reflect those changes in hospital costs between the existing base year or years and the rate year.  In any year that inpatient claims volume falls below the threshold required to ensure a statistically valid sample of claims, the commissioner may combine claims data from two consecutive years to serve as the base year.  Years in which inpatient claims volume is reduced or altered due to a pandemic or other public health emergency must not be used as a base year or part of a base year if the base year includes more than one year.  Changes in costs between the base year or years and the rate year must be measured using the hospital cost index defined in subdivision 1, paragraph (a).  The commissioner must establish the base year for each rebasing period considering the most recent year or years for which filed Medicare cost reports are available.  The estimated change in the average payment per hospital discharge resulting from a scheduled rebasing must be calculated and made available to the legislature by January 15 of each year in which rebasing is scheduled to occur, and must include the differential in payment rates compared to the individual hospital's costs by hospital.

 

(k) Effective for discharges occurring on or after July 1, 2023, inpatient payment rates for critical access hospitals located in Minnesota or the local trade area must be a rate equal to 100 percent of their base year costs inflated to the rate year using the hospital cost index defined in subdivision 1, paragraph (a)."

 

Page 10, line 22, strike "(j)" and insert "(l)"

 

Page 536, line 25, delete "282,251,000" and insert "270,002,996" and delete "245,773,000" and insert "229,544,490"

 

Page 537, line 31, delete "$221,687,000" and insert "$204,174,494"

 

Page 537, line 32, delete "$238,595,000" and insert "$219,723,762"

 

Page 540, line 7, delete "1,066,045,000" and insert "1,078,293,004" and delete "748,577,000" and insert "764,805,510"

 

 

      A roll call was requested and properly seconded.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7109

           The question was taken on the Quam amendment and the roll was called.  There were 56 yeas and 69 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Schomacker moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 183, delete section 80

 

Page 185, delete section 85

 

Page 186, delete section 86

 

Page 187, delete section 87

 

Page 188, delete section 88

 

Page 192, delete section 89

 

Page 194, delete section 90

 

Page 195, delete section 91

 

Page 196, delete section 92

 

Page 197, delete section 93


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7110

Page 271, delete section 184

 

Page 272, delete section 185

 

Page 280, delete section 189

 

Page 296, delete lines 24 to 29

 

Page 551, delete lines 22 to 34 and insert:

 

"(3) $1,503,000 in fiscal year 2024 and $1,508,000 in fiscal year 2025 are for administration and for activities to prevent violence in health care programs."

 

Page 552, delete lines 1 and 2

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Schomacker amendment and the roll was called.  There were 58 yeas and 67 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Pelowski

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Wolgamott

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7111

Schomacker moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 71, delete section 11

 

Page 78, delete section 16

 

Page 82, delete section 20

 

Adjust amounts accordingly

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Schomacker amendment and the roll was called.  There were 55 yeas and 68 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Bennett

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Schomacker moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 67, delete section 9


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7112

Pages 84 to 88, delete sections 21 to 28

 

Page 89, delete lines 3 and 4

 

Reletter the paragraphs in sequence

 

Page 90, line 8, delete "the MinnesotaCare public option," and delete the comma

 

Page 90, line 20, delete everything after the second comma

 

Page 90, line 21, delete "MinnesotaCare public option,"

 

Page 92, line 3, delete "the MinnesotaCare public option,"

 

Page 92, lines 12 and 18, delete ", the MinnesotaCare public option,"

 

Adjust amounts accordingly

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Schomacker amendment and the roll was called.  There were 57 yeas and 69 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7113

Murphy moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Pages 351 to 354, delete sections 9 to 23

 

Page 355, delete sections 25 to 28

 

Page 536, line 25, delete "282,251,000" and insert "282,199,000" and delete "245,773,000" and insert "245,721,000"

 

Page 537, line 31, delete "$221,687,000" and insert "$221,635,000"

 

Page 537, line 32, delete "$238,595,000" and insert "$238,543,000"

 

Renumber the sections in sequence

 

Amend the title accordingly

 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Schultz moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 84, delete section 23

 

Page 88, line 12, after the semicolon, insert "and"

 

Page 88, line 15, delete everything after "received" and insert a period

 

Page 88, delete lines 16 to 18

 

Adjust amounts accordingly

 

Renumber the sections in sequence and correct internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      Quam offered an amendment to the Schultz amendment to S. F. No. 2995, the unofficial engrossment, as amended.

 

 

POINT OF ORDER

 

      Tabke raised a point of order pursuant to rule 3.21 that the Quam amendment to the Schultz amendment was not in order.  The Speaker ruled the point of order well taken and the Quam amendment to the Schultz amendment out of order.


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7114

           The question recurred on the Schultz amendment and the roll was called.  There were 56 yeas and 69 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Keeler

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Scott moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Page 184, after line 20, insert:

 

"Sec. 84.  Minnesota Statutes 2022, section 144.68, is amended by adding a subdivision to read:

 

Subd. 4.  Patient consent required.  A person, hospital, medical clinic, medical laboratory, or other institution for the hospitalization, clinical or laboratory diagnosis, or care of human beings may provide the commissioner with a record of a case of cancer under subdivision 1 or 2 only with the consent of the patient or the patient's guardian or authorized representative.

 

EFFECTIVE DATE.  This section is effective July 1, 2023, and applies to the provision of records to the commissioner of health on or after that date."

 

Page 185, line 9, after "1" insert "and the patient, or the patient's guardian or authorized representative, consents to the provision of information under this paragraph"

 

Page 185, after line 14, insert:

 

"EFFECTIVE DATE.  This section is effective July 1, 2023, and applies to the provision of information on or after that date."


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7115

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly

 

 

      A roll call was requested and properly seconded.

 

 

      The question was taken on the Scott amendment and the roll was called.  There were 57 yeas and 68 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam

Robbins

Schomacker

Schultz

Scott

Skraba

Swedzinski

Urdahl

West

Wiener

Wiens

Witte

Zeleznikar


 

      Those who voted in the negative were:

 


Acomb

Agbaje

Bahner

Becker-Finn

Berg

Bierman

Brand

Carroll

Cha

Clardy

Coulter

Curran

Edelson

Elkins

Feist

Finke

Fischer

Frazier

Frederick

Freiberg

Gomez

Greenman

Hansen, R.

Hanson, J.

Hassan

Hemmingsen-Jaeger

Her

Hicks

Hill

Hollins

Hornstein

Howard

Huot

Hussein

Jordan

Klevorn

Koegel

Kotyza-Witthuhn

Kozlowski

Kraft

Lee, F.

Lee, K.

Liebling

Lillie

Long

Moller

Nelson, M.

Newton

Noor

Norris

Olson, L.

Pelowski

Pérez-Vega

Pinto

Pryor

Pursell

Rehm

Reyer

Richardson

Sencer-Mura

Smith

Stephenson

Tabke

Vang

Wolgamott

Xiong

Youakim

Spk. Hortman


 

 

      The motion did not prevail and the amendment was not adopted.

 

 

Schomacker moved to amend S. F. No. 2995, the unofficial engrossment, as amended, as follows:

 

Pages 52 to 66, delete sections 1 to 8

 

Page 550, delete lines 5 to 15

 

Reletter the paragraphs in sequence

 

Adjust amounts accordingly

 

Renumber the sections in sequence and correct the internal references

 

Amend the title accordingly


Journal of the House - 57th Day - Wednesday, April 26, 2023 - Top of Page 7116

           A roll call was requested and properly seconded.

 

 

      The question was taken on the Schomacker amendment and the roll was called.  There were 57 yeas and 68 nays as follows:

 

      Those who voted in the affirmative were:

 


Altendorf

Anderson, P. E.

Anderson, P. H.

Backer

Bakeberg

Baker

Bennett

Burkel

Daniels

Daudt

Davis

Demuth

Dotseth

Engen

Fogelman

Franson

Garofalo

Gillman

Grossell

Harder

Heintzeman

Hudella

Igo

Jacob

Johnson

Joy

Knudsen

Koznick

Kresha

McDonald

Mekeland

Mueller

Murphy

Myers

Nash

Nelson, N.

Niska

Novotny

O'Driscoll

Olson, B.

O'Neill

Perryman

Petersburg

Pfarr

Quam